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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

100204010620Y000 30-06-2020 30-06-2020 PENERIMA Unspecified urinary


1 0000053715879 ENUNG KURNIASIH P Rujuk Vertikal Hipertensi Hipertensi
475 00:00 10:09 PENSIUN PNS incontinence
100204010620Y000 30-06-2020 30-06-2020
2 0000419107263 SUBAKIR L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
471 00:00 08:32
100204010620Y000 30-06-2020 30-06-2020 Essential (primary)
3 0000419108343 IMAS SUDARSIH P PBI (APBN) Berobat Jalan
482 00:00 11:55 hypertension
100204010620Y000 30-06-2020 30-06-2020 Essential (primary)
4 0000419133611 ADIN SUPRIADIN L - Berobat Jalan Hipertensi
481 00:00 11:54 hypertension
100204010620Y000 30-06-2020 30-06-2020
5 0000419207567 GANNI SURYA RAMDHAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
488 00:00 12:06
100204010620Y000 30-06-2020 30-06-2020
6 0000419404667 YUYUN HENDAYANI P - Dental caries, unspecified Berobat Jalan
489 00:00 12:28
100204010620Y000 30-06-2020 30-06-2020 Acute pharyngitis,
7 0000419837286 RATI WAHYUNINGSIH P PBI (APBN) Berobat Jalan
479 00:00 11:46 unspecified
100204010620Y000 30-06-2020 30-06-2020
8 0000419837376 RANTI EKA HIDAYANTI P PBI (APBN) Tuberculous peritonitis Rujuk Vertikal
473 00:00 09:36
100204010620Y000 30-06-2020 30-06-2020 Essential (primary)
9 0000419988802 RATNA P PBI (APBN) Berobat Jalan
483 00:00 11:55 hypertension
100204010620Y000 30-06-2020 30-06-2020
10 0001003865253 RUSTANDI L PBI (APBN) Paranoid schizophrenia Rujuk Vertikal
470 00:00 08:05
100204010620Y000 30-06-2020 30-06-2020 PEKERJA Acute tonsillitis,
11 0001157609373 YENI PUSPITASARI P Berobat Jalan
478 00:00 11:41 MANDIRI unspecified

100204010620Y000 30-06-2020 30-06-2020 NABILA MUKHBITA Allergic contact dermatitis,


12 0001292684062 P - Berobat Jalan
487 00:00 12:05 RAMIYANA unspecified cause

100204010620Y000 30-06-2020 30-06-2020 PEKERJA Acute nasopharyngitis


13 0001309383257 RAFA MAULANA YUSUF L Berobat Jalan
484 00:00 11:57 MANDIRI [common cold]
100204010620Y000 30-06-2020 30-06-2020 PEKERJA Essential (primary)
14 0001317177527 HENNY HERIANTI P Berobat Jalan Hipertensi
486 00:00 12:00 MANDIRI hypertension
100204010620Y000 30-06-2020 30-06-2020 PEGAWAI Acute pharyngitis,
15 0001328579482 YUDI HERMAWAN L Berobat Jalan
485 00:00 11:58 SWASTA unspecified
100204010620Y000 30-06-2020 30-06-2020
16 0001340902113 IMAS SUSILAWATI P PBI (APBD) Asthma, unspecified Berobat Jalan
480 00:00 11:47
100204010620Y000 30-06-2020 30-06-2020 PEGAWAI
17 0001518345404 SAJAAH AS SHODIQOH P Necrosis of pulp Berobat Jalan
476 00:00 10:29 SWASTA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 30-06-2020 30-06-2020 PEKERJA


18 0002695861495 RAHMAT L Cataract, unspecified Rujuk Vertikal
472 00:00 08:50 MANDIRI
100204010620Y000 30-06-2020 30-06-2020 Essential (primary)
19 0002836960896 NANA RATNAWI P PBI (APBN) Berobat Jalan
477 00:00 11:41 hypertension
100204010620Y000 30-06-2020 30-06-2020 MUHAMAD RAZQA PEGAWAI
20 0002895891873 L Acute laryngopharyngitis Berobat Jalan
474 00:00 09:50 NUGRAHA SWASTA
Non-insulin-dependent
100204010620Y000 29-06-2020 29-06-2020 PENERIMA
21 0000053307898 IKAH P diabetes mellitus with Rujuk Vertikal
454 00:00 10:12 PENSIUN TNI
multiple complications
100204010620Y000 29-06-2020 29-06-2020 Essential (primary)
22 0000053377727 DEDEH P - Berobat Jalan Hipertensi
461 00:00 13:36 hypertension
100204010620Y000 29-06-2020 29-06-2020 Essential (primary)
23 0000418651942 NUNUNG SITI HASAROH P PBI (APBN) Berobat Jalan
468 00:00 14:01 hypertension
100204010620Y000 29-06-2020 29-06-2020 Supervision of high-risk
24 0000419007137 RENI ANGGRAENI P - Rujuk Vertikal
451 00:00 09:37 pregnancy
100204010620Y000 29-06-2020 29-06-2020
25 0000419416457 EEN ROKMINI P PBI (APBN) Myalgia Berobat Jalan
457 00:00 13:23
100204010620Y000 29-06-2020 29-06-2020
26 0000419445224 MAMAN SUPARMAN L PBI (APBN) Polyarthritis, unspecified Berobat Jalan
466 00:00 13:58
Diabetes
100204010620Y000 29-06-2020 29-06-2020 Essential (primary)
27 0000419450962 AMINAH P PBI (APBN) Berobat Jalan Mellitus
464 00:00 13:54 hypertension
Hipertensi
100204010620Y000 29-06-2020 29-06-2020
28 0000419753485 DEDI SUARSA L PBI (APBN) Myalgia Berobat Jalan
467 00:00 14:00
100204010620Y000 29-06-2020 29-06-2020 Supervision of normal first
29 0000420059103 ADE RAHAYU P - Berobat Jalan
447 00:00 08:39 pregnancy
100204010620Y000 29-06-2020 29-06-2020
30 0000420265269 ADE MAMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
456 00:00 13:22
100204010620Y000 29-06-2020 29-06-2020
31 0000420351039 LILI JUNAEDI L PBI (APBN) Parkinson's disease Rujuk Vertikal
452 00:00 09:46
100204010620Y000 29-06-2020 29-06-2020 Essential (primary)
32 0001340297278 EUIS KURAESIN P PBI (APBD) Berobat Jalan Hipertensi
459 00:00 13:27 hypertension
100204010620Y000 29-06-2020 29-06-2020
33 0001340298189 JUJU L PBI (APBD) Polyarthritis, unspecified Berobat Jalan
465 00:00 13:55
100204010620Y000 29-06-2020 29-06-2020
34 0001340298426 ENTIN KOSIMAH P PBI (APBD) Congestive heart failure Rujuk Vertikal
449 00:00 09:08
100204010620Y000 29-06-2020 29-06-2020
35 0001340597698 TINTIN SITI MASITOH P PBI (APBD) Congestive heart failure Rujuk Vertikal
453 00:00 09:54
100204010620Y000 29-06-2020 29-06-2020 Acute upper respiratory
36 0001340904508 NINA LASMINI P PBI (APBD) Berobat Jalan
463 00:00 13:45 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 29-06-2020 29-06-2020 PEKERJA Essential (primary)


37 0001387267582 EJEB SUHENDI L Berobat Jalan Hipertensi
460 00:00 13:32 MANDIRI hypertension
100204010620Y000 29-06-2020 29-06-2020 PEKERJA
38 0001389386068 DEDE RUKANDA L Radiculopathy Rujuk Vertikal
445 00:00 08:27 MANDIRI
Tuberculosis of lung,
100204010620P000 29-06-2020 29-06-2020 PEGAWAI without mention of
39 0001447478673 ATIN SUPRIATIN P Rujuk Vertikal
448 00:00 08:56 SWASTA bacteriological or
histological confirmation
100204010620Y000 29-06-2020 30-06-2020 PEKERJA Pure
40 0001724081038 LILIS RUKMANAH P Berobat Jalan
491 00:00 12:33 MANDIRI hypercholesterolaemia
100204010620Y000 29-06-2020 30-06-2020
41 0002316717358 AJANG L - Polyarthritis, unspecified Berobat Jalan
492 00:00 12:36
100204010620Y000 29-06-2020 29-06-2020
42 0002596719148 ENTAT HADIYANTI P - Pulpitis Berobat Jalan
450 00:00 09:12
Person consulting for
100204010620Y000 29-06-2020 29-06-2020
43 0002793048096 YUNI SUSILOWATI P PBI (APBN) explanation of Berobat Jalan
462 00:00 13:39
investigation findings
100204010620Y000 29-06-2020 29-06-2020 Acute upper respiratory
44 0002793050594 CECE SAYU L PBI (APBN) Berobat Jalan
458 00:00 13:25 infection, unspecified

Diarrhoea and
100204010620Y000 29-06-2020 29-06-2020
45 0002836960211 LIAH MASLIAH P PBI (APBN) gastroenteritis of Berobat Jalan
455 00:00 13:18
presumed infectious origin

100204010620Y000 29-06-2020 29-06-2020


46 0002836963214 SUSILAWATI P - Prolonged pregnancy Rujuk Vertikal
446 00:00 08:37
Non-insulin-dependent
100204010620Y000 29-06-2020 30-06-2020 PEKERJA
47 0002911992704 ADE ROHAENI P diabetes mellitus without Berobat Jalan Hipertensi
490 00:00 12:32 MANDIRI
complications
100204010620P000 27-06-2020 27-06-2020
48 0000402011976 PIPIH P PBI (APBN) Chronic kidney disease Rujuk Vertikal
441 00:00 09:13
100204010620Y000 27-06-2020 27-06-2020 Essential (primary)
49 0000418551884 NUR ASIAH P PBI (APBN) Berobat Jalan
442 00:00 10:56 hypertension
Tuberculosis of lung,
100204010620P000 27-06-2020 27-06-2020 without mention of
50 0000418776985 M. SUKMAYA L PBI (APBN) Rujuk Vertikal
437 00:00 08:41 bacteriological or
histological confirmation
Unilateral or unspecified
100204010620Y000 27-06-2020 27-06-2020
51 0000419058178 DESTI WIDIA WATI P PBI (APBN) inguinal hernia, without Rujuk Vertikal
439 00:00 09:04
obstruction or gangrene
100204010620Y000 27-06-2020 27-06-2020
52 0000419107263 SUBAKIR L PBI (APBN) Counselling, unspecified Berobat Jalan
443 00:00 11:00
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 27-06-2020 27-06-2020 Essential (primary)


53 0000420110019 EUIS P - Berobat Jalan Hipertensi
444 00:00 11:11 hypertension
100204010620Y000 27-06-2020 27-06-2020 Cerebral infarction,
54 0001340598251 TUSINI P PBI (APBD) Rujuk Vertikal Hipertensi
440 00:00 09:06 unspecified
100204010620P000 27-06-2020 27-06-2020 Disorder of refraction,
55 0002377478507 ACEP HENDRA L - Rujuk Vertikal
438 00:00 08:58 unspecified
100204010620Y000 26-06-2020 26-06-2020 Superficial injury of wrist
56 0000417770638 AJI SOBARNA L PBI (APBN) Berobat Jalan
427 00:00 11:24 and hand, unspecified
100204010620Y000 26-06-2020 26-06-2020
57 0000419129267 ASEP HASANDI L PBI (APBN) Tinnitus Berobat Jalan
433 00:00 11:50
100204010620Y000 26-06-2020 26-06-2020 Essential (primary)
58 0000419478884 IKE RAHMAWATI P PBI (APBN) Berobat Jalan
435 00:00 11:56 hypertension
100204010620Y000 26-06-2020 26-06-2020
59 0000419623773 DIVA NUSANTARA L PBI (APBN) Dyspepsia Berobat Jalan
431 00:00 11:44
100204010620Y000 26-06-2020 26-06-2020
60 0000419762204 SRI SURYANINGSIH P PBI (APBN) Pulpitis Berobat Jalan
426 00:00 10:09
Person consulting for
100204010620Y000 26-06-2020 26-06-2020
61 0001003862755 JUJU JUARIAH P PBI (APBN) explanation of Berobat Jalan
430 00:00 11:42
investigation findings
Atherosclerotic
100204010620Y000 26-06-2020 26-06-2020
62 0001003903301 DANI SUDRAJAT L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
434 00:00 11:53
described
100204010620Y000 26-06-2020 26-06-2020 Chronic apical
63 0001089390701 NAIMAH P PBI (APBN) Berobat Jalan
425 00:00 09:49 periodontitis
100204010620Y000 26-06-2020 26-06-2020 PEKERJA Acute upper respiratory
64 0002200551039 NINA ROSMANA P Berobat Jalan
436 00:00 11:56 MANDIRI infection, unspecified
100204010620P000 26-06-2020 26-06-2020 RAMADHAN ZIHAN PEKERJA
65 0002200551221 L Myopia Rujuk Vertikal
424 00:00 08:49 AUGUSTAN MANDIRI
100204010620Y000 26-06-2020 26-06-2020 VANESA RIHANA Acute upper respiratory
66 0002582670407 P PBI (APBN) Berobat Jalan
429 00:00 11:28 SYAHFITRI infection, unspecified
Person consulting for
100204010620Y000 26-06-2020 26-06-2020 PEKERJA
67 0002695861495 RAHMAT L explanation of Berobat Jalan
432 00:00 11:45 MANDIRI
investigation findings
100204010620Y000 26-06-2020 26-06-2020 RAHMA HERLINA PEKERJA
68 0002695861517 P Acute laryngopharyngitis Berobat Jalan
428 00:00 11:28 ANGGREANI MANDIRI
100204010620Y000 25-06-2020 25-06-2020
69 0000418914437 MIMIN RUKMINI P - Cataract, unspecified Rujuk Vertikal Hipertensi
405 00:00 08:41
100204010620Y000 25-06-2020 25-06-2020
70 0000419034879 SUSANTI L PBI (APBN) Tension-type headache Berobat Jalan
411 00:00 09:04
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 25-06-2020 25-06-2020 Dermatophytosis,


71 0000419062972 ROHAYATI P PBI (APBN) Berobat Jalan
407 00:00 08:49 unspecified
100204010620Y000 25-06-2020 25-06-2020
72 0000419141924 NANA SURYANA L - Polyarthritis, unspecified Berobat Jalan
408 00:00 08:51
100204010620Y000 25-06-2020 25-06-2020 Supervision of high-risk
73 0000419145085 DIAH P PBI (APBN) Rujuk Vertikal
417 00:00 10:34 pregnancy, unspecified
100204010620P000 25-06-2020 25-06-2020 Tuberculous peripheral
74 0000419394341 LATIFAH NUR JAMILAH P - Rujuk Vertikal
414 00:00 09:41 lymphadenopathy
100204010620Y000 25-06-2020 25-06-2020 Acute upper respiratory
75 0000419437383 ANA SETIANA L PBI (APBN) Berobat Jalan
410 00:00 09:02 infection, unspecified
100204010620Y000 25-06-2020 25-06-2020 Antenatal screening,
76 0000420154626 YANTI P PBI (APBN) Berobat Jalan Hipertensi
418 00:00 11:24 unspecified
100204010620Y000 25-06-2020 25-06-2020 Supervision of normal first
77 0001003865883 ARNI APRILIANI P PBI (APBN) Berobat Jalan
415 00:00 09:50 pregnancy
100204010620Y000 25-06-2020 25-06-2020 Supervision of normal first
78 0001003899418 LILIS KASIRI P PBI (APBN) Berobat Jalan
403 00:00 08:21 pregnancy
100204010620Y000 25-06-2020 25-06-2020 Acute upper respiratory
79 0001340556445 AI HASANAH P PBI (APBD) Berobat Jalan
420 00:00 11:55 infection, unspecified
100204010620Y000 25-06-2020 25-06-2020 Stroke, not specified as
80 0001340721549 ADE WYMAN L - Rujuk Vertikal
412 00:00 09:21 haemorrhage or infarction
100204010620P000 25-06-2020 25-06-2020 ASSAJJAD M. ALI ZAINAL PEGAWAI Open wound of shoulder
81 0001518345393 L Berobat Jalan
423 00:00 13:16 A SWASTA and upper arm
100204010620Y000 25-06-2020 25-06-2020 PEKERJA
82 0001785383392 SILVIANA P Necrosis of pulp Berobat Jalan
404 00:00 08:41 MANDIRI
100204010620Y000 25-06-2020 25-06-2020 PEGAWAI Supervision of other
83 0002213466513 SRI RAHAYU P Rujuk Vertikal
413 00:00 09:32 SWASTA high-risk pregnancies
100204010620Y000 25-06-2020 25-06-2020 PEGAWAI
84 0002224430943 AGUSTINA LUSIANA P Gastritis, unspecified Berobat Jalan
406 00:00 08:45 SWASTA
Non-insulin-dependent
100204010620Y000 25-06-2020 25-06-2020 PEKERJA
85 0002273637576 ISKANDAR L diabetes mellitus with Berobat Jalan
422 00:00 13:13 MANDIRI
multiple complications
100204010620Y000 25-06-2020 25-06-2020 PEGAWAI Other and unspecified
86 0002495283322 FERDINAN. J. P L Berobat Jalan
421 00:00 13:11 SWASTA abdominal pain
100204010620Y000 25-06-2020 25-06-2020
87 0002585705635 IDA ROSIDA P PBI (APBN) Prolonged pregnancy Rujuk Vertikal
416 00:00 10:04
100204010620Y000 25-06-2020 25-06-2020 Essential (primary)
88 0002585705635 IDA ROSIDA P PBI (APBN) Berobat Jalan
409 00:00 08:54 hypertension
100204010620Y000 25-06-2020 25-06-2020
89 0002793049244 ACHMAD MAULANA L - Scabies Berobat Jalan
419 00:00 11:52
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 24-06-2020 24-06-2020 PEKERJA


90 0000053714294 DERINTA PRANOVANTYA P Caries of cementum Berobat Jalan
399 00:00 10:50 MANDIRI
100204010620Y000 24-06-2020 24-06-2020 PENERIMA Essential (primary)
91 0000053719233 WARTISAH P Berobat Jalan
395 00:00 09:57 PENSIUN PNS hypertension
Tuberculosis of lung,
100204010620Y000 24-06-2020 24-06-2020 confirmed by sputum
92 0000417732322 UAS P PBI (APBN) Berobat Jalan
393 00:00 09:11 microscopy with or without
culture
100204010620Y000 24-06-2020 24-06-2020 Essential (primary)
93 0000418636945 SISCA. M. DIANA P PBI (APBN) Berobat Jalan Hipertensi
394 00:00 09:52 hypertension
100204010620Y000 24-06-2020 24-06-2020
94 0000419149359 YULI YANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
402 00:00 12:22
100204010620Y000 24-06-2020 24-06-2020
95 0000419305206 FIRMAN L PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal
391 00:00 08:57
100204010620Y000 24-06-2020 24-06-2020 General counselling and
96 0000419422048 ROSMINI P PBI (APBN) Berobat Jalan
390 00:00 08:21 advice on contraception
100204010620Y000 24-06-2020 24-06-2020
97 0000419752631 FITRI WIJAYANTI P PBI (APBN) Tinea unguium Berobat Jalan
400 00:00 11:06
100204010620Y000 24-06-2020 24-06-2020 Contraceptive
98 0001003868098 SUNARTI P - Berobat Jalan
398 00:00 10:27 management
100204010620Y000 24-06-2020 24-06-2020 PEKERJA Nonpurulent mastitis
99 0001188532001 SELA RISTIAWATI P Berobat Jalan
396 00:00 10:00 MANDIRI associated with childbirth
100204010620Y000 24-06-2020 24-06-2020
100 0001340432919 IDA FARIDA P PBI (APBD) Myalgia Berobat Jalan
392 00:00 09:01
100204010620Y000 24-06-2020 24-06-2020 Stroke, not specified as
101 0001340721549 ADE WYMAN L - Berobat Jalan
401 00:00 11:08 haemorrhage or infarction
100204010620Y000 24-06-2020 24-06-2020 PEKERJA General counselling and
102 0001471147424 WIDANINGSIH P Berobat Jalan
397 00:00 10:00 MANDIRI advice on contraception
100204010620Y000 23-06-2020 23-06-2020 Essential (primary)
103 0000419133611 ADIN SUPRIADIN L - Berobat Jalan Hipertensi
370 00:00 10:13 hypertension
100204010620Y000 23-06-2020 23-06-2020
104 0000419180624 ONIH P PBI (APBN) Gastritis, unspecified Berobat Jalan
367 00:00 09:53
100204010620Y000 23-06-2020 23-06-2020 Essential (primary)
105 0000419192695 MOMOH P PBI (APBN) Berobat Jalan
388 00:00 13:10 hypertension
100204010620Y000 23-06-2020 23-06-2020 Essential (primary)
106 0000419514535 ONENG P PBI (APBN) Berobat Jalan
365 00:00 09:25 hypertension
100204010620Y000 23-06-2020 23-06-2020
107 0000419661224 SENDI ANDRIANA FUTRA L PBI (APBN) Residual schizophrenia Rujuk Vertikal
359 00:00 08:48
100204010620Y000 23-06-2020 23-06-2020
108 0000420430263 ASEP NURCAHYA L PBI (APBN) Epilepsy, unspecified Berobat Jalan
361 00:00 08:52
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 23-06-2020 23-06-2020


109 0001304473713 MEKAR RAHAYU P - Lichen planus, unspecified Rujuk Vertikal
364 00:00 09:07
Non-insulin-dependent
100204010620Y000 23-06-2020 23-06-2020 PEKERJA
110 0001337269329 ANI SADIAH P diabetes mellitus with Rujuk Vertikal
360 00:00 08:51 MANDIRI
multiple complications
100204010620Y000 23-06-2020 23-06-2020 Acute upper respiratory
111 0001340433876 ADE MAMAN L - Berobat Jalan
371 00:00 10:19 infection, unspecified
100204010620Y000 23-06-2020 23-06-2020 Acute upper respiratory
112 0001340796565 SUMINI P - Berobat Jalan
366 00:00 09:30 infection, unspecified
100204010620Y000 23-06-2020 23-06-2020 PEGAWAI
113 0001518345404 SAJAAH AS SHODIQOH P Necrosis of pulp Berobat Jalan
369 00:00 10:06 SWASTA
100204010620Y000 23-06-2020 23-06-2020 PEKERJA
114 0002218992952 AMRIE RINALDI L Myalgia Berobat Jalan
362 00:00 08:57 MANDIRI
100204010620Y000 22-06-2020 23-06-2020 PEKERJA
115 0000053714294 DERINTA PRANOVANTYA P Pulpitis Berobat Jalan
363 00:00 09:01 MANDIRI
100204010620Y000 22-06-2020 23-06-2020 Acute upper respiratory
116 0000055752221 SUPRIYATI P PNS PUSAT Berobat Jalan
378 00:00 10:45 infection, unspecified
100204010620Y000 22-06-2020 23-06-2020 Superficial injury of wrist
117 0000417770638 AJI SOBARNA L PBI (APBN) Berobat Jalan
374 00:00 10:31 and hand, unspecified
100204010620Y000 22-06-2020 23-06-2020 Burn of first degree of
118 0000419108321 INO L PBI (APBN) Berobat Jalan
381 00:00 10:57 ankle and foot
100204010620Y000 22-06-2020 23-06-2020
119 0000419108343 IMAS SUDARSIH P PBI (APBN) Myalgia Berobat Jalan
384 00:00 11:07
100204010620Y000 22-06-2020 22-06-2020 Radiculopathy, lumbar
120 0000419142565 MIMI RATMINI P - Rujuk Vertikal Hipertensi
353 00:00 09:01 region
100204010620Y000 22-06-2020 23-06-2020
121 0000419240856 DEWI P PBI (APBN) Pulpitis Berobat Jalan
368 00:00 10:02
100204010620Y000 22-06-2020 23-06-2020
122 0000419410629 RAKA RANDIKA L PBI (APBN) Fever, unspecified Berobat Jalan
385 00:00 11:11
100204010620Y000 22-06-2020 23-06-2020
123 0000419420823 EMPONG P PBI (APBN) Benign paroxysmal vertigo Berobat Jalan
377 00:00 10:37
100204010620Y000 22-06-2020 23-06-2020 Low back pain, site
124 0000419444471 DAMAN L PBI (APBN) Berobat Jalan
376 00:00 10:34 unspecified
100204010620Y000 22-06-2020 22-06-2020
125 0000419603049 NENI ROHAENI P PBI (APBN) Congestive heart failure Rujuk Vertikal
351 00:00 08:24
100204010620Y000 22-06-2020 23-06-2020
126 0000420265269 ADE MAMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
379 00:00 10:49
100204010620Y000 22-06-2020 22-06-2020
127 0000512287738 NENI NURJANAH P PBI (APBN) Cardiomegaly Rujuk Vertikal
354 00:00 09:24
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent
100204010620Y000 22-06-2020 23-06-2020 Diabetes
128 0001003906269 NANA SUJANA L PBI (APBN) diabetes mellitus with Berobat Jalan
389 00:00 13:11 Mellitus
multiple complications
100204010620Y000 22-06-2020 22-06-2020
129 0001003906271 ENCEU P PBI (APBN) Low back pain Rujuk Vertikal
355 00:00 09:40
100204010620Y000 22-06-2020 23-06-2020 PEKERJA
130 0001279482445 DENI L Gastritis, unspecified Berobat Jalan
380 00:00 10:52 MANDIRI
Non-insulin-dependent
100204010620Y000 22-06-2020 23-06-2020 PEKERJA
131 0001337269329 ANI SADIAH P diabetes mellitus with Berobat Jalan
387 00:00 11:16 MANDIRI
multiple complications
100204010620Y000 22-06-2020 23-06-2020
132 0001340433044 MIMIN A P - Myalgia Berobat Jalan
375 00:00 10:32
100204010620Y000 22-06-2020 23-06-2020 Acute upper respiratory
133 0001340597665 APON SURYATI P PBI (APBD) Berobat Jalan
382 00:00 11:05 infection, unspecified
100204010620P000 22-06-2020 22-06-2020 Cutaneous abscess,
134 0001341084745 KUSNADI L PBI (APBD) Rujuk Vertikal
356 00:00 10:00 furuncle and carbuncle
100204010620Y000 22-06-2020 23-06-2020 PEKERJA
135 0001461491548 LILIS KARYATI P Polyarthritis, unspecified Berobat Jalan
372 00:00 10:21 MANDIRI
100204010620Y000 22-06-2020 23-06-2020 PEKERJA Acute upper respiratory
136 0001733671517 ODE DEDI L Berobat Jalan
383 00:00 11:06 MANDIRI infection, unspecified
100204010620Y000 22-06-2020 23-06-2020 PEKERJA
137 0001798648266 RAHMAT SELAMET L Myalgia Berobat Jalan
386 00:00 11:15 MANDIRI
100204010620Y000 22-06-2020 23-06-2020 Essential (primary)
138 0001892999046 MIMIN P PNS DAERAH Berobat Jalan Hipertensi
373 00:00 10:23 hypertension
100204010620Y000 22-06-2020 22-06-2020 ELLEN ROSAWITA PEKERJA Chronic renal failure,
139 0002378419097 P Rujuk Vertikal
357 00:00 10:12 TUNGGONO MANDIRI unspecified
100204010620Y000 22-06-2020 22-06-2020 PEKERJA Other seropositive
140 0002696658816 IIS SUSILAWATI P Rujuk Vertikal
352 00:00 08:40 MANDIRI rheumatoid arthritis
100204010620Y000 22-06-2020 22-06-2020 Supervision of normal
141 0002836963214 SUSILAWATI P - Berobat Jalan
358 00:00 13:21 pregnancy, unspecified
Non-insulin-dependent
100204010620Y000 20-06-2020 20-06-2020 Diabetes
142 0000040127231 MARYONO L - diabetes mellitus without Berobat Jalan
349 00:00 21:47 Mellitus
complications
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
143 0000053377727 DEDEH P - Berobat Jalan Hipertensi
343 00:00 12:15 hypertension
100204010620Y000 20-06-2020 20-06-2020 PENERIMA Essential (primary)
144 0000057121839 HASANAH P Berobat Jalan Hipertensi
337 00:00 12:09 PENSIUN PNS hypertension
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
145 0000418845339 ELIS SUMIATI P PBI (APBN) Berobat Jalan Hipertensi
333 00:00 12:00 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent
100204010620Y000 20-06-2020 20-06-2020
146 0000419001772 EUIS KOMARIAH P PBI (APBN) diabetes mellitus without Berobat Jalan Hipertensi
345 00:00 21:37
complications
Non-insulin-dependent
100204010620Y000 20-06-2020 20-06-2020 Diabetes
147 0000419127309 MANAH RUKMAENI P - diabetes mellitus without Berobat Jalan
344 00:00 21:36 Mellitus
complications
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
148 0000419184404 JUJU JUBAIDAH P PBI (APBN) Berobat Jalan
328 00:00 11:51 hypertension
Non-insulin-dependent
100204010620Y000 20-06-2020 20-06-2020 Diabetes
149 0000419234185 SITI KOMARIAH P PBI (APBN) diabetes mellitus without Berobat Jalan
346 00:00 21:38 Mellitus
complications
Non-insulin-dependent
100204010620Y000 20-06-2020 20-06-2020 Diabetes
150 0000419288141 SITI WAINAH P PBI (APBN) diabetes mellitus without Berobat Jalan
350 00:00 21:47 Mellitus
complications
100204010620Y000 20-06-2020 20-06-2020
151 0000419422048 ROSMINI P PBI (APBN) Myalgia Berobat Jalan
329 00:00 11:52
100204010620Y000 20-06-2020 20-06-2020 Acute upper respiratory
152 0000419423793 ACHMAD SETIAWAN L - Berobat Jalan
330 00:00 11:53 infection, unspecified
Tuberculosis of lung,
100204010620P000 20-06-2020 20-06-2020 without mention of
153 0000419631581 EUIS GUSTIYANI P PBI (APBN) Rujuk Vertikal
323 00:00 08:44 bacteriological or
histological confirmation
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
154 0000419751977 ISAH P PBI (APBN) Berobat Jalan Hipertensi
324 00:00 11:40 hypertension
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
155 0001089372519 TITA FATIMAH P - Berobat Jalan Hipertensi
332 00:00 11:59 hypertension
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
156 0001089977883 KASWATI P PBI (APBN) Berobat Jalan Hipertensi
336 00:00 12:07 hypertension
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
157 0001340297278 EUIS KURAESIN P PBI (APBD) Berobat Jalan
327 00:00 11:49 hypertension
Non-insulin-dependent
100204010620Y000 20-06-2020 20-06-2020 Diabetes Diabetes
158 0001340298224 II P PBI (APBD) diabetes mellitus without Berobat Jalan
347 00:00 21:41 Mellitus Mellitus
complications
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
159 0001340797882 OYOH P PBI (APBN) Berobat Jalan Hipertensi
342 00:00 12:13 hypertension
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
160 0001340901718 ROHAENAH P - Berobat Jalan Hipertensi
341 00:00 12:12 hypertension
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
161 0001341084947 SUKAESIH P PBI (APBD) Berobat Jalan Hipertensi
331 00:00 11:58 hypertension
100204010620Y000 20-06-2020 20-06-2020 Essential (primary)
162 0001341197921 MARLINA P PBI (APBD) Berobat Jalan Hipertensi
334 00:00 12:04 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 20-06-2020 20-06-2020 PEKERJA Essential (primary)


163 0001718873987 NINIH RUKMINI P Berobat Jalan Hipertensi
339 00:00 12:11 MANDIRI hypertension
100204010620Y000 20-06-2020 20-06-2020 PEKERJA Essential (primary)
164 0001720109226 DEDEH SUHANAH P Berobat Jalan Hipertensi
340 00:00 12:11 MANDIRI hypertension
100204010620Y000 20-06-2020 20-06-2020 PEKERJA Essential (primary)
165 0001798652889 TETE SAPNI P Berobat Jalan Hipertensi
338 00:00 12:10 MANDIRI hypertension
Cutaneous abscess,
100204010620Y000 20-06-2020 20-06-2020 PEGAWAI
166 0001811437165 IRWANDI L furuncle and carbuncle, Berobat Jalan
325 00:00 11:42 SWASTA
unspecified
100204010620Y000 20-06-2020 20-06-2020 PEKERJA Essential (primary)
167 0002081268628 EDIH JUNAEDI L Berobat Jalan Hipertensi
335 00:00 12:05 MANDIRI hypertension
100204010620Y000 20-06-2020 20-06-2020 PEKERJA
168 0002218992952 AMRIE RINALDI L Myalgia Berobat Jalan
326 00:00 11:45 MANDIRI
Non-insulin-dependent
100204010620Y000 20-06-2020 20-06-2020 PEKERJA
169 0002762876261 JAJANG RUHIAT L diabetes mellitus without Berobat Jalan Hipertensi
348 00:00 21:41 MANDIRI
complications
100204010620P000 19-06-2020 29-06-2020 PENERIMA Essential (primary)
170 0000053377738 ALI HASAN MAHLI L Berobat Jalan Hipertensi
469 00:00 16:38 PENSIUN TNI hypertension
100204010620Y000 19-06-2020 19-06-2020 PENERIMA Essential (primary)
171 0000053719233 WARTISAH P Berobat Jalan
321 00:00 09:54 PENSIUN PNS hypertension
100204010620Y000 19-06-2020 19-06-2020 General medical
172 0000419196947 PUJA AKMA P PBI (APBN) Berobat Jalan
318 00:00 09:39 examination
100204010620Y000 19-06-2020 19-06-2020
173 0000419216938 MEGA P PBI (APBN) Gastritis, unspecified Berobat Jalan
316 00:00 09:33
Non-insulin-dependent
100204010620Y000 19-06-2020 19-06-2020 Diabetes
174 0000419439881 UU JUESIH P PBI (APBN) diabetes mellitus without Berobat Jalan
317 00:00 09:36 Mellitus
complications
100204010620Y000 19-06-2020 19-06-2020
175 0000419444471 DAMAN L PBI (APBN) Myalgia Berobat Jalan
312 00:00 09:07
100204010620Y000 19-06-2020 19-06-2020 Periapical abscess with
176 0001003867108 SRI RIYANI P PBI (APBN) Berobat Jalan
320 00:00 09:53 sinus
100204010620Y000 19-06-2020 19-06-2020 PENERIMA
177 0001078694133 SULISTYO PARTONO L Dyspepsia Berobat Jalan
313 00:00 09:09 PENSIUN PNS
100204010620Y000 19-06-2020 19-06-2020
178 0001340555668 NINA RISNAWATI P PBI (APBD) Pulpitis Berobat Jalan
322 00:00 10:26
100204010620Y000 19-06-2020 19-06-2020 Essential (primary)
179 0001427637903 tati hartati P - Berobat Jalan Hipertensi
319 00:00 09:39 hypertension
100204010620Y000 19-06-2020 19-06-2020 PEKERJA Chronic apical
180 0001456332175 SAMUEL IWAN GUNAWAN L Rujuk Vertikal
314 00:00 09:18 MANDIRI periodontitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 19-06-2020 19-06-2020 PEKERJA


181 0001785383392 SILVIANA P Necrosis of pulp Berobat Jalan
315 00:00 09:21 MANDIRI
100204010620Y000 18-06-2020 18-06-2020 Supervision of normal first
182 0000418552378 WINDA NURJANAH P PBI (APBN) Berobat Jalan
297 00:00 08:57 pregnancy
Insulin-dependent
100204010620P000 18-06-2020 18-06-2020
183 0000418615119 EUIS EHA P PBI (APBN) diabetes mellitus with Berobat Jalan
304 00:00 10:35
multiple complications
Chronic obstructive
100204010620Y000 18-06-2020 18-06-2020
184 0000418673733 OJA L PBI (APBN) pulmonary disease, Rujuk Vertikal
293 00:00 08:18
unspecified
100204010620Y000 18-06-2020 18-06-2020 Antenatal screening,
185 0000419007137 RENI ANGGRAENI P - Berobat Jalan
310 00:00 12:01 unspecified
100204010620Y000 18-06-2020 18-06-2020 Burn of first degree of
186 0000419108321 INO L PBI (APBN) Berobat Jalan
307 00:00 11:47 ankle and foot
100204010620Y000 18-06-2020 18-06-2020 Essential (primary)
187 0000419349576 IMAS P - Berobat Jalan
300 00:00 09:03 hypertension
100204010620Y000 18-06-2020 18-06-2020 Other forms of herpesviral
188 0000419352838 LINA P PBI (APBN) Berobat Jalan
298 00:00 08:58 infection
100204010620Y000 18-06-2020 18-06-2020 Antenatal screening,
189 0000419461031 YANI P - Berobat Jalan
311 00:00 12:02 unspecified
100204010620Y000 18-06-2020 18-06-2020
190 0000419705223 RENALTA JUNIANTI P - Dyspepsia Berobat Jalan
306 00:00 10:55
100204010620Y000 18-06-2020 18-06-2020
191 0000419746713 MAMAN SUNARYA L - Pyoderma Berobat Jalan
301 00:00 09:07
100204010620Y000 18-06-2020 18-06-2020 ACHMAD FERDY PEGAWAI Acute nasopharyngitis
192 0001003906528 L Berobat Jalan
299 00:00 09:00 SUKMANA SWASTA [common cold]
100204010620Y000 18-06-2020 18-06-2020 Antenatal screening,
193 0001109123943 TRY HARDIANTI P - Berobat Jalan
309 00:00 12:00 unspecified
100204010620Y000 18-06-2020 18-06-2020 Acute pharyngitis,
194 0001340529579 RITA DAMAYANTI P PBI (APBD) Berobat Jalan
296 00:00 08:55 unspecified
PEGAWAI
PEMERINTAH
100204010620Y000 18-06-2020 18-06-2020
195 0001468505182 NUROHMAH P DENGAN Benign neoplasm of breast Rujuk Vertikal
294 00:00 08:19
PERJANJIAN
KERJA
100204010620Y000 18-06-2020 18-06-2020
196 0001654810582 ANDRI HARDIANSYAH L - Gastritis, unspecified Berobat Jalan
303 00:00 09:51
100204010620Y000 18-06-2020 18-06-2020 PEKERJA Acute upper respiratory
197 0002240226955 AYI EJEB SUDRAJAT L Berobat Jalan
295 00:00 08:40 MANDIRI infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 18-06-2020 18-06-2020 PEKERJA


198 0002420691039 ADILAH HAMDAN L Thalassaemia, unspecified Berobat Jalan
305 00:00 10:51 MANDIRI
100204010620Y000 18-06-2020 18-06-2020 PEKERJA Acute pharyngitis,
199 0002696244849 KENZO SAYYIDUL AKBAR L Berobat Jalan
308 00:00 11:59 MANDIRI unspecified
100204010620Y000 18-06-2020 18-06-2020
200 0002793047657 ENYI JUWARIAH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
302 00:00 09:36
Insulin-dependent
100204010620Y000 17-06-2020 17-06-2020 PENERIMA
201 0000053379393 CUCUM SUMI P diabetes mellitus with Rujuk Vertikal
285 00:00 09:36 PENSIUN TNI
multiple complications
100204010620Y000 17-06-2020 17-06-2020 Contraceptive
202 0000418373561 SUTIARA P - Berobat Jalan
284 00:00 09:00 management, unspecified
100204010620Y000 17-06-2020 17-06-2020 Acute upper respiratory
203 0000419744935 ANDRIANA L - Berobat Jalan
290 00:00 10:20 infection, unspecified
Non-insulin-dependent
100204010620Y000 17-06-2020 17-06-2020
204 0000419889306 DEWI P PBI (APBN) diabetes mellitus without Berobat Jalan Hipertensi
292 00:00 11:50
complications
100204010620Y000 17-06-2020 17-06-2020
205 0000419957864 ADE NURMANSAH L PBI (APBN) Fever, unspecified Berobat Jalan
288 00:00 10:16
100204010620Y000 17-06-2020 17-06-2020 PENERIMA
206 0001078694133 SULISTYO PARTONO L Myalgia Berobat Jalan
282 00:00 08:34 PENSIUN PNS
100204010620Y000 17-06-2020 17-06-2020
207 0001439204049 DEWI CAHYA KAMILA P - Allergy, unspecified Berobat Jalan
291 00:00 10:22
PEGAWAI
PEMERINTAH
100204010620Y000 17-06-2020 17-06-2020
208 0001661205598 DEDI SETIAWAN L DENGAN Pulpitis Berobat Jalan
283 00:00 08:38
PERJANJIAN
KERJA
100204010620Y000 17-06-2020 17-06-2020 UYUNG MUHAMAD PEKERJA Essential (primary)
209 0002298952383 L Berobat Jalan Hipertensi
289 00:00 10:17 NAZIRWAN MANDIRI hypertension
100204010620Y000 17-06-2020 17-06-2020
210 0002316717358 AJANG L - Gout, unspecified Berobat Jalan
286 00:00 10:09
100204010620Y000 17-06-2020 17-06-2020 PEKERJA Cerebral infarction,
211 0002698710107 AI HADINAH P Rujuk Vertikal
281 00:00 08:33 MANDIRI unspecified
100204010620Y000 17-06-2020 17-06-2020 RELIYANA YURI Acute upper respiratory
212 0002836963956 P PBI (APBN) Berobat Jalan
287 00:00 10:12 HERIDAYANI infection, unspecified
100204010620Y000 16-06-2020 16-06-2020
213 0000053688227 H. A. RUSLAN. D L - Chronic kidney disease Rujuk Vertikal
263 00:00 07:39
100204010620P000 16-06-2020 16-06-2020 Disorder of refraction,
214 0000057835383 YUWANA L PNS DAERAH Rujuk Vertikal
267 00:00 08:55 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 16-06-2020 16-06-2020 Essential (primary)


215 0000418636945 SISCA. M. DIANA P PBI (APBN) Berobat Jalan Hipertensi
272 00:00 09:10 hypertension
100204010620Y000 16-06-2020 16-06-2020 PEGAWAI
216 0000418736294 AGNIA SADDIYAH AFIFAH P Gastritis, unspecified Berobat Jalan
271 00:00 09:07 SWASTA
100204010620Y000 16-06-2020 16-06-2020 Acute upper respiratory
217 0000418736417 MISNAH P PBI (APBN) Berobat Jalan
270 00:00 09:01 infection, unspecified
100204010620Y000 16-06-2020 16-06-2020
218 0000419068809 SITI RODIAH P PBI (APBN) Myalgia Berobat Jalan
278 00:00 11:38
100204010620Y000 16-06-2020 16-06-2020
219 0000419231856 ADITYA FATHUR ROHIM L PBI (APBN) Counselling, unspecified Berobat Jalan
280 00:00 13:20
100204010620Y000 16-06-2020 16-06-2020 Tuberculous peripheral
220 0000419816349 NOVIA HERAWATI P - Berobat Jalan
268 00:00 08:56 lymphadenopathy
100204010620Y000 16-06-2020 16-06-2020
221 0000419837286 RATI WAHYUNINGSIH P PBI (APBN) Counselling, unspecified Berobat Jalan
279 00:00 11:40
100204010620Y000 16-06-2020 16-06-2020
222 0000419837376 RANTI EKA HIDAYANTI P PBI (APBN) Unspecified appendicitis Rujuk Vertikal
276 00:00 09:42
100204010620P000 16-06-2020 16-06-2020
223 0000419981692 HENDRAWAN L - Schizophrenia, unspecified Rujuk Vertikal
264 00:00 08:37
100204010620Y000 16-06-2020 16-06-2020
224 0000420154525 ALIT L PBI (APBN) Dyspepsia Berobat Jalan
274 00:00 09:24
100204010620Y000 16-06-2020 16-06-2020 Supervision of high-risk
225 0000420154626 YANTI P PBI (APBN) Rujuk Vertikal Hipertensi
269 00:00 08:57 pregnancy, unspecified
Sequelae of stroke, not
100204010620Y000 16-06-2020 16-06-2020
226 0001003867132 ANDRI L PBI (APBN) specified as haemorrhage Rujuk Vertikal
266 00:00 08:48
or infarction
100204010620Y000 16-06-2020 16-06-2020 Nontoxic goitre,
227 0001278828011 LILIS NANI MARYATI P - Rujuk Vertikal
275 00:00 09:40 unspecified
100204010620Y000 16-06-2020 16-06-2020 PEKERJA
228 0001279482445 DENI L Fever, unspecified Berobat Jalan
273 00:00 09:22 MANDIRI
100204010620P000 16-06-2020 16-06-2020 PEKERJA
229 0001471906809 ARLEIN ROSANA DIAN P Dyspepsia Rujuk Vertikal
265 00:00 08:42 MANDIRI
100204010620Y000 16-06-2020 16-06-2020 PEKERJA
230 0002297628663 HERMAN L Calculus of kidney Rujuk Vertikal
277 00:00 09:44 MANDIRI
Tuberculosis of lung,
100204010620P000 15-06-2020 15-06-2020 without mention of
231 0000419126308 WATNO L PBI (APBN) Rujuk Vertikal
239 00:00 08:41 bacteriological or
histological confirmation
100204010620Y000 15-06-2020 15-06-2020
232 0000419169609 DIAH ERWANI P PBI (APBN) Myalgia Berobat Jalan
257 00:00 10:59
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 15-06-2020 15-06-2020


233 0000419205341 ADE SUTINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
262 00:00 11:20
100204010620Y000 15-06-2020 15-06-2020
234 0000419218975 DENDI SEPTYENI L PBI (APBN) Pulpitis Berobat Jalan
254 00:00 10:49
100204010620Y000 15-06-2020 15-06-2020
235 0000419775412 SURYATI P PBI (APBN) Myalgia Berobat Jalan
245 00:00 09:36
100204010620Y000 15-06-2020 15-06-2020
236 0000419915103 ANIH ROHAENIH P PBI (APBN) Pulpitis Rujuk Vertikal
236 00:00 08:30
100204010620Y000 15-06-2020 15-06-2020
237 0000419951777 EUIS JULAEHA P - Myalgia Berobat Jalan Hipertensi
243 00:00 08:54
100204010620Y000 15-06-2020 15-06-2020 Tuberculous peripheral
238 0000420123644 TIARA P PBI (APBN) Rujuk Vertikal
238 00:00 08:38 lymphadenopathy
100204010620Y000 15-06-2020 15-06-2020 PEGAWAI Acute upper respiratory
239 0000420287646 ASEP GUNAWAN L Berobat Jalan
240 00:00 08:49 SWASTA infection, unspecified
Non-insulin-dependent
100204010620Y000 15-06-2020 15-06-2020
240 0000420368534 ATIH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
247 00:00 09:56
multiple complications
100204010620Y000 15-06-2020 15-06-2020
241 0000420411036 IRSYAD NURJAYA HAKIM L PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal
246 00:00 09:52
100204010620Y000 15-06-2020 15-06-2020 Essential (primary)
242 0001003867705 MI'AH P PBI (APBN) Berobat Jalan Hipertensi
241 00:00 08:50 hypertension
100204010620Y000 15-06-2020 15-06-2020 Acute upper respiratory
243 0001003870618 DWI WANTORO .. L PBI (APBN) Berobat Jalan
256 00:00 10:57 infection, unspecified
100204010620Y000 15-06-2020 15-06-2020
244 0001089368201 HERMAWAN L PBI (APBN) Myalgia Berobat Jalan
250 00:00 10:28
100204010620Y000 15-06-2020 15-06-2020
245 0001340598352 HERA WATI P PBI (APBD) Residual schizophrenia Rujuk Vertikal
244 00:00 09:19
100204010620Y000 15-06-2020 15-06-2020
246 0001341084137 MARDIATUN P PBI (APBD) Myalgia Berobat Jalan
260 00:00 11:17
100204010620Y000 15-06-2020 15-06-2020 PEKERJA Essential (primary)
247 0001387267582 EJEB SUHENDI L Berobat Jalan Hipertensi
242 00:00 08:53 MANDIRI hypertension
PEGAWAI
PEMERINTAH
100204010620Y000 15-06-2020 15-06-2020
248 0001468505182 NUROHMAH P DENGAN Amenorrhoea, unspecified Berobat Jalan
261 00:00 11:19
PERJANJIAN
KERJA
100204010620Y000 15-06-2020 15-06-2020 PEGAWAI
249 0001518345404 SAJAAH AS SHODIQOH P Pulpitis Berobat Jalan
258 00:00 10:59 SWASTA
100204010620Y000 15-06-2020 15-06-2020 PEKERJA
250 0001961068882 WAWAN SURYANA L Myalgia Berobat Jalan
259 00:00 11:16 MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent
100204010620Y000 15-06-2020 15-06-2020 PEKERJA
251 0001961069242 maryam P diabetes mellitus with Rujuk Vertikal
249 00:00 10:18 MANDIRI
multiple complications
100204010620Y000 15-06-2020 15-06-2020 PEKERJA Radiculopathy, lumbar
252 0002057000657 ACIH P Rujuk Vertikal
237 00:00 08:33 MANDIRI region
100204010620Y000 15-06-2020 15-06-2020
253 0002068888285 ENIN SUKAESIH P PBI (APBN) Malocclusion, unspecified Rujuk Vertikal
251 00:00 10:31
100204010620Y000 15-06-2020 15-06-2020 ALVIN ANSHORI ABDUL PEKERJA Periapical abscess without
254 0002492587888 L Berobat Jalan
252 00:00 10:33 GHAFAR MANDIRI sinus
100204010620Y000 15-06-2020 15-06-2020 Pregnancy, not (yet)
255 0002583870761 SUHAENAH P PBI (APBN) Berobat Jalan
253 00:00 10:43 confirmed

Diarrhoea and
100204010620Y000 15-06-2020 15-06-2020 DZAKIYYA ZAHRA
256 0002793049672 P PBI (APBN) gastroenteritis of Berobat Jalan
255 00:00 10:52 ALZAIRA
presumed infectious origin

100204010620Y000 15-06-2020 15-06-2020 Supervision of high-risk


257 0002839136422 PENI PEBRIANI P PBI (APBN) Rujuk Vertikal
248 00:00 10:00 pregnancy, unspecified
100204010620Y000 13-06-2020 13-06-2020 Essential (primary)
258 0000056059694 UDANG L PNS DAERAH Berobat Jalan
232 00:00 11:53 hypertension
100204010620Y000 13-06-2020 13-06-2020
259 0000419301729 UYEK SUHERMAN L PBI (APBN) Congestive heart failure Rujuk Vertikal
228 00:00 10:53
100204010620Y000 13-06-2020 13-06-2020 Anomalies of jaw-cranial
260 0000419573531 SURYADI L - Rujuk Vertikal
225 00:00 08:55 base relationship
Non-insulin-dependent
100204010620Y000 13-06-2020 13-06-2020 Diabetes
261 0000419980961 ELAH ROMLAH P PBI (APBN) diabetes mellitus without Berobat Jalan
233 00:00 11:53 Mellitus
complications
100204010620Y000 13-06-2020 13-06-2020 Acute upper respiratory
262 0000420290201 SURYATI P - Berobat Jalan
235 00:00 11:55 infection, unspecified
100204010620Y000 13-06-2020 13-06-2020 PEKERJA Essential (primary)
263 0001325074634 EPON POPON P Berobat Jalan
234 00:00 11:54 MANDIRI hypertension
100204010620Y000 13-06-2020 13-06-2020 PEKERJA
264 0001785383392 SILVIANA P Pulpitis Berobat Jalan
227 00:00 10:05 MANDIRI
Non-insulin-dependent
100204010620Y000 13-06-2020 13-06-2020 PEKERJA
265 0002273637576 ISKANDAR L diabetes mellitus without Berobat Jalan
231 00:00 11:52 MANDIRI
complications
100204010620Y000 13-06-2020 13-06-2020 PEKERJA
266 0002377674977 HIDAYAT NATA SASMITA L Congestive heart failure Rujuk Vertikal Hipertensi
226 00:00 09:09 MANDIRI
100204010620Y000 13-06-2020 13-06-2020
267 0002793038613 INA MARIYANA P PBI (APBN) Myalgia Berobat Jalan
229 00:00 11:44
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 13-06-2020 13-06-2020 Essential (primary)


268 0002793045148 INGRID AVIANTI P - Berobat Jalan
230 00:00 11:44 hypertension
100204010620Y000 12-06-2020 PENERIMA Essential (primary)
269 06-12-2020 0000053715655 HARIJADI L Berobat Jalan
214 09:22 PENSIUN PNS hypertension
100204010620Y000 12-06-2020 MOCHAMAD YAYANG PENERIMA
270 06-12-2020 0000053716353 L Impacted cerumen Berobat Jalan
222 12:03 SJACHRIAL PENSIUN PNS
100204010620Y000 12-06-2020 Essential (primary)
271 06-12-2020 0000418597569 SUMADI L PBI (APBN) Berobat Jalan Hipertensi
215 09:28 hypertension
100204010620Y000 12-06-2020 General medical
272 06-12-2020 0000418840986 DEVI MAULANA P - Berobat Jalan
205 09:01 examination
100204010620Y000 12-06-2020 Essential (primary)
273 06-12-2020 0000419049077 SITI SURYANI P PBI (APBN) Berobat Jalan Hipertensi
206 09:03 hypertension
Unspecified contact
100204010620Y000 12-06-2020
274 06-12-2020 0000419230787 ELYA P - dermatitis, unspecified Berobat Jalan
221 11:54
cause
100204010620Y000 12-06-2020
275 06-12-2020 0000419232341 ANISA SRIYANTI P PBI (APBN) Lichen simplex chronicus Berobat Jalan
224 13:40
100204010620Y000 12-06-2020
276 06-12-2020 0000419301729 UYEK SUHERMAN L PBI (APBN) Congestive heart failure Berobat Jalan
204 08:48
100204010620Y000 12-06-2020
277 06-12-2020 0000419622096 FIDI SYAFANA L - Cataract, unspecified Rujuk Vertikal Hipertensi Hipertensi
211 09:15
100204010620Y000 12-06-2020 Tuberculous peripheral
278 06-12-2020 0000419747319 HENDAR SUMANTRI L PBI (APBN) Berobat Jalan
207 09:05 lymphadenopathy
Tuberculosis of lung,
100204010620Y000 12-06-2020 confirmed by sputum
279 06-12-2020 0001003903031 WATI P PBI (APBN) Berobat Jalan
212 09:17 microscopy with or without
culture
100204010620Y000 12-06-2020 Essential (primary)
280 06-12-2020 0001003906991 ENJANG L PBI (APBN) Berobat Jalan Hipertensi
213 09:20 hypertension
100204010620Y000 12-06-2020
281 06-12-2020 0001089372868 WAHYU L PBI (APBN) Residual schizophrenia Rujuk Vertikal
203 08:22
Chronic obstructive
100204010620Y000 12-06-2020
282 06-12-2020 0001340797048 MAMAN SETIAWAN L PBI (APBD) pulmonary disease, Berobat Jalan
220 11:50
unspecified
100204010620Y000 12-06-2020 SANDI
283 06-12-2020 0001438567975 L - Impacted teeth Berobat Jalan Hipertensi
216 09:29 SAHRINNURRAHMAN
100204010620Y000 12-06-2020 PEKERJA
284 06-12-2020 0001456332175 SAMUEL IWAN GUNAWAN L Pulpitis Berobat Jalan
210 09:12 MANDIRI
100204010620Y000 12-06-2020 PEKERJA Unspecified nonorganic
285 06-12-2020 0001461491662 YANA KARYANA L Rujuk Vertikal
208 09:06 MANDIRI psychosis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 12-06-2020 PEGAWAI


286 06-12-2020 0001518345404 SAJAAH AS SHODIQOH P Pulpitis Berobat Jalan
217 10:15 SWASTA
100204010620Y000 12-06-2020 PEKERJA
287 06-12-2020 0002695861506 LENI MARLINA P Tension-type headache Berobat Jalan
219 11:46 MANDIRI
100204010620Y000 12-06-2020 RAHMA HERLINA PEKERJA Acute upper respiratory
288 06-12-2020 0002695861517 P Berobat Jalan
218 11:42 ANGGREANI MANDIRI infection, unspecified
100204010620Y000 12-06-2020
289 06-12-2020 0002793051235 NUNUNG NURHAYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
209 09:09
100204010620Y000 12-06-2020 CHANDRA ARIF PEKERJA
290 06-12-2020 0002892886007 L Constipation Berobat Jalan
223 13:16 SETIAWAN MANDIRI
Malignant neoplasm of
100204010620Y000 11-06-2020 PENERIMA
291 06-11-2020 0000053600848 DJUANINGSIH P bronchus or lung, Rujuk Vertikal
186 08:49 PENSIUN PNS
unspecified
100204010620Y000 11-06-2020 PENERIMA
292 06-11-2020 0000053715655 HARIJADI L Hyperplasia of prostate Rujuk Vertikal
192 10:09 PENSIUN PNS
100204010620Y000 11-06-2020 Supervision of normal
293 06-11-2020 0000418677298 RIYUNINGSIH P PBI (APBN) Berobat Jalan
201 14:48 pregnancy, unspecified
Atherosclerotic
100204010620Y000 11-06-2020
294 06-11-2020 0000419021447 HENDRA GUNAWAN L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
187 08:51
described
100204010620Y000 11-06-2020
295 06-11-2020 0000419552234 UKAT MAHRON HIDAYAT L PBI (APBN) Pulpitis Berobat Jalan
193 10:15
100204010620Y000 11-06-2020
296 06-11-2020 0000419554866 DEDE RIDWAN JUMARA L PBI (APBN) Pulpitis Berobat Jalan
194 10:23
100204010620Y000 11-06-2020 Supervision of normal
297 06-11-2020 0000419615111 YUNI NURJANAH P - Berobat Jalan
202 14:49 pregnancy, unspecified
Tuberculosis of lung,
100204010620P000 11-06-2020 without mention of
298 06-11-2020 0000419673071 ENCENG RAHMAT L PBI (APBN) Rujuk Vertikal
188 09:27 bacteriological or
histological confirmation
100204010620Y000 11-06-2020 Antenatal screening,
299 06-11-2020 0001003862395 MIRANTIKA P - Berobat Jalan
200 14:46 unspecified
Non-insulin-dependent
100204010620Y000 11-06-2020
300 06-11-2020 0001003864871 SAMINI P PBI (APBN) diabetes mellitus with Rujuk Vertikal Hipertensi
185 08:24
multiple complications
100204010620Y000 11-06-2020 Essential (primary)
301 06-11-2020 0001340432853 POPON P - Berobat Jalan Hipertensi
196 12:06 hypertension
100204010620Y000 11-06-2020 Antenatal screening,
302 06-11-2020 0001341198461 ANI SUSILAWATI P - Berobat Jalan
199 14:45 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent Diabetes
100204010620Y000 11-06-2020 Diabetes
303 06-11-2020 0001729820981 KUI TJONG L INVESTOR diabetes mellitus with Rujuk Vertikal Mellitus
189 09:29 Mellitus
multiple complications Hipertensi
100204010620Y000 11-06-2020
304 06-11-2020 0001729821003 ROSNI TIOLINA P INVESTOR Calcific tendinitis Rujuk Vertikal Hipertensi
190 09:33
100204010620Y000 11-06-2020 Open wound of
305 06-11-2020 0002013488278 INTAN P PBI (APBN) Berobat Jalan
197 12:08 unspecified body region
100204010620Y000 11-06-2020 SYANDI HAFID HAKIM PEKERJA Mumps without
306 06-11-2020 0002197154643 L Berobat Jalan
195 12:04 NURULLOH MANDIRI complication
100204010620Y000 11-06-2020
307 06-11-2020 0002615302552 DEVARA LINTANG RIZKY L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
198 14:37
100204010620P000 11-06-2020
308 06-11-2020 0002836965071 NANA L PBI (APBN) Haemorrhoids Rujuk Vertikal
191 10:05
100204010620Y000 10-06-2020
309 06-10-2020 0000053146541 SUWARNI P PNS DAERAH Hemiplegia, unspecified Rujuk Vertikal
163 08:53
100204010620Y000 10-06-2020 Acute upper respiratory
310 06-10-2020 0000417895896 LASMI NURCAHYANI P PBI (APBN) Berobat Jalan
165 08:58 infection, unspecified
100204010620Y000 10-06-2020
311 06-10-2020 0000418580223 TATI ROHAETI P PBI (APBN) Gastritis, unspecified Berobat Jalan
179 10:32
100204010620Y000 10-06-2020
312 06-10-2020 0000418895043 WINNI WINDIANI P PBI (APBN) Myalgia Berobat Jalan
182 10:41
100204010620Y000 10-06-2020
313 06-10-2020 0000419013494 NIA KURNIA P - Myalgia Berobat Jalan
183 10:46
100204010620Y000 10-06-2020 Contraceptive
314 06-10-2020 0000419036365 GILANG JUARIAH P PBI (APBN) Berobat Jalan
166 09:08 management, unspecified
100204010620Y000 10-06-2020
315 06-10-2020 0000419214058 DEDEH ROSMETA P - Dyspepsia Berobat Jalan
168 09:27
100204010620Y000 10-06-2020 Contraceptive
316 06-10-2020 0000419433693 NENIS WINTARSIH P PBI (APBN) Berobat Jalan
162 08:49 management, unspecified
100204010620Y000 10-06-2020
317 06-10-2020 0000419681283 ASEP SAEPUDIN L PBI (APBN) Candidal stomatitis Berobat Jalan
172 09:38
100204010620Y000 10-06-2020
318 06-10-2020 0000419775412 SURYATI P PBI (APBN) Myalgia Berobat Jalan
174 09:49
100204010620P000 10-06-2020 PEKERJA Dependence on renal
319 06-10-2020 0000420324445 RIJAL ZAELANI L Rujuk Vertikal
175 09:59 MANDIRI dialysis
100204010620Y000 10-06-2020
320 06-10-2020 0000420374823 MISWANTO L - Tension-type headache Berobat Jalan
171 09:36
100204010620Y000 10-06-2020 Essential (primary)
321 06-10-2020 0000420375475 CICIH MINTARSIH P - Berobat Jalan
167 09:24 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 10-06-2020 Periapical abscess without


322 06-10-2020 0000420790634 NENG JENI P PBI (APBN) Berobat Jalan
178 10:31 sinus
100204010620Y000 10-06-2020 Acute upper respiratory
323 06-10-2020 0001003864375 SUHERLAN L PBI (APBN) Berobat Jalan
161 08:44 infection, unspecified
100204010620Y000 10-06-2020
324 06-10-2020 0001089379271 SUHLAN SUBANGKIT L - Hyperplasia of prostate Rujuk Vertikal
158 08:36
100204010620Y000 10-06-2020 Acute upper respiratory
325 06-10-2020 0001321268207 ARI SUHENDAR L - Berobat Jalan
164 08:54 infection, unspecified
100204010620Y000 10-06-2020 PEKERJA
326 06-10-2020 0001328600237 DEWI ROKAESIH P Residual schizophrenia Rujuk Vertikal
177 10:29 MANDIRI
100204010620Y000 10-06-2020 PEKERJA
327 06-10-2020 0001335841558 JESSY THERESIA P Congestive heart failure Rujuk Vertikal
156 08:16 MANDIRI
100204010620Y000 10-06-2020 Acute upper respiratory
328 06-10-2020 0001340597665 APON SURYATI P PBI (APBD) Berobat Jalan
170 09:32 infection, unspecified
100204010620Y000 10-06-2020 Depressive episode,
329 06-10-2020 0001461958108 RIZZA MARWAN L - Rujuk Vertikal
176 10:12 unspecified
100204010620Y000 10-06-2020 PEGAWAI Chronic apical
330 06-10-2020 0001660059281 NADILA PUTRI SYAHIRAH L Berobat Jalan
180 10:36 SWASTA periodontitis
100204010620Y000 10-06-2020 PEKERJA Essential (primary)
331 06-10-2020 0001729275221 SUPRIADI L Berobat Jalan
169 09:30 MANDIRI hypertension
100204010620Y000 10-06-2020 PEKERJA
332 06-10-2020 0001785383392 SILVIANA P Pulpitis Berobat Jalan
157 08:34 MANDIRI
100204010620Y000 10-06-2020 PEKERJA
333 06-10-2020 0002050972558 SOIMAH P Myalgia Berobat Jalan
159 08:38 MANDIRI
100204010620Y000 10-06-2020 PEKERJA Essential (primary)
334 06-10-2020 0002316843707 MAKMUN ABDULLAH L Berobat Jalan
181 10:39 MANDIRI hypertension
100204010620Y000 10-06-2020
335 06-10-2020 0002598062411 MUHAMAD RAIHAN L PBI (APBN) Fever, unspecified Berobat Jalan
173 09:41
100204010620Y000 10-06-2020
336 06-10-2020 0002793046634 ANISA KANIA ANGGAENI P - Dermatitis, unspecified Berobat Jalan
184 13:56
100204010620Y000 10-06-2020 Essential (primary)
337 06-10-2020 0002793050684 ACE L PBI (APBN) Berobat Jalan Hipertensi
160 08:41 hypertension
100204010620Y000 09-06-2020 Acute nasopharyngitis
338 06-09-2020 0000418845633 ETI KARTINI P - Berobat Jalan
149 10:15 [common cold]
100204010620Y000 09-06-2020 Acute upper respiratory
339 06-09-2020 0000419206994 DIANA NURAENI P - Berobat Jalan
137 09:18 infection, unspecified
100204010620Y000 09-06-2020
340 06-09-2020 0000419318605 SARMIN L PBI (APBN) Other acute conjunctivitis Berobat Jalan
138 09:21
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 09-06-2020 Essential (primary)


341 06-09-2020 0000419380593 KURNIASIH P - Berobat Jalan Hipertensi
141 09:43 hypertension
100204010620Y000 09-06-2020
342 06-09-2020 0000419510981 ANNISA AGUSTINA P PBI (APBN) Typhoid fever Berobat Jalan
147 10:09
100204010620Y000 09-06-2020 Essential (primary)
343 06-09-2020 0000419514535 ONENG P PBI (APBN) Berobat Jalan
143 09:45 hypertension
100204010620Y000 09-06-2020
344 06-09-2020 0000419736982 SARI KOMALA P PBI (APBN) Pruritus, unspecified Berobat Jalan
139 09:38
100204010620Y000 09-06-2020 Uterovaginal prolapse,
345 06-09-2020 0000419870237 SRI NURHAYATI P PBI (APBN) Rujuk Vertikal
136 08:57 unspecified
100204010620Y000 09-06-2020
346 06-09-2020 0001277564163 LUTHFINA N.A P PRAJURIT AD Dental caries, unspecified Berobat Jalan
146 09:51
100204010620Y000 09-06-2020 PEKERJA
347 06-09-2020 0001280948883 RIZKI NURDIANSYAH L Other acute conjunctivitis Berobat Jalan
145 09:50 MANDIRI
100204010620Y000 09-06-2020
348 06-09-2020 0001340722179 ETI ROHAETY P PBI (APBD) Other acute gastritis Berobat Jalan
140 09:42
100204010620P000 09-06-2020 PEKERJA
349 06-09-2020 0001387720056 ACENG SUHADA L Acute lymphadenitis Rujuk Vertikal
135 08:49 MANDIRI
100204010620Y000 09-06-2020 PEKERJA Essential (primary)
350 06-09-2020 0002377674977 HIDAYAT NATA SASMITA L Berobat Jalan Hipertensi
155 11:33 MANDIRI hypertension
100204010620Y000 09-06-2020 Acute haemorrhagic
351 06-09-2020 0002595354186 HANIFA NURMAYANTI P PBI (APBN) Berobat Jalan
144 09:49 gastritis
100204010620Y000 09-06-2020 Rheumatism, unspecified,
352 06-09-2020 0002836964294 TUTI SULASTRI P - Berobat Jalan
142 09:44 multiple sites
100204010620Y000 08-06-2020 Essential (primary)
353 06-08-2020 0000418650445 SUMIATI P PBI (APBN) Berobat Jalan
127 09:49 hypertension
Cutaneous abscess,
100204010620Y000 08-06-2020
354 06-08-2020 0000418672449 MIMIN MINTARSIH P - furuncle and carbuncle, Berobat Jalan
124 09:33
unspecified
Atherosclerotic
100204010620Y000 08-06-2020 Diabetes
355 06-08-2020 0000419101435 EUIS MARLINA P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
131 10:47 Mellitus
described
100204010620Y000 08-06-2020
356 06-08-2020 0000419111504 RENI ANGGRAENI P PBI (APBN) Atrial septal defect Rujuk Vertikal
113 08:38
100204010620Y000 08-06-2020 Acute upper respiratory
357 06-08-2020 0000419205835 NIKEN MELANI P - Berobat Jalan
121 09:21 infection, unspecified
100204010620Y000 08-06-2020
358 06-08-2020 0000419337099 SITI MULYANI P PBI (APBN) Congestive heart failure Rujuk Vertikal
112 07:56
100204010620P000 08-06-2020 Disorder of eye and
359 06-08-2020 0000419626631 IKA SUPARTIKA P - Rujuk Vertikal
118 09:16 adnexa, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 08-06-2020
360 06-08-2020 0000419752528 ETI ROHAETI P PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal
114 09:08
100204010620Y000 09-06-2020 Other and unspecified
361 06-08-2020 0000419870237 SRI NURHAYATI P PBI (APBN) Berobat Jalan
134 08:26 abdominal pain
100204010620P000 09-06-2020
362 06-08-2020 0000419954027 SRI RAHAYU P PBI (APBN) Counselling, unspecified Berobat Jalan
151 11:13
100204010620Y000 08-06-2020
363 06-08-2020 0001003864318 SITI SARIFAH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
122 09:23
100204010620Y000 08-06-2020 Essential (primary)
364 06-08-2020 0001003865848 ATIH P PBI (APBN) Berobat Jalan
123 09:26 hypertension
100204010620Y000 08-06-2020 PEKERJA Essential (primary)
365 06-08-2020 0001322522965 MOMON TARYANA L Berobat Jalan Hipertensi
117 09:14 MANDIRI hypertension
Non-insulin-dependent
100204010620Y000 08-06-2020
366 06-08-2020 0001336773148 MANGARA PANJAITAN L - diabetes mellitus with Rujuk Vertikal
130 10:25
multiple complications
100204010620Y000 08-06-2020
367 06-08-2020 0001340433134 ANI RODIANAH P PBI (APBD) Low back pain Berobat Jalan
128 09:57
100204010620Y000 08-06-2020 Malignant neoplasm of
368 06-08-2020 0001340904508 NINA LASMINI P PBI (APBD) Rujuk Vertikal
119 09:18 thyroid gland
100204010620Y000 09-06-2020 PEGAWAI Supervision of high-risk
369 06-08-2020 0001447478673 ATIN SUPRIATIN P Berobat Jalan
148 10:12 SWASTA pregnancy, unspecified
100204010620Y000 08-06-2020
370 06-08-2020 0001451921275 SULASTRI P - Tension-type headache Berobat Jalan
125 09:36
100204010620Y000 08-06-2020 PEGAWAI
371 06-08-2020 0001660059268 DEVI MUCHAROMAH P Chalazion Rujuk Vertikal
115 09:11 SWASTA
100204010620Y000 08-06-2020 PEKERJA Essential (primary)
372 06-08-2020 0002326785311 TATANG GANJAR L Berobat Jalan
120 09:19 MANDIRI hypertension
100204010620Y000 08-06-2020
373 06-08-2020 0002596719148 ENTAT HADIYANTI P - Myalgia Berobat Jalan
129 09:59
100204010620Y000 08-06-2020 Essential (primary)
374 06-08-2020 0002597534886 EROS KARWATI P PBI (APBN) Berobat Jalan Hipertensi
133 10:58 hypertension
100204010620P000 08-06-2020 MUHAMMAD REVAN
375 06-08-2020 0002743058575 L - Asthma Rujuk Vertikal
126 09:37 DITIYA
Need for immunization
100204010620P000 09-06-2020 ALEENA SYIFABELLA
376 06-08-2020 0002773430493 P PBI (APBN) against Berobat Jalan
152 11:15 PUTRI ROCHMAN
measles-mumps-rubella
100204010620Y000 08-06-2020 Disturbances in tooth
377 06-08-2020 0002793036058 NOVI OKTAVIANI P - Berobat Jalan
116 09:13 eruption
100204010620Y000 08-06-2020
378 06-08-2020 0002836963023 DEDE P PBI (APBN) Gastritis, unspecified Berobat Jalan
132 10:51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Need for immunization


100204010620P000 09-06-2020 ANNAILA TALITA
379 06-08-2020 0002891575293 P PBI (APBN) against Berobat Jalan
150 11:11 ALMYRAH
measles-mumps-rubella
Need for immunization
100204010620P000 09-06-2020 MUHAMAD RAZQA PEGAWAI
380 06-08-2020 0002895891873 L against Berobat Jalan
153 11:16 NUGRAHA SWASTA
measles-mumps-rubella
Need for immunization
100204010620P000 09-06-2020 QALESYA SHANUM PEKERJA
381 06-08-2020 0002928301075 P against Berobat Jalan
154 11:17 HUMAIRA MANDIRI
measles-mumps-rubella
100204010620Y000 07-06-2020
382 06-06-2020 0000055752219 SUYONO L PNS PUSAT Polyarthritis, unspecified Berobat Jalan
110 09:44
100204010620Y000 06-06-2020 Atopic dermatitis,
383 06-06-2020 0000418840986 DEVI MAULANA P - Berobat Jalan
106 10:05 unspecified
100204010620Y000 06-06-2020 Acute upper respiratory
384 06-06-2020 0000419129267 ASEP HASANDI L PBI (APBN) Berobat Jalan
103 09:22 infection, unspecified
100204010620Y000 07-06-2020
385 06-06-2020 0000419143612 OMIH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
108 09:43
100204010620Y000 06-06-2020
386 06-06-2020 0000419337099 SITI MULYANI P PBI (APBN) Congestive heart failure Berobat Jalan
102 08:42
Non-insulin-dependent
100204010620Y000 06-06-2020
387 06-06-2020 0000420238899 IHAT P PBI (APBN) diabetes mellitus without Berobat Jalan Hipertensi
104 09:42
complications
100204010620Y000 06-06-2020
388 06-06-2020 0001003867176 NINING SARININGSIH P PBI (APBN) Myalgia Berobat Jalan Hipertensi
105 09:56
100204010620Y000 07-06-2020 Essential (primary)
389 06-06-2020 0001340796453 JARIAH P PBI (APBD) Berobat Jalan
109 09:43 hypertension
100204010620Y000 06-06-2020 KAYLA SYAHHADATUL
390 06-06-2020 0002902817733 P PBI (APBN) Diseases of lips Rujuk Vertikal
107 10:16 QOLBI
100204010620Y000 07-06-2020 PEKERJA Supervision of normal
391 06-06-2020 0002922350769 PANI ROSMAWATI P Berobat Jalan
111 09:46 MANDIRI pregnancy, unspecified
100204010620Y000 05-06-2020 Acute upper respiratory
392 06-05-2020 0000417735055 KOSTAMAN L PBI (APBN) Berobat Jalan
091 09:23 infection, unspecified
100204010620Y000 05-06-2020 Essential (primary)
393 06-05-2020 0000418892387 LILIS SUGIARTINI P PBI (APBN) Berobat Jalan
086 09:01 hypertension
Non-insulin-dependent
100204010620Y000 05-06-2020 Diabetes
394 06-05-2020 0000419101435 EUIS MARLINA P PBI (APBN) diabetes mellitus with Berobat Jalan
101 12:28 Mellitus
multiple complications
100204010620Y000 05-06-2020
395 06-05-2020 0000419413994 ADITYA L PBI (APBN) Melaena Berobat Jalan
093 09:32
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 05-06-2020
396 06-05-2020 0000419510981 ANNISA AGUSTINA P PBI (APBN) Typhoid fever Berobat Jalan
087 09:11
100204010620Y000 05-06-2020 Pre-eclampsia,
397 06-05-2020 0000420023182 YULIATI P PBI (APBN) Berobat Jalan
100 12:26 unspecified
100204010620Y000 05-06-2020 Essential (primary)
398 06-05-2020 0000420287051 MAMAN SUPARMAN L - Berobat Jalan
094 09:34 hypertension
Atherosclerotic
100204010620Y000 05-06-2020 PEKERJA
399 06-05-2020 0001275799228 UMAR BASRI L cardiovascular disease, so Rujuk Vertikal
089 09:13 MANDIRI
described
100204010620Y000 05-06-2020 PEKERJA
400 06-05-2020 0001338645407 EKO PURWANTO L Paranoid schizophrenia Rujuk Vertikal
095 09:42 MANDIRI
Non-insulin-dependent
100204010620Y000 05-06-2020 Diabetes
401 06-05-2020 0001340297741 SARWEN P PBI (APBD) diabetes mellitus without Berobat Jalan
099 11:08 Mellitus
complications
Non-insulin-dependent
100204010620Y000 05-06-2020 Diabetes Diabetes
402 06-05-2020 0001340298224 II P PBI (APBD) diabetes mellitus without Berobat Jalan
098 10:06 Mellitus Mellitus
complications
Non-insulin-dependent
100204010620Y000 05-06-2020
403 06-05-2020 0001340433009 DEDEH JUBAEDAH P PBI (APBD) diabetes mellitus with Rujuk Vertikal
085 08:57
multiple complications
Non-insulin-dependent
100204010620Y000 05-06-2020
404 06-05-2020 0001340433382 UJANG TAHYA L - diabetes mellitus without Berobat Jalan
096 09:42
complications
100204010620Y000 05-06-2020 Essential (primary)
405 06-05-2020 0001340902451 BAMBANG RUSMANTO L PBI (APBD) Berobat Jalan
092 09:27 hypertension
100204010620Y000 05-06-2020 Essential (primary)
406 06-05-2020 0001340964639 DAAH P PBI (APBD) Berobat Jalan
082 08:46 hypertension
100204010620Y000 05-06-2020 PEGAWAI
407 06-05-2020 0001660059268 DEVI MUCHAROMAH P Blepharitis Berobat Jalan
083 08:47 SWASTA
100204010620Y000 05-06-2020 PEGAWAI Burns involving less than
408 06-05-2020 0001811438223 ALZIA SHAKEEL AKHTAR L Berobat Jalan
090 09:15 SWASTA 10% of body surface
100204010620Y000 05-06-2020 Essential (primary)
409 06-05-2020 0002378890203 ENENG IRIYANTI P - Berobat Jalan Hipertensi
088 09:13 hypertension
100204010620Y000 05-06-2020 Essential (primary)
410 06-05-2020 0002793047692 UMSARI P PBI (APBN) Berobat Jalan
084 08:50 hypertension
100204010620Y000 04-06-2020 Essential (primary) Diabetes Diabetes
411 06-04-2020 0000407577925 ELASWATI P PBI (APBN) Berobat Jalan
070 09:07 hypertension Mellitus Mellitus
100204010620Y000 04-06-2020 Essential (primary)
412 06-04-2020 0000417692452 MANISAH P - Berobat Jalan Hipertensi
069 09:04 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 04-06-2020
413 06-04-2020 0000417762663 NUNUNG P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
063 08:43
100204010620Y000 04-06-2020
414 06-04-2020 0000419062972 ROHAYATI P PBI (APBN) Myalgia Berobat Jalan
065 08:48
100204010620Y000 04-06-2020 Essential (primary)
415 06-04-2020 0000419184404 JUJU JUBAIDAH P PBI (APBN) Berobat Jalan
064 08:45 hypertension
100204010620Y000 04-06-2020 Essential (primary)
416 06-04-2020 0000419192695 MOMOH P PBI (APBN) Berobat Jalan
073 09:12 hypertension
100204010620Y000 04-06-2020
417 06-04-2020 0000419214058 DEDEH ROSMETA P - Pulpitis Berobat Jalan
080 09:28
100204010620Y000 04-06-2020
418 06-04-2020 0000419225117 RISNA P PBI (APBN) Cyst of Bartholin's gland Rujuk Vertikal
081 09:41
100204010620Y000 04-06-2020
419 06-04-2020 0000419439407 ENI ROHAYANI P PBI (APBN) Myalgia Berobat Jalan
079 09:27
100204010620Y000 04-06-2020 Antenatal screening for
420 06-04-2020 0000419665689 CICI HERLINA P PBI (APBN) Berobat Jalan
057 08:24 chromosomal anomalies
100204010620Y000 04-06-2020 Antenatal screening for
421 06-04-2020 0000419835328 RITA KURNIATI P - Berobat Jalan
072 09:10 chromosomal anomalies
100204010620Y000 04-06-2020
422 06-04-2020 0000420018232 uka kuraesin P - Myalgia Berobat Jalan
066 08:51
100204010620Y000 04-06-2020 Supervision of pregnancy
423 06-04-2020 0000420058258 ENIH P - Berobat Jalan
068 08:59 with grand multiparity
100204010620Y000 04-06-2020 Antenatal screening for
424 06-04-2020 0000420059103 ADE RAHAYU P - Berobat Jalan
074 09:18 chromosomal anomalies
100204010620Y000 04-06-2020 Acute upper respiratory
425 06-04-2020 0000420160061 DANI L PBI (APBN) Berobat Jalan
071 09:10 infection, unspecified
100204010620Y000 04-06-2020 Acute nasopharyngitis
426 06-04-2020 0000420160667 AMAH P PBI (APBN) Berobat Jalan
067 08:56 [common cold]
100204010620Y000 05-06-2020
427 06-04-2020 0000420390764 AGUS ERNAWAN L - Pulpitis Berobat Jalan
097 09:47
Non-insulin-dependent
100204010620Y000 04-06-2020 Diabetes Diabetes
428 06-04-2020 0001340393499 LENA HERDIANA P - diabetes mellitus with Berobat Jalan
062 08:41 Mellitus Mellitus
multiple complications
100204010620Y000 04-06-2020 PEKERJA Essential (primary)
429 06-04-2020 0001387720056 ACENG SUHADA L Berobat Jalan
078 09:26 MANDIRI hypertension
100204010620Y000 04-06-2020 PEKERJA Essential (primary)
430 06-04-2020 0001389386068 DEDE RUKANDA L Berobat Jalan
059 08:30 MANDIRI hypertension
Unspecified diabetes
100204010620Y000 04-06-2020 PEKERJA
431 06-04-2020 0001389389106 KARYATI P mellitus without Berobat Jalan Hipertensi
060 08:31 MANDIRI
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 04-06-2020 PEKERJA Periapical abscess without


432 06-04-2020 0001461491548 LILIS KARYATI P Berobat Jalan
077 09:23 MANDIRI sinus
PEGAWAI
PEMERINTAH
100204010620Y000 04-06-2020
433 06-04-2020 0001793462275 YANTI HARYATI P DENGAN Scabies Berobat Jalan
075 09:19
PERJANJIAN
KERJA
Non-insulin-dependent
100204010620Y000 04-06-2020 PEKERJA
434 06-04-2020 0001830135857 ENAH ROHAENI P diabetes mellitus without Berobat Jalan Hipertensi
058 08:25 MANDIRI
complications
100204010620Y000 04-06-2020 Pre-eclampsia,
435 06-04-2020 0002591899075 NUNUNG WANTI AGUSTIN P - Rujuk Vertikal
061 08:39 unspecified
100204010620P000 04-06-2020
436 06-04-2020 0002836963361 NUR CHESA SASABILA P - Impacted cerumen Rujuk Vertikal
076 09:22
100204010620Y000 03-06-2020 PENERIMA Essential (primary)
437 06-03-2020 0000053377738 ALI HASAN MAHLI L Berobat Jalan Hipertensi
036 08:42 PENSIUN TNI hypertension
Atherosclerotic
100204010620Y000 03-06-2020
438 06-03-2020 0000417749286 USMAN KANDA L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
045 09:51
described
100204010620Y000 03-06-2020 Essential (primary)
439 06-03-2020 0000418643965 NENENG KARYATI P PBI (APBN) Berobat Jalan
038 09:20 hypertension
Chronic obstructive
100204010620Y000 03-06-2020
440 06-03-2020 0000418718046 YONO L PBI (APBN) pulmonary disease, Berobat Jalan
051 10:30
unspecified
Atherosclerotic
100204010620Y000 03-06-2020 Diabetes
441 06-03-2020 0000419101435 EUIS MARLINA P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
040 09:22 Mellitus
described
100204010620Y000 03-06-2020 Contraceptive
442 06-03-2020 0000419170015 SUMINI P PBI (APBN) Berobat Jalan
041 09:27 management, unspecified
100204010620Y000 03-06-2020 Contraceptive
443 06-03-2020 0000419391663 AYI MUSIDAH P - Berobat Jalan
044 09:47 management, unspecified
100204010620Y000 03-06-2020 Contraceptive
444 06-03-2020 0000419406546 NINING PURWANTI P PBI (APBN) Berobat Jalan
050 10:27 management, unspecified
100204010620Y000 03-06-2020
445 06-03-2020 0000419413138 ELA HAYATI NINGSIH P - Gastritis, unspecified Berobat Jalan
056 12:37
100204010620Y000 03-06-2020 Contraceptive
446 06-03-2020 0000419537439 ADE NANI P PBI (APBN) Berobat Jalan
031 08:34 management, unspecified
100204010620Y000 03-06-2020
447 06-03-2020 0000419537632 SISKA NOVIANI P - Scabies Berobat Jalan
035 08:40
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Unilateral or unspecified
100204010620Y000 03-06-2020 MUHAMMAD VALDI
448 06-03-2020 0000420022067 L PBI (APBN) inguinal hernia, without Rujuk Vertikal
047 09:55 FIRDAUS
obstruction or gangrene
100204010620Y000 03-06-2020 Essential (primary)
449 06-03-2020 0001089392692 NENAH P - Berobat Jalan Hipertensi
034 08:38 hypertension
Postprocedural disorder of
100204010620Y000 03-06-2020 PEKERJA
450 06-03-2020 0001282094559 YANI ROSYANI P circulatory system, Rujuk Vertikal
030 08:29 MANDIRI
unspecified
100204010620Y000 03-06-2020 Acute pharyngitis,
451 06-03-2020 0001340597665 APON SURYATI P PBI (APBD) Berobat Jalan
052 10:37 unspecified

100204010620Y000 03-06-2020 PENERIMA


452 06-03-2020 0001370799022 TJAHJA SARJO L Malocclusion, unspecified Berobat Jalan
055 12:33 PENSIUN SWASTA

100204010620Y000 03-06-2020 PENERIMA


453 06-03-2020 0001370799055 ELLA NURELA P Caries of cementum Berobat Jalan
054 11:51 PENSIUN SWASTA

Non-insulin-dependent
100204010620Y000 03-06-2020 PEKERJA Diabetes Diabetes
454 06-03-2020 0001466961322 ATIN KARTINI P diabetes mellitus with Rujuk Vertikal
046 09:53 MANDIRI Mellitus Mellitus
multiple complications
100204010620Y000 03-06-2020 Contraceptive
455 06-03-2020 0002120355674 SOFI SUPRIATINI P PBI (APBN) Berobat Jalan
043 09:44 management, unspecified
100204010620Y000 03-06-2020 PEKERJA
456 06-03-2020 0002197154259 PAPAT PATMAWATI P Dyspepsia Berobat Jalan
032 08:36 MANDIRI
100204010620Y000 03-06-2020 SYANIFAR PUTRI PEKERJA General medical
457 06-03-2020 0002197154452 P Berobat Jalan
039 09:22 RAHMAWATI MANDIRI examination
100204010620Y000 03-06-2020 PEKERJA
458 06-03-2020 0002221793897 IIS SURYATI P Low back pain Rujuk Vertikal
049 10:23 MANDIRI
100204010620Y000 03-06-2020 ELLEN ROSAWITA PEKERJA Malignant neoplasm of
459 06-03-2020 0002378419097 P Rujuk Vertikal
048 10:12 TUNGGONO MANDIRI vulva, unspecified
100204010620Y000 03-06-2020 PEGAWAI Contraceptive
460 06-03-2020 0002480673677 RINI CAHYATI P Berobat Jalan
042 09:36 SWASTA management, unspecified
100204010620P000 03-06-2020 PEKERJA Essential (primary)
461 06-03-2020 0002695837061 AMIH P Rujuk Vertikal
037 09:06 MANDIRI hypertension
Non-insulin-dependent
100204010620Y000 03-06-2020 PEKERJA
462 06-03-2020 0002911992704 ADE ROHAENI P diabetes mellitus with Berobat Jalan Hipertensi
053 10:43 MANDIRI
unspecified complications
Cutaneous abscess,
100204010620Y000 03-06-2020
463 06-03-2020 0002933189471 AGUS RAHIM L - furuncle and carbuncle, Berobat Jalan
033 08:37
unspecified
100204010620Y000 02-06-2020 Essential (primary)
464 06-02-2020 0000418615119 EUIS EHA P PBI (APBN) Berobat Jalan
016 10:33 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 02-06-2020 Burns involving less than


465 06-02-2020 0000419130336 KAYAT SUWANDI L PBI (APBN) Berobat Jalan
010 10:11 10% of body surface
100204010620P000 02-06-2020
466 06-02-2020 0000419130393 SRI LESTARI P - Tension-type headache Rujuk Vertikal Hipertensi Hipertensi
008 09:45
100204010620Y000 02-06-2020
467 06-02-2020 0000419324815 IHAT SOLIHAH P PBI (APBN) Myalgia Berobat Jalan
011 10:13
100204010620P000 02-06-2020 Gastroduodenitis,
468 06-02-2020 0000419510981 ANNISA AGUSTINA P PBI (APBN) Rujuk Vertikal
029 12:22 unspecified
100204010620P000 02-06-2020
469 06-02-2020 0000419626631 IKA SUPARTIKA P - Conjunctivitis Berobat Jalan
023 10:51
100204010620P000 02-06-2020 Essential (primary)
470 06-02-2020 0000420030472 RATNAH P PBI (APBN) Berobat Jalan Hipertensi
022 10:50 hypertension
100204010620P000 02-06-2020 Uterovaginal prolapse,
471 06-02-2020 0000420034781 NENDEN P PBI (APBN) Berobat Jalan
019 10:45 unspecified
100204010620P000 02-06-2020 Tuberculous peripheral
472 06-02-2020 0001003869527 HENDRA GUNAWAN L PBI (APBN) Rujuk Vertikal
007 09:19 lymphadenopathy
100204010620P000 02-06-2020 PEKERJA
473 06-02-2020 0001262959413 Rohaeti P Thalassaemia Rujuk Vertikal
002 08:19 MANDIRI
100204010620Y000 02-06-2020 Acute apical periodontitis
474 06-02-2020 0001277564163 LUTHFINA N.A P PRAJURIT AD Berobat Jalan
027 11:25 of pulpal origin
100204010620P000 02-06-2020
475 06-02-2020 0001340393488 YENI KUSDIANTINI P PBI (APBD) Asthma Rujuk Vertikal
003 08:42
100204010620P000 02-06-2020 Essential (primary)
476 06-02-2020 0001340433551 LILIS P PBI (APBN) Berobat Jalan
018 10:44 hypertension
100204010620Y000 02-06-2020 Essential (primary)
477 06-02-2020 0001341084982 JUMIATI P - Berobat Jalan Hipertensi
006 09:08 hypertension
100204010620Y000 02-06-2020 PEKERJA
478 06-02-2020 0001462861091 ETTY SUMIATI P Congestive heart failure Rujuk Vertikal
017 10:40 MANDIRI
100204010620Y000 02-06-2020 PEKERJA Essential (primary) Diabetes Diabetes
479 06-02-2020 0001466961322 ATIN KARTINI P Berobat Jalan
012 10:21 MANDIRI hypertension Mellitus Mellitus
100204010620P000 02-06-2020 PEKERJA Radiculopathy, lumbar
480 06-02-2020 0001518618925 RUBIYO L Rujuk Vertikal
004 08:45 MANDIRI region
Non-insulin-dependent
100204010620Y000 02-06-2020 PEKERJA
481 06-02-2020 0001725202991 ERDIANSYAH L diabetes mellitus with Rujuk Vertikal
001 08:15 MANDIRI
multiple complications
100204010620P000 02-06-2020 PEKERJA
482 06-02-2020 0001961068882 WAWAN SURYANA L Myalgia Berobat Jalan
021 10:48 MANDIRI
Non-insulin-dependent
100204010620P000 02-06-2020 PEKERJA
483 06-02-2020 0001961069242 maryam P diabetes mellitus without Berobat Jalan
020 10:47 MANDIRI
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204010620Y000 02-06-2020
484 06-02-2020 0002224431281 DERI JULIANTO L - Allergic urticaria Berobat Jalan
015 10:31
100204010620P000 02-06-2020 PEKERJA
485 06-02-2020 0002378499129 SINTA SUSANTI P Prolonged pregnancy Rujuk Vertikal
005 09:07 MANDIRI
100204010620Y000 02-06-2020 KHAYRA ALESHA PEGAWAI
486 06-02-2020 0002482304591 P Acute laryngopharyngitis Berobat Jalan
028 12:17 AZZAHRA SWASTA
100204010620Y000 02-06-2020 PEKERJA Convalescence following
487 06-02-2020 0002518193272 MARIKEM P Rujuk Vertikal Hipertensi
013 10:23 MANDIRI surgery
100204010620P000 02-06-2020 PEKERJA Essential (primary)
488 06-02-2020 0002695837061 AMIH P Berobat Jalan
024 10:55 MANDIRI hypertension
100204010620P000 02-06-2020 PEKERJA
489 06-02-2020 0002696658816 IIS SUSILAWATI P Conjunctivitis Rujuk Vertikal
009 09:47 MANDIRI
100204010620P000 02-06-2020 Acute upper respiratory
490 06-02-2020 0002793046792 RYFALDO SUBASTIAN L PBI (APBN) Berobat Jalan
025 10:56 infection, unspecified
100204010620P000 02-06-2020 Acute upper respiratory
491 06-02-2020 0002793046803 RYFALDI SUBASTIAN L PBI (APBN) Berobat Jalan
026 10:57 infection, unspecified
100204010620Y000 02-06-2020
492 06-02-2020 0002836963361 NUR CHESA SASABILA P - Impacted cerumen Berobat Jalan
014 10:27

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