Capaian Mutu Respon Time Igd-2

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LAPORAN MUTU RESPON TIME PASIEN

INSTALASI GAWAT DARURAT


Bulan : JANUARI 2022

Pasien RM Tgl Lahir Diagnosa Jam Reg


NO
T14 - Injury of unspecified body
1 HARI PURNAMA 113194 6/20/1997 region 0:32:34
2 YUDI ALAMSAH 095553 8/29/1981 K30 - Functional dyspepsia 0:44:00
MUHAMMAD RIZKY J45 - Asthma | K29 - Gastritis and
3 FIRDAUS 112575 5/1/2016 duodenitis 1:05:37
RAHAD SULTAN
4 ALFARIZ 028607 5/28/2015 R50.9 - Fever, unspecified 1:27:41
T14 - Injury of unspecified body
5 ARI SANDI 086599 7/19/2001 region 1:30:44

J06 - Acute upper respiratory


infections multiple and unspecified
6 ZAHRA AULIA 113195 10/22/2019 sites 1:30:44
MEILIA
7 TRESNAWATI 113196 5/10/1999 - 3:41:58
8 PUTRI GUSTIANI 066680 8/29/2001 - 4:15:34

BAYI NYONYA
MEILIA
9 TRESNAWATI 113199 1/1/2022 - 6:25:00
10 PAZAR PERMANA 078743 1/27/2002 K30 - Functional dyspepsia 7:09:18
CECEP SUHERMAN E10 - Insulin-dependent diabetes
11 SENEWE 113200 5/2/1960 mellitus 7:27:05
12 APRILIA SYABANI 093737 4/22/2019 R50.9 - Fever, unspecified 7:32:22
13 SOLIHAT 070940 7/2/1947 - 8:15:39
14 HERLINA 038787 5/10/1971 - 6:46:00
15 DUDI ISKANDAR 056868 6/5/1976 K30 - Functional dyspepsia 8:25:20
16 YESI ADELLA 052726 1/6/1993 - 8:40:46
SITI RUBIYATUL
17 DAWIYAH 038263 11/1/1991 J45 - Asthma 8:55:01
MUHAMAD AZZAM
18 HAIDAR 078366 4/19/2019 - 9:46:24
19 RUKOYAH, (Hj). 102726 7/1/1957 K30 - Functional dyspepsia 9:30:51
ARUMI
20 KARIMATUNNISA 113202 4/23/2021 R50.9 - Fever, unspecified 9:51:01
J06.9 - Acute upper respiratory
21 POPON SUARTIKA 009049 7/1/1958 infection, unspecified 9:57:41
22 FITRIE CHRISTINA 053694 7/3/1983 - 10:51:51
23 RAYHAN NABILA 113203 10/8/2001 K30 - Functional dyspepsia 10:24:32
24 NINING 054750 7/1/1970 K30 - Functional dyspepsia 10:48:58
MUHAMMAD
GERHANA
SYAMWEL DZIKRY
25 HENDRAWA 113204 3/9/2016 R50.9 - Fever, unspecified 10:55:05

MOCH REZQY
26 HARIANG KANCANA 066883 5/7/2012 R50.9 - Fever, unspecified 10:58:04
27 RENI 020490 7/4/2001 J45 - Asthma 11:01:06
BAYI NY PUTRI
28 GUSTIANI 113206 1/1/2022 - 11:19:33
BAYU NUARI
29 PERDANA 092015 1/1/2002 R50.9 - Fever, unspecified 11:43:23
30 SRI WAHYUNI 075737 12/14/1996 J45 - Asthma 12:21:21
K30 - Functional dyspepsia | R50.9 -
31 NENENG KARTIKA 045908 4/19/1970 Fever, unspecified 12:29:22
32 MUTIA SRI ADILA 004353 8/29/2017 R50.9 - Fever, unspecified 13:05:31
33 UNANG YUSUP 107590 8/6/1950 - 13:29:59
34 ILHAM MAULANA 113209 11/29/2001 - 13:46:22
MUMUN
35 MAEMUNAH 113210 6/8/1977 - 13:56:06
36 DIKI WAHYUDI 022636 4/23/2000 K30 - Functional dyspepsia 14:22:20
37 PUTRI HENDRIANI 070717 3/7/2019 - 14:24:34

38 RESTI NUR FAUZIAH 103006 3/2/2005 K30 - Functional dyspepsia 14:29:35

J45 - Asthma | J45.9 - Asthma,


unspecified | R50.9 - Fever,
39 SISKA NURHANIPAH 047053 7/24/1999 unspecified 14:54:42
40 PIPIH SOPIAH 007479 8/16/1977 K30 - Functional dyspepsia 15:26:16

41 WAWAN SETIAWAN 067022 7/11/1973 - 15:07:05


42 ACE KUSDINAR 050373 8/15/1965 K30 - Functional dyspepsia 15:17:08
WARDANA BAYYU
43 AZMI 106755 12/30/2020 - 16:04:51
44 AIN NUREANI 113211 8/19/1984 K30 - Functional dyspepsia 16:08:16
45 UNASIH 113015 7/1/1943 - 16:11:10

BAYI NYONYA
MELSA
(MUHAMMAD ZAYN J06.9 - Acute upper respiratory
46 Z) 113212 10/10/2020 infection, unspecified 16:34:15
ANGGA REY
47 MAULANA 100813 8/26/1986 R50.9 - Fever, unspecified 16:37:52
RAKHASANSHA
48 RASHEL WIDIAN 011058 4/21/2011 J45.9 - Asthma, unspecified 16:43:04
MUHAMMAD
KEANU PUTRA
49 RAMLAN 081962 2/8/2019 - 16:45:30
M.IDRAN MULKI
50 IKHSAN 113213 9/30/2003 R50.9 - Fever, unspecified 16:51:16

51 YAYAT NURHAYATI 112594 12/11/1972 - 17:04:56


52 ENUNG 088858 7/6/1972 - 17:07:17

MUHAMMAD J06.9 - Acute upper respiratory


HAIDAR infection, unspecified | R50.9 -
53 BAHARUDDIN 110842 11/6/2020 Fever, unspecified 17:10:26
KINANTI TRIANI A09.9 - Gastroenteritis and colitis of
54 DEWI 112417 3/28/2021 unspecified origin 17:33:51
55 SITI SUSANTI 113214 5/11/1995 K30 - Functional dyspepsia 17:38:52

J06.9 - Acute upper respiratory


infection, unspecified | N10 - Acute
56 E.D.SUHERLAN 102961 5/1/1964 tubulo-interstitial nephritis 17:50:38

57 WAWAN GUNAWAN 097472 7/8/1990 K30 - Functional dyspepsia 19:39:29


SITI AMALIAH
58 ANNUR 113216 10/4/2001 R11 - Nausea and vomiting 19:50:56

A09.9 - Gastroenteritis and colitis of


MUHAMMAD unspecified origin | J45.9 - Asthma,
59 DHEFIN EL FATIH 113217 7/6/2020 unspecified 20:47:00
60 UJANG HENDRIK 067838 11/11/1986 - 20:49:19
61 SUTIAH 113218 10/8/1984 - 21:18:38
WISDAN RESTU K92.0 - Haematemesis | K92.1 -
62 WIDIYA 080434 4/18/2004 Melaena 21:27:25

MUHAMMAD
63 HUSAIN ALFARIZQI 085323 11/5/2019 R50.9 - Fever, unspecified 22:57:34

T14 - Injury of unspecified body


region | T14.1 - Open wound of
64 BAYU FERDIANSYAH 113220 9/24/2000 unspecified body region 0:43:45
65 FAUZIAH 113221 8/9/2006 R10.0 - Acute abdomen 1:25:18

66 MOCH.MAHMUDIN 113222 8/26/1993 A01.0 - Typhoid fever 3:05:33


67 HERLINA 038787 5/10/1971 - 4:10:31
68 SRI WAHYUNI 075737 12/14/1996 J45.9 - Asthma, unspecified 6:20:39
69 LILIH MASLIHAH 113224 8/7/1973 J45.9 - Asthma, unspecified 7:09:21
J06.9 - Acute upper respiratory
70 ALFARENDRA 113225 5/31/2021 infection, unspecified 7:56:12
FAKHRANZA A09.9 - Gastroenteritis and colitis of
71 HARINDA 113227 11/18/2021 unspecified origin 9:19:47
72 IIN NURMIATI 068788 6/15/1976 K30 - Functional dyspepsia 9:24:44
73 SUMINAR 112829 2/21/1984 - 9:28:53

74 SITI NAFISAH AZMA 113228 5/8/2014 R50.9 - Fever, unspecified 11:40:50


75 BY NY SUTIAH 113231 1/2/2022 - 12:49:44
MUHAMMAD
76 RAGIEL 113232 1/2/2022 - 12:59:25
R50 - Fever of other and unknown
77 MULYANAH 113233 5/25/1982 origin 13:19:43
78 ABDULAH HAFIZ 113234 2/10/2021 - 13:31:58
79 SALWA SALSABILA 113240 5/20/2016 R50.9 - Fever, unspecified 14:11:44

MUHAMMAD RIZKY
80 HERMAWAN 113242 11/15/2018 R50.9 - Fever, unspecified 15:27:02

TANZIL SYAILENDRA
81 RACHMAN 113243 7/7/2013 R50.9 - Fever, unspecified 13:56:29
82 IBNU KARIM 032916 5/21/2009 J45 - Asthma 17:24:00
I10 - Essential (primary)
83 NIA RUSNIATI 094846 8/12/1968 hypertension 17:28:08
84 IPAH 045776 12/1/1957 - 18:47:08
85 HEMA MALINI 113245 9/19/1988 - 19:40:41
86 ROBI SUGARA 113246 11/21/1997 T79.4 - Traumatic shock 19:44:15

87 IMAS SUMARSIH 043746 6/1/1961 I20.9 - Angina pectoris, unspecified 20:04:02


T14.1 - Open wound of unspecified
88 NANA SUMARNA 113247 6/16/1970 body region 20:19:35
NURI FEBRYYANI
89 PUTRI 076483 2/1/2019 R50.9 - Fever, unspecified 21:54:20
90 SUSILAWATI 067101 8/7/1975 - 1:17:30
91 SITI SAADAH 113250 2/15/2004 - 1:33:07
GUSTYAS WIDYA 026380/00
92 PRAJA 2638 8/25/1993 J45.9 - Asthma, unspecified 2:19:03
93 LENI AMKAWATI 060136 5/5/1977 - 2:31:45

MOCHAMMAD
94 FAHMI RAMADHAN 113251 12/24/1997 R50.9 - Fever, unspecified 3:34:40

A15 - Respiratory tuberculosis,


bacteriologically and histologically
95 SUPARMAN 113253 12/8/1964 confirmed 6:13:52

96 KHOLID ABDULLAH 113254 4/3/1991 K30 - Functional dyspepsia 6:37:05


A01 - Typhoid and paratyphoid
97 HENI 113255 7/25/1979 fevers | A01.0 - Typhoid fever 7:00:11
98 SRI WAHYUNI 075737 12/14/1996 J45 - Asthma 9:23:54
YUKKA RADITYA
99 PRATAMA 105280 2/7/2015 R50.9 - Fever, unspecified 9:29:31
100 JAJANG AJANG 107625 7/1/1942 J45 - Asthma 9:40:08
101 DADANG SUJANA 106128 9/3/1965 K92.1 - Melaena 9:59:21
RAMDAN KHAIRIL
102 AHYA 113275 9/5/2010 A91 - Dengue haemorrhagic fever 10:44:24
103 NURAIDA 113280 6/2/1992 - 11:16:33
SABRINA ZAIN T14.1 - Open wound of unspecified
104 AFSHEEN 038633 3/6/2016 body region 12:09:00
MEIDINA PUTRI
105 ARFIANSYAH 113283 5/5/1998 R55 - Syncope and collapse 12:52:57
T01 - Open wounds involving
106 WIWI 012692 4/16/1966 multiple body regions 13:27:39

107 AYI SAPTARI 113284 5/13/1962 H81.1 - Benign paroxysmal vertigo 13:43:57
SEKAR ARUM PUTRI
108 ALAMSYAH 113285 3/1/2020 R98 - Unattended death 14:35:14
109 CUCUN 113286 1/1/1975 K30 - Functional dyspepsia 14:43:58
J18.0 - Bronchopneumonia,
110 DARIAH FITRI YANI 113287 6/1/2021 unspecified 14:48:28
FIRDAUS ZUHAIR T14 - Injury of unspecified body
111 AKRAM 113288 6/16/2015 region 15:09:38
112 DEWI SARTIKA 113289 12/6/1990 A88.1 - Epidemic vertigo 16:01:49
113 ASIAH 113290 1/3/1967 N21.0 - Calculus in bladder 16:42:42
MUHAMMAD
114 ZAVIER ADITYA 064530 7/5/2018 R50.9 - Fever, unspecified 17:31:30
115 IIS ROHILAH 029212 10/20/1979 - 17:36:33
PUNKY
116 PURNOMO.IR 113291 4/22/1967 - 18:45:37
117 IPUR 043954 6/1/1955 R50.9 - Fever, unspecified 19:22:59
118 UUN 113292 2/21/1958 R50.9 - Fever, unspecified 19:29:39
119 ADE 113293 10/12/1973 K30 - Functional dyspepsia 19:39:37
120 SITI MAESAROH 113294 10/12/1984 - 19:42:53
WAWAT
121 RAHMAWATI 072687 1/31/1962 K30 - Functional dyspepsia 20:20:55
122 JUBAEDAH 021539 9/5/1972 J45 - Asthma 20:23:59
123 HASNA 113295 5/20/2012 R50.9 - Fever, unspecified 20:31:56
124 ESIH SUKAESIH 110934 12/22/1953 K30 - Functional dyspepsia 21:08:26
125 MULYANAH 113233 5/25/1982 R50.9 - Fever, unspecified 18:05:20
126 RAYI KURNIA 113297 7/1/1983 - 21:48:30
127 SITI SUSILAWATI 091642 2/10/1997 K30 - Functional dyspepsia 23:08:18

128 SINTA RATNA SARI 113298 11/26/1987 - 7:26:46


BY NY SITI
129 MAESAROH 1 113300 1/3/2022 - 0:06:08
130 SITI NURALIYAH 113301 1/3/2022 - 0:10:28
BAYI NYONYA RAYI
131 KURNIA 113302 1/4/2022 - 0:25:00
132 RATIH 113303 8/31/2000 - 1:59:31
NENENG
133 NURHAYATI 113306 11/6/1968 - 6:55:05

MUHAMAD ULWAN A01.0 - Typhoid fever | R56.8 -


134 ADIPATI KAMAJAYA 086438 10/28/2019 Other and unspecified convulsions 6:34:24
135 BY NY RATIH 113307 1/4/2022 - 6:36:51
BY NY SINTA RATNA
136 SARI 113308 1/4/2022 - 7:26:00
137 ALWI ARRAJAB 067355 3/13/2019 R50.9 - Fever, unspecified 7:35:04

J45 - Asthma | K30 - Functional


dyspepsia | R50 - Fever of other and
138 SELVI LESTARIANA 051051 12/28/1991 unknown origin 7:47:37
MUHAMAD RAZA
139 NURAHMAN 104829 3/20/2018 K29.7 - Gastritis, unspecified 3:00:00
140 AAH 110366 11/5/1960 R06.0 - Dyspnoea 9:30:03

A04 - Other bacterial intestinal


infections | R50.9 - Fever,
141 SALWA SAFITRI 056152 9/11/2007 unspecified 10:09:52

J18.0 - Bronchopneumonia,
VIONA KHUMAIRA unspecified | R06.0 - Dyspnoea |
142 YUSUF 096471 3/29/2020 R50.9 - Fever, unspecified 12:40:35

A09.9 - Gastroenteritis and colitis of


unspecified origin | K30 - Functional
dyspepsia | K56.7 - Ileus,
unspecified | R63.8 - Other
symptoms and signs concerning
143 ASEP SETIAWAN 086365 8/14/1976 food and fluid intake 13:39:19
ABDURAHMAN
144 RAMDAN 072734 11/9/2003 - 13:54:11
145 RINI ANGGRAENI 113338 12/26/1977 - 14:25:30

A09 - Other gastroenteritis and


colitis of infectious and unspecified
146 TITIN HASANAH 113339 11/26/1971 origin 14:31:17

NISKALA DHANESA
147 YEKA KERLOOZA 109569 8/7/2021 - 15:13:56
T14 - Injury of unspecified body
148 YUMNA 113340 3/14/2021 region 15:50:30
J44 - Other chronic obstructive
149 HOLISOH 090458 2/2/1953 pulmonary disease 15:58:12
KEISHA NURUL R50.8 - Other specified fever | R50.9
150 AZKIA 049236 3/7/2015 - Fever, unspecified 16:13:54
WAWAT
151 RAHMAWATI 072687 1/31/1962 - 17:07:18
J06.9 - Acute upper respiratory
152 DRS. IDEN SAQOKI 033303 4/12/1959 infection, unspecified 17:14:55
153 TIEN SUNARYA 072643 6/10/1944 M54.5 - Low back pain 17:25:29

154 RACHMAT ABDULAH 113341 1/1/1980 L08.0 - Pyoderma 17:31:32

155 BETI ROHAETI 113342 11/25/1981 G44 - Other headache syndromes 17:33:25
ILMAN SYAKIR
156 RAHMAN 104940 4/2/2021 - 17:36:04
RAHAD SULTAN
157 ALFARIZ 028607 5/28/2015 - 17:57:45
158 SELA SEPTIANA 113344 9/8/1998 - 18:13:43
I10 - Essential (primary)
159 AAS ASTINI 084515 5/10/1978 hypertension 18:45:34
160 UJANG SUTRISNO 113345 8/14/1969 - 18:49:06
161 AAH 110366 11/5/1960 - 19:54:03
162 NENIH SURYANI 074578 8/8/1966 - 19:14:25
J80 - Adult respiratory distress
163 POPON SUARTIKA 009049 7/1/1958 syndrome 19:16:44
ARSYILA KHANZA
164 PUTRI 033195 8/11/2017 - 19:19:40

ALNAIRA FUKAYNA 044992/05 R11 - Nausea and vomiting | R50.9 -


165 AZZAHRA 2759 9/3/2017 Fever, unspecified 19:50:43

166 NADA PUTRI ZAHIRA 113346 12/14/2015 - 20:19:04


167 SRI WAHYUNI 075737 12/14/1996 - 20:35:57
AIRA SYAHRAINI
168 PUTRI 111104 6/3/2020 A91 - Dengue haemorrhagic fever 22:56:43
SELVI SUCIATI
169 ANGGRAENI 113347 11/21/2000 - 22:56:48
170 WIJAYA 113348 8/6/1970 K30 - Functional dyspepsia 22:56:51
171 RIANA 027486 3/2/1971 K30 - Functional dyspepsia 22:56:55
MUHAMMAD AZKA R50.9 - Fever, unspecified | R56.0 -
172 PRATAMA 031840 12/13/2016 Febrile convulsions 22:57:00
173 AYI WARSA 113349 11/10/1968 K30 - Functional dyspepsia 22:57:04
174 AEP SAEPUDIN 052511 6/13/1964 - 22:57:07

MUHAMMAD
PADLAN AL-
175 BUKHORI 113350 3/24/2016 M79.1 - Myalgia 22:57:11
176 YAYU MELANDA R 018970 5/5/1996 - 22:58:56
177 KHAIRUL WAHYUDI 113351 8/18/1987 K30 - Functional dyspepsia 0:02:41

KHAWLA GHANIYYA J06.9 - Acute upper respiratory


178 NUUR NAFIISAH 102522 7/5/2018 infection, unspecified 8:08:39
179 ROFIKOH 113364 6/10/1999 - 9:31:34

180 BENNY SULAEMAN 113372 6/28/1975 K30 - Functional dyspepsia 11:34:13


CHANDRA
181 PAMUNGKAS 076333 7/1/1995 R50.9 - Fever, unspecified 11:40:32
182 ISOH SOLIHAT 113373 5/16/1972 K30 - Functional dyspepsia 11:48:22

PERMATA T14 - Injury of unspecified body


183 WARDATUL JANNAH 014403 11/12/2007 region 12:14:01
184 TATI ISMAYANTI 044883 12/6/1963 D64 - Other anaemias 12:10:55
RATU MAYGHINA
185 TIFA KANCANA 052268 5/5/2010 J45.9 - Asthma, unspecified 12:32:04

186 FUJI FIRMANSYAH 108606 9/2/1977 M79.0 - Rheumatism, unspecified 13:20:28


187 SRIYANTI 078916 1/7/1990 - 13:43:54
188 AHMAD FAHRI 113375 4/23/2013 R50.9 - Fever, unspecified 13:46:04

189 YOYOH KARTIKA 113376 7/21/1978 N03 - Chronic nephritic syndrome 13:53:25
190 PUPUN ROHAYATI 026098 12/31/1987 J45 - Asthma 14:05:27
T14 - Injury of unspecified body
191 AJI RUSTANDI 113377 4/5/1975 region 14:17:32
DESTA SUBAGJA,
192 (Amd.Kep). 087119 12/21/1994 K30 - Functional dyspepsia 14:22:33
193 IIS TATI SUMIATI 113378 7/6/1965 E9060 - Dog bite 14:28:50
M. RAMDAN T14 - Injury of unspecified body
194 HIDAYATUL FALAH 113379 1/28/1996 region 15:13:00
I10 - Essential (primary)
195 EUIS MULYATI 113380 1/12/1952 hypertension 15:19:59

L02.9 - Cutaneous abscess, furuncle


196 SUGIYANTO 112935 4/2/1977 and carbuncle, unspecified 15:34:34
RATU MAYGHINA
197 TIFA KANCANA 052268 5/5/2010 J45 - Asthma 15:30:49
198 ROHIMAH 095541 7/1/1951 R50.9 - Fever, unspecified 16:22:40
199 NURHASANAH 035316 7/14/1976 R50.9 - Fever, unspecified 16:40:08
ALFRY REYNAND T14 - Injury of unspecified body
200 ZAKI 104825 2/8/2002 region 17:09:09
T14 - Injury of unspecified body
201 IPANG MULYANA 113382 6/6/1987 region 16:16:16
T14 - Injury of unspecified body
202 PEPEN SUPENDI 082257 9/13/1985 region 16:16:16
NANANG
203 SUPRIATNA 112655 5/12/1968 K30 - Functional dyspepsia 17:30:18
204 YAYAH 057315 8/21/1963 K30 - Functional dyspepsia 17:34:57
205 DEDEH 056746 9/14/1967 K30 - Functional dyspepsia 17:44:11
206 IIS 008108 7/1/1960 J45 - Asthma 17:57:32
207 EUIS KARTIKA 113384 5/2/1981 - 19:14:03
BUNGA SYARI
208 ZATINEGARA 111707 5/13/1991 - 18:53:51
209 DEPI NURPIPIT 113385 1/23/1998 R50.9 - Fever, unspecified 19:18:29
210 PITRIYANI 077819 11/28/1990 J45 - Asthma 19:25:20
RIRI RIDHA
211 WAHYUNI 113386 9/28/2000 R50.9 - Fever, unspecified 20:02:24

MUHAMMAD
DAFFA
212 FAJRIANSYAH 004700 7/30/2014 R50.9 - Fever, unspecified 20:13:23
M. FATHAN ZILDI
213 JAMIL 113387 2/28/2010 - 20:21:52
214 OPI ANGGARESTA 113388 6/22/1999 - 20:52:32
215 OIM ABDUROHIM 113389 8/16/1942 K30 - Functional dyspepsia 22:11:04
216 MUSLIM 113390 8/21/1949 J45 - Asthma 23:12:27
J45 - Asthma | J45.9 - Asthma,
217 SARIPAH 113391 1/1/2010 unspecified 23:55:07
BUNGA SYARI
218 ZATINEGARA 111707 5/13/1991 - 23:59:40

219 ANNISA NURDIANA 113030 9/21/1988 - 1:10:05


MOCH. ARFAN
220 PUTRA PERDANA 062902 3/26/2018 R11 - Nausea and vomiting 3:19:02
AWALUDIN R10.4 - Other and unspecified
221 ISKANDAR 113393 4/16/1994 abdominal pain 3:36:29
UBAIDILLAH
222 MAULANA IHSAN 113396 9/3/1987 - 5:59:34
223 YOGA MAULANA 113397 10/23/1990 - 6:33:14
GRATCYA FEBIOLA
224 LEMPOY 086061 2/15/2001 - 6:52:26
225 ANDI SUHANDI 113398 8/27/1950 K30 - Functional dyspepsia 7:04:38
226 BELLYANA 113399 4/5/1969 K30 - Functional dyspepsia 7:45:05
GIBRAN JUNA
227 PRATAMA 113404 1/2/2019 R50.9 - Fever, unspecified 8:26:38
MUHAMMAD J18.0 - Bronchopneumonia,
228 DJIBRIL ALFARIZQI 101088 11/13/2020 unspecified 8:33:44
GREGORIUS SETH
EMMANUEL
229 CHRISTMAS 113409 1/6/2022 - 8:56:45
T14 - Injury of unspecified body
230 TETTY VIRGIANA 113411 6/11/1966 region 9:04:55
231 ISHMAH NAAILAH 050242 11/25/2009 J45.9 - Asthma, unspecified 10:27:55
232 MITA YUDIANA 071320 7/11/2003 - 11:30:53
233 SUMIATI 075606 4/26/1952 R07.3 - Other chest pain 11:43:12
234 NANI SURYANI 113417 11/28/1987 R10 - Abdominal and pelvic pain 12:09:03
235 NURAENI 113419 2/6/1991 K30 - Functional dyspepsia 13:36:42
ACHMAD AZZAM
236 NURWAHID 060770 10/16/2016 - 14:19:42
NENG SHERLY
237 FITRIANI 113420 10/16/2004 A91 - Dengue haemorrhagic fever 14:48:18
E10 - Insulin-dependent diabetes
238 ICEUH SUMIATI 060633 5/25/1962 mellitus 14:54:20

239 SITI NAFISAH AZMA 113228 5/8/2014 - 14:59:05


RANIA YULIAN
240 PUTRI 094892 7/8/2017 - 15:02:34
J06.9 - Acute upper respiratory
241 SILVIA AGUSTIN 113421 11/18/2012 infection, unspecified 15:16:21
MAMAN
242 SURATMAN 113423 12/12/1968 J45 - Asthma 15:31:19

AISHWA SALSABILA
243 AZZAHRA 094396 8/7/2020 - 17:17:31
ZULFA HAJJMATUL
244 HUMAIRA 032470 5/22/2017 - 17:21:16
SHEENA UTARA
245 WULANDARI 038701 10/15/2016 - 17:24:30
246 YUSUP SAEPULOH 113425 7/1/1970 - 17:47:24
247 LENA NURLELA 083506 6/12/1995 - 18:27:33
248 PUTRI LESTARI 079914 10/18/2002 - 18:32:34
249 OLIN 113426 7/27/1947 - 18:54:02
022945/05
250 MUTIA BUDIMAN 9662 4/21/1994 - 19:45:39
251 EPI 113427 4/12/1987 - 19:53:33
DITO DANG T14 - Injury of unspecified body
252 KURNIAWAN 113428 4/21/2002 region 20:02:38
253 FERI FIRMANSAH 113429 8/5/1983 R50.9 - Fever, unspecified 20:25:15

254 SISKA NURHANIPAH 047053 7/24/1999 J45 - Asthma 20:57:48


NADISA AFRIN
255 ADIBAH 056680 5/23/2016 - 20:57:48
256 RINA INDRAWATI 113431 8/28/1984 - 21:14:14
257 CECEP SUPARDI 113432 8/10/1957 R07.4 - Chest pain, unspecified 21:44:01

258 ABIL SIDQI ARSLAAN 113433 12/17/2020 - 22:18:20


259 MITA YUDIANA 071320 7/11/2003 - 22:24:00
RAFASYA ADITIA
260 MAULANA 113434 1/1/2021 R50.9 - Fever, unspecified 22:44:40
261 TATI YULIANTI 113435 4/24/1971 K30 - Functional dyspepsia 23:26:05
262 DEVI SURYADI 094485 7/7/1996 - 7:42:31
MUHAMMAD
263 ERVAS AL-FATIH 113436 1/6/2022 - 0:13:08
R99 - Other ill-defined and
264 OTIN HARYATI 048154 7/13/1957 unspecified causes of mortality 0:19:37

N17.9 - Acute renal failure,


unspecified | R65.0 - Systemic
Inflammatory Response Syndrome
of infectious origin without organ
265 AJUN 113437 6/2/1982 failure 4:28:32
266 ADE CANDIMAN 113438 9/12/1985 - 4:35:16
MUHAMMAD J06.9 - Acute upper respiratory
267 LUTHFAN AL TAIR 113439 9/24/2021 infection, unspecified 5:38:29

MUHAMAD ABIZAIN
SYAUQI
268 ALKUROIMAN 112023 2/10/2021 R50.9 - Fever, unspecified 6:02:52
BY NY MITA
269 YUDIANA 113440 1/7/2022 - 6:18:57
270 APUN 032211 1/1/1955 - 6:31:19
MUHAMMAD RIZKI
271 ALFARIZI 113441 3/30/2019 R56.0 - Febrile convulsions 6:47:57
272 DEVI SURYADI 094485 7/7/1996 R50.9 - Fever, unspecified 7:47:12
MUH ANGGA
273 FEBRIAWAN 032252 2/12/2001 K92.0 - Haematemesis 10:54:20

274 FERI FIRMANSAH 113429 8/5/1983 A91 - Dengue haemorrhagic fever 12:01:56
275 EXCEL SANKA 113455 4/25/2003 R50.9 - Fever, unspecified 13:12:02

276 ENDANG ABDULOH 113456 3/14/1974 R33 - Retention of urine 13:18:00

277 JIOSY SITUMORANG 113458 8/15/2020 R50.9 - Fever, unspecified 14:10:40


278 ENUR 113459 2/11/1970 - 15:01:05
AZKIYA FAUZIA
279 AURORA 113460 10/9/2020 - 15:10:23

WILDAN
ABDURRAHMAN
280 AZIZI 113461 8/22/1994 K30 - Functional dyspepsia 16:13:57
281 AFIFA FITIYA 097090 10/2/2020 R50.9 - Fever, unspecified 16:52:37
282 SRI MULYANTI 079995 1/24/1982 R10.0 - Acute abdomen 16:39:57
283 KIKI 088859 4/27/1994 R50.9 - Fever, unspecified 16:43:18
284 EKA NURLELA 039190 8/24/1989 J45.9 - Asthma, unspecified 16:48:31
285 TUTI MISTUTI 068961 1/14/1960 E16.1 - Other hypoglycaemia 17:14:18
MUHAMMAD
286 LUTHFAN AL TAIR 113439 9/24/2021 J45.9 - Asthma, unspecified 17:28:16
287 SUKANTA 045833 7/1/1935 R51 - Headache 17:31:00

288 EEN MASITOH 023918 4/10/1972 M79.0 - Rheumatism, unspecified 17:33:34


289 IRSAN MEIYANA 113463 5/5/2001 R50.9 - Fever, unspecified 18:18:37
RATIH AJI
290 PANGESTU 113464 3/22/2005 R50.9 - Fever, unspecified 19:01:23
291 UTOM BUSTOMI 113466 5/3/1949 J45.9 - Asthma, unspecified 19:34:21

292 YUGA SATYA PUTRA 113467 1/14/2015 R50.9 - Fever, unspecified 20:23:38
HUMAIRA NAFISA
293 JAELANI 109300 3/26/2021 R50.9 - Fever, unspecified 20:40:22
BILQIS ALIKA
294 FARHANA 079832 4/27/2019 R11 - Nausea and vomiting 22:20:12
295 SENI FITRIANI 087305 6/10/1986 N20.0 - Calculus of kidney 22:37:47

T01 - Open wounds involving


FAHMI ABDUL multiple body regions | T14 - Injury
296 MANAF 113468 5/14/2004 of unspecified body region 23:13:42

MUHAMMAD
NURFADILAH
297 ARSIDIK 113469 9/10/2013 J45 - Asthma 1:48:35
MUHAMAD AZRIL
298 AL-FARES 113470 4/10/2019 R56.0 - Febrile convulsions 4:20:26

A09 - Other gastroenteritis and


GISAN INDRA colitis of infectious and unspecified
299 BUDIMAN 113471 6/13/1970 origin 4:24:22
ARIENDRA
300 PILIANDRY YUSUF 086594 5/16/2018 J45 - Asthma 4:24:22
R99 - Other ill-defined and
301 ROBANI 113472 5/28/1969 unspecified causes of mortality 5:18:00
YESA APRILIA
302 NURMAYA 113473 4/5/1999 K30 - Functional dyspepsia 7:18:08

A91 - Dengue haemorrhagic fever |


303 HANA AL AMOUDI 113475 7/7/2006 R50.9 - Fever, unspecified 8:52:19

304 JAKA 113477 7/10/1967 L03.0 - Cellulitis of finger and toe 9:23:19
305 ANDI SUHANDI 113398 8/27/1950 K56.7 - Ileus, unspecified 14:21:42
306 DINDIN 113479 3/9/1952 A19 - Miliary tuberculosis 10:06:07

307 NUR 113480 10/3/1979 E9065 - Bite by unspecified animal 10:13:07


308 SITI PATIMAH 081046 8/17/1978 - 10:33:49
309 AGHISNA PUTRI 113482 1/8/2022 - 11:56:58
310 SRI ANDINI 074679 3/22/1983 R10.0 - Acute abdomen 12:01:55
311 JAMES RIZALDI 062107 2/18/2002 R50.9 - Fever, unspecified 12:15:42

RAYHAN MARTOGI A09.9 - Gastroenteritis and colitis of


312 MUNTHE 061627 8/8/2017 unspecified origin 13:32:29

RAFFASYA AL
FARIZKY
313 KURNIAWAN 039555 11/18/2017 - 14:04:21

INDRA
MUHAMMAD
314 FADILLAH 113484 11/22/2008 - 14:10:25
NIA NATANYA BR
315 PURBA 113485 3/22/2011 - 14:54:30
PUTRI BALQIS R50 - Fever of other and unknown
316 SYAFIRA 113487 12/26/2013 origin 14:46:23
317 NIA DANIATI 113489 12/10/1982 - 15:24:42
318 DANI ANDANI 113490 8/8/1996 - 16:11:32
R50 - Fever of other and unknown
319 DEDE TRI MULYONO 113491 2/5/1984 origin 16:14:03
320 AFKAR AL BAGHIR 113492 10/14/2021 - 16:19:46
M. ADAM
321 ALAMSYAH 113187 3/4/2014 - 16:27:56
322 REJA JULIANTO 113493 7/25/2006 - 16:32:46
323 INDRI NURDIANI 102473 5/4/1986 K30 - Functional dyspepsia 16:38:49
ALSHEIRAZ KING
324 GWINENDRA 112314 10/18/2021 - 16:43:45
325 MUTIA EKA PUTRI 113494 10/5/1988 - 16:51:01
ADE MIAH
326 HAMIMAH 113495 7/3/1967 - 16:55:30
ANA MAULIDATUS
327 SAADAH 108622 4/5/2014 - 17:24:22
CLARISSA AURELIA
328 IRAWAN 113496 5/27/2019 - 17:31:45
ANGGINA QALBI N39.0 - Urinary tract infection, site
329 TANISYA 081935 8/6/2019 not specified 17:44:42
330 SOLIHAT 113497 2/17/1965 - 18:03:27
331 REREN 049742 3/15/1983 - 18:18:42
DADEN
332 HENDIAWAN 062270 10/12/1983 K30 - Functional dyspepsia 18:51:04
MUHAMMAD
333 RASYID ABDULLAH 113499 1/8/2021 - 18:58:51
ILMI GHANI AL
334 ZAFRAN 113500 2/4/2020 - 19:04:22
335 ENJANG 010752 3/4/1952 K30 - Functional dyspepsia 19:07:18
DWI E14.9 - Unspecified diabetes mellitus
336 RAHMANENDRA 113502 2/5/1979 without complications 20:02:21
KAIRAN DELVIN J06.9 - Acute upper respiratory
337 ARSALAN 113503 7/3/2021 infection, unspecified 20:24:44
ALIFA ANZELIA
338 MIRANDA PUTRI 038275 5/4/2006 R50.9 - Fever, unspecified 20:42:54
SITI AISAH
339 AMBARWATI 049694 6/19/1996 - 21:25:12
NISSA WULAN
340 FAUZIYAH 113504 6/20/2001 K30 - Functional dyspepsia 21:36:29
ADNAN GAISAN
341 RAFFA 113507 12/12/2019 R11 - Nausea and vomiting 23:39:29

MUHAMMAD
342 REHAN EL SHANUM 095629 1/5/2020 R50.9 - Fever, unspecified 1:15:22
T14 - Injury of unspecified body
343 IROH 028438 6/2/1960 region 5:32:26

BAYI NYONYA SITI


344 AISAH AMBARWATI 113508 1/9/2022 - 8:33:08
NOVAL J18.0 - Bronchopneumonia,
345 FEBRIANSYAH 113509 2/7/2017 unspecified 7:57:36
DANIYAL CHAIRIL J18.0 - Bronchopneumonia,
346 ASSHAUQI 113510 12/9/2020 unspecified 8:27:29

NAFISHA JAUHARA
347 ZAHRANI 113511 1/5/2020 - 8:47:38
348 IKIN SODIKIN 113512 10/1/1952 K30 - Functional dyspepsia 8:59:40
349 JAMIL 113514 2/26/1992 - 9:21:41
T14.1 - Open wound of unspecified
350 MUHAMMAD REZKA 113515 1/17/2020 body region 9:39:11
J06.9 - Acute upper respiratory
351 DESVITA APRILIANTI 016068 4/27/2014 infection, unspecified 9:52:08
352 ENTIN SUMARNI 113516 2/9/1958 - 9:58:30

T14.1 - Open wound of unspecified


body region | T14.9 - Injury,
353 NURHAYATI 113517 12/24/1988 unspecified 10:52:28
354 HAPI 113518 7/1/1958 K30 - Functional dyspepsia 11:04:50
355 AJAT SUPRIATNA 061902 12/8/1984 K30 - Functional dyspepsia 11:49:28
ALIFAH HANA T14.1 - Open wound of unspecified
356 NABILA 113519 7/12/1999 body region 12:31:35

A09.0 - Other unspecified


HILYA MAFAZA gastroenteritis and colitis of
357 YUMNA 077741 11/18/2018 infectious origin 12:47:11
358 YETI NURLAELA 113520 9/6/1974 M79.1 - Myalgia 13:19:57
MUHAMMAD
359 SYAFIQ AL HABSYI 106722 6/29/2020 - 13:44:18
SHALMA KHUMAIRA J06.9 - Acute upper respiratory
360 SYAH 113521 1/21/2018 infection, unspecified 13:59:05
N39 - Other disorders of urinary
361 MIMIN AMINAH 113522 10/15/1985 system 14:05:01
T14.1 - Open wound of unspecified
362 MUHAMAD PIRDAN 113523 12/13/2003 body region 14:02:00
INDRA JUANDA
363 SAPUTRA 113524 2/1/2003 - 15:03:00
ADZKIA NAYYARA
364 SYAQILLA 106268 10/22/2020 J45 - Asthma 15:32:20
PUTRI BALQIS J06.9 - Acute upper respiratory
365 SYAFIRA 113487 12/26/2013 infection, unspecified 15:03:00
366 ENTO NURHAYATI 006894 2/25/1973 - 15:52:48

A09 - Other gastroenteritis and


colitis of infectious and unspecified
origin | G03 - Meningitis due to
SITI RAHMA AL- other and unspecified causes |
367 HUSNA 113525 2/14/2021 G03.9 - Meningitis, unspecified 17:00:18
368 SINTA NURAENI 113526 10/19/2013 K30 - Functional dyspepsia 17:16:54
369 UDAS 047682 7/1/1942 - 17:50:23
MUHAMMAD
370 FATAN SEPTIAN 095733 9/16/2019 K40 - Inguinal hernia 18:26:46
371 CUCU 023587 7/5/1958 K30 - Functional dyspepsia 18:57:25

HAFIDZ RAMADAN J06.9 - Acute upper respiratory


372 ALFARIZKI 113527 4/28/2021 infection, unspecified 19:15:02

J06.9 - Acute upper respiratory


BUDDY SETIAWAN infection, unspecified | K30 -
373 BA. 113528 9/15/1960 Functional dyspepsia 19:26:28

DIVA NOER AZIEZAH


374 RACHMAN 068896 1/27/2003 - 19:48:09
375 SITI ANIFAH 093843 8/22/1986 J45.9 - Asthma, unspecified 20:15:05
376 SURYANI 113529 6/1/1995 - 20:22:39
377 NENIH 038748 7/1/1958 - 20:29:39
378 HANA YULIA 113530 7/27/1990 - 20:38:37
NAZLA MAULIDIA
379 AZZAHRA 113531 10/24/2020 - 23:52:01
380 SITI ESPUADAH 026914 7/15/1991 - 7:45:05
381 ECE SUHERDI 113535 4/11/1979 J20 - Acute bronchitis 7:51:05
382 SHEILA AGUSTINA 068396 8/21/2005 J45 - Asthma 7:55:03
A90 - Dengue fever [classical
383 FINNY FITRIANI 044359 1/25/1992 dengue] 0:22:26
384 YAYAT SUMIYATI 113532 6/10/1977 K30 - Functional dyspepsia 2:10:18
385 YOYOH WARLIAH 113533 5/11/1968 - 3:03:41
386 ROFIKOH 113364 6/10/1999 - 5:43:48
387 IROH 028438 6/2/1960 - 4:16:55
388 AGUNG RAYANA 113534 5/15/1995 R50.9 - Fever, unspecified 6:03:20
389 BUDIANSYAH 071310 1/20/1988 J45.9 - Asthma, unspecified 5:31:54
I50.0 - Congestive heart failure | K30
390 H. O. FIRMANSYAH 060451 9/4/1949 - Functional dyspepsia 9:13:46
391 SITI NUR ARISMA 095945 1/2/2003 R07.4 - Chest pain, unspecified 11:47:11

392 NESVIA VISCARENA 051977 3/2/1991 - 11:49:55


393 DIDIN 046288 10/10/1968 - 13:20:56
394 BY NY ROFIKOH 113559 1/10/2022 - 13:35:36
395 NABIL 113560 1/10/2022 - 13:41:29
396 UTI 113561 8/10/1949 - 14:27:01
397 YANI APRIANI 022669 10/6/1985 - 14:40:38
398 SITI AISYAH 113563 9/10/2000 - 14:47:21
399 YANA SURYANA 097617 3/28/1990 K30 - Functional dyspepsia 14:57:56
400 DEDI SUANDI 113564 3/2/1971 - 15:22:00
401 SAEPUL BADRI 113565 9/23/1991 - 15:31:20

402 ANNISA NURFAUZIA 113566 10/23/1988 K30 - Functional dyspepsia 15:43:44


403 YANA 113567 4/22/1985 - 15:56:05
404 GENING SUGESTI 072197 11/28/1970 K30 - Functional dyspepsia 15:57:38

405 LUKMAN DULHAKIM 113568 11/25/1975 K30 - Functional dyspepsia 16:38:41


406 TINA AGUSTINA 113569 8/16/2000 - 16:04:14
407 ROHIMAH 095541 7/1/1951 - 17:08:02
408 SITI ZAHRA 113571 8/27/2004 - 17:12:18
DEFIS GIAN
409 SUGIANTO 063231 8/15/1988 K30 - Functional dyspepsia 17:15:05
MUHAMMAD FAJAR
410 GUMELAR 113572 4/24/2000 - 17:17:46

SITI KHOERUNNISA
411 SYA BANI 113573 9/11/2006 J45 - Asthma 17:21:21
412 HENNY SUPARNI 113574 3/11/1942 - 18:23:22
413 SUSILAWATI 022007 5/5/1974 - 19:11:10
414 DADAN DARYANTO 113575 3/10/1989 K30 - Functional dyspepsia 19:15:42
415 YUYUN HALIMAH 094503 2/19/1979 - 19:20:29
416 RINRIN DIANI 113576 2/14/2005 - 19:23:41
G40 - Epilepsy | K30 - Functional
417 TEGAR ALVARESA 046893 10/3/2003 dyspepsia 19:28:30
AJENG UTARI
418 JULIANA 113577 7/13/2000 - 19:33:01

ALVARO PUTRA J06.9 - Acute upper respiratory


419 PASKAL 110333 7/21/2021 infection, unspecified | J45 - Asthma 19:38:03
VICKY
420 OKTAVINDIANA 113578 10/31/1986 - 19:41:21

421 EVA SITI JULAEHA 111525 4/11/2001 N75.1 - Abscess of Bartholin=s gland 20:11:16
K29.7 - Gastritis, unspecified | K30 -
422 ATINA ELFARANISA 057233 12/4/2013 Functional dyspepsia 20:27:10
423 NENENG 113580 7/1/1943 - 21:03:23

ALODIE QUEENSARA J06.9 - Acute upper respiratory


424 AZZALFA 113582 9/6/2020 infection, unspecified 0:54:51
425 IMAN 113583 4/24/1994 - 2:42:08
FIKRI
426 HIDAYATULLAH 113584 3/18/2005 - 2:36:54
427 KAKA ALEXANDRA 113586 1/1/2006 - 2:17:34
NOWAF
428 FIRMANSYAH 113585 1/1/2004 - 2:17:20
ACH ZAKKI J06.9 - Acute upper respiratory
429 FACHRUDDIN 046809 12/25/2012 infection, unspecified 5:37:58
430 SELLY LESTARI 098024 9/1/1993 K30 - Functional dyspepsia 7:23:31

431 ELIS PURNAMASARI 113587 4/2/1989 K30 - Functional dyspepsia 7:28:27

K30 - Functional dyspepsia | R50.9 -


Fever, unspecified | R63 - Symptoms
and signs concerning food and fluid
432 SUPYAN 113593 2/1/2002 intake 8:26:31

433 KAYRA ANARTADIRA 079492 9/1/2018 A91 - Dengue haemorrhagic fever 9:10:47

A91 - Dengue haemorrhagic fever |


HILYA MAFAZA R63 - Symptoms and signs
434 YUMNA 077741 11/18/2018 concerning food and fluid intake 10:32:19
SANASYA
435 PRIHARTINI 113604 9/7/2004 K30 - Functional dyspepsia 10:58:35
A91 - Dengue haemorrhagic fever |
DARELL PRATAMA R63 - Symptoms and signs
436 PASYA 113605 12/28/2012 concerning food and fluid intake 11:10:16
T01 - Open wounds involving
437 SITI NUR RAHAYU 113607 12/18/2007 multiple body regions 12:13:10
M8800/0 - Soft tissue tumour,
438 ADE SANTI 113608 12/10/1968 benign 13:27:52
VIRLY ALVIO
439 ERNANDA 113609 6/21/2007 R50.9 - Fever, unspecified 13:35:59
440 JAJANG EFENDI 105997 3/21/1953 R06.0 - Dyspnoea 14:00:48

441 AGUS SETIAWAN 113610 8/14/1993 E9065 - Bite by unspecified animal 14:44:13
442 ENCEP WALUYA 113612 1/17/1996 - 13:31:33
NANANG
443 SUHERMAN 107340 8/27/1969 K30 - Functional dyspepsia 15:04:19
444 YATI PATMAWATI 044452 7/1/1969 - 16:43:23
445 ANGGI APDINA 095261 4/20/1989 - 16:46:56

J06 - Acute upper respiratory


RIZKA SELVIANA infections multiple and unspecified
446 (A.Md.Kep). 084032 12/19/1995 sites 16:52:19

MUHAMMAD
447 IRSYAD FAHRUROZI 113616 7/2/2020 R11 - Nausea and vomiting 18:41:04
069832/05
448 WULANDARI 0575 7/31/1998 - 19:17:31
449 REPIANA 113064 2/20/2002 - 19:45:13
450 ELA MULIYANI 113617 9/8/1982 - 20:45:12
451 AGUS SURYADI 113618 1/11/1977 - 20:21:24
452 CECE APANDI 090366 11/8/1959 K30 - Functional dyspepsia 20:45:16
453 PIKI GINANJAR 036855 5/30/1998 R50.9 - Fever, unspecified 20:46:50
PUTRI VELIKA TRI
454 CHANDRA 113620 9/14/2020 R50.9 - Fever, unspecified 22:08:02
455 RISMAWATI 106260 12/5/1995 J45 - Asthma 22:35:30

456 HJ. TETI NURHAYATI 113621 8/16/1965 - 22:51:59


457 AYI SAPTARI 113284 5/13/1962 - 23:53:16

MUTAMID
IHSANILLAH (BAYI
458 NENG BUNGA R). 113622 1/11/2022 - 0:12:27
WISDAN RESTU
459 WIDIYA 080434 4/18/2004 - 0:27:04
460 IRPAN SURYANA 113623 8/14/1985 R10.0 - Acute abdomen 6:09:12
461 DEDI 051470 8/5/1990 - 6:37:55
462 ATI KARMIATY 113624 9/20/1965 I50.0 - Congestive heart failure 6:51:13
463 UJANG SUDRAJAT 089052 4/4/1965 R04.2 - Haemoptysis 6:52:32

H81.1 - Benign paroxysmal vertigo |


464 RESTI SETIAWATI 016830 9/6/1994 R50.9 - Fever, unspecified 9:02:09
DINI MELIANA NUR
465 HAYILLAH 113641 5/8/1995 - 9:52:17
SULTON IMAM
466 MULYONO 113645 4/10/1995 - 10:00:00
FARES MAULANA
467 AKBAR 104742 12/3/2020 - 10:31:16
NOVAL RIZKI
468 RAMADAN 113649 6/20/2017 E9060 - Dog bite 10:36:32
469 RAHMAT HIDAYAT 015678 7/12/1970 J45 - Asthma 10:41:36

A15 - Respiratory tuberculosis,


bacteriologically and histologically
470 MARIAH 101075 6/10/1975 confirmed 11:08:48

O47.1 - False labour at or after 37


471 RINI MULYANI 112557 7/20/1984 completed weeks of gestation 11:18:04
HILYA AL-MAR J06.9 - Acute upper respiratory
472 ATUSSHOLIHAH 113654 6/24/2021 infection, unspecified 12:06:41
473 BAEDIN 113655 8/4/1963 E9060 - Dog bite 12:21:38
474 PATIMAH 111778 3/12/1967 R50.9 - Fever, unspecified 12:58:40
MIRA MAYLANI
475 AKMALIA 040583 12/17/1989 - 13:01:24

J90 - Pleural effusion, not elsewhere


classified | R50.9 - Fever,
476 ILHAN PIRDAOS 113656 8/23/2002 unspecified 14:33:24
ENENG
477 PURNAMASARI 113657 5/20/1981 - 17:39:02
AGAN SUGANDI,
478 (SE) 113658 5/13/1973 - 17:09:35
HILWA KHADIJAH
479 QOTHRUNNADA 088324 4/21/2018 - 18:16:24
480 ROSA SINTA DEWI 113660 11/14/2006 - 20:23:09
481 DADAN RAMDAN 082225 3/24/1988 - 20:45:18
102233/05
482 RISNA 8601 10/8/1990 R10.0 - Acute abdomen 20:58:58
483 DAYAT HIDAYAT 052476 7/28/1967 - 21:16:01

MUHAMAD
484 SALMAN AL FARIZY 112824 7/24/2017 - 21:20:07
485 HENI 087024 7/2/1982 - 21:30:07
486 RINI ANGGRAENI 113661 12/1/1991 - 22:03:58
487 RIZKA NUR APRILIA 113662 7/12/2020 - 21:59:49
488 NURAIDAH 019073 8/18/2000 K30 - Functional dyspepsia 22:22:52

I50.0 - Congestive heart failure | J06


- Acute upper respiratory infections
489 YULIA OKTOVIA 081160 8/1/1994 multiple and unspecified sites 6:28:52
490 MASTUTI 077860 7/15/1977 R50.9 - Fever, unspecified 22:52:46
491 ALFIRA K.H 113663 7/13/2021 - 0:13:23

492 DADAN GUNAWAN 113664 1/13/1996 - 1:11:02

493 M.CHOIRUDIN ILYAS 113665 12/21/2014 R50.9 - Fever, unspecified 3:56:25

J06 - Acute upper respiratory


M REZKY PUTRA infections multiple and unspecified
494 FAJRIANDI 022450 9/24/2011 sites 3:52:09
495 IROH NURHAYATI 113666 8/31/1991 - 5:08:59
BY NY IROH
496 NURHAYATI 113668 1/13/2022 - 4:53:28
497 AL FARIHAT 113669 7/10/1968 - 5:40:40
498 HENDRI 113670 1/13/1998 - 5:56:43

R50.9 - Fever, unspecified | R63.8 -


Other symptoms and signs
499 HERGI SETIADI 113671 1/31/2003 concerning food and fluid intake 7:22:14
500 ASEP SUPRIADIN 113673 7/1/1976 J45 - Asthma 7:37:22
YUNI WIDAYANTI,
501 MS 033825 6/15/1993 - 8:37:19
ENENG
502 PURNAMASARI 113657 5/20/1981 - 8:44:13
I50.0 - Congestive heart failure | K30
503 ENCIH 059726 8/24/1965 - Functional dyspepsia 12:02:43
KHANZA SHIFA
504 NOOR SULAEMAN 113690 12/3/2018 A91 - Dengue haemorrhagic fever 9:23:56
M24.50 - Contracture of joint,
505 AAN 113629 2/2/1945 multiple sites 10:02:50
506 SEPTIANA ELVA 113696 9/29/2000 - 10:44:10
KAIZAN NOORVI
507 REZKI WIDIAN 045772 5/12/2015 - 11:00:01
508 SINTA NURAENI 113526 10/19/2013 - 11:06:26
BY NY ENENG
509 PURNAMASARI 113698 1/13/2022 - 11:49:46
510 RIZKIYAH 052478 4/14/1990 - 14:07:32
511 LIA ANGGRAENI 058304 11/6/1986 R50.9 - Fever, unspecified 14:26:22
SITI FAUZIAH
JAMILATUL
512 HASANAH 113701 5/10/2005 - 15:02:53

A91 - Dengue haemorrhagic fever |


513 SABRINA 113702 7/12/2001 R50.9 - Fever, unspecified 15:54:49

R50.9 - Fever, unspecified | R63 -


SALSABILAH SHANIA Symptoms and signs concerning
514 BANAFSHA 113704 6/19/2021 food and fluid intake 16:37:00
515 ANNE SUSANTI 071632 12/12/1980 R50.9 - Fever, unspecified 16:49:57
SALVA ADILA T14.1 - Open wound of unspecified
516 KHUSNA 113705 9/14/2011 body region 16:17:18

J06.9 - Acute upper respiratory


infection, unspecified | J45 - Asthma
| J45.9 - Asthma, unspecified |
517 NANANG 000775 1/1/1958 R06.0 - Dyspnoea 17:17:47
518 DONI MULYANA 113706 4/16/1996 R50.9 - Fever, unspecified 18:00:56

SALWA MUTIA A91 - Dengue haemorrhagic fever |


519 RAHMAT 029331 11/5/2009 R50.9 - Fever, unspecified 18:09:38

A15.7 - Primary respiratory


tuberculosis, confirmed
bacteriologically and histologically |
B17.9 - Acute viral hepatitis,
520 DEDE SADIKIN 109526 2/5/1984 unspecified 18:52:23
I10 - Essential (primary)
521 SUPANDI 033040 3/6/1951 hypertension 18:57:41
522 NAPSIAH 049148 9/15/1969 - 19:46:18
AURA HADI K36 - Other appendicitis | R10.0 -
523 SYAHPUTRI 113707 1/6/2003 Acute abdomen 19:53:39
524 ANANDA ZAHIRA 105974 1/2/2019 J45 - Asthma 20:41:46
525 ADINDA ZAHIDA 113708 1/2/2019 J45 - Asthma 20:44:39
526 NURJANAH 113709 7/5/1960 R50.9 - Fever, unspecified 21:34:19
527 BUDI SETIAWAN 094200 2/2/1976 - 22:09:02
N10 - Acute tubulo-interstitial
528 EKA SAEPULLAH 113710 12/15/1990 nephritis 2:12:58
529 RIDWAN 112668 8/13/1993 J45.9 - Asthma, unspecified 7:22:52
530 SINTA NURAENI 113526 10/19/2013 R50.9 - Fever, unspecified 7:44:03
WAWAT I50.0 - Congestive heart failure | K30
531 RAHMAWATI 072687 1/31/1962 - Functional dyspepsia 7:45:55
J06.9 - Acute upper respiratory
532 KEYLA SITI FATWA 113712 11/21/2021 infection, unspecified 7:55:27
NITA YAUMA NITA
533 RAHAYU 019851 5/4/1999 - 8:09:12
B17 - Other acute viral hepatitis |
534 SITI NURAENI 113722 7/10/1967 R11 - Nausea and vomiting 9:00:42
WAWAT
535 RAHMAWATI 072687 1/31/1962 - 9:49:54
N39.0 - Urinary tract infection, site
536 AULIATUL AMALIAH 042622 12/20/1998 not specified 10:39:47

BY NY NITA YAUMA
537 NITA RAHAYU 113733 1/14/2022 - 11:10:04

538 WAWAN GUNAWAN 077104 5/8/1957 R10 - Abdominal and pelvic pain 11:18:24
539 LISDAWATI 074427 1/17/1977 J45 - Asthma 11:24:55
R10.4 - Other and unspecified
540 YUSTIA RAHAYU 038050 10/12/1980 abdominal pain 11:41:54
541 SURYANTO 010825 9/8/1987 J45.9 - Asthma, unspecified 12:47:29
M.CHAERUL
542 UMRON 113734 8/18/1994 G44 - Other headache syndromes 13:34:08
T14.1 - Open wound of unspecified
543 RANDI RISMAYADI 113735 3/30/1997 body region 14:32:50
MUHAMMAD
544 HARUN RAMLAN 113736 12/18/2017 R50.9 - Fever, unspecified 14:42:38
I10 - Essential (primary)
545 AJI PERMANA 113737 12/25/1979 hypertension 15:09:59
BADRIAH BINTI
546 ISYAK 068913 7/1/1950 K30 - Functional dyspepsia 17:05:35
547 ETI SUNDAYATI 006668 8/12/1956 K30 - Functional dyspepsia 19:08:09

A91 - Dengue haemorrhagic fever |


548 NAURA RANIA 113691 12/28/2017 R11 - Nausea and vomiting 19:48:54

549 BIBIN 113739 1/1/1974 E16.2 - Hypoglycaemia, unspecified 19:59:26


S04.0 - Injury of optic nerve and
550 NISPAH MUSLIHIN 113740 12/15/1997 pathways 20:13:24
551 PURWATI 113741 1/14/1972 K30 - Functional dyspepsia 21:52:43
552 ISMAYA SUBAGYA 030151 7/23/1988 - 22:33:34

J06 - Acute upper respiratory


infections multiple and unspecified
sites | J06.9 - Acute upper
553 TATA 059646 2/3/1952 respiratory infection, unspecified 23:18:25

554 SITI SYAHIRA ALFITRI 113771 6/14/2018 - 20:57:12


555 DEWI INDRAYANI 113742 6/25/1976 - 0:30:05
556 NURLAELA 010454 7/1/1977 K30 - Functional dyspepsia 5:04:57
557 UTIH PARIHAT 007165 5/11/1949 L30.0 - Nummular dermatitis 5:41:37
558 JAJAT 071096 12/18/1981 J45 - Asthma 6:06:15
559 YOGI MEMET 113743 1/26/1982 R50.9 - Fever, unspecified 6:22:04

R11 - Nausea and vomiting | R63.8 -


KEYSA AZZAHRA Other symptoms and signs
560 NAFISA 113744 1/8/2022 concerning food and fluid intake 6:46:12
MOCH DION
561 ZAENAL ANAM 113745 7/5/1999 R50.9 - Fever, unspecified 6:50:44
SALMAN FARIZ
562 ALFARIZI 022646 5/5/2010 R50.9 - Fever, unspecified 6:55:06
563 ASEP 020209 2/10/1966 J45 - Asthma 7:32:49
A90 - Dengue fever [classical
564 ADE RAMDAN 113750 9/9/2010 dengue] 9:05:10
RAINAYA
565 NURFADILAH 113751 6/9/2020 R50.9 - Fever, unspecified 10:26:07
MUHAMMAD
566 HARUN RAMLAN 113736 12/18/2017 A91 - Dengue haemorrhagic fever 10:30:08
567 AI YANTI SUPIATI 113753 4/3/1982 L20 - Atopic dermatitis 11:19:20

FATMAH
MUHAMMAD
568 YUNUS 113754 7/2/2009 A91 - Dengue haemorrhagic fever 12:42:53
SITI HUSNA
569 ISKANDAR 100908 8/30/2019 - 12:29:48
570 PURWATI 113741 1/14/1972 - 13:28:44
571 SARI 084072 2/1/1969 R50.9 - Fever, unspecified 13:51:26
T14.1 - Open wound of unspecified
572 HAIKAL RAMDANI 113758 7/10/2017 body region 13:55:16
573 ACE KUSDINAR 050373 8/15/1965 R50.9 - Fever, unspecified 14:23:52

574 SITI SALMA LIANITA 113760 8/4/1997 - 14:25:17

575 CALVIN ANTONIUS 113764 6/9/1993 R50.9 - Fever, unspecified 15:48:19


576 NADIRA AZZAHRA 113765 2/6/2021 - 16:24:14

MUHAMAD
577 ARKHAN NURJANA 021263 10/21/2016 J45.9 - Asthma, unspecified 16:26:24
578 NETI HERAWATI 037527 5/4/1966 - 16:37:39
MUHAMMAD J06.9 - Acute upper respiratory
579 DAFFA AL SYAKIB 012268 6/4/2011 infection, unspecified 16:56:41
T14.1 - Open wound of unspecified
580 JARSIKAH 018946 7/1/1959 body region 17:27:07
581 SUKANTA 045833 7/1/1935 - 17:30:56
582 NADHIRA RAHMA 086744 10/24/2017 - 18:43:46
583 MANGARA BAKIN 113767 1/8/2000 - 18:59:30
584 AI SUMYATI 113768 7/1/1969 - 19:03:40
MUHAMAD
585 FIRGIANSYAH 113770 8/10/2005 - 19:21:32
586 DEDE LISNAWATI 067465 10/30/1985 - 20:07:00

587 SITI SYAHIRA ALFITRI 113771 6/14/2018 - 20:58:27


588 AI HALIMAH 113772 11/11/1978 K30 - Functional dyspepsia 21:05:39
JIHANE ALINKA
589 RAMADHINA 113775 5/20/2020 R50.9 - Fever, unspecified 22:30:25
590 ANNISA MAULIDA 113776 6/15/2001 - 22:39:53
K30 - Functional dyspepsia | K92.1 -
591 RANTI SULASTRI 117779 10/12/1999 Melaena 23:23:51
592 KOYAH 012790 7/1/1954 - 16:07:07
593 KOYAH 012790 7/1/1954 - 16:07:41
594 LILI HARYANTI 117781 11/1/1980 J45 - Asthma 0:25:02
K30 - Functional dyspepsia | R50.9 -
595 SARI 039387 7/10/1960 Fever, unspecified 4:06:10
596 EDI JUNAEDI 021920 11/7/1958 K30 - Functional dyspepsia 5:29:55
MUHAMAD NAZRIL R50.0 - Fever with chills | R50.9 -
597 ASNAWI 032244 1/22/2017 Fever, unspecified 5:42:11
598 MIMIN AMINAH 113522 10/15/1985 K30 - Functional dyspepsia 7:49:26
BAYI NYONYA
599 ANNISA MAULIDA 113783 1/16/2022 - 6:36:00
ROSLINDA
600 RISMAWATI 046287 6/5/1977 - 8:09:10
K.PAHOTAN
601 PASARIBU 113784 1/21/2000 - 8:49:31
602 ABDUL KARIM 108474 8/9/2021 - 11:22:28
DESTI
603 MURYASUPANTI 113786 12/11/1997 - 10:15:52

K52.9 - Noninfective gastroenteritis


604 RESTIYANI SAPITRI 113787 4/14/1994 and colitis, unspecified 10:26:01
R50 - Fever of other and unknown
605 J. RIFKI PRIATNA 099090 5/24/2004 origin 11:07:05
ADZKIYA NAILA
606 PUTRI 113788 12/21/2020 - 11:40:04
607 YULIA NENGSIH 113789 3/27/1993 - 14:48:39
608 DAMAN 113790 7/1/1957 - 13:33:23
609 KOYAH 012790 7/1/1954 - 16:08:48
610 MUHAMAD ILHAM 110325 10/6/2018 - 16:15:27
MUHAMAD RASID
611 SIDIK 112773 10/26/1998 - 16:19:08
612 SANDI SURMAWA 113791 9/12/1980 - 16:25:28
PRABU ELANG
613 PAMUNGKAS 009024 6/18/2012 - 16:51:27
AZMI WALID T14.1 - Open wound of unspecified
614 IBRAHIM 096524 12/22/2013 body region 17:15:00
615 JULMEIRI 113793 1/1/1992 R50.9 - Fever, unspecified 18:15:18

MUHAMAD
ABDILLAH AL
616 KHAWARIZMI 037547 12/3/2007 - 19:00:39
ELSA PUTRI
617 FAUZIAH 100862 8/19/2019 R50.9 - Fever, unspecified 19:03:37
618 EDAD 113794 2/5/1979 B86 - Scabies 19:43:18
619 UPIT LATIPAH 093730 2/10/1976 M79.1 - Myalgia 19:48:26
620 PAZAR PERMANA 078743 1/27/2002 K30 - Functional dyspepsia 19:54:49
M79.15 - Myalgia, pelvic region and
621 CEVI RIYANA 113795 12/6/1990 thigh 20:33:06
RAFFA BASTARI AR- J06.9 - Acute upper respiratory
622 RASYIDI 068721 11/18/2011 infection, unspecified 20:47:04
623 SALSA RAKA LISA 043613 12/16/2002 K30 - Functional dyspepsia 20:49:28
023114/04 R10.4 - Other and unspecified
624 CICAH 2011 3/15/1962 abdominal pain 22:19:51
055966/05 R10.4 - Other and unspecified
625 ARDIANSYAH, (ST) 7966 6/29/1983 abdominal pain 22:24:33

A09 - Other gastroenteritis and


colitis of infectious and unspecified
626 ENDEH PRIATNA 113796 5/16/1978 origin | K30 - Functional dyspepsia 23:50:30
GUSTYAS WIDYA 002638/02
627 PRAJA 6380 8/25/1993 J45 - Asthma 6:17:23
ARSYILA PUTRI
628 SALSABILA 064634 9/23/2016 R50.9 - Fever, unspecified 6:21:16

MUHAMMAD
AQMAR
629 RAMADHAN 067139 6/1/2018 R50.9 - Fever, unspecified 8:19:08
RISKA SRI
630 NURMAYANTI 032492 10/18/1991 G40 - Epilepsy 8:28:04

R50.9 - Fever, unspecified | R63.8 -


Other symptoms and signs
631 SAROPAH 023352 7/27/1970 concerning food and fluid intake 8:33:06
632 ITA 056970 12/7/1954 I50.0 - Congestive heart failure 10:07:06
633 EET 113814 12/10/1965 R07.4 - Chest pain, unspecified 10:15:12
T14 - Injury of unspecified body
634 FUJI FIRMANSYAH 108606 9/2/1977 region 10:29:48
ROBBY ZAENAL T14 - Injury of unspecified body
635 ABIDIN 113816 7/14/1999 region 11:31:39
636 ELI ERAWATI 095335 4/11/1980 - 12:54:08
637 ENTIN 051983 5/5/1961 G44 - Other headache syndromes 13:54:46
KEYSHA DESTRIYANI
638 PUTRI 113821 12/18/2012 - 18:07:20
639 LENI NURAENI 065731 7/1/1984 - 15:36:50

640 BURHAN BURNAMA 112847 6/21/1989 - 16:00:11


KHAIRAN RHANDI
641 ARSLAN 113825 1/14/2021 - 18:07:12

SAYYIDATINA
642 LATIFFAH AZ ZAHRA 113826 11/25/2010 - 16:27:07
643 JUJUM 113827 3/20/1963 - 16:45:49
644 IMAS MASITOH 076074 12/7/1973 - 17:00:31
I10 - Essential (primary)
645 ROHMAH 113828 1/3/1958 hypertension 17:10:19
NABILA AIRA
646 ALMASHYRA 111923 12/21/2020 - 18:06:51
MUHAMAD ADITYA R50 - Fever of other and unknown
647 PRATAMA 113829 8/6/2014 origin 18:06:47
648 RISWO 086200 3/4/1969 - 18:42:56
649 LUKMAN SALEH 113830 5/11/1983 - 18:47:54
650 USEP SAEPULOH 082156 5/3/1983 - 18:59:06
M.NAUFAL NAJIB AL
651 GHYFARI 097650 4/23/2004 - 19:01:36
652 BISMA JULIAR 113831 7/13/1991 - 19:43:50

653 ENDEH PRIATNA 113796 5/16/1978 A91 - Dengue haemorrhagic fever 19:45:13
654 ANAH 113832 4/23/1953 - 20:30:11
SITI FATIMAH
655 AZZAHRA 101774 5/18/2015 R50.9 - Fever, unspecified 20:44:23
656 YANI SURYANI 084030 7/16/1996 - 22:14:04
657 ESTI RIANTI 113833 10/9/2004 - 23:00:40
ARYAN ASADSAIFAN
658 ALI 109199 8/15/2021 R50.9 - Fever, unspecified 1:40:16
659 SITI NURAENA 113835 8/5/1997 - 2:09:21
660 RISMAWANTIRA 061899 11/30/1996 - 2:21:12
ADJENG REZA
661 TRIANA 082023 2/6/1999 - 2:37:27

H81.1 - Benign paroxysmal vertigo |


K30 - Functional dyspepsia | R50.9 -
662 WIWI WINTARSIH 028468 10/10/1972 Fever, unspecified 3:02:05
BY NY
663 RISMAWANTIRA 113837 1/18/2022 - 4:02:58
664 ANGGITA AULIA 095554 1/16/2005 R11 - Nausea and vomiting 7:38:11
665 BY NY ESTI RIANTI 113843 1/18/2022 - 8:22:15

666 SALSABILA 113845 8/29/2009 A91 - Dengue haemorrhagic fever 11:37:13


667 SANI NUR AIDAH 113848 6/9/1984 K30 - Functional dyspepsia 8:45:43
ATIFATUL ALIYAH
668 CAHYA 113851 12/25/2017 R11 - Nausea and vomiting 9:00:45
DELISHA ALMAHIRA
669 PUTRI 104803 4/20/2021 - 11:00:43
670 EJEH 113856 7/1/1963 R18 - Ascites 14:30:09

671 LILIS SOBARIAH 113859 3/3/1955 G44 - Other headache syndromes 10:35:08
AGUS BADRU
672 KAMAL 068313 8/14/1981 - 10:38:58

673 RINA YAP LIANG NIO 113861 10/24/1942 - 10:50:27


ASMARA HUSNA
674 LIZUWARDI 113862 5/3/2020 - 11:06:44
T14 - Injury of unspecified body
675 DEDI EPENDI 045091 6/13/1962 region 12:46:22
676 ALISYA ZALIANTI 015714 1/1/2017 - 13:05:52
M08.97 - Juvenile arthritis,
677 H SUPANDI 061442 7/5/1927 unspecified, ankle and foot 13:10:30
678 NENAH 113864 6/25/1977 - 13:32:30
INARA WIDIA
679 ANWAR 065869 11/14/2015 E9065 - Bite by unspecified animal 14:12:29

A15 - Respiratory tuberculosis,


bacteriologically and histologically
680 ADAH 061599 1/1/1955 confirmed 14:19:18
T14.1 - Open wound of unspecified
681 BEDIN 113865 9/4/1996 body region 14:24:06
682 VINA FERA 113866 11/4/2001 K30 - Functional dyspepsia 15:30:06
NENENG
683 BUDIYANINGSIH 113867 7/11/1953 - 17:02:51

684 FAUZIAH AZZAHRA 044451 8/8/2008 A01.0 - Typhoid fever 18:04:22


685 TITIM 113870 7/1/1962 - 18:55:52
EBEN EZER
686 LUMBANTORUAN 113871 9/30/2001 - 19:00:56
DINI APRIANI
687 RAHAYU 113872 4/30/1997 - 19:03:47

688 ATIN ROHATI 113874 5/5/1970 J20.9 - Acute bronchitis, unspecified 19:22:59

689 GEUGEU MARWATI 088436 11/15/1980 - 19:27:38


L03.9 - Cellulitis, unspecified | R07.3
690 ENCEP IRFAN 113875 1/27/1983 - Other chest pain 19:41:45
691 ANGGI ANGGARA 051530 1/27/1992 K30 - Functional dyspepsia 20:24:00
RAKHMAH
692 NURHAYANI 113081 12/16/1969 J45 - Asthma 20:27:20
A91 - Dengue haemorrhagic fever |
693 APUD B. ADUNG 046054 1/5/1953 R06.0 - Dyspnoea 20:41:41

694 J. RIFKI PRIATNA 099090 5/24/2004 A91 - Dengue haemorrhagic fever 21:11:35

695 ELKI ALKADIA 113877 10/31/2009 A91 - Dengue haemorrhagic fever 21:15:49
NUREVA MEILAN
696 RUSTANDIANI 113878 5/13/2009 R11 - Nausea and vomiting 21:19:49
FEYZA MAHALINO
697 DELIANSYAH 113879 9/13/2021 J45.9 - Asthma, unspecified 21:30:26

698 FARHAN RAMDANI 113880 11/23/2001 - 21:47:28

699 VICKY FIRMANSYAH 044914 5/7/2008 J35.0 - Chronic tonsillitis 22:58:22

MUHAMAD NIZAM
700 AL-RAMADAN 044538 8/8/2012 J45.9 - Asthma, unspecified 23:23:57
ELFATIA ARPILA
701 SHAQINA 113881 12/29/2016 R50.9 - Fever, unspecified 23:57:32
702 DEWI KARTIKA 086091 1/17/1986 - 0:16:14
703 SUSI SUSANTI 096176 9/15/1987 - 13:02:43
704 SUSI SUSANTI 096176 9/15/1987 - 13:03:05
705 RAHAYU 080241 7/1/1969 R06.0 - Dyspnoea 0:25:57

J06 - Acute upper respiratory


infections multiple and unspecified
706 SITI NURHASANAH 056942 5/25/2017 sites | J45.9 - Asthma, unspecified 0:45:10
707 SUGENG 113882 1/1/1999 - 0:52:12
708 DEA RATIH 113883 1/9/1999 - 5:51:45
709 BY NY DEA RATIH 113884 1/19/2022 - 9:49:27
NENG RISKA
710 PURNAMA SARI 044721 10/8/1992 - 8:36:22

L02.9 - Cutaneous abscess, furuncle


MUHAMAD ALASKA and carbuncle, unspecified | L03 -
711 RAMADHAN 113897 7/9/2013 Cellulitis 11:24:01
T14.1 - Open wound of unspecified
712 ASEP SUPRIATNA 035362 8/17/1988 body region 11:53:52

713 SITI NURHASANAH 056942 5/25/2017 - 12:29:02


714 NENENG FATIMAH 072247 8/7/1965 - 15:32:53
MUHAMAD FIKRI
715 PIRMANSYAH 068317 11/8/2010 J45 - Asthma 15:10:11

A15.4 - Tuberculosis of intrathoracic


lymph nodes, confirmed
716 CALVIN ANTONIUS 113764 6/9/1993 bacteriologically and histologically 15:20:21
T14 - Injury of unspecified body
717 FAKHRI HAFIZ 097608 1/30/2000 region 15:23:14
718 ASEP NURJAMAN 113899 10/11/1987 K30 - Functional dyspepsia 16:14:43

719 HANNI OKTAVIANI 113900 10/10/1999 - 16:20:30

L23.3 - Allergic contact dermatitis


due to drugs in contact with skin |
720 AZAHRA NAFRIZZA 082067 11/21/2018 R50.9 - Fever, unspecified 16:23:34
FAUZIA NAFIZA
721 PUTRI 112608 8/23/2020 R50.9 - Fever, unspecified 16:25:35
I50.0 - Congestive heart failure | K30
722 MULYANA 113901 2/2/1977 - Functional dyspepsia 16:40:36

A09 - Other gastroenteritis and


colitis of infectious and unspecified
723 SITI NUR HAFIFAH 113902 2/27/2003 origin | K30 - Functional dyspepsia 17:18:17
724 IPAH 103940 10/20/1955 - 17:45:59
MUHAMAD NAZRIL
725 ASNAWI 032244 1/22/2017 A91 - Dengue haemorrhagic fever 17:55:31
726 HERLINA 042162 1/8/1993 - 18:17:13

727 ABDILLAH HAIZARN 113904 10/8/2007 A01.0 - Typhoid fever 18:47:47

A09 - Other gastroenteritis and


SANI LATIFATUL colitis of infectious and unspecified
728 JANAH 038149 10/6/2009 origin 19:26:55
R56 - Convulsions, not elsewhere
729 KOTRUN NADA 112963 2/28/2002 classified 19:31:01
730 SANYA MARWAH 113905 4/30/2017 - 19:50:17

SITI FAUZIAH
JAMILATUL
731 HASANAH 113701 5/10/2005 R56.0 - Febrile convulsions 21:06:54
732 UKAR SUKARTA 113908 7/6/1958 - 21:38:21
733 AZKYA MAULA 113909 1/16/2009 - 21:41:12
AYLA MAULIDA
734 DAMAYANTI 007321 1/6/2014 - 22:01:34
735 KARTIKA 113910 5/17/1986 - 22:57:49
736 ELIS LISNAWATI 113985 5/10/1989 - 9:39:36
737 ELIS LISNAWATI 113985 5/10/1989 - 9:40:06
738 SITI NURHALIMAH 113912 2/6/1995 - 1:38:49

SULTAN
MOHAMMAD
739 ABDULAZIZ 045703 2/4/2013 R11 - Nausea and vomiting 4:30:10
740 AKBAR NABAWI 113913 3/12/2004 - 6:16:27
741 SUHERTI NADI 113915 7/7/1980 - 6:55:54
R10.4 - Other and unspecified
742 UJANG MIPTAH 039442 3/26/1958 abdominal pain 10:58:22
743 NISBAH NURZAINI 113934 4/7/1965 R11 - Nausea and vomiting 11:10:43

MUHAMMAD
ABIMANYU
744 ASYANENDRA 113936 2/20/2021 R50.9 - Fever, unspecified 12:00:51
RIZKI
745 ABDURAHMAN 113937 6/11/1980 K30 - Functional dyspepsia 13:29:33
ANNISA SITI
746 KHOIRUNNISA 048009 11/15/2016 R50.0 - Fever with chills 13:49:26

R50 - Fever of other and unknown


747 ALFAH RANI 060823 9/25/2005 origin | R50.0 - Fever with chills 13:52:09
HAFIZAH NUR
748 AZZAHRA 105322 1/29/2021 R50.0 - Fever with chills 14:01:12

G44 - Other headache syndromes |


H66.0 - Acute suppurative otitis
749 ERON 113941 7/10/1964 media 14:46:19
750 ITA PURWITA 061749 11/9/1993 - 16:04:43

H81.4 - Vertigo of central origin |


751 AAT 067171 2/6/1962 I67.4 - Hypertensive encephalopathy 16:33:19
752 KHENZO ALVARO 080227 4/28/2015 - 16:37:45

MUHAMMAD J06 - Acute upper respiratory


ADZRIEL infections multiple and unspecified
753 HENDRAWAN 111962 1/24/2021 sites 17:16:27

K46.9 - Unspecified abdominal


hernia without obstruction or
754 JAMAL 077072 3/15/1955 gangrene 17:21:43
755 DINI WIDIANTI 113942 5/27/1996 - 18:20:33
R50 - Fever of other and unknown
756 NATAL HUTABARAT 113943 12/25/1989 origin 17:55:50

757 NENG SITI AMINAH 079604 4/10/1993 - 18:41:55

MOCHAMAD ALFHA
758 REZAL AKBAR 103508 3/21/2005 - 19:03:32
759 RINI UTAMI 062020 7/3/1987 - 19:06:50
760 IJUD ROJUDIN 076161 7/14/1970 - 19:32:19
761 HETI NURHAYATI 109128 4/24/1991 - 19:38:23
RIDO RAHADIAN
762 DHARMAWAN 113944 6/6/2006 - 20:33:37
R50 - Fever of other and unknown
763 SITI AZKIA ARYATI 105124 3/1/2009 origin 20:39:06
K29.7 - Gastritis, unspecified | K30 -
764 VANEZA FAHMA 109555 9/2/1993 Functional dyspepsia 20:57:48
HILDA NOVIANTI
765 RAHMATILLAH 058728 11/9/1995 - 20:58:54
766 TUTI ANGGRAINI 113945 7/7/1968 R50.9 - Fever, unspecified 21:13:41
MUHAMAD FAHRI R50 - Fever of other and unknown
767 SETIAWAN 113946 8/2/2012 origin 21:18:39
R10 - Abdominal and pelvic pain |
768 EMPAH FAHRUDIN 040734 7/25/1934 R10.0 - Acute abdomen 21:20:34
769 E.KUSWARA 007590 4/19/1984 - 22:09:11
770 IYO SENO 074440 8/22/1952 - 23:46:00

H81.1 - Benign paroxysmal vertigo |


771 JAJAH HADIJAH 113948 4/14/1951 K30 - Functional dyspepsia 0:09:10

AHMAD MUNAWAR
772 ASY ARI 113949 7/14/2002 - 0:55:48
773 TITING 113950 6/3/1956 - 1:35:22
KENZI ATALARIC
774 PURNAMA 092415 7/1/2020 R50.9 - Fever, unspecified 9:02:23
775 OMAN 113951 1/21/1952 - 7:26:47
776 IDA 023445 6/6/1982 R50.9 - Fever, unspecified 7:29:25
777 ENJEN ISMAEIL 113962 5/4/1960 T16 - Foreign body in ear 8:28:17
J12 - Viral pneumonia, not
778 AAM 113968 7/1/1959 elsewhere classified 8:46:16
779 VICKA DELIMA 113973 7/27/1997 - 9:05:36
T14 - Injury of unspecified body
780 ELI SUMIATI 071344 8/26/1985 region 8:56:42
781 ELIS LISNAWATI 113985 5/10/1989 - 9:39:56

FAIZ ABDUL MALIK R56.0 - Febrile convulsions | R56.8 -


782 RAMADHAN 113996 5/23/2019 Other and unspecified convulsions 10:25:11
G40 - Epilepsy | K30 - Functional
783 SOPIAN HIDAYAT 113998 4/25/1986 dyspepsia 10:43:42
784 INDRI SULASTRI 111453 4/2/1989 R06.0 - Dyspnoea 10:50:46
785 SILVIA AGUSTIN 113421 11/18/2012 A19 - Miliary tuberculosis 11:22:29
786 SUSI SUSANTI 096176 9/15/1987 K30 - Functional dyspepsia 13:04:36
022254/02
787 IHAT SOLIHAT 8648 12/3/1963 E14 - Unspecified diabetes mellitus 13:11:42
MECCAYLA GISKA
788 NAYRA 070228 8/15/2018 - 13:21:39
789 RUSWANDI 113999 7/21/1979 K30 - Functional dyspepsia 13:35:55
ARLAN ANUGRAH
790 SIDIQ 039848 7/27/2017 - 14:23:21
791 LIA 114003 4/1/1987 - 15:27:57
792 ANIS ANISYAH 104227 6/21/1993 - 15:45:09
MUHAMMAD RIZAL
793 FADHILAH 061622 9/28/2015 R50.9 - Fever, unspecified 15:50:50
ARLI JAFIN
794 DONOVAN 114004 5/4/2020 - 16:12:39
MUHAMMAD
795 HAFIZH ALFARIZQI 114005 10/13/2020 R50.9 - Fever, unspecified 16:20:43
E9063 - Bite of other animal except
796 NIDIA AZZAHARA 114006 6/20/1999 arthropod 16:27:30
797 OBIH 063889 5/8/1954 K30 - Functional dyspepsia 17:03:01
798 ARSYLA SAQEENA 114007 5/31/2021 - 17:16:11

799 RAISA LIDIA AFDILA 114008 6/4/2006 - 17:20:12


800 SITI NUR LATIPAH 064954 11/12/1995 - 17:55:29
801 CECE MAHPUDIN 012323 1/1/1962 - 18:13:07
M. RIEFKY
802 MAULANA AZIZ 016474 3/18/2006 - 18:52:00

803 SISKA NURHANIPAH 047053 7/24/1999 J45 - Asthma 19:29:14


804 OYOH 114011 11/10/1941 R50.9 - Fever, unspecified 19:35:05
805 BILAL RABBANI 114012 1/6/2021 R50.9 - Fever, unspecified 19:42:57
806 RAMA 109883 5/2/1984 K30 - Functional dyspepsia 19:56:58
AVICA NANDA
807 OCTAVIANA 039206 10/24/2015 B.00.2 - GINGGIVO STOMATITIS 20:00:17
BAYI NYONYA VICKA
808 DELIMA 114015 1/21/2022 - 9:04:53

BAYI NYONYA
MELSA R56 - Convulsions, not elsewhere
(MUHAMMAD ZAYN classified | R56.0 - Febrile
809 Z) 113212 10/10/2020 convulsions 20:48:26
MUHAMMAD HARIS
810 ASHAYBANI 065536 7/1/2018 R50.0 - Fever with chills 21:14:13
811 ADE SUPRIATIN 085114 12/5/1968 - 23:26:47
ROHIM OONG
812 OMAN 105765 5/10/1958 - 9:38:42
NUR RAHMAH
813 OKTAVIANI 114016 10/14/2011 R50.0 - Fever with chills 0:49:59
J45.9 - Asthma, unspecified | R06.0 -
814 SISKA NURHANIPAH 047053 7/24/1999 Dyspnoea 3:46:51
815 KH. UBAEDILLAH 103557 7/12/1961 K30 - Functional dyspepsia 6:45:51
R10.4 - Other and unspecified
816 ABUD SIHABUDIN 073577 7/1/1945 abdominal pain 7:18:58
ADEEVA KHANSA
817 NAIFAH 032382 3/13/2016 R50.9 - Fever, unspecified 8:40:09
BY NY DINI
818 WIDIANTI 114022 1/22/2022 - 8:55:11
T14.0 - Superficial injury of
819 DEDE LUKMAN 076006 8/5/1987 unspecified body region 8:58:11
ROHIM OONG
820 OMAN 105765 5/10/1958 - 9:40:50
821 LILIS KARLINA 076757 5/8/1997 - 11:21:04
822 LUKI SETIAWAN 104945 5/6/1987 - 12:01:46
ABID AQILA
823 PRANAJA 030414 12/17/2013 J45.9 - Asthma, unspecified 12:40:14

TATANG IISA SOERIA


GANDA ATMADJA.
824 IR 054526 12/24/1952 - 13:48:39

R50.9 - Fever, unspecified | R63 -


Symptoms and signs concerning
825 ARIP ABDULLAH 114029 7/1/1991 food and fluid intake 13:55:00

RISCHA J06.9 - Acute upper respiratory


826 RAHMAWATI, (dr). 100146 8/27/1990 infection, unspecified 14:41:30

827 SISKA NURHANIPAH 047053 7/24/1999 - 15:09:29

MUHAMMAD
828 HISYAM ALFAHRIZAL 062315 2/3/2016 R50.9 - Fever, unspecified 16:23:38
PUTRA WAHYU 089357/11
829 MAHATIDANA 2642 5/17/2020 - 16:27:28

830 PALAHUDIN 114031 5/14/1982 E9065 - Bite by unspecified animal 16:37:09


IDUN SARIPUDIN,
831 (SE). 114032 3/1/1968 R50.9 - Fever, unspecified 17:20:53
832 RISALDY 114033 4/13/1997 - 17:34:39
833 NISSA AMALIA 079803 12/21/2000 K30 - Functional dyspepsia 17:37:09
020640/07 R10.4 - Other and unspecified
834 SUCI NURHANIFAH 3872 9/11/2003 abdominal pain 17:54:01
T14 - Injury of unspecified body
835 DILA KURNIA 114034 7/10/2012 region 18:27:22
836 SITI ASTRIANI 114035 12/12/1996 R50.9 - Fever, unspecified 19:07:30
INDAH SALSABILA
837 PUTRI 114036 3/27/2018 R50.9 - Fever, unspecified 19:22:22
838 UTOM BUSTOMI 113466 5/3/1949 I50.0 - Congestive heart failure 19:35:29
839 PERAWATI 114037 2/2/1980 - 19:40:54

R50.9 - Fever, unspecified | R63 -


Symptoms and signs concerning
840 SUCI INDRIANI 114038 12/7/2001 food and fluid intake 19:53:00
841 RIANTI NOPALINA 114039 11/27/2003 - 20:20:46
ANNISA SITI
842 KHOIRUNNISA 048009 11/15/2016 A91 - Dengue haemorrhagic fever 20:55:47
843 SITI FATIMAH 089731 10/8/1993 K30 - Functional dyspepsia 21:22:52

844 BURHAN BURNAMA 112847 6/21/1989 K30 - Functional dyspepsia 21:17:40


845 UNANG 114040 7/3/1976 K30 - Functional dyspepsia 21:25:39
846 RISMA TRIANA 114041 1/14/1986 - 23:31:41
ABID AQILA
847 PRANAJA 030414 12/17/2013 J45.9 - Asthma, unspecified 0:03:43
ALFIAN RIZQIE
848 DARMAWAN 114043 1/21/2014 J45 - Asthma 0:36:15
849 SUSILAWATI 067101 8/7/1975 J45 - Asthma 1:16:53

850 DEWI SARI PERTIWI 031537 11/8/1986 - 1:30:11


851 EDI RAHMAT 078751 3/8/1982 - 2:02:16
R10.4 - Other and unspecified
852 LINA SUMARNI 109028 2/26/1969 abdominal pain 3:20:49
TRISKA PUTRI R10.4 - Other and unspecified
853 UTAMI 114044 8/29/2002 abdominal pain 3:27:40
854 ODIN HIDAYAT 103412 2/20/1964 K30 - Functional dyspepsia 5:01:17
R50 - Fever of other and unknown
855 AI SURYATI 070467 5/15/1985 origin 7:39:42

A91 - Dengue haemorrhagic fever |


E10 - Insulin-dependent diabetes
856 PIPIH 068283 6/4/1973 mellitus 8:17:54

J06 - Acute upper respiratory


infections multiple and unspecified
857 FERI PAISAL 114045 1/9/2003 sites 8:24:23
I64 - Stroke, not specified as
858 YANAH 114046 1/23/1957 haemorrhage or infarction 9:06:48

A09.9 - Gastroenteritis and colitis of


SAKTIAWAN unspecified origin | R11 - Nausea
859 NUGRAHA 114047 12/3/2015 and vomiting 9:13:32

860 UJANG MAHMUDIN 113919 10/11/1978 - 9:18:23


CHAIRUNISA
861 SALSABILA PUTRI 105683 3/2/2015 - 9:22:35
862 RESTI JULIANTI 077757 7/2/2006 J45.9 - Asthma, unspecified 10:21:03
863 DEDI SUTANDI 114048 7/22/1969 - 11:08:24
864 RIJAL MAULIDI 114049 7/9/1999 - 11:16:44
865 DISYA MEILANDY 033365 5/3/2003 - 11:38:55
SAFA SHAFIYYAH
866 LESTARI 105529 12/3/2020 R56.0 - Febrile convulsions 13:03:52

E14.5 - Unspecified diabetes mellitus


with peripheral circulatory
867 EUIS ROHMAH 106472 6/11/1968 complications 13:48:01

868 M. ABDUL ROHMAN 037424 5/4/1998 - 13:02:28


HAIDA ZAHRATUS
869 SALMAH 109701 4/3/2020 - 15:11:00
KEANDRA ARSYA
870 ALFAREZ 114050 3/4/2020 - 16:35:45
ERIKA HIKMAH
871 DAMAYANTI 108042 11/2/2001 - 16:50:02
872 ANISA RAMDHANI 035187 2/3/1996 - 16:53:44
873 SITI MUTIA 045896 8/29/2015 - 17:08:07
874 FIA SRI ULFA 114051 4/16/1997 - 18:21:40
875 NURUL ANNISYA 114052 3/17/2000 - 17:29:41
876 BY NY KARTINI 114053 1/22/2022 - 17:34:32
M DAFFA IBNU
877 HAFIDZ 084257 3/7/2015 - 17:35:54
878 ALFAH RANI 060823 9/25/2005 - 17:52:41
879 DEDE MULYANI 012855 2/26/1961 - 17:57:16
MUHAMAD FAHRI
880 SETIAWAN 113946 8/2/2012 - 18:18:25
881 SITI NAHLA 093437 8/19/2006 - 19:04:20
CANTIKA HILDANI
882 PUTERI 084956 6/27/1997 - 19:06:51
883 HERUL AMRULLAH 114054 3/22/1981 - 19:12:45
884 A. HADIANSYAH 081926 4/9/1960 - 19:19:40
885 FIRAS PEBRIAN 114055 2/19/2011 - 19:40:06
886 RISKA PRASISKA 114056 12/27/2007 K30 - Functional dyspepsia 19:51:26

887 DEDE PISKA RELISKA 023476 2/22/1981 - 19:56:01


888 SYAHID SYUKRON 114057 3/22/1999 - 20:04:03
889 CICA DINI SAPITRI 051414 10/6/1996 K30 - Functional dyspepsia 20:23:56
065769/08
890 MAESAROH 6480 7/1/1970 K30 - Functional dyspepsia 21:07:29
891 ENTIN SUPARTINI 072730 3/10/1973 - 21:16:43

892 UJANG MAHMUDIN 113919 10/11/1978 - 21:21:41


I25.9 - Chronic ischaemic heart
893 RINI TRISNAWATI 070159 12/3/1986 disease, unspecified 21:24:17
894 HENI 087447 11/2/1973 J45 - Asthma 21:36:24
FATIMAH J06.9 - Acute upper respiratory
895 FARDMASOUMI 104412 7/4/2016 infection, unspecified 22:20:44
896 ERNI 114058 1/15/1985 K30 - Functional dyspepsia 22:37:46
897 YAYA 114059 7/10/1984 K30 - Functional dyspepsia 0:07:01
898 RISMA TRIANA 114041 1/14/1986 - 0:55:53
899 NENENG MULYATI 114060 2/26/1971 K30 - Functional dyspepsia 1:19:01
900 ROSMAWATI 021082 5/5/1968 J45 - Asthma 2:20:32
BAYI NYONYA
901 RISMA TRIANA 114061 1/24/2022 - 2:33:00
GUNGUN 019759/08
902 GUNAWAN 0142 4/19/1977 J45 - Asthma 3:10:24

903 ANNISA SUKARNO 114062 10/20/1998 J45 - Asthma 5:40:31


042286/10
904 IDA ROSITA 4871 5/8/1975 R50.9 - Fever, unspecified 6:31:37
905 AI RUSMIATI 114063 4/14/1984 - 7:29:31
A09.9 - Gastroenteritis and colitis of
906 OON 070011 7/1/1951 unspecified origin 7:44:21
T14.1 - Open wound of unspecified
907 SITI NUR KAMILA 114064 3/24/2017 body region 9:21:20
T14 - Injury of unspecified body
908 KAMIL 114065 11/19/1993 region 9:21:26
T14 - Injury of unspecified body
909 SITI NUR JENAH 114066 1/1/1995 region 9:21:31

A09.9 - Gastroenteritis and colitis of


unspecified origin | R11 - Nausea
910 DIAS DAFFA RIZKY 114084 5/3/2010 and vomiting 9:21:37
RISMA KHOFSAH
911 LATIPAH 114095 11/24/2008 - 13:39:20
PUTRI SYAQINA
912 KHAIRUNNISA 114109 10/16/1998 E9065 - Bite by unspecified animal 10:35:04

913 ISMA MILAN DEWI 114115 11/13/2010 A91 - Dengue haemorrhagic fever 10:52:15
KHAYLA ZAINA
914 SURYA MARITZA 114125 1/3/2017 A91 - Dengue haemorrhagic fever 11:19:57
915 VANEZA FAHMA 109555 9/2/1993 - 11:22:34
916 SIRENA AMELIA 114127 2/23/2005 - 11:43:18
917 ADIN 114134 8/3/1982 R10.0 - Acute abdomen 13:17:56

L02.9 - Cutaneous abscess, furuncle


918 HERMAWAN 094985 7/16/1992 and carbuncle, unspecified 13:29:17
T14.1 - Open wound of unspecified
919 EMAN MAULANA 114137 3/17/1983 body region 14:23:45

920 WIWI WINTARSIH 028468 10/10/1972 G44 - Other headache syndromes 14:26:42
921 EDI LASWANI 105209 7/1/1955 R07.4 - Chest pain, unspecified 14:58:09
MUHAMAD BRAZA
922 BOLKIAH 071790 1/19/2018 - 15:02:58
923 ARI RISMAYA 114139 12/7/2011 - 15:14:59
DHAWI BILAN
924 RAMADAN 114140 6/10/2018 - 15:22:19
925 ROJAK KARIM 114141 10/10/1989 - 15:47:45
MUHAMMAD RIFKY
926 ABDILLAH 114142 8/8/2017 R50.0 - Fever with chills 16:38:19
WULAN SITI L08.0 - Pyoderma | R50 - Fever of
927 NURANIAH 114144 5/3/2003 other and unknown origin 17:26:32
M ARZA ALMEUR
928 ALZHABAR 063657 1/14/2017 - 17:32:27
929 ATANG 114145 4/3/1949 - 17:43:14

930 RANI YULIANINGSIH 051333 4/9/1985 - 17:50:05


931 ANDRI SUGIANI 114146 12/23/1978 - 18:02:42
932 IDA ROYANI 067885 4/14/1982 - 18:52:21
933 SITI MAULIDA 114147 11/10/2011 - 18:56:38
934 UKON SUKMANA 108623 5/12/1960 - 19:01:55
PUTRA WAHYU 089357/11
935 MAHATIDANA 2642 5/17/2020 R50.9 - Fever, unspecified 19:14:03
T14 - Injury of unspecified body
936 AQILLA RAHMA 114149 1/29/2015 region 19:24:29
937 KIMAN 114150 6/3/1958 - 19:33:48
938 JUJU JUARIAH 040019 9/12/1954 - 20:08:33
939 DISYA MEILANDY 033365 5/3/2003 K30 - Functional dyspepsia 20:24:25
940 ULPAH LESTARI 114151 10/29/2000 - 20:59:07
941 IWAN JAENUDIN 076098 11/11/1975 - 21:12:15
MUHAMAD RAFA
942 MUNAWAR 077005 9/30/2014 - 21:23:21

MUHAMAD AFRIZAL
943 HAMDANI 114152 4/20/2014 - 21:27:06

944 NENENG ROHMAH 114153 2/5/1988 - 21:38:54


945 NITA SAPITRI 114156 3/26/1984 - 23:04:03
946 FAIQ ZHAFRAN 114157 1/23/2021 R50.9 - Fever, unspecified 23:50:00
E14.5 - Unspecified diabetes mellitus
with peripheral circulatory
complications | I50 - Heart failure |
947 EUIS ROHMAH 106472 6/11/1968 R06.0 - Dyspnoea 0:06:49
MUHAMAD RIZKY
948 CAHAYA PUTRA 114159 4/8/2013 R50.9 - Fever, unspecified 2:47:25

949 BURHAN BURNAMA 112847 6/21/1989 K30 - Functional dyspepsia 3:25:02

K30 - Functional dyspepsia | R10.4 -


Other and unspecified abdominal
950 TEDI MULYADI 114160 11/10/1986 pain 5:06:24
951 IDA ROYANI 067885 4/14/1982 J45 - Asthma 5:28:23
ALGEEZA LINTANG
952 CHANDRA 090577 3/22/2020 - 6:09:40
J06.9 - Acute upper respiratory
953 SUMARDI 114161 5/5/1979 infection, unspecified 6:51:36
954 TUTI SETIAWATI 114162 6/7/1981 K30 - Functional dyspepsia 6:55:58
955 MALASARI 081476 1/12/1970 J45 - Asthma 8:40:05
BAYI NY RANI
956 YULIANINGSIH 114170 1/25/2022 - 8:21:10
BAYI NY NITA
957 SAPITRI 114173 1/25/2022 - 8:25:46
958 NAFITA AGIANI 039256 8/8/1998 K30 - Functional dyspepsia 9:06:40

MUHAMMAD
ALVINO Q39.0 - Atresia of oesophagus
959 MAHARDIKA 114186 5/12/2021 without fistula 9:47:53
K30 - Functional dyspepsia | R50.9 -
960 NIDA NABILA 114189 8/6/1994 Fever, unspecified 10:29:13
961 IDAM KHOLID 114192 5/25/1975 - 11:56:21
962 TARSIH 026994 7/1/1963 K30 - Functional dyspepsia 11:32:52
963 ABDUL ROSYID 067837 4/26/2019 R50.9 - Fever, unspecified 12:40:17
DAFFA DZUHAIRI AL
964 FARIZI 114196 3/12/2021 - 13:08:11
ISYANA NAHDA A09.9 - Gastroenteritis and colitis of
965 PUTRI RASYAD 019008 11/6/2015 unspecified origin 13:44:36

A15 - Respiratory tuberculosis,


bacteriologically and histologically
966 ARRI SEPTIAN 114195 9/19/1993 confirmed | R04.2 - Haemoptysis 15:56:50
APRILIA ANDRIANI
967 PUTRI 114198 4/8/2006 - 15:00:26
968 SENI SETIANI 114199 8/28/1988 - 15:10:04
T14.1 - Open wound of unspecified
969 TUBAGUS HAFIDZ 114200 12/6/2007 body region 16:40:44
970 RAISHAN FIKRI 095321 11/3/1995 R50.9 - Fever, unspecified 16:16:48
971 ECE 114201 7/11/1969 R50.9 - Fever, unspecified 14:47:21
972 RAHAYU 080241 7/1/1969 - 16:58:34
DAMA KALTARO
973 ARFEEN 103451 3/14/2021 - 18:01:47

MUHAMAD RAFI
ALGHOJALI
974 SUTIAWAN 093097 3/12/2020 - 18:04:40
975 NINA SURTIKA 021206 9/12/1965 - 18:13:00
976 AGUS HASAN 114202 8/17/1952 - 18:22:28

977 CECEP 114203 3/5/1953 S09.9 - Unspecified injury of head 19:08:27

978 RADI FIRMANSYAH 061596 7/22/2015 - 19:11:19


979 ENONG 091597 11/13/1951 - 17:18:23
RIZAL PURWANA M25 - Other joint disorders, not
980 AKBAR 114205 4/6/1998 elsewhere classified 20:13:54

M54.05 - Panniculitis affecting


regions of neck and back,
981 ASEP 114206 3/3/1969 thoracolumbar region 20:19:07
R50 - Fever of other and unknown
982 RUKMAWANDI 060897 12/5/1995 origin 20:22:31

A09 - Other gastroenteritis and


colitis of infectious and unspecified
origin | R50 - Fever of other and
983 WILY RIVALDO 082386 2/14/2002 unknown origin 20:27:22
984 SENI SETIANI 114199 8/28/1988 - 21:14:41
TASYA ROSITA
985 MEILANI 114207 5/18/2000 K30 - Functional dyspepsia 21:27:42
986 AAS SANUSI 114209 12/6/1960 R06.0 - Dyspnoea 22:04:49
PUTRI CAHYA
987 DESTIARY 112412 1/3/2004 K30 - Functional dyspepsia 22:10:37

988 RADI FIRMANSYAH 061596 7/22/2015 J45.9 - Asthma, unspecified 22:53:03


989 NIA NURHAYATI 114210 4/5/1996 J45.9 - Asthma, unspecified 23:19:05
990 YUDIN 106847 11/18/1976 K30 - Functional dyspepsia 23:52:51
T14.1 - Open wound of unspecified
991 SOLEHUDIN WAHID 114211 8/24/1992 body region 0:14:37
RIANTI LISWARA
992 HASLINDA 099698 1/20/1993 - 1:05:43

993 BY NY SENI SETIANI 114212 1/26/2022 - 3:13:58


SUCHI
994 NURHASANAH 013335 8/31/2011 J45.9 - Asthma, unspecified 5:29:44
995 TIA SRI MULYATI 114213 3/31/2006 R50.9 - Fever, unspecified 5:49:15
996 ICOH 066361 7/1/1947 - 8:25:28
WENI AYU
997 PERMATASARI 037534 5/31/1992 - 8:44:28
BY NY RUBIE RATU
998 MARCELLA 113181 1/26/2022 - 9:17:24
KEANDRA ARSYA
999 ALFAREZ 114050 3/4/2020 R50.9 - Fever, unspecified 9:26:06

1000 SALMA MAHARANI 114230 3/13/2003 - 9:31:13


1001 NURJANAH 113709 7/5/1960 R11 - Nausea and vomiting 9:34:59

BAYI NY WENI AYU


1002 PERMATASARI 114225 1/26/2022 - 9:42:22
1003 AANG ENTANG 055775 6/16/1942 - 9:55:03
T14 - Injury of unspecified body
1004 DINDIN JAENUDIN 114235 7/26/1984 region 10:02:48
K92.0 - Haematemesis | R11 -
1005 ADI MUSTOPA 114243 2/20/1953 Nausea and vomiting 11:52:01
1006 ELI LAELA 114244 8/8/1968 R10 - Abdominal and pelvic pain 12:43:22
1007 MUTIA ADJANI 114245 5/8/1997 - 13:18:11
M ARKA KIANDRA
1008 JAYA 114246 7/14/2013 - 13:37:03

1009 ANDRIANI SUPRIATI 114247 11/29/1984 - 13:50:47


I10 - Essential (primary)
1010 UCIH 114248 6/7/1978 hypertension 14:47:57
1011 EMA ERMAWATI 080201 5/12/1985 - 14:53:39

G44.4 - Drug-induced headache, not


elsewhere classified | J18.0 -
RATU AQLIMA Bronchopneumonia, unspecified |
1012 BALQIS 114249 3/15/2021 K30 - Functional dyspepsia 15:02:23
1013 AYSILA HUSNA 087420 12/14/2018 R50.9 - Fever, unspecified 15:12:00
1014 SOLIHIN 114251 4/18/1976 - 15:15:39
FIRDA MAHARANI
1015 SHOLIHAH 101311 3/4/2003 - 15:25:06
1016 SITI NAHLA 093437 8/19/2006 L30 - Other dermatitis 16:07:19
R11 - Nausea and vomiting | R50.9 -
1017 IZARA QAISARA 114252 4/22/2013 Fever, unspecified 16:22:05
DEDE MEGA E10 - Insulin-dependent diabetes
1018 RAHAYU 024432 7/15/1976 mellitus 16:43:04

MUHAMAD AKBAR
1019 DWI SATYA 064569 7/21/2018 - 17:46:06
1020 NISSA AMALIA 079803 12/21/2000 K30 - Functional dyspepsia 18:09:27
MUHAMMAD
1021 FAIZAL RAMJI 096843 5/14/2002 K30 - Functional dyspepsia 19:17:39
MUHAMMAD A09.9 - Gastroenteritis and colitis of
1022 DAFFA AL SYAKIB 012268 6/4/2011 unspecified origin 19:27:40
1023 KARTINI APRIYANI 097958 4/10/1999 - 19:54:35
1024 DEDE RIPANDI 018797 2/16/2002 R07.3 - Other chest pain 20:36:07
1025 NIA FATIMAH 114253 4/20/1990 - 20:52:19

K30 - Functional dyspepsia | R50 -


1026 SAEPUDIN 114254 7/1/1965 Fever of other and unknown origin 21:22:21
1027 NURMAYANTI 114255 5/30/1997 - 12:28:53
MUHAMMAD RAIS J45 - Asthma | J45.9 - Asthma,
1028 SYAMIL 114256 6/29/2017 unspecified 2:00:11

J44 - Other chronic obstructive


1029 RAHMAT HIDAYAT 103351 7/12/1970 pulmonary disease | J45 - Asthma 3:01:50
J45 - Asthma | J45.9 - Asthma,
1030 DEDE MULYANI 012855 2/26/1961 unspecified 5:23:15

1031 MUHAMMAD RIZKY 114261 1/11/2004 R10.0 - Acute abdomen 5:51:32


1032 ELI SUMIATI 071344 8/26/1985 - 6:58:02
1033 IYO SENO 074440 8/22/1952 R11 - Nausea and vomiting 8:21:32
KAYLANI LULU
1034 MUMTAZAH 114270 2/13/2019 A91 - Dengue haemorrhagic fever 8:48:09

1035 DARMO SUGONDO 114275 1/7/1983 N23 - Unspecified renal colic 9:36:26
KAMILA SABIYAN
1036 NASIFA 114277 4/20/2019 A91 - Dengue haemorrhagic fever 10:10:02
1037 RANI KUSRINI 114279 5/15/1987 - 10:20:30
BAYI NYONYA RANI
1038 KUSRINI 114280 1/27/2022 - 10:48:00

D21 - Other benign neoplasms of


1039 ELIH 114267 11/9/1991 connective and other soft tissue 12:33:29
1040 NIDA CARMILANI 086530 4/30/1995 A01.0 - Typhoid fever 14:52:58
DAFIYA IZZATI
1041 SAUQIM 114285 11/26/2012 - 16:54:32
WIDYA ALFITRA
1042 RAMADHANI 114286 9/23/2007 J45.9 - Asthma, unspecified 16:35:03
M79.01 - Rheumatism, unspecified,
1043 M KOSASIH 020033 8/10/1943 shoulder region 17:12:31
1044 NELSA ALYANI 063654 11/30/2005 - 18:05:32
1045 YAYAH SUMIATI 071800 8/6/1977 - 18:25:25
1046 IPAH 063888 3/11/1965 J45 - Asthma 18:29:32
SRI YUDIATI
1047 PRATIDWI 073898 7/31/1968 - 19:16:06
1048 IKA HERAWATI 114287 3/20/1977 - 19:26:07
1049 ANAH ROHANAH 086929 7/6/1975 - 19:30:23
1050 ROBIANSYAH 045553 1/15/1984 - 19:32:59
1051 NINGSIH 059441 1/2/1991 J45 - Asthma 19:37:01

ARMAN MAULANA
1052 ALAMSYAH 106250 7/23/1995 K30 - Functional dyspepsia 19:43:48

BAGAS HARIMURTI
1053 SANTOSO 114288 1/14/2015 - 20:00:50
ZAHIRA MURIA
1054 SASMITA 004661 9/14/2012 - 20:11:45

ACHSAN FADHILATU
1055 RAMDAN 114289 7/30/2014 - 20:28:16
1056 MOHAMAD HARIS 050441 11/23/1991 - 20:40:26
1057 II RUSYANI 095447 9/7/1959 - 20:44:33
1058 UPEN SUPENTI 114290 5/5/1971 - 20:54:16
1059 CITRA HERA PUTRI 110081 8/5/2003 - 20:57:29
1060 SELI NURYANTI 114291 10/27/2000 - 21:36:26
NADISA AFRIN
1061 ADIBAH 056680 5/23/2016 J45 - Asthma 22:15:32
1062 BELA TRINANDA 114293 2/23/2000 - 23:30:11
BY NY SELI
1063 NURYANTI 114294 1/27/2022 - 1:41:26

1064 BY NY NURMAYANTI 114295 1/27/2022 - 1:41:31


1065 SUMIYATI 114296 7/18/1992 - 1:43:46
R50 - Fever of other and unknown
1066 RIKO 114298 4/19/1998 origin 4:19:28
FASHIH AKBAR
1067 SULTANI 114299 3/9/2020 - 5:56:11
1068 ASEP 020209 2/10/1966 J45 - Asthma 5:53:20
M.NAUFAL NAJIB AL
1069 GHYFARI 097650 4/23/2004 L20 - Atopic dermatitis 6:22:22
1070 UJANG SUDRAJAT 089052 4/4/1965 L20 - Atopic dermatitis 6:25:39
K64 - Haemorrhoids and perianal
1071 YUDA MULYANA 090408 8/4/1987 venous thrombosis 6:38:34
I10 - Essential (primary)
1072 ENUNG 088858 7/6/1972 hypertension 6:42:46
1073 FAHRI PEBRIAN 114307 12/12/2010 T14.9 - Injury, unspecified 8:46:40
1074 RATNA 068724 6/4/1982 R50.9 - Fever, unspecified 9:10:36
1075 YUNI ALBAYINAH 004999 6/4/1995 - 9:38:44
J40 - Bronchitis, not specified as
1076 AZMI ANNISA SARIF 077008 2/26/2013 acute or chronic 10:06:07
J40 - Bronchitis, not specified as
1077 WAWAN SETIAWAN 067022 7/11/1973 acute or chronic 11:00:17

1078 ANANG KOSASIH 050772 8/16/1963 E14 - Unspecified diabetes mellitus 12:34:50
BAYI NYONYA
1079 SUMIYATI 114317 1/28/2022 - 12:30:00
1080 FEVI OKTAVIANI 112074 10/5/1987 - 13:39:57
K30 - Functional dyspepsia | R50.9 -
1081 RUSWANDI 114318 8/9/1969 Fever, unspecified 15:00:49
1082 GIANI MAULIDA 105251 12/19/2015 - 16:13:31
1083 ONENG 114319 1/28/1950 - 16:44:50
RISKA HADI K30 - Functional dyspepsia | R50.9 -
1084 RESDIANA 021025 9/17/1990 Fever, unspecified 17:08:47
1085 SUTISNA 098366 4/24/1966 - 17:26:00
MUHAMAD ALGI
1086 MARDIANSYAH 109986 6/5/2021 R50.9 - Fever, unspecified 17:53:48
1087 ISUM SUMYATI 048597 7/1/1966 K30 - Functional dyspepsia 17:55:12

VIRANDIKA IRKHAM 079024/08


1088 PUTRA MAULANA 7044 11/21/2018 - 17:58:26
1089 PERA HANDAYATI 023849 8/12/1987 - 18:16:32
PUTRI CAHYA
1090 DESTIARY 112412 1/3/2004 A01.0 - Typhoid fever 18:18:50
1091 NANA SURYANA 114320 7/11/1995 R50.9 - Fever, unspecified 18:42:17
1092 HETI IKLASWATI 114321 8/17/1984 - 6:31:49
SALPANA NUR L02 - Cutaneous abscess, furuncle
1093 CAHYA AULIA 114303 8/30/2008 and carbuncle 19:41:48

A09 - Other gastroenteritis and


MUHAMAD colitis of infectious and unspecified
1094 RADITYA 114322 7/9/2019 origin 19:51:24
1095 INAWATI 114323 7/20/1999 - 19:59:16
1096 WATINO 114325 8/22/1988 - 20:55:29
1097 IWAN SETIAWAN 114326 11/23/1974 - 21:02:25
1098 TINTIN SUMARNI 114328 4/24/1983 - 21:56:15

1099 YUDHA ADIANSYAH 114329 10/5/1979 - 5:49:15


1100 ALDI MAULANA 050860 5/25/2001 - 5:50:39
1101 BY NY INAWATI 114332 1/28/2022 - 6:00:10
1102 OVI NOVITA 114330 10/23/1989 - 1:54:31
A15.9 - Respiratory tuberculosis
unspecified, confirmed
bacteriologically and histologically |
1103 YUSUP SAEPULOH 113425 7/1/1970 J93.9 - Pneumothorax, unspecified 4:36:11
AURA HADI
1104 SYAHPUTRI 113707 1/6/2003 - 9:52:49
1105 RENI 100828 2/8/1986 - 7:43:01
1106 IMAS HALIMAH 042475 8/25/1963 K30 - Functional dyspepsia 8:30:04

A90 - Dengue fever [classical


ALISKA PUTRI dengue] | A91 - Dengue
1107 DESVILA 114334 12/28/2011 haemorrhagic fever 9:26:02

1108 AZMYA KHUMAIRA 112548 12/16/2021 R06.0 - Dyspnoea 9:33:23

1109 SITI SARAH OKTAVIA 114111 10/12/2002 - 10:06:24


1110 CICIH SARTIKA 114352 6/15/1956 - 10:20:11
TETI NURINDAH
1111 SARI 106208 4/14/1992 - 13:00:43

1112 DINDA PAMUGARA 108285 12/22/1997 L30 - Other dermatitis 13:57:48


MUHAMMAD
1113 DZIKRI ALFARIH 114355 10/31/2018 - 14:07:01

1114 DADANG MULYADI 114356 7/21/1974 K30 - Functional dyspepsia 14:12:41

G44 - Other headache syndromes |


1115 OMAY 104225 10/10/1962 K30 - Functional dyspepsia 14:24:04

1116 M. ARGA SAPUTRA 065307 10/27/2007 - 15:19:23


MUHAMMAD ALWI A09.9 - Gastroenteritis and colitis of
1117 ABDULLAH 020243 9/27/2016 unspecified origin 15:21:04
SITI FAUZIAH PUTRI A09.9 - Gastroenteritis and colitis of
1118 ALAWIYAH 110787 6/25/2019 unspecified origin 15:22:08
1119 AAS 114358 7/1/1956 S06.2 - Diffuse brain injury 15:30:00
1120 SONIA 114359 1/2/2001 R50.9 - Fever, unspecified 16:04:32
NIKITA REGINA
1121 PUTRI APRIYANI 005018 2/16/2007 - 16:24:24
T14 - Injury of unspecified body
1122 M. CEPI YANA 114361 4/24/1982 region 16:26:00
NENG RAHMA T14 - Injury of unspecified body
1123 SELVIANA PUTRI 114362 2/8/2009 region 16:26:00
T14 - Injury of unspecified body
1124 BIBAH 114363 11/28/1992 region 16:26:00
1125 NENAH 028046 4/6/1969 K30 - Functional dyspepsia 16:54:53
1126 NISSA AMALIA 079803 12/21/2000 G44 - Other headache syndromes 17:57:37
1127 CICI LESTARI 114364 4/25/1995 R25.2 - Cramp and spasm 18:17:03
MUHAMAD
1128 RAMDANI 092045 3/15/2020 - 18:24:30

N29 - Other disorders of kidney and


ureter in diseases classified
1129 NANANG ISKANDAR 080072 5/15/1971 elsewhere 18:29:02

1130 TUTI PURNAMASARI 100464 11/4/1989 - 17:57:37


J06.9 - Acute upper respiratory
1131 EUIS 114366 2/4/1964 infection, unspecified 19:31:34
MUHAMMAD
1132 GUSYAERI 023775 7/31/1999 - 22:42:11
J06.9 - Acute upper respiratory
1133 HERLAN SUGANDA 024862 9/24/1961 infection, unspecified 19:46:29

AZQIA J06.9 - Acute upper respiratory


1134 WARDATULUMMAH 026220 1/6/2000 infection, unspecified 19:50:59

KHUMAIRA ALFIANA
QIRANI
1135 HENDRIANSYAH 105506 4/11/2020 R50.9 - Fever, unspecified 19:56:18
1136 NURAIDAH 019073 8/18/2000 - 20:06:54
1137 AURELIA QISTINA 070661 12/10/2018 R50.9 - Fever, unspecified 20:52:16
BAYI NY SITI SARAH
1138 OKTAVIA 114369 1/29/2022 - 21:59:20

1139 NICKA SRI RAHAYU 064303 5/9/1991 - 22:04:45


MUHAMAD HERI T01 - Open wounds involving
1140 SURYANA 114370 5/30/2003 multiple body regions 23:48:50
NAHIDA NOOR
1141 RACHMAH 114371 10/9/1995 - 0:15:55
FEBRIANTI
1142 NILAMSARI 114373 2/20/1998 - 0:36:57
BAYI NY NAHIDA
1143 NOOR RACHMAH 114374 1/30/2022 - 1:04:41
LARAS SALSABILA
1144 UTAMI 098888 3/12/2003 K30 - Functional dyspepsia 2:32:09
1145 RAHMAT KURNIA 114375 6/6/1976 J45 - Asthma 3:39:24
RIZKI MERLIA B86 - Scabies | K30 - Functional
1146 AGUSTIN 008906 8/29/1995 dyspepsia 8:00:03
SITI ADAWIYATUL
1147 MUMTAZ 114376 3/3/2015 J45 - Asthma 8:09:48
K30 - Functional dyspepsia | R06.0 -
1148 YENI SUTINI 105547 7/13/1970 Dyspnoea 8:32:50
1149 AZWAN NASIR 114377 3/31/2018 T16 - Foreign body in ear 8:44:54
GANJAR TEJA
1150 PERDANA 080392 3/31/1986 - 8:52:33

KEEMALA PUTRI AL- A15.3 - Tuberculosis of lung,


1151 AYUBI 098081 12/12/2019 confirmed by unspecified means 8:57:44
DZIKRA FITRA
1152 WIBAWA 114378 8/20/2012 R50.9 - Fever, unspecified 9:39:53
1153 TEDI MULYADI 114160 11/10/1986 R50.9 - Fever, unspecified 10:14:54

GILLAR
MUHAMMAD
1154 RAMDHAN 114380 5/18/1984 R06.0 - Dyspnoea 10:39:18

A15.0 - Tuberculosis of lung,


confirmed by sputum microscopy
with or without culture | R50.9 -
1155 RAHMAT HIDAYAT 114381 10/1/1980 Fever, unspecified 10:47:45
AZKA ZAKY
1156 VIRENDRA 096177 6/27/2017 J45 - Asthma 11:18:14
ASRYL DAFFA KAHFI
1157 RACHMAN 005721 4/7/2012 - 12:04:19
1158 FAHIRA HASNA 061256 2/24/2013 - 12:07:06
1159 ALITA ZIANISYA 088091 12/4/2019 - 13:05:55

1160 SAKINA AQILA PUTRI 026825 6/27/2014 R11 - Nausea and vomiting 13:13:45

K30 - Functional dyspepsia | R50.9 -


Fever, unspecified | R63 - Symptoms
and signs concerning food and fluid
1161 MASPUPAH U 058230 5/15/1994 intake 13:36:16

J06.9 - Acute upper respiratory


infection, unspecified | K30 -
1162 EDI 114382 10/9/1968 Functional dyspepsia 14:05:15

MUHAMMAD
1163 HAFIDZ AL JAUHARI 114383 1/29/2020 R50.9 - Fever, unspecified 14:48:48
1164 AYUNI MEGISTINA 006804 5/3/2000 - 14:56:54
MUHAMMAD FIKRI 027028/03 T14 - Injury of unspecified body
1165 PRATAMA 9809 4/5/2012 region 15:04:51
1166 KHANSA NISRIA 114384 11/6/2003 K30 - Functional dyspepsia 15:09:31
LUSIANA
1167 AMBARWATI 114386 2/26/2005 - 16:08:23
1168 DIKDIK 045311 11/7/1960 K30 - Functional dyspepsia 16:55:23

1169 AICA NURUL AZKIA 114388 11/6/2010 - 17:09:39


1170 IWAN RUSWANDI 114389 11/9/1982 J45 - Asthma 17:23:50
BAYI NYONYA
LUSIANA
1171 AMBARWATI 114390 1/30/2022 - 17:08:00
J45 - Asthma | K30 - Functional
1172 AGUS SETIAWAN 088539 5/13/1983 dyspepsia 18:09:10
1173 LIA PAUJIAH 084970 11/21/2003 - 18:17:41
1174 ABDUL AZIZ 114391 9/14/1997 R50.9 - Fever, unspecified 18:30:13
H66.9 - Otitis media, unspecified |
1175 ELIS LISNAWATI 047693 1/14/1985 J45 - Asthma 19:16:42
1176 RIKI GUNAWAN 114392 7/22/1990 R50.9 - Fever, unspecified 19:16:31
J18.0 - Bronchopneumonia,
1177 SRI SALSA NABILA 111998 11/9/2020 unspecified 19:21:40
1178 NADHIRA RAHMA 086744 10/24/2017 - 19:25:16
RINALDI PRATAMA
1179 PUTRA 097607 7/23/1994 T14.9 - Injury, unspecified 19:28:34
MAKI ABDUL K30 - Functional dyspepsia | R50.9 -
1180 ZAELANI 114393 5/10/1967 Fever, unspecified 19:34:52
ANNISA SANIA
1181 NURSYAFITRI 114394 12/28/2000 - 19:51:05
GHINA SINTIA
1182 RAHMAH 114395 12/1/2003 - 19:51:29
MUHAMMAD
1183 ZULFIKAR 078300 10/8/2019 R50.9 - Fever, unspecified 20:00:12
A09.9 - Gastroenteritis and colitis of
1184 HERI KUSTIWA 065208 10/16/1974 unspecified origin 20:11:02

1185 HAFIZ GIBRANSYAH 044171 5/9/2014 J45 - Asthma 20:18:24

1186 AQILA PUTRI HESTI 102785 2/21/2020 - 20:54:37

MUHAMAD
HAMDAN F50.5 - Vomiting associated with
1187 RAMDHANI 084608 11/4/2008 other psychological disturbances 20:57:32
1188 MUTIA ADJANI 114245 5/8/1997 E9060 - Dog bite 21:03:44
TASYA ROSITA
1189 MEILANI 114207 5/18/2000 K30 - Functional dyspepsia 21:07:57

1190 DINAR MAULANI 114397 5/1/1994 R50.9 - Fever, unspecified 21:34:38

NAZIYA SINAR AURA F50.5 - Vomiting associated with


1191 WIBAWA 114399 3/26/2021 other psychological disturbances 22:17:20

1192 ADI ROSADI 079927 3/8/1958 I50.0 - Congestive heart failure 23:00:49
AMANDA HALDI
1193 PUTRIANSARI 054293 12/5/2014 - 23:57:52
1194 HAFIZ GIBRANSYAH 044171 5/9/2014 - 0:00:14
1195 JAKA 114400 1/5/1957 - 2:02:54
1196 ULOH SAEPULLOH 110054 7/5/1972 - 11:37:36
1197 NINGSIH 059441 1/2/1991 J45 - Asthma 0:55:39

MUHAMAD FADLAN
1198 ALFATIHUL IHSAN 029883 7/28/2011 J45 - Asthma 6:32:03

A09 - Other gastroenteritis and


colitis of infectious and unspecified
1199 TOTOH SUDIANA 077996 3/14/1974 origin 6:37:04
1200 M. DAMAN 090884 3/14/1978 R10.0 - Acute abdomen 7:25:41
ABDUL HAKIM
1201 MAULANA 114403 4/4/1974 - 8:35:55
1202 TETI SUSANTI 111977 5/14/1979 - 8:28:19
RATU SHEZAN
1203 BANAFSA 101097 12/9/2020 R56.0 - Febrile convulsions 9:53:10
1204 TETI HERYATI 021161 9/7/1969 M79.1 - Myalgia 11:07:41

A09.9 - Gastroenteritis and colitis of


unspecified origin | K30 - Functional
1205 WAWAN GUNAWAN 095363 7/8/1990 dyspepsia 14:45:52

G40 - Epilepsy | R50 - Fever of other


AISYAH and unknown origin | R56 -
HAFIDHATUR Convulsions, not elsewhere
1206 RAHMAH 114420 6/8/2021 classified 12:58:23
1207 DEPI RUBIANTO 059702 12/14/1997 R50.9 - Fever, unspecified 13:04:10
H81.4 - Vertigo of central origin |
1208 DANI RAMADANI 114422 5/1/1985 R50.9 - Fever, unspecified 13:41:46

1209 SANTI RAHMAWATI 054931 10/16/1987 - 14:16:05


L03 - Cellulitis | L03.0 - Cellulitis of
1210 APUN 114425 3/20/1956 finger and toe 15:30:45
FAIZAL T14.1 - Open wound of unspecified
1211 RAHMANSYAH 114426 11/11/1987 body region 15:50:49

AISYAH
HAFIDHATUR
1212 RAHMAH 114420 6/8/2021 - 16:30:04
1213 SUTISNA 098366 4/24/1966 J45 - Asthma 16:34:23

MUAHMMAD ALFIN
1214 RIZKI ALFATIH 114427 3/18/2021 - 16:45:35

1215 VIVTAH RIZKY RIZA 114428 6/9/2000 R50.9 - Fever, unspecified 16:52:32
ERY YULIANTI
1216 FATIMAH 015653 7/24/1971 K30 - Functional dyspepsia 17:01:31
K30 - Functional dyspepsia | R10.0 -
1217 EGA 114429 3/2/1998 Acute abdomen 17:29:07

KITARA IBNU R50 - Fever of other and unknown


1218 HAFARA 062415 11/23/2013 origin | R50.9 - Fever, unspecified 18:22:40
1219 MARWAN SUTEJA 106230 1/5/1986 K30 - Functional dyspepsia 18:44:49
K30 - Functional dyspepsia | R11 -
1220 HERLINA WATY 114430 3/28/1973 Nausea and vomiting 19:05:03
1221 YUNIARTI DEWI 041092 6/18/1993 M54.5 - Low back pain 19:39:44
H IPAR ABDUL A09.9 - Gastroenteritis and colitis of
1222 GOPAR 114431 12/26/1962 unspecified origin 20:01:50
1223 YUNIARTI 047263 6/13/1981 - 20:10:29
NADIA RHESA
1224 RAHESTHA 114432 11/3/1991 A91 - Dengue haemorrhagic fever 20:11:53
1225 SUPRIATNA 075498 4/21/1958 K30 - Functional dyspepsia 20:52:48

1226 SITI RATU HANIFAH 038864 1/5/1970 - 21:56:16


A09.9 - Gastroenteritis and colitis of
1227 KOKOM JANE, (Hj). 056777 7/1/1957 unspecified origin 22:10:00
028532/03
1228 TITIN 0990 7/1/1956 K30 - Functional dyspepsia 23:47:34

RESPON TIMSAMPEL PASIEN TOTAL SAMPLE 235


< 5 MENIT 230 Pasien N 230
> 5 MENIT 5 Pasien D 235
capaian 97.80%
Jam Periksa Interval

0:33:37 0:01:03
0:45:10

1:06:04 0:01:24

1:27:41

1:33:54 0:04:15

3:40:10

18:36:26
18:33:17

6:25:00
7:47:31

7:48:50
7:33:21
9:02:18
15:02:21
8:27:17
19:38:06

8:56:15 0:01:12

9:47:11
9:32:25

9:52:01

9:58:24
10:14:37
10:25:20
10:49:21
10:56:03

19:33:16
11:02:32 0:01:45

11:19:33

11:45:04
12:22:10 0:01:11

12:30:41
13:06:43
15:04:19
13:47:44

19:24:48
14:47:49
19:21:51

14:30:33

14:56:20 0:02:02
15:03:21

15:08:08
15:19:36

16:04:51
17:20:40
18:50:28

16:35:31

18:16:12

16:48:57 0:06:02
18:26:12

18:21:01

2:04:51
17:07:17

17:11:29

19:17:23
17:40:27

19:14:07

20:16:50

2:03:33

20:50:45 0:03:45
20:52:55
12:13:05

21:30:53 0:04:25

22:30:20

0:45:04 0:02:23
1:30:51

3:36:35
4:44:08
6:23:47 0:04:12
7:10:05 0:01:13

7:59:11

9:19:29
9:24:33
18:11:05

11:40:56
12:49:44

12:59:25

13:22:16
13:31:17
9:41:55

16:37:53

13:15:09
17:26:17 0:02:17

18:14:23
18:49:21
12:58:12
19:45:55 0:02:40

20:05:31 0:01:29

20:20:28 0:01:54

21:30:39
1:02:40
1:33:07

2:21:28 0:02:21
18:35:26

3:25:54

6:15:20

6:35:54

13:07:20
9:24:00 0:01:05
12:58:44
9:41:03 0:01:12
10:06:44 0:07:19

22:47:19 0:03:23
11:16:32

12:11:54 0:02:54

12:53:26 0:01:23

13:28:27 0:01:15

12:53:26

13:45:58
14:45:21

14:49:14 0:01:23

15:10:07 0:01:21
16:03:49
16:44:57

17:32:43
6:00:02

18:46:57
6:02:23
8:55:54
19:40:48
17:33:34

20:22:29
20:25:46 0:03:14
20:33:47
15:30:22
6:04:21
17:20:42
23:10:46

23:15:00

0:06:08
0:10:28

0:25:00
17:22:29

6:39:47

6:35:58
6:36:51

17:03:43
8:26:15

7:47:44 0:01:12

3:00:38
9:32:03 0:02:12

14:10:50

12:41:34 0:02:23

13:40:39
PM 0:01;26

18:38:40
18:45:37

14:32:48

18:58:52

15:51:58 0:02:34

15:55:06
16:05:41

20:01:09

17:15:32
19:41:10

17:32:00

17:34:06

19:25:31

21:04:13
17:59:27

18:46:10
18:52:53
6:51:39
19:41:52

19:18:32

19:20:50

19:52:47

14:50:41
20:37:30

20:58:07 0:01:23

22:56:31
21:12:02
21:24:38

21:39:53
21:43:55
22:32:44

21:50:55
0:29:50
0:02:13

8:10:42
15:05:43

11:35:42

11:45:16
11:50:57

12:15:57 0:01;12
13:25:59

12:35:32 0:03;23

13:21:23
16:52:30
13:47:04

13:48:23
14:07:05 0:02:10

14:18:10 0:01:13

14:23:35
14:29:21 0:02:25

15:14:42 0:01:42

15:20:51

15:49:21

15:35:39 0:06:12
16:23:21
16:41:22

17:10:07 0:01:03

16:17:24 0:01:08
16:17:58 0:02:46

17:31:12
17:35:44
17:45:00
17:58:05 0:01:27
14:17:26

16:01:04
18:43:16
19:26:05 0:01:15

19:55:04

20:14:48

20:15:30
20:41:05
22:12:09
23:15:48 0:04:24

23:57:25 0:02:18

15:08:09

14:51:03

3:31:54

3:38:14

6:14:16
6:57:21

6:52:26
7:07:38
7:53:19

8:30:33

8:35:30 0:03:15
17:01:44

9:06:05 0:02:10
10:29:30
11:30:53
11:46:16 0:03:02
16:28:41
13:29:53

19:57:20

14:50:08 0:02:10

14:54:38

14:59:05

15:45:30

15:17:08

15:35:40 0:04:21

19:54:06

19:54:41

8:48:02
17:47:42
18:28:51
16:56:56
18:55:33

19:46:58
19:55:03

20:05:32 0:04:02
20:26:00

20:59:44 0:03:02

21:01:14
21:45:43
21:46:22 0:02;15

22:19:53
18:01:38

22:30:07
23:16:12
7:42:31

0:13:08

0:20:34

8:48:39
4:36:20

5:39:07

9:03:33

6:18:57
6:32:45

6:51:08 0:05:14
9:47:25

10:57:46 0:03:16

12:03:05 0:03:34
13:12:50

13:20:08 0:02:08

14:11:31
15:28:20

21:01:26

16:13:59
16:31:39
16:40:58
16:45:10
16:50:01 0:02;12
20:59:54

17:30:12 0:02:12
17:35:04

17:35:26
18:20:59

19:04:23
19:35:14 0:01:14

22:24:15

20:45:05

22:21:03
21:39:31

23:15:43 0:03;01

1:50:30 0:02:05

4:21:49 0:02:02

4:25:11

4:26:59 0:03:39

5:19:12

7:19:36

8:54:56 0:03:37

9:36:30
11:21:40
10:09:15

10:14:17 0:01:10
19:11:33
11:56:58
17:03:03
12:20:51

13:35:07

14:06:13

14:11:32

15:15:04

14:48:12
15:27:13
16:45:31

17:16:10
19:35:39

16:29:45
14:43:44
16:40:11

16:44:03
20:50:21

16:56:11

10:52:24

17:33:12

17:47:59
18:06:41
19:37:46

18:52:34
19:00:01

12:41:53
19:09:00

20:05:43

20:25:35

20:44:11

19:55:26

21:37:50

23:40:25

1:16:58

5:36:29 0:04:04

8:33:08

8:02:28 0:05:23

8:29:05 0:02:04

7:15:29
8:25:41
10:30:15

9:42:02 0:03:09

9:17:14
9:30:16

10:54:09 0:02:35
10:50:11
11:33:45
12:34:11 0:03;12

12:58:18
13:20:46

13:45:52

14:00:16

14:07:09
14:05:22
PM 0;03:12

15:05:07

15:33:34 0:01:12

7:17:33
15:54:16

17:04:04 0:04:12
17:18:00
17:51:05

18:40:11
18:59:13

19:17:10

19:28:26

19:51:29
20:18:10 0:03:12
20:23:29
20:30:19
20:39:16
23:52:01
7:45:05
8:14:06
7:57:37 0:02:23

10:35:15
2:15:51
9:26:28
16:01:13
10:57:02
6:00:49
5:35:59 0:04:12

9:15:20 0:02:16
11:48:03 0;01:12

11:49:55
15:06:41
13:35:36
13:41:29
14:30:02
16:59:32
17:00:15
14:58:19
17:37:00
15:33:21

15:45:04
15:58:46
15:58:47

16:02:04
16:58:38
17:09:31
17:13:30

17:16:08

17:18:55

17:22:27 0:01:07
9:07:25
19:12:02
19:16:10
19:23:49
19:24:55

19:30:00 0:01:12

20:40:04

19:40:54 0:03:13

19:41:21

17:34:32

20:27:11
20:50:06

0:36:41
0:42:52

0:55:42
0:57:43

1:58:55

5:37:15
7:23:52

7:28:05

13:00:15

9:13:00 0:03;47

19:36:07

10:59:04
13:04:48

12:14:38 0:01:28

13:28:22

13:36:22
14:04:33 0:04:20

14:47:00 0:03;12
17:31:07

17:08:17
20:18:06
16:49:30

16:54:07

18:42:21

19:19:41
19:48:31
20:45:12
20:25:43
21:40:21
20:20:39

22:42:39
22:36:29 0:01:40

8:40:37
0:00:11

0:12:27

0:30:02
6:58:51
6:40:42
6:56:26 0:05:12
6:52:35

9:04:40

13:34:39

13:00:16

13:38:23

10:37:24 0:01:12
10:42:42 0:02:24

11:08:59

13:04:43

12:06:30
12:22:48 0:02;13
12:59:40

18:28:55

14:38:54

20:48:20

18:11:13

18:19:46
10:19:20
20:47:50

16:23:44
21:16:17

21:22:31
21:31:26
20:49:16
21:59:32
12:06:09

6:30:03 0;02:04
12:19:55
0:15:52

1:11:06

1:45:16

3:54:20
11:46:12

4:53:28
5:42:13
5:57:17

20:16:42
7:40:34 0:03;12

11:32:47

8:44:13

12:06:25 0:04;10

9:25:56 0;02;10

10:05:51
17:58:58

12:58:54
11:06:26

11:49:46
14:09:02
14:28:15
15:04:08

15:57:50 0:04:23

13:35:51
16:49:46

16:19:52 0:02:35

17:20:36
PM 0:03:12
21:24:26

18:11:08
PM 0:02:16

18:57:59
AM 0:06:39

18:59:40
19:46:18
19:56:49
AM 0:04:10
20:46:36 0:06:12
20:46:57 0:02:26
21:37:53
22:13:00

5:25:10
7:24:06 0:02:16
12:37:49

19:48:12 0:03:23

7:59:03

8:09:12
9:03:47

19:55:38

10:40:01

11:10:04

12:11:21
11:28:57 0:05;22

11:43:01
12:49:34 0:02:05

13:35:37

14:35:38 0:03:45

14:42:27

15:11:07

17:05:47
19:10:30

19:51:31
PM 0:03:19

20:04:37 0:04:15

8:16:30 0:03:04
21:50:53
6:11:39

23:22:28

20:57:12
0:32:18
5:06:00
5:50:15
6:08:07 0:02:12
10:15:57

6:48:59

6:51:21

6:57:34
7:35:23 0:03:34

9:36:01

10:28:10

10:34:25 0:04:10
10:42:45

12:45:41 0:03:15

12:30:40
13:28:44
13:52:57

1:57:35 0:02:28
14:25:44

18:48:18

15:50:41
11:53:04

16:30:59 0:04:39
13:40:41

16:57:43

17:30:20 0:03:13
17:31:21
18:44:16
21:28:24
19:04:46
19:44:04
20:20:01

21:00:29
21:08:15

22:32:18
22:39:53

23:25:10
16:07:07
16:07:41
0:26:04 0:01:02

4:07:16
5:31:04

5:43:09
7:51:46

6:36:00

8:10:10

8:54:20
15:15:36

10:46:49

10:28:56

11:09:14

8:36:12
12:16:21
13:34:04
16:09:49
16:17:40

16:19:08
16:26:13

17:07:28
17:16:06 0:01:06
18:16:48

19:02:07

19:05:08
19:45:07
19:50:52
19:57:21

20:35:37

20:50:50
20:52:38

22:08:36

22:25:08

23:51:46

6:21:18 0:04:15

6:22:32

9:23:23

8:29:28 0:04;24

9:31:33
10:11:51 0:04:46
10:20:51 0:05:10

10:32:43 0:04:10

11:35:08 0:04:34
13:28:22
13:54:20

18:07:20
15:57:35

18:07:50

11:56:42

16:28:08
16:46:07
15:31:04

17:10:36

19:34:54

18:03:00
18:43:28
18:48:45
19:02:55

19:02:56
19:44:44
19:47:39
PM 0:02:32
11:28:51

20:45:17
22:15:35
12:07:07

17:10:28
2:09:21
12:16:57

2:37:27

10:10:37

4:02:58
7:39:35
8:22:15

11:40:08 0:03:45
8:47:08

9:03:38

12:58:32
14:34:53 0:05:51

11:21:37

12:14:59

10:52:35

15:08:23

12:48:47 0:02:21
15:07:44

13:13:30
13:36:26

14:14:34 0:02:10

14:20:23

14:27:18 0:03:12
15:32:20

8:10:59

19:23:19
18:56:33

19:02:06

17:04:25

19:23:12

19:28:48
19:42:23
20:25:47

20:28:09 0:01:12

20:45:38 0:05:34

21:15:31 0:04:23

21:20:05 0:05:32

23:52:44

21:33:22 0:03;34

21:47:28

22:58:39

23:25:18 0:02:23

23:58:13
13:42:15
13:02:43
13:03:05
0:26:03 0:01:13

12:43:53
0:55:38
16:12:03
9:49:27

9:38:52

13:18:16

11:54:03 0:01:10

12:29:02
19:53:44

15:11:55 0:02:45

9:56:50

15:25:16 0:03:02
16:15:59

16:22:19

16:25:45

20:11:21

16:41:27 0:01:10

17:20:17
19:29:27

17:57:24 0:02:12
12:10:11

18:48:57

19:28:36

19:34:25 0:03:24
19:51:10

21:10:09 0:04:14
21:39:06
21:42:27

22:02:30
15:26:57
9:39:36
9:40:06
1:38:49

11:24:23
6:17:50
6:55:54

10:59:34
11:12:16

12:02:09

13:30:45

13:51:44

13:54:48

14:03:00

14:48:01
23:22:34

16:35:27
16:38:25

17:18:43

17:30:35
15:57:14

17:56:53

23:24:08

20:31:12
18:14:50
19:33:55
11:20:58

19:43:43

20:41:15

21:00:32

10:05:14
21:15:06

21:20:09

21:21:02
12:50:50
23:47:50

10:06:42

0:56:46
1:36:26

10:09:28
7:27:24
11:05:46
8:30:26

11:15:08
9:05:36

8:58:43 0:03:01
9:39:56

10:28:21 0:03:11

10:46:15 0:03:34
10:55:28 0:06;12
11:44:22
13:05:38
21:13:50

13:28:38
18:48:26

14:24:45
14:00:42
15:16:06

15:50:42

16:13:10

19:13:44

16:28:39 0:01:09
18:52:27
21:39:38

12:28:36
17:56:24
18:15:47

19:42:55

19:30:16 0:01;02
19:36:07
19:44:14
19:57:08

20:01:22

9:04:53

20:50:52 0:03:37

12:27:27
10:09:51

9:38:42

12:32:02
3:50:37 0:04;46
6:46:14

17:07:54

8:40:38

8:55:11

8:59:24 0:01:13

17:04:46
11:21:04
12:01:34

12:44:21 0:04:12

13:49:59

17:08:37

14:42:21

8:49:14

16:24:37

16:28:05

16:38:48 0:01:52

17:28:52
17:41:33
17:38:40

17:56:09

18:28:55 0:02:32
19:08:32
19:23:55
19:37:03 0:02:43
20:24:05

19:54:11
20:46:06

20:59:10 0:04:32
21:09:33

21:18:37
21:26:50
8:39:59

0:06:26 0:03:33

12:40:14 0:04:56
1:19:20 0:03:27

5:29:34
2:15:25

5:30:51

5:24:52
5:03:29

7:40:33

8:20:40 0:04:46

8:24:24

9:15:13

9:15:50

9:20:00

9:22:52
10:23:02 0:02:05
11:09:14
9:14:21
12:11:40

13:07:23 0:05:31

13:50:47

14:15:09

15:12:34

16:36:41

16:50:08
16:54:09
17:07:33
17:26:46
17:30:41
17:35:33

13:19:07
17:53:57
17:58:23

19:34:33
19:05:50

19:07:33
19:13:14
19:20:02
19:41:02
19:52:14

19:56:15
20:05:27
20:24:27

21:08:15
21:16:43

15:38:37
21:25:30 0:01:16
21:37:41 0:02:43

22:21:53
22:38:43
0:08:16
0:55:53
1:20:13
2:21:02 0:01:45

2:33:00

3:11:33 0:01:37

5:41:22 0:01:23

6:32:42
12:08:56

10:32:39

9:24:14 0:03:32

9:24:06 0:03:57

9:24:19 0:03:45

10:35:53

13:39:20

10:38:00 0:03:56

10:54:16 0:02:34

11:23:21 0:04:24
15:15:09
9:31:34
20:46:42

13:40:44
14:27:38 0:04:39

14:28:38
15:00:41 0:02:32

16:08:27
16:09:01

16:08:13
18:19:55

16:38:26

17:26:10

20:18:07
15:23:33

17:50:05
20:14:10
20:14:50
20:16:41
19:01:55

11:05:04

19:25:37 0:02;43
19:33:48
11:49:16
20:25:32
21:00:32
21:13:07

21:24:04

21:28:40

21:38:54
23:04:03
23:51:08
6:02:25

2:48:56

13:31:23

5:07:36
5:29:01 0:01:32

6:10:15

6:52:10
6:55:59
8:44:21 0:03:16

8:21:10

8:25:46
9:07:03

9:49:31

10:29:46
11:30:47
11:33:25
12:40:22

11:43:59

13:57:39

16:00:42

15:03:38
15:10:04

16:45:52 0:06:08
16:20:35
15:58:58
16:58:34

18:48:12

18:07:12
18:14:43
18:22:46

19:13:32 0:05:58

20:11:06
6:15:05

20:15:24

20:21:02

16:26:08

20:28:18
21:14:41

21:29:09
22:05:27 0:01:16

22:05:31

22:54:40 0:01:43
23:20:16 0:01:21
23:55:23

0:15:38 0:02:13

1:05:43

3:13:58

5:30:59 0:02:43
5:50:46
9:40:05
8:44:28

9:17:24

9:27:26

9:32:14
16:02:12

9:42:22
11:37:39

10:06:07 0:04:55

11:54:38 0:02:39
14:01:58
13:17:41

10:27:11

13:50:47

23:03:20
16:00:41

15:05:38
15:15:40
15:20:50

15:33:12
16:08:35

16:23:17

23:00:43

21:26:43
18:10:56
19:20:46

19:30:15
20:00:33
20:40:40 0:03:47
20:52:19

21:23:49
12:28:53

2:02:41 0:02:52

12:49:39

5:24:47 0:02:04

5:55:05
6:59:22
8:23:29

8:52:20 0:04:29

20:31:39

10:14:01 0:04:03
10:20:30

10:48:00

11:31:45
14:53:54

20:30:09

4:37:45 0:02:48

17:12:27
18:06:05
18:26:54
18:30:43 0:02:15
19:21:31
19:27:52
19:30:57
19:49:28
19:40:37 0:03:38

19:43:47

20:01:22

20:12:14

8:58:07
20:41:27
20:45:54
20:55:47
20:59:56
21:36:26

22:18:27 0:03:58
22:05:43

1:41:26

1:41:31
0:40:59

4:15:10

5:22:47
5:55:55 0:03:15

6:23:44
6:27:11

6:40:37

6:44:48
8:47:12 0:01:52
9:12:49
9:38:44
10:07:27

11:01:24

17:10:11

12:30:00
20:10:03

15:02:41
16:14:21
16:44:53

17:13:38
17:28:36

17:54:24
17:57:33

15:12:22
18:16:32

18:57:59
18:44:02
6:31:49

11:08:23

19:54:29
19:59:16
20:57:30
9:06:34
21:57:27

5:49:15
5:53:51
6:00:10
1:54:13
4:40:05 0:04:16

9:52:49
7:43:01
8:59:59

11:04:56

9:35:01 0:02:24

10:06:24
10:20:25

13:00:43

13:57:46

16:26:29

14:13:03

14:25:53

16:29:38

15:21:10

15:22:53
15:34:46 0:04:46
16:05:34

16:24:17

16:28:24 0:02:24

16:27:09 0:01:09

16:28:44 0:02:44
17:33:05
17:57:43
18:17:22

19:11:14

18:29:01

17:57:37

19:32:55

22:42:16

19:46:28

19:50:45

19:56:35
20:42:29
20:53:37

21:59:20

22:04:45

23:50:30 0:02:20

0:15:55

0:36:09

1:04:41

2:34:41
3:42:17 0:03:53

8:24:38

8:10:20 0;02:04

8:33:37 0:02:27
8:47:43

8:54:59

8:58:19

9:40:55
11:18:53

10:42:59 0:03:17

10:51:57 0:05:42

11:20:24 0:02:38

15:44:35
12:08:48
15:40:24

13:14:50

18:30:38

14:07:02

14:50:57
14:57:29

15:06:08 0:03:59
15:01:29

16:08:23
16:56:17

17:10:27
17:25:05 0:02:55
17:08:00

18:10:40 0:01:50
18:17:41
18:31:50

19:17:02 0:01:44
19:17:02

19:24:24 0:04:04
19:25:02

19:29:24 0:01:58

19:35:42

19:51:35

19:16:59

20:01:24

20:12:24

20:19:24 0:01:48

20:54:37

20:58:17
21:05:36 0:03:20

11:14:53
21:05:27
PM

11:11:38
23:04:00
PM 0:04:49

11:12:46
0:01:40
2:03:36
4:23:34
0:56:38 0:02:17

6:34:49 0:02:52

6:38:21
11:07:04

8:37:52
8:28:19

9:55:36 0:02:46
11:07:59

14:47:43

12:59:49 0:02:34
14:09:33

13:42:55

14:17:35

4:53:28

15:51:15 0:02:05

16:30:04
16:35:52 0:02:15

16:45:35

16:55:35

17:03:57
20:42:40

18:24:21
18:44:57

19:06:24
19:39:32

20:02:35
20:10:29

20:13:53 0:03:45
20:54:29

21:56:16

22:10:38

23:47:07
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : FEBRUARI 2022

Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Periksa Interval


NO

K30 -
MILA Functional
1 NURPIANA 086441 8/25/1993 dyspepsia 0:45:01 0:47:41
FEBI
2 PUJIASTUTI 113272 12/28/1986 - 1:56:49 1:56:49

BAYI NYONYA
FEBI
3 PUJIASTUTI 114433 2/1/2022 - 2:02:00 2:02:00

HANANIA
SHEZA
4 NUGRAHA 098117 10/25/2018 J45 - Asthma 2:34:05 2:35:05 0:01:55

J06.9 - Acute
upper
respiratory
infection,
unspecified |
J45.9 -
AIRA ADIVA Asthma,
5 DELISTHA 075316 9/13/2019 unspecified 4:56:19 4:58:32 0:02:18

R50.9 -
ZAFAR ALIF Fever,
6 ALFARSLAN 112798 4/28/2020 unspecified 7:24:42 7:42:41

R50.9 -
SHALWA Fever,
7 OKTAVIA 012313 10/24/2008 unspecified 7:29:26 7:29:07

R50 - Fever
of other and
SYAHRUL unknown
8 MALIKI 097544 10/29/2010 origin 7:44:32 9:35:22
K21.9 -
Gastro-
oesophageal
reflux
disease
HERLAN without
9 SUHERLAN 114435 8/8/1968 oesophagitis 8:32:04 8:58:37

A09 - Other
gastroenteri
tis and colitis
of infectious
and
H IPAR ABDUL unspecified
10 GOPAR 114431 12/26/1962 origin 8:56:09 10:07:37

R50 - Fever
of other and
unknown
11 WASINO 112863 11/10/1977 origin 9:16:48 9:17:29
HAIFA NUR
12 AULIA 114439 2/15/2003 - 11:01:47 11:02:01

J45.9 -
SITI WIDIYANI Asthma,
13 PUTRI 074746 12/31/2000 unspecified 13:27:34 10:50:18

R50.9 -
ADIBA SITI Fever,
14 SIDQIA 065242 8/19/2013 unspecified 12:48:32 14:32:31
DISYA
15 MEILANDY 033365 5/3/2003 - 12:50:08 11:33:39

DINDIN
16 SAIFUL KAMAL 114441 12/12/1974 - 13:01:50 19:06:13

ELA
17 NURRISWANTI 114442 1/27/1988 - 13:49:48 13:51:17
GATOT
18 TASWAT 022854 2/4/1958 - 14:20:10 19:07:05
T14.1 - Open
wound of
ADE unspecified
19 ISMATULLAH 114443 6/13/1963 body region 14:30:19 14:35:38 0:05:19
YUSUP
20 SAEPULOH 113425 7/1/1970 - 14:58:54 14:58:54

J93 -
Pneumothor
ax | J93.8 -
Other
pneumothor
ax | J93.9 -
Pneumothor
ax,
unspecified |
YUSUP R06.0 -
21 SAEPULOH 113425 7/1/1970 Dyspnoea 14:59:24 15:00:43 0:01:27

I10 -
Essential
(primary)
hypertension
| R50 - Fever
of other and
unknown
origin |
R50.9 -
Fever,
22 MULYANA 113901 2/2/1977 unspecified 15:03:17 15:04:53

T14 - Injury
of
unspecified
body region
| T14.1 -
Open wound
MUHAMMAD of
ILYAS NUR unspecified
23 HIDAYAT 114444 2/1/2016 body region 15:48:30 15:49:42 0:02:12
R50.9 -
DEDE Fever,
24 HERMAWAN 114445 10/5/1998 unspecified 16:07:53 16:07:22

ARFAN
RAHMATULLA
25 H 112641 7/6/2020 - 16:15:56 16:16:21

KHAIREL R50 - Fever


AZLAN of other and
BAROENAKAH unknown
26 ADEAN 114446 10/31/2020 origin 16:40:28 16:41:50

L03 -
Cellulitis |
L03.0 -
Cellulitis of
finger and
27 DADANG 114447 10/9/1968 toe 17:06:34 17:10:20 0:03:54

R50.8 -
Other
specified
fever | R50.9
SABILI ZAHID - Fever,
28 AUFANA 114448 3/14/2020 unspecified 17:16:22 17:19:46

K30 -
Functional
dyspepsia |
RAHMI R11 - Nausea
29 MUDRIKA 114449 3/18/2006 and vomiting 17:29:37 17:30:53

T14.1 - Open
wound of
unspecified
30 ENOH 114450 4/15/1949 body region 20:04:36 20:07:51 0:04:25
CICA DINI
31 SAPITRI 051414 10/6/1996 - 20:08:01 20:10:30

RIZKY
ANUGRAH T16 - Foreign 20:37:21
32 PUTRA 114451 5/3/1995 body in ear 20:34:21 AM 0:03;12
T14 - Injury
of
unspecified
body region
| T14.9 -
ANI Injury,
33 ANGGRAENI 089249 7/7/1987 unspecified 20:43:59 20:45:16 0:02:15
JOHAN
34 SOPIAN 114452 4/27/1987 J45 - Asthma 22:43:40 22:44:36 0:02:26

K30 -
Functional
35 IMAS NURBETI 080336 7/9/1983 dyspepsia 3:47:29 3:48:27

R50.9 -
Fever,
36 HUSEN 045582 2/12/1969 unspecified 8:41:37 12:16:53

FARRAS
RASYAD WALI
37 SUDRAJAT 087042 7/12/2011 J45 - Asthma 9:51:09 9:53:46 0:02:46

T14.2 -
Fracture of
unspecified
38 BIBIN SARBINI 055502 7/1/1955 body region 12:43:25 12:46:25 0:03:50

T14 - Injury
of
ANANDIO unspecified
39 ARASAKTI 114474 12/6/2019 body region 11:34:23 11:36:02 0:02:23

J93 -
Pneumothor
ax | T14 -
Injury of
YUSUP unspecified
40 SAEPULOH 113425 7/1/1970 body region 12:00:04 12:04:53 0:04:57

K30 -
Functional
41 MAYANG 114475 12/20/1988 dyspepsia 12:11:39 13:33:35

42 YANI SURYANI 114476 8/10/1984 - 12:47:29 12:47:29


SARI
43 NURAIDAH 066592 7/12/1952 - 14:21:54 14:22:34

A09.9 -
Gastroenteri
tis and colitis
KAMANDITA of
RIZKY unspecified
44 APRILIANI 114478 4/21/2020 origin 13:56:17 13:56:16

J45 - Asthma
MUHAMMAD | J45.9 -
ZULFIKAR Asthma,
45 ASSHIDQY 112130 1/21/2018 unspecified 14:06:46 14:07:55 0:02:41

R50.9 -
FARIZ NIZAR Fever,
46 RIDWAN 114479 4/4/2010 unspecified 14:30:27 14:31:35

AULIA NAZWA
47 DEWI FAZLIN 022305 7/2/2011 - 15:01:53 15:02:35

EUIS R50.9 -
SUKMAWIYAN Fever,
48 TI 114480 5/4/1971 unspecified 16:02:25 16:03:56

I10 -
Essential
(primary)
hypertension
H EDDY | M79.1 -
49 SUPIYANDI F 114481 10/14/1954 Myalgia 16:31:12 16:32:43

K30 -
RIVALDI Functional
50 HAKIM 104479 7/12/2003 dyspepsia 17:38:20 17:39:42

I10 -
Essential
(primary)
51 KARDI 114482 7/9/1954 hypertension 18:11:14 18:11:49
K92.1 -
52 HAMBALI 062367 1/1/1955 Melaena 18:50:20 18:51:29
B34.2 -
Coronavirus
infection,
unspecified
53 DEDE SUMIATI 043991 6/6/1973 site 18:55:08 18:56:13

MUHAMAD
HAMDAN R11 - Nausea
54 RAMDHANI 084608 9/4/2008 and vomiting 18:58:14 18:59:19

DAME SISKA
DWINARTI
55 MARBUN 114483 12/10/1995 - 19:07:03 19:07:03

R50.9 -
Fever,
56 EUIS 114366 2/4/1964 unspecified 19:08:27 19:10:44

K30 -
GUSTIAN Functional
57 RAMADHAN 079355 8/27/2008 dyspepsia 19:15:16 19:16:12

J45.9 -
Asthma,
58 YANTI 114484 8/23/1975 unspecified 19:21:10 19:22:44 0:01:54

K30 -
Functional
59 WARDAH 049978 5/13/1975 dyspepsia 19:37:40 19:38:38

K30 -
Functional
60 IDAH 048711 2/4/1975 dyspepsia 19:39:47 19:38:49

K30 -
Functional
61 IDAH 048711 2/4/1975 dyspepsia 19:39:47 19:39:47

J06.9 - Acute
upper
respiratory
infection,
unspecified |
J45.9 -
Asthma,
unspecified |
K30 -
AEP Functional
62 SAEPUDIN 046988 5/1/1960 dyspepsia 20:04:55 20:08:14 0:04:04
J06.9 - Acute
upper
respiratory
MUHAMMAD infection,
63 ARDA 114485 8/17/2021 unspecified 20:08:46 20:09:44

K30 -
DADEN Functional
64 HENDIAWAN 062270 10/12/1983 dyspepsia 23:18:04 23:20:33

K59.0 -
65 IYO SENO 074440 8/1/1952 Constipation 23:46:19 23:47:58
ELEN
66 SEPTRIASA 114488 9/22/2006 - 23:54:14 23:55:04
67 AI HANIPAH 114490 1/20/1999 - 0:22:03 14:56:24

MOH NASRUL
68 ALBANI 114492 7/14/1994 - 1:15:52 1:20:56
BY NY AI
69 HANIPAH 114493 2/3/2022 - 13:20:05 13:20:05

K30 -
OCIH Functional
70 JARKASIH 015708 4/24/1951 dyspepsia 2:29:19 9:59:44
ANA SERRA
71 SEJAN 114494 5/8/2018 - 3:04:18 3:06:52
SELVIA
72 NINGSIH 112546 9/12/2005 - 5:04:21 5:32:27

T14 - Injury
of
SITI unspecified
73 HOMSANAH 114495 5/12/1977 body region 5:49:52 5:50:34 0:02:13

K30 -
RICKY ADAM Functional
74 PERDANA 100648 3/21/1995 dyspepsia 6:11:51 6:12:00
75 EUIS MAYA 114496 4/25/1989 - 6:54:34 6:55:44

LUSI
76 RAHMAWATI 114497 12/7/1987 - 7:49:01 7:49:01
J06.9 - Acute
upper
ZIKRI respiratory
ZULFADLI infection,
77 SAPUTRA 114503 1/12/2012 unspecified 8:14:25 8:14:25

J06.9 - Acute
upper
ZIKRI respiratory
ZULFADLI infection,
78 SAPUTRA 114504 1/12/2012 unspecified 10:36:43 8:15:05
BAYI NY HETI
79 NURHAYATI 114506 2/3/2022 - 8:26:55 8:26:55

K40 -
Inguinal
hernia |
K40.9 -
Unilateral or
unspecified
inguinal
hernia,
without
obstruction
80 DIMI 114508 3/21/1935 or gangrene 8:27:39 9:40:59

REREN
ROBBIATUL
81 HUSNA 091740 8/18/1997 - 10:36:34 10:38:45
82 AI ULPAH 114501 1/3/1998 - 11:32:45 11:32:45

J45 - Asthma
| J45.9 -
BUBUN Asthma,
83 BUNYAMIN 110208 8/11/1954 unspecified 11:39:06 11:40:23 0:01:27

K30 -
NINING SITI Functional
84 NINGRUM 088736 7/19/1989 dyspepsia 11:41:35 11:44:14
O20.9 -
Haemorrhag
e in early
pregnancy,
85 AI ULPAH 114501 1/3/1998 unspecified 12:01:37 12:01:37

K30 -
Functional
dyspepsia |
R10.4 -
Other and
unspecified
DERIS TOVAN abdominal
86 NAZAR 114522 7/7/1997 pain 12:27:15 12:28:15

M54.5 - Low
back pain |
R11 - Nausea
87 PATIMAH 114524 11/5/1953 and vomiting 12:38:48 12:30:02

ARISA
FEBRANIA AL
88 ANSOR 114525 2/3/2022 - 13:00:03 13:00:03

K30 -
Functional
89 HUSDI THAHA 008871 1/13/1978 dyspepsia 13:40:57 13:54:32

Z20.3 - Z20.3
SAPPHIRA - Contact
ELYSIA with and
DESTRIANA exposure to
90 PUTRI 114526 12/27/2011 rabies 14:33:17 14:34:37

O80 - Single
RANI spontaneous
91 ANDRIANI 071907 9/8/1990 delivery 15:00:27 15:00:27

I10 -
Essential
(primary)
92 MINJANAH 023789 4/16/1964 hypertension 16:20:35 16:21:30
R50.9 -
Fever,
93 FRELY 114528 9/14/1994 unspecified 16:38:31 16:39:55

K30 -
Functional
94 IIN NURMIATI 068788 6/15/1976 dyspepsia 18:18:16 18:19:47

K30 -
CUCU Functional
95 NURJANAH 114530 8/2/1970 dyspepsia 19:05:42 19:06:55
BY NY RANI
96 ANDRIANI 114531 2/3/2022 - 19:15:43 19:15:43

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
ANNISA SANIA K92.1 -
97 NURSYAFITRI 114394 12/28/2000 Melaena 19:20:41 10:03:16
98 M. AGUNG 114532 2/17/2002 - 17:22:30 20:33:56

J45.9 -
FIKRI Asthma,
99 PIRMANSYAH 114533 11/8/2010 unspecified 19:26:44 19:27:31 0:02::21

K30 -
Functional
100 IIN NURMIATI 068788 6/15/1976 dyspepsia 19:32:57 19:32:57

J45.9 -
Asthma,
101 ROSADI 114534 6/10/1945 unspecified 19:35:24 19:36:04 0:01:28

M62.83 -
Other
specified
GITA AYU disorders of
CAHYANI, muscle,
102 (A.Md.Kep). 063283 11/28/1996 forearm 19:35:55 19:36:22
M. KHAIRUL
103 AZAM 114537 8/20/2014 - 20:09:12 20:10:55

K30 -
Functional
104 NIA KURNIA 114538 10/19/1988 dyspepsia 20:42:30 20:44:36
T14 - Injury
of
unspecified
body region
| T14.0 -
Superficial
injury of
unspecified
body region
| T14.1 -
Open wound
of
SITA NUR unspecified
105 ANISA 114539 3/2/2002 body region 21:16:54 21:17:39 0:02:05

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
MUHAMMAD histologically
106 AFRIJAL 114540 10/3/2002 confirmed 23:21:28 23:25:41

NABILA K30 -
FARDA Functional
107 SYANDITA 023613 7/8/2005 dyspepsia 23:23:08 23:25:33

K59.0 -
108 NELI 114541 1/1/1942 Constipation 23:39:06 23:40:23

CHAIRIL
MIHRAM
109 AGUSTIAN 102565 11/7/2020 - 7:24:35 7:24:35

ARRASYA R50.9 -
MUHAMMAD Fever,
110 RAFKA PUTRA 114542 7/7/2021 unspecified 0:53:16 0:55:25

K01.1 -
Impacted
111 LULUM 064395 7/1/1952 teeth 6:13:00 1:55:05
ASTRI
112 NOVIYANTI 102616 11/4/1984 - 2:43:11 2:43:11
K30 -
Functional
dyspepsia |
M54 -
Dorsalgia |
R50 - Fever
of other and
DEWI unknown
113 FITRIYANI 114543 12/1/1994 origin 6:10:47 4:05:18

K30 -
Functional
dyspepsia |
R11 - Nausea
and vomiting
| R50 - Fever
MUHAMMAD of other and
THORIQ unknown
114 ALRASYID 056023 8/13/2003 origin 4:08:49 4:09:58

N93.9 -
Abnormal
uterine and
vaginal
bleeding,
115 RINI WASTUTI 008673 3/5/1991 unspecified 4:50:20 4:50:20

O80 - Single
spontaneous
116 LENIYAWATI 114544 8/2/1989 delivery 6:07:37 6:07:37

K30 -
Functional
117 KEMIJEM 114545 9/9/1946 dyspepsia 5:57:14 5:59:39

R50.8 -
Other
specified
fever | R50.9
ALYA PUTRI - Fever,
118 WAHTYUDI 114546 7/10/2020 unspecified 5:43:02 5:44:54
I10 -
Essential
(primary)
hypertension
| K30 -
Functional
119 TITING 113950 6/3/1956 dyspepsia 7:47:28 7:18:27

CHAIRIL R56.0 -
MIHRAM Febrile
120 AGUSTIAN 102565 11/7/2020 convulsions 7:25:34 7:27:05 0:02:39

MUHAMMAD R50.9 -
MAULID Fever,
121 AKBAR 114550 11/9/2019 unspecified 8:03:04 8:18:19

BAYI NYONYA
ASTRI
122 NOVIYANTI 114552 2/4/2022 - 6:55:00 6:55:00
NOZOMI
123 MU"NISAH 114572 2/4/2022 - 9:25:00 9:25:00

B34.2 -
Coronavirus
infection,
NYI IIS unspecified
124 SUMIATI 059113 2/2/1964 site 10:34:41 10:37:47

MUHAMAD
FAHRIZA R50.9 -
PUTRA Fever,
125 MULYANDRI 075167 5/13/2015 unspecified 11:29:48 11:30:31
M. AKBAR
126 FARIZKY 114573 12/17/2013 - 10:50:43 10:58:10

T14.0 -
Superficial
injury of
WAWAT unspecified
127 RAHMAWATI 072687 1/31/1962 body region 10:53:25 10:54:59 0:02:24

R50.9 -
MOCHAMMA Fever,
128 D REYSYA 114575 4/4/2010 unspecified 12:39:30 12:41:36

MOCHAMAD K30 -
RIZQI Functional
129 FIRMANSAH 060598 1/4/1993 dyspepsia 12:42:52 12:56:59
NENG
NURMASLIMA
130 H 114576 4/18/1991 - 12:15:22 12:15:22

131 RARASWATI 068198 10/10/1999 J45 - Asthma 13:45:47 13:51:50 0:05:12

R50.9 -
Fever,
132 LIDIA SARTIKA 114580 9/17/1992 unspecified 13:57:51 13:58:33

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
E63.1 -
Imbalance of
constituents
of food
intake | K30
- Functional
dyspepsia |
R50.9 -
Fever,
unspecified |
R51 -
Headache |
R63.8 -
Other
symptoms
and signs
concerning
DIDIN food and
133 SYARIPUDIN 114582 5/8/1955 fluid intake 15:23:36 14:36:16
SALMA
134 SALSABILA 114583 5/26/2004 - 14:18:04 14:18:04

R50.9 -
Fever,
135 KUAT SLAMET 058716 2/14/1972 unspecified 14:22:12 17:55:58
I50.0 -
Congestive
heart failure
| R06.0 -
136 TITIN YANTINI 027003 6/6/1956 Dyspnoea 14:29:35 14:30:23

E9065 - Bite
by
unspecified
animal |
T60.2 - Toxic
ENDANG effect, other
137 SUHENDI 114586 4/22/1985 insecticides 14:37:26 14:38:06 0:01:31

J06.9 - Acute
upper
KEEMALA respiratory
PUTRI AL- infection,
138 AYUBI 098081 12/12/2019 unspecified 14:46:17 14:47:45

OCIH K59.0 -
139 JARKASIH 015708 4/24/1951 Constipation 14:53:24 14:54:43

K30 -
Functional
140 KARSIH 026816 5/13/1960 dyspepsia 15:44:08 15:47:05

K30 -
Functional
141 KARSIH 026816 5/13/1960 dyspepsia 15:44:08 17:54:08
142 SRI HARYATI 114587 4/5/1997 - 15:53:42 15:53:42

R50.9 -
AULIA NAZWA Fever,
143 DEWI FAZLIN 022305 7/2/2011 unspecified 15:57:57 15:58:52

R50.9 -
Fever,
144 ARLIANI 022546 4/29/1987 unspecified 16:01:36 16:06:53
C46.1 -
Kaposi=s
sarcoma of
soft tissue |
D21.9 -
Benign
neoplasm,
connective
MOCHAMAD and other
ANDHIKA soft tissue,
145 SUPYADI 006404 12/18/2007 unspecified 16:05:48 16:08:38

R50.9 -
Fever,
146 SITI NURISMA 067782 9/14/1997 unspecified 16:39:56 19:36:30

R50.9 -
HESTI Fever,
147 OKTAVIANI 110409 10/11/1998 unspecified 17:05:14 17:51:35

J45 - Asthma
RAKHASANSH | J45.9 -
A RASHEL Asthma,
148 WIDIAN 011058 4/21/2011 unspecified 17:12:45 17:14:41 0:03:23

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
unspecified |
R50.9 -
Fever,
unspecified |
R63.8 -
Other
symptoms
and signs
concerning
RISKA food and
149 ARIANINGSIH 097831 6/21/1990 fluid intake 17:15:24 17:16:08
O42.9 -
Premature
rupture of
membranes,
unspecified |
O84.9 -
Multiple
RESKI delivery,
150 RISMAWATI 114589 1/27/1993 unspecified 18:30:21 18:30:21

O42.9 -
Premature
rupture of
HANDRI membranes,
151 HAMBARI 114590 6/23/1986 unspecified 18:31:37 18:31:37

R50.9 -
SITI SALMA Fever,
152 MAIMUNAH 114591 11/17/2009 unspecified 17:32:50 17:34:47
R51 -
153 ELA YULIA 114592 7/9/1979 Headache 18:32:43 18:34:51

A91 -
Dengue
haemorrhagi
RIO c fever | R11
ZAOHARUL - Nausea and
154 FUAD 010723 12/11/1998 vomiting 19:09:22 19:15:06 0:06;34

BAYI NY NENG
NURMASLIMA
155 H 114596 2/4/2022 - 19:21:52 19:21:52

K30 -
Functional
156 IJAH 114597 7/1/1955 dyspepsia 19:30:52 19:31:29

K30 -
Functional
157 CICI LESTARI 032131 10/14/1970 dyspepsia 19:32:40 19:33:56

K30 -
Functional
158 ADE KURNIA 114598 8/21/1973 dyspepsia 19:36:13 19:37:24
K30 -
Functional
dyspepsia |
R50.9 -
Fever,
159 YUNAESIH 089284 8/10/1964 unspecified 19:41:06 19:42:06

160 RISKA LESTARI 114599 1/4/1996 - 19:54:11 11:35:27

161 ARI SETIAWAN 114600 1/5/1983 - 20:03:32 20:04:04

K30 -
SELVI AMELIA Functional
162 SARI 114602 6/27/1992 dyspepsia 20:24:10 9:10:38

J06.9 - Acute
upper
respiratory
infection,
unspecified |
NYI MAS AYU R07.4 - Chest
DEWI SITI pain,
163 NUROPIAH 111061 12/1/2002 unspecified 20:30:31 20:35:21 0:05:52

K30 -
Functional
164 A N I S 114603 8/25/1985 dyspepsia 23:04:18 21:10:12

R50.9 -
XAVIERA Fever,
165 ALUNA BILQIS 114604 8/17/2020 unspecified 23:04:13 21:20:35

BY NY SALMA
166 SALSABILA 114605 2/4/2022 - 23:04:05 23:04:05

HANISA YAFFA
167 ATTHAYA 114606 2/4/2022 - 23:13:51 23:13:51

K40 -
EKA Inguinal
168 SAEPULLAH 113710 12/15/1990 hernia 0:01:25 0:02:57
EKA
169 SAEPULLAH 113710 12/15/1990 - 17:05:15 17:05:15

MUHAMAD
ZAHID
170 ARRAFIF 107024 4/2/2020 - 5:40:54 6:50:15
R50.9 -
Fever,
171 ATEP DUDIN 114607 11/4/1964 unspecified 6:50:20 7:00:26

J18.0 -
Bronchopne
umonia,
172 MUTTAQI 114608 1/12/2022 unspecified 7:20:43 7:24:12

T31.2 - Burns
involving 20-
SITI HANI 29% of body
173 YUNITALIA 044481 6/8/1982 surface 7:43:10 7:48:23 0:05:00

L03.0 -
Cellulitis of
NONI finger and
174 MULYANI 114609 8/20/1966 toe 9:05:14 9:06:40 0:01:51
SINTA
175 ZULHIZJAH 094847 12/7/2002 - 9:28:55 9:28:55

R50.9 -
M. DAFFA Fever,
176 JULIANSYAH 114611 7/4/2021 unspecified 9:35:04 9:36:55

MARIA DESTRI R50.9 -


CAHYANI Fever,
177 ZEBUA 076663 12/16/2005 unspecified 10:36:56 10:36:57

HERLIN K37 -
HERLIANA Unspecified
178 YUSUF 054302 2/12/1987 appendicitis 9:58:43 9:59:51

R50.9 -
Fever,
179 SAMSUDIN 114616 7/10/1965 unspecified 11:28:21 11:29:07

R50.9 -
DETI Fever,
180 ARISANDI 064577 11/22/1985 unspecified 12:07:53 12:08:25
MUHAMAD R50.9 -
SALMAN Fever,
181 FARISI 114617 5/13/2020 unspecified 12:12:05 12:12:41

E10 - Insulin-
dependent
diabetes
182 YANTI 114618 12/9/1972 mellitus 12:22:38 12:23:10

T14 - Injury
of
JAJA unspecified
183 LESMANA 114619 12/17/1972 body region 12:31:53 12:34:08 0:04:05

R50.9 -
Fever,
184 IMANSYAH 042971 5/16/1959 unspecified 13:37:40 13:37:35

H81.1 -
Benign
paroxysmal
185 ITA PURWITA 061749 11/9/1993 vertigo 13:47:18 13:47:01

T14 - Injury
of
MUHAMMAD unspecified 15:30:23
186 FAHMI 114620 12/13/2013 body region 15:27:13 PM 0:03:36

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
R50.9 -
Fever,
187 KYRA DEVINA 114624 6/7/2021 unspecified 16:43:01 16:47:51

R50.9 -
Fever,
188 LESTARI 109926 1/15/1994 unspecified 15:31:07 15:31:57
RONALD R50.9 -
TRISNA Fever,
189 WIDJAJA 114625 3/17/1983 unspecified 15:45:13 15:47:52

J06.9 - Acute
upper
respiratory
infection,
unspecified |
J09 -
Influenza
due to
certain
identified
influenza
virus | T14 -
Injury of
MOHAMAD unspecified
190 HARIS 050441 11/23/1991 body region 15:48:08 15:52:13

R50.9 -
AGUS Fever,
191 BUDIMAN 063827 6/16/1962 unspecified 15:57:30 15:58:44

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
R50.9 -
AHMAD Fever,
192 YUSUF 114626 12/23/1993 unspecified 17:03:49 16:17:47

BAYI NY SINTA
193 ZULHIZJAH 114627 2/5/2022 - 16:25:12 16:25:12
MUHAMAD R50.9 -
ARSYAD Fever,
194 RAMADHAN 108902 5/7/2021 unspecified 16:39:38 16:40:42

R50.9 -
AHMAD ZEN Fever,
195 ASRI 026832 4/12/1972 unspecified 17:06:11 17:08:17

R50 - Fever
of other and
unknown
origin |
R50.9 -
AI Fever,
196 DAMAYANTI 048039 2/20/1977 unspecified 17:08:27 17:11:27

K30 -
Functional
dyspepsia |
K30 -
Functional
dyspepsia |
R63.8 -
Other
symptoms
and signs
concerning
food and
197 YAYAM 114631 6/1/1966 fluid intake 17:27:02 17:28:41
MERLI NUR
198 INDAH 107194 3/20/2003 - 18:23:19 18:23:19

J45 - Asthma
| J45.9 -
ENDANG Asthma,
199 SUNARYA 039896 2/2/1964 unspecified 18:01:12 18:04:29 0:03:34
A15.0 -
Tuberculosis
of lung,
confirmed by
sputum
microscopy
with or
without
culture |
A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologic
ADANG ally and
200 SUKAEDI 058798 4/23/1948 histologically 18:12:48 18:13:25

A09.9 -
Gastroenteri
tis and colitis
FADHIL of
ABQORY unspecified
201 ADIKA 114634 6/10/2020 origin 18:17:09 15:21:33

R50.9 -
Fever,
202 AI NURLELA 114635 8/8/1988 unspecified 18:28:45 18:26:55

K30 -
Functional
dyspepsia |
R50.9 -
ULOH Fever,
203 SAEPULOH 058400 7/6/1982 unspecified 18:32:05 18:33:58

MUHAMAD R50.9 -
FAZRIL Fever,
204 APRIANSAH 035418 4/8/2013 unspecified 18:39:54 18:40:36
A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
confirmed |
A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologic
OIM ally and
205 ABDUROHIM 114636 6/4/1956 histologically 19:08:01 19:09:13

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
confirmed |
J45.9 -
Asthma,
unspecified |
J90 - Pleural
effusion, not
elsewhere
206 KIMAN 114637 6/3/1958 classified 19:12:43 19:13:48 0:02:23

SRI K30 -
WAHYUNINGS Functional
207 IH 005004 7/25/1963 dyspepsia 19:17:56 19:19:04

MUHAMMAD R50.9 -
ZAYNI Fever,
208 DAHLAN 112368 9/29/2009 unspecified 19:26:40 19:28:06
K30 -
Functional
dyspepsia |
SANIYATI NUR R51 -
209 CAHYANI 114638 6/15/2002 Headache 19:31:43 19:33:40

BAYI NY YANI
210 SUNENTI 114639 2/5/2022 - 19:41:11 19:41:11

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | J06.9
- Acute
MUHAMAD upper
ABIZAIN respiratory
SYAUQI infection,
211 ALKUROIMAN 112023 2/10/2021 unspecified 19:47:34 19:50:48

AHMAD
212 AZZKA PUTRA 114640 7/4/2021 - 20:03:48 20:04:10
ENENG
213 MEDIAWATI 037014 6/6/1976 - 20:48:37 11:44:12

J45 - Asthma
| K30 -
NADIA Functional
214 RAHMAWATI 084597 1/1/2003 dyspepsia 21:52:03 21:54:43 0:02:46
VIRSKA
215 YESSIKA 006943 9/12/1974 J45 - Asthma 21:57:48 21:58:44 0:02:03

SITI KULSUM
JULIADI ASIH
216 A MD P 042825 7/24/1993 - 8:19:26 8:19:26

J06.9 - Acute
upper
respiratory
NAVISA KAYLA infection,
217 AKBAR 114642 1/27/2018 unspecified 22:03:37 22:07:18
RINALDO
218 SIRAIT 091711 8/5/1995 - 22:26:31 22:27:02
MOCHAMAD
GIBRAN
219 AFRIZAL 114643 4/2/2019 - 22:30:56 22:31:12
AI SUSAN
220 SURYAMAH 114644 3/1/1979 - 22:34:01 22:35:58
MAYRA
221 ANINDYA 114646 9/8/2021 - 3:45:26 23:02:29

R33 -
RESKI Retention of
222 RISMAWATI 114589 1/27/1993 urine 23:06:56 23:10:56 0:04:12

WILLY
MAULIDAN
223 FIRDAUS 114647 5/28/2002 - 23:40:22 23:41:53

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
224 sania fatimah 114648 4/4/2000 origin 23:48:38 23:49:31
AAN
225 HASANAH 114650 3/19/1969 - 1:47:18 1:30:22

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
067053/06 unspecified
226 SOPIYAH 7085 10/18/1982 origin 1:50:31 1:50:31
227 IIN INDRIANI 113683 9/11/1984 - 3:28:06 3:28:06
R10.0 -
AEP Acute
228 SAEPULOH 114652 11/5/1967 abdomen 4:48:06 5:20:38

BY NY SITI
KULSUM
JULIADI ASIH
229 A MD P 114653 2/6/2022 - 8:23:18 8:23:18

MUHAMMAD R50.9 -
RAYYAN Fever,
230 ARTHANABIL 114654 12/22/2017 unspecified 5:38:43 5:39:18

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
SUMISRI Fever,
231 RAHAYU 114655 11/6/1983 unspecified 5:44:25 5:48:17

MELYSSA R50.9 -
SHALMA Fever,
232 ALGHYFARI 094496 5/1/2001 unspecified 5:48:49 9:55:30

IMAN AHMAD
233 KOSWARA 114656 5/22/1997 - 6:04:37 6:10:35

J45.9 -
Asthma,
234 IIS 008108 7/1/1960 unspecified 6:06:55 6:11:55 0:06:45

R50.9 -
VANIA ANDINI Fever,
235 PUTRI 114657 1/6/2021 unspecified 7:46:00 7:50:29

NIZAM R50.9 -
ALDZIKRI Fever,
236 PUTRA KEMAL 114658 9/5/2015 unspecified 8:13:28 8:15:41
R50 - Fever
of other and
unknown
origin |
R50.9 -
TATANG Fever,
237 SUDRAJAT 114659 6/1/1956 unspecified 8:41:56 8:43:02
238 BY NY IIN 114660 2/6/2022 - 10:01:26 10:01:26

R11 - Nausea
239 UYAN 114661 2/10/1963 and vomiting 10:37:05 13:26:11

R50.9 -
ADELIA Fever,
240 SAFIRA 114663 3/14/2006 unspecified 10:56:52 10:56:07

T01 - Open
wounds
involving
multiple 14:43:50
241 LIA MARLIANA 114664 4/22/1978 body regions 14:41:00 AM 0:03:34

CHAIRIL G40.9 -
SHAFAR Epilepsy,
242 RAFKY 077294 10/21/2019 unspecified 15:51:29 15:52:59 0:02:27

K30 -
ENTIN Functional
243 YOHATINAH 114668 7/28/1974 dyspepsia 15:55:20 15:56:31

T01 - Open
wounds
REZA BAWEZA involving
KARTA multiple
244 WINANGUN 114666 1/19/2002 body regions 15:00:00 15:01:46 0:01:12

T14 - Injury
PANDU of
RANDIANSYA unspecified
245 H 114670 10/17/2018 body region 16:35:27 16:37:53 0:03:12
T01 - Open
wounds
involving
WAWAT multiple
246 RAHMAWATI 072687 1/31/1962 body regions 16:37:54 16:39:06 0:02:16

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
247 ASEP RAHMAT 114672 12/24/1979 origin 17:02:09 17:03:31

R50.9 -
KINANTI Fever,
248 TRIANI DEWI 112417 3/28/2021 unspecified 17:07:33 17:08:16

A90 -
Dengue
fever
ZAHRA NUR [classical
249 HASANAH 006203 5/3/2014 dengue] 17:10:59 17:12:32

J02.9 - Acute
pharyngitis,
250 BERBI ARBIAN 114678 2/14/1985 unspecified 17:33:09 17:34:04

K30 -
Functional
251 JAEMAH 062068 5/8/1973 dyspepsia 17:42:26 17:44:42

K30 -
Functional
dyspepsia |
R50.9 -
ANI Fever,
252 ASMARANI 012937 8/23/1983 unspecified 17:44:57 17:46:57

R50.9 -
SITI RAIDATUL Fever,
253 JANNAH 084331 7/12/2011 unspecified 17:49:30 17:52:04
A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
R50.9 -
AMELIA 058879/11 Fever,
254 AMANDA 0477 6/27/2004 unspecified 17:54:53 17:56:48

AMY APRILIAN
255 KARIM 024478 4/11/1996 J45 - Asthma 18:28:00 18:32:03 0:04;03
OYOK
256 SYAMSIAH 073799 10/20/1963 - 18:30:00 18:30:00

MUHAMAD
RADIKA J03 - Acute
257 PUTRA 066367 3/26/2019 tonsillitis 18:38:27 18:38:03

K30 -
Functional
dyspepsia |
M79.18 -
037356/06 Myalgia,
258 SUMIRAH 8295 4/13/1964 other site 18:53:16 18:54:03

MAULANA
LUTFHI
259 ASYIDIQ 114689 11/26/2007 - 13:18:40 13:19:39

KHAIRA
SIDQIA
260 MAULIDA 112204 8/1/2020 - 13:13:01 13:13:17

J44.9 -
Chronic
obstructive
pulmonary
disease,
261 NANANG 114690 1/1/1958 unspecified 19:29:31 13:39:20
R50.9 -
Fever,
262 KOKOM 114691 4/6/1964 unspecified 19:34:46 12:18:52

MUHAMAD
ABIZAIN K30 -
SYAUQI Functional
263 ALKUROIMAN 112023 2/10/2021 dyspepsia 19:38:37 12:44:30

MUHAMAD
ABIZEIN K30 -
SAFARAZ 114692/10 Functional
264 ALKUROIMAN 3147 2/10/2021 dyspepsia 19:40:51 19:40:51
MOCH ARIF
265 PRATAMA 114693 10/8/1995 - 13:38:24 14:52:57
BILAL
266 RABBANI 114012 1/6/2021 - 14:05:17 14:06:55
267 MIDAH 114694 7/28/1977 - 19:29:31 21:29:02

268 LIDIANAWATI 114695 5/27/1990 - 20:00:09 20:00:09

J06.9 - Acute
upper
MUHAMAD respiratory
FADHIL infection,
269 WAHYUDI 114696 10/1/2011 unspecified 20:05:06 20:07:52

J02.9 - Acute
pharyngitis,
unspecified |
J06.9 - Acute
upper
ADENA respiratory
SASKIRANA infection,
270 ARUMDATI 114697 5/12/2020 unspecified 20:10:10 20:11:14

K30 -
Functional
271 YATI NURYATI 114698 3/4/1958 dyspepsia 20:38:44 20:39:46
K30 -
FIMEL ARBA 094306/10 Functional
272 ALFANY 2294 4/12/2004 dyspepsia 20:49:23 20:50:38

K30 -
Functional
273 ISU RESTIANI 114700 5/2/1991 dyspepsia 21:08:58 21:10:46

RAISHA J18.9 -
SYADZWINA Pneumonia,
274 IMARASARI 114701 1/16/2011 unspecified 21:35:43 21:37:16 0:02:46

K30 -
Functional
dyspepsia |
R10.4 -
Other and
SITI unspecified
WULANDARI abdominal
275 RAYANANDA 114702 4/1/1997 pain 21:47:24 21:48:54

K30 -
RENI Functional
276 ANGGRAENI 054650 6/6/1986 dyspepsia 22:00:26 22:04:55

K30 -
Functional
277 NURHAYATI 066151 12/10/1971 dyspepsia 22:15:34 22:16:24

NASSILA BEN
278 SAID HASSAN 114703 12/31/1964 - 22:45:25 23:04:10
MUTIA
279 ADJANI, (dr) 114245 5/8/1997 - 22:53:02 23:00:45
TANTI KURNIA
280 SARI 114704 10/22/1986 - 23:47:48 23:49:23

MUHAMMAD
TSAFIQ
281 ALMATIIN 114748 2/7/2022 - 13:42:14 13:42:14

MUHAMMAD
TSAFIQ
282 ALMATIIN 114748 2/7/2022 - 13:42:36 13:42:36
283 TUTI SUARTI 114705 6/20/1984 - 5:48:48 0:18:37
O80.9 -
Single
LINA spontaneous
MERLIANA delivery,
284 SARI 114706 4/24/1989 unspecified 2:08:55 2:08:55

BAYI NY LINA
MERLIANA
285 SARI 114708 2/7/2022 - 2:47:14 2:47:14

J45 - Asthma
| J45.9 -
RAIHAN RIZKI Asthma,
286 ADITIA 079482 8/27/2013 unspecified 3:49:40 3:52:08 0:03:34

K30 -
TAUFIK Functional
287 KUROHMAN 114709 7/1/1963 dyspepsia 4:02:00 4:04:15

A91 -
Dengue
haemorrhagi
c fever |
DEARLY R50.9 -
NABILA Fever,
288 KUSNADY 011868 3/1/2016 unspecified 10:32:19 10:34:51 0:03:23

I84 -
HENDRIK Haemorrhoid
INDRA s | K92.1 -
289 GUNAWAN 019032 7/1/1984 Melaena 5:10:56 5:14:00 0:04;12

R50.9 -
NENDEN Fever,
290 NURFADILAH 114712 10/8/2010 unspecified 8:02:23 11:47:27

R50.9 -
Fever,
291 ESIH 021855 3/21/1969 unspecified 8:12:54 10:41:22

K40 -
Inguinal
292 JAENUDIN 114717 11/29/1944 hernia 9:02:34 9:02:34
K30 -
Functional
293 EDI 114725 6/15/1956 dyspepsia 9:47:31 9:50:52

T14 - Injury
of
ENCEP unspecified
294 SUDARAJAT 114729 5/1/1968 body region 10:39:17 10:40:35 0:01:49
ENCEP
295 SUDARAJAT 114729 5/1/1968 - 10:37:40 10:37:40

A01.0 -
Typhoid
fever | K65 -
Peritonitis |
R10.0 -
Acute
296 SAPRUDIN 114733 3/25/1979 abdomen 10:43:01 10:44:37

K30 -
Functional
dyspepsia |
YUYUN R11 - Nausea
297 YUNINGSIH 114737 9/12/1992 and vomiting 10:51:34 10:55:36

E9065 - Bite
by
unspecified
animal | Z20
- Z20 -
Contact with
and
exposure to
communicab
298 RENY RISTIANI 106069 2/7/1974 le diseases 11:24:42 11:27:44 0:03;12
299 NENGSIH 114739 6/21/1972 - 11:42:14 12:12:57

T14 - Injury
of
ADITIYA unspecified
300 RAMADHAN 114741 7/28/2014 body region 12:01:00 12:05:35 0:04;35

K30 -
DANDA Functional
301 PRATAMA 114746 5/23/1986 dyspepsia 13:26:32 14:02:28
AHMAD
FAUZAN
302 MAULIDI 106284 11/6/2019 - 13:35:46 13:35:19

MUHAMMAD
TSAFIQ
303 ALMATIIN 114748 2/7/2022 - 11:40:00 11:40:00

K30 -
RISNA Functional
304 APRILIANI 114750 4/21/2000 dyspepsia 13:51:00 13:51:01

T14.1 - Open
wound of
unspecified
305 ATIKAH 089812 7/2/1959 body region 14:05:46 14:06:33 0:02:10

THREESYA
MARTA ULI E9060 - Dog
306 SITUMEANG 114753 3/3/2012 bite 15:24:25 15:28:49 0:05:12

T14 - Injury
of
unspecified
307 SUWANDI 114755 8/15/1985 body region 15:32:15 15:34:20 0;02;35

A01.0 -
Typhoid
fever | J06.9
- Acute
upper
respiratory
ARSHYA infection,
308 ADREENA 046355 7/26/2017 unspecified 16:04:10 16:04:21

K30 -
NENENG Functional
309 ROHANIAH 053165 12/23/1984 dyspepsia 16:28:13 16:28:22

K30 -
BAGUS Functional
310 ARIFIANTO 068407 10/13/1989 dyspepsia 16:35:03 16:35:44
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | K30 -
Functional
311 KODIR 010094 7/1/1954 dyspepsia 16:42:44 16:44:02

K30 -
Functional
dyspepsia |
R50 - Fever
of other and
GINA NUR unknown
312 AFIFAH 109810 9/26/2001 origin 16:57:13 16:59:47

T14.1 - Open
wound of
DIKA NUR 114756/02 unspecified
313 FALAH 8005 6/25/2009 body region 17:04:16 17:07:33 0:03:46

AKILA NAILA R50.0 - Fever


314 FUTRI 103377 10/13/2019 with chills 17:14:44 17:16:16

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
R50.0 - Fever
315 MEISYA AULIA 102273 5/30/2020 with chills 17:26:17 17:27:18

R50.0 - Fever
with chills |
RAYHAN R56.0 -
SYAHRIL Febrile
316 GUMELAR 114757 3/2/2020 convulsions 17:33:52 17:35:52 0:03:27
ENDANG
317 SUNARYA 039896 2/2/1964 J45 - Asthma 17:58:07 17:59:42 0:01:49
N39.0 -
Urinary tract
infection,
site not
318 DERI 114758 10/21/2004 specified 18:03:35 18:05:06

K30 -
DEDE Functional
319 ISKANDAR 110500 8/1/1998 dyspepsia 18:18:26 18:20:23

A01.0 -
AURELIA Typhoid
DZAWIL HAQI fever | R50.9
HENDRIANSYA - Fever,
320 H 014485 7/19/2008 unspecified 19:05:38 19:06:53

B65.3 -
SITI Cercarial
321 NURSIYYAH 042899 7/1/1941 dermatitis 19:10:40 18:11:28

ANA A01.0 -
FATHANIA Typhoid
322 RAJBI 101478 4/10/2017 fever 19:35:03 19:35:12
FITRIA
323 FAUZIAH 114764 4/1/1992 - 19:39:04 19:39:57

T14 - Injury
of
091360/09 unspecified
324 YATI 3049 9/10/1978 body region 20:01:30 20:04:12 0:03:42

T14 - Injury
FAUZAN of
NASRULLOH unspecified
325 ANHAR 099373 10/28/2006 body region 20:08:48 20:09:05 0:01:52

R33 -
UKAT Retention of
326 SUKATMA 114767 7/1/1946 urine 20:12:59 20:14:03 0:03;12

A91 -
MUHAMAD Dengue
AZHAR haemorrhagi
327 RAIHAN 114768 5/6/2013 c fever 21:29:56 21:31:58 0:03:34
R50 - Fever
of other and
unknown
origin |
R50.9 -
M. Fever,
328 AKKAUSHAR 114769 9/8/2019 unspecified 21:47:09 21:42:07

H60.9 - Otitis
externa,
unspecified |
J02.9 - Acute
SALSA pharyngitis,
329 DESPITA 114770 12/21/2004 unspecified 23:21:10 23:23:40

R10.0 -
Acute
abdomen |
YANA ERNA R11 - Nausea
330 NINGSIH 039687 4/11/1976 and vomiting 23:38:18 23:38:03

K30 -
Functional
331 TATI HARTATI 092111 11/7/1972 dyspepsia 2:21:16 2:23:38

J45 - Asthma
| R50.9 -
RANVEER Fever,
332 GUSTIANDRA 102690 10/19/2018 unspecified 4:46:14 4:48:28 0:02:42

L02.8 -
Cutaneous
abscess,
furuncle and
M DZIKRA AL carbuncle of
333 FARIZI H 114772 1/2/2021 other sites 4:56:54 5:00:47
R50.9 -
ALIKA NAILA Fever,
334 PUTRI 047971 4/29/2018 unspecified 5:24:55 5:25:40

MARWAH R50.9 -
NURUL Fever,
335 HUSNA 114774 2/16/2017 unspecified 11:16:11 8:20:22

K30 -
Functional
336 ROPIAH 079918 1/1/1968 dyspepsia 8:16:50 12:54:42

G44 - Other
headache
syndromes |
K30 -
Functional
337 ROPIAH 079918 1/1/1968 dyspepsia 8:16:50 8:20:38

K30 -
YANA Functional
338 SURYANA 097617 3/28/1990 dyspepsia 8:57:59 12:40:56

R50.9 -
CHANDRA Fever,
339 PAMUNGKAS 076333 7/1/1995 unspecified 9:05:46 9:05:20

R10.0 -
Acute
340 IROH 114773 11/15/1968 abdomen 11:23:57 11:24:31 0:02:27

O80.9 -
Single
spontaneous
delivery,
341 JAYANTI 114790 10/1/1996 unspecified 11:27:07 11:27:07

K30 -
Functional
dyspepsia |
BUDI R51 -
342 SETIAWAN 094200 2/2/1976 Headache 12:12:45 12:11:29
A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
IMAS unspecified
343 MARIAM 114792 5/6/1968 origin 13:03:37 13:13:59

F41 - Other
anxiety
disorders |
K30 -
TENI Functional
344 HANDAYANI 058524 1/9/1990 dyspepsia 13:09:50 13:10:07

F41 - Other
HENY anxiety
345 MULYATI 102941 3/26/1977 disorders 13:39:30 13:40:20

M16 -
Coxarthrosis
[arthrosis of
hip] | M17.9
-
Gonarthrosis
346 UNUNG 114794 8/4/1954 , unspecified 14:26:48 14:26:01

I51.7 -
Cardiomegal
347 SUHENDANG 114795 1/27/1963 y 14:39:44 14:43:24 0:05:00

J45.9 -
Asthma,
348 RAIHAN RIZKI 112605 8/27/2013 unspecified 14:41:50 14:43:10 0:03:23

INARA MUTIA
349 SALSABILA 031939 11/19/2016 - 14:45:48 14:46:04
AYRINJANI R50.9 -
AQILLA Fever,
350 GUMELAR 084196 1/15/2018 unspecified 14:53:14 14:53:32

351 NURUL HAKIKI 114796 12/12/1994 - 15:02:15 15:02:15

B34.2 -
Coronavirus
infection,
unspecified
site | K30 -
AULIA RAHMA Functional
352 RAYHANI 114797 3/2/2000 dyspepsia 15:08:57 15:08:52

J06.9 - Acute
upper
respiratory
infection,
unspecified |
K30 -
Functional
353 ELI HERLINA 114799 10/8/1972 dyspepsia 15:25:49 15:25:39

H81.4 -
Vertigo of
central origin
| K30 -
PIPIH Functional
354 YUHENTI 075814 5/5/1982 dyspepsia 15:38:40 15:38:12

T14 - Injury
of
unspecified
355 KIKI 114800 1/1/2004 body region 15:45:28 15:46:14 0:01;14

I84 -
Haemorrhoid
356 ICE FATIMAH 025939 3/12/1956 s 16:27:15 16:27:30

T14.0 -
Superficial
AQILLA injury of
CAHAYA unspecified
357 PUTRI 114801 9/15/2015 body region 20:11:49 20:14:17 0:03;34
D23 - Other
benign
neoplasms of
358 RIDWAN 029760 2/15/1970 skin 17:00:10 17:03:34
YUSUF
359 MAULANA 114802 5/26/1994 - 17:22:30 18:12:35
075398/11
360 TESA SAVITRI 4803 10/28/1993 - 10:04:48 10:04:48

A91 -
Dengue
haemorrhagi
c fever | A91
- Dengue
haemorrhagi
c fever | K30
- Functional
RIO dyspepsia |
MUHAMAD R11 - Nausea
361 SULTAN 114804 1/18/2005 and vomiting 17:42:32 17:45:20 0:03:32

T14.1 - Open
wound of
unspecified
362 NENG REVA 114805 10/19/2015 body region 17:52:39 17:55:13 0:03:21

K30 -
NENAH Functional
363 JUNAENAH 114807 4/4/1943 dyspepsia 18:12:52 18:13:32

R50.0 - Fever
with chills |
R50.9 -
SULAEMAN Fever,
364 ARYA BIMA 114808 5/18/2015 unspecified 18:22:59 18:23:34
E11 - Non-
insulin-
dependent
diabetes
mellitus |
E14.5 -
Unspecified
diabetes
mellitus with
peripheral
circulatory
DADANG complication
365 ABDULLAH 066935 5/4/1975 s 18:27:28 18:28:56

SITI FAUZIAH
PUTRI R50.0 - Fever
366 ALAWIYAH 110787 6/25/2019 with chills 18:30:10 18:32:16
DESI
367 SUSILAWATI 094816 10/3/1990 - 19:07:19 20:29:28
368 CECEP 047751 12/2/1970 - 19:11:09 20:27:53

KHAYLA
ARSYANA
369 MARITZA 098500 1/10/2020 - 19:15:26 20:27:05
M DAFFA AL
370 FARIZKY 114810 2/8/2022 - 19:29:58 19:29:58

R50.8 -
Other
specified
fever | R50.9
RAHMAN - Fever,
371 HIDAYAT, SE 106108 5/12/1963 unspecified 20:31:51 20:32:27

R50.9 -
RAHMAN Fever,
372 HIDAYAT, SE 106108 5/12/1963 unspecified 20:31:51 20:31:51

R50.9 -
RAHMAN Fever,
373 HIDAYAT, SE 106108 5/12/1963 unspecified 20:31:51 20:31:51

NISA SRI
NURMALASAR
374 I 114813 7/21/2001 - 20:48:48 20:48:48
K30 -
DEA Functional
375 PRAMESTI 107644 12/31/1993 dyspepsia 21:03:05 21:04:54

ARSYILA A01.0 -
ROMEESA Typhoid
376 AZZAHRA 075441 7/16/2017 fever 21:56:48 16:42:31

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | I21 -
Acute
myocardial
infarction |
I50.0 -
Congestive
heart failure
| K92.1 -
377 OCAH 114815 4/18/1943 Melaena 22:28:16 22:30:17 0:02:38

K30 -
NANA Functional
378 SUKMANA 114817 6/2/1998 dyspepsia 1:02:07 1:03:04

BAYI NYONYA
379 TESA SAVITRI 114818 2/9/2022 - 1:04:00 1:04:00
380 EENG 114819 7/1/1992 - 2:00:00 2:00:00
SELA
381 MARSELA 114820 1/1/2003 - 2:00:00 2:00:00

382 SELA APRIANI 114821 8/5/1995 - 2:00:00 2:00:00

R50.9 -
UJANG Fever,
383 RUSTANDI 114822 7/13/1991 unspecified 5:29:49 5:30:54

R10.4 -
Other and
unspecified
abdominal
384 MELAWATI 081805 8/20/1992 pain 6:21:25 6:22:54

385 ENI SUMARNI 114823 11/1/1980 - 7:28:06 7:28:06


A91 -
Dengue
haemorrhagi
c fever | A91
- Dengue
haemorrhagi
c fever | K30
NINA - Functional
386 AGUSTINA 114824 8/1/1993 dyspepsia 6:53:37 6:55:49 0:03:05

A91 -
Dengue
haemorrhagi
c fever |
R50.9 -
AKILA NAILA Fever,
387 FUTRI 103377 10/13/2019 unspecified 7:45:06 7:47:03 0:02:08
ARSHYA
388 ADREENA 046355 7/26/2017 - 8:29:28 13:08:46
DIAN
389 HERMAWATI 108525 12/6/1992 - 8:31:18 8:31:18

A91 -
Dengue
haemorrhagi
c fever |
H81.1 -
Benign
paroxysmal
vertigo | K30
- Functional
dyspepsia |
R50.9 -
Fever,
390 ABID 058610 8/11/1968 unspecified 10:05:57 10:08:55 0:03:12

R56 -
Convulsions,
not
ELY elsewhere
391 RACHMWATY 114831 9/21/1986 classified 10:07:45 10:10:07 0:03:16
R50.9 -
Fever,
392 RIA MELIANI 065734 5/1/1985 unspecified 9:46:22 9:47:33

O80.9 -
Single
spontaneous
LINDA delivery,
393 APRIANTI 114842 4/5/1995 unspecified 10:32:17 10:32:17

T14.1 - Open
wound of
unspecified
394 AMINA 114846 2/9/1990 body region 10:46:20 10:48:20 0:02:40

T14 - Injury
of
unspecified
395 BISMA 114847 2/9/2017 body region 10:48:10 10:50:49 0:02:50

T14.1 - Open
wound of
unspecified
396 DANAR 114848 11/27/1999 body region 10:56:11 11:00:51 0:04:32

BY NY NISA
SRI
NURMALASAR
397 I 114850 2/9/2022 - 11:16:02 11:16:02

H81.4 -
Vertigo of
398 YUDISTIRA 109890 5/8/2002 central origin 11:26:11 19:33:15

R11 - Nausea
and vomiting
| R50.9 -
Fever,
399 BELLA VISTA 073297 6/9/1991 unspecified 11:29:19 13:14:45
NURUL
400 SAPITRI 114857 1/1/2004 - 11:52:28 11:52:41

401 MELI APRIANI 114858 4/4/2002 - 12:08:02 12:38:38

R50.9 -
ROBIN Fever,
402 HAMZAH 101425 4/23/2020 unspecified 12:30:02 13:19:03

J45.9 -
Asthma,
unspecified |
K30 -
Functional
403 YUYUN 114859 7/1/1957 dyspepsia 12:36:53 12:37:19 0:01:10

T14 - Injury
of
AZRIEL PUTRA unspecified
404 AL-JAYA 070267 2/11/2019 body region 12:54:42 12:56:11 0:01:13

I63.9 -
Cerebral
SANTI infarction,
405 FEBRIANTI 114866 2/9/1985 unspecified 13:52:42 13:55:29 0:03:12

J06.9 - Acute
upper
respiratory
SITI IMAS infection,
406 MASITOH 114867 12/20/1971 unspecified 14:32:18 14:35:49
BY NY LINDA
407 APRIYANTI 114868 2/9/2022 - 14:50:43 14:50:43

R50.9 -
ASTI RESTU Fever,
408 JULIA 046950 7/9/1996 unspecified 15:46:00 15:46:37

E10 - Insulin-
dependent
diabetes
409 HALIMAH 063522 7/3/1968 mellitus 16:30:18 16:31:39

WANDI
410 HERDIANSYAH 090672 7/1/1991 - 16:57:02 17:24:09
B86 - Scabies
| T14.0 -
Superficial
injury of
ISHMAH unspecified
411 NAAILAH 050242 11/25/2009 body region 17:35:42 17:40:58

MUHAMAD R50.9 -
SATRIA Fever,
412 LENOSTA 114870 10/10/2016 unspecified 17:40:29 17:43:29
413 RUQIYAH 114872 1/9/1997 - 20:20:16 20:04:12

K30 -
EMAN Functional
414 SUHERMAN 114873 8/2/1964 dyspepsia 20:45:56 20:47:06
LINDA
415 LISTIAWATI 100441 12/30/1996 J45 - Asthma 20:49:17 20:50:39 0:01:47

K30 -
Functional
dyspepsia |
R50.9 -
SITI Fever,
416 MASKUPAH 114874 4/4/1999 unspecified 21:58:19 21:59:45

R11 - Nausea
417 ASYRAF ZAIN 094945 8/8/2019 and vomiting 22:21:38 22:21:45
DEA
418 PRAMESTI 107644 12/31/1993 - 22:40:02 17:32:10

J06.9 - Acute
upper
respiratory
infection,
MUHAMAD unspecified |
BILAL AL R11 - Nausea
419 QODRI 114876 3/19/2021 and vomiting 23:04:49 23:06:06
J35.0 -
Chronic
tonsillitis |
SINDI K30 -
OKTAVIA Functional
420 RAMADANI 114877 10/16/2005 dyspepsia 0:10:04 0:11:52

R11 - Nausea
and vomiting
| R50.9 -
ZAIDAN AL Fever,
421 MUFIID 114878 5/29/2011 unspecified 8:12:48 0:36:02

422 EROS ROSITA 046795 4/28/1989 J45 - Asthma 0:38:38 0:39:14 0:01:15

REYNA
423 KHAIRUNISHA 114879 7/9/2003 - 0:46:29 0:48:37

K30 -
Functional
MUHAMMAD dyspepsia |
AZKA R50.0 - Fever
424 ALZAELANI 062755 6/23/2018 with chills 1:27:08 1:28:52

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | K30 -
DEA Functional
425 RAHMALIA 114880 4/6/1987 dyspepsia 1:50:26 1:53:28
G43 -
426 TIA FAJRIATI 032005 10/26/1993 Migraine 2:58:38 2:59:16
DIAN
427 SUHENDI 114881 6/6/1984 - 4:31:10 4:33:30

GUSTYAS 002638/02
428 WIDYA PRAJA 6380 8/25/1993 - 5:29:39 8:27:31
EMAN
429 SUPARMAN 086448 6/26/1968 - 5:39:41 8:28:41
FAIRUZA
430 ELFATIH 083575 8/16/2019 - 6:04:21 8:30:02
C44 - Other
malignant
neoplasms of
431 NANANG 114828 5/18/1973 skin 6:25:16 6:27:36

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
H81.1 -
Benign
paroxysmal
vertigo | K30
- Functional
dyspepsia |
R63.8 -
Other
symptoms
and signs
concerning
BUDI food and
432 SETIAWAN 094200 2/2/1976 fluid intake 7:16:43 13:57:00
433 SOLIHAT 114882 11/8/1972 - 7:25:47 18:08:02

A31.8 -
Other
mycobacteri
al infections
| T14 - Injury
of
unspecified
434 PERI SUGIRI 077863 6/16/1991 body region 9:17:07 9:20:58 0:04:03
E9061 - Rat
bite | Z20.9 -
Z20.9 -
Contact with
and
exposure to
unspecified
ENNI communicab
435 HERAWATI 114895 4/2/1950 le disease 9:41:16 9:43:02 0:02:12

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | K30 -
Functional
dyspepsia |
K30 -
Functional
dyspepsia |
N17 - Acute
renal failure
| N17.9 -
Acute renal
failure,
436 UEN 114898 7/20/1955 unspecified 9:57:51 9:59:59 0:03:04

A01.0 -
Typhoid
fever | A01.0
- Typhoid
fever | R50.9
BUNGA STEVI - Fever,
437 SUKMADEWI 114901 9/19/2006 unspecified 10:42:30 12:36:08

K30 -
Functional
438 ANA SUJIANA 047566 9/7/1994 dyspepsia 10:46:22 12:10:01
SALSA
SAMINATUL L08.0 -
439 WAHIDAH 064687 4/22/2008 Pyoderma 11:10:44 12:06:28

R50.9 -
Fever,
unspecified |
DEVIA R51 -
440 AGUSTINI 067777 7/1/2003 Headache 12:25:34 12:38:05

O42.9 -
Premature
rupture of
membranes,
unspecified |
O80.9 -
Single
spontaneous
SITI delivery,
441 NURHALIMAH 027649 2/17/1991 unspecified 12:30:40 12:30:40

J20.9 - Acute
BUBUN bronchitis,
442 BUNYAMIN 110208 8/11/1954 unspecified 13:21:12 20:28:42

G72.0 -
Drug-
AI SUSAN induced
443 SURYAMAH 114644 3/1/1979 myopathy 13:27:14 13:28:07

DEDI R11 - Nausea


444 ROHENDI 114903 2/7/1967 and vomiting 13:41:10 20:26:01

445 NESI ISWANTI 114904 7/14/1998 - 13:48:50 14:40:21

D64.9 -
Anaemia,
446 LIA ANDINI 114905 8/4/1975 unspecified 13:53:46 13:54:48

R50.9 -
Fever,
447 MEMED 114906 4/6/1964 unspecified 14:09:45 14:10:08
K30 -
Functional
448 SUMIATI 075949 2/1/1962 dyspepsia 14:34:10 14:35:01

SYAKHIRA
AKHYARUL
449 HUSNA 114907 2/10/2022 - 14:38:30 14:38:30

K30 -
Functional
dyspepsia |
R10.0 -
Acute
450 KUSMAWAN 114908 1/21/1990 abdomen 14:43:14 14:44:29

J45.9 -
SRI RAHAYU Asthma,
451 MUTINI 114909 6/13/1984 unspecified 15:07:43 15:08:28 0:02:34
452 ARKHANA 114910 2/10/2017 - 15:14:57 15:15:09
L50 -
453 LATIPAH 098671 6/26/1996 Urticaria 15:52:17 15:54:29

K30 -
DANDA Functional
454 PRATAMA 114746 5/23/1986 dyspepsia 16:19:57 16:20:33
455 DEDE 114911 3/5/1972 - 16:28:08 16:29:32

MUHAMAD
ISHAQ
456 MAGRIBI 114912 12/21/2018 - 16:36:10 16:38:58
457 ADZKIA 114913 2/10/2021 - 16:39:00 16:40:47

K30 -
Functional
458 ADE 114914 2/1/1968 dyspepsia 16:52:58 16:54:39

ATAN K30 -
NURDIANSYA 099523/09 Functional
459 H 9483 4/6/1979 dyspepsia 17:00:41 17:02:49

O80.9 -
Single
spontaneous
delivery,
460 KARTINI 068592 3/22/1984 unspecified 17:08:10 17:08:10

I10 -
Essential
(primary)
461 TATI RUHYATI 114915 4/28/1983 hypertension 17:23:04 20:37:16
L20.9 -
Atopic
dermatitis,
462 BUDI 114916 10/11/1984 unspecified 17:39:21 13:43:30
L50 -
463 OONG 114917 8/23/1951 Urticaria 17:44:45 17:45:01
NENENG
464 YUNINGSIH 079970 2/11/1962 - 17:54:44 17:55:11
YENI
465 MARYANI 114919 8/17/1989 - 19:22:29 19:23:22

K30 -
NEVI Functional
466 SEDIAHATI 114920 10/23/1991 dyspepsia 19:35:54 19:36:03

MAHENDRA R50.9 -
BRELLIANT Fever,
467 AKBAR 114921 11/25/2009 unspecified 19:39:50 19:40:06

K30 -
Functional
468 SUHANDI 114922 2/16/1968 dyspepsia 19:44:49 19:45:45

AFRIDHA R50.9 -
MUSTHOPA Fever,
469 PUTRA 114923 4/13/1997 unspecified 19:46:27 19:47:32

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
470 ENUNG 114924 5/3/1967 unspecified 20:17:03 20:18:54

K30 -
Functional
dyspepsia |
R50.9 -
HERDI Fever,
471 AGUSTINA 114925 8/13/1997 unspecified 20:21:10 20:22:52

R50.9 -
HERDI Fever,
472 AGUSTINA 114926 8/13/1997 unspecified 20:21:10 20:22:27
K35 - Acute
473 NENENG 114927 1/1/1983 appendicitis 21:15:17 21:20:21 0:05:38
FATIMAH AZ-
474 ZAHRA 114928 5/23/2021 - 21:30:18 21:30:18
DIAN K92.1 -
475 SUHENDI 114881 6/6/1984 Melaena 21:39:11 21:40:49

476 DENI BARATA 114929 2/19/1982 - 22:35:42 22:37:28

A09.9 -
Gastroenteri
tis and colitis
DWI ACHMAD of
KHADAFI unspecified
477 KURNIAWAN 114930 11/24/2018 origin 23:22:12 23:25:37

K30 -
Functional
478 RISNAWATI 105772 11/15/1995 dyspepsia 3:27:44 3:29:54

TAHIR IMAM
DWANUR
479 ARYANTO 114931 7/1/2008 - 8:20:33 12:58:31

480 GALIH SATRIA 114932 2/5/2013 - 7:14:18 7:15:15

B34.2 -
Coronavirus
infection,
unspecified
ARDHI site | R50.9 -
RIESNANDAR, Fever,
481 A.Md 088189 3/13/1988 unspecified 8:26:31 12:37:52
NURDIAH
482 PURWANTI 114936 9/11/1993 - 8:32:28 8:32:28

J45 - Asthma
| J45.9 -
Asthma,
483 SRI RAHAYU 112881 11/3/1993 unspecified 8:53:52 8:57:33 0:04:32

484 HESTI ARYATI 111725 11/7/1980 - 13:06:07 16:42:50


S93 -
Dislocation,
sprain and
strain of
joints and
ligaments at
ankle and at
foot level |
T14 - Injury
of
FUJI unspecified
485 FIRMANSYAH 108606 9/2/1977 body region 10:41:27 10:44:00 0:03:43

T14 - Injury
DIVA NOER of
AZIEZAH unspecified
486 RACHMAN 068896 1/27/2003 body region 11:07:59 11:10:10 0:03:09

T30.0 - Burn
of
unspecified
body region,
unspecified
degree |
T31.0 - Burns
involving less
than 10% of
487 IIS AISYAH 044783 9/2/1964 body surface 11:10:09 11:14:02 0:04:12

I63.9 -
Cerebral
infarction,
unspecified |
I64 - Stroke,
not specified
as
haemorrhag
e or
488 NENDEN 030172 5/14/1965 infarction 11:35:34 11:37:18 0:02:42
O21.1 -
Hyperemesis
gravidarum
with
LISNI metabolic
489 NURAENI 066939 6/5/1996 disturbance 12:53:31 12:53:31

Z20.9 - Z20.9
- Contact
with and
LASHIRA exposure to
ANWAH unspecified
UMAIZA communicab
490 RAMADHANI 114946 6/3/2018 le disease 13:58:24 13:58:56
MERLI NUR
491 INDAH 107194 3/20/2003 - 14:04:45 14:04:45

R10.0 -
Acute
492 YUSRIL SIDIK 114947 5/17/2000 abdomen 15:04:12 15:05:11 0:01:23

G44 - Other
headache
syndromes |
R50.9 -
Fever,
493 HERDI 098393 7/1/1975 unspecified 15:10:06 15:11:37

K30 -
NITA Functional
494 SUKARIAH 114948 6/12/1998 dyspepsia 15:12:55 15:12:45

TANZIL AL R50.9 -
AZIZ Fever,
495 ABDULLAH 114949 6/12/1994 unspecified 15:16:04 15:17:03
496 KUSNADI 114950 7/4/1986 - 15:32:14 15:33:11

K30 -
Functional
497 ANI AFRIANI 114951 4/4/1983 dyspepsia 15:34:36 15:34:59

FEBRY
AHMAD
498 VALENTINO 114952 2/14/2014 - 15:53:24 16:20:36
R50.9 -
RISMAN Fever,
499 NOVIANSYAH 114953 11/21/1998 unspecified 15:59:06 16:00:58
DADANG
500 SOPIAN 114954 12/20/1958 - 16:38:15 16:39:30

MUHAMAD
501 HANAN ATAQI 114955 6/21/2018 - 16:45:07 18:46:30

MUHAMAD
ALWI
502 SURYANA 108395 10/16/2020 - 17:27:30 17:30:33

503 M.ALGHIFARI 114956 4/27/2016 - 17:31:02 17:31:03


504 EBEH 114957 9/27/1973 - 18:31:20 10:24:36
505 RENI 100828 2/8/1986 - 22:53:28 22:53:28
ARIA AGUNG
506 ADIARSA 114958 5/26/1993 - 19:12:37 19:13:57

R50.9 -
Fever,
507 AI ROHAENI 114959 9/1/1971 unspecified 19:15:29 19:16:40

K30 -
Functional
508 UDIN 114960 7/14/1954 dyspepsia 19:38:24 19:40:36
LILIS
509 LISNAWATI 114961 6/3/1967 - 20:17:31 20:18:13

R50.9 -
SITI MARYAMI Fever,
510 S.Kep.Ners 054606 1/13/1992 unspecified 21:38:06 9:10:07

K30 -
DEDE Functional
511 SUMARNA 066234 10/26/1992 dyspepsia 21:43:30 21:44:08

K30 -
090735/02 Functional
512 SOLIHAT 3360 1/2/1963 dyspepsia 22:08:53 22:09:45

WAFA R50.9 -
SHANUM Fever,
513 AZKADINA 109463 10/22/2020 unspecified 23:27:12 23:28:35

R50.9 -
ZELINE Fever,
514 ZAKEISHA 107014 6/15/2020 unspecified 23:47:36 23:49:31
515 MULYADI 047803 6/11/1993 - 23:52:22 23:53:06

516 DEDE SOLIHAT 102532 3/8/1983 - 5:37:59 5:37:59

ATAN
NURDIANSYA 099523/09
517 H 9483 4/6/1979 - 5:47:13 5:48:59
518 AGUS ENDE 114962 8/7/1952 - 6:14:40 17:18:06
MIRA
519 JUBAEDAH 114963 12/15/1996 - 6:38:52 8:39:46
520 HERA DIANTI 107829 6/26/1991 - 7:38:28 7:39:25

J18 -
ANDI Pneumonia,
SYAMSUDDIN, organism
521 (DRS). 077107 12/12/1967 unspecified 7:52:45 10:24:00
NURUL
522 ANNISYA 114052 3/17/2000 - 8:00:47 8:01:51

M79.0 -
Rheumatism,
523 MULYAWAN 065181 5/8/1975 unspecified 8:45:38 8:46:55

M54.05 -
Panniculitis
affecting
regions of
neck and
back,
thoracolumb
524 AISYAH 114969 10/10/1952 ar region 8:50:36 8:52:27
AISHWA
525 NAHLA 114971 2/12/2022 - 9:55:23 9:55:23

MUHAMAD
ABIZEIN
SYAFARAZ 103147/11
526 ALKUROIMAN 4692 2/10/2021 B86 - Scabies 9:19:07 9:21:15

H81.4 -
LUSI Vertigo of
527 RUSMIATI 114975 3/22/1978 central origin 9:32:19 9:32:29
528 SRI REJEKI 114976 3/12/2000 - 9:37:28 9:37:28
K65 -
Peritonitis |
R10.4 -
Other and
unspecified
ENGKUS abdominal
529 KUSNADI 114977 7/1/1959 pain 10:15:19 10:20:36

R50.9 -
MUTIARA PUJI Fever,
530 RAHAYU 114978 4/24/2009 unspecified 10:26:57 10:26:48

HENDRIK
INDRA
531 GUNAWAN 019032 7/1/1984 - 12:38:18 12:37:04

R50.9 -
NADHIRA Fever,
532 ARESHA PUTRI 114980 8/1/2017 unspecified 12:46:20 12:47:32

K30 -
Functional
533 ROSMAWATI 021082 5/5/1968 dyspepsia 13:29:00 13:30:44

K30 -
Functional
534 ETI SURYATI 114981 8/19/1970 dyspepsia 14:34:33 11:13:36

O02.1 -
SELFIA Missed
535 LUSTIANI 114982 2/19/1998 abortion 14:41:43 15:11:50

K30 -
Functional
536 M. JAJANG 022270 1/11/1938 dyspepsia 14:53:58 14:54:17
ASEP
537 KOSWARA 054828 7/1/1959 - 14:58:57 15:58:13

R50.9 -
NUR FAIDA Fever,
538 ABRINA 114983 5/12/2021 unspecified 15:08:20 15:08:21

K30 -
Functional
539 ENGKOM 114985 7/6/1937 dyspepsia 15:17:20 15:17:06
J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
DEVIA Fever,
540 AGUSTINI 067777 7/1/2003 unspecified 15:29:13 15:29:07

K30 -
WAHYU Functional
541 HIDAYAT 023936 6/8/1980 dyspepsia 16:02:27 16:32:05

K30 -
LINA Functional
542 LISNAWATI 076859 9/22/1984 dyspepsia 16:08:12 16:10:58
KOWI BIN
543 JAMADI 114986 2/1/1951 - 16:21:15 16:22:20

R50.9 -
RYAN M Fever,
544 RAFLY 114987 1/25/2001 unspecified 16:35:58 16:37:53

K30 -
CHANDRA Functional
545 PAMUNGKAS 076333 7/1/1995 dyspepsia 16:48:24 16:48:20

K30 -
HERI Functional
546 SUNANDAR 050831 7/29/1991 dyspepsia 16:52:20 16:52:43
R51 -
547 RINI MARYANI 055737 12/23/1994 Headache 16:54:21 16:54:06

K61 -
Abscess of
anal and
rectal
548 RATNA SARI 114988 7/30/1996 regions 17:28:42 20:14:33

R50.9 -
Fever,
549 BUDIANSAH 114989 5/24/2000 unspecified 18:18:26 18:20:47

R50.9 -
USEP Fever,
550 SAEPUDIN 098207 9/10/1961 unspecified 18:52:45 18:53:11
J18.9 -
KOWI BIN Pneumonia,
551 JAMADI 114986 2/1/1951 unspecified 10:02:29 10:06:59 0:05:00

SITI K30 -
NURSAMSIAH Functional
552 HABIBAH 114990 8/17/1994 dyspepsia 19:30:55 19:32:00
553 ALEH 105947 7/6/1984 - 23:46:39 21:00:17

R50.9 -
MUFLIKH Fever,
554 SIWOYO 062976 1/15/1968 unspecified 21:16:21 21:20:35

R50.9 -
MUHAMMAD Fever,
555 FADLAN 114991 10/28/2008 unspecified 21:40:22 21:45:20

SUMINAR
LAELA
556 RISMAWATI 114992 10/22/1987 - 21:46:42 21:47:46

R10.0 -
Acute
557 TORPI 082309 5/20/1939 abdomen 22:11:48 22:15:52 0:04:32
SELVI
558 AGUSTINA 023294 8/14/1994 - 22:17:55 22:20:31

K30 -
DANI Functional
559 ADRIANSYAH 114993 1/18/1992 dyspepsia 22:46:23 22:50:23

MARSYA J45.9 -
SYAHIDA Asthma, 22:53:02
560 TAUFANA 114994 5/6/2004 unspecified 22:50:47 PM 0:02:43

J18.0 -
Bronchopne
umonia,
unspecified |
MUHAMMAD R50.9 -
FIKRI Fever,
561 TRISMAYANDI 114995 7/19/2011 unspecified 23:41:14 23:42:53 0:02:03

I84 -
Haemorrhoid
562 JENI JUHAENI 114996 3/7/1977 s 1:18:35 1:20:51
MUHAMMAD
IQBAL
563 FAUZAN 114997 8/1/2019 - 2:14:48 2:14:09
564 ANDRI 114998 4/13/1984 - 7:14:04 7:15:59

MUHAMAD R50.9 -
GHIBRAN Fever,
565 ALTAMIS,M.P 114999 4/11/2020 unspecified 7:17:38 10:18:02

K30 -
SITI SRI Functional
566 MULYATI 027899 5/3/1983 dyspepsia 7:24:18 8:17:19

R50.9 -
HERDI Fever,
567 AGUSTINA 114925 8/13/1997 unspecified 7:48:24 13:26:43

I10 -
Essential
(primary)
hypertension
| M54.5 -
Low back
568 TUNI 061319 8/17/1939 pain 8:04:37 8:04:17

J06.9 - Acute
upper
respiratory
infection,
unspecified |
K30 -
Functional
569 ASTUTI 101079 4/15/1978 dyspepsia 8:49:26 8:50:34
ISHMAH
570 NAAILAH 050242 11/25/2009 B86 - Scabies 8:32:25 8:33:03

ELIN
571 NURLELAWATI 115000 2/17/1988 - 8:49:23 8:49:23

FAJRI
SYAHDAN
572 NAUFAL 075580 1/9/2017 J45 - Asthma 8:57:00 8:58:31 0:01:39

R50.9 -
M. AZIZ Fever,
573 MUROJAB 115001 6/17/2011 unspecified 9:02:09 9:04:57
T14 - Injury
of
DIKA NUR 028005/11 unspecified
574 FALAH 4756 6/25/2009 body region 9:05:10 9:06:39 0:01:34

R11 - Nausea
and vomiting
| R50.9 -
Fever,
575 IJAH 115004 4/2/1947 unspecified 9:45:50 9:47:31

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | K30 -
Functional
576 ANITA 115005 1/8/1987 dyspepsia 10:16:52 10:17:29

K30 -
Functional
577 EPI SUMINAR 115006 6/1/1981 dyspepsia 10:25:11 10:26:49

578 IMA SRI MAYA 115007 7/9/1997 - 10:34:40 10:34:40


K30 -
Functional
dyspepsia |
R50.9 -
Fever,
unspecified |
T01 - Open
wounds
involving
NENENG multiple
579 MULYANI 083537 8/16/1979 body regions 10:59:39 10:59:42

T01 - Open
wounds
SRIWIYANTI involving
MUTIA multiple
580 REIHANI 115009 11/29/2005 body regions 11:05:34 11:06:04 0:01:38

DEUDEU R50.9 -
MULYANINGSI Fever,
581 H 115011 6/24/1988 unspecified 11:19:49 11:20:39

NANIH R50.9 -
RATNANINGSI Fever,
582 H 045902 7/10/1976 unspecified 11:22:07 11:23:57

T01 - Open
wounds
involving
DHIVA ALFIAH multiple
583 MAYSEZHA P. 115012 5/23/2013 body regions 11:37:48 11:39:30 0:03:15

K30 -
Functional
584 IIN NURMIATI 068788 6/15/1976 dyspepsia 12:53:04 12:59:03
DENSA SRI
585 RAHAYU 115017 12/7/1985 - 14:09:58 13:35:06

R50.9 -
Fever,
586 TORPI 082309 5/20/1939 unspecified 14:12:30 14:14:32

K30 -
EVA Functional
587 SOPIAWATI 089260 10/21/1983 dyspepsia 14:18:05 14:19:52
R50.9 -
Fever,
unspecified |
R51 -
588 AJID 115018 2/16/1974 Headache 15:24:06 15:27:53

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
R50.9 -
Fever,
589 YASMIN AULIA 090093 6/29/2018 unspecified 15:57:59 16:06:04

R50.9 -
Fever,
590 JAMALUDIN 005979 12/11/1960 unspecified 16:20:14 16:21:36

A16 -
Respiratory
tuberculosis,
not
confirmed
bacteriologic
ally or
histologically
| J18.0 -
MUHAMMAD Bronchopne
SOPIAN umonia,
591 TSAURI 047204 11/20/2017 unspecified 16:25:17 16:26:37 0:01:23
M RIZKY
592 PRATAMA 115019 2/28/2002 - 16:35:04 16:47:27

R10.4 -
Other and
unspecified
abdominal
593 DENI PRIAN 050530 2/19/1985 pain 16:39:04 16:40:16

KHENANDRA
ZIKRA
594 PURNAMA 103716 9/20/2020 - 17:34:30 17:54:03
D UU
595 SUNDARA 115021 2/12/1970 - 17:56:55 17:58:05

R11 - Nausea
596 SUPARSONO 061598 11/26/1986 and vomiting 18:03:33 18:04:05

K30 -
PUPU Functional
597 PURNAWATI 115022 3/25/1972 dyspepsia 18:22:45 18:23:26
NINA
598 NIAWATI 020335 10/6/1984 - 18:28:21 18:29:39
TUTI
599 NURHAYATI 057519 4/8/1979 - 18:32:26 18:33:55
PUTRA RIZKI
600 ALBIANSYAH 063965 3/13/2018 - 18:33:07 18:33:16

R50.9 -
Fever,
601 AGUS RUSLAN 092907 5/13/1977 unspecified 19:01:42 19:04:00

STEFEN R50.9 -
SALEHUDIN Fever,
602 SUMIRAT 115023 7/17/2010 unspecified 19:06:58 19:07:23

A09.9 -
Gastroenteri
tis and colitis
of
INGRIT unspecified
603 ALFARIS 025252 10/8/2004 origin 19:13:22 19:15:43

R50.9 -
SRI NOVIA Fever,
604 PRATIWI 107815 11/4/1987 unspecified 19:35:43 19:37:03

F50.5 -
Vomiting
associated
with other
MUHAMMAD psychologica
NAZRIL AL l
605 FARIJI 055333 8/9/2016 disturbances 19:43:57 19:44:20
J45 - Asthma
| J45.9 -
Asthma,
606 ERNASARI 115024 3/13/1999 unspecified 19:45:28 19:47:33 0:02:13

R10.4 -
Other and
unspecified
abdominal
607 ADE 114914 2/1/1968 pain 20:03:00 13:58:46
EVA
608 FARIDAYATI 032558 12/19/1989 - 20:29:31 0:40:55

JAFAR RAKHA
609 MUBASYIR 115025 8/7/2020 - 20:33:57 20:02:25

WINDA
610 PERMATASARI 045376 4/5/1997 - 21:07:32 21:06:27

J45.9 -
FAHMI 022006/02 Asthma,
611 FIRMANSYAH 7526 4/17/2013 unspecified 21:18:46 21:19:09 0:01:55
612 IPIT SOPIAH 020671 10/11/1936 - 21:46:40 21:47:59

MOHAMAD R10.0 -
RAHAP Acute
613 ALKAHFI 115026 10/10/2007 abdomen 21:48:41 21:49:08 0:01:10

K30 -
Functional
614 SUSILAWATI 091859 4/28/1976 dyspepsia 22:01:31 22:06:25

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | J18.0
-
Bronchopne
umonia,
unspecified |
PUTRI VELIKA L20 - Atopic
615 TRI CHANDRA 113620 9/14/2020 dermatitis 22:31:25 22:35:32 0:04:57
O80.9 -
Single
spontaneous
YANTI delivery,
616 HERLIANI 099155 1/1/1980 unspecified 22:46:24 22:46:24
617 AGUNG 115027 2/13/1999 - 22:56:17 22:57:40

J06.9 - Acute
upper
respiratory
infection,
unspecified |
RAIF R11 - Nausea
618 BAKHTIAR 111986 9/7/2019 and vomiting 23:40:17 23:45:10

K30 -
Functional
619 HOJANAH 084521 7/1/1957 dyspepsia 23:42:28 23:45:14

A09.9 -
Gastroenteri
tis and colitis
of
BAYA unspecified
620 PURNAMA 115029 7/1/1973 origin 0:06:06 0:10:02

A09.9 -
Gastroenteri
tis and colitis
of
BAYA unspecified
621 PURNAMA 115030 7/1/1973 origin 0:06:06 0:11:19

B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
ETTY Fever,
622 HERNAWATI 103652 9/1/1975 unspecified 1:45:22 11:59:08

K30 -
Functional
623 SITI SUHAENI 017915 11/6/1987 dyspepsia 3:46:01 3:50:20
K30 -
Functional
624 DEDE SOPIAN 115032 2/14/2022 dyspepsia 4:08:56 4:10:11

R50 - Fever
M.NAUFAL of other and
NAJIB AL unknown
625 GHYFARI 097650 4/23/2004 origin 6:19:08 6:20:58

MELYSSA R50.9 -
SHALMA Fever,
626 ALGHYFARI 094496 5/1/2001 unspecified 6:23:20 6:24:37

dr.
YATHESTHA R50.9 -
YOGA DWI Fever,
627 RAHESTHA 084622 11/12/1987 unspecified 6:42:22 6:43:20

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
628 SAEPUDIN 115033 9/23/1955 confirmed 7:07:07 7:07:07

J18.0 -
Bronchopne
NABILLA umonia,
629 AZZAHRA 115034 11/29/2021 unspecified 7:12:31 11:57:46
IIS
630 KARWULAN 110017 3/10/1972 - 8:07:43 9:36:01

YUYUN R11 - Nausea


631 YUNINGSIH 114737 9/12/1992 and vomiting 9:19:56 12:37:16

B34.2 -
Coronavirus
infection,
FAUZI unspecified
632 BAEHAQI 095491 7/15/2000 site 10:21:28 10:24:42

R07.3 -
WIDIYA Other chest
633 SEPTIYANTI 066172 11/27/1988 pain 10:52:03 10:53:33 0:01:36
R63.8 -
Other
symptoms
and signs
concerning
NISRINA food and
634 ALYSSIA 115059 12/17/2004 fluid intake 11:33:29 12:09:23

R50.9 -
Fever,
635 HARI IRIANTO 060798 6/25/1985 unspecified 11:41:11 11:52:55
CUCU R06.0 -
636 SUMIATI 115061 6/11/1984 Dyspnoea 12:09:32 12:12:53 0:03:13
RIDWAN
637 MAURAKSA 058727 11/10/1991 - 13:06:13 13:07:58
DENI
638 GANDANA 077019 7/5/1974 - 13:22:35 13:22:15

R56.0 -
ZOYA Febrile
639 ALMAHYRA 115063 9/22/2020 convulsions 13:41:25 13:43:11 0:02:12
HILMI
640 AYUNIASARI 085017 6/12/1997 - 14:27:04 14:27:04

R50.9 -
DWI ARSYIL AL Fever,
641 MUHAROM 051830 9/26/2017 unspecified 14:45:36 14:46:16
WIWIN
642 KUSMIATI 026183 5/25/1984 - 14:50:12 17:09:15

K30 -
ENTIN Functional
643 KARTINI 115064 11/9/1990 dyspepsia 14:55:51 14:55:54

K30 -
Functional
SYAQEELA dyspepsia |
NAZILA R50.9 -
VANYA Fever,
644 ARDINIE 115065 12/14/2011 unspecified 14:58:25 14:58:06

645 UNA 115066 2/15/1955 J45 - Asthma 15:04:18 15:06:21 0:02:39

R50.9 -
MUHAMMAD Fever,
646 ROMLI A.B 063798 7/1/2010 unspecified 15:10:45 15:10:26
T14 - Injury
of
unspecified
647 ASEP PUDIN 104593 6/6/1996 body region 15:00:00 15:02:05 0:02:05

ARFAN ABDUL
648 HAFIZH 115068 2/14/2022 - 14:45:00 14:45:00

TANISHA R50.9 -
ANINDIRA Fever,
649 AMRULLAH 102893 4/29/2020 unspecified 15:54:23 15:54:00
DISTA AULIA E9060 - Dog
650 PUTRY 115070 5/9/2017 bite 16:05:24 16:08:00 0:03:24

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
651 NAJMUDIN 115071 5/15/1967 origin 16:23:20 16:24:36
652 MASKAH 033389 4/23/1956 - 16:28:00 16:30:34

M54.5 - Low
653 OPA 068661 7/1/1945 back pain 16:46:30 16:48:05

R50 - Fever
of other and
ANNISA NUR unknown
654 AMALIA 020676 11/5/2000 origin 17:20:48 17:22:13

MUHAMMAD
FAIZ 086669/10 R50.0 - Fever
655 MUTAWALI 8892 1/30/2020 with chills 17:29:11 17:30:13

R50 - Fever
of other and
RANI unknown
656 NURDIANI 115072 6/12/1992 origin 17:36:54 17:37:55

J06.9 - Acute
upper
respiratory
infection,
657 YENI NURYANI 065187 12/12/1981 unspecified 17:41:04 17:42:56
R56.0 -
RAIHAN Febrile
658 RAMADAN 102067 5/20/2020 convulsions 18:00:07 18:01:52 0:01:59

R50 - Fever
of other and
unknown
659 APRIANI 079283 4/30/1988 origin 18:02:08 18:03:42

C46.1 -
Kaposi=s
DIAN DELA sarcoma of
660 ALAM 072227 1/1/1996 soft tissue 18:28:01 18:38:32

MUHAMMAD
RAFA ZAHIN
ALDEN
661 SETIADI 057761 11/25/2012 - 18:49:27 18:51:29

SABHIRA R50.9 -
AZZAHRA Fever,
662 HAFSHAH 049657 12/27/2017 unspecified 19:07:50 19:09:57

I10 -
Essential
(primary)
663 SITI MASRIAH 083793 5/5/1998 hypertension 19:13:04 19:14:22

R50 - Fever
DESTA of other and
SUBAGJA, unknown
664 (Amd.Kep). 087119 12/21/1994 origin 19:14:48 19:16:21

NABIL
ATALLAH
665 ARSYAD 115073 3/1/2014 - 19:19:36 19:19:36

MOCH. ADAM
PANGESTU
666 ROJABILAH 115074 10/23/2000 - 19:24:21 22:25:33
AEP
667 SAEPUDIN 046988 5/1/1960 - 19:29:38 11:59:46
668 OJAK 059620 7/1/1957 - 19:32:56 11:58:21

R10.0 -
SITI HAYATUN Acute
669 NUPUS 106841 3/3/1999 abdomen 19:41:21 19:42:19 0:01:23
K30 -
EKA SRI Functional
670 WAHYUNI 115075 3/17/1986 dyspepsia 19:46:44 19:47:02
ENENG RESA 029207/03
671 RESITA 6523 12/15/1993 - 20:06:02 20:23:35

672 ADIN ZAHIDIN 115076 11/3/1983 - 20:45:00 20:46:00

R50.9 -
AJENG UTARI Fever,
673 JULIANA 113577 7/13/2000 unspecified 20:47:56 20:49:44

N47 -
Redundant
prepuce,
phimosis and
ANGGARA paraphimosi
674 DWI FEBRIAN 077595 2/9/2015 s 21:17:54 21:17:54

J45.9 -
KRISTINA Asthma,
675 WATI 073465 5/15/1977 unspecified 21:27:49 21:29:57 0:03:32
WEWEN R51 -
676 JUWAENI 115077 10/8/1958 Headache 21:50:36 21:53:59

J45.9 -
Asthma,
677 ROSMAWATI 021082 5/5/1968 unspecified 22:19:11 22:20:51 0:02:12

MUHAMMAD
FIRLIE
ABQORY
678 ASSIDDIK 109659 9/19/2017 - 22:22:47 22:23:08

R50 - Fever
of other and
VICKY unknown
679 FIRMANSYAH 044914 5/7/2008 origin 22:35:00 22:36:31

R10 -
Abdominal
and pelvic
680 MELAWATI 115079 11/6/1991 pain 0:29:21 0:30:46 0:02:15

R50.9 -
MUHAMAD Fever,
681 ABI PUTRA 115080 2/6/2017 unspecified 4:30:26 5:11:00
S06 -
Intracranial
injury | T14 -
Injury of
unspecified
body region
| T14.1 -
Open wound
EMAN of
LUMBAN unspecified
682 BATU 115082 3/9/1983 body region 7:21:39 7:23:19 0:02:19

OMAN
ABDUROHMA R51 -
683 N 029171 12/24/1955 Headache 6:14:28 6:15:08

S06 -
Intracranial
684 JUARTA 115084 1/1/1965 injury 7:48:21 7:51:41 0:03:15

A09.9 -
Gastroenteri
tis and colitis
of
M. AZIZ unspecified
685 MUROJAB 115001 6/17/2011 origin 8:44:51 8:45:15

A90 -
Dengue
fever
[classical
686 PARMI 067563 12/31/1958 dengue] 9:12:36 9:14:38
687 LISNAWATI 093385 7/27/1989 - 10:14:58 10:17:46

K30 -
WAWAT Functional
688 RAHMAWATI 072687 1/31/1962 dyspepsia 9:44:51 9:45:03

T30.0 - Burn
of
unspecified
SITI body region,
MUYASHARO unspecified
689 H 115093 7/21/2012 degree 9:57:14 9:59:14 0:02:04

K30 -
Functional
690 ELOM 106593 6/5/1968 dyspepsia 10:28:49 10:30:15
K30 -
Functional
691 ASEP BUANA 115095 9/9/1979 dyspepsia 11:48:43 11:49:44
DEDE
692 SUMARNA 066234 10/26/1992 - 11:57:00 11:58:09

MUHAMMAD
RHAFLY
693 FEBRIAN 018876 2/21/2007 - 13:13:07 13:15:50
ILMA
694 OKTAVIANI 115097 10/13/1999 - 14:53:34 14:54:15

AHMAD
RIFARDI R50.9 -
MAULANA, 032182/08 Fever,
695 (AMD RAD). 9518 8/3/1994 unspecified 14:55:06 14:55:03

R50.0 - Fever
696 ZAHRA AULIA 019714 9/24/2014 with chills 15:14:17 15:15:18

G44.2 -
Tension-type
headache |
I10 -
Essential
ENTIN (primary)
697 SUTINAH 077011 3/12/1944 hypertension 15:20:27 15:21:22

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
HAFIZ SALAM Fever,
698 RAMADAN 060000 5/23/2018 unspecified 15:36:20 15:37:03

SOPIA R50.9 -
SALSABILA Fever,
699 ISKANDAR 029863 8/12/2015 unspecified 15:55:26 15:55:03

ARBYAN R50.9 -
ATHALLAH Fever,
700 RAMADHAN 115098 6/2/2018 unspecified 15:40:00 15:41:03
T14 - Injury
of
DUDUY unspecified
701 DAHLAN 115099 5/17/1966 body region 16:53:49 16:55:34 0:02;23

E14.9 -
Unspecified
diabetes
mellitus
without
complication
s | R10.4 -
Other and
unspecified
abdominal
702 JAEMAH 062068 5/8/1973 pain 17:34:05 17:36:03

K30 -
AMELIA 058879/11 Functional
703 AMANDA 0477 6/27/2004 dyspepsia 17:37:19 17:39:38

MIMI K30 -
SUMIARTI, Functional
704 (Hj). 055858 8/8/1955 dyspepsia 17:40:58 17:42:09

ASTA
ADIARIZKI
705 NIRANKARA 115100 11/25/2020 - 17:48:05 17:47:04

K91.4 -
Colostomy
and
enterostomy
706 TARSIH 112733 5/4/1946 malfunction 18:04:26 18:05:52
ANIH
707 SUTINAH 027385 6/5/1981 - 18:17:11 18:18:35
RESTU
708 CLASIKA 115101 9/27/1990 - 18:21:59 9:16:18

R10.4 -
Other and
unspecified
abdominal
709 EDI 078346 7/5/1973 pain 18:59:18 19:00:06
FEMIKO PANJI
710 APRILIO, (dr) 101786 4/13/1987 - 19:02:25 19:04:33

RISCHA
RAHMAWATI,
711 (dr). 100146 8/27/1990 - 19:32:00 19:34:10
RAHMAT
712 HIDAYAT 114381 10/1/1980 - 19:51:30 19:53:53

D64 - Other
anaemias |
I84 -
Haemorrhoid
713 WAHYUDIN 107037 3/7/1987 s 20:30:19 20:31:20

O80.9 -
Single
spontaneous
delivery,
714 SARIMAYAH 115103 10/4/2002 unspecified 5:39:39 5:39:39
DINDA FITRI
715 SALAMAH 09135 7/6/2016 J45 - Asthma 5:39:30 5:41:13 0:02:02

A09.9 -
Gastroenteri
tis and colitis
of
M ZAYN LA unspecified
716 AKHRAM 115107 5/5/2021 origin 1:36:27 1:37:38

R10.4 -
Other and
unspecified
abdominal
717 DARWIS 111758 7/13/1993 pain 3:17:49 3:18:28

NABIL R50.9 -
ATALLAH Fever,
718 ARSYAD 115073 3/1/2014 unspecified 6:32:29 6:34:43

R50.9 -
Fever,
719 NURUL IMAN 071324 3/10/1993 unspecified 10:47:37 11:41:11
SITI ZENAH
720 WAHYUNI 115110 8/16/2002 - 10:47:52 9:12:22
BAYI NY
721 SARIMAYAH 115106 2/15/2022 - 9:17:42 9:17:42

ANDRI R50.9 -
MAHPUDIN, Fever,
722 (S.Kep.NERS). 032461 8/2/1991 unspecified 10:47:59 10:36:01

R50.9 -
BUDI Fever,
723 RACHMAT 115118 2/25/1977 unspecified 10:48:03 13:53:21

ARSAKHA R50.9 -
HIBRATUL Fever,
724 ASDAQ 115119 9/28/2020 unspecified 10:48:09 13:30:53

R50.9 -
SITI NURLAELA Fever,
725 SARI 115120 12/12/1997 unspecified 10:52:28 14:50:40

DESTA R50.9 -
SUBAGJA, Fever,
726 (Amd.Kep). 087119 12/21/1994 unspecified 10:53:21 10:54:33

RATU SUCI R50.9 -


AFRILIANI, Fever,
727 (S.Kep., Ners) 067167 4/15/1993 unspecified 10:57:12 10:58:28
728 ONAH 115121 2/16/1947 - 11:10:07 11:10:13

AIRA R50.9 -
SYAHRAINI Fever,
729 PUTRI 111104 6/3/2020 unspecified 11:23:29 11:25:08

FERRY R50.9 -
SUDARSONO, 115122/10 Fever,
730 DR 7045 10/7/1982 unspecified 11:31:20 11:32:58

R50.9 -
Fever,
731 ROSWANDANI 115123 5/2/1973 unspecified 11:53:52 11:54:03
J06.9 - Acute
upper
CHRYSMAN respiratory
ANDRERIA, infection,
732 (dr). 100527 10/8/1993 unspecified 12:06:10 12:07:30

R50.9 -
SONIA SARAS Fever,
733 PAKPAHAN 115124 3/9/1998 unspecified 12:10:27 11:37:35

A15.3 -
Tuberculosis
of lung,
confirmed by
unspecified
means | I10 -
Essential
(primary)
hypertension
| R06.0 -
Dyspnoea |
R50.9 -
Fever,
unspecified |
R63.8 -
Other
symptoms
and signs
concerning
MASSAHALLO food and
734 N SITORUS 115126 3/13/1975 fluid intake 13:16:17 13:17:51

N93 - Other
abnormal
CINDY uterine and
MAULIDINI vaginal
735 APLIANTI 053090 8/12/1997 bleeding 13:34:18 7:08:21
B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
RIZKI Fever,
736 GINANJAR 115135 10/20/1996 unspecified 13:46:23 13:39:02

B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
ENCE Fever,
737 SUPRIATNA 029198 10/25/1973 unspecified 13:49:48 13:38:15

R50.9 -
MUHAMAD Fever,
738 ILHAM 110325 10/6/2018 unspecified 14:19:27 14:20:15

J06.9 - Acute
upper
respiratory
infection,
739 DIAN FAISAL 068496 7/18/1985 unspecified 14:23:10 14:25:55

R50.9 -
MIKAYLA Fever,
740 MAULIDA 058693 12/2/2018 unspecified 14:40:51 14:43:21

J06.9 - Acute
upper
respiratory
NURUL infection,
741 ANNISYA 114052 3/17/2000 unspecified 17:05:55 17:09:39
J06.9 - Acute
upper
ULFA NUR respiratory
RACHMAYANT infection,
742 I 107540 7/15/1998 unspecified 17:08:13 17:10:55

J45.9 -
AMY APRILIAN Asthma,
743 KARIM 024478 4/11/1996 unspecified 17:11:41 17:15:03 0:04:04

R63.8 -
Other
symptoms
and signs
concerning
food and
744 SUMIATI 075949 2/1/1962 fluid intake 17:15:09 17:15:34

MUHAMMAD R50.9 -
ARFA AL Fever,
745 KHAIDAN 115139 8/25/2021 unspecified 23:13:21 17:30:43

B34.2 -
Coronavirus
infection,
unspecified
site | G44 -
ROBI Other
ABDUROHMA headache
746 N 095056 8/26/1994 syndromes 16:01:30 16:04:14
747 LOMRAH 115140 10/7/1963 - 17:42:26 17:43:32

R10.4 -
Other and
unspecified
EMAN abdominal
748 SUHERMAN 114873 8/2/1964 pain 17:59:12 18:01:36
AGUS
749 SUKMANA 115141 7/17/1983 - 18:53:50 18:53:50
750 WULANSARI 022942 8/8/1985 - 19:05:08 19:07:21

MUHAMMAD
FAIZ 108892/08
751 MUTAWALI 6669 1/30/2020 - 19:07:54 19:09:20
ARINDA
AZQIARA
752 KAMILA 115142 5/29/2021 - 19:13:52 19:15:47
KRISTINA
753 WATI 073465 5/15/1977 - 19:26:03 19:27:48
754 ROYYANI 072393 5/9/1978 - 20:01:34 20:03:45
755 TIARA 115143 9/23/2001 - 20:15:03 20:17:58

K30 -
DAFINA AHRA Functional
756 FABRIANA 115144 2/7/2007 dyspepsia 21:51:55 21:53:23

T14 - Injury
of
unspecified
757 RURI RIYADI 115145 8/4/2000 body region 22:07:00 22:08:02 0:01:02

758 NYAI ARYANTI 100871 5/12/1985 - 1:18:00 1:18:00


029809/04
759 SUSI SEPTIANI 8826 9/28/1988 J45 - Asthma 1:59:40 2:00:15 0:01:55

K30 -
NINA SUSI Functional
760 MELATI 066902 7/20/1998 dyspepsia 2:02:43 2:02:20

K30 -
NASYA Functional
761 RIZQIANA 115149 2/23/2005 dyspepsia 3:30:11 3:31:15

AZRINA
RAZIYA
SHAZFA,
762 (Alm). 115150 7/30/2020 - 5:30:49 5:31:43

YENI
NURAENI,
763 (A.Md.Kep.). 053275 8/7/1987 - 5:39:38 5:40:26

B34.2 -
Coronavirus
infection,
unspecified
site | B34.2 -
Coronavirus
infection,
unspecified
site | K30 -
UJANG IYUS Functional
764 EFENDI 115151 9/12/1978 dyspepsia 6:03:00 6:04:22
765 ELA LISWARA 033981 12/20/1992 - 6:16:10 6:17:36

H81.1 -
Benign
paroxysmal
vertigo |
R06.0 -
Dyspnoea |
R06.0 -
766 SUSI SUSANTI 115152 1/19/1976 Dyspnoea 6:55:03 7:00:27 0:05:30

ADISTY
767 YOONA IVANI 115153 5/6/2021 - 7:03:28 8:05:55
EMUH
768 MULYANA 025433 3/4/1967 - 7:39:36 14:41:44

NISKALA
DHANESA
YEKA
769 KERLOOZA 109569 8/7/2021 - 7:49:01 7:51:29

R06.0 -
Dyspnoea |
R50.9 -
Fever,
770 NENIH 115155 5/8/1963 unspecified 8:32:46 8:35:10 0:03:23
YOGA
771 PERMANA 115156 6/14/1994 - 8:40:11 8:40:11

INTAN R50.9 -
KHAERUNNISA Fever,
772 DAMAYANTI 115157 3/29/1999 unspecified 8:41:33 11:19:48

R50.9 -
Fever,
773 INA NURAENI 115158 9/14/1997 unspecified 9:05:55 9:19:25

B34.2 -
Coronavirus
infection,
MUHAMMAD unspecified
BRAVA site | R50.9 -
PERDANA Fever,
774 WIBAWA JATI 115159 10/17/1999 unspecified 9:26:52 9:30:53
MUHAMMAD
BRAVA R50.9 -
PERDANA Fever,
775 WIBAWA JATI 115160 10/17/1999 unspecified 9:26:52 9:26:52

K30 -
Functional
dyspepsia |
DEDEN R11 - Nausea
776 SUPENDI 001892 7/1/1982 and vomiting 9:35:44 9:38:34

R50.9 -
LISTIANI Fever,
777 KANIA UTARI 065873 12/20/1989 unspecified 9:44:52 14:44:20

T31 - Burns
classified
according to
extent of
WARDA body surface
778 WIDIA 115169 8/5/2007 involved 11:57:02 11:58:27 0:01:29

T14.0 -
Superficial
injury of
unspecified
779 ALIA 115170 2/17/2019 body region 11:59:22 12:00:54 0:02:01

N20.1 -
Calculus of
ureter |
R10.0 -
Acute
780 MUSLIHUDIN 115171 8/17/1969 abdomen 12:28:25 12:30:31

R50.9 -
Fever,
781 AZHAR AMANI 115173 10/18/2018 unspecified 13:24:53 14:45:13
J06 - Acute
upper
respiratory
infections
multiple and
unspecified
sites | R50.9
- Fever,
782 ENTIN 051983 5/5/1961 unspecified 13:28:30 14:23:48

R50.9 -
ENGKOS Fever,
783 KOSASIH 050440 7/15/1960 unspecified 13:34:37 13:35:31

O80.9 -
Single
spontaneous
SITI delivery,
784 MAESAROH 115174 3/25/2004 unspecified 13:38:02 13:38:02

O80.9 -
Single
spontaneous
SITI delivery,
785 MAESAROH 115174 3/25/2004 unspecified 13:42:02 13:42:02

I84 -
Haemorrhoid
s | I84.0 -
Internal
NENG RISKA thrombosed
PURNAMA haemorrhoid
786 SARI 044721 10/8/1992 s 13:45:53 14:19:52

R50.9 -
ALEA KARINA Fever,
787 MURDANI 111124 12/27/2020 unspecified 13:52:13 13:53:41
R50.9 -
DEDE Fever,
788 SURYADI 115175 1/18/1981 unspecified 13:53:46 14:54:44

J06 - Acute
upper
respiratory
infections
multiple and
NURUL ISLAMI unspecified
789 HENTINI 115177 8/20/1998 sites 14:00:20 14:22:28

B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
MUNIFAH Fever,
790 BUDI ISNAENI 079621 2/10/1970 unspecified 14:01:51 14:09:05
791 HOLIPAH 110833 7/13/1986 - 14:40:36 14:40:36

SITI
WULANDARI
792 RAYANANDA 114702 4/1/1997 - 14:46:06 14:47:00
AKSAN
793 ALFARIZI 115181 5/29/2020 - 15:32:24 15:32:37
M AGIL
794 MUNAWAR 115183 10/19/2003 - 15:19:52 15:20:56

T14.1 - Open
DERISA wound of
MAULIDINA unspecified
795 FARANISA 115185 12/18/2015 body region 16:22:09 16:24:11 0:02:21
CESHA
796 ALMERA 115186 7/20/2020 - 17:26:02 17:26:16

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
797 RATNA S.PD 115187 5/4/1972 unspecified 17:32:54 17:32:06
VINA
798 ANDRIANI 115188 2/17/2022 - 17:37:20 17:37:20

G44 - Other
TAUPAN headache
799 PIRMANSAH 115189 6/17/1988 syndromes 19:10:35 19:11:05
800 ENIH ROSITA 115190 4/24/1955 - 19:35:43 19:35:44
801 RINAWATI 115191 11/11/1960 - 19:43:25 19:45:20

KEYSA
AGISTINA
802 PUTRI 035467 8/18/2008 - 19:56:43 19:53:51
803 SITI AISAH 115194 1/6/1999 - 20:07:49 20:07:49
804 TANIA AULIA 115195 8/18/2021 - 20:13:38 14:45:08

ASMA
FARANNISA
805 HERMAWAN 115196 12/30/2020 - 20:19:27 20:20:48
MIMIN
806 MINTARSIH 035798 9/5/1965 - 20:23:31 20:24:32

T01 - Open
wounds
involving
AGUS multiple
807 SUTIAWAN 115197 8/17/2002 body regions 20:56:58 21:00:11 0:04:10

R50.9 -
DODI Fever,
808 RUDIANA 060617 9/2/1967 unspecified 21:00:50 21:02:59
SITI
809 ROHMAYATI 115198 4/11/1995 - 21:08:22 21:10:23

WILLY K30 -
MAULIDAN Functional
810 FIRDAUS 114647 5/28/2002 dyspepsia 21:22:02 0:07:23

T01 - Open
wounds
AMAR involving
ANDRIYANSYA multiple
811 H 115200 6/12/1996 body regions 21:26:35 21:27:21 0:01:35

I10 -
Essential
(primary)
812 EUIS SULASTRI 115201 6/1/1976 hypertension 20:56:58 20:58:48
K30 -
Functional
813 RIKI SAPUTRA 043854 10/18/1993 dyspepsia 20:56:58 20:58:20

K30 -
Functional
814 ENGKUS 115202 7/1/1968 dyspepsia 21:55:29 21:56:37

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin | K30 -
Functional
815 NENAH 028046 4/6/1969 dyspepsia 22:06:33 22:07:55
RANI
816 RUSTIANA 022042 8/6/1991 - 22:10:33 22:12:16

K30 -
Functional
817 LATIPAH 098671 6/26/1996 dyspepsia 22:18:20 22:19:04

BAYI NYONYA
818 SITI AISAH 115204 2/17/2022 - 22:50:00 22:50:00

H81.4 -
Vertigo of
central origin
| R50.9 -
Fever,
819 NARSIBAH 115184 7/4/1966 unspecified 15:38:03 15:40:27

CANTIKA R50.9 -
HILDANI Fever,
820 PUTERI 084956 6/27/1997 unspecified 0:15:45 0:16:38

R50.9 -
047867/02 Fever,
821 SUDIRMAN 1180 4/1/1985 unspecified 3:12:09 3:13:45

R50.9 -
TASYA SUCI Fever,
822 UTAMI 115206 9/26/2018 unspecified 3:19:57 3:20:38
R50.9 -
ADE ANGGI Fever,
823 SUWITA 078880 2/15/1992 unspecified 6:19:50 6:20:42

A09 - Other
gastroenteri
tis and colitis
of infectious
BARQI and
HAFIZHAN AL unspecified
824 FARIQ 115207 6/17/2021 origin 6:23:58 6:25:35

R11 - Nausea
825 IIS 008108 7/1/1960 and vomiting 6:52:00 6:53:12

R10.4 -
Other and
unspecified
abdominal
826 TITIN KARTINI 038297 8/9/1970 pain 6:47:49 6:49:15

R50.9 -
SALSABILA Fever,
827 AZZAHRA 115208 10/14/2003 unspecified 6:58:00 6:59:04

K92.0 -
Haematemes
is | N03.9 -
Chronic
nephritic
IMAS syndrome,
828 MASLAHAT 070598 7/1/1948 unspecified 7:19:06 7:20:54
829 SUGIYANTI 115209 6/14/1992 - 7:35:47 7:35:47
LISNA
830 AGUSTIYAN 000651 8/6/1984 - 7:35:47 7:35:03
J18.9 -
Pneumonia,
unspecified |
J40 -
Bronchitis,
not specified
as acute or
chronic | J44
- Other
chronic
obstructive
pulmonary
disease |
R06.0 -
831 JUAN 037056 7/1/1960 Dyspnoea 7:52:41 7:54:37 0:03:12

J45.9 -
ADANG Asthma,
832 JUANDA 089447 3/23/1973 unspecified 8:19:17 8:21:41 0:02:10

J06.9 - Acute
upper
respiratory
YUSSY ALFIANI infection,
833 RACHMAN 082001 7/11/1994 unspecified 8:22:54 10:42:33
A15.0 -
Tuberculosis
of lung,
confirmed by
sputum
microscopy
with or
without
culture |
A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologic
ally and
834 SUMINAR 115214 6/2/1987 histologically 8:26:32 8:27:45

J06.9 - Acute
upper
respiratory
infection,
835 JAENALUDIN 099293 7/26/1991 unspecified 8:45:05 8:46:29

R10.4 -
Other and
unspecified
ADE abdominal
836 HERMAWAN 115218 4/20/1975 pain 9:28:06 9:29:55

J45.9 -
Asthma,
837 CECEP D.S 048115 9/10/1965 unspecified 9:32:17 9:35:13 0:03:32
BAYI NY
838 SUGIYANTI 115220 2/18/2022 - 10:58:59 15:36:32
J06.9 - Acute
upper
respiratory
CITRA DEWI infection,
839 ORISTA 059061 7/13/1995 unspecified 9:58:32 9:59:24

BAYI NY NYAI
840 ARYANTI 115221 2/18/2022 - 10:28:56 10:28:56

T14 - Injury
of
ALIKA unspecified
841 ASHADIEEYAH 115222 7/23/2016 body region 10:44:15 10:46:51 0:03:04

Z20.9 - Z20.9
- Contact
with and
exposure to
IHSAN unspecified
MAULANA communicab
842 ABQARY 115223 12/29/2019 le disease 10:51:10 10:52:43

R50.9 -
HAIFA DEZTA Fever,
843 LESTARI 115227 2/25/2010 unspecified 11:34:23 11:44:07
BUBUN R06.0 -
844 BUNYAMIN 115228 5/14/1965 Dyspnoea 11:44:15 11:45:30 0:01:10

B34.2 -
Coronavirus
infection,
RIDWAN unspecified
845 MAURAKSA 058727 11/10/1991 site 13:37:20 15:37:42

H10.9 -
Conjunctiviti
DEDE s,
846 ISKANDAR 110500 8/1/1998 unspecified 13:52:40 13:53:57
IMEN
847 MELISAH 115230 2/18/1996 - 14:26:34 14:26:34

848 PIAH SOPIAH 073227 7/1/1966 - 14:29:55 14:30:53


RATU R50.9 -
HIKMATUL Fever,
849 INAYAH 070506 10/7/2002 unspecified 14:38:30 15:12:07

I10 -
Essential
(primary)
850 PEPEN EPENDI 115232 10/1/1962 hypertension 14:55:43 14:57:31
GUSTIAN
851 MULYAWAN 115234 8/29/1993 - 15:19:17 15:21:20

L30.9 -
REDI Dermatitis,
852 AGUSTIAN R 115235 8/27/2010 unspecified 15:25:44 15:27:25

O80.9 -
Single
spontaneous
delivery,
853 DEWI SINTA 026479 1/5/1994 unspecified 15:58:45 15:58:45
HAIFA NUR
854 AULIA 114439 2/15/2003 - 16:08:16 16:08:16

O80.9 -
Single
spontaneous
NOVI ISLAMI delivery,
855 PUTRI 112052 11/22/1992 unspecified 16:12:02 16:12:02
856 DILFI SAHIRA 113270 12/27/2000 - 16:15:52 16:15:52
BY NY HAIFA
857 NUR AULIA 115238 2/18/2022 - 17:41:00 17:41:00

K30 -
Functional
dyspepsia |
R50 - Fever
of other and
RATIH unknown
858 NENGSIH 077099 5/11/1995 origin 18:21:02 18:22:15
R50.9 -
DIKA Fever,
859 PRATAMA 109619 4/9/2017 unspecified 18:46:31 18:48:20

J45.9 -
Asthma,
unspecified |
K30 -
Functional
860 ENUNG 115239 4/1/1958 dyspepsia 18:50:46 18:51:46 0:02:30
TISA PUTRI
861 AULIA 104620 5/17/2007 - 18:54:38 18:55:12

K30 -
Functional
862 BARIJI 115240 5/1/1960 dyspepsia 19:08:43 19:10:55

R50.9 -
Fever,
863 H.MAHFUD 098405 1/1/1960 unspecified 19:12:21 19:25:00

M. LOETHFIE R50.9 -
RADITYA Fever,
864 APENI 106285 5/11/2001 unspecified 19:22:04 19:13:23
YAYAN
865 SURYANA 077447 5/9/1970 - 19:30:01 19:08:20
866 OTIH 051660 7/1/1948 - 20:47:29 20:41:02
DINA SRI
867 HARYANTI 115241 6/23/1987 - 21:03:55 21:05:05
868 EDI SUKARDI 103700 3/10/1973 - 21:06:51 21:08:07
869 KRIS INDRIA 115242 1/10/1983 - 21:20:40 21:22:46

SANTI
SUSANTI
870 PAUZIAH 107478 1/1/1977 - 21:25:31 15:43:45
ACHMAD
871 LATIF 058051 3/22/1971 - 23:32:52 23:32:52
BY NY IMEN
872 MELISAH 115243 2/18/2022 - 23:43:23 23:43:23
DADE
873 SURYADI 115247 3/20/1966 - 6:26:23 6:28:53

DONI
874 AMELIANSYAH 115244 3/24/1998 - 1:00:44 1:02:10
875 ABAD 115245 10/12/1972 - 2:00:00 2:01:42
876 SITI ANNISA 115246 6/3/2020 - 3:16:32 3:17:37
RAFFASYA R50.9 -
LAZUARDY Fever,
877 PARPIZ 096703 1/9/2020 unspecified 4:42:11 15:12:59

NENG RISKA
PURNAMA
878 SARI 044721 10/8/1992 - 5:33:43 5:33:43

T14 - Injury
of
FARID unspecified
879 SENDIAWAN 018579 6/24/1985 body region 5:58:55 5:59:24 0:02:14
JAJAH
880 HADIJAH 113948 4/14/1951 - 6:06:00 6:09:27

SULTAN
MOHAMMAD
881 ABDULAZIZ 045703 2/4/2013 - 6:09:19 6:12:39
DADE
882 SURYADI 115247 3/20/1966 - 8:54:36 16:41:46

RIA DWI
883 PUSPITASARI 027950 3/3/1989 - 6:30:01 6:30:59

BAYI NY NOVI
884 ISLAMI PUTRI 115252 2/19/2022 - 8:29:48 8:29:48
SHEILA
885 AGUSTINA 068396 8/21/2005 J45 - Asthma 9:11:43 9:12:55 0:02:10

T14.0 -
Superficial
injury of
HENI unspecified
886 HANDAYANI 038514 12/27/1972 body region 9:11:39 9:13:59 0:03:10
GHIBRAN AL
887 FAUZI 115254 2/19/2022 - 9:11:22 9:11:22
888 YUHANAH 115255 11/22/1963 - 9:15:00 9:16:50
BAYI NY DEWI
889 SINTA 115257 2/19/2022 - 10:00:04 10:00:04

DARUL
FEBRIAN
890 HIKMAT 115253 2/13/2010 - 12:47:13 19:21:50
891 CUCU 038033 6/7/1975 - 10:28:51 10:30:15
J06.9 - Acute
upper
respiratory
EMA infection,
892 MAHMUDAH 090576 1/2/1996 unspecified 10:30:13 10:31:54

B34.2 -
Coronavirus
infection,
unspecified
site | R06.0 -
893 TUTIH 115258 7/1/1973 Dyspnoea 10:48:37 10:50:43 0:02:11

AMAIRA
PRAMUDITA
894 TARUNI 115259 9/17/2021 - 11:10:45 11:11:55

G44.8 -
Other
specified
headache
syndromes |
K30 -
MOCHAMMA 010642/09 Functional
895 D YOHANDA 1999 11/17/1963 dyspepsia 11:13:13 11:14:47

T01.9 -
Multiple
DARUL open
FEBRIAN wounds,
896 HIKMAT 115253 2/13/2010 unspecified 12:47:17 12:50:17 0:03:10

K30 -
Functional
897 NURUL ISMAH 052951 3/20/2000 dyspepsia 11:33:27 11:34:14

K30 -
Functional
898 SITI HABIBAH 115269 9/4/2001 dyspepsia 11:53:55 11:55:28

T01.9 -
Multiple
FAIZA open
RADITYA wounds,
899 PRATAMA 115271 2/2/2013 unspecified 11:58:08 11:59:33 0:01:12
BAYI NY NENG
RISKA
PURNAMA
900 SARI 115272 2/19/2022 - 12:40:52 12:40:52
901 LUTFI ARIZKI 115273 9/14/2020 - 13:17:53 13:18:05

ALESHIA
902 PUTRI SABIAN 115275 3/28/2021 - 13:53:07 14:00:43

R63.6 -
Insufficient
intake of
food and
SINTYA water due to
903 AFRIYANI 047384 4/30/2014 self neglect 14:06:20 14:07:57

R50.9 -
DONI Fever,
904 AMELIANSYAH 115244 3/24/1998 unspecified 15:00:21 15:01:31

O80.9 -
Single
spontaneous
delivery,
905 IRA AMELIA 079314 8/24/1996 unspecified 15:32:22 15:32:22
RISDA SUCI
906 NURJANAH 115276 6/17/1992 - 16:01:54 7:20:01

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
023478/07 Fever,
907 RIAN ANDANI 3371 11/26/1997 unspecified 16:46:46 16:47:49
SILVY MEGA R51 -
908 UTAMI 115278 1/13/2003 Headache 17:10:27 17:10:49

KHOFIFAH
INDRIANI
909 NURJANAH 115280 5/14/2000 - 18:52:50 18:53:08
NISKALA
DHANESA
YEKA
910 KERLOOZA 109569 8/7/2021 - 18:59:39 17:55:09

DZIMA
KHUMAIRA
911 TENNOV 053294 11/10/2008 - 19:37:13 19:40:59

R50.9 -
GILANG Fever,
912 RAMADHANI 115281 11/30/2003 unspecified 19:54:13 20:00:56

SAHLA RIZKIA
HERMAWAND
913 I 095535 9/1/2020 - 20:13:12 20:15:20
SITI ADIFA R51 -
914 AZKADINA 115282 1/22/2019 Headache 20:26:31 14:43:36

M NIZHAAR
TSABIT QEIS
915 AL JARAS 067292 7/14/2017 - 20:55:29 17:32:42

B34.2 -
dr. Coronavirus
YATHESTHA infection,
YOGA DWI unspecified
916 RAHESTHA 084622 11/12/1987 site 21:34:05 21:35:08

K30 -
HENDRA Functional
917 BACHTIAR 115283 5/16/1974 dyspepsia 21:47:11 21:49:09

M IDRIS
HIDAYAT
918 FIRDAUS 071137 6/30/2013 - 22:05:53 17:32:01
919 CUCU 112945 10/8/1957 - 22:22:28 22:23:26
920 SANI 081307 8/15/1995 - 22:28:13 22:29:37
921 SOPIAH 115284 4/4/1973 - 23:17:06 23:17:06
922 RAHMAT 115285 5/4/1960 - 23:23:50 17:33:34

BAYI NYONYA
923 IRA AMELIA 115294 2/19/2022 - 17:00:00 17:00:00

924 OON ONASIH 109047 9/5/1974 - 13:13:27 13:13:27


925 HERAWATI 115286 1/9/1975 - 0:01:21 0:02:56

926 NANA VIANA 111791 12/28/1991 - 0:46:27 0:50:39


927 RIZKIYAH 052478 4/14/1990 - 0:49:21 0:51:33
928 SUKAESIH 060749 4/1/1959 - 2:12:43 2:14:50
ARSYILA R50.9 -
ZAYANA Fever,
929 ANHAR 110896 12/5/2020 unspecified 4:03:28 5:26:47
LILI
930 SOMANTRI 061719 8/11/1959 - 5:31:14 5:33:15
931 TUTI 011169 7/1/1964 - 6:12:19 6:13:05

K30 -
Functional
932 HERNI 115287 10/26/1990 dyspepsia 6:49:41 6:49:33
933 E RUKOYAH 115288 6/4/1964 - 7:21:57 7:23:20

K30 -
JEJEN, (S.IP., Functional
934 M.M). 086876 5/3/1960 dyspepsia 7:24:06 7:24:46

M54.5 - Low
935 SUPARDI 115289 1/21/1950 back pain 8:12:34 8:12:15

T01 - Open
wounds
involving
RIMA ELIYA multiple
936 JULIPAH 115290 7/28/1978 body regions 8:40:16 8:41:07 0:01:11

K30 -
Functional
dyspepsia |
R50.9 -
VINA ADE Fever,
937 MIRANTI 074117 12/27/1994 unspecified 8:45:30 8:46:12

BELA J03 - Acute


938 RAHMAWATI 028748 5/25/1999 tonsillitis 9:15:51 9:17:12

R50.9 -
SHELVI Fever,
939 TRISNAWATI 115292 10/3/1985 unspecified 9:23:41 9:25:01

K30 -
NITA 049741/07 Functional
940 APRIANTI 6089 4/17/1988 dyspepsia 9:53:43 9:05:20

K30 -
Functional
941 ESIH 086877 6/4/1972 dyspepsia 10:09:56 10:10:06
MOH IDOCHI 100507/11
942 ABDUL MAJID 1322 10/13/2004 - 10:28:08 10:29:39

R50.9 -
DERIS Fever,
943 SUSANTI 115293 12/1/1987 unspecified 10:36:22 10:37:19

A09.9 -
Gastroenteri
tis and colitis
of
HANI unspecified
944 NOORYANI 048364 5/19/2000 origin 10:36:22 10:37:40

K30 -
Functional
945 SITI MARYAM 056829 12/26/1982 dyspepsia 11:26:36 11:27:18
SEPTIANA
946 YUSUF 035092 9/2/1991 - 12:16:25 15:24:13

J06.9 - Acute
upper
respiratory
DADEN infection,
947 HENDIAWAN 062270 10/12/1983 unspecified 12:20:20 12:21:11

SUCI ALJAHRA
948 PITRI 115301 8/11/2012 - 13:07:14 13:08:30
AGUS
949 RAHMAT 016450 5/11/1960 - 13:11:03 13:12:08
YOSEP
950 SUPRIYADI 115302 1/1/1994 - 13:21:54 13:21:33

R50.9 -
DEDE Fever,
951 HENDRAWAN 113022 1/15/1996 unspecified 13:28:22 13:30:13

ULFA NUR
RACHMAYANT
952 I 107540 7/15/1998 - 13:35:07 14:21:44

MUHAMMAD
953 FUAD HISYAM 097129 8/2/2016 - 13:40:22 13:40:45

K30 -
005962/01 Functional
954 MELAWATI 6/102 7/14/1991 dyspepsia 13:47:09 13:50:08
QUEENZA R50.9 -
ALENCA PUTRI Fever,
955 DINANTI 104996 4/27/2021 unspecified 13:57:52 13:58:37

J06.9 - Acute
upper
SEKAR ARUM respiratory
SENJAKEMUNI infection,
956 NG 051961 6/3/2018 unspecified 14:09:38 14:11:01

K30 -
NOPI Functional
957 NURPIANA 097405 11/1/1984 dyspepsia 14:15:57 14:16:15
SULTAN
958 AGUNG 115305 2/5/2018 - 14:22:33 14:23:50

N39.0 -
Urinary tract
infection,
RIZKY site not
959 LAELASARI 087287 8/20/1991 specified 14:24:56 14:25:52
RIRI FUJI
960 PEBRIANTI 115306 2/10/2006 - 18:01:37 18:01:37

E12 -
Malnutrition
-related
ASEP diabetes
961 MUHTAR 115307 7/24/1961 mellitus 14:45:34 14:58:01

K30 -
Functional
dyspepsia |
ARI ARYATI R50.9 -
SUHARJA, Fever,
962 (S.ST) 016185 10/12/1989 unspecified 14:47:39 14:47:04
J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
Fever,
963 IJUD ROJUDIN 076161 7/1/1970 unspecified 15:40:12 15:43:57

964 UJANG WIRYA 105341 5/6/1973 - 15:52:16 15:52:16

T14 - Injury
of
unspecified
body region
| T14.1 -
Open wound
of
unspecified
965 KARYA 115309 11/6/1964 body region 16:21:54 16:25:06 0:04:08

MUHAMMAD R50.9 -
REZA NUR Fever,
966 RAHMAN 115313 7/3/2019 unspecified 16:42:06 16:42:56

K30 -
Functional
967 HOLISOH 096010 7/1/1966 dyspepsia 17:22:07 17:41:10

BAYI NY RIRI
FUJI
968 PEBRIANTI 115314 2/20/2022 - 18:01:27 18:01:27

DAFINA AHRA R11 - Nausea


969 FABRIANA 115144 2/7/2007 and vomiting 19:18:29 14:20:24

R50.9 -
IQBAL Fever,
970 NUGRAHA 115317 12/15/1988 unspecified 19:38:58 19:40:30
K30 -
Functional
dyspepsia |
ADANG M79.1 -
971 SUKAEDI 058798 4/23/1948 Myalgia 19:41:56 19:42:10

T16 - Foreign
972 RUSMANA 115318 5/16/1973 body in ear 20:14:19 20:15:28 0:01:14

G44.0 -
Cluster
headache
973 ARI SETIAWAN 114600 1/5/1983 syndrome 20:19:42 20:20:36

MUHAMMAD R50.9 -
IKHRIANSYAH Fever,
974 GUMELAR 115319 7/6/2017 unspecified 20:33:50 20:35:19
ALDIRA
975 OKTAVIA 115320 10/20/2002 - 20:51:50 20:51:50

J06.9 - Acute
upper
respiratory
infection,
unspecified |
J45.9 -
IMAS Asthma,
976 MASRIAH 115321 12/1/1977 unspecified 20:53:25 20:55:45 0:02:12

R56 -
Convulsions,
not
SONIA elsewhere
977 AUDIRA 115322 1/26/2002 classified 21:03:58 21:05:54 0:03:12

K30 -
YENI SRI Functional
978 WAHYUNI 115323 4/11/1992 dyspepsia 21:08:05 21:09:03

R50.9 -
HENDRA Fever,
979 GUNAWAN 115324 7/28/1991 unspecified 21:10:56 14:42:19
980 ISAL 115325 5/5/2004 - 21:35:08 21:35:18

K30 -
Functional
981 MINJANAH 023789 4/16/1964 dyspepsia 21:36:01 21:37:04
R50.9 -
YUYU Fever,
982 YULIANTI 115326 11/7/1990 unspecified 21:41:59 21:43:08

J06.9 - Acute
upper
respiratory
infection,
unspecified |
J45.9 -
RANIA YULIAN Asthma,
983 PUTRI 094892 7/8/2017 unspecified 21:47:49 21:48:51 0:02:10

R50.9 -
Fever,
984 IYO SENO 074440 8/1/1952 unspecified 22:13:34 22:15:10

K30 -
kania Functional
985 patmawati 115327 7/5/1994 dyspepsia 22:25:30 22:30:45

K30 -
UJANG Functional
986 MISBAH 095964 9/25/1967 dyspepsia 23:12:04 23:13:26
987 YULIANTI 115328 7/31/1984 - 2:13:51 0:00:24

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
confirmed |
K92.0 -
BETI Haematemes
988 NURBAETI 115329 9/10/1970 is 0:16:24 0:19:02 0:03:28

O80.9 -
Single
spontaneous
IIS delivery,
989 SUSILAWATI 115330 3/1/1987 unspecified 0:35:43 0:35:43
J45 - Asthma
| J45.9 -
Asthma,
990 JAJAT 071096 12/18/1981 unspecified 4:58:51 4:59:57 0:02:10

R10.0 -
Acute
991 SAEPUDIN 115033 9/23/1955 abdomen 6:06:59 6:10:59 0:05:00

T14.1 - Open
wound of
unspecified
992 NENDA 115332 2/21/1967 body region 6:11:47 6:15:12 0:04;10

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
R50.8 -
Other
DEVIA PUTRI specified
993 NURAZIZ 051563 12/7/2017 fever 6:13:48 6:15:49

K30 -
Functional
dyspepsia |
R50.9 -
LULU Fever,
994 ILMAKNUN 115333 4/7/1996 unspecified 6:17:03 6:18:26
BY NY IIS
995 SUSILAWATI 115334 2/21/2022 - 6:27:16 6:27:16
T14.1 - Open
wound of
unspecified
996 IRMASARI 115335 4/8/2000 body region 7:28:44 7:30:48 0:03:10

K30 -
ATIK Functional
997 NURHASANAH 079510 3/12/1970 dyspepsia 7:06:20 7:07:02

K30 -
Functional
dyspepsia |
YENI R50.9 -
NURAENI, Fever,
998 (A.Md.Kep.). 053275 8/7/1987 unspecified 6:41:28 6:42:43

R50.9 -
PAPA Fever,
999 PAHRUDIN 115336 2/1/1969 unspecified 6:54:53 6:54:53

RAHMAT R50.9 -
HIDAYAT, Fever,
1000 (Ners) 087491 6/12/1994 unspecified 6:59:31 6:59:41

ELA J18.9 -
NURLAELA Pneumonia,
1001 SARI 106805 5/22/1986 unspecified 7:26:02 7:30:32 0:04;16

B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
AGUS Fever,
1002 KUSMANA 019797 1/24/1982 unspecified 8:15:08 8:16:23

B34.2 -
Coronavirus
RISCHA infection,
RAHMAWATI, unspecified
1003 (dr). 100146 8/27/1990 site 8:21:43 8:23:07
FEVI
1004 OKTAVIANI 112074 10/5/1987 R18 - Ascites 8:35:05 8:36:02 0:01:07
R50.9 -
SALSABILA Fever,
1005 AZZAHRA 115208 10/14/2003 unspecified 9:15:29 9:16:03

R11 - Nausea
1006 DAMAN 029727 8/17/1955 and vomiting 10:00:23 10:02:47

B34.2 -
Coronavirus
infection,
LISTIANI unspecified
1007 KANIA UTARI 065873 12/20/1989 site 10:20:20 10:21:02

O. R50.9 -
FIRMANSYAH, Fever,
1008 (H). 060451 9/4/1949 unspecified 10:38:11 10:28:09

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
1009 IDA 023445 6/6/1982 unspecified 10:38:11 10:39:48

K30 -
Functional
1010 IPAT PATIMAH 113721 6/1/1977 dyspepsia 10:57:50 10:59:16

B34.2 -
Coronavirus
dr. FERRY infection,
SUDARSONO, 107045/11 unspecified
1011 Sp.B 5122 10/7/1982 site 11:03:47 11:31:27

R11 - Nausea
and vomiting
| R50.9 -
RIHMA SA Fever,
1012 DIAH 057659 5/5/1993 unspecified 12:42:48 12:43:22
T01 - Open
wounds
involving
multiple
1013 PEPE SAPEI 115366 6/1/1965 body regions 13:07:49 13:08:17 0:01:59

J06 - Acute
upper
respiratory
infections
multiple and
RASYA AL unspecified
1014 FARIZI ADITIA 101430 1/6/2015 sites 13:29:17 13:40:00

T14 - Injury
of
DHIYA ANDIKA unspecified
1015 PUTRA 115367 9/23/2019 body region 14:06:09 14:07:45 0:01:51

K30 -
Functional
dyspepsia |
R50 - Fever
of other and
unknown
1016 EHA ROHANI 013573 9/10/1972 origin 14:12:39 14:13:39

R50 - Fever
of other and
ELIDA unknown
1017 SUHAERANI 046787 7/4/1966 origin 14:16:21 14:17:21
ASEP
1018 MULYANA 032630 4/10/1979 - 14:23:41 14:24:16

R50 - Fever
of other and
unknown
origin |
R50.9 -
ILHAM Fever,
1019 WILDAN 111836 10/24/1994 unspecified 14:54:58 14:56:50
J06.9 - Acute
upper
respiratory
WAWAN infection,
1020 GUNAWAN 115368 7/1/1959 unspecified 16:26:51 16:26:13
TUTI R51 -
1021 NURHAYATI 079373 9/19/1978 Headache 17:03:46 17:05:22

R50.9 -
SAMBAS Fever,
1022 PRAWIRA 097403 8/1/1984 unspecified 17:12:19 17:13:59

R50.9 -
NAYLA YADI Fever,
1023 DAMAYANTI 047348 7/5/2007 unspecified 17:34:23 17:35:47

R50.9 -
Fever,
1024 SRI WIYANTI 115369 3/11/1981 unspecified 17:39:40 17:40:51

J06.9 - Acute
upper
respiratory
ENUNG infection,
1025 SUMIATI 063520 11/5/1957 unspecified 17:45:54 17:46:20

G44 - Other
headache
syndromes |
NENSA AINUR R51 -
1026 FITRI 115370 11/1/2003 Headache 18:11:29 18:13:17

R50.0 - Fever
with chills |
R50.9 -
ADLY AKBAR Fever,
1027 PRATAMA 039743 11/5/2009 unspecified 19:04:33 19:06:06

J45.9 -
ROSLINDA Asthma,
1028 RISMAWATI 046287 6/5/1977 unspecified 19:08:55 19:09:53 0:02:43
1029 HANI ISNAENI 047510 5/16/1973 - 19:11:18 10:29:11

R50 - Fever
of other and
unknown
origin |
R50.9 -
Fever,
1030 DENDA 115371 7/12/1995 unspecified 19:14:06 19:16:56

J06.9 - Acute
upper
respiratory
infection,
1031 KHADIJAH 100269 8/5/1997 unspecified 19:17:17 19:18:31

K30 -
Functional
dyspepsia |
K52.9 -
Noninfective
gastroenteri
tis and
colitis,
1032 SITI MASMILA 075895 3/7/2002 unspecified 19:19:34 19:21:14

K30 -
Functional
dyspepsia |
R50 - Fever
of other and
NADIA RHESA unknown
1033 RAHESTHA 114432 11/3/1991 origin 19:22:31 19:23:03

K30 -
Functional
dyspepsia |
R11 - Nausea
1034 IROH 037889 6/2/1960 and vomiting 20:15:53 20:16:29
E14.9 -
Unspecified
diabetes
mellitus
without
complication
1035 NURJANAH 115372 7/4/1966 s 20:23:28 20:35:05

1036 UNSUR 101383 1/1/1956 J45 - Asthma 20:34:31 20:36:27 0:02;10


DWI SYAHLA
1037 ABIDAH 079878 12/12/2002 - 20:45:44 20:47:48

K30 -
FARREL RIZKIA Functional
1038 PUTRA 115373 10/28/2014 dyspepsia 21:46:27 21:50:42

K30 -
ASRI SALSA Functional
1039 FADHILAH 115374 1/21/2003 dyspepsia 22:40:01 22:45:01

A09.0 -
Other
unspecified
gastroenteri
tis and colitis
YAKUB of infectious
1040 HANAPI 115375 9/30/2020 origin 23:38:05 23:39:34

FAISAL R50.9 -
AHMAD Fever,
1041 MAULANA 115376 5/6/2005 unspecified 1:35:41 1:36:42

R50.9 -
ISMI NUZULUL Fever,
1042 RIZQI 115377 2/16/2021 unspecified 2:39:58 15:48:57

R50.9 -
Fever,
1043 TIA FAJRIATI 032005 10/26/1993 unspecified 6:12:22 6:15:13
IRA
1044 INDRAYANI 115378 1/4/1980 - 7:18:43 7:20:25
B34.2 -
Coronavirus
infection,
unspecified
site | K40 -
Inguinal
1045 SODIKIN 115383 7/1/1968 hernia 8:59:50 9:00:17
YENI
1046 RESMIANI 088984 9/12/1989 - 11:34:33 11:27:09
1047 SAEPUDIN 115033 9/23/1955 - 9:32:36 9:34:10

K30 -
Functional
dyspepsia |
K65 -
Peritonitis |
K65.0 - Acute
peritonitis |
K65.9 -
Peritonitis,
unspecified |
R10.0 -
Acute
1048 ADE RUHIYAT 115387 10/9/1960 abdomen 9:54:39 9:48:07

K30 -
Functional
dyspepsia |
R11 - Nausea
1049 SITI MASMILA 075895 3/7/2002 and vomiting 10:11:48 10:15:26

J45 - Asthma
MUHAMMAD | J45.9 -
ZULFIKAR Asthma,
1050 ASSHIDQY 112130 1/21/2018 unspecified 10:28:24 10:29:31 0:01;06

A91 -
Dengue
haemorrhagi
c fever | A91
NAYLA - Dengue
AMANDA haemorrhagi 22:39:36
1051 PUTRI 115392 2/24/2007 c fever 22:36:29 AM 0:03;10
J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
YUSSY ALFIANI Fever,
1052 RACHMAN 082001 7/11/1994 unspecified 11:19:03 11:20:49
R06.0 - 13:57:29
1053 YAYAH YULIAH 115393 7/15/1969 Dyspnoea 13:55:20 PM 0:02;10

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
1054 RINI MARYANI 055737 12/23/1994 origin 12:28:19 12:29:22

R50.8 -
Other
RIDWAN specified
1055 MAURAKSA 058727 11/10/1991 fever 12:30:11 13:33:34

R50.8 -
Other
specified
fever | R50.9
NENENG - Fever,
1056 MARYANI 045669 12/7/1994 unspecified 13:47:11 13:47:31

INTAN R50.9 -
CHAERUNNISA Fever,
1057 DAMAYANTI 095393 3/29/1999 unspecified 13:45:51 12:46:21

R10.0 -
Acute
1058 PUJA PANI 061567 4/17/2007 abdomen 14:15:18 14:16:01 0:01:07
ERNI
1059 YULIAWATI 115394 4/11/1983 - 14:54:55 14:54:55
LIA
1060 LISNAWATI 063913 7/3/1979 - 15:01:35 20:21:15

R50.9 -
SILVIA Fever,
1061 ANGGRAENI 070440 5/9/2002 unspecified 15:26:58 15:28:13
K30 -
AAY Functional
1062 NURJANAH 022219 9/17/1973 dyspepsia 16:19:36 16:20:18
1063 YUSRIL SIDIK 114947 5/17/2000 - 16:24:19 17:42:22

R50.9 -
ANDRI 025016/06 Fever,
1064 SUGIANI 2/114 12/23/1978 unspecified 16:33:58 16:35:16

R50.9 -
SITI HASNA Fever,
1065 NURAINA 115395 9/3/2021 unspecified 16:38:09 16:39:22

K30 -
Functional
dyspepsia |
R50.9 -
FIRMAN Fever,
1066 MAULANA 107070 11/14/1986 unspecified 16:38:09 16:39:57

A09 - Other
gastroenteri
tis and colitis
of infectious
MUHAMMAD and
IQBAL unspecified
1067 FAUZAN 114997 8/1/2019 origin 16:46:36 16:47:32

R50.9 -
RAHMATUL Fever,
1068 HIJRIATI 073555 11/8/1977 unspecified 16:59:07 17:00:57

K30 -
012273/01 Functional
1069 MUMUH 6478 7/1/1950 dyspepsia 17:21:35 17:23:42

T01 - Open
wounds
involving
multiple
1070 VERA SILVIA 115396 12/10/1976 body regions 17:27:31 17:28:52 0:02:11

R50.9 -
LINDA 040988/07 Fever,
1071 SULASTRI 7093 12/12/1983 unspecified 17:34:05 17:35:57
R11 - Nausea
and vomiting
SHEENA | R50.9 -
UTARA Fever,
1072 WULANDARI 038701 10/15/2015 unspecified 17:35:08 17:37:43
WINDA
1073 WIDYAWATI 115397 5/6/1993 - 17:40:30 11:24:36

J06.9 - Acute
upper
respiratory
infection,
1074 SUTISNA 098366 4/24/1966 unspecified 17:47:16 17:48:52

MOHAMMAD R50.9 -
KHOIRUL Fever,
1075 HAFIDZIN 115398 8/28/2010 unspecified 18:00:52 18:01:21

R50.9 -
Fever,
1076 NINING 115399 8/6/1975 unspecified 18:18:43 18:19:45

T01 - Open
wounds
involving
DEWI multiple
1077 SEILAWATI 025075 12/15/1995 body regions 18:26:55 18:28:09 0:03:11

R50.9 -
DENIS Fever,
1078 AGUSTIAN 115400 8/27/1995 unspecified 18:26:55 18:28:47

T01 - Open
wounds
involving
M. RAZIQ multiple
1079 HANAN 115401 4/12/2015 body regions 19:05:27 19:08:37 0:03:05

K30 -
WAWAT Functional
1080 RAHMAWATI 072687 1/31/1962 dyspepsia 19:08:05 19:09:42
R50.9 -
Fever,
1081 DEDE RICKY 115402 1/27/1986 unspecified 19:34:03 19:35:04

J06.9 - Acute
upper
respiratory
infection,
1082 USIN MUKSIN 115403 7/1/1950 unspecified 19:42:27 19:43:11

MUHAMMAD
RIZKI R50.9 -
RAMADHAN Fever,
1083 ASSYAKUUR 109692 4/25/2020 unspecified 19:48:03 19:49:52

K30 -
Functional
dyspepsia |
R11 - Nausea
1084 JUAN 105427 12/1/1972 and vomiting 20:32:12 20:33:47

K30 -
M RYAN Functional
1085 FEBRYANA 115404 2/5/2004 dyspepsia 21:41:03 21:43:57

K30 -
Functional
1086 ELY NURLIAH 021816 2/21/1966 dyspepsia 22:29:23 22:30:28

DIVA
NOERDAYITA
1087 JAENUR 085914 2/5/2003 - 22:48:42 22:44:03

T14 - Injury
of
MUTIARA unspecified
1088 IDHA ASSYIFA 042284 2/12/2003 body region 23:01:13 23:03:36 0:02;04

MUHAMMAD R50.9 -
ABIDZAR Fever,
1089 ALFARIZQI 115405 11/14/2019 unspecified 0:08:22 0:08:22
B34.2 -
Coronavirus
infection,
unspecified
site | J06.9 -
Acute upper
respiratory
MOHAMAD infection,
1090 HARIS 050441 11/23/1991 unspecified 3:20:14 3:44:59

B34.2 -
Coronavirus
infection,
MOHAMAD unspecified
1091 HARIS 050441 11/23/1991 site 3:20:40 3:20:40

MARYAM
KANAZIA
1092 ZAKIYYA 115406 5/1/2021 - 3:24:51 3:27:23

J06.9 - Acute
upper
respiratory
PAPA infection,
1093 PAHRUDIN 115336 2/1/1969 unspecified 4:04:59 4:05:42

E11.9 - Non-
insulin-
dependent
diabetes
mellitus
without
UJANG complication
1094 SURYAMAN 115407 8/21/1980 s 4:22:19 4:23:30

F50.5 -
Vomiting
associated
with other
psychologica
NUNI l
1095 NURAENI 108961 6/2/1991 disturbances 6:37:20 6:51:57
IRVAN K30 -
CHILMY, Functional
1096 (A.Md.Kep.) 094879 6/8/1983 dyspepsia 8:19:17 8:20:02

K30 -
Functional
1097 ELY NURLIAH 094497 2/21/1966 dyspepsia 8:59:27 9:02:15

H81.1 -
Benign
paroxysmal
vertigo |
R50.9 -
Fever,
1098 DESI SUSANTI 106510 9/22/1994 unspecified 9:50:48 9:55:34
1099 SUPRIYADI 115424 9/1/1976 - 9:58:49 9:58:49
RANDI R06.0 - 13:09:28
1100 LESMANA 115429 7/24/1995 Dyspnoea 13:04:02 AM 0:05:30

R50.9 -
ALI ZAENAL Fever,
1101 ABIDIN 115432 7/25/2017 unspecified 10:55:58 10:57:39

A91 -
Dengue
haemorrhagi
c fever |
R50.9 -
Fever,
unspecified |
R50.9 -
ABDUL Fever,
1102 GHIFARI 115433 10/15/2014 unspecified 11:12:01 11:14:34 0:02:35
M HASBIE
1103 ANDARIS 115434 3/2/2014 - 11:30:51 13:36:40

T14.1 - Open
wound of
unspecified
body region
| T14.9 -
REYZA Injury, 13:05:22
1104 DENDIANSYAH 115435 2/12/2002 unspecified 13:01:16 PM 0:04;38
1105 M. DAMAN 090884 3/14/1978 - 13:08:05 13:10:12
R50.9 -
ALFATHUNISS Fever,
1106 A AQILA 054797 8/6/2017 unspecified 13:14:16 13:16:17

R11 - Nausea
1107 SHAHNAZ 115438 2/2/2021 and vomiting 13:51:32 13:52:09

T14 - Injury
of
unspecified
body region
| T14.1 -
Open wound
of
unspecified
1108 USMAN 115439 8/1/1981 body region 14:25:05 14:26:01 0:01:20

A09.9 -
Gastroenteri
MUHAMMAD tis and colitis
FATTAR of
RIZQULLAH unspecified
1109 RUZAIN 115441 9/2/2021 origin 15:06:44 20:44:58

DZUHAZHIN R50.9 -
HARITH Fever,
1110 ALHUSAYN 115443 5/29/2021 unspecified 15:17:22 15:19:14

R11 - Nausea
1111 TITIN SURTINI 115444 10/12/1983 and vomiting 15:23:44 15:25:09

A90 -
Dengue
fever
[classical
dengue] |
A91 -
Dengue
haemorrhagi
c fever | K30
- Functional
1112 ELISA APRILIA 115445 4/5/2003 dyspepsia 15:33:33 15:34:46
R50.9 -
SHAKHIYA Fever,
1113 RAISA AFIFAH 115446 11/17/2019 unspecified 15:41:41 15:43:21

B34.2 -
Coronavirus
infection,
unspecified
site | K30 -
Functional
dyspepsia |
R63 -
Symptoms
and signs
concerning
RAHMAT food and
1114 HIDAYAT 115447 2/27/1963 fluid intake 15:52:32 15:53:52

R50.9 -
SITI HASNA Fever,
1115 NURAINA 115395 9/3/2021 unspecified 16:08:54 16:10:01

R50.9 -
FIRMAN Fever,
1116 RAHAYU 115448 4/23/1987 unspecified 16:47:33 16:47:17

R50.9 -
ROWDHATUL Fever,
1117 IMTIHANA 115449 5/8/1988 unspecified 16:47:38 16:48:29

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
M IDRIS R50.9 -
HIDAYAT Fever,
1118 FIRDAUS 071137 6/30/2013 unspecified 17:24:07 17:25:07

K30 -
Functional
1119 RINI ULFAH 101014 3/11/1990 dyspepsia 17:30:05 17:31:01
R50.9 -
Fever,
1120 DIDI 075591 4/5/1987 unspecified 17:55:13 17:56:14

R50.9 -
NABILA AZKA Fever,
1121 HAFIZHAH 033972 6/8/2010 unspecified 18:48:17 18:49:53

TRYA G44.2 -
SEPTIMILLEA Tension-type
1122 PAMUNGKAS 104531 9/1/2000 headache 19:02:17 19:03:41

R50.9 -
ALGHIFARI Fever,
1123 GIBRAN FEYZA 067030 4/16/2018 unspecified 19:05:55 19:07:54

R50.9 -
MUHAMMAD Fever,
1124 ALFI SYAHDI 107259 6/30/2021 unspecified 19:20:33 19:21:03

IBRAHIM
MAKKI
1125 ANNAJA 115452 1/14/2019 J45 - Asthma 19:41:42 19:43:49 0:03:11
1126 NURHAYANI 070847 8/18/1976 - 19:46:07 19:47:47
1127 SOPIAN 102114 7/1/1951 - 20:52:10 20:53:19

K30 -
TASYA TIARA Functional
1128 APRILLIANI 115458 4/25/2002 dyspepsia 21:23:23 21:24:45

T14 - Injury
of
unspecified
1129 SITI JULAEHA 115460 9/18/1976 body region 7:14:48 7:18:50 0:04:30

R50.9 -
Fever,
unspecified |
SITI IMELDA R50.9 -
PURNAMA Fever,
1130 SARI 115462 5/10/2008 unspecified 8:27:03 8:30:57
A91 -
Dengue
haemorrhagi
c fever | A91
- Dengue
haemorrhagi
c fever | K30
- Functional
dyspepsia |
R50.9 -
IWAN Fever,
1131 SETIAWAN 115467 6/5/1983 unspecified 9:31:56 9:34:14 0:04:12

A91 -
RISKA Dengue
FEBRIANTI haemorrhagi
1132 NURHALIJ 115461 2/18/2000 c fever 9:45:57 9:47:28 0:02:05
1133 EMAN 115469 7/1/1950 - 10:15:18 13:05:04

Z90.8 - Z90.8
- Acquired
absence of
1134 TARSIH 112733 5/4/1946 other organs 10:18:22 1:40:58

B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
YUDI Fever,
1135 AMINULLAH 047447 9/21/1975 unspecified 10:58:18 11:00:48

O80.9 -
Single
spontaneous
ZULFA AL delivery,
1136 MADINA 115470 3/9/1996 unspecified 11:01:42 11:01:42

GERMAIN
SENTANA
1137 PUTRA 115471 1/7/2002 - 11:45:09 11:50:21
N17.9 -
Acute renal
PARDI B. HADI failure,
1138 SUPARDJO 115473 4/10/1956 unspecified 12:48:07 12:50:51

1139 SARIPAHASNA 115474 7/1/2002 - 12:59:43 12:59:43

B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
ALEM Fever,
1140 SULAEMAN 115475 12/17/1972 unspecified 13:09:37 13:50:53

G03.9 -
Meningitis,
unspecified |
R50.9 -
Fever,
unspecified |
R56.0 -
Febrile
convulsions
MUHAMMAD | R56.0 -
RAFKA Febrile 17:50:21
1141 DESTIAN 115476 4/26/2021 convulsions 17:48:51 PM 0:02:10
1142 ANAH 113832 4/23/1953 - 14:54:56 14:55:44

R50.9 -
M RAFA Fever,
1143 ALFAHRIZI 083773 7/28/2019 unspecified 15:39:12 15:40:22

K30 -
SELVI Functional
1144 AGUSTINA 023294 8/14/1994 dyspepsia 15:43:40 15:44:30

E9064 - Bite
of
NAWAF RIZKY nonvenomo
1145 SUBARKAH 115477 5/12/2018 us arthropod 15:51:46 15:55:57 0:05:00
NONEH
1146 FATMAWATI 099839 7/4/1996 - 16:16:15 16:16:15
NUNUY
1147 NURHAYATI 115347 7/23/1996 - 16:54:57 16:54:57

B34.2 -
Coronavirus
infection,
unspecified
site | J06.9 -
Acute upper
respiratory
infection,
unspecified |
MUHAMAD R50.9 -
UMAR Fever,
1148 MAHMUDIN 057501 1/19/1984 unspecified 17:01:40 17:04:52

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
GENING Fever,
1149 SUGESTI 072197 11/28/1970 unspecified 17:33:48 17:35:20

K30 -
Functional
1150 ELAH SALSIAH 115478 6/8/1962 dyspepsia 18:51:33 18:54:38

G44.2 -
GANJAR TEJA Tension-type
1151 PERDANA 080392 3/31/1986 headache 18:59:23 19:01:35

R50.9 -
DAFFA FAZRIL Fever,
1152 PERDANA 073834 9/13/2013 unspecified 18:59:32 19:02:18

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
1153 D JUBAEDAH 115480 9/3/1960 origin 19:11:50 19:15:00
BY NY
1154 SARIPAHASNA 115481 2/24/2022 - 19:25:20 19:25:20

R50.9 -
Fever,
1155 BUDIYANTO 115482 7/18/1974 unspecified 19:31:33 19:36:08

IRWAN
KURNIAWAN
1156 PRATAMA 115483 4/21/1994 - 19:49:21 9:56:57
ARYYA
1157 WIGUNA 051586 8/30/2017 - 20:39:29 9:57:42

R10.4 -
Other and
unspecified
LISANA SIDQIA abdominal
1158 ALIYA 073292 4/27/1999 pain 20:48:15 20:48:30
020217/07
1159 KOSASIH 6396 10/20/1942 - 21:25:13 21:26:26

AIDA
FATMAWATI,
1160 (Hj). 030183 7/1/1970 - 21:29:48 21:32:23
E9060 - Dog
1161 UCEP 115484 3/14/1968 bite 21:35:41 21:37:05 0:02:46

BAYI NYONYA
NONEH
1162 FATMAWATI 115485 2/24/2022 - 21:30:00 21:30:00
1163 EPENDI 115487 5/14/1980 - 23:08:13 23:11:53
1164 LUTPIYAH 115488 6/10/1984 - 23:55:37 23:57:25

ALGEEZA R50.9 -
LINTANG Fever,
1165 CHANDRA 090577 3/22/2020 unspecified 1:53:06 0:43:29

SITI ADE
1166 NURHASANAH 115491 2/4/1967 - 0:47:18 0:48:51

MUCHAMAD
1167 MUCHAEMIN 023183 10/10/1971 - 3:12:32 3:14:02
1168 ANIH 049715 7/1/1970 - 4:02:07 4:04:01

BAYI NYONYA
1169 LUTPIYAH 115492 2/25/2022 - 2:56:00 2:56:00
E11.9 - Non-
insulin-
dependent
diabetes
mellitus
without
complication
s | K30 -
Functional
dyspepsia |
R11 - Nausea
1170 IROH 037889 6/2/1960 and vomiting 5:59:20 5:31:30
1171 BAGAS 115495 11/21/2020 - 9:53:36 10:16:16

KALESHA
SHANUM
1172 UMAIZA 115497 12/21/2020 - 9:38:02 9:40:58

ANDY
PERDANA
PUTRA
1173 SAMOSIR 094769 4/7/1995 - 11:11:30 11:15:32

ADIKA FADMI
1174 NURAZIZAH 078999 4/20/2000 - 12:37:58 12:57:47

B34.2 -
Coronavirus
infection,
unspecified
site | K30 -
Functional
dyspepsia |
R50.9 -
ENDANG SRI Fever,
1175 WAHYUNI 115501 6/15/1987 unspecified 12:39:34 12:39:00

K30 -
CAHAYA Functional
1176 OKTAVIANI 115502 10/19/2004 dyspepsia 12:51:41 12:52:00

K30 -
ENUR Functional
1177 NURAISAH 115503 7/1/1967 dyspepsia 13:00:34 15:57:53
B34.2 -
Coronavirus
infection,
unspecified
site | I50.0 -
Congestive
heart failure
| J12.8 -
Other viral
pneumonia |
K30 -
UWOH Functional
1178 SAEPULOH 023279 7/1/1954 dyspepsia 13:39:04 17:04:30

T14 - Injury
of
HERLAN unspecified 13:47:45
1179 APRIANSYAH 115504 4/8/2005 body region 13:44:16 PM 0:03:56

J12.8 - Other
viral
pneumonia |
K30 -
MITRA Functional
1180 SUMITRA 115505 8/8/1959 dyspepsia 13:48:00 13:50:57

J12.8 - Other
viral
pneumonia |
R50.8 -
Other
AEP specified
1181 SAEPUDIN 025393 7/1/1957 fever 13:58:36 13:59:46

K30 -
YUSUP Functional
1182 HARYANA 038590 12/1/1950 dyspepsia 14:10:55 14:10:32

K30 -
ODEH Functional
1183 HANDAYANI 073340 10/4/1965 dyspepsia 14:31:26 14:32:47
FATAR
1184 FADHILAH 115508 1/1/2016 - 15:28:56 15:30:42
A49.9 -
Bacterial
infection,
unspecified |
D63 -
Anaemia in
chronic
diseases
classified
elsewhere |
I10 -
Essential
(primary)
hypertension
| N18.9 -
Chronic
kidney
HJ MIMI disease,
1185 SUMIARTI 115509 8/8/1955 unspecified 15:55:12 15:58:33 0:03:45

K30 -
Functional
1186 BIBIH ROBIAH 115510 7/2/1954 dyspepsia 16:01:48 16:03:40

K30 -
Functional
1187 ELIS 115511 7/1/1973 dyspepsia 16:16:16 16:16:09
NAZRIL 009600/01
1188 ALGHAZALI 9993 5/1/2007 J45 - Asthma 16:32:26 16:35:28 0:03;10

MUTIARA
1189 IDHA ASSYIFA 042284 2/12/2003 - 16:39:22 16:39:17

KHAIRUL R50.9 -
SAEPUL Fever,
1190 ALMASYAH 115512 4/30/1986 unspecified 17:18:21 17:20:35

K30 -
IJAT Functional
1191 KHODIJAH 086068 11/4/1958 dyspepsia 17:43:22 17:45:51

N40 -
Hyperplasia
1192 IRFAN 115513 10/18/1991 of prostate 18:04:00 18:05:00
NAJMIA
AGHNI R11 - Nausea
1193 FAUZIAH 045865 5/4/2013 and vomiting 18:19:41 18:20:16

J06.9 - Acute
upper
SYAFFIRA respiratory
BELAVANIA infection,
1194 NAZARI 107667 6/13/2020 unspecified 19:07:06 19:10:32

R50.9 -
MANAH Fever,
1195 SARIMANAH 006607 7/1/1964 unspecified 19:14:42 19:15:02
IMUT SITI
1196 NURMUTIA 068766 5/5/1994 - 19:29:30 19:30:40

H60 - Otitis
externa |
H60.9 - Otitis
ANGGA SAKTI externa,
1197 HERMAWAN 115515 9/8/1987 unspecified 19:48:22 19:50:53

J45.9 -
HUSNI Asthma,
1198 MUBAROK 115516 7/15/1994 unspecified 19:53:47 19:57:42 0:05:12

K30 -
Functional
1199 TIAH 115517 2/18/1963 dyspepsia 20:00:01 20:02:42

K30 -
Functional
1200 NURDIN 115518 4/1/1976 dyspepsia 20:10:14 20:15:24

J06.9 - Acute
upper
respiratory
infection,
unspecified |
K30 -
Functional
dyspepsia |
R06.0 -
1201 SRI NURANI 115519 9/19/1998 Dyspnoea 20:13:54 20:15:50 0:03:10
R07.3 -
Other chest
1202 MAKMUR 040052 7/1/1962 pain 20:20:45 20:23:51 0:03:06

K30 -
Functional
1203 HARIS 046683 2/4/1965 dyspepsia 20:26:44 20:28:17
YAYAT
1204 MARYATI 033952 7/1/1963 - 23:00:00 23:02:47
NISPAH
1205 MUSLIHIN 113740 12/15/1997 - 0:20:50 0:22:46
WINA
1206 ROSALIA 027153 10/18/1989 - 0:35:46 0:35:46

BAYI NYONYA
WINA
1207 ROSALIA 115520 2/26/2022 - 1:02:00 1:02:00

R50.9 -
ARSYA Fever,
1208 PRATAMA 115521 5/20/2021 unspecified 7:04:52 7:06:43

J06.9 - Acute
upper
respiratory
infection,
CHINTYA unspecified |
1209 OKTAVIANI 109019 10/24/2011 J45 - Asthma 7:34:51 7:36:31 0:02:11

APRILIA PUTRI
1210 PRATIWI 115522 4/26/1991 - 7:55:35 14:17:31

J45 - Asthma
| J45.9 -
Asthma,
1211 NANANG 000775 1/1/1958 unspecified 8:15:09 8:16:20 0:01:29

HILDA R50.9 -
NOVIANTI Fever,
1212 RAHMATILLAH 058728 11/9/1995 unspecified 9:12:08 9:13:41
H81.4 -
Vertigo of
central origin
| K30 -
Functional
dyspepsia |
R51 -
Headache |
R63.8 -
Other
symptoms
and signs
concerning
food and
1213 ENI SUPRIYATI 115525 11/18/1959 fluid intake 9:25:29 9:27:43

EVAN AHMAD R11 - Nausea


1214 SAMSURIREJA 068132 8/26/2012 and vomiting 9:35:14 9:52:37

L02.9 -
Cutaneous
abscess,
furuncle and
carbuncle,
1215 UTAR 115526 6/5/1956 unspecified 9:42:49 12:54:12

A09 - Other
gastroenteri
tis and colitis
of infectious
MUHAMMAD and
PANDU unspecified
1216 ALAMSYAH 057160 7/29/2017 origin 9:48:26 9:50:10

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
1217 NASIBAH 087620 6/6/1970 unspecified 9:58:14 9:59:02
NAYLA ARISSA
PUTRI
1218 LESMANA 112178 7/28/2021 - 10:16:22 10:17:10

R50.9 -
DEWI Fever,
1219 APRIYANTI 70332 6/4/1988 unspecified 10:17:18 10:18:35

R50.9 -
DEVANDRA Fever,
1220 RALDIANSYAH 115527 9/10/2006 unspecified 11:06:53 11:08:52

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
Fever,
1221 ONENG 115528 5/10/1959 unspecified 11:13:07 11:15:17

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
ASEP Fever,
1222 SUPRIATNA 115529 12/31/1958 unspecified 11:17:23 11:17:13
E11.9 - Non-
insulin-
dependent
diabetes
mellitus
without
complication
s | E14.9 -
Unspecified
diabetes
mellitus
without
LUKMAN complication
1223 ANWAR 090512 7/28/1944 s 11:24:26 11:25:32

SRI
1224 RAHMAYANTI 115532 8/23/1996 - 13:09:21 13:09:21

J45 - Asthma
| J45.9 -
Asthma,
unspecified |
NURFITRI J45.9 -
FEBRIYANI Asthma,
1225 ABDULAH 115535 2/3/1990 unspecified 14:23:21 14:25:42 0:03:03

K30 -
DEDE Functional
1226 SAHRONI 074593 2/5/1953 dyspepsia 14:30:11 14:30:01
ARIS
1227 ARIYANDI 115536 11/6/1983 - 16:36:33 15:43:59
1228 MIMAH 027433 7/1/1962 - 17:41:14 17:42:02

J45.9 -
038628/07 Asthma,
1229 TITIN KARTINI 0365 12/6/1970 unspecified 19:14:23 19:15:32 0:01:55
1230 KARJA 115537 2/21/1951 - 10:15:45 21:07:54

K30 -
Functional
dyspepsia |
R11 - Nausea
1231 LIZA 109398 3/28/1991 and vomiting 19:36:58 19:37:23
VIONA
1232 PUSPITASARI 115538 4/8/1997 - 20:06:25 20:06:59

I50.9 - Heart
failure,
unspecified |
K30 -
IMAS Functional
1233 MASRIFAH 115539 6/28/1998 dyspepsia 20:08:43 20:10:35 0:03:18

B34.2 -
Coronavirus
infection,
unspecified
site | R50.9 -
TEDI SRI 065956/03 Fever,
1234 RAHAYU 3870 5/16/1970 unspecified 0:22:30 6:45:56

NENG RISKA
PURNAMA
1235 SARI 044721 10/8/1992 - 0:26:24 14:19:23

MUHAMMAD R50.9 -
RAIHAN Fever,
1236 ALFAUZAN 115540 3/31/2021 unspecified 6:43:52 6:45:28

J06.9 - Acute
upper
respiratory
NOVI infection,
1237 HAVIANTI 115541 11/29/1975 unspecified 7:05:11 7:07:17

K30 -
ENDAH Functional
1238 NURHASANAH 113039 12/28/1973 dyspepsia 7:09:48 7:10:30

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
1239 MIRA 115542 7/1/2005 unspecified 8:46:05 8:46:42
R50.9 -
Fever,
1240 SITI NURMALA 115543 7/1/2002 unspecified 8:54:49 8:54:35

NENG PUTRI
NURWULAN
1241 KIRANI 016616 11/26/2011 - 9:02:35 9:07:45
E9060 - Dog
1242 NAGARA HP 115544 8/11/2000 bite 9:08:26 9:11:16 0:03:46

J06.9 - Acute
upper
respiratory
EMAN infection,
1243 SULAEMAN 076416 7/1/1961 unspecified 9:38:33 10:25:49

O42.9 -
Premature
rupture of
SISKA PUTRI membranes,
1244 UTAMI 115545 9/4/1996 unspecified 13:40:40 13:40:40

A09.9 -
Gastroenteri
tis and colitis
of
MAMAN unspecified
1245 SUPARMAN 072003 12/10/1953 origin 10:37:46 10:38:59

K30 -
Functional
1246 YAYAH 110542 4/22/1963 dyspepsia 11:49:04 11:49:04

K30 -
Functional
dyspepsia |
R06.0 -
1247 YAYAH 110542 4/22/1963 Dyspnoea 11:49:04 11:51:29 0:02:32

R50.9 -
Fever,
1248 EVA HARIANI 016298 2/17/1989 unspecified 12:46:18 12:46:32
T01.9 -
Multiple
open
wounds,
unspecified |
T14.1 - Open
wound of
unspecified
1249 NOVI 115547 2/2/2000 body region 13:03:42 13:04:36 0:02:23
DISYA
1250 MEILANDY 033365 5/3/2003 - 13:38:22 13:38:22

I61.9 -
Intracerebral
haemorrhag
e,
1251 ADANG 096144 11/7/1953 unspecified 16:53:37 16:55:37 0:03:14

NAJWA AINUN R50.9 -


NINGRUM Fever,
1252 JAELANI 115548 5/23/2010 unspecified 17:58:01 17:58:01

ARLAN
ANUGRAH
1253 SIDIQ 039848 7/27/2017 J45 - Asthma 18:13:31 18:14:57 0:02:28

R50 - Fever
of other and
ELIM unknown
1254 HALIMAH 115549 7/2/1990 origin 18:21:18 18:22:34
FARHAN
1255 MAULANA 078324 3/17/2012 - 18:52:23 10:01:30
R51 -
1256 NITA AMALIA 115550 10/14/1987 Headache 18:53:57 10:12:43

MOCHAMAD
RIZQI
1257 FIRMANSAH 060598 1/4/1993 - 18:59:33 9:02:46
1258 M.PARIS 115551 4/30/2020 - 20:23:22 20:24:10

K30 -
Functional
1259 SRI MARYATI 115552 3/2/1954 dyspepsia 20:28:29 20:30:41
O20.8 -
Other
haemorrhag
IKA SRI e in early
1260 RAHMAYANI 115553 9/14/1987 pregnancy 20:32:23 14:21:27

SABHIRA
PUTRI
1261 NAUREN 115554 12/30/2020 - 21:18:49 10:03:56
HENI
1262 NURAENI 038513 4/4/1981 - 21:56:57 21:56:57

1263 EBI SETIAWAN 082060 10/3/1995 - 22:03:19 12:56:11

T14.1 - Open
wound of
ANDIKA unspecified
1264 SURYA 115555 10/28/2002 body region 22:52:21 22:56:31 0:04:52

A01.0 -
Typhoid
fever | R50.9
TANISHA AIRA - Fever,
1265 PUTRI 115556 7/13/2019 unspecified 23:00:59 23:04:47

J18.0 -
Bronchopne
umonia,
unspecified |
R06.0 -
MUHAMMAD Dyspnoea |
FADHIL R06.0 -
1266 ISAGHUJI 115557 7/23/2021 Dyspnoea 23:23:44 23:25:45 0:02:31

J06.9 - Acute
upper
MUHAMAD respiratory
AZRIL infection,
1267 ALFAUZAN 115559 10/19/2009 unspecified 0:08:21 0:09:09
R06.0 -
1268 ENUNG 115560 11/11/1979 Dyspnoea 3:45:59 3:48:40 0:04:39

ANGGARA K30 -
PAJAR Functional
1269 MUHARAM 115561 9/6/1987 dyspepsia 4:33:05 4:34:51
K30 -
Functional
1270 EVI AFRIYANTI 092308 3/11/1985 dyspepsia 4:37:29 4:38:18

K30 -
Functional
1271 IHAT SOLIHAT 101944 3/14/1956 dyspepsia 7:16:31 7:20:07

K30 -
Functional
1272 FRADIZA 115562 3/9/1990 dyspepsia 7:46:02 7:49:16

K30 -
Functional
1273 ENCEP CAHYA 115563 1/18/1988 dyspepsia 8:11:57 9:00:35
HERI
1274 HERMAWAN 115564 9/5/1975 - 9:16:10 9:17:06

J06.9 - Acute
upper
respiratory
infection,
1275 SULASTRI 028445 9/9/1996 unspecified 9:26:22 9:27:43
1276 SITI ZENAB 110262 12/24/1984 - 10:33:33 10:33:33

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 -
RIDWAN Fever,
1277 GUMELAR 115565 6/20/2001 unspecified 10:38:02 11:39:44

J06.9 - Acute
upper
respiratory
infection,
1278 SUHENDANG 114795 1/27/1963 unspecified 10:43:52 10:45:10

K30 -
Functional
1279 OOY JULAEHA 007979 6/4/1969 dyspepsia 10:48:59 10:50:47
K30 -
Functional
dyspepsia |
R50.9 -
KRISTIAN Fever,
1280 INDRIYANI 075101 11/14/1999 unspecified 10:58:06 10:59:55

R50.9 -
TIARA PUTRI Fever,
1281 LESTARI 112865 11/25/2014 unspecified 11:03:00 16:45:48

K30 -
Functional
1282 SOPANDI 090511 7/10/1939 dyspepsia 11:34:07 11:35:01
AI RISNA
1283 HANDAYANI 115568 8/16/1982 - 17:17:38 17:17:38

B34.2 -
Coronavirus
infection,
013672/01 unspecified
1284 ERNAWATI 7221 1/3/1983 site 13:24:03 13:25:17
NAYLA AULIA
1285 PUTRI 115569 1/6/2016 - 13:30:01 13:32:22
JULIA ADISTI
1286 RASIDIK 098840 7/1/2001 - 13:34:15 13:35:50
RAFIUL
1287 QOMAR 067067 3/7/1984 - 13:50:37 13:50:37

R56 -
Convulsions,
NAURA not
CHAERUNNISA elsewhere
1288 RUSTANDI 086728 12/8/2016 classified 14:25:28 14:28:18 0:03:43

T30 - Burn
and
corrosion,
NAYLA YADI body region
1289 DAMAYANTI 047348 7/5/2007 unspecified 14:50:37 14:52:09 0:02:11
R10 -
Abdominal
and pelvic
pain | R50.9
- Fever,
1290 SITI SUHAENI 017915 11/6/1987 unspecified 14:59:10 15:00:17 0:01:10
ENENG R51 -
1291 SUPRIATI 103341 4/20/1976 Headache 15:32:02 15:34:03

O80.9 -
Single
spontaneous
AI RISNA delivery,
1292 HANDAYANI 115568 8/16/1982 unspecified 15:42:51 15:42:51

T01.9 -
Multiple
open
TARI FITRI wounds,
1293 OKTARIA 115570 10/25/2008 unspecified 15:50:17 15:52:02 0:02:19
1294 MARLINA 115571 12/30/1997 - 16:00:08 16:00:08

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
RASYA AZRIL unspecified
1295 ARSALAAN 115572 11/19/2020 origin 16:02:37 16:03:17

MUHAMMAD
RASYID AL-
1296 FARIZQI 064003 2/22/2019 - 16:10:52 16:11:16
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
MUHAMAD origin | K30 -
YUSUP Functional
1297 NABANI 115575 6/7/2005 dyspepsia 16:41:58 16:43:14
SRI
1298 NURHAYATI 105954 9/9/1992 - 16:51:14 16:53:57

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
1299 SITI AISAH 115576 6/20/1957 origin 16:59:15 17:00:51

PUTRI BALQIS
1300 SYAFIRA 113487 12/26/2013 - 17:05:35 17:07:34

SAMUEL
CHANDRA E9060 - Dog
1301 MARCIANO 115577 11/15/2003 bite 17:12:03 17:16:52 0:05:55
1302 RINI ARYANI 085962 5/25/1985 - 17:21:10 17:24:19
TENI
1303 HANDAYANI 058524 1/9/1990 - 17:39:12 17:40:19
DEDEH
1304 HOLISOH 115579 3/9/1972 - 18:58:53 19:00:53

NAURA
ATHIRA
1305 ARDILLAH 115580 7/31/2020 - 19:04:58 19:07:16

R11 - Nausea
1306 SITI NURMALA 115543 7/1/2002 and vomiting 19:05:39 19:08:44

BAYI NY HENI
1307 NURAENI 115581 2/28/2022 - 19:10:41 19:10:41

T01.9 -
Multiple
open
SYAQILA EKA wounds,
1308 PRAMUDYA 115582 8/25/2015 unspecified 19:20:46 19:21:07 0:01:53
WINEU
1309 HERMAWATI 077412 6/30/1986 - 19:29:43 9:54:26

MUHAMMAD
1310 ALFI SYAHDI 107259 6/30/2021 - 19:46:14 19:47:19

J06.9 - Acute
upper
respiratory
SALVA infection,
1311 SITRIAMA 019648 6/1/2004 unspecified 19:50:08 19:52:44

I10 -
Essential
(primary)
1312 NENI 115583 7/1/1966 hypertension 19:55:38 20:58:20

BAYI NY AI
RISNA
1313 HANDAYANI 115585 2/28/2022 - 20:32:03 20:32:03

N39.0 -
Urinary tract
infection,
site not
1314 MULYANI 115586 10/15/1987 specified 21:30:11 21:32:36

SHIDDIQ K30 -
ABQORY Functional
1315 ALMUHTADI 115587 9/25/2000 dyspepsia 22:12:26 22:17:04
TAUFIK
1316 KUROHMAN 114709 7/1/1963 - 22:16:12 22:17:07

K30 -
INDRIAN Functional
1317 ISKANDAR 033994 10/16/2001 dyspepsia 22:54:37 22:55:28

J45 - Asthma
| J45.9 -
PUPUN Asthma,
1318 ROHAYATI 026098 12/31/1987 unspecified 23:20:51 23:22:16 0:03:11

TOTAL
RESPON TIME SAMPEL PASIEN SAMPLE 207
< 5 MENIT 197 Pasien N 197
> 5 MENIT 10 Pasien D 207
Capaian 95.10%
> 5 MENIT
> 5 MENIT
> MENIT
> 5 MENIT
> 5 MENIT
> 5 MENIT
> 5 MENIT
> 5 MENIT
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : MARET 2022

Jam
Pasien RM Tgl Lahir Diagnosa Jam Reg Interval
NO Periksa
1 BY NY SISKA PUTRI 115588 2/28/2022 - 0:18:49 0:18:49
UTAMI
2 MEYSHA 115589 5/25/2021 - 1:16:12 1:17:59
RAHMANIA
3 IMAS MASLAHAT 070598 7/1/1948 K92.0 - 5:25:20 5:26:07 0:01:27
Haematemesis
4 ERNAWATI 013672/0 1/3/1983 J18.9 - 6:33:32 6:35:51 0:03:10
17221 Pneumonia,
unspecified |
J45.9 - Asthma,
unspecified

5 MELA RAMINAWATI 115590 5/14/1999 - 6:37:45 6:40:12

6 SODIKIN 115591 6/30/1971 J45 - Asthma | 6:44:45 6:45:34 0:02:10


HERWANTO, (S.Pd). J45.9 - Asthma,
unspecified

7 FAUZIAH LESTARIE 115592/1 12/21/1996 O80.9 - Single 7:27:00 7:27:00


FITRIANTIE 13952 spontaneous
delivery,
unspecified

8 ACE SOPIAN 115593 3/8/1983 K30 - Functional 7:39:21 7:40:08


dyspepsia | K65.9
- Peritonitis,
unspecified

9 YANA SURYANA 097617 3/28/1990 R50.9 - Fever, 8:42:49 8:44:19


unspecified
10 FRANSISKA DEWI 115604 7/8/2002 - 9:12:03 17:45:58
KARTIKA PUTRI
HARAHAP

11 YUNI WIDAYANTI, 033825 6/15/1993 - 9:14:55 17:49:46


MS
12 ELLVANO 115608 12/7/2020 R50.9 - Fever, 10:13:46 10:23:41
ATTHALLAH unspecified |
ALFARIZQI R56.0 - Febrile
convulsions |
R56.0 - Febrile
convulsions
13 AYEP SULIS 115610 12/4/1973 - 10:21:41 15:16:43
ARDIYANTO
14 RIZKA SELVIANA 084032 12/19/1995 R50.9 - Fever, 10:27:40 10:28:53
(A.Md.Kep). unspecified
15 SRI REJEKI 114976 3/12/2000 - 10:29:02 10:29:02
16 SANDRA VALUVI 115613 5/27/1997 - 11:14:00 11:14:00
17 ESIH 086877 6/4/1972 - 11:49:49 17:45:14
18 MUHAMAD HAPIT 115627 8/22/2015 T01 - Open 12:06:52 12:07:53 0:02:13
KURAESIN wounds involving
multiple body
regions

19 ELISA APRILIA 115445 4/5/2003 - 12:19:26 12:21:42


20 PURNASIH 115628 8/16/1974 R10.0 - Acute 12:29:35 12:30:01
abdomen
21 EDI WAHYUDI 115625 10/11/1954 K80 - 13:37:08 13:38:46
Cholelithiasis
22 ATIKAH 045509 2/1/1950 - 14:49:52 14:59:00
23 REVAN VIRENDRA 115634 3/1/2022 - 15:02:45 15:02:45
INDIRAN
24 NENI 115635 1/9/1997 O80.9 - Single 16:06:51 8:08:34
spontaneous
delivery,
unspecified

25 EVA HARIANI 016298 2/17/1989 A04.9 - Bacterial 17:46:16 17:47:50


intestinal
infection,
unspecified | K30
- Functional
dyspepsia | R10.4
- Other and
unspecified
abdominal pain |
R50.9 - Fever,
unspecified |
R63.8 - Other
symptoms and
signs concerning
food and fluid
intake
26 ADIN SAEPUDIN 115637 7/1/1953 T01.9 - Multiple 17:54:34 17:56:42 0:03:12
open wounds,
unspecified

27 TAUFIK KUROHMAN 114709 7/1/1963 - 18:07:57 18:09:00

28 FATIMAH 023020 4/5/1958 J06.9 - Acute 18:15:51 18:16:40


upper respiratory
infection,
unspecified | K30
- Functional
dyspepsia

29 UZMA HANIN 115638 8/1/2021 R50.9 - Fever, 18:28:07 18:30:05


HANIA unspecified
30 E.SOBANDI, 115639 7/20/1962 N39.0 - Urinary 18:55:49 18:56:12
(MMPD) tract infection,
site not specified

31 NURUL AZMI 115641 12/16/2003 - 19:20:39 19:20:39


32 NURWANA 105846 9/30/1992 R50.9 - Fever, 19:22:32 19:23:22
PERMANA unspecified
33 UPEN SUPENTI 114290 5/5/1971 K30 - Functional 19:26:13 19:27:46
dyspepsia

34 UJANG LILIANA 115642 12/5/1980 - 19:36:12 20:29:17


35 YUYUN 036788 7/5/1963 K30 - Functional 19:38:14 19:38:03
dyspepsia

36 IIS RISMAWATI 024672 10/3/1984 - 20:05:14 20:07:09


37 NURUL AZMI 115641 12/16/2003 G44.8 - Other 20:15:53 10:20:31
specified
headache
syndromes | R11
- Nausea and
vomiting | R11 -
Nausea and
vomiting

38 GESAN 115647 10/14/2019 - 10:07:40 22:15:51


39 SRI RATNA 013911 12/12/1973 K30 - Functional 22:11:40 22:15:43
SUMINAR dyspepsia

40 ANDRI LATUHARI 115648 3/21/1993 R10.0 - Acute 22:48:50 22:50:47


abdomen
41 EDI KUSNADI 053911 8/11/1970 K30 - Functional 23:12:26 23:15:16
dyspepsia

42 SASKARA AKBAR 115649 3/2/2022 - 1:54:03 1:54:03


WIRATAMA
43 SHABIRA PUTRI 109389 2/18/2021 J18.0 - 13:12:25 5:17:24 0:05:49
QIBIYA Bronchopneumo
nia, unspecified |
R56.0 - Febrile
convulsions |
R56.0 - Febrile
convulsions

44 MUHAMMAD 115650 12/14/2020 R56.0 - Febrile 6:08:06 6:12:38 0:04:10


SHAKA ZAINUL convulsions
RAFAN

45 KHAYLA ARSYANA 098500 1/10/2020 R50.9 - Fever, 7:12:11 8:25:21


MARITZA unspecified
46 MUTIA ADJANI, (dr) 114245 5/8/1997 E9060 - Dog bite 11:22:40 11:24:27 0:02:10

47 NUR RIZKI 115652 3/3/1984 - 10:34:57 10:34:57


48 EKSAN ASHARI 115672 12/13/1989 - 13:42:20 10:51:27
49 O. FIRMANSYAH, 060451 9/4/1949 K30 - Functional 11:40:44 11:40:26
(H). dyspepsia

50 NONO SUWARNO 115674 6/16/1974 K30 - Functional 11:53:05 11:55:05


dyspepsia

51 SOPANDI 090511 7/10/1939 B34.2 - 14:26:02 14:27:59 0:02:01


Coronavirus
infection,
unspecified site |
B34.2 -
Coronavirus
infection,
unspecified site |
I10 - Essential
(primary)
hypertension |
N18.9 - Chronic
kidney disease,
unspecified
52 AGUS BUDIMAN 063827 6/16/1962 M50.2 - Other 14:59:36 14:56:52
cervical disc
displacement

53 DIKI SUMARDI 040258 12/20/1983 K30 - Functional 15:02:58 15:03:27


dyspepsia

54 RISMAN MAULANA 021567 6/5/1998 A15.3 - 15:42:01 15:43:17


Tuberculosis of
lung, confirmed
by unspecified
means | A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologically
and histologically
| B34.2 -
Coronavirus
infection,
unspecified site |
B34.2 -
Coronavirus
infection,
unspecified site

55 NUNUNG 115680 1/1/1952 T01 - Open 15:50:00 15:51:25


wounds involving
multiple body
regions

56 FAHREZA ZAYYAN 098770 3/10/2017 A91 - Dengue 17:10:02 17:13:26


SETIAWAN haemorrhagic
fever

57 BAYI NYONYA 115681 3/2/2022 - 16:37:00 16:37:00


FAUZIAH LESTARIE
FITRIANTIE

58 DESTA SUBAGJA, 087119 12/21/1994 B34.2 - 17:50:00 17:54:10


(Amd.Kep). Coronavirus
infection,
unspecified site
59 SITI JAMILAH, 016007 7/14/1989 R50.9 - Fever, 17:53:19 17:56:34
(Amd.Keb). unspecified
60 BURHAN BURNAMA 112847 6/21/1989 - 18:46:06 18:48:00

61 RISMAN ABDULLAH 064269 3/26/1995 K30 - Functional 19:07:59 19:08:50


ROHMAN dyspepsia

62 WIWIN 115682 6/8/1985 - 19:40:10 20:24:41


NURWINDAWATI
63 DEWI SARTIKA 113289 12/6/1990 - 20:29:20 20:30:10
64 M. FATHAN ZILDI 113387 2/28/2010 L30.9 - 21:03:44 21:06:34
JAMIL Dermatitis,
unspecified

65 RADI FIRMANSYAH 061596 7/22/2015 J45 - Asthma | 21:08:51 21:09:00 0:01:00


J45.9 - Asthma,
unspecified

66 ANISA AMELIA 060177 8/28/2005 R50.9 - Fever, 22:08:25 22:10:40


unspecified
67 HAERUNNISAH 115683 1/25/1965 K30 - Functional 22:29:46 22:43:13
dyspepsia

68 MUHAMAD 091052/0 1/5/2003 N39.0 - Urinary 23:27:03 23:28:07


FADILAH ZANWAR 44638 tract infection,
site not specified

69 ENTIN KARTINI 105172 7/1/1966 - 23:45:55 9:21:36


70 AMEERA FAZA 115684 3/2/2022 - 23:48:49 23:48:49
PUTRI HASAN
71 ASEP SUHERMAN 069371 7/1/1951 K30 - Functional 0:49:05 0:50:05
dyspepsia

72 MIRA RUSMIATI 058556 9/5/1982 O80.9 - Single 2:16:37 2:16:37


spontaneous
delivery,
unspecified

73 DERAL JIBRIL POLDI 115685 9/13/2021 J06 - Acute upper 4:28:26 4:05:53
respiratory
infections
multiple and
unspecified sites
74 SHIDDIQ ABQORY 115587 9/25/2000 A09.9 - 4:20:56 4:20:55
ALMUHTADI Gastroenteritis
and colitis of
unspecified origin

75 VERAWATI 066636 2/12/1976 A09.9 - 6:27:22 7:16:31


Gastroenteritis
and colitis of
unspecified origin

76 NANDE 048939 7/1/1957 G44 - Other 7:16:00 7:17:15


headache
syndromes

77 QIANZI 115686 5/15/2020 A49 - Bacterial 9:20:36 8:55:12


RAMADHANI AL- infection of
MUKARROM unspecified site |
J18.0 -
Bronchopneumo
nia, unspecified |
R50.9 - Fever,
unspecified |
R56.0 - Febrile
convulsions

78 SASKIA FEBRIAN 115687 2/22/1998 - 8:57:43 8:57:43


79 MONICA OKTAVIA 073931 10/31/2001 J06.9 - Acute 9:20:47 9:15:21
upper respiratory
infection,
unspecified

80 MOH PANJI 115688 10/3/1991 R50.9 - Fever, 9:23:47 9:25:58


PAMUNGKAS SE unspecified
81 SUTRISNO 115689 7/1/1953 T16 - Foreign 9:41:25 9:44:27
body in ear
82 KAVITA REZA MURTI 115690 7/31/2000 T14.0 - Superficial 10:46:15 10:48:22 0:02:10
injury of
unspecified body
region

83 YAYAT 115691 7/13/1958 K30 - Functional 10:37:20 10:40:46


dyspepsia
84 RAFASYA KURNIA 114227 12/1/2021 A09.9 - 11:12:16 11:13:37
ALFATAH Gastroenteritis
and colitis of
unspecified origin

85 RAJA DIVA 115693 2/4/2000 G44 - Other 11:55:49 11:56:19


PANDIANGAN headache
syndromes

86 KIKI MUHTIANSAH 105276 4/17/2000 J45.9 - Asthma, 12:06:24 12:08:37 0:02:10


unspecified
87 RISKA PRIHATUL 115695 8/7/2016 - 12:11:01 12:13:00
AULIA
88 SAHRONI 032030 4/30/1951 B34.2 - 12:49:06 12:50:08
Coronavirus
infection,
unspecified site |
R50.9 - Fever,
unspecified

89 BAYI NYONYA 115696 3/3/2022 - 12:53:14 12:53:14


SASKIA FEBRIAN
90 AEP SAEPUDIN 115697 7/2/1972 B34.2 - 13:09:24 13:10:08
Coronavirus
infection,
unspecified site

91 NELIS NURAENI 055508 6/15/1992 K30 - Functional 13:14:47 13:15:20


dyspepsia

92 WEWEN JUWAENI 115077 10/8/1958 A09.9 - 13:22:51 13:24:31


Gastroenteritis
and colitis of
unspecified origin
| R50.9 - Fever,
unspecified

93 MALIKA MAULIDA 115698 10/8/2021 K56.7 - Ileus, 13:30:34 20:26:36


ALMAHIRA unspecified |
K59.0 -
Constipation

94 TATANG SUDRAJAT 073530 7/19/1979 K30 - Functional 14:28:00 14:29:21


dyspepsia

95 PADLI HIDAYAT 042324 6/1/1989 R50.9 - Fever, 14:54:05 14:55:18


unspecified
96 KEEMALA PUTRI AL- 098081 12/12/2019 R50.9 - Fever, 15:40:55 15:42:19
AYUBI unspecified
97 NURYAMIN, (H). 073119 4/17/1956 I25 - Chronic 16:25:02 16:27:05 0:02;10
ischaemic heart
disease | I25.4 -
Coronary artery
aneurysm

98 MUHAMMAD 115699 8/17/1963 A15 - Respiratory 16:20:00 10:09:46


SURYANA tuberculosis,
bacteriologically
and histologically
confirmed

99 NAZWA NUR 109505 12/14/2003 B34.2 - 16:49:04 16:49:08


FITRIANI Coronavirus
infection,
unspecified site |
R50.0 - Fever
with chills

100 NANA VIANA 111791 12/28/1991 B34.2 - 16:55:14 16:57:34


Coronavirus
infection,
unspecified site

101 INARA RAFANDRA 050167 1/30/2016 R50.0 - Fever 17:06:36 17:08:28


with chills
102 AJI ARI 115700 9/5/1998 T14 - Injury of 17:22:36 17:24:01 0:02:37
unspecified body
region

103 FRANSISKUS 115702 10/9/1969 M54.5 - Low back 18:19:48 18:21:00 0:02:12
XAVERIUS HERY pain
HERYANTO

104 NATASHA AZ ZAHRA 081836 1/9/2020 - 19:02:18 20:30:08

105 MIMIN TARYATI 009780 4/13/1956 - 19:17:33 19:18:58


106 PAPAT PARIYANTI 013334 5/2/1980 R50.9 - Fever, 20:07:59 20:09:41
unspecified
107 ENIH 115703 8/19/1968 J45.9 - Asthma, 20:17:32 20:18:23 0:01:22
unspecified |
R50.9 - Fever,
unspecified
108 MARATUS SOLIAH 101283 11/6/1990 A09.9 - 20:47:52 10:06:26
Gastroenteritis
and colitis of
unspecified origin

109 RATNA NURLAELA 046853 7/25/1978 - 21:00:55 21:01:34


SARI
110 RIZKY FAJAR 115706 2/16/2011 A91 - Dengue 22:06:56 22:07:24 0:02:05
SHIDDIQ haemorrhagic
fever

111 ROLANDO 115707 1/23/1987 - 22:53:50 22:17:42


112 IIS 008108 7/1/1960 K30 - Functional 22:53:45 22:54:27
dyspepsia

113 M.IQBAL 115708 1/12/1999 R50.9 - Fever, 23:03:36 23:04:08


SOLEHUDIN unspecified
RAMDANI

114 AYU ELISA 115710 11/1/2003 - 23:28:13 23:31:19


115 YENI NURAENI, 053275 8/7/1987 - 23:34:40 23:35:39
(A.Md.Kep.).
116 RAFFA BASTARI AR- 068721 11/18/2011 J06.9 - Acute 23:34:45 23:35:50
RASYIDI upper respiratory
infection,
unspecified

117 REYGA ABIYU 060344 5/19/2015 J06.9 - Acute 23:35:07 23:36:20


ARRASYIDI upper respiratory
infection,
unspecified

118 AJUD SETIADI 051217 11/5/1955 I25 - Chronic 1:29:50 1:34:57 0:06:12
ischaemic heart
disease | K30 -
Functional
dyspepsia
119 SITI ROHAYATI 070142 8/21/1965 J06 - Acute upper 2:55:05 3:00:07
respiratory
infections
multiple and
unspecified sites
| M79 - Other
soft tissue
disorders, not
elsewhere
classified

120 ELIN RESTUTI S 012368 8/9/1968 - 6:07:25 6:07:17


121 SOLIHAT 028083/0 6/1/1961 K30 - Functional 7:26:55 7:27:13
69018 dyspepsia | K35.9
- Acute
appendicitis,
unspecified

122 TITIN KARTINI 038297 8/9/1970 A91 - Dengue 7:42:35 7:43:12 0:01:37
haemorrhagic
fever

123 IDIM 094257 3/11/1948 R10.0 - Acute 10:17:20 10:07:26


abdomen
124 AHMAD DAHLAN 092284 4/28/1984 R50.9 - Fever, 12:51:59 17:38:46
ISKANDAR unspecified
125 BY NY MIRA 115724 3/4/2022 - 12:55:46 12:55:46
RUSMIATI
126 iwan sopyan 115725 11/23/1991 T14 - Injury of 13:31:32 13:32:14 0:01:46
unspecified body
region

127 dzaky almair bahy 115726 4/12/2014 A09.9 - 13:41:38 13:42:46


Gastroenteritis
and colitis of
unspecified origin

128 USU HALWA 115727 12/5/1991 A09.9 - 13:44:29 12:50:03


Gastroenteritis
and colitis of
unspecified origin

129 HODJAH 115728 7/1/1957 K30 - Functional 14:10:10 14:15:01


dyspepsia
130 IPAH 115729 4/20/1965 K30 - Functional 14:24:06 14:25:34
dyspepsia

131 ARIS ARIYANDI 115536 11/6/1983 R07.4 - Chest 14:37:19 14:38:06


pain, unspecified

132 EDIKA 115730 12/5/1969 A15 - Respiratory 14:54:22 10:16:20


ANIRMANSYAH tuberculosis,
PUTRA bacteriologically
and histologically
confirmed

133 NEDA MAULIDA 085243 6/10/2000 R50.9 - Fever, 15:05:26 15:07:07


unspecified
134 ELI HERNIATI 043766 3/31/1981 O14.9 - Pre- 15:10:07 15:10:07
eclampsia,
unspecified

135 VISKA ISLAMI 107918 5/7/1995 - 15:14:21 15:14:21


136 RAISA ALVIANI 095008 2/13/2018 R50.9 - Fever, 15:24:14 15:25:13
unspecified
137 AISYAH EKA LESTARI 115731 9/22/2001 A15.3 - 15:33:05 15:36:45 0:04:12
Tuberculosis of
lung, confirmed
by unspecified
means | K30 -
Functional
dyspepsia | R63.8
- Other
symptoms and
signs concerning
food and fluid
intake

138 KANAYA AYU 115732 11/3/2020 R50.0 - Fever 17:48:15 17:48:41


ANINDITA with chills
ATMARINI

139 RIVALDO PRAYOGA 115733 4/17/2008 - 18:21:44 18:22:32

140 RYAN 115734 3/16/2017 - 18:26:49 10:21:36


IRIAWANSYAH
141 MOCH. HASRIL 115737 1/24/2010 K56.0 - Paralytic 19:20:00 19:21:32
MANANTA ileus
142 AZRINA 115738 7/27/2021 R50.0 - Fever 19:25:47 19:27:03
with chills
143 GLADISYA NAURA 094218 9/17/2019 - 19:27:41 19:28:31
CHARISMA
144 SANDI PERMANA 109210 8/19/1997 - 19:31:01 21:10:46
145 MUHAMMAD BILAL 105747 10/2/2020 - 20:18:51 10:08:12
RUDIAWAN
146 MUHAMMAD 067482 9/8/2016 J06.9 - Acute 19:44:15 19:46:49 0:02:10
ALBAR HAKIM upper respiratory
infection,
unspecified | J45
- Asthma

147 AFIFA ZAHIRA 073964 2/12/2016 A91 - Dengue 20:47:55 20:49:25 0:02:12
MALIK haemorrhagic
fever

148 UJI 115741 7/1/1946 A09 - Other 21:38:31 21:39:57


gastroenteritis
and colitis of
infectious and
unspecified origin

149 ROHENDI 115742 1/1/1972 A09 - Other 21:44:18 21:45:08


gastroenteritis
and colitis of
infectious and
unspecified origin

150 RINA YULIANA 035817 7/7/1986 - 21:46:41 10:09:00


151 NANANG 000775 1/1/1958 J45 - Asthma 21:54:15 21:55:26 0:01:07
152 MIRNA MARSELINA 115743 6/10/2001 - 22:40:44 22:40:44

153 YETI SUSANTY 115744 7/2/1978 - 21:30:21 21:30:21


154 MARSINAH 093166 6/1/1951 A09.9 - 0:22:10 0:23:04
Gastroenteritis
and colitis of
unspecified origin
| K30 - Functional
dyspepsia

155 WAWAN 095363/0 7/8/1990 R50.9 - Fever, 1:23:41 1:24:26


GUNAWAN 97472 unspecified
156 SULAEMAN 115748 2/20/1957 K30 - Functional 2:20:30 2:20:59
dyspepsia
157 SITI ASIYAH 115749 12/13/1981 - 13:38:09 13:38:09
158 BAYI NYONYA SITI 115750 3/5/2022 - 13:37:57 13:37:57
ASIYAH
159 MAMI 115751 6/3/1965 T01 - Open 5:05:49 5:06:00 0:01:12
wounds involving
multiple body
regions

160 ANGGARA PAJAR 115561 9/6/1987 R10.4 - Other and 6:00:53 6:01:51
MUHARAM unspecified
abdominal pain

161 BAYI NYONYA ELI 115755 3/5/2022 - 6:42:00 6:42:00


HERNIATI
162 BY NY VISKA ISLAMI 115758 3/5/2022 - 8:40:41 8:40:41

163 YULIAWATI 115759 3/11/1988 - 9:12:54 9:01:07


164 BY NY YETI 115761 3/5/2022 - 12:00:25 12:00:25
SUSANTY
165 NAZLIZA ZAHARAH 115762 1/27/1998 - 9:59:31 10:00:35

166 M KOSASIH 020033 8/10/1943 N20 - Calculus of 10:29:53 10:21:42


kidney and ureter

167 NENDA 107547 5/30/1994 - 10:37:51 17:29:06


WULANDARI
NURZAKIAH

168 YETI RATNAWATI 115763 12/23/1984 Z20.3 - Z20.3 - 11:04:04 11:41:22


Contact with and
exposure to
rabies

169 FINA FEBRIANI 115765 2/22/1999 - 11:22:45 11:22:45


170 WULANDARI 069832/0 7/31/1998 B34.2 - 14:24:46 14:24:53
50575 Coronavirus
infection,
unspecified site

171 SALSABILA 115766 3/5/2022 - 15:20:41 15:20:41


ALMAIRA/ BY NY
MIRNA

172 KARLINAWATI 047869 1/23/1982 K30 - Functional 15:50:29 15:50:55


dyspepsia

173 NANDI RAMA 075936 5/8/1997 - 16:08:56 16:08:45


MUHAMAD
174 DEDE RUSWANDI 115767 3/10/1971 - 16:53:50 16:53:21
175 SITI AISYAH 115769 11/21/1953 - 17:52:08 19:23:22
176 AZRINADHA 115770 7/20/2021 - 18:09:36 5:06:42
KHAIRINA AZZAHRA

177 M AXL RAZINSKY 075169 10/13/2005 - 18:50:22 18:51:22


RACHMANSYAH
178 SRI RAHAYU 114909 6/13/1984 J45 - Asthma | 18:53:38 18:55:37 0:03:10
MUTINI K30 - Functional
dyspepsia

179 SYNTHIA HARNUM 115771 2/3/1997 - 19:04:41 19:05:38


MAHESA

180 MUHAMAD MUAS 115772 7/6/1993 K12.2 - Cellulitis 19:50:25 19:53:52


RIZAKI and abscess of
mouth

181 ELSA NOVITA 086880 11/14/2001 K30 - Functional 19:52:37 19:57:31


dyspepsia | R11 -
Nausea and
vomiting

182 DIKI SUMARDI 040258 12/20/1983 R10.0 - Acute 19:56:14 19:56:49


abdomen
183 NATASHA SILA 115773 1/1/2018 T17.0 - Foreign 20:24:24 20:25:52
body in nasal
sinus

184 ANIH SUTINAH 027385 6/5/1981 - 21:58:25 22:00:27


185 RIKI 093521 4/2/1998 J45 - Asthma 5:02:53 5:04:39 0:03:23
186 DAUD MALIK FAJAR 115776 1/30/2001 - 9:03:50 9:28:14

187 MUHAMMAD AZRIL 067347 4/10/2019 - 7:51:05 7:51:20


AL FARES
188 MOHAMAD HARIS 050441 11/23/1991 R50.9 - Fever, 9:07:57 9:09:29
unspecified
189 FADILAH S BAHRUM 076898 2/12/1985 R50.9 - Fever, 9:21:40 9:22:28
unspecified
190 SITI AISAH 115778 5/27/2000 N61 - 9:41:29 9:45:46
Inflammatory
disorders of
breast

191 GLEEN GIBSON 115779 8/13/2019 - 9:54:29 10:05:53


PINAN
192 ENUNG NURHAYATI 076019 5/19/1970 H10.9 - 10:26:30 10:27:22
Conjunctivitis,
unspecified

193 VIVTAH RIZKY RIZA 114428 6/9/2000 K30 - Functional 10:49:31 10:49:13
dyspepsia

194 ELIH 115780 11/1/1975 A09.9 - 10:49:46 10:49:35


Gastroenteritis
and colitis of
unspecified origin

195 SAPTA AJI 115782 2/15/2021 - 11:45:06 11:48:29


196 ABAS 115784 1/1/1946 A09.9 - 12:18:46 12:19:47
Gastroenteritis
and colitis of
unspecified origin

197 NAURA DEZTA 115785 8/13/2020 R50.9 - Fever, 12:27:33 12:28:54


DELISHA unspecified |
R56.0 - Febrile
convulsions

198 MUHAMAD ARIF 115786 5/4/1985 - 12:37:38 12:38:58


RAHMAN
199 SHERY ANGRAENI 064679 6/26/2003 K30 - Functional 13:15:09 13:19:28
dyspepsia

200 IBNU MUJIB 115788 4/9/2013 R50.9 - Fever, 13:30:33 13:36:05


unspecified
201 MUHAMMAD 115789 4/12/2017 R50 - Fever of 13:50:34 13:52:09
TAJUDIN other and
unknown origin |
R50.9 - Fever,
unspecified

202 IRWANSYAH SITEPU 115790 6/8/1994 A09.9 - 14:02:54 14:03:33


Gastroenteritis
and colitis of
unspecified origin

203 YUNIARTI DEWI 041092 6/18/1993 R50.9 - Fever, 14:21:02 14:22:33


unspecified
204 MUHAMMAD IQBAL 114997 8/1/2019 K52.0 - 14:29:46 14:29:03
FAUZAN Gastroenteritis
and colitis due to
radiation
205 MOH. RIFKI 115791 9/5/2004 R50 - Fever of 14:33:07 14:34:13
SETIAWAN other and
unknown origin

206 MAULANA LUTFHI 115792 11/28/2017 B86 - Scabies | 14:34:23 14:35:14


ASYIDIQ L20.9 - Atopic
dermatitis,
unspecified

207 OOM 115793 7/1/1950 I10 - Essential 14:38:35 14:49:28


(primary)
hypertension |
M19 - Other
arthrosis

208 SHEENA UTARA 038701 10/15/2015 R50.9 - Fever, 15:11:04 15:12:30


WULANDARI unspecified
209 LINDA SULASTRI 040988/0 12/12/1983 J06.9 - Acute 15:11:53 15:12:35
77093 upper respiratory
infection,
unspecified

210 RAMLAN MAULANA 021766 4/20/2016 A09.9 - 16:16:23 16:17:02


YUSUF Gastroenteritis
and colitis of
unspecified origin
| R50.9 - Fever,
unspecified

211 HADINATA 115795 12/12/1985 K30 - Functional 16:38:33 16:39:29


dyspepsia

212 DICEU 115796 3/5/1973 R50 - Fever of 16:55:10 16:56:58


other and
unknown origin

213 YANDI ALDIANSYAH 046473 5/28/1976 D64.9 - Anaemia, 17:19:35 17:20:40


unspecified | R11
- Nausea and
vomiting | R50.9
- Fever,
unspecified

214 RENATA PUTRI 115797 12/28/2004 - 19:57:20 19:57:20


215 ADE ENDANG 115798 1/25/1971 K30 - Functional 18:07:24 18:15:12
dyspepsia
216 ANI SURYAMAN 115799 12/12/1970 T14 - Injury of 18:39:03 18:42:21 0:03;11
unspecified body PM
region

217 JAJAT SUDRAJAT 096518 7/2/1980 R50.9 - Fever, 18:11:37 18:20:27


unspecified
218 MUHAMMAD 115800 8/23/2007 R50.9 - Fever, 18:26:03 18:30:15
BIRAN SYAKA unspecified
219 ODEN 115801 1/7/1966 K30 - Functional 18:43:31 18:44:20
dyspepsia

220 IRMAN IRIYANTO 039334 8/25/1971 K30 - Functional 18:55:30 18:56:04


dyspepsia

221 ADARA PUTRI 115802 7/5/2021 R50.9 - Fever, 19:49:28 19:50:56


SETIAWAN unspecified
222 ADI SUHERLAN 102034 7/9/1982 K05 - Gingivitis 20:39:56 20:40:12
and periodontal
diseases

223 NAUFAL SADDIQ 115804 9/14/2021 R50.0 - Fever 21:18:50 21:19:05


with chills
224 PAPAT PARIYANTI 013334 5/2/1980 K30 - Functional 22:08:00 22:10:38
dyspepsia

225 ANNISA NURFAUZIA 113566 10/23/1988 K30 - Functional 22:15:18 22:17:41


dyspepsia

226 MAXIMA CHESYHA 115806 10/23/2008 A01.4 - 6:34:14 22:58:04


AISYAH SOBARI Paratyphoid
fever, unspecified

227 DEDE MEGA 024432 7/15/1976 A15.3 - 0:10:44 0:12:05 0:02:13


RAHAYU Tuberculosis of
lung, confirmed
by unspecified
means | J18.9 -
Pneumonia,
unspecified

228 RAISYA ALYA 024920 12/16/2007 - 1:49:07 1:52:15


229 ARSYILA ALIVIA 075996 9/21/2017 R50.0 - Fever 2:17:10 2:19:04
PUTRI with chills
230 ASEP SUPARDI 115808 4/4/1982 - 2:35:51 2:37:29
231 OLIS 081628 1/6/1964 D64.9 - Anaemia, 3:28:05 9:37:14
unspecified |
E11.9 - Non-
insulin-
dependent
diabetes mellitus
without
complications

232 IRMA DONA HERU 091850 7/8/1987 B34.2 - 7:17:47 7:44:08


MARDIAROS HESTI Coronavirus
infection,
unspecified site

233 HILDA NOVIANTI 058728 11/9/1995 R50.9 - Fever, 9:43:37 9:46:14


RAHMATILLAH unspecified
234 ETI SURAETI 084841 12/23/1984 T01.9 - Multiple 8:57:11 8:59:27 0:02;12
open wounds,
unspecified

235 SITI NUR SIPA 062286 4/20/2012 J06.9 - Acute 8:57:05 8:59:24 0:02:11
upper respiratory
infection,
unspecified |
J45.9 - Asthma,
unspecified

236 HASANAH 115824 7/1/1977 R50.9 - Fever, 11:03:56 21:51:19


unspecified
237 UEN 114898 7/20/1955 - 11:37:08 11:39:28
238 MUHAMAD ARIF 115786 5/4/1985 A09.9 - 11:47:16 11:48:22
RAHMAN Gastroenteritis
and colitis of
unspecified origin

239 KARSIH 115825 1/3/1933 R60.9 - Oedema, 11:59:25 12:00:11


unspecified

240 AISYAH AZKADINA 115826 4/12/2020 - 12:51:00 12:55:57


PUTRI SAGITA

241 ILHAM 115827 8/3/1986 R50.9 - Fever, 13:48:19 14:50:06


unspecified
242 MUHAMAD BARA 115828 6/23/2021 R50.9 - Fever, 13:52:42 13:53:49
JUNIAR unspecified
243 MUHAMMAD 115800 8/23/2007 R50.9 - Fever, 14:22:55 14:44:24
BIRAN SYAKA unspecified
244 ADE ANGGI SUWITA 078880 2/15/1992 M79.1 - Myalgia 15:18:27 15:20:37

245 YANA SURYANA 097617 3/28/1990 R50.9 - Fever, 15:52:47 15:55:07


unspecified
246 ARI ARYATI 016185 10/12/1989 R50.9 - Fever, 15:59:20 16:00:18
SUHARJA, (S.ST) unspecified
247 DEDE FITRI 066988 4/13/1987 I10 - Essential 17:05:30 17:06:38
(primary)
hypertension |
K30 - Functional
dyspepsia

248 ALIF RAMDHANI 115831 11/21/2005 T14 - Injury of 18:02:17 18:05:52 0:04:10
unspecified body
region

249 LESI HANDAYANI 115832 10/25/1996 O20.9 - 18:04:03 18:04:03


Haemorrhage in
early pregnancy,
unspecified

250 RINA LISTIANI 115833 9/9/1989 R11 - Nausea and 18:10:26 21:49:26
vomiting
251 SHEENA UTARA 038701 10/15/2015 - 18:57:15 18:58:00
WULANDARI
252 FAHRA HANIFA 115835 2/24/2021 A04.9 - Bacterial 19:07:59 19:08:28
RAHMAWATI intestinal
infection,
unspecified | R50
- Fever of other
and unknown
origin | R50.9 -
Fever,
unspecified

253 MELANI APRIANI 100406 7/23/1996 - 19:10:34 19:12:28


254 RIKA RISWANTI 115838 1/12/1993 - 20:07:04 20:08:51
255 OKI OKTAVIANA 115839 10/22/1999 D56 - 20:28:38 20:29:40
Thalassaemia |
K30 - Functional
dyspepsia
256 AJENG UTARI 113577 7/1/2000 M79.1 - Myalgia 20:41:13 20:42:47
JULIANA
257 KHENANDRA ZIKRA 103716 9/20/2020 - 22:14:53 22:15:35
PURNAMA
258 CICI 115840 3/5/1960 - 23:58:13 23:58:13
259 KIKI ARDANIA PUTRI 115841 2/10/2002 - 0:17:32 10:45:57

260 PUPUN ROHAYATI 026098 12/31/1987 J45 - Asthma 1:07:02 1:08:56 0:01:59
261 HERI JAUHARI 053864 8/27/1965 K30 - Functional 6:18:38 6:19:54
dyspepsia

262 DEDE MAULANA 108516 7/9/1983 B34.2 - 8:09:39 8:10:44


Coronavirus
infection,
unspecified site |
D21.9 - Benign
neoplasm,
connective and
other soft tissue,
unspecified

263 FITRIYANI 054415 1/1/1998 R11 - Nausea and 9:52:35 11:00:44


vomiting | R50.9
- Fever,
unspecified

264 RINI FEBRIANI 031312 12/11/1996 - 10:26:24 10:26:24


265 FERRY SUDARSONO, 107045/1 10/7/1982 J06 - Acute upper 10:32:10 10:29:49
(dr)., (Sp.B). 15122 respiratory
infections
multiple and
unspecified sites

266 DEVIA PUTRI 051563 12/7/2017 A91 - Dengue 10:32:10 10:33:07 0:01:17
NURAZIZ haemorrhagic
fever | R50.9 -
Fever,
unspecified

267 ADZKIA NAYYARA 106268 10/22/2020 J06.9 - Acute 11:10:04 11:11:09


SYAQILLA upper respiratory
infection,
unspecified
268 MOHAMMAD 115862 3/8/2022 R11 - Nausea and 11:22:49 11:23:52
ALFARIZ WIJAYA vomiting
269 ANDIKA ALYANTI 115864 3/3/2006 A91 - Dengue 11:43:12 11:44:10 0:01:22
YUDATAMA haemorrhagic
fever | R50.9 -
Fever,
unspecified

270 HERNAWATI 115865 9/9/1989 - 12:41:45 12:41:45


271 NISA NOVI 115866 11/15/2002 - 12:41:42 12:41:42
RAMDANI
272 HABIB NURJAMAN 095804 8/14/2007 A91 - Dengue 13:10:02 13:12:27 0:02:13
haemorrhagic
fever | A91 -
Dengue
haemorrhagic
fever | R50.9 -
Fever,
unspecified

273 AHMAD ALFAUZAN 115868 6/3/2020 B86 - Scabies 13:17:44 14:01:56


RAHMAN

274 NURJANAH 071932 10/10/1973 K30 - Functional 13:30:11 13:59:13


dyspepsia

275 IDA FARIDA 115870 5/10/1978 - 18:52:56 14:01:00


276 MOHAMAD IMRAN 115872 3/9/2010 - 14:19:33 14:21:40
GOJALI
277 YAHYA ROBBI 115874 2/4/1998 - 15:08:26 15:09:45
RODLIYA
278 NENENG 115812 5/3/1988 - 11:52:45 11:52:45
KURNIAWATI
279 RIA RAMADHANTY 104080/0 1/7/1998 - 15:50:24 15:51:13
HARIN 18091

280 KANDAR 086098 9/3/1952 - 15:55:00 15:56:19


281 GEVANO GAFFY 115878 7/29/2021 - 16:45:52 16:46:01
PERMANA
282 HERI JAUHARI 053864 8/27/1965 R10.4 - Other and 16:53:11 16:47:21
unspecified
abdominal pain

283 NURJANAH 060785 8/10/1993 - 17:05:35 17:06:46


284 SUHENDI 014559 7/2/1964 - 17:08:54 17:09:08
285 MAMAS 115881 7/1/1959 R11 - Nausea and 17:44:50 17:45:50
vomiting
286 TARSIH 115883 10/13/1959 K05.0 - Acute 19:00:13 19:01:09
gingivitis
287 JAMALUDIN 115885 8/20/1982 K30 - Functional 19:17:13 19:19:42
dyspepsia

288 BAYI NY RINI 115886 3/8/2022 - 19:50:28 19:50:28


FEBRIANI
289 dr. YATHESTHA 084622 11/12/1987 R50.9 - Fever, 21:39:59 21:40:31
YOGA DWI unspecified
RAHESTHA

290 CICAH 115887 3/6/1964 E16.2 - 21:55:52 21:57:51 0:03:47


Hypoglycaemia, PM
unspecified

291 ROJAK 021962 8/1/1999 B34.2 - 22:42:01 12:54:04


Coronavirus
infection,
unspecified site |
K30 - Functional
dyspepsia

292 KANDAR 086098 9/3/1952 - 22:45:07 22:46:21


293 MOCH DAVA 115888 10/10/2008 - 22:52:27 22:52:07
SAGIMA
294 IMAS 115889 8/4/1993 K30 - Functional 23:15:30 23:15:54
dyspepsia

295 BY NY NISA NOVI 115890 3/9/2022 - 0:33:24 0:33:24


RAMDANI
296 ENAR 105088 4/3/1956 A09 - Other 3:32:32 4:35:46
gastroenteritis
and colitis of
infectious and
unspecified origin
| A09.9 -
Gastroenteritis
and colitis of
unspecified origin

297 YULIANTI 115891 12/20/1979 R10.0 - Acute 6:22:18 6:25:04


abdomen
298 KIKI ARDANIA PUTRI 115841 2/10/2002 - 6:26:30 6:26:30
299 KAMANDITA RIZKY 114478 4/21/2020 R50.9 - Fever, 7:31:35 7:31:56
APRILIANI unspecified |
R56.0 - Febrile
convulsions

300 ASIOH 023955 7/1/1940 H81.4 - Vertigo of 7:41:22 7:42:31


central origin

301 RENI 020490 7/4/2001 J45.9 - Asthma, 8:45:50 8:47:20 0:02:12


unspecified
302 SHABIRA MARETA 115896 3/9/2022 - 9:05:00 9:05:00
LIANI
303 YAYAH HANDAYANI 039796 7/17/1988 R11 - Nausea and 9:49:28 9:50:25
vomiting
304 SAROH 115899 7/1/1953 R10.4 - Other and 10:16:34 10:17:32
unspecified
abdominal pain |
R50.9 - Fever,
unspecified

305 SUHENDANG 114795 1/27/1963 R06.0 - Dyspnoea 10:33:34 10:38:22 0:05:54

306 BAYI NYONYA 115900 3/9/2022 - 9:50:00 9:50:00


HERNAWATI
307 BAYA PURNAWAN 052896 7/1/1973 K30 - Functional 11:41:37 11:42:51
dyspepsia

308 DEYSI EKA ARIYANI 025942 12/22/1981 R50.9 - Fever, 11:50:04 11:52:05
unspecified
309 BAYI NYONYA RIKA 115901 3/9/2022 - 12:00:00 12:00:00
RISWANTI
310 PUPU 115903 2/1/1984 - 15:36:32 15:37:30
311 MUHAMMAD 023205 3/9/2005 T01.9 - Multiple 15:37:30 15:38:57 0:02;13
NAZRIL open wounds,
KOESHERTASNING unspecified | T14
- Injury of
unspecified body
region

312 IHIN SOLIHIN 060217 7/13/1996 - 16:22:52 16:23:08


313 M ZEIN AHSAN EL 115905 9/14/2013 R50.9 - Fever, 16:51:16 16:53:46
AKBAR unspecified
314 PITRIA 062150 11/9/1984 O30.0 - Twin 17:19:05 17:19:05
pregnancy |
O80.9 - Single
spontaneous
delivery,
unspecified

315 ZALFA ALAWIYAH 044693 5/2/2007 K30 - Functional 17:02:56 17:04:57


dyspepsia

316 EKA ANDRA 067394 8/18/2011 R11 - Nausea and 17:26:32 17:27:04
RAMADHAN vomiting
317 ASRI PUJASARI 115906 12/9/1997 - 17:55:30 19:19:06
318 GITA DESVITA EKA 115908 12/8/1992 Z20.9 - Z20.9 - 19:07:01 20:56:30
PUTRI Contact with and
exposure to
unspecified
communicable
disease

319 DINI WIDIANTI 113942 5/27/1996 R50.9 - Fever, 20:00:32 20:03:11


unspecified
320 ODEH 115910 5/5/1971 K30 - Functional 20:09:18 20:10:34
dyspepsia

321 MEA MEDIANA 115912 6/1/1974 K30 - Functional 20:16:11 20:17:59


dyspepsia

322 ATIKAH 115913 11/7/1976 - 21:02:29 20:58:28


323 SODIKIN 115591 6/30/1971 J45 - Asthma 21:18:17 21:19:55 0:02:10
HERWANTO, (S.Pd).

324 MUHAMMAD IBNU 115914 11/13/1997 K30 - Functional 21:46:20 21:47:28


SETIA ADJIE dyspepsia | K65 -
Peritonitis | R11 -
Nausea and
vomiting

325 ISYIRA 115915 3/30/2018 J45 - Asthma | 21:47:49 21:49:33 0:03:06


NURHASANAH J45.9 - Asthma,
unspecified

326 BY NY PITRIA I 115916 3/9/2022 - 22:22:31 22:22:31


327 BY NY PITRIA II 115917 3/9/2022 - 22:22:05 22:22:05
328 IIS 008108 7/1/1960 - 16:21:42 22:38:55
329 DEDE SUMIATI 115918 8/8/1972 M54.5 - Low back 22:58:05 22:59:08 0:01;13
pain
330 BAYA PURNAWAN 052896 7/1/1973 R11 - Nausea and 23:28:19 23:29:46
vomiting | R11 -
Nausea and
vomiting

331 OMAN SURAHMAN 005873 7/2/1982 - 23:43:01 23:44:08

332 AGHNIA NABILA 073654 2/13/2003 - 0:36:03 0:40:40


HARUM
333 DIVA YULIA MEGA 084155 7/19/2011 R50.9 - Fever, 0:52:44 0:53:51
unspecified
334 IDIM 105504 1/4/1948 - 1:09:59 1:11:18
335 GINANJAR 115920 8/23/1983 R10.0 - Acute 1:19:31 1:20:49
MURSALIN abdomen
336 NAPSIAH 049148 9/15/1969 A09 - Other 4:33:09 4:35:01
gastroenteritis
and colitis of
infectious and
unspecified origin

337 BAIM al MALIK 115923 10/10/2015 R50.9 - Fever, 4:40:31 4:45:56


unspecified |
R56.0 - Febrile
convulsions

338 SARMUNAH 076287 1/1/1970 A09 - Other 5:30:20 5:31:31


gastroenteritis
and colitis of
infectious and
unspecified origin

339 ASEP GANJAR 115924 3/14/1992 H81.4 - Vertigo of 6:34:21 6:34:21


central origin

340 MAESAROH 065769 7/1/1970 G44 - Other 7:44:03 7:45:04


headache
syndromes |
M19.91 -
Arthrosis,
unspecified,
shoulder region

341 FUJI FIRMANSYAH 108606 9/2/1977 K30 - Functional 9:50:21 9:50:33


dyspepsia

342 AMY APRILIAN 024478 4/11/1996 J20 - Acute 10:04:13 10:24:54


KARIM bronchitis
343 ABIDZAR ALGHIFARI 115935 7/31/2017 - 10:25:42 10:54:11

344 RIFKA MAHARANI 115937 6/22/2013 E887 - Fracture, 10:41:07 10:42:25 0:01:32
SYARIF cause unspecified

345 ANWAR 115938 7/1/1957 - 10:47:12 12:06:30


346 O. FIRMANSYAH, 060451 9/4/1949 - 11:39:48 11:41:25
(H).
347 YANAH 115939 3/7/1975 - 11:45:59 11:47:24
348 MUHAMMAD KAHFI 115940 12/17/2020 R56.0 - Febrile 12:56:57 12:59:50 0:04:34
convulsions
349 NAUFA SRI ROSIDAR 115945 2/19/2010 - 14:12:48 14:12:48
MASLAMAR

350 DAFIYA IZZATI 114285 11/26/2012 - 14:31:33 12:56:26


SAUQIM
351 MUHAMMAD 115946 7/24/2015 T14 - Injury of 14:41:15 14:42:05 0:01:20
RAYHAN PUTRA unspecified body
HAMDANI region

352 YUNIARTI DEWI 041092 6/18/1993 R50 - Fever of 15:03:02 15:05:09


other and
unknown origin

353 A IH 112712 6/15/1959 - 15:13:08 15:14:05


354 MIRA SETIAWATI 110928 9/30/1985 - 15:42:56 15:42:56
355 DERI ARDIAWAN 115948 7/18/2006 S05 - Injury of 18:05:07 18:08:28 0:03:32
eye and orbit
356 RIVALDI HAKIM 104479 7/12/2003 K30 - Functional 19:56:17 20:00:57
dyspepsia

357 WANTI 115849 5/10/1984 - 21:05:12 21:05:12


358 RAWATINA 029370 6/15/1975 A09.9 - 23:15:10 23:16:05
TAMBUN Gastroenteritis
and colitis of
unspecified origin

359 BASYIRA 079715 12/6/2019 - 23:20:24 23:21:17


KHAIFADILLAH
360 LILIS SORAYA 115950 1/12/1993 R50.9 - Fever, 23:29:37 23:29:37
unspecified
361 AL GHAZALI NUR 097626 9/14/2020 R50.9 - Fever, 23:55:08 23:56:44
ROHMAN unspecified
362 E. KOSASIH 077807 4/1/1960 J45.9 - Asthma, 0:47:09 0:48:25 0:01:34
unspecified
363 RESTI SETIAWATI 016830 9/6/1994 O80.9 - Single 2:55:51 2:55:51
spontaneous
delivery,
unspecified

364 ROSMAWATI 021082 5/5/1968 K92.1 - Melaena 4:09:13 5:01:17

365 DIANA PUTRI 018652 4/15/2016 R50 - Fever of 4:28:22 5:01:15


APRILLIA other and
unknown origin |
R50.9 - Fever,
unspecified

366 NANA VIANA 111791 12/28/1991 K30 - Functional 4:40:00 5:24:27


dyspepsia

367 PERI SUGIRI 077863 6/16/1991 G44.8 - Other 8:29:25 8:30:23


specified
headache
syndromes

368 TANTI OKTRIANA, 042833 10/29/1985 R50.9 - Fever, 8:48:03 8:52:25


(S.FARM., APT). unspecified
369 YOYOH ROHAYATI 115964 12/5/1976 - 10:25:53 11:55:21
370 MAUZA ARKHA 078155 1/19/2018 R50.9 - Fever, 10:35:57 10:36:29
RAFFASYA unspecified
371 ULFA NUR 107540 7/15/1998 J06.9 - Acute 12:43:15 12:46:51
RACHMAYANTI upper respiratory
infection,
unspecified | K30
- Functional
dyspepsia

372 RADEN ZAIN RAFIQ 115966 3/11/2022 - 13:07:44 13:07:44

373 LINDA HASANAH 054101 1/23/1982 - 13:11:48 13:11:48


374 UDIN 115967 8/4/1950 - 13:31:26 13:32:10
375 YATI 115968 7/1/1963 J06.9 - Acute 13:36:34 13:36:48
upper respiratory
infection,
unspecified | K30
- Functional
dyspepsia
376 TULIH 115971 2/12/1953 R50.9 - Fever, 15:10:41 15:11:56
unspecified
377 ASSAIF GHATHFAAN 115972 8/14/2011 - 15:25:54 15:27:32
RAMADHAN
MULYADI

378 KOHARSYAH 115973 1/26/1955 K30 - Functional 15:47:29 15:48:08


dyspepsia

379 ADE 074430 10/1/1967 R50 - Fever of 16:30:44 16:32:01


other and
unknown origin

380 HANY HUZNI 115974 7/12/2001 - 18:09:28 18:09:28


PARHANI
381 NURMALA SARI 042339/1 2/14/2000 T01 - Open 18:15:09 18:16:25 0:01:10
04698 wounds involving
multiple body
regions

382 R. ADAM FIRDAUS 115975 6/19/1975 B34.2 - 19:17:30 19:19:35


Coronavirus
infection,
unspecified site |
K30 - Functional
dyspepsia | R50.9
- Fever,
unspecified

383 ARTY SURTIANA 115976 12/7/1979 J45 - Asthma 19:44:42 19:45:58 0:02:35
384 HENY HENDRIYANI 019366/1 9/16/1980 - 20:03:24 20:03:24
14520
385 LISNAWATI 039763 12/7/1989 I10 - Essential 20:10:30 20:10:09
(primary)
hypertension

386 SRI NURBIDAYANTI 115978 3/26/2001 S06.0 - 20:40:00 23:41:54


Concussion
387 YANTI SULASTRI 115979 5/3/1988 - 21:16:35 9:17:19
388 NADIA RHESA 114432 11/3/1991 - 21:20:29 21:22:58
RAHESTHA
389 MARNI HARJO 086608 11/10/1967 K30 - Functional 22:31:53 23:10:02
dyspepsia

390 IKHLAS 069760 4/20/2012 J45 - Asthma 22:47:40 22:48:06 0:01:46


APRILIANSYAH
391 ANGGRAENI SAFITRI 112442 11/3/2000 T14.0 - Superficial 8:23:31 8:29:16 0:06:49
injury of
unspecified body
region

392 DAYAT SUDRAJAT 070366 4/4/1950 - 0:57:10 0:57:10


393 RISTA NURLAILA 115981 10/22/1992 - 3:20:55 3:21:49
394 NANDI MULANDAR 069906 10/10/1987 - 3:39:02 3:40:21

395 KEYNAND AHMAD 115982 10/5/2019 - 4:22:12 4:23:44

396 PEPEN 065560 2/12/1963 T14 - Injury of 5:48:38 5:52:03 0:04:41


SUPENDI.S.PD unspecified body
region

397 RACHMAWATI 115983 9/20/1983 - 6:46:03 8:58:11


398 AHMAD RIFARDI 032182/0 8/3/1994 R50.9 - Fever, 8:24:48 14:36:11
MAULANA, (AMD 89518 unspecified
RAD).

399 AHMAD RIFARDI 032182/0 8/3/1994 R50.9 - Fever, 8:24:48 8:24:48


MAULANA, (AMD 89518 unspecified
RAD).

400 KHUMAIROH SITI 115984 3/12/2022 - 8:38:34 8:38:34


AZZAHRA
401 YOGI IRAWAN 115988 2/5/1961 T14.1 - Open 9:54:56 9:55:57 0:02:34
wound of
unspecified body
region

402 ENDANG SUNARYA 039896 2/2/1964 J45 - Asthma 10:04:18 10:05:46 0:01:12

403 AHMAD 115990 1/1/1953 K30 - Functional 10:23:53 10:30:47


dyspepsia

404 MELYSSA SHALMA 094496 5/1/2001 G44.0 - Cluster 12:22:41 13:30:21


ALGHYFARI headache
syndrome | K30 -
Functional
dyspepsia | R50.9
- Fever,
unspecified

405 RANY NELVIA 054688 1/15/1992 R50.9 - Fever, 13:13:11 13:15:42


HERMAWATI unspecified
406 PIAN SUPIANDI 096896 8/2/1985 A15.0 - 13:17:01 13:20:04
Tuberculosis of
lung, confirmed
by sputum
microscopy with
or without
culture

407 HJ ROSIANA 006889 5/25/1949 K30 - Functional 15:51:15 15:52:57


dyspepsia

408 MUHAMMAD ZAYN 115991 3/19/2020 S06.1 - Traumatic 19:01:39 19:03:39 0:03:18
LUQMAN cerebral oedema
URBANSYAH

409 MUHAMMAD 112130 1/21/2018 J45.9 - Asthma, 19:10:24 19:14:37 0:04:14


ZULFIKAR ASSHIDQY unspecified

410 LATIFA KHAIRUN 115993 12/8/2013 A91 - Dengue 19:17:26 19:19:48 0:03:13
NISSA haemorrhagic
fever

411 NANI ANDRIYANI 115994 4/25/1987 N92.2 - Excessive 19:20:52 19:25:25


menstruation at
puberty

412 DELA SUSANTI 115995 3/23/1983 I10 - Essential 19:25:53 19:29:56


(primary)
hypertension

413 ATIKAH 115996 7/1/1943 R06.0 - Dyspnoea 19:30:10 19:33:18 0:03:10

414 CICAH 115997 3/17/1960 K30 - Functional 19:36:14 19:40:03


dyspepsia | R00.1
- Bradycardia,
unspecified

415 LOMRAH 115140 10/7/1963 K30 - Functional 19:40:22 19:44:36


dyspepsia
416 SEFTIAN SYAPUTRA 115998 10/1/2016 A91 - Dengue 19:47:30 19:48:28 0:01:58
haemorrhagic
fever | R50.9 -
Fever,
unspecified |
R50.9 - Fever,
unspecified

417 RIKI GUNAWAN 114392 7/22/1990 A15.3 - 20:30:47 20:31:06


Tuberculosis of
lung, confirmed
by unspecified
means

418 BAKTI NAUFAL AZIZ 115999 3/12/2009 - 20:47:45 20:47:45

419 ENGKAY 036585 5/5/1970 I10 - Essential 21:13:37 21:15:36


(primary)
hypertension |
K30 - Functional
dyspepsia

420 MAMAT HIDAYAT 060107 3/30/1995 T14.0 - Superficial 21:38:04 21:40:45 0:02:50
injury of
unspecified body
region

421 YANTI SULASTRI 115979 5/3/1988 - 22:25:37 22:25:37


422 TETI ROHMAWATI 110927 9/1/1973 K30 - Functional 0:42:17 0:43:13
dyspepsia

423 EDOH 064991 8/7/1970 K30 - Functional 1:36:45 3:15:42


dyspepsia

424 SHAFIRA HAYA 116002 1/19/2001 K30 - Functional 3:12:35 3:20:40


KAMILAH dyspepsia

425 ANGGA AGUSTIAN 086967 8/3/1987 - 8:12:11 8:13:14

426 YUDA MULYANA 090408 8/4/1987 R50.9 - Fever, 8:13:26 8:14:38


unspecified
427 NAUFAL 077247 6/3/2015 R50.9 - Fever, 9:21:40 9:21:39
REYVIANSYAH unspecified
428 HALIMATU SADIAH 071648 12/25/1994 R50.9 - Fever, 9:53:01 9:55:39
unspecified
429 YAYAH 116003 11/1/1974 M79.1 - Myalgia | 10:08:43 10:08:38
R51 - Headache

430 M LUCKY 097275 3/12/2019 T81.4 - Infection 11:10:43 11:11:35


HERMAWAN following a
procedure, not
elsewhere
classified

431 SHAFIRA APRILIA 116006 4/21/1998 R51 - Headache 11:25:11 11:25:11


PUTRI
432 BIKEU TOUBATAN 116007 7/3/2001 K30 - Functional 12:28:54 12:30:01
NASYUHA dyspepsia

433 MUHAMMAD 114097 6/2/2021 R50.9 - Fever, 12:32:59 10:56:45


DZAKY DZULHILMI unspecified
434 LILIS SUTIANAH 041233 2/15/1961 K30 - Functional 13:20:49 10:31:33
dyspepsia

435 ALDI PUTRA 115842 10/5/1995 K40 - Inguinal 14:45:18 14:49:04


hernia | K40.9 -
Unilateral or
unspecified
inguinal hernia,
without
obstruction or
gangrene

436 DEDE AGUS 106162 8/31/1987 A15 - Respiratory 15:44:27 15:45:13


tuberculosis,
bacteriologically
and histologically
confirmed

437 DEDE MUKLIS 103880 11/7/1990 - 15:55:49 15:55:49


438 MARIAM 116008 8/23/1986 R07.1 - Chest 16:03:37 16:05:38 0:03:10
pain on breathing
| R07.3 - Other
chest pain

439 GENTARI PUTRI 028232 8/12/2015 E9060 - Dog bite 16:08:24 16:10:06 0:01:31
AYUNA
440 ENI NURAENI 027745 12/15/1983 T81.4 - Infection 16:29:36 16:29:10
following a
procedure, not
elsewhere
classified

441 BY NY YANTI 116009 3/13/2022 - 16:36:29 16:36:29


442 JOHNNY 116010 6/22/1952 L50.0 - Allergic 16:53:48 16:57:53
MANURUNG urticaria
443 FIRMAN 116011 3/6/2001 K30 - Functional 17:04:45 17:07:16
SOLEHUDIN dyspepsia

444 NATAN MIKAIL 111874 10/13/2021 R11 - Nausea and 17:30:10 17:17:47
MALIK vomiting
445 VANIA PUTRI 116012 2/15/2020 R11 - Nausea and 18:03:29 18:04:27
CAHAYA vomiting
446 YOYOM 116013 1/1/1957 R11 - Nausea and 18:16:07 18:20:45
vomiting
447 MOCH RAPLI 116014 8/4/2004 T14.1 - Open 18:45:01 18:47:33 0:02:12
JAELANI wound of
unspecified body
region

448 SHIRIN AFRIN 096365 6/26/2019 J06.9 - Acute 18:49:05 18:50:19


RISMY upper respiratory
infection,
unspecified

449 UBAD 116015 4/13/1972 R10.0 - Acute 19:04:03 19:06:24


abdomen
450 BURHAN BURNAMA 112847 6/21/1989 - 19:38:22 19:38:22

451 ARSYAILA FATIMAH 044388 3/20/2014 R50.9 - Fever, 19:53:53 19:56:33


MULYADI unspecified

452 IRHAM 116016 7/4/2021 R11 - Nausea and 20:42:45 20:43:58


ATHTHABRANI vomiting
453 KEYSA AGISTINA 035467 8/18/2008 A09.9 - 20:58:03 21:00:21
PUTRI Gastroenteritis
and colitis of
unspecified origin
| R50.0 - Fever
with chills
454 EVI AFRIYANTI 092308 3/11/1985 K30 - Functional 21:20:02 21:22:01
dyspepsia

455 AZKIA 116017 1/7/2013 - 23:07:07 23:15:32


NURFADILLAH
456 SITI MASITOH 116018 7/5/2001 - 23:20:35 23:20:35
457 MUHAMMAD FAIZ 116020 11/21/2021 A09.9 - 1:41:08 1:43:16
AL-FATTAH Gastroenteritis
and colitis of
unspecified origin

458 PUPUT 116021 7/1/2002 K30 - Functional 5:27:39 5:27:57


dyspepsia

459 EULIS SRI MARYATI 116022 4/9/1986 R50.9 - Fever, 6:05:32 6:06:13
unspecified
460 TATI ISMAYANTI 044883 12/6/1963 K92.1 - Melaena 6:32:19 6:33:01

461 TIO SETIO 018254 3/5/2016 A91 - Dengue 6:37:00 6:38:54 0:01:54
FIRMANSYAH haemorrhagic
fever | R50.9 -
Fever,
unspecified |
R50.9 - Fever,
unspecified

462 NADIRA RIZQIANA 103322 12/10/2001 J03.9 - Acute 6:40:19 6:41:06 0:01:25
tonsillitis,
unspecified

463 DWI RAHAYU 069169 11/20/1997 - 10:02:23 10:02:23


WANDIRA NINGSIH

464 SUDIRMAN 116027 8/2/1975 A09.9 - 8:21:28 8:22:19


Gastroenteritis
and colitis of
unspecified origin
| A15.3 -
Tuberculosis of
lung, confirmed
by unspecified
means | R11 -
Nausea and
vomiting
465 AZKA AULIA 110008 10/8/2020 J45 - Asthma | 8:35:49 8:37:29 0:03:12
J45.9 - Asthma,
unspecified

466 BAYI NY SITI 116031 3/14/2022 - 8:49:09 8:49:09


MASITOH
467 TUTANG 116035 7/1/1943 R51 - Headache 9:24:51 9:25:57
468 ANINDITHA KEISHA 116038 1/12/2016 - 9:44:13 9:47:35
ZAHRA
469 OIP 116044 1/1/1950 A09.9 - 10:24:22 10:27:51
Gastroenteritis
and colitis of
unspecified origin

470 MUHAMMAD 115946 7/24/2015 - 11:39:24 11:40:06


RAYHAN PUTRA
HAMDANI

471 WEWEN JUWAENI 115077 10/8/1958 I10 - Essential 12:16:04 13:49:53


(primary)
hypertension

472 RUKOYAH 039466 7/1/1947 A09 - Other 12:30:43 13:51:34


gastroenteritis
and colitis of
infectious and
unspecified origin

473 SEH ARIS SUPANGGI 116048 9/2/1993 K30 - Functional 13:03:43 13:52:20
dyspepsia | K35.9
- Acute
appendicitis,
unspecified

474 FAREL APRIANSYAH 116049 4/5/2015 - 13:34:40 18:37:24

475 RANI NURAENI 065745 6/2/1999 - 14:20:02 14:20:02


476 BELLA VISTA 073297 6/9/1991 K30 - Functional 15:01:57 15:01:04
dyspepsia | R50.9
- Fever,
unspecified

477 SOLIHAT 028083/0 6/1/1961 K30 - Functional 16:57:50 20:06:26


69018 dyspepsia

478 KHOFIFAH SEPTIA 116050 9/3/2014 T14 - Injury of 17:31:46 17:32:37 0:02:05
ANGGRAINI unspecified body
region
479 SITI NURLAELA 116051 1/15/1982 H81.4 - Vertigo of 18:41:50 21:00:25
central origin

480 ARSENIO TRISTAN 116052 3/14/2022 - 19:08:58 19:08:58


RAUF GINANJAR
481 DIAS MAULANA 116053 9/7/2004 - 19:26:14 19:27:09
482 MUHAMMAD 072732 1/19/2019 J45.9 - Asthma, 19:32:58 19:33:32 0:02:10
RAZMI MULKI unspecified
FADILAH

483 ARIA DIFA 116054 11/2/2007 - 20:49:11 20:51:44


NUGRAHA
484 RINA MARLINA 116055 7/9/1975 R50.9 - Fever, 20:51:52 20:52:31
unspecified
485 TERA SULISTIA 116056 7/21/1993 K30 - Functional 22:09:20 22:09:51
dyspepsia

486 HARI 116057 2/21/1994 T14.1 - Open 22:43:27 22:46:01 0:03:10


wound of
unspecified body
region

487 OMAT 116058 3/4/1976 R07.1 - Chest 23:15:01 23:16:58 0:01:59


pain on breathing
| R07.3 - Other
chest pain

488 MUHAMAD ALBY 116059 10/2/2019 A91 - Dengue 1:14:48 1:15:37 0:02:10
FACHRY haemorrhagic
fever

489 YULIANTY SRIYANTI 113640 7/9/1995 - 3:11:00 3:11:00


KANTU
490 RANI NURAENI 065745 6/2/1999 - 3:26:30 9:11:54
491 MARIAM 116008 8/23/1986 J45.9 - Asthma, 3:35:16 3:36:58 0:02:07
unspecified
492 ERIK MAULANA 026571 4/17/1994 A09.9 - 7:10:53 7:15:46
Gastroenteritis
and colitis of
unspecified origin
493 TETI JUMARTINI 079166 4/4/1961 K30 - Functional 8:05:16 10:04:57
dyspepsia | R63.8
- Other
symptoms and
signs concerning
food and fluid
intake

494 KALSI LABIQA 116063 1/15/2020 T14.1 - Open 8:48:03 8:52:57 0:05:00
HASHYNARA wound of
unspecified body
region

495 ENEH 116028 3/2/1973 - 9:58:40 9:58:40


496 EJEN 104272 3/12/1970 E11.9 - Non- 10:15:46 12:42:35
insulin-
dependent
diabetes mellitus
without
complications

497 AHMAD RIFARDI 089518/0 8/3/1994 R50.9 - Fever, 10:36:53 10:37:51


MAULANA, 32182 unspecified
(A.Md.Rad)

498 FAJAR 116075 9/8/2010 T14.1 - Open 10:43:11 10:46:34 0:03:12


MUHAMMAD wound of
RAMADHAN unspecified body
region

499 M. AZRULLAH 104414 4/11/2021 - 11:17:28 13:21:35


MUJASYAKIR LATIF

500 SANDI ABDUL GANI 116079 5/10/1989 R33 - Retention 11:25:40 11:26:58 0:02:11
of urine
501 GADIZA NUR 110013 8/30/2021 R50.9 - Fever, 13:19:10 13:19:53
ATHIRA unspecified
502 ENUY 064709 9/6/1956 J45.9 - Asthma, 14:10:50 14:13:05 0:04:00
unspecified
503 NUR SANURI 043866 7/1/1960 R50.9 - Fever, 14:35:39 14:35:26
unspecified
504 NOVI HANDAYANI 116080 11/21/1991 - 14:46:46 8:41:20
505 M RAFA ALFAHRIZI 083773 7/28/2019 A09 - Other 16:28:22 16:29:15
gastroenteritis
and colitis of
infectious and
unspecified origin

506 TIA FAJRIATI 032005 10/26/1993 G44.0 - Cluster 16:42:08 16:45:18


headache
syndrome | K30 -
Functional
dyspepsia | R11 -
Nausea and
vomiting

507 DEDAH 116082 3/5/1957 J06.9 - Acute 16:45:11 16:50:53


upper respiratory
infection,
unspecified | L50
- Urticaria | R51 -
Headache

508 BAYI NY SITI 116031 3/14/2022 - 16:52:12 16:53:32


MASITOH
509 ADZKA NUR 116083 3/15/2022 - 17:37:33 17:37:33
SYABANI
510 NENEH 116084 2/11/1966 M79.1 - Myalgia 17:58:17 18:00:47
511 FAHIRA 116085 1/16/2016 - 18:49:14 18:50:52
FATHIYATURRAHM
A MULYADI

512 RIYAN 116086 12/13/2007 - 19:04:48 19:05:21


HIDAYATULLOH
513 CICIN KURAESIN 116087 12/5/1968 A09.9 - 19:09:15 19:10:52
Gastroenteritis
and colitis of
unspecified origin
| K30 - Functional
dyspepsia

514 ELAH HAYATI 116088 2/1/1989 - 19:37:35 19:38:50


515 RINI SUSILAWATI 109203 6/25/1991 K30 - Functional 20:07:50 20:08:34
dyspepsia
516 SAPTA AJI FEBRIAN 116089 2/15/2021 J18.0 - 20:19:20 20:20:46 0:02:06
Bronchopneumo
nia, unspecified |
J45.9 - Asthma,
unspecified

517 IPIT SOPIANTI 101021 5/12/1964 - 21:56:43 21:57:17


518 BEDI JUBAEDI 116090 10/13/1959 I25.9 - Chronic 23:13:02 23:16:25 0:03:06
ischaemic heart PM
disease,
unspecified

519 ASEP SETIAWAN 116091 5/8/2003 T14.9 - Injury, 22:52:34 22:54:36 0:03:24
unspecified
520 ANDRA KEMARA 116092 0981-11-01 T14.20 - Fracture 0:27:25 0:31:46 0:05:10
of unspecified
body region,
closed

521 IDA FARIDA 105374 10/23/1968 I64 - Stroke, not 0:40:48 0:46:12 0:06:02
specified as
haemorrhage or
infarction

522 EVI AFRIYANTI 092308 3/11/1985 K30 - Functional 1:36:42 1:38:10


dyspepsia

523 NINA SURTIKA 021206 9/12/1965 K30 - Functional 3:05:19 3:06:58


dyspepsia

524 ARI SETIAWAN 114600 1/5/1983 A09.9 - 3:22:54 3:25:55


Gastroenteritis
and colitis of
unspecified origin

525 SAMSIAH 116100 8/22/1969 B34.2 - 8:56:41 8:58:16


Coronavirus
infection,
unspecified site |
J06.9 - Acute
upper respiratory
infection,
unspecified |
R50.9 - Fever,
unspecified
526 TATI ISMAYANTI 044883 12/6/1963 K92.1 - Melaena 9:30:55 13:16:19

527 YATI 032067 8/5/1962 E14.5 - 9:35:38 9:37:08


Unspecified
diabetes mellitus
with peripheral
circulatory
complications

528 WIDY PUTRI 116099 2/12/2004 R50.9 - Fever, 10:48:12 10:49:43


PRATIWI unspecified
529 MUHAMAD ALPA 116109 3/4/2019 E9065 - Bite by 11:26:25 11:35:52 0:08:10
RIZKI SUNANDAR unspecified
animal

530 YANIH 116110 5/24/1967 R18 - Ascites 11:34:29 11:35:50 0:02:19


531 OEN 116111 7/1/1950 R04.2 - 11:50:14 11:51:06
Haemoptysis
532 NURAENI 116112 5/18/1985 O03.9 - 12:02:21 12:02:21
RISMAWATI Spontaneous
abortion,
complete or
unspecified,
without
complication

533 PUPUN ROHAYATI 026098 12/31/1987 J45.9 - Asthma, 12:08:53 12:09:09 0:02:10
unspecified
534 M. AZRULLAH 104414 4/11/2021 R50.9 - Fever, 12:13:35 12:15:45
MUJASYAKIR LATIF unspecified

535 MILA KARMILA 085231 4/7/1977 - 12:31:46 12:32:06


536 SITI ROHIMAH 116113 4/12/1993 E16.2 - 12:42:37 12:45:07 0:03:10
Hypoglycaemia,
unspecified | K30
- Functional
dyspepsia | R63 -
Symptoms and
signs concerning
food and fluid
intake | R63.8 -
Other symptoms
and signs
concerning food
and fluid intake

537 ANON SARIBANON 116114 5/10/1960 J06.9 - Acute 14:01:17 14:03:13


upper respiratory
infection,
unspecified

538 YAYAT 116121 4/7/1955 J06.9 - Acute 15:00:02 15:01:51


SUPRIATMAN upper respiratory
infection,
unspecified

539 OON ONASIH 109047 4/12/1972 M54.05 - 16:06:11 16:08:54


Panniculitis
affecting regions
of neck and back,
thoracolumbar
region | M79.10 -
Myalgia, multiple
sites

540 ISHMAH NAAILAH 050242 11/25/2009 J45.9 - Asthma, 17:01:57 17:01:09


unspecified
541 SOLIHAT 090735/0 1/2/1963 E14.9 - 17:22:28 17:53:10
23360 Unspecified
diabetes mellitus
without
complications

542 NENG RISKA 044721 10/8/1992 - 17:27:20 17:29:21


PURNAMA SARI
543 EVI PURNAMASARI 104629 9/22/1992 J45.9 - Asthma, 17:53:24 17:54:05
unspecified
544 YAYAT 116121 4/7/1955 K30 - Functional 23:12:31 23:15:46
SUPRIATMAN dyspepsia

545 BURHAN BURNAMA 112847 6/21/1989 R50.9 - Fever, 2:03:51 2:05:18


unspecified
546 wawan abun 116122 8/8/1982 K30 - Functional 2:06:12 2:10:21
dyspepsia

547 ACHMAD ABDUL 116123 8/8/1995 - 5:26:02 5:27:40


ROZAK TAGOR
548 REFI SOPIANDI 116124 7/18/2004 - 6:30:53 6:31:19
549 KHANZA ANNASYA 100352 12/2/2019 R50.9 - Fever, 6:55:01 6:56:05
DARMAWAN unspecified

550 MUHAMAD VIKI 092970 7/5/2018 A04.9 - Bacterial 7:00:05 7:02:01 0:02:06
JULIANSYAH intestinal
infection,
unspecified |
R56.0 - Febrile
convulsions

551 NURAIDA SAFITRI 081226 9/18/2000 - 8:23:10 8:23:10


552 NASRIVA 112954 12/27/2021 T01 - Open 8:28:37 8:29:56 0:02:28
FITRIANYSA wounds involving
multiple body
regions | T14.1 -
Open wound of
unspecified body
region

553 JAENUDIN 104631 5/6/1965 A91 - Dengue 8:32:05 9:33:25 0:01:30


haemorrhagic
fever | R50.9 -
Fever,
unspecified
554 TIAH 116130 3/5/1964 E9060 - Dog bite 8:39:29 8:42:41 0:04:11

555 NURUL IMAN 071324 3/10/1993 J06.9 - Acute 9:12:10 9:13:39


upper respiratory
infection,
unspecified

556 BILQIS AULIA 079639 2/16/2019 J18.0 - 9:29:13 9:29:53


ZAHRA Bronchopneumo
nia, unspecified

557 ENUNG NURYATI 058048 10/10/1972 I10 - Essential 9:39:16 11:54:06


(primary)
hypertension

558 BAYI NYONYA 116140 3/17/2022 - 8:45:45 8:45:45


NURAIDA SAFITRI
559 CEPI MAULANA 116144 10/8/2001 - 10:23:32 10:23:32
560 CHRYSMAN 100527 10/8/1993 K30 - Functional 10:51:35 10:52:03
ANDRERIA, (dr). dyspepsia

561 IMRA ATUS 103426/1 12/14/2017 - 11:24:11 11:25:12


SHALIHAH 06092
562 YUNI YULIANI 116106 11/6/1980 - 11:46:29 11:46:29
563 HERAWATI 116145 1/1/1990 E16.2 - 12:23:16 12:24:54 0:02:11
Hypoglycaemia,
unspecified

564 RANI SANTIKA 016403 1/14/1998 A06.0 - Acute 12:54:30 20:26:15


amoebic
dysentery

565 GIA SELA 090548 2/17/2000 - 13:38:46 13:38:46


566 MUHAMMAD 116146 10/23/2020 R56.0 - Febrile 13:44:07 13:47:11 0:03:18
BINTANG GHIFARI convulsions PM
567 ITA PURWITA 061749 11/9/1993 - 13:53:12 20:27:03
568 WAWAT 072687 1/31/1962 - 13:58:05 13:59:01
RAHMAWATI
569 VISI FISNAWATI 070662 7/30/1983 - 14:28:31 14:29:00
570 SRI WULAN 080267 6/28/2002 - 14:54:36 14:56:43
PERMANA SARI
571 WAWAN 024101 2/19/1960 A09.9 - 14:57:59 12:55:07
RUSWANDI Gastroenteritis
and colitis of
unspecified origin

572 ALMEERA SHABIRA 112303 8/1/2021 - 16:13:26 15:40:48


RAHAYU
573 MUHAMMAD 104955 2/6/2020 - 16:22:38 16:24:45
RAYYAN ARTANABIL

574 IRSYAD MAULIDJUL 025028 7/14/1998 - 18:04:29 18:03:25


AWALUDIN

575 PUTRI 059106 11/7/1997 - 18:06:22 18:10:13


576 ALA AULIANA 116148 1/17/2004 - 18:10:50 18:38:36
577 HERLIANA 116149 3/2/1991 - 18:16:54 18:16:54
578 LAURENZIA 116151 8/14/2014 B01 - Varicella 19:13:58 19:14:40
ISKANDAR [chickenpox]
579 IYO SENO 074440 8/1/1952 R04.2 - 19:24:30 19:25:23
Haemoptysis
580 TERA SULISTIA 116056 7/21/1993 R11 - Nausea and 19:31:04 19:32:01
vomiting
581 IWAN GUNAWAN 116152 3/17/2002 - 19:42:05 19:42:29
582 SALSABILA ZAKIYA 116153 7/24/2000 K30 - Functional 19:48:44 19:50:38
dyspepsia

583 HENDIYANA 116154 6/8/1980 R06.0 - Dyspnoea 19:57:38 19:59:50 0:03:19

584 DEDE AL FAHREZA 116155 3/16/2021 R50.9 - Fever, 20:03:14 20:04:45


unspecified
585 HILDA NURFAUZIAH 116156 8/11/1997 - 20:07:22 20:08:08

586 YULIA PUTRI 048734 7/2/2001 - 20:20:07 12:53:11


ANDIANI
587 AZIS 116158 10/8/2006 - 21:11:46 21:12:21
588 BUDIMAN 069709 1/12/1991 K30 - Functional 21:45:05 21:50:54
AGUSTIAN dyspepsia

589 ESA AULIA ZAHRA 116159 1/14/2000 - 21:48:52 21:48:52


590 BY NY HERLIANA 116162 3/17/2022 - 23:38:49 23:38:49
591 HJ AMIS MISTOPA 112219 2/4/1961 R31 - Unspecified 0:01:03 0:05:26
haematuria

592 KARSIH 026816 5/13/1960 - 0:39:28 0:40:28


593 ELMIAWATI 116164 2/11/1988 - 0:49:50 0:49:50
594 NABIL MIHRAN 116165 4/26/2021 - 1:07:15 1:08:18
GHAZZAL
595 IIS SUPENTI 116166 5/7/1979 - 8:32:14 1:36:42
596 IMAS MASLIAH 116167 8/10/1960 - 2:11:46 2:31:18
597 MUHAMMAD 116168 12/21/1993 - 4:46:28 4:47:50
HISYAM MAULANA
598 PIPIN 116169 5/5/1953 - 5:22:42 5:23:58
599 DINA DAMAYANTI 116170 12/7/1989 - 5:27:18 5:27:18

600 ROHIMAH HJ 080999 12/25/1949 I50.0 - Congestive 8:45:06 8:47:22 0:02:09


heart failure

601 RIKI KRISWANDI 116188 10/11/1988 A35 - Other 10:35:36 10:46:37


tetanus
602 BY NY DINA 116189 3/18/2022 - 10:42:53 10:42:53
DAMAYANTI
603 RIZKA FEBRIANA 108422 2/17/1998 R11 - Nausea and 11:36:53 13:08:48
vomiting
604 M KOSASIH 020033 8/10/1943 R10.0 - Acute 13:48:37 15:27:47
abdomen
605 YUYU YUNIARTI 029797 9/2/1994 - 14:00:31 17:06:14
606 TATANG ISA S. IR. 054526 12/24/1952 J06.9 - Acute 15:07:34 15:25:31
upper respiratory
infection,
unspecified

607 ANISA HULAN 096312 5/13/2001 - 15:54:40 15:55:07


PURNAMA
608 SANDI 116192 6/6/1995 - 16:07:00 16:16:33
609 LILIS YUHANINGSIH 116193 12/18/1969 R50.9 - Fever, 16:36:05 16:37:11
unspecified
610 ARI IDRUS 063003 1/1/1996 - 18:08:29 18:08:29
611 VIRA AMANDA SARI 116174 6/11/2004 - 18:12:11 19:02:52

612 ELIM 115860 2/22/1973 K30 - Functional 18:19:10 16:20:05


dyspepsia

613 LAYLA SYAFITRI 116194 5/9/2021 A09.0 - Other 19:04:15 19:05:07


RUSLI AL FATIH unspecified
gastroenteritis
and colitis of
infectious origin |
A09.9 -
Gastroenteritis
and colitis of
unspecified origin

614 NAZRIL HAIKAL 106297 11/27/2016 R50.9 - Fever, 20:35:42 20:54:25


ARKAINDRA unspecified
615 MUHAMMMAD 116195 1/7/2020 - 22:37:49 22:38:27
ZAHIR ALI
616 RULLY ALFARIZI 082382 7/17/2011 R10.4 - Other and 23:10:26 23:10:25
unspecified
abdominal pain

617 ANGGEL ZAHRA BR 116196 2/2/2015 K30 - Functional 2:16:19 2:17:18


SURBAKTI dyspepsia

618 RISMAWATI 099094 10/29/1996 K30 - Functional 2:12:12 2:45:26


dyspepsia

619 JAJAT 071096 12/18/1981 - 4:44:38 4:45:50


620 MUHAMMAD 110917 3/25/2021 - 6:28:22 6:31:17
AKHTAR AL MALIK
621 OMANG 116199 6/26/1993 R10.0 - Acute 8:27:54 17:23:43
RUSTAMAN abdomen
622 SRI RAHAYU 112881 11/3/1993 J45.9 - Asthma, 8:31:08 8:34:57 0:04:06
unspecified
623 HADI PUTRA 116200 10/5/2001 T14.0 - Superficial 8:35:29 8:40:58 0:05:40
injury of
unspecified body
region

624 TULIH 115971 2/12/1953 E63.9 - 8:39:45 8:40:51


Nutritional
deficiency,
unspecified | K30
- Functional
dyspepsia | R39.8
- Other and
unspecified
symptoms and
signs involving
the urinary
system

625 (Nunggak 66.900) 116205 7/21/2013 A09.9 - 9:48:21 9:56:20


MUHAMAD VIKY Gastroenteritis
RAMADHAN and colitis of
unspecified origin
| J20 - Acute
bronchitis

626 NATHAN KIAN 110576 9/28/2017 J20 - Acute 9:54:25 17:22:55


ALKARIM bronchitis
627 GUL KHUMAIRAH 116206 8/20/2021 A91 - Dengue 11:46:35 23:48:34 0:02:23
haemorrhagic
fever

628 BISRI 116207 4/9/1938 R63 - Symptoms 12:09:16 14:23:09


and signs
concerning food
and fluid intake

629 PULOH 116208 4/1/1985 R10 - Abdominal 13:01:15 13:04:17 0:03:04


and pelvic pain PM

630 SODIKIN 115591 6/30/1971 J45 - Asthma 14:48:35 14:50:38 0:03:12


HERWANTO, (S.Pd). PM

631 ARI SALMI 116209 2/22/1997 T01 - Open 14:50:00 14:51:08 0:01:08
wounds involving
multiple body
regions

632 AAY NURJANAH 022219 9/17/1973 I10 - Essential 16:42:24 17:30:35


(primary)
hypertension |
K30 - Functional
dyspepsia

633 MUHAMMAD DODI 116210 11/7/1982 K30 - Functional 17:27:22 17:28:43


dyspepsia

634 MUHAMAD RIFKI 116211 5/25/2011 T01 - Open 17:43:03 17:44:36 0:01:39
ARDIANSYAH wounds involving
multiple body
regions

635 RENALDI BIMA 116212 9/9/2012 T01 - Open 17:26:01 17:27:02 0:01:10
PUTRA wounds involving
multiple body
regions
636 DASEP 116213 8/20/1964 B34.2 - 17:40:30 19:57:18
Coronavirus
infection,
unspecified site |
R50.9 - Fever,
unspecified

637 SATIA NURJAYA 116215 10/5/1998 T01 - Open 17:40:29 17:42:43 0:03:12
wounds involving
multiple body
regions

638 IWAN DIRWANA, 116216 1/2/1979 R10.0 - Acute 18:28:38 18:29:50 0:02:28
(S.PI) abdomen | R10.4
- Other and
unspecified
abdominal pain

639 BAYU KACANDRA 116217 10/20/2002 T01 - Open 18:50:16 18:51:50 0:02:21
YASIN wounds involving
multiple body
regions

640 SILFAN 035859 6/6/1997 R07.4 - Chest 19:11:22 20:23:30


SAEPUROHMAN pain, unspecified

641 SISKA SISMAWATI, 010594/0 6/10/1992 - 20:04:03 20:05:03


(Amd.Keb). 62937

642 BAYI NY NIA 116218 3/17/2022 R50.9 - Fever, 23:42:55 21:20:02


FANIELA unspecified
643 AEP SAEPUDIN 046988 5/1/1960 J45 - Asthma 0:39:54 0:40:58 0:02:12
644 GANDA 116220 2/1/1952 H81.4 - Vertigo of 0:57:22 0:58:52
central origin |
I10 - Essential
(primary)
hypertension |
N17.9 - Acute
renal failure,
unspecified |
R63.8 - Other
symptoms and
signs concerning
food and fluid
intake

645 ALZHEA ANNASYA 116221 12/18/2018 - 1:44:24 1:45:40


PUTRI
646 FAJAR NUR ZAMAN 116222 1/20/2003 T14 - Injury of 3:18:04 3:21:19 0:03:23
unspecified body
region

647 SODIKIN 115591 6/30/1971 J18.9 - 2:25:32 2:27:40 0:03:06


HERWANTO, (S.Pd). Pneumonia,
unspecified |
J45.9 - Asthma,
unspecified |
K21.9 - Gastro-
oesophageal
reflux disease
without
oesophagitis

648 ASEP SAEPUDIN 092846 7/28/1974 - 6:22:14 3:19:13


649 ENUNG SURYANI 080553 4/10/1966 - 5:41:36 5:44:49
650 ATHTHALA RAFIF 116224 7/8/2019 - 5:51:34 5:53:16
SYATHIR
651 MANAH 116225 2/7/1955 - 8:38:48 8:39:30
652 AAT 116226 1/1/1952 - 9:07:22 9:08:39
653 AMELIA 112530 7/26/2004 O00.0 - 9:13:58 18:43:08
Abdominal
pregnancy

654 GEMA RAKA 086904 4/25/2011 - 9:20:57 9:21:06


WIGUNA
655 EBED JUBAEDAH 116227 1/1/1963 - 9:48:43 9:50:25
656 ASTY AQILAH 116228 7/17/2002 - 10:47:19 10:48:52
FAUZIYYAH
657 IMAS MASRIAH 005500 11/5/1960 - 11:48:53 11:49:39
658 SHIMA KENCANA 116230 8/3/2020 - 11:59:14 12:00:18
LAKSANA GUMELAR

659 RAZZAN ALFATIH 116231 12/24/2021 - 12:33:04 12:34:23


660 FERDIAN SAN LOVA 080176 3/19/2012 - 12:55:04 12:56:26

661 WAHYUDIN 116232 7/10/1982 - 13:29:31 13:58:42


662 DELISHA NADIRA 116233 9/29/2020 - 13:43:49 12:14:38
SASKIA
663 YOLANDA AURRELIA 040043 6/7/2008 - 14:13:26 14:14:30

664 RAFKA 116234 9/8/2010 T14.0 - Superficial 14:43:37 14:45:30 0:03:23


injury of PM
unspecified body
region

665 MUHAMAD SURYA 092135 11/17/2008 T14.1 - Open 15:02:10 15:08:47 0:06:57
FARHAN wound of
unspecified body
region

666 ALIANDRA AZKA 116235 5/16/2018 R56.0 - Febrile 14:52:15 14:54:43 0:02:10
RAMADHAN convulsions
667 VIVTAH RIZKY RIZA 114428 6/9/2000 K30 - Functional 15:07:05 15:08:58
dyspepsia | R50.9
- Fever,
unspecified

668 DIAN SARI 084659 4/12/1987 O00.0 - 15:39:55 18:47:09


Abdominal
pregnancy

669 H. ABDULROCHIM, 035731 8/17/1961 K30 - Functional 16:14:34 16:16:32


S.PDI dyspepsia

670 ACEP 116239 7/15/1944 I50.0 - Congestive 16:55:13 16:58:04 0:03:17


heart failure PM

671 AZHARA 010388 7/30/2012 R50.9 - Fever, 17:25:30 17:26:23


QURRATUAIN unspecified
RAMADHANI

672 BUDIANSYAH 071310 1/20/1988 J45.9 - Asthma, 17:52:10 17:54:50 0:03:00


unspecified
673 AISILA HUSNA RIZKI 116241 3/5/2018 R50.9 - Fever, 17:56:45 18:00:12
unspecified
674 ADISTIA NISYA 116242 3/30/2021 R50.9 - Fever, 18:00:43 18:01:46
RAMDHANI unspecified
675 DIAN HENDARTI, 062989 1/20/1973 - 18:49:15 18:53:05
AMD
676 RISKI NOVIA 116243 11/20/1996 - 19:27:26 8:37:53
KUSWENDI
677 NANDAN SAEPUDIN 116244 10/11/1983 R50.9 - Fever, 20:09:31 20:55:07
unspecified
678 MUHAMMAD 116245 12/7/1999 T14 - Injury of 20:14:40 20:16:12 0:02:19
FAHMI unspecified body PM
region

679 EUNIN 101575 10/5/1960 R04.0 - Epistaxis 20:34:41 20:35:36 0:02:16

680 SURYANA 049194 3/10/1953 I50.0 - Congestive 21:15:38 21:16:18 0:01:54


heart failure

681 YUSUP MAULANA 109299 4/5/1993 R10.0 - Acute 22:49:13 22:50:13


abdomen
682 HASAN 043920 6/13/1976 N23 - Unspecified 22:59:35 23:00:25
renal colic

683 RAHMAT HIDAYAT 103351 7/12/1970 J45 - Asthma 0:36:18 0:37:05 0:01:23

684 MASNINTEN 099160 4/12/1967 I10 - Essential 4:18:12 4:19:23


(primary)
hypertension

685 LENA NOVIANA 108964 12/11/1992 R50.9 - Fever, 4:45:35 4:46:29


unspecified
686 ARSYAD ABDUL 081623 6/27/2017 J06.0 - Acute 5:43:17 5:44:04 0:01:21
AZIM laryngopharyngiti
s | J45 - Asthma

687 IPAH SARIPAH 116246 10/7/1982 - 7:23:56 7:24:00


688 NURHALIZA 116250 8/12/2021 - 10:00:40 11:36:05
AMELYA
689 MUHAMAD 116256 9/12/1996 - 11:11:21 11:34:25
MAULANA
690 AAN SURYANI 097178 6/22/1973 - 11:17:05 11:20:42
691 IYUS SUSANTI 060680 11/8/1983 - 11:32:50 11:32:50
692 HENDRI 104175 6/17/1984 - 11:38:36 11:39:51
HERDIAMANSYAH
693 MOCH EKA 116258 5/17/2005 - 11:51:33 11:55:37
MAULADANI
694 KAESIH 116260 1/17/1953 R50.9 - Fever, 12:13:28 12:15:29
unspecified
695 ALVIN SEPTIAN 101355 9/1/2010 B26 - Mumps 12:15:02 12:32:24
PUTRA
696 INAR SUMINAR 009523 12/11/1984 K30 - Functional 13:56:15 13:57:10
dyspepsia

697 HASAN JULAENI 051098 6/6/1972 K30 - Functional 14:04:19 14:05:37


dyspepsia

698 SUHENDANG 114795 1/27/1963 R06.0 - Dyspnoea 14:31:38 14:32:10 0:01:48

699 MARYAM ELYA 068157 4/13/1979 K30 - Functional 16:00:53 16:01:23


MEDIAWATI dyspepsia

700 HAMBALI 062367 1/1/1955 R55 - Syncope 16:20:15 16:21:49 0:01:58


and collapse |
R57.1 -
Hypovolaemic
shock

701 ALFA AULIA 115822 9/21/2003 R50.9 - Fever, 16:24:26 16:25:37


unspecified
702 MUHAMMAD 116265 10/7/2021 J06.9 - Acute 17:10:17 17:12:08
ATHAR ATHALLAH upper respiratory
infection,
unspecified

703 LINA 019048 7/6/1993 M65.04 - Abscess 17:13:14 17:15:49


of tendon sheath,
hand

704 ASEP KURNIA 116266 10/10/1965 E9060 - Dog bite 17:37:01 17:38:15 0:01:16

705 DWI ARSYIL AL 051830 9/26/2017 A09.9 - 17:45:19 17:11:26


MUHAROM Gastroenteritis
and colitis of
unspecified origin

706 FRISKA 116267 10/20/2013 T14.1 - Open 17:58:22 18:00:28 0:02:49


wound of
unspecified body
region

707 NINA MAULANI 110193 3/3/1977 R10.4 - Other and 18:07:57 18:10:41
unspecified
abdominal pain
708 RAZIQ SHIDQI 107816 2/22/2021 J06.9 - Acute 18:56:20 19:00:26
ARSALLAN upper respiratory
infection,
unspecified

709 MUHAMMAD ZAIN 116268 5/10/2021 R56.0 - Febrile 18:59:39 19:01:18 0:02:48
ALFATIH convulsions
710 TUTUN SITI 116269 7/22/1959 - 19:09:42 19:10:25
JUWIJAT
711 RIANAWATI 080286 1/15/1978 D64.9 - Anaemia, 20:01:24 20:02:04 0:01:28
unspecified |
E11.9 - Non-
insulin-
dependent
diabetes mellitus
without
complications |
I11.9 -
Hypertensive
heart disease
without
(congestive)
heart failure |
J18.9 -
Pneumonia,
unspecified |
J35.9 - Chronic
disease of tonsils
and adenoids,
unspecified |
N18.9 - Chronic
kidney disease,
unspecified

712 PITRI APRIANTI 116270 4/10/2007 - 20:18:46 20:19:24


713 SITI ROHMAH 116271 7/1/1969 B34.2 - 21:32:26 21:32:54
Coronavirus
infection,
unspecified site |
B34.2 -
Coronavirus
infection,
unspecified site

714 BABAN SOBANDI 071156 6/20/1952 - 23:17:40 23:18:40


715 MARPU 116273 1/1/1961 R50.9 - Fever, 0:59:25 1:00:54
unspecified
716 ANGGI 116274 9/5/1996 R10.0 - Acute 4:40:18 4:41:14
abdomen
717 NINA MARDIANA 073815 5/22/2000 - 6:20:18 6:20:18
718 BAYI NYONYA NINA 116275 3/22/2022 - 6:47:08 6:47:08
MARDIANA
719 AWANG DAWAMI 116276 7/6/1962 - 7:28:09 9:35:24
720 JUAN 037056 7/1/1960 J44.1 - Chronic 7:32:58 9:18:14
obstructive
pulmonary
disease with
acute
exacerbation,
unspecified |
J45.9 - Asthma,
unspecified

721 YAYAH DEWI 109685 10/24/1963 A09.9 - 8:43:29 9:15:49


HOMSIAH Gastroenteritis
and colitis of
unspecified origin

722 SITI ANNURI 116288 12/18/2016 R50.0 - Fever 10:21:08 10:22:15


KUSUMAH with chills
723 HERI IRAWAN 116290 8/25/1982 K56.7 - Ileus, 13:20:26 13:22:29 0:03:06
unspecified
724 ABAS NURWANDI 110370 7/1/1960 R07.4 - Chest 10:52:02 10:52:31
pain, unspecified

725 RATU SUCI 067167 4/15/1993 E9065 - Bite by 11:25:17 11:26:26


AFRILIANI, (S.Kep., unspecified
Ners) animal | J03 -
Acute tonsillitis

726 SITI NURHAYATI 116285 2/20/1986 - 10:07:25 13:19:11


727 ARFAN HASHIF 116295 5/20/2020 - 13:11:10 13:21:29
728 SUTRISNAWATI 116257 8/5/1986 - 13:49:43 13:49:43
729 IIS 102086 7/1/1969 - 14:31:08 14:32:46
730 ADE KURNIA 116297 12/30/1996 - 14:50:41 14:51:27
CORNELLIS BASTIAN

731 PENDI 107388 10/5/1958 - 14:57:03 14:57:21


732 TEDI EPENDI 116301 6/25/1962 - 16:32:27 16:55:29
733 RIKI 093521 4/2/1998 J45 - Asthma 16:36:25 16:37:26 0:02:01
734 ALINDA 071844 9/27/1993 - 16:39:34 16:41:26
735 SITI NURSIYYAH 042899 7/1/1941 K30 - Functional 16:57:51 16:58:47
dyspepsia

736 BADRIA MAULANA 042793 4/11/1935 - 16:59:16 17:00:15


KOMARUDDIN

737 DEVI NURLITA 040883 6/25/1992 - 17:27:51 11:45:42


738 MUHAMAD RAYYAN 116302 1/17/2022 - 19:00:16 19:01:25
ALFARIZKI

739 DEWI PUSPITA SARI 116303 9/18/2000 - 17:39:49 17:40:11

740 RAFKA ASYAUQIE 116304 1/29/2021 R50.9 - Fever, 18:11:19 18:12:20


PRISALAM unspecified
741 ALMA 116305 12/5/2019 - 18:36:10 18:37:00
742 TINAN NURFALAH 116306 3/29/1984 - 18:39:58 18:40:09
743 ABDUL AZIS 112502 3/17/1996 - 18:43:07 18:44:49
744 HAMDAN 116307 10/16/1997 - 19:09:01 19:10:29
745 ANGGITA JULIANTY 032490 7/9/2002 - 19:29:59 19:30:49

746 ARSYA BELVA 026760 1/30/2009 - 20:20:29 20:21:09


YAUZA TUFFAHATI
FERDIANSYAH

747 M ARYA FIRDAUS 116308 7/14/2008 - 19:45:38 19:46:07


748 CANDRA 085403 7/1/1995 - 19:57:30 19:58:26
PAMUNGKAS AMD
RAD

749 ROSLINDA 046287 6/5/1977 J45 - Asthma 20:03:00 20:04:06 0:01:06


RISMAWATI
750 IHAT SOLIHAT 116309 5/12/1960 K30 - Functional 20:31:23 20:32:49
dyspepsia

751 IMRA ATUS 106092/1 12/14/2017 R50.0 - Fever 21:15:40 21:17:31


SHALIHAH 03426 with chills
752 TITIH 116310 1/23/1960 K30 - Functional 21:41:16 21:42:08 0:01:12
dyspepsia | R06.0
- Dyspnoea

753 MUHAMMAD 084674 1/2/2020 R50.9 - Fever, 23:04:32 23:06:38


FAQIH AKBAR unspecified
754 SELVI SAPITRI 047076 8/7/1999 - 23:10:54 23:11:35
755 GENIA FEBRIA 116312 2/19/2019 R50.9 - Fever, 23:28:35 23:30:27
YUDISTIRA unspecified
756 BAYI NY 116313 3/23/2022 - 0:47:27 0:47:27
SUTRISNAWATI
757 NISVY DIKRI 036911 1/28/1994 - 1:45:08 1:45:08
ABDIANTI
758 M ZIAN PANGESTU 116314 2/5/2013 R10.0 - Acute 1:54:59 1:58:53
UMBARA abdomen

759 NAZWA AS-SYIFA 109184 9/21/2014 J45 - Asthma 2:42:13 2:48:31 0:06:44
760 RAISYA NABILA 116315 12/8/2021 J06.9 - Acute 3:57:09 4:17:49
PUTRI upper respiratory
infection,
unspecified

761 BAYI NY NISVI 116316 3/23/2022 - 4:38:00 4:38:00


762 NAZWA AS-SYIFA 109184 9/21/2014 J45.9 - Asthma, 6:00:24 6:04:44 0:04:12
unspecified
763 ILAH JAMILAH 116317 8/8/1993 - 6:25:59 6:25:59
764 BAYI NY LIA 116319 3/23/2022 - 7:50:46 7:50:46
APRILIANI
765 GINTAN PUTRI 116327 8/31/2000 A25.9 - Rat-bite 8:55:27 8:58:37 0:03:18
AGUSTIN fever, unspecified
| E9061 - Rat bite

766 NORA KRISTAPORA 116329 7/24/1979 - 9:42:47 9:43:39

767 EMIN 116333 4/12/1957 - 10:40:45 10:43:26


768 RUSNA 116338 3/4/1939 K92.8 - Other 11:26:14 11:17:07
specified diseases
of digestive
system

769 DICKY ADIES 116339 6/7/1995 R50.9 - Fever, 11:45:41 11:48:50


NUGRAHA unspecified
770 FEVI OKTAVIANI 112074 10/5/1987 - 12:18:58 15:13:09
771 ABDUL SALAM 053719 11/30/1962 - 13:20:15 13:23:01
WULUR
772 FITRI ANDRIYANI 116359 3/27/1994 K30 - Functional 14:27:09 14:28:08
dyspepsia

773 CECEP 047751 12/2/1970 J45 - Asthma 14:59:14 15:02:14 0:03:21


774 AHMAD RIFARDI 032182/0 8/3/1994 K30 - Functional 15:23:31 15:24:45
MAULANA, (AMD 89518 dyspepsia
RAD).

775 MUHAMAD AKBAR 116393 9/20/2018 R50.9 - Fever, 16:32:10 16:33:43


SEPTIANSYAH unspecified

776 NUR MAJID 084173 10/23/1973 M79.1 - Myalgia 16:34:44 19:44:11


777 MEYSA PUSPITA 082075 5/29/2002 R04.2 - 16:51:42 16:52:04
KANIA Haemoptysis
778 BY NY ILAH 116394 3/23/2022 - 18:46:54 18:46:54
JAMILAH
779 DASEP SETIAWAN 003242 5/31/1975 K30 - Functional 18:05:09 18:07:46
dyspepsia

780 NABILA AIRA 111923 12/21/2020 - 18:35:59 18:36:21


ALMASHYRA
781 ARFAN ISKANDAR 116395 3/30/2020 J45 - Asthma 18:53:23 18:54:26 0:02:21
782 AL GHAZALI NUR 097626 9/14/2020 A04.9 - Bacterial 19:23:03 19:24:36
ROHMAN intestinal
infection,
unspecified |
A09.9 -
Gastroenteritis
and colitis of
unspecified origin
| R50.9 - Fever,
unspecified |
R50.9 - Fever,
unspecified

783 SITI ASAROH 028862 4/27/2004 K30 - Functional 19:41:47 19:42:30


dyspepsia

784 MUHAMMAD 095029 6/6/2014 J45 - Asthma 20:15:49 20:16:25 0:02:23


ZIDAN ZIVANSYAH

785 ALFIN ALFATAH 067635 7/18/2014 - 21:08:55 21:09:01


786 MUHAMMAD 116396 2/12/2021 A09.9 - 21:16:50 21:17:07
ADZRIEL MUSTAQIN Gastroenteritis
and colitis of
unspecified origin

787 SITI SUHAENI 017915 11/6/1987 - 3:18:50 22:04:36


788 UCU SAHRUDIN 116398 7/12/1982 K30 - Functional 1:06:33 1:33:11
dyspepsia

789 MEIDASARI 062167 5/18/2002 - 7:11:43 9:20:03


PRATAMA
790 UJANG SUHERMAN 116399 3/19/1963 - 4:09:46 4:10:08

791 ELAH ROYANI 116400 8/17/1980 - 4:11:58 4:12:31


792 MUHAMAD ABIZAIN 112023 2/10/2021 J45 - Asthma 7:09:37 7:13:34 0:05:00
SYAUQI
ALKUROIMAN

793 NINING YUNINGSIH 116401 5/10/1973 K30 - Functional 7:29:49 7:30:35


dyspepsia

794 REVA RAEHAN 116406 2/5/2009 R50.9 - Fever, 7:56:00 7:56:06


AZIMA unspecified
795 NOVA 084274 11/5/1990 J45 - Asthma 9:39:44 9:40:10 0:01:54
WAHYUNINGSIH
796 RIA SURYANI 116437 8/1/1985 T01 - Open 9:25:40 9:26:51 0:02:13
wounds involving
multiple body
regions | T14 -
Injury of
unspecified body
region

797 YETI SUSANTI 060064 6/8/1977 K65.9 - 10:08:32 10:09:06


Peritonitis,
unspecified |
R10.0 - Acute
abdomen

798 YENI NURAENI 044663 5/20/1994 - 11:00:08 11:00:08


799 ASEP SUWARNA 116486 5/17/1966 E9055 - Other 12:05:36 12:06:06
venomous
arthropods
causing poisoning
and toxic
reactions
800 ARAH 029214 6/17/1955 A09.9 - 13:04:55 13:06:35
Gastroenteritis
and colitis of
unspecified origin

801 ISYARI KHAIRI 116491 5/7/2021 R11 - Nausea and 13:23:43 13:24:49
RAMADHAN vomiting
802 MUHAMAD AL 116503 12/27/2004 - 14:36:53 14:09:25
FAZRI PUTRA
PRATAMA

803 ERNAWATI 116521 3/22/2000 K30 - Functional 15:18:33 15:20:59


dyspepsia

804 BAYI NY YENI 116522 3/24/2022 - 15:38:04 15:38:04


NURAENI
805 NOVVI SITI 116523 11/9/1979 - 15:59:09 16:00:08
SOLEHAH JAMILAH

806 INTAN MUTIARA 072713 9/24/2018 - 16:18:34 16:08:39


SYINI
807 DIKI WAHYUDIN 116524 4/23/2000 - 16:38:29 16:40:10
808 DESI SUKMAWATI 097298 12/10/1982 - 16:57:07 16:58:01
809 DADUN 035847 6/7/1976 - 17:22:28 17:23:20
FIRMANSYAH
810 ABDUL KOHAR, (H). 017750 6/12/1951 - 17:25:49 17:27:03

811 OMA 116525 3/1/1947 - 18:58:53 17:53:53


812 MUHAMMAD 116526 9/12/1997 - 17:58:39 17:59:19
SULTAN AZIE
813 ABDUL AZIS 112502 3/17/1996 - 19:08:15 19:09:18
814 ADE SETIAWAN 050974 2/4/1973 - 19:13:48 19:13:48
815 ENDANG SARBINI 039060 12/25/1939 - 20:16:14 7:43:58
816 NUR MEILANY 097223 5/4/2013 - 20:24:44 20:25:04
817 CHINTYA 109019 10/24/2011 - 20:52:50 21:30:58
OKTAVIANI
818 MUTIARA 078009 6/23/1980 - 20:55:46 20:55:46
HUTABARAT
819 AHMAD FARAN 116527 10/31/2012 - 22:27:36 22:28:45
820 DENI PEBRIANTO 056578 1/12/1989 - 0:29:57 0:31:56
821 MUHAMMAD 116529 3/10/2020 - 0:44:02 0:45:06
FAD"AN
822 GENYAS GAMELINA 116530 12/17/2020 - 0:48:46 0:49:58
SRI UTAMI

823 DIAN SARI 084659 4/12/1987 - 3:09:01 3:09:01


824 BY NY DIAN SARI 116531 3/25/2022 - 3:35:36 3:35:36
825 AULIA SARI 116533 9/10/2003 - 8:56:24 4:00:01
826 SRI RAHAYU 116534 10/19/1984 - 4:43:18 4:45:48
827 SINTA SINTIAWATI 030112 4/23/1993 H81.4 - Vertigo of 7:35:09 7:40:23
central origin

828 JIHAN ALISTA 014116 9/17/2015 J45 - Asthma 9:30:08 9:31:06 0:01:23
829 ARSYA PRATAMA 115521 5/20/2021 A09.9 - 10:42:29 10:43:30
Gastroenteritis
and colitis of
unspecified origin

830 TIARA AFRA 116561 4/2/2021 J18.0 - 10:43:46 10:39:30


SYABANIYAH Bronchopneumo
nia, unspecified

831 IRIAH WINARTI 116588 12/10/1959 B02 - Zoster 10:52:43 10:53:06


[herpes zoster]
832 EROS ROSITA 046795 4/28/1989 J45 - Asthma 11:15:12 11:17:32 0:02:44
833 ENDANG 116591 9/6/1950 I50.0 - Congestive 13:15:32 13:17:10 0:02:42
heart failure

834 NABIL MIHRAN 116165 4/26/2021 R50.9 - Fever, 17:19:29 13:19:57


GHAZZAL unspecified
835 SOLIHAT 070380 7/1/1961 - 14:30:21 14:31:27
836 FARID 116593 3/15/1998 - 14:30:26 14:31:48
837 IDFI HOEROH 116594 5/7/1989 - 15:36:30 15:37:49
838 INDRI 080470 4/5/1998 - 15:47:22 15:51:31
839 AUDREY AULIA 048189 4/21/2007 R50 - Fever of 16:18:50 17:42:12
PRAMODITA other and
unknown origin

840 MUHAMMAD KAHFI 116595 3/19/2021 - 16:48:51 16:50:41


AL SHAKA SURYA

841 IWAN GUNAWAN 116596 5/2/1986 R50 - Fever of 16:53:33 17:41:46


other and
unknown origin

842 MUHAMMAD 012268 6/4/2011 - 17:11:33 17:41:30


DAFFA AL SYAKIB
843 ASEP FAUZI 031153 12/1/1987 - 18:48:35 18:50:56
NUGRAHA
844 KEEMALA PUTRI AL- 098081 12/12/2019 - 18:51:19 18:52:00
AYUBI
845 AXCEL FAEYZHA 103819 3/25/2021 - 18:55:44 18:57:14
FAWWAZ
846 HENDARNO 116598 5/12/1974 - 19:02:15 19:03:08
847 MUTIARA 078009 6/23/1980 - 19:20:37 19:20:37
HUTABARAT
848 ROSMIATI 059629 7/1/1962 K35.9 - Acute 21:36:00 21:37:05 0:01:05
appendicitis,
unspecified

849 NADHIRA RAHMA 086744 10/24/2017 J45 - Asthma 22:51:02 22:52:14 0:01:21
850 AYU SAPITRI 116599 3/30/2001 - 23:32:55 23:32:55
851 BURHAN BURNAMA 112847 6/21/1989 K30 - Functional 0:25:20 0:26:40
dyspepsia

852 ASEP FAUZI 031153 12/1/1987 - 1:03:21 1:05:52


NUGRAHA
853 DEPITA NOVITASARI 011564 3/16/2013 J45 - Asthma 4:15:07 4:18:13 0:03;12

854 ENDANG NANDANG 095278 9/2/1991 - 6:34:49 9:23:27

855 ANI ASMARANI 012937 8/23/1983 - 6:59:50 7:00:32


856 MUHAMAD ABIZEIN 114692/1 2/10/2021 - 8:24:50 8:24:50
SAFARAZ 03147
ALKUROIMAN

857 NIDA QURANI 110402 12/17/2020 A09.9 - 8:58:16 9:00:26


SALEHA Gastroenteritis
and colitis of
unspecified origin
| R50.9 - Fever,
unspecified

858 IRSYA NURSYAFITRI 029478 1/1/2017 R50.9 - Fever, 10:22:31 10:25:07


unspecified
859 NAFIS AKALIL 116616 11/13/2013 R50.9 - Fever, 10:47:57 10:50:43
AKBAR unspecified
860 NANI 048909 4/4/1971 A09.9 - 10:56:38 10:59:57
Gastroenteritis
and colitis of
unspecified origin

861 M BENY MINTARJA 116621 1/4/1974 K21.9 - Gastro- 11:26:30 11:30:32


oesophageal
reflux disease
without
oesophagitis
862 TINAN NURFALAH 116306 3/29/1984 K30 - Functional 11:49:57 12:15:23
dyspepsia

863 MUHAMAD NAUFAL 079450 10/30/2018 T17.0 - Foreign 12:13:28 12:16:06


body in nasal
sinus

864 ARFAN HASIP 116624 1/2/2016 R50.9 - Fever, 13:47:26 13:49:40


unspecified
865 AGUS ENDE 114962 8/7/1952 - 13:52:58 17:09:46
866 NURSOPIAH 116625 8/8/1978 - 14:07:59 14:07:35
867 IMAS MASITOH 116626 7/21/1965 - 14:24:22 14:25:01
868 INGGIT PUTRI 116627 7/20/1998 - 14:35:11 14:36:52
PERMANA
869 NAURA HASNA 116628 9/22/2013 R50.9 - Fever, 15:31:19 15:32:34
ANNIDA unspecified
870 ILIS SOLIHAT 116629 5/4/1982 - 15:46:20 15:46:20
871 SAMSUDIN 116630 6/6/1968 T01 - Open 16:00:53 16:01:30 0:02:14
wounds involving
multiple body
regions | T14 -
Injury of
unspecified body
region

872 WAWAN 024101 2/19/1960 T01 - Open 17:06:52 17:07:52 0:02:24


RUSWANDI wounds involving
multiple body
regions

873 NAVISHA 086204 5/13/2018 T14 - Injury of 17:30:38 17:34:39 0:05:05


SHAQEENA AL unspecified body PM
RAHMAH region

874 CHANDRA 076333 7/1/1995 - 18:41:55 19:19:33


PAMUNGKAS,
(Amd.RAD.)

875 HARIS 046683 2/4/1965 I10 - Essential 18:56:28 17:16:00


(primary)
hypertension

876 SITI HANI FATUL 116631 7/20/1997 K30 - Functional 19:04:11 19:05:46
ZANNAH dyspepsia

877 OJAK 059620 7/1/1957 J45 - Asthma 19:52:18 19:55:15 0:03:28


878 SELPI YANA 116633 6/18/2001 A09.9 - 20:14:47 20:15:25
Gastroenteritis
and colitis of
unspecified origin
| K30 - Functional
dyspepsia

879 SHALMA NOVIA 108938 11/23/1999 - 22:04:38 22:04:38


AGUSTYAN
880 RICO ARDIANSYAH 116636 7/6/2000 - 21:35:33 21:37:29

881 BAYI NY SHALMA 116637 3/26/2022 - 22:04:28 22:04:28


NOVIA AGUSTYAN

882 INTAN RUSTIKA 036643 3/4/2001 - 22:16:34 22:17:02


883 MOH RANGGA 064215 8/16/2013 J45 - Asthma 22:26:49 22:27:54 0:02:43
AGUSTINA
884 EE 113839 5/1/1958 - 22:35:56 22:36:16
885 ROBIANSYAH 111155 1/15/1984 K30 - Functional 23:33:28 22:35:16
dyspepsia

886 HANANIA SHEZA 098117 10/25/2018 J45 - Asthma 23:38:17 23:39:15 0:01:29
NUGRAHA
887 ASEP NURYADIN 116639 7/17/1969 K30 - Functional 23:57:00 0:59:03
dyspepsia

888 DEAZKA TRI 109761 7/24/2020 - 10:08:30 10:08:30


GUMELAR
889 JAFAR SIDIK 111450 7/25/1987 K30 - Functional 1:26:43 1:28:13
dyspepsia

890 KINAYA HANA 055632 4/23/2017 J45 - Asthma 2:05:28 2:06:50 0:02:34
FIRMANSYAH
891 ELVINO RADITYA 103204 2/23/2021 - 8:24:05 2:25:31
FEDRIANSYAH
892 YAYAT 116121 4/7/1955 J45 - Asthma 6:30:04 6:31:48 0:01:52
SUPRIATMAN
893 ERIS SETIAWAN 116640 4/23/1987 K30 - Functional 6:38:23 6:39:33
dyspepsia

894 TITIN KARTINI 020762 8/18/1969 - 7:43:36 7:43:36


895 NANI HARYANI 116641 9/3/1978 - 8:01:04 8:02:16
896 SERA PUSPITADEWI 096509 6/5/1993 - 9:38:20 9:39:08
897 DEAZKA TRI 109761 7/24/2020 - 10:09:12 10:10:05
GUMELAR
898 NARSIBAH 115184 7/4/1966 - 10:53:09 10:54:23
899 DWI SAPITRI 116642 2/10/1989 - 11:36:30 10:11:21
900 DADANG 116643 10/5/1967 - 11:48:52 11:50:02
901 YULIAWATI 116644 6/22/1989 - 21:07:40 21:07:40
902 NADILA FEBRIANTI 114937 2/10/1998 - 12:34:52 12:34:52

903 BAYI NY YULIAWATI 116645 3/27/2022 - 13:29:34 13:29:34

904 SULAEMAN 039926 12/21/1979 - 13:51:41 13:52:16


HIDAYAT
905 BILAL RABBANI 114012 1/6/2021 R50.9 - Fever, 14:06:52 14:07:22
unspecified
906 MARLIANA 053725 3/2/2002 - 14:40:32 14:43:06
DELVIANTI
907 SITI SYARIFAH 116648 8/13/1993 - 15:49:27 15:49:27
908 TUTI 011169/0 7/1/1964 I20.9 - Angina 15:54:04 15:55:17 0:01:21
39413 pectoris,
unspecified

909 QIANZI 115686 5/15/2020 R50.0 - Fever 16:24:37 17:09:31


RAMADHANI with chills
ALMUKARROM

910 JAFAR 107903 7/1/1963 K30 - Functional 16:50:31 17:08:21


dyspepsia

911 ARSYILA 116650 7/29/2021 A09 - Other 17:54:41 17:55:09


KARIMATUNNISA gastroenteritis
and colitis of
infectious and
unspecified origin

912 WAWAN SETIAWAN 088887 4/28/1956 - 19:07:15 19:09:49

913 ODEN 115801 1/7/1966 - 19:10:04 19:11:24


914 AHMAD YUSUF, 053189 10/8/1958 - 19:14:26 19:14:46
(S.PD.I)
915 ANIH 116651 6/7/1969 - 19:19:49 19:20:58
916 RESTI NUR FAUZIAH 058169/1 5/2/2005 K30 - Functional 19:36:44 19:38:27
03006 dyspepsia

917 IRPAH RUPIQOH 116652 4/27/1994 - 20:08:38 20:08:38


DARISSALAM
918 CITRA HERA PUTRI 110081 8/5/2003 R10.4 - Other and 20:12:58 20:15:32
unspecified
abdominal pain

919 DAYAT 063891 11/5/1959 K30 - Functional 20:29:04 20:30:57


dyspepsia

920 KHALISA AIZA 116653 10/18/2021 - 20:33:26 20:34:54


AZZAHRA
921 JULI ZULKIPLI 038376/0 7/21/1978 L20 - Atopic 20:42:03 20:43:36
45780 dermatitis
922 ALDI LESMANA 065758 6/18/2002 K30 - Functional 17:54:41 17:57:48
dyspepsia

923 MUHAMMAD 054577 2/4/2017 R11 - Nausea and 22:20:11 17:57:48


YAZDAN vomiting
924 NADILA FEBRIANTI 114937 2/10/1998 - 23:10:16 23:10:16

925 SUSAN ROSMINI 116655 10/25/1970 - 23:39:16 23:41:13


926 BAYI NY SITI 116656 3/27/2022 - 23:57:12 23:57:12
SYARIFAH
927 AMINAH 047012 3/5/1959 - 1:04:59 1:05:46
928 WATI RAHAYU 116657 12/12/1989 - 3:23:59 3:23:59
929 BAYI NY WATI 116659 3/28/2022 - 6:07:25 6:07:25
RAHAYU
930 RUDI SUPRIADI 064941 4/8/1986 - 7:18:42 6:46:42
931 NANAY 056431 7/1/1953 - 7:08:05 10:02:23
932 NANI 116660 6/11/1954 - 8:23:32 7:31:17
933 IDA PARIDA 116663 3/20/1974 J45.9 - Asthma, 8:10:06 8:15:03 0:05:09
unspecified
934 AFIYAH 116672 9/18/2019 J06.9 - Acute 9:02:17 9:05:21
MUTMAINNAH upper respiratory
infection,
unspecified

935 ZAENAL MUTAQIEN 116675 7/7/1968 D21.9 - Benign 9:10:36 9:17:02


neoplasm,
connective and
other soft tissue,
unspecified
936 EGA MIRDA SARI 116676 1/30/2000 A09.9 - 9:55:08 9:56:41
Gastroenteritis
and colitis of
unspecified origin
| R63.8 - Other
symptoms and
signs concerning
food and fluid
intake

937 ATIK 076166 7/1/1960 - 10:13:42 10:14:02


938 DAMAN 029727 8/17/1955 I10 - Essential 11:20:24 11:25:13
(primary)
hypertension |
K05.2 - Acute
periodontitis |
K30 - Functional
dyspepsia

939 KOKOM 116693 3/5/1964 K30 - Functional 11:53:37 12:12:10


dyspepsia

940 NADILA FEBRIANTI 114937 2/10/1998 - 12:02:16 12:02:16

941 NINING SITI 088736 7/19/1989 K30 - Functional 14:16:18 14:15:31


NINGRUM dyspepsia | R50.9
- Fever,
unspecified

942 MOCHAMAD RIZKI 014747 9/16/2009 R50.9 - Fever, 14:28:21 21:02:54


RAMADHAN unspecified
943 EGI 116695 7/10/1977 - 14:50:03 14:51:11
944 NAURA DELISA 116696 9/22/2020 R50.9 - Fever, 14:58:56 14:59:13
unspecified
945 REZA NUR AFRIANDI 116697 4/19/2000 R10.0 - Acute 15:24:28 14:25:12
abdomen
946 JESSICA PUTRI 116698 3/31/2021 R50.9 - Fever, 15:40:55 15:44:56
NAUDI unspecified
947 ALBI RAMADHAN 116699 7/5/2016 A91 - Dengue 15:49:01 14:50:31 0:01:32
haemorrhagic
fever

948 NANA VIANA 111791 12/28/1991 R10.0 - Acute 15:51:04 15:54:44


abdomen
949 ADZKIA FAKHIRA 110270 12/14/2014 R50.9 - Fever, 16:24:07 16:26:52
UFAIRAH unspecified
950 TOYIBAH 116700 6/6/1971 E14 - Unspecified 16:31:31 16:34:47
diabetes mellitus

951 SHEVA MARYANTI 071390 3/26/1988 A09.9 - 16:34:29 16:55:57


Gastroenteritis
and colitis of
unspecified origin

952 BAYI NY NADILA 116701 3/28/2022 - 17:26:48 17:26:48


953 EMUN 115816 7/1/1963 - 17:41:58 17:42:41
954 NENEH 058273 3/15/1969 - 17:49:38 17:50:53
955 MUHAMMAD 028440 8/5/2015 - 17:53:27 17:54:07
ALKHAWARIZMI
AKBAR

956 INDRI SULASTRI 111453 4/2/1989 - 18:34:45 18:35:04


957 NANO SURYONO 069705 6/5/1967 - 18:57:10 18:58:29
958 PUTRI SITI NURANI 116702 6/25/2007 - 19:11:39 19:37:58

959 EDO ADITYA 116703 8/2/1974 - 19:25:05 19:25:05


960 RANI RUSTIANA 022042 8/6/1991 - 19:29:42 20:36:31
961 UKAR 116704 7/1/1964 - 19:35:29 20:35:06
962 NUNUR 103670 7/1/2001 - 19:36:35 20:33:41
963 JAKA ARESNA 004673 9/7/1961 - 19:41:37 20:40:14
964 DADANG 116643 10/5/1967 - 19:48:17 19:49:17
965 LUTFI NUR LATIFAH 011410 11/27/2006 R50.9 - Fever, 19:54:08 19:55:41
unspecified
966 SADELI 109576 9/20/1962 - 19:57:34 19:58:16
967 ENENG MILDAWATI 116705 5/10/1995 - 20:22:42 20:23:26

968 SARI 116706 7/10/1968 - 20:28:41 20:29:15


969 NURJANAH 115372 7/4/1966 - 20:34:40 20:35:55
970 RINI ANGGRAENI 116708 7/11/2000 K30 - Functional 21:48:28 21:49:34
dyspepsia

971 AI NURHALIMAH 098838 1/11/1981 - 22:35:34 22:35:34


972 MULIAWATI 116615 6/27/1998 A09.9 - 23:20:23 23:21:36
SALEHA Gastroenteritis
and colitis of
unspecified origin
| R50.9 - Fever,
unspecified
973 AMELIA AMANDA 076474 11/2/1998 - 23:32:33 23:32:33
974 ARDIASNYAH 116712 8/8/1984 K30 - Functional 5:09:43 5:10:38
dyspepsia | R50.9
- Fever,
unspecified

975 BY NY AMELIA 116720 3/29/2022 - 8:48:46 8:48:46


AMANDA
976 MULYATI 003732 5/15/1956 J45 - Asthma 9:14:34 9:15:18 0:01:48
977 DERI DERISA 116725 9/9/1985 T14.1 - Open 9:34:37 9:40:15 0:06:53
HILMAN wound of
unspecified body
region

978 LIA KOMALASARI 116726 1/1/1981 A91 - Dengue 9:54:16 9:57:42 0:03:10
haemorrhagic
fever

979 PARDI B. HADI 115473 4/10/1956 N18.1 - Chronic 10:57:14 11:00:48


SUPARDJO kidney disease,
stage 1

980 DANDAN 025285 4/19/1982 K30 - Functional 11:36:58 11:38:48


GUMILANG dyspepsia

981 WINDA YULIANA 106456 7/27/1996 A91 - Dengue 12:47:06 12:50:58 0:04:08
haemorrhagic
fever

982 IRMA HERDIANA 116730 3/1/1992 - 13:22:44 13:22:44


983 ERNA PUTRIANA 070727 12/7/1993 R50.9 - Fever, 13:53:28 13:54:53
unspecified
984 IRPAN MAULANA 116732 7/31/1989 K30 - Functional 14:40:11 14:41:07
dyspepsia

985 HOER 116733 3/24/1959 - 15:27:34 15:28:00


986 RIZAL FIRDAUS 112762 7/1/2002 - 15:48:18 15:49:27
987 MUHAMMAD AJI 112599 4/8/1998 J06.9 - Acute 16:01:15 16:02:36
NUR upper respiratory
infection,
unspecified

988 IWAN GUNAWAN 116596 5/2/1986 J06.9 - Acute 15:58:09 15:59:35


upper respiratory
infection,
unspecified

989 JAJANG AJANG 107625 7/1/1942 - 16:06:18 16:07:38


990 HENDRA 086421 9/29/1977 - 16:56:24 16:15:19
GUNAWAN
991 CUCU CANDRA 116734 1/22/1986 - 16:54:50 16:54:50
DEWI
992 MUHAMMAD 113182 7/10/2021 R50.9 - Fever, 16:59:14 17:47:02
IRFAN GIOVANO unspecified
993 TASYA INSANI 019524 7/27/1995 - 17:03:22 17:04:47
MAULIN
994 UJU 069974 8/10/1957 - 17:21:12 17:22:34
995 UAR 116736 7/14/1957 - 18:31:24 18:32:09
996 NANANG 099695 7/1/1970 - 18:53:29 20:05:42
GUNAWAN
997 ROSMAWATI 021082 5/5/1968 - 19:16:13 20:28:11
998 TINAN NURFALAH 116306 3/29/1984 - 19:59:43 9:16:37
999 DELA JUNITA 081893 6/14/2002 - 20:35:13 20:36:20
ROSIANAH
1000 AHLAM ZULFADLI 084321 10/2/2016 R50.9 - Fever, 21:03:03 21:04:39
unspecified
1001 NUR HAYATI 116739 7/3/1987 - 23:15:41 23:15:41
1002 ENDANG SUKARYA 035386 2/24/1957 T01.1 - Open 23:21:13 23:22:16 0:01:30
wounds involving
thorax with
abdomen, lower
back and pelvis

1003 MUZDALIPAH 097367 7/14/1998 - 0:20:08 0:20:08


1004 FATHIR ABQARI 116741 6/19/2021 R50.9 - Fever, 0:39:12 0:41:04
YUSUF unspecified
1005 LIAN FEBRIANA 116742 2/10/1985 K30 - Functional 1:09:44 1:11:21
ABDURRAHMAN dyspepsia

1006 KARTA 116743 7/1/1957 R10.0 - Acute 1:17:38 1:19:50


abdomen
1007 IPAH 055592 11/2/1979 K30 - Functional 1:20:05 1:22:44
dyspepsia

1008 AZKA AULIA 110008 10/8/2020 J45 - Asthma 2:56:46 2:59:18 0:03:56
1009 TIA RAHMA SAGITA 116745 8/12/1999 - 7:01:35 9:25:40

1010 BAYI NYONYA IRMA 116744 3/30/2022 - 5:58:00 5:58:00


HERDIANA
1011 MUHAMMAD 109649 8/3/2021 J06.9 - Acute 8:15:21 8:18:52 0:04:23
GERREL upper respiratory
RAFARDHAN infection,
unspecified |
J45.9 - Asthma,
unspecified

1012 TUTI SUARTI 114705 6/20/1984 - 8:18:10 8:18:10


1013 ENDANG SUNARYA 039896 2/2/1964 J45.9 - Asthma, 8:49:43 8:51:48 0:03:34
unspecified
1014 ARSYILA PANJI 101421 2/27/2018 L03.0 - Cellulitis 10:55:37 12:24:50
FATIMAH of finger and toe
| L62 - Nail
disorders in
diseases
classified
elsewhere

1015 UJANG GOJALI 116762 3/10/1963 I50 - Heart failure 11:39:37 11:42:08 0:03:23

1016 JAJAT 116764 3/30/1978 - 11:48:35 15:36:42


1017 SARIJAH 116765 3/30/1960 - 12:00:34 12:34:23
1018 NANI 104049 4/15/1959 - 12:57:01 12:59:11
1019 WARNA GIANI 084003 7/2/2014 R50.9 - Fever, 13:55:07 19:53:46
RAMADANISYA unspecified
1020 FAJAR 116075 9/8/2010 T14 - Injury of 13:59:40 14:04:55 0:06:04
MUHAMMAD unspecified body PM
RAMADHAN region

1021 MAHPUD,S.Pd 116767 6/18/1961 - 15:53:02 16:00:27


1022 DADANG 116643 10/5/1967 - 16:05:18 16:15:30
1023 MIMIN SUMINAR 116768 4/4/1978 - 16:16:15 20:17:04
1024 NANANG 000775 1/1/1958 - 16:17:34 16:18:50
1025 JIOSY 116769 8/15/2019 - 17:18:03 17:19:29
1026 VIA RAHAYU 105013 8/29/1993 - 17:32:42 17:32:42
1027 U.SUGANDI 116770 3/11/1960 - 17:40:31 18:35:44
1028 ARSHAKA 112785 10/29/2021 R50.9 - Fever, 18:30:32 18:35:15
ATHAUVAN unspecified
YUNARDI
1029 SUKAESIH 092151 9/10/1964 A09.9 - 18:35:39 9:49:33
Gastroenteritis
and colitis of
unspecified origin
| K30 - Functional
dyspepsia | R11 -
Nausea and
vomiting

1030 TUTI SUARTI 114705 6/20/1984 - 18:42:15 18:42:15


1031 ALIP ARYA 116771 12/9/2003 - 18:54:58 18:55:08
1032 ILMAN SYAKIR 104940 4/2/2021 - 19:04:59 19:06:15
RAHMAN
1033 ISEU YUSNITA 116772 7/4/1999 - 19:09:20 19:41:36
1034 MUHAMMAD 116773 9/8/2020 R50.9 - Fever, 20:29:03 12:46:00
NADHIF unspecified
RADITIANSYAH

1035 WAWAN 024101 2/19/1960 T14.0 - Superficial 20:34:49 20:38:06 0:04:12


RUSWANDI injury of
unspecified body
region

1036 ROKAYAH 116774 9/14/1982 - 20:39:19 20:39:19


1037 SAHLA RIZKIA 095535 9/1/2020 - 20:52:46 20:53:09
HERMAWANDI
1038 NAYRA SYABILA 116775 6/3/2012 R50.9 - Fever, 21:05:34 21:06:40
PUTRI unspecified
1039 ZULKARNAEN 106090 7/1/1959 - 21:06:59 21:07:33
1040 AYESA SYAKIRA 116776 9/27/2018 T17.0 - Foreign 21:21:21 21:22:04
body in nasal
sinus

1041 HIMAWARI 091137 6/12/2020 R50.9 - Fever, 22:13:58 22:16:54


NAGEENA HARLAN unspecified |
R56.0 - Febrile
convulsions

1042 DEDE SUMARNA 066234 10/26/1992 M79.1 - Myalgia 22:31:05 22:38:03


1043 RADITYA FIRDAUS 014401 4/29/2016 T14 - Injury of 23:06:58 23:10:07 0:05:00
NURDIANSYAH unspecified body
region

1044 NANANG 072232 1/5/1984 J45.9 - Asthma, 23:24:50 23:25:14 0:02:04


unspecified
1045 ROKAYAH 116774 9/14/1982 - 6:09:40 6:09:40
1046 RIAN GUSTIAN 116778 8/1/2003 T14 - Injury of 0:03:00 0:05:06 0:02:05
unspecified body
region
1047 ANWAR SANUSI 081671 11/9/1964 A09.9 - 0:24:37 0:28:42
Gastroenteritis
and colitis of
unspecified origin
| K30 - Functional
dyspepsia

1048 ROSITA 116779 5/21/1973 K30 - Functional 0:49:01 0:52:28


dyspepsia

1049 DEVIA FEBRIANTI 116780 2/3/2003 T50.9 - Poisoning, 4:03:47 11:49:28


other and
unspecified
drugs,
medicaments and
biological
substances

1050 ROKAYAH 116774 9/14/1982 - 6:10:19 6:10:19


1051 RAMADAN 055125 5/29/2017 J45.9 - Asthma, 6:54:14 6:55:58 0:02:30
SAPUTRA unspecified
1052 ARFAN KHALIF 058066 5/13/2017 - 7:36:14 17:55:39
ATHALLAH
1053 DEDEN NURYADIN 057462 11/4/1987 K30 - Functional 9:50:35 9:51:22
dyspepsia

1054 MERTINA 116789 3/31/2011 - 10:18:02 10:14:49


SIMAMORA
1055 SRI RAHAYU 112881 11/3/1993 - 10:23:31 10:27:49
1056 KIKI 069818 7/1/1960 N39.0 - Urinary 10:45:40 10:45:02
tract infection,
site not specified

1057 IWAN SETIAWAN 116793 4/9/1993 - 11:24:16 11:25:27


1058 BAYI NY TUTI 116795 3/31/2022 - 12:40:28 12:40:28
SUARTI
1059 BAYI NY ROKAYAH 116796 3/31/2022 - 12:50:05 12:50:05

1060 KUSMINI 116797 7/23/1980 K80 - 14:35:16 14:36:00


Cholelithiasis
1061 KAMALUDIN 059945 9/12/1990 N39.0 - Urinary 16:14:23 16:15:12
tract infection,
site not specified

1062 SULASTRI 002249 4/24/1987 - 16:19:18 16:20:46


1063 YENI KARYANTI 116798 6/2/1993 - 16:34:16 16:37:15
1064 AGNES SEPRIANA 110776 8/31/2019 R50.9 - Fever, 16:40:44 16:41:29
SARAGIH unspecified
1065 NANANG 099695 7/1/1970 - 17:03:20 17:04:50
GUNAWAN
1066 ADAM MAULANA 116799 11/17/2006 - 18:43:14 17:10:02
MALIK
1067 ENTIN 051983 5/5/1961 - 17:15:56 18:46:50
1068 ENGKOS KOSASIH 050440 7/15/1960 - 17:17:43 18:45:39
1069 SUHENDAR DJAFAR 116800 6/12/1972 - 17:37:54 17:38:04

1070 MUCHTAR YUSUF 016960 2/10/1945 - 17:53:43 17:54:38


1071 H ADE ISKANDAR, 116801 9/2/1965 - 17:57:18 17:58:47
S.AG
1072 MOCHAMAD ALFHA 103508 3/21/2005 - 18:02:54 18:03:30
REZAL AKBAR

1073 ENDANG SUKARYA 035386 2/24/1957 - 18:50:29 19:48:04

1074 SENDI FIRMANSYAH 116802 4/15/2000 - 19:12:47 19:15:49

1075 WAFA SHANUM 109463 10/22/2020 R50.9 - Fever, 20:38:44 8:18:34


AZKADINA unspecified
1076 SANDI SUARDI 116803 8/3/1976 K65 - Peritonitis 17:23:21 21:47:17
(PASIEN OP KTP
TUNAI)

1077 DEDE SUMARNA 066234 10/26/1992 R50.9 - Fever, 21:49:43 8:12:47


unspecified

TOTAL SAMPLE
RESPON TIMSAMPEL PASIEN 170
< 5 MENIT 155 Pasien N 155
> 5 MENIT 15 Pasien D 170
Capaian 91.10%
BULAN CAPAIAN TARGET
JANUARI 97.80% 100%
FEBRUARI 95.10% 100% GRAFIK CAPAIAN MUTU RESPON TIM
MARET 91.10% 100% PASIEN
100%
97.80% 100%
100.00% 95.10%
90.00%
80.00%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
JANUARI FEBRUARI
Axis Title

CAPAIAN TARGET
UTU RESPON TIME
EN
100% 100%
95.10%
91.10%

FEBRUARI MARET
s Title

TARGET
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : APRIL 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Interval


Periksa
1 FASHA 116804 11/1/2004 - 1:14:35 1:14:35
ANGGRAE
NI

2 MUHAMM 116805 1/14/2018 R11 - 1:41:10 1:42:41


AD Nausea
AZHIKRA and
vomiting

3 RICSHA 077717 5/21/2001 - 2:05:33 2:05:33


YULIANA
ILYAS

4 BAYI NY 116806 4/1/2022 - 4:17:45 4:17:45


FASHA
5 A DIMYATI 075262 5/28/1948 - 6:06:31 6:07:30

6 ASEP 057048 4/30/1964 B02 - 7:16:31 8:23:45


HENDRAY Zoster
ANI [herpes
zoster]

7 RAHMA 116808 1/17/2000 - 7:19:49 7:20:12


LESTARI

I50.0 -
DINA SRI Congestiv
8
MAWATI 056379
9/15/1991 8:55:52 8:59:03 0:04:12
e heart
failure
9 AEP 046988 5/1/1960 - 8:59:00 9:04:52
SAEPUDIN

10 M. PAHRI 050665 2/28/2009 - 9:07:15 9:07:59


PATURAH
MAN
11 FAUZIA 021136 11/23/2006 C49 - 20:37:44 12:53:03
NURIA Malignant
RAHMA neoplasm
of other
connectiv
e and soft
tissue

12 LENI 054458 10/8/1982 K30 - 12:44:16 13:53:53


MARLINA Functional
dyspepsia
| R11 -
Nausea
and
vomiting

13 BAYI 116819 4/1/2022 - 10:53:00 10:53:00


NYONYA
RICSHA
YULIANA
ILYAS

K30 -
Functional
dyspepsia
RIZKI | R07.4 -
14 MAULANA 042686 12/22/1997 Chest 14:35:27 14:36:07 0:01:31
FAUZI
pain,
unspecifie
d

15 WAFA 109463 10/22/2020 - 14:43:10 18:14:31


SHANUM
AZKADINA

T14 -
Injury of
TIAN
16 116820 8/18/1994 unspecifie 14:53:29 14:56:57 0:04:10
AGUSTIAN
d body
region
17 ROBIANSY 116821 7/4/2007 - 14:54:47 14:54:21
AH
18 IIK 116822 3/28/1985 15:25:00 15:28:20
19 AAM 095189 6/1/1972 - 16:11:58 17:58:28
20 REHAN 096779 11/13/2007 - 16:44:46 16:48:20
21 DWI 116823 11/7/2014 - 16:54:45 16:59:17
SINAR
AYU
RAHMI

22 ELISNAWA 071558 1/8/1988 K30 - 16:57:41 16:59:32


TI Functional
dyspepsia

23 ANDI 100331 6/23/1979 - 17:01:09 17:04:19


SUSANTO

24 YANTI 116824 9/2/1990 - 17:06:37 19:44:15


SETIAWAT
I

25 ABIDZAR 072207 6/2/2017 - 17:09:37 17:11:02


MAULANA

26 UAR 116736 7/14/1957 - 17:43:47 17:47:58


27 NURHAYA 092292 10/25/1973 - 18:30:40 18:31:32
TI
28 NAPSIAH 049148 9/15/1969 E11.4 - 18:34:11 22:03:03
Non-
insulin-
dependen
t diabetes
mellitus
with
neurologic
al
complicati
ons

29 KENZIE 116826 12/9/2020 - 18:49:16 22:04:21


SHAQUILL
E AL
GIBRAN

30 SUKARSIH 031610 5/14/1964 - 18:53:30 21:59:10

31 EEM 116827 5/1/1967 - 19:41:00 19:44:45


SUHERMA
N

32 SONIAWA 087027 6/3/1984 - 20:00:48 20:02:22


TI
33 AIP 116828 7/1/1953 E11 - Non- 23:24:29 13:23:22
insulin-
dependen
t diabetes
mellitus

34 NEYSA 116829 1/8/2021 - 1:29:01 9:46:58


ALMARA
MAULIN

RAKHASA
NSHA J45 -
35 011058 4/21/2011 0:32:06 0:33:05 0:01:10
RASHEL Asthma
WIDIAN
36 REVAL 041873 2/20/2010 - 0:39:59 0:40:44
VERDIANO

MUHAMA
D J45 -
37
NURRAYH 116830
11/14/2009 Asthma 0:58:56 0:59:34 0:02:10
AN YUSUP

38 RIZKIA 116831 10/14/2021 - 1:56:50 9:56:31


QUEENSH
A SURYA

39 KENAN 116832 5/2/2021 R50.9 - 2:36:46 9:41:23


ZIO Fever,
ALFARO unspecifie
d

40 NUNUY 115347 7/23/1996 O20.9 - 2:56:57 2:56:57


NURHAYA Haemorrh
TI age in
early
pregnancy
,
unspecifie
d
41 TIKA 066354 7/1/1972 A09 - 5:41:19 5:42:28
KARTIKA Other
gastroente
ritis and
colitis of
infectious
and
unspecifie
d origin

42 RAHAYU 116279 7/14/1994 - 5:48:20 5:49:53


NOVIA
AKIFA J45 -
43 116835 2/23/2015 5:55:22 5:56:16 0:01:12
NAILA Asthma
44 BY NY 116836 4/2/2022 - 6:08:32 6:08:32
YANTI
SETIAWAT
I

45 PUTRI 116837 7/15/2014 R50.9 - 6:48:45 6:49:30


Fever,
unspecifie
d

46 HAIKAL 116838 1/4/2021 R50.0 - 6:50:41 13:20:38


Fever with
chills

47 YENI 053275 8/7/1987 K30 - 7:19:53 9:38:07


NURAENI, Functional
(A.Md.Kep dyspepsia
.).

MEI
J45 -
48 WATABON 116839 5/5/1982 7:29:38 7:33:32 0:05:04
Asthma
E
49 ABDUL 116843 8/3/2004 R50.9 - 8:20:25 8:21:09
ROHMAN Fever,
unspecifie
d

J45 -
50 BASAR 023913 10/11/1947 Asthma 9:20:53 9:21:09 0:02:12
51 AZRI 116848 4/5/2012 C49 - 9:36:43 11:59:48
ADIATSYA Malignant
YUSUF neoplasm
of other
connectiv
e and soft
tissue

52 REREN 091740 8/18/1997 N94.4 - 12:48:18 13:58:41


ROBBIATU Primary
L HUSNA dysmenorr
hoea

53 RIA 065734 5/1/1985 K30 - 13:14:05 15:13:42


MELIANI Functional
dyspepsia

54 DADANG 116857 1/1/1983 - 16:09:56 16:51:48


TAUFIK
55 MINJANA 023789 4/16/1964 K30 - 16:12:56 16:14:24
H Functional
dyspepsia

J45.9 -
HAJAR Asthma, 16:24:01
56 116858 9/12/1965 16:25:24 0:01:23
NINGSIH unspecifie
d
57 LILIS 035728 12/19/1962 - 16:31:28 16:33:06
RISNANI
58 AQILAH 111346 9/11/2019 - 16:54:03 16:55:35
AFIFAH
59 ASTUTI 101079 4/15/1978 - 16:56:04 16:56:53
60 MUHAMA 116859 5/18/2021 - 17:08:43 17:49:41
D AZRIL
RAHSAN

61 ANDRIAN 049400 11/30/1975 - 17:48:16 17:51:01


A
62 NENO 028679 3/14/1957 - 18:19:37 18:25:03
63 ELIH 031319 4/6/1979 K30 - 18:24:28 18:27:56
HAYATI Functional
dyspepsia

64 IFAN 116860 5/20/2005 - 19:01:27 19:07:31


HERIANSY
AH

65 ZAIDAN 116861 4/18/2016 R50 - 19:42:28 19:44:33


AZKA Fever of
SOPIAN other and
unknown
origin

66 YUYUN 029209 4/22/1970 - 19:38:57 19:40:12


SUDRAJAT

67 PIKRI 116862 1/11/2007 A91 - 20:18:32 20:22:58


PADILLAH Dengue
haemorrh
agic fever

68 ANDRI 116863 8/19/1999 - 20:48:36 20:49:47


69 WITO 116864 9/5/1970 - 21:36:20 21:36:13

T14.0 -
Superficial
ROBY injury of
70 AHMAD 069770 8/28/1996
unspecifie 22:21:37
22:24:37 0:03:16
MAULANA
d body
region

71 UCU 116398 7/12/1982 - 23:10:50 23:12:23


SAHRUDIN

J45.9 -
RESTU Asthma, 0:22:53
72 116865 7/27/2002 0:23:18 0:02:13
ZULVIANTI unspecifie
d

R07.4 -
Chest
73 KORIAH 110976 3/17/1971 pain, 1:41:15 1:42:31 0:01:23
unspecifie
d
74 ADE 116866 10/3/1970 K30 - 6:01:48 6:02:48
SUPYANI Functional
dyspepsia

75 IPAH 116867 5/5/1962 R50.9 - 7:23:11 8:59:50


LATIPAH Fever,
unspecifie
d

J45.9 -
TATANG
Asthma,
76 MARDIAN 083846 8/20/1961 8:39:14 8:40:02 0:01;20
unspecifie
SYAH
d
77 RENA 002464 1/1/1991 R50.9 - 8:45:41 8:45:53
RENAWAT Fever,
I unspecifie
d

78 ALFANI 067532 11/11/2018 R50.9 - 8:47:37 8:50:52


MAULIDIN Fever,
IA unspecifie
SUMARDA d
NI

79 MUHAMM 006420 10/3/2012 R50.9 - 8:49:18 7:48:17


AD Fever,
ALFIZAR unspecifie
ALGHIFARI d
SUMARDA
NI

80 MOCHAM 116870 9/30/2021 A09.9 - 9:03:52 9:05:54


AD Gastroent
SHEPTHA eritis and
RAFLIYAN colitis of
SYAH unspecifie
d origin

81 YUSI 013818 1/1/1975 K21 - 9:09:52 13:44:07


RAHMAW Gastro-
ATI oesophag
eal reflux
disease

82 NURLELA 024747 7/7/1994 - 9:49:12 9:50:42


R06.0 -
83 IYOM 116871 5/13/1953 9:56:22 9:58:21 0:02:43
Dyspnoea

84 DELVIN 116872 10/1/2015 R50.9 - 10:06:26 10:07:55


AGRA Fever,
KHALFANI unspecifie
d

85 MEILANI 103882 5/2/2010 R50.9 - 10:33:00 10:34:48


AULIA Fever,
PUTRI unspecifie
d

86 BELLA 098627 11/2/1999 O21.0 - 11:30:21 12:00:10


NURAENA Mild
hypereme
sis
gravidaru
m

87 IMAS 098513 10/7/1984 A09.9 - 11:38:29 15:32:13


Gastroent
eritis and
colitis of
unspecifie
d origin

J45.9 -
FITRI
Asthma,
88 ANDRIYAN 116359 3/27/1994 unspecifie 11:56:15 11:59:08 0:03:23
I
d
89 RINA 037526 8/10/1994 - 13:28:43 13:05:06
ASTRIANA

90 RIZAL 116874 5/18/1996 K30 - 13:15:27 13:16:43


Functional
dyspepsia

R06.0 -
91 NURHADI 116875 8/4/1972 13:21:06 13:25:11 0:04:17
Dyspnoea

92 ADI 116876 4/3/1972 K30 - 14:10:39 14:11:34


NUGRAHA Functional
dyspepsia
93 IMUT SITI 068766 5/5/1994 K30 - 14:14:08 14:15:53
NURMUTI Functional
A dyspepsia

T11 -
Other
PIKRI injuries of
94 ROBIANSY 116877 10/22/1998 upper 15:25:34 15:27:36 0:02:30
AH limb, level
unspecifie
d

T11 -
Other
FAUZAN injuries of
95 116879 11/22/2011 upper 15:25:34 15:27:13 0:02:10
ADIMAN
limb, level
unspecifie
d

96 GILANG 116878 11/17/1995 K30 - 15:30:45 15:44:02


ADI Functional
SUKMAWI dyspepsia
JAYA

NADA J45 -
97 CANTIKA 027331 7/29/2016 16:04:47 16:05:48 0:02:11
Asthma
SHABILA
98 ASEP DENI 093793 7/22/1974 A09 - 16:38:57 16:40:07
MUTTAQI Other
N gastroente
ritis and
colitis of
infectious
and
unspecifie
d origin
99 REGA 091900 3/29/2008 J06.9 - 17:00:29 17:00:12
ADITIAWA Acute
N upper
respirator
y
infection,
unspecifie
d

POPON J45 -
100 009049 7/1/1958 17:03:49 17:04:49 0:02:23
SUARTIKA Asthma

ENDANG J45 -
101 039896 2/2/1964 17:23:27 17:25:51 0:03:12
SUNARYA Asthma

102 NURJANA 116881 7/8/1993 - 18:45:53 18:45:53


H

J45 -
LANI Asthma |
103 116882 4/12/1989 K30 - 19:18:34 19:19:15 0:02:30
AFRIYANI
Functional
dyspepsia

104 YANDI 046473 5/28/1976 - 19:22:40 19:24:57


ALDIANSY
AH

105 MAYA TRI 116883 12/8/2004 - 19:39:57 7:25:36


ANGGRAE
NI

106 RIYAD 106537 7/28/2014 R50.9 - 19:44:19 19:45:00


FIRDAUS Fever,
unspecifie
d

107 TETI SRI 037750 5/31/1966 - 20:55:04 20:58:45


HERLINA
108 ARJUNA 116885 5/21/2014 - 21:08:28 21:07:00
SACIKAYA
NA
HERMAW
AN

109 NAZWA 007763 8/18/2012 - 22:36:47 22:37:09


NURFITRIA
NI
110 ADAM 116887 5/11/2017 R50.9 - 23:21:19 23:25:05
MALIK AL Fever,
QASSAM unspecifie
d

111 SUSI 026494 2/17/1983 - 1:55:11 1:56:59


NURLISNA
WATI

112 VANIA 116888 3/29/2021 - 2:13:57 2:16:02


113 NOVIANU 044265 11/2/1987 A15 - 2:19:03 10:12:52
R Respirator
SETIAWAN y
tuberculos
is,
bacteriolo
gically and
histologica
lly
confirmed

114 GUSTYAS 002638/0 8/25/1993 - 5:16:32 5:17:57


WIDYA 26380
PRAJA

115 RAFKA 116889 5/4/2016 - 5:50:25 5:52:56


CAESAR
PRATAMA

116 TASYA 019524 7/27/1995 - 5:53:53 6:04:14


INSANI
MAULIN
A04.9 -
Bacterial
intestinal
infection,
unspecifie
AZZURA
117 REYESHA 116890 7/17/2021 d | R56.0 - 15:21:38 15:23:29 0:02:10
Febrile AM
MARYANA
convulsion
s | R56.0 -
Febrile
convulsion
s

118 ENUNG 106295 4/28/1967 K30 - 7:43:09 10:09:51


NURSIMA Functional
H dyspepsia

KHASYAIR R06.0 -
119 A CLARA 116892 12/18/2017 7:55:00 7:59:15 0:04:15
Dyspnoea
BALQIS

120 DIDIN 064743 7/15/1949 N20.9 - 8:45:51 9:34:20


MUHIDIN Urinary
calculus,
unspecifie
d

TATANG
J45 -
121 MARDIAN 083846 8/20/1961 9:05:15 9:12:54 0:07:43
Asthma
SYAH
122 TATANG 083846 8/20/1961 - 9:05:52 9:06:56
MARDIAN
SYAH

123 RAHAYU 116279 7/14/1994 - 9:28:47 9:28:47


NOVIA
124 FERRY 115122/1 10/7/1982 - 9:58:26 10:00:28
SUDARSO 07045
NO, (dr).,
(Sp.B).
125 EMAN 116904 8/12/1954 R63 - 10:25:20 10:26:08
SULAEMA Symptoms
N/H and signs
concernin
g food and
fluid
intake

T14 -
Injury of
CICIN
126 116908 1/1/1978 unspecifie 11:06:31 11:09:03 0:03:20
MULYANTI
d body
region
127 AHMAD 089518/0 8/3/1994 J20 - 11:44:58 13:04:15
RIFARDI 32182 Acute
MAULANA bronchitis
,
(A.Md.Rad
)

128 BY NY 116909 4/4/2022 - 13:11:47 13:11:47


RAHAYU

T14.9 -
SITI Injury,
129 HASNA 116910 7/5/2009 13:15:21 13:17:07 0:02:13
unspecifie
SAKINAH
d
130 NURHASA 035316 7/14/1976 K30 - 13:26:19 13:45:47
NAH Functional
dyspepsia

BADAR
J45 -
131 SYAHPUTR 116911 5/20/2009 13:41:24 13:45:21 0:04:12
Asthma
A
132 YUNIARTI 098334 7/21/1994 O80.9 - 15:58:32 18:49:41
Single
spontaneo
us
delivery,
unspecifie
d

133 BURHANN 116913 7/27/2002 - 16:17:00 16:18:53


UDIN
134 SANDI 116914 6/27/1989 K30 - 16:20:00 16:21:48
RIYANDI Functional
dyspepsia

BAMBANG
J45 - 17:22:26
135 SUDARMO 008688 3/10/1975 17:18:17 0:04:32
Asthma PM
NO

136 SABI 116915 7/6/1962 - 17:18:17 17:20:37


137 LASTRI 116916 8/24/2001 - 18:55:19 19:37:51
SITI
NURPALA
H

138 SELA 046897 12/14/1992 K30 - 19:11:27 19:12:16


SENIA Functional
RANTHY dyspepsia

139 MOCHAM 083774 4/7/1998 A09.9 - 19:48:33 19:50:35


MAD Gastroent
AGUNG eritis and
GUMELAR colitis of
unspecifie
d origin

140 ALMEERA 112303 8/1/2021 A09.9 - 20:18:01 20:20:45


SHABIRA Gastroent
RAHAYU eritis and
colitis of
unspecifie
d origin

141 LALA 116918 7/16/1983 - 20:34:33 20:34:33


PAHIRA
142 ABAD 116919 7/1/1970 R50 - 21:07:27 21:08:27
BADRUDI Fever of
N other and
unknown
origin

143 TIAH 116921 4/2/1960 - 22:08:16 22:08:37


SATRIAH
144 HARWATI 116922 6/15/1988 - 23:19:58 10:19:42
145 MOCH 116947 8/6/1992 R50.9 - 15:16:34 15:17:10
REZZA Fever,
PRATAMA unspecifie
PS d

146 DIRMAN 083613 2/7/1964 K30 - 4:06:13 4:11:00


Functional
dyspepsia

147 DIKDIK 102730/0 10/3/1967 K30 - 4:21:09 4:25:44


SADIKIN 26432 Functional
dyspepsia

148 MUHAMM 116923 8/27/2021 R50.0 - 4:25:56 9:20:34


AD ABDUL Fever with
FIRAS chills

149 MULKI 116924 4/5/2022 - 5:06:42 5:06:42


RIFALDI
RAMADHA
N

ERNI J45 -
150 116929 1/4/1988 8:47:00 8:49:37 0:02:30
NURAENI Asthma
151 AYUH 116930 9/12/1953 K30 - 9:23:55 11:02:12
Functional
dyspepsia

152 AYUH 116931 9/12/1953 K30 - 9:23:55 12:07:27


Functional
dyspepsia
| R50.9 -
Fever,
unspecifie
d

153 ROBY 069770 8/28/1996 R50.9 - 10:22:08 10:23:13


AHMAD Fever,
MAULANA unspecifie
d

154 RATU 116933 5/9/2011 - 10:40:11 13:33:51


MEYDA
KESYA
SABILA
R55 -
CITRA
155 SUKAESIH 116934 12/17/2005 Syncope 10:37:15 10:39:13 0:02:22
and
DINATA
collapse

J45.9 -
Asthma,
ANGGI unspecifie
AGUSTIA d | R07.4 -
156 116935 8/1/1987 10:41:30 10:43:00 0:02:34
BANYUSM Chest
AS pain,
unspecifie
d

157 SACHIO 116936 10/3/2012 R50.9 - 10:54:19 10:55:33


ALVARO Fever,
unspecifie
d

158 ZANIRA 116937 9/16/2012 A91 - 11:02:03 13:27:28


TUDIYANA Dengue
H FADILAH haemorrh
agic fever

159 RISMAN 116938 12/11/1990 K30 - 11:17:12 12:11:14


HERMAW Functional
AN dyspepsia
| N23 -
Unspecifie
d renal
colic

T14.9 -
AGUS Injury,
160 116939 8/16/2000
unspecifie 11:26:00
23:30:17 0:04:17
SOPIAN
d

T14 -
Injury of
161 SAPTA 116940 9/5/2000 unspecifie 11:27:40 23:35:03 0:08:10
d body
region

J45.9 -
OCUH Asthma,
162 000433 7/1/1951 12:21:47 12:25:04 0:04:23
JULAEHA unspecifie
d
163 RIZKI 116942 5/1/1995 R50.9 - 12:45:28 13:29:32
MEYLANDI Fever,
unspecifie
d

164 YANA 088692 8/26/1988 - 19:02:46 19:03:13


MULYANA

165 DEVI 104727 4/1/1989 - 19:47:46 19:47:46


LESTARI
166 SILVIA 098030 3/7/1999 K30 - 20:07:00 20:08:08
MAGITA Functional
SOMANTR dyspepsia
I

167 RISWATI 116946 8/12/1995 K30 - 20:29:53 20:30:13


MAOLIDA Functional
KHAIRUN dyspepsia
NISSA

168 MAESARO 065769 7/1/1970 I10 - 20:53:57 20:54:10


H Essential
(primary)
hypertensi
on

169 ADEN 116948 2/23/1983 M54.5 - 21:23:16 21:23:10


Low back
pain

T11.0 -
Superficial
YENI injury of
170 SUSILAWA 116949 5/30/1974 upper 21:34:25 21:37:16 0:03:36
PM
TI limb, level
unspecifie
d

171 BAYI 116950 4/5/2022 - 21:15:00 21:15:00


NYONYA
DEVI
LESTARI

172 HAISYA 110779 5/15/2021 A91 - 2:46:02 8:27:26


ZEEHAN Dengue
ASHADILL haemorrh
AH agic fever
173 SINDI 114278 12/26/2004 - 3:15:30 10:59:43
174 NY. S. 097374 6/1/1944 A09.9 - 6:48:49 6:50:16
KOYANAH Gastroent
eritis and
colitis of
unspecifie
d origin

R55 -
175 SINTA 116953 10/1/1985 Syncope 8:33:14 8:36:15 0:03:23
RISMAYA and
collapse
176 YATI 058498 10/5/1984 - 7:18:30 7:20:47
NIA
J45 -
177 NURHAYA 114210 4/5/1996 7:28:30 7:30:39 0:03:12
Asthma
TI

J18.9 -
Pneumoni
a,
unspecifie
d | J44 -
RAHMAT Other
178 103351 7/12/1970 chronic 8:31:10 8:35:38 0:04:32
HIDAYAT
obstructiv
e
pulmonary
disease |
J45 -
Asthma

179 IMAS 108350 11/23/1968 R51 - 9:28:40 10:33:47


SUTARSIH Headache

180 YOGI 116965 9/6/1988 - 9:44:44 10:39:04


SUPARJIM
AN

181 RINA 070993 11/16/1990 O80.9 - 10:08:10 13:08:06


ROSTIANA Single
spontaneo
us
delivery,
unspecifie
d
182 RINDU 116972 1/27/2002 N39.0 - 11:23:20 11:25:23
WULANDA Urinary
RI tract
infection,
site not
specified |
R10.0 -
Acute
abdomen

J45 -
Asthma |
LINDA
J45.9 -
183 LISTIAWAT 100441 12/30/1996 12:40:49 12:41:59 0:02:11
Asthma,
I
unspecifie
d

184 NAYYARA 111952 11/30/2021 J06.9 - 12:45:14 12:45:12


QAILA Acute
ALFATHU upper
NISA respirator
y
infection,
unspecifie
d

185 UJANG 089052 4/4/1965 R50.9 - 13:14:08 13:28:21


SUDRAJAT Fever,
unspecifie
d

186 FAHMI 022006/0 4/17/2013 - 13:27:53 13:30:34


FIRMANSY 27526
AH

187 ALFI 116975 5/26/2002 - 13:50:25 13:51:33


MAISYALE
H

188 BAYI NY 116976 4/6/2022 - 14:13:39 14:13:39


RINA
ROSTIANA

189 SULTAN 045703 2/4/2013 - 16:53:39 18:59:58


MOHAM
MAD
ABDULAZI
Z
190 AZLEE 025462 10/26/2006 A91 - 17:25:38 19:00:45
FACHREZY Dengue
haemorrh
agic fever

191 SINDI 114278 12/26/2004 - 17:33:46 17:33:46

T14.1 -
MUHAMM Open
wound of
192 AD 116977 1/1/2006 17:57:29 18:01:21 0:04:20
GERALD unspecifie
d body
region

ALIFIYA
R06.0 -
193 NALADHIP 040281 12/4/2017 18:48:38 18:50:20 0:02:11
Dyspnoea
A
194 NURUL 114052 3/17/2000 K30 - 19:07:56 19:10:29
ANNISYA Functional
dyspepsia

T14.1 -
MUHAMM
Open
AD
wound of
195 HIDEAKI 090704 11/20/2018 unspecifie 19:41:30 19:43:51 0:03:12
ABRISAM
d body
ABBASY
region

196 HJ 116979 7/7/1954 - 19:57:42 20:58:49


HABIBAH
197 NANDI 069906 10/10/1987 K30 - 21:21:25 21:22:31
MULANDA Functional
R dyspepsia

198 ABDUL 116980 5/25/1987 K30 - 22:38:54 22:39:58


RAHMAN Functional
dyspepsia

BAYU AJI 045178/0 J45 -


199 2/13/2012 23:22:11 23:23:30 0:01:10
SAPUTRA 70/480 Asthma
200 BAYI 116981 4/7/2022 - 23:16:00 23:16:00
NYONYA
SINDI
E. J45 -
201 077807 4/1/1960 2:47:43 2:48:23 0:02:10
KOSASIH Asthma

I50.0 -
202 SUSI 115152 1/19/1976 Congestiv 4:19:00 4:20:12 0:01:32
SUSANTI e heart
failure
203 IDA 116982 2/10/1972 K30 - 5:06:50 5:07:59
MULYATI Functional
AFFANDI dyspepsia

204 YADI 116983 6/8/1984 A09.9 - 5:39:48 5:40:22


MULYADI Gastroent
eritis and
colitis of
unspecifie
d origin

SITI J45 -
205
MARIAM 098076
3/6/1984 6:44:26 6:45:46 0:02:05
Asthma
206 LINA 116984 5/15/1969 R50.9 - 6:59:30 7:00:54
Fever,
unspecifie
d

J90 -
Pleural
MUHAMM effusion,
not
AD FIKRI
elsewhere
207 HENDRI 116989 11/18/2005 8:42:56 8:45:28 0:03:34
classified |
KHAIRIAN
R50.9 -
SYAH
Fever,
unspecifie
d
208 BADRIA 042793 4/11/1935 J06 - 9:15:31 11:26:26
MAULANA Acute
KOMARUD upper
DIN respirator
y
infections
multiple
and
unspecifie
d sites |
R06.0 -
Dyspnoea
| R51 -
Headache

209 UCEP, 040496 9/15/1965 - 11:03:41 11:04:21


(DRS).
210 PRABU 009024 6/18/2012 - 11:12:46 11:17:27
ELANG
PAMUNGK
AS

211 NENI 116792 6/30/1985 - 11:18:27 11:18:27


SURYANI
212 CUCU 067514 11/10/1967 - 11:22:44 15:52:25
213 DADANG 116993 12/1/1953 - 11:35:04 20:41:06
214 UUS 116994 11/6/2004 J06.9 - 11:56:30 15:12:44
FIRDAUS Acute
upper
respirator
y
infection,
unspecifie
d

215 BAYI NY 117005 4/7/2022 - 13:47:36 13:47:36


NENI
SURYANI

J45.9 -
216 DEDE 117008 4/15/1969 Asthma, 14:24:51 14:25:28 0:02:10
RUKMI unspecifie
d
217 ENCE 117010 6/7/1957 M54.50 - 14:51:20 14:52:36
KOSARI Low back
pain,
multiple
sites in
spine

218 DARIAH 117011 9/4/1960 K30 - 15:54:08 10:36:52


Functional
dyspepsia

219 UJANG 073343 12/8/1956 M79.1 - 16:03:18 16:04:43


LUKMAN Myalgia
HARYANDI

T14.1 -
Open
MUHAMM wound of
220 111606 3/15/2012 16:34:02 16:35:38 0:01:10
AD WALID unspecifie
d body
region

221 ANIS 100460 6/30/1993 - 18:53:30 17:04:49


SUSWANT
I

222 NARDA 117012 7/2/1930 A09 - 17:19:28 17:05:04


Other
gastroente
ritis and
colitis of
infectious
and
unspecifie
d origin

J45 -
Asthma |
NATHASH
J45.9 -
223 A AZ 117013 1/9/2020
Asthma, 18:44:54
18:45:43 0:02:04
ZAHRA unspecifie
d

J45.9 -
ENI Asthma,
224
NURAENI 117014
1/1/1993
unspecifie 18:48:29
18:49:52 0:02:10
d
J45 -
Asthma |
NANI
225 ANDRIYAN 115994 4/25/1987 R11 - 22:07:25 22:11:13 0:04:12
Nausea PM
I
and
vomiting

226 MUHAMA 117015 6/8/2010 - 23:03:16 15:24:49


D IKBAR
FILZAH

227 FIKI 117016 12/22/1997 - 19:02:56 19:03:16


KURNIAW
AN

228 KHALISA 109892 6/8/2021 - 19:32:36 20:13:46


PUTRI
AULIA

229 SRI 117017 6/10/2001 R50.9 - 19:33:35 19:35:12


WIDIANA Fever,
H unspecifie
d

230 SELA 046897 12/14/1992 - 11:18:06 20:45:16


SENIA
RANTHY

231 HETI 117018 9/22/1982 J12 - Viral 20:47:09 21:14:30


ROHAYATI pneumoni
a, not
elsewhere
classified |
J12.8 -
Other viral
pneumoni
a

232 RIZKY 054817 4/19/1996 R50.9 - 21:08:38 21:10:14


APRIANI Fever,
unspecifie
d
233 RIFKA 117019 12/5/2019 J06.9 - 22:42:35 22:45:10
PUTRINDA Acute
upper
respirator
y
infection,
unspecifie
d

T14 -
Injury of
unspecifie
INDRA d body
HERMAW
region |
AN
234 117021 6/14/1994 T14.1 - 1:24:49 1:27:49 0:03:25
(TUNGGA
Open
KAN
wound of
1.712.499)
unspecifie
d body
region

235 ABAS 110370 7/1/1960 - 3:27:47 3:30:39


NURWAN
DI

R56.0 -
RISYA Febrile
236 117022 2/27/2021 4:13:02 4:15:40 0:02:11
MICHELE convulsion
s
237 AJENG 117023 5/16/2003 - 8:10:11 8:10:11
REDA
MAULINA
ARAMAND
A

238 BAMBANG 117024 9/22/1940 - 6:03:46 8:30:47


BUEDOYO

239 UJANG 106848 8/25/1952 I10 - 6:24:51 6:24:57


SUPARMA Essential
N (primary)
hypertensi
on
240 DANIA 117026 4/8/2022 - 8:11:47 8:11:47
KHANZA
RAMDANI

241 RENI 117033 4/12/1986 - 8:45:36 8:48:20


ANGGRAE
NI

242 ANISA 069298 4/16/1984 - 9:10:01 9:14:51


NURIZA
PERMANA

243 ICOH 117029 9/5/1950 - 9:40:17 9:52:53


244 YOYOH 117044 10/8/1941 - 10:12:37 10:11:39
245 SITI 117045 8/30/2010 - 10:32:08 10:32:38
RAHMAW
ATI
SIREGAR

246 ZHAYNA 105850 10/15/2020 - 13:16:53 13:23:31


ANNUM
247 LISDA 103157 1/5/1999 K30 - 14:18:36 14:20:40
MAYANTI Functional
dyspepsia

248 GHALTAF 117047 12/4/2018 - 17:11:06 17:12:54


ABIYASA
SUDIARTO

J45 -
RAKHASA Asthma |
NSHA J45.9 -
249 011058 4/21/2011 18:40:11 18:41:03 0:01:10
RASHEL Asthma,
WIDIAN unspecifie
d

250 APUD 102297 2/6/1962 - 18:45:21 18:46:33


251 GITA 033374 6/5/1998 - 18:47:24 18:48:36
PUSPITA
DEWI

252 MUHAMM 116168 12/21/1993 K30 - 19:00:45 19:01:07


AD Functional
HISYAM dyspepsia
MAULANA
253 ADI 117048 8/26/2011 R50.9 - 19:28:29 19:30:50
PUTRA Fever,
RAMADAN unspecifie
d

J45.9 -
JAJANG Asthma,
254 055956 2/12/1976 19:30:40 19:33:51 0:04:09
JAYADI unspecifie
d
255 FIRMAN 107070 11/14/1986 K30 - 19:35:53 19:36:30
MAULANA Functional
dyspepsia

MUHAMM
AD J45 -
256 FATHIAN 110123 1/3/2021 Asthma 19:38:27 19:39:57 0:02:10
SHARIQ

ATAN
257 NURDIANS 099523/0 4/6/1979 J45 - 19:52:40 19:53:22 0:02:02
99483 Asthma
YAH
258 WAWAN 067022 7/11/1973 - 20:21:42 20:25:36
SETIAWAN

259 KHOLID 113254 4/3/1991 L30 - 22:24:05 21:05:01


ABDULLA Other
H dermatitis
260 ANIH 117049 3/24/1963 R09 - 22:24:16 21:35:19
Other
symptoms
and signs
involving
the
circulatory
and
respirator
y systems
| R99 -
Other ill-
defined
and
unspecifie
d causes
of
mortality

J45.9 -
EROS Asthma, 22:24:22
261 046795 4/28/1989 22:26:18 0:02:11
ROSITA unspecifie
d
262 BAJAR 117050 5/31/2021 R50.9 - 22:38:56 22:39:49
MAULANA Fever,
IBARAHIM unspecifie
d

263 HANA 117051 3/7/2001 - 4:00:37 4:00:37


HUSNIATI
264 MUHAMM 110123 1/3/2021 J06.9 - 4:43:43 13:50:27
AD Acute
FATHIAN upper
SHARIQ respirator
y
infection,
unspecifie
d | R06.2 -
Wheezing
| R09.8 -
Other
specified
symptoms
and signs
involving
the
circulatory
and
respirator
y systems

R56 -
ZAVIERRA
Convulsio
HAURA
265 117052 9/20/2017 ns, not 5:52:32 5:55:40 0:04:12
SURYANU
elsewhere
LLAH
classified

266 MUHAMM 088015 8/9/2019 R50.9 - 6:38:49 6:39:03


AD DZAKI Fever,
ADITIA unspecifie
d

267 ANI 089249 7/7/1987 - 6:58:26 6:58:26


ANGGRAE
NI
268 ARKA 076992 11/29/2016 J06.0 - 10:26:02 11:32:48
HAIDAR Acute
ABIMANA laryngoph
aryngitis |
R50.9 -
Fever,
unspecifie
d

269 INAYA 117059 4/9/2022 - 7:40:00 7:40:00


SAPUTRI
270 FARIEL 111182 7/27/2017 - 11:30:46 12:28:26
RAFFASYA
AZIZ

271 ALWI IZZA 099017 8/2/2020 R50.9 - 11:43:31 11:49:45


AL Fever,
SYABANI unspecifie
d

FITRI
J45 -
272 RUSTIANIT 112804 1/24/1999 11:57:46 11:59:56 0:03:11
Asthma
A

J06.0 -
PUTRA Acute
ADITYA laryngoph
273
RAMADHA 106327
6/13/2018
aryngitis | 12:17:04
12:18:11 0:01:12
N J45 -
Asthma

274 SITI 098076 3/6/1984 - 12:30:19 16:56:54


MARIAM
275 ADILLA 117060 5/15/2017 B86 - 13:11:04 13:39:12
HALIMAT Scabies
U ZZAHRA

S06 -
MURHAYA
276 117062 6/15/1999 Intracrani 13:14:00 13:16:09 0:02:12
T al injury
277 NAJMA 117065 5/12/2021 - 14:52:56 8:42:43
FITRI AL-
HAEIDRI

278 EDOH 037566 7/1/1952 - 15:16:23 20:30:52


279 DASEP 003242 5/31/1975 - 15:22:41 16:04:31
SETIAWAN

280 M.ARFAN 089719 12/10/2019 - 15:25:36 15:27:39


FAIZ
HAITSAM
281 ALISHA 064594 4/5/2017 R50.9 - 17:06:58 17:07:53
APRILIA Fever,
ALMUKAR unspecifie
ROM d

J45 -
Asthma |
SELVI
R50.9 -
282 LESTARIA 051051 12/28/1991 17:22:45 17:27:55 0:06;10
Fever,
NA
unspecifie
d

283 FADYA 117066 11/18/2004 - 18:45:34 18:46:21


NURFITRI
284 ROSMIATI 059629 7/1/1962 - 19:05:10 20:30:25

285 FAUZAN 117067 5/12/2013 - 19:10:00 19:12:55


MISBAHUL
HUDA

286 MUHAMM 077854 5/10/2010 - 19:30:55 20:29:15


AD
CHAFRI
FAUZI

287 MUHAMA 073316 2/28/2019 - 20:16:13 20:17:08


D ZAYN
ALFATIH

A04.9 -
Bacterial
intestinal
infection,
unspecifie
ALISHA d | R50.9 -
288 117068 1/2/2017 20:18:49 20:19:27 0:02:30
ZULIA Fever,
unspecifie
d | R56.0 -
Febrile
convulsion
s

289 YULIANAH 015441 7/1/1979 R10.0 - 20:31:30 9:20:09


Acute
abdomen
290 TISHA 100823 1/15/2020 - 20:34:57 20:53:51
PUTRI
KURNIAW
AN

291 DIDAH 028539 7/1/1960 A09.9 - 22:07:16 21:33:40


Gastroent
eritis and
colitis of
unspecifie
d origin |
K30 -
Functional
dyspepsia

292 MUHAMM 039505 11/16/2017 A09.9 - 22:07:20 22:10:25


AD Gastroent
KEYINDRA eritis and
NUR colitis of
FATURRO unspecifie
HMAN d origin |
J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d | R50.9 -
Fever,
unspecifie
d
293 ALLEA 112090 1/29/2018 A09.9 - 22:24:53 22:25:44
PUTRI Gastroent
KINANTI eritis and
colitis of
unspecifie
d origin |
J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d

294 BUDIANSY 117069 8/9/1987 - 23:20:17 22:21:41


AH

T14.1 -
Open
wound of
295 ANDRI 117070 8/30/1978 23:21:57 23:24:21 0:03:11
unspecifie
d body
region

J45.9 -
Asthma, 23:29:14
296 YUYUN 117071 8/3/1968 23:30:10 0:01:24
unspecifie
d
297 MIMIN 075184 6/20/1965 M79.1 - 23:52:50 23:53:34
Myalgia
298 MUHAMM 117072 10/30/2001 - 0:07:44 1:18:06
AD HASAN
MUSTAFA

299 ASEP 117073 11/28/1985 - 0:16:45 0:17:14


SUHERMA
N

300 ATAN 099523/0 4/6/1979 - 0:46:38 9:05:21


NURDIANS 99483
YAH
301 MUHAMM 117074 3/9/2003 - 13:05:03 10:02:38
AD ANDRE
FAUZAN

A04.9 -
Bacterial
intestinal
infection,
unspecifie
NUR d | R11 -
302 MUTIA 117075 10/13/2019 Nausea 1:55:16 1:57:32 0:02:46
DEWI and
vomiting |
R50.9 -
Fever,
unspecifie
d

303 RAISA 117076 3/29/2021 A04.9 - 3:10:01 8:03:44


MUMTAZ Bacterial
AH intestinal
infection,
unspecifie
d | A09.9 -
Gastroent
eritis and
colitis of
unspecifie
d origin

304 MAHESA 117077 2/25/2022 - 6:53:54 7:00:16


305 SENJA 027400 10/16/2010 A01.0 - 7:10:01 13:54:51
ARYA Typhoid
MUTAQIN fever |
A01.0 -
Typhoid
fever |
R50.8 -
Other
specified
fever |
R50.9 -
Fever,
unspecifie
d

306 NAURA 101202 7/30/2020 R56.8 - 7:58:35 10:59:53


ATHIRA Other and
ARDILLAH unspecifie
d
convulsion
s

307 WAWAN 024101 2/19/1960 H81.4 - 8:53:20 8:58:11


RUSWAND Vertigo of
I central
origin |
K30 -
Functional
dyspepsia

308 RIKA 117078 12/30/2004 K30 - 9:05:13 9:21:35


YULIANSY Functional
AH dyspepsia

309 WAWAN 095363/0 7/8/1990 K30 - 9:07:27 8:54:35


GUNAWA 97472 Functional
N dyspepsia
| R50.9 -
Fever,
unspecifie
d
310 RAFFASYA 096703 1/9/2020 R50.9 - 9:10:14 9:14:40
LAZUARDY Fever,
PARPIZ unspecifie
d

311 ASEP 117079 3/25/1994 R50.9 - 10:07:41 10:14:41


SANJAYA Fever,
unspecifie
d

312 MUHAMM 066733 12/7/2016 K30 - 10:11:36 10:14:58


AD Functional
ARRAFFIQ dyspepsia
PUTRA | R50.0 -
ARBIAN Fever with
chills

313 MIRA 011161 1/27/1981 H81.4 - 10:48:30 12:18:00


Vertigo of
central
origin

J45.9 -
AHMAD Asthma,
RIFARDI unspecifie
032182/0
314 MAULANA 89518 8/3/1994 d | R50.9 - 11:26:33 23:28:16 0:02:43
, (AMD Fever,
RAD). unspecifie
d

315 RAYHAN 117080 11/9/2009 K05.0 - 11:39:16 12:18:37


ABID Acute
ABKAR gingivitis
MAULANA

316 THOBIQ 080448 12/25/1996 R50.9 - 11:39:58 12:18:55


MAULANA Fever,
JIHAD unspecifie
d

317 ENCEP 103394 7/20/1960 K30 - 12:06:37 12:19:13


SUHENDA Functional
dyspepsia

318 ROMLI 117085 3/5/1954 - 13:09:27 13:09:27


SRI J45 -
319 112881 11/3/1993 13:20:45 13:21:00 0:01:45
RAHAYU Asthma
320 VELYNA 074740 7/1/2005 M79.1 - 13:24:58 12:18:00
ZALIANTY Myalgia
SUHARYA

321 AKIFA 117086 9/12/2016 - 13:41:44 17:11:35


NAURA
PUTRI

322 HENDRI 104504 10/10/1980 K30 - 14:06:26 14:07:23


BIN AMSA Functional
dyspepsia

323 RESTU 117087 5/11/1998 J18.9 - 14:13:29 16:54:42


INSAN Pneumoni
MARHAM a,
AH unspecifie
d

324 IRFAN 063281 2/15/1996 - 14:21:32 14:26:09


FATHURR
OHMAN

325 ELLA 041698 2/27/1978 K30 - 14:24:17 14:28:26


NURELAH Functional
dyspepsia

326 BASRI 117088 6/20/1975 K57.2 - 15:07:40 15:09:04


Diverticula
r disease
of large
intestine
with
perforatio
n and
abscess |
K63.1 -
Perforatio
n of
intestine
(nontraum
atic)
327 ANDIRA 117089 2/7/2021 - 15:49:55 16:59:10
FEBRIAWA
N PUTRA

328 SYAHRI 117090 9/28/2008 R50.9 - 16:13:50 16:15:51


RAMADHA Fever,
N AS- unspecifie
SODIKIN d

329 ONENG 117091 1/1/1971 A09.9 - 16:19:22 17:01:56


Gastroent
eritis and
colitis of
unspecifie
d origin

T01.9 -
Multiple
UKAT open
330
SUKATMA 117092
7/1/1952
wounds, 16:50:12
16:52:52 0:02:11
unspecifie
d

331 AAH 094936 6/5/1940 K30 - 19:38:51 19:49:54


Functional
dyspepsia

332 ELENA 078507 5/18/2015 R50.9 - 19:43:13 20:36:38


PUTRI Fever,
RENALDI unspecifie
d

I50.9 -
Heart
333 SUHARDI 117094 2/17/1960 failure, 20:20:57 20:21:57 0:01:12
unspecifie
d

J45.9 -
SELVI
334 LESTARIA 051051 12/28/1991 Asthma, 21:16:45 21:20:10 0:04:11
unspecifie
NA
d
335 YUYU 117099 7/1/2001 O80.9 - 9:26:57 9:26:57
RAHMA Single
spontaneo
us
delivery,
unspecifie
d

336 YUYU 117100 7/1/2001 O80.9 - 2:30:27 2:30:27


RAHMA Single
spontaneo
us
delivery,
unspecifie
d

337 TATANG 117102 7/9/1972 T16 - 3:19:11 3:20:06


Foreign
body in
ear

J45.9 -
AHMAD
Asthma, 3:22:10
338 HIKAM 117098 3/25/2018 3:25:15 0:03:25
unspecifie
MUSOFFA
d
339 MISKUN 117103 4/12/1972 H81.4 - 3:22:54 13:48:18
Vertigo of
central
origin

340 FITRIA 106803 3/3/1994 - 3:30:47 3:35:30


DEWI
341 ABAS 110370 7/1/1960 K30 - 5:04:31 5:05:55
NURWAN Functional
DI dyspepsia

342 SITI 117106 12/3/1987 K30 - 5:49:40 5:52:19


ROHMAH Functional
dyspepsia

343 WATI 117107 1/5/1973 K30 - 7:47:03 7:50:33


RUSMIATI Functional
dyspepsia
344 ENCE 006598 3/2/1970 A09.9 - 8:32:14 8:36:12
Gastroent
eritis and
colitis of
unspecifie
d origin

MUHAMM
AD J45.9 -
Asthma,
345 QAISAR 117112 9/8/2021 8:37:09 8:39:02 0:02:10
ZILKARNAI unspecifie
d
N
346 ULE 117109 1/1/1960 R10.0 - 8:45:16 9:16:34
SULAEMA Acute
N abdomen

J45.9 -
Asthma,
MUHAMA
unspecifie
347 D FAIZ 117113 4/11/2022 d | R10.0 - 8:52:25 8:54:10 0:02:35
ARKHAN
Acute
abdomen

R56.0 -
GEISHAN
Febrile
348 RAFASYA 115647 10/14/2019 convulsion 9:12:18 9:14:06 0:02:23
HAFIZ
s
349 MAMAN 093404 12/1/1958 A09.9 - 8:59:11 9:17:51
Gastroent
eritis and
colitis of
unspecifie
d origin

350 TUTI 084169 1/1/1995 R50.9 - 10:02:06 10:05:53


WIDANTI Fever,
unspecifie
d

T14 -
Injury of
SAEPUL
351 117121 1/25/2000 unspecifie 10:58:28 11:00:28 0:02:45
AKBAR
d body
region
352 BAYI NY 117122 4/11/2022 - 11:35:53 11:35:53
YUYU
RAHMA

353 WIDA 117123 4/2/2001 - 11:39:59 12:24:19


PARIDA
354 ELIH 117124 3/4/1966 K30 - 11:51:05 12:21:54
Functional
dyspepsia

I50.0 -
TAN KIM Congestiv
355 HOO 117125 9/9/1956 e heart 12:49:22 12:54:23 0:05:43
failure
356 MARPUAH 081874/0 6/7/1983 A09.9 - 13:20:06 13:46:16
95091 Gastroent
eritis and
colitis of
unspecifie
d origin |
K64.2 -
Third
degree
haemorrh
oids

357 UPAN 117129 7/1/1940 M54.5 - 13:30:00 13:43:30


Low back
pain

358 LISA 105376 3/6/2001 R10.0 - 13:55:44 13:56:21


INDRIANI Acute
SAPUTRI abdomen

359 IMAS 089314 7/7/1971 M75 - 9:08:10 14:06:21


MASRIATI Shoulder
lesions

360 NADIA 114432 11/3/1991 R10.0 - 14:24:04 14:26:21


RHESA Acute
RAHESTHA abdomen
361 ADINDA 117131 4/8/1997 - 18:09:34 17:49:14
NURISA
ANJANI
(TUNGGA
KAN
5107864)

362 EULIS 117133 4/5/1970 - 16:15:15 16:15:51


MULYATI
363 ALIFA 103237 10/20/2019 R50.9 - 18:50:43 18:51:03
SAFIA Fever,
BALQIS unspecifie
d

364 DIDAH 028539 7/1/1960 A09 - 19:11:43 11:24:26


Other
gastroente
ritis and
colitis of
infectious
and
unspecifie
d origin |
A09.9 -
Gastroent
eritis and
colitis of
unspecifie
d origin |
K30 -
Functional
dyspepsia

365 NURAENI 060935 7/30/1991 O21.0 - 19:18:07 19:19:42


Mild
hypereme
sis
gravidaru
m
366 KHAYLA 098500 1/10/2020 A09 - 19:41:39 19:42:49
ARSYANA Other
MARITZA gastroente
ritis and
colitis of
infectious
and
unspecifie
d origin

367 ELSA 103305 11/13/1993 K30 - 20:16:35 20:17:17


SOFIANTI Functional
dyspepsia

368 KARTINI 117134 11/9/1964 R10.0 - 21:30:23 10:14:48


Acute
abdomen

369 RIANI 029048 10/17/1986 K30 - 20:27:43 20:28:29


Functional
dyspepsia

370 IJUD 069501 2/4/1994 - 20:31:18 20:31:18


371 RACHMAT 105737 10/23/1962 I97.1 - 20:40:37 21:14:03
Other
functional
disturbanc
es
following
cardiac
surgery |
K30 -
Functional
dyspepsia

372 EMYATI 021464 12/26/1975 J45 - 21:41:06 21:42:42 0:02:48


Asthma
373 ZELINE 107014 6/15/2020 - 21:45:53 21:47:28
ZAKEISHA
374 MUHAMA 115559 10/19/2009 - 21:54:02 21:54:55
D AZRIL
ALFAUZAN

375 BAYI NY 117136 4/11/2022 - 23:48:47 23:48:47


WIDA
PARIDA

MUHAMM
376 AD FATHIR 012068/0 12/29/2008 J45 - 1:04:55 1:06:57 0:03:10
26730 Asthma
IBRAHIM

377 BALEBAT 117137 12/23/1995 O80.9 - 1:42:09 3:18:30


SITI SOPI Single
spontaneo
us
delivery,
unspecifie
d

378 BAYI NY 117139 4/12/2022 - 1:34:15 1:34:15


BALEBAT
SITI SOPI

NADHIRA J45 -
379 RAHMA 086744 10/24/2017 Asthma 2:53:54 2:56:25 0:03:11

J45.9 -
MAURA
Asthma,
380 CHARIZ 117141 7/14/2019 unspecifie 4:03:20 4:07:46 0:04:09
SHAFANA
d

J45 -
381 SITI AISAH 053764 4/6/1988 4:08:20 4:11:28 0:03:10
Asthma
382 RADITIYA 117142 1/18/2017 R50.9 - 4:49:04 4:50:10
NUGRAHA Fever,
HIDAYAT unspecifie
d

383 AHIDIN 117143 5/3/1980 - 7:18:03 6:40:45


SUHERMA
N

384 ONAH 051153 8/21/1964 - 6:42:06 6:43:09


385 RIZKI 117144 7/21/1989 R10.4 - 6:44:50 6:45:34
KURNIA Other and
PERMANA unspecifie
d
abdominal
pain
386 MUHAMM 054236 8/30/2018 - 6:49:54 6:51:18
AD LATIF
AGUSTIAN

387 OJANG 117145 8/21/1945 H81.4 - 7:03:10 7:03:20


Vertigo of
central
origin |
K30 -
Functional
dyspepsia
| R50.9 -
Fever,
unspecifie
d

388 NENENG 117146 7/5/1977 - 7:20:44 9:54:39


PARTINI
389 FITRIA 106803 3/3/1994 R63 - 9:31:56 10:16:11
DEWI Symptoms
and signs
concernin
g food and
fluid
intake

390 AMANDA 117159 7/17/2004 A15.2 - 11:22:22 12:31:42


APRILIA Tuberculo
sis of lung,
confirmed
histologica
lly

391 BAYI NY 117160 4/12/2022 - 11:30:46 11:30:46


ADINDA
NURISA

PUTRA
ADITYA R06.0 -
392
RAMADHA 106327
6/13/2018
Dyspnoea 11:44:11
11:47:02 0:03:32
N
393 LILIS 041233 2/15/1961 K30 - 11:51:05 11:52:04
SUTIANAH Functional
dyspepsia

T14.1 -
ERLANGG Open
wound of
394 A PUTRA 103357 8/12/2001 13:53:02 13:56:08 0:01:12
MAHESA unspecifie
d body
region

395 KHALISA 058885 12/7/2018 J03.9 - 14:22:24 14:23:57


NAIRA Acute
PUTRI tonsillitis,
unspecifie
d

MUHAMA E9060 -
396 117162 3/15/2017 15:18:00 15:19:17 0:01:10
D MIRZA Dog bite

397 NAZLA 117163 1/7/2022 J18.0 - 16:26:25 16:26:28


WAFFA Bronchop
ABQURA neumonia,
unspecifie
d

398 ARDIANSY 055966/0 6/29/1983 - 16:53:41 16:40:15


AH, (ST) 57966
399 ALVINNO 054760 2/28/2014 - 17:10:08 19:08:30
ROSYD
MUSTOFH
A

400 AAN 029284 5/3/1943 I63.9 - 20:23:07 17:53:48


SURJANAH Cerebral
infarction,
unspecifie
d
T01 -
Open
MUHAMM wounds
AD FATIH
401 023989 7/4/2016 involving 18:30:53 18:31:15 0:02:11
BANGKIT
multiple
RAMADAN
body
regions

402 HILMAN 112614 11/14/1969 K30 - 19:02:12 19:03:48


(IMAN Functional
HILMANSY dyspepsia
AH)

403 ASEP 054828 7/1/1959 K30 - 19:36:23 19:37:34


KOSWARA Functional
dyspepsia

404 YAYI 117165 4/3/2000 O21.0 - 20:01:08 20:02:54


SURYANI Mild
hypereme
sis
gravidaru
m

405 ALGHAISA 117166 3/2/2021 A09.9 - 20:23:32 20:23:54


N AQMAR Gastroent
SYAKIR eritis and
SUGIHART colitis of
O unspecifie
d origin

T01.9 -
MOCHAM Multiple
MAD
open
406 IRHAM 117167 8/7/2014
wounds, 20:37:47
20:38:49 0:02:05
HADI unspecifie
HAMIZAN
d

407 IKAH 117168 6/1/1951 I10 - 21:13:52 21:14:31


Essential
(primary)
hypertensi
on
408 RAFA 117170 6/9/2016 R50.9 - 21:25:04 21:26:33
AKBAR Fever,
NUGRAHA unspecifie
d

409 SEMY 117171 10/21/2006 - 22:02:39 22:03:45


DIAN
OKTORA

R07.4 -
Chest
410 II 117172 8/5/1954 pain, 0:28:15 0:30:06 0:02:12
unspecifie
d
411 REVITA 097562 3/5/1998 O80.9 - 4:59:38 4:59:38
AULIA Single
RACHMAN spontaneo
us
delivery,
unspecifie
d

R07.4 -
EVI Chest
412
SONJAYA 091985
8/17/1981 pain, 6:20:10 6:21:09 0:01:19
unspecifie
d

I50.0 -
Congestiv
e heart
failure |
413 ENJANG 117174 7/26/1942 R07.4 - 7:30:53 7:35:08 0:06:10
Chest
pain,
unspecifie
d

414 DEVI 117179 4/14/1994 - 8:40:31 8:40:31


FIRDYANA
YA

MUHAMM
AD HAIKAL
041620/0 J45 -
415 AL-FARIZI 6/25/2012 9:39:32 9:40:49 0:01:10
FIRMANSY 19800 Asthma
AH
416 HENI 117188 1/10/1973 A09.9 - 9:44:24 9:45:39
ROSMAW Gastroent
ATI eritis and
colitis of
unspecifie
d origin

417 SUGENG 117192 12/10/1968 - 10:45:33 10:45:33


418 DEDI 117193 8/7/1975 A15 - 11:16:27 13:51:31
MULYADI Respirator
y
tuberculos
is,
bacteriolo
gically and
histologica
lly
confirmed

I20 -
Angina
pectoris |
419 RICKHA 033824 6/19/1990 R07.4 - 11:42:59 23:45:00 0:03:10
ILNIA Chest
pain,
unspecifie
d

A91 -
Dengue
haemorrh
agic fever
| J18.9 -
BAMBANG Pneumoni 14:06:50
420 059479 9/28/1959 14:03:21 0:03:10
KRISNADI a, PM
unspecifie
d | R50.9 -
Fever,
unspecifie
d
421 TUTI 084169 1/1/1995 R50.9 - 14:06:00 14:10:06
WIDANTI Fever,
unspecifie
d

J45.9 -
ABID
Asthma,
422 AQILA 030414 12/17/2013 14:18:06 14:20:20 0:02:26
unspecifie
PRANAJA
d
423 EL ATTAR 092679 3/9/2019 R50.9 - 14:39:36 14:40:28
ZAYDAN Fever,
HERMAW unspecifie
AN d

MAMAT R57.0 -
424 117198 3/11/1961 Cardiogeni 14:47:24 14:50:20 0:03:43
JUNAEDI
c shock
425 MUHAMM 117200 7/19/2020 A09.9 - 17:13:37 19:56:19
AD Gastroent
ADZRIEL eritis and
KIANO colitis of
unspecifie
d origin

426 OYIH 070531 4/1/1958 N39 - 17:17:23 17:20:34


Other
disorders
of urinary
system

J45.9 -
RAIHAN
Asthma,
427 RIZKI 079482 8/27/2013
unspecifie 17:22:46
17:24:40 0:02:44
ADITIA
d
428 NURAMILI 117201 8/16/2017 A91 - 20:39:27 20:02:01
A SARI Dengue
haemorrh
agic fever

429 YUSSI 117202 3/23/2005 R10.0 - 20:14:00 19:54:37


RUSMAW Acute
ATI abdomen
430 SRI 117203 7/24/1977 K30 - 19:10:55 19:10:55
HARTATI Functional
dyspepsia

431 ANGGI 117204 6/17/1993 R50.9 - 19:15:31 19:20:25


GUNAWA Fever,
N unspecifie
d

432 NINING 117205 10/25/1966 R50.9 - 19:23:37 22:08:43


Fever,
unspecifie
d

433 ASSYRA 117206 10/1/2016 R50.9 - 19:45:19 19:46:58


OKTARIAN Fever,
A unspecifie
d

434 SYAQILA 117207 4/29/2014 B86 - 20:21:13 20:25:21


CAHAYA Scabies
PUTRI

435 DHEA 117208 9/12/2002 A09.9 - 20:47:34 22:06:37


REKHASEV Gastroent
INA eritis and
colitis of
unspecifie
d origin

436 ISOH 117209 4/15/1976 N39.0 - 21:52:20 21:53:27


Urinary
tract
infection,
site not
specified

437 DEDE 030406 1/6/1986 - 22:26:58 23:38:29


MELANI
438 YANA 027998 11/17/1988 K30 - 22:56:39 22:58:15
HERIYANA Functional
dyspepsia
E13.9 -
Other
specified
diabetes
mellitus
RIANAWA
439 080286 1/15/1978 without 23:35:39 23:36:24 0:01:09
TI
complicati
ons | N18
- Chronic
kidney
failure

440 MUHAMA 067493 7/20/2004 K30 - 0:10:14 0:11:47


D Functional
ALFATHIN dyspepsia
IZHARUDD
IN

AZLAN
ALVANO E9060 -
441 117210 8/30/2019 0:15:20 0:16:01 0:01:21
PUTRA Dog bite
SETIA

J45 -
442 EMYATI 021464 12/26/1975 0:22:51 0:23:22 0:02:12
Asthma
443 ERI 031742 3/25/1974 H81.3 - 0:39:55 0:41:07
NURYANA Other
peripheral
vertigo |
H81.4 -
Vertigo of
central
origin |
K30 -
Functional
dyspepsia

444 BAYI 117211 4/14/2022 - 2:45:00 2:45:00


NYONYA
DEVI
FIRDYANA
YA
MARWAH
445 KHAIRUN 117213 3/20/2022 R06.0 - 4:48:12 4:50:39 0:02:10
Dyspnoea
NISA

446 AL FATIH 117214 5/5/2022 - 7:43:34 7:43:34


PUTRA
RUSYAEDI

447 OPIK 117217 7/1/1991 K30 - 8:29:49 13:04:51


Functional
dyspepsia

448 BY NY 117220 4/14/2022 - 9:49:19 9:49:19


NENG
CUTI

449 SHANUM 117216 2/19/2021 - 9:54:44 10:11:44


KHALIFA
HIDAYAT

T14.9 -
RAYHAN
Injury,
450 PAHRI 117223 1/14/2003 unspecifie 10:11:27 10:15:03 0:04:10
SUBAGJA
d
451 MUHAMA 117225 8/10/1992 L03.1 - 10:20:13 11:40:28
D DINAR Cellulitis
IBRAHIM of other
parts of
limb |
L03.9 -
Cellulitis,
unspecifie
d

452 ANDI 117226 8/26/1988 R50.9 - 10:47:49 15:07:00


SOBANDI Fever,
unspecifie
d

453 AIRA 117227 5/30/2021 R50.9 - 11:03:35 11:05:54


SOFWATU Fever,
L HUSNA unspecifie
d
454 CLARA 117228 1/29/2020 A09.9 - 11:12:10 11:15:22
NATANIA Gastroent
eritis and
colitis of
unspecifie
d origin

455 MISBAH 021870 4/21/1961 - 11:38:23 13:05:50


456 ADZKIYA 103086 2/17/2018 - 11:48:17 16:03:00
NAILA
PUTRI
TIANA

457 AGUS 117229 8/6/1984 K30 - 12:08:34 15:40:47


HERMAW Functional
AN dyspepsia
| K56.7 -
Ileus,
unspecifie
d

R50.9 -
Fever,
unspecifie
HANNA
d | R56 -
458 SALSABILA 112669 2/11/2020
Convulsio 12:20:03
12:23:45 0:03:10
PUTRI
ns, not
elsewhere
classified

459 SOLEHUDI 117233 8/4/1965 - 15:04:14 16:54:47


N
460 JULIYANT 117234 1/26/1984 K64 - 15:13:24 15:16:55
O Haemorrh
oids and
perianal
venous
thrombosi
s

461 DADANG 114356 7/21/1974 K30 - 16:49:16 16:50:58


MULYADI Functional
dyspepsia
J45.9 -
ARYA
462 BAGUS 075775 7/11/2000 Asthma, 17:07:27 17:10:17 0:03:12
unspecifie
KUSUMA
d
463 EKA CITRA 105520 11/28/2002 R50.9 - 17:12:35 17:15:41
RAHMAW Fever,
ATI unspecifie
d

464 YULIANAH 015441 7/1/1979 - 17:31:17 17:33:02

465 MUHAMA 112023 2/10/2021 J18.0 - 17:43:19 17:44:20


D ABIZAIN Bronchop
SYAUQI neumonia,
ALKUROI unspecifie
MAN d

466 DEVI 040883 6/25/1992 K30 - 17:48:48 17:47:14


NURLITA Functional
dyspepsia

T14.1 -
Open
INA wound of 19:07:27
467
INDAWATI 117235
12/25/1976 unspecifie 19:05:26 0:02:20
PM
d body
region

468 RIANI 029048 10/17/1986 O21.8 - 18:58:23 18:59:05


Other
vomiting
complicati
ng
pregnancy

J45.9 -
INDRAJAY Asthma,
469 075359 5/14/1993
unspecifie 19:01:02
19:05:24 0:04:30
A
d

J45.9 -
TIARA
Asthma,
470 DZULFA 045837 1/9/2006 19:11:43 19:15:11 0:04:53
unspecifie
AZZAHRA
d
471 SUPANDI, 061442 7/5/1927 R33 - 21:14:13 21:15:50
(H). Retention
of urine

T01 -
Open
SANDI wounds
472 HERMAW 117236 5/9/1997 involving 21:27:48 21:28:44 0:02:30
AN multiple
body
regions

473 WAWAS 117237 4/1/1974 A09.9 - 22:14:32 22:15:28


SRIWASYU Gastroent
NI eritis and
colitis of
unspecifie
d origin |
K30 -
Functional
dyspepsia

474 FINA 117238 1/27/1995 - 22:42:28 22:43:01


FANDI
WINATA

475 ENUR 117239 3/4/1973 R10.0 - 8:28:19 22:58:10


Acute
abdomen

476 ELSA 117240 10/7/2003 K30 - 1:22:37 1:23:07


NISMAWA Functional
TI dyspepsia

J45.9 -
Asthma,
477 ROSYANI 117241 7/1/1966
unspecifie 1:22:37
1:24:10 0:02:12
d
478 RAINA 117242 3/6/1985 - 5:31:42 5:31:42
MUNIROH
SALAMAH
479 MARIAM 042305 4/1/1970 K30 - 5:35:00 5:40:35
AHMAD, Functional
(Hj). dyspepsia
| R63 -
Symptoms
and signs
concernin
g food and
fluid
intake

480 ALYA 108182 7/10/2020 J06.9 - 5:38:59 5:40:35


PUTRI Acute
WAHYUDI upper
respirator
y
infection,
unspecifie
d

481 ENI 028889 11/28/1965 E10 - 7:35:15 8:48:31


NURJANA Insulin-
H dependen
t diabetes
mellitus
482 OTIM 117244 3/5/1979 A15.9 - 7:42:34 7:42:39
Respirator
y
tuberculos
is
unspecifie
d,
confirmed
bacteriolo
gically and
histologica
lly | K30 -
Functional
dyspepsia

483 YENNI 103526 4/4/1976 R50.9 - 7:47:13 7:47:32


SUHERNA Fever,
unspecifie
d

484 MUHAMA 117245 8/10/2021 R50.9 - 7:53:44 7:53:42


D ARSYAD Fever,
ALJAELANI unspecifie
d

T14 -
Injury of
NUR
485
FATIMAH 117246
9/4/1959 unspecifie 8:54:56 8:57:53 0:03:20
d body
region
486 DAHLAN H 026830 2/15/1959 R50.9 - 8:47:18 8:48:51
Fever,
unspecifie
d

487 WIFA NUR 117247 6/7/2020 K59.0 - 8:52:44 8:53:44


FITRIA Constipati
on
MUHAMA
J45.9 -
D ABIZEIN
488 SAFARAZ 114692/1 2/10/2021 Asthma, 9:38:52 9:40:57 0:02:10
03147 unspecifie
ALKUROI
d
MAN

S27.21 -
Traumatic
haemopne
MUHAMM
umothora
AD FIKRI
x, with
489 HENDRI 085918 11/18/2005 10:08:17 10:09:50 0:01:11
open
KHAIRIAN
wound
SYAH
into
thoracic
cavity

490 KANI 103742 1/4/1943 K30 - 10:12:54 10:12:51


Functional
dyspepsia

491 M. 117248 2/8/2017 B00.9 - 11:01:19 11:09:16


ZAHRAN Herpesvira
MUNGGA l infection,
RAN unspecifie
d

492 UTIH 111929 7/20/1952 I10 - 11:07:04 11:07:56


Essential
(primary)
hypertensi
on

493 KOSASIH 117249 6/14/1948 I10 - 11:19:30 11:19:05


AFFANDI Essential
(primary)
hypertensi
on
494 ADE 117250 4/15/1978 N23 - 11:24:07 11:24:15
Unspecifie
d renal
colic

495 MUHAMM 012881 5/9/2008 J06.9 - 13:41:24 13:57:18


AD Acute
RIPANDI upper
AL respirator
VIANSAH y
infection,
unspecifie
d

496 UJAN 117252 3/4/1965 - 14:04:28 14:04:28


497 AJID 117253 7/1/1960 A09.9 - 14:10:19 14:16:47
Gastroent
eritis and
colitis of
unspecifie
d origin

498 YUDHA 117254 5/26/2021 B86 - 14:21:03 14:50:52


Scabies |
L08.0 -
Pyoderma

499 SUPRIYADI 117255 2/26/1963 A09.9 - 14:37:29 14:57:38


Gastroent
eritis and
colitis of
unspecifie
d origin

500 BY NY 117256 4/15/2022 - 15:49:04 15:49:04


RAINA
MUNIROH

501 IMAN 117257 2/6/1975 M79.1 - 16:29:19 16:30:49


HERMANS Myalgia
YAH

MUHAMA
J45 -
502 D WAFA 024086 5/14/2012 16:45:50 16:46:46 0:02:10
Asthma
ARRASYAD
503 M 020033 8/10/1943 N23 - 16:57:40 17:58:44
KOSASIH Unspecifie
d renal
colic

504 ABIZAR 117258 3/10/2019 E8911 - 18:59:02 19:02:26


KHALIF Fumes
from
combustio
n of
polyvinylc
hloride
[pvc] and
similar
material in
conflagrati
on in
other and

505 ELIM 115860 2/22/1973 K30 - 19:05:12 19:06:33


Functional
dyspepsia

T14.1 -
Open
GUNA wound of
506
GUNANDA 117259
2/8/1993
unspecifie 19:10:45
19:11:04 0:02:30
d body
region

507 zafira 117260 6/26/2015 R50.9 - 19:11:51 19:12:13


lutfia nizar Fever,
unspecifie
d

508 LIRI 117261 4/15/2006 K30 - 19:20:24 15:58:35


INDRIYANI Functional
dyspepsia
| R11 -
Nausea
and
vomiting
509 RATNA 068724 6/4/1982 K30 - 19:42:58 19:43:32
Functional
dyspepsia

510 ANGGARA 115561 9/6/1987 K30 - 19:58:45 19:59:45


PAJAR Functional
MUHARA dyspepsia
M

511 ALI 105405/0 3/17/1953 - 20:01:45 20:02:38


MUDIN 75053
512 BAHRUL. 117262 4/26/1964 I10 - 20:14:46 20:15:50
H Essential
(primary)
hypertensi
on

513 UPIT 093730 2/10/1976 - 20:19:44 20:20:11


LATIPAH
514 ANDI 117263 4/7/1989 K21 - 20:35:49 10:30:00
GUNAWA Gastro-
N oesophag
eal reflux
disease |
K21.9 -
Gastro-
oesophag
eal reflux
disease
without
oesophagi
tis | R50.9
- Fever,
unspecifie
d | R63.8 -
Other
symptoms
and signs
concernin
g food and
fluid
intake

515 RIA 065734 5/1/1985 K30 - 21:15:54 21:10:21


MELIANI Functional
dyspepsia

516 ENCEP 117266 10/12/1978 - 22:30:50 22:30:50


SAMSUL
HIDAYAT

T14 -
MUHAMM Injury of
517 AD 117267 5/10/2004 unspecifie 22:39:40 22:40:42 0:02:21
WILDAN d body
region
518 ELSA 117268 1/1/1995 M79.8 - 22:55:44 22:59:26
NEBAHO Other
specified
soft tissue
disorders
| M79.88 -
Other
specified
soft tissue
disorders,
other site

J45.9 -
MUHAMM
Asthma, 1:11:13
519 AD MIRZA 113119 5/18/2015 1:12:31 0:01:44
HAMIZAN unspecifie
d

520 YOGA 111988 9/26/1977 K30 - 2:16:16 2:17:58


DARMA Functional
AJI dyspepsia

521 DADANG 088688 11/10/1962 K40 - 4:26:06 4:30:09


SUGANDA Inguinal
hernia

522 DEDIH 093651 2/14/1958 R10 - 5:36:41 5:40:00


Abdominal
and pelvic
pain |
R10.0 -
Acute
abdomen

523 EDAH 096248 7/1/1942 R63 - 6:20:51 6:21:40


Symptoms
and signs
concernin
g food and
fluid
intake
J45.9 -
MUHAMA
524 D DEDE 079896 7/2/2018 Asthma, 7:19:39 7:20:22 0:01:53
unspecifie
RIPANDI
d
525 ITOH 071801 7/1/1939 - 7:25:47 7:26:56
526 DIDIN 117270 8/6/1962 - 7:32:37 8:05:58
WARDI
WAHYUDI
N

527 BELLA 073297 6/9/1991 K30 - 7:41:26 7:43:22


VISTA Functional
dyspepsia

528 DEAZKA 109761 7/24/2020 - 7:59:06 11:44:24


TRI
GUMELAR

A04.9 -
Bacterial
intestinal
infection,
FATHIR
529
ALFARISDI 117272
12/5/2009 unspecifie 8:26:29 8:28:08 0:02:34
d | A91 -
Dengue
haemorrh
agic fever

530 NYAI 060614 2/7/1986 - 8:52:39 8:52:39


MULYANTI

531 DHEFIN 117275 10/15/2020 - 9:38:26 9:40:07


REIFANSY
AH

532 MUHAMA 062414 10/25/2009 - 10:21:15 10:23:24


D FAHRI
533 KHALIZA 117276 9/14/2021 A91 - 11:01:59 11:42:24
PUTRI Dengue
NUR haemorrh
ANDRIAN agic fever
| R50.9 -
Fever,
unspecifie
d

534 OJI 117277 1/1/1954 - 11:11:32 11:15:36


535 SINDY 102425 3/20/2004 - 11:52:25 10:06:50
AULIA
536 NAMEERA 023354 5/16/2016 - 12:54:49 13:23:59
KHADIJAH
RUBILLAH

537 TITA 117279 11/8/1956 - 12:58:34 19:44:54


ROSITA
538 BURHAN 112847 6/21/1989 - 15:45:13 19:48:30
BURNAMA

539 DEDE SITI 117282 9/26/1993 - 16:31:09 16:35:00


NUR
SAADAH

540 OBAR 117283 9/21/1957 E11 - Non- 17:24:27 19:49:38


SOBARIAH insulin-
dependen
t diabetes
mellitus

541 KARNASIH 117284 7/12/1975 - 18:43:35 18:48:28

542 SAKIF 117285 5/9/2020 R11 - 18:46:59 14:15:39


RAMADHA Nausea
N and
vomiting

543 REVI LITA 117286 4/16/2005 - 18:49:58 18:50:34


544 NURDIN 117287 7/1/1953 K30 - 19:24:28 22:52:58
Functional
dyspepsia
545 ERIS RISA 098452 4/30/1997 - 20:03:23 20:03:23
SETIANI
546 RIZAQY 117288 4/28/2017 A09 - 20:16:00 20:20:47
CAHYA Other
APRIANSY gastroente
AH ritis and
colitis of
infectious
and
unspecifie
d origin

547 GEA 117289 4/4/2019 R50.9 - 20:28:21 20:17:20


APRILIA Fever,
SAPUTRA unspecifie
d

548 AI RATNA 073994 5/3/1987 - 20:31:30 21:22:11


SARI

HERNA
R06.0 -
549 SITI 117290 1/10/1996 Dyspnoea 20:58:35 20:59:44 0:02:13
HARTINAH

550 WAHYUDI 029034 10/8/1970 I10 - 21:05:21 21:07:56


Essential
(primary)
hypertensi
on

551 RAYYAN 117291 12/28/2019 T16 - 21:46:05 21:48:26


AL FAUZI Foreign
body in
ear

552 AZIZAH 024309 1/4/2017 R11 - 22:39:35 22:44:43


NUR Nausea
MULQI and
vomiting

553 UDO 111302 12/17/1967 - 23:38:36 14:04:20


554 BAYI NY 117292 4/16/2022 - 23:47:24 23:47:24
NYAI
MULYANTI

555 UJANG 115407 8/21/1980 - 23:53:40 23:54:37


SURYAMA
N
556 BIBIN 073728 5/20/1955 - 0:51:28 0:51:28
SUWANDI

557 JAFAR 107903 7/1/1963 - 3:22:18 3:24:53


558 GIOVANI 117294 4/6/1997 - 3:54:15 3:55:44
559 NADIA 117295 1/1/1998 - 3:56:37 3:57:44
560 MUNIFAH 079621 2/10/1970 - 5:00:49 5:01:56
BUDI
ISNAENI

561 JUNIARTO 117296 6/21/1993 - 6:24:19 11:11:15


MUKHARA
M

562 TOLIB 117297 7/1/1955 - 6:48:22 6:49:59


563 WAWAN 067429 8/1/1966 A09.9 - 7:35:44 7:36:12
HUWAERI Gastroent
S eritis and
colitis of
unspecifie
d origin |
I10 -
Essential
(primary)
hypertensi
on

564 EMAN 089462 1/1/1946 - 7:38:54 7:39:24


SITI J45 -
565
MARIAM 098076
3/6/1984 7:42:11 7:43:58 0:02:30
Asthma
566 LILIS 043518 9/20/1974 A15 - 7:55:31 7:56:45
HERAWAT Respirator
I y
tuberculos
is,
bacteriolo
gically and
histologica
lly
confirmed
567 DADANG 116643 10/5/1967 E13.9 - 8:07:24 8:06:55
Other
specified
diabetes
mellitus
without
complicati
ons

K30 -
Functional
ALDI dyspepsia
568 117298 12/12/1972 8:07:24 8:08:47 0:01:32
PURNAMA | R10.0 -
Acute
abdomen

569 NANDA 117299 1/1/2003 - 8:34:16 8:34:16


FITRIANI
570 JOLIE 117300 6/28/2016 J06.9 - 8:53:09 11:04:47
AQILLA Acute
PASHA upper
respirator
y
infection,
unspecifie
d

T11 -
Other
DERI injuries of
571 ARYANSYA 117301 1/23/1992 upper 9:04:06 9:05:30 0:01:11
H limb, level
unspecifie
d

572 BASRI 117088 6/20/1975 K56.7 - 9:57:01 9:30:17


Ileus,
unspecifie
d

573 MUHAMA 112774 2/3/2018 - 10:16:49 11:09:38


D ZIHAR
ALFAKA
I25 -
Chronic
574 IYO SENO 074440 8/1/1952 ischaemic 10:27:14 10:28:03 0:01:17
heart
disease
575 RAHMATU 117303 7/1/1997 - 15:00:39 8:47:31
LLAH
576 YAYAN 117304 12/2/1969 - 11:36:35 11:36:23
SURYANA,
(S. Pd.I.)

577 ENUNG 076019 5/19/1970 - 13:48:05 14:55:42


NURHAYA
TI

578 ZARNITA 071376 3/16/1987 - 14:04:46 19:59:31


579 SALMA 117305 11/17/2020 - 14:10:58 19:58:44
NUR
MAULIDA
RAMDANI

580 M 106360 1/24/2021 - 16:03:50 16:04:46


ALFARIZQI
PUTRA
KURNIA

581 YUYU 100330 9/29/1982 - 17:04:46 17:05:29


YUNINGSI
H

582 RENAYA 117309 4/15/2022 - 17:33:56 17:35:30


ALMAHYR
A

NASYA J45 -
583 KHUMAIR 046796 1/25/2017 18:42:21 18:45:29 0:03:50
A PUTRI Asthma
584 NENDEN 117310 10/20/1985 J06 - 18:54:26 18:56:18
Acute
upper
respirator
y
infections
multiple
and
unspecifie
d sites

585 ELIM 115860 2/22/1973 - 19:44:58 19:57:21


586 SITI 117312 8/1/1975 - 19:51:14 19:52:40
AMINAH
587 SUGIH 078478 8/6/1999 - 20:17:55 20:18:09
ZARKASIH
SUBAGJA

588 MINJANA 023789 4/16/1964 K30 - 20:19:41 20:20:25


H Functional
dyspepsia
589 CANTIKA 111540 4/11/2021 A04.9 - 20:26:02 22:50:22
NUR AJLA Bacterial
SAFANA intestinal
MUSTOFIY infection,
AH unspecifie
d | A09.9 -
Gastroent
eritis and
colitis of
unspecifie
d origin |
R50.9 -
Fever,
unspecifie
d | R50.9 -
Fever,
unspecifie
d

HERNI G40 - 21:24:46


590 117313 11/3/1990 21:22:29 0:03:12
HERYANTI Epilepsy AM

591 ANDARA 117314 11/18/2013 R50.9 - 6:50:42 22:45:33


PUTRI Fever,
DARMAW unspecifie
AN d

592 ANGGI 117204 6/17/1993 A91 - 23:11:53 23:11:04


GUNAWA Dengue
N haemorrh
agic fever

593 JULFIKY 117450 7/27/1995 - 18:55:51 18:55:51


594 ELA 009448 12/1/1983 - 6:42:48 6:42:48
NURLAELA

595 HANIA 117315 10/24/1983 J45 - 7:56:00 7:59:24 0:03:24


Asthma
596 BY NY ELA 117316 4/18/2022 - 6:42:40 6:42:40
NURLAELA
597 DAWAMI 089984 4/2/1961 - 8:32:50 8:33:52

ROHIMAN
J45 -
598 DZIKRA 010148 3/10/2009 9:18:32 9:19:08 0:01:12
PURNAMA Asthma

599 AGUS 117319 8/17/1971 R63 - 9:56:18 15:47:08


Symptoms
and signs
concernin
g food and
fluid
intake

600 TOPAL 117336 12/16/1995 K40 - 10:09:37 11:00:17


DICKY Inguinal
ANGGARA hernia

601 LASHIRA 109937 2/21/2019 - 10:37:27 10:37:27


SHAISTA
SHANUM

P0000474
77 -
fraktur |
T01 -
TAUFIQ Open
602 HIDAYAT 117341 6/6/1964 wounds 11:22:33 11:23:28 0:01:13
involving
multiple
body
regions

603 YUHANAH 071459 7/17/1959 - 12:05:50 11:10:28

604 FARZAN 117342 10/19/2021 A09.9 - 12:13:22 14:10:10


ATTALAH Gastroent
OKTAVIAN eritis and
colitis of
unspecifie
d origin

605 M. EDDY 117344 3/24/1949 - 14:22:10 14:23:55


ROESDY
606 RUMIKA 117347 8/24/1977 - 15:47:39 15:48:40
ROSDIANA
SITUMOR
ANG

607 METI 117348 2/4/1979 - 16:12:40 16:12:40


KARTINI
608 LILIS 072915 11/23/1976 - 18:50:39 18:51:53
SULASTRI

J45.9 -
EMPAN Asthma,
609 082450 8/27/1991 18:53:09 18:55:19 0:02:10
SUPIANDI unspecifie
d

J45.9 -
E. Asthma,
610 KOSASIH 077807 4/1/1960 unspecifie 18:58:33 19:02:05 0:04:20
d
611 EXCEL 047175 3/12/2017 - 19:15:28 7:10:12
PRATAMA
GINANJAR

612 RIZKI 059590 9/27/2006 - 19:34:06 19:36:30


RAMADHA
N

613 IMAS 009967 12/13/1978 - 19:41:24 19:43:31


WATI
614 ZENAL 117349 6/8/1990 - 20:04:58 20:04:15
MUTAKIN

615 INDRIANI 117351 8/28/1978 R50.9 - 21:35:43 21:37:28


Fever,
unspecifie
d

616 GALANG 015330 5/11/2012 R50.9 - 21:40:30 7:09:21


IBNU Fever,
MALIK unspecifie
d | R50.9 -
Fever,
unspecifie
d
617 SALSABILA 116153 7/24/2000 K30 - 23:29:55 23:30:12
ZAKIYA Functional
dyspepsia

J45 -
Asthma |
J45.9 -
PUPUN Asthma,
618 026098 12/31/1987 0:23:06 0:24:30 0:01:13
ROHAYATI unspecifie
d | K30 -
Functional
dyspepsia

ARSYILA
J45 -
619 PANJI 101421 2/27/2018 Asthma 1:18:20 1:22:58 0:04:20
FATIMAH
620 YUNITA 094837 11/6/1995 K30 - 2:22:08 2:25:49
AGUSTINA Functional
dyspepsia

621 AJUD 117352 11/5/1955 K30 - 2:45:54 2:50:08


SETIADI Functional
dyspepsia

622 EUIS 090298 7/1/1946 I10 - 4:50:34 5:00:46


NURKIYAH Essential
(primary)
hypertensi
on

623 ATIK 117353 10/1/1954 E11 - Non- 4:53:43 10:27:38


insulin-
dependen
t diabetes
mellitus
624 BAKIN 117354 2/4/1964 A09 - 5:25:54 10:26:42
Other
gastroente
ritis and
colitis of
infectious
and
unspecifie
d origin

J45 -
625 HANIA 117315 10/24/1983 5:29:49 5:30:36 0:02:09
Asthma
626 EDI 117356 7/1/1959 K30 - 7:05:11 10:22:17
SUPARDI Functional
dyspepsia

T14.1 -
Open
SARAH wound of
627 117357 12/19/1984 7:57:02 7:59:07 0:02:20
NURANI unspecifie
d body
region

628 SAMSIAH 081425 7/1/1965 - 7:45:36 10:10:10


629 SHABIKA 077646 9/20/2006 - 8:36:29 10:34:01
AUDYA
SERUNI

630 ASRI 117367 2/12/1997 - 11:07:25 11:08:48


KURNIA
ILAHI

T14.1 -
Open
CECEP
wound of
631 DJARKASI 117368 4/6/1958
unspecifie 11:30:17
11:31:06 0:01:20
H
d body
region
632 MUHAMM 064003 2/22/2019 J06.9 - 11:46:05 11:47:30
AD RASYID Acute
AL- upper
FARIZQI respirator
y
infection,
unspecifie
d

633 ALGGISA 117369 6/14/2000 - 11:53:47 11:53:47


NADIA
634 ADI 068866 8/12/1991 - 13:20:53 13:48:39
WULAN
PRADANA

635 RANTI 080562 3/21/2001 - 13:22:05 13:48:31


LESTARI
MULYADI

636 MUHAMM 117371 3/25/2020 R50.9 - 14:38:37 14:38:02


AD ABDUL Fever,
AZIZ unspecifie
d

637 ANISA 117372 9/29/1992 - 15:01:43 15:01:43


638 DEPITA 011564 3/16/2013 R50.9 - 15:50:14 15:30:09
NOVITASA Fever,
RI unspecifie
d

639 MOCH 114693 10/8/1995 J06.9 - 16:05:56 16:18:05


ARIF Acute
PRATAMA upper
respirator
y
infection,
unspecifie
d

640 NUNI 115343 9/5/1958 C50 - 17:50:34 17:51:16


Malignant
neoplasm
of breast
641 BAYI 117374 4/19/2022 - 18:40:25 18:40:25
NYONYA
ASRI
KURNIA
ILAHI

642 OLIM 117375 10/15/1950 - 20:47:44 23:31:30


643 NELSA 063654 11/30/2005 K30 - 21:17:04 21:20:55
ALYANI Functional
dyspepsia

644 MIA SUTIA 117376 12/9/2004 K92.0 - 21:21:24 21:21:30


SRI AYU Haemate
mesis

645 NENENG 114732 9/17/1993 - 22:20:35 22:22:39


NUR
APRIANTI

646 RIA 117377 5/24/1984 - 22:19:53 22:20:10


MARYANI
KLOATUB
UN

TATI J45.9 -
647 NURHAYA 117378 11/8/1987 Asthma, 22:44:32 22:48:36 0:05:00
unspecifie
TI
d

(TAGIHAN J45 -
27 Asthma |
648 RB)CHINT 109019 10/24/2011 J45.9 - 13:39:09 13:42:11 0:03:10
YA Asthma, PM
OKTAVIAN unspecifie
I d

AZRIEL
J45 -
649 PUTRA AL- 070267 2/11/2019 23:12:00 23:13:45 0:01:30
Asthma
JAYA

DETY
AGUSTIAN
R55 -
I Syncope
650 SONIANSI 117379 5/7/1995 0:47:59 0:50:02 0:03:10
H and
collapse
WIDIAPUT
RI

651 SUPRIYADI 117380 8/1/1981 - 1:08:46 1:10:39


652 NIA 037123 6/14/1977 - 5:45:43 5:44:26
653 MASRIAH 117381 7/1/1955 D64 - 5:50:10 13:09:32
Other
anaemias
| N18.3 -
Chronic
kidney
disease,
stage 3 |
S99.9 -
Unspecifie
d injury of
ankle and
foot

654 MAYA 041543 3/9/1984 K05.6 - 6:14:06 6:19:02


RAHAYU Periodont
MUNGGA al disease,
RAN unspecifie
d

655 KOMARUD 117360 11/27/1997 D21.9 - 8:30:37 12:22:30


IN Benign
neoplasm,
connectiv
e and
other soft
tissue,
unspecifie
d

T14.1 -
Open
MUHAMM
wound of 8:46:51
656 AD IHSAN 117385 5/15/2012 8:50:11 0:04:30
unspecifie
MAULANA
d body
region

ALDY
AZHAR J45 -
657 101995 8/1/2014 8:50:02 8:52:27 0:02:29
SEBASTIA Asthma
N
658 IA KURIAH 071354 3/17/1968 A01.0 - 10:19:55 17:13:57
Typhoid
fever |
R50.9 -
Fever,
unspecifie
d

659 TIA 107813 7/16/1995 K30 - 11:22:07 11:22:59


MONICA Functional
dyspepsia

660 NITA 081743 4/18/1997 - 11:24:50 11:24:50


ANGGRAE
NI

661 IKHWANU 112861 4/15/1997 - 14:09:33 14:09:45


L KHAIRIA

T14 -
BOGIE Injury of
662 SOEDJAT 117390 2/26/1956 unspecifie 14:16:55 14:20:20 0:04:12
MIKO d body
region
663 DIDAH 028539 7/1/1960 A09.9 - 14:20:19 14:22:52
Gastroent
eritis and
colitis of
unspecifie
d origin

664 TITA 117391 7/10/1982 K30 - 16:18:40 16:19:24


Functional
dyspepsia

665 MARSIDIN 117392 4/5/1964 - 16:53:34 16:53:25

666 WAFFA 117393 7/9/2021 - 17:00:20 17:14:45


ULYA
BILQIS

667 HENDRI 104504 10/10/1980 - 17:05:00 10:30:15


BIN AMSA
668 MISBAHU 117394 8/17/1978 K64.9 - 17:12:39 17:13:43
DIN Haemorrh
oids,
unspecifie
d

669 IMUT SITI 068766 5/5/1994 M79.1 - 17:22:19 17:23:43


NURMUTI Myalgia
A

670 FAREL 116049 4/5/2015 A09.0 - 17:30:54 17:32:11


APRIANSY Other
AH unspecifie
d
gastroente
ritis and
colitis of
infectious
origin

671 NITA 081743 4/18/1997 - 19:17:49 19:17:49


ANGGRAE
NI

672 RANTI 080562 3/21/2001 A09.9 - 20:20:05 20:23:38


LESTARI Gastroent
MULYADI eritis and
colitis of
unspecifie
d origin

673 YAYAN 077885 4/6/1969 - 21:34:45 21:35:38


674 DESI 117395 9/17/1993 R50.9 - 21:34:41 21:36:32
RESMAWA Fever,
R, unspecifie
(Amd.Keb) d

675 M. 117396 10/14/2017 R50.9 - 21:47:49 21:48:02


DEFRAN Fever,
PUTRA unspecifie
RIYANSYA d
H

676 YUNI 019007 6/10/1992 - 22:02:51 22:03:31


YULIA
677 YANI 117397 3/28/1998 R50.9 - 0:58:50 23:33:47
AMALIA Fever,
FAUZI unspecifie
d
678 IMAN 029011 5/13/1990 - 23:37:41 23:30:00
MAULANA

679 REVITA 097562 3/5/1998 - 0:55:58 0:55:58


AULIA
RACHMAN

680 ESIH 109547 1/26/1979 - 3:35:31 3:35:31


SUKAESIH

J45.9 -
AMY
Asthma,
681 APRILIAN 024478 4/11/1996 unspecifie 3:48:39 3:50:59 0:02:11
KARIM
d

IZZUL J45.9 -
YAQDAN 026878/0 Asthma,
682 6/23/2014 4:45:28 4:49:49 0:04:05
NASRULLO 71395 unspecifie
H d
683 PAPAT 013334 5/2/1980 A09.9 - 6:05:47 8:54:20
PARIYANTI Gastroent
eritis and
colitis of
unspecifie
d origin

J45.9 -
Asthma,
684 AYU ELISA 115710 11/1/2003 unspecifie 6:07:56 6:11:46 0:04:24
d

J45.9 -
UPEN Asthma, 6:08:10
685 114290 5/5/1971 6:09:07 0:01;30
SUPENTI unspecifie
d
686 BAYI NY 117399 4/21/2022 - 6:18:47 6:18:47
ESIH
SUKAESIH

687 SUSI 115152 1/19/1976 - 6:23:28 6:27:30


SUSANTI
688 BAYI NY 117400 4/21/2022 - 7:26:30 7:26:30
REVITA
AULIA
RACHMAN
689 PENTI TRI 006619 2/10/1986 A09.9 - 7:31:58 8:50:39
SULAEMI Gastroent
eritis and
colitis of
unspecifie
d origin

690 PUPUT 110042 8/6/1990 - 9:10:51 9:10:51


MELATI
691 SUPRIYADI 117380 8/1/1981 - 13:20:18 17:07:35

692 SALMAH 117414 1/9/2021 - 13:48:17 14:30:43


NURLAILA

693 MAMAT 048798 7/1/1959 - 14:09:33 14:10:42

T14 -
MUHAMM Injury of
694 AD BIRRU 117418 5/23/2016 unspecifie 15:54:13 15:58:12 0:04:12
MAULANA d body
region

T14 -
Injury of
ARIS
695 SUKRISNA 117417 2/1/1984 unspecifie 15:39:48 15:41:01 0:02:30
d body
region
696 ALIZHA 105525 4/12/2020 - 16:14:19 16:15:36
NURAFIFA
H

697 RIMA 012774 4/9/1985 - 16:37:40 16:37:40


APRIYANI

698 NURLAILI 063127 7/25/1988 - 17:35:41 17:35:41


699 AEP 046988 5/1/1960 R06 - 17:38:40 17:40:53
SAEPUDIN Abnormali
ties of
breathing

700 IPAH 055592 11/2/1979 K30 - 17:47:01 17:50:06


Functional
dyspepsia

701 DESI 084441 12/5/1995 - 18:57:08 18:58:05


ANDRIANI
702 ARSYAD 081623 6/27/2017 J06.9 - 19:01:39 19:02:51
ABDUL Acute
AZIM upper
respirator
y
infection,
unspecifie
d

703 SARIPAH 117419 4/11/2000 R50.9 - 19:14:09 22:31:43


Fever,
unspecifie
d

704 NASWARI 117328 1/1/1986 K38 - 19:36:00 19:48:39


Other
diseases
of
appendix

K30 -
Functional
HETI 20:38:48
705 117018 9/22/1982 dyspepsia 20:35:34 0:04:32
ROHAYATI PM
| R06.0 -
Dyspnoea

706 DENI 116514 9/29/1979 - 20:27:37 21:00:04


SAPUTRA
707 MUHAMM 068109 5/7/2016 A01.0 - 20:55:28 21:37:32
AD Typhoid
KAESANG fever |
PANGARE R50.9 -
P Fever,
unspecifie
d

HESTY S90.0 -
708 AGUSTIAN 069582 8/7/1995 Contusion 21:20:56 21:23:31 0:04:09
I of ankle
709 DIDAH 028539 7/1/1960 D64.9 - 22:55:25 22:56:28
Anaemia,
unspecifie
d | K52 -
Other
noninfecti
ve
gastroente
ritis and
colitis |
K92.1 -
Melaena

710 BAYI 117423 4/21/2022 - 23:50:10 23:50:10


NYONYA
NURLAILI

711 DIKDIK 117422 6/4/1977 K30 - 0:41:39 0:43:33


SODIKIN Functional
dyspepsia

712 RISMAWA 107971 4/20/2000 - 3:20:14 3:20:14


TI
713 HENDRI 056088 10/5/1986 K30 - 5:15:16 5:18:28
Functional
dyspepsia

714 FATHAN 117426 2/2/2021 R50.9 - 5:10:38 5:13:17


ALGHIFARI Fever,
unspecifie
d

715 ENING 117427 10/11/1948 K30 - 5:31:50 5:33:03


Functional
dyspepsia

716 BAYI 117428 4/22/2022 - 7:00:04 7:00:04


NYONYA
JULAEHA

717 MASAMA 117429 4/19/1985 R50.9 - 7:24:13 10:38:12


H Fever,
unspecifie
d
718 ALDI 115842 10/5/1995 R50.9 - 9:41:15 9:42:41
PUTRA Fever,
unspecifie
d

719 ARKA 117437 4/8/2022 L23 - 10:22:11 10:23:47


RAMADAN Allergic
contact
dermatitis

720 ALAM 117438 9/17/1990 - 11:18:25 9:54:44


SAPARIAN
SYAH

721 AISYAH 117439 8/18/2001 - 11:24:35 15:09:06


PANE
722 BY NY 117440 4/22/2022 - 11:28:08 11:28:08
PUPUT
MELATI

RAGISA J45 -
723
GRASILA 073144
11/14/2005 Asthma 11:38:34 11:40:59 0:02;13
724 MUHAMM 117441 12/15/2020 - 11:42:21 14:57:02
AD
AZWAR
HAIDAR

725 INTAN 019233 9/2/1991 J45 - 12:44:28 12:45:30 0:01:58


SEPTIANI Asthma
726 MUHAMM 117442 1/1/2016 - 13:44:50 16:18:48
AD SIDQI
FIRDAUS

727 ANDI TRI 117443 3/7/1967 - 13:58:01 16:17:43


SUWANDI

728 RAFFA AL- 117444 7/24/2014 J03 - 14:21:27 17:46:34


GHIFARI Acute
tonsillitis
729 CUCUN 117037 5/7/1960 A15 - 15:04:56 16:16:48
Respirator
y
tuberculos
is,
bacteriolo
gically and
histologica
lly
confirmed

730 ADE 117446 11/10/1964 - 14:57:27 16:14:06


731 RIMA 012774 4/9/1985 - 15:20:54 12:02:11
APRIYANI

732 RISA 105344 7/27/2002 - 15:26:08 15:26:08

J18.0 -
Bronchop
neumonia,
unspecifie
RAISILA
d | J18.0 - 15:48:27
733 OKTAVIAN 104283 10/8/2013 15:46:51 0:02:06
I Bronchop PM
neumonia,
unspecifie
d | R06.0 -
Dyspnoea

734 HARWATI 116922 6/15/1988 - 15:52:25 15:52:25

735 ALVARO 110333 7/21/2021 - 16:23:39 16:13:00


PUTRA
PASKAL

736 SITI NUR 070678 10/14/1995 - 16:42:15 16:42:15


ANISA
737 DIAN 117448 5/1/1994 - 17:05:25 17:27:25
KUSNADI
738 DESSY 117449 8/8/1993 - 18:58:51 19:29:37
APRIYANTI

739 JULFIKY 117450 7/27/1995 - 18:56:35 21:01:51


740 BAYI 117451 4/22/2022 - 19:17:56 19:17:56
NYONYA
HARWATI

T11 -
Other
injuries of
741 EHA 024349 10/17/1958 upper 20:16:10 20:17:45 0:01:55
JULAEHA
limb, level
unspecifie
d

742 MUHAMM 117452 7/20/2014 R11 - 20:33:08 21:34:09


AD ARKHA Nausea
MUSHAF and
RAMADHA vomiting |
N R50.9 -
Fever,
unspecifie
d

743 RISMAN 116938 12/11/1990 J06.8 - 21:21:55 21:37:34


HERMAW Other
AN acute
upper
respirator
y
infections
of multiple
sites

744 ILHAM 117454 5/1/2013 J03 - 21:27:17 21:28:09


BAGJA Acute
tonsillitis

745 DEDE SITI 100603 8/15/1997 - 21:49:17 21:23:29


NUR
AISAH
746 MOHAMA 050441 11/23/1991 J06.9 - 23:12:51 23:13:09
D HARIS Acute
upper
respirator
y
infection,
unspecifie
d | R50.9 -
Fever,
unspecifie
d

747 NENG 044721 10/8/1992 R50.9 - 23:12:54 23:13:09


RISKA Fever,
PURNAMA unspecifie
SARI d

P11 -
Other
AGUNG birth
748 GUNAWA 117457 12/29/2006 injuries to 0:01:19 0:03:21 0:02:40
N central
nervous
system

749 AKHMAD 117458 1/16/1984 R50.9 - 0:29:42 0:33:01


SUPANDI Fever,
unspecifie
d

750 NURAENI 060935 7/30/1991 K30 - 2:50:55 5:53:47


Functional
dyspepsia

751 NENENG 114732 9/17/1993 - 2:50:55 2:50:55


NUR
APRIANTI
752 MUHAMA 049197 8/20/2017 A09.9 - 4:56:28 4:57:46
D ARBANI Gastroent
SHAFIULL eritis and
A colitis of
unspecifie
d origin |
R50.9 -
Fever,
unspecifie
d

HENDARN J45 -
753 116598 5/12/1974 5:05:39 5:07:34 0:02:12
O Asthma

I21 - Acute
ENUR
754 117459 8/16/1963 myocardia 6:01:20 6:03:58 0:03:18
NURYANI
l infarction

A15.9 -
Respirator
y
tuberculos
is
unspecifie
AL
755 088527 4/29/2017 d, 6:37:32 6:40:19 0:03:12
GHAZALI
confirmed
bacteriolo
gically and
histologica
lly | J45 -
Asthma

756 ATIKAH 117434 7/1/1944 - 7:15:54 7:18:26


757 YENI 053275 8/7/1987 J06.9 - 8:30:52 8:31:09
NURAENI, Acute
(A.Md.Kep upper
.). respirator
y
infection,
unspecifie
d
758 IIS 019570 12/2/1962 - 8:35:37 8:46:45
NENDEN
FATIMAH

759 ANAT 117463 1/1/1969 K30 - 8:50:01 9:24:15


Functional
dyspepsia

T14.0 -
Superficial
injury of
760 YUDI 117465 2/2/1991 12:26:15 12:30:42 0:04:54
unspecifie
d body
region

761 BAYI NY 117466 4/23/2022 - 10:44:18 10:44:18


DEDE SITI
NUR
AISAH

762 IDA 117461 10/10/1972 D64.9 - 10:58:15 11:14:16


PARIDA Anaemia,
unspecifie
d

763 RIMA 117467 12/30/1993 K21.0 - 13:17:39 17:35:42


NURMAYA Gastro-
NTI oesophag
eal reflux
disease
with
oesophagi
tis

T14 -
IRMA Injury of
764 RAHMANI 032740 4/11/1999 unspecifie 14:55:32 14:56:17 0:01:50
AH d body
region
765 DEWI 107448 12/6/1995 O91 - 15:22:10 15:23:05
SANTIKA Infections
of breast
associated
with
childbirth

766 ASTRID 117468 9/23/2003 K35 - 16:03:34 16:04:27


DELIA Acute
PRATAMA appendici
tis

767 BY NY 117469 4/23/2022 - 16:19:22 16:19:22


NENENG
NUR
APRIANTI

ALMEERA
J45 -
768 SHABIRA 112303 8/1/2021 16:30:53 16:31:44 0:02:21
Asthma
RAHAYU

769 NABILA 117470 4/7/2020 - 18:50:27 18:55:57


APRILIA

T14 -
MUHAMM Injury of
AD
770 117471 7/24/2000 unspecifie 18:55:23 18:58:51 0:04:11
ZANDAN
QUSAIRI d body
region
771 KARTIKA 090155 11/15/1983 M19.09 - 19:20:24 19:21:50
NOVIANI Primary
WIDYANIN arthrosis
GSIH, (dr). of other
joints, site
unspecifie
d

772 EKA CITRA 105520 11/28/2002 K52.9 - 19:51:12 19:55:58


RAHMAW Noninfecti
ATI ve
gastroente
ritis and
colitis,
unspecifie
d
J45 -
Asthma |
KHALISYA
773 SAPUTRI 117472 10/3/2019 R50.9 - 20:15:48 20:16:40 0:02:10
Fever,
LESTARI
unspecifie
d

ALZHEA J45 -
Asthma | 20:23:41
774 ANNASYA 116221 12/18/2018 20:21:00 0:02:13
PUTRI R06.0 - PM
Dyspnoea

J45 -
Asthma |
KAYLA
775 NADHIFA 117473 2/22/2021 J45.9 - 20:24:49 20:25:23 0:01:09
Asthma,
AL MAIRA
unspecifie
d

776 M 117474 4/23/2022 - 21:05:02 21:06:00


ABRISYAM
FATIHIR
ALFATIH

777 MIKAYIA 102636 12/8/2018 R50.9 - 21:19:47 21:20:20


RAISHA Fever,
SABILLA unspecifie
d

778 LILI 061719 8/11/1959 - 21:22:19 21:25:16


SOMANTR
I

J44.9 -
Chronic
obstructiv
e
779 MISBAH 021870 4/21/1961
pulmonary 3:50:53
3:51:47 0:02:01
disease,
unspecifie
d

780 AI 117476 7/10/1985 - 4:04:59 4:04:59


SUMIATI
781 AISYAH 037180 7/1/1941 K21.9 - 5:19:40 5:20:41
Gastro-
oesophag
eal reflux
disease
without
oesophagi
tis

782 CHERRY 117478 5/17/1968 J02 - 8:36:38 8:34:01


KRISTIAW Acute
AN pharyngiti
s | K30 -
Functional
dyspepsia

783 REGY 117479 6/3/1996 R50.9 - 5:45:40 5:49:17


RENALDI Fever,
unspecifie
d

784 EDI 117480 11/29/1980 R50.9 - 6:32:58 6:37:48


SUKMANA Fever,
unspecifie
d

785 TOPIK.H 108264 8/16/2003 - 7:21:14 10:47:52


786 ARFAN 117481 3/23/2020 - 7:39:09 7:40:38
HAFIZAN
787 AGUM 117482 7/22/2001 K30 - 7:47:03 8:32:25
GUMELAR Functional
PRAYOGA dyspepsia

788 RAFISKY 089453 10/20/2017 R50.9 - 8:25:20 8:27:25


ALFAREZI Fever,
SUKMANA unspecifie
d

789 NOVI NUR 117484 11/30/1994 - 10:43:05 10:02:14


SYAMSIAH

790 MUHAMM 111800 10/12/2021 R50.9 - 10:17:41 10:40:17


AD AL- Fever,
GHIFARA unspecifie
d
791 BAYI NY AI 117486 4/24/2022 - 10:46:19 10:46:19
SUMIATI

792 MUHAMM 079369 1/20/2013 - 11:07:14 11:08:53


AD
AKHSAN
RABBANI

793 BAYU 067720 9/24/2000 - 11:44:56 11:55:42


FEDYANSY
AH

794 MUHAMM 117487 5/18/2018 R50.9 - 11:54:41 11:55:27


AD RIZKY Fever,
RAMADHA unspecifie
N d

795 DADEN 062270 10/12/1983 K30 - 11:59:19 12:00:38


HENDIAW Functional
AN dyspepsia

796 MILA 117488 3/2/2000 J06.9 - 12:54:19 13:55:23


MARLIANI Acute
upper
respirator
y
infection,
unspecifie
d

797 MUHAMM 091141 4/26/2019 A91 - 13:49:14 13:50:51


AD RASYID Dengue
AULIA haemorrh
agic fever
| R50.9 -
Fever,
unspecifie
d

798 ARDI 117491 9/5/1980 K30 - 13:53:45 13:53:33


WANTOR Functional
O dyspepsia
799 UJANG 067838 11/11/1986 K30 - 14:15:19 10:46:13
HENDRIK Functional
dyspepsia

T14 -
Injury of
800 JARKASIH 117492 4/24/1980 unspecifie 14:24:12 14:25:06 0:01:20
d body
region
801 IIM 117493 4/24/1960 - 14:36:31 14:37:47
802 JUJU 117494 3/21/1955 - 14:39:33 15:13:40
803 DEWI 117495 8/25/2001 K30 - 17:47:35 17:16:08
BALCKISH Functional
AGUSTINA dyspepsia
SUPRIATN
A

804 UMAROH 117496 9/12/1980 O80.9 - 17:47:51 17:47:51


Single
spontaneo
us
delivery,
unspecifie
d

J45 -
Asthma |
AHMAD J45.9 -
805 Faiz AR- 117497 7/9/2012
Asthma, 17:50:08
17:54:54 0:04:11
RAYYAN
unspecifie
d

806 ENJUH 117498 7/1/1953 A09 - 17:50:19 17:30:31


Other
gastroente
ritis and
colitis of
infectious
and
unspecifie
d origin
807 SOPIA 029863 8/12/2015 - 19:02:01 10:47:11
SALSABILA
ISKANDAR

LIA J45 -
808 117501 5/10/1973 19:12:27 19:13:49 0:01:30
CAHYATI Asthma
809 ADE 117502 5/12/1960 - 19:39:37 19:39:37
810 KHENAND 103716 9/20/2020 R50.9 - 19:45:17 20:46:36
RA ZIKRA Fever,
PURNAMA unspecifie
d

811 YETI 052958 3/1/1959 - 20:24:43 20:25:03


NURHAYA
TI

812 INO 112338 2/7/1998 - 20:28:34 20:30:55


813 NUNUNG 117505 11/6/1973 A91 - 21:14:02 23:33:07
Dengue
haemorrh
agic fever

814 HANANIA 098117 10/25/2018 R11 - 22:15:56 22:16:26


SHEZA Nausea
NUGRAHA and
vomiting

815 HINDUN 066396 8/10/1958 K30 - 23:14:40 23:16:33


Functional
dyspepsia

816 HERMAW 077604 6/7/1980 - 3:54:14 3:55:57


AN
J06.9 -
Acute
upper
respirator
M. HAFIZH
y
RAMDHA
817 117506 5/12/2020 infection, 5:18:39 5:20:31 0:02:13
N
unspecifie
ALFAREZI
d | J45.9 -
Asthma,
unspecifie
d

818 RISKAWAT 059541 6/9/1993 - 6:45:00 6:45:00


I
819 AHMAD 092284 4/28/1984 - 7:26:43 7:27:32
DAHLAN
ISKANDAR

820 YANAH 025837 2/13/1980 - 7:43:23 7:43:23


821 NAUFAL 061006 1/14/2019 R50 - 8:09:25 8:12:32
ADI Fever of
NUGRAHA other and
unknown
origin |
T01 -
Open
wounds
involving
multiple
body
regions

822 RESKI 117510 3/10/2010 - 8:37:06 10:40:50


ADITYA
823 BAYI 117517 4/25/2022 - 9:10:11 9:10:11
NYONYA
RISKAWAT
I

MUHAMM
AD
R06.0 -
824 GERREL 109649 8/3/2021 10:56:45 10:57:25 0:02:10
Dyspnoea
RAFARDH
AN
825 LUTFI 109588 5/14/2015 - 11:17:18 13:52:54
HAMZAH
GUMILAN
G

J45 -
YUDI Asthma |
826 117524 4/22/1998 11:23:29 11:25:41 0:03:20
KUSMIADI R06.0 -
Dyspnoea

827 PAJARI 117516 1/1/1943 - 12:00:46 12:00:46


828 YETI 117525 12/20/1994 - 12:24:07 12:24:20
ASTUTI

T14.1 -
Open
MUHAMA wound of
829
D HILDAN 117526
9/9/2007
unspecifie 10:20:30
10:24:12 0:04:35
d body
region

830 MEYSA 103904 8/20/2018 R50.9 - 11:21:31 11:21:55


SITI AJIJAH Fever,
unspecifie
d

831 SITI 098900 4/25/1992 - 12:58:00 12:48:37


PATIMAH

832 MUHAMM 117530 1/30/2021 J06 - 13:49:34 14:15:05


AD DAFA Acute
ALGHIFARI upper
respirator
y
infections
multiple
and
unspecifie
d sites

T14.1 -
DEDEN Open
ILMAN wound of 14:23:53 14:25:48
833 099255 5/24/1995 0:02:10
RUSMAW unspecifie AM
AN d body
region
834 YAYAT 117531 1/5/1969 K21.9 - 14:48:28 16:26:40
SURYATI Gastro-
oesophag
eal reflux
disease
without
oesophagi
tis | K30 -
Functional
dyspepsia

R56.0 -
TIRANI
835 TABASSA 117533 10/23/2020 Febrile 16:11:53 16:15:25 0:04:10
convulsion
M
s
836 UGAN 026734 7/1/1973 M79.81 - 16:31:58 16:33:34
SUGANDI Other
specified
soft tissue
disorders,
shoulder
region

J06.9 -
Acute
upper
respirator
y
LISNAWAT
837 117534 3/12/1988 infection, 16:30:24 16:35:13 0:05:47
I
unspecifie
d | J45.9 -
Asthma,
unspecifie
d

838 GHANIYA 117535 1/15/2022 - 17:27:11 17:28:46


ALINKA
839 TINA 117536 12/10/1981 - 18:52:00 18:52:00
RUSTINA
840 BAYI NY 117537 4/25/2022 - 18:53:53 18:53:53
TINA
RUSTINA

FAHMI
022006/0 J45 -
841 FIRMANSY 4/17/2013 19:09:19 19:12:22 0:03:39
27526 Asthma
AH
842 MUHAMM 114226 11/8/2021 - 19:04:07 19:33:43
AD RAFKA
RAFARDH
AN

J45 -
Asthma |
ELFAN J45.9 -
843 117539 1/29/2002
Asthma, 19:11:07
19:12:38 0:01:43
JANUAR
unspecifie
d

844 RATNA 046853 7/25/1978 K30 - 19:33:03 20:31:15


NURLAELA Functional
SARI dyspepsia

845 IPIT 117540 7/1/1971 K30 - 19:39:25 20:34:36


SURYADI Functional
dyspepsia

846 CECEP 047751 12/2/1970 J06.9 - 19:45:07 19:45:11


Acute
upper
respirator
y
infection,
unspecifie
d
847 UUN 117541 3/14/1958 E11.4 - 20:26:44 3:22:46
Non-
insulin-
dependen
t diabetes
mellitus
with
neurologic
al
complicati
ons | K30
-
Functional
dyspepsia

848 SOLIHAH 117542 6/20/1984 A09.9 - 21:27:23 6:15:14


Gastroent
eritis and
colitis of
unspecifie
d origin |
K21.9 -
Gastro-
oesophag
eal reflux
disease
without
oesophagi
tis | K30 -
Functional
dyspepsia
| O00.9 -
Ectopic
pregnancy
,
unspecifie
d
849 YULIANA 117543 3/27/1978 K30 - 21:31:22 21:35:11
Functional
dyspepsia

ABILA T14 -
Injury of
850 REZFAN 068340 9/1/2018 unspecifie 22:13:43 22:15:16 0:02:56
AZKADINA
d body
SUNDANI region

851 MUHAMA 117546 9/29/2014 - 3:21:10 3:22:03


D ALFAZ
AL-
GHIFARI

R56.0 -
DARIAH Febrile
852 113287 6/1/2021 3:21:55 3:23:18 0:03:13
FITRI YANI convulsion
s
853 SAID 117547 7/1/1938 N34 - 3:23:35 3:25:08
Urethritis
and
urethral
syndrome

854 SUSI 115152 1/19/1976 K30 - 7:09:14 3:30:27


SUSANTI Functional
dyspepsia

855 RAFIQ 117548 9/20/2004 R11 - 3:31:54 3:32:28


PRATAMA Nausea
and
vomiting

856 RINI 009531 5/13/1984 N39.9 - 3:33:58 3:34:03


SEKARWA Disorder
TI of urinary
system,
unspecifie
d

857 HANAN 019913 1/15/1994 - 7:19:44 7:19:44


NURAENI
858 SOHIB 117549 1/2/1972 M79.1 - 7:45:07 7:45:12
Myalgia
859 SOHIB 117559 1/2/1972 M79.1 - 7:45:07 7:45:07
Myalgia
860 SOHIB 117561 1/2/1972 B33.0 - 7:45:07 7:45:07
Epidemic
myalgia |
M79.1 -
Myalgia

861 BY NY 117562 4/26/2022 - 9:38:52 9:38:52


HANAN
NURAENI

I51.7 -
Cardiomeg
862 ROSYATI 031508 10/11/1960 aly | K30 - 10:00:35 10:03:49 0:03:20
Functional
dyspepsia

E11 - Non-
insulin-
dependen
t diabetes
mellitus |
E11.6 -
Non-
863 SAHRONI 098192 12/12/1960 insulin- 10:08:44 10:12:41 0:04:45
dependen
t diabetes
mellitus
with other
specified
complicati
ons

J45 -
864 TITIN 117567 2/2/1965 11:15:48 11:16:33 0:02:32
Asthma
865 ARSA 117568 9/5/2021 A09.9 - 11:26:40 12:03:53
ALPARIZKI Gastroent
eritis and
colitis of
unspecifie
d origin

866 E. 095770 1/4/1994 - 11:37:05 11:39:05


SULAEMA
N

867 AGUS 117229 8/6/1984 T81.3 - 12:03:35 12:16:35


HERMAW Disruption
AN of
operation
wound,
not
elsewhere
classified

868 RANI DIAN 117569 10/5/1991 - 12:17:54 12:17:54


HAERANI

869 BAYI 117570 4/26/2022 - 10:40:15 10:40:15


NYONYA
UMAROH

T14 -
SELTI Injury of
870 APRYYANT 117571 4/1/2011 unspecifie 11:12:13 11:15:43 0:04:20
I d body
region
871 NINA SUSI 066902 7/20/1998 K30 - 13:26:25 13:27:51
MELATI Functional
dyspepsia

872 ARSYILA 116650 7/29/2021 R50.9 - 14:15:25 14:40:35


KARIMAT Fever,
UNNISA unspecifie
d
873 RANTI 175702 9/6/2002 D23.9 - 14:27:20 14:41:45
MUNAJAT Benign
neoplasm,
skin,
unspecifie
d

874 EMAD 107641 3/9/1968 - 16:15:46 15:26:36


SOLEH
875 NENG 175705 3/8/2006 J02.9 - 15:27:07 15:29:57
TIARA Acute
MUTIARA pharyngiti
s,
unspecifie
d

876 ENGKOS 050440 7/15/1960 - 15:32:03 15:33:23


KOSASIH
877 ENTIN 051983 5/5/1961 - 15:32:16 15:34:26
878 SAFINA 076655 6/18/2015 - 16:03:45 16:04:15
TUNNAJAT

879 SUWANDA 064310 1/21/2013 - 16:07:08 16:08:56


NA
MAULIDA
N

880 ATI 175706 8/14/1995 K30 - 16:30:51 16:33:01


NURYANTI Functional
dyspepsia

881 PUTRI 175707 3/4/2015 R50.9 - 16:59:12 20:48:22


ZAHIRA Fever,
FAIRIL unspecifie
d

882 SAFA 102896 12/3/2020 - 17:07:26 20:48:49


SHAFIYYA
H LESTARI

T14.1 -
Open
MAHZAN
wound of 17:12:46
883 RAYI 175708 4/23/2019 17:15:33 0:03:20
unspecifie
APRILLIAN
d body
region
884 HENDRI 059136 7/17/1993 K65.9 - 19:04:47 11:59:11
Peritonitis,
unspecifie
d

885 CECE 012323 1/1/1962 - 19:40:47 19:45:11


MAHPUDI
N

886 NENAH 028558 2/12/1966 G44 - 20:00:24 20:01:20


Other
headache
syndrome
s | K30 -
Functional
dyspepsia

J45.9 -
NANO Asthma, 20:58:57
887 SURYONO 069705 6/5/1967 unspecifie 20:54:28 AM 0:04:03
d
888 H.MAHFU 098405 1/1/1960 M79.1 - 21:28:05 21:29:03
D Myalgia
889 NURAENI 060935 7/30/1991 K30 - 0:24:22 0:25:41
Functional
dyspepsia

890 RAWATIN 029370 6/15/1975 K30 - 2:02:25 2:04:30


A Functional
TAMBUN dyspepsia
| K52.8 -
Other
specified
noninfecti
ve
gastroente
ritis and
colitis
891 MUHAMM 175709 12/9/2002 - 3:26:40 13:05:25
AD WIDAD
BUDIANTA

892 ROSMAW 021082 5/5/1968 K30 - 3:25:30 3:27:12


ATI Functional
dyspepsia

893 DESMA 175710 12/14/1995 O80.9 - 5:41:06 5:41:06


MUNITA Single
spontaneo
us
delivery,
unspecifie
d

HAFIDZAH
J45 -
894 ISTIQOMA 198124 8/10/2014 6:31:49 6:33:35 0:03:34
Asthma
H

895 BIMBIM 107121 1/5/1983 A09 - 6:39:53 6:40:26


BIMAN Other
BIMA gastroente
SUDEWA ritis and
colitis of
infectious
and
unspecifie
d origin

896 DEDE 175711 3/30/1977 R10.0 - 6:59:12 6:00:13


KURNIA Acute
abdomen
897 KOYAH 175712 3/17/1941 R11 - 7:32:52 19:57:15
Nausea
and
vomiting |
R63 -
Symptoms
and signs
concernin
g food and
fluid
intake

898 HAIDAR 175713 4/3/2021 - 7:47:56 9:33:02


899 REGI 175714 6/3/1996 A91 - 8:31:33 10:48:19
RENALDI Dengue
haemorrh
agic fever

NAYYIFA
900 TAQIYATU 104409 11/26/2015 R06.0 - 8:31:22 8:35:11 0:04:23
Dyspnoea
L MAFAZA

901 ASUM 068468 4/23/1946 R10.0 - 8:38:31 10:51:02


RUSWAND Acute
I abdomen

T14 -
Injury of
unspecifie
d body
region |
902 JONI 027786 2/15/1963 T14.0 - 9:22:15 9:24:35 0:02:34
Superficial
injury of
unspecifie
d body
region

903 DIDIN 175717 6/1/1982 - 9:29:05 9:29:05


904 NAZMATU 079854 6/30/2000 - 10:19:00 10:19:00
N NISSA
905 MUHAMM 175720 5/8/2019 - 11:30:27 11:35:22
AD
KHAIRUL
AFWAN

906 SELVI 023294 8/14/1994 K35 - 13:04:28 19:48:35


AGUSTINA Acute
appendici
tis | K65.0
- Acute
peritonitis
| R10.0 -
Acute
abdomen

J45.9 -
Asthma,
IKNA
907 175721 5/14/2010 unspecifie 14:02:50 14:03:01 0:01:51
FAUZIAH d | R06.0 -
Dyspnoea

908 AMINAH 175723 12/12/1983 - 16:06:05 16:06:05


909 ICIN 019213 7/1/1949 L03 - 16:09:18 15:39:35
KURAESIN Cellulitis

910 SITI 175724 1/25/1994 A91 - 16:13:35 18:50:56


AISYAH Dengue
haemorrh
agic fever

911 NENDA 175725 7/17/1994 - 16:30:39 16:30:39


NURJANA
H

912 DESMA 175710 12/14/1995 - 17:22:14 17:22:14


MUNITA
913 BONDA 175728 2/22/1982 A09.9 - 19:46:24 19:47:49
SUGIMAN Gastroent
eritis and
colitis of
unspecifie
d origin |
J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d

914 OLEH 175729 7/1/1952 A91 - 20:19:06 8:40:39


Dengue
haemorrh
agic fever

915 RIZAL 175730 1/14/1999 - 20:26:41 20:27:26


SUWARDI

916 BAYI 175731 4/27/2022 - 20:17:00 20:17:00


NYONYA
DESMA
MUNITA

R56 -
MUHAMM Convulsio
917 AD RICHIE 054370 9/1/2018 ns, not 22:08:53 22:12:29 0:04:54
ALFARIDZI elsewhere
classified

918 KHUNAISA 175732 5/22/2019 R50.9 - 21:55:10 21:57:53


RAMADHA Fever,
NI unspecifie
DARWIN d

919 BAYI NY 175733 4/27/2022 - 22:39:44 22:39:44


AMINAH
920 RAHAD 028607 5/28/2015 A09.9 - 8:05:55 8:06:45
SULTAN Gastroent
ALFARIZ eritis and
colitis of
unspecifie
d origin

921 SUWANDA 064310 1/21/2013 A09.9 - 8:09:06 8:10:02


NA Gastroent
MAULIDA eritis and
N colitis of
unspecifie
d origin

922 HALIMAH 175735 6/3/1986 - 8:11:55 8:11:55

923 RAHMAT 175736 10/15/2013 - 10:29:06 8:17:45


HIDAYAT
924 RIKO 099589 2/16/1967 R50.9 - 10:28:52 10:40:39
NARAMI Fever,
unspecifie
d

925 SITI 175738 4/15/2011 R63 - 9:33:26 11:07:26


JASMIN Symptoms
NUR and signs
ANISA concernin
g food and
fluid
intake

926 ILMA 095916 8/22/2019 R50.9 - 10:28:14 11:04:02


AHIROH Fever,
unspecifie
d

927 MUHAMM 175743 11/27/2021 J18.0 - 12:58:47 11:20:05


AD LATIF Bronchop
AZHAR neumonia,
unspecifie
d

928 PUTRI 079914 10/18/2002 - 11:21:41 11:22:30


LESTARI
929 ELIS 052763 10/9/1990 - 11:25:53 11:25:53
SOLIHAT
930 BAYI 175744 4/28/2022 - 11:32:06 11:32:06
NYONYA
HALIMAH

931 MUHAMM 088673 10/27/2014 - 11:42:05 11:47:51


AD RIZKY
HARYADI

932 MUHAMM 113811 2/25/2021 A09.9 - 14:00:10 14:19:14


AD FADLI Gastroent
TAUFIK eritis and
colitis of
unspecifie
d origin |
D64 -
Other
anaemias
| R50 -
Fever of
other and
unknown
origin

933 FAJAR 175745 9/28/2021 A91 - 14:17:24 15:15:02


AMARULL Dengue
AH haemorrh
agic fever

T14 -
Injury of
RAFFA AL- 15:48:39 15:52:00
934 117444 7/24/2014 unspecifie 0:04:39
GHIFARI PM AM
d body
region
935 BUDIMAN 069709 1/12/1991 - 17:22:25 17:23:16
AGUSTIAN
936 ARGHA 053199 7/19/2007 A90 - 21:15:02 18:49:10
ZORA Dengue
PURNAMA fever
[classical
dengue] |
R50.9 -
Fever,
unspecifie
d

937 AHMAD 175750 3/7/1976 - 18:54:21 19:52:04


SUNARYA

938 SAPIRA 175751 10/6/2016 - 18:59:18 21:01:14


OKTAPIAN
I

939 SALMA 098865 8/24/2019 R50.9 - 19:03:54 20:25:11


FAHIRA Fever,
FIRDAUS unspecifie
d | R50.9 -
Fever,
unspecifie
d | R63 -
Symptoms
and signs
concernin
g food and
fluid
intake

J45 -
PRATAMA Asthma |
940
ABQARY 175752
8/2/2017 19:07:18 19:10:06 0:03:23
R06.0 -
Dyspnoea

941 HENDRI 056088 10/5/1986 - 19:11:32 21:33:26


942 RAFA 102499 4/16/2015 R50.9 - 19:52:23 19:53:11
AZKA Fever,
PRATAMA unspecifie
d

943 ROBY 069770 8/28/1996 K30 - 22:11:53 22:12:15


AHMAD Functional
MAULANA dyspepsia
944 YUYUN 175156 9/3/1978 K30 - 23:01:27 23:02:05
YUNINGSI Functional
H dyspepsia

945 DEDAH 054295 5/6/1974 - 2:02:03 2:04:51


946 ZAFAR 112798 4/28/2020 R50.9 - 5:51:00 5:53:02
ALIF Fever,
ALFARSLA unspecifie
N d

947 SETIAWAN 175157 12/27/2003 R50.9 - 6:00:00 6:04:57


Fever,
unspecifie
d

948 ADZRIL 087781 3/16/2018 R50.9 - 6:13:29 6:17:14


RAFIQ Fever,
SYAHPUTR unspecifie
A d

949 DUDI 016212 12/28/1978 E11 - Non- 6:29:31 6:31:40


SURAHMA insulin-
N dependen
t diabetes
mellitus

950 NAIN 175158 6/7/1968 R11 - 6:47:06 6:47:20


Nausea
and
vomiting

J45.9 -
951 HANIA 117315 10/24/1983 Asthma, 7:30:38 7:33:28 0:03:45
unspecifie
d

952 IMRAN 109849 7/11/2016 J45 - 8:25:06 8:30:55 0:06:01


Asthma
953 ACHMAD 087746 3/1/1942 H81.4 - 8:31:49 8:32:34
SAPARGI Vertigo of
central
origin

954 ONENG 175159 11/14/1962 - 8:47:35 9:30:16


955 asep romli 175160 5/6/1969 R50.9 - 9:34:06 9:35:17
Fever,
unspecifie
d
956 NURHAYA 175161 5/21/1984 - 9:51:46 9:55:45
TI.M
957 TETI 175162 2/2/1963 M79.1 - 9:58:58 15:50:14
SUHAETI Myalgia
958 LUTFI 175163 8/15/2011 A91 - 10:20:15 10:25:53
RAMADHA Dengue
N haemorrh
LUKMAN agic fever

959 ANNISA 102308 1/15/2011 - 10:24:10 15:50:46


RACHMA
PUTRI

T14 -
RAIS Injury of
960 RAYYAN 041201 12/21/2017 unspecifie 10:27:45 10:30:59 0:03:12
ALFATHAN d body
region
961 RAFFA 106524 5/20/2016 R11 - 10:29:35 10:30:32
SIDIK Nausea
SAPUTRA and
vomiting

962 REVALINA 175164 4/15/2007 - 11:26:24 11:30:06


AGUSTINA

J45.9 -
Asthma,
963 DIYAH 175165 7/1/1971 12:16:19 12:17:35 0:01:23
unspecifie
d

J45.9 -
Asthma,
964 NANANG 000775 1/1/1958 13:06:14 13:07:20 0:01:34
unspecifie
d
965 SERLI 061191 1/3/2001 - 13:26:33 13:26:33
ARDILA
966 LELA 175166 12/11/1973 M79.1 - 13:30:23 13:21:55
SRIMULYA Myalgia
NI

967 DEDE 175167 11/1/1996 - 13:36:59 8:26:21


968 AZKA 175168 5/26/2014 A09.9 - 13:43:06 13:44:47
FIORENZA Gastroent
ANGGUNA eritis and
WAN colitis of
unspecifie
d origin

969 AIDAH 175169 7/1/1968 K30 - 13:57:07 20:36:07


Functional
dyspepsia

970 TEDI 175170 5/17/1990 - 13:14:28 13:15:45


KAPRIATM
AN

971 EVANA 175171 5/15/1992 - 13:14:37 13:15:56


972 IMAS 175172 7/1/1967 - 15:08:41 15:09:19
973 INDAHDA 026789/0 1/16/2017 - 15:15:12 15:16:39
RI 50511
ALKAUTSA
R

974 ELNISYA 175173 7/10/2015 - 16:07:19 16:08:14


ANANDIT
HA
BUDIMAN

975 AGUS 016450 5/11/1960 - 16:12:17 16:13:09


RAHMAT
976 NUR RIZKI 175174 4/28/2006 - 16:00:41 16:01:04
RAIHAN

977 IIS 175175 10/10/1961 - 16:35:19 20:35:42


978 KHASYAIR 116892 12/18/2017 - 17:09:23 17:10:41
A CLARA
BALQIS

979 NURUL 175176 5/23/2010 - 17:30:00 17:31:21


MARWAH

980 ADZRIL 087781 3/16/2018 - 19:12:30 20:36:35


RAFIQ
SYAHPUTR
A
T14.9 -
ADE
981 KUSMAYA 097552 3/10/1958 Injury, 19:19:30 19:20:47 0:02:12
unspecifie
DI
d
982 NENI 112168 5/27/1992 K30 - 19:37:26 19:40:31
NURAENI Functional
dyspepsia

983 TETI 018029 11/22/1971 I10 - 19:42:00 19:45:18


SURYATI Essential
(primary)
hypertensi
on

984 NAZLA 081061 12/26/2019 - 19:46:03 19:48:49


PUTRI
RAHMAN
DA

985 MUHAMA 068297 10/9/2011 - 20:12:57 20:13:43


D KAISAN
ALFATIH

986 SOLAHUDI 175177 10/23/1965 N40 - 20:54:12 20:47:33


N, (DRS). Hyperplasi
a of
prostate

A09.9 -
Gastroent
eritis and
FRISA colitis of
987 INDRIANA 083177 2/15/2004 unspecifie 21:03:16 21:05:24 0:02:36
PUTRI d origin |
R33 -
Retention
of urine

988 MUHAMM 175740 3/26/2022 - 21:31:02 21:31:02


AD
FARDAN
EFENDI
989 BUDIYON 064543 7/7/1980 J09 - 21:59:16 22:02:26
O Influenza
due to
certain
identified
influenza
virus

T14 -
MUHAMM Injury of
990 AD FAHRI 175178 1/1/2018 unspecifie 22:23:09 22:26:41 0:03:30
ZEIN d body
region
991 DAUD 175179 7/1/1973 R10 - 22:32:22 22:32:22
YUSUF Abdominal
and pelvic
pain

992 SERLI 061191 1/3/2001 - 7:49:27 7:49:27


ARDILA
993 PATIMAH 175181 3/10/1967 M18.1 - 23:26:18 23:38:43
Other
primary
arthrosis
of first
carpometa
carpal
joint

994 RAHADIAT 175182 5/8/2008 J02.9 - 23:32:07 8:36:37


Acute
pharyngiti
s,
unspecifie
d

995 DIMAS SRI 175183 7/22/1979 K30 - 23:40:17 23:42:53


WAHYUNI Functional
dyspepsia

KHASYARA
996 CLARA 175184 12/18/2017 R06.0 - 2:37:09 2:40:49 0:03:10
Dyspnoea
ALQIS
997 DIDAH 175185 0960-07-01 - 4:14:40 8:55:45
998 SOPIAN 175186 2/10/1982 - 5:20:32 8:55:30
999 NENENG 113306 11/6/1968 K59.0 - 8:09:49 9:19:29
NURHAYA Constipati
TI on

1000 FARHAH 116895 7/14/2001 R10.0 - 8:32:35 12:43:01


Acute
abdomen

1001 ARRIVAL 088500 4/18/2020 - 9:01:07 9:13:22


IBRAHIM
MAJDI
ZAMIL

1002 SITI AIDA 175187 7/10/1992 O80.9 - 9:02:13 9:02:13


NURLAELA Single
spontaneo
us
delivery,
unspecifie
d

T14 -
MUHAMM Injury of
1003 AD ROMLI 063798 7/1/2010 unspecifie 9:09:13 21:13:20 0:04:22
A.B d body
region
1004 INDRI 045276 3/12/1990 - 9:25:19 10:11:32
AMELIA
1005 LULIANAH 077670 3/24/1983 - 9:37:00 10:08:59
ISKANDAR

1006 LUTFI 175188 8/15/2011 R50.9 - 9:38:44 9:38:44


RAMADHA Fever,
N unspecifie
LUKMAN d

1007 AHMAD 070530 6/13/2019 - 9:45:44 10:02:59


SALAKA
WIRATAM
A

1008 BY NY SITI 175190 4/30/2022 - 10:22:38 10:22:38


AIDA
NURLAELA

1009 VHIRA 175191 12/5/2014 - 10:35:27 14:18:19


KHAFIZA
DEFHANY
1010 DADANG 116643 10/5/1967 - 17:16:45 14:19:54
1011 AGUNG 175192 6/24/1992 H81.1 - 11:06:52 11:07:42
RAMDANI Benign
paroxysm
al vertigo
| R50.9 -
Fever,
unspecifie
d

T14.1 -
Open
RAIS
wound of
1012 RAYYAN 041201 12/21/2017 11:16:32 11:20:19 0:04:43
ALFATHAN unspecifie
d body
region

1013 SILVANYA 058830 4/25/2004 K30 - 11:18:24 12:45:07


ALDA Functional
AFRILIA dyspepsia

T14.8 -
Other
ERWIN injuries of
1014 175193 7/1/1946 11:29:32 23:31:43 0:02:56
NURYADIN unspecifie
d body
region

1015 AQILA 106901 10/27/2020 A09.9 - 11:34:24 11:37:47


PUTRI Gastroent
OKTAVIA eritis and
KHAIRUN colitis of
NISA unspecifie
d origin

I24.9 -
Acute
ischaemic
1016 MUMUN 106132 1/1/1964 heart 11:38:34 11:40:10 0:02:23
disease,
unspecifie
d
T14.8 -
DUDUS Other
injuries of
1017 SUPARMA 175194 3/19/1991 11:47:58 11:49:32 0:02:30
unspecifie
N
d body
region

1018 WINA 062045 2/2/1988 - 12:25:57 9:12:56


FEBRIYANI

1019 BY NY 175197 4/30/2022 - 13:01:19 13:01:19


WINA
FEBRIYANI

1020 MUHAMM 175199 7/20/2019 R10.4 - 14:56:15 14:57:38


AD ALIF Other and
SYAFIQ AR unspecifie
RASYID d
abdominal
pain | R11
- Nausea
and
vomiting

R55 -
HILAL
Syncope 17:07:36
1021 ANJASMA 175200 6/9/2008 and 17:06:29 PM 0:01:20
RA
collapse
1022 LINA 113328 3/6/1995 - 17:07:07 17:07:07
TISNAWAT
I

RAFFA
1023 KHAIRY 175201 5/28/2021 R06.0 - 17:13:06 17:15:09 0:02:30
Dyspnoea
ALHAFIDZ

1024 AIRA 175202 4/12/2019 R50.9 - 17:19:48 17:19:41


AULIATUN Fever,
NISA unspecifie
d
1025 LILIS 175204 10/3/1963 I10 - 17:29:55 17:30:02
Essential
(primary)
hypertensi
on

1026 YULIANA 117543 3/27/1978 - 17:32:04 17:32:04

R07.3 -
1027 YULIANA 117543 3/27/1978 Other 17:32:25 17:34:24 0:02:13
PM
chest pain

1028 ARI 091460 8/24/1992 R50.9 - 18:13:02 18:16:39


SUNANDA Fever,
R unspecifie
SUMARNA d

1029 NENENG 116856 4/12/1982 - 18:17:27 18:17:27


1030 OYOH 018195 7/1/1947 E10 - 8:21:56 12:07:22
Insulin-
dependen
t diabetes
mellitus

1031 NENG 053128 11/19/1983 L03 - 19:01:25 19:05:38


NURHASA Cellulitis
NAH

1032 TITIN 117567 2/2/1965 R50.9 - 19:06:30 19:07:06


Fever,
unspecifie
d

1033 RIMA 117467 12/30/1993 K30 - 21:39:57 21:31:49


NURMAYA Functional
NTI dyspepsia

1034 NAFEEZA 175206 1/13/2021 K52 - 21:00:17 0:58:57


AQILA Other
FATHARA noninfecti
NI ve
gastroente
ritis and
colitis
1035 JUWANDI 175207 11/9/1971 K30 - 21:00:17 21:02:14
IRAWAN Functional
dyspepsia

I21 - Acute
1036 NURSOBA 175208 8/11/1983 myocardia 21:18:19 21:19:13 0:01:23
H
l infarction

T31.1 -
Burns
1037 IMAS SITI 175209 8/20/1982 involving 23:32:08 23:35:34 0:03:12
SARAH 10-19% of
body
surface

1038 IDA 117461 10/10/1972 C50.0 - 23:42:47 0:56:00


PARIDA Malignant
neoplasm,
nipple and
areola

1039 BAYI 175210 4/30/2022 - 22:40:00 22:40:00


NYONYA
LINA
TISNAWAT
I

TOTAL
SAMPLE
RESPON TI SAMPEL PASIEN 215
< 5 MENIT 206 Pasien N 206
> 5 MENIT 9 Pasien D 215
Capaian 95,8%
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan :MEI 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Periksa Interval

K30 -
Functional
dyspepsia |
SITI R11 - Nausea
1 MARWIYAH 020958 6/11/1988 and vomiting 0:21:07 6:49:50

ALECYA
SAFA
ALMAHYRA
2 LOSHI 175211 8/24/2020 - 1:21:38 1:31:53
ELIS
3 SOLIHAT 052763 10/9/1990 - 3:23:17 3:23:17

R10 -
IKA Abdominal
KUSMAWA and pelvic
4 TI 175212 7/3/1969 pain 3:49:01 3:51:02 0:02:03

T14.1 - Open
wound of
FAHRI unspecified
5 DESYAMAN 175213 5/30/2006 body region 6:34:21 6:36:03 0:02:24

J18.0 -
Bronchopne
umonia,
unspecified |
J45.9 -
Asthma,
6 JAJAT 071096 12/18/1981 unspecified 6:39:41 6:43:51 0:04:43

K30 -
CINDI NUR Functional
7 FITRIANI 175214 12/8/2003 dyspepsia 6:47:27 6:47:59
ELIS
8 SOLIHAT 052763 10/9/1990 - 9:39:28 9:39:28
9 NUR AINI 175215 5/30/2003 - 10:13:00 10:13:00
J45.9 -
Asthma,
10 ISMIATI 175217 12/27/1980 unspecified 10:43:00 10:46:25 0:03:25

MALIKA R56.0 -
AZMI Febrile
11 KALSUM 175218 12/14/2012 convulsions 10:47:04 10:50:42 0:03:46

AAN
12 SURYANA 107175 6/10/1977 - 10:54:00 10:54:00

KAIRA
AULIA
13 PUTRI 116903 4/22/2021 - 10:55:17 10:56:57

MUHAMM
AD ROMLI
14 A.B 063798 7/1/2010 - 11:36:29 11:37:18

DIMAS SRI
15 WAHYUNI 175183 7/22/1979 - 12:40:58 10:46:17

T14 - Injury
RAIS of
RAYYAN unspecified
16 ALFATHAN 041201 12/21/2017 body region 14:26:44 14:30:38 0:04:20

T14 - Injury
of
unspecified
17 SHARGA 175222 5/23/2017 body region 14:28:14 14:30:58 0:03:14

HUSNUL K30 -
HIKMATUT Functional
18 AMMAH 175223 8/27/1988 dyspepsia 14:37:33 14:40:56

A09 - Other
gastroenteri
tis and colitis
of infectious
and
UJANG unspecified
19 DEDE 175224 4/21/2001 origin 14:42:08 14:48:33
M51.9 -
Intervertebr
al disc
disorder,
unspecified |
AGUS RIAN M54.5 - Low
20 HERDIANA 175225 8/17/1975 back pain 14:46:02 14:54:44

MUHAMAD J45.9 -
WIZDAN Asthma, 17:45:39
21 ALWAFI 105925 4/6/2014 unspecified 17:43:49 PM 0:03;20

A09 - Other
gastroenteri
tis and colitis
(HUTANG2 of infectious
9.100)M and
KALIFAH unspecified
22 ARRASYID 110536 10/23/2021 origin 20:18:20 19:59:27
SENI
23 MELANI 060108 1/8/1989 - 19:58:19 19:58:19

YUNI R60.9 -
WIDAYANTI Oedema,
24 , MS 033825 6/15/1991 unspecified 20:20:12 11:02:21

MUHAMM
AD NIZAR
25 ARSHAD 175230 6/18/2019 J45 - Asthma 20:35:55 20:38:28 0:04:24

T14.1 - Open
wound of
BUDIANSYA unspecified
26 H 098279 1/27/2001 body region 0:10:31 0:13:54 0:04:20

T14.1 - Open
RIZKI wound of
ARDIANSYA unspecified
27 H 175238 8/28/2002 body region 0:18:55 0:21:51 0:04:40

R10.0 -
Acute
28 NELLYANA 175239 7/25/1983 abdomen 2:16:32 2:19:13 0:03:43
R56.0 -
Febrile
29 OLIVIA 175240 8/12/2021 convulsions 7:50:48 7:53:38 0:04:18

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
30 CACA 055924 5/16/1962 confirmed 2:27:36 2:29:12

R50.8 -
Other
specified
fever | R63 -
Symptoms
and signs
concerning
M ARFAN food and
31 REINALDHA 175241 2/16/2012 fluid intake 2:55:07 4:24:00
ADI
32 SUKARDI 175242 11/25/1964 - 4:30:38 4:33:53

SALMA R50.9 -
KALHA Fever,
33 NABILAH 035228 8/29/2017 unspecified 4:36:16 4:39:37
34 SODIK 035622 6/17/1934 - 7:25:47 7:26:49

35 SITI SAHIRA 175243 8/28/2012 - 8:36:09 9:33:36

S01.4 - Open
wound of
MUHAMM cheek and
AD ARIYA temporoman
36 BINTANG 175244 2/22/2005 dibular area 12:07:59 12:11:59 0:05:30
RINA
37 YULIANI 175245 6/3/1992 - 9:03:29 9:05:41

J45.9 -
Asthma,
38 SURATNO 175246 5/6/1977 unspecified 9:08:12 9:09:39 0:01:49
K21.9 -
Gastro-
oesophageal
reflux
BAYU disease
NUARI without
39 PERDANA 013671 1/1/2002 oesophagitis 12:17:18 11:33:21

MUHAMM
AD ARIYA
40 BINTANG 175244 2/22/2005 - 11:55:42 11:23:07
NUR
41 AISYAH 099225 3/14/1993 - 12:22:19 12:25:46

YOLANDA
42 SUHENDAR 088322 7/28/1995 - 12:45:48 12:47:00

B34 - Viral
infection of
REVA unspecified
43 ILMIAH 175249 5/29/2009 site 18:20:05 19:24:43

K30 -
Functional
dyspepsia |
MAMAT R06.0 - 13:14:26
44 RAHMAT 175250 6/19/1965 Dyspnoea 13:10:09 PM 0:04:21

R50.9 -
ARFAN Fever,
45 ANDI 175251 9/15/2020 unspecified 13:15:28 13:16:28
46 ROSSI J 175252 3/22/1984 - 13:25:53 13:39:02

B34 - Viral
infection of
AHMAD unspecified
47 SUNARYA 175750 3/7/1976 site 13:48:25 13:49:45

AGUS
48 PRAYOGA 092649 8/22/1961 - 13:52:32 13:55:42
DENIH
49 IRAWAN 175253 12/12/1988 - 11:07:06 14:05:35
V01 -
Pedestrian
injured in
SITI collision with 18:45:03
50 HERUNISA 175255 5/8/1972 pedal cycle 18:42:47 PM 0:03:11

V01 -
Pedestrian
injured in
DIDIN collision with 18:46:07
51 NAZMUDIN 175256 3/27/1971 pedal cycle 18:43:49 PM 0:03:12

A09 - Other
gastroenteri
tis and colitis
of infectious
ZAHIRA and
AULIA unspecified
52 HUSNA 059981 9/30/2017 origin 14:28:13 19:23:56
53 ADZRIL R 175257 1/3/2022 - 15:45:57 17:44:35

ENENG J45.9 -
KRISNAWA Asthma,
54 TI 175258 9/8/1990 unspecified 16:54:04 16:55:08 0:01:30

DINY
LESTARY
RAHMATIK
55 A 175260 1/18/2011 - 17:28:03 19:16:05

LESTIATI
56 PEBRISAR 097140 2/8/1994 - 17:29:27 17:30:09
57 TITA 117391 7/10/1982 - 19:00:19 19:00:34

L02 -
Cutaneous
abscess,
furuncle and
58 YULIYANTI 098013 4/23/1976 carbuncle 19:20:31 13:58:30

MUHAMM
AD
RAFASYA
59 ALFARIZKI 175262 3/31/2015 J45 - Asthma 19:41:35 19:42:13 0:01:48
K30 -
Functional
60 NURAIDAH 019073 8/18/2000 dyspepsia 19:47:28 5:22:46
61 IDIM 105504 1/4/1948 - 22:37:58 22:38:37

MOHAMAD
HILAL
ALJABARES
62 A PUTRA 005491 4/26/2014 - 23:25:59 5:27:00

63 SITI LAILA 175267 3/8/1995 - 23:49:53 5:14:53


64 VIKI 175269 10/11/2000 - 0:22:32 0:23:20
HERI
65 SUJANA 175271 6/8/1983 - 1:38:45 1:39:41
NURHASAN
66 AH 175272 11/18/1959 - 1:57:24 5:20:14
AZIS
67 SULTAN 033759 12/15/1999 - 2:02:08 2:03:57
68 LUGNA 175274 1/26/2020 - 6:40:46 6:41:16
BUDIANSYA
69 H 071310 1/20/1988 - 7:00:54 7:01:42
ASEP
70 SOPIAN 112259 5/1/1986 - 7:25:10 10:36:17

MUNAWAR
71 OH, (Hj). 077550 4/7/1942 - 7:39:14 7:40:06
HERI
72 SUJANA 175271 6/8/1983 - 7:48:47 10:38:50

A09.9 -
Gastroenteri
tis and colitis
MUHAMAD of
KAISAN unspecified
73 ALFATIH 068297 10/9/2011 origin 7:51:49 9:59:54
EDI
74 JUNAEDI 175275 12/10/1989 - 7:55:48 7:58:28
75 TATI 175276 1/1/1952 - 8:01:01 9:53:35

REFANA
ALFIANI
NURFATILA
76 H 106107 1/15/2003 - 8:04:39 8:05:33

HUSNA
77 HUMAIRA 175278 4/11/2020 - 8:24:41 8:26:25
RIDHO
78 NURKHOLIS 028167 7/28/2010 - 8:32:08 8:44:13

RIFQY
FADHILLAH
79 PURNAMA 175280 6/1/2014 - 8:36:51 8:37:35
RUDI
80 SUHENDI 175281 1/1/1976 - 8:00:38 8:59:00

MUHAMM
AD ERIK
81 RAHMAN 175282 1/1/2013 - 8:00:38 8:00:09
APRIANI
82 DESTINA 067735 7/7/2007 - 9:00:24 9:02:34

SRI
ENDANG
83 SUDARTI 073997 1/1/1959 - 9:05:31 9:06:43

84 NURMALA 044282 7/12/1969 - 9:42:48 9:43:35

MUHAMM
AD
85 MUZAKKY 071959 7/13/2012 - 9:51:54 9:55:45

MOCHAMA
D RIZKY
FUZIANSYA K02 - Dental
86 H 175284 6/22/1997 caries 10:16:33 10:17:43
ANDRI
87 ASMARA 106745 5/11/1986 - 10:09:39 16:06:38

A91 -
M. RAFFKA Dengue
KURNIAWA haemorrhagi
88 N 062791 1/27/2010 c fever 11:02:58 7:22:28

A91 -
Dengue
ASSYRA haemorrhagi
89 OKTARIANA 117206 10/1/2016 c fever 11:06:29 13:02:12

UDJANG
RUSMAN R11 - Nausea
90 WIJAYA 175285 1/7/1950 and vomiting 14:21:38 11:34:02
ANANDA
SHAQUEEN R50.9 -
A Fever,
91 HUMAIRA 175286 3/30/2021 unspecified 11:15:24 11:17:01

R50.9 -
NADHIRA Fever,
92 AKMALISA 175287 12/26/2017 unspecified 11:20:39 11:22:47
SHANUM
93 KAMILA 175288 3/4/2021 - 11:26:12 11:27:05

V01 -
Pedestrian
SITI injured in
SYARAH collision with
94 NURAJIJAH 175289 2/27/2002 pedal cycle 11:12:13 11:14:31 0:02:42

AL
GHIFFARI R50.9 -
ZHAFRAN Fever,
95 JULIANO 175290 7/17/2018 unspecified 12:27:45 15:57:30
BURHANUD
96 IN 111267 5/24/1985 - 12:49:14 12:51:02

FITRI
AGUSTINA R63.0 -
97 SUSANTI 175291 8/15/1991 Anorexia 13:01:12 13:24:35

J06 - Acute
upper
respiratory
infections
multiple and
YUDISTIRA unspecified
98 NASUTION 062998 8/3/2016 sites 13:22:18 13:24:09

PUTRI ANA
99 WIEDYA 055678 7/28/1999 J45 - Asthma 14:40:01 14:42:04 0:02:05

T14 - Injury
BAYU of
INDRA unspecified
100 PRAHASTA 175292 10/15/1992 body region 14:52:04 14:53:12 0:02:12
T14 - Injury
of
ISMI NUR unspecified
101 SAKINAH 175294 2/25/2015 body region 15:12:03 15:15:15 0:03:18

R50 - Fever
HALIMAH of other and
NURMALAS unknown
102 ARI 175295 7/26/2015 origin 15:30:26 18:42:59

IRSYAD
MAULIDJUL
103 AWALUDIN 025028 7/14/1998 J45 - Asthma 16:00:55 16:04:22 0:05:30

A09.9 -
Gastroenteri
tis and colitis
of
RUKOYAH, unspecified
104 (Hj). 102726 7/1/1957 origin 17:13:24 18:00:25

K30 -
Functional
105 ANIS 175300 4/12/1972 dyspepsia 18:33:18 18:40:25

J06.9 - Acute
upper
respiratory
infection,
106 SAMSIAH 175301 4/15/1981 unspecified 18:33:23 17:22:53

MUHAMAD J45 - Asthma


FAIRUZ | J45.9 -
HIBATULLA Asthma,
107 H 175302 11/3/2007 unspecified 18:33:27 18:36:27 0:03:54

J06.9 - Acute
upper
FAAZ respiratory
AHFAD infection,
108 MUCA 175303 11/4/2018 unspecified 18:33:32 18:34:06
J06 - Acute
upper
respiratory
infections
multiple and
BELLA unspecified
AYUNING sites | J45 -
109 THIAS 030220 12/9/1997 Asthma 18:48:35 18:50:24 0:02:58

A09 - Other
gastroenteri
tis and colitis
of infectious
and
INDRA ADI unspecified
110 NEGARA 073813 6/10/1972 origin 18:50:25 18:52:36

J06 - Acute
upper
respiratory
infections
multiple and
OON unspecified
111 ONASIH 109047 4/12/1972 sites 18:54:24 18:55:11

T14.0 -
Superficial
injury of
BUDI unspecified
112 MULYADI 029421 4/12/1974 body region 19:12:13 19:15:42 0:03:50

ALDI K35 - Acute


113 PRATAMA 076951 8/22/1994 appendicitis 19:59:07 20:01:05 0:02:12

114 INTAN SARI 175305 6/5/1990 - 20:10:42 18:28:53


WULAN
115 MEILANI 175306 5/3/1995 - 20:51:30 10:04:15

J45 - Asthma
| R50.9 -
SOFI ARINI Fever,
116 SANTOSA 175307 11/26/2017 unspecified 21:00:03 21:04:32 0:04
NAYYARA
HUMAIRA
117 AZRA 175308 6/4/2017 J45 - Asthma 21:27:04 21:28:46 0:01:50

J45 - Asthma
DINDA | R50.9 -
FITRI Fever,
118 SALAMAH 09135 7/6/2016 unspecified 22:12:49 22:13:03 0:01:52

R50.9 -
ABDULLAH Fever,
119 ZAIN 175309 7/31/2021 unspecified 23:10:23 23:10:43

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
NELI unspecified
120 PRATIWI 175310 2/27/1989 origin 23:33:12 23:35:15

FERDI
HARDIANSY
121 AH 175311 5/25/2003 - 7:04:34 1:30:17

RAPIK
122 PRATAMA 117548 9/20/2004 - 1:23:20 1:30:50

J45 - Asthma
| J45.9 -
PUTRI ANA Asthma,
123 WIEDYA 055678 7/28/1999 unspecified 1:41:28 1:42:37 0:02:12
SERLI
124 ARDILA 061191 1/3/2001 - 4:02:52 4:02:52
O80.9 -
Single
RISA spontaneous
MARNIAW delivery,
125 ATI 175312 6/7/1998 unspecified 3:56:14 3:56:14

MUHAMM
AD IBNU R11 - Nausea
126 SETIA ADJIE 115914 11/13/1997 and vomiting 7:43:50 18:54:57

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
ISAH unspecified
127 CARTISAH 099164 4/22/1958 origin 6:21:02 6:25:51

K52.0 -
Gastroenteri
tis and colitis
due to
radiation |
HAWA R11 - Nausea
128 TAQIYA 175315 7/19/2020 and vomiting 7:08:47 7:24:11

AZLAN
RIZKY
129 MAULANA 175316 7/3/2021 J45 - Asthma 7:33:54 7:35:40 0:03:20

P10.0 -
Subdural
MUHAMM haemorrhag
AD KAAFI e due to
130 ASARY 066053 9/19/2005 birth injury 8:21:32 8:23:02
K21.9 -
Gastro-
oesophageal
reflux
disease
WIDA without
131 NINGSIH 075177 7/1/1977 oesophagitis 8:36:29 8:38:54

K52 - Other
noninfective
MUHAMM gastroenteri
132 AD RAFA 175318 12/10/2020 tis and colitis 8:50:56 8:52:28

T01.0 - Open
wounds
involving
AAN head with
133 SURYANA 107175 6/10/1977 neck 8:58:29 9:01:46 0:04:12
BUDHI J02 - Acute
134 SOBIRIN 114069 8/23/1974 pharyngitis 9:01:54 9:03:06

ALFARRAS
ZAIN
135 IBRAHIM 175319 5/23/2021 J45 - Asthma 9:11:42 9:13:51 0:03:21

K52.0 -
Gastroenteri
tis and colitis
NENENG due to
136 SURYATI 024971 8/23/1950 radiation 9:20:30 9:22:30

J18.0 -
Bronchopne
MUHAMM umonia,
AD RAFA unspecified |
AIDZAN R06.0 -
137 STANLEY 175320 1/29/2022 Dyspnoea 9:27:41 9:30:17 0:03:40

T01 - Open
wounds
involving
multiple
138 PIRMAN 175321 7/19/1988 body regions 8:09:10 8:10:54 0:02:04
T11 - Other
injuries of
upper limb,
RIRIN 081910/11 level
139 NURINA 5944 12/30/1992 unspecified 8:09:10 8:10:55 0:02:05

MUHAMM
AD
ALVAREND L74.3 -
RA Miliaria,
140 NURHAKIM 101143 11/4/2020 unspecified 9:42:15 9:44:14

E13.3 - Other
specified
diabetes
mellitus with
ophthalmic
complication
s | P29.2 -
HIDAYATUL Neonatal
141 OH 175322 10/4/1954 hypertension 9:47:21 9:49:08

K05 -
Gingivitis
and
periodontal
diseases |
K30 -
Functional
142 SUHARJA 003937 4/10/1961 dyspepsia 9:54:44 9:56:10

ANISA
NURFITRIA
143 NI 175323 10/19/1988 - 10:00:29 10:00:29

LIA K92.1 -
144 LISNAWATI 063913 7/3/1979 Melaena 10:04:10 10:06:31
L03 -
145 OOM 039939 7/11/1962 Cellulitis 10:10:46 10:12:08

H01 - Other
inflammatio
146 ITA ROSITA 071386 12/15/1979 n of eyelid 10:22:34 10:24:44
R50 - Fever
of other and
FATIMATUL unknown
147 HUDAYA 076815 4/17/2013 origin 10:25:56 10:27:47

R50 - Fever
of other and
UMMU 022222/05 unknown
148 RAFIIQAH 6789 3/19/2016 origin 10:37:21 10:39:39
R06.0 -
149 M. JAJANG 022270 1/11/1938 Dyspnoea 10:55:54 10:57:24 0:03:20

FAJAR
150 MAULANA 175325 12/17/2002 - 11:07:49 11:09:39

SUPENTI
ALS
151 SAAMAH 175326 3/8/1950 - 11:22:41 11:24:46

NASHYA
QIANA R10.0 -
RAMADHA Acute
152 NI 175328 6/1/2019 abdomen 11:51:22 11:52:38 0:02:00

LINDA
153 PURNAMA 084462 1/13/1998 - 11:55:10 11:55:10
154 DESI 175329 3/5/1996 - 11:59:28 15:07:18

IKA R11 - Nausea


155 HERAWATI 114287 3/20/1977 and vomiting 13:18:56 16:23:33

I61 -
Intracerebral
NURISMA haemorrhag
156 AULIA 110522 6/27/1994 e 13:25:01 13:27:53 0:02:54

K30 -
Functional
157 YANTI 022420 4/8/1978 dyspepsia 13:30:21 13:32:20

J18 -
MUHAMM Pneumonia,
AD ATHAR organism
158 ATHALLAH 116265 10/7/2021 unspecified 13:44:57 13:46:16
AZKIA
159 GILMANI 175331 4/28/2015 - 14:28:45 14:32:03
ANI
160 RESTIANI 175332 10/28/1992 - 14:31:27 14:30:52

LESTIATI
161 PEBRISAR 097140 2/8/1994 - 15:26:42 15:28:14

FINA
HANDAYAN
162 I 094134 8/17/1974 - 16:05:44 16:06:37

ACENG
KATULISTI
163 WA 051224 7/11/1973 - 16:38:17 18:41:42

164 MASITOH 074365 9/7/1949 - 16:24:42 18:39:36

ALYSHA
165 MIKAELLA 175334 8/13/2020 - 16:52:33 16:54:32

VINI LEA
AFRILIANIT
166 A 175335 4/24/1993 - 17:37:59 17:38:00

DEMIAN
ELVANO
167 AQMAR 106538 12/15/2020 - 17:19:32 17:20:41

MUHAMAD
ALFATHIN
IZHARUDDI
168 N 067493 7/20/2004 - 17:35:59 18:36:16

RANIA
KAISHA
169 HAMEEDA 175336 9/28/2017 - 18:19:26 18:20:29

170 INTAN SARI 175305 6/5/1990 - 18:26:36 8:52:52

ROSLINDA R07.3 -
RISMAWAT Other chest
171 I 046287 6/5/1977 pain 19:06:27 19:08:25 0:03:02

HAMDANI
172 SARAGIH 023746 12/1/1980 - 19:07:59 19:08:30

TUTI
GERHANA
173 WATI 106636 10/12/1984 - 19:31:07 19:35:07
K30 -
Functional
dyspepsia |
K35 - Acute
appendicitis
| R10.4 -
Other and
unspecified
abdominal
pain | R11 -
Nausea and
174 ANIS 175339 2/1/2001 vomiting 21:01:48 12:52:21

WAWAN
175 SETIAWAN 067022 7/11/1973 J45 - Asthma 21:10:33 21:11:54 0:02:24

MUHAMAD
ALFATHIN K30 -
IZHARUDDI Functional
176 N 067493 7/20/2004 dyspepsia 21:50:32 14:53:04

K30 -
Functional
dyspepsia |
N39.9 -
Disorder of
urinary
ade system,
177 nuraliah 175342 10/17/1989 unspecified 3:36:59 21:53:37

YOSEP K30 -
SAEPUROH Functional
178 MAN 175343 5/4/2005 dyspepsia 3:36:55 0:50:33

K30 -
JUJU Functional
179 JUARIAH 175344 6/20/1982 dyspepsia 3:36:48 12:12:32

J45.9 -
Asthma,
180 IJAT 175345 7/1/1950 unspecified 3:36:45 3:40:58 0:04:40
I50.9 - Heart
EMAN failure,
181 SULAEMAN 076416 7/1/1961 unspecified 3:36:41 3:40:03 0:04:44

HENDRA K35 - Acute


182 GUNAWAN 115324 7/28/1991 appendicitis 3:36:32 3:40:06 0:04:38

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
183 MUNAH 175349 5/7/1939 origin 3:36:27 3:36:27

A09 - Other
gastroenteri
tis and colitis
of infectious
and
UJANG unspecified
184 MUSLIH 101447 9/3/1975 origin 7:08:57 3:52:58

R10.0 -
Acute
185 RINA 175352 6/1/1994 abdomen 4:21:49 4:23:42 0:03:20

N39.9 -
Disorder of
urinary
system,
186 ENAN 039559 7/18/1952 unspecified 4:56:55 4:57:23

A09 - Other
gastroenteri
tis and colitis
of infectious
and
RAHMAT unspecified
187 MUTAQIN 067621 1/7/1993 origin 6:20:36 12:54:42
L20 - Atopic
dermatitis |
L23 - Allergic
ENUNG contact
188 SURYANI 080553 4/10/1966 dermatitis 6:23:16 6:24:29

MOCH.
RIZKY M79.1 -
189 MAULANA 080212 11/18/1989 Myalgia 7:16:20 9:42:51

L03.0 -
Cellulitis of
finger and
190 ISAH 022419 7/6/1952 toe 8:10:57 8:12:54

LAIKA H60.9 - Otitis


HAULA externa,
191 HODIJAH 079274 6/9/2019 unspecified 8:16:30 8:18:11

ALFI
FADILAH
192 APRIATNA 175353 10/2/2013 B86 - Scabies 8:20:09 8:21:35

R04 -
Haemorrhag
e from
ICEU respiratory
193 SUMARNI 175354 9/3/1969 passages 8:24:56 8:26:52
194 ROIHAN 059373 10/28/1993 - 8:29:06 8:30:02

FAHRI
195 DESYAMAN 175213 5/30/2006 - 8:32:23 9:43:11

R50.9 -
Fever,
unspecified |
R63 -
Symptoms
and signs
concerning
ABDULLAH food and
196 ZAIN 175309 7/31/2021 fluid intake 8:34:47 10:35:13
T30.2 - Burn
of second
degree, body
DEDE region
197 MELANI 030406 1/6/1986 unspecified 8:39:34 8:43:26 0:04:54

NAILAH
198 SALSABILA 175355 8/14/2002 - 8:49:37 9:43:45
199 AKOM 036441 12/30/1962 - 8:57:20 9:43:57

A09.9 -
Gastroenteri
MUHAMAD tis and colitis
FADHIL of
PEBRIYANS unspecified
200 YAH 110128 2/14/2021 origin 9:02:39 9:44:09

NENG M71.04 -
NURHASAN Abscess of
201 AH 053128 11/19/1983 bursa, hand 9:22:40 9:25:16

MUHAMM
AD
BINTANG B30 - Viral
202 RANDHIKA 071331 8/17/2017 conjunctivitis 9:26:38 9:30:20

K30 -
IHIN Functional
203 SOLIHIN 037789 3/25/1967 dyspepsia 9:33:45 9:35:46

I50.0 -
Congestive
204 IYAH 175356 7/1/1968 heart failure 9:37:36 9:39:22 0:02:58

AGUS
KOSASIH
205 HAMID 175357 11/15/1956 - 9:45:01 9:45:01

MUHAMM T14.9 -
AD ARIYA Injury,
206 BINTANG 175244 2/22/2005 unspecified 10:13:08 10:15:14 0:02:22

SUCI A91 -
SEPTIANI Dengue
NUR haemorrhagi
207 FADILAH 175358 9/5/2009 c fever 10:23:07 12:24:05
NYIMAS
OOM
208 KOMARIAH 030500 10/1/1933 - 10:41:18 13:44:57

ADAY
209 SUDRAJAT 175360 9/26/1955 - 10:48:25 10:50:59

SHERLY
210 HUMAIRA 094995 4/20/2020 - 10:56:23 10:56:23

K30 -
SINTIA NUR Functional
211 FADILAH 175362 1/30/2003 dyspepsia 11:02:23 11:04:50

PANJI
MAULANA
212 AS ARI 066140 8/2/2007 B86 - Scabies 11:04:02 11:07:19

FEBIA
NURULITA
213 CAHYANI 175363 2/4/2022 - 11:10:01 11:12:31

I50.0 -
Congestive
214 ADAH 175365 9/11/1958 heart failure 11:52:39 11:57:19 0:05:23

A01.0 -
SITI Typhoid
215 MAESAROH 095795 10/2/1984 fever 13:45:10 14:53:19

R33 -
Retention of
216 ASKARI 041083 7/26/1938 urine 14:03:54 10:42:48

R56 -
Convulsions,
KHALIFATU not
S elsewhere 14:35:28
217 SHALIHAH 175369 7/16/2020 classified 14:31:10 PM 0:04:38

A09.9 -
Gastroenteri
tis and colitis
AKILA of
NAILA unspecified
218 FUTRI 103377 10/13/2019 origin 14:35:28 14:36:58
T14.1 - Open
ADAM wound of
HARIZ unspecified
219 RAFISQY 068789 3/13/2018 body region 14:38:59 14:41:36 0:04:35

DEDE
PRIATNA
220 KUMBARA 175370 10/20/1987 - 14:46:01 14:42:28

J93 -
DUDUNG Pneumothor
221 SETIAWAN 175371 7/1/1969 ax 14:54:08 14:55:53 0:02:01

JEINI
HADHIYATI
222 NASUTION 095260 6/19/1991 - 17:11:49 13:43:14

ROSLINDA
RISMAWAT
223 I 046287 6/5/1977 - 17:36:51 17:38:50

DEDE R10.0 -
SAEPUL Acute 17:44:32
224 ALAM 175373 4/12/1986 abdomen 17:40:10 AM 0:04:42
225 NUNUNG 175374 7/9/1952 - 18:00:25 22:14:45

MAMAN
226 SUPARMAN 175375 8/13/1962 J45 - Asthma 18:30:39 18:31:42 0:02:23

J06.9 - Acute
upper
respiratory
infection,
unspecified |
DEDI R06.0 - 18:52:24
227 SUTRIANA 175376 4/12/1972 Dyspnoea 18:49:27 AM 0:03:54

R10.0 -
ULOH Acute 19:08:44
228 SAEPULLOH 110054 7/5/1972 abdomen 19:05:48 AM 0:04:12
TSANA
229 ALFIAH 175377 5/14/2000 - 19:11:43 19:11:43
A91 -
MUHAMM Dengue
AD IRFAN haemorrhagi
230 MAULANA 175378 10/9/2003 c fever 19:19:53 20:23:50

Z20.3 - Z20.3
- Contact
with and
MAMAT exposure to
231 RAHMAT 175380 5/12/1970 rabies 21:30:48 21:33:17

M79.81 -
Other
specified soft
tissue
disorders,
shoulder
232 ICOH 175382 4/2/1980 region 21:52:13 21:54:12

K30 -
SUSI Functional
233 SUSANTI 175383 6/10/1982 dyspepsia 22:24:44 22:25:59

K30 -
028532/03 Functional
234 TITIN 0990 7/1/1956 dyspepsia 22:34:51 22:35:57

R11 - Nausea
235 AGUS 175385 2/1/1986 and vomiting 22:42:04 22:44:56

D62 - Acute
posthaemorr
hagic
anaemia |
R11 - Nausea
236 SUPARMAN 175386 3/9/1982 and vomiting 22:53:04 11:56:44

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | K30 -
SANDI Functional
237 RAMAYADI 175389 3/26/1986 dyspepsia 23:17:35 23:19:18
THALITA R50.9 -
AZMI Fever,
238 RAMADANI 175393 8/6/2011 unspecified 0:40:04 0:49:04

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
MUHAMM R50.9 -
AD ZAID Fever,
239 IBRAHIM 175394 3/25/2020 unspecified 0:41:18 0:44:38

J06.9 - Acute
upper
respiratory
arfa infection,
240 nursadiyah 175395 11/15/2021 unspecified 1:40:03 1:40:13

K30 -
WAWAY Functional
241 KURNIASIH 175396 4/17/1993 dyspepsia 2:22:55 2:23:34
242 ENING 060521 4/21/1962 - 2:29:10 2:29:05
243 CECE 175397 7/1/1966 - 3:02:08 3:04:34

K31.4 -
Gastric
diverticulum
| N18 -
Chronic
AYI kidney
244 RIDWAN 175400 7/10/1989 failure 5:17:44 5:17:15

SRI
245 NURAHAYU 175401 11/9/1993 - 6:18:16 6:18:46

MUHAMM R50.9 -
AD ARKA Fever,
246 ALFARIZKY 175402 6/13/2021 unspecified 6:24:26 6:25:12
ARI
247 APRIZAL 110225 4/20/1984 - 6:44:02 6:45:12
CICI
248 LESTARI 175403 6/26/1992 - 7:11:11 7:12:05
249 KAMAL 018415 10/12/1985 - 7:12:41 7:13:43

N18.9 -
Chronic
kidney
disease,
unspecified |
HINDUN R11 - Nausea
250 SULISTIO 175404 9/23/1978 and vomiting 7:33:51 7:48:22

SHALWA
NURSYIFA
251 SETIAWAN 117028 5/30/2021 - 7:38:27 9:00:05

NANDI
252 RUSTANDI 175405 6/12/1961 - 7:42:06 7:43:39

HETI K35 - Acute


253 RUSMIATI 175407 10/18/1986 appendicitis 8:17:21 8:18:59 0:02:20
ENENG
254 RIANTI 026635 4/7/1988 - 8:21:17 8:22:08

AUZZY
ABQARI
255 ALFARIZKY 028138 2/22/2017 - 8:30:24 8:30:48

DEDE EUIS
256 MARIANA 112843 9/17/1985 - 8:33:32 8:33:33

L23 - Allergic
NENIH contact
257 PARIDI 022988 2/9/1977 dermatitis 8:35:33 10:40:50
258 YULLYATI 105953 5/4/1991 - 8:40:52 8:43:10

HAFIYYA K30 -
YARISA Functional
259 RAMADAN 175408 7/7/2014 dyspepsia 8:45:46 8:57:47

P29.2 -
ICIN Neonatal
260 KURAESIN 019213 7/1/1949 hypertension 8:48:04 8:48:52
K52.0 -
Gastroenteri
EMA tis and colitis
RATNAWAT due to
261 I 019841 7/6/1964 radiation 8:50:19 8:59:39

T14 - Injury
FIQIH of
AGUNG unspecified
262 SANTOSO 046337 5/24/1983 body region 8:52:06 8:54:36 0:02:42

K30 -
Functional
263 HOTIAH 175409 3/7/1961 dyspepsia 9:03:15 9:07:01

SITI K30 -
MUSPITASA Functional
264 RI 175410 3/17/1985 dyspepsia 9:06:08 9:06:30

R73.9 -
Hyperglycae
ENI mia,
265 NURJANAH 028889 11/28/1965 unspecified 9:13:26 9:15:03

AZKIA DWI
266 AZ-ZAHRA 116066 10/8/2021 - 9:30:28 9:32:28

RAFFA AL-
267 GHIFARI 117444 7/24/2014 - 10:44:39 11:05:14

J06.9 - Acute
upper
KAFKA respiratory
HAIDAR infection,
268 ALFATIH 101796 2/14/2020 unspecified 10:46:04 10:49:52

J06.9 - Acute
upper
respiratory
M ARI infection,
269 ARASYID 068223 12/31/2012 unspecified 10:51:12 10:55:57

K30 -
LILIS Functional
270 SUTIANAH 041233 2/15/1961 dyspepsia 10:58:02 10:59:38
K52.0 -
Gastroenteri
tis and colitis
due to
radiation |
R10.0 -
NANI Acute
271 KUSMINI 003761 6/6/1977 abdomen 12:51:23 12:53:12

J06.9 - Acute
upper
respiratory
AI infection,
272 NURHAYATI 081664 10/24/1982 unspecified 13:59:43 14:19:45

MUHAMM B02 - Zoster


AD ALFI [herpes
273 SYAHDI 107259 6/30/2021 zoster] 14:23:38 14:25:12

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
274 HIDAYAT 175419 4/1/1958 origin 15:10:32 15:11:33

A09.9 -
Gastroenteri
tis and colitis
of
ECE unspecified
275 WAHYUDIN 061013 4/3/1967 origin 15:14:21 15:15:33

K52.0 -
Gastroenteri
tis and colitis
due to
NISKALA radiation |
DHANESA R50.9 -
YEKA Fever,
276 KERLOOZA 109569 8/7/2021 unspecified 15:31:05 15:32:33
J06.9 - Acute
upper
SYAFIQ respiratory
SYADIDUL infection,
277 AZMI 105288 12/3/2020 unspecified 16:10:52 16:27:22

N61 -
Inflammator
DELA y disorders
278 SUSANTI 115995 3/23/1983 of breast 16:14:50 16:28:20

K30 -
CECEP Functional
279 SUPRIYADIE 014024 9/1/1970 dyspepsia 16:37:04 16:18:51

K30 -
IMAN Functional
280 HAERUDY 175421 5/9/1974 dyspepsia 16:55:11 16:57:06

MUHAMM
AD J06.0 - Acute
FATHIAN laryngophary
281 SHARIQ 110123 1/3/2021 ngitis 16:59:13 17:01:46

R10 -
Abdominal
RINA and pelvic
282 RUSTIANA 175422 6/18/2000 pain 18:07:43 18:09:59 0:03:42

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
P29.2 -
ELIH Neonatal
283 HARYATI 175423 7/6/1954 hypertension 18:12:43 18:14:26
J06.8 - Other
acute upper
AGUS respiratory
JAVAS infections of
284 PARVEZ 175424 2/18/2021 multiple sites 18:20:54 18:22:04

T01 - Open
wounds
ATHAYA involving
SABIA multiple
285 ZAHARA 175425 4/13/2019 body regions 18:39:17 18:42:24 0:03:41

K30 -
Functional
dyspepsia |
M19 - Other
arthrosis |
P29.2 -
Neonatal
286 ICAH 075388 6/7/1938 hypertension 19:02:32 19:04:10

DESTI
287 NURHAYATI 110859 12/23/1995 - 19:57:29 19:57:29

K52.9 -
Noninfective
gastroenteri
KAISAR tis and
AGRA AL colitis,
288 FATH 175426 10/26/2021 unspecified 20:33:51 22:02:23

DECI FITRI N94.1 -


289 MAULITA 087385 8/29/1989 Dyspareunia 20:06:20 20:08:35
290 AAT 175427 6/12/1969 - 20:20:41 22:46:46
J06.0 - Acute
laryngophary
ngitis | K52.0
-
Gastroenteri
tis and colitis
SITI NUR due to
291 AISYAH 089262 5/14/2020 radiation 20:36:29 20:38:17

B02 - Zoster
[herpes
292 SUPANDI 025530 12/31/1953 zoster] 20:50:47 20:52:30

R10 -
Abdominal
SINTA DENI and pelvic
293 SAPUTRI 175429 8/5/2013 pain 20:56:06 20:59:45 0:03:51

MUHAMM R50.9 -
AD ROJALI Fever,
294 ALFARIZI 071770 2/8/2019 unspecified 21:09:55 21:10:01
295 OCENG 175430 7/1/1970 - 22:18:16 22:19:56

NISKALA
DHANESA
YEKA
296 KERLOOZA 109569 8/7/2021 - 0:54:22 0:55:22

A09.9 -
Gastroenteri
tis and colitis
of
HJ unspecified
297 NURJANAH 175432 12/26/1961 origin 1:44:03 1:45:24
M FAZRI
298 SIDIQ 175433 11/17/2007 - 3:45:48 3:46:44

MUHAMM J45.9 -
AD MAJID Asthma,
299 JIDDAN 064503 3/2/2019 unspecified 5:31:01 5:34:33 0:03:34
K52.9 -
Noninfective
gastroenteri
tis and
ERAT colitis,
300 SUMIRAT 022096 3/23/1964 unspecified 5:32:45 5:35:36

301 JAENUDIN 175435 1/7/1980 - 7:11:46 7:27:55

R50.9 -
DASEP Fever,
302 YUDISTIRA 175436 3/3/1991 unspecified 8:15:10 8:17:36

CLEA
303 ADARA FIN 010661 11/15/2015 - 9:41:15 12:16:50

T14 - Injury
of
JERI unspecified
304 ANUGRAH 069742 10/11/1994 body region 10:38:57 10:42:31 0:05:28

T14 - Injury
of
SITI ZULFA unspecified
305 YANA 175437 3/10/1996 body region 10:54:51 10:56:34 0:03:32

J45 - Asthma
| J45.9 -
LANI Asthma,
306 SOPIAH 175438 8/18/1981 unspecified 11:43:25 11:45:57 0:03:22

QUINSHA
AMELIA
307 LUDI 116547 7/30/2021 J45 - Asthma 11:51:44 11:55:54 0:05:20
A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
308 USMAN 175441 8/24/1984 origin 12:45:53 12:50:54

T14.1 - Open
wound of
unspecified
309 SEPIAN 175442 11/4/2010 body region 13:06:15 13:08:51 0:03:20

R50.8 -
Other
specified
LINDA fever | R50.9
YULIA - Fever,
310 NINGSIH 175444 7/16/1998 unspecified 13:55:00 16:09:00

R50.9 -
SITI Fever,
311 HOTIMAH 029525 9/15/1976 unspecified 14:33:55 16:08:32

R50 - Fever
of other and
ABDUL unknown
312 WAHAB 043415 6/20/1972 origin 16:07:56 16:10:10

J45.9 -
Asthma,
313 NURYANI 001896 10/21/1958 unspecified 16:23:34 16:25:54 0:03:29
R00.1 -
Bradycardia,
unspecified |
IIN R11 - Nausea
314 NURMIATI 068788 6/15/1976 and vomiting 16:58:04 18:19:36

DESTRILIAN
315 A PUTRI 175447 7/16/2011 - 17:04:59 17:32:21

T14 - Injury
ONENG of
WINANGSI 094267/01 unspecified
316 H 4323 2/4/1977 body region 17:12:05 17:16:38 0:04:30

M13.8 -
Other
specified
arthritis |
T14.1 - Open
wound of
ANDRIYANT unspecified
317 O 175448 2/21/1990 body region 17:22:38 17:23:40

T14 - Injury
MUHAMM of
AD IHSAN unspecified
318 RIZKI 175449 12/2/2017 body region 9:07:48 9:10:19 0:03:54

SHAFIRA R50.9 -
SHAKI Fever,
319 IRAWAN 175451 10/25/2014 unspecified 17:46:36 18:19:07

R11 - Nausea
320 ALDA 037401 10/14/2005 and vomiting 17:51:24 17:46:08

DEDE M79.1 -
321 SUMARNA 066234 10/26/1992 Myalgia 18:54:21 19:06:30
A09.9 -
Gastroenteri
tis and colitis
of
ENENG unspecified
322 SUPRIATI 103341 4/20/1976 origin 19:20:19 19:25:31

I21 - Acute
myocardial
infarction |
K30 -
Functional
323 OLEH 175455 5/19/1963 dyspepsia 13:45:50 13:48:26 0:04:16

K21.9 -
Gastro-
oesophageal
reflux
disease
without
324 DADAN 085926 11/2/1993 oesophagitis 21:32:08 21:34:11

ABQARY R50.2 - Drug-


MALIK induced
325 RISMAWAN 175458 9/17/2021 fever 22:00:39 22:02:27

SITI
NUROHMA
326 T 175460 5/10/2002 - 23:33:09 14:54:38

ABDUL AZIZ G40 -


327 AR-RAZZAQ 101789 1/22/2021 Epilepsy 0:44:35 0:46:11 0:02:45
YULIANAW
328 ATI 175462 7/24/1979 - 2:40:28 2:42:44

K52.0 -
Gastroenteri
DESTA tis and colitis
SUBAGJA, due to
329 (Amd.Kep). 087119 12/21/1994 radiation 4:50:22 4:52:09

K52.0 -
Gastroenteri
tis and colitis
due to
330 SUPARMAN 031393 4/7/1956 radiation 5:44:29 5:46:19
K52 - Other
RAKHA noninfective
AULIA gastroenteri
331 RASYID 175463 10/3/2013 tis and colitis 6:31:29 6:33:09

E12 -
Malnutrition
-related
diabetes
mellitus |
E78.5 -
Hyperlipidae
ENUNG mia,
332 SUMIATI 063520 11/5/1957 unspecified 6:33:40 6:35:45

333 TITA 093741 8/5/1970 J45 - Asthma 7:25:15 7:27:15 0:02:30

J45 - Asthma
GUSTYAS | J45.9 -
WIDYA 002638/02 Asthma,
334 PRAJA 6380 8/25/1993 unspecified 8:19:59 8:20:27 0:02:26

HOSHIZOR
A SNOW
PERDANA
335 PUTRI 175465 11/29/2021 - 9:10:36 9:12:16

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
R50.9 -
HALWA Fever,
336 DINARA 175467 6/16/2020 unspecified 9:22:30 9:24:01

T14 - Injury
of
unspecified
337 YUDI 175468 9/1/1994 body region 9:27:39 9:30:35 0:04:14
T14 - Injury
of
unspecified
338 ONENG 175469 9/2/1965 body region 10:15:10 10:16:39 0:01:49

YAYAT
339 SUPRIATNA 112026 10/10/1960 - 10:17:31 10:18:29

K52 - Other
noninfective
NENENG gastroenteri
340 MASRIKAH 016236 7/1/1965 tis and colitis 10:30:27 10:31:17

MUHAMM
AD RADEN
341 ISMAIL 175470 8/12/2020 - 10:33:45 11:02:19

T14.1 - Open
wound of
TORA ALIF unspecified
342 RAHMAN 175472 1/25/2019 body region 11:57:46 11:58:23 0:02:13

R50 - Fever
of other and
unknown
CHAIRUNIS origin |
A R50.9 -
SALSABILA Fever,
343 PUTRI 105683 3/2/2015 unspecified 13:18:02 21:09:19

R56 -
Convulsions,
not
NADHIR elsewhere
344 RIZKY 175473 11/28/2021 classified 14:08:02 14:12:52 0:04:12
A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
D64.9 -
Anaemia,
unspecified |
E87.5 -
Hyperkalaem
ia | H81.4 -
Vertigo of
central origin
| R11 -
Nausea and
vomiting |
R63 -
Symptoms
and signs
concerning
ERNA food and
345 NURHAYATI 175476 5/15/1979 fluid intake 14:55:52 17:00:41

J90 - Pleural
effusion, not
elsewhere
classified |
K81.0 - Acute
cholecystitis
| R10.4 -
Other and
unspecified
abdominal
pain | R52.0 15:56:27
346 YUSUF 175478 3/19/1973 - Acute pain 15:52:36 AM 0:04:50
347 NUNUNG 090023 1/8/1962 - 16:23:06 16:24:09
BAYU
FEDYANSYA
348 H 067720 9/24/2000 - 16:33:44 16:34:23
IRMA
349 FAUZIAH 058708 6/1/2008 J45 - Asthma 16:43:48 16:44:24 0:02:20

E14 -
Unspecified
diabetes
mellitus |
R50.9 -
Fever,
350 IIS AISYAH 007392 12/23/1968 unspecified 16:58:02 16:59:47

SALMA
351 ZAHIERACH 175479 5/25/2007 - 17:02:10 17:02:08

J06.9 - Acute
upper
respiratory
HAMZAH infection,
352 ALQODAR 106321 5/8/2021 unspecified 17:36:14 17:36:03

J06.9 - Acute
upper
respiratory
MUHAMAD infection,
353 HUSEN 096504 4/8/2020 unspecified 17:37:11 17:37:55

R10.4 -
Other and
unspecified
abdominal
354 TITA 117391 7/10/1982 pain 18:48:03 18:49:12 0:01:15

HASBY AL
GHAZALI
RAMADHA
355 N 175480 4/16/2021 J45 - Asthma 18:55:36 18:57:58 0:03:40

B.00.2 -
MAEMUNA GINGGIVO
356 H 175481 7/21/1960 STOMATITIS 19:11:17 19:12:32
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
RIDWAN M79.1 -
357 MAURAKSA 058727 11/10/1991 Myalgia 19:14:11 19:15:11

R50.9 -
MARISA Fever,
358 PUTRI 175482 9/9/2019 unspecified 19:19:19 19:12:44

BINAR R50.9 -
DINASTI Fever,
359 HARIADI 088147 5/10/2019 unspecified 19:24:10 19:24:52

RADI
FIRMANSY L50 -
360 AH 061596 7/22/2015 Urticaria 19:28:01 19:29:23

TETI K30 -
KARYAWAT Functional
361 I 175483 6/6/1971 dyspepsia 19:34:30 19:35:40
362 ATIKAH 175484 6/15/1976 - 19:57:13 19:57:45
363 ICI 002373 7/1/1954 - 20:09:16 20:09:16

R50 - Fever
of other and
unknown
origin |
MUHAMM R50.9 -
AD Fever,
364 KADAFFY 175485 12/31/1997 unspecified 20:23:21 20:24:00
JUJU
365 JUARIAH 175344 6/20/1982 - 21:00:23 21:02:40
J06.0 - Acute
laryngophary
ngitis | J06.9
- Acute
ALVINO upper
BASTIAN respiratory
HERMAWA infection,
366 N 175487 4/11/2015 unspecified 0:12:18 0:13:49

A09.9 -
Gastroenteri
tis and colitis
SYAHDILA of
PUTRI unspecified
367 SETIAWAN 097708 5/21/2019 origin 0:36:03 0:38:07
368 AMELIA 175488 11/30/2003 - 0:45:33 0:45:33

K30 -
DENI Functional
369 KUSNADI 091783 6/6/1981 dyspepsia 1:16:20 8:32:52

A09.9 -
Gastroenteri
tis and colitis
AKBAR of
PUTRA 078491/08 unspecified
370 SETIAWAN 2118 3/20/2019 origin 2:19:11 2:53:55

R50 - Fever
of other and
INTAN unknown
371 LESTARI 175489 1/8/2000 origin 2:24:51 2:52:02

AIRA ADIVA
372 DELISTHA 075316 9/13/2019 J45 - Asthma 3:19:39 3:21:46 0:03:20

373 OJAK 059620 7/1/1957 J45 - Asthma 3:27:05 3:29:02 0:02:07


UJANG
374 MISBAH 095964 9/25/1967 - 5:13:13 5:26:13
SALMA
375 AFIFAH 175490 10/23/2013 - 6:33:28 13:23:17

YUSI
RAHMAWA
376 TI 013818 1/1/1975 - 7:29:31 13:18:09
UJANG
377 MULYADI 175493 5/14/1974 - 8:37:53 8:37:53

K30 -
Functional
dyspepsia |
NURUL R51 -
378 ANNISYA 114052 3/17/2000 Headache 11:35:32 10:12:34
379 NANANG 000775 1/1/1958 - 12:04:19 12:04:24
380 OCE 175524 8/11/1953 - 13:06:38 13:09:58
DAYAT
381 HIDAYAT 052476 7/28/1967 - 13:18:52 14:36:12

FAZA
AINIYA K30 -
RAMADLAN Functional
382 Y 175525 10/11/2006 dyspepsia 13:36:57 15:07:23

A91 -
Dengue
haemorrhagi
c fever | A91
SRI - Dengue
WULANDA haemorrhagi
383 RI 175526 1/1/2004 c fever 15:46:22 19:00:46

K30 -
Functional
384 A M I N A H 175527 7/15/1982 dyspepsia 9:15:51 18:43:38

R50.9 -
Fever,
385 MELI 105379 5/7/2004 unspecified 15:46:31 15:47:15

K30 -
Functional
386 IDA ROYANI 067885 4/14/1982 dyspepsia 18:32:10 16:02:02
YAYAN
387 SUDIAR 175528 8/4/1956 - 16:51:02 16:52:58
I24.9 - Acute
ischaemic
heart
disease,
unspecified |
O80.9 -
Single
SITI spontaneous
HALIMATU delivery, 20:52:38
388 SA DIAH 175506 11/14/2003 unspecified 20:50:19 PM 0:02:48

J45.9 -
Asthma,
unspecified |
K30 -
Functional
389 KARSINI 175531 3/6/1977 dyspepsia 19:10:40 19:11:39 0:02:12

J45.9 -
Asthma,
unspecified |
R50 - Fever
of other and
unknown
origin | T14 -
Injury of
SALWA unspecified
390 OKTAVIANI 175532 10/27/2007 body region 19:14:37 19:16:53 0:03:20

MUHAMAD R50.9 -
IRSYAD Fever,
391 DARWIN 175534 7/5/2008 unspecified 20:11:35 20:29:41

CHANDRA
PAMUNGK R50.9 -
AS, Fever,
392 (Amd.RAD.) 076333 7/1/1995 unspecified 20:31:22 8:44:46
T14 - Injury
of
DITA unspecified
393 RINZANI 022472 4/5/2008 body region 20:40:43 20:43:35 0:04:15

E10 - Insulin-
dependent
diabetes
mellitus |
E11.9 - Non-
insulin-
dependent
diabetes
mellitus
without
complication
s | I10 -
Essential
(primary) 20:47:52
394 U U M 175536 7/1/1964 hypertension 20:43:53 PM 0:05:48

R50.9 -
Fever,
395 MAYA 175537 3/17/2003 unspecified 20:52:49 20:57:52

O21.8 -
Other
vomiting
complicating
pregnancy |
R50.9 -
NEVI Fever,
396 AGUSTINA 175538 8/1/1982 unspecified 20:56:27 21:00:38

J45.9 -
Asthma,
397 AAS ASIAH 006625 10/9/1985 unspecified 21:16:08 21:17:24 0;01:32

ALESHA R56.0 -
HANANIA Febrile
398 ZAHRA 175539 7/3/2021 convulsions 21:20:03 21:23:17 0:03:20
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
399 SAWITRI 032827 9/8/1989 origin 21:57:38 5:44:28

J45.9 -
Asthma,
400 IDA ROYANI 067885 4/14/1982 unspecified 22:03:16 22:05:25 0:03:41

A09.9 -
Gastroenteri
tis and colitis
of
YUYU unspecified
401 YUHANAH 021975 4/3/1963 origin 22:21:27 22:22:17

K30 -
FEBRIAN Functional
402 SOMANTRI 079084 2/25/1995 dyspepsia 23:28:06 23:29:22

MUHAMM
AD ROJALI
403 ALFARIZI 071770 2/8/2019 - 23:49:09 23:50:37

REZA
SYAMSUL R11 - Nausea
404 BAHRI 175542 2/23/2009 and vomiting 0:12:24 0:15:13

RIZKY L24 - Irritant


ALFADILLA contact
405 H 084588 2/22/2015 dermatitis 0:44:21 0:46:43
UJANG
406 ABDILAH 175543 9/29/1959 - 5:41:09 5:42:16

407 IRMAYANTI 175544 9/14/1985 - 5:49:36 5:50:16


408 OLLIS 175545 6/4/1955 - 6:02:07 6:03:31

TATI
409 ISMAYANTI 044883 12/6/1963 - 6:37:01 6:38:52
GALIH
410 RASPATI 175547 4/29/1973 - 7:54:38 7:55:45
K52.9 -
Noninfective
gastroenteri
tis and
TIARA colitis,
411 SHANTIKA 117574 8/1/1998 unspecified 9:53:38 11:38:21
PUTRI
412 AMELIA 117580 4/8/2005 - 11:26:43 14:59:32

ADE
KURNIA
CORNELLIS
413 BASTIAN 116297 12/30/1996 - 11:59:54 20:58:03

YUYU
414 YUNIARTI 029797 9/2/1994 - 12:57:32 17:45:37

DEDI K30 -
HERLAMBA Functional
415 NG 100118 2/1/1980 dyspepsia 13:10:29 13:12:22

KEMILAU R50 - Fever


JILLY of other and
NISYWA unknown
416 ALMUHTAR 117588 3/1/2020 origin 14:28:30 14:29:13

R50 - Fever
THALITA of other and
SELENAMIL unknown
417 A 040158 4/25/2017 origin 14:30:17 14:31:59

K30 -
Functional
418 DEYEH 087789 7/1/1953 dyspepsia 14:53:11 14:54:54

A09.9 -
Gastroenteri
tis and colitis
of
VANESSA unspecified
419 NUR AULIA 024540 6/1/2005 origin 15:58:24 15:59:49

K30 -
HENDRA Functional
420 KOMARA 117590 2/27/1990 dyspepsia 16:17:48 15:04:06
J45.9 -
SITI Asthma,
421 MARIAM 098076 3/5/1984 unspecified 16:21:45 16:22:53 0:02:38
TINI 117591/07
422 KARTINI 3175 1/1/1963 J45 - Asthma 16:24:30 16:25:06 0:01:36
RASYA E9060 - Dog
423 PUTRA 117592 5/10/2018 bite 17:04:46 17:05:02 0:02:48
DEDI R06.0 - 17:34:11
424 SURYADI 117593 1/1/1960 Dyspnoea 17:32:32 PM 0:02:43

R50 - Fever
of other and
unknown
origin |
REVALINA R50.9 -
DELA Fever,
425 SAPUTRI 117594 1/11/2016 unspecified 17:37:27 15:02:43

MUHAMM
AD FATHAN G40 - 18:23:45
426 ALFARIZKI 105771 5/20/2021 Epilepsy 18:21:40 AM 0:03:20

M79.1 -
Myalgia |
R50 - Fever
of other and
INDRI unknown
427 YANTI 117595 5/13/1990 origin 18:55:26 18:56:00

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin | R50 -
Fever of
other and
KHALIEF unknown
428 IBRAHIM 117596 12/16/2017 origin 19:09:24 19:10:03
R50 - Fever
of other and
unknown
MUHAMM origin |
AD GYAN R50.9 -
BHALENDR Fever,
429 A ERWANA 117597 4/1/2021 unspecified 19:13:28 21:48:50

MUHAMM
AD
430 RAYHAN 117598 2/14/2018 - 19:20:14 19:21:32

MUHAMAD
ABIZEIN
SYAFARAZ R50.9 -
ALKUROIM 103147/11 Fever,
431 AN 4692 2/10/2021 unspecified 19:25:14 8:43:42

R50.9 -
SARAS SRI Fever,
432 DARMANTI 117599 5/12/1992 unspecified 19:30:57 19:31:05

K30 -
Functional
dyspepsia |
R11 - Nausea
433 LIA YULIA 109660 7/1/2001 and vomiting 19:50:37 19:50:33

R50 - Fever
of other and
unknown
434 ATARAZKA 117601 4/20/2021 origin 19:56:22 9:33:30
A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
GEVIN origin | R11 -
NOOR Nausea and
435 ABBRIZAM 074840 3/13/2019 vomiting 20:47:20 13:14:42

H81.4 -
Vertigo of
central origin
| K30 -
Functional
dyspepsia |
R50.9 -
RIVALDI Fever,
436 HAKIM 104479 7/12/2003 unspecified 20:51:41 23:52:51

437 ARI IDRUS 063003 1/1/1996 - 23:09:38 23:10:24

R10.0 -
Acute
438 IRMAYANTI 175544 9/14/1985 abdomen 22:55:39 22:59:39 0:04:25

439 HERAWATI 006838 1/14/2007 - 23:45:04 23:46:24

KALISTA
DWI
440 RAFANI 117604 12/27/2020 - 2:46:21 23:51:37

I10 -
Essential
LILIS (primary)
441 ROHAYATI 046735 8/18/1977 hypertension 0:21:02 0:22:27

K30 -
Functional
442 NANDANG 117605 4/4/1969 dyspepsia 2:45:03 2:48:13

J45.9 -
AEP Asthma,
443 SAEPUDIN 046988 5/1/1960 unspecified 6:45:50 6:49:20 0:05:00
A09.9 -
Gastroenteri
tis and colitis
of
WAWAN unspecified
444 LISWARA 056806 11/10/1960 origin 7:16:07 7:17:57

K30 -
IIS Functional
445 MULYATI 117612 4/20/1968 dyspepsia 8:42:08 8:42:04

R10 -
Abdominal
DENI and pelvic
446 SETIAWAN 117615 5/26/1982 pain 8:55:18 8:56:14 0:01:30

C96.2 -
Malignant
SUSILAWAT mast cell
447 I 175507 6/7/1984 tumour 9:13:49 19:47:23

K30 -
Functional
448 MINTA 067591 5/7/1975 dyspepsia 9:39:44 9:39:48

I10 -
Essential
RIO (primary)
449 SUHANDA 008698 2/2/1996 hypertension 7:16:07 7:16:25
RINI
450 RISMIATI 037951 1/12/1989 - 13:06:29 13:06:29

SULTAN T14 - Injury


MOHAMM of
AD unspecified
451 ABDULAZIZ 045703 2/4/2013 body region 11:05:00 11:08:06 0:03:06

ELY K30 -
RACHMAW 068763/11 Functional
452 ATY 4831 9/21/1986 dyspepsia 13:54:32 13:56:54

YANTI
RUSMAYAN
453 TI 117630 4/13/1968 - 14:10:15 14:11:17

RYA
454 NURYANTY 026438 6/3/2000 - 14:14:55 14:15:28

IRMAN
FARDIAN,
455 (S SI). 060726 12/20/1980 - 15:14:04 14:55:54
NAJMI
ZAHIYAH
456 ZARQA 117631 3/23/2007 - 14:57:10 14:58:39

457 SRI LESTARI 114068 7/1/1986 - 15:14:04 15:15:35

SITI
HIDAYATUL
458 AL PIAH 117634 1/12/2011 - 15:27:18 16:46:39
TATANG
459 BUSTO 089369 1/3/1952 - 16:25:50 16:52:30

MUHAMAD
EXSAL
ARKA
460 PRATAMA 117636 8/9/2014 - 16:35:17 16:52:59

LISNA
461 SEPTRIANI 117637 9/2/2003 - 16:48:36 16:59:13

RAIYSA
462 MAHARANI 117638 9/29/2018 - 16:54:06 18:53:14

NAZEERA
AZMI
463 NAMIAH 117641 8/22/2021 - 17:13:05 17:14:28

O21.9 -
Vomiting of
SITI pregnancy,
464 ROBIAH 117642 7/10/1995 unspecified 17:18:53 17:19:54

BARIQ
MUHAMM
AD
465 KAFAABIH 117643 7/30/2021 - 17:44:27 18:08:57
HERRI
466 SAPUTRA 076744 8/31/1980 J45 - Asthma 17:46:02 17:47:27 0:01:29

NABILA
AIRA
ALMASHYR
467 A 111923 12/21/2020 - 17:51:20 17:54:11

468 PERAWATI 114037 2/2/1980 - 17:59:49 18:01:51


NANI
469 MARYANI 003527 7/27/1976 - 18:41:54 18:42:05

MUHAMM
AD ADNAN
470 KHIAR 117647 10/11/2015 - 18:47:20 18:49:45
MEINDA
471 YUSUP 117648 5/8/1992 - 19:08:12 19:10:24

HAISYA
ZEEHAN
ASHADILLA
472 H 110779 5/15/2021 - 20:41:13 4:08:35

K30 -
Functional
dyspepsia |
R50 - Fever
of other and
unknown
origin |
THERESYA R50.9 -
MAGDALEN Fever,
473 A I.P.N 117651 4/24/2006 unspecified 21:13:18 21:14:08
474 MARJUKI 093295 4/18/1939 - 6:23:08 23:27:59

K30 -
entin Functional
475 kartini 117652 7/1/1966 dyspepsia 22:23:57 10:23:10

K52 - Other
noninfective
gastroenteri
476 SUMARDI 114161 5/5/1979 tis and colitis 23:06:53 23:08:59

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | R11 -
MELA Nausea and
477 AMELIA 117653 8/23/1999 vomiting 23:33:54 23:59:30
R50 - Fever
JASMIN of other and
ADILA unknown
478 HAFSHAH 105706 5/19/2021 origin 23:41:09 23:42:11

A91 -
Dengue
haemorrhagi
c fever | K30
- Functional
dyspepsia |
R50.9 -
Fever,
479 YANTI 117655 8/20/2002 unspecified 0:26:49 10:31:40

T11.1 - Open
wound of
upper limb,
level
480 ADUY 117656 5/12/2003 unspecified 1:39:32 1:40:17 0:01:49

INSAN
481 INDRIYANA 117658 1/3/1989 - 6:24:55 16:56:49

482 HERAWATI 006838 1/14/2007 - 6:34:56 12:53:45

K30 -
BELLA Functional
483 VISTA 073297 6/9/1991 dyspepsia 6:54:20 6:55:28

K30 -
TITA Functional
484 ROSITA 117659 4/13/1972 dyspepsia 7:28:55 9:02:53

N40 -
AMALUDDI Hyperplasia
485 N LUBIS 042898 11/15/1980 of prostate 7:57:11 11:38:18

DEDEN
486 ISKANDAR 037328 9/9/1976 J45 - Asthma 8:59:52 9:02:45 0:04:27

RENDI
487 GUSTARA 054445 2/23/1996 - 9:58:53 13:52:37
I84 -
Haemorrhoid
s | K64.3 -
Fourth
degree
ERO haemorrhoid
488 ROEHAEDI 037541 11/10/1954 s 10:11:54 17:53:40

BINAR R50.9 -
DINASTI Fever,
489 HARIADI 088147 5/10/2019 unspecified 10:57:37 10:59:32

E9060 - Dog
bite | K52.0 -
Gastroenteri
MUHAMM tis and colitis
AD RIZKY due to
490 AKBAR 117670 7/14/2017 radiation 11:14:03 11:17:04 0:03:07

IVUL
RICHIAWA
491 NDI 067242 2/14/1976 - 11:56:50 16:56:27

T01 - Open
wounds
involving
RAFA multiple
492 MIRZA 117671 7/31/2018 body regions 12:41:38 11:42:54 0:02:42

R50 - Fever
KHALISA of other and
NAIRA unknown
493 PUTRI 058885 12/7/2018 origin 12:45:24 18:41:49

K30 -
Functional
494 UJANG UUS 050816 5/13/1969 dyspepsia 13:40:49 13:42:46

MUHAMAD
495 HERMAN 052146 4/3/1931 - 13:58:30 13:58:30
496 MEMEN 021190 3/3/1963 - 15:22:35 16:58:42

RAYHAN
MUHAMAD
497 YASIR 117675 5/7/2010 - 16:21:10 16:22:09
MUHAMAD
498 AL FATIN 117676 7/20/2004 - 16:56:02 16:58:14

MAYA
499 OKTAVIANI 074803 5/4/2017 - 17:03:45 17:05:20

D21.0 -
Benign
neoplasm,
connective
and other
soft tissue of
head, face
500 ELAH 060577 8/15/1966 and neck 17:20:01 17:42:24

K30 -
Functional
501 ALINNA 009267 3/2/1965 dyspepsia 17:23:57 17:24:47

J45.9 -
Asthma,
502 SONIAWATI 087027 6/3/1984 unspecified 17:39:38 17:41:05 0:02:43

R50.9 -
DEWI Fever,
503 SARTIKA 113289 12/6/1990 unspecified 18:19:06 18:47:20

J06.9 - Acute
upper
respiratory
NADHIRA infection,
504 RAHMA 086744 10/24/2017 unspecified 18:23:31 20:23:59

HILDA
NOVIANTI
RAHMATILL
505 AH 058728 11/9/1995 - 19:01:22 20:56:03

DEWI
NURFADILA
506 H 117678 3/2/2002 - 20:09:43 20:10:34
ADE NUR
507 ROHMAH 075893 11/30/2004 - 20:21:06 20:21:00
PANDU
SAPARINDA
,
(A.Md.Kep.
508 ) 091935 8/29/1990 - 20:32:45 20:33:59

GITA AYU
CAHYANI,
(A.Md.Kep)
509 . 063283 11/28/1996 - 20:46:29 20:50:34

SILVIA K30 -
MAGITA Functional
510 SOMANTRI 098030 3/7/1999 dyspepsia 21:08:28 21:09:24

R50 - Fever
of other and
unknown
511 RANI 101080 8/17/1984 origin 21:11:11 21:12:37

R50 - Fever
of other and
unknown
512 RIDWAN 117679 4/7/1979 origin 21:13:32 21:14:21

K30 -
Functional
513 ALI MUKTI 117680 12/12/1973 dyspepsia 23:02:11 23:05:20

ARSY R11 - Nausea


514 NAYLA 117681 3/12/2021 and vomiting 23:28:05 23:40:06

N39.0 -
Urinary tract
infection,
site not
515 JUJUN 117682 3/18/1962 specified 0:33:11 0:53:26

J45 - Asthma
| J45.9 -
Asthma,
516 SONIAWATI 087027 6/3/1984 unspecified 5:15:51 5:16:11 0:02:02
RATU
NABILA R11 - Nausea
517 NUR SYIFA 117684 6/22/2021 and vomiting 5:49:21 5:50:35

R50 - Fever
ALFA of other and
ALTEZZA unknown
518 PRANAJA 117685 4/14/2020 origin 6:05:12 6:06:58

K30 -
Functional
dyspepsia |
ERI R11 - Nausea
519 YUNIARTI 117686 6/10/1994 and vomiting 6:11:50 6:12:59

520 AI SADIAH 117688 7/7/1986 - 6:49:08 16:22:58

A09 - Other
gastroenteri
tis and colitis
of infectious
KHAYLA and
ARSYANA unspecified
521 MARITZA 098500 1/10/2020 origin 7:01:45 10:05:16
ATIKAH, M79.1 -
522 (Hj). 093011 7/1/1947 Myalgia 7:08:02 8:10:27

BAMBANG
SUDARMO
523 NO 008688 3/10/1975 - 7:31:02 10:32:43
524 NENIH 016095 7/1/1965 - 9:41:32 13:55:16

G44.0 -
Cluster
RIDWAN headache
525 MAURAKSA 058727 11/10/1991 syndrome 10:11:44 10:14:25

CHRYSMAN
ANDRERIA,
526 (dr). 100527 10/8/1993 - 10:30:06 10:31:50

DINA
527 FEBRIANA 025747 2/28/2004 - 10:35:16 10:36:59
P000047477
- fraktur |
S00 -
AHMAD Superficial
ASKHA injury of
528 ATHAYA 117697 12/17/2009 head 12:45:45 12:47:16 0:03:01

NENENG
BUDIYANIN
529 GSIH 113867 7/11/1953 - 13:25:15 13:26:16

NENENG R51 -
530 YULIAWATI 117700 9/7/1993 Headache 14:06:51 14:08:38

R50 - Fever
of other and
ATEP unknown
531 DUDIN 114607 11/4/1964 origin 14:41:03 14:43:10

K30 -
FITRI Functional
532 NURLAELA 097171 6/8/2004 dyspepsia 15:17:24 15:19:59

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | K30 -
RINI Functional
533 MARYANI 055737 12/23/1994 dyspepsia 15:20:47 10:03:01

T14 - Injury
of
PEPEN unspecified
534 SUPENDI 045029 12/11/1965 body region 15:23:38 15:25:24 0:03:02

K30 -
Functional
dyspepsia |
P29.2 -
Neonatal
hypertension
| R50 - Fever
of other and
unknown
535 CICAH 081159 7/1/1955 origin 15:32:38 15:34:29
R50 - Fever
ERISA of other and
RHAMDANI unknown
536 A 098836 12/14/1999 origin 15:40:17 15:42:14
EMPIP
537 SOPIAH 117706 7/1/1957 - 15:45:54 15:45:54

K30 -
Functional
538 NURYANTI 102496 2/11/1984 dyspepsia 15:52:22 15:54:24

539 ELSA MIRA 117707 5/6/1987 - 16:19:47 16:19:47

SITI ZAHRA R10.0 -


NURAMDIN Acute
540 I 117708 11/23/2001 abdomen 16:51:27 16:53:49 0:03
ANDI
541 PRIYADI 117610 5/13/2000 - 17:02:20 13:46:47

MUHAMM
AD IKHSAN
ALFIANSYA
542 H 023291 9/23/2009 - 17:16:46 9:26:29

K30 -
Functional
dyspepsia |
R50 - Fever
of other and
EUIS unknown
543 NURAENI 117709 11/25/2004 origin 17:32:09 17:34:19

LELY NUR K30 -


AGUSTRIAN Functional
544 I 117710 8/10/1989 dyspepsia 17:41:54 17:43:01

MUHAMAD
FIKRI
PIRMANSY 068317/11
545 AH 4533 11/8/2010 J45 - Asthma 17:57:00 17:59:52 0:02:52

S00 -
Superficial
injury of
546 IRMA 117711 7/20/2001 head 18:08:28 19:33:40

547 KUSDIANA 117712 2/18/1979 - 18:36:03 18:36:03


I50.0 -
Congestive
548 KHOERIAH 078460 11/17/1979 heart failure 18:43:07 18:46:33 0:03:40

K52.0 -
Gastroenteri
tis and colitis
005682/02 due to
549 SAK DIAH 6426 7/1/1974 radiation 18:53:36 20:12:46
ABDUL R06.6 -
550 RAFFY 117714 6/10/2009 Hiccough 18:58:01 18:59:49

R50 - Fever
of other and
ADE unknown
551 MAULANA 117715 5/23/2000 origin 19:41:57 18:43:58

K30 -
Functional
dyspepsia |
R11 - Nausea
and vomiting
| R63 -
Symptoms
and signs
concerning
food and
552 ALINNA 009267 3/2/1965 fluid intake 19:48:31 21:20:30

K30 -
SITI 069902/07 Functional
553 CAHYATI 0225 4/5/1998 dyspepsia 19:57:41 19:59:04
RIFKA
554 ADELIA 117717 5/20/2007 - 20:27:17 2:24:59

DADANG
555 SUHENDAR 076275 12/12/1983 - 20:39:35 21:06:23

WAWAN
556 SETIAWAN 058071 8/10/1970 - 20:43:19 8:26:03
557 ASTUTI 117718 6/5/1979 - 8:26:42 8:26:42
558 ITALIA 117719 9/18/1996 - 21:09:01 21:35:07
AURA HADI
559 SYHAPUTRI 117720 1/6/2003 - 21:34:27 21:34:50
560 DADANG 023400 4/20/1979 - 21:55:38 21:56:52

HARI DWI
561 SETIAWAN 063045 4/10/1994 - 22:45:35 21:58:57

MOH.
ISLAMI
562 FAHLEPI 117722 11/28/1992 - 23:20:06 23:25:31

NAUFAL
ZAKY
563 PERMANA 108458 9/28/2018 - 8:30:26 8:30:26
ENDANG
564 BAENURI 093982 8/18/1985 - 0:08:28 0:10:11
565 NINGSIH 052731 1/2/1991 - 1:44:20 1:47:04

RATU
ELLIZA
566 ALMASYIRA 117726 1/5/2021 - 6:56:55 2:18:35

ERIK
567 FARYANA 117727 3/12/1983 - 5:36:48 3:02:18

ENDANG
568 LESMANA 066068 7/6/1980 - 4:15:42 4:15:29

MAFAZA
NUHASABI
569 RA 117728 4/3/2021 - 4:26:19 4:27:56

MOHAMAD
ABIDZAR
570 ALGIFARI 117729 2/25/2014 - 7:34:55 5:10:58

MOH
IDOCHI J45.9 -
ABDUL 100507/11 Asthma,
571 MAJID 1322 10/13/2004 unspecified 5:40:45 5:43:43 0:04:28

R50.9 -
Fever,
572 ELIS 044811 4/4/1971 unspecified 5:56:23 5:41:04
ALNAIRA R50.9 -
FUKAYNA 044992/05 Fever,
573 AZZAHRA 2759 9/3/2017 unspecified 6:04:21 6:05:25

A09.9 -
Gastroenteri
tis and colitis
of
WISNU unspecified
574 NUGRAHA 117731 4/3/1992 origin 7:04:04 14:01:14

ULYA NUR
575 FADILAH 048710 10/1/1999 - 7:08:26 7:08:26

NANO
576 SURYONO 069705 6/5/1967 - 8:00:28 8:34:59

MAFAZA
AISYAH
577 NAZRA 117732 9/2/2021 - 8:10:56 13:32:48

ALLENA
APRILIYANT
578 I SAPUTRI 020551 4/10/2010 - 8:22:23 8:23:56

NAUFAL
ZAKY
579 PERMANA 108458 9/28/2018 - 8:31:06 8:32:35

K56 -
Paralytic
ileus and
intestinal
obstruction
without
580 OJI 117737 1/1/1940 hernia 9:07:52 9:09:24

REZA
SYAMSUL
581 BAHRI 175542 2/23/2009 - 9:23:33 9:24:15

EDY
582 NURHAEDI 117738 10/6/1978 - 9:50:06 9:51:56

583 ROCHMAN 111622 11/28/1977 - 10:18:39 10:20:53


TUTI K30 -
SUSILAWAT Functional
584 I 117741 7/24/1982 dyspepsia 11:17:51 14:02:41

NAIFA
585 KHIRANIA 104095 9/14/2020 - 12:58:08 12:58:08

DEDE
586 SUMARNA 066234 10/26/1992 - 13:21:17 13:59:40

CIARA L30.9 -
GAITSA Dermatitis,
587 JANNAT 117743 7/30/2019 unspecified 13:35:55 13:58:35

M ARIFA K56.7 - Ileus,


588 LATIF 117744 8/19/2019 unspecified 13:42:46 13:57:44

MUHAMM
AD
ZULFADLI
589 WIRAWAN 117745 8/22/2014 - 14:07:05 14:27:51

R10.0 -
Acute
abdomen |
T11.1 - Open
wound of
AGUS upper limb,
HERMAWA level
590 N 117229 8/6/1984 unspecified 14:10:00 14:12:49 0:02

M84.27 -
Delayed
union of
DEDEN fracture,
SHOLEHUDI ankle and
591 N 117746 1/1/1986 foot 14:27:25 16:28:57
J06 - Acute
upper
respiratory
infections
ARDIANSYA multiple and
H unspecified
592 MAULANA 117747 10/22/2021 sites 14:35:48 14:37:04

R50.9 -
Fever,
593 RIAYANA 084751 6/3/1980 unspecified 14:41:44 14:43:53

M10.09 -
Idiopathic
YANTI gout, site
594 SUMARNI 075363 12/21/1979 unspecified 14:50:48 16:32:47

A09.9 -
Gastroenteri
tis and colitis
GAJENDRA of
SAFWAN unspecified
595 MUNAJAT 117748 6/3/2021 origin 15:26:42 15:27:56

T01.1 - Open
wounds
involving
ANNISA thorax with
FARJANA abdomen,
AYUNINDY lower back
596 A 027750 5/6/2016 and pelvis 15:39:10 15:42:36 0:03:46

K30 -
Functional
dyspepsia |
R63 -
Symptoms
and signs
concerning
food and
597 HOLISOH 117749 10/5/1950 fluid intake 15:46:52 19:47:05
A09.9 -
Gastroenteri
tis and colitis
KAISA of
PUTRI unspecified
598 ANDRIANI 082096 2/28/2019 origin 16:29:41 16:30:57

R50.9 -
Fever,
599 NOVIA NUR 082169 10/7/2013 unspecified 16:40:07 16:42:57

T01.0 - Open
wounds
involving
head with
neck | T14 -
Injury of
MAYA unspecified
600 OKTAVIANI 074803 5/4/2017 body region 16:40:07 16:42:42 0:02

THERESYA K30 -
MAGDALEN Functional
601 A I.P.N 117651 4/24/2006 dyspepsia 17:01:59 17:02:57

P39.0 -
Neonatal
infective
602 YULIA 117753 4/10/2003 mastitis 17:09:28 0:00:06

SUCI NUR
603 PAUZIAH 117724 2/3/1997 - 17:18:15 17:18:15

K30 -
Functional
604 SUSANTI 117754 8/6/1992 dyspepsia 17:29:08 17:31:46

R50.9 -
ASYAFIA Fever,
605 HUSNA 117755 10/9/2020 unspecified 17:35:30 17:36:48
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
K52.0 -
Gastroenteri
tis and colitis
due to
606 DUDIN 063068 7/1/1945 radiation 17:37:36 13:38:41

BAYI
NYONYA
SUCI NUR
607 PAUZIAH 117756 5/14/2022 - 17:50:49 17:50:49

ANGGA
608 NURJAMAN 117757 2/10/1992 - 18:17:50 18:19:56

MUHAMM R50 - Fever


AD ADNAN of other and
ARDIANYA unknown
609 H 110420 12/3/2019 origin 18:22:28 23:51:42

R50 - Fever
SHARA of other and
JASMINE unknown
610 HERLANDA 102713 11/29/2015 origin 18:37:21 18:39:12

J45 - Asthma
| K52.0 -
Gastroenteri
tis and colitis
CHAERUL due to
611 ANWAR 073827 6/5/1977 radiation 18:40:53 18:42:58 0:03:51

H81.1 -
Benign
MERIAWAT paroxysmal
612 I 089061 10/8/1986 vertigo 18:49:21 18:51:45
E11 - Non-
insulin-
dependent
diabetes
613 SOLIHIN 047356 2/17/1964 mellitus 18:51:56 18:54:13

Z20.3 - Z20.3
- Contact
DEA with and
MARWA exposure to
614 UTAMI 117758 9/11/1996 rabies 19:33:38 19:35:37

ADNAN
AKBAR
615 SEPTIAN 009996 9/20/2019 - 19:55:05 19:58:46
022922/11
616 MARSELA 0678 12/18/2004 - 20:00:48 23:55:21
617 IIS 175175 10/10/1961 - 20:11:38 20:11:38

A91 -
MUHAMM Dengue
AD DZAKI haemorrhagi
618 AL RIZKY 078012 7/3/2018 c fever 20:25:47 23:48:34
619 DISAH 117759 10/14/1998 - 20:52:03 22:56:37

MAUDY
RAHMAWA
620 TI 117760 5/27/2002 - 20:57:03 20:58:07

K30 -
FAJAR Functional
621 FIRDAUS 117761 5/19/2009 dyspepsia 21:23:15 21:24:35

A09.9 -
Gastroenteri
tis and colitis
KAILASH of
CAVINDRA unspecified
622 SAUQI 106677 12/22/2020 origin 21:22:03 21:23:59
623 SARIFAH 117763 10/1/1971 - 21:27:57 21:27:57

ADE AYU R50.9 -


RAHMAWA Fever,
624 TI 117764 2/14/2006 unspecified 21:51:39 23:42:16

MUHAMM
AD SHAKA R50.9 -
ZAINUL Fever,
625 RAFAN 115650 12/14/2020 unspecified 22:45:14 22:46:26
ELIN
626 LINDAWATI 001225 5/9/1985 - 0:51:12 0:52:24
ACHMAD
627 FAIQ 082292 3/2/2016 - 2:03:31 2:21:54

OOM
628 KOMARIAH 117762 8/23/1972 - 3:45:20 3:47:26
629 ENAN 039559 7/18/1952 - 5:26:01 5:27:18

ANNISA J45.9 -
PUTRI Asthma,
630 PRATAMA 024898 5/21/2016 unspecified 5:34:16 5:36:21 0:02:37

ALBYAN R50.9 -
EZAR Fever,
631 RAHMAN 117767 8/29/2021 unspecified 7:05:11 7:08:16

CADINZA A91 -
RHAMADA Dengue
NI AYANDA haemorrhagi
632 RISMAN 117768 5/22/2019 c fever 7:50:37 10:32:23

K30 -
ENUNG Functional
633 NURHAYATI 093186 7/15/1976 dyspepsia 8:36:04 8:38:47

FATIMAH
AULIA R11 - Nausea
634 AZZAHRA 103702 3/21/2021 and vomiting 9:25:42 9:25:21

T14 - Injury
DENDA of
LINGGASW unspecified
635 ARA 117769 8/9/1993 body region 9:46:14 9:48:13 0:02:27

J06 - Acute
upper
respiratory
infections
multiple and
unspecified
ICEU sites | R51 -
636 SUMARNI 175354 9/3/1969 Headache 9:51:18 10:29:59
I10 -
Essential
(primary)
hypertension
OING | R04.0 -
637 IBROHIM 117770 5/15/1951 Epistaxis 9:54:35 11:15:16

J45 - Asthma
| J45.9 -
Asthma,
638 NANANG 000775 1/1/1958 unspecified 9:58:44 9:59:57 0:02:51

M79 - Other
soft tissue
disorders,
not
elsewhere
639 MUNIRAH 117771 5/15/1932 classified 10:22:59 10:23:57

QUEENSHA
HANA
640 KAMILA 100109 5/21/2019 B86 - Scabies 10:44:21 11:20:16

R11 - Nausea
and vomiting
EMA | R51 -
641 DAHRIAH 020663 1/15/1979 Headache 10:45:55 11:19:41

T14 - Injury
of
MULKI unspecified
642 WAHYUDIN 117772 6/16/2011 body region 10:57:22 10:59:12 0:02:34

SHARA
JASMINE
643 HERLANDA 102713 11/29/2015 - 11:02:22 11:02:22

K30 -
YANTI Functional
644 SUMARNI 075363 12/21/1979 dyspepsia 11:31:13 12:17:48
Z02.9 - Z02.9
-
Examination
for
MUHAMAD administrativ
ARI e purposes,
645 ARASYID 017906 12/31/2013 unspecified 13:42:36 13:28:03

M.
ALFAZZARI
MALIK
646 ROMDON 050482 5/27/2018 - 13:38:07 13:38:30

T14 - Injury
of
ALWI unspecified
647 ALIANSYAH 117776 1/1/2013 body region 15:27:34 15:30:16 0:03:40
E9060 - Dog
648 AWING (H) 117778 1/3/1972 bite 15:48:36 15:50:10 0:02:46

DETI
KARTIKA
649 SARI 107597 5/1/1985 - 16:29:02 16:30:07

A09.9 -
Gastroenteri
tis and colitis
of
VANEZA unspecified
650 FAHMA 109555 9/2/1993 origin 16:49:32 16:50:52
651 IIS TITIN 117784 6/5/1974 - 18:08:03 18:09:28

G44 - Other
headache
syndromes |
ULFA NUR R50.9 -
RACHMAYA Fever,
652 NTI 107540 7/15/1998 unspecified 18:11:39 18:12:33

J06.9 - Acute
ADHYASTH upper
A respiratory
RAFIANDRA infection,
653 HIDAYAT 117786 12/1/2015 unspecified 18:43:00 18:44:30
I10 -
Essential
(primary)
654 KUSNO 067029 7/1/1958 hypertension 18:53:11 18:56:07

MUHAMAD R50.9 -
ZAYN Fever,
655 IBRAHIM 117787 6/18/2020 unspecified 19:03:49 19:54:51
656 RAHMAT 117788 3/24/1969 - 19:28:28 19:56:11

J06.9 - Acute
upper
respiratory
RINJANI infection,
657 AIZA PUTRI 117789 2/5/2021 unspecified 19:49:20 19:50:28

J06.9 - Acute
upper
respiratory
infection,
658 PAWAZ 117790 10/4/2020 unspecified 19:43:31 19:45:02

J06.9 - Acute
upper
E. respiratory
KOMARUDI infection,
659 N 085001 10/10/1964 unspecified 19:46:03 19:51:48

J06.9 - Acute
upper
MUHAMM respiratory
AD AKHTAR infection,
660 AL MALIK 110917 3/25/2021 unspecified 19:54:09 19:57:53

RIZMA K30 -
AYYASY Functional
661 NASYAMAH 002609 3/3/2013 dyspepsia 20:51:42 20:53:35
T01 - Open
wounds
involving
FADLY multiple
662 ALHASBI 038589 2/28/2002 body regions 21:55:39 21:59:00 0:04:39

K30 -
Functional
dyspepsia |
R11 - Nausea
and vomiting
| R50 - Fever
of other and
ADITYA D unknown
663 MAULANA 075808 6/15/2002 origin 21:57:53 21:59:58

K21 - Gastro-
oesophageal
MAHRUN reflux
664 NISSA 117793 2/2/2001 disease 22:08:47 6:50:33

K30 -
Functional
dyspepsia |
R11 - Nausea
665 ANIS 175339 2/1/2001 and vomiting 23:44:36 23:45:26
NENAH R06.0 -
666 HAYATI 103035 7/1/1962 Dyspnoea 3:51:07 3:53:24 0:02:31

O21.1 -
Hyperemesis
gravidarum
with
DELVIA metabolic
667 SANDRA 117795 3/5/1998 disturbance 5:22:13 5:23:12

K30 -
KOHARSYA Functional
668 H 115973 1/26/1955 dyspepsia 6:37:18 6:38:20
K52.0 -
Gastroenteri
ZHEA tis and colitis
ARISSA due to
669 ALFANDI 117796 8/31/2020 radiation 6:56:00 7:02:52

K30 -
094336/11 Functional
670 EDI 4382 9/10/1968 dyspepsia 5:22:13 5:24:11

H10.3 -
Acute
conjunctivitis
671 TUTIK 027500 12/7/1962 , unspecified 8:04:49 8:06:16

R10.0 -
WIJI Acute
672 SULASMI 117798 1/24/1974 abdomen 8:25:55 8:26:07 0:02:02

N39.0 -
Urinary tract
infection,
site not
specified |
R10.0 -
WIJI Acute
673 SULASMI 117799 1/24/1974 abdomen 8:22:33 8:23:05

K52 - Other
noninfective
gastroenteri
tis and colitis
| R10 -
Abdominal
RESKI and pelvic
674 APRILIANI 097707 4/6/2003 pain 8:54:05 8:55:30

K52.0 -
ARKA Gastroenteri
PUTRA tis and colitis
TUWANSYA due to
675 H 102877 7/17/2020 radiation 8:59:02 9:00:57
R50 - Fever
of other and
RENI unknown
676 SAMSIAH 067573 8/9/1999 origin 9:18:54 9:19:43

A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologic
ally and
677 HENDRI 086069 1/2/1981 histologically 9:29:20 9:30:16

R50 - Fever
MUHAMM of other and
AD RAYYAN unknown
678 ARTANABIL 104955 2/6/2020 origin 9:46:05 9:47:54

J06.9 - Acute
upper
respiratory
infection,
unspecified |
KANIA R50.9 -
PUTRI Fever,
679 ALMAHYRA 117800 6/5/2021 unspecified 10:05:26 10:06:45
ANI M79.1 -
680 YULIANI 117801 5/16/1957 Myalgia 10:16:31 10:17:27
A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin | R50 -
Fever of
other and
EDI unknown
681 SUHAEDI 117802 11/2/1969 origin 10:21:07 17:22:35

SITI K30 -
NUROHMA Functional
682 T 175460 5/10/2002 dyspepsia 11:12:52 11:13:46

O80.9 -
Single
GISKA spontaneous
NORMAYA delivery,
683 NTI 117803 11/15/1989 unspecified 10:53:20 10:54:45
BILAL
684 RABBANI 114012 1/6/2021 - 11:22:24 11:22:30

HERMANSY
AH
685 NASUTION 117805 1/16/1965 - 11:51:11 11:52:59

RIZMA
AYYASY
686 NASYAMAH 002609 3/3/2013 - 14:07:25 14:08:45
NENDEN
687 MARYATI 117806 3/8/2002 - 14:10:55 14:11:31

BUNGA
SYARI
ZATINEGAR
688 A 111707 5/13/1991 - 14:15:16 14:16:49
YANI
689 SURYANI 117807 12/5/1971 - 14:20:01 17:26:02

NIDA
QURANI
690 SALEHA 110402 12/17/2020 - 14:23:09 14:24:39
ANISA
691 SAFIPAH 117808 7/12/2021 - 14:27:41 14:28:04

MUHAMM
AD AL-
692 GHIFARA 111800 10/12/2021 - 15:18:33 15:19:30

TIA
693 OKTAVIANI 117809 10/6/1995 - 15:24:32 19:00:21

A09.9 -
Gastroenteri
tis and colitis
MUHAMAD of
AQSHA unspecified
694 ABDILLAH 112897 11/1/2019 origin 15:35:43 15:36:24

R50.9 -
ASEP Fever,
695 NUGRAHA 117811 8/1/1991 unspecified 16:14:39 16:17:26

K30 -
NINING Functional
696 YUNINGSIH 100117 12/10/1980 dyspepsia 16:20:34 16:22:01

697 SYAMSURI 117812 1/1/1957 - 17:05:35 17:07:47

K30 -
NINA Functional
698 NIAWATI 020335 10/6/1984 dyspepsia 17:07:35 17:10:57

AGUNG
APRYANA
MAHARDIK
699 A 117813 4/29/1999 - 17:11:24 17:14:38

J18.0 -
ARISA Bronchopne
PUTRI umonia,
700 SHANUM 117814 2/21/2021 unspecified 18:21:11 18:22:51
701 ATIH 106199 12/26/1960 - 17:33:32 17:34:56

K30 -
Functional
702 ENUNG 064529 10/10/1962 dyspepsia 17:37:04 17:33:46
T30 - Burn
and
corrosion,
GAISAN body region
703 RAFASHA 117815 4/15/2020 unspecified 18:11:14 18:13:34 0:02:48

K52.0 -
Gastroenteri
QIAS tis and colitis
ALHASAN due to
704 MUWAFAQ 117816 4/29/2020 radiation 18:14:34 18:15:56
CICI
705 LESTARI 117818 10/14/1970 - 1:13:38 18:41:05
706 AKLIMAH 117819 5/15/1963 - 19:01:06 19:02:55

MEISYA
MELANI
707 PUTRI 117820 5/12/2020 - 19:31:23 19:31:23

R50 - Fever
of other and
JAMALUDI unknown
708 N 063639 11/10/1968 origin 19:32:38 19:33:48

RAIHAN
RIZKI
709 ADITIA 079482 8/27/2013 - 19:43:19 19:44:41

ELISYA
KHAERUNN
710 ISA 072567 1/18/1990 - 20:23:33 20:24:51

H66.9 - Otitis
KOKOM media,
711 KOMARIAH 061709 7/21/1976 unspecified 21:12:19 21:37:11

J45 - Asthma
| K30 -
TINI 073175/11 Functional
712 KARTINI 7591 1/1/1963 dyspepsia 22:04:04 22:06:46 0:02:50
713 UJIB 117822 11/8/1959 - 22:22:51 12:13:38

ESTI
RAHAYU
714 FINUJI 117823 6/19/1986 - 22:54:07 12:07:49
DODIH M79.1 -
715 SUHERMAN 054615 11/27/1972 Myalgia 1:09:44 1:30:51

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | K30 -
Functional
716 THOHIRIN 092243 7/1/1972 dyspepsia 2:48:52 3:11:07

N02.9 -
Recurrent
and
persistent
haematuria,
unspecified |
N40 -
Hyperplasia
of prostate |
R33 -
ICA PUTRI Retention of
717 RUSWANDI 117826 5/3/1999 urine 3:52:37 3:44:33

R50 - Fever
SITI of other and
FATIMATUZ unknown
718 ZAHRA 014073 2/11/2014 origin 4:18:48 4:20:41

R50 - Fever
of other and
unknown
PUTRA origin |
WAHYU R50.9 -
MAHATIDA 089357/11 Fever,
719 NA 2642 5/17/2020 unspecified 4:21:52 4:23:27
TANIA 033748/03
720 MULYATI 8820 11/7/1986 - 4:29:44 4:29:44
S09.7 -
Multiple
TINI injuries of
721 KARTINI 053943 6/3/1965 head 5:51:30 5:55:07 0:04:37

R50 - Fever
of other and
TASYA SUCI unknown
722 UTAMI 115206 9/26/2018 origin 6:33:56 7:06:40
723 NENAH 037012 7/1/1965 - 7:37:28 12:10:46
724 RAHMAT 117830 2/6/1960 - 9:47:11 9:47:57

ECIN SITI
725 KURAESIN 049363 12/16/1984 - 9:47:07 17:21:44

I50.0 -
WAWAN Congestive
726 SETIAWAN 088887 4/28/1956 heart failure 10:17:46 10:18:46 0:02:22

A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologic
ally and
histologically
RADEN | J45.9 -
CHAKRAWA Asthma,
727 LA BUMI 117849 8/14/2016 unspecified 11:17:11 11:17:58

ADIKA
FADMI
728 NURAZIZAH 078999 4/20/2000 - 11:56:26 11:58:42
Z20.9 - Z20.9
- Contact
with and
exposure to
TUTI unspecified
ESYATI,S.P communicab
729 D,MM 117851 11/15/1966 le disease 12:09:43 12:10:21

ARDHI
RIESNANDA
730 R, A.Md 088189 3/13/1988 - 12:20:07 12:23:37
731 REDHO 117853 10/7/2010 - 12:56:34 15:03:31
DIDIN
732 MUHIDIN 064743 7/15/1949 - 13:01:44 16:35:14
M79.1 -
733 MIMIN 117854 7/10/1976 Myalgia 13:05:29 14:58:40

A09.9 -
Gastroenteri
MUHAMM tis and colitis
AD GERREL of
RAFARDHA unspecified
734 N 109649 8/3/2021 origin 13:32:55 14:59:56

T14 - Injury
NAYLA of
NAZWA unspecified
735 SHAKIRA 117859 9/3/2012 body region 14:52:19 14:55:11 0:03:30

SINTA
736 LAELASARI 117860 3/5/2012 - 15:04:46 17:19:21

HARRY E9065 - Bite


FITRI by
KURNIAWA unspecified
737 N 079058 7/21/1982 animal 15:41:06 15:44:06 0:03:12
TUTI
738 MARYATI 117856 11/25/1985 - 16:06:48 16:30:37

EFNI
WIDIASTUT
739 I 117861 8/3/1991 - 17:00:01 17:01:40

DEPITA
NOVITASAR
740 I 011564 3/16/2013 J45 - Asthma 17:37:21 17:38:49 0:02:10
741 PUPU 117862 6/7/1974 - 18:29:12 18:30:37
LUSI
742 ARIYANI 117863 2/6/1986 - 18:34:04 18:35:51

T14 - Injury
of
ZIHAR unspecified
743 MAULANA 117864 3/15/2017 body region 18:36:36 18:38:04 0:02:40
744 IAH 117865 7/1/1957 - 18:47:21 18:48:23

A09 - Other
gastroenteri
tis and colitis
of infectious
and
NURSANIA unspecified
745 H 117867 5/18/1995 origin 19:39:17 13:29:50

R50.9 -
M. RIZKI Fever,
746 SAPUTRA 117868 7/28/2000 unspecified 19:43:10 19:44:22

D36.9 -
Benign
neoplasm,
benign
neoplasm of
LENI unspecified
747 BUDIARTI 099637 3/28/1995 site 20:06:41 2:34:29

RANIA R50.9 -
YULIAN Fever,
748 PUTRI 094892 7/8/2017 unspecified 20:29:05 20:51:43

K30 -
Functional
MUHAMAD dyspepsia |
REYFAN R50.9 -
PUTRA Fever,
749 EDISTIA 117869 10/19/2010 unspecified 20:55:03 22:02:03

SHEVA
750 MARYANTI 071390 3/26/1988 - 9:50:23 17:18:27
ARSYILA R50.9 -
MARYAM Fever,
751 ABDULLAH 105633 11/20/2017 unspecified 21:53:30 22:00:09
YENI
752 RAHMAN 030977 3/23/1982 - 22:09:22 22:10:10

EVA
753 MARYANA 052749 3/29/2003 - 23:09:25 23:10:37

ALZIO
PUTRA
ARTHA
754 SETIAWAN 117871 7/30/2021 - 23:13:22 17:20:37

DUDI
SURAHMA
755 N 016212 12/28/1978 - 23:23:44 11:39:22

FERI
ACHMAD
756 SAPARUDIN 006050 1/17/1980 - 23:40:31 23:41:19

TUTI
GERHANA
757 WATI 106636 10/12/1984 - 23:50:05 23:51:29

758 SITI SARAH 117874 4/12/1996 - 7:25:58 7:25:58


759 SURYATI 100399 3/18/1956 - 1:27:14 1:28:06

FIKRI
SUTEJA
760 ASSIDIK 117873 5/9/1992 - 6:17:55 11:44:14

761 SITI SARAH 117874 4/12/1996 - 9:45:39 10:16:13

762 NURJANAH 043721 7/30/1972 - 8:36:48 8:38:02

IWAN
763 SETIAWAN 117880 4/1/1975 - 9:42:05 9:39:13

MUHAMM
AD RIZWAN
764 SYABANA 117883 4/25/2019 - 9:57:26 11:35:34
765 DERI 117884 9/12/1987 - 10:05:45 11:35:06
RAYYANZA
GHIBRAN
ARSYANEN
766 DRA 099786 11/29/2020 - 10:53:22 10:54:46

LINDA
767 HASANAH 054101 1/23/1982 - 11:45:05 13:46:50

ENTIN
SUPRIANTI
768 N 117889 2/24/1975 - 12:49:19 12:51:45
ENAR
769 SUNARTI 117893 9/2/1970 - 13:34:14 13:38:52

A09 - Other
gastroenteri
tis and colitis
of infectious
and
EMAN unspecified
770 SUHERMAN 114873 8/2/1964 origin 14:33:07 17:00:10

J45 - Asthma
INTAN | J45.9 -
PERMATA Asthma,
771 SARI 117898 3/2/2014 unspecified 16:38:22 16:39:07 0:01:29

A16 -
Respiratory
tuberculosis,
not
confirmed
bacteriologic
ally or
histologically
| R50.9 -
Fever,
772 ISMIATI 117899 12/27/1979 unspecified 16:58:39 17:58:16

K30 -
NURHASAN Functional
773 AH 035316 7/14/1976 dyspepsia 17:02:23 17:05:08

IZHA
KHAIRA
774 PUTRI 109686 4/22/2021 - 17:58:29 17:13:54
MUHAMAD
775 SANDI 106842 1/14/2014 - 18:19:36 18:20:38

R50 - Fever
DHEFFA of other and
ALZA unknown
776 PUTRA 039431 8/19/2015 origin 18:30:29 18:31:23

A09.9 -
Gastroenteri
tis and colitis
of
RIKI unspecified
777 SAPUTRA 043854 10/18/1993 origin 19:08:26 19:09:13

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin | R10 -
Abdominal
and pelvic
778 SOLIHIN 047356 2/17/1964 pain 19:28:09 19:30:04 0:02:13

K30 -
Functional
779 JAJANG 111971 3/31/1996 dyspepsia 20:22:45 20:26:51

K30 -
Functional
780 NENDI 117900 3/11/1970 dyspepsia 20:34:53 20:35:55

A09.9 -
Gastroenteri
tis and colitis
KHAIRA of
PUTRI unspecified
781 HUMAIRA 117901 9/21/2020 origin 21:09:26 14:01:30
YANI
782 SUHAENI 117902 1/1/1961 - 21:23:22 21:24:23

ULFA NUR
RACHMAYA
783 NTI 107540 7/15/1998 - 23:30:38 23:31:21
YENI
NURHASAN
784 AH 117903 8/14/1987 - 0:51:48 0:56:48

SELY
785 SERLIYANTI 088994 6/14/1994 - 2:26:00 2:30:19

REZKA
SYAMIL
786 ALGHIFARI 065081 7/20/2018 - 3:31:26 5:32:40
787 HILMAN 073954 7/8/1972 - 4:42:17 3:47:51

788 SUWANDI 117908 7/7/1977 - 4:06:02 4:07:22

NANO
789 SURYONO 069705 6/5/1967 - 4:11:44 4:12:49

A91 -
Dengue
haemorrhagi
c fever |
DHEFFA R50.9 -
ALZA Fever,
790 PUTRA 039431 8/19/2015 unspecified 8:26:27 8:27:34

R10.0 -
Acute
791 PAPAT 117910 8/7/1959 abdomen 7:37:49 7:38:12 0:02:01

R07.1 - Chest
DEDEN 001892/10 pain on
792 SUPENDI 4179 7/1/1982 breathing 8:38:46 8:40:00 0:02

EVA
793 FARIDAYATI 032558 12/19/1989 - 10:12:58 10:12:58

R50.9 -
RIZKA Fever,
794 FEBRIANA 108422 2/17/1998 unspecified 10:24:43 9:46:33

WIWI I20 - Angina


795 WIDARJAT 117925 6/7/1963 pectoris 10:40:06 10:42:37 0:02:43

MUHAMM
AD DERBY
796 NARAYA 117928 1/23/2022 - 11:42:44 11:44:47
OOM
797 KOMARIAH 117930 7/28/1965 - 13:22:16 17:49:16

NADIRA R50.9 -
AZMI Fever,
798 FALISHA 072347 10/10/2018 unspecified 13:24:53 21:37:26
UJUN 028511/04
799 JUHANA 1/047 2/16/1966 - 13:34:06 13:37:10

AZHAM R50.9 -
MAULANA Fever,
800 ALFARIZQY 104478 7/27/2020 unspecified 14:26:36 14:27:11

MUHAMAD
AZI
MAULANA
801 MALIK 117935 11/21/2021 - 15:18:42 15:19:01

ADZIRA
ANNATASY
A AL
802 WAHID 108545 2/6/2021 - 15:50:18 15:51:17
803 EDI 117936 4/5/1956 - 16:25:41 16:26:23
804 ENCENG 117937 2/11/1967 - 16:21:34 16:21:34

ARBANNI
ADAMA
AULIA
HERMAWA
805 N 117938 11/20/2019 - 16:32:37 16:33:24

SALSABILA
806 MUZTABA 098802 5/17/2009 - 16:50:46 16:52:43

807 SUKARLAN 060636 4/25/1970 - 16:56:26 17:44:04

MUHAMM
AD AL-
808 GHIFARA 111800 10/12/2021 - 16:59:09 18:11:35
SRI
809 MARYATI 115552 3/2/1954 - 17:01:13 17:02:05

DEDE
FAWAZ
FAJAR
ABDUROH
810 MAN 047565 11/23/1997 - 17:41:37 17:42:26
811 ESIH 079796 11/10/1981 - 19:50:38 19:51:12

FANI
812 YUWINDA 117939 3/1/2002 - 20:09:59 20:11:03

R50.9 -
ANDI Fever,
813 PURNAMA 069469 8/14/1976 unspecified 20:13:55 20:16:20

ARSYAKUR
A MARYAM
814 MULYADI 074871 10/16/2016 - 20:18:56 20:21:43

N43.3 -
ENDANG Hydrocele,
815 GUSNENDA 117940 8/18/1997 unspecified 20:49:55 20:42:08

J45 - Asthma
| J45.9 -
Asthma,
816 UPUN 117941 10/9/1966 unspecified 21:05:40 21:08:02 0:03:42

K30 -
ENTING Functional
817 SUHARTINI 012549 3/12/1965 dyspepsia 21:17:07 22:59:35

ARZA
ZHAHIER
FAUDZUL
818 HIDAYAT 102980 9/20/2004 J45 - Asthma 21:22:16 21:24:22 0:02:36

R50 - Fever
ANGGIS of other and
AULIANAW unknown
819 ATI FITRI 117944 11/1/2005 origin 21:52:46 21:53:27

A09 - Other
gastroenteri
tis and colitis
of infectious
MARIAM and
AHMAD, unspecified
820 (Hj). 042305 4/1/1970 origin 0:13:00 0:16:00
A09 - Other
gastroenteri
tis and colitis
of infectious
and
SILVIANA unspecified
821 PUTRI 117948 5/20/2015 origin 3:12:12 10:00:45

MUHAMAD R50 - Fever


AZI of other and
MAULANA unknown
822 MALIK 117935 11/21/2021 origin 6:59:43 13:58:50

R50 - Fever
KINARA of other and
AURORA unknown
823 PRASETYO 056865 6/7/2017 origin 6:20:13 6:21:57

A09.0 -
Other
unspecified
gastroenteri
tis and colitis
of infectious
origin | I10 -
Essential
(primary)
824 AYUH 060736 2/5/1960 hypertension 6:23:00 19:51:07

A09 - Other
gastroenteri
tis and colitis
of infectious
H IPAR and
ABDUL unspecified
825 GOPAR 114431 12/26/1962 origin 6:43:06 6:44:35

FERI
KURNIAWA
826 N 117950 12/15/1984 - 7:04:46 7:06:29
A91 -
KINARA Dengue
AURORA haemorrhagi
827 PRASETYO 056865 6/7/2017 c fever 7:32:54 14:08:50
YOGI
828 MEMET 113743 1/26/1982 - 8:23:06 15:45:09

PANCA
HILAL
829 ISKANDAR 117955 8/14/2014 - 8:31:21 8:34:01

ZIDAN
ADITYA
830 PRATAMA 117960 11/30/2019 - 8:42:51 8:42:51

T50.9 -
Poisoning,
other and
unspecified
drugs,
medicament
s and
ADANG biological
831 SAPUTRA 117963 5/18/1982 substances 10:58:31 11:13:28

T14.1 - Open
MUHAMM wound of
AD ALFATH unspecified
832 SHABIRA 117966 10/25/2011 body region 9:44:00 9:47:49 0:03:49

FITRIA
833 LAELASARI 117967 8/24/1999 - 10:54:39 10:54:39
834 JUJU 103515 8/1/1979 - 11:02:04 11:05:47
HERI
835 IRAWAN 116290 8/25/1982 - 12:36:03 12:40:50
836 ICOH 095590 5/2/1947 - 14:05:39 19:49:33

K30 -
MERLI Functional
837 APRILIANI 117969 4/14/1987 dyspepsia 14:50:02 14:53:44

T14 - Injury
of
RIVA AZWA unspecified
838 NURUL AINI 117970 11/25/2007 body region 14:56:03 14:58:17 0:02:20
MUHAMM A91 -
AD Dengue
FAWWAZ haemorrhagi
839 SAKTI 117972 11/8/2011 c fever 15:47:34 3:43:31

RISA K30 -
PURNAMA Functional
840 SARI 032726 8/12/1991 dyspepsia 17:10:20 17:12:30

LALAN
841 SUPARLAN 117980 3/15/1983 - 17:43:07 17:44:45

INTAN
CHAERUNN
ISA
DAMAYANT
842 I 095393 3/29/1999 - 17:44:18 17:45:14

843 AYU FITRIA 117981 1/11/2003 - 19:30:16 19:31:31


NENIH
844 NURYANI 101085 6/17/1976 - 19:23:57 19:24:06

NIZAM
BACHTIAR
845 NASIR 117983 3/15/2020 - 20:14:35 20:50:37

YENI
NURAENI,
(A.Md.Kep.
846 ). 053275 8/7/1987 - 20:22:38 9:13:33
847 ENCUN 086366 7/1/1961 - 20:26:45 20:27:04

FANI AULIA
HERMAWA
848 N 117984 5/14/2019 - 20:37:44 20:38:39

ARWA
849 SHAFIYYAH 117985 6/6/2020 - 20:41:50 3:46:20
850 RENDI 117987 7/1/2002 - 21:32:46 21:35:40

R11 - Nausea
851 EDOH 117989 7/1/1978 and vomiting 22:14:00 16:55:11
O80.9 -
Single
spontaneous
MEGA delivery,
852 UTAMI 117990 1/1/1996 unspecified 0:10:04 0:10:04
WINA
853 HARYANI 040738 12/17/1982 - 6:31:03 9:06:24

QUINSHA
AMELIA
854 LUDI 116547 7/30/2021 J45 - Asthma 6:42:27 6:45:10 0:03:37

T14 - Injury
of
AGUS REZA unspecified
855 PRASTYA 078474 7/23/2001 body region 7:17:24 7:19:07 0:02:31

R50.9 -
KHOERUL Fever,
856 NISA 105845 2/2/2020 unspecified 8:36:40 8:38:53

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin |
MUHAMM R50.9 -
AD ALFI Fever,
857 SYAHDI 107259 6/30/2021 unspecified 8:43:25 8:49:49

ENUNG M13 - Other


858 NURHAYATI 059271 7/19/1972 arthritis 8:45:40 8:47:52

M.U
SYAMSUDI
859 N 106555 12/7/1942 - 8:57:16 8:59:01
860 HENDRI 086069 1/2/1981 - 9:09:00 9:46:55
RIA
861 MELIANI 065734 5/1/1985 - 9:32:50 9:33:02

PRIHATI
ENDANG
862 NURYATMI 117999 7/15/1947 - 9:55:58 9:56:43
863 ADANG 118000 7/4/1963 - 10:10:06 13:02:32

MUHAMM
AD
ZHAFRAN
NATA
864 HAMIZAN 118001 4/6/2018 - 10:19:28 10:20:06

MUHAMM
AD
ALFIYANSY
865 AH 118002 5/13/2020 - 10:25:42 18:46:47

866 AI KURNIA 26696 7/9/1992 - 10:35:16 10:36:35


YULIANAW
867 ATI 175462 7/24/1979 - 10:44:58 10:46:29

868 AI SUHERTI 118004 8/7/1975 - 11:11:56 11:12:02

EVA
KUSUMAW M79.1 -
869 ATI 068484 5/8/1982 Myalgia 11:41:53 11:43:50

AEP
870 SAEPUDIN 046988 5/1/1960 - 11:54:29 11:55:44

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
confirmed |
R06.0 -
871 PAPAT 117910 8/7/1959 Dyspnoea 12:01:36 12:03:14 0:02:50
SAQILA 050280/07
872 MARYAM 5992 4/10/2017 - 12:41:26 12:42:11
SUSILAWAT
873 I 118008 6/14/1986 - 14:16:49 14:18:59

A91 -
Dengue
haemorrhagi
c fever | K40
M ARIF - Inguinal
874 BUDIMAN 054399 3/2/1953 hernia 14:33:30 18:49:16
K30 -
Functional
AHMAD dyspepsia |
RIFARDI R50.9 -
MAULANA, 089518/03 Fever,
875 (A.Md.Rad) 2182 8/3/1994 unspecified 15:13:32 16:36:34

ABDUL
HADI
NURJAZILA
876 H 060670 1/12/2001 - 15:51:45 15:54:50

J06.9 - Acute
upper
respiratory
infection,
877 RENDI 112998 11/26/2016 unspecified 16:23:02 16:23:16

T14.1 - Open
wound of
DADANG unspecified
878 SURYANA 118012 12/15/1995 body region 16:59:58 17:01:35 0:02:33

A15.3 -
Tuberculosis
of lung,
confirmed by
unspecified
means |
NENI R06.0 -
879 PURWANTI 175381 4/19/1987 Dyspnoea 17:13:13 17:16:24 0:03:37

T79.4 -
TUTI Traumatic
880 SUPENTI 081811 5/1/1993 shock 18:37:58 18:39:00 0:02:58

M62.06 -
Diastasis of
PUTRI YANI muscle,
881 FEBRIYANI 102851 2/23/2000 lower leg 18:46:07 18:49:00

MUHAMM R50 - Fever


AD ARIL of other and
PUTRA unknown
882 APRIJAL 073463 4/3/2019 origin 18:53:18 18:48:01
R10 -
Abdominal
EGI INSAN and pelvic
883 MAULANA 112448 12/8/1991 pain 19:10:12 19:13:04 0:03:16
TATI
884 HARYATI 081139 11/22/1965 - 19:13:26 22:07:07

B37.2 -
Candidiasis
AGUS of skin and
885 SUGIARTO 024238 11/4/1978 nail 19:19:07 18:21:17

K52.0 -
Gastroenteri
FAUZIAH tis and colitis
AZKA due to
886 SABRINA 118014 12/11/2021 radiation 19:38:04 22:06:34

ADELIA
RINDU
887 FEBRIANA 118015 2/29/2020 - 19:53:40 22:04:19
AYI
888 SAPTARI 113284 5/13/1962 - 21:23:41 19:58:26
889 ABAS 118018 2/4/1978 - 21:24:54 21:14:09
890 ABUN 118019 7/1/1955 - 21:37:56 21:37:56

SITI
RAHMAWA
891 TI 118021 10/28/1991 - 21:59:44 21:59:24
892 LILI 118031 7/1/1952 - 8:37:52 8:37:52
893 ZAHRA 118023 8/7/2005 - 1:03:03 9:26:44

K45 - Other
TIKA abdominal
894 KARTIKA 102932 2/4/1980 hernia 1:08:28 1:09:19

YAKUB
PUTRA
895 HANAPI 118024 9/30/2020 - 1:27:07 1:29:47

EMPAN
896 SUPIANDI 082450 8/27/1991 - 6:31:27 6:32:10

YOGA
897 PRATAMA 118027 9/11/1996 - 7:06:03 10:53:02

FERA
JENICA
898 WIGANDA 118028 6/25/2004 - 7:23:40 10:31:11
JAJAT
899 SUDARAJAT 118029 4/16/1963 - 7:50:37 7:50:37

I50.0 -
Congestive
heart failure
| R06.0 -
900 LILI 118031 7/1/1952 Dyspnoea 8:38:27 8:40:22 0:02:49

ALLEA
PUTRI
901 KINANTI 112090 1/29/2018 - 8:56:34 8:57:09
CAITLYN E9060 - Dog
902 LUNETTA 118033 8/20/2016 bite 9:02:21 9:05:28 0:03:49

903 SAEPULOH 118034 5/22/2001 - 9:19:31 9:20:38

ADRIAN
NATA
SYAHPUTR
904 A 118035 11/23/2016 - 9:27:41 18:42:00
905 RENDI 112998 11/26/2016 - 9:29:14 9:30:48
906 HENDRI 086069 1/2/1981 - 9:37:07 9:38:09

907 A SURYANA 118036 12/12/1958 - 12:52:02 12:53:58

HERLAN
908 SUGANDA 024862 9/24/1961 - 13:09:55 11:20:11

A09.9 -
Gastroenteri
tis and colitis
MUHAMM of
AD RAIHAN unspecified
909 ZULFIQAR 118038 1/22/2022 origin 16:12:27 16:13:09

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
AZRIL origin | E86 -
RAVIQ Volume
910 SAPUTRA 118039 4/12/2020 depletion 16:17:06 17:43:45
J06.9 - Acute
upper
SADIYAH respiratory
PUTRI infection,
911 ANWARI 028997 5/11/2017 unspecified 16:30:06 16:31:14

R11 - Nausea
912 SITI AISAH 118040 6/2/1994 and vomiting 16:49:36 11:32:05

R10.4 -
Other and
unspecified
abdominal
ALBIT pain | R50.9
ALWAN - Fever,
913 FAHLEVI 062044 9/8/1998 unspecified 16:54:47 16:55:14

I10 -
Essential
(primary)
hypertension
| N04 -
Nephrotic
syndrome |
914 UPIT 068540 6/6/1973 R18 - Ascites 16:50:55 16:52:14

A09.9 -
Gastroenteri
tis and colitis
KEYNARA of
SAFANIYA unspecified
915 MARWAH 107043 10/2/2020 origin 17:59:44 17:59:01

I10 -
Essential
(primary)
hypertension
| K30 -
JAMALUDI Functional
916 N 005979 12/11/1960 dyspepsia 18:19:36 18:20:03
ALODIE R50.9 -
QUEENARA Fever,
917 AZZALFA 113582 9/6/2020 unspecified 18:27:28 18:28:03

A09.9 -
Gastroenteri
tis and colitis
BULAN of
ALZAHNA unspecified
918 RAYADI 118041 9/28/2012 origin 18:32:07 18:33:01

ETI L50 -
919 SUNDAYATI 006668 8/12/1956 Urticaria 18:43:46 18:44:01

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
920 NASRUDIN 099455 4/10/1990 origin 18:47:18 18:48:01

MOCH
RAKA AZKA
921 PUTRA 118042 11/19/2014 - 19:20:27 19:21:01

922 REA HOQQI 118044 7/11/2019 - 20:17:08 21:54:18

BARRA
SYAHID
ARKANANT
923 A 118048 1/11/2021 - 0:00:54 10:29:57
BEDI
924 JUBAEDI 023340 1/12/1947 - 1:51:44 10:39:11
J06 - Acute
upper
respiratory
infections
multiple and
unspecified
sites | J06.9 -
Acute upper
respiratory
infection,
925 PERI SUGIRI 077863 6/16/1991 unspecified 8:09:07 8:10:15

MOHAMAD R50.9 -
PANJI Fever,
926 BARKATAN 016711 6/12/2006 unspecified 8:32:06 10:09:20

MOCHAMA T14 - Injury


D RIZKI of
RAMADHA unspecified
927 N 014747 9/16/2009 body region 8:36:24 8:39:30 0:03:54

ISUM
928 SUMARNI 118056 2/20/1984 - 2:07:20 8:45:13

A91 -
Dengue
YURI haemorrhagi
929 YUNIARTI 118060 5/14/1997 c fever 9:02:21 10:11:47

R50.9 -
WILDA Fever,
930 NENGSIH 118061 2/26/1995 unspecified 9:05:50 16:41:28

N39.9 -
Disorder of
urinary
ENDAN system,
931 KOSWARA 118068 2/5/1954 unspecified 9:50:49 10:15:03
T14.1 - Open
wound of
unspecified
932 APUD 118074 10/5/1980 body region 11:43:18 11:45:21 0:02:39

WIDHIAWA
933 TY NOOR 118075 4/15/1999 - 11:02:49 12:45:58

RAINA K30 -
NISMARA Functional
934 PUTRI 118076 3/1/2005 dyspepsia 11:14:30 11:35:31

N94.6 -
Dysmenorrh
LISDA oea,
935 MAYANTI 103157 1/5/1999 unspecified 11:31:22 11:32:16

R11 - Nausea
and vomiting
RISKA SRI | R50.9 -
NURMAYA Fever,
936 NTI 032492 10/18/1991 unspecified 11:33:59 11:33:29

JIHAN NUR
937 MARIAM 118077 12/23/2021 - 11:38:50 13:02:35

R50.9 -
ALFI Fever,
938 ANGGARA 118078 9/16/2019 unspecified 11:46:53 13:04:20

R50.9 -
Fever,
939 AYU FITRIA 117981 1/11/2003 unspecified 12:38:13 17:23:19

SELLA J45.9 -
PRADANA Asthma,
940 YUDISTIRA 118080 5/23/2002 unspecified 12:52:29 12:55:04 0:03:33
MARIA UMI
TITIN
RUMAMPE
941 A 108690 4/2/2002 - 14:53:24 14:55:52
IIS
942 MULYATI 117612 4/20/1968 - 14:57:31 14:58:42
YUSRIL
943 SIDIK 114947 5/17/2000 - 15:12:15 15:14:25

ASTY
YUMNA
944 PUTRI 110120 3/3/2021 - 16:01:14 16:02:08
945 RENDI 112998 11/26/2016 - 16:07:29 16:08:15

IRMA
KUSMAYAN
946 TI 118082 6/17/1987 - 16:23:06 16:24:42

R19 - Other
symptoms
and signs
involving the
digestive
system and
947 RANI 076436 2/5/1984 abdomen 17:19:26 17:20:20

RIZAL
FADHLI
948 HUSNI 118083 12/15/1979 - 18:18:35 18:19:16

MOCH.
RAFFY
949 NURDIYAN 118084 7/22/2004 - 19:07:35 19:33:14

MUHAMM E9060 - Dog


950 AD RIZKI 118085 12/12/2014 bite 18:38:05 18:40:01 0:02:06
SUBHAN
951 JAELANI 067996 4/16/1986 - 18:54:41 20:05:31

T14.1 - Open
wound of
SRI unspecified
952 WIJAYANTI 118087 8/24/1967 body region 19:23:37 19:27:13 0:04:50
T14.0 -
Superficial
injury of
TEDI unspecified
953 SETIADI 118088 8/30/1975 body region 19:25:33 19:28:01 0:03:34

954 NURJANAH 071932 10/10/1973 R18 - Ascites 19:40:56 19:45:51

MUHAMM
AD
955 ALAMSYAH 118089 10/14/2014 - 19:29:27 19:30:03

J06.9 - Acute
upper
DAFFA respiratory
FAZRIL infection,
956 PERDANA 073834 9/13/2013 unspecified 19:50:39 19:52:25

J06.9 - Acute
upper
ARSYLLA respiratory
ARVALEA infection,
957 NAZMA 118090 11/25/2021 unspecified 19:54:24 19:56:02

R50 - Fever
GILANG of other and
RAMADHA unknown
958 N 118091 1/30/1996 origin 20:31:36 20:34:40

R50 - Fever
of other and
unknown
origin |
DEVANIA R56.0 -
PUTRI Febrile
959 NAZIFA 079702 12/6/2019 convulsions 21:04:22 21:07:31
R10.4 -
Other and
unspecified
ANGGITA abdominal
960 JULIANTY 032490 7/9/2002 pain 21:15:26 21:18:05 0:03:31

R11 - Nausea
961 SUCI YULIA 118092 7/21/2002 and vomiting 21:26:50 21:14:10

R10 -
Abdominal
and pelvic
962 NOVIE LYA 118093 11/14/1995 pain 21:37:49 21:40:30 0:04:19

A09 - Other
gastroenteri
tis and colitis
of infectious
SITI and
NIHAYAH unspecified
963 ZULFA 118094 4/9/2015 origin 22:24:15 22:25:18
RANI
964 SANTIKA 016403 1/14/1998 - 22:28:45 22:31:30

D62 - Acute
posthaemorr
NENENG hagic
965 HASANAH 084372 7/11/1978 anaemia 22:32:39 22:35:04

R50 - Fever
of other and
FARIZKI unknown
966 ALFATIH 118095 11/2/2021 origin 23:11:03 23:14:19
967 PRIATNA 118152 6/6/1971 - 4:37:28 4:37:28

T14 - Injury
of
DEDEN unspecified
968 MUHIDIN 118096 6/1/1996 body region 2:17:18 2:18:38 0:01:51

N39.0 -
Urinary tract
infection,
site not
969 ENCUP 032803 8/12/1964 specified 2:23:24 2:37:07
076053/11 R11 - Nausea
970 ANAH 1665 7/1/1938 and vomiting 2:54:13 2:37:14

K52.0 -
Gastroenteri
tis and colitis
DIRA due to
971 ALNAIRA 118097 11/4/2019 radiation 3:04:27 3:07:54

AJENG
DEVA NUR
972 AZILAH 118098 4/28/2000 - 3:53:49 3:54:59

ARBANNI
ADAMA
AULIA
HERMAWA
973 N 117938 11/20/2019 - 7:50:10 15:25:44

SITI
BARKAH M79.1 -
974 SALAMAH 017028 6/15/1950 Myalgia 9:20:25 16:44:51

K59.0 -
975 HERMAN 077414 3/6/1978 Constipation 11:08:01 11:08:46

K30 -
TATANG Functional
976 SUDRAJAT 073530 7/19/1979 dyspepsia 11:19:21 11:20:15

977 LISNAWATI 094232 4/2/1995 - 11:49:34 12:09:29

T14 - Injury
of
KOMARUDI unspecified
978 N 118108 8/10/1970 body region 12:27:38 12:28:47 0:02:25

K30 -
Functional
979 TATING 118109 11/24/1976 dyspepsia 12:58:32 16:35:52

LESTARI
AGUSNIAT
980 ZEBUA 073858 8/27/1999 - 13:31:00 13:33:20
T14.1 - Open
wound of
unspecified
981 LISDAWATI 118110 5/24/1987 body region 13:34:35 13:36:13 0:02:48

K30 -
Functional
dyspepsia |
R10.0 -
Acute
982 IDAH 118112 9/6/1961 abdomen 13:45:23 13:48:39 0:04:02

H81.4 -
YAYAT Vertigo of
983 ROHAYATI 009262 7/1/1964 central origin 14:16:04 14:19:43

TATANG
984 SUDRAJAT 073530 7/19/1979 - 14:31:41 19:49:47

MARIA UMI
TITIN
RUMAMPE
985 A 108690 4/2/2002 - 14:34:33 19:25:52

R10 -
RIZKY Abdominal
ANUGRAH and pelvic
986 PRATAMA 061419 4/6/2017 pain 14:39:08 14:42:47 0:03:55

E10 - Insulin-
dependent
diabetes
987 ENTIN 051983 5/5/1961 mellitus 15:33:24 15:34:14
ENUNG
988 SUMIATI 063520 11/5/1957 - 15:35:24 15:35:43

E10 - Insulin-
dependent
ENGKOS diabetes
989 KOSASIH 050440 7/15/1960 mellitus 15:37:24 15:38:58

RENDI
990 SUHERLAN 118113 11/28/1995 - 15:59:19 15:59:19
A09.9 -
Gastroenteri
tis and colitis
FAUZIAH of
AZKA unspecified
991 SABRINA 118014 12/11/2021 origin 16:07:18 19:44:40

992 ENDANG 109166 2/11/1974 J45 - Asthma 16:09:53 16:10:28 0:02:21

H81.4 -
LUCKY Vertigo of
993 HUSEIN 071235 8/6/1971 central origin 16:13:43 16:14:11

T14 - Injury
of
unspecified
994 EDI 118114 9/9/2000 body region 16:29:13 16:31:52 0:03:05

SITI
RUKOYAH, R06.0 -
995 (Hj). 073624 4/16/1946 Dyspnoea 17:13:07 17:14:18 0:01:25

ZAIMA R50.9 -
FATHANIA Fever,
996 AZWA 106471 6/11/2021 unspecified 17:42:03 17:43:29

J18.0 -
Bronchopne
MUHAMM umonia,
997 AD RENDI 108801 8/23/2021 unspecified 18:16:45 19:23:47

K30 -
Functional
998 EDI 078346 7/5/1973 dyspepsia 18:18:34 18:19:59

H81.1 -
Benign
paroxysmal
999 KARNISAH 073058 1/21/1967 vertigo 18:26:16 18:27:36

K30 -
AGUS Functional
1000 GUNAWAN 046101 8/17/1985 dyspepsia 18:47:29 18:50:51

K30 -
Functional
1001 TARTILAH 013928 7/1/1952 dyspepsia 19:38:15 19:39:33
R50 - Fever
SHALMA of other and
RAKHIMA unknown
1002 SHEPILA 002319 7/6/1995 origin 19:54:42 19:57:06

1003 YULIAWATI 086946 3/11/1988 - 20:06:30 20:07:31

MELINDA
DEWI
1004 LESTARI 118116 5/6/2015 - 20:15:03 20:16:08

K30 -
AMELIA Functional
1005 AGUSTINA 118118 3/22/1996 dyspepsia 22:46:28 22:47:28

R50 - Fever
DINDA of other and
AULIA unknown
1006 PUTRI 027883 5/15/2012 origin 22:54:10 22:57:36

BRYAN
RICHIE E9060 - Dog
1007 SUNJOYO 118119 5/15/2015 bite 0:42:12 0:43:41 0:01:53

R50 - Fever
TRI of other and
MAULANA unknown
1008 FEBRIAN 008189 2/6/2013 origin 2:15:15 2:18:43
RAHMAT
1009 HIDAYAT 118120 3/4/1969 - 4:29:45 4:32:25

R50 - Fever
YATHESTHA of other and
YOGA DWI unknown
1010 RAHESTHA 084622 11/12/1987 origin 5:08:23 5:11:49

R50 - Fever
MUHAMM of other and
AD FAZZA unknown
1011 AL FARISI 109216 12/2/2019 origin 5:32:23 5:35:47

R50 - Fever
REYZA of other and
AZRILIAN unknown
1012 MAULANA 118121 5/25/2012 origin 6:43:10 6:46:49
NAUFAL
1013 SADDIQ 115804 9/14/2021 - 7:18:56 7:21:12

SELVI
LESTARIAN
1014 A 051051 12/28/1991 J45 - Asthma 7:25:26 7:28:02 0:03:26

MEISYA
FARADINA
1015 SYIFA 118123 5/25/2022 - 10:07:14 10:07:14

ABDUL
HADI
NURJAZILA
1016 H 060670 1/12/2001 - 9:43:25 9:43:01
SAIDAH
1017 NURIFAH 118132 7/25/2017 - 10:02:44 16:35:19
EAH
1018 HARANI 118135 11/12/1973 - 11:38:05 11:38:15

A09.9 -
Gastroenteri
tis and colitis
M. AKHTAR of
FARZAN unspecified
1019 RAMADAN 095341 5/10/2020 origin 11:53:24 11:54:06

T14 - Injury
MUHAMAD of
RESTU unspecified
1020 NURYADI 060784 9/25/2008 body region 13:55:04 13:58:36 0:03

MUHAMM
AD IHSAN
ALBIANSYA
1021 H 118139 1/18/2022 - 16:17:40 16:20:53

M. RIZAL K30 -
RIvALDi Functional
1022 lessy 118143 12/11/1995 dyspepsia 17:06:36 17:10:07

ANAQI R50 - Fever


RAFFASYA of other and
PUTRA unknown
1023 NARA 118145 7/13/2021 origin 17:32:18 18:48:18

GHITA K30 -
REGINA Functional
1024 AULIA 118147 4/14/2005 dyspepsia 18:20:18 18:21:08
FITRI
WULAN
1025 SUCI 118148 2/11/1997 - 18:27:44 13:58:30

R50 - Fever
of other and
unknown
origin |
R50.9 -
MUHAMAD Fever,
1026 RIZKY 064994 6/6/2013 unspecified 18:38:19 18:39:55

J45.9 -
Asthma,
unspecified |
K30 -
Functional
1027 SAKIR 118149 8/1/1947 dyspepsia 18:50:43 18:51:30 0:02:13

V19 - Pedal
cyclist
injured in
other and
unspecified
AJI transport
1028 ISKANDAR 118150 11/25/2006 accidents 19:44:33 19:47:36 0:04:09

J45 - Asthma
| J45.9 -
LANI Asthma,
1029 YULIANI 002732 7/18/1984 unspecified 19:04:14 19:07:08 0:03:22

O80.9 -
Single
spontaneous
YANTI delivery,
1030 NURHAYATI 076811 8/18/1989 unspecified 19:30:47 15:04:59

I10 -
Essential
(primary)
1031 ENUNG 088858 7/6/1972 hypertension 19:37:31 9:23:05
I10 -
Essential
(primary)
1032 H.MAHFUD 098405 1/1/1960 hypertension 19:39:42 9:24:08

ALYA
AMIRAH
1033 ANNAILAH 110122 8/30/2021 - 19:42:46 19:43:49

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin | R50 -
Fever of
other and
unknown
origin |
AKIFA R50.9 -
NAURA Fever,
1034 PUTRI 117086 9/12/2016 unspecified 19:55:34 19:56:15
DISTYNIA
1035 DEKITA 015130 9/18/2006 - 21:05:37 21:06:59

HERI
HERMAWA
1036 N 108512 4/18/1980 - 21:47:18 10:00:37

GENTAR
1037 PRATAMA 044615 2/5/2009 - 22:04:27 22:05:49

M
BAMBANG E9060 - Dog
1038 ANTERZA 118151 3/28/2018 bite 23:55:00 23:59:24 0:04:24
1039 PRIATNA 118152 6/6/1971 - 4:38:02 4:39:58

ZIOVANI
1040 ALKHATIRI 053627 10/27/2014 - 5:44:35 5:45:39

REZPAN
TANU
1041 WIJAYA 109142 9/4/2021 - 8:11:05 19:57:16
YULI
1042 YULIANA 113893 10/19/1985 - 7:45:52 10:29:10

MUHAMM
AD THORIQ
1043 MADANI 118153 1/20/2013 - 7:36:51 7:37:47

M. LUTFI
IRSANNUDI
1044 N 109688 8/19/1996 - 8:16:42 17:37:20

K52.9 -
Noninfective
gastroenteri
NAZRA tis and
SABIRA colitis,
1045 HILYA 117149 7/12/2021 unspecified 8:31:17 9:57:23

1046 NURHASIM 003018 4/16/1973 - 8:37:54 8:39:22

1047 SURATNO 175246 5/6/1977 - 8:41:04 8:42:27


1048 HENDRI 086069 1/2/1981 - 20:52:52 9:35:35

NAUFAL
FAUZI
1049 FAHRI 066942 11/29/2001 - 9:10:53 9:11:23

HERUL R50.9 -
RAHMAN Fever,
1050 AMD AK 086111 4/24/1996 unspecified 9:42:43 9:43:01

1051 NIRA SONIA 104153 12/14/1998 - 10:20:13 10:21:52

RISKA
RAISA
1052 PUTRI 118154 5/10/2021 - 11:02:23 11:05:31
MELA
1053 YUNITA 118155 8/14/1991 - 11:08:52 11:42:57

HAMIDAH
HAMALATU
1054 L ARSI 118156 2/2/2002 - 11:16:48 11:19:45

RAFSYA
AUFA
1055 ASWANDI 084543 10/21/2008 - 11:21:33 11:23:20
MUHAMM
AD AKMAL
1056 FIRDAUS 104994 10/6/2019 - 11:24:55 11:25:51

ALULA
SHAHIN
1057 LASHIRA 080102 2/2/2019 - 11:34:59 11:51:49
IJAH
1058 HODIJAH 057785 10/7/1943 - 12:31:27 13:21:29

MUHAMM
AD TAUFIK
1059 JAELANI 118157 1/18/2015 - 12:41:25 12:41:45

M. AKHTAR
FARZAN
1060 RAMADAN 095341 5/10/2020 - 12:46:24 12:45:52

SRI
RAHMAYA
1061 NTI 115532 8/23/1996 - 12:59:05 13:00:45

ALISYA
SHANUM
ADREENA
1062 RAHMA 118158 6/24/2020 - 13:08:15 13:11:16

A91 -
Dengue
MEIRA haemorrhagi
1063 ZALIYANTI 118159 1/19/2004 c fever 13:36:13 13:30:10

A09.9 -
Gastroenteri
tis and colitis
of
RINI unspecified
1064 MARYANI 055737 12/23/1994 origin 14:23:35 15:35:06
A09.0 -
Other
unspecified
gastroenteri
tis and colitis
of infectious
origin | R50 -
Fever of
DERRY other and
NUGRAHA unknown
1065 PRATAMA 118160 2/22/2011 origin 15:42:43 15:45:51

I10 -
Essential
(primary)
hypertension
| K30 -
Functional
1066 NANIH 118161 7/1/1956 dyspepsia 16:03:04 16:05:12

K92.0 -
Haematemes
1067 ACIH 118162 6/5/1973 is 16:15:39 16:22:14

NUR L20 - Atopic


1068 FEBRIYANTI 118163 2/2/1994 dermatitis 16:33:31 16:35:10

1069 SUHERMAN 118164 6/16/1972 - 16:38:01 18:21:55

R50 - Fever
TRI of other and
MAULANA unknown
1070 FEBRIAN 008189 2/6/2013 origin 17:49:32 18:00:10

J06 - Acute
upper
respiratory
infections
NATHAN multiple and
KIAN unspecified
1071 ALKARIM 110576 9/28/2017 sites 18:08:08 18:10:01
J06 - Acute
upper
respiratory
infections
IRMAN multiple and
FIRMANSY unspecified
1072 AH 079552 9/18/1979 sites 18:29:43 18:32:42
1073 MEMED 118168 12/12/1977 - 18:37:00 18:50:00
SRI L03 -
1074 MULYANI 095954 5/23/1979 Cellulitis 19:10:58 19:15:03
102233/05
1075 RISNA 8601 10/8/1990 - 19:03:45 19:05:28

DESWITA
AMIRA
MUTIARA
1076 PUTRI 040336 12/4/2017 - 19:28:52 20:00:09

DEDE
KURNIAWA
1077 TI 070766 10/22/1987 - 19:52:48 20:04:07
DASUKI A.
1078 W. 019544 10/23/1965 - 20:01:38 20:05:16

SHEILA
1079 AGUSTINA 068396 8/21/2005 - 20:28:26 20:51:08

ALYA R50.9 -
AMIRAH Fever,
1080 ANNAILAH 110122 8/30/2021 unspecified 21:11:23 6:52:05

CEPI
1081 NURHAKIM 103938 6/8/1983 - 21:45:16 21:46:49
1082 RIKA 118172 6/16/1997 - 22:07:29 22:08:46

ELA
1083 NURLAELA 118173 6/5/1981 - 22:16:28 22:17:07

R50 - Fever
of other and
unknown
origin |
MUHAMAD R50.9 -
AZKA Fever,
1084 ALHABSHY 018700 5/27/2014 unspecified 22:24:34 22:24:48
WIDA
1085 WIDIAWATI 118174 3/24/1986 - 23:31:07 14:56:17

R50.9 -
RAIF Fever,
1086 BAKHTIAR 111986 9/7/2019 unspecified 23:42:33 23:46:02

ALISHA
SYAHFA
NURROHM R11 - Nausea
1087 AN 118175 9/30/2021 and vomiting 23:48:30 23:50:36
USEP
1088 SUTISNA 022822 9/5/1973 - 23:51:13 1:05:04
NURHASAN
1089 AH 109045 8/12/1987 - 0:18:34 0:19:02

RAISHA
SYADZWIN
A
1090 IMARASARI 114701 1/16/2011 - 0:22:05 0:23:37

K30 -
Functional
1091 NUNU 118177 1/1/1979 dyspepsia 0:33:26 0:34:14

T24.1 - Burn
of first
degree of hip
and lower
limb, except
JUJUN ankle and
1092 JUNAEDI 118178 12/5/1967 foot 0:52:34 0:53:20 0:01:54

IDA
1093 NURKILAH 081569 5/13/1998 - 3:45:09 3:46:42

NAZWA
1094 ARRAHMA 118179 9/10/2015 - 4:18:49 4:19:41

SELVI J45.9 -
LESTARIAN Asthma,
1095 A 051051 12/28/1991 unspecified 4:54:33 4:57:16 0:03:49
DEDEN R50.9 -
ANDAYANS Fever,
1096 YAH 076995 2/15/1998 unspecified 5:42:42 6:49:01
1097 ULIMAR 028076 6/15/1995 - 7:18:58 7:18:58

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | J45 -
Asthma |
K52.0 -
Gastroenteri
tis and colitis
due to
radiation |
R50 - Fever
of other and
RUDI unknown
1098 SUPRIADI 064941 4/8/1986 origin 8:36:29 8:39:59 0:04

ARYAN
ASADSAIFA
1099 N ALI 109199 8/15/2021 - 8:45:08 19:02:50

MUHAMM
AD ALFATIH R11 - Nausea
1100 ASYARI 118190 7/30/2019 and vomiting 9:14:19 9:21:06

R50.9 -
SAMSUL Fever,
1101 JAJULI 079744 7/31/1979 unspecified 16:26:53 16:51:55
BY NY
1102 ULIMAR 118195 5/27/2022 - 9:37:48 9:37:48

O80.9 -
Single
spontaneous
WILDA delivery,
1103 SAPARINDA 118198 8/31/1992 unspecified 10:13:39 10:13:39
ANDRI
MAHPUDIN
, R50.9 -
(S.Kep.NER Fever,
1104 S). 032461 8/2/1991 unspecified 10:17:07 9:20:18

J06.9 - Acute
upper
RAFFASYA respiratory
LAZUARDY infection,
1105 PARPIZ 096703 1/9/2020 unspecified 12:23:52 12:26:04

T01 - Open
wounds
GILANG involving
RAMADHA multiple
1106 N 118199 9/6/2008 body regions 12:39:29 12:42:06 0:03:35

H81.4 -
Vertigo of
1107 NENEH 118200 7/1/1965 central origin 12:42:47 12:42:47

T14 - Injury
of
MUHAMAD unspecified
1108 FADILAH 118202 5/6/2001 body region 13:02:08 13:05:43 0:03:51

MUHAMM
AD FAHMI
1109 ISKANDAR 118203 1/8/2018 - 13:07:55 12:42:58

METY
RESTUTY
1110 MEILITA 108861 5/24/1988 J45 - Asthma 13:53:24 13:56:11 0:03:35

TAUFIK
KHOERUDI
1111 N 110407 1/6/1997 - 16:49:03 16:36:47

ALIFIEA
KHAERULL
1112 NISSA 118204 6/19/2012 - 15:18:04 15:20:00
1113 NENENG 078723 2/11/1962 - 15:39:22 15:40:16
NIDA
1114 FARIDA 012657 1/2/1972 - 15:42:54 15:43:45
MUHAMAD
DERIS
AWALLUDI
1115 N 118206 8/10/1999 - 15:53:45 15:53:31

EUIS
SUSILAWAT
1116 I 103107 8/11/1974 - 15:55:42 15:56:17

UDIN
1117 SAEPUDIN 118180 10/10/1972 - 16:37:09 16:54:15

MOCHAM
MAD SENA
PRAWIRA
1118 RISWANDI 016879 5/3/2005 - 16:55:23 16:56:30

R50.9 -
DEDE FERI Fever,
1119 SUNDARI 077229 12/4/1991 unspecified 16:58:19 16:58:59

KENANGA K30 -
SUKARNO Functional
1120 PUTRI 096263 7/16/1999 dyspepsia 18:02:10 18:03:30

SRI
1121 WAHYUNI 075737 12/14/1996 J45 - Asthma 17:49:34 17:50:33 0:02:07
NANI
1122 SULASTRI 078384 1/1/1970 - 18:28:36 18:29:42
1123 NENEH 058273 3/15/1969 - 18:50:57 18:52:13

RIZAL
FADHLI
1124 HUSNI 118083 12/15/1979 - 19:08:01 19:11:37
ZAINA
1125 AQILA 118208 9/26/2020 - 19:32:22 19:35:26

FITRI
1126 RUSMIATI 063605 7/15/1995 - 19:36:07 19:37:11

AQILA
NAJMATUL
1127 HAYA 118209 6/20/2020 - 19:39:49 19:41:34
AZZAHRA
1128 SYABANIA 118210 3/28/2020 - 20:02:01 20:03:51

E10.1 -
Insulin-
dependent
diabetes
IHAT mellitus with
1129 SOLIHAT 118211 5/17/1959 ketoacidosis 20:06:41 20:10:07 0:04:48

MULYANA
RUSTIAWA
1130 N 065906 8/22/1983 - 20:09:11 15:00:04

SALWA
1131 NURMEIDA 118212 7/29/2006 - 20:17:44 20:18:14

K30 -
Functional
dyspepsia |
R50 - Fever
of other and
unknown
1132 SONENG 071655 10/9/1967 origin 20:23:42 20:25:56

K30 -
OON Functional
1133 ONASIH 109047 4/12/1972 dyspepsia 20:45:34 20:46:11

R50 - Fever
of other and
unknown
1134 ADE PUTRI 118214 10/20/1996 origin 21:26:09 21:27:32

1135 YETI 072515 4/1/1956 J45 - Asthma 0:24:56 0:27:56 0:04:51

J06 - Acute
upper
respiratory
MUHAMM infections
AD FAD AL multiple and
AFGHORY unspecified
1136 ADIYASA 118215 1/9/2020 sites 0:58:48 1:00:12
J45 - Asthma
GUSTYAS | J45.9 -
WIDYA 002638/02 Asthma,
1137 PRAJA 6380 8/25/1993 unspecified 6:04:07 6:07:07 0:03:14

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | I84 -
Haemorrhoid
s | K30 -
Functional
dyspepsia |
R11 - Nausea
1138 AAM 046667 7/8/1957 and vomiting 6:51:39 6:52:41

K30 -
Functional
dyspepsia |
K52.0 -
Gastroenteri
tis and colitis
LUKMAN due to
1139 JAYADI 045585 6/12/1992 radiation 7:45:47 7:46:32

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
1140 HENDRI 086069 1/2/1981 confirmed 9:07:25 17:52:39

IRMAN K30 -
FARDIAN, Functional
1141 (S SI). 060726 12/20/1980 dyspepsia 10:38:02 10:39:41
ROSLINDA
RISMAWAT
1142 I 046287 6/5/1977 - 10:51:56 10:53:00

S42 -
Fracture of
shoulder and
upper arm |
MUHAMAD T79.4 -
ZAKIRANOV Traumatic
1143 IS 118220 11/7/2007 shock 11:02:40 11:05:12 0:05:52

R50 - Fever
KEEMALA of other and
PUTRI AL- unknown
1144 AYUBI 098081 12/12/2019 origin 12:32:50 12:35:20

K30 -
Functional
1145 AMELIA 112530 7/26/2004 dyspepsia 12:37:05 12:41:44

K30 -
LIDIA Functional
1146 SARTIKA 114580 9/17/1992 dyspepsia 12:45:13 12:48:42
DADAN
1147 HUDORI 033984 7/7/1976 - 13:02:38 13:05:08

L23.3 -
Allergic
contact
dermatitis
AKBAR due to drugs
RAMADHA in contact
1148 N 118221 1/19/1997 with skin 13:17:29 13:20:56

K52.0 -
Gastroenteri
tis and colitis
NELSA due to
1149 ALYANI 063654 11/30/2005 radiation 13:25:55 13:28:34
NINA
1150 HERLINA 118222 12/2/1975 - 13:33:12 14:57:39

MUHAMM
AD ELANG
1151 NUGRAHA 028924 11/17/2012 - 13:51:57 19:29:18
MOCH R50.9 -
AZMI Fever,
1152 SHIDIQ 118223 3/10/2014 unspecified 14:23:34 14:25:20

PUTRA
WAHYU R50.9 -
MAHATIDA 089357/11 Fever,
1153 NA 2642 5/17/2020 unspecified 14:33:16 14:34:19

DEWI
RINJANI
1154 ANTASYA 118224 3/17/2021 - 15:52:17 18:55:12

SAUQI
ARYA
1155 ANGGARA 098374 5/4/2016 - 16:20:38 16:21:06
CITRA
1156 SAKILA 118225 8/3/2020 - 16:37:10 17:01:48

RAMA
MUHAMAD
1157 AKBAR 102301 8/11/2013 - 16:45:39 16:48:22

AUP
1158 AMINUDIN 099202 9/14/2002 - 16:59:11 17:00:30

FATIMAH
JASMIN
1159 ANWAR 118226 5/1/2022 - 17:50:08 17:16:08

R50 - Fever
of other and
unknown
origin |
TRI R50.9 -
MAULANA Fever,
1160 FEBRIAN 008189 2/6/2013 unspecified 19:05:26 19:27:38
1161 JAMILAH 084991 1/13/1982 - 19:38:06 19:43:24

MUHAMM
1162 AD SOLIHIN 118227 2/7/1990 - 19:41:54 19:45:32
1163 CIAH 118228 7/1/1963 - 19:47:21 19:48:46
EDI
1164 JUNAEDI 118229 12/3/1956 - 19:54:04 0:47:56
MUHAMM
AD MAKKI
RAYSA
1165 AWALI 026401 4/26/2012 - 20:39:01 20:42:21

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
origin |
A09.9 -
Gastroenteri
tis and colitis
of
unspecified
ATTALA origin | R11 -
RAZKA Nausea and
1166 AKBAR 099791 10/5/2019 vomiting 21:34:57 21:35:54

T14 - Injury
of
SELLA unspecified
1167 NOVIANTI 118231 11/3/1996 body region 21:59:42 22:00:02 0:01:44

T14 - Injury
of
ABDUL unspecified
1168 RIZAL 118232 3/10/1995 body region 22:01:41 22:00:32 0:02:13

T14 - Injury
of
unspecified
1169 YAYANG 118233 6/21/1994 body region 22:08:19 22:09:07 0:01:26

T14 - Injury
NENG SEPTI of
ADITYA unspecified
1170 HERLINA 118234 9/9/2003 body region 22:13:48 22:14:46 0:02:34
RAFKA T14 - Injury
ARTA of
NABIL unspecified
1171 FAUZI 118235 5/10/2012 body region 22:16:04 22:17:41 0:01:45

J45 - Asthma
| J45.9 -
Asthma,
1172 JAJAT 071096 12/18/1981 unspecified 23:36:53 23:38:31 0:03:24

J06 - Acute
upper
respiratory
infections
multiple and
unspecified
sites | R50 -
Fever of
other and
unknown
ASMA origin |
FARANNISA R50.9 -
HERMAWA Fever,
1173 N 118236 12/30/2020 unspecified 23:40:29 23:41:18

R50 - Fever
of other and
unknown
origin |
M. RIZAL R50.9 -
RIvALDi Fever,
1174 lessy 118143 12/11/1995 unspecified 6:59:30 7:00:39

MUHAMAD
MALIK R11 - Nausea
1175 IBRAHIM 118238 11/1/2021 and vomiting 7:08:45 7:09:52

DEWI
RINJANI
1176 ANTASYA 118224 3/17/2021 - 7:14:38 7:14:38
K30 -
Functional
dyspepsia |
RANI R10.0 -
PURNAMAS Acute
1177 ARI 118240 10/25/1994 abdomen 7:25:36 7:26:03 0:01:39

R50.9 -
AJENG Fever,
1178 NURISMA P 118241 5/31/2013 unspecified 7:29:55 7:30:45

A15 -
Respiratory
tuberculosis,
bacteriologic
ally and
histologically
1179 HENDRI 086069 1/2/1981 confirmed 8:40:14 8:44:42

L23.7 -
Allergic
contact
dermatitis
due to
ZULVA plants,
1180 NURAISYAH 111533 4/22/2011 except food 8:41:50 8:54:30

K30 -
BUNGA Functional
LESTARI dyspepsia |
PUTRI R11 - Nausea
1181 HILMI 118242 10/4/1997 and vomiting 9:17:22 9:20:31

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
origin | R11 -
SITI NUR Nausea and
1182 HALIMAH 070998 5/27/2001 vomiting 9:36:56 10:19:24
J06.9 - Acute
upper
respiratory
infection,
MUHAMM unspecified |
AD UMAR J45.9 -
ARDIANSYA Asthma,
1183 H 118067 2/2/2021 unspecified 10:04:01 10:08:06 0:04:07

I50.0 -
SUGANDA Congestive
1184 WIJAYA 118243 5/4/1981 heart failure 10:11:28 10:15:21 0:04

J06.9 - Acute
upper
respiratory
infection,
unspecified |
GUSTYAS J45.9 -
WIDYA 002638/02 Asthma,
1185 PRAJA 6380 8/25/1993 unspecified 10:56:41 10:58:39 0:03:20

A09 - Other
gastroenteri
tis and colitis
of infectious
and
unspecified
1186 DAMAN 002015 8/7/1968 origin 10:59:13 11:30:17

T14.0 -
Superficial
injury of
unspecified
body region
| T14.1 -
Open wound
MUHAMM of
AD GIBRAN unspecified
1187 ALBANI 118245 3/9/2019 body region 11:42:02 11:43:13 0:01:15
MUHAMM A09.9 -
AD Gastroenteri
KEYINDRA tis and colitis
NUR of
FATURROH unspecified
1188 MAN 039505 11/16/2017 origin 11:37:47 11:39:02

K30 -
SITI Functional
1189 MARIYAM 018796 8/28/2000 dyspepsia 12:30:59 12:31:07

I50.0 -
AI Congestive
1190 ROHAENI 114959 9/1/1971 heart failure 12:46:04 12:50:51 0:04:55

J06.9 - Acute
upper
respiratory
YASVA infection,
1191 MAULANA 064334 9/8/2009 unspecified 12:48:29 12:50:35

MUHAMAD
SYAMSUL K30 -
ARIF Functional
1192 PRAYOGA 059546 1/8/2005 dyspepsia 13:03:30 13:40:43

ELSA
SABILLA
(ditanggun
1193 g PEMKOT) 118247 12/28/2007 - 13:40:20 12:41:41

LUTHFI
MUHAMAD
1194 YUSUF 118248 5/22/2004 - 13:57:31 16:12:50

FATHURAH
MAN NUR
RAMADHA R11 - Nausea
1195 N 116795 3/31/2022 and vomiting 14:01:01 14:04:56

R56.0 -
NENG Febrile
1196 SULASTRI 106997 6/24/2021 convulsions 14:06:39 14:10:00 0:04
R50.9 -
GHEA Fever,
1197 ELSANI 101589 2/25/2015 unspecified 16:43:13 16:45:18

B00 -
Herpesviral
YAYAN [Herpes
SUNGKAW simplex]
1198 A 118249 10/15/1983 infections 17:18:10 17:19:13

R50 - Fever
of other and
M HAYKAL unknown
1199 BILLAH 072617 3/5/2013 origin 17:26:20 17:29:05

S09 - Other
and
unspecified
SINTIA injuries of
1200 MAHARANI 044361 2/20/2007 head 17:34:56 17:35:22 0:02:18

K30 -
WEWEN Functional
1201 JUAENI 080623 3/1/1964 dyspepsia 17:41:58 17:42:31

R99 - Other
MUHAMM ill-defined
AD RAITAN and
(KORBAN unspecified
TENGGELA causes of
1202 M) 118250 1/1/2008 mortality 15:05:14 15:05:00

V19 - Pedal
cyclist
injured in
other and
unspecified
transport
1203 MARIYA 118251 5/28/1994 accidents 18:21:11 18:22:27 0:01:38

ALGHAISAN K52.0 -
AQMAR Gastroenteri
SYAKIR tis and colitis
SUGIHART due to
1204 O 117166 3/2/2021 radiation 18:49:04 18:52:32

DESI NARA
1205 IMPIANI 051381 12/10/1983 - 19:19:21 19:19:21
FITRI
1206 RAMDANI 112617 2/7/1995 - 20:02:42 20:03:25

J18.0 -
MUHAMM Bronchopne
AD RAIHAN umonia,
1207 ALFAUZAN 115540 3/31/2021 unspecified 20:14:44 19:21:19

SINTA
NENDA
1208 AMELIA 101269 5/25/1988 J45 - Asthma 20:57:42 20:59:25 0:03:07

ELMAR
ALFARISI
1209 HERLANA 118263 4/18/2014 - 21:03:19 8:40:37
1210 CECEP 047751 12/2/1970 - 22:16:16 8:29:10

FARHAN
1211 MAULANA 078324 3/17/2012 - 3:22:02 3:24:52

INDRI
1212 SYAPUTRI 118265 9/18/2011 - 6:06:26 4:04:02

ULFAH DWI
1213 YULPANA 058621 12/24/1995 - 6:07:52 6:08:54

SITI E9061 - Rat


1214 ROHIMAH 118267 9/14/1996 bite 7:21:53 7:24:00 0:03:53

IPIT
1215 SUHARTINI 118268 4/2/1977 - 7:47:58 6:48:06

A09.9 -
Gastroenteri
tis and colitis
of
KYRA unspecified
1216 DEVINA 114624 6/7/2021 origin 7:52:34 10:23:55

JIDWAR
1217 MAULANA 118270 1/2/2017 J45 - Asthma 8:15:13 8:16:31 0:01:44
M54.5 - Low
SADI back pain |
SUTIADI, M79.1 -
1218 S.AG. M.si 118273 10/14/1969 Myalgia 8:20:55 8:21:03

1219 KANDA 118275 6/2/1963 J45 - Asthma 8:28:44 8:30:36 0:03:30


ISHMAH
1220 NAAILAH 050242 11/25/2009 J45 - Asthma 8:42:54 8:43:52 0:02:46

J06.9 - Acute
upper
respiratory
infection,
unspecified |
ROHIMAN J45.9 -
DZIKRA Asthma,
1221 PURNAMA 010148 3/10/2009 unspecified 9:08:24 9:10:24 0:02:48

K30 -
Functional
dyspepsia |
R50.9 -
RAISA Fever,
1222 ALIFIA 118282 1/26/2005 unspecified 9:29:49 9:30:41

G44 - Other
headache
syndromes |
H81.4 -
NONIH Vertigo of
1223 NURHAYATI 118287 7/1/1969 central origin 10:06:09 10:10:50

A09.9 -
Gastroenteri
tis and colitis
of
unspecified
SHAQUEEN origin | R11 -
A SAHLA Nausea and
1224 SAIDA 118288 4/12/2021 vomiting 10:12:16 10:15:22
R07.4 - Chest
AGUS pain,
1225 SETIAWAN 081552 7/1/1970 unspecified 10:59:49 11:02:47 0:03:36

J45 - Asthma
TATANG | J45.9 -
HASAN Asthma,
1226 TAUFIQ 093263 6/10/1971 unspecified 11:53:22 11:55:07 0:02:29

I10 -
Essential
(primary)
1227 NINGSIH 118296 5/10/1957 hypertension 12:28:21 13:11:56

A01.0 -
Typhoid
fever | K30 -
SINTIA FANI Functional
1228 ERIKA 055786 5/5/2004 dyspepsia 12:40:34 12:42:42

UPIT M79.1 -
1229 HASANAH 079908 6/11/1963 Myalgia 12:43:41 12:45:49

AYI K30 -
HASANUDI Functional
1230 N 118297 7/5/1979 dyspepsia 13:30:26 13:35:50

SITI
1231 WILDASARI 118298 1/11/2001 - 13:33:40 13:33:40

K30 -
RITA Functional
1232 ROSITA 118299 2/3/1983 dyspepsia 13:50:33 13:51:30

R50 - Fever
MUHAMM of other and
AD IRFAN unknown
1233 GIOVANO 113182 7/10/2021 origin 13:52:02 13:52:09

T14 - Injury
of
ENDANG unspecified
1234 PARJAMAN 118300 8/18/1977 body region 13:54:18 13:55:41 0:01:59
NURUL
1235 IMAN 071324 3/10/1993 - 14:01:27 14:03:07
A01.0 -
M. NAZVA Typhoid
1236 ALGIFARI 051326 8/3/2014 fever 14:25:58 15:53:15

R50.9 -
AAY Fever,
1237 NURJANAH 022219 9/17/1973 unspecified 14:28:27 14:30:40

K30 -
Functional
dyspepsia |
R50 - Fever
SANIYATI of other and
NUR unknown
1238 CAHYANI 114638 6/15/2002 origin 14:42:12 14:45:59
1239 OMIN 118302 2/11/1960 - 15:26:32 15:29:45

N92 -
Excessive,
frequent and
irregular
DEWI menstruatio
1240 KARTIKA 047375 10/10/1981 n 15:33:49 15:36:47

ALYASHA
ISLAMMAD
1241 INA 118303 10/22/2013 - 15:41:29 20:50:18

K30 -
Functional
1242 ENAJ 118304 3/14/1980 dyspepsia 15:54:38 15:57:19
1243 TATANG 118307 7/7/1977 - 17:05:57 5:27:02

SYAKILA
NAZMA
NUR
1244 VARISHA 097705 4/20/2018 - 17:34:12 23:15:08

T01 - Open
wounds
involving
MAJID multiple
1245 ABDUL AZIS 118308 12/23/2005 body regions 17:07:24 17:08:45 0:02:08

SAHAT T14 - Injury


PARULIAN of
SIHOMBIN unspecified
1246 G 118309 4/2/2006 body region 21:36:16 21:40:00 0:04:16
T01 - Open
wounds
MOCHAMA involving
D MAHA multiple
1247 RADEN 063667 11/13/2005 body regions 21:35:49 21:38:02 0:03:51
1248 DIDIN 118310 2/8/1961 - 18:21:15 18:22:57
IKA
1249 KARTIKA 081869 7/6/1975 - 18:46:11 18:47:49

R50 - Fever
RIZKI of other and
ADNAN unknown
1250 SIDIK 118311 9/28/2016 origin 18:58:36 19:02:25

J18.0 -
Bronchopne
umonia,
1251 WAWAN 107801 1/20/1980 unspecified 19:28:35 19:29:31

PUPU
1252 MARPUAH 118312 5/30/2022 - 19:51:11 19:54:40

VHIRNA
1253 MAULANI 018885 2/8/2001 J45 - Asthma 19:59:09 20:03:13 0:04:22

YASFA T14 - Injury


MUHAMM of
AD unspecified
1254 IBRAHIM 118313 8/19/2013 body region 20:07:08 20:13:31 0:06

K30 -
Functional
1255 NENEH 118314 6/5/1974 dyspepsia 22:02:47 22:03:36
MARDIAW
1256 ATI 004475 3/14/1986 - 23:01:27 23:02:13

MUHAMM
AD ILHAM
1257 TAOPIK 118317 1/27/2013 - 23:39:40 23:40:15

K30 -
IDA FARIDA Functional
1258 S 118318 5/13/1966 dyspepsia 1:37:36 1:38:43
KHAIRA
1259 NADHIFA 108659 3/7/2021 - 2:44:36 3:21:13
AIRA ADIVA
1260 DELISTHA 075316 9/13/2019 J45 - Asthma 5:15:12 5:16:20 0:01:32

I21.3 - Acute
transmural
myocardial
infarction of
HENDI unspecified
1261 SAPARI 118319 2/2/1976 site 5:52:59 5:53:43 0:02:42

V19 - Pedal
cyclist
injured in
other and
SENITA unspecified
RICHIA transport
1262 PUTRI 092319 1/15/2001 accidents 11:41:52 11:44:02 0:03:04

ALIEF
MUHAMM
1263 AD SOFYAN 084477 3/10/2009 - 7:30:49 7:30:49

DJEDJEN
1264 ZAENUDIN 111280 12/19/1956 - 8:19:16 8:19:16

DJEDJEN
1265 ZAENUDIN 052049 5/1/1945 - 8:27:58 11:10:56

DINDIN
1266 WAHYUDIN 105762 8/3/1978 J45 - Asthma 8:34:52 8:35:48 0:02:40
RANI
1267 NURAENI 094308 11/22/1989 - 8:36:10 8:40:36

ATTALA
RAZKA
1268 AKBAR 099791 10/5/2019 - 8:44:18 11:08:02

K30 -
Functional
dyspepsia |
DEVIRA R50.9 -
SZIQRIYA Fever,
1269 SUWANDI 033104 7/26/2008 unspecified 8:55:14 8:56:53
1270 BAEN 118290 7/1/1969 - 9:09:36 13:39:34
1271 EEN 30739 9/4/1956 - 10:31:00 11:12:52
1272 ASEP 060936 8/8/1963 - 11:22:48 11:22:48

NURHIKMA
H
1273 ZULFITRAH 102216 4/20/2014 - 11:38:04 12:46:52
RICKHA
1274 ILNIA 033824 6/19/1990 - 12:19:55 12:20:23

MUHAMAD
ADLAN
ABDUL
1275 HAFIS 118330 10/3/2016 - 12:36:36 13:40:54

CHRYSMAN R50.9 -
ANDRERIA, Fever,
1276 (dr). 100527 10/8/1993 unspecified 12:40:22 12:41:29

1277 SITI AISYAH 115769 11/21/1953 - 12:47:46 13:40:54

SISKA T14.1 - Open


ADELIA wound of
RAHMADIA unspecified
1278 N 118332 9/8/2008 body region 13:32:57 13:33:18 0:02:12

MUHAMM
AD
ABIDZAR R50.9 -
ABQORI Fever,
1279 ARSENIO 118334 1/20/2017 unspecified 14:12:01 14:15:00

R50.9 -
NAUFAL Fever,
1280 PRASTIKA 118335 4/29/2010 unspecified 14:47:35 14:50:35
T14.0 -
Superficial
injury of
unspecified
body region
| T14.1 -
Open wound
DAULI of
ARIEL unspecified
1281 ALBAB 118337 9/3/2003 body region 16:12:02 16:13:35 0:01:37

K30 -
ASRI Functional
1282 SETIANI 024508 7/29/1996 dyspepsia 16:19:41 16:20:12

R50.9 -
BELLA Fever,
1283 VISTA 073297 6/9/1991 unspecified 17:46:42 17:49:47

DIANA
PUTRI R11 - Nausea
1284 APRILLIA 018652 4/15/2016 and vomiting 17:55:22 18:00:21

K30 -
JUAINI Functional
1285 ADNAN 118339 7/5/1994 dyspepsia 18:01:11 18:06:36

R50.9 -
Ziyad Razka Fever,
1286 Alfarezi 118340 12/2/2019 unspecified 18:08:18 19:41:40

I51.9 - Heart
UKAR disease,
1287 SUKARDI 118341 2/8/1958 unspecified 19:28:07 19:31:56 0:04:03

SUCI K30 -
CAHYA Functional
1288 RAMADANI 118342 10/15/2005 dyspepsia 19:50:52 19:51:49

M19 - Other
arthrosis |
ERNI M79.1 -
1289 SUMARNI 118344 4/18/1985 Myalgia 20:33:37 20:36:16
K52.0 -
Gastroenteri
NAHLA tis and colitis
AFREEN due to
1290 ZAIRA 118345 8/26/2020 radiation 20:48:52 20:51:51

AEP
1291 SAEPUDIN 046988 5/1/1960 J45 - Asthma 22:03:35 22:06:22 0:03:57

TOTAL
RESPON TIMSAMPEL PASIEN SAMPLE 227
< 5 MENIT 219 Pasien N 219
> 5 MENIT 8 Pasien D 227
Capaian 96,4%
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : JUNI 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Interval


Periksa

MUHAMAD
1 AKRAM ALJABAR 023686 2/16/2014 J45 - Asthma 1:21:23 1:25:24 0:04:47

I50.0 -
Congestive heart
failure | K30 -
Functional
2 ADIN SUPRIADI 083935 7/1/1964 dyspepsia 4:55:12 4:56:39 0:02:42

I50.0 -
Congestive heart
3 O FIRMANSYAH 060451 9/4/1949 failure 5:34:00 5:36:08 0:02:08

K52.9 -
Noninfective
gastroenteritis
NAIRA ADELIA and colitis,
4 RAMDHANI 021322 6/21/2015 unspecified 5:57:30 6:04:33

R50 - Fever of
other and
unknown origin |
ADZKHAYRA R50.9 - Fever,
5 ADREENA SAILA 118347 7/30/2019 unspecified 6:03:08 5:58:55

K52.0 -
Gastroenteritis
and colitis due to
6 RINI MARLINA 088293 11/13/1975 radiation 6:37:59 6:40:29

R33 - Retention
7 HERI IRAWAN 116290 8/25/1982 of urine 6:40:43 6:43:02 0:03:45

K30 - Functional
dyspepsia | R50 -
Fever of other
030451/0 and unknown
8 WAWAN 76960 7/25/1968 origin 6:53:44 6:56:30
A09.0 - Other
unspecified
gastroenteritis
DEVANKA FITRA and colitis of
9 RAMADHAN 111115 5/12/2021 infectious origin 9:04:20 8:30:00

A15 - Respiratory
tuberculosis,
bacteriologically
and histologically
10 HENDRI 086069 1/2/1981 confirmed 9:06:23 9:10:47

R50 - Fever of
SHAFA SALVIA other and
11 PUTRI 118349 6/23/2012 unknown origin 9:15:31 9:20:33

MUHAMMAD R50 - Fever of


SAHAL RAZKA other and
12 ZAIDAN 071678 6/19/2018 unknown origin 9:38:29 9:48:49
MUHAMMAD HADI R50.0 - Fever
13 ARRAFIQ 118350 10/29/2021 with chills 9:43:20 9:45:14
14 LIA HARYANI 118351 8/8/1988 - 9:49:53 9:50:31
DZAKIRA TALITA
15 ZAHRA 118352 7/7/2017 - 9:54:58 10:00:09

16 FITRIYA WAHYUNI 062351 1/7/1997 - 9:56:14 10:00:44

ARSHAKA
ATHAUVAN
17 YUNARDI 112785 10/29/2021 - 10:13:33 10:47:06
18 MAMAD 048765 9/27/1952 - 10:18:14 10:20:22

ALPRIYAN QABEEL
MULYANA
19 PRATAMA 111931 4/12/2021 - 10:31:41 10:35:58

R50 - Fever of
KEEMALA PUTRI other and
20 AL-AYUBI 098081 12/12/2019 unknown origin 10:40:57 10:41:16

K30 - Functional
21 DADIN ARIYANTO 073151 12/6/1955 dyspepsia 10:50:16 10:51:35
22 HERNI 118354 8/13/1987 - 10:57:50 10:19:23
KHEYZHA
23 NURAULIA PUTRI 015539 2/8/2011 - 11:05:35 11:05:00
24 ADE SRI MULYATI 059873 2/17/1968 J45 - Asthma 11:14:57 11:15:59 0:02:56

R50 - Fever of
other and
25 M FAUZAN AKMAL 118355 11/29/2006 unknown origin 11:25:13 11:26:24
DEDE R50.9 - Fever,
26 HENDRAWAN 113022 1/15/1996 unspecified 13:58:14 14:01:34
27 RANI NURAENI 073737 5/15/1984 - 14:44:22 14:45:01
KHANSA AMIRA
28 RAMADHANI 074057 5/27/2019 - 15:22:04 15:23:31

T14 - Injury of
unspecified body
29 ROHMAN 118356 1/1/1985 region 15:57:10 15:58:09 0:01:19

A09 - Other
gastroenteritis
and colitis of
infectious and
KHAIRAN DELVIN unspecified
30 ARSALAN 102710 8/22/2020 origin 16:18:22 17:19:57

K30 - Functional
dyspepsia | R11 -
Nausea and
31 NANANG SURYANA 118357 6/15/1977 vomiting 16:43:32 16:44:20

T14.1 - Open
wound of
unspecified body
32 ENGKUS 054952 10/25/1963 region 17:22:29 17:24:04 0:02:33
KEEMALA PUTRI R50.9 - Fever,
33 AL-AYUBI 098081 12/12/2019 unspecified 17:23:46 19:26:46
34 BUDHI SOBIRIN 114069 8/23/1974 - 17:44:55 17:45:33
R10.0 - Acute
35 INA MARLINA 033646 7/1/1983 abdomen 17:46:34 17:48:45 0:03:24
MUHAMMAD R50.9 - Fever,
36 DAFA ALGHIFARI 117530 1/30/2021 unspecified 17:49:45 17:51:58

T14.1 - Open
wound of
unspecified body
37 WINDA ANDIYANI 009788 5/22/1997 region 18:06:18 18:10:08 0:04:20

HUMAIRA INSIYAH R50.9 - Fever,


38 AL AYUBI 118358 3/24/2017 unspecified 18:52:51 18:59:31
K30 - Functional
39 IPIT RUSTIKA 047467 5/12/1969 dyspepsia 19:43:55 19:43:55

K30 - Functional
dyspepsia | R10 -
MUHAMMAD Abdominal and
40 SOLIHIN 118227 2/7/1990 pelvic pain 19:53:02 19:56:42

J06.9 - Acute
upper
respiratory
infection,
unspecified |
K30 - Functional
41 ANDRIANSYAH 072251 5/31/1986 dyspepsia 19:59:37 18:00:43
BIAN RASEL
42 PRATAMA 118359 11/8/2021 - 20:21:35 13:33:44

MUHAMAD H92 - Otalgia and


43 MAULANA KAYZA 109881 12/25/2015 effusion of ear 22:52:17 22:54:33
44 OOY 119283 7/1/1956 - 16:48:33 16:48:33
45 ADI RIANSYAH 118361 12/17/2003 J45 - Asthma 0:06:11 0:09:22 0:03:32

K30 - Functional
46 SUSI SUSANTI 115152 1/19/1976 dyspepsia 0:39:35 19:09:31

R33 - Retention
47 ENAN 039559 7/18/1952 of urine 3:41:57 3:44:57 0:04:12

R50 - Fever of
ALDIYAN other and
48 NUGRAHA 073314 3/24/2019 unknown origin 5:10:45 5:13:23

R50 - Fever of
RESTI INDRIA other and
49 DAMAYANTI 074701 12/5/1991 unknown origin 6:21:47 6:24:11
R11 - Nausea
50 SINTABELA 118363 7/9/2002 and vomiting 6:52:39 6:55:24
51 IPAH LATIPAH 118364 11/23/1995 - 17:39:22 7:20:21
52 RIKO NARAMI 099589 2/16/1967 - 7:25:11 7:26:22
DHIAURAHMAN
53 AL-SUTA 112047 1/23/2019 - 8:39:33 8:40:40
MUHAMAD LATIP
54 AGUSTIAN 054236 8/30/2018 - 20:36:21 10:20:09
MEICI SARI
55 MOKOAGOW 116186 5/2/1999 - 8:42:37 8:43:51
56 ASEP SETIAWAN 019631 9/25/1966 - 9:05:36 15:56:58
SEPIANDI ARLAN
57 ISHA PURNAMA 104251 9/15/1997 - 10:22:24 9:38:53
58 IIS SUPARTINI 118371 12/1/1979 - 10:18:40 9:44:47
59 TUTIH 118372 9/9/1952 - 9:54:59 15:55:01
60 MAMAN 037069 7/1/1975 - 10:41:24 10:42:25
61 SRI RAHMAYANTI 115532 8/23/1996 - 12:07:35 12:09:02

ALISYA SHANUM R50.9 - Fever,


62 ADREENA RAHMA 118158 6/24/2020 unspecified 12:11:34 12:12:21
J45.9 - Asthma,
63 UPEN SUPENTI 114290 5/5/1971 unspecified 12:15:48 12:17:23 0:03:11

K04.0 - Pulpitis |
K05 - Gingivitis
and periodontal
64 DEDE SUMARNA 066234 10/26/1992 diseases 15:56:22 16:54:37
65 JUJI SUHENDI 118376 9/7/1952 - 16:05:49 16:19:31
66 LIYAH SOLIHAH 111191 3/28/1990 - 16:10:57 16:44:27
MUHAMMAD
67 IRFAN GIOVANO 113182 7/10/2021 L03 - Cellulitis 16:14:12 11:36:18

R50 - Fever of
ZENIA SAFA other and
68 MALAYKA 118377 8/29/2021 unknown origin 16:29:16 11:17:00

T14 - Injury of
DEWI PUTRI unspecified body
69 FEBIYANTI 118378 2/27/2003 region 17:02:04 17:04:30 0:02:05

T14 - Injury of
unspecified body
70 ASRI LESTARI 118379 3/17/2001 region 17:21:57 17:23:41 0:03:37
71 DJUBAEDAH 027121 12/31/1959 - 17:44:42 17:45:58
J06 - Acute
upper
respiratory
infections
multiple and
unspecified sites
| R50 - Fever of
AIRA SYAHRAINI other and
72 PUTRI 111104 6/3/2020 unknown origin 18:19:30 18:21:27

T14 - Injury of
unspecified body
73 YADI SURYADI 028063 3/14/1986 region 19:01:29 19:03:09 0:02:38

DINAR KIRANA
74 PUTRI ZULKARNAIN 118381 9/27/2019 - 19:20:42 19:29:20
75 YOSEP ISKANDAR 118382 4/20/1991 - 19:18:16 19:03:08

76 RINTAN PEBRIYANI 118383 2/19/2004 - 19:23:10 18:46:13

K30 - Functional
77 RUKAYAH 108209 4/12/1964 dyspepsia 19:49:39 19:50:06

K52 - Other
noninfective
gastroenteritis
and colitis | R11
ALESHA SHEEHAN - Nausea and
78 ZINOVA 118384 11/21/2016 vomiting 20:03:03 20:04:36

H66.0 - Acute
suppurative otitis
79 YUNETA 056342 2/12/1992 media 20:10:41 20:15:46
80 AGUS RUSWANDI 009153 4/9/1978 - 21:07:00 21:08:34

E11.9 - Non-
insulin-
dependent
diabetes mellitus
without
81 ENTIN 051983 5/5/1961 complications 21:28:42 21:33:39 0:05:21
SALWA MUTIA R11 - Nausea
82 RAHMAT 029331 11/5/2009 and vomiting 21:59:46 22:19:48
DIRGA NANDIKA
83 TRIANSYAH 020452 2/19/2016 - 22:03:12 22:04:02
A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
84 MEDI 118389 5/4/1972 origin 22:10:36 6:51:11
MUHAMAD HABIL
85 ABDULLAH 118390 9/3/2018 - 22:33:18 22:34:35
R50.9 - Fever,
86 nurul khadijah 118391 12/10/2021 unspecified 23:14:31 23:15:41
USRINALDI
87 BHUKARI 118392 2/15/1979 - 23:33:01 23:34:14
MUHAMMAD
88 ALTAIR IBNU LIN 105819 2/15/2019 - 0:07:42 0:08:30
89 WINDI YULIANI 118394 7/27/1996 - 0:10:27 0:11:22
R10.0 - Acute
90 ANANG 118395 10/1/1965 abdomen 1:44:29 1:45:32 0:02:01

MUHAMMAD
91 HANIF RAMADHAN 118396 7/1/2016 R04.0 - Epistaxis 3:44:23 3:45:01

K30 - Functional
92 ANDINI 118397 10/1/2002 dyspepsia 5:00:22 5:01:40
93 RAKA JULIANDI 044569 7/20/2017 - 5:35:55 6:46:18
NADIA RHESA
94 RAHESTHA 114432 11/3/1991 - 8:40:18 13:56:57
95 ELIM 118409 7/4/1945 - 9:24:53 13:45:56

K30 - Functional
96 RINA YULIANA 035817 7/7/1986 dyspepsia 11:14:44 13:22:07

97 ELITA FATMAWATI 118414 9/1/2005 - 14:51:30 17:13:26


R50.9 - Fever,
98 AZAHRA NAFRIZZA 082067 11/21/2018 unspecified 13:58:06 17:10:47

N20.0 - Calculus
of kidney | N39.0
- Urinary tract
infection, site
99 HERI IRAWAN 116290 8/25/1982 not specified 14:02:05 19:02:11
E11 - Non-
insulin-
dependent
diabetes mellitus
| N23 -
Unspecified
100 YANTI 114484 8/23/1975 renal colic 14:05:48 19:01:33

MUHAMMAD
SAHAL RAZKA R50.9 - Fever,
101 ZAIDAN 071678 6/19/2018 unspecified 19:36:55 16:45:03

R11 - Nausea
and vomiting |
R50 - Fever of
other and
102 ALIFA HASNA 118415 11/6/2019 unknown origin 14:13:17 14:15:00

A09 - Other
gastroenteritis
and colitis of
infectious and
ALBYAN PRADIPTA unspecified
103 SUHENDAR 101715 10/1/2020 origin 14:28:29 14:30:21
ROSALIA AYU
104 SETIANINGRUM 084749 4/4/1988 - 14:43:18 14:45:50

T14 - Injury of
RAFISKY JOUHARY unspecified body
105 ATABRIZY 057884 11/15/2018 region 14:58:39 15:00:50 0:03:12

E11 - Non-
insulin-
dependent
diabetes mellitus
| G44 - Other
headache
106 OMIN 118302 2/11/1960 syndromes 15:26:14 19:00:34

MUHAMMAD
107 KEENAN ALHAIDAR 118417 12/8/2021 - 16:02:41 16:03:10

K30 - Functional
108 SUSI SUSANTI 115152 1/19/1976 dyspepsia 16:07:20 16:08:56
MUHAMMAD
109 ADNAN FAHREZA 118418 3/18/2022 - 16:10:36 16:11:11
R50 - Fever of
MELANI PELITA other and
110 LESTARI 118419 5/1/2014 unknown origin 16:17:17 16:20:56

MUHAMAD R50 - Fever of


RHAMADAN other and
111 PRASETYA 106781 6/13/2014 unknown origin 16:42:31 16:45:59
112 SURAJI 032194 4/9/1964 - 17:14:32 16:55:49

A09.0 - Other
unspecified
gastroenteritis
FATIMAH AZ- and colitis of
113 ZAHRA 114928 5/23/2021 infectious origin 17:02:38 17:05:44

K30 - Functional
114 IJAN 118421 7/1/1949 dyspepsia 17:17:19 17:18:48

GITA AYU
CAHYANI, K30 - Functional
115 (A.Md.Kep). 063283 11/28/1996 dyspepsia 17:28:39 17:29:11

M79.0 -
Rheumatism,
116 ADE 074430 10/1/1967 unspecified 17:33:00 17:35:35

K30 - Functional
117 HOJANAH 118422 3/5/1942 dyspepsia 17:40:17 17:45:10
118 TITIN 046011 7/1/1979 - 18:34:29 21:04:31
MUHAMMAD
119 YUSUF SYABANI 111071 4/8/2021 - 18:40:12 18:41:02

K52.9 -
Noninfective
gastroenteritis
KAILASH CAVINDRA and colitis,
120 SAUQI 106677 12/22/2020 unspecified 18:43:36 18:43:36
BAYI NY YANI
121 SURYA 118423 6/3/2022 - 18:49:01 18:49:01

K30 - Functional
122 IRVAN SURYANA 075772 6/16/1984 dyspepsia 18:54:30 18:55:49

K30 - Functional
123 NANDI MULANDAR 069906 10/10/1987 dyspepsia 19:11:05 19:12:58
K30 - Functional
124 TUTIK 027500 12/7/1962 dyspepsia 19:42:18 19:43:41

T14.1 - Open
wound of
unspecified body
125 RANTI MAYASARI 118424 4/27/1986 region 19:40:49 19:43:06 0:03:43
R50.9 - Fever,
126 NITA MAHATIDANA 054519 1/1/2012 unspecified 19:55:42 19:56:55

K30 - Functional
127 DEDE RUSWANDI 118426 4/9/1978 dyspepsia 20:29:56 12:08:12

R04 -
Haemorrhage
from respiratory
128 YULIA AISAH 004763 6/14/1999 passages 21:21:17 21:23:04

C49.8 -
Malignant
neoplasm,
overlapping
lesion of
connective and
soft tissue |
R50.9 - Fever,
129 YULI YULIANTI 118427 3/4/1998 unspecified 21:29:59 9:53:26

K30 - Functional
dyspepsia |
REGA GUSTIANA R10.0 - Acute
130 SAPUTRA 118428 8/27/2000 abdomen 21:32:16 21:35:11 0:03:05
131 ARUL 118430 7/16/2004 - 23:45:08 23:46:10
RAIHAN RIZKI J45.9 - Asthma,
132 ADITIA 079482 8/27/2013 unspecified 2:20:02 2:24:46 0:03:14
R50 - Fever of
other and
unknown origin |
R50.9 - Fever,
unspecified |
R63 - Symptoms
and signs
concerning food
133 ENAJ 118304 3/14/1980 and fluid intake 5:08:27 12:19:28

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologically
134 ASEP NURJAMAN 035857 5/4/1976 and histologically 7:37:16 7:40:56

R50 - Fever of
RIRI RIDHA other and
135 WAHYUNI 113386 9/28/2000 unknown origin 8:10:57 8:13:40

T14 - Injury of
MUHAMMAD unspecified body
136 RAZWA ZAIDAN 118436 3/21/2012 region 7:30:54 7:33:18 0:03:36
137 NANANG 000775 1/1/1958 J45 - Asthma 8:20:48 8:23:46 0:03:02

N39.0 - Urinary
MEICI SARI tract infection,
138 MOKOAGOW 116186 5/2/1999 site not specified 8:40:16 8:43:44
NURUL
139 RAMADANTI 022014 12/25/1997 - 9:08:54 9:08:54

T14.20 - Fracture
of unspecified
body region,
140 NANANG JUANDA 118438 4/10/1974 closed 9:08:54 9:10:21 0:02:33
K35 - Acute
141 RIA PUTRINAWATI 081688 1/12/1986 appendicitis 9:35:24 21:36:07 0:01:31
M71.04 -
Abscess of bursa,
142 DAULI ARIEL ALBAB 118337 9/3/2003 hand 14:50:36 12:13:27

T14 - Injury of
unspecified body
143 INDRIANI 118439 8/12/1999 region 10:36:36 10:39:09 0:03:45

R50 - Fever of
YENI NURAENI, other and
144 (A.Md.Kep.). 053275 8/7/1987 unknown origin 12:01:22 12:04:38

R50 - Fever of
IRMA NAFIZAH other and
145 PUTRI 022941 7/29/2013 unknown origin 12:43:21 12:46:07

R50 - Fever of
MUHAMMAD FAIZ 086669/1 other and
146 MUTAWALI 08892 1/30/2020 unknown origin 12:47:14 12:50:47

BAYI NYONYA
RINJANI
RIMBAWATI
147 SYARIFUDIN 118441 6/4/2022 - 14:07:31 14:07:31
M. ARKAN AL
148 FAKIH 118442 10/4/2017 - 14:33:45 14:25:14
149 AEP SAEPUDIN 046988 5/1/1960 - 14:33:40 14:31:12
HANA MARIA
150 PUTRI 062913 3/9/2016 - 15:50:28 16:04:12

MUHAMAD ARSYIL
151 PUTRA SANJUNA 118444 9/28/2021 - 16:02:06 16:05:34
152 WAJAH 016617 7/1/1943 - 16:03:42 20:16:43
SALSABILA PUTRI
153 SANTOSA 018565 1/5/2013 - 16:33:00 16:34:31
154 NURA ZHAFIRAH 118348 6/1/2022 - 16:43:05 16:43:05
155 NADHIR RIZKY 175473 11/28/2021 - 16:47:26 16:48:18
RISKA SRI
156 WAHYUNI 118445 7/8/2004 - 17:08:59 17:19:59
157 ADNAN SYARIF 118446 6/4/2018 - 17:40:00 17:41:36

158 LILIS SUKMAWATI 118447 8/4/1962 - 17:43:28 17:44:12


159 UUY 118448 7/1/1954 - 17:48:45 17:49:35

160 DANI ADIMANSYAH 118449 3/25/1994 - 17:53:55 17:54:58


MAWAR DWI
161 CIPTA LESTARI 118450 3/3/2004 - 18:31:36 18:32:32
CANDRA
PAMUNGKAS,
162 Amd.RAD 076333 7/1/1995 - 18:43:31 18:45:45
MUHAMMAD REZA
163 FADILLAH 011453 3/8/2015 - 18:49:06 18:50:44
BARRA MALIK
164 SENJAYA 118452 10/27/2021 - 18:53:03 18:54:15
NURANTI
165 NOROMISTI 052543 11/12/1997 - 18:55:55 18:58:15
MUHAMAD RIZQI
166 RAHADIANS 117182 9/22/2020 - 19:00:38 19:02:54
167 ARIS SARDIANA 118453 8/8/1991 - 19:28:49 19:29:22
KHAIRUNISA R50.9 - Fever,
168 SUDRAJAT 118454 9/15/2019 unspecified 21:10:15 21:45:09
ABDUL HABIB R50.9 - Fever,
169 HENDARSYAH 118456 12/4/2010 unspecified 21:41:48 22:14:59

P11 - Other birth


injuries to
MUHAMMAD RIZA central nervous
170 PRAYOGA 118457 6/5/2021 system 22:05:03 22:07:14 0:02:17

E13.9 - Other
specified
diabetes mellitus
without
complications |
K30 - Functional
dyspepsia |
R63.8 - Other
symptoms and
signs concerning
food and fluid
171 YANTI 114484 8/23/1975 intake 22:10:24 2:33:02
172 SUPIAH 118458 3/5/1944 - 22:40:07 20:41:39

T14 - Injury of
YUSUF SEPTIAN unspecified body
173 HADI 118459 1/1/2002 region 23:18:51 23:19:06 0:01:57

T14 - Injury of
unspecified body
174 M SOBARI 118461 2/21/2000 region 23:38:40 23:39:18 0:01:58
175 IRFAN 118462 3/5/1999 - 0:45:49 0:45:49
ARSHAD FIKAR R50.9 - Fever,
176 ABQARY 109143 8/23/2018 unspecified 3:21:33 1:55:42

MUHAMAD
ABIZAIN SYAUQI
177 ALKUROIMAN 112023 2/10/2021 - 2:33:39 2:34:25

K30 - Functional
178 PIPIH SOPIAH 065981 10/4/1950 dyspepsia 3:55:26 3:56:27

I51.7 -
Cardiomegaly |
K21 - Gastro-
oesophageal
reflux disease |
N18.3 - Chronic
YAYAT kidney disease,
179 SUPRIATMAN 116121 4/7/1955 stage 3 7:35:19 7:37:14 0:02:31

180 RANGGA SAPUTRA 118465 2/2/1986 R51 - Headache 7:43:53 7:46:25

181 MUHAMMAD EGA 112746 6/1/1997 R04.0 - Epistaxis 8:22:52 8:25:27

R50 - Fever of
ALIMAN ZULFAN other and
182 HANIF 064266 4/24/2014 unknown origin 8:37:49 8:40:48

A15.0 -
Tuberculosis of
lung, confirmed
by sputum
microscopy with
or without
183 HENDRI 086069 1/2/1981 culture 8:41:20 8:44:06

A09.0 - Other
unspecified
gastroenteritis
MUHAMMAD and colitis of
184 DAFIEN ARYA 112905 12/27/2021 infectious origin 8:59:21 9:02:51
J06 - Acute
upper
respiratory
infections
MUHAMAD multiple and
185 NOVAN FIRDAUS 118466 11/23/1997 unspecified sites 9:09:38 9:12:31
186 NITA PEBRIANA 118467 2/5/1994 - 9:39:18 17:19:33

K42 - Umbilical
hernia | N41.0 -
187 IRI SUGIRI 118468 7/1/1936 Acute prostatitis 10:00:36 10:03:31
188 M FIKAR FAUZAN 027187 10/13/2004 - 10:05:11 10:08:28

R11 - Nausea
and vomiting |
R63 - Symptoms
and signs
AXELLE PUTRA concerning food
189 ARDA 108686 3/5/2021 and fluid intake 10:07:58 13:22:53

MUHAMAD J18 - Pneumonia,


ABIZAIN SYAUQI organism
190 ALKUROIMAN 112023 2/10/2021 unspecified 11:07:33 11:10:43 0:04:06

K30 - Functional
191 AI ELSI 118470 3/16/1980 dyspepsia 11:32:28 11:35:26

T14 - Injury of
RIDHO ILHAM unspecified body
192 ALAMSYAH 118471 3/16/2010 region 12:09:09 12:11:36 0:02:44

W55.0 - Bitten or
struck by other
193 NANDI SUPRIADI 010114 1/10/1971 mammals, home 13:36:39 13:39:40 0:04:19
194 ELIS 044811 4/4/1971 - 14:58:01 14:59:57
IRA MARWATI
195 PUTRI 118472 3/11/1996 - 15:20:16 15:21:39

196 AQILA PUTRI HESTI 102785 2/21/2020 - 16:04:26 16:19:56


197 RUKOYAH 039466 7/1/1947 - 16:47:56 16:48:49
HAZTA AULIA
198 HERMAWAN 107957 6/1/2014 - 17:10:04 17:11:55
NENG ANDINI
199 NOER HABBIBAH 056751 11/23/2005 - 17:15:08 17:17:04
PUTRI HASANAH
200 QOTUNNADA 075844 8/8/2013 - 18:27:26 18:28:48
201 AHMAD SOLIHIN 118474 3/1/1963 - 18:45:40 18:49:42

K30 - Functional
202 UJANG RAHMAT 118475 3/2/1965 dyspepsia 18:50:14 16:46:39
203 MIA ADELIA 086151 1/27/2006 - 19:16:24 19:19:27
204 SALSA RAKA LISA 043613 12/16/2002 - 19:22:27 19:22:47
205 SRI MULYANI 027963 4/1/1981 - 19:27:14 19:28:42
ANINDYA KHALISA
206 PUTRI 068560 2/28/2015 - 19:34:12 20:19:45
207 TITIN KUSTINI 105030 7/1/1962 - 19:58:23 20:00:09
208 ANWAR 118477 1/14/1968 - 20:04:48 20:06:57

I10 - Essential
(primary)
209 DIKDIK 045311 11/7/1960 hypertension 21:55:18 21:56:57

K30 - Functional
210 NURAENI 118478 7/6/1994 dyspepsia 6:51:37 23:40:21

N39.0 - Urinary
tract infection,
211 IDIM 080180 8/15/1955 site not specified 3:25:35 3:26:04
R11 - Nausea
212 FAIZAN ALFARIZKI 118480 9/14/2021 and vomiting 4:33:19 9:44:09

HANA FAUZIYYAH,
213 (Amd.Kep). 065459 2/5/1994 - 6:11:08 6:12:17
214 NANO KARNO 118481 8/19/1961 - 6:28:11 6:29:15
MUHAMMAD R56.0 - Febrile
215 RAMLI 118482 5/15/2018 convulsions 10:31:37 10:33:33 0:03:10
R56.0 - Febrile
216 AZKA ALFARIZQI 118484 7/31/2021 convulsions 10:31:34 10:34:34 0:04:08

217 NENENG HASANAH 118488 6/8/1976 - 10:31:30 8:37:05


218 NATA 118498 6/6/1977 - 10:31:27 11:00:15
R10.0 - Acute
219 SRI MARYATI 118501 3/26/1998 abdomen 10:37:18 10:39:26 0:02:44
220 LINDA FARIDA 118503 11/4/1986 - 11:13:09 11:51:43

N39 - Other
disorders of
221 MAMAN 118504 4/12/1956 urinary system 11:29:17 11:31:54
SHAKELL R56.8 - Other
ARKANANTA and unspecified
222 SULAEMAN 118505 4/2/2021 convulsions 13:25:30 13:28:53
R50.9 - Fever,
223 ALATIP 118506 7/1/2009 unspecified 13:27:26 13:28:56

ARNI YANWARINI,
224 S.PD 044276 1/4/1988 J45 - Asthma 13:31:16 13:32:14 0:01:30
SYAHNAZ R11 - Nausea
225 NURAMALIA 118508 9/24/2019 and vomiting 14:08:10 14:11:10

R50 - Fever of
FAZRINA NUR other and
226 GUMILANG 118510 7/25/2018 unknown origin 14:57:51 21:38:20

D64 - Other
anaemias |
R50.8 - Other
227 LENI MARLINA 091264 12/11/1994 specified fever 15:00:51 17:21:55
YENI NURAENI,
228 (A.Md.Kep.). 053275 8/7/1987 - 15:21:11 15:24:00
229 SYAHRIAL 118512 1/3/1960 - 16:23:01 17:50:27
ILHAM TAUFIK T51.0 - Toxic
230 SOLIHIN 069498 8/12/2016 effect, ethanol 16:35:49 16:38:06 0:03:55

R50 - Fever of
KAILASH CAVINDRA other and
231 SAUQI 106677 12/22/2020 unknown origin 17:14:52 17:14:22

K30 - Functional
dyspepsia |
R63.6 -
Insufficient
intake of food
and water due to
232 AYI HASANUDIN 118297 7/5/1979 self neglect 20:08:59 19:53:37

A91 - Dengue
haemorrhagic
fever | C50 -
Malignant
neoplasm of
233 NIA KURNIA 118507 7/11/1981 breast 17:50:52 15:11:34

A91 - Dengue
haemorrhagic
234 RIZKI KURNIAWAN 082061 10/11/2001 fever 17:54:49 17:50:08
235 IDA HERAYATI 011140 2/18/1983 J45 - Asthma 18:02:26 18:03:12 0:01:38

K30 - Functional
dyspepsia | R11 -
MOCH. MALIK Nausea and
236 IBRAHIM 084953 10/29/2016 vomiting 18:55:19 20:30:14

R50.9 - Fever,
unspecified |
R63.6 -
Insufficient
intake of food
SAVANNA ARTILA and water due to
237 ANUGRAH 031299 1/12/2003 self neglect 18:57:56 19:00:12

T14 - Injury of
ARKHA SABIAN unspecified body
238 DASHA 094472 9/14/2015 region 19:03:58 19:05:33 0:03:31
MUHAMMAD R50.9 - Fever,
239 ALVAN JULIAN 118519 7/21/2002 unspecified 19:26:39 19:26:12

A01.0 - Typhoid
fever | K30 -
SITI AZKAYRA NUR Functional
240 LATHYFAH 118520 10/2/2016 dyspepsia 19:53:07 19:28:00
S72 - Fracture of
241 RAMDAN 118521 1/1/2003 femur 19:43:57 19:45:51 0:03:48

I25 - Chronic
ischaemic heart
disease | K30 -
Functional 20:06:15
242 IYUS SUPRIATMAN 068477 8/21/1967 dyspepsia 20:04:59 PM 0:03:14
243 DADANG 118523 6/3/1970 - 8:30:48 6:08:58
MUHAMMAD
244 LUTHFAN AL TAIR 113439 9/24/2021 - 0:56:23 0:58:09

245 FITRI JULFITASARI 118524 7/3/1993 - 1:09:23 1:10:40


246 TITIN KUSTINI 105030 7/1/1962 - 1:22:33 1:24:22
247 SADIAH, (Hj). 044045 9/29/1963 - 2:42:31 18:12:43

SHALWA NURSYIFA
248 SETIAWAN 117028 5/30/2021 - 7:06:45 7:07:56
249 HAPAD 046498 7/18/1967 - 7:23:07 11:01:41
E10 - Insulin-
dependent
diabetes mellitus
| K59.0 -
250 HJ ITOH 118529 7/4/1944 Constipation 8:24:42 9:44:09
R10.0 - Acute
251 NENG ELA NINGSIH 066047 12/12/1989 abdomen 8:43:15 8:45:41 0:02:46

A91 - Dengue
SHAVA SALVIA haemorrhagic
252 PUTRI 118533 6/23/2012 fever 9:14:33 9:59:49
RATNA
253 KOMALASARI 118540 8/25/1965 - 9:47:06 14:49:25

NISRINA ZULFA K30 - Functional


254 RAMADIAN 118545 4/4/2007 dyspepsia 10:48:56 12:44:48

T14.1 - Open
wound of
unspecified body
255 REYHAN SETIAWAN 118547 6/30/2018 region 11:00:18 11:04:26 0:04:44

J06.9 - Acute
upper
respiratory
infection,
unspecified |
J45.9 - Asthma,
256 SITI NASWA 105235 6/12/2007 unspecified 11:18:51 11:19:36 0:02:27

K30 - Functional
257 ULOH 118549 5/6/1960 dyspepsia 11:31:50 13:59:04

A91 - Dengue
haemorrhagic
fever | D69.9 -
Haemorrhagic
condition,
258 ROSINI 118550 3/1/1999 unspecified 11:52:15 13:40:32

I10 - Essential
(primary)
259 DERI SUHERMAN 118553 3/4/1961 hypertension 12:34:40 12:38:27

A90 - Dengue
fever [classical
260 ILHAM ALAMSYAH 118554 4/3/1995 dengue] 12:43:21 12:44:12

T14 - Injury of
unspecified body
261 RIZKY PRATAMA 118556 4/2/2019 region 13:15:25 13:19:27 0:04:52
SRI K30 - Functional
262 WAHYUNINGSIH 005004 7/25/1963 dyspepsia 13:19:40 13:20:28

METY RESTUTY K30 - Functional


263 MEILITA 108861 5/24/1988 dyspepsia 13:45:14 13:46:56

M25.27 - Flail
joint, ankle and
264 ELSA GANJARASRI 118564 9/29/1977 foot 14:22:55 14:23:21

B.00.2 -
YANDI GINGGIVO
265 ALDIANSYAH 046473 5/28/1976 STOMATITIS 14:43:27 14:44:41

J44 - Other
chronic
obstructive
pulmonary
disease | J45 -
266 ENTIN 020772 2/10/1962 Asthma 15:31:30 15:33:47 0:03:17

I50.0 -
Congestive heart
267 ENTIH SUHARTINI 107030 8/17/1977 failure 15:35:57 15:36:55 0:02:52
QEYLA NAHRA R50.9 - Fever,
268 MAULATUN N 118567 5/15/2013 unspecified 15:42:59 15:43:12

T14 - Injury of
MUHAMMAD unspecified body
269 WILDAN HAMDANI 118569 9/2/2010 region 16:27:49 16:28:36 0:02:35
FAISAL AGUM
270 FAUZAN 118570 1/30/2004 B86 - Scabies 16:34:18 16:35:29

T14 - Injury of
MEISKA HELMALIA unspecified body
271 RIJAYANTI 055901 5/25/2006 region 16:36:28 16:37:47 0:02:17
272 RIAN HERDIANA 118571 6/6/1996 - 16:26:00 17:24:58
273 YULIAWATI 012462 3/23/1975 - 16:30:12 16:37:07
274 ROSMAWATI 021082 5/5/1968 - 17:36:45 17:40:12

MUHAMMAD TWO
PUTERA
275 SYARIFATULLAH 039455 2/2/2010 B86 - Scabies 17:40:51 17:43:04

I86 - Varicose
veins of other
276 HIDAYAT 009735 8/3/1957 sites 17:46:20 17:49:14
M13 - Other
277 YUYU YULIANTI 104779 8/17/1972 arthritis 18:19:18 18:10:24
TIO SETIO R50.9 - Fever,
278 FIRMANSYAH 018254 3/5/2016 unspecified 18:41:59 16:27:24
T14 - Injury of
MUHAMMAD ALKA unspecified body
279 ALFARIDZI 104541 2/8/2011 region 19:14:14 19:17:06 0:03:20

R11 - Nausea
and vomiting |
R50 - Fever of
FAYRA DZIKRA other and
280 UMBARA 118572 10/7/2019 unknown origin 19:20:49 19:23:18

T14 - Injury of
CHANDRA ARIF unspecified body
281 HIDAYATULLOH 118573 3/28/2001 region 19:36:33 19:38:36 0:03:09

I50.0 -
Congestive heart
282 SUPARDI, (H). 118574 8/17/1955 failure 19:42:31 19:44:03 0:02:34
283 HAPAD 046498 7/18/1967 J45 - Asthma 19:54:02 19:55:20 0:01:22

284 RADI FIRMANSYAH 061596 7/22/2015 J45 - Asthma 20:48:24 20:51:34 0:03:58
285 YUSYFA EFFENDI 067061 9/17/1982 - 21:07:51 21:08:12
BAYI NY
286 SUSIDAYANTI 118575 6/7/2022 - 22:27:33 23:06:49
287 BAYU 118577 1/5/1984 - 23:40:32 23:41:35
288 IRI SUGIRI 118468 7/1/1936 - 0:54:42 0:55:49
ARSHAD FIKAR
289 ABQARY 109143 8/23/2018 - 0:59:33 1:33:18

290 M SYAQIL AL FARIS 118578 5/1/2021 - 1:32:32 1:33:29


SITI AZKAYRA NUR
291 LATHYFAH 118520 10/2/2016 - 3:18:41 6:00:50
292 TINI MARYANI 118580 4/11/1988 - 3:37:56 3:38:03
ADIFA NAYSILLA
293 AZKADINA 118583 11/17/2017 - 6:05:50 6:07:55

N17.9 - Acute
renal failure,
unspecified |
R57.1 -
Hypovolaemic
294 WIDANINGSIH 118584 10/7/1983 shock 7:24:42 7:26:22 0:03:04

H59.9 -
Postprocedural
disorder of eye
and adnexa,
295 LINA MARLINA 118598 11/10/1975 unspecified 9:35:52 10:00:15
R50.9 - Fever,
unspecified |
GHIBRAN R50.9 - Fever,
296 ARDIANSAH 118601 11/27/2019 unspecified 10:07:25 11:23:41

297 NANDI MULANDAR 069906 10/10/1987 K92.1 - Melaena 10:36:20 10:36:02


J45.9 - Asthma,
298 HAPAD 046498 7/18/1967 unspecified 11:27:17 11:29:41 0:02:58
299 HASANUDIN 118605 10/15/1990 - 11:46:47 12:42:35

A09.9 -
Gastroenteritis
and colitis of
RIZKY FATHU unspecified
300 RABBANI 118606 9/17/2021 origin 11:53:44 11:59:19

K29.7 - Gastritis,
unspecified |
301 H. SAHDUDIN 118607 2/7/1953 K92.1 - Melaena 11:58:18 12:35:46
R50.9 - Fever,
302 BELLA VISTA 073297 6/9/1991 unspecified 13:16:52 14:20:08

R50 - Fever of
AGAM ABDILAH other and
303 PRATAMA 118611 10/1/2014 unknown origin 13:43:25 13:47:08
R50.9 - Fever,
304 ALATIP 118506 7/1/2009 unspecified 14:03:16 18:23:55

J06.9 - Acute
upper
respiratory
infection,
unspecified |
SITI HASNI R50.9 - Fever,
305 FEBIYANTI 118615 2/7/2017 unspecified 14:37:16 14:40:45

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 - Fever,
306 MUHAMAD HUSEN 096504 4/8/2020 unspecified 14:40:52 13:41:28

T14.1 - Open
wound of
AUFAN ADALARD unspecified body
307 FAEYZA 016693 7/8/2012 region 14:42:05 14:45:31 0:03:36
J06.9 - Acute
upper
respiratory
infection,
unspecified |
R11 - Nausea
308 YUNI SARASWATI 118617 6/18/1996 and vomiting 15:03:08 16:07:36
309 MULYANDI 118618 3/11/1978 - 15:08:38 19:51:10
310 NANANG 000775 1/1/1958 - 15:45:34 20:21:53

J06.9 - Acute
upper
respiratory
infection,
unspecified |
R50.9 - Fever,
311 ERNI NOVIANA 085236 6/14/1998 unspecified 15:51:11 15:55:02
HAMZAH R11 - Nausea
312 ALQODAR 106321 5/8/2021 and vomiting 14:42:05 14:43:02

B86 - Scabies |
MOCH AZKA R50.9 - Fever,
313 KHAIRAN PUTRA 118622 2/28/2014 unspecified 17:15:12 17:17:48
314 DIMAS SAPUTRA 118623 1/1/2012 - 17:29:24 17:30:53
CLARISA LISNA
315 PUTRI 118624 5/21/2021 - 17:43:53 17:44:41
316 TITIN FATIMAH 020657 9/10/1970 - 17:59:10 20:17:30
317 WAHYU 040312 5/5/1972 - 18:17:33 18:18:32
ELVINO RADITYA
318 FEDRIANSYAH 103204 2/23/2021 - 18:26:15 18:27:04
319 ATIT 118625 5/5/1946 - 18:31:45 18:32:44

R50 - Fever of
SAVANNA ARTILA other and
320 ANUGRAH 031299 1/12/2003 unknown origin 18:36:15 21:39:08
RISQIA HUMAIRA
321 PUTRI 095949 9/8/2019 - 18:40:56 18:41:08
002915/0
322 IYAY 06171 7/1/1964 - 18:45:45 18:46:47

MUHAMAD
FADLAN OKTAVIAN
323 RAMDHANI 118626 10/9/2021 - 18:57:38 18:58:27
324 ADE SUTRISNO 118627 6/10/1974 - 19:22:56 19:23:25
R50 - Fever of
other and
325 ALDI MAULANA 050860 3/25/2001 unknown origin 21:06:10 21:08:40

N39.0 - Urinary
MOCH. FARHAN 046018/0 tract infection,
326 ARDYAN SYAFEI 94984 7/15/2012 site not specified 21:34:35 21:36:34

K30 - Functional
327 DEWI SAPITRI 118632 1/2/1999 dyspepsia 23:24:07 23:26:27

E14.1 -
Unspecified
diabetes mellitus
328 EDI NURSALIM 118633 4/1/1968 with ketoacidosis 23:40:57 23:42:18 0:03:15

J45 - Asthma |
N39.0 - Urinary
MUHAMAD tract infection,
329 MAULANA 116256 9/12/1996 site not specified 0:07:08 0:12:21 0:05:29

FAREL RAMADHAN
330 SETIAWAN 118634 6/24/2016 - 0:53:03 0:56:59

T14 - Injury of
YUGI PRATRAMA unspecified body
331 PUTRA 118636 3/17/2013 region 4:01:23 4:04:28 0:03:51
332 NANO SURYONO 069705 6/5/1967 J45 - Asthma 4:29:56 4:32:04 0:04:00

K30 - Functional
333 TATANG SUDRAJAT 073530 7/19/1979 dyspepsia 4:31:44 4:47:01

T01 - Open
wounds involving
multiple body
334 OPAN SOPANDI 028640 1/1/1939 regions 5:15:43 5:18:22 0:04:05
ANASYA PUTRI
335 AISYAH 118637 12/15/2016 J45 - Asthma 7:36:39 7:39:04 0:03:43
RESTI AYU R11 - Nausea
336 WANDIRA 118643 12/19/1996 and vomiting 8:33:31 18:15:20
R50 - Fever of
other and
unknown origin |
R50.9 - Fever,
337 NURUL IMAN 071324 3/10/1993 unspecified 9:29:13 9:30:51

R10 - Abdominal
338 ELIH 118647 12/2/1968 and pelvic pain 9:38:33 9:40:41 0:03:14

RUSLI ZULIANSYAH
339 ASHARI 118648 7/6/1983 - 9:41:31 9:42:05

N61 -
Inflammatory
disorders of
340 DEVITA MERYANA 035341 3/11/1996 breast 10:04:21 10:05:53

A09.9 -
Gastroenteritis
and colitis of
ALESHA AILA unspecified
341 HIDAYATULLAH 118650 3/15/2017 origin 10:30:47 10:31:30
INDAH DWI R50.9 - Fever,
342 SUGIANI 118653 5/30/2018 unspecified 11:11:09 11:45:09

J45 - Asthma |
J45.9 - Asthma,
343 ZARNITA 071376 3/16/1987 unspecified 11:58:37 11:59:25 0:02:02

R56 -
Convulsions, not
elsewhere
classified | R56.0
GIBRAN SATRIA - Febrile
344 ALFATIH 118656 7/22/2020 convulsions 7:22:50 7:23:52 0:02:42

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | R50.9 -
Fever,
345 ELZIO SETIAWAN 118658 5/30/2021 unspecified 19:26:49 5:24:17

L23 - Allergic
contact
346 IMAS RESMAWATI 113924 9/18/1979 dermatitis 16:06:49 19:22:57

347 YULIANAH 015441 7/1/1979 M79.1 - Myalgia 16:47:59 19:21:08


R50.9 - Fever,
unspecified |
R63.8 - Other
symptoms and
signs concerning
food and fluid
348 NENG ALISTIANI 118659 6/16/1999 intake 17:41:49 18:37:52
R07.3 - Other
349 RIANA AZIS 101926 1/29/1990 chest pain 19:04:17 19:07:34 0:03:51

K30 - Functional
350 NURLAELA 118661 4/20/1965 dyspepsia 20:10:44 8:49:43

K30 - Functional
351 SALSA RAKA LISA 043613 12/16/2002 dyspepsia 19:50:36 20:39:57
352 RISKA 118662 2/2/2001 - 19:56:54 19:56:54
353 EUIS ELAKAWATI 118663 9/2/1964 - 20:08:22 8:50:19
354 INTAN OKTAVIA 023597 10/1/2011 - 20:33:58 8:47:53

ATHALLA ARKHAN
355 SUPRIADI 107786 8/28/2020 - 20:21:42 8:51:20
356 ISA 118664 3/13/2022 - 20:51:31 8:46:40

038824/0 K30 - Functional


357 ROHAYA 92124 4/14/1953 dyspepsia 22:11:11 22:14:29
358 YANI MULYANI 118665 3/29/1999 - 23:03:49 23:03:49
359 IDAH 118666 11/30/1956 - 10:06:05 17:03:57

K52.0 -
Gastroenteritis
KHALISA SYAFA and colitis due to
360 FARADINA LATIFAH 118667 9/29/2020 radiation 4:19:16 4:22:29

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
361 LUSI LISNAWATI 005165 10/3/1995 origin 8:16:57 9:05:59
MUHAMMAD
362 FAEYZA RAHMAN 118670 9/21/2019 - 10:23:47 9:03:43
363 MAMAT 111672 4/6/1962 J45 - Asthma 10:18:57 10:19:49 0:02:36
SITI RUBIYATUL
364 DAWIYAH 038263 11/1/1991 J45 - Asthma 10:22:10 10:24:53 0:03:03
365 ELA KAMELIA 061154 6/9/1969 - 10:24:09 11:09:42
ALWI IZZA AL R50.9 - Fever,
366 SYABANI 099017 8/2/2020 unspecified 10:46:18 11:18:18

J06.9 - Acute
upper
respiratory
NURHASANAH infection,
367 SIREGAR 118674 4/19/2003 unspecified 11:14:36 11:16:48
DINAYA R50.9 - Fever,
368 LAFATUNNISA 104493 3/27/2021 unspecified 11:19:03 11:08:08

R99 - Other ill-


defined and
unspecified
causes of
369 IBAH MISBAH 118675 5/24/1974 mortality 12:20:02 11:38:19
370 APRILIA SYABANI 093737 4/22/2019 - 12:16:50 12:18:10

I11 -
DAMAR MUGNI Hypertensive
371 MUHARAM 117157 6/1/1995 heart disease 13:01:09 13:03:27
372 NENEN 052783 4/16/1943 - 13:36:11 13:36:11
DEPITA REGINA
373 PUTRI 016305 12/21/2010 J45 - Asthma 13:16:57 13:17:29 0:02:26

J06.9 - Acute
upper
respiratory
ALARIC PANJI infection,
374 ZAVIER 104305 10/4/2016 unspecified 13:43:08 13:45:48
375 RINA AGUSTINA 082160 8/18/1993 - 13:47:06 13:48:20
NATANIA ALIFIA R50.9 - Fever,
376 PUTRI 118682 5/28/2010 unspecified 14:02:50 14:03:31

K30 - Functional
377 EUIS SULASTRI 038779 2/24/1976 dyspepsia 14:34:44 14:35:29

M50.8 - Other
cervical disc
disorders | R54 -
Senility | R63.8 -
Other symptoms
and signs
concerning food
378 SUPANDI 033040 3/6/1951 and fluid intake 14:48:35 21:05:10
A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | K52.9 -
Noninfective
gastroenteritis
AMBARA PUTRA and colitis,
379 SUANDI 118686 2/11/2021 unspecified 14:59:34 15:00:35

K30 - Functional
dyspepsia |
L03.9 - Cellulitis,
380 ODEN 115801 1/7/1966 unspecified 15:11:04 15:13:23

BURHAN K30 - Functional


381 BURNAMA 112847 6/21/1989 dyspepsia 15:32:30 15:35:21

E11 - Non-
insulin-
dependent
diabetes mellitus
| K30 -
Functional
dyspepsia | N23
- Unspecified
382 EEN MASITOH 023918 4/10/1972 renal colic 15:51:04 15:52:56

M79.18 -
Myalgia, other
383 KOYAH 012790 7/1/1954 site 16:26:27 16:27:15
GERY ANDHIKA
384 PRASETIA 118688 12/5/1999 - 17:54:27 14:45:11

K30 - Functional
dyspepsia | R50 -
Fever of other
and unknown
385 ATEP DUDIN 117701 11/4/1964 origin 17:33:27 17:34:23

K30 - Functional
386 MUMUN 118689 7/1/1959 dyspepsia 17:40:46 17:42:04
K30 - Functional
dyspepsia | N39
- Other disorders
387 IYAM SITI MARYAM 009679 3/7/1977 of urinary system 18:46:00 18:47:59

T14 - Injury of
AUFAN ADALARD unspecified body 19:15:38
388 FAEYZA 016693 7/8/2012 region 19:13:48 AM 0:03:28

N91.0 - Primary
amenorrhoea |
R10.0 - Acute
389 HELIS AMELIA 108296 5/10/1996 abdomen 19:26:55 19:30:22

A90 - Dengue
MARCELLA fever [classical
390 OCTAVIONA 073981 10/23/2012 dengue] 19:29:34 22:32:59
391 TUTI ANGGRAINI 113945 7/7/1968 - 19:35:05 19:40:58

J06 - Acute
upper
respiratory
infections
multiple and
unspecified sites
| K30 -
Functional
392 MULYADI 074570 8/19/1984 dyspepsia 19:36:35 19:40:44

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | J06 -
Acute upper
respiratory
infections
multiple and
393 IRSAL MAULANA 077275 5/4/1993 unspecified sites 19:40:41 19:40:39

K30 - Functional
394 ENGKAY 036585 5/5/1970 dyspepsia 19:46:00 19:45:14
395 MUHAMAD ALDO 118690 1/24/2011 - 19:49:20 19:50:01
FARRELL ALFARIZQI
396 HARDIYANTO 054226 12/30/2017 - 20:08:20 11:18:10

K30 - Functional
397 OTISAN 118691 7/5/1960 dyspepsia 19:57:21 19:57:58

S09 - Other and


unspecified
injuries of head |
T07 - Unspecified
398 SONI YUNUS 118692 1/1/2005 multiple injuries 20:01:49 20:03:55 0:03

K64 -
Haemorrhoids
and perianal
venous
399 DENI IRAWAN 046878 6/26/1994 thrombosis 20:56:31 21:00:38

O21.8 - Other
vomiting
DITA complicating
400 PURNAMASARI 118694 3/24/1989 pregnancy 22:15:45 22:18:35
R50.9 - Fever,
401 ALIFA NUR ANISA 104291 10/16/2017 unspecified 0:34:23 11:19:49
R10.0 - Acute
402 MUHAMMAD NUR 118695 8/17/1972 abdomen 23:40:16 23:43:01 0:03:17

I51.9 - Heart
disease,
403 SUBARMA 095725 8/17/1952 unspecified 4:10:01 4:11:20 0:01:21

MELYSSA SHALMA R50.9 - Fever,


404 ALGHYFARI 094496 5/1/2001 unspecified 6:15:44 6:16:56
R50.9 - Fever,
405 YUDA MULYANA 090408 8/4/1987 unspecified 6:17:04 11:09:17
DILA SIVA
406 MAULIDA 118697 7/22/2019 - 6:42:30 6:43:09
R10.0 - Acute
407 ENCUP 032803 8/12/1964 abdomen 6:48:12 6:49:45 0:01:57

NADHIR RIZKY
NOVEBRIAN
408 PRATAMA JOHAN 118698 11/28/2021 - 7:26:48 7:27:48
409 SUDIRMAN 118700 6/2/1982 - 7:59:30 8:01:42
A04 - Other
bacterial
intestinal
410 LIA AMALIA 047644 1/17/1984 infections 8:29:06 11:15:14

R10 - Abdominal
411 FUJI FIRMANSYAH 108606 9/2/1977 and pelvic pain 9:07:14 9:08:50 0:02:04

412 DESYIFA AZZAHRA 118706 12/30/2020 - 9:41:13 11:53:06

DADANG R07.4 - Chest


413 RUSTANDI 118707 4/24/1970 pain, unspecified 9:45:48 9:47:33 0:03:31

A91 - Dengue
haemorrhagic
414 BADAR SALEH 118708 10/14/1975 fever 10:20:29 11:10:38
415 AGUS SUPANDI 118711 1/26/1970 - 11:04:00 11:09:05
SITI HAPSOH
416 RODITUBILLAH 118714 4/13/1999 - 11:49:42 14:36:44
417 ALI SUHELI 076210 2/6/1977 - 12:04:45 12:05:10
R50.9 - Fever,
418 AKILA NAILA FUTRI 103377 10/13/2019 unspecified 13:30:02 14:36:31
K61.0 - Anal
419 NIA KURNIA 118717 8/14/2001 abscess 13:44:48 14:51:27

420 TRIANA SALSABILA 118719 10/17/2009 - 14:31:55 16:13:27


ARSYILA ZAYANA
421 ANHAR 110896 12/5/2020 - 14:36:39 14:38:24
A04.9 - Bacterial
intestinal
infection,
unspecified |
A05.9 - Bacterial
foodborne
intoxication,
unspecified |
D64.9 - Anaemia,
unspecified |
D69.6 -
Thrombocytopen
ia, unspecified |
D69.6 -
Thrombocytopen
ia, unspecified |
K52.0 -
Gastroenteritis
and colitis due to
radiation | R50.9
- Fever,
422 ODEN 115801 1/7/1966 unspecified 14:55:41 21:56:45
RIFALDI RIJAL
423 AGUSTIN 118720 8/16/2014 - 15:34:16 15:36:30

D64.9 - Anaemia,
unspecified |
I11.9 -
Hypertensive
heart disease
without
(congestive)
424 KOMALA 036575 6/24/1949 heart failure 15:54:14 10:08:57

T14 - Injury of
unspecified body
425 RESMI JUNIARTI 065328 6/10/2007 region 15:58:02 16:00:09 0:02:11
JAFAR RAKHA R50.9 - Fever,
426 MUBASYIR 115025 8/7/2020 unspecified 16:35:04 16:23:38
K30 - Functional
427 SOPIAH 102948 3/21/1970 dyspepsia 16:53:03 16:54:10

K30 - Functional
428 IWAN RIDWAN 118727 4/6/2001 dyspepsia 16:59:52 17:00:53

T14 - Injury of
unspecified body
429 SLAMET RISKIADI 118730 5/11/1997 region 17:52:48 17:53:05 0:01:53

K52 - Other
noninfective
gastroenteritis
430 RESNI RINDAYANI 118731 1/19/2004 and colitis 18:18:34 18:19:32

R50 - Fever of
other and
unknown origin |
ARSYILA ZAYANA R56.0 - Febrile 18:24:20
431 ANHAR 110896 12/5/2020 convulsions 18:21:58 PM 0:04:18
MUHAMMAD RAIS
432 SYAMIL 114256 6/29/2017 - 18:24:01 18:25:50

K30 - Functional
433 MIMIN AMINAH 113522 10/15/1985 dyspepsia 18:44:05 18:45:08
REKHA FITRI
434 HANDAYANI 104573 6/15/1999 - 19:00:41 19:01:11

K30 - Functional
435 SURATMAN 100720 11/22/1979 dyspepsia 18:56:53 18:57:07
436 ERNAWATI 118732 6/10/1993 - 20:37:14 20:38:39
437 LESTARI 109926 1/15/1994 J45 - Asthma 20:46:37 20:47:11 0:01:48
R10.0 - Acute
438 HENDI 069477 7/1/1979 abdomen 21:05:53 21:06:13 0:02:06

J45 - Asthma |
J45.9 - Asthma,
439 nadhira rahma 118733 10/24/2017 unspecified 21:58:47 21:59:53 0:02:40
NADA FAJRIA
440 SALSABILA 084512 3/20/2019 - 23:13:58 22:24:27
I11.9 -
Hypertensive
heart disease
without
(congestive)
heart failure |
J18.9 -
Pneumonia,
unspecified |
J45.9 - Asthma,
unspecified | J81
- Pulmonary 23:53:40
441 UTOM BUSTOMI 113466 5/3/1949 oedema 23:52:07 AM 0:01:47
R50.9 - Fever,
442 AGUS SETIAWAN 118735 9/19/1972 unspecified 0:10:19 1:53:57

K30 - Functional
dyspepsia |
R10.0 - Acute
443 AMRI HERIADI 064274 9/1/2000 abdomen 1:31:09 1:32:01 0:01:10

K40 - Inguinal
hernia | K40.9 -
Unilateral or
unspecified
inguinal hernia,
without
obstruction or
gangrene |
444 JEJEN 117175 7/5/1978 M79.1 - Myalgia 2:24:58 2:25:59

K30 - Functional
445 TINA AGUSTIAN 118736 8/13/1985 dyspepsia 3:20:49 3:21:14

K30 - Functional
446 IMAN KAMASHURI 118737 9/7/1972 dyspepsia 5:12:57 5:13:32

A01.0 - Typhoid
fever | A91 -
Dengue
haemorrhagic
fever | R50.9 -
Fever,
447 INDI INDRIANI 090985 1/7/2006 unspecified 6:03:13 6:08:41
K30 - Functional
dyspepsia |
R50.9 - Fever,
448 MAEMIUNAH 118740 1/1/1967 unspecified 7:03:49 7:06:08
075053/1
449 ALI MUDIN 05405 3/17/1953 M79.1 - Myalgia 7:10:52 7:10:52
TIARA AGUSTINA R50.9 - Fever,
450 SELA 118742 8/3/2015 unspecified 7:27:27 10:53:09

R50 - Fever of
other and
451 RAZZAN ALFATIH 116231 12/24/2021 unknown origin 7:37:15 7:40:24
MOCH. RIZKY R50.9 - Fever,
452 MAULANA 080212 11/18/1989 unspecified 8:51:45 8:52:57

453 EMAN SULAEMAN 118744 7/1/1948 - 9:07:32 9:07:32

T14 - Injury of
DENA SYAHRIL unspecified body
454 SIDIQ 118684 10/11/1992 region 9:35:30 9:56:04 0:01:33
H70.0 - Acute
455 RIA NAZARIAH 082172 8/28/1979 mastoiditis 10:33:19 10:34:14

B86 - Scabies |
K52.0 -
Gastroenteritis
ALZIO PUTRA and colitis due to
456 ARTHA SETIAWAN 117871 7/30/2021 radiation 10:51:55 10:54:34

K30 - Functional
457 SELVIA MILA ROSA 118747 6/2/1998 dyspepsia 11:07:31 11:14:20

035734/1 K30 - Functional


458 HAJAR NINGSIH 16858 9/12/1965 dyspepsia 11:41:55 17:20:48

K52.0 -
Gastroenteritis
and colitis due to
radiation | R11 -
Nausea and
vomiting | R50 -
Fever of other
and unknown
459 SAFITRI NURAENI 118748 1/27/2021 origin 11:53:13 11:56:28
R50 - Fever of
MALIKA MAULIDA other and
460 ALMAHIRA 115698 10/8/2021 unknown origin 11:59:19 12:03:54

QUEENZEE
461 HUMAIRA ALETHA 118749 7/9/2020 - 12:31:01 12:33:10
462 ARI PRABOWO 118750 4/9/1998 - 12:47:10 12:50:45

J06 - Acute
upper
respiratory
infections
MARCHELLA multiple and
463 ADINDA PRABOWO 118751 9/23/2021 unspecified sites 12:49:16 12:52:51

E13 - Other
specified
diabetes mellitus
| I10 - Essential
(primary)
464 ELOM 109785 7/1/1965 hypertension 13:05:51 13:06:57

K30 - Functional
dyspepsia | R63 -
Symptoms and
signs concerning
food and fluid
465 AHYA 098453 7/1/1946 intake 13:10:07 13:46:27

A09.9 -
Gastroenteritis
MUHAMMAD and colitis of
RENDRA unspecified
466 JALALUDIN AKBAR 118752 2/3/2020 origin 13:36:15 13:37:10

DEVANO RAFISQY R50.9 - Fever,


467 AL FAJAR 118754 5/11/2020 unspecified 13:53:16 13:55:20
MAULANA LUTFHI
468 ASYIDIQ 115792 11/28/2017 B86 - Scabies 14:16:30 14:16:38
YOLANDA
469 AURRELIA 040043 6/7/2008 B86 - Scabies 14:17:43 14:18:20
K00.1 -
DEDEN TRI Supernumerary
470 ANWARUDIN 118755 2/2/1994 teeth 14:26:19 15:14:16
SAKILA CAIRA
471 NADIFA 118756 12/21/2020 - 14:30:20 15:12:14

K30 - Functional
472 RINAWATI WIJAYA 118758 5/3/1975 dyspepsia 14:40:43 14:42:41

S82.9 - Fracture
of lower leg, part
473 SOBARIAH 118759 4/10/1961 unspecified 15:54:47 15:56:43 0:03:30

J03.9 - Acute
tonsillitis,
474 AGAM SOPIYAN 060744 4/14/1971 unspecified 16:35:52 16:38:41
ABID NURDAFFA AL J45.9 - Asthma,
475 RUMI 068153 2/10/2014 unspecified 16:39:38 16:40:33 0:02:11

L23 - Allergic
contact
476 RISKA AGUSTINI 035690 8/28/1997 dermatitis 17:15:33 17:17:17

R50 - Fever of
MUHAMAD VIKI other and
477 JULIANSYAH 092970 7/5/2018 unknown origin 17:23:43 17:25:23

K52.9 -
Noninfective
gastroenteritis
MUHAMAD and colitis,
478 GILANG NUGRAHA 078252 3/23/2014 unspecified 17:25:52 17:26:45
CLARA MAULIDA R50.9 - Fever,
479 PUTRI 064198 12/4/2016 unspecified 17:36:42 17:37:09
R50.9 - Fever,
480 NENG SULASTRI 106997 6/24/2021 unspecified 17:39:08 17:42:41

H10.9 -
Conjunctivitis,
481 WIDI SRI MULYANI 118762 10/3/2011 unspecified 17:46:48 17:47:25

T14 - Injury of
MUHAMAD unspecified body 17:54:53
482 AKHDAN ARROSYID 118763 5/19/2005 region 17:51:30 PM 0:04:33

R50 - Fever of
SATRIA RIZKY other and
483 PAMUNGKAS 118764 3/24/2012 unknown origin 18:01:21 17:52:46
MUHAMMAD RAFA
484 AZKASATRIA 108276 7/31/2021 - 18:28:36 18:30:35
RIFKI
485 BUDIMANSYAH 097863 1/3/1996 - 18:32:11 18:33:57

I50.9 - Heart
failure,
unspecified |
K30 - Functional 18:35:40
486 SUSI SUSANTI 115152 1/19/1976 dyspepsia 18:33:58 PM 0:03:38
DHIAURAHMAN R50.9 - Fever,
487 AL-SUTA 112047 1/23/2019 unspecified 18:44:15 18:45:00

A05.9 - Bacterial
foodborne
intoxication,
unspecified |
K21 - Gastro-
oesophageal
reflux disease |
K30 - Functional
488 EUIS SULASTRI 038779 2/24/1976 dyspepsia 18:56:24 17:31:48

J06.9 - Acute
upper
respiratory
infection,
489 DENI ISKANDAR 118765 2/2/1969 unspecified 19:17:41 19:17:56

J06 - Acute
upper
respiratory
infections
multiple and
490 ZELINE ZAKEISHA 107014 6/15/2020 unspecified sites 19:22:04 19:23:59
DAMIA AQILA R11 - Nausea
491 KINAN YUSTIAN 118766 5/22/2015 and vomiting 19:31:49 22:31:42
492 RINI MARYANI 118767 6/8/2004 - 19:52:20 19:53:27
117591/0
493 TINI KARTINI 73175 1/1/1963 J45 - Asthma 20:54:17 20:55:02 0:01:19

R50 - Fever of
089253/0 other and
494 JARI BIN FIRDAUS 92164 7/1/1967 unknown origin 21:18:13 4:37:51
R50 - Fever of
SHERLY PUTRI AL other and
495 SYAHMIR 118769 10/8/2016 unknown origin 21:51:13 21:52:19
R50.9 - Fever,
496 RAYA SYAHPUTRA 118770 8/22/2019 unspecified 22:13:32 22:14:52
SHEENA AMALIA R11 - Nausea
497 PUTRI 112421 12/12/2021 and vomiting 11:21:45 22:20:39

R50 - Fever of
ARKAN NUR other and
498 PADILLAH 118772 8/22/2000 unknown origin 22:58:23 22:59:04
SHEENA AMALIA R11 - Nausea
499 PUTRI 112421 12/12/2021 and vomiting 7:37:13 5:41:50
R11 - Nausea
500 SAEPUDIN 106927 10/23/1976 and vomiting 2:27:54 2:58:56

K30 - Functional
501 M HIDAYAT 118775 2/8/1979 dyspepsia 4:47:42 4:48:29
R11 - Nausea
502 ENING 118776 7/1/1975 and vomiting 6:37:00 8:38:31

K52.0 -
MUHAMMAD Gastroenteritis
FATTAR RIZQULLAH and colitis due to
503 RUZAIN 115441 9/2/2021 radiation 8:15:59 8:18:01

R50 - Fever of
other and
504 ZAHRI NUR FARID 039988 1/9/2011 unknown origin 10:35:45 10:38:45
505 DESI SEPRIYANI 094024 7/25/2000 - 11:04:32 13:30:32
059634/0
506 AYARA YUANISAKA 92762 10/22/2017 - 12:20:37 12:21:19
507 LIYA 118797 3/4/1988 - 14:44:34 14:44:34

N18.9 - Chronic
kidney disease,
508 LESTIATI PEBRISAR 097140 2/8/1994 unspecified 13:32:35 13:37:52 0:06:27
509 FEVI OKTAVIANI 112074 10/5/1987 - 13:39:24 15:56:48
NADIA RHESA M54.5 - Low
510 RAHESTHA 114432 11/3/1991 back pain 14:34:27 14:35:10 0:01:27

E11 - Non-
insulin-
dependent
511 NINA HERLINA 118222 12/2/1975 diabetes mellitus 15:15:31 15:16:49
A09.9 -
Gastroenteritis
and colitis of
unspecified
512 AAS ASTUTI 118799 3/9/1999 origin 15:53:24 15:53:08
513 NISA AGUSTINA 118800 8/1/1999 - 15:58:22 15:58:22
ARSHAKA SYAKIR R11 - Nausea
514 ABQARY 108245 12/21/2020 and vomiting 16:16:03 16:17:34

J06.9 - Acute
upper
respiratory
infection,
unspecified |
MUHAMMAD R50.9 - Fever,
515 FADHIL ISAGHUJI 115557 7/23/2021 unspecified 16:49:57 16:51:38
SALWA ZAHIDA R11 - Nausea
516 FITRIAH 077175 8/2/2014 and vomiting 16:51:48 16:53:21

A91 - Dengue
haemorrhagic
fever | R50.9 -
Fever,
517 YUNI ANGGRAENI 118802 12/31/2006 unspecified 16:59:48 18:54:42

MUHAMMAD R50 - Fever of


HAIDAR HB other and
518 PERDANA 118716 8/22/2021 unknown origin 17:11:20 17:12:33
N18 - Chronic
519 ERUM 104738 9/15/1958 kidney failure 17:45:00 17:46:17 0:01:17

R56.8 - Other
WISNU AJI and unspecified
520 WIBOWO 118804 10/17/2020 convulsions 18:43:13 18:48:49
J45.9 - Asthma,
521 SUSILAWATI 067101 8/7/1975 unspecified 18:35:55 18:37:25 0:03:30
ROSLINDA R50.9 - Fever,
522 RISMAWATI 046287 6/5/1977 unspecified 18:50:41 18:51:05
R11 - Nausea
523 UUN 118805 9/4/1965 and vomiting 19:16:51 19:17:59

R50 - Fever of
other and
524 JAKARIA 118806 4/14/2000 unknown origin 19:21:50 19:22:36

T14 - Injury of
unspecified body
525 NENG SARTIKA 118807 8/20/1985 region 19:26:08 19:27:11 0:01:19
T14 - Injury of
unspecified body
526 NURMAN SIDIK 118808 6/13/1980 region 19:27:39 19:28:57 0:02:36
002915/0
527 IYAY 06171 7/1/1964 - 19:30:02 19:31:01

R50 - Fever of
MUHAMMAD ALFI other and
528 FADILAH 078719 6/19/2006 unknown origin 19:35:38 19:36:11
R11 - Nausea
529 WELLY YANA PUTRI 118809 12/22/2012 and vomiting 21:21:00 21:21:07

R50 - Fever of
other and
530 ABDUL ARIES 118810 1/14/2021 unknown origin 21:25:49 21:26:44

R50 - Fever of
DINAYA AULIA other and
531 PUTRI 024613 12/5/2009 unknown origin 22:06:27 22:07:59

K30 - Functional
532 SAEPUL ALAM 118811 1/24/1983 dyspepsia 23:51:45 23:55:01

K30 - Functional
533 ACHMAD SOPIAN 118812 4/12/1960 dyspepsia 2:26:58 2:27:43

A09 - Other
gastroenteritis
and colitis of
infectious and
MAFAZA TAQIYYA unspecified
534 UTAMA 118813 12/23/2020 origin 2:44:55 2:45:10
RAIHAN RIZKI
535 ADITIA 079482 8/27/2013 J45 - Asthma 3:53:35 3:54:23 0:01:58
R11 - Nausea
536 DERI SUHERLAN 118814 4/17/1982 and vomiting 6:56:55 6:57:05

J45 - Asthma |
J45.9 - Asthma,
537 CECEP D.S 048115 9/10/1965 unspecified 10:01:02 10:05:37 0:09:39

A09.9 -
Gastroenteritis
and colitis of
unspecified
538 MEILANY ULPAH 118830 5/14/2015 origin 11:27:47 11:35:25
B00.1 -
Herpesviral
vesicular
dermatitis |
B00.9 -
Herpesviral
infection,
539 MOHAMAD HARIS 050441 11/23/1991 unspecified 11:23:42 11:36:03
HENDRA R06.0 -
540 ISMUNANDAR 118831 4/21/1975 Dyspnoea 11:43:21 11:46:41 0:04:02

H81.1 - Benign
paroxysmal
541 EMAN SULAEMAN 118832 5/19/1966 vertigo 12:24:57 12:27:21
J45.9 - Asthma,
542 ISMI ANISA 118834 11/14/1989 unspecified 13:10:41 13:11:56 0:02:37

A09.9 -
Gastroenteritis
and colitis of
DILFA BARQI unspecified
543 FIRAJABA 118837 2/12/2022 origin 14:39:38 14:41:30
544 MULYADI 096265 3/11/1982 - 15:00:33 15:03:46
NENAH
545 SUPRIANAH 118838 3/15/1974 - 15:12:46 15:12:46
ALIFIEA KHAERULL R50.9 - Fever,
546 NISSA 118204 6/19/2012 unspecified 15:21:22 15:23:04

K52.0 -
Gastroenteritis
and colitis due to
radiation | R06.0
547 NURAENI 103825 1/1/1964 - Dyspnoea 15:28:03 15:31:45 0:03:48
548 ALI YUDIN 080216 12/12/1963 J45 - Asthma 15:33:35 15:36:40 0:04:15

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | A90 -
Dengue fever
[classical
549 PENTI TRI SULAEMI 006619 2/10/1986 dengue] 15:54:52 15:58:22
K52.0 -
Gastroenteritis
and colitis due to
radiation |
S92.91 - Fracture
of foot,
unspecified,
open | T14 -
Injury of
IRFAN EKO unspecified body
550 PRASETYO 081164 2/8/1990 region 16:13:57 16:14:07 0:02:04

J45 - Asthma |
K30 - Functional
dyspepsia | R63 -
Symptoms and
signs concerning
073175/1 food and fluid
551 TINI KARTINI 17591 1/1/1963 intake 16:47:53 16:50:10 0:04:03
552 CUCUM, (Alm). 118843 1/1/1974 - 16:59:23 16:59:23

R50 - Fever of
other and
unknown origin |
R63 - Symptoms
and signs
concerning food
553 UDAS 047682 7/1/1942 and fluid intake 17:16:13 20:50:15
HERUL RAHMAN,
554 (Amd.AK) 086111 4/24/1996 - 17:45:47 17:46:44

K52.0 -
Gastroenteritis
and colitis due to
radiation | M19 -
555 MAEMUNAH 028513 7/1/1942 Other arthrosis 18:05:07 18:08:41
J45 - Asthma |
K30 - Functional
dyspepsia |
R06.0 -
556 ENTIN SUPARTINI 072730 3/10/1973 Dyspnoea 18:44:47 18:47:57 0:04:44

A01.0 - Typhoid
CITRA HANSA fever | D64 -
557 DELIMA 052340 8/22/2002 Other anaemias 18:48:46 20:51:23

K30 - Functional
558 TETI KARYAWATI 175483 6/6/1971 dyspepsia 18:53:40 18:56:39

R11 - Nausea
and vomiting |
MUHAMMAD R50 - Fever of
FATHAN other and
559 ALBIYANSYAH 118845 10/19/2021 unknown origin 18:59:25 19:03:50
069902/0
560 SITI CAHYATI 70225 4/5/1998 - 19:50:36 19:53:35

E16.2 -
Hypoglycaemia,
561 IDA ROSMIAWATI 118846 1/1/1961 unspecified 21:22:09 21:25:39 0:03:48

A90 - Dengue
HASNA SRI fever [classical
562 RAHAYU 109431 1/27/1999 dengue] 22:14:25 6:10:39

K30 - Functional
dyspepsia | R11 -
Nausea and
vomiting | R50.9
SINDY ARIA - Fever,
563 HENDINA 118853 9/5/1996 unspecified 9:07:36 10:33:15

K30 - Functional
564 WELLY YANA PUTRI 118809 12/22/2012 dyspepsia 9:14:32 10:32:07

J06.9 - Acute
upper
respiratory
DEPITA REGINA infection,
565 PUTRI 016305 12/21/2010 unspecified 9:24:14 9:25:42
T14.0 -
Superficial injury
ADE FITRI of unspecified
566 NURJAMAN 118848 4/5/1992 body region 9:29:24 9:31:57 0:03:21

H81.4 - Vertigo
567 YAYAN SURYANA 118860 12/22/1965 of central origin 9:56:09 9:57:21

T30 - Burn and


corrosion, body
region
unspecified |
T32.1 -
Corrosions
involving 10-19%
568 MARYAMAH 118865 7/1/1975 of body surface 10:43:19 10:44:33 0:01:51

H81.4 - Vertigo
569 ISAM SULAEMAN 031798 7/12/1967 of central origin 11:22:37 11:23:33

K30 - Functional
dyspepsia | R63 -
Symptoms and
signs concerning
MOCH. food and fluid
570 MAHMUDIN 113222 8/26/1993 intake 12:48:46 17:10:52

I10 - Essential
ENGKOM (primary)
571 KOMARIAH 118870 7/19/1958 hypertension 13:12:58 13:13:05

MELYSSA SHALMA R50.9 - Fever,


572 ALGHYFARI 094496 5/1/2001 unspecified 13:22:25 13:23:36

MUHAMAD J45 - Asthma |


FADLAN ALFATIHUL J45.9 - Asthma,
573 IHSAN 029883 7/28/2011 unspecified 13:25:04 13:26:34 0:01:38
574 BRENDAN TAN 118871 6/30/1996 - 13:43:48 13:44:08
GUSTYAS WIDYA 002638/0 J45.9 - Asthma,
575 PRAJA 26380 8/25/1993 unspecified 13:45:20 13:46:38 0:01:58
J10 - Influenza
due to other
identified
influenza virus |
576 AI TISNAWATI 063074 6/4/1964 K92.1 - Melaena 13:55:15 14:00:18
RASYID MALIK AL- R50.9 - Fever,
577 BAGHDAD 108448 8/7/2021 unspecified 14:10:43 14:11:20

K30 - Functional
578 SILVIA SUCIANGGI 016088 9/27/1997 dyspepsia 14:30:32 14:31:43
R50.9 - Fever,
579 DWI FIRLY HIDAYAT 111435 6/22/2015 unspecified 14:56:17 14:57:30
SEPTIAN PUTRA
580 PRATAMA 095791 9/18/2019 B86 - Scabies 14:53:16 13:54:17
ARSYILA ALMEIRA R50.9 - Fever,
581 PUTRI 102988 5/25/2019 unspecified 15:22:45 15:23:31

T01 - Open
wounds involving
FIRMAN multiple body
582 KODRATTULLAH 118873 7/6/1998 regions 15:48:28 15:49:56 0:02:24

I50.0 -
AIP SYARIP Congestive heart
583 AKHMAD 065868 4/25/1959 failure 16:48:26 16:49:11 0:01:37

M71.07 -
Abscess of bursa,
584 EHA JULAEHA 026210 7/1/1965 ankle and foot 17:03:09 17:04:53

TIARA SUKMA K30 - Functional


585 UTAMA 118874 2/12/1999 dyspepsia 17:07:09 18:17:57
M FIKRI 068317/1
586 PIRMANSYAH 14533 11/8/2010 J45 - Asthma 17:26:23 17:27:51 0:02:13

R10 - Abdominal
587 ASLIHAT 054766 4/6/1975 and pelvic pain 17:34:33 17:35:58 0:02:31

MUHAMAD
FADLAN ALFATIHUL
588 IHSAN 029883 7/28/2011 J45 - Asthma 17:35:07 17:37:52 0:02:59
589 NABILA ALMAIRA 118877 3/24/2019 - 18:21:36 18:23:32

I50.0 -
Congestive heart
590 AJAH 118879 2/2/1966 failure 18:46:08 18:49:32 0:03:40
R11 - Nausea
and vomiting |
R50.9 - Fever,
unspecified |
R63 - Symptoms
and signs
KHUMAIRA KALIFA concerning food
591 NADJAH 118880 5/7/2019 and fluid intake 18:52:43 19:50:31

I50.0 -
Congestive heart
592 SADULLAH 118881 4/24/1960 failure 18:58:25 18:59:08 0:01:33

K30 - Functional
dyspepsia | R11 -
ABDUL YUSUP Nausea and
593 MUHAMAD BILAL 048169 2/21/1998 vomiting 19:09:25 19:10:52

R10.4 - Other
and unspecified
594 ENUNG NURAENI 118882 9/18/1977 abdominal pain 19:31:29 19:48:56

K30 - Functional
595 LISDA AMANDA 118883 1/7/2003 dyspepsia 22:40:19 21:16:52

K30 - Functional
596 LUKMAN JAYADI 045585 6/12/1992 dyspepsia 22:52:01 22:53:27
117591/0
597 TINI KARTINI 73175 1/1/1963 - 10:40:27 10:40:27
117591/0 J45.9 - Asthma,
598 TINI KARTINI 73175 1/1/1963 unspecified 0:12:59 0:15:31 0:04:30

S42 - Fracture of
MUHAMMAD ARIQ shoulder and
599 ALTHAF GUMILAR 118887 12/26/2007 upper arm 7:40:16 7:41:58 0:02:14

K30 - Functional
dyspepsia |
R50.9 - Fever,
600 NENENG SOBARIAH 000935 10/4/1970 unspecified 7:45:53 7:47:15
ALMEER IZHAR R50.9 - Fever,
601 MUTTAQIN 118888 10/30/2017 unspecified 7:55:10 7:56:15
073175/1
602 TINI KARTINI 17591 1/1/1963 J45 - Asthma 10:41:48 10:44:42 0:04
A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | K30 -
Functional
603 IKA SUSILAWATI 061046 4/28/1985 dyspepsia 11:07:37 11:10:18

R50 - Fever of
other and
unknown origin |
AIYRA MALIKHA R50.9 - Fever,
604 ARSILLA 118904 4/15/2020 unspecified 11:37:18 11:40:23

605 WIDIYA SEPTIYANTI 066172 11/27/1988 R51 - Headache 12:07:58 12:08:26


R50.9 - Fever,
606 RIYAN RIYANA 063080 11/12/1991 unspecified 12:44:54 12:45:17
607 ARKA MAULANA 118905 5/27/2013 - 12:50:13 12:51:59

T14.1 - Open
MUHAMAD wound of
IKHSAN AL unspecified body
608 GHIFARY 045006 1/30/2015 region 12:51:47 12:53:52 0:03:20

M54.59 - Low
back pain, site
609 IRFAN APANDI 118907 6/6/1989 unspecified 13:28:56 13:31:21 0:03:18

T14.0 -
Superficial injury
of unspecified
body region |
T14.1 - Open
wound of
BAGAS MAHERA unspecified body
610 PERDANA PUTRA 118908 8/24/2005 region 14:00:33 14:01:04 0:01:37

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | E63 -
Other nutritional
deficiencies |
R50.9 - Fever,
611 SABILA FITRI 105327 6/21/2019 unspecified 14:24:21 15:07:17
R50.9 - Fever,
612 NURUL HIKMAH 089500 8/8/1991 unspecified 15:23:32 16:17:54

H81.4 - Vertigo
613 YETI 118909 2/1/1985 of central origin 15:58:07 16:17:39

K30 - Functional
614 NANIH 118161 7/1/1956 dyspepsia 16:16:34 16:17:46

J45 - Asthma |
RAKHASANSHA J45.9 - Asthma,
615 RASHEL WIDIAN 011058 4/21/2011 unspecified 16:23:43 16:24:45 0:02:28

616 SITI NUR KHOFIFAH 118911 12/16/2000 - 16:40:59 16:40:59

K30 - Functional
617 ETI NURYATI 003536 3/2/1955 dyspepsia 16:49:17 8:10:24

K30 - Functional
618 ANAH 118912 11/3/1960 dyspepsia 17:03:59 18:00:36

R10 - Abdominal
619 JEJEN 117175 7/5/1978 and pelvic pain 18:33:19 18:35:39 0:02:58
MUHAMMAD RIFKI R50.9 - Fever,
620 PERDANA 118914 10/26/2007 unspecified 18:51:58 7:58:41
RALINE ADARA
621 ZEFANA 046432 5/26/2017 - 19:21:59 20:53:42

MUHAMMAD
DEVANO
622 ALGHIFARI 118915 12/6/2021 - 19:30:05 19:31:38

T24.0 - Burn of
unspecified
degree of hip
and lower limb,
JINGGA ARUNIKA except ankle and
623 SAGARA 118916 12/1/2019 foot 19:33:54 19:36:15 0:04:09

K30 - Functional
dyspepsia | R10 -
Abdominal and
624 NOVI INGGRIYANI 077542 4/15/1990 pelvic pain 19:47:11 22:24:41
CANDRA MAULA R50.9 - Fever,
625 RACHMAN, S.T 118918 1/4/1991 unspecified 20:11:01 20:15:42
K30 - Functional
dyspepsia | R10 -
BERI MAULADI Abdominal and
626 AHSAN 118919 9/17/1996 pelvic pain 20:32:43 22:46:59

R10 - Abdominal
627 RANITAWATI 049247 4/21/1994 and pelvic pain 21:46:07 21:49:19 0:03:26

R10 - Abdominal
628 UTIH PARIHAT 007165 5/11/1949 and pelvic pain 23:21:36 23:24:12 0:03:48
629 NENENG 118923 5/3/1973 - 9:00:53 9:00:53

R10 - Abdominal
630 YOGA DARMA AJI 111988 9/26/1977 and pelvic pain 1:19:54 1:21:49 0:03:43

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | R10 -
HERMAN Abdominal and
631 SUHERMAN 028605 8/31/1987 pelvic pain 4:50:37 7:06:07

K52.0 -
Gastroenteritis
and colitis due to
632 ADZKIRA GUMELAR 118920 11/4/2021 radiation 5:32:31 5:35:31

K52.0 -
Gastroenteritis
GITTA MAYGA and colitis due to
633 ARISMAWAN 118921 5/25/1992 radiation 6:03:22 6:06:54
634 HANIA 117315 10/24/1983 J45 - Asthma 6:48:03 6:49:46 0:01:49
KHALIFA VANIA R50.9 - Fever,
635 PUTRI 118922 11/29/2019 unspecified 6:59:44 7:00:40

J45 - Asthma |
J45.9 - Asthma,
636 RIANAH 055395 7/15/1983 unspecified 7:51:40 7:52:51 0:02:31
637 MIMIN 117854 7/10/1976 - 8:24:44 8:25:29

T14.1 - Open
wound of
unspecified body
638 NENENG 118923 5/3/1973 region 9:04:15 9:05:14 0:01:29

K30 - Functional
639 RANI RUSTIANA 022042 8/6/1991 dyspepsia 9:15:29 9:20:04
640 DADANG WAHYUDI 087133 10/5/1972 - 9:23:56 9:30:47

RATU SUCI E9065 - Bite by


AFRILIANI, (S.Kep., unspecified
641 Ners) 067167 4/15/1993 animal 9:27:31 9:30:16 0:03:47
642 ROYYANI 072393 5/9/1978 - 9:30:59 9:35:33

L23.9 - Allergic
contact
dermatitis,
MUHAMMAD AJI unspecified
643 NUR 112599 4/8/1998 cause 10:07:14 10:08:21
R10.0 - Acute
644 JUANDA 118930 7/1/1946 abdomen 10:42:43 10:43:56 0:02:39

T14.1 - Open
wound of
unspecified body
645 ANDA SURYANA 118931 6/4/1963 region 11:02:45 11:03:00 0:01:45
R55 - Syncope
646 LINGGA PERMANA 118936 6/5/1999 and collapse 13:00:54 13:03:00 0:03:54

647 PENTI TRI SULAEMI 006619 2/10/1986 - 13:04:16 15:30:19

ALEJJA RACHIDA
SRI QALEESYA R50.9 - Fever,
648 JUNANDI 018501 8/28/2012 unspecified 17:25:52 17:30:03

T14 - Injury of
HAYRIL PUTRA unspecified body
649 HAERMAWAN 118939 7/1/2021 region 18:46:36 18:49:52 0:04:28
ANNISA R50.9 - Fever,
650 RAMADHANTI 065856 1/19/1997 unspecified 18:51:58 18:53:25

H10 -
Conjunctivitis |
R50.9 - Fever,
651 ANA SILVA 118940 4/19/2003 unspecified 18:54:59 18:57:04

D64 - Other
anaemias |
R10.0 - Acute
652 OCIH 118941 6/11/1924 abdomen 19:06:36 21:20:11
R50.9 - Fever,
653 DEDI 118942 1/1/1956 unspecified 19:17:51 19:18:04
T14.0 -
Superficial injury
of unspecified
body region |
T14.1 - Open
wound of
unspecified body
654 ARMAN NURYANA 118943 6/8/2003 region 19:22:31 19:25:08 0:03:39
R50.9 - Fever,
655 NUR ALFI LAILA 056096 11/23/2002 unspecified 20:34:40 20:35:51

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | A09.9 -
Gastroenteritis
and colitis of
THALIA HIKMAH unspecified
656 LESTARI 118944 2/6/1996 origin 20:44:09 22:22:45

R50 - Fever of
AHMAD AZZKA other and
657 PUTRA 114640 7/4/2021 unknown origin 21:49:01 21:52:42

R50 - Fever of
MUHAMMAD other and
658 DANIYAL QIYAS IKTI 118945 7/27/2021 unknown origin 22:13:05 22:16:27

A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologically
and histologically
| K30 -
Functional
dyspepsia |
R06.0 -
659 O FIRMANSYAH 060451 9/4/1949 Dyspnoea 23:26:00 23:27:49 0:01:49
660 DORISMAN 118946 6/14/1984 - 0:05:46 0:08:52
J18.0 -
Bronchopneumo
nia, unspecified |
J45 - Asthma |
R06.0 -
661 EGIS SEPTIAN 118947 9/28/2012 Dyspnoea 1:01:45 1:04:13 0:03:58

RESTINAWATI BR K30 - Functional


662 MALAU 118948 7/12/1982 dyspepsia 1:01:45 1:04:15

N10 - Acute
tubulo-
interstitial
663 IIB IBRAHIM 006944 7/1/1953 nephritis 4:03:56 4:16:33
664 AI LIA YULIANTI 118956 7/20/1986 - 9:35:46 9:36:44

A91 - Dengue
haemorrhagic
665 AGUS MAULANA 118957 8/24/1993 fever 10:16:22 11:26:14

L02.9 -
Cutaneous
abscess, furuncle
FAISAL HAFIZHAN and carbuncle,
666 XIAN 102381 10/17/2019 unspecified 10:20:18 10:24:10
667 LINDA HASANAH 054101 1/23/1982 - 10:22:51 10:23:13

T14.1 - Open
wound of
unspecified body
668 JUANDA 086081 2/2/1979 region 10:36:24 10:38:17 0:02:41

R33 - Retention
669 IRI SUGIRI 118468 7/1/1936 of urine 10:34:40 10:36:48 0:03
670 HANAN 118959 1/2/2002 - 10:59:27 11:18:31

R10.4 - Other
SENJA ASQYAKINA and unspecified
671 GINANJAR 066992 2/5/2014 abdominal pain 12:15:50 12:00:20

A09.9 -
Gastroenteritis
and colitis of
RAFFASYA unspecified
672 LAZUARDY PARPIZ 096703 1/9/2020 origin 12:34:08 12:35:34
A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
673 AMAR ATTARIKSA 118961 1/14/2022 origin 12:42:01 12:42:41
M KAIFAN AL R56.0 - Febrile
674 FAQIH 118964 6/29/2019 convulsions 12:55:51 12:57:10 0:03:01
675 IROH 118965 5/5/1958 - 13:17:22 13:17:04

R50 - Fever of
ANNASYA NURA other and
676 FARZANA 118966 8/3/2021 unknown origin 13:46:27 19:19:28
ERIKA HIKMAH R53 - Malaise
677 DAMAYANTI 108042 11/2/2001 and fatigue 14:11:05 14:12:56

T14 - Injury of
MUHAMMAD unspecified body
678 KHAERUL AZRI 118971 7/30/2020 region 15:15:55 15:18:44 0:04:39

MUHAMMAD NUR K30 - Functional


679 AWALUDIN 118972 12/31/2000 dyspepsia 15:19:56 15:48:44

J06.9 - Acute
upper
respiratory
infection,
unspecified |
K30 - Functional
680 RAHMI YULIANTI 055145 8/17/1988 dyspepsia 15:24:09 15:49:21
ROSLINDA
681 RISMAWATI 046287 6/5/1977 - 15:32:36 0:16:34

R50 - Fever of
other and
682 SITI AZKIA ARYATI 105124 3/1/2009 unknown origin 17:03:53 15:33:04

K30 - Functional
683 LILIH SUMARSIH 067894 8/9/1990 dyspepsia 17:14:00 17:15:22

684 SELVI LESTARIANA 051051 12/28/1991 J45 - Asthma 17:27:09 17:28:43 0:01:52
ILYASA SURYA
685 SAPUTRA 020267 6/23/2010 J45 - Asthma 18:35:54 18:36:55 0:02:49
686 MAHMUD 118974 6/26/1972 - 18:41:48 18:42:00
R50.9 - Fever,
687 AMAR SA BAN 021281 7/13/2015 unspecified 18:58:31 18:59:21
R50.9 - Fever,
688 JOHAR KAMIL 118975 10/8/2010 unspecified 18:49:53 18:50:02

J40 - Bronchitis,
not specified as
689 IRA SEFTIYANTI 118976 9/11/2002 acute or chronic 19:26:16 19:27:58
MUHAMMAD R50.9 - Fever,
690 SYIFA RAMDAN 118977 5/4/2020 unspecified 19:36:43 19:37:44
R50.9 - Fever,
691 RAHMA SAGITA 118979 1/1/2008 unspecified 20:06:58 20:07:39

L20.9 - Atopic
AKMAL FAUZAN dermatitis,
692 SALIM 118982 9/30/2014 unspecified 21:08:24 21:09:26
AZKIYA MARYAM
693 IBRAHIM 081785 1/9/2020 - 7:51:22 1:11:15
R50.9 - Fever,
694 RINA RAHMAWATI 118984 12/30/1990 unspecified 21:45:43 21:46:33

695 FUJI RAHMANNISA 085953 3/4/2001 - 21:53:48 21:54:56


696 KHOERIAH 078460 11/17/1979 - 22:00:08 22:01:15
697 YADI SUPRIADI 118985 3/1/1971 - 22:05:50 22:06:58

698 AMAR ATTARIKSA 118961 1/14/2022 - 7:05:28 1:05:53

I10 - Essential
SATRIA (primary)
699 DERMAWAN 118986 12/19/1985 hypertension 22:11:56 22:12:58
FATHIR ABQARI R11 - Nausea
700 YUSUF 116741 6/19/2021 and vomiting 22:34:04 22:35:40

K30 - Functional
dyspepsia |
T14.0 -
Superficial injury
of unspecified
body region |
T14.1 - Open
wound of
unspecified body
701 YAYAN SUPRIATNA 118987 7/8/1969 region 22:51:06 23:32:56
K30 - Functional
dyspepsia |
T14.0 -
Superficial injury
of unspecified
body region |
T14.1 - Open
wound of
unspecified body
702 ENDIH 118988 6/18/1977 region 23:03:25 23:06:52
R11 - Nausea
703 TUTI SUPENTI 097601 7/30/1990 and vomiting 23:04:29 23:05:48

L23.9 - Allergic
contact
dermatitis,
unspecified
704 RATNO 118989 7/4/1960 cause 23:18:43 23:19:47

AMANDA K30 - Functional


705 KRISTIYANTI 118990 3/4/2003 dyspepsia 23:21:56 23:22:58
706 DEDE SLAMET 118991 8/15/1978 - 0:31:02 0:32:31

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | A09.9 -
Gastroenteritis
and colitis of
MUHAMMAD unspecified
707 RADIYA ALMARDA 102825 11/16/2020 origin 0:48:20 6:20:57

J45 - Asthma |
RAIHAN RIZKI J45.9 - Asthma,
708 ADITIA 079482 8/27/2013 unspecified 1:50:00 1:52:18 0:02:12

709 ROHUDIN D. SALIM 060618 10/6/1972 K92.1 - Melaena 5:48:09 6:17:06

K30 - Functional
dyspepsia | R11 -
Nausea and
710 TUTI SUMIYATI 091807 9/14/1991 vomiting 5:52:49 5:56:13
J45 - Asthma |
GUSTYAS WIDYA 002638/0 J45.9 - Asthma,
711 PRAJA 26380 8/25/1993 unspecified 5:55:35 5:58:13 0:03:12
ILYASA SURYA J45.9 - Asthma,
712 SAPUTRA 020267 6/23/2010 unspecified 6:24:55 6:26:28 0:02:23
713 RAZZAN ALFATIH 116231 12/24/2021 - 6:40:15 7:12:11

EVRIEL
DZULIANSYAH
714 PRADANA 118994 7/20/2021 - 6:58:06 6:59:21
AIYRA MALIKHA
715 ARSILLA 118904 4/15/2020 - 7:45:10 7:45:10

MUHAMMAD
716 ZAIDAN MUJTABA 111196 9/2/2020 - 7:58:12 7:59:47
SITI SYAHIRA R50.9 - Fever,
717 ALFITRI 113771 6/14/2018 unspecified 8:11:20 8:11:37

R50 - Fever of
other and
unknown origin |
R50.9 - Fever,
718 HELI ROHIMAH 076788 7/11/1993 unspecified 8:39:54 8:40:23

K30 - Functional
719 TUTI SUARTI 118997 6/22/1975 dyspepsia 9:01:55 9:02:52
CEP BAYU K05.1 - Chronic
720 MAULANA 059437 5/12/1995 gingivitis 9:25:53 9:26:03

H10.9 -
MUHAMMAD Conjunctivitis,
721 YUSUF ARRASYID 118998 11/18/2019 unspecified 9:28:16 9:31:49
722 TITIN SUMARTINI 070014 10/25/1956 - 9:43:26 9:43:47
HAFIZ REYVIAN
723 MAULANA 118999 9/11/2012 - 10:19:27 10:34:42

724 A SUMINAR 119000 7/27/1962 K92.1 - Melaena 10:33:20 10:35:28


725 ADAH 119001 6/8/1956 - 10:52:13 10:53:47

T14.1 - Open
wound of
unspecified body
726 RAHMAT 119002 7/1/1959 region 11:15:37 11:19:16 0:04:53
14:53:52
727 NANANG 000775 1/1/1958 J45 - Asthma 14:51:50 AM 0:03:42
MILLA APRILIA R50.9 - Fever,
728 PUTRI 119004 4/14/2012 unspecified 11:59:04 12:25:43
J06.9 - Acute
upper
respiratory
DZIKRAN ALFARIZKI infection,
729 MAULANA 119005 7/6/2019 unspecified 12:06:48 12:07:42

R50 - Fever of
MUHAMMAD SIBLI other and
730 FATWAN 096645 2/25/2020 unknown origin 14:59:59 14:35:53

R50 - Fever of
other and
unknown origin |
RIDWAN R50.9 - Fever,
731 MAURAKSA 058727 11/10/1991 unspecified 14:35:12 14:40:59

J06.9 - Acute
upper
respiratory
LATYSHA SYAFIRA infection,
732 AULIA 119008 7/5/2008 unspecified 16:11:22 16:11:57
FATHIR ABQARI R11 - Nausea
733 YUSUF 116741 6/19/2021 and vomiting 16:18:37 16:51:50
ANISYA SRI K05.1 - Chronic
734 HANDAYANI 086734 1/3/2014 gingivitis 16:24:40 16:25:32

MUHAMAD
IKHSAN R56.0 - Febrile
735 HIDAYATULLAH 100851 12/30/2020 convulsions 16:28:27 16:30:46 0:04:03

I10 - Essential
(primary)
736 ATIKAH 046248 9/5/1960 hypertension 17:00:26 17:00:26

T14 - Injury of
unspecified body
737 ANGGA 119009 8/4/1998 region 17:07:44 17:08:30 0:02:14

K30 - Functional
738 JUJU JUARIAH 040019 9/12/1954 dyspepsia 17:33:00 17:35:44

MOHAMMAD T14 - Injury of


AFGHIAN unspecified body
739 ALGHIFARI 11944 12/12/2008 region 17:53:18 17:55:43 0:03:01

K30 - Functional
740 RESA OKTAVIANI 119010 10/28/1993 dyspepsia 19:01:54 19:02:16
R50.9 - Fever,
741 RAFKA NAIMA 081422 6/4/2010 unspecified 19:03:25 19:03:40
NAJMIA AGHNI R50.9 - Fever,
742 FAUZIAH 045865 5/4/2013 unspecified 19:12:07 19:13:26

A09 - Other
gastroenteritis
and colitis of
infectious and
M RIFQI ARVAN unspecified
743 HERIANSAH 044600 11/26/2016 origin 19:35:08 19:45:35
744 NENG FITRIYANI 119012 11/21/2003 - 14:51:50 21:29:48

R50 - Fever of
other and
745 PUJA PANI 28749 4/17/2007 unknown origin 20:36:07 20:38:57

DADEN K30 - Functional


746 HENDIAWAN 062270 10/12/1983 dyspepsia 20:37:19 20:40:48

J06.9 - Acute
upper
respiratory
infection,
unspecified |
DINAYA AULIA R06.0 -
747 PUTRI 024613 12/5/2009 Dyspnoea 0:13:59 0:15:26 0:03:12

K30 - Functional
748 HENDRI 056088 10/5/1986 dyspepsia 2:31:44 2:36:53

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | A09.9 -
Gastroenteritis
and colitis of
unspecified
749 OWI 119016 2/3/1961 origin 4:17:09 4:19:03

J45 - Asthma |
SRI RAHAYU J45.9 - Asthma,
750 MUTINI 114909 6/13/1984 unspecified 6:10:28 6:12:33 0:02:32
K40 - Inguinal
751 IRI SUGIRI 118468 7/1/1936 hernia 6:26:08 6:27:10
A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | A09.9 -
Gastroenteritis
and colitis of
unspecified
752 ENTA 119017 7/1/1930 origin 7:03:10 7:04:17

H81.4 - Vertigo
of central origin
| R11 - Nausea
753 ENGKOS KOSASIH 094823 4/22/1968 and vomiting 7:50:18 12:55:27
M54.5 - Low
754 FIRMAN ANDRIAN 119021 3/5/1984 back pain 8:41:47 8:42:23 0:02:30

A91 - Dengue
haemorrhagic
fever | K30 -
Functional
dyspepsia | R11 -
Nausea and
vomiting | R63 -
Symptoms and
signs concerning
food and fluid
755 LINDAWATI 119022 8/4/1986 intake 8:46:59 20:49:41 0:04:12

T11 - Other
injuries of upper
DANIL ANANTA limb, level
756 BAHARUDIN 119024 1/1/2016 unspecified 8:52:28 8:53:11 0:02:34
T16 - Foreign
757 ARWAN 119028 9/2/1976 body in ear 9:07:18 9:08:17
758 WAHYU 040312 5/5/1972 J45 - Asthma 9:22:21 9:23:56 0:02:17

F23 - Acute and


transient
psychotic
759 HERYANTO 119031 4/28/1955 disorders 9:22:21 9:23:29
R06.0 -
Dyspnoea |
R63.8 - Other
symptoms and
signs concerning
food and fluid
760 MAS ELA 081705 6/12/1975 intake 9:56:41 9:59:47 0:04:12

R06.0 -
Dyspnoea | R63 -
Symptoms and
signs concerning
food and fluid
761 IROH 119035 4/11/1962 intake 10:33:45 10:36:29 0:03:10

E14.9 -
Unspecified
diabetes mellitus
without
complications |
I10 - Essential
(primary)
762 HUDRI 119029 10/23/1957 hypertension 20:30:03 22:57:41

SHERLY K30 - Functional


763 ANGGRAENI 064679 6/26/2003 dyspepsia 11:59:35 12:00:56

O21.0 - Mild
ULFA QURROTA hyperemesis
764 AINI 022247 6/21/1998 gravidarum 12:06:53 12:07:32

R11 - Nausea
and vomiting |
HAIKAL PUTRA R50.9 - Fever,
765 PRATAMA ISWADI 109955 3/9/2012 unspecified 13:01:51 13:02:16

T11 - Other
injuries of upper
MUHAMAD limb, level
766 RIDWANSYAH 119040 4/29/2015 unspecified 13:06:44 13:07:07 0:01:10
767 SABI 116915 7/6/1962 J45 - Asthma 13:09:03 13:11:16 0:02:10
J06.9 - Acute
upper
respiratory
MOCHAMAD ARIEF infection,
768 PRATAMA 114693 10/8/1995 unspecified 13:15:48 13:07:07

A15 - Respiratory
tuberculosis,
bacteriologically
and histologically
confirmed |
R50.9 - Fever,
769 SUGIANTO 119041 3/14/1984 unspecified 13:21:08 13:22:07
770 EEN 118630 7/3/2009 - 13:25:43 13:25:43
R10.0 - Acute
771 ANGGI 119042 3/27/2004 abdomen 13:31:27 13:33:02 0:02:30

K30 - Functional
dyspepsia |
GIDA R50.9 - Fever,
772 WADIVAHISANA 023708 12/2/2004 unspecified 13:36:32 13:39:54

ABRISAM R50.9 - Fever,


773 REYNAND RABBANI 106792 6/6/2016 unspecified 20:04:41 15:57:46

T14 - Injury of
unspecified body 20:07:34
774 ASEP HANDIAN 119043 9/16/1983 region 20:04:54 PM 0:03:12

MUHAMMAD J18.0 -
RAFKA Bronchopneumo 20:07:16
775 RAFARDHAN 114226 11/8/2021 nia, unspecified 20:05:01 PM 0:02:12

N39.0 - Urinary
tract infection,
776 ASTRI SULASTRI 119045 8/29/1981 site not specified 20:05:06 14:28:49

777 FITRI WULAN SUCI 118148 2/11/1997 - 20:05:23 20:05:23

N39.0 - Urinary
tract infection,
778 NURANI 119046 7/8/2007 site not specified 20:05:30 14:47:18
J44 - Other
chronic
obstructive
pulmonary
disease | J45 - 20:48:11
779 NANANG 000775 1/1/1958 Asthma 20:46:53 M 0:03:10
780 DESTRINA PUTRI 119047 12/31/2001 - 15:00:29 16:02:35

RISCHA
781 RAHMAWATI, (dr). 100146 8/27/1990 R51 - Headache 15:36:52 16:03:03
HENDRA J45.9 - Asthma,
782 GUNAWAN 110365 3/17/1973 unspecified 18:49:55 18:50:40 0:02:30

I61.9 -
Intracerebral
haemorrhage, 18:57:18
783 UJANG SUPRIATNA 119049 6/20/1963 unspecified 18:55:22 PM 0:02:10
784 KARINI 084792 1/29/2015 - 18:59:30 18:59:30
J45.9 - Asthma, 7:012:22
785 JAJANG JAYADI 055956 2/12/1976 unspecified 19:09:36 PM 0:03:10

I10 - Essential
(primary)
786 ILAH 065291 7/10/1965 hypertension 20:19:35 20:19:24
MUHAMMAD FIKRI J45.9 - Asthma,
787 LAJUWARDI 119050 10/15/2008 unspecified 20:24:35 20:25:00 0:01:04
HERDI
788 HERDIANSYAH 119052 8/13/1999 - 22:17:44 22:18:54

R50 - Fever of
VERGA SYIFA other and
789 DELMA 119053 8/7/2001 unknown origin 23:04:48 23:05:20
R11 - Nausea
790 PRASILIA 119054 7/20/1984 and vomiting 23:08:51 23:09:05

ARSHAKA
ELKHAIRAN R50.9 - Fever,
791 RAMDHANI 115430 6/19/2021 unspecified 0:01:02 23:55:07

ABYAN NANDANA K30 - Functional


792 RAMADAN 012367 6/22/2015 dyspepsia 0:29:33 0:30:45

K52.9 -
Noninfective
gastroenteritis
and colitis,
793 NURKORI AFSHIN 094757 8/15/2020 unspecified 14:34:57 0:33:27
K52.9 -
Noninfective
gastroenteritis
and colitis,
794 ENDANG SARIF 061917 8/10/1950 unspecified 5:51:56 11:46:08

K30 - Functional
795 DARWIS 111758 7/13/1993 dyspepsia 6:19:27 6:20:38
796 ANWAR SADAT 068875 8/3/1968 J45 - Asthma 6:21:54 6:22:05 0:02:59

MUHAMAD
FADLAN OKTAVIAN R11 - Nausea
797 RAMDHANI 118626 10/9/2021 and vomiting 8:01:26 8:10:58
798 ETI ROHAETI 117105 6/12/1966 - 8:07:38 8:09:33

R10 - Abdominal
799 ILAH 047530 12/12/1961 and pelvic pain 8:58:59 8:59:03 0:02:02

E13 - Other
specified
diabetes mellitus
| K30 -
DEDE MEGA Functional
800 RAHAYU 024432 7/15/1976 dyspepsia 9:40:10 9:41:43
R50.9 - Fever,
801 MIRNAWATI 065972 5/12/1989 unspecified 10:16:04 10:17:03
DWI ARSYIL AL R50.9 - Fever,
802 MUHAROM 051830 9/26/2017 unspecified 10:15:59 10:16:03

SYAIRA
RAHMAWATI R50.9 - Fever,
803 HIDAYAT 081804 1/26/2012 unspecified 10:15:54 10:16:03

R50 - Fever of
other and
804 RAIZMA MUTIA 068627 8/26/2017 unknown origin 15:14:01 11:28:26
805 AZMI AZARANI 110823 5/16/2018 - 13:01:53 10:59:28

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | K52.0 -
Gastroenteritis
and colitis due to
radiation | R11 -
JOVIAN RENDI Nausea and
806 ALFARIZKI 119073 7/1/2021 vomiting 13:07:37 11:28:17
J06 - Acute
upper
respiratory
infections
NAURA multiple and
807 ALFATUNNISA 075355 9/13/2019 unspecified sites 14:14:53 13:33:58

T14 - Injury of
unspecified body
808 UJANG 119075 1/1/2013 region 13:41:00 13:43:51 0:02:51
MUHAMMAD
809 RAYYAN GHIFARI 119076 6/19/2021 - 14:18:43 19:54:43
810 RAHMI YULIANTI 055145 8/17/1988 - 14:21:37 15:36:21

K30 - Functional
dyspepsia | R11 -
Nausea and
811 NACILA ALEXSA 119078 5/12/2018 vomiting 15:24:40 15:25:40

NAURA SYAKHEERA R11 - Nausea


812 AZZAHRA 052484 2/19/2018 and vomiting 15:26:48 23:41:39
J45.9 - Asthma,
813 EROS ROSITA 046795 4/28/1989 unspecified 16:05:02 16:07:34 0:02:36

LUTFI SEPTA K30 - Functional


814 LUPIAN 072465 9/12/1988 dyspepsia 16:47:23 16:47:34

E11.1 - Non-
insulin-
dependent
diabetes mellitus
815 CECEP 114203 3/5/1953 with ketoacidosis 10:38:29 10:40:03 0:02:10
FURQAN SYABAN
816 ABDILLAH 119081 6/28/2013 E9060 - Dog bite 17:21:43 17:22:01 0:01:12
R11 - Nausea
817 RISNA MARLIANI 055875 3/28/1998 and vomiting 17:23:12 17:24:29

ADE KURNIA
CORNELLIS K30 - Functional
818 BASTIAN 116297 12/30/1996 dyspepsia 17:48:03 17:49:43
819 NURHAYATI 119082 2/4/1968 - 18:21:58 19:53:30
TIWI PRATIWI
820 NURMAWATI 016763 7/14/1993 - 18:27:57 18:28:27

BERLIAN
KHUMAIRA AZALEA
821 FADLI 119083 12/13/2020 - 18:35:02 18:35:48
K30 - Functional
822 AAH 119084 1/28/1968 dyspepsia 18:39:29 18:40:37

R50 - Fever of
other and
823 DIKA PRATAMA 109619 4/9/2017 unknown origin 18:41:56 18:42:32

R50 - Fever of
other and
824 GENING SUGESTI 072197 11/28/1970 unknown origin 18:44:43 18:45:08
AHMAD MALIK R50.0 - Fever
825 HAKIM 110543 4/30/2010 with chills 18:51:52 18:52:33

R10.4 - Other
and unspecified
826 ENJIM SYARIPUDIN 086416 6/5/1965 abdominal pain 18:56:28 18:57:32
CHAYRA PUTRI
827 ARAFAH 077667 8/21/2018 - 19:00:05 19:42:01

R50 - Fever of
KAIFIYA MALIKA other and
828 SAEPULANA 105118 7/14/2020 unknown origin 19:08:55 23:44:28

K30 - Functional
dyspepsia | R11 -
Nausea and
829 NINA MARLINA 084467 11/19/1973 vomiting 19:52:59 19:53:18

R50 - Fever of
other and
830 SITI AZKIA ARYATI 105124 3/1/2009 unknown origin 19:57:25 20:11:29

L02.9 -
Cutaneous
abscess, furuncle
and carbuncle,
831 SAEPUL HADI 119087 10/11/1980 unspecified 20:02:38 20:03:44
832 JAJANG 119089 4/21/1964 - 20:21:16 20:21:16

T14 - Injury of
unspecified body
833 MAMAT BIN IJUN 068189 6/15/1975 region 21:14:01 21:15:11 0:01:29
MUHAMMAD
RAIHAN
RAMADHAN K30 - Functional
834 PERMANA 119090 8/24/2008 dyspepsia 21:26:02 21:27:28

R50 - Fever of
other and
835 ARSYILA AYUNIDA 119091 3/13/2021 unknown origin 22:45:59 22:46:42
836 AJAN SUJANA 083803 12/31/1957 - 23:25:51 23:26:51

837 ARFAIZA ATTHALA 119092 7/11/2021 - 23:47:59 23:48:37


ARDIAN
838 HERLAMBANG 119093 5/17/1998 - 0:13:38 0:14:52
839 ENUNG 119095 7/10/1973 - 1:03:34 12:15:11

A91 - Dengue
haemorrhagic
840 RUS 119094 1/1/1965 fever 0:33:09 0:35:11
ANGGI HAURA
841 TUNNISA 052147 3/13/2001 - 9:09:42 2:45:04
AZQIA ZIVANKA R11 - Nausea
842 APRILIAN 119096 4/5/2021 and vomiting 3:58:36 2:59:28

R50 - Fever of
other and
843 NAILA NUR AINI 119097 1/9/2017 unknown origin 4:56:20 5:00:58

K52.9 -
Noninfective
gastroenteritis
MARIAM AHMAD, and colitis,
844 (Hj). 042305 4/1/1970 unspecified 5:49:47 5:50:37

K52.9 -
Noninfective
gastroenteritis
NISKALA DHANESA and colitis,
845 YEKA KERLOOZA 109569 8/7/2021 unspecified 6:40:21 6:41:14
846 M IKBAL GIBRAN 119098 1/19/2015 J45 - Asthma 7:31:16 7:32:24 0:02;13

N94.4 - Primary
847 ALIA APRILIANI 119101 4/29/2007 dysmenorrhoea 8:32:40 12:56:34
RINTAN ISMAYA R10.0 - Acute
848 PUTRI 051729 6/27/1996 abdomen 8:36:48 8:38:43 0:03:10
R10.0 - Acute
849 DIANSAH 119104 3/21/1997 abdomen 9:26:18 9:29:24 0:03:43
R11 - Nausea
850 PUJA PANI 061567 4/17/2007 and vomiting 10:14:05 12:59:19

K30 - Functional
dyspepsia |
N39.0 - Urinary
tract infection,
851 M HIDAYAT 118775 2/8/1979 site not specified 11:54:10 11:55:59

R63 - Symptoms
and signs
concerning food
852 TITIN 112936 7/1/1954 and fluid intake 12:38:20 13:32:50
R10.0 - Acute 13:10:47
853 ARNI 119115 11/5/1999 abdomen 13:06:59 PM 0:05:00

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | R50.9 -
MUHAMMAD Fever,
854 HANAN ARIFIN 119116 1/11/2022 unspecified 13:59:35 14:00:36

E9065 - Bite by
unspecified
855 EMAN SULAEMAN 119117 1/1/1961 animal 14:22:57 14:23:17 0:02:13

R99 - Other ill-


defined and
unspecified
causes of
856 PAPA PAHRUDIN 115336 2/1/1969 mortality 14:44:37 14:44:46

J18.0 -
HANIF SAYILENDRA Bronchopneumo 15:43:01
857 ANDRIANA 119118 11/24/2021 nia, unspecified 15:40:29 PM 0:03:10
ARUMI ARDILLAH R50.9 - Fever,
858 MAULANA 119119 7/27/2020 unspecified 15:45:07 13:13:07

H65.9 -
Nonsuppurative
FAHMI otitis media,
859 ARDIANSYAH 092027 10/10/2013 unspecified 15:49:20 15:49:37
DAMA KALTARO
860 ARFEEN 103451 3/14/2021 - 15:52:24 14:48:53
I10 - Essential
(primary)
hypertension |
K30 - Functional
861 ETIN SUPRIATIN 117889 2/24/1975 dyspepsia 16:39:28 16:40:35
862 OCAH 077219 1/7/1944 - 16:43:55 16:43:55

T14 - Injury of
KHALIZA ADZASZIA unspecified body
863 LESMANA 119122 8/8/2018 region 16:49:40 16:52:55 0:03:10
K35 - Acute 17:03:41
864 PAIZAL RUSYADI 119123 7/3/1995 appendicitis 17:00:43 PM 0:04:10

A09.9 -
Gastroenteritis
and colitis of
unspecified
865 SITI SA ADAH 029038 10/1/1974 origin 17:07:34 17:08:51

B02 - Zoster
866 SRI IDA JULIANTI 099004 7/2/1990 [herpes zoster] 17:15:26 17:16:39

J18.0 -
Bronchopneumo
nia, unspecified |
M. RAFKA R06.0 - 17:37:57
867 SHAFIULLAH 119124 4/10/2022 Dyspnoea 17:34:19 PM 0:04:24

T01 - Open
wounds involving
multiple body
868 HARUN 119125 4/10/1975 regions 17:48:35 17:49:30 0:02:25

R50.9 - Fever,
unspecified |
R63 - Symptoms
and signs
081605/0 concerning food
869 NURJANAH, (HJ) 91/099 1/1/1953 and fluid intake 17:51:57 17:52:10

870 ELIS 052210 5/25/1983 R51 - Headache 17:51:57 17:52:51


A90 - Dengue
fever [classical
dengue] | R50.9
FASHIH AKBAR - Fever,
871 SULTANI 114299 3/9/2020 unspecified 18:13:38 18:14:39

K30 - Functional
872 HANI HANDAYANI 119126 10/5/2000 dyspepsia 18:21:44 18:22:39

R50 - Fever of
ASMARINI other and
873 EFALINDA 073832 3/3/1982 unknown origin 18:33:17 18:36:30
874 DESI 119127 7/1/1985 J45 - Asthma 19:21:10 19:22:54 0:02:12
R50.9 - Fever,
875 ELA MULIANI 113617 9/8/1982 unspecified 19:24:12 19:24:55
HARI AGASETIA
876 PERMANA 009643 12/18/2005 - 20:17:36 20:18:57

R57.1 -
Hypovolaemic 20:36:25
877 KARNA 015431 7/1/1958 shock 20:33:27 AM 0:03:54

ANDHIKA JANUAR R50.9 - Fever,


878 SAPUTRA 086739 1/5/2009 unspecified 21:29:44 21:30:32

ENCEP ZAENAL K30 - Functional


879 MUTAQIN 119128 6/8/1960 dyspepsia 22:10:51 22:11:58

R50 - Fever of
other and
880 M FADLI HILMAN 119130 5/17/2011 unknown origin 23:42:44 23:44:56

I10 - Essential
(primary)
hypertension |
K30 - Functional
881 YULIA WATI 112797 8/12/1998 dyspepsia 1:07:14 1:08:17
ABDULLAH AL-
882 FACHIR ASSEGAF 119133 6/14/2021 - 2:02:48 2:12:05

K30 - Functional
883 KOMARIAH 064244 6/20/1969 dyspepsia 2:20:00 2:20:44
MUHAMMAD R11 - Nausea
884 ARDA BILY 119134 8/17/2021 and vomiting 2:38:18 5:41:47
I10 - Essential
(primary)
885 ENTIM PATIMAH 027609 12/7/1966 hypertension 5:30:59 5:32:01
R50.9 - Fever,
886 AAT 010379 8/5/1975 unspecified 5:39:12 5:39:58

ALMEERA SHABIRA R56.0 - Febrile


887 RAHAYU 112303 8/1/2021 convulsions 6:11:35 6:12:24 0:01:59
YUNI WIDAYANTI,
888 MS 033825 6/15/1991 - 7:56:10 7:56:10

J44.9 - Chronic
obstructive
pulmonary
disease,
889 HJ. YAYAH 119142 5/20/1958 unspecified 9:17:15 9:18:07

E10 - Insulin-
dependent
diabetes mellitus
| E11.9 - Non-
insulin-
dependent
diabetes mellitus
without
890 ELIM HALIMAH 040517 7/1/1959 complications 10:27:55 10:30:40 0:04:35

H81.1 - Benign
040988/0 paroxysmal
891 LINDA SULASTRI 77093 12/12/1983 vertigo 10:32:30 10:34:35
892 MALA NURTIA 119145 6/23/2006 - 11:39:24 10:57:18

K30 - Functional
dyspepsia |
R10.0 - Acute
893 HENDRI BIN AMSA 104504 10/10/1980 abdomen 11:01:25 11:02:44 0:02:09
J45.9 - Asthma,
894 MA JUA 119146 7/1/1940 unspecified 11:19:49 11:24:29 0:05:18

E14.5 -
Unspecified
diabetes mellitus
with peripheral
circulatory
895 DEDEH 076264 7/1/1965 complications 11:32:09 11:35:36
J06.9 - Acute
upper
respiratory
infection,
896 FATHAN ALGHIFARI 117426 2/2/2021 unspecified 11:43:12 11:45:34

K30 - Functional
dyspepsia |
R50.9 - Fever,
897 ENUNG 119147 5/1/1950 unspecified 11:59:34 12:00:00
DEDE MEGA R11 - Nausea
898 RAHAYU 119149 8/15/1976 and vomiting 12:13:33 12:48:11
NENG RISKA R50.9 - Fever,
899 PURNAMA SARI 044721 10/8/1992 unspecified 12:18:15 12:18:07

ELEEYA NADZIFAH
900 TSARWAH 110818 4/13/2021 - 12:21:01 15:06:53

R10 - Abdominal
901 ROSTINI 002267 1/2/1989 and pelvic pain 13:01:04 13:03:36 0:02:40

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | R50.9 -
ARSYLLA ARVALEA Fever,
902 NAZMA 118090 11/25/2021 unspecified 13:11:09 13:12:09
L30 - Other
903 TATI MARYATI 012217 9/29/1971 dermatitis 14:21:30 14:24:10

T11 - Other
injuries of upper
limb, level
unspecified |
T79.4 -
904 UUS SUPARMAN 119155 1/7/1971 Traumatic shock 13:34:50 13:37:05 0:03:55

R50 - Fever of
other and
905 IRFAN SUPENDI 021585 10/7/1985 unknown origin 14:35:41 14:38:02

K65 - Peritonitis
| R10.0 - Acute 15:13:16
906 DENI 119156 6/6/1978 abdomen 15:12:21 PM 0:01:37
R50.9 - Fever,
907 HENI SURYANI 119157 10/2/1973 unspecified 15:43:43 15:45:37

K30 - Functional
908 IPAH SARIPAH 119158 1/13/1979 dyspepsia 16:09:19 16:10:58
022351/0 R50.9 - Fever,
909 FITRI NURLAELA 97171 6/8/2004 unspecified 16:16:07 16:18:55

K30 - Functional
910 NENG SUKMAWATI 119159 4/18/1978 dyspepsia 16:22:32 16:24:55

R50.9 - Fever,
unspecified |
R63 - Symptoms
and signs
concerning food
911 FAUZAN AKBAR 119160 3/15/2014 and fluid intake 16:30:44 19:31:26
912 AAT 118685 7/1/1963 - 16:37:00 19:33:47

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | R63 -
Symptoms and
signs concerning
MUHAMMAD food and fluid
913 IHSAN ALBIANSYAH 119161 1/18/2022 intake 17:06:09 20:07:50

I10 - Essential
(primary)
914 ENDANG 096531 9/18/1960 hypertension 17:09:56 17:12:58

NINING K30 - Functional


915 RATNINGSIH 119162 1/1/1966 dyspepsia 17:15:44 17:16:56

K52.0 -
Gastroenteritis
MUHAMMAD and colitis due to
916 ARYA 119163 10/23/2021 radiation 17:27:26 17:30:24
ENDAH
917 NURHASANAH 113039 12/28/1973 - 17:43:33 17:43:33
T01 - Open
wounds involving
multiple body
918 ANIN 119164 1/1/1968 regions 15:30:24 15:33:28 0:03:52

K30 - Functional
dyspepsia |
KANIA R50.9 - Fever,
919 PATMAWATI 115327 7/5/1994 unspecified 18:01:06 18:02:58
A01.0 - Typhoid
920 RIZKI ISKANDAR 119165 10/6/2015 fever 18:28:46 18:29:00
RIWRIW
921 RAHMAWATI 115669 8/18/2004 - 18:40:30 18:40:30

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | R63 -
Symptoms and
signs concerning
PUTRI SYAHKIRA food and fluid
922 ANJANI 119166 7/30/2021 intake 20:27:51 20:59:15

R50.9 - Fever,
unspecified |
923 DESI SUSILAWATI 094816 10/3/1990 R51 - Headache 19:50:37 10:53:53

R50 - Fever of
other and
924 AI ALISAH 119167 11/10/1999 unknown origin 20:32:07 20:35:11

925 EVI PURNAMASARI 104629 9/22/1992 J45 - Asthma 20:40:36 20:41:26 0:02:02
KEISHA ADZKIYA R11 - Nausea
926 NAYLA 119168 11/13/2021 and vomiting 20:49:02 0:55:40

R50 - Fever of
other and
927 PUTRA ARIFIN 119169 4/1/2019 unknown origin 21:01:34 21:03:57
928 ACUN MANSUR 067610 7/1/1967 - 21:25:17 21:26:55

I50.0 -
Congestive heart 21:37:54
929 NARWITI 010393 7/1/1965 failure 21:34:30 AM 0:04:34
R04.9 -
MUHAMMAD Haemorrhage
RHEIHAN from respiratory
PRASETYO passages,
930 NUGRAHA 022240 5/18/2013 unspecified 22:45:48 22:46:58

D61 - Other
aplastic
anaemias |
931 TITA 119171 7/1/1972 K92.1 - Melaena 0:41:34 10:36:00

NOPPY CAHYA K30 - Functional


932 NINGSIH 077062 11/23/1995 dyspepsia 3:44:55 3:45:15
ENCEP ZAENAL R50.9 - Fever,
933 MUTAQIN 119128 6/8/1960 unspecified 7:09:32 10:49:31
934 AI ELSI 118470 3/16/1980 - 9:03:02 9:04:36
SUCHI
935 NURHASANAH 013335 8/31/2011 - 10:09:25 10:09:17

R50 - Fever of
other and
936 AMIRA DE ALEA 119188 9/9/2021 unknown origin 12:35:36 12:40:43
937 MUDRIKAH 119190 6/24/1980 R18 - Ascites 14:25:47 14:44:20
DAMA KALTARO
938 ARFEEN 103451 3/14/2021 - 14:27:45 15:09:53

A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologically
939 VERA RAHMAWATI 119192 2/26/2002 and histologically 14:44:29 22:27:08
ASEP NENDI
940 SAPUTRA ,ST 119193 1/11/1988 - 15:00:49 17:58:37

H05.0 - Acute
SITI IMELDA inflammation of
941 PURNAMA SARI 115462 5/10/2008 orbit 15:37:35 15:38:49
H81.4 - Vertigo
of central origin
| J06.9 - Acute
upper
respiratory
infection,
942 SUKANTA 045833 12/1/1933 unspecified 15:42:58 15:43:03

A91 - Dengue
haemorrhagic
fever | K30 -
Functional
dyspepsia | R11 -
Nausea and
943 NURSARIPAH 119194 6/20/1975 vomiting 15:43:46 15:53:27

R04 -
Haemorrhage
from respiratory
passages | R50.9
- Fever,
944 UJANG SULEMAN 119195 8/1/1960 unspecified 16:02:04 16:07:58

SRI K30 - Functional


945 WAHYUNINGSIH 005004 7/25/1963 dyspepsia 16:21:00 16:23:53

A15 - Respiratory
tuberculosis,
bacteriologically
and histologically
confirmed |
R06.0 -
946 SAHRUL 119196 5/8/1999 Dyspnoea 16:26:28 16:27:42 0:02:12

J45.9 - Asthma,
unspecified |
947 RUSDIANA 119197 8/14/1994 R51 - Headache 16:51:51 16:54:53 0:03:20

A09.9 -
Gastroenteritis
and colitis of
REGHINA unspecified
948 OKTAVIANA SARI 119198 10/2/2021 origin 17:42:54 19:16:52
949 APUD 119199 1/3/1967 - 17:45:52 17:46:55
R50.8 - Other
specified fever |
DZAWATAN AFNAN 075219/0 R50.9 - Fever,
950 LAINA 70532 2/27/2019 unspecified 17:49:36 17:51:01
DWI KURNIA R11 - Nausea
951 HIDAYANTO 119200 3/4/2002 and vomiting 18:18:32 18:19:45

MUHAMMAD R10.0 - Acute


952 AKHBAR MAULANA 119201 11/14/2010 abdomen 19:06:23 19:07:57 0:02:13

J45 - Asthma |
J45.9 - Asthma,
953 AEP SAEPUDIN 046988 5/1/1960 unspecified 19:09:49 19:13:14 0:04:30
954 YETI ROSTATI 119202 11/9/1959 - 19:15:10 8:48:46

R50 - Fever of
AZRINA NAHLA other and
955 SYIFA 119204 9/1/2021 unknown origin 21:27:28 21:29:03

R50 - Fever of
other and
unknown origin |
R63 - Symptoms
and signs
concerning food
956 EUIS SURTINI 119206 10/10/1978 and fluid intake 21:40:49 8:50:29

K30 - Functional
957 SANIAH 062362 6/16/1992 dyspepsia 21:46:24 11:36:20

NURUL AUDIA R10 - Abdominal 22:04:49


958 MUFADILLAH 119207 6/8/2002 and pelvic pain 22:00:47 AM 0:04:30

ARRASYA R50 - Fever of


MUHAMMAD other and
959 RAFKA PUTRA 114542 7/7/2021 unknown origin 22:51:38 23:25:12
AQILA MISHA
960 SEPTIAN 055507 12/18/2016 - 22:54:30 1:03:01

N39.0 - Urinary
tract infection,
961 DESTRINA PUTRI 119047 12/31/2001 site not specified 23:04:01 23:07:39

MUHAMMAD
FAYYAD ABDUL K30 - Functional
962 JABAR 110704 2/9/2016 dyspepsia 0:23:42 0:26:05
MATTHEW R11 - Nausea
963 YOSEFIN MARBUN 119211 7/10/2020 and vomiting 1:42:47 1:45:52
964 EBEN 119212 7/1/1962 - 3:21:09 3:45:59
965 AI SUMYATI 113768 7/1/1969 G43 - Migraine 7:01:28 7:03:37
966 BUDI KUNCAHYO 103027 7/20/1961 - 7:52:00 7:52:03
967 ENING 060521 4/21/1962 J45 - Asthma 7:57:30 7:58:48 0:02:11

I10 - Essential
IMAS NURBAETI JD (primary)
968 KOROLUS 110457 3/3/1945 hypertension 8:21:43 8:22:49
969 SELI SUSILA 119214 12/28/1975 - 8:41:14 18:42:40

R50 - Fever of
PUTRA AL-DHIYAU other and
970 RAHMAN 077183 8/16/2012 unknown origin 10:09:23 10:10:05
971 ACE KUSDINAR 050373 8/15/1965 - 10:26:45 10:30:21

R50 - Fever of
DZAKI CHENZIRA other and
972 BHUKARI 119220 9/25/2014 unknown origin 13:38:46 13:40:57
973 KOMARIAH 119222 12/8/1960 - 15:06:27 15:07:56
974 SAEPULOH 119223 7/1/1975 - 15:19:31 15:24:50
M SIRRI SAQOTY R50.9 - Fever,
975 MAULIDAN 079924 12/19/2015 unspecified 16:11:50 15:25:16

976 DECYMON TERESA 086610 12/12/1977 - 15:54:12 15:55:56

R50.8 - Other
specified fever |
GAISHAN R50.9 - Fever,
977 RAFFASYA HAFIS 112898 3/17/2020 unspecified 15:59:04 16:00:17
RAYQI ADAM SAKTI R11 - Nausea
978 GUMELAR 084238 1/17/2017 and vomiting 16:02:37 16:03:01

K30 - Functional
dyspepsia |
M54.5 - Low
979 KATJA 119224 10/4/1944 back pain 16:08:00 16:09:43 0:01:20

A09 - Other
gastroenteritis
and colitis of
infectious and
ALIFA HASNA unspecified
980 HUMAIRA 106290 9/5/2020 origin 16:37:38 16:54:45
AMELIA ANGRAENI R50.9 - Fever,
981 PUTRI 119225 10/8/2013 unspecified 17:08:52 17:10:45
R60.9 - Oedema,
982 ASIH YUNINGSIH 119226 10/20/1948 unspecified 17:11:49 17:39:40
YUNI WIDAYANTI, R50.9 - Fever,
983 MS 033825 6/15/1991 unspecified 17:14:54 17:14:54

J45 - Asthma |
LINDA SOLIHAT, J45.9 - Asthma,
984 (S.Pd) 047473 6/13/1978 unspecified 18:12:01 18:14:41 0:02:23

K30 - Functional
dyspepsia |
O21.9 - Vomiting
of pregnancy,
985 DEA ANJANI 066415 11/14/1997 unspecified 18:31:32 18:33:45

J06.9 - Acute
upper
respiratory
infection,
unspecified |
MUHAMAD J18.0 -
HAMDALLAH Bronchopneumo 19:35:32
986 NULHAKIM 119228 4/19/2022 nia, unspecified 19:32:36 PM 0:03:12

K30 - Functional
987 TONAH 119229 8/23/1960 dyspepsia 19:36:25 19:40:48

R10 - Abdominal
and pelvic pain |
R10.0 - Acute
988 SEPTIANI 119230 9/17/1980 abdomen 20:17:25 20:20:43 0:04:19

K30 - Functional
989 SELA MARSELIA 066684 8/28/2010 dyspepsia 21:25:57 21:26:31

I50.0 -
Congestive heart
failure | K30 -
Functional
990 HETI ROHAYATI 117018 9/22/1982 dyspepsia 21:33:38 21:35:25 0:03:34
052731/0
991 NINGSIH 59441 1/2/1991 - 21:42:41 9:37:02
K30 - Functional
992 SUMIATI 016674 5/17/1989 dyspepsia 21:54:55 21:55:23

R50 - Fever of
ARKAN ATQA other and
993 FAEZYA 111164 4/7/2020 unknown origin 23:17:45 23:20:44

N93 - Other
abnormal
uterine and
994 NURLAELA 010454 7/1/1977 vaginal bleeding 1:15:39 1:17:37
R10.0 - Acute
995 SANIAH 062362 6/16/1992 abdomen 1:41:00 1:43:37 0:02:11

ROSIDIN
MUHAMAD
996 SUWARDI, (S.IP). 064399 4/17/1962 - 3:09:09 3:11:39

MOCHAMAD
RAMDAN
997 MAULANA 079392 10/2/2000 - 4:00:53 6:41:31

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified
origin | K52.0 -
Gastroenteritis
and colitis due to
radiation | R11 -
MUHAMMAD RIZKI Nausea and
998 MUHARRAM 119235 9/10/2019 vomiting 6:37:22 6:40:26

A93.0 -
KHANSA ADELIA Oropouche virus
999 NAIFAH 102018 7/6/2019 disease 6:42:09 6:45:52

R50 - Fever of
other and
unknown origin |
R50.9 - Fever,
1000 ISNAN LUBIS 020179 10/20/2014 unspecified 6:48:21 6:49:32
FAUZIA NAFIZA R56.0 - Febrile
1001 PUTRI 112608 8/23/2020 convulsions 6:52:07 6:54:25 0:02:10
K35 - Acute
1002 ANGGI 119042 3/27/2004 appendicitis 7:19:45 12:20:31 0:02:15
A09.9 -
Gastroenteritis
and colitis of
unspecified
1003 SAHRUL SUTEHA 074681 3/21/1996 origin 7:49:09 7:49:27

ERIN RACHMADINI,
1004 (S.Sn). 119236 4/12/1993 - 7:55:03 7:55:02
NENENG R11 - Nausea
1005 NURULAENI 119237 5/8/1974 and vomiting 8:31:11 9:48:13

T14 - Injury of
unspecified body
1006 YATMAN 119238 5/7/1970 region 8:38:01 8:40:33 0:02;10

K30 - Functional
1007 TITA 013831 6/6/1965 dyspepsia 8:47:56 8:47:33

I34.2 -
Nonrheumatic
mitral (valve)
1008 ENTIN SUPARTINI 072730 3/10/1973 stenosis 8:53:00 11:32:57

B02.9 - Zoster
without
complication |
L20.9 - Atopic
dermatitis,
1009 MURTIAH 119239 7/1/1958 unspecified 9:08:38 9:08:35
R11 - Nausea
1010 DAFA APRIADI 119240 4/26/2013 and vomiting 9:32:25 9:33:02
1011 HENI SURYANI 119157 10/2/1973 - 10:22:26 11:34:39
MELKIANA NUR
1012 FEBRIAN 119241 2/11/2010 - 10:29:20 10:29:39

1013 IWAN SAPRUDIN 119242 7/1/1971 R51 - Headache 10:37:47 10:57:28


1014 AI NURSIDAH 119243 1/7/1979 - 10:42:24 10:42:58

R63.8 - Other
symptoms and
signs concerning
MUHAMAD AZKA food and fluid
1015 PUTRA KUSUMAH 029000 4/11/2015 intake 10:51:02 10:52:09

T14 - Injury of
unspecified body
1016 SELVI 119244 6/26/2005 region 11:11:29 11:12:46 0:02:30
MUHAMAD
1017 GILANG NUGRAHA 078252 3/23/2014 - 11:23:08 11:23:19
1018 JAMALLUDIN 119245 11/7/1985 - 11:59:15 11:59:15

1019 HADIDAH 119247 7/5/1960 E9061 - Rat bite 12:48:59 12:49:29 0:02:10

R50 - Fever of
SITI LARISA other and
1020 SAFWAH ALWAN 119248 5/9/2020 unknown origin 14:37:32 14:40:55

K30 - Functional
1021 DEDEN SOLIHIN 119251 9/14/1981 dyspepsia 14:44:12 15:45:49
YOLANDA
1022 AURRELIA 040043 6/7/2008 - 15:26:27 15:51:06

J10 - Influenza
due to other
identified
1023 YANSIH 072313 9/30/1983 influenza virus 16:49:40 16:50:00

A09.0 - Other
unspecified
gastroenteritis
and colitis of
infectious origin
| R11 - Nausea
1024 MAHYATUL DZIKRI 119253 8/15/2021 and vomiting 17:12:29 20:46:01
1025 LIA GUSTINA 119254 8/1/1995 - 17:26:30 17:26:30

J06.9 - Acute
upper
respiratory
infection,
1026 AEP SAEPUDIN 044286 3/2/1959 unspecified 18:45:59 18:46:03
1027 IIN IMAWATI 119255 6/28/1982 - 19:37:57 19:37:57
NENG RISKA
1028 PURNAMA SARI 044721 10/8/1992 - 20:14:13 20:20:19
1029 RESA OKTAVIANI 119010 10/28/1993 - 20:51:51 20:52:56

K30 - Functional
1030 SIGIT SAMUDRA 119256 6/17/1997 dyspepsia 21:10:41 21:11:59

H81.1 - Benign
paroxysmal
vertigo | K30 -
Functional
1031 JUWANDI 119257 7/4/1965 dyspepsia 21:45:15 21:46:38
J45.9 - Asthma,
unspecified |
R06.0 -
1032 HERI IRAWAN 116290 8/25/1982 Dyspnoea 22:23:55 22:24:53 0:02:10

J06.9 - Acute
upper
respiratory
ALVIN KEANO infection,
1033 FAKHRIDIN 115108 2/13/2021 unspecified 23:31:09 23:34:52
MICHAEL R10.0 - Acute
1034 PRATAMA 108800 8/19/2006 abdomen 0:29:07 0:32:13 0;03:10
ABIZAR ALTAN R50.9 - Fever,
1035 MUTTAQI 031889 7/13/2017 unspecified 1:40:38 2:13:27
R56.0 - Febrile
1036 AZRIEL ALFAREZ 119258 10/14/2020 convulsions 2:11:37 2:15:56 0:04:40
R11 - Nausea
1037 ASTRI PRAMUDITA 119259 8/14/1996 and vomiting 2:24:16 2:25:44

K30 - Functional
dyspepsia | R11 -
Nausea and
1038 ELI SUMINAR 028552 10/20/1996 vomiting 3:08:45 3:10:26

1039 ROHUDIN D. SALIM 060618 10/6/1972 - 3:33:50 14:26:55

A09 - Other
gastroenteritis
and colitis of
infectious and
KHAIRAN DELVIN unspecified
1040 ARSALAN 102710 8/22/2020 origin 6:12:55 6:13:40

K30 - Functional
1041 BELLA VISTA 073297 6/9/1991 dyspepsia 6:47:24 6:49:25

J18.9 -
SAFFANA Pneumonia,
1042 AZKADINA 119263 5/9/2022 unspecified 8:30:52 8:33:30 0:04:10

I50.0 -
Congestive heart
1043 OTIH 061779 11/12/1960 failure 11:45:19 11:48:55 0:04:20

AL GHAISAN
KEENANDRA R11 - Nausea
1044 RAMELAU 098387 5/8/2019 and vomiting 12:21:10 20:51:33
MUHAMMAD
HAIKAL AL-FARIZI 041620/0 J45.9 - Asthma,
1045 FIRMANSYAH 19800 6/25/2012 unspecified 12:45:14 12:46:13 0:01:43

J06.9 - Acute
upper
respiratory
ALFI AHMAD infection,
1046 MUFTI 119276 11/18/2021 unspecified 13:04:16 13:05:46

A09.9 -
Gastroenteritis
and colitis of
unspecified
1047 ELOM 094479 5/9/1945 origin 12:56:23 12:57:54
MUHAMMAD R50.9 - Fever,
1048 FAQIH 119277 5/28/2019 unspecified 13:07:53 13:08:49

MUHAMMAD
AQMAR R50.9 - Fever,
1049 RAMADHAN 067139 6/1/2018 unspecified 14:31:47 15:18:40

K30 - Functional
1050 AI YANA 103397 7/1/1996 dyspepsia 14:35:11 14:39:57
R50.9 - Fever,
1051 NENDEN 045229 3/12/1970 unspecified 14:39:37 14:39:57

I10 - Essential
(primary)
hypertension |
R10.4 - Other
and unspecified
1052 EUIS SETIAWATI 099348 7/1/1961 abdominal pain 16:12:21 16:13:15

R10.0 - Acute
abdomen |
R10.4 - Other
and unspecified
1053 OOY 119283 7/1/1956 abdominal pain 16:48:53 16:49:34 0:02:10
1054 EDEH KARTISAH 119284 9/5/1975 - 17:59:32 18:00:57
ALVINO WIANS
1055 ENVER 119285 2/22/2009 - 18:06:45 18:06:45
M75 - Shoulder
1056 YUDI 119286 6/13/1982 lesions 18:42:35 18:45:35
N94.6 -
Dysmenorrhoea,
1057 ENENG ANI 119287 8/23/1998 unspecified 18:47:50 18:50:05

K30 - Functional
1058 NURANI 119046 7/8/2007 dyspepsia 18:50:47 18:55:38
1059 SURYATI 037962 4/10/1969 - 19:20:01 19:42:21
RISALA
1060 HANDAYANI 039237 6/30/1981 - 20:00:51 20:01:35

K30 - Functional
dyspepsia | R11 -
Nausea and
1061 RESI NURSANDA 119288 4/26/2005 vomiting 23:04:31 10:30:39

L23 - Allergic
contact
1062 LINDA SETIAWATI 119289 1/10/1984 dermatitis 20:48:05 0:56:50

T14 - Injury of
unspecified body
1063 UPAD BADRUDIN 119290 11/1/1957 region 22:07:35 22:08:56 0:02:30

K30 - Functional
1064 RENI HENDRAWATI 099671 3/12/1967 dyspepsia 23:25:44 23:26:36

K30 - Functional
1065 TESA JANUARI 119291 1/1/1996 dyspepsia 22:25:59 22:25:16
1066 HERI SOMANTRI 119292 7/17/1957 - 23:44:24 23:44:24

MUHAMMAD R50.9 - Fever,


1067 RAZKA SAFARDAN 119293 10/6/2021 unspecified 23:53:00 10:50:03
1068 ALEY AULIA ALIF 119294 12/30/2007 - 0:17:59 0:18:27
R50.9 - Fever,
1069 nadiya alsifa putri 119295 1/21/2021 unspecified 0:56:16 0:57:51

MUHAMMAD
NAFRI RAIS AR R50.9 - Fever,
1070 RASIKH 119296 3/27/2007 unspecified 5:44:44 5:45:54

K52.9 -
Noninfective
gastroenteritis
and colitis,
1071 SANUM 119298 4/28/2021 unspecified 6:45:27 6:48:05
R50.9 - Fever,
1072 HEI YUET CHEUNG 119299 12/16/2019 unspecified 7:15:13 7:16:46
1073 ANI HANDAYANI 175552 5/9/1984 - 8:23:06 8:23:06
J06.9 - Acute
upper
ALGHAISAN respiratory
AQMAR SYAKIR infection,
1074 SUGIHARTO 117166 3/2/2021 unspecified 9:21:20 9:21:25
1075 NANANG 119315 9/11/1957 - 9:00:00 16:50:07
1076 MAMI 040527 2/12/1987 - 9:00:00 16:51:51
1077 HINDUN 040794 10/23/1950 - 11:05:48 16:50:34

A09.9 -
Gastroenteritis
and colitis of
unspecified
origin | R10 -
Abdominal and
1078 NENIH MARYANI 036202 9/5/1967 pelvic pain 11:09:45 11:18:36

M. ARIFIN R10.0 - Acute


1079 RAMADHANI, (dr). 091832 6/24/1984 abdomen 11:13:07 11:15:47 0:02:30
MUHAMMAD AL
1080 FATIH 119317 4/23/2021 - 11:23:57 11:34:20

J06.9 - Acute
upper
respiratory
infection,
1081 LILIS MULYANI 109863 3/3/1973 unspecified 11:30:32 11:33:46

1082 AURA FITRI AKBAR 075396 12/19/2017 - 11:37:43 11:37:43


1083 NYAI ROMLAH 088523 8/10/1990 - 11:42:59 11:42:59

R50 - Fever of
other and
1084 ARIS RIYADI 076764 2/12/1988 unknown origin 11:47:53 16:49:17

1085 LENA NURLELA 083506 6/12/1995 M79.1 - Myalgia 13:02:08 13:36:45

M79.1 - Myalgia
ENUNG | R50.9 - Fever,
1086 NURHAYATI 059271 7/19/1972 unspecified 13:05:04 13:35:49

E9065 - Bite by
ARSYA ALFIANSYAH unspecified
1087 ALKHALIFI 119319 4/1/2016 animal 13:15:24 13:19:19 0:04:30
NURUL HIKMAH
1088 RAMADHANI 119321 10/12/2005 - 13:34:15 13:44:41
1089 EBAH HABIBAH 119322 7/1/1946 - 13:42:00 15:13:01
1090 ASTRI SULASTRI 119045 8/29/1981 - 13:58:35 13:58:35
1091 ENONG HERAWATI 119323 2/1/2005 - 14:06:04 14:06:04

T14.1 - Open
wound of
SITI RUBIYATUL unspecified body
1092 ADAWIYAH 119324 12/3/2018 region 14:17:45 14:22:56 0:05:12
1093 SITI NUR SIPA 062286 4/20/2012 - 14:24:06 14:58:48

J06.9 - Acute
upper
respiratory
MUHAMMAD infection,
1094 ARKA ALFARIZKY 175402 6/13/2021 unspecified 14:40:06 15:14:50

H10 -
Conjunctivitis |
J06.9 - Acute
upper
respiratory
RUHI AZALEA infection,
1095 AZZURA 119325 12/18/2021 unspecified 15:07:54 15:16:06

I10 - Essential
(primary)
1096 AEP 119326 5/11/1952 hypertension 16:13:26 16:53:11

J18.0 -
RIZKY RAMADHAN Bronchopneumo
1097 APRILIANSYAH 119327 4/23/2020 nia, unspecified 16:57:48 17:00:17 0:03:20

I84.9 -
Unspecified
haemorrhoids
without
1098 YANI SURYANI 076194 4/15/1983 complication 17:14:52 17:14:20

MAHRES ABRASIM R50.9 - Fever,


1099 EL MHILIPE 032835 8/3/2017 unspecified 17:21:02 10:57:02
R50.9 - Fever,
1100 UCY KEYLA AMELIA 119328 2/16/2016 unspecified 19:47:54 18:33:33

K30 - Functional
1101 ADE ALPUKAH 012572 2/8/1971 dyspepsia 18:02:10 18:02:07

K30 - Functional
dyspepsia | R51 -
1102 WANDA AZIZ 119330 7/7/1998 Headache 18:49:31 18:50:21
K30 - Functional
1103 YAYAH 089513 7/1/1963 dyspepsia 18:57:37 18:57:29

K30 - Functional
SELVI AMELIA dyspepsia | R51 -
1104 ANANDA 119332 1/6/1997 Headache 19:21:06 19:21:34
1105 ENUH 080124 7/1/1945 - 19:30:57 19:30:18
YAZID MUHAIMIN R50.9 - Fever,
1106 ASAD 119333 10/17/2020 unspecified 19:35:06 19:37:06
NENG RISKA
1107 PURNAMA SARI 044721 10/8/1992 - 19:42:53 19:44:54

T14 - Injury of
unspecified body
1108 ZAKY RAMADHAN 028664 5/4/2005 region 19:59:14 20:02:38 0:03:10
1109 OSIAH 119335 10/15/1963 - 20:04:37 20:05:57
1110 HERNI HERDIANI 115287 10/26/1990 - 20:12:54 20:13:50
1111 NURSIWAN 119336 1/21/1978 - 20:25:43 20:25:21
1112 ENYUM 119337 8/13/1966 - 20:48:23 20:48:23

I50.0 -
Congestive heart
1113 ADAM MAULUDIN 119338 6/13/2000 failure 21:10:47 21:12:33 0:02:23
1114 NANO SURYONO 069705 6/5/1967 J45 - Asthma 21:33:15 21:34:10 0:01:20

K30 - Functional
1115 RUKAYAH 108209 4/12/1964 dyspepsia 22:20:24 22:21:22
KHUMAIRA KALIFA
1116 NADJAH 118880 5/7/2019 - 23:36:59 23:37:18
1117 MARKANDI 119340 1/1/1942 - 0:12:33 0:13:30

AKHMAD SYARIF K30 - Functional


1118 HIDAYAT 091732 11/23/1994 dyspepsia 4:15:18 4:15:22
1119 FEVI OKTAVIANI 112074 10/5/1987 R18 - Ascites 5:36:59 5:37:32

1120 RAHMAT HIDAYAT 175736 10/15/2013 - 6:45:03 6:46:44

R50 - Fever of
other and
1121 ABDUROHMAN 119343 5/10/1998 unknown origin 8:00:06 8:03:31
1122 IA YUSNIAWATI 119345 10/15/1967 - 8:37:01 9:49:56

R50 - Fever of
REKI OKTAVIAN other and
1123 PUTRA 119349 1/24/2021 unknown origin 9:09:36 9:48:47
ARDHI R50 - Fever of
RIESNANDAR, 035667/8 other and
1124 (A.MD.) 8189/90 3/13/1988 unknown origin 9:18:01 9:20:02

T01 - Open
wounds involving
multiple body
1125 JAJANG 119351 3/5/1953 regions 9:00:59 9:02:56 0:03:20
1126 CAHAYA MAUDI 119352 4/1/2007 - 8:40:16 8:40:16
ARFA MAULANA R50.9 - Fever,
1127 HIDAYAT 042912 10/14/2013 unspecified 9:57:12 9:57:15

R50 - Fever of
other and
1128 SITI NUR FAUZIAH 119359 8/25/2005 unknown origin 10:23:52 10:25:19
RISMA R11 - Nausea
1129 ANGGRISTIAN 055378 5/3/1985 and vomiting 11:49:27 11:51:24

1130 KURNIA AFRIYANTI 119365 3/11/1983 - 11:59:15 12:00:04

SRI NANI K30 - Functional


1131 MARHAENI 119366 11/24/1965 dyspepsia 12:28:40 12:30:30

1132 ASEP SUWARNA 116486 5/17/1966 R51 - Headache 12:38:41 12:40:01


AIP SYARIP R06.0 -
1133 AKHMAD 065868 4/25/1959 Dyspnoea 12:42:21 12:44:41 0:04:10

D58 - Other
hereditary
MUHAMMAD haemolytic
HOLILUWLOH anaemias |
1134 PRIYADI 119348 8/19/2009 K92.1 - Melaena 13:53:57 16:10:27
1135 TITIN SUMARTINI 070014 10/25/1956 - 14:11:39 14:12:40

T14 - Injury of
unspecified body
1136 SUTISNA 119370 6/29/2006 region 14:15:53 14:16:14 0:01:20
ARSYILA KHALISA R50.9 - Fever,
1137 NOOR KUSUMA 119372 3/11/2021 unspecified 15:15:59 15:16:55
RIDWAN
1138 MAURAKSA 058727 11/10/1991 - 15:26:54 15:27:59
1139 UPEN SUPENTI 114290 5/5/1971 M10 - Gout 15:34:51 15:35:45

1140 SRI RAHMAYANTI 115532 8/23/1996 R51 - Headache 15:37:36 15:38:07


R56.8 - Other
and unspecified
1141 ALFI ANGGARA 118078 9/16/2019 convulsions 15:51:44 18:28:37
AHMAD IRSYADUL
1142 IBAD 112619 6/18/2017 - 15:55:23 18:02:45

A09.9 -
Gastroenteritis
and colitis of
unspecified
1143 DEVIN ARYA 119373 12/27/2021 origin 16:50:43 16:51:53
J45.9 - Asthma,
1144 LIA CAHYATI 117501 5/10/1973 unspecified 17:13:16 17:14:34 0:02:20

R56.8 - Other
SYAHLA SABIYA TRI and unspecified
1145 NAFISA 119375 9/30/2021 convulsions 17:45:54 17:46:22

A09.9 -
Gastroenteritis
and colitis of
unspecified
1146 M RAFA ALFAHRIZI 083773 7/28/2019 origin 17:57:52 17:57:00
DESWITA AMIRA R50.9 - Fever,
1147 MUTIARA PUTRI 040336 12/4/2017 unspecified 18:49:57 18:50:43

J06.9 - Acute
upper
respiratory
NAZIRA GATHBIYYA infection,
1148 LASHIRA 119376 9/25/2021 unspecified 18:54:09 18:54:58
089253/0
1149 JARI BIN FIRDAUS 92164 7/1/1967 - 18:57:12 18:57:32
RAYINA SHABILLA
1150 PUTRI 119377 2/4/2012 - 19:00:59 19:00:20
RAKHASANSHA J45.9 - Asthma,
1151 RASHEL WIDIAN 011058 4/21/2011 unspecified 19:03:09 19:03:54 0:01:03

A01.0 - Typhoid
fever | K30 -
Functional
1152 IIS MARYATI 057530 7/1/1976 dyspepsia 19:05:44 19:07:28
MUHAMAD
1153 HAIDAR 119378 3/18/2020 - 19:10:07 19:10:48
1154 IMAS NURBETI 080336 7/9/1983 - 19:25:46 19:25:28
R50.9 - Fever,
1155 YAYAT 119379 9/20/1965 unspecified 19:32:58 6:27:08
1156 IIM IBRAHIM 119380 7/1/1955 - 20:21:27 20:24:02

K52.9 -
Noninfective
gastroenteritis
and colitis,
1157 ETI SUMYATI 040913 9/19/1969 unspecified 21:11:34 21:12:07

R50 - Fever of
other and
1158 KENAN ZIO ALFARO 116832 5/2/2021 unknown origin 21:15:05 21:10:06

T31.1 - Burns
MAURIE ZARQA involving 10-19%
1159 QIBTIYAH 019284 12/4/2002 of body surface 21:58:09 21:59:56 0:02:05

R50 - Fever of
other and
1160 AI IRAWATI 102443 6/10/1993 unknown origin 22:12:10 22:14:32

K30 - Functional
dyspepsia |
MOH. RAMDAN 081547/0 R10.0 - Acute
1161 ABDILA AZIS 89615 1/22/1998 abdomen 23:05:52 23:07:09 0:03:01
R50.0 - Fever
1162 ARIF BERLIAN 119383 5/3/1992 with chills 0:02:45 2:08:21

K30 - Functional
1163 TATIN 043957 7/22/1979 dyspepsia 0:52:19 0:55:07
1164 JAJAT 071096 12/18/1981 J45 - Asthma 4:25:01 4:26:42 0:01:43

K30 - Functional
1165 EUIS SURTINI 119206 10/10/1978 dyspepsia 5:57:45 5:58:37

K30 - Functional
1166 DASEP SETIAWAN 003242 3/31/1975 dyspepsia 7:49:41 7:50:11

A09.9 -
Gastroenteritis
and colitis of
MUHAMMAD unspecified
1167 ABIZHAR 119390 6/14/2022 origin 10:11:44 10:13:25

J45.9 - Asthma,
unspecified |
R06.0 -
1168 ASEP KURNIA 055023 4/15/1964 Dyspnoea 9:04:37 9:07:53 0:04:30
I10 - Essential
(primary)
hypertension |
R50.8 - Other
specified fever |
R50.9 - Fever,
1169 CENG MAMAD 119395 5/13/1972 unspecified 10:11:56 10:12:03

J45 - Asthma |
J45.9 - Asthma,
1170 JAJAT 071096 12/18/1981 unspecified 10:16:14 10:20:14 0:04:28

I10 - Essential
(primary)
1171 ENJANG SUTEDI 119398 1/7/1954 hypertension 10:30:07 10:31:16
1172 TATI RAHMA 113888 5/16/1988 - 12:05:58 12:06:37
R10.0 - Acute
1173 DHANY MURDANI 119403 10/6/1982 abdomen 12:31:11 12:32:57 0:02:08

R50 - Fever of
other and
unknown origin |
R50.9 - Fever,
1174 ENUH 080124 7/1/1945 unspecified 15:00:51 15:03:41

R50 - Fever of
other and
1175 YATI NURHAYATI 059556 5/28/1970 unknown origin 15:21:32 15:23:51

R50 - Fever of
other and
1176 AGUS ANWAR 082043 7/7/1978 unknown origin 15:32:06 15:03:34
CEISYA KHANIA
1177 ZAKARIA 119406 2/20/2022 - 15:39:35 15:42:39

K52.0 -
Gastroenteritis
MARIAM AHMAD, and colitis due to
1178 (Hj). 042305 4/1/1970 radiation 16:05:49 16:13:16

R50 - Fever of
MUHAMAD FAHRY other and
1179 MULTAZAM 029706 9/27/2015 unknown origin 16:11:20 16:13:30
H. YUSUF
1180 ABDURRAHMAN 002456 5/5/1965 - 16:39:19 16:42:28
E11 - Non-
insulin-
dependent
1181 TITI 048827 7/1/1957 diabetes mellitus 16:44:15 16:42:53
R06.0 -
1182 NUR FEBRIYANTI 118163 2/2/1994 Dyspnoea 16:54:47 16:56:46 0:03:33
NUR ASSYIFA
1183 HARYADI 119407 3/20/2016 - 17:14:19 17:14:19

R50 - Fever of
other and
unknown origin |
M. NAUVAL R56.0 - Febrile
1184 SETIAWAN 043677 9/4/2017 convulsions 17:20:47 17:22:38 0:03:25

T14.0 -
Superficial injury
RIZAL AKBAR of unspecified
1185 PAMUNGKAS 119408 10/10/2004 body region 17:25:58 17:26:15 0:02:13

1186 ALMIRA ATHABINA 119261 10/30/2021 - 17:29:41 17:29:55

R50 - Fever of
RAFAEL MAULANA other and
1187 YUSUP 119410 5/22/2004 unknown origin 17:58:41 18:00:32
1188 AI SARI 119411 3/17/1992 - 18:04:28 18:06:49

R50 - Fever of
NADHIFA ALISYA other and
1189 SYAVIRA 047358 4/11/2018 unknown origin 18:16:47 18:17:38

R50 - Fever of
RAFATTA other and
1190 ADIYAKSA IBRAHIM 119412 12/30/2015 unknown origin 18:26:16 18:28:48

S50.0 -
DANNY Contusion of
1191 SYAMSUDIN 119413 4/25/1994 elbow 18:37:16 18:39:30
1192 LIA YULIANTI 119415 6/3/1982 - 19:43:37 19:43:37

K30 - Functional
1193 ENUNG 119416 7/31/1980 dyspepsia 19:53:50 19:57:28

B02 - Zoster
1194 MURTIAH 119239 7/1/1958 [herpes zoster] 20:03:42 20:04:15
1195 SOPIAH 119417 4/18/1952 - 20:52:47 7:31:08

K30 - Functional
1196 NUNUNG 119419 5/5/1971 dyspepsia 21:14:35 21:14:33
GHAITSAA ZAFIA R50.9 - Fever,
1197 ALEEN 119420 11/8/2021 unspecified 21:20:51 21:20:30

J06.9 - Acute
upper
respiratory
ALMAIRA AZKIYA infection,
1198 AGUSTINA 119421 8/30/2021 unspecified 21:38:04 21:38:58

BURHAN K30 - Functional


1199 BURNAMA 112847 6/21/1989 dyspepsia 21:52:15 21:52:01

TOTAL
SAMPLE
RESPON TIME SAMPEL PASIEN 227
< 5 MENIT 249 Pasien N 243
> 5 MENIT 6 Pasien D 249
Capaian 97,5 %
BULAN CAPAIAN TARGET
APRIL 95.80% 100% GRAFIK CAPAIAN MUTU RESPON TI
MEI 95.40% 100%
100.00% 100%
95.80%
PASIEN100%
JUNI 97.50% 100% 95.40%
90.00%
80.00%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
APRIL MEI

CAPAIAN TARGET
UTU RESPON TIME
EN100% 100%
97.50%
95.40%

MEI JUNI

TARGET
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : JULI 2022

Jam
NO Pasien RM Tgl Lahir Diagnosa Jam Reg Interval ,,
Periksa

R56.0 -
Febrile
M. NAUVAL convulsio
2 SETIAWAN 043677 9/4/2017 ns 0:06:42 0:10:03 0:04:47 SAMPLE

AEP J45 -
5 SAEPUDIN 046988 5/1/1960 Asthma 3:33:33 3:35:37 0:03:07 SAMPLE

R56.0 -
Febrile
convulsio
16 NATAYA 119451 8/18/2021 ns 12:48:18 12:49:58 0:02:20 SAMPLE

ETI 021061/08 J45 -


27 NURHAYATI 7588 3/28/1973 Asthma 16:32:37 16:35:45 0:03:30 SAMPLE

T14 -
Injury of
unspecifie
d body
region |
T14.0 -
Superficial
injury of
unspecifie
d body
28 IMAMUDIN 119460 1/9/2004 region 16:36:43 16:38:01 0:02:44 SAMPLE

T14 -
Injury of
unspecifie
EDWIN d body
29 SANTOSA 119461 8/22/2002 region 16:39:34 16:41:52 0:04:35 SAMPLE

T14 -
Injury of
unspecifie
FIKI d body
46 VAHLEFI 119468 7/1/2002 region 21:14:48 21:16:44 0:03:23 SAMPLE
T14.9 -
Injury,
ALDI unspecifie
48 ALFIAN 119469 10/10/1998 d 21:52:17 21:54:26 0:02:38 SAMPLE

T14.9 -
Injury,
ATO unspecifie
50 SUGIANTO 048819 10/10/1992 d 22:18:20 22:20:56 0:03:16 SAMPLE
E9060 -
53 IPAH 119471 4/13/1970 Dog bite 23:09:45 23:11:30 0:03:15 SAMPLE

K30 -
Functional
dyspepsia
| R10.0 -
Acute
66 ALINDA 071844 9/27/1993 abdomen 14:08:23 14:12:45 0:05:02 SAMPLE

J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d | J45.9 -
SYALWA Asthma,
NUR unspecifie
67 SAFITRI 119489 5/12/2022 d 14:51:41 14:54:41 0:04:12 SAMPLE

T14.0 -
Superficial
injury of
unspecifie
d body
region |
T14.1 -
Open
wound of
unspecifie
INDRA d body
70 PURNAMA 090410 8/5/1992 region 15:47:33 15:49:33 0:03:30 SAMPLE
T14 -
Injury of
unspecifie
d body
region |
T14.0 -
Superficial
injury of
unspecifie
d body
region |
T14.1 -
Open
wound of
unspecifie
d body
74 HENDRA 119494 3/6/1972 region 17:58:06 17:59:00 0:01:20 SAMPLE

I51 -
Complicati
ons and
ill-defined
descriptio
ns of
heart
disease |
R07.3 -
Other
75 BULDAN 098388 4/12/1975 chest pain 18:28:36 18:31:47 0:04:12 SAMPLE

J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d | J45.9 -
Asthma,
SINTA unspecifie
77 SARAGA 087690 4/20/1997 d 18:54:08 18:58:20 0:04:28 SAMPLE
R10 -
Abdomina
l and
81 KARTINI 078876 5/24/1969 pelvic pain 21:21:53 21:23:31 0:03:12 SAMPLE

T14 -
Injury of
SETIARIANY unspecifie
EVIA d body
91 ASMAT 119508 8/13/1993 region 8:37:21 8:40:55 0:03:20 SAMPLE

T14 -
Injury of
unspecifie
d body
region |
T14.0 -
Superficial
injury of
unspecifie
d body
95 PARMAN 075080 6/17/1965 region 9:23:25 9:25:23 0:02:53 SAMPLE

R10.0 -
DEDE Acute
99 SUKANDA 119515 5/10/1965 abdomen 9:52:37 9:55:25 0:02:34 SAMPLE

J45 -
Asthma |
J45.9 -
RAIHAN Asthma,
RIZKI unspecifie
101 ADITIA 079482 8/27/2013 d 10:35:47 10:36:43 0:03:12 SAMPLE

T14 -
Injury of
unspecifie
d body
region |
T14.1 -
Open
wound of
AHMAD unspecifie
KHAIRI d body
102 ALFARIZKI 119517 3/31/2020 region 11:02:56 11:04:56 0:03:32 SAMPLE
R10.0 -
BAYU Acute
106 APRIANTO 069416 4/19/1993 abdomen 12:48:07 12:49:33 0:01:12 SAMPLE

T14 -
Injury of
DORTIANA unspecifie
ULI d body
109 SIMBOLON 119523 1/3/2012 region 13:49:36 13:50:16 0:02:23 SAMPLE

J18.0 -
Bronchop
neumonia
MUHAMM ,
AD FADHIL unspecifie
124 ISAGHUJI 115557 7/23/2021 d 10:52:22 10:54:39 0:03:34 SAMPLE

RAISHA
SYADZWIN
A J45 -
133 IMARASARI 114701 1/16/2011 Asthma 22:06:03 22:10:07 0:04:12 SAMPLE

K35 -
Acute
appendici
tis | K37 -
Unspecifie
ALLYAFIKA d
RACHMAYA appendici
140 NI A. 118283 8/13/2004 tis 7:17:07 7:19:13 0:02:20 SAMPLE

EVI R10.0 -
NURKHOLIP Acute
152 AH 008136 9/20/1988 abdomen 17:02:58 17:04:43 0:03:20 SAMPLE

T14 -
Injury of
FATIMAH unspecifie
FARDMASO d body
159 UMI 104412 7/4/2016 region 19:35:36 19:37:57 0:03:12 SAMPLE

T14 -
Injury of
unspecifie
d body
171 SITI AISYAH 119574 3/9/1990 region 23:30:46 23:33:51 0:03:05 SAMPLE
K30 -
Functional
dyspepsia
| R10.0 -
FILY Acute
174 AMELIA 119578 9/28/2003 abdomen 3:17:58 3:19:39 0:01:41 SAMPLE

J45.9 -
Asthma,
unspecifie
178 CECEP D.S 048115 9/10/1965 d 6:17:45 6:20:32 0:02:47 SAMPLE

R10.0 -
BELLA Acute
180 VISTA 073297 6/9/1991 abdomen 6:46:03 6:50:01 0:03:58 SAMPLE

J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
MUHAMAD d | J45.9 -
RAFKA Asthma,
RAFARDHA unspecifie
184 N 114226 11/8/2021 d 8:59:50 9:04:04 0:04:14 SAMPLE

T14 -
Injury of
unspecifie
MUHAMM d body
185 AD AZKA P 119601 5/30/2017 region 13:25:22 13:28:10 0:02:48 SAMPLE

T14 -
Injury of
unspecifie
d body
190 M LUTFI 097068 1/2/2002 region 15:35:59 15:38:49 0:02:50 SAMPLE

ENDANG
RUSMAWA J45 -
193 N 107504 12/30/1950 Asthma 16:59:16 17:00:39 0:01:23 SAMPLE

SINTIA J45 -
197 AGUSTINA 064992 8/4/2009 Asthma 17:19:44 17:20:58 0:01:14 SAMPLE
T14 -
MOCH Injury of
DEDEN unspecifie
SHALEHUDI d body
199 NS 080093 8/22/1957 region 19:14:04 19:15:18 0:01:14 SAMPLE

R06.0 -
Dyspnoea
| R50.9 -
Fever,
AZKA unspecifie
209 NUARI 119581 1/11/2019 d 21:56:08 22:00:43 0:04:35 SAMPLE

J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d | J45 -
211 NURJANAH 097341 6/13/1987 Asthma 22:41:15 22:44:34 0:03:19 SAMPLE

R10.0 -
YUSRIL Acute
214 SIDIK 114947 5/17/2000 abdomen 1:10:07 1:12:06 0:01:59 SAMPLE

J45 -
Asthma |
DINDIN R06.2 -
216 WAHYUDIN 119619 8/3/1978 Wheezing 3:36:58 3:39:24 0:02:26 SAMPLE

K30 -
Functional
dyspepsia
| R07.3 -
RIZKY Other
228 LAELASARI 087287 8/20/1991 chest pain 10:27:54 10:28:57 0:01:03 SAMPLE

J18 -
Pneumoni
a,
organism
HENDRA unspecifie
232 SUHENDRA 119635 3/16/1982 d 13:04:29 13:06:17 0:01:48 SAMPLE
T14 -
Injury of
MUHAMM unspecifie
AD ILHAM d body
240 ALFARUQI 079438 5/8/2014 region 16:52:42 16:55:47 0:03:05 SAMPLE

J45.9 -
Asthma,
EROS unspecifie
242 ROSITA 046795 4/28/1989 d 17:01:06 17:03:49 0:02:43 SAMPLE

J45.9 -
Asthma,
unspecifie
244 SITI AISAH 053764 4/6/1988 d 17:26:32 17:30:50 0:04:18 SAMPLE

S01 -
Open
TITIN wound of
248 SUMARTINI 119644 12/7/1977 head 19:47:29 19:50:22 0:02:53 SAMPLE

E8374 -
Explosion,
fire, or
burning in
watercraft
ADZKIA injuring
LETISYA water
262 NIRMALA 119656 1/4/2021 skier 8:45:48 8:49:44 0:03:56 SAMPLE

I50.0 -
Congestiv
e heart
failure |
R57.0 -
Cardiogen
273 PURNASIH 119669 9/25/1972 ic shock 16:41:09 16:43:13 0:02:04 SAMPLE
M DZIKRI E9060 -
279 SABIAN 119672 7/7/2014 Dog bite 17:23:28 17:24:59 0:01:31 SAMPLE

E16.2 -
Hypoglyca
emia,
ESIH unspecifie
288 SUKAESIH 105875 9/14/1954 d 20:30:16 20:31:31 0:01:15 SAMPLE

ALARIC
PANJI J45 -
290 ZAVIER 104305 10/4/2016 Asthma 21:41:18 21:42:54 0:01:36 SAMPLE
R10.0 -
MEGA Acute
294 AMELIA 111144 5/19/1991 abdomen 22:55:23 22:58:25 0:03:02 SAMPLE

T14.1 -
Open
wound of
unspecifie
d body
296 AGUS 119681 6/15/1969 region 4:33:55 4:38:06 0:04:11 SAMPLE

T14 -
Injury of
unspecifie
d body
303 WAHYUDIN 119693 10/10/1977 region 8:41:28 8:43:04 0:01:36 SAMPLE

J45.9 -
Asthma,
KOHARSYA unspecifie
306 H 115973 1/26/1955 d 8:59:59 9:02:25 0:02:26 SAMPLE

I50.0 -
Congestiv
LESTIATI e heart
307 PEBRISAR 097140 2/8/1994 failure 9:31:23 9:34:01 0:02:38 SAMPLE

S91 -
Open
wound of
ankle and
312 NAZIRA 119704 7/8/2013 foot 11:02:59 11:06:20 0:03:21 SAMPLE

R07.4 -
Chest
NENENG pain,
SURYANIN unspecifie
315 GSIH 119709 1/1/1974 d 14:26:19 14:30:36 0:04:17 SAMPLE

T14 -
Injury of
unspecifie
d body
318 AAN 009417 7/1/1955 region 15:44:45 15:49:40 0:04:55 SAMPLE
I11.9 -
Hypertens
ive heart
disease
without
ATAN (congestiv
NURDIANS 099523/09 e) heart
321 YAH 9483 4/6/1979 failure 16:54:23 16:58:17 0:03:54 SAMPLE

RINA J45 -
331 INDRAWATI 113431 8/28/1984 Asthma 19:04:19 19:06:09 0:01:50 SAMPLE

R10 -
Abdomina
NURUL l and
334 IMAN 071324 3/10/1993 pelvic pain 19:46:54 19:49:09 0:02:15 SAMPLE

ALDY
AZHAR J45 -
335 SEBASTIAN 101995 8/1/2014 Asthma 20:03:26 20:04:41 0:01:15 SAMPLE

J45.9 -
Asthma,
EMPAN unspecifie
338 SUPIANDI 082450 8/27/1991 d 21:51:53 21:52:57 0:01:04 SAMPLE

R56.0 -
KAHIYANG Febrile
PUTRI convulsio
347 DENADA 119722 6/19/2021 ns 2:01:14 2:03:48 0:02:34 SAMPLE

E10.1 -
Insulin-
dependen
t diabetes
mellitus
with
ENGKOS ketoacido
349 KOSASIH 050440 7/15/1960 sis 6:02:05 6:04:32 0:02:27 SAMPLE
E10.1 -
Insulin-
dependen
t diabetes
mellitus
with
ketoacido
350 ENTIN 051983 5/5/1961 sis 6:02:16 6:09:46 0:07:30 SAMPLE

J45.9 -
KHEINA Asthma,
NURIYA unspecifie
352 KANTO 017969 12/8/2012 d 6:22:54 6:24:05 0:01:11 SAMPLE

J45.9 -
GUSTYAS Asthma,
WIDYA 002638/02 unspecifie
353 PRAJA 6380 8/25/1993 d 6:56:30 6:59:12 0:02:42 SAMPLE

R10.0 -
Acute
359 ASRI AULIA 119726 7/27/2006 abdomen 9:32:00 9:33:25 0:01:25 SAMPLE

T14 -
Injury of
unspecifie
d body
360 TITI 048827 7/1/1957 region 10:47:43 10:48:55 0:01:12 SAMPLE

T14 -
Injury of
FIRMAN unspecifie
KODRATTU d body
377 LLAH 118873 7/6/1998 region 20:06:06 20:07:55 0:01:49 SAMPLE

R10 -
Abdomina
RUDIYANT 067009/08 l and
378 O 9241 12/20/1975 pelvic pain 20:12:35 20:16:31 0:03:56 SAMPLE

T14.0 -
Superficial
injury of
RAKA unspecifie
ARDIANSYA d body
384 H 119744 7/3/2006 region 1:20:11 1:24:14 0:04:03 SAMPLE
D61.9 -
Aplastic
anaemia,
unspecifie
d | K92.1 -
385 OOY 119283 7/1/1956 Melaena 1:45:12 1:48:15 0:03:03 SAMPLE

T14 -
Injury of
HAFSHAH unspecifie
AULIYA d body
408 NUGRAHA 119756 7/4/2021 region 14:55:07 14:57:52 0:02:45 SAMPLE

R10.0 -
DEWI Acute
412 LESTARI 089754 5/5/2001 abdomen 16:45:29 16:46:32 0:01:03 SAMPLE
EKOS 068286/10 J45 -
433 KOSASIH 0573 7/1/1954 Asthma 21:11:14 21:14:01 0:02:47 SAMPLE

RANI J45 -
434 HERIYANI 011326 10/1/1987 Asthma 22:21:19 22:22:54 0:01:35 SAMPLE

R57.0 -
ADI Cardiogen
438 LUDIANA 084996 5/1/1977 ic shock 0:45:03 0:49:39 0:04:36 SAMPLE
BUDIANSYA J45 -
441 H 071310 1/20/1988 Asthma 6:44:55 6:47:01 0:02:06 SAMPLE

T14 -
Injury of
DARUL unspecifie
FALAH d body
446 ARDABILI 119787 5/29/1987 region 9:03:10 9:04:29 0:01:19 SAMPLE

T14 -
Injury of
ATIAH unspecifie
NURAIDA d body
447 PUTRI 119788 9/18/1992 region 9:04:58 9:08:50 0:03:52 SAMPLE

T14.1 -
Open
wound of
unspecifie
d body
449 DEDEN 119791 7/7/1980 region 9:37:50 9:40:47 0:02:57 SAMPLE
T14.1 -
Open
wound of
unspecifie
ISUM d body
450 SUMYATI 119792 1/1/1991 region 9:39:38 9:43:08 0:03:30 SAMPLE

J45 -
Asthma |
RAKHASAN J45.9 -
SHA Asthma,
RASHEL unspecifie
456 WIDIAN 011058 4/21/2011 d 12:38:06 12:42:32 0:04:26 SAMPLE

T14.1 -
Open
wound of
unspecifie
d body
458 ABDUL AZIZ 119806 2/21/1980 region 13:29:09 13:32:46 0:03:37 SAMPLE

T14.1 -
Open
wound of
unspecifie
SANTI d body
459 SEPTIANI 119807 9/17/1986 region 13:31:05 13:34:03 0:02:58 SAMPLE

T14 -
TRI Injury of
HADRYAN unspecifie
PRAMUDIT d body
463 A 119811 2/8/2007 region 14:15:26 14:19:11 0:03:45 SAMPLE

T14.1 -
Open
wound of
unspecifie
ENGKUS d body
468 KUSNADI 119814 4/3/1965 region 15:54:50 15:57:03 0:02:13 SAMPLE
K37 -
Unspecifie
d
appendici
SILVIA tis | R10.0
ANGGRAEN - Acute
473 I 070440 5/9/2002 abdomen 18:18:54 18:20:04 0:01:10 SAMPLE

T14.1 -
Open
wound of
unspecifie
d body
487 HENDI 119826 8/13/1999 region 0:05:42 0:09:54 0:04:12 SAMPLE

J45 -
Asthma |
K52.0 -
Gastroent
eritis and
colitis due
to
488 INDRAJAYA 075359 5/14/1993 radiation 0:52:59 0:57:10 0:04:11 SAMPLE

E9065 -
Bite by
SUSAN unspecifie
492 ANDRIANI 119828 4/11/1973 d animal 7:12:53 7:15:39 0:02:46 SAMPLE

T14 -
Injury of
ARSYAD unspecifie
FIKAR d body
501 ABQARI 119853 5/5/2019 region 11:43:00 11:44:58 0:01:58 SAMPLE

T14.1 -
Open
wound of
unspecifie
MOCH d body
506 RAFLI 119860 6/20/2006 region 15:03:02 15:05:35 0:02:33 SAMPLE
YAYAT R10.0 -
HENDARSA Acute
508 H 099165 12/1/1959 abdomen 14:47:19 14:50:08 0:02:49 SAMPLE

T14 -
Injury of
BAGJA unspecifie
HANDIKA d body
510 PRATAMA 119862 7/27/2006 region 15:07:56 15:09:27 0:01:31 SAMPLE

RINI J45 -
515 MARYANI 055737 12/23/1994 Asthma 17:44:02 17:45:15 0:01:13 SAMPLE

J45 -
Asthma |
ANI R06.0 -
553 SURYANI 108734 12/8/1981 Dyspnoea 18:44:06 18:47:46 0:03:40 SAMPLE

K30 -
Functional
dyspepsia
| R07.4 -
Chest
pain,
AANG unspecifie
555 SWANDI 106453 7/1/1963 d 18:54:22 18:58:56 0:04:34 SAMPLE
E13 -
Other
specified
diabetes
mellitus |
I10 -
Essential
(primary)
hypertensi
on | K30 -
Functional
dyspepsia
| K92.1 -
Melaena |
N18.5 -
Chronic
kidney
ENI disease,
560 KARTINI 119915 4/3/1956 stage 5 20:57:34 20:58:41 0:01:07 SAMPLE

J45.9 -
Asthma,
NANO unspecifie
563 SURYONO 069705 7/7/1965 d 23:08:43 23:09:09 0:00:26 SAMPLE

R56.0 -
Febrile
RIDHO convulsio
564 ALGHIFARI 109657 9/4/2020 ns 23:53:42 23:56:11 0:02:29 SAMPLE

J45 -
Asthma |
MAMAN R06.0 -
568 RACHMAN 119920 12/27/1963 Dyspnoea 7:02:27 7:06:12 0:03:45 SAMPLE

J45.9 -
AMAYRA Asthma,
HASAN unspecifie
576 SAKIRA 119938 7/10/2021 d 14:13:36 14:16:40 0:03:04 SAMPLE

K65.9 -
ANNISA Peritonitis
OKTORA ,
RAMADHA unspecifie
577 NI 119939 10/31/2006 d 15:22:28 15:24:32 0:02:04 SAMPLE
R10 -
Abdomina
NUR l and
581 AISYAH 103348 5/8/1993 pelvic pain 17:09:10 17:12:10 0:03:00 SAMPLE

J45.9 -
Asthma,
AEP unspecifie
590 SAEPUDIN 046988 5/1/1960 d 19:54:02 19:55:16 0:01:14 SAMPLE

AUP
SYARIFUDI G40 -
595 N 061081 5/5/1965 Epilepsy 22:29:18 22:30:38 0:01:20 SAMPLE

B15 -
Acute
hepatitis A
| B19.9 -
Unspecifie
d viral
hepatitis
without
hepatic
coma |
K30 -
Functional
dyspepsia
| R11 -
Nausea
EDI and
604 JUNAEDI 118526 11/27/1974 vomiting 8:36:49 8:38:19 0:01:30 SAMPLE
HJ.AI J45 -
605 JULAEHA 119955 3/2/1952 Asthma 8:47:44 8:49:14 0:01:30 SAMPLE

J18 -
Pneumoni
MUHAMM a,
AD HAIDAR organism
ISMAIL unspecifie
610 RASYID 119964 11/3/2021 d 10:29:27 10:32:41 0:03:14 SAMPLE

R10.0 -
SRI Acute
611 MULYANI 119961 9/8/1986 abdomen 10:42:47 10:46:53 0:04:06 SAMPLE
R10 -
Abdomina
l and
pelvic pain
| R10.0 -
IKA Acute
612 SARTIKA 119965 5/29/1985 abdomen 11:05:27 11:08:57 0:03:30 SAMPLE

ENGGAR J45 -
615 PRADITIA 119968 7/15/2021 Asthma 11:46:33 11:48:35 0:02:02 SAMPLE

N18 -
Chronic
AGUS kidney
616 ANWAR 082043 7/7/1978 failure 11:54:04 11:56:30 0:02:26 SAMPLE

K30 -
Functional
dyspepsia
BERTA | R10.0 -
SAPUTRI Acute
620 AJI 119971 11/11/2003 abdomen 13:31:20 13:34:31 0:03:11 SAMPLE

FANI R10.0 -
DAMAYANT Acute
638 I 119986 11/14/2001 abdomen 8:39:13 8:43:50 0:04:37 SAMPLE

R10.0 -
OPIK Acute
654 SURYANA 078815 6/29/1995 abdomen 16:46:06 16:50:34 0:04:28 SAMPLE

DENI
KURNIAWA R06.0 -
656 N 085980 6/11/1970 Dyspnoea 17:09:43 17:12:57 0:03:14 SAMPLE

T14 -
Injury of
unspecifie
INDRA d body
667 MAULANA 026177 10/9/1993 region 2:13:14 2:17:31 0:04:17 SAMPLE

T14 -
Injury of
unspecifie
d body
668 ERLLYANA 120009 3/5/2008 region 2:14:52 2:17:28 0:02:36 SAMPLE
SHEILA J45 -
675 AGUSTINA 068396 8/21/2005 Asthma 7:59:36 8:02:31 0:02:55 SAMPLE

S62 -
Fracture
at wrist
and hand
677 AGUS 120012 7/17/1977 level 8:39:52 8:42:32 0:02:40 SAMPLE

J45 -
Asthma |
K30 -
MAMAN Functional
679 RACHMAN 120013 12/27/1963 dyspepsia 9:17:31 9:20:39 0:03:08 SAMPLE
IRMA J45 -
680 FAUZIAH 058708 6/1/2008 Asthma 9:23:09 9:25:14 0:02:05 SAMPLE

I50.0 -
Congestiv
e heart
681 SUMIATI 120015 11/5/1991 failure 10:04:54 10:07:59 0:03:05 SAMPLE

T14 -
Injury of
unspecifie
d body
688 AMANDA 120020 5/31/2009 region 11:45:15 11:49:16 0:04:01 SAMPLE

T14 -
Injury of
unspecifie
MUHAMM d body
689 AD RAIHAN 120021 11/7/2007 region 13:22:50 13:24:28 0:01:38 SAMPLE

K30 -
Functional
dyspepsia
| R10.0 -
DEWI Acute
694 LESTARI 089754 5/5/2001 abdomen 13:00:38 13:03:40 0:03:02 SAMPLE
J18.0 -
Bronchop
neumonia
MUHAMM ,
AD HADI unspecifie
699 ARRAFIQ 118350 10/29/2021 d 15:33:35 15:36:08 0:02:33 SAMPLE

R07.3 -
009844/07 Other
700 IRAH 4981 6/16/1948 chest pain 16:00:19 16:01:47 0:01:28 SAMPLE

E887 -
Fracture,
cause
unspecifie
d|
M84.04 -
Malunion
of
ULFA fracture,
704 LATHIFAH 120029 2/2/2000 hand 17:14:04 17:15:47 0:01:43 SAMPLE

E9068 -
Other
specified
injury
caused by
713 MINTARSIH 120033 5/24/1973 animal 19:05:09 19:06:58 0:01:49 SAMPLE

NENG R10 -
ANDINI Abdomina
NOER l and
714 HABBIBAH 056751 11/23/2005 pelvic pain 19:14:26 19:15:58 0:01:32 SAMPLE

SAUSAN
NAJATUL K65 -
717 FARAHAH 120036 7/19/2007 Peritonitis 19:58:39 20:01:21 0:02:42 SAMPLE

M54.5 -
SYAEFUL Low back
724 HIDAYAT 055362 3/23/1973 pain 5:59:25 6:00:56 0:01:31 SAMPLE

T14 -
Injury of
unspecifie
RIYAN 078850/09 d body
729 HIDAYAT 5772 12/8/2002 region 11:00:21 11:01:51 0:01:30 SAMPLE
I50.0 -
Congestiv
NIA e heart
739 KURNIATI 120064 6/25/1969 failure 14:23:24 14:24:38 0:01:14 SAMPLE

T14.1 -
Open
wound of
unspecifie
TRIAN d body
740 MALIKI 120066 2/23/1987 region 15:26:02 15:29:42 0:03:40 SAMPLE

E9062 -
Bite of
nonveno
mous
AI RANI snakes
745 NURLIANI 120068 7/28/1999 and lizards 17:18:29 17:22:18 0:03:49 SAMPLE

J44.9 -
Chronic
obstructiv
e
pulmonar
RISDA y disease,
JUNIAWAN unspecifie
749 TINI 065711 6/16/2001 d 18:01:44 18:07:44 0:06:00 SAMPLE

T14.1 -
Open
wound of
unspecifie
HASNA d body
764 NOVIANA 120081 11/20/2018 region 19:45:53 19:47:28 0:01:35 SAMPLE

T14.1 -
Open
wound of
DIMAS unspecifie
MARDIANS d body
768 YAH 058660 3/15/2006 region 21:38:03 21:40:43 0:02:40 SAMPLE
R10 -
Abdomina
SUSILAWAT 097446/09 l and
770 I 8792 8/1/1986 pelvic pain 23:02:52 23:04:08 0:01:16 SAMPLE

J44 -
Other
chronic
obstructiv
e
pulmonar
y disease
| J45.9 -
Asthma,
unspecifie
782 AMBAR S. 095575 9/11/1954 d 10:17:06 10:21:46 0:04:40 SAMPLE

T14 -
Injury of
MUHAMAD unspecifie
PILKI d body
788 MAULANA 120105 11/17/2011 region 13:41:14 13:44:08 0:02:54 SAMPLE

J45.9 -
Asthma,
DEDE unspecifie
789 LUKMAN 120107 2/11/2006 d 13:55:13 13:57:33 0:02:20 SAMPLE

T14 -
Injury of
unspecifie
d body
region |
T14.1 -
Open
wound of
unspecifie
OLIK d body
792 SEPTIANA 091558 9/28/1998 region 15:10:09 15:14:30 0:04:21 SAMPLE
T14.0 -
Superficial
injury of
unspecifie
d body
region |
T14.1 -
Open
BADRIA wound of
MAULANA unspecifie
KOMARUD d body
793 DIN 042793 4/11/1935 region 15:15:57 15:20:34 0:04:37 SAMPLE

J45.9 -
Asthma,
ADI unspecifie
794 SUPYAN 079006 9/18/1977 d 15:27:31 15:30:30 0:02:59 SAMPLE

T14.0 -
Superficial
injury of
unspecifie
d body
region |
T14.1 -
Open
wound of
unspecifie
ENDANG d body
805 RUSTANDI 120120 1/1/1992 region 18:17:34 18:21:34 0:04:00 SAMPLE

IRPAN R10.0 -
HASANUDI Acute
823 N 120133 11/25/1989 abdomen 7:46:02 7:49:21 0:03:19 SAMPLE
J45 -
843 HAMDUN 120164 1/2/1984 Asthma 18:50:44 18:53:24 0:02:40 SAMPLE

J45 -
Asthma |
J45.9 -
MUHAMM Asthma,
AD FATHIR 012068/02 unspecifie
848 IBRAHIM 6730 12/29/2008 d 21:14:20 21:15:50 0:01:30 SAMPLE
J45 -
Asthma |
L50.9 -
Urticaria,
unspecifie
858 MIRAWATI 120173 5/21/1989 d 23:02:05 23:05:36 0:03:31 SAMPLE

R10.0 -
YETI Acute
862 HARYATI 120176 8/26/1979 abdomen 23:52:41 23:54:56 0:02:15 SAMPLE

J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d | J45.9 -
Asthma,
NINA SUSI unspecifie
863 MELATI 066902 7/20/1998 d 1:21:54 1:25:14 0:03:20 SAMPLE

K30 -
Functional
dyspepsia
| R10.0 -
LENI DIYAH Acute
864 LESTARI 120177 12/1/1993 abdomen 1:45:07 1:49:32 0:04:25 SAMPLE

I50.0 -
Congestiv
e heart
failure |
J45.9 -
O Asthma,
FIRMANSY unspecifie
865 AH 060451 9/4/1949 d 2:03:56 2:05:56 0:02:00 SAMPLE

J45.9 -
VENI Asthma,
SUSILO unspecifie
869 AGUSTIN 120180 1/30/1995 d 5:59:31 6:04:41 0:05:10 SAMPLE
E E9065 -
SULAEMAN Bite by
HENDARSY unspecifie
870 AH 120190 6/27/1957 d animal 10:27:55 10:30:04 0:02:09 SAMPLE
J45 -
871 NANANG 000775 1/1/1958 Asthma 10:35:10 10:37:38 0:02:28 SAMPLE

J45.9 -
VENI Asthma,
SUSILO unspecifie
874 AGUSTIN 120180 1/30/1995 d 12:48:21 12:50:01 0:01:40 SAMPLE

T14 -
Injury of
AISHA unspecifie
MUTIARA d body
878 BALQIS 120198 5/30/2017 region 14:40:02 14:43:52 0:03:50 SAMPLE

J06.9 -
Acute
upper
respirator
y
infection,
unspecifie
d | J45 -
Asthma |
R50.9 -
Fever,
unspecifie
886 UJANG UUS 050816 5/13/1969 d 16:33:29 16:36:05 0:02:36 SAMPLE

J45 -
Asthma |
J45.9 -
Asthma,
unspecifie
d | R50 -
Fever of
RAISYA other and
NURSASI unknown
888 SAUMI 120205 9/16/2007 origin 16:40:37 16:43:34 0:02:57 SAMPLE
T14 -
ILHAM Injury of
FAISAL unspecifie
JANWAR ,S d body
890 AB 120207 1/2/1957 region 17:17:54 17:21:22 0:03:28 SAMPLE

T14 -
Injury of
unspecifie
SANDI d body
891 MAULANA 120208 3/21/1992 region 17:31:55 17:35:19 0:03:24 SAMPLE

J45.9 -
Asthma,
YAYAN unspecifie
902 SUDIAR 175528 8/4/1956 d 21:30:56 21:34:47 0:03:51 SAMPLE

J45.9 -
Asthma,
020499/06 unspecifie
907 RATNI 6246 12/5/1982 d 22:37:07 22:41:05 0:03:58 SAMPLE

T14.0 -
Superficial
injury of
unspecifie
d body
917 YOLA 120224 1/1/2002 region 7:30:22 7:34:02 0:03:40 SAMPLE
J45 -
921 SYARIFAH 120233 5/18/2011 Asthma 9:14:34 9:18:59 0:04:25 SAMPLE

J45 -
Asthma |
R50.9 -
Fever,
unspecifie
928 NANI 049085 3/3/2003 d 11:45:52 11:48:27 0:02:35 SAMPLE

R10 -
LISTIANI Abdomina
KANIA l and
931 UTARI 065873 12/20/1989 pelvic pain 12:54:28 12:56:03 0:01:35 SAMPLE

J45.9 -
Asthma,
unspecifie
937 NANI 049085 3/3/2003 d 15:20:28 15:24:36 0:04:08 SAMPLE
T14 -
Injury of
unspecifie
M FAUZI d body
944 HASYIM 120246 11/23/2000 region 17:46:05 17:48:35 0:02:30 SAMPLE

J45.9 -
Asthma,
059876/02 unspecifie
948 WINARTI 1385 10/31/1979 d 18:42:21 18:45:36 0:03:15 SAMPLE

R10.0 -
Acute
972 JEJEN 117175 7/5/1978 abdomen 12:14:12 12:16:45 0:02:33 SAMPLE

T31.1 -
Burns
involving
10-19% of
body
974 JANIS 120271 2/5/1960 surface 14:22:48 14:27:12 0:04:24 SAMPLE

R10.0 -
BURHAN Acute
975 BURNAMA 112847 6/21/1989 abdomen 14:28:07 14:31:36 0:03:29 SAMPLE

R10.0 -
YUDI Acute
976 SETIAWAN 117273 9/20/1986 abdomen 14:35:56 14:39:15 0:03:19 SAMPLE

T14 -
MUHAMM Injury of
AD AZMAL unspecifie
ARRAHMA d body
982 N 078120 2/5/2019 region 18:28:53 18:31:36 0:02:43 SAMPLE

AA DERA R10.0 -
SAEPUL Acute
989 ALAM 120282 1/21/1989 abdomen 19:28:56 19:30:05 0:01:09 SAMPLE

T14.0 -
Superficial
injury of
unspecifie
JEJEN d body
990 JAELANI 120283 1/30/1962 region 19:33:03 19:35:58 0:02:55 SAMPLE
I50.0 -
Congestiv
ROHUDIN e heart
996 D. SALIM 060618 10/6/1972 failure 21:03:22 21:07:41 0:04:19 SAMPLE

J45.9 -
Asthma,
SUSI unspecifie
1006 SEPTIANI 120292 0189-09-28 d 4:52:27 4:53:55 0:01:28 SAMPLE

ERIKA R10.0 -
NURDILLA Acute
1012 SEPTIANI 067982 9/9/2004 abdomen 8:33:24 8:35:41 0:02:17 SAMPLE

T14 -
Injury of
unspecifie
d body
region |
T14.0 -
Superficial
injury of
RAKA unspecifie
ATARAHMA d body
1015 N 120304 2/20/2014 region 9:22:25 9:25:52 0:03:27 SAMPLE

J45.9 -
Asthma,
VHIRNA unspecifie
1017 MAULANI 018885 2/8/2001 d 11:27:25 11:30:19 0:02:54 SAMPLE

R10 -
CUCU Abdomina
YUDENING l and
1019 SIH 120308 4/21/1964 pelvic pain 12:49:43 12:52:25 0:02:42 SAMPLE
E13.0 -
Other
specified
diabetes
mellitus
with coma
| I11.0 -
Hypertens
ive heart
disease
with
(congestiv
e) heart
failure |
I50.0 -
Congestiv
DIDIH e heart
1027 SUPARDI 120315 4/3/1962 failure 16:55:44 16:57:15 0:01:31 SAMPLE

J18.0 -
Bronchop
ALFATIH neumonia
GIBRAN ,
RUSTIAWA unspecifie
1028 N 120316 1/18/2022 d 16:59:06 17:02:44 0:03:38 SAMPLE

T14.0 -
Superficial
injury of
SAUSAN unspecifie
NAJATUL d body
1036 FARAHAH 120036 7/19/2007 region 17:36:04 17:40:24 0:04:20 SAMPLE

J45.9 -
Asthma,
unspecifie
1057 CECEP 047751 12/2/1977 d 0:01:22 0:05:20 0:03:58 SAMPLE

T14 -
Injury of
unspecifie
d body
1060 RISVIA 120327 1/1/2017 region 5:50:00 5:52:29 0:02:29 SAMPLE
YENI R06.0 -
1064 YULIANI 033458 7/8/1978 Dyspnoea 8:07:34 8:10:57 0:03:23 SAMPLE

IRMA R10.0 -
WULANDA Acute
1070 RI 120350 12/28/1994 abdomen 10:30:09 10:33:09 0:03:00 SAMPLE

WATEN R06.0 -
1077 SUPENDI 120363 2/15/1967 Dyspnoea 13:22:49 13:25:20 0:02:31 SAMPLE

I50.0 -
Congestiv
HENDAR e heart
1080 SUHENDAR 028304 7/8/1978 failure 14:28:48 14:32:51 0:04:03 SAMPLE

BERLIANA
QOLBY
YUMI
AZZAHRA
RAMADHA J45 -
1083 N 100327 10/1/2006 Asthma 15:01:15 15:04:45 0:03:30 SAMPLE
033067/02 J45 -
1088 JAJI 5225 7/16/1962 Asthma 16:17:12 16:18:59 0:01:47 SAMPLE

SAPIRA J45 -
1092 OKTAPIANI 175751 10/6/2016 Asthma 17:10:39 17:17:20 0:06:41 SAMPLE

T14.8 -
Other
injuries of
unspecifie
RIZKI M. d body
1099 YUSUF 120372 9/4/2001 region 19:11:16 19:12:57 0:01:41 SAMPLE

T14.21 -
Fracture
of
unspecifie
d body
RAHMAT region,
1104 FASIAL 120373 3/8/1992 open 19:42:40 19:45:06 0:02:26 SAMPLE

D64.9 -
Anaemia,
unspecifie
1106 LISNAWATI 053772 8/29/1977 d 20:21:15 20:24:36 0:03:21 SAMPLE
T14.4 -
Injury of
nerve(s)
of
unspecifie
ASANTI d body
1107 SAMSIAH 120376 2/18/1991 region 20:30:49 20:34:03 0:03:14 SAMPLE

IZZUL J45.9 -
YAQDAN Asthma,
NASRULLO 071395/02 unspecifie
1114 H 6878 6/23/2014 d 0:03:06 0:07:20 0:04:14 SAMPLE

R56.0 -
ABIMANYU Febrile
PUTRA convulsio
1117 IRAWAN 109736 3/13/2020 ns 1:54:56 1:57:41 0:02:45 SAMPLE

J45.9 -
Asthma,
TITIN unspecifie
1119 SUMARTINI 070014 10/25/1956 d 6:20:28 6:23:27 0:02:59 SAMPLE

T15.9 -
Foreign
body on
external
eye, part
IMAN unspecifie
1126 HANIMAN 082331 10/3/1990 d 11:48:54 11:51:23 0:02:29 SAMPLE

I50.0 -
Congestiv
e heart
failure |
K30 -
IIS IRYANA Functional
1128 SUPRIATI 120408 7/26/1963 dyspepsia 12:52:32 12:55:09 0:02:37 SAMPLE

R10.0 -
NURHASAN Acute
1131 AH 120413 6/23/2000 abdomen 14:30:12 14:32:04 0:01:52 SAMPLE

J45.9 -
Asthma,
KRISTINA unspecifie
1142 WATI 073465 5/15/1977 d 18:38:54 18:40:04 0:01:10 SAMPLE
T14.1 -
Open
wound of
unspecifie
HAZIQ d body
1144 SYAKIR 119577 9/13/2018 region 19:12:01 19:16:39 0:04:38 SAMPLE

J45.9 -
Asthma,
unspecifie
1148 HAPAD 046498 7/18/1967 d 20:12:13 20:16:40 0:04:27 SAMPLE

T14.21 -
Fracture
of
unspecifie
d body
OMAH region,
1152 KOMARIAH 120421 2/1/1954 open 0:17:14 0:20:04 0:02:50 SAMPLE

MUHAMAD J45 -
1154 NAUFAL 079450 10/30/2018 Asthma 2:03:09 2:06:47 0:03:38 SAMPLE

A41.9 -
Sepsis,
unspecifie
d | A91 -
Dengue
haemorrh
agic fever
| R10.0 -
Acute
1156 ICUN 098186 12/7/1966 abdomen 3:54:48 3:58:32 0:03:44 SAMPLE

NINA J45 -
1159 KUSMIATI 037344 12/30/1977 Asthma 5:24:53 5:26:10 0:01:17 SAMPLE

NATI R10.0 -
KRISNAWA 074063/11 Acute
1160 TI 7398 6/12/1978 abdomen 5:24:53 5:26:26 0:01:33 SAMPLE

R07.4 -
Chest
pain,
ADITYA unspecifie
1162 WARMAN 120426 6/3/1968 d 8:58:22 8:59:13 0:00:51 SAMPLE
J44 -
Other
chronic
obstructiv
e
pulmonar
1164 NANANG 114690 1/1/1958 y disease 11:16:30 11:17:40 0:01:10 SAMPLE

M54.59 -
Low back
pain, site
unspecifie
1168 SAPRUDIN 120332 10/10/1992 d 11:55:17 11:57:35 0:02:18 SAMPLE

SHEENA
UTARA R10.0 -
WULANDA Acute
1173 RI 038701 10/15/2015 abdomen 14:18:27 14:21:05 0:02:38 SAMPLE

K30 -
Functional
dyspepsia
| R10.0 -
Acute
1174 KAMAL 120451 7/1/1965 abdomen 14:23:11 14:27:11 0:04:00 SAMPLE

I10 -
Essential
(primary)
hypertensi
on | I48.4
- Atypical
SRI atrial
1177 NURHAYATI 120454 3/20/1974 flutter 15:22:16 15:23:25 0:01:09 SAMPLE

T14.1 -
Open
wound of
unspecifie
HERU DWI d body
1181 CAHYA 120457 4/12/2009 region 17:04:54 17:07:48 0:02:54 SAMPLE
J45.9 -
Asthma,
SITI unspecifie
1183 MUNIGAR 097048 10/5/1990 d 17:20:36 17:23:16 0:02:40 SAMPLE

J45 -
Asthma |
J45.9 -
Asthma,
unspecifie
1187 SUSANTI 120459 8/28/1981 d 17:54:42 17:58:06 0:03:24 SAMPLE

T14 -
Injury of
unspecifie
d body
1190 SOLEHUDIN 120461 10/8/1988 region 18:49:58 18:55:20 0:05:22 SAMPLE

J45.9 -
Asthma,
HERRI unspecifie
1191 SAPUTRA 076744 8/31/1980 d 18:51:11 18:55:59 0:04:48 SAMPLE

E9065 -
IMAN Bite by
FIRMANSY unspecifie
1192 AH 089770 4/3/1994 d animal 19:33:42 19:37:34 0:03:52 SAMPLE

T14 -
Injury of
unspecifie
d body
1200 MULYANA 120467 7/1/1975 region 23:40:27 23:44:39 0:04:12 SAMPLE

T14 -
Injury of
unspecifie
ANDRI d body
1201 MAULANA 120468 1/1/2007 region 23:40:27 23:41:01 0:00:34 SAMPLE

T14 -
Injury of
unspecifie
d body
1202 UJANG 120469 1/1/1972 region 23:40:27 23:41:32 0:01:05 SAMPLE

R10 -
Abdomina
SOLEH l and
1203 SUNDAPA 050812 7/1/1969 pelvic pain 1:20:07 1:23:53 0:03:46 SAMPLE
R10 -
AIDA Abdomina
DAMAYANT l and
1204 I 061076 5/23/1993 pelvic pain 1:24:47 1:25:49 0:01:02 SAMPLE

R10 -
Abdomina
LOUSIANA l and
1208 SWARTIKA 045214 4/9/1994 pelvic pain 3:47:58 3:52:22 0:04:24 SAMPLE

T14 -
Injury of
RESTU unspecifie
INTAN d body
1209 PURWATI 120474 11/10/1997 region 7:34:01 7:35:52 0:01:51 SAMPLE

FADHIL
RIZQLLAH E9060 -
1214 AL GHAZALI 120487 3/30/2013 Dog bite 12:53:27 12:56:41 0:03:14 SAMPLE

R10 -
Abdomina
l and
1215 MAJUN 120488 7/10/1957 pelvic pain 13:05:14 13:08:48 0:03:34 SAMPLE

J45.9 -
Asthma,
unspecifie
d | N81.4
-
Uterovagi
nal
prolapse,
unspecifie
d | R07.3 -
Other
1221 JIJAH 120493 7/1/1943 chest pain 14:38:26 14:40:08 0:01:42 SAMPLE
R07.3 -
Other
chest pain
| R10.0 -
rizki Acute
1223 nugraha 120353 10/13/2000 abdomen 14:50:07 14:51:23 0:01:16 SAMPLE

ZIFA
SHIDQIA J45 -
1224 NURANI 056923 12/6/2012 Asthma 15:00:58 15:04:53 0:03:55 SAMPLE

I50.9 -
Heart
failure,
unspecifie
d | K30 -
NURHAYAN Functional
1228 I 070847 8/18/1976 dyspepsia 16:27:08 16:28:17 0:01:09 SAMPLE

T14.0 -
Superficial
injury of
unspecifie
d body
region |
T14.1 -
Open
wound of
INTAN unspecifie
NURINDAH d body
1239 SARI 120503 6/15/2001 region 0:06:57 0:11:25 0:04:28 SAMPLE

J45.9 -
Asthma,
REZA NUR unspecifie
1253 AFRIANDI 116697 4/19/2000 d 7:52:14 7:56:49 0:04:35 SAMPLE

E9065 -
Bite by
SINTA unspecifie
1257 ROZIANA 120522 9/18/1991 d animal 10:48:27 10:51:04 0:02:37 SAMPLE
R10 -
Abdomina
DARA l and
1258 YULIANDINI 120230 6/19/1988 pelvic pain 11:13:38 11:16:52 0:03:14 SAMPLE

C25.9 -
Malignant
neoplasm,
pancreas,
unspecifie
d | R10.0 -
Acute
1262 TATING 118109 11/24/1976 abdomen 16:14:11 16:17:19 0:03:08 SAMPLE

M54.04 -
Panniculiti
s affecting
regions of
neck and
back,
thoracic
region |
M54.5 -
Low back
1264 ITOH 120528 7/1/1940 pain 14:36:04 14:37:25 0:01:21 SAMPLE

R56.0 -
FAEYZA S Febrile
ATHAYA convulsio
1268 ZIKRI 120530 9/30/2014 ns 14:53:26 14:55:06 0:01:40 SAMPLE

I11 -
Hypertens
ive heart
disease |
K30 -
Functional
1269 NANANG 107821 7/8/1957 dyspepsia 14:57:33 14:59:45 0:02:12 SAMPLE
R10.0 -
Acute
abdomen
| R10.4 -
Other and
unspecifie
d
LIANA abdominal
1271 OKTARIA 045999 10/20/1993 pain 15:14:18 15:17:54 0:03:36 SAMPLE

K35 -
Acute
appendici
tis | R10 -
DEUDEU Abdomina
MULYANIN l and
1272 GSIH 115011 6/24/1988 pelvic pain 15:29:08 15:32:56 0:03:48 SAMPLE

J45 -
Asthma |
J45.9 -
Asthma,
unspecifie
1273 IDA ROYANI 120533 4/14/1982 d 15:33:45 15:34:45 0:01:00 SAMPLE

J45.9 -
Asthma,
unspecifie
d | R50.9 -
MUHAMAD Fever,
WIZDAN unspecifie
1275 ALWAFI 105925 4/6/2014 d 16:41:56 16:44:51 0:02:55 SAMPLE
L02.9 -
Cutaneous
abscess,
furuncle
and
carbuncle,
unspecifie
d | T14 -
Injury of
unspecifie
DUDIH d body
1276 HIDAYAT 120535 3/4/1951 region 16:49:44 16:51:23 0:01:39 SAMPLE

T14 -
Injury of
RIA unspecifie
RISMAWAT d body
1277 I 112335 3/12/1989 region 17:18:36 17:21:56 0:03:20 SAMPLE

ZIFA
SHIDQIA J45 -
1282 NURANI 056923 12/6/2012 Asthma 18:43:17 18:45:14 0:01:57 SAMPLE

T14.0 -
Superficial
injury of
unspecifie
d body
region |
T14.1 -
Open
wound of
unspecifie
d body
1284 USEP 111668 7/1/1950 region 19:40:42 19:43:16 0:02:34 SAMPLE

K30 -
Functional
dyspepsia
| R10.0 -
Acute
1285 LISNA WATI 120538 5/12/1975 abdomen 19:48:49 19:53:21 0:04:32 SAMPLE
SRI R10.0 -
MULYAWA Acute
1290 TI 092492 7/31/1984 abdomen 21:57:06 21:59:48 0:02:42 SAMPLE

T14.1 -
Open
wound of
unspecifie
d body
region |
T14.2 -
Fracture
of
unspecifie
YUSUF d body
1291 SARIPUDIN 120543 10/5/2000 region 22:26:37 22:29:43 0:03:06 SAMPLE

R56.0 -
HAIKAL Febrile
MUHAMAD convulsio
1294 ALFARIZI 120544 10/11/2021 ns 0:54:37 0:58:15 0:03:38 SAMPLE

T14.1 -
Open
wound of
AZKA unspecifie
MUHAMM d body
1297 AD YUSUF 120545 2/22/2021 region 7:09:17 7:12:00 0:02:43 SAMPLE

R56.0 -
Febrile
MUHAMM convulsio
1299 AD ADAM 023450 12/19/2018 ns 6:44:28 6:46:26 0:01:58 SAMPLE

T14 -
Injury of
ANDITA unspecifie
KURNIAWA d body
1306 N 120549 7/3/1982 region 9:24:18 9:25:37 0:01:19 SAMPLE

T14 -
Injury of
unspecifie
SUHENI, d body
1307 (SE.,MM.) 120550 8/7/1983 region 9:27:31 9:31:01 0:03:30 SAMPLE
LANI J45 -
1314 YULIANI 002732 7/18/1984 Asthma 11:22:29 11:24:24 0:01:55 SAMPLE
T14 -
Injury of
unspecifie
TIPANULLO d body
1317 H 120556 1/1/2001 region 12:00:09 12:01:15 0:01:06 SAMPLE

K30 -
Functional
dyspepsia
| R07.1 -
Chest pain
KARLINAW on
1319 ATI 047869 1/23/1982 breathing 12:30:25 12:31:42 0:01:17 SAMPLE

R10.0 -
Acute
1323 LISNA WATI 120538 5/12/1975 abdomen 13:46:40 13:47:56 0:01:16 SAMPLE

R56.0 -
Febrile
KALFA convulsio
1326 RISMAN 112538 1/27/2020 ns 14:23:32 14:25:19 0:01:47 SAMPLE

R07.4 -
Chest
pain,
ENCEP unspecifie
1328 KURNIA 091033 3/26/1981 d 16:10:48 16:12:00 0:01:12 SAMPLE

J45.9 -
Asthma,
ANWAR unspecifie
1336 SADAT 068875 8/3/1968 d 17:48:38 17:51:44 0:03:06 SAMPLE

R10 -
Abdomina
DODIH l and
1346 SUHERMAN 054615 11/27/1972 pelvic pain 18:46:32 18:50:10 0:03:38 SAMPLE

J45.9 -
DETI Asthma,
KARTIKA unspecifie
1348 SARI 107597 5/1/1985 d 19:13:24 19:14:29 0:01:05 SAMPLE

J45.9 -
Asthma,
059876/02 unspecifie
1355 WINARTI 1385 10/31/1979 d 20:41:05 20:45:42 0:04:37 SAMPLE
K65.9 -
Peritonitis
,
unspecifie
d | R10.0 -
Acute
abdomen
| R11 -
Nausea
ANNA and
1369 AGUSTINA 008560 8/26/2004 vomiting 8:54:29 8:56:58 0:02:29 SAMPLE

T14 -
Injury of
unspecifie
d body
1374 ISEP HERI 045266 1/1/1985 region 11:27:59 11:30:06 0:02:07 SAMPLE

J45.9 -
ARYAN Asthma,
SYAHIR unspecifie
1389 JALALUDIN 120588 4/10/2020 d 18:52:48 18:55:23 0:02:35 SAMPLE

TOTAL
SAMPLE
RESPON TIMSAMPEL PASIEN 287
< 5 MENIT 281 Pasien N 281
> 5 MENIT 6 Pasien D 287
Capaian 97.90%
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : AGUSTUS 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Periksa Interval

ELI
RAHMAWA
1 TI 056275 8/26/1993 - 0:20:31 0:25:30 0:04:59

OIM
ABDUROHI
2 M 113389 8/16/1942 - 0:28:58 0:31:40 0:02:42
SITI NUR
3 SIPA 062286 4/20/2012 - 2:37:09 2:40:12 0:03:03

K30 -
Functional
4 ALEH 105947 7/6/1984 dyspepsia 6:47:32 6:48:44 0:01:12

K52.9 -
Noninfectiv
e
gastroenteri
tis and
011169/03 colitis,
5 TUTI 9413 7/1/1964 unspecified 6:11:33 6:15:43 0:04:10

IIS
6 MAESAROH 073072 1/17/1980 - 11:28:48 11:31:48 0:03:00

J45.9 -
Asthma, SAMPLE
unspecified
| R50.9 -
ILHAM Fever,
7 MUHARAM 120613 6/11/1996 unspecified 8:49:35 8:53:06 0:03:31
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
J06.9 -
Acute
upper
respiratory
YANA infection,
8 SURYANA 097617 3/28/1990 unspecified 8:57:17 8:59:45 0:02:28

K30 -
Functional
9 OON 107600 7/16/1967 dyspepsia 9:22:51 9:25:07 0:02:16

A15 -
Respiratory SAMPLE
tuberculosis
,
bacteriologi
cally and
histologicall
y confirmed
| J45.9 -
AJAT Asthma,
10 SUDRAJAT 120616 6/18/1966 unspecified 9:50:54 9:54:13 0:03:19

R50.8 -
Other
specified
fever |
M. SABIL R50.9 -
AKHSAN Fever,
11 ABDILLAH 120619 3/11/2017 unspecified 10:29:32 10:33:29 0:03:57

R10.0 -
EKO Acute SAMPLE
12 SATRIKO 120621 8/1/2001 abdomen 10:41:10 10:44:53 0:03:43
R10.0 -
Acute
abdomen |
R11 -
Nausea and
13 SUPRIATNA 120624 7/1/2001 vomiting 11:27:07 11:30:33 0:03:26

R99 - Other
ill-defined
and
SAVITRI unspecified
MUTIA causes of
14 AGUSTINE 024889 9/13/1980 mortality 11:53:15 11:55:26 0:02:11

T14 - Injury
of SAMPLE
unspecified
body region
| T14.0 -
Superficial
injury of
AROM A unspecified
15 RONI 120625 1/3/1969 body region 11:56:18 11:58:09 0:01:51

M.DIAS
ABDUL
16 LATIP 120626 3/14/2017 - 12:07:51 12:11:07 0:03:16

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50.9 -
YUDI Fever,
17 SETIAWAN 117273 9/20/1986 unspecified 12:52:05 12:54:41 0:02:36
R50.8 -
Other
specified
fever |
R50.9 -
ALMIRA Fever,
18 ATHABINA 119261 10/30/2021 unspecified 12:53:49 12:57:18 0:03:29

A09.9 -
Gastroenter
itis and
colitis of
unspecified
MEITHA origin |
AFIFAH R50.9 -
NURRAMA Fever,
19 DANI 120628 5/15/2020 unspecified 13:19:33 13:19:31 23:59:58

ABY PUTRA
20 SLAMET 046881 2/7/1992 - 13:59:01 6:25:09 16:26:08

RISMA K30 -
ANGGRISTI Functional
21 AN 055378 5/3/1985 dyspepsia 14:05:00 14:05:11 0:00:11
YUYU
22 RAHAYU 120629 7/16/1970 - 14:19:32 14:19:32 0:00:00

ROBY H10 -
AHMAD Conjunctivi
23 MAULANA 069770 8/28/1996 tis 14:25:44 14:26:58 0:01:14
FIRMANSY
24 AH 120634 6/14/2002 - 14:59:13 14:59:13 0:00:00

T14 - Injury SAMPLE


ANDIKA of
MAULANA unspecified
25 SIDIK 081044 11/29/2018 body region 15:16:58 15:19:28 0:02:30

J45 -
Asthma | SAMPLE
J45.9 -
APUD B. Asthma,
26 ADUNG 046054 1/5/1953 unspecified 15:21:52 15:23:24 0:01:32
AHMAD
SEHABUDI
27 N 120636 8/9/1993 - 15:43:16 15:43:34 0:00:18

A09.9 -
Gastroenter
itis and
colitis of
NANO unspecified
28 SURYONO 069705 7/7/1965 origin 16:18:12 16:18:15 0:00:03

MUHAMM
AD HABIBI R50.9 -
HENDRI Fever,
29 IRAWAN 120637 6/4/2014 unspecified 16:40:12 16:43:37 0:03:25

ERI MEITA
30 SARI 120638 5/14/1986 - 16:49:45 16:49:23 23:59:38

H10 -
MUHAMM Conjunctivi
31 AD TEGAR 120639 2/18/2021 tis 16:57:13 16:57:07 23:59:54

J45.9 -
Asthma, SAMPLE
unspecified
NADILA | R06.0 -
32 DWI PUTRI 120640 10/24/2010 Dyspnoea 17:03:51 17:05:14 0:01:23

J45.9 - SAMPLE
YANIH Asthma,
33 NURYANIH 041832 2/13/1981 unspecified 17:09:37 17:11:30 0:01:53

ISEP J03 - Acute


34 SELAMET 120641 6/5/1991 tonsillitis 17:17:59 17:17:03 23:59:04

R50.9 -
YUNIARTI Fever,
35 DEWI 041092 6/18/1993 unspecified 17:34:24 17:34:34 0:00:10

R50.9 -
MIRA Fever,
36 ARIYANTI 120642 6/17/1987 unspecified 17:30:29 21:07:07 3:36:38

R10 - SAMPLE
Abdominal
ARIF and pelvic
37 MARUDIN 065258 2/18/1984 pain 17:50:09 17:54:18 0:04:09
R10 - SAMPLE
Abdominal
ANGGIT SRI and pelvic
38 RAHAYU 120643 6/3/2000 pain 18:22:48 18:24:38 0:01:50

R50.9 -
ADI Fever,
39 SETIAWAN 120644 5/7/2007 unspecified 18:42:23 18:45:34 0:03:11

R10 - SAMPLE
Abdominal
NONA CICI and pelvic
40 TUALEKA 035678 6/9/2005 pain 19:01:56 19:03:55 0:01:59

AQILA R50.9 -
DEVANI Fever,
41 ALAMSYAH 075931 9/23/2014 unspecified 19:04:10 19:04:40 0:00:30

K30 -
EMUH Functional
42 MUHIDIN 086824 1/1/1966 dyspepsia 19:07:48 19:07:49 0:00:01

MUHAMAD R11 -
ARKAN Nausea and
43 ABDUL AZIZ 088096 4/7/2020 vomiting 19:17:23 19:17:01 23:59:38

44 ABDUL AZIS 112502 3/17/1996 - 19:18:50 0:04:40 4:45:50

J45.9 - SAMPLE
RESTI Asthma,
45 JULIANTI 077757 7/2/2006 unspecified 19:23:07 19:26:18 0:03:11
ASYLA
46 RISKA 120646 8/8/2019 - 19:29:06 19:29:05 23:59:59

E887 - SAMPLE
ARI DWI Fracture,
HANDAYAN cause
47 I 120647 2/19/1987 unspecified 19:33:19 19:36:18 0:02:59

SHALSA
LEMORA R50.9 -
RISELIA Fever,
48 RAHMAN 120648 7/31/2018 unspecified 20:21:55 20:22:05 0:00:10
A.M. R50.9 -
ABDUL Fever,
49 AZZIS 120649 5/4/1999 unspecified 20:28:49 20:28:26 23:59:37

T14 - Injury SAMPLE


of
ADE unspecified
50 MULYADI 023971 10/2/1968 body region 20:37:15 20:38:46 0:01:31
LILIS
51 SURYANI 120650 9/27/1989 - 20:54:52 20:56:29 0:01:37

ABU
MUHAMM
AD ASH
52 SIDDIQ 120651 10/29/2020 - 21:02:07 21:02:54 0:00:47

RATU
NARU J45 - SAMPLE
53 ALYSIA 087664 6/16/2010 Asthma 21:13:27 21:15:55 0:02:28

ELAN
54 MAULANA 059393 1/10/1993 - 21:15:09 21:15:09 0:00:00
EROS J45 - SAMPLE
55 ROSITA 046795 4/28/1989 Asthma 21:18:50 21:22:43 0:03:53

R50 - Fever
of other
ANAYA and
QUEENA unknown
56 ALFARUQI 120653 8/14/2021 origin 21:25:51 21:26:40 0:00:49

R50.9 -
LEYAN Fever,
57 SAEPUTRI 011302 1/14/2006 unspecified 22:08:50 8:52:40 10:43:50

AYI
58 MUCHIDIN 120655 3/12/1985 - 22:29:45 22:30:00 0:00:15

J06.9 -
Acute
upper
MUHAMAD respiratory
ZIDAN infection,
59 RAMADAN 109100 4/17/2021 unspecified 23:21:09 23:28:23 0:07:14
LEYAN
60 SAEPUTRI 011302 1/14/2006 - 18:45:34 18:45:34 0:00:00

NAUFAL SAMPLE
ATHARRAY
HAN J45 -
61 WARDANI 119999 3/1/2022 Asthma 0:11:41 0:13:30 0:01:49

SRI
MULYAWA
62 TI 092492 7/31/1984 - 4:07:06 4:07:06 0:00:00
QINARA
63 ZIANCA 069917 6/6/2019 - 6:44:30 6:45:54 0:01:24

K30 -
Functional
64 ADIS 058116 10/16/1968 dyspepsia 6:58:38 6:59:06 0:00:28

K30 -
Functional
dyspepsia |
R50.9 -
ELSA Fever,
65 SALSABILA 120658 7/5/2009 unspecified 7:32:51 12:38:16 5:05:25

R50.9 -
DEDEN 104179/00 Fever,
66 SUPENDI 1892 7/1/1982 unspecified 7:47:34 8:51:37 1:04:03

K30 -
ANJAR Functional
67 ABDULLAH 120660 3/24/1994 dyspepsia 8:20:35 15:08:11 6:47:36

ANNASYA
ADEEBA
68 SAILA 120661 8/29/2020 - 8:26:42 12:46:12 4:19:30

R50.9 -
SITI Fever,
69 NURAENI 120662 3/23/2001 unspecified 8:32:30 12:48:03 4:15:33

SANDI
FERNANDI
70 ANDRIAS 120672 7/19/1990 - 11:44:23 11:58:47 0:14:24

YENI SRI
71 WAHYUNI 115323 4/11/1992 - 13:23:42 13:24:03 0:00:21
MIRZA
72 UKAIL 070117 7/21/2018 - 13:42:41 10:44:45 21:02:04

K52.0 -
Gastroenter
itis and
colitis due
to radiation
BAMBANG | R50.9 -
SAEPUL Fever,
73 ROHMAN 120677 12/12/1999 unspecified 14:26:45 14:47:45 0:21:00

T01.0 -
Open
wounds SAMPLE
MUHAMAD involving
ALWI head with
74 ALFARIZI 120678 7/26/2018 neck 15:01:06 15:04:25 0:03:19

K30 -
HENDRA Functional
75 SUHENDRA 120680 9/15/1976 dyspepsia 15:38:40 15:39:09 0:00:29

T01 - Open
wounds SAMPLE
involving
multiple
body
76 UCUP 120681 8/22/1964 regions 15:38:40 15:41:27 0:02:47

K30 -
SITI SADIAH Functional
77 SETIAWAN 120682 9/11/2000 dyspepsia 16:23:11 16:32:49 0:09:38

R50 - Fever
of other
and
KYRA unknown
78 DEVINA 114624 6/7/2021 origin 17:06:25 17:08:51 0:02:26

R50 - Fever
MOHAMAD of other
RAFIQ and
SYAUQI unknown
79 SIDDIQ 043177 10/13/2017 origin 17:46:25 17:48:25 0:02:00
SAHMUDIN
80 LABIB 120683 7/3/1969 - 18:14:30 18:23:28 0:08:58
ERVIRA K30 -
ASTRIA Functional
81 SAGITA 024284 12/20/1985 dyspepsia 18:33:30 18:35:35 0:02:05

T14.1 -
DAREL Open SAMPLE
MAHADIKA wound of
FEBIANSYA unspecified
82 H 120684 6/19/2013 body region 18:37:27 18:40:46 0:03:19

E14.9 -
Unspecified
diabetes
mellitus
without
complicatio
ns | K30 -
004388/02 Functional
83 MAMAN 0493 11/7/1954 dyspepsia 18:43:07 19:57:07 1:14:00

MUHAMM SAMPLE
AD ALVINO J45 -
84 SAPUTRA 120685 1/7/2022 Asthma 18:48:21 18:52:27 0:04:06

RAFFA R50.9 -
AULIA Fever,
85 SUDARMA 120686 6/9/2008 unspecified 19:09:54 19:10:03 0:00:09
J45 - SAMPLE
86 RENI 020490 7/4/2001 Asthma 19:17:39 19:21:05 0:03:26

E887 -
Fracture,
cause
unspecified SAMPLE
| T01 -
Open
wounds
involving
multiple
TIAN body
87 AGUSTINA 120687 8/12/1981 regions 19:00:00 19:01:47 0:01:47

E887 - SAMPLE
FAKHRI Fracture,
KHAERUL cause
88 QOLBI 078237 11/7/2007 unspecified 19:00:00 19:04:09 0:04:09
E887 - SAMPLE
FAHMI Fracture,
KHAERUL cause
89 KAHFI 120689 8/14/2011 unspecified 19:07:00 19:08:47 0:01:47

SEPTIA NUR
90 RAHMAN 109144 9/5/2021 - 19:39:08 19:39:08 0:00:00

ASEP R50.9 -
SAEPUL Fever,
91 ANWAR 120690 9/2/1975 unspecified 19:52:07 19:53:13 0:01:06

L20.8 -
Other
atopic
92 ANAH 113418 12/24/1982 dermatitis 19:57:13 19:58:03 0:00:50

ARSYAILA R50.9 -
FATIMAH Fever,
93 MULYADI 044388 3/20/2014 unspecified 20:26:33 20:28:24 0:01:51

A09.9 -
Gastroenter
itis and
colitis of
RAKHMAT unspecified
94 HIDAYAT 108527 5/9/1974 origin 20:49:58 20:49:24 23:59:26

RAIHAN
RIZKI J45 - SAMPLE
95 ADITIA 079482 8/27/2013 Asthma 21:17:59 21:22:24 0:04:25

J06.9 -
Acute
upper
RAMSYA respiratory
NASAUQI infection,
96 AZZAHRA 054162 12/22/2017 unspecified 21:34:09 21:18:03 23:43:54
J06.9 -
Acute
upper
respiratory
infection,
MUHAMM unspecified
AD NAUFAL | K37 -
RIJALDI Unspecified
97 PUTRA 076348 2/6/2019 appendicitis 22:20:27 22:37:38 0:17:11

MUHAMM
AD K35 - Acute
98 BAHRUN 120692 3/13/2007 appendicitis 22:36:45 23:15:51 0:39:06

R50.0 -
NOFI Fever with
99 HERAWATI 024746 12/13/1987 chills 22:56:26 22:58:49 0:02:23

K30 -
Functional
100 NURAENI 060935 7/30/1991 dyspepsia 23:06:30 23:08:33 0:02:03

N39 - Other SAMPLE


disorders of
TIAH urinary
101 SATRIAH 116921 4/2/1960 system 23:17:58 23:19:22 0:01:24

R55 -
DIANDRA Syncope
AFRANSYA and
102 H 120693 11/6/2009 collapse 23:44:15 23:45:08 0:00:53

N39 - Other SAMPLE


disorders of
DADANG urinary
103 JARKASIH 120694 7/2/1953 system 0:30:37 0:33:25 0:02:48

AEP
104 SAEPUDIN 046988 5/1/1960 - 3:39:44 8:13:27 4:33:43
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
105 ADIS 058116 10/16/1968 origin 5:23:21 8:50:06 3:26:45

ZAHRA
SIFHA
ALFAUZIAH R50.0 -
PUTRI Fever with
106 IDRUS 071653 4/28/2015 chills 5:25:26 5:27:47 0:02:21

R50.9 -
REYNAND Fever,
107 GIBRAN 052197 3/24/2017 unspecified 8:43:35 8:47:54 0:04:19

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin |
N03.9 -
Chronic
nephritic
FAUZAN syndrome,
108 ADZIMA 030487 11/4/2005 unspecified 9:57:14 10:11:39 0:14:25

H81.4 -
Vertigo of
ENGKUS central
109 KUSMANA 120711 4/27/1967 origin 10:19:38 11:35:29 1:15:51

ARSYAILA R50.9 -
FATIMAH Fever,
110 MULYADI 044388 3/20/2014 unspecified 12:28:48 12:46:29 0:17:41
K30 -
Functional
dyspepsia |
K35 - Acute
appendicitis
| R10.0 -
YANA ERNA Acute
111 NINGSIH 039687 4/11/1976 abdomen 12:33:09 16:29:03 3:55:54

R50.9 -
Fever,
112 IJAH 120718 5/10/1976 unspecified 14:23:55 14:24:05 0:00:10

T14 - Injury SAMPLE


RYAN of
MUHAMM unspecified
113 AD BAUFAL 120719 9/15/2000 body region 14:31:44 14:34:38 0:02:54

T14 - Injury SAMPLE


of
M ANADA unspecified
114 HIBATILLAH 120720 1/31/2002 body region 14:34:09 14:35:29 0:01:20

R50 - Fever
SABILA of other
ASSYIFA and
KHAIRUNNI unknown
115 SA 112216 3/8/1999 origin 16:16:45 17:02:55 0:46:10

J18.0 -
Bronchopne SAMPLE
umonia,
NAZLA unspecified
WAFFA | R06.0 -
116 ABQURA 117163 1/7/2022 Dyspnoea 16:24:29 16:27:24 0:02:55

K30 -
AGUS Functional
117 RAHMAT 016450 11/5/1960 dyspepsia 16:29:58 16:30:51 0:00:53
J06.9 -
Acute
upper SAMPLE
respiratory
infection,
KAYLA unspecified
NADHIFA | J45 -
118 AL MAIRA 117473 2/22/2021 Asthma 16:34:13 16:36:14 0:02:01
ASEP J45 - SAMPLE
119 SAMSU 021884 2/21/1966 Asthma 17:27:42 17:30:39 0:02:57

SUCI
ANGGIA
120 PUTRI 120723 1/5/1999 - 17:32:19 21:33:20 4:01:01

R50.9 -
Fever,
121 SRI RESTI 064505 12/6/1997 unspecified 17:36:17 17:40:43 0:04:26

R50 - Fever
of other
and
LILIS unknown
122 SOBARIAH 113859 3/3/1955 origin 18:55:24 17:41:49 22:46:25

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| K30 -
SITI AIDA Functional
123 NURLAELA 175187 7/10/1992 dyspepsia 17:49:03 17:50:56 0:01:53

MUHAMM J45.9 - SAMPLE


AD FARID Asthma,
124 JAELANI 120724 3/4/2022 unspecified 19:00:32 19:03:47 0:03:15

R50.9 -
LEYAN Fever,
125 SAEPUTRI 011302 1/14/2006 unspecified 19:35:58 20:27:06 0:51:08

K30 -
ANISA SRI Functional
126 RAHAYU 022730 1/17/2005 dyspepsia 18:50:30 18:56:59 0:06:29
K30 -
JAJAH Functional
127 HADIJAH 113948 4/14/1951 dyspepsia 19:04:17 19:07:41 0:03:24

MUHAMM
AD FIRAS
128 ANDENI 120610 9/25/2018 - 19:07:31 19:07:31 0:00:00

J06.9 -
Acute SAMPLE
upper
respiratory
infection,
unspecified
ARSYILA | J45.9 -
NUR Asthma,
129 HAFIDZAH 120726 10/14/2021 unspecified 19:14:30 19:15:23 0:00:53

R50.9 -
ALIZHA Fever,
130 NURAFIFAH 105525 4/12/2020 unspecified 19:21:00 19:24:01 0:03:01

K30 -
028532/03 Functional
131 TITIN 0990 7/1/1956 dyspepsia 19:27:32 19:30:23 0:02:51
APUD B. R06.0 -
132 ADUNG 046054 1/5/1953 Dyspnoea 20:08:24 20:10:33 0:02:09

BUMI R50.9 -
PRADIKA Fever,
133 UNTARA 120727 11/17/2009 unspecified 20:46:04 20:46:08 0:00:04

N39.0 -
Urinary
tract SAMPLE
infection,
site not
134 KOYAH 012790 7/1/1954 specified 22:25:33 22:27:05 0:01:32

135 SILVIA SARI 120580 4/1/2009 - 22:55:05 22:57:04 0:01:59

T14.1 -
Open SAMPLE
UJANG wound of
FIRMANSY unspecified
136 AH 120728 3/15/2001 body region 23:01:40 23:07:48 0:06:08
A15.8 -
Other SAMPLE
respiratory
tuberculosis
, confirmed
bacteriologi
cally and
histologicall
AYILA y | R06.0 -
137 SAEPUDIN 119941 9/5/2005 Dyspnoea 23:04:31 23:07:31 0:03:00

R50 - Fever
of other
ZAIMA and
FATHANIA unknown
138 AZWA 106471 6/11/2021 origin 23:27:25 23:28:45 0:01:20

SRI R10.0 -
MULYAWA Acute SAMPLE
139 TI 092492 7/31/1984 abdomen 3:41:49 3:43:20 0:01:31
R06.0 -
140 SURYANA 016633 11/8/1956 Dyspnoea 6:01:04 15:36:34 9:35:30

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
UJANG unspecified
141 SUPRIADI 087565 6/16/1952 origin 6:08:16 15:37:53 9:29:37

K52.0 -
Gastroenter
itis and
colitis due
to radiation
| R11 -
Nausea and
142 PARTA 120729 7/16/1953 vomiting 6:34:58 15:32:09 8:57:11
M. GERAL SAMPLE
DIAN J45 -
143 SAPUTRA 102097 5/12/2013 Asthma 6:50:53 6:53:46 0:02:53

R50 - Fever
of other
and
IRFAN unknown
144 FAHRUDIN 120730 5/5/1977 origin 7:08:20 7:18:43 0:10:23

K30 -
TATI Functional
145 WINARTI 120732 12/6/1966 dyspepsia 7:34:40 7:44:51 0:10:11

K30 -
ENTO Functional
146 NURHAYATI 006894 2/25/1973 dyspepsia 7:46:43 8:02:00 0:15:17
ECE
147 SUHARJA 033904 4/12/1945 - 8:07:37 8:12:11 0:04:34

ZYAN R50.9 -
ALFAIZ Fever,
148 EFENDI 120736 10/30/2019 unspecified 12:55:02 12:59:16 0:04:14

R11 -
Nausea and
149 NENAH 120746 2/15/1957 vomiting 9:33:45 10:51:41 1:17:56

K30 -
Functional
dyspepsia |
R50.9 -
ANISAH Fever,
150 PARIDA 120752 9/29/1989 unspecified 11:02:00 11:03:27 0:01:27

K30 -
EUIS Functional
151 MULYATI 120755 6/16/1958 dyspepsia 13:00:37 13:03:11 0:02:34

FAJAR
RUSMAN E9060 - Dog SAMPLE
152 SIDIQ 120756 6/22/1984 bite 13:20:09 13:21:41 0:01:32

R10.0 -
DODIH Acute SAMPLE
153 SUHERMAN 054615 11/27/1972 abdomen 13:26:14 13:28:10 0:01:56

RESTI
NOVITA B86 -
154 SARI 120757 11/15/2011 Scabies 13:46:26 13:48:10 0:01:44
A15.3 -
Tuberculosi
s of lung,
confirmed
by
unspecified
means |
R50.9 -
Fever,
155 NURSIH 120758 4/8/1992 unspecified 13:49:54 13:53:13 0:03:19

T63.2 -
Toxic effect,
YUYUN venom of
156 YUNINGSIH 120760 2/15/1975 scorpion 13:55:31 13:56:20 0:00:49

J06.9 -
Acute
upper
ANDHIKA respiratory
GILANG infection,
157 PADUKA 027432 2/1/1992 unspecified 14:32:53 14:33:53 0:01:00

T14 - Injury
of
unspecified SAMPLE
body region
| T14.0 -
Superficial
injury of
unspecified
body region
| T14.1 -
Open
wound of
unspecified
158 USRIYANI 120761 10/16/1990 body region 14:43:03 14:47:07 0:04:04
R50.9 -
NENENG Fever,
159 SOBARIAH 000935 10/4/1970 unspecified 15:43:11 15:46:59 0:03:48

R50.9 -
HAWA Fever,
160 TAQIYA 175315 7/19/2020 unspecified 16:22:57 16:25:05 0:02:08

ISMAT R11 -
TULLOH Nausea and
161 SYARIF 095135 12/16/1995 vomiting 16:48:12 16:52:38 0:04:26

R07.1 -
Chest pain SAMPLE
on
162 CUCUM 120766 3/7/1945 breathing 16:33:53 16:36:07 0:02:14

R50.9 -
ALDI Fever,
163 MAULANA 120767 2/17/2009 unspecified 16:57:05 16:58:09 0:01:04

J45 -
Asthma | SAMPLE
ALIFA R50.9 -
PURNAMA Fever,
164 HIBATILLAH 030396 4/21/2016 unspecified 17:02:03 17:07:52 0:05:49

R50.9 -
RIDWAN Fever,
165 MAURAKSA 058727 11/10/1991 unspecified 17:42:36 17:48:10 0:05:34

A35 - Other
tetanus |
E87.0 - SAMPLE
Hyperosmol
ality and
hypernatra
emia |
G93.4 -
Encephalop
athy,
166 JUMENANG 120768 5/14/1972 unspecified 18:50:34 18:54:58 0:04:24
K30 -
DEDE Functional
167 JAKARIA 120769 11/11/1992 dyspepsia 19:24:28 19:25:38 0:01:10

H81.1 -
Benign
paroxysmal
vertigo |
I10 -
Essential
(primary)
hypertensio
168 U SUGANDI 120560 6/12/1965 n 20:13:00 21:31:12 1:18:12

K30 -
LISNA Functional
169 MAHARANI 120770 12/27/2005 dyspepsia 20:18:52 20:19:17 0:00:25

J06.9 -
Acute
upper
respiratory
RINI infection,
170 SEKARWATI 009531 5/13/1984 unspecified 20:24:02 20:25:15 0:01:13

R50.9 -
SITI NUR Fever,
171 ANISA 070678 10/14/1995 unspecified 20:47:27 20:48:08 0:00:41

K30 -
Functional
172 SITI AIDAH 078708 7/22/1980 dyspepsia 21:30:48 21:31:12 0:00:24

ALIPHA
CIKAL
MALAIPAZA 103932/11
173 SASMITA 0136 5/6/2005 - 21:49:26 21:49:26 0:00:00

K30 -
SRI Functional
174 RAHAYU 055949 6/3/2000 dyspepsia 22:32:17 20:13:19 21:41:02

R50 - Fever
of other
ARIZKI and
ADHA unknown
175 NURKARIM 060685 9/26/2015 origin 23:10:13 23:13:12 0:02:59
K30 -
Functional
dyspepsia |
R50 - Fever
of other
and
YUSUF unknown
176 ISMAIL 120771 12/18/1992 origin 0:04:43 0:07:46 0:03:03

K40.0 -
Bilateral SAMPLE
inguinal
hernia, with
obstruction,
TAZKA without
177 PUTIA 120772 9/3/2006 gangrene 0:48:15 0:52:59 0:04:44

K30 -
Functional
dyspepsia |
K52.0 -
Gastroenter
itis and
colitis due
to radiation
| R50 -
Fever of
other and
YUDI unknown
178 YANTO 076150 2/4/1980 origin 1:59:00 2:06:01 0:07:01

R50 - Fever
of other
and
unknown
179 IHSAN 079709 8/5/2014 origin 2:15:09 3:31:39 1:16:30

R10 - SAMPLE
Abdominal
ENCEP and pelvic
180 CAHYA 115563 1/18/1988 pain 3:50:40 3:52:28 0:01:48
ENDANG
181 RUSDI 120773 4/3/1953 - 5:50:57 17:28:23 11:37:26
K52.0 -
Gastroenter
itis and
colitis due
to radiation
RASYID | R11 -
MALIK AL- Nausea and
182 BAGHDAD 108448 8/7/2021 vomiting 5:59:25 7:24:29 1:25:04

R50 - Fever
of other
and
MUHAMAD unknown
183 SOLEHUDIN 092956 4/22/1995 origin 6:42:09 6:44:40 0:02:31

LILI
184 SOMANTRI 061719 8/11/1959 - 7:41:10 13:31:28 5:50:18

R50 - Fever
of other
NAFEESA and
ALEA unknown
185 SHANUM 066630 3/21/2019 origin 7:34:48 7:36:41 0:01:53

RAKHMAT
186 HIDAYAT 108527 5/9/1974 - 8:49:20 8:49:20 0:00:00

LIA
MEDIAWAT E9060 - Dog SAMPLE
187 Y 120777 11/18/1965 bite 9:07:17 9:09:09 0:01:52

I10 -
Essential
(primary)
EVI hypertensio
188 SOPIANTI 072560 10/7/1985 n 9:13:23 9:15:07 0:01:44

ASEP
189 MULYANA 086133 8/20/1958 - 9:31:06 9:35:46 0:04:40

ANNISA
RAMADHA
190 NI 120779 7/14/2013 - 10:12:45 10:13:41 0:00:56
RASUL
191 HAMIDI 104802 11/18/1987 - 10:44:14 11:05:17 0:21:03
J06.9 -
Acute
upper
CARLA respiratory
LETISYA infection,
192 HERDIANA 047440 9/15/2015 unspecified 10:47:46 10:51:24 0:03:38
ENDANG
193 KURNIA 120781 11/5/1994 - 10:58:56 22:33:20 11:34:24
194 ROHIDIN 076177 2/7/1968 - 12:31:10 12:31:10 0:00:00
195 ALI 120784 10/20/1962 - 13:08:10 13:07:51 23:59:41

CECEP
EDDY
196 SUDRAJAT 120787 8/25/1959 - 13:17:20 15:09:46 1:52:26
197 IIM 029122 3/17/1954 - 13:19:23 13:20:32 0:01:09

ANJASKA
198 PRATAMA 120788 9/2/2021 - 13:22:51 13:23:56 0:01:05

FIKA
PERMADAN
199 I 075405 3/26/2000 - 13:24:41 13:25:23 0:00:42

200 RESTU ARIA 120790 4/4/2002 - 13:28:47 13:28:47 0:00:00


SUDRAJAT
201 (SH) 032259 2/28/1966 - 13:58:04 13:58:04 0:00:00

R50.9 -
HERAWATI Fever,
202 NURPAJRI 120792 8/12/2009 unspecified 14:23:22 14:23:45 0:00:23

K30 -
Functional
203 NENENG 120796 10/13/1969 dyspepsia 15:12:35 15:12:22 23:59:47
ENDANG
204 RUSDI 120773 4/3/1953 - 17:33:06 15:24:01 21:50:55

T14 - Injury SAMPLE


of
AYANG SITI unspecified
205 MAHARANI 120797 4/13/2002 body region 16:13:10 16:16:38 0:03:28
EKO R06.0 -
206 SATRIKO 120621 8/1/2001 Dyspnoea 15:46:29 15:49:37 0:03:08
R50 - Fever
of other
and
unknown
origin |
R50.9 -
SUDRAJAT Fever,
207 (SH) 032259 2/28/1966 unspecified 15:48:36 15:49:52 0:01:16

AGUSTINA R50.9 -
PRAPETAN Fever,
208 DA 019459 8/18/1986 unspecified 15:54:49 15:54:17 23:59:28

K30 -
Functional
209 DIDIN 078572 1/1/1964 dyspepsia 16:08:08 16:08:52 0:00:44

R50.9 -
Fever,
210 ROSITA 120798 12/21/1980 unspecified 16:39:40 16:39:39 23:59:59

DEVRAN
PUTRA
PATAMORG
211 ANA 113783 1/16/2022 - 16:46:51 16:50:48 0:03:57

R11 -
Nausea and
212 NATAYA 119451 8/18/2021 vomiting 17:53:59 17:54:20 0:00:21

MUHAMM
AD RAFFA
PUTRA
213 ARRASYID 057214 10/16/2017 - 18:46:04 18:46:40 0:00:36

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50.9 -
FIRMAN Fever,
214 SUPARMAN 103996 6/7/1975 unspecified 18:47:26 18:47:36 0:00:10
SULTAN R50.9 -
NAWAF Fever,
215 JUANDA 120800 3/13/2015 unspecified 18:55:17 18:55:12 23:59:55

I10 -
Essential
(primary)
hypertensio
216 ENUNG 068747 1/7/1974 n 19:05:29 19:09:07 0:03:38

SAFANA R50.9 -
AULIA Fever,
217 RAHMAT 120802 1/13/2018 unspecified 19:33:42 20:08:21 0:34:39

TUTI R51 -
218 IRMAWATI 042285 4/6/1973 Headache 19:36:49 19:37:34 0:00:45

R50 - Fever
of other
and
unknown
origin |
R50.9 -
FATIMAH Fever,
219 AZ ZAHRA 120803 5/23/2021 unspecified 19:42:31 5:36:33 9:54:02

J06.9 -
Acute
upper
AURA respiratory
LATISHA infection,
220 AQUINA 047868 9/22/2016 unspecified 19:58:46 19:58:51 0:00:05

ALIFA
ANZELIA R50.9 -
MIRANDA Fever,
221 PUTRI 038275 5/4/2006 unspecified 20:00:53 20:00:33 23:59:40

ELIN R51 -
222 MARLINA 038276 2/26/1981 Headache 20:01:49 20:04:49 0:03:00

QEYLLA A01.0 -
AGNA Typhoid
223 RAHMAN 120804 5/1/2017 fever 20:08:27 20:08:29 0:00:02
AZRIEL
PUTRA AL-
224 JAYA 070267 2/11/2019 - 20:20:47 20:20:45 23:59:58

A09 - Other
gastroenteri
tis and
ALVAREND colitis of
RA infectious
DIRGANTA and
RA unspecified
225 BASKARA 120806 8/8/2021 origin 20:29:51 20:29:20 23:59:29

AZRIEL J45.9 - SAMPLE


PUTRA AL- Asthma,
226 JAYA 070267 2/11/2019 unspecified 21:31:16 21:34:16 0:03:00

A09.9 -
Gastroenter
itis and
PUTRI colitis of
VELIKA TRI unspecified
227 CHANDRA 113620 9/14/2020 origin 21:34:32 21:36:59 0:02:27
228 ENJANG 119818 10/5/1958 - 21:50:59 21:50:59 0:00:00

N39.0 -
Urinary
tract SAMPLE
infection,
site not
specified |
R50.9 -
DIDIN Fever,
229 SUHANDI 120808 1/1/1958 unspecified 22:02:59 22:05:31 0:02:32

K30 -
YUDI Functional
230 YANTO 076150 2/4/1980 dyspepsia 6:39:57 9:04:37 2:24:40

B30 - Viral
conjunctiviti
231 YULIANAH 021076 4/7/1986 s 6:48:17 6:52:39 0:04:22

K30 -
Functional
dyspepsia |
R07.3 -
RINA Other chest
232 LISTIANI 025649 9/9/1989 pain 6:50:23 6:53:18 0:02:55
KAIRA
AULIA J45 - SAMPLE
233 PUTRI 116903 4/22/2021 Asthma 7:04:30 7:06:18 0:01:48

K30 -
RIA Functional
234 MELIANI 065734 5/1/1985 dyspepsia 8:33:41 8:34:26 0:00:45

A09.9 -
Gastroenter
itis and
colitis of
ASQA unspecified
235 MAULLANA 117581 8/14/2021 origin 9:04:42 23:05:32 14:00:50
236 CACIH 120811 7/1/1958 - 10:12:42 8:34:29 22:21:47

MUHAMAD
237 RAFI AKBAR 120816 6/15/2018 - 10:28:53 16:00:27 5:31:34

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
AGUS ALI unspecified
238 AKBAR 109533 8/24/1964 origin 10:57:52 10:58:09 0:00:17

NABILAH
QUTRATUA
239 IN 068641 2/23/2014 - 11:51:45 21:41:56 9:50:11

240 ALIT FAJAR 120819 6/25/2000 - 12:54:59 12:55:48 0:00:49

MUHAMM
AD ZEFA
NATAPRAW
241 IRA 120820 5/31/2010 - 13:12:07 13:36:01 0:23:54

RATU SILVA
242 AULYA 120821 3/23/2008 - 13:17:03 19:19:40 6:02:37
A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R11
- Nausea
and
vomiting |
R50.9 -
Fever,
243 EEN 120822 7/1/1952 unspecified 14:09:25 20:29:26 6:20:01

M62 - Other
disorders of
244 SUHERLAN 030233 2/4/1973 muscle 14:38:59 14:49:09 0:10:10

MUHAMM
AD AZRIL
245 RAKHSHAN 071958 5/24/2018 - 14:51:42 14:35:26 23:43:44

RENI
ANGGRAEN
246 I 117033 4/12/1986 - 15:26:21 9:58:12 18:31:51

A09.9 -
Gastroenter
itis and
colitis of
ALEXANDRI unspecified
247 A QADIRA 120825 2/3/2014 origin 16:07:19 16:55:08 0:47:49

R50.9 -
DEVI Fever,
248 ARISTIANDI 120826 7/25/1983 unspecified 16:01:53 18:39:42 2:37:49

R50.9 -
GIANESA Fever,
249 IBRAHIM 120827 7/3/2016 unspecified 16:12:23 16:52:33 0:40:10
A09.9 -
Gastroenter
itis and
colitis of
unspecified
250 ENCIH 036776 1/1/1939 origin 16:37:45 16:37:46 0:00:01

SITI SRI R50.9 -


WAHYUNI Fever,
251 ASARY 017016 10/21/2008 unspecified 16:45:21 16:45:07 23:59:46

J06.9 -
Acute
upper
YASMIN respiratory
PUTRY infection,
252 AZIZAH 112497 1/13/2014 unspecified 17:21:34 17:21:23 23:59:49

MUHAMM SAMPLE
AD
ZULFIKAR J45 -
253 ASSHIDQY 112130 1/21/2018 Asthma 17:25:57 17:27:44 0:01:47

T14 - Injury SAMPLE


of
unspecified
254 KOSASIH 120829 11/7/1948 body region 20:25:25 20:28:02 0:02:37

R50.9 -
SUNDA Fever,
255 KIRANA 120830 5/23/2006 unspecified 18:45:21 18:46:17 0:00:56

R50.9 -
Fever,
256 SALAMAH 056894 4/19/1958 unspecified 18:49:03 18:49:47 0:00:44

SHANUM R50.9 -
DIYA Fever,
257 SYAKIRA 108751 2/11/2021 unspecified 18:56:21 18:56:17 23:59:56
YATI
258 MULYATI 095951 8/10/1986 - 19:17:13 5:31:03 10:13:50
MUHAMAD R50.9 -
SATRIA Fever,
259 LENOSTA 114870 10/10/2016 unspecified 19:36:12 19:36:35 0:00:23

J03.9 -
UDIN Acute
KOMARUDI tonsillitis,
260 N 120831 12/8/1976 unspecified 19:59:11 20:00:01 0:00:50

R50.9 -
Fever,
261 NENGSIH 114739 6/21/1972 unspecified 20:12:37 20:12:07 23:59:30

A15 -
Respiratory
tuberculosis
,
bacteriologi
cally and
histologicall
y confirmed
| K30 -
Functional
dyspepsia |
R50.9 -
DEDE Fever,
262 RIDWAN 120832 12/15/1992 unspecified 20:33:36 5:30:36 8:57:00

R50 - Fever
of other
and
NAFISA unknown
263 ZALIKA 073369 12/17/2018 origin 20:35:54 20:35:41 23:59:47

K30 -
UJUANG Functional
264 JUJUN 120833 2/7/1971 dyspepsia 20:41:00 20:45:26 0:04:26

T14.1 -
RAHUL Open SAMPLE
JOKO wound of
RONALDO unspecified
265 SILITONGA 120834 7/14/2000 body region 20:55:53 20:59:03 0:03:10
A09.9 -
Gastroenter
itis and
colitis of
unspecified
266 ENUNG 072349 7/2/1975 origin 21:25:01 21:26:19 0:01:18

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
267 NUNAH 120835 7/1/1964 unspecified 21:45:36 21:46:17 0:00:41

E11.9 -
Non-insulin-
dependent
diabetes SAMPLE
mellitus
without
complicatio
ns | L03 -
Cellulitis |
L03.0 -
ADANG Cellulitis of
SUKMAWA finger and
268 NSYAH 111518 12/30/1974 toe 21:48:59 21:52:10 0:03:11

R56.0 - SAMPLE
MUHAMM Febrile
269 AD YUNUS 120836 1/1/2021 convulsions 22:04:40 22:06:13 0:01:33

K30 -
Functional
dyspepsia |
R11 -
RINA Nausea and
270 SUPRIATI 120837 1/26/1979 vomiting 22:23:35 22:26:56 0:03:21

NADILA R50.9 -
PUSPITA Fever,
271 SARI 066901 8/8/2012 unspecified 22:45:07 22:49:07 0:04:00
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
R10.0 -
Acute
272 MAESAROH 120838 7/1/1967 abdomen 23:21:34 23:22:10 0:00:36

GISAN K30 -
INDRA Functional
273 BUDIMAN 113471 6/13/1970 dyspepsia 0:12:27 0:13:45 0:01:18

K30 -
Functional
274 TITIM 120839 9/28/1982 dyspepsia 0:26:21 0:37:06 0:10:45

MUHAMM
AD SAMPLE
FATHIAN J45 -
275 SHARIQ 110123 1/3/2021 Asthma 4:43:11 4:47:59 0:04:48

J45 -
Asthma | SAMPLE
J45.9 -
DEDEN Asthma,
276 ISKANDAR 037328 9/9/1976 unspecified 4:45:19 4:47:05 0:01:46

T14 - Injury SAMPLE


AMBARIAH of
SITI unspecified
277 NURHALIZA 120843 12/17/2003 body region 5:15:38 5:18:06 0:02:28

K30 -
Functional
dyspepsia |
R10.0 -
Acute
278 KIDING 120844 9/26/1957 abdomen 6:47:44 6:48:47 0:01:03

I10 -
Essential
(primary)
hypertensio
279 ENUNG 088858 7/6/1972 n 6:58:48 6:58:15 23:59:27
MELYSSA R50.9 -
SHALMA Fever,
280 ALGHYFARI 094496 5/1/2001 unspecified 7:00:44 7:01:37 0:00:53

DADEN K30 -
HENDIAWA Functional
281 N 062270 10/12/1983 dyspepsia 7:31:33 7:38:08 0:06:35

J06 - Acute
upper
respiratory
infections
multiple
and
YULI unspecified
282 OKTAVIANI 038073 10/4/2000 sites 8:32:49 8:34:03 0:01:14

R10 - SAMPLE
Abdominal
and pelvic
283 IYAH 050513 9/3/1961 pain 8:37:00 8:39:17 0:02:17

LINTANG
GIZELA
RAMADHA
284 NI 120846 10/15/2004 - 8:49:55 8:52:31 0:02:36

R10.4 -
Other and
unspecified
abdominal
pain | R51 -
285 PARI 120847 7/1/1941 Headache 9:12:22 8:29:11 23:16:49

J06.9 -
Acute
upper
AZALEA respiratory
KHALIQA infection,
286 DZAHIN 066905 8/5/2017 unspecified 9:18:16 9:19:16 0:01:00
R50 - Fever
of other
FARID and
ABDILLAH unknown
287 SYADI 120848 1/9/2022 origin 9:27:02 9:29:16 0:02:14

R50.9 -
Fever,
288 M. FAZRIL 120849 9/22/2010 unspecified 9:41:23 10:42:24 1:01:01

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin |
RINGGA R50.9 -
NATA Fever,
289 PRAWIRA 120850 10/10/2021 unspecified 9:30:06 9:31:24 0:01:18

T14 - Injury SAMPLE


of
unspecified
290 ADRIANTO 120851 5/24/2009 body region 10:21:12 10:25:33 0:04:21

R50 - Fever
of other
MUHAMAD and
RAPA unknown
291 ALPARIZKI 120852 2/22/2018 origin 10:26:30 10:38:35 0:12:05

ENUR J45 - SAMPLE


292 NURHAYATI 037152 2/12/1970 Asthma 10:30:55 10:34:21 0:03:26

H60.9 -
ADELIA Otitis
FARANISA externa,
293 AZNII 120853 7/10/2016 unspecified 10:39:29 10:40:24 0:00:55

R50 - Fever
of other
ERNA and
MULYANI unknown
294 YUSUP 057674 7/16/2003 origin 10:48:54 11:18:15 0:29:21
AMELIA
PRAMUSTI
REGITA
295 CAHYANI 120854 9/21/2003 - 10:55:05 11:22:07 0:27:02

M66.21 -
Spontaneou
s rupture of
extensor
tendons,
shoulder
region |
T01 - Open
wounds
involving
GUSTI multiple
MAHENDR body
296 A PUTRA 120855 8/27/1980 regions 17:13:01 13:57:23 20:44:22

M54.5 -
YANTI Low back SAMPLE
297 NURHAYATI 107485 4/6/1976 pain 11:33:09 11:35:39 0:02:30

K52.0 -
Gastroenter
itis and
colitis due
to radiation
MUHAMAD | R11 -
RIZKY Nausea and
298 ADITYA 120856 12/24/2017 vomiting 11:43:20 13:50:12 2:06:52

R10 - SAMPLE
Abdominal
and pelvic
299 MINTARSIH 119391 9/25/1966 pain 11:58:04 12:00:05 0:02:01

K30 -
ANGGITA Functional
300 AULIA 095554 1/16/2005 dyspepsia 12:01:13 12:03:28 0:02:15
R50 - Fever
SATRIA of other
PUTRA and
HERMANSY unknown
301 AH 120858 11/17/2021 origin 12:08:43 12:10:05 0:01:22

T01 - Open
wounds SAMPLE
involving
multiple
A. MUIS body
302 APANDI 120859 3/14/1978 regions 12:08:43 12:11:05 0:02:22

DADAH
303 HALIMAH 030089 5/18/1985 - 12:29:30 10:28:01 21:58:31

R50 - Fever
of other
and
unknown
304 RUSMAN 096783 6/24/1991 origin 13:13:53 13:51:39 0:37:46

MUHAMM
AD RAIHAN
RAMADHA K30 -
N Functional
305 PERMANA 119090 8/24/2008 dyspepsia 13:56:43 13:58:04 0:01:21

HILYA
ALSYAZANI
306 KHUMAIRA 067496 4/19/2019 - 14:22:58 14:25:16 0:02:18

MUHAMM
AD ANAZILI
307 JAELANI 120862 11/4/2021 - 14:26:45 14:28:03 0:01:18

K30 -
YAYAH Functional
308 HODIJAH 007058 7/10/1963 dyspepsia 14:28:30 14:29:19 0:00:49

DEWI
309 LISNIAWATI 107909 10/10/1981 - 14:35:32 17:29:26 2:53:54
MUHAMM
AD SAMPLE
FATHIAN J45 -
310 SHARIQ 110123 1/3/2021 Asthma 14:40:49 14:42:46 0:01:57

AFIYAH
MUTMAIN J45 - SAMPLE
311 NAH 116672 9/18/2019 Asthma 15:08:08 15:10:35 0:02:27

HENDRA J45 - SAMPLE


312 GUNAWAN 110365 3/17/1973 Asthma 15:42:30 15:44:10 0:01:40

M WILDAN
313 PRATAMA 120868 10/13/2014 - 16:17:28 16:19:29 0:02:01

J06.9 -
Acute
upper
ADILA respiratory
ALESHA infection,
314 SIDIEK 120869 1/10/2022 unspecified 17:00:48 17:31:12 0:30:24
ANI
315 SURYANI 108734 12/8/1981 - 17:07:38 20:16:51 3:09:13

MUHAMAD
316 RAFFASYA 120870 7/18/2019 - 17:38:55 8:54:54 15:15:59

317 AI SURYATI 054854 7/7/1963 - 17:51:02 17:51:01 23:59:59

R56 -
Convulsions SAMPLE
SELI , not
SEPTIANI elsewhere
318 PUTRI 120867 9/7/2020 classified 17:57:44 17:59:15 0:01:31

K30 -
Functional
319 TITA 117391 7/10/1982 dyspepsia 17:58:51 17:59:07 0:00:16
J06.9 -
Acute
upper
respiratory
DESI infection,
320 SUSANTI 068307 12/18/1990 unspecified 18:41:37 18:42:55 0:01:18

B33.0 -
AHMAD Epidemic
321 ZEN ASRI 026832 4/12/1972 myalgia 18:54:46 18:55:58 0:01:12

J06.9 -
Acute
upper
respiratory
LILI infection,
322 SOMANTRI 061719 8/11/1959 unspecified 18:57:00 18:58:03 0:01:03

H81.4 -
Vertigo of
central
origin | R11
- Nausea
and
323 DAWAN 120871 9/15/1966 vomiting 19:11:50 19:12:40 0:00:50

LUCIANA R11 -
AULIA Nausea and
324 AZKHA 120872 5/26/2008 vomiting 19:21:00 19:22:26 0:01:26

M54.0 -
Panniculitis
affecting
regions of
NANDANG neck and
325 SUMARNA 120873 2/25/1982 back 19:25:21 19:26:37 0:01:16

K30 -
TETI Functional
326 SUHARYATI 008002 6/6/1980 dyspepsia 19:54:04 19:55:44 0:01:40
J06.9 -
Acute
upper
IRMAN respiratory
FIRMANSY infection,
327 AH 079552 9/18/1979 unspecified 19:57:05 19:58:14 0:01:09
328 ENUNG 072349 7/2/1975 - 20:26:20 15:25:58 18:59:38

ZAHRAN M79.1 -
329 ALFAATIH 094805 6/1/2011 Myalgia 20:56:43 21:00:35 0:03:52

MARIA R56.0 - SAMPLE


ALQIBTIYA Febrile
330 H 120874 10/28/2021 convulsions 22:56:29 22:59:12 0:02:43

I50.0 -
Congestive
heart SAMPLE
failure |
SUSI R06.0 -
331 SUSANTI 115152 1/19/1976 Dyspnoea 21:38:59 21:42:49 0:03:50

SANDRA
HUMAIRAH
332 AZZAHRA 117412 12/2/2021 - 22:57:56 22:57:56 0:00:00

K30 -
ADITYA Functional
333 GAUTAMA 120876 6/25/2006 dyspepsia 23:15:07 23:18:09 0:03:02

K30 -
Functional
334 YANTI 051277 8/23/1975 dyspepsia 23:58:33 23:58:33 0:00:00

DINAYA
LAFATUNNI
335 SA 104493 3/27/2021 - 1:48:57 5:04:46 3:15:49

GHAISAN
JANTAKA
336 BILAL 120878 3/1/2022 - 7:25:30 5:02:48 21:37:18

MOCHAMA K30 -
D Functional
337 RUSWANDI 120879 8/17/1993 dyspepsia 3:15:29 3:15:02 23:59:33
E13.8 -
Other
specified
diabetes
mellitus SAMPLE
with
unspecified
complicatio
ns | I11 -
Hypertensiv
e heart
disease |
J91 - Pleural
effusion in
conditions
classified
elsewhere |
N18 -
Chronic
ADE kidney
338 SUPRIATIN 085114 12/5/1968 failure 4:26:50 4:28:58 0:02:08
339 KOKOM 063817 7/1/1971 - 5:51:23 6:03:29 0:12:06

R50.9 -
FAUZI Fever,
340 ABDUL AZIZ 120880 5/8/2005 unspecified 6:17:29 9:07:23 2:49:54

R10 - SAMPLE
Abdominal
and pelvic
341 ULOH 120887 8/5/1964 pain 7:58:07 7:59:17 0:01:10
I50.0 -
Congestive
heart
failure |
K21.9 - SAMPLE
Gastro-
oesophagea
l reflux
disease
without
oesophagiti
s | P29.2 -
Neonatal
hypertensio
342 YOYOH 120884 5/12/1970 n 8:44:06 8:45:45 0:01:39

K30 -
Functional
343 KAESIH 116260 1/17/1953 dyspepsia 9:56:09 9:59:17 0:03:08

R50 - Fever
of other
LUTFI and
ALBIANSYA unknown
344 H 108979 5/29/2021 origin 10:24:20 11:52:20 1:28:00

B19 -
Unspecified
viral
hepatitis | SAMPLE
I50.0 -
Congestive
heart
failure |
R18 -
345 UDO 111302 12/17/1967 Ascites 10:29:06 10:30:41 0:01:35
T01.0 -
Open
wounds
involving SAMPLE
head with
neck |
T14.21 -
Fracture of
unspecified
body
region,
346 ANJAN 120901 9/8/1966 open 10:42:49 10:44:46 0:01:57

B01.8 -
Varicella
with other
complicatio
KHALIZA ns | R50.9 -
PUTRI NUR Fever,
347 ANDRIAN 117276 9/14/2021 unspecified 11:57:55 11:58:55 0:01:00

A01.0 -
Typhoid
fever | A90
- Dengue
fever
REGI [classical
348 MULYA 120904 1/6/2001 dengue] 12:46:57 15:48:27 3:01:30

DINA
NURMAYA
349 SIFA 120905 11/15/1987 - 12:51:54 16:07:31 3:15:37

THIAN
350 TJUN SIAN 120906 11/27/1944 - 13:37:18 13:37:18 0:00:00

T14.1 -
Open SAMPLE
MUHAMM wound of
AD RASYID unspecified
351 SUPRIYADI 120908 5/20/2011 body region 14:28:14 14:30:18 0:02:04
R50 - Fever
of other
and
ABDUL unknown
352 MUHKLIS 041395 2/8/1987 origin 16:29:54 19:08:23 2:38:29

R50 - Fever
of other
SYAHNAZ and
NURAMALI unknown
353 A 118508 9/24/2019 origin 16:55:23 16:56:20 0:00:57

R50 - Fever
of other
REGINA and
PUTRI unknown
354 ANUGRAH 068059 7/28/2018 origin 16:57:14 16:58:05 0:00:51

SALMA
FAHIRA
355 FIRDAUS 098865 8/24/2019 - 17:34:31 7:16:50 13:42:19

J06.9 -
Acute
upper
respiratory
RAYA APRIL infection,
356 LEANI 096499 4/20/2018 unspecified 17:29:49 17:54:09 0:24:20

R50 - Fever
of other
ALMEERA and
SHABIRA unknown
357 RAHAYU 112303 8/1/2021 origin 17:33:03 17:36:28 0:03:25

J06.9 -
Acute
upper
M.ARFAN respiratory
FAIZ infection,
358 HAITSAM 089719 12/10/2019 unspecified 17:35:44 17:36:29 0:00:45

PASKA
SIMANJUN
359 TAK 120912 10/27/2011 - 17:41:55 7:06:16 13:24:21
R50 - Fever
of other
CARLA and
LETISYA unknown
360 HERDIANA 047440 9/15/2015 origin 17:58:55 18:18:19 0:19:24

J06.9 -
Acute
ADHELIA upper
AKTHANIA respiratory
SHALSABIL infection,
361 A 120913 12/31/2009 unspecified 18:05:21 18:07:54 0:02:33
362 ATIKAH 045509 2/1/1950 - 18:07:29 18:10:44 0:03:15

I50.0 -
Congestive SAMPLE
SRI heart
363 HARYATI 094381 7/6/1974 failure 18:10:37 18:14:01 0:03:24
TESSA
364 ISHAK 120914 5/13/1991 - 19:01:56 19:02:32 0:00:36
365 DIRMAN 083613 2/7/1964 - 19:03:47 19:05:02 0:01:15

J06.9 -
Acute
upper
EXCEL respiratory
PRATAMA infection,
366 GINANJAR 047175 3/12/2017 unspecified 19:18:36 19:20:10 0:01:34

R50 - Fever
of other
CINDY and
PUTRI unknown
367 SANTOSA 069029 2/21/2013 origin 19:25:53 19:26:11 0:00:18

R50 - Fever
of other
and
TATI unknown
368 MULYANI 120915 4/10/1978 origin 19:33:52 19:36:50 0:02:58

R50 - Fever
of other
and
M AIDAN unknown
369 ADHYASTA 037997 12/12/2015 origin 19:40:55 19:42:49 0:01:54
AJAT
370 SUPRIATNA 120916 7/5/1968 - 19:46:12 8:42:21 12:56:09

RIJAL K30 -
NAWAWI Functional
371 MUHTAR 120918 3/28/1999 dyspepsia 20:09:02 20:10:21 0:01:19
SITI
372 SARIPAH 120919 3/4/1989 - 20:11:31 20:12:11 0:00:40

THANIA
NAELANDI
RAMDANI
373 PUTRI 109699 9/13/2015 - 20:32:28 20:33:40 0:01:12

WAHID
KURNIAWA
374 N 120921 11/15/1991 - 21:03:59 21:03:59 0:00:00

T14 - Injury SAMPLE


of
IWAN unspecified
375 NURJAMAN 102919 5/17/2002 body region 22:06:18 22:08:40 0:02:22

MUHAMM
AD ARSYAD R50.9 -
NABIL Fever,
376 PATIMURA 078172 4/6/2019 unspecified 22:40:05 22:44:03 0:03:58

MUHAMM R50.9 -
AD ARIP Fever,
377 HIDAYAT 035971 10/5/2009 unspecified 23:33:58 23:34:27 0:00:29

R50.9 -
KEYLA Fever,
378 MAESYA 120923 5/27/2013 unspecified 23:53:29 23:53:30 0:00:01

T14 - Injury SAMPLE


of
RESA unspecified
379 HIDAYAT 120924 12/3/1996 body region 1:06:27 1:10:56 0:04:29

LINTANG
NAUFAYN
380 PUTRI 120925 3/24/2016 - 2:06:13 2:07:08 0:00:55
381 MASLIANI 120927 1/5/1984 - 6:40:03 6:40:33 0:00:30

A09.9 -
Gastroenter
itis and
colitis of
AIRIS SITI unspecified
382 FAHIMA 115272 2/19/2022 origin 8:07:35 8:10:22 0:02:47

R50.9 -
ADITTHYA Fever,
383 SEPTIAN 120931 4/18/2013 unspecified 8:53:24 13:02:48 4:09:24

384 SALAMAH 056894 4/19/1958 - 9:14:57 9:14:28 23:59:31

A91 -
Dengue
haemorrhag
ic fever |
MUHAMM R50.9 -
AD NAUFAL Fever,
385 ASSIDIQ 120935 3/28/2022 unspecified 10:36:06 12:56:35 2:20:29

K30 -
Functional
386 MISBAH 021870 4/21/1961 dyspepsia 10:46:19 10:50:34 0:04:15

ASEP ANDI
387 JANUANTO 100696 1/16/1987 - 11:08:28 11:09:56 0:01:28

ZYAN R56.0 - SAMPLE


YUUKI AL Febrile
388 HANAN 120944 9/6/2019 convulsions 11:57:26 12:02:05 0:04:39

B00.1 -
UJANG Herpesviral
SEHABUDI vesicular
389 N 120945 4/3/1959 dermatitis 12:42:42 12:49:38 0:06:56

T14.1 -
Open SAMPLE
RIMA wound of
MUTIARA unspecified
390 PUTRI 120947 12/13/2012 body region 12:52:45 12:56:07 0:03:22
R50.9 -
SAHWA Fever,
391 ANDRIANI 094422 6/30/2017 unspecified 13:05:17 13:15:26 0:10:09

MUHAMM R50.9 -
AD ALTAIR Fever,
392 IBNU LIN 105819 2/15/2019 unspecified 13:21:03 13:25:14 0:04:11

K21 -
Gastro-
oesophagea
SITI l reflux
393 SARIPAH 120919 3/4/1989 disease 13:23:57 13:25:31 0:01:34
NAURA
394 RANIA 113691 12/28/2017 - 13:27:28 13:28:51 0:01:23

K52.0 -
Gastroenter
itis and
colitis due
to radiation
M. DZAKI | R11 -
ALFIANSYA 079158/10 Nausea and
395 H 5485 10/2/2017 vomiting 14:15:04 14:17:11 0:02:07

N76 - Other
inflammatio
n of vagina
396 ANGGUN 103091 1/25/2006 and vulva 14:21:27 14:23:51 0:02:24

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R11
KIRANA - Nausea
AGATHA and
397 RAIHANUH 120950 10/3/2021 vomiting 14:25:50 14:26:28 0:00:38
A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | K30
ETI - Functional
398 RUKHIYATI 120952 6/8/1948 dyspepsia 15:02:38 15:03:16 0:00:38

J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
sites | R50 -
Fever of
KHAIRA other and
SIDQIA unknown
399 MAULIDA 112204 8/1/2020 origin 15:20:31 15:22:24 0:01:53

K30 -
Functional
dyspepsia |
K52.0 -
Gastroenter
itis and
RISNA colitis due
400 MARLIANI 055875 3/28/1998 to radiation 15:33:33 15:35:33 0:02:00

M. AXL SAMPLE
RAZINSKY
RACHMANS 120953/07 J45 -
401 YAH 5169 10/13/2005 Asthma 15:40:26 15:43:17 0:02:51

CANDRA R50 - Fever


PAMUNGK of other
AS, and
(A.Md.RAD. unknown
402 ) 076333 7/1/1995 origin 15:48:41 16:02:14 0:13:33
I50.0 -
Congestive SAMPLE
AISYAH heart
403 BIMA 029779 3/3/1974 failure 16:18:24 16:21:18 0:02:54

MUHAMM J06.0 -
AD DARDA Acute
SULAIMAN laryngophar
404 JAZULI 120954 3/4/2021 yngitis 16:26:50 16:28:26 0:01:36

K30 -
DAYAT Functional
405 SUDARJAT 016917 10/9/1954 dyspepsia 17:00:39 17:19:57 0:19:18

E46 -
Unspecified
protein-
energy
CECEP malnutritio
406 FAUZIE 041553 10/15/1959 n 17:13:57 18:09:14 0:55:17

H81.4 -
Vertigo of
central
origin |
R50.8 -
Other
RIJAL 045448/09 specified
407 GUNAWAN 9333 10/17/1997 fever 17:28:38 18:12:09 0:43:31

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50.8 -
TALITA Other
NAZHIRA specified
408 SAKHI 057109 8/10/2011 fever 17:38:33 17:39:09 0:00:36
J06.9 -
Acute
upper
respiratory
infection,
MUHAMAD unspecified
DENA | R50.9 -
SYAHPUTR Fever,
409 A 084888 2/15/2018 unspecified 17:45:44 17:46:09 0:00:25

J06.9 -
Acute
upper
respiratory
YULI 029132/06 infection,
410 YULIANI 5684 7/7/1989 unspecified 17:48:34 17:49:09 0:00:35

R11 -
Nausea and
vomiting |
R50 - Fever
of other
HAFIZ and
GIBRANSYA unknown
411 H 044171 5/9/2014 origin 18:49:00 19:27:34 0:38:34

M71.07 -
ZIYADATUR Abscess of
RIZQY bursa, ankle
412 SYAKIRA 120956 11/25/2010 and foot 18:55:14 19:30:12 0:34:58

A15.0 -
Tuberculosi
s of lung,
confirmed
by sputum
microscopy
with or
ABDUL without
413 KIFLI 120486 7/28/2001 culture 19:18:30 20:45:46 1:27:16
K64.9 -
NADIA Haemorrhoi
RAHMANIA ds,
414 SEPTIANI 042227 9/7/2002 unspecified 19:26:57 18:56:42 23:29:45

R50.9 -
NELSA Fever,
415 ALYANI 063654 11/30/2005 unspecified 19:31:49 19:33:39 0:01:50

K30 -
FITRIA Functional
416 FAUZIAH 114764 4/1/1992 dyspepsia 19:34:33 19:35:42 0:01:09

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R11
AYESHA - Nausea
AYLANI and
417 INARA 120957 7/22/2019 vomiting 20:24:26 20:25:42 0:01:16

MUHAMM
AD ARKAN
418 ARDANY 120958 9/5/2017 - 20:48:40 22:21:46 1:33:06
PUTRI
419 RAISHA 055315 4/26/2010 - 21:19:05 14:39:01 17:19:56

R50 - Fever
of other
SHERLY and
PUTRI unknown
420 AMELIA 120960 6/11/2021 origin 21:24:13 21:25:56 0:01:43

R50 - Fever
MARYAM of other
ZAKIYAH and
ASSHALIHA unknown
421 H 120963 6/18/2016 origin 22:32:39 22:34:18 0:01:39

K30 -
Functional
422 HJ LILIS 044347 5/14/1963 dyspepsia 0:55:43 15:32:52 14:37:09

K30 -
TINAH Functional
423 KARTINI 000264 11/8/1976 dyspepsia 3:00:27 16:35:51 13:35:24
K30 -
Functional
dyspepsia |
R50.1 -
DEA Persistent
424 FITRIANI 120966 11/16/2004 fever 3:13:54 3:26:10 0:12:16

R50 - Fever
of other
and
unknown
425 CICIN 033427 10/3/1967 origin 5:30:39 6:46:00 1:15:21

H81.1 -
Benign
RESTI paroxysmal
426 APRILIANI 120967 4/3/1996 vertigo 8:55:41 16:09:27 7:13:46
427 YOYOM 120959 7/1/1957 - 6:18:49 6:20:19 0:01:30
ENDAH
428 ELASARI 120977 8/7/2000 - 9:11:30 9:15:10 0:03:40

R50.9 -
TETEN Fever,
429 RUSTENDI 120983 7/1/1957 unspecified 9:37:40 10:01:46 0:24:06

ATHALLA R50.9 -
KINANDAN Fever,
430 A YUSUF 120987 11/28/2020 unspecified 10:28:30 10:29:12 0:00:42

A09 - Other
gastroenteri
tis and
colitis of
infectious
KIRANA and
AGATHA unspecified
431 RAIHANUH 120950 10/3/2021 origin 10:37:54 10:38:38 0:00:44

L03 -
Cellulitis |
NESYA R50.9 -
AULIA Fever,
432 MALIK 120988 9/25/2018 unspecified 11:05:29 12:13:03 1:07:34

ALFAREL
GIO
433 RUHIYAT 120989 4/30/2020 - 11:09:36 19:31:42 8:22:06
ATHAR
MUHAMM
434 AD DINATA 120992 10/11/2021 - 13:00:52 19:04:45 6:03:53

ANESA
AQUEENA
435 NURAQILA 104646 11/17/2019 - 13:02:33 19:32:45 6:30:12
UDIN R51 -
436 HIDAYAT 120993 11/5/1967 Headache 13:14:14 16:40:08 3:25:54

INARA
AISHA
MUGHNY
437 SHALIHA 120995 9/7/2015 - 13:27:25 19:38:01 6:10:36

J45 -
Asthma | SAMPLE
R50.9 -
Fever,
438 YULIANAH 021076 4/7/1986 unspecified 13:29:41 13:32:01 0:02:20

RAMA
MAWENDR
439 A SOLIHIN 069843 7/5/2007 - 14:14:45 19:27:35 5:12:50

K30 -
Functional
dyspepsia |
R11 -
Nausea and
440 IIS 120546 6/2/1970 vomiting 14:16:56 15:48:07 1:31:11

ARLAN
ANUGRAH J45 - SAMPLE
441 SIDIQ 039848 7/27/2017 Asthma 14:37:38 14:40:01 0:02:23

T14.1 -
Open SAMPLE
wound of
AEP unspecified
442 SAEPUDIN 052511 6/13/1964 body region 14:43:57 14:47:58 0:04:01
RAHMAT J45 - SAMPLE
443 HIDAYAT 103351 7/12/1970 Asthma 15:12:49 15:16:46 0:03:57
T01 - Open
wounds SAMPLE
involving
multiple
A. MUIS body
444 APANDI 120859 3/14/1978 regions 17:07:00 17:11:06 0:04:06

K30 -
Functional
445 TITA 063875 8/15/1954 dyspepsia 17:29:35 17:31:29 0:01:54

ASRI J45 - SAMPLE


446 NURTANTRI 046093 10/14/1984 Asthma 17:34:57 17:39:19 0:04:22

R11 -
Nausea and
vomiting |
R50 - Fever
of other
REZPAN and
TANU unknown
447 WIJAYA 109142 9/4/2021 origin 17:59:53 18:45:29 0:45:36

LUTVIA
ZANETTA
448 PRASETYA 079676 11/21/2012 - 19:03:46 19:35:05 0:31:19

ZAHRA
SHALSA
449 BILLA 069756 9/5/2006 - 19:09:44 19:34:02 0:24:18

R50.0 -
AZIZAH Fever with
450 DIKRA 121003 8/24/2003 chills 19:15:33 19:31:59 0:16:26

R50 - Fever
of other
and
unknown
origin |
MUHAMAD R50.9 -
HERI Fever,
451 RAMDANI 121004 7/11/2013 unspecified 19:20:55 19:22:09 0:01:14
A91 -
Dengue
haemorrhag
ic fever |
R50 - Fever
of other
and
CUCUM unknown
452 MULYANAH 022578 8/20/1959 origin 19:27:44 14:54:22 19:26:38

R50.9 -
FILZA ARVA Fever,
453 RUDIANA 121005 12/14/2009 unspecified 19:43:31 19:45:00 0:01:29
SOPIAN R04.0 -
454 EPENDI 121006 3/1/1980 Epistaxis 20:02:21 20:03:59 0:01:38

R50.9 -
JULI 038376/04 Fever,
455 ZULKIPLI 5780 7/21/1978 unspecified 20:10:51 20:11:12 0:00:21

AEP J45 - SAMPLE


456 SAEPUDIN 046988 5/1/1960 Asthma 20:18:17 20:19:52 0:01:35

R50.9 -
DEA Fever,
457 SAPUTRI 011722 5/12/2004 unspecified 20:45:35 20:46:16 0:00:41
458 HJ LILIS 044347 5/14/1963 - 21:18:45 14:50:19 17:31:34

KHALIFA
ZIYYAD J45 - SAMPLE
459 AQYAS 105855 9/1/2018 Asthma 21:21:29 21:22:32 0:01:03
AMANI
460 PUJA 121009 11/4/2007 - 22:36:18 22:36:18 0:00:00

J06.9 -
Acute
MUHAMM upper
AD FAIZ respiratory
BARRA infection,
461 OKTI 030791 6/23/2017 unspecified 22:51:17 22:54:06 0:02:49

K30 -
Functional
462 IDAH 107385 6/12/1972 dyspepsia 23:20:01 23:22:00 0:01:59
K30 -
Functional
463 LISNAWATI 121010 7/17/1978 dyspepsia 0:45:03 0:47:18 0:02:15

AGUS L30 - Other


464 RUSWANDI 009153 4/9/1978 dermatitis 0:53:47 0:55:40 0:01:53

J06.9 -
Acute
upper
ADEEVA respiratory
EARLY infection,
465 MYEASHA 073585 6/5/2015 unspecified 5:18:32 5:20:34 0:02:02

R50 - Fever
of other
and
unknown
origin |
R50.9 -
Fever,
466 YAYAN 121014 7/1/1982 unspecified 7:04:07 7:05:31 0:01:24

DESTA
SUBAGJA, R51 -
467 (Amd.Kep). 087119 12/21/1994 Headache 8:57:06 21:00:13 12:03:07
468 NENAH 118374 3/17/1959 - 9:37:53 17:10:52 7:32:59

MUHAMM SAMPLE
AD RAIHAN
RAMADHA K37 -
N Unspecified
469 PERMANA 119090 8/24/2008 appendicitis 10:30:18 10:34:27 0:04:09

ENING
470 YUNINGSIH 059664 7/4/1978 - 16:07:54 12:00:12 19:52:18

T14 - Injury SAMPLE


of
DUDIH unspecified
471 HIDAYAT 120535 3/4/1951 body region 13:19:50 13:23:05 0:03:15
ANI J45 - SAMPLE
472 RUSTIANI 090931 7/21/1985 Asthma 13:56:45 13:59:23 0:02:38

R50.9 -
Fever,
473 SILVIAWATI 121036 5/1/2005 unspecified 14:23:19 17:24:33 3:01:14

R50.9 -
FIRELA Fever,
474 GESTI 121037 12/14/1997 unspecified 14:39:58 14:57:28 0:17:30

T14.1 -
Open SAMPLE
wound of
UJANG unspecified
475 HEDI 121038 1/1/1990 body region 14:46:10 14:49:13 0:03:03

R50.9 -
Fever,
476 DADANG 121039 7/12/1959 unspecified 15:11:43 15:27:46 0:16:03

K30 -
Functional
477 JANA 119991 8/5/1956 dyspepsia 16:12:12 16:14:47 0:02:35

K30 -
IYANG Functional
478 ASYARI 051062 7/7/1966 dyspepsia 17:07:23 17:10:43 0:03:20

ELEEYA R50.9 -
NADZIFAH Fever,
479 TSARWAH 110818 4/13/2021 unspecified 17:10:33 17:14:42 0:04:09

K30 -
Functional
dyspepsia |
R50.9 -
TETI Fever,
480 SURYATI 004784 10/28/1977 unspecified 17:12:12 17:15:00 0:02:48

K30 -
KHANSA Functional
481 NISRINA 121040 11/6/2003 dyspepsia 17:26:25 17:29:27 0:03:02
I10 -
Essential
(primary)
hypertensio
n | K30 -
Functional
482 ANON 121041 2/5/1960 dyspepsia 17:28:02 17:29:30 0:01:28

J18.0 - SAMPLE
Bronchopne
SITI NUR umonia,
483 HAFIZAH 112541 12/15/2021 unspecified 17:52:33 17:56:48 0:04:15

K30 -
Functional
dyspepsia |
R50.9 -
YUSUF Fever,
484 FIRDAUS 121043 5/1/1996 unspecified 18:40:06 18:42:57 0:02:51

R50.8 -
Other
specified
fever |
R50.9 -
ALYA PUTRI Fever,
485 JAYEDI 121044 4/27/2005 unspecified 18:43:20 20:29:35 1:46:15

AZKHA R50.8 -
PUTRA Other
HERMAWA specified
486 N 121045 6/23/2021 fever 18:48:34 18:50:22 0:01:48

A15 -
Respiratory
tuberculosis
,
bacteriologi
cally and
ABDUL histologicall
487 SYUKUR J 121046 1/23/2012 y confirmed 18:57:35 20:21:44 1:24:09
R50.9 -
KHUMAIRA Fever,
488 CANTIKA 121047 4/25/2013 unspecified 19:04:04 19:05:56 0:01:52

J06.9 -
Acute
upper
respiratory
NURUL infection,
489 AENI 121048 7/3/2003 unspecified 19:15:04 19:18:21 0:03:17

A09.9 -
Gastroenter
itis and
MUHAMAD colitis of
HAFIZ unspecified
490 ALNARA 121049 5/20/2021 origin 19:33:16 19:35:52 0:02:36

SITI R50.9 -
MARIAH UL Fever,
491 FAH 121050 12/15/2002 unspecified 19:34:38 20:26:59 0:52:21

K30 -
Functional
492 YANTI 051277 8/23/1975 dyspepsia 19:50:50 19:53:22 0:02:32

J18.0 - SAMPLE
Bronchopne
ARSEL umonia,
493 AHMAD 121051 9/9/2021 unspecified 20:10:27 20:12:23 0:01:56

K30 -
Functional
dyspepsia |
FIKRI R10.0 -
RULIANSYA Acute
494 H 121052 11/7/2005 abdomen 20:19:34 20:20:47 0:01:13
R50 - Fever
of other
and
unknown
origin |
R50.9 -
MUHAMM Fever,
495 AD IKBAL 121053 6/10/1994 unspecified 20:40:20 21:59:08 1:18:48

J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
sites |
R50.9 -
DASEP Fever,
496 SETIAWAN 003242 3/31/1975 unspecified 20:52:02 20:56:25 0:04:23

R50.0 -
Fever with
chills |
LENI R50.9 -
NALURI Fever,
497 OKTAVIANI 028796 10/4/1994 unspecified 21:01:02 21:57:18 0:56:16

R50 - Fever
of other
and
TRISKA unknown
498 SOFIA 103470 12/21/1998 origin 21:14:16 21:16:41 0:02:25

K30 -
Functional
499 OMAH 100729 1/7/1959 dyspepsia 21:36:37 21:38:41 0:02:04

K30 -
SEVITANTY Functional
500 MUTIARA P 121057 6/5/1995 dyspepsia 22:58:30 23:10:57 0:12:27

K30 -
Functional
501 PAHMALAH 095477 1/25/2006 dyspepsia 23:27:13 23:55:38 0:28:25
NANO J45 - SAMPLE
502 SURYONO 069705 7/7/1965 Asthma 0:32:33 0:37:03 0:04:30

T14.1 -
Open SAMPLE
wound of
unspecified
503 ATANG 121060 3/18/1985 body region 0:41:20 0:45:22 0:04:02

K30 -
Functional
dyspepsia |
R11 -
Nausea and
vomiting |
R63 -
Symptoms
and signs
concerning
food and
504 NUNUNG 121061 1/1/1932 fluid intake 2:12:30 5:02:52 2:50:22

G43 -
Migraine |
G43.8 -
Other
migraine |
I10 -
Essential
(primary)
hypertensio
505 AISAH 121062 6/4/1977 n 2:18:11 2:38:33 0:20:22

T14.21 -
Fracture of SAMPLE
unspecified
body
region,
506 LUKMAN 121063 1/1/1988 open 3:47:29 3:49:53 0:02:24

AMY
APRILIAN J45 - SAMPLE
507 KARIM 024478 4/11/1996 Asthma 4:53:03 4:57:56 0:04:53
A01.0 -
Typhoid
fever | R50
AFKAR - Fever of
NURDIYAN other and
SYAH unknown
508 SAPUTRA 072020 7/30/2018 origin 5:54:20 7:19:10 1:24:50

R50 - Fever
of other
RATU and
NABILA unknown
509 NUR SYIFA 117684 6/22/2021 origin 6:03:19 6:23:40 0:20:21
YAYAH
510 SUMIATI 071800 8/6/1977 - 6:08:04 6:23:14 0:15:10

J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
sites | R50 -
Fever of
other and
VANY unknown
511 ROSILA 121064 1/6/2022 origin 6:43:52 7:00:58 0:17:06

J06.0 -
Acute SAMPLE
laryngophar
yngitis | J45
512 HENI 075165 7/1/1977 - Asthma 7:05:06 7:07:23 0:02:17

SUCI
RAHAYU R06.0 -
513 PEBRIANI 121065 2/27/2005 Dyspnoea 7:11:33 7:13:55 0:02:22

REYGA
ABIYU
514 ARRASYIDI 060344 5/19/2015 - 8:14:16 8:20:59 0:06:43
K30 -
Functional
515 ENCIH 036776 1/1/1939 dyspepsia 8:18:23 8:20:40 0:02:17

516 PERI SUGIRI 077863 6/16/1991 - 9:02:03 9:15:58 0:13:55

A15 -
Respiratory
tuberculosis
,
bacteriologi
cally and
histologicall
y confirmed
| E10 -
Insulin-
dependent
H UJANG diabetes
517 SUHERMAN 121073 5/7/1963 mellitus 9:20:53 11:16:24 1:55:31

DADANG
HERMAWA
518 N 121080 1/1/1993 - 10:09:16 10:09:43 0:00:27

T14 - Injury SAMPLE


ALLEIA of
QIANDRA unspecified
519 AKBAR 104065 10/22/2019 body region 10:13:00 10:15:24 0:02:24

K30 -
INDAH Functional
520 LESTARI 121081 8/1/2001 dyspepsia 10:33:31 10:35:04 0:01:33

K30 -
Functional
521 SOLIHIN 121082 11/6/1974 dyspepsia 11:15:06 11:20:39 0:05:33
CECEP
522 ZAELANI 121083 11/23/1961 - 11:44:02 11:46:12 0:02:10

E14 -
Unspecified
HERLANSYA diabetes
523 H 121069 5/7/1981 mellitus 12:58:22 13:00:03 0:01:41

REZA NUR
524 AFRIANDI 116697 4/19/2000 - 13:21:46 13:22:10 0:00:24
SALMINNA
525 FAJAR 121084 6/16/1996 - 13:26:08 13:27:30 0:01:22

K30 -
Functional
dyspepsia |
R50 - Fever
of other
and
unknown
origin |
R50.9 -
KEYSHA Fever,
526 MAHZAR 121085 11/22/2019 unspecified 14:35:41 14:36:23 0:00:42

SRI K30 -
WAHYUNIN Functional
527 GSIH 005004 7/25/1963 dyspepsia 15:00:33 15:01:31 0:00:58

K30 -
Functional
528 BURHAN 121088 8/12/1960 dyspepsia 16:12:05 15:15:29 23:03:24
DEDE
529 HERMAN 121089 5/14/1970 - 15:41:53 17:28:00 1:46:07

R50 - Fever
of other
and
unknown
origin |
LISTIANI R50.9 -
KANIA Fever,
530 UTARI 065873 12/20/1989 unspecified 16:06:16 16:07:12 0:00:56

M AIDAN
531 ADHYASTA 037997 12/12/2015 - 16:10:56 16:15:42 0:04:46

H81.4 -
Vertigo of
central
origin | K30
ERIK - Functional
532 MAULANA 026571 4/17/1994 dyspepsia 16:16:14 16:17:49 0:01:35
R50 - Fever
of other
and
REGINA unknown
533 ARAFAH 121090 2/16/2022 origin 16:37:54 16:38:56 0:01:02

R50 - Fever
of other
and
unknown
origin |
KAISAR R50.9 -
FAUZI Fever,
534 ABDULLAH 121091 1/4/2016 unspecified 17:37:58 17:38:27 0:00:29

K30 -
Functional
dyspepsia |
DEWI R50.9 -
ANGGRAEN Fever,
535 I 121092 5/29/1980 unspecified 17:41:49 17:45:53 0:04:04

K30 -
Functional
536 ENUNG 064529 10/10/1962 dyspepsia 18:59:36 19:02:12 0:02:36

SUGI EKI
DARMAWA
537 N 121093 2/14/2008 - 19:19:36 19:21:07 0:01:31

R10.0 -
Acute
abdomen |
RANI R50.9 -
NURMALAS Fever,
538 ARI 121094 7/6/2004 unspecified 19:54:17 20:00:35 0:06:18

ALZHEA R50.9 -
NAHDA Fever,
539 RAFFANDA 121095 4/28/2018 unspecified 20:18:50 20:19:39 0:00:49
540 HAJAR 121096 7/5/1941 - 20:41:37 20:48:54 0:07:17

K52.0 -
Gastroenter
itis and
SARI 080280/10 colitis due
541 MARYATI 3029 2/13/1946 to radiation 21:44:43 21:46:28 0:01:45
ANGGITA
542 JULIANTY 032490 7/9/2002 - 21:55:34 22:04:50 0:09:16

IMA
543 OKTAPIANI 121097 10/15/2009 - 22:57:52 17:11:34 18:13:42
DINI
544 MASIFAH 121098 9/25/2005 - 1:38:48 1:38:48 0:00:00

NINA
545 YUNIARTI 121099 6/19/1988 - 2:50:37 2:50:37 0:00:00

R50 - Fever
of other
and
RIKA YULIA unknown
546 WATI 036710 3/5/1996 origin 5:55:29 6:46:43 0:51:14

R50 - Fever
of other
ANGGITA and
SULISTIYAN unknown
547 INGSIH 121101 4/15/2007 origin 8:37:51 8:38:45 0:00:54
DEDE
548 HERMAN 121089 5/14/1970 - 8:49:16 8:49:16 0:00:00

J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
549 BAKIN 117354 2/4/1964 sites 9:03:23 9:05:24 0:02:01

550 SUDRADJAT 121002 10/21/1960 - 9:20:46 13:46:07 4:25:21


551 ARLINA 121103 5/29/1957 - 14:40:18 11:11:36 20:31:18
B34.2 -
Coronavirus
infection,
unspecified
site | J18.0 -
Bronchopne
IRA CAHYA umonia,
552 RUSDIANI 121105 2/26/2022 unspecified 10:34:37 10:05:42 23:31:05

K30 -
YUSTINA Functional
553 KASIDJEM 121106 9/4/1939 dyspepsia 10:44:22 10:46:56 0:02:34

NANANG
554 SUHENDRA 103178 6/12/1967 - 10:51:28 10:52:53 0:01:25

R10.0 -
Acute SAMPLE
555 MISBAH 021870 4/21/1961 abdomen 11:00:38 11:03:23 0:02:45

YUYU
556 YUNINGSIH 121109 5/2/1965 - 11:05:32 16:47:52 5:42:20

ADIBA
PUTRI L01 -
557 SHAHIA 121112 12/30/2019 Impetigo 11:57:59 11:58:25 0:00:26

NURDIN R50.9 -
SIDIEK, Fever,
558 (S.Pd). 047595 5/29/1981 unspecified 13:58:41 14:00:30 0:01:49

A09.9 -
Gastroenter
itis and
ADILA colitis of
ALESHA unspecified
559 SIDIEK 120869 1/10/2022 origin 14:01:13 14:48:20 0:47:07

AZAQI R50.9 -
ALVIAN Fever,
560 PERMANA 095448 1/28/2020 unspecified 14:25:55 14:29:55 0:04:00

ANISA
RENGGANI S06.0 -
561 S 093890 4/8/1988 Concussion 14:35:38 14:36:22 0:00:44
CANDRA
PAMUNGK
AS, R50.9 -
(A.Md.RAD. Fever,
562 ) 076333 7/1/1995 unspecified 15:38:59 15:39:22 0:00:23

K30 -
Functional
563 EPON 121114 5/7/1945 dyspepsia 15:45:10 17:01:13 1:16:03

564 YULI YANTI 121115 8/2/1978 - 16:46:09 16:16:29 23:30:20

A09.9 -
Gastroenter
MUHAMM itis and
AD UMAR colitis of
ARDIANSYA unspecified
565 H 118067 2/2/2021 origin 16:25:37 16:59:00 0:33:23

R50.9 -
DEDE Fever,
566 JAELANI 095766 11/22/1997 unspecified 16:33:44 16:33:51 0:00:07

R50.9 -
RAMADAN Fever,
567 MAULANA 033740 6/17/2015 unspecified 16:37:57 17:54:09 1:16:12

RINO R50.9 -
SAPUTRA Fever,
568 ALFARIDZ 081929 7/21/2019 unspecified 17:17:44 20:43:36 3:25:52

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
569 UDIN 071272 3/14/1965 origin 17:49:56 17:50:20 0:00:24

LAISYA
570 FIRLIANTI 121117 3/13/1999 - 18:17:11 18:17:34 0:00:23

T14 - Injury SAMPLE


ANWAR of
MUHIDIN unspecified
571 S.Pd 121118 7/3/1992 body region 19:21:20 19:24:06 0:02:46
ROSI
WULANDA
572 RI 066024 1/13/1991 - 19:05:47 19:07:39 0:01:52
DEDE
573 SUGERI 121119 9/9/1985 - 21:02:49 20:33:02 23:30:13
574 PARMI 067563 12/31/1958 - 19:15:31 20:39:47 1:24:16

A09.9 -
Gastroenter
itis and
colitis of
unspecified
SITI origin | R51
575 ROHAYATI 070142 8/21/1965 - Headache 19:28:09 20:37:11 1:09:02
576 MUMUN 121120 8/1/1960 - 7:08:52 20:38:25 13:29:33

SITI HASIFA
577 WAHYUDIN 119497 1/9/1997 - 20:22:31 20:23:58 0:01:27

HANA
FAUZIYYAH,
578 (Amd.Kep). 065459 2/5/1994 - 20:35:56 20:37:00 0:01:04

SHEVA
579 MARYANTI 071390 3/26/1988 - 20:43:43 20:44:32 0:00:49
IIM
580 SOLIHIN 121121 10/17/1971 - 20:54:16 20:55:16 0:01:00

R50.8 -
Other
specified
fever |
VANIA R50.9 -
CANTIKA Fever,
581 CHANDRA 076044 3/11/2019 unspecified 22:06:56 22:07:18 0:00:22
K30 -
Functional
dyspepsia |
R50.8 -
Other
specified
fever |
ADE R50.9 -
MARIAM Fever,
582 KUSMIYATI 121122 11/18/2003 unspecified 22:10:47 22:12:03 0:01:16

HANUNAH R50.9 -
TSURAYYA Fever,
583 IMTIYAZ 121123 8/17/2011 unspecified 22:31:12 22:39:22 0:08:10

SELVI K30 -
SEPTIANDI Functional
584 NI 121124 9/27/1997 dyspepsia 1:10:20 17:01:49 15:51:29

RAKHSAND SAMPLE
RINA R56.0 -
EARLYTHA Febrile
585 MIKHAILA 043398 7/1/2017 convulsions 1:05:37 1:08:25 0:02:48

G44.2 -
Tension-
type
586 YUDIN 106847 11/18/1976 headache 23:52:51 17:20:38 17:27:47

R11 -
MUHAMAD Nausea and
587 NABIL 121125 2/16/2022 vomiting 23:56:43 0:00:41 0:03:58

E10 -
Insulin-
dependent
diabetes
mellitus |
R50.9 -
Fever,
588 NURDIN 121126 12/12/1976 unspecified 0:17:13 0:51:08 0:33:55
R50 - Fever
of other
and
UMMAR unknown
589 ABDUL AZIS 078590 11/15/2019 origin 1:14:03 0:29:24 23:15:21

J01.9 -
Acute
sinusitis,
590 EMAY 121127 8/14/1973 unspecified 0:57:40 0:58:37 0:00:57

KEENAN R50.9 -
ADZRA Fever,
591 JUHANSA 121128 2/6/2021 unspecified 1:04:16 1:07:01 0:02:45

592 UDIN CACA 121129 8/14/1967 - 3:38:06 3:38:06 0:00:00

A09.9 -
Gastroenter
itis and
colitis of
ANDIKA unspecified
593 FEBRIANA 121130 1/22/1999 origin 4:35:13 4:35:13 0:00:00

K30 -
Functional
594 AISYAH 037180 7/1/1941 dyspepsia 4:40:23 4:42:04 0:01:41

595 MASNOAH 029563 10/25/1986 - 4:44:41 4:44:41 0:00:00

K30 -
ENA Functional
596 SUMERNI 121131 5/4/1996 dyspepsia 7:06:25 7:52:13 0:45:48
G60.2 -
Neuropathy
in
association
with
hereditary
ataxia | R50
- Fever of
other and
unknown
origin |
R50.9 -
AYU Fever,
597 ARDINA 121132 10/19/1992 unspecified 7:36:33 7:38:48 0:02:15

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
A09.0 -
Other
unspecified
gastroenteri
tis and
colitis of
IMAM infectious
598 SETIONO 121133 10/15/1965 origin 7:39:35 7:40:29 0:00:54

K30 -
HERI Functional
599 EFFENDI 121134 11/7/1994 dyspepsia 7:51:36 1:05:11 17:13:35

MUHAMAD
600 NAUFAL 079450 10/30/2018 - 9:39:50 9:40:49 0:00:59

R50 - Fever
NADHIWA of other
HASNA and
FAHIMA unknown
601 TAHIRA 032519 5/18/2016 origin 9:45:13 9:46:26 0:01:13
RESI RIZKI
NURJANAH,
602 S.A.P. 121137 1/9/1996 - 10:33:20 11:48:32 1:15:12

MUHAMM
AD GERALD
603 HAYDAR 110691 8/3/2021 - 20:04:05 20:04:05 0:00:00

FITRI
YANDANI
604 SAPUTRI 088572 1/19/1999 - 11:16:46 11:13:05 23:56:19

R50.0 -
M RIZKY AL Fever with
605 FACHRI 121138 12/9/2021 chills 11:20:38 11:22:11 0:01:33

ANDIT
PEMBRIAT
606 NA 121139 11/2/2002 - 12:00:12 11:36:03 23:35:51

J44 - Other
chronic
obstructive
pulmonary
607 IPAH 121140 1/4/1962 disease 12:53:38 12:55:39 0:02:01

RASYA R56.0 - SAMPLE


PUTRI Febrile
608 RAHAYU 121141 5/28/2021 convulsions 13:02:57 13:05:32 0:02:35

AZAHRA
609 NAFRIZZA 082067 11/21/2018 - 13:34:41 13:35:00 0:00:19

MUHAMM
AD RIKI
610 WAHYUDIN 121142 1/14/2017 - 13:37:20 13:38:51 0:01:31
A09 - Other
gastroenteri
tis and
colitis of
infectious
SHOFIYYAH and
NUR unspecified
611 JAZIRAH ZA 121143 9/18/2021 origin 13:42:10 13:45:55 0:03:45

AI
612 ROHAYATI 121145 2/19/1982 - 14:00:26 14:01:45 0:01:19
AQILAH
613 AFIFAH 111346 9/11/2019 - 14:24:12 14:25:54 0:01:42

MUSTIKA
614 AIRIN NISA 121146 7/23/2006 - 14:36:31 14:37:20 0:00:49

AJI L60.0 -
GINANJAR Ingrowing
615 SANTOSA 121147 12/30/1990 nail 15:19:59 15:19:29 23:59:30

J45.9 - SAMPLE
LANI Asthma,
616 YULIANI 002732 7/18/1984 unspecified 15:23:54 15:26:42 0:02:48

R50.9 -
KAMALUDI Fever,
617 N 059945 9/12/1990 unspecified 15:34:51 15:34:25 23:59:34
618 DEDE 121148 11/20/1987 - 15:46:43 15:46:43 0:00:00

R11 -
Nausea and
vomiting |
ZAFRAN R50.9 -
RAHMADIL Fever,
619 LAH 121149 11/18/2015 unspecified 15:58:20 16:21:38 0:23:18
A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R11
- Nausea
SITI SRI and
620 HARYANTI 066987 9/16/2000 vomiting 17:01:09 17:55:24 0:54:15

J06.9 -
Acute
upper
SILLA respiratory
RIHANA infection,
621 NUR AULIA 088458 8/9/2018 unspecified 17:18:58 17:18:28 23:59:30

K30 -
ERNAH Functional
622 SAHRIAH 108455 12/18/1959 dyspepsia 17:23:28 17:53:29 0:30:01

MAULANA J45.9 - SAMPLE


RIZKY Asthma,
623 HAFIZHAN 111834 12/17/2020 unspecified 17:55:26 17:59:50 0:04:24

ANNAYA
ADZKYA
624 JASMINE 111787 10/27/2019 - 17:50:14 17:51:55 0:01:41

R50.9 -
Fever,
unspecified
INA | R51 -
625 MARLINA 033646 7/1/1983 Headache 17:36:34 17:52:53 0:16:19
R51 -
626 YUYUN 107273 11/16/1965 Headache 18:09:31 18:09:51 0:00:20

ASRI
SYAIDATI
627 ASFIA 121151 6/13/2007 - 18:30:24 18:31:50 0:01:26

FIRMAN
628 SUPARMAN 103996 6/7/1975 - 18:59:53 19:00:49 0:00:56

SYAKAILA
VARIDARIA
629 NTI 121152 8/15/2020 - 19:43:40 19:48:55 0:05:15
AZFAR
MALIK
630 IBRAHIM 121153 1/26/2021 - 19:58:52 19:59:17 0:00:25

K30 -
PUJA PIRA Functional
631 TUNGGARA 095551 5/14/1986 dyspepsia 20:54:19 20:15:54 23:21:35
632 MARAN 121154 7/15/1945 - 20:30:32 20:31:37 0:01:05

ALMIRA
NUR
633 AFIFAH 121155 3/10/1999 - 20:40:22 20:41:14 0:00:52

A91 -
Dengue
haemorrhag
ic fever |
R50.9 -
TRISKA Fever,
634 SOFIA 103470 12/21/1998 unspecified 20:50:03 20:52:16 0:02:13

K30 -
Functional
dyspepsia |
AFNAN R10.0 -
HABIB EL Acute
635 HADI 121157 9/18/1999 abdomen 21:51:36 21:53:38 0:02:02

K30 -
Functional
636 DEDEH 121158 4/28/1977 dyspepsia 21:57:51 22:00:05 0:02:14
PUTIK EKA
637 SARI 082410 12/21/2012 - 22:03:58 22:06:07 0:02:09

R50.9 -
JASMINE Fever,
638 SARI JATI 081326 11/25/2018 unspecified 22:04:39 22:05:50 0:01:11

A09.9 -
Gastroenter
itis and
ANNISA colitis of
ZAKIA unspecified
639 SABRINA 121159 10/14/2021 origin 22:10:15 22:14:41 0:04:26

K30 -
Functional
640 ENUNG 121160 10/28/1982 dyspepsia 22:28:52 22:31:19 0:02:27
OIM K30 -
ABDUROHI Functional
641 M 113389 8/16/1942 dyspepsia 23:23:26 0:30:24 1:06:58

NADHIWA
HASNA
FAHIMA
642 TAHIRA 032519 5/18/2016 - 11:14:52 10:17:10 23:02:18

J45 -
Asthma | SAMPLE
J45.9 -
RAMDAN Asthma,
643 NAIPATUL 121161 5/7/2014 unspecified 0:29:19 0:30:32 0:01:13

R50.9 -
Fever,
644 SUTARSIH 121162 6/15/1951 unspecified 0:58:41 1:00:53 0:02:12
AJI
645 SATRIAJI 093354 6/25/1991 - 1:51:30 1:52:43 0:01:13

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
AZRIL unspecified
646 HERIAWAN 121164 12/31/2013 origin 2:37:35 4:17:47 1:40:12

DJENIE J45.9 - SAMPLE


ZITAMI Asthma,
647 FEBIAN 062773 7/9/2004 unspecified 3:25:06 3:26:51 0:01:45

CUCUN K30 -
NURHASAN Functional
648 AH 121165 5/19/1971 dyspepsia 3:45:44 3:45:44 0:00:00
E10 -
Insulin-
dependent
diabetes
mellitus |
K30 -
Functional
dyspepsia |
R63 -
Symptoms
and signs
CUCUN concerning
NURHASAN food and
649 AH 121166 5/19/1971 fluid intake 3:45:44 3:46:59 0:01:15

J45.9 - SAMPLE
VHIRNA Asthma,
650 MAULANI 018885 2/8/2001 unspecified 4:08:40 4:11:25 0:02:45

SYAIRA R50.9 -
RAHMAWA Fever,
651 TI HIDAYAT 081804 1/28/2012 unspecified 4:27:24 4:29:20 0:01:56

NOURA R50.9 -
ADZKIYA Fever,
652 PUTRI 118896 4/17/2022 unspecified 4:30:41 4:31:03 0:00:22

NAFFI
ABDULGHO
653 PAR 121167 1/22/2022 - 5:29:28 6:06:56 0:37:28

R50 - Fever
of other
and SAMPLE
unknown
origin |
NABILA R56.0 -
AURATU Febrile
654 NISA 121168 1/26/2018 convulsions 6:02:27 6:05:04 0:02:37
J06.9 -
Acute
upper
ADZKIA respiratory
FAHIRAN infection,
655 UFAIRAH 121169 12/14/2014 unspecified 6:56:04 7:00:48 0:04:44

R50.9 -
IDO 076515/07 Fever,
656 KUSNADI 2452 7/1/1954 unspecified 7:01:28 7:05:17 0:03:49

T14.0 -
Superficial SAMPLE
injury of
unspecified
body region
| T14.1 -
Open
wound of
AZMER unspecified
657 ARNAND 121171 2/22/2000 body region 7:19:36 7:22:20 0:02:44

T01 - Open
wounds SAMPLE
MUHAMM involving
AD AZZAM multiple
FATHIRIL body
658 HAQ 121172 6/30/2008 regions 7:23:25 7:26:19 0:02:54

T14.0 -
Superficial SAMPLE
REGITA injury of
CAHYA unspecified
659 NIRMALA 121174 4/12/2001 body region 7:26:04 7:27:36 0:01:32

K30 -
Functional
660 PEPEN 120701 7/5/1977 dyspepsia 7:35:06 7:37:03 0:01:57

K30 -
TAUFIK Functional
661 SULAEMAN 081854 7/31/1988 dyspepsia 8:55:45 9:22:43 0:26:58
R50 - Fever
of other
NURDIN and
SIDIEK, unknown
662 (S.Pd). 047595 5/29/1981 origin 9:00:48 9:01:13 0:00:25

R50 - Fever
of other
REGHINA and
OKTAVIAN unknown
663 A SARI 119198 10/2/2021 origin 9:29:39 9:30:44 0:01:05

I25.9 -
Chronic
ischaemic
heart
KANTA disease,
664 PRAYOGA 121185 4/6/1964 unspecified 9:51:17 12:52:02 3:00:45

J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
sites | J18.0
-
Bronchopne
IDA umonia,
665 ROSIDAH 121191 9/20/1965 unspecified 10:41:24 10:42:51 0:01:27

R50.9 -
HESTI 076940/07 Fever,
666 FEBIANTI 7538 2/2/1985 unspecified 10:51:43 10:52:21 0:00:38

ASEP
667 YUHWANDI 121197 6/19/1981 - 11:31:15 11:31:15 0:00:00
S82.10 -
Fracture of SAMPLE
MUHAMAD upper end
DENDY of tibia,
668 AKBAR 121198 1/11/2018 closed 11:38:58 11:40:02 0:01:04
669 ELIH 121199 4/6/2004 - 11:56:15 10:31:56 22:35:41

SAMPLE
HAFIDZAH J45 -
670 ISTIQOMAH 198124 8/10/2014 Asthma 13:00:30 13:04:25 0:03:55

DWI R50.9 -
SYAHLA Fever,
671 ABIDAH 079878 12/12/2002 unspecified 13:08:12 13:57:40 0:49:28
BAEDIN L03 -
672 ANWAR 121200 3/23/1967 Cellulitis 13:14:17 13:58:57 0:44:40

673 AYI ZAINAB 121202 12/17/1979 - 13:21:26 13:23:47 0:02:21

RAFISKY R50.9 -
ALFAREZI Fever,
674 SUKMANA 089453 10/20/2017 unspecified 13:36:51 13:53:49 0:16:58

A09 - Other
gastroenteri
tis and
colitis of
infectious
AZFAR and
MALIK unspecified
675 IBRAHIM 121153 1/26/2021 origin 14:15:09 13:34:04 23:18:55

R56 -
Convulsions SAMPLE
DAVIAN , not
RAFA elsewhere
676 WISASTRA 121206 1/29/2021 classified 14:30:11 14:32:06 0:01:55
J06 - Acute
upper
respiratory
infections
multiple
and
RISKA HADI unspecified
677 RESDIANA 021025 9/17/1990 sites 14:45:37 14:46:47 0:01:10

MUHAMM
AD FARIS
678 ALFARIZI 054986 6/16/2017 - 14:59:38 16:38:32 1:38:54

R50 - Fever
of other
and
unknown
origin |
TIAN R50.9 -
DESTIYANA Fever,
679 SANDI 121207 12/3/1994 unspecified 15:10:18 15:12:59 0:02:41

T14 - Injury SAMPLE


of
TATI unspecified
680 SUMIATI 121209 4/8/1955 body region 16:01:34 16:04:07 0:02:33

K30 -
Functional
dyspepsia |
T01.9 -
Multiple
MOH. open
YAMAN wounds,
681 SURYAMAN 121211 4/20/2003 unspecified 16:22:26 16:43:00 0:20:34

K30 -
Functional
682 HOJANAH 084521 7/1/1957 dyspepsia 16:30:05 16:51:50 0:21:45
T14.0 -
Superficial SAMPLE
injury of
HAIKAL unspecified
683 ADRIAN 121212 9/25/2012 body region 16:38:50 16:42:59 0:04:09

R10.0 -
DEDI Acute SAMPLE
684 SETIADI 121213 3/23/1981 abdomen 16:42:57 16:46:18 0:03:21

R50 - Fever
of other
and
EUIS unknown
685 SUHARTINI 121215 8/16/1982 origin 16:58:26 17:37:42 0:39:16
ASEP
686 RAHMAT 114672 12/24/1979 - 17:07:07 20:38:31 3:31:24

ITA
PURNAMAS
687 ARI 121217 9/23/1995 - 17:20:20 17:52:34 0:32:14

FEBI PUTRI
688 HANIPAH 121218 2/13/2014 - 17:28:01 17:28:40 0:00:39

ALYA PUTRI
689 JAYEDI 121044 4/27/2005 - 17:34:30 17:34:30 0:00:00

BAYU AJI
PAMUNGK
690 AS 071613 10/4/1983 - 17:41:56 15:51:00 22:09:04

J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
sites | R50 -
NAIRA Fever of
NASHA other and
NURSABRI unknown
691 NA 121219 9/28/2016 origin 17:52:16 18:38:14 0:45:58
R50 - Fever
of other
and
RIMA unknown
692 FAUJIANI 023234 9/25/1996 origin 17:55:25 18:36:55 0:41:30

T14.0 -
Superficial SAMPLE
injury of
AHLUL unspecified
693 IHSAN 121220 5/26/2015 body region 18:02:38 18:06:15 0:03:37
DIKRI AL
694 FARIZKI 029196 10/8/2016 - 18:09:14 18:09:14 0:00:00

H81.1 -
ASEP Benign
PURBA paroxysmal
695 MULYA 109556 4/5/1960 vertigo 18:32:00 18:34:45 0:02:45

K30 -
Functional
dyspepsia |
R11 -
Nausea and
696 ELIH 008097 6/5/1972 vomiting 19:00:53 19:34:24 0:33:31

NAFIISAH
AVRILIA R11 -
PUTRI Nausea and
697 AGUNG 015604 4/19/2015 vomiting 19:04:54 19:06:11 0:01:17

R50 - Fever
of other
and
ANGGA ADI unknown
698 MULYADI 121223 6/17/1996 origin 19:26:44 20:09:19 0:42:35

H81.4 -
Vertigo of
central
origin |
K52.0 -
Gastroenter
itis and
colitis due
699 OTIH 104063 10/10/1938 to radiation 20:08:25 20:54:28 0:46:03
K30 -
Functional
dyspepsia |
R11 -
Nausea and
700 LOMRI 121224 7/1/1955 vomiting 20:31:15 20:55:42 0:24:27

R50 - Fever
of other
and
unknown
origin |
R50.9 -
MUHAMM Fever,
701 AD YUSUP 121225 4/16/1995 unspecified 20:35:21 20:51:29 0:16:08
AJENG
702 LESTARI 119569 5/26/2001 - 21:37:40 21:38:34 0:00:54

K05.0 -
HILDA Acute
703 FEBRIYANI 121227 2/7/2005 gingivitis 21:53:05 21:54:14 0:01:09
ETI
704 SUMIATI 120310 4/5/1978 - 23:11:37 23:12:20 0:00:43

MUHAMM
AD RIZKI
INDRA
705 GUNAWAN 121228 7/12/2018 - 23:25:30 23:26:18 0:00:48

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin |
R50.9 -
NAZMA Fever,
706 MAULIDIA 121229 11/20/2020 unspecified 23:31:20 0:38:06 1:06:46

NOVI
707 VIRGIANTI 061940 10/4/1996 - 23:38:50 23:39:46 0:00:56
ANGGA K35 - Acute
708 PERANATA 115215 12/28/2007 appendicitis 23:43:45 0:32:39 0:48:54

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | K30
- Functional
709 HOJANAH 084521 7/1/1957 dyspepsia 1:28:53 3:21:50 1:52:57

A09.9 -
Gastroenter
itis and
colitis of
RAZZAN unspecified
710 ALFATIH 116231 12/24/2021 origin 2:39:48 2:39:03 23:59:15

A09.9 -
Gastroenter
itis and
colitis of
unspecified
711 CACIH 057897 5/12/1965 origin 3:01:02 3:24:01 0:22:59

A09.9 -
Gastroenter
itis and
colitis of
UJANG unspecified
712 WAHYUDIN 121230 7/1/1980 origin 5:23:01 4:39:55 23:16:54

KEYZIA R50.9 -
HADI Fever,
713 KAMANIYA 121231 2/15/2020 unspecified 6:40:25 6:41:37 0:01:12

DEWI
NOVIANTI
714 PUTRI 054695 11/19/2016 - 7:21:44 7:22:37 0:00:53

DEDEN
715 ISKANDAR 037328 9/9/1976 - 7:23:44 7:24:47 0:01:03
CUCU
716 SOPIAH 121232 5/7/1972 - 7:56:05 7:57:35 0:01:30
J06.9 -
Acute
IRVAN upper
CHILMY, respiratory
(A.Md.Kep. infection,
717 ) 094879 6/8/1983 unspecified 8:28:03 9:12:11 0:44:08
NENI
718 NURAENI 121255 8/16/1991 - 11:51:40 8:42:25 20:50:45

A09.9 -
Gastroenter
itis and
ELIZA colitis of
JAMIA unspecified
719 KANZANA 121259 10/28/2021 origin 12:45:29 13:54:03 1:08:34

R50.9 -
Fever,
unspecified
| R63 -
Symptoms
and signs
RANIA concerning
HUMAIRA food and
720 SAFIRA 117846 12/8/2015 fluid intake 12:45:29 12:46:47 0:01:18

S94.2 -
Injury of
deep SAMPLE
peroneal
nerve at
SITI SAKINA ankle and
721 MUZAQINA 041204 2/8/2006 foot level 13:07:42 13:12:13 0:04:31

R50 - Fever
of other
and
ANGGRA unknown
722 KUSUMA 121262 7/3/2021 origin 14:53:18 14:54:22 0:01:04

R50 - Fever
of other
HASNA and
RAFIFAH unknown
723 ARTANTI 072951 9/13/2011 origin 14:56:01 14:55:43 23:59:42
724 H.BADRU 103989 9/6/1969 - 15:12:43 16:04:45 0:52:02
R50 - Fever
of other
and
NURMALA unknown
725 SARI 079798 7/5/2013 origin 15:46:39 15:46:06 23:59:27
TITIN J45 - SAMPLE
726 KARTINI 025638 7/2/1962 Asthma 16:01:56 16:03:46 0:01:50

R50 - Fever
of other
and
unknown
727 YANTI 076513 7/3/1976 origin 16:06:02 16:07:57 0:01:55

MUHAMAD
DEVIANSYA
728 H 119684 12/21/2021 - 17:01:05 18:40:30 1:39:25

AFSINA K30 -
NAURA Functional
729 SASMITA 121264 10/9/2018 dyspepsia 17:15:27 16:07:33 22:52:06

R50 - Fever
SAFA of other
ZARMINA and
RAYYA EL unknown
730 AKBAR 089235 6/15/2019 origin 17:18:59 16:01:48 22:42:49

R50 - Fever
of other
RAFASSYA and
ARSHAD unknown
731 RIZQULLAH 121265 1/22/2022 origin 17:29:34 21:40:13 4:10:39
732 ENEN 088667 8/19/1958 - 17:37:52 17:58:50 0:20:58

R50 - Fever
of other
and
ESIH unknown
733 SUKAESIH 121266 1/10/1953 origin 17:52:17 17:54:24 0:02:07

K30 -
DEVI Functional
734 NURLITA 040883 6/25/1992 dyspepsia 18:21:09 18:22:39 0:01:30

R50 - Fever
of other
MIA and
RAMADHA unknown
735 NI 121267 7/22/2012 origin 18:29:07 18:31:52 0:02:45
SALSABILA
H SHANIA
736 BANAFSHA 113704 6/19/2021 - 18:32:53 18:33:40 0:00:47

ADEEVA
AFSHEEN
737 MYESHA 121268 9/14/2020 - 18:38:59 18:40:14 0:01:15

D21 - Other
benign
neoplasms
of
connective
and other
738 NENIH 121269 4/5/1964 soft tissue 18:45:01 18:47:30 0:02:29

K30 -
Functional
739 KISTI 121270 7/22/2008 dyspepsia 18:54:47 19:55:38 1:00:51

EKA
740 SETIAWATI 057451 7/18/1994 - 18:57:31 18:58:33 0:01:02

I24 - Other
acute
ischaemic
heart
741 TITIN 113677 6/3/1966 diseases 19:20:33 19:22:55 0:02:22

L03.8 -
NENG Cellulitis of
742 WIDIA 121271 9/6/2002 other sites 20:23:20 20:57:27 0:34:07

K30 -
IYAN Functional
743 YULIANTI 097416 7/11/1973 dyspepsia 20:31:00 19:22:59 22:51:59

K30 -
DEDE Functional
744 RUKMAN 086114 3/7/1960 dyspepsia 20:40:12 20:56:41 0:16:29

NIA
RUSNIAWA
745 TI 106100 8/3/1978 - 21:57:30 21:58:48 0:01:18
A09.9 -
Gastroenter
itis and
colitis of
AFKAR NUR unspecified
746 RAGIS 121272 7/9/2020 origin 22:27:08 23:09:03 0:41:55

SEPTIANI
747 NALURITA 121273 9/15/2002 - 22:57:56 23:00:56 0:03:00
748 KARSIH 026816 5/13/1960 - 23:27:54 23:30:31 0:02:37

749 ABDUL AZIZ 088907 6/2/1989 - 23:59:21 0:13:02 0:13:41

MUHAMAD
ALDI
FIRMANSY
750 AH 104481 9/4/2020 - 1:23:21 1:24:01 0:00:40

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R11
AZQILLA - Nausea
NAVISA and
751 PUTRI 121274 5/15/2015 vomiting 1:48:34 4:06:50 2:18:16

AMBARA
PUTRA
752 SUANDI 118686 2/11/2021 - 2:17:17 4:04:57 1:47:40

ASYIELA
HASINA
753 HUWAIDA 121275 6/6/2014 - 3:27:56 3:28:21 0:00:25

LIA
754 LEGAWATI 121276 6/21/1974 - 5:52:33 5:53:28 0:00:55
DEDEN
755 SAYIDIN 121277 4/2/1957 - 6:12:34 6:14:32 0:01:58

RAHMA
SHAQEYLA
756 AZZAHRA 121278 8/13/2016 - 6:18:33 6:19:13 0:00:40
757 ENAN 039559 7/18/1952 - 6:21:29 6:22:24 0:00:55
K30 -
MARDIROS Functional
758 O 056295 4/29/1955 dyspepsia 7:50:40 8:00:35 0:09:55
KURNIAWA
759 N 121280 10/5/1984 - 8:05:25 8:06:53 0:01:28

A09 - Other
gastroenteri
tis and
colitis of
infectious
ZAHRA and
KHOERUNN unspecified
760 ISA 121281 7/3/2020 origin 9:11:45 9:57:52 0:46:07

T14 - Injury SAMPLE


of
FAZRI CZAR unspecified
761 MAULUDI 121282 2/23/2010 body region 9:25:33 9:28:19 0:02:46

MUHAMAD R50.9 -
FADLAN Fever,
762 FADILAH 121283 9/24/2020 unspecified 9:33:20 9:34:56 0:01:36

AZKAN
763 MAULANA 119755 5/22/2022 - 9:58:33 9:58:33 0:00:00

MUHAMM
AD
RHIFANDRA R50.9 -
ALFARIZKH Fever,
764 Y 121285 4/5/2019 unspecified 10:58:34 11:00:34 0:02:00
R06.0 -
765 PARMAN 121287 8/21/1965 Dyspnoea 11:44:27 11:59:58 0:15:31

K30 -
DEDE Functional
766 DESIAWATI 089596 5/2/1968 dyspepsia 12:26:09 12:29:58 0:03:49

J45.9 - SAMPLE
DENDI Asthma,
767 SUPRIATNA 098116 5/1/2014 unspecified 12:33:09 12:35:45 0:02:36
R10 - SAMPLE
Abdominal
ELIS and pelvic
768 ROMLAH 121289 11/24/1978 pain 13:07:03 13:10:08 0:03:05

J15.9 - SAMPLE
MUHAMAD Bacterial
HANIF pneumonia,
769 HANAFI 121242 10/10/2021 unspecified 13:31:59 13:34:58 0:02:59

770 SUHERMAN 002841 1/1/1945 - 13:40:52 13:40:52 0:00:00


TITIN
771 SURYANI 121293 12/24/1959 - 13:56:05 13:58:56 0:02:51

K30 -
Functional
dyspepsia |
R50 - Fever
ANNA of other
RACHMAW and
ATI unknown
772 IRAWAN 120968 5/14/1994 origin 14:02:15 14:05:50 0:03:35

MOCH.ADN
AN
ZULFIKRI
RUMASUK
773 UN 120569 5/12/1995 - 14:12:20 15:19:34 1:07:14

MUHAMM
AD
ADHITAMA
ELVAN
774 SYAHREZA 087085 5/28/2019 - 14:15:52 14:15:52 0:00:00

T14.0 -
Superficial SAMPLE
GETSHA injury of
ZAHIRA unspecified
775 MAULIDA 121294 3/11/2010 body region 14:21:53 14:25:53 0:04:00
LINDA 040988/07
776 SULASTRI 7093 12/12/1983 - 14:32:08 14:32:08 0:00:00
R50 - Fever
of other
AUSIE and
RIZKY unknown
777 SETIADI 067092 9/14/2017 origin 14:39:29 17:29:58 2:50:29

JAKA
MANGGAL
778 A SASTRA 121296 1/25/2008 - 14:52:30 15:24:53 0:32:23

L23 -
Allergic
contact
dermatitis |
R50 - Fever
CACA of other
DANUWIJA and
YA, unknown
779 (SS.,MPd.) 121297 11/2/1976 origin 14:58:17 17:32:18 2:34:01

R50 - Fever
KANAYA of other
AYU and
ANINDITA unknown
780 ATMARINI 115732 11/3/2020 origin 15:21:33 18:14:16 2:52:43

A09.9 -
Gastroenter
itis and
colitis of
CECEP unspecified
781 KUSNADI 075248 5/20/1950 origin 15:27:37 15:30:46 0:03:09
J45 - SAMPLE
782 NANI 049085 3/3/2003 Asthma 15:37:03 15:39:29 0:02:26

FEBBY
FEBRIYANT
783 O 121299 5/12/2005 - 15:46:39 17:03:44 1:17:05

R10 - SAMPLE
Abdominal
DEDE TRI and pelvic
784 FEBRIANA 112153 2/16/1991 pain 16:04:47 16:07:31 0:02:44

R50 - Fever
of other
NATHAN and
KIAN unknown
785 ALKARIM 110576 9/28/2017 origin 16:31:19 17:27:21 0:56:02
R11 -
Nausea and
vomiting |
R50 - Fever
of other
and
unknown
786 BARTIYAH 059811 6/28/1992 origin 16:56:30 18:57:25 2:00:55

R50 - Fever
of other
ERWIN and
HERDIANSY unknown
787 AH 119316 10/5/1995 origin 17:00:50 17:02:24 0:01:34

R50 - Fever
of other
and
SANTI SRI unknown
788 WAHYUNI 044066 6/5/1997 origin 17:10:49 17:12:53 0:02:04

R50 - Fever
of other
ZHEN and
RAMDHAN unknown
789 WIJAYA 093333 6/30/2014 origin 17:33:35 18:44:57 1:11:22

K30 -
ENI Functional
790 SUMARNI 107901 1/20/1987 dyspepsia 17:40:20 17:42:25 0:02:05

J06 - Acute
upper
respiratory
infections
multiple
LINDA and
YULIA unspecified
791 NINGSIH 175444 7/16/1998 sites 17:44:57 17:46:06 0:01:09
J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
sites | R50 -
Fever of
HANIFAH other and
RIANTI unknown
792 MULYADI 061885 6/3/1997 origin 18:20:30 19:27:20 1:06:50

K30 -
Functional
793 YULIANAH 021076 4/7/1986 dyspepsia 18:28:39 19:28:31 0:59:52

K30 -
AULIA Functional
794 RAHMA 121305 1/4/2006 dyspepsia 19:04:10 19:06:29 0:02:19

ROSLINDA SAMPLE
RISMAWAT J45 -
795 I 046287 6/5/1977 Asthma 19:10:39 19:13:21 0:02:42

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R50
- Fever of
other and
VISI unknown
796 FISNAWATI 070662 7/30/1983 origin 19:14:14 13:32:24 18:18:10

ERIK
797 MAULANA 026571 4/17/1994 - 19:32:12 19:32:12 0:00:00
M. RAFFI
798 FRIADIN 121306 4/29/2009 - 19:45:11 19:45:11 0:00:00

ELA
NURLELA 068225/10
799 ALAWIYAH 5061 12/21/1992 - 19:51:14 19:53:53 0:02:39
R50 - Fever
of other
DENI and
SAEPUL unknown
800 RAHMAN 095889 1/1/1996 origin 20:01:06 18:57:13 22:56:07

T14 - Injury SAMPLE


of
MUHAMAD unspecified
801 MUHTAR 121309 5/27/1998 body region 20:54:47 20:56:55 0:02:08

K30 -
RESTI Functional
802 APRILIANI 120967 4/3/1996 dyspepsia 21:05:47 21:06:34 0:00:47

AULIA
PUTRI J03 - Acute
803 PRATAMA 103232 1/3/2008 tonsillitis 21:11:04 21:12:00 0:00:56

R07.3 -
M ABU Other chest SAMPLE
804 HANIFAH 121310 3/7/2002 pain 21:14:48 21:16:22 0:01:34

ALFATIH
DHAFIR
805 APRIANDI 111080 7/2/2018 - 21:30:12 21:31:56 0:01:44

RIDWAN
NURROHM 045797/03
806 AN 9/102 10/18/1994 - 21:46:47 21:47:05 0:00:18

SISKA
807 AGUSTINA 062640 8/3/1989 - 21:53:56 21:54:56 0:01:00

R50 - Fever
of other
and
DEPI unknown
808 YULIANTI 046242 2/7/1986 origin 22:40:10 22:41:11 0:01:01

R50 - Fever
of other
and
AQILAH unknown
809 AFIFAH 111346 9/11/2019 origin 23:41:33 23:42:22 0:00:49

R50 - Fever
of other
ARSYILA and
ALIVIA unknown
810 PUTRI 075996 9/21/2017 origin 0:05:06 0:06:09 0:01:03
R50 - Fever
BINTANG of other
SHAKA and
LANGIT unknown
811 MAULID 078987 11/23/2019 origin 0:13:27 0:14:36 0:01:09

K30 -
RINI Functional
812 AGUSTIANI 121313 8/18/1997 dyspepsia 0:59:12 1:01:31 0:02:19

K30 -
RIHMA Functional
813 SADIAH 057659 5/5/1993 dyspepsia 1:37:15 1:40:33 0:03:18

MIMIN J45 - SAMPLE


814 MINTARSIH 121315 4/13/1958 Asthma 4:08:04 4:12:47 0:04:43

WIDA R50.9 -
HANDAYAN Fever,
815 I 049079 3/23/1979 unspecified 4:10:15 10:01:53 5:51:38

R11 -
EDI Nausea and
816 ROHAEDI 121316 6/8/1973 vomiting 4:15:50 9:59:16 5:43:26

R07.3 -
Other chest SAMPLE
817 TITIN 051658 4/2/1995 pain 7:02:47 7:04:53 0:02:06

J06.9 -
Acute
HILDA upper
NOVIANTI respiratory
RAHMATILL infection,
818 AH 058728 11/9/1995 unspecified 7:04:26 9:56:04 2:51:38

A90 -
Dengue
fever
[classical
dengue] |
MUHAMAD R50.0 -
BRAZA Fever with
819 BOLKIAH 071790 1/19/2018 chills 7:06:11 10:46:54 3:40:43
I24 - Other
acute
ischaemic
IIN heart
820 PARLINA 121317 9/6/1984 diseases 7:10:18 7:10:22 0:00:04

R50.9 -
NAUFAL Fever,
821 SADDIQ 115804 9/14/2021 unspecified 8:19:36 9:51:22 1:31:46

K30 -
Functional
dyspepsia |
R63 -
Symptoms
and signs
concerning
UCI food and
822 SUTENDI 078540 7/4/1951 fluid intake 8:30:23 11:42:31 3:12:08

B34.2 -
Coronavirus
infection,
unspecified
site | K30 -
UNANG Functional
823 SURYADI 121320 7/5/1946 dyspepsia 8:51:22 11:39:28 2:48:06

R10.0 -
Acute SAMPLE
824 HUSIN 121321 2/1/1952 abdomen 8:59:11 9:01:52 0:02:41

J45.9 -
Asthma, SAMPLE
unspecified
| R06.0 -
825 OMAN 121328 1/2/1978 Dyspnoea 11:15:17 11:18:48 0:03:31

J06.9 -
Acute
upper
respiratory
ZOYA infection,
826 ALMAHYRA 115063 9/22/2020 unspecified 11:29:37 11:32:39 0:03:02
H66.9 -
KHAIRA Otitis
AMALIA media,
827 ZAHRA 121334 2/4/2014 unspecified 11:39:30 11:41:32 0:02:02

R50.9 -
RESTI Fever,
828 RAHAYU 121336 2/6/1995 unspecified 12:00:52 11:04:38 23:03:46

R11 -
ASEP Nausea and
829 SAEPULOH 121339 2/5/1961 vomiting 12:36:13 13:21:53 0:45:40

R50 - Fever
of other
and
unknown
origin |
AL-KHALIFI R50.9 -
DZIKRY Fever,
830 MULYANA 121340 6/1/2021 unspecified 13:09:11 15:36:07 2:26:56

NIA R11 -
RUSNIAWA Nausea and
831 TI 106100 8/3/1978 vomiting 13:14:42 13:14:42 0:00:00

J45.9 -
Asthma,
unspecified SAMPLE
| K30 -
Functional
832 AWIT 121341 6/1/1958 dyspepsia 13:23:07 13:24:38 0:01:31

SITI NURUL J45 - SAMPLE


833 FADILA 044309 8/24/2016 Asthma 13:30:42 13:31:20 0:00:38

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
VISI unspecified
834 FISNAWATI 070662 7/30/1983 origin 13:31:20 13:31:20 0:00:00
R50 - Fever
of other
and
unknown
origin |
ROSA R50.9 -
SINTA Fever,
835 DEWI 113660 11/14/2006 unspecified 13:49:21 15:37:14 1:47:53

J45 -
Asthma | SAMPLE
J45.9 -
Asthma,
836 HINDUN 066396 6/10/1958 unspecified 13:53:25 13:57:37 0:04:12

J45.9 -
Asthma,
unspecified SAMPLE
| R50 -
Fever of
GALIH M other and
NURDIANS unknown
837 YAH 121342 11/11/1994 origin 13:56:32 13:58:25 0:01:53

R50 - Fever
of other
and
unknown
origin |
R50.9 -
AZRIL Fever,
838 HERIAWAN 121164 12/31/2013 unspecified 14:04:48 15:34:25 1:29:37

R10 - SAMPLE
Abdominal
DIDI and pelvic
839 TARMIDI 121343 9/4/1967 pain 14:24:07 14:28:10 0:04:03
J06 - Acute
upper
respiratory
infections
multiple
and
090195/10 unspecified
840 SARI 8865 3/2/1999 sites 14:35:58 14:37:54 0:01:56

R10 - SAMPLE
Abdominal
and pelvic
841 ETI 030486 2/6/1959 pain 14:59:37 15:03:24 0:03:47

R50 - Fever
of other
and
NUR unknown
842 AFIFAH 121345 3/25/2013 origin 15:58:06 21:13:15 5:15:09

J45 -
Asthma | SAMPLE
DESSY R50.9 -
NOERYAW Fever,
843 ATI 101176 12/29/1996 unspecified 16:03:33 16:04:45 0:01:12

J06 - Acute
upper
respiratory
infections
multiple
and
LINA unspecified
844 YUDISTIA 121346 6/24/1993 sites 16:08:16 21:21:08 5:12:52

R50 - Fever
of other
and
MUHAMM unknown
845 AD NOUFAL 011111 12/22/2010 origin 16:25:02 21:14:48 4:49:46
846 SODIK 035622 6/17/1934 - 16:28:30 21:49:05 5:20:35
A15.9 -
Respiratory
tuberculosis
unspecified,
confirmed
bacteriologi
cally and
ANDI histologicall
847 SUSANDI 121348 6/7/2000 y 16:45:44 16:47:32 0:01:48

K30 -
Functional
dyspepsia |
R50 - Fever
BILQIS of other
KHAIRUNNI and
SA unknown
848 AZZAHRA 121347 11/18/2015 origin 16:54:26 21:32:54 4:38:28
849 KOSASIH 121350 7/6/1960 - 17:50:46 19:50:01 1:59:15

T14.0 -
Superficial SAMPLE
ARRAYAN injury of
DWIPUTRA unspecified
850 ADITYA 121351 11/28/2018 body region 17:56:36 17:59:04 0:02:28

R50 - Fever
of other
and
NURFI unknown
851 LAEASARI 121352 10/17/1992 origin 18:03:52 21:18:39 3:14:47

R33 -
AMALUDDI Retention SAMPLE
852 N LUBIS 042898 11/15/1980 of urine 18:09:10 18:13:17 0:04:07

J06 - Acute
upper
respiratory
infections
multiple
and
SITI NURUL unspecified
853 FADILA 044309 8/24/2016 sites 18:20:44 21:46:39 3:25:55
SITI
854 MARYAM 056829 12/26/1982 - 18:45:18 11:28:14 16:42:56

N39.0 -
Urinary
tract SAMPLE
SHALMAN infection,
RAMADHA site not
855 N PUTRA 068481 7/4/2011 specified 18:50:16 18:53:54 0:03:38

N39.0 -
Urinary
tract SAMPLE
infection,
MUCHAMA site not
856 D ANDREA 121353 4/12/1996 specified 18:59:00 19:02:08 0:03:08
857 FAISAL 121354 9/26/1999 - 19:43:36 19:43:36 0:00:00
031111/04
858 ONAH 2946 7/1/1935 - 20:12:24 20:13:07 0:00:43

LINA
859 MARLINA 107289 3/3/1980 - 20:17:17 20:19:21 0:02:04
NURNA
860 NURAENI 121355 7/1/1977 - 20:25:33 20:26:27 0:00:54
JASMINE
861 SARI JATI 081326 11/25/2018 - 20:45:14 20:46:50 0:01:36

J06 - Acute
upper
respiratory
infections
multiple
and
RUDI EKA unspecified
862 JATI 093997 10/3/1987 sites 20:50:29 20:52:19 0:01:50

RAKHASAN
SHA SAMPLE
RASHEL J45 -
863 WIDIAN 011058 4/21/2011 Asthma 20:53:04 21:28:41 0:35:37
864 CARLI 121357 5/12/2012 - 21:10:35 21:10:35 0:00:00
J06.9 -
Acute
upper
respiratory
infection,
865 YOHANAH 012207 7/30/1980 unspecified 21:15:48 21:15:33 23:59:45

R50 - Fever
of other
MIKAYLA and
AZZALEA unknown
866 QAIREEN 062894 1/14/2018 origin 21:20:21 21:22:09 0:01:48

L02 -
Cutaneous
abscess,
ANI furuncle
RESMUGIA and
867 NTI 119719 4/19/1995 carbuncle 21:10:35 21:11:35 0:01:00
868 NANAN 093371 7/1/1963 - 21:58:39 21:59:22 0:00:43

RADEN
ARIEF
DARMAWA
869 N 093787 1/19/2002 - 1:10:05 1:12:21 0:02:16

R50 - Fever
of other
MUHAMM and
AD ARKAN unknown
870 ARDANY 120958 9/5/2017 origin 1:41:29 1:46:39 0:05:10

R50 - Fever
of other
SALIM and
MUHAMAD unknown
871 AFIF 121358 2/5/2021 origin 1:54:33 2:06:33 0:12:00

K30 -
Functional
872 SALEH 070685 7/1/1962 dyspepsia 3:35:34 3:55:23 0:19:49
L03 -
873 ONIH 121359 8/2/1965 Cellulitis 6:06:53 9:27:10 3:20:17

K30 -
MOH. ASEP Functional
874 MUHTAR 024860 6/13/1958 dyspepsia 6:57:29 6:59:43 0:02:14
J06 - Acute
upper
respiratory
infections
multiple
and
CICI unspecified
875 LESTARI 114364 4/25/1995 sites 7:01:43 7:02:46 0:01:03

J06 - Acute
upper
respiratory
infections
multiple
and
TUTI unspecified
876 ELAWATI 050355 9/5/1968 sites 7:05:51 7:05:40 23:59:49
877 WAWAT 121363 7/1/1958 - 8:38:04 13:35:51 4:57:47

ANNISA J45 - SAMPLE


878 SUKARNO 114062 10/20/1998 Asthma 9:25:49 9:27:49 0:02:00

R50.9 -
M.RIZAL Fever,
879 PRATAMA 121364 12/24/2019 unspecified 9:50:12 13:32:25 3:42:13

R56 -
Convulsions SAMPLE
FAISAL , not
HAFIZHAN elsewhere
880 XIAN 102381 10/17/2019 classified 9:52:51 9:55:38 0:02:47

KEENAN R50.9 -
ARKANA Fever,
881 NURSIWAN 121372 9/17/2016 unspecified 10:23:45 10:23:12 23:59:27
YADI
882 SUHENDI 051004 6/12/1983 - 10:31:04 10:35:54 0:04:50
A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin |
J06.9 -
Acute
upper
respiratory
infection,
unspecified
MUHAMM | R50.9 -
AD AFZAL Fever,
883 TSABIT 120004 12/10/2019 unspecified 10:46:38 10:46:20 23:59:42
884 NINGSIH 121376 8/18/1976 - 11:03:06 13:27:25 2:24:19

AYI R10.0 -
NURYAMA Acute SAMPLE
885 N 121377 6/5/1973 abdomen 11:07:39 11:10:43 0:03:04

DEFIS GIAN
886 SUGIANTO 063231 8/15/1988 - 11:10:37 11:10:18 23:59:41

K30 -
ENUNG Functional
887 NURHAYATI 059271 7/19/1972 dyspepsia 11:12:39 11:15:29 0:02:50

A09.9 -
Gastroenter
itis and
colitis of
YUNI unspecified
888 YUNIARTI 094032 6/5/1977 origin 11:17:59 13:20:17 2:02:18
AAS
889 ASMITA 018334 8/5/1976 - 13:49:11 12:45:08 22:55:57

R50.9 -
Fever,
890 MULYANAH 006166 7/10/1983 unspecified 13:49:05 12:50:59 23:01:54

FITRIA
891 SUNARYA 024791 6/5/1988 - 12:50:59 12:50:59 0:00:00
BAYI NY AI
892 SADIAH 121378 8/19/2022 - 13:23:25 13:23:25 0:00:00

893 DEA SABILA 121379 2/18/2006 - 16:43:03 15:23:32 22:40:29

SITI
ENJELNA
894 PITRI 110541 3/5/1998 - 13:45:34 16:16:39 2:31:05

R50.9 -
Fever,
895 SONIA 114359 1/2/2001 unspecified 14:40:16 14:40:16 0:00:00

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| K30 -
Functional
dyspepsia |
OJANG R50.9 -
KURNIAWA Fever,
896 N 121380 11/16/1969 unspecified 15:58:03 16:15:54 0:17:51

J06.9 -
Acute
upper
respiratory
infection,
unspecified
DWI ARSYIL | R50.9 -
AL Fever,
897 MUHAROM 051830 9/26/2017 unspecified 16:04:07 16:15:14 0:11:07
E9065 - Bite
by SAMPLE
unspecified
animal |
T63.4 -
Toxic effect,
venom of
REMA other
898 KURNIADI 030026 4/18/1993 arthropods 16:26:30 16:28:15 0:01:45

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin | K30
ENUNG - Functional
899 SUMIYATI 064879 9/15/1971 dyspepsia 17:18:28 17:22:03 0:03:35

K30 -
Functional
dyspepsia |
R10.0 -
Acute
900 DAHROMI 121382 7/16/1934 abdomen 17:53:21 17:57:54 0:04:33

K00.5 -
Hereditary
disturbance
s in tooth
structure,
not
elsewhere
MUHAMAD classified |
ZULFADLI K02 - Dental
901 wirawan 121383 8/22/2014 caries 18:31:40 18:15:10 23:43:30
L50 -
Urticaria |
IVAN R50.9 -
ABDURRAH Fever,
902 MAN 050554 8/8/1990 unspecified 18:36:50 18:37:49 0:00:59

K30 -
Functional
903 RINA 110474 7/10/1976 dyspepsia 18:39:36 18:41:40 0:02:04

R50.9 -
RAKA Fever,
904 PRAYOGA 062862 5/19/2013 unspecified 19:04:35 19:05:27 0:00:52

R50.9 -
IRFAN Fever,
905 ZATNIKA 121385 7/6/2000 unspecified 19:09:13 19:11:23 0:02:10

R50.8 -
Other
specified
fever |
R50.9 -
SANTI SRI Fever,
906 WAHYUNI 044066 6/5/1997 unspecified 19:12:40 19:13:13 0:00:33

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
A09.9 -
Gastroenter
itis and
colitis of
ENUNG unspecified
907 NURYANI 121386 5/8/1993 origin 19:18:10 19:20:35 0:02:25
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
ALIYATUL unspecified
908 KAROMAH 121387 2/18/2022 origin 19:37:56 19:38:31 0:00:35

ADELIA K30 -
NUR Functional
909 ZAHRA 121388 3/30/2010 dyspepsia 19:51:07 19:53:27 0:02:20

J02 - Acute
pharyngitis
| R50.9 -
NOVA Fever,
910 ROSDIYANI 105671 11/1/1997 unspecified 19:52:08 19:54:35 0:02:27

J45.9 -
Asthma,
unspecified SAMPLE
| R07.3 -
KURNIAWA Other chest
911 N 121389 9/4/1984 pain 19:54:47 19:57:20 0:02:33

T14 - Injury SAMPLE


MUHAMAD of
JENAL unspecified
912 YUNUS 121314 3/23/1994 body region 20:00:33 20:03:48 0:03:15

R50 - Fever
of other
NASYA and
DZAKIRA unknown
913 AFTANI 121390 5/13/2019 origin 20:21:32 20:22:31 0:00:59

R11 -
Nausea and
vomiting |
R50 - Fever
of other
LUVITA and
SALSABILA unknown
914 AZZA 047405 1/17/2018 origin 20:33:05 20:34:59 0:01:54
R50 - Fever
of other
and
unknown
915 RESTI 121391 5/18/2005 origin 21:32:23 21:34:58 0:02:35
J45 - SAMPLE
916 WAWAN 121392 7/1/1960 Asthma 21:55:14 21:58:45 0:03:31

R50 - Fever
of other
GIBRAN and
AQILL unknown
917 HANAPI 121393 2/9/2021 origin 22:21:56 22:31:26 0:09:30

A04.9 -
Bacterial
intestinal
infection,
unspecified SAMPLE
| R50 -
Fever of
other and
unknown
origin | R56
-
Convulsions
, not
MUHAMAD elsewhere
918 RAFKA 121394 1/9/2020 classified 23:04:28 23:07:14 0:02:46

DAMIMAH
RATNASARI
919 SPD I 014658 4/3/1972 - 7:44:11 7:44:11 0:00:00

ENGKUS
920 KUSWARA 121399 8/10/1974 - 9:53:15 14:39:29 4:46:14

K30 -
SEFI Functional
921 SEPTIANI 121400 9/1/2006 dyspepsia 10:15:15 10:15:59 0:00:44

T14 - Injury SAMPLE


of
SYAHILA unspecified
922 PUTRI 121401 3/15/2013 body region 10:31:25 10:34:31 0:03:06
K30 -
TAOPIK Functional
923 ISMAIL 023755 12/17/1996 dyspepsia 11:08:57 11:10:22 0:01:25

A54.0 -
Gonococcal
infection of
lower
genitourina
ry tract
without
periurethral
or
accessory
ACEP UPAR gland
924 HARAPAN 002635 12/12/1961 abscess 11:02:40 11:05:45 0:03:05

K30 -
DEDEN Functional
925 DAENURI 044355 4/24/1972 dyspepsia 11:07:00 11:10:13 0:03:13

R50 - Fever
of other
and
unknown
origin |
AUSIE R50.9 -
RIZKY Fever,
926 SETIADI 067092 9/14/2017 unspecified 11:11:43 20:51:30 9:39:47

K30 -
SIFAUN Functional
927 NABILA 121402 10/5/2009 dyspepsia 11:35:57 11:40:24 0:04:27

K30 -
KHUMAIRO Functional
928 H BILQIS 121403 12/5/2009 dyspepsia 11:37:47 11:40:21 0:02:34

SALMA AYU
929 AULIA 121404 9/7/2021 - 11:55:30 12:45:30 0:50:00

TRIANA
930 FUJIAWATI 121406 11/9/1976 - 13:12:19 13:13:13 0:00:54
A15 -
Respiratory
tuberculosis
,
bacteriologi
cally and
SELAMET histologicall
931 WARSONO 108641 2/4/1965 y confirmed 13:15:12 20:55:21 7:40:09

J06.9 -
Acute
upper
respiratory
infection,
unspecified
BAYI NY | R50.9 -
YANI Fever,
932 YUNINGSIH 121407 6/9/2022 unspecified 13:50:06 14:02:15 0:12:09
TIARA
933 RENATA 039176 4/10/2005 - 14:01:22 13:51:46 23:50:24

R11 -
Nausea and
vomiting |
R63 -
Symptoms
ARSYIL and signs
RIZAMAN concerning
PUTRA food and
934 RAMDHANI 121408 6/2/2016 fluid intake 14:45:24 15:10:43 0:25:19

ALGHI SAMPLE
RAZGAZA R56.0 -
KRISTIANT Febrile
935 O 121409 2/18/2019 convulsions 16:50:18 16:52:02 0:01:44

KHAIFAL
BARRA J45.9 - SAMPLE
KHALISH Asthma,
936 RIFAI 082416 12/19/2019 unspecified 15:23:52 15:24:13 0:00:21
L20.9 -
Atopic
dermatitis,
MUHAMM unspecified
AD RAFA | R50.9 -
AZKA Fever,
937 PUTRA 086142 9/13/2018 unspecified 15:25:30 15:26:56 0:01:26

H81.4 -
Vertigo of
central
origin | R11
YAYAH - Nausea
SUSILAWAT and
938 I 121410 6/1/1982 vomiting 15:39:04 20:43:07 5:04:03

R50.9 -
REGINA Fever,
939 AGUSTIN 121412 8/11/2004 unspecified 16:40:38 16:46:32 0:05:54

J06.9 -
Acute
upper SAMPLE
respiratory
ARZA infection,
ZHAHIER unspecified
FAUDZUL | J45 -
940 HIDAYAT 102980 9/20/2004 Asthma 16:52:41 16:53:49 0:01:08

CECILLIA
PUTRI R50.9 -
OKTAVIAN Fever,
941 A 069860 10/15/2018 unspecified 16:55:05 16:56:18 0:01:13

R50 - Fever
of other
and
unknown
origin |
ZAHRA R50.9 -
CALISTA Fever,
942 PUTRI 121413 8/19/2013 unspecified 17:02:33 17:03:43 0:01:10
KAMILA
943 FAZRINA 110048 9/21/2019 - 17:06:26 17:07:49 0:01:23
R50.9 -
Fever,
944 DEA 121415 10/1/2008 unspecified 17:34:22 17:45:57 0:11:35

T14.1 -
Open SAMPLE
wound of
ABDUL unspecified
945 KOHAR 121416 4/3/1970 body region 17:54:05 17:56:58 0:02:53

T14.1 - SAMPLE
Open
wound of
unspecified
body region
| T14.2 -
Fracture of
DINI unspecified
946 ASTRIANI 121417 11/5/2001 body region 18:15:29 18:17:02 0:01:33

PUTRI
NASYA
947 SAKYLA 121418 7/3/2006 - 18:39:02 18:42:50 0:03:48

A54.9 -
Gonococcal
infection,
unspecified
| R50.9 -
Fever,
948 HENDRA 121419 6/25/1998 unspecified 18:47:13 20:44:38 1:57:25

R50.9 -
Fever,
949 M.ROGAR 121420 10/14/2009 unspecified 18:56:30 20:00:48 1:04:18

K30 -
Functional
dyspepsia |
R11 -
Nausea and
950 UPI 121421 8/11/1968 vomiting 19:06:39 19:08:33 0:01:54
K61 -
Abscess of
anal and
rectal
951 AEP 121422 1/1/1969 regions 19:31:09 19:32:19 0:01:10

NUR
SYAHILA H10 -
AGISTA Conjunctivi
952 PRATAMA 121423 8/18/2021 tis 19:36:13 19:41:34 0:05:21

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50 -
Fever of
other and
unknown
origin |
FAIRUZ R50.9 -
HIBATULLA Fever,
953 H 121424 9/30/2021 unspecified 19:54:27 20:00:54 0:06:27
R51 -
954 YUDIN 106847 11/18/1976 Headache 20:49:42 21:32:37 0:42:55

R50 - Fever
of other
and
unknown
955 EROM 121426 12/13/1959 origin 22:46:23 22:47:53 0:01:30

K30 -
Functional
956 ONASIH 107807 7/1/1958 dyspepsia 0:02:54 0:22:03 0:19:09

ASEP J45 - SAMPLE


957 SAEPUDIN 121427 7/10/1953 Asthma 0:59:51 1:02:35 0:02:44
ARDIANSYA
958 H 051980 9/11/2004 - 1:23:11 1:25:09 0:01:58
YULINAR
959 JAELANI 109187 7/23/1998 - 1:28:04 1:32:56 0:04:52
R50 - Fever
of other
LISTA and
RIANA unknown
960 RIZKIN 121428 9/17/2010 origin 2:01:37 2:03:35 0:01:58

961 MELAWATI 113594 7/26/1987 - 6:35:06 6:35:06 0:00:00

R50 - Fever
MUHAMM of other
AD and
SOPYANDI unknown
962 YUSUF 121429 12/25/1994 origin 7:49:20 7:55:15 0:05:55

R50.9 -
Fever,
unspecified
| T14.0 -
AHMAD Superficial
MUSYAFFA injury of
KHOLILULL unspecified
963 OH 121430 9/30/2009 body region 7:55:30 7:57:52 0:02:22

HANA R50.9 -
FAUZIYYAH, Fever,
964 (Amd.Kep). 065459 2/5/1994 unspecified 9:16:37 9:16:52 0:00:15

NASYA R50.9 -
DZAKIRA Fever,
965 AFTANI 121390 5/13/2019 unspecified 9:34:54 11:17:35 1:42:41

MUHAMM
AD KAHFI R50.9 -
ASSYADDA Fever,
966 D 098041 10/23/2020 unspecified 9:41:37 9:41:58 0:00:21

R50.9 -
RIZKYANA Fever,
967 SUNDANI 066958 3/8/1996 unspecified 9:45:33 9:45:12 23:59:39

SAMPLE
K37 -
YULINAR Unspecified
968 JAELANI 109187 7/23/1998 appendicitis 10:52:27 10:55:18 0:02:51
NURUL
969 AENI 121048 7/3/2003 - 11:04:28 11:08:04 0:03:36

RAKA
970 PRATAMA 118792 9/15/2015 - 11:42:58 11:42:54 23:59:56

MUHAMAD
RAFA
971 MUNAWAR 077005 9/30/2014 - 12:00:05 12:18:19 0:18:14
972 RIKA 118172 6/16/1997 - 12:53:57 12:54:07 0:00:10

J45.9 - SAMPLE
TITIN Asthma,
973 SUMARTINI 070014 10/25/1956 unspecified 9:34:54 9:36:16 0:01:22

AJAT
974 SUDRAJAT 022716 9/6/1969 - 13:26:56 15:38:01 2:11:05
LINDA 040988/07
975 SULASTRI 7093 12/12/1983 - 17:39:02 15:36:14 21:57:12

HEDI R50.9 -
RAMDHAN Fever,
976 RISMAWAN 121434 10/1/1974 unspecified 14:31:56 14:35:15 0:03:19
M ALFI
977 RANGGA 121435 6/12/2003 - 14:59:48 5:25:23 14:25:35

K30 -
YUDI Functional
978 YANTO 076150 2/4/1980 dyspepsia 15:04:29 15:06:45 0:02:16

J06.9 -
Acute
upper
NABIL respiratory
MIHRAN infection,
979 GHAZZAL 116165 4/26/2021 unspecified 15:12:00 15:15:45 0:03:45

J06.9 -
Acute
upper
respiratory
DEVIA infection,
980 AGUSTINI 067777 7/1/2003 unspecified 15:15:04 15:20:52 0:05:48
NAMEERA R50.9 -
KHADIJAH Fever,
981 RUBILLAH 023354 5/16/2016 unspecified 15:49:18 15:50:55 0:01:37

982 AI KUSTINA 077162 5/14/1983 - 16:40:42 16:50:25 0:09:43

DA I ARTAS
983 SAPUTRA 020305 10/3/1940 - 16:54:20 17:00:02 0:05:42

A09.9 -
Gastroenter
itis and
colitis of
unspecified
984 ADAH 084430 3/7/1962 origin 17:01:17 17:05:14 0:03:57

H81.1 -
Benign
paroxysmal
985 DEDEH 099278 3/17/1968 vertigo 17:04:18 17:06:54 0:02:36

N39.0 -
Urinary
tract SAMPLE
ALEANA infection,
SYAKIRA site not
986 SUGARA 014566 9/6/2012 specified 17:30:33 17:32:13 0:01:40

VHIRNA
987 MAULANI 018885 2/8/2001 - 17:41:09 17:42:46 0:01:37

UJANG
988 SURYANA 016650 6/3/1978 - 18:32:49 18:32:49 0:00:00

MAIDA
989 SALSABILA 121437 3/29/2011 - 18:36:45 18:37:10 0:00:25

K30 -
LUISTAWAT Functional
990 I 104397 5/21/1998 dyspepsia 19:41:20 19:45:16 0:03:56

MUHAMM
AD ABDUL
991 FIRAS 116923 8/27/2021 - 19:45:38 19:56:46 0:11:08
R50.9 -
ENA Fever,
992 MARDIANA 121438 7/15/1989 unspecified 22:21:31 22:22:46 0:01:15

K35 - Acute
appendicitis SAMPLE
| R10.0 -
MAHRUN Acute
993 NISSA 117793 2/2/2001 abdomen 23:04:14 23:07:50 0:03:36

R11 -
AIZA Nausea and
994 SHAQILA 121439 8/22/2021 vomiting 23:18:02 23:19:16 0:01:14

R10.4 -
Other and
unspecified
ERIS abdominal
995 NURAENI 121440 5/12/1994 pain 1:47:58 1:48:52 0:00:54

N94.6 -
Dysmenorr
LILIS hoea,
996 HERAWATI 043518 9/20/1974 unspecified 3:54:56 3:55:29 0:00:33

BAMBANG SAMPLE
SUDARMO J45 -
997 NO 008688 3/10/1975 Asthma 3:58:18 3:59:59 0:01:41

R50.9 -
LAISYA Fever,
998 FIRLIANTI 121117 3/13/1999 unspecified 6:08:04 6:10:07 0:02:03

A09.9 -
Gastroenter
itis and
colitis of
DEDE unspecified
999 GUNAWAN 052867 8/8/1972 origin 6:52:52 12:45:49 5:52:57
H62.0 -
Otitis
externa in
bacterial
SYAKILA diseases
ARORA classified
1000 AZIZAH 121442 10/20/2011 elsewhere 7:18:55 6:19:26 23:00:31

A09 - Other
gastroenteri
tis and
colitis of
infectious
HAFIZ and
OKTAVIAN unspecified
1001 SAPUTRA 097471 10/12/2020 origin 7:22:13 7:43:54 0:21:41
J45 - SAMPLE
1002 I. SYAPEI 028034 9/17/1956 Asthma 7:24:59 7:25:59 0:01:00

K30 -
DEDE Functional
1003 SAHRONI 074593 2/5/1953 dyspepsia 8:06:42 8:07:53 0:01:11

J42 -
NOVA Unspecified
NOVELIA chronic
1004 AMD KEP 064388 11/16/1987 bronchitis 8:13:47 9:26:07 1:12:20

R50 - Fever
of other
and SAMPLE
unknown
origin |
ELIZA R56.0 -
ESHAL Febrile
1005 LISNAWATI 121450 8/25/2020 convulsions 8:22:18 8:23:25 0:01:07
J06 - Acute SAMPLE
upper
respiratory
infections
multiple
and
unspecified
ENUNG sites | J45 -
1006 HOERIAH 046692 2/25/1969 Asthma 8:30:37 8:33:03 0:02:26

CELENA
RUSLAN
AULIA J20 - Acute
1007 HANUM 121453 4/2/2020 bronchitis 9:09:51 9:08:35 23:58:44

K30 -
KOMARIAH Functional
1008 , (Hj). 103353 7/4/1970 dyspepsia 9:13:33 10:15:26 1:01:53

R04.0 -
Epistaxis |
R50.9 -
NINING SITI Fever,
1009 NINGRUM 088736 7/19/1989 unspecified 9:27:11 9:27:24 0:00:13
E9060 - Dog SAMPLE
1010 JIAN LI 121457 11/14/1975 bite 9:56:54 10:00:08 0:03:14

R50 - Fever
of other
and
ERI MEITA unknown
1011 SARI 120638 5/14/1986 origin 10:28:14 17:04:11 6:35:57

FAISAL
AGUM L30 - Other
1012 FAUZAN 118570 1/30/2004 dermatitis 10:28:54 10:30:38 0:01:44

R10 - SAMPLE
Abdominal
ADE and pelvic
1013 SUPYANA 121458 2/21/1969 pain 10:39:04 10:40:55 0:01:51

I10 -
Essential
(primary)
HINDUN, hypertensio
1014 (HJ) 121460 12/12/1962 n 11:38:02 11:39:30 0:01:28
J06.9 -
Acute
upper
respiratory
infection,
unspecified
HANIFAH | J20 -
AULIA Acute
1015 AZZAHRA 121461 4/4/2022 bronchitis 11:56:22 13:30:00 1:33:38

A09 - Other
gastroenteri
tis and
colitis of
infectious
BERRYL AL and
VIDRA unspecified
1016 BUDIMAN 121462 3/19/2017 origin 12:08:15 13:16:27 1:08:12

K21.9 -
Gastro-
oesophagea
l reflux
disease
without
oesophagiti
s | K30 -
Functional
1017 ENUNG 064529 10/10/1962 dyspepsia 13:06:52 13:07:55 0:01:03

NADYA K30 -
DINI Functional
1018 RAMDANI 121465 7/21/2013 dyspepsia 14:54:59 14:55:47 0:00:48

A09.9 -
Gastroenter
itis and
colitis of
JEFRAN unspecified
1019 ALFARIZKY 121466 5/8/2021 origin 15:11:02 15:13:17 0:02:15

R51 -
Headache |
R55 -
Syncope
UJANG and
1020 SAEPUDIN 007400 4/3/1968 collapse 15:14:02 15:15:49 0:01:47
R50.9 -
PRATAMA Fever,
1021 ABDUL AZIS 121467 12/3/2021 unspecified 16:03:24 16:06:39 0:03:15

R10.4 -
Other and
unspecified
SINA PUTRI abdominal
1022 ANANDA 121468 9/13/2000 pain 16:07:44 16:09:13 0:01:29

ABDULLAH R50.9 -
HASAN ALI Fever,
1023 AL DOSARI 121469 12/26/2009 unspecified 16:55:07 17:23:23 0:28:16

AMARA
QAILA
1024 MAHREN 089672 7/19/2019 - 16:58:52 17:06:31 0:07:39

I10 -
Essential
(primary)
hypertensio
n | K30 -
Functional
dyspepsia |
R10.0 -
Acute
abdomen |
R50.9 -
Fever,
1025 NANAN 093371 7/1/1963 unspecified 17:00:10 17:00:10 0:00:00

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| K30 -
MASWARN Functional
1026 A 121470 3/24/1979 dyspepsia 17:05:38 17:22:20 0:16:42
R50.9 -
Fever, SAMPLE
unspecified
| R56.0 -
Febrile
convulsions
MUHAMAD | R56.8 -
RANGGA Other and
RAVINDRA unspecified
1027 AKMANIA 121471 1/24/2018 convulsions 17:34:45 17:37:33 0:02:48

AR RAFFI R50.9 -
ARDIANSA Fever,
1028 HSYAH 121472 4/28/2015 unspecified 17:49:59 17:50:17 0:00:18

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50.9 -
DEPI Fever,
1029 RUBIANTO 059702 12/14/1997 unspecified 17:52:47 17:53:42 0:00:55

R50.9 -
M. RIFKI Fever,
1030 ALGIFARI 046272 12/20/2008 unspecified 17:55:57 17:56:00 0:00:03

RAINA
MAULIDA R50.9 -
HERMAWA Fever,
1031 N 121474 12/6/2018 unspecified 18:15:01 19:05:50 0:50:49

R50.9 -
ALENA Fever,
1032 ANAVISA 121475 11/11/2017 unspecified 18:18:26 21:18:38 3:00:12

AKMAL R50.9 -
RAFI Fever,
1033 MUZAFAR 121476 11/30/2016 unspecified 18:46:05 18:46:51 0:00:46
R11 -
Nausea and
1034 JAJAH 103892 7/1/1955 vomiting 18:59:00 18:56:23 23:57:23

A09.9 -
Gastroenter
itis and
colitis of SAMPLE
unspecified
origin |
R10.0 -
012273/01 Acute
1035 MUMUH 6478 7/1/1950 abdomen 19:00:24 19:03:15 0:02:51

J06.9 -
Acute
upper
respiratory
SITI infection,
1036 MARIYAM 018796 8/28/2000 unspecified 19:03:15 19:06:04 0:02:49

I10 -
Essential
(primary)
hypertensio
1037 ENUNG 088858 7/6/1972 n 19:11:39 19:11:46 0:00:07

I10 -
Essential
(primary)
hypertensio
1038 H.MAHFUD 098405 1/1/1960 n 19:15:34 19:15:09 23:59:35
1039 IIS 120546 6/2/1970 - 19:20:54 19:20:54 0:00:00

K30 -
Functional
dyspepsia |
R51 -
1040 NENIH 102879 7/1/1968 Headache 19:23:41 19:24:00 0:00:19

R50.0 -
Fever with
chills |
R50.9 -
AI Fever,
1041 NURNAJAH 038360 7/12/1962 unspecified 19:27:34 19:27:51 0:00:17
J06.9 -
Acute
upper
respiratory
infection,
unspecified
| K30 -
Functional
dyspepsia |
R50.9 -
EMAH Fever,
1042 MALAKAH 121477 1/20/1950 unspecified 19:41:57 19:44:53 0:02:56
1043 AZIZAH 121478 9/14/1974 - 19:47:23 19:47:37 0:00:14

J06.9 -
Acute
upper
respiratory
IIS infection,
1044 HAMIDAH 077130 1/18/1972 unspecified 20:02:26 20:02:48 0:00:22

KURNIA M79.1 -
1045 AFRIYANTI 119365 3/11/1983 Myalgia 20:06:17 20:06:17 0:00:00

REISYA T14 - Injury SAMPLE


PUTRI of
RAHMAWA unspecified
1046 TI 069768 1/4/2005 body region 20:11:00 20:13:15 0:02:15

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
AIZA unspecified
1047 SHAQILA 121439 8/22/2021 origin 20:40:17 21:51:46 1:11:29
J45 -
Asthma | SAMPLE
J45.9 -
AEP Asthma,
1048 SAEPUDIN 046988 5/1/1960 unspecified 20:44:21 20:47:02 0:02:41

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin |
R50.9 -
RAINA Fever,
1049 NAYA DEWI 048218 5/10/2016 unspecified 22:23:20 22:37:15 0:13:55

R50.9 -
SHENDY Fever,
1050 HERDIAN 121481 10/15/1999 unspecified 22:29:17 23:34:19 1:05:02

HADZKYA R11 -
MOCH Nausea and
1051 DZIQRI 121482 8/26/2020 vomiting 23:31:34 5:06:23 5:34:49

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50.8 -
Other
RIKA specified
1052 KRISTINA 121483 12/21/1999 fever 22:51:46 22:52:31 0:00:45

K30 -
ASEP Functional
1053 SAEPUDIN 121427 7/10/1953 dyspepsia 6:56:48 23:10:02 16:13:14

RIZKI
MAULANA
1054 FAUZI 042686 12/22/1997 - 23:40:17 23:45:13 0:04:56

K30 -
FIRMANSY Functional
1055 AH 072577 4/25/1977 dyspepsia 2:05:43 2:05:43 0:00:00
JIHAN R11 -
NAVISA Nausea and
1056 PUTRI 069673 6/3/2019 vomiting 0:34:27 0:36:51 0:02:24

R10.4 -
Other and
unspecified
FIRMANSY abdominal
1057 AH 072577 4/25/1977 pain 2:06:24 2:07:07 0:00:43

A09.9 -
Gastroenter
itis and
colitis of
TITIN unspecified
1058 KARTINI 121484 5/18/1966 origin 7:52:08 3:06:47 19:14:39

K30 -
Functional
1059 ASEP 060936 8/8/1963 dyspepsia 5:12:39 4:15:20 23:02:41

R50 - Fever
of other
and
unknown
1060 MARWAH 121485 3/25/2020 origin 3:35:37 3:36:57 0:01:20

K30 -
Functional
1061 NINING 121486 1/1/1964 dyspepsia 3:55:07 3:57:20 0:02:13

J10 -
Influenza
due to
other
identified
YOPI influenza
1062 ARISANDI 121487 2/19/1979 virus 5:05:36 5:06:22 0:00:46

J06.9 -
Acute
MUHAMM upper
AD respiratory
ZULFIKAR infection,
1063 ASSHIDQY 112130 1/21/2018 unspecified 5:55:33 5:56:42 0:01:09
J06 - Acute
upper
respiratory
infections
multiple
ADHITAMA and
ACHYAR unspecified
1064 SYAHREZA 121488 8/16/2019 sites 7:33:58 7:36:55 0:02:57
LIANA
1065 OKTARIA 045999 10/20/1993 - 7:42:59 7:42:19 23:59:20

R50 - Fever
of other
and
MIRNAWAT unknown
1066 I 065972 5/12/1989 origin 8:01:31 8:27:46 0:26:15

T14.0 -
Superficial SAMPLE
NADIRA injury of
SYIFA unspecified
1067 PUTRI 071432 3/27/2018 body region 8:48:46 8:50:23 0:01:37

R50 - Fever
of other
and
M. HANAFI unknown
1068 MAULANA 121505 3/12/2020 origin 12:01:42 13:09:51 1:08:09

K35.9 -
Acute SAMPLE
appendicitis
HARI ,
1069 IRAWAN 121508 10/21/1990 unspecified 11:26:27 11:29:01 0:02:34

R96.1 -
Death
occurring
less than 24
hours from
onset of
symptoms,
not
TAUFIK otherwise
1070 GINANJAR 121510 9/22/1982 explained 11:50:40 11:51:34 0:00:54
K30 -
DIDIN Functional
1071 NURDIN 111110 1/1/1953 dyspepsia 11:53:21 12:26:04 0:32:43

I50.0 -
Congestive SAMPLE
heart
failure | J45
1072 RUDI 121511 2/11/1970 - Asthma 11:59:23 12:01:34 0:02:11

K21 -
Gastro-
oesophagea
RINA l reflux
1073 SUMIARNA 106535 4/2/1972 disease 12:14:44 12:16:57 0:02:13

KURNIA G43 -
1074 AFRIYANTI 119365 3/11/1983 Migraine 13:15:16 13:16:46 0:01:30

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| J20.9 -
Acute
GITA bronchitis,
1075 RAHAYU 053731 5/29/1999 unspecified 13:18:53 13:19:46 0:00:53

A09.0 -
Other
unspecified
gastroenteri
tis and
colitis of
infectious
origin |
B34.2 -
Coronavirus
NAFISA infection,
LUTFIA unspecified
1076 NAWAF 121501 9/21/2021 site 13:56:12 17:58:33 4:02:21
A09.0 -
Other
unspecified
gastroenteri
tis and
DEWI colitis of
PUSPITASA infectious
1077 RI 087646 9/18/2000 origin 14:03:47 16:17:54 2:14:07

R50 - Fever
of other
HASBY and
NURHAMZ unknown
1078 AH 011495 4/17/2007 origin 14:15:29 14:17:55 0:02:26
AAT
1079 ATIKAH 121514 11/27/1952 - 14:23:03 16:16:20 1:53:17

1080 ARI IDRUS 063003 1/1/1996 - 14:33:51 14:33:51 0:00:00

E14.5 -
Unspecified
diabetes
mellitus
with
peripheral
circulatory
SINDI complicatio
1081 SUPENTI 120592 9/1/2001 ns 15:15:34 15:54:22 0:38:48

A09 - Other
gastroenteri
tis and
colitis of
infectious
WENI and
PUSPITA unspecified
1082 SARI 121518 8/10/1995 origin 15:39:42 15:36:29 23:56:47

K30 -
IYAY Functional
1083 KUSMIATI 045112 11/2/1959 dyspepsia 15:45:51 15:47:02 0:01:11

R50 - Fever
of other
and
RIDWAN unknown
1084 MAURAKSA 058727 11/10/1991 origin 16:13:59 16:15:10 0:01:11
A09.0 -
Other
unspecified
gastroenteri
tis and
colitis of
HASNA infectious
1085 FAUZIYAH 121519 7/9/2021 origin 16:23:38 16:24:14 0:00:36

R50 - Fever
M. AXL of other
RAZINSKY and
RACHMANS 075169/12 unknown
1086 YAH 0953 10/13/2005 origin 16:57:24 16:58:23 0:00:59

NENG
RISMA SITI K92.1 -
1087 FATIMAH 051571 3/5/2016 Melaena 17:03:21 17:05:38 0:02:17

R50 - Fever
of other
REGHA and
TRIA unknown
1088 LIANTORO 118107 9/8/2018 origin 17:15:59 17:15:23 23:59:24

J06.9 -
Acute
upper
NENG ALYA respiratory
AMIK infection,
1089 AUTAMI 005573 1/6/2009 unspecified 17:22:56 17:34:38 0:11:42

R56 -
Convulsions SAMPLE
, not
MUHAMAD elsewhere
1090 DANDIN 078869 2/10/2019 classified 17:34:40 17:36:57 0:02:17

SAMPLE
K37 -
ERWAN Unspecified
1091 SETIAWAN 121522 12/25/1998 appendicitis 18:04:10 18:06:52 0:02:42
A09 - Other
gastroenteri
tis and
colitis of
infectious
ALWI IZZA and
AL- unspecified
1092 SYABANI 099017 8/2/2020 origin 18:09:30 18:10:38 0:01:08

K30 -
009267/11 Functional
1093 ALINNA 9573 3/2/1965 dyspepsia 18:30:31 18:31:14 0:00:43

A09 - Other
gastroenteri
tis and
colitis of
infectious
MUHAMAD and
PAKHRIL unspecified
1094 ALFARIZKI 109435 1/4/2021 origin 18:36:49 18:37:57 0:01:08

E10 -
Insulin-
dependent
UCUP diabetes
1095 SUPRIATIN 121523 5/16/1969 mellitus 18:41:46 12:40:21 17:58:35

K30 -
H Functional
1096 SAEPULOH 121524 7/17/1955 dyspepsia 18:51:52 18:52:19 0:00:27

K30 -
Functional
1097 OHAN 013720 8/17/1981 dyspepsia 19:01:54 19:03:09 0:01:15

D21 - Other
benign
neoplasms
of
connective
RONI and other
1098 ALINURDIN 121525 1/3/1946 soft tissue 19:10:29 19:12:54 0:02:25
R50 - Fever
of other
DEA and
AMELIA unknown
1099 PUTRI 101761 8/28/2019 origin 19:19:25 19:20:32 0:01:07

R10 - SAMPLE
Abdominal
and pelvic
1100 YUSUP 121526 3/11/1991 pain 19:29:11 19:30:31 0:01:20

R50 - Fever
of other
PUTRI and
NAIRA unknown
1101 HANIFAH 102878 2/23/2021 origin 19:32:59 20:50:49 1:17:50

ARKAN R56.0 - SAMPLE


DHIYA 063058/07 Febrile
1102 KAMIL 5013 5/5/2016 convulsions 19:48:55 19:51:14 0:02:19

R56.0 - SAMPLE
ISA ABDUL Febrile
1103 AZIZ 121528 12/20/2021 convulsions 19:52:28 19:55:08 0:02:40

K30 -
ETIN Functional
1104 SUPRIATIN 117889 2/24/1975 dyspepsia 20:18:45 20:19:40 0:00:55

I10 -
Essential
(primary)
hypertensio
1105 EDI SOPIAN 121529 3/9/1978 n 20:25:08 20:27:50 0:02:42

K30 -
RISTA Functional
1106 MELIANI 121530 3/12/2008 dyspepsia 20:29:07 20:30:00 0:00:53

L23.3 -
Allergic
contact
dermatitis
due to
drugs in
DEWI contact
1107 ALAWIYAH 083495 4/8/1986 with skin 21:37:57 21:37:04 23:59:07
R10.4 -
Other and
unspecified
abdominal
pain | R11 -
MOH. ASEP Nausea and
1108 MUHTAR 024860 6/13/1958 vomiting 23:23:20 23:24:27 0:01:07

MUHAMM
AD DAVIN
ELBARRA
1109 ABQARY 121533 3/8/2021 - 1:03:28 0:02:13 22:58:45

A09 - Other
gastroenteri
tis and
colitis of
infectious
MUHAMM and
AD CESAR unspecified
1110 RAMDANI 121535 4/8/2022 origin 2:14:40 0:46:27 22:31:47

R11 -
RISDIANSY Nausea and
1111 AH 066851 10/8/2015 vomiting 1:06:55 1:07:34 0:00:39

J45.9 - SAMPLE
Asthma,
1112 MASTUTI 077860 7/15/1977 unspecified 5:46:33 5:48:10 0:01:37

J45.9 - SAMPLE
JAJANG Asthma,
1113 AJANG 107625 7/1/1942 unspecified 7:07:04 7:10:38 0:03:34
1114 YANTI 121539 7/24/1976 - 7:53:03 10:55:24 3:02:21

A17.0 -
Tuberculou
KAYLA s meningitis
1115 ARSIFA 175317 12/31/2021 (G01*) 8:18:04 8:10:38 23:52:34
NAUFAL SAMPLE
ATHARRAY
HAN J45 -
1116 WARDANI 119999 3/1/2022 Asthma 8:25:02 8:26:47 0:01:45

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin |
J06.9 -
Acute
upper
respiratory
M. RAFA infection,
1117 ALFAHRIZI 083773 7/28/2019 unspecified 9:04:21 9:06:05 0:01:44

RATU R50.9 -
HIKMATUL Fever,
1118 INAYAH 070506 10/7/2002 unspecified 9:24:42 9:26:16 0:01:34

G44 - Other
headache
LISTIANI syndromes
KANIA | R51 -
1119 UTARI 065873 12/20/1989 Headache 9:45:14 9:46:05 0:00:51

L89 -
Decubitus SAMPLE
ulcer and
EMAY pressure
1120 MASITOH 121551 5/10/1954 area 11:54:12 11:57:46 0:03:34
SALWA
1121 AZIS 121552 1/15/2021 - 10:06:57 12:57:43 2:50:46
A15.8 -
Other
respiratory
tuberculosis
, confirmed
bacteriologi
cally and
histologicall
y | E13.2 -
Other
specified
diabetes
mellitus
with renal
complicatio
ns | R04.9 -
Haemorrha
ge from
respiratory
passages,
1122 BADRUDIN 121548 12/5/1967 unspecified 10:56:48 13:57:18 3:00:30

K30 -
Functional
dyspepsia |
R63 -
Symptoms
and signs
concerning
MUHAMAD food and
1123 MAULANA 116256 9/12/1996 fluid intake 11:11:41 13:57:29 2:45:48
J45 - SAMPLE
1124 NANANG 000775 1/1/1958 Asthma 12:45:25 12:47:18 0:01:53

K92.0 -
Haematem
esis | L30 -
Other
1125 ASUM 052959 8/2/1940 dermatitis 13:41:20 13:52:46 0:11:26
K30 -
TAOPIK Functional
1126 ISMAIL 023755 12/17/1996 dyspepsia 13:45:44 13:46:05 0:00:21

K30 -
092124/03 Functional
1127 ROHAYA 8824 4/14/1953 dyspepsia 14:27:29 14:26:34 23:59:05

T15.0 -
Foreign
AHMAD body in
1128 SOBANDI 121556 8/30/1974 cornea 15:04:30 15:05:48 0:01:18

K30 -
Functional
1129 SUMARNI 086845 7/12/1974 dyspepsia 16:11:20 16:12:11 0:00:51

M.INDRA R50.9 -
PRATAMA Fever,
1130 SAMSUDIN 121560 7/5/2007 unspecified 16:25:23 21:57:01 5:31:38

MUHAMM
AD R50.9 -
FHAUZAN Fever,
1131 SADEWA 121561 5/18/2016 unspecified 16:26:59 16:27:56 0:00:57

R50 - Fever
of other
and
unknown
origin |
R50.9 -
WULAN Fever,
1132 PEBRIANTI 121562 2/8/2003 unspecified 16:32:50 16:33:56 0:01:06

K30 -
Functional
dyspepsia |
R50 - Fever
of other
and
unknown
1133 CAHYA 121563 9/5/1988 origin 16:36:08 16:37:58 0:01:50
K30 -
Functional
IZZATUNNI dyspepsia |
SA SYIFFA R11 -
SUKMA Nausea and
1134 DEWI 070830 2/24/2019 vomiting 16:39:07 16:40:05 0:00:58

ABRISYAM R50.9 -
AR RAFIF Fever,
1135 NAMIKI 061621 5/24/2018 unspecified 16:42:23 22:00:34 5:18:11

R50 - Fever
of other
and
unknown
1136 AAH 121565 7/7/1973 origin 16:47:37 16:48:45 0:01:08

WAFA
NURFAUZIA N23 -
H Unspecified
1137 GUNAWAN 096120 6/21/2002 renal colic 16:49:20 16:51:41 0:02:21

ASEP
1138 AGUSTIAN 121566 4/28/2000 - 17:06:35 17:08:40 0:02:05

DIRGA R50.9 -
ADIYASTHA Fever,
1139 CETTA 121567 8/14/2016 unspecified 17:24:56 17:26:51 0:01:55

RICKY
AGUNG
1140 HERDIAN 121568 9/2/1984 - 17:30:08 17:30:08 0:00:00

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin | K30
DINI - Functional
1141 ANDRIYANI 112128 11/26/1976 dyspepsia 17:38:44 17:40:57 0:02:13
J45.9 -
Asthma,
unspecified SAMPLE
| K30 -
ALFI Functional
1142 FEBRIYANTI 121569 2/24/2004 dyspepsia 17:46:33 17:48:40 0:02:07

K30 -
Functional
1143 DAHROMI 121382 7/16/1934 dyspepsia 17:58:50 7:34:42 13:35:52
CUCU
1144 JULAEHA 121570 5/10/1970 - 18:14:41 18:33:51 0:19:10

R10 - SAMPLE
Abdominal
and pelvic
1145 KANDAR 086098 9/3/1952 pain 18:22:27 18:25:32 0:03:05

H81.4 -
Vertigo of
central
origin | K30
- Functional
1146 NUNUNG 119419 5/5/1971 dyspepsia 18:28:37 18:30:54 0:02:17

SITI SALWA
MARWAH
PUTRI K30 -
INDRIANSY Functional
1147 AH 121571 9/1/2006 dyspepsia 19:11:15 19:13:56 0:02:41

RAISCA K30 -
CANIA Functional
1148 APRILLIA 008019 4/10/2008 dyspepsia 19:18:39 19:20:20 0:01:41

ANGGI
APRILIYAN J45 - SAMPLE
1149 DI 121572 4/21/1993 Asthma 19:26:36 19:28:58 0:02:22

K30 -
Functional
dyspepsia |
R50.9 -
USA Fever,
1150 MUCHIDIN 121573 6/3/1951 unspecified 19:34:00 19:35:55 0:01:55
K30 -
Functional
dyspepsia |
R50.9 -
ATEP Fever,
1151 DUDIN 114607 11/4/1964 unspecified 19:37:23 19:38:36 0:01:13

ASEP
1152 SAEPUDIN 121427 7/10/1953 - 19:58:08 22:04:55 2:06:47

J45.9 -
Asthma,
unspecified SAMPLE
SAHRUL | K30 -
RAMADHA Functional
1153 N 121574 11/22/2003 dyspepsia 20:17:42 20:20:51 0:03:09

RAKA R50.9 -
DZAKIANDR Fever,
1154 A 112842 5/8/2017 unspecified 20:44:07 7:33:40 10:49:33

A09.9 -
Gastroenter
itis and
colitis of
NAFIZA unspecified
1155 KEINARRA 090836 10/26/2017 origin 21:17:49 21:18:44 0:00:55

ALAN
SAPUTRA
MAHENDR
1156 A 121576 2/11/1996 - 21:37:21 21:50:25 0:13:04

K30 -
YENI Functional
1157 SURYANI 039193 3/2/1974 dyspepsia 21:40:46 21:42:41 0:01:55

ALIKA
NAYLA
1158 PUTRI 121577 3/18/2020 - 22:14:40 23:01:05 0:46:25

A09.9 -
Gastroenter
itis and
colitis of
unspecified
1159 RAFFA 121580 1/1/2015 origin 22:58:18 23:36:08 0:37:50

K30 -
ICA Functional
1160 SULAEMAN 053411 12/26/1998 dyspepsia 23:36:05 23:22:22 23:46:17
1161 MASTUTI 077860 7/15/1977 - 7:22:59 7:22:59 0:00:00

R50.9 -
RENZI Fever,
1162 GARA 099125 11/14/2020 unspecified 12:58:22 3:20:46 14:22:24
1163 KOYAH 012790 7/1/1954 - 0:37:24 0:39:09 0:01:45

PUTRA
WAHYU R50.9 -
MAHATIDA 112642/08 Fever,
1164 NA 9357 5/17/2020 unspecified 1:17:52 1:17:56 0:00:04

K30 -
LUTHFI Functional
1165 RAMDHANI 067639 6/3/1984 dyspepsia 1:31:21 1:31:23 0:00:02

K30 -
EVI Functional
1166 AFRIYANTI 092308 3/11/1985 dyspepsia 1:39:06 1:40:27 0:01:21

RAFLY R50.9 -
ADRIANSYA Fever,
1167 H 121581 4/26/2001 unspecified 4:27:03 4:28:23 0:01:20

R50 - Fever
of other
and
unknown
1168 JUAN 121582 7/1/1960 origin 5:46:52 5:46:38 23:59:46

R50 - Fever
ZAHRA of other
KHAUTSAR and
ANI AL unknown
1169 ANSI 121583 5/14/2005 origin 5:53:41 5:54:42 0:01:01
R06.0 -
1170 MASTUTI 077860 7/15/1977 Dyspnoea 7:23:29 9:54:29 2:31:00

L23 -
Allergic
contact
dermatitis |
RIZKI L30.9 -
MAULANA Dermatitis,
1171 FAUZI 042686 12/22/1997 unspecified 8:19:55 7:24:13 23:04:18

T14.9 - SAMPLE
CHARINA Injury,
1172 SITI SALMA 117997 8/28/2002 unspecified 10:47:47 10:50:30 0:02:43
T14.0 -
Superficial SAMPLE
injury of
YAYAN unspecified
1173 SUHERLAN 066857 4/27/1964 body region 8:56:19 9:00:04 0:03:45

R10.0 -
DIANA Acute SAMPLE
1174 RATNASARI 121595 12/19/2006 abdomen 12:51:45 12:53:59 0:02:14

R50.8 -
Other
specified
fever |
R50.9 -
MOCH Fever,
1175 ARYASA 026093 2/25/1973 unspecified 9:12:34 9:15:26 0:02:52

ISTI
1176 NURPALAH 121605 7/11/2000 - 10:47:04 10:24:21 23:37:17

E11.9 -
Non-insulin-
dependent SAMPLE
diabetes
mellitus
without
EMAY complicatio
1177 MASITOH 121551 5/10/1954 ns 11:58:00 11:59:40 0:01:40

K30 -
Functional
dyspepsia |
R06.0 -
1178 NANANG 000775 1/1/1958 Dyspnoea 12:03:28 16:14:39 4:11:11
A15.0 -
Tuberculosi
s of lung,
confirmed
by sputum
microscopy
with or
without
culture |
FITRIYA R51 -
1179 WAHYUNI 062351 1/17/1997 Headache 13:24:31 13:25:11 0:00:40

R50 - Fever
of other
and
KEISYA unknown
1180 ANDRIANI 121611 8/1/2015 origin 14:47:33 15:03:58 0:16:25

R50 - Fever
of other
REYNATA and
ALISHA unknown
1181 AURELIA 109342 1/23/2021 origin 14:52:04 15:05:27 0:13:23
APUD B. J45 - SAMPLE
1182 ADUNG 046054 1/5/1953 Asthma 15:10:16 15:13:12 0:02:56

R50 - Fever
of other
AYUNINGTI and
YAS unknown
1183 PRASTUTI 116967 3/31/1987 origin 16:31:57 17:08:22 0:36:25

R50 - Fever
of other
ADAM and
ALFARIZI unknown
1184 GINANJAR 089598 12/13/2017 origin 17:29:56 19:31:11 2:01:15

R50 - Fever
of other
and
NENENG 081551/09 unknown
1185 KANIA 8345 9/30/1965 origin 17:39:55 18:15:32 0:35:37

R50 - Fever
of other
M. and
FATHURAC unknown
1186 HMAN 121612 1/27/1999 origin 17:51:56 18:14:20 0:22:24
K30 -
Functional
dyspepsia |
R11 -
ENDAH Nausea and
1187 ELASARI 120977 8/7/2000 vomiting 18:23:41 18:35:35 0:11:54

R50 - Fever
of other
and
LIAN unknown
1188 MIRAWATI 057050 3/24/1981 origin 18:26:59 18:36:56 0:09:57

R50 - Fever
of other
and
MARISA unknown
1189 PUTRI 175482 9/9/2019 origin 18:29:43 18:34:42 0:04:59

GILANG
RAMADHA
1190 NI 115281 11/30/2003 - 18:41:35 18:41:35 0:00:00

R50 - Fever
of other
and
SRI unknown
1191 RAHAYU 055949 6/3/2000 origin 18:44:31 19:15:36 0:31:05

K92.1 -
Melaena |
R11 -
Nausea and
1192 JATMA 121613 5/2/1964 vomiting 18:49:49 19:51:20 1:01:31

R50 - Fever
of other
and
WIDIA EKA unknown
1193 PUTRI 092940 4/10/1996 origin 19:14:30 12:44:48 17:30:18
1194 EROM 121426 12/13/1959 - 19:25:40 19:33:33 0:07:53

K30 -
Functional
1195 NURMILAH 031046 8/19/1977 dyspepsia 19:31:47 20:25:15 0:53:28
R50 - Fever
of other
and
unknown
MUHAMM origin |
AD R50.9 -
ZULFIKAR Fever,
1196 ASSHIDQY 112130 1/21/2018 unspecified 19:35:57 18:40:30 23:04:33

K30 -
Functional
dyspepsia |
RIO R11 -
ZAOHARUL Nausea and
1197 FUAD 010723 12/11/1998 vomiting 19:40:38 10:09:21 14:28:43

SAMPLE
JONATHAN E9060 - Dog
1198 ALFARADO 121614 7/18/1996 bite 20:03:17 20:04:33 0:01:16
1199 NENIH 121615 8/5/1968 - 20:07:13 21:13:25 1:06:12

R10.0 -
IIS Acute SAMPLE
1200 SUMARTINI 121616 6/7/1964 abdomen 20:35:10 20:37:55 0:02:45

K30 -
EDI Functional
1201 KUSNADI 053911 8/11/1970 dyspepsia 20:39:09 20:55:30 0:16:21

R50 - Fever
of other
and
MAULANA unknown
1202 IBRAHIM 121617 12/25/2000 origin 20:51:43 20:52:03 0:00:20

R50 - Fever
of other
and
RENI unknown
1203 MARLINA 000111 11/11/1969 origin 21:01:56 21:03:11 0:01:15

H81.1 -
Benign
paroxysmal
1204 NANI 016329 1/1/1952 vertigo 21:55:38 21:56:08 0:00:30
T01 - Open
wounds SAMPLE
involving
multiple
HAMDAN body
1205 ASARI 045343 1/25/2001 regions 9:32:05 9:35:21 0:03:16

K30 -
Functional
dyspepsia |
R50 - Fever
of other
PUTRI and
VELIKA TRI unknown
1206 CHANDRA 113620 9/14/2020 origin 0:27:59 1:09:33 0:41:34

INDRI K30 -
ASSYAH Functional
1207 FADILLAH 111142 11/22/2008 dyspepsia 1:07:23 1:07:47 0:00:24

K30 -
Functional
1208 WILDAN 121619 8/15/2003 dyspepsia 3:33:12 3:34:54 0:01:42

K30 -
DIAN Functional
1209 MULYADI 040857 7/27/1997 dyspepsia 3:53:30 5:54:56 2:01:26

K30 -
DEPI Functional
1210 KURNIA 121620 1/24/1979 dyspepsia 4:09:01 4:10:56 0:01:55

MUHAMM R50.0 -
AD AKBAR Fever with
1211 ALFARIZI 110117 7/2/2021 chills 5:24:25 5:25:07 0:00:42
ANGGUN J45 - SAMPLE
1212 APDINI 013637 4/20/1989 Asthma 6:24:28 6:26:18 0:01:50

A09 - Other
gastroenteri
tis and
colitis of
infectious
ERINA and
THALITA unspecified
1213 PUTRI 121621 8/5/2020 origin 6:28:50 6:29:04 0:00:14
RYAN J45 - SAMPLE
1214 ADRIAN 121622 3/3/1971 Asthma 7:00:24 7:02:59 0:02:35
ELSI K30 -
WULANDA Functional
1215 RI 021720 1/14/1998 dyspepsia 7:05:39 7:06:17 0:00:38

RAMA
AMANULLA
1216 H 121623 8/4/2002 - 7:09:34 7:09:34 0:00:00

R11 -
Nausea and
vomiting |
R50 - Fever
of other
and
MARSYA unknown
1217 SITI AULIA 121624 3/20/2008 origin 8:37:55 9:20:39 0:42:44

R50.9 -
Fever,
1218 ENOH 121626 8/18/1953 unspecified 8:11:03 8:12:40 0:01:37

D64 - Other
anaemias |
R51 -
1219 ILAH 101568 7/1/1972 Headache 9:39:44 12:37:41 2:57:57

A28.1 - Cat-
scratch
disease |
E9065 - Bite
by
unspecified SAMPLE
animal |
W55.01 -
Bitten or
struck by
other
mammals,
home,
while
engaged in
VILLY leisure
1220 ARIESTIN 121640 6/19/1979 activity 10:10:06 10:13:59 0:03:53
T14 - Injury SAMPLE
of
unspecified
1221 RAHMAT 121645 7/1/1955 body region 10:11:58 10:13:17 0:01:19

R11 -
Nausea and
vomiting |
R50 - Fever
of other
and
AURELIA unknown
1222 SYAHIRA 121647 12/8/2021 origin 10:20:49 10:21:59 0:01:10

SYIFA K30 -
NAJWA Functional
1223 AZZAHRA 121649 6/12/2006 dyspepsia 10:38:08 10:39:15 0:01:07

R50 - Fever
of other
and
unknown
origin |
R50.9 -
YANTI Fever,
1224 SUSANTI 121650 11/10/1970 unspecified 11:21:12 11:22:51 0:01:39

G40 -
Epilepsy | SAMPLE
R56 -
Convulsions
, not
ZULFA elsewhere
1225 KAMILAH 121651 12/21/2003 classified 12:34:58 12:37:17 0:02:19
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R11
FAHRIZA - Nausea
IZZATUL and
1226 RACHMAN 121652 3/4/2021 vomiting 12:59:28 12:59:51 0:00:23

K35.9 -
Acute SAMPLE
appendicitis
,
unspecified
SYAHRA | K37 -
NURHERIA Unspecified
1227 NTY 121654 5/5/2009 appendicitis 13:21:49 13:25:09 0:03:20

N39.0 -
Urinary
tract SAMPLE
infection,
site not
1228 NASROH 056750 2/21/1981 specified 13:31:14 13:34:19 0:03:05
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
A09.9 -
Gastroenter
itis and
TALITA colitis of
NAZHIRA unspecified
1229 SAKHI 057109 8/10/2011 origin 13:53:07 15:40:04 1:46:57

AI
NURHASAN J45 - SAMPLE
1230 AH 121655 4/2/1970 Asthma 14:11:59 14:13:49 0:01:50

R10.4 -
Other and
unspecified
abdominal
1231 ROIP 121656 3/16/1953 pain 14:22:46 14:52:43 0:29:57

J06.9 -
Acute
upper
respiratory
RIHMAH A infection,
1232 IP 104441 10/25/2005 unspecified 14:28:49 14:29:51 0:01:02

AQILAH
SILMI J45 - SAMPLE
1233 NAFISAH 121657 2/2/2014 Asthma 14:37:16 14:40:34 0:03:18

N39.0 -
Urinary
tract SAMPLE
infection,
site not
1234 NASRUDIN 121658 6/20/1977 specified 15:02:49 15:04:51 0:02:02
R50 - Fever
of other
ATHA and
RASYID unknown
1235 RIZQI 110103 10/8/2021 origin 16:00:53 17:20:00 1:19:07

A09.9 -
Gastroenter
itis and SAMPLE
colitis of
unspecified
origin |
ADZKIA J45.9 -
NAYYARA Asthma,
1236 SYAQILLA 106268 10/22/2020 unspecified 16:04:41 16:05:59 0:01:18

R50.9 -
YUDI Fever,
1237 SETIAWAN 117273 9/20/1986 unspecified 16:09:46 16:26:25 0:16:39

ALFARIS R50.9 -
SYAFIQ Fever,
1238 KHAIRY 121659 1/23/2014 unspecified 16:12:56 16:27:23 0:14:27

ELVINO
RADITYA R50.9 -
FEDRIANSY Fever,
1239 AH 103204 2/23/2021 unspecified 16:17:50 16:30:39 0:12:49

K30 -
Functional
1240 SAEPUDIN 106927 10/23/1976 dyspepsia 16:34:14 16:36:01 0:01:47

R50 - Fever
of other
and
unknown
origin |
AQILA R50.9 -
PUTRI Fever,
1241 SETIAWAN 121660 2/13/2022 unspecified 16:39:41 21:31:52 4:52:11
RINA
1242 YULIATI 120235 8/9/1984 - 16:55:00 17:23:44 0:28:44

YUKE K30 -
YULIANTO Functional
1243 PUTRI 089023 7/24/2002 dyspepsia 16:57:31 16:59:48 0:02:17
K52.0 -
Gastroenter
itis and
RUKOYAH, colitis due
1244 (Hj). 102726 7/1/1957 to radiation 17:16:27 17:18:48 0:02:21

R50 - Fever
of other
ENDANG and
SRI PUJI unknown
1245 ASTUTI 121663 7/8/1998 origin 18:39:33 18:41:52 0:02:19

R50 - Fever
of other
and
DZAKIA unknown
1246 RIKTUNISA 088851 1/25/2019 origin 18:43:14 19:36:32 0:53:18

R50 - Fever
of other
and
LUSI unknown
1247 NURYANTI 056450 10/5/1995 origin 18:47:42 18:50:31 0:02:49

K30 -
Functional
1248 E. BAHRUN 121664 11/20/1958 dyspepsia 15:02:49 19:52:50 4:50:01

R50.9 -
AGUS Fever,
1249 SUTIAWAN 121665 1/4/1985 unspecified 19:02:49 20:58:35 1:55:46

R50 - Fever
of other
ADRESYA and
HAYATUL unknown
1250 HIKAM 121666 1/8/2017 origin 19:35:21 20:00:07 0:24:46

M19 - Other
1251 O. SOBARI 121667 8/7/1961 arthrosis 19:39:57 19:41:29 0:01:32

M. R50 - Fever
QAISZAVIE of other
R and
ALKHORIZ unknown
1252 MI 121668 3/2/2014 origin 19:48:09 20:11:20 0:23:11
IRMA J45 - SAMPLE
1253 FAUZIAH 058708 6/1/2008 Asthma 20:10:14 20:14:37 0:04:23
R50 - Fever
of other
and
unknown
origin |
T14.0 -
Superficial
injury of
YOYON unspecified
1254 DAYAROH 121669 12/9/1954 body region 20:16:29 21:23:28 1:06:59

DEVAN
ELENO
1255 BANDIANI 121670 6/21/2019 - 20:32:17 20:52:00 0:19:43

R50 - Fever
of other
and
RESTA unknown
1256 KAMELIA 121671 11/30/2005 origin 20:50:55 14:55:21 18:04:26

K30 -
DEDE TRI Functional
1257 FEBRIANA 112153 2/16/1991 dyspepsia 21:18:21 21:19:02 0:00:41
1258 NURAENI 060935 7/30/1991 - 21:29:32 13:04:02 15:34:30

MUHAMAD R50.9 -
MAULANA Fever,
1259 KAYZA 109881 12/25/2015 unspecified 21:36:00 9:19:29 11:43:29

R50 - Fever
of other
and
FARADINA unknown
HAZIQAH origin |
ALFATHUN R50.9 -
NISSA Fever,
1260 SETIAWAN 121672 6/25/2018 unspecified 23:22:49 23:23:52 0:01:03

R50 - Fever
of other
RACHELA and
KEUMALA unknown
1261 HAYATI 002783 3/20/2014 origin 0:01:00 0:02:54 0:01:54
R10.4 -
Other and
unspecified
abdominal
1262 EDI 078346 7/5/1973 pain 0:17:31 0:18:22 0:00:51

R50.9 -
NAWAL Fever,
1263 FEBRIANI 074376 2/15/2017 unspecified 1:37:51 1:39:38 0:01:47

1264 LISDAWATI 074427 1/17/1977 - 3:21:02 3:22:24 0:01:22

1265 PATONAH 121673 2/7/1969 - 3:58:13 4:02:54 0:04:41

R50.9 -
YUYUN Fever,
1266 YUNINGSIH 175156 9/3/1978 unspecified 5:56:07 5:57:35 0:01:28

J06.9 -
GHIBRAN Acute
MUHAMM upper
AD respiratory
ARDIANDSY infection,
1267 AH 113361 11/14/2021 unspecified 5:58:14 5:59:34 0:01:20
1268 SOLIHIN 121674 3/7/1974 - 7:21:16 7:22:24 0:01:08

R57.2 -
DIAN Septic SAMPLE
1269 MULYADI 040857 7/27/1997 shock 7:32:39 7:35:07 0:02:28

R07.4 - SAMPLE
Chest pain,
unspecified
| R07.4 -
Chest pain,
1270 NISAH 084375 8/4/1976 unspecified 9:25:09 9:27:34 0:02:25

E10.0 -
Insulin-
dependent SAMPLE
GUSTI diabetes
MAHENDR mellitus
1271 A PUTRA 120855 8/27/1980 with coma 9:49:27 9:53:49 0:04:22
K30 -
JUJU Functional
1272 JUARIAH 040019 9/12/1954 dyspepsia 10:13:57 16:36:24 6:22:27

AGIS
1273 PRANADA 121677 8/5/2006 - 10:37:56 10:37:56 0:00:00

J06.9 -
Acute
upper
RAIHAN respiratory
RIZKI infection,
1274 ADITIA 079482 8/27/2013 unspecified 11:32:41 12:23:26 0:50:45

A91 -
Dengue
haemorrhag
DIMAS ic fever |
ANGGA R50.9 -
FIRMANSY Fever,
1275 AH 121678 1/17/2003 unspecified 11:44:16 15:19:53 3:35:37

A15.0 -
Tuberculosi
s of lung,
confirmed
by sputum
microscopy
with or
without
1276 NINING 121679 11/5/1974 culture 16:00:09 15:58:51 23:58:42

IQBAL
NURHANA
N
1277 ERLANGGA 085928 3/20/2017 - 12:56:24 12:57:36 0:01:12

MUHAMM
AD NIZAM R50.9 -
ABQARYAN Fever,
1278 SYAH 121680 4/17/2020 unspecified 13:04:33 16:07:42 3:03:09
KHAIRAH R50.9 -
MAITSAA Fever,
1279 RAHMAH 121681 7/23/2014 unspecified 13:11:20 13:12:49 0:01:29

SELY K30 -
RUSNIAWA Functional
1280 TI 121683 1/11/2000 dyspepsia 13:36:31 13:37:34 0:01:03

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
M ALFARIZI unspecified
1281 JAELANI 121684 3/10/2022 origin 18:16:38 16:32:30 22:15:52

R50.9 -
zeline xena Fever,
1282 humaira 121686 3/20/2022 unspecified 14:25:22 14:25:22 0:00:00

R50.8 -
Other
specified
MUHAMM fever |
AD R50.9 -
ZULFIKAR Fever,
1283 ASSHIDQY 112130 1/21/2018 unspecified 14:54:11 18:24:36 3:30:25

R50.9 -
PENI Fever,
1284 AGUSTINI 113268 8/1/1984 unspecified 15:09:19 15:10:04 0:00:45

HAISHA R50.9 -
HANUM Fever,
1285 HANANIA 121687 2/23/2021 unspecified 15:46:10 15:48:40 0:02:30

T14 - Injury SAMPLE


ANDU of
ABDURAH unspecified
1286 MAN 121688 3/6/1982 body region 16:13:50 16:15:23 0:01:33

ADE SARIP
1287 HIDAYAT 104870 9/9/1966 - 16:16:43 16:21:48 0:05:05
K61 -
Abscess of
FAIQ anal and
ATHARSYA rectal
1288 H 121690 7/11/2009 regions 16:32:50 16:53:34 0:20:44

A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin |
K52.0 -
Gastroenter
MUTIARA itis and
SYAQI colitis due
1289 MAULIDA 121691 10/22/2021 to radiation 16:42:14 18:22:24 1:40:10

J10 -
Influenza
due to
other
IDA identified
HAYATI, influenza
1290 (Hj). 056359 1/15/1968 virus 17:40:46 17:41:43 0:00:57

K30 -
Functional
dyspepsia |
R50.9 -
ALISSA Fever,
1291 SAFIRA 121692 3/11/2006 unspecified 17:52:07 17:53:57 0:01:50

J45.9 - SAMPLE
EROS Asthma,
1292 ROSITA 046795 4/28/1989 unspecified 18:18:23 18:19:44 0:01:21

T14 - Injury SAMPLE


M. ARFAN of
FAIZ unspecified
1293 HAITSAM 087641 12/10/2019 body region 18:42:29 18:47:27 0:04:58
B24 -
Unspecified
human
immunodefi
ciency virus
[HIV]
disease |
K30 -
SIGIT Functional
1294 SAMUDRA 121694 6/17/1997 dyspepsia 19:20:51 20:33:25 1:12:34

K30 -
FITRI 022351/09 Functional
1295 NURLAELA 7171 6/8/2004 dyspepsia 19:23:55 19:24:26 0:00:31

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
KAFI unspecified
1296 MAULANA 077668 4/15/2019 origin 19:30:40 19:30:55 0:00:15

ANDREAN R50.9 -
CANDRANI Fever,
1297 NGTIAS 121695 7/22/2007 unspecified 19:39:05 19:40:39 0:01:34

MUHAMM R50.9 -
AD RAFA Fever,
1298 SAPUTRA 32304 10/27/2015 unspecified 19:59:48 19:00:28 23:00:40

K30 -
Functional
dyspepsia |
R50.9 -
Fever,
1299 HERLAN 121696 9/27/1997 unspecified 20:14:19 20:15:40 0:01:21

K30 -
Functional
1300 IRMA 121698 8/20/2007 dyspepsia 20:52:37 20:55:56 0:03:19

K30 -
Functional
1301 HERAWATI 070405 10/6/2002 dyspepsia 21:23:38 21:45:41 0:22:03
GIBRAN
ABIPUTRRA
1302 PRATAMA 121699 3/27/2020 - 21:30:12 22:00:42 0:30:30

J06 - Acute
upper
respiratory
infections
multiple
and
SYAHRI unspecified
RAMADHA sites | R11 -
N AS- Nausea and
1303 SODIKIN 117090 9/28/2008 vomiting 21:36:15 21:38:50 0:02:35

T14 - Injury SAMPLE


SINTIANA of
DEWI unspecified
1304 KANIA 121700 1/9/1992 body region 21:49:56 21:53:01 0:03:05

R11 -
Nausea and
1305 NINING 121486 1/1/1964 vomiting 21:56:52 22:48:28 0:51:36

K56.7 -
DEVI Ileus,
1306 RUSTAMAN 121701 8/2/1982 unspecified 22:04:06 22:43:15 0:39:09

RADELA
APRILIANDI
1307 NIE 111587 4/29/2021 - 4:03:36 4:04:54 0:01:18

SAMPLE
MUHAMM
AD HARIS J45 -
1308 ASHAYBANI 065536 7/1/2018 Asthma 5:34:50 5:40:06 0:05:16
A09 - Other
gastroenteri
tis and
colitis of
infectious
RISHA and
HARIYANI unspecified
1309 PUTRI 121702 6/5/1996 origin 6:45:57 6:41:06 23:55:09

K52.0 -
DEVANKA Gastroenter
FITRA itis and
RAMADHA colitis due
1310 N 111115 5/12/2021 to radiation 6:49:59 6:51:27 0:01:28

R50 - Fever
HAFIZAH of other
MUTIARA and
RAMADHA unknown
1311 NI 101543 4/20/2020 origin 7:17:44 7:26:04 0:08:20

R50 - Fever
of other
KARIMA and
HAURA unknown
1312 ZUHDA 080671 6/30/2015 origin 7:28:28 8:00:24 0:31:56

RINI
RAHMANIA
1313 R 121703 7/3/1984 - 7:39:44 8:00:00 0:20:16

R50 - Fever
of other
MUHAMM and
AD ALKA unknown
1314 JATARA 121704 1/17/2014 origin 7:43:07 8:00:26 0:17:19

SULTAN
MOHAMM R11 -
AD Nausea and
1315 ABDULAZIZ 045703 2/4/2013 vomiting 8:17:13 8:19:41 0:02:28

LOVELIANA
PUTRI
1316 HERLAN 121705 7/12/2016 - 8:46:05 8:47:28 0:01:23
J06.9 -
Acute
upper
respiratory
ADEN ARIEL infection,
1317 JAELANI 121706 1/23/2005 unspecified 8:23:18 8:31:00 0:07:42

MUHAMAD
AZKAR
1318 NAWAWI 121707 1/17/2015 - 8:26:02 14:21:03 5:55:01

R50.9 -
TETI Fever,
1319 SURYATI 004784 10/28/1977 unspecified 8:31:31 15:12:50 6:41:19

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
A09.9 -
Gastroenter
itis and
colitis of
TRIA unspecified
1320 SUSANTI 121708 2/3/1996 origin 8:40:40 8:40:29 23:59:49

WIDYA
PUSPITA R51 -
1321 SARI 075995 3/29/2003 Headache 8:52:16 8:55:37 0:03:21

MUHAMAD
ALFA
GHANINDR R50.9 -
A Fever,
1322 SHAFWAN 121709 11/11/2017 unspecified 9:03:10 9:03:26 0:00:16
1323 CICAH 058178 10/10/1971 - 9:13:52 9:16:42 0:02:50
A09.9 -
Gastroenter
itis and
colitis of
unspecified
origin | R11
- Nausea
and
1324 ENIS 121710 9/30/1960 vomiting 9:28:53 9:29:12 0:00:19

ADMAN
1325 SUHENDA 121711 7/11/1998 - 9:43:32 9:43:16 23:59:44

L23.9 -
Allergic
contact
dermatitis,
unspecified
cause |
1326 HOTIMAH 121715 7/7/1955 M10 - Gout 9:47:45 9:49:37 0:01:52

J45.9 -
Asthma, SAMPLE
unspecified
| R50.9 -
Fever,
1327 RIKI 093521 4/2/1998 unspecified 9:50:47 9:53:57 0:03:10

R50 - Fever
of other
and
SHAKIRA unknown
1328 FEBRIANTI 121716 2/7/2012 origin 9:56:34 9:56:15 23:59:41

FADLI R50.9 -
MIFTAHUL Fever,
1329 FADILAH 028533 3/1/2006 unspecified 10:02:08 10:03:24 0:01:16

ANNISA R50.9 -
GHAISANI Fever,
1330 SAJIDAH 121717 1/17/2000 unspecified 10:04:31 10:04:09 23:59:38
J45.9 - SAMPLE
Asthma,
1331 HAPAD 046498 7/18/1967 unspecified 10:12:38 10:15:41 0:03:03

R10.0 -
Acute SAMPLE
1332 ISAH 121718 2/25/1967 abdomen 11:10:55 11:13:37 0:02:42

MUIS
1333 RAMDANI 091111 4/19/1984 - 11:18:20 11:19:00 0:00:40

MUHAMAD
ROOKAN
1334 ALHILMI 121719 5/22/2010 - 12:28:19 12:29:33 0:01:14
1335 CHENIA 121720 4/6/2010 - 12:45:41 12:46:02 0:00:21

A09.9 -
Gastroenter
itis and
colitis of
unspecified
1336 KOBTIYAH 121721 8/28/1943 origin 12:53:43 12:54:10 0:00:27

RADELA
APRILIANDI
1337 NIE 111587 4/29/2021 - 12:56:06 13:34:14 0:38:08

TRISKA
PUTRI
1338 UTAMI 114044 8/29/2002 - 13:09:14 13:10:07 0:00:53

A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
A09.9 -
Gastroenter
itis and
MUHAMM colitis of
AD LUTHFI unspecified
1339 ABDILLAH 121722 6/20/2019 origin 13:45:45 13:53:31 0:07:46
J45.9 - SAMPLE
Asthma,
1340 JUAN 037056 7/1/1960 unspecified 13:53:29 13:55:17 0:01:48

R50.9 -
NURAHMA Fever,
1341 N 121723 2/6/1993 unspecified 14:22:39 14:22:56 0:00:17

A09.9 -
Gastroenter
ELVINO itis and
RADITYA colitis of
FEDRIANSY unspecified
1342 AH 103204 2/23/2021 origin 14:26:59 14:29:23 0:02:24

J06.9 -
Acute
upper
RAYSA respiratory
SAQUENNA infection,
1343 PUTRI 121724 6/14/2021 unspecified 14:31:24 14:34:22 0:02:58

J06.9 -
Acute
upper
SHIRIN respiratory
AFRIN infection,
1344 RISMY 096365 6/26/2019 unspecified 14:56:17 14:51:11 23:54:54

ILHAM R11 -
SAKTI AL Nausea and
1345 FAUZAN 086616 1/24/2018 vomiting 14:59:23 15:00:30 0:01:07

MAJID
1346 ABDUL AZIS 118308 12/23/2005 - 15:22:58 15:04:50 23:41:52

R50 - Fever
PUTRA of other
RIZKI and
ALBIANSYA unknown
1347 H 063965 3/13/2018 origin 15:06:09 15:07:24 0:01:15

RAMDAN K30 -
MAULANA Functional
1348 YASIN 121727 1/25/1998 dyspepsia 15:10:19 15:11:46 0:01:27
A90 -
Dengue
fever
[classical
dengue] |
R11 -
IKA Nausea and
1349 KARTIKA 121728 6/1/1970 vomiting 15:31:40 17:46:45 2:15:05

K30 -
Functional
1350 ANIS 121729 7/6/1976 dyspepsia 15:43:01 15:47:09 0:04:08

J45.9 -
Asthma, SAMPLE
IKHLAS unspecified
APRILIANSY | R06.2 -
1351 AH 069760 4/20/2012 Wheezing 16:05:43 16:07:13 0:01:30

R11 -
PURNAMA Nausea and
1352 ADJI 121730 6/11/2022 vomiting 16:38:50 16:25:45 23:46:55

R50 - Fever
of other
and
ALESHA unknown
1353 NAUVALIN 121731 11/15/2018 origin 16:42:30 16:43:32 0:01:02

T14.1 -
Open SAMPLE
wound of
DINI unspecified
1354 ASTRIANI 121417 11/5/2001 body region 16:46:08 16:47:19 0:01:11

K52.9 -
Noninfectiv
e
gastroenteri
tis and
RAMDAN colitis,
1355 NUR FALAH 121732 4/25/2022 unspecified 17:08:16 17:42:25 0:34:09

R50 - Fever
of other
MUHAMM and
AD unknown
1356 FERDINAN 121733 12/4/2014 origin 17:11:50 17:12:40 0:00:50
ONIH
1357 ROSTINI 038406 1/1/1951 - 17:14:27 17:16:28 0:02:01

K30 -
IRGI Functional
1358 ALFARIZI 121734 12/5/2005 dyspepsia 17:29:06 17:30:27 0:01:21

K30 -
RIZKI Functional
1359 FEBRIANTI 121735 2/4/2004 dyspepsia 18:33:31 20:11:04 1:37:33

K65 -
Peritonitis |
N17.9 -
Acute renal
failure,
unspecified
| R10.0 -
Acute
abdomen |
R10.4 -
Other and
unspecified
abdominal
1360 NENI 060969 10/15/1971 pain 18:37:36 22:23:48 3:46:12

J06.9 -
Acute
DEVIANA upper
SHIDQIA respiratory
HENDRIAN infection,
1361 SYAH 015028 5/31/2014 unspecified 18:49:53 18:52:27 0:02:34

J06.9 -
Acute
upper
ANI respiratory
KARNINGSI infection,
1362 H 111835 3/12/1965 unspecified 19:14:59 19:16:51 0:01:52

H11.3 -
Conjunctiva
HENDRA l
WIGUNA haemorrhag
1363 PRATAMA 121736 8/6/1989 e 19:22:05 19:24:39 0:02:34
J06.9 -
Acute
upper
RAYYAN respiratory
SATRIA AL infection,
1364 RIZQ 121737 3/30/2015 unspecified 19:51:04 20:00:06 0:09:02

K30 -
HJ. TETI Functional
1365 NURHAYATI 113621 8/16/1965 dyspepsia 20:26:46 20:27:59 0:01:13

R50 - Fever
of other
and
KHAIRUL unknown
1366 MAHDHI 037442 10/15/2017 origin 20:51:40 20:43:34 23:51:54

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50 -
RIYALDI Fever of
NOPARA other and
EPRIYANSY unknown
1367 AH 121738 11/25/2006 origin 20:45:54 20:46:05 0:00:11

K35.9 -
Acute SAMPLE
appendicitis
LIVIA ,
1368 SEPHIANI 121739 9/11/2004 unspecified 16:34:09 16:36:00 0:01:51

K30 -
ETI Functional
1369 SUMYATI 040913 9/19/1969 dyspepsia 22:30:59 22:49:20 0:18:21

R50 - Fever
of other
ANNISA SITI and
KHOIRUNNI unknown
1370 SA 048009 11/15/2016 origin 23:33:47 23:35:51 0:02:04

RAHMA
DIPANEGAR
1371 A 055261 12/26/2001 - 4:12:27 4:12:27 0:00:00
K52.0 -
Gastroenter
HANA itis and
ZAHRA colitis due
1372 ALWANI 121744 2/8/2021 to radiation 5:15:30 5:49:18 0:33:48
ENUNG
1373 HOERIAH 046692 2/25/1969 - 6:43:33 6:43:33 0:00:00

M06.09 -
Seronegativ
e
rheumatoid
arthritis,
site
1374 SUHARTO 118122 10/17/1959 unspecified 6:22:44 6:30:52 0:08:08

K30 -
Functional
dyspepsia |
R11 -
RUDI Nausea and
1375 SUPRIADI 064941 4/8/1986 vomiting 7:01:12 10:27:09 3:25:57

K52.0 -
Gastroenter
itis and
colitis due
WAFA to radiation
ARINA | R11 -
NURFADILA Nausea and
1376 H 121746 11/18/2021 vomiting 7:33:31 8:21:10 0:47:39

VIRGINIA
RADITA
1377 ANANTA 121747 3/6/2005 - 7:54:53 7:55:43 0:00:50

CHRYSMAN
ANDRERIA,
1378 (dr). 100527 10/8/1993 - 8:29:04 8:30:56 0:01:52

R50 - Fever
of other
FITRIA and
NURMAYA unknown
1379 SIFA 081661 7/30/2001 origin 8:33:07 10:50:46 2:17:39
1380 SUKARNA 121748 1/1/1949 - 16:41:25 16:06:52 23:25:27
1381 AJUM 007151 6/15/1953 - 9:36:20 16:08:08 6:31:48

R50 - Fever
of other
and
unknown
1382 PUJA PANI 061567 4/17/2007 origin 9:39:37 9:40:15 0:00:38

K30 -
Functional
1383 YUYUN 114859 7/1/1957 dyspepsia 10:01:15 10:02:50 0:01:35

K30 -
NENENG Functional
1384 MARYANI 045669 12/7/1994 dyspepsia 10:17:47 10:19:23 0:01:36

J06.9 -
NOVAN Acute
JOTHA upper
CURRY respiratory
ALDISANTO infection,
1385 SO 121763 11/8/1996 unspecified 10:22:56 10:24:54 0:01:58

IBRAHIM
MAKKI
1386 ANNAJA 115452 1/14/2019 - 11:24:55 11:25:03 0:00:08

MINAWATI
1387 RUSTIANI 100023 2/16/1997 - 11:33:10 16:35:38 5:02:28

ADE J45 - SAMPLE


1388 SOLEHUDIN 033930 11/17/2005 Asthma 12:24:15 12:26:33 0:02:18

R50.9 -
IRFAN HADI Fever,
1389 PERMANA 121769 8/29/2002 unspecified 20:03:47 14:33:08 18:29:21

AVICA
NANDA R50.9 -
OCTAVIAN Fever,
1390 A 039206 10/24/2015 unspecified 20:03:34 16:00:26 19:56:52

R50.9 -
PUTRI Fever,
1391 AMELIA 121771 1/11/2006 unspecified 20:03:27 15:08:39 19:05:12
ANUGRAH
RAHMADA
1392 NI 039270 9/4/2009 - 16:16:08 16:17:44 0:01:36
1393 OMASIH 121772 4/12/1972 - 16:21:54 16:22:09 0:00:15

R50 - Fever
of other
MUHAMM and
AD RAFA unknown
1394 SAPUTRA 32304 10/27/2015 origin 16:46:44 19:06:51 2:20:07

ANAQI
RAFFASYA
PUTRA
1395 NARA 118145 7/13/2021 - 17:36:15 17:22:47 23:46:32

PUTRI
HASANAH
QOTUNNA
1396 DA 075844 8/8/2013 - 17:38:44 17:39:59 0:01:15

SRI K30 -
PUNGKASY Functional
1397 ANI 055013 12/14/1990 dyspepsia 17:42:42 18:33:06 0:50:24

ZAHRA R50.9 -
MUHAMM Fever,
1398 ED 121774 4/9/2008 unspecified 17:51:01 18:04:16 0:13:15
1399 DIMYATI 107272 3/1/1959 - 18:31:47 18:40:39 0:08:52

JENNAIRA
ARSYLA
1400 FILLEA 076899 1/28/2018 - 18:36:27 18:47:14 0:10:47

HENDRI EL
1401 BAWAR 121775 4/18/1995 - 18:40:48 18:45:03 0:04:15

M RIZKY
ABDULMA
1402 NAN 121777 3/1/2008 - 19:20:32 19:23:29 0:02:57

R11 -
Nausea and
1403 SITI SAFIRA 121778 6/5/2021 vomiting 19:30:40 19:31:27 0:00:47

1404 BUDIYONO 064543 7/7/1980 - 19:32:03 19:33:08 0:01:05


DEVI
AMASTASY
1405 A SIAHAAN 121779 1/26/2000 - 19:41:01 19:42:52 0:01:51

MUHAMM
1406 AD ALPIN 121780 11/1/1999 - 19:47:27 19:47:10 23:59:43

A09.9 -
Gastroenter
itis and
colitis of
unspecified
1407 SITI SAKINA 121781 4/24/2021 origin 20:15:47 20:16:11 0:00:24
NUR
1408 AVIANI 121782 9/22/2002 - 22:33:19 20:34:40 22:01:21

E9060 - Dog
bite | SAMPLE
W54.0 -
Bitten or
struck by
1409 SAHUDIN 121783 10/5/1959 dog, home 20:40:50 20:41:54 0:01:04

RACHELA R50.9 -
KEUMALA Fever,
1410 HAYATI 002783 3/20/2014 unspecified 22:07:40 20:45:39 22:37:59

YANDI K30 -
ALDIANSYA Functional
1411 H 046473 5/28/1976 dyspepsia 21:16:10 21:17:23 0:01:13

J06.9 -
Acute
upper
respiratory
DAVA infection,
1412 PERMANA 033036 12/9/2014 unspecified 21:24:17 21:25:24 0:01:07

HAMIZAN
ATHALLAH
1413 SAPUTRA 121785 8/27/2016 - 22:47:31 22:47:31 0:00:00
1414 MUMUH 097376 8/18/1949 - 21:45:37 21:47:58 0:02:21
R50.9 -
Fever,
MUHAMAD unspecified
RAFA | R51 -
1415 MUNAWAR 077005 9/30/2014 Headache 22:18:34 22:21:01 0:02:27

L20.9 -
Atopic
dermatitis,
unspecified
| L23 -
Allergic
contact
dermatitis |
R50.9 -
Fever,
1416 OMAH 100729 1/7/1959 unspecified 22:26:16 22:24:28 23:58:12

HAMIZAN R50.9 -
ATHALLAH Fever,
1417 SAPUTRA 121785 8/27/2016 unspecified 22:47:15 22:50:16 0:03:01

NENDEN R50.9 -
BT.H. Fever,
1418 TUHAR 121789 6/14/1984 unspecified 22:49:17 22:49:17 0:00:00

K30 -
Functional
dyspepsia |
PIAH M79.1 -
1419 SOPIAH 121790 10/8/1964 Myalgia 23:30:54 23:33:06 0:02:12
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
K52.9 -
Noninfectiv
e
gastroenteri
tis and
HERRY colitis,
1420 MUKTI 119776 7/25/1971 unspecified 1:35:03 1:36:43 0:01:40

R50 - Fever
of other
and
unknown
origin |
AIRA R50.9 -
SYAHRAINI Fever,
1421 PUTRI 111104 6/3/2020 unspecified 2:00:51 2:02:38 0:01:47

K02 - Dental
caries | K05
- Gingivitis
and
periodontal
diseases |
R50.9 -
YUDI Fever,
1422 IRAWAN 121794 10/20/1997 unspecified 4:05:45 4:06:48 0:01:03
K30 -
Functional
dyspepsia |
R11 -
MAMAN Nausea and
1423 SUHERMAN 121795 3/11/1969 vomiting 4:09:00 4:10:56 0:01:56

J45.9 - SAMPLE
UTOM Asthma,
1424 BUSTOMI 121796 10/9/1949 unspecified 6:24:04 6:26:04 0:02:00

K92.0 -
HERRY Haematem
1425 MUKTI 119776 7/25/1971 esis 7:54:36 7:54:36 0:00:00

A09 - Other
gastroenteri
tis and
colitis of
infectious
ANNISA and
HASNA unspecified
1426 KAMILA 121801 9/30/2020 origin 9:38:24 9:39:05 0:00:41

R10.0 -
INSAN Acute SAMPLE
1427 INDRIYANA 117658 1/3/1989 abdomen 10:12:12 10:13:51 0:01:39

K30 -
AI Functional
1428 ROHAENI 114959 9/1/1971 dyspepsia 11:09:15 11:10:53 0:01:38

GHANIA
ESHAL
1429 KHALIDA 111850 11/26/2021 - 12:03:38 12:57:19 0:53:41

MUHAMAD
RIFFAT AL
1430 AUSAP 121808 10/31/2018 - 12:38:38 13:53:42 1:15:04

SAMPLE
K37 -
Unspecified
1431 ALIA 079281 8/10/2004 appendicitis 13:17:59 13:19:45 0:01:46
A15.0 -
Tuberculosi
s of lung,
confirmed
by sputum
microscopy
with or
ENDANG without
1432 SUHERMAN 016970 9/25/1945 culture 13:46:54 13:54:52 0:07:58

KHAIRAH R50.9 -
MAITSAA Fever,
1433 RAHMAH 121681 7/23/2014 unspecified 14:10:00 14:11:38 0:01:38
SELA
1434 CESILIA 121812 10/7/1997 - 14:36:50 14:37:30 0:00:40

WAFIQ R50.9 -
NUR Fever,
1435 AZIZAH 121813 1/27/2015 unspecified 16:07:52 16:17:15 0:09:23
J45 - SAMPLE
1436 HANIA 117315 10/24/1983 Asthma 16:45:10 16:49:38 0:04:28

A09.9 -
Gastroenter
itis and
colitis of
YANI unspecified
1437 MULYANI 121814 6/26/1981 origin 17:10:14 16:54:06 23:43:52

T14.1 -
Open SAMPLE
ABIAN wound of
ABIDZAR unspecified
1438 ABINAYA 121816 5/4/2016 body region 17:20:51 17:22:06 0:01:15

K30 -
FITRI Functional
1439 RAMDANI 112617 2/7/1995 dyspepsia 17:28:35 17:39:29 0:10:54

A02.9 -
Salmonella
infection,
1440 WIWI 121817 6/11/1960 unspecified 17:52:21 17:53:55 0:01:34
MUHAMM R50.9 -
AD ARFAN Fever,
1441 ALFARIZI 109074 9/2/2021 unspecified 18:07:56 18:09:00 0:01:04

J45.9 - SAMPLE
VHIRNA Asthma,
1442 MAULANI 018885 2/8/2001 unspecified 18:52:10 18:55:05 0:02:55

K30 -
DEDE Functional
1443 SAHRONI 074593 2/5/1953 dyspepsia 18:56:03 20:57:25 2:01:22

NADIR R50.9 -
ABQARY Fever,
1444 SAPUTRA 121819 11/21/2020 unspecified 19:11:53 20:55:39 1:43:46

K30 -
ELA Functional
1445 NURLAELA 075639 9/10/1988 dyspepsia 19:15:31 20:53:57 1:38:26

R50.9 -
Fever,
1446 WATINO 114325 8/22/1988 unspecified 19:20:37 19:20:27 23:59:50

J06.9 -
Acute
upper
respiratory
infection,
1447 DESI 121820 12/6/1993 unspecified 19:27:55 19:28:09 0:00:14

A90 -
Dengue
fever
[classical
MUHAMM dengue] |
AD GIBRAN R50.9 -
NURZAMA Fever,
1448 N 121821 2/2/2013 unspecified 20:00:17 23:50:24 3:50:07

EMPAT R51 -
1449 PATIMAH 009428 7/1/1959 Headache 20:03:59 20:03:26 23:59:27
R50.9 -
NAWAL Fever,
1450 FEBRIANI 074376 2/15/2017 unspecified 19:55:03 19:56:48 0:01:45

TINI
1451 SUHARTINI 098805 9/21/2004 - 20:05:08 20:05:38 0:00:30

K30 -
Functional
dyspepsia |
DEWI R51 -
1452 SARTIKA 113289 12/6/1990 Headache 20:17:04 20:17:50 0:00:46

R50.9 -
M. RIFKI Fever,
1453 ALGIFARI 046272 12/20/2008 unspecified 20:31:59 20:32:28 0:00:29

R50 - Fever
of other
and
unknown
MUHAMAD origin |
VIKI R50.9 -
JULIANSYA Fever,
1454 H 092970 7/5/2018 unspecified 20:36:35 23:52:26 3:15:51

R50 - Fever
MUHAMM of other
AD and
SANDIAGA unknown
1455 ARISANDI 121822 10/20/2020 origin 21:29:16 21:30:18 0:01:02

AI
1456 SYAMSIAH 121823 7/17/1993 - 21:37:45 21:38:02 0:00:17

K30 -
DEA RISKA Functional
1457 NADIRA 121824 6/19/1998 dyspepsia 21:54:11 21:55:50 0:01:39

K52 - Other
noninfectiv
e
YATHESTHA gastroenteri
YOGA DWI tis and
1458 RAHESTHA 084622 11/12/1987 colitis 22:46:13 22:47:11 0:00:58
E11.9 -
Non-insulin-
dependent SAMPLE
diabetes
mellitus
VIDYA without
RACHMATU complicatio
1459 LLAH 121826 1/7/1989 ns 22:50:12 22:51:40 0:01:28

J45 -
NENG NIDA Asthma | SAMPLE
RESTU EKA J45.9 -
SUDARMO Asthma,
1460 NO 121827 6/21/1997 unspecified 22:53:27 22:54:40 0:01:13

K30 -
Functional
1461 SOBARI 121828 1/1/1972 dyspepsia 23:15:26 23:16:37 0:01:11

J06 - Acute
upper
respiratory
infections
multiple
and
SISKA unspecified
1462 TAMARA 121829 12/11/1980 sites 23:38:35 23:39:42 0:01:07

E11 - Non-
insulin-
dependent
diabetes
1463 ENTIN 051983 5/5/1961 mellitus 23:43:30 23:44:14 0:00:44

I10 -
Essential
(primary)
UJANG hypertensio
1464 SUDRAJAT 089052 4/4/1965 n 23:45:56 23:46:43 0:00:47

SRI K30 -
MULYATINI Functional
1465 NGSIH 121830 1/15/1981 dyspepsia 0:05:01 0:06:49 0:01:48
E11 - Non-
insulin-
dependent
ENGKOS diabetes
1466 KOSASIH 050440 7/15/1960 mellitus 0:26:02 0:27:00 0:00:58

J06.9 -
Acute
upper
respiratory
infection,
unspecified
| R50 -
Fever of
other and
unknown
origin |
R50.9 -
Fever,
1467 ALWIZAR 120465 1/15/2020 unspecified 0:29:27 0:30:16 0:00:49

K30 -
PIPIK Functional
1468 TAOPIK 048085 12/1/1983 dyspepsia 0:52:19 0:53:46 0:01:27

MUHAMM R50.9 -
AD LUTH Fever,
1469 MAHMUDI 121831 2/4/2021 unspecified 0:57:52 0:57:08 23:59:16

A15.0 -
Tuberculosi
s of lung,
confirmed
by sputum
microscopy
with or
without
culture |
R04.0 -
1470 LISNAWATI 053772 6/29/1977 Epistaxis 1:02:14 1:59:05 0:56:51

NAZLA K30 -
MUFIDAH Functional
1471 M 121832 8/31/2003 dyspepsia 1:49:07 1:50:33 0:01:26
R50 - Fever
of other
MUHAMM and
AD PUTRA unknown
1472 GIOVANING 081199 3/31/2018 origin 2:47:50 2:48:14 0:00:24

K52.9 -
Noninfectiv
e
gastroenteri
tis and
colitis,
unspecified
FAIRUZ | R50.9 -
HIBATULLA Fever,
1473 H 121424 9/30/2021 unspecified 4:32:50 4:33:03 0:00:13

R50 - Fever
of other
and
unknown
origin |
R50.9 -
DEDE Fever,
1474 KARTINI 121833 3/15/1974 unspecified 5:16:05 5:17:57 0:01:52

R50 - Fever
of other
and
unknown
origin |
BALQUES R50.9 -
PUTRI Fever,
1475 HOLILUDIN 121834 7/31/2013 unspecified 5:19:05 5:20:38 0:01:33

NADIA R11 -
KHUMAIRA Nausea and
1476 ZAHRA 121835 8/19/2021 vomiting 5:25:17 10:22:15 4:56:58

R10.0 -
Acute
abdomen |
FEVI R18 -
1477 OKTAVIANI 112074 10/5/1987 Ascites 5:48:02 5:49:45 0:01:43
A09 - Other
gastroenteri
tis and
colitis of
infectious
and
unspecified
origin |
K52.9 -
Noninfectiv
e
gastroenteri
tis and
colitis,
unspecified
| R11 -
LILIS Nausea and
1478 SUTIANAH 041233 2/15/1961 vomiting 5:50:29 8:48:18 2:57:49

NIZAM R50.9 -
AGUSTIAN Fever,
1479 PRAZA 121837 3/13/2016 unspecified 6:02:46 6:03:40 0:00:54

R04 -
Haemorrha
ge from
IWAN respiratory
1480 GUNAWAN 116596 5/1/1986 passages 7:15:00 7:15:00 0:00:00

R33 -
Retention SAMPLE
1481 ENAN 039559 7/18/1952 of urine 9:27:03 9:28:59 0:01:56

H81.4 -
Vertigo of
central
origin |
R07.3 -
Other chest
1482 YANTI 076513 7/3/1976 pain 9:48:00 9:49:24 0:01:24

ASEP
1483 SAEPUDIN 121427 7/10/1953 - 10:17:13 10:17:13 0:00:00
R11 -
Nausea and
vomiting |
R50.9 -
Fever,
unspecified
| R63 -
Symptoms
and signs
ANNISA concerning
GHAISANI food and
1484 SAJIDAH 121717 1/17/2000 fluid intake 10:42:05 9:50:03 23:07:58

YUNDA
ANDARI
1485 FUTRI 108887 1/30/2002 - 11:08:24 11:08:24 0:00:00

K52.0 -
Gastroenter
itis and
colitis due
to radiation
| R11 -
Nausea and
vomiting |
AMMAR R33 -
ASYIFA Retention
1486 ARKAN 121863 5/5/2021 of urine 11:37:18 12:38:38 1:01:20
1487 DIMI 114508 3/21/1935 - 11:59:24 13:48:30 1:49:06

T14 - Injury SAMPLE


of
RATNA unspecified
1488 SUMINAR 045150 10/9/1971 body region 13:00:48 13:01:52 0:01:04

J06.9 -
Acute
upper
respiratory
YUDI infection,
1489 SETIAWAN 117273 9/20/1986 unspecified 13:04:03 13:17:39 0:13:36
J06.9 -
Acute
upper
respiratory
ADI TRESA 113983/11 infection,
1490 PURNAMA 7702 4/23/1989 unspecified 13:06:15 13:18:01 0:11:46
1491 NUNU 118177 1/1/1979 - 13:07:22 13:07:22 0:00:00
IRFAN J45 - SAMPLE
1492 SOPIAN 098213 10/2/1985 Asthma 13:09:46 13:10:55 0:01:09

R56.0 - SAMPLE
MUHAMM Febrile
1493 AD RAFA 121866 10/4/2021 convulsions 13:41:20 13:42:44 0:01:24

A15.0 -
Tuberculosi
s of lung,
confirmed
by sputum
microscopy
with or
AYILA without
1494 SAEPUDIN 119941 9/5/2005 culture 14:32:03 14:34:57 0:02:54

YOGA
1495 DEFANDRA 112180 12/6/2021 - 14:36:28 14:36:28 0:00:00

J45 -
Asthma |
R50 - Fever SAMPLE
of other
and
RAHMAT unknown
1496 HIDAYAT 103351 7/12/1970 origin 14:47:10 14:50:28 0:03:18

R50 - Fever
of other
and
DEWI unknown
1497 SARTIKA 113289 12/6/1990 origin 14:50:52 14:51:12 0:00:20

R50.9 -
HENY Fever,
1498 MULYANI 121888 11/5/1977 unspecified 14:53:55 6:30:24 15:36:29
MUHAMAD
HABIB
1499 FIRDAUS 026602 4/19/2015 - 16:14:45 20:15:12 4:00:27

DESTI
NURLALAW J45 - SAMPLE
1500 ATI 048539 2/13/1990 Asthma 16:26:16 16:27:30 0:01:14

T01 - Open
wounds SAMPLE
involving
multiple
MUHAMAD body
1501 IPALUDIN 121892 10/11/1995 regions 16:41:20 16:42:22 0:01:02

1502 IKA NOFITA 088450 11/23/1990 - 17:11:49 17:11:49 0:00:00

EULIS
1503 LISWANTI 121893 8/25/1984 - 17:16:18 17:16:18 0:00:00

GINA
MASYUNI
1504 DANIATI 040928 10/13/1994 - 17:27:30 17:27:30 0:00:00

GIDA R50.9 -
WADIVAHIS Fever,
1505 ANA 023708 12/2/2004 unspecified 17:31:59 17:32:29 0:00:30

SITI HILWA
JARIYATUL
1506 ILMI 095271 8/27/2020 - 17:35:16 17:35:16 0:00:00

T01 - Open
wounds SAMPLE
involving
multiple
ULOH body
1507 ABDULLAH 064584 7/1/1954 regions 18:35:20 18:36:58 0:01:38
R07.3 - SAMPLE
Other chest
pain | R07.4
- Chest
SITI pain,
1508 MARIYAM 018796 8/28/2000 unspecified 18:37:06 18:38:50 0:01:44
NINING
1509 NINGSIH 102236 1/1/1965 - 18:44:32 18:44:32 0:00:00

J45.9 - SAMPLE
Asthma,
1510 NASIR 121894 12/6/1957 unspecified 18:46:57 18:48:57 0:02:00

R50 - Fever
of other
and
unknown
origin |
R50.9 -
NADIA Fever,
1511 ANINDITA 121895 11/24/2020 unspecified 19:03:06 19:04:12 0:01:06

A
1512 SOBARIAH 121896 6/5/1954 - 19:08:21 19:08:21 0:00:00

GHIBRAN R50.9 -
PUTRA Fever,
1513 SANTOSO 107164 4/5/2020 unspecified 22:03:33 19:06:08 21:02:35

K30 -
Functional
dyspepsia |
R50.9 -
ENDANG Fever,
1514 ARIF 074009 7/5/1962 unspecified 19:25:08 19:26:08 0:01:00

1515 NURNELLY 048760 10/24/1967 - 19:54:00 19:54:00 0:00:00

R50.9 -
ADITIA Fever,
1516 PRIADI 109476 12/24/1994 unspecified 20:03:10 20:04:02 0:00:52
R50.9 -
SRI Fever,
1517 RAHAYU 109222 6/6/1990 unspecified 20:07:32 20:09:00 0:01:28

NYAI
1518 SARYANAH 121897 3/20/1969 - 20:15:03 22:25:56 2:10:53

R50.9 -
Fever,
1519 NYI PAPAT 076616 7/1/1972 unspecified 20:16:31 22:25:14 2:08:43

FATHAN
ARKHAN R50.9 -
FATURAHM Fever,
1520 AN 109200 5/2/2021 unspecified 21:52:29 21:53:10 0:00:41

DEDE
1521 SUMARNA 066234 10/26/1992 - 22:08:22 22:09:51 0:01:29

M75.0 -
Adhesive
capsulitis of
1522 EPON 121114 5/7/1945 shoulder 22:15:29 22:23:18 0:07:49

RAIHAN
RIZKI J45 - SAMPLE
1523 ADITIA 079482 8/27/2013 Asthma 22:41:10 22:42:11 0:01:01
FAIRUZA J45 - SAMPLE
1524 ELFATIH 083575 8/16/2019 Asthma 22:44:23 22:46:59 0:02:36

R50.9 -
KAMILA Fever,
1525 NUR HILYA 104576 8/9/2020 unspecified 6:57:32 22:49:41 15:52:09
TOTAL
SAMPLE
RESPON TIME SAMPEL PASIEN 257

< 5 MENIT 253 Pasien N 253

> 5 MENIT 4 Pasien D 257

Capaian 98.40%
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : SEPTEMBER 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Periksa

SHABIRA
R50.0 - Fever
1 NUR 106804 6/8/2019 1:17:11 1:20:18
with chills
AZZAHRA

A09 - Other
MAHESA AL gastroenteritis
2 121902 4/14/2021 and colitis of 1:31:51 1:35:14
FATIH
infectious and
unspecified origin

A09.9 -
MUHAMM
Gastroenteritis
3 AD NAUFAL 118528 5/22/2001 2:04:57 2:08:06
and colitis of
ICHSAN
unspecified origin

K30 - Functional
4 IPIT 121904 9/1/1977 2:26:49 2:30:55
dyspepsia

5 ARIFIN 121906 1/1/1952 - 3:09:22 3:11:06

6 MUHAMM 121866 10/4/2021 R50.9 - Fever, 4:44:19 4:47:10


AD RAFA unspecified

DIDIN
7 JAMALUDI 047709 6/21/1973 - 6:48:40 6:53:32
N
NAUFAL R50.9 - Fever,
8 119728 5/23/2022 5:52:12 5:53:55
AZKAR unspecified

ARBANNI
ADAMA
9 AULIA 117938 11/20/2019 - 6:13:20 6:14:18
HERMAWA
N

HENDRI
10 121908 11/13/1994 - 6:40:44 6:41:33
YUSUF

R11 - Nausea and


NAJMA vomiting | R50.9
11 121909 12/23/2021 6:45:50 6:48:21
AUFIYA - Fever,
unspecified
ROSITA
12 RISMAYASA 121910 5/25/1997 - 6:55:35 6:56:07
RI
13 YUHANA 103578 7/1/1951 - 7:28:15 7:29:40

R50 - Fever of
NADIRA
14 085370 8/1/2019 other and 9:14:30 9:48:54
MAULIDA
unknown origin

A91 - Dengue
MUHAMAD haemorrhagic
DAFFA fever | R50 -
15 121917 7/12/2019 10:33:14 11:25:09
RAMDAN Fever of other
BUDIMAN and unknown
origin

ARSYAKY T14 - Injury of


16 FARZANA 121921 5/24/2021 unspecified body 10:54:45 10:58:24
SUPANDI region

RATU J06.9 - Acute


ARABELLA upper respiratory
17 121922 5/22/2021 11:21:54 11:23:21
ISLAMADIN infection,
A unspecified

18 E. 121923 2/5/1962 - 11:25:48 11:27:48


SARTIWAN

MUHAMM
AD ZEIN R50 - Fever of
19 LASKAR 121924 3/5/2015 other and 11:39:28 11:40:00
HASBIALLA unknown origin
H

K52.0 -
Gastroenteritis
and colitis due to
LUSI
20 056450 10/5/1995 radiation | R50 - 11:45:15 11:47:01
NURYANTI
Fever of other
and unknown
origin
MUHAMM
AD DANU
21 121927 10/25/2016 - 10:44:05 10:46:10
PRAYOGA
SETIAWAN

DZAKIYAH J18.0 -
22 NUR SAFA 116991 12/26/2021 Bronchopneumo 13:23:09 13:27:07
ALZENA nia, unspecified

M14.2 - Diabetic
arthropathy (E10-
E14+ with
SHOLAHUD
23 121928 6/12/1966 common fourth 14:32:33 14:34:00
IN KAMIL
character .6) |
R50.0 - Fever
with chills

SAHMUDIN 120683/12 R50.0 - Fever


24 7/3/1969 14:41:52 14:45:30
LABIB 2453 with chills

MUHAMAD
S01 - Open
25 FAHDI 070743 6/18/2019 15:33:28 15:36:02
wound of head
ALISYAKIR

A09.0 - Other
unspecified
WIDHIAWA
26 118075 4/15/1999 gastroenteritis 16:09:44 16:13:04
TY NOOR
and colitis of
infectious origin

A09 - Other
gastroenteritis
and colitis of
infectious and
DEDE
27 SUMIATI 043991 6/6/1973 unspecified origin 17:13:52 17:17:45
| J18 -
Pneumonia,
organism
unspecified

PEPEN
28 069334 10/1/1962 R06.0 - Dyspnoea 17:17:14 17:20:17
SUPENDI
A09 - Other
ALUNA gastroenteritis
29 QURRATUA 121930 9/15/2021 and colitis of 17:21:05 20:29:05
IN infectious and
unspecified origin

UCUP
30 121523 5/16/1969 J45 - Asthma 17:26:20 17:29:42
SUPRIATIN

MUHAMAD T01.0 - Open


31 FARIZ AL 094998 5/30/2015 wounds involving 17:29:38 17:30:44
FATIH head with neck

M. AFKAR
32 035608 1/22/2015 - 17:36:09 17:38:10
NAWWAF

R50 - Fever of
ABYAN
33 097570 3/15/2019 other and 17:37:42 17:38:23
THARIQ
unknown origin

AFSHAKA R50 - Fever of


34 KHAIRIL 096987 5/24/2020 other and 17:43:12 17:44:46
RASYIQ unknown origin

RIA DWI
35 PUSPITASA 027950 3/3/1989 - 17:54:53 17:55:36
RI

GALIH R50 - Fever of


36 ALFAN 121932 1/27/2015 other and 18:19:59 18:20:13
RADITIANS
unknown origin
YAH

R50 - Fever of
37 DAPA 107888 10/18/2010 other and 18:28:38 18:30:44
ADITIA
unknown origin

ANNISA R50 - Fever of


38 PUTRI 024898 5/21/2016 other and 18:40:25 18:41:05
PRATAMA unknown origin

MARIO
R50 - Fever of
HAICKAL
39 121933 2/10/2014 other and 18:47:33 18:48:38
FEBIANALD
unknown origin
Y
NAYLA
40 YADI 047348 7/5/2007 K30 - Functional 18:54:20 18:55:04
DAMAYANT dyspepsia
I

ROSLINDA
41 RISMAWAT 046287 6/5/1977 J45 - Asthma 18:56:55 18:59:15
I

SULASTRI
42 121907 4/7/1989 - 19:01:21 19:05:14
NABABAN

K30 - Functional
43 ODAH 072971 4/2/1966 19:21:59 19:22:17
dyspepsia

NUR
44 AISYHA 121912 8/10/2013 - 19:24:49 19:27:03
FITRI

J06.9 - Acute
ELSA PUTRI upper respiratory
45 100862 8/19/2019 20:20:12 20:22:09
FAUZIAH infection,
unspecified

R50.9 - Fever,
46 MIRAWATI 025193 6/13/2002 21:20:49 21:23:20
unspecified

ETI K30 - Functional


47 006668 8/12/1956 21:28:24 21:30:12
SUNDAYATI dyspepsia

A09.9 -
AHMAD Gastroenteritis
48 103399 6/3/1984 21:38:47 21:39:56
SAEPULOH and colitis of
unspecified origin

A09.9 -
ABRISAM
Gastroenteritis
49 REYNAND 106792 6/6/2016 22:10:15 22:10:28
and colitis of
RABBANI
unspecified origin

LILI J45.9 - Asthma,


50 SOMANTRI 061719 8/11/1959 unspecified 22:14:10 22:17:27

ELA
51 121934 8/9/1965 R51 - Headache 22:20:09 22:20:14
NURLAELA
AHMAD
52 BAIHAQI 121935 6/15/2021 R50.0 - Fever 23:15:52 23:16:45
with chills
SOMANTRI

RAIHAN
53 ABDUL 020393 8/14/2016 - 23:25:42 23:26:21
RIJIK

R10.4 - Other and


54 HAMBALI 062367 1/1/1955 unspecified 0:27:19 0:30:08
abdominal pain

A09 - Other
DADAN gastroenteritis
55 HERMAWA 102184 1/2/1960 and colitis of 1:02:58 1:07:14
N infectious and
unspecified origin

J45.9 - Asthma,
56 UYUN 015433 7/10/1970 5:17:11 5:20:36
unspecified
FINA K30 - Functional
57 HANDAYAN 094134 8/17/1974 5:22:22 5:25:15
dyspepsia
I

AFDHAL R56 -
033607/09 Convulsions, not
58 NUR 8/21/2017 6:37:00 6:41:16
6526 elsewhere
RAHMAN
classified

REZA NUR K30 - Functional


59 116697 4/19/2000 6:40:49 6:42:24
AFRIANDI dyspepsia

60 JAJANG 119089 4/21/1964 - 7:10:24 7:13:20

J06.9 - Acute
QISYA
upper respiratory
61 AZZALEA 112506 8/27/2021 7:49:23 7:51:02
infection,
PUTRI
unspecified

K30 - Functional
62 KOMALA 036575 6/24/1949 dyspepsia 8:45:34 8:47:18

R11 - Nausea and


ZIAN PUTRI vomiting | R50.9
63 121946 9/9/2021 8:58:36 9:00:11
AYUDIA - Fever,
unspecified
R56.0 - Febrile
64 AGIS 121947 10/12/2021 9:10:17 9:13:45
convulsions

E10 - Insulin-
dependent
diabetes mellitus
| M14.2 -
Diabetic
65 WIWIT 120157 4/20/1961 arthropathy (E10- 9:27:19 9:29:42
E14+ with
common fourth
character .6) |
R11 - Nausea and
vomiting

R50 - Fever of
other and
66 IBNU 121963 9/20/2019 unknown origin | 10:15:48 10:16:23
ALZAM
R50.9 - Fever,
unspecified

R11 - Nausea and


NUR ALFI vomiting | R50.9
67 121964 11/23/2002 10:56:22 11:04:17
LAILA - Fever,
unspecified

OKEU K30 - Functional


68 073771 10/1/1998 11:06:39 11:07:12
WAHYUNI dyspepsia

H02.9 - Disorder
UCEP,
69 040496 9/15/1965 of eyelid, 11:46:51 11:53:52
(DRS).
unspecified

KHAERLIN R50.0 - Fever


NATALIA with chills |
70 121966 12/25/2014 13:22:47 13:24:47
ARYA R50.9 - Fever,
SUKMA unspecified

MUHAMM
AD NAZRIL
71 121967 5/8/2020 - 13:27:25 13:29:37
AL
GHOZALI

QIANZY
72 AZZAHRA 121968 11/23/2020 - 13:32:27 13:40:03
SAKHI
J06.9 - Acute
upper respiratory
73 NOVIYANTI 020182 11/19/1987 infection, 13:37:35 13:38:12
unspecified | K30
- Functional
dyspepsia

OFIK
74 HERMAWA 016295 7/24/1981 - 14:26:48 14:26:48
N

RM. ATAN J00 - Acute


75 ALI 112330 8/18/1958 nasopharyngitis 14:40:10 14:57:39
SUNGKAR [common cold]

D64 - Other
anaemias | K30 -
Functional
dyspepsia | R63 -
76 IDAH 118112 9/6/1961 Symptoms and 14:41:41 16:16:36
signs concerning
food and fluid
intake

K30 - Functional
77 HOLID 121971 9/20/1954 15:41:13 16:13:59
dyspepsia

J44 - Other
chronic
obstructive
SELVI
78 047076 8/7/1999 pulmonary 15:46:51 16:13:05
SAPITRI
disease | K30 -
Functional
dyspepsia

J44 - Other
chronic
WAWAN
79 115368 7/1/1959 obstructive 15:48:06 16:00:08
GUNAWAN
pulmonary
disease

R50 - Fever of
80 RISKA 121973 3/2/1992 other and 16:34:36 16:40:42
ARISKA
unknown origin
RIVANI
R50.0 - Fever
81 RAHMAWA 121974 8/12/1999 16:39:01 18:13:54
TI with chills

K52.0 -
RICKY Gastroenteritis
82 121016 7/27/1998 16:51:55 17:16:18
JUWONO and colitis due to
radiation

ADITYA
83 TEGAR 121975 3/4/2009 - 16:57:00 17:12:49
SETIAWAN

DESTI R50.0 - Fever


84 NURLALAW 048539 2/13/1990 17:06:17 17:18:07
with chills
ATI

ARI IDRUS,
85 063003 1/1/1996 G43 - Migraine 17:08:49 17:29:54
SE

T14.0 -
Superficial injury
86 JIJIN 121977 1/1/1972 17:11:45 17:15:22
of unspecified
body region

R50 - Fever of
KHAYLA other and
87 GHANIYYA 097690 1/20/2020 unknown origin | 17:20:58 17:22:42
NURUL
R50.0 - Fever
MUGHNI
with chills

NABILA A90 - Dengue


88 SYAHVITRI 121978 5/3/2006 fever [classical 18:17:59 18:59:40
BR. dengue] | R50.0 -
TARIGAN Fever with chills

K52.9 -
Noninfective
gastroenteritis
RAFA and colitis,
89 RAMADHA 045460 7/30/2011 unspecified | R50 18:40:12 20:44:20
N - Fever of other
and unknown
origin | R50.0 -
Fever with chills
M DAFFA
90 012268 6/4/2011 J45 - Asthma 18:55:44 18:58:53
AL SYAKIB

91 SUMINTA 121980 3/8/1964 - 19:34:17 20:10:22

L23.3 - Allergic
HAIKAL contact
92 AKBAR 008598 10/6/2012 dermatitis due to 19:41:53 19:43:17
AGUSTIAN drugs in contact
with skin

J06.0 - Acute
DEA laryngopharyngiti
93 114880 4/6/1987 19:49:40 19:51:16
RAHMALIA s | R50.0 - Fever
with chills

NURMILAS
94 121981 4/21/1995 - 20:00:48 20:04:23
ARI

J06.0 - Acute
laryngopharyngiti
RAIHAN s | R50 - Fever of
95 ABDULLAH 121982 2/26/2006 other and 21:26:22 21:27:12
USMAN unknown origin |
R50.9 - Fever,
unspecified

IKHBAL I11 -
96 109895 5/6/1999 Hypertensive 21:35:04 21:38:42
GUMELAR
heart disease

MUHAMM
R50 - Fever of
AD HAIDAR
97 118716 8/22/2021 other and 21:53:28 21:54:14
HB
PERDANA unknown origin

MUHAMM
AD R50 - Fever of
98 NAZARIE 087488 1/9/2020 other and 22:11:52 22:12:54
ESHAN unknown origin
SHAFIULLA

GIAN L25 - Unspecified


99 KURNIAWA 121984 4/3/1986 contact 22:15:06 22:16:48
N dermatitis
A09 - Other
gastroenteritis
100 ACHMAD 084116 6/3/1975 and colitis of 22:36:32 22:37:25
DJUNAEDI
infectious and
unspecified origin

IWAN
101 121989 6/1/1977 - 1:26:02 2:17:56
GUNAWAN

PUTRA
R50 - Fever of
WAHYU 112642/08
102 5/17/2020 other and 1:26:02 1:27:04
MAHATIDA 9357
unknown origin
NA

J06.9 - Acute
FARIZKI upper respiratory
103 118095 11/2/2021 18:27:40 18:30:16
ALFATIH infection,
unspecified

IKA R50.0 - Fever


104 047781 6/12/1971 3:44:26 12:11:51
SUKARTIKA with chills

MUHAMM
AD R50.0 - Fever
105 112812 10/27/2021 4:32:59 4:34:49
HAMZAH with chills
AL HUSAIN

K52.9 -
Noninfective
gastroenteritis
106 GUNAWAN 108394 7/12/1992 and colitis, 5:54:32 12:07:36
unspecified | R50
- Fever of other
and unknown
origin

LIA K30 - Functional


107 121991 8/4/1985 6:08:27 6:09:35
SUMIATI dyspepsia

R50 - Fever of
108 SALWA 121992 8/11/2015 other and 7:02:33 8:05:50
SAHRIANTI
unknown origin
A05.4 -
Foodborne
Bacillus cereus
intoxication |
AZKAN J18.0 -
109 119755 5/22/2022 7:05:56 19:42:34
MAULANA Bronchopneumo
nia, unspecified |
J20.6 - Acute
bronchitis due to
rhinovirus

J06.9 - Acute
upper respiratory
infection,
KHAYLA unspecified | R50
110 ARSYANA 098500 1/10/2020 - Fever of other 8:54:10 8:55:13
MARITZA and unknown
origin | R50.9 -
Fever,
unspecified

RIA R50.9 - Fever,


111 065734 5/1/1985 10:05:21 10:07:09
MELIANI unspecified

K30 - Functional
ENGKUS dyspepsia |
112 KUSNADI 122000 10/10/1950 R07.4 - Chest 10:09:45 10:10:30
pain, unspecified

NURMALA R50.9 - Fever,


113 122001 6/2/2007 10:15:46 10:16:08
AULIA unspecified
RUSTIAWA
114 047359 10/18/1978 - 10:22:50 10:23:59
TI

RESSA L23.9 - Allergic


PUTRI contact
115 037007 6/18/2004 10:25:48 11:10:18
DINDA dermatitis,
MARISSA unspecified cause
K30 - Functional
dyspepsia | R50 -
116 RAZALI 122002 10/31/1979 Fever of other 10:43:48 10:44:53
and unknown
origin

T24 - Burn and


corrosion of hip
117 BISMA 122003 9/1/2016 and lower limb, 13:35:34 13:39:12
except ankle and
foot

ANNASYA J18.0 -
118 OKTAVIA 122004 10/30/2020 Bronchopneumo 13:39:35 13:41:00
MAULIDA nia, unspecified

AGUNG
119 SUPRIYANT 100919 1/1/1996 - 14:20:47 14:46:39
O

A90 - Dengue
fever [classical
SYASYA
120 SHIFANIE 095456 10/1/2009 dengue] | R50.9 - 11:31:02 18:59:02
Fever,
unspecified

J06.9 - Acute
DHIAURAH
079787/11 upper respiratory
121 MAN AL 1/23/2019 15:39:33 16:42:47
2047 infection,
SUTA
unspecified

MARAJAL
122 062251 11/27/2006 - 15:57:41 15:57:41
BAHRAIN

MOCHAMA
D ALFHA R50.9 - Fever,
123 103508 3/21/2005 16:24:46 16:40:59
REZAL unspecified
AKBAR

ROHUDIN
124 060618 10/6/1972 - 16:42:38 17:03:06
D. SALIM

ATHIFA
125 SHIDQIA 122007 5/14/2020 J45 - Asthma 16:48:17 16:52:13
MAULANA
AULIA
126 AFRILIA 122008 4/4/2015 - 16:54:43 16:59:54
SAPUTRI

J06.0 - Acute
PANJI laryngopharyngiti
127 109563 2/12/1984 17:05:08 17:07:23
YUSUF s | R50.0 - Fever
with chills

PUPUT K30 - Functional


128 122009 4/9/1996 17:11:37 17:39:42
PUTRI dyspepsia

K52.0 -
Gastroenteritis
129 SURYANI 122010 12/31/2002 and colitis due to 17:18:32 17:20:40
radiation

K30 - Functional
dyspepsia | R63 -
Symptoms and
130 OHAN 013720 8/17/1951 signs concerning 17:21:11 19:33:16
food and fluid
intake

GALIH J06.0 - Acute


ALFAN laryngopharyngiti
131 121932 1/27/2015 17:26:51 18:24:10
RADITIANS s | R50.0 - Fever
YAH with chills

I50.0 -
Congestive heart
132 DADANG 122011 3/31/1961 failure | K30 - 17:36:54 17:40:14
JUWANSA
Functional
dyspepsia

T01 - Open
ADI wounds involving
133 122012 5/6/1989 17:43:24 17:47:34
SUPYANDI multiple body
regions

OKEU K30 - Functional


134 073771 10/1/1998 18:18:18 18:20:04
WAHYUNI dyspepsia
EMI K30 - Functional
135 078435 11/16/1979 18:31:22 18:33:05
HAMIDAH dyspepsia

MUHAMAD
136 FATHAN 067273 8/4/2014 L50 - Urticaria 18:33:32 18:33:44
MUBAROK

MUTIARA
R11 - Nausea and
137 ARSYLA 093172 11/7/2017 18:44:41 18:46:32
vomiting
PUTRI

MUHAMAD
138 FIRGI 086013 3/22/2013 L08.0 - Pyoderma 18:52:43 18:54:09
HIDAYAT

I61 -
139 NANI 122014 11/6/1948 Intracerebral 18:58:20 18:59:02
haemorrhage

K30 - Functional
140 KUSNO 067029 7/1/1958 19:01:42 19:03:35
dyspepsia

N39.0 - Urinary
141 JEJEN 117175 7/5/1978 tract infection, 19:27:14 19:39:04
site not specified

I10 - Essential
142 ABIDIN 122015 7/1/1955 (primary) 19:33:44 19:34:02
hypertension

K12.1 - Other
DASEP
143 003242 3/31/1975 forms of 19:44:56 19:45:02
SETIAWAN stomatitis

AYANG
R50.9 - Fever,
144 SYOUD 067760 5/3/2001 unspecified 20:17:28 20:18:02
BAHTIAR

AYUNDA
145 PUTRI 122017 10/8/2017 - 20:24:53 20:27:36
ALAIS

ZELINE R50.1 - Persistent


146 ZAKEISHA 107014 6/15/2020 fever 21:10:28 21:11:23

NAZLA
147 MUFIDAH 121832 8/31/2003 K30 - Functional 21:13:30 21:14:21
dyspepsia
M
ANI
K30 - Functional
148 RESMUGIA 119719 4/19/1995 21:29:41 21:31:09
NTI dyspepsia

PRASETYA R50 - Fever of


149 PUTRA 078929 1/21/2015 other and 22:19:56 22:20:20
PRATAMA unknown origin

RENAYA
150 117309 4/15/2022 J45 - Asthma 23:29:10 23:31:58
ALMAHYRA

IDLAN AL
151 122018 11/3/2014 - 23:35:11 23:37:15
FARABI

A09 - Other
gastroenteritis
NENG ANIS
152 SAFITRI 122019 6/1/2001 and colitis of 0:13:51 9:48:07
infectious and
unspecified origin

L02 - Cutaneous
153 HAROM 122020 9/4/1983 abscess, furuncle 0:35:25 0:40:48
and carbuncle

154 SUPARMAN 122021 5/17/1962 K37 - Unspecified 0:38:25 18:40:21


appendicitis

A09 - Other
gastroenteritis
FAHMI
155 122022 4/25/2022 and colitis of 2:39:57 15:23:00
AHMAD
infectious and
unspecified origin

VANIA
156 CANTIKA 076044 3/11/2019 - 2:45:01 23:06:14
CHANDRA

MUTIA R50 - Fever of


157 MUTMAIN 045068 6/26/2008 other and 5:31:24 5:32:55
NAH unknown origin

PUTRA
R50 - Fever of
158 WAHYU 112642/08 5/17/2020 other and 5:33:38 18:38:43
MAHATIDA 9357
unknown origin
NA
159 SARI 039468 7/2/1953 J45 - Asthma 6:03:37 6:07:54
BADRIA
MAULANA
160 042793 4/11/1935 J45 - Asthma 6:23:22 6:25:49
KOMARUD
DIN

RISA SETIA R50.1 - Persistent


161 027002 7/9/1992 6:45:58 14:36:18
MAHARANI fever

J06.9 - Acute
NAIRA upper respiratory
162 ADELIA 021322 6/21/2015 6:51:48 6:51:48
infection,
RAMDHANI unspecified

NAIRA
163 ADELIA 021322 6/21/2015 - 6:54:52 8:35:27
RAMDHANI

DADANG
164 122011 3/31/1961 - 6:55:07 6:58:25
JUWANSA

ANGGINA R50 - Fever of


165 QALBI 081935 8/6/2019 other and 7:06:42 7:15:24
TANISYA unknown origin

166 I. SYAPEI 028034 9/17/1956 J45 - Asthma 7:19:11 7:21:28

T01 - Open
wounds involving
167 TRISTANTI 122028 7/21/2006 7:23:22 7:27:04
multiple body
regions

A09 - Other
MUHAMM gastroenteritis
168 AD FADLAN 049138 3/12/2018 and colitis of 7:24:45 7:25:50
HIDAYAT infectious and
unspecified origin
K30 - Functional
dyspepsia | R50 -
Fever of other
OTIN
169 074987 1/15/1972 and unknown 8:17:16 9:30:42
SUMIARTI
origin | R50.9 -
Fever,
unspecified

A09 - Other
gastroenteritis
IBIN
170 122029 5/25/1960 and colitis of 8:52:19 9:31:11
SARBINI
infectious and
unspecified origin

AGUS K30 - Functional


171 016450 5/11/1960 8:55:56 8:56:44
RAHMAT dyspepsia

BUNGA
172 PUTRI 098062 10/23/2020 - 9:25:18 9:26:39
FRAYOGI

M79.1 - Myalgia
MOCH.
| R50 - Fever of
173 RIZKY 080212 11/18/1989 9:46:08 9:47:34
other and
MAULANA
unknown origin

174 NURNELLY 048760 10/24/1967 - 9:55:23 9:55:23

A09 - Other
BILAL gastroenteritis
175 YUGO 122030 6/11/2018 and colitis of 10:07:46 10:08:02
SETIAWAN infectious and
unspecified origin

J06.9 - Acute
MUHAMM
upper respiratory 10:14:23
176 AD BIRRUL 122031 6/12/2015 10:14:29
infection,
WALIDAINI
unspecified
J06.9 - Acute
MUHAMM upper respiratory
infection,
177 AD NAJIB 122032 9/19/2018 10:19:18 10:20:04
unspecified |
ARRAHIM
R50.9 - Fever,
unspecified

J06.9 - Acute
upper respiratory
IRVI INTAN infection,
178 122033 1/10/1990 10:22:46 10:23:27
WIDIANTY unspecified |
R50.9 - Fever,
unspecified

YULIAN
R50.9 - Fever,
179 TRESNAWA 122034 7/24/1981 10:28:11 10:28:37
unspecified
TI

M RUMI
R50.9 - Fever,
180 FAYYADH 122035 6/13/2020 10:32:59 10:39:12
AYYASYI unspecified

NUR R50.9 - Fever,


181 122036 1/1/2022 11:05:59 11:06:49
SYAHIDA unspecified

FENNY NUR R50.9 - Fever,


182 122041 9/2/1999 13:28:27 13:28:58
SEPTIANI unspecified

IIN
183 122042 8/15/1976 J45 - Asthma 14:23:08 14:27:07
MARLINA

184 SOPYANDI 122043 3/11/1973 - 14:32:08 14:33:29

SARAH
185 122044 10/28/2003 - 14:36:07 15:17:37
NURAISYAH

IKHSAN
T14 - Injury of
NAZAR
186 122045 9/2/1994 unspecified body 14:40:39 14:45:08
ARRAHMA
region
N

RUKOYAH, K30 - Functional


187 102726 7/1/1957 14:44:41 14:45:25
(Hj). dyspepsia

188 CUCU SITI 122046 5/6/1979 R07.3 - Other 14:49:32 14:53:43


HALIMAH chest pain
NENENG 098345/08 R50.9 - Fever,
189 9/30/1965 15:01:44 15:03:14
KANIA 1551 unspecified

K30 - Functional
BAYU dyspepsia | R11 -
190 107381 1/5/1983 15:22:28 15:25:35
NENDIANA Nausea and
vomiting

R50 - Fever of
191 FAUZI 122047 5/1/1999 other and 15:25:50 15:26:00
SOLEHUDIN
unknown origin

J06.9 - Acute
PRATAMA upper respiratory
192 175752 8/2/2017 15:53:20 15:54:59
ABQARY infection,
unspecified

T14 - Injury of
BUDI
193 087696 5/9/1973 unspecified body 16:36:53 16:38:01
SAPRUDIN
region

194 JAJANG 120583 7/10/1941 K30 - Functional 16:20:20 17:55:42


dyspepsia

K05 - Gingivitis
195 DEDE 066234 10/26/1992 and periodontal 16:22:28 16:23:29
SUMARNA diseases

K52.9 -
RAFKA Noninfective
196 ARSHA 074251 8/23/2019 gastroenteritis 16:32:05 16:51:56
FATHAN and colitis,
unspecified

IIS NENDEN K30 - Functional


197 FATIMAH 019570 12/2/1962 dyspepsia 16:35:32 16:36:25

K30 - Functional
198 MAMAN 122048 8/5/1951 17:06:57 17:07:09
dyspepsia

MUHAMM
199 AD SULTAN 122049 5/31/2001 - 17:13:49 17:14:28
MURSAL
MOHAMM T14 - Injury of
AD FACHRI
200 083653 4/21/2009 unspecified body 17:30:42 17:32:58
ABDUL region
ROZAK

BAYI NY
201 TUTI 122050 5/23/2022 - 18:18:15 18:19:32
SUYANTI

J06.9 - Acute
upper respiratory
202 UHI SANUSI 045849 3/1/1966 18:25:00 18:26:50
infection,
unspecified

R50 - Fever of
MALIK other and
203 ABDALLAH 102954 2/25/2021 unknown origin | 18:46:25 18:49:27
FAISAL R56.0 - Febrile
convulsions

T14.0 -
MUHAMM Superficial injury
204 AD AKHTAR 122051 1/23/2019 of unspecified 18:53:20 18:57:12
ALFARIZQI
body region

DEDE R10.0 - Acute


205 122052 4/11/1989 19:04:34 19:06:56
ABDUL AZIZ abdomen

206 DEDE 122053 8/16/1962 K30 - Functional 19:13:33 19:14:02


JUNAEDI dyspepsia

J06.9 - Acute
ATI upper respiratory 19:17:28
207 122054 10/21/1987 19:18:57
HARYANTI infection,
unspecified

J06.9 - Acute
upper respiratory
208 SUMITRA 122055 6/30/1955 19:48:47 19:49:30
infection,
unspecified

R50 - Fever of
RIDWAN
209 058727 11/10/1991 other and 19:51:02 19:52:08
MAURAKSA
unknown origin

210 HINDUN 008308 8/5/1947 - 20:45:00 20:46:10


HUMAIRA
211 AISYAH 48987 5/22/2018 - 21:10:41 21:55:51
RAMADHA
NA
212 CECEP 122056 12/24/1976 J45 - Asthma 21:14:28 21:18:05

POPON R50.0 - Fever


213 122057 4/2/1967 21:19:09 21:21:00
NURBAETI with chills

K52.0 -
Gastroenteritis
MUHAMM
and colitis due to
214 AD RIZAL 121364 12/24/2019 21:23:04 21:53:45
radiation | R11 -
PRATAMA
Nausea and
vomiting

DINI R50.0 - Fever


215 122058 8/17/1983 21:31:27 22:06:38
JAELANI with chills

ISAL K30 - Functional


216 122060 6/6/1984 22:59:25 23:22:36
SALDIAH D. dyspepsia

MUHAMM 103847/11 J06.0 - Acute


217 AD AKHTAR 0917 3/25/2021 laryngopharyngiti 23:07:19 23:10:29
AL MALIK s

K21.9 - Gastro-
oesophageal
reflux disease
218 IPIT 122061 7/1/1962 without 23:31:34 23:34:15
oesophagitis |
R50.0 - Fever
with chills

B34.2 -
Coronavirus
AQILA NUR infection,
219 073442 4/8/2018 unspecified site | 23:38:38 23:40:05
AFRILIA
R50.0 - Fever
with chills

K30 - Functional
dyspepsia |
220 MAYOT 093789 3/6/1955 1:30:35 3:31:18
R50.9 - Fever,
unspecified
G43 - Migraine |
221 NURAENI 122065 10/11/1979 K30 - Functional 3:14:46 3:15:03
dyspepsia

MALIK
222 ABDALLAH 102954 2/25/2021 - 5:19:35 23:06:54
FAISAL

T14.0 -
090195/10 Superficial injury
223 SARI 3/2/1999 5:36:20 5:40:07
8865 of unspecified
body region

R11 - Nausea and


NUR
224 122036 1/1/2022 vomiting | R50.0 6:33:16 7:17:23
SYAHIDA
- Fever with chills

T14.0 -
225 BUDI 087696 5/9/1973 Superficial injury 6:53:25 6:57:27
SAPRUDIN of unspecified
body region

226 ENCUN 065768/08 7/1/1961 K30 - Functional 7:07:59 7:52:49


6366 dyspepsia

REYGA J06.0 - Acute


227 ABIYU 060344 5/19/2015 laryngopharyngiti 7:09:15 7:11:30
ARRASYIDI s

DARDA R50.0 - Fever


228 037513 5/7/1975 9:38:51 10:27:08
FIRDAUS with chills

R10.4 - Other and


229 HENDRA 122069 11/1/1980 unspecified 9:38:46 10:22:09
abdominal pain

A09.9 -
Gastroenteritis
YOYOH and colitis of
230 RUQOYAH 122072 12/12/1975 unspecified origin 8:24:05 10:01:46
| R50.9 - Fever,
unspecified

KOMARUDI R10.0 - Acute


231 122073 3/3/1983 8:31:41 8:34:59
N abdomen
R11 - Nausea and
232 ALYA SHIVA 112288 2/22/2012 vomiting | R50.9 8:45:34 8:50:06
MAULIDYA - Fever,
unspecified

A09 - Other
gastroenteritis
and colitis of
GITTA
infectious and
233 MAYGA 118921 5/25/1992 unspecified origin 9:19:16 9:56:18
ARISMAWA
| A09.9 -
N Gastroenteritis
and colitis of
unspecified origin

A09 - Other
gastroenteritis
and colitis of
MUHAMM
infectious and
AD
234 122076 4/21/1993 unspecified origin 9:21:52 9:25:39
TAMAMUD
| A09.9 -
DIN
Gastroenteritis
and colitis of
unspecified origin

ISAL R10.0 - Acute


235 122060 6/6/1984 10:00:46 10:04:13
SALDIAH D. abdomen

A09.9 -
NATHAN
Gastroenteritis
236 ALFAREZI 122086 4/17/2022 10:22:01 10:29:41
and colitis of
PRATAMA
unspecified origin

LUSI K30 - Functional


237 114975 3/22/1978 11:55:56 11:56:59
RUSMIATI dyspepsia

RIYAN R50.9 - Fever,


238 063080 11/12/1991 12:44:10 12:44:49
RIYANA unspecified

K30 - Functional
dyspepsia |
ENUNG R07.1 - Chest
239 058048 7/19/1972 13:02:23 13:05:08
NURYATI pain on breathing
| R07.3 - Other
chest pain
NENG SITI
240 122093 12/8/1999 - 13:10:44 13:13:19
HOLILAH

A90 - Dengue
fever [classical
IDLAN AL dengue] | R50 -
241 122018 11/3/2014 13:20:24 16:20:37
FARABI Fever of other
and unknown
origin

FARIS
R50.9 - Fever,
242 RAMADHA 122095 10/7/2007 13:26:57 13:31:23
unspecified
N

243 RIZKI BARA 122097 1/30/2022 R50.9 - Fever, 13:33:32 13:35:34


LESMANA unspecified

R04 -
MOHAMAD Haemorrhage
244 RIZKI 122099 9/12/2001 from respiratory 13:35:16 14:52:04
FADLILAH passages | R04.2
- Haemoptysis

K30 - Functional
245 DAHROMI 121382 7/16/1934 13:40:18 13:43:16
dyspepsia

MUHAMM
246 AD AZHRIEL 122101 9/5/2022 - 18:54:29 18:59:54
SAPUTRA

MUHAMM
247 AD 122102 1/1/2019 - 18:55:04 18:55:04
HAMBALI

DEDDY
248 HEMDRAW 122103 6/7/1973 R11 - Nausea and 18:55:11 18:57:33
vomiting
AN

M RIFQI R50 - Fever of


249 SHOFWWA 122104 6/23/2010 other and 18:55:19 18:58:07
TULLAH unknown origin

MUHAMM
250 AD AHZA 122105 3/24/2018 J45 - Asthma 18:55:53 18:59:28
FIRDAUS

251 YUNI 122107 10/15/1992 - 18:56:08 18:59:24


MUHAMM R56 -
252 AD AL 122108 8/6/2020 Convulsions, not 15:22:29 15:24:52
GHAISAN elsewhere
KHAIRY classified

NUR
K40 - Inguinal
253 IBRAHIM 122081 5/19/1976 16:28:39 17:30:40
hernia
SALEH

254 INDRIANI 075746 8/10/2000 R51 - Headache 16:35:46 16:36:22

MIDA
255 047441 2/13/2000 - 16:39:08 16:39:08
HAMIDAH

AQILAH R50 - Fever of


256 QAIREEN 122109 3/30/2013 other and 16:44:03 16:45:31
PUTRI unknown origin

KOMALASA
257 122110 6/8/1979 - 17:11:31 17:11:31
RI

EKA
258 057451 7/18/1994 - 17:59:30 17:59:30
SETIAWATI

MALAK
259 TALAL ALI 122111 3/7/2017 R11 - Nausea and 17:22:11 17:23:12
ALAWAMLE vomiting
H

ZIAN PUTRI
260 121946 9/9/2021 - 17:39:36 17:43:26
AYUDIA

261 SRI 094381 7/6/1974 - 18:16:15 18:16:53


HARYATI

RAMDAN
262 NAIPATUL 121161 5/7/2014 R06.0 - Dyspnoea 18:29:48 19:38:24

263 MINJANAH 023789 4/16/1964 - 18:36:05 18:37:06

264 UNSUR 101383 1/1/1956 R06.0 - Dyspnoea 18:56:54 19:00:50

YUSRIL R50.9 - Fever,


265 DWILY 122113 1/23/2009 unspecified 19:02:49 19:35:14

MUHAMM
266 AD 122114 4/20/2020 - 19:25:40 19:27:26
KHANAFY
R50.9 - Fever,
267 SITI AISAH 098510 8/5/1978 20:26:37 20:27:32
unspecified
L30.8 - Other
YULI
268 038073 10/4/2000 specified 20:01:01 20:02:05
OKTAVIANI dermatitis

SAHLA
L30.8 - Other
RIZKIA
269 095535 9/1/2020 specified 20:42:00 20:43:52
HERMAWA
dermatitis
NDI

DEDE R50.0 - Fever


270 121833 3/15/1974 20:43:58 22:05:52
KARTINI with chills
R10.0 - Acute
271 MAMAT 122119 6/12/1959 abdomen 20:47:44 20:48:47

272 SITI AISAH 053764 4/6/1988 J45 - Asthma 20:49:50 20:53:33

AZHAR
273 RAFIF 078551 10/30/2019 - 20:56:10 20:57:35
AKBAR

MUHAMM
R50.0 - Fever
274 AD BILAL 079562 11/23/2019 0:46:05 1:13:12
with chills
HAMIZAN

NAZWA
R50.0 - Fever
275 SALSABILA 122124 2/16/2021 4:45:05 5:12:03
NASUTION with chills

TRISNA K30 - Functional


276 122126 7/12/1982 5:44:14 6:04:54
WULAN dyspepsia

SITI
277 MAEMUNA 095648 1/13/1983 - 6:24:14 6:24:14
H

ANINDYA
KHEIZA R50.0 - Fever
278 122128 4/14/2016 6:52:36 7:34:12
ZAHRA with chills
PUTRI

T14.0 -
Superficial injury
279 ANGGA 122129 2/1/2001 7:43:00 7:46:19
of unspecified
body region
HILYA
R50.0 - Fever
280 ALSYAZANI 067496 4/19/2019 8:23:12 8:24:00
KHUMAIRA with chills

ARSA
281 117568 9/5/2021 - 8:41:50 10:07:56
ALPARIZKI

YUSMAN
282 JULIANSYA 122138 7/30/1992 - 9:19:58 9:20:59
H

283 M HAIKAL 122140 5/27/2022 - 9:27:11 9:29:00

Z20.3 - Z20.3 -
YOSUA
Contact with and
284 WILLIAM 122150 9/27/2015 exposure to 11:03:09 11:04:40
STEPANUS
rabies

285 WIWIN 055279 1/2/1969 L03.9 - Cellulitis, 17:54:27 17:57:25


SULASTRI unspecified

H66 -
286 M FIKRI 094025 4/5/2016 Suppurative and 11:25:51 11:26:26
PRADIPTA unspecified otitis
media

T01.9 - Multiple
open wounds,
RYOICHI
287 XAVIER 122151 5/6/2021 unspecified | T14 11:38:36 11:40:41
- Injury of
RAHESTHA
unspecified body
region

K30 - Functional
NAZWA
dyspepsia |
288 ALABIYAH 122153 10/19/2005 11:49:52 11:50:30
R50.0 - Fever
IRPANDI
with chills

ADI TRESA 113983/11


289 PURNAMA 7702 4/23/1989 - 12:42:21 14:03:39

YUDA R50.9 - Fever,


290 100237 5/15/2009 13:09:06 14:17:45
PRASETIA unspecified
RAYSHAKA J06.9 - Acute
SATRIA upper respiratory
291 122155 6/14/2022 13:17:46 13:59:54
KANAKA infection,
SALVIO unspecified

MUHAMM J06.9 - Acute


292 AD FAUZAN 086174 12/5/2012 upper respiratory 14:57:47 15:29:48
HAFIZ infection,
NUGRAHA unspecified

RM. ATAN
A88.1 - Epidemic
293 ALI 112330 8/18/1958 14:50:06 15:29:04
vertigo
SUNGKAR

A09.9 -
Gastroenteritis
294 EMPUNG 071208 7/5/1969 14:53:13 15:28:29
and colitis of
unspecified origin

SYAHILDA J45.9 - Asthma,


295 DWI 36431 2/11/2017 unspecified 15:05:35 15:08:01

PUJI K30 - Functional


296 064559 1/2/1993 15:07:34 15:27:25
ASTUTI dyspepsia

T14.1 - Open
RENDIYANS wound of
297 YAH 122162 10/10/2002 unspecified body 15:17:20 15:20:11
region
298 DIDIN 122163 6/3/1949 - 15:51:06 15:56:26

NAURA H10 -
299 067979 11/28/2014 15:52:08 15:52:22
SYIFA ALIKA Conjunctivitis

K30 - Functional
300 SANTI 122164 9/7/2004 16:26:00 16:30:32
dyspepsia

J06.9 - Acute
MUHAMAD
upper respiratory
301 AZFAR 087574 3/26/2020 infection, 16:28:17 16:30:00
PRIATNA
unspecified
KRISNA
PRATAMA R50.9 - Fever,
302 122165 10/5/1997 16:34:16 16:37:41
NURDIYAN unspecified
TO

A09.9 -
MUHAMM Gastroenteritis
303 AD AQILA 122166 4/22/2016 16:44:49 16:45:37
PRANAJA and colitis of
unspecified origin

H81.4 - Vertigo of
central origin |
DEDE K30 - Functional
304 064076 12/10/1968 17:03:46 17:05:51
RUHYATI dyspepsia | R11 -
Nausea and
vomiting

J06.9 - Acute
NATHAN
upper respiratory
305 KIAN 110576 9/28/2017 18:08:13 18:08:32
infection,
ALKARIM unspecified

ATHAR
RAFIQ R50.9 - Fever,
306 106298 1/25/2021 18:50:58 18:54:03
SYAHPUTR unspecified
A

USEP
307 122154 11/28/1982 - 18:36:36 18:37:43
SAEPULOH

308 M NUR 122167 8/18/2014 - 18:49:50 18:50:16


CAHYA

K30 - Functional
309 N SA"ADAH 122168 4/2/1963 19:10:53 19:14:23
dyspepsia

A09.9 -
Gastroenteritis
310 JUJUN 122169 8/12/1964 19:16:56 19:19:14
and colitis of
unspecified origin

J06.9 - Acute
M. AKHTAR upper respiratory
311 FARZAN 095341 5/10/2020 19:20:20 19:21:35
infection,
RAMADAN
unspecified
KHAWLA
GHANIYYA
312 102522 7/5/2018 - 19:46:02 19:50:40
NUUR
NAFIISAH

SRI
313 RAHMAYA 115532 8/23/1996 - 19:52:04 19:53:16
NTI

G44 - Other
RAGITA
314 122170 5/27/1997 headache 20:03:21 20:04:09
SEPTIAN
syndromes
315 IROH 119035 4/11/1965 - 20:08:01 20:12:13
ADELIA
316 NUR 121388 3/30/2010 - 20:15:10 20:59:58
ZAHRA
TINI 117591/07 J45.9 - Asthma,
317 1/1/1963 20:16:25 20:19:51
KARTINI 3175 unspecified

MUHAMM J06.9 - Acute


upper respiratory
318 AD AJI NUR 112599 4/8/1998 20:19:27 20:20:56
infection,
IMAN unspecified

MUHAMM
319 AD FARID 120724 3/4/2022 - 20:25:02 20:50:04
JAELANI

R10.0 - Acute
320 ALFI 122172 9/6/2007 21:20:57 21:23:45
abdomen

R50 - Fever of
other and
DEWI
321 086091 1/17/1986 unknown origin | 21:20:46 21:21:19
KARTIKA
R50.9 - Fever,
unspecified

K30 - Functional
FIRMAN dyspepsia |
322 107070 11/14/1986 22:05:47 22:06:31
MAULANA R50.9 - Fever,
unspecified

YULI
323 122173 12/17/2000 - 22:19:23 22:20:02
YULIANI

HANANIA
R50.9 - Fever,
324 SHEZA 098117 10/28/2018 22:49:20 22:50:18
unspecified
NUGRAHA
RAFI REPAN R50.9 - Fever,
325 067922 2/4/2017 0:49:39 0:50:25
ARAPKA unspecified

A09.9 -
Gastroenteritis
326 RENDI 122175 1/12/2022 1:59:40 2:00:56
and colitis of
unspecified origin

FAUZI
R11 - Nausea and
327 ABDUL 122176 12/31/1988 2:16:39 2:17:26
vomiting
RAHMAN

A15.9 -
Respiratory
tuberculosis
unspecified,
RIKA confirmed
328 KRISTINA 121483 12/21/1999 bacteriologically 2:46:00 2:47:02
and histologically
| K30 -
Functional
dyspepsia

I24.9 - Acute
HJ KAKAH ischaemic heart
329 122179 8/17/1951 6:44:12 6:45:21
SURTIKAH disease,
unspecified

I50.0 -
330 DADANG 122180 5/28/1952 Congestive heart 6:45:58 6:48:25
failure

ARSYLA
R50.9 - Fever,
331 ROMEESA 035710 5/21/2017 7:08:56 7:08:56
FARZANA unspecified

G81 - Hemiplegia
| I10 - Essential
332 TITIN 122181 7/1/1977 7:12:13 7:13:16
(primary)
hypertension

R10 - Abdominal
333 SRI SAPITRI 087702 4/27/2003 8:36:54 8:40:35
and pelvic pain
AL FATIH W55.0 - Bitten or
094565/10
334 AFRAZ 4/3/2020 struck by other 9:17:22 9:19:48
LEONARD 7729 mammals, home

ENTIN R10 - Abdominal


335 122192 7/7/1972 9:36:07 9:40:17
MARTINI and pelvic pain

L02 - Cutaneous
336 EE SURYADI 059607 7/8/1971 abscess, furuncle 10:38:58 12:49:04
and carbuncle

SITI
337 122205 10/3/2000 - 12:12:05 17:46:50
AMINAH

WISDAN R50 - Fever of


338 RESTU 080434 4/18/2004 other and 12:32:01 14:31:13
WIDIYA unknown origin

339 JENAB 122208 10/19/1949 - 13:43:49 14:24:45


MEILAWAT R50.9 - Fever,
340 Y 122209 5/4/1992 unspecified 13:48:40 13:50:48

I10 - Essential
341 APENDI 122211 5/3/1961 (primary) 14:25:49 15:02:36
hypertension

342 EKA 122212 9/7/1999 R55 - Syncope 14:31:36 14:36:43


and collapse

A09.9 -
Gastroenteritis
343 SUSI 122213 3/21/1962 and colitis of 14:43:34 22:28:30
LONINGSIH unspecified origin
| R10.0 - Acute
abdomen

K30 - Functional
EMI dyspepsia |
344 078435 11/16/1979 16:05:36 16:47:32
HAMIDAH R10.0 - Acute
abdomen

K30 - Functional
FAHAD M dyspepsia | R11 -
345 122215 4/29/2016 16:09:32 16:45:56
HAFIZ Nausea and
vomiting
DAFFA P000047477 -
fraktur | S62 -
346 FAZRIL 073834 9/13/2013 17:13:10 17:15:46
PERDANA Fracture at wrist
and hand level

R50.0 - Fever
Shireen
with chills |
347 fawwaz 122216 7/24/2021 18:00:33 18:01:11
R50.9 - Fever,
yumna
unspecified

ALISYA
SHANUM B35.3 - Tinea
348 118158 6/24/2020 pedis | R50.0 - 18:04:08 18:05:36
ADREENA
RAHMA Fever with chills

NUR ERLIN
349 122217 1/20/1994 - 19:19:12 19:30:48
MARLINAH

KYLA FADIA
AZKADYNA
350 NAWWARA 119538 12/29/2021 - 19:36:36 19:37:08
H

ARI
351 110225 4/20/1984 - 19:39:21 19:40:16
APRIZAL

JAJANG
352 075220 5/15/1958 - 19:43:10 19:44:15
NURJAMAN

J06 - Acute upper


respiratory
YUNI infections
353 WIDAYANTI 033825 6/15/1991 multiple and 19:49:36 19:50:01
, MS unspecified sites
| R50.9 - Fever,
unspecified

N61 -
354 RISNA 122196 4/30/2000 Inflammatory 19:55:27 22:31:12
APRIANI disorders of
breast
J06.9 - Acute
upper respiratory
infection,
unspecified | K30
355 JAJI SUARDI 122218 12/29/1948 20:06:47 20:07:06
- Functional
dyspepsia | R11 -
Nausea and
vomiting

LUSY R50 - Fever of


356 ANGGRAEN 122221 10/29/2015 other and 21:48:15 21:51:55
I unknown origin

J06 - Acute upper


respiratory
infections
multiple and
MUHAMAD unspecified sites
357 IBRA AL- 122223 2/12/2016 | J06.9 - Acute 0:10:44 0:11:20
HAFIS upper respiratory
infection,
unspecified | R11
- Nausea and
vomiting

K05 - Gingivitis
and periodontal
DEDE
358 066234 10/26/1992 diseases | R50.9 - 0:12:21 0:13:26
SUMARNA
Fever,
unspecified

ULFA NUR R50 - Fever of


359 RACHMAYA 107540 7/15/1998 other and 2:38:06 2:39:43
NTI unknown origin

H.M.ABDUL
360 ALI 122224 12/28/1978 - 3:10:03 3:11:11
WIRYADI

RAIHAN
361 RIZKI 079482 8/27/2013 J45 - Asthma 3:38:44 3:39:11
ADITIA
YAYAT R10.4 - Other and
362 KUMALA 122225 1/1/1975 unspecified 4:27:03 4:28:24
SARI abdominal pain

MUHAMAD R11 - Nausea and


363 HAFIZ 121049 5/20/2021 7:29:31 7:31:31
vomiting
ALNARA

BAMBANG
364 122226 4/4/1988 - 7:40:27 11:56:17
ABIMAYU

DEWI J20 - Acute


365 SARTIKA 059740 9/10/1986 bronchitis 9:21:09 13:33:46

J06.9 - Acute
upper respiratory
366 RUDI 121511 2/11/1970 infection, 9:38:47 9:39:42
unspecified

WAHYU. H.
367 S.PD 107840 12/12/1951 - 10:37:34 19:47:35

ARDINA
368 LUKITA 122234 1/7/2002 R50.0 - Fever 10:52:43 11:29:27
with chills
METTA

H81.1 - Benign
paroxysmal
vertigo | R11 -
ADE Nausea and
369 122237 1/15/1968 11:03:18 14:03:14
SURYANA vomiting | T14 -
Injury of
unspecified body
region

SITI A01.0 - Typhoid


370 122231 6/6/1986 12:33:18 14:29:47
NURJANAH fever

INDAH
R50.9 - Fever,
371 RAHMAWA 122240 9/19/1970 11:54:53 11:59:00
unspecified
TI

K30 - Functional
372 SAEPULLOH 122241 12/27/2002 12:44:12 13:12:58
dyspepsia

DEDI R07.0 - Pain in


373 122242 8/10/1962 12:55:32 12:56:20
JUNAEDI throat
LELY K30 - Functional
374 084428 5/27/1976 13:46:19 14:09:37
MEILIANTI dyspepsia

NAJHAN
SYAHAR R11 - Nausea and
375 103499 12/16/2017 14:01:55 16:43:04
MAULIDI vomiting
SURYANA

E13 - Other
specified
ENUNG
376 122245 7/20/1966 diabetes mellitus 15:03:53 15:04:16
SUHARTINI
| R10.0 - Acute
abdomen

TASYA T14 - Injury of


377 AISHAPUTR 022470 5/29/2015 unspecified body 15:22:17 15:24:59
I region
DIDIN
378 122246 9/10/1969 - 15:40:12 15:40:12
HARYADI

DEDI
RUSDIAN
379 ADRIANSYA 122247 2/7/1980 R06.0 - Dyspnoea 15:45:55 15:46:27
H

AHMAD
380 091242 7/10/2004 L03 - Cellulitis 17:08:27 17:10:17
RIJALI

K35 - Acute
NAZWA appendicitis |
381 YUSSY 111826 12/8/2005 K65.9 - 17:22:43 17:25:53
RUSYADI Peritonitis,
unspecified

RESTU
382 IRSYAD 104924 9/20/2019 - 17:28:20 19:52:44
HARIANTO

M. KHALIF R50.9 - Fever,


383 122248 7/1/2020 18:00:09 18:01:05
RAMDAN unspecified

J06 - Acute upper


MUHAMM respiratory
384 AD FADLAN 081309 10/21/2018 infections 18:33:11 18:34:36
PRATAMA multiple and
unspecified sites
M25.97 - Joint
RAHMAT
385 SURIA 043697/07 6/20/1960 disorder, 18:48:10 18:50:26
0074 unspecified,
WIJAYA
ankle and foot

R50 - Fever of
386 ALFA AULIA 115822 9/21/2003 other and 19:16:24 19:34:07
unknown origin

M R50 - Fever of
387 NURFUAD 084596 7/28/2000 other and 19:34:57 19:36:52
ZALALUDIN unknown origin

ALIFA
R50.9 - Fever,
388 HASNA 106290 9/5/2020 unspecified 19:53:37 19:55:11
HUMAIRA

389 AHMAD 122250 5/2/1987 K30 - Functional 20:35:21 20:36:06


HOERUDIN dyspepsia

MUHAMAD
ABDURRAH R50.9 - Fever,
390 122252 10/8/2020 20:48:28 20:49:43
MAN AL unspecified
GIFARI

I21 - Acute
391 EMI 045127 8/3/1959 myocardial 20:56:40 20:59:09
infarction

392 DAPA 107888 10/18/2010 R50.9 - Fever, 21:02:44 22:21:36


ADITIA unspecified
DENI
393 HERMAWA 122254 9/12/1969 - 21:17:07 21:18:26
N

SITI
394 083793 5/5/1998 - 21:22:00 21:23:48
MASRIAH

DEDE K30 - Functional


395 NURJANAH 122255 4/9/1985 dyspepsia 21:54:16 21:54:37

AEP
396 104329 12/12/1979 - 22:34:21 22:35:22
SAEPUDIN
PUTRI
397 SYAKILA 122257 10/24/2010 R50.0 - Fever 7:07:31 22:45:51
NUR with chills
AZIZAH

SALMINNA
398 121084 6/16/1996 - 22:58:52 23:00:26
FAJAR

J06.9 - Acute
MUHAMM
upper respiratory
399 AD AQIL 122258 11/19/2019 23:31:16 23:35:26
infection,
MUAYYAD
unspecified

SHEILA J45.9 - Asthma,


400 068396 8/21/2005 23:36:47 23:38:18
AGUSTINA unspecified

SYIFA NUR K30 - Functional


401 RAHMAH 122259 8/21/2004 dyspepsia 2:36:16 2:37:16

A09 - Other
gastroenteritis
PUTRI
402 WAHYUNI 053571 1/1/2010 and colitis of 6:51:13 6:56:39
infectious and
unspecified origin

T14 - Injury of
403 YOYON 122262 1/1/1955 unspecified body 5:04:57 5:07:28
region

N39.0 - Urinary
YULI
404 053565 7/18/1998 tract infection, 5:31:34 5:31:51
NURAENI
site not specified

SITI
R50.9 - Fever,
405 RAHMAN 104827 12/18/2011 5:34:05 5:38:16
unspecified
FAUZIAH

SOMA J45.9 - Asthma,


406 109866 7/7/2003 6:00:06 6:03:17
SETIAWAN unspecified

I88.9 -
MUHAMAD
Nonspecific
407 LATIEF 081513 2/19/2007 lymphadenitis, 6:26:28 14:04:23
ZAKIA
unspecified
408 HENDI 122263 7/1/1977 J45 - Asthma 7:24:01 7:28:31
AULIA
409 PUTRI 103232 1/3/2008 K30 - Functional 7:39:49 9:03:44
dyspepsia
PRATAMA

J06 - Acute upper


respiratory
410 HANIA 117315 10/24/1983 infections 8:06:55 8:10:56
multiple and
unspecified sites

ARKHA K52.0 -
SAGIV Gastroenteritis
411 122267 7/7/2015 8:38:14 8:40:32
RAMADHA and colitis due to
N radiation

R50.0 - Fever
HAGIA with chills |
412 SOPHIA 122271 7/16/2020 9:37:42 9:39:45
R56.0 - Febrile
YUNUS
convulsions

J06.9 - Acute
upper respiratory
BARA infection,
413 AQILA 122276 2/22/2022 unspecified | R11 10:09:15 10:10:14
- Nausea and
vomiting

B34.2 -
Coronavirus
414 SRI SAPITRI 087702 4/27/2003 infection, 10:21:35 11:25:40
unspecified site

K92.0 -
415 JULAEHA 122278 8/12/1966 10:30:43 10:37:05
Haematemesis

416 ASTRIA 094514 2/2/2001 K59.4 - Anal 10:52:10 10:57:14


SUPRIATI spasm
417 POPON 122285 9/25/1938 - 14:01:53 16:10:53
ALTHAF
418 RIFQIE 122287 10/11/2018 - 14:50:52 14:57:08
ABRISAM

RANANDIK
419 HA PUTRA 122288 2/1/2014 - 15:02:02 16:05:58
IRAWAN

420 BUBUN, (H) 122290 11/5/1961 - 13:53:21 16:10:57


DIMAS
R50.9 - Fever,
421 PURNAMA 067019 2/23/2015 17:08:55 17:09:59
SIDIK unspecified

A15 - Respiratory
tuberculosis,
LEILA
bacteriologically
422 CANDRA 119899 8/18/2009 17:33:14 17:39:39
AGUSTINA and histologically
confirmed |
R06.0 - Dyspnoea

MUHAMM
423 AD ALFI 107259 6/30/2021 R50.9 - Fever, 17:35:16 17:37:31
unspecified
SYAHDI

GILANG K30 - Functional


424 122291 2/22/2013 17:44:53 17:45:00
ALFARIZKY dyspepsia

ARIF
425 RAMDAN 122292 9/9/2009 - 17:50:14 17:52:31
HIDAYAT

RABIEL S09.9 -
426 JOVIAN 098672 11/15/2019 Unspecified 18:27:36 18:29:49
ALFAREZKI injury of head

J06.9 - Acute
M RIZKI
427 GINANJAR 122293 7/2/2007 upper respiratory 18:38:51 18:40:11
infection,
PUTRA
unspecified

J06.9 - Acute
MUHAMAD upper respiratory
428 LATIP 054236 8/30/2018 18:41:08 18:42:19
AGUSTIAN infection,
unspecified

J06.9 - Acute
upper respiratory
IKHSAN
429 FAHREZA 122294 1/29/2022 infection, 18:45:14 18:48:03
unspecified | J45
- Asthma
ARFAN T01 - Open
ANDIKA wounds involving
430 067653 6/5/2008 18:53:21 18:56:31
PAMUNGK multiple body
AS regions

J06.9 - Acute
ALMIRA upper respiratory
431 NUR 121155 11/17/2019 19:18:31 19:24:14
AFIFAH infection,
unspecified

A09 - Other
gastroenteritis
432 MINJANAH 023789 4/16/1964 and colitis of 19:21:38 19:22:33
infectious and
unspecified origin

MUHAMM
T01 - Open
AD
wounds involving
433 RAFISQY 122296 1/25/2019 multiple body 19:26:25 19:28:50
ATHALA
regions
PUTRA

ASRI
434 SYAIDATI 121151 6/13/2007 - 19:31:12 20:32:43
ASFIA

MUHAMAD
J06.9 - Acute
DYANDRA
upper respiratory
435 AL 098195 9/26/2017 infection, 19:33:25 19:34:46
MUHARRA
unspecified
M

436 ISUM 122298 9/9/1990 L01 - Impetigo 19:39:02 19:42:18

FERDI
R10 - Abdominal
437 NOPIAN 122299 11/10/1988 and pelvic pain 19:44:30 19:45:34
ISKANDAR

SUHESTI
438 NUR 090941 10/14/1994 K30 - Functional 19:47:43 19:57:16
dyspepsia
BADRIAH

AEP
439 046988 5/1/1960 J45 - Asthma 19:51:47 19:53:38
SAEPUDIN

SARI R10 - Abdominal


440 LASNAWAT 122300 5/29/1988 20:31:13 20:34:55
and pelvic pain
I
DEDE R50.9 - Fever,
441 122301 7/5/2008 20:50:38 20:51:59
YUSUF unspecified
M ALIF
R50.9 - Fever,
442 RIFKIANSYA 082133 7/23/2005 20:52:56 20:54:41
H unspecified

MUHAMM R50.0 - Fever


with chills |
443 AD ALIF 122303 4/25/2021 R56.8 - Other and 21:39:29 21:53:16
RAMADHA
unspecified
N convulsions

ISKANDAR R50.9 - Fever,


444 122304 4/9/1978 7:35:50 22:13:27
AWALUDIN unspecified

TUTI
445 HANDAYAN 044290 1/10/1973 J45 - Asthma 22:21:51 22:25:46
I

SABIA R56.8 - Other and


446 PUTRI 122309 7/5/2019 unspecified 7:37:27 7:45:58
JULIYANI convulsions

MUTIA
R50.9 - Fever,
447 MUTMAIN 045068 6/26/2008 4:33:58 4:40:48
unspecified
NAH

MUHAMAD
448 LATIP 054236 8/30/2018 J45 - Asthma 5:01:57 5:05:41
AGUSTIAN

J06.9 - Acute
ALISYA upper respiratory
SHANUM infection,
449 118158 6/24/2020 6:25:07 6:25:57
ADREENA unspecified |
RAHMA R50.9 - Fever,
unspecified

450 KANIA 122310 9/18/2021 R50.0 - Fever 6:29:26 6:30:56


with chills
ENDI R50.9 - Fever,
451 122311 7/1/1958 7:58:18 7:58:18
SUHENDI unspecified
MAMAN R50.9 - Fever,
452 FATUROH 122312 4/1/1985 8:18:51 8:20:57
unspecified
MAN
A04.9 - Bacterial
intestinal
infection,
unspecified |
A09.9 -
Gastroenteritis
and colitis of
unspecified origin
453 ABDUL 122314 10/5/2010 | K30 - 8:30:59 8:34:08
KODIR
Functional
dyspepsia |
R50.9 - Fever,
unspecified |
T14.1 - Open
wound of
unspecified body
region

T14.1 - Open
ABDIEL wound of
454 122315 7/24/2011 8:33:55 8:34:42
DZAKI unspecified body
region

M RIZKY
455 122317 5/1/2004 - 8:44:56 9:49:55
FAUZI

A09.9 -
Gastroenteritis
and colitis of
456 KARMUN 122318 7/1/1959 unspecified origin 8:46:29 9:50:28
| K30 -
Functional
dyspepsia

BAKTI R11 - Nausea and


457 NAUFAL 115999 3/12/2009 8:55:39 9:54:28
vomiting
AZIZ

T14 - Injury of
unspecified body
SANDI region | T14.0 -
458 122320 10/27/2001 Superficial injury 9:43:52 9:47:01
PERMANA
of unspecified
body region
YASHA
459 AMALIA 122321 7/23/2018 R50.9 - Fever, 9:55:12 9:56:00
unspecified
ALAMSYAH

MARXELLA
THESZEPA
K30 - Functional
460 ANGGUN 122322 12/17/2004 10:31:49 10:39:27
PUTRIDIMA dyspepsia
S

R07.3 - Other
461 ENIH 122325 7/1/1969 11:45:36 11:48:52
chest pain

MUHAMM
AD IRSYAD R11 - Nausea and
462 122326 1/28/2016 11:53:00 14:03:36
NAAFIS vomiting
GUNAWAN

H81.4 - Vertigo of
463 NENEH 122075 12/7/1961 12:51:38 14:01:13
central origin

R50 - Fever of
other and
ITA
464 122328 4/30/1984 unknown origin | 12:57:37 12:58:39
DUWINIATI
R50.9 - Fever,
unspecified

AAY K30 - Functional


465 022219 9/17/1973 14:34:47 15:13:40
NURJANAH dyspepsia

A91 - Dengue
TONI haemorrhagic
466 122330 1/8/1988 14:59:31 15:46:25
RAMDANI fever | R50.0 -
Fever with chills

DEDEN
467 037328 9/9/1976 J45 - Asthma 15:06:22 15:08:48
ISKANDAR

SITI
R50.0 - Fever
468 ENJELNA 110541 3/5/1998 15:06:22 15:42:37
with chills
PITRI
K05 - Gingivitis
469 DELING 122333 11/6/1954 and periodontal 17:29:35 17:31:48
SITINJAK
diseases

A01.0 - Typhoid
fever | A09.9 -
Gastroenteritis
and colitis of
470 SERLY 122334 1/17/2002 unspecified origin 17:49:23 18:24:04
AULIA H. | K30 -
Functional
dyspepsia |
R50.9 - Fever,
unspecified

A15.9 -
Respiratory
MUHAMAD
tuberculosis
RAFLY
471 122335 1/23/2008 unspecified, 18:25:10 18:26:03
FIRJATULLA
confirmed
H bacteriologically
and histologically

RAIZHIKA
R10.0 - Acute
472 PRATAMA 065900 2/21/2008 18:43:07 21:05:47
abdomen
MULYANA

LAISYA J03 - Acute


473 121117 3/13/1999 19:14:01 21:02:43
FIRLIANTI tonsillitis

DEA K30 - Functional


474 120966 11/16/2004 19:35:27 21:01:51
FITRIANI dyspepsia

K30 - Functional
TINI 073175/11 dyspepsia | R11 - 20:09:15
475 1/1/1963 20:59:33
KARTINI 7591 Nausea and
vomiting

476 SUSANTI 044511 6/24/1998 - 20:19:33 20:19:33

YENI
NURAENI,
477 053275 8/7/1987 M79.1 - Myalgia 20:25:42 20:35:35
(A.Md.Kep.
)
E8262 - Pedal
478 EMAH 122336 7/5/1969 cycle accident 20:25:42 20:28:19
injuring rider of
animal

E9054 -
Centipede and
venomous
479 JAJANG 122337 11/3/1963 millipede 20:43:52 20:54:04
(tropical) bite
causing poisoning
and toxic
reactions

MUHAMAD R50.9 - Fever,


480 059608 12/19/2018 21:46:40 21:47:13
ADAM unspecified

ILHAM
R50.9 - Fever,
481 MAULANA 017809 10/26/1994 unspecified 22:27:21 23:05:23
SIDIK

A09 - Other
gastroenteritis
UJANG
482 SAEPUDIN 087386 2/12/1970 and colitis of 0:39:48 0:40:06
infectious and
unspecified origin

J06.9 - Acute
upper respiratory
483 AISAH 122338 7/15/1970 3:31:30 3:33:26
infection,
unspecified

A08.4 - Viral
intestinal
infection,
unspecified |
IKHSAN K29.7 - Gastritis,
484 015976 7/9/2000 unspecified | R10 7:15:28 10:08:03
SANTIAJI
- Abdominal and
pelvic pain | R11
- Nausea and
vomiting

R11 - Nausea and


KEYSHA vomiting | R50.9
485 122339 8/28/2016 8:07:02 8:45:04
FAHRANI - Fever,
unspecified
AL EZZAR
R50 - Fever of
486 ZAYDAN 093424 7/19/2020 other and 8:15:30 8:16:00
HERMAWA
unknown origin
N

T14 - Injury of
487 KEANU 122340 12/18/2011 unspecified body 8:38:04 8:42:20
region

LUSI K30 - Functional


488 056450 10/5/1995 8:55:37 8:56:46
NURYANTI dyspepsia

J06.9 - Acute
upper respiratory
infection,
NENG
unspecified | R50
RISKA
489 122341 10/8/1992 - Fever of other 9:18:59 9:19:39
PURNAMA
and unknown
SARI
origin | R50.9 -
Fever,
unspecified

MUHAMM L20.9 - Atopic


490 AD FADLAN 049138 3/12/2018 dermatitis, 9:23:35 12:35:44
HIDAYAT unspecified

ANANDA
SHAQUEEN R11 - Nausea and
491 175286 3/30/2021 10:10:33 10:59:44
A vomiting
HUMAIRA

T30.1 - Burn of
RAYA
492 NAZWA 122342 8/14/2020 first degree, body 10:48:24 10:49:55
region
SYAKILA
unspecified

MUHAMM
R50.9 - Fever,
493 AD NIZAM 122343 4/22/2022 10:56:17 10:58:08
unspecified
AZ ZAID

SHEILLA
494 013708 6/3/2000 - 11:01:05 12:33:41
NURHAYATI

IROH J45.9 - Asthma,


495 122344 6/3/1970 11:13:43 11:16:56
ROHIMAH unspecified
RESKI J45.9 - Asthma,
496 097707 4/6/2003 11:17:50 11:20:00
APRILIANI unspecified

C49 - Malignant
neoplasm of
HILDA other connective
497 121227 2/7/2005 11:23:25 11:42:10
FEBRIYANI and soft tissue |
R50.9 - Fever,
unspecified

J06.9 - Acute
KHALID AL upper respiratory
498 122345 2/3/2022 11:38:52 11:39:24
AYUBI infection,
unspecified

J06.9 - Acute
ASHOFA upper respiratory
499 094563 8/22/2019 11:40:36 11:41:29
BARKHOYA infection,
unspecified

I10 - Essential
(primary)
hypertension |
K30 - Functional
500 IIS 122346 11/10/1966 dyspepsia | R50 - 11:49:52 12:39:01
Fever of other
and unknown
origin

R11 - Nausea and


MOCHAMA vomiting | R50 -
501 D FAIZAL 112206 2/21/1996 Fever of other 11:59:09 12:00:17
ZAMAN and unknown
origin

ALSA NUR R50.9 - Fever,


502 041637 10/19/2006 13:42:53 13:53:16
FATWA unspecified

MUHAMM
AD
503 ZULKARNAI 062106 6/9/2018 R50.9 - Fever, 12:59:31 13:00:02
unspecified
N
ARRASYID
MUHAMAD R04 -
Haemorrhage
504 AKHDAN 118763 5/19/2005 13:48:42 13:56:14
ARROSYID from respiratory
passages

A09.9 -
NUR SATIA Gastroenteritis
505 PUSPITA 046748 1/9/2005 14:52:41 15:47:29
ERIYANTI and colitis of
unspecified origin

506 MOH LUTPI 122349 2/1/2007 - 15:13:35 15:16:24

L08.8 - Other
specified local
infections of skin
and
subcutaneous
507 WAHYUDIN 122350 2/2/1983 tissue | L08.9 - 15:26:43 15:28:14
Local infection of
skin and
subcutaneous
tissue,
unspecified

508 IDA 122351 4/15/1973 K30 - Functional 15:40:25 15:56:53


ROSIDAH dyspepsia

AMANI
509 PUJA 121009 11/4/2007 - 16:37:36 16:49:15

R10.0 - Acute
510 JAJANG 120583 7/10/1941 16:40:51 16:42:59
abdomen
ARSYIL
511 MAULANA 067500 4/20/2019 - 17:22:09 17:37:40
RAZIQ

ONENG
512 079490 12/7/1962 - 18:13:32 18:36:43
ROHIMAH

MUHAMM
513 AD ALFI 107259 6/30/2021 - 18:38:59 20:52:33
SYAHDI

CITRA K30 - Functional


514 HERA 110081 8/5/2003 18:54:18 18:55:21
dyspepsia
PUTRI
515 PARMO 120335 12/25/1945 - 19:01:13 19:04:11
M AZIS R50.9 - Fever,
516 122353 3/3/2012 19:14:32 19:15:16
SAPUTRA unspecified

ENTIN
517 122354 4/17/1958 - 19:19:22 20:23:26
SUHANDA

R11 - Nausea and


518 FATIMAH 099384 4/12/1961 19:36:00 19:51:41
vomiting

MUHAMM
519 AD 110397 10/16/2021 - 19:45:06 21:12:36
FAYYADH
GIBRAN

H66.4 -
RIZKY
Suppurative otitis
520 FATHU 118606 9/17/2021 media, 19:54:20 19:56:58
RABBANI
unspecified

SELA
521 RAHMA 099395 11/26/2008 - 20:08:18 20:35:22
ARYANTI

J06 - Acute upper


RAFISQY respiratory
522 ARLUFI 122356 8/24/2020 infections 20:26:14 20:40:52
RAHMAN multiple and
unspecified sites

A09.9 -
Gastroenteritis
ESIH and colitis of
523 SUKAESIH 023794 6/12/1964 unspecified origin 20:38:44 21:08:14
| R11 - Nausea
and vomiting

MUHAMM
AD
SAPUTRA R50.9 - Fever,
524 004435 3/5/2011 22:04:33 22:06:18
MARVI unspecified
HERMAWA
N

BURHAN R10 - Abdominal


525 112847 6/21/1989 22:16:11 22:19:39
BURNAMA and pelvic pain

RESKI
526 097707 4/6/2003 J45 - Asthma 22:23:02 22:23:02
APRILIANI
J06 - Acute upper
respiratory
SALMA
527 122359 11/25/2005 infections 23:13:50 23:14:50
AMELIA
multiple and
unspecified sites

J45 - Asthma |
RAFA R11 - Nausea and
528 SABIYA 122360 4/7/2012 vomiting | R50.9 8:50:13 8:53:41
SUGIARTO - Fever,
unspecified

A09 - Other
gastroenteritis
DENISA
529 122363 4/10/2022 and colitis of 2:41:00 2:43:58
AFRILIA
infectious and
unspecified origin

N40 - Hyperplasia
530 ADHARI 122364 9/8/1955 6:51:11 6:22:14
of prostate

SITI NURUL
531 076507 11/4/1982 - 7:17:04 7:51:07
KHOERIAH

J06.9 - Acute
NISSA SITI upper respiratory
532 122367 7/3/2006 7:18:14 7:51:51
HAPSAH infection,
unspecified

NENG
DINDA
533 095114 2/4/2004 M79.1 - Myalgia 7:25:47 7:26:45
ROSYANA
SYAHIDA

IDING
534 084685 7/1/1959 - 7:35:58 9:35:57
SUPRIATNA

MUHAMM J18.0 -
535 AD ILYAS AL 109750 2/19/2021 Bronchopneumo 7:44:45 7:47:15
HAFIZ nia, unspecified
MAHARANI
536 PUTRI 122371 2/22/2003 - 7:49:44 7:50:00
ASMARA
MUTIA

GUMILANG R50.9 - Fever,


537 015806 6/5/2007 8:23:14 8:24:29
BARKATAN unspecified

AURELLYA
538 GHAIDA 013372 8/9/2009 - 9:00:06 9:01:13
JANNETA

K30 - Functional
539 PERI SUGIRI 077863 6/16/1991 9:15:28 9:17:45
dyspepsia

MIA
J45.9 - Asthma,
540 HANDAYAN 122378 3/20/1996 unspecified 9:19:20 9:22:50
I

A09.9 -
Gastroenteritis
and colitis of
541 EROS 112766 8/17/1970 unspecified origin 10:34:13 10:59:32
| R10.0 - Acute
abdomen

FAREN
542 DARMA 122382 9/12/1997 S27.1 - Traumatic 10:41:37 10:45:51
haemothorax
AGUNG

DADEN
543 HENDIAWA 062270 10/12/1983 K30 - Functional 10:48:49 10:50:13
N dyspepsia

544 IRFAN 121385 7/6/2000 R50.9 - Fever, 10:25:17 16:01:41


ZATNIKA unspecified

K75.9 -
Inflammatory
SRI
545 122386 10/28/1988 liver disease, 11:49:40 11:51:05
MULYANI unspecified |
R07.4 - Chest
pain, unspecified

I10 - Essential
546 ISOP 072583 6/1/1969 (primary) 11:55:40 11:57:28
SOPIAH hypertension |
R51 - Headache
547 ENTIN 051983 5/5/1961 E14 - Unspecified 12:04:27 12:06:14
diabetes mellitus

SITI R11 - Nausea and


548 MARYAMI 054606 1/13/1992 12:52:19 15:04:30
vomiting
S.Kep.Ners

MUHAMM
R50.9 - Fever,
549 AD 090761 5/15/2019 12:55:04 13:16:59
unspecified
FADHILAH

J45 - Asthma |
K30 - Functional
550 RIAN 122389 9/10/1978 dyspepsia | 12:57:40 12:59:32
R50.9 - Fever,
unspecified

551 DAFI 122390 9/12/2005 - 13:07:55 13:18:11

B34.2 -
Coronavirus
infection,
unspecified site |
E14 - Unspecified
diabetes mellitus
552 MASLIAH 122391 7/1/1953 13:21:20 13:25:02
| E14.1 -
Unspecified
diabetes mellitus
with ketoacidosis
| M79.1 -
Myalgia

NURUL
553 057927 8/23/2003 - 13:44:31 13:45:54
ALIYAH

J06.9 - Acute
upper respiratory
YUSSY
infection,
554 ALFIANI 082001 7/11/1994 13:58:22 13:59:12
unspecified |
RACHMAN
R50.9 - Fever,
unspecified
K30 - Functional
SELVI dyspepsia |
555 047076 8/7/1999 14:03:12 15:07:14
SAPITRI R10.0 - Acute
abdomen

A09.9 -
muhamad Gastroenteritis
122394/10 and colitis of
556 Farel 9/5/2020 14:17:48 15:01:48
Iskandar 6372 unspecified origin
| R50.9 - Fever,
unspecified

DEDE R50.9 - Fever,


557 122395 9/8/1988 14:21:45 15:02:26
ISKANDAR unspecified

K30 - Functional
dyspepsia | R11 -
YUNIA Nausea and
558 122396 6/3/1994 14:25:27 15:03:11
DEANISARI vomiting | R50.9
- Fever,
unspecified

J45 - Asthma |
AI
559 011415 6/11/1975 J45.9 - Asthma, 14:29:17 14:32:27
NURJANAH
unspecified

WICE WITA
560 058437 3/14/1952 - 14:44:47 21:45:08
JUWITA

R11 - Nausea and


RISWAN vomiting | R50.9
561 122398 3/27/2016 14:46:25 15:05:24
SYAPUTRA - Fever,
unspecified

R50.9 - Fever,
unspecified |
R56.0 - Febrile
MUHAMM
convulsions |
562 AD ARYA 122399 7/13/2021 R56.0 - Febrile 14:54:32 20:28:36
WINATA
convulsions |
NUDATAR
R56.8 - Other and
unspecified
convulsions

NESHABILL
563 119528 11/30/2016 - 15:46:59 17:21:05
A KHANZA
NANANG K30 - Functional
dyspepsia |
564 ZAENAL 122400 3/5/1971 15:48:32 15:49:06
AZHARI R50.9 - Fever,
unspecified

K21 - Gastro-
MAKI oesophageal
565 LUKMANN 122401 4/1/1996 reflux disease | 15:54:34 16:08:22
ULHAKIM K30 - Functional
dyspepsia

AGUNG R50.9 - Fever,


566 122402 5/30/1995 unspecified | R51 15:57:50 15:59:41
SUPARTO
- Headache
SILVANA R50.9 - Fever,
567 122404 4/15/2010 17:11:02 17:11:02
ZAHRA unspecified
MUHAMAD
568 092923 1/31/2020 - 17:28:43 17:29:08
FADLI

K30 - Functional
569 DIDIN 122405 3/8/1958 17:31:43 21:38:55
dyspepsia

570 SUWARTA 122406 5/20/1971 - 18:30:04 18:30:04

K30 - Functional
DEDE dyspepsia |
571 043991 6/6/1973 18:32:51 18:35:00
SUMIATI K92.0 -
Haematemesis

J06.9 - Acute
upper respiratory
infection,
572 M. PADLAN 122407 10/1/2008 18:36:03 18:37:59
unspecified |
R50.9 - Fever,
unspecified

M79.0 -
Rheumatism,
573 NOPIYANI 122408 11/19/1994 18:52:27 18:53:12
unspecified |
M79.1 - Myalgia

SHERLY R50.9 - Fever,


574 PUTRI AL 118769 10/8/2018 19:29:44 19:30:31
unspecified
SYAHMIR
LESTI
575 025608 2/20/1985 - 19:35:41 19:38:12
LESTARI
A08.4 - Viral
intestinal
infection,
unspecified | K30
- Functional
576 SITI AISYAH 122409 7/14/2003 19:44:57 19:45:29
dyspepsia | K30 -
Functional
dyspepsia | R11 -
Nausea and
vomiting

J45.9 - Asthma,
577 ROSYANI 117241 7/1/1966 20:33:47 20:36:39
unspecified

N39.0 - Urinary
SALMA
578 122410 8/17/1994 tract infection, 21:19:12 21:21:15
SALAMAH
site not specified

579 ROSMAWA 122411 2/11/1980 - 21:38:07 21:40:14


TI
580 UKAR 122412 1/1/1950 - 21:54:12 21:57:29

ELAN
581 SUHERLAN 122414 1/1/2006 - 23:00:32 23:20:25

582 SOLEHUDIN 122415 1/1/1997 - 23:00:32 23:46:23

ADINDA
R11 - Nausea and
RAMADHA
583 NI 122416 10/28/2005 vomiting | R50.0 23:50:27 23:56:53
- Fever with chills
SUKANDA

MUHAMM
AD
584 122417 7/21/2021 J45 - Asthma 19:12:35 19:14:46
SHAKEEL
ARCELLO

NOVITA
585 HIDAYAH 088106 11/7/2000 - 1:40:09 2:07:58
TANTRI

K30 - Functional
586 NURDIN 101989 11/10/1983 2:08:24 2:10:49
dyspepsia

MYSHA ZEA
587 ALFATHUNI 122418 3/5/2022 - 2:40:15 2:49:47
SA
SITI
588 122420 6/17/1983 - 5:37:04 5:47:27
RANIAH
589 HENI 075165 7/1/1977 J45 - Asthma 5:42:34 5:47:13

ARKA
590 KENZIO 122421 9/13/2022 - 4:00:04 4:00:04
MUMTAAZ

591 NANY 122422 8/28/1987 - 6:16:58 6:30:11


SURYANI

AFIFAH R11 - Nausea and


592 MUTIARA 122423 7/21/2016 vomiting | R50.0 7:20:09 8:01:01
NAFISHA - Fever with chills

DENISA R98 - Unattended


593 122363 4/10/2022 7:31:04 7:31:39
AFRILIA death

594 ASEP 020209 2/10/1966 - 7:34:32 16:40:34


MUHAMM J18.0 -
AD
595 122417 7/21/2021 Bronchopneumo 8:32:23 8:36:43
SHAKEEL
nia, unspecified
ARCELLO

A91 - Dengue
NAYLA haemorrhagic
596 CHAESA 122428 8/19/2006 fever | R50.9 - 8:34:54 8:40:09
PRATIWI Fever,
unspecified

MUHAMM
R50.9 - Fever,
597 AD RASYID 122430 4/18/2016 9:20:53 10:57:36
ARISQY unspecified

K75.9 -
Inflammatory
598 DENI 121602 8/14/1976 9:53:15 10:44:45
liver disease,
unspecified

ALSA R50.9 - Fever,


599 122431 6/1/2006 9:58:24 9:59:18
NURFATWA unspecified

A09.9 -
MUHAMM
Gastroenteritis
600 AD MALIK 122433 3/3/2022 10:16:02 10:16:08
and colitis of
ATHALA
unspecified origin

601 SAHRIL 122434 1/27/2000 - 10:32:19 10:35:46


ANNISA
602 PUTRI 024898 5/21/2016 J45.9 - Asthma, 10:53:30 10:56:46
unspecified
PRATAMA

ABDUL
603 122437 11/7/1958 - 10:58:45 10:59:37
GOPAR

MUHAMAD
R50.9 - Fever,
604 ARAFI 026917 11/21/2006 11:13:21 11:31:05
AWALUDIN unspecified

ANANDA A09.9 -
SHAQUEEN Gastroenteritis
605 175286 3/30/2021 13:22:57 16:38:37
A and colitis of
HUMAIRA unspecified origin

J06.9 - Acute
upper respiratory
infection,
606 HJ CICOH 048386 1/1/1947 13:43:04 13:45:13
unspecified |
J45.9 - Asthma,
unspecified

A09.9 -
Gastroenteritis
and colitis of
MASA unspecified origin
607 122441 3/19/1967 13:59:14 14:56:08
TARIGAN | E11 - Non-
insulin-
dependent
diabetes mellitus

N39.9 - Disorder
608 SITI 121559 7/21/1988 of urinary 15:02:49 15:02:49
AMINAH system,
unspecified

BAYI
NYONYA R50.9 - Fever,
609 122444 9/9/2022 15:11:46 16:19:08
SITI unspecified
AMINAH

R50.9 - Fever,
610 ARSAKA 122446 1/10/2021 15:56:35 18:35:54
unspecified

ALMIRA R50.9 - Fever,


611 119261 10/30/2021 16:12:18 16:45:15
ATHABINA unspecified
J06.9 - Acute
upper respiratory
GENDIS REY infection,
unspecified | R11
612 DZANZABIL 086246 5/19/2016 16:15:58 16:45:46
- Nausea and
A
vomiting | R50.9
- Fever,
unspecified

RISWAN
613 122398 3/27/2016 - 16:19:32 18:37:40
SYAPUTRA

PAISAL R50.9 - Fever,


614 ARDIANSYA 122447 8/11/2011 16:21:37 16:41:53
H unspecified

CAHYANTI R50 - Fever of


615 HERYANTO 099239 5/1/2002 other and 16:30:41 18:36:32
PUTRI unknown origin

T14.1 - Open
wound of
616 SUGITO 081149 9/19/1961 unspecified body 16:57:25 16:59:32
region

R50.9 - Fever,
617 NIRA SONIA 104153 12/14/1998 unspecified | R51 17:14:25 17:18:16
- Headache

K30 - Functional
618 SAEPUL 122448 1/6/1968 dyspepsia | 17:17:45 17:18:59
ALAM R07.3 - Other
chest pain

ELIN
619 HERLINAW 122449 11/22/1984 K30 - Functional 17:21:23 17:23:46
dyspepsia
ATI

J06.9 - Acute
upper respiratory
ACHILIES
infection,
620 WIDODO 122450 12/10/2012 17:25:02 17:27:04
unspecified |
PUTRA
R10.0 - Acute
abdomen
R50 - Fever of
other and
621 JAMALUDI 122451 3/27/1970 unknown origin | 17:51:36 18:38:22
N
R50.9 - Fever,
unspecified

SAHMUDIN 122453/12 R10.0 - Acute


622 7/3/1969 18:46:50 19:54:01
LABIB 0683 abdomen

AGUNG
623 ILHAM 110213 6/1/1993 R50.9 - Fever, 18:53:21 18:59:32
unspecified
ANUGRAH

K30 - Functional
624 HENI 075165 7/1/1977 19:22:53 19:26:38
dyspepsia

KANYANG T14 - Injury of


625 HERMAWA 082165 6/12/1973 unspecified body 19:36:28 19:40:13
N region

A09 - Other
gastroenteritis
and colitis of
IRSAL infectious and
626 077275 5/16/1993 unspecified origin 19:37:47 19:39:42
MAULANA
| K30 -
Functional
dyspepsia

SYARIF R50.9 - Fever,


627 122454 7/2/1996 19:54:58 19:57:22
HIDAYAT unspecified
AJRIL R50.9 - Fever,
628 040788 4/24/2016 20:30:55 20:31:38
ALBAR unspecified

R50 - Fever of
MIKHAILA other and
629 AZAHRA 054092 10/2/2016 unknown origin | 21:37:32 23:04:04
PUTRA R50.9 - Fever,
unspecified

T14.1 - Open
ANDI wound of
630 122457 10/5/1994 unspecified body 22:15:57 22:20:17
SUSANTO
region

631 JEJEN 117175 7/5/1978 R10.0 - Acute 22:40:36 23:02:01


abdomen
632 AISAH 122338 7/15/1970 - 22:46:01 23:15:17
RISKA
633 022654 11/1/1984 - 22:50:13 23:14:24
NOVIANTI

RAYYINA R11 - Nausea and


634 PUTRI 122459 2/19/2020 vomiting | R50.0 1:01:26 1:13:35
KHADIJAH - Fever with chills

R50.0 - Fever
635 AL GHIFARY 122460 9/28/2021 with chills | 3:52:29 3:54:40
GUNAWAN R56.0 - Febrile
convulsions
636 TITING 113950 6/3/1956 - 4:00:00 19:02:35

R50 - Fever of
other and
NAILA
637 NURAFIFAH 036210 12/6/2010 unknown origin | 6:43:44 6:44:21
R50.9 - Fever,
unspecified

TIKA
638 122462 5/18/1974 - 7:30:55 19:51:13
KARTIKA
639 LILIS 119600 9/9/1966 - 8:24:02 8:30:29
ASRILLIA
B15 - Acute
640 NUR 120261 3/12/2006 hepatitis A 9:16:17 9:18:27
AS"SYFA

RAFY T01 - Open


ALFARAS wounds involving
641 122475 6/14/2001 9:27:23 9:31:05
ZULKARNA multiple body
EN regions

R50 - Fever of
642 SUYANTI 061863 8/17/1977 other and 10:15:04 17:29:14
unknown origin

DIANA
643 PUTRI 018652 4/15/2016 - 10:29:05 12:09:01
APRILLIA

AKHMAD
K30 - Functional
644 SYARIF 091732 11/23/1994 11:21:24 11:22:32
dyspepsia
HIDAYAT

RISMAYAN K30 - Functional


645 122484 4/20/1978 11:45:46 11:46:27
TI dyspepsia

I10 - Essential
E.D.SUHERL
646 102961 5/1/1964 (primary) 11:51:51 17:50:44
AN
hypertension
RAISYA
647 ADINDA 088358 9/13/2019 - 12:30:59 12:55:36
SAPUTRI

SEPRIHADI
648 SUKMANA 122467 9/11/1995 - 12:34:06 12:35:17
SAEPUDIN

MUHAMM
649 AD ALFATIH 122485 3/8/2021 - 12:46:28 12:55:27
ASH SHID

HAJAR K30 - Functional


650 122486 4/16/1971 13:07:36 13:08:18
JAMILAH dyspepsia

K30 - Functional
651 MARINA 035049 10/9/1997 13:11:40 13:12:52
dyspepsia

652 YAYAN 077885 4/6/1960 - 13:28:23 19:19:46


MAESA
653 JENAR 059241 5/13/2004 - 14:01:35 14:01:35

FAJMI
DIKHA
654 122488 12/3/2006 - 14:12:26 15:16:48
KURNIAWA
N

ARUMI
655 NASYA 122489 10/11/2021 - 14:35:06 19:30:22
RANZEENI

TIARA J45.9 - Asthma,


656 039176 4/10/2005 14:39:41 14:42:32
RENATA unspecified

B00.1 -
657 MAYASARI 003906/09 3/4/1985 Herpesviral 14:55:33 15:59:31
9879 vesicular
dermatitis

ISMA
SILVIANTI
658 122490 9/3/2004 - 15:25:41 15:28:15
AMELIA
RAHMAN
MUHAMAD
FADHILAH
659 ESA 122491 1/4/2009 - 14:45:00 14:46:20
HERMAWA
N

AZQIA DWI
RAMADHA
660 NIA 122492 6/17/2016 S06 - Intracranial 14:45:00 14:47:51
injury
HERMAWA
N

YOUSEF
TALAL ALI
661 122493 3/23/2014 - 16:34:01 18:29:41
ALAWAMLE
H

MOHAMM J06 - Acute upper


AD TALAL respiratory
662 ALI 122494 3/23/2014 infections 16:37:18 16:38:19
ALAWAMLE multiple and
H unspecified sites

V10 - Pedal
cyclist injured in
YUNI
663 068972 6/5/1977 collision with 16:56:45 16:59:01
YUNIARNI
pedestrian or
animal

J44.9 - Chronic
ANWAR obstructive
664 068875 8/3/1968 pulmonary 17:08:24 17:10:19
SADAT
disease,
unspecified

NAZIA NUR
665 122495 12/4/2007 - 17:16:23 17:17:58
FADHILAH

666 RINA 110474 7/10/1976 - 17:18:56 17:19:37

D69 - Purpura
MUHAMAD
and other
667 IRSAD 122497 12/30/2017 17:30:55 17:31:56
haemorrhagic
MAULANA
conditions
T14.3 -
Dislocation,
668 RIZKI 122498 10/23/1997 sprain and strain 17:40:22 17:41:39
of unspecified
body region

EVI
669 PURNAMAS 104629 9/22/1992 - 18:25:14 18:27:41
ARI

R07.1 - Chest
670 HILMAN 112614 11/14/1969 18:28:41 18:29:42
pain on breathing

671 TARSIH 122499 8/22/1968 - 18:43:50 18:45:23

A09 - Other
ERIKA gastroenteritis
672 NURDILLA 067982 9/9/2004 and colitis of 18:49:05 18:52:01
SEPTIANI infectious and
unspecified origin

YAYU
673 122500 8/20/1990 - 19:05:03 19:06:52
SUHARTI
674 JEJEN 117175 7/5/1978 - 19:24:55 19:27:10

R50 - Fever of
MUHAMAD
675 122501 4/24/2010 other and 20:01:45 20:05:45
SYAHRIL
unknown origin

676 YULIANI 089827 4/7/1978 - 20:06:34 20:07:19


SABILA
ASSYIFA
677 112216 3/8/1999 - 20:25:30 20:26:23
KHAIRUNNI
SA

ANDHIKA
R50.9 - Fever,
678 GILANG 027432 2/1/1992 21:23:02 21:24:52
unspecified
PADUKA

I10 - Essential
(primary)
hypertension |
679 IIS AISYAH 122503 12/11/1960 J06.9 - Acute 21:28:34 21:29:56
upper respiratory
infection,
unspecified
I10 - Essential
680 ENUNG 088858 7/6/1972 (primary) 21:42:46 21:43:40
hypertension

I10 - Essential
681 H.MAHFUD 098405 1/1/1960 (primary) 21:44:47 21:45:05
hypertension

I10 - Essential
(primary)
682 UJANG 089052 4/4/1965 hypertension | 21:48:01 21:50:16
SUDRAJAT
K30 - Functional
dyspepsia

K52 - Other
683 ASEP 122504 9/21/1988 noninfective 23:23:06 23:24:10
SAEPUDIN gastroenteritis
and colitis

USEP
K30 - Functional
684 SAEPUL 032296 4/12/1992 1:02:29 23:35:00
dyspepsia
BAHRI

REGINA K30 - Functional


685 REYNALDI 122505 11/28/2007 0:56:21 0:58:21
dyspepsia
PUTRI

AZZAHRA
PUTRI R50.9 - Fever,
686 122506 7/18/2013 3:28:48 3:29:27
RAMADHA unspecified
NI

K30 - Functional
dyspepsia | R50 -
Fever of other
687 YADI 122507 4/15/1971 and unknown 5:37:45 5:38:32
SUHENDI
origin | R50.9 -
Fever,
unspecified

R50 - Fever of
688 TASYA 122508 4/27/2020 other and 5:47:42 5:48:54
CAROLIN
unknown origin

R50 - Fever of
other and
689 ELIS 122509 7/6/1978 unknown origin | 7:08:12 7:09:55
R50.9 - Fever,
unspecified
KHAYLA
690 GHANIYYA 097690 1/20/2020 R50.9 - Fever, 7:39:33 7:42:14
NURUL unspecified
MUGHNI
691 AISAH 102090 9/14/1969 - 8:32:57 15:52:36

R10 - Abdominal
692 LASTRI 122519 1/1/2001 10:35:49 10:38:09
and pelvic pain

MUHAMM
AD
693 116656 3/27/2022 R06.0 - Dyspnoea 11:16:55 13:10:06
SABIQAL
BAYHAQI

E9065 - Bite by
unspecified
M FIKRY N
694 122520 5/27/2000 animal | R50.9 - 11:26:23 11:30:22
H
Fever,
unspecified

RIMAZ
R50.9 - Fever,
695 PITRA 122521 10/11/2007 11:34:33 11:35:39
unspecified
RAMDHANI

A09 - Other
SYAILA gastroenteritis
696 MAULIDA 122522 10/18/2021 and colitis of 23:33:21 23:37:44
KARINA infectious and
unspecified origin

E11.4 - Non-
insulin-
697 EROS 006582 8/1/1963 dependent 12:20:11 13:16:33
diabetes mellitus
with neurological
complications

698 UCI SANUSI 122525 7/1/1951 N40 - Hyperplasia 12:29:07 12:30:46


of prostate

T14.1 - Open
BALQIS
wound of
699 FARHAN 122528 8/14/2014 14:43:59 14:47:34
unspecified body
ZHAFIRA
region

ANGGUN K30 - Functional


700 109146 2/20/2009 14:57:35 15:19:01
GUNAWAN dyspepsia
H81.1 - Benign
IWAN
701 122529 8/8/1969 paroxysmal 15:43:55 15:46:06
WANGSA vertigo

AI R50.9 - Fever,
702 104042 7/24/1975 16:14:45 16:17:54
HASANAH unspecified

UMAN R50.9 - Fever,


703 033875 5/3/1970 17:15:16 17:16:46
RUKMANA unspecified

SYAKILA
DWI R50.9 - Fever,
704 010189 6/19/2015 17:20:39 17:23:56
RAMADHA unspecified
N

A09.9 -
AKBAR Gastroenteritis
705 122533 7/2/2022 17:33:02 18:12:58
ALFAHRI and colitis of
unspecified origin

ALLYA RIZKI R50.9 - Fever,


706 NURDANI 116783 6/28/2005 unspecified 17:53:33 17:53:47

MUH.
707 RUDALFFA 037648 3/14/2006 B35.6 - Tinea 18:24:51 18:33:26
BIMANTAR cruris
A

DEDE
708 SUSILAWAT 122534 1/9/1984 - 18:31:23 18:31:23
I

E9065 - Bite by
709 MINAH 032640 5/17/1970 unspecified 18:36:42 18:41:05
animal

MUHAMAD
710 SANDI 067989 12/29/1997 - 19:22:20 19:34:38
LESMANA

RISNA R07.4 - Chest


711 055875 3/28/1998 19:30:21 19:33:14
MARLIANI pain, unspecified

J45.9 - Asthma,
712 YETI 072515 4/1/1956 19:42:27 19:43:32
unspecified
J45.9 - Asthma,
713 SITI AISAH 053764 4/6/1988 19:48:09 19:49:34
unspecified
PALENTINA
714 SIMANJUN 122535 10/3/2001 - 19:53:09 19:53:09
TAK

HAYA A25.9 - Rat-bite


715 ALMAIRA 122536 1/8/2020 fever, 19:58:59 20:01:53
PRANAJA unspecified

716 OCAH 122537 4/6/1940 R50.9 - Fever, 20:14:19 20:26:38


unspecified

R50.9 - Fever,
unspecified | R63
- Symptoms and
717 MANTA 122539 7/1/1944 signs concerning 21:30:09 21:35:07
food and fluid
intake

MIKHAILA
R50.9 - Fever,
718 AZAHRA 054092 10/2/2016 unspecified 22:32:52 22:43:05
PUTRA

ADITIA K30 - Functional


719 093751 7/19/2007 22:38:17 22:40:31
JULIANA dyspepsia

A09 - Other
gastroenteritis
and colitis of
IRMA infectious and
720 122540 8/1/1982 23:16:45 23:17:26
YANTI unspecified origin
| K30 -
Functional
dyspepsia

MUHAMM R50 - Fever of


721 AD AQIL 109278 6/29/2020 other and 23:26:13 23:27:09
ARSALAN unknown origin

M. RIZAL R50.9 - Fever,


722 RIVALDI 118143 12/11/1995 5:59:40 6:00:34
LESSY unspecified

O80.9 - Single
LIA spontaneous
723 118351 8/8/1988 7:23:32 7:51:25
HARYANI delivery,
unspecified
ALWI R50.9 - Fever,
724 122541 3/2/2013 6:15:35 6:16:38
AZZAMY unspecified

A49.9 - Bacterial
infection,
unspecified | R50
ALBY - Fever of other
725 122542 3/4/2017 6:19:51 8:45:58
SALMAN and unknown
origin | R50.9 -
Fever,
unspecified

ADITIA
726 033975 7/24/1993 J45 - Asthma 7:55:25 7:58:58
RACMAN

K92.0 -
727 YUHANAH 071459 7/17/1959 Haematemesis | 10:18:05 10:26:17
K92.1 - Melaena

YENI
728 120136 7/4/1995 - 10:37:31 10:40:36
YULASTRI

FIRMANSY E887 - Fracture,


729 122560 9/22/1996 cause unspecified 10:47:38 10:51:10
AH

730 SITI AISAH 053764 4/6/1988 J45 - Asthma 12:50:00 12:53:42

RASYA TRI A91 - Dengue


731 ROMANSYA 122545 3/10/2022 haemorrhagic 12:55:27 12:56:48
H fever

732 DINAH 121029 10/14/1999 - 13:06:04 22:28:07


PADILAH

733 TINAH 029637 9/29/1964 R10.0 - Acute 13:39:30 18:40:20


NURAENI abdomen

A09.9 -
UDEN Gastroenteritis
734 122561 12/9/1966 13:57:03 15:21:30
SUHERMAN and colitis of
unspecified origin

K30 - Functional
YANI dyspepsia |
735 122562 2/23/2000 R50.9 - Fever, 14:04:29 18:35:16
NURAENI
unspecified
VIVTAH K30 - Functional
736 114428 6/9/2000 14:28:37 15:22:00
RIZKY RIZA dyspepsia

ARSANA
737 122563 11/6/2021 - 14:37:44 15:23:41
MAULANA

RIZKY A01.0 - Typhoid


738 RAMADHA 122564 6/13/2014 14:59:25 20:10:32
N fever

J06.9 - Acute
upper respiratory
infection,
NENENG unspecified | K30
739 045669 12/7/1994 15:02:38 15:49:47
MARYANI - Functional
dyspepsia |
R50.9 - Fever,
unspecified

J06.9 - Acute
upper respiratory
ZEESHAN
infection,
740 DZAKIANDR 122565 4/4/2022 unspecified | 15:53:03 16:16:44
AR
R50.9 - Fever,
unspecified

MUHAMM
R56.0 - Febrile
741 AD ADAM 111505 11/15/2021 convulsions 16:07:06 16:11:30
MAULANA

MUHAMAD
RIZKY R50.9 - Fever,
742 055553 6/17/2016 16:22:15 16:23:35
RAMADHA unspecified
N

A88.1 - Epidemic
vertigo | J06.9 -
Acute upper
743 IDAWATI 122568 4/23/1972 16:34:26 19:21:52
respiratory
infection,
unspecified

744 TUTI 122567 7/1/1973 B66.3 - 17:04:43 17:08:59


MULYATI Fascioliasis
RESKI
745 097707 4/6/2003 - 17:23:24 18:38:10
APRILIANI

746 SITI SALWA 122569 9/20/2014 - 18:36:49 18:42:47

DIVA K30 - Functional


747 122570 7/5/2006 19:08:34 19:22:48
SILVANA dyspepsia

NASEP A88.1 - Epidemic


748 070118 11/17/1972 19:19:59 19:23:29
HIDAYAT vertigo

NURAHMA R10.0 - Acute


749 N SIDIK 122572 6/26/2004 abdomen 19:57:12 19:58:28

750 NURMAYA 096023 2/18/1995 - 20:25:20 20:29:19

ASEP
751 SUDRAJAT 122573 7/14/1958 - 20:52:59 20:57:44

DHELIA
PUTRI R10.0 - Acute
752 RAMADHA 080428 11/5/2004 abdomen 21:39:31 21:40:14
NI

LINCERIA
753 DOLOK 082092 8/1/1969 R10.0 - Acute 22:14:17 23:45:22
SARIBU abdomen

CHARRAELL
MAGGIO R50.9 - Fever,
754 119608 5/16/2017 22:29:22 23:04:29
ISZCHMYEL unspecified
ARDIANS

MUHAMAD
755 ZAYN 073316 2/28/2019 - 23:45:25 23:47:18
ALFATIH
R50.0 - Fever
756 MINAH 032640 5/17/1970 0:19:36 8:38:38
with chills

TATANG
757 073530 7/19/1979 - 0:40:47 15:53:55
SUDRAJAT

APIP B02 - Zoster


758 122576 4/26/1984 4:27:45 4:30:28
MULYADI [herpes zoster]
BUDIANSYA R50.9 - Fever,
759 053929 9/9/1999 6:22:02 6:22:37
H unspecified
MUHAMAD
QAISAR R50.9 - Fever,
760 122577 9/8/2021 6:29:31 6:31:14
ZULKARNA unspecified
EN

NAYLA R50.9 - Fever,


761 CHAESA 122428 8/19/2006 6:46:31 6:49:27
unspecified
PRATIWI

MUHAMM
AD HAQQI R50.9 - Fever,
762 111613 8/26/2020 7:04:27 19:47:55
ALY unspecified
NURULLOH

MOCHAM
MAD
763 095343 7/26/2020 - 8:36:24 16:05:16
GHIBRAN
SAFRIZAL

ARYA L02.2 -
Cutaneous
PUTRA
764 NURHAMA 122581 9/21/2003 abscess, furuncle 8:55:43 12:53:03
and carbuncle of
T
trunk

FUJI
765 FIRMANSY 108606 9/2/1977 - 9:04:10 15:40:07
AH
IPIT
766 028861 4/1/1968 - 9:57:08 13:38:09
MARSITI

NUR T07 - Unspecified


767 122584 6/24/1999 multiple injuries 10:21:28 10:24:16
ALFIAH

A06.0 - Acute
amoebic
LARAS dysentery |
768 CITRA 122585 9/11/1997 N00.9 - Acute 10:27:31 10:30:47
ANDIKA nephritic
syndrome,
unspecified

SITI
769 HAPSOH 118714 4/13/1999 R50.9 - Fever, 11:01:07 11:12:41
RODITUBILL unspecified
AH
K30 - Functional
dyspepsia | R11 -
770 ANDI 122586 4/9/1981 Nausea and 11:10:09 12:50:16
vomiting | R50.0
- Fever with chills

RESTI
K30 - Functional
771 JULIANTI 122587 7/26/1997 11:17:51 11:20:04
PUTRI dyspepsia

ISMAT
R11 - Nausea and
772 TULLOH 095135 12/16/1995 11:26:41 11:30:43
vomiting
SYARIF

R50.0 - Fever
HASIB with chills |
773 122588 1/18/2017 11:40:21 11:44:55
ALMIZAN R56.0 - Febrile
convulsions

ARI
774 HANDAYAN 122590 1/16/1987 - 12:18:53 12:20:35
I

T01 - Open
ERLANGGA
wounds involving
775 PUTRA 103357 8/12/2001 multiple body 12:23:26 12:25:27
MAHESA
regions

ELIS K30 - Functional


776 051964 2/4/1975 13:13:24 13:25:27
RISNAWATI dyspepsia

777 PINA PUTRI 064000 2/8/2001 - 14:44:58 16:08:55


INDRIANI

T14 - Injury of
778 KUTA 043967 6/3/1949 unspecified body 14:15:10 14:17:59
region

ZACKY T14 - Injury of


779 MAULANA 122592 8/7/2013 unspecified body 14:23:22 14:26:51
YUSUP region

NAYYARA A09.9 -
QAILA Gastroenteritis
780 111952 11/30/2021 and colitis of 14:31:03 16:06:28
ALFATHUNI
SA unspecified origin
NUR ANGEL
781 CLARISA 122593 1/23/2015 R50.9 - Fever, 14:35:41 14:38:11
unspecified
AULIA

RIZAL
R50.9 - Fever,
782 FIRMANSY 122594 1/4/1990 14:41:53 16:05:54
unspecified
AH

MUHAMM
783 AD AGUNG 122598 8/15/2021 - 16:22:38 16:26:24
ALFARIZKI

RAKA
784 ADITYA 108851 5/28/2018 - 16:35:13 17:26:48
SAPUTRA

785 HARPITA 122599 8/24/1977 E9060 - Dog bite 16:44:32 16:49:59

INA R50.9 - Fever,


786 098709 4/1/1982 17:07:37 18:18:20
SURYANI unspecified

ENDANG
787 054105 1/1/1953 J45 - Asthma 17:16:47 17:20:47
SUMARNA

RAIHAN
788 112605 8/27/2013 J45 - Asthma 17:43:57 17:47:45
RIZKI

MUHAMM
AD HAIKAL
041620/01
789 AL-FARIZI 6/25/2012 J45 - Asthma 18:34:21 18:35:52
9800
FIRMANSY
AH

DUDUH
R50.9 - Fever,
790 SUPRIYATN 107022 8/24/1975 18:36:49 18:37:57
unspecified
A

I11.0 -
Hypertensive
heart disease
791 NUNUNG 122600 1/1/1961 with (congestive) 10:30:14 10:34:19
heart failure |
K30 - Functional
dyspepsia

ANDINI 071368/05 R50.9 - Fever,


792 8/1/2000 18:51:34 18:53:19
MELIANA 3482 unspecified
OJAK R10 - Abdominal
793 067698 6/6/1968 18:54:46 18:57:43
SULAEMAN and pelvic pain

AHMAD
R50.9 - Fever,
794 BAIHAQI 121935 6/15/2021 18:57:16 19:58:27
unspecified
SOMANTRI

ROULA T14 - Injury of


795 SHAQUEEN 054624 1/23/2017 unspecified body 19:46:27 19:47:57
A region
796 SURYANI 113529 6/1/1995 - 19:55:26 20:21:28

RIZQI
797 WILAGA 122601 8/30/2007 - 20:01:28 20:40:12
GUMELAR

AYUNA J06.9 - Acute


KANDITA upper respiratory
798 107148 10/29/2020 20:08:42 20:38:58
SIMBARKE infection,
NCANA unspecified

NADA
R50.9 - Fever,
799 KHAULAH 122602 6/20/2013 20:27:11 20:28:20
unspecified
AL KHANSA

J45 - Asthma |
800 SITI SALWA 122603 1/28/2009 K30 - Functional 20:55:33 21:00:22
dyspepsia

VERA R50.9 - Fever,


801 014598 4/4/2014 21:34:12 21:37:14
APRILIA unspecified
T14 - Injury of
YUDI
802 122604 7/21/1969 unspecified body 21:44:49 21:46:11
HERIYANTO
region

K30 - Functional
803 IYAD 052255 2/5/1957 21:51:27 21:52:24
dyspepsia

AFRINATA R50.9 - Fever,


804 107671 4/7/2001 22:06:24 22:12:31
WARDANA unspecified

EDI R50.9 - Fever,


805 MULYADI 079461 7/1/1969 unspecified 22:28:38 22:28:45

SITI
806 122607 7/18/1987 - 22:34:49 22:36:14
PATIMAH
N39 - Other
807 MARIAM 028901 11/2/1965 disorders of 23:04:18 23:06:09
urinary system

DEDE K30 - Functional


808 122608 12/13/1975 23:37:42 23:39:27
HERYANA dyspepsia

TASYA SUCI
809 AWALULHU 122609 11/17/2001 - 2:15:12 2:20:47
DIN

N23 - Unspecified
renal colic | N93
PIPIH 062680/07
810 7/27/1967 - Other abnormal 4:23:11 10:18:49
SOPIAH 0090
uterine and
vaginal bleeding

AYU K30 - Functional


811 122610 1/2/1995 4:29:10 4:29:55
HAMDANI dyspepsia

MUHAMM
R56.0 - Febrile
812 AD RIZA 122611 1/26/2020 5:43:18 5:46:18
convulsions
ALFIRDAUS

ABIYU AL R50.9 - Fever,


813 AZIZ 095737 5/11/2017 unspecified 6:54:22 6:56:25

I34.2 -
Nonrheumatic
YUDA
814 090408 8/4/1987 mitral (valve) 8:15:00 8:16:08
MULYANA
stenosis | K92.1 -
Melaena

JANITA
R50.9 - Fever,
815 SALSABILLA 077933 1/2/2013 8:19:48 8:19:51
unspecified
NURRIZKY
A09.9 -
KENAN AL Gastroenteritis
and colitis of
816 FARIZQI 119267 10/6/2021 8:40:06 8:41:15
unspecified origin
HAFIZHAN
| R11 - Nausea
and vomiting

K21 - Gastro-
oesophageal
817 NINGSIH 122612 1/6/1961 reflux disease | 8:52:47 8:54:47
K92.0 -
Haematemesis

J06.9 - Acute
MUHAMM upper respiratory
infection,
818 AD LUTHFI 122613 5/12/2021 9:26:22 9:28:49
unspecified |
AR RASYID
R50.9 - Fever,
unspecified

K30 - Functional
WAHYU dyspepsia |
819 122614 11/11/1971 9:31:47 9:34:20
SAPUTRA R07.4 - Chest
pain, unspecified

I10 - Essential
820 ROSDETI 105332 4/16/1958 (primary) 9:35:40 9:35:40
hypertension

A09.9 -
ANDYRA
Gastroenteritis
821 NAIFA 111413 5/18/2021 9:38:15 9:44:03
and colitis of
FADHEELA
unspecified origin

J45.9 - Asthma,
unspecified |
822 UJANG UUS 050816 5/13/1969 10:05:13 10:06:28
R07.3 - Other
chest pain

A91 - Dengue
AJENG PUJI
823 122615 11/5/1998 haemorrhagic 10:59:01 11:12:04
LESTARI
fever

MUHAMAD
R50 - Fever of
QAISAR
824 122577 9/8/2021 other and 11:01:30 11:02:18
ZULKARNA
unknown origin
EN
YASMEEN
TALAL ALI H60.8 - Other
825 122616 11/18/2019 11:05:15 11:06:02
ALAWAMLE otitis externa
H

R06.0 - Dyspnoea
LILIS
826 035728 12/19/1962 | R06.2 - 11:38:55 11:40:15
RISNANI
Wheezing

R04 -
Haemorrhage
MIA from respiratory
827 122617 8/9/1972 11:40:47 16:57:56
KURNIA passages | R50.9
- Fever,
unspecified

J06.9 - Acute
SHEILLA upper respiratory
828 013708 6/3/2000 11:46:42 11:48:45
NURHAYATI infection,
unspecified

T14.1 - Open
TEDI wound of
829 122619 8/19/2007 unspecified body 12:09:23 12:11:50
RISMAN
region
830 HADSIH 033309 3/1/1983 - 13:02:25 13:03:33

A09.0 - Other
unspecified
MAMAN
gastroenteritis
831 ABDUL 122620 1/1/1982 13:25:52 13:27:31
and colitis of
RAHMAN
infectious origin |
J45 - Asthma

A09.9 -
Gastroenteritis
and colitis of
832 KAYLA 122621 5/18/2020 14:00:51 14:02:18
unspecified origin
| R50.9 - Fever,
unspecified

AGUS
833 113610 8/14/1993 K30 - Functional 14:43:49 14:44:09
SETIAWAN dyspepsia
SITI J03 - Acute
834 SYAHIRA 113771 6/14/2018 tonsillitis | R50.0 14:51:07 14:57:52
ALFITRI - Fever with chills

RIZAL
K30 - Functional
835 FEBRIANSY 122622 1/27/1989 14:58:01 15:23:30
dyspepsia
AH

UJANG
836 119026 11/10/1960 J45 - Asthma 15:05:18 15:06:59
MULYANA

T01 - Open
ENDI wounds involving
837 109971 3/23/1975 15:59:13 16:00:51
KUSMIRAN multiple body
regions

KOMALASA 018192/09 K30 - Functional


838 RI 4012 1/6/1977 dyspepsia 16:07:22 16:08:09

MOH
ALKHALIFI R50.9 - Fever,
839 110309 12/9/2015 16:11:56 16:55:25
DWI unspecified
ASSYRAAF

YUKE
840 YULIANTO 089023 7/24/2002 R11 - Nausea and 17:14:49 18:03:41
PUTRI vomiting

ABDUL
841 069661 7/9/2017 - 17:19:52 17:19:52
ZAKARIA
DEDI
842 122623 3/28/1976 E9060 - Dog bite 17:46:51 17:48:55
MULYADI

T14.0 -
FAISAL Superficial injury
843 RIFAT 122625 9/5/1998 of unspecified 18:16:47 18:20:15
body region

J06.0 - Acute
844 BUDIYONO 064543 7/7/1980 laryngopharyngiti 18:25:21 18:27:07
s
845 SUSANTI 120459 8/28/1981 J45 - Asthma 18:41:32 18:44:16

SINTIA FANI K30 - Functional


846 055786 5/5/2004 18:50:47 18:52:48
ERIKA dyspepsia
B76.9 -
847 HERI 175271 6/8/1983 Hookworm 18:59:44 19:01:16
SUJANA disease,
unspecified

RINA K30 - Functional


848 074359 1/23/1991 19:05:19 19:47:26
ASTRIANI dyspepsia

A09.9 -
GERI Gastroenteritis
849 122626 3/19/1996 19:09:21 19:40:34
ANDRIANA and colitis of
unspecified origin

J06.0 - Acute
RENAYA laryngopharyngiti
850 117309 4/15/2022 s | R50.0 - Fever 19:13:44 19:15:15
ALMAHYRA
with chills

851 HERU 025786 4/21/1986 R50.0 - Fever 19:20:46 19:41:26


RUSWANDI with chills

SRI AYU
K30 - Functional
852 WULANDA 104595 10/1/2001 19:25:44 19:27:46
dyspepsia
RI

A09.9 -
SHINTYA Gastroenteritis
853 049825 3/2/2003 19:30:34 19:32:22
ASYARI and colitis of
unspecified origin

R11 - Nausea and


854 PASHUDIN 122627 6/27/1968 vomiting | R50.0 19:39:18 20:56:51
HAPID
- Fever with chills

LARAS R11 - Nausea and


855 122628 12/29/2009 19:59:30 20:00:52
DESTRIANI vomiting

K30 - Functional
856 ANI SAHANI 122629 8/15/1983 20:05:40 20:06:52
dyspepsia
A09.0 - Other
unspecified
ADZRIEL gastroenteritis
NARATAMA and colitis of
857 122630 8/9/2020 20:11:56 21:01:21
FIRMANSY infectious origin |
AH R11 - Nausea and
vomiting | R50.0
- Fever with chills

N92.1 - Excessive
NURNI and frequent
858 PATMAWA 122631 6/3/2001 menstruation 20:20:54 21:02:21
TI with irregular
cycle

A09.0 - Other
unspecified
gastroenteritis
859 NUR KESYA 122632 1/1/2020 and colitis of 21:07:15 21:17:10
infectious origin |
R50.0 - Fever
with chills

TINI K37 - Unspecified


860 076495 4/20/1973 21:27:26 21:29:22
KARTINI appendicitis

861 TITA 024934 4/19/1971 - 22:02:34 22:17:18

J06.9 - Acute
MUJI HENI upper respiratory
862 087840 9/25/1973 22:44:52 22:45:34
SETIAWATI infection,
unspecified

A09 - Other
AKHTAR
gastroenteritis
MALIK
863 122634 2/15/2022 and colitis of 23:15:11 23:50:40
MUDHOFA
R infectious and
unspecified origin

MUHAMM
864 AD RAFA 122635 6/11/2014 G40 - Epilepsy 23:30:36 23:32:44
AL-FAHRI
R50 - Fever of
865 JAMIL 068420 6/11/1965 other and 0:32:55 0:36:00
unknown origin

NURUL
AUDIA K30 - Functional
866 119207 6/8/2002 2:00:56 2:02:40
MUFADILLA dyspepsia
H

A09 - Other
gastroenteritis
M HAIDAR
867 122636 9/21/2020 and colitis of 3:19:43 4:57:55
FAUZAN
infectious and
unspecified origin

A09 - Other
HETI gastroenteritis
868 046672 7/10/1984 and colitis of 3:32:06 3:33:27
NURMIATI
infectious and
unspecified origin

SITI R50.9 - Fever,


869 FATIMAH 122637 4/26/2017 6:01:32 6:03:23
unspecified
AZAHRA

ENTIN
870 026209 3/2/1971 J45 - Asthma 6:41:02 6:43:16
SUHARTINI

MUHAMM R50.8 - Other


AD NAZRIL specified fever |
871 SHAFIULLA 122644 6/11/2019 R50.9 - Fever, 8:31:15 8:35:06
H unspecified

DESRI R50.9 - Fever,


872 122645 12/31/1997 8:35:33 8:37:32
INDRIANI unspecified

J06.9 - Acute
M. RAFKA
upper respiratory
873 SHAFIULLA 119124 4/10/2022 8:41:31 8:46:58
infection,
H
unspecified

874 SUSILO 122650 9/4/1979 R10.0 - Acute 9:06:04 9:07:16


abdomen

875 ROUP 120617 5/11/1948 K40 - Inguinal 9:18:38 9:44:45


hernia
SENY K30 - Functional
876 041925 5/15/2000 10:06:55 10:07:24
MAYULIDA dyspepsia

J06.9 - Acute
RINTAN upper respiratory
877 NAFISA 104510 4/13/2021 infection, 10:53:10 10:55:07
PUTRI unspecified |
R06.2 - Wheezing

SITI L50.0 - Allergic


878 JAMILAH, 016007 7/14/1989 14:09:38 14:54:05
urticaria
(Amd.Keb).

A09.0 - Other
unspecified
gastroenteritis
and colitis of
879 RAWINAH 049005 8/12/1979 infectious origin | 14:50:53 16:54:49
K30 - Functional
dyspepsia | R11 -
Nausea and
vomiting

AA YUSUP R50.9 - Fever,


880 122662 5/5/2012 15:07:20 16:07:09
BIARTA unspecified

J06.9 - Acute
upper respiratory
AHMAD infection,
881 073166 4/16/1989 15:21:38 16:48:25
FAUZY unspecified |
R50.0 - Fever
with chills

ARSYILA
R50.0 - Fever
882 INARA 067144 10/7/2016 15:23:19 16:50:12
with chills
GHASSANI

AYASOFYA R50.0 - Fever


883 122663 8/18/2020 15:28:27 16:49:20
NUR IZZATY with chills
T14.1 - Open
884 ADE 054630 5/10/1957 wound of 15:42:51 15:44:13
JUANDA unspecified body
region

K30 - Functional
885 N. YETI 068450 8/25/1953 16:06:15 16:10:18
dyspepsia

886 HAFIDZAH 198124 8/10/2014 R50.0 - Fever 16:14:03 17:01:00


ISTIQOMAH with chills

ATHAYA J06.0 - Acute


RASYA laryngopharyngiti
887 119462 3/26/2021 s | R50.0 - Fever 16:15:55 16:44:36
MUHAMM
AD with chills

NUR K30 - Functional


888 070664 4/1/1970 16:20:47 16:47:18
HASANAH dyspepsia

J06.0 - Acute
AMMARA
889 070512 11/16/2018 laryngopharyngiti 16:28:16 16:30:08
DIA ARTHA
s

ERKARANI J06.0 - Acute


890 BUNGA 065743 7/16/2016 laryngopharyngiti 16:32:08 16:34:33
NEGRI s

KARINA J06.0 - Acute


891 122664 4/29/1989 laryngopharyngiti 16:35:42 16:37:48
NAVILA
s

J06.0 - Acute
892 KARWATI 122665 3/20/1966 laryngopharyngiti 16:47:26 16:49:49
s

AMIRA DE J06.0 - Acute


893 119188 9/9/2021 laryngopharyngiti 16:52:15 16:54:42
ALEA
s

AQILA
894 AYATULHU 025137 3/3/2012 - 16:56:30 16:56:30
SNA

MUHAMM
R50.0 - Fever
895 AD ADAM 111505 11/15/2021 17:01:17 17:26:21
with chills
MAULANA
EVI SRI B35.0 - Tinea
896 DAMAYANT 061931 5/18/1973 barbae and tinea 17:03:10 17:05:15
I capitis

AZKIA
ASYIFA R50.0 - Fever
897 122667 3/8/2022 17:56:31 17:58:23
KUSNANDA with chills
R

T14.1 - Open
898 AKBAR 122668 10/24/2006 wound of 18:01:20 18:05:56
unspecified body
region

GUNTUR R10.0 - Acute


899 122669 6/28/2007 18:12:09 18:23:26
SETIAWAN abdomen

NENENG K30 - Functional


900 002374 10/10/1960 18:55:05 20:51:24
ROHILAH dyspepsia

J06.9 - Acute
upper respiratory
YASMIN
infection,
901 MAULANI 040216 5/17/2017 unspecified | K30 18:59:45 19:00:49
PUTRI
- Functional
dyspepsia

I10 - Essential
(primary)
hypertension |
902 ODIM 069038 3/6/1975 M13.97 - 19:04:00 19:04:10
Arthritis,
unspecified,
ankle and foot

A09 - Other
gastroenteritis
SARI
903 122670 5/1/1978 and colitis of 19:09:24 19:10:11
LISNAWATI
infectious and
unspecified origin

R50.0 - Fever
904 ALLYA RIZKI 116783 6/28/2005 with chills | 19:19:01 19:20:05
NURDANI R50.9 - Fever,
unspecified
SEKAR J06.9 - Acute
ARUM upper respiratory
905 051961 6/3/2018 19:40:46 19:41:12
SENJAKEM infection,
UNING unspecified

J06.9 - Acute
upper respiratory
ROBY infection,
906 AHMAD 069770 8/28/1996 unspecified | K30 19:45:57 19:46:18
MAULANA - Functional
dyspepsia | R51 -
Headache

J06.9 - Acute
MUHAMM
upper respiratory
907 MAD 122671 6/4/1992 infection, 20:21:40 20:22:57
YUSUP
unspecified

J06.9 - Acute
upper respiratory
ASTRI infection,
908 HANDAYAN 122672 9/28/1986 unspecified | R50 20:31:44 20:39:35
I - Fever of other
and unknown
origin

NANO
909 069705 7/7/1965 J45 - Asthma 20:34:27 20:35:15
SURYONO

RIFKA R50.9 - Fever,


910 117019 12/5/2019 21:50:38 21:54:08
PUTRINDA unspecified

J06.9 - Acute
SITI HASIFA upper respiratory 22:08:50
911 119497 1/9/1997 22:09:22
WAHYUDIN infection,
unspecified

J06.9 - Acute
MUHAMM upper respiratory
912 AD AGSVIL 122674 10/23/2009 22:14:44 22:15:21
infection,
ALI
unspecified
J06.9 - Acute
ARI IDRUS, upper respiratory
913 063003 1/1/1996 22:57:01 22:58:57
SE infection,
unspecified

SANDYA R50.9 - Fever,


914 091026 10/29/2009 23:27:39 23:28:33
SANY unspecified
T14 - Injury of
IWAN
915 078357 6/5/1978 unspecified body 0:01:42 0:03:11
WAHYUDIN region

A09 - Other
gastroenteritis
RESI
916 RESMIATI 027970 3/31/1989 and colitis of 1:02:40 1:03:56
infectious and
unspecified origin

K30 - Functional
917 BEDAH 122676 5/6/1962 1:08:27 1:19:09
dyspepsia

EMILIA
918 HARTIKA 122678 10/22/1999 - 2:09:04 2:09:04

SITI ZAHRA R50.9 - Fever,


919 122680 5/24/2007 3:22:59 3:23:45
NASRIYAH unspecified

N39.0 - Urinary
SINTIA NUR
920 FADILAH 175362 1/30/2003 tract infection, 4:18:25 4:19:12
site not specified

BENO
GIOVANI
921 043317 10/6/2007 J45 - Asthma 5:48:46 5:51:04
RAMADHA
N

SALSABILA
922 098802 5/17/2009 J45 - Asthma 9:24:45 9:27:25
MUZTABA

I11 -
ARIADI Hypertensive
923 122686 11/25/1996 heart disease | 9:24:53 9:26:25
GUSMAN
R06.0 - Dyspnoea
E11 - Non-
insulin-
924 USMAN 064306 7/1/1959 9:29:35 9:34:11
dependent
diabetes mellitus

ZAKIYA
MUJAWAHI R50.9 - Fever,
925 122687 5/1/2021 10:00:06 10:00:59
ROTUL unspecified
JANNAH

ALMAIRA
R50.9 - Fever,
926 AZKIYA 119421 8/30/2021 10:23:06 10:23:16
unspecified
AGUSTINA

J45 - Asthma |
ABIYU AL
927 095737 5/11/2017 J45.9 - Asthma, 10:25:58 10:27:40
AZIZ
unspecified

E10 - Insulin-
NASRUDIN
928 122695 7/13/1960 dependent 10:53:09 16:14:38
LATIF
diabetes mellitus

ZELINE
929 ALMAHYRA 122696 9/14/2021 - 11:05:42 11:10:30
CHALONDR
A

930 IRFAN 122697 8/21/2017 R50.9 - Fever, 11:10:33 11:31:03


WAHYU unspecified

A88.1 - Epidemic
931 IROH 119035 4/11/1965 11:14:33 11:36:03
vertigo

ALDEFARO
R11 - Nausea and
932 MEIDI 122710 5/22/2022 11:49:52 12:01:35
vomiting
FIRDAUS

A09.9 -
CINDY
Gastroenteritis
933 WULANDA 122711 3/9/2000 16:46:50 16:48:26
and colitis of
RI
unspecified origin

MUHAMM
934 AD AJI NUR 112599 4/8/1998 - 12:56:24 12:57:01
IMAN

SITI
935 067965 5/2/1990 - 13:01:51 13:02:42
ROBEAH
L02.9 -
Cutaneous
936 ANISA 117808 7/12/2021 abscess, furuncle 13:06:05 13:27:08
RAFIPAH
and carbuncle,
unspecified

937 SALMAN 122713 1/1/2015 - 19:57:42 19:58:45

938 ICE 025939 3/12/1956 - 13:27:10 15:36:44


FATIMAH

K30 - Functional
939 SUDRADJAT 121002 10/21/1960 13:50:53 13:51:06
dyspepsia

AIRA R50.9 - Fever,


940 AULIATUN 175202 4/12/2019 13:54:33 13:55:38
NISA unspecified

K30 - Functional
dyspepsia |
941 IMAS 056688 10/16/1997 R10.4 - Other and 14:24:37 15:46:00
unspecified
abdominal pain

NYAI O72 - Postpartum


942 122715 7/1/1987 14:46:20 15:51:53
SUPRIATIN haemorrhage

J06.9 - Acute
GUINANDR upper respiratory
943 A P.R 122718 2/21/2022 infection, 15:01:22 15:02:20
unspecified

KARINA
R50.9 - Fever,
944 RINEKA 088863 4/21/1998 15:20:09 15:44:31
unspecified
SARI

ASRI LEONI A01.0 - Typhoid


945 122720 8/10/2006 15:39:04 15:40:20
PRATIWI fever

NURAHMA R50.9 - Fever,


946 122572 6/26/2004 16:16:09 16:17:40
N SIDIK unspecified

ABDUL
YUSUP R50.9 - Fever,
947 048169 2/21/1998 17:09:52 17:13:14
MUHAMAD unspecified
BILAL
NGADINO
948 122723 5/16/1965 - 17:12:15 17:13:57
DIHARJO

949 LEVI 117243 9/4/1987 - 17:18:22 17:19:03


SEPTIANI

INDI
950 122502 8/3/1987 - 17:31:22 17:42:58
INDRIANI

MUHAMM
951 122726 9/25/2021 - 17:38:51 17:39:50
AD RAYYAN

R50 - Fever of
APIP other and
952 ABDUL 122728 6/16/1999 unknown origin | 17:38:08 17:39:17
MUIDIN R50.9 - Fever,
unspecified

B00.9 -
Herpesviral
infection,
unspecified |
IRES
953 RESMIATI 022078 7/20/1954 T63.9 - Toxic 17:47:02 17:48:59
effect, toxic
effect of contact
with unspecified
venomous animal

J06.0 - Acute
laryngopharyngiti
RAFAN
s | R50.0 - Fever
954 IBRAHIM 113067 7/21/2021 18:02:17 20:04:27
with chills |
PRAJA
R50.9 - Fever,
unspecified

AURA
R50.9 - Fever,
955 JAHRA 091681 9/29/2015 18:55:24 20:14:02
unspecified
MAHARANI

956 NURASIAH 103267 8/21/1983 R11 - Nausea and 19:10:30 19:23:44


JAMIL vomiting
E11 - Non-
UJANG insulin-
dependent
957 KUSWAND 122729 11/2/1975 19:14:24 19:14:38
diabetes mellitus
A
| M79.1 -
Myalgia

H81.1 - Benign
958 ROHAYATI 122730 8/15/1960 paroxysmal 19:21:01 20:17:51
vertigo | M79.1 -
Myalgia

R50.9 - Fever,
959 LOLOM 122731 7/9/1965 19:25:03 19:26:39
unspecified

RIFKA R50.9 - Fever,


960 117019 12/5/2019 19:50:23 19:52:43
PUTRINDA unspecified

K35.9 - Acute
appendicitis,
961 MULYADI 074570 8/19/1984 unspecified | K37 20:01:33 20:45:07
- Unspecified
appendicitis

DEDE
962 044892 6/6/1961 J45 - Asthma 21:25:02 21:26:08
SUFIYANI

NADIA
R50.9 - Fever,
963 RHESA 114432 11/3/1991 unspecified 21:43:00 21:44:39
RAHESTHA

CHINTYA
964 081717 9/12/2005 - 21:59:51 21:59:51
RAHAYU

SISKA
SISMAWATI 010594/06 6/10/1992 R50.9 - Fever,
965 22:03:08 22:04:46
, 2937 unspecified
(Amd.Keb).

T01 - Open
KRISNA
wounds involving
966 YUDHA 122734 9/28/1998 22:53:08 22:56:25
multiple body
PRASETYA
regions

IRA K30 - Functional


967 060817 2/22/1996 23:24:08 23:58:39
FITRIYANI dyspepsia

UJANG
968 122735 7/10/1972 - 23:51:41 23:53:06
SOLIHIN
A09.0 - Other
unspecified
969 IMAS 014054 2/7/1989 gastroenteritis 3:32:13 3:37:34
and colitis of
infectious origin

A90 - Dengue
fever [classical
dengue] | K30 -
RAMLAN
970 122737 10/11/1997 Functional 3:59:15 5:31:47
SOLIHIN
dyspepsia |
R50.0 - Fever
with chills

T14.1 - Open
wound of
971 DAMIMA 122738 10/5/1970 4:50:32 4:54:44
unspecified body
region

LILIS N83.1 - Corpus


972 122739 6/5/1977 5:50:01 6:43:53
LISNAWATI luteum cyst

DEVIRA
R11 - Nausea and
AYU
973 053059 6/30/2016 vomiting | R50.0 6:27:05 6:45:04
RAMADHA
- Fever with chills
NI

M79.1 - Myalgia
MAMAN
974 SURYAMAN 040875 11/11/1960 | R07.4 - Chest 8:31:57 8:35:43
pain, unspecified

K30 - Functional
975 FITRI NUR 122745 9/28/2008 dyspepsia | 9:04:28 9:05:46
AZKIA M79.7 -
Fibromyalgia

E9065 - Bite by
DRA.AENI
976 122747 12/17/1969 unspecified 9:18:26 9:23:00
LATIFAH
animal

977 LINGHAYAT 121776 2/5/1982 - 9:34:11 9:34:11


I
REZA J45 - Asthma |
978 TIFATHUL 095111 6/5/2012 J45.9 - Asthma, 9:40:41 9:45:25
ROJAB unspecified
IRFAI A09.9 -
SYARIFAH Gastroenteritis
979 122763 10/29/2016 10:28:02 12:19:59
MARDHIYA and colitis of
H unspecified origin

RAIHAN T14.1 - Open


ARGA wound of
980 122764 10/31/2016 10:45:40 10:47:33
PUTRA unspecified body
GUMILANG region

H.EMPAH
981 SUPARMAN 122765 5/5/1953 - 11:13:56 12:26:29

ASTRIA H81.4 - Vertigo of


982 094514 2/2/2001 11:24:58 11:27:03
SUPRIATI central origin

L02.9 -
Cutaneous
SAIFUL
983 HAMZAH 122749 4/10/1990 abscess, furuncle 14:37:41 14:40:26
and carbuncle,
unspecified

984 WENI 122767 4/15/1998 K30 - Functional 11:33:23 11:38:19


APRILIANI dyspepsia

NURYN
DYRA
985 122771 11/23/2021 - 12:49:26 16:59:16
NURHADIA
NSYAH
986 BABAS 122772 1/1/1969 - 12:55:07 12:56:59

987 SEPTIYA 116037 9/8/1987 - 13:09:28 13:09:28


YUDA
RISMAN
R50.9 - Fever,
988 HERMAWA 116938 12/11/1990 14:04:17 14:05:56
unspecified
N
YUNUS R50.9 - Fever,
989 044800 6/8/1971 14:07:32 14:10:04
BAHTIAR unspecified

990 ODAH 090728 10/12/1949 R06.0 - Dyspnoea 14:09:35 14:11:13

GAVIN R50.9 - Fever,


991 090291 6/1/2020 16:02:10 16:04:34
HARYANTO unspecified
AGUS
992 FIRMANSY 122776 8/29/1970 - 14:37:24 22:31:29
AH

K30 - Functional
993 ANGGI 116274 9/5/1996 14:47:32 14:49:49
dyspepsia

SHAAHIN A09.9 -
SHAHZAD Gastroenteritis
994 122777 6/16/2021 15:38:07 16:57:42
AZZAFARA and colitis of
NI unspecified origin

EUIS
995 027932 4/4/1988 - 15:53:10 15:56:15
RATNASARI

A09.9 -
AGUS
Gastroenteritis
996 ENDANG 122778 4/28/1998 and colitis of 16:07:20 16:10:45
PERMANA
unspecified origin

NANO
997 069705 7/7/1965 - 16:40:00 16:43:21
SURYONO

RIZKY J06.9 - Acute


998 RAMADHA 122779 4/6/2022 upper respiratory 17:45:50 17:46:16
N infection,
unspecified

WENI R10.0 - Acute


999 122767 4/15/1998 18:05:38 18:06:08
APRILIANI abdomen

R10 - Abdominal
CITRA
and pelvic pain |
1000 AMIRAH 122780 7/1/2005 R10.0 - Acute 18:55:30 18:57:22
ZAIHAN
abdomen

A09 - Other
gastroenteritis
and colitis of
infectious and
ASEP
1001 122781 6/25/1982 unspecified origin 18:59:36 19:01:13
SAEPUL
| A09.9 -
Gastroenteritis
and colitis of
unspecified origin
ROSMAWA K30 - Functional
1002 021082 5/5/1968 19:04:37 19:08:31
TI dyspepsia

DRA
I10 - Essential
NENENG
1003 122782 5/3/1965 (primary) 19:26:54 19:30:04
SRI
hypertension
GANTINI

SITI J45.9 - Asthma,


1004 018796 8/28/2000 19:39:35 19:42:19
MARIYAM unspecified

R50.9 - Fever,
1005 NOVANDI 122784 11/1/1991 19:45:33 19:46:06
unspecified
T14 - Injury of
1006 TATING 122785 9/21/1950 unspecified body 19:52:57 19:54:37
region

I10 - Essential
1007 NINING 122786 7/1/1957 (primary) 19:59:24 20:00:42
hypertension

H81.1 - Benign
paroxysmal
1008 SARIPAH 122787 1/2/1973 vertigo | K30 - 20:04:10 20:04:33
Functional
dyspepsia

T14 - Injury of
1009 SHAHRIL 122789 2/21/2002 unspecified body 21:36:22 21:42:09
RIVAI region

T14 - Injury of
1010 BANGBANG 122790 12/16/2001 unspecified body 21:41:22 21:43:51
region

RAISYA R50.0 - Fever


1011 122791 1/6/2015 22:32:30 22:34:27
ADRIYANI with chills

SEKAR
R11 - Nausea and
ARUM
1012 051961 6/3/2018 vomiting | R50.0 22:36:45 23:13:42
SENJAKEM
- Fever with chills
UNING

ALFARIZ
1013 RADEYA 122792 10/22/2020 - 23:46:51 23:48:09
RAMDANI

ARDIAN A
1014 NURIYANSY 036328 3/10/2010 - 0:11:42 9:43:23
AH
SUSILAWAT 097446/09 K30 - Functional
1015 8/1/1986 2:43:43 3:03:47
I 8792 dyspepsia

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified origin
1016 AGUS 113610 8/14/1993 | A09.0 - Other 3:13:55 3:24:59
SETIAWAN unspecified
gastroenteritis
and colitis of
infectious origin |
K30 - Functional
dyspepsia

E16.2 -
1017 OOM 025521 5/6/1955 Hypoglycaemia, 4:11:32 7:35:30
unspecified

1018 TANJUNG 122796 1/1/1999 R06.0 - Dyspnoea 4:31:53 5:47:59

JULIANA
K30 - Functional
1019 NURUL 122797 7/23/2000 9:36:52 9:38:03
dyspepsia
LATIFAH

ADZKA R50.9 - Fever,


1020 ABDUL 106597 6/14/2020 5:47:47 5:48:02
unspecified
RASYAD

T14 - Injury of
JULVAN
1021 122799 7/29/1996 unspecified body 9:06:06 9:10:30
PRANATA
region

H81.1 - Benign
RIFFA paroxysmal
1022 ZALFA 055771 12/23/1999 vertigo | K30 - 9:04:01 9:09:47
MUSHAFA Functional
dyspepsia

M10 - Gout |
RAHMAT
043697/07 6/20/1960 M10.07 -
1023 SURIA 9:02:32 9:08:42
0074 Idiopathic gout,
WIJAYA
ankle and foot

BELLA K30 - Functional


1024 073297 6/9/1991 9:28:53 13:18:59
VISTA dyspepsia
J45 - Asthma |
1025 I. SYAPEI 028034 9/17/1956 9:31:31 9:34:15
R06.0 - Dyspnoea

WAWAN K30 - Functional


1026 067544 8/16/1958 11:13:30 13:20:55
GUNAWAN dyspepsia

A09 - Other
MOHARGA gastroenteritis
1027 ZA 122812 3/25/2022 and colitis of 17:39:08 17:40:29
AKSABIAN infectious and
unspecified origin

MUHAMM
1028 AD 122813 4/22/2018 R56.0 - Febrile 11:43:02 11:44:46
ZUKHRUF convulsions
KAHFI

RIPANA
1029 122814 9/8/1977 - 11:49:00 12:52:34
ABDULLAH

USEP
1030 122815 6/25/1972 - 11:51:40 12:53:53
SUHENDAR

SYILVIA
R11 - Nausea and
1031 PUTRI 122816 10/25/2013 13:05:31 13:23:14
vomiting
NUREGA
R04.2 -
1032 SARBINI 122817 5/11/1926 Haemoptysis 13:30:00 15:39:42

NABILA
FAUZIA
1033 122820 4/6/2003 - 14:05:22 14:05:22
NURHASAN
AH

SITI HASIFA R50.9 - Fever,


1034 119497 1/9/1997 14:28:56 14:43:15
WAHYUDIN unspecified

E9065 - Bite by
unspecified
animal | Z20.9 -
SOFIA Z20.9 - Contact
1035 SALSABILA 122821 6/2/2018 with and 14:55:06 14:59:51
RAMANIA exposure to
unspecified
communicable
disease
J06.9 - Acute
PANDU
SAPARINDA upper respiratory
infection,
1036 , 091935 8/29/1990 15:03:29 15:45:13
unspecified |
(A.Md.Kep.
R50.9 - Fever,
)
unspecified

1037 BINA 122822 11/9/1994 R50.9 - Fever, 15:39:24 16:35:38


BETIANA unspecified

MUHAMM A09 - Other


AD gastroenteritis
1038 NATHAN 122823 10/22/2019 and colitis of 15:46:23 20:00:48
ATHARRIZQ infectious and
I unspecified origin

TAOFIK
R50.9 - Fever,
1039 HIDAYATUL 122824 1/14/1996 15:52:32 16:33:25
unspecified
OH

DUDIH R50.9 - Fever,


1040 122825 2/11/1988 16:07:43 16:34:06
SUPARMAN unspecified

SELPI ANI K30 - Functional


1041 NURBAEDIL 122826 9/12/2003 16:42:30 16:43:24
dyspepsia
LLAH

M BILAL R11 - Nausea and


1042 ARRASYID 122827 8/7/2017 17:00:15 17:05:18
vomiting
SIDIK
J45.9 - Asthma,
1043 NANANG 000775 1/1/1958 17:13:47 17:15:51
unspecified

LINA
1044 122828 11/10/1975 - 17:18:46 17:20:43
MARLINA

1045 PIAH 122829 4/19/1952 - 17:31:33 19:54:14


EUIS
JULAEHA
1046 122647 1/1/1953 - 18:13:39 19:52:43
BT SALEH
IYUK

TASYYA R50.9 - Fever,


1047 104699 2/20/2008 18:23:56 18:23:56
HERLINA unspecified
RISMAN R50.9 - Fever,
1048 HERMAWA 116938 12/11/1990 18:25:30 19:38:56
unspecified
N
IMAS R50.9 - Fever,
1049 089314 7/7/1971 18:52:29 18:52:45
MASRIATI unspecified

ARIE
K30 - Functional
1050 TURMANTA 122830 12/15/1993 18:53:46 18:56:18
dyspepsia
RA

ALVINNO
1051 ROSYD 054760 2/28/2014 R50.9 - Fever, 20:22:07 20:25:39
unspecified
MUSTOFHA

NAURA R50.9 - Fever,


1052 ALDEEVA 122832 7/9/2018 20:56:03 21:00:27
unspecified
JULIANA

M79.1 - Myalgia
DEDE
1053 SUMARNA 066234 10/26/1992 | R50.9 - Fever, 21:07:28 21:10:24
unspecified

1054 ATIEK 011314 4/5/1982 J45.9 - Asthma, 21:20:05 21:24:38


PURWATI unspecified

ROSLINDA
J45.9 - Asthma,
1055 RISMAWAT 046287 6/5/1977 22:34:26 22:36:26
unspecified
I

TANIA
K30 - Functional
1056 NURUL 122834 1/27/2003 2:41:05 2:42:52
HIDAYAH dyspepsia

T14.1 - Open
SRI wound of
1057 003801 4/6/1985 7:17:20 7:20:32
MULYANI unspecified body
region

FIFATHNA K30 - Functional


1058 060804 1/21/1995 dyspepsia | 5:26:22 5:30:28
FADLIANI
M79.1 - Myalgia

DEDE AMIR
1059 MAHPUD 071109 4/21/1979 R06.0 - Dyspnoea 5:40:40 5:55:56
PERMANA

ADIFA
R56.0 - Febrile
1060 ALMAQHVI 122837 8/27/2018 5:54:37 5:55:57
convulsions
RA
J06.9 - Acute
AIRIS SITI upper respiratory
1061 115272 2/19/2022 6:14:02 6:16:16
FAHIMA infection,
unspecified

K30 - Functional
1062 EPON 122838 7/1/1955 6:24:48 6:27:44
dyspepsia

1063 DIMI 114508 3/21/1935 R33 - Retention 7:20:39 7:21:50


of urine

N61 -
Inflammatory
1064 HINDUN 019668 12/2/1972 disorders of 10:01:01 10:05:21
breast

NANDI
K30 - Functional
1065 MULANDA 069906 10/10/1987 10:01:05 17:18:26
dyspepsia
R

1066 NENGSIH 057069 5/5/1982 K30 - Functional 10:01:10 10:59:54


MULYANI dyspepsia

HERNAWAT
A91 - Dengue
I
1067 122846 6/18/2001 haemorrhagic 10:01:13 17:34:00
HERMAWA
N fever

SHOLAHUD R11 - Nausea and


1068 121928 6/12/1966 10:01:19 10:04:27
IN KAMIL vomiting

RAIHAN
1069 RIZKI 079482 8/27/2013 J45 - Asthma 10:01:25 10:04:49
ADITIA

KHALISA
R50.9 - Fever,
1070 PERMANA 122848 11/6/2021 10:05:00 10:06:42
unspecified
PUTRI
1071 LILAH 122849 6/10/1995 - 10:14:46 10:14:46
SITI
MIKAILA R10 - Abdominal
1072 122694 7/7/2005 10:31:02 10:34:15
PUTRINA and pelvic pain
SYAHRA

YENI N18 - Chronic


1073 ARISKA 122854 10/15/1970 kidney failure 10:47:48 10:50:25

MUHAMAD
R50 - Fever of
VINO
1074 119758 2/6/2021 other and 10:49:48 10:50:20
FAISAL
unknown origin
PUTRA
R50 - Fever of
1075 PANGERAN 122861 6/10/2019 other and 11:50:16 11:53:09
HASAN
unknown origin

RAKHSAND
RINA R50.9 - Fever,
1076 043398 7/1/2017 12:33:02 14:46:30
EARLYTHA unspecified
MIKHAILA

J06.9 - Acute
DEPI upper respiratory
1077 059702 12/14/1997 13:32:52 13:33:47
RUBIANTO infection,
unspecified

ARIE
1078 TURMANTA 122830 12/15/1993 - 13:55:51 15:25:19
RA

MUHAMAD A09.9 -
RAFIQ Gastroenteritis
1079 122866 1/26/2022 14:59:06 15:22:31
RIDWANSY and colitis of
AH unspecified origin

A09 - Other
gastroenteritis
and colitis of
infectious and
unspecified origin
| A09.9 -
RAI
1080 122867 11/3/2021 Gastroenteritis 15:06:37 15:23:11
ALFARIZQI
and colitis of
unspecified origin
| J06.9 - Acute
upper respiratory
infection,
unspecified

T14 - Injury of
unspecified body
region | T14.1 -
1081 MAMAT 002065 6/10/1973 Open wound of 15:19:37 15:22:55
unspecified body
region
MIMIN R50.9 - Fever,
1082 019314 10/3/1960 15:25:08 15:42:44
HERMINA unspecified

J06.9 - Acute
upper respiratory
infection,
1083 ROHAYATI 122868 8/16/1960 15:27:45 15:43:35
unspecified |
R50.9 - Fever,
unspecified

A15 - Respiratory
tuberculosis,
1084 JAJAT 122869 2/2/1975 bacteriologically 16:08:04 16:47:01
and histologically
confirmed

BADRIA
MAULANA
1085 042793 4/11/1935 R06.0 - Dyspnoea 16:11:49 16:12:57
KOMARUD
DIN

UPEN J45.9 - Asthma,


1086 114290 5/5/1971 16:14:22 16:19:40
SUPENTI unspecified

J06 - Acute upper


ALISYA
SHANUM respiratory
1087 118158 6/24/2020 infections 16:15:52 16:16:24
ADREENA
multiple and
RAHMA
unspecified sites

J06.9 - Acute
upper respiratory
RAFAEL
infection,
1088 REYNALDY 122870 1/8/2017 16:18:45 16:19:48
unspecified |
PUTRA
R50.9 - Fever,
unspecified
J06.9 - Acute
upper respiratory
1089 SITI 122871 6/5/1957 infection, 16:34:06 16:35:28
ROMLAH unspecified | K30
- Functional
dyspepsia

1090 RISDA SUCI 115276 6/17/1992 - 16:47:02 16:47:13


NURJANAH

R50.9 - Fever,
1091 RISNAWATI 122872 8/20/2002 16:59:43 17:00:21
unspecified

A35 - Other
YEYEH tetanus | R50.9 -
1092 122873 8/2/1987 17:03:45 19:03:34
SUMIATI Fever,
unspecified

AL-FARIZKY R50.9 - Fever,


1093 PUTRA 108683 2/8/2020 18:22:44 18:24:06
unspecified
PRADIVTA

AL-FARIZKY
R50.9 - Fever,
1094 PUTRA 108683 2/8/2020 18:22:44 18:22:44
unspecified
PRADIVTA

SALSABILA
1095 KHAIRUNNI 122874 2/17/2016 R50.9 - Fever, 18:39:19 18:39:27
unspecified
SA

K37 - Unspecified
FAHMI
appendicitis |
1096 DAFA 122875 12/18/2016 18:40:29 18:43:05
R10.0 - Acute
ADZIKRI
abdomen
J06 - Acute upper
respiratory
infections
SUCI multiple and
1097 SUKMAWA 083592 5/15/1993 unspecified sites 18:59:33 19:00:01
TI | J06.9 - Acute
upper respiratory
infection,
unspecified

RAISA R50.9 - Fever,


1098 122877 7/1/2012 19:25:15 19:30:38
PUTRI unspecified

M79.1 - Myalgia
MULYANA
1099 122878 7/19/1962 | R50.9 - Fever, 19:27:54 19:29:31
SIGIT
unspecified

J06.9 - Acute
upper respiratory
ALIZHA infection,
1100 105525 4/12/2020 unspecified | R50 22:00:28 22:01:05
NURAFIFAH
- Fever of other
and unknown
origin

AGISTA R50.9 - Fever,


1101 PUTRI 101912 8/24/2001 23:28:06 23:30:27
unspecified
UTAMI

1102 UJANG 097466 1/1/1968 K30 - Functional 4:34:39 4:35:42


RAHMAT dyspepsia

K30 - Functional
1103 UDIN 122879 7/1/1960 6:03:46 6:04:57
dyspepsia

J06 - Acute upper


respiratory
infections
1104 BONASI 113799 10/13/2021 multiple and 6:22:40 6:23:58
ASIYA SARI unspecified sites
| R50 - Fever of
other and
unknown origin
MUHAMM J06.9 - Acute
upper respiratory
1105 AD SYAH 105931 5/30/2020 6:22:45 6:23:51
RIZAL infection,
unspecified

J06.9 - Acute
upper respiratory
SHEILLA infection,
1106 ZULFA 026888 7/25/2016 unspecified | R50 6:59:50 7:00:56
SUTISNA - Fever of other
and unknown
origin

RIDOAN
1107 GUMELAR, 040313 8/2/1982 - 8:23:03 11:33:19
(ST)

A09.9 -
Gastroenteritis
and colitis of
1108 AAN 079015 5/9/1957 unspecified origin 9:34:05 9:51:05
| K30 -
Functional
dyspepsia

G40 - Epilepsy |
SAQILA
1109 050280 4/10/2017 R50.0 - Fever 10:05:29 10:07:57
MARYAM
with chills
CICIH
1110 114352 6/15/1956 - 10:08:18 10:10:27
SARTIKA
RIZAL
1111 BURHANUD 122886 7/22/2005 R50.0 - Fever 11:03:49 11:05:31
with chills
IN

MUHAMM
1112 AD AZMI 053456 6/6/2000 J45 - Asthma 11:31:39 11:35:07
KHAWARIZ

N39.0 - Urinary
1113 JUAENI 122887 10/29/1990 tract infection, 12:32:39 13:30:29
site not specified

FARLA
1114 FATMAWA 122888 10/16/2002 - 13:43:21 15:08:18
TI
ALDI R50.9 - Fever,
1115 122889 7/5/2019 13:49:56 18:45:11
EFFENDI unspecified

1116 YULI 022381/05 7/3/1956 R50.9 - Fever, 13:57:34 15:00:53


2963 unspecified

HOSHIZOR
A SNOW
1117 175465 11/29/2021 - 14:14:50 14:15:56
PERDANA
PUTRI

R10.0 - Acute
1118 YAYAN 024808 4/6/1969 14:19:10 14:58:47
abdomen

A09 - Other
gastroenteritis
and colitis of
YETI
1119 SUSANTI 122890 8/10/1979 infectious and 14:29:31 14:30:36
unspecified origin
| R11 - Nausea
and vomiting

R11 - Nausea and


1120 IDA FARIDA 023536 4/2/1973 vomiting 14:52:39 14:53:21

K30 - Functional
1121 IWON 078871 12/10/1962 dyspepsia 14:57:57 14:58:33

A15 - Respiratory
ABDUL tuberculosis,
1122 051628 5/7/1947 bacteriologically 15:11:10 16:06:16
GANI, (H).
and histologically
confirmed

R11 - Nausea and


1123 NINIK 103010 2/8/1957 15:20:05 15:24:05
vomiting

YANAH
1124 019502 7/27/1983 K30 - Functional 15:23:29 15:25:39
NURYANI dyspepsia

K30 - Functional
1125 KIKI 055063 10/1/1955 16:20:12 16:31:11
dyspepsia

YAYAT
1126 062962 10/12/1964 - 16:36:56 16:52:17
PERMANA
T01 - Open
ANGGA wounds involving
1127 122891 2/9/1999 17:08:44 17:11:38
TRIWIJAYA multiple body
regions

T01 - Open
wounds involving
1128 IAH 122892 7/1/1958 17:17:21 17:20:25
multiple body
regions

GRINN
KANJEANO
1129 016177 9/2/2011 R05 - Cough 18:31:31 18:32:47
PRAWOWO
R

TITIN R07.4 - Chest


1130 KARTINI 040779 8/18/1978 pain, unspecified 18:52:55 18:56:06

J06 - Acute upper


USIN respiratory
1131 122893 4/12/1987 infections 19:18:33 19:20:17
SUTISNA
multiple and
unspecified sites

MUHAMM
R50.9 - Fever,
1132 AD FAZRIL 122894 5/7/2012 19:43:54 19:44:47
unspecified
ALAMSYAH

RANDI
1133 ALFIYANSY 051854 11/2/2014 J45 - Asthma 19:50:35 19:52:54
AH

RAFKA
1134 ADITYA 122895 5/20/2017 - 20:31:36 20:32:20
GUMANDA

TONI
1135 122896 7/1/1986 - 22:12:59 22:13:40
MARTIN
A09 - Other
gastroenteritis
and colitis of
SITI ADE
1136 NURHASAN 115491 2/4/1967 infectious and 23:25:19 23:28:42
unspecified origin
AH
| N23 -
Unspecified renal
colic

T14 - Injury of
1137 RAFDI 033730 11/25/2000 unspecified body 22:42:13 22:46:01
region
1138 DIDIH 056825 7/10/1945 - 22:58:58 22:58:58
MUHAMM
1139 AD 122897 6/11/2003 - 8:10:23 23:31:29
RANGGA
FIRDAUS

BAYI NY
1140 122898 9/24/2022 - 23:33:34 23:33:34
NURAENI
R11 - Nausea and
1141 NURLAELA 010454 7/1/1977 23:38:31 23:40:20
vomiting
I11 -
1142 WIWI 020975 7/1/1979 Hypertensive 23:56:29 23:59:09
heart disease

KHANZA
R50.9 - Fever,
1143 ALMAHYRA 088934 11/17/2016 0:13:17 0:14:08
unspecified
MISHALL

J18.0 -
FAIRUZA
1144 083575 8/16/2019 Bronchopneumo 0:15:28 0:17:30
ELFATIH
nia, unspecified

T14.1 - Open
DEWI wound of
1145 BALCKISH 076372 8/25/2001 1:07:50 1:10:40
AGUSTINA unspecified body
region

TITA
1146 120667 4/21/1999 - 7:26:47 7:49:43
KARTINI
LISDA K30 - Functional
1147 AYUNINGSI 057252 12/27/1991 2:05:45 2:19:41
dyspepsia
H

T14.1 - Open
AGUNG wound of
1148 122900 4/5/2000 2:10:32 2:14:45
APRIANTO unspecified body
region
MAMAN
1149 HERMANSY 122901 1/1/1983 - 4:38:30 4:39:19
AH

HENI
1150 122902 6/1/1965 - 5:01:54 5:02:47
SUPRIYATI

T14.1 - Open
1151 YUSRIL 122903 4/13/2003 wound of 6:04:05 6:08:49
unspecified body
region

A09.0 - Other
unspecified
YATI
1152 USMIATI 122905 8/6/1963 gastroenteritis 6:00:21 8:50:07
and colitis of
infectious origin

AJANG
1153 122906 3/1/1976 - 7:35:41 7:36:57
RAHMAT
HENDI
1154 HERDIANSY 122907 1/17/1977 - 7:44:37 7:45:37
AH

MUHAMAD
1155 ROOKAN 121719 5/22/2010 B86 - Scabies 7:59:37 8:02:53
ALHILMI

RENDI
1156 MULIGAR 119341 6/23/1992 - 8:03:08 8:03:08

1157 PARNO 066483 7/9/1975 K30 - Functional 8:06:03 8:27:47


dyspepsia

KHAIRA
R50.0 - Fever
1158 THALITA 122908 9/10/2013 8:48:15 8:50:34
SAUQIYA with chills

G51.1 -
Geniculate
YUDI
1159 122909 11/6/1986 ganglionitis | 8:59:40 9:02:07
MULYADI R50.0 - Fever
with chills

T14.1 - Open
EDWIN
wound of
1160 WALID 122910 3/20/2006 unspecified body 9:07:08 9:10:01
SAPUTRA
region
MOHAMM
J06.0 - Acute
AD TALAL
1161 ALI 122494 3/23/2014 laryngopharyngiti 9:12:47 9:16:22
s | R50.0 - Fever
ALAWAMLE
with chills
H

SARIPATUL R56.0 - Febrile


1162 122911 7/19/2021 9:19:43 9:22:23
ARAPAH convulsions

SAFIYA A09.9 -
NAZERA Gastroenteritis
1163 117139 4/12/2022 9:29:05 9:31:25
ADIBA and colitis of
TAMAMI unspecified origin

J06.9 - Acute
upper respiratory
1164 MINJANAH 023789 4/16/1964 infection, 9:41:42 9:43:36
unspecified

M54.05 -
Panniculitis
affecting regions
1165 YETI 122912 4/1/1968 of neck and back, 9:57:22 9:59:27
thoracolumbar
region

M54.05 -
Panniculitis
AMELIA affecting regions
1166 RAHMAWA 096912 8/2/1991 of neck and back, 10:33:18 10:35:21
TI NURLIA thoracolumbar
region | M79.1 -
Myalgia

USAN
ZAENAL K30 - Functional
1167 056081 7/13/1980 10:45:18 11:00:01
NAHNU dyspepsia
RIZAL

ROSA
1168 122914 6/12/1995 J45 - Asthma 10:50:58 10:54:08
NURJANAH

DEWI SARI
1169 031537 11/8/1986 K30 - Functional 10:56:50 10:58:14
PERTIWI dyspepsia
KEYLA R50.0 - Fever
1170 077043 8/14/2019 11:08:36 11:09:18
NATASYA with chills

L02.0 -
Cutaneous
ARI
1171 109648 6/7/1998 abscess, furuncle 11:44:34 11:46:55
RUSTAMAN
and carbuncle of
face

M54.05 -
Panniculitis
CECE
affecting regions
1172 ABDUROH 122916 1/1/1970 11:49:58 12:06:15
of neck and back,
MAN
thoracolumbar
region

G51.9 - Disorder
1173 SUKRI 122917 4/11/1945 of facial nerve, 12:25:39 12:37:07
unspecified

ELISNAWAT
1174 071558 1/8/1988 - 12:28:38 17:59:30
I

R50.0 - Fever
KENZO
114295/12 with chills |
1175 SULTAN 1/27/2022 19:21:13 19:24:07
0093 R56.0 - Febrile
MUBBARAK
convulsions

SRI K30 - Functional


1176 WAHYUNIN 005004 7/25/1963 14:15:00 14:17:55
dyspepsia
GSIH

J06 - Acute upper


RASYA respiratory
1177 FALEH NUR 122918 9/30/2016 infections 14:21:09 14:23:11
AL-ZIDAN multiple and
unspecified sites

K30 - Functional
1178 AIDAH 035002 6/13/1971 14:25:05 14:26:44
dyspepsia

A09 - Other
gastroenteritis
1179 ERNA 058030/12 10/14/1965 and colitis of 14:29:45 14:30:07
SURYANI 2919
infectious and
unspecified origin
REDHA L30 - Other
1180 122920 9/17/1990 14:35:34 14:37:07
MUTHIARA dermatitis

SITI
1181 122921 1/1/2020 E9060 - Dog bite 14:51:47 14:54:19
MARWAH

T14.1 - Open
1182 LILIH 122922 7/1/1960 wound of 15:05:49 15:09:40
NURHAYATI unspecified body
region

R50 - Fever of
1183 HERMAN 122923 4/26/1986 other and 16:00:58 16:02:32
unknown origin

ALFAYAATH L30 - Other


1184 122924 1/18/2007 16:26:31 16:27:13
TAJUSA dermatitis

A09 - Other
gastroenteritis
1185 RIZAL 122925 7/1/1953 and colitis of 16:30:08 16:32:20
infectious and
unspecified origin

1186 SINTIA 064992 8/4/2009 R17 - Unspecified 16:38:32 16:39:21


AGUSTINA jaundice

T01 - Open
JASMINE
1187 NAURA EZA 107760 6/18/2009 wounds involving 16:48:31 16:51:13
multiple body
PUTRI
regions

MILA
1188 122926 8/24/2000 K30 - Functional 17:01:55 17:02:31
HATIA dyspepsia

RINEU
K30 - Functional
1189 NURUL 119559 6/14/2000 17:07:17 17:12:11
AINAH dyspepsia

YANAH K92.0 -
1190 LUSIYANAH 122927 9/7/1994 Haematemesis 17:09:34 17:10:46
J06 - Acute upper
ARJUNA respiratory
1191 SYAAKIR 112644 9/17/2020 infections 17:12:00 17:13:42
BARYN multiple and
unspecified sites

J06 - Acute upper


respiratory
FARHAN
1192 110492 3/30/2021 infections 17:26:18 17:27:56
ALQARY
multiple and
unspecified sites

BAMBANG R11 - Nausea and


1193 044279 2/22/1967 17:44:01 17:45:48
SUTOMO vomiting

1194 N.TITA 020913 11/5/1969 R10.0 - Acute 17:52:04 17:53:28


ROSVITA abdomen

DENDA R50 - Fever of


1195 LATHIFUL 122928 6/21/1994 other and 17:58:07 17:59:27
RAHMAN unknown origin

HAMDANI R50 - Fever of


1196 BUDI 105325 1/8/1988 other and 18:04:39 18:41:48
PRATAMA unknown origin

J06.9 - Acute
LEON
upper respiratory
1197 ABIYU AL- 080075 7/3/2018 18:28:33 18:30:29
infection,
KAUTSAR
unspecified

KAYLA R50 - Fever of


1198 NADHIFA 097319 8/4/2020 other and 18:33:27 18:33:27
ALMAYIRA unknown origin

MUHAMAD
R50 - Fever of
RIZKY
1199 122929 12/21/2015 other and 18:39:59 18:40:02
RAMADHA
unknown origin
N

J06.9 - Acute
MUHAMM upper respiratory
1200 AD AKBAR 110117 7/2/2021 19:13:59 19:14:14
infection,
ALFARIZI
unspecified
TUTI K30 - Functional
1201 067874 7/27/1976 19:23:01 19:24:17
YULIAWATI dyspepsia

J06.9 - Acute
upper respiratory
1202 NENAH 080682 1/15/1960 19:49:16 19:50:07
infection,
unspecified

T14 - Injury of
ARMAN
1203 122931 8/11/2005 unspecified body 19:55:23 19:56:03
AGUSTIAN
region

J06.9 - Acute
SITI SALWA upper respiratory
1204 NUROHMA 028380 5/18/2001 19:59:12 20:01:28
infection,
H
unspecified

MUHAMM
1205 AD NABIL 058368 7/5/2010 R50.9 - Fever, 20:05:32 20:06:25
AZKA unspecified
MUAFI

GITA AYU
1206 CAHYANI, 063283 11/28/1996 K30 - Functional 20:15:31 20:16:51
(A.Md.Kep) dyspepsia
.

R07 - Pain in
throat and chest
DADAN
1207 031058 2/11/1967 | R50 - Fever of 20:35:15 20:37:54
SUDANA other and
unknown origin

MUHAMM
R50 - Fever of
AD AZMAL
1208 078120 2/5/2019 other and 20:39:03 20:43:06
ARRAHMA
unknown origin
N

NUR AFAF
1209 LATIFAH 122932 7/31/2007 - 20:44:08 20:45:20

LULU K30 - Functional


1210 122933 12/29/2003 20:58:46 21:00:56
LUSMIATY dyspepsia

TASYYA R50.9 - Fever,


1211 104699 2/20/2008 21:01:45 22:02:05
HERLINA unspecified
SULTAN J06.9 - Acute
upper respiratory
1212 SYAHIR 122934 5/22/2021 21:34:25 21:37:18
MAHASIN infection,
unspecified

TIKA K30 - Functional


1213 102932 2/4/1980 21:37:13 21:37:50
KARTIKA dyspepsia

WISDAN G44 - Other


1214 RESTU 080434 4/18/2004 headache 21:42:35 21:42:55
WIDIYA syndromes

RATU PIKTI
K30 - Functional
1215 PIRANTI, 103640 7/19/1994 dyspepsia 22:00:48 22:12:17
(S.Farm).

BAMBANG
1216 SULISTOM 122935 1/10/1979 - 0:17:31 22:11:03
O

1217 SITI LABILA 059584 8/24/2010 - 22:20:17 22:20:41

1218 ANGGA 115215 12/28/2007 - 1:25:20 1:25:32


PERANATA

K91.0 - Vomiting
HUSNIAH
following
1219 QANAYA 067932 8/7/2016 3:20:48 3:21:01
gastrointestinal
SYIFA
surgery

MUHAMM
AD ZIDAN R50.9 - Fever,
1220 122937 12/25/2011 4:33:24 4:34:08
HERMANSY unspecified
AH

ZAHRA
SIFHA
R50.9 - Fever,
1221 ALFAUZIAH 071653 4/28/2015 5:29:40 5:29:57
unspecified
PUTRI
IDRUS

A09.9 -
MUHAMM
Gastroenteritis
1222 AD ZAIN 122938 12/23/2021 5:36:41 5:37:24
and colitis of
ALSYAD
unspecified origin
RANI R10.0 - Acute
1223 022042 7/8/1991 7:59:17 8:03:09
RUSTIANA abdomen

RIZKY ALI
R50.9 - Fever,
1224 MARDIANS 122944 8/5/2016 8:13:45 8:14:36
unspecified
YAH
R11 - Nausea and
1225 KOMALA 036575 6/24/1949 8:48:40 8:50:45
vomiting

K30 - Functional
1226 AJAH 118879 2/2/1966 9:52:59 9:58:15
dyspepsia

R10.0 - Acute
1227 NUSUL 122959 2/4/1965 abdomen 10:58:08 12:33:51

FENTI R07.1 - Chest


1228 040767 6/20/1974 pain on breathing 13:29:50 13:31:58
SUMIATI

R50.9 - Fever,
1229 TITING 049173 4/18/1950 12:33:18 12:34:36
unspecified
LUSI
K30 - Functional
1230 PURNAMAS 062764 6/17/1985 12:40:10 12:41:34
dyspepsia
ARI

M T14 - Injury of
1231 FADILLAH 122963 9/26/2008 unspecified body 13:03:38 13:07:29
HANIF region
1232 ENCUP 032803 8/12/1964 - 13:43:44 13:44:16

MUHAMM
AD KIAN K30 - Functional
1233 078168 2/22/2013 14:14:12 14:41:03
ALDIANSYA dyspepsia
H

IYAN K30 - Functional


1234 058819 1/5/1978 15:16:38 15:18:52
SUYANTI dyspepsia

T01 - Open
wounds involving
1235 ARIL 122964 1/1/2004 15:05:03 15:08:34
multiple body
regions

ENDI R10.0 - Acute


1236 122965 8/17/1980 15:05:03 16:44:33
SUPRIADI abdomen

SAHMUDIN 120683/12
1237 7/3/1969 - 16:06:57 19:57:45
LABIB 2453
I12 -
ANHAR
1238 072652 6/3/1985 Hypertensive 16:12:03 16:36:17
RAMDHANI renal disease

FARIS
1239 122966 4/10/2019 - 16:17:51 18:26:02
SUHENDAR

R11 - Nausea and


1240 ADIRA 040551 1/26/2017 vomiting | R50.9 16:22:44 18:24:36
AZZAHRA - Fever,
unspecified

RIZKI K30 - Functional


1241 121735 2/4/2004 16:32:02 18:25:16
FEBRIANTI dyspepsia

R50.0 - Fever
MUHAMAD with chills |
1242 ADLI 122967 4/1/2020 R56.0 - Febrile 16:43:52 16:47:54
convulsions

I10 - Essential
1243 CATUR 119549 3/11/1979 (primary) 16:46:55 18:15:24
CAHYOKO
hypertension

K30 - Functional
1244 YUNETI 122968 4/15/1973 16:53:10 18:32:43
dyspepsia

KEYLA
1245 PUTRI 122969 10/2/2021 - 16:59:22 17:50:15
OKTAVIANI

SITI
MIKAILA K35 - Acute
1246 122694 7/7/2005 17:05:21 18:35:07
PUTRINA appendicitis
SYAHRA

MUHAMM R50.9 - Fever,


1247 AD DAIYAN 122970 2/12/2020 17:11:07 18:23:07
unspecified
ASSYAFAN

A09.9 -
MUHAMAD
106372/12 Gastroenteritis
1248 FAREL 2394 9/5/2020 and colitis of 17:32:45 18:22:35
ISKANDAR
unspecified origin
K30 - Functional
M. ABDUL dyspepsia |
1249 037424 5/4/1998 17:38:58 18:18:47
ROHMAN R50.9 - Fever,
unspecified

I10 - Essential
(primary)
1250 ENUNG 106295 4/28/1967 hypertension | 18:16:14 18:37:11
NURSIMAH
K30 - Functional
dyspepsia

NENI
1251 175381 4/19/1987 - 18:20:52 21:18:42
PURWANTI

1252 IDA ROYANI 120533 4/14/1982 - 18:26:53 18:45:29

NADILA 086304/12
1253 10/24/2010 J45 - Asthma 18:34:40 18:37:38
DWI PUTRI 0640

NANAN SRI K30 - Functional


1254 122972 1/21/1973 18:44:06 18:46:37
MULYANI dyspepsia

DESTI
1255 MAULIDA 122973 12/15/2017 - 18:53:03 19:27:47
IRAWAN

K30 - Functional
NURAENI
1256 122974 12/14/1983 dyspepsia | R51 - 18:59:38 19:03:52
SOPIAH
Headache

ADIBA
1257 RADZKIA 094681 5/17/2019 R50.9 - Fever, 19:08:29 19:17:44
unspecified
RAMDHANI

J06.9 - Acute
065768/08 upper respiratory
1258 ENCUN 7/1/1961 19:10:04 20:01:02
6366 infection,
unspecified

J06.0 - Acute
MILA laryngopharyngiti
1259 RAHMAH, 116184 6/5/1996 s | R50.0 - Fever 20:05:58 20:07:39
(Amd.Kep.)
with chills
G44.4 - Drug-
AYU induced
1260 HANDAYAN 053858 11/17/2000 headache, not 20:36:10 20:38:01
I elsewhere
classified

1261 CICIH 122976 4/28/1979 - 20:47:07 20:47:07


R50.0 - Fever
1262 LAZWARDI 111545 5/4/1973 20:49:39 20:58:17
with chills
NURUL
L20 - Atopic
1263 ISLAMI 115177 8/20/1998 21:19:40 21:20:05
dermatitis
HENTINI

RENDI RIZKI K30 - Functional


1264 MAULANA 080231 12/17/1995 dyspepsia 21:30:46 21:31:22

MUHAMM
AD
1265 122978 11/8/2019 E9060 - Dog bite 22:00:38 22:01:45
ALANDRA
PUTRA

AI
1266 RUSMAYAN 122979 4/1/1999 - 22:10:57 22:12:59
TI

SEKAR R50 - Fever of


1267 ARUM 051961 6/3/2018 other and 22:51:34 22:52:26
SENJAKEM unknown origin
UNING

T01 - Open
RIVAN wounds involving
1268 122981 1/12/1990 22:55:55 22:58:45
ZULFIKAR multiple body
regions

R50.9 - Fever,
1269 ZAHRA 122984 3/2/2014 23:54:50 23:55:03
unspecified

A09.9 -
RIDWAN Gastroenteritis
1270 122985 5/11/1964 1:39:39 1:41:47
SUGANDA and colitis of
unspecified origin

SITI
1271 MARIAM 098076 3/5/1984 J45 - Asthma 7:05:02 7:06:02

1272 SUMANTA 069896 9/18/1945 - 7:21:41 12:26:18

WILDAN R50.9 - Fever,


1273 122987 6/12/1984 7:50:54 10:11:58
DIALEXTICA unspecified
T14 - Injury of
1274 ERIK SYAH 065337 5/12/2011 unspecified body 8:53:43 8:56:03
MAULANA
region

ENDRIANT
O R50.9 - Fever,
1275 122992 10/18/1996 8:46:33 8:47:15
MOKOAGO unspecified
W

FERI
K30 - Functional
1276 FIRMANSA 113429 8/5/1983 8:55:59 12:22:45
dyspepsia
H

NIA I50.0 -
1277 120064 6/25/1969 Congestive heart 9:23:07 9:26:06
KURNIATI
failure

ABDUL M72.30 - Nodular


1278 ROJAK 122996 3/16/1980 fasciitis, multiple 9:32:08 12:23:31
TARIMAN sites

1279 SAADAH 122997 8/4/1962 R06.0 - Dyspnoea 9:44:21 10:10:26

KHAWLA
1280 GHUMAISH 122998 4/1/2021 J45 - Asthma 10:06:18 10:07:50
A HAFIZA

NAUREEN
1281 AZQILA 122999 9/10/2022 - 10:15:20 10:16:03
FAYOLA

EFIH
1282 ZAENAL 119610 8/14/1957 - 12:29:44 13:16:11
ARIFIN

J45.9 - Asthma,
LANI unspecified |
1283 YULIANI 002732 7/18/1984 R50.9 - Fever, 12:40:29 12:45:03
unspecified

I50.9 - Heart
1284 MIMIN 123002 7/1/1947 failure, 12:54:41 12:59:03
unspecified
IRNI EKA
1285 NOVIANI 104665 11/11/2003 J45 - Asthma 13:18:39 13:22:33

R50 - Fever of
RATNA
1286 063813 5/10/1984 other and 13:23:44 13:24:40
NURHISAN
unknown origin
SALSYADISY
1287 A ZAHIRA 033480 7/16/2003 R50.9 - Fever, 14:17:06 14:18:47
unspecified
SUPYAN

RIZKI K37 - Unspecified


1288 121735 2/4/2004 14:19:51 15:15:40
FEBRIANTI appendicitis

MEGA SRI
1289 SUSILAWAT 123003 9/9/1999 K30 - Functional 14:32:41 14:33:36
dyspepsia
I

J02 - Acute
1290 YOSSY 067692 6/26/1998 pharyngitis 14:59:27 15:01:42

1291 AJA 123004 7/14/1951 J45 - Asthma 15:22:09 15:25:52

A09.9 -
Gastroenteritis
1292 IIN 123005 7/1/1957 and colitis of 15:30:58 16:00:28
unspecified origin

K30 - Functional
EVIH dyspepsia |
1293 081868 7/1/1974 15:41:31 16:01:06
MINASTI R50.9 - Fever,
unspecified

AHMAD
A09.9 -
RIFARDI
MAULANA, 032182/08
Gastroenteritis
1294 8/3/1994 15:44:02 16:01:33
9518 and colitis of
(AMD
unspecified origin
RAD).

T01 - Open
DELON wounds involving
1295 123006 1/2/2005 14:30:01 14:34:17
SETIAWAN multiple body
regions

SILVIA
1296 MAGITA 098030 3/7/1999 - 16:03:26 16:42:40
SOMANTRI

AFNAN
1297 ALATAF 123008 1/1/2013 - 16:21:19 16:43:38

1298 SUDRADJAT 121002 10/21/1960 - 16:28:43 16:44:03


NASYA
1299 PUTRI 123009 5/1/2010 - 16:37:59 19:37:13
ARIANNOO
R

CHAYRA
1300 PUTRI 077667 8/21/2018 - 16:43:22 19:36:22
ARAFAH

MALAK
TALAL ALI
1301 122111 3/7/2017 - 17:09:08 19:27:35
ALAWAMLE
H

M DAFFA
1302 012268 6/4/2011 - 17:28:10 19:31:41
AL SYAKIB

MOCH.
FATHIR R50.9 - Fever,
1303 015527 8/1/2012 17:32:07 17:34:14
ALIF unspecified
MUZAKI

BILAL
R50.9 - Fever,
1304 RAMADHA 073984 7/7/2015 17:46:08 17:47:21
unspecified
N

RAYYAN
1305 IGNEEL 123010 6/23/2022 R50.9 - Fever, 18:07:04 19:28:47
SUGANDA unspecified

L89.0 - Stage I
decubitus ulcer
1306 HANDA 123011 10/7/1952 18:10:43 18:11:14
and pressure
area

USWAH R50.9 - Fever,


1307 123012 3/11/2012 18:15:28 19:50:57
FAUZIAH unspecified

ZIAN PUTRI R50.9 - Fever,


1308 121946 9/9/2021 18:22:26 18:23:21
AYUDIA unspecified

A09.9 -
YUYU Gastroenteritis
1309 123013 1/29/1989 18:28:00 18:29:51
YUNIARTI and colitis of
unspecified origin

CINDY
069029/11 K30 - Functional
1310 PUTRI 2/21/2013 18:56:55 18:57:41
0340 dyspepsia
SANTOSA
INDRA
R50.9 - Fever,
1311 IRAWAN, 106010 5/24/1993 19:04:04 19:05:34
(S.E). unspecified

APUD
K30 - Functional
1312 MACHFUDI 123014 1/13/1951 19:21:40 19:22:14
dyspepsia
N

ROSLINDA
1313 RISMAWAT 046287 6/5/1977 - 19:31:58 19:31:58
I

M. ABDUL
1314 ROHMAN 037424 5/4/1998 - 19:36:16 19:36:16

AEP
1315 046988 5/1/1960 J45 - Asthma 20:40:06 20:42:21
SAEPUDIN

1316 KEYSHA 123016 4/14/2020 - 21:25:45 22:06:44

SANDI J06.9 - Acute


upper respiratory 21:48:49
1317 HERMAWA 123017 4/6/2002 21:49:35
infection,
N unspecified

J06.9 - Acute
upper respiratory
1318 YUNETA 056342 2/12/1992 22:11:31 22:13:34
infection,
unspecified

MUHAMAD
1319 RAYAN 123018 12/22/2021 R50.9 - Fever, 23:20:50 23:31:56
unspecified
PUTRA

R50.9 - Fever,
1320 SAEPUDIN 123019 7/25/1990 unspecified 23:28:30 23:29:24

A09.9 -
Gastroenteritis
MUHAMAD and colitis of
1321 NAZAR 075646 11/10/2010 unspecified origin 5:50:53 5:52:04
ZULPIKAR | R50 - Fever of
other and
unknown origin
T01 - Open
wounds involving
multiple body
1322 HENDRA 123020 4/3/1977 regions | T14 - 6:37:02 6:38:23
Injury of
unspecified body
region

T01 - Open
wounds involving
multiple body
1323 ELAH 123021 7/14/1988 regions | T14.1 - 6:38:13 6:42:11
Open wound of
unspecified body
region

T14 - Injury of
RAISYA
1324 123022 2/1/2014 unspecified body 6:38:57 6:41:03
PUTRI region

J06 - Acute upper


respiratory
TITIN
1325 070014 10/25/1956 infections 7:29:45 7:30:54
SUMARTINI
multiple and
unspecified sites

ANUGRAH
1326 PUTRA 123026 4/9/2016 - 8:10:59 8:10:59
MULYANA

NENG
R50.9 - Fever,
1327 SANTY 033688 11/27/1987 8:41:31 8:42:53
unspecified
AMELIA

IMAS
MASITOH
1328 123030 10/1/1973 J45 - Asthma 8:50:01 8:54:37
BINTI
SAMSURI

NENG
1329 INDAH NUR 123032 11/10/2018 - 9:06:16 9:07:50
AISAH

1330 BETI 120349 7/19/1976 - 9:11:14 14:31:42


KHAIFAL
1331 BARRA 082416 12/19/2019 J45 - Asthma 9:44:30 9:49:20
KHALISH
RIFAI

MUHAMAD
1332 123037 1/17/1949 - 9:47:20 9:48:00
SOLEH

PRATAMA R50.9 - Fever,


1333 121467 12/3/2021 9:56:23 12:57:34
ABDUL AZIS unspecified

M
ALFAZZARI T14 - Injury of
1334 123038 5/27/2018 unspecified body 10:06:19 10:10:12
MALIK
ROMDON region

1335 SAROH 123039 3/7/2001 - 10:26:51 10:26:51

MUHAMM
1336 AD ARKA 087902 5/21/2019 - 10:59:21 11:01:22
RAMDANI

MUHAMM
1337 AD 123042 8/8/2006 R50.9 - Fever, 12:15:10 12:18:04
GALANG unspecified
PRATAMA

SUSILAWAT H81.4 - Vertigo of


1338 123043 1/10/1973 13:10:08 13:20:00
I central origin

1339 IDIM 080180 8/15/1955 R50.9 - Fever, 13:02:56 13:03:58


unspecified

MUHAMM R50.9 - Fever,


1340 AD SYIFA 123046 5/4/2020 13:16:15 13:17:48
unspecified
RAMDHAN

1341 CLARA 123048 2/10/2010 - 13:47:45 13:47:45


AUZAN
1342 GIZA 035014 8/14/2017 - 14:27:51 14:27:51
ARDIAS

EGA
1343 068254 2/16/1994 K30 - Functional 15:04:55 15:05:42
SETIANDI dyspepsia
ARSYILA
R50.9 - Fever,
1344 NUR 123052 5/13/2020 15:03:51 15:04:22
AISYAH unspecified

K30 - Functional
APUD
dyspepsia |
1345 MACHFUDI 123014 1/13/1951 15:05:36 20:58:30
R10.0 - Acute
N
abdomen

R50 - Fever of
ZAHRAN
1346 060132 8/26/2011 other and 15:46:52 16:11:09
ZAIDAAN A
unknown origin

R50 - Fever of
1347 DEDE WINA 123053 7/4/1987 other and 16:17:06 20:56:23
unknown origin

H81.4 - Vertigo of
1348 NUNUNG 119419 5/5/1971 17:06:26 17:07:10
central origin

L30.9 -
RENDI
1349 119341 6/23/1992 Dermatitis, 17:24:19 17:25:06
MULIGAR
unspecified

MUHAMM
1350 AD ABDUL 120548 11/13/1997 R51 - Headache 17:31:55 17:32:44
AZIZ

R50 - Fever of
NOAH REY
1351 123055 2/20/2020 other and 17:47:48 20:52:29
IRAWAN unknown origin

JAYA K40 - Inguinal


1352 123031 7/9/1956 17:51:27 17:53:41
SUKMANA hernia

R11 - Nausea and


MUHAMM vomiting | R50 -
1353 AD AZRIEL 123056 11/29/2018 Fever of other 17:56:24 20:45:59
RAFISQY and unknown
origin

J06.9 - Acute
RAFFA upper respiratory
1354 SIDIK 106524 5/20/2016 17:59:41 18:00:13
infection,
SAPUTRA
unspecified
SADAM K30 - Functional
1355 123057 10/10/1990 18:06:48 20:44:04
SOPIYANDI dyspepsia

ENTIN
1356 072730 3/10/1973 - 18:13:05 18:14:27
SUPARTINI

K30 - Functional
SISKA SITI
dyspepsia | R11 -
1357 AGISTI 025097 8/3/2003 18:53:14 20:41:50
SAFITRI Nausea and
vomiting

R50 - Fever of
ADEPA
1358 TRISTIADI 123058 12/24/2021 other and 19:13:30 19:14:16
unknown origin

ZAHRA R50 - Fever of


1359 AULIA 123059 2/4/2022 other and 19:54:20 19:55:26
PUTRI unknown origin

R50 - Fever of
ZAHRA
1360 KHORINISA 123065 9/14/2012 other and 20:23:05 20:24:29
unknown origin

ARSYILA
1361 PANJI 101421 2/27/2018 R11 - Nausea and 20:34:37 20:35:24
FATIMAH vomiting

MUHAMAD
1362 123066 5/26/1994 J45 - Asthma 21:18:30 21:20:47
YUSUP

1363 RENI 123067 12/25/1991 R50.0 - Fever 21:42:41 21:46:56


NURAENI with chills
EVI R50.0 - Fever
1364 123068 11/9/1996 21:49:47 21:51:23
NOVIANI with chills

EGI R50.0 - Fever


1365 079553 7/11/2002 22:27:59 22:29:00
GINANJAR with chills

RAMDHAN
R50.0 - Fever
1366 MAULANA 123069 6/16/2013 with chills 22:35:54 22:37:16
SOPIYANDI
MUHAMM
AD AQMAR R50.0 - Fever
1367 123070 3/3/2020 23:24:31 23:26:57
SHAFIULLA with chills
H

REYGA
R50.0 - Fever
1368 ABIYU 060344 5/19/2015 23:47:52 23:49:12
with chills
ARRASYIDI

ALENA R50.0 - Fever


1369 112398 5/20/2021 23:51:46 23:59:48
PRISILIA with chills

NENDI K30 - Functional


1370 123072 3/18/1993 2:05:57 4:49:08
SUHENDI dyspepsia

IYUS K30 - Functional


1371 123073 10/11/1970 3:30:56 3:32:47
SUKARDI dyspepsia

T14.0 -
Superficial injury
1372 NURHAYATI 123074 8/26/1993 5:00:10 5:04:51
of unspecified
body region

MILA O20.9 -
1373 RAHMAH, 116184 6/5/1996 Haemorrhage in 7:26:11 7:34:36
(Amd.Kep.) early pregnancy,
unspecified

1374 EDAH 123075 2/19/1966 - 20:51:10 20:53:25

ELIS K30 - Functional


1375 105688 3/3/1996 7:52:04 8:04:30
SUSANTI dyspepsia

UJANG
1376 DIAN 123077 2/12/1973 - 8:25:23 8:26:55
SUDIANA

IKA
1377 SUSILAWAT 061046 4/28/1985 - 8:32:02 8:33:20
I

HETI
1378 MASITOH 123079 12/19/1974 - 8:59:54 9:00:02

JAMALUDD
IN
1379 087968 2/9/1990 - 9:03:24 9:05:29
SETIAWAN
MAJID
MUHAMAD
1380 RAFA 123084 6/23/2022 - 21:38:35 21:40:59
ALFARIZI

T14.1 - Open
RIDWAN
wound of
1381 KURNIAWA 123085 4/29/1986 10:29:27 10:32:04
unspecified body
N
region

ASEP R10 - Abdominal


1382 092558 12/17/1972 10:55:07 10:58:33
SUHENDRA and pelvic pain

ERINA
1383 008360 2/14/1991 - 11:00:19 11:37:06
SONIA

SEPTIAN
1384 ADI 123089 10/25/1990 - 11:48:43 11:49:20
SUPRIATNA

RIZKY A09.9 -
1385 RAMADHA 122779 4/6/2022 Gastroenteritis 12:44:48 12:50:24
and colitis of
N
unspecified origin

1386 DANDI 123090 10/8/2001 R50.9 - Fever, 14:13:41 14:14:49


RUSWANDI unspecified

1387 APRILIA 093737 4/22/2019 R50.9 - Fever, 14:23:19 14:24:39


SYABANI unspecified

MUHAMM R50 - Fever of


1388 AD ILYAS AL 123091 8/13/2020 other and 14:31:04 14:53:19
KAHFI unknown origin

J06.9 - Acute
upper respiratory
BAYI
infection,
NYONYA IA
1389 123092 4/5/2022 unspecified | R50 14:33:16 14:34:43
MARYAM
- Fever of other
ULPAH
and unknown
origin

BAYI J06.9 - Acute


NYONYA IA upper respiratory
1390 123093 4/5/2022 14:36:18 14:37:35
MARYAM infection,
ULPAH unspecified
IMAN H81.4 - Vertigo of
1391 123094 7/5/1976 14:46:48 14:47:25
SUKIMAN central origin

ILMAN R50 - Fever of


1392 SYAKIR 104940 4/2/2021 other and 14:52:48 14:53:20
RAHMAN unknown origin

AFFAN AL
R50 - Fever of
1393 FATIH 123095 6/25/2016 other and 14:58:28 14:59:39
RAMADHA
unknown origin
N

J06.9 - Acute
upper respiratory
ENUNG infection,
1394 SUMIATI 063520 11/5/1957 unspecified | K30 15:38:16 15:39:32
- Functional
dyspepsia

VANI B01 - Varicella


[chickenpox] |
APRIANY
1395 062258 9/7/1999 R50 - Fever of 15:56:57 15:57:34
TEGAR
AULIA other and
unknown origin

J06.9 - Acute
upper respiratory
DESSY infection,
1396 117449 8/8/1993 unspecified | K30 16:01:11 16:02:15
APRIYANTI
- Functional
dyspepsia

R50 - Fever of
1397 ROHAYATI 122868 8/16/1960 other and 16:04:46 16:05:42
unknown origin

SULTAN
R50 - Fever of
ALIF
1398 123096 2/23/2007 other and 16:21:28 16:22:17
HABIBURR
AHMAN unknown origin
R50 - Fever of
other and
unknown origin |
ALENA
1399 112398 5/20/2021 R56 - 16:29:15 16:34:14
PRISILIA
Convulsions, not
elsewhere
classified

J06 - Acute upper


respiratory
infections
multiple and
1400 SAHUDIN 101302 7/1/1972 16:44:14 17:45:14
unspecified sites
| R50 - Fever of
other and
unknown origin

R50 - Fever of
1401 INDAH DWI 118653 5/30/2018 other and 16:47:21 16:48:00
SUGIANI
unknown origin

K30 - Functional
dyspepsia | R50 -
1402 AISAH 069593 5/15/1962 Fever of other 16:49:32 17:50:57
and unknown
origin

ATHA
R50.9 - Fever,
1403 RASYID 110103 10/8/2021 16:58:02 17:00:58
unspecified
RIZQI

T15.9 - Foreign
LINA body on external
1404 123097 7/1/1990 18:12:21 18:13:27
HERLINA eye, part
unspecified

K64.0 - First
1405 IRNAWATI 123098 7/23/1986 degree 18:13:51 19:04:18
haemorrhoids

MUHAMAD R50 - Fever of


1406 FATHAN 067273 8/4/2014 other and 18:24:25 18:25:25
MUBAROK unknown origin
J44.9 - Chronic
obstructive
NENG IMAS
1407 047029 12/31/1975 pulmonary 18:34:18 18:35:07
SUSANTI disease,
unspecified

K30 - Functional
dyspepsia | R11 -
Nausea and
ELI
1408 039791 10/10/1964 vomiting | R50 - 18:49:41 18:50:55
SUKAESIH Fever of other
and unknown
origin

R50 - Fever of
NADHIRA 069650/06
1409 2/23/2019 other and 18:52:18 18:53:53
SETIAWAN 9775
unknown origin

MUHAMM R50 - Fever of


1410 AD ARFAN 123099 9/26/2018 other and 18:55:40 18:56:44
MAULANA unknown origin

MOCHAM
MAD
1411 095343 7/26/2020 - 19:04:46 19:05:34
GHIBRAN
SAFRIZAL

J06.9 - Acute
upper respiratory
infection,
1412 LIZA 109398 3/28/1991 19:12:12 19:13:54
unspecified | K30
- Functional
dyspepsia

INA
1413 123100 9/28/1995 R11 - Nausea and 19:23:52 19:24:08
KARLINA vomiting

J06.0 - Acute
DEDIH laryngopharyngiti
1414 123103 7/12/1957 21:28:42 21:30:31
SUHERDI s | R50.0 - Fever
with chills

K30 - Functional
1415 KOYAH 012790 7/1/1954 22:52:34 23:47:20
dyspepsia
1416 INTAN 023827 5/26/1994 - 23:28:38 23:28:38

MUHAMM R50.0 - Fever


1417 123105 7/3/2021 6:30:26 7:17:47
AD ABIZAR with chills

DAANIA
R50.9 - Fever,
1418 REGINA 109513 3/19/2021 7:53:49 7:55:04
unspecified
PUTRI

H DIDIN R50.9 - Fever,


1419 100088 10/4/1956 8:57:53 11:54:47
SAMSUDIN unspecified

MUHAMM
AD AQMAR
1420 123070 3/3/2020 - 8:58:11 8:58:11
SHAFIULLA
H

CECEP K30 - Functional


1421 KOSASIH 088417 1/4/1968 dyspepsia 9:43:15 9:44:31

K30 - Functional
1422 RINA 123114 5/1/1977 9:48:12 9:49:50
dyspepsia

1423 IDA 123115 2/17/1988 - 9:55:57 9:55:57

MUHAMM
1424 AD RAFKA 123122 4/10/2022 - 11:02:31 12:08:06
SHAIFULLA
H

ESTINA
R04.2 -
1425 PURNAMA 123101 1/22/2002 11:29:54 12:09:30
SAPITRI Haemoptysis

CECEP
1426 RAMDHAN 094431 7/30/1981 - 12:33:42 12:36:38
PERMANA

HENDRA
1427 055341 11/2/1970 - 12:51:29 13:15:41
PURWADI

R50 - Fever of
PRATAMA
1428 ABDUL AZIS 121467 12/3/2021 other and 13:39:34 13:40:40
unknown origin

1429 FRADIZA 115562 3/9/1990 - 13:58:56 14:58:59


A09.9 -
REGI Gastroenteritis
1430 123124 11/10/1994 14:34:44 14:34:50
ANDRIAN and colitis of
unspecified origin

PUTRI J45.9 - Asthma,


1431 066680 8/29/2001 14:38:08 14:41:10
GUSTIANI unspecified

ARIEF BAYU R50.9 - Fever,


1432 100885 3/31/1996 15:10:28 15:14:45
PRATAMA unspecified

YASMEEN
TALAL ALI R50.9 - Fever,
1433 122616 11/18/2019 15:35:48 15:39:41
ALAWAMLE unspecified
H

M KHAIRUL J03.9 - Acute


1434 IHSAN 123126 7/20/2010 tonsillitis, 16:15:31 16:34:09
ALGHIFFARI unspecified

SITI
1435 NURHAENI 123127 12/4/2008 K30 - Functional 16:30:37 16:34:16
RISMAWAT dyspepsia
I

K30 - Functional
1436 DEDEH 28750 4/3/1956 16:35:01 16:35:14
dyspepsia

ELIS
1437 123128 1/10/1988 - 16:40:21 16:42:38
LISNAWATI

M54.05 -
Panniculitis
NAILA
affecting regions
1438 AINUL 123129 12/23/2010 16:44:06 16:45:03
of neck and back,
MARDIAH
thoracolumbar
region

I84 -
1439 EMA 110444 1/1/1982 Haemorrhoids 16:48:26 16:49:34

PERMANA
R50.9 - Fever,
1440 JAYA 123130 10/3/2017 18:00:08 18:05:07
unspecified
KUSUMA
1441 RIO AKRAM 123131 10/14/2015 - 18:21:41 18:22:46
RAMDHANI

LIANA R50.9 - Fever,


1442 045999 10/20/1993 18:23:38 18:24:17
OKTARIA unspecified

1443 FARHAN S. 105443 2/4/2008 R50.9 - Fever, 18:35:28 22:57:05


HERYANA unspecified

INGGIT EKA
1444 123132 11/1/1992 - 18:41:42 18:42:37
HADITA

WULANSAR
1445 101502 7/16/1985 - 19:28:13 19:28:41
I

MUHAMAD J06.9 - Acute


RAFKA upper respiratory
1446 114226 11/8/2021 19:32:04 19:33:04
RAFARDHA infection,
N unspecified

H81.1 - Benign
DEUDEU
1447 123133 5/8/1989 paroxysmal 19:41:12 19:41:18
ASTUTI
vertigo

EVA
R50.9 - Fever,
1448 DESTIANA 099861 12/26/1995 19:51:11 19:52:44
A.Md.Kep unspecified

DESTA
1449 SUBAGJA, 087119 12/21/1994 R51 - Headache 19:52:45 19:54:34
(Amd.Kep).

SHERLY
R50.9 - Fever,
1450 PUTRI AL 118769 10/8/2018 19:55:06 19:55:16
unspecified
SYAHMIR

1451 MIRAWATI 052344 5/21/1989 R51 - Headache 19:57:27 19:57:45


J06 - Acute upper
respiratory
infections
SELA
1452 123134 3/31/1998 multiple and 20:03:38 20:04:23
MARTHA
unspecified sites
| R11 - Nausea
and vomiting

HERI
R50.9 - Fever,
1453 HERMAWA 123135 6/16/1996 20:08:09 20:09:32
unspecified
N

SITI NUR
1454 118911 12/16/2000 - 20:15:28 20:16:03
KHOFIFAH

ANGGA
1455 PRADANA 090952 5/3/1984 R06.0 - Dyspnoea 20:29:52 20:29:52

FALISHA
R50.9 - Fever,
1456 PUTRI 118676 6/10/2022 20:56:16 21:31:21
unspecified
JUANDA

J12.9 - Viral
pneumonia,
UNANG
unspecified |
1457 JAMALUDI 106618 1/15/1972 R06.0 - Dyspnoea 21:46:58 22:41:05
N
| R50.9 - Fever,
unspecified

ALFIN R50.9 - Fever,


1458 067635 7/18/2014 21:55:00 22:01:13
ALFATAH unspecified

M RAYYAN R50.9 - Fever,


1459 103894 8/1/2020 21:56:04 22:01:40
AR RASYID unspecified

1460 SADULLAH 118881 4/24/1960 M79.1 - Myalgia 22:39:33 22:40:50

J06.9 - Acute
upper respiratory 22:42:46
1461 PARNO 066483 7/9/1975 22:43:45
infection,
unspecified

K30 - Functional
1462 KOMALA 036575 6/24/1949 22:45:09 22:46:48
dyspepsia
K30 - Functional
1463 MINAH 032640 5/17/1970 22:48:35 22:50:01
dyspepsia

EUIS
JULAEHA K30 - Functional
1464 122647 1/1/1953 22:52:44 23:01:35
BT SALEH dyspepsia
IYUK

LILIH K30 - Functional


1465 123136 7/1/1976 22:57:10 22:58:11
NURYATI dyspepsia

MUHAMAD
R50.9 - Fever,
1466 FATHAN 067273 8/4/2014 23:51:22 23:54:36
unspecified
MUBAROK
Interval
RESPON TIME SAMPEL PASIEN

0:03:07

< 5 MENIT 225 Pasien N 229

0:03:23

> 5 MENIT 4 Pasien D 225

0:03:09

Capaian 98.20%

0:04:06

0:01:44

0:02:51

0:04:52

0:01:43

0:00:58

0:00:49

0:02:31
0:00:32

0:01:25

0:34:24

0:51:55

0:03:39

sample

0:01:27

0:02:00

0:00:32

0:01:46
0:02:05

0:03:58

sample

0:01:27

0:03:38

0:02:34

sample

0:03:20

0:03:53

sample
0:03:03
3:08:00

0:03:22
sample

0:01:06

sample

0:02:01

0:00:41

0:01:34

0:00:43

0:00:14

0:02:06

0:00:40

0:01:05
0:00:44

0:02:20

sample

0:03:53

0:00:18

0:02:14

0:01:57

0:02:31

0:01:48

0:01:09

0:00:13

0:03:17
sample

0:00:05
0:00:53

0:00:39

0:02:49

0:04:16

0:03:25
sample

0:02:53

0:04:16

sample

0:01:35

0:02:56

0:01:39

0:01:44

0:01:35
0:03:28
sample

0:02:23

0:00:35

0:07:55

0:00:33

0:07:01

0:02:00

0:02:12

0:07:36
0:00:37

0:00:00

0:17:29

1:34:55

0:32:46

0:26:14

0:12:02

0:06:06
1:34:53

0:24:23

0:15:49

0:11:50

0:21:05

0:03:37

sample

0:01:44

0:41:41

2:04:08
0:03:09
sample
0:36:05

0:01:24

0:01:36

0:03:35

0:00:50

0:03:38
sample

0:00:46

0:01:02

0:01:42
0:00:53

0:51:54

0:01:02

0:02:36

8:27:25

0:01:50

6:13:04

0:01:08

1:03:17
12:36:38

0:01:03

0:01:48

0:00:45

0:00:22

0:01:09

0:44:30
0:01:05

0:03:38

sample

0:01:25

sample

0:25:52

7:28:00

1:03:14

0:00:00

0:16:13

0:20:28

0:03:56

sample
0:05:11

0:02:15

0:28:05

0:02:08

2:12:05

0:57:19

0:03:20

sample

0:04:10

sample

0:01:46
0:01:43

0:00:12

0:01:51

0:01:26

0:00:42

0:01:53

0:11:50

0:00:18

0:00:06

0:00:34

0:02:43

0:00:55

0:00:51
0:01:28

0:00:24

0:02:48
sample
0:02:04

9:34:16

0:05:23

18:01:56

12:43:03

20:21:13

0:01:31

13:05:05

0:04:17 sample
0:02:27

sample

7:50:20

0:00:00

1:40:35

0:03:18

0:08:42

0:02:17 sample

0:03:42

sample

0:01:05
1:13:26

0:38:52

0:00:48

0:01:21

0:01:26

0:00:00

0:00:16

0:00:06
0:00:46

0:00:41

0:00:26

0:06:13

0:00:50

0:00:31

0:03:59
sample
0:01:21

0:41:30

0:04:29

sample

0:00:44

0:04:11

sample
0:01:30

0:03:07

0:00:10

0:01:39

0:01:08
sample

1:35:22

0:01:01

0:19:51

0:00:53

0:00:12

0:00:39
0:02:16

sample

0:01:17

0:01:50

0:03:02

sample

0:03:52

sample

0:02:22

0:00:29

0:01:29

0:00:43

0:01:06

0:01:10
0:45:10

0:03:37 sample

0:01:51

0:30:41

0:35:11

0:23:11

0:03:10

0:02:41

0:01:27

2:00:43
0:00:17

17:47:19

0:03:47

sample

0:44:07

0:04:02

sample

0:44:50

0:02:15

0:48:17

0:43:23

1:37:41

0:03:18
0:04:32

0:37:02

0:03:47

0:03:27

0:07:40

0:01:03

0:00:39

0:02:45

sample
0:02:35

3:00:13

0:04:26

0:02:02

1:16:48

0:02:58

0:05:25

0:00:00

0:02:22

0:02:48

0:03:35

sample
0:03:16
0:02:23

sample

1:02:01

0:00:36

0:00:00

0:01:28

0:00:00

0:00:00

0:01:01

0:03:50

0:00:38

1:08:36

0:01:01

0:03:56

0:32:25

0:01:46
0:00:55

0:01:04

0:01:52

1:21:54

0:01:03

0:03:43
sample

0:01:25

0:27:07

0:26:58

0:20:40

0:00:00

0:41:36

0:03:19

sample
0:00:48

1:26:06

0:01:01

0:01:49

0:01:31

0:02:58

0:00:35

0:02:05

0:00:38

1:21:18

1:08:39
0:42:08

0:32:01

0:38:58

0:35:16

0:02:26
sample

0:19:51

0:02:51

sample
0:05:20

0:00:14

0:04:32

0:01:43
0:03:25

0:00:48

0:02:05

0:00:19

0:03:05

0:01:07

0:00:26

0:03:30

0:02:18

0:01:15
0:04:38

0:01:12

0:00:48

0:04:12

0:44:48

0:03:26
sample

0:01:29

0:25:02

0:02:48

0:00:33

0:00:44

0:00:39

0:00:58
0:00:46

0:01:16

0:00:47

0:01:02

0:01:09

sample

0:02:27
sample

0:00:00

0:01:03

0:03:41
sample
0:02:26

sample

0:04:10
sample

2:10:06

5:34:45

1:59:12

0:40:56

0:02:08

0:36:47

0:05:07

7:44:56

0:41:56

0:36:24
0:02:36

sample

0:00:38

0:01:28

0:11:36

0:00:32

0:00:55

0:01:05

0:00:25

2:35:45
0:00:19

0:03:40

0:00:36

0:01:05

0:01:37

0:01:08

0:00:27
sample
0:01:21

0:02:00

4:15:50

4:12:37

0:00:55

9:10:01

0:36:44

2:59:56

1:56:29

0:04:07

0:28:46

0:00:48
0:23:18

2:41:09

0:00:23

0:02:42
sample
0:00:00

0:00:32

0:01:50

0:03:10

sample

2:24:24

0:00:56

0:01:25
0:02:16

0:17:43

0:01:55

0:01:34

0:00:45

0:01:15

0:02:29
sample
1:18:52

0:01:19

0:01:48

0:00:21

0:01:01
15:38:20

0:01:34

0:04:10

0:01:31
sample

0:01:00

0:05:26

0:02:31
sample

0:00:17

0:04:11

0:03:11
sample

7:37:55

0:04:30 sample
1:23:55

0:04:01

0:02:18

0:02:03

sample

0:00:59

1:04:05

0:06:22

0:05:04

2:09:00

0:06:16

1:03:56

2:17:36
0:01:04

0:06:25

sample

0:02:15

0:00:07

0:02:17

0:02:13

sample

0:01:20

0:01:11

0:02:49

sample
0:03:10

sample

0:05:43

0:00:55

0:02:25

sample

1:01:31

0:01:21

0:03:16

0:01:04

sample

0:09:33

0:01:51
sample

0:03:42
sample
0:01:21

0:01:45

0:13:47

14:37:37

0:03:55
sample

0:08:31

0:06:50

0:03:44

sample

0:00:50

0:01:30

0:00:00

0:02:06
0:03:09

sample

0:00:47

sample
1:04:59

1:03:59

0:58:49

0:03:09

sample
0:00:48

0:07:38

0:03:16
sample

2:10:36

1:09:35

0:01:02

0:38:53

0:46:54

0:02:26
sample

0:36:15
0:02:13

0:34:41

0:00:53

2:22:40

1:48:42

1:26:24

0:50:18

0:00:00

0:09:53
0:02:37

sample

0:10:12

0:00:33

0:38:02

0:00:18

0:01:56

2:52:35

0:38:02
0:00:30

0:04:16
sample

0:01:09

0:00:40

3:12:09

0:49:11

0:01:31

sample

0:01:51

1:32:36

0:03:13
sample
0:02:10
sample

0:18:45

0:00:32

0:00:53

0:49:09

0:01:08

0:10:23

0:00:31
0:07:32

0:54:48

0:02:49

0:01:31

0:16:28

0:11:39

0:02:08

0:15:31

0:23:11

2:13:34

0:01:03

0:02:58
0:00:44

1:04:04

0:15:41

1:27:30

0:02:38

0:27:04

0:14:38

0:29:30

0:01:45

0:03:28
sample

0:00:00
sample
0:01:00

0:03:28

sample

0:02:58

0:34:03

0:33:37

0:00:58

1:59:59

0:02:30

sample
0:00:16

0:01:15

0:01:07

0:02:17

0:03:30
sample

0:25:19

0:04:14
sample

0:01:24

5:36:24

0:01:25

sample

0:01:48
0:01:47

2:12:11

0:21:55

0:01:52

sample
0:10:16

0:03:42

sample
0:01:23

0:00:50
1:04:02

0:44:00

0:40:41

0:37:44

0:03:10
sample

7:00:21

0:18:59

5:34:04

1:34:06
0:00:34

0:13:48

0:01:51

0:00:00

0:00:25

4:07:12

0:00:00

0:02:09

sample

0:01:56

0:00:45

0:00:47

0:02:31
0:00:32

0:02:52
sample

0:02:03

0:02:07

0:03:17

0:19:53

0:45:51

0:06:26

0:02:11

sample

0:27:49

0:02:25

0:09:32
0:10:23

0:04:39 sample

0:00:00

0:13:13

0:40:52

0:00:35

9:06:02

0:04:20

sample

0:05:15

1:36:43

0:51:30

0:00:54

0:00:06

0:03:27
0:03:16

sample
0:00:52

0:17:44

3:15:40

0:02:09

sample

0:56:54

0:00:00

1:07:22

2:39:19

0:32:57
0:29:48

2:18:08

0:20:16

2:05:51

0:02:07

sample

0:03:51

0:01:14

0:02:23

0:02:02
0:46:46

1:07:11

0:06:11

0:03:45

0:03:45

sample

0:01:55

0:02:24

0:00:43

1:26:32

0:04:20

sample
0:21:25

0:29:16
0:24:11

0:12:09

0:02:11

sample
15:02:35

0:00:37

12:20:18

0:06:27

0:02:10

0:03:42

sample

7:14:10

1:39:56

0:01:08

0:00:41

5:58:53
0:24:37

0:01:11

0:08:59

0:00:42

0:01:12

5:51:23

0:00:00

1:04:22

4:55:16

0:02:51
sample

1:03:58

0:02:34
0:01:20

0:02:51

sample

1:55:40

0:01:01

0:02:16

sample

0:01:55

0:01:35

0:00:41

0:01:01
0:01:17

sample

0:02:27

0:01:01
sample
0:01:33

0:02:56

0:01:49

0:02:15

0:04:00

0:00:45

0:00:53

0:01:50

0:01:22
0:00:54

0:00:18

0:02:15

0:01:04

22:32:31

0:02:00

0:00:39

0:00:47

0:01:12

0:01:43
0:02:41

7:19:39

0:02:20
sample

1:53:11

0:03:59

sample

0:01:06

0:04:23

0:56:22

0:01:39

0:03:35

sample

0:21:26
0:02:11

0:03:09

0:01:30

0:03:17

0:39:56

0:00:14

0:08:35

0:00:00

0:04:23
sample

0:12:18

0:02:53
sample
0:01:05
sample
0:01:25
sample
0:00:00

0:02:54

sample
0:12:19

0:04:58

0:10:13

0:02:14

0:00:41

0:00:56

0:00:54

0:27:53
0:01:03

2:26:07

0:03:33
sample

0:08:12

0:03:05

0:03:32
sample
0:03:42
sample

0:01:21

9:22:03

5:00:50

1:24:27

4:30:47
0:53:23

0:45:57

5:11:07

0:47:09

0:23:41

0:04:24

sample

0:01:20

2:47:26

0:04:16
1:14:46

0:05:58

0:14:14

0:03:30

0:01:16

0:03:59

0:04:45

0:00:43

1:31:05

0:35:07

0:01:53

8:19:02

15:13:08

0:02:43

0:00:35
0:01:43

0:02:56

12:43:28

7:28:52

3:57:20

6:35:57

3:41:01

0:02:48

0:03:16

0:11:34
1:40:07

0:02:13

0:04:02

0:04:34

sample

0:01:42

0:02:01

sample

0:12:03

1:23:57

0:02:49
sample

0:03:29
sample

1:35:25
0:02:30

1:24:01

0:03:46

0:51:35

0:05:27
sample
1:10:43

0:04:00
sample
0:03:48
sample

0:01:31

sample

0:01:08

0:04:05

sample
0:01:45
0:02:57
sample

1:01:11

0:01:30
sample
0:26:02

0:38:44

0:30:16

0:01:09

0:04:49

sample
0:03:02

0:01:22
sample

0:00:57

0:06:07

0:00:07

0:01:25
0:01:51

0:01:45

0:05:35

5:55:38

0:00:45

0:03:00

sample
0:02:03

0:01:08

0:00:03
0:01:09

0:02:00

0:02:27

0:02:33

0:00:00

0:05:48

0:01:15

sample

0:13:03

0:00:48
0:00:47

0:01:20

sample

5:17:09

0:02:03

0:02:27

sample
0:01:08

0:01:39

sample

0:01:27

0:00:20
0:06:45

0:25:29

0:01:41
sample

0:01:38

sample

0:00:47

0:43:29

0:48:52

0:00:00

0:02:04
sample

0:03:28

sample

0:01:46

0:02:44 sample

0:02:01
0:01:32

0:42:07

0:31:13

0:01:31

0:20:40

0:02:02

0:01:48

1:17:33

0:01:22

0:01:12
0:49:25

0:41:27

0:09:55

0:01:56

0:14:44

0:00:42

0:35:29

0:02:08

sample
0:03:05

0:01:44

1:38:12

0:01:21

0:01:51

0:02:14
sample

0:03:51

0:01:59

0:05:27

0:01:12

0:26:07
0:00:29

0:01:57

sample

0:44:27

2:03:56

0:59:49

1:26:47

1:26:53

1:20:53
0:01:22

sample

0:04:03

0:46:57

0:28:41

0:26:31

0:01:52

0:02:25

0:02:06

0:02:23

0:02:27

0:00:00

0:25:04
0:02:05

0:01:52

0:04:36

sample

0:11:17

1:56:19

0:01:04

0:00:10

0:00:47

0:01:04
0:00:26

0:00:21

0:01:17

0:07:51

0:00:48
sample

0:03:30

0:00:32

0:00:37
0:01:56

0:00:54

0:01:29
sample

0:01:16

0:10:42

0:00:00

0:00:46

0:00:47

0:02:18

sample

0:02:40

sample

0:01:32

sample
0:04:36

0:00:53

0:00:10

0:01:42
sample

5:21:29

0:04:48

0:20:30

0:21:30

0:11:43

0:01:36

0:00:37

0:00:51
0:21:03

0:01:03

2:09:34

0:00:13

0:01:05

1:21:23

1:05:33

0:00:58

0:24:22

0:01:16

0:01:31

0:03:22
0:01:42

0:00:41

0:11:36

0:00:59

0:01:09

0:01:57

2:02:10

1:18:38

0:13:14
0:00:14

0:56:50

0:01:36

0:02:20

0:43:34

0:01:06
sample

0:01:39

0:00:00

0:01:38

0:03:17

sample

0:34:31

0:01:25
0:05:21

1:32:32

0:04:12

sample

0:53:52

0:17:59

0:03:46

sample

0:01:18

0:04:34
sample
0:00:00

0:04:44
sample
1:51:57

0:01:53

sample

1:12:33

0:02:05

0:02:45

0:04:56

4:09:50

0:01:52

0:00:00

0:01:39

0:02:32

0:01:38

0:02:24
7:54:05

0:02:17

1:19:35

0:03:05

0:03:25

0:03:21

0:00:26

0:00:30

0:01:52

sample

0:01:37
0:03:54

0:03:10

0:02:44
sample
0:00:33

0:01:40
sample

0:01:18

0:00:23

0:05:47
sample

0:02:29
sample

0:01:57

0:36:57

0:01:18

9:31:41
0:20:04

0:11:04

3:23:58

1:16:06

0:01:11

0:00:15

0:04:24
sample

0:05:46

0:06:10

3:50:06
0:02:44
sample

2:07:25

0:01:21

0:01:44

sample

1:03:34

1:02:13

0:17:43

2:09:42

0:00:00

0:14:19

0:04:45

sample
0:41:44

0:56:14

4:14:25

0:40:53

0:26:23

0:00:54

0:05:03

0:02:04
sample

0:01:57

2:22:41

1:39:04

0:00:00

1:13:26
0:00:16

0:02:32

0:03:32

0:04:24

0:02:56

0:04:33
sample

0:02:00

sample

0:01:47

0:03:12

sample

0:04:06

0:15:16

0:01:20
sample
0:02:14

0:02:56

0:01:11
sample

0:04:20

7:17:21

0:58:44

7:32:47

0:03:08

0:03:24
sample

0:01:42

0:00:00

0:03:13

sample
0:02:37
sample

0:00:32
0:02:53

2:13:28

0:00:55

1:29:28

0:23:25

0:16:34

0:03:18

sample
0:17:36

0:15:50

0:38:57

0:01:08

0:05:18
sample

0:00:32

0:01:03
0:01:22

0:00:11

0:00:38

1:59:49

0:01:22

0:00:00

0:00:08

0:02:36

sample
0:00:28

0:05:23

0:01:37

0:00:37

0:02:21

0:01:03

0:01:11

0:01:18
0:01:06

0:01:06

3:10:16

0:17:00

0:02:28
sample
0:02:09

0:01:42

0:03:28

sample

0:57:50

1:24:57
4:55:15

1:03:19

0:01:06

0:39:37

0:01:05

0:00:42

0:00:36

0:55:06

0:04:00

0:02:10

0:10:59

0:15:21
0:02:54

sample

0:03:04

sample

0:01:16

0:03:11
sample

0:01:44

0:00:53

0:02:19
sample

0:00:44

0:00:41
0:03:23

sample

0:03:48
sample
0:00:00

15:21:06

0:00:00

0:01:49

0:02:40
sample

0:00:51

0:02:02

sample

0:02:50

sample
0:22:56

0:13:56

0:04:13

sample
0:00:49

0:00:53

0:04:44

sample

2:49:46

0:01:16

0:01:00

0:03:16

0:00:00

0:21:44

0:02:19

0:02:27

0:02:53

sample
0:03:35

0:02:40
sample

0:02:20

0:01:54

0:02:05

0:02:03

0:14:43

0:03:10
sample

0:01:24
0:00:42

0:02:21

0:16:17

0:11:28

5:30:52

0:02:54

sample

0:02:55

0:02:02

0:01:39

0:00:22
0:01:33

0:02:32
sample

0:03:51

sample

0:01:34

0:00:42

0:02:12

0:00:49

0:02:42

sample

0:00:36

0:04:54

0:01:12
0:01:42

0:01:38

0:01:47

0:01:24

0:01:20

0:37:09

0:01:56

0:00:00

0:00:03

0:00:15
0:01:16

0:00:51

0:00:40
sample

0:02:16

0:00:53

0:01:20

0:02:39

0:04:03

0:01:12

0:02:10

1:00:20
0:02:53

0:00:37

0:00:20

0:11:29

21:53:32

0:00:24

0:00:12

0:00:13

0:00:44

0:00:17

0:00:43
0:03:52

0:00:51

0:02:05

0:05:16

1:35:43

0:02:08
sample
0:01:18

0:01:24

0:03:51
sample
0:00:32

0:26:51

0:02:14

0:03:31

sample

1:39:30

3:50:48
0:24:14

2:08:11

2:01:52

1:53:14

0:04:02

sample

1:28:29

1:39:33

0:50:53

1:29:46

1:12:00

0:49:50
0:39:49

0:20:57

2:57:50

0:18:36

0:02:58
sample

0:02:31

0:34:44

0:04:14

0:09:15

0:50:58

0:01:41
0:01:51

0:00:00

0:08:38

0:00:25

0:00:36

0:01:07

sample

0:02:02

0:00:52

0:02:50

sample
0:00:13

0:02:08

0:01:00
sample
5:04:37

2:21:04
0:02:20

sample

0:00:42

3:26:46

0:02:59
sample

2:51:23

0:26:05

0:01:32

sample

0:00:43

0:46:27

0:04:34

sample

0:04:22
sample
0:03:54
sample

0:00:56
0:01:41

0:55:49

0:00:55

0:02:15

0:03:43 sample

0:29:30

0:19:35

0:17:31

0:04:16

sample

0:39:14

0:22:19

0:15:20
2:59:14

2:53:00

2:18:27

2:03:31

0:02:07

0:01:13

1:21:43

0:00:31

1:35:29

0:00:55

0:01:51

0:00:46
0:01:30

0:00:34

0:00:00

0:00:00

0:02:15
sample
0:40:59

0:00:46

0:02:03

0:11:06

0:00:54

0:01:11
0:01:21

sample

0:03:58

sample

0:02:06
sample

0:01:09

0:00:00

0:01:22

0:04:36

sample

0:01:34

5:20:28
0:04:50

sample

0:00:40

3:01:11

0:03:53

sample
0:00:00

0:02:01

0:02:54

0:09:52

0:01:02

0:01:33

0:00:00

0:00:00

0:00:47
0:00:31

5:52:54

0:24:17

4:39:17

0:00:44

0:00:47

0:00:49

3:04:41

0:02:14

2:49:35

0:00:32
2:37:16

0:01:22

1:48:36

0:00:46

0:01:06

0:01:24

0:00:47

0:02:17
sample
0:04:15

0:01:36

0:01:01

0:01:22
0:02:26

0:01:20

0:08:02

2:43:11

0:01:51

0:04:41

sample

0:08:25

0:02:15

0:12:26

0:01:32

0:01:18

0:00:08

0:02:05
0:02:24

0:02:37

sample

0:03:26
sample
0:36:47

0:00:37

0:05:36

0:01:08

0:01:20

0:22:15

0:01:27

0:01:17
0:00:37

0:00:32

0:01:11

0:01:16

0:00:37

0:01:04

0:00:56

0:00:49
0:04:59

sample

1:01:00

0:00:39

1:01:25

0:02:56

0:01:06

sample

0:50:27

0:01:00
0:00:49

0:01:14

0:01:35

0:01:04

0:00:48

0:01:42

0:00:16

0:01:49

0:54:46
0:00:00

0:47:21

0:01:15

2:56:54

0:00:00

0:01:16

0:01:38

0:00:00

1:05:35

0:39:36

0:02:56

0:24:12

0:01:06

1:00:03
0:00:06

0:03:02
sample

0:04:17

0:03:53

0:18:38

0:03:39

0:00:13

0:02:17

0:00:57

0:01:08

0:04:59
0:01:05

0:00:39

4:21:37

0:00:55

0:00:28

0:01:00

0:00:06

0:01:33

0:01:49

0:00:10

0:00:18
0:00:45

0:01:23

0:00:35

0:00:00

0:35:05

0:54:07

0:06:13

0:05:36

0:01:17

0:00:59

0:01:39
0:01:26

0:08:51

0:01:01

0:03:14
TOTAL SAMPLE 229
BULAN CAPAIAN TARGET
JULI 97.90% 100%
AGUSTUS 98.40% 100%
GRAFIK CAPAIAN MUTU RESPON
SEPTEMBER 98.20% 100% 100%
97.90% 100%
98.40%
100.00%
90.00%
80.00%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
JULI AGUSTUS

CAPAIAN TARGET
MUTU RESPON TIME PASIEN
100%
98.40% 100%
98.20%

AGUSTUS SEPTEMBER

CAPAIAN TARGET
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : OKTOBER 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Periksa Interval

LILIS J45 -
SULASTRI 123139 2/2/1984 Asthma 2:48:44 2:50:19 0:01:35
J45 -
AJAB 123150 2/1/1951 Asthma 11:42:21 11:45:48 0:03:27

WAWAN
SUKMAWA J45 -
N 123154 7/7/1962 Asthma 13:15:18 13:17:18 0:02:00

PENI R06.0 -
OKTAPIANI 122555 10/19/2001 Dyspnoea 14:30:13 14:35:02 0:04:49

T14 - Injury
of
NURWULA unspecified
NDARI 123162 1/20/2010 body region 19:41:57 19:45:10 0:03:13

J45 -
Asthma |
R06.0 -
Dyspnoea |
R11 -
Nausea and
DIMAN 123167 5/4/1973 vomiting 20:23:27 20:27:42 0:04:15

J45 -
Asthma |
FAUZI K30 -
ABDUL Functional
RAHMAN 055856 3/17/1994 dyspepsia 7:49:38 7:52:49 0:03:11

T01 - Open
wounds
involving
multiple
body
ASEP 123176 1/1/1975 regions 9:22:57 9:25:28 0:02:31
YOLI J45 -
PAULANI 123183 5/23/1999 Asthma 13:20:50 13:24:24 0:03:34

ATAN
NURDIANS 099523/09 J45 -
YAH 9483 4/6/1979 Asthma 13:41:24 13:43:34 0:02:10

T29.0 -
Burns of
multiple
M RIZKI regions,
SETIA unspecified
RAMADON 123187 9/24/2006 degree 12:33:49 12:36:56 0:03:07

T14 - Injury
SONA of
HANDAYAN unspecified
A 089794 9/9/1982 body region 19:15:27 19:17:07 0:01:40

T14.1 -
Open
RAFASYA wound of
APRILIANSY unspecified
AH 123196 4/19/2019 body region 19:26:46 19:29:12 0:02:26

R56.0 -
Febrile
ABIZAR 123197 2/9/2020 convulsions 20:04:39 20:06:04 0:01:25

J45.9 -
DEDEN Asthma,
ISKANDAR 037328 9/9/1976 unspecified 4:40:37 4:43:08 0:02:31

T14.0 -
Superficial
injury of
unspecified
KARIS 123216 1/1/2003 body region 9:55:14 9:57:59 0:02:45

T14 - Injury
of
unspecified
NOPA 123229 11/29/2006 body region 19:31:55 19:34:27 0:02:32
T14.1 -
Open
wound of
MUHAMM unspecified
AD RAFIF 123230 4/19/2019 body region 20:18:45 20:20:02 0:01:17

I25 -
Chronic
RATIH ischaemic
TRESNA heart
WIDYA 123232 7/23/1986 disease 20:29:35 20:30:48 0:01:13

J45.9 -
Asthma,
unspecified
UPEN | R51 -
SUPENTI 114290 5/5/1971 Headache 6:41:16 6:43:57 0:02:41

AZKA R56.0 -
MUHAMM Febrile
AD YUSUF 123244 2/22/2021 convulsions 13:13:48 13:16:35 0:02:47

T14.1 -
Open
ADIKA wound of
SHAKILA unspecified
KAIRINA 123264 10/21/2015 body region 13:13:00 13:17:06 0:04:06

T14 - Injury
of
unspecified
HERLINA 123268 5/6/1975 body region 14:29:46 14:33:42 0:03:56

T14.0 -
Superficial
SITI injury of
MAULIDA unspecified
HANSA 023292 7/24/1999 body region 14:36:20 14:40:26 0:04:06

R06.0 -
ABIDIN 087855 7/1/1963 Dyspnoea 16:34:13 16:35:53 0:01:40
J18.0 -
Bronchopn
eumonia,
INDRI unspecified
AVRILIANI | R50.0 -
PERMATAS Fever with
ARI 025072 4/30/2015 chills 18:16:09 18:20:30 0:04:21

J18.0 -
Bronchopn
eumonia,
unspecified
RAFEYLAH | K30 -
TRIASMA Functional
PUTRI 017888 5/20/2013 dyspepsia 19:18:10 19:20:50 0:02:40

T01 - Open
wounds
involving
multiple
SENA body
ASVIANI 123281 1/1/2002 regions 21:30:39 21:31:57 0:01:18

ARDIONA J45 -
RAFANDRA 110337 10/23/2020 Asthma 2:15:17 2:17:45 0:02:28

T14 - Injury
of
unspecified
YUYUN 123300 10/5/1945 body region 13:26:37 13:28:36 0:01:59

J18.0 -
Bronchopn
SEKAR eumonia,
ARUM unspecified
SENJAKEM | R06.0 -
UNING 051961 6/3/2018 Dyspnoea 11:36:38 11:40:54 0:04:16
T14.0 -
Superficial
injury of
MUHAMAD unspecified
RIFKY 123311 2/26/2009 body region 16:38:39 16:40:14 0:01:35

SABHIRA
AZZAHRA J45 -
HAFSHAH 049657 12/27/2017 Asthma 0:24:42 0:28:25 0:03:43

J18.0 -
NADHIFA Bronchopn
NUR eumonia,
ABDULLAH 123323 4/1/2022 unspecified 1:18:11 1:20:27 0:02:16

M54.57 -
Low back
pain,
lumbosacra
TATANG 123345 7/1/1958 l region 15:34:00 15:39:57 0:05:57

T14.1 -
Open
RENDI wound of
FIRMANSY unspecified
AH 123347 1/1/2005 body region 16:00:23 16:02:03 0:01:40

T14 - Injury
of
A unspecified
SAMSUDIN 050899 12/10/1950 body region 17:05:47 17:09:03 0:03:16

T14 - Injury
of
AEP unspecified
SAEPUDIN 019221 5/7/1952 body region 18:31:14 18:32:14 0:01:00
ANGGI J45 -
APDINA 095261 4/20/1989 Asthma 18:42:59 18:47:34 0:04:35
T14 - Injury
of
ECEP unspecified
JAENUDIN 035278 6/4/1969 body region 18:52:49 18:56:07 0:03:18
DERI J45 -
DEROJAT 123350 2/28/1998 Asthma 22:41:41 22:45:03 0:03:22

R06.0 -
NANANG 076735 6/5/1966 Dyspnoea 1:49:29 1:52:33 0:03:04

T14.0 -
Superficial
injury of
ARIF unspecified
(ODGJ) 123354 1/1/1980 body region 4:00:09 4:03:07 0:02:58

T01 - Open
wounds
involving
multiple
ENTIN body
RUSTINI 013417 10/10/1982 regions 7:10:28 7:12:24 0:01:56

J45 -
Asthma |
K30 -
SYIFA Functional
FAUJIA 043849 5/14/1995 dyspepsia 7:28:34 7:30:26 0:01:52

T14.1 -
Open
wound of
unspecified
YUSRONI 123376 7/31/1961 body region 19:35:43 19:38:29 0:02:46

ASRI J45 -
NURTANTRI 046093 10/14/1984 Asthma 20:12:07 20:13:34 0:01:27
T14 - Injury
of
ECEP unspecified
JAENUDIN 035278 6/4/1969 body region 20:43:00 20:46:42 0:03:42

ELEN J45 -
SEPTRIASA 114488 9/22/2006 Asthma 0:21:58 0:25:30 0:03:32

I24.0 -
Coronary
thrombosis
not
resulting in
myocardial
OOM 123384 1/1/1960 infarction 10:07:39 10:12:29 0:04:50

BADRIA
MAULANA
KOMARUD R06.0 -
DIN 042793 4/11/1935 Dyspnoea 7:14:14 7:15:29 0:01:15

RINA J45 -
MARLINA 016443 2/25/1980 Asthma 10:24:23 10:25:50 0:01:27

T14.1 -
Open
wound of
unspecified
AL KHALIFI 123392 8/3/2018 body region 10:43:15 10:44:38 0:01:23

R56.0 -
HAIDAR Febrile
SAYHAN H 123394 11/9/2020 convulsions 12:06:08 12:06:44 0:00:36

T14.9 -
MUHAMM Injury,
AD ALVIN 123398 5/3/2006 unspecified 15:09:27 15:13:05 0:03:38

T14.9 -
WINDI Injury,
DANURISTA 123399 12/2/1995 unspecified 15:13:34 15:16:55 0:03:21
J45 -
ASEP 020209 2/10/1966 Asthma 5:58:59 6:02:13 0:03:14

ROHUDIN R06.0 -
D. SALIM 060618 10/6/1972 Dyspnoea 6:12:07 6:14:42 0:02:35

I10 -
Essential
(primary)
hypertensio
n | J45.9 -
Asthma,
SUAEBAH 123426 7/1/1955 unspecified 15:55:32 15:59:42 0:04:10

J45.9 -
TINI 073175/11 Asthma,
KARTINI 7591 1/1/1963 unspecified 15:57:12 15:59:58 0:02:46

AZQIARA R56.0 -
ARRASYA Febrile
NABILA 071377 11/27/2018 convulsions 16:38:22 16:42:11 0:03:49

T14.0 -
Superficial
injury of
unspecified
body region
| T14.1 -
Open
wound of
unspecified
UNA 123441 1/1/1952 body region 7:25:57 7:29:03 0:03:06
LANI J45 -
SOPIAH 175438 8/18/1981 Asthma 9:39:24 9:41:56 0:02:32

R06.0 -
Dyspnoea |
R51 -
TATI 102366 9/5/1959 Headache 9:58:05 9:59:10 0:01:05
I50.0 -
Congestive
heart
failure |
R06.0 -
ADIN 123456 8/10/1967 Dyspnoea 10:19:57 10:21:58 0:02:01

T01 - Open
wounds
involving
multiple
HENDI body
SUPRIYADI 031561 9/15/1995 regions 10:30:21 10:32:32 0:02:11

DEDE
MUHAMAD S62.6 -
IRSYADUL Fracture of
QUWA 123461 9/30/1999 other finger 11:41:41 11:46:20 0:04:39
IRNI EKA J45 -
NOVIANI 104665 11/11/2003 Asthma 13:54:15 13:56:08 0:01:53

RINI
DAMAYANT J45 -
I 123470 8/20/1986 Asthma 14:11:03 14:12:26 0:01:23

T14 - Injury
of
MUHAMAD unspecified
MUSLIM 106439 9/2/1993 body region 15:48:27 15:50:52 0:02:25

ENDANG J45 -
SUNARYA 039896 2/2/1964 Asthma 19:36:20 19:39:03 0:02:43

J45.9 -
LINDA Asthma,
LISTIAWATI 100441 12/30/1996 unspecified 21:17:24 21:19:18 0:01:54
J45 -
HAPAD 046498 7/18/1967 Asthma 0:59:45 1:01:39 0:01:54
ELLEN J45 -
KRISTINE 112848 2/21/1977 Asthma 7:14:18 7:15:23 0:01:05
J06 - Acute
upper
respiratory
infections
multiple
and
unspecified
sites | T14 -
Injury of
NAUFAL unspecified
MAULIDAN 123505 1/20/2013 body region 10:55:50 10:57:31 0:01:41

T14.0 -
Superficial
injury of
JAJANG unspecified
JAKARIA 123512 12/3/1974 body region 11:42:16 11:44:58 0:02:42

E9065 -
Bite by
EUIS unspecified
SUPARTINI 123522 1/1/1958 animal 15:03:53 15:08:07 0:04:14
J45 -
SUSANTI 120459 8/28/1981 Asthma 18:13:42 18:15:08 0:01:26

MUHAMM
AD RIZKI R56.0 -
INDRA Febrile
GUNAWAN 121228 7/12/2018 convulsions 21:32:49 21:35:06 0:02:17

J45.9 -
RACHMAW Asthma,
ATI 115983 9/20/1983 unspecified 21:51:01 21:53:36 0:02:35

S85.0 -
Injury of
popliteal
NINING 097820 7/3/1967 artery 8:09:02 8:10:56 0:01:54
RAFASYA R56.0 -
ZIDAN Febrile
SAPUTRA 123530 3/22/2022 convulsions 7:11:23 7:15:49 0:04:26

MUHAMM
AD RIZKI R56.0 -
INDRA Febrile
GUNAWAN 121228 7/12/2018 convulsions 2:37:19 2:40:05 0:02:46

WINA J45 -
NOVIANTI 020515 11/11/1994 Asthma 10:08:27 10:09:30 0:01:03

T14 - Injury
of
UJUD unspecified
TAJUDIN 123555 4/15/1955 body region 10:38:05 10:42:04 0:03:59

E887 -
Fracture,
cause
unspecified
| S92.71 -
Multiple
FAISAL DWI fractures of
PRASETYO 013692 10/2/2002 foot, open 17:04:05 17:06:13 0:02:08

T14 - Injury
ALKA of
RDITYA unspecified
PRATAMA 123569 12/26/2020 body region 20:06:11 20:10:04 0:03:53

YENI R06.0 -
SETIAWATI 012996 7/27/1970 Dyspnoea 8:35:39 8:37:05 0:01:26

R06.0 -
Dyspnoea |
R10.0 -
MELI Acute
JULIANTI 123585 7/4/2003 abdomen 9:08:17 9:11:16 0:02:59

ENDANG J45 -
SUNARYA 039896 2/2/1964 Asthma 16:11:57 16:14:09 0:02:12
DEEVA
ARGANI
LUMBAN J45 -
GAOL 123615 10/1/2018 Asthma 1:55:45 1:56:47 0:01:02

I50.0 -
Congestive
heart
DERI failure |
WANDA R06.0 -
KOMARA 123625 6/7/1973 Dyspnoea 9:06:17 9:08:43 0:02:26

S01.0 -
Open
wound of
YOYOH 123629 7/10/1972 scalp 9:25:13 9:26:46 0:01:33

R06.0 -
UTI 123636 6/11/1954 Dyspnoea 11:29:46 11:30:21 0:00:35

T14.1 -
Open
wound of
DADANG unspecified
SUHERMAN 123644 8/17/1978 body region 14:58:48 15:00:03 0:01:15

J18.0 -
ZAFRAN Bronchopn
KHALIF eumonia,
ELFARIZA 123653 5/9/2022 unspecified 17:52:32 17:54:27 0:01:55
J45 -
NURDIN 112021 7/1/1954 Asthma 19:11:40 19:12:58 0:01:18

T14 - Injury
of
MUHAMAD unspecified
IQRAM 123661 8/3/2006 body region 16:36:06 16:39:23 0:03:17

T14.0 -
MUHAMM Superficial
AD RIZAL injury of
NOOR unspecified
PRATAMA 123663 1/19/2001 body region 22:18:48 22:21:43 0:02:55
T14.0 -
Superficial
BOBY injury of
PUTRA unspecified
PRATAMA 109869 8/17/2000 body region 22:19:41 22:23:54 0:04:13

T14.0 -
Superficial
injury of
BUKHORI unspecified
MUSLIM 123665 5/1/2021 body region 23:15:42 23:20:27 0:04:45

ASMA
FARANNISA
HERMAWA 115196/11 J45 -
N 8236 12/30/2020 Asthma 11:10:25 11:11:58 0:01:33

MUHAMM
AD MALIK J45 -
ATHALA 122433 3/3/2022 Asthma 11:15:08 11:16:50 0:01:42

T14 - Injury
of
unspecified
YULYANA 123681 10/1/1988 body region 13:10:12 13:18:02 0:07:50

SOMAMIH R06.0 -
ARDJA 123684 6/26/1943 Dyspnoea 14:49:26 14:50:47 0:01:21

ELA J45 -
NURLAELA 022759 5/23/1985 Asthma 15:21:49 15:24:31 0:02:42

ENENG SITI J45 -


JULAEHA 043951 4/30/1965 Asthma 15:24:48 15:27:06 0:02:18

J18.0 -
Bronchopn
DIANA eumonia,
ALMAHYRA 123693 9/20/2019 unspecified 20:37:34 20:39:02 0:01:28
E9065 -
Bite by
ADILA NISA unspecified
ARDANI 123694 6/8/2015 animal 18:33:45 18:35:37 0:01:52

E9068 -
Other
specified
injury
caused by
DEDE 123697 3/23/2004 animal 21:34:12 21:36:48 0:02:36

I10 -
Essential
(primary)
hypertensio
n | I50.0 -
Congestive
heart
failure |
R06.0 -
YUYU 050227 7/2/1956 Dyspnoea 2:36:27 2:40:58 0:04:31

MUHAMAD
RAFKA R56.0 -
RAFARDHA Febrile
N 114226 11/8/2021 convulsions 9:01:41 9:04:46 0:03:05

I50.0 -
Congestive
heart
ACIH 065230 6/6/1956 failure 15:30:37 15:31:14 0:00:37

J45.9 -
AIRA ADIVA Asthma,
DELISTHA 075316 9/13/2019 unspecified 0:15:07 0:18:10 0:03:03
I10 -
Essential
(primary)
hypertensio
n | R06.0 -
EAN 097427 5/7/1975 Dyspnoea 1:08:11 1:10:02 0:01:51

J45.9 -
DEDE Asthma,
MULYANI 123734 2/26/1961 unspecified 1:59:22 2:02:20 0:02:58

J45.9 -
Asthma,
ENI 119541 6/4/1968 unspecified 8:33:32 8:35:18 0:01:46

T14.1 -
Open
wound of
REGI unspecified
RIANDIKA 123754 4/4/2014 body region 8:55:17 8:56:32 0:01:15
J45 -
RENI 020490 7/4/2001 Asthma 12:59:29 13:03:33 0:04:04

ANDRI R06.0 -
PRIATMAN 123777 11/5/1962 Dyspnoea 15:32:09 15:35:16 0:03:07

T14.1 -
Open
MUHAMM wound of
AD NADHIF unspecified
ALFARIZQI 123778 3/31/2021 body region 15:40:07 15:43:08 0:03:01

PRABU
ELANG J45.9 -
PAMUNGK Asthma,
AS 009024 6/18/2012 unspecified 15:43:47 15:45:15 0:01:28

NINING J45.9 -
SULISYTANI Asthma,
NGSIH 123780 4/24/1962 unspecified 16:59:46 17:03:09 0:03:23
T14 - Injury
of
UJANG unspecified
SUPRIATNA 123791 6/25/2022 body region 18:56:50 18:58:40 0:01:50

R56.0 -
Febrile
KESYA 123795 10/8/2021 convulsions 23:13:23 23:16:59 0:03:36

NARNI R06.0 -
SUHARNI 033864 4/28/1972 Dyspnoea 1:36:49 1:38:45 0:01:56

J18.0 -
Bronchopn
eumonia,
MUHAMM unspecified
AD ALTAIR | R06.0 -
IBNU LIN 105819 2/15/2019 Dyspnoea 8:16:19 8:18:04 0:01:45

AMANDA
PUTRI J45 -
SURYONO 123804 11/6/2021 Asthma 15:15:35 15:18:27 0:02:52

PUPUT R06.0 -
PUTRIANI 123805 8/13/1996 Dyspnoea 9:10:46 9:13:13 0:02:27

S91.2 -
Open
wound of
toe(s) with
H MASRONI damage to
SE 009435 5/10/1956 nail 9:39:33 9:40:12 0:00:39

R33 -
Retention
APANDI 123809 2/7/1963 of urine 9:46:26 9:48:53 0:02:27

ADIB NUR R56.0 -


RAHMAN Febrile
SYAHIR 123811 7/15/2020 convulsions 10:17:16 10:17:19 0:00:03
MUHAMAD T14 - Injury
SYABIL of
ZUNNURAI unspecified
N SUTISNA 042058 2/14/2017 body region 12:29:14 12:30:26 0:01:12

J18.0 -
Bronchopn
eumonia,
unspecified
| R50 -
Fever of
other and
NIDA NUR unknown
TSANIYAH 104964 7/24/2020 origin 16:32:03 16:36:50 0:04:47

ASMA
FARANNISA
HERMAWA 115196/11 J45 -
N 8236 12/30/2020 Asthma 17:49:27 17:51:16 0:01:49

E14.0 -
Unspecified
diabetes
mellitus
MAMAN 123835 7/11/1950 with coma 1:41:21 1:42:56 0:01:35

M AHDAN R56.0 -
SRI Febrile
WAHYUNI 123836 12/6/2017 convulsions 4:45:49 4:47:42 0:01:53
A15 -
Respiratory
tuberculosi
s,
bacteriologi
cally and
histologicall
DEDE y confirmed
HERMANSY | R06.0 -
AH 074488 9/17/1989 Dyspnoea 8:46:56 8:50:57 0:04:01

T14 - Injury
of
DEDE unspecified
KARSONO 123866 9/19/1976 body region 17:28:14 17:29:17 0:01:03

T14.1 -
Open
wound of
ZAHRA unspecified
APRILIA 123870 12/10/2018 body region 19:21:03 19:23:08 0:02:05

DEDE
INDRA J45 -
LESMANA 123871 3/11/2001 Asthma 19:27:39 19:28:46 0:01:07
E9060 -
INDAR 123874 9/3/1987 Dog bite 20:21:27 20:23:16 0:01:49

RAIHAN
RIZKI J45 -
ADITIA 079482 8/27/2013 Asthma 23:27:12 23:28:01 0:00:49

ABIYYA R56.0 -
RAFIF Febrile
AYYUBI 123882 11/20/2020 convulsions 6:24:47 6:29:13 0:04:26
J45 -
CECEP D.S 048115 9/10/1965 Asthma 8:17:45 8:18:30 0:00:45
ELLEN J45 -
KRISTINE 112848 2/21/1977 Asthma 9:00:23 9:03:26 0:03:03
T14.0 -
REZKA Superficial
ZIDAN injury of
NURAHMA unspecified
N 123896 3/9/2015 body region 9:24:46 9:25:43 0:00:57

T14.1 -
Open
wound of
unspecified
AJID 123900 7/16/1979 body region 11:20:18 11:23:32 0:03:14

E9065 -
Bite by
DEUIS unspecified
LATIPAH 123904 4/27/1999 animal 12:53:18 12:55:15 0:01:57

J18.0 -
Bronchopn
eumonia,
unspecified
| R63.8 -
Other
symptoms
and signs
concerning
NAZIYA food and
HANIFA 123911 8/11/2021 fluid intake 16:30:46 16:33:05 0:02:19

J45 -
Asthma |
J45.9 -
RESTI Asthma,
JULIANTI 077757 7/2/2006 unspecified 17:11:10 17:13:53 0:02:43
J45 -
Asthma |
R11 -
YAYAH Nausea and
HADIJAH 016497 7/1/1967 vomiting 18:42:11 18:45:55 0:03:44

SATYA
DZIKRI AL J45 -
MASTHA 123919 2/28/2022 Asthma 20:06:29 20:07:29 0:01:00

E16.2 -
APRIANI Hypoglycae
DAMAYANT mia,
I 123918 4/13/1988 unspecified 21:10:02 21:12:52 0:02:50
KRISTINA J45 -
WATI 073465 5/15/1977 Asthma 21:59:54 22:03:34 0:03:40

J45 -
Asthma |
R51 -
TUPAH 123922 6/10/1951 Headache 22:03:15 22:04:54 0:01:39

MUHAMM
AD FATHAN J45 -
MUBINA 123926 1/25/2022 Asthma 3:19:05 3:21:36 0:02:31

RAIHAN
RIZKI J45 -
ADITIA 079482 8/27/2013 Asthma 4:54:07 4:55:30 0:01:23

T14 - Injury
RIRIN of
KURNIAWA unspecified
N 35717 11/16/1992 body region 6:46:05 6:47:05 0:01:00
J18.0 -
Bronchopn
eumonia,
unspecified
| J18.0 -
Bronchopn
eumonia,
unspecified
SAHLA NUR | R50.9 -
RAMADHA Fever,
NI 123943 4/5/2022 unspecified 10:35:24 10:37:13 0:01:49

R06.0 -
ENDANG 123958 8/14/1950 Dyspnoea 13:23:37 13:26:13 0:02:36

E9881 -
Injury by
burns or
fire,
undetermin
ed whether
accidentally
or
purposely
II RUMIATI 123960 12/6/1956 inflicted 13:00:47 13:03:39 0:02:52

G40 -
Epilepsy |
R56.8 -
AFDHAL Other and
NUR 033607/09 unspecified
RAHMAN 6526 8/21/2017 convulsions 13:59:11 14:00:01 0:00:50

I50.0 -
Congestive
PIAN 106937/12 heart
SETIAWAN 0179 6/6/1981 failure 20:34:11 20:36:05 0:01:54
I50.9 -
Heart
failure,
unspecified
| N18.5 -
Chronic
kidney
SYARIF disease,
HIDAYAT 123966 6/4/1982 stage 5 20:42:15 20:45:19 0:03:04

T14 - Injury
of
unspecified
ANISA 123967 4/16/2006 body region 23:39:47 23:40:09 0:00:22

T14 - Injury
FERDIANSY of
AH unspecified
SAPUTRA 123968 3/11/2003 body region 0:01:35 0:03:33 0:01:58

T14 - Injury
NADYA of
PURI DIVA unspecified
KUSWARA 123973 11/20/2006 body region 7:36:45 7:38:23 0:01:38
J45 -
AISAH 004575 8/3/1967 Asthma 9:16:21 9:19:52 0:03:31

M25.99 -
Joint
disorder,
MUHAMAD unspecified
FAHRU , site
ROJI 035961 3/7/2004 unspecified 10:56:54 10:59:57 0:03:03

T14 - Injury
of
ECE unspecified
SAEPUDIN 123987 7/8/1963 body region 12:48:45 12:49:33 0:00:48

J45.9 -
Asthma,
NANANG 000775 1/1/1958 unspecified 13:07:35 13:09:02 0:01:27
T14 - Injury
AMANDA of
ARSHIYLA unspecified
HUSNA 104655 4/9/2021 body region 13:27:59 13:28:50 0:00:51

T14 - Injury
of
unspecified
body region
| T14.1 -
Open
M AZRIL wound of
RAHANDIK unspecified
A ALFARIQ 095715 8/9/2016 body region 19:40:32 19:45:13 0:04:41

KAIZAN
NOORVI
REZKI J45 -
WIDIAN 045772 5/12/2015 Asthma 20:56:33 20:58:10 0:01:37
J45 -
PARMO 120335 12/25/1945 Asthma 8:05:24 8:06:14 0:00:50

T14 - Injury
SANTI of
HENDRAYA unspecified
NI 124016 10/12/1986 body region 11:17:47 11:17:58 0:00:11

FERDI
FIRDAUS J45 -
SALAM 048263 4/11/2009 Asthma 15:09:39 15:10:50 0:01:11

T14 - Injury
of
unspecified
WARSIAH 020730 4/12/1960 body region 16:04:01 16:04:28 0:00:27

RINI J45 -
MARYANI 055737 12/23/1994 Asthma 19:15:52 19:18:07 0:02:15

FARHANSY
AH REZA J45 -
SOPYAN 117794 10/12/1999 Asthma 22:47:28 22:48:47 0:01:19
T01.0 -
Open
wounds
involving
head with
CACIH 120811 7/1/1958 neck 6:27:02 6:32:06 0:05:04

T14.1 -
Open
INTAN NUR wound of
AGUSTIAN unspecified
SAEPUDIN 124038 8/25/1997 body region 8:32:15 8:33:41 0:01:26

ISHYIQA R56.0 -
ZARA Febrile
KHADIJAH 124046 7/6/2020 convulsions 9:01:01 9:03:54 0:02:53

J18.0 -
Bronchopn
eumonia,
unspecified
| J18.0 -
Bronchopn
eumonia,
unspecified
DZAWATAN | R50.9 -
AFNAN 075219/07 Fever,
LAINA 0532 2/27/2019 unspecified 14:28:13 14:29:20 0:01:07

MUHAMM R56.0 -
AD FATHIR Febrile
ASHAQIL 124073 7/15/2020 convulsions 14:56:49 15:00:51 0:04:02

TATANG J45.9 -
MARDIANS Asthma,
YAH 083846 8/20/1961 unspecified 17:14:38 17:15:20 0:00:42
STEVANUS
ALBERT E9060 -
SANTOSO 043893 9/4/2005 Dog bite 18:15:00 18:16:15 0:01:15

J18.0 -
Bronchopn
eumonia,
unspecified
| J45.9 -
Asthma,
SITI SAKINA 121781 4/24/2021 unspecified 18:45:12 18:48:45 0:03:33

MUH
BOBBY T14 - Injury
PUTRA of
PAMUNGK unspecified
AS 051751 1/15/2006 body region 19:57:21 19:59:10 0:01:49

ERMA R06.0 -
SUSANA 124091 12/12/1976 Dyspnoea 21:49:30 21:53:12 0:03:42

J45 -
TATANG Asthma |
MARDIANS R06.0 -
YAH 083846 8/20/1961 Dyspnoea 2:23:37 2:27:11 0:03:34

T14 - Injury
of
unspecified
NENAH 124099 10/12/1955 body region 6:47:39 6:49:08 0:01:29

T01 - Open
wounds
involving
multiple
body
AJID 124116 2/5/1972 regions 9:30:43 9:31:55 0:01:12
T14.1 -
Open
wound of
M RIZKY unspecified
PRATAMA 115019 2/28/2002 body region 12:53:17 12:57:58 0:04:41

ROHUDIN R06.0 -
D. SALIM 060618 10/6/1972 Dyspnoea 12:57:36 13:00:46 0:03:10

NYAI J45 -
HALIMAH 124134 8/12/1962 Asthma 14:44:03 14:45:41 0:01:38

J45.9 -
ENDANG Asthma,
SUMARNA 054105 1/1/1953 unspecified 18:24:19 18:26:15 0:01:56

DEVITA
SHAFIRA R56.0 -
NUR Febrile
HUSNA 110157 12/5/2020 convulsions 19:42:58 19:44:02 0:01:04
J45 -
MILA 124146 6/1/1970 Asthma 19:50:36 19:51:47 0:01:11

J18.0 -
Bronchopn
eumonia,
unspecified
| J18.0 -
ASLAN Bronchopn
RAFFASYA eumonia,
AHMAD 123423 11/4/2021 unspecified 20:48:20 20:54:53 0:06:33

SUSANTI J45 -
ANDRIYANI 124149 12/26/1989 Asthma 23:35:39 23:36:13 0:00:34

R56.0 -
BISMA Febrile
SYAPUTRA 124152 9/21/2016 convulsions 5:01:01 5:03:50 0:02:49

PENTI TRI J45 -


SULAEMI 124154 2/10/1986 Asthma 5:58:03 6:00:23 0:02:20
ALEK I R06.0 -
SUPRIATNA 118054 12/12/1960 Dyspnoea 6:42:35 6:45:36 0:03:01

J18.0 -
Bronchopn
eumonia,
unspecified
| J18.0 -
BAQIR Bronchopn
MANAF AR- eumonia,
RASYAD 124187 3/31/2022 unspecified 15:00:34 15:04:59 0:04:25
LALAN J45 -
ELYANA 124193 3/13/1971 Asthma 17:06:42 17:07:05 0:00:23

AQILA R06.0 -
MAULIDA 124206 1/20/2013 Dyspnoea 0:45:31 0:46:41 0:01:10

J18.0 -
Bronchopn
eumonia,
unspecified
MOZA QIA | R06.0 -
KIRANA 124209 12/25/2018 Dyspnoea 19:04:26 19:05:12 0:00:46

T01 - Open
wounds
involving
multiple
body
regions |
T01.0 -
Open
wounds
involving
head with
SUHANDA 124211 1/1/1957 neck 8:09:27 8:09:40 0:00:13
E10 -
Insulin-
dependent
diabetes
mellitus |
I50.0 -
Congestive
101046/11 heart
ATIK 7353 10/1/1954 failure 11:45:33 11:46:42 0:01:09

I50.0 -
Congestive
NETI heart
HERAWATI 037527 5/4/1966 failure 12:24:32 12:25:46 0:01:14

MUHAMM R56.0 -
AD REYHAN Febrile
AL-LATIF 124226 7/2/2017 convulsions 13:04:11 13:05:35 0:01:24

MUHAMM
AD
SABIQAL J45 -
BAYHAQI 116656 3/27/2022 Asthma 16:40:44 16:42:39 0:01:55

J45.8 -
Mixed
asthma |
R50.9 -
NINA Fever,
NURYANI 080469 10/23/1974 unspecified 18:48:19 18:51:49 0:03:30

MOCHAM
MAD AL J45 -
MALIK P 124237 8/16/2022 Asthma 20:22:00 20:25:07 0:03:07

T14 - Injury
of
unspecified
ENJUH 124239 7/1/1957 body region 20:20:22 20:22:56 0:02:34
J45 -
TITA 093741 8/5/1970 Asthma 7:01:30 7:05:53 0:04:23

I50.0 -
Congestive
heart
TATANG 106845 9/7/1951 failure 7:07:17 7:10:12 0:02:55
KYLA FADIA
AZKADYNA
NAWWARA J45 -
H 119538 12/29/2021 Asthma 10:40:40 10:41:06 0:00:26
IKA J45 -
KARTIKA 124273 1/1/1984 Asthma 15:52:30 15:54:21 0:01:51

T14 - Injury
of
unspecified
RAMDANI 124297 10/14/1993 body region 8:29:14 8:29:58 0:00:44

MUHAMAD T14 - Injury


MALIK of
FIRMANSA 089124/09 unspecified
H 9632 11/19/2019 body region 8:47:33 8:48:09 0:00:36
ABIYU AL J45 -
AZIZ 095737 5/11/2017 Asthma 10:14:12 10:17:51 0:03:39

T14 - Injury
of
unspecified
body region
| T14.0 -
Superficial
injury of
unspecified
SOBARIAH 124306 6/5/1957 body region 10:19:19 10:20:05 0:00:46

E9065 -
M FADLY Bite by
MUNAWIRI unspecified
PUADI 124310 3/11/2011 animal 14:17:04 14:20:11 0:03:07
J44.9 -
Chronic
obstructive
pulmonary
disease,
unspecified
ENGKUS | R06.0 -
KUSNADI 122000 10/10/1950 Dyspnoea 14:17:53 14:19:28 0:01:35

M54.5 -
Low back
SUDARMA 124313 1/1/1960 pain 15:15:58 15:18:00 0:02:02

T14 - Injury
of
KRISNA unspecified
PRASETYA 124317 6/4/2007 body region 18:35:09 18:37:10 0:02:01
TAUFIK J45 -
HIDAYAT 120507 4/6/1978 Asthma 17:45:00 17:46:16 0:01:16

J06.0 -
Acute
laryngopha
ryngitis |
ANWAR J45 -
SADAT 068875 8/3/1968 Asthma 18:01:14 18:04:47 0:03:33
J45 -
USMAN 109981 7/5/1982 Asthma 2:09:30 2:13:57 0:04:27

J45 -
Asthma |
SUCI K30 -
ANGGRAEN Functional
I 124338 3/6/1986 dyspepsia 5:12:54 5:15:51 0:02:57

S21.9 -
Open
wound of
thorax, part
SUKARJA 124339 1/12/1965 unspecified 5:41:41 5:43:02 0:01:21
J18.0 -
Bronchopn
eumonia,
unspecified
| J18.0 -
KIRANA Bronchopn
ALESYA eumonia,
KAORI 124343 11/8/2020 unspecified 7:55:24 7:57:41 0:02:17

J18.0 -
Bronchopn
eumonia,
unspecified
| K30 -
Functional
dyspepsia |
R11 -
Nausea and
ATENG 124346 5/2/1969 vomiting 9:00:54 9:03:09 0:02:15

R56.0 -
Febrile
MUHAMM convulsions
AD ARSYAD | R56.0 -
ALFARIZI Febrile
RIFALLAH 124361 3/24/2020 convulsions 13:18:37 13:20:20 0:01:43

RIKA
KHOERUNIS J45 -
A 124363 9/23/2004 Asthma 14:03:57 14:05:36 0:01:39

MUHAMAD
WAFA J45 -
ARRASYAD 024086 5/14/2012 Asthma 14:49:13 14:52:57 0:03:44

ARIENDRA J45.9 -
PILIANDRY Asthma,
YUSUF 086594 5/16/2018 unspecified 17:50:13 17:50:42 0:00:29
SULAEMAN J45 -
HIDAYAT 039926 12/21/1979 Asthma 21:16:53 21:18:33 0:01:40

AXELLE R56.0 -
PUTRA Febrile
ARDA 108686 3/5/2021 convulsions 0:40:35 0:42:49 0:02:14

J45 -
Asthma |
R50 - Fever
of other
and
ROHUDIN unknown
D. SALIM 060618 10/6/1972 origin 6:05:24 6:07:03 0:01:39

T14.1 -
Open
wound of
RIJALULLO unspecified
H 124400 10/5/1989 body region 7:48:25 7:49:15 0:00:50

T14.1 -
Open
wound of
IRFAN unspecified
MAULANA 124445 2/7/1990 body region 18:24:21 18:25:33 0:01:12

ROSLINDA J45.9 -
RISMAWAT Asthma,
I 046287 6/5/1977 unspecified 18:59:06 19:01:42 0:02:36

T14 - Injury
of
SHOZI unspecified
HASAN 071721 3/31/2018 body region 20:26:05 20:29:38 0:03:33
TOTAL
SAMPLE
RESPON TIME SAMPEL PASIEN 246

SAMPLE > 5 MENIT 4 Pasien D 242

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE

SAMPLE
LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : NOVEMBER 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Periksa Interval

R50 - Fever of
other and
1 unknown origin |
R56 -
Convulsions, not
MUHAMAD elsewhere
FAHRI 124458 7/30/2019 classified 15:03:29 15:05:29 0:02:00

J06 - Acute upper


2 respiratory
infections
multiple and
unspecified sites
ALNAFEESA | R50 - Fever of
QIANA other and
PUTRI 124459 4/4/2022 unknown origin 1:08:51 1:10:13 0:01:22

3 MAUZA
ARKHA
RAFFASYA 078155 1/19/2018 - 1:12:44 1:15:21 0:02:37

4 MOHAMM
AD DIMAS R50 - Fever of
AQSHAL other and
SAPUTRA 067162 6/7/2010 unknown origin 1:31:14 1:33:09 0:01:55

5 K30 - Functional
dyspepsia | R50 -
Fever of other
RITA and unknown
SUGIARTI 016732 8/21/1985 origin 5:59:07 6:56:28 0:57:21

6 N23 - Unspecified
renal colic |
R50.9 - Fever,
ENUR 124463 11/8/1979 unspecified 8:40:55 11:49:32 3:08:37
7 ENTO R50.9 - Fever,
NURHAYATI 006894 2/25/1973 unspecified 8:44:13 8:46:41 0:02:28

8 NENG
ASTRI R50.9 - Fever,
FITRIA NUR 084261 3/24/1997 unspecified 8:58:51 8:59:24 0:00:33

9 ANGGA R50.9 - Fever,


LESMANA 078995 2/17/2005 unspecified 9:03:20 9:05:38 0:02:18
10 SANTI
SUSANTI 011420 8/30/1983 - 11:34:55 11:45:32 0:10:37

11 ANISA
LASTRIANI 124469 2/27/1995 - 9:45:51 13:56:26 4:10:35

T14.1 - Open
12 RIKA wound of
HENDRA unspecified body
GUNASA 124472 2/17/1976 region 10:09:31 10:11:44 0:02:13

13 5.03.0 -
DISLOCTION TMJ
KOMARUDI | R50.8 - Other
N 124474 6/12/1956 specified fever 10:32:51 10:35:51 0:03:00

14
DESTA
SUBAGJA, R50.9 - Fever,
(Amd.Kep). 087119 12/21/1994 unspecified 10:40:52 10:41:42 0:00:50

R50.9 - Fever,
15 unspecified |
RAKANA R50.9 - Fever,
MEILANA 124471 5/5/2014 unspecified 11:03:03 11:38:58 0:35:55

RIKA
16 MAHARAN R50.9 - Fever,
DIKA 124475 12/9/2004 unspecified 11:23:09 11:23:18 0:00:09
17 SRI
RAHAYU 082117 3/8/1989 - 11:27:39 11:29:11 0:01:32

VIOLA
18 RAMADHA
NI
FATUZAHR R50.9 - Fever,
A 124476 6/26/2016 unspecified 11:51:42 11:51:42 0:00:00
19 NELSA
ALYANI 063654 11/30/2005 - 12:36:42 13:58:05 1:21:23
20 ARZA ZIAN
AS
SYAZWAN 030221 1/20/2013 - 12:41:06 12:41:06 0:00:00

SENO
21 SUMARSON
O 066198 4/2/2001 - 12:55:20 21:24:24 8:29:04

AMANDA
22 SUCI
VRYZILLA 124328 6/28/2007 - 13:06:20 13:52:04 0:45:44

23 NURJAMAN
DJULYANSY R50.9 - Fever,
AH 124481 7/8/2002 unspecified 13:53:52 13:54:38 0:00:46

R50.9 - Fever,
24 FADLI unspecified |
MUHARRA R56.0 - Febrile
M 075166 9/10/2019 convulsions 14:18:18 14:21:18 0:03:00

25 RAYSHAKA J06.9 - Acute


SATRIA upper respiratory
KANAKA infection,
SALVIO 122155 6/14/2022 unspecified 14:56:23 14:57:34 0:01:11
26 RASTO 124377 5/13/1965 R51 - Headache 14:58:22 14:59:15 0:00:53

A09.9 -
27 Gastroenteritis
and colitis of
unspecified origin
| R11 - Nausea
JUJU 124486 7/1/1959 and vomiting 15:45:39 15:46:50 0:01:11

28
SEAN
ZHENDRA R50.9 - Fever,
NANDITA 050492 7/27/2015 unspecified 15:54:10 15:54:44 0:00:34

29 MUHAMAD
RAIHAN
IKBAL
SUPRIATNA 124435 1/18/2009 - 16:00:19 16:00:19 0:00:00
30 J18.0 -
ARSA Bronchopneumo
ALPARIZKI 117568 9/5/2021 nia, unspecified 16:07:28 16:12:18 0:04:50

J06.9 - Acute
31 upper respiratory
infection,
unspecified | K30
- Functional
dyspepsia |
R50.9 - Fever,
IMAS 014054 2/7/1989 unspecified 17:27:36 17:30:42 0:03:06

32 ATANG K30 - Functional


PRIATNA 124487 8/17/1973 dyspepsia 17:30:42 17:35:15 0:04:33

33 J06 - Acute upper


respiratory
MUHAMM infections
AD ARFAN multiple and
ALHANAN 124488 3/7/2022 unspecified sites 17:39:26 17:42:47 0:03:21

34 MUHAMAD
HANIF EL
FADHIL 124489 9/7/2013 - 17:49:24 17:49:24 0:00:00

I10 - Essential
35 (primary)
hypertension |
J06.9 - Acute
upper respiratory
ERNA infection,
YULIANA 124490 10/7/1977 unspecified 17:52:56 17:53:21 0:00:25

36 M DAFFA R50.9 - Fever,


AL SYAKIB 012268 6/4/2011 unspecified 18:24:53 18:25:50 0:00:57
37 R11 - Nausea and
SURYANI 113529 6/1/1995 vomiting 18:31:04 20:08:51 1:37:47
38 K35 - Acute
appendicitis |
RINI SRI K37 - Unspecified
FEBYANTI 124491 2/16/1986 appendicitis 18:41:46 20:10:45 1:28:59

39 MUHAMM
AD AKBAR J45.9 - Asthma,
ALFARIZI 110117 7/2/2021 unspecified 18:55:37 18:57:13 0:01:36
40 TONI R50.9 - Fever,
ANTONI 124492 3/17/1983 unspecified 19:29:21 19:30:05 0:00:44

41 SANTI K30 - Functional


FITRIANI 123970 9/30/1976 dyspepsia 19:36:55 19:37:58 0:01:03

42 009267/11 K30 - Functional


ALINNA 9573 3/2/1965 dyspepsia 19:41:09 19:42:33 0:01:24
43 ADITYA 124494 8/11/2006 - 20:12:42 20:15:25 0:02:43

44 ALISYA
SHANUM
ADREENA
RAHMA 118158 6/24/2020 L08.0 - Pyoderma 20:19:18 20:20:46 0:01:28

W55 - Bitten or
45 HANI struck by other
HARYANI 124495 8/31/1965 mammals 20:28:46 20:30:12 0:01:26
46 IKHSAN R50.9 - Fever,
FAHREZA 122294 1/29/2022 unspecified 20:36:48 20:40:12 0:03:24

M79.0 -
47 Rheumatism,
AHMUD 124496 7/11/1950 unspecified 20:55:32 21:00:24 0:04:52

I10 - Essential
48 (primary)
YAYAH 124497 3/14/1971 hypertension 21:23:13 21:32:10 0:08:57

49 ANOM
NISKALA
WASTU R50.9 - Fever,
KENCANA 124498 12/3/2010 unspecified 21:28:10 21:30:48 0:02:38
J06.9 - Acute
50 upper respiratory
infection,
CHYLLIJAN unspecified | R50
PADZDIERN - Fever of other
ICK and unknown
IZZHAQY 119607 10/9/2019 origin 21:31:03 21:32:38 0:01:35

51 A09.9 -
Gastroenteritis
DEVI and colitis of
RUHYADI 013574 1/29/1982 unspecified origin 21:34:39 22:12:31 0:37:52

52 MUHAMAD
ZULFADLI
wirawan 121383 8/22/2014 B86 - Scabies 21:44:25 21:45:24 0:00:59
53 WIWI
WINARTI 064385 6/2/1992 B86 - Scabies 21:49:04 21:51:48 0:02:44

ANDEVA
54 TAUFIK
HIDAYAT 053005 12/23/2010 B86 - Scabies 21:59:04 22:07:25 0:08:21

D21.0 - Benign
neoplasm,
55 connective and
other soft tissue
of head, face and
SRI SALMA 124479 8/14/2003 neck 22:01:50 22:01:50 0:00:00

56 A09.9 -
Gastroenteritis
HANA and colitis of
SABRIANA 124500 7/20/2022 unspecified origin 6:18:35 7:59:46 1:41:11
57 ULOH 124501 6/3/1960 - 6:35:19 9:17:47 2:42:28
58 KUNAH 124504 2/5/1966 - 7:11:45 9:19:30 2:07:45

NAIRA
59 ALFATHUNI J45.9 - Asthma,
SA 124508 12/20/2021 unspecified 7:51:16 7:54:16 0:03:00
60
JUERIYAH 035712 3/11/1957 - 8:05:49 9:20:36 1:14:47

GALIH
61 CAHYA K30 - Functional
TRIYADI 036307 3/5/1993 dyspepsia 8:39:45 10:02:35 1:22:50
62 YUYUN K30 - Functional
YUNINGSIH 112597 1/11/1973 dyspepsia 8:46:59 8:48:25 0:01:26

63 DEDIH R07.3 - Other


NURYANDI 100849 1/2/1969 chest pain 8:51:20 8:54:20 0:03:00

WIKA T14 - Injury of


64 HAMDAH unspecified body
M 124516 12/28/2018 region 9:07:14 9:08:29 0:01:15
65 EDY
SILABAN 124505 3/29/1974 - 9:09:54 9:09:54 0:00:00
66 YANAH 025837 2/13/1980 - 9:48:17 9:48:17 0:00:00

67 A15 - Respiratory
tuberculosis,
bacteriologically
ABDUL and histologically
GANI, (H). 051628 5/7/1947 confirmed 9:50:30 10:37:06 0:46:36
68 R50.9 - Fever,
ANIS 124523 7/1/1972 unspecified 10:11:30 14:01:08 3:49:38
69 ARVAN R50.9 - Fever,
UWAIS 124524 7/31/2017 unspecified 10:24:07 10:24:07 0:00:00

70 DARIAH R50.9 - Fever,


FITRI YANI 113287 6/1/2021 unspecified 10:43:48 10:44:50 0:01:02

DINI
71 PUTRIATI
UTAMI, R50.9 - Fever,
AM.KEP 108523 1/20/1988 unspecified 12:39:27 12:40:29 0:01:02

72 NAILA R50.9 - Fever,


MUAZARA 028215 11/23/2018 unspecified 12:45:59 17:48:16 5:02:17

73 J06.9 - Acute
upper respiratory
infection,
WIWIN 061348 6/10/1979 unspecified 13:18:20 13:19:50 0:01:30

74 J06.9 - Acute
RAFISKY upper respiratory
ALFAREZI infection,
SUKMANA 089453 10/20/2017 unspecified 13:38:14 13:39:11 0:00:57
SHERRYL
75 ALNAIRA
PUTRI K30 - Functional
SOPIAN 108858 6/27/2020 dyspepsia 13:39:44 13:40:34 0:00:50

76 N39.0 - Urinary
CEUCEU tract infection,
TRIANA 123371 9/30/2006 site not specified 13:56:22 13:56:22 0:00:00

77 K30 - Functional
PURNASIH 124532 7/1/1960 dyspepsia 14:04:51 14:05:09 0:00:18

78 M79 - Other soft


tissue disorders,
DEDE not elsewhere
RUKMANA 091080 8/29/1973 classified 14:29:08 17:24:03 2:54:55

79 H HERMAN
HIDAYAT R50.9 - Fever,
S.Ag 124533 6/10/1971 unspecified 0:26:11 14:07:37 13:41:26

80
R10 - Abdominal
and pelvic pain |
R10.4 - Other and
WAWAN unspecified
RIDWAN 024377 6/12/1964 abdominal pain 14:39:36 14:43:36 0:04:00
81 ALIKA AZ- R50.9 - Fever,
ZAHRA 124534 8/15/2020 unspecified 14:46:26 14:50:05 0:03:39
82 TITIN
SURTINI 115444 10/12/1983 - 14:55:44 15:00:54 0:05:10

A09.9 -
83 Gastroenteritis
and colitis of
REINA unspecified origin
APRIANI | R50.9 - Fever,
RAHMAN 056971 4/29/2015 unspecified 15:13:34 15:13:44 0:00:10

T14 - Injury of
84 unspecified body
WAHYUDIN 124537 1/1/2004 region 15:44:24 15:46:24 0:02:00
85 IRMA J45.9 - Asthma,
FAUZIAH 058708 6/1/2008 unspecified 15:58:02 16:00:46 0:02:44
D21.0 - Benign
neoplasm,
86 connective and
other soft tissue
GEUGEU of head, face and
NUGRAHA 124069 8/15/1983 neck 16:01:01 17:31:31 1:30:30

J06.9 - Acute
87 upper respiratory
infection,
DAVANI unspecified |
NURMALFA R50.9 - Fever,
UJIAH 018571 3/15/2015 unspecified 16:39:12 16:40:14 0:01:02

J06.9 - Acute
88 upper respiratory
MUHAMAD infection,
AFLAH unspecified |
MANNAF R50.9 - Fever,
ALFAUZI 084461 7/18/2019 unspecified 16:19:41 16:20:11 0:00:30
89 YOYOM 124528 7/1/1968 - 16:45:42 17:26:50 0:41:08

90 J06.9 - Acute
ADZKIA upper respiratory
NAYYARA infection,
SYAQILLA 106268 10/22/2020 unspecified 17:05:02 17:06:54 0:01:52

91 M J02.9 - Acute
WINDRASTI pharyngitis,
RATNA S 068183 9/29/1971 unspecified 17:08:56 17:08:56 0:00:00

SEKAR
92 MELATI
QISMINA J02 - Acute
SAPUTRA 062743 11/7/2006 pharyngitis 17:10:18 17:13:54 0:03:36

93 MUHAMM J06.9 - Acute


AD RIPANDI upper respiratory
AL infection,
VIANSAH 012881 5/9/2008 unspecified 17:16:46 17:17:13 0:00:27

94 ASEP
SOPYANTO 078575 7/1/1995 - 17:21:50 17:24:29 0:02:39

FIKRIA
95 FARIDA R11 - Nausea and
FASHA 124278 8/23/1995 vomiting 17:51:08 18:26:18 0:35:10
96 SETIAWATI R73.9 -
DAULAY BT Hyperglycaemia,
ALI 124538 2/23/1969 unspecified 17:56:07 18:24:52 0:28:45

ANGGARA
97 DWI R50.9 - Fever,
FEBRIAN 077595 2/9/2015 unspecified 18:03:38 18:03:54 0:00:16
98 TANISA R50.9 - Fever,
PUTRI 101797 8/15/2020 unspecified 18:09:49 18:10:08 0:00:19

99 J06.9 - Acute
upper respiratory
TITIN infection,
KARTINI 025525 8/18/1978 unspecified 18:23:41 18:24:19 0:00:38

100 NENIH K30 - Functional


JUNAENI 095752 4/3/1972 dyspepsia 18:30:29 18:34:28 0:03:59

SABRINA
101 ZAIN R50.9 - Fever,
AFSHEEN 038633 3/6/2016 unspecified 18:33:12 18:35:45 0:02:33

A09.9 -
Gastroenteritis
102 and colitis of
unspecified origin
| J18.0 -
Bronchopneumo
RAGA nia, unspecified |
PUTRA R50.9 - Fever,
YUNUS 121337 8/18/2022 unspecified 18:41:06 19:52:43 1:11:37

103 ZAHRA R50.9 - Fever,


AGUSTINA 111192 8/13/2015 unspecified 19:01:47 19:03:21 0:01:34
104 R50.9 - Fever,
ADIN 124540 1/1/1962 unspecified 19:04:21 19:04:21 0:00:00

B.00.2 -
105 ALIS GINGGIVO
ARIYANI 124541 6/15/1973 STOMATITIS 19:37:13 19:37:13 0:00:00

E14.9 -
106 Unspecified
diabetes mellitus
SUMARNO without
LUBIS 124542 4/3/1960 complications 19:44:45 19:46:27 0:01:42
107 ELFINA AYU R50.9 - Fever,
PERTIWI 124543 1/4/2019 unspecified 19:50:35 19:51:25 0:00:50

108 RIDWAN R07.4 - Chest


SOLEH 124544 10/9/1998 pain, unspecified 20:29:52 20:32:52 0:03:00

109
GIAN R50 - Fever of
PRADIPTA other and
MAULANA 124545 11/15/2015 unknown origin 21:07:01 21:07:01 0:00:00

THASIFFA
110 AULIA
ALFINA 078920 3/1/2008 - 20:55:09 20:55:09 0:00:00

A09.0 - Other
111 unspecified
gastroenteritis
and colitis of
ARAH 029214 6/17/1955 infectious origin 21:11:21 21:13:08 0:01:47

112
A. DZIKRA
BAHARI
SURYANA 124546 7/14/2015 J45 - Asthma 21:14:26 21:16:26 0:02:00

D58 - Other
113 hereditary
haemolytic
anaemias | R50 -
Fever of other
and unknown
ICIN 124444 7/24/1952 origin 21:20:55 23:51:38 2:30:43

114 R50 - Fever of


ELAN other and
SUHERLAN 124547 1/20/1978 unknown origin 21:23:06 21:23:06 0:00:00
115
yuli yulianti 124548 12/10/2004 J45 - Asthma 21:47:26 21:49:17 0:01:51

A09 - Other
116 gastroenteritis
and colitis of
infectious and
YOYOH 076888 4/2/1967 unspecified origin 22:18:03 23:49:33 1:31:30
117
NAZIA NUR 122495/12 K30 - Functional
FADHILAH 2496 12/4/2007 dyspepsia 22:47:45 22:47:45 0:00:00
118 RINA 110474 7/10/1976 - 23:16:53 23:16:53 0:00:00

119 MUHAMAD
ABIZEIN
SYAFARAZ J18.0 -
ALKUROIM 103147/11 Bronchopneumo
AN 4692 2/10/2021 nia, unspecified 23:37:42 23:40:42 0:03:00

R50 - Fever of
other and
120 unknown origin |
R56 -
HERANG Convulsions, not
IHLAS elsewhere
PIHARTI 124549 8/13/2019 classified 4:35:25 5:17:12 0:41:47

A09.0 - Other
121 unspecified
gastroenteritis
and colitis of
infectious origin |
TUTI R11 - Nausea and
ALAWIYAH 124550 8/4/2000 vomiting 4:36:56 5:14:31 0:37:35
122 nadhira
rahma 118733 10/24/2017 J45 - Asthma 4:48:54 4:51:54 0:03:00

123 SALMA
AZZRA R11 - Nausea and
DEWANTY 021516 10/20/1999 vomiting 5:14:34 6:31:35 1:17:01
124 ENGKUS
KUSNADI 122000 10/10/1950 R06.0 - Dyspnoea 5:46:52 5:53:24 0:06:32
125 BELLA
VISTA 073297 6/9/1991 - 5:52:20 6:00:59 0:08:39
126 TATA 124551 5/24/2020 - 6:10:37 6:11:43 0:01:06

127 DEWI K30 - Functional


NURHAYATI 124554 1/1/1980 dyspepsia 8:29:06 8:30:33 0:01:27

128 ENUNG K30 - Functional


NURHAYATI 059271 7/19/1972 dyspepsia 8:51:04 8:52:42 0:01:38
MUHAMM
129 AD J18.0 -
ADBILAH Bronchopneumo
FATIR 124558 8/17/2022 nia, unspecified 9:15:45 9:19:45 0:04:00

T14 - Injury of
130 unspecified body
ASEP 060936 8/1/1963 region 9:28:59 9:32:08 0:03:09

131 NAIRA J18.0 -


ALFATHUNI Bronchopneumo
SA 124508 12/20/2021 nia, unspecified 10:14:51 10:17:51 0:03:00

132 R50 - Fever of


ALIKA other and
LAILAH 124562 3/19/2015 unknown origin 10:24:09 10:25:25 0:01:16
133 RINA ANISA
S. 124567 9/29/1974 R06.0 - Dyspnoea 10:59:44 11:00:14 0:00:30

MUHAMAD
134 ABIZAIN J06.9 - Acute
SYAUQI upper respiratory
ALKUROIM 103148/11 infection,
AN 2023 2/10/2021 unspecified 11:04:23 11:05:24 0:01:01

J06.9 - Acute
135 upper respiratory
infection,
unspecified | R50
- Fever of other
SANAH and unknown
ALIYAH 124568 8/12/2006 origin 11:21:43 11:22:25 0:00:42

136 ADE
SUPRIATNA
BIN OPING 124569 7/17/1980 - 15:01:55 15:01:55 0:00:00

RAJA
137 DARREN R50.9 - Fever,
KEANU 066409 10/1/2013 unspecified 12:57:27 13:54:12 0:56:45
138 MARINI 124572 7/17/2003 - 13:03:08 13:54:01 0:50:53

ADZKIA
139 PUTRI
KURNIAWA
N 124573 6/15/2015 J45 - Asthma 13:22:49 13:25:01 0:02:12
140 DENI 124570 7/11/1996 - 13:24:20 13:50:28 0:26:08
141 D64 - Other
IDOH 053951 6/4/1954 anaemias 14:11:34 19:00:31 4:48:57

142 NURJAMAN
DJULYANSY R50.9 - Fever,
AH 124481 7/8/2002 unspecified 15:29:11 19:17:55 3:48:44

143 A09.9 -
Gastroenteritis
DEDI and colitis of
MULYADI 071083 3/11/1962 unspecified origin 15:37:31 17:46:23 2:08:52

R50.9 - Fever,
144 SANDARA unspecified |
SUPIANI R50.9 - Fever,
AVARIL 074964 9/5/2019 unspecified 16:01:40 19:08:00 3:06:20

CINTYA
145 ANINDITA R50.9 - Fever,
ZAHRA 026737 5/18/2016 unspecified 16:22:35 16:23:25 0:00:50

146 HAFIZAH
MUTIARA
RAMADHA R50.9 - Fever,
NI 101543 4/20/2020 unspecified 16:24:28 16:24:58 0:00:30

147 IPAH K30 - Functional


REVALIANI 025048 12/1/1981 dyspepsia 16:27:58 16:28:42 0:00:44

PUTRI
148 AMELIA R50.9 - Fever,
AZELLA 124574 7/28/2021 unspecified 16:51:50 16:52:36 0:00:46

149
DITA AULIA R50.9 - Fever,
SYAPUTRI 068099 1/16/2015 unspecified 17:44:03 19:09:41 1:25:38

K30 - Functional
150 dyspepsia |
M54.50 - Low
back pain,
multiple sites in
EROS 124224 8/5/1967 spine 17:50:30 17:50:30 0:00:00

151 H81.4 - Vertigo of


central origin |
K30 - Functional
ARAH 029214 6/17/1955 dyspepsia 18:31:02 19:39:01 1:07:59
152 RENI
SURYANI 020490 7/4/2001 J45 - Asthma 18:47:31 18:51:31 0:04:00

SITI
153 NURFADILL
AH
ANGGRAEN R50.9 - Fever,
I 022691 3/31/2013 unspecified 18:54:40 18:55:52 0:01:12

154 DION R50.9 - Fever,


QAWIYYU J 032581 3/23/2016 unspecified 19:00:09 19:02:14 0:02:05

D21 - Other
155 benign
neoplasms of
CUCU connective and
MULYATI 124478 3/11/1972 other soft tissue 19:04:03 19:05:31 0:01:28

T14 - Injury of
156 unspecified body
KARTIKA 036400 5/10/1968 region 19:08:35 19:12:35 0:04:00

157 ZANEERAH
PUTRI
MAHARANI 117909 5/19/2022 J45 - Asthma 19:21:35 19:24:45 0:03:10

158 DINDA
FEBRIANTI 124578 2/13/2005 J45 - Asthma 19:50:39 19:52:21 0:01:42

159 HANA K30 - Functional


PERTIWI 124579 8/16/1990 dyspepsia 20:22:16 20:24:49 0:02:33
160 AANG 046634 4/19/1960 - 20:55:25 20:55:25 0:00:00

161 ARUMI A09.9 -


ASSYABIYA Gastroenteritis
FATURAHM and colitis of
AN 124580 4/20/2020 unspecified origin 21:27:14 21:27:51 0:00:37

162 ERUS R50.9 - Fever,


YUSYAMSI 021384 3/3/1978 unspecified 21:30:38 21:30:40 0:00:02

163 J06.9 - Acute


MUHAMM upper respiratory
AD BILAL infection,
HAIRI 124582 10/16/2021 unspecified 22:39:02 22:42:59 0:03:57
164 SALMA
SABILA 018710 10/10/2013 J45 - Asthma 1:47:33 1:48:41 0:01:08
165 AEP
SAEPUDIN 046988 5/1/1960 J45 - Asthma 3:00:17 3:04:16 0:03:59

166 R10.0 - Acute


abdomen | R10.4
- Other and
SANTI unspecified
SUSANTI 011420 8/30/1983 abdominal pain 3:36:49 5:24:38 1:47:49

167
NAUSHAD R50 - Fever of
SHAKEEL other and
AL-QARNI 124587 12/4/2021 unknown origin 8:11:31 8:12:27 0:00:56

KAIRA
168 AULIA
PUTRI 116903 4/22/2021 J45 - Asthma 8:49:19 8:52:19 0:03:00
169 AMRIL
FASYA 095451 12/2/1981 - 9:45:26 9:46:12 0:00:46

170 NAUFAL R50 - Fever of


ZAKY other and
PERMANA 108458 9/28/2018 unknown origin 10:16:41 10:17:15 0:00:34

171 K30 - Functional


dyspepsia | R50 -
MIRI Fever of other
AMELIA and unknown
NOVIANTI 038258 11/18/2004 origin 10:16:41 10:17:24 0:00:43

172 ERLIN
MARLINA 118815 10/10/1990 - 11:10:24 11:11:27 0:01:03

173 MUHAMM R50 - Fever of


AD other and
ANGGARA 120295 11/21/2016 unknown origin 11:25:54 11:26:54 0:01:00

AJENG O60 - Preterm


174 NOPITASAR labour and
I 124438 2/12/1990 delivery 12:06:31 12:52:33 0:46:02

NENDA T14 - Injury of


175 MAULIDA unspecified body
HANDI 124598 11/4/2019 region 12:13:35 12:14:58 0:01:23
O60 - Preterm
176 ZULFIA SRI labour and
RAHAYU 124599 12/25/2006 delivery 12:32:31 13:38:21 1:05:50

J06.9 - Acute
177 upper respiratory
infection,
unspecified | R50
- Fever of other
TRISNO and unknown
POLIO 124600 9/13/1995 origin 12:40:53 12:41:15 0:00:22

ASEP
178 JAMALUDI
N 077154 4/12/1977 - 13:05:47 13:05:47 0:00:00

179 HAFIZA J18.0 -


KHAERUNN Bronchopneumo
ISA 124604 3/10/2022 nia, unspecified 14:04:32 14:07:32 0:03:00

180 ANDIKA R50 - Fever of


DARMAWA other and
N 024754 3/5/2014 unknown origin 13:27:10 13:28:29 0:01:19

181 R50 - Fever of


LUTFIAH other and
AZZAHRA 073140 3/22/2000 unknown origin 14:58:05 14:58:05 0:00:00
182 NURAENI 060935 7/30/1991 - 13:39:32 13:40:22 0:00:50

183 MUHAMM
AD ARKAN R10 - Abdominal
ARDANY 120958 9/5/2017 and pelvic pain 15:16:08 15:21:08 0:05:00

J06.9 - Acute
184 upper respiratory
infection,
FAYZA unspecified |
ABDUL R50.9 - Fever,
HADI 065083 9/8/2017 unspecified 15:20:14 15:54:29 0:34:15

DESWITA
185 AMIRA
MUTIARA R50.9 - Fever,
PUTRI 040336 12/4/2017 unspecified 15:24:13 16:04:24 0:40:11
F41.9 - Anxiety
disorder,
186 unspecified | I10
- Essential
CICIH (primary)
SARTIKA 114352 6/15/1956 hypertension 15:28:15 15:55:35 0:27:20

187 RANSYA
MARYAMA
WATI R50.9 - Fever,
PURNOMO 124607 3/11/1997 unspecified 15:44:22 16:08:30 0:24:08

ELA
188 NURRISWA R50.9 - Fever,
NTI 114442 1/27/1988 unspecified 15:54:40 16:05:24 0:10:44

189 E10 - Insulin-


NUNUNG dependent
MARYANI 123152 2/28/1970 diabetes mellitus 16:54:50 16:56:41 0:01:51

190 NURANI
SURYANA
MUNGGAR
AN 124608 11/9/1989 - 17:01:29 17:01:29 0:00:00

191 A09.9 -
Gastroenteritis
RAFAEL and colitis of
ALFARIZKY 070609 5/15/2016 unspecified origin 17:09:58 17:10:27 0:00:29

W54.91 - Bitten
192 or struck by dog,
unspecified
AYUNDA place, while
AGUSTIFA engaged in
A 124609 8/27/2012 leisure activity 17:15:42 17:19:28 0:03:46

AZKA
193 MAHESA R50.9 - Fever,
PUTRA 074281 5/1/2011 unspecified 17:33:43 17:34:46 0:01:03

A09 - Other
194 gastroenteritis
and colitis of
ALI infectious and
SURYANA 124611 8/25/1965 unspecified origin 18:22:51 18:22:51 0:00:00
195 R50 - Fever of
ETI YOYOH other and
YOHANAH 022161 7/1/1970 unknown origin 18:29:14 18:29:14 0:00:00

196 KHANZA R50 - Fever of


AULIA other and
AZZAHRA 124612 3/12/2022 unknown origin 18:35:40 18:35:40 0:00:00

MUHAMM
197 AD J06.9 - Acute
RHIFANDRA upper respiratory
ALFARIZKH infection,
Y 121285 4/5/2019 unspecified 18:38:05 18:40:23 0:02:18

198 J06.9 - Acute


upper respiratory
SITI infection,
ROBIYAH 124613 2/1/1997 unspecified 18:43:00 18:45:42 0:02:42
199 R50.9 - Fever,
DODOH 124614 8/21/1956 unspecified 18:49:47 18:51:58 0:02:11

200 WAHYUDI
HIDAYAT 124615 1/1/1992 J45 - Asthma 18:58:49 19:02:49 0:04:00

201 MUHAMM
AD FALAH L30 - Other
ZAELANI 124616 1/29/2001 dermatitis 19:02:40 19:04:54 0:02:14

202 K30 - Functional


EUIS 124617 7/1/1960 dyspepsia 19:07:12 19:07:12 0:00:00

M IRAM
203 RIVALDI R50 - Fever of
PAMUNGK other and
AS 110339 7/2/2002 unknown origin 19:12:03 19:12:03 0:00:00

204 LIA L30 - Other


MULYANAH 113940 3/10/1979 dermatitis 19:14:02 19:14:02 0:00:00

205 AHMAD K30 - Functional


SAEPUDIN 051882 4/7/1965 dyspepsia 19:21:49 19:22:17 0:00:28

206 ELY R50.9 - Fever,


RUSPANAH 025537 4/19/1955 unspecified 19:24:59 19:25:01 0:00:02
207 K30 - Functional
EEN 120822 7/1/1952 dyspepsia 19:30:29 19:30:29 0:00:00

J06.9 - Acute
208 upper respiratory
infection,
unspecified |
ANI R50.9 - Fever,
NURAENI 043040 4/1/1982 unspecified 19:34:05 20:09:25 0:35:20

209 RASA JAIDA R50.9 - Fever,


KHAIRO 124618 2/20/2016 unspecified 19:39:54 19:40:02 0:00:08

210 J06.9 - Acute


SUCI upper respiratory
SUKMAWA infection,
TI 083592 5/15/1993 unspecified 20:13:19 20:14:40 0:01:21

211 BAYI
NYONYA R50.9 - Fever,
AFRIYANI 123608 10/13/2022 unspecified 20:28:41 20:28:41 0:00:00

212 ALIZHA R50.9 - Fever,


NURAFIFAH 105525 4/12/2020 unspecified 20:34:33 21:25:39 0:51:06

213 K30 - Functional


LISNAWATI 120116 9/5/1988 dyspepsia 20:39:19 20:40:45 0:01:26

R11 - Nausea and


214 vomiting | R50.9
- Fever,
SAMSUL unspecified | R51
BAHRI 124619 12/12/1982 - Headache 21:57:08 22:36:20 0:39:12

215 ALZHENA
SAMAIRA R11 - Nausea and
BENAZIR 124620 11/5/2018 vomiting 22:35:29 23:41:20 1:05:51

216 ALZHEA R11 - Nausea and


HUMAYRA 096131 8/10/2018 vomiting 22:39:35 23:39:33 0:59:58

217 MUHAMM
AD ZAKI 124621 7/24/2022 - 22:49:43 22:49:43 0:00:00
218 HERLAN R11 - Nausea and
SUPRIATNA 124622 6/29/1991 vomiting 22:54:34 22:55:08 0:00:34

219 N39.0 - Urinary


RINA SENI tract infection,
R 081517 9/8/1997 site not specified 22:56:54 22:56:54 0:00:00

H10.9 -
220 SANI SRI Conjunctivitis,
PURNAMA 068612 3/11/1994 unspecified 23:06:12 23:06:57 0:00:45

221 OOY R07.4 - Chest


JULAEHA 007979 6/4/1969 pain, unspecified 0:33:14 0:35:27 0:02:13
222 R11 - Nausea and
UDIN 124623 2/5/1951 vomiting 1:41:34 2:26:28 0:44:54

SAHLAN
223 DANU
MAULANA R50.9 - Fever,
YUSUF 124624 12/19/2019 unspecified 2:00:11 16:08:36 14:08:25

224 J06.9 - Acute


upper respiratory
RAIHAN infection,
RAFAEZA 124625 5/5/2021 unspecified 2:04:45 13:30:59 11:26:14
225 OCUH J45.9 - Asthma,
JULAEHA 000433 7/1/1951 unspecified 2:06:45 2:10:45 0:04:00

MILKI
226 ROSYDA K30 - Functional
ZAKIA 114360 1/28/1998 dyspepsia 2:13:32 2:15:46 0:02:14

227 HANI K30 - Functional


NIHAYATI 124626 7/2/1995 dyspepsia 4:21:11 4:24:47 0:03:36

228 AINUL
MARDHIAH R50.9 - Fever,
FIDYANI 124627 5/11/2020 unspecified 5:54:35 5:56:11 0:01:36

229 H81.4 - Vertigo of


IIS 124629 7/1/1968 central origin 7:19:18 7:20:06 0:00:48

230 DIDIN J45.9 - Asthma,


SUPRIATNA 036176 11/19/1960 unspecified 7:21:24 7:25:27 0:04:03
231 RAYSHAKA J06.9 - Acute
SATRIA upper respiratory
KANAKA infection,
SALVIO 122155 6/14/2022 unspecified 7:35:45 7:36:23 0:00:38

J30.4 - Allergic
232 rhinitis,
NURMALA 044282 7/12/1969 unspecified 8:06:47 8:27:21 0:20:34

TRI
233 MUSTIKANI J45.9 - Asthma,
NGSIH 070502 6/17/1960 unspecified 8:45:49 8:49:22 0:03:33

M54.05 -
234 Panniculitis
affecting regions
of neck and back,
thoracolumbar
YAYAH 124633 11/5/1956 region 9:27:11 9:29:36 0:02:25

J06.9 - Acute
235 upper respiratory
RAFFA infection,
RIDHO unspecified |
RAMADHA R50.9 - Fever,
N 124634 5/22/2018 unspecified 10:15:39 11:00:14 0:44:35

A09 - Other
gastroenteritis
236 and colitis of
infectious and
unspecified origin
SALWA | K30 -
DWI NUR Functional
AZIZAH 124635 11/5/2005 dyspepsia 10:27:19 10:29:15 0:01:56

237 R50 - Fever of


TITI other and
SUMIATI 123834 8/24/1996 unknown origin 10:52:29 10:54:29 0:02:00

238 J06 - Acute upper


respiratory
infections
WINI multiple and
YULIANI 101167 1/16/1997 unspecified sites 10:57:53 10:59:47 0:01:54
239 WISDAN R50 - Fever of
RESTU other and
WIDIYA 080434 4/18/2004 unknown origin 10:59:30 11:50:28 0:50:58

A09 - Other
240 gastroenteritis
and colitis of
infectious and
ELA 006382 4/6/1970 unspecified origin 11:06:47 11:08:25 0:01:38

J06 - Acute upper


241 respiratory
infections
multiple and
unspecified sites
KAYLA | R50 - Fever of
NADHIFA other and
AL MAIRA 117473 2/22/2021 unknown origin 11:25:40 11:27:38 0:01:58
242 DIAN R11 - Nausea and
JAELANI 124639 10/5/1988 vomiting 12:41:36 12:42:10 0:00:34

K52.9 -
243 VINNA Noninfective
RIZKI gastroenteritis
MAULAND and colitis,
RI 082408 1/26/2003 unspecified 12:46:49 14:55:52 2:09:03

NAZLA
244 PUTRI
FIRMANSY R50.9 - Fever,
AH 124640 11/30/2020 unspecified 12:49:46 12:50:00 0:00:14

245 AAM R50 - Fever of


ANGGRAEN other and
I 124642 6/5/1974 unknown origin 13:40:50 14:09:25 0:28:35

246 AIZA R50 - Fever of


HILYATUNN other and
ISA 124643 1/6/2020 unknown origin 13:48:20 14:07:08 0:18:48

K52.9 -
247 Noninfective
gastroenteritis
and colitis,
FATIMAH 074066 10/8/1972 unspecified 13:52:15 13:53:13 0:00:58
248 R50 - Fever of
other and
HERDIANA 124644 9/1/1993 unknown origin 15:16:44 15:17:32 0:00:48

249 R10 - Abdominal


and pelvic pain |
R11 - Nausea and
AAS BASARI 124646 7/11/1973 vomiting 16:27:34 16:30:34 0:03:00

R11 - Nausea and


250 vomiting | R50 -
Fever of other
NENENG and unknown
ROHILAH 002374 10/1/1960 origin 16:43:37 16:44:55 0:01:18

K52.9 -
Noninfective
gastroenteritis
251 and colitis,
unspecified | R11
- Nausea and
vomiting | R50 -
Fever of other
and unknown
DARYL AL origin | R50.9 -
PRADIPTA Fever,
ALAMSYAH 124647 4/20/2018 unspecified 16:51:12 21:04:18 4:13:06

K52.9 -
Noninfective
252 gastroenteritis
and colitis,
unspecified | R11
- Nausea and
vomiting | R50 -
AKBAR Fever of other
NURFADILL and unknown
AH 101884 1/25/2021 origin 17:34:31 21:01:16 3:26:45
253 J06 - Acute upper
respiratory
infections
DODIK multiple and
PRASETIADI 124649 8/3/1975 unspecified sites 18:32:51 18:33:28 0:00:37

254 R50 - Fever of


EL ZARA other and
YASMINE 101078 8/20/2019 unknown origin 18:46:51 18:47:39 0:00:48

INDAH
255 RAHMAWA K30 - Functional
TI 122240 9/19/1970 dyspepsia 18:49:06 18:50:57 0:01:51

256 K30 - Functional


AMSOR 124650 3/27/1942 dyspepsia 19:07:46 20:57:58 1:50:12

257 R10 - Abdominal


LISNAWATI 120116 9/5/1988 and pelvic pain 15:17:17 15:20:17 0:03:00

258 ARSYAILA
FATIMAH
MULYADI 044388 3/20/2014 B86 - Scabies 19:15:07 19:16:47 0:01:40

259
BAGAS R50 - Fever of
HARIMURTI other and
SANTOSO 114288 1/14/2015 unknown origin 19:20:09 19:21:01 0:00:52

260 AIJAZ R50 - Fever of


PARSA other and
MUZZAKI 084291 3/12/2019 unknown origin 19:45:46 19:46:20 0:00:34

261 K30 - Functional


NENAH 080682 1/15/1960 dyspepsia 19:54:26 19:55:29 0:01:03

T14 - Injury of
262 ARIEL unspecified body
FRADELA 124651 6/21/2004 region 20:02:05 20:03:24 0:01:19

263 J06.9 - Acute


MUHAMAD upper respiratory
BIMA infection,
SAPUTRA 086419 12/19/2002 unspecified 20:05:01 20:06:20 0:01:19
264 J06.9 - Acute
upper respiratory
infection,
YUNI unspecified | K30
WIDAYANTI - Functional
, MS 033825 6/15/1991 dyspepsia 20:37:26 20:38:36 0:01:10

A09 - Other
265 gastroenteritis
and colitis of
LIA infectious and
NURLAELA 124653 8/11/1986 unspecified origin 22:15:17 22:16:54 0:01:37

T14 - Injury of
266 YANTO unspecified body
YULIANTO 124654 10/8/1976 region 11:15:29 11:19:29 0:04:00

RAFISQY
267 FIRNI
ALFARIQ 124655 6/28/2021 J45 - Asthma 22:50:51 22:52:49 0:01:58

268 NUR SATIA


PUSPITA K30 - Functional
ERIYANTI 046748 1/9/2005 dyspepsia 23:23:12 23:24:14 0:01:02

T14.1 - Open
269 wound of
unspecified body
RENDY 124656 1/1/1999 region 0:00:41 0:03:57 0:03:16

270 J06.9 - Acute


ALMEERA upper respiratory
SHABIRA infection,
RAHAYU 123559 8/1/2021 unspecified 3:18:47 3:19:35 0:00:48

271 I15 - Secondary


MEMED hypertension |
SUMEDI 124657 10/21/1942 R06.0 - Dyspnoea 4:46:42 9:24:18 4:37:36

272 HENI K30 - Functional


NURHAENI 042374 10/8/1962 dyspepsia 4:59:36 5:01:54 0:02:18

273 SANSAN K30 - Functional


VIEDYA 037568 5/17/1994 dyspepsia 6:10:15 6:11:13 0:00:58
274 BAJIT 076052 7/1/1932 - 7:24:52 13:27:52 6:03:00
275 R50 - Fever of
SAYID AL other and
RAHMAN 087238 11/4/2019 unknown origin 7:28:03 8:32:46 1:04:43

276 ZAHIRA T14 - Injury of


WAHYUNI unspecified body
NURHAN 124659 7/31/2002 region 8:16:21 8:19:21 0:03:00

A15 - Respiratory
tuberculosis,
277 bacteriologically
and histologically
confirmed | J06 -
Acute upper
respiratory
infections
multiple and
unspecified sites
| K30 -
Functional
ANDI 124660 7/1/1963 dyspepsia 8:29:30 9:58:54 1:29:24

278 K30 - Functional


dyspepsia | R11 -
SITI Nausea and
JULAEHA 107963 8/15/1972 vomiting 8:37:34 9:07:41 0:30:07

279 T14.0 -
YOGHI Superficial injury
APRIANA of unspecified
RAMDHAN 124661 4/5/1990 body region 8:45:28 8:46:52 0:01:24

J06 - Acute upper


280 respiratory
infections
multiple and
unspecified sites
NASYLA | R50 - Fever of
HAZWATUL other and
MAULIDA 124662 1/8/2016 unknown origin 8:47:23 9:06:43 0:19:20
281 U. IWAN K30 - Functional
SOPIAN 014224 12/4/1980 dyspepsia 8:55:31 8:56:58 0:01:27

282 J06 - Acute upper


respiratory
LATIP infections
PERMANA multiple and
LANGIT 124663 2/10/2022 unspecified sites 9:14:13 9:34:49 0:20:36

283 E10 - Insulin-


dependent
EROS 124664 1/1/1965 diabetes mellitus 9:22:24 9:24:25 0:02:01

284 ESIH
SUKAESIH 124665 7/1/1953 - 9:25:28 9:26:25 0:00:57

J18.0 -
285 Bronchopneumo
nia, unspecified |
J18.0 -
Bronchopneumo
MUHAMM nia, unspecified |
AD SABIQ J45.9 - Asthma,
ALBAYHAQI 124666 3/27/2022 unspecified 9:32:52 9:35:52 0:03:00

286 NABILAH
MAWADAH 124667 8/31/2014 - 9:41:48 9:45:57 0:04:09

WINI
287 WIDIASTUT
I 124668 1/20/1992 - 9:47:56 9:47:56 0:00:00

288 SALMA
SAKILA R50.9 - Fever,
GUNAWAN 087239 12/23/2019 unspecified 9:50:52 9:52:26 0:01:34

J06.9 - Acute
289 upper respiratory
infection,
unspecified |
IIS IRYANA J45.9 - Asthma,
SUPRIATI 120408 7/26/1963 unspecified 10:00:22 10:01:55 0:01:33
290 NAZMA R50.9 - Fever,
ANDI ADHA 124669 10/25/2012 unspecified 11:09:49 12:58:21 1:48:32

GUSTYAS
291 WIDYA 002638/02 J45.9 - Asthma,
PRAJA 6380 8/25/1993 unspecified 10:13:37 10:16:34 0:02:57

REZA
292 LUKAS
SAPUTRA 124670 1/2/1999 - 10:25:03 10:26:33 0:01:30

293 R50 - Fever of


other and
JUAN 037056 7/1/1960 unknown origin 10:48:03 11:42:54 0:54:51

294 K30 - Functional


dyspepsia | R50 -
Fever of other
and unknown
SUKARMA 124671 7/29/1955 origin 10:53:16 11:43:48 0:50:32

J06.9 - Acute
295 upper respiratory
AHMAD infection,
FAUZAN unspecified |
NUR R50.9 - Fever,
NASUTION 124672 4/5/2019 unspecified 11:14:07 11:15:52 0:01:45

B00.1 -
296 Herpesviral
IHAT vesicular
SOLIHAT 118211 5/17/1959 dermatitis 11:33:05 11:35:03 0:01:58

297 R50 - Fever of


other and
TISNA 124673 12/15/1990 unknown origin 13:03:30 13:05:37 0:02:07

R50 - Fever of
other and
298 unknown origin |
R56 -
RAFASYA Convulsions, not
ZIDAN elsewhere
SAPUTRA 123530 3/22/2022 classified 13:07:33 13:35:15 0:27:42
299 R50 - Fever of
RIZKY other and
SULAEMAN 104059 10/20/2020 unknown origin 13:09:15 13:33:33 0:24:18

300 ARSYILA R50 - Fever of


PANJI other and
FATIMAH 101421 2/27/2018 unknown origin 13:16:47 13:36:15 0:19:28

DIFA
301 LUBIKA
WIDIAWATI
SIDIK 012402 4/21/1999 - 13:33:21 22:02:44 8:29:23

K92.0 -
302 Haematemesis |
T14 - Injury of
RISMAWAT unspecified body
I 104733 8/9/1994 region 13:44:06 13:46:58 0:02:52

A09 - Other
303 gastroenteritis
and colitis of
infectious and
unspecified origin
RAFKHA | R50.9 - Fever,
ARDITIA 124589 1/8/2013 unspecified 14:30:43 14:30:49 0:00:06

304 T01 - Open


wounds involving
BAHARUDI multiple body
N 124675 3/2/1962 regions 14:50:05 14:51:36 0:01:31

RAJA
305 DARREN
KEANU 066409 10/1/2013 - 14:50:05 21:55:26 7:05:21

ABIGEL
306 AURA
DHEVA 124677 7/11/2018 - 15:44:53 15:45:14 0:00:21

307 J06 - Acute upper


respiratory
infections
DEDE multiple and
SURYANI 037018 5/12/1981 unspecified sites 15:49:14 15:50:44 0:01:30
308 K30 - Functional
dyspepsia | R11 -
Nausea and
vomiting | R63 -
Symptoms and
signs concerning
food and fluid
NURYATI 124678 6/16/1982 intake 15:57:02 17:27:30 1:30:28

309 ROHUDIN D
SALIM 060618 10/6/1972 R06.0 - Dyspnoea 16:00:08 16:01:07 0:00:59

K52.9 -
Noninfective
310 gastroenteritis
and colitis,
unspecified | R50
- Fever of other
and unknown
RIAYANA 084751 6/3/1980 origin 16:04:57 16:05:30 0:00:33

311 AL FITRAH R50 - Fever of


NAZMI other and
ANWAR 101370 5/3/2005 unknown origin 16:11:33 16:12:03 0:00:30

312 ARKA
HAIDAR
ABIMANA 076992 11/29/2016 - 16:57:53 21:58:54 5:01:01

313 IQLIMA
SHARFINA 016687 7/9/2016 - 17:34:24 21:57:03 4:22:39

314 ALMAHYRA
SYAZANI R50.9 - Fever,
OFEELIA 124679 8/9/2022 unspecified 17:45:02 17:46:27 0:01:25

R56 -
315 MUHAMM Convulsions, not
AD RIZKY elsewhere
SOPIYAN 124680 12/2/2021 classified 17:57:39 17:57:39 0:00:00
J06.9 - Acute
316 upper respiratory
infection,
unspecified | R50
MOUHAN - Fever of other
AMANULLA and unknown
H NABAWI 124681 4/30/2006 origin 18:06:17 18:07:12 0:00:55

317 ASYRAF R50 - Fever of


ALMUSTAQ other and
IM 124682 9/19/2021 unknown origin 18:08:11 18:08:16 0:00:05
318 U. IWAN
SOPIAN 014224 12/4/1980 - 18:39:00 18:39:00 0:00:00
319 DEDEN 001892/10
SUPENDI 4179 7/1/1982 - 18:42:30 18:43:27 0:00:57

320 K30 - Functional


dyspepsia | R50 -
Fever of other
ETI YOYOH and unknown
YOHANAH 022161 7/1/1970 origin 18:46:53 18:48:27 0:01:34

321 MUHAMAD
REVAL R50 - Fever of
DEVAN other and
PURNAMA 124684 7/11/2021 unknown origin 18:53:40 18:54:20 0:00:40

322 MUH.
RUDALFFA
BIMANTAR L20 - Atopic
A 037648 3/14/2006 dermatitis 18:54:31 18:56:27 0:01:56

323 M RIFQI R50 - Fever of


ARVAN 028213/04 other and
HERIANSAH 4600 11/26/2016 unknown origin 18:59:11 18:59:27 0:00:16

324
LOUSIANA R10.0 - Acute
SWARTIKA 045214 4/9/1994 abdomen 19:02:10 19:03:27 0:01:17
325 ALTAN R50 - Fever of
ALZAM other and
MUTTAQI 124685 1/1/2021 unknown origin 19:20:45 19:21:02 0:00:17

G44 - Other
326 ANTON headache
MAULANA 124686 8/8/1994 syndromes 19:26:27 19:26:27 0:00:00

MUHAMAD
327 ARYA R10.0 - Acute
SUKMA 023193 11/21/2010 abdomen 19:25:18 19:28:16 0:02:58

H66.9 - Otitis
328 media,
PITRIANI 020248 7/24/1997 unspecified 20:13:30 20:14:16 0:00:46

329 K30 - Functional


RINA 110474 7/10/1976 dyspepsia 20:16:22 20:17:12 0:00:50

R50 - Fever of
other and
330 unknown origin |
SITI R56 -
ALZAIRA Convulsions, not
MILETA elsewhere
NUGRAHA 124687 4/24/2021 classified 15:42:22 21:25:45 5:43:23

331 K30 - Functional


dyspepsia | R11 -
Nausea and
ENAH 067843 7/17/1953 vomiting 20:36:34 20:37:20 0:00:46

332 MUHAMM
AD RIJKI 124688 7/8/2019 - 20:46:26 21:13:21 0:26:55

TIARA
333 RAMADANI
TA 124689 6/10/2017 - 20:47:13 21:14:47 0:27:34

A09.9 -
Gastroenteritis
334 and colitis of
unspecified origin
| R10 -
AHMAD Abdominal and
DINARA 065599 7/31/2000 pelvic pain 21:35:51 21:36:51 0:01:00

335 ANGGA R10 - Abdominal


HADDYAN 124690 10/15/1997 and pelvic pain 22:44:33 22:45:56 0:01:23
J06 - Acute upper
336 respiratory
infections
multiple and
unspecified sites
| J06.9 - Acute
upper respiratory
DEDI infection,
KURNIA 124691 1/14/1982 unspecified 22:54:27 22:55:11 0:00:44

337 AGUS K30 - Functional


RAHMAT 016450 5/11/1960 dyspepsia 23:23:40 23:23:40 0:00:00

T14.1 - Open
338 wound of
unspecified body
WILDAN 124693 1/20/1985 region 1:38:15 1:40:15 0:02:00

O42.0 -
Premature
339 rupture of
membranes,
YULI onset of labour
MULYASARI 124694 5/26/1985 within 24 hours 1:32:41 2:06:39 0:33:58

340 RISDIAN K30 - Functional


TAUFIK 124695 11/29/1993 dyspepsia 3:58:46 3:59:17 0:00:31

341 NENG A91 - Dengue


RESTI haemorrhagic
FEBRIYANTI 097020 2/10/2001 fever 4:07:40 9:47:06 5:39:26

YOSEF
342 AMARULLA 071353/08 K30 - Functional
H 5354 7/17/1982 dyspepsia 4:40:21 4:41:03 0:00:42

343 UPI K30 - Functional


SUPIARSIH 087109 6/6/1966 dyspepsia 6:31:57 6:32:48 0:00:51

R56 -
Convulsions, not
344 elsewhere
MUHAMM classified | R56.0
AD BAROQ - Febrile
AL INSAN 113302 1/4/2022 convulsions 8:27:44 11:05:17 2:37:33
345 DEUIS K30 - Functional
SADIAH 124700 2/7/1976 dyspepsia 9:19:47 9:20:11 0:00:24

A09 - Other
gastroenteritis
346 and colitis of
infectious and
unspecified origin
| K30 -
Functional
CICIN 124705 6/6/1977 dyspepsia 9:56:47 11:08:24 1:11:37

347 ASEP K30 - Functional


SUPARMAN 038929 7/4/1992 dyspepsia 10:01:09 12:12:02 2:10:53

348 KHAWLA
GHUMAISH
A HAFIZA 122998 4/1/2021 - 10:39:10 10:40:29 0:01:19

349 AZZURA
REYESHA R50.9 - Fever,
MARYANA 116890 7/17/2021 unspecified 10:52:02 10:53:13 0:01:11

A09 - Other
350 gastroenteritis
FAISAL and colitis of
HAFIZHAN infectious and
XIAN 102381 10/17/2019 unspecified origin 10:59:36 11:00:55 0:01:19

351
AKHTAR
ELFARIZKI R50.9 - Fever,
REYNALDI 124706 8/8/2020 unspecified 11:30:41 13:23:48 1:53:07
352 SHARIFUDI
N 124707 3/15/1984 E9060 - Dog bite 11:36:02 11:40:12 0:04:10

T14 - Injury of
353 ATIN unspecified body
SUPRIATNA 124708 7/17/1949 region 12:19:44 12:23:44 0:04:00

354 J06.9 - Acute


DAFFA upper respiratory
FAZRIL infection,
PERDANA 073834 9/13/2013 unspecified 12:49:12 12:50:32 0:01:20
I10 - Essential
355 (primary)
hypertension |
J06.9 - Acute
upper respiratory
HJ AYI infection,
AIDAH 124710 7/5/1955 unspecified 13:17:21 13:18:08 0:00:47

356
dr.
CHRYSMAN
ANDRERIA
HATULELY 100527 10/8/1993 R51 - Headache 13:18:45 13:19:30 0:00:45
357 G44.2 - Tension-
NENENG 113580 7/1/1943 type headache 13:22:57 13:36:19 0:13:22
358 ALDI
WAHYU 124711 1/1/2002 - 14:00:59 14:13:37 0:12:38
359 NURDIN 124712 6/29/1993 - 14:06:09 14:12:13 0:06:04
360
IKIN ASIKIN 124713 7/1/1980 - 15:23:50 15:25:39 0:01:49

Ispa - - | R50.9 -
361 Fever,
unspecified | R63
- Symptoms and
signs concerning
food and fluid
intake | R63.4 -
NURUL Abnormal weight
ISMAH 052951 3/20/2000 loss 16:08:14 16:39:37 0:31:23
362 ANITA
JULIAN 124714 7/23/1990 - 16:23:32 16:24:54 0:01:22

363 AGUS K30 - Functional


GUNAWAN 046101 8/17/1985 dyspepsia 17:21:55 17:30:51 0:08:56

364 A09.9 -
Gastroenteritis
PUTRI and colitis of
CAHAYA 124028 12/27/2014 unspecified origin 17:34:45 17:34:45 0:00:00
M. ARIF T14 - Injury of
365 RAMADHA unspecified body
N 049830 12/15/2000 region 17:47:03 17:50:54 0:03:51

366 C49 - Malignant


neoplasm of
ADE other connective
MUTAKIN 065555 7/1/1964 and soft tissue 17:55:09 17:55:09 0:00:00

A09.0 - Other
367 unspecified
YOSEF gastroenteritis
AMARULLA 071353/08 and colitis of
H 5354 7/17/1982 infectious origin 18:01:20 18:01:20 0:00:00
368 ADELINE R50.9 - Fever,
MEEDA 124715 3/21/2018 unspecified 17:58:30 18:00:01 0:01:31

M AREN
369 NOERWALI R50.8 - Other
H 124716 7/15/2010 specified fever 18:36:09 19:00:24 0:24:15

370 K30 - Functional


IIS SALSIAH 109743 2/2/1973 dyspepsia 18:49:53 19:00:37 0:10:44

FATHAN
371 DANIYAL R50.9 - Fever,
GIBRAN 124717 6/3/2019 unspecified 19:03:38 19:08:35 0:04:57

J06.9 - Acute
372 upper respiratory
infection,
unspecified |
ALIFIYA J45.9 - Asthma,
NALADHIPA 124718 12/4/2017 unspecified 19:37:31 19:38:21 0:00:50

R50.9 - Fever,
373 unspecified |
RISKA SRI R56.8 - Other and
NURMAYA unspecified
NTI 032492 10/18/1991 convulsions 19:46:00 19:46:00 0:00:00
374 H60.8 - Other
DASEP 124450 2/15/1979 otitis externa 19:50:43 19:56:04 0:05:21

375 JOJO
SUDARJAT 124719 10/1/1950 - 19:57:10 20:00:23 0:03:13
376 J06.9 - Acute
upper respiratory
SILVIA infection,
SUCIANGGI 016088 9/27/1997 unspecified 20:01:38 20:03:47 0:02:09

377 MUHAMM
AD R50.9 - Fever,
ANGGARA 120295 11/21/2016 unspecified 20:08:17 20:09:34 0:01:17
378 ANIT 011706 7/1/1958 - 20:16:16 20:18:46 0:02:30

379
M. AKHTAR
FARZAN
RAMADAN 095341 5/10/2020 - 20:30:44 20:32:22 0:01:38

RAJA
380 MAHARDIK
A 175498 8/17/2017 - 20:36:04 21:04:15 0:28:11

J06.9 - Acute
381 upper respiratory
infection,
unspecified | J45
YUHANAH 071459 7/17/1959 - Asthma 21:27:28 21:28:41 0:01:13

J06.9 - Acute
382 upper respiratory
infection,
unspecified | J45
NENAH 124720 7/1/1958 - Asthma 21:42:05 21:43:44 0:01:39

TARIK
383 ABDUL
MALIK
RADEN 110360 1/17/2006 - 21:55:20 21:55:20 0:00:00

384 R50 - Fever of


ALIZHA other and
NURAFIFAH 105525 4/12/2020 unknown origin 22:54:22 22:55:10 0:00:48

R11 - Nausea and


385 vomiting | R50 -
RAFFASYA Fever of other
ALGHIFARY and unknown
ASARI 124721 9/28/2021 origin 23:35:26 23:36:39 0:01:13
386 SINDI
SUPENTI 120592 9/1/2001 - 21:47:50 21:47:50 0:00:00

387 R50 - Fever of


other and
SELA 124723 6/27/2017 unknown origin 3:43:33 3:44:13 0:00:40

R11 - Nausea and


388 vomiting | R50 -
SINTYA Fever of other
NURFADILL and unknown
AH 063603 12/24/2007 origin 3:53:24 3:54:30 0:01:06
389
DINI RIANTI 124724 10/25/1982 - 4:49:01 4:49:01 0:00:00

CUCUN
390 NURHASAN 121165/12 K30 - Functional
AH 1166 5/19/1971 dyspepsia 5:49:31 6:00:29 0:10:58
391 SRI R11 - Nausea and
RAHAYU 082117 3/8/1989 vomiting 7:34:22 12:24:08 4:49:46

392 MAJID 023844/09 R11 - Nausea and


ABDUL AZIZ 6/118 12/23/2005 vomiting 7:43:08 10:20:46 2:37:38

E10 - Insulin-
dependent
393 diabetes mellitus
| I10 - Essential
(primary)
hypertension |
NINA R50.9 - Fever,
MARLINA 084467 11/19/1973 unspecified 8:38:56 8:38:56 0:00:00

394 ENI K30 - Functional


SUMARNI 124729 4/14/1968 dyspepsia 8:51:53 13:41:21 4:49:28

K35 - Acute
395 appendicitis |
K35 - Acute
appendicitis |
ANITA K37 - Unspecified
APRILIANTI 123813 4/4/2008 appendicitis 10:27:14 13:37:00 3:09:46

396 ALESHA R50.9 - Fever,


SALSABILA 121601 12/7/2021 unspecified 10:33:22 10:35:29 0:02:07
397 ONIK
SUHANDA 031789 7/11/1952 R06.0 - Dyspnoea 10:54:48 11:46:42 0:51:54

398 K30 - Functional


SOPIAH 016558 7/1/1970 dyspepsia 11:12:59 11:12:59 0:00:00

399 DASEP R50.9 - Fever,


YUDISTIRA 175436 3/3/1991 unspecified 11:20:10 11:21:17 0:01:07

400 MUHAMAD
IRSYAD
ABDUSYUK R50.9 - Fever,
UR 124733 12/4/2020 unspecified 11:31:20 11:32:24 0:01:04
401 SRI R50.9 - Fever,
APRIANA 031831 4/4/2002 unspecified 12:33:26 12:34:34 0:01:08

T14 - Injury of
402 unspecified body
ENDANG 124734 2/1/1990 region 12:49:26 12:51:34 0:02:08

403 J06.9 - Acute


upper respiratory
infection,
HENDI 027857 8/14/1980 unspecified 12:58:18 12:59:41 0:01:23
404 MINU R50.9 - Fever,
ALSYIFA 124735 1/1/2011 unspecified 13:14:27 13:15:02 0:00:35

A90 - Dengue
405 fever [classical
dengue] | R50.9 -
IQLIMA Fever,
SHARFINA 016687 7/9/2016 unspecified 13:30:44 20:28:37 6:57:53

406 MUHAMAD
RAYAN R50.9 - Fever,
PUTRA 123018 12/22/2021 unspecified 13:34:21 13:34:21 0:00:00
407 ELI
HERLIANI 124738 9/1/1985 J45 - Asthma 15:28:22 15:30:22 0:02:00

408 J06 - Acute upper


AISYAH AL respiratory
ZENA infections
RAMADHA multiple and
NI 124739 7/4/2015 unspecified sites 14:44:20 14:49:11 0:04:51
409 J06 - Acute upper
MUHAMM respiratory
AD infections
ABDULLAH multiple and
AL AYYUBI 124740 8/9/2019 unspecified sites 14:47:08 15:36:47 0:49:39

410 R50 - Fever of


FAUZI other and
ALRIZAL 124741 6/23/1992 unknown origin 14:56:05 15:41:01 0:44:56

TASYA
411 ROSITA A88.1 - Epidemic
MEILANI 124742 5/18/2000 vertigo 15:28:27 15:35:16 0:06:49

T14 - Injury of
412 unspecified body
GERAL 124743 7/17/2020 region 15:30:05 15:31:27 0:01:22
413 PARIZAL R50.9 - Fever,
YUSUF 124744 4/28/1997 unspecified 17:24:14 17:24:14 0:00:00

414 N39.0 - Urinary


RAHMA tract infection,
AULIA 124745 5/27/2009 site not specified 16:55:03 18:06:50 1:11:47

415 K30 - Functional


dyspepsia |
R06.0 - Dyspnoea
ELA | R10 -
NURLAELA Abdominal and
SARI 124746 5/22/1986 pelvic pain 17:24:20 17:27:20 0:03:00

T14 - Injury of
416 unspecified body
DEDE 124747 11/12/1998 region 17:17:06 17:18:38 0:01:32

417 K30 - Functional


ELIS 124749 1/3/1991 dyspepsia 19:00:45 19:25:33 0:24:48

418 J06 - Acute upper


respiratory
infections
KENZIE multiple and
SHAQUILLE unspecified sites
AL GIBRAN 116826 12/9/2020 | J45 - Asthma 20:27:16 20:27:16 0:00:00
419
SHABBYAN
ALANKAR R50.9 - Fever,
MUDJIZAT 091980 10/18/2017 unspecified 20:27:23 20:27:23 0:00:00
420 OOS
SUSANTI 124750 8/28/1974 - 20:27:26 20:27:26 0:00:00

421 K30 - Functional


dyspepsia | R11 -
YAYA Nausea and
NURLELA 124751 7/1/1976 vomiting 20:27:31 22:45:02 2:17:31

MUHAMAD
422 SAHIL R50.9 - Fever,
ALZAM 124752 8/13/2021 unspecified 20:27:34 20:27:34 0:00:00

423 R06.0 - Dyspnoea


| R11 - Nausea
and vomiting |
R63 - Symptoms
and signs
OOS concerning food
SUSANTI 124750 8/28/1974 and fluid intake 20:27:37 20:27:37 0:00:00
424 HANDIKA
SEPTIO 124753 7/19/2003 E9060 - Dog bite 20:24:44 20:27:45 0:03:01

425 SHELY
MAULIDA K30 - Functional
SARI, (S.T). 021491 9/5/1994 dyspepsia 20:05:30 20:06:45 0:01:15

426 ASHIILA R50 - Fever of


HALWATUZ other and
ZAHRA 104400 6/27/2020 unknown origin 21:46:32 21:47:58 0:01:26

427 REGI K30 - Functional


ARDIANA 124754 12/25/1991 dyspepsia 21:54:33 21:55:18 0:00:45

428 K30 - Functional


ACEP CACU 124755 4/27/1965 dyspepsia 22:01:29 22:01:29 0:00:00

T14 - Injury of
429 unspecified body
CHUSEN 124756 12/19/1977 region 23:20:07 23:23:06 0:02:59
R50.0 - Fever
430 with chills | R56 -
MUHAMAD Convulsions, not
SAHIL elsewhere
ALZAM 124752 8/13/2021 classified 2:00:32 3:06:17 1:05:45

I10 - Essential
431 (primary)
hypertension |
NANDI 010114/04 K30 - Functional
SUPRIADI 4269 1/10/1971 dyspepsia 4:48:41 6:16:09 1:27:28

432 J06 - Acute upper


MUHAMM respiratory
AD infections
LUTHFAN multiple and
AL TAIR 113439 9/24/2021 unspecified sites 5:27:10 5:28:05 0:00:55

433 MOCHAMA
D ALFHA
REZAL
AKBAR 103508 3/21/2005 - 6:03:39 6:04:18 0:00:39

434 MUHAMAD
DIKA
PRATAMA 124761 6/17/2017 J45 - Asthma 7:43:19 7:44:49 0:01:30

435 EMAR
SUMARNI 016188 1/1/1959 J45 - Asthma 7:50:17 7:52:18 0:02:01
436
ERNAWATI 102429 8/22/1980 - 8:10:10 11:17:23 3:07:13

M51 - Other
437 intervertebral
MOHARI 124763 11/16/1984 disc disorders 8:27:35 8:28:44 0:01:09

KHAIFAL
438 BARRA
KHALISH
RIFAI 082416 12/19/2019 J45 - Asthma 9:23:34 9:26:37 0:03:03

S01.4 - Open
439 wound of cheek
and
RISMAWAT temporomandibu
I 124783 9/5/1993 lar area 11:03:55 11:06:54 0:02:59
R50.8 - Other
440 NOVI specified fever |
SILVIA R50.9 - Fever,
YUNINGSIH 124784 11/5/1991 unspecified 11:12:01 11:12:21 0:00:20

K35 - Acute
441 PUTRI appendicitis |
AYUNI K35 - Acute
SEPTIA 010528 9/24/2010 appendicitis 12:32:13 12:34:39 0:02:26

442
MUHAMAD T14 - Injury of
JEMBAR unspecified body
FADILLAH 124785 9/19/2002 region 12:37:49 12:40:35 0:02:46

T14 - Injury of
443 unspecified body
IROH 124786 9/12/1940 region 12:39:56 12:43:36 0:03:40
444 033067/02
JAJI 5225 7/16/1962 J45 - Asthma 12:45:12 12:48:12 0:03:00
445 INA R50.9 - Fever,
KARLINA 123100 9/28/1995 unspecified 13:19:49 13:20:42 0:00:53

ASYILA
446 MIKHAILA R50.9 - Fever,
PUTRI 124787 6/27/2019 unspecified 13:26:45 13:27:40 0:00:55

J06.9 - Acute
447 upper respiratory
infection,
unspecified |
J18.0 -
SITI SAHLA Bronchopneumo
NUR AULIA 124449 3/11/2022 nia, unspecified 13:58:24 15:16:55 1:18:31
448 R50.9 - Fever,
SALSIAH 123735 7/1/1972 unspecified 14:07:08 15:15:49 1:08:41

449 DEVANDA
MAHARDIK R50.9 - Fever,
A 124790 3/26/2022 unspecified 14:11:10 15:18:24 1:07:14

450 J06.9 - Acute


upper respiratory
LISDA infection,
MAYANTI 103157 1/5/1999 unspecified 14:32:18 15:18:55 0:46:37
T14.1 - Open
451 RYSHAKA wound of
KEANU unspecified body
ARKANA 124792 9/30/2018 region 15:11:00 15:14:18 0:03:18
452 FADHLAN
ARIF 124793 7/25/2009 - 15:15:31 15:20:17 0:04:46

N39 - Other
453 KAMAL disorders of
RAMDAN 062028 1/17/1999 urinary system 15:47:28 15:47:41 0:00:13

454 YOUSEF J06.9 - Acute


TALAL ALI upper respiratory
ALAWAMLE infection,
H 122493 9/15/2015 unspecified 16:17:36 16:17:49 0:00:13

455
BIAN RASEL R50.9 - Fever,
PRATAMA 118359 11/8/2021 unspecified 16:26:25 16:26:39 0:00:14

J91 - Pleural
effusion in
456 conditions
classified
elsewhere | R11 -
Nausea and
AAN 124795 7/10/1955 vomiting 16:42:49 16:46:49 0:04:00

S93.4 - Sprain
457 and strain of
NONON 039469 6/5/1969 ankle 17:19:32 17:21:38 0:02:06

458 K30 - Functional


RUKOYAH 039466 7/1/1947 dyspepsia 17:22:12 17:22:24 0:00:12

RIFKI
459 HAMZAH R50.9 - Fever,
ZAID 071043 6/17/2016 unspecified 17:41:39 17:41:39 0:00:00
460 ENI 124788 7/5/1942 - 18:01:08 18:36:58 0:35:50

461 SOFIA RIZKI


RAMADHA R50.9 - Fever,
NI 111958 4/20/2021 unspecified 18:27:13 18:30:50 0:03:37

462
M. ZHIAN
SEPTA R50.9 - Fever,
ALAMSYAH 123988 9/17/2021 unspecified 18:33:47 18:35:28 0:01:41
463 WAWAN K30 - Functional
RUSWANDI 124797 11/10/1964 dyspepsia 18:39:37 18:40:47 0:01:10

464 MUHAMM
AD NAZRIL
AL FARIJI 055333 8/9/2016 - 18:44:38 18:46:44 0:02:06

465 WAHYU
KURNIATIN 071835 7/1/1980 R51 - Headache 18:55:08 18:57:17 0:02:09

466 M54.0 -
Panniculitis
DEDE FERI affecting regions
SUNDARI 077229 12/4/1991 of neck and back 18:58:33 19:03:00 0:04:27
467 EDO 124798 12/3/1963 - 19:03:37 19:03:37 0:00:00
468 AHMAD J45.9 - Asthma,
RIJALI 091242 7/10/2004 unspecified 19:09:46 19:12:36 0:02:50

469 NAZRIL 009600/01 J45.9 - Asthma,


ALGHAZALI 9993 5/1/2007 unspecified 19:32:17 19:33:31 0:01:14

RIKA
470 KUSUMAW K30 - Functional
ATI 102150 7/3/1995 dyspepsia 19:51:03 19:53:45 0:02:42

I10 - Essential
471 (primary)
ENUNG 088858 7/6/1972 hypertension 20:19:50 20:19:50 0:00:00

SHABIRA
472 PUTRI R50.9 - Fever,
QIBIYA 109389 2/18/2021 unspecified 20:22:43 20:24:48 0:02:05

I10 - Essential
473 (primary)
H.MAHFUD 098405 1/1/1960 hypertension 20:24:36 20:28:47 0:04:11

474 MUHAMM
AD AQMAR
RAMADHA R56.0 - Febrile
N 067139 6/1/2018 convulsions 20:26:16 20:32:16 0:06:00

475 K30 - Functional


SARI 092721 12/28/1979 dyspepsia 20:28:25 20:31:09 0:02:44

I10 - Essential
476 (primary)
IIS AISYAH 122503 12/11/1960 hypertension 20:35:10 20:36:32 0:01:22
477 R50 - Fever of
IMAS other and
MASLIAH 097511 7/17/1975 unknown origin 20:57:05 20:57:05 0:00:00

T14 - Injury of
478 CAHYADI unspecified body
NURCOLIS 007098 8/13/2006 region 21:29:53 21:32:53 0:03:00
479 YUYU
YULIANTI 124799 2/1/1997 R06.0 - Dyspnoea 21:25:22 21:26:49 0:01:27
480 JAKARIA 124801 1/21/2005 - 22:22:24 22:23:33 0:01:09

481 EGI
LESMANA
ANDRIANSY K30 - Functional
AH 124802 7/1/1993 dyspepsia 22:24:48 22:26:51 0:02:03

A09 - Other
482 gastroenteritis
and colitis of
RUKOYAH, infectious and
(Hj). 102726 7/1/1957 unspecified origin 22:54:26 23:16:26 0:22:00

483 K30 - Functional


dyspepsia | R11 -
Nausea and
ELA HAYATI 124803 4/5/1984 vomiting 2:07:31 12:53:17 10:45:46

J06 - Acute upper


484 respiratory
infections
multiple and
unspecified sites
| R50 - Fever of
NUR SYIFA other and
YUSUF 124806 3/1/2012 unknown origin 5:46:09 6:07:40 0:21:31
485 SITI
HOLELAH 108170 8/8/1961 - 9:31:58 9:32:50 0:00:52

T14 - Injury of
486 unspecified body
ADE 088663 10/20/1965 region 10:05:00 10:07:54 0:02:54
487 E11 - Non-
insulin-
AAT dependent
JUWARIAH 001360 1/1/1976 diabetes mellitus 10:28:54 10:29:13 0:00:19

SAFIYA
488 NAZERA
ADIBA
TAMAMI 117139 4/12/2022 J45 - Asthma 10:57:28 10:59:10 0:01:42
489 EUIS
HOLISOH 124818 4/3/1966 M54 - Dorsalgia 11:02:01 11:04:58 0:02:57

490 N40 - Hyperplasia


UKAT 124819 1/7/1956 of prostate 11:26:33 11:27:57 0:01:24

R50.9 - Fever,
491 unspecified |
MUHAMM R50.9 - Fever,
AD RIVAL 124815 4/7/2016 unspecified 11:32:27 11:50:10 0:17:43

J06 - Acute upper


respiratory
492 infections
multiple and
unspecified sites
| J06.9 - Acute
upper respiratory
infection,
unspecified |
GHIBRAN R50.9 - Fever,
AL FAUZI 115254 2/19/2022 unspecified 11:42:19 11:43:10 0:00:51

493 SITI AISYAH K30 - Functional


TADIN 093231 9/25/1979 dyspepsia 13:05:21 13:06:51 0:01:30

494 KHOIRUNNI
ZA AULIA R50.9 - Fever,
PUTRI 124822 12/2/2010 unspecified 13:20:20 13:23:59 0:03:39
495 ARDIAN R50.9 - Fever,
SAPUTRA 124098 9/25/2019 unspecified 13:50:39 13:51:52 0:01:13

R56 -
496 Convulsions, not
SHOZI elsewhere
HASAN 124825 3/31/2018 classified 15:55:29 15:55:29 0:00:00
497
APRIZAL
RADHITIA J45.9 - Asthma,
PRAYOGA 079232 4/10/2013 unspecified 14:50:19 14:54:40 0:04:21
498 ANDRI 025016/06 R50.9 - Fever,
SUGIANI 2/114 12/23/1978 unspecified 14:56:27 15:01:50 0:05:23

M54.59 - Low
499 MUHAMAD back pain, site
LATIP 124826 6/20/1996 unspecified 15:02:22 15:04:42 0:02:20

NAYYARA
500 QISYA R50.9 - Fever,
RAFANI 100192 4/27/2020 unspecified 15:10:20 15:15:58 0:05:38

501 MUHAMM
AD AZKA R50.9 - Fever,
AFRIZA 053851 11/19/2013 unspecified 15:15:32 16:12:09 0:56:37

502 ARSYAKUR
A MARYAM R50.9 - Fever,
MULYADI 074871 10/16/2016 unspecified 15:22:54 15:25:48 0:02:54
503 R50.9 - Fever,
LUSI SILVIA 035028 1/20/1992 unspecified 15:25:58 15:25:58 0:00:00

504 ELIS R50.9 - Fever,


INDRAWATI 124827 7/17/1969 unspecified 15:33:46 15:39:07 0:05:21

SAIRA
505 ANASTASY
A
NURLATIFA R50.9 - Fever,
H 124828 5/15/2022 unspecified 17:30:37 17:30:37 0:00:00

A09 - Other
506 gastroenteritis
ZAHRAN and colitis of
RIZKI infectious and
ANNAVIS 124829 3/13/2007 unspecified origin 16:38:58 16:40:54 0:01:56

R56 -
Convulsions, not
507 elsewhere
CALISTA classified | R56.0
DZAKIRA - Febrile
AFTANI 124830 2/28/2020 convulsions 17:09:23 19:19:23 2:10:00
508 JAJANG 124823 1/7/1971 - 17:13:47 17:13:47 0:00:00
J06.9 - Acute
509 upper respiratory
infection,
unspecified |
ELMEYRA J18.0 -
NUR Bronchopneumo
ANNANSYA 116637 3/26/2022 nia, unspecified 17:25:10 17:38:00 0:12:50

510 K30 - Functional


dyspepsia |
DIKI ILHAM R10.0 - Acute
MAULANA 082177 9/13/2003 abdomen 17:28:06 17:38:45 0:10:39

R50.9 - Fever,
511 unspecified |
R56.8 - Other and
MUHAMM unspecified
AD THORIQ 124831 3/2/2020 convulsions 19:08:58 19:08:58 0:00:00

512 ABDUL AL R50.9 - Fever,


HASYB 124832 8/2/2016 unspecified 17:41:29 17:41:58 0:00:29

513 J06.9 - Acute


GINA upper respiratory
MASYUNI infection,
DANIATI 040928 10/13/1994 unspecified 18:04:01 18:04:42 0:00:41

J02.9 - Acute
514 pharyngitis,
ANIDA 124833 9/23/1994 unspecified 18:09:20 18:09:29 0:00:09

515 J06.9 - Acute


upper respiratory
infection,
ANIS 124523 7/1/1972 unspecified 18:15:10 19:19:48 1:04:38

MUHAMM
AD
516 KEYINDRA J06.9 - Acute
NUR upper respiratory
FATURROH infection,
MAN 039505 11/16/2017 unspecified 18:20:12 18:24:48 0:04:36
TIWI
517 PRATIWI N39.0 - Urinary
NURMAWA tract infection,
TI 016763 7/14/1993 site not specified 18:23:11 18:25:13 0:02:02

SHAZIA
518 ZALFA J45.9 - Asthma,
QAISARA 124834 2/13/2016 unspecified 18:32:42 18:35:49 0:03:07

519 SILMI K30 - Functional


KAFFAH 105165 3/3/1997 dyspepsia 18:59:53 19:03:08 0:03:15

520 ENDANG
SUNARYA 039896 2/2/1964 J45 - Asthma 19:19:21 19:20:33 0:01:12
521
SUPRIATNA 075498 4/21/1958 - 19:22:08 19:23:28 0:01:20

J06.9 - Acute
522 upper respiratory
MUHAMAD infection,
REVAL unspecified |
DEVAN R50.9 - Fever,
PURNAMA 124684 7/11/2021 unspecified 19:29:40 19:30:29 0:00:49
523 SOMADI 124836 1/1/1964 - 19:36:39 19:37:53 0:01:14

524 J06 - Acute upper


respiratory
infections
PRIYANA multiple and
ALYSCIA 008541 11/17/2005 unspecified sites 20:28:52 20:28:52 0:00:00

R56 -
525 SHABIRA Convulsions, not
PUTRI elsewhere
QIBIYA 109389 2/18/2021 classified 22:55:05 22:55:05 0:00:00

ZAHRA
526 MUHAMM K30 - Functional
ED 121774 4/9/2008 dyspepsia 20:31:34 20:33:26 0:01:52

T30.1 - Burn of
first degree, body
527 region
unspecified |
T30.2 - Burn of
MUHAMM second degree,
AD AZKA body region
ALFARIZQI 124838 9/28/2021 unspecified 21:14:09 21:16:16 0:02:07
528 DESTINA R50.9 - Fever,
NAILA 124841 9/27/2019 unspecified 3:14:12 3:15:35 0:01:23

529 HABIBULLA
H R10.0 - Acute
SAEPULOH 124842 6/6/1983 abdomen 4:44:00 4:46:55 0:02:55

A09 - Other
gastroenteritis
530 and colitis of
infectious and
unspecified origin
| K30 -
AI Functional
ROHAYATI 121145 2/19/1982 dyspepsia 6:20:10 6:22:08 0:01:58

531 NURUL R50 - Fever of


ISLAMI other and
HENTINI 115177 8/20/1998 unknown origin 7:39:40 7:41:47 0:02:07

I10 - Essential
532 YUYUN (primary)
YUNINGSIH 175156 9/3/1976 hypertension 7:50:06 7:50:06 0:00:00

533 LILIS K35 - Acute


SUTIANAH 041233 2/15/1961 appendicitis 8:17:59 8:18:04 0:00:05

T14 - Injury of
534 EUIS unspecified body
MULYATI 124852 12/18/1974 region 8:41:32 8:42:38 0:01:06
535 AAM
AMALIA 124855 6/4/1977 - 8:50:16 8:51:39 0:01:23

536 R50 - Fever of


MOCH. other and
LATIEF 124858 11/20/1994 unknown origin 8:57:38 8:58:16 0:00:38

537 K30 - Functional


dyspepsia | R63 -
Symptoms and
signs concerning
food and fluid
ICOH 124859 7/1/1945 intake 9:15:08 9:16:30 0:01:22
538 LELA
FITRIANI 124860 12/19/1972 - 9:21:46 12:43:48 3:22:02
T14 - Injury of
539 INTAN unspecified body
BERLIANA 124863 6/13/2020 region 9:30:30 9:31:31 0:01:01

SITI
540 SHALWA R50 - Fever of
NURRAHM other and
AH 124864 9/7/2004 unknown origin 9:39:40 9:40:03 0:00:23

T14 - Injury of
541 EDI unspecified body
SUPRIADI 095368 8/12/1987 region 9:43:12 9:45:36 0:02:24

542 R50 - Fever of


FAISAL other and
BAJARI S 124871 1/3/1996 unknown origin 10:25:27 10:26:30 0:01:03

543 R50 - Fever of


FHARID other and
HIDAYAT 020609 10/10/2011 unknown origin 10:45:42 10:46:42 0:01:00

544 R50 - Fever of


ANDAKA other and
ARYA BANU 081247 1/27/2017 unknown origin 10:52:37 10:53:28 0:00:51

545 NAYLA R50 - Fever of


ANGGRAEN other and
I PUTRI 124874 8/11/2018 unknown origin 11:14:06 11:15:43 0:01:37

MOCHAM
546 MAD R50 - Fever of
AMMAR other and
ABQORY 124875 7/6/2017 unknown origin 11:33:56 11:34:57 0:01:01

547 IIS R50 - Fever of


RISMAWAT other and
I 024672 10/3/1984 unknown origin 11:39:21 11:40:11 0:00:50

548 M TAOFIK R10.0 - Acute


RAMDAN 124876 11/8/2004 abdomen 11:39:21 11:40:39 0:01:18

T14 - Injury of
549 RINA unspecified body
KARISMA 026181 11/4/1995 region 12:40:25 12:43:03 0:02:38

550 YANTI R10.0 - Acute


NURHAYATI 073697 4/23/1979 abdomen 13:04:57 13:07:47 0:02:50
ERIS
551 FIRMANSY R07.3 - Other
AH 124877 5/20/1983 chest pain 14:01:25 14:03:49 0:02:24
552
SUHERMAN 124878 5/6/1970 K92.1 - Melaena 14:09:20 14:27:58 0:18:38

553 MUHAMM
AD GERREL
RAFARDHA
N 109649 8/3/2021 J45 - Asthma 14:39:20 14:42:13 0:02:53

554 MUHAMM
AD AQSHO
ARRASYIDI R50.9 - Fever,
N 012326 4/27/2009 unspecified 14:43:51 18:26:28 3:42:37
555 R50.9 - Fever,
ERSA 124879 10/15/2021 unspecified 16:04:33 16:17:11 0:12:38

556 ENONG
HERAWATI 119323 2/1/2005 - 17:18:15 17:18:15 0:00:00

ARUMI
557 NASHA R50.0 - Fever
RAZEETA 124880 9/24/2020 with chills 17:22:08 17:22:08 0:00:00

VENI
558 SUSILO
AGUSTIN 120180 1/30/1995 J45 - Asthma 17:28:29 17:30:07 0:01:38

559 AHMAD J06.9 - Acute


FAUZAN upper respiratory
NUR infection,
NASUTION 124672 4/5/2019 unspecified 17:56:42 17:56:42 0:00:00
560 UYUN 015433 7/10/1970 J45 - Asthma 17:57:07 17:59:50 0:02:43
561 R50.9 - Fever,
CINAH 36471 11/9/1968 unspecified 18:35:30 18:35:30 0:00:00

562 ALI J18 - Pneumonia,


HAMZAH organism
AZZAMY 124882 5/25/2022 unspecified 18:42:02 18:42:02 0:00:00

563 R50 - Fever of


AHMAD other and
FAHRI 113375 4/23/2013 unknown origin 18:44:21 18:44:21 0:00:00

564 IMAS K30 - Functional


MASLIAH 061855 5/17/1972 dyspepsia 18:58:21 18:58:21 0:00:00
565 SANDRA
PERLITA 064652 6/17/1996 - 19:26:15 19:26:15 0:00:00

566 USEP K30 - Functional


SUPRIADI 087237 3/9/1978 dyspepsia 20:12:06 20:13:43 0:01:37

567 FIRMAN K30 - Functional


MAULANA 107070 11/14/1986 dyspepsia 20:19:08 20:19:08 0:00:00
568 ENI
HERYATI 092321 7/3/1986 J45 - Asthma 20:23:21 20:27:16 0:03:55

INTAN
569 KHAERUNN
ISA
DAMAYANT K30 - Functional
I 115157 3/29/1999 dyspepsia 20:43:58 20:45:27 0:01:29

570 J02.9 - Acute


SITI ZAHRA pharyngitis,
NASRIYAH 122680 5/24/2007 unspecified 22:40:34 22:42:20 0:01:46
571 J45.9 - Asthma,
HERAWATI 006838 1/14/2007 unspecified 22:49:15 22:51:18 0:02:03
572 J45.9 - Asthma,
AAM 014687 7/1/1966 unspecified 22:59:04 23:01:19 0:02:15

573 ERI R11 - Nausea and


ERMAWATI 124886 2/18/1993 vomiting 23:19:25 23:25:38 0:06:13

574 BILLAL
SYAQIR R11 - Nausea and
ASYAWAL 106534 6/15/2019 vomiting 23:35:50 23:35:50 0:00:00

575 K35 - Acute


PUTRI appendicitis |
AYUNI K37 - Unspecified
SEPTIA 010528 9/24/2010 appendicitis 0:17:39 0:23:04 0:05:25
576 ANDRIANSY
AH 072251 5/31/1986 L50 - Urticaria 0:47:32 0:49:02 0:01:30

577 J06.9 - Acute


AL KHALFI upper respiratory
NAZHIRUL infection,
ASROFI 124889 12/31/2015 unspecified 1:48:03 1:50:22 0:02:19

SILVI
578 FATMAWA K30 - Functional
TI 022557 4/17/1990 dyspepsia 4:49:27 4:52:42 0:03:15
579 DILA R50.9 - Fever,
SABARIAH 006747 7/28/2005 unspecified 5:31:42 5:33:45 0:02:03

580 UNANG R50.9 - Fever,


MULYANA 124890 6/16/1980 unspecified 7:10:00 7:16:31 0:06:31

B34 - Viral
581 infection of
unspecified site |
DARIAH R50.9 - Fever,
FITRI YANI 113287 6/1/2021 unspecified 7:47:52 7:57:53 0:10:01

582 MUHAMM
AD ABDUL
KHADIR
JAELANI 124891 2/5/2020 - 7:57:22 7:59:49 0:02:27

KANIA
583 SILPIANA 120229/12 R50.9 - Fever,
TAFASHA 2310 9/18/2021 unspecified 9:01:47 9:12:15 0:10:28

LINDA O80.0 -
584 FATMAWA Spontaneous
TI 124898 7/19/1994 vertex delivery 10:12:31 10:55:45 0:43:14

D64 - Other
anaemias | K36 -
585 Other
appendicitis |
K37 - Unspecified
NIRAS appendicitis |
PUTRI K56.0 - Paralytic
BELIA 124899 10/25/2003 ileus 10:37:25 13:41:54 3:04:29

R11 - Nausea and


586 vomiting | R50 -
JANITA Fever of other
SALSABILLA and unknown
NURRIZKY 077933 1/2/2013 origin 10:43:32 10:44:41 0:01:09

587 A09.9 -
Gastroenteritis
and colitis of
UDAS 047682 7/1/1942 unspecified origin 11:12:41 11:26:16 0:13:35
588 R50 - Fever of
ENUNG other and
NURHAYATI 059271 7/19/1972 unknown origin 11:21:57 11:22:39 0:00:42

T14 - Injury of
589 YUDA unspecified body
AFRIANA 019633 8/8/2014 region 12:22:20 12:23:39 0:01:19

590 R50 - Fever of


KURNIA other and
AFRIYANTI 119365 3/11/1983 unknown origin 12:31:30 12:32:43 0:01:13

591 J06.9 - Acute


upper respiratory
HERI infection,
IRAWAN 106317 8/21/1996 unspecified 13:45:55 13:46:21 0:00:26

RAYA
592 NAZWA
SYAKILA 122342 8/14/2020 - 14:43:34 15:25:23 0:41:49

593 J06.9 - Acute


HERI upper respiratory
HERMAWA infection,
N 123135 6/16/1996 unspecified 14:54:23 14:55:50 0:01:27

594 DAFFIN
FARRAZ AL
GHIFARI 124901 2/2/2021 - 15:42:47 15:43:26 0:00:39

595
SOPIA
SALSABILA 124321/02 R50.9 - Fever,
ISKANDAR 9863 8/12/2015 unspecified 15:59:29 16:00:28 0:00:59

596 DEDE 122395/02 R50.9 - Fever,


ISKANDAR 9864 9/8/1988 unspecified 16:02:19 16:04:53 0:02:34

R50.9 - Fever,
597 unspecified |
R63.8 - Other
symptoms and
signs concerning
ADE food and fluid
IRMAYANTI 124902 2/18/1973 intake 16:19:06 16:19:06 0:00:00
SITI
598 ASFIATURO R50.9 - Fever,
HMAH 124903 8/9/2011 unspecified 16:24:08 16:25:39 0:01:31

599 FEGI
FATMA
HENING R50.9 - Fever,
MARDIANA 124904 5/23/1998 unspecified 16:48:09 16:49:22 0:01:13

A30 - Leprosy
600 LENA [Hansen=s
SUKATMA 124905 2/28/1957 disease] 16:54:23 16:56:21 0:01:58

601 ROHUDIN D
SALIM 060618 10/6/1972 J45 - Asthma 17:12:40 17:14:17 0:01:37

602 J06.9 - Acute


MARISSA upper respiratory
ZAIN infection,
AFSHEEN 033630 2/19/2017 unspecified 18:44:13 18:46:50 0:02:37

N03.9 - Chronic
nephritic
603 syndrome,
unspecified |
N39 - Other
disorders of
NURJANAH 099321 8/27/1970 urinary system 18:54:28 21:50:56 2:56:28

604 NILAM
KENCANA R50.9 - Fever,
PUTRI HQ 124907 11/28/2001 unspecified 19:24:39 19:31:07 0:06:28
605 R50.9 - Fever,
NINDIA 124908 8/20/2021 unspecified 20:00:20 20:01:00 0:00:40

HIKMAH
606 ALYA R50.9 - Fever,
KAMILA 124332 9/20/2004 unspecified 20:22:56 21:53:17 1:30:21

NURUL
607 ISLAMI R50.9 - Fever,
HENTINI 115177 8/20/1998 unspecified 20:31:28 20:33:04 0:01:36

608 R50 - Fever of


DASEP other and
SETIAWAN 003242 3/31/1975 unknown origin 20:43:08 20:43:08 0:00:00
609 J06.9 - Acute
upper respiratory
UJANG infection,
SUHENDI 022144 5/16/1996 unspecified 21:20:45 21:25:14 0:04:29

610 MYSHA ZEA J18.0 -


ALFATHUNI Bronchopneumo
SA 122418 3/5/2022 nia, unspecified 21:44:26 21:47:26 0:03:00

INAYAH
611 NUR R11 - Nausea and
ALIFAH 124909 6/13/2021 vomiting 22:43:49 23:18:34 0:34:45

612 038932/08 K30 - Functional


YANTI 8726 2/10/1982 dyspepsia 23:41:41 23:42:17 0:00:36

613 SITI K30 - Functional


NURAENI 105429 10/25/1995 dyspepsia 23:50:51 23:51:44 0:00:53

K52.9 -
614 Noninfective
MAULANA gastroenteritis
RIZKY and colitis,
HAFIZHAN 111834 12/17/2020 unspecified 0:10:33 0:39:57 0:29:24

615 KARAN
VIRZA T14 - Injury of
PUTRA unspecified body
ANUGERAH 124910 1/7/2017 region 2:22:43 2:25:22 0:02:39
616 R56.0 - Febrile
NITA 009094 1/1/2012 convulsions 4:49:44 4:52:44 0:03:00
617 RIDWANUL R50.9 - Fever,
LOH 079991 7/16/1990 unspecified 5:01:10 5:01:53 0:00:43

618 BIBIN K30 - Functional


SOBARNA 124912 2/2/1972 dyspepsia 7:39:57 7:39:57 0:00:00

619
MUHAMM
AD ADAM
MAULANA 111505 11/15/2021 - 8:45:25 11:23:46 2:38:21
620 J06 - Acute upper
respiratory
SITI infections
KHUMAIRA multiple and
RAHMA 124913 12/22/2008 unspecified sites 8:22:29 8:24:18 0:01:49

621 REINA R50 - Fever of


NADIRA other and
PUTRI 124915 11/14/2020 unknown origin 8:55:32 9:10:50 0:15:18

622 J06 - Acute upper


respiratory
infections
multiple and
IMAS 124916 5/15/1960 unspecified sites 9:14:01 9:21:14 0:07:13

623 J06.9 - Acute


upper respiratory
YULI 029132/06 infection,
YULIANI 5684 7/1/1989 unspecified 9:15:47 9:16:15 0:00:28

624 AVICA J06.9 - Acute


NANDA upper respiratory
OCTAVIAN infection,
A 039206 10/24/2015 unspecified 9:17:09 9:18:28 0:01:19

625 J06.9 - Acute


ARSHAKA upper respiratory
ATHAUVAN infection,
YUNARDI 112785 10/29/2021 unspecified 9:41:38 9:41:38 0:00:00

T14.1 - Open
626 wound of
unspecified body
HJ LATIFAH 124918 7/1/1953 region 9:43:38 9:45:38 0:02:00

T14 - Injury of
627 CECE unspecified body
RIDWAN 124919 1/2/1994 region 9:49:32 9:52:16 0:02:44

I21 - Acute
628 myocardial
TITIM 124920 2/3/1956 infarction 9:56:24 9:59:39 0:03:15
629 A09.9 -
Gastroenteritis
AJID and colitis of
MUJAKAR 124921 9/29/1976 unspecified origin 10:00:11 10:09:34 0:09:23

L23 - Allergic
630 contact
YANSIH 072313 9/30/1983 dermatitis 10:03:08 10:05:04 0:01:56

631 A09.9 -
Gastroenteritis
EMA and colitis of
NURHAYATI 120287 1/12/1988 unspecified origin 10:05:21 10:06:05 0:00:44

632 R11 - Nausea and


vomiting | R63 -
Symptoms and
signs concerning
food and fluid
SITI ANJANI 124922 3/1/2001 intake 10:07:23 11:01:56 0:54:33

H81.1 - Benign
633 paroxysmal
EMPAT 124923 7/1/1959 vertigo 10:13:52 10:14:35 0:00:43

634 UDNAN R50.9 - Fever,


SUHENDAR 124924 5/13/1973 unspecified 10:18:00 10:19:51 0:01:51
635 SANTI M54.5 - Low back
SUSANTI 011420 8/30/1983 pain 10:25:52 10:27:21 0:01:29

ADDAR
636 RAYYAN R50.9 - Fever,
PUTRA 124925 1/13/2022 unspecified 10:31:10 10:32:14 0:01:04

R56 -
637 AMRAN Convulsions, not
KHALIFA elsewhere
FERNOV 103920 8/16/2019 classified 10:34:43 11:01:51 0:27:08

638 FATIMAH
AULIA 124926/10 R50.9 - Fever,
AZZAHRA 3702 3/21/2021 unspecified 10:44:35 10:47:07 0:02:32

639 K30 - Functional


MASYITOH 088175 8/2/1965 dyspepsia 11:10:40 12:12:04 1:01:24
I61.9 -
640 Intracerebral
haemorrhage,
UCI SANUSI 124928 7/1/1950 unspecified 11:17:48 11:23:20 0:05:32
641 023360/09 R50.9 - Fever,
SOLIHAT 0735 1/2/1963 unspecified 11:30:28 11:32:53 0:02:25

VICKY
642 FRANDS
HIDAYAT 124929 5/8/1997 - 11:38:31 11:38:31 0:00:00

643 MUHAMM
AD ARYAN R50.9 - Fever,
MALIQ 124930 8/24/2021 unspecified 11:41:53 12:27:14 0:45:21
644 R50.9 - Fever,
KIANO 124931 10/28/2022 unspecified 11:46:27 11:55:43 0:09:16

645 RAINA
ADZKIYA
OKTAVIANI 124932 10/19/2022 - 11:51:02 11:51:02 0:00:00

LUBNA
646 MUMTAZA K30 - Functional
H 124933 11/8/2017 dyspepsia 12:37:46 12:50:10 0:12:24
647 SAFIRA 124934 11/13/2018 - 12:50:39 13:03:23 0:12:44

648 K30 - Functional


YULIANTO 096214 7/24/1979 dyspepsia 12:54:23 13:18:42 0:24:19

649 A09.9 -
QUINSHA Gastroenteritis
AMELIA and colitis of
LUDI 123259 7/30/2021 unspecified origin 13:21:24 13:23:32 0:02:08

650 USEP K30 - Functional


SUPRIADI 087237 3/9/1978 dyspepsia 15:15:52 16:23:19 1:07:27
651
BEI 124937 7/1/1984 M79.1 - Myalgia 16:11:33 16:12:05 0:00:32

652
SOPIA
SALSABILA 029863/12 R11 - Nausea and
ISKANDAR 4321 8/12/2015 vomiting 16:37:09 17:04:04 0:26:55

M13.97 -
653 Arthritis,
NENG IMAS unspecified,
SUSANTI 047029 12/31/1975 ankle and foot 17:22:52 17:23:29 0:00:37
654 HABIBI R50 - Fever of
AZFAR AL other and
FATTAH 077630 9/27/2015 unknown origin 17:54:44 17:55:29 0:00:45

655 NAURA
CHAERUNN R50 - Fever of
ISA other and
RUSTANDI 086728 12/8/2016 unknown origin 18:27:50 18:28:56 0:01:06

KIREYNA
656 UZHMA R50 - Fever of
KURNIAWA other and
N 095650 12/31/2010 unknown origin 18:46:27 18:47:44 0:01:17

657 J06.9 - Acute


upper respiratory
infection,
AFRIYANI 119542 4/15/1994 unspecified 19:02:07 19:03:13 0:01:06

658 J18.0 -
Bronchopneumo
nia, unspecified |
J18.0 -
AKBAR Bronchopneumo
ALFAHRI 122533 7/2/2022 nia, unspecified 19:14:33 19:16:33 0:02:00

J06.9 - Acute
659
upper respiratory
infection,
unspecified | R11
- Nausea and
vomiting | T01 -
Open wounds
ASTUTI involving multiple
SUPRIYATI 124938 8/28/1972 body regions 19:22:54 20:27:24 1:04:30

660 SAPIRA
OKTAPIANI 175751 10/6/2016 J45 - Asthma 19:41:26 19:43:26 0:02:00
661 J06.9 - Acute
upper respiratory
infection,
unspecified | K30
TITIN - Functional
SUTINAH 060194 6/10/1966 dyspepsia 19:48:07 19:49:00 0:00:53

662 M. AKRAM
ZIYAD R11 - Nausea and
CAHYADI 124939 6/6/2017 vomiting 20:19:39 20:20:46 0:01:07
663 LILIS
KARTIKA 124940 8/8/1995 - 21:32:00 22:36:38 1:04:38

664 SUSANY
ANTI RIAN K30 - Functional
ANJANI 124941 7/25/1989 dyspepsia 22:18:07 22:19:53 0:01:46

665 K30 - Functional


RUSMANA 050528 1/1/1990 dyspepsia 22:18:02 22:21:53 0:03:51

666 RULI K30 - Functional


ARIESTANA 124942 4/16/1987 dyspepsia 22:23:45 22:25:34 0:01:49

667 SITI O63.0 -


KHOERUNIS Prolonged first
A 026294 9/8/1996 stage (of labour) 2:26:27 2:48:54 0:22:27

R50.9 - Fever,
668 AHMAD unspecified | R56
KAMIL - Convulsions,
ALMUSYAF not elsewhere
A 124944 3/3/2021 classified 2:57:10 2:57:10 0:00:00

669 SITI LUSI K30 - Functional


LUSIANA M 124946 6/11/1996 dyspepsia 4:54:24 4:55:43 0:01:19

I11.9 -
Hypertensive
670 heart disease
without
(congestive)
heart failure |
MAMA 041810 5/1/1957 J45 - Asthma 4:58:03 6:34:35 1:36:32
ANI
671 RESMUGIA R50.9 - Fever,
NTI 119719 4/19/1995 unspecified 5:07:40 5:07:40 0:00:00
672 TITIN
KARTINI 025525 8/18/1978 - 5:18:57 5:18:57 0:00:00

673 NONENG R50.9 - Fever,


APRILIANI 087862 4/3/2000 unspecified 5:57:54 5:58:18 0:00:24

674 MUHAMAD
RAFKA
RAFARDHA
N 114226 11/8/2021 J45 - Asthma 6:39:59 6:42:59 0:03:00

YANTI
675 RUSMAYAN R50.9 - Fever,
TI 117630 4/13/1968 unspecified 7:40:46 7:42:00 0:01:14

FAQIH
676 NABHAN
PAMUNGK
AS 124950 12/4/2014 - 8:06:49 8:06:49 0:00:00

T14 - Injury of
677 unspecified body
OOM 124952 7/1/1960 region 8:16:47 8:19:47 0:03:00

678 M FATHIR
PAMUNGK
AS 068489 3/17/2008 - 8:56:33 8:56:33 0:00:00

679 J18 - Pneumonia,


organism
unspecified | J45
ISIH 077612 6/3/1947 - Asthma 9:10:50 9:12:50 0:02:00

680 M79.01 -
Rheumatism,
MIRNAWAT unspecified,
I 065972 5/12/1989 shoulder region 9:13:10 9:15:01 0:01:51

HASYA
681 ALZIYA T17.2 - Foreign
HANAN 124957 3/31/2010 body in pharynx 9:38:15 9:41:15 0:03:00

682 M10.09 -
MUHAMAD Idiopathic gout,
NADI 124958 3/1/1973 site unspecified 9:46:47 9:48:07 0:01:20
683 J18.0 -
Bronchopneumo
nia, unspecified |
lashira J18.0 -
alicya Bronchopneumo
shanum 124960 11/5/2018 nia, unspecified 9:55:40 9:57:40 0:02:00

684 MUHAMAD
AKBAR R59.0 - Localised
ADAH enlarged lymph
SUTEDI 124961 12/17/2009 nodes 10:26:09 10:55:08 0:28:59

685 J18.0 -
Bronchopneumo
HISMI nia, unspecified |
AINUR J18.0 -
ALFATHUNI Bronchopneumo
SSA 124963 8/31/2019 nia, unspecified 10:46:35 10:47:35 0:01:00

A90 - Dengue
fever [classical
686 dengue] | R50 -
AI Fever of other
FUZIAWATI and unknown
SARI DEWI 076586 4/22/1981 origin 11:09:21 14:47:51 3:38:30

A09 - Other
gastroenteritis
687 and colitis of
infectious and
unspecified origin
| K30 -
YORA Functional
RAPIOS 124964 11/30/1990 dyspepsia 11:55:25 14:11:32 2:16:07

RANIA
688 YULIAN R50.9 - Fever,
PUTRI 094892 7/8/2017 unspecified 12:52:07 12:52:07 0:00:00

T14 - Injury of
689 ARIS unspecified body
SETIAWAN 124970 2/24/1983 region 13:11:56 13:13:56 0:02:00

690 RAMDAN K30 - Functional


NURHADI 105630 4/18/1995 dyspepsia 14:01:53 14:15:35 0:13:42
691 IRVAN
CHILMY, J40 - Bronchitis,
(A.Md.Kep. not specified as
) 094879 6/8/1983 acute or chronic 14:38:26 14:39:41 0:01:15

J06 - Acute upper


692 respiratory
infections
multiple and
MOH unspecified sites
IDOCHI | R50 - Fever of
ABDUL 100507/11 other and
MAJID 1322 10/13/2004 unknown origin 14:46:19 14:47:37 0:01:18

J06.9 - Acute
693 upper respiratory
infection,
NADILA 086304/12 unspecified | J45
DWI PUTRI 0640 10/24/2010 - Asthma 16:06:20 16:07:49 0:01:29

694 J40 - Bronchitis,


not specified as
acute or chronic
| R50 - Fever of
other and
SUPENTI 124975 9/25/1968 unknown origin 16:28:02 17:37:47 1:09:45

695 K30 - Functional


dyspepsia | R50 -
YOGA Fever of other
RUSWAND and unknown
A 102411 3/3/1983 origin 16:40:38 16:41:03 0:00:25
696 R33 - Retention
HAMAM 124976 8/12/1950 of urine 16:59:28 17:01:28 0:02:00

R50 - Fever of
other and
697 unknown origin |
R56 -
Convulsions, not
FASHA AL elsewhere
RIZKI 124977 2/18/2021 classified 17:09:42 17:11:16 0:01:34
698 K30 - Functional
dyspepsia | R50 -
Fever of other
OJAK and unknown
SULAEMAN 067698 6/6/1968 origin 17:43:38 17:44:25 0:00:47

699 ANANDA
APRILLIAN 124978 4/12/2000 - 18:09:03 18:10:56 0:01:53

NESA
700 DAMAYANT
I 124979 10/10/2005 - 18:45:27 18:46:26 0:00:59

701 T01 - Open


wounds involving
multiple body
JUEN 040849 9/3/1968 regions 18:55:39 18:56:55 0:01:16

702 ROSLINDA
RISMAWAT L30 - Other
I 046287 6/5/1977 dermatitis 19:02:41 19:03:45 0:01:04

703 K30 - Functional


WALSIM 124980 10/4/1976 dyspepsia 19:38:56 19:39:03 0:00:07

A15.9 -
704 Respiratory
tuberculosis
unspecified,
confirmed
RENDI bacteriologically
RENALDI 124425 10/31/2001 and histologically 19:49:08 20:13:32 0:24:24

D21 - Other
705 benign
FIRMAN neoplasms of
KODRATTU connective and
LLAH 118873 7/6/1998 other soft tissue 19:56:03 21:15:35 1:19:32

706 RISTA K30 - Functional


HERAWATI 124981 8/20/1985 dyspepsia 20:17:44 21:17:09 0:59:25
707 AYLA
MAULIDA
DAMAYANT
I 007321 1/6/2014 J45 - Asthma 20:43:21 20:46:21 0:03:00
708 ENDANG 124982 4/17/1955 - 20:49:13 20:50:12 0:00:59

709 EKA K30 - Functional


SETIAWATI 057451 7/18/1994 dyspepsia 21:05:06 21:06:56 0:01:50

MIKAILA
710 SHAFANA R50.9 - Fever,
LESYA 110955 4/6/2021 unspecified 21:10:32 21:11:08 0:00:36

KEILA
711 SALSA R50.9 - Fever,
JULIANI 091937 7/5/2022 unspecified 21:50:31 21:52:04 0:01:33

712 NAJWA R53 - Malaise


MAULIDA 124983 3/9/2008 and fatigue 21:19:06 21:20:11 0:01:05
713 HERMAWA
N 124971 11/25/1983 - 21:23:23 21:23:23 0:00:00

714 K30 - Functional


IIS AYISAH 124984 10/22/1973 dyspepsia 21:49:12 21:50:32 0:01:20

HAFIZ
715 GIBRANSYA
H 044171 5/9/2014 J45 - Asthma 22:19:16 22:21:03 0:01:47

716 MUHAMAD
HAIDAR R50.9 - Fever,
RAMDAN 108937 8/28/2021 unspecified 0:06:28 0:07:59 0:01:31

S21.7 - Multiple
717 open wounds of
thoracic wall |
T14 - Injury of
AGUNG unspecified body
RIZKI FAUZI 124985 12/22/1997 region 1:40:37 1:40:37 0:00:00

ADELIA
718 DWI
MARTA 124986 9/15/2016 J45 - Asthma 7:07:48 7:10:48 0:03:00

FAIRUZ
719 HIBATULLA R50.9 - Fever,
H 121424 9/30/2021 unspecified 6:18:16 6:19:35 0:01:19
720 MUHAMM
AD
ALFARIZI R50.9 - Fever,
DJAELANI 121684 3/11/2022 unspecified 6:24:36 6:25:02 0:00:26

721 RIZKA
SELVIANA
(A.Md.Kep) K30 - Functional
. 084032 12/19/1995 dyspepsia 6:30:14 6:31:21 0:01:07
722 ENGKOS R50.9 - Fever,
KOSASIH 050440 7/15/1960 unspecified 6:41:35 6:42:55 0:01:20

723 QUINSHA
AMELIA R50.9 - Fever,
LUDI 123259 7/30/2021 unspecified 7:47:27 7:50:59 0:03:32

724 MOCH AZIZ


BURHANUD R50.9 - Fever,
IN 124987 8/4/1998 unspecified 7:59:05 8:38:34 0:39:29
725 OOK R50.9 - Fever,
SUPENDI 124989 7/1/1970 unspecified 8:05:36 8:10:29 0:04:53

A15.0 -
726 Tuberculosis of
lung, confirmed
by sputum
microscopy with
or without
ATANG 124991 7/1/1957 culture 8:12:11 8:15:17 0:03:06
727 ENUNG J45.9 - Asthma,
HOERIAH 046692 2/25/1969 unspecified 8:35:15 8:40:13 0:04:58
728 IDAH 118112 9/6/1961 - 9:08:51 9:08:51 0:00:00

729 MOHAMAD
RIZQI T14 - Injury of
MIQDAR unspecified body
MAULANA 029185 9/22/2004 region 9:40:57 9:44:57 0:04:00

730 CHALVIN K37 - Unspecified


SAPUTRA 124998 4/14/2004 appendicitis 18:57:25 18:57:25 0:00:00
731 AZALEYA J18.0 -
AISYAH Bronchopneumo
DIRAYA 124999 4/16/2022 nia, unspecified 10:16:58 10:21:58 0:05:00

J18.0 -
732 Bronchopneumo
nia, unspecified |
MUHAMM R50.9 - Fever,
AD RIJKI 124688 7/8/2019 unspecified 10:25:03 10:28:03 0:03:00

MUHAMM
733 AD
IBRAHIM T14 - Injury of
APRILIANSY unspecified body
AH 125000 4/23/2017 region 10:32:25 10:33:57 0:01:32

734 A09.9 -
Gastroenteritis
and colitis of
KARMAN 101102 7/18/1961 unspecified origin 10:49:16 10:50:53 0:01:37

735 J06.9 - Acute


TAUFAN upper respiratory
IKHSANUD infection,
DIN 024242 3/23/1973 unspecified 11:16:32 11:18:30 0:01:58

C50.9 - Malignant
neoplasm,
736 breast,
unspecified | D58
- Other
hereditary
haemolytic
IDAH 118112 9/6/1961 anaemias 11:19:35 12:50:29 1:30:54
737 ANIS
SAFITRI 125004 11/21/1993 - 11:28:55 11:28:55 0:00:00

738 J06.9 - Acute


MARIAM upper respiratory
AHMAD, infection,
(Hj). 042305 4/1/1970 unspecified 12:28:01 14:03:17 1:35:16

739 PRATAMA R50.9 - Fever,


ABQARY 175752 8/2/2017 unspecified 13:25:02 13:26:31 0:01:29
J06.9 - Acute
740 upper respiratory
infection,
unspecified | R50
- Fever of other
DEPI and unknown
RUBIANTO 059702 12/14/1997 origin 13:59:53 14:00:09 0:00:16

741 R10 - Abdominal


SARMA 042408 7/1/1961 and pelvic pain 14:08:09 14:11:09 0:03:00

A09.0 - Other
742 FAJAR unspecified
PRADANA gastroenteritis
BUDIANSA and colitis of
H 125009 10/15/1997 infectious origin 14:35:22 14:37:53 0:02:31

743 T14.0 -
MUHAMM Superficial injury
AD ARKA of unspecified
WAHYUDI 125010 4/13/2010 body region 14:48:27 14:52:27 0:04:00

AZMI
744 ANNISA
SARIF 077008 2/26/2013 - 15:33:26 17:17:58 1:44:32

745 SITI
MAESAROH 051603 5/28/1974 - 15:45:12 17:30:41 1:45:29
746 RISMA
MAELANI 125013 5/13/1998 - 15:55:15 15:55:15 0:00:00

747 J06 - Acute upper


respiratory
KHANSA infections
ALMANSUU multiple and
NA ZEIN 123687 5/13/2009 unspecified sites 16:11:53 16:20:19 0:08:26
A09 - Other
gastroenteritis
and colitis of
infectious and
748 unspecified origin
| J18 -
Pneumonia,
organism
unspecified |
J18.0 -
Bronchopneumo
nia, unspecified |
R11 - Nausea and
RATU vomiting | R50 -
MIKHAILA Fever of other
TIARA and unknown
NATASYA 125014 2/28/2022 origin 16:44:56 17:13:55 0:28:59

749
MAKHRAJ
YAQDAN
NABIHAN 072490 1/28/2014 - 17:08:29 17:10:36 0:02:07

A09 - Other
750 gastroenteritis
and colitis of
infectious and
YOHANAH 012207 7/30/1980 unspecified origin 18:25:13 18:25:13 0:00:00
751 ELLEN
KRISTINE 112848 2/21/1977 J45 - Asthma 18:28:01 18:31:01 0:03:00

752 J06 - Acute upper


respiratory
infections
multiple and
MINTARSIH 125015 7/10/1994 unspecified sites 18:38:52 18:38:52 0:00:00

753 K30 - Functional


SITI ARISKA 062852 10/28/2000 dyspepsia 19:04:34 19:05:27 0:00:53
754 ASEP K05 - Gingivitis
RIDWAN and periodontal
HIDAYAT 125016 8/7/1977 diseases 19:54:53 19:56:59 0:02:06

D21 - Other
755 benign
neoplasms of
ADE connective and
ISWANTO 125017 5/10/1979 other soft tissue 19:58:48 22:20:19 2:21:31

756 VIDYA R50 - Fever of


RACHMATU other and
LLAH 121826 1/7/1989 unknown origin 21:19:26 21:20:27 0:01:01

J06.9 - Acute
757 upper respiratory
infection,
ANINDITA unspecified | R50
RAFANIA - Fever of other
RAHMADIA and unknown
NI 104901 4/23/2021 origin 21:30:30 21:31:08 0:00:38
758 RAISYA R50.9 - Fever,
AQILA 125019 8/17/2017 unspecified 21:41:03 22:27:07 0:46:04

759 ANDI K30 - Functional


SULAEMAN 026369 10/24/1969 dyspepsia 21:44:38 21:45:03 0:00:25

R11 - Nausea and


760 vomiting | R50 -
Fever of other
NURUL and unknown
ANNISYA 114052 3/17/2000 origin 21:56:20 21:57:48 0:01:28

T14 - Injury of
761 unspecified body
NURANI 119046 7/8/2007 region 23:53:00 23:55:00 0:02:00

762 TESSA K30 - Functional


SEPTIANI 106545 1/1/2008 dyspepsia 23:54:50 23:55:45 0:00:55
E14 - Unspecified
763 diabetes mellitus
| R63.6 -
Insufficient
intake of food
and water due to
self neglect |
R73.9 -
Hyperglycaemia,
LILI SADELI 024066 1/6/1963 unspecified 4:43:12 5:13:05 0:29:53

764 SITI K30 - Functional


MARDIAN 125020 3/4/1990 dyspepsia 6:01:55 6:02:56 0:01:01

765 J06.9 - Acute


upper respiratory
infection,
unspecified | R63
- Symptoms and
signs concerning
TITIN food and fluid
SUMARTINI 070014 10/25/1956 intake 6:44:37 6:45:56 0:01:19

766 R50 - Fever of


KENAN ZIO other and
ALFARO 116832 5/2/2021 unknown origin 6:48:16 6:49:00 0:00:44

767 K30 - Functional


dyspepsia | R50 -
Fever of other
and unknown
RUSDIANA 119197 8/14/1994 origin 6:51:12 6:52:04 0:00:52

768 H81.4 - Vertigo of


central origin |
R11 - Nausea and
NELIS 081383 8/24/1995 vomiting 7:04:59 7:05:23 0:00:24

RAFASYA
769 KURNIA
ALFATAH 114227 12/1/2021 J45 - Asthma 7:31:51 7:34:51 0:03:00
770 IHAT 027275/05 K30 - Functional
SOLIHAT 4918 7/1/1968 dyspepsia 8:33:16 8:34:59 0:01:43
771 J45.9 - Asthma,
TOPIK. H 108264 8/16/2003 unspecified 8:44:56 8:46:02 0:01:06

AZLAN
ZAYD
772 SHALAHUD
DIN
ABDULGAN
I 107047 7/5/2020 - 8:48:10 8:48:10 0:00:00

A09 - Other
773 gastroenteritis
and colitis of
infectious and
KARMAN 101102 7/18/1961 unspecified origin 19:37:05 19:37:05 0:00:00

ARSHAKA
774 AKBAR
PERMADAN J45.9 - Asthma,
I 125030 6/24/2022 unspecified 10:18:04 10:19:34 0:01:30
775 119141/11 J20 - Acute
HJ YAYAH 9142 5/20/1958 bronchitis 10:49:36 16:06:22 5:16:46

I10 - Essential
776 TOTOM (primary)
BUSTOMI 125033 8/15/1948 hypertension 10:59:01 11:00:03 0:01:02

777 METI R50.9 - Fever,


RITAWATI 125034 4/27/1972 unspecified 11:07:15 11:08:28 0:01:13

778 DIAH R50.9 - Fever,


MAULIDINI 125035 8/8/1996 unspecified 11:24:22 13:15:04 1:50:42

779 T14 - Injury of


unspecified body
region | T14.0 -
Superficial injury
DIANA NUR of unspecified
LATIFAH 125036 3/12/2021 body region 11:33:58 11:36:58 0:03:00

780 SAEFUL R50.9 - Fever,


GUNAWAN 125037 1/13/1979 unspecified 11:42:08 11:45:34 0:03:26
NADIA
781 REKA R50.9 - Fever,
LESTARI 125038 7/9/2001 unspecified 11:53:28 11:56:16 0:02:48

T14.1 - Open
782 ADINDA wound of
KURNIAWA unspecified body
N 095270 3/27/2004 region 12:19:55 12:23:55 0:04:00

783 EL BARRA
KURNIAWA
N 125040 8/29/2020 - 12:26:29 12:30:48 0:04:19

T14 - Injury of
784 LENI unspecified body
MELANI 125041 8/10/1981 region 12:44:48 12:46:07 0:01:19

J06.9 - Acute
785 upper respiratory
infection,
ANNISA unspecified |
PUTRI R50.9 - Fever,
PRATAMA 024898 5/21/2016 unspecified 13:14:27 13:15:29 0:01:02
786 J45.9 - Asthma,
JUBAEDAH 021539 9/5/1972 unspecified 13:16:49 13:20:49 0:04:00

T14.1 - Open
787 wound of
MISBAHUDI unspecified body
N 125042 6/26/2003 region 16:02:27 16:05:52 0:03:25

K21.9 - Gastro-
788 oesophageal
reflux disease
DEFIS GIAN without
SUGIANTO 063231 8/15/1988 oesophagitis 16:16:29 16:20:05 0:03:36

789 KHANSA
ALMANSUU
NA ZEIN 123687 5/13/2009 - 16:21:40 16:21:40 0:00:00

790 J06 - Acute upper


respiratory
SYAIDAN infections
VILENDRA multiple and
HAMIZAN 125043 5/20/2022 unspecified sites 16:26:12 16:28:34 0:02:22
SITI
791 ASFIATURO R50.9 - Fever,
HMAH 124903 8/9/2011 unspecified 16:28:59 20:52:43 4:23:44
792 SUSI
SUSANTI 052315 7/1/1995 - 16:30:39 16:44:53 0:14:14

793 T14.0 -
Superficial injury
ALISA of unspecified
HAYATI 125044 7/10/1989 body region 17:25:09 17:28:09 0:03:00

794 D50 - Iron


NAZLAULIA deficiency
AZAHRA.S 122194 12/2/2003 anaemia 17:26:13 17:53:57 0:27:44

795 MUHAMM
AD SHUFI R50 - Fever of
SATYA other and
MAULANA 067088 10/1/2014 unknown origin 17:28:05 17:52:58 0:24:53

T14 - Injury of
796 NANDI unspecified body
SETIAWAN 125045 12/15/1988 region 19:01:09 19:04:09 0:03:00
797 LIA R50.9 - Fever,
MULYATI 021474 8/18/1984 unspecified 17:50:16 17:50:16 0:00:00

A15.0 -
798 Tuberculosis of
lung, confirmed
by sputum
microscopy with
ERINA or without
SONIA 008360 2/14/1991 culture 18:43:15 18:47:37 0:04:22
799 R50.9 - Fever,
ROHMAH 125046 2/11/2014 unspecified 18:46:19 18:47:43 0:01:24

800 YANIH
NURYANIH 041832 2/13/1981 J45 - Asthma 18:58:04 18:59:04 0:01:00
801 ALDIMAS R50.9 - Fever,
SAPUTRA 125048 3/27/2002 unspecified 19:06:28 19:07:32 0:01:04

802 K30 - Functional


PIPIN PENTI 125049 10/3/1977 dyspepsia 19:13:33 19:14:13 0:00:40
803 R50.9 - Fever,
IKA NOFITA 088450 11/23/1990 unspecified 19:17:13 19:17:13 0:00:00
804 JASMINE R50.9 - Fever,
SARI JATI 081326 11/25/2018 unspecified 19:19:45 19:20:52 0:01:07
805 TOPIK. H 108264 8/16/2003 - 19:22:56 20:07:10 0:44:14

B34 - Viral
806 infection of
MUHAMM unspecified site |
AD GAVIN J18.0 -
ARRAZY Bronchopneumo
HASYIM 125050 2/8/2022 nia, unspecified 19:24:28 19:27:28 0:03:00

K63.1 -
807 Perforation of
SELFI intestine
SILVINA 125051 6/1/2008 (nontraumatic) 19:28:24 21:07:28 1:39:04
808 RUSTATAN
G 104190 3/15/1960 J45 - Asthma 19:31:10 19:32:46 0:01:36

809 FRANSISKA K30 - Functional


DC SELAN 125052 12/16/1996 dyspepsia 19:34:07 19:35:49 0:01:42
810 SRI IRIAN R11 - Nausea and
DAYANI 125053 9/14/1967 vomiting 19:37:10 19:38:15 0:01:05

811 NURHASAN K30 - Functional


AH ZAHRO 125055 8/17/1983 dyspepsia 20:19:58 20:20:07 0:00:09
812 R50.9 - Fever,
ROSITA 125056 9/30/1965 unspecified 20:23:11 20:24:21 0:01:10

813 HENDRA
YUDI R50.9 - Fever,
PERMANA 125057 7/18/1985 unspecified 20:26:10 20:27:53 0:01:43

814 MUHAMAD
ARYA R50.9 - Fever,
NURCAHYA 125058 8/18/2014 unspecified 20:30:17 20:31:33 0:01:16

815 JAENAL K30 - Functional


ABIDIN 078642 12/15/1989 dyspepsia 21:30:06 21:31:13 0:01:07

AZZAHRA
816 JULIA R50 - Fever of
RAMADHA other and
NI 125059 7/27/2021 unknown origin 21:36:34 21:37:59 0:01:25
817 NUR R50 - Fever of
INTATIANA other and
PUTRI 125060 2/22/2022 unknown origin 21:41:10 21:42:24 0:01:14

818 K30 - Functional


GITA AYU dyspepsia | R50 -
CAHYANI, Fever of other
(A.Md.Kep) and unknown
. 063283 11/28/1996 origin 22:02:36 22:03:45 0:01:09

E0090 - Activity
819 involving exercise
machines
primarily for
cardiorespiratory
conditioning |
K70.9 - Alcoholic
liver disease,
unspecified | R06
- Abnormalities
of breathing |
AI SA ADAH 125061 4/11/1998 R06.0 - Dyspnoea 22:27:27 22:27:27 0:00:00

REIVA
820 RAMADHA K30 - Functional
NIA 125062 9/27/2007 dyspepsia 1:13:51 1:14:20 0:00:29

821 ENDANG K30 - Functional


KUSUMAH 125063 6/5/1979 dyspepsia 2:10:42 2:11:36 0:00:54

IRWAN
822 SUDARMA R11 - Nausea and
WAN 125064 10/9/1976 vomiting 5:36:05 5:37:20 0:01:15

823 K30 - Functional


DELIA dyspepsia | R11 -
MILENIA Nausea and
PRATIWI 125065 3/27/2000 vomiting 7:06:12 7:07:01 0:00:49
J06.9 - Acute
824 upper respiratory
infection,
EMAR unspecified | J45
SUMARNI 016188 1/1/1959 - Asthma 8:06:16 8:08:12 0:01:56

I61.9 -
Intracerebral
haemorrhage,
825 unspecified | I64
- Stroke, not
specified as
haemorrhage or
infarction | R65 -
Systemic
Inflammatory
NURJANAH, 081605/09 Response
(HJ) 1/099 1/1/1953 Syndrome 13:09:37 13:09:37 0:00:00

RAIHAN R56 -
826 AKBAR Convulsions, not
PAMUNGK elsewhere
AS 125075 3/15/2022 classified 11:11:48 11:11:48 0:00:00
827 RUSTATAN
G 104190 3/15/1960 J45 - Asthma 9:51:34 9:54:34 0:03:00

828 A09.9 -
Gastroenteritis
SHEVA and colitis of
MARYANTI 071390 3/26/1988 unspecified origin 9:57:34 10:00:39 0:03:05
829 UTANG 125077 8/8/1942 - 10:58:10 11:19:43 0:21:33

830 RIA K30 - Functional


MELIANI 065734 5/1/1985 dyspepsia 10:59:53 11:20:42 0:20:49

MIRNA
831 BERLIAWAT
I 125079 10/9/1994 - 12:37:50 13:15:44 0:37:54

832 MUTIARA R50.9 - Fever,


BEITINA 125081 12/10/2006 unspecified 12:49:33 12:50:13 0:00:40

T14.1 - Open
833 wound of
INDRA unspecified body
WIJAYA 125083 4/21/2003 region 13:42:09 13:44:09 0:02:00
ASHAZIA
834 HADSAH R50.9 - Fever,
AYAUQIA 125084 7/10/2022 unspecified 14:06:11 15:43:22 1:37:11

835 SANTI K30 - Functional


SUPRIATI 125087 9/22/1976 dyspepsia 15:04:16 16:52:02 1:47:46

836 ADITYA
DEFA
PRATAMA 125088 12/29/2007 - 15:15:52 16:43:39 1:27:47

837 K30 - Functional


ITA 056970 12/7/1954 dyspepsia 15:29:02 16:52:32 1:23:30

T14.1 - Open
838 wound of
ABDUL unspecified body
HADI 125089 1/1/2004 region 15:59:48 16:02:48 0:03:00

KHALISA
839 BINTANG R50.9 - Fever,
AZHARA 106038 9/5/2020 unspecified 17:00:09 17:00:25 0:00:16

E10 - Insulin-
840 dependent
diabetes mellitus
| E11 - Non-
insulin-
dependent
ABDUL AZIZ 125090 4/3/1993 diabetes mellitus 16:55:53 20:04:56 3:09:03

841 RINDA R50.9 - Fever,


RUSYANTI 018276 9/9/1990 unspecified 17:04:33 17:06:38 0:02:05

842 DEPI R07.4 - Chest


GUNAWAN 125092 7/7/1988 pain, unspecified 17:18:48 17:21:48 0:03:00

843
MUHAMAD
FADLAN
OKTAVIAN R50.9 - Fever,
RAMDHANI 118626 10/9/2021 unspecified 17:26:06 17:26:17 0:00:11
844 YAYU R10.0 - Acute
YULIANTI 125093 7/27/1991 abdomen 17:40:24 17:41:30 0:01:06
RANIA
845 YULIAN R50.9 - Fever,
PUTRI 094892 7/8/2017 unspecified 17:50:17 17:50:17 0:00:00

846 J06.9 - Acute


M RIFQI upper respiratory
ARVAN 044600/02 infection,
HERIANSAH 8213 11/26/2016 unspecified 19:05:35 19:05:56 0:00:21

847 J06.9 - Acute


ALMEERA upper respiratory
SHABIRA infection,
RAHAYU 123559 8/1/2021 unspecified 19:15:50 19:15:50 0:00:00

YUKE N39 - Other


848 YULIANTO disorders of
PUTRI 089023 7/24/2002 urinary system 19:17:46 19:20:57 0:03:11

849
EVA
DESTIANA R11 - Nausea and
A.Md.Kep 099861 12/26/1995 vomiting 20:12:35 20:13:29 0:00:54

850 K30 - Functional


dyspepsia | R11 -
Nausea and
ENCIH 125094 7/1/1953 vomiting 20:45:43 20:47:00 0:01:17

NURUSSYIF
851 A
JUHDATUL R50.9 - Fever,
UMMI 125095 1/18/2019 unspecified 21:17:05 21:17:05 0:00:00

852 A88.1 - Epidemic


vertigo | K30 -
Functional
SARI 092721 12/28/1979 dyspepsia 20:58:36 21:00:43 0:02:07

853 A09.9 -
MUHAMM Gastroenteritis
AD SYAFIQ and colitis of
RIDHO 117687 5/13/2022 unspecified origin 21:10:47 21:12:41 0:01:54

854 TIKA
HERTIANA 125097 9/11/1994 - 22:23:45 22:25:38 0:01:53
A91 - Dengue
haemorrhagic
855 fever | R11 -
Nausea and
ALVIAN vomiting | R50 -
SYAH Fever of other
MUHTAR and unknown
RAMDANI 125098 10/27/2004 origin 23:50:11 23:50:11 0:00:00

856 KHASYAIRA
CLARA
BALQIS 116892 12/18/2017 J45 - Asthma 1:27:37 1:32:11 0:04:34

857 R06.0 - Dyspnoea


| R73.9 -
Hyperglycaemia,
ITA 056970 12/7/1954 unspecified 1:41:09 3:43:35 2:02:26
858 OKOY 125099 3/6/1963 - 2:28:22 2:28:22 0:00:00
859 SUHAYAT 081310 5/12/1975 J45 - Asthma 2:47:35 2:49:35 0:02:00
860 ATIK 069257 7/1/1965 - 3:26:24 3:46:23 0:19:59

861 RATU R50 - Fever of


NABILA other and
NUR SYIFA 117684 6/22/2021 unknown origin 5:13:02 5:15:36 0:02:34

A09.9 -
862 Gastroenteritis
and colitis of
unspecified origin
MUHAMM | R50.9 - Fever,
AD ABIZAR 123105 7/3/2021 unspecified 6:05:38 6:10:12 0:04:34

863 KHASYAIRA
CLARA
BALQIS 116892 12/18/2017 J45 - Asthma 6:41:16 6:44:16 0:03:00

R11 - Nausea and


864 vomiting | R50 -
YUNI Fever of other
RAHMAWA and unknown
TI 125100 9/27/2001 origin 6:50:40 6:52:40 0:02:00

M
865 RAMDAN
SAPUTRA 060551 8/17/2010 J45 - Asthma 8:41:50 8:43:36 0:01:46
J44 - Other
866 chronic
obstructive
YANIH pulmonary
NURYANIH 041832 2/13/1981 disease 8:50:49 13:19:11 4:28:22

J09 - Influenza
867 NOVITA due to certain
NUR identified
RIYANTI 086562 11/11/2003 influenza virus 8:58:26 13:23:50 4:25:24

868 J18.0 -
Bronchopneumo
PRATAMA nia, unspecified |
ABDUL AZIS 121467 12/3/2021 J45 - Asthma 9:05:12 9:09:12 0:04:00

869 ASEP K30 - Functional


RUSYANDI 068393 12/11/1973 dyspepsia 9:19:14 9:20:37 0:01:23

870 K30 - Functional


AI YANI 125108 1/2/1977 dyspepsia 9:45:42 9:46:16 0:00:34

871 ROHUDIN D K30 - Functional


SALIM 060618 10/6/1972 dyspepsia 9:49:15 9:51:29 0:02:14

872 A88.1 - Epidemic


NURLAELA 125121 5/2/1980 vertigo 12:36:03 13:18:46 0:42:43

M72.6 -
873 DEDE Necrotising
RUSWANDI 118426 4/9/1978 fasciitis 12:40:57 13:36:28 0:55:31

J06.9 - Acute
874 upper respiratory
infection,
SENTIA unspecified | R11
APRILA - Nausea and
SARAGIH 122147 4/17/2017 vomiting 12:48:37 17:40:59 4:52:22

PRABU
875 ELANG
PAMUNGK
AS 009024 6/18/2012 J45 - Asthma 12:57:16 12:59:46 0:02:30

876 MUHAMM
AD RAFFA
DWI AL
GIFARI 125122 4/4/2017 - 13:13:11 15:02:42 1:49:31
877 J06.9 - Acute
AMMAR upper respiratory
MUGNI infection,
SHYIHAN 125124 12/5/2021 unspecified 14:00:31 14:00:31 0:00:00

878 J06.9 - Acute


upper respiratory
DAFFA infection,
NABAWI 125125 5/27/2022 unspecified 14:26:39 14:27:04 0:00:25

879 DEVI K40 - Inguinal


JULIASMAN 125126 7/1/1983 hernia 15:44:00 15:44:31 0:00:31

DINA
880 ARIWIBAW R11 - Nausea and
A 125127 10/25/1994 vomiting 15:49:50 15:52:35 0:02:45

881 AHMAD
SALAKA R50.9 - Fever,
WIRATAMA 070530 6/13/2019 unspecified 16:17:54 16:18:35 0:00:41

882 HAMDAN
SAPUTRA 125128 9/27/2010 E9060 - Dog bite 16:24:43 16:26:43 0:02:00

883 ALYA
AZIZAH R50.9 - Fever,
SETIAWAN 022751 11/4/2015 unspecified 16:28:26 16:45:09 0:16:43
884 CHALVIN
SAPUTRA 124998 4/14/2004 - 16:44:33 16:44:33 0:00:00

885 MUHAMM J06.9 - Acute


AD upper respiratory
KHALIFAH infection,
ARRASYID 125130 10/23/2021 unspecified 17:23:18 17:23:18 0:00:00

886 ALFARO
NOERPUTR T14 - Injury of
A unspecified body
SETIAWAN 020907 4/2/2015 region 17:06:28 17:09:28 0:03:00

887
RAFASSYA
ALFARIZQI R50.9 - Fever,
SAPUTRA 125133 5/6/2020 unspecified 17:37:54 17:40:29 0:02:35
888 IRWAN
KURNIAWA
N R50.9 - Fever,
PRATAMA 115483 4/21/1994 unspecified 18:26:41 18:27:14 0:00:33

889 YANI R50.9 - Fever,


YUNINGSIH 111535 2/2/1993 unspecified 18:36:00 18:38:47 0:02:47

CINDY
890 SINTIA
PUTRI 024670 3/21/2015 - 18:52:23 18:53:11 0:00:48

891 DEWI
ALAWIYAH 083495 4/8/1986 - 19:01:22 19:02:26 0:01:04

892 K37 - Unspecified


appendicitis |
K65.0 - Acute
PITRIANTI 125134 6/28/1992 peritonitis 19:06:49 19:11:17 0:04:28
893 ACUN 125135 8/14/1954 J45 - Asthma 19:41:27 19:45:27 0:04:00

894 VINDI K30 - Functional


SEPTIANI 123728 10/20/2006 dyspepsia 19:56:17 20:00:51 0:04:34

895 YUDI K30 - Functional


YANTO 121195 9/9/1979 dyspepsia 20:03:17 20:06:58 0:03:41

WINEU
896 HERMAWA K30 - Functional
TI 125136 6/30/1986 dyspepsia 20:50:26 21:37:27 0:47:01
897 EUIS NUR
NAPISAH 006052 10/15/1996 - 21:21:50 21:37:42 0:15:52

T14.0 -
Superficial injury
898 of unspecified
body region |
T14.1 - Open
wound of
unspecified body
SAMSUDIN 125137 9/9/1999 region 21:54:32 21:56:32 0:02:00

K21.9 - Gastro-
899 oesophageal
reflux disease
PUJA PIRA without
TUNGGARA 095551 5/14/1986 oesophagitis 22:36:49 23:00:29 0:23:40
900 WINA K30 - Functional
WIYANTI 125138 12/7/1985 dyspepsia 22:53:41 23:01:32 0:07:51

901
R10.4 - Other and
unspecified
PAHRUROJI 125139 7/1/1991 abdominal pain 1:28:58 1:31:58 0:03:00

902 DANISH R50 - Fever of


ADRIAN other and
RUSTIANDI 119473 7/2/2022 unknown origin 1:59:13 2:03:53 0:04:40

903
MUHAMM
AD IKHSAN R11 - Nausea and
NAWAWI 125141 7/26/2017 vomiting 3:08:12 7:19:40 4:11:28

FINA
904 HANDAYAN
I 094134 8/17/1974 R06.0 - Dyspnoea 5:01:33 7:00:58 1:59:25

905 NAIRA R50 - Fever of


ADELIA other and
RAMDHANI 021322 6/21/2015 unknown origin 5:26:11 5:28:33 0:02:22

906 K30 - Functional


ILHAM dyspepsia | R11 -
HADI Nausea and
SUKMA 125142 1/6/2001 vomiting 5:38:43 7:21:29 1:42:46

907 K30 - Functional


dyspepsia | R11 -
Nausea and
IMAS 056688 10/16/1997 vomiting 6:30:48 6:58:17 0:27:29

908 J06 - Acute upper


respiratory
infections
BELLA multiple and
VISTA 073297 6/9/1991 unspecified sites 6:33:33 6:35:15 0:01:42

909 MELYSSA
SHALMA K30 - Functional
ALGHYFARI 094496 5/1/2001 dyspepsia 6:36:38 6:38:06 0:01:28
A09 - Other
gastroenteritis
910 and colitis of
infectious and
unspecified origin
HENNY LILI | K30 -
RACHMAW Functional
ATI 125144 8/29/1974 dyspepsia 9:16:14 12:41:52 3:25:38

L03 - Cellulitis |
911 M72.6 -
Necrotising
ATIK 069257 7/1/1965 fasciitis 9:29:13 12:01:37 2:32:24

912 DZAKIYAH
NUR SAFA
ALZENA 116991 12/26/2021 J45 - Asthma 9:34:37 9:41:37 0:07:00

913 K30 - Functional


NENEH 058273 3/15/1969 dyspepsia 9:56:06 9:57:15 0:01:09

I10 - Essential
914 (primary)
IKON 025733 7/10/1948 hypertension 10:18:36 10:29:00 0:10:24

DEDE
915 ROSMAHW K30 - Functional
ATI 063230 5/18/1989 dyspepsia 10:30:49 10:31:44 0:00:55

916 MEDIAN
KURNIADI 125147 3/7/1980 R51 - Headache 10:59:59 11:00:48 0:00:49
917 IJAH 114597 7/1/1955 J45 - Asthma 11:25:22 11:27:22 0:02:00

918 GLADIS R50 - Fever of


KEYNAN other and
VALLESY 044932 7/28/2017 unknown origin 11:33:25 11:35:05 0:01:40

R50 - Fever of
919 other and
unknown origin |
R56.0 - Febrile
convulsions |
MUHAMM R56.8 - Other and
AD FAHRI unspecified
ALBANTANI 125148 8/2/2021 convulsions 11:44:47 11:56:40 0:11:53
A90 - Dengue
920 fever [classical
dengue] | B34.9 -
Viral infection,
KURNIA unspecified | R50
FAJAR - Fever of other
ARYA and unknown
KUSUMA 125149 5/18/2011 origin 12:00:11 14:05:21 2:05:10

921 R50 - Fever of


IKHSAN other and
FAHREZA 122294 1/29/2022 unknown origin 13:26:44 14:03:57 0:37:13
922 SITI R50.9 - Fever,
ASAROH 028862 4/27/2004 unspecified 14:53:50 14:53:50 0:00:00

A15 - Respiratory
923 tuberculosis,
bacteriologically
and histologically
confirmed |
SITI R50.9 - Fever,
MAESAROH 085285 7/1/1990 unspecified 14:53:54 15:43:06 0:49:12
924 R50.9 - Fever,
AI KULSUM 125153 3/14/1992 unspecified 14:54:00 18:58:17 4:04:17

925 J18.9 -
Pneumonia,
SRIYANI unspecified |
ARYANI 089998 8/18/1973 R06.0 - Dyspnoea 15:33:06 15:34:29 0:01:23

A09 - Other
926 gastroenteritis
M. IQBAL and colitis of
SOLEHUDIN infectious and
RAMDANI 115708 1/12/1999 unspecified origin 15:42:23 15:43:02 0:00:39

927 DEPI
RUBIANTO 059702 12/14/1997 - 15:52:59 15:53:26 0:00:27

928 ION RIRIN


GIRSANG 125154 7/16/2000 - 16:00:30 16:02:46 0:02:16
T14.1 - Open
929 wound of
unspecified body
ODIH 125155 8/8/1968 region 16:04:24 16:07:24 0:03:00

930
MUHAMAD
ABDUL R07 - Pain in
ROHMAN 077169 4/18/2000 throat and chest 16:17:31 16:17:31 0:00:00

931 ALLYUDHIN R50.9 - Fever,


ARIFIN 092563 11/23/1970 unspecified 16:51:22 16:52:43 0:01:21
932 R50.9 - Fever,
SIDIN 125156 11/1/1985 unspecified 16:58:19 20:53:52 3:55:33

933
SILMI
RABIATUL R50.9 - Fever,
ADAWIYAH 071926 1/3/2017 unspecified 17:02:27 17:03:51 0:01:24

934 K30 - Functional


dyspepsia | R11 -
Nausea and
NATA 070650 6/2/1961 vomiting 17:15:24 18:43:22 1:27:58
935 IKHSAN R50.9 - Fever,
FAHREZA 122294 1/29/2022 unspecified 17:30:16 17:34:40 0:04:24

KHEISYA
936 NINDYA R50.9 - Fever,
PUTRI 111782 8/23/2018 unspecified 17:34:18 17:35:32 0:01:14

J45 - Asthma |
937 T14.1 - Open
ALZAM wound of
KAISAN unspecified body
NAWAB 025595 10/30/2009 region 18:45:57 18:48:57 0:03:00
938 ASEP
ROMLI 096805 5/6/1969 L03 - Cellulitis 18:57:37 22:51:24 3:53:47

939 J06.9 - Acute


upper respiratory
ADRIAN infection,
MAULANA 018857 4/4/2016 unspecified 19:08:39 19:08:39 0:00:00
940 J06.9 - Acute
upper respiratory
infection,
YASMI 097695 6/20/1982 unspecified 19:12:14 19:13:57 0:01:43

941 J06.9 - Acute


KHALIDA upper respiratory
AKMATUL infection,
ARSYAD 070157 3/16/1997 unspecified 19:23:10 19:24:24 0:01:14

942 J06.9 - Acute


upper respiratory
FAIRUZA infection,
ELFATIH 083575 8/16/2019 unspecified 19:36:00 19:38:46 0:02:46

T14.1 - Open
943 MUHAMM wound of
AD AL unspecified body
MUBDI 056596 5/1/2018 region 19:47:41 19:50:20 0:02:39
944 LATIPAH J01.8 - Other
HANUM 125157 7/23/1994 acute sinusitis 19:55:49 19:56:32 0:00:43
945 ASANTI
SAMSIAH 120376 2/18/1991 - 20:20:13 20:20:13 0:00:00

946 J06.9 - Acute


upper respiratory
JAMALUDI infection,
N 063639 11/10/1968 unspecified 20:27:45 20:35:37 0:07:52

947 HANANIA
SHEZA J45.9 - Asthma,
NUGRAHA 098117 10/28/2018 unspecified 21:28:34 21:31:34 0:03:00

J06.9 - Acute
948 upper respiratory
infection,
RATU PIKTI unspecified |
PIRANTI, R50.9 - Fever,
(S.Farm). 103640 7/19/1994 unspecified 21:36:34 21:37:44 0:01:10

949 J06.9 - Acute


upper respiratory
DEDE infection,
BUNYAMIN 125158 9/16/1970 unspecified 22:01:10 22:01:49 0:00:39
B34.9 - Viral
950 infection,
ADLAN unspecified |
DAMIA R50.9 - Fever,
RIDWA 125159 5/14/2015 unspecified 22:13:25 23:52:16 1:38:51

951 RIAN K30 - Functional


HIDAYAT 055917 12/27/1988 dyspepsia 23:03:58 23:03:58 0:00:00

952 ANDI K30 - Functional


SULAEMAN 026369 10/24/1969 dyspepsia 1:11:21 1:13:34 0:02:13

953 OSA
SUGANDA 125161 6/7/1969 L03 - Cellulitis 3:35:34 10:37:50 7:02:16
954
ELI 125162 7/19/1977 E9060 - Dog bite 4:03:02 4:04:44 0:01:42
955
OLIS 021893 12/12/1960 M79.1 - Myalgia 5:58:47 5:58:47 0:00:00
956 NINA
NURAENI 121635 8/1/1982 - 6:31:50 6:34:52 0:03:02

957 R50 - Fever of


SAEFUL other and
GUNAWAN 125037 1/13/1979 unknown origin 8:13:13 8:14:03 0:00:50

958 MUHAMM R11 - Nausea and


AD NAFRI vomiting | R11 -
RAIS AR Nausea and
RASIKH 119296 3/27/2007 vomiting 7:48:54 10:51:32 3:02:38
959 PEPEN R50.9 - Fever,
SUPENDI 125164 11/8/1981 unspecified 8:20:28 8:21:56 0:01:28

J06.9 - Acute
960 upper respiratory
infection,
unspecified | R50
- Fever of other
RIKHO and unknown
SATRYADI 057784 11/16/2015 origin 8:41:14 8:42:56 0:01:42

961 J06.9 - Acute


upper respiratory
ITA infection,
DUWINIATI 122328 4/30/1984 unspecified 9:06:44 9:06:44 0:00:00
962 MUHAMM T14 - Injury of
AD IKHSAN unspecified body
KHUDORI 050721 7/3/2009 region 9:35:24 9:37:24 0:02:00

963 R50 - Fever of


SITI NUR other and
AISYAH 089262 5/14/2020 unknown origin 9:44:30 9:45:56 0:01:26

964 K30 - Functional


ALAMSYAH 064386 6/17/1976 dyspepsia 11:07:15 11:08:39 0:01:24

965 J18.0 -
Bronchopneumo
nia, unspecified |
J18.0 -
RADEVA Bronchopneumo
ATHAYA 125166 7/20/2022 nia, unspecified 11:19:24 11:23:24 0:04:00

MEISARI
966 NANDA R55 - Syncope
REJEKI 125167 5/11/2002 and collapse 11:39:45 11:40:27 0:00:42

E9065 - Bite by
967 unspecified
animal | E9068 -
Other specified
SUSIYAWAT injury caused by
I 125168 1/7/1990 animal 11:54:58 11:57:58 0:03:00

968 ATANG K30 - Functional


SUHANDI 125169 3/13/1959 dyspepsia 12:16:19 12:17:17 0:00:58

969 WIDI T14 - Injury of


ANGGRAEN unspecified body
I RAHAYU 120323 1/18/1998 region 12:23:36 12:25:36 0:02:00

T14 - Injury of
970 DIAN unspecified body
RAMDHON 125170 7/23/1981 region 13:03:21 13:04:53 0:01:32

MUHAMAD
971 ARKA
MEGAN R50 - Fever of
DWI other and
JANUAR 045707 1/18/2014 unknown origin 13:22:59 13:23:45 0:00:46
972 ISUM
SUMIATI 125171 2/1/2001 - 13:43:19 13:43:19 0:00:00

973 A09.9 -
FATIMAH Gastroenteritis
AULIA 103702/12 and colitis of
AZZAHRA 4926 3/21/2021 unspecified origin 13:54:48 13:55:56 0:01:08

T14.1 - Open
974 wound of
SULTAN unspecified body
ADITIA 059312 6/25/2006 region 14:09:59 14:13:59 0:04:00
975
BADRUDIN 121548 12/5/1967 L03 - Cellulitis 15:03:43 15:41:35 0:37:52

K52.9 -
Noninfective
976 gastroenteritis
and colitis,
unspecified |
RAFASYA R50.9 - Fever,
ARSHAKA 125172 6/3/2022 unspecified 15:12:02 15:40:01 0:27:59

977 N18.1 - Chronic


kidney disease,
KOMALA 036575 6/24/1949 stage 1 15:29:15 15:30:03 0:00:48

T14.1 - Open
978 wound of
unspecified body
LA RUSTAM 123172 9/28/1992 region 16:12:08 16:15:28 0:03:20

979 J06.9 - Acute


MUTIARA upper respiratory
PUTRI infection,
DANISA 107001 4/27/2019 unspecified 16:38:46 16:40:28 0:01:42

980
NAZLAULIA
AZAHRA.S 122194 12/2/2003 K92.1 - Melaena 16:45:29 18:27:52 1:42:23

981 A09.9 -
Gastroenteritis
NYAI and colitis of
SOPIAH 125175 6/17/1966 unspecified origin 16:52:36 17:39:34 0:46:58

982 PUTRA R50.9 - Fever,


KEANDRA 059925 12/17/2016 unspecified 16:58:32 16:59:19 0:00:47
983 MUHAMM
AD RAYA
MIKSALMIN R50.9 - Fever,
A 125176 5/2/2022 unspecified 17:03:33 17:04:40 0:01:07

J18.0 -
984 Bronchopneumo
HAFIZHAN nia, unspecified |
RAFFA R50.9 - Fever,
KHAIRY 125177 4/16/2020 unspecified 17:07:01 17:12:01 0:05:00

985 FITRI 022351/09 K30 - Functional


NURLAELA 7171 6/8/2004 dyspepsia 17:20:48 17:21:49 0:01:01

986 DADIN K30 - Functional


ARIYANTO 073151 12/6/1955 dyspepsia 17:25:10 18:29:16 1:04:06
987 UJANG K35 - Acute
ARIS 125178 4/15/1991 appendicitis 17:36:31 18:19:51 0:43:20

988 A09.9 -
Gastroenteritis
and colitis of
SOLIHAT 125179 1/20/1970 unspecified origin 17:41:13 17:43:58 0:02:45

KHALISA
989 PUTRI R50.9 - Fever,
AULIA 109892 6/8/2021 unspecified 18:06:25 18:08:21 0:01:56

990 J06.9 - Acute


MUHAMM upper respiratory
AD RIZKI infection,
AKBAR 125182 2/26/2022 unspecified 18:46:45 18:47:26 0:00:41
991 DIANA R50.9 - Fever,
PUTRY 125183 8/6/2019 unspecified 18:50:31 18:52:03 0:01:32
992 R50.9 - Fever,
KAILA 125184 7/5/2022 unspecified 18:54:45 18:55:21 0:00:36

993 ASYILA
RAHMA R50.9 - Fever,
RUSWANDI 077373 10/6/2012 unspecified 18:57:31 18:58:14 0:00:43

994 A09.9 -
Gastroenteritis
SITI and colitis of
NURLAELI 085165 9/22/2001 unspecified origin 19:12:52 19:37:54 0:25:02
995 ARJUNA
ALFANSYAH R50.9 - Fever,
IRAWAN 119822 9/23/2020 unspecified 19:15:23 19:16:06 0:00:43

996 LINA K30 - Functional


MALINA 051986 7/5/1983 dyspepsia 19:19:08 19:20:35 0:01:27

997 J06.9 - Acute


SITI HAWA upper respiratory
NUR infection,
HUMAIRA 125185 5/4/2020 unspecified 19:23:20 19:25:15 0:01:55

998 J06.9 - Acute


upper respiratory
NABHAN infection,
ALBATTAR 058447 10/8/2017 unspecified 19:32:13 19:34:46 0:02:33

999 J06.9 - Acute


M RAMA upper respiratory
ABITAMA infection,
PUTRA M 125187 4/7/2004 unspecified 19:49:07 19:50:40 0:01:33

1000 ARSHAKA K12 - Stomatitis


FATHIAN and related
AFZAL 104885 8/23/2020 lesions 20:11:25 20:14:18 0:02:53

1001 J06.9 - Acute


upper respiratory
CEP BAYU infection,
MAULANA 059437 5/12/1995 unspecified 21:00:49 21:01:42 0:00:53

1002 J06.9 - Acute


ANISA upper respiratory
PUTRI infection,
RAMADANI 105313 5/9/2021 unspecified 21:40:36 21:41:22 0:00:46
1003 ACUN 125135 8/14/1954 - 21:22:38 21:22:38 0:00:00

1004 J06.9 - Acute


SRI upper respiratory
RAHMAYA infection,
NTI 115532 8/23/1996 unspecified 21:34:07 21:35:42 0:01:35
1005 MUHAMAD
AFKAR
FIRMANSY R11 - Nausea and
AH 069596 11/30/2018 vomiting 22:37:12 22:38:45 0:01:33

1006 SITI
SALAMATU
SOLIHAH 104420 3/20/2010 - 22:39:37 22:40:17 0:00:40

1007 QHAIRA
TANISA
ADFENSA 086741 8/26/2019 - 22:55:27 22:55:27 0:00:00

1008 J06.9 - Acute


RENANDRA upper respiratory
ARVINZA infection,
GUSTIAN 122675 9/19/2022 unspecified 0:27:57 0:28:43 0:00:46

1009 NABHAN R11 - Nausea and


ALBATTAR 058447 10/8/2017 vomiting 4:06:05 7:20:54 3:14:49

NURFAUJIY
1010 YAH R50.9 - Fever,
KAMILAH 031218 11/14/1992 unspecified 6:29:13 7:18:32 0:49:19

1011 ALISYA J06.9 - Acute


SHANUM upper respiratory
ADREENA infection,
RAHMA 118158 6/24/2020 unspecified 6:36:32 6:37:04 0:00:32

ENDIN
1012 FIRMANSY R50.9 - Fever,
AH 125189 10/16/1968 unspecified 7:48:13 7:49:21 0:01:08

1013 FATIMAH
AULIA 103702/12 R50.9 - Fever,
AZZAHRA 4926 3/21/2021 unspecified 8:17:48 8:17:48 0:00:00

I10 - Essential
1014 (primary)
hypertension |
K30 - Functional
ENCIH 125192 8/24/1965 dyspepsia 8:32:16 8:32:16 0:00:00
1015 R50.9 - Fever,
YAYA 125200 12/7/1975 unspecified 9:37:04 9:39:47 0:02:43
1016 K92.0 -
UKAT Haematemesis |
SUKATMA 114767 7/1/1946 K92.1 - Melaena 10:34:41 12:54:34 2:19:53

1017 R50 - Fever of


KARIN NUR other and
ARIMBI 125204 5/28/2018 unknown origin 10:51:13 11:31:25 0:40:12

RAKHASAN
1018 SHA
RASHEL
WIDIAN 011058 4/21/2011 J45 - Asthma 11:26:28 11:31:28 0:05:00

J06 - Acute upper


1019 respiratory
infections
multiple and
unspecified sites
SITI | R11 - Nausea
PATIMAH 059937 1/19/2017 and vomiting 12:00:14 12:02:47 0:02:33

H81.1 - Benign
1020 paroxysmal
ADE 125208 3/15/1963 vertigo 13:30:27 13:32:39 0:02:12
1021 DAFFA J45.9 - Asthma,
NABAWI 125125 5/27/2022 unspecified 13:34:29 13:36:29 0:02:00
1022 NENAH 125209 9/2/1966 - 13:37:33 13:37:33 0:00:00

1023 SITI RATU


HANIFAH 038864 1/1/1970 - 13:40:36 13:40:36 0:00:00

1024 T14 - Injury of


unspecified body
region | T14.0 -
Superficial injury
ENENG SITI of unspecified
PATIMAH 125210 3/3/1999 body region 13:46:42 13:49:42 0:03:00

1025 JAMALUDI 125215/12 K30 - Functional


N 5211 1/4/1987 dyspepsia 13:51:21 15:42:19 1:50:58
1026 DIANA
PUTRY 125183 8/6/2019 - 13:55:12 14:00:51 0:05:39
1027 MUHAMM
AD RIZKI R50.9 - Fever,
AKBAR 125182 2/26/2022 unspecified 13:57:41 15:43:32 1:45:51

AHMAD
1028 THOHA R56 -
MUSTHOFA Convulsions, not
ABDUR elsewhere
RAHMAN 125213 10/16/2018 classified 14:17:15 15:47:34 1:30:19
1029 SANDRI
LESTARI 124969 8/29/1999 - 14:26:55 14:26:55 0:00:00

1030 K30 - Functional


UCUN dyspepsia | R51 -
MARYATI 037964 2/6/1970 Headache 14:33:00 15:46:18 1:13:18

ABDUL
1031 MAHER R50.9 - Fever,
JULIAN 125214 7/9/2021 unspecified 14:47:58 15:48:20 1:00:22

1032 DINAH SITI K12.2 - Cellulitis


NURHASAN and abscess of
AH 125216 3/24/1985 mouth 16:05:58 16:46:12 0:40:14
1033 SAMIRA 094671 3/6/2014 B86 - Scabies 16:10:31 16:11:24 0:00:53

1034 J06 - Acute upper


respiratory
infections
multiple and
SUSANTI 125217 3/3/1978 unspecified sites 16:15:42 16:16:11 0:00:29

T14 - Injury of
1035 HJ. TINI unspecified body
SUHARTINI 125218 8/20/1966 region 17:10:42 17:14:42 0:04:00

1036 R50 - Fever of


LENI other and
LENAWATI 125220 6/25/1985 unknown origin 17:31:15 17:32:22 0:01:07

1037 R50 - Fever of


other and
unknown origin |
PAISAL 125222 2/3/1999 R51 - Headache 17:39:58 18:40:39 1:00:41
1038 R50 - Fever of
PANJI other and
FAJAR SIDIK 125223 5/5/1992 unknown origin 17:43:12 18:43:28 1:00:16

J06.9 - Acute
1039 upper respiratory
infection,
unspecified | R50
NUR - Fever of other
MUTIA and unknown
DEWI 117075 10/13/2019 origin 17:56:23 17:57:09 0:00:46

1040 T01 - Open


MUHAMM wounds involving
AD WISNU multiple body
PURNAMA 125224 8/17/2008 regions 18:21:40 18:25:40 0:04:00

1041 R20 -
ARINI Disturbances of
ANGRAENI 125225 11/5/2003 skin sensation 18:41:28 18:42:58 0:01:30

J06.9 - Acute
1042 upper respiratory
infection,
unspecified | R50
- Fever of other
RATNA and unknown
JUWITA 119476 5/29/1992 origin 19:05:48 19:06:43 0:00:55

1043 K30 - Functional


dyspepsia |
M54.5 - Low back
MUMUN 022307 7/1/1952 pain 19:11:53 19:14:53 0:03:00

1044 K30 - Functional


dyspepsia | R11 -
Nausea and
RINA 110474 7/10/1976 vomiting 19:24:43 19:25:29 0:00:46
1045 A15 - Respiratory
tuberculosis,
DEWI bacteriologically
WIDIYA and histologically
WATI 125226 5/15/1976 confirmed 19:32:19 20:32:42 1:00:23

J06.9 - Acute
1046 upper respiratory
infection,
unspecified | K30
- Functional
dyspepsia | R11 -
Nausea and
vomiting | R50 -
Fever of other
PUTRI and unknown
LEONITA 118649 8/10/2002 origin 19:44:35 19:45:11 0:00:36

I50.0 -
1047 KAMALUDI Congestive heart
N 058029 1/5/1965 failure 19:48:21 19:49:57 0:01:36
1048 VERREN
NATALIE 125228 12/24/1998 E9060 - Dog bite 20:03:53 20:05:54 0:02:01

I10 - Essential
1049 (primary)
YAYAH 125229 11/5/1956 hypertension 20:08:44 20:09:57 0:01:13

1050 ARI ARYATI


SUHARJA,
(S.ST) 016185 10/12/1989 - 20:24:14 20:24:14 0:00:00

K30 - Functional
1051 dyspepsia | R11 -
Nausea and
vomiting | R50 -
Fever of other
ANISA and unknown
SAPITRI 125230 10/28/2004 origin 20:48:00 23:29:30 2:41:30
1052
AJUM SANI 071260 7/3/1977 J45 - Asthma 21:31:21 21:32:56 0:01:35
T14 - Injury of
1053 SYAKIR unspecified body
MAKAARIM 125231 10/10/2015 region 2:06:07 2:09:07 0:03:00

J18.0 -
1054 Bronchopneumo
RAFAIZAN nia, unspecified |
ATHARAZK J18.9 -
A Pneumonia,
FIRDIAWAN 120393 7/16/2022 unspecified 0:52:35 0:54:35 0:02:00

1055 A09.9 -
Gastroenteritis
LIA and colitis of
NATALIA 113854 3/29/1981 unspecified origin 0:57:27 6:51:40 5:54:13

1056 J06.9 - Acute


upper respiratory
SAQILA infection,
MARYAM 050280 4/10/2017 unspecified 3:42:36 3:43:09 0:00:33

1057 A09.9 -
Gastroenteritis
YUNI 068972/09 and colitis of
YUNIARNI 4032 6/5/1977 unspecified origin 10:56:25 10:56:25 0:00:00

1058 J06.9 - Acute


ALFARES upper respiratory
RIZKIA infection,
AKBAR 008333 6/1/2012 unspecified 5:07:49 5:08:06 0:00:17

R56 -
1059 NALANI Convulsions, not
HANIYAH elsewhere
ANESHA 125232 1/25/2022 classified 6:31:49 12:27:06 5:55:17

1060 A09.9 -
MALIK Gastroenteritis
FAHAD AL- and colitis of
HIDAYAT 125234 8/2/2012 unspecified origin 6:55:55 6:56:52 0:00:57
1061 R50.9 - Fever,
IJOH 125235 7/17/1940 unspecified 7:32:02 7:33:30 0:01:28

1062 052963/02 K30 - Functional


YULI 2381 7/3/1956 dyspepsia 7:40:35 10:20:17 2:39:42
1063 SARIMANA R10.0 - Acute
H 068154 4/3/1956 abdomen 9:28:30 9:32:30 0:04:00

J06 - Acute upper


1064 respiratory
infections
multiple and
unspecified sites
| J10 - Influenza
due to other
identified
influenza virus |
KAUTSARR R50 - Fever of
AZKY AL other and
SAPUTRA 125246 1/25/2021 unknown origin 10:02:23 10:18:13 0:15:50

T14.0 -
Superficial injury
1065 of unspecified
body region |
T14.1 - Open
wound of
unspecified body
region | T14.1 -
RYU Open wound of
RIMBAKA unspecified body
NUGRAHA 125248 9/28/2013 region 10:39:25 10:42:25 0:03:00
1066 ABIZAR R50.9 - Fever,
YUSUF 125252 9/28/2021 unspecified 11:48:42 11:49:52 0:01:10

J02.9 - Acute
1067 pharyngitis,
ARI LIANI 125255 4/12/1994 unspecified 13:53:03 14:10:11 0:17:08

A09.9 -
1068 Gastroenteritis
and colitis of
MUHAMM unspecified origin
AD ARKA | R50.9 - Fever,
RAMDANI 087902 5/21/2019 unspecified 14:08:06 14:11:28 0:03:22

HABIBI
1069 MIBRAS
NAOPAL 125257 9/28/2013 - 14:26:53 14:54:10 0:27:17
1070 AYU K30 - Functional
RAHAYU 044583 1/11/1993 dyspepsia 14:48:02 14:49:52 0:01:50

1071 K30 - Functional


RUSTINAH 088433 8/2/1967 dyspepsia 15:19:19 15:19:19 0:00:00
1072 JAJAH 125258 7/20/1950 - 15:42:50 16:14:15 0:31:25
1073 SAQILA R50.9 - Fever,
MARYAM 050280 4/10/2017 unspecified 15:43:08 16:51:27 1:08:19

1074 J06.9 - Acute


ZAFRAN upper respiratory
KHALIF infection,
ELFARIZA 123653 5/9/2022 unspecified 16:22:48 16:23:07 0:00:19
1075 HAPAD 046498 7/18/1967 J45 - Asthma 16:34:17 16:35:58 0:01:41

1076 R50 - Fever of


BAGUS ALI other and
RAHMAN 125259 6/21/2002 unknown origin 16:47:46 16:48:35 0:00:49

1077
MUHAMM J40 - Bronchitis,
AD SAAD not specified as
GUMBIRA 125260 2/21/2022 acute or chronic 17:03:05 17:05:16 0:02:11
1078
HERMAN 125261 10/6/1974 R04.0 - Epistaxis 17:08:09 17:09:30 0:01:21

1079 R10 - Abdominal


and pelvic pain |
MAMAD R10.0 - Acute
HAMAMI 125262 7/12/1963 abdomen 17:12:10 17:15:10 0:03:00

L02.9 -
1080 Cutaneous
abscess, furuncle
and carbuncle,
unspecified |
MOCH. M71.00 - Abscess
FADLAN of bursa, multiple
FADILAH 088888 6/14/2009 sites 17:30:37 17:30:37 0:00:00
1081 A15 - Respiratory
tuberculosis,
DINO bacteriologically
GUSRIANT and histologically
O 125263 8/3/1984 confirmed 17:52:35 18:32:07 0:39:32

1082 T01 - Open


wounds involving
multiple body
HENDI 125264 1/1/1979 regions 18:14:11 18:15:40 0:01:29

J06 - Acute upper


respiratory
1083 infections
multiple and
unspecified sites
RINA | K30 -
RESTIANA Functional
FAUZI 120188 3/18/1989 dyspepsia 18:53:52 18:54:04 0:00:12

1084
MUHAMM
AD ARSYAD R11 - Nausea and
MAULANA 109159 8/24/2020 vomiting 19:10:16 20:32:22 1:22:06

1085 AULIA
PUTRI K30 - Functional
PRATAMA 103232 1/3/2008 dyspepsia 19:20:20 19:21:07 0:00:47

1086 T01 - Open


wounds involving
ENEN multiple body
SUMINAR 020306 10/15/1978 regions 19:25:09 19:26:34 0:01:25

1087 INDRI
NURDIANI 102473 5/4/1986 - 19:32:57 19:32:57 0:00:00
1088 DIANA R50.9 - Fever,
PUTRY 125183 8/6/2019 unspecified 20:26:59 21:40:54 1:13:55

1089 T01 - Open


wounds involving
DESI multiple body
RATNASARI 125266 1/1/1998 regions 20:51:51 20:54:51 0:03:00
1090 028532/03 R10 - Abdominal
TITIN 0990 7/1/1956 and pelvic pain 21:12:11 21:16:11 0:04:00

1091 T01.1 - Open


wounds involving
thorax with
BUDIANSYA abdomen, lower
H 125268 5/1/1995 back and pelvis 22:21:12 22:22:59 0:01:47

E11.4 - Non-
1092 insulin-
dependent
diabetes mellitus
with neurological
ENTIN 051983 5/5/1961 complications 22:35:35 22:36:43 0:01:08

1093 J06.9 - Acute


upper respiratory
NOFI infection,
HERAWATI 024746 12/13/1987 unspecified 23:35:44 23:36:31 0:00:47

1094 FITRIYAH R50.9 - Fever,


EROPIQOH 080669 2/26/1993 unspecified 23:48:04 23:50:00 0:01:56
1095 IMAS
MARIAM 114792 5/6/1968 R51 - Headache 4:50:34 4:50:34 0:00:00

ERVA
1096 SOPIAH K30 - Functional
ARIFIN 125269 3/16/1996 dyspepsia 6:42:28 6:43:37 0:01:09

J45 - Asthma |
1097 ABIYU AL J45.9 - Asthma,
AZIZ 095737 5/11/2017 unspecified 7:54:15 7:54:15 0:00:00

1098 K30 - Functional


dyspepsia |
R50.9 - Fever,
SITI ARISKA 062852 10/28/2000 unspecified 8:28:15 8:46:06 0:17:51

1099 C18 - Malignant


YATHESTHA neoplasm of
YOGA DWI colon | R10.0 -
RAHESTHA 084622 11/12/1987 Acute abdomen 8:44:57 8:46:39 0:01:42
1100
CUT ULFA
PUTRIANI R11 - Nausea and
SANJUNA 123656 9/10/2015 vomiting 10:40:41 11:43:00 1:02:19

1101 J06.9 - Acute


upper respiratory
SHAZIA infection,
FARSHAD 060645 12/28/2013 unspecified 8:07:17 11:45:31 3:38:14
1102 J45.9 - Asthma,
NANANG 000775 1/1/1958 unspecified 12:12:01 12:15:45 0:03:44

1103 BERI R50.9 - Fever,


MAULANA 125285 11/2/1993 unspecified 12:17:36 13:02:47 0:45:11
1104 AJAH 068571 6/21/1948 - 12:21:38 12:25:27 0:03:49
1105 DELITA R11 - Nausea and
KANIA 125287 2/1/2002 vomiting 13:07:24 13:31:43 0:24:19

1106 SRI R50.9 - Fever,


WAHYUNI 125288 2/25/1995 unspecified 13:17:07 13:18:48 0:01:41

1107
MOHAMAD
GHILMAN
SYAKURA 125289 3/1/2020 - 13:23:19 13:24:23 0:01:04

J06 - Acute upper


respiratory
1108 infections
multiple and
unspecified sites
| J06.9 - Acute
upper respiratory
infection,
ARFA unspecified |
NURSADIYA J45.9 - Asthma,
H 175395 11/15/2021 unspecified 14:04:31 14:14:28 0:09:57

MUHAMM
1109 AD R50.9 - Fever,
JAMHARI 120059 1/15/1968 unspecified 15:43:30 15:46:40 0:03:10
1110 K30 - Functional
ENING 125291 10/10/1961 dyspepsia 15:50:42 15:52:03 0:01:21

1111 R50 - Fever of


other and
NURARIPIN 125292 6/13/2000 unknown origin 15:53:30 15:58:45 0:05:15

1112 J06.9 - Acute


upper respiratory
infection,
unspecified | R63
- Symptoms and
HELMI signs concerning
MULYA food and fluid
MAULANA 055032 5/1/2005 intake 16:19:25 16:20:46 0:01:21

1113
MUHAMAD
ABDUL R50.9 - Fever,
ROHMAN 077169 4/18/2000 unspecified 16:29:12 23:35:49 7:06:37

R56 -
1114 NUR SYIFA Convulsions, not
ANGGRAEN elsewhere
I 125293 7/13/2021 classified 18:15:34 19:25:19 1:09:45
1115 TINI 073175/11
KARTINI 7591 1/1/1963 - 18:19:31 19:34:46 1:15:15

1116 K30 - Functional


dyspepsia | R11 -
Nausea and
RINA 110474 7/10/1976 vomiting 18:24:50 19:32:18 1:07:28

1117 REZA R50 - Fever of


SATYA other and
ANUGRAH 125294 12/15/1996 unknown origin 18:54:58 18:56:46 0:01:48

RANDI
1118 ALFIYANSY
AH 051854 11/2/2014 J45 - Asthma 18:57:52 18:59:52 0:02:00

1119 KHALISA R50 - Fever of


ZAHRA other and
AMELYA 125296 5/9/2022 unknown origin 19:21:39 20:23:57 1:02:18
A09 - Other
1120 KHAYLA gastroenteritis
GHANIYYA and colitis of
NURUL infectious and
MUGHNI 097690 1/20/2020 unspecified origin 19:29:27 19:36:12 0:06:45

HENDI
1121 HERDIANSY
AH 122907 1/17/1977 - 19:34:16 19:34:16 0:00:00

HENDI
1122 HERDIANSY K30 - Functional
AH 122907 1/17/1977 dyspepsia 19:34:16 20:29:02 0:54:46

1123 R50 - Fever of


RIZKY TRI other and
MAULANA 089113 9/26/1990 unknown origin 19:50:57 20:23:01 0:32:04

R56 -
1124 Convulsions, not
AHMAD elsewhere
HANIF 125297 1/19/2022 classified 20:03:56 20:28:05 0:24:09

J06.9 - Acute
1125 upper respiratory
infection,
unspecified | R50
- Fever of other
and unknown
origin | R50.9 -
NAURA Fever,
ARSYILA 125298 12/9/2021 unspecified 18:05:41 18:05:41 0:00:00

1126 R50 - Fever of


other and
SUWANDI 125300 10/30/1989 unknown origin 22:02:00 22:03:37 0:01:37

1127 LIA
LISNAWATI 063913 7/3/1979 - 23:39:33 23:40:34 0:01:01

ARLAN
1128 ANUGRAH
SIDIQ 039848 7/27/2017 J45 - Asthma 0:09:47 0:10:56 0:01:09
1129 R11 - Nausea and
MULYATI 125302 2/2/1957 vomiting 2:04:26 2:05:50 0:01:24
1130 K30 - Functional
dyspepsia | R11 -
Nausea and
IMAS 016432 11/7/1972 vomiting 5:25:27 5:26:27 0:01:00

1131
AIRA ADIVA
DELISTHA 075316 9/13/2019 J45 - Asthma 5:29:40 5:32:40 0:03:00

1132 NAIRA R50 - Fever of


ADELIA other and
RAMDHANI 021322 6/21/2015 unknown origin 6:07:58 6:08:58 0:01:00

J06.9 - Acute
1133 upper respiratory
infection,
unspecified |
RENANDRA J18.0 -
ARVINZA Bronchopneumo
GUSTIAN 122675 9/19/2022 nia, unspecified 16:50:49 16:50:49 0:00:00

K65.9 -
Peritonitis,
1134 unspecified |
N18.3 - Chronic
kidney disease,
HENDI stage 3 | R11 -
HERDIANSY Nausea and
AH 122907 1/17/1977 vomiting 7:18:16 8:11:49 0:53:33
1135 R50.9 - Fever,
NURARIPIN 125292 6/13/2000 unspecified 7:26:34 9:15:26 1:48:52

1136 J06.9 - Acute


MUHAMM upper respiratory
AD AQMAR infection,
MAULANA 117486 4/24/2022 unspecified 8:14:17 8:15:40 0:01:23
1137 ENUNG
ROAENI 098125 7/28/1971 - 8:55:16 9:18:45 0:23:29

1138 K30 - Functional


ESTI LIANTI 125311 6/22/1982 dyspepsia 9:37:27 9:45:15 0:07:48
1139 GHAZEA
ALEXANDRI
A R50.9 - Fever,
AFSHEENA 125312 3/28/2021 unspecified 9:48:31 9:48:31 0:00:00

1140 MUHAMM
AD
DZAKWAN R11 - Nausea and
GHIFARI 124170 8/17/2017 vomiting 9:54:57 12:16:04 2:21:07

1141
NAMEERA
KHADIJAH R11 - Nausea and
RUBILLAH 023354 5/16/2016 vomiting 10:00:04 10:05:02 0:04:58

1142 J06.9 - Acute


MIA upper respiratory
HANDAYAN 030147/12 infection,
I 2378 3/20/1996 unspecified 10:51:20 10:52:36 0:01:16

T14 - Injury of
1143 AHZA unspecified body
ABQARY 125317 9/27/2015 region 11:58:54 12:02:54 0:04:00
1144 ATI
SULASTRI 125318 6/14/1988 - 12:17:57 12:17:57 0:00:00
1145 ATHIRAH
HUSNA 125067 11/17/2022 - 13:09:20 15:57:19 2:47:59

ALISHA R11 - Nausea and


1146 SYAHFA vomiting | R50.9
NURROHM - Fever,
AN 118175 9/30/2021 unspecified 13:19:42 13:20:49 0:01:07

1147 R50 - Fever of


other and
DEVANKA 125320 5/28/2022 unknown origin 14:49:26 15:58:00 1:08:34

1148 J06 - Acute upper


respiratory
LINA infections
MARLINA multiple and
YUSIFA 125321 8/22/1982 unspecified sites 14:49:53 14:52:08 0:02:15
1149 MUHAMM
AD FAIDU
NIAM 125322 7/14/2016 E9060 - Dog bite 15:50:22 15:54:22 0:04:00
1150 YAYAH
SOPIAH 125323 7/1/1970 J45 - Asthma 16:00:35 16:05:35 0:05:00

1151 DEDE
PRAYOGA 125324 10/17/1979 - 13:19:13 16:54:17 3:35:04

1152 J06 - Acute upper


MUHAMM respiratory
AD infections
RADNAN multiple and
NOOR unspecified sites
ALAMSYAH 125325 8/16/2017 | J45 - Asthma 16:57:04 17:30:09 0:33:05
1153 AMANI R55 - Syncope
PUJA 121009 11/4/2007 and collapse 17:09:21 17:10:35 0:01:14

1154 KAKAT
SUKATMA 125326 5/8/1949 R06.0 - Dyspnoea 17:11:59 19:01:55 1:49:56
1155 R55 - Syncope
RAHAYU 125327 6/24/2000 and collapse 17:37:35 17:38:46 0:01:11

1156
SITI R10.4 - Other and
NURLAILA unspecified
TANJUNG 044915 2/20/1970 abdominal pain 19:43:02 19:50:02 0:07:00

1157
NAZWA R10.4 - Other and
YUSSY unspecified
RUSYADI 111826 12/8/2005 abdominal pain 19:47:58 19:49:58 0:02:00

1158 LAISYA R50.9 - Fever,


FIRLIANTI 123692 3/13/1999 unspecified 19:52:27 19:53:24 0:00:57

BAYI
1159 NYONYA
FRIDA R50.9 - Fever,
RANTI 125329 2/4/2022 unspecified 19:55:26 20:00:28 0:05:02

1160 WULAN K30 - Functional


SARI 125330 1/1/1980 dyspepsia 20:11:57 20:33:37 0:21:40
1161 J06.9 - Acute
upper respiratory
infection,
YAYAN unspecified |
SURYANA 125332 7/1/1965 R06.0 - Dyspnoea 23:04:24 23:07:24 0:03:00
1162 ANANG 125333 1/1/1971 - 23:36:38 23:36:38 0:00:00

R50 - Fever of
1163 other and
ASYILA unknown origin |
RAHMA R50.9 - Fever,
RUSWANDI 077373 10/6/2012 unspecified 23:57:02 23:57:02 0:00:00

WAWAN
1164 HERMAWA K30 - Functional
N 125334 4/14/1964 dyspepsia 4:28:08 4:53:18 0:25:10

1165 K30 - Functional


NURHAYATI 125335 12/10/1987 dyspepsia 6:14:27 6:15:44 0:01:17

K52.9 -
Noninfective
1166 gastroenteritis
and colitis,
unspecified | R11
- Nausea and
vomiting | R50 -
Fever of other
RISKA and unknown
AMELIA 125336 8/21/2008 origin 16:17:57 16:17:57 0:00:00

1167 UJANG
GINANJAR 125337 12/10/1981 R06.0 - Dyspnoea 6:37:41 7:47:38 1:09:57

1168 UMAR L03.9 - Cellulitis,


SUMARNA 103616 10/5/1954 unspecified 6:41:36 6:42:07 0:00:31
J06.9 - Acute
1169 upper respiratory
infection,
unspecified | R50
- Fever of other
and unknown
RATINAH 068028 9/1/1976 origin 7:03:13 7:04:24 0:01:11

1170 N23 - Unspecified


renal colic |
R06.0 - Dyspnoea
TINI | R10.0 - Acute
KARTINI 076495 4/20/1973 abdomen 7:39:18 7:40:30 0:01:12

A15 - Respiratory
1171 tuberculosis,
bacteriologically
and histologically
confirmed | I63.9
- Cerebral
M. infarction,
DARHANA 125346 6/30/1956 unspecified 9:33:20 13:48:27 4:15:07

A15.3 -
1172 Tuberculosis of
lung, confirmed
WAWAN by unspecified
SETIAWAN 125348 4/23/1985 means 9:47:43 9:49:47 0:02:04

1173
L02 - Cutaneous
abscess, furuncle
ABDUL AZIZ 125090 4/3/1993 and carbuncle 10:24:54 10:25:00 0:00:06

1174
MUHAMAD R50.9 - Fever,
ABDUL AJIZ 125349 8/29/2017 unspecified 10:57:31 10:57:31 0:00:00
1175
K30 - Functional
dyspepsia |
JUBAEDAH 020934 4/7/1944 R06.0 - Dyspnoea 11:24:47 12:37:23 1:12:36

1176 K30 - Functional


SELVI 064964 12/10/2003 dyspepsia 12:43:12 13:43:30 1:00:18

1177 ZANYA
ALMAHEER
A PUTRI 125356 3/19/2022 - 13:28:56 16:54:00 3:25:04

1178
J40 - Bronchitis,
LANI not specified as
YULIANI 002732 7/18/1984 acute or chronic 13:40:37 13:52:16 0:11:39

R. YANTI
1179 RACHMAYA R50.9 - Fever,
NTI 125358 1/3/1974 unspecified 13:59:55 14:57:43 0:57:48

1180 HELI R07.3 - Other


RUSTIANTI 003722 3/3/1981 chest pain 14:02:25 14:06:25 0:04:00
1181 LISDA
YANTI 125359 9/8/2005 - 14:15:31 15:00:19 0:44:48

SYAQILA
1182 PUTRI
MUHARRA
M 110706 9/12/2019 - 14:28:35 15:00:54 0:32:19

A15.0 -
1183 Tuberculosis of
lung, confirmed
by sputum
microscopy with
SITI or without
MARWAH 125360 10/20/2002 culture 16:13:07 16:13:07 0:00:00
1184 RATINAH 068028 9/1/1976 - 14:47:59 15:01:17 0:13:18

1185 ANI SRI


MINTARSIH 062029 5/28/1986 - 15:06:04 15:07:03 0:00:59

1186 SEVIN R11 - Nausea and


PRATAMA 125362 2/29/2016 vomiting 15:50:08 15:52:28 0:02:20
1187
QUEENSHA
ALMAHYRA R50.9 - Fever,
GUNAWAN 124198 1/7/2020 unspecified 16:51:27 16:54:57 0:03:30

1188 JAJAT
SUDRAJAT 008120 9/10/1960 - 17:20:27 17:21:53 0:01:26

1189 J06.9 - Acute


SAKIF upper respiratory
RAMADHA infection,
N 117285 5/9/2020 unspecified 17:23:33 17:24:12 0:00:39

1190 MANAN
SURYADIYA R11 - Nausea and
NSYAH 122313 1/29/1995 vomiting 17:52:04 17:53:16 0:01:12

1191 FITRI 022351/09 K30 - Functional


NURLAELA 7171 6/8/2004 dyspepsia 17:58:53 17:58:53 0:00:00

1192 LAODE A09.9 -


IRFAN Gastroenteritis
NURDIANS and colitis of
YAH 104016 2/28/2016 unspecified origin 18:08:05 18:10:58 0:02:53

J12.1 -
1193 Respiratory
IMAS syncytial virus
MASITOH 023319 7/5/1974 pneumonia 18:25:58 18:25:58 0:00:00

1194 N92 - Excessive,


SILVIA frequent and
ANDINI irregular
PUTRI 010088 11/1/2010 menstruation 18:40:00 20:46:27 2:06:27
1195 CICAH 046600 7/1/1972 - 18:54:45 19:40:39 0:45:54

1196 AFKAR
FALAH R50.9 - Fever,
AMRULLAH 112323 6/23/2021 unspecified 18:58:29 18:59:35 0:01:06
1197 YAYAH 021318 12/15/1956 - 19:02:56 19:03:13 0:00:17
1198 TIARA
RENATA 039176 4/10/2005 J45 - Asthma 19:07:26 19:08:35 0:01:09
1199 K37 - Unspecified
DEWI appendicitis |
ANGGRAEN K65.0 - Acute
I 020412 12/25/1995 peritonitis 19:10:59 19:44:51 0:33:52

M RAFA
1200 AZKA
PUTRA 057467 2/11/2016 - 20:09:24 20:09:24 0:00:00

T14 - Injury of
1201 FAHRI unspecified body
PEBRIAN 114307 12/12/2010 region 19:49:38 19:52:01 0:02:23

1202 EVA SUSI K30 - Functional


MAYANTI 125365 7/4/1973 dyspepsia 20:07:09 20:07:55 0:00:46

1203 NAWAF K37 - Unspecified


IBRAHIM 125364 8/13/2006 appendicitis 15:18:24 20:48:12 5:29:48

1204
R10.4 - Other and
unspecified
SUMYANTI 124331 9/14/1996 abdominal pain 20:25:33 20:29:33 0:04:00
1205 SAQILA
MARYAM 050280 4/10/2017 - 20:33:11 20:34:37 0:01:26

1206 MUHAMM
AD
ALFARIZI R50.9 - Fever,
DJAELANI 121684 3/11/2022 unspecified 20:36:02 23:47:08 3:11:06

1207 ELSA
MARNIAW
ATI, (S.Pd). 059161 3/5/1987 - 20:43:35 20:44:09 0:00:34
1208 KRISTINA
WATI 073465 5/15/1977 J45 - Asthma 22:40:00 22:44:00 0:04:00

1209
MUHAMM R10.4 - Other and
AD unspecified
FARHAN 125366 9/16/2004 abdominal pain 22:40:03 22:42:48 0:02:45
TALAL ALI
1210 MUHAMM
AD
ALAWAME
H 125281 10/12/1971 - 22:14:13 22:14:13 0:00:00

1211
MUHAMM
AD KAYSAN R50.9 - Fever,
RAMDANI 125367 4/17/2022 unspecified 22:24:50 22:42:36 0:17:46

1212 YANA R11 - Nausea and


SURYANA 125368 7/1/1976 vomiting 22:26:44 22:41:59 0:15:15

1213 R50 - Fever of


nadhira other and
rahma 118733 10/24/2017 unknown origin 2:33:28 2:43:19 0:09:51

1214 R50 - Fever of


WULANDA other and
RI 125369 1/20/1996 unknown origin 5:30:11 5:32:44 0:02:33

1215 R50 - Fever of


PALAHUDI other and
N 125370 8/1/1983 unknown origin 5:52:47 6:03:09 0:10:22

1216
Muhamma J18.0 -
d ATHAR Bronchopneumo
RADHEYA 125371 1/2/2021 nia, unspecified 6:48:45 6:52:45 0:04:00

1217 K30 - Functional


ENENG ANI 119287 8/23/1998 dyspepsia 7:26:32 9:34:58 2:08:26

RATU
1218 NARU
ALYSIA 087664 6/16/2010 J45 - Asthma 8:17:29 8:20:57 0:03:28

1219 MUHAMM
AD IRVAN K30 - Functional
RAZAK 125372 4/29/1992 dyspepsia 8:21:08 8:22:55 0:01:47

1220 K30 - Functional


JAENUDIN 059123 7/8/1983 dyspepsia 8:36:37 10:23:32 1:46:55
1221 J18.0 -
Bronchopneumo
nia, unspecified |
ARDIANSYA J18.0 -
H Bronchopneumo
MAULANA 117747 10/22/2021 nia, unspecified 10:32:07 10:34:07 0:02:00

1222
R10.4 - Other and
RISKA unspecified
YULIANTI 125375 7/21/1994 abdominal pain 9:29:41 9:32:41 0:03:00

1223 ALEX
AGUSTINA 060500 7/1/1964 M79.1 - Myalgia 10:23:10 10:36:44 0:13:34

1224 H81.4 - Vertigo of


central origin |
LOUSIANA K30 - Functional
SWARTIKA 045214 4/9/1994 dyspepsia 10:36:41 12:22:33 1:45:52

T14 - Injury of
1225 SAEPUL unspecified body
ANWAR 024803 6/8/1991 region 12:45:32 12:48:32 0:03:00

1226 ENENG K92.0 -


ANDRIANI 076622 1/11/2004 Haematemesis 13:49:12 13:52:22 0:03:10

1227 KHAYRA
LITFI R50.9 - Fever,
AZZAHRA 125379 3/31/2021 unspecified 14:01:33 14:02:42 0:01:09
1228 MUHAMAD R50.9 - Fever,
RIJAL 125380 8/1/1999 unspecified 15:15:49 15:28:52 0:13:03

ODANG K40 - Inguinal


1229 HERDIANSY hernia | K40 -
AH 073364 4/8/1958 Inguinal hernia 15:21:06 15:30:44 0:09:38

1230
R10.4 - Other and
RATU ANE unspecified
AZARIA 125381 8/14/2006 abdominal pain 15:45:57 15:49:57 0:04:00
1231
R10.4 - Other and
unspecified
SAMAN 125382 3/3/1964 abdominal pain 16:28:21 16:31:21 0:03:00

1232
ANGGA
TRIAASENA J20 - Acute
HATULELY 125383 6/5/1989 bronchitis 16:47:27 16:53:31 0:06:04

1233
RAFFANDR
A RAZKA R50.9 - Fever,
NUR FAIZAL 125384 5/7/2022 unspecified 18:15:03 18:16:40 0:01:37

1234 J06.9 - Acute


upper respiratory
RAHAYU infection,
PUTRI AGIA 125385 8/24/2022 unspecified 18:32:27 22:15:12 3:42:45
1235 R50.9 - Fever,
NURDIN 125386 1/5/2020 unspecified 18:17:42 18:18:02 0:00:20
1236 AHMAD R50.9 - Fever,
ZEN ASRI 026832 4/12/1972 unspecified 18:30:12 18:32:35 0:02:23

1237 K30 - Functional


NY AISAH 079550 9/18/1962 dyspepsia 18:51:45 18:52:49 0:01:04

1238 RAHMAT
RAMDANI 100610 8/13/1980 - 18:49:33 18:50:44 0:01:11

1239 J06.9 - Acute


AJENG upper respiratory
UTARI infection,
JULIANA 113577 7/1/2000 unspecified 19:24:09 19:24:34 0:00:25

1240 J06.9 - Acute


upper respiratory
NOVI infection,
YULIANTI 124021 11/29/2001 unspecified 19:27:10 19:29:07 0:01:57
1241 NENI
RESTIANI 125387 4/29/1991 L50 - Urticaria 19:37:36 19:41:01 0:03:25
1242 J45.9 - Asthma,
ISOP 125388 7/1/1960 unspecified 20:03:22 20:08:22 0:05:00
R06 -
1243 Abnormalities of
breathing | R50 -
NAZMA Fever of other
SYAIDATUL and unknown
MARWAH 125389 11/22/2012 origin 20:09:19 21:53:03 1:43:44
1244 ENDING
SUMEDI 056618 3/8/1950 - 20:23:19 20:25:48 0:02:29
1245 KAISYA R50.9 - Fever,
ADILLA 125390 1/24/2019 unspecified 21:13:21 21:14:27 0:01:06

1246 A15 - Respiratory


tuberculosis,
bacteriologically
and histologically
confirmed |
AHYAT 125391 7/1/1958 R06.0 - Dyspnoea 21:22:13 22:28:08 1:05:55

H81.3 - Other
1247 peripheral
NGATIYEM 125393 11/26/1966 vertigo 21:52:02 21:52:02 0:00:00

1248
R10.4 - Other and
unspecified
KOSIH 125394 3/1/1968 abdominal pain 21:55:37 21:57:37 0:02:00

I50.0 -
1249 ARI Congestive heart
APRIZAL 125395 4/20/1984 failure 22:48:11 22:52:11 0:04:00

T14 - Injury of
1250 DUDI unspecified body
YULIANDI 125396 4/10/1983 region 22:58:03 23:01:03 0:03:00

T14 - Injury of
1251 YUDA unspecified body
SAPUTRA 125397 4/7/1992 region 23:19:10 23:21:56 0:02:46

1252
R10.4 - Other and
unspecified
YASIR 065609 3/31/1982 abdominal pain 4:31:50 4:33:50 0:02:00
1253
AL GHAZALI 088527 4/29/2017 J45 - Asthma 5:55:29 5:59:56 0:04:27
1254 R11 - Nausea and
JAENUDIN 059123 7/8/1983 vomiting 6:33:34 7:12:14 0:38:40

T14 - Injury of
1255 unspecified body
JAKA 125399 11/27/1987 region 6:39:04 6:40:40 0:01:36

1256 BAYI
NYONYA
RESYA R50.9 - Fever,
HERTISSA 125400 3/24/2022 unspecified 6:41:12 6:41:12 0:00:00

1257 K30 - Functional


NURMILAH 031046 8/19/1977 dyspepsia 6:57:15 6:58:03 0:00:48

1258 J06 - Acute upper


respiratory
infections
multiple and
M. YUSUF 125401 2/1/1969 unspecified sites 7:16:43 7:18:25 0:01:42

1259 PUTRI R50 - Fever of


ALEDA other and
ZAYEDA 125402 12/31/2019 unknown origin 7:19:50 7:53:55 0:34:05

1260 BUDI
KUNCAHYO 103027 7/20/1961 - 8:43:32 8:43:32 0:00:00
1261 IHAT
SOLIHAT 102733 1/1/1979 - 8:48:11 8:48:11 0:00:00

1262
MUHAMM
AD FARZAN R11 - Nausea and
ASSYAUQY 056042 3/30/2018 vomiting 9:12:01 9:13:10 0:01:09

1263 AINA
NURJANAH
FAUZIAH 056208 6/6/2001 - 9:30:18 9:30:18 0:00:00

1264 T15.9 - Foreign


AGUS body on external
BUDIMAN eye, part
BAHRUDIN 125403 8/16/1962 unspecified 9:37:20 9:38:29 0:01:09
1265 EROS
ROSITA 046795 4/28/1989 - 11:08:30 11:09:44 0:01:14
1266 K30 - Functional
AJAH 118879 2/2/1966 dyspepsia 11:15:03 11:16:31 0:01:28

1267 J06.9 - Acute


upper respiratory
infection,
unspecified | K30
- Functional
SADULLAH 118881 4/24/1960 dyspepsia 11:26:01 11:27:54 0:01:53

MUHAMAD
1268 RIZKI
PADILAH 125405 11/5/2011 - 11:32:43 11:33:54 0:01:11

1269 J06.9 - Acute


AZRA upper respiratory
EFRINA infection,
LATHIFAH 125406 2/18/2022 unspecified 11:41:45 11:42:15 0:00:30
1270 ABDUROH
MAN 090957 11/10/1991 - 11:45:59 16:53:36 5:07:37

1271 M79 - Other soft


ABYAN tissue disorders,
ATHARAYH not elsewhere
AN 124386 1/1/2022 classified 11:52:13 11:53:20 0:01:07
1272 NURABIBA
H 125407 10/20/2000 - 12:05:39 12:05:39 0:00:00

1273 ENDANG
SUMARDI, E14 - Unspecified
S.PD 083569 11/6/1955 diabetes mellitus 12:13:16 13:27:54 1:14:38

1274 K40 - Inguinal


hernia | K56.7 -
SUNENDI 125409 6/15/1970 Ileus, unspecified 12:21:58 13:30:53 1:08:55

1275 K30 - Functional


dyspepsia |
R10.0 - Acute
AMIR 007830 3/6/1970 abdomen 13:56:30 14:29:18 0:32:48

1276 SINTA K30 - Functional


AUDINA 125410 9/2/2000 dyspepsia 14:12:38 14:13:04 0:00:26
1277 ANDI K30 - Functional
SULAEMAN 026369 10/24/1969 dyspepsia 14:08:07 14:09:50 0:01:43

1278 MIRANTI
DESNIATISA R50.9 - Fever,
RI S.sos 125411 12/12/1984 unspecified 15:07:55 15:07:55 0:00:00

1279 J18.0 -
Bronchopneumo
nia, unspecified |
J18.0 -
NOZOMI Bronchopneumo
MU"NISAH 114572 2/4/2022 nia, unspecified 19:39:03 19:42:03 0:03:00

1280 K30 - Functional


HINDUN 125412 7/1/1955 dyspepsia 14:59:48 15:00:24 0:00:36

1281 J18 - Pneumonia,


organism
RONI 125413 7/6/1938 unspecified 15:10:34 15:45:59 0:35:25

1282 J18.0 -
Bronchopneumo
ISOP 125388 7/1/1960 nia, unspecified 15:42:44 15:45:44 0:03:00

AISHWA
1283 DERA
NAHLA 093860 1/29/2020 - 15:45:07 16:58:48 1:13:41

1284 MUHAMM
AD GIBRAN
FAIZ R11 - Nausea and
ALFARIZQI 125414 3/15/2020 vomiting 16:22:56 17:29:53 1:06:57

1285 J06.9 - Acute


AQILA upper respiratory
DARMA 082170/05 infection,
WANGSA 5136 5/23/2011 unspecified 16:38:26 16:39:46 0:01:20

1286 A09.9 -
Gastroenteritis
and colitis of
AMBAR S. 095575 9/11/1954 unspecified origin 16:58:38 16:59:57 0:01:19
K21 - Gastro-
1287 oesophageal
reflux disease |
AYU K30 - Functional
ARDINA 121132 10/19/1992 dyspepsia 17:32:44 17:34:20 0:01:36

1288 ROSMAWA K30 - Functional


TI 021082 5/5/1968 dyspepsia 17:36:58 17:38:32 0:01:34

1289 ELLEN K30 - Functional


KRISTINE 112848 2/21/1977 dyspepsia 17:55:18 17:56:04 0:00:46

H81.1 - Benign
1290 paroxysmal
SUPRIATNA 075498 4/21/1958 vertigo 18:43:33 18:44:04 0:00:31

SUCI
1291 ANGGRAEN
I 124338 3/6/1986 - 18:46:33 18:47:08 0:00:35

FELITA N61 -
1292 GIWANG Inflammatory
FAKHRUNN disorders of
ISA 125361 1/1/2007 breast 18:52:55 19:48:51 0:55:56

1293 K30 - Functional


DEDAH 098794 1/1/1972 dyspepsia 19:30:24 20:10:33 0:40:09
1294
BUDIYONO 064543 7/7/1980 J45 - Asthma 19:31:25 19:33:25 0:02:00

1295 FITRIA K30 - Functional


FAUZIAH 114764 4/1/1992 dyspepsia 19:39:03 19:40:01 0:00:58

T14.1 - Open
1296 wound of
unspecified body
IDA FARIDA 125416 12/12/1982 region 20:28:05 20:31:05 0:03:00

1297 KIREI NUR


SABIA 125417 10/23/2020 J45 - Asthma 19:57:51 19:59:51 0:02:00
1298 ROSMAWA
TI 125418 7/1/1984 - 20:34:09 20:40:52 0:06:43

1299 K30 - Functional


dyspepsia |
R50.9 - Fever,
SURYANI 122010 12/31/2002 unspecified 20:39:11 20:40:05 0:00:54
1300 K30 - Functional
CACIH 033460 7/1/1959 dyspepsia 20:44:01 20:45:01 0:01:00
1301 UJANG
DEDE 175224 4/21/2001 R51 - Headache 20:51:31 20:51:31 0:00:00

1302
MUHAMAD R50.9 - Fever,
MAULANA 110782 1/27/2001 unspecified 21:16:31 21:20:28 0:03:57

A09 - Other
gastroenteritis
1303 and colitis of
infectious and
unspecified origin
| A09.9 -
Gastroenteritis
and colitis of
AYSYALLIN unspecified origin
ZOYA | R50.9 - Fever,
OCTARAISA 125420 10/3/2021 unspecified 21:30:46 21:35:24 0:04:38

1304 R07.4 - Chest


JUAN 121582 7/1/1960 pain, unspecified 22:18:44 22:22:44 0:04:00

1305 MUHAMM
AD BILAL R50.9 - Fever,
HAIRI 124582 10/16/2021 unspecified 23:06:28 23:06:28 0:00:00

J06 - Acute upper


1306 respiratory
infections
multiple and
NENG unspecified sites
MAYANG | R50.9 - Fever,
NURRISMA 125421 5/28/2003 unspecified 23:24:26 23:25:36 0:01:10

1307 AZRA PUTRI


RAMADHA J12.8 - Other viral
NI 125422 9/12/2017 pneumonia 23:28:42 23:28:42 0:00:00
J06 - Acute upper
1308 respiratory
infections
multiple and
unspecified sites
MUHAMM | J06.9 - Acute
AD GERREL upper respiratory
RAFARDHA infection,
N 109649 8/3/2021 unspecified 23:38:20 23:38:20 0:00:00

1309 J45.9 - Asthma,


TIARA unspecified |
RENATA 039176 4/10/2005 R06.0 - Dyspnoea 23:42:14 23:44:14 0:02:00

1310
NADHIRA
ZHAFIRA R11 - Nausea and
MUNANDA 125423 7/3/2020 vomiting 0:53:06 0:54:07 0:01:01

1311 J18 - Pneumonia,


organism
unspecified | K30
NADHIRA - Functional
RAHMA 086744 10/24/2017 dyspepsia 5:24:05 5:50:05 0:26:00
1312 MIMIN
TARYATI 009780 4/13/1956 J45 - Asthma 5:29:11 5:30:31 0:01:20

1313 MUHAMAD J06.9 - Acute


RAFKA upper respiratory
RAFARDHA infection,
N 114226 11/8/2021 unspecified 6:45:29 6:50:35 0:05:06

1314 RAFANIA 103558/07


FARANISA 6563 9/4/2019 J45 - Asthma 7:18:05 7:21:16 0:03:11

1315
MUHAMM
AD AKBAR L03.0 - Cellulitis
MAULANA 005054 4/25/2004 of finger and toe 7:51:21 7:52:37 0:01:16

1316 K30 - Functional


MASKAH 033389 4/23/1956 dyspepsia 8:35:06 8:36:37 0:01:31
J20.9 - Acute
1317 bronchitis,
PERI SUGIRI 077863 6/16/1991 unspecified 9:07:30 9:08:38 0:01:08

A15.9 -
1318 Respiratory
tuberculosis
unspecified,
confirmed
bacteriologically
AWAT 118062 7/1/1941 and histologically 9:25:47 9:26:10 0:00:23

1319 K30 - Functional


dyspepsia | R50 -
Fever of other
and unknown
WAHYUDIN 116232 7/10/1982 origin 9:31:46 10:08:40 0:36:54

1320 ALYA
KAMILAH M54.5 - Low back
HUMAIRA 125436 12/26/2015 pain 10:34:59 10:37:59 0:03:00
1321 M54.5 - Low back
NADI 125437 4/12/1975 pain 11:06:43 11:08:43 0:02:00

1322 J06.9 - Acute


MUHAMAD upper respiratory
AZKA infection,
PUTRA 125438 9/26/2022 unspecified 11:10:52 11:11:11 0:00:19

J06.9 - Acute
1323 upper respiratory
infection,
unspecified | R50
MEISHA - Fever of other
ADELIA and unknown
PUTRI 125439 8/11/2017 origin 11:19:52 11:20:31 0:00:39

1324 R50 - Fever of


CECEP other and
MUTAQIN 125440 4/27/1985 unknown origin 11:27:39 11:28:25 0:00:46
A49.9 - Bacterial
1325 infection,
unspecified |
J18.0 -
Bronchopneumo
nia, unspecified |
RHAFA R50.9 - Fever,
ARYAN unspecified |
GAVANO R50.9 - Fever,
SAKAN 125442 4/1/2022 unspecified 12:34:42 12:37:42 0:03:00

1326 E13.8 - Other


specified
diabetes mellitus
with unspecified
ADAH B complications |
AHMAD 071640 11/10/1972 R06.0 - Dyspnoea 12:41:57 14:42:14 2:00:17

ZIVANA
1327 SYAFRINA
EMILIA 125443 6/25/2022 - 12:49:02 16:34:48 3:45:46

1328 K30 - Functional


DADIN 125444 9/15/1959 dyspepsia 13:11:39 13:12:18 0:00:39

1329 R50 - Fever of


other and
DESTY 125448 12/1/2015 unknown origin 13:28:50 13:29:48 0:00:58

1330 E9065 - Bite by


ZAIN FADEL unspecified
SUBARKAH 125451 3/14/2017 animal 13:34:29 13:36:29 0:02:00

1331 A09.9 -
Gastroenteritis
and colitis of
KARNISAH 073058 1/21/1967 unspecified origin 13:51:14 13:52:14 0:01:00

1332 K30 - Functional


I ROHAYATI 076745 4/15/1964 dyspepsia 14:50:55 14:50:55 0:00:00

E9065 - Bite by
1333 unspecified
IMAS 125465 8/13/1963 animal 15:03:58 15:09:43 0:05:45
1334 ICAH 125467 11/10/1955 - 14:03:00 21:47:25 7:44:25

1335
SALAISYA R50.9 - Fever,
NARAYA Q 125468 1/4/2009 unspecified 15:28:29 16:09:09 0:40:40

1336 TAUFIK K30 - Functional


HIDAYAT 072656 2/1/1972 dyspepsia 16:23:36 16:24:17 0:00:41

1337 LIA K30 - Functional


MULYATI 021474 8/18/1984 dyspepsia 16:41:39 16:42:43 0:01:04

T14.1 - Open
1338 wound of
DENI unspecified body
GUNAWAN 068591 2/13/1989 region 17:07:08 17:08:29 0:01:21

1339 STEFEN
SALEHUDIN R50.9 - Fever,
SUMIRAT 115023 7/17/2010 unspecified 17:16:08 17:17:02 0:00:54
1340 KUSMAWA L20 - Atopic
N 125472 4/16/1978 dermatitis 17:38:48 17:39:46 0:00:58

1341 K30 - Functional


ENIH 020492 8/6/1950 dyspepsia 18:01:23 18:02:25 0:01:02

T14.1 - Open
1342 wound of
unspecified body
SARIP 125473 4/10/1938 region 19:17:11 19:21:45 0:04:34
1343 SYIFA 125474 10/8/2003 J45 - Asthma 19:48:10 19:49:51 0:01:41

1344 K30 - Functional


HERLINA 125475 5/6/1990 dyspepsia 19:50:46 19:50:46 0:00:00

1345 DEDEN K30 - Functional


HIDAYAT 125476 5/9/1989 dyspepsia 19:55:56 20:00:23 0:04:27

1346 ENUNG D64.9 - Anaemia,


NURHAYATI 125470 12/12/1970 unspecified 20:00:15 20:02:18 0:02:03
1347 ANNISA R50.9 - Fever,
AMALIA 093545 5/25/2007 unspecified 20:32:49 20:40:39 0:07:50
1348
LILING 125477 8/2/1976 E9060 - Dog bite 22:18:44 22:22:44 0:04:00
1349 MUHAMM
AD AL GANI R50.9 - Fever,
SOPIAN 125478 2/23/2022 unspecified 2:32:44 2:33:36 0:00:52

1350 K30 - Functional


SRI REJEKI 027640 5/28/1967 dyspepsia 5:46:45 5:46:45 0:00:00

YULIA
1351 PUTRI
ANDIANI 048734 7/2/2001 J45 - Asthma 7:38:15 7:42:15 0:04:00

1352
IKA R10.4 - Other and
HANDAYAN unspecified
I 125488 1/12/1988 abdominal pain 10:46:27 10:49:27 0:03:00

R50.9 - Fever,
1353 unspecified | R56
JAFAR - Convulsions,
RAKHA not elsewhere
MUBASYIR 115025 8/7/2020 classified 10:46:23 12:14:14 1:27:51

R50.9 - Fever,
1354 unspecified | R56
SABIYA - Convulsions,
RAISHA not elsewhere
PUTRI 090886 12/3/2016 classified 11:04:34 12:12:32 1:07:58
1355 R50.9 - Fever,
FAIS 125486 9/2/2019 unspecified 11:36:08 12:10:06 0:33:58
1356 RENI J45.9 - Asthma,
SURYANI 020490 7/4/2001 unspecified 13:18:30 13:21:30 0:03:00

1357 MAUDY K30 - Functional


PUTIARI 125494 10/5/1990 dyspepsia 13:23:20 13:33:51 0:10:31

RAZKA
1358 SHIDQI R50.9 - Fever,
HAFIZAN 125495 1/28/2022 unspecified 13:39:45 13:59:19 0:19:34

1359 MUHAMAD J18.0 -


AL Bronchopneumo
GHIFAHRI 125496 10/16/2022 nia, unspecified 13:43:00 13:45:00 0:02:00

R50.9 - Fever,
1360 unspecified |
IRFAN R56.0 - Febrile
WAHYU 122697 8/21/2017 convulsions 14:43:38 14:46:38 0:03:00
1361 KUSNADI 125498 7/25/1960 L50 - Urticaria 14:53:12 14:54:52 0:01:40

1362 K30 - Functional


SITI AISAH 018390 7/8/1975 dyspepsia 15:15:08 15:16:10 0:01:02

AJI
1363 KERTANEG R50.9 - Fever,
ARA 125500 8/15/1967 unspecified 15:42:37 15:43:45 0:01:08

1364 A88.1 - Epidemic


NARSIBAH 115184 7/4/1966 vertigo 16:08:38 16:08:38 0:00:00

1365 PIPIH 008816/07 K30 - Functional


YUHENTI 5814 5/5/1982 dyspepsia 16:58:48 17:48:42 0:49:54
1366
RAMDANI 125501 3/1/1993 - 17:13:33 17:13:33 0:00:00

1367 A09.9 -
Gastroenteritis
UDIN and colitis of
MAHPUDIN 058166 7/1/1962 unspecified origin 17:19:18 20:00:52 2:41:34

1368 M71.00 - Abscess


KARJA BIN of bursa, multiple
HANAPI 125502 1/10/1951 sites 17:31:08 17:33:03 0:01:55

R50 - Fever of
1369 other and
unknown origin |
R63 - Symptoms
and signs
KHAIRA concerning food
RAHMAH 125504 5/9/2013 and fluid intake 17:44:26 19:45:29 2:01:03

ARSYLLA
1370 ARVALEA R50.0 - Fever
NAZWA 118090 11/25/2021 with chills 17:47:27 17:48:42 0:01:15

1371 E11 - Non-


UJANG insulin-
KUSWAND dependent
A 122729 11/2/1975 diabetes mellitus 18:00:41 18:01:56 0:01:15

1372 SYIFFA E9068 - Other


KHAIRUNNI specified injury
SA ZAHRA 125506 10/26/1998 caused by animal 18:13:55 18:15:55 0:02:00
1373 K30 - Functional
dyspepsia |
EROS R50.9 - Fever,
ROSIDAH 125507 7/27/1974 unspecified 18:23:57 18:24:29 0:00:32

1374 A09.9 -
ZEESHAN Gastroenteritis
DZAKIANDR and colitis of
AR 122565 4/4/2022 unspecified origin 18:27:42 18:28:56 0:01:14

M01.67 - Arthritis
1375 in mycoses (B35-
B49+), ankle and
foot | R50.9 -
DIDIN Fever,
SAHRUDIN 125509 3/30/1952 unspecified 19:11:22 19:12:29 0:01:07

A15.9 -
Respiratory
1376 tuberculosis
unspecified,
confirmed
bacteriologically
and histologically
| R06.0 -
YUNIAH 125510 11/20/1951 Dyspnoea 19:21:45 21:21:29 1:59:44

1377 K30 - Functional


dyspepsia | L50 -
AJO 091398 8/6/1986 Urticaria 19:59:42 20:01:43 0:02:01

1378 K30 - Functional


OHAN 013720 8/17/1951 dyspepsia 20:04:23 20:04:23 0:00:00

1379 ABDURRAZ R50 - Fever of


ZAQ other and
AKRAM 019342 11/17/2003 unknown origin 20:12:09 20:13:32 0:01:23

1380 PANRI K30 - Functional


SIAHAAN 019062 10/20/1982 dyspepsia 21:38:21 21:40:18 0:01:57

PITRI
1381 AULANI R50.9 - Fever,
AGUSTIA 048678 4/12/2018 unspecified 13:28:10 22:16:13 8:48:03
1382
K30 - Functional
dyspepsia |
KOKOM 125512 4/12/1960 K92.1 - Melaena 0:10:12 0:12:04 0:01:52

1383
DESTA
SUBAGJA, K30 - Functional
(Amd.Kep). 087119 12/21/1994 dyspepsia 0:41:56 0:41:56 0:00:00

1384 ARESHA R50 - Fever of


SYAKILA other and
RAMADANI 125513 5/10/2021 unknown origin 1:37:07 1:37:07 0:00:00

G44.2 - Tension-
1385 type headache |
R50.9 - Fever,
HENDI 125515 11/11/1956 unspecified 6:22:08 9:12:49 2:50:41
1386 RIKO
NARAMI 099589 2/16/1967 R51 - Headache 7:22:13 9:04:08 1:41:55

RAFFAN
1387 RIZQI
DARMAWA R11 - Nausea and
N 125527 3/31/2016 vomiting 11:23:04 12:35:40 1:12:36

ANNISA
1388 KASTURI
NAIM 121407 6/9/2022 J45 - Asthma 11:59:02 12:02:02 0:03:00

1389 J06 - Acute upper


respiratory
infections
YANI multiple and
YUNINGSIH 111535 2/2/1993 unspecified sites 12:00:45 12:02:53 0:02:08

1390 AI K30 - Functional


SOBARIAH 040411 3/10/1970 dyspepsia 12:39:58 12:56:05 0:16:07

1391 IMAM
AHMAD H10 -
KOSWARA 125528 5/22/1997 Conjunctivitis 12:50:04 13:56:33 1:06:29
1392 ICAH 125532 11/10/1955 - 13:40:18 13:40:18 0:00:00

1393 AYI R11 - Nausea and


APRIYANI 103033 5/1/1981 vomiting 14:20:51 14:21:12 0:00:21
1394 USMAN 064306 7/1/1959 - 14:33:42 16:48:51 2:15:09

E10 - Insulin-
1395 dependent
diabetes mellitus
| R11 - Nausea
WIWIN 020455 2/5/1969 and vomiting 14:48:53 16:46:37 1:57:44

1396 R50 - Fever of


other and
APAN 125536 8/2/1943 unknown origin 15:06:39 15:07:07 0:00:28
1397 C91 - Lymphoid
NURYADIN 125537 12/12/1972 leukaemia 15:13:24 15:14:25 0:01:01

1398 YAYAT
PERMANA 062962 10/12/1964 - 15:18:50 15:19:41 0:00:51

1399 A15 - Respiratory


tuberculosis,
bacteriologically
and histologically
TETENG 124764 1/1/1964 confirmed 16:10:52 16:12:41 0:01:49

R50 - Fever of
1400 other and
unknown origin |
R53 - Malaise
HANA 045599 7/1/1968 and fatigue 17:49:48 19:16:50 1:27:02

M FIKRI
1401 PIRMANSY 068317/11
AH 4533 11/8/2010 J45 - Asthma 16:45:56 16:48:56 0:03:00
1402 NINING 064194 9/1/1970 - 16:57:36 16:57:36 0:00:00

1403 RONA R50 - Fever of


NURDIANS other and
YAH 108313 4/8/1987 unknown origin 17:20:35 19:51:36 2:31:01
1404
SUHANAH 123278 8/4/1973 - 17:26:56 17:26:56 0:00:00

1405 RATU
HIKMATUL R50.9 - Fever,
INAYAH 070506 10/7/2002 unspecified 17:32:28 17:32:28 0:00:00
YODI
1406 MAULANA,
SH 074655 5/20/1977 - 17:38:13 17:39:20 0:01:07

1407 T01 - Open


wounds involving
DEDE multiple body
SOPIANDI 125538 8/26/1979 regions 18:49:11 18:50:47 0:01:36
1408 R50.9 - Fever,
EMIS 125539 4/2/1962 unspecified 18:58:15 18:59:33 0:01:18

1409 R50 - Fever of


other and
KARMI 027214 5/6/1965 unknown origin 19:03:54 19:04:14 0:00:20

J06.9 - Acute
1410 upper respiratory
NAURA infection,
CHAERUNN unspecified |
ISA R50.0 - Fever
RUSTANDI 086728 12/8/2016 with chills 19:40:08 19:47:33 0:07:25

T14 - Injury of
1411 BASMAH unspecified body
NUR ISMI 125541 1/1/2001 region 19:30:54 19:34:54 0:04:00

1412 AHMAD
GUNAWAN 125542 7/14/2014 - 19:30:54 19:30:54 0:00:00

ALIKA
1413 AINUROHI
MAH 125543 2/18/2013 - 20:20:06 20:20:06 0:00:00
1414 EEN R10.0 - Acute
SUHAENI 125544 5/5/1955 abdomen 20:30:04 20:33:04 0:03:00

THORIQ
1415 HARAKI
MUHAMM 000993/07 J03 - Acute
AD 1256 4/12/2007 tonsillitis 20:58:33 20:59:22 0:00:49

1416 RINI SRI H81.4 - Vertigo of


MULYANI 125545 4/16/2001 central origin 21:12:06 21:13:58 0:01:52

ARZA
1417 ZHAHIER
FAUDZUL R50.9 - Fever,
HIDAYAT 102980 9/20/2004 unspecified 21:20:11 21:20:28 0:00:17
1418 RENI R10 - Abdominal
KURNIASIH 125546 3/24/1989 and pelvic pain 21:37:42 21:40:42 0:03:00

1419 DR AKBAR
SUPERMAS
PUTRERA, K30 - Functional
SH 125547 1/6/1982 dyspepsia 21:50:47 21:51:14 0:00:27

1420 T14 - Injury of


SEKAR AYU unspecified body
LARASATI 124032 5/5/2002 region 23:37:13 23:38:33 0:01:20
TOTAL
SAMPLE
RESPON TIME SAMPEL PASIEN 256

< 5 MENIT 252 Pasien N 256

> 5 MENIT 4 Pasien D 252

Capaian 98.40%
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LAPORAN MUTU RESPON TIME PASIEN
INSTALASI GAWAT DARURAT
Bulan : DESEMBER 2022

NO Pasien RM Tgl Lahir Diagnosa Jam Reg Jam Periksa Interval

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