Laporan Universal

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<td align="center" colspan="9">
<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL POLI UMUM<br>
BULAN 01-10-2022 - 31-10-2022 </span></big></big>
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<table align='center'>
<tr>
<td>Total</td>
<td>:</td>
<td>673</td>
</tr>
</table>
<table align="center" width="98%" border="1">
<tr class="row1">
<td width='3%'>No</td>
<td width='6%'>Tanggal</td>
<td width='6%'>PKM</td>
<td width='6%'>No RM</td>
<td width='10%'>Nama</td>
<td width='10%'>NIK</td>
<td width='10%'>Alamat</td>
<td width='6%'>Desa</td>
<td width='5%'>Kecamatan</td>
<td width='5%'>Kabupaten</td>
<td width='6%'>Tgl Lahir</td>
<td width='6%'>Umur<br>Th</td>
<td width='2%'>L/P</td>
<td width='7%'>Pekerjaan</td>
<td width='7%'>Ruangan</td>
<td width='7%'>Petugas</td>
<td width='4%'>Status</td>
<td>Kasus</td>
<td>Cara Bayar</td>
<td>Jenis BPJS</td>
<td>No BPJS</td>
<td>Kode Bridging</td>
<td>ICD-10</td>
<td>Diagnosa</td>
</tr>
<tr align="left" valign="top">

<td>1</td>
<td>01-10-2022</td>
<td>PUSKESMAS POGALAN</td>
<td>000568</td>
<td>NURHAYATI</td>
<td>'</td>
<td>BENDOREJO RT 37 RW 15</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-01-1987</td>
<td>35</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr. Rendra Andriawan</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002328299965</td>
<td>131503011022Y000005</td>
<td align='center'>
B20.0 </td>
<td align='center'>
HIV disease resulting in mycobacterial infection </td>
</tr>

<td>2</td>
<td>01-10-2022</td>
<td>015874</td>
<td>AHMAD YOGA PRATAMA</td>
<td>'3503121806090001</td>
<td>RT 42 RW 18</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-06-2009</td>
<td>13</td>
<td>L</td>
<td>Pelajar / Mahasiswa</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665984496</td>
<td>131503011022Y000006</td>
<td align='center'>
J11 </td>
<td align='center'>
Influenza, virus not identified </td>
</tr>

<td>3</td>
<td>01-10-2022</td>
<td>012541</td>
<td>YULI KUSTIANI</td>
<td>'3503124101870006</td>
<td>RT 42 RW 18 KRANDING.BENDOREJO.POGALAN, RT : 42,RW :18 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1987</td>
<td>34</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
Polyarthritis, unspecified </td>
</tr>

<td>4</td>
<td>01-10-2022</td>
<td>001646</td>
<td>SUWITO </td>
<td>'3503120102550001</td>
<td>NGETAL RT 17 RW 06</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-02-1953</td>
<td>69</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN PNS</td>
<td>'0000106561225</td>
<td>131503011022Y000016</td>
<td align='center'>
J11.8 </td>
<td align='center'>
Influenza with other manifestations, virus not identified </td>
</tr>

<td>5</td>
<td>01-10-2022</td>
<td>016043</td>
<td>ADYTYA PUTRA SETYAWAN</td>
<td>'3503122812930003</td>
<td>RT 018 RW 008 CEME.NGADIRENGGO.POGALAN, RT : 18,RW :8 </td>
<td>NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-12-1993</td>
<td>28</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000665776034</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
Fever, unspecified </td>
</tr>

<td>6</td>
<td>01-10-2022</td>
<td>001621</td>
<td>MAYA ANGELITA</td>
<td>'3503126512060002</td>
<td>NGADIREJO RT 23 RW 7</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-2006</td>
<td>15</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664864042</td>
<td>131503011022Y000007</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>7</td>
<td>01-10-2022</td>
<td>000136</td>
<td>SISWANTO</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-12-1971</td>
<td>50</td>
<td>L</td>
<td>Pegawai Negeri Sipil</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106527778</td>
<td>131503011022Y000008</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
</tr>

<td>8</td>
<td>01-10-2022</td>
<td>002087</td>
<td>CATUR SETYAWATI</td>
<td>'3503127011690002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-11-1969</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106844512</td>
<td>131503011022Y000017</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>9</td>
<td>01-10-2022</td>
<td>016044</td>
<td>MOH. RIDHO</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-2016</td>
<td>6</td>
<td>L</td>
<td>Belum / Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>10</td>
<td>01-10-2022</td>
<td>009610</td>
<td>INDAH MAYAWATI</td>
<td>'3503127112800014</td>
<td>KENDALREJO RT 18 RW 07</td>
<td>KENDALREJO</td>
<td>DURENAN</td>
<td>TRENGGALEK</td>
<td>31-12-1980</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106629243</td>
<td>131503011022Y000009</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>11</td>
<td>01-10-2022</td>
<td>008975</td>
<td>ISMIATI</td>
<td>'3503124702730002</td>
<td>NGADIENGGO RT 18 RW 7</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-02-1973</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEKERJA MANDIRI</td>
<td>'0002883169855</td>
<td>131503011022Y000010</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>12</td>
<td>01-10-2022</td>
<td>000525</td>
<td>SUKANDAM</td>
<td>'3503120906670001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-06-1967</td>
<td>55</td>
<td>L</td>
<td>Petani / Pekebun</td>
<td>POLI UMUM</td>
<td>dr. Tandhing Tria Setyawan</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002295305471</td>
<td>131503011022Y000002</td>
<td align='center'>
N18 </td>
<td align='center'>
Chronic kidney disease </td>
</tr>

<td>13</td>
<td>01-10-2022</td>
<td>001683</td>
<td>ARIYANA</td>
<td>'3501064908870003</td>
<td>NGADIRENGGO RT 04 RW 02</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-08-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665768788</td>
<td>131503011022Y000031</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>14</td>
<td>01-10-2022</td>
<td>010540</td>
<td>ARSAKA GIANDRA ALFARIZI</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-12-2021</td>
<td>0</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>15</td>
<td>01-10-2022</td>
<td>000451</td>
<td>NURUDIN</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1963</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664503759</td>
<td>131503011022Y000003</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>16</td>
<td>01-10-2022</td>
<td>003863</td>
<td>SUKIRAN</td>
<td>'3503123011620002</td>
<td>NGETAL RT 01</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-11-1962</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665207043</td>
<td>131503011022Y000011</td>
<td align='center'>
A30 </td>
<td align='center'>
Leprosy [Hansen disease] </td>
</tr>

<td>17</td>
<td>01-10-2022</td>
<td>016045</td>
<td>EVA OKTAFIN</td>
<td>'3503136110960002</td>
<td>WONOCOYO RT 11 RW 05</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-10-1996</td>
<td>26</td>
<td>P</td>
<td>Pelajar/Mahasiswa</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>18</td>
<td>01-10-2022</td>
<td>016046</td>
<td>SITI FATIMAH</td>
<td>'3503126812530001</td>
<td>DSN NGLEMBU, RT : 24,RW :8 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-12-1953</td>
<td>68</td>
<td>P</td>
<td>Petani/Pekebun</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R51 </td>
<td align='center'>
Headache </td>
</tr>

<td>19</td>
<td>01-10-2022</td>
<td>001082</td>
<td>SUKINI</td>
<td>'3503124107600078</td>
<td>RT 018 RW 008 WADILOR.NGADIRENGGO.POGALAN, RT : 18,RW :8 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1960</td>
<td>62</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002327223238</td>
<td>131503011022Y000012</td>
<td align='center'>
K29 </td>
<td align='center'>
Gastritis and duodenitis </td>
</tr>

<td>20</td>
<td>01-10-2022</td>
<td>000255</td>
<td>UCIK MUSIATI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-08-1972</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665055955</td>
<td>131503011022Y000013</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>21</td>
<td>01-10-2022</td>
<td>004515</td>
<td>MARJITO</td>
<td>'3503121507530002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-07-1953</td>
<td>69</td>
<td>L</td>
<td>Transportasi</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI SWASTA</td>
<td>'0002757036082</td>
<td>131503011022Y000014</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>22</td>
<td>01-10-2022</td>
<td>002852</td>
<td>DAFFA FIKRI P</td>
<td>'3503120504150001</td>
<td>RT 12 RW 04 DESA NGETAL POGALAN TRENGGALEK, RT : 12,RW :4 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-04-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707080319</td>
<td>131503011022Y000018</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>23</td>
<td>01-10-2022</td>
<td>002194</td>
<td>SUKARI</td>
<td>'3503121710540001</td>
<td>KEDUNGLURAH RT 12 RW 04</td>
<td>KEDUNGLURAH</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-10-1954</td>
<td>68</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665594818</td>
<td>131503011022Y000015</td>
<td align='center'>
I50.0 </td>
<td align='center'>
Congestive heart failure </td>
</tr>

<td>24</td>
<td>01-10-2022</td>
<td>016048</td>
<td>RISKI ARDIANSAH</td>
<td>'3503121905990001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-05-1999</td>
<td>23</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0003275469911</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
General medical examination </td>
</tr>

<td>25</td>
<td>01-10-2022</td>
<td>004480</td>
<td>LUKI BESTIAN</td>
<td>'3503120204990001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-04-1999</td>
<td>23</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0000665758495</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>26</td>
<td>01-10-2022</td>
<td>005004</td>
<td>NURTIASIH</td>
<td>'3503127112640014</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1964</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0002425830243</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>27</td>
<td>01-10-2022</td>
<td>000800</td>
<td>WINARTI</td>
<td>'</td>
<td>NGADIRENGGO RT05 RW 02</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666843017</td>
<td>131503011022Y000019</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>28</td>
<td>01-10-2022</td>
<td>001966</td>
<td>NAURA SAFIRA AZZAHRA</td>
<td>'</td>
<td>RT 20 RW 07 DESA NGETAL</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-09-2020</td>
<td>2</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>29</td>
<td>01-10-2022</td>
<td>000616</td>
<td>SAIKUN</td>
<td>'3503123006630004</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-06-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002681612425</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>
<td>30</td>
<td>01-10-2022</td>
<td>014582</td>
<td>ENIK SETYO WATI</td>
<td>'3515087010810001</td>
<td>GEMBLEB RT 34 RW 12</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-10-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000722694802</td>
<td>131503011022Y000020</td>
<td align='center'>
J11.0 </td>
<td align='center'>
Influenza with pneumonia, virus not identified </td>
</tr>

<td>31</td>
<td>01-10-2022</td>
<td>001360</td>
<td>FANNY BODHIATUL FADILAH</td>
<td>'</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-06-2006</td>
<td>16</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000722695318</td>
<td>131503011022Y000021</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>32</td>
<td>01-10-2022</td>
<td>010252</td>
<td>RAHMA AIDA PEBRIYANTI</td>
<td>'3503126202070001</td>
<td>NGADIRENGGO RT 19</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-2007</td>
<td>15</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665770342</td>
<td>131503011022Y000022</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>33</td>
<td>01-10-2022</td>
<td>005164</td>
<td>VANYA TETANIA</td>
<td>'3503126103990006</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-03-1999</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002777470018</td>
<td>131503011022Y000023</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>34</td>
<td>01-10-2022</td>
<td>015599</td>
<td>M. ARFAN ASSYADAD</td>
<td>'3503121907160001</td>
<td>RT 006 RW 003 DSN NGRAYUNG DS NGADIRENGGO, RT : 6,RW :3 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-07-2016</td>
<td>6</td>
<td>P</td>
<td>Belum/Tidak Bekerja</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0003102033699</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>35</td>
<td>01-10-2022</td>
<td>005734</td>
<td>MURSIATI</td>
<td>'3503124904600001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-04-1960</td>
<td>62</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A09.9 </td>
<td align='center'>
Gastroenteritis and colitis of unspecified origin </td>
</tr>

<td>36</td>
<td>01-10-2022</td>
<td>012654</td>
<td>AMANATUN</td>
<td>'3503126104630003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-04-1963</td>
<td>59</td>
<td>P</td>
<td>Perdagangan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002734822653</td>
<td>131503011022Y000032</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>37</td>
<td>01-10-2022</td>
<td>000758</td>
<td>SITI SHOFIYAH</td>
<td>'</td>
<td>BENDOREJO RT 31 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-12-1980</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665981526</td>
<td>131503011022Y000024</td>
<td align='center'>
H52.5 </td>
<td align='center'>
Disorders of accommodation </td>
</tr>

<td>38</td>
<td>01-10-2022</td>
<td>016050</td>
<td>MUHAMMAD SANTOSO</td>
<td>'3503121912920002</td>
<td>DUSUN ALAS MALANG RT.001 RW.001 NGADIREJO. KEC.POGALAN.
KAB.TRENGGALEK, RT : 1,RW :1 </td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-12-1992</td>
<td>29</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M13.09 </td>
<td align='center'>
Polyarthritis, unspecified, unspecified site </td>
</tr>

<td>39</td>
<td>01-10-2022</td>
<td>009504</td>
<td>SARIP</td>
<td>'</td>
<td>RT 3 RW 1</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-11-1948</td>
<td>73</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664212846</td>
<td>131503011022Y000025</td>
<td align='center'>
N40 </td>
<td align='center'>
Hyperplasia of prostate </td>
</tr>

<td>40</td>
<td>01-10-2022</td>
<td>009640</td>
<td>RIMA ERNY YUWANA SARI</td>
<td>'3503124906000002</td>
<td>DUSUN WONOCOYO RT.008 RW.004 WONOCOYO. POGALAN. TRENGGALEK, RT :
8,RW :4 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-06-2000</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002681618883</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
General examination and investigation of persons without complaint and
reported diagnosis </td>
</tr>

<td>41</td>
<td>01-10-2022</td>
<td>016051</td>
<td>SYAIFUL ANSHORI</td>
<td>'3503100411970002</td>
<td>DSN. SUWARU DS. KRANDEGAN GANDUSARI T. GALEK, RT : 9,RW :4 </td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>04-11-1997</td>
<td>24</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K21.0 </td>
<td align='center'>
Gastro-oesophageal reflux disease with oesophagitis </td>
</tr>

<td>42</td>
<td>01-10-2022</td>
<td>016052</td>
<td>AZALEA RAYAZENI</td>
<td>'3503125308160001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-08-2016</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002231494176</td>
<td>131503011022Y000033</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>43</td>
<td>01-10-2022</td>
<td>016053</td>
<td>FERDINA PUTRI PRADANI</td>
<td>'3503125102980001</td>
<td>DUSUN BENDO RT.001 RW.001 BENDOREJO. POGALAN. TRENGGALEK, RT : 1,RW
:1 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-02-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0003000911523</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>44</td>
<td>01-10-2022</td>
<td>002390</td>
<td>SUPARTI</td>
<td>'35031241075200042</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1952</td>
<td>70</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002326927612</td>
<td>131503011022Y000026</td>
<td align='center'>
I64 </td>
<td align='center'>
Stroke, not specified as haemorrhage or infarction </td>
</tr>

<td>45</td>
<td>01-10-2022</td>
<td>000200</td>
<td>LULUK LAILI</td>
<td>'</td>
<td>BENDOREJO RT 37 RW15</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-12-1964</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978414481</td>
<td>131503011022Y000027</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>46</td>
<td>01-10-2022</td>
<td>016054</td>
<td>CAHYALITA DESTRIA HENDRIATMA</td>
<td>'3503124112100001</td>
<td>RT14. RW 07. DS/KEC POGALAN. KAB TRENGGALEK, RT : 014,RW :007 </td>
<td>POGALAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-2010</td>
<td>11</td>
<td>P</td>
<td>BELUM/TIDAK BEKERJA</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001540691256</td>
<td>131503011022Y000028</td>
<td align='center'>
S90.0 </td>
<td align='center'>
Contusion of ankle </td>
</tr>
<td>47</td>
<td>01-10-2022</td>
<td>016055</td>
<td>RINA RAHAYU</td>
<td>'3503124804830003</td>
<td>RT14. RW 07. DS/KEC POGALAN. KAB TRENGGALEK, RT : 014,RW :007 </td>
<td>POGALAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-04-1983</td>
<td>39</td>
<td>P</td>
<td>WIRASWASTA</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001540691212</td>
<td>131503011022Y000029</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>48</td>
<td>01-10-2022</td>
<td>016056</td>
<td>SHERLY MEYHENDRIATMA</td>
<td>'3503126905060006</td>
<td>RT 14 RW 07 POGALAN</td>
<td>POGALAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-05-2006</td>
<td>16</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001540691245</td>
<td>131503011022Y000030</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>49</td>
<td>03-10-2022</td>
<td>001682</td>
<td>PALIL</td>
<td>'3503122409530001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1953</td>
<td>69</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665334909</td>
<td>131503011022Y000156</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>50</td>
<td>03-10-2022</td>
<td>000593</td>
<td>IMAM SOPINGI</td>
<td>'3503121608790001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-01-1973</td>
<td>49</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665783965</td>
<td>131503011022Y000157</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>51</td>
<td>03-10-2022</td>
<td>014050</td>
<td>SUWARNI</td>
<td>'3503120303550004</td>
<td>RT 8 RW 05</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-1955</td>
<td>67</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664327091</td>
<td>131503011022Y000158</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>52</td>
<td>03-10-2022</td>
<td>003335</td>
<td>ALI</td>
<td>'3503121010760002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-10-1967</td>
<td>55</td>
<td>L</td>
<td>Lainnya</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867886786</td>
<td>131503011022Y000159</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>53</td>
<td>03-10-2022</td>
<td>012727</td>
<td>SOEMINI</td>
<td>'</td>
<td>BRNDOREJO RT 2 RW 2</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-11-1932</td>
<td>89</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106715226</td>
<td>131503011022P000049</td>
<td align='center'>
H25.2 </td>
<td align='center'>
Senile cataract, morgagnian type </td>
</tr>

<td>54</td>
<td>03-10-2022</td>
<td>016067</td>
<td>SUJIYAT</td>
<td>'3503120107650001</td>
<td>GEBANG.NGADIREJO, RT : 40,RW :13 </td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1965</td>
<td>57</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036963438 </td>
<td>131503011022Y000043</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>55</td>
<td>03-10-2022</td>
<td>007671</td>
<td>RITA PURNAMA SARI</td>
<td>'3503146811950002</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-11-1995</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665446059</td>
<td>131503011022Y000160</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>56</td>
<td>03-10-2022</td>
<td>000203</td>
<td>SULASTRI</td>
<td>'3503124805810001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-05-1981</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0001889038293</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>57</td>
<td>03-10-2022</td>
<td>015131</td>
<td>RAMADHAN RAKHMADI</td>
<td>'3503124807670004</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-07-1967</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>58</td>
<td>03-10-2022</td>
<td>016068</td>
<td>MARYAM</td>
<td>'3503104507750007</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-07-1975</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>59</td>
<td>03-10-2022</td>
<td>002900</td>
<td>TINA FAIZATUL MAGHFIRA</td>
<td>'3503126612120002</td>
<td>DUSUN BANDULAN RT.011 RW.005 WONOCOYO. POGALAN. TRENGGALEK, RT :
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-12-2012</td>
<td>9</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002518610141</td>
<td>131503011022Y000161</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>60</td>
<td>03-10-2022</td>
<td>008810</td>
<td>MESINAH</td>
<td>'3503127112560013</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1956</td>
<td>65</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664516528</td>
<td>131503011022Y000162</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>61</td>
<td>03-10-2022</td>
<td>016070</td>
<td>ULFATUN KHASANAH</td>
<td>'3503124109930004</td>
<td>DUSUN BLENGOK RT.025 RW.011 WONOCOYO. POGALAN. TRENGGALEK, RT :
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867886731</td>
<td>131503011022Y000163</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>62</td>
<td>03-10-2022</td>
<td>004888</td>
<td>SAMAIRA ATIQA RIZQIYYA</td>
<td>'3503124811170001</td>
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-11-2017</td>
<td>4</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>63</td>
<td>03-10-2022</td>
<td>001082</td>
<td>SUKINI</td>
<td>'3503124107600078</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1960</td>
<td>62</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002327223238</td>
<td>131503011022Y000164</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>
<td>64</td>
<td>03-10-2022</td>
<td>008336</td>
<td>DEWI FITRAH NURROHIM</td>
<td>'3503125512930004</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-12-1993</td>
<td>28</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>65</td>
<td>03-10-2022</td>
<td>002847</td>
<td>SETYOWATI</td>
<td>'3503126302630001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-02-1953</td>
<td>69</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106879724</td>
<td>131503011022Y000165</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>66</td>
<td>03-10-2022</td>
<td>005690</td>
<td>SUDAR</td>
<td>'3503122301510001</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-01-1951</td>
<td>71</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106734925</td>
<td>131503011022P000041</td>
<td align='center'>
L23.7 </td>
<td align='center'>
Allergic contact dermatitis due to plants, except food </td>
</tr>

<td>67</td>
<td>03-10-2022</td>
<td>000799</td>
<td>JUWITO</td>
<td>'3503121104720002</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-1972</td>
<td>50</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665739279</td>
<td>131503011022Y000166</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>68</td>
<td>03-10-2022</td>
<td>000436</td>
<td>PAETUN</td>
<td>'3503124505780006</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-05-1978</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665674806</td>
<td>131503011022Y000167</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>69</td>
<td>03-10-2022</td>
<td>004292</td>
<td>ADIN WABDULLOH</td>
<td>'3503122304920003</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-1992</td>
<td>30</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665430592</td>
<td>131503011022Y000168</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>70</td>
<td>03-10-2022</td>
<td>011193</td>
<td>SUPARYANI</td>
<td>'3503122506690001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002508535945</td>
<td>131503011022Y000169</td>
<td align='center'>
J11.8 </td>
<td align='center'>
</tr>

<td>71</td>
<td>03-10-2022</td>
<td>005358</td>
<td>MAHA RUMAISHA</td>
<td>'3503123007190002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-04-2021</td>
<td>1</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003081305237</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
</tr>

<td>72</td>
<td>03-10-2022</td>
<td>000730</td>
<td>MISNO</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-01-1953</td>
<td>69</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106860183</td>
<td>131503011022Y000171</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>73</td>
<td>03-10-2022</td>
<td>010077</td>
<td>SULISTYANINGSIH</td>
<td>'3503114203830002</td>
<td>KARANGSOKO RT 27 RW 06</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>02-03-1983</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0002760221395</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>74</td>
<td>03-10-2022</td>
<td>010192</td>
<td>HASNA NABILA RAMADHANI</td>
<td>'3503124407140001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-07-2014</td>
<td>8</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>75</td>
<td>03-10-2022</td>
<td>016073</td>
<td>AHMAD SOKIB</td>
<td>'3503122712820001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-12-1982</td>
<td>39</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>76</td>
<td>03-10-2022</td>
<td>014307</td>
<td>NADA FARISA PUTRI</td>
<td>'3503125101170002</td>
<td>RT 019 RW 007 DS KEDUNGLURAH POGALAN, RT : 19,RW :7 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-01-2017</td>
<td>5</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>77</td>
<td>03-10-2022</td>
<td>016075</td>
<td>AMIRA SALMA</td>
<td>'</td>
<td>KRANDEGAN RT 05 RW 03</td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>13-09-2016</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>78</td>
<td>03-10-2022</td>
<td>016076</td>
<td>AGUS RIYANTO</td>
<td>'3503122203830001</td>
5,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-03-1983</td>
<td>39</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI PEMERINTAH DENGAN PERJANJIAN KERJA</td>
<td>'0002681619456</td>
<td>131503011022Y000178</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>79</td>
<td>03-10-2022</td>
<td>000658</td>
<td>MUTINGAH</td>
<td>'</td>
<td>NGADIREJO RT 16 </td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-1954</td>
<td>68</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665179413</td>
<td>131503011022Y000042</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>80</td>
<td>03-10-2022</td>
<td>009204</td>
<td>SRIKAH</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-02-1965</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666354688</td>
<td>131503011022Y000179</td>
<td align='center'>
L20 </td>
<td align='center'>
Atopic dermatitis </td>
</tr>

<td>81</td>
<td>03-10-2022</td>
<td>009108</td>
<td>LADIMIN</td>
<td>'3503121804550001</td>
<td>RT 23 RW 10 CEME.NGADIRENGGO.POGALAN T.GALEK, RT : 23,RW :10 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-04-1955</td>
<td>67</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681612324</td>
<td>131503011022Y000180</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>82</td>
<td>03-10-2022</td>
<td>000354</td>
<td>KALSUMI</td>
<td>'3503125910470001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-10-1947</td>
<td>75</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0002453660752</td>
<td>131503011022Y000039</td>
<td align='center'>
G20 </td>
<td align='center'>
Parkinson`s disease </td>
</tr>
<td>83</td>
<td>03-10-2022</td>
<td>000473</td>
<td>MUKANI</td>
<td>'</td>
<td>BENDOREJO RT 30</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-08-1945</td>
<td>77</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036967534</td>
<td>131503011022Y000181</td>
<td align='center'>
J45 </td>
<td align='center'>
Asthma </td>
</tr>

<td>84</td>
<td>03-10-2022</td>
<td>007110</td>
<td>KHADIJAH YUMNA AZZAHRA</td>
<td>'3503125106210001</td>
<td>RT 38 RW14 NGADIREJO</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-06-2021</td>
<td>1</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003087405044</td>
<td>131503011022Y000046</td>
<td align='center'>
J44.9 </td>
<td align='center'>
Chronic obstructive pulmonary disease, unspecified </td>
</tr>

<td>85</td>
<td>03-10-2022</td>
<td>008853</td>
<td>EZAR RADITYA YUSUF</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-10-2021</td>
<td>1</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>86</td>
<td>03-10-2022</td>
<td>000217</td>
<td>SITI BANDIYAH</td>
<td>'3503126007540001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-07-1954</td>
<td>68</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002159533326</td>
<td>131503011022Y000182</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>87</td>
<td>03-10-2022</td>
<td>002103</td>
<td>JUMADI</td>
<td>'3503120803680001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-03-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665204545</td>
<td>131503011022Y000107</td>
<td align='center'>
I50.0 </td>
<td align='center'>
</tr>

<td>88</td>
<td>03-10-2022</td>
<td>015047</td>
<td>NUR JANAH</td>
<td>'3503124201750001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1975</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664893562</td>
<td>131503011022Y000183</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>89</td>
<td>03-10-2022</td>
<td>008457</td>
<td>HARYANIK</td>
<td>'3503124107470011</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1947</td>
<td>75</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665941105</td>
<td>131503011022Y000108</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>90</td>
<td>04-10-2022</td>
<td>016077</td>
<td>NUR FARIDA</td>
<td>'3503104103820002</td>
<td>DSN. SWARU DS.KRANDEGAN GANDUSARI T.GALEK, RT : 7,RW :3 </td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>01-03-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003293112712</td>
<td>131503011022Y000048</td>
<td align='center'>
C50 </td>
<td align='center'>
Malignant neoplasm of breast </td>
</tr>

<td>91</td>
<td>04-10-2022</td>
<td>016079</td>
<td>DAFFA MAULANA AZIZ NAPUTRA</td>
<td>'6471030107080005</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-2008</td>
<td>14</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002067323872</td>
<td>131503011022Y000185</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>92</td>
<td>04-10-2022</td>
<td>000950</td>
<td>AMIN TOHARI</td>
<td>'3503121006620001</td>
<td>RT 002 RW 002 DSN BENDOREJO, RT : 2,RW :2 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-06-1962</td>
<td>60</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106776426</td>
<td>131503011022Y000051</td>
<td align='center'>
E11.3 </td>
<td align='center'>
Non-insulin-dependent diabetes mellitus with ophthalmic complications
</td>
</tr>

<td>93</td>
<td>04-10-2022</td>
<td>000564</td>
<td>KHANSA ARIFA</td>
<td>'35031263060000001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-06-2000</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106776459</td>
<td>131503011022Y000052</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>94</td>
<td>04-10-2022</td>
<td>000951</td>
<td>NUNIK SUSILOWATI</td>
<td>'3503126501700001</td>
<td>RT 002 RW 002 DSN BENDOREJO, RT : 2,RW :2 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-01-1970</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106776437</td>
<td>131503011022Y000050</td>
<td align='center'>
I25.2 </td>
<td align='center'>
Old myocardial infarction </td>
</tr>

<td>95</td>
<td>04-10-2022</td>
<td>000575</td>
<td>LILIS SUKARTI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-04-1974</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000203450501</td>
<td>131503011022Y000055</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>96</td>
<td>04-10-2022</td>
<td>009249</td>
<td>RIZKI KHARISMA NINDA</td>
<td>'3503135608950001</td>
<td>RT 15 RW 05 DS. GEMBLEB, RT : 015,RW :005 </td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-08-1995</td>
<td>27</td>
<td>P</td>
<td>MENGURUS RUMAH TANGGA</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0001800745108</td>
<td>131503011022Y000053</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>97</td>
<td>04-10-2022</td>
<td>006433</td>
<td>SYIFA RAHMA AGUSTIN</td>
<td>'3503124710814000</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-08-2014</td>
<td>8</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681787249</td>
<td>131503011022Y000056</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>98</td>
<td>04-10-2022</td>
<td>010616</td>
<td>HAMDAM CHOIRON N</td>
<td>'3503120209940001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1994</td>
<td>28</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>drg.SUSETYO BUDI WIDODO</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665547399</td>
<td>131503011022Y000186</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>99</td>
<td>04-10-2022</td>
<td>016080</td>
<td>SRI SUPATMI</td>
<td>'3503114611580001</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>06-11-1958</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>100</td>
<td>04-10-2022</td>
<td>016082</td>
<td>BERYL </td>
<td>'</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-06-2013</td>
<td>9</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>101</td>
<td>04-10-2022</td>
<td>014669</td>
<td>ASMINTEN</td>
<td>'3503126006710005</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-06-1971</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000040237402</td>
<td>131503011022Y000187</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>
<td>102</td>
<td>04-10-2022</td>
<td>009627</td>
<td>SISTANIA</td>
<td>'3503057008670001</td>
<td>PUCANGANAK RT 18 RW 08</td>
<td>PUCANGANAK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-08-1967</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000104674296</td>
<td>131503011022Y000057</td>
<td align='center'>
J44 </td>
<td align='center'>
Other chronic obstructive pulmonary disease </td>
</tr>

<td>103</td>
<td>04-10-2022</td>
<td>015874</td>
<td>AHMAD YOGA PRATAMA</td>
<td>'3503121806090001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-06-2009</td>
<td>13</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665984496</td>
<td>131503011022Y000188</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>104</td>
<td>04-10-2022</td>
<td>003351</td>
<td>MUSRINGATIN</td>
<td>'3503124403720001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-03-1972</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664191909</td>
<td>131503011022Y000189</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>105</td>
<td>04-10-2022</td>
<td>010636</td>
<td>MURTINI</td>
<td>'3503125710630002</td>
<td>NGADIRENGGO 09</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-10-1963</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002874182084</td>
<td>131503011022Y000190</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>106</td>
<td>04-10-2022</td>
<td>010801</td>
<td>AAN FAUZIAH LATIF</td>
<td>'3503064707960002</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-07-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664598182</td>
<td>131503011022Y000191</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>107</td>
<td>04-10-2022</td>
<td>001757</td>
<td>MUJITO</td>
<td>'3503120511740001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1974</td>
<td>47</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665357038</td>
<td>131503011022P000060</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>108</td>
<td>04-10-2022</td>
<td>013725</td>
<td>MUHAMMAD HADZIQUN NUHA</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-04-2013</td>
<td>9</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001918505755</td>
<td>131503011022Y000192</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>109</td>
<td>04-10-2022</td>
<td>013844</td>
<td>KAFINA ZAHROTUL ULA</td>
<td>'</td>
<td>KEDUNGLURAH RT 33 W 13</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-11-2010</td>
<td>11</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001917933434</td>
<td>131503011022Y000193</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>110</td>
<td>04-10-2022</td>
<td>000964</td>
<td>GUNAWAN</td>
<td>'3503122512810001</td>
<td>RT 15. RW 08. DS/KEC POGALAN. KAB TRENGGALEK, RT : 015,RW :008
</td>
<td>POGALAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-12-1981</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0002753454161</td>
<td>131503011022P000058</td>
<td align='center'>
N18.4 </td>
<td align='center'>
Chronic kidney disease, stage 4 </td>
</tr>

<td>111</td>
<td>04-10-2022</td>
<td>001467</td>
<td>PAINEM</td>
<td>'3503124107590076</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1959</td>
<td>63</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002455781848</td>
<td>131503011022P000062</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>112</td>
<td>04-10-2022</td>
<td>003795</td>
<td>HAQIARBI DARMA BAKTIAR</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-05-2000</td>
<td>22</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PNS DAERAH</td>
<td>'0000106543405</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>113</td>
<td>04-10-2022</td>
<td>009766</td>
<td>WINARSIH</td>
<td>'3503125706780005</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-06-1978</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001258918817</td>
<td>131503011022P000061</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>114</td>
<td>04-10-2022</td>
<td>011491</td>
<td>SITI MUALIPAH</td>
<td>'3503124803640001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1964</td>
<td>58</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666840328</td>
<td>131503011022Y000194</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>115</td>
<td>04-10-2022</td>
<td>002087</td>
<td>CATUR SETYAWATI</td>
<td>'3503127011690002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-11-1969</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106844512</td>
<td>131503011022Y000195</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>116</td>
<td>04-10-2022</td>
<td>007789</td>
<td>SARI IROTUL KHASANAH</td>
<td>'3503124501890002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-01-1989</td>
<td>33</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666470259</td>
<td>131503011022Y000196</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>117</td>
<td>04-10-2022</td>
<td>005077</td>
<td>TUTIK GUNARYATI</td>
<td>'</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-04-1976</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106757987</td>
<td>131503011022Y000197</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>118</td>
<td>04-10-2022</td>
<td>005859</td>
<td>SUMALI</td>
<td>'3503120905740004</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-05-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0003077159354</td>
<td>131503011022P000063</td>
<td align='center'>
R07 </td>
<td align='center'>
Pain in throat and chest </td>
</tr>

<td>119</td>
<td>04-10-2022</td>
<td>001692</td>
<td>IMAM SUWARNI</td>
<td>'3503121609540001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-09-1954</td>
<td>68</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002758608641</td>
<td>131503011022P000105</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>120</td>
<td>04-10-2022</td>
<td>000230</td>
<td>SUWAJI</td>
<td>'3503120606570001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-06-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036969582</td>
<td>131503011022Y000198</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>
<td>121</td>
<td>04-10-2022</td>
<td>010764</td>
<td>BINTI ROIDAH</td>
<td>'3503125012810002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-12-1981</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681609949</td>
<td>131503011022Y000199</td>
<td align='center'>
E11 </td>
<td align='center'>
Non-insulin-dependent diabetes mellitus </td>
</tr>

<td>122</td>
<td>04-10-2022</td>
<td>002044</td>
<td>ANI SEPTA IKA PURBARINI</td>
<td>'3503114809980003</td>
<td>DSN. NGEPOH, RT 04 RW 02, DS. SAMBIREJOKEC. TRENGGALEK KAB.
TRENGGALEK, RT : 004,RW :002 </td>
<td>SAMBIREJO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>08-09-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000200971686</td>
<td>131503011022Y000200</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>123</td>
<td>05-10-2022</td>
<td>001082</td>
<td>SUKINI</td>
<td>'3503124107600078</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1960</td>
<td>62</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002327223238</td>
<td>131503011022Y000362</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>124</td>
<td>05-10-2022</td>
<td>003220</td>
<td>SITI HAMIDAH</td>
<td>'3503127006570002</td>
<td>BRONGKAH, RT : 9,RW :3 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-06-1957</td>
<td>65</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>DEWAN PERWAKILAN RAKYAT DAERAH</td>
<td>'0001447752036</td>
<td>131503011022Y000109</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>125</td>
<td>05-10-2022</td>
<td>003797</td>
<td>RIDHA AMANTA DARMA BAKTIAR</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-11-2007</td>
<td>14</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106543416</td>
<td>131503011022Y000363</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>126</td>
<td>05-10-2022</td>
<td>014197</td>
<td>FULVIA NIESHA RAMADHANI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-09-2008</td>
<td>14</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001078958992</td>
<td>131503011022Y000364</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>127</td>
<td>05-10-2022</td>
<td>011988</td>
<td>SYUKUR</td>
<td>'3503101604530004</td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>16-04-1953</td>
<td>69</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003131183193</td>
<td>131503011022Y000365</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>128</td>
<td>05-10-2022</td>
<td>016096</td>
<td>MUHAMMAD ARSHA ALVARENDRA</td>
<td>'350305206200001</td>
<td>GONDANG RT 14 RW 04</td>
<td>GONDANG</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>21-06-2020</td>
<td>2</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003120254379</td>
<td>131503011022Y000110</td>
<td align='center'>
R59.9 </td>
<td align='center'>
Enlarged lymph nodes, unspecified </td>
</tr>

<td>129</td>
<td>05-10-2022</td>
<td>000997</td>
<td>MINARTI</td>
<td>'3503125207580002</td>
<td>RT 04 RW 02 DSN GROJOGAN DS NGADIRENGGO, RT : 4,RW :2 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-07-1958</td>
<td>64</td>
<td>P</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002051072144</td>
<td>131503011022Y000366</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>130</td>
<td>05-10-2022</td>
<td>001620</td>
<td>ASKUR</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-06-1949</td>
<td>73</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000104179443</td>
<td>131503011022Y000367</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>131</td>
<td>05-10-2022</td>
<td>008338</td>
<td>MUTINGAH</td>
<td>'3503124107650018</td>
<td>DUSUN KARANGTENGAH RT.03 RW.02 WONOCOYO. POGALAN. TRENGGALEK, RT :
3,RW :2 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1965</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802897494</td>
<td>131503011022Y000368</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>132</td>
<td>05-10-2022</td>
<td>013900</td>
<td>SITI PATONAH</td>
<td>'3503124510630001</td>
<td>RT 27 RW 12 DSN GONDANGREJO DS NGADIRENGGO POGALAN, RT : 27,RW :12
</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-10-1963</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003276712541</td>
<td>131503011022Y000124</td>
<td align='center'>
C54.1 </td>
<td align='center'>
Malignant neoplasm of endometrium </td>
</tr>

<td>133</td>
<td>05-10-2022</td>
<td>016103</td>
<td>SURATIN</td>
<td>'3503125510660002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-10-1966</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003000911747</td>
<td>131503011022Y000125</td>
<td align='center'>
N18.0 </td>
<td align='center'>
End-stage renal disease </td>
</tr>

<td>134</td>
<td>05-10-2022</td>
<td>000985</td>
<td>AMARA NAVISHA MEDINA</td>
<td>'3503126506190001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-2019</td>
<td>3</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002772315472</td>
<td>131503011022Y000126</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>135</td>
<td>05-10-2022</td>
<td>013630</td>
<td>SYLVIA DEWANI HINDRATNA</td>
<td>'3503125509930002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-09-1993</td>
<td>29</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106846525</td>
<td>131503011022Y000369</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>136</td>
<td>05-10-2022</td>
<td>013254</td>
<td>AHMAD HAIDAR ABDULLAH</td>
<td>'3503112601180001</td>
<td>SURODAKAN RT 17 RW 05</td>
<td>SURODAKAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>26-01-2018</td>
<td>4</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0003069698332</td>
<td>131503011022Y000370</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>137</td>
<td>05-10-2022</td>
<td>001776</td>
<td>KHOIRUL HUDA</td>
<td>'3503122807990001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-07-1999</td>
<td>23</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666639674</td>
<td>131503011022Y000371</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>
<td>138</td>
<td>05-10-2022</td>
<td>011832</td>
<td>ISWINARKO</td>
<td>'3503121302650001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-02-1965</td>
<td>57</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106825375</td>
<td>131503011022Y000127</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>139</td>
<td>05-10-2022</td>
<td>014582</td>
<td>ENIK SETYO WATI</td>
<td>'3515087010810001</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-10-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000722694802</td>
<td>131503011022Y000372</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>140</td>
<td>05-10-2022</td>
<td>001360</td>
<td>FANNY BODHIATUL FADILAH</td>
<td>'</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-06-2006</td>
<td>16</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000722695318</td>
<td>131503011022Y000373</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>141</td>
<td>05-10-2022</td>
<td>004500</td>
<td>MUHAMMAD FATKHUR RIDHO ASSYARIF</td>
<td>'3503120612180001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-12-2018</td>
<td>3</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002621232663</td>
<td>131503011022Y000319</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>142</td>
<td>05-10-2022</td>
<td>011570</td>
<td>R.HARDIJANTO</td>
<td>'3503121508690004</td>
<td>RT 27 RW 9 NGETAL, RT : 27,RW :9 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-08-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970328184</td>
<td>131503011022Y000374</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>143</td>
<td>05-10-2022</td>
<td>002062</td>
<td>TUTIK ZULAIKAH</td>
<td>'3503106508680002</td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>25-08-1968</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106521232</td>
<td>131503011022Y000375</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>144</td>
<td>05-10-2022</td>
<td>005159</td>
<td>YAHYA TAUFIQUR R</td>
<td>'3503121204210002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-04-2021</td>
<td>1</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003078209957</td>
<td>131503011022Y000376</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>145</td>
<td>06-10-2022</td>
<td>000285</td>
<td>MUALAM</td>
<td>'350312 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1945</td>
<td>77</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106689565</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>146</td>
<td>06-10-2022</td>
<td>016122</td>
<td>RIRIS DWI UTAMI</td>
<td>'3503126610740001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-10-1974</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106585547</td>
<td>131503011022Y000386</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>147</td>
<td>06-10-2022</td>
<td>002419</td>
<td>MUKADI</td>
<td>'3503120406540001</td>
<td>DUSUN BENDIL RT.017 RW.007 WONOCOYO. POGALAN. TRENGGALEK, RT :
17,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-06-1954</td>
<td>68</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106893257</td>
<td>131503011022Y000184</td>
<td align='center'>
I50.0 </td>
<td align='center'>
</tr>

<td>148</td>
<td>06-10-2022</td>
<td>011334</td>
<td>SENEN</td>
<td>'3503123112560016</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1956</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664431862</td>
<td>131503011022Y000387</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>149</td>
<td>06-10-2022</td>
<td>001196</td>
<td>TARMONO</td>
<td>'3503121505780007</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-05-1978</td>
<td>44</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665893765</td>
<td>131503011022Y000388</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>150</td>
<td>06-10-2022</td>
<td>007766</td>
<td>IMROATUL HASANAH</td>
<td>'3503136201840001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-01-1984</td>
<td>38</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000148520452</td>
<td>131503011022Y000389</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>151</td>
<td>06-10-2022</td>
<td>015085</td>
<td>SUYONO</td>
<td>'3503122406740001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-06-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665676854</td>
<td>131503011022Y000390</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>152</td>
<td>06-10-2022</td>
<td>000207</td>
<td>KASRI</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1974</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665954109</td>
<td>131503011022Y000391</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>153</td>
<td>06-10-2022</td>
<td>000208</td>
<td>SUMARJI</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665953323</td>
<td>131503011022Y000392</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>154</td>
<td>06-10-2022</td>
<td>004544</td>
<td>MUHAMAD SIDIK KIROM</td>
<td>'3503123112610025</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1961</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665994622</td>
<td>131503011022P000465</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>155</td>
<td>06-10-2022</td>
<td>016123</td>
<td>SAFRODIN</td>
<td>'3503122104670002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-1967</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000666306314</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>156</td>
<td>06-10-2022</td>
<td>008478</td>
<td>SOFIATUL</td>
<td>'3503125311040001</td>
<td>BENDOREJO 18</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-2004</td>
<td>17</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666306729</td>
<td>131503011022Y000393</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>
<td>157</td>
<td>06-10-2022</td>
<td>016124</td>
<td>LUCY DIYANTI AGUSTIN</td>
<td>'3503125409970001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-09-1997</td>
<td>25</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665731899</td>
<td>131503011022Y000202</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>158</td>
<td>06-10-2022</td>
<td>016125</td>
<td>ASSYIFA RIFDA</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-01-2018</td>
<td>4</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.1 </td>
<td align='center'>
Respiratory syncytial virus pneumonia </td>
</tr>

<td>159</td>
<td>06-10-2022</td>
<td>015124</td>
<td>NATASYA</td>
<td>'3503124803080002</td>
<td>RT 11 RW 05 DSN WADI KIDUL DS NGADIRENGGO, RT : 11,RW :5 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-03-2008</td>
<td>14</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J10.0 </td>
<td align='center'>
Influenza with pneumonia, influenza virus identified </td>
</tr>

<td>160</td>
<td>06-10-2022</td>
<td>016126</td>
<td>ANTOK WIJAYANTO</td>
<td>'3504140711920001</td>
<td>REJOSARI RT 04 RW 01</td>
<td>REJOSARI</td>
<td>KALIDAWIR</td>
<td>TULUNGAGUNG</td>
<td>01-11-1992</td>
<td>29</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000666671062</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
Acute nasopharyngitis [common cold] </td>
</tr>

<td>161</td>
<td>06-10-2022</td>
<td>016129</td>
<td>JEFI ANA FITRIANI</td>
<td>'3503096802960002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-02-1996</td>
<td>26</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002243868298</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
Adenoviral pneumonia </td>
</tr>

<td>162</td>
<td>06-10-2022</td>
<td>016121</td>
<td>RIFAI EL FAWWAS</td>
<td>'3503120911150001</td>
<td>RT 032 RW 013 DS BENDOREJO POGALAN, RT : 32,RW :13 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-11-2015</td>
<td>6</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>163</td>
<td>06-10-2022</td>
<td>012028</td>
<td>SUPARMI</td>
<td>'3503125705520001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-05-1952</td>
<td>70</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867884931</td>
<td>131503011022Y000207</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>164</td>
<td>06-10-2022</td>
<td>011579</td>
<td>SYAHLAN</td>
<td>'3503120509460001 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-09-1946</td>
<td>76</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106654961</td>
<td>131503011022Y000206</td>
<td align='center'>
H25.8 </td>
<td align='center'>
Other senile cataract </td>
</tr>

<td>165</td>
<td>06-10-2022</td>
<td>008964</td>
<td>SUSI SWANDAYANI</td>
<td>'3503125709800001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-09-1980</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001541182566</td>
<td>131503011022Y000394</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>166</td>
<td>06-10-2022</td>
<td>001388</td>
<td>HIDAYATI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-09-1979</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802889383</td>
<td>131503011022Y000215</td>
<td align='center'>
N20.0 </td>
<td align='center'>
Calculus of kidney </td>
</tr>

<td>167</td>
<td>06-10-2022</td>
<td>001396</td>
<td>SETU</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1945</td>
<td>77</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665640279</td>
<td>131503011022Y000212</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>168</td>
<td>06-10-2022</td>
<td>002990</td>
<td>BIBIT</td>
<td>'3503124107570019</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707073626</td>
<td>131503011022Y000395</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>169</td>
<td>06-10-2022</td>
<td>016132</td>
<td>MUHAMMAD ZAKI</td>
<td>'</td>
<td>WONOOCYO RT 25 RW 11</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-03-2012</td>
<td>10</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J10.0 </td>
<td align='center'>
</tr>

<td>170</td>
<td>06-10-2022</td>
<td>016133</td>
<td>HENGKI TOPIAS</td>
<td>'3503120210000002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-10-2000</td>
<td>22</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001036974429</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>171</td>
<td>06-10-2022</td>
<td>016135</td>
<td>IIS SITI NGAISAH</td>
<td>'3504177001830002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-01-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0001904018624</td>
<td>131503011022Y000217</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>172</td>
<td>06-10-2022</td>
<td>005736</td>
<td>SUPIYAH</td>
<td>'3503124107570028</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0002735120529</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>173</td>
<td>06-10-2022</td>
<td>008751</td>
<td>ALFINA SOFYANIDA</td>
<td>'3503126102060001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-03-2006</td>
<td>16</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664910684</td>
<td>131503011022Y000396</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>174</td>
<td>06-10-2022</td>
<td>001124</td>
<td>NGADENAN</td>
<td>'3503120107530015</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1953</td>
<td>69</td>
<td>L</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002495738722</td>
<td>131503011022Y000220</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>175</td>
<td>06-10-2022</td>
<td>011838</td>
<td>SLAMET</td>
<td>'3503121305600002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-05-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665622753</td>
<td>131503011022Y000397</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>176</td>
<td>06-10-2022</td>
<td>016137</td>
<td>AWALIN</td>
<td>'3503124305700002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-05-1970</td>
<td>52</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002421344305</td>
<td>131503011022Y000398</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>177</td>
<td>07-10-2022</td>
<td>008701</td>
<td>ABDUL ROÙF</td>
<td>'3503121604610002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-04-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665260209</td>
<td>131503011022Y000400</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>178</td>
<td>07-10-2022</td>
<td>016144</td>
<td>SYAKALIFA FATIMA</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-07-2022</td>
<td>0</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003294156071</td>
<td>131503011022Y000236</td>
<td align='center'>
K80 </td>
<td align='center'>
Cholelithiasis </td>
</tr>

<td>179</td>
<td>07-10-2022</td>
<td>015799</td>
<td>QUENZIVANO MAHESA NUR ARIFIN</td>
<td>'3503121104180002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-2018</td>
<td>4</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002449017088</td>
<td>131503011022Y000401</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>180</td>
<td>07-10-2022</td>
<td>000895</td>
<td>URSULA SUGINEM</td>
<td>'350312 </td>
<td>RT 16 RW 06 NGETAL</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-09-1955</td>
<td>67</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106686235</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>181</td>
<td>07-10-2022</td>
<td>006816</td>
<td>YUNI JAYANTI</td>
<td>'3503125106900001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-06-1990</td>
<td>32</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665311511</td>
<td>131503011022Y000402</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>182</td>
<td>07-10-2022</td>
<td>016148</td>
<td>SUTRISNO</td>
<td>'3503121012620001</td>
<td>WONOCOYO</td>
<td>PANGGUL</td>
<td>TRENGGALEK</td>
<td>10-12-1962</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666256061</td>
<td>131503011022Y000403</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>183</td>
<td>07-10-2022</td>
<td>016149</td>
<td>MUSAROH</td>
<td>'3503125504670001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-04-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666256509</td>
<td>131503011022Y000237</td>
<td align='center'>
H52.3 </td>
<td align='center'>
Anisometropia and aniseikonia </td>
</tr>

<td>184</td>
<td>07-10-2022</td>
<td>001529</td>
<td>ENDANG WAHYUNI</td>
<td>'</td>
<td>WONOCOYO T 02 RW 01</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-06-1964</td>
<td>58</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000106574894</td>
<td>131503011022Y000238</td>
<td align='center'>
I11.0 </td>
<td align='center'>
Hypertensive heart disease with (congestive) heart failure </td>
</tr>

<td>185</td>
<td>07-10-2022</td>
<td>008186</td>
<td>SUKIMAH</td>
<td>'35037112610025</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1955</td>
<td>67</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011278026</td>
<td>131503011022Y000404</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>186</td>
<td>07-10-2022</td>
<td>016150</td>
<td>SURYATI</td>
<td>'3503125010640001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-10-1964</td>
<td>58</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681606406</td>
<td>131503011022Y000405</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>187</td>
<td>07-10-2022</td>
<td>015849</td>
<td>MUSTAJI</td>
<td>'3503120502710003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-02-1971</td>
<td>51</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0003288911444</td>
<td>131503011022Y000406</td>
<td align='center'>
J45 </td>
<td align='center'>
Asthma </td>
</tr>

<td>188</td>
<td>07-10-2022</td>
<td>015092</td>
<td>DAFFIN BINTANG ANUGRAH</td>
<td>'3503121205120001</td>
<td>RT22</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-05-2012</td>
<td>10</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681613134</td>
<td>131503011022Y000407</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>189</td>
<td>07-10-2022</td>
<td>005889</td>
<td>ROYHAN FITRO SANTOSO</td>
<td>'3503121207160002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-07-2016</td>
<td>6</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002069867226</td>
<td>131503011022Y000408</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>190</td>
<td>07-10-2022</td>
<td>003959</td>
<td>ROBERT HARYS K</td>
<td>'3503121110970003</td>
<td>RT 012 RW 005 DSN WADI KIDUL DS.NGADIRENGGO, RT : 12,RW :5 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-10-1997</td>
<td>25</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802899823</td>
<td>131503011022P000239</td>
<td align='center'>
C34.9 </td>
<td align='center'>
Malignant neoplasm of bronchus or lung, unspecified </td>
</tr>

<td>191</td>
<td>07-10-2022</td>
<td>009032</td>
<td>KOMSATUN</td>
<td>'3503125502680001</td>
<td>RT 09</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-02-1968</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665199279</td>
<td>131503011022Y000409</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>192</td>
<td>07-10-2022</td>
<td>006817</td>
<td>AHMAD DHOFIR SUHAIMI</td>
<td>'3503122101210001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-01-2021</td>
<td>1</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003073777413</td>
<td>131503011022Y000410</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>193</td>
<td>07-10-2022</td>
<td>004835</td>
<td>ZUHROTUL FITRIYAH</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-08-2010</td>
<td>12</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665583974</td>
<td>131503011022Y000411</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>194</td>
<td>07-10-2022</td>
<td>006215</td>
<td>SUNARJI</td>
<td>'3503122809660001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665977239</td>
<td>131503011022Y000412</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>195</td>
<td>07-10-2022</td>
<td>001878</td>
<td>TRIMAH</td>
<td>' 3503125704680003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-04-1968</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036974824</td>
<td>131503011022Y000413</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>196</td>
<td>07-10-2022</td>
<td>000665</td>
<td>ARSAKHA VIRENDRA PRADIPTA</td>
<td>'3503121101180001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-01-2018</td>
<td>4</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002419318901</td>
<td>131503011022Y000414</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>
<td>197</td>
<td>07-10-2022</td>
<td>005832</td>
<td>ANDY RAMDANI</td>
<td>'3503122006840005</td>
<td>RT 006 RW 003 DSN NGRAYUNG DS NGADIRENGGO, RT : 6,RW :3 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-06-1984</td>
<td>38</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002161677317</td>
<td>131503011022Y000415</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>198</td>
<td>07-10-2022</td>
<td>008165</td>
<td>SEPTIAN WISHAL</td>
<td>'3503112009980001</td>
<td>KARANGSOKO, RT : 028,RW :006 </td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>20-09-1998</td>
<td>24</td>
<td>L</td>
<td>PELAJAR/MAHASISWA</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td>'0003290608361</td>
<td></td>
<td align='center'>
W03 </td>
<td align='center'>
Other fall on same level due to collision with, or pushing by, another
person causing accidental injury </td>
</tr>

<td>199</td>
<td>10-10-2022</td>
<td>004239</td>
<td>ROHMAD WIDODO</td>
<td>'3503121509810003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-09-1981</td>
<td>41</td>
<td>L</td>
<td>Konstruksi</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681608151</td>
<td>131503011022Y000359</td>
<td align='center'>
F20.0 </td>
<td align='center'>
Paranoid schizophrenia </td>
</tr>

<td>200</td>
<td>10-10-2022</td>
<td>009627</td>
<td>SISTANIA</td>
<td>'3503057008670001</td>
<td>PUCANGANAK RT 18 RW 08</td>
<td>PUCANGANAK</td>
<td>TUGU</td>
<td>TRENGGALEK</td>
<td>30-08-1967</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000104674296</td>
<td>131503011022Y000360</td>
<td align='center'>
E11.0 </td>
<td align='center'>
Non-insulin-dependent diabetes mellitus with coma </td>
</tr>

<td>201</td>
<td>10-10-2022</td>
<td>001797</td>
<td>MUJIATUN</td>
<td>'3503124910490001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-10-1949</td>
<td>73</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001036965655</td>
<td>131503011022Y001659</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>202</td>
<td>10-10-2022</td>
<td>016158</td>
<td>SUMIRAN</td>
<td>'3503120306510003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-06-1951</td>
<td>71</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802906527</td>
<td>131503011022Y000481</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>203</td>
<td>10-10-2022</td>
<td>014050</td>
<td>SUWARNI</td>
<td>'3503120303550004</td>
<td>RT 8 RW 05</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-1955</td>
<td>67</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664327091</td>
<td>131503011022Y000482</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>204</td>
<td>10-10-2022</td>
<td>005228</td>
<td>MUHAMMAD IBNU MAÀRIF</td>
<td>'3503121404030006</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-04-2003</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002874742479</td>
<td>131503011022Y000483</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>205</td>
<td>10-10-2022</td>
<td>010031</td>
<td>SITI MUIDATUL MASCHURUN</td>
<td>'3503124212810003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-12-1981</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002766160023</td>
<td>131503011022Y000484</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>206</td>
<td>10-10-2022</td>
<td>016080</td>
<td>'3503114611580001</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>06-11-1958</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>207</td>
<td>10-10-2022</td>
<td>001354</td>
<td>SITI MARIA </td>
<td>'</td>
<td>GEMBLEB RT 33</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-10-1954</td>
<td>68</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106587911</td>
<td>131503011022Y000485</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>208</td>
<td>10-10-2022</td>
<td>014416</td>
<td>EKA NOVITA</td>
<td>'3503124208920001</td>
<td>RT 11 RW 05 DSN WADI KIDUL DS NGADIRENGGO, RT : 11,RW :5 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-10-1992</td>
<td>30</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0003132056709</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>209</td>
<td>10-10-2022</td>
<td>016159</td>
<td>MUHAMMAD HARIR AL AMIN</td>
<td>'3503102207090003</td>
<td>DSN. GEBANG DS. MELIS KEC. GANDUSARI T. GALEK, RT : 17,RW :8 </td>
<td>MELIS</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>22-07-2009</td>
<td>13</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.9 </td>
<td align='center'>
</tr>

<td>210</td>
<td>10-10-2022</td>
<td>016160</td>
<td>MIFTAKUL MUBIN</td>
<td>'3503122707570004</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-07-1957</td>
<td>65</td>
<td>L</td>
<td>Lainnya</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001735710941</td>
<td>131503011022Y000377</td>
<td align='center'>
M17.9 </td>
<td align='center'>
Gonarthrosis, unspecified </td>
</tr>

<td>211</td>
<td>10-10-2022</td>
<td>016161</td>
<td>SAMSURI</td>
<td>'3503120806480002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-06-1948</td>
<td>74</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106733801</td>
<td>131503011022Y000361</td>
<td align='center'>
S42.4 </td>
<td align='center'>
Fracture of lower end of humerus </td>
</tr>

<td>212</td>
<td>10-10-2022</td>
<td>002455</td>
<td>SITI KALIMAH</td>
<td>'3503124808680001</td>
<td>RT 37 RW 14 GEBANG.NGADIREJO, RT : 37,RW :14 </td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-08-1968</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002222904554</td>
<td>131503011022P000379</td>
<td align='center'>
J44.0 </td>
<td align='center'>
Chronic obstructive pulmonary disease with acute lower respiratory
infection </td>
</tr>

<td>213</td>
<td>10-10-2022</td>
<td>006964</td>
<td>INTAN MELYANA</td>
<td>'3503125301010004</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-01-2001</td>
<td>21</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K29.0 </td>
<td align='center'>
Acute haemorrhagic gastritis </td>
</tr>

<td>214</td>
<td>10-10-2022</td>
<td>005661</td>
<td>SARAH AMANDA SUFY ZEIN</td>
<td>'3503125601030002</td>
<td>RT 016 RW 007 DSN WADI KIDUL DS NGADIRENGGO POGALAN TRENGGALEK,
RT : 16,RW :7 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-01-2003</td>
<td>19</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802905976</td>
<td>131503011022Y000487</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>215</td>
<td>10-10-2022</td>
<td>016042</td>
<td>SAFITRI</td>
<td>'3503126305870006</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-05-1987</td>
<td>35</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z35.0 </td>
<td align='center'>
Supervision of pregnancy with history of infertility </td>
</tr>

<td>216</td>
<td>10-10-2022</td>
<td>016164</td>
<td>AKUNNTA AKHFIRLANA</td>
<td>'3503122608990001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-08-1999</td>
<td>23</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
R50.1 </td>
<td align='center'>
Persistent fever </td>
</tr>

<td>217</td>
<td>10-10-2022</td>
<td>001070</td>
<td>SITI AFIR JAMAÀTI</td>
<td>' 3503125904660001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-04-1966</td>
<td>56</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0000106625586</td>
<td>131503011022Y000488</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>218</td>
<td>10-10-2022</td>
<td>016165</td>
<td>FAZA FAUZAN ÀDZIMA</td>
<td>'3503121103120002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-03-2012</td>
<td>10</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003266021395</td>
<td>131503011022Y000489</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>219</td>
<td>10-10-2022</td>
<td>016167</td>
<td>SLAMET RIYADI</td>
<td>'3503122104530002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-04-1953</td>
<td>69</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000001466302</td>
<td>131503011022Y000378</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>220</td>
<td>10-10-2022</td>
<td>016168</td>
<td>RIA RISTIANA</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-09-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003000911139</td>
<td>131503011022Y000490</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>221</td>
<td>10-10-2022</td>
<td>007616</td>
<td>ENDAH TRIANIKA PUSPITASARI</td>
<td>'3503125809000001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-09-2000</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802893657</td>
<td>131503011022Y000491</td>
<td align='center'>
R11 </td>
<td align='center'>
Nausea and vomiting </td>
</tr>

<td>222</td>
<td>10-10-2022</td>
<td>007616</td>
<td>ENDAH TRIANIKA PUSPITASARI</td>
<td>'3503125809000001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-09-2000</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802893657</td>
<td>131503011022Y000491</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>223</td>
<td>10-10-2022</td>
<td>008221</td>
<td>SITI KHOTIPAH</td>
<td>'3503115009620001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-09-1962</td>
<td>60</td>
<td>P</td>
<td>LAINNYA</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002876675949</td>
<td>131503011022Y000492</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>224</td>
<td>10-10-2022</td>
<td>000333</td>
<td>SITI KHOIRIYAH</td>
<td>'</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-05-1976</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0001843680194</td>
<td>131503011022Y000493</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>225</td>
<td>10-10-2022</td>
<td>000377</td>
<td>ISTIANAH</td>
<td>'3503124511780002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-11-1978</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036967038</td>
<td>131503011022Y000494</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>226</td>
<td>10-10-2022</td>
<td>016170</td>
<td>ZAHWA KHALISA RABBANI</td>
<td>'3503105108190001</td>
<td>SUKORAME RT 0 5 RW 02</td>
<td>SUKORAME</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>11-08-2019</td>
<td>3</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002911465574</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>227</td>
<td>10-10-2022</td>
<td>001556</td>
<td>SUPARTI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-08-1945</td>
<td>77</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001302620635</td>
<td>131503011022P000382</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>228</td>
<td>10-10-2022</td>
<td>005918</td>
<td>CAVELA PUTRI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-11-2015</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>229</td>
<td>10-10-2022</td>
<td>008802</td>
<td>JESIKA SILVA HANDOYO</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-09-2008</td>
<td>14</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>230</td>
<td>10-10-2022</td>
<td>011956</td>
<td>SUJITO</td>
<td>'3503121212800003</td>
<td>RT 17</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-12-1980</td>
<td>41</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003010268204</td>
<td>131503011022Y000495</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>231</td>
<td>10-10-2022</td>
<td>000941</td>
<td>NURYATI</td>
<td>'3503125004530003</td>
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-04-1953</td>
<td>69</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0000665257882</td>
<td>131503011022Y000496</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>232</td>
<td>10-10-2022</td>
<td>016122</td>
<td>RIRIS DWI UTAMI</td>
<td>'3503126610740001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-10-1974</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106585547</td>
<td>131503011022Y000497</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>
<td>233</td>
<td>10-10-2022</td>
<td>016172</td>
<td>AGHATISTA WAHYU DWI RASHID</td>
<td>'3503122405040001</td>
6,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-05-2004</td>
<td>18</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0003011278702</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>234</td>
<td>10-10-2022</td>
<td>009976</td>
<td>SUSANTO</td>
<td>'6472050110680001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-10-1968</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681788026</td>
<td>131503011022Y000498</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>235</td>
<td>10-10-2022</td>
<td>011173</td>
<td>EKA RAHAYU MUKTI</td>
<td>'3503125401990002</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-01-1999</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000201540778</td>
<td>131503011022Y000383</td>
<td align='center'>
R59.0 </td>
<td align='center'>
Localized enlarged lymph nodes </td>
</tr>

<td>236</td>
<td>10-10-2022</td>
<td>007755</td>
<td>LINDA SETIOWATI</td>
<td>'3503124101900011</td>
<td>KEDUNGLURAH RT0 RW11</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665085532</td>
<td>131503011022Y000499</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>237</td>
<td>10-10-2022</td>
<td>006096</td>
<td>CALYSTA MAULIDA AZZAHRA</td>
<td>'</td>
<td>RT 30 KEDUNGLURAH</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-11-2019</td>
<td>2</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002905867754</td>
<td>131503011022Y000500</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>238</td>
<td>10-10-2022</td>
<td>012162</td>
<td>SITI RUKAYAH</td>
<td>'3503124304710001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-04-1971</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681608566</td>
<td>131503011022Y000501</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>239</td>
<td>10-10-2022</td>
<td>016038</td>
<td>ZAENAL ASRORI</td>
<td>'3504042609860003</td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>26-09-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td>'0003006275692</td>
<td></td>
<td align='center'>
A18 </td>
<td align='center'>
Tuberculosis of other organs </td>
</tr>

<td>240</td>
<td>10-10-2022</td>
<td>016173</td>
<td>ZAIN MAULIDA ALHUSNA</td>
<td>'3503125308970003</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-08-1997</td>
<td>25</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>241</td>
<td>10-10-2022</td>
<td>007814</td>
<td>MUHAMMAD HUSEIN ÌZUL MUNA</td>
<td>'</td>
<td>GEMBLEB RT 5 W 2</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-05-2013</td>
<td>9</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0002802903603</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>242</td>
<td>10-10-2022</td>
<td>016174</td>
<td>OLIVIA FATIMATUZ ZAHRO</td>
<td>'3503125305110003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-03-2010</td>
<td>12</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002753890637</td>
<td></td>
<td align='center'>
L20.9 </td>
<td align='center'>
Atopic dermatitis, unspecified </td>
</tr>

<td>243</td>
<td>10-10-2022</td>
<td>016175</td>
<td>TUKIYO</td>
<td>'3503121208410003</td>
<td>POGALAN RT 06 RW 03</td>
<td>POGALAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-08-1941</td>
<td>81</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003066200212</td>
<td>131503011022Y000385</td>
<td align='center'>
D17.4 </td>
<td align='center'>
Benign lipomatous neoplasm of intrathoracic organs </td>
</tr>

<td>244</td>
<td>10-10-2022</td>
<td>011785</td>
<td>SUMARLAN</td>
<td>'3503100103510002</td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>01-03-1951</td>
<td>71</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001903841583</td>
<td>131503011022Y001657</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>245</td>
<td>10-10-2022</td>
<td>001686</td>
<td>SITI ROHMAH</td>
<td>' </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-01-1974</td>
<td>48</td>
<td>P</td>
<td>Buruh Harian Lepas</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665392814</td>
<td>131503011022Y000502</td>
<td align='center'>
W03 </td>
<td align='center'>
</tr>

<td>246</td>
<td>10-10-2022</td>
<td>000167</td>
<td>LIS WIJAYANTI</td>
<td>'3503124203730001</td>
<td>KEDUNGLURAH T 14 RW 05</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-03-1973</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000170070478</td>
<td>131503011022Y000503</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>247</td>
<td>11-10-2022</td>
<td>000555</td>
<td>YUNUS</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-08-1978</td>
<td>44</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665611839</td>
<td>131503011022Y000507</td>
<td align='center'>
W03 </td>
<td align='center'>
</tr>

<td>248</td>
<td>11-10-2022</td>
<td>001723</td>
<td>SULIYAH</td>
<td>'3503126607750001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1975</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036971977</td>
<td>131503011022Y000444</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>249</td>
<td>11-10-2022</td>
<td>009688</td>
<td>MIAH</td>
<td>'3503124107510039</td>
<td>RT20</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1951</td>
<td>71</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002159530918</td>
<td>131503011022Y000508</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>250</td>
<td>11-10-2022</td>
<td>010756</td>
<td>MARATUS SHOLIHAH</td>
<td>'3503125505680005</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1968</td>
<td>54</td>
<td>P</td>
<td>Karyawan BUMN</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PEGAWAI BUMN</td>
<td>'0001642449813</td>
<td>131503011022Y000509</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>251</td>
<td>11-10-2022</td>
<td>000615</td>
<td>MARLIM</td>
<td>'3503120107530001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1953</td>
<td>69</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665391126</td>
<td>131503011022Y000510</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>252</td>
<td>11-10-2022</td>
<td>000047</td>
<td>MUJIANTO</td>
<td>'3503122803770003</td>
<td>DSN BANDULAN RT 14 RW 07 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1977</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665229633</td>
<td>131503011022Y000511</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>253</td>
<td>11-10-2022</td>
<td>012748</td>
<td>MUHAMMAD REYHAN YUSUF</td>
<td>'3503122103140001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-03-2014</td>
<td>8</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802895143</td>
<td>131503011022Y000512</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>254</td>
<td>11-10-2022</td>
<td>000851</td>
<td>LASMI</td>
<td>'3503126909630001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-09-1967</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970326744</td>
<td>131503011022Y000459</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>255</td>
<td>11-10-2022</td>
<td>000961</td>
<td>MUJIANTO</td>
<td>'3503121707600001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-07-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036968399</td>
<td>131503011022Y000513</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>256</td>
<td>11-10-2022</td>
<td>007969</td>
<td>HAIDAR ALI MUBAROK</td>
<td>'3503121204160001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-09-2021</td>
<td>1</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003101600564</td>
<td>131503011022Y000460</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>257</td>
<td>11-10-2022</td>
<td>016190</td>
<td>ISMI</td>
<td>'3503126106670002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-06-1967</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666317553</td>
<td>131503011022Y000514</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>258</td>
<td>11-10-2022</td>
<td>000799</td>
<td>JUWITO</td>
<td>'3503121104720002</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-1972</td>
<td>50</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665739279</td>
<td>131503011022Y000515</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>259</td>
<td>11-10-2022</td>
<td>008014</td>
<td>DIANA</td>
<td>'3503124112650001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1965</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681787756</td>
<td>131503011022Y000461</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>260</td>
<td>11-10-2022</td>
<td>004511</td>
<td>SUHARTO</td>
<td>'3503122207650001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-07-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978414424</td>
<td>131503011022Y000516</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>261</td>
<td>11-10-2022</td>
<td>007806</td>
<td>SITI ROFIÀTUN</td>
<td>'3503125505690001</td>
<td>BENDOREJO RT 40 R 17</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1969</td>
<td>53</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002603590874</td>
<td>131503011022Y000586</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>262</td>
<td>11-10-2022</td>
<td>016194</td>
<td>MUHAMMAD ZAINU RAZIQIN</td>
<td>'3503120504010002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-2001</td>
<td>21</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666575774</td>
<td>131503011022Y000517</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>263</td>
<td>11-10-2022</td>
<td>003014</td>
<td>KRISMUHADI</td>
<td>'3503121404620003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-04-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002307563864</td>
<td>131503011022Y000466</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>264</td>
<td>11-10-2022</td>
<td>016195</td>
<td>OKTAFIANI</td>
<td>'1405046410020002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-10-2002</td>
<td>20</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002785348361</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>265</td>
<td>11-10-2022</td>
<td>016196</td>
<td>ALI MUCHTAROM</td>
<td>'3504171102970002</td>
<td>SOKO RT 01 RW 02</td>
<td>SOKO</td>
<td>BANDUNG</td>
<td>11-02-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>266</td>
<td>11-10-2022</td>
<td>010563</td>
<td>YUNITA EKA SAFITRI</td>
<td>'3503124402980003</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-02-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664178747</td>
<td>131503011022Y000467</td>
<td align='center'>
L30.3 </td>
<td align='center'>
Infective dermatitis </td>
</tr>

<td>267</td>
<td>11-10-2022</td>
<td>016197</td>
<td>AMBIAWATI KARSIANTO</td>
<td>'3503126405140001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-05-2014</td>
<td>8</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001738694417</td>
<td>131503011022Y000518</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>268</td>
<td>11-10-2022</td>
<td>016198</td>
<td>NANANG WAHYUDI</td>
<td>'3503121104850002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-1985</td>
<td>37</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036970335</td>
<td>131503011022Y000468</td>
<td align='center'>
Z48.9 </td>
<td align='center'>
Surgical follow-up care, unspecified </td>
</tr>

<td>269</td>
<td>11-10-2022</td>
<td>016199</td>
<td>SAIFUL FUAT</td>
<td>'3503121808830001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-08-1983</td>
<td>39</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>270</td>
<td>11-10-2022</td>
<td>000657</td>
<td>SONIA NUR ZANJABILA</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-03-2011</td>
<td>11</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665333087</td>
<td>131503011022Y000519</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>271</td>
<td>11-10-2022</td>
<td>016200</td>
<td>ARMA WIHARYANTO</td>
<td>'3404100707950001</td>
<td>PURWOMARTANI RT 08 RW 02 KALASAN</td>
<td>PURWOMARTANI</td>
<td>KALASAN</td>
<td>SLEMAN</td>
<td>07-07-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001694551443</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>272</td>
<td>11-10-2022</td>
<td>001125</td>
<td>MILENIA NIKEN DWI PALUPI</td>
<td>'3503124503000001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-03-2000</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0003097222773</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>273</td>
<td>11-10-2022</td>
<td>011785</td>
<td>SUMARLAN</td>
<td>'3503100103510002</td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>01-03-1951</td>
<td>71</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001903841583</td>
<td>131503011022Y000470</td>
<td align='center'>
H25 </td>
<td align='center'>
Senile cataract </td>
</tr>

<td>274</td>
<td>11-10-2022</td>
<td>016201</td>
<td>ULFATUL LAILIYAH</td>
<td>'3503125011750004</td>
<td>RT 13 RW 07 DSN WADI KIDUL DS NGADIRENGGO POGALAN, RT : 13,RW :7
</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-11-1975</td>
<td>46</td>
<td>P</td>
<td>Lainnya</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>275</td>
<td>11-10-2022</td>
<td>002841</td>
<td>BASUKI</td>
<td>' 350312210670003</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-10-1967</td>
<td>55</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665392476</td>
<td>131503011022Y000571</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>276</td>
<td>11-10-2022</td>
<td>008165</td>
<td>SEPTIAN WISHAL</td>
<td>'3503112009980001</td>
<td>KARANGSOKO, RT : 028,RW :006 </td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>20-09-1998</td>
<td>24</td>
<td>L</td>
<td>PELAJAR/MAHASISWA</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td>'0003290608361</td>
<td></td>
<td align='center'>
W03 </td>
<td align='center'>
</tr>

<td>277</td>
<td>11-10-2022</td>
<td>016203</td>
<td>ALDIMAS FAUZI</td>
<td>'3503120411010001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-11-2001</td>
<td>20</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665909695</td>
<td>131503011022Y000572</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>278</td>
<td>11-10-2022</td>
<td>010176</td>
<td>FITRIA NISHFA R</td>
<td>'</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-09-2008</td>
<td>14</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001168178488</td>
<td>131503011022Y000573</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>279</td>
<td>11-10-2022</td>
<td>016204</td>
<td>NURWATI</td>
<td>'3503054808730005</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-08-1973</td>
<td>49</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001313334145</td>
<td>131503011022Y000520</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>280</td>
<td>11-10-2022</td>
<td>015560</td>
<td>MULYONO</td>
<td>'3503120904680003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-04-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665768632</td>
<td>131503011022Y000521</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>281</td>
<td>11-10-2022</td>
<td>016152</td>
<td>ROISATIN</td>
<td>'3503124806900002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000665201529</td>
<td></td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>282</td>
<td>11-10-2022</td>
<td>016205</td>
<td>TINA FAISNATU RIZABIYAH</td>
<td>'3503124703970001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-03-1997</td>
<td>25</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664448409</td>
<td>131503011022Y000574</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>283</td>
<td>11-10-2022</td>
<td>001859</td>
<td>BAKRI</td>
<td>'3503120102630002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002474160693</td>
<td>131503011022Y000575</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>284</td>
<td>11-10-2022</td>
<td>004377</td>
<td>MULYATI</td>
<td>'3503125707650003</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-07-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002474161391</td>
<td>131503011022Y000576</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>285</td>
<td>11-10-2022</td>
<td>011570</td>
<td>R.HARDIJANTO</td>
<td>'3503121508690004</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-08-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970328184</td>
<td>131503011022Y000577</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>286</td>
<td>11-10-2022</td>
<td>016181</td>
<td>ASROFI</td>
<td>'3503121506570001</td>
<td>KEDUNGLURAH, POGALAN, TRENGGALEK</td>
<td>POGALAN</td>
<td>KAB. TRENGGALEK</td>
<td>15-06-1957</td>
<td>65</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001429244447</td>
<td>131503011022P001157</td>
<td align='center'>
M06.09 </td>
<td align='center'>
Seronegative rheumatoid arthritis, unspecified site </td>
</tr>

<td>287</td>
<td>12-10-2022</td>
<td>000641</td>
<td>KAMINAH</td>
<td>'3503127012480001</td>
<td>NGETAL RT 25 W 09</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-12-1948</td>
<td>73</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002734823957</td>
<td>131503011022Y000562</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>
<td>288</td>
<td>12-10-2022</td>
<td>000507</td>
<td>ENDAH PURWANINGSIH</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-01-1968</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PENERIMA PENSIUN TNI</td>
<td>'0001265739309</td>
<td>131503011022Y000800</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>289</td>
<td>12-10-2022</td>
<td>016221</td>
<td>FITRI MUTHOHAROH</td>
<td>'3503124103900001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1990</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002140182742</td>
<td>131503011022Y000801</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>290</td>
<td>12-10-2022</td>
<td>000285</td>
<td>MUALAM</td>
<td>'350312 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1945</td>
<td>77</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106689565</td>
<td></td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>291</td>
<td>12-10-2022</td>
<td>010034</td>
<td>ASKA ZAFIRA NADZIFAH</td>
<td>'3503076403160002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-03-2016</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002882930679</td>
<td>131503011022Y000802</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>292</td>
<td>12-10-2022</td>
<td>000606</td>
<td>SUKATIN</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-12-1964</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002618259963</td>
<td>131503011022Y000803</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>293</td>
<td>12-10-2022</td>
<td>001376</td>
<td>MOHAMMAD HASYIM</td>
<td>'3503120606610002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-06-1961</td>
<td>61</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707080354</td>
<td>131503011022Y000804</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>294</td>
<td>12-10-2022</td>
<td>001073</td>
<td>EKAH</td>
<td>'</td>
<td>NGADIRENGGO RT 23 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1958</td>
<td>64</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>295</td>
<td>12-10-2022</td>
<td>011981</td>
<td>ROCHMAD HARIYADI</td>
<td>'3503121309690002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-09-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001036965677</td>
<td>131503011022Y000580</td>
<td align='center'>
J01.9 </td>
<td align='center'>
Acute sinusitis, unspecified </td>
</tr>

<td>296</td>
<td>12-10-2022</td>
<td>002744</td>
<td>KAILA SHERLY SIFABELLA</td>
<td>'3503124809190003</td>
<td>RT. 25, RW.11 DESA WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-09-2019</td>
<td>3</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002890225754</td>
<td>131503011022Y000805</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>297</td>
<td>12-10-2022</td>
<td>004849</td>
<td>WASI HANINA</td>
<td>'3503124508980002</td>
25,RW :11 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-08-1996</td>
<td>26</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665907704</td>
<td>131503011022Y000806</td>
<td align='center'>
J11.8 </td>
<td align='center'>
</tr>

<td>298</td>
<td>12-10-2022</td>
<td>000051</td>
<td>MAMIK APRILIA</td>
<td>'3503065504990002</td>
<td>DUSUN SOKO, RT : 11,RW :2 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-04-1999</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002681577448</td>
<td>131503011022Y000807</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>299</td>
<td>12-10-2022</td>
<td>000645</td>
<td>NINING</td>
<td>'3208136808630005</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-08-1959</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003012425098</td>
<td>131503011022Y000808</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>300</td>
<td>12-10-2022</td>
<td>016229</td>
<td>SUKONO</td>
<td>'3503121506490001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-06-1949</td>
<td>73</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003294853571</td>
<td>131503011022Y000587</td>
<td align='center'>
H25 </td>
<td align='center'>
</tr>

<td>301</td>
<td>12-10-2022</td>
<td>000320</td>
<td>MURBIATI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-11-1961</td>
<td>60</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001284968294</td>
<td>131503011022Y000595</td>
<td align='center'>
N20.0 </td>
<td align='center'>
</tr>

<td>302</td>
<td>12-10-2022</td>
<td>014417</td>
<td>GEMI</td>
<td>'3503126509650002</td>
<td>RT 040 RW 017 KRANDING.BENDOREJO, RT : 40,RW :17 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-09-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003279272455</td>
<td>131503011022Y000588</td>
<td align='center'>
D16.7 </td>
<td align='center'>
Benign neoplasm of ribs, sternum and clavicle </td>
</tr>

<td>303</td>
<td>12-10-2022</td>
<td>001415</td>
<td>SUTRISNO</td>
<td>'3503120207780002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-07-1978</td>
<td>44</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002421810911</td>
<td>131503011022Y000589</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>304</td>
<td>12-10-2022</td>
<td>000657</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-03-2011</td>
<td>11</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665333087</td>
<td>131503011022Y000809</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>305</td>
<td>12-10-2022</td>
<td>001928</td>
<td>SUEP</td>
<td>'3503120805700002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-05-1970</td>
<td>52</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106871962</td>
<td>131503011022Y000810</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>306</td>
<td>12-10-2022</td>
<td>010466</td>
<td>ALIDA AULYA RACHMA</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-06-2004</td>
<td>18</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664920246</td>
<td>131503011022Y000811</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>
<td>307</td>
<td>12-10-2022</td>
<td>016234</td>
<td>EDY MUJIARTO</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-07-1960</td>
<td>62</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106956922</td>
<td>131503011022Y000812</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>308</td>
<td>12-10-2022</td>
<td>007312</td>
<td>MUTIIN</td>
<td>'3503125111680001</td>
<td>RT 15 RW 5 BENDO NGADIREJO</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-11-1967</td>
<td>54</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106956933</td>
<td>131503011022Y000813</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>309</td>
<td>12-10-2022</td>
<td>010278</td>
<td>SUMIJAH</td>
<td>'3503127112470028</td>
<td>RT 27 RW 8</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1947</td>
<td>74</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665896151</td>
<td>131503011022Y000590</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>310</td>
<td>12-10-2022</td>
<td>000916</td>
<td>ISMIATUN</td>
<td>'</td>
<td>R 37 RW 15 BENDOREJO</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-02-1954</td>
<td>68</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000170072008</td>
<td>131503011022Y000814</td>
<td align='center'>
K29.8 </td>
<td align='center'>
Duodenitis </td>
</tr>

<td>311</td>
<td>12-10-2022</td>
<td>011253</td>
<td>KHAILA NUR PRAMUDITA</td>
<td>'3503125203210002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-03-2021</td>
<td>1</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003131353247</td>
<td>131503011022Y000815</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>312</td>
<td>12-10-2022</td>
<td>011254</td>
<td>KHESA NUR FADILLA</td>
<td>'3503125203210001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-03-2021</td>
<td>1</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003131358388</td>
<td>131503011022Y000816</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>313</td>
<td>12-10-2022</td>
<td>016235</td>
<td>LATIF AKMAL EL AZZAM</td>
<td>'3503120904150001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-04-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003111191774</td>
<td>131503011022Y000817</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>314</td>
<td>12-10-2022</td>
<td>003246</td>
<td>ANING SULISTYAWATI</td>
<td>'3503125004820004</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666875867</td>
<td>131503011022Y000594</td>
<td align='center'>
J44 </td>
<td align='center'>
</tr>

<td>315</td>
<td>12-10-2022</td>
<td>012804</td>
<td>FITRI NURDIANA NOFITASARI</td>
<td>'3503127003940001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1994</td>
<td>28</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665338803</td>
<td>131503011022Y000818</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>316</td>
<td>12-10-2022</td>
<td>014453</td>
<td>SANTIRI</td>
<td>'3503120103700001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665971986</td>
<td>131503011022Y000819</td>
<td align='center'>
A18 </td>
<td align='center'>
Tuberculosis of other organs </td>
</tr>

<td>317</td>
<td>12-10-2022</td>
<td>000143</td>
<td>SUHARSONO</td>
<td>'350312</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-10-1964</td>
<td>58</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000164945294</td>
<td>131503011022Y000596</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>318</td>
<td>13-10-2022</td>
<td>007428</td>
<td>INDRAWATI</td>
<td>'3514164809740001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-09-1974</td>
<td>48</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000717565061</td>
<td>131503011022Y000833</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>319</td>
<td>13-10-2022</td>
<td>003335</td>
<td>ALI</td>
<td>'3503121010760002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-10-1967</td>
<td>55</td>
<td>L</td>
<td>Lainnya</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867886786</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>320</td>
<td>13-10-2022</td>
<td>016255</td>
<td>MARYATI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-06-1975</td>
<td>47</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003288911679</td>
<td>131503011022Y000683</td>
<td align='center'>
N91.2 </td>
<td align='center'>
Amenorrhoea, unspecified </td>
</tr>

<td>321</td>
<td>13-10-2022</td>
<td>016256</td>
<td>SHAKILA MYESHA ALANA</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-01-2020</td>
<td>2</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003289093492</td>
<td>131503011022Y000834</td>
<td align='center'>
A01 </td>
<td align='center'>
Typhoid and paratyphoid fevers </td>
</tr>

<td>322</td>
<td>13-10-2022</td>
<td>014069</td>
<td>IMAM JAENURI</td>
<td>'3503121503700005</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-03-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002611480757</td>
<td>131503011022P000684</td>
<td align='center'>
N20.0 </td>
<td align='center'>
</tr>

<td>323</td>
<td>13-10-2022</td>
<td>015114</td>
<td>DEVIT RODIANA</td>
<td>'3503126509900001</td>
<td>RT22</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-09-1990</td>
<td>32</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681613123</td>
<td>131503011022Y000835</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>324</td>
<td>13-10-2022</td>
<td>000980</td>
<td>SUNARYO</td>
<td>'3503123103540001</td>
<td>DUSUN NGLEMBU RT.020 RW.010 DESA BENDOREJO. KEC.POGALAN.
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-03-1954</td>
<td>68</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106769092</td>
<td>131503011022Y000685</td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>325</td>
<td>13-10-2022</td>
<td>000874</td>
<td>SHAKILA KINANDYA PUTRI</td>
<td>'350312711020001</td>
<td>RT 01 RW 01 NGADIRENGGO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-10-2020</td>
<td>2</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003057623256</td>
<td>131503011022Y000836</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>
<td>326</td>
<td>13-10-2022</td>
<td>002040</td>
<td>SINTO</td>
<td>'3503125111610001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-11-1961</td>
<td>60</td>
<td>P</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665679205</td>
<td>131503011022Y000837</td>
<td align='center'>
E11 </td>
<td align='center'>
</tr>

<td>327</td>
<td>13-10-2022</td>
<td>008504</td>
<td>MURSYAID</td>
<td>'3503120305640001</td>
6,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-05-1964</td>
<td>58</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003110909275</td>
<td>131503011022Y000838</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>328</td>
<td>13-10-2022</td>
<td>000687</td>
<td>SUMARNO</td>
<td>'3503123001490001</td>
<td>KEDUNGLURAH RT 15</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-01-1949</td>
<td>73</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106709951</td>
<td>131503011022Y000701</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>329</td>
<td>13-10-2022</td>
<td>016264</td>
<td>AGUNG EKA SAIFUDIN</td>
<td>'3503121006940001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-06-1994</td>
<td>28</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002442344545</td>
<td>131503011022Y000839</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>330</td>
<td>13-10-2022</td>
<td>007834</td>
<td>SANIKEM</td>
<td>'3503126409530001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-09-1953</td>
<td>69</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665194083</td>
<td>131503011022Y000840</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>331</td>
<td>13-10-2022</td>
<td>013869</td>
<td>NIKMATUS ZAHROK</td>
<td>'3503124108060001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-08-2006</td>
<td>16</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665701762</td>
<td>131503011022Y000841</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>332</td>
<td>13-10-2022</td>
<td>002094</td>
<td>IDA RATNAWATI</td>
<td>'3503126804620001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-04-1962</td>
<td>60</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978416066</td>
<td>131503011022Y000842</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>333</td>
<td>13-10-2022</td>
<td>000333</td>
<td>SITI KHOIRIYAH</td>
<td>'</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-05-1976</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001843680194</td>
<td>131503011022Y000843</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>334</td>
<td>13-10-2022</td>
<td>012167</td>
<td>SULIYAH</td>
<td>'3503126704630001</td>
<td>RT 028 RW 012 DSN TENGGONG, RT : 28,RW :12 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-04-1963</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665856821</td>
<td>131503011022Y000844</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>335</td>
<td>13-10-2022</td>
<td>000319</td>
<td>SUNARYO</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-08-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001284966674</td>
<td>131503011022Y000703</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>336</td>
<td>13-10-2022</td>
<td>000849</td>
<td>KARSI</td>
<td>'</td>
<td>RT 11 RW 04 NGADIREJO</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-05-1943</td>
<td>79</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666503976</td>
<td>131503011022Y000704</td>
<td align='center'>
I69.0 </td>
<td align='center'>
Sequelae of subarachnoid haemorrhage </td>
</tr>

<td>337</td>
<td>14-10-2022</td>
<td>000975</td>
<td>MUHYIDIN</td>
<td>'3503121207520001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-07-1952</td>
<td>70</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001843256889</td>
<td>131503011022P000734</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>338</td>
<td>14-10-2022</td>
<td>000384</td>
<td>SULISTYOWATI</td>
<td>'3503127112740004</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1974</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666308935</td>
<td>131503011022Y000962</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>339</td>
<td>14-10-2022</td>
<td>001202</td>
<td>ISMIATI</td>
<td>'3503126606590001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-06-1959</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106573498</td>
<td>131503011022Y000963</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>340</td>
<td>14-10-2022</td>
<td>002737</td>
<td>JUWARI</td>
<td>'3503120507520001-720416</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-07-1952</td>
<td>70</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036965249</td>
<td>131503011022Y000964</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>341</td>
<td>14-10-2022</td>
<td>012121</td>
<td>SUPARTINI</td>
<td>'350325710450001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-10-1956</td>
<td>66</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106787079</td>
<td>131503011022Y000965</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>342</td>
<td>14-10-2022</td>
<td>014982</td>
<td>SOLEKAN</td>
<td>'</td>
<td>RT10</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-04-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003262722524</td>
<td>131503011022Y000966</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>343</td>
<td>14-10-2022</td>
<td>000121</td>
<td>SUPARTI</td>
<td>'3503125403590001</td>
<td>DSN BRONGKAH RT 09 RW 03</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-03-1959</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665296749</td>
<td>131503011022Y000967</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>344</td>
<td>14-10-2022</td>
<td>016268</td>
<td>ADIB MUSTOFA</td>
<td>'3503120407940003</td>
<td>RT 028 RW 012 DSN TENGGONG, RT : 28,RW :12 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-07-1994</td>
<td>28</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001847463682</td>
<td>131503011022Y000968</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>
<td>345</td>
<td>14-10-2022</td>
<td>000396</td>
<td>SASONGKO</td>
<td>'3503122108680001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665366589</td>
<td>131503011022Y000969</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>346</td>
<td>14-10-2022</td>
<td>000102</td>
<td>SULISTIANI</td>
<td>'3503124910710001</td>
<td>DSN DUWET RT 13</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-10-1971</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665367006</td>
<td>131503011022Y000970</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>347</td>
<td>14-10-2022</td>
<td>000346</td>
<td>INSIYAH</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-05-1955</td>
<td>67</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001843257385</td>
<td>131503011022Y000971</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>348</td>
<td>14-10-2022</td>
<td>000593</td>
<td>'3503121608790001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-01-1973</td>
<td>49</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665783965</td>
<td>131503011022Y000972</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>349</td>
<td>14-10-2022</td>
<td>000594</td>
<td>IMAM MUKIDIN</td>
<td>'3503121507770007</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-07-1977</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665784134</td>
<td>131503011022Y000973</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>350</td>
<td>14-10-2022</td>
<td>002127</td>
<td>KASMILAH</td>
<td>'350312 </td>
10,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-03-1956</td>
<td>66</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106828716</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>351</td>
<td>14-10-2022</td>
<td>005895</td>
<td>SRIATUN</td>
<td>'3503125204510002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-04-1951</td>
<td>71</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106754354</td>
<td>131503011022Y000974</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>352</td>
<td>14-10-2022</td>
<td>005826</td>
<td>MISRIATUN</td>
<td>'3503014112710001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1944</td>
<td>77</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000200757227</td>
<td>131503011022Y000975</td>
<td align='center'>
E11 </td>
<td align='center'>
</tr>

<td>353</td>
<td>14-10-2022</td>
<td>004283</td>
<td>KUSAINIYAH AL SINI</td>
<td>'3503125205550001</td>
<td>BENDOREJO RT 03RW 01</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-05-1955</td>
<td>67</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000169452191</td>
<td>131503011022Y000976</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>354</td>
<td>14-10-2022</td>
<td>008701</td>
<td>'3503121604610002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-04-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665260209</td>
<td>131503011022Y000977</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>355</td>
<td>14-10-2022</td>
<td>011248</td>
<td>MARYATI</td>
<td>'</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106572892</td>
<td>131503011022Y000978</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>356</td>
<td>14-10-2022</td>
<td>010614</td>
<td>ITAUL LAILY</td>
<td>'3503126803820005</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-03-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860471181</td>
<td>131503011022Y000979</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>357</td>
<td>14-10-2022</td>
<td>004954</td>
<td>RAHA DIAN PUTRA PANGESTU</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-09-2017</td>
<td>5</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>358</td>
<td>14-10-2022</td>
<td>000291</td>
<td>WIWIT RAHAYUNINGSIH</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-03-1983</td>
<td>39</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664426528</td>
<td>131503011022Y000980</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>359</td>
<td>14-10-2022</td>
<td>013213</td>
<td>SUTI RAHAYU</td>
<td>'3503125805720001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-05-1972</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036969143</td>
<td>131503011022Y000981</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>360</td>
<td>14-10-2022</td>
<td>004414</td>
<td>SUNARTI</td>
<td>'3503124506680002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-06-1968</td>
<td>54</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665325472</td>
<td>131503011022Y000982</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>361</td>
<td>14-10-2022</td>
<td>000799</td>
<td>JUWITO</td>
<td>'3503121104720002</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-1972</td>
<td>50</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665739279</td>
<td>131503011022Y000983</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>362</td>
<td>14-10-2022</td>
<td>016271</td>
<td>BATU ALIF ASTARI ASTUTI</td>
<td>'3503124907980002</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-07-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665739775</td>
<td>131503011022Y000984</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>363</td>
<td>14-10-2022</td>
<td>000109</td>
<td>MARSUDI</td>
<td>'3503122506660001</td>
<td>DSN TENGGONG RT 27 RW 12</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036967264</td>
<td>131503011022Y000985</td>
<td align='center'>
E11 </td>
<td align='center'>
</tr>
<td>364</td>
<td>14-10-2022</td>
<td>001859</td>
<td>BAKRI</td>
<td>'3503120102630002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-1963</td>
<td>59</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002474160693</td>
<td>131503011022Y000986</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>365</td>
<td>14-10-2022</td>
<td>016273</td>
<td>MISDI</td>
<td>'3503120107580004</td>
</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1959</td>
<td>63</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td>PBI (APBN)</td>
<td>'0001036974161</td>
<td></td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>366</td>
<td>15-10-2022</td>
<td>000838</td>
<td>ROISATIN</td>
<td>'3503124411750001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1975</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665160085</td>
<td>131503011022Y000846</td>
<td align='center'>
E10.3 </td>
<td align='center'>
Insulin-dependent diabetes mellitus with ophthalmic complications
</td>
</tr>

<td>367</td>
<td>15-10-2022</td>
<td>016283</td>
<td>DENNISWARA ANGGOMAN</td>
<td>'3503102909020001</td>
<td>KARANGANYAR RT 07 RW 03</td>
<td>KARANGANYAR</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>29-09-2002</td>
<td>20</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002093088609</td>
<td></td>
<td align='center'>
H60 </td>
<td align='center'>
Otitis externa </td>
</tr>

<td>368</td>
<td>15-10-2022</td>
<td>006959</td>
<td>MOH. YAHYA</td>
<td>'3503122303610003</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-03-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860471449</td>
<td>131503011022Y000848</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>369</td>
<td>15-10-2022</td>
<td>000656</td>
<td>ERNI NUR INDAH</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1981</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665333043</td>
<td>131503011022Y000849</td>
<td align='center'>
A01 </td>
<td align='center'>
</tr>

<td>370</td>
<td>15-10-2022</td>
<td>000657</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-03-2011</td>
<td>11</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665333087</td>
<td>131503011022Y000850</td>
<td align='center'>
A01 </td>
<td align='center'>
</tr>

<td>371</td>
<td>15-10-2022</td>
<td>016284</td>
<td>YASIN</td>
<td>'3503120112340001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1934</td>
<td>87</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002925859083</td>
<td>131503011022Y001034</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>372</td>
<td>15-10-2022</td>
<td>005766</td>
<td>CANAYA AZZALEA PUTRI</td>
<td>'3503124602190001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-02-2019</td>
<td>3</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002744876676</td>
<td>131503011022Y000999</td>
<td align='center'>
W03 </td>
<td align='center'>
</tr>

<td>373</td>
<td>15-10-2022</td>
<td>006166</td>
<td>ERIEC CAHYA SUPROBO</td>
<td>'3503120404950001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-04-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000202530306</td>
<td>131503011022Y000851</td>
<td align='center'>
F23.0 </td>
<td align='center'>
Acute polymorphic psychotic disorder without symptoms of schizophrenia
</td>
</tr>

<td>374</td>
<td>15-10-2022</td>
<td>007266</td>
<td>YANANDRI MARANIA</td>
<td>'3503125803170002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-03-2017</td>
<td>5</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002233845202</td>
<td>131503011022Y001000</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>375</td>
<td>15-10-2022</td>
<td>000412</td>
<td>MUSIDJAH</td>
<td>'3503127112560001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1944</td>
<td>77</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002265189772</td>
<td>131503011022Y001001</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>376</td>
<td>15-10-2022</td>
<td>016290</td>
<td>RUMINI</td>
<td>'3503127112600007</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1960</td>
<td>61</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665393084</td>
<td>131503011022Y001002</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>377</td>
<td>15-10-2022</td>
<td>002227</td>
<td>MUSTOFA</td>
<td>'3503123008680001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036966533</td>
<td>131503011022Y000869</td>
<td align='center'>
H33 </td>
<td align='center'>
Retinal detachments and breaks </td>
</tr>

<td>378</td>
<td>15-10-2022</td>
<td>004400</td>
<td>AGUNG DWI SUSANTO</td>
<td>'3503120304930002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681606553</td>
<td>131503011022P000871</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>379</td>
<td>15-10-2022</td>
<td>009943</td>
<td>FATIMAH AZZAHRA PAMBUDI</td>
<td>'3503126304160002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-04-2016</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002212482835</td>
<td>131503011022Y001003</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>380</td>
<td>15-10-2022</td>
<td>000649</td>
<td>YAUMI</td>
<td>'3503126207790002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1979</td>
<td>43</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665367849</td>
<td>131503011022Y001004</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>
<td>381</td>
<td>15-10-2022</td>
<td>009038</td>
<td>ALFA ARDIYANTO</td>
<td>'3503120508090002</td>
<td>RT 12</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-08-2009</td>
<td>13</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707080512</td>
<td>131503011022Y001005</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>382</td>
<td>15-10-2022</td>
<td>002374</td>
<td>EVI YULI RAHAYU</td>
<td>'3515116407920001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-07-1992</td>
<td>30</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000722988123</td>
<td>131503011022Y001031</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>383</td>
<td>15-10-2022</td>
<td>016297</td>
<td>RESTA CANDRA FEBRIAN</td>
<td>'</td>
<td>SUKOWETAN RT 01 RW 01</td>
<td>SUKOWETAN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>13-02-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>384</td>
<td>15-10-2022</td>
<td>001195</td>
<td>MUHAMMAD ULIL ALBAB AMINUDIN SHOFI</td>
<td>'3503122306140001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-06-2014</td>
<td>8</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802891453</td>
<td>131503011022Y001032</td>
<td align='center'>
L20 </td>
<td align='center'>
</tr>

<td>385</td>
<td>15-10-2022</td>
<td>002044</td>
<td>ANI SEPTA IKA PURBARINI</td>
<td>'3503114809980003</td>
<td>DSN. NGEPOH, RT 04 RW 02, DS. SAMBIREJOKEC. TRENGGALEK KAB.
<td>SAMBIREJO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>08-09-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000200971686</td>
<td>131503011022Y001033</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>386</td>
<td>17-10-2022</td>
<td>013858</td>
<td>MIA RUSDIANA DEWI</td>
<td>'3504174305990001</td>
<td>DUSUN SINGGIT RT 02 RW 01 </td>
<td>SINGGIT</td>
<td>BANDUNG</td>
<td>03-05-1999</td>
<td>23</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002583158051</td>
<td>131503011022Y000925</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>387</td>
<td>17-10-2022</td>
<td>000099</td>
<td>MUSILAH</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665574827</td>
<td>131503011022Y001042</td>
<td align='center'>
J45 </td>
<td align='center'>
Asthma </td>
</tr>

<td>388</td>
<td>17-10-2022</td>
<td>001430</td>
<td>SANDY TRI PRABOWO</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664450018</td>
<td>131503011022Y001043</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>389</td>
<td>17-10-2022</td>
<td>000184</td>
<td>INDARTI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-03-1965</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001265577063</td>
<td>131503011022Y000927</td>
<td align='center'>
I24.0 </td>
<td align='center'>
Coronary thrombosis not resulting in myocardial infarction </td>
</tr>

<td>390</td>
<td>17-10-2022</td>
<td>001367</td>
<td>SRI ASTUTI</td>
<td>'3503125912660002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-12-1966</td>
<td>55</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106836298</td>
<td>131503011022Y000928</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>391</td>
<td>17-10-2022</td>
<td>000424</td>
<td>EWM CATUR</td>
<td>'3503124606660006</td>
<td>RT 028 RW 009 DS.NGETAL KEC.POGALAN, RT : 28,RW :9 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-06-1966</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106588899</td>
<td>131503011022Y001044</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>392</td>
<td>17-10-2022</td>
<td>016305</td>
<td>RAMDANI RAHMAT HIDAYAT</td>
<td>'3503120906160002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-06-2016</td>
<td>6</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002735120338</td>
<td>131503011022Y001197</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>393</td>
<td>17-10-2022</td>
<td>000707</td>
<td>PUGUH HARI SETIAWAN</td>
<td>'3503120711940001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1994</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665882605</td>
<td>131503011022Y001179</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>394</td>
<td>17-10-2022</td>
<td>015748</td>
<td>ALFIYAH</td>
<td>' 3503127012500004</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-12-1950</td>
<td>71</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665400936</td>
<td>131503011022Y001180</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>395</td>
<td>17-10-2022</td>
<td>000897</td>
<td>SAMSUL MAÀRIF</td>
<td>'3503121203740006</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-03-1974</td>
<td>48</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802889517</td>
<td>131503011022Y001181</td>
<td align='center'>
E11 </td>
<td align='center'>
</tr>

<td>396</td>
<td>17-10-2022</td>
<td>003858</td>
<td>WAJI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-01-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681788419</td>
<td>131503011022Y001182</td>
<td align='center'>
J45 </td>
<td align='center'>
Asthma </td>
</tr>

<td>397</td>
<td>17-10-2022</td>
<td>011264</td>
<td>SULAM</td>
<td>'3503112501870001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-01-1987</td>
<td>35</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802896008</td>
<td>131503011022Y001183</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>398</td>
<td>17-10-2022</td>
<td>000263</td>
<td>SUGIMAN</td>
<td>'3503121209430001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1943</td>
<td>79</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665129305</td>
<td>131503011022Y001184</td>
<td align='center'>
J45 </td>
<td align='center'>
Asthma </td>
</tr>

<td>399</td>
<td>17-10-2022</td>
<td>000342</td>
<td>SUJALI</td>
<td>'3503103112590056</td>
<td>DS KRANDEGAN GANDUSARI T. GALEK, RT : 13,RW :6 </td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>31-12-1959</td>
<td>62</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>GRATIS</td>
<td>PBI (APBD)</td>
<td>'0002313900448</td>
<td></td>
<td align='center'>
B20.0 </td>
<td align='center'>
HIV disease resulting in mycobacterial infection </td>
</tr>
<td>400</td>
<td>17-10-2022</td>
<td>016310</td>
<td>DEA AYU KUSUMA WARDANI</td>
<td>'3503124402050001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-02-2005</td>
<td>17</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860470966</td>
<td>131503011022Y001185</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>401</td>
<td>17-10-2022</td>
<td>002418</td>
<td>UMI RAHAYUNINGSIH</td>
<td>'3503124107740035</td>
6,RW :3 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1974</td>
<td>48</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003110909657</td>
<td>131503011022Y001186</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>402</td>
<td>17-10-2022</td>
<td>011491</td>
<td>'3503124803640001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1964</td>
<td>58</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666840328</td>
<td>131503011022Y001198</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>403</td>
<td>17-10-2022</td>
<td>000116</td>
<td>NURHADI</td>
<td>'3503120202620001</td>
<td>DSN BENDO RT 01 RW 01 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-02-1962</td>
<td>60</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665994306</td>
<td>131503011022Y001187</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>404</td>
<td>17-10-2022</td>
<td>000845</td>
<td>TUKINEM</td>
<td>'3503124611520002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1952</td>
<td>69</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665958508</td>
<td>131503011022Y000958</td>
<td align='center'>
I50.0 </td>
<td align='center'>
</tr>

<td>405</td>
<td>17-10-2022</td>
<td>004939</td>
<td>BRINA ELYSIA SHAFIRA</td>
<td>'3503124407180002</td>
<td>RT/RW24/11WONOCOYOPOGALANTRENGGALEK</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-07-2018</td>
<td>4</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002470043158</td>
<td>131503011022Y001188</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>406</td>
<td>17-10-2022</td>
<td>009500</td>
<td>ASRORI</td>
<td>'35031203580001 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-03-1958</td>
<td>64</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106564937</td>
<td>131503011022P000960</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>407</td>
<td>17-10-2022</td>
<td>016313</td>
<td>UCIK KRISDIANA</td>
<td>'3503105010830004</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-10-1983</td>
<td>39</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003122066788</td>
<td>131503011022Y000961</td>
<td align='center'>
N60.0 </td>
<td align='center'>
Solitary cyst of breast </td>
</tr>

<td>408</td>
<td>17-10-2022</td>
<td>002852</td>
<td>DAFFA FIKRI P</td>
<td>'3503120504150001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-04-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707080319</td>
<td>131503011022Y001189</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>409</td>
<td>17-10-2022</td>
<td>009026</td>
<td>CHUSNUL CHOTIMAH</td>
<td>'</td>
<td>RT 12</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-08-1993</td>
<td>29</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002159531954</td>
<td>131503011022Y001190</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>410</td>
<td>17-10-2022</td>
<td>014050</td>
<td>SUWARNI</td>
<td>'3503120303550004</td>
<td>RT 8 RW 05</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-03-1955</td>
<td>67</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664327091</td>
<td>131503011022Y001191</td>
<td align='center'>
K29 </td>
<td align='center'>
</tr>

<td>411</td>
<td>17-10-2022</td>
<td>000990</td>
<td>KOMARIYAH</td>
<td>'3503124107610015</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1961</td>
<td>61</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665292352</td>
<td>131503011022Y000989</td>
<td align='center'>
I69 </td>
<td align='center'>
Sequelae of cerebrovascular disease </td>
</tr>

<td>412</td>
<td>17-10-2022</td>
<td>000536</td>
<td>SRI UTAMI</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-04-1978</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106864749</td>
<td>131503011022Y000988</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>413</td>
<td>17-10-2022</td>
<td>010426</td>
<td>RIZAL ADHI KURNIAWAN</td>
<td>'3503121503940002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-03-1994</td>
<td>28</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001085647781</td>
<td>131503011022Y001192</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>414</td>
<td>17-10-2022</td>
<td>005159</td>
<td>YAHYA TAUFIQUR R</td>
<td>'3503121204210002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-04-2021</td>
<td>1</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003078209957</td>
<td>131503011022Y001193</td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>415</td>
<td>18-10-2022</td>
<td>000691</td>
<td>MUSLIKAH</td>
<td>'3503125805760001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-05-1976</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681607126</td>
<td>131503011022Y001315</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>416</td>
<td>18-10-2022</td>
<td>011298</td>
<td>CALISTA ANASTASYA</td>
<td>'3503127010190001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-10-2019</td>
<td>3</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002903129223</td>
<td>131503011022Y001200</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>417</td>
<td>18-10-2022</td>
<td>000945</td>
<td>SUSIANAH</td>
<td>'3503124405620001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-05-1962</td>
<td>60</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106569224</td>
<td>131503011022Y001067</td>
<td align='center'>
I50 </td>
<td align='center'>
Heart failure </td>
</tr>

<td>418</td>
<td>18-10-2022</td>
<td>000961</td>
<td>MUJIANTO</td>
<td>'3503121707600001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-07-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036968399</td>
<td>131503011022Y001316</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>
<td>419</td>
<td>18-10-2022</td>
<td>000532</td>
<td>BARI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-06-1954</td>
<td>68</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106557085</td>
<td>131503011022Y001317</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>420</td>
<td>18-10-2022</td>
<td>003910</td>
<td>ANIK KARYATI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-10-1975</td>
<td>47</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106758088</td>
<td>131503011022Y001318</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>421</td>
<td>18-10-2022</td>
<td>004532</td>
<td>SRI UTAMI</td>
<td>'3503125406650002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-06-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665911269</td>
<td></td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>422</td>
<td>18-10-2022</td>
<td>008821</td>
<td>REYFALDO KHOIRUN</td>
<td>'3503121905050001-713775</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-05-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>423</td>
<td>18-10-2022</td>
<td>016319</td>
<td>MUH. MAULA FARIS</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-04-2013</td>
<td>9</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>424</td>
<td>19-10-2022</td>
<td>004456</td>
<td>NUR SWASTIKA ABDILLAH</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-10-1993</td>
<td>29</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106880747</td>
<td>131503011022Y001398</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>425</td>
<td>19-10-2022</td>
<td>016322</td>
<td>MUHAMMAD IRSYAD ARYA DIPUTRA</td>
<td>'3503122705110001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-05-2011</td>
<td>11</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0001262385966</td>
<td>131503011022Y001080</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>426</td>
<td>19-10-2022</td>
<td>010783</td>
<td>AZKIYA SYIFA ALMAHYRA</td>
<td>'3503125201220001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-01-2022</td>
<td>0</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0003130911562</td>
<td>131503011022Y001040</td>
<td align='center'>
Q42.0 </td>
<td align='center'>
Congenital absence, atresia and stenosis of rectum with fistula
</td>
</tr>

<td>427</td>
<td>19-10-2022</td>
<td>004400</td>
<td>AGUNG DWI SUSANTO</td>
<td>'3503120304930002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1995</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681606553</td>
<td>Konseling</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>428</td>
<td>19-10-2022</td>
<td>013440</td>
<td>IRMA KESUMA DEWI</td>
<td>'3503122810119999</td>
20,RW :9 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-10-2011</td>
<td>11</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001242417857</td>
<td>131503011022Y001304</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>429</td>
<td>19-10-2022</td>
<td>011032</td>
<td>HADI SUSILA</td>
<td>'3503120307600001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-07-1960</td>
<td>62</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106781793</td>
<td>131503011022Y001079</td>
<td align='center'>
J91 </td>
<td align='center'>
Pleural effusion in conditions classified elsewhere </td>
</tr>

<td>430</td>
<td>19-10-2022</td>
<td>007557</td>
<td>ALVARO ANGGER</td>
<td>'</td>
<td>WONOCOYO RT 06</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-08-2021</td>
<td>1</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011623121</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>431</td>
<td>19-10-2022</td>
<td>005166</td>
<td>NGAFWAN NGABIDIN</td>
<td>'3503122802760005</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-02-1976</td>
<td>46</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681789769</td>
<td>131503011022Y001081</td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>432</td>
<td>19-10-2022</td>
<td>000262</td>
<td>METI SETIANINGRUM</td>
<td>'3175104305700012</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-05-1970</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0001621156329</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>433</td>
<td>19-10-2022</td>
<td>001977</td>
<td>SEAN RAYYAN AL MALIK</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-08-2020</td>
<td>2</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J10.0 </td>
<td align='center'>
</tr>

<td>434</td>
<td>19-10-2022</td>
<td>003647</td>
<td>KARTIKA PUJI RAHAYU</td>
<td>'3503124910160001</td>
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-10-2016</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002091429224</td>
<td>131503011022Y001399</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>435</td>
<td>19-10-2022</td>
<td>016326</td>
<td>AHYAN FATIH AL FAUZI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-10-2016</td>
<td>6</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>
<td>436</td>
<td>19-10-2022</td>
<td>016327</td>
<td>FITRIANA AS SIDIK</td>
<td>'3503124802980005</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-02-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>437</td>
<td>19-10-2022</td>
<td>016328</td>
<td>SIDIK PURNOMO</td>
<td>'3503121207650001</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-07-1965</td>
<td>57</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000106585852</td>
<td></td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>438</td>
<td>19-10-2022</td>
<td>008341</td>
<td>ARIS PURWANTO</td>
<td>'3503123103860003</td>
<td>NGADIRENGGO 24/11</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-03-1986</td>
<td>36</td>
<td>L</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001967603499</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>439</td>
<td>19-10-2022</td>
<td>012339</td>
<td>SODIKIN</td>
<td>'35031228067000002</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-06-1970</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036977276</td>
<td>131503011022Y001094</td>
<td align='center'>
L02 </td>
<td align='center'>
Cutaneous abscess, furuncle and carbuncle </td>
</tr>

<td>440</td>
<td>19-10-2022</td>
<td>012078</td>
<td>SUNARTI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-04-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681607519</td>
<td>131503011022Y001401</td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>441</td>
<td>19-10-2022</td>
<td>016038</td>
<td>ZAENAL ASRORI</td>
<td>'3504042609860003</td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>26-09-1986</td>
<td>36</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td>'0003006275692</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>442</td>
<td>19-10-2022</td>
<td>016329</td>
<td>YULI WIJAYANTI</td>
<td>'3674055007810010</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-07-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001298534837</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>443</td>
<td>19-10-2022</td>
<td>011873</td>
<td>SITI MUAWANAH</td>
<td>'3503124706650001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-06-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036963383</td>
<td>131503011022Y001095</td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>444</td>
<td>19-10-2022</td>
<td>016330</td>
<td>LISHALIK</td>
<td>'3515164504670001 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-04-1967</td>
<td>55</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000102432789</td>
<td>131503011022Y001402</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>445</td>
<td>19-10-2022</td>
<td>012114</td>
<td>RIZKIYATUL KHUSNA</td>
<td>'35031253022980001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036965137</td>
<td>131503011022Y001097</td>
<td align='center'>
S92.30 </td>
<td align='center'>
Fracture of metatarsal bone, closed </td>
</tr>

<td>446</td>
<td>19-10-2022</td>
<td>016331</td>
<td>ABDUL AZIZ FATHONI</td>
<td>'3503121801050001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-01-2005</td>
<td>17</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666311927</td>
<td>131503011022Y001403</td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>447</td>
<td>19-10-2022</td>
<td>015540</td>
<td>ARFANENDRA DAVINKA ARGANI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-04-2022</td>
<td>0</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>448</td>
<td>19-10-2022</td>
<td>001924</td>
<td>TARIJO</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>449</td>
<td>19-10-2022</td>
<td>016332</td>
<td>HAZIS SUNARTO</td>
<td>'3503133009560002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-09-1956</td>
<td>66</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'0000106814812</td>
<td></td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>450</td>
<td>19-10-2022</td>
<td>011411</td>
<td>SAURI</td>
<td>'3503123112460001</td>
<td>RT 44RW12</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1946</td>
<td>75</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036962358</td>
<td>131503011022Y001661</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>451</td>
<td>20-10-2022</td>
<td>016012</td>
<td>SUYUDI</td>
<td>'3503120209560001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-09-1956</td>
<td>66</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665070039</td>
<td>131503011022Y001505</td>
<td align='center'>
L20.8 </td>
<td align='center'>
Other atopic dermatitis </td>
</tr>

<td>452</td>
<td>20-10-2022</td>
<td>000593</td>
<td>'3503121608790001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-01-1973</td>
<td>49</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665783965</td>
<td>131503011022Y001506</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>453</td>
<td>20-10-2022</td>
<td>000594</td>
<td>IMAM MUKIDIN</td>
<td>'3503121507770007</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-07-1977</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665784134</td>
<td>131503011022Y001507</td>
<td align='center'>
L20.8 </td>
<td align='center'>
</tr>

<td>454</td>
<td>20-10-2022</td>
<td>000707</td>
<td>PUGUH HARI SETIAWAN</td>
<td>'3503120711940001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1994</td>
<td>27</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665882605</td>
<td>131503011022Y001508</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>455</td>
<td>20-10-2022</td>
<td>016080</td>
<td>'3503114611580001</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>06-11-1958</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H66.1 </td>
<td align='center'>
Chronic tubotympanic suppurative otitis media </td>
</tr>

<td>456</td>
<td>20-10-2022</td>
<td>001890</td>
<td>SRI MARMI</td>
<td>'3503125004620001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-1962</td>
<td>60</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665383869</td>
<td>131503011022Y001509</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>457</td>
<td>20-10-2022</td>
<td>002105</td>
<td>MOHAMAD MUHDOR</td>
<td>'3503100403680005</td>
<td>SUKORAME RT 17 RW 8</td>
<td>SUKORAME</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>04-03-1968</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106788216</td>
<td>131503011022Y001118</td>
<td align='center'>
I50.0 </td>
<td align='center'>
</tr>

<td>458</td>
<td>20-10-2022</td>
<td>010297</td>
<td>MISDI</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1946</td>
<td>75</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>459</td>
<td>20-10-2022</td>
<td>005578</td>
<td>ULVINA RAHMAWATI</td>
<td>'3503126002140001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-02-2014</td>
<td>8</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681619985</td>
<td>131503011022Y001510</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>460</td>
<td>20-10-2022</td>
<td>000968</td>
<td>SUTARMI</td>
<td>'3503127112540010</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1954</td>
<td>67</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002494417858</td>
<td>131503011022Y001120</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>461</td>
<td>20-10-2022</td>
<td>000171</td>
<td>MUKAYAT</td>
<td>'3503120107560052</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1958</td>
<td>63</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036972877</td>
<td>131503011022Y001511</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>462</td>
<td>20-10-2022</td>
<td>009795</td>
<td>SITI BANDIYAH</td>
<td>'3503125306820003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-06-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>463</td>
<td>20-10-2022</td>
<td>009957</td>
<td>MUHAMMAD KHOIRUN NIZAM</td>
<td>'3503121008160001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-08-2016</td>
<td>6</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>464</td>
<td>20-10-2022</td>
<td>008810</td>
<td>MESINAH</td>
<td>'3503127112560013</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1956</td>
<td>65</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664516528</td>
<td>131503011022Y001512</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>465</td>
<td>20-10-2022</td>
<td>016340</td>
<td>PRIMANDITA NANDA SAPUTRI</td>
<td>'3503125405020001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-05-2002</td>
<td>20</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665791457</td>
<td>131503011022Y001513</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>466</td>
<td>20-10-2022</td>
<td>016341</td>
<td>ABDUL ROHMAN</td>
<td>'3503120506800003</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-06-1980</td>
<td>42</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000665654714</td>
<td>131503011022Y001514</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>467</td>
<td>20-10-2022</td>
<td>001535</td>
<td>MIKAILA FAUZI</td>
<td>'3503115106180002</td>
<td>DAWUHAN RT 01 RW 01</td>
<td>DAWUHAN</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>11-06-2018</td>
<td>4</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002720037835</td>
<td>131503011022Y001129</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>468</td>
<td>20-10-2022</td>
<td>000626</td>
<td>SITI MUYASAROH</td>
<td>'3503124403810002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-03-1981</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664964897</td>
<td>131503011022Y001515</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>469</td>
<td>20-10-2022</td>
<td>016342</td>
<td>IMAM KAMBALI</td>
<td>'3503121803840001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-03-1984</td>
<td>38</td>
<td>L</td>
<td>Perangkat Desa</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>KEPALA DESA DAN PERANGKAT DESA</td>
<td>'0002250934119</td>
<td>131503011022Y001663</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>470</td>
<td>20-10-2022</td>
<td>016217</td>
<td>ALIFIA WIDYA NINGRUM</td>
<td>'3312084102020001</td>
<td>RT 01 RW 013</td>
<td>NGADIREJO</td>
<td>EROMOKO</td>
<td>WONOGIRI</td>
<td>01-02-2002</td>
<td>20</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0002700844839</td>
<td></td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>471</td>
<td>20-10-2022</td>
<td>016344</td>
<td>VALESKA NAJUAN ALVARO</td>
<td>'3503122009110001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-09-2011</td>
<td>11</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PRAJURIT AD</td>
<td>'0001293585939</td>
<td>131503011022Y001664</td>
<td align='center'>
K28.0 </td>
<td align='center'>
Gastrojejunal ulcer, acute with haemorrhage </td>
</tr>

<td>472</td>
<td>20-10-2022</td>
<td>005826</td>
<td>MISRIATUN</td>
<td>'3503014112710001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1944</td>
<td>77</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000200757227</td>
<td>131503011022Y001665</td>
<td align='center'>
E11.9 </td>
<td align='center'>
Non-insulin-dependent diabetes mellitus without complications
</td>
</tr>

<td>473</td>
<td>20-10-2022</td>
<td>016345</td>
<td>DIAZ ANGGITA SANGGA PUTRI</td>
<td>'3503125510980003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-10-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0003285448424</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>474</td>
<td>20-10-2022</td>
<td>001474</td>
<td>SUPARMAN </td>
<td>'</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-06-1963</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106535305</td>
<td>131503011022Y001666</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>475</td>
<td>20-10-2022</td>
<td>005577</td>
<td>R ADITYA KUSUMA WARDANA</td>
<td>'3503120910170001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-10-2017</td>
<td>5</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970328217</td>
<td>131503011022Y001667</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>476</td>
<td>20-10-2022</td>
<td>011571</td>
<td>YANIK</td>
<td>'3503124107800063</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1980</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970328195</td>
<td>131503011022Y001668</td>
<td align='center'>
J40 </td>
<td align='center'>
Bronchitis, not specified as acute or chronic </td>
</tr>

<td>477</td>
<td>20-10-2022</td>
<td>012416</td>
<td>TUTIK SUGIARTI</td>
<td>'3503125005650001</td>
<td>RT 01</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-05-1965</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000170069602</td>
<td>131503011022Y001669</td>
<td align='center'>
J40 </td>
<td align='center'>
Bronchitis, not specified as acute or chronic </td>
</tr>

<td>478</td>
<td>20-10-2022</td>
<td>009885</td>
<td>AGUS SUSANTO</td>
<td>'3503120712670001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-12-1967</td>
<td>54</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106840574</td>
<td>131503011022Y001670</td>
<td align='center'>
L30.9 </td>
<td align='center'>
Dermatitis, unspecified </td>
</tr>

<td>479</td>
<td>20-10-2022</td>
<td>016346</td>
<td>SIDIQ MAHFUD</td>
<td>'3503120101470001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1947</td>
<td>75</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106714664</td>
<td>131503011022Y001671</td>
<td align='center'>
R51 </td>
<td align='center'>
Headache </td>
</tr>

<td>480</td>
<td>20-10-2022</td>
<td>000758</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-12-1980</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665981526</td>
<td>131503011022Y001672</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>481</td>
<td>20-10-2022</td>
<td>009464</td>
<td>DANU FAIZAL RAMADHAN</td>
<td>'3503121011020001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-11-2002</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802898754</td>
<td>131503011022Y001673</td>
<td align='center'>
R51 </td>
<td align='center'>
Headache </td>
</tr>

<td>482</td>
<td>20-10-2022</td>
<td>016347</td>
<td>KARTIKA INDRIANA SARI</td>
<td>'3503126003970002</td>
<td>DSN. BENDO RT. 001 RW. 001 DS. BENDOREJO KEC. POGALAN KAB.
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-03-1997</td>
<td>25</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002802890801</td>
<td></td>
<td align='center'>
Z34.0 </td>
<td align='center'>
Supervision of normal first pregnancy </td>
</tr>

<td>483</td>
<td>20-10-2022</td>
<td>002441</td>
<td>DWI OKTAVIANI</td>
<td>'3503125910960001</td>
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-10-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002324624174</td>
<td>131503011022Y001676</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>484</td>
<td>20-10-2022</td>
<td>011250</td>
<td>ASMOBANG</td>
<td>'3503123112620012</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1962</td>
<td>59</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>485</td>
<td>20-10-2022</td>
<td>014821</td>
<td>AZZAM GIBRAN RAMADHAN</td>
<td>'3503121307150001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-07-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0001870458489</td>
<td>131503011022Y001677</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>486</td>
<td>20-10-2022</td>
<td>016348</td>
<td>SUDARMAJI</td>
<td>'3503122612700001</td>
<td>DUSUN TENGGONG RT.027 RW.012 BENDOREJO. POGALAN. TRENGGALEK, RT :
27,RW :12 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-12-1970</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0003000911411</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>487</td>
<td>20-10-2022</td>
<td>016349</td>
<td>SULATIN</td>
<td>'3503126806800002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1980</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'0000665746626</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>488</td>
<td>20-10-2022</td>
<td>016350</td>
<td>SUPRIYANTO</td>
<td>'3503120910790003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-10-1979</td>
<td>43</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000665746121</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>489</td>
<td>20-10-2022</td>
<td>016351</td>
<td>AHMAD RAFA</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-04-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A08.0 </td>
<td align='center'>
Rotaviral enteritis </td>
</tr>

<td>490</td>
<td>20-10-2022</td>
<td>009558</td>
<td>KATMIATI</td>
<td>'3503125302710001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-02-1971</td>
<td>51</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665756302</td>
<td>131503011022Y001678</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>491</td>
<td>20-10-2022</td>
<td>000752</td>
<td>FAJAR BUDI UTOMO</td>
<td>'3503122005710003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-05-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001828339953</td>
<td>131503011022P001143</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>492</td>
<td>20-10-2022</td>
<td>016352</td>
<td>REHAN AGUS DWI CAHYONO</td>
<td>'3503122908050001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-08-2005</td>
<td>17</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003291798824</td>
<td>131503011022Y001679</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>
<td>493</td>
<td>20-10-2022</td>
<td>008522</td>
<td>NINDA AGUSTINA</td>
<td>'3503124508980001</td>
<td>RT 033 RW 010 DS NGADIREJO POGALAN, RT : 33,RW :10 </td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-08-1998</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001717570348</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>494</td>
<td>20-10-2022</td>
<td>015724</td>
<td>GLADYS NUR ATIKASARI</td>
<td>'3503124112060002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-2006</td>
<td>15</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>495</td>
<td>21-10-2022</td>
<td>016357</td>
<td>AKHMAL LATIEF KHALIFAH</td>
<td>'3576021512130001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-12-2013</td>
<td>8</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>496</td>
<td>21-10-2022</td>
<td>016358</td>
<td>NURAINI SUSILOWATI</td>
<td>'3503125802670001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-02-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003064349621</td>
<td>131503011022Y001236</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>497</td>
<td>21-10-2022</td>
<td>000208</td>
<td>SUMARJI</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665953323</td>
<td>131503011022P001161</td>
<td align='center'>
K13.4 </td>
<td align='center'>
Granuloma and granuloma-like lesions of oral mucosa </td>
</tr>

<td>498</td>
<td>21-10-2022</td>
<td>008701</td>
<td>'3503121604610002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-04-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665260209</td>
<td>131503011022Y001237</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>499</td>
<td>21-10-2022</td>
<td>016359</td>
<td>REVANNO SATRIA PERDANA</td>
<td>'3503121906100001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-06-2010</td>
<td>12</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867883873</td>
<td>131503011022Y001238</td>
<td align='center'>
J31.0 </td>
<td align='center'>
Chronic rhinitis </td>
</tr>

<td>500</td>
<td>21-10-2022</td>
<td>001152</td>
<td>DARMANUN</td>
<td>'3503123009710001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-09-1971</td>
<td>51</td>
<td>L</td>
<td>Guru</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106543383</td>
<td>131503011022Y001239</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>501</td>
<td>21-10-2022</td>
<td>016255</td>
<td>MARYATI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-06-1975</td>
<td>47</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003288911679</td>
<td>131503011022Y001165</td>
<td align='center'>
N91.2 </td>
<td align='center'>
Amenorrhoea, unspecified </td>
</tr>

<td>502</td>
<td>21-10-2022</td>
<td>000207</td>
<td>KASRI</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1974</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665954109</td>
<td>131503011022Y001639</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>503</td>
<td>21-10-2022</td>
<td>016360</td>
<td>TAWIJAN</td>
<td>'3503121404430001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-04-1943</td>
<td>79</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>504</td>
<td>21-10-2022</td>
<td>016361</td>
<td>SUKIDI</td>
<td>'3579012104670001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-04-1967</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBD)</td>
<td>'0002733208233</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>505</td>
<td>21-10-2022</td>
<td>016362</td>
<td>BRIYAN ANDRIANAS</td>
<td>'3503111002960003</td>
<td>DUSUN SUKOREJO, RT : 006,RW :001 </td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>10-02-1996</td>
<td>26</td>
<td>L</td>
<td>KARYAWAN SWASTA</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
H66.1 </td>
<td align='center'>
</tr>

<td>506</td>
<td>21-10-2022</td>
<td>001384</td>
<td>ANNES AYU NUR TRIASTUTI</td>
<td>'3503126006030001</td>
13,RW :6 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-06-2013</td>
<td>9</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665215918</td>
<td>131503011022Y001680</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>507</td>
<td>21-10-2022</td>
<td>005922</td>
<td>SULASTRI</td>
<td>'3503127112680001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1968</td>
<td>53</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665213455</td>
<td>131503011022P001163</td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>508</td>
<td>21-10-2022</td>
<td>012914</td>
<td>SUPARMAN</td>
<td>'3503121103620002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-03-1962</td>
<td>60</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666646165</td>
<td>131503011022P001162</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>509</td>
<td>21-10-2022</td>
<td>016363</td>
<td>MOHAMMAD REYVAN RAFLY</td>
<td>'3503122506070001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-2007</td>
<td>15</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003287110048</td>
<td>131503011022Y001640</td>
<td align='center'>
H00.0 </td>
<td align='center'>
Hordeolum and other deep inflammation of eyelid </td>
</tr>

<td>510</td>
<td>21-10-2022</td>
<td>001276</td>
<td>SLAMET RIYADI</td>
<td>'3503221204920001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-04-1991</td>
<td>31</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>511</td>
<td>21-10-2022</td>
<td>016364</td>
<td>MUSIRAH</td>
<td>'3503127112540019</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1954</td>
<td>67</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003000912862</td>
<td>131503011022Y001681</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>
<td>512</td>
<td>21-10-2022</td>
<td>015721</td>
<td>SURURI</td>
<td>'3503121112680008</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-12-1964</td>
<td>57</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003286519233</td>
<td>131503011022Y001641</td>
<td align='center'>
M14.0 </td>
<td align='center'>
Gouty arthropathy due to enzyme defects and other inherited disorders
</td>
</tr>

<td>513</td>
<td>21-10-2022</td>
<td>011491</td>
<td>'3503124803640001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1964</td>
<td>58</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666840328</td>
<td>131503011022Y001682</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>514</td>
<td>21-10-2022</td>
<td>015922</td>
<td>SRI SUHAIMIN TAATI</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-10-1958</td>
<td>64</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106714675</td>
<td>131503011022Y001683</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>515</td>
<td>21-10-2022</td>
<td>015822</td>
<td>NURENI</td>
<td>'3276065204730005</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-04-1973</td>
<td>49</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970328757</td>
<td>131503011022P001164</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>516</td>
<td>21-10-2022</td>
<td>009659</td>
<td>EKA YULIANI</td>
<td>'6202016907860002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-07-1986</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002882930534</td>
<td>131503011022Y001685</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>517</td>
<td>21-10-2022</td>
<td>010034</td>
<td>ASKA ZAFIRA NADZIFAH</td>
<td>'3503076403160002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-03-2016</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002882930679</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>518</td>
<td>21-10-2022</td>
<td>008902</td>
<td>VIVIN HERBINCAHYANI</td>
<td>'3503127001930001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-01-1993</td>
<td>29</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665192711</td>
<td>131503011022Y001686</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>519</td>
<td>21-10-2022</td>
<td>010235</td>
<td>MOCHAMMAD ZHAFRAN ALFARIZY</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-07-2017</td>
<td>5</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002265187735</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>520</td>
<td>21-10-2022</td>
<td>015232</td>
<td>NIZAM KEITARO FAHLEVI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-05-2022</td>
<td>0</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>521</td>
<td>21-10-2022</td>
<td>014501</td>
<td>SUPINI</td>
<td>'3503125202730003</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-02-1973</td>
<td>49</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003010301706</td>
<td>131503011022Y001166</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>522</td>
<td>21-10-2022</td>
<td>016365</td>
<td>CHINDY AGUSTINA</td>
<td>'3503125081600001</td>
<td>RT 05 RW 02 DSN GROJOGAB DS NGADIRENGGO, RT : 5,RW :2 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-08-2016</td>
<td>6</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J11 </td>
<td align='center'>
</tr>

<td>523</td>
<td>21-10-2022</td>
<td>016366</td>
<td>HARWANI</td>
<td>'3503120406690001</td>
<td>RT 05 RW 02 DSN GROJOGAB DS NGADIRENGGO, RT : 5,RW :2 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-06-1969</td>
<td>53</td>
<td>L</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>524</td>
<td>21-10-2022</td>
<td>016367</td>
<td>EMILIA MUSTIKANINGSIH</td>
<td>'3503127001000001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-01-2000</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00 </td>
<td align='center'>
General examination and investigation of persons without complaint and
reported diagnosis </td>
</tr>

<td>525</td>
<td>21-10-2022</td>
<td>001643</td>
<td>DHIMAS UNTORO</td>
<td>'350312060980004</td>
<td>NGULANWETAN RT 15 RW 06</td>
<td>NGULANWETAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-07-1998</td>
<td>24</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>526</td>
<td>21-10-2022</td>
<td>012685</td>
<td>MUHAMMAD NIZAM</td>
<td>'3503122912100014</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-03-2022</td>
<td>0</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003259790493</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>527</td>
<td>21-10-2022</td>
<td>016368</td>
<td>AHMAD SYAFA</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-05-2009</td>
<td>13</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td></td>
<td>'000064434123</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>528</td>
<td>21-10-2022</td>
<td>007058</td>
<td>PUTRI SETYA RIZKY MAULIDTA</td>
<td>'3503126006990003</td>
<td>DUSUN BRONGKAH RT.004 RW.001 KEDUNGLURAH. KEC.POGALAN.
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-06-1999</td>
<td>23</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002802901882</td>
<td></td>
<td align='center'>
Z34.8 </td>
<td align='center'>
Supervision of other normal pregnancy </td>
</tr>
<td>529</td>
<td>21-10-2022</td>
<td>016369</td>
<td>ANGGA EKO PRASETIO</td>
<td>'3504180203970001</td>
<td>NGEBONG RT 02 RW 03</td>
<td>NGEBONG</td>
<td>PAKEL</td>
<td>02-03-1997</td>
<td>25</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>

<td>530</td>
<td>21-10-2022</td>
<td>000184</td>
<td>INDARTI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-03-1965</td>
<td>57</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001265577063</td>
<td>131503011022Y001167</td>
<td align='center'>
I11 </td>
<td align='center'>
Hypertensive heart disease </td>
</tr>

<td>531</td>
<td>21-10-2022</td>
<td>011516</td>
<td>SUMINAH</td>
<td>'3503125010540002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-10-1954</td>
<td>68</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002256934869</td>
<td>131503011022Y001687</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>532</td>
<td>21-10-2022</td>
<td>001243</td>
<td>LULUK LAILI</td>
<td>'3503124912640001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-12-1964</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978414481</td>
<td>131503011022Y001688</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>533</td>
<td>21-10-2022</td>
<td>000230</td>
<td>SUWAJI</td>
<td>'3503120606570001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-06-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036969582</td>
<td>131503011022Y001689</td>
<td align='center'>
G40.0 </td>
<td align='center'>
Localization-related (focal) (partial) idiopathic epilepsy and
epileptic syndromes with seizures of localized onset </td>
</tr>

<td>534</td>
<td>21-10-2022</td>
<td>015957</td>
<td>ELSA AURELIA JAHIA</td>
<td>'3503125101150001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-01-2015</td>
<td>7</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0003011278487</td>
<td>131503011022Y001690</td>
<td align='center'>
J10.0 </td>
<td align='center'>
</tr>

<td>535</td>
<td>22-10-2022</td>
<td>015638</td>
<td>MUHAMMAD RIZQI ALVIANTO</td>
<td>'3503120212140001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-12-2014</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860471282</td>
<td>131503011022Y001202</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>536</td>
<td>22-10-2022</td>
<td>014938</td>
<td>MUSRINI</td>
<td>'3503125909810003</td>
<td>15/06</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-09-1981</td>
<td>41</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002437267972</td>
<td>131503011022Y001203</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>537</td>
<td>22-10-2022</td>
<td>016376</td>
<td>AWFA NITISARA</td>
<td>'3503124903190001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-03-2019</td>
<td>3</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002751040541</td>
<td>131503011022Y001204</td>
<td align='center'>
J10.0 </td>
<td align='center'>
</tr>

<td>538</td>
<td>22-10-2022</td>
<td>010397</td>
<td>SUWANDI</td>
<td>'3503111006540001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-06-1954</td>
<td>68</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860471247</td>
<td>131503011022Y001205</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>539</td>
<td>22-10-2022</td>
<td>016377</td>
<td>DAFFA RIZKY</td>
<td>'3503122506140001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-2017</td>
<td>5</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002970331301</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>540</td>
<td>22-10-2022</td>
<td>005563</td>
<td>IKA PUTRI APRELIA DEWI</td>
<td>'3503124104210002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-04-2021</td>
<td>1</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003078474017</td>
<td>131503011022Y001206</td>
<td align='center'>
J10.0 </td>
<td align='center'>
</tr>

<td>541</td>
<td>22-10-2022</td>
<td>000289</td>
<td>DESYTA RATNASARI</td>
<td>'3503125712900001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-12-1990</td>
<td>31</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003078473872</td>
<td>131503011022Y001207</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>542</td>
<td>22-10-2022</td>
<td>000620</td>
<td>SITI MASRIFAH</td>
<td>'3503127112580002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1958</td>
<td>63</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002749770876</td>
<td>131503011022Y001199</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>543</td>
<td>22-10-2022</td>
<td>015946</td>
<td>AHMAD SHYARIQUE ZAFRAN SAUQI</td>
<td>'3503120404190003</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-04-2019</td>
<td>3</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002756986211</td>
<td>131503011022Y001218</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>544</td>
<td>22-10-2022</td>
<td>006382</td>
<td>TIAS YAYUK</td>
<td>'3503126011700001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-11-1970</td>
<td>51</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681611604</td>
<td>131503011022Y001208</td>
<td align='center'>
L98.5 </td>
<td align='center'>
Mucinosis of skin </td>
</tr>

<td>545</td>
<td>22-10-2022</td>
<td>014616</td>
<td>AFIFATUL UMIYAH</td>
<td>'3503125110080002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-10-2008</td>
<td>14</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681611615</td>
<td>131503011022Y001209</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>546</td>
<td>22-10-2022</td>
<td>004929</td>
<td>SUPINAH</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-08-1960</td>
<td>62</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>547</td>
<td>22-10-2022</td>
<td>016380</td>
<td>EMITA DWI C</td>
<td>'3503104411970001</td>
<td>DSN. KRANDEGAN DS. KRANDEGAN GANDUSARI T. GALEK, RT : 5,RW :3 </td>
<td>KRANDEGAN</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>04-11-1997</td>
<td>24</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0003259723959</td>
<td></td>
<td align='center'>
Z00.0 </td>
<td align='center'>
</tr>
<td>548</td>
<td>22-10-2022</td>
<td>016381</td>
<td>PUJIONO</td>
<td>'3503080512820001</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>05-12-1982</td>
<td>39</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000665602907</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>549</td>
<td>22-10-2022</td>
<td>001776</td>
<td>'3503122807990001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-07-1999</td>
<td>23</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666639674</td>
<td>131503011022Y001210</td>
<td align='center'>
F20.0 </td>
<td align='center'>
Paranoid schizophrenia </td>
</tr>

<td>550</td>
<td>22-10-2022</td>
<td>005826</td>
<td>MISRIATUN</td>
<td>'3503014112710001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1944</td>
<td>77</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000200757227</td>
<td>131503011022Y001219</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>551</td>
<td>22-10-2022</td>
<td>016382</td>
<td>YOURI RIJKARD PRAKOSO</td>
<td>'3505181603080002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-03-2008</td>
<td>14</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000168188411</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>552</td>
<td>22-10-2022</td>
<td>016383</td>
<td>ANTON PRIBADI</td>
<td>'3526092803920001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-03-1992</td>
<td>30</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
F32.1 </td>
<td align='center'>
Moderate depressive episode </td>
</tr>

<td>553</td>
<td>22-10-2022</td>
<td>002539</td>
<td>ZOYA ZELINE ZAAKEISHA</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-01-2020</td>
<td>2</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>554</td>
<td>22-10-2022</td>
<td>012484</td>
<td>GHEA NOVA KIRANA</td>
<td>'</td>
<td> RT 16 RW 07 NGADIRENGGO-POGALAN</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-03-2022</td>
<td>0</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0003261340956</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>555</td>
<td>22-10-2022</td>
<td>009464</td>
<td>DANU FAIZAL RAMADHAN</td>
<td>'3503121011020001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-11-2002</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802898754</td>
<td>131503011022Y001220</td>
<td align='center'>
W03 </td>
<td align='center'>
</tr>

<td>556</td>
<td>22-10-2022</td>
<td>001680</td>
<td>RUMINI</td>
<td>'3503125807660001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-07-1966</td>
<td>56</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002279315002</td>
<td>131503011022Y001211</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>557</td>
<td>22-10-2022</td>
<td>010585</td>
<td>FREYA ALISHABA ADIBA KHANZA</td>
<td>'</td>
<td>NGETAL RT14</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-01-2022</td>
<td>0</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>558</td>
<td>22-10-2022</td>
<td>016385</td>
<td>LONO</td>
<td>'3503120107420004</td>
<td>RT 017 RW 008 WADI LOR.NGADIRENGGO.POGALAN, RT : 17,RW :8 </td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1942</td>
<td>80</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665291237</td>
<td>131503011022Y001231</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>559</td>
<td>22-10-2022</td>
<td>000758</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-12-1980</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665981526</td>
<td>131503011022Y001221</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>560</td>
<td>22-10-2022</td>
<td>000084</td>
<td>MUHAMMAD ULIN NUHA</td>
<td>'3503120503082223</td>
<td>DSN TENGGONG RT 31 RW 13</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-03-2008</td>
<td>14</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665981684</td>
<td>131503011022Y001213</td>
<td align='center'>
J14 </td>
<td align='center'>
Pneumonia due to haemophilus influenzae </td>
</tr>

<td>561</td>
<td>22-10-2022</td>
<td>015603</td>
<td>SULIYAH</td>
<td>'3503126505740001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-05-1974</td>
<td>48</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>562</td>
<td>22-10-2022</td>
<td>011344</td>
<td>IMAM NURHAMID</td>
<td>'3503110404770005</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>04-04-1977</td>
<td>45</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002970330524</td>
<td>131503011022Y001222</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>563</td>
<td>22-10-2022</td>
<td>004794</td>
<td>ERLANGGA DAIB ZAKKA WAHYUDI</td>
<td>'3503122903100003</td>
<td>RT 44 BENDOREJO</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-2010</td>
<td>12</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665782108</td>
<td>131503011022Y001223</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>564</td>
<td>22-10-2022</td>
<td>003671</td>
<td>ARSYANA AZLAN RAFFASYA</td>
<td>'3503121407180002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-07-2018</td>
<td>4</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002768739006</td>
<td>131503011022Y001224</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>565</td>
<td>22-10-2022</td>
<td>016386</td>
<td>TALITHA MEISYA PUTRI ZAMZAMI</td>
<td>'3503126705200001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-05-2020</td>
<td>2</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002935298981</td>
<td>131503011022Y001225</td>
<td align='center'>
J12.1 </td>
<td align='center'>
</tr>

<td>566</td>
<td>22-10-2022</td>
<td>006215</td>
<td>SUNARJI</td>
<td>'3503122809660001</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-09-1966</td>
<td>56</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665977239</td>
<td>131503011022Y001226</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>
<td>567</td>
<td>22-10-2022</td>
<td>016388</td>
<td>FAVIO FAUSTA PRADIPTA</td>
<td>'3503120209150001</td>
<td>RT 026 RW 008 DS NGADIREJO POGALAN, RT : 26,RW :8 </td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-09-2015</td>
<td>7</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003142888929</td>
<td>131503011022Y001227</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>568</td>
<td>22-10-2022</td>
<td>016389</td>
<td>IBNU MAGHFUR</td>
<td>'3503121210700001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-10-1969</td>
<td>53</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802892781</td>
<td>131503011022Y001228</td>
<td align='center'>
J12.1 </td>
<td align='center'>
</tr>

<td>569</td>
<td>22-10-2022</td>
<td>000559</td>
<td>SITI ALKOMAH</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-02-1976</td>
<td>46</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665961298</td>
<td>131503011022Y001229</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>570</td>
<td>22-10-2022</td>
<td>000685</td>
<td>MUJAYAT</td>
<td>'3503120102720001</td>
<td>DUSUN NGLEMBU RT.020 RW.010. BENDOREJO. KEC.POGALAN.
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-1972</td>
<td>50</td>
<td>L</td>
<td>Konstruksi</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665961423</td>
<td>131503011022Y001230</td>
<td align='center'>
S14.1 </td>
<td align='center'>
Other and unspecified injuries of cervical spinal cord </td>
</tr>

<td>571</td>
<td>22-10-2022</td>
<td>016391</td>
<td>M MOPIT</td>
<td>'3503062705010003</td>
<td>SUKOWETAN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>27-05-2001</td>
<td>21</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000664592152</td>
<td></td>
<td align='center'>
H66.1 </td>
<td align='center'>
</tr>

<td>572</td>
<td>22-10-2022</td>
<td>012040</td>
<td>SULASMI</td>
<td>'3503114308560002</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>03-08-1956</td>
<td>66</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J44.0 </td>
<td align='center'>
Chronic obstructive pulmonary disease with acute lower respiratory
infection </td>
</tr>

<td>573</td>
<td>22-10-2022</td>
<td>001475</td>
<td>SRI HARTINI</td>
<td>'</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-04-1968</td>
<td>54</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106535316</td>
<td>131503011022Y001232</td>
<td align='center'>
S06.1 </td>
<td align='center'>
Traumatic cerebral oedema </td>
</tr>

<td>574</td>
<td>22-10-2022</td>
<td>006968</td>
<td>AWINARTI</td>
<td>'3503125104600001</td>
<td>RT 10 RW 05 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-04-1960</td>
<td>62</td>
<td>P</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106829076</td>
<td>131503011022Y001233</td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>575</td>
<td>22-10-2022</td>
<td>016331</td>
<td>ABDUL AZIZ FATHONI</td>
<td>'3503121801050001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-01-2005</td>
<td>17</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666311927</td>
<td>131503011022Y001531</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>576</td>
<td>22-10-2022</td>
<td>000272</td>
<td>MIFTAHUL ARIFIN</td>
<td>'3503120111690003</td>
<td>KEDUNGLURAH RT 32</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1969</td>
<td>52</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001978414209</td>
<td>131503011022Y001234</td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>577</td>
<td>22-10-2022</td>
<td>002756</td>
<td>YAYUK NURHAYATI</td>
<td>'3503124106660002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1966</td>
<td>56</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PNS DAERAH</td>
<td>'0000106859935</td>
<td></td>
<td align='center'>
K29.2 </td>
<td align='center'>
Alcoholic gastritis </td>
</tr>

<td>578</td>
<td>22-10-2022</td>
<td>008789</td>
<td>SITI MUSLIKAH</td>
<td>'3503127112830006</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1983</td>
<td>38</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665187895</td>
<td>131503011022Y001235</td>
<td align='center'>
E07.9 </td>
<td align='center'>
Disorder of thyroid, unspecified </td>
</tr>

<td>579</td>
<td>22-10-2022</td>
<td>014862</td>
<td>SITI MASAMAH</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-04-1942</td>
<td>80</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>580</td>
<td>24-10-2022</td>
<td>008012</td>
<td>MUHAMMAD HAMIZAN RABBANI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-06-2020</td>
<td>2</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>581</td>
<td>24-10-2022</td>
<td>006467</td>
<td>SITI MUJAYANAH</td>
<td>'350315206770001</td>
<td>RT 25 RW 11 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1977</td>
<td>45</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000665270886</td>
<td></td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>582</td>
<td>24-10-2022</td>
<td>000207</td>
<td>KASRI</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-1974</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665954109</td>
<td>131503011022Y001358</td>
<td align='center'>
E11.9 </td>
<td align='center'>
Non-insulin-dependent diabetes mellitus without complications
</td>
</tr>

<td>583</td>
<td>24-10-2022</td>
<td>000208</td>
<td>SUMARJI</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-06-1972</td>
<td>50</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665953323</td>
<td>131503011022Y001974</td>
<td align='center'>
M12.0 </td>
<td align='center'>
Chronic postrheumatic arthropathy [Jaccoud] </td>
</tr>

<td>584</td>
<td>24-10-2022</td>
<td>001776</td>
<td>'3503122807990001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-07-1999</td>
<td>23</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666639674</td>
<td>131503011022Y001347</td>
<td align='center'>
F20 </td>
<td align='center'>
Schizophrenia </td>
</tr>

<td>585</td>
<td>24-10-2022</td>
<td>004481</td>
<td>SUJITO</td>
<td>'3503123011540002</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-11-1954</td>
<td>67</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665543812</td>
<td>131503011022Y001351</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>586</td>
<td>24-10-2022</td>
<td>016397</td>
<td>SUPRIYADI</td>
<td>'3503122006820001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-06-1982</td>
<td>40</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002159531324</td>
<td></td>
<td align='center'>
J12.1 </td>
<td align='center'>
</tr>

<td>587</td>
<td>24-10-2022</td>
<td>010574</td>
<td>INDAH FATMAWATI</td>
<td>'3503126807010001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-07-2001</td>
<td>21</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0002294448862</td>
<td></td>
<td align='center'>
J11.0 </td>
<td align='center'>
</tr>

<td>588</td>
<td>24-10-2022</td>
<td>010469</td>
<td>DEWI MUTIA ZAHRINI</td>
<td>'3503124102170001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-02-2017</td>
<td>5</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>589</td>
<td>24-10-2022</td>
<td>002471</td>
<td>IMAM MIFTAKUDIN</td>
<td>'3503120502970003</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-02-1997</td>
<td>25</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>GRATIS</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
G40.0 </td>
<td align='center'>
</tr>

<td>590</td>
<td>24-10-2022</td>
<td>014581</td>
<td>SUTOMO</td>
<td>'3503111911560001</td>
<td>DSN. WATES, RT 03 RW 01, DS. SAMBIREJO KEC. TRENGGALEK KAB.
<td>SAMBIREJO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>19-11-1956</td>
<td>65</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001303175902</td>
<td>131503011022Y001348</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>591</td>
<td>24-10-2022</td>
<td>016398</td>
<td>SUPRIYANTO</td>
<td>'3503121010790009</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-10-1979</td>
<td>43</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0001975783239</td>
<td></td>
<td align='center'>
L20.8 </td>
<td align='center'>
</tr>

<td>592</td>
<td>24-10-2022</td>
<td>015588</td>
<td>ZEFANYA BELFA FAUZA</td>
<td>'</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>17-06-2006</td>
<td>16</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
W03 </td>
<td align='center'>
</tr>

<td>593</td>
<td>24-10-2022</td>
<td>013398</td>
<td>ROISATUN</td>
<td>'3503127006630001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-06-1963</td>
<td>59</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000173531395</td>
<td>131503011022Y001349</td>
<td align='center'>
F41.0 </td>
<td align='center'>
Panic disorder [episodic paroxysmal anxiety] </td>
</tr>

<td>594</td>
<td>24-10-2022</td>
<td>012267</td>
<td>ABIDA DZAKIYATUNNUHA</td>
<td>'3503126312160001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-12-2016</td>
<td>5</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002766166863</td>
<td>131503011022Y001350</td>
<td align='center'>
G40.0 </td>
<td align='center'>
</tr>

<td>595</td>
<td>24-10-2022</td>
<td>000047</td>
<td>MUJIANTO</td>
<td>'3503122803770003</td>
<td>DSN BANDULAN RT 14 RW 07 WONOCOYO</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-03-1977</td>
<td>45</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665229633</td>
<td>131503011022Y001692</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>596</td>
<td>24-10-2022</td>
<td>014110</td>
<td>AMINI</td>
<td>'</td>
<td>RT 14 RW 07 BANDULAN</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-12-1955</td>
<td>66</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665229251</td>
<td>131503011022Y001693</td>
<td align='center'>
J12.1 </td>
<td align='center'>
</tr>

<td>597</td>
<td>24-10-2022</td>
<td>006224</td>
<td>MAUZA AQILA</td>
<td>'</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-07-2014</td>
<td>8</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>598</td>
<td>24-10-2022</td>
<td>001177</td>
<td>SUBARI</td>
<td>'3503122010620001</td>
<td>RT 32 RW 13 TENGGONG.BENDOREJO.POGALAN, RT : 32,RW :13 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>20-10-1962</td>
<td>60</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036969514</td>
<td>131503011022Y001352</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>599</td>
<td>24-10-2022</td>
<td>010549</td>
<td>MAHERZA ALTIRTA KRISTIAWAN</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-03-2019</td>
<td>3</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>'0002765804501</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>600</td>
<td>24-10-2022</td>
<td>016391</td>
<td>M MOPIT</td>
<td>'3503062705010003</td>
<td>SUKOWETAN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>27-05-2001</td>
<td>21</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000664592152</td>
<td></td>
<td align='center'>
H66.2 </td>
<td align='center'>
Chronic atticoantral suppurative otitis media </td>
</tr>

<td>601</td>
<td>24-10-2022</td>
<td>012746</td>
<td>SAMSODIK</td>
<td>'3503122512630002</td>
<td>RT 26 RW 12 DSN. CEME KIDUL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-12-1963</td>
<td>58</td>
<td>L</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036975577</td>
<td>131503011022Y001356</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>602</td>
<td>24-10-2022</td>
<td>000738</td>
<td>SUDJITO</td>
<td>'3503122802500002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-02-1950</td>
<td>72</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106735072</td>
<td>131503011022Y001694</td>
<td align='center'>
J10.0 </td>
<td align='center'>
</tr>

<td>603</td>
<td>24-10-2022</td>
<td>014035</td>
<td>LILIK AGUSTINA</td>
<td>'6471037108840004</td>
<td>BENDORJO RT 10 RW 05</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-08-1984</td>
<td>38</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002067323499</td>
<td>131503011022Y001357</td>
<td align='center'>
N83.0 </td>
<td align='center'>
Follicular cyst of ovary </td>
</tr>

<td>604</td>
<td>24-10-2022</td>
<td>001120</td>
<td>KAMIYO</td>
<td>'3503120107460020</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1946</td>
<td>76</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002889586686</td>
<td>131503011022Y001355</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>605</td>
<td>24-10-2022</td>
<td>015384</td>
<td>AHMAD ZAKY AZIZY</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>28-03-2012</td>
<td>10</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802892307</td>
<td>131503011022Y001354</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>606</td>
<td>24-10-2022</td>
<td>016377</td>
<td>DAFFA RIZKY</td>
<td>'3503122506140001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-06-2017</td>
<td>5</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0002970331301</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>607</td>
<td>24-10-2022</td>
<td>016405</td>
<td>SUPARDI</td>
<td>'3503120107570026</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002197848936</td>
<td>131503011022Y001359</td>
<td align='center'>
h25 </td>
<td align='center'>
</tr>

<td>608</td>
<td>24-10-2022</td>
<td>016362</td>
<td>BRIYAN ANDRIANAS</td>
<td>'3503111002960003</td>
<td>KARANGSOKO</td>
<td>TRENGGALEK</td>
<td>TRENGGALEK</td>
<td>10-02-1996</td>
<td>26</td>
<td>L</td>
<td>KARYAWAN SWASTA</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
M12.09 </td>
<td align='center'>
Chronic postrheumatic arthropathy [jaccoud], unspecified site
</td>
</tr>

<td>609</td>
<td>24-10-2022</td>
<td>009659</td>
<td>EKA YULIANI</td>
<td>'6202016907860002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-07-1986</td>
<td>36</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002882930534</td>
<td>131503011022Y001360</td>
<td align='center'>
H25.0 </td>
<td align='center'>
Senile incipient cataract </td>
</tr>

<td>610</td>
<td>24-10-2022</td>
<td>000474</td>
<td>SUWARNO</td>
<td>'3503121804560002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-04-1956</td>
<td>66</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665887915</td>
<td>131503011022Y001361</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>611</td>
<td>24-10-2022</td>
<td>012711</td>
<td>BUDI GUNAWAN</td>
<td>'3503122101710001</td>
<td>DUSUN WADIKIDUL RT 13, RW 07</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-01-1971</td>
<td>51</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665783829</td>
<td>131503011022Y001363</td>
<td align='center'>
H25 </td>
<td align='center'>
</tr>

<td>612</td>
<td>24-10-2022</td>
<td>016406</td>
<td>NUR MUHAMMAD ABDUL GHOFUR</td>
<td>'3503120407140010</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>13-10-2022</td>
<td>0</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0003298527854</td>
<td>131503011022Y001362</td>
<td align='center'>
M21.16 </td>
<td align='center'>
Varus deformity, not elsewhere classified, lower leg </td>
</tr>

<td>613</td>
<td>24-10-2022</td>
<td>001871</td>
<td>SANURI</td>
<td>'3503122712500003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>27-12-1950</td>
<td>71</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0002093582799</td>
<td>131503011022Y001364</td>
<td align='center'>
I25.2 </td>
<td align='center'>
Old myocardial infarction </td>
</tr>

<td>614</td>
<td>24-10-2022</td>
<td>009367</td>
<td>SRINGANAH</td>
<td>'3503124510590001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>05-10-1959</td>
<td>63</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665164653</td>
<td>131503011022Y001695</td>
<td align='center'>
R51 </td>
<td align='center'>
Headache </td>
</tr>

<td>615</td>
<td>24-10-2022</td>
<td>000124</td>
<td>SITI MARDIYAH</td>
<td>'3503124107570021</td>
<td>DSN TANGGUNG RT 33 RW 13</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1957</td>
<td>65</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002939425885</td>
<td>131503011022Y001696</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>616</td>
<td>24-10-2022</td>
<td>012417</td>
<td>MUJIONO</td>
<td>'</td>
<td>RT22</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-05-1977</td>
<td>45</td>
<td>L</td>
<td>Pedagang</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
A35 </td>
<td align='center'>
Other tetanus </td>
</tr>

<td>617</td>
<td>24-10-2022</td>
<td>005196</td>
<td>DAMIRI</td>
<td>'3503121605650001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-05-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002681786384</td>
<td>131503011022Y001975</td>
<td align='center'>
M13.0 </td>
<td align='center'>
</tr>

<td>618</td>
<td>24-10-2022</td>
<td>016410</td>
<td>SULISTIANI</td>
<td>'3503125112790002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-12-1979</td>
<td>42</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665376028</td>
<td>131503011022Y001976</td>
<td align='center'>
M12.0 </td>
<td align='center'>
</tr>

<td>619</td>
<td>24-10-2022</td>
<td>016411</td>
<td>USMAN</td>
<td>'3503121801740001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>18-01-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665375883</td>
<td>131503011022Y001367</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>620</td>
<td>24-10-2022</td>
<td>016273</td>
<td>MISDI</td>
<td>'3503120107580004</td>
</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1959</td>
<td>63</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036974161</td>
<td>131503011022Y001977</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>621</td>
<td>24-10-2022</td>
<td>016412</td>
<td>AGUNG SETIAWAN</td>
<td>'3503120107970001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1997</td>
<td>25</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036974172</td>
<td>131503011022Y001978</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>622</td>
<td>24-10-2022</td>
<td>008478</td>
<td>SOFIATUL</td>
<td>'3503125311040001</td>
<td>BENDOREJO 18</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-11-2004</td>
<td>17</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666306729</td>
<td>131503011022P001365</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>623</td>
<td>24-10-2022</td>
<td>008500</td>
<td>FAMELA SALSABILA PUTRI</td>
<td>'3503127103040002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-03-2004</td>
<td>18</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0000666245474</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>624</td>
<td>24-10-2022</td>
<td>004230</td>
<td>MUSLIKAH</td>
<td>'3503124806620001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>08-06-1962</td>
<td>60</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000106789408</td>
<td>131503011022Y001373</td>
<td align='center'>
E11.3 </td>
<td align='center'>
</td>
</tr>

<td>625</td>
<td>24-10-2022</td>
<td>010071</td>
<td>MARIYAH</td>
<td>'3503125812770002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1977</td>
<td>44</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665659236</td>
<td>131503011022P001368</td>
<td align='center'>
C50 </td>
<td align='center'>
</tr>

<td>626</td>
<td>24-10-2022</td>
<td>004186</td>
<td>SRI ASTUTI</td>
<td>'3503124610650001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-10-1965</td>
<td>57</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665983304</td>
<td>131503011022Y001979</td>
<td align='center'>
M12.0 </td>
<td align='center'>
</tr>

<td>627</td>
<td>24-10-2022</td>
<td>016413</td>
<td>SUNARTI</td>
<td>'3503106507720002</td>
<td>WONOANTI RT 15 RW 06</td>
<td>WONOANTI</td>
<td>GANDUSARI</td>
<td>TRENGGALEK</td>
<td>25-07-1972</td>
<td>50</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0002681713146</td>
<td></td>
<td align='center'>
M12.0 </td>
<td align='center'>
</tr>

<td>628</td>
<td>24-10-2022</td>
<td>010586</td>
<td>CHAIZA OKTAVIA MAULIDA</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>24-10-2021</td>
<td>1</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td>PBI (APBN)</td>
<td>'0003105841623</td>
<td></td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>629</td>
<td>24-10-2022</td>
<td>001683</td>
<td>ARIYANA</td>
<td>'3501064908870003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>09-08-1987</td>
<td>35</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665768788</td>
<td>131503011022Y001980</td>
<td align='center'>
K29.0 </td>
<td align='center'>
</tr>

<td>630</td>
<td>24-10-2022</td>
<td>016414</td>
<td>DENIEK FAJARI</td>
<td>'3503125106030001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-06-2003</td>
<td>19</td>
<td>L</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'0000665507373</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>631</td>
<td>24-10-2022</td>
<td>010540</td>
<td>ARSAKA GIANDRA ALFARIZI</td>
<td>'</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-12-2021</td>
<td>0</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>UMUM</td>
<td></td>
<td>'</td>
<td></td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>632</td>
<td>24-10-2022</td>
<td>000713</td>
<td>MARKINEM</td>
<td>'3503127112500030</td>
<td>GEMBLEB</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>30-12-1950</td>
<td>71</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0000170184082</td>
<td>131503011022Y001369</td>
<td align='center'>
I50.0 </td>
<td align='center'>
</tr>

<td>633</td>
<td>24-10-2022</td>
<td>000307</td>
<td>PARMI</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-01-1982</td>
<td>40</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106532357</td>
<td>131503011022Y001370</td>
<td align='center'>
G40 </td>
<td align='center'>
Epilepsy </td>
</tr>

<td>634</td>
<td>24-10-2022</td>
<td>001909</td>
<td>ANTON SUPRIANTO</td>
<td>'</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>06-04-1974</td>
<td>48</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002681789264</td>
<td>131503011022Y001372</td>
<td align='center'>
I64 </td>
<td align='center'>
</tr>

<td>635</td>
<td>24-10-2022</td>
<td>001843</td>
<td>EKO ROZI PRASETYO</td>
<td>'3503120101960003</td>
<td>BENDO, RT : 16,RW :4 </td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1996</td>
<td>26</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>'0001797656962</td>
<td>131503011022Y001371</td>
<td align='center'>
E11.3 </td>
<td align='center'>
</td>
</tr>

<td>636</td>
<td>24-10-2022</td>
<td>001244</td>
<td>MUKAROMAH</td>
<td>'3503126904750001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>29-04-1975</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001707073863</td>
<td>131503011022Y001981</td>
<td align='center'>
J12.0 </td>
<td align='center'>
</tr>

<td>637</td>
<td>24-10-2022</td>
<td>001481</td>
<td>SUMIATI</td>
<td>'</td>
<td>NGDIRENGGO RT 01 RW 01</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-10-1978</td>
<td>44</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036974227</td>
<td>131503011022Y001375</td>
<td align='center'>
J44 </td>
<td align='center'>
</tr>

<td>638</td>
<td>24-10-2022</td>
<td>016416</td>
<td>IKA WIJI ASTUTI</td>
<td>'35031263069770001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-06-1997</td>
<td>25</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002014116456</td>
<td>131503011022Y001374</td>
<td align='center'>
A18.8 </td>
<td align='center'>
Tuberculosis of other specified organs </td>
</tr>
<td>639</td>
<td>24-10-2022</td>
<td>005481</td>
<td>NING FAIQA QALWA MAYSUN</td>
<td>'3503126203190001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>22-03-2019</td>
<td>3</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002754121375</td>
<td>131503011022Y001377</td>
<td align='center'>
R62.0 </td>
<td align='center'>
Delayed milestone </td>
</tr>

<td>640</td>
<td>25-10-2022</td>
<td>000701</td>
<td>RIYATI</td>
<td>'3503124211710001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>02-11-1971</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS PUSAT</td>
<td>'0000199333473</td>
<td>131503011022Y001479</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>641</td>
<td>25-10-2022</td>
<td>011264</td>
<td>SULAM</td>
<td>'3503112501870001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-01-1987</td>
<td>35</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802896008</td>
<td>131503011022Y001478</td>
<td align='center'>
K29.3 </td>
<td align='center'>
Chronic superficial gastritis </td>
</tr>

<td>642</td>
<td>25-10-2022</td>
<td>016312</td>
<td>ISMIYAH</td>
<td>'3503124107520005</td>
<td>RT11</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1952</td>
<td>70</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802888011</td>
<td>131503011022Y001481</td>
<td align='center'>
I25.5 </td>
<td align='center'>
Ischaemic cardiomyopathy </td>
</tr>

<td>643</td>
<td>25-10-2022</td>
<td>001414</td>
<td>MOH. YASIR H.</td>
<td>'3503120112490002</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1949</td>
<td>72</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002038597694</td>
<td>131503011022Y001480</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>644</td>
<td>25-10-2022</td>
<td>014417</td>
<td>GEMI</td>
<td>'3503126509650002</td>
<td>RT 040 RW 017 KRANDING.BENDOREJO, RT : 40,RW :17 </td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-09-1965</td>
<td>57</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003279272455</td>
<td>131503011022Y001482</td>
<td align='center'>
C53.9 </td>
<td align='center'>
Malignant neoplasm of cervix uteri, unspecified </td>
</tr>

<td>645</td>
<td>25-10-2022</td>
<td>016440</td>
<td>MAHFUD</td>
<td>'3503120105750003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-05-1975</td>
<td>47</td>
<td>L</td>
<td>Sopir</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0001541400862</td>
<td>131503011022Y001483</td>
<td align='center'>
I25.4 </td>
<td align='center'>
Coronary artery aneurysm </td>
</tr>

<td>646</td>
<td>25-10-2022</td>
<td>012636</td>
<td>SITI AFUWAH</td>
<td>'3503086112890001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-12-1989</td>
<td>32</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0002498212451</td>
<td>131503011022Y001484</td>
<td align='center'>
C50 </td>
<td align='center'>
</tr>

<td>647</td>
<td>26-10-2022</td>
<td>001984</td>
<td> ANTIK TRIMAWATI</td>
<td>'</td>
<td>SUMBERINGIN RT 23 RW 07</td>
<td>SUMBERINGIN</td>
<td>KARANGAN</td>
<td>TRENGGALEK</td>
<td>11-07-1981</td>
<td>41</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106506202</td>
<td>131503011022Y001560</td>
<td align='center'>
I11 </td>
<td align='center'>
Hypertensive heart disease </td>
</tr>

<td>648</td>
<td>26-10-2022</td>
<td>005477</td>
<td>MUSLIMAH</td>
<td>'3503126102830003</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>21-02-1983</td>
<td>39</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000666577056</td>
<td>131503011022Y001576</td>
<td align='center'>
C50 </td>
<td align='center'>
</tr>

<td>649</td>
<td>26-10-2022</td>
<td>015051</td>
<td>KASERI</td>
<td>'3503120311660002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>03-11-1966</td>
<td>55</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036963877</td>
<td>131503011022Y001582</td>
<td align='center'>
M10.0 </td>
<td align='center'>
Idiopathic gout </td>
</tr>

<td>650</td>
<td>26-10-2022</td>
<td>002441</td>
<td>DWI OKTAVIANI</td>
<td>'3503125910960001</td>
16,RW :7 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>19-10-1996</td>
<td>26</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002324624174</td>
<td>131503011022Y001585</td>
<td align='center'>
S99.9 </td>
<td align='center'>
Unspecified injury of ankle and foot </td>
</tr>

<td>651</td>
<td>26-10-2022</td>
<td>012833</td>
<td>TRIAYU NOVALIANA</td>
<td>'3503126611140001</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>26-11-2014</td>
<td>7</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802895648</td>
<td>131503011022Y001586</td>
<td align='center'>
J00 </td>
<td align='center'>
</tr>

<td>652</td>
<td>26-10-2022</td>
<td>004900</td>
<td>ROMELAN</td>
<td>'3503121201690003</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-01-1969</td>
<td>53</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000195063895</td>
<td>131503011022Y001587</td>
<td align='center'>
H66.0 </td>
<td align='center'>
Acute suppurative otitis media </td>
</tr>

<td>653</td>
<td>26-10-2022</td>
<td>010298</td>
<td>SUNARTO</td>
<td>'3503120709680001</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>07-09-1968</td>
<td>54</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003124632249</td>
<td>131503011022Y001588</td>
<td align='center'>
I21.4 </td>
<td align='center'>
Acute subendocardial myocardial infarction </td>
</tr>

<td>654</td>
<td>26-10-2022</td>
<td>005826</td>
<td>MISRIATUN</td>
<td>'3503014112710001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-1944</td>
<td>77</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000200757227</td>
<td>131503011022Y001630</td>
<td align='center'>
W03 </td>
<td align='center'>
</tr>

<td>655</td>
<td>27-10-2022</td>
<td>000321</td>
<td>SYUKUR</td>
<td>'3503121204520001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-04-1952</td>
<td>70</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106654994</td>
<td>131503011022Y001614</td>
<td align='center'>
I50.0 </td>
<td align='center'>
</tr>

<td>656</td>
<td>27-10-2022</td>
<td>012097</td>
<td>SURATI</td>
<td>'3503127112660003</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1966</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003108144069</td>
<td>131503011022Y001620</td>
<td align='center'>
E11.0 </td>
<td align='center'>
</tr>

<td>657</td>
<td>27-10-2022</td>
<td>004386</td>
<td>ANILTA RIYADATUL QONAÀH</td>
<td>'3503124112090001</td>
11,RW :5 </td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-12-2009</td>
<td>12</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBD)</td>
<td>'0002431253766</td>
<td>131503011022Y001621</td>
<td align='center'>
H51.9 </td>
<td align='center'>
Disorder of binocular movement, unspecified </td>
</tr>

<td>658</td>
<td>27-10-2022</td>
<td>000829</td>
<td>SITI MASAMAH</td>
<td>'737114522450006</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>12-12-1945</td>
<td>76</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002901169449</td>
<td>131503011022Y001624</td>
<td align='center'>
I11.0 </td>
<td align='center'>
</tr>

<td>659</td>
<td>27-10-2022</td>
<td>014619</td>
<td>KAROTIN</td>
<td>'3503127112710004</td>
<td>RT 030 RW 013 DUSUN GONDANGREJO NGADIRENGGO POGALAN, RT : 30,RW :13
</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>31-12-1971</td>
<td>50</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003291798374</td>
<td>131503011022Y001625</td>
<td align='center'>
N83.0 </td>
<td align='center'>
Follicular cyst of ovary </td>
</tr>

<td>660</td>
<td>27-10-2022</td>
<td>016481</td>
<td>MARÀTU SHOLEHA</td>
<td>'</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-06-2005</td>
<td>17</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003273700825</td>
<td>131503011022Y001635</td>
<td align='center'>
S82.20 </td>
<td align='center'>
Fracture of shaft of tibia, closed </td>
</tr>

<td>661</td>
<td>28-10-2022</td>
<td>005867</td>
<td>CHELSEA PUSPITA TOFA LINDA</td>
<td>'3503126307070001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-07-2007</td>
<td>15</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0003269299252</td>
<td>131503011022Y001717</td>
<td align='center'>
J44 </td>
<td align='center'>
</tr>

<td>662</td>
<td>28-10-2022</td>
<td>009863</td>
<td>DARYATI MURTIYANINGSIH</td>
<td>'350312561070006</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>16-10-1970</td>
<td>52</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002867885201</td>
<td>131503011022Y001719</td>
<td align='center'>
M96.6 </td>
<td align='center'>
Fracture of bone following insertion of orthopaedic implant, joint
prosthesis, or bone plate </td>
</tr>

<td>663</td>
<td>28-10-2022</td>
<td>000245</td>
<td>SUMIATIN</td>
<td>'</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>25-05-1975</td>
<td>47</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106560865</td>
<td>131503011022Y001724</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>664</td>
<td>28-10-2022</td>
<td>016520</td>
<td>CITRA ANOLIA HARISTYAN</td>
<td>'3503125007000001</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>10-07-2000</td>
<td>22</td>
<td>P</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802895389</td>
<td>131503011022Y001765</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>665</td>
<td>28-10-2022</td>
<td>016521</td>
<td>HARTUTIK</td>
<td>'3503124101780005</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1978</td>
<td>44</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002802895378</td>
<td>131503011022Y001766</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>666</td>
<td>29-10-2022</td>
<td>000538</td>
<td>MARKUAT</td>
<td>'3503120107550015</td>
<td>BENDOREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-07-1955</td>
<td>67</td>
<td>L</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0001036968759</td>
<td>131503011022Y001932</td>
<td align='center'>
K40 </td>
<td align='center'>
Inguinal hernia </td>
</tr>

<td>667</td>
<td>29-10-2022</td>
<td>005906</td>
<td>ASIYAH</td>
<td>'3503125405670002</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>14-05-1967</td>
<td>55</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002307565168</td>
<td>131503011022Y001933</td>
<td align='center'>
I10 </td>
<td align='center'>
</tr>

<td>668</td>
<td>29-10-2022</td>
<td>001482</td>
<td>SUPADMI</td>
<td>'3503125506820002</td>
<td>NGADIREJO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-06-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0002681609534</td>
<td>131503011022Y001952</td>
<td align='center'>
M54.5 </td>
<td align='center'>
Low back pain </td>
</tr>

<td>669</td>
<td>29-10-2022</td>
<td>000285</td>
<td>MUALAM</td>
<td>'350312 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>15-05-1945</td>
<td>77</td>
<td>L</td>
<td>Pensiunan</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>'0000106689565</td>
<td>131503011022Y001973</td>
<td align='center'>
A20.2 </td>
<td align='center'>
Pneumonic plague </td>
</tr>

<td>670</td>
<td>31-10-2022</td>
<td>016546</td>
<td>SARINAH</td>
<td>'3503127112720008</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-2000</td>
<td>22</td>
<td>P</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>BARU</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000664427722</td>
<td>131503011022Y002084</td>
<td align='center'>
H25 </td>
<td align='center'>
</tr>

<td>671</td>
<td>31-10-2022</td>
<td>002817</td>
<td>SULIS HIDAYATI</td>
<td>'350312 </td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>11-01-1971</td>
<td>51</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>'0000106529229</td>
<td>131503011022Y002083</td>
<td align='center'>
M10.00 </td>
<td align='center'>
Idiopathic gout, multiple sites </td>
</tr>

<td>672</td>
<td>31-10-2022</td>
<td>000789</td>
<td>WAHYU ASTUTI</td>
<td>'3503125901820001</td>
<td>WONOCOYO</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>01-01-1982</td>
<td>40</td>
<td>P</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0000665724914</td>
<td>131503011022Y002085</td>
<td align='center'>
H52.5 </td>
<td align='center'>
</tr>

<td>673</td>
<td>31-10-2022</td>
<td>006959</td>
<td>MOH. YAHYA</td>
<td>'3503122303610003</td>
<td>NGETAL</td>
<td>POGALAN</td>
<td>TRENGGALEK</td>
<td>23-03-1961</td>
<td>61</td>
<td>L</td>
<td>Wiraswasta</td>
<td>POLI UMUM</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>'0002860471449</td>
<td>131503011022Y002086</td>
<td align='center'>
L23.0 </td>
<td align='center'>
Allergic contact dermatitis due to metals </td>
</tr>
</table>

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