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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 31-01-2018 101501010118Y002207 0000065724377 MAMAN ABDURAHMAN L PNS DAERAH Sequelae of Rujuk Lanjut
cerebrovascular disease
2 31-01-2018 101501010118Y002468 0000065733197 WAHYU L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
3 31-01-2018 101501010118Y002459 0000065760671 TITIN PRIHATIN P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
4 31-01-2018 101501010118Y002155 0000065775262 RONNY P PNS DAERAH Low vision, both eyes Rujuk Lanjut

5 31-01-2018 101501010118Y002385 0000065792226 MOCHAMMAD NOVAL L PNS DAERAH Myalgia Berobat Jalan
PRASETYO
6 31-01-2018 101501010118Y002380 0000065820767 SOPIAH P PNS DAERAH Pulpitis Berobat Jalan

7 31-01-2018 101501010118Y002138 0000065908989 NANA SOEJANA TJ. L PENERIMA PENSIUN TNI Neoplasm of uncertain or Rujuk Lanjut
unknown behavior of

8 31-01-2018 101501010118Y002436 0000065917023 SUGIJONO L PENERIMA PENSIUN TNI Pyogenic granuloma Berobat Jalan

9 31-01-2018 101501010118Y002410 0000065947487 TJUTJU WARININGSIH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
10 31-01-2018 101501010118Y002435 0000065949298 JAJAN SUPARDI L PENERIMA PENSIUN TNI Pyogenic granuloma Berobat Jalan

11 31-01-2018 101501010118Y002382 0000065976704 DJUNAEDI L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
12 31-01-2018 101501010118Y002464 0000066038848 SUHANA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
13 31-01-2018 101501010118Y002392 0000066096977 H A SUKANDI NATAPRIATNA L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
14 31-01-2018 101501010118Y002236 0000066102423 NENENG KURAESIN P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
15 31-01-2018 101501010118Y002462 0000066157997 YANI SURYANI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
16 31-01-2018 101501010118Y002467 0000066163746 TJASRIYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
17 31-01-2018 101501010118Y002177 0000066203886 YETI SUMYATI P PNS DAERAH Polyneuropathy, Rujuk Lanjut
unspecified
18 31-01-2018 101501010118Y002198 0000066219952 YOYOH ROKAYAH P PNS DAERAH Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
19 31-01-2018 101501010118Y002460 0000066272005 TITIN SUTIATIN LISTIATIN P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

20 31-01-2018 101501010118Y002147 0000066273849 KASWATI P PNS DAERAH Fever with chills Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

21 31-01-2018 101501010118Y002193 0000066308411 NUNUNG NURSIFAH P PNS DAERAH Clonic hemifacial spasm Rujuk Lanjut

22 31-01-2018 101501010118Y002409 0000148996372 TITA LUSILAWATI P PNS PUSAT Contraceptive Berobat Jalan
management, unspecified
23 31-01-2018 101501010118Y002241 0000172551238 PUTRI QUROTUL UMMI P PEGAWAI PEMERINTAH Fracture of lumbar Rujuk Lanjut
NON PNS vertebra
24 31-01-2018 101501010118Y002424 0000195530253 ICIH RATNANINGSIH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
25 31-01-2018 101501010118Y002134 0000473380931 UJU P PBI (APBN) Follicular cyst of skin and Rujuk Lanjut
subcutaneous tissue,

26 31-01-2018 101501010118Y002440 0000474172413 SANTI SUSANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
27 31-01-2018 101501010118Y002378 0000474203226 ROSIH KURNIASIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
28 31-01-2018 101501010118Y002408 0000474450715 ATIKAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
29 31-01-2018 101501010118Y002381 0000474496323 NURJANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

30 31-01-2018 101501010118Y002450 0000474577299 DIAN ROSILAWATI P PBI (APBN) Pyogenic granuloma Berobat Jalan

31 31-01-2018 101501010118Y002429 0000474591295 RYANI PRAGITA DEWI P PBI (APBN) Pulpitis Berobat Jalan

32 31-01-2018 101501010118Y002469 0000474620758 WARSIH L PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus without

33 31-01-2018 101501010118Y002404 0000474646331 LILIS SUNARSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

34 31-01-2018 101501010118Y002396 0000474657254 MARNI P PBI (APBN) Contraceptive Berobat Jalan


management, unspecified
35 31-01-2018 101501010118Y002471 0000474660066 SRI FUJI RAHARJO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

36 31-01-2018 101501010118Y002376 0000474731831 ENTIN KARTINI P PBI (APBN) Myalgia Berobat Jalan

37 31-01-2018 101501010118Y002444 0000474732178 ANE NURHASANAh P PBI (APBN) Myalgia Berobat Jalan

38 31-01-2018 101501010118Y002448 0000474732832 KRESNA NURWITAPANSIH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

39 31-01-2018 101501010118Y002400 0000474743327 KUSNADI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
40 31-01-2018 101501010118Y002439 0000474751732 YUYUN PUJI SETIANINGSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
41 31-01-2018 101501010118Y002466 0000474754847 TASLI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
42 31-01-2018 101501010118Y002405 0000474788024 UUT ROHANI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

43 31-01-2018 101501010118Y002430 0000474806891 KOSIDAH P PBI (APBN) Contraceptive Berobat Jalan


management, unspecified
44 31-01-2018 101501010118Y002395 0000474809534 SOPIANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

45 31-01-2018 101501010118Y002432 0000474843082 MENA AGUS PERTIWI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
46 31-01-2018 101501010118Y002446 0000474860068 MISKANDA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

47 31-01-2018 101501010118Y002239 0000474860338 KARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
48 31-01-2018 101501010118Y002447 0000474861778 ANGGI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

49 31-01-2018 101501010118Y002374 0000474884943 ADE SUKARLI L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
50 31-01-2018 101501010118Y002375 0000474885977 EUTIK P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

51 31-01-2018 101501010118Y002407 0000474899128 INDRAWATI P PBI (APBN) Contraceptive Berobat Jalan


management, unspecified
52 31-01-2018 101501010118Y002415 0000474913495 RUMSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
53 31-01-2018 101501010118Y002136 0000474915633 DEWI RASMAWATI P PBI (APBN) Other granulomatous Rujuk Lanjut
disorders of skin and

54 31-01-2018 101501010118Y002451 0000475014363 WARNA L PBI (APBN) Myalgia Berobat Jalan

55 31-01-2018 101501010118Y002452 0000475015746 ARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
56 31-01-2018 101501010118Y002419 0000475026952 IMAS P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
57 31-01-2018 101501010118Y002379 0000475085226 YULIAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
58 31-01-2018 101501010118Y002411 0000475141342 WIDIAWATI P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
59 31-01-2018 101501010118Y002454 0000475141667 ROHMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
60 31-01-2018 101501010118Y002228 0000475145695 OJON SOLEH SUPRIADI L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

61 31-01-2018 101501010118Y002433 0000475154076 IA SANAH P PBI (APBN) Contraceptive Berobat Jalan


management, unspecified
62 31-01-2018 101501010118Y002442 0000475164911 VIANTY KOMALA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
63 31-01-2018 101501010118Y002434 0000475195487 SUCI lestari P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

64 31-01-2018 101501010118Y002402 0000475204566 UUM UMAYAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

65 31-01-2018 101501010118Y002443 0000475212418 ANDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
66 31-01-2018 101501010118Y002394 0000475275969 NURAENI P PBI (APBN) Pulpitis Berobat Jalan

67 31-01-2018 101501010118Y002401 0000475282934 TATI RUKMANAH P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
68 31-01-2018 101501010118Y002427 0000475293958 ATIH JUHAETI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
69 31-01-2018 101501010118Y002426 0000475294331 WULAN SARI INDAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

70 31-01-2018 101501010118Y002420 0000475308292 AINUN SOLIHA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

71 31-01-2018 101501010118Y002457 0000475316166 ENTIN HARTINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

72 31-01-2018 101501010118Y002235 0000475369367 ONO SOBARNA L PBI (APBN) Dermatitis, unspecified Rujuk Lanjut

73 31-01-2018 101501010118Y002167 0000475383227 NENIH HERYANI P PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

74 31-01-2018 101501010118Y002386 0000475453056 ICAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
75 31-01-2018 101501010118Y002425 0000475500238 TINA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
76 31-01-2018 101501010118Y002422 0000475518789 TARNINGSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
77 31-01-2018 101501010118Y002421 0000475558413 UPI RUKMINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
78 31-01-2018 101501010118Y002418 0000475562147 ENEN KURNIAWATI P PBI (APBN) Pulpitis Berobat Jalan

79 31-01-2018 101501010118Y002456 0000475592398 ENDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
80 31-01-2018 101501010118Y002406 0000475593682 ANITA DWI KARTINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
81 31-01-2018 101501010118Y002445 0000475609702 YANI SITI HERYANI P PBI (APBN) Myalgia Berobat Jalan

82 31-01-2018 101501010118Y002412 0000475654195 RINDAYANTI P PEGAWAI SWASTA Contraceptive Berobat Jalan


management, unspecified
83 31-01-2018 101501010118Y002399 0000475677753 UTIN SURYATINAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
84 31-01-2018 101501010118Y002135 0000475759989 YULIATI KIDJO P PEGAWAI PEMERINTAH Haemorrhage in early Rujuk Lanjut
DENGAN PERJANJIAN pregnancy, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

85 31-01-2018 101501010118Y002465 0001009294648 SUMArtini P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus without

86 31-01-2018 101501010118Y002417 0001009295616 ROKAYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
87 31-01-2018 101501010118Y002453 0001009295932 DESI SITI HANIPAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
88 31-01-2018 101501010118Y002391 0001009298755 WIWIN KARWINAH P PBI (APBN) Myalgia Berobat Jalan

89 31-01-2018 101501010118Y002397 0001009299767 SCISKA NURNINDHYA PUTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

90 31-01-2018 101501010118Y002413 0001009300162 SAMI ASIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
91 31-01-2018 101501010118Y002416 0001009302783 IIN HINDARSIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
92 31-01-2018 101501010118Y002387 0001009304943 AFNAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
93 31-01-2018 101501010118Y002470 0001009307215 WATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
94 31-01-2018 101501010118Y002428 0001009307777 TESIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
95 31-01-2018 101501010118Y002461 0001009334542 NUYI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
96 31-01-2018 101501010118Y002384 0001009335082 SRI SULASTRI P PBI (APBN) Myalgia Berobat Jalan

97 31-01-2018 101501010118Y002383 0001009335093 SITA ESA PUTRI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

98 31-01-2018 101501010118Y002423 0001089683853 TITIN KARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
99 31-01-2018 101501010118Y002455 0001089691143 ODAH L PBI (APBN) Pulpitis Berobat Jalan

100 31-01-2018 101501010118Y002441 0001306779118 MURYATI P PEKERJA MANDIRI Acute lymphadenitis of Berobat Jalan
face, head and neck
101 31-01-2018 101501010118Y002388 0001323331424 TARMO L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
102 31-01-2018 101501010118Y002237 0001380281499 sugiarto mulyono L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

103 31-01-2018 101501010118Y002140 0001380282232 dalmi P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease with (congestive)

104 31-01-2018 101501010118Y002390 0001423175556 KARTO L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
105 31-01-2018 101501010118Y002240 0001424129545 OSIH P PEKERJA MANDIRI Acute bronchitis, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

106 31-01-2018 101501010118Y002179 0001450921961 TP SILABAN L PEKERJA MANDIRI Polyneuropathy, Rujuk Lanjut
unspecified
107 31-01-2018 101501010118Y002377 0001516729173 Irmayanti P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
108 31-01-2018 101501010118Y002414 0001520462867 LISWATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

109 31-01-2018 101501010118Y002431 0001626303126 NAZRIeL DWIPUTRA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

110 31-01-2018 101501010118Y002234 0001661615908 KASNIKEM P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
111 31-01-2018 101501010118Y002437 0001798927964 siti romlah P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
112 31-01-2018 101501010118Y002458 0001800531685 HASANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
113 31-01-2018 101501010118Y002463 0001855347142 RUKMINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
114 31-01-2018 101501010118Y002438 0001884331179 alya agustin ramdani P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

115 31-01-2018 101501010118Y002238 0002084022224 ARIPIN LUNADI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
116 31-01-2018 101501010118Y002403 0002084571437 TIARA MAULINDA HABIBAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

117 31-01-2018 101501010118Y002393 0002093593994 NADHIRA AQILA HIDAYAT P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

118 31-01-2018 101501010118Y002389 0002197908843 IWAN SUWANDHITO, SH L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
119 31-01-2018 101501010118Y002137 0002217139211 ZAYN ABDULLAH ADZKA L PEGAWAI SWASTA Rash and other Rujuk Lanjut
nonspecific skin eruption
120 31-01-2018 101501010118Y002398 0002224567653 TOTO SUGIARTO L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

121 31-01-2018 101501010118Y002178 0002257945806 ramdhan arsyi nugraha L PBI (APBN) Bronchopneumonia, Rujuk Lanjut
unspecified
122 31-01-2018 101501010118Y002449 0002284306817 SURYA KRESNA PRATAMA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

123 31-01-2018 101501010118Y002133 0002420309485 WIRYANTO L PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
124 30-01-2018 101501010118Y002187 0000065726144 SULAEMAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

125 30-01-2018 101501010118Y002219 0000065730497 HAUSEN HANSEN L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
126 30-01-2018 101501010118Y001824 0000065767511 SUHENDI L PNS DAERAH Acute bronchitis, Rujuk Lanjut
unspecified
127 30-01-2018 101501010118Y002205 0000065824334 MIMI KURMIASIH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

128 30-01-2018 101501010118Y001778 0000065954452 UNENGSIH P PENERIMA PENSIUN TNI Hypertensive heart Rujuk Lanjut
disease with (congestive)

129 30-01-2018 101501010118Y002160 0000066024797 ROHAYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

130 30-01-2018 101501010118Y002189 0000066038859 RUKIAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
131 30-01-2018 101501010118Y002211 0000066098193 IDA ROSIDA P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
132 30-01-2018 101501010118Y002153 0000066098259 IIN IRYANI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

133 30-01-2018 101501010118Y002148 0000066107529 TAHJAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
134 30-01-2018 101501010118Y002159 0000066135824 SILVIA HAYATI MAMAHIT P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
135 30-01-2018 101501010118Y001843 0000066345232 narmin L PNS DAERAH Superficial injury of head, Rujuk Lanjut
part unspecified
136 30-01-2018 101501010118Y002218 0000162465671 FAIZ WILDAN MUTAQIEN L PNS PUSAT Acute laryngopharyngitis Berobat Jalan

137 30-01-2018 101501010118Y002156 0000172551126 YANTI MULYANTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
138 30-01-2018 101501010118Y001948 0000201726797 ENTIN KURNIATIN P PENERIMA PENSIUN TNI Other cholelithiasis Rujuk Lanjut

139 30-01-2018 101501010118Y002220 0000203738286 NENDEN ADITia p P PENERIMA PENSIUN Pulpitis Berobat Jalan
PNS
140 30-01-2018 101501010118Y002195 0000473798081 ENJUM P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

141 30-01-2018 101501010118Y002222 0000474080602 EMAN SUHERMAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
142 30-01-2018 101501010118Y001786 0000474120887 SAFA PADIA Z P PBI (APBN) Chronic tonsillitis Rujuk Lanjut

143 30-01-2018 101501010118Y002158 0000474124893 SUKRIA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
144 30-01-2018 101501010118Y002206 0000474157585 TATI HARTATI P PBI (APBN) Pyogenic granuloma Berobat Jalan

145 30-01-2018 101501010118Y002214 0000474217593 NANANG SUNARDI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

146 30-01-2018 101501010118Y002213 0000474218965 RULI NUR HERAWAN L PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
147 30-01-2018 101501010118Y002197 0000474409596 SITI NUR'AENI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
148 30-01-2018 101501010118Y002151 0000474447418 ARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

149 30-01-2018 101501010118Y002150 0000474547037 KARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
150 30-01-2018 101501010118Y002196 0000474549276 reyhan agistian arip L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

151 30-01-2018 101501010118Y002152 0000474603265 E PATONAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
152 30-01-2018 101501010118Y002149 0000474717374 ALIN SUHARTINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

153 30-01-2018 101501010118Y002210 0000474754825 NAYA SUNARYA L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
154 30-01-2018 101501010118Y002209 0000474754983 IMAS SURYANI P PBI (APBN) Myalgia Berobat Jalan

155 30-01-2018 101501010118Y002212 0000474768088 DIMAS CANDRA P L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

156 30-01-2018 101501010118Y002154 0000474801489 UUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
157 30-01-2018 101501010118Y002221 0000474857021 SELLY DWI CAHYANI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
158 30-01-2018 101501010118Y002194 0000474989422 YETI DARSINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
159 30-01-2018 101501010118Y002201 0000475020099 DEVI NOVIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

160 30-01-2018 101501010118Y002157 0000475020911 ADE SUMARNA L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

161 30-01-2018 101501010118Y002181 0000475132487 IVAN GUSTIAN L PBI (APBN) Mumps without Berobat Jalan
complication
162 30-01-2018 101501010118Y002182 0000475173742 DADANG L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
163 30-01-2018 101501010118Y002199 0000475226842 CAWINAH P PBI (APBN) Myalgia Berobat Jalan

164 30-01-2018 101501010118Y002191 0000475274586 UJANG ARDI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

165 30-01-2018 101501010118Y002192 0000475303825 RATMI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

166 30-01-2018 101501010118Y002227 0000475307886 WAWAN SETIAWAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

167 30-01-2018 101501010118Y002203 0000475332827 WAWAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
168 30-01-2018 101501010118Y002204 0000475333402 YOYOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
169 30-01-2018 101501010118Y002200 0000475450435 YANIH SURYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
170 30-01-2018 101501010118Y002183 0000475567942 JUJU juariah P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

171 30-01-2018 101501010118Y002223 0000475587944 ANENG P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

172 30-01-2018 101501010118Y002185 0000475639233 royani P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
173 30-01-2018 101501010118Y001880 0000475733081 EMPAT SITI PATOMAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
174 30-01-2018 101501010118Y001834 0000475760867 ERAT RATNASIH P PBI (APBN) Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage

175 30-01-2018 101501010118Y002161 0000476166339 RINI RIANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

176 30-01-2018 101501010118Y002226 0001009297541 MATHEUS KONTAY L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

177 30-01-2018 101501010118Y001848 0001009305459 ADING L PBI (APBN) Calculus of kidney Rujuk Lanjut

178 30-01-2018 101501010118Y002190 0001009306596 SARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

179 30-01-2018 101501010118Y002224 0001081641159 DEAZ PUSAKA RAYA L PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
180 30-01-2018 101501010118Y002202 0001519184891 CHIKA BELLA P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
181 30-01-2018 101501010118Y002188 0001519194183 ADE YENI SRI MULYANI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
182 30-01-2018 101501010118Y001791 0001519787992 SANA L PEGAWAI SWASTA Postprocedural disorders Rujuk Lanjut
of eye and adnexa, not

183 30-01-2018 101501010118Y002225 0001519793021 ENENG RIVIANTI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

184 30-01-2018 101501010118Y002186 0001663251041 SARAH APRIYANI P PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

185 30-01-2018 101501010118Y001825 0001664810278 INA MARLINA P PEGAWAI SWASTA Fever with chills Rujuk Lanjut

186 30-01-2018 101501010118Y002184 0001727822204 KOKOM KOMARIAH P PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

187 30-01-2018 101501010118Y002217 0001776378756 MUTIASARI P PBI (APBD) Acute laryngopharyngitis Berobat Jalan

188 30-01-2018 101501010118Y002216 0001796703941 II L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

189 30-01-2018 101501010118Y002180 0001822697897 fani nur qomariyah P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
190 30-01-2018 101501010118Y001781 0001864173071 RANIMAN L PEKERJA MANDIRI Seborrhoeic keratosis Rujuk Lanjut

191 30-01-2018 101501010118Y002208 0001904687684 handika saputra L PNS DAERAH Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

192 30-01-2018 101501010118Y002215 0002061337735 ANANDA BELANI P PEKERJA MANDIRI Pulpitis Berobat Jalan

193 30-01-2018 101501010118Y001835 0002067733304 moch belfha nandafadil L PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

194 30-01-2018 101501010118Y001823 0002289143081 AJI JAMALUDIN L PEKERJA MANDIRI Acute lymphadenitis of Rujuk Lanjut
face, head and neck
195 30-01-2018 101501010118Y001809 0002300751729 RONNY HERDIANSYAH L PEKERJA MANDIRI Low vision, both eyes Rujuk Lanjut

196 30-01-2018 101501010118Y001910 0002419218584 ASIP L PEKERJA MANDIRI Neoplasm of uncertain or Rujuk Lanjut
unknown behavior of

197 29-01-2018 101501010118Y002045 0000005217276 DARMAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
198 29-01-2018 101501010118Y002143 0000065693632 YATI HERYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

199 29-01-2018 101501010118Y002082 0000065733041 SUTIYAH P PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
200 29-01-2018 101501010118Y002055 0000065767533 YANTI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

201 29-01-2018 101501010118Y001296 0000065775802 UDIN DIAN SUHANDA L PNS DAERAH Tinnitus Rujuk Lanjut

202 29-01-2018 101501010118Y002065 0000065779997 ENDANG KARNALI L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
203 29-01-2018 101501010118Y001325 0000065785994 MUHAMMAD IHSAN KAMIL L PENERIMA PENSIUN Tachycardia, unspecified Rujuk Lanjut
PNS
204 29-01-2018 101501010118Y002121 0000065788918 HERYANA L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
205 29-01-2018 101501010118Y002114 0000065820767 SOPIAH P PNS DAERAH Pulpitis Berobat Jalan

206 29-01-2018 101501010118Y001493 0000065821083 TUTI PARIDA P PNS DAERAH Necrosis of pulp Rujuk Lanjut

207 29-01-2018 101501010118Y002086 0000065824334 MIMI KURMIASIH P PENERIMA PENSIUN Acute lymphadenitis of Berobat Jalan
PNS face, head and neck
208 29-01-2018 101501010118Y002091 0000065824345 HENDA RAHMAWATI L PEGAWAI BUMN Acute laryngopharyngitis Berobat Jalan

209 29-01-2018 101501010118Y002040 0000066092196 ALEXIA JARO P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
210 29-01-2018 101501010118Y002115 0000066107889 cucu narcuci P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

211 29-01-2018 101501010118Y002146 0000066110207 YULIANTINI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without
212 29-01-2018 101501010118Y002118 0000066161441 IMAS MARYANI P PNS DAERAH Pulpitis Berobat Jalan

213 29-01-2018 101501010118Y002041 0000066184345 NUNUNG RUNINGSIH P PNS DAERAH Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

214 29-01-2018 101501010118Y001289 0000066271972 TINI SUHARTINI P PNS DAERAH Hypertensive heart Rujuk Lanjut
disease with (congestive)

215 29-01-2018 101501010118Y002127 0000066280072 US.US RIDWAN KUSMAYADI L PNS DAERAH Myalgia Berobat Jalan

216 29-01-2018 101501010118Y002058 0000199667441 GADISA PUTRI AYUDYA P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

217 29-01-2018 101501010118Y002124 0000205062063 FIDA DEVI ARYANTI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

218 29-01-2018 101501010118Y002048 0000474094833 AMIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

219 29-01-2018 101501010118Y002047 0000474144671 A. JAMILAH P PBI (APBN) Myalgia Berobat Jalan

220 29-01-2018 101501010118Y002092 0000474153862 PUTRA TENKU RIESHAL L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
FIRMANSYAH
221 29-01-2018 101501010118Y002075 0000474161128 NANI NURSANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

222 29-01-2018 101501010118Y002072 0000474164908 CUCU SUHATIN P PBI (APBN) Myalgia Berobat Jalan

223 29-01-2018 101501010118Y002073 0000474167248 RIZKY AULIA, M L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

224 29-01-2018 101501010118Y002064 0000474436359 AMAH ROHAMAH P PBI (APBN) Pulpitis Berobat Jalan

225 29-01-2018 101501010118Y002046 0000474461987 RANI PUSPITA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

226 29-01-2018 101501010118Y002074 0000474515054 TUTI P PBI (APBN) Myalgia Berobat Jalan

227 29-01-2018 101501010118Y001321 0000474542379 CHANDRA RAMDANI L PBI (APBN) Nonspecific lymphadenitis, Rujuk Lanjut
unspecified

228 29-01-2018 101501010118Y001324 0000474556296 WIWIN SARININGSIH P PBI (APBN) Other infective bursitis, Rujuk Lanjut
ankle and foot
229 29-01-2018 101501010118Y001354 0000474579729 AJAT SUDRAJAT L PBI (APBN) Follicular cyst of skin and Rujuk Lanjut
subcutaneous tissue,

230 29-01-2018 101501010118Y001333 0000474591881 NADKHIYA NUR AISYAH P PBI (APBN) Other and unspecified Rujuk Lanjut
abdominal pain
231 29-01-2018 101501010118Y002066 0000474606911 NINA ATIKAH P PBI (APBN) Myalgia Berobat Jalan

232 29-01-2018 101501010118Y002056 0000474619623 DEVA ROSMANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

233 29-01-2018 101501010118Y002141 0000474620758 WARSIH L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

234 29-01-2018 101501010118Y001255 0000474623166 SOLEH HIDAYAT L PBI (APBN) Traumatic arthropathy Rujuk Lanjut

235 29-01-2018 101501010118Y002113 0000474639254 LILIS LISNAWATI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

236 29-01-2018 101501010118Y002044 0000474702625 ANA ROSDIANA P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
237 29-01-2018 101501010118Y002081 0000474729186 ANIH MARYANI P PBI (APBN) Myalgia Berobat Jalan

238 29-01-2018 101501010118Y002103 0000474749471 siti yunengsih P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

239 29-01-2018 101501010118Y002107 0000474763476 VINA DAHVIANI P PBI (APBN) Pyogenic granuloma Berobat Jalan

240 29-01-2018 101501010118Y002098 0000474767515 YATNI P PBI (APBN) Myalgia Berobat Jalan

241 29-01-2018 101501010118Y001312 0000474779248 YUHANAh P PBI (APBN) Dermatitis, unspecified Rujuk Lanjut

242 29-01-2018 101501010118Y002109 0000474812324 ATIN KARTINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
243 29-01-2018 101501010118Y002110 0000474812379 RIAN PERMANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

244 29-01-2018 101501010118Y002070 0000474814899 MASROH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
245 29-01-2018 101501010118Y002111 0000474815272 RUMYATI P PBI (APBN) Myalgia Berobat Jalan

246 29-01-2018 101501010118Y001556 0000474816429 VINA NURDIANA P PBI (APBN) Low vision, both eyes Rujuk Lanjut

247 29-01-2018 101501010118Y001345 0000474828513 SAWINAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

248 29-01-2018 101501010118Y002071 0000474834407 NARMI P PBI (APBN) Myalgia Berobat Jalan

249 29-01-2018 101501010118Y002057 0000474887632 TETEN LISTIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

250 29-01-2018 101501010118Y002085 0000474926591 ROKAYAH P PBI (APBN) Myalgia Berobat Jalan

251 29-01-2018 101501010118Y002052 0000475067081 PUPUH GUSTINA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

252 29-01-2018 101501010118Y002077 0000475162986 DHINI YULIANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
253 29-01-2018 101501010118Y002080 0000475170243 YUNITASARI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
254 29-01-2018 101501010118Y002099 0000475202272 DUMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
255 29-01-2018 101501010118Y001280 0000475206625 OLIS MELANI P PBI (APBN) Other postinfectious Rujuk Lanjut
arthropathies in diseases

256 29-01-2018 101501010118Y001357 0000475256463 SRI ANI KOMALASARI P PBI (APBN) Leiomyoma of uterus Rujuk Lanjut

257 29-01-2018 101501010118Y002128 0000475301259 IDA NURHAYATI P PBI (APBN) Pulpitis Berobat Jalan

258 29-01-2018 101501010118Y002145 0000475308459 YOMI SUMIARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

259 29-01-2018 101501010118Y002061 0000475313354 MILA P PBI (APBN) Myalgia Berobat Jalan

260 29-01-2018 101501010118Y002063 0000475314614 DILA ZERIN P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
261 29-01-2018 101501010118Y002062 0000475315479 DAVID L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

262 29-01-2018 101501010118Y002144 0000475334065 YETI JUMIARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
263 29-01-2018 101501010118Y002116 0000475347137 ALFABIAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

264 29-01-2018 101501010118Y002069 0000475444012 RUKMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
265 29-01-2018 101501010118Y002053 0000475531997 RUKMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
266 29-01-2018 101501010118Y001346 0000475536868 LISNASARI P PEKERJA MANDIRI Liver disorders in Rujuk Lanjut
pregnancy, childbirth and

267 29-01-2018 101501010118Y002094 0000475552776 SUSI S. P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
268 29-01-2018 101501010118Y002093 0000475553621 PUTRI FUJA SAIHAN P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

269 29-01-2018 101501010118Y001570 0000475592398 ENDIN L PBI (APBN) Hypertensive heart Rujuk Lanjut
disease with (congestive)

270 29-01-2018 101501010118Y001323 0000475608554 OSIH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

271 29-01-2018 101501010118Y002039 0000475646444 MINTARSIH P PBI (APBN) Myalgia Berobat Jalan

272 29-01-2018 101501010118Y001378 0000475650999 siti nurhayati P PBI (APBN) Liver disease, unspecified Rujuk Lanjut

273 29-01-2018 101501010118Y002105 0000475657132 DESI FITRIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

274 29-01-2018 101501010118Y002059 0000475663735 LILIS SURYANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

275 29-01-2018 101501010118Y002067 0000475669732 RASINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
276 29-01-2018 101501010118Y002104 0000475759989 YULIATI KIDJO P PEGAWAI PEMERINTAH General counselling and Berobat Jalan
DENGAN PERJANJIAN advice on contraception

277 29-01-2018 101501010118Y002049 0000476081987 DASIMAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

278 29-01-2018 101501010118Y002101 0000476086195 KASINI P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
279 29-01-2018 101501010118Y002142 0000476107784 WAWAN SETIAWAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
280 29-01-2018 101501010118Y002060 0000476213051 ALIF RADITYA KAMIL L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

281 29-01-2018 101501010118Y002130 0001009293175 WIWI WIARSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

282 29-01-2018 101501010118Y002112 0001009293186 NURUL ANJANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
283 29-01-2018 101501010118Y002125 0001009293311 IIS suryati P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

284 29-01-2018 101501010118Y001322 0001009294648 SUMArtini P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

285 29-01-2018 101501010118Y002084 0001009298632 DIAN P L PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
286 29-01-2018 101501010118Y002131 0001009298711 AHRI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
287 29-01-2018 101501010118Y002129 0001009298913 TUTUT TRI H P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

288 29-01-2018 101501010118Y002051 0001009300702 MEILANI P PBI (APBN) Myalgia Berobat Jalan

289 29-01-2018 101501010118Y002139 0001009302219 UNENGSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

290 29-01-2018 101501010118Y002043 0001009303661 KURNIASIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

291 29-01-2018 101501010118Y002050 0001009307777 TESIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
292 29-01-2018 101501010118Y002132 0001089691143 ODAH L PBI (APBN) Myalgia Berobat Jalan

293 29-01-2018 101501010118Y002106 0001090032096 MUHAMAD FAUZAN KHOERUL L PBI (APBN) Pulpitis Berobat Jalan
AZAM
294 29-01-2018 101501010118Y002090 0001126748799 SANTONO L PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
face, head and neck
295 29-01-2018 101501010118Y002089 0001158862577 UNENGSIH P PEGAWAI SWASTA Myalgia Berobat Jalan

296 29-01-2018 101501010118Y002108 0001174863014 ERIZA ALMAHYRA P PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
face, head and neck
297 29-01-2018 101501010118Y001360 0001176085822 CECEP INDRA SOFYANA L PEGAWAI SWASTA Other chronic suppurative Rujuk Lanjut
otitis media
298 29-01-2018 101501010118Y002079 0001199498589 ERIS P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
299 29-01-2018 101501010118Y002100 0001298963114 DAHLAN SOPANDI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
300 29-01-2018 101501010118Y002122 0001442086626 AL WAYAN SUDIARTA L PEKERJA MANDIRI Myalgia Berobat Jalan

301 29-01-2018 101501010118Y002102 0001475800108 MARCEL RYCO L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
302 29-01-2018 101501010118Y002097 0001519115589 A. SUGANDI L PEGAWAI SWASTA Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

303 29-01-2018 101501010118Y002087 0001519134028 SUSI SUSANTI P PEGAWAI SWASTA General counselling and Berobat Jalan
advice on contraception
304 29-01-2018 101501010118Y002088 0001519134052 M. NAZZAR SHOLIHIN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

305 29-01-2018 101501010118Y002068 0001519154807 NANI SUMARNI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
306 29-01-2018 101501010118Y002054 0001519162896 ANGGI ANJELIA P PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

307 29-01-2018 101501010118Y002096 0001519183282 SUMIATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

308 29-01-2018 101501010118Y002078 0001519795168 HENDRIAN TACCHI NARDI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

309 29-01-2018 101501010118Y002095 0001520550279 SURYADI L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
310 29-01-2018 101501010118Y002117 0001776381974 KASIM L PBI (APBD) Myalgia Berobat Jalan

311 29-01-2018 101501010118Y002126 0001776384472 RISMAYANTI P PBI (APBD) Acute haemorrhagic Berobat Jalan
gastritis
312 29-01-2018 101501010118Y001383 0001795362028 VENNY SHOVIANI P PEKERJA MANDIRI Gastritis, unspecified Rujuk Lanjut

313 29-01-2018 101501010118Y002076 0001800531685 HASANAH P PEKERJA MANDIRI Myalgia Berobat Jalan

314 29-01-2018 101501010118Y001239 0001823900736 NENDEN SUMARNI P PEKERJA MANDIRI Hordeolum and other deep Rujuk Lanjut
inflammation of eyelid

315 29-01-2018 101501010118Y002123 0001830216093 MOCH DESNA DIRGANTARA L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

316 29-01-2018 101501010118Y001557 0001852066912 ACENG TARMEDI L PEKERJA MANDIRI Insulin-dependent Rujuk Lanjut
diabetes mellitus
317 29-01-2018 101501010118Y002042 0002061210925 DASTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
318 29-01-2018 101501010118Y002083 0002071465896 SAFFANAH TRI GUNAWAN P PNS DAERAH Conjunctivitis, unspecified Berobat Jalan

319 29-01-2018 101501010118Y002120 0002265229855 WATI KUSMIATI P PEKERJA MANDIRI Myalgia Berobat Jalan

320 29-01-2018 101501010118Y002119 0002265230046 AISYAH SETIAWATI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

321 27-01-2018 101501010118Y002331 0000065707885 NANI SURYANI P PNS DAERAH Other acute gastritis Berobat Jalan

322 27-01-2018 101501010118Y001914 0000065767511 SUHENDI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
323 27-01-2018 101501010118Y001220 0000065767915 WAWAN GUNAWAN L PENERIMA PENSIUN Phobic anxiety disorder, Rujuk Lanjut
PNS unspecified
324 27-01-2018 101501010118Y001216 0000065769006 ASEP DEDI L PNS DAERAH Essential (primary) Rujuk Lanjut
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

325 27-01-2018 101501010118Y002373 0000065773675 BAHARUDIN L PNS DAERAH Other acute gastritis Berobat Jalan

326 27-01-2018 101501010118Y002357 0000065781224 ASEP MULYADI L PNS DAERAH Myalgia Berobat Jalan

327 27-01-2018 101501010118Y002362 0000065793587 NADILA LUTHFIAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
328 27-01-2018 101501010118Y002319 0000065810878 NENNY HARYANI, SE P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
329 27-01-2018 101501010118Y002356 0000065820767 SOPIAH P PNS DAERAH Pulpitis Berobat Jalan

330 27-01-2018 101501010118Y001221 0000065835505 DRS. MOCH DIDIN SAEPUDIN, L PNS DAERAH Other and unspecified Rujuk Lanjut
M.SI cirrhosis of liver
331 27-01-2018 101501010118Y001457 0000066038848 SUHANA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
332 27-01-2018 101501010118Y002333 0000066095008 DRS, DIDIN ADJIDIN L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
333 27-01-2018 101501010118Y001467 0000066099431 CICIH UMYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
334 27-01-2018 101501010118Y002328 0000066102761 RUKAESIH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
335 27-01-2018 101501010118Y002367 0000066132505 JUARIAH P PNS DAERAH Unspecified diabetes Berobat Jalan
mellitus with coma
336 27-01-2018 101501010118Y001460 0000066135532 AMARWATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

337 27-01-2018 101501010118Y002368 0000066161531 NINING FITRI SARININGSIH P PENERIMA PENSIUN Pulpitis Berobat Jalan
PNS
338 27-01-2018 101501010118Y001210 0000066161553 RIAH KOMARAWATI P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
339 27-01-2018 101501010118Y001468 0000066176774 TATIN RANTINI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

340 27-01-2018 101501010118Y002336 0000066280533 NENG E. AMINAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
341 27-01-2018 101501010118Y002341 0000148763518 ERNI ROCHAENI P PNS PUSAT Pulpitis Berobat Jalan

342 27-01-2018 101501010118Y002323 0000158760268 ARA L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
343 27-01-2018 101501010118Y002311 0000160233592 DJAMILAH P PENERIMA PENSIUN TNI Acute laryngopharyngitis Berobat Jalan

344 27-01-2018 101501010118Y001219 0000195530253 ICIH RATNANINGSIH P PNS DAERAH Essential (primary) Rujuk Lanjut
hypertension
345 27-01-2018 101501010118Y002322 0000201726797 ENTIN KURNIATIN P PENERIMA PENSIUN TNI Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

346 27-01-2018 101501010118Y002330 0000474556162 NANA SUPRIATNA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

347 27-01-2018 101501010118Y002369 0000474568751 HEMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
348 27-01-2018 101501010118Y002370 0000474636723 ANENG P PBI (APBN) Myalgia Berobat Jalan

349 27-01-2018 101501010118Y002320 0000474656826 DADANG SAPUTRA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
350 27-01-2018 101501010118Y002325 0000474660606 TAHMID L PBI (APBN) Myalgia Berobat Jalan

351 27-01-2018 101501010118Y001469 0000474719444 DADANG SUKARYA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
352 27-01-2018 101501010118Y002326 0000474725261 FEBYI W L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

353 27-01-2018 101501010118Y002343 0000474792311 YUDA H L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

354 27-01-2018 101501010118Y002324 0000474815373 RIRIN FATMAWATI P PBI (APBN) Pulpitis Berobat Jalan

355 27-01-2018 101501010118Y002335 0000474921821 siti soleha P PBI (APBN) Myalgia Berobat Jalan

356 27-01-2018 101501010118Y002364 0000474978339 atin supriatin P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

357 27-01-2018 101501010118Y001218 0000474987756 YAYAT RUHAYATI P PBI (APBN) Lumbosacral plexus Rujuk Lanjut
disorders
358 27-01-2018 101501010118Y002347 0000475008658 WARNENGSIH P PBI (APBN) Other acute gastritis Berobat Jalan

359 27-01-2018 101501010118Y001211 0000475022283 ETI ROHAETI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
360 27-01-2018 101501010118Y002313 0000475125851 ATI HARYATI P PBI (APBN) Other acute gastritis Berobat Jalan

361 27-01-2018 101501010118Y002351 0000475223602 RANI P PBI (APBN) Pulpitis Berobat Jalan

362 27-01-2018 101501010118Y002363 0000475236988 ADE MAEMUNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
363 27-01-2018 101501010118Y002321 0000475245336 DEDEH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

364 27-01-2018 101501010118Y002339 0000475270896 AI ROHMAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

365 27-01-2018 101501010118Y002340 0000475271559 ALIFAH FAUZIAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

366 27-01-2018 101501010118Y002344 0000475279582 TURMINAH P PBI (APBN) Myalgia Berobat Jalan

367 27-01-2018 101501010118Y001217 0000475300326 NARMI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
368 27-01-2018 101501010118Y002314 0000475328406 YOYOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
369 27-01-2018 101501010118Y002352 0000475764985 CECE SUPRIATNA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
370 27-01-2018 101501010118Y002316 0001009298801 NINA NURNANINGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

371 27-01-2018 101501010118Y002346 0001009303075 HASAN ROHENDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
372 27-01-2018 101501010118Y002312 0001009304908 juariyah P PBI (APBN) Myalgia Berobat Jalan

373 27-01-2018 101501010118Y002329 0001009307777 TESIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
374 27-01-2018 101501010118Y002315 0001009337848 A SUPARMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
375 27-01-2018 101501010118Y002372 0001081024277 TUTI HANDAYANI P PNS DAERAH Myalgia Berobat Jalan

376 27-01-2018 101501010118Y002318 0001168580968 KIMAL AHMAD SURYADI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

377 27-01-2018 101501010118Y001463 0001441087413 KARMINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
378 27-01-2018 101501010118Y001455 0001481495916 IMAS MASNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

379 27-01-2018 101501010118Y001214 0001519131115 YANTI APRILIAN P PEGAWAI SWASTA Allergic contact dermatitis, Rujuk Lanjut
unspecified cause

380 27-01-2018 101501010118Y002337 0001519131341 HALIDA MEUTIA PURWANTI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

381 27-01-2018 101501010118Y002365 0001519194464 NURUL HAVIAH UTAMYE P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

382 27-01-2018 101501010118Y002353 0001519715068 YOHANES UKIM L PEGAWAI SWASTA Pulpitis Berobat Jalan

383 27-01-2018 101501010118Y002345 0001523028813 RATNASARI P PEGAWAI SWASTA Pyogenic granuloma Berobat Jalan

384 27-01-2018 101501010118Y002360 0001661492709 DINI NURHANDINI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

385 27-01-2018 101501010118Y002359 0001661492744 DINDA BESTARI P PEGAWAI SWASTA Pulpitis Berobat Jalan

386 27-01-2018 101501010118Y001222 0001661492766 UMI UTAMI P PEGAWAI SWASTA Fever with chills Rujuk Lanjut

387 27-01-2018 101501010118Y002366 0001661492777 NANDA AYU MAHARANI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

388 27-01-2018 101501010118Y002354 0001662599362 YANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

389 27-01-2018 101501010118Y002317 0001663250657 IKA SARTIKA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

390 27-01-2018 101501010118Y002327 0001776388127 NANA SUKARNA L PBI (APBD) Acute laryngopharyngitis Berobat Jalan

391 27-01-2018 101501010118Y002342 0001795362028 VENNY SHOVIANI P PEKERJA MANDIRI Myalgia Berobat Jalan

392 27-01-2018 101501010118Y001223 0001859499639 REVI BUTSAINAH KIRANA P PEGAWAI SWASTA Conjunctivitis, unspecified Rujuk Lanjut

393 27-01-2018 101501010118Y002338 0001859751088 H. DEDY MOESTAFADIREDJA L PNS DAERAH Myalgia Berobat Jalan
394 27-01-2018 101501010118Y001225 0001866491469 ASSIFA KOERUNNISA P PNS PUSAT Tinea corporis Rujuk Lanjut
DIPERBANTUKAN
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

395 27-01-2018 101501010118Y001224 0001868482686 TATA KURNIAWAN NURDIAS L PEGAWAI BUMD Low vision, both eyes Rujuk Lanjut

396 27-01-2018 101501010118Y001212 0001875577961 ICEU HALIMAH P PEKERJA MANDIRI Essential (primary) Rujuk Lanjut
hypertension
397 27-01-2018 101501010118Y002332 0001880721314 NONO SUMARNO L PNS DAERAH Pulpitis Berobat Jalan

398 27-01-2018 101501010118Y002334 0001882258323 febriyani P PNS DAERAH Other acute gastritis Berobat Jalan

399 27-01-2018 101501010118Y002350 0001888903697 ALMA ZACHARY EKA P PNS DAERAH Other acute gastritis Berobat Jalan
HERMAWAN
400 27-01-2018 101501010118Y001464 0001890819584 SAMINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
401 27-01-2018 101501010118Y002361 0001970253066 SALMAN ALFARITSI HAKIM L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

402 27-01-2018 101501010118Y002355 0002038341429 FATIMAH ALYA PUTRI P PEGAWAI SWASTA Pulpitis Berobat Jalan
RUSDIANI
403 27-01-2018 101501010118Y001213 0002216793565 LAUPIKAL HAPI L PEKERJA MANDIRI Tuberculous peripheral Rujuk Lanjut
lymphadenopathy
404 27-01-2018 101501010118Y002358 0002300752091 SUSY PRIHAYANTI P PEKERJA MANDIRI Other acute gastritis Berobat Jalan

405 27-01-2018 101501010118Y002349 0002300752901 NAJWA NAURAH RAYYANI H. P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

406 27-01-2018 101501010118Y002348 0002300753237 RAFARDHAN ATHALLA L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
HERDIANSYAH
407 27-01-2018 101501010118Y002371 0002318777436 RULLY NURUL HASANAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

408 27-01-2018 101501010118Y001215 0002419218584 ASIP L PEKERJA MANDIRI Neoplasm of uncertain or Rujuk Lanjut
unknown behavior of

409 26-01-2018 101501010118Y002175 0000063425744 DEDE.S P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

410 26-01-2018 101501010118Y002174 0000065683743 DADANG HIDAYAT L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

411 26-01-2018 101501010118Y002307 0000065730003 ADE SUGANDA HIDAYAT L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

412 26-01-2018 101501010118Y002279 0000065730497 HAUSEN HANSEN L PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

413 26-01-2018 101501010118Y001199 0000065738979 AMI SURYANI P PNS DAERAH Neuralgia and neuritis, Rujuk Lanjut
unspecified
414 26-01-2018 101501010118Y002298 0000065820767 SOPIAH P PNS DAERAH Pulpitis Berobat Jalan
415 26-01-2018 101501010118Y002293 0000065953304 TIEN SUTINAH P PENERIMA PENSIUN TNI Unspecified diabetes Berobat Jalan
mellitus with coma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

416 26-01-2018 101501010118Y001449 0000066093221 ARWATI A P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
417 26-01-2018 101501010118Y002278 0000195530253 ICIH RATNANINGSIH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
418 26-01-2018 101501010118Y001203 0000199298597 SYAUQI TIFAN SOFIAN L PNS DAERAH Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

419 26-01-2018 101501010118Y002300 0000474439814 IDA MARINDA P PBI (APBN) Myalgia Berobat Jalan

420 26-01-2018 101501010118Y002168 0000474447418 ARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
421 26-01-2018 101501010118Y002289 0000474590395 JUJU P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
422 26-01-2018 101501010118Y001447 0000474717093 JAJANG IDANG L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
423 26-01-2018 101501010118Y002299 0000474740842 DEWI RATNASARI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

424 26-01-2018 101501010118Y002274 0000474763476 VINA DAHVIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

425 26-01-2018 101501010118Y002308 0000474789205 YULIA MAHARANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

426 26-01-2018 101501010118Y002284 0000474863499 MIMI P PBI (APBN) Other acute gastritis Berobat Jalan

427 26-01-2018 101501010118Y001206 0000474888824 WITA KARWITA L PBI (APBN) Soft tissue disorder, Rujuk Lanjut
unspecified, lower leg
428 26-01-2018 101501010118Y002290 0000474897418 OKA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

429 26-01-2018 101501010118Y002169 0000474950845 ARNECI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
430 26-01-2018 101501010118Y002273 0000475033421 ANI herliani P PBI (APBN) Other acute gastritis Berobat Jalan

431 26-01-2018 101501010118Y002280 0000475041363 NINING ANINGRUM P PBI (APBN) Myalgia Berobat Jalan

432 26-01-2018 101501010118Y002285 0000475067081 PUPUH GUSTINA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

433 26-01-2018 101501010118Y002286 0000475140846 MAMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
434 26-01-2018 101501010118Y002287 0000475141285 ATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
435 26-01-2018 101501010118Y001202 0000475151815 SURYANA L PBI (APBN) Unspecified chronic Rujuk Lanjut
bronchitis
436 26-01-2018 101501010118Y002277 0000475230688 AWING L PBI (APBN) Myalgia Berobat Jalan
437 26-01-2018 101501010118Y002297 0000475255642 NANI R. P PBI (APBN) Pulpitis Berobat Jalan

438 26-01-2018 101501010118Y002172 0000475319316 AWAT P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

439 26-01-2018 101501010118Y001209 0000475371808 SITI ASRIYAH P PBI (APBN) Local infection of skin and Rujuk Lanjut
subcutaneous tissue,

440 26-01-2018 101501010118Y002303 0000475526654 OKI RIASAH PUTRI P PBI (APBN) Pulpitis Berobat Jalan

441 26-01-2018 101501010118Y002295 0000475635429 ENTIN KARTINI P PBI (APBN) Other acute gastritis Berobat Jalan

442 26-01-2018 101501010118Y002271 0000475639841 WULAN P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

443 26-01-2018 101501010118Y002296 0000475704112 TITA ROSITA P PBI (APBN) Other acute gastritis Berobat Jalan

444 26-01-2018 101501010118Y002281 0000475714574 EGA YUNIAR P PBI (APBN) Other acute gastritis Berobat Jalan

445 26-01-2018 101501010118Y002304 0000475728276 EUIS KOMARIAH P PBI (APBN) Pulpitis Berobat Jalan

446 26-01-2018 101501010118Y001205 0000475750089 DARSINIH P PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
447 26-01-2018 101501010118Y001451 0000475760867 ERAT RATNASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
448 26-01-2018 101501010118Y002288 0000475792288 EMIT RUSNANDI L PBI (APBN) Myalgia Berobat Jalan

449 26-01-2018 101501010118Y002176 0000476226393 DEDEH ROSDIAH F P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
450 26-01-2018 101501010118Y002291 0000977437438 EMI ROCHAEMI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
451 26-01-2018 101501010118Y002302 0001009293219 SITI M P PBI (APBN) Myalgia Berobat Jalan

452 26-01-2018 101501010118Y002283 0001009295763 RINI KUSRINI P PBI (APBN) Myalgia Berobat Jalan

453 26-01-2018 101501010118Y001452 0001009296696 SURYA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
454 26-01-2018 101501010118Y002170 0001009305369 ATA SUHATA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
455 26-01-2018 101501010118Y002171 0001009334452 AWANGSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

456 26-01-2018 101501010118Y002272 0001081641159 DEAZ PUSAKA RAYA L PNS DAERAH Pulpitis Berobat Jalan

457 26-01-2018 101501010118Y002173 0001090032039 CUNANGSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

458 26-01-2018 101501010118Y001207 0001157882321 JUEDAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
459 26-01-2018 101501010118Y002305 0001158203507 ROHANAH HANAFIAH P PEGAWAI BUMN Other acute gastritis Berobat Jalan
460 26-01-2018 101501010118Y002275 0001158992256 RAIHAN ABDUL JABBAR L PEGAWAI SWASTA Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

461 26-01-2018 101501010118Y002292 0001311022653 aleh mahpud L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
462 26-01-2018 101501010118Y002276 0001422569744 RANI NOVI ZULFANI P PEKERJA MANDIRI Pulpitis Berobat Jalan

463 26-01-2018 101501010118Y001204 0001444384495 KHODIJATUL KAROMAH P PEGAWAI SWASTA Other benign mammary Rujuk Lanjut
dysplasias
464 26-01-2018 101501010118Y001200 0001519793774 HIDAYAT RIYANTO L PEGAWAI SWASTA Foreign body on external Rujuk Lanjut
eye
465 26-01-2018 101501010118Y002294 0001769753766 REZA AMPERAWATI AGUSTIN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

466 26-01-2018 101501010118Y002301 0001776388318 ROSID TAUFIQ L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
467 26-01-2018 101501010118Y001201 0001779281774 YULI ANA PEBRIANTI P PEKERJA MANDIRI Supervision of other Rujuk Lanjut
normal pregnancy
468 26-01-2018 101501010118Y001208 0001817978512 USIH HASANAH P PEKERJA MANDIRI Erosive (osteo)arthrosis Rujuk Lanjut

469 26-01-2018 101501010118Y002282 0001859499639 REVI BUTSAINAH KIRANA P PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

470 26-01-2018 101501010118Y002306 0002045382592 BILLY BARLIAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

471 26-01-2018 101501010118Y002309 0002267714968 ZAHRANI AULIA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

472 26-01-2018 101501010118Y002310 0002300752091 SUSY PRIHAYANTI P PEKERJA MANDIRI Myalgia Berobat Jalan

473 25-01-2018 101501010118Y002269 0000021309816 HERMANSYAH SONDJAYA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
474 25-01-2018 101501010118Y002247 0000065691527 PRAMUDYA DWI A SUGANDI L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

475 25-01-2018 101501010118Y001197 0000065772213 HJ. YOYOH HARTATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

476 25-01-2018 101501010118Y001038 0000065781246 JASMINE SAMBARYA P PNS DAERAH Low vision, both eyes Rujuk Lanjut

477 25-01-2018 101501010118Y002261 0000065820767 SOPIAH P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

478 25-01-2018 101501010118Y002263 0000066094481 YETI ROHAETI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
479 25-01-2018 101501010118Y001036 0000066161373 ADE RUKAESIH P PNS DAERAH Neuralgia and neuritis, Rujuk Lanjut
unspecified
480 25-01-2018 101501010118Y002166 0000066161452 NONO HERYANTO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
481 25-01-2018 101501010118Y002266 0000201092567 KEISYA KHAIRUNNISA P PNS DAERAH Acute laryngopharyngitis Berobat Jalan
482 25-01-2018 101501010118Y002246 0000206822777 TITI MURNI L PENERIMA PENSIUN Pulpitis Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

483 25-01-2018 101501010118Y002243 0000473825327 CICI MARLINA P PBI (APBN) Pulpitis Berobat Jalan

484 25-01-2018 101501010118Y002256 0000474201178 MAURA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

485 25-01-2018 101501010118Y001041 0000474220776 TARYA L PBI (APBN) Other senile cataract Rujuk Lanjut

486 25-01-2018 101501010118Y002163 0000474258442 MARI MARGARETHA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
487 25-01-2018 101501010118Y001047 0000474416223 NINGRUM SUSILAWATI P PBI (APBN) Follicular cyst of ovary Rujuk Lanjut

488 25-01-2018 101501010118Y002262 0000474585491 REZA RAMADANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

489 25-01-2018 101501010118Y002244 0000474745072 mesih P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
490 25-01-2018 101501010118Y002254 0000474769315 ROZAK L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

491 25-01-2018 101501010118Y001195 0000474827578 SULISTYOWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
492 25-01-2018 101501010118Y002258 0000474926591 ROKAYAH P PBI (APBN) Myalgia Berobat Jalan

493 25-01-2018 101501010118Y002253 0000474930652 ALI HASAN L PBI (APBN) Other acute gastritis Berobat Jalan

494 25-01-2018 101501010118Y001194 0000474930909 RASMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

495 25-01-2018 101501010118Y002245 0000474946716 ATAM SAMSUDIN L PBI (APBN) Myalgia Berobat Jalan

496 25-01-2018 101501010118Y001043 0000475111012 YADI S L PBI (APBN) Conjunctivitis, unspecified Rujuk Lanjut

497 25-01-2018 101501010118Y001196 0000475127008 RASTA SUBRATA L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

498 25-01-2018 101501010118Y001035 0000475136763 MESIH P PBI (APBN) Vitreous syndrome Rujuk Lanjut
following cataract surgery
499 25-01-2018 101501010118Y002264 0000475162503 ERIK SAPUTRA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

500 25-01-2018 101501010118Y002251 0000475204522 DANI L PBI (APBN) Myalgia Berobat Jalan

501 25-01-2018 101501010118Y002165 0000475226886 NENI NURAENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
502 25-01-2018 101501010118Y002270 0000475307886 WAWAN SETIAWAN L PBI (APBN) Myalgia Berobat Jalan

503 25-01-2018 101501010118Y002164 0000475311609 MISNA MARYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
504 25-01-2018 101501010118Y002255 0000475523054 IDA DARUS P PBI (APBN) Myalgia Berobat Jalan

505 25-01-2018 101501010118Y002252 0000475581273 TETI ROSTIATI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

506 25-01-2018 101501010118Y001198 0000475632202 AI JUARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
507 25-01-2018 101501010118Y002265 0000475759989 YULIATI KIDJO P PEGAWAI PEMERINTAH Other acute gastritis Berobat Jalan
DENGAN PERJANJIAN

508 25-01-2018 101501010118Y002248 0000476183676 KOKOM komariah P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

509 25-01-2018 101501010118Y002260 0000476239375 NUNING DARMADI P PBI (APBN) Other acute gastritis Berobat Jalan

510 25-01-2018 101501010118Y002250 0001188723576 DILVI DIVANNY ROCHMAYADI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

511 25-01-2018 101501010118Y002267 0001444384495 KHODIJATUL KAROMAH P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

512 25-01-2018 101501010118Y002268 0001475798141 PUJIONO L PEKERJA MANDIRI Myalgia Berobat Jalan

513 25-01-2018 101501010118Y001037 0001519138776 LINA RINAWATI P PEGAWAI SWASTA Gastritis, unspecified Rujuk Lanjut

514 25-01-2018 101501010118Y002242 0001519195893 CASMEDI L PEGAWAI SWASTA Other acute gastritis Berobat Jalan

515 25-01-2018 101501010118Y001039 0001519801694 ARYA ANNINDYA HARYANTO L PEGAWAI SWASTA Gastritis and duodenitis Rujuk Lanjut

516 25-01-2018 101501010118Y002259 0001519804359 DENA SOFI P PEKERJA MANDIRI Pulpitis Berobat Jalan

517 25-01-2018 101501010118Y001045 0001523027834 JEFRY PANJAITAN L PEGAWAI SWASTA Acute bronchitis, Rujuk Lanjut
unspecified
518 25-01-2018 101501010118Y002162 0001661615908 KASNIKEM P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
519 25-01-2018 101501010118Y002249 0001662567489 NOVI SUMARNI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

520 25-01-2018 101501010118Y002257 0002033499082 NANI P PEKERJA MANDIRI Myalgia Berobat Jalan

521 25-01-2018 101501010118Y001040 0002054440563 SUYONO S. L PEKERJA MANDIRI Neoplasm of uncertain or Rujuk Lanjut
unknown behavior of

522 25-01-2018 101501010118Y001042 0002293671273 GHINA LATHIFAH P PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

523 25-01-2018 101501010118Y001046 0002304022419 NONO RUGINO L PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
524 25-01-2018 101501010118Y001034 0002304553825 MASRI L PEKERJA MANDIRI Allergic rhinitis, Rujuk Lanjut
unspecified
525 24-01-2018 101501010118Y002025 0000005217276 DARMAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
526 24-01-2018 101501010118Y002036 0000057566171 ENA MARYAMAH P PNS DAERAH Acute laryngopharyngitis Berobat Jalan
527 24-01-2018 101501010118Y002037 0000057566193 MEISA MARLENA FADILAH P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

528 24-01-2018 101501010118Y001981 0000065691347 RUHIMAT L PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
529 24-01-2018 101501010118Y002029 0000065694767 SUSTIKA P PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
530 24-01-2018 101501010118Y001033 0000065724377 MAMAN ABDURAHMAN L PNS DAERAH Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
531 24-01-2018 101501010118Y002006 0000065767533 YANTI P PNS DAERAH Myalgia Berobat Jalan

532 24-01-2018 101501010118Y001961 0000065769006 ASEP DEDI L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

533 24-01-2018 101501010118Y001954 0000065916764 ANEN ROMLAH P PENERIMA PENSIUN TNI Acute laryngopharyngitis Berobat Jalan

534 24-01-2018 101501010118Y001029 0000066002488 NY. IDA KARTIDAH P PENERIMA PENSIUN Unspecified haemorrhoids Rujuk Lanjut
PNS without complication

535 24-01-2018 101501010118Y001026 0000066045835 CUCU YUNIATI, HJ. P PENERIMA PENSIUN Trigger finger, multiple Rujuk Lanjut
PNS sites
536 24-01-2018 101501010118Y001192 0000066091768 hj. AMIH ATIKAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

537 24-01-2018 101501010118Y001980 0000066176831 JUJU ROSITA P PNS DAERAH Myalgia Berobat Jalan

538 24-01-2018 101501010118Y001979 0000066176842 NONO SUMARNO L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

539 24-01-2018 101501010118Y001189 0000066272005 TITIN SUTIATIN LISTIATIN P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

540 24-01-2018 101501010118Y001991 0000066274683 TOTONG KRISTANTO L PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
541 24-01-2018 101501010118Y001032 0000066308411 NUNUNG NURSIFAH P PNS DAERAH Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
542 24-01-2018 101501010118Y001955 0000068551288 UU SYARIFUDIN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

543 24-01-2018 101501010118Y001963 0000166652469 SAMSIAH P PNS DAERAH Contraceptive Berobat Jalan
management, unspecified
544 24-01-2018 101501010118Y001945 0000204515469 MAURA ELFHALIYA HERDIANIE P PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
545 24-01-2018 101501010118Y002012 0000209056329 LUSI AYU P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

546 24-01-2018 101501010118Y002013 0000474121135 EEN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

547 24-01-2018 101501010118Y001030 0000474156044 ADUNG L PBI (APBN) Plasmodium falciparum Rujuk Lanjut
malaria, unspecified
548 24-01-2018 101501010118Y001995 0000474156101 IMAS MASLIAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

549 24-01-2018 101501010118Y001942 0000474186339 SANA PRIATNA L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

550 24-01-2018 101501010118Y002014 0000474426077 YANI SURYANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
551 24-01-2018 101501010118Y001941 0000474447161 MAMAN HERYANA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
552 24-01-2018 101501010118Y001967 0000474469042 ENCUD L PBI (APBN) Myalgia Berobat Jalan

553 24-01-2018 101501010118Y001993 0000474469312 ISMU ANUGERAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

554 24-01-2018 101501010118Y001027 0000474521668 SELVI P PBI (APBN) Myopia Rujuk Lanjut

555 24-01-2018 101501010118Y001987 0000474522456 EKA SARTIKA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
556 24-01-2018 101501010118Y001986 0000474524605 ANISA P P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

557 24-01-2018 101501010118Y002017 0000474544978 nita novianti P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

558 24-01-2018 101501010118Y002021 0000474558388 IWANG NAWANGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

559 24-01-2018 101501010118Y001976 0000474583871 ani P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
560 24-01-2018 101501010118Y001977 0000474584005 sri atin P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

561 24-01-2018 101501010118Y001953 0000474586209 AGUSTIN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

562 24-01-2018 101501010118Y001998 0000474591295 RYANI PRAGITA DEWI P PBI (APBN) Pulpitis Berobat Jalan

563 24-01-2018 101501010118Y001975 0000474605223 DIAN SAVITRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

564 24-01-2018 101501010118Y001969 0000474609317 YURNAINI P PBI (APBN) Myalgia Berobat Jalan

565 24-01-2018 101501010118Y001960 0000474637408 ria febriyani P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
566 24-01-2018 101501010118Y001999 0000474657794 ida napisah P PBI (APBN) Myalgia Berobat Jalan

567 24-01-2018 101501010118Y002030 0000474669494 YENI SUMARNI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
568 24-01-2018 101501010118Y001988 0000474671643 ELA KOMALASARI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
569 24-01-2018 101501010118Y002026 0000474672306 LUKMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

570 24-01-2018 101501010118Y001190 0000474695932 DEDE JUNASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

571 24-01-2018 101501010118Y001944 0000474711513 SURYATI P PBI (APBN) Myalgia Berobat Jalan

572 24-01-2018 101501010118Y001943 0000474712222 LISA KARMILA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
573 24-01-2018 101501010118Y002004 0000474712569 ETI KARWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

574 24-01-2018 101501010118Y001984 0000474731965 WATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

575 24-01-2018 101501010118Y001996 0000474740842 DEWI RATNASARI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

576 24-01-2018 101501010118Y001957 0000474747996 RISMA W P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
577 24-01-2018 101501010118Y001193 0000474748863 ENGKUY P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
578 24-01-2018 101501010118Y002018 0000474788979 SRI PRATININGSIH DESTIAN P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
579 24-01-2018 101501010118Y001951 0000474795584 WATI SULASTRI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
580 24-01-2018 101501010118Y002034 0000474828434 DEWI KURNIASIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
581 24-01-2018 101501010118Y002033 0000474829727 DEAN RAMDANI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

582 24-01-2018 101501010118Y002002 0000474832743 FEBRI YANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

583 24-01-2018 101501010118Y001972 0000474885977 EUTIK P PBI (APBN) Myalgia Berobat Jalan

584 24-01-2018 101501010118Y002023 0000474926859 AKFINA WILDAN AYU P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

585 24-01-2018 101501010118Y002024 0000474953433 MUHAMAD ANWAR PUTRA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

586 24-01-2018 101501010118Y002010 0000474974559 NENENG KURNIAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
587 24-01-2018 101501010118Y002016 0000474995946 OSAH P PBI (APBN) Myalgia Berobat Jalan

588 24-01-2018 101501010118Y001950 0000475088556 ROHANAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
589 24-01-2018 101501010118Y001966 0000475093214 CUCU SARI NENGSIH P PBI (APBN) Myalgia Berobat Jalan

590 24-01-2018 101501010118Y001982 0000475146887 ENOK MIRAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
591 24-01-2018 101501010118Y002032 0000475185971 EDI JAENUDIN L PBI (APBN) Myalgia Berobat Jalan

592 24-01-2018 101501010118Y002031 0000475186274 YAYAN MULYANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
593 24-01-2018 101501010118Y001990 0000475194104 CIKA ROHMAH M P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

594 24-01-2018 101501010118Y002020 0000475224028 SARAH W P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

595 24-01-2018 101501010118Y001191 0000475302374 DENA MULYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
596 24-01-2018 101501010118Y002001 0000475307392 KEYLA APRINIDA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
597 24-01-2018 101501010118Y001994 0000475323276 SITI AISYAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

598 24-01-2018 101501010118Y001028 0000475401543 ROHIMAH P PBI (APBN) Depressive episode Rujuk Lanjut

599 24-01-2018 101501010118Y001949 0000475443652 ISKANDAR L PBI (APBN) Myalgia Berobat Jalan

600 24-01-2018 101501010118Y002007 0000475496864 ISEM P PBI (APBN) Myalgia Berobat Jalan

601 24-01-2018 101501010118Y001974 0000475562147 ENEN KURNIAWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

602 24-01-2018 101501010118Y001989 0000475610264 D SUMARSITI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
603 24-01-2018 101501010118Y002003 0000475635429 ENTIN KARTINI P PBI (APBN) Myalgia Berobat Jalan

604 24-01-2018 101501010118Y002000 0000475663781 NENGSIH YUNENGSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
605 24-01-2018 101501010118Y002022 0000475675086 YULIANA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
606 24-01-2018 101501010118Y001031 0000475676201 MELLI MULYAFANI P PBI (APBN) Hordeolum and other deep Rujuk Lanjut
inflammation of eyelid

607 24-01-2018 101501010118Y002008 0000475895946 lusiawati P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
608 24-01-2018 101501010118Y001971 0000476129597 IKA KARTIKA P PBI (APBN) Myalgia Berobat Jalan

609 24-01-2018 101501010118Y001959 0000476161031 KURNIA P PBI (APBN) Myalgia Berobat Jalan

610 24-01-2018 101501010118Y001958 0000476162763 YENI AISAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

611 24-01-2018 101501010118Y002015 0001009292769 INA ROSTINA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
612 24-01-2018 101501010118Y002011 0001009295638 ROHANAH P PBI (APBN) Myalgia Berobat Jalan

613 24-01-2018 101501010118Y001983 0001009297787 ANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

614 24-01-2018 101501010118Y002035 0001009303661 KURNIASIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
615 24-01-2018 101501010118Y001956 0001009306956 JUHATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
616 24-01-2018 101501010118Y002019 0001009334564 SARINI P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
617 24-01-2018 101501010118Y001985 0001089690074 ASEP SATRIADI L PBI (APBN) Myalgia Berobat Jalan

618 24-01-2018 101501010118Y002028 0001320763026 yanto srihartono L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

619 24-01-2018 101501010118Y002027 0001320763678 juju juariah P PEKERJA MANDIRI Myalgia Berobat Jalan

620 24-01-2018 101501010118Y001946 0001516729173 Irmayanti P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

621 24-01-2018 101501010118Y001947 0001516729195 Muhmmad Fahriza Tsaqif L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

622 24-01-2018 101501010118Y001968 0001519155988 NURHALIMAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

623 24-01-2018 101501010118Y001962 0001519170502 YUYUN YUNENGSIH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

624 24-01-2018 101501010118Y001970 0001519196005 CAHYA HIDAYAT L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

625 24-01-2018 101501010118Y001992 0001519796698 AAM AMINAH CENDRAWATI P PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
face, head and neck
626 24-01-2018 101501010118Y001964 0001668555955 AINA KHAIRUNNISA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

627 24-01-2018 101501010118Y002038 0001769753766 REZA AMPERAWATI AGUSTIN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

628 24-01-2018 101501010118Y001978 0001776384819 ANI AFRIANI P PBI (APBD) Myalgia Berobat Jalan

629 24-01-2018 101501010118Y002009 0001776389343 IMAS ANDRIANI P PBI (APBD) Myalgia Berobat Jalan

630 24-01-2018 101501010118Y002005 0001778730693 MOCH ARIEF RAHMAN L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
631 24-01-2018 101501010118Y001997 0001964425566 muhammad yusuf abdillah L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

632 24-01-2018 101501010118Y001965 0002090879201 azhar anugrah L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

633 24-01-2018 101501010118Y001952 0002212740303 NENGSIH P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
634 24-01-2018 101501010118Y001973 0002285358715 DRA HJ NURMA SARIDEWI P PEKERJA MANDIRI Myalgia Berobat Jalan

635 23-01-2018 101501010118Y001915 0000021309816 HERMANSYAH SONDJAYA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
636 23-01-2018 101501010118Y001940 0000065730497 HAUSEN HANSEN L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
637 23-01-2018 101501010118Y001010 0000065731599 AGUS DAROJAT L PNS DAERAH Tinnitus Rujuk Lanjut

638 23-01-2018 101501010118Y001888 0000065779288 YULITA UMILAH MAESAROH P PEGAWAI SWASTA Myalgia Berobat Jalan

639 23-01-2018 101501010118Y001919 0000065789144 ENENG SUMARNI P PNS DAERAH Myalgia Berobat Jalan

640 23-01-2018 101501010118Y001892 0000065917023 SUGIJONO L PENERIMA PENSIUN TNI Pyogenic granuloma Berobat Jalan

641 23-01-2018 101501010118Y001891 0000065949298 JAJAN SUPARDI L PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
642 23-01-2018 101501010118Y001878 0000065954575 USTRA RACHMAT L PENERIMA PENSIUN TNI Acute laryngopharyngitis Berobat Jalan

643 23-01-2018 101501010118Y001020 0000065954643 TIAMIN PASARIBU P PENERIMA PENSIUN TNI Vitreous syndrome Rujuk Lanjut
following cataract surgery
644 23-01-2018 101501010118Y001187 0000065965083 ASARI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
645 23-01-2018 101501010118Y001017 0000066006494 MARNAH P PENERIMA PENSIUN Dyspepsia Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

646 23-01-2018 101501010118Y001916 0000066031187 WARTIYAH P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
647 23-01-2018 101501010118Y001183 0000066038477 SUGIMAN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

648 23-01-2018 101501010118Y001884 0000066092196 ALEXIA JARO P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
649 23-01-2018 101501010118Y001182 0000066109781 WAWA SUWARNA L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

650 23-01-2018 101501010118Y001016 0000066329987 AUDREY SAVITHRI P PNS DAERAH Papulosquamous disorder, Rujuk Lanjut
unspecified
651 23-01-2018 101501010118Y001932 0000164412279 YOYOH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
652 23-01-2018 101501010118Y001930 0000172886657 YANI KUSUMA DEWI P PNS DAERAH Pulpitis Berobat Jalan

653 23-01-2018 101501010118Y001931 0000173777646 ADITYA RAMADANI SURYANA L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

654 23-01-2018 101501010118Y001005 0000198214121 EMA NIRMALAWATI P PNS DAERAH Headache Rujuk Lanjut

655 23-01-2018 101501010118Y001882 0000474107308 FERRI KURNIAWAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

656 23-01-2018 101501010118Y001886 0000474156044 ADUNG L PBI (APBN) Myalgia Berobat Jalan

657 23-01-2018 101501010118Y001933 0000474171614 DADAN RITNO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
658 23-01-2018 101501010118Y001013 0000474179793 MIMIN RUSMINI P PBI (APBN) Essential (primary) Rujuk Lanjut
hypertension
659 23-01-2018 101501010118Y001881 0000474224409 NIRAZIZAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

660 23-01-2018 101501010118Y001924 0000474224758 ANISAH P PBI (APBN) Myalgia Berobat Jalan

661 23-01-2018 101501010118Y001887 0000474511667 INDAH PERMATASARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

662 23-01-2018 101501010118Y001901 0000474558669 ADE KOSASIH L PBI (APBN) Myalgia Berobat Jalan

663 23-01-2018 101501010118Y001900 0000474559053 ENTIN HARTINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
664 23-01-2018 101501010118Y001896 0000474580271 CICIH UNASIH P PBI (APBN) Pulpitis Berobat Jalan

665 23-01-2018 101501010118Y001185 0000474603265 E PATONAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
666 23-01-2018 101501010118Y001009 0000474618644 SAID SARIPUDIN L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
667 23-01-2018 101501010118Y001184 0000474665308 OTIK P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

668 23-01-2018 101501010118Y001893 0000474726655 SUYATNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
669 23-01-2018 101501010118Y001903 0000474741279 CICIH RUKAsih P PBI (APBN) Pulpitis Berobat Jalan

670 23-01-2018 101501010118Y001920 0000474792311 YUDA H L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

671 23-01-2018 101501010118Y001917 0000474822731 ENENG YUNENGSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
672 23-01-2018 101501010118Y001181 0000474827578 SULISTYOWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
673 23-01-2018 101501010118Y001902 0000474891186 CHELFINA AGUSTIANI PUTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

674 23-01-2018 101501010118Y001929 0000474894268 HENDRIK KISWANTO L PBI (APBN) Pulpitis Berobat Jalan

675 23-01-2018 101501010118Y001935 0000474919121 RENI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
676 23-01-2018 101501010118Y001904 0000474933971 UUP SARIPUDIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

677 23-01-2018 101501010118Y001186 0000474938021 DJEMONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
678 23-01-2018 101501010118Y001188 0000475020955 SUKARIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
679 23-01-2018 101501010118Y001898 0000475140846 MAMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
680 23-01-2018 101501010118Y001007 0000475152017 EMUR P PBI (APBN) Peptic ulcer, acute without Rujuk Lanjut
haemorrhage or

681 23-01-2018 101501010118Y001023 0000475156585 SAJI L PBI (APBN) Diarrhoea and Rujuk Lanjut
gastroenteritis of
presumed infectious origin

682 23-01-2018 101501010118Y001890 0000475205095 ADELLIA APRILIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

683 23-01-2018 101501010118Y001913 0000475321702 SATI WINARTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

684 23-01-2018 101501010118Y001875 0000475361122 TANTRI MARLINA P PBI (APBN) Pulpitis Berobat Jalan

685 23-01-2018 101501010118Y001937 0000475464431 KARNATI P PBI (APBN) Myalgia Berobat Jalan

686 23-01-2018 101501010118Y001936 0000475465757 RANDI HANDIANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

687 23-01-2018 101501010118Y001879 0000475494028 HAYYINUN P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

688 23-01-2018 101501010118Y001909 0000475526169 OOM P PBI (APBN) Myalgia Berobat Jalan

689 23-01-2018 101501010118Y001908 0000475526654 OKI RIASAH PUTRI P PBI (APBN) Pulpitis Berobat Jalan
690 23-01-2018 101501010118Y001019 0000475590622 TRI WIDIANTY P PBI (APBN) Acute ischaemic heart Rujuk Lanjut
disease, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

691 23-01-2018 101501010118Y001889 0000475613594 UUNG L PBI (APBN) Myalgia Berobat Jalan

692 23-01-2018 101501010118Y001004 0000475719039 YAYAH ROKAYAH P PBI (APBN) Angina pectoris Rujuk Lanjut

693 23-01-2018 101501010118Y001894 0000475779497 NANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

694 23-01-2018 101501010118Y001897 0000475813247 a. wiarsih P PBI (APBN) Myalgia Berobat Jalan

695 23-01-2018 101501010118Y001895 0000476178546 KARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
696 23-01-2018 101501010118Y001907 0001009292771 DINA NOVITA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

697 23-01-2018 101501010118Y001921 0001009294547 NABILA NURHASANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

698 23-01-2018 101501010118Y001911 0001009294852 DINI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
699 23-01-2018 101501010118Y001934 0001009303187 LIA HANDAYANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
700 23-01-2018 101501010118Y001923 0001009306978 OYOH P PBI (APBN) Myalgia Berobat Jalan

701 23-01-2018 101501010118Y001918 0001009308407 RIFKY MAULANA HAFIDZ L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

702 23-01-2018 101501010118Y001926 0001305755357 LAELASARI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

703 23-01-2018 101501010118Y001014 0001381119434 deiwan setiawan L PEKERJA MANDIRI Senile incipient cataract Rujuk Lanjut

704 23-01-2018 101501010118Y001922 0001424517096 maharani dwiputri P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

705 23-01-2018 101501010118Y001024 0001482802086 IWAN RAHMAWAN L PEKERJA MANDIRI Paranoid schizophrenia Rujuk Lanjut

706 23-01-2018 101501010118Y001905 0001519142949 ANNISA NURFAERUZ P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

707 23-01-2018 101501010118Y001939 0001519150601 PATIMAH HODIJAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

708 23-01-2018 101501010118Y001022 0001519152974 MEGA WULANTIKA P PEGAWAI SWASTA Myopia Rujuk Lanjut

709 23-01-2018 101501010118Y001012 0001519801694 ARYA ANNINDYA HARYANTO L PEGAWAI SWASTA Gastritis and duodenitis Rujuk Lanjut

710 23-01-2018 101501010118Y001912 0001661477861 YURA JULIANDRA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

711 23-01-2018 101501010118Y001008 0001731271983 JEJEN JAENUDIN L PEKERJA MANDIRI Unspecified haemorrhoids Rujuk Lanjut
without complication

712 23-01-2018 101501010118Y001883 0001776383695 EEN HERLIAH P PBI (APBD) Myalgia Berobat Jalan

713 23-01-2018 101501010118Y001925 0001776385056 MUSTAFA L PBI (APBD) Caries limited to enamel Berobat Jalan

714 23-01-2018 101501010118Y001876 0001813279566 FITRI HERYATI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

715 23-01-2018 101501010118Y001021 0001813375045 nurul hidayah L PEKERJA MANDIRI Secondary amenorrhoea Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

716 23-01-2018 101501010118Y001877 0001822697897 fani nur qomariyah P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

717 23-01-2018 101501010118Y001927 0001885600012 puji edinarwati P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
718 23-01-2018 101501010118Y001899 0001885605456 KAYSHA ALMIRA SETIAWAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

719 23-01-2018 101501010118Y001928 0001969461988 AGUNG BAGUS RAHARJO L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

720 23-01-2018 101501010118Y001885 0002063994794 VENY ROBIATUL SAIDDAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

721 23-01-2018 101501010118Y001025 0002205422774 YAYAH RUKIAH P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
SWASTA diabetes mellitus with
neurological complications

722 23-01-2018 101501010118Y001906 0002256875414 GUGUN GUNAWAN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

723 23-01-2018 101501010118Y001938 0002275810694 kimora aurora ameyuri P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

724 23-01-2018 101501010118Y001018 0002294379819 DILLA AGUSTIN P PEKERJA MANDIRI Headache Rujuk Lanjut

725 23-01-2018 101501010118Y001006 0002304553825 MASRI L PEKERJA MANDIRI Allergic rhinitis, Rujuk Lanjut
unspecified
726 23-01-2018 101501010118Y001011 0002318776929 UNENG NURLATHIFAH P PEKERJA MANDIRI Allergic contact dermatitis, Rujuk Lanjut
unspecified cause

727 22-01-2018 101501010118Y001797 0000044551787 D. DJUARIAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
728 22-01-2018 101501010118Y001832 0000063726039 NINA AGUSTINA P PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
729 22-01-2018 101501010118Y001790 0000065730677 IWAN HERNAWAN L PNS DAERAH Myalgia Berobat Jalan

730 22-01-2018 101501010118Y001816 0000065733041 SUTIYAH P PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
731 22-01-2018 101501010118Y001796 0000065793576 NADIA LATIEFAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
732 22-01-2018 101501010118Y001861 0000065916764 ANEN ROMLAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
733 22-01-2018 101501010118Y000920 0000065948646 SUKARDJI L PENERIMA PENSIUN TNI Intervertebral disc Rujuk Lanjut
disorder, unspecified
734 22-01-2018 101501010118Y001785 0000066091858 DRA. ABISAH APID P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
735 22-01-2018 101501010118Y001815 0000066177112 JAJANG EDI RAHMAT L PNS DAERAH Myalgia Berobat Jalan

736 22-01-2018 101501010118Y001865 0000206822744 WARSIAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
737 22-01-2018 101501010118Y001854 0000206822777 TITI MURNI L PENERIMA PENSIUN Pulpitis Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

738 22-01-2018 101501010118Y001838 0000211325229 INA P PENERIMA PENSIUN TNI Myalgia Berobat Jalan

739 22-01-2018 101501010118Y001864 0000366163222 KARDIMAN SIMATUPANG L PBI (APBN) Pulpitis Berobat Jalan

740 22-01-2018 101501010118Y001871 0000474081197 RUKIAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

741 22-01-2018 101501010118Y001789 0000474120887 SAFA PADIA Z P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

742 22-01-2018 101501010118Y001794 0000474128188 AMIR SUHERMAN L PBI (APBN) Pulpitis Berobat Jalan

743 22-01-2018 101501010118Y001793 0000474128289 NYAI RUMANAH P PBI (APBN) Myalgia Berobat Jalan

744 22-01-2018 101501010118Y001807 0000474172413 SANTI SUSANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

745 22-01-2018 101501010118Y001831 0000474220776 TARYA L PBI (APBN) Myalgia Berobat Jalan

746 22-01-2018 101501010118Y001766 0000474249802 NETI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

747 22-01-2018 101501010118Y001817 0000474461774 RIA PURNAMA SARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

748 22-01-2018 101501010118Y001795 0000474492881 CICIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

749 22-01-2018 101501010118Y000937 0000474521668 SELVI P PBI (APBN) Myopia Rujuk Lanjut

750 22-01-2018 101501010118Y001810 0000474623166 SOLEH HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

751 22-01-2018 101501010118Y001788 0000474658121 NIA SEFTIYANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
752 22-01-2018 101501010118Y001808 0000474669898 uhet P PBI (APBN) Myalgia Berobat Jalan

753 22-01-2018 101501010118Y001774 0000474672161 ECIN P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

754 22-01-2018 101501010118Y001777 0000474673689 ALPIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

755 22-01-2018 101501010118Y001179 0000474723033 UUM UMANAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
756 22-01-2018 101501010118Y001787 0000474727252 RISTA JULIANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

757 22-01-2018 101501010118Y001812 0000474731831 ENTIN KARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
758 22-01-2018 101501010118Y000932 0000474740267 MUMUN P PBI (APBN) Sprain and strain of other Rujuk Lanjut
and unspecified parts of

759 22-01-2018 101501010118Y001845 0000474751269 SARNIM L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

760 22-01-2018 101501010118Y001842 0000474754825 NAYA SUNARYA L PBI (APBN) Myalgia Berobat Jalan

761 22-01-2018 101501010118Y001846 0000474754983 IMAS SURYANI P PBI (APBN) Myalgia Berobat Jalan

762 22-01-2018 101501010118Y001178 0000474801489 UUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

763 22-01-2018 101501010118Y000916 0000474810952 ACIH P PBI (APBN) Unspecified renal failure Rujuk Lanjut

764 22-01-2018 101501010118Y001767 0000474851147 AMAN L PBI (APBN) Myalgia Berobat Jalan

765 22-01-2018 101501010118Y001868 0000474855096 ACIH karsih P PBI (APBN) Myalgia Berobat Jalan

766 22-01-2018 101501010118Y000947 0000474872185 DEWI ROSNAWATI P PBI (APBN) Adhesive capsulitis of Rujuk Lanjut
shoulder
767 22-01-2018 101501010118Y001800 0000474881398 UUN P PBI (APBN) Myalgia Berobat Jalan

768 22-01-2018 101501010118Y001852 0000474967844 UTINAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

769 22-01-2018 101501010118Y001765 0000475008658 WARNENGSIH P PBI (APBN) Myalgia Berobat Jalan

770 22-01-2018 101501010118Y001874 0000475013338 RATIH APRILLIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

771 22-01-2018 101501010118Y001820 0000475041363 NINING ANINGRUM P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
772 22-01-2018 101501010118Y001851 0000475109829 ARDYA MAHARANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

773 22-01-2018 101501010118Y001849 0000475255642 NANI R. P PBI (APBN) Myalgia Berobat Jalan

774 22-01-2018 101501010118Y001850 0000475259084 GEA HIRA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

775 22-01-2018 101501010118Y001827 0000475284554 omi P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
776 22-01-2018 101501010118Y001873 0000475369367 ONO SOBARNA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

777 22-01-2018 101501010118Y001826 0000475462844 EMIN P PBI (APBN) Myalgia Berobat Jalan

778 22-01-2018 101501010118Y001811 0000475512287 DARSEM P PBI (APBN) Myalgia Berobat Jalan

779 22-01-2018 101501010118Y001813 0000475518262 ALYA NUR ASIYAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

780 22-01-2018 101501010118Y001772 0000475518363 AMAS SATIA S L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

781 22-01-2018 101501010118Y001771 0000475519004 HADI PUTRA P L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

782 22-01-2018 101501010118Y001867 0000475557557 DEWI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

783 22-01-2018 101501010118Y001180 0000475581172 SUPARNO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
784 22-01-2018 101501010118Y001775 0000475597844 CUCU NURHAYATI P PBI (APBN) Pulpitis Berobat Jalan

785 22-01-2018 101501010118Y001784 0000475657209 ASON SONJAYA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

786 22-01-2018 101501010118Y001798 0000475669528 ICIM L PBI (APBN) Myalgia Berobat Jalan

787 22-01-2018 101501010118Y001801 0000475669732 RASINI P PBI (APBN) Myalgia Berobat Jalan

788 22-01-2018 101501010118Y001769 0000475772567 ANDRIYANTO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

789 22-01-2018 101501010118Y001773 0000475775392 MUTIA FARIDA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
790 22-01-2018 101501010118Y001844 0000476086195 KASINI P PBI (APBN) Pulpitis Berobat Jalan

791 22-01-2018 101501010118Y001780 0000476087613 DENI RISNANTO L PBI (APBN) Pulpitis Berobat Jalan

792 22-01-2018 101501010118Y000914 0000476165068 SONAH P PBI (APBN) Haemoptysis Rujuk Lanjut

793 22-01-2018 101501010118Y000912 0000476171684 HERMAYA L PBI (APBN) Low vision, both eyes Rujuk Lanjut

794 22-01-2018 101501010118Y001776 0000476230511 IIS AISAH P PBI (APBN) Myalgia Berobat Jalan

795 22-01-2018 101501010118Y001856 0001009293219 SITI M P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
796 22-01-2018 101501010118Y001870 0001009295605 YUDI HERYANA L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
797 22-01-2018 101501010118Y000911 0001009296628 ade jubaedah P PBI (APBN) Conjunctivitis, unspecified Rujuk Lanjut

798 22-01-2018 101501010118Y001836 0001009297811 yayah rokayah P PBI (APBN) Myalgia Berobat Jalan

799 22-01-2018 101501010118Y000930 0001009300127 r titi sumiati P PBI (APBN) Gastritis, unspecified Rujuk Lanjut

800 22-01-2018 101501010118Y001839 0001009301466 NIA KURNIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

801 22-01-2018 101501010118Y001792 0001009302377 A SAEFUL ZIHAD L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

802 22-01-2018 101501010118Y001802 0001009303367 ANDI S. L PBI (APBN) Myalgia Berobat Jalan

803 22-01-2018 101501010118Y001821 0001009308598 sultoni L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

804 22-01-2018 101501010118Y001822 0001009308609 ida farida P PBI (APBN) Myalgia Berobat Jalan

805 22-01-2018 101501010118Y001764 0001009334733 DASIR L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
806 22-01-2018 101501010118Y001770 0001009336544 TARDI L PBI (APBN) Myalgia Berobat Jalan

807 22-01-2018 101501010118Y001858 0001089691143 ODAH L PBI (APBN) Pulpitis Berobat Jalan

808 22-01-2018 101501010118Y001837 0001137934078 RULI L PEGAWAI SWASTA Myalgia Berobat Jalan

809 22-01-2018 101501010118Y001863 0001158862599 GILANG BASWARA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

810 22-01-2018 101501010118Y001830 0001168580935 MUTIKAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

811 22-01-2018 101501010118Y001814 0001189712632 TRESNAANGGARA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

812 22-01-2018 101501010118Y000957 0001192888067 FAZRIL VIERI NOVALINO L PEGAWAI SWASTA Scabies Rujuk Lanjut

813 22-01-2018 101501010118Y000915 0001274667761 NAUFAL RAFIF HENDRADI L PNS DAERAH Gastritis, unspecified Rujuk Lanjut

814 22-01-2018 101501010118Y001768 0001287860185 YULI KWANIA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

815 22-01-2018 101501010118Y001841 0001311046648 YAYAN SUKMANA G. L PEKERJA MANDIRI Acute lymphadenitis of Berobat Jalan
face, head and neck
816 22-01-2018 101501010118Y001866 0001422562296 muhammad hafiz L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

817 22-01-2018 101501010118Y000955 0001450925133 RIEKE SIHOMBING P PEKERJA MANDIRI Conjunctivitis, unspecified Rujuk Lanjut

818 22-01-2018 101501010118Y001853 0001475798141 PUJIONO L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

819 22-01-2018 101501010118Y001855 0001479513205 SATIM L PEKERJA MANDIRI Myalgia Berobat Jalan

820 22-01-2018 101501010118Y001177 0001481495916 IMAS MASNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

821 22-01-2018 101501010118Y001828 0001519190548 ELIS SETIA P PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
face, head and neck
822 22-01-2018 101501010118Y001806 0001519194497 MEYMEY RUSTAMI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

823 22-01-2018 101501010118Y001783 0001519195948 AAS SUSI SUSANTI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
824 22-01-2018 101501010118Y001779 0001519793695 DIDI RUNEDI L PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
face, head and neck
825 22-01-2018 101501010118Y001847 0001520550865 KHAZMI MULDANI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

826 22-01-2018 101501010118Y001782 0001604280317 EVA OKTAVIANITA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

827 22-01-2018 101501010118Y001840 0001660727057 AYI SUHENDRA L PEGAWAI SWASTA Myalgia Berobat Jalan

828 22-01-2018 101501010118Y001803 0001661495038 SUTRIA RATNA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

829 22-01-2018 101501010118Y001804 0001661495049 ALVIAN DWI DENI SYAHRIAL L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

830 22-01-2018 101501010118Y001805 0001662429071 NUNU NURACHMAN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

831 22-01-2018 101501010118Y001869 0001663214758 Agung Nugraha Sukma L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

832 22-01-2018 101501010118Y001860 0001664265262 WITA PUSPITA P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
833 22-01-2018 101501010118Y001818 0001664265947 MALA NIRMALASARI P PEGAWAI SWASTA Myalgia Berobat Jalan

834 22-01-2018 101501010118Y001829 0001664939441 TOPIK HIDAYAT L PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
face, head and neck
835 22-01-2018 101501010118Y001819 0001668563504 AFTANI ARIFIN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

836 22-01-2018 101501010118Y001859 0001776385912 JEJE P PBI (APBD) Acute laryngopharyngitis Berobat Jalan

837 22-01-2018 101501010118Y001862 0001776388318 ROSID TAUFIQ L PBI (APBD) Myalgia Berobat Jalan

838 22-01-2018 101501010118Y001872 0001776404114 SRI RAHAYU P PBI (APBD) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

839 22-01-2018 101501010118Y000924 0001806266169 eki prastiandi L PEKERJA MANDIRI Benign lipomatous Rujuk Lanjut
neoplasm of skin and
subcutaneous tissue of

840 22-01-2018 101501010118Y001857 0001810192511 GUGUN PRATAMA L PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
841 22-01-2018 101501010118Y001833 0001835326348 INTANSARI P PEKERJA MANDIRI Pulpitis Berobat Jalan

842 22-01-2018 101501010118Y001799 0001892613497 DZAKIRA THALITA ZAHRA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

843 22-01-2018 101501010118Y000948 0002217139211 ZAYN ABDULLAH ADZKA L PEGAWAI SWASTA Diarrhoea and Rujuk Lanjut
gastroenteritis of
presumed infectious origin

844 22-01-2018 101501010118Y000913 0002262900093 aqila putri permana P PEGAWAI SWASTA Fever with chills Rujuk Lanjut

845 22-01-2018 101501010118Y000974 0002327133418 ERNI DHARMAYANTHI KUSUMA P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
846 20-01-2018 101501010118Y001728 0000065707885 NANI SURYANI P PNS DAERAH Other acute gastritis Berobat Jalan

847 20-01-2018 101501010118Y001759 0000065726155 NUNUNG NURUL AENI P PNS DAERAH Myalgia Berobat Jalan

848 20-01-2018 101501010118Y001762 0000065769006 ASEP DEDI L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

849 20-01-2018 101501010118Y001170 0000065824323 LILLI ROSIDI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

850 20-01-2018 101501010118Y001168 0000065947059 CUCUN SUNINGSIH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

851 20-01-2018 101501010118Y001173 0000065949412 SOEJATI P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
852 20-01-2018 101501010118Y001751 0000065949963 MAMAT HARUN RACHMAT L PENERIMA PENSIUN TNI Unspecified diabetes Berobat Jalan
mellitus with coma
853 20-01-2018 101501010118Y000902 0000066038848 SUHANA L PENERIMA PENSIUN Asthma Rujuk Lanjut
PNS
854 20-01-2018 101501010118Y001725 0000066038859 RUKIAH P PENERIMA PENSIUN Unspecified diabetes Berobat Jalan
PNS mellitus with coma
855 20-01-2018 101501010118Y001745 0000066094481 YETI ROHAETI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
856 20-01-2018 101501010118Y001165 0000066099431 CICIH UMYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
857 20-01-2018 101501010118Y001763 0000066102355 TITIN P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
858 20-01-2018 101501010118Y001174 0000066109781 WAWA SUWARNA L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

859 20-01-2018 101501010118Y001756 0000066116294 FATIMAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
860 20-01-2018 101501010118Y001166 0000066135532 AMARWATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

861 20-01-2018 101501010118Y001164 0000066161553 RIAH KOMARAWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
862 20-01-2018 101501010118Y001760 0000066163757 YOYOH MUNAWATI P PNS DAERAH Myalgia Berobat Jalan

863 20-01-2018 101501010118Y001761 0000066163781 TRIA MUDIANTI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

864 20-01-2018 101501010118Y001739 0000066310514 ABDUL LATHIP AWAL L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

865 20-01-2018 101501010118Y000899 0000066317005 NINA SUATI P PNS DAERAH Benign paroxysmal vertigo Rujuk Lanjut

866 20-01-2018 101501010118Y000907 0000066334476 TATA SUHATA A, s.os. L PNS DAERAH Polyneuropathy, Rujuk Lanjut
unspecified
867 20-01-2018 101501010118Y001749 0000159520274 ENDANG ALI SUGYANTO L PENERIMA PENSIUN Other acute gastritis Berobat Jalan
PNS
868 20-01-2018 101501010118Y000906 0000198033039 SRI PURWANINGSIH P PNS DAERAH Intervertebral disc Rujuk Lanjut
disorder, unspecified
869 20-01-2018 101501010118Y001758 0000207107087 AISYAH BUANAWATI P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
870 20-01-2018 101501010118Y000898 0000474447161 MAMAN HERYANA L PBI (APBN) Polyneuropathy, Rujuk Lanjut
unspecified
871 20-01-2018 101501010118Y001742 0000474451964 SHAUMI MAHARANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

872 20-01-2018 101501010118Y001729 0000474568751 HEMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
873 20-01-2018 101501010118Y001740 0000474645003 IKA R P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

874 20-01-2018 101501010118Y001714 0000474719703 DEDI HIDAYAT L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

875 20-01-2018 101501010118Y000904 0000474744532 MASRI L PBI (APBN) Malignant neoplasm of Rujuk Lanjut
tonsil
876 20-01-2018 101501010118Y000901 0000474811211 RAHMADANI P PBI (APBN) Fever with chills Rujuk Lanjut

877 20-01-2018 101501010118Y001753 0000474850631 SUSI P PBI (APBN) Other acute gastritis Berobat Jalan

878 20-01-2018 101501010118Y001752 0000474907588 JUJU L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

879 20-01-2018 101501010118Y001718 0000474928209 NINING P PBI (APBN) Myalgia Berobat Jalan

880 20-01-2018 101501010118Y001717 0000474929188 MEGA PUTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
881 20-01-2018 101501010118Y001719 0000475001717 RATNENGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

882 20-01-2018 101501010118Y001744 0000475237102 ERNI SUSILAWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

883 20-01-2018 101501010118Y001169 0000475273361 AMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

884 20-01-2018 101501010118Y001720 0000475308999 SUANDINI JULIANTI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

885 20-01-2018 101501010118Y001733 0000475326281 SAODAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

886 20-01-2018 101501010118Y001743 0000475408023 WATI P PBI (APBN) Myalgia Berobat Jalan

887 20-01-2018 101501010118Y001724 0000475434066 POPON P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

888 20-01-2018 101501010118Y001757 0000475452832 RITA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

889 20-01-2018 101501010118Y001167 0000475531997 RUKMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

890 20-01-2018 101501010118Y001175 0000475581172 SUPARNO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
891 20-01-2018 101501010118Y001176 0000475581475 aas SITI HASANAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
892 20-01-2018 101501010118Y001736 0000475584851 IDA JUBAEDAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

893 20-01-2018 101501010118Y001726 0000475626802 FIRMAN ABDUROSID L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

894 20-01-2018 101501010118Y001734 0000475654239 WINDY INDAH LESTARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

895 20-01-2018 101501010118Y000900 0000475715204 AGHNIYA SALSABILLA P PBI (APBN) Other and unspecified Rujuk Lanjut
lesions of oral mucosa
896 20-01-2018 101501010118Y001721 0001009291893 LILIS SUTEJA P PBI (APBN) Myalgia Berobat Jalan

897 20-01-2018 101501010118Y001727 0001009295008 IMAS WIDYANINGSIH P PBI (APBN) Myalgia Berobat Jalan

898 20-01-2018 101501010118Y001730 0001009301207 WATI WARNILA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

899 20-01-2018 101501010118Y000905 0001009335701 elah nurlela P PBI (APBN) Recurrent depressive Rujuk Lanjut
disorder, current episode

900 20-01-2018 101501010118Y000909 0001089687115 ENTES TESYIH P PBI (APBN) Essential (primary) Rujuk Lanjut
hypertension
901 20-01-2018 101501010118Y001731 0001090032096 MUHAMAD FAUZAN KHOERUL L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
AZAM
902 20-01-2018 101501010118Y001746 0001303902224 MUHAMAD ARIEF MAULANA L PEGAWAI BUMD Acute laryngopharyngitis Berobat Jalan

903 20-01-2018 101501010118Y000903 0001429938944 komariah L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
904 20-01-2018 101501010118Y000910 0001450956587 R. RANI YULIASARI P PEKERJA MANDIRI Pulpitis Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

905 20-01-2018 101501010118Y001171 0001476475738 SANEP L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

906 20-01-2018 101501010118Y001172 0001476476008 RUSMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

907 20-01-2018 101501010118Y001741 0001516729195 Muhmmad Fahriza Tsaqif L PEGAWAI SWASTA Pulpitis Berobat Jalan

908 20-01-2018 101501010118Y001722 0001519715068 YOHANES UKIM L PEGAWAI SWASTA Pulpitis Berobat Jalan

909 20-01-2018 101501010118Y001748 0001659987066 DEWI APRIYANI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

910 20-01-2018 101501010118Y001723 0001661477826 YULI HERMAWATI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

911 20-01-2018 101501010118Y001747 0001661495152 EPA SARTIKA P PEGAWAI SWASTA Myalgia Berobat Jalan

912 20-01-2018 101501010118Y001732 0001666353216 ERWINSYAH L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

913 20-01-2018 101501010118Y001738 0001668766318 HERMANTO L PEGAWAI SWASTA Myalgia Berobat Jalan

914 20-01-2018 101501010118Y001737 0001776394124 TITI P PBI (APBD) Myalgia Berobat Jalan

915 20-01-2018 101501010118Y001716 0001859499639 REVI BUTSAINAH KIRANA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

916 20-01-2018 101501010118Y001755 0001868482686 TATA KURNIAWAN NURDIAS L PEGAWAI BUMD Acute laryngopharyngitis Berobat Jalan

917 20-01-2018 101501010118Y000908 0001868484328 AI HALIMAH P PEGAWAI BUMD Low vision, both eyes Rujuk Lanjut

918 20-01-2018 101501010118Y001750 0001871307369 RENnY ROSMAWARTi P PNS DAERAH Pyogenic granuloma Berobat Jalan

919 20-01-2018 101501010118Y001754 0001899978693 PASCAL FEBRIO LITAMA L PNS DAERAH Pulpitis Berobat Jalan

920 20-01-2018 101501010118Y001735 0002267714968 ZAHRANI AULIA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

921 20-01-2018 101501010118Y001715 0002310432309 acah P PEKERJA MANDIRI Myalgia Berobat Jalan

922 19-01-2018 101501010118Y001704 0000058112684 SOPIAN L PNS PUSAT Myalgia Berobat Jalan

923 19-01-2018 101501010118Y001152 0000065767511 SUHENDI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
924 19-01-2018 101501010118Y001161 0000065821083 TUTI PARIDA P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

925 19-01-2018 101501010118Y001669 0000065838328 EUIS KURNIATIN P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

926 19-01-2018 101501010118Y001158 0000065965083 ASARI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
927 19-01-2018 101501010118Y001689 0000065990248 HIDAYAT YUSUF PASYA, DRS L PENERIMA PENSIUN Unspecified diabetes Berobat Jalan
PNS mellitus with coma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

928 19-01-2018 101501010118Y001706 0000066063745 AMINAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
929 19-01-2018 101501010118Y001685 0000066098193 IDA ROSIDA P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
930 19-01-2018 101501010118Y001712 0000148427357 HERA WIBAWA SUPRAPTO ,S L PNS DAERAH Myalgia Berobat Jalan
.IP
931 19-01-2018 101501010118Y001707 0000474123936 OCIN CASMITA L PBI (APBN) Other acute gastritis Berobat Jalan

932 19-01-2018 101501010118Y001673 0000474157585 TATI HARTATI P PBI (APBN) Myalgia Berobat Jalan

933 19-01-2018 101501010118Y001154 0000474177532 ADAR L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
934 19-01-2018 101501010118Y001153 0000474179793 MIMIN RUSMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
935 19-01-2018 101501010118Y001709 0000474193811 SITI DARYANI P PBI (APBN) Myalgia Berobat Jalan

936 19-01-2018 101501010118Y001697 0000474426077 YANI SURYANI P PBI (APBN) Other acute gastritis Berobat Jalan

937 19-01-2018 101501010118Y001698 0000474426415 ELSA APRIANITA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

938 19-01-2018 101501010118Y001159 0000474547094 TARSITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
939 19-01-2018 101501010118Y001690 0000474580271 CICIH UNASIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

940 19-01-2018 101501010118Y001666 0000474595659 ELI ROHAYATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

941 19-01-2018 101501010118Y001665 0000474596043 GINA P PBI (APBN) Myalgia Berobat Jalan

942 19-01-2018 101501010118Y000858 0000474598078 NENGSIH P PBI (APBN) Essential (primary) Rujuk Lanjut
hypertension
943 19-01-2018 101501010118Y001688 0000474635305 AAS SUSILAWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

944 19-01-2018 101501010118Y001694 0000474640255 YANI P PBI (APBN) Myalgia Berobat Jalan

945 19-01-2018 101501010118Y001702 0000474717611 LILI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

946 19-01-2018 101501010118Y001674 0000474740267 MUMUN P PBI (APBN) Other acute gastritis Berobat Jalan

947 19-01-2018 101501010118Y000896 0000474746703 RUDI RIYANTO L PBI (APBN) Peptic ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

948 19-01-2018 101501010118Y001672 0000474774366 DEVI P PBI (APBN) Other acute gastritis Berobat Jalan

949 19-01-2018 101501010118Y001710 0000474811874 MASLINA KURNIAHATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

950 19-01-2018 101501010118Y001711 0000474814078 NOVITA EKA SAPUTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
951 19-01-2018 101501010118Y001667 0000474844713 AI SUMIARSIH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

952 19-01-2018 101501010118Y001670 0000474888824 WITA KARWITA L PBI (APBN) Myalgia Berobat Jalan

953 19-01-2018 101501010118Y001671 0000474889386 ANIH KOMARIAH P PBI (APBN) Myalgia Berobat Jalan

954 19-01-2018 101501010118Y001675 0000475001717 RATNENGSIH P PBI (APBN) Myalgia Berobat Jalan

955 19-01-2018 101501010118Y001160 0000475019728 SUHENDIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
956 19-01-2018 101501010118Y001163 0000475020911 ADE SUMARNA L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

957 19-01-2018 101501010118Y001683 0000475132612 ani nurhayati P PBI (APBN) Myalgia Berobat Jalan

958 19-01-2018 101501010118Y001679 0000475140846 MAMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
959 19-01-2018 101501010118Y001701 0000475172403 SITI ZUBAEDAH P PBI (APBN) Other acute gastritis Berobat Jalan

960 19-01-2018 101501010118Y001668 0000475204566 UUM UMAYAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

961 19-01-2018 101501010118Y001699 0000475301259 IDA NURHAYATI P PBI (APBN) Other acute gastritis Berobat Jalan

962 19-01-2018 101501010118Y001678 0000475328158 ERNIWATI P PBI (APBN) Myalgia Berobat Jalan

963 19-01-2018 101501010118Y001676 0000475331861 YATI P PBI (APBN) Myalgia Berobat Jalan

964 19-01-2018 101501010118Y001692 0000475354989 ENOH L PBI (APBN) Myalgia Berobat Jalan

965 19-01-2018 101501010118Y001696 0000475384274 DANIS SAPUTRA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

966 19-01-2018 101501010118Y001693 0000475405784 RANIA ALIFIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

967 19-01-2018 101501010118Y001700 0000475425066 IYUK P PBI (APBN) Myalgia Berobat Jalan

968 19-01-2018 101501010118Y001677 0000475466859 IMAS JUANGSIH P PBI (APBN) Myalgia Berobat Jalan

969 19-01-2018 101501010118Y001150 0000475477828 ATIN SUPRIATIN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

970 19-01-2018 101501010118Y001682 0000475548928 TATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
971 19-01-2018 101501010118Y001155 0000475632202 AI JUARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
972 19-01-2018 101501010118Y001687 0000475635429 ENTIN KARTINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

973 19-01-2018 101501010118Y001695 0000475639716 ria nopiyanti P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

974 19-01-2018 101501010118Y001708 0000475642304 ENCAS CASWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
975 19-01-2018 101501010118Y001684 0000475708487 SIRLY SORAYA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

976 19-01-2018 101501010118Y000868 0001009295717 LIA NOOR MALIA H P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
977 19-01-2018 101501010118Y001157 0001009298057 IBAR HASYIM L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

978 19-01-2018 101501010118Y001681 0001009298125 RANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

979 19-01-2018 101501010118Y001156 0001009308317 IIN SOLIHIN L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

980 19-01-2018 101501010118Y001713 0001089686518 DANA SUPRIATNA P PBI (APBN) Other acute gastritis Berobat Jalan

981 19-01-2018 101501010118Y001705 0001089691143 ODAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

982 19-01-2018 101501010118Y000859 0001319524817 LIE TJUN MOY P PEKERJA MANDIRI Dyspepsia Rujuk Lanjut

983 19-01-2018 101501010118Y001151 0001341271427 ERWIN TANWIR HARBI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
SWASTA hypertension
984 19-01-2018 101501010118Y001162 0001380281499 sugiarto mulyono L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

985 19-01-2018 101501010118Y000897 0001384462348 SELVIA APRIYANTI MIRDA P PEGAWAI SWASTA Keloid scar Rujuk Lanjut

986 19-01-2018 101501010118Y000860 0001620720876 RIDWAN HERDYAN FAUZI L PEKERJA MANDIRI Impacted teeth Rujuk Lanjut

987 19-01-2018 101501010118Y001691 0001776389106 ENOH P PBI (APBD) Myalgia Berobat Jalan

988 19-01-2018 101501010118Y001664 0001776389286 YANI P PBI (APBD) Myalgia Berobat Jalan

989 19-01-2018 101501010118Y000893 0001803782079 nanang wiganda L PEKERJA MANDIRI Calculus of kidney Rujuk Lanjut

990 19-01-2018 101501010118Y001703 0002045122209 ALFARO RIZKY PRATAMA L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

991 19-01-2018 101501010118Y001686 0002229484746 YANTO L PEGAWAI SWASTA Myalgia Berobat Jalan

992 19-01-2018 101501010118Y001680 0002313677801 ENDANG FITRIA LESTARI L PEGAWAI SWASTA Myalgia Berobat Jalan

993 18-01-2018 101501010118Y001626 0000063046091 MARLINA NUR FITRIANI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

994 18-01-2018 101501010118Y001653 0000065733041 SUTIYAH P PNS DAERAH Pulpitis Berobat Jalan

995 18-01-2018 101501010118Y001140 0000065787592 NURHAYATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

996 18-01-2018 101501010118Y001632 0000065947487 TJUTJU WARININGSIH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
997 18-01-2018 101501010118Y001146 0000065949412 SOEJATI P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

998 18-01-2018 101501010118Y001649 0000065949963 MAMAT HARUN RACHMAT L PENERIMA PENSIUN TNI Unspecified diabetes Berobat Jalan
mellitus with coma
999 18-01-2018 101501010118Y001141 0000065950918 NUNUNG ZAENAB P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1000 18-01-2018 101501010118Y000761 0000065953787 SUYANTO L PENERIMA PENSIUN TNI Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage

1001 18-01-2018 101501010118Y000760 0000065953798 IMAS NINING RATNANINGSIH P PENERIMA PENSIUN TNI Other chronic suppurative Rujuk Lanjut
otitis media
1002 18-01-2018 101501010118Y001044 0000065970189 RUKIAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1003 18-01-2018 101501010118Y000774 0000066095008 DRS, DIDIN ADJIDIN L PENERIMA PENSIUN Erosive (osteo)arthrosis Rujuk Lanjut
PNS
1004 18-01-2018 101501010118Y001145 0000066103301 R NINGRUM P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1005 18-01-2018 101501010118Y001132 0000066109476 TITING ROHATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1006 18-01-2018 101501010118Y001640 0000066150191 KAISIACIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1007 18-01-2018 101501010118Y000773 0000066176774 TATIN RANTINI P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1008 18-01-2018 101501010118Y001636 0000066244768 LILIS RATNANINGSIH P PNS DAERAH Myalgia Berobat Jalan

1009 18-01-2018 101501010118Y001637 0000066244779 AMARUDIN SUEB L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1010 18-01-2018 101501010118Y001131 0000066332946 OMA SUKMA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1011 18-01-2018 101501010118Y001646 0000162079659 ENIS P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1012 18-01-2018 101501010118Y001638 0000165504159 SOLIHIN L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1013 18-01-2018 101501010118Y001659 0000366163222 KARDIMAN SIMATUPANG L PBI (APBN) Pulpitis Berobat Jalan

1014 18-01-2018 101501010118Y001615 0000473825327 CICI MARLINA P PBI (APBN) Pulpitis Berobat Jalan

1015 18-01-2018 101501010118Y001616 0000474153862 PUTRA TENKU RIESHAL L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
FIRMANSYAH
1016 18-01-2018 101501010118Y001144 0000474447418 ARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1017 18-01-2018 101501010118Y001625 0000474564622 maryati P PBI (APBN) Myalgia Berobat Jalan
1018 18-01-2018 101501010118Y001655 0000474596932 DERA AZAHTIANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1019 18-01-2018 101501010118Y001654 0000474597066 DERI AZIHTIANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1020 18-01-2018 101501010118Y001617 0000474660606 TAHMID L PBI (APBN) Myalgia Berobat Jalan

1021 18-01-2018 101501010118Y001618 0000474661484 OOM P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus with coma
1022 18-01-2018 101501010118Y001661 0000474723652 SARJI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1023 18-01-2018 101501010118Y001662 0000474723909 IRAH P PBI (APBN) Myalgia Berobat Jalan

1024 18-01-2018 101501010118Y001143 0000474740425 ENGGUM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1025 18-01-2018 101501010118Y001135 0000474771712 ENIS P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1026 18-01-2018 101501010118Y001623 0000474775964 sumiati P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus with coma
1027 18-01-2018 101501010118Y001639 0000474792715 EROS ROSWATI P PBI (APBN) Other acute gastritis Berobat Jalan

1028 18-01-2018 101501010118Y001630 0000474798137 TITIN SAPTINAH P PBI (APBN) Myalgia Berobat Jalan

1029 18-01-2018 101501010118Y001627 0000474807971 INDAH NOVITASARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1030 18-01-2018 101501010118Y001613 0000474811211 RAHMADANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1031 18-01-2018 101501010118Y001134 0000474817814 ENA SUKANDA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1032 18-01-2018 101501010118Y001136 0000474818747 EMA KOMARIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1033 18-01-2018 101501010118Y001641 0000474830998 IIN CAHYANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1034 18-01-2018 101501010118Y001607 0000474838593 AMIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1035 18-01-2018 101501010118Y001142 0000474917567 RUNASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1036 18-01-2018 101501010118Y001606 0000474987159 OOM ROMLAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1037 18-01-2018 101501010118Y001139 0000475019728 SUHENDIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1038 18-01-2018 101501010118Y001138 0000475020955 SUKARIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1039 18-01-2018 101501010118Y001651 0000475191753 INDAH MUTIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1040 18-01-2018 101501010118Y001635 0000475225334 ENENG RUHETIN P PBI (APBN) Other acute gastritis Berobat Jalan

1041 18-01-2018 101501010118Y001634 0000475225929 MEIROZA NOER FADILLA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
1042 18-01-2018 101501010118Y001621 0000475230688 AWING L PBI (APBN) Myalgia Berobat Jalan

1043 18-01-2018 101501010118Y000763 0000475322005 ERI HERAWATI P PBI (APBN) Headache Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1044 18-01-2018 101501010118Y000769 0000475352019 RAHAYU L PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
1045 18-01-2018 101501010118Y001133 0000475352482 ELA NELAWATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1046 18-01-2018 101501010118Y000771 0000475500407 DIAN WIDIANTI P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
1047 18-01-2018 101501010118Y001609 0000475526542 NOvI ANGGRAINI P PBI (APBN) Other acute gastritis Berobat Jalan

1048 18-01-2018 101501010118Y001608 0000475535035 WACIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1049 18-01-2018 101501010118Y001647 0000475543765 ATIK ATIKAH P PBI (APBN) Myalgia Berobat Jalan

1050 18-01-2018 101501010118Y001612 0000475614584 M. ABDULLAH R. L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1051 18-01-2018 101501010118Y001629 0000475656761 ROHMIATI P PBI (APBN) Myalgia Berobat Jalan

1052 18-01-2018 101501010118Y001658 0000475689532 ENI P PBI (APBN) Other acute gastritis Berobat Jalan

1053 18-01-2018 101501010118Y001622 0000475699274 MUHAMAD RISAL ALPAJAR L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1054 18-01-2018 101501010118Y001652 0000475745534 ALIFAH NURHASANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1055 18-01-2018 101501010118Y001657 0000476145595 ENI P PBI (APBN) Other acute gastritis Berobat Jalan

1056 18-01-2018 101501010118Y001656 0001009293006 RATNENGSIH P PBI (APBN) Other acute gastritis Berobat Jalan

1057 18-01-2018 101501010118Y001614 0001009298722 ERIS I P PBI (APBN) Myalgia Berobat Jalan

1058 18-01-2018 101501010118Y001648 0001009299756 NINA MARIANA P PBI (APBN) Other acute gastritis Berobat Jalan

1059 18-01-2018 101501010118Y001624 0001009302344 INA HERLINA P PBI (APBN) Other acute gastritis Berobat Jalan

1060 18-01-2018 101501010118Y001633 0001009303053 AMINAH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus with coma
1061 18-01-2018 101501010118Y001650 0001009303143 EDAH P PBI (APBN) Myalgia Berobat Jalan

1062 18-01-2018 101501010118Y001148 0001009304493 ENTIN SUPRIATIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1063 18-01-2018 101501010118Y001643 0001090032153 RENA TRIA ROHMADani P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1064 18-01-2018 101501010118Y000775 0001303932183 GUNARTI P PEGAWAI BUMD Erosive (osteo)arthrosis Rujuk Lanjut

1065 18-01-2018 101501010118Y000759 0001304883224 ENCUK SUKARTA L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
peripheral circulatory

1066 18-01-2018 101501010118Y001631 0001382448565 m haikal nurul habibie L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1067 18-01-2018 101501010118Y001149 0001442086626 AL WAYAN SUDIARTA L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1068 18-01-2018 101501010118Y001663 0001447816432 INTAN KURNIASARI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1069 18-01-2018 101501010118Y001611 0001451260585 KAUTSAR SABRIAN MIRBATH L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1070 18-01-2018 101501010118Y001610 0001451260732 BADRIYA TSANIA AZZAHRA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1071 18-01-2018 101501010118Y001645 0001519163447 ETIN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1072 18-01-2018 101501010118Y001628 0001519190548 ELIS SETIA P PEGAWAI SWASTA Pulpitis Berobat Jalan

1073 18-01-2018 101501010118Y001660 0001662599406 SATRIO SUDRAJAT L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1074 18-01-2018 101501010118Y000772 0001670314915 NURHALIMAH P PEGAWAI SWASTA Headache Rujuk Lanjut

1075 18-01-2018 101501010118Y001620 0001776386428 NANA SUMARNA L PBI (APBD) Myalgia Berobat Jalan

1076 18-01-2018 101501010118Y001644 0001823903785 ASEP SUPRIADI L PEKERJA MANDIRI Myalgia Berobat Jalan

1077 18-01-2018 101501010118Y000770 0001868573441 AMIN SARIPUDIN L PEKERJA MANDIRI Neoplasm of uncertain or Rujuk Lanjut
unknown behavior of

1078 18-01-2018 101501010118Y001147 0001958795741 ENI NURLAENI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1079 18-01-2018 101501010118Y001137 0002084026612 ERAT RATNI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1080 18-01-2018 101501010118Y001619 0002093589191 VIJAR ILHAM GUNAWAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1081 18-01-2018 101501010118Y001642 0002200232889 KHANZA PUTRI SANTIKA L PEGAWAI PEMERINTAH Acute laryngopharyngitis Berobat Jalan
DENGAN PERJANJIAN

1082 18-01-2018 101501010118Y000762 0002257795664 TATI HARYATI P PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

1083 18-01-2018 101501010118Y000776 0002325909429 by ny lina parlina L PEGAWAI SWASTA Neonatal jaundice, Rujuk Lanjut
unspecified
1084 17-01-2018 101501010118Y000711 0000018944774 TATA HERYANDA L PENERIMA PENSIUN Neoplasm of uncertain or Rujuk Lanjut
PNS unknown behavior of

1085 17-01-2018 101501010118Y000961 0000021309816 HERMANSYAH SONDJAYA L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1086 17-01-2018 101501010118Y000710 0000065711182 YAYAT RUKHIYAT L PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
1087 17-01-2018 101501010118Y000971 0000065724794 NANA SUPRIATNA L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1088 17-01-2018 101501010118Y000723 0000065726515 RUKIAH P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1089 17-01-2018 101501010118Y000953 0000065730003 ADE SUGANDA HIDAYAT L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1090 17-01-2018 101501010118Y000954 0000065730014 NIKE NURHAYATI P PNS DAERAH Myalgia Berobat Jalan

1091 17-01-2018 101501010118Y000995 0000065732591 RASYAD IRWANDI YUSUF L PNS DAERAH Pulpitis Berobat Jalan

1092 17-01-2018 101501010118Y000717 0000065738979 AMI SURYANI P PNS DAERAH Conjunctivitis, unspecified Rujuk Lanjut

1093 17-01-2018 101501010118Y000981 0000065783002 PUTRI MELANIA P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1094 17-01-2018 101501010118Y000719 0000065837092 NURHAYATI P PNS PUSAT Angina pectoris Rujuk Lanjut

1095 17-01-2018 101501010118Y000722 0000065908989 NANA SOEJANA TJ. L PENERIMA PENSIUN TNI Allergic rhinitis, Rujuk Lanjut
unspecified
1096 17-01-2018 101501010118Y000994 0000065954643 TIAMIN PASARIBU P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1097 17-01-2018 101501010118Y000938 0000065964519 h. AMAT rahmat L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1098 17-01-2018 101501010118Y000721 0000065976322 DJAENUDIN TOHA, DRS,H. L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease with (congestive)

1099 17-01-2018 101501010118Y000980 0000066116316 RENDI FATUROHMAN L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1100 17-01-2018 101501010118Y000944 0000066326387 MAEMUNAH P PNS DAERAH Myalgia Berobat Jalan

1101 17-01-2018 101501010118Y000718 0000202395497 LENDRA AGUSTIAN L PNS DAERAH Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle of

1102 17-01-2018 101501010118Y000993 0000474081197 RUKIAH P PBI (APBN) Myalgia Berobat Jalan

1103 17-01-2018 101501010118Y000950 0000474128289 NYAI RUMANAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1104 17-01-2018 101501010118Y000968 0000474128796 SITI MULYATI P PBI (APBN) Myalgia Berobat Jalan

1105 17-01-2018 101501010118Y000987 0000474205961 AHMAD SYAEFUDIN L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1106 17-01-2018 101501010118Y000988 0000474205994 NENI YULYANI P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
1107 17-01-2018 101501010118Y000714 0000474297603 ROHMAT L PBI (APBN) Other bacterial infections Rujuk Lanjut
of unspecified site
1108 17-01-2018 101501010118Y000934 0000474407752 IIN SOLIHIN L PBI (APBN) Myalgia Berobat Jalan
1109 17-01-2018 101501010118Y000935 0000474407932 MARYAMAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1110 17-01-2018 101501010118Y000985 0000474524886 DEVA FAHTIAR L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1111 17-01-2018 101501010118Y000960 0000474609295 DAYAT HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

1112 17-01-2018 101501010118Y000982 0000474610296 PIRDA LIA AULIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1113 17-01-2018 101501010118Y000928 0000474675974 SUMTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1114 17-01-2018 101501010118Y000973 0000474716744 UHAENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1115 17-01-2018 101501010118Y001000 0000474718893 KENDY HAMDANI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1116 17-01-2018 101501010118Y000986 0000474724721 CICIH P PBI (APBN) Myalgia Berobat Jalan

1117 17-01-2018 101501010118Y000992 0000474761215 DARTI SUSILAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1118 17-01-2018 101501010118Y000989 0000474778765 ANI MARYANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1119 17-01-2018 101501010118Y000919 0000474815979 EUIS P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1120 17-01-2018 101501010118Y000964 0000474898419 ADE HARYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1121 17-01-2018 101501010118Y000959 0000474899242 DEDEN SUPRIATNA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1122 17-01-2018 101501010118Y000720 0000474930909 RASMI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1123 17-01-2018 101501010118Y000958 0000474933036 BELLA AMELIYANTI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1124 17-01-2018 101501010118Y000975 0000474944578 AYU RAHAYU P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1125 17-01-2018 101501010118Y000921 0000475011268 ASEP CAHYAMAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1126 17-01-2018 101501010118Y000984 0000475029347 AMINUDIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1127 17-01-2018 101501010118Y000929 0000475078869 IDA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1128 17-01-2018 101501010118Y000931 0000475125851 ATI HARYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1129 17-01-2018 101501010118Y000965 0000475158925 SUMIATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1130 17-01-2018 101501010118Y000951 0000475202272 DUMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1131 17-01-2018 101501010118Y000952 0000475204599 EUIS WINARTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1132 17-01-2018 101501010118Y001002 0000475260175 EPI SUKAESIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1133 17-01-2018 101501010118Y001001 0000475260423 ENDANG SUPRIADI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1134 17-01-2018 101501010118Y000949 0000475468571 SUSI SUSANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1135 17-01-2018 101501010118Y000990 0000475510498 TARYA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1136 17-01-2018 101501010118Y000997 0000475719873 yeti yuliawati P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1137 17-01-2018 101501010118Y000917 0000475779071 CICIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1138 17-01-2018 101501010118Y000918 0000476147057 HOPSAH P PBI (APBN) Myalgia Berobat Jalan

1139 17-01-2018 101501010118Y000927 0000476202644 ROPIAH ASTUTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1140 17-01-2018 101501010118Y000962 0000476207649 TITIN SUMARTINI P PBI (APBN) Pyogenic granuloma Berobat Jalan

1141 17-01-2018 101501010118Y000956 0000476212691 AAN P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1142 17-01-2018 101501010118Y000969 0000476232377 PIPIH SOPIAH BAGJA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1143 17-01-2018 101501010118Y000925 0001009295122 ACENG IRMAN JAKARIA L PBI (APBN) Myalgia Berobat Jalan

1144 17-01-2018 101501010118Y000922 0001009295155 KHAIRUL ANNAS NASRULLAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1145 17-01-2018 101501010118Y000966 0001009298362 DEDE S L PBI (APBN) Myalgia Berobat Jalan

1146 17-01-2018 101501010118Y000967 0001009298373 IDAH NURAENI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1147 17-01-2018 101501010118Y000941 0001009299093 TENI H P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1148 17-01-2018 101501010118Y000709 0001009302063 NUNUNG P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease with (congestive)

1149 17-01-2018 101501010118Y000933 0001009335093 SITA ESA PUTRI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1150 17-01-2018 101501010118Y000946 0001080550394 NUNUNG YUNINGSIH , DRA P PNS DAERAH Contraceptive Berobat Jalan
management, unspecified
1151 17-01-2018 101501010118Y000926 0001089686788 WILA KARMILA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1152 17-01-2018 101501010118Y000976 0001126748799 SANTONO L PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
face, head and neck
1153 17-01-2018 101501010118Y000977 0001158862577 UNENGSIH P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1154 17-01-2018 101501010118Y000713 0001298963114 DAHLAN SOPANDI L PEKERJA MANDIRI Other senile cataract Rujuk Lanjut
1155 17-01-2018 101501010118Y000715 0001327105258 INDRI OKTAFIANDARI PUTRI P PEGAWAI SWASTA Fever with chills Rujuk Lanjut
SETIAWAN
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1156 17-01-2018 101501010118Y000991 0001371965523 SUCI ASRI MAULANI P PEGAWAI SWASTA Pulpitis Berobat Jalan

1157 17-01-2018 101501010118Y000972 0001519116996 R. TUTI SUKMAWATI P PEGAWAI SWASTA Myalgia Berobat Jalan

1158 17-01-2018 101501010118Y000939 0001519172875 ANITA ANGGRAENI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1159 17-01-2018 101501010118Y000999 0001522989843 PUTRI NAURA KHOERUNISA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1160 17-01-2018 101501010118Y000998 0001626846647 ASEP ABDUROHMAN L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1161 17-01-2018 101501010118Y001003 0001661615932 TITA PUSPITASARI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1162 17-01-2018 101501010118Y000996 0001663516888 TINI MARTINI P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
1163 17-01-2018 101501010118Y000943 0001664265576 ENI RUHAENI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1164 17-01-2018 101501010118Y000983 0001664956653 LOVERA DEWI S. P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1165 17-01-2018 101501010118Y000940 0001670660695 MUTIARA NUR INTAN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1166 17-01-2018 101501010118Y000978 0001738029453 LILIS P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1167 17-01-2018 101501010118Y000979 0001738029475 RIKA NUR SAFITRI P PEGAWAI SWASTA Myalgia Berobat Jalan

1168 17-01-2018 101501010118Y000942 0001776386878 ROHMIN ADE HARYONO L PBI (APBD) Acute lymphadenitis of Berobat Jalan
face, head and neck
1169 17-01-2018 101501010118Y000945 0001776388522 RUNASIH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1170 17-01-2018 101501010118Y001130 0001823900736 NENDEN SUMARNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1171 17-01-2018 101501010118Y000963 0001840400201 NAZIB MUTAQIN ANHAR L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1172 17-01-2018 101501010118Y000936 0001875577961 ICEU HALIMAH P PEKERJA MANDIRI Myalgia Berobat Jalan

1173 17-01-2018 101501010118Y000712 0002061210925 DASTI P PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1174 17-01-2018 101501010118Y000923 0002226935981 MARTIN MALIQ IBRAHIM L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1175 17-01-2018 101501010118Y000970 0002297955835 SULTAN RIZQI ALMUFTI L PEGAWAI BUMN Acute laryngopharyngitis Berobat Jalan

1176 17-01-2018 101501010118Y000716 0002316707032 YUANA AYSA PUTRI SARI P PEKERJA MANDIRI Acute bronchitis, Rujuk Lanjut
unspecified
1177 16-01-2018 101501010118Y000673 0000025977554 CHARLES MOHAMMAD TAUFIK L PNS DAERAH Chronic gastritis, Rujuk Lanjut
unspecified
1178 16-01-2018 101501010118Y000667 0000052972481 DARAJAT L PENERIMA PENSIUN Low vision, both eyes Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1179 16-01-2018 101501010118Y000668 0000065732229 DODY MULYADI KUSUMAH L PENERIMA PENSIUN Calculus of kidney Rujuk Lanjut
PNS
1180 16-01-2018 101501010118Y000817 0000065733478 ADANG SUPRIATNA L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1181 16-01-2018 101501010118Y000662 0000065733489 RADEN NANI SUSIANI P PNS DAERAH Erosive (osteo)arthrosis Rujuk Lanjut

1182 16-01-2018 101501010118Y000845 0000065772213 HJ. YOYOH HARTATI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1183 16-01-2018 101501010118Y000870 0000065785386 SILVIA NOVIANTI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1184 16-01-2018 101501010118Y000873 0000065788918 HERYANA L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1185 16-01-2018 101501010118Y000658 0000065841895 CICIH JUARSIH P PNS PUSAT Essential (primary) Rujuk Lanjut
hypertension
1186 16-01-2018 101501010118Y000837 0000065919521 SURYANI P PENERIMA PENSIUN TNI Acute laryngopharyngitis Berobat Jalan

1187 16-01-2018 101501010118Y000661 0000065954518 UNTUNG L PENERIMA PENSIUN TNI Other chronic suppurative Rujuk Lanjut
otitis media
1188 16-01-2018 101501010118Y000892 0000066096178 UNENGSIH P PENERIMA PENSIUN Pyogenic granuloma Berobat Jalan
PNS
1189 16-01-2018 101501010118Y000676 0000066109331 UTIB RUSTIB L PENERIMA PENSIUN Intervertebral disc Rujuk Lanjut
PNS disorder, unspecified
1190 16-01-2018 101501010118Y000666 0000066132494 UHMAD HIDAYAT L PNS DAERAH Pulpitis Rujuk Lanjut

1191 16-01-2018 101501010118Y000657 0000066160923 ELIS KOMALA P PNS DAERAH Erosive (osteo)arthrosis Rujuk Lanjut

1192 16-01-2018 101501010118Y000832 0000066224474 RD RESTU MUTIARA P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1193 16-01-2018 101501010118Y000818 0000166599641 SUPRIATIN P PENERIMA PENSIUN TNI Myalgia Berobat Jalan

1194 16-01-2018 101501010118Y000780 0000166672686 FERRY BAMBANG L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
PRIANGGONO
1195 16-01-2018 101501010118Y000895 0000204703547 ENDRO JULI SUHARTONO L PEGAWAI PEMERINTAH Acute laryngopharyngitis Berobat Jalan
DENGAN PERJANJIAN

1196 16-01-2018 101501010118Y000850 0000474109525 eni P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1197 16-01-2018 101501010118Y000857 0000474116815 TIVA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1198 16-01-2018 101501010118Y000872 0000474209739 DEIZAN RENALDI SAPUTRA L PBI (APBN) Pulpitis Berobat Jalan

1199 16-01-2018 101501010118Y000815 0000474453415 SATRIA DARMAWAN L PBI (APBN) Pyogenic granuloma Berobat Jalan

1200 16-01-2018 101501010118Y000855 0000474568751 HEMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1201 16-01-2018 101501010118Y000838 0000474580271 CICIH UNASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1202 16-01-2018 101501010118Y000847 0000474591295 RYANI PRAGITA DEWI P PBI (APBN) Pyogenic granuloma Berobat Jalan

1203 16-01-2018 101501010118Y000819 0000474747074 AMSANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1204 16-01-2018 101501010118Y000835 0000474807789 LINA MARLINA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1205 16-01-2018 101501010118Y000816 0000474811176 M RIZAL NURKOMAR L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1206 16-01-2018 101501010118Y000823 0000474819322 MEITA INDAH PERTIWI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1207 16-01-2018 101501010118Y000878 0000474855096 ACIH karsih P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1208 16-01-2018 101501010118Y000874 0000474875223 NUR HIKMAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1209 16-01-2018 101501010118Y000814 0000474899297 DENI MULYANA L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1210 16-01-2018 101501010118Y000840 0000474926995 RATNASIH P PBI (APBN) Myalgia Berobat Jalan

1211 16-01-2018 101501010118Y000821 0000474966202 ADE NURSALAM L PBI (APBN) Myalgia Berobat Jalan

1212 16-01-2018 101501010118Y000822 0000474966483 WAGIRAH P PBI (APBN) Myalgia Berobat Jalan

1213 16-01-2018 101501010118Y000834 0000474974548 WAHYONO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1214 16-01-2018 101501010118Y000660 0000474982288 SINTA LARASATI P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
1215 16-01-2018 101501010118Y000825 0000475004913 EDWARD L PBI (APBN) Pulpitis Berobat Jalan

1216 16-01-2018 101501010118Y000841 0000475025433 AGUS RIANTO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1217 16-01-2018 101501010118Y000849 0000475080715 ENGKUS KUSNADI L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1218 16-01-2018 101501010118Y000829 0000475130744 ANENG SUMIATI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

1219 16-01-2018 101501010118Y000664 0000475135762 IKA KARTIKA P PBI (APBN) Chronic tonsillitis Rujuk Lanjut

1220 16-01-2018 101501010118Y000669 0000475197197 LILIS LISTIAWATI P PBI (APBN) Irregular menstruation, Rujuk Lanjut
unspecified
1221 16-01-2018 101501010118Y000830 0000475264236 RAMDAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1222 16-01-2018 101501010118Y000659 0000475315839 AMIN L PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1223 16-01-2018 101501010118Y000827 0000475320251 SINTA NOVIANTI P PBI (APBN) Pulpitis Berobat Jalan

1224 16-01-2018 101501010118Y000843 0000475353933 TAOPIK ABDURAHMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1225 16-01-2018 101501010118Y000842 0000475355924 RAIHAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
1226 16-01-2018 101501010118Y000894 0000475385455 WINDA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1227 16-01-2018 101501010118Y000887 0000475557557 DEWI P PBI (APBN) Pyogenic granuloma Berobat Jalan

1228 16-01-2018 101501010118Y000824 0000475663735 LILIS SURYANI P PBI (APBN) Myalgia Berobat Jalan

1229 16-01-2018 101501010118Y000670 0000475737063 MIA APRIYANI . P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
1230 16-01-2018 101501010118Y000820 0000476125727 MIMI MARYATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1231 16-01-2018 101501010118Y000862 0000476178254 MIRNa RAHMADANIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1232 16-01-2018 101501010118Y000869 0001009293006 RATNENGSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1233 16-01-2018 101501010118Y000777 0001009294334 CUCU SUPARSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1234 16-01-2018 101501010118Y000833 0001009299126 DINA NUR ALAM P P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1235 16-01-2018 101501010118Y000844 0001009302344 INA HERLINA P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
1236 16-01-2018 101501010118Y000778 0001009302524 MULYATI P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
1237 16-01-2018 101501010118Y000851 0001009334564 SARINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1238 16-01-2018 101501010118Y000665 0001009335508 ANAH P PBI (APBN) Adhesive capsulitis of Rujuk Lanjut
shoulder
1239 16-01-2018 101501010118Y000839 0001080980122 FUJIA RAMDANI L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1240 16-01-2018 101501010118Y000853 0001089691143 ODAH L PBI (APBN) Pulpitis Berobat Jalan

1241 16-01-2018 101501010118Y000848 0001174530971 ASHYA ULIA V P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1242 16-01-2018 101501010118Y000867 0001311022653 aleh mahpud L PEKERJA MANDIRI Pulpitis Berobat Jalan

1243 16-01-2018 101501010118Y000866 0001311023283 YAYUM RUMYATI P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
1244 16-01-2018 101501010118Y000674 0001320763678 juju juariah P PEKERJA MANDIRI Asthma Rujuk Lanjut

1245 16-01-2018 101501010118Y000671 0001388482839 AAM SUHARTINI P PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

1246 16-01-2018 101501010118Y000865 0001516729195 Muhmmad Fahriza Tsaqif L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1247 16-01-2018 101501010118Y000864 0001516729206 Muhammad Zaki Al Rafif L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1248 16-01-2018 101501010118Y000663 0001519131025 FITRI HERAWATI P PEGAWAI SWASTA Supervision of other Rujuk Lanjut
normal pregnancy
1249 16-01-2018 101501010118Y000863 0001519147844 KHARISA ALMERA FATHIYA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
GUNAWAN
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1250 16-01-2018 101501010118Y000826 0001519504481 ELSA PUTRI MELANIA. P P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1251 16-01-2018 101501010118Y000779 0001522989617 ANISA KHUMAIRA RIZKI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1252 16-01-2018 101501010118Y000831 0001663499957 AHMAD BAYU P L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1253 16-01-2018 101501010118Y000846 0001667151966 VINA RAISYA ATRIYA L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1254 16-01-2018 101501010118Y000871 0001776377057 DEDE HERYATI P PBI (APBD) Myalgia Berobat Jalan

1255 16-01-2018 101501010118Y000675 0001848059019 H AGUS MULYANA L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1256 16-01-2018 101501010118Y000828 0001855067231 DEANDRA WAHYU ADJIE L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1257 16-01-2018 101501010118Y000656 0001867649409 ATI LISWATI P PNS DAERAH Essential (primary) Rujuk Lanjut
hypertension
1258 16-01-2018 101501010118Y000852 0002061372328 CITRA KHOERUNISA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1259 16-01-2018 101501010118Y000856 0002071838946 AYI KASAN L PEKERJA MANDIRI Myalgia Berobat Jalan

1260 16-01-2018 101501010118Y000861 0002222002888 FARHAN FATIHUL HISYAM L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1261 16-01-2018 101501010118Y000836 0002262900093 aqila putri permana P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1262 16-01-2018 101501010118Y000672 0002301252952 YANI SURYANI P PEKERJA MANDIRI Allergic contact dermatitis Rujuk Lanjut

1263 16-01-2018 101501010118Y000854 0002310432298 kawar L PEKERJA MANDIRI Pyogenic granuloma Berobat Jalan

1264 15-01-2018 101501010118Y000699 0000018944774 TATA HERYANDA L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1265 15-01-2018 101501010118Y000688 0000021309816 HERMANSYAH SONDJAYA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1266 15-01-2018 101501010118Y000642 0000037966217 LEYLIE MOEMTHIRO P PNS PUSAT Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

1267 15-01-2018 101501010118Y000692 0000065732229 DODY MULYADI KUSUMAH L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1268 15-01-2018 101501010118Y000730 0000065778186 tarsih P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1269 15-01-2018 101501010118Y000743 0000065785961 SUHERMAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1270 15-01-2018 101501010118Y000744 0000065785994 MUHAMMAD IHSAN KAMIL L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1271 15-01-2018 101501010118Y000812 0000065786376 ENDAH SANTIKA P PEKERJA MANDIRI Myalgia Berobat Jalan
1272 15-01-2018 101501010118Y000697 0000065789908 MARDIN L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1273 15-01-2018 101501010118Y000698 0000065789919 TJITJIH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1274 15-01-2018 101501010118Y000655 0000065810878 NENNY HARYANI, SE P PENERIMA PENSIUN Allergic contact dermatitis, Rujuk Lanjut
PNS unspecified cause

1275 15-01-2018 101501010118Y000792 0000065821419 GUGUN GUNAWAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1276 15-01-2018 101501010118Y000650 0000065953719 SUWANDA L PENERIMA PENSIUN TNI Unspecified haemorrhoids Rujuk Lanjut
without complication

1277 15-01-2018 101501010118Y000652 0000066021434 TITOH SA'ADAH, HJ P PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease with (congestive)

1278 15-01-2018 101501010118Y000794 0000066021794 ENTING WITARSIH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1279 15-01-2018 101501010118Y000791 0000066098417 IMAS SOPIAH,A.MA. P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1280 15-01-2018 101501010118Y000708 0000066099431 CICIH UMYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1281 15-01-2018 101501010118Y000740 0000066109781 WAWA SUWARNA L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1282 15-01-2018 101501010118Y000691 0000066116294 FATIMAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1283 15-01-2018 101501010118Y000742 0000066132494 UHMAD HIDAYAT L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1284 15-01-2018 101501010118Y000736 0000066132505 JUARIAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1285 15-01-2018 101501010118Y000653 0000066247119 EUIS SITI NURHIDAYANTI P PNS DAERAH Adhesive capsulitis of Rujuk Lanjut
shoulder
1286 15-01-2018 101501010118Y000787 0000066330505 HARTATI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1287 15-01-2018 101501010118Y000799 0000066330966 OYOK HALIMATUSYADIAH P PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
1288 15-01-2018 101501010118Y000738 0000162463757 SITI RATNASIH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1289 15-01-2018 101501010118Y000793 0000199298597 SYAUQI TIFAN SOFIAN L PNS DAERAH Pulpitis Berobat Jalan

1290 15-01-2018 101501010118Y000737 0000199727234 NURUL DINNY P PNS PUSAT Acute haemorrhagic Berobat Jalan
gastritis
1291 15-01-2018 101501010118Y000800 0000200338367 SRI RETNOWATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1292 15-01-2018 101501010118Y000636 0000473415355 M TOHA L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, with
obstruction, without

1293 15-01-2018 101501010118Y000677 0000474152218 WARLI L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

1294 15-01-2018 101501010118Y000635 0000474371278 sarsih P PBI (APBN) Other senile cataract Rujuk Lanjut

1295 15-01-2018 101501010118Y000785 0000474442481 SARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1296 15-01-2018 101501010118Y000757 0000474443357 DUDI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1297 15-01-2018 101501010118Y000802 0000474447161 MAMAN HERYANA L PBI (APBN) Myalgia Berobat Jalan

1298 15-01-2018 101501010118Y000803 0000474450851 AULIA AZZAHRA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1299 15-01-2018 101501010118Y000644 0000474469029 TIARA SANI P PBI (APBN) Intervertebral disc Rujuk Lanjut
disorder, unspecified
1300 15-01-2018 101501010118Y000758 0000474571967 IIS SUKANENESIH P PBI (APBN) Myalgia Berobat Jalan

1301 15-01-2018 101501010118Y000702 0000474586839 NOPI S P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1302 15-01-2018 101501010118Y000801 0000474590891 lindawati P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1303 15-01-2018 101501010118Y000648 0000474603592 MARYAMAH P PBI (APBN) Benign neoplasm of Rujuk Lanjut
unspecified site
1304 15-01-2018 101501010118Y000728 0000474606731 H. MAMAT RAHMAT L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1305 15-01-2018 101501010118Y000789 0000474676413 WIWIK MARYANI S P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1306 15-01-2018 101501010118Y000751 0000474702625 ANA ROSDIANA P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1307 15-01-2018 101501010118Y000641 0000474827578 SULISTYOWATI P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease with (congestive)

1308 15-01-2018 101501010118Y000734 0000474843789 AAS P PBI (APBN) General examination and Berobat Jalan
investigation of persons
without complaint and

1309 15-01-2018 101501010118Y000808 0000474856288 OTING P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1310 15-01-2018 101501010118Y000678 0000474860338 KARTINI P PBI (APBN) Pyogenic granuloma Berobat Jalan
1311 15-01-2018 101501010118Y000806 0000474865907 ELVA ALBAR L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1312 15-01-2018 101501010118Y000685 0000474883086 DONI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1313 15-01-2018 101501010118Y000686 0000474962793 WARMI P PBI (APBN) Myalgia Berobat Jalan

1314 15-01-2018 101501010118Y000689 0000474984527 KASMIJAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1315 15-01-2018 101501010118Y000747 0000475074459 NIA KURNIATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1316 15-01-2018 101501010118Y000651 0000475104284 SHELIA DWI ANJANI P PBI (APBN) Other chronic suppurative Rujuk Lanjut
otitis media
1317 15-01-2018 101501010118Y000638 0000475147473 SOMA L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, with
obstruction, without

1318 15-01-2018 101501010118Y000810 0000475172403 SITI ZUBAEDAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1319 15-01-2018 101501010118Y000632 0000475194227 ENGKAS P PBI (APBN) Disorder of thyroid, Rujuk Lanjut
unspecified
1320 15-01-2018 101501010118Y000754 0000475209145 MUJI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1321 15-01-2018 101501010118Y000703 0000475226919 M. JAYPUDIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1322 15-01-2018 101501010118Y000634 0000475244278 REJA SUSANTO L PBI (APBN) Acute lymphadenitis of Rujuk Lanjut
lower limb
1323 15-01-2018 101501010118Y000639 0000475256463 SRI ANI KOMALASARI P PBI (APBN) Leiomyoma of uterus Rujuk Lanjut

1324 15-01-2018 101501010118Y000809 0000475309427 SANTI NURUL KHOTIMAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1325 15-01-2018 101501010118Y000807 0000475315839 AMIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1326 15-01-2018 101501010118Y000731 0000475331095 RANU L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1327 15-01-2018 101501010118Y000687 0000475375937 ADE P PBI (APBN) Myalgia Berobat Jalan

1328 15-01-2018 101501010118Y000695 0000475377052 TINI HARTINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1329 15-01-2018 101501010118Y000790 0000475406717 NINGSIH P PBI (APBN) Myalgia Berobat Jalan

1330 15-01-2018 101501010118Y000694 0000475414852 IPIt P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1331 15-01-2018 101501010118Y000724 0000475462844 EMIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1332 15-01-2018 101501010118Y000756 0000475462855 HELICEU P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1333 15-01-2018 101501010118Y000755 0000475477727 martini P PBI (APBN) Pyogenic granuloma Berobat Jalan
1334 15-01-2018 101501010118Y000748 0000475540031 RINI NURHAENI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1335 15-01-2018 101501010118Y000782 0000475554148 ETI SUCARTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1336 15-01-2018 101501010118Y000781 0000475555149 ARIYANTO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1337 15-01-2018 101501010118Y000645 0000475581273 TETI ROSTIATI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1338 15-01-2018 101501010118Y000729 0000475593862 ANE SRI HARYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1339 15-01-2018 101501010118Y000726 0000475657132 DESI FITRIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1340 15-01-2018 101501010118Y000796 0000475711953 TETI HERLINA P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1341 15-01-2018 101501010118Y000804 0000475719039 YAYAH ROKAYAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1342 15-01-2018 101501010118Y000746 0000475723765 NENA W W P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1343 15-01-2018 101501010118Y000739 0000475723888 DEPI J P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1344 15-01-2018 101501010118Y000735 0000476135289 SURYANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1345 15-01-2018 101501010118Y000753 0000476225076 SRI LESTARI P PBI (APBN) Myalgia Berobat Jalan

1346 15-01-2018 101501010118Y000752 0000476225256 WAHYU YOGA SATRIA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1347 15-01-2018 101501010118Y000681 0001009292422 RAMADAN APRIANTO L PBI (APBN) Pyogenic granuloma Berobat Jalan

1348 15-01-2018 101501010118Y000680 0001009292433 IMAS SITI AMINAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1349 15-01-2018 101501010118Y000811 0001009294931 AISHA DWIGITA AZALIA P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1350 15-01-2018 101501010118Y000745 0001009295706 YAYU RAHAYU L PBI (APBN) Myalgia Berobat Jalan

1351 15-01-2018 101501010118Y000633 0001009296617 DIDIN WAHYUDIN L PBI (APBN) Other senile cataract Rujuk Lanjut

1352 15-01-2018 101501010118Y000706 0001009300533 HETI ROHAETI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1353 15-01-2018 101501010118Y000784 0001009305235 AMIN KUSUMAH L PBI (APBN) Myalgia Berobat Jalan

1354 15-01-2018 101501010118Y000682 0001009305562 UUN UNENGSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1355 15-01-2018 101501010118Y000707 0001009334529 PUTRI NURAENI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1356 15-01-2018 101501010118Y000749 0001009337679 WAWAN SETIAWAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1357 15-01-2018 101501010118Y000805 0001089689264 RIZKY PRATAMA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
1358 15-01-2018 101501010118Y000654 0001144049949 JAJANG KUSMITA L PEGAWAI SWASTA Dermatitis, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1359 15-01-2018 101501010118Y000798 0001175196914 NASYWA RIHHADATUL P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1360 15-01-2018 101501010118Y000643 0001177209303 BETY KOMALASARI P PEGAWAI SWASTA Low vision, both eyes Rujuk Lanjut

1361 15-01-2018 101501010118Y000646 0001291794344 UMAY SUMARYATI P PEKERJA MANDIRI Pterygium Rujuk Lanjut

1362 15-01-2018 101501010118Y000795 0001320763678 juju juariah P PEKERJA MANDIRI Myalgia Berobat Jalan

1363 15-01-2018 101501010118Y000727 0001450956161 JULAEHA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1364 15-01-2018 101501010118Y000786 0001519146641 CLARA CINDA AYU P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1365 15-01-2018 101501010118Y000813 0001519151049 ANDI YUSUP SOPIAN L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1366 15-01-2018 101501010118Y000693 0001519158407 DINI NOVIANTINI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1367 15-01-2018 101501010118Y000696 0001519181706 MIMIN MINTARSIH P PEGAWAI SWASTA Pyogenic granuloma Berobat Jalan

1368 15-01-2018 101501010118Y000684 0001519186375 AYU RATNA SUMINAR P PEGAWAI SWASTA Pyogenic granuloma Berobat Jalan

1369 15-01-2018 101501010118Y000700 0001640613227 SUSI susanti P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1370 15-01-2018 101501010118Y000701 0001640613249 MUHAMMAD FIKRI FIRDHAUS L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1371 15-01-2018 101501010118Y000741 0001660727169 ERNA SITI SETIAWATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1372 15-01-2018 101501010118Y000690 0001661686907 SHERIN RIZKY jUNIAR P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1373 15-01-2018 101501010118Y000704 0001665019719 NAIA AZAARA NARARYA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1374 15-01-2018 101501010118Y000683 0001670660695 MUTIARA NUR INTAN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1375 15-01-2018 101501010118Y000640 0001770345202 NUR AIDAH BUDIARTI P PEGAWAI SWASTA Fever with chills Rujuk Lanjut

1376 15-01-2018 101501010118Y000788 0001776385956 SUNARSIH P PBI (APBD) Acute lymphadenitis of Berobat Jalan
face, head and neck
1377 15-01-2018 101501010118Y000679 0001776386878 ROHMIN ADE HARYONO L PBI (APBD) Acute lymphadenitis of Berobat Jalan
face, head and neck
1378 15-01-2018 101501010118Y000783 0001776397836 TINI SUPARTINI P PBI (APBD) Myalgia Berobat Jalan

1379 15-01-2018 101501010118Y000725 0001776405137 ALYATUL ZAHRA P PBI (APBD) Acute laryngopharyngitis Berobat Jalan

1380 15-01-2018 101501010118Y000637 0001778731277 HENDRIK ARDYANSAH L PEGAWAI SWASTA Ingrowing nail Rujuk Lanjut

1381 15-01-2018 101501010118Y000750 0001778785929 UNENG SUNENGSIH P PEGAWAI SWASTA Myalgia Berobat Jalan

1382 15-01-2018 101501010118Y001129 0001823900736 NENDEN SUMARNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
1383 15-01-2018 101501010118Y000649 0001823903785 ASEP SUPRIADI L PEKERJA MANDIRI Other senile cataract Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1384 15-01-2018 101501010118Y000705 0001840899249 ALSHAFITRI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1385 15-01-2018 101501010118Y000732 0001865803239 RATNA SUMINAR P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1386 15-01-2018 101501010118Y000797 0001866491469 ASSIFA KOERUNNISA P PNS PUSAT Acute laryngopharyngitis Berobat Jalan
DIPERBANTUKAN
1387 15-01-2018 101501010118Y000733 0001888903697 ALMA ZACHARY EKA P PNS DAERAH Acute laryngopharyngitis Berobat Jalan
HERMAWAN
1388 15-01-2018 101501010118Y000647 0002212955829 SITI ROHMAH P PEKERJA MANDIRI Unspecified chronic Rujuk Lanjut
bronchitis
1389 13-01-2018 101501010118Y001560 0000044551787 D. DJUARIAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1390 13-01-2018 101501010118Y000626 0000058112122 JOKO SETIADI L PNS PUSAT Neoplasm of uncertain or Rujuk Lanjut
unknown behavior of

1391 13-01-2018 101501010118Y001558 0000065693035 ASEP SUHENDI L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1392 13-01-2018 101501010118Y001123 0000065793543 LUKMAN NULHAKIM L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1393 13-01-2018 101501010118Y001567 0000065810889 DEDDY PRASETYO L PENERIMA PENSIUN Unspecified diabetes Berobat Jalan
PNS mellitus with coma
1394 13-01-2018 101501010118Y000630 0000065959525 ACENG SUGARA N. L PENERIMA PENSIUN Low vision, both eyes Rujuk Lanjut
PNS
1395 13-01-2018 101501010118Y001125 0000065988505 TATI ROCHAJATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1396 13-01-2018 101501010118Y001580 0000066095008 DRS, DIDIN ADJIDIN L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1397 13-01-2018 101501010118Y001569 0000066096178 UNENGSIH P PENERIMA PENSIUN Pulpitis Berobat Jalan
PNS
1398 13-01-2018 101501010118Y000625 0000066137758 VICI AULIA RAHMANNITA P PNS DAERAH Low vision, both eyes Rujuk Lanjut

1399 13-01-2018 101501010118Y001124 0000066179744 ZENAL ARIFIN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1400 13-01-2018 101501010118Y001121 0000066290174 ENDAH SULASTRI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1401 13-01-2018 101501010118Y001561 0000159792006 EDY L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1402 13-01-2018 101501010118Y001564 0000164412279 YOYOH P PENERIMA PENSIUN Unspecified diabetes Berobat Jalan
PNS mellitus with coma
1403 13-01-2018 101501010118Y000629 0000207107087 AISYAH BUANAWATI P PENERIMA PENSIUN Low vision, both eyes Rujuk Lanjut
PNS
1404 13-01-2018 101501010118Y001588 0000474194002 TIARA EKA FADILLAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1405 13-01-2018 101501010118Y001593 0000474517552 MIMI ROHAEMI P PBI (APBN) Myalgia Berobat Jalan

1406 13-01-2018 101501010118Y000627 0000474567197 YOYO SUNARYO L PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

1407 13-01-2018 101501010118Y001578 0000474619915 RINI SEPTIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1408 13-01-2018 101501010118Y000624 0000474656668 EMAH P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
1409 13-01-2018 101501010118Y001587 0000474660505 ESIH P PBI (APBN) Myalgia Berobat Jalan

1410 13-01-2018 101501010118Y001601 0000474673151 TITI ROHAYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1411 13-01-2018 101501010118Y001585 0000474726666 DEDE P PBI (APBN) Myalgia Berobat Jalan

1412 13-01-2018 101501010118Y001565 0000474811211 RAHMADANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1413 13-01-2018 101501010118Y001126 0000474827578 SULISTYOWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1414 13-01-2018 101501010118Y001559 0000474897914 YANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1415 13-01-2018 101501010118Y001581 0000474972265 FANI MARLIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1416 13-01-2018 101501010118Y001586 0000474984527 KASMIJAH P PBI (APBN) Other acute gastritis Berobat Jalan

1417 13-01-2018 101501010118Y001590 0000475026366 NANI SUPARNI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1418 13-01-2018 101501010118Y001119 0000475119167 SUMIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1419 13-01-2018 101501010118Y001573 0000475143355 TUNENGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1420 13-01-2018 101501010118Y001596 0000475223657 MELANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1421 13-01-2018 101501010118Y001592 0000475225334 ENENG RUHETIN P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1422 13-01-2018 101501010118Y001122 0000475235829 YANTI SARNITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1423 13-01-2018 101501010118Y001591 0000475236988 ADE MAEMUNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1424 13-01-2018 101501010118Y001579 0000475245011 DELIMA SAIDA MARIAM P PBI (APBN) Pulpitis Berobat Jalan

1425 13-01-2018 101501010118Y001117 0000475261874 NANI WINARNI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1426 13-01-2018 101501010118Y001584 0000475282912 EROS P PBI (APBN) Myalgia Berobat Jalan
1427 13-01-2018 101501010118Y001598 0000475639233 royani P PBI (APBN) Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1428 13-01-2018 101501010118Y001568 0000475714258 KOKOY P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1429 13-01-2018 101501010118Y001600 0000475729277 AMI AMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1430 13-01-2018 101501010118Y001603 0000475746862 YAYAT HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

1431 13-01-2018 101501010118Y001120 0000476148881 ati P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1432 13-01-2018 101501010118Y001583 0000476242694 ANDA RACHMAN L PBI (APBN) Myalgia Berobat Jalan

1433 13-01-2018 101501010118Y001595 0001009293952 RATNA YUNENGSIH P PBI (APBN) Myalgia Berobat Jalan

1434 13-01-2018 101501010118Y001563 0001009298024 TINI NURYATI P PBI (APBN) Myalgia Berobat Jalan

1435 13-01-2018 101501010118Y001574 0001009298935 SATIM L PBI (APBN) Myalgia Berobat Jalan

1436 13-01-2018 101501010118Y000628 0001009298946 NARWI P PBI (APBN) Erosive (osteo)arthrosis Rujuk Lanjut

1437 13-01-2018 101501010118Y001562 0001009300689 OMAH P PBI (APBN) Other acute gastritis Berobat Jalan

1438 13-01-2018 101501010118Y001582 0001080980122 FUJIA RAMDANI L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1439 13-01-2018 101501010118Y001577 0001082482187 NAURA ABIDAH FITRIANI P PNS DAERAH Pulpitis Berobat Jalan

1440 13-01-2018 101501010118Y001128 0001126748799 SANTONO L PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1441 13-01-2018 101501010118Y001599 0001158862577 UNENGSIH P PEGAWAI SWASTA Myalgia Berobat Jalan

1442 13-01-2018 101501010118Y001555 0001189712632 TRESNAANGGARA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1443 13-01-2018 101501010118Y000631 0001193188871 NURWINASARI RAMAYANTI P PEGAWAI SWASTA Acute lymphadenitis of Rujuk Lanjut
face, head and neck
1444 13-01-2018 101501010118Y001605 0001371965556 RAFI ANSOR FIRDAUS L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1445 13-01-2018 101501010118Y001594 0001389595871 E KUSWARA L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1446 13-01-2018 101501010118Y001571 0001519138776 LINA RINAWATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1447 13-01-2018 101501010118Y001566 0001660727057 AYI SUHENDRA L PEGAWAI SWASTA Myalgia Berobat Jalan

1448 13-01-2018 101501010118Y001589 0001866491469 ASSIFA KOERUNNISA P PNS PUSAT Acute laryngopharyngitis Berobat Jalan
DIPERBANTUKAN
1449 13-01-2018 101501010118Y001602 0002037228535 hanah P PEKERJA MANDIRI Myalgia Berobat Jalan

1450 13-01-2018 101501010118Y001127 0002074089273 D. SUMARDI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1451 13-01-2018 101501010118Y001597 0002084571281 MUKHLISIN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1452 13-01-2018 101501010118Y001575 0002090412088 SONHAJI L PEGAWAI PEMERINTAH Myalgia Berobat Jalan
DENGAN PERJANJIAN

1453 13-01-2018 101501010118Y001604 0002093589191 VIJAR ILHAM GUNAWAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1454 13-01-2018 101501010118Y001118 0002197909394 MAMAH SURYAMAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1455 13-01-2018 101501010118Y001572 0002318776929 UNENG NURLATHIFAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1456 13-01-2018 101501010118Y001576 0002318777436 RULLY NURUL HASANAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1457 12-01-2018 101501010118Y001110 0000065693632 YATI HERYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1458 12-01-2018 101501010118Y001108 0000065767511 SUHENDI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1459 12-01-2018 101501010118Y000618 0000065829519 DEDDY SYOEMARDI L PNS DAERAH Angina pectoris Rujuk Lanjut

1460 12-01-2018 101501010118Y001512 0000065950907 NUNUNG P PENERIMA PENSIUN TNI Myalgia Berobat Jalan

1461 12-01-2018 101501010118Y001497 0000065952369 LILIS SURYANI P PENERIMA PENSIUN TNI Acute laryngopharyngitis Berobat Jalan

1462 12-01-2018 101501010118Y001530 0000065965972 RATMAH HERTIKA P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1463 12-01-2018 101501010118Y001513 0000065971214 BISRI L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1464 12-01-2018 101501010118Y001494 0000066099262 IDA WIDIANINGSIH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1465 12-01-2018 101501010118Y001107 0000066101758 N. KARNESIH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1466 12-01-2018 101501010118Y001109 0000066161553 RIAH KOMARAWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1467 12-01-2018 101501010118Y000623 0000066219805 NUNUNG NURHAYATI P PNS DAERAH Chronic nephritic Rujuk Lanjut
syndrome, unspecified
1468 12-01-2018 101501010118Y001551 0000068551288 UU SYARIFUDIN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1469 12-01-2018 101501010118Y001505 0000474145626 EDI KUSNAEDI L PBI (APBN) Myalgia Berobat Jalan

1470 12-01-2018 101501010118Y001503 0000474157585 TATI HARTATI P PBI (APBN) Other acute gastritis Berobat Jalan

1471 12-01-2018 101501010118Y001535 0000474239169 NURUL INDRUYANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
1472 12-01-2018 101501010118Y001115 0000474570887 NYAI APIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1473 12-01-2018 101501010118Y001496 0000474623166 SOLEH HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

1474 12-01-2018 101501010118Y001549 0000474635169 ROHAENI P PBI (APBN) Myalgia Berobat Jalan

1475 12-01-2018 101501010118Y001106 0000474695932 DEDE JUNASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1476 12-01-2018 101501010118Y001114 0000474770305 NEMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1477 12-01-2018 101501010118Y001529 0000474774928 KEMAL EKA BASTIAN L PBI (APBN) Pyogenic granuloma Berobat Jalan

1478 12-01-2018 101501010118Y001532 0000474779248 YUHANAh P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1479 12-01-2018 101501010118Y001511 0000474833441 DIAN WAHYULITA P PBI (APBN) Other acute gastritis Berobat Jalan

1480 12-01-2018 101501010118Y001510 0000474834328 INDRA INDRIAWAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1481 12-01-2018 101501010118Y001537 0000474881398 UUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1482 12-01-2018 101501010118Y001536 0000474899128 INDRAWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1483 12-01-2018 101501010118Y001500 0000474963388 RIRIS. R P PBI (APBN) Other acute gastritis Berobat Jalan

1484 12-01-2018 101501010118Y001509 0000474968676 ENOY P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1485 12-01-2018 101501010118Y001550 0000475008164 EMPEP S. SUKRA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1486 12-01-2018 101501010118Y001521 0000475028559 FITRIANI SULASTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1487 12-01-2018 101501010118Y001544 0000475123487 HARDI FAHRI AKBAR L PBI (APBN) Pulpitis Berobat Jalan

1488 12-01-2018 101501010118Y000615 0000475147473 SOMA L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, with
obstruction, without

1489 12-01-2018 101501010118Y001548 0000475158925 SUMIATI P PBI (APBN) Myalgia Berobat Jalan

1490 12-01-2018 101501010118Y001553 0000475169286 DANA L PBI (APBN) Other acute gastritis Berobat Jalan

1491 12-01-2018 101501010118Y001538 0000475208278 YANI MULYANI P PBI (APBN) Myalgia Berobat Jalan

1492 12-01-2018 101501010118Y001501 0000475260423 ENDANG SUPRIADI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1493 12-01-2018 101501010118Y001543 0000475327732 IRAYULIS P PBI (APBN) Other acute gastritis Berobat Jalan

1494 12-01-2018 101501010118Y001542 0000475327811 ANNE IRNAYANTI PUTRI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
1495 12-01-2018 101501010118Y001525 0000475355597 SRI YUNENGSIH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1496 12-01-2018 101501010118Y000620 0000475395265 yali yanah P PBI (APBN) Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
1497 12-01-2018 101501010118Y001533 0000475703234 YUYUN YUNENGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1498 12-01-2018 101501010118Y001507 0000475706474 MUHAMMAD REI PRAYUGA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1499 12-01-2018 101501010118Y001508 0000475707058 AUREL PUTRI PRASETIANA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1500 12-01-2018 101501010118Y001541 0000475711953 TETI HERLINA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1501 12-01-2018 101501010118Y001545 0000475712785 RIZKIA AISYA HUSSANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1502 12-01-2018 101501010118Y001516 0000475717443 AISYAH P PBI (APBN) Myalgia Berobat Jalan

1503 12-01-2018 101501010118Y001517 0000475718038 NADIA M P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1504 12-01-2018 101501010118Y001514 0000476087613 DENI RISNANTO L PBI (APBN) Pulpitis Berobat Jalan

1505 12-01-2018 101501010118Y001502 0000476178254 MIRNa RAHMADANIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1506 12-01-2018 101501010118Y001526 0000476207649 TITIN SUMARTINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1507 12-01-2018 101501010118Y001515 0001009291421 HEMI RUHEMI P PBI (APBN) Myalgia Berobat Jalan

1508 12-01-2018 101501010118Y001498 0001009294918 SANTI BIHARI P PBI (APBN) Pulpitis Berobat Jalan

1509 12-01-2018 101501010118Y001113 0001009296696 SURYA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1510 12-01-2018 101501010118Y001112 0001009302726 BD. UDIN SUDARMANTO S.A L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1511 12-01-2018 101501010118Y000621 0001009306978 OYOH P PBI (APBN) Other senile cataract Rujuk Lanjut

1512 12-01-2018 101501010118Y001111 0001009307215 WATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1513 12-01-2018 101501010118Y001519 0001079291845 NETI KUSMAYANTI P PNS DAERAH Other acute gastritis Berobat Jalan

1514 12-01-2018 101501010118Y001518 0001079292137 SITI RAHMA NURARDIYANTI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1515 12-01-2018 101501010118Y001527 0001132922733 NARTIKA NURUL HAMZAH P PEKERJA MANDIRI Other acute gastritis Berobat Jalan

1516 12-01-2018 101501010118Y001528 0001172529742 DERIZKY NUR HIDAYAT L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1517 12-01-2018 101501010118Y001546 0001201172253 YUTIAN AULLIANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1518 12-01-2018 101501010118Y000616 0001298348087 NABILA NURULLAENI P PEKERJA MANDIRI Nausea and vomiting Rujuk Lanjut

1519 12-01-2018 101501010118Y001116 0001442087469 FREDERIKA NGADINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
MUJIHARTINI hypertension
1520 12-01-2018 101501010118Y001540 0001450956161 JULAEHA P PEKERJA MANDIRI Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1521 12-01-2018 101501010118Y001539 0001450956587 R. RANI YULIASARI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1522 12-01-2018 101501010118Y001531 0001519156923 AYI SUNENGSIH P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

1523 12-01-2018 101501010118Y001495 0001519182854 YANTI SUGIARTI P PEGAWAI SWASTA Pulpitis Berobat Jalan

1524 12-01-2018 101501010118Y001499 0001604280306 EVAN YUSUF L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1525 12-01-2018 101501010118Y001534 0001640613227 SUSI susanti P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

1526 12-01-2018 101501010118Y001552 0001661492777 NANDA AYU MAHARANI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1527 12-01-2018 101501010118Y001522 0001666745829 CASIM L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1528 12-01-2018 101501010118Y001506 0001776377439 SLAMET L PBI (APBD) Acute laryngopharyngitis Berobat Jalan

1529 12-01-2018 101501010118Y001524 0001803782079 nanang wiganda L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1530 12-01-2018 101501010118Y001520 0001812412337 ELIS NURHAYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1531 12-01-2018 101501010118Y001547 0001813530745 AGUS SAEPUDIN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1532 12-01-2018 101501010118Y000619 0001823018275 ERWIN GUNAWAN L PEGAWAI SWASTA Chronic renal failure, Rujuk Lanjut
unspecified
1533 12-01-2018 101501010118Y000622 0001903592924 WAWANG JUANGSIH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1534 12-01-2018 101501010118Y001504 0002232478168 EUIS SITI SULIHAT P PEKERJA MANDIRI Myalgia Berobat Jalan

1535 12-01-2018 101501010118Y001523 0002246484778 ERLYTA PRATIWI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

1536 12-01-2018 101501010118Y001554 0002316707019 DIANASARI SUKIRMAN P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1537 12-01-2018 101501010118Y000617 0002316707133 TIKA KARMILA SURYANI P PEKERJA MANDIRI Calculus of kidney Rujuk Lanjut

1538 11-01-2018 101501010118Y000428 0000065730644 IWAN GANDARA L PNS DAERAH Chest pain, unspecified Rujuk Lanjut

1539 11-01-2018 101501010118Y000420 0000065731059 M. FATWA GUMILANG L PNS DAERAH Acne vulgaris Rujuk Lanjut
ROMADON
1540 11-01-2018 101501010118Y001102 0000065733197 WAHYU L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1541 11-01-2018 101501010118Y000424 0000065733489 RADEN NANI SUSIANI P PNS DAERAH Intervertebral disc Rujuk Lanjut
disorder, unspecified
1542 11-01-2018 101501010118Y001484 0000065786679 SRI SUHARSIH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1543 11-01-2018 101501010118Y001404 0000065808933 DRA. ROCHMAH HIDAJAH P PNS PUSAT Myalgia Berobat Jalan

1544 11-01-2018 101501010118Y001101 0000065820486 ENEN JULAEHA P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1545 11-01-2018 101501010118Y001104 0000065824323 LILLI ROSIDI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1546 11-01-2018 101501010118Y001475 0000065839781 MUHAMMAD JULIAN FADILLAH L PNS DAERAH Other acute gastritis Berobat Jalan

1547 11-01-2018 101501010118Y002232 0000065970336 AYUB MIHARJA L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1548 11-01-2018 101501010118Y001097 0000066038477 SUGIMAN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1549 11-01-2018 101501010118Y000423 0000066081317 H. ENDOT SUDAMA L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease with (congestive)

1550 11-01-2018 101501010118Y001098 0000066099295 KARLAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1551 11-01-2018 101501010118Y001415 0000066107428 SYAMSUDIN L PENERIMA PENSIUN Senile incipient cataract Berobat Jalan
PNS
1552 11-01-2018 101501010118Y001105 0000066107529 TAHJAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1553 11-01-2018 101501010118Y001440 0000066107621 I RUNASIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1554 11-01-2018 101501010118Y002233 0000066115416 DEWI MAYA . RR P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1555 11-01-2018 101501010118Y001454 0000066116294 FATIMAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1556 11-01-2018 101501010118Y001099 0000066176774 TATIN RANTINI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1557 11-01-2018 101501010118Y001461 0000066176943 ADANG SUTISNA L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1558 11-01-2018 101501010118Y001410 0000066185335 FENDI SUHARDJO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1559 11-01-2018 101501010118Y001411 0000066185346 TITI KARSITI P PENERIMA PENSIUN Other acute gastritis Berobat Jalan
PNS
1560 11-01-2018 101501010118Y001470 0000172886657 YANI KUSUMA DEWI P PNS DAERAH Other acute gastritis Berobat Jalan

1561 11-01-2018 101501010118Y001491 0000474081197 RUKIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1562 11-01-2018 101501010118Y001471 0000474193811 SITI DARYANI P PBI (APBN) Other acute gastritis Berobat Jalan

1563 11-01-2018 101501010118Y001466 0000474214959 RIZKI DWI PUTRA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
1564 11-01-2018 101501010118Y001483 0000474422319 KHOIRUL ANAM L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1565 11-01-2018 101501010118Y002229 0000474436359 AMAH ROHAMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1566 11-01-2018 101501010118Y001435 0000474538509 VINI MELDIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1567 11-01-2018 101501010118Y001456 0000474576399 AGUS SUGIANTO L PBI (APBN) Myalgia Berobat Jalan

1568 11-01-2018 101501010118Y001443 0000474590856 HETI HERLINA P PBI (APBN) Other acute gastritis Berobat Jalan

1569 11-01-2018 101501010118Y001442 0000474592689 RIZKY HIFZILLAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
FEBRIANSYAH
1570 11-01-2018 101501010118Y001425 0000474605234 TRISDIANA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1571 11-01-2018 101501010118Y001428 0000474605469 YUNITA M P PBI (APBN) Pulpitis Berobat Jalan

1572 11-01-2018 101501010118Y001417 0000474609295 DAYAT HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

1573 11-01-2018 101501010118Y001416 0000474609396 EEM P PBI (APBN) Other acute gastritis Berobat Jalan

1574 11-01-2018 101501010118Y001420 0000474614796 SUKAESIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1575 11-01-2018 101501010118Y001413 0000474622301 RASMINI P PBI (APBN) Myalgia Berobat Jalan

1576 11-01-2018 101501010118Y001462 0000474657748 ujang suhendra L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1577 11-01-2018 101501010118Y001465 0000474660494 AZKA ARIS Munadin L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1578 11-01-2018 101501010118Y001436 0000474742225 TIA ANDRIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1579 11-01-2018 101501010118Y001437 0000474754983 IMAS SURYANI P PBI (APBN) Other acute gastritis Berobat Jalan

1580 11-01-2018 101501010118Y001438 0000474755668 ANISA NURHASANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1581 11-01-2018 101501010118Y002231 0000474780071 ATI KARTIKA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1582 11-01-2018 101501010118Y001432 0000474824147 OTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1583 11-01-2018 101501010118Y001409 0000474907217 LENI SUNINGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1584 11-01-2018 101501010118Y001459 0000474910558 BUDI L PBI (APBN) Other acute gastritis Berobat Jalan

1585 11-01-2018 101501010118Y001474 0000474994394 RANDI AGUSTIN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1586 11-01-2018 101501010118Y001096 0000475119167 SUMIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1587 11-01-2018 101501010118Y001407 0000475122982 KUSNAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1588 11-01-2018 101501010118Y000427 0000475145122 YADI HERYADI L PBI (APBN) Low vision, both eyes Rujuk Lanjut

1589 11-01-2018 101501010118Y001453 0000475158486 TRI SURYA HARYANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1590 11-01-2018 101501010118Y001419 0000475180402 DINDA JUNIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1591 11-01-2018 101501010118Y001439 0000475299044 OOM SUPARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1592 11-01-2018 101501010118Y001433 0000475331861 YATI P PBI (APBN) Myalgia Berobat Jalan

1593 11-01-2018 101501010118Y001434 0000475334649 RUDI HARTONO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1594 11-01-2018 101501010118Y001473 0000475353933 TAOPIK ABDURAHMAN L PBI (APBN) Myalgia Berobat Jalan

1595 11-01-2018 101501010118Y001472 0000475355924 RAIHAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1596 11-01-2018 101501010118Y001481 0000475362426 UKASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1597 11-01-2018 101501010118Y001444 0000475384274 DANIS SAPUTRA L PBI (APBN) Pyogenic granuloma Berobat Jalan

1598 11-01-2018 101501010118Y001431 0000475466859 IMAS JUANGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1599 11-01-2018 101501010118Y001100 0000475477828 ATIN SUPRIATIN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1600 11-01-2018 101501010118Y001414 0000475526169 OOM P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1601 11-01-2018 101501010118Y001103 0000475765514 RINTA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1602 11-01-2018 101501010118Y001476 0000475780127 SURYATI P PBI (APBN) Pyogenic granuloma Berobat Jalan

1603 11-01-2018 101501010118Y001405 0000476146888 NANA SUPRIYATNA L PBI (APBN) Myalgia Berobat Jalan

1604 11-01-2018 101501010118Y001488 0001009291577 EMIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1605 11-01-2018 101501010118Y000430 0001009293219 SITI M P PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

1606 11-01-2018 101501010118Y001478 0001009295638 ROHANAH P PBI (APBN) Other acute gastritis Berobat Jalan

1607 11-01-2018 101501010118Y001479 0001009295649 RIZKI AKBAR L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1608 11-01-2018 101501010118Y001490 0001009297326 TATANG SUFADA L PBI (APBN) Myalgia Berobat Jalan

1609 11-01-2018 101501010118Y001486 0001009299971 OMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1610 11-01-2018 101501010118Y000456 0001009303086 FARHAN MUZAKI L PBI (APBN) Other and unspecified Rujuk Lanjut
lesions of oral mucosa
1611 11-01-2018 101501010118Y000471 0001009308262 NINA KURNIA P PBI (APBN) Unspecified chronic Rujuk Lanjut
bronchitis
1612 11-01-2018 101501010118Y001429 0001009308598 sultoni L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1613 11-01-2018 101501010118Y001430 0001009308609 ida farida P PBI (APBN) Myalgia Berobat Jalan

1614 11-01-2018 101501010118Y000421 0001080920654 EUIS MARIANI P PENERIMA PENSIUN TNI Tinea corporis Rujuk Lanjut

1615 11-01-2018 101501010118Y001448 0001107311488 ELSAGDA MUBAROKATI AKBAR P TNI ANGKATAN DARAT Pulpitis Berobat Jalan

1616 11-01-2018 101501010118Y001406 0001148232543 ASEP SAEPUL RAHMAN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1617 11-01-2018 101501010118Y001427 0001158992234 ANAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1618 11-01-2018 101501010118Y001477 0001305476482 AAH SARIAH P PNS DAERAH Myalgia Berobat Jalan

1619 11-01-2018 101501010118Y000429 0001319382358 ELIN SRI RAHAYU P PEGAWAI SWASTA Supervision of pregnancy Rujuk Lanjut
with history of infertility
1620 11-01-2018 101501010118Y001424 0001319383686 RADEN DEVIN HAFIZH L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
RUSMARA
1621 11-01-2018 101501010118Y000426 0001423189067 IMAS RIANTINI P PEGAWAI SWASTA Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1622 11-01-2018 101501010118Y001450 0001519161568 RITA ANGGRAENI DEWI P PEGAWAI SWASTA General medical Berobat Jalan
examination
1623 11-01-2018 101501010118Y000425 0001519189705 MAYA YULIANI P PEGAWAI SWASTA Acute maxillary sinusitis Rujuk Lanjut

1624 11-01-2018 101501010118Y000422 0001519787992 SANA L PEGAWAI SWASTA Other senile cataract Rujuk Lanjut

1625 11-01-2018 101501010118Y001492 0001519794404 YOSEFO ELIEYEZER ZILIWU L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1626 11-01-2018 101501010118Y001412 0001519804506 AI SULASTRI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1627 11-01-2018 101501010118Y001458 0001662599373 ASEP SUDRAJAT L PEGAWAI SWASTA Myalgia Berobat Jalan

1628 11-01-2018 101501010118Y001446 0001663017467 ELI NURHAYATI P PEGAWAI SWASTA Myalgia Berobat Jalan

1629 11-01-2018 101501010118Y001418 0001667151966 VINA RAISYA ATRIYA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1630 11-01-2018 101501010118Y001489 0001667160246 MOCH. WILDAN ADHINUGRAH L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1631 11-01-2018 101501010118Y001480 0001776388318 ROSID TAUFIQ L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1632 11-01-2018 101501010118Y001485 0001776404114 SRI RAHAYU P PBI (APBD) Myalgia Berobat Jalan

1633 11-01-2018 101501010118Y001408 0001822698797 fina nur syamsiyah P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1634 11-01-2018 101501010118Y001421 0001888903697 ALMA ZACHARY EKA P PNS DAERAH Acute laryngopharyngitis Berobat Jalan
HERMAWAN
1635 11-01-2018 101501010118Y001482 0002078564567 MAHIR MUTAWAKKIL L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1636 11-01-2018 101501010118Y002230 0002084022224 ARIPIN LUNADI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1637 11-01-2018 101501010118Y001445 0002090875522 DUHRIYANI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1638 11-01-2018 101501010118Y001426 0002221404107 ALIKHA NAILA PUTRI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1639 11-01-2018 101501010118Y001487 0002227217995 ZAKHI ALGHANI L PEGAWAI PEMERINTAH Acute laryngopharyngitis Berobat Jalan
DENGAN PERJANJIAN

1640 11-01-2018 101501010118Y001441 0002239421826 RATNA OKTAVIANI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1641 11-01-2018 101501010118Y001422 0002312564512 mike siby P PEKERJA MANDIRI Other acute gastritis Berobat Jalan

1642 11-01-2018 101501010118Y001423 0002312564556 hizkia immanuel zakaria L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1643 10-01-2018 101501010118Y000566 0000065691516 ACU KARTINI P PNS DAERAH Contraceptive Berobat Jalan
management, unspecified
1644 10-01-2018 101501010118Y000606 0000065708728 KOMARUDIN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1645 10-01-2018 101501010118Y000582 0000065787254 AMI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1646 10-01-2018 101501010118Y000551 0000065791135 SUPARYO L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1647 10-01-2018 101501010118Y000569 0000065908989 NANA SOEJANA TJ. L PENERIMA PENSIUN TNI Pulpitis Berobat Jalan

1648 10-01-2018 101501010118Y000334 0000066093568 ATIKAH HIDAYAT P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
1649 10-01-2018 101501010118Y000535 0000066247119 EUIS SITI NURHIDAYANTI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1650 10-01-2018 101501010118Y000586 0000066332946 OMA SUKMA L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1651 10-01-2018 101501010118Y000521 0000149542299 ALFHAREZ BATARA PRIMA L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1652 10-01-2018 101501010118Y000331 0000166427741 SURYATI P PNS DAERAH Chronic gastritis, Rujuk Lanjut
unspecified
1653 10-01-2018 101501010118Y000603 0000168020785 TJEPTRIJADI NATARAHARDJA L PNS DAERAH Myalgia Berobat Jalan

1654 10-01-2018 101501010118Y000335 0000172752557 GESY MEGASWARA L PNS DAERAH Acute nephritic syndrome, Rujuk Lanjut
unspecified
1655 10-01-2018 101501010118Y000546 0000197264711 UJU JUNAEDI L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1656 10-01-2018 101501010118Y000332 0000202395497 LENDRA AGUSTIAN L PNS DAERAH Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle of

1657 10-01-2018 101501010118Y000563 0000474106138 IIR IRAWANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1658 10-01-2018 101501010118Y000538 0000474117906 WASTIM L PBI (APBN) Myalgia Berobat Jalan
1659 10-01-2018 101501010118Y000541 0000474125578 TINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1660 10-01-2018 101501010118Y000526 0000474128796 SITI MULYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1661 10-01-2018 101501010118Y000544 0000474164908 CUCU SUHATIN P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1662 10-01-2018 101501010118Y000545 0000474167248 RIZKY AULIA, M L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1663 10-01-2018 101501010118Y000558 0000474194002 TIARA EKA FADILLAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1664 10-01-2018 101501010118Y000548 0000474203722 ERIS SURYANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1665 10-01-2018 101501010118Y000524 0000474227651 EDAH P PBI (APBN) Myalgia Berobat Jalan

1666 10-01-2018 101501010118Y000557 0000474413894 YENI JUNIASARI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1667 10-01-2018 101501010118Y000559 0000474443087 KARTINI P PBI (APBN) Myalgia Berobat Jalan

1668 10-01-2018 101501010118Y000584 0000474537982 DIAN NIATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1669 10-01-2018 101501010118Y000554 0000474554698 endang kurniawati P PBI (APBN) Myalgia Berobat Jalan

1670 10-01-2018 101501010118Y000553 0000474555115 yusalsa beliawati sugia P PBI (APBN) Pulpitis Berobat Jalan

1671 10-01-2018 101501010118Y000329 0000474598181 LINDA P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
1672 10-01-2018 101501010118Y000529 0000474611466 SALNATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1673 10-01-2018 101501010118Y000604 0000474615088 MELAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1674 10-01-2018 101501010118Y000589 0000474622626 YULI NURHAYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1675 10-01-2018 101501010118Y000528 0000474717374 ALIN SUHARTINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1676 10-01-2018 101501010118Y000587 0000474718026 KURNIASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1677 10-01-2018 101501010118Y000588 0000474718138 PIPIT APRIYANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1678 10-01-2018 101501010118Y000585 0000474743327 KUSNADI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1679 10-01-2018 101501010118Y000572 0000474766672 ERAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1680 10-01-2018 101501010118Y000599 0000474788979 SRI PRATININGSIH DESTIAN P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1681 10-01-2018 101501010118Y000613 0000474789205 YULIA MAHARANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1682 10-01-2018 101501010118Y000576 0000474790588 INKI SEPTIDIANA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1683 10-01-2018 101501010118Y000580 0000474794256 SAPNAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1684 10-01-2018 101501010118Y000531 0000474811389 CICIH MINTARSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1685 10-01-2018 101501010118Y000597 0000474812144 ROSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1686 10-01-2018 101501010118Y000327 0000474813786 CAHYANI P PBI (APBN) Intervertebral disc Rujuk Lanjut
disorder, unspecified
1687 10-01-2018 101501010118Y000543 0000474838863 PATIMAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1688 10-01-2018 101501010118Y000562 0000474863499 MIMI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1689 10-01-2018 101501010118Y000336 0000474865929 TIA SETIAWATI P PBI (APBN) Asthma Rujuk Lanjut

1690 10-01-2018 101501010118Y000594 0000474911739 UNENGSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1691 10-01-2018 101501010118Y000593 0000474963388 RIRIS. R P PBI (APBN) Myalgia Berobat Jalan

1692 10-01-2018 101501010118Y000330 0000475103417 susanti P PBI (APBN) Acute appendicitis, Rujuk Lanjut
unspecified
1693 10-01-2018 101501010118Y000539 0000475155191 ZAENUDIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1694 10-01-2018 101501010118Y000607 0000475166272 ANI SURYANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1695 10-01-2018 101501010118Y000614 0000475182865 SISI YULIANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1696 10-01-2018 101501010118Y000522 0000475215568 SUSI SUSILAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1697 10-01-2018 101501010118Y000328 0000475302565 ENGGAR L PBI (APBN) Benign neoplasm of Rujuk Lanjut
unspecified site
1698 10-01-2018 101501010118Y000534 0000475303768 ODAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1699 10-01-2018 101501010118Y000605 0000475325785 M RODHO N L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1700 10-01-2018 101501010118Y000579 0000475326281 SAODAH P PBI (APBN) Myalgia Berobat Jalan

1701 10-01-2018 101501010118Y000530 0000475371808 SITI ASRIYAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1702 10-01-2018 101501010118Y000575 0000475447127 LENI GUSTIANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1703 10-01-2018 101501010118Y000561 0000475462844 EMIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1704 10-01-2018 101501010118Y000612 0000475557557 DEWI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1705 10-01-2018 101501010118Y000525 0000475558661 SANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1706 10-01-2018 101501010118Y000537 0000475562147 ENEN KURNIAWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1707 10-01-2018 101501010118Y000523 0000475608554 OSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1708 10-01-2018 101501010118Y000571 0000475638006 OO HATORI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1709 10-01-2018 101501010118Y000540 0000475675389 SRI DIANTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1710 10-01-2018 101501010118Y000611 0000475686066 ERNA YANI P PBI (APBN) Myalgia Berobat Jalan

1711 10-01-2018 101501010118Y000610 0000475686718 RIZKY ILHAM RIYADI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1712 10-01-2018 101501010118Y000590 0000475688013 TUTI MAESAROH HARISA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1713 10-01-2018 101501010118Y000600 0000475689532 ENI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1714 10-01-2018 101501010118Y000549 0000475734407 AHMAD L PBI (APBN) Myalgia Berobat Jalan

1715 10-01-2018 101501010118Y000542 0000476114163 KOKOM KOMALASARI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
1716 10-01-2018 101501010118Y000596 0000476121982 SINTA PURNAMASARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1717 10-01-2018 101501010118Y000578 0000476203814 KARSIH KARTIKA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1718 10-01-2018 101501010118Y001095 0001009291825 ASIH SETIASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1719 10-01-2018 101501010118Y000568 0001009301365 EVA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1720 10-01-2018 101501010118Y000556 0001089692267 MULYA SUDRIYANA L PBI (APBN) Myalgia Berobat Jalan

1721 10-01-2018 101501010118Y000570 0001193188871 NURWINASARI RAMAYANTI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1722 10-01-2018 101501010118Y000591 0001199814941 INDAH NURSEPTIANI P PEGAWAI SWASTA Myalgia Berobat Jalan

1723 10-01-2018 101501010118Y000592 0001199826573 SALWA MAHARANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1724 10-01-2018 101501010118Y000532 0001291350385 JUJU JULIAH P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1725 10-01-2018 101501010118Y000567 0001295434135 MAMAH ASMANAH P PEKERJA MANDIRI Myalgia Berobat Jalan

1726 10-01-2018 101501010118Y000598 0001311022653 aleh mahpud L PEKERJA MANDIRI Myalgia Berobat Jalan

1727 10-01-2018 101501010118Y000601 0001319524817 LIE TJUN MOY P PEKERJA MANDIRI Myalgia Berobat Jalan
1728 10-01-2018 101501010118Y000550 0001371965545 FITRIAH P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1729 10-01-2018 101501010118Y000581 0001444149257 SITI AISAH P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1730 10-01-2018 101501010118Y000555 0001475222106 ADE HERNINGSIH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
1731 10-01-2018 101501010118Y000547 0001519147833 INDRA GUNAWAN L PEGAWAI SWASTA Myalgia Berobat Jalan

1732 10-01-2018 101501010118Y000608 0001519804438 PIPIH NOVIANTI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1733 10-01-2018 101501010118Y000595 0001520318349 IQBAL FIRMANSYAH L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1734 10-01-2018 101501010118Y000602 0001524270892 IKA MULYAWATI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1735 10-01-2018 101501010118Y000533 0001662567704 ELLA NURMALA KOMALASARI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1736 10-01-2018 101501010118Y000536 0001776384641 NYAI JERAH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
1737 10-01-2018 101501010118Y000577 0001776394124 TITI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1738 10-01-2018 101501010118Y000574 0001837973744 sutomo L PEKERJA MANDIRI Myalgia Berobat Jalan

1739 10-01-2018 101501010118Y000609 0001859000769 ZAHRA ELVINASWARA L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1740 10-01-2018 101501010118Y000527 0001859499639 REVI BUTSAINAH KIRANA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1741 10-01-2018 101501010118Y000573 0001868120728 VIKA ALFIAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1742 10-01-2018 101501010118Y000565 0001904476364 CUCU LIDYAWATI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1743 10-01-2018 101501010118Y000564 0001904477218 SHEVA DZIKRA IZMA HAMDANI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1744 10-01-2018 101501010118Y000552 0002084302607 BAGUS ALFARHAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1745 10-01-2018 101501010118Y000560 0002090475191 LILIS LISNAWATI P PEGAWAI PEMERINTAH Contraceptive Berobat Jalan
DENGAN PERJANJIAN management, unspecified

1746 10-01-2018 101501010118Y000333 0002236661414 MOCHAMAD RISYAD L PEGAWAI SWASTA Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

1747 10-01-2018 101501010118Y000583 0002265229855 WATI KUSMIATI P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
1748 09-01-2018 101501010118Y000319 0000048550691 SITI ZAWIYAH P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with
other specified
1749 09-01-2018 101501010118Y000477 0000065730172 IDA PARTIANI P PNS DAERAH Myalgia Berobat Jalan

1750 09-01-2018 101501010118Y000449 0000065767533 YANTI P PNS DAERAH Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1751 09-01-2018 101501010118Y000501 0000065778377 SRI TEJAWATI P PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

1752 09-01-2018 101501010118Y000454 0000065802339 PEBRIAN NUGRAHA L PNS PUSAT Acute laryngopharyngitis Berobat Jalan

1753 09-01-2018 101501010118Y000497 0000065820699 HERMAN L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1754 09-01-2018 101501010118Y000458 0000065839599 USDI L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1755 09-01-2018 101501010118Y000455 0000065839601 N. ROHATI P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1756 09-01-2018 101501010118Y000489 0000065917023 SUGIJONO L PENERIMA PENSIUN TNI Myalgia Berobat Jalan

1757 09-01-2018 101501010118Y000490 0000065949298 JAJAN SUPARDI L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1758 09-01-2018 101501010118Y000513 0000066045835 CUCU YUNIATI, HJ. P PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

1759 09-01-2018 101501010118Y000316 0000066104008 ROHMAN L PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease, unspecified
1760 09-01-2018 101501010118Y000315 0000066104019 TATI ROSMIATI P PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease, unspecified
1761 09-01-2018 101501010118Y000318 0000066107529 TAHJAN L PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
1762 09-01-2018 101501010118Y000322 0000066150325 HAMIM SUKARTONO L PENERIMA PENSIUN Hyperplasia of prostate Rujuk Lanjut
PNS
1763 09-01-2018 101501010118Y000461 0000066310547 TATI SRI HARTATI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1764 09-01-2018 101501010118Y000432 0000066316083 AHMAD BAHRUDIN L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1765 09-01-2018 101501010118Y000436 0000199727234 NURUL DINNY P PNS PUSAT Acute laryngopharyngitis Berobat Jalan

1766 09-01-2018 101501010118Y000478 0000474157585 TATI HARTATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1767 09-01-2018 101501010118Y000483 0000474176711 DEDEH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1768 09-01-2018 101501010118Y000460 0000474243142 TURSIH P PBI (APBN) Myalgia Berobat Jalan

1769 09-01-2018 101501010118Y000459 0000474243557 RIKA TIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1770 09-01-2018 101501010118Y000326 0000474588314 ETI MULYAWATI P PBI (APBN) Other senile cataract Rujuk Lanjut
1771 09-01-2018 101501010118Y000494 0000474602196 ETI SUMIATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1772 09-01-2018 101501010118Y000473 0000474695368 YANI MULYANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1773 09-01-2018 101501010118Y000488 0000474700869 HARRY HERIYANTO L PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
1774 09-01-2018 101501010118Y000487 0000474701714 HILHAM MAULANA L PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
1775 09-01-2018 101501010118Y000480 0000474724888 kartika P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
1776 09-01-2018 101501010118Y000504 0000474726655 SUYATNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1777 09-01-2018 101501010118Y000472 0000474729096 SUNIAH P PBI (APBN) Myalgia Berobat Jalan

1778 09-01-2018 101501010118Y000476 0000474747074 AMSANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1779 09-01-2018 101501010118Y000321 0000474764319 WIWI WIDARSIH P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
1780 09-01-2018 101501010118Y000320 0000474764411 DE TITA P PBI (APBN) Dyspepsia Rujuk Lanjut

1781 09-01-2018 101501010118Y000463 0000474789205 YULIA MAHARANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1782 09-01-2018 101501010118Y000509 0000474792838 NUR AEINI P PBI (APBN) Pyogenic granuloma Berobat Jalan

1783 09-01-2018 101501010118Y000442 0000474810041 REFAN NUGRAHA L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1784 09-01-2018 101501010118Y000462 0000474814899 MASROH P PBI (APBN) Myalgia Berobat Jalan

1785 09-01-2018 101501010118Y000451 0000474875054 NARSITI P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
1786 09-01-2018 101501010118Y000313 0000474887586 nenis warnelis P PBI (APBN) Benign neoplasm of Rujuk Lanjut
unspecified site
1787 09-01-2018 101501010118Y000484 0000474898768 ISMA KAMILA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1788 09-01-2018 101501010118Y000467 0000474908657 NYAI ESIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1789 09-01-2018 101501010118Y000486 0000474977687 SURYANI P PBI (APBN) Myalgia Berobat Jalan

1790 09-01-2018 101501010118Y000446 0000474979465 SUSI KANIA P PEGAWAI SWASTA Pyogenic granuloma Berobat Jalan

1791 09-01-2018 101501010118Y000492 0000475020955 SUKARIM L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1792 09-01-2018 101501010118Y000491 0000475021067 kasmi P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1793 09-01-2018 101501010118Y000482 0000475029448 JUARIAH P PBI (APBN) Myalgia Berobat Jalan
1794 09-01-2018 101501010118Y000431 0000475092922 SANDI GUSTIANA SALIM L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1795 09-01-2018 101501010118Y000441 0000475109796 CARMA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1796 09-01-2018 101501010118Y000325 0000475121496 NINA LISNIAWATI P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
1797 09-01-2018 101501010118Y000496 0000475151815 SURYANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1798 09-01-2018 101501010118Y000465 0000475166867 RAFLY NUR FADILAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1799 09-01-2018 101501010118Y000305 0000475169916 UCIH P PBI (APBN) Other senile cataract Rujuk Lanjut

1800 09-01-2018 101501010118Y000317 0000475172886 N.SRI NOVA P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
1801 09-01-2018 101501010118Y000520 0000475219023 DODI MULYADI L PBI (APBN) Myalgia Berobat Jalan

1802 09-01-2018 101501010118Y000517 0000475261209 YUYU ARIYUHANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1803 09-01-2018 101501010118Y000500 0000475296456 NUNUNG P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1804 09-01-2018 101501010118Y000448 0000475328204 TIA OKTAVIANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1805 09-01-2018 101501010118Y000475 0000475449614 UUM UMANAH P PBI (APBN) Myalgia Berobat Jalan

1806 09-01-2018 101501010118Y000511 0000475581172 SUPARNO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1807 09-01-2018 101501010118Y001094 0000475581475 aas SITI HASANAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1808 09-01-2018 101501010118Y000447 0000475704775 NAYLA K NISSA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1809 09-01-2018 101501010118Y000437 0000475727556 RAHAYU RAHMAT P PBI (APBN) Myalgia Berobat Jalan

1810 09-01-2018 101501010118Y000510 0000475850035 TASYAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1811 09-01-2018 101501010118Y000481 0000476017277 ROBIAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1812 09-01-2018 101501010118Y000515 0000476195409 ACIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1813 09-01-2018 101501010118Y000439 0000476242694 ANDA RACHMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1814 09-01-2018 101501010118Y000505 0001009291792 KARTI SUKARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1815 09-01-2018 101501010118Y000450 0001009301218 RENDY REDIANSYAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1816 09-01-2018 101501010118Y000468 0001009302219 UNENGSIH P PBI (APBN) Myalgia Berobat Jalan

1817 09-01-2018 101501010118Y000485 0001009302794 YEYEN YUNIAR P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1818 09-01-2018 101501010118Y000495 0001009305156 SITI JENAB P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1819 09-01-2018 101501010118Y000434 0001009305742 MUHAMMAD ARI NURDIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1820 09-01-2018 101501010118Y000433 0001009307338 SAPTA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1821 09-01-2018 101501010118Y000474 0001081659003 BAINAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1822 09-01-2018 101501010118Y000514 0001082482187 NAURA ABIDAH FITRIANI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1823 09-01-2018 101501010118Y000440 0001089686507 OTI P PBI (APBN) Pyogenic granuloma Berobat Jalan

1824 09-01-2018 101501010118Y000435 0001090032478 WAHYUDI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1825 09-01-2018 101501010118Y000479 0001193188869 NINING P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1826 09-01-2018 101501010118Y000438 0001291794344 UMAY SUMARYATI P PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan

1827 09-01-2018 101501010118Y000516 0001424511358 YANTI YULIAWATI P PNS DAERAH Pyogenic granuloma Berobat Jalan

1828 09-01-2018 101501010118Y000457 0001519146652 RUT VLARENCIA S. P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1829 09-01-2018 101501010118Y000444 0001519177329 SRI MEILANI P PEGAWAI SWASTA Myalgia Berobat Jalan

1830 09-01-2018 101501010118Y000323 0001519789206 MUHAMMAD IRSYAD ASY L PEGAWAI SWASTA Epilepsy Rujuk Lanjut
SYAUKANI
1831 09-01-2018 101501010118Y000498 0001776377439 SLAMET L PBI (APBD) Acute lymphadenitis of Berobat Jalan
face, head and neck
1832 09-01-2018 101501010118Y000445 0001776379612 WIWI WIDIAWATI P PBI (APBD) Myalgia Berobat Jalan

1833 09-01-2018 101501010118Y000443 0001776380545 SITI P PBI (APBD) Acute haemorrhagic Berobat Jalan
gastritis
1834 09-01-2018 101501010118Y000469 0001776393101 ATIN P PBI (APBD) Myalgia Berobat Jalan

1835 09-01-2018 101501010118Y000512 0001776404711 DEA SARTIKA P PBI (APBD) Acute haemorrhagic Berobat Jalan
gastritis
1836 09-01-2018 101501010118Y000470 0001796703941 II L PEKERJA MANDIRI Myalgia Berobat Jalan

1837 09-01-2018 101501010118Y000453 0001797573014 RUHIMAN L PEKERJA MANDIRI Myalgia Berobat Jalan

1838 09-01-2018 101501010118Y000452 0001797576434 suatin P PEKERJA MANDIRI Myalgia Berobat Jalan

1839 09-01-2018 101501010118Y000493 0001823900736 NENDEN SUMARNI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1840 09-01-2018 101501010118Y000314 0001835347871 HALIMAH P PENERIMA PENSIUN Other chronic suppurative Rujuk Lanjut
PNS otitis media
1841 09-01-2018 101501010118Y000502 0001838130816 SUPANDI L PEGAWAI SWASTA Myalgia Berobat Jalan

1842 09-01-2018 101501010118Y000507 0001903592924 WAWANG JUANGSIH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1843 09-01-2018 101501010118Y000466 0001961137539 YAYAH ATIKAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1844 09-01-2018 101501010118Y000508 0002201630894 MELI MELANI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1845 09-01-2018 101501010118Y000464 0002267714968 ZAHRANI AULIA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1846 09-01-2018 101501010118Y000499 0002293671835 moch raiyan munandar L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1847 09-01-2018 101501010118Y000506 0002312726635 tasim L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1848 09-01-2018 101501010118Y000503 0002314007842 M. SAEPUL ANWAR L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1849 09-01-2018 101501010118Y000324 0002314008505 asti aisah nurrihmah L PEKERJA MANDIRI Asthma Rujuk Lanjut

1850 09-01-2018 101501010118Y000519 0002316707019 DIANASARI SUKIRMAN P PEKERJA MANDIRI Pulpitis Berobat Jalan

1851 09-01-2018 101501010118Y000518 0002316707032 YUANA AYSA PUTRI SARI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1852 08-01-2018 101501010118Y000348 0000018944774 TATA HERYANDA L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1853 08-01-2018 101501010118Y000341 0000058111119 NENAH MULYANAH P PNS PUSAT Supervision of normal Berobat Jalan
pregnancy, unspecified
1854 08-01-2018 101501010118Y000385 0000065775284 RAZANAH AFINA TURFA P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1855 08-01-2018 101501010118Y000304 0000065783529 ASEP RIDWAN L PNS DAERAH Hypertensive heart Rujuk Lanjut
disease with (congestive)

1856 08-01-2018 101501010118Y000377 0000065953304 TIEN SUTINAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1857 08-01-2018 101501010118Y000389 0000065954518 UNTUNG L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1858 08-01-2018 101501010118Y000416 0000065971214 BISRI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1859 08-01-2018 101501010118Y000303 0000066021434 TITOH SA'ADAH, HJ P PENERIMA PENSIUN Nerve root and plexus Rujuk Lanjut
PNS disorder, unspecified
1860 08-01-2018 101501010118Y000342 0000066043978 KOMARIAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1861 08-01-2018 101501010118Y001092 0000066099554 ICIH RUNINGSIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1862 08-01-2018 101501010118Y001089 0000066102232 INIK SITI SARAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1863 08-01-2018 101501010118Y000386 0000066102377 SRI NITA NABILA P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1864 08-01-2018 101501010118Y000288 0000066150189 AMAN L PENERIMA PENSIUN Pterygium Rujuk Lanjut
PNS
1865 08-01-2018 101501010118Y000418 0000066163757 YOYOH MUNAWATI P PNS DAERAH Acute laryngopharyngitis Berobat Jalan
1866 08-01-2018 101501010118Y000345 0000066163961 SRI SETIAWATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1867 08-01-2018 101501010118Y001091 0000066309658 MARYATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1868 08-01-2018 101501010118Y000412 0000164412279 YOYOH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1869 08-01-2018 101501010118Y000413 0000198214121 EMA NIRMALAWATI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1870 08-01-2018 101501010118Y000360 0000473829131 JUHENDA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1871 08-01-2018 101501010118Y000390 0000474107512 GESTIANI TRISANDI P PBI (APBN) Pulpitis Berobat Jalan

1872 08-01-2018 101501010118Y000403 0000474142678 ISHAK L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1873 08-01-2018 101501010118Y000404 0000474144175 AISAH P PBI (APBN) Myalgia Berobat Jalan

1874 08-01-2018 101501010118Y000368 0000474546655 TOTO SUHARNO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1875 08-01-2018 101501010118Y000391 0000474557455 EGI RISKIAWAN L PBI (APBN) Pulpitis Berobat Jalan

1876 08-01-2018 101501010118Y000375 0000474565342 I MARIAM P PBI (APBN) Myalgia Berobat Jalan

1877 08-01-2018 101501010118Y000286 0000474579742 KOKOM P PBI (APBN) Myasthenia gravis Rujuk Lanjut

1878 08-01-2018 101501010118Y000394 0000474583252 CHANTIKA ALZAHRA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1879 08-01-2018 101501010118Y000382 0000474623166 SOLEH HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

1880 08-01-2018 101501010118Y000301 0000474627407 NIA KURNIA P PBI (APBN) Low vision, both eyes Rujuk Lanjut

1881 08-01-2018 101501010118Y000405 0000474633112 ENDANG L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1882 08-01-2018 101501010118Y000384 0000474644845 KILING L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1883 08-01-2018 101501010118Y000414 0000474657298 ARUM rita P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
1884 08-01-2018 101501010118Y001081 0000474691511 ERI NURHALIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1885 08-01-2018 101501010118Y000400 0000474719703 DEDI HIDAYAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1886 08-01-2018 101501010118Y000395 0000474725261 FEBYI W L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1887 08-01-2018 101501010118Y000283 0000474745331 SUMARTO L PBI (APBN) Allergic rhinitis, Rujuk Lanjut
unspecified
1888 08-01-2018 101501010118Y001086 0000474748863 ENGKUY P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1889 08-01-2018 101501010118Y000381 0000474759224 SUHERLAN L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1890 08-01-2018 101501010118Y001093 0000474818747 EMA KOMARIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1891 08-01-2018 101501010118Y000396 0000474839774 FAISAL PATHULROHMAN L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
1892 08-01-2018 101501010118Y000352 0000474860125 INDRA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1893 08-01-2018 101501010118Y000367 0000474890635 YANI MULYANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1894 08-01-2018 101501010118Y000392 0000474899128 INDRAWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1895 08-01-2018 101501010118Y001085 0000474906047 TITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1896 08-01-2018 101501010118Y000294 0000474987824 PURNAMA putra r. L PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

1897 08-01-2018 101501010118Y000339 0000475025433 AGUS RIANTO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1898 08-01-2018 101501010118Y000361 0000475074459 NIA KURNIATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1899 08-01-2018 101501010118Y000354 0000475093214 CUCU SARI NENGSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1900 08-01-2018 101501010118Y001087 0000475097736 ade manah P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1901 08-01-2018 101501010118Y000293 0000475119167 SUMIYATI P PBI (APBN) Psoriasis Rujuk Lanjut

1902 08-01-2018 101501010118Y000409 0000475119786 NENG SUKAESIH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
1903 08-01-2018 101501010118Y000349 0000475124275 DEDE WEGI K L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1904 08-01-2018 101501010118Y000285 0000475130744 ANENG SUMIATI P PBI (APBN) Asthma Rujuk Lanjut

1905 08-01-2018 101501010118Y001083 0000475136763 MESIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1906 08-01-2018 101501010118Y000344 0000475192855 YUSUP EFENDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1907 08-01-2018 101501010118Y000411 0000475208278 YANI MULYANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
1908 08-01-2018 101501010118Y001084 0000475258779 EMOSyati P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1909 08-01-2018 101501010118Y001088 0000475316166 ENTIN HARTINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
1910 08-01-2018 101501010118Y000371 0000475324661 IYOH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1911 08-01-2018 101501010118Y000408 0000475404377 YUNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1912 08-01-2018 101501010118Y000373 0000475433447 YUYUN SRI WAHYUNIROH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1913 08-01-2018 101501010118Y000399 0000475447206 ASSYIFA NUUR AGUSTIN P PBI (APBN) Exfoliation of teeth due to Berobat Jalan
systemic causes
1914 08-01-2018 101501010118Y000370 0000475462844 EMIN P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1915 08-01-2018 101501010118Y000338 0000475522694 TANTAN L PBI (APBN) Pulpitis Berobat Jalan

1916 08-01-2018 101501010118Y000299 0000475546061 ening karnali L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1917 08-01-2018 101501010118Y000300 0000475590622 TRI WIDIANTY P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease with (congestive)

1918 08-01-2018 101501010118Y000379 0000475639446 LIA APRILIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1919 08-01-2018 101501010118Y000372 0000475669732 RASINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1920 08-01-2018 101501010118Y000397 0000475693288 ROBI PERMANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1921 08-01-2018 101501010118Y000374 0000475697439 SANTOSA L PBI (APBN) Myalgia Berobat Jalan

1922 08-01-2018 101501010118Y000355 0000475704112 TITA ROSITA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1923 08-01-2018 101501010118Y000340 0000475730526 ANISA NURAENI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1924 08-01-2018 101501010118Y001082 0000475771983 NETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1925 08-01-2018 101501010118Y000366 0000475782941 EKAR KARNI P PBI (APBN) Myalgia Berobat Jalan

1926 08-01-2018 101501010118Y000291 0000475783378 PUJA NOVIANTO L PBI (APBN) Unspecified mental Rujuk Lanjut
retardation without
mention of impairment of

1927 08-01-2018 101501010118Y000292 0000475783457 PUJI NOVIANDI L PBI (APBN) Unspecified mental Rujuk Lanjut
retardation without
mention of impairment of

1928 08-01-2018 101501010118Y000302 0000475902213 SITI JULAEHA P PBI (APBN) Diseases of pulp and Rujuk Lanjut
periapical tissues
1929 08-01-2018 101501010118Y000383 0000476004701 AEP SAEPUDIN L PBI (APBN) Myalgia Berobat Jalan

1930 08-01-2018 101501010118Y000289 0000476107784 WAWAN SETIAWAN L PBI (APBN) Angina pectoris Rujuk Lanjut
1931 08-01-2018 101501010118Y000402 0000476247407 UNARI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1932 08-01-2018 101501010118Y000346 0001009292196 SETIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1933 08-01-2018 101501010118Y000415 0001009294918 SANTI BIHARI P PBI (APBN) Pulpitis Berobat Jalan

1934 08-01-2018 101501010118Y001090 0001009302941 MUTIRI KASNARI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1935 08-01-2018 101501010118Y000343 0001009303413 SUKAESIH P PBI (APBN) Myalgia Berobat Jalan

1936 08-01-2018 101501010118Y000297 0001009304638 RATNASIH P PBI (APBN) Erosive (osteo)arthrosis Rujuk Lanjut

1937 08-01-2018 101501010118Y000347 0001009308609 ida farida P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1938 08-01-2018 101501010118Y000398 0001009335284 ENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1939 08-01-2018 101501010118Y000287 0001009335508 ANAH P PBI (APBN) Adhesive capsulitis of Rujuk Lanjut
shoulder
1940 08-01-2018 101501010118Y000419 0001089686518 DANA SUPRIATNA P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1941 08-01-2018 101501010118Y000406 0001089691042 YUSTI niawati P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
1942 08-01-2018 101501010118Y000365 0001148232598 DIDI SUARDI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1943 08-01-2018 101501010118Y000356 0001173521992 RAYA DWI MAHARANI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1944 08-01-2018 101501010118Y000378 0001291273604 yuyun yuliati YULIATI P PEKERJA MANDIRI Myalgia Berobat Jalan

1945 08-01-2018 101501010118Y000364 0001303901818 LILIS LIHYATI P PEGAWAI BUMD Acute laryngopharyngitis Berobat Jalan

1946 08-01-2018 101501010118Y000295 0001450921961 TP SILABAN L PEKERJA MANDIRI Polyneuropathy, Rujuk Lanjut
unspecified
1947 08-01-2018 101501010118Y000376 0001475222106 ADE HERNINGSIH P PEKERJA MANDIRI Myalgia Berobat Jalan

1948 08-01-2018 101501010118Y000369 0001475800108 MARCEL RYCO L PEKERJA MANDIRI Exfoliation of teeth due to Berobat Jalan
systemic causes
1949 08-01-2018 101501010118Y000337 0001519120012 ISMAYANTI PUTRI P PEGAWAI SWASTA Myalgia Berobat Jalan

1950 08-01-2018 101501010118Y000380 0001519177026 LIANI MARIANI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1951 08-01-2018 101501010118Y000350 0001519188344 DINE ENJELINA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1952 08-01-2018 101501010118Y000357 0001519213599 ANGGI ANISARI P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1953 08-01-2018 101501010118Y000410 0001519793021 ENENG RIVIANTI P PEGAWAI SWASTA Myalgia Berobat Jalan
1954 08-01-2018 101501010118Y000393 0001520550753 ANDIKA SUBEKTI AMIEN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1955 08-01-2018 101501010118Y000282 0001523071585 LIA ROSMAYANTI P PNS DAERAH Tinea corporis Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1956 08-01-2018 101501010118Y000387 0001640613238 FIRDHA AMELIA RAHAYU P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1957 08-01-2018 101501010118Y000362 0001641192186 Taufik Rusdiana L PEGAWAI SWASTA Pulpitis Berobat Jalan

1958 08-01-2018 101501010118Y000407 0001660940616 MUHAMAD ASYQAR RAJIB L PEGAWAI SWASTA Conjunctivitis, unspecified Berobat Jalan
BUSTANI
1959 08-01-2018 101501010118Y000296 0001776393088 AGUS SUPARMAN L PBI (APBD) Phobic anxiety disorder, Rujuk Lanjut
unspecified
1960 08-01-2018 101501010118Y000284 0001776404891 ILAH P PBI (APBD) Other and unspecified Rujuk Lanjut
abnormalities of heart beat

1961 08-01-2018 101501010118Y000351 0001776405227 IDA NURLAELA P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1962 08-01-2018 101501010118Y000290 0001776405238 IRVAN HIDAYAT L PBI (APBD) Superficial injury of lower Rujuk Lanjut
leg, unspecified
1963 08-01-2018 101501010118Y000298 0001828692775 ESTERINA P PEKERJA MANDIRI Nausea and vomiting Rujuk Lanjut

1964 08-01-2018 101501010118Y000401 0001837973744 sutomo L PEKERJA MANDIRI Myalgia Berobat Jalan

1965 08-01-2018 101501010118Y000388 0001868120728 VIKA ALFIAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

1966 08-01-2018 101501010118Y000363 0002070379978 ARKA RIZKY AGUSTIAN L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1967 08-01-2018 101501010118Y000353 0002090879201 azhar anugrah L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1968 08-01-2018 101501010118Y000417 0002093589191 VIJAR ILHAM GUNAWAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

1969 08-01-2018 101501010118Y000359 0002300752091 SUSY PRIHAYANTI P PEKERJA MANDIRI Pyogenic granuloma Berobat Jalan

1970 08-01-2018 101501010118Y000358 0002300753237 RAFARDHAN ATHALLA L PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan
HERDIANSYAH
1971 06-01-2018 101501010118Y000275 0000004928848 NESIH YUNENGSIH P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with
peripheral circulatory

1972 06-01-2018 101501010118Y001355 0000018944774 TATA HERYANDA L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
1973 06-01-2018 101501010118Y001074 0000045291835 YUDIMARA L PNS PUSAT Essential (primary) Berobat Jalan
hypertension
1974 06-01-2018 101501010118Y001402 0000057566169 NANANG SUWARNA L PNS DAERAH Myalgia Berobat Jalan

1975 06-01-2018 101501010118Y000280 0000058111312 BAMBANG TRIYANTO L PNS PUSAT Caries of dentine Rujuk Lanjut
1976 06-01-2018 101501010118Y001064 0000058661559 SRI RAHAYU P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1977 06-01-2018 101501010118Y001397 0000065725907 SOLEH SAJUM L PNS DAERAH Myalgia Berobat Jalan

1978 06-01-2018 101501010118Y000270 0000065767511 SUHENDI L PNS DAERAH Congestive heart failure Rujuk Lanjut

1979 06-01-2018 101501010118Y001352 0000065802317 JUARIAH FATMAWATI P PNS PUSAT Essential (primary) Berobat Jalan
hypertension
1980 06-01-2018 101501010118Y001342 0000065834908 SRI CAHAYANINGSIH P PNS DAERAH Myalgia Berobat Jalan

1981 06-01-2018 101501010118Y001076 0000065839757 YAYAN SOPIAN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1982 06-01-2018 101501010118Y001353 0000065841906 DITA MATARI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

1983 06-01-2018 101501010118Y001066 0000066099431 CICIH UMYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1984 06-01-2018 101501010118Y001080 0000066107531 ETI RUNETI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

1985 06-01-2018 101501010118Y000273 0000066150325 HAMIM SUKARTONO L PENERIMA PENSIUN Acute ischaemic heart Rujuk Lanjut
PNS disease, unspecified
1986 06-01-2018 101501010118Y001060 0000066163702 ROKAJU P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1987 06-01-2018 101501010118Y001391 0000148996361 OLEH SOLIHIN L PNS PUSAT Acute laryngopharyngitis Berobat Jalan

1988 06-01-2018 101501010118Y001382 0000474128796 SITI MULYATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1989 06-01-2018 101501010118Y001381 0000474129189 DWI DESTIAN NUGRAHA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1990 06-01-2018 101501010118Y001385 0000474424852 ENEN SUHARTINI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1991 06-01-2018 101501010118Y001396 0000474447161 MAMAN HERYANA L PBI (APBN) Other acute gastritis Berobat Jalan

1992 06-01-2018 101501010118Y001374 0000474491711 ZHUKA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1993 06-01-2018 101501010118Y001389 0000474520599 SUTINI P PBI (APBN) Other acute gastritis Berobat Jalan

1994 06-01-2018 101501010118Y000269 0000474546251 RISMA FIANTI P PBI (APBN) Injury of muscle and Rujuk Lanjut
tendon at wrist and hand

1995 06-01-2018 101501010118Y001372 0000474554981 NINING YUNINGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1996 06-01-2018 101501010118Y001351 0000474555115 yusalsa beliawati sugia P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1997 06-01-2018 101501010118Y001347 0000474570257 EROH P PBI (APBN) Myalgia Berobat Jalan

1998 06-01-2018 101501010118Y001079 0000474575771 AWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

1999 06-01-2018 101501010118Y001068 0000474598416 SRI DIANINGSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2000 06-01-2018 101501010118Y001388 0000474641267 DAYAT L PBI (APBN) Other acute gastritis Berobat Jalan

2001 06-01-2018 101501010118Y001386 0000474641526 ANING SULASTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2002 06-01-2018 101501010118Y001387 0000474641741 S NURLELA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2003 06-01-2018 101501010118Y001348 0000474657737 ADE NENCIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2004 06-01-2018 101501010118Y001365 0000474673151 TITI ROHAYATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2005 06-01-2018 101501010118Y001362 0000474724888 kartika P PBI (APBN) Pulpitis Berobat Jalan

2006 06-01-2018 101501010118Y001077 0000474754847 TASLI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2007 06-01-2018 101501010118Y001370 0000474761698 ENONG HASANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2008 06-01-2018 101501010118Y001062 0000474879328 ANAH ROHANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2009 06-01-2018 101501010118Y001332 0000474885977 EUTIK P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2010 06-01-2018 101501010118Y001334 0000474897914 YANTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2011 06-01-2018 101501010118Y001368 0000474942115 RACHMAT JAYA SAPUTRA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2012 06-01-2018 101501010118Y001339 0000474946716 ATAM SAMSUDIN L PBI (APBN) Myalgia Berobat Jalan

2013 06-01-2018 101501010118Y001338 0000474949394 MELA MEILANI P PBI (APBN) Myalgia Berobat Jalan

2014 06-01-2018 101501010118Y001075 0000474966483 WAGIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2015 06-01-2018 101501010118Y001356 0000475074459 NIA KURNIATI P PBI (APBN) Acute serous otitis media Berobat Jalan

2016 06-01-2018 101501010118Y001401 0000475076362 BANDI L PBI (APBN) Myalgia Berobat Jalan

2017 06-01-2018 101501010118Y001072 0000475076406 ROSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2018 06-01-2018 101501010118Y001078 0000475097736 ade manah P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2019 06-01-2018 101501010118Y001398 0000475132612 ani nurhayati P PBI (APBN) Myalgia Berobat Jalan

2020 06-01-2018 101501010118Y001400 0000475220586 TATA SUNANTA L PBI (APBN) Myalgia Berobat Jalan

2021 06-01-2018 101501010118Y001073 0000475308459 YOMI SUMIARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2022 06-01-2018 101501010118Y001065 0000475334065 YETI JUMIARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2023 06-01-2018 101501010118Y001063 0000475455824 NUR HAYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2024 06-01-2018 101501010118Y001363 0000475472654 DIAN PUSPITA SARI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2025 06-01-2018 101501010118Y001069 0000475490193 EMIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2026 06-01-2018 101501010118Y001364 0000475540198 DAMINI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2027 06-01-2018 101501010118Y001373 0000475548851 WARMAN L PBI (APBN) Pyogenic granuloma Berobat Jalan

2028 06-01-2018 101501010118Y001070 0000475549198 ICAh P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2029 06-01-2018 101501010118Y001343 0000475568796 EDAH JUBAEDAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2030 06-01-2018 101501010118Y001067 0000475632202 AI JUARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2031 06-01-2018 101501010118Y001384 0000475656761 ROHMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2032 06-01-2018 101501010118Y001336 0000475743914 DIDI TARMIDI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2033 06-01-2018 101501010118Y001335 0000475744083 SUKAESIH P PBI (APBN) Other acute gastritis Berobat Jalan

2034 06-01-2018 101501010118Y001341 0000475781534 ita musfaridanti P PBI (APBN) Myalgia Berobat Jalan

2035 06-01-2018 101501010118Y001380 0000476230511 IIS AISAH P PBI (APBN) Myalgia Berobat Jalan

2036 06-01-2018 101501010118Y001071 0001009296696 SURYA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2037 06-01-2018 101501010118Y001393 0001009302467 RICKY ERNAWAN L PBI (APBN) Other acute gastritis Berobat Jalan

2038 06-01-2018 101501010118Y001395 0001009302478 TETY KUSMIATI P PBI (APBN) Other acute gastritis Berobat Jalan

2039 06-01-2018 101501010118Y001394 0001009302489 MOCH. FIRDAUS K. L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2040 06-01-2018 101501010118Y001350 0001080983158 YAYAH P PNS DAERAH Myalgia Berobat Jalan

2041 06-01-2018 101501010118Y001349 0001080983193 KUSMA L PNS DAERAH Myalgia Berobat Jalan

2042 06-01-2018 101501010118Y001358 0001089691042 YUSTI niawati P PBI (APBN) Pulpitis Berobat Jalan

2043 06-01-2018 101501010118Y000277 0001298844246 DEDE RUKAESIH P PEKERJA MANDIRI Gastric ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

2044 06-01-2018 101501010118Y001390 0001424470364 DIAN HERNAWATI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

2045 06-01-2018 101501010118Y001403 0001438806317 MAHARDIKA MUNAJAT L PNS DAERAH Acute laryngopharyngitis Berobat Jalan
ADHISUWARNA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2046 06-01-2018 101501010118Y000272 0001441087413 KARMINI P PEKERJA MANDIRI Disease of inner ear, Rujuk Lanjut
unspecified
2047 06-01-2018 101501010118Y000271 0001475222106 ADE HERNINGSIH P PEKERJA MANDIRI Retained intrauterine Rujuk Lanjut
contraceptive device in

2048 06-01-2018 101501010118Y001061 0001481495916 IMAS MASNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2049 06-01-2018 101501010118Y001371 0001640613238 FIRDHA AMELIA RAHAYU P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
2050 06-01-2018 101501010118Y000279 0001643328538 FERANY SHAILY MAULIDA P PEGAWAI BUMN Varicella [chickenpox] Rujuk Lanjut

2051 06-01-2018 101501010118Y001399 0001659987066 DEWI APRIYANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2052 06-01-2018 101501010118Y000281 0001659987178 KAPITALOKA P PEGAWAI SWASTA Tuberculous peripheral Rujuk Lanjut
lymphadenopathy
2053 06-01-2018 101501010118Y001361 0001660727057 AYI SUHENDRA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2054 06-01-2018 101501010118Y001375 0001661494329 DINI PUJIANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2055 06-01-2018 101501010118Y000278 0001661494342 EXCELL MARSYA ANANDA P PEGAWAI SWASTA Whooping cough, Rujuk Lanjut
unspecified
2056 06-01-2018 101501010118Y001367 0001664863479 CICI ROSIANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2057 06-01-2018 101501010118Y001377 0001804939727 elissa nurazizah P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2058 06-01-2018 101501010118Y000268 0001808943074 vini supini P PEGAWAI SWASTA Supervision of normal Rujuk Lanjut
pregnancy, unspecified
2059 06-01-2018 101501010118Y001340 0001865819979 rizky maulana al-fauzy L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2060 06-01-2018 101501010118Y001344 0001866746452 M. NAUFAL BAHY L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2061 06-01-2018 101501010118Y001392 0002040191234 ALPAR NIKOLAS SIHOMBING L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2062 06-01-2018 101501010118Y000274 0002049803594 AYUMI NAZWA ADILLA P PEGAWAI SWASTA Hordeolum and chalazion Rujuk Lanjut

2063 06-01-2018 101501010118Y001366 0002074887066 BUNGA ALEXA PUTRIANA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2064 06-01-2018 101501010118Y001337 0002075595985 SUSINTA P PEKERJA MANDIRI Myalgia Berobat Jalan

2065 06-01-2018 101501010118Y001359 0002234132662 DEWI YULIANI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2066 06-01-2018 101501010118Y000276 0002245344412 GILL OLIVIA L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

2067 06-01-2018 101501010118Y001369 0002301252952 YANI SURYANI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2068 06-01-2018 101501010118Y001376 0002318777436 RULLY NURUL HASANAH P PEKERJA MANDIRI Pulpitis Berobat Jalan
2069 06-01-2018 101501010118Y001379 0002319475792 ZIHAN HABIBAH NURJANNAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2070 05-01-2018 101501010118Y001055 0000065693621 ENDANG ROHANI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
2071 05-01-2018 101501010118Y001054 0000065693632 YATI HERYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

2072 05-01-2018 101501010118Y001270 0000065730172 IDA PARTIANI P PNS DAERAH Myalgia Berobat Jalan

2073 05-01-2018 101501010118Y001273 0000065734795 SABRINA GINTING P PNS DAERAH Myalgia Berobat Jalan

2074 05-01-2018 101501010118Y000266 0000065835505 DRS. MOCH DIDIN SAEPUDIN, L PNS DAERAH Other and unspecified Rujuk Lanjut
M.SI cirrhosis of liver
2075 05-01-2018 101501010118Y001318 0000065835538 MOCH. KEVIN INDRAWAN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2076 05-01-2018 101501010118Y001053 0000065839757 YAYAN SOPIAN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
2077 05-01-2018 101501010118Y000267 0000065947274 SITI SUPENAH .HJ P PENERIMA PENSIUN TNI Erosive (osteo)arthrosis Rujuk Lanjut

2078 05-01-2018 101501010118Y001299 0000065948646 SUKARDJI L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
2079 05-01-2018 101501010118Y001304 0000066063745 AMINAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
2080 05-01-2018 101501010118Y001058 0000066091768 hj. AMIH ATIKAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

2081 05-01-2018 101501010118Y001331 0000066107889 cucu narcuci P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
2082 05-01-2018 101501010118Y001290 0000066131649 TUTI SUSILAWATI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

2083 05-01-2018 101501010118Y001320 0000066179766 DESI SA'DIAH ROHMAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
2084 05-01-2018 101501010118Y000258 0000066323992 ANNISA REVIKA YULYANTY S. P PNS DAERAH Fibroadenosis of breast Rujuk Lanjut

2085 05-01-2018 101501010118Y001272 0000196696124 LILIS SULSELRAWATI P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
2086 05-01-2018 101501010118Y001278 0000474211293 ICIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2087 05-01-2018 101501010118Y001327 0000474224409 NIRAZIZAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2088 05-01-2018 101501010118Y001276 0000474231082 IKAYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2089 05-01-2018 101501010118Y001292 0000474246742 MAMAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2090 05-01-2018 101501010118Y001317 0000474429789 WANDA YUANITA PRAMESTI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
2091 05-01-2018 101501010118Y001293 0000474546655 TOTO SUHARNO L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2092 05-01-2018 101501010118Y001052 0000474547094 TARSITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2093 05-01-2018 101501010118Y001048 0000474571552 ISUM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2094 05-01-2018 101501010118Y001056 0000474590619 DIDI SUHADI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2095 05-01-2018 101501010118Y001279 0000474592151 MUHAMAD ZAYSEN RAFLY L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
BARIAN
2096 05-01-2018 101501010118Y001291 0000474616754 AHMAD HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

2097 05-01-2018 101501010118Y000263 0000474619623 DEVA ROSMANAH P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
2098 05-01-2018 101501010118Y001301 0000474657254 MARNI P PBI (APBN) Other acute gastritis Berobat Jalan

2099 05-01-2018 101501010118Y001288 0000474695368 YANI MULYANI P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup]
2100 05-01-2018 101501010118Y001294 0000474745331 SUMARTO L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2101 05-01-2018 101501010118Y001271 0000474747074 AMSANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2102 05-01-2018 101501010118Y001314 0000474804088 ARIFIN L PBI (APBN) Myalgia Berobat Jalan

2103 05-01-2018 101501010118Y001313 0000474804268 ENTIN SUHARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2104 05-01-2018 101501010118Y001287 0000474823348 RAHWIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2105 05-01-2018 101501010118Y000265 0000475013474 KARLIN L PBI (APBN) Pleural effusion, not Rujuk Lanjut
elsewhere classified
2106 05-01-2018 101501010118Y001305 0000475127651 DAYAT L PBI (APBN) Myalgia Berobat Jalan

2107 05-01-2018 101501010118Y001284 0000475208875 IWAN SETIAWAN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

2108 05-01-2018 101501010118Y001283 0000475209145 MUJI P PBI (APBN) Pulpitis Berobat Jalan

2109 05-01-2018 101501010118Y001282 0000475303285 SANTI REKTAPIA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2110 05-01-2018 101501010118Y001281 0000475303768 ODAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2111 05-01-2018 101501010118Y001326 0000475309822 IMAN BUDIMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2112 05-01-2018 101501010118Y001310 0000475325133 LIA HERLIANI P PBI (APBN) Other acute gastritis Berobat Jalan

2113 05-01-2018 101501010118Y001307 0000475450402 ROHAYATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan
2114 05-01-2018 101501010118Y001297 0000475464431 KARNATI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2115 05-01-2018 101501010118Y001295 0000475465151 SODIKIN APANDI L PBI (APBN) Myalgia Berobat Jalan

2116 05-01-2018 101501010118Y001330 0000475571924 SISKA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2117 05-01-2018 101501010118Y001057 0000476243324 ETI WARTININGSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2118 05-01-2018 101501010118Y001298 0001009291421 HEMI RUHEMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2119 05-01-2018 101501010118Y001277 0001009295122 ACENG IRMAN JAKARIA L PBI (APBN) Myalgia Berobat Jalan

2120 05-01-2018 101501010118Y001050 0001009297337 U. DAHLIA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2121 05-01-2018 101501010118Y001051 0001009304493 ENTIN SUPRIATIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2122 05-01-2018 101501010118Y001268 0001009305742 MUHAMMAD ARI NURDIN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2123 05-01-2018 101501010118Y001269 0001081659003 BAINAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
2124 05-01-2018 101501010118Y000262 0001192695546 ADE EKA DIYANA FUDIN P PEGAWAI SWASTA Calcaneal spur Rujuk Lanjut

2125 05-01-2018 101501010118Y000261 0001192695557 SHIFA AZZAHRA CHOIRUNNISA P PEGAWAI SWASTA Prepatellar bursitis, site Rujuk Lanjut
unspecified
2126 05-01-2018 101501010118Y001300 0001201172253 YUTIAN AULLIANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2127 05-01-2018 101501010118Y001319 0001305026335 FENNY DISA FEBRIANTY P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2128 05-01-2018 101501010118Y000264 0001310447867 mimin narlan P PEKERJA MANDIRI Gonarthrosis, unspecified Rujuk Lanjut

2129 05-01-2018 101501010118Y001311 0001327279511 YOKA PANDU SUGAMA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2130 05-01-2018 101501010118Y001049 0001441087413 KARMINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
2131 05-01-2018 101501010118Y001059 0001442086626 AL WAYAN SUDIARTA L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
2132 05-01-2018 101501010118Y001329 0001442087469 FREDERIKA NGADINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
MUJIHARTINI hypertension
2133 05-01-2018 101501010118Y001308 0001450956587 R. RANI YULIASARI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2134 05-01-2018 101501010118Y001267 0001519153907 TINI SUHARTINI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

2135 05-01-2018 101501010118Y001286 0001519175608 YANI APRIYANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2136 05-01-2018 101501010118Y001315 0001519187679 ISTI OSTASIAMNI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2137 05-01-2018 101501010118Y001302 0001519796698 AAM AMINAH CENDRAWATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
2138 05-01-2018 101501010118Y001303 0001519796709 UTARA LAKSANA L PEGAWAI SWASTA Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2139 05-01-2018 101501010118Y001309 0001519803088 HILDA DWIYATI P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

2140 05-01-2018 101501010118Y001316 0001670314915 NURHALIMAH P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

2141 05-01-2018 101501010118Y001275 0001776389591 RATNENGSIH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2142 05-01-2018 101501010118Y001306 0001776389938 ROKAYAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2143 05-01-2018 101501010118Y001285 0002039573215 ruhita L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
2144 05-01-2018 101501010118Y000259 0002197097368 sukata L PEKERJA MANDIRI Insulin-dependent Rujuk Lanjut
diabetes mellitus with
peripheral circulatory

2145 05-01-2018 101501010118Y000260 0002236661662 MOCHAMAD RIFAD L PEGAWAI SWASTA Acute bronchitis, Rujuk Lanjut
unspecified
2146 05-01-2018 101501010118Y001274 0002260611663 GINA MARIA TARIGAN P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2147 05-01-2018 101501010118Y001328 0002282702049 MUHAMMAD KHOERUDIN L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
ZUBAIR
2148 04-01-2018 101501010118Y000158 0000063046091 MARLINA NUR FITRIANI P PNS DAERAH Epistaxis Rujuk Lanjut

2149 04-01-2018 101501010118Y000890 0000065789752 LILI ABSAR L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2150 04-01-2018 101501010118Y001015 0000065824323 LILLI ROSIDI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

2151 04-01-2018 101501010118Y000078 0000065829519 DEDDY SYOEMARDI L PNS DAERAH Other senile cataract Rujuk Lanjut

2152 04-01-2018 101501010118Y000308 0000065946003 ABUN BIN MACHPUD L PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2153 04-01-2018 101501010118Y000309 0000065947059 CUCUN SUNINGSIH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2154 04-01-2018 101501010118Y000766 0000065950964 OMIH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
2155 04-01-2018 101501010118Y000875 0000066065376 RUHMAN L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
2156 04-01-2018 101501010118Y000051 0000066065387 SITI OMASIH P PENERIMA PENSIUN Erosive (osteo)arthrosis Rujuk Lanjut
PNS
2157 04-01-2018 101501010118Y000053 0000066099295 KARLAN L PENERIMA PENSIUN Intervertebral disc Rujuk Lanjut
PNS disorder, unspecified
2158 04-01-2018 101501010118Y000054 0000066099306 DJUWARIAH P PENERIMA PENSIUN Intervertebral disc Rujuk Lanjut
PNS disorder, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2159 04-01-2018 101501010118Y001245 0000066100926 MINI RUKMINI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
2160 04-01-2018 101501010118Y001259 0000066102355 TITIN P PENERIMA PENSIUN Unspecified diabetes Berobat Jalan
PNS mellitus with coma
2161 04-01-2018 101501010118Y000879 0000066109331 UTIB RUSTIB L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
2162 04-01-2018 101501010118Y000767 0000066110207 YULIANTINI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

2163 04-01-2018 101501010118Y001260 0000066163926 NURJANAH P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2164 04-01-2018 101501010118Y000056 0000209214167 MUHAMMAD YUSUF KAMSYA L PNS DAERAH Typhoid fever Rujuk Lanjut

2165 04-01-2018 101501010118Y000888 0000474142634 ZAKI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2166 04-01-2018 101501010118Y000129 0000474173493 ERNA P PBI (APBN) Haemorrhage in early Rujuk Lanjut
pregnancy, unspecified
2167 04-01-2018 101501010118Y001236 0000474368242 sACIH P PBI (APBN) Other acute gastritis Berobat Jalan

2168 04-01-2018 101501010118Y000312 0000474547037 KARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2169 04-01-2018 101501010118Y000891 0000474577299 DIAN ROSILAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
2170 04-01-2018 101501010118Y000885 0000474609295 DAYAT HIDAYAT L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2171 04-01-2018 101501010118Y001233 0000474643541 IAH MASNIAH P PBI (APBN) Myalgia Berobat Jalan

2172 04-01-2018 101501010118Y001238 0000474644845 KILING L PBI (APBN) Myalgia Berobat Jalan

2173 04-01-2018 101501010118Y000306 0000474671575 ITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2174 04-01-2018 101501010118Y000307 0000474677998 ATIN SUPRIATIN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2175 04-01-2018 101501010118Y001247 0000474714876 YAYAH SUNAYAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2176 04-01-2018 101501010118Y001246 0000474715304 MAUDHANI SYAEFILLAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2177 04-01-2018 101501010118Y000156 0000474717093 JAJANG IDANG L PBI (APBN) Calculus of kidney Rujuk Lanjut

2178 04-01-2018 101501010118Y001252 0000474717611 LILI L PBI (APBN) Pulpitis Berobat Jalan

2179 04-01-2018 101501010118Y001227 0000474721863 MERINDA OKTAVIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2180 04-01-2018 101501010118Y001228 0000474724888 kartika P PBI (APBN) Pulpitis Berobat Jalan
2181 04-01-2018 101501010118Y000062 0000474776921 NARWI P PBI (APBN) Acute abdomen Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2182 04-01-2018 101501010118Y001240 0000474787653 HALIMAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2183 04-01-2018 101501010118Y001263 0000474887845 ROSIH P PBI (APBN) Myalgia Berobat Jalan

2184 04-01-2018 101501010118Y000881 0000474921821 siti soleha P PBI (APBN) Other acute gastritis Berobat Jalan

2185 04-01-2018 101501010118Y000882 0000474922899 ILHAM NUR HIDAYAT L PBI (APBN) Pulpitis Berobat Jalan

2186 04-01-2018 101501010118Y000880 0000474989422 YETI DARSINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2187 04-01-2018 101501010118Y000765 0000475019728 SUHENDIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2188 04-01-2018 101501010118Y000050 0000475049171 SAHRUM L PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

2189 04-01-2018 101501010118Y000052 0000475162503 ERIK SAPUTRA L PBI (APBN) Status asthmaticus Rujuk Lanjut

2190 04-01-2018 101501010118Y000889 0000475173742 DADANG L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2191 04-01-2018 101501010118Y000311 0000475230284 UPANG SUPARNA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2192 04-01-2018 101501010118Y000192 0000475251669 junengsih P PBI (APBN) Irregular menstruation, Rujuk Lanjut
unspecified
2193 04-01-2018 101501010118Y000090 0000475281797 KARINA P PBI (APBN) Impacted cerumen Rujuk Lanjut

2194 04-01-2018 101501010118Y000886 0000475328406 YOYOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2195 04-01-2018 101501010118Y000764 0000475352482 ELA NELAWATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2196 04-01-2018 101501010118Y000149 0000475353966 HILDA DWIGUNA LESTARI P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
2197 04-01-2018 101501010118Y001249 0000475449614 UUM UMANAH P PBI (APBN) Myalgia Berobat Jalan

2198 04-01-2018 101501010118Y001256 0000475519149 NONI NONINGSIH P PBI (APBN) Myalgia Berobat Jalan

2199 04-01-2018 101501010118Y001232 0000475556859 DEDI K L PBI (APBN) Myalgia Berobat Jalan

2200 04-01-2018 101501010118Y001226 0000475564656 ONENG P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2201 04-01-2018 101501010118Y001230 0001009295616 ROKAYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2202 04-01-2018 101501010118Y001244 0001009298812 DENNY RAMDHANI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2203 04-01-2018 101501010118Y000055 0001009307777 TESIH P PBI (APBN) Asthma Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2204 04-01-2018 101501010118Y001241 0001009308262 NINA KURNIA P PBI (APBN) Myalgia Berobat Jalan

2205 04-01-2018 101501010118Y001250 0001009335071 TATANG ROHANA L PBI (APBN) Other acute gastritis Berobat Jalan

2206 04-01-2018 101501010118Y000072 0001189894094 SHAFIRA DINA KAMILA P PEGAWAI SWASTA Other viral infections Rujuk Lanjut
characterized by skin and
mucous membrane
lesions, not elsewhere
classified
2207 04-01-2018 101501010118Y001266 0001341271427 ERWIN TANWIR HARBI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
SWASTA hypertension
2208 04-01-2018 101501010118Y001265 0001422560755 ILFAN SYAFARULLOH L PEGAWAI SWASTA Myalgia Berobat Jalan

2209 04-01-2018 101501010118Y001264 0001422562296 muhammad hafiz L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2210 04-01-2018 101501010118Y000884 0001519130643 ETI ROHAYATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2211 04-01-2018 101501010118Y001258 0001519212442 RINA RIAWATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2212 04-01-2018 101501010118Y001229 0001520462867 LISWATI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2213 04-01-2018 101501010118Y000877 0001523071618 RIZKY NURDAFFA L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2214 04-01-2018 101501010118Y000157 0001620720876 RIDWAN HERDYAN FAUZI L PEKERJA MANDIRI Impacted teeth Rujuk Lanjut

2215 04-01-2018 101501010118Y001261 0001662997026 WIWIN WINENGSIH P PEGAWAI SWASTA Pulpitis Berobat Jalan

2216 04-01-2018 101501010118Y001254 0001663250681 FARHAN MUZAKI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2217 04-01-2018 101501010118Y001231 0001776380657 NANA HERYANA L PBI (APBD) Pyogenic granuloma Berobat Jalan

2218 04-01-2018 101501010118Y001251 0001778730693 MOCH ARIEF RAHMAN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2219 04-01-2018 101501010118Y000124 0001804937016 MURSAL ARDIANSYAH L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
2220 04-01-2018 101501010118Y001248 0001823900062 MELATI AYU KUSUMA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan
NINGRUM
2221 04-01-2018 101501010118Y000768 0001823900736 NENDEN SUMARNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2222 04-01-2018 101501010118Y001253 0001860098916 ubed pramulyana L PEKERJA MANDIRI Pulpitis Berobat Jalan

2223 04-01-2018 101501010118Y000310 0001890819584 SAMINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
2224 04-01-2018 101501010118Y000113 0002039573654 SACIH P PEKERJA MANDIRI Chronic gastritis, Rujuk Lanjut
unspecified
2225 04-01-2018 101501010118Y000096 0002049802593 SRI SURYANI P PEGAWAI SWASTA Other senile cataract Rujuk Lanjut
2226 04-01-2018 101501010118Y001243 0002084842157 ATANG L PEKERJA MANDIRI Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2227 04-01-2018 101501010118Y000876 0002239098794 FINNA NURZIYA HERYONO P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2228 04-01-2018 101501010118Y000883 0002243168245 AGUS SAEFULOH L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2229 04-01-2018 101501010118Y001242 0002279202322 by ny nani nurlianingsih L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2230 04-01-2018 101501010118Y001262 0002308586163 ALBY FACHRY FASYIN L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2231 04-01-2018 101501010118Y001257 0002310432309 acah P PEKERJA MANDIRI Myalgia Berobat Jalan

2232 04-01-2018 101501010118Y001235 0002319475634 ZAHRA HABIBAH NUR'AINI P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2233 04-01-2018 101501010118Y001237 0002319475792 ZIHAN HABIBAH NURJANNAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2234 04-01-2018 101501010118Y001234 0002319475915 MUHAMMAD AFIF AZHAR L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
ASSYIDDIQ
2235 04-01-2018 101501010118Y000199 0002320900413 YULI MULYAWATI P PEKERJA MANDIRI Recurrent depressive Rujuk Lanjut
disorder, current episode

2236 03-01-2018 101501010118Y000185 0000065680389 KAHRUM L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
2237 03-01-2018 101501010118Y000170 0000065694161 VINA MARSELA P PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2238 03-01-2018 101501010118Y000162 0000065707885 NANI SURYANI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
2239 03-01-2018 101501010118Y000191 0000065786556 NINA YULIANA P PNS DAERAH General medical Berobat Jalan
examination
2240 03-01-2018 101501010118Y000257 0000065948646 SUKARDJI L PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
2241 03-01-2018 101501010118Y000217 0000065975049 IDA KOMARDINI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
2242 03-01-2018 101501010118Y000253 0000065989899 DAHLIA P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
2243 03-01-2018 101501010118Y000038 0000066045835 CUCU YUNIATI, HJ. P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
2244 03-01-2018 101501010118Y000048 0000066049121 THARBIN L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease with (congestive)

2245 03-01-2018 101501010118Y000245 0000066098992 JUNAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
2246 03-01-2018 101501010118Y000251 0000066104008 ROHMAN L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
2247 03-01-2018 101501010118Y000045 0000066106236 GHINI HARISTIQOMAH P PENERIMA PENSIUN Benign neoplasm of Rujuk Lanjut
PNS unspecified site
2248 03-01-2018 101501010118Y000041 0000066107845 MIN KARMINI P PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2249 03-01-2018 101501010118Y000031 0000066184255 ETI SUMARYATI P PNS DAERAH Essential (primary) Rujuk Lanjut
hypertension
2250 03-01-2018 101501010118Y000219 0000066184604 TITI ROSMIATI P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
2251 03-01-2018 101501010118Y000187 0000066210221 IKAH P PNS DAERAH Pulpitis Berobat Jalan

2252 03-01-2018 101501010118Y000033 0000066271972 TINI SUHARTINI P PNS DAERAH Chronic gastritis, Rujuk Lanjut
unspecified
2253 03-01-2018 101501010118Y000046 0000066273748 MERRY MARIAM P PNS PUSAT Other heart disorders in Rujuk Lanjut
other diseases classified

2254 03-01-2018 101501010118Y000189 0000164617525 SODIKIN L PNS DAERAH Acute laryngopharyngitis Berobat Jalan

2255 03-01-2018 101501010118Y000241 0000201726797 ENTIN KURNIATIN P PENERIMA PENSIUN TNI Myalgia Berobat Jalan

2256 03-01-2018 101501010118Y000039 0000202965658 MIMIN MINTARSIH P PENERIMA PENSIUN Intervertebral disc Rujuk Lanjut
PNS disorder, unspecified
2257 03-01-2018 101501010118Y000256 0000474172334 TUTI KUSNIAWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2258 03-01-2018 101501010118Y000034 0000474173493 ERNA P PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
2259 03-01-2018 101501010118Y000168 0000474203226 ROSIH KURNIASIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2260 03-01-2018 101501010118Y000223 0000474227796 DEDI L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2261 03-01-2018 101501010118Y000047 0000474460053 IMAS RUHIMAS P PBI (APBN) Unspecified chronic Rujuk Lanjut
bronchitis
2262 03-01-2018 101501010118Y000175 0000474462314 NANA SURYANA L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

2263 03-01-2018 101501010118Y000164 0000474462415 SYTI AISAH P PBI (APBN) Myalgia Berobat Jalan

2264 03-01-2018 101501010118Y000252 0000474544012 RINI NURHAYANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2265 03-01-2018 101501010118Y000228 0000474556296 WIWIN SARININGSIH P PBI (APBN) Myalgia Berobat Jalan

2266 03-01-2018 101501010118Y000198 0000474557455 EGI RISKIAWAN L PBI (APBN) Exfoliation of teeth due to Berobat Jalan
systemic causes
2267 03-01-2018 101501010118Y000243 0000474562653 YOYOH P PBI (APBN) Myalgia Berobat Jalan

2268 03-01-2018 101501010118Y000204 0000474567928 ETI SUHAETI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2269 03-01-2018 101501010118Y000160 0000474590968 LUSI ISWANTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2270 03-01-2018 101501010118Y000221 0000474598416 SRI DIANINGSIH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2271 03-01-2018 101501010118Y000188 0000474639254 LILIS LISNAWATI P PBI (APBN) Myalgia Berobat Jalan

2272 03-01-2018 101501010118Y000213 0000474657737 ADE NENCIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2273 03-01-2018 101501010118Y000222 0000474712569 ETI KARWATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2274 03-01-2018 101501010118Y000194 0000474741922 ILA HAYATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2275 03-01-2018 101501010118Y000226 0000474762352 FIRMAN OKTAVIAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2276 03-01-2018 101501010118Y000193 0000474813786 CAHYANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2277 03-01-2018 101501010118Y000032 0000474814899 MASROH P PBI (APBN) Erosive (osteo)arthrosis Rujuk Lanjut

2278 03-01-2018 101501010118Y000165 0000474831404 NARWI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2279 03-01-2018 101501010118Y000179 0000474843082 MENA AGUS PERTIWI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2280 03-01-2018 101501010118Y000200 0000474852273 arwacih P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2281 03-01-2018 101501010118Y000249 0000474855096 ACIH karsih P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2282 03-01-2018 101501010118Y000163 0000474881793 EMAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2283 03-01-2018 101501010118Y000043 0000474883086 DONI L PBI (APBN) Fever with chills Rujuk Lanjut

2284 03-01-2018 101501010118Y000174 0000474884943 ADE SUKARLI L PBI (APBN) Myalgia Berobat Jalan

2285 03-01-2018 101501010118Y000176 0000474885977 EUTIK P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2286 03-01-2018 101501010118Y000242 0000474891276 UKMIN L PBI (APBN) Myalgia Berobat Jalan

2287 03-01-2018 101501010118Y000196 0000474967765 YANI ROHAYANI P PBI (APBN) Myalgia Berobat Jalan

2288 03-01-2018 101501010118Y000180 0000475026952 IMAS P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
2289 03-01-2018 101501010118Y000220 0000475043365 INE LESTARI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2290 03-01-2018 101501010118Y000240 0000475134603 ICIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
2291 03-01-2018 101501010118Y000044 0000475164911 VIANTY KOMALA P PBI (APBN) Erosive (osteo)arthrosis Rujuk Lanjut

2292 03-01-2018 101501010118Y000172 0000475185936 eni ratnasari P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2293 03-01-2018 101501010118Y000236 0000475263955 SADEWA ADHITAMA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2294 03-01-2018 101501010118Y000210 0000475284554 omi P PBI (APBN) Myalgia Berobat Jalan

2295 03-01-2018 101501010118Y000230 0000475286736 DIANA ANDIMA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2296 03-01-2018 101501010118Y000173 0000475299663 MARYATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2297 03-01-2018 101501010118Y000177 0000475299999 AGUS SURAHMAT L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2298 03-01-2018 101501010118Y000159 0000475300326 NARMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2299 03-01-2018 101501010118Y000166 0000475308314 IWANG SUGIARTINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2300 03-01-2018 101501010118Y000205 0000475354899 ENUNG. R P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2301 03-01-2018 101501010118Y000186 0000475386006 ENIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2302 03-01-2018 101501010118Y000237 0000475395906 KHIROTUN NISA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2303 03-01-2018 101501010118Y000169 0000475450435 YANIH SURYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2304 03-01-2018 101501010118Y000246 0000475455824 NUR HAYANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2305 03-01-2018 101501010118Y000250 0000475496818 SUHARI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2306 03-01-2018 101501010118Y000206 0000475518789 TARNINGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2307 03-01-2018 101501010118Y000181 0000475572699 NINING YUNINGSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2308 03-01-2018 101501010118Y000183 0000475589182 UUS RUSIAMA L PBI (APBN) Pyogenic granuloma Berobat Jalan

2309 03-01-2018 101501010118Y000184 0000475590036 ENCUK P PBI (APBN) Pyogenic granuloma Berobat Jalan

2310 03-01-2018 101501010118Y000227 0000475639378 EDEH SUKAESIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2311 03-01-2018 101501010118Y000209 0000475639716 ria nopiyanti P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2312 03-01-2018 101501010118Y000235 0000475670204 TITI JUARSIH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2313 03-01-2018 101501010118Y000211 0000475677753 UTIN SURYATINAH P PBI (APBN) Myalgia Berobat Jalan

2314 03-01-2018 101501010118Y000225 0000475689532 ENI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
2315 03-01-2018 101501010118Y000203 0000475755579 EHA JULAEHA P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2316 03-01-2018 101501010118Y000197 0000475760709 KUSMAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2317 03-01-2018 101501010118Y000208 0000476080569 HADI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2318 03-01-2018 101501010118Y000218 0000476247407 UNARI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2319 03-01-2018 101501010118Y000248 0000977275934 FAKHRI SYAHRIL HAWARI L PNS DAERAH Acute lymphadenitis of Berobat Jalan
face, head and neck
2320 03-01-2018 101501010118Y000244 0001009292141 ELI NURHAYATI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2321 03-01-2018 101501010118Y000182 0001009294547 NABILA NURHASANAH P PBI (APBN) Pulpitis Berobat Jalan

2322 03-01-2018 101501010118Y000037 0001009295065 NANDA WAHYUDIN L PBI (APBN) Dermatitis, unspecified Rujuk Lanjut

2323 03-01-2018 101501010118Y000036 0001009295076 MIMIN AMINAH P PBI (APBN) Impacted cerumen Rujuk Lanjut

2324 03-01-2018 101501010118Y000167 0001009295447 NENENG NURHAYATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2325 03-01-2018 101501010118Y000232 0001009307709 JUJU P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
2326 03-01-2018 101501010118Y000247 0001009334564 SARINI P PBI (APBN) Pulpitis Berobat Jalan

2327 03-01-2018 101501010118Y000255 0001089683853 TITIN KARTINI P PBI (APBN) Myalgia Berobat Jalan

2328 03-01-2018 101501010118Y000233 0001151414111 CEPI MIHARJA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2329 03-01-2018 101501010118Y000239 0001371965545 FITRIAH P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2330 03-01-2018 101501010118Y000212 0001421657594 NURUL FAZRIAH P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
2331 03-01-2018 101501010118Y000254 0001437597742 CACA NOVIYANA L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2332 03-01-2018 101501010118Y000234 0001478746967 muhammad daniel prasetya L PNS DAERAH Pyogenic granuloma Berobat Jalan

2333 03-01-2018 101501010118Y000238 0001519157171 SELIANA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2334 03-01-2018 101501010118Y000231 0001624798394 TIA FEBRIAWATI P PEGAWAI SWASTA Pyogenic granuloma Berobat Jalan

2335 03-01-2018 101501010118Y000224 0001663516888 TINI MARTINI P PEGAWAI SWASTA Pyogenic granuloma Berobat Jalan

2336 03-01-2018 101501010118Y000190 0001776376089 RATNENGSIH P PBI (APBD) Acute laryngopharyngitis Berobat Jalan

2337 03-01-2018 101501010118Y000171 0001776385956 SUNARSIH P PBI (APBD) Acute haemorrhagic Berobat Jalan
gastritis
2338 03-01-2018 101501010118Y000195 0001776388138 NANING WARTINANINGSIH P PBI (APBD) Myalgia Berobat Jalan

2339 03-01-2018 101501010118Y000214 0001798927964 siti romlah P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
2340 03-01-2018 101501010118Y000201 0001828692775 ESTERINA P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2341 03-01-2018 101501010118Y000161 0001842326706 RENI HERYANI P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
2342 03-01-2018 101501010118Y000216 0001842799724 RADITYA TAMA L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2343 03-01-2018 101501010118Y000207 0001904683623 syanti tuty rosayanti P PNS DAERAH Contraceptive Berobat Jalan
management, unspecified
2344 03-01-2018 101501010118Y000215 0001969461988 AGUNG BAGUS RAHARJO L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2345 03-01-2018 101501010118Y000202 0001997628063 RICKY NOVIAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2346 03-01-2018 101501010118Y000030 0002040190481 BILSON P. SIHOMBING L PEKERJA MANDIRI HIV disease resulting in Rujuk Lanjut
mycobacterial infection
2347 03-01-2018 101501010118Y000035 0002067733304 moch belfha nandafadil L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

2348 03-01-2018 101501010118Y000229 0002084571437 TIARA MAULINDA HABIBAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2349 03-01-2018 101501010118Y000049 0002282701037 EMAN L PEKERJA MANDIRI Gastric ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

2350 03-01-2018 101501010118Y000042 0002294774379 KOMARIAH P PEKERJA MANDIRI Angina pectoris Rujuk Lanjut

2351 03-01-2018 101501010118Y000178 0002310432298 kawar L PEKERJA MANDIRI Pyogenic granuloma Berobat Jalan

2352 03-01-2018 101501010118Y000040 0002318776929 UNENG NURLATHIFAH P PEKERJA MANDIRI Low vision, both eyes Rujuk Lanjut

2353 02-01-2018 101501010118Y000089 0000005226761 rd nenden s dewi P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2354 02-01-2018 101501010118Y000140 0000058112199 SITI HERTATI P PNS PUSAT Myalgia Berobat Jalan

2355 02-01-2018 101501010118Y000074 0000065680413 WIDIYA ANGGIYANI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2356 02-01-2018 101501010118Y000004 0000065765428 CUCUN CUNARYA L PNS DAERAH Conjunctivitis, unspecified Rujuk Lanjut

2357 02-01-2018 101501010118Y000143 0000065788683 LILIS P PNS DAERAH Myalgia Berobat Jalan

2358 02-01-2018 101501010118Y000147 0000065947432 DJARSIH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
2359 02-01-2018 101501010118Y000019 0000065953697 SUTRISNO L PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

2360 02-01-2018 101501010118Y000025 0000066009745 NENDEN ROSHATI P PENERIMA PENSIUN Other disorders of breast Rujuk Lanjut
PNS
2361 02-01-2018 101501010118Y000064 0000066056771 WAHJU L PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
2362 02-01-2018 101501010118Y000102 0000066059627 YOYOH SUNDARI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
2363 02-01-2018 101501010118Y000001 0000066099587 ENTIN ROHAETIN P PENERIMA PENSIUN Tinea corporis Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2364 02-01-2018 101501010118Y000027 0000066101758 N. KARNESIH P PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease, unspecified
2365 02-01-2018 101501010118Y000094 0000066103547 RACHMAT L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
2366 02-01-2018 101501010118Y000008 0000066122335 DEDI GURDALI L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease with (congestive)

2367 02-01-2018 101501010118Y000022 0000066176774 TATIN RANTINI P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

2368 02-01-2018 101501010118Y000139 0000066179766 DESI SA'DIAH ROHMAH P PENERIMA PENSIUN Acute laryngopharyngitis Berobat Jalan
PNS
2369 02-01-2018 101501010118Y000011 0000066186876 APUY PUJATI P PENERIMA PENSIUN Unspecified chronic Rujuk Lanjut
PNS bronchitis
2370 02-01-2018 101501010118Y000120 0000066303876 DADANG NURHADIYAT L PNS DAERAH Pyogenic granuloma Berobat Jalan

2371 02-01-2018 101501010118Y000017 0000164617525 SODIKIN L PNS DAERAH Calculus in urethra Rujuk Lanjut

2372 02-01-2018 101501010118Y000131 0000198214121 EMA NIRMALAWATI P PNS DAERAH Pulpitis Berobat Jalan

2373 02-01-2018 101501010118Y000060 0000474109929 DESI MUSTARI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2374 02-01-2018 101501010118Y000130 0000474171614 DADAN RITNO L PBI (APBN) Myalgia Berobat Jalan

2375 02-01-2018 101501010118Y000127 0000474172953 nurLAELASARI P PBI (APBN) Pyogenic granuloma Berobat Jalan

2376 02-01-2018 101501010118Y000103 0000474176711 DEDEH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2377 02-01-2018 101501010118Y000122 0000474246988 KARTINI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2378 02-01-2018 101501010118Y000152 0000474436776 DEWI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2379 02-01-2018 101501010118Y000095 0000474447161 MAMAN HERYANA L PBI (APBN) Myalgia Berobat Jalan

2380 02-01-2018 101501010118Y000128 0000474461774 RIA PURNAMA SARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2381 02-01-2018 101501010118Y000067 0000474573521 REISYA AFANDI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2382 02-01-2018 101501010118Y000150 0000474583252 CHANTIKA ALZAHRA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2383 02-01-2018 101501010118Y000003 0000474590046 UNENGSIH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

2384 02-01-2018 101501010118Y000083 0000474607877 ANI SITI ROKAYAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2385 02-01-2018 101501010118Y000084 0000474608013 JEJEN SUHERLINA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
2386 02-01-2018 101501010118Y000066 0000474637059 SUMIAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2387 02-01-2018 101501010118Y000007 0000474637623 SANDI AGUSTIAN L PBI (APBN) Local infection of skin and Rujuk Lanjut
subcutaneous tissue,

2388 02-01-2018 101501010118Y000111 0000474644845 KILING L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2389 02-01-2018 101501010118Y000071 0000474709353 kIDIN L PBI (APBN) Myalgia Berobat Jalan

2390 02-01-2018 101501010118Y000116 0000474721863 MERINDA OKTAVIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2391 02-01-2018 101501010118Y000082 0000474741279 CICIH RUKAsih P PBI (APBN) Myalgia Berobat Jalan

2392 02-01-2018 101501010118Y000081 0000474742495 TRI GUSTIANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2393 02-01-2018 101501010118Y000016 0000474759663 KATHARINA MICE MONTOLALU P PBI (APBN) Unspecified chronic Rujuk Lanjut
bronchitis
2394 02-01-2018 101501010118Y000144 0000474772588 ICUT SUTARSIH P PBI (APBN) Asthma, unspecified Berobat Jalan

2395 02-01-2018 101501010118Y000069 0000474779171 SUPARMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2396 02-01-2018 101501010118Y000068 0000474779248 YUHANAh P PBI (APBN) Myalgia Berobat Jalan

2397 02-01-2018 101501010118Y000006 0000474827578 SULISTYOWATI P PBI (APBN) Irregular menstruation, Rujuk Lanjut
unspecified
2398 02-01-2018 101501010118Y000108 0000474835173 MOCH. YUDIH NUGRAHA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2399 02-01-2018 101501010118Y000112 0000474844713 AI SUMIARSIH P PBI (APBN) Myalgia Berobat Jalan

2400 02-01-2018 101501010118Y000114 0000474846491 PRAPANCA SEPTIAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2401 02-01-2018 101501010118Y000135 0000474861778 ANGGI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2402 02-01-2018 101501010118Y000097 0000474867009 RIZKY AHMAD AL FATAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2403 02-01-2018 101501010118Y000073 0000474875054 NARSITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2404 02-01-2018 101501010118Y000026 0000474913798 BEBY ARYANTI P PEGAWAI SWASTA Varicella without Rujuk Lanjut
complication
2405 02-01-2018 101501010118Y000070 0000474927017 AGNINI JULIANI PUTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2406 02-01-2018 101501010118Y000099 0000474930652 ALI HASAN L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2407 02-01-2018 101501010118Y000100 0000474930909 RASMI P PBI (APBN) Myalgia Berobat Jalan

2408 02-01-2018 101501010118Y000010 0000475026366 NANI SUPARNI P PBI (APBN) Thyroid crisis or storm Rujuk Lanjut

2409 02-01-2018 101501010118Y000117 0000475149666 RISA SUSANTI P PBI (APBN) Myalgia Berobat Jalan

2410 02-01-2018 101501010118Y000146 0000475159241 SIRAJ FADHILAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2411 02-01-2018 101501010118Y000106 0000475209145 MUJI P PBI (APBN) Myalgia Berobat Jalan

2412 02-01-2018 101501010118Y000105 0000475210719 MAURA AULYA P P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2413 02-01-2018 101501010118Y000076 0000475247878 RUHITA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2414 02-01-2018 101501010118Y000138 0000475275969 NURAENI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2415 02-01-2018 101501010118Y000075 0000475280548 MISDA L PBI (APBN) Pulpitis Berobat Jalan

2416 02-01-2018 101501010118Y000119 0000475291394 NANGSIH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
2417 02-01-2018 101501010118Y000118 0000475293339 NAPISYA AL SYAFIRA P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2418 02-01-2018 101501010118Y000005 0000475399247 DEWI SRI HANDAYANI P PBI (APBN) Acute nephritic syndrome, Rujuk Lanjut
unspecified
2419 02-01-2018 101501010118Y000013 0000475454125 RIDWAN MAULANA L PBI (APBN) Fever with chills Rujuk Lanjut

2420 02-01-2018 101501010118Y000091 0000475546061 ening karnali L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2421 02-01-2018 101501010118Y000142 0000475582059 FEBI RIDWANSYAH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2422 02-01-2018 101501010118Y000086 0000475589182 UUS RUSIAMA L PBI (APBN) Myalgia Berobat Jalan

2423 02-01-2018 101501010118Y000087 0000475590036 ENCUK P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2424 02-01-2018 101501010118Y000123 0000475590622 TRI WIDIANTY P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2425 02-01-2018 101501010118Y000092 0000475610163 DEWI ULYATIN P PBI (APBN) Myalgia Berobat Jalan

2426 02-01-2018 101501010118Y000018 0000475630839 AHMIN L PBI (APBN) Calculus of kidney Rujuk Lanjut

2427 02-01-2018 101501010118Y000059 0000475640109 IWAN ROSWANDA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2428 02-01-2018 101501010118Y000058 0000475640436 YAYAH JUARIAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2429 02-01-2018 101501010118Y000155 0000475645061 YUYUN P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
2430 02-01-2018 101501010118Y000132 0000475722246 WIWIN P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2431 02-01-2018 101501010118Y000126 0000475746862 YAYAT HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

2432 02-01-2018 101501010118Y000079 0000475792288 EMIT RUSNANDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2433 02-01-2018 101501010118Y000088 0000476222433 FITRI SEPTIANINGSIH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2434 02-01-2018 101501010118Y000077 0001009301218 RENDY REDIANSYAH L PBI (APBN) Pulpitis Berobat Jalan
2435 02-01-2018 101501010118Y000141 0001009304537 DEDE ROHANAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2436 02-01-2018 101501010118Y000104 0001009306012 GALIH PUTRA FITRIANA L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2437 02-01-2018 101501010118Y000154 0001009306596 SARI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2438 02-01-2018 101501010118Y000137 0001009334564 SARINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2439 02-01-2018 101501010118Y000153 0001009335093 SITA ESA PUTRI P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2440 02-01-2018 101501010118Y000136 0001009337556 CUCU JUNENGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2441 02-01-2018 101501010118Y000107 0001078776742 RANGGA PRASETYA L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
2442 02-01-2018 101501010118Y000101 0001090032344 HETI KURNIASIH L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

2443 02-01-2018 101501010118Y000133 0001131027131 UJANG SURYANA L PEGAWAI SWASTA Myalgia Berobat Jalan

2444 02-01-2018 101501010118Y000109 0001193918207 FAHRI JANUARDI L PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2445 02-01-2018 101501010118Y000020 0001259108223 IYOK CHANDRA P PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

2446 02-01-2018 101501010118Y000015 0001298963114 DAHLAN SOPANDI L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
2447 02-01-2018 101501010118Y000151 0001320437755 mimin mintarsih P PEKERJA MANDIRI Myalgia Berobat Jalan

2448 02-01-2018 101501010118Y000002 0001441350009 IROH ROHAENI P PEKERJA MANDIRI Dermatitis, unspecified Rujuk Lanjut

2449 02-01-2018 101501010118Y000057 0001519196275 IDA NURHAIDA P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

2450 02-01-2018 101501010118Y000023 0001519504479 MARIA NANI P PEGAWAI SWASTA Low vision, both eyes Rujuk Lanjut

2451 02-01-2018 101501010118Y000009 0001774951885 NENDEN FITRI P PEGAWAI SWASTA Peptic ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

2452 02-01-2018 101501010118Y000085 0001775987256 MOCHAMAD ASEP SUNANDAR L PEGAWAI SWASTA Myalgia Berobat Jalan

2453 02-01-2018 101501010118Y000145 0001776388318 ROSID TAUFIQ L PBI (APBD) Myalgia Berobat Jalan

2454 02-01-2018 101501010118Y000065 0001776390131 TATANG HERMAWAN L PBI (APBD) Myalgia Berobat Jalan

2455 02-01-2018 101501010118Y000110 0001795082038 DR.DIKDIK IRAWAN, SP.RAD L PEGAWAI SWASTA Pulpitis Berobat Jalan

2456 02-01-2018 101501010118Y000080 0001823900736 NENDEN SUMARNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

2457 02-01-2018 101501010118Y000014 0001823903785 ASEP SUPRIADI L PEKERJA MANDIRI Polyneuropathy, Rujuk Lanjut
unspecified
2458 02-01-2018 101501010118Y000148 0001830216093 MOCH DESNA DIRGANTARA L PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM CIKALAPA - 10150101

2459 02-01-2018 101501010118Y000028 0001848060922 HJ MIA KUSMIATUN P PEKERJA MANDIRI Irregular menstruation, Rujuk Lanjut
unspecified
2460 02-01-2018 101501010118Y000115 0001861660372 ELIH ELIYAH BT H. KOMAR P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
2461 02-01-2018 101501010118Y000029 0001865817246 dicky mulyana L PNS DAERAH Chronic nasopharyngitis Rujuk Lanjut

2462 02-01-2018 101501010118Y000021 0001867649409 ATI LISWATI P PNS DAERAH Essential (primary) Rujuk Lanjut
hypertension
2463 02-01-2018 101501010118Y000134 0001869786911 thifa urairah putri P PNS PUSAT Acute laryngopharyngitis Berobat Jalan

2464 02-01-2018 101501010118Y000012 0002289143081 AJI JAMALUDIN L PEKERJA MANDIRI Acute lymphadenitis of Rujuk Lanjut
face, head and neck
2465 02-01-2018 101501010118Y000093 0002289144396 dewi puspitasari P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
2466 02-01-2018 101501010118Y000098 0002293671273 GHINA LATHIFAH P PEKERJA MANDIRI Acute laryngopharyngitis Berobat Jalan

2467 02-01-2018 101501010118Y000061 0002297749206 TASMIN L PEKERJA MANDIRI Myalgia Berobat Jalan

2468 02-01-2018 101501010118Y000063 0002297749544 KANAH DJUMINAH P PEKERJA MANDIRI Myalgia Berobat Jalan

2469 02-01-2018 101501010118Y000125 0002304613337 RIKI HIKMAT FIRMANSYAH L PEKERJA MANDIRI Pyogenic granuloma Berobat Jalan

2470 02-01-2018 101501010118Y000121 0002304613451 TITIN KARTINI P PEKERJA MANDIRI Myalgia Berobat Jalan

2471 02-01-2018 101501010118Y000024 0002324245915 REZA SAPUTRA L PEKERJA MANDIRI Pneumonia, organism Rujuk Lanjut
unspecified

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