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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

TANGGAL TANGGAL JENIS STATUS


NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG

100204010320Y000 31-03-2020 31-03-2020 Acute pharyngitis,


1 0000419128119 AJANG L PBI (APBN) Berobat Jalan
898 00:00 10:37 unspecified
100204010320Y000 31-03-2020 31-03-2020 Acute upper respiratory Diabetes
2 0000419234185 SITI KOMARIAH P PBI (APBN) Berobat Jalan
884 00:00 08:49 infection, unspecified Mellitus
Chronic obstructive
100204010320Y000 31-03-2020 31-03-2020
3 0000419235153 AMI L PBI (APBN) pulmonary disease, Berobat Jalan
892 00:00 09:57
unspecified
100204010320Y000 31-03-2020 31-03-2020
4 0000419369117 SAFRUDIN L PBI (APBN) Impacted teeth Berobat Jalan
890 00:00 09:51
100204010320Y000 31-03-2020 31-03-2020 Acute upper respiratory
5 0000419433917 ANDI RUSMANA L PBI (APBN) Berobat Jalan
885 00:00 08:51 infection, unspecified
100204010320Y000 31-03-2020 31-03-2020 Irritant contact dermatitis,
6 0000419863454 UNARSIH P PBI (APBN) Berobat Jalan
886 00:00 08:52 unspecified cause
100204010320P000 31-03-2020 31-03-2020
7 0000420497662 UNDANG RAHMAT L PBI (APBN) Conjunctival haemorrhage Rujuk Vertikal
893 00:00 10:06
100204010320Y000 31-03-2020 31-03-2020
8 0001003865253 RUSTANDI L PBI (APBN) Residual schizophrenia Rujuk Vertikal
880 00:00 08:23
Tuberculosis of lung,
100204010320Y000 31-03-2020 31-03-2020 PEKERJA
9 0001268341975 KOMALA P confirmed by unspecified Berobat Jalan
894 00:00 10:19 MANDIRI
means
100204010320Y000 31-03-2020 31-03-2020 PEKERJA
10 0001328600237 DEWI ROKAESIH P Residual schizophrenia Berobat Jalan
899 00:00 10:54 MANDIRI
Non-insulin-dependent
100204010320Y000 31-03-2020 31-03-2020 PEKERJA Diabetes
11 0001336476205 LILIS SUWARSIH P diabetes mellitus with Rujuk Vertikal
879 00:00 08:15 MANDIRI Mellitus
multiple complications
100204010320Y000 31-03-2020 31-03-2020
12 0001340297965 EUIS RATNANINGSIH P PBI (APBD) Myalgia Berobat Jalan
881 00:00 08:37
100204010320Y000 31-03-2020 31-03-2020
13 0001340433134 ANI RODIANAH P PBI (APBD) Low back pain Berobat Jalan
882 00:00 08:41
100204010320Y000 31-03-2020 31-03-2020
14 0001340597428 WIWING P PBI (APBD) Dyspepsia Berobat Jalan
895 00:00 10:24
100204010320Y000 31-03-2020 31-03-2020 Inflammatory disorders of
15 0001341197897 SRI MARYANTI P PBI (APBD) Berobat Jalan
888 00:00 08:59 breast
Tuberculosis of lung,
100204010320P000 31-03-2020 31-03-2020 PEKERJA without mention of
16 0001455891298 JEMI PRANAKA SARI P Rujuk Vertikal
891 00:00 09:56 MANDIRI bacteriological or
histological confirmation
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 31-03-2020 31-03-2020 PEGAWAI


17 0002104442728 ROHMAT L Myalgia Berobat Jalan
896 00:00 10:32 SWASTA

Diarrhoea and
100204010320Y000 31-03-2020 31-03-2020 PEGAWAI
18 0002264218817 RAFLY MUHAMAD ILHAM L gastroenteritis of Berobat Jalan
901 00:00 13:21 SWASTA
presumed infectious origin

100204010320Y000 31-03-2020 31-03-2020 PEGAWAI Cluster headache


19 0002509521816 LUSI SEPTIANINGSIH P Berobat Jalan
883 00:00 08:42 SWASTA syndrome
100204010320Y000 31-03-2020 31-03-2020 NATASYA RINDI Acute pharyngitis,
20 0002512035404 P - Berobat Jalan
889 00:00 09:16 SULISTIAWATI unspecified
100204010320Y000 31-03-2020 31-03-2020 Viral conjunctivitis,
21 0002599212824 RAMDANI PUTRA L PBI (APBN) Berobat Jalan
887 00:00 08:54 unspecified
100204010320Y000 31-03-2020 31-03-2020 Acute pharyngitis,
22 0002753210812 WIDIA FEBIANTRI P PBI (APBN) Berobat Jalan
897 00:00 10:34 unspecified
100204010320P000 31-03-2020 31-03-2020 Essential (primary)
23 0002836960604 SUDADI L PBI (APBN) Berobat Jalan
900 00:00 12:41 hypertension
Non-insulin-dependent
100204010320P000 30-03-2020 30-03-2020 PENERIMA
24 0000053307898 IKAH P diabetes mellitus with Berobat Jalan
866 00:00 09:51 PENSIUN TNI
multiple complications
100204010320Y000 30-03-2020 30-03-2020 Essential (primary)
25 0000418565081 WAWAN HERMAWAN L PBI (APBN) Berobat Jalan
869 00:00 10:07 hypertension
100204010320Y000 30-03-2020 30-03-2020
26 0000418565327 NIA ROSITA P PBI (APBN) Vertigo of central origin Berobat Jalan
870 00:00 10:08
100204010320Y000 30-03-2020 30-03-2020 Essential (primary)
27 0000418650445 SUMIATI P PBI (APBN) Berobat Jalan
868 00:00 10:01 hypertension
100204010320Y000 30-03-2020 30-03-2020 Inflammatory disorders of
28 0000419006698 RENA ANGGRAENI P - Berobat Jalan
871 00:00 10:51 breast
100204010320Y000 30-03-2020 30-03-2020
29 0000419305206 FIRMAN L PBI (APBN) Paranoid schizophrenia Berobat Jalan
873 00:00 19:09
100204010320Y000 30-03-2020 30-03-2020 Periapical abscess without
30 0000419495534 ENAH P PBI (APBN) Berobat Jalan
857 00:00 09:10 sinus
100204010320P000 30-03-2020 30-03-2020 Acute nasopharyngitis
31 0000419497964 MUHAMMAD ARIPIN L PBI (APBN) Berobat Jalan
874 00:00 19:14 [common cold]
Cutaneous abscess,
100204010320Y000 30-03-2020 30-03-2020
32 0000419596659 NANI P PBI (APBN) furuncle and carbuncle, Berobat Jalan
872 00:00 11:03
unspecified
100204010320Y000 30-03-2020 30-03-2020
33 0000419703671 IIS SURYANII P PBI (APBN) Chikungunya virus disease Berobat Jalan
864 00:00 09:31
100204010320P000 30-03-2020 30-03-2020
34 0000419703715 ROHANAH P PBI (APBN) Twin pregnancy Rujuk Vertikal
854 00:00 08:48
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 30-03-2020 30-03-2020 Acute pharyngitis,


35 0000419718339 SAEPUDIN L PBI (APBN) Berobat Jalan
876 00:00 19:26 unspecified
100204010320P000 30-03-2020 30-03-2020 NIDA KHORIDATUL
36 0000420231914 P - Myopia Rujuk Vertikal
861 00:00 09:27 ADAWIYAH
100204010320P000 30-03-2020 30-03-2020
37 0000420351039 LILI JUNAEDI L PBI (APBN) Parkinson's disease Rujuk Vertikal
865 00:00 09:39
Chronic obstructive
100204010320Y000 30-03-2020 30-03-2020
38 0001003862507 ENDANG L - pulmonary disease, Berobat Jalan
856 00:00 09:09
unspecified

100204010320Y000 30-03-2020 30-03-2020 Unspecified haemorrhoids


39 0001003866827 MUHAMAD NUR IDRIS L PBI (APBN) Berobat Jalan
859 00:00 09:14 without complication

100204010320Y000 30-03-2020 30-03-2020 Acute pharyngitis,


40 0001003900601 ERNA P PBI (APBN) Berobat Jalan
858 00:00 09:10 unspecified
Atherosclerotic
100204010320Y000 30-03-2020 30-03-2020
41 0001089379653 TITING P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
867 00:00 09:53
described
100204010320Y000 30-03-2020 30-03-2020 Acute pharyngitis,
42 0001089382656 DJUMIROH P - Berobat Jalan
860 00:00 09:26 unspecified
100204010320Y000 30-03-2020 30-03-2020 PEKERJA
43 0001317177527 HENNY HERIANTI P Nummular dermatitis Berobat Jalan Hipertensi
877 00:00 19:29 MANDIRI
100204010320Y000 30-03-2020 30-03-2020
44 0001340432932 DEDE KARTIEM P PBI (APBD) Caries of cementum Berobat Jalan
878 00:00 19:33
100204010320Y000 30-03-2020 30-03-2020 Cerebral infarction,
45 0001340598251 TUSINI P PBI (APBD) Rujuk Vertikal Hipertensi
863 00:00 09:30 unspecified
100204010320Y000 30-03-2020 30-03-2020 PEKERJA Supervision of normal first
46 0001452101657 YAYAH KARMANAH P Berobat Jalan
855 00:00 09:06 MANDIRI pregnancy
100204010320Y000 30-03-2020 30-03-2020 PEKERJA Acute pharyngitis,
47 0002073608919 HUSNUL HASANAH P Berobat Jalan
862 00:00 09:29 MANDIRI unspecified
100204010320P000 30-03-2020 30-03-2020 PEKERJA Other chronic obstructive
48 0002377674977 HIDAYAT NATA SASMITA L Berobat Jalan Hipertensi
875 00:00 19:20 MANDIRI pulmonary disease
100204010320Y000 28-03-2020 28-03-2020
49 0000055705476 TETI HERMAWATI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan
828 00:00 10:00

100204010320Y000 28-03-2020 28-03-2020 Rheumatism, unspecified,


50 0000419178216 NANANG SURYANA L PBI (APBN) Berobat Jalan
817 00:00 08:34 shoulder region

100204010320Y000 28-03-2020 28-03-2020 Cluster headache


51 0000419180692 ERMA HERMAWANTI P PBI (APBN) Berobat Jalan
820 00:00 08:43 syndrome
100204010320Y000 28-03-2020 28-03-2020 Acute haemorrhagic
52 0000419385519 WAWA CAHYATI P PBI (APBN) Berobat Jalan
826 00:00 09:19 gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Tuberculosis of
100204010320P000 28-03-2020 28-03-2020 intrathoracic lymph nodes,
53 0000419394341 LATIFAH NUR JAMILAH P - Rujuk Vertikal
824 00:00 09:16 confirmed bacteriologically
and histologically

100204010320Y000 28-03-2020 28-03-2020 Rheumatism, unspecified,


54 0000419441962 SUNTI. P PBI (APBN) Berobat Jalan
833 00:00 14:05 shoulder region

100204010320Y000 28-03-2020 28-03-2020


55 0000419713558 AYI ABDUL ROHMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
821 00:00 08:50
100204010320Y000 28-03-2020 28-03-2020 Acute haemorrhagic
56 0000419837376 RANTI EKA HIDAYANTI P PBI (APBN) Berobat Jalan
829 00:00 10:06 gastritis
100204010320Y000 28-03-2020 28-03-2020
57 0001003867143 OTIH P - Acute laryngopharyngitis Berobat Jalan
812 00:00 08:17
100204010320Y000 28-03-2020 28-03-2020 Chronic apical Diabetes
58 0001340298404 SUPARNINGSIH P - Berobat Jalan
830 00:00 10:11 periodontitis Mellitus
100204010320Y000 28-03-2020 28-03-2020 PEKERJA Essential (primary)
59 0001387267582 EJEB SUHENDI L Berobat Jalan Hipertensi
832 00:00 13:55 MANDIRI hypertension
100204010320Y000 28-03-2020 28-03-2020 Essential (primary)
60 0001427637903 tati hartati P - Berobat Jalan Hipertensi
822 00:00 08:56 hypertension

100204010320Y000 28-03-2020 28-03-2020 PEGAWAI Rheumatism, unspecified,


61 0001469669771 RUSMAWAN L Berobat Jalan
815 00:00 08:28 SWASTA shoulder region

100204010320Y000 28-03-2020 28-03-2020 Acute haemorrhagic


62 0001469669793 CAENUR HASANAH P - Berobat Jalan
819 00:00 08:41 gastritis
100204010320Y000 28-03-2020 28-03-2020 PEKERJA Essential (primary)
63 0001718873987 NINIH RUKMINI P Berobat Jalan Hipertensi
825 00:00 09:16 MANDIRI hypertension
100204010320Y000 28-03-2020 28-03-2020 PEKERJA Essential (primary)
64 0001720109226 DEDEH SUHANAH P Berobat Jalan Hipertensi
823 00:00 09:15 MANDIRI hypertension
100204010320Y000 28-03-2020 28-03-2020 PEKERJA Essential (primary)
65 0001729275221 SUPRIADI L Berobat Jalan
831 00:00 10:35 MANDIRI hypertension
100204010320Y000 28-03-2020 28-03-2020 PEKERJA Acute haemorrhagic
66 0001798652889 TETE SAPNI P Berobat Jalan Hipertensi
827 00:00 09:40 MANDIRI gastritis
100204010320Y000 28-03-2020 28-03-2020 PEGAWAI Necrotizing ulcerative
67 0001811437468 SITI AMINAH P Berobat Jalan
813 00:00 08:20 SWASTA stomatitis
100204010320Y000 28-03-2020 28-03-2020 PEGAWAI Acute upper respiratory
68 0001811438223 ALZIA SHAKEEL AKHTAR L Berobat Jalan
814 00:00 08:22 SWASTA infection, unspecified

100204010320Y000 28-03-2020 28-03-2020 PEKERJA Rheumatism, unspecified,


69 0001833328168 TATI ROHAYATI P Berobat Jalan
834 00:00 14:07 MANDIRI shoulder region
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 28-03-2020 28-03-2020 Acute upper respiratory


70 0002793054194 HUSEN AGUS L PBI (APBN) Berobat Jalan
816 00:00 08:30 infection, unspecified
100204010320Y000 28-03-2020 28-03-2020
71 0002793054205 ONAH KOMARIAH P - Acute laryngopharyngitis Berobat Jalan
818 00:00 08:36
100204010320Y000 27-03-2020 27-03-2020 PENERIMA Bronchitis, not specified as
72 0000169200437 ENAH P Berobat Jalan
795 00:00 09:39 PENSIUN TNI acute or chronic
100204010320Y000 27-03-2020 27-03-2020 Acute upper respiratory
73 0000418553831 DARWATI P PBI (APBN) Berobat Jalan
794 00:00 09:36 infection, unspecified
100204010320Y000 27-03-2020 27-03-2020 Essential (primary)
74 0000418565507 APONG SOLIHAT P PBI (APBN) Berobat Jalan
805 00:00 10:13 hypertension
100204010320Y000 27-03-2020 27-03-2020
75 0000418608101 EEN SUMIATI P - Myalgia Berobat Jalan
799 00:00 09:45
100204010320Y000 27-03-2020 27-03-2020
76 0000418672449 MIMIN MINTARSIH P - Myalgia Berobat Jalan
796 00:00 09:41
100204010320Y000 27-03-2020 27-03-2020 Acute upper respiratory
77 0000418978416 ENTIN KARTINI P - Berobat Jalan
791 00:00 09:18 infection, unspecified
100204010320Y000 27-03-2020 27-03-2020 Essential (primary)
78 0000418979395 RITA NURANI P PBI (APBN) Berobat Jalan
792 00:00 09:21 hypertension
100204010320Y000 27-03-2020 27-03-2020 Acute upper respiratory
79 0000419447024 AI ATIKAH P PBI (APBN) Berobat Jalan
809 00:00 11:52 infection, unspecified
100204010320Y000 27-03-2020 27-03-2020
80 0000419746713 MAMAN SUNARYA L - Tension-type headache Berobat Jalan
788 00:00 09:14
100204010320Y000 27-03-2020 27-03-2020
81 0000419774365 CUYAMAH P PBI (APBN) Fever, unspecified Berobat Jalan
790 00:00 09:16
100204010320Y000 27-03-2020 27-03-2020 Essential (primary)
82 0001003863341 LILIS SUMARNI P PBI (APBN) Berobat Jalan Hipertensi
800 00:00 09:49 hypertension
100204010320Y000 27-03-2020 27-03-2020
83 0001003863363 DAUD SANI SETIANA L PBI (APBN) Fever, unspecified Berobat Jalan
803 00:00 10:03
100204010320Y000 27-03-2020 27-03-2020
84 0001014823787 WIDA SRI HERDANINGSIH P PBI (APBN) Myalgia Berobat Jalan
786 00:00 09:07
100204010320Y000 27-03-2020 27-03-2020
85 0001089369797 NUNIK PURWANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
806 00:00 10:55
100204010320Y000 27-03-2020 27-03-2020 ENENG imas
86 0001089402546 P - Bell's palsy Berobat Jalan
811 00:00 11:57 KOMALASARI
100204010320Y000 27-03-2020 27-03-2020
87 0001340298426 ENTIN KOSIMAH P PBI (APBD) Congestive heart failure Rujuk Vertikal
797 00:00 09:41
100204010320Y000 27-03-2020 27-03-2020
88 0001340433628 WATI P PBI (APBN) Myalgia Berobat Jalan
787 00:00 09:08
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 27-03-2020 27-03-2020


89 0001340797241 ASE SETIADI L PBI (APBD) Polyarthritis, unspecified Berobat Jalan
808 00:00 11:49
100204010320Y000 27-03-2020 27-03-2020 Inflammatory disorders of
90 0001341197897 SRI MARYANTI P PBI (APBD) Berobat Jalan
789 00:00 09:15 breast
100204010320Y000 27-03-2020 27-03-2020 PEKERJA
91 0001471906809 ARLEIN ROSANA DIAN P Fever, unspecified Berobat Jalan
807 00:00 11:46 MANDIRI
100204010320Y000 27-03-2020 27-03-2020 PEGAWAI
92 0001776931615 ALI SYAHRUL RAMADHAN L Myalgia Berobat Jalan
810 00:00 11:53 SWASTA
Other specified mental
100204010320Y000 27-03-2020 27-03-2020 PEKERJA disorders due to brain
93 0002316844541 TINI KARTINI P Rujuk Vertikal
802 00:00 09:58 MANDIRI damage and dysfunction
and to physical disease
100204010320Y000 27-03-2020 27-03-2020
94 0002583870761 SUHAENAH P PBI (APBN) Nausea and vomiting Berobat Jalan
793 00:00 09:35
100204010320P000 27-03-2020 27-03-2020 PEKERJA Essential (primary)
95 0002695861495 RAHMAT L Rujuk Vertikal
804 00:00 10:10 MANDIRI hypertension
100204010320Y000 27-03-2020 27-03-2020 Essential (primary)
96 0002793050684 ACE L PBI (APBN) Berobat Jalan Hipertensi
801 00:00 09:54 hypertension
100204010320Y000 27-03-2020 27-03-2020 Cerebral infarction, Diabetes
97 0002836962977 ABDUL SOMAD L - Rujuk Vertikal
798 00:00 09:43 unspecified Mellitus
100204010320Y000 26-03-2020 26-03-2020
98 0000058084378 NANI SRI ASTUTI P - Acute gingivitis Berobat Jalan
769 00:00 11:26
Other and unspecified
100204010320Y000 26-03-2020 26-03-2020
99 0000417762663 NUNUNG P PBI (APBN) disorders of circulatory Berobat Jalan
765 00:00 10:50
system
100204010320Y000 26-03-2020 26-03-2020 Acute pharyngitis,
100 0000418636945 SISCA. M. DIANA P PBI (APBN) Berobat Jalan Hipertensi
761 00:00 10:08 unspecified

100204010320Y000 26-03-2020 26-03-2020 Rheumatism, unspecified,


101 0000418674284 NURYATI P - Berobat Jalan
757 00:00 09:49 shoulder region

100204010320Y000 26-03-2020 26-03-2020 Essential (primary)


102 0000418891871 KASTAM L - Berobat Jalan
753 00:00 09:10 hypertension
Other and unspecified
100204010320Y000 26-03-2020 26-03-2020
103 0000419062972 ROHAYATI P PBI (APBN) disorders of circulatory Berobat Jalan
785 00:00 12:25
system
100204010320Y000 26-03-2020 26-03-2020 Essential (primary)
104 0000419184404 JUJU JUBAIDAH P PBI (APBN) Berobat Jalan
773 00:00 11:35 hypertension
100204010320Y000 26-03-2020 26-03-2020
105 0000419239495 ENI P PBI (APBD) Gastritis, unspecified Berobat Jalan
759 00:00 09:58
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 26-03-2020 26-03-2020


106 0000419324815 IHAT SOLIHAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
760 00:00 10:04
100204010320Y000 26-03-2020 26-03-2020
107 0000419326817 POPON P PBI (APBN) Epilepsy, unspecified Berobat Jalan
784 00:00 12:23
100204010320Y000 26-03-2020 26-03-2020
108 0000419326929 M SIDIK NURJAMAN L - Tinea corporis Berobat Jalan
763 00:00 10:40
Chronic crepitant synovitis
100204010320Y000 26-03-2020 26-03-2020
109 0000419420575 ETI ROHAETI P PBI (APBN) of hand and wrist, site Berobat Jalan
764 00:00 10:45
unspecified
100204010320Y000 26-03-2020 26-03-2020 Urinary tract infection, site
110 0000419421306 ALYYHADI JAPAR L PBI (APBN) Berobat Jalan
779 00:00 12:02 not specified
100204010320Y000 26-03-2020 26-03-2020
111 0000419443503 ASEP JUANDA L PBI (APBN) Dental caries, unspecified Berobat Jalan
782 00:00 12:15
100204010320Y000 26-03-2020 26-03-2020 Measles without
112 0000419734023 DINI SUPRIATNA L PBI (APBN) Berobat Jalan
778 00:00 11:54 complication
100204010320Y000 26-03-2020 26-03-2020 Acute upper respiratory
113 0000419849019 NINING P - Berobat Jalan
762 00:00 10:32 infection, unspecified
100204010320Y000 26-03-2020 26-03-2020
114 0000419853609 AJENG AGUSTIN P - Dental caries, unspecified Berobat Jalan
781 00:00 12:13
100204010320Y000 26-03-2020 26-03-2020 Acute upper respiratory
115 0000420100176 NENAH P PBI (APBN) Berobat Jalan
774 00:00 11:37 infection, unspecified
100204010320Y000 26-03-2020 26-03-2020 Measles complicated by
116 0001003865242 CUCU P - Berobat Jalan
768 00:00 11:22 encephalitis
100204010320Y000 26-03-2020 26-03-2020 Acute pharyngitis,
117 0001003865264 PUTRIYANI P PBI (APBN) Berobat Jalan
780 00:00 12:04 unspecified
100204010320Y000 26-03-2020 26-03-2020 Acute pharyngitis,
118 0001003866129 ESAH SUMIATI P - Berobat Jalan
776 00:00 11:50 unspecified
100204010320Y000 26-03-2020 26-03-2020
119 0001003866827 MUHAMAD NUR IDRIS L PBI (APBN) Typhoid fever Berobat Jalan
772 00:00 11:35
Tuberculosis of lung,
100204010320Y000 26-03-2020 26-03-2020 confirmed by sputum
120 0001003903031 WATI P PBI (APBN) Berobat Jalan
758 00:00 09:53 microscopy with or without
culture
100204010320Y000 26-03-2020 26-03-2020
121 0001003903053 AZI SUJIPTO L PBI (APBN) Scabies Berobat Jalan
756 00:00 09:25
Atherosclerotic
100204010320Y000 26-03-2020 26-03-2020
122 0001003903301 DANI SUDRAJAT L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
752 00:00 09:04
described
100204010320Y000 26-03-2020 26-03-2020 PEKERJA Essential (primary)
123 0001463768109 JUHANA L Berobat Jalan
771 00:00 11:34 MANDIRI hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 26-03-2020 26-03-2020 PEKERJA


124 0001733671517 ODE DEDI L Residual schizophrenia Rujuk Vertikal
754 00:00 09:18 MANDIRI
100204010320Y000 26-03-2020 26-03-2020 PEGAWAI
125 0002396870357 SYAHDAN SYARIP L Asthma, unspecified Berobat Jalan
777 00:00 11:52 SWASTA
100204010320Y000 26-03-2020 26-03-2020
126 0002453634369 SILVIA ASTIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
783 00:00 12:17
100204010320Y000 26-03-2020 26-03-2020 PEGAWAI Acute pharyngitis,
127 0002484280348 KURNIAWAN L Berobat Jalan
767 00:00 11:13 SWASTA unspecified
100204010320Y000 26-03-2020 26-03-2020 Hypertensive renal
128 0002586018431 ENDA P - Berobat Jalan Hipertensi
766 00:00 10:57 disease with renal failure
100204010320Y000 26-03-2020 26-03-2020
129 0002591692705 SERIN NURJANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
755 00:00 09:18
Non-insulin-dependent
100204010320Y000 26-03-2020 26-03-2020
130 0002793047128 SAYID RUSTAM EFFENDI L PBI (APBN) diabetes mellitus with Berobat Jalan
775 00:00 11:50
coma
100204010320Y000 26-03-2020 26-03-2020
131 0002836960097 DARIAH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
770 00:00 11:33
100204010320Y000 24-03-2020 24-03-2020 PENERIMA Essential (primary)
132 0000053717736 ENTIN P Berobat Jalan Hipertensi
728 00:00 09:00 PENSIUN PNS hypertension
100204010320Y000 24-03-2020 24-03-2020 Essential (primary)
133 0000407559734 ANAH P - Berobat Jalan
746 00:00 11:12 hypertension
100204010320Y000 24-03-2020 24-03-2020
134 0000407561286 SEPI P PBI (APBN) Dyspepsia Berobat Jalan
725 00:00 08:27
100204010320Y000 24-03-2020 24-03-2020
135 0000417676127 ELA HAYATI P PBI (APBN) Foreign body in ear Rujuk Vertikal
738 00:00 10:22
100204010320Y000 24-03-2020 24-03-2020
136 0000418601665 CUCU P PBI (APBN) Tension-type headache Berobat Jalan
745 00:00 11:11
100204010320Y000 24-03-2020 24-03-2020 Acute nasopharyngitis
137 0000418621217 DIDI SARDITA L PBI (APBN) Berobat Jalan
748 00:00 11:13 [common cold]
100204010320Y000 24-03-2020 24-03-2020 Acute nasopharyngitis
138 0000418636416 YENI SULASTRI P PBI (APBN) Berobat Jalan
735 00:00 09:49 [common cold]
100204010320Y000 24-03-2020 24-03-2020 Acute nasopharyngitis
139 0000418885121 LITA AGUSTIN P PBI (APBN) Berobat Jalan
744 00:00 11:09 [common cold]
100204010320Y000 24-03-2020 24-03-2020
140 0000419010794 RASMINI P PBI (APBN) Congestive heart failure Rujuk Vertikal
740 00:00 10:26
100204010320Y000 24-03-2020 24-03-2020 Acute upper respiratory
141 0000419724178 WIDA NINGSIH P - Berobat Jalan
737 00:00 10:03 infection, unspecified
100204010320Y000 24-03-2020 24-03-2020
142 0000419737408 ERFAN NURZAMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
732 00:00 09:24
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 24-03-2020 24-03-2020 Supervision of normal first


143 0000419744676 NENG RUM P PBI (APBN) Berobat Jalan
742 00:00 10:52 pregnancy
Non-insulin-dependent
100204010320Y000 24-03-2020 24-03-2020
144 0000419889306 DEWI P PBI (APBN) diabetes mellitus with Berobat Jalan Hipertensi
727 00:00 08:58
coma
100204010320Y000 24-03-2020 24-03-2020 Acute upper respiratory
145 0000420038842 SAEFULOH L PBI (APBN) Berobat Jalan
736 00:00 09:53 infection, unspecified
100204010320Y000 24-03-2020 24-03-2020 Bipolar affective disorder,
146 0000420071973 ASEP HAMZAH L PBI (APBN) Rujuk Vertikal
734 00:00 09:48 currently in remission
100204010320Y000 24-03-2020 24-03-2020
147 0000420419439 DEWI NENGSIH P PBI (APBN) End-stage renal disease Rujuk Vertikal
750 00:00 11:42

100204010320Y000 24-03-2020 24-03-2020 Rheumatism, unspecified,


148 0001003863486 ENAN L PBI (APBN) Berobat Jalan
739 00:00 10:25 shoulder region

100204010320Y000 24-03-2020 24-03-2020


149 0001003904043 NANI P PBI (APBN) Absence of iris Berobat Jalan
741 00:00 10:42
Non-insulin-dependent
100204010320Y000 24-03-2020 24-03-2020
150 0001340433134 ANI RODIANAH P PBI (APBD) diabetes mellitus with Berobat Jalan
747 00:00 11:12
coma
100204010320Y000 24-03-2020 24-03-2020 Acute nasopharyngitis
151 0001340433764 UKAESIH P PBI (APBD) Berobat Jalan
733 00:00 09:40 [common cold]
100204010320Y000 24-03-2020 24-03-2020 Acute haemorrhagic
152 0001340433876 ADE MAMAN L - Berobat Jalan
730 00:00 09:11 gastritis
100204010320Y000 24-03-2020 24-03-2020
153 0001340434012 TATI ARNATI P PBI (APBD) Gastritis, unspecified Berobat Jalan
751 00:00 12:18
100204010320Y000 24-03-2020 24-03-2020 PEKERJA Acute haemorrhagic
154 0001798648266 RAHMAT SELAMET L Berobat Jalan
743 00:00 10:56 MANDIRI gastritis
100204010320Y000 24-03-2020 24-03-2020 PEGAWAI
155 0001833328732 MELAN MILAWATI P Myalgia Berobat Jalan
731 00:00 09:21 SWASTA
100204010320Y000 24-03-2020 24-03-2020
156 0002085267205 JUWITA SEPTIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
749 00:00 11:14
100204010320Y000 24-03-2020 24-03-2020 Gastro-oesophageal reflux
157 0002836963012 DASEP L PBI (APBN) Rujuk Vertikal
726 00:00 08:39 disease
100204010320Y000 24-03-2020 24-03-2020
158 0002836963181 SOFI AGUSTIAN L - Acute laryngopharyngitis Berobat Jalan
729 00:00 09:02
Non-insulin-dependent
100204010320Y000 23-03-2020 23-03-2020 PENERIMA
159 0000053307898 IKAH P diabetes mellitus with Rujuk Vertikal
724 00:00 11:59 PENSIUN TNI
multiple complications
100204010320Y000 23-03-2020 23-03-2020 PENERIMA Acute nasopharyngitis
160 0000206985598 NERRY SUMARNI P Berobat Jalan
715 00:00 11:27 PENSIUN TNI [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 23-03-2020 23-03-2020 Essential (primary)


161 0000418565507 APONG SOLIHAT P PBI (APBN) Berobat Jalan
702 00:00 10:53 hypertension
100204010320Y000 23-03-2020 23-03-2020 Cluster headache
162 0000418597569 SUMADI L PBI (APBN) Berobat Jalan Hipertensi
682 00:00 10:11 syndrome
100204010320Y000 23-03-2020 23-03-2020 Essential (primary)
163 0000418629238 TITI WINARTI P - Berobat Jalan
691 00:00 10:29 hypertension
100204010320Y000 23-03-2020 23-03-2020 Acute nasopharyngitis
164 0000418629576 SOMANTRI L PBI (APBN) Berobat Jalan
680 00:00 10:02 [common cold]
100204010320Y000 23-03-2020 23-03-2020
165 0000418639612 M. RIZKY AWALUDIN L - Acute laryngopharyngitis Berobat Jalan
672 00:00 09:21

100204010320Y000 23-03-2020 23-03-2020 Rheumatism, unspecified,


166 0000418736417 MISNAH P PBI (APBN) Berobat Jalan
700 00:00 10:47 shoulder region

100204010320Y000 23-03-2020 23-03-2020 Essential (primary)


167 0000418891871 KASTAM L - Berobat Jalan
673 00:00 09:30 hypertension
100204010320Y000 23-03-2020 23-03-2020 Acute upper respiratory
168 0000419000973 ROHMAT SAPRUDIN L PBI (APBN) Berobat Jalan
712 00:00 11:24 infection, unspecified
Cutaneous abscess,
100204010320Y000 23-03-2020 23-03-2020
169 0000419003829 NANI FATIMAH P - furuncle and carbuncle of Berobat Jalan
704 00:00 10:59
neck
100204010320Y000 23-03-2020 23-03-2020
170 0000419088791 INTAN NURYANTI. P PBI (APBN) Pulpitis Berobat Jalan
708 00:00 11:10
100204010320Y000 23-03-2020 23-03-2020 Supervision of normal first
171 0000419145085 DIAH P PBI (APBN) Berobat Jalan
720 00:00 11:37 pregnancy
100204010320Y000 23-03-2020 23-03-2020
172 0000419185506 UMANAH P PBI (APBN) Glaucoma, unspecified Rujuk Vertikal
701 00:00 10:50
100204010320Y000 23-03-2020 23-03-2020
173 0000419224026 JULANG L PBI (APBN) Epilepsy, unspecified Rujuk Vertikal
678 00:00 09:51
100204010320Y000 23-03-2020 23-03-2020 Acute pharyngitis,
174 0000419231441 TRI RIYANI P PBI (APBN) Berobat Jalan
723 00:00 11:59 unspecified
100204010320Y000 23-03-2020 23-03-2020 Acute nasopharyngitis
175 0000419404667 YUYUN HENDAYANI P - Berobat Jalan
699 00:00 10:47 [common cold]
100204010320Y000 23-03-2020 23-03-2020
176 0000419413138 ELA HAYATI NINGSIH P - Streptococcal pharyngitis Berobat Jalan
690 00:00 10:27
Non-insulin-dependent
100204010320Y000 23-03-2020 23-03-2020 Diabetes
177 0000419439881 UU JUESIH P PBI (APBN) diabetes mellitus with Berobat Jalan
671 00:00 09:15 Mellitus
coma
100204010320Y000 23-03-2020 23-03-2020 Essential (primary)
178 0000419478884 IKE RAHMAWATI P PBI (APBN) Berobat Jalan
689 00:00 10:27 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 23-03-2020 23-03-2020 FINA ANZANI


179 0000419480673 P PBI (APBN) Streptococcal pharyngitis Berobat Jalan
681 00:00 10:06 RAHDANSYAH
100204010320Y000 23-03-2020 23-03-2020
180 0000419661224 SENDI ANDRIANA FUTRA L PBI (APBN) Residual schizophrenia Rujuk Vertikal
684 00:00 10:17
100204010320Y000 23-03-2020 23-03-2020 Acute upper respiratory
181 0000419685074 ESIH YUNINGSIH P PBI (APBN) Berobat Jalan
687 00:00 10:23 infection, unspecified
100204010320Y000 23-03-2020 23-03-2020
182 0000419713558 AYI ABDUL ROHMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
675 00:00 09:38
100204010320Y000 23-03-2020 23-03-2020
183 0000419715641 NGADIDJAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
706 00:00 11:03
100204010320Y000 23-03-2020 23-03-2020
184 0000419716574 FAJRIYANTI ANNA. R P PBI (APBN) Headache Berobat Jalan
686 00:00 10:22
100204010320Y000 23-03-2020 23-03-2020 Acute upper respiratory
185 0000419739344 RAHMAT FADILAH L PBI (APBN) Berobat Jalan
697 00:00 10:44 infection, unspecified
Rheumatic fever without
100204010320Y000 23-03-2020 23-03-2020
186 0000419746623 EMAN L PBI (APBN) mention of heart Berobat Jalan
670 00:00 09:05
involvement
100204010320Y000 23-03-2020 23-03-2020 Acute haemorrhagic
187 0000419748579 DEVI OKTAVIANI P PBI (APBN) Berobat Jalan
668 00:00 09:01 gastritis
100204010320Y000 23-03-2020 23-03-2020 Essential (primary)
188 0000419786368 ELI P PBI (APBN) Berobat Jalan
710 00:00 11:12 hypertension
100204010320Y000 23-03-2020 23-03-2020
189 0000419837657 FU'AD NAWAWI L - Acute laryngopharyngitis Berobat Jalan
695 00:00 10:36
100204010320Y000 23-03-2020 23-03-2020
190 0000420087216 INDRA SUPRIATNA L PBI (APBN) Otitis media, unspecified Berobat Jalan
714 00:00 11:26
100204010320Y000 23-03-2020 23-03-2020
191 0000420129718 ADE ROKAYAH P PBI (APBN) Caries of cementum Berobat Jalan
707 00:00 11:08
Atherosclerotic
100204010320P000 23-03-2020 23-03-2020
192 0000420148394 YEYE L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
669 00:00 09:03
described
100204010320Y000 23-03-2020 23-03-2020 Acute upper respiratory
193 0000420862858 ROHAENI P PBI (APBN) Berobat Jalan
696 00:00 10:41 infection, unspecified
100204010320Y000 23-03-2020 23-03-2020
194 0001003760008 MAMAN SUDARMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
674 00:00 09:35
Chronic obstructive
100204010320Y000 23-03-2020 23-03-2020
195 0001003862507 ENDANG L - pulmonary disease, Berobat Jalan
693 00:00 10:34
unspecified
100204010320Y000 23-03-2020 23-03-2020
196 0001003866827 MUHAMAD NUR IDRIS L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
676 00:00 09:46
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 23-03-2020 23-03-2020 Acute upper respiratory


197 0001003907766 DIAH P - Berobat Jalan
709 00:00 11:11 infection, unspecified
Rheumatic fever without
100204010320Y000 23-03-2020 23-03-2020
198 0001089369797 NUNIK PURWANTI P PBI (APBN) mention of heart Berobat Jalan
713 00:00 11:25
involvement
100204010320Y000 23-03-2020 23-03-2020 SITI NURINA PEKERJA Maternal care for breech
199 0001311968283 P Rujuk Vertikal
679 00:00 09:54 AYUNINGTYAS MANDIRI presentation
100204010320Y000 23-03-2020 23-03-2020 Predominantly allergic
200 0001340555804 TRIYADI L - Berobat Jalan
698 00:00 10:44 asthma
100204010320Y000 23-03-2020 23-03-2020 Acute haemorrhagic
201 0001340796565 SUMINI P - Berobat Jalan
685 00:00 10:21 gastritis
Rheumatic fever without
100204010320Y000 23-03-2020 23-03-2020
202 0001386948385 PURNAWAN BASARI L - mention of heart Berobat Jalan
677 00:00 09:51
involvement
100204010320Y000 23-03-2020 23-03-2020 NADHIFA ATQIYA PEGAWAI
203 0001386949498 P Fever, unspecified Berobat Jalan
722 00:00 11:57 SHOLIHA SWASTA
100204010320Y000 23-03-2020 23-03-2020 ARIP MAULANA PEGAWAI
204 0001387052695 L Fever, unspecified Berobat Jalan
688 00:00 10:25 NURAHMAN SWASTA
Tuberculosis of lung,
100204010320Y000 23-03-2020 23-03-2020 confirmed by sputum
205 0001422462609 sugeng winingsih P - Berobat Jalan
692 00:00 10:33 microscopy with or without
culture
100204010320Y000 23-03-2020 23-03-2020 PEKERJA Acute upper respiratory
206 0002074281276 IMAN SUMPENO L Berobat Jalan
716 00:00 11:28 MANDIRI infection, unspecified
100204010320Y000 23-03-2020 23-03-2020 PEGAWAI
207 0002184060767 MAMAT RAHMAT L Rheumatism, unspecified Berobat Jalan
667 00:00 08:50 SWASTA
100204010320Y000 23-03-2020 23-03-2020 PEGAWAI
208 0002184060778 RIZAL RAHMAT FADILLAH L Acute laryngopharyngitis Berobat Jalan
719 00:00 11:36 SWASTA
100204010320Y000 23-03-2020 23-03-2020 PEKERJA
209 0002317287025 SAEPUROHMAN L Myalgia Berobat Jalan
683 00:00 10:16 MANDIRI
100204010320Y000 23-03-2020 23-03-2020 PEKERJA Essential (primary)
210 0002432765586 HENI P Berobat Jalan
705 00:00 11:00 MANDIRI hypertension
100204010320Y000 23-03-2020 23-03-2020 PEKERJA
211 0002464380167 UMAR MA'MUN L Streptococcal pharyngitis Berobat Jalan
666 00:00 08:45 MANDIRI
100204010320P000 23-03-2020 23-03-2020 Chronic gastritis,
212 0002583137013 CANDY SANJAYA L PBI (APBN) Rujuk Vertikal
694 00:00 10:35 unspecified
100204010320P000 23-03-2020 23-03-2020
213 0002597534919 NINA HERLINA P PBI (APBN) Chronic kidney disease Rujuk Vertikal
665 00:00 08:37
100204010320Y000 23-03-2020 23-03-2020 Essential (primary)
214 0002793038613 INA MARIYANA P PBI (APBN) Berobat Jalan
718 00:00 11:33 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 23-03-2020 23-03-2020


215 0002793038624 ROMZI PRATAMA PUTRA L PBI (APBN) Scabies Berobat Jalan
717 00:00 11:30
100204010320Y000 23-03-2020 23-03-2020 General medical
216 0002793046432 TINA GINARSIH P - Berobat Jalan
721 00:00 11:54 examination
100204010320Y000 23-03-2020 23-03-2020 Essential (primary)
217 0002793050673 RUKMINI P PBI (APBN) Berobat Jalan
703 00:00 10:56 hypertension
100204010320Y000 23-03-2020 23-03-2020 Essential (primary)
218 0002836957285 ETI ROHAETI P PBI (APBN) Berobat Jalan
711 00:00 11:22 hypertension
Diabetes
100204010320Y000 21-03-2020 21-03-2020 PENERIMA Acute pharyngitis,
219 0000053378728 IMAM TOYIBUN L Berobat Jalan Mellitus
651 00:00 10:54 PENSIUN TNI unspecified
Hipertensi
100204010320Y000 21-03-2020 21-03-2020 PENERIMA
220 0000053378739 AMINAH P Acute gingivitis Berobat Jalan Hipertensi
653 00:00 11:09 PENSIUN TNI
100204010320Y000 21-03-2020 21-03-2020 Essential (primary)
221 0000417683878 AYI JANA L PBI (APBN) Berobat Jalan
662 00:00 12:09 hypertension
100204010320Y000 21-03-2020 21-03-2020 Convergent concomitant
222 0000418556711 WARDINI P PBI (APBN) Berobat Jalan
638 00:00 09:45 strabismus
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
223 0000418559174 MUKTI L PBI (APBN) Berobat Jalan
660 00:00 11:53 unspecified
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
224 0000418565327 NIA ROSITA P PBI (APBN) Berobat Jalan
658 00:00 11:32 unspecified
100204010320Y000 21-03-2020 21-03-2020 Acute nasopharyngitis
225 0000418565564 GHAIDA HASNA NABILA P - Berobat Jalan
652 00:00 11:06 [common cold]
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
226 0000418923494 KARTINI P PBI (APBN) Berobat Jalan
642 00:00 10:10 unspecified
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
227 0000418923584 LENI MARYANI P PBI (APBN) Berobat Jalan
641 00:00 10:01 unspecified
Gastric ulcer, unspecified
Diabetes
100204010320Y000 21-03-2020 21-03-2020 as acute or chronic,
228 0000419450962 AMINAH P PBI (APBN) Berobat Jalan Mellitus
643 00:00 10:13 without haemorrhage or
Hipertensi
perforation
100204010320Y000 21-03-2020 21-03-2020
229 0000420082479 TETI P PBI (APBN) Rheumatism, unspecified Berobat Jalan
647 00:00 10:26
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
230 0000420287051 MAMAN SUPARMAN L - Berobat Jalan
650 00:00 10:47 unspecified
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
231 0001003862518 RITA P PBI (APBN) Berobat Jalan
644 00:00 10:16 unspecified
100204010320Y000 21-03-2020 21-03-2020 Essential (primary)
232 0001003867176 NINING SARININGSIH P PBI (APBN) Berobat Jalan Hipertensi
656 00:00 11:28 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 21-03-2020 21-03-2020 ENENG imas Essential (primary)


233 0001089402546 P - Berobat Jalan
654 00:00 11:17 KOMALASARI hypertension
Diabetes
100204010320Y000 21-03-2020 21-03-2020 PENERIMA Essential (primary)
234 0001289886467 PARTIJAH P Berobat Jalan Mellitus
645 00:00 10:20 PENSIUN TNI hypertension
Hipertensi
100204010320Y000 21-03-2020 21-03-2020 Essential (primary)
235 0001340432831 YANI DAMAYANTI P PBI (APBD) Berobat Jalan
663 00:00 12:11 hypertension
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
236 0001340433775 MARYATI L PBI (APBN) Berobat Jalan Hipertensi
648 00:00 10:32 unspecified
100204010320Y000 21-03-2020 21-03-2020
237 0001340598251 TUSINI P PBI (APBD) Congestive heart failure Berobat Jalan Hipertensi
659 00:00 11:49
100204010320Y000 21-03-2020 21-03-2020 SANDI Acute pharyngitis,
238 0001438567975 L - Berobat Jalan Hipertensi
664 00:00 12:12 SAHRINNURRAHMAN unspecified
100204010320Y000 21-03-2020 21-03-2020 Acute pharyngitis,
239 0001669190174 KOKON MULYANA L - Berobat Jalan
640 00:00 09:55 unspecified
100204010320Y000 21-03-2020 21-03-2020 PEKERJA Measles complicated by
240 0002074283054 TEGAR SURYO PRAKOSO L Berobat Jalan
639 00:00 09:50 MANDIRI encephalitis
100204010320Y000 21-03-2020 21-03-2020 PEGAWAI Measles without
241 0002306206607 ARDIAZ RAMDHAN L Berobat Jalan
661 00:00 12:03 SWASTA complication
100204010320Y000 21-03-2020 21-03-2020 Essential (primary)
242 0002378890203 ENENG IRIYANTI P - Berobat Jalan Hipertensi
646 00:00 10:22 hypertension
100204010320Y000 21-03-2020 21-03-2020 PEKERJA Essential (primary)
243 0002518193272 MARIKEM P Berobat Jalan Hipertensi
657 00:00 11:29 MANDIRI hypertension
Insulin-dependent
100204010320Y000 21-03-2020 21-03-2020
244 0002793043743 AMINAH KRISTINA P PBI (APBN) diabetes mellitus with Berobat Jalan
649 00:00 10:35
coma
100204010320Y000 21-03-2020 21-03-2020 Essential (primary)
245 0002836963012 DASEP L PBI (APBN) Berobat Jalan
655 00:00 11:23 hypertension
100204010320Y000 20-03-2020 20-03-2020
246 0000207506125 RINA P PNS PUSAT Gastritis, unspecified Berobat Jalan
626 00:00 11:29
100204010320Y000 20-03-2020 20-03-2020 Acute pharyngitis,
247 0000417769086 SRI. N. ARYANTI P - Berobat Jalan
601 00:00 08:57 unspecified

Diarrhoea and
100204010320Y000 20-03-2020 20-03-2020
248 0000418536415 SITI WINARSIH P - gastroenteritis of Berobat Jalan
627 00:00 11:31
presumed infectious origin

100204010320Y000 20-03-2020 20-03-2020


249 0000418565081 WAWAN HERMAWAN L PBI (APBN) Streptococcal pharyngitis Berobat Jalan
615 00:00 10:15
100204010320Y000 20-03-2020 20-03-2020 Acute upper respiratory
250 0000418608101 EEN SUMIATI P - Berobat Jalan
607 00:00 09:24 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 20-03-2020 20-03-2020 Acute upper respiratory


251 0000418860145 TIARA INSANI P - Berobat Jalan
623 00:00 11:21 infection, unspecified
100204010320Y000 20-03-2020 20-03-2020 Acute upper respiratory
252 0000418861293 DESTA YUDISTIRA L - Berobat Jalan
609 00:00 09:46 infection, unspecified
100204010320Y000 20-03-2020 20-03-2020 Acute upper respiratory
253 0000419015136 DUDI RUSTANDI L PBI (APBN) Berobat Jalan
618 00:00 10:23 infection, unspecified
100204010320Y000 20-03-2020 20-03-2020 Acute upper respiratory
254 0000419015215 IMAS IIN SURYANI P PBI (APBN) Berobat Jalan
614 00:00 10:13 infection, unspecified
100204010320Y000 20-03-2020 20-03-2020 Acute pharyngitis,
255 0000419018466 ZIYAS ZAIDAN RUSTANDI L PBI (APBN) Berobat Jalan
628 00:00 11:34 unspecified
100204010320Y000 20-03-2020 20-03-2020
256 0000419232958 SUKAESIH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
600 00:00 08:54
100204010320Y000 20-03-2020 20-03-2020
257 0000419328112 ARMAN RIZKI HOERUDIN L PBI (APBN) Pulpitis Berobat Jalan
612 00:00 10:02
100204010320Y000 20-03-2020 20-03-2020
258 0000419413138 ELA HAYATI NINGSIH P - Acute laryngopharyngitis Berobat Jalan
633 00:00 13:21
100204010320Y000 20-03-2020 20-03-2020
259 0000419497806 NONOH ROHANAH P PBI (APBN) Other acute gastritis Berobat Jalan
606 00:00 09:22
100204010320Y000 20-03-2020 20-03-2020 Acute pharyngitis,
260 0000419499966 AI MARIAM P PBI (APBN) Berobat Jalan
624 00:00 11:22 unspecified
100204010320Y000 20-03-2020 20-03-2020
261 0000419736982 SARI KOMALA P PBI (APBN) Pruritus, unspecified Berobat Jalan
616 00:00 10:18
100204010320Y000 20-03-2020 20-03-2020 Acute pharyngitis,
262 0000419737083 AKBAR MULYADI L PBI (APBN) Berobat Jalan
620 00:00 10:45 unspecified
100204010320Y000 20-03-2020 20-03-2020 Routine general health
263 0000419737408 ERFAN NURZAMAN L PBI (APBN) Berobat Jalan
617 00:00 10:21 check-up of sports teams

Diarrhoea and
100204010320Y000 20-03-2020 20-03-2020
264 0000419742966 PUTRI WULANDARI P PBI (APBN) gastroenteritis of Berobat Jalan
622 00:00 11:14
presumed infectious origin

100204010320Y000 20-03-2020 20-03-2020 Acute nasopharyngitis


265 0000419756646 SUTINAH P PBI (APBN) Berobat Jalan
629 00:00 11:38 [common cold]
100204010320Y000 20-03-2020 20-03-2020
266 0000419779585 MOCH. GANIIY NURASID L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
631 00:00 13:11
Excessive and frequent
100204010320P000 20-03-2020 20-03-2020
267 0000419837433 KARIMA NURUL HIDAYAH P - menstruation with irregular Rujuk Vertikal
608 00:00 09:32
cycle
100204010320Y000 20-03-2020 20-03-2020 Rheumatism, unspecified,
268 0000419979846 ADE AMAS L PBI (APBN) Berobat Jalan
604 00:00 09:04 multiple sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 20-03-2020 20-03-2020 Hebephrenic


269 0000419981692 HENDRAWAN L - Rujuk Vertikal
598 00:00 08:31 schizophrenia
100204010320Y000 20-03-2020 20-03-2020 Bacterial infection,
270 0000420430263 ASEP NURCAHYA L PBI (APBN) Berobat Jalan
596 00:00 08:20 unspecified
100204010320Y000 20-03-2020 20-03-2020
271 0001003865894 NENDEN NANJILAH P PBI (APBN) Gingival enlargement Berobat Jalan
610 00:00 09:57
100204010320Y000 20-03-2020 20-03-2020 PEKERJA Diabetes
272 0001256623931 N. ISU SOFIYAH P Acute laryngopharyngitis Berobat Jalan
632 00:00 13:19 MANDIRI Mellitus
100204010320Y000 20-03-2020 20-03-2020 Chronic apical
273 0001277564938 ZAHRINA N.C P PRAJURIT AD Berobat Jalan
637 00:00 13:27 periodontitis
100204010320Y000 20-03-2020 20-03-2020 PEKERJA Essential (primary) Diabetes
274 0001336476205 LILIS SUWARSIH P Berobat Jalan
611 00:00 09:57 MANDIRI hypertension Mellitus
100204010320Y000 20-03-2020 20-03-2020
275 0001340555782 MAESAROH P - Acute laryngopharyngitis Berobat Jalan
636 00:00 13:26
100204010320Y000 20-03-2020 20-03-2020
276 0001340721336 LINA ROSDIANA P PBI (APBD) Fever with chills Berobat Jalan
621 00:00 11:02
100204010320Y000 20-03-2020 20-03-2020 PEGAWAI Disorder of refraction,
277 0001518345235 FAJRUDDIN MUCHTAR L Berobat Jalan
634 00:00 13:23 SWASTA unspecified
100204010320Y000 20-03-2020 20-03-2020
278 0001667787377 EMUS SAEPULOH L - Acute laryngopharyngitis Berobat Jalan
625 00:00 11:24
100204010320Y000 20-03-2020 20-03-2020 PEGAWAI Irritant contact dermatitis
279 0001780643035 IMAS SITI HANIPAH P Berobat Jalan
602 00:00 08:59 SWASTA due to detergents
100204010320Y000 20-03-2020 20-03-2020 PEKERJA Acute upper respiratory
280 0001964445412 RHASTY UTARI P Berobat Jalan
597 00:00 08:23 MANDIRI infection, unspecified
100204010320Y000 20-03-2020 20-03-2020 TAFFAREL BAGUS PEKERJA Acute pharyngitis,
281 0002282108062 L Berobat Jalan
619 00:00 10:30 PANDAPOTAN MANDIRI unspecified
100204010320Y000 20-03-2020 20-03-2020
282 0002583870761 SUHAENAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan
605 00:00 09:19
100204010320Y000 20-03-2020 20-03-2020 Impetigo [any organism]
283 0002584232954 SUCI FITRIA RAMADHANI P PBI (APBN) Berobat Jalan
635 00:00 13:24 [any site]
100204010320Y000 20-03-2020 20-03-2020 Acute pharyngitis,
284 0002584988403 RAFI GUNAWAN L PBI (APBN) Berobat Jalan
613 00:00 10:05 unspecified
100204010320Y000 20-03-2020 20-03-2020
285 0002753210812 WIDIA FEBIANTRI P PBI (APBN) Other acute gastritis Berobat Jalan
599 00:00 08:45
100204010320Y000 20-03-2020 20-03-2020 MUHAMMAD ZIDAN NUR Acute upper respiratory
286 0002793046645 L PBI (APBN) Berobat Jalan
603 00:00 09:02 SUBHI infection, unspecified
100204010320Y000 20-03-2020 20-03-2020 PEGAWAI
287 0002885407773 FAYLA QANITA NURAISHA P Acute laryngopharyngitis Berobat Jalan
630 00:00 13:09 SWASTA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 19-03-2020 19-03-2020 Antenatal screening,


288 0000418519787 WIWIN WIDAYATI P PBI (APBN) Berobat Jalan
586 00:00 13:41 unspecified
100204010320Y000 19-03-2020 19-03-2020
289 0000418519866 DEDI RAHAYU L PBI (APBN) Impacted teeth Berobat Jalan
574 00:00 09:59
100204010320Y000 19-03-2020 19-03-2020
290 0000418520788 HETI P - Menstrual extraction Berobat Jalan
587 00:00 13:43
100204010320Y000 19-03-2020 19-03-2020 Essential (primary)
291 0000418650445 SUMIATI P PBI (APBN) Berobat Jalan
562 00:00 09:02 hypertension
100204010320Y000 19-03-2020 19-03-2020 Acute upper respiratory
292 0000418651288 IRFAN SUHENDRA L PBI (APBN) Berobat Jalan
568 00:00 09:24 infection, unspecified
100204010320Y000 19-03-2020 19-03-2020 Cluster headache
293 0000418922638 YENI P - Berobat Jalan
576 00:00 10:11 syndrome
100204010320P000 19-03-2020 19-03-2020 Acute nasopharyngitis
294 0000418923404 WIDYA KAREENA P PBI (APBN) Berobat Jalan
592 00:00 13:49 [common cold]
100204010320Y000 19-03-2020 19-03-2020
295 0000419077956 RINI PUSPITASARI P PBI (APBN) Gastritis, unspecified Berobat Jalan
593 00:00 14:00
100204010320Y000 19-03-2020 19-03-2020
296 0000419091636 SRI RAHAYU P PBI (APBN) Headache Berobat Jalan
583 00:00 13:31
100204010320Y000 19-03-2020 19-03-2020 Supervision of normal first
297 0000419181085 DESI RAMADANTI P PBI (APBN) Berobat Jalan
559 00:00 08:36 pregnancy
100204010320Y000 19-03-2020 19-03-2020 Acute pharyngitis,
298 0000419216938 MEGA P PBI (APBN) Berobat Jalan
582 00:00 13:30 unspecified
100204010320Y000 19-03-2020 19-03-2020 Disease of Bartholin's
299 0000419387512 ETI ROSMIATI P - Rujuk Vertikal
563 00:00 09:03 gland, unspecified
100204010320Y000 19-03-2020 19-03-2020
300 0000419454371 ISEP KURNIA L PBI (APBN) Necrosis of pulp Berobat Jalan
573 00:00 09:56
100204010320Y000 19-03-2020 19-03-2020 Essential (primary)
301 0000419459038 ETI ROHAETI P - Berobat Jalan
566 00:00 09:13 hypertension
100204010320Y000 19-03-2020 19-03-2020 Supervision of normal first
302 0000419485623 NOOR RIZKA AULIA L - Berobat Jalan
570 00:00 09:47 pregnancy
100204010320Y000 19-03-2020 19-03-2020 Essential (primary)
303 0000419793478 ACA RISYANA L PBI (APBN) Berobat Jalan Hipertensi
558 00:00 08:29 hypertension
100204010320Y000 19-03-2020 19-03-2020
304 0000419922999 RIDWAN SULAEMAN L - Myalgia Berobat Jalan
581 00:00 11:18
100204010320Y000 19-03-2020 19-03-2020 Contraceptive
305 0000419951777 EUIS JULAEHA P - Berobat Jalan Hipertensi
569 00:00 09:28 management, unspecified
100204010320Y000 19-03-2020 19-03-2020 Essential (primary)
306 0000420104248 ENTIN P - Berobat Jalan
580 00:00 11:15 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 19-03-2020 19-03-2020


307 0001089369797 NUNIK PURWANTI P PBI (APBN) Myalgia Berobat Jalan
579 00:00 11:07
100204010320Y000 19-03-2020 19-03-2020 Acute upper respiratory
308 0001089381576 ANIH P - Berobat Jalan
578 00:00 10:44 infection, unspecified
100204010320P000 19-03-2020 19-03-2020 ENENG imas Essential (primary)
309 0001089402546 P - Berobat Jalan
595 00:00 14:05 KOMALASARI hypertension
100204010320Y000 19-03-2020 19-03-2020 Acute upper respiratory
310 0001089977927 NAWANGSIH P PBI (APBN) Meninggal
577 00:00 10:24 infection, unspecified

Diarrhoea and
100204010320Y000 19-03-2020 19-03-2020
311 0001340529153 ANNISA NURFATIAH P - gastroenteritis of Berobat Jalan
594 00:00 14:03
presumed infectious origin

100204010320Y000 19-03-2020 19-03-2020 Acute pharyngitis,


312 0001340699545 VIVI C P PBI (APBN) Berobat Jalan
584 00:00 13:32 unspecified
100204010320Y000 19-03-2020 19-03-2020 Acute upper respiratory
313 0001340902089 NARTI P PBI (APBD) Berobat Jalan
561 00:00 08:53 infection, unspecified
100204010320Y000 19-03-2020 19-03-2020 PEKERJA Essential (primary)
314 0001463704986 ATING ROSMIATI P Berobat Jalan
564 00:00 09:10 MANDIRI hypertension
100204010320Y000 19-03-2020 19-03-2020 PEKERJA
315 0001475600613 SILVIANI P Acute laryngopharyngitis Berobat Jalan Hipertensi
585 00:00 13:34 MANDIRI

Diarrhoea and
100204010320Y000 19-03-2020 19-03-2020 PEGAWAI
316 0001829473593 RACHMAT L gastroenteritis of Berobat Jalan
567 00:00 09:21 SWASTA
presumed infectious origin

100204010320Y000 19-03-2020 19-03-2020 PEKERJA Acute upper respiratory


317 0001833328168 TATI ROHAYATI P Berobat Jalan
572 00:00 09:56 MANDIRI infection, unspecified
100204010320Y000 19-03-2020 19-03-2020 PEKERJA
318 0001851984044 EKA FERY HARDIMAN L Pulpitis Berobat Jalan
571 00:00 09:48 MANDIRI
100204010320Y000 19-03-2020 19-03-2020 PEGAWAI Supervision of normal first
319 0002213466513 SRI RAHAYU P Berobat Jalan
565 00:00 09:12 SWASTA pregnancy
100204010320Y000 19-03-2020 19-03-2020
320 0002583136967 ADE KARYANA L - Rheumatism, unspecified Berobat Jalan
560 00:00 08:46
100204010320Y000 19-03-2020 19-03-2020 ADITYA RAKA
321 0002793044362 L - Decubitus ulcer Berobat Jalan
589 00:00 13:45 PAMUNGKAS
100204010320Y000 19-03-2020 19-03-2020 MUHAMAD ALIF
322 0002836963192 L - Streptococcal pharyngitis Berobat Jalan
575 00:00 10:06 MAULANA
100204010320Y000 19-03-2020 19-03-2020 General medical
323 0002922915993 BAYI NYONYA LORENSA P PBI (APBN) Berobat Jalan
591 00:00 13:47 examination
100204010320Y000 19-03-2020 19-03-2020 BAYI NYONYA DEDEH General medical
324 0002925558112 P PBI (APBN) Berobat Jalan
590 00:00 13:46 YUNINGSIH examination
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 19-03-2020 19-03-2020 SALMAN ABDUL AZIZ General medical


325 0002926522473 L - Berobat Jalan
588 00:00 13:44 TOCHA examination

Diarrhoea and
100204010320Y000 18-03-2020 18-03-2020 PENERIMA
326 0000053377749 AMINAH WERKUWULUNG P gastroenteritis of Berobat Jalan
551 00:00 12:25 PENSIUN TNI
presumed infectious origin

100204010320Y000 18-03-2020 18-03-2020 PENERIMA Acute upper respiratory


327 0000169200437 ENAH P Berobat Jalan
534 00:00 10:59 PENSIUN TNI infection, unspecified
100204010320P000 18-03-2020 18-03-2020 Atherosclerotic heart
328 0000417694116 MONIKA. BR. HARIANJA P - Rujuk Vertikal
531 00:00 10:44 disease
100204010320Y000 18-03-2020 18-03-2020 Essential (primary)
329 0000418565507 APONG SOLIHAT P PBI (APBN) Berobat Jalan
548 00:00 12:17 hypertension
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
330 0000418608685 WAFIDIN SAEFULLOH L - Berobat Jalan
543 00:00 11:41 infection, unspecified
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
331 0000418682428 NURHAYATI P PBI (APBN) Berobat Jalan
542 00:00 11:37 infection, unspecified
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
332 0000418880946 ATIAH P PBI (APBN) Berobat Jalan
528 00:00 10:28 infection, unspecified
100204010320Y000 18-03-2020 18-03-2020
333 0000418881644 ADE SOMANTRI L PBI (APBN) Acute gingivitis Berobat Jalan
515 00:00 09:00
100204010320Y000 18-03-2020 18-03-2020
334 0000418883883 ERI SAEPUDIN L - Gastritis, unspecified Berobat Jalan
552 00:00 12:33
100204010320Y000 18-03-2020 18-03-2020 Bronchitis, not specified as
335 0000418903503 SRI HANDAYANTI P PBI (APBN) Berobat Jalan
530 00:00 10:36 acute or chronic
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
336 0000418904807 IAH SOFIAH P PBI (APBN) Berobat Jalan
545 00:00 11:48 infection, unspecified
100204010320Y000 18-03-2020 18-03-2020 Acute pharyngitis,
337 0000419073761 AI SUMARTINI P PBI (APBN) Berobat Jalan
529 00:00 10:29 unspecified
Tuberculosis of lung,
100204010320Y000 18-03-2020 18-03-2020 confirmed by sputum Diabetes
338 0000419127309 MANAH RUKMAENI P - Berobat Jalan
522 00:00 10:20 microscopy with or without Mellitus
culture
Routine general health
100204010320Y000 18-03-2020 18-03-2020
339 0000419230991 ATIN LARASATI P PBI (APBN) check-up of other defined Berobat Jalan
532 00:00 10:49
subpopulations
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
340 0000419315512 SITI DIAH. K P - Berobat Jalan
541 00:00 11:36 infection, unspecified
100204010320P000 18-03-2020 18-03-2020
341 0000419385688 DADANG RUKMANA L PBI (APBN) Epilepsy Rujuk Vertikal
517 00:00 10:06
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 18-03-2020 18-03-2020 Contraceptive


342 0000419433693 NENIS WINTARSIH P PBI (APBN) Berobat Jalan
510 00:00 08:30 management, unspecified
100204010320Y000 18-03-2020 18-03-2020 Acute tonsillitis,
343 0000419438204 RACHMAWATI P PBI (APBN) Berobat Jalan
544 00:00 11:46 unspecified
100204010320Y000 18-03-2020 18-03-2020
344 0000419687875 RONI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
553 00:00 12:35
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
345 0000419689901 NAINA PUTRI RAMADANI P PBI (APBN) Berobat Jalan
536 00:00 11:02 infection, unspecified
Special screening
100204010320Y000 18-03-2020 18-03-2020
346 0000419719105 EVA SUMIATI P - examination for neoplasm, Berobat Jalan
524 00:00 10:23
unspecified

Diarrhoea and
100204010320Y000 18-03-2020 18-03-2020
347 0000419823922 SAKIM L PBI (APBN) gastroenteritis of Berobat Jalan
512 00:00 08:44
presumed infectious origin

100204010320P000 18-03-2020 18-03-2020


348 0000419837286 RATI WAHYUNINGSIH P PBI (APBN) Astigmatism Rujuk Vertikal
521 00:00 10:18
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
349 0000420165696 DEWI SUSANTI P PBI (APBN) Berobat Jalan
535 00:00 11:00 infection, unspecified
100204010320P000 18-03-2020 18-03-2020
350 0000420375475 CICIH MINTARSIH P - Myopia Rujuk Vertikal
538 00:00 11:19
100204010320Y000 18-03-2020 18-03-2020
351 0001003864318 SITI SARIFAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
523 00:00 10:22
Sequelae of stroke, not
100204010320Y000 18-03-2020 18-03-2020
352 0001003867132 ANDRI L PBI (APBN) specified as haemorrhage Rujuk Vertikal
511 00:00 08:31
or infarction
100204010320P000 18-03-2020 18-03-2020 Hypertensive heart
353 0001003867211 ROSWATI P PBI (APBN) Rujuk Vertikal
519 00:00 10:12 disease
100204010320Y000 18-03-2020 18-03-2020 Essential (primary)
354 0001003908161 IROS ROSTIATI P PBI (APBN) Berobat Jalan
550 00:00 12:22 hypertension
100204010320Y000 18-03-2020 18-03-2020 PEKERJA Surveillance of
355 0001188532001 SELA RISTIAWATI P Berobat Jalan
520 00:00 10:14 MANDIRI contraceptive drugs
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
356 0001340297201 KARTINEM P PBI (APBN) Berobat Jalan
539 00:00 11:25 infection, unspecified
100204010320Y000 18-03-2020 18-03-2020
357 0001340393207 ANDI L PBI (APBD) Anaemia, unspecified Rujuk Vertikal
516 00:00 09:06
100204010320Y000 18-03-2020 18-03-2020 PEKERJA Essential (primary)
358 0001387267582 EJEB SUHENDI L Berobat Jalan Hipertensi
518 00:00 10:12 MANDIRI hypertension
100204010320Y000 18-03-2020 18-03-2020 Disorder of refraction,
359 0001427637521 kurdie machsar L - Rujuk Vertikal
525 00:00 10:24 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 18-03-2020 18-03-2020 Disorder of refraction,


360 0001427637903 tati hartati P - Rujuk Vertikal Hipertensi
527 00:00 10:26 unspecified
100204010320Y000 18-03-2020 18-03-2020 PEKERJA Acute upper respiratory Diabetes
361 0001518618936 SARMILAH P Berobat Jalan
540 00:00 11:31 MANDIRI infection, unspecified Mellitus
100204010320Y000 18-03-2020 18-03-2020 PEKERJA
362 0001798652889 TETE SAPNI P Typhoid fever Berobat Jalan Hipertensi
547 00:00 12:15 MANDIRI
100204010320Y000 18-03-2020 18-03-2020 PEKERJA Open wound of toe(s) with
363 0001798662249 WAHIDIN L Berobat Jalan
514 00:00 08:52 MANDIRI damage to nail
100204010320Y000 18-03-2020 18-03-2020 VANESA RIHANA
364 0002582670407 P PBI (APBN) Fever, unspecified Berobat Jalan
533 00:00 10:57 SYAHFITRI
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
365 0002596525648 ELISA MARINI AS P - Berobat Jalan
526 00:00 10:26 infection, unspecified
100204010320Y000 18-03-2020 18-03-2020 Essential (primary)
366 0002597534886 EROS KARWATI P PBI (APBN) Berobat Jalan Hipertensi
549 00:00 12:18 hypertension
Tuberculosis of lung,
100204010320Y000 18-03-2020 18-03-2020 confirmed by sputum
367 0002597664442 TINA P PBI (APBN) Berobat Jalan
513 00:00 08:47 microscopy with or without
culture
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
368 0002598803987 ZIDAN ADITYA L PBI (APBN) Berobat Jalan
546 00:00 11:50 infection, unspecified
100204010320Y000 18-03-2020 18-03-2020 Acute upper respiratory
369 0002695837072 ANISA HARTATI P - Berobat Jalan
537 00:00 11:03 infection, unspecified
Non-insulin-dependent
100204010320Y000 17-03-2020 17-03-2020
370 0000056665348 IR.SUDRAJAT L PNS PUSAT diabetes mellitus without Berobat Jalan Hipertensi
481 00:00 09:13
complications
100204010320Y000 17-03-2020 17-03-2020 Acute upper respiratory
371 0000418551579 JUANDA L PBI (APBN) Berobat Jalan
496 00:00 11:35 infection, unspecified
100204010320Y000 17-03-2020 17-03-2020 Acute upper respiratory
372 0000418613286 SITI AMINAH P PBI (APBN) Berobat Jalan
495 00:00 10:18 infection, unspecified
100204010320Y000 17-03-2020 17-03-2020 Acute upper respiratory
373 0000418780754 IPOH P - Berobat Jalan
475 00:00 08:54 infection, unspecified
100204010320Y000 17-03-2020 17-03-2020 Acute pharyngitis,
374 0000418900397 NOVIYANI P PBI (APBN) Berobat Jalan
504 00:00 12:29 unspecified
100204010320Y000 17-03-2020 17-03-2020
375 0000419114261 ARDI L PBI (APBN) Tension-type headache Berobat Jalan
482 00:00 09:14
100204010320Y000 17-03-2020 17-03-2020 Acute nasopharyngitis
376 0000419177081 LORENSA P PBI (APBN) Berobat Jalan
484 00:00 09:16 [common cold]
100204010320Y000 17-03-2020 17-03-2020
377 0000419180692 ERMA HERMAWANTI P PBI (APBN) Unstable angina Berobat Jalan
483 00:00 09:15
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 17-03-2020 17-03-2020 MUHAMMAD ATEP


378 0000419196159 L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
502 00:00 12:22 ROPIDIN
100204010320Y000 17-03-2020 17-03-2020 Observation for suspected
379 0000419196947 PUJA AKMA P PBI (APBN) Rujuk Vertikal
490 00:00 09:48 tuberculosis
100204010320Y000 17-03-2020 17-03-2020
380 0000419216815 DIKI NUGRAHA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
503 00:00 12:23
100204010320Y000 17-03-2020 17-03-2020 Acute upper respiratory
381 0000419253737 SITI AMINAH P PBI (APBN) Berobat Jalan
505 00:00 12:30 infection, unspecified
100204010320Y000 17-03-2020 17-03-2020 Acute nasopharyngitis
382 0000419392214 HENDRI L PBI (APBN) Berobat Jalan
499 00:00 12:16 [common cold]
100204010320Y000 17-03-2020 17-03-2020
383 0000419416457 EEN ROKMINI P PBI (APBN) Myalgia Berobat Jalan
480 00:00 09:08
100204010320Y000 17-03-2020 17-03-2020 Acute pharyngitis,
384 0000419424219 NESHA P PBI (APBN) Berobat Jalan
500 00:00 12:18 unspecified
100204010320Y000 17-03-2020 17-03-2020 Acute upper respiratory
385 0000419447024 AI ATIKAH P PBI (APBN) Berobat Jalan
506 00:00 12:45 infection, unspecified
100204010320Y000 17-03-2020 17-03-2020 Atopic dermatitis,
386 0000419449678 ATENG L PBI (APBN) Berobat Jalan
477 00:00 09:01 unspecified
100204010320Y000 17-03-2020 17-03-2020 Disorder of urinary system,
387 0000419479031 JANWARDI IKSAN L PBI (APBN) Berobat Jalan
501 00:00 12:21 unspecified
100204010320Y000 17-03-2020 17-03-2020
388 0000419579561 EMAH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
485 00:00 09:24
100204010320Y000 17-03-2020 17-03-2020
389 0000419656511 ADE HIDAYAT L - Residual schizophrenia Rujuk Vertikal
491 00:00 09:48
100204010320Y000 17-03-2020 17-03-2020
390 0000419761618 RUSNAINI P - Tinea cruris Berobat Jalan
487 00:00 09:30
100204010320Y000 17-03-2020 17-03-2020
391 0000419762204 SRI SURYANINGSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan
497 00:00 11:51
100204010320Y000 17-03-2020 17-03-2020
392 0000419816259 RESTI LISTIANA P - Tension-type headache Berobat Jalan
473 00:00 08:33
100204010320Y000 17-03-2020 17-03-2020
393 0000420124421 AMANDA P PBI (APBN) Tachycardia, unspecified Rujuk Vertikal
493 00:00 10:11
100204010320Y000 17-03-2020 17-03-2020
394 0000420239946 ROSI SETIASIH P PBI (APBN) Gastritis, unspecified Berobat Jalan
474 00:00 08:37
100204010320Y000 17-03-2020 17-03-2020 Essential (primary)
395 0000420287051 MAMAN SUPARMAN L - Berobat Jalan
498 00:00 11:53 hypertension
100204010320Y000 17-03-2020 17-03-2020 Acute upper respiratory
396 0000420501093 ELIN RAHMAWATI P - Berobat Jalan
478 00:00 09:05 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 17-03-2020 17-03-2020 IDAH ROOSYIDAH Acute upper respiratory


397 0001003865578 P - Berobat Jalan
508 00:00 12:55 NABILLAH infection, unspecified
100204010320Y000 17-03-2020 17-03-2020 Essential (primary)
398 0001003865771 YATI HERYATI P - Berobat Jalan
479 00:00 09:07 hypertension
100204010320Y000 17-03-2020 17-03-2020 PEGAWAI
399 0001150082965 TOTO SUDARTO L Caries of cementum Berobat Jalan
489 00:00 09:37 SWASTA
100204010320Y000 17-03-2020 17-03-2020 PEGAWAI
400 0001199937036 FACHRIANNO SEPTIAN L Necrosis of pulp Berobat Jalan
488 00:00 09:32 SWASTA
100204010320Y000 17-03-2020 17-03-2020 PEKERJA Essential (primary)
401 0001322522965 MOMON TARYANA L Berobat Jalan Hipertensi
472 00:00 08:26 MANDIRI hypertension
100204010320P000 17-03-2020 17-03-2020 Senile cataract, Diabetes
402 0001340297741 SARWEN P PBI (APBD) Rujuk Vertikal
476 00:00 08:56 unspecified Mellitus
100204010320Y000 17-03-2020 17-03-2020 Acute nasopharyngitis
403 0001340901472 RINI ROSIYANTHI P PBI (APBD) Berobat Jalan
494 00:00 10:14 [common cold]
100204010320Y000 17-03-2020 17-03-2020 PEKERJA Essential (primary)
404 0001463768109 JUHANA L Berobat Jalan
509 00:00 13:02 MANDIRI hypertension
100204010320Y000 17-03-2020 17-03-2020 PEGAWAI
405 0002306206203 YUDI SUPRIATNA L Pulpitis Berobat Jalan
492 00:00 09:48 SWASTA
100204010320Y000 17-03-2020 17-03-2020
406 0002594567327 SAINATI ANA RUMKA P PBI (APBN) Headache Berobat Jalan
507 00:00 12:51
100204010320P000 17-03-2020 17-03-2020 BAYI NYONYA SELVINA
407 0002763131872 L PBI (APBN) Pneumonia, unspecified Rujuk Vertikal
486 00:00 09:26 MONICA WATI
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
408 0000407578702 IJI HATAJI L - Berobat Jalan
450 00:00 11:03 infection, unspecified
Tuberculosis of lung,
100204010320Y000 16-03-2020 16-03-2020 confirmed by sputum
409 0000417732322 UAS P PBI (APBN) Berobat Jalan
423 00:00 09:14 microscopy with or without
culture
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
410 0000418509639 DIAN ARDIANSYAH L PBI (APBN) Berobat Jalan
453 00:00 11:20 infection, unspecified

Diarrhoea and
100204010320Y000 16-03-2020 16-03-2020
411 0000418643662 EULIS SUTIANI P - gastroenteritis of Berobat Jalan Hipertensi
452 00:00 11:16
presumed infectious origin

100204010320Y000 16-03-2020 16-03-2020 Acute nasopharyngitis


412 0000418643965 NENENG KARYATI P PBI (APBN) Berobat Jalan
420 00:00 08:50 [common cold]
100204010320Y000 16-03-2020 16-03-2020 Acute pharyngitis,
413 0000418650445 SUMIATI P PBI (APBN) Berobat Jalan
429 00:00 09:50 unspecified
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
414 0000418730376 HESTI NURJANAH P PBI (APBN) Berobat Jalan
433 00:00 10:04 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 16-03-2020 16-03-2020


415 0000418884636 TINI SUGANTINI P PBI (APBN) Necrosis of pulp Berobat Jalan
459 00:00 12:07
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
416 0000419008825 ENJANG BUCHORI L - Berobat Jalan
448 00:00 11:00 infection, unspecified
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
417 0000419010243 ALDRIAN BUEHORI L PBI (APBN) Berobat Jalan
447 00:00 11:00 infection, unspecified
100204010320Y000 16-03-2020 16-03-2020
418 0000419021943 CUCU KURNIA P PBI (APBN) Gastritis, unspecified Berobat Jalan
470 00:00 14:24
100204010320P000 16-03-2020 16-03-2020
419 0000419023754 TIARA ANISYA P - Dental caries Berobat Jalan
463 00:00 13:24
100204010320Y000 16-03-2020 16-03-2020
420 0000419112854 DIDI CAHYA L PBI (APBN) Tension-type headache Berobat Jalan
419 00:00 08:26
100204010320Y000 16-03-2020 16-03-2020
421 0000419230991 ATIN LARASATI P PBI (APBN) Necrosis of pulp Berobat Jalan
458 00:00 12:02
100204010320Y000 16-03-2020 16-03-2020 Acute nasopharyngitis
422 0000419247145 TATI HAYATI P PBI (APBN) Berobat Jalan
431 00:00 09:52 [common cold]
100204010320Y000 16-03-2020 16-03-2020 Acute pharyngitis,
423 0000419413138 ELA HAYATI NINGSIH P - Berobat Jalan
469 00:00 14:07 unspecified
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
424 0000419414051 ASEP SAEPULLOH L PBI (APBN) Berobat Jalan
455 00:00 11:52 infection, unspecified
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
425 0000419423242 BUNGA P PBI (APBN) Berobat Jalan
426 00:00 09:26 infection, unspecified
100204010320Y000 16-03-2020 16-03-2020 Acute pharyngitis,
426 0000419424118 ADE PERMANA L PBI (APBN) Berobat Jalan
442 00:00 10:44 unspecified
100204010320Y000 16-03-2020 16-03-2020
427 0000419493249 SUKARTINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
435 00:00 10:08
100204010320Y000 16-03-2020 16-03-2020
428 0000419765938 PATIMAH P - Gastritis, unspecified Berobat Jalan
467 00:00 13:59
100204010320Y000 16-03-2020 16-03-2020 Supervision of normal
429 0000419835328 RITA KURNIATI P - Berobat Jalan
464 00:00 13:25 pregnancy, unspecified
100204010320Y000 16-03-2020 16-03-2020 Essential (primary)
430 0000420030472 RATNAH P PBI (APBN) Berobat Jalan Hipertensi
440 00:00 10:32 hypertension
Non-insulin-dependent
100204010320P000 16-03-2020 16-03-2020
431 0000420148833 AKIN L PBI (APBN) diabetes mellitus with Rujuk Vertikal
462 00:00 13:15
multiple complications
100204010320Y000 16-03-2020 16-03-2020 Acute tonsillitis,
432 0000420151318 NOPALIA P PBI (APBN) Berobat Jalan
436 00:00 10:09 unspecified
100204010320Y000 16-03-2020 16-03-2020 Tuberculous peripheral
433 0000420151702 ANDI PURNAMA L PBI (APBN) Rujuk Vertikal
422 00:00 09:06 lymphadenopathy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Diarrhoea and
100204010320Y000 16-03-2020 16-03-2020
434 0000420185035 NENSIH P PBI (APBN) gastroenteritis of Berobat Jalan
432 00:00 09:57
presumed infectious origin

100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory


435 0000420229945 JAJANG SAMSUL BAHRI L PBI (APBN) Berobat Jalan
457 00:00 12:02 infection, unspecified
100204010320Y000 16-03-2020 16-03-2020
436 0001003865253 RUSTANDI L PBI (APBN) Residual schizophrenia Berobat Jalan
466 00:00 13:32
Non-insulin-dependent Diabetes
100204010320Y000 16-03-2020 16-03-2020
437 0001003865319 SRI ATUN P PBI (APBN) diabetes mellitus without Berobat Jalan Mellitus Hipertensi
461 00:00 13:09
complications Hipertensi
100204010320Y000 16-03-2020 16-03-2020 Essential (primary)
438 0001003865848 ATIH P PBI (APBN) Berobat Jalan
421 00:00 08:53 hypertension
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
439 0001003906473 TITI P - Berobat Jalan
446 00:00 10:56 infection, unspecified
100204010320Y000 16-03-2020 16-03-2020 Acute nasopharyngitis
440 0001003906495 RINI NUR AENI P PBI (APBN) Berobat Jalan
445 00:00 10:54 [common cold]
100204010320Y000 16-03-2020 16-03-2020 HAIDAR AHMAD
441 0001292686402 L - Acute laryngopharyngitis Berobat Jalan
468 00:00 14:04 RAMIYANA
100204010320Y000 16-03-2020 16-03-2020
442 0001340598352 HERA WATI P PBI (APBD) Residual schizophrenia Rujuk Vertikal
427 00:00 09:30
100204010320Y000 16-03-2020 16-03-2020 Disorder of conjunctiva,
443 0001340796565 SUMINI P - Rujuk Vertikal
424 00:00 09:18 unspecified
100204010320Y000 16-03-2020 16-03-2020
444 0001340797724 HASAN L PBI (APBN) Myalgia Berobat Jalan
456 00:00 11:53
100204010320Y000 16-03-2020 16-03-2020 PEKERJA Essential (primary)
445 0001461039625 DIDI SUTARDI L Berobat Jalan
451 00:00 11:10 MANDIRI hypertension
Person consulting for
100204010320Y000 16-03-2020 16-03-2020 PEKERJA
446 0001468844717 H. TJUNTJUN SOENDORO L explanation of Berobat Jalan
454 00:00 11:45 MANDIRI
investigation findings
100204010320Y000 16-03-2020 16-03-2020 Acute upper respiratory
447 0001665115075 ELIS ATIH P - Berobat Jalan
443 00:00 10:46 infection, unspecified
100204010320Y000 16-03-2020 16-03-2020 PEGAWAI Essential (primary)
448 0001668970697 KARTINI P Berobat Jalan
449 00:00 11:02 SWASTA hypertension
100204010320Y000 16-03-2020 16-03-2020 PEKERJA Essential (primary)
449 0001785383392 SILVIANA P Berobat Jalan
460 00:00 12:58 MANDIRI hypertension
Non-insulin-dependent
100204010320Y000 16-03-2020 16-03-2020 PEKERJA
450 0001961069242 maryam P diabetes mellitus with Rujuk Vertikal
425 00:00 09:24 MANDIRI
multiple complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PEGAWAI
Tuberculosis of lung,
PEMERINTAH
100204010320Y000 16-03-2020 16-03-2020 confirmed by sputum
451 0002075694939 DADANG HADIANSYAH L DENGAN Berobat Jalan
471 00:00 14:39 microscopy with or without
PERJANJIAN
culture
KERJA
100204010320Y000 16-03-2020 16-03-2020 PEGAWAI Supervision of high-risk
452 0002101352139 KANIA SILVIANI P Rujuk Vertikal
434 00:00 10:07 SWASTA pregnancy, unspecified
100204010320Y000 16-03-2020 16-03-2020 PEKERJA Acute upper respiratory
453 0002197154259 PAPAT PATMAWATI P Berobat Jalan
444 00:00 10:52 MANDIRI infection, unspecified
100204010320P000 16-03-2020 16-03-2020
454 0002469043247 USA L PBI (APBN) Heart failure Rujuk Vertikal
439 00:00 10:13
100204010320Y000 16-03-2020 16-03-2020 KHAIRAN ERWANDA PEGAWAI
455 0002484142211 L Nummular dermatitis Berobat Jalan
465 00:00 13:27 PUTRA SWASTA
100204010320Y000 16-03-2020 16-03-2020 Irritant contact dermatitis,
456 0002586017259 CAHNUSI L PBI (APBN) Berobat Jalan
441 00:00 10:34 unspecified cause
100204010320Y000 16-03-2020 16-03-2020 PEKERJA Acute pharyngitis,
457 0002695861506 LENI MARLINA P Berobat Jalan
428 00:00 09:43 MANDIRI unspecified
100204010320Y000 16-03-2020 16-03-2020 Supervision of normal first
458 0002793043721 MUTIA WIDIASTUTI P - Berobat Jalan
430 00:00 09:51 pregnancy
100204010320Y000 16-03-2020 16-03-2020 Acute tonsillitis,
459 0002836963348 RAISSAL AKNAN L PBI (APBN) Berobat Jalan
438 00:00 10:13 unspecified
100204010320Y000 16-03-2020 16-03-2020
460 0002836964294 TUTI SULASTRI P - Asthma, unspecified Berobat Jalan
437 00:00 10:12
Insulin-dependent
100204010320Y000 14-03-2020 14-03-2020 PENERIMA
461 0000053379393 CUCUM SUMI P diabetes mellitus with Rujuk Vertikal
412 00:00 09:44 PENSIUN TNI
multiple complications
100204010320Y000 14-03-2020 14-03-2020 PENERIMA
462 0000056747711 ASHARI L Congestive heart failure Berobat Jalan
418 00:00 11:00 PENSIUN PNS
100204010320Y000 14-03-2020 14-03-2020
463 0000418510146 NONENG P PBI (APBN) Myalgia Berobat Jalan
406 00:00 08:49
100204010320Y000 14-03-2020 14-03-2020 Acute upper respiratory
464 0000418565081 WAWAN HERMAWAN L PBI (APBN) Berobat Jalan
417 00:00 10:56 infection, unspecified
100204010320P000 14-03-2020 28-03-2020
465 0000419413138 ELA HAYATI NINGSIH P - Acute pharyngitis Berobat Jalan
851 00:00 15:29
100204010320Y000 14-03-2020 14-03-2020 Essential (primary)
466 0000419459725 SUNARSIH P - Berobat Jalan
410 00:00 09:43 hypertension
100204010320Y000 14-03-2020 14-03-2020
467 0000419460028 ENOK HASANAH P - Myalgia Berobat Jalan
409 00:00 09:41
100204010320Y000 14-03-2020 14-03-2020
468 0001003904043 NANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
411 00:00 09:44
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 14-03-2020 14-03-2020 Acute upper respiratory


469 0001003904673 RENI KARTIKA P PBI (APBN) Berobat Jalan
405 00:00 08:43 infection, unspecified
100204010320Y000 14-03-2020 14-03-2020
470 0001089381576 ANIH P - Polyarthritis, unspecified Berobat Jalan
416 00:00 10:54
100204010320Y000 14-03-2020 14-03-2020 PEKERJA
471 0001335841558 JESSY THERESIA P Congestive heart failure Rujuk Vertikal
403 00:00 08:10 MANDIRI
100204010320Y000 14-03-2020 14-03-2020 Acute upper respiratory
472 0001461837407 STEPHEN TARIGAN L - Berobat Jalan
413 00:00 09:48 infection, unspecified
100204010320Y000 14-03-2020 14-03-2020 Acute upper respiratory
473 0001669190174 KOKON MULYANA L - Berobat Jalan
414 00:00 10:13 infection, unspecified
100204010320Y000 14-03-2020 14-03-2020
474 0001964801891 ETI HATIMAH P - Multiple fractures of foot Rujuk Vertikal
407 00:00 09:12
PEGAWAI
PEMERINTAH
100204010320Y000 14-03-2020 14-03-2020 MOCHAMAD IHWAN
475 0002195217898 L DENGAN Calculus of kidney Rujuk Vertikal
408 00:00 09:33 NURYANA
PERJANJIAN
KERJA
100204010320P000 14-03-2020 28-03-2020
476 0002793043721 MUTIA WIDIASTUTI P - Antenatal screening Berobat Jalan
852 00:00 15:30
100204010320Y000 14-03-2020 14-03-2020 Bronchitis, not specified as
477 0002793052989 SASIAH P - Berobat Jalan Hipertensi
415 00:00 10:32 acute or chronic
100204010320P000 14-03-2020 28-03-2020 BAYI NYONYA DEDEH
478 0002925558112 P PBI (APBN) Counselling, unspecified Berobat Jalan
853 00:00 15:36 YUNINGSIH
100204010320P000 13-03-2020 13-03-2020 DRA.YATI SITI MULYATI,
479 0000058064771 P PNS PUSAT Fibroadenosis of breast Rujuk Vertikal
380 00:00 10:08 M.PD
100204010320Y000 13-03-2020 13-03-2020
480 0000417676869 AHMAD HIDAYAT L PBI (APBN) Gastritis, unspecified Berobat Jalan
386 00:00 12:40

Diarrhoea and
100204010320Y000 13-03-2020 13-03-2020
481 0000417677308 SITI ROHMAH P PBI (APBN) gastroenteritis of Berobat Jalan
385 00:00 12:38
presumed infectious origin

100204010320Y000 13-03-2020 13-03-2020 Essential (primary)


482 0000417683878 AYI JANA L PBI (APBN) Berobat Jalan
389 00:00 12:44 hypertension
100204010320Y000 13-03-2020 13-03-2020 Acute upper respiratory
483 0000418730376 HESTI NURJANAH P PBI (APBN) Berobat Jalan
395 00:00 14:21 infection, unspecified
100204010320Y000 13-03-2020 13-03-2020 Acute upper respiratory
484 0000418859379 LIA YULIANTI P PBI (APBN) Berobat Jalan
392 00:00 12:50 infection, unspecified
100204010320P000 13-03-2020 13-03-2020 Radiculopathy, cervical
485 0000418891871 KASTAM L - Rujuk Vertikal
375 00:00 08:25 region
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Spontaneous abortion,
100204010320P000 13-03-2020 13-03-2020
486 0000418979125 TITIN KARYATI P PBI (APBN) incomplete, without Rujuk Vertikal
376 00:00 08:37
complication
100204010320Y000 13-03-2020 13-03-2020
487 0000419180692 ERMA HERMAWANTI P PBI (APBN) Unstable angina Berobat Jalan
387 00:00 12:42
100204010320Y000 13-03-2020 13-03-2020
488 0000419232958 SUKAESIH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
400 00:00 14:33
100204010320Y000 13-03-2020 13-03-2020
489 0000419246381 HASRINI P PBI (APBN) Myalgia Berobat Jalan
391 00:00 12:49
100204010320Y000 13-03-2020 13-03-2020
490 0000419391336 SRI EKOWATI P PBI (APBN) Myalgia Berobat Jalan
390 00:00 12:47
100204010320Y000 13-03-2020 13-03-2020
491 0000419737408 ERFAN NURZAMAN L PBI (APBN) Tension-type headache Berobat Jalan
394 00:00 14:12
100204010320Y000 13-03-2020 13-03-2020 Acute tonsillitis,
492 0000420267183 FITRIA WATI P - Berobat Jalan
396 00:00 14:23 unspecified
100204010320Y000 13-03-2020 13-03-2020
493 0000420383248 DEDEH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
399 00:00 14:29
100204010320Y000 13-03-2020 13-03-2020
494 0001003872273 WAHYU HIDAYAT L PBI (APBN) Polyarthritis, unspecified Berobat Jalan
401 00:00 14:37
100204010320Y000 13-03-2020 13-03-2020
495 0001003872284 NANI MARLINA P PBI (APBN) Myalgia Berobat Jalan
393 00:00 14:10
100204010320Y000 13-03-2020 13-03-2020
496 0001003902039 ATIKAH P PBI (APBN) Asthma, unspecified Berobat Jalan
402 00:00 14:45
100204010320Y000 13-03-2020 13-03-2020 PEGAWAI Periapical abscess without
497 0001199937036 FACHRIANNO SEPTIAN L Berobat Jalan
381 00:00 10:17 SWASTA sinus
100204010320Y000 13-03-2020 13-03-2020
498 0001340598251 TUSINI P PBI (APBD) Congestive heart failure Berobat Jalan Hipertensi
388 00:00 12:43
Chronic obstructive
100204010320P000 13-03-2020 13-03-2020 SULAEMAN. M. PEKERJA
499 0001386719054 L pulmonary disease, Rujuk Vertikal
382 00:00 10:34 HARDJADILAGA MANDIRI
unspecified
100204010320P000 13-03-2020 13-03-2020 PEKERJA Chronic ischaemic heart
500 0001386719482 ETTY SUGESTI P Rujuk Vertikal
383 00:00 10:37 MANDIRI disease

100204010320Y000 13-03-2020 13-03-2020 PENERIMA Acute upper respiratory


501 0001815425998 RUTH NANCY NATALINA P Berobat Jalan Hipertensi
398 00:00 14:26 PENSIUN SWASTA infection, unspecified

100204010320Y000 13-03-2020 13-03-2020 PEKERJA


502 0001851984044 EKA FERY HARDIMAN L Pulpitis Berobat Jalan
379 00:00 09:39 MANDIRI
100204010320P000 13-03-2020 13-03-2020 BRYNADA DEWI FIKRI PEKERJA
503 0001851986733 P Myopia Rujuk Vertikal
377 00:00 09:07 HARDIMAN MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 13-03-2020 13-03-2020


504 0002596470006 RENI P PBI (APBN) Allergic urticaria Berobat Jalan
397 00:00 14:25
100204010320P000 13-03-2020 13-03-2020 Neonatal jaundice,
505 0002923654983 BAYI NYONYA TATI L PBI (APBN) Rujuk Vertikal
384 00:00 11:11 unspecified
100204010320Y000 14-03-2020 Essential (primary)
506 03-12-2020 0000055705476 TETI HERMAWATI P PNS DAERAH Berobat Jalan
404 08:18 hypertension
100204010320Y000 12-03-2020
507 03-12-2020 0000417762663 NUNUNG P PBI (APBN) Gastritis, unspecified Berobat Jalan
337 08:52
100204010320Y000 12-03-2020
508 03-12-2020 0000417764812 JIHAN AMELIA P PBI (APBN) Acute gingivitis Berobat Jalan
339 08:57

Diarrhoea and
100204010320Y000 12-03-2020
509 03-12-2020 0000418367171 PITRIYANI P PBI (APBN) gastroenteritis of Berobat Jalan
343 10:10
presumed infectious origin

100204010320Y000 12-03-2020 Supervision of pregnancy


510 03-12-2020 0000418519787 WIWIN WIDAYATI P PBI (APBN) Rujuk Vertikal
341 09:27 with grand multiparity
Chronic obstructive
100204010320Y000 12-03-2020
511 03-12-2020 0000418640668 UTIS SUTISNA L - pulmonary disease, Berobat Jalan Hipertensi
353 14:24
unspecified
100204010320Y000 12-03-2020
512 03-12-2020 0000418848219 NATALIANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan
370 15:15
100204010320Y000 12-03-2020 Acute upper respiratory
513 03-12-2020 0000418848445 SRI SULASTRI P PBI (APBN) Berobat Jalan
342 10:07 infection, unspecified
Insulin-dependent
100204010320Y000 12-03-2020
514 03-12-2020 0000418952316 SAWAL HADI. S L PBI (APBN) diabetes mellitus without Berobat Jalan
369 15:13
complications
100204010320Y000 12-03-2020 Acute nasopharyngitis
515 03-12-2020 0000419176978 SUHENDI L PBI (APBN) Berobat Jalan
367 15:08 [common cold]
100204010320P000 28-03-2020
516 03-12-2020 0000419404162 MARNI P PBI (APBN) Headache Berobat Jalan
848 15:20
100204010320P000 12-03-2020 Contraceptive
517 03-12-2020 0000419406546 NINING PURWANTI P PBI (APBN) Berobat Jalan
346 10:53 management
100204010320Y000 12-03-2020 Acute nasopharyngitis
518 03-12-2020 0000419495534 ENAH P PBI (APBN) Berobat Jalan
368 15:09 [common cold]
100204010320Y000 12-03-2020 Supervision of normal
519 03-12-2020 0000419763824 SITI NURJANAH P PBI (APBN) Berobat Jalan
360 14:50 pregnancy, unspecified
100204010320Y000 12-03-2020 Routine postpartum
520 03-12-2020 0000419766017 RATIH LINDAWATI P - Berobat Jalan
363 14:58 follow-up
100204010320P000 28-03-2020 Supervision of normal
521 03-12-2020 0000505627367 SRI MARWANTI P - Berobat Jalan
849 15:22 pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 12-03-2020 YANWAR MUHAMAD PEGAWAI


522 03-12-2020 0000512844129 L Myalgia Berobat Jalan
374 15:47 SUMARSONO SWASTA
100204010320Y000 12-03-2020
523 03-12-2020 0001003900601 ERNA P PBI (APBN) Gastritis, unspecified Berobat Jalan
335 08:18
100204010320Y000 12-03-2020 Acute nasopharyngitis
524 03-12-2020 0001003904807 ROMLAH P PBI (APBN) Berobat Jalan
352 14:16 [common cold]
100204010320Y000 12-03-2020
525 03-12-2020 0001089372868 WAHYU L PBI (APBN) Residual schizophrenia Rujuk Vertikal
344 10:24
100204010320Y000 12-03-2020
526 03-12-2020 0001089391948 DEDE TARDJA L PBI (APBN) Gastritis, unspecified Berobat Jalan
355 14:34
100204010320Y000 12-03-2020 Acute nasopharyngitis
527 03-12-2020 0001340376232 PIAN SOPYAN L PBI (APBD) Berobat Jalan
357 14:40 [common cold]
100204010320Y000 13-03-2020
528 03-12-2020 0001340722462 IPAH SUIPAH P PBI (APBD) Necrosis of pulp Berobat Jalan
378 09:34

100204010320Y000 12-03-2020 Allergic contact dermatitis,


529 03-12-2020 0001341084205 HIDAYAT JUNAEDI L PBI (APBD) Berobat Jalan
338 08:55 unspecified cause

100204010320Y000 12-03-2020 Supervision of normal


530 03-12-2020 0001341198461 ANI SUSILAWATI P - Berobat Jalan
365 15:02 pregnancy, unspecified
100204010320Y000 12-03-2020 PEKERJA
531 03-12-2020 0001461039625 DIDI SUTARDI L Myalgia Berobat Jalan
356 14:36 MANDIRI
100204010320Y000 12-03-2020 PEKERJA Unspecified nonorganic
532 03-12-2020 0001461491662 YANA KARYANA L Rujuk Vertikal
336 08:22 MANDIRI psychosis
100204010320P000 12-03-2020 PEKERJA Stroke, not specified as
533 03-12-2020 0001468844717 H. TJUNTJUN SOENDORO L Rujuk Vertikal
345 10:44 MANDIRI haemorrhage or infarction
Chronic obstructive
100204010320Y000 12-03-2020 PEGAWAI
534 03-12-2020 0001776931615 ALI SYAHRUL RAMADHAN L pulmonary disease, Berobat Jalan
354 14:31 SWASTA
unspecified
100204010320P000 12-03-2020 PEKERJA General counselling and
535 03-12-2020 0001839690786 YOYOH P Berobat Jalan
358 14:47 MANDIRI advice on contraception
100204010320Y000 12-03-2020 PEKERJA Antenatal screening,
536 03-12-2020 0001960417146 IIM HALIMAH P Berobat Jalan
359 14:48 MANDIRI unspecified
100204010320Y000 12-03-2020 PEGAWAI
537 03-12-2020 0002048262895 VINA NURMAYANTI P Dyspepsia Berobat Jalan
340 09:12 SWASTA
100204010320Y000 12-03-2020 PEKERJA
538 03-12-2020 0002185334122 MUSTIKADARA MAHRANI P Acute laryngopharyngitis Berobat Jalan
351 14:15 MANDIRI
100204010320P000 12-03-2020 PEGAWAI
539 03-12-2020 0002224430943 AGUSTINA LUSIANA P Acute pharyngitis Berobat Jalan
373 15:42 SWASTA
100204010320Y000 12-03-2020 RENDRA FAHLEVI Acute upper respiratory
540 03-12-2020 0002291601813 L - Berobat Jalan
349 13:00 NUGRAHA infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 12-03-2020 PEKERJA


541 03-12-2020 0002420691039 ADILAH HAMDAN L Thalassaemia, unspecified Berobat Jalan
371 15:27 MANDIRI
Person consulting for
100204010320Y000 12-03-2020 PEGAWAI
542 03-12-2020 0002433022244 MAMAN SUHERMAN L explanation of Berobat Jalan
372 15:28 SWASTA
investigation findings
100204010320P000 28-03-2020
543 03-12-2020 0002453634369 SILVIA ASTIANI P PBI (APBN) Thalassaemia Berobat Jalan
850 15:26
100204010320P000 12-03-2020 PEGAWAI Contraceptive
544 03-12-2020 0002480673677 RINI CAHYATI P Berobat Jalan
347 10:58 SWASTA management
100204010320Y000 12-03-2020 Acute upper respiratory
545 03-12-2020 0002626808332 SHABIRA RIZKIANA P PBI (APBD) Berobat Jalan
350 13:01 infection, unspecified
100204010320Y000 12-03-2020 Antenatal screening,
546 03-12-2020 0002793033033 MARIAH P PBI (APBN) Berobat Jalan
361 14:52 unspecified
100204010320Y000 12-03-2020
547 03-12-2020 0002793051235 NUNUNG NURHAYATI P PBI (APBN) Myalgia Berobat Jalan
366 15:06
100204010320P000 12-03-2020 Dengue haemorrhagic
548 03-12-2020 0002793051246 SRI HERLINDA YANTI P PBI (APBN) Rujuk Vertikal
348 11:39 fever
100204010320Y000 12-03-2020 Antenatal screening,
549 03-12-2020 0002795037581 ANA NURHASANAH P PBI (APBN) Berobat Jalan
362 14:54 unspecified
100204010320Y000 11-03-2020 ROHANA SUPRIATNA PENERIMA Acute pharyngitis,
550 03-11-2020 0000053256317 L Berobat Jalan
293 10:45 KUSUMAH PENSIUN TNI unspecified
100204010320P000 11-03-2020 PENERIMA
551 03-11-2020 0000053545228 ATIH P Acute pharyngitis Berobat Jalan
313 15:15 PENSIUN PNS
100204010320P000 11-03-2020 Acute nasopharyngitis
552 03-11-2020 0000058011838 JAKARIA L PNS PUSAT Berobat Jalan
334 15:54 [common cold]
100204010320Y000 11-03-2020 Essential (primary)
553 03-11-2020 0000418226995 RASINI P - Berobat Jalan
290 10:21 hypertension
100204010320Y000 11-03-2020
554 03-11-2020 0000418692014 ELI P PBI (APBN) Myalgia Berobat Jalan
298 10:56
Cutaneous abscess,
100204010320Y000 11-03-2020
555 03-11-2020 0000418764576 IMAN WAHYU L PBI (APBN) furuncle and carbuncle, Berobat Jalan
297 10:56
unspecified
Acute upper respiratory
100204010320P000 28-03-2020
556 03-11-2020 0000418904807 IAH SOFIAH P PBI (APBN) infections of multiple and Berobat Jalan
845 15:11
unspecified sites
100204010320P000 11-03-2020 Essential (primary)
557 03-11-2020 0000418914437 MIMIN RUKMINI P - Berobat Jalan Hipertensi
331 15:48 hypertension
100204010320P000 11-03-2020 HAPPY METHA
558 03-11-2020 0000419068405 P - Dental caries Berobat Jalan
314 15:20 MAHARANI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 11-03-2020
559 03-11-2020 0000419133374 IWAT SAWATI P PBI (APBN) Gout Berobat Jalan
324 15:35
100204010320Y000 11-03-2020 Essential (primary)
560 03-11-2020 0000419163412 AI NUR RAENY P - Berobat Jalan
304 12:39 hypertension
100204010320P000 11-03-2020 Contraceptive
561 03-11-2020 0000419170015 SUMINI P PBI (APBN) Berobat Jalan
300 11:10 management
Acute upper respiratory
100204010320P000 11-03-2020
562 03-11-2020 0000419218975 DENDI SEPTYENI L PBI (APBN) infections of multiple and Berobat Jalan
328 15:39
unspecified sites
100204010320Y000 11-03-2020 Chronic apical
563 03-11-2020 0000419230991 ATIN LARASATI P PBI (APBN) Berobat Jalan
302 11:53 periodontitis
100204010320Y000 11-03-2020
564 03-11-2020 0000419337099 SITI MULYANI P PBI (APBN) Congestive heart failure Rujuk Vertikal
288 10:15
100204010320P000 11-03-2020 Contraceptive
565 03-11-2020 0000419391663 AYI MUSIDAH P - Berobat Jalan
301 11:17 management
100204010320P000 28-03-2020
566 03-11-2020 0000419422048 ROSMINI P PBI (APBN) Acute pharyngitis Berobat Jalan
846 15:13
100204010320Y000 11-03-2020 Tuberculous peripheral
567 03-11-2020 0000419475879 PIPIH ISMAWATI P PBI (APBN) Rujuk Vertikal
292 10:30 lymphadenopathy
100204010320P000 11-03-2020 Contraceptive
568 03-11-2020 0000419537439 ADE NANI P PBI (APBN) Berobat Jalan
295 10:54 management
100204010320Y000 11-03-2020 PEGAWAI Acute upper respiratory
569 03-11-2020 0000419689833 ARI SETIAWAN L Berobat Jalan
305 12:43 SWASTA infection, unspecified
100204010320P000 11-03-2020
570 03-11-2020 0000419703671 IIS SURYANII P PBI (APBN) Conjunctivitis Berobat Jalan
318 15:26
100204010320Y000 11-03-2020 Essential (primary)
571 03-11-2020 0000419730838 DEDE SUKAESIH P PBI (APBN) Berobat Jalan
303 12:36 hypertension
General examination and
100204010320P000 28-03-2020 investigation of persons
572 03-11-2020 0000419949718 MIMIN MINTARSIH P PBI (APBN) Berobat Jalan
843 15:03 without complaint and
reported diagnosis
100204010320P000 11-03-2020 Periapical abscess without
573 03-11-2020 0000419949821 RUSLI NURCAHAY L PBI (APBN) Berobat Jalan
333 15:52 sinus
100204010320P000 11-03-2020
574 03-11-2020 0000420239946 ROSI SETIASIH P PBI (APBN) Myalgia Berobat Jalan
317 15:24
100204010320Y000 11-03-2020
575 03-11-2020 0000420429881 ASEP KARTIWA L PBI (APBN) Fever, unspecified Berobat Jalan
299 10:57
100204010320P000 28-03-2020 Essential (primary)
576 03-11-2020 0001003863341 LILIS SUMARNI P PBI (APBN) Berobat Jalan Hipertensi
842 15:01 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 11-03-2020
577 03-11-2020 0001003903345 ASEP ROHMANA L PBI (APBN) Other dermatitis Berobat Jalan
321 15:32
100204010320P000 11-03-2020 HAIDAR AHMAD Disturbances in tooth
578 03-11-2020 0001292686402 L - Berobat Jalan
310 15:09 RAMIYANA eruption
100204010320P000 28-03-2020 Essential (primary) Diabetes
579 03-11-2020 0001340298404 SUPARNINGSIH P - Berobat Jalan
844 15:10 hypertension Mellitus
100204010320P000 11-03-2020 PEKERJA Essential (primary)
580 03-11-2020 0001389389106 KARYATI P Berobat Jalan Hipertensi
322 15:33 MANDIRI hypertension
100204010320Y000 11-03-2020 PEKERJA Essential (primary)
581 03-11-2020 0001463768109 JUHANA L Berobat Jalan
296 10:55 MANDIRI hypertension
100204010320P000 11-03-2020 HERLIS HENDRAWATI PEKERJA
582 03-11-2020 0001464955863 P Myalgia Berobat Jalan
323 15:35 BAHAR MANDIRI
100204010320P000 11-03-2020 PEKERJA
583 03-11-2020 0001471906809 ARLEIN ROSANA DIAN P Dyspepsia Rujuk Vertikal
281 08:44 MANDIRI
100204010320Y000 11-03-2020 Acute pharyngitis,
584 03-11-2020 0001663220158 R.YVONNE RIZKY YRS. P - Berobat Jalan
291 10:23 unspecified
100204010320Y000 11-03-2020 PEKERJA
585 03-11-2020 0001725202991 ERDIANSYAH L Diabetic retinopathy Rujuk Vertikal
280 08:40 MANDIRI
Diabetes
100204010320P000 11-03-2020 Essential (primary) Diabetes
586 03-11-2020 0001729820981 KUI TJONG L INVESTOR Berobat Jalan Mellitus
312 15:13 hypertension Mellitus
Hipertensi
100204010320P000 11-03-2020 Essential (primary)
587 03-11-2020 0001729821003 ROSNI TIOLINA P INVESTOR Berobat Jalan Hipertensi
311 15:12 hypertension
100204010320P000 11-03-2020 PEKERJA Diseases of pulp and
588 03-11-2020 0001843711762 MAE MUNAHSAROH P Berobat Jalan
332 15:49 MANDIRI periapical tissues
100204010320Y000 11-03-2020 PEGAWAI
589 03-11-2020 0001884838443 YUDIANTI P Congestive heart failure Rujuk Vertikal
284 09:58 SWASTA
100204010320P000 11-03-2020 Contraceptive
590 03-11-2020 0002120355674 SOFI SUPRIATINI P PBI (APBN) Berobat Jalan
294 10:47 management
100204010320P000 11-03-2020 Essential (primary)
591 03-11-2020 0002376917482 UJANG SUDRAJAT L - Berobat Jalan
308 15:06 hypertension
Cutaneous abscess,
100204010320Y000 11-03-2020 PEKERJA
592 03-11-2020 0002376917493 BETTI IRIANTI P furuncle and carbuncle of Berobat Jalan
289 10:20 MANDIRI
face
100204010320P000 28-03-2020 Hypertensive heart
593 03-11-2020 0002586018431 ENDA P - Berobat Jalan Hipertensi
847 15:15 disease
100204010320P000 11-03-2020
594 03-11-2020 0002793043721 MUTIA WIDIASTUTI P - Dental caries Berobat Jalan
309 15:07
100204010320P000 11-03-2020 Acute nasopharyngitis
595 03-11-2020 0002793045925 JOJO SUWARJO L PBI (APBN) Berobat Jalan
316 15:23 [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Acute upper respiratory


100204010320P000 11-03-2020
596 03-11-2020 0002793045936 DEWI KASWATI P PBI (APBN) infections of multiple and Berobat Jalan
315 15:23
unspecified sites
100204010320Y000 10-03-2020 Essential (primary)
597 03-10-2020 0000053377727 DEDEH P - Berobat Jalan Hipertensi
263 11:42 hypertension
100204010320Y000 10-03-2020 PENERIMA Chronic apical
598 03-10-2020 0000053715655 HARIJADI L Berobat Jalan
257 11:02 PENSIUN PNS periodontitis
100204010320P000 28-03-2020 Essential (primary)
599 03-10-2020 0000055750342 SITI YATIPAH P - Berobat Jalan
840 14:51 hypertension
100204010320Y000 10-03-2020
600 03-10-2020 0000407561286 SEPI P PBI (APBN) Other peripheral vertigo Berobat Jalan
278 13:33
100204010320Y000 10-03-2020 Essential (primary)
601 03-10-2020 0000407577486 LILI SAEDI L PBI (APBN) Berobat Jalan Hipertensi
265 11:46 hypertension
100204010320Y000 10-03-2020 Essential (primary) Diabetes Diabetes
602 03-10-2020 0000407577925 ELASWATI P PBI (APBN) Berobat Jalan
272 12:13 hypertension Mellitus Mellitus
100204010320P000 10-03-2020
603 03-10-2020 0000417776859 NENENG MAYSATINAH P PBI (APBN) Seborrhoeic dermatitis Rujuk Vertikal
255 10:03
100204010320Y000 10-03-2020
604 03-10-2020 0000419072512 DAFFA AKMAL DIJAYA L PBI (APBN) Pulpitis Berobat Jalan
254 09:45
100204010320P000 28-03-2020
605 03-10-2020 0000419112088 ATI HOTIJAH P - Myalgia Berobat Jalan
837 14:47
100204010320P000 28-03-2020 Rheumatoid arthritis,
606 03-10-2020 0000419253737 SITI AMINAH P PBI (APBN) Berobat Jalan
838 14:48 unspecified
100204010320Y000 10-03-2020 Acute upper respiratory
607 03-10-2020 0000419269713 EUIS RATNINGSIH P PBI (APBN) Berobat Jalan
273 12:30 infection, unspecified
100204010320Y000 11-03-2020
608 03-10-2020 0000419301729 UYEK SUHERMAN L PBI (APBN) Congestive heart failure Rujuk Vertikal
306 12:53
100204010320P000 28-03-2020
609 03-10-2020 0000419309458 SANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
836 14:46
100204010320Y000 10-03-2020
610 03-10-2020 0000419416457 EEN ROKMINI P PBI (APBN) Caries of cementum Berobat Jalan
252 08:44
100204010320Y000 10-03-2020
611 03-10-2020 0000419442219 YADI CAHYADI L PBI (APBN) Other acute gastritis Berobat Jalan
277 13:28
100204010320Y000 10-03-2020 Radiculopathy, lumbar
612 03-10-2020 0000419634101 ANI SYAFRIANI P - Rujuk Vertikal
253 08:59 region
Acute upper respiratory
100204010320P000 28-03-2020
613 03-10-2020 0000419836127 RIDWAN HIDAYAT L PBI (APBN) infections of multiple and Berobat Jalan
839 14:49
unspecified sites
100204010320Y000 10-03-2020 PEKERJA Essential (primary)
614 03-10-2020 0000420322511 SOPIAH P Berobat Jalan
262 11:34 MANDIRI hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320Y000 10-03-2020
615 03-10-2020 0001003862395 MIRANTIKA P - Myalgia Berobat Jalan
276 13:25
100204010320P000 28-03-2020
616 03-10-2020 0001340297223 YUYUN YUNINGSIH P - Acute pharyngitis Berobat Jalan
841 14:52
100204010320P000 11-03-2020 HERLIS HENDRAWATI PEKERJA
617 03-10-2020 0001464955863 P Tension-type headache Berobat Jalan
326 15:37 BAHAR MANDIRI
100204010320Y000 10-03-2020 PEKERJA Essential (primary) Diabetes Diabetes
618 03-10-2020 0001466961322 ATIN KARTINI P Berobat Jalan
260 11:18 MANDIRI hypertension Mellitus Mellitus
100204010320P000 28-03-2020
619 03-10-2020 0001468505171 DADAN KOMARA L - Tension-type headache Berobat Jalan
835 14:45
100204010320Y000 10-03-2020 PEKERJA Other chronic suppurative
620 03-10-2020 0002074282086 YULIZA FIRDIYAH P Rujuk Vertikal
256 10:50 MANDIRI otitis media
100204010320Y000 10-03-2020
621 03-10-2020 0002583137013 CANDY SANJAYA L PBI (APBN) Acute amoebic dysentery Berobat Jalan
258 11:08
100204010320P000 19-03-2020 VANIA FEBRIANTY PEGAWAI Fever of other and
622 03-10-2020 0002753261008 P Berobat Jalan
557 07:43 ANGGRAENY SWASTA unknown origin
100204010320Y000 09-03-2020
623 03-09-2020 0000053146541 SUWARNI P PNS DAERAH Hemiplegia, unspecified Rujuk Vertikal
200 10:08
100204010320Y000 09-03-2020 PENERIMA
624 03-09-2020 0000056735864 IMAM SOBARI L Necrosis of pulp Berobat Jalan
223 13:33 PENSIUN PNS
100204010320P000 10-03-2020
625 03-09-2020 0000407571412 INDRA SOPIANA L PBI (APBN) Acute pharyngitis Berobat Jalan
268 11:59
100204010320Y000 09-03-2020 Disturbances in tooth
626 03-09-2020 0000407606883 DEVA APRILIA P PBI (APBN) Berobat Jalan
220 13:27 eruption
100204010320Y000 11-03-2020
627 03-09-2020 0000418884636 TINI SUGANTINI P PBI (APBN) Pulpitis Berobat Jalan
307 13:01
100204010320P000 10-03-2020
628 03-09-2020 0000418884636 TINI SUGANTINI P PBI (APBN) Dental caries Berobat Jalan
270 12:06
Tuberculosis of lung,
100204010320P000 09-03-2020 without mention of
629 03-09-2020 0000419025701 NANA RUKMANA L PBI (APBN) Rujuk Vertikal
199 10:06 bacteriological or
histological confirmation
Acute upper respiratory
100204010320P000 10-03-2020 PEGAWAI
630 03-09-2020 0000419040753 ADE ROSIDI L infections of multiple and Berobat Jalan
261 11:18 SWASTA
unspecified sites
100204010320Y000 09-03-2020
631 03-09-2020 0000419053544 MISTI P PBI (APBN) Necrosis of pulp Berobat Jalan Hipertensi
217 13:05
100204010320P000 11-03-2020
632 03-09-2020 0000419133374 IWAT SAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
325 15:36
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Diarrhoea and
100204010320P000 10-03-2020
633 03-09-2020 0000419358609 EPI PITASARI P PBI (APBN) gastroenteritis of Berobat Jalan
259 11:16
presumed infectious origin

100204010320Y000 09-03-2020
634 03-09-2020 0000419454371 ISEP KURNIA L PBI (APBN) Pulpitis Berobat Jalan
196 08:55
100204010320Y000 11-03-2020
635 03-09-2020 0000419979846 ADE AMAS L PBI (APBN) Tension-type headache Berobat Jalan
285 10:09
100204010320Y000 11-03-2020 Essential (primary) Diabetes
636 03-09-2020 0000419980961 ELAH ROMLAH P PBI (APBN) Berobat Jalan
283 09:35 hypertension Mellitus
Acute upper respiratory
100204010320P000 11-03-2020
637 03-09-2020 0000420011627 KASWATI P - infections of multiple and Berobat Jalan
329 15:41
unspecified sites
100204010320P000 19-03-2020
638 03-09-2020 0001003862395 MIRANTIKA P - Antenatal screening Berobat Jalan
555 07:38
100204010320Y000 11-03-2020
639 03-09-2020 0001003862406 VIKA AURELLIA KHIRANA P PBI (APBN) Fever, unspecified Berobat Jalan
287 10:11

Diarrhoea and
100204010320P000 10-03-2020 ACHMAD FERDY PEGAWAI
640 03-09-2020 0001003906528 L gastroenteritis of Berobat Jalan
266 11:52 SUKMANA SWASTA
presumed infectious origin

100204010320Y000 09-03-2020 PEGAWAI


641 03-09-2020 0001150082965 TOTO SUDARTO L Pulpitis Berobat Jalan
218 13:18 SWASTA
100204010320P000 10-03-2020 PEGAWAI Periapical abscess without
642 03-09-2020 0001199937036 FACHRIANNO SEPTIAN L Berobat Jalan
271 12:10 SWASTA sinus
100204010320P000 10-03-2020 DIAH ANGGIINA Supervision of normal
643 03-09-2020 0001340538377 P PBI (APBD) Berobat Jalan
274 12:32 MADINAHWATI pregnancy
100204010320Y000 09-03-2020 Periapical abscess without
644 03-09-2020 0001340722462 IPAH SUIPAH P PBI (APBD) Berobat Jalan
197 08:58 sinus
Observation for suspected
100204010320Y000 09-03-2020 PEKERJA
645 03-09-2020 0001383328416 ABDURROHMAN FATHI L disease or condition, Rujuk Vertikal
198 10:01 MANDIRI
unspecified
100204010320Y000 09-03-2020 PEKERJA Periapical abscess with
646 03-09-2020 0001386719482 ETTY SUGESTI P Berobat Jalan
226 13:42 MANDIRI sinus
100204010320Y000 11-03-2020 PEKERJA Essential (primary)
647 03-09-2020 0001387267582 EJEB SUHENDI L Berobat Jalan Hipertensi
279 07:47 MANDIRI hypertension
100204010320Y000 11-03-2020 PEGAWAI Acute upper respiratory
648 03-09-2020 0001475786957 RENI KOMARASARI P Berobat Jalan
282 09:31 SWASTA infection, unspecified
100204010320P000 10-03-2020 MUHAMAD ARDIANSYAH PEGAWAI Acute nasopharyngitis
649 03-09-2020 0001517014269 L Berobat Jalan
267 11:57 NUR RIZKY SWASTA [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 11-03-2020 PEKERJA


650 03-09-2020 0001841326727 HJ.NYIMAS FATIMA ANNA P Asthma Berobat Jalan
330 15:45 MANDIRI
100204010320P000 10-03-2020 PEGAWAI
651 03-09-2020 0002104442728 ROHMAT L Gastritis, unspecified Berobat Jalan
264 11:45 SWASTA
100204010320P000 10-03-2020 PEGAWAI Acute nasopharyngitis
652 03-09-2020 0002184060778 RIZAL RAHMAT FADILLAH L Berobat Jalan
275 12:36 SWASTA [common cold]
100204010320P000 12-03-2020 PEKERJA Supervision of normal
653 03-09-2020 0002185334111 ANI SARASWATI P Berobat Jalan
364 15:00 MANDIRI pregnancy
100204010320Y000 09-03-2020
654 03-09-2020 0002793040749 MANDA DESY YANA P - Acute serous otitis media Rujuk Vertikal
195 08:50
Acute upper respiratory
100204010320P000 10-03-2020
655 03-09-2020 0002793044564 ANDRIAN FAISAL L PBI (APBN) infections of multiple and Berobat Jalan
269 12:01
unspecified sites
100204010320Y000 11-03-2020 Acute pharyngitis,
656 03-09-2020 0002793046566 TIRA FITRIA AMALIAH P PBI (APBN) Berobat Jalan
286 10:10 unspecified
100204010320P000 19-03-2020
657 03-09-2020 0002836961695 SURYANA L PBI (APBN) Counselling, unspecified Berobat Jalan
554 07:37
100204010320P000 19-03-2020 Irregular menstruation,
658 03-09-2020 0002836963214 SUSILAWATI P - Berobat Jalan
556 07:41 unspecified
100204010320P000 09-03-2020 PRAYOGO PENERIMA Acute pharyngitis,
659 03-07-2020 0000053614901 L Berobat Jalan
229 14:28 ENDARDJO,IR,DIPL. PENSIUN PNS unspecified
100204010320P000 09-03-2020 PENERIMA Essential (primary)
660 03-07-2020 0000057121839 HASANAH P Berobat Jalan Hipertensi
213 11:02 PENSIUN PNS hypertension
100204010320P000 09-03-2020
661 03-07-2020 0000418563268 TUTI P PBI (APBN) Acute pharyngitis Berobat Jalan
250 22:32
100204010320P000 09-03-2020 Acute pharyngitis,
662 03-07-2020 0000418656609 NURYANTI P - Berobat Jalan
219 13:26 unspecified
100204010320P000 09-03-2020 Non-insulin-dependent
663 03-07-2020 0000418777492 ILAH P - Berobat Jalan Hipertensi
215 11:04 diabetes mellitus
100204010320P000 09-03-2020 Essential (primary)
664 03-07-2020 0000418845339 ELIS SUMIATI P PBI (APBN) Berobat Jalan Hipertensi
207 10:57 hypertension
100204010320Y000 09-03-2020 PEGAWAI
665 03-07-2020 0000419041247 NIA P Dyspepsia Berobat Jalan
222 13:30 SWASTA
100204010320P000 09-03-2020
666 03-07-2020 0000419070982 HENI NOVIANTI P PBI (APBN) Fibroadenosis of breast Berobat Jalan
244 22:10
100204010320P000 09-03-2020
667 03-07-2020 0000419218942 USEP L - Tension-type headache Berobat Jalan
232 14:32
100204010320P000 09-03-2020 Pure
668 03-07-2020 0000419219054 ERNAWATI P - Berobat Jalan
233 14:35 hypercholesterolaemia
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Acute upper respiratory


100204010320P000 09-03-2020
669 03-07-2020 0000419219695 RAFLY RAMADHAN L PBI (APBN) infections of multiple and Berobat Jalan
249 22:27
unspecified sites
100204010320P000 09-03-2020 Acute nasopharyngitis
670 03-07-2020 0000419269713 EUIS RATNINGSIH P PBI (APBN) Berobat Jalan
239 14:53 [common cold]
100204010320P000 09-03-2020 Non-insulin-dependent Diabetes
671 03-07-2020 0000419288141 SITI WAINAH P PBI (APBN) Berobat Jalan
216 11:14 diabetes mellitus Mellitus

Diarrhoea and
100204010320P000 09-03-2020
672 03-07-2020 0000419301729 UYEK SUHERMAN L PBI (APBN) gastroenteritis of Berobat Jalan
245 22:15
presumed infectious origin

Acute upper respiratory


100204010320P000 09-03-2020
673 03-07-2020 0000419303439 DIKI PERMANA L PBI (APBN) infections of multiple and Berobat Jalan
246 22:21
unspecified sites

Diarrhoea and
100204010320P000 09-03-2020
674 03-07-2020 0000419406197 YATI P PBI (APBN) gastroenteritis of Berobat Jalan
234 14:37
presumed infectious origin

100204010320P000 09-03-2020
675 03-07-2020 0000419514535 ONENG P PBI (APBN) Myalgia Berobat Jalan
243 22:06
100204010320P000 09-03-2020 Superficial mycosis,
676 03-07-2020 0000419591834 REZA LESMANA L PBI (APBN) Berobat Jalan
236 14:47 unspecified
100204010320P000 07-03-2020
677 03-07-2020 0000419703671 IIS SURYANII P PBI (APBN) Benign neoplasm of ovary Rujuk Vertikal
082 10:07
100204010320P000 11-03-2020 Essential (primary)
678 03-07-2020 0000419751977 ISAH P PBI (APBN) Berobat Jalan Hipertensi
319 15:29 hypertension
100204010320P000 09-03-2020 Acute nasopharyngitis
679 03-07-2020 0000419767389 YANA MULYANA L PBI (APBN) Berobat Jalan
237 14:49 [common cold]
100204010320P000 09-03-2020
680 03-07-2020 0000419780867 UPIT SARIMANAH P PBI (APBN) Headache Berobat Jalan
247 22:23
100204010320Y000 09-03-2020 Acute pharyngitis,
681 03-07-2020 0000419796279 CECE CAHYANA L PBI (APBN) Berobat Jalan
225 13:38 unspecified
100204010320P000 09-03-2020
682 03-07-2020 0000419797517 JURIAH WATI P PBI (APBN) Myalgia Berobat Jalan
227 14:21
100204010320Y000 09-03-2020 PANCA INDRA Acute tonsillitis,
683 03-07-2020 0000419798373 L PBI (APBN) Berobat Jalan
224 13:33 PAMUNGKAS unspecified
100204010320P000 09-03-2020 Essential (primary)
684 03-07-2020 0000419800533 ANAH P - Berobat Jalan
203 10:28 hypertension
Other benign neoplasm of
100204010320P000 07-03-2020
685 03-07-2020 0000419816349 NOVIA HERAWATI P - connective and other soft Rujuk Vertikal
081 09:56
tissue, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 09-03-2020 Cutaneous abscess,


686 03-07-2020 0000419863454 UNARSIH P PBI (APBN) Berobat Jalan
238 14:51 furuncle and carbuncle
100204010320P000 09-03-2020 Non-insulin-dependent
687 03-07-2020 0000420238899 IHAT P PBI (APBN) Berobat Jalan Hipertensi
204 10:32 diabetes mellitus
100204010320P000 09-03-2020 PEKERJA
688 03-07-2020 0000420322511 SOPIAH P Tension-type headache Berobat Jalan
240 14:55 MANDIRI
100204010320P000 07-03-2020 PEKERJA Chronic kidney disease,
689 03-07-2020 0000420324445 RIJAL ZAELANI L Rujuk Vertikal
093 11:03 MANDIRI stage 5
100204010320P000 09-03-2020 Essential (primary)
690 03-07-2020 0001003863036 IDA SUMIATI P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
202 10:27 hypertension
100204010320P000 09-03-2020 Essential (primary)
691 03-07-2020 0001003865095 DEDEH RUSKASIH P - Berobat Jalan
211 11:01 hypertension
100204010320P000 09-03-2020 Non-insulin-dependent
692 03-07-2020 0001003867705 MI'AH P PBI (APBN) Berobat Jalan Hipertensi
209 10:59 diabetes mellitus
100204010320P000 11-03-2020 Essential (primary)
693 03-07-2020 0001089977883 KASWATI P PBI (APBN) Berobat Jalan Hipertensi
320 15:31 hypertension

Diarrhoea and
100204010320P000 09-03-2020 PEKERJA
694 03-07-2020 0001309382559 GUGUN GUNAWAN L gastroenteritis of Berobat Jalan
228 14:23 MANDIRI
presumed infectious origin

100204010320P000 09-03-2020 PEKERJA Essential (primary)


695 03-07-2020 0001340297818 ENI ROHAENI P Berobat Jalan Hipertensi
206 10:34 MANDIRI hypertension
100204010320P000 09-03-2020 Essential (primary)
696 03-07-2020 0001340797882 OYOH P PBI (APBN) Berobat Jalan Hipertensi
212 11:01 hypertension
100204010320Y000 07-03-2020 PEKERJA
697 03-07-2020 0001459051751 HADI PRAWIRA L Periodontosis Rujuk Vertikal Hipertensi
094 11:26 MANDIRI
100204010320P000 09-03-2020 PEKERJA Open wound of shoulder
698 03-07-2020 0001798648266 RAHMAT SELAMET L Berobat Jalan
235 14:43 MANDIRI and upper arm
100204010320P000 09-03-2020 Essential (primary)
699 03-07-2020 0001892999046 MIMIN P PNS DAERAH Berobat Jalan Hipertensi
205 10:33 hypertension
100204010320P000 09-03-2020 PEKERJA Essential (primary)
700 03-07-2020 0002081268628 EDIH JUNAEDI L Berobat Jalan Hipertensi
208 10:58 MANDIRI hypertension
100204010320P000 09-03-2020 WIDI MUHAMMAD PEGAWAI
701 03-07-2020 0002325890788 L Gastric ulcer Berobat Jalan
241 14:56 SAPUTRA SWASTA
100204010320P000 09-03-2020 PEKERJA Essential (primary)
702 03-07-2020 0002426954714 SITI JULAEHA P Berobat Jalan Hipertensi
214 11:03 MANDIRI hypertension
100204010320P000 11-03-2020 PEKERJA Essential (primary)
703 03-07-2020 0002499996161 IMAS KOMAYA P Berobat Jalan Hipertensi
327 15:39 MANDIRI hypertension
100204010320P000 09-03-2020
704 03-07-2020 0002583870761 SUHAENAH P PBI (APBN) Myalgia Berobat Jalan
231 14:31
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 09-03-2020 PEKERJA


705 03-07-2020 0002613133181 UTI P Dental caries, unspecified Berobat Jalan
251 22:35 MANDIRI
100204010320P000 09-03-2020 PEKERJA Non-insulin-dependent
706 03-07-2020 0002762876261 JAJANG RUHIAT L Berobat Jalan Hipertensi
201 10:27 MANDIRI diabetes mellitus
100204010320P000 09-03-2020 Acute nasopharyngitis
707 03-07-2020 0002793038613 INA MARIYANA P PBI (APBN) Berobat Jalan
221 13:28 [common cold]
Acute upper respiratory
100204010320P000 09-03-2020
708 03-07-2020 0002793046566 TIRA FITRIA AMALIAH P PBI (APBN) infections of multiple and Berobat Jalan
248 22:25
unspecified sites
100204010320P000 09-03-2020 Other chronic obstructive
709 03-07-2020 0002793052989 SASIAH P - Berobat Jalan Hipertensi
230 14:29 pulmonary disease
100204010320P000 09-03-2020 Other chronic obstructive
710 03-07-2020 0002793054205 ONAH KOMARIAH P - Berobat Jalan
242 14:56 pulmonary disease
100204010320P000 09-03-2020 PEKERJA Essential (primary)
711 03-07-2020 0002911992704 ADE ROHAENI P Berobat Jalan Hipertensi
210 11:00 MANDIRI hypertension
100204010320P000 09-03-2020 Essential (primary)
712 03-06-2020 0000053716083 JUJU RUKMINI P - Berobat Jalan Hipertensi
191 08:41 hypertension
100204010320P000 09-03-2020
713 03-06-2020 0000055705476 TETI HERMAWATI P PNS DAERAH Myalgia Berobat Jalan
190 08:41
Acute upper respiratory
100204010320P000 09-03-2020 AHMAD ZULFIKAR ALI
714 03-06-2020 0000056716514 L PNS PUSAT infections of multiple and Berobat Jalan
181 07:53 AKBAR
unspecified sites
100204010320Y000 06-03-2020
715 03-06-2020 0000418670032 ABIN JUNAEDI L PBI (APBN) Pulpitis Berobat Jalan
077 11:16
100204010320P000 09-03-2020 Acute upper respiratory
716 03-06-2020 0000418692014 ELI P PBI (APBN) Berobat Jalan
192 08:42 infection, unspecified
Unilateral or unspecified
100204010320Y000 06-03-2020
717 03-06-2020 0000418718046 YONO L PBI (APBN) inguinal hernia, without Rujuk Vertikal
069 08:03
obstruction or gangrene
Acute upper respiratory
100204010320P000 09-03-2020
718 03-06-2020 0000418999228 KHOLIK NUGROHO L - infections of multiple and Berobat Jalan
183 08:30
unspecified sites
Acute upper respiratory
100204010320P000 09-03-2020
719 03-06-2020 0000419036376 ENDANG. S L PBI (APBN) infections of multiple and Berobat Jalan
179 07:32
unspecified sites
Atherosclerotic
100204010320P000 06-03-2020 Diabetes
720 03-06-2020 0000419101435 EUIS MARLINA P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
079 12:24 Mellitus
described
100204010320P000 09-03-2020
721 03-06-2020 0000419174065 SUMIATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
187 08:37
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 09-03-2020
722 03-06-2020 0000419175933 MUSTIA WATI P PBI (APBN) Other dermatitis Berobat Jalan
188 08:38
Acute upper respiratory
100204010320P000 09-03-2020
723 03-06-2020 0000419232958 SUKAESIH P PBI (APBN) infections of multiple and Berobat Jalan
175 07:27
unspecified sites
Acute upper respiratory
100204010320P000 09-03-2020
724 03-06-2020 0000419233408 ASEP SULAEMAN L PBI (APBN) infections of multiple and Berobat Jalan
174 07:27
unspecified sites
Acute upper respiratory
100204010320P000 09-03-2020
725 03-06-2020 0000419390987 SUDARNO L PBI (APBN) infections of multiple and Berobat Jalan
182 08:29
unspecified sites
Acute upper respiratory
100204010320P000 09-03-2020
726 03-06-2020 0000419391336 SRI EKOWATI P PBI (APBN) infections of multiple and Berobat Jalan
193 08:44
unspecified sites
100204010320P000 08-03-2020
727 03-06-2020 0000419442219 YADI CAHYADI L PBI (APBN) Gastritis, unspecified Berobat Jalan
173 21:24
100204010320P000 06-03-2020
728 03-06-2020 0000419773375 WIWIN SUKMAWATI P PBI (APBN) Otitis media, unspecified Rujuk Vertikal
074 09:16
100204010320P000 09-03-2020
729 03-06-2020 0000419934969 NURHAYATI P PBI (APBN) Tension-type headache Berobat Jalan
178 07:31
100204010320Y000 06-03-2020
730 03-06-2020 0000420009366 LIA MULYANI P PBI (APBN) Tuberculous meningitis Rujuk Vertikal
071 08:21
100204010320P000 08-03-2020
731 03-06-2020 0000420034781 NENDEN P PBI (APBN) Counselling, unspecified Berobat Jalan
170 21:15
100204010320P000 09-03-2020
732 03-06-2020 0000420259037 NEDI SEPTIADI L PBI (APBN) Headache Berobat Jalan
176 07:28
100204010320P000 06-03-2020
733 03-06-2020 0001003871147 NANI P PBI (APBN) Low back pain Rujuk Vertikal
076 10:16
Acute upper respiratory
100204010320P000 09-03-2020
734 03-06-2020 0001003906473 TITI P - infections of multiple and Berobat Jalan
177 07:29
unspecified sites
100204010320P000 06-03-2020
735 03-06-2020 0001089396145 CACAH P PBI (APBN) Congestive heart failure Rujuk Vertikal
080 12:30
100204010320P000 09-03-2020 Acute nasopharyngitis
736 03-06-2020 0001321268207 ARI SUHENDAR L - Berobat Jalan
189 08:38 [common cold]
100204010320P000 09-03-2020 PEKERJA Non-insulin-dependent
737 03-06-2020 0001337269329 ANI SADIAH P Berobat Jalan
180 07:52 MANDIRI diabetes mellitus
100204010320Y000 06-03-2020 PEKERJA
738 03-06-2020 0001338645407 EKO PURWANTO L Paranoid schizophrenia Rujuk Vertikal
070 08:18 MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 08-03-2020 Non-insulin-dependent


739 03-06-2020 0001340433382 UJANG TAHYA L - Berobat Jalan
171 21:16 diabetes mellitus
100204010320Y000 06-03-2020 PEKERJA
740 03-06-2020 0001386719482 ETTY SUGESTI P Necrosis of pulp Berobat Jalan
078 11:21 MANDIRI
100204010320P000 09-03-2020 PEKERJA Non-insulin-dependent
741 03-06-2020 0001454881487 WIDYAWATI P Berobat Jalan
194 08:45 MANDIRI diabetes mellitus
100204010320P000 06-03-2020 PEKERJA
742 03-06-2020 0001472840504 IRMAWATI P Vertigo of central origin Rujuk Vertikal
073 08:51 MANDIRI
Tuberculosis of lung,
100204010320P000 06-03-2020 PEGAWAI bacteriological and
743 03-06-2020 0001664092247 ELON DAHLAN L Rujuk Vertikal
075 09:22 SWASTA histological examination
not done
100204010320P000 08-03-2020 PEKERJA
744 03-06-2020 0001724081038 LILIS RUKMANAH P Myalgia Berobat Jalan
172 21:19 MANDIRI
Acute upper respiratory
100204010320P000 09-03-2020 PEGAWAI
745 03-06-2020 0001885976651 NAIA YULIANTIE PUTRI L infections of multiple and Berobat Jalan
185 08:35 SWASTA
unspecified sites
PEGAWAI
PEMERINTAH
100204010320P000 09-03-2020 Essential (primary)
746 03-06-2020 0002195217674 EUIS KARWATI P DENGAN Berobat Jalan Hipertensi
184 08:32 hypertension
PERJANJIAN
KERJA
100204010320P000 06-03-2020 PEKERJA
747 03-06-2020 0002221793897 IIS SURYATI P Low back pain Rujuk Vertikal
072 08:48 MANDIRI
100204010320P000 09-03-2020 Fever of other and
748 03-06-2020 0002793044564 ANDRIAN FAISAL L PBI (APBN) Berobat Jalan
186 08:36 unknown origin
100204010320P000 08-03-2020 PENERIMA Non-insulin-dependent
749 03-05-2020 0000053377986 TONAH FATMININGSIH P Berobat Jalan
144 19:00 PENSIUN TNI diabetes mellitus
100204010320Y000 05-03-2020
750 03-05-2020 0000055882113 DEDI HIDAYAT L PNS DAERAH Cataract, unspecified Rujuk Vertikal
062 10:38
100204010320P000 08-03-2020 PENERIMA
751 03-05-2020 0000056735864 IMAM SOBARI L Acute periodontitis Berobat Jalan
162 20:32 PENSIUN PNS
Acute upper respiratory
100204010320P000 08-03-2020
752 03-05-2020 0000057460983 IRA AULIA PUSPITASARI P PNS DAERAH infections of multiple and Berobat Jalan
158 20:21
unspecified sites
100204010320P000 08-03-2020 Supervision of normal
753 03-05-2020 0000418654383 SANTI P PBI (APBN) Berobat Jalan
169 20:54 pregnancy
100204010320P000 08-03-2020 Supervision of normal
754 03-05-2020 0000418856567 DEDE ANITA P PBI (APBN) Berobat Jalan
165 20:46 pregnancy
100204010320P000 08-03-2020 Essential (primary)
755 03-05-2020 0000418982027 TATI RUKIAH P PBI (APBN) Berobat Jalan Hipertensi
147 19:17 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Acute upper respiratory


100204010320P000 08-03-2020
756 03-05-2020 0000419017555 SABILA TITANIA P PBI (APBN) infections of multiple and Berobat Jalan
148 19:19
unspecified sites
Atherosclerotic
100204010320Y000 05-03-2020
757 03-05-2020 0000419021447 HENDRA GUNAWAN L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
057 08:49
described
100204010320Y000 05-03-2020 Disturbances in tooth
758 03-05-2020 0000419023754 TIARA ANISYA P - Berobat Jalan
059 09:18 eruption
100204010320Y000 05-03-2020 Maternal care for breech
759 03-05-2020 0000419151868 CACAH SURYANI P PBI (APBN) Rujuk Vertikal
066 11:21 presentation
100204010320P000 08-03-2020
760 03-05-2020 0000419169789 WARNO L - Dyspepsia Berobat Jalan
145 19:01
100204010320P000 08-03-2020
761 03-05-2020 0000419301729 UYEK SUHERMAN L PBI (APBN) Congestive heart failure Berobat Jalan
150 19:33
100204010320P000 08-03-2020 Supervision of normal
762 03-05-2020 0000419417998 SRI ANIATI P - Berobat Jalan
163 20:35 pregnancy
100204010320Y000 05-03-2020 Acute tonsillitis,
763 03-05-2020 0000419424118 ADE PERMANA L PBI (APBN) Berobat Jalan
063 10:39 unspecified
100204010320Y000 05-03-2020
764 03-05-2020 0000419484251 MARYANI P PBI (APBN) Missed abortion Rujuk Vertikal
058 09:05
100204010320P000 05-03-2020 Contraceptive
765 03-05-2020 0000419522758 LILIS HASANAH P PBI (APBN) Berobat Jalan
067 12:14 management
100204010320P000 08-03-2020 Irregular menstruation,
766 03-05-2020 0000419615111 YUNI NURJANAH P - Berobat Jalan
167 20:50 unspecified
100204010320P000 08-03-2020 Supervision of normal
767 03-05-2020 0000419637778 NIA P PBI (APBN) Berobat Jalan
166 20:47 pregnancy
100204010320P000 08-03-2020
768 03-05-2020 0000419749773 ESIH SUKAESIH P PBI (APBD) Acute pharyngitis Berobat Jalan
154 20:12
100204010320P000 08-03-2020
769 03-05-2020 0000420290201 SURYATI P - Other arthritis Berobat Jalan
143 18:52
Chronic obstructive
100204010320Y000 05-03-2020
770 03-05-2020 0001003868381 SUHARYADI L PBI (APBN) pulmonary disease, Rujuk Vertikal
065 10:54
unspecified
100204010320P000 08-03-2020
771 03-05-2020 0001089396145 CACAH P PBI (APBN) Congestive heart failure Berobat Jalan
146 19:10
Postprocedural disorder of
100204010320Y000 05-03-2020 PEKERJA
772 03-05-2020 0001282094559 YANI ROSYANI P circulatory system, Rujuk Vertikal
060 09:24 MANDIRI
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Acute upper respiratory


100204010320P000 08-03-2020 PEKERJA
773 03-05-2020 0001321272753 THABITHA BILQIS P infections of multiple and Berobat Jalan
161 20:29 MANDIRI
unspecified sites
100204010320P000 08-03-2020
774 03-05-2020 0001340555916 AGUS TARYANA L - Gastritis, unspecified Berobat Jalan
152 20:05
100204010320P000 08-03-2020
775 03-05-2020 0001386948385 PURNAWAN BASARI L - Acute pharyngitis Berobat Jalan
160 20:26
Acute upper respiratory
100204010320P000 08-03-2020 AHMAD HAFIZH PEGAWAI
776 03-05-2020 0001386949768 L infections of multiple and Berobat Jalan
159 20:24 ALBASYIR SWASTA
unspecified sites
100204010320P000 08-03-2020 PEGAWAI Essential (primary)
777 03-05-2020 0001519436913 NUNUNG KOMARIAH P Berobat Jalan
156 20:16 SWASTA hypertension
100204010320Y000 05-03-2020 PEGAWAI Acute apical periodontitis
778 03-05-2020 0001839691203 ALMA GHINA HALIMAH P Berobat Jalan
061 09:25 SWASTA of pulpal origin
100204010320P000 08-03-2020
779 03-05-2020 0002282309436 PATIMAH P - Gastritis, unspecified Berobat Jalan
153 20:07
100204010320Y000 05-03-2020 MUHAMMAD RIZKY PEKERJA
780 03-05-2020 0002480378602 L Gastritis, unspecified Berobat Jalan
064 10:43 MAULANA MANDIRI
100204010320P000 08-03-2020 PEKERJA Essential (primary)
781 03-05-2020 0002518193261 SUKARDI L Berobat Jalan Hipertensi
149 19:20 MANDIRI hypertension
100204010320P000 08-03-2020 Supervision of normal
782 03-05-2020 0002583574481 NYIMAS HASANAH P - Berobat Jalan
164 20:45 pregnancy
100204010320P000 08-03-2020
783 03-05-2020 0002793040738 DIAN SUDRAJAT L PBI (APBN) Other dermatitis Berobat Jalan
142 18:50
100204010320P000 08-03-2020 Supervision of normal
784 03-05-2020 0002793043721 MUTIA WIDIASTUTI P - Berobat Jalan
168 20:52 pregnancy
Acute upper respiratory
100204010320P000 08-03-2020 DHANYS SURYANA
785 03-05-2020 0002793043732 L PBI (APBN) infections of multiple and Berobat Jalan
151 20:02 PUTRA
unspecified sites
100204010320P000 08-03-2020
786 03-05-2020 0002793046634 ANISA KANIA ANGGAENI P - Acute tonsillitis Berobat Jalan
155 20:14
Acute upper respiratory
100204010320P000 08-03-2020
787 03-05-2020 0002793047084 SRI SUGIARSIH P PBI (APBN) infections of multiple and Berobat Jalan
157 20:17
unspecified sites
100204010320P000 07-03-2020 PENERIMA
788 03-04-2020 0000053377738 ALI HASAN MAHLI L Cerebral infarction Berobat Jalan Hipertensi
103 13:29 PENSIUN TNI
100204010320Y000 04-03-2020
789 03-04-2020 0000055750331 SUMARDI L PNS PUSAT Parkinson's disease Rujuk Vertikal
038 09:26
100204010320Y000 04-03-2020
790 03-04-2020 0000055757193 YATNA YUWANA DR IK L PNS PUSAT Chronic kidney disease Rujuk Vertikal
036 08:32
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 08-03-2020 Premature rupture of


791 03-04-2020 0000418496714 TATI P PBI (APBN) Berobat Jalan
136 17:59 membranes
100204010320P000 08-03-2020
792 03-04-2020 0000418510146 NONENG P PBI (APBN) Myalgia Berobat Jalan
128 17:19
100204010320P000 05-03-2020
793 03-04-2020 0000418559602 WASIAT L PBI (APBN) Calculus of kidney Rujuk Vertikal
068 13:37
100204010320P000 08-03-2020 Essential (primary)
794 03-04-2020 0000418587333 ENUNG P PBI (APBN) Berobat Jalan
129 17:20 hypertension
100204010320P000 04-03-2020 Contraceptive
795 03-04-2020 0000418645901 SRI MUKTI P PBI (APBN) Berobat Jalan
040 09:50 management
100204010320P000 08-03-2020
796 03-04-2020 0000418864318 SANIA ALAMSAH P PBI (APBN) Acute pharyngitis Berobat Jalan
126 17:12
100204010320P000 08-03-2020 General counselling and
797 03-04-2020 0000419066504 YANI MULYANI P PBI (APBN) Berobat Jalan
141 18:13 advice on contraception
100204010320P000 08-03-2020 Surveillance of
798 03-04-2020 0000419103404 SITI NURHASINAH P - Berobat Jalan
139 18:10 contraceptive drugs
100204010320P000 04-03-2020
799 03-04-2020 0000419130393 SRI LESTARI P - Tension-type headache Rujuk Vertikal
042 10:53
100204010320P000 08-03-2020 Essential (primary)
800 03-04-2020 0000419220191 YUYUN YULIPAH P PBI (APBN) Berobat Jalan
127 17:18 hypertension
100204010320P000 08-03-2020 Essential (primary)
801 03-04-2020 0000419299119 AMINAH P PBI (APBN) Berobat Jalan
125 17:03 hypertension
100204010320P000 08-03-2020
802 03-04-2020 0000419375709 RENI ROHAENI P PBI (APBN) Gastritis, unspecified Berobat Jalan
130 17:23
100204010320P000 08-03-2020 Surveillance of
803 03-04-2020 0000419384799 MIS FATIMAH P PBI (APBN) Berobat Jalan
140 18:12 contraceptive drugs
100204010320P000 04-03-2020 Contraceptive
804 03-04-2020 0000419422048 ROSMINI P PBI (APBN) Berobat Jalan
037 09:23 management
Acute upper respiratory
100204010320P000 08-03-2020
805 03-04-2020 0000420374823 MISWANTO L - infections of multiple and Berobat Jalan
124 17:01
unspecified sites
100204010320P000 04-03-2020 PEKERJA
806 03-04-2020 0001468844717 H. TJUNTJUN SOENDORO L Hyperplasia of prostate Rujuk Vertikal
044 13:11 MANDIRI
100204010320P000 08-03-2020 PEGAWAI Essential (primary)
807 03-04-2020 0001668970697 KARTINI P Berobat Jalan
133 17:44 SWASTA hypertension
100204010320P000 08-03-2020 PEGAWAI
808 03-04-2020 0001726526103 CHARLES SETIAWAN L Rubella [German measles] Berobat Jalan
132 17:34 SWASTA
100204010320Y000 04-03-2020
809 03-04-2020 0001892894275 SATRIA RIDANI FALAH L PNS PUSAT Necrosis of pulp Rujuk Vertikal
041 10:03
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 08-03-2020 PEKERJA


810 03-04-2020 0002074281276 IMAN SUMPENO L Gastritis, unspecified Berobat Jalan
131 17:29 MANDIRI
100204010320P000 08-03-2020 PEGAWAI
811 03-04-2020 0002200703073 ELFA KIRANA SETIADI L Gastritis, unspecified Berobat Jalan
134 17:46 SWASTA
Acute upper respiratory
100204010320P000 08-03-2020
812 03-04-2020 0002232100686 SANSAN DARMAWAN L PBI (APBN) infections of multiple and Berobat Jalan
135 17:48
unspecified sites
100204010320Y000 04-03-2020
813 03-04-2020 0002594722331 ENONG IDA RUKMINIATI P PBI (APBN) Necrosis of pulp Berobat Jalan
039 09:29
Tuberculosis of lung,
100204010320P000 08-03-2020 without mention of
814 03-04-2020 0002597664442 TINA P PBI (APBN) Berobat Jalan
123 16:49 bacteriological or
histological confirmation
Need for immunization
100204010320P000 08-03-2020 PEKERJA against
815 03-04-2020 0002696244849 KENZO SAYYIDUL AKBAR L Berobat Jalan
138 18:06 MANDIRI diphtheria-tetanus-pertussi
s with poliomyelitis [DTP +
100204010320P000 07-03-2020
816 03-04-2020 0002793040727 SITI KOMALASARI P - Myalgia Berobat Jalan
101 13:25
Acute upper respiratory
100204010320P000 07-03-2020
817 03-04-2020 0002793040749 MANDA DESY YANA P - infections of multiple and Berobat Jalan
102 13:28
unspecified sites
100204010320Y000 04-03-2020 PEGAWAI
818 03-04-2020 0002899086941 INDAH CAHYATI P Cataract, unspecified Rujuk Vertikal
043 10:56 SWASTA
100204010320P000 08-03-2020
819 03-04-2020 0002923654983 BAYI NYONYA TATI L PBI (APBN) Counselling, unspecified Berobat Jalan
137 18:01
100204010320Y000 03-03-2020 PENERIMA Pleural effusion, not
820 03-03-2020 0000053213804 KARTINI P Rujuk Vertikal
023 11:22 PENSIUN TNI elsewhere classified
Acute upper respiratory
100204010320P000 08-03-2020 PENERIMA
821 03-03-2020 0000053377716 AHUB L infections of multiple and Berobat Jalan
114 15:52 PENSIUN TNI
unspecified sites
100204010320P000 08-03-2020
822 03-03-2020 0000055757193 YATNA YUWANA DR IK L PNS PUSAT Chronic kidney disease Berobat Jalan
106 15:03
100204010320P000 08-03-2020
823 03-03-2020 0000415464276 MONIX AYU SADELLA P PBI (APBN) Gastritis, unspecified Berobat Jalan
115 15:54
100204010320Y000 03-03-2020 Temporomandibular joint
824 03-03-2020 0000418524963 VIVI YULIANTI P PBI (APBN) Rujuk Vertikal
012 08:50 disorders
100204010320Y000 03-03-2020 Essential (primary)
825 03-03-2020 0000418565507 APONG SOLIHAT P PBI (APBN) Berobat Jalan
014 09:40 hypertension
100204010320P000 08-03-2020 Supervision of pregnancy
826 03-03-2020 0000418655294 DEDEH YUNINGSIH P PBI (APBN) Berobat Jalan
111 15:43 with grand multiparity
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 08-03-2020
827 03-03-2020 0000418733278 JAJANG SUHANA L PBI (APBN) Migraine Berobat Jalan
105 15:02
100204010320Y000 03-03-2020
828 03-03-2020 0000418973793 IIN H P - Myalgia Berobat Jalan
025 11:25
100204010320Y000 03-03-2020
829 03-03-2020 0000419010333 KARMINI P PBI (APBN) Necrosis of pulp Berobat Jalan
034 12:02
Atherosclerotic
100204010320Y000 03-03-2020
830 03-03-2020 0000419141316 TITING P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
010 08:23
described
100204010320P000 07-03-2020
831 03-03-2020 0000419141722 DJUJU L PBI (APBN) Gastritis, unspecified Berobat Jalan
099 13:20
100204010320Y000 03-03-2020
832 03-03-2020 0000419192695 MOMOH P PBI (APBN) Myalgia, site unspecified Berobat Jalan
013 09:00
100204010320Y000 03-03-2020 Zoster without
833 03-03-2020 0000419215724 MAYA ROSMAYATI P PBI (APBN) Berobat Jalan
032 11:59 complication
100204010320Y000 03-03-2020
834 03-03-2020 0000419309458 SANTI P PBI (APBN) Pulpitis Berobat Jalan
031 11:58
100204010320Y000 03-03-2020
835 03-03-2020 0000419390987 SUDARNO L PBI (APBN) Chronic periodontitis Berobat Jalan
030 11:55
100204010320P000 08-03-2020 Periapical abscess without
836 03-03-2020 0000419421407 TUTI SUMARTINI P - Berobat Jalan
118 16:11 sinus
100204010320Y000 03-03-2020
837 03-03-2020 0000419440702 ETI ROHAETI P PBI (APBN) Fever, unspecified Berobat Jalan
019 10:54
100204010320Y000 03-03-2020 Atopic dermatitis,
838 03-03-2020 0000419449678 ATENG L PBI (APBN) Berobat Jalan
027 11:28 unspecified
100204010320P000 08-03-2020
839 03-03-2020 0000419537632 SISKA NOVIANI P - Headache Berobat Jalan
110 15:40
Acute upper respiratory
100204010320P000 08-03-2020
840 03-03-2020 0000419987722 NANI P PBI (APBN) infections of multiple and Berobat Jalan
108 15:15
unspecified sites
Tuberculosis of lung,
100204010320P000 03-03-2020 without mention of
841 03-03-2020 0000420280841 WANDI PRIHANDI L PBI (APBN) Rujuk Vertikal
024 11:25 bacteriological or
histological confirmation
100204010320Y000 03-03-2020 PRAMESTI PURNAMA Urinary tract infection, site
842 03-03-2020 0000420893662 P PBI (APBN) Berobat Jalan
017 10:26 DWIYANA not specified
100204010320P000 08-03-2020 Non-insulin-dependent
843 03-03-2020 0001003864825 ANIH P PBI (APBN) Berobat Jalan
109 15:17 diabetes mellitus
100204010320Y000 03-03-2020
844 03-03-2020 0001003866671 ADE SYAEPUDIN L PBI (APBN) Chronic periodontitis Berobat Jalan
029 11:51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 08-03-2020
845 03-03-2020 0001089375592 MAESIH P - Headache Berobat Jalan
107 15:14
100204010320P000 08-03-2020 Essential (primary)
846 03-03-2020 0001089392692 NENAH P - Berobat Jalan Hipertensi
113 15:47 hypertension
100204010320Y000 03-03-2020 PEGAWAI Acute pharyngitis,
847 03-03-2020 0001303814452 LENY MARLINA P Berobat Jalan
035 12:40 SWASTA unspecified
100204010320P000 08-03-2020 DITA ANAYA PUTRI PEGAWAI
848 03-03-2020 0001305485796 P Asthma Berobat Jalan
116 15:55 MAHARANI SWASTA
Chronic obstructive
100204010320Y000 03-03-2020
849 03-03-2020 0001340298178 GUNAWAN L PBI (APBD) pulmonary disease, Rujuk Vertikal
026 11:26
unspecified
100204010320P000 07-03-2020 Essential (primary)
850 03-03-2020 0001340797263 ONIH P PBI (APBD) Berobat Jalan
100 13:21 hypertension
100204010320P000 08-03-2020
851 03-03-2020 0001340797498 ENI P PBI (APBD) Other arthritis Berobat Jalan
117 15:58
Atherosclerotic
100204010320P000 08-03-2020 PEKERJA
852 03-03-2020 0001456332175 SAMUEL IWAN GUNAWAN L cardiovascular disease, so Berobat Jalan
104 14:57 MANDIRI
described
100204010320Y000 03-03-2020 PEKERJA
853 03-03-2020 0001475600613 SILVIANI P Gastritis, unspecified Berobat Jalan Hipertensi
018 10:38 MANDIRI
Acute upper respiratory
100204010320P000 07-03-2020 RAFFA SHAMHIRANA PEKERJA
854 03-03-2020 0001475601017 L infections of multiple and Berobat Jalan
098 13:16 PUTRA MANDIRI
unspecified sites
100204010320P000 03-03-2020 PEKERJA
855 03-03-2020 0001518618925 RUBIYO L Diabetic polyneuropathy Rujuk Vertikal
033 12:01 MANDIRI
PEGAWAI
PEMERINTAH
100204010320P000 08-03-2020
856 03-03-2020 0001833329518 INDA LESTARI P DENGAN Headache Berobat Jalan
112 15:46
PERJANJIAN
KERJA
100204010320Y000 03-03-2020
857 03-03-2020 0001857816729 LISTERIA SILAEN P - Asthma, unspecified Berobat Jalan
021 11:09
100204010320Y000 03-03-2020
858 03-03-2020 0002068888285 ENIN SUKAESIH P PBI (APBN) Anodontia Rujuk Vertikal
022 11:15
100204010320Y000 03-03-2020 PEKERJA Melanocytic naevi,
859 03-03-2020 0002317286755 SARIYATI P Rujuk Vertikal
028 11:29 MANDIRI unspecified
100204010320P000 08-03-2020 PEGAWAI Fever of other and
860 03-03-2020 0002395662445 AULIA NISSA P Berobat Jalan
119 16:13 SWASTA unknown origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

PEGAWAI
PEMERINTAH Acute upper respiratory
100204010320P000 08-03-2020
861 03-03-2020 0002465594651 KILDA FAHRI IRAWAN L DENGAN infections of multiple and Berobat Jalan
122 16:20
PERJANJIAN unspecified sites
KERJA
100204010320Y000 03-03-2020 Essential (primary)
862 03-03-2020 0002472323883 MARYATI P PBI (APBN) Berobat Jalan
016 10:20 hypertension
100204010320P000 08-03-2020 KENVAN AISY PUTRA PEKERJA Fever of other and
863 03-03-2020 0002696244838 L Berobat Jalan
120 16:17 RINALDI MANDIRI unknown origin
100204010320P000 08-03-2020 PEKERJA
864 03-03-2020 0002696244849 KENZO SAYYIDUL AKBAR L Counselling, unspecified Berobat Jalan
121 16:19 MANDIRI
100204010320Y000 03-03-2020
865 03-03-2020 0002793047657 ENYI JUWARIAH P PBI (APBN) Myalgia, site unspecified Berobat Jalan
015 10:18

Diarrhoea and
100204010320Y000 03-03-2020
866 03-03-2020 0002793049402 AGUSTIN SOPIAN L PBI (APBN) gastroenteritis of Berobat Jalan
011 08:45
presumed infectious origin

100204010320Y000 03-03-2020 KAYLA SYAHHADATUL


867 03-03-2020 0002902817733 P PBI (APBN) Diseases of lips Rujuk Vertikal
020 11:03 QOLBI
100204010320P000 04-03-2020 PENERIMA
868 03-02-2020 0000053574254 AYI DARMINI P Gastritis, unspecified Berobat Jalan
047 15:06 PENSIUN PNS
100204010320P000 02-03-2020 Acute myocardial
869 03-02-2020 0000417749286 USMAN KANDA L PBI (APBN) Rujuk Vertikal
002 08:47 infarction
100204010320P000 04-03-2020
870 03-02-2020 0000417761921 YOYO LESMANA L - Gastritis, unspecified Berobat Jalan
049 15:10
100204010320P000 07-03-2020
871 03-02-2020 0000418871946 NANI SUMARNI P PBI (APBN) Acute pharyngitis Berobat Jalan
086 10:18
100204010320P000 07-03-2020
872 03-02-2020 0000418884636 TINI SUGANTINI P PBI (APBN) Dental caries Berobat Jalan
095 13:11
100204010320P000 04-03-2020 Diseases of pulp and
873 03-02-2020 0000419053544 MISTI P PBI (APBN) Berobat Jalan Hipertensi
048 15:09 periapical tissues
General examination and
100204010320P000 07-03-2020 investigation of persons
874 03-02-2020 0000419404162 MARNI P PBI (APBN) Berobat Jalan
092 10:44 without complaint and
reported diagnosis
100204010320P000 02-03-2020
875 03-02-2020 0000419453019 ATI KUSMIATI P PBI (APBN) Acute lymphadenitis Rujuk Vertikal
008 11:05
100204010320P000 02-03-2020 Other specified surgical
876 03-02-2020 0000419666319 JUJU JUARIAH P PBI (APBN) Rujuk Vertikal
006 09:38 follow-up care
100204010320P000 07-03-2020
877 03-02-2020 0000419713558 AYI ABDUL ROHMAN L PBI (APBN) Myalgia Berobat Jalan
085 10:17
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010320P000 07-03-2020
878 03-02-2020 0000419780867 UPIT SARIMANAH P PBI (APBN) Headache Berobat Jalan
088 10:24
100204010320P000 07-03-2020 Periapical abscess without
879 03-02-2020 0000419781576 DAMAR GEMA TAQBIR L PBI (APBN) Berobat Jalan
096 13:12 sinus
100204010320P000 07-03-2020 Acute upper respiratory
880 03-02-2020 0000419781677 RENDY PAJRAN KAMIL L - Berobat Jalan
089 10:37 infection, unspecified
100204010320P000 04-03-2020
881 03-02-2020 0000420280547 JEJEN L PBI (APBN) Acute pharyngitis Berobat Jalan
054 15:21
100204010320P000 04-03-2020 Other disorders of urinary
882 03-02-2020 0000420281504 NUNUNG HASANAH. P PBI (APBN) Berobat Jalan
055 15:32 system
100204010320P000 07-03-2020 Acute upper respiratory
883 03-02-2020 0000420497662 UNDANG RAHMAT L PBI (APBN) Berobat Jalan
084 10:16 infection, unspecified
100204010320P000 02-03-2020 Urinary calculus,
884 03-02-2020 0001003862272 OLIH ODIK L - Rujuk Vertikal Hipertensi
007 09:41 unspecified
100204010320P000 04-03-2020 Essential (primary)
885 03-02-2020 0001003863497 ATIK P PBI (APBN) Berobat Jalan Hipertensi
045 15:02 hypertension
100204010320P000 04-03-2020
886 03-02-2020 0001003867716 AJAT SUDRAJAT L PBI (APBN) Pityriasis alba Berobat Jalan
050 15:17
100204010320P000 07-03-2020
887 03-02-2020 0001003900724 NANI SURYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
091 10:39
100204010320P000 02-03-2020 PEKERJA Atherosclerotic heart
888 03-02-2020 0001275799228 UMAR BASRI L Rujuk Vertikal
001 08:42 MANDIRI disease
100204010320P000 04-03-2020 HAIDAR AHMAD Disturbances in tooth
889 03-02-2020 0001292686402 L - Berobat Jalan
051 15:18 RAMIYANA eruption
Non-insulin-dependent
100204010320P000 02-03-2020
890 03-02-2020 0001340298224 II P PBI (APBD) diabetes mellitus with Rujuk Vertikal
004 09:15
multiple complications
100204010320P000 07-03-2020 Acute upper respiratory
891 03-02-2020 0001340433279 EEN RUHAENI P - Berobat Jalan
083 10:15 infection, unspecified
100204010320P000 02-03-2020 PEKERJA
892 03-02-2020 0001466961322 ATIN KARTINI P Cerebral infarction Rujuk Vertikal
009 11:24 MANDIRI
100204010320P000 04-03-2020 PEKERJA
893 03-02-2020 0001729275221 SUPRIADI L Acute pharyngitis Berobat Jalan
056 15:33 MANDIRI
100204010320P000 07-03-2020 PEKERJA
894 03-02-2020 0001730030962 ROHAYATI P Headache Berobat Jalan
090 10:38 MANDIRI

100204010320P000 04-03-2020 PENERIMA Other disorders of urinary


895 03-02-2020 0001863517048 MARIA NGATIYEM P Berobat Jalan Hipertensi
046 15:04 PENSIUN SWASTA system
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Disorders of lipoprotein
100204010320P000 07-03-2020 PEKERJA
896 03-02-2020 0002317286755 SARIYATI P metabolism and other Berobat Jalan
087 10:23 MANDIRI
lipidaemias
Lack of expected normal
100204010320P000 02-03-2020 ALUNA NADA CINTA
897 03-02-2020 0002426332678 P - physiological Rujuk Vertikal
005 09:17 GINTING
development, unspecified
PEGAWAI
PEMERINTAH
100204010320P000 07-03-2020 MESSA NURIANTI Supervision of normal
898 03-02-2020 0002461122336 P DENGAN Berobat Jalan
097 13:13 SETIAWAN pregnancy
PERJANJIAN
KERJA
Acute upper respiratory
100204010320P000 04-03-2020
899 03-02-2020 0002599698791 APRILIA LESTARI P PBI (APBN) infections of multiple and Berobat Jalan
052 15:19
unspecified sites
100204010320P000 02-03-2020 PEKERJA Rheumatoid arthritis,
900 03-02-2020 0002696658816 IIS SUSILAWATI P Rujuk Vertikal
003 09:12 MANDIRI unspecified
Acute upper respiratory
100204010320P000 04-03-2020
901 03-02-2020 0002884244196 JUNA PRADITA L PBI (APBN) infections of multiple and Berobat Jalan
053 15:20
unspecified sites

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