Rujukan 2017

HERI
KUNTO
WIBISONO JK PNS
1 30/01/2017 40724379 ,SH
SYAIFUDIN L PUSAT
PNS Cardiomegaly
Non-insulin-dependent diabetes mellitus with
2 30/01/2017 75108003 ZUHRI L PUSAT unspecified
Gastric ulcer,complications
unspecified as acute or chronic, without
3 27/01/2017 610051072 SOLEMAN
MUHAMA L PBI (APBN) haemorrhage or perforation
4 27/01/2017 1028755787 MUCHAM
D CHODRI L PBI (APBN) Epilepsy, unspecified
PEGAWAI
MAD
5 27/01/2017 1532876387 SUTRISNO
ISDAR L SWASTA
PNS Low vision, both eyes
Insulin-dependent diabetes mellitus with unspecified
6 25/01/2017 75106574 BUDIMAN
SUTRISNO L PUSAT
PEKERJA complications
PENERIMA
7 25/01/2017 1475620975 ABADI
YOHANES L MANDIRI
PENSIUN Presence of intraocular lens
8 24/01/2017 75135745 ISDIARTO
ZAINAL L TNI
PEKERJA Disorder of ear, unspecified
9 24/01/2017 1864563827 ABIDIN L MANDIRI
PNS Low vision, one eye
10 23/01/2017 75363423 MUKHLAS L DAERAH
11 21/01/2017 75172702 SUDARGO L DAERAH Dissociative amnesia
S MIN
12 21/01/2017 1028757677 SUTAMAN
KARTOAT L PBI (APBN) Chronic ischaemic heart disease, unspecified
PEKERJA
13 20/01/2017 1722321538 MODJO
SUHARYA L MANDIRI
PEGAWAI Low vision,and
Diarrhoea both eyes
gastroenteritis of presumed infectious
14 18/01/2017 1649304371 NTO
SUDIYANT L SWASTA
PNS origin
Non-insulin-dependent diabetes mellitus without
15 16/01/2017 75163476 O
AGUS L DAERAH
PEGAWAI complications
16 16/01/2017 194590361 MUSTOFA L SWASTA Fever, unspecified
MUHAMA
17 16/01/2017 609800409 JASMANI
D ZAENAL L PBI (APBN) Acute pharyngitis, unspecified
18 14/01/2017 1028752749 ARIFIN
M L PBI
PNS (APBN) Myalgia
PENERIMA
19 12/1/2017 1267919302 ROZIQIN
FEBRU L PUSAT
PENSIUN Low vision, both eyes
ZINEDINE
20 10/1/2017 75088506 INDARTO
ILHAM L PNS
PNS Acute ischaemic heart disease, unspecified
21 10/1/2017 75385337 HUTOMO
NUR L DAERAH Impacted teeth
22 10/1/2017 609786696 FAKHEH L PBI (APBN) Low vision, one eye
23 10/1/2017 609795909 MURJIYO L PBI (APBN) Low vision, one eye
PEGAWAI
24 10/1/2017 1378684539 ASROKIM
MISBAKH L SWASTA Unspecified haemorrhoids without complication
25 9/1/2017 1084271027 UN L PBI (APBN) Schizophrenia, unspecified
PEKERJA
26 9/1/2017 1815389649 NASIKUN L MANDIRI Chronic periodontitis
27 7/1/2017 610298537 DJUMANI L PBI (APBN) Chronic
Sequelaeobstructive pulmonary
of stroke, not disease,
specified unspecified
as haemorrhage or
28 7/1/2017 1028760704 WAGIRAN L PBI (APBN)
PEGAWAI infarction
29 6/1/2017 1526835003 JUNADI L SWASTA
PEGAWAI Post-traumatic arthrosis of other joints, hand
MUHAMA
30 6/1/2017 2053696555 SAKDUN
D IKBAL L SWASTA Surgical follow-up care, unspecified
31 5/1/2017 609593433 MAULANA
NGALIMU L PBI (APBN) Fracture of scapula
PENERIMA
32 4/1/2017 611039553 N L PBI (APBN) Pure hypercholesterolaemia
PENSIUN
33 3/1/2017 75202683 SAUD L PNS
PEKERJA Low vision, both eyes
34 3/1/2017 2206183285 ASMANI L MANDIRI
PNS Surgical follow-up care, unspecified
35 31/01/2017 75160978 ASIYAH P DAERAH
36 31/01/2017 75165669 KUNAENI
BINTAR P DAERAH
PNS Verti of central origin
37 31/01/2017 75477385 FATWANI P DAERAH Low vision, one eye
38 31/01/2017 609632054 SURATI
SITI NUR P PBI
PNS (APBN) Malignant neoplasm of cervix uteri, unspecified
WAHYU PENERIMA
39 30/01/2017 75107992 AIZAH
PURWANI P PUSAT
PENSIUN Leiomyoma of uterus, unspecified
40 30/01/2017 75241631 NGSIH
KARTIKA P PNS Allergic rhinitis, unspecified
41 30/01/2017 610148968 SARI
SITI NUR P PBI
PEGAWAI Low vision, one eye
(APBN)
42 30/01/2017 1149363268 AFALIN
SITI NUR P SWASTA
PEGAWAI Blighted ovum and nonhydatidiform mole
43 25/01/2017 1149363268 AFALIN
ROKHAYA P SWASTA
PEKERJA Haemorrhage in early pregnancy, unspecified
44 25/01/2017 1838733118 TI P MANDIRI Tuberculous peripheral lymphadenopathy
45 24/01/2017 609921729 UMAIYAH P PBI (APBN) Status
Anaemia asthmaticus
complicating pregnancy, childbirth and the
46 23/01/2017 610308639 INAYATI
HUDHA P PBI (APBN)
PEGAWAI puerperium
47 21/01/2017 1268510624 ALIFAH
EKA DIAS P SWASTA
PEGAWAI Benign
Follow-upneoplasm of breast
examination after unspecified treatment for
48 20/01/2017 1196491768 NOVIANTI
LILIK P SWASTA
PEGAWAI other conditions
FIVIA
49 18/01/2017 1533980226 MASROAH
ALFIANA P SWASTA
PEGAWAI Contraceptive management, unspecified
50 18/01/2017 1841252365 HAKIM P SWASTA
PEKERJA Dermatitis, unspecified
51 17/01/2017 2209294034 SURINI
FINURYAN P MANDIRI
PNS Periodontal disease, unspecified
PENERIMA Non-insulin-dependent diabetes mellitus without
52 16/01/2017 75163465 AH P DAERAH
PENSIUN complications
WAHYU PENERIMA
53 16/01/2017 75241102 SIYAMU
PURWANI P PNS
PENSIUN Acute pharyngitis, unspecified
PENERIMA
54 16/01/2017 75241631 NGSIH P PNS
PENSIUN Renovascular hypertension
55 16/01/2017 90632114 SUPARTINI P PNS Myalgia
56 16/01/2017 609637421 MUNI'AH P PBI (APBN) Cardiomegaly
57 14/01/2017 1532335443 NGARJATI P PBI (APBD) Gastritis, unspecified
58 14/01/2017 1532436838 SOPIYAH P PBI (APBD) Acute
PEKERJA conjunctivitis, unspecified
Non-insulin-dependent diabetes mellitus with
59 14/01/2017 1805901726 NURYATI
LIA P MANDIRI unspecified complications
LAILILALITA PEGAWAI
60 14/01/2017 1970640448 GIOVANTI
ZAHROTU P SWASTA
PEKERJA Excessive and frequent menstruation with regular cycle
61 13/01/2017 1830062272 NNISA P MANDIRI Other and unspecified abdominal pain
62 12/1/2017 610110099 SURIP P PBI (APBN) Cataract, unspecified
63 12/1/2017 1028568137 NGASEMI P PBI (APBN) Essential (primary) hypertension
64 11/1/2017 1532436748 MARSIYAH PEGAWAI
ROMDON P PBI (APBD) Essential (primary) hypertension
PEKERJA
PEMERINT
65 11/1/2017 1815390988 AH
PUPUT P MANDIRI
AH NON Acute periodontitis
66 11/1/2017 2209371884 TRIYANA
SARIYATU P PNS Haemangioma, any site diabetes mellitus with
Non-insulin-dependent
67 10/1/2017 610975361 N
ANA P PBI
PNS (APBN) unspecified complications
68 10/1/2017 1160501409 RIYANI
MACHMU P DAERAH Salpingitis and oophoritis,
Non-insulin-dependent unspecified
diabetes mellitus with
69 10/1/2017 1532330087 D
FARIDATI P PBI (APBD)
PEGAWAI unspecified complications
SITI
70 9/1/2017 609448779 N
ACHADIYA P
ULFAH SWASTA Surgical follow-up care, unspecified
71 9/1/2017 610565747 H
RISKI P PBI (APBN) Epilepsy, unspecified
LILIS
72 9/1/2017 1532331606 FIDAYANI
RETNOSAR P PBI (APBD) Other and unspecified abdominal pain
PEKERJA
73 9/1/2017 2082358754 I P MANDIRI
PNS Schizophrenia, unspecified
74 7/1/2017 1838206001 ASMIRAH P DAERAH
PNS Senile cataract, unspecified
75 4/1/2017 75457732 SETYANI
MUTHMAI P DAERAH
PNS Stroke, not specified as haemorrhage or infarction
76 3/1/2017 75075456 NNAH
JUMROTU P PUSAT
PEKERJA Chronic periodontitis
77 3/1/2017 1861031788 N P MANDIRI Polymyalgia rheumatica
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M JK PBI
1 28/02/2017 MIFTAH L
609907599 MUHAJIRI (APBN)
PBI Low vision, one eye
2 27/02/2017 609629095 HERU
N L (APBN)
MUHAM
1 25/02/2017 610051072 SOLEMAN
MAD L (APBN)
PBI Cataract, unspecified
1 25/02/2017 610458851 SAFE'I L (APBN)
PEKERJA Post-traumatic arthrosis of other joints, hand
AKHMAD
1 25/02/2017 2195115219 SUWAJI
DUL L MANDIRI
1 24/02/2017 610458941 WAKHID L (APBN)
PEKERJA Multiple superficial injuries of ankle and foot
1 23/02/2017 2052230174 MUNASIR L MANDIRI
PEKERJA Bronchopneumonia,
Stroke, not specified unspecified
as haemorrhage or
1 21/02/2017 1853993092 SUWARDI L MANDIRI
PNS infarction
1 18/02/2017 75048017 PARYAN
ACHMAD L DAERAH
PEKERJA Rheumatoid arthritis, unspecified
1 17/02/2017 2077766831 KUSNAIDI PENERIM
MANDIRI
CASWOT L PEKERJA
A
Surgical follow-up care, unspecified
1 16/02/2017 1429922777 YUDHISTI
O
R. L MANDIRI
PENSIUN Other and unspecified abdominal pain
RA ARDI
1 14/02/2017 MOEKADI L
75259776 NUGRAH PNS
PEGAWAI Acute lymphadenitis, unspecified
1 14/02/2017 1628829167 A
DJUHART L SWASTA
PEKERJA Benign neoplasm of tongue
1 14/02/2017 2077765672 ONO
SUTRISNO L MANDIRI
PEKERJA Polymyalgia rheumatica
1 13/02/2017 1475620975 ABADI
ACHMAD L MANDIRI
PEKERJA Cataract, unspecified
Bilateral inguinal hernia, without obstruction
1 10/2/2017 2077766831 KUSNAIDI L PEGAWAI
MANDIRI or gangrene
BAYI NY. PEKERJA
PEMERIN
1 10/2/2017 2195115219 MOHAM
SUWAJI L
STIYA MANDIRI
TAH NON Epilepsy, unspecified
MAD PENERIM
1 10/2/2017 2222928628 RINI
RISTYO L PNS
PBI Disorder of bilirubin metabolism, unspecified
A
1 6/2/2017 610199019 EFFENDI
R. L (APBN)
PENSIUN Schizophrenia, unspecified
ALDILA
2 27/02/2017 75259776 MOEKADI
ISTI L PNS
1 28/02/2017 75398635 FAUZIAH
RUKAYAN P DAERAH
PEKERJA Low vision, one eye
1 28/02/2017 1849066648 AH P MANDIRI
PBI Thyroid crisis or storm
1 27/02/2017 610110099 SURIP P (APBN)
1 27/02/2017 1532335601 RUKIMAN
SRI P (APBD)
PEKERJA External haemorrhoids without complication
YULIA
1 27/02/2017 1534534211 BUDIYATI
RAHMAD P MANDIRI
PEKERJA Angina pectoris, unspecified
SISKA
1 27/02/2017 1830599493 HANI
PUJI P MANDIRI
PEGAWAI Asthma, unspecified
1 27/02/2017 2209902671 ASTUTI
RODHIYA P SWASTA
PEKERJA Prolonged first stage (of labour)
NAFA
1 25/02/2017 H
1381096631 PAMILIA P MANDIRI
PEKERJA Schizophrenia, unspecified
1 25/02/2017 2195115535 MARIAJI P MANDIRI
SITI
1 24/02/2017 609578155 SUPAMI
MUAWA P (APBN)
PEKERJA Low back pain musculoskeletal disorder,
Postprocedural
1 23/02/2017 2214192868 NAH
MAGHFIR P MANDIRI
PBI unspecified
1 22/02/2017 609428046 OH
MUAZIDA P (APBN)
PEGAWAI Cysticercosis, unspecified
1 22/02/2017 H
1533429933 DAHLIAH P SWASTA
PEGAWAI Chronic periodontitis
1 20/02/2017 1404246003 SARI
KARTIKA P SWASTA
PBI End-stage renal disease
Gastric ulcer, unspecified as acute or
1 18/02/2017 610148968 SARI
ROMDON P (APBN)
PEKERJA Allergic
chronic,contact
withoutdermatitis,
haemorrhage unspecified
or cause
1 18/02/2017 1815390988 AH P MANDIRI
PNS perforation
1 17/02/2017 75105775 HINDUN
ISTIQOM P PUSAT
PBI Allergic contact dermatitis,
Non-insulin-dependent unspecified
diabetes cause
mellitus
1 16/02/2017 1028760838 AH
IDA P (APBN)
PNS with unspecified complications
1 16/02/2017 ISROFAH P
1961853783 ASMONA DAERAH
PBI Maternal care for breechdiabetes
Non-insulin-dependent presentation
mellitus
1 15/02/2017 609887452 H
SISKA P (APBN)
PEKERJA with unspecified complications
1 15/02/2017 2196812531 SUSANTI
NOOR P MANDIRI
PBI Delivery by caesarean section, unspecified
1 13/02/2017 611156013 AZIZAH P PENERIM
(APBN) Low vision, both eyes
SRI PEKERJA
A
1 11/2/2017 1866855216 PUJIATI
MUSTAKI P MANDIRI
PENSIUN Chronic renalof
Tuberculosis failure, unspecifiedby
lung, confirmed
1 9/2/2017 75471939 MAH P PNS
PBI unspecified means
1 7/2/2017 610233232 RASMI
MUTHMA P (APBN)
PNS Essential (primary) hypertension
1 6/2/2017 75075456 INNAH P PUSAT
1 4/2/2017 1532335601 RUKIMAN P (APBD)
PBI External haemorrhoids without complication
SITI PEGAWAI
1 3/2/2017 1532335206 SUPAN
MURSIDA P (APBD)
PNS Glaucoma,
Unspecifiedunspecified
PEMERIN
1 2/2/2017 75290319 H
PUPUT P DAERAH
TAH NON neurological
Follicular cystcomplications
of skin and subcutaneous
1 2/2/2017 2209371884 TRIYANA P PNS tissue, unspecified
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MUKHAM JK
MAD PBI
28 30/03/2017 608016958 IBNU
SYAFII L (APBN)
PBI Lymphoedema, not elsewhere classified
62 29/03/2017 609935365 SABEL L PENERIM
(APBN) Acute nephritic syndrome, unspecified
PBI
A
63 29/03/2017 610051072 SOLEMAN
R. L (APBN)
PENSIUN Haematemesis
ANANG
141 24/03/2017 75259776 MOEKADI
ANINDHIT L PNS
162 23/03/2017 172834119 A L DAERAH
PNS Nontoxic itre, unspecified
178 22/03/2017 75172702 MUSTAKI
SUDARGO L DAERAH
PBI Dissociative amnesia
TNI
186 22/03/2017 1084326412 M L (APBN)
ANGKATA Schizophrenia, unspecified
194 22/03/2017 2199955364 NGARDI
AKHMAD L N DARAT
PNS Cataract, unspecified
Pleural effusion in conditions classified
MAYURA
195 21/03/2017 75057388 TOIFOR
WAHYU L DAERAH
PEKERJA elsewhere
MUHAMA
200 21/03/2017 75418929 UTAMA
D KHUSNI L MANDIRI
S MIN
205 21/03/2017 1296533586 AHMADI
KARTOAT L MANDIRI
PEKERJA Epilepsy, unspecified
208 21/03/2017 1722321538 MODJO L MANDIRI
PBI Oedema, unspecified
223 20/03/2017 609621671 RISMAN L (APBN)
PBI Chronic ischaemic heart disease, unspecified
263 18/03/2017 609771723 FAUZI L (APBN)
PBI Low vision, both eyes
ARIEF
264 18/03/2017 610048697 JATMO
SETYAWA L (APBN)
PEGAWAI Acute bronchitis, unspecified
KHANZA
271 18/03/2017 1378683909 N
DWI AL L SWASTA
276 18/03/2017 AISYAH L
1853617151 DWI MANDIRI
PEGAWAI Congestive heart failure
277 18/03/2017 1899825928 CATUR
YULIANTO L SWASTA
PEGAWAI Impacted teeth
Tuberculosis of lung, without mention of
WISNU
281 18/03/2017 2084808609 SAHRI
MANUSA L SWASTA
PEKERJA bacteriological or histological confirmation
329 16/03/2017 1482548062 MA
AMIN L MANDIRI
PBI Depressive episode,
Bilateral inguinal unspecified
hernia, without obstruction
BAYU
349 15/03/2017 610160398 SULEMAN
KRESNA L (APBN)
PNS or gangrene
363 14/03/2017 75446199 MUKTI L DAERAH
PBI Attention
Stroke, nottospecified
surgical dressings and sutures
as haemorrhage or
TOTOK
366 14/03/2017 609583329 SUPRIYAN
SUPARDI L (APBN)
PEKERJA infarction
S MIN
375 14/03/2017 1630892621 TO
KARTOAT L MANDIRI
BAYU
376 14/03/2017 1722321538 MODJO
KRESNA L MANDIRI
PNS Low back pain, site unspecified
419 11/3/2017 75446199 MUKTI L DAERAH
PEGAWAI Attention to surgical dressings and sutures
426 11/3/2017 1129758265 MASUDIN
MISBAKH L SWASTA
PBI Open wound of lower leg, part unspecified
WIWIK
443 10/3/2017 UN
1084271027 KUSTRIO L (APBN)
455 9/3/2017 75065286 NO
AMIN L DAERAH
PBI Cardiomegaly
Bilateral inguinal hernia, without obstruction
FAJAR
462 9/3/2017 610160398 SULEMAN
KURNIAW L (APBN)
PEKERJA or gangrene
497 7/3/2017 1278884103 AN
SANUWA L MANDIRI
PEGAWAI Carcinoma in situ of bronchus and lung
521 6/3/2017 1533977414 HERI
R
SUWARN L SWASTA
KUNTO PENERIM
524 6/3/2017 O
1866852483 WIBISON L MANDIRI
PNS End-stage renal disease
A
533 4/3/2017 40724379 ANDIKA
O,SH
SUDIJON L PUSAT
PENSIUN Cardiomegaly
Unspecified diabetes mellitus without
BAGUS
538 4/3/2017 173061562 O
AWALUDI L TNI
PNS complications
539 4/3/2017 173795703 N
MISBAKH L DAERAH
547 4/3/2017 UN
1084271027 SALMA L (APBN)
PEGAWAI Schizophrenia, unspecified
554 4/3/2017 1847631486 RAHMATI
SURITNO L SWASTA
PEKERJA Hiccough
KA
584 2/3/2017 1861030978 DARMAW
SUWARDI L MANDIRI
PBI Chronic renal failure, unspecified
7 31/03/2017 609884998 AN P (APBN)
PNS Orthopaedic
Diarrhoea and follow-up care, unspecified
gastroenteritis of presumed
47 30/03/2017 2204898478 SUKIMAH P DAERAH
PBI infectious origin
64 29/03/2017 610108312 HANDAH P (APBN)
PBI Other and unspecified ovarian cysts
74 29/03/2017 1084115968 IRIANTI P PEGAWAI
(APBN) Chronic
UMI PNS
PEMERIN Primary renal failure,
arthrosis unspecified
of other joints, unspecified
78 29/03/2017 1482552268 SUMIYATI P DAERAH
TAH NON site
89 29/03/2017 2062890178 BADRIYAH
RIS P PNS
PBI Convalescence following surgery
100 27/03/2017 609420341 IRIYANTI P (APBN)
PBI Schizophrenia, unspecified
102 27/03/2017 610108312 HANDAH P (APBN)
PEKERJA Oedema, unspecified
120 27/03/2017 2069146787 SUMIYAK P MANDIRI
PEKERJA Malignant neoplasm
Insulin-dependent of ovarymellitus with
diabetes
122 26/03/2017 1852371898 SITI
SRI YATIN P PEGAWAI
MANDIRI unspecified complications
PNS
PEMERIN
142 24/03/2017 75438538 MAIZUN P DAERAH
TAH NON Parkinson's disease
SITI
155 24/03/2017 2062890178 BADRIYAH
MUZARO P PNS
PEKERJA Convalescence following surgery
158 24/03/2017 2209940965 AH P MANDIRI Pterygium
PBI
163 23/03/2017 609077531 SUTAMI P (APBN)
PBI Unspecified contracted kidney
MASLIKH PENERIM
164 23/03/2017 610108312 ATUL
HANDAH P (APBN)
Premature rupture of membranes,
A
167 23/03/2017 1192940728 UMA P MANDIRI
PENSIUN unspecified
Chronic obstructive pulmonary disease with
SITI ROI
180 22/03/2017 158509912 SUKARSIH
KHAFIDH P PNS
PNS acute lower respiratory infection
181 22/03/2017 209936013 OH
ENDANG P DAERAH
PBI Thyrotoxicosis,
Benign neoplasm unspecified
of middle ear, nasal cavity
183 22/03/2017 610435181 SUPRAPTI P PENERIM
(APBN) and accessory sinuses
SITI PBI
A
185 22/03/2017 611106221 SOFUROH P (APBN)
PENSIUN Single spontaneous delivery, unspecified
197 21/03/2017 75104381 LAILATI P PNS
PBI Spondylosis, unspecified
203 21/03/2017 610110099 SURIP P (APBN)
PBI Cataract, unspecified diabetes mellitus
204 21/03/2017 610187635 SARTINI
ROCHMIN P (APBN)
213 21/03/2017 2230120901 I P MANDIRI
225 20/03/2017 610116131 SU'AYATI P (APBN)
232 20/03/2017 1028759196 MUKARO
JAMINAH P (APBN)
PEKERJA Haemoptysis
FITRIANA
236 20/03/2017 1450634242 MAH
PURINING P MANDIRI
252 20/03/2017 2082358833 SIH P MANDIRI
PEKERJA Cyst of Bartholin's gland
SHINTA
256 20/03/2017 2206182249 HARYANTI
NALA P MANDIRI
PEKERJA Single spontaneous delivery, unspecified
257 20/03/2017 2229716564 ZUNIANA
ROMDHO P MANDIRI
PBI Epilepsy,
Pulmonary unspecified
complications of anaesthesia
258 19/03/2017 NAH
608465439 SRI P (APBN)
PBI during the puerperium
KHOIR
325 16/03/2017 1028758948 NURAINI
AKFINI P (APBN)
PEKERJA Ischaemic
Tuberculosiscardiomyopathy
of lung, confirmed by
341 15/03/2017 DIDIA
75106596 SALMA P MANDIRI
350 15/03/2017 1084496332 RAHMATI
ROKIMAH
ISMAWAT P (APBN)
PEKERJA Cataract, unspecified diabetes mellitus
KA
378 14/03/2017 1851090355 IDARMAW P MANDIRI
PBI with unspecified complications
394 13/03/2017 609884998 AN P (APBN)
PBI Dislocation of knee
400 13/03/2017 1028752716 ASIYAH P (APBN)
PNS Acute ischaemic heart disease,
Non-insulin-dependent diabetesunspecified
mellitus
435 10/3/2017 75305406 PRIYANTI
WIJI P DAERAH
NUR
437 10/3/2017 206589442 NIKMATU
LESTARI
WAKHIDA P DAERAH
PBI Arthritis in lyme disease, unspecified site
L
439 10/3/2017 611014735 HKHARIMA P (APBN)
ERYWENI
494 7/3/2017 610892943 HASWORO P (APBN)
PEKERJA Single spontaneous delivery, unspecified
505 7/3/2017 DEWI
1857270778 NUR
INDAH P MANDIRI
PBI Hearing loss, unspecified
513 6/3/2017 609602049 ANUGRA
HIDAYAH
MASRIYA P (APBN)
PEKERJA Fetal death of unspecified cause
H
523 6/3/2017 1602811146 HSARASWA P MANDIRI
PNS Hearing loss, unspecified
534 4/3/2017 66300074 TI
SITI P DAERAH
PUTRI
540 4/3/2017 608482361 SUMARTI
NURMAW P (APBN)
PEGAWAI Fever, unspecified
SITI
549 4/3/2017 ATI
1135902701 KHOTIMA P SWASTA
PBI Low vision, complications
Pulmonary both eyes of anaesthesia
594 1/3/2017 610136245 H P (APBN) during the puerperium
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MUKHAM
MAD
MUHAM
IBNU JK PBI
43 28/04/2017 MAD
609935365 SABEL L (APBN) Circumscribed brain pulmonary
atrophy disease,
FATIH PBI Chronic obstructive
81 26/04/2017 610298537 DJUMANI
DARMAW L (APBN)
PEGAWAI unspecified
139 22/04/2017 1845559462 AN
MUHAMA L SWASTA
PBI Fever, unspecified
149 21/04/2017 610143726 D
HARISYAFI'I L (APBN)
174 19/04/2017 75058931 SETIJOADI
SUBURIYA L DAERAH
186 19/04/2017 1811084905 NTO
SLAMET L MANDIRI
PEKERJA Hearing loss, unspecified
188 19/04/2017 2237528171 RIYADI L MANDIRI
AHMAD
213 17/04/2017 75419706 AKHIYAT
AINUR L DAERAH
PBI Chronic
Disorders gastritis, unspecifiedmetabolism, not
of plasma-protein
215 17/04/2017 609584883 ROFIK
SUJI L (APBN)
PEKERJA elsewhere classified
Stroke, not specified as haemorrhage or
222 17/04/2017 1390611699 AMAN L MANDIRI
PEKERJA infarction
Unilateral or unspecified inguinal hernia,
248 15/04/2017 1808794271 KASAN
SULISTIYO L MANDIRI
PBI without obstruction or gangrene
253 13/04/2017 NO
609419439 SLAMET L PENERIM
(APBN) Disorder of eyelid, unspecified
PEKERJA
A
262 13/04/2017 2237528171 RIYADI
SOEMANT L MANDIRI
PENSIUN Surgical follow-up care, unspecified
285 11/4/2017 75241629 RI L PNS
PNS Essential (primary) hypertension
296 10/4/2017 75048017 PARYAN
AMIN L DAERAH
PBI Rheumatoid arthritis, unspecified
Follow-up examination after surgery for
307 10/4/2017 610160398 SULEMAN
MUHAMA L (APBN)
PBI other conditions
SHERI
MIN
311 10/4/2017 D CHODRI L
1028755787 KARTOAT (APBN)
PEKERJA Epilepsy, unspecified
KUNTO
344 8/4/2017 1722321538 MODJO
WIBISON L MANDIRI
PNS Acute periodontitis
358 6/4/2017 40724379 O,SH
SUDIYANT L PUSAT
PNS Cardiomegaly
Non-insulin-dependent diabetes mellitus
360 6/4/2017 75163476 O L PENERIM
DAERAH with unspecified complications
ACHMAD PBI
A Sequelae of stroke, not specified as
367 6/4/2017 1028760704 WAGIRAN
MASDUKI, L (APBN)
PENSIUN haemorrhage or infarction
382 5/4/2017 75255849 BA
IBNU L PNS
PBI Cerebellar stroke syndrome
MUCH
388 5/4/2017 FHARIZI L
1028752773 CAHYO (APBN)
PBI Allergic contact dermatitis, unspecified cause
392 5/4/2017 1083930142 RISKIKA
SITI L (APBN)
KHOIR
421 4/4/2017 1434487465 AMINAH
AKFINI L DAERAH
PEKERJA Glaucoma,
Tuberculosis unspecified
78 26/04/2017 75106596 DIDIA P MANDIRI
PNS unspecified means
79 26/04/2017 75160978 ASIYAH
SITI P DAERAH
PBI Thyrotoxicosis,
Malignant neoplasm unspecified
of cervix uteri,
85 26/04/2017 MASRIAH P
1532334824 JUNAEDA (APBD)
PEGAWAI unspecified
SITI
87 26/04/2017 1534382392 HROKHIMA P
KHOIRUN SWASTA
PNS Bronchopneumonia, unspecified
96 25/04/2017 H
75482673 NISA
MUNJAEN P DAERAH
PBI Benign neoplasm of breast
103 25/04/2017 1028757835 SALSABIL
AH
RODHIYA P (APBN)
PEKERJA Acute tonsillitis, unspecified
A
106 25/04/2017 1381096631 HKAUTSAR P MANDIRI
107 25/04/2017 ANI
1423098123 UMI P SWASTA
PNS Irritant contact dermatitis, unspecified cause
151 21/04/2017 1482552268 SUMIYATI
JUWARIY P DAERAH
179 19/04/2017 610223141 AH P (APBN)
PEKERJA Gastritis, unspecified
187 19/04/2017 2055229211 SURIPAH P PENERIM
MANDIRI Myalgia
WAHYU PNS
A
189 18/04/2017 75165669 KUNAENI
PURWANI P DAERAH
PENSIUN Verti of central origin
SITI
211 17/04/2017 75241631 NGSIH
ACHADIY P PNS
PBI Low back pain, site unspecified
216 17/04/2017 610565747 AH P (APBN)
PBI Epilepsy, unspecified diabetes mellitus
242 15/04/2017 1028756169 SADATI P (APBN)
254 13/04/2017 610250624 TIKANAH
NGATEM P (APBN)
260 13/04/2017 1532436851 AH P (APBD)
272 12/4/2017 610233232 RASMI
MASRUR P (APBN)
PEGAWAI Chronic periodontitis
ANDRY
277 12/4/2017 OH
1533989867 CHRISTIY P SWASTA
PNS Chest pain, unspecified
287 11/4/2017 206542034 ANA
SITI P DAERAH
PEKERJA Surgical follow-up care, unspecified
294 11/4/2017 2086508226 ARWIYAH P MANDIRI
PNS Chronic ischaemic
Stroke, not heart
specified disease, unspecified
as haemorrhage or
300 10/4/2017 75457732 SETYANI
MARCHA P DAERAH
PEKERJA infarction
LILIS
323 10/4/2017 2062228263 MATUN
RETNOSA P MANDIRI
PEKERJA Heart disease, unspecified
SITI
325 10/4/2017 RI
2082358754 MUNASA P MANDIRI
PEGAWAI Schizophrenia,
Excessive unspecified
and frequent menstruation with
328 10/4/2017 2219478006 ROH
IS P SWASTA
PEGAWAI irregular cycle
Placenta praevia specified as without
NOVI
340 8/4/2017 1526888632 SHAUMI
HARDIYA P SWASTA
PEGAWAI haemorrhage
Premature rupture of membranes,
342 8/4/2017 1532963889 NTI P SWASTA unspecified
SUNI PNS
347 7/4/2017 75086853 HARTATIE P PUSAT
PBI Other and unspecified abdominal pain
NUR
352 7/4/2017 609637421 WAKHIDA
MUNI'AH P (APBN)
PBI Cardiomegaly
353 7/4/2017 611014735 H
FINURYA P (APBN)
LIA
359 6/4/2017 75163465 NAH
LALITA P DAERAH
PEGAWAI with unspecified complications
378 6/4/2017 1970640448 GIOVANTI P SWASTA
PBI Irregular menstruation,
Tuberculosis unspecified
417 4/4/2017 1028759567 SUTRIYAH
SITI P (APBN)
Abnormal uterine and vaginal bleeding,
422 4/4/2017 1532334824 MASRIAH P (APBD)
PEKERJA unspecified
425 4/4/2017 2071057814 KUMINI P MANDIRI
PBI Orthopaedic follow-up care, unspecified
440 3/4/2017 610979062 RUSMI
RUKAYAN P (APBN)
PEKERJA Nutritional anaemia, unspecified
456 3/4/2017 1849066648 AH P MANDIRI
PEKERJA Chronic ischaemic heart disease, unspecified
484 1/4/2017 1483786811 SUKATI P MANDIRI Asthma, unspecified
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EDWIN JK
AULIA PNS
1 31/05/2017 75172702 ARDIAWA
SUDARGO L DAERAH
PEGAWAI Acute periodontitis
17 29/05/2017 206519433 N L SWASTA
PBI Myopia
24 29/05/2017 1028759927 KUSRO
MUHARO L (APBN)
PBI Hearing loss, unspecified
Respiratory tuberculosis unspecified,
123 22/05/2017 609487389 M
AKHMAD L (APBN)
PBI Retention
confirmed of urine
bacteriologically and
126 22/05/2017 610426978 MUCHAM
MUFID L (APBN)
PEKERJA histologically
MAD
147 22/05/2017 2195115219 SUWAJI
ISDAR L MANDIRI
PNS Status epilepticus, unspecified
170 19/05/2017 75106574 BUDIMAN
MUHAJIRI L PUSAT
PBI Other specified orthopaedic follow-up care
174 19/05/2017 609629095 N L (APBN)
PBI Conjunctivitis, unspecified
176 19/05/2017 610426091 RIYANTO L (APBN)
PEKERJA Disorder of specified
Stroke, not urinary system, unspecifiedor
as haemorrhage
PULUNG
185 19/05/2017 1853993092 MOHAM
SUWARDI
BAWONO L MANDIRI
PNS infarction
MAD
222 16/05/2017 75113133 JATI
RISTYO L DAERAH
PBI Low back pain, site unspecified
235 16/05/2017 610199019 EFFENDI
MISBAKH L (APBN)
256 15/05/2017 1084271027 UN
AGUS L (APBN)
Chronic obstructive pulmonary disease,
267 15/05/2017 1880331568 M NUR
WALUYO
ABDUL L SWASTA
PEKERJA unspecified
HASAN PENERIM
268 15/05/2017 2080895703 GHOFUR
HIDAYATU L MANDIRI
PEKERJA Benign neoplasm of larynx
A
273 15/05/2017 2239392508 LLAH
FEBRU L MANDIRI
PENSIUN Schizophrenia, unspecified
284 12/5/2017 75088506 INDARTO L PNS
PBI Acute ischaemic heart disease, unspecified
349 8/5/2017 610426091 RIYANTO
SUBURIYA L (APBN)
PEKERJA Disorder
Recurrentofdislocation
urinary system, unspecifiedof
and subluxation
362 8/5/2017 1811084905 NTO L MANDIRI
PEKERJA joint, unspecified site
369 8/5/2017 2225376189 MAWARDI
ABDUL L MANDIRI
404 5/5/2017 1882601054 AZIZ L PENERIM
MANDIRI Paraplegia, unspecified after unspecified
ACHMAD PEKERJA
A Follow-up examination
417 4/5/2017 1808794271 MAHADE
KASAN
MASDUKI, L MANDIRI
PENSIUN treatment for other conditions
WI HEMAS
HANAN
424 3/5/2017 BA
75255849 TUSTIETA L PNS
PEGAWAI Low vision, one eye
WIJDAN
2 31/05/2017 1643341645 H.
AMALIA P BUMN
PNS Acute tonsillitis, unspecified
3 31/05/2017 1806364754 SELMA P DAERAH
PBI Impacted teeth
IN
6 30/05/2017 609921729 UMAIYAH
KUSUMO P (APBN)
10 30/05/2017 1378684034 WATI
SRI P SWASTA
PEKERJA Rheumatism, unspecified
37 27/05/2017 1534534211 BUDIYATI P MANDIRI
PBI Angina pectoris, unspecified
SITI
75 24/05/2017 610233232 RASMI
MASRURO P (APBN)
PEKERJA Essential (primary) hypertension
78 24/05/2017 1386028631 H P MANDIRI
81 24/05/2017 1532436748 MARSIYAH
TRI P (APBD)
PEKERJA Essential (primary) hypertension
101 23/05/2017 1270699525 YUNIARTI
ENDAH P MANDIRI
127 22/05/2017 LESTARI P
610575333 DAHLIAH (APBN)
PEGAWAI Thyroiditis, unspecified
134 22/05/2017 1404246003 SARI P SWASTA
PBI End-stage renal disease
164 20/05/2017 1530157825 ASMONAH
SRI P (APBD)
RIZKA
169 20/05/2017 1866855216 PUJIATI
WINDI P MANDIRI
PBI Chronic
Follow-uprenal failure, unspecified
examination after surgery for
SITI
172 19/05/2017 609401619 ASTUTI
ROMDHO P (APBN)
PEKERJA other conditions
Follow-up examination after unspecified
SITI
189 19/05/2017 2241940926 TUN
MASRURO P
ELVI MANDIRI
PEKERJA treatment for other conditions
203 18/05/2017 1386028631 RAARNELI
H
BINTAR P MANDIRI
PNS Amenorrhoea, unspecified
TA
209 17/05/2017 75477385 FATWANI
RAMADHA P DAERAH
PEGAWAI Glaucoma, unspecified
241 16/05/2017 1534201863 NI
SRI P SWASTA
PEKERJA Hearing loss, unspecified
242 16/05/2017 1866855216 PUJIATI P MANDIRI
253 15/05/2017 610560325 SARTINI
MUNAFIA P (APBN)
PEKERJA Supervision of other normal pregnancy
LILIA
271 15/05/2017 H
2220810322 SAPTANIN P MANDIRI
272 15/05/2017 2238695234 GSIH P MANDIRI
PEKERJA Female infertility, unspecified
ALIFIYA
274 15/05/2017 2242857418 LINAWATI
KHOIRUN P MANDIRI
PNS Eclampsia in pregnancy
276 13/05/2017 201697233 NISA
SYIFFA P DAERAH
PEGAWAI Chronic
Viral tonsillitis
hepatitis complicating
Gastric ulcer, unspecified aspregnancy,
acute or
281 13/05/2017 1693458551 LATIFAH
ROMDON P SWASTA
PEKERJA childbirth and thehaemorrhage
chronic, without puerperium or
NURUL
282 13/05/2017 AH
1815390988 AWALIYAH P MANDIRI
PEKERJA perforation
291 12/5/2017 1810363961 AZHAR
SITI P MANDIRI
PEGAWAI Allergic
Foreign contact
body in dermatitis,
genitourinaryunspecified
tract, partcause
306 10/5/2017 1131615099 SULAIBAH
NAILATUL P SWASTA
PEKERJA unspecified
309 10/5/2017 1825782254 YUSRO P MANDIRI Myopia
JUWARIYA PBI
325 9/5/2017 1028755438 H P (APBN)
PEKERJA Haemoptysis
Unspecified diabetes mellitus with
SITI PENERIM
328 9/5/2017 1479129838 MAESARO
TUMIJAH P MANDIRI
PNS peripheral circulatory
Spontaneous abortion,complications
complete or
A
PENERIM
339 8/5/2017 194529868 H P DAERAH
PENSIUN unspecified, without complication
A
391 5/5/2017 75233529 SUYANAH
MUSTAKI P PNS
PENSIUN Cataract, unspecified
Tuberculosis of lung, confirmed by
393 5/5/2017 75471939 MAH P PNS
PBI unspecified means of cervix uteri,
Malignant neoplasm
408 4/5/2017 609632054 SURATI
SOLKHAN P (APBN)
PEGAWAI unspecified
414 4/5/2017 1136569241 AH
NANA P SWASTA
PEKERJA Cranial nerve disorder, unspecified
419 4/5/2017 1964578948 ROSADAH
LIA LALITA P MANDIRI
PEGAWAI Acute conjunctivitis, unspecified
421 4/5/2017 1970640448 GIOVANTI
MUNAFIA P SWASTA
PEKERJA Irregular menstruation, unspecified
433 3/5/2017 2220810322 H P MANDIRI
PBI Benign lipomatous
Malignant neoplasm neoplasm
of cervixof other sites
uteri,
SITI
440 2/5/2017 609632054 SURATI
ROMDHO P (APBN)
PEKERJA unspecified
455 2/5/2017 2241940926 TUN P MANDIRI Benign neoplasm of breast
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YA
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YA
YA
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PEGAWAI
M PEMERINT
MUCHLISI JK AH NON Non-insulin-dependent diabetes mellitus
1 20/06/2017 2079785564 N L PNS
PEGAWAI with unspecified
Tuberculosis complications
of lung, without mention of
2 20/06/2017 2084808609 SAHRI L SWASTA bacteriological or histological confirmation
3 19/06/2017 1028757677 SUTAMAN
MISBAKH L PBI (APBN) Chronic ischaemic heart disease, unspecified
AKHMAD
4 17/06/2017 1084271027 UN
TRI L PBI (APBN) Schizophrenia, unspecified
5 13/06/2017 609944038 SUSANTO L PBI (APBN) Other and unspecified abdominal pain
PEKERJA
6 8/6/2017 2052230174 MUNASIR
MOH L MANDIRI
7 7/6/2017 75480467 SAMHUDI L DAERAH
PNS Chronic periodontitis
8 5/6/2017 75048017 PARYAN L DAERAH Rheumatoid arthritis, unspecified
S MIN
9 5/6/2017 610119527 HERI
SUMALI
KARTOAT L PBI (APBN) Abscess of tendon sheath, ankle and foot
PEKERJA
KUNTO
10 5/6/2017 1722321538 MODJO
WIBISONO L MANDIRI
PNS Low back pain, site unspecified
11 3/6/2017 40724379 KHOIRUN
,SH
MUKARO L PUSAT
PEKERJA Cardiomegaly
12 22/06/2017 1450634242 NISA
MAH P MANDIRI Schizophrenia, unspecified
SALSABILA
13 21/06/2017 1028752716 KAUTSARA
ASIYAH P PBI (APBN) Acute ischaemic heart disease, unspecified
PEGAWAI
14 21/06/2017 1423098123 NI P SWASTA Unspecified chronic bronchitis
PNS
15 19/06/2017 75305406 PRIYANTI P DAERAH Disorder of refraction, unspecified
SITI
16 16/06/2017 610116131 ACHADIYA
SU'AYATI P PBI (APBN) Schizophrenia, unspecified
17 16/06/2017 H
610565747 SAKDANA P PBI (APBN) Excessive
Epilepsy, unspecified
and frequent menstruation with
18 16/06/2017 1028755811 H P PBI (APBN) irregular cycle
19 16/06/2017 1084496332 ROKIMAH P PBI (APBN) Cataract, unspecified
PNS
20 14/06/2017 75160978 SANI
ASIYAHNOVI P DAERAH Acute ischaemic heart disease, unspecified
PNS
21 14/06/2017 ASTUTI
203800037 LIA LALITA P DAERAH Low vision, one eye
PEGAWAI
22 14/06/2017 1970640448 GIOVANTI P SWASTA Irregular menstruation, unspecified
PNS
AZIZAH
23 13/06/2017 75165669 DIAN
KUNAENI P DAERAH Verti of central origin
PEKERJA
PENERIMA
24 13/06/2017 2226432475 ARIYANTI P MANDIRI Thyrotoxicosis, unspecified
PENSIUN
SITI
25 12/6/2017 75233529 MUNAWA
SUYANAH P PNS Cataract, unspecified
Abnormal findings on diagnostic imaging of
26 12/6/2017 609084764 ROH P PBI (APBN) breast
27 12/6/2017 610108312 HANDAH P PBI (APBN) with
PEKERJA unspecified
Haemorrhage complications
in early pregnancy,
28 12/6/2017 2246338282 KISWANTI
SRI P MANDIRI unspecified
29 10/6/2017 1028758948 NURAINI
JUMROTU P PBI (APBN) Ischaemic cardiomyopathy
PEKERJA
30 10/6/2017 1861031788 N P MANDIRI Schizophrenia, unspecified
PENERIMA
31 9/6/2017 609578155 SUPAMI P PBI (APBN) Low back pain, site unspecified
PENSIUN
32 8/6/2017 1081204323 ASIYAH P PNS
PEKERJA Foreign body
Follow-up in ear
33 7/6/2017 2230120901 ROCHMINI
RIKA P MANDIRI other conditions
Other benign neoplasm of connective and
34 5/6/2017 1084410292 SEPTY N P PBI (APBN) other soft tissue of head, face and neck
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PENERIM
A
FEBRU JK PENSIUN
1 31/07/2017 75088506 INDARTO L PNS
PEKERJA Acute ischaemic
Stroke, heartasdisease,
not specified unspecified
haemorrhage or
23 31/07/2017 1857266291 SUTANTO
SUDIYANT L MANDIRI
PNS infarction
AKHMAD
55 27/07/2017 75163476 OROMDHO L DAERAH
70 27/07/2017 1317234745 N PENERIM
SWASTA
BUNYAMI L PEKERJA
A
Mucocele of salivary gland
71 27/07/2017 1386027832 N L MANDIRI
PENSIUN Conjunctivitis, unspecified
90 26/07/2017 75202683 SAUD L PNS
PEGAWAI Cataract, unspecified
114 25/07/2017 1534382381 SUDARTO L SWASTA
PBI Calculus of kidney pulmonary disease,
Chronic obstructive
130 24/07/2017 610298537 DJUMANI
MUCHTA L (APBN)
PBI unspecified
176 21/07/2017 611088142 ROM L (APBN)
PNS other conditions
188 20/07/2017 1482551717 SUROSO
KARDIMI L DAERAH
MUHAM
191 20/07/2017 1856479634 NMAD L MANDIRI
PNS with other
Stroke, notspecified
specifiedcomplications
as haemorrhage or
194 19/07/2017 75172702 SUJI
SUDARGO L
FALAH DAERAH
PEKERJA infarction
257 17/07/2017 1390611699 SHAQUILL
AMAN
NURUL L MANDIRI
PEGAWAI infarction
E AL PENERIM
270 17/07/2017 2089764887 HUDA
RAFAEYZ L SWASTA
PEGAWAI Loose body in joint, hand
A
276 17/07/2017 2259212782 ASOEMANT L SWASTA
PENSIUN Nonspecific lymphadenitis, unspecified
AHMAD
281 15/07/2017 75241629 RI
AINUR L PNS
PBI Secondary
Disorders ofhypertension,
plasma-protein unspecified
metabolism, not
325 13/07/2017 609584883 ROFIK L PENERIM
(APBN) elsewhere classified
ACHMAD PNS
A
334 12/7/2017 75172702 SUDARGO
MASDUKI, L DAERAH
PENSIUN Essential (primary) hypertension
335 12/7/2017 75255849 BA L PNS
PNS Cerebellar
Tuberculosisstroke syndrome
of lung, without mention of
337 12/7/2017 75419706 AKHIYAT L DAERAH
PBI bacteriological or histological confirmation
MAYURA
342 12/7/2017 1028756136 BASARI
WAHYU L (APBN)
PEKERJA Ileus, unspecified
358 11/7/2017 75418929 UTAMA
MUGIYON L MANDIRI
PEKERJA Schizophrenia,
Acute hepatitisunspecified
B without delta-agent and
373 11/7/2017 2260141536 O L MANDIRI
PEKERJA without hepatic coma
405 10/7/2017 2249937549 MOHAM
PANDOL
TASRIYON L MANDIRI
MAD
408 10/7/2017 2261636662 ORISTYO L MANDIRI
PBI Surgical follow-up care, unspecified
BAYU
417 8/7/2017 610199019 EFFENDI
KRESNA L (APBN)
456 6/7/2017 75446199 MUKTI L DAERAH
PBI Attention to surgical dressings and sutures
459 6/7/2017 609104654 MUCHTA
SOLIKIN L (APBN)
PBI Schizophrenia,
Follow-up care unspecified
involving removal of fracture
494 5/7/2017 611088142 CATUR
ROM L (APBN)
PBI plate and other internal fixation device
WISNU
500 5/7/2017 1028760704 WAGIRAN
MANUSA L (APBN)
PEKERJA Verti of central origin
505 5/7/2017 1482548062 MA L MANDIRI
PBI Depressive episode, unspecified
552 3/7/2017 609771723 FAUZI L (APBN)
553 3/7/2017 MUHAM
610051072 MUSTAKI
SOLEMAN L (APBN) Haematemesis
MAD PBI
560 3/7/2017 1084326412 MARKAANU L (APBN)
PNS Schizophrenia,
Arthropathy in unspecified
Crohn's disease [regional
561 3/7/2017 1266967945 L HAKIM L DAERAH
PEKERJA enteritis]
565 3/7/2017 1808794271 KASAN
AHADIYA L MANDIRI
PBI Malignant
Stroke, notneoplasm
specified ofas prostate
haemorrhage or
SITI
20 31/07/2017 1532335329 HNAILUL P (APBD)
PEKERJA infarction
39 29/07/2017 1176486333 FITRIYA
HERLINA P MANDIRI
PEGAWAI Prolonged first stage (of labour)
SITI PENERIM
49 28/07/2017 FADIL
1335317229 MUZARO P SWASTA
PEKERJA Unspecified renal colic
A
51 28/07/2017 2209940965 AH
TUMINI,N P MANDIRI
PENSIUN Unspecified visual loss
53 27/07/2017 60892503 YFINURYA P PNS
PNS Unspecified visual loss diabetes mellitus
54 27/07/2017 75163465 NAH P DAERAH
60 27/07/2017 608929503 NOVIE
KALIMAH P (APBN)
PBI Unspecified visual loss
PURWAN
73 27/07/2017 1532330908 TININGSI
MUNTARI P (APBD)
PEGAWAI Low back pain
75 27/07/2017 1534235196 H P SWASTA
91 26/07/2017 75293201 WANIYEM P DAERAH
ERMA
93 26/07/2017 610187635 SARTINI
FASIKHA P (APBN)
FIFIT
101 26/07/2017 2063761637 LARASATI
FATMARI P MANDIRI
104 26/07/2017 2265729085 YANTI P MANDIRI
PNS Surgical follow-up
Follow-up care, unspecified
care involving removal of fracture
108 25/07/2017 75456178 MURIDAH
PULAMA P DAERAH
PEKERJA plate and other internal fixation device
119 25/07/2017 2050962118 H P MANDIRI
PEKERJA Benign neoplasm
Supervision of breastwith grand
of pregnancy
120 25/07/2017 2235903423 KURNIA P MANDIRI multiparity
PBI
128 24/07/2017 609637421 MUNI'AH P (APBN)
PBI Cardiomegaly
134 24/07/2017 1028758757 SRI
PARMI P (APBN) Malignant neoplasm of ovary
PEKERJA
146 24/07/2017 1866855216 PUJIATI
WIJI P MANDIRI
PNS Chronic renal failure, unspecified
196 19/07/2017 206589442 LESTARI P DAERAH
PBI Polyneuropathy, unspecified
202 19/07/2017 610494658 SUMIATI P (APBN)
NUR
204 19/07/2017 1028761029 RINA
WAKHIDA P (APBN)
222 18/07/2017 611014735 H P (APBN)
235 17/07/2017 75165669 NOVIE
KUNAENI
ISTIQOM P DAERAH
PBI Verti of not
Stroke, central originas haemorrhage or
specified
PURWAN PEGAWAI
255 17/07/2017 1028760838 AH
TININGSI P (APBN)
PEGAWAI infarction
PEMERIN
261 17/07/2017 1534235196 H P SWASTA
TAH NON Solitary cyst of breast
268 17/07/2017 2062890178 BADRIYAH P PNS
PEGAWAI Convalescence
Haemorrhage infollowing surgery
early pregnancy,
277 17/07/2017 2262596321 SANTI
SUWAEB P SWASTA
PBI unspecified
MILA
288 15/07/2017 AH
610580529 INDRIYAN P (APBN)
PBI infarction
LILIS
292 15/07/2017 1084095191 IRETNOSA P (APBN)
PEKERJA Thalassaemia, unspecified
LENI
298 15/07/2017 2082358754 RI
NOVITAS P MANDIRI
307 14/07/2017 1028759872 ARI P (APBN)
ANIES
320 13/07/2017 75163386 FARUROH
NUR P DAERAH
PNS Atrophic disorder of skin, unspecified
321 13/07/2017 KHOLIFAH P
75303347 SITI DAERAH
PNS Allergic rhinitis, unspecified
323 13/07/2017 75438538 MAIZUN
SRI P DAERAH
PBI Parkinson's disease
SITI
343 12/7/2017 1028758948 NURAINI
MUAWA P (APBN)
KEPOLISIA Polyneuropathy, unspecified
345 12/7/2017 1268979682 NAH
NUR P N RI infarction
PEKERJA Complication of labour and delivery,
356 12/7/2017 2247829468 ZAKIYAH P MANDIRI
PNS unspecified
360 11/7/2017 75457732 SETYANI
MUSRIPA P DAERAH
PEKERJA infarction
364 11/7/2017 H
1386467752 ISTIQOM P MANDIRI Stroke,
not specified as haemorrhage or
386 10/7/2017 1028760838 AH P (APBN)
PBI infarction
387 10/7/2017 1084115968 IRIANTI
NGATEM P (APBN)
AZKIA
393 10/7/2017 1532436851 AH
AUFI P (APBD)
PEGAWAI Low vision, both eyes
399 10/7/2017 1534536415 MAULIDA
MUSLIKA P SWASTA
PEGAWAI Other specified dermatitis
427 8/7/2017 H
1699112744 REZA NUR P SWASTA Haemorrhage
PBI Acute ischaemic in heart disease, unspecified
early pregnancy,
469 6/7/2017 1028757227 AIDA P (APBN)
PBI unspecified
Benign lipomatous neoplasm of skin and
470 6/7/2017 1028759859 PARTINI P (APBN)
PEKERJA subcutaneous tissue of head,
Non-insulin-dependent diabetesfacemellitus
and neck
AZIZAH
475 6/7/2017 1805901726 NURYATI
DIAN P MANDIRI
SHINTA PENERIM
476 6/7/2017 2226432475 ARIYANTI
NALA P MANDIRI
A
477 6/7/2017 2229716564 ZUNIANA P MANDIRI Epilepsy, unspecified
PENSIUN
SITI
515 4/7/2017 75104381 LAILATI
MURSIDA P PNS
PNS Other specified
Unspecified disorders
diabetes of bladder
mellitus with
SITI ROI
517 4/7/2017 75290319 HKHAFIDH P DAERAH
PNS neurological complications
523 4/7/2017 209936013 OH
RIS P DAERAH
PBI Thyrotoxicosis, unspecified
524 4/7/2017 609420341 IRIYANTI P (APBN) Schizophrenia, unspecified
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MUHAM
AKHMAD JK
ACHMAD
MAD
RIFKY PEKERJA
1 31/08/2017 TRIYONO L
75312472 FALAH PENERIM
MANDIRI Myopia
ALIF PEKERJA
A Tuberculosis of lung, without mention of
11 31/08/2017 1270699986 SHAQUILL
RASYID L MANDIRI
PENSIUN bacteriological or histological
Non-insulin-dependent confirmation
diabetes mellitus
E AL
22 30/08/2017 75214462 SUPAAT
RAFAEYZ L PNS
37 30/08/2017 2259212782 MUHAM
A L SWASTA
PBI Nonspecific lymphadenitis, unspecified
MAD
41 29/08/2017 1084369432 SOBIRIN
ALIVI L (APBN)
PEGAWAI Pleural effusion, not elsewhere classified
42 29/08/2017 1534384732 ARYANTO L SWASTA
PEKERJA Surgicalnot
Stroke, follow-up
specifiedcare,
as unspecified
haemorrhage or
43 29/08/2017 1853993092 SUWARDI L MANDIRI
PEKERJA infarction
Arthropathy in ulcerative colitis, ankle and
ANANG
45 29/08/2017 2236999645 KAMSIN
ANINDHIT L MANDIRI
PNS foot
49 28/08/2017 172834119 A PEGAWAI
DAERAH
RADITYA L PBI
PEMERIN
Thyrotoxicosis, unspecified
Acute upper respiratory infection,
52 28/08/2017 610163392 PUTRA L (APBN)
TAH NON unspecified
63 28/08/2017 2079790986 ASMAWI L PNS
PBI Other bursal cyst, ankle and foot
88 25/08/2017 609771723 MUHAM
FAUZI L (APBN)
MAD
89 25/08/2017 1028760142 SYARIF
ROKHANI
MUHAM
ARKAANU L (APBN)
AINUL
91 24/08/2017 1266967945 MAD
LROKHMA
HAKIM L DAERAH
PBI Bronchopneumonia, unspecified
NAFI'
108 22/08/2017 610145021 N DHARMA L (APBN)
AMIRUS
113 22/08/2017 1388700483 WAN
SALAMUD L DAERAH
PEKERJA Superficial
Unspecifiedinjury of nosehernia without
abdominal
126 22/08/2017 2264199625 IN L MANDIRI
PNS obstruction or gangrene
INDRA
144 21/08/2017 1386243022 KASMO
KINANTI L DAERAH
PEGAWAI Hypermetropia
AMIRUS
145 21/08/2017 1526834935 MUKHAM
SAKTI
SALAMUD L SWASTA
PEKERJA Disorder of urinary
Unspecified abdominalsystem, unspecified
hernia without
MAD
168 19/08/2017 2264199625 MUHAM
IN
IBNU L MANDIRI
PBI obstruction or gangrene
MAD
175 18/08/2017 609935365 SABEL
ALIVI L (APBN)
PEGAWAI Unspecified renal colic
183 18/08/2017 1534384732 ARYANTO L SWASTA
PEKERJA Other superficial
Unspecified injuries
diabetes of ankle
mellitus withand foot
FAIKHAN
225 16/08/2017 2236999645 NOVA
KAMSIN L MANDIRI
PNS neurological complications
FAJAR
227 15/08/2017 75065308 ARDANA
KURNIAW L DAERAH
PEKERJA Disease of tongue, unspecified
241 15/08/2017 1278884103 AN PEGAWAI
MANDIRI
ROCHMA L PEKERJA
PEMERIN
Carcinoma in situ of bronchus and lung
246 15/08/2017 1835931205 MUHAM
NI
MUHAMA L MANDIRI
TAH NON Hiccough
MAD
265 14/08/2017 2237962498 D IWAN
AGUS L PNS
PEGAWAI Gangrene, not elsewhere classified
297 11/8/2017 FIYAN
1897179928 MUHAMA L SWASTA
PBI Traumatic arthropathy, hand
AKHMAD
351 8/8/2017 610143726 D SYAFI'I
ROMDHO L (APBN)
355 8/8/2017 1317234745 N DWI L SWASTA
PEGAWAI Mucocele
Unspecified ofcontact
salivary dermatitis,
gland unspecified
KHANZA
406 5/8/2017 1602809267 WINARNA
DWI AL L SWASTA
PEKERJA cause
409 5/8/2017 1853617151 MUHAM
AISYAH L MANDIRI
PBI Congestive heart failure
MAD
437 3/8/2017 609104654 ARKAANU
SOLIKIN L (APBN)
MUHAMA
455 3/8/2017 1266967945 LDHAKIM L DAERAH
476 3/8/2017 2265021595 MASHURI L MANDIRI
PNS Low vision,
Allergic one eye
contact dermatitis due to drugs in
478 2/8/2017 75172702 SUDARGO L DAERAH
PBI contact with skin
Unspecified abdominal hernia without
483 2/8/2017 611105951 MUHADI
PULAMA L (APBN)
PEKERJA obstruction or gangrene
LULU'
19 31/08/2017 2050962118 H LUTFIYAN P MANDIRI
PEKERJA Benign neoplasm of breast
WAHYU
31 30/08/2017 TI
1429350467 NUR P MANDIRI
PBI Acute periodontitis
AN-NISA
39 29/08/2017 609700509 A'ISAH
MAULATI P (APBN)
PEKERJA Prolonged pregnancy
59 28/08/2017 1429349332 FAH P MANDIRI
PEGAWAI Scoliosis, unspecified, thoracolumbar region
86 26/08/2017 2253001735 NASMIAH
SARIYATU P SWASTA
PBI Cataract, unspecified diabetes mellitus
110 22/08/2017 610975361 N DAHLIAH P (APBN)
ZAHIRA
114 22/08/2017 SARI
1404246003 ALMAIRA P SWASTA
PEKERJA End-stage renal disease
123 22/08/2017 2089869311 WAHIBA P MANDIRI
PNS Fever, unspecified
124 22/08/2017 2090225057 SUHARTI P DAERAH
KHOIR
127 22/08/2017 2267447297 SUMARNI
AKFINI P MANDIRI
SANI
130 21/08/2017 75106596 DIDIA
NOVI P MANDIRI
PNS bacteriological or histological confirmation
132 21/08/2017 203800037 ASTUTI P DAERAH
141 21/08/2017 610979062 RUSMI
ISMAWAT P (APBN)
149 21/08/2017 1851090355 IISTIROKH P MANDIRI
154 21/08/2017 2265980782 AH P MANDIRI Schizophrenia, unspecified
PEKERJA
155 21/08/2017 2267447297 SUMARNI
BINTAR P MANDIRI
158 19/08/2017 75477385 FATWANI P DAERAH
PBI with unspecified
Chronic complications
obstructive pulmonary disease,
Gastric ulcer, unspecified as acute or
163 19/08/2017 1614530867 SUMINI
ROMDON P (APBD)
PEKERJA unspecified
chronic, without haemorrhage or
KHOIR
167 19/08/2017 1815390988 AH
AKFINI P MANDIRI
PEKERJA perforation
Tuberculosis of lung, confirmed by
ARI
170 18/08/2017 75106596 IRMA
DIDIA
WIDIAST P MANDIRI
PEGAWAI unspecified means
JAUZA
216 16/08/2017 1534235152 UTI
HERIASKA P SWASTA
232 15/08/2017 165558453 LMA
ISMAWAT P DAERAH
PEKERJA Chronic rhinitis
247 15/08/2017 I
1851090355 ELVI P MANDIRI
Insulin-dependent diabetes mellitus without
251 15/08/2017 2267447297 RAARNELI
SUMARNI P MANDIRI
PNS complications
TA
288 11/8/2017 75456178 MURIDAH
RAMADH P DAERAH
PEGAWAI Surgical follow-up care, unspecified
295 11/8/2017 1534201863 ANI P SWASTA
PEKERJA Bronchopneumonia, unspecified
299 11/8/2017 2090666013 SUSMINI
ISTIQOM P MANDIRI
PEKERJA Asthma, unspecified
302 11/8/2017 2255441512 AH P MANDIRI
PBI Primary inadequate contractions
310 10/8/2017 1028761029 RINA
IRNA P (APBN)
315 10/8/2017 2089131715 MEILANI
SRI P SWASTA
PEKERJA Benign mammary dysplasia, unspecified
341 9/8/2017 2251882528 SURYATI P PENERIM
MANDIRI Mumps without complication
PNS
A
345 8/8/2017 77666308 DARMISIH P DAERAH
PENSIUN Low backobstructive
Chronic pain, site unspecified
pulmonary disease with
346 8/8/2017 158509912 RISKI
SUKARSIH P PNS
PBI acute lower respiratory infection
402 5/8/2017 1532331606 FIDAYANI
TITIN TRI P (APBD)
PBI Other and unspecified
Unspecified abdominal pain
abortion, incomplete, without
422 4/8/2017 1028759736 NISTRI P (APBN)
PNS complication
426 4/8/2017 1838206001 ASMIRAH
HARI P DAERAH
ANDRIANI
436 3/8/2017 75346086 NADA
SUKESI
INDAHW P DAERAH
PEGAWAI Gangrene, not elsewhere classified
FAJRIYA
457 3/8/2017 1374293395 ATI
SALSABIL P SWASTA
PEGAWAI Acute bronchiolitis, unspecified
477 3/8/2017 2271791169 A P SWASTA
PBI Bronchopneumonia, unspecified
485 2/8/2017 1532330908 MUNTARI P (APBD)
PNS Low back pain,
Unspecified site unspecified
contact dermatitis, unspecified
496 1/8/2017 75305406 PRIYANTI P DAERAH cause
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JK PNS
13 29/09/2017 75175446 ZUHRON L DAERAH
PEKERJA Calculus of kidney
21 29/09/2017 1379290195 MULYADI L MANDIRI Other benign neoplasm of skin, unspecified
32 28/09/2017 609104654 SOLIKIN
MUCH L PBI (APBN) Schizophrenia, unspecified
PEKERJA
58 27/09/2017 1429346698 RANGGA
ICHSAN
MISBAKH L MANDIRI Gastritis, unspecified
Other benign neoplasm of connective and
BAYU
67 26/09/2017 1084271027 UN
SETYAWA L PBI (APBN)
PEGAWAI other soft tissue of head, face and neck
77 26/09/2017 1847632476 N
AGUS L SWASTA Suppurative
PEGAWAI Chronic otitis media,
obstructive unspecified
pulmonary disease,
78 26/09/2017 1880331568 WALUYO L SWASTA
PEKERJA unspecified
104 25/09/2017 2283874299 MUSLIKUN
MISBAKH L MANDIRI Impacted teeth
118 23/09/2017 1084271027 UN
KUNARSO L PBI (APBN) Schizophrenia, unspecified
PEKERJA
MUHAMA
128 23/09/2017 2283356068 ADE
D KHUSNI L MANDIRI
PEKERJA Acute myocardial infarction, unspecified
144 22/09/2017 1296533586 AHMADI
KIRMANT L MANDIRI
PEKERJA Epilepsy,
Follow-upunspecified
WIWIK
181 19/09/2017 O
1310995743 KUSTRION L MANDIRI other conditions
PNS
PENERIMA
188 18/09/2017 75065286 O
MOH L DAERAH
PENSIUN Chronic ischaemic heart disease, unspecified
ANDREAS
191 18/09/2017 75413452 KHOLID
RIYONO L PNS
PEKERJA Vascular headache,
Stroke, not specifiednot
as elsewhere
haemorrhage classified
or
S MIN
260 16/09/2017 2274613435 HADI
KARTOAT L MANDIRI
PEKERJA infarction
295 14/09/2017 1722321538 M NUR
MODJO L MANDIRI
PEKERJA Renovascular hypertension
HASAN
HERI
297 14/09/2017 2195115219 HIDAYATU
SUWAJI L MANDIRI Epilepsy, unspecified
PEKERJA
KUNTO
298 14/09/2017 2239392508 LLAH
WIBISONO L MANDIRI
PENERIMA
301 13/09/2017 40724379 ,SH L PUSAT
PENSIUN Cardiomegaly
Influenza due to identified avian infliuenza
305 13/09/2017 75417399 ATMAN L PNS
PEGAWAI virus
327 13/09/2017 2084808609 MUHAMM
SAHRI
FATA L SWASTA bacteriological or histological confirmation
AD RIZKI
351 12/9/2017 1083987369 ARIYANTO
FATAHILA L PBI (APBN) Chronic renal failure, unspecified
PEGAWAI
ALBAR
365 12/9/2017 H
2269828001 KHOIRUDI L SWASTA Tuberculosis
PEKERJA Kwashiorkor of lung, confirmed by
385 11/9/2017 1261483885 N PEGAWAI
MANDIRI unspecified means
MUHAJIRI L PEMERINT
425 8/9/2017 609629095 N
SUPRIYON L PBI (APBN) Acute conjunctivitis, unspecified
AH NON
438 8/9/2017 2237941179 O L PNS
PNS Myopia
Internal haemorrhoids with other
AKHMAD
440 7/9/2017 75363423 MOHAM
MUKHLAS
SULAEMA L DAERAH
MAD
455 7/9/2017 N
2276376917 RISTYO L MANDIRI Disease of appendix, unspecified
464 6/9/2017 610199019 EFFENDI
MUCH L PBI (APBN) Schizophrenia, unspecified
467 6/9/2017 610978678 AMIN
ROCHMA L PBI (APBN)
PEKERJA infarction
AKHMAD
477 6/9/2017 1835931205 NI
SULAEMA L MANDIRI
PEKERJA Hiccough
482 6/9/2017 2276376917 N L MANDIRI Other and unspecified abdominal pain
489 5/9/2017 609621671 SUKARMA
RISMAN L PBI (APBN) Chronic ischaemic heart disease, unspecified
ACHMAD PENERIMA
493 5/9/2017 611065337 N
MASDUKI, L PBI (APBN) Dyspnoea
PENSIUN
512 4/9/2017 75255849 BA L PEGAWAI
SITI
M PNS
PEMERINT
521 4/9/2017 1434487465 AMINAH
MUCHLISI L DAERAH
AH NON Glaucoma, unspecified diabetes mellitus
526 4/9/2017 2079785564 N L PNS
528 4/9/2017 2238695109 MUHLISIN
NOOR L MANDIRI
PEGAWAI Myopia
545 2/9/2017 1274041304 FATONI L SWASTA Unspecified
PEKERJA Other specified rheumatoid
diabetes arthritis
mellitus with
9 30/09/2017 1850919614 SUMIATI
LAYYINAT P MANDIRI peripheral circulatory complications
20 29/09/2017 1028759117 USY SYIFA P PBI (APBN) Impacted teeth
23 29/09/2017 1532330482 SUKAMTO P PBI
PNS(APBD) Surgical follow-up care, unspecified
30 28/09/2017 75293019 BADRIYAH P DAERAH Other
Other cervical disc displacement
benign neoplasm of connective and
51 27/09/2017 609072838 WARNING
SOLIKATI P PBI (APBN) other soft tissue of head, face and neck
PEKERJA
61 27/09/2017 2204636062 SIH P MANDIRI Low vision, both eyes
65 26/09/2017 1028752716 ASIYAH P PBI
PNS(APBN) Acute ischaemic heart disease, unspecified
82 25/09/2017 75163386 FARUROH P DAERAH
PNS Atrophic disorder of skin, unspecified
SITI
83 25/09/2017 75165669 KUNAENI
ROKHANA P DAERAH
PEGAWAI Rheumatoid
Haemorrhagearthritis,
in earlyunspecified
pregnancy,
94 25/09/2017 1533990363 H P SWASTA
PEKERJA unspecified
97 25/09/2017 2069146787 SUMIYAK P MANDIRI
PEKERJA Malignant neoplasm of ovary
102 25/09/2017 2201497997 KARMINI P MANDIRI Pregnancy-related condition, unspecified
113 23/09/2017 609921729 UMAIYAH P PBI (APBN) Asthma, unspecified
SUHARTAT PEKERJA
119 23/09/2017 1422016266 IK P MANDIRI
PEKERJA Pregnancy-related condition, unspecified
129 23/09/2017 2283356259 SUPAMI P MANDIRI Insulin-dependent
Pain in joint, hand diabetes mellitus without
136 22/09/2017 609887452 ASMONAH
IKA NUR P
NADA PEKERJA complications
PBI (APBN)
161 20/09/2017 1477461846 ANISA
FAJRIYA P MANDIRI
PEGAWAI Headache
170 20/09/2017 2271791169 SALSABILA
SRI P SWASTA Hypothyroidism, unspecified
208 18/09/2017 1028759758 WAHYUNI
TRI MAYA P PBI (APBN) Acute bronchitis, unspecified
PEGAWAI
209 18/09/2017 1191571266 SARI
NGATEMA P SWASTA Delivery by caesarean section, unspecified
212 18/09/2017 1532436851 H P PBI (APBD) Pleural
PEKERJA effusion,
Follow-up not elsewhere
examination classified
after surgery for
AZKIA
257 16/09/2017 2230120901 ROCHMINI
AUFI P MANDIRI
SITI
273 15/09/2017 1534536415 MAULIDA
ACHADIYA P SWASTA Other specified dermatitis
SRI
289 14/09/2017 610565747 H
PULYANA P PBI (APBN) Epilepsy, unspecified
PEKERJA
300 14/09/2017 2279815942 H P MANDIRI Complicated cataract
PENERIMA
321 13/09/2017 1532330482 SUKAMTO P PBI (APBD) Malignant neoplasm of head, face and neck
PENSIUN
334 12/9/2017 75233529 SUYANAH P PNS
RATIH
335 12/9/2017 75456178 MURIDAH
WULANDA P DAERAH Surgical
Prematurefollow-up
rupturecare, unspecified
of membranes,
348 12/9/2017 1023430072 RI
MUSYARO P PBI (APBN)
PEKERJA unspecified
364 12/9/2017 2261442047 FAH P MANDIRI Gastritis, unspecified
382 11/9/2017 1028755629 SUCI P PBI (APBN) Cataract, unspecified
PEKERJA
401 11/9/2017 2052229487 NYAMI P MANDIRI Chronic conjunctivitis
416 9/9/2017 1028761029 RINA
NGATEMA P PBI (APBN) Surgical follow-up care, unspecified
AN-NISA
434 8/9/2017 1532436851 H
MAULATIF P PBI (APBD) Surgical follow-up care, unspecified
PEKERJA
ELVIRA
448 7/9/2017 1429349332 AH
DOROTHE P MANDIRI
PNS Scoliosis, unspecified, thoracolumbar region
457 6/9/2017 75168876 A P DAERAH Pulpitis
468 6/9/2017 610979062 RUSMI P PBI (APBN) Congestive heart failure
492 5/9/2017 610233232 RASMI
TUNJUNG P PBI
PNS(APBN) Chronic ischaemic heart disease, unspecified
504 5/9/2017 1862136753 RIFATMA
SITI P DAERAH
PEKERJA Myopia
507 5/9/2017 1964432272 ASIYAH
SRI P MANDIRI
PEGAWAI Benign neoplasm of other specified sites
LILIA
520 4/9/2017 1404804701 FATONAH
SAPTANIN P SWASTA
PEKERJA Pre-eclampsia, unspecified
529 4/9/2017 GSIH
2238695234 SRI P MANDIRI Female infertility, unspecified
PEKERJA
547 2/9/2017 1534534211 BUDIYATI P MANDIRI Angina pectoris, unspecified
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JK PNS Stroke, not specified as haemorrhage or
FATA PENERIM
1 31/10/2017 75172702 ARIYANT
SUDARGO L DAERAH
PBI infarction
A
PENERIM
73 28/10/2017 1083987369 O L (APBN)
PENSIUN Chronic renal failure, unspecified
ACHMAD A
134 25/10/2017 75202683 MOHAM
SAUD
MASDUKI, L PNS
PENSIUN Presence of intraocular lens
MAD
135 25/10/2017 75255849 BA
KHAERUL L PNS
PEGAWAI Cerebellar stroke syndrome
DAVIYAN
182 23/10/2017 2065917341 MUNIF
ONGGO L SWASTA
184 23/10/2017 2092172051 ALFARO
RAHMAT L SWASTA
PEKERJA Observation
Acute for suspected
and transient tuberculosis
psychotic disorder,
AGUS
189 23/10/2017 2292982964 BUDIMAN
ARIYANT L MANDIRI
PEGAWAI unspecified
198 21/10/2017 609407921 YOGA
O L SWASTA
PEKERJA Hemiplegia, unspecified
BILDA
227 20/10/2017 2249937549 PANDOL
ANDREA L MANDIRI
PEGAWAI Oedema,
Unspecifiedunspecified
haemorrhoids without
MAYURA
240 19/10/2017 1378685092 MUHAM
WAN
WAHYU L SWASTA
PEKERJA complication
MAD
268 17/10/2017 75418929 MOHAM
UTAMA
RAFID L MANDIRI
MAD
MOHAM
329 16/10/2017 ARAFAT L
1855542881 RISTYO DAERAH
PBI Tuberculous peripheral lymphadenopathy
MAD
353 14/10/2017 610199019 EFFENDI
KHAERUL L (APBN)
S MIN PENERIM
402 11/10/2017 2065917341 MUNIF
KARTOAT L SWASTA
PEKERJA without obstruction or gangrene
ACHMAD A
424 10/10/2017 1722321538 MODJO
MASDUKI, L MANDIRI
PENSIUN Cervicobrachial syndrome
AHMAD
435 9/10/2017 75255849 BA
AINUR L PNS
PBI infarction
Disorders of plasma-protein metabolism, not
478 7/10/2017 609584883 ROFIK L (APBN)
PNS elsewhere classified
ARI
497 6/10/2017 75175446 ZUHRON
AGUNG L DAERAH
PBI Calculus
Follow-up ofexamination
kidney after surgery for
549 4/10/2017 610187815 RIYADI
MUSTAKI L (APBN)
PBI other conditions
AKHMAD PENERIM
552 4/10/2017 1084326412 M
SULAEMA L (APBN)
A
559 4/10/2017 2276376917 N L MANDIRI
PENSIUN Disease of appendix, unspecified
562 3/10/2017 75417399 ATMAN
MUHAMA L PNS
PBI Myopia
606 2/10/2017 1028755787 D CHODRI L (APBN)
PBI Epilepsy, unspecified
607 2/10/2017 1028760704 WAGIRAN
SLAMET L (APBN)
PEGAWAI Verti of central origin
614 2/10/2017 1739390051 WAHYUDI L SWASTA
PNS Myopia
3 31/10/2017 75457732 SETYANI P DAERAH
PBI infarction
6 31/10/2017 609637421 MUNI'AH
RISKI P (APBN)
PBI Cardiomegaly
LILIA
16 31/10/2017 FIDAYANI P
1532331606 SAPTANIN (APBD)
25 31/10/2017 2238695234 GSIH P MANDIRI
53 30/10/2017 2033860342 SUNARSIH P MANDIRI
PNS Benign neoplasm of thyroid gland
59 28/10/2017 75160978 ASIYAH P DAERAH
PBI Acute ischaemic heart disease, unspecified
62 28/10/2017 609072838 SOLIKATI
ISTIQOM P (APBN)
PBI Tuberculosis of other as
Stroke, not specified specified organs or
haemorrhage
72 28/10/2017 AH
1028760838 SITI P (APBN)
PEKERJA infarction
SRI
110 27/10/2017 2086508226 ARWIYAH
PURWAN P MANDIRI
PNS Chronic ischaemic heart disease, unspecified
SITI
132 25/10/2017 75065297 TI
MUNAW P DAERAH
PBI Contusion of thorax
137 25/10/2017 609084764 AROH
KUMAER P (APBN)
PEKERJA Verti of central
Maternal origin
care for disproportion of mixed
139 25/10/2017 609500709 ZAHROTA
OH
SUSI P MANDIRI
PEKERJA maternal and fetal origin
'ILMA
155 25/10/2017 2295137575 SOFIANA
SHIDQIYY P MANDIRI
PEGAWAI Malignant neoplasm
Other disorders of ovary
of bone development and
166 24/10/2017 A
2239448681 SITI P SWASTA
PNS growth, ankle and foot
196 21/10/2017 75438538 MAIZUN
ISTIQOM P DAERAH
PBI Parkinson's disease as haemorrhage or
Stroke, not specified
204 21/10/2017 1028760838 AH
JUMROTU P (APBN)
PEKERJA infarction
208 21/10/2017 1861031788 N P MANDIRI
PNS Chronic gastritis, unspecified
213 20/10/2017 75173477 SUMARNI
ROMDON P DAERAH
220 20/10/2017 AH
609782343 SOLIKHAT P (APBN)
PEKERJA Senile cataract, unspecified
228 20/10/2017 2251594506 UN P MANDIRI
PBI Supervision of other normal
Non-insulin-dependent pregnancy
diabetes mellitus
236 19/10/2017 610108312 HANDAH P (APBN)
251 18/10/2017 75165669 KUNAENI
RUFIATU P DAERAH
PBI Rheumatoid arthritis, mellitus
Unspecified diabetes unspecified
with other
269 17/10/2017 610156833 N P (APBN)
PBI specified complications
272 17/10/2017 1028754922 LASIYEM P (APBN)
PBI Nonspecific reactive hepatitis
299 16/10/2017 610116131 SU'AYATI
MUKARO P (APBN)
317 16/10/2017 1450634242 MAH
SRI P MANDIRI
330 16/10/2017 1866855216 PUJIATI P MANDIRI Chronic renal failure, unspecified
MUNASIY PEKERJA
333 16/10/2017 2039215241 AH
UMRONA P MANDIRI
PEKERJA Glaucoma, unspecified
336 16/10/2017 2059389944 H P MANDIRI
PNS Leiomyoma
Contact withofother
uterus,
hotunspecified
fluids as an external
348 14/10/2017 75166468 MARTINI
RISKI P DAERAH
PBI cause of morbidity and mortality
LILIS
356 14/10/2017 1532331606 FIDAYANI
RETNOSA P (APBD)
PEKERJA Localized swelling, mass and lump, neck
364 14/10/2017 2082358754 RI
WIJI P MANDIRI
370 13/10/2017 206589442 MENURS
LESTARI P DAERAH
PBI Polyneuropathy, unspecified
ARI
372 13/10/2017 609455193 SAYUMI
HERWIYA P (APBN)
PEKERJA Chronic gastritis,
Unspecified unspecified
376 13/10/2017 1879895463 NTI
MARYAN P MANDIRI
PBI unspecified complications
412 10/10/2017 610075473 AH P (APBN)
444 9/10/2017 609578155 SUPAMI P (APBN)
PEKERJA Sciatica
DESTY
454 9/10/2017 1483786811 SUKATI
ERLINGTA P MANDIRI
SRI
464 9/10/2017 2200600945 ARIANI
PULYANA P SWASTA
PEKERJA Chronic gastritis,disorder
Postprocedural unspecified
of eye and adnexa,
470 9/10/2017 2279815942 HLILIK P MANDIRI
PBI unspecified
487 7/10/2017 1532327286 MUCHANI P (APBD)
PNS Decubitus ulcer
SITI
493 7/10/2017 2090225057 OSSY
SUHARTI
MURSIDA P DAERAH
PNS Aphakia
MARHDIA
498 6/10/2017 75290319 HNTI P DAERAH
PBI neurological complications
499 6/10/2017 609122834 UTAMI
FINURYA P (APBN)
PNS Fracture of patella, closed
SITI ROI
513 5/10/2017 NAH
75163465 KHAFIDH P DAERAH
PNS Myopia
516 5/10/2017 209936013 OH P DAERAH
PBI Thyrotoxicosis, unspecified
518 5/10/2017 609072838 SOLIKATI
SRI P (APBN)
LAKEISHA
525 5/10/2017 1028758948 NURAINI
SHAZFA P (APBN)
PEGAWAI Ischaemic cardiomyopathy
Other specified extrapyramidal and
538 5/10/2017 2231318935 CHAYRA P SWASTA
PBI movement disorders
546 4/10/2017 609578155 SUPAMI
ROCHISO P (APBN)
PBI Low back pain,insite
Haemorrhage unspecified
early pregnancy,
566 3/10/2017 609050474 H P (APBN)
PEKERJA unspecified
586 3/10/2017 1850919614 SUMIATI
ISMAWAT P MANDIRI
PEKERJA peripheral circulatory complications
587 3/10/2017 1851090355 ISITI P MANDIRI
IRMA
589 3/10/2017 1964432272 ASIYAH
YANUAR P MANDIRI
PNS Benign neoplasm of other specified sites
595 2/10/2017 75164455 KRISTI P DAERAH
PBI Impacted
Anaemia in teeth
other chronic diseases classified
603 2/10/2017 610979062 RUSMI P (APBN) elsewhere
YA
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MUHAM
MAD JK PBI
4 30/11/2017 609104654 FALAH
SOLIKIN L (APBN)
5 30/11/2017 609771723 SHAQUILL
FAUZI
JUNI L (APBN)
E AL
18 29/11/2017 75415083 MOHAM
ISYANTA
RAFAEYZ L DAERAH
PEGAWAI Observation for suspected tuberculosis
MAD
36 29/11/2017 2259212782 A
RISTYO L SWASTA
PBI Nonspecific lymphadenitis
39 28/11/2017 610199019 EFFENDI
ROCHMA L (APBN)
BAMBAN
44 28/11/2017 D
1526873681 G L MANDIRI
PBI Unspecified renal colic
45 28/11/2017 1532437121 SUJARWO L (APBD)
PEGAWAI Inguinal hernia
M. FARIZ PENERIM
81 27/11/2017 2084808609 SAHRI
HADIYAN L SWASTA
PNS bacteriological or histological confirmation
A
PENERIM
87 25/11/2017 75465639 AKBAR
SOEMANT L DAERAH
PENSIUN Malocclusion, unspecified
A
106 24/11/2017 75241629 RI L PNS
PENSIUN Atherosclerotic heart disease
107 24/11/2017 75320368 BUDIMAN
MOH L PNS
PEGAWAI Benign neoplasm of thyroid gland
116 24/11/2017 1128475282 IKHSAN L SWASTA
PBI Ascites
146 22/11/2017 609621671 RISMAN
MAHMUD L (APBN)
158 21/11/2017 609424121 MUHAM
IMUHAM
MUHAMA L (APBN)
PBI Senile cataract, unspecified
MAD
159 21/11/2017 D
610143726 MAD SYAFI'I
BINTANG L (APBN)
163 21/11/2017 1085695716 HAMNYC
AR-RASYQ L PEGAWAI
DAERAH
PEKERJA Acute bronchitis, unspecified
O PEMERIN
166 21/11/2017 1857266291 ADERALD
SUTANTO L MANDIRI
TAH NON Acute ischaemic heart disease, unspecified
168 21/11/2017 2266987869 SADZALI L PNS
PBI Otitis
Chronicmedia, unspecified
obstructive pulmonary disease,
S MIN PENERIM
180 20/11/2017 610298537 DJUMANI
KARTOAT L (APBN)
PEKERJA unspecified
A
223 18/11/2017 1722321538 MODJO L MANDIRI
PENSIUN Acute renal failure, unspecified
242 16/11/2017 75320368 BUDIMAN L PNS
PBI Mumps
ADI
245 16/11/2017 609114205 SUKINI
PAMUNG L (APBN)
PBI Low backof
Disorder pain
middle ear and mastoid,
246 16/11/2017 KAS
609868091 KIRMANT L (APBN)
PEKERJA unspecified
DAVIYAN
254 16/11/2017 1310995743 OONGGO L MANDIRI
282 15/11/2017 2092172051 ALFARO
RAHMAT L SWASTA
PEKERJA Unspecified chronic bronchitis
Acute and transient psychotic disorder,
287 15/11/2017 2292982964 BUDIMAN
RADITYA L MANDIRI
PBI unspecified
Acute upper respiratory infection,
AHMAD
300 14/11/2017 610163392 PUTRA
ZAMAHSA L (APBN)
PEGAWAI unspecified
M. FARIZ
314 14/11/2017 RI
1699732258 HADIYAN L SWASTA
PNS Nontoxic diffuse itre
370 10/11/2017 75465639 AKBAR L DAERAH
PNS Nasal polyp, unspecified
397 8/11/2017 75172702 SUDARGO L DAERAH
PBI Dissociative amnesia
JOKO
402 8/11/2017 609114205 SUKINI
HERMAW L (APBN)
PEGAWAI Low back pain
405 8/11/2017 1374293092 AN
SUPRIHA L SWASTA
PBI Acute abdomen
MUCH
CATUR
431 7/11/2017 DI
1028758386 CAHYO L (APBN)
PBI complications
WISNU
434 7/11/2017 1083930142 YOGA
RISKIKA
MANUSA L (APBN)
PEKERJA Hebephrenic schizophrenia
BILDA
438 7/11/2017 1482548062 MA
ANDREA L MANDIRI
PEGAWAI Depressive episode, unspecified
484 4/11/2017 1378685092 WAN L SWASTA
PEKERJA Impacted teeth hernia, with obstruction,
Bilateral inguinal
493 4/11/2017 2195115219 SUWAJI
SUDIYANT L MANDIRI
PNS without gangrene
SETIJO
501 3/11/2017 75163476 OPUDJIART L DAERAH
PNS complications
510 2/11/2017 O
75056275 WIJI L DAERAH
PNS Rheumatoid
Stroke, arthritis,as
not specified unspecified,
haemorrhagehand
or
NUR
3 30/11/2017 206589442 LESTARI
DEWI P DAERAH
PEGAWAI infarction
9 30/11/2017 FITRIYANI P
1447509969 INDAH SWASTA
PBI Haemorrhage in early
Chronic obstructive pregnancydisease,
pulmonary
11 30/11/2017 1614530867 ANUGRA
SUMINI P (APBD)
PEKERJA unspecified
H
15 30/11/2017 2275056729 JUMIATI
SARASWA P MANDIRI
16 29/11/2017 TI
66300074 UMIYATU P DAERAH
Insulin-dependent diabetes mellitus with
17 29/11/2017 75175435 N P DAERAH
PBI unspecified complications
24 29/11/2017 610187635 ENDANG
SARTINI P PENERIM
(APBN) with unspecified complications
PNS
A
37 28/11/2017 75165669 INDRI
KUNAENI P DAERAH
PENSIUN Low vision,
Chronic both eyespulmonary disease with
obstructive
DWI
55 27/11/2017 158509912 ZAHROTA
SUKARSIH
PRIHATINI P PNS
PEGAWAI acute lower respiratory infection
'ILMA
67 27/11/2017 NGSIH
1187368075 SHIDQIYY P SWASTA
PEGAWAI Polyp of
Other vagina of bone development and
disorders
83 27/11/2017 2239448681 A P SWASTA
PEKERJA growth, ankle and foot
103 25/11/2017 2090666013 SUSMINI P MANDIRI
PEKERJA Asthma, unspecified
126 24/11/2017 2304345014 SENAH P MANDIRI Low back pain, site unspecified
MURSIDA PNS
129 23/11/2017 75378385 HSRI P DAERAH
PNS Acute bronchitis, unspecified
130 23/11/2017 75404812 MURYANI P DAERAH
SITI
131 23/11/2017 609072838 SOLIKATI
MUAWA P (APBN)
KEPOLISIA Tuberculosis of other as
Stroke, not specified specified organs or
haemorrhage
136 23/11/2017 1268979682 NAH
DAHLIAH P N RI
PEGAWAI infarction
137 23/11/2017 1404246003 SARI
SOLKHAN P SWASTA
PEGAWAI End-stage renal disease
164 21/11/2017 1136569241 AH P SWASTA
PBI Cranial nerve disorder, unspecified
165 21/11/2017 IRMA
1532329907 ASMAWI P (APBD)
MULYO
JAUZA PEKERJA Cataract, unspecified
167 21/11/2017 1857267549 BUDIARTI
HERIASKA P MANDIRI
PNS Other and unspecified abdominal pain
ALIFFIA
176 20/11/2017 165558453 LMA
FIDYASTU P DAERAH
PBI Acute sinusitis, unspecified
APRILIA
182 20/11/2017 611081831 TIK
ISNAINI P (APBN)
RIZQY PENERIM
185 20/11/2017 1533995842 YUNITA
WULAN P SWASTA
PEGAWAI Pregnancy-related condition, unspecified
NA JUN A
204 18/11/2017 165682045 SARI
MOY AL P SWASTA
PENSIUN Supervision of normal first pregnancy
212 18/11/2017 976489569 HERNI P TNI
PEKERJA Headache
LAILATUL
215 18/11/2017 1154116517 ROSYIDAH
BADRIYA P MANDIRI
PBI Twin pregnancy
EVELYNT
216 18/11/2017 1532298396 HBELVANIA P (APBD)
227 18/11/2017 2262991847 MIKAILA
DWI P MANDIRI
PNS Acute bronchitis, unspecified
SITI
237 16/11/2017 75055217 SETIORINI
MUNAW P DAERAH
244 16/11/2017 609084764 AROH P (APBN) Obstetric
PBI
andotitis
Acutehepatitis
Viral serous gynaecological devices
media pregnancy,
EMA associated withcomplicating
adverse incidents,
249 16/11/2017 1028754922 LASIYEM
MUGHNI P (APBN)
PBI childbirth and the
miscellaneous puerperium
devices, not elsewhere
EVVI
250 16/11/2017 1028757868 ASETIYANI P (APBN)
PEKERJA classified
283 15/11/2017 2204636444 NGSIH P MANDIRI
PEKERJA Disorder of eyelid, unspecified
SITI
320 14/11/2017 2033860342 SUNARSIH
KUMAER P MANDIRI
334 13/11/2017 607883128 OH
SOPIYATU P (APBN)
PUTRI
335 13/11/2017 N
609073751 NAFISATU P (APBN) Tuberculosis
PEGAWAI Schizophrenia, ofunspecified
lung, confirmed by
PUTRI
348 13/11/2017 1534536404 LKHOIRUN
ARIZKA
NADHIFA P SWASTA
PEKERJA unspecified means
353 13/11/2017 H
2287957645 NISA
BINTAR P MANDIRI
PNS Melanocytic naevi, unspecified
400 8/11/2017 75477385 SALSABIL
FATWANI
NURUL P DAERAH
A
404 8/11/2017 1301580887 KHALIM
KAUTSAR P MANDIRI
PEGAWAI Unspecified lump in breast
406 8/11/2017 ANI
1423098123 JUWARIY P SWASTA Chronic tonsillitis
PEGAWAI
407 8/11/2017 1429937741 AH
AHADIYA P SWASTA
PBI Maternal
Stroke, not care for fetal
specified asproblem, unspecified
haemorrhage or
408 8/11/2017 1532335329 HSRI P (APBD)
PEKERJA infarction
415 8/11/2017 2251882528 SURYATI P MANDIRI
PBI Mumps without complication
429 7/11/2017 1028753346 KASMI
KARMINE P (APBN)
PBI Leiomyoma of uterus, unspecified
432 7/11/2017 1028758397 M P PEGAWAI
(APBN) Hypermetropia
PBI
PEMERIN
435 7/11/2017 1084115968 IRIANTI P PENERIM
(APBN)
TAH NON Chronic
A
renaldiabetes
Unspecified failure, unspecified
mellitus without
465 6/11/2017 2062890178 BADRIYAH
SITI P PNS
PENSIUN complications
473 4/11/2017 75401436 ALIFAH
RIS P PNS
PBI Verti of central origin
475 4/11/2017 609420341 IRIYANTI
ISTIKHOM P (APBN)
479 4/11/2017 609913315 AH
FINURYA P (APBN)
PNS Somatoform disorder,mellitus
Unspecified diabetes unspecified
without
500 3/11/2017 NAH
75163465 SRI P PENERIM
DAERAH complications
PEKERJA
A
509 3/11/2017 2215414732 HARTINI
SRI P MANDIRI
PENSIUN Chronic nasopharyngitis
NUR
512 2/11/2017 75201412 PATONAH
WAKHIDA P PNS
516 2/11/2017 611014735 H P (APBN)
517 2/11/2017 1028753177 KAMIDAH
ANA P (APBN)
PNS Hypermetropia
521 2/11/2017 1160501409 RIYANI P DAERAH Unspecified
PEKERJA Myopia diabetes mellitus without
525 2/11/2017 1805901726 NURYATI P MANDIRI
550 1/11/2017 2033860342 SUNARSIH P MANDIRI
PEKERJA Benign neoplasm of thyroid gland
552 1/11/2017 2071057814 KUMINI
ROZIKHA P MANDIRI
PEKERJA Orthopaedic
Supervision of follow-up
pregnancy care, unspecified
with grand
553 1/11/2017 2275999345 H P MANDIRI multiparity
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MUKHAM
MAD
IBNU JK PBI
3 29/12/2017 609935365 SABEL
PRANOW L (APBN)
PEGAWAI
10 28/12/2017 1815228314 O L SWASTA
PBI
FAJAR
14 27/12/2017 609114205 SUKINI
KURNIAW L (APBN)
PEKERJA
21 27/12/2017 1278884103 AN
ZAINAL L MANDIRI
PEKERJA
26 27/12/2017 1864563827 ABIDIN
HERMAN L MANDIRI
PEGAWAI
38 23/12/2017 1028759861 FARDANI L SWASTA
PEKERJA
51 23/12/2017 2293165912 SUMAR L MANDIRI
PNS
66 21/12/2017 75173859 SUPARNO L DAERAH
PBI
71 21/12/2017 610975956 ALI
BUDISOHDI L (APBN)
PEKERJA
81 21/12/2017 1847871448 YUWONO
AGUS L MANDIRI
PEGAWAI
85 21/12/2017 1880331568 WALUYO
M.RIFKI L SWASTA
PEGAWAI
91 20/12/2017 1529046459 RIFAI L SWASTA
PBI
107 18/12/2017 M NUR
609114205 SUKINI L (APBN)
HASAN PBI
113 18/12/2017 610051072 SOLEMAN
HIDAYAT L (APBN)
PEKERJA
242 12/12/2017 2239392508 ULLAH
SUJI L MANDIRI
PEKERJA
251 11/12/2017 1390611699 AMAN L MANDIRI
PNS
265 9/12/2017 75300445 AHMAD
SUTAMA L DAERAH
PBI
313 7/12/2017 1028757677 N
SUBURIYA L (APBN)
PEKERJA
342 6/12/2017 1811084905 NTO L MANDIRI
PEKERJA
346 6/12/2017 2242307968 SOBIRIN L MANDIRI
PEKERJA
349 6/12/2017 2293165912 SUMAR
NUR L MANDIRI
PBI
357 5/12/2017 610509216 ROHMAT
SUMADI L (APBN)
PEKERJA
368 5/12/2017 2294115502 YAHYA L MANDIRI
PBI
374 4/12/2017 MUHAM
609410496 AKROM L (APBN)
MAD PBI
389 4/12/2017 1028760142 HERI
ROKHANI L
RAFID (APBN)
PNS
KUNTO PENERIM
400 4/12/2017 1855542881 ARAFAT
WIBISON L DAERAH
PNS
ACHMAD A
413 3/12/2017 40724379 O,SH
MASDUKI, L PUSAT
PENSIUN
AGUS
426 2/12/2017 75255849 BA
SUHAND L PNS
PNS
429 2/12/2017 172452183 OKO L DAERAH
PBI
DZAKIRA
1 30/12/2017 1028755629 SUCI
TALITA P (APBN)
PEGAWAI
SRI
2 30/12/2017 1534418403 ZAHRA
DAROJAT P SWASTA
PEKERJA
4 29/12/2017 2226432352 BONNY
UN
SUPRIYAT P PEGAWAI
MANDIRI
PNS
ALHILLA PEMERIN
5 28/12/2017 75476002 PERDANA
I P DAERAH
TAH NON
6 28/12/2017 198363982 PUTRI
SRI P PNS
PEKERJA
LENI
9 28/12/2017 1534534211 BUDIYATI
NOVITAS P MANDIRI
PBI
19 27/12/2017 1028759872 ARI P (APBN)
PBI
24 27/12/2017 1614530169 SUNDARI
ATIK P (APBD)
PBI
25 27/12/2017 1614532228 PRIYANTI P (APBD)
PBI
EMA
45 23/12/2017 1532335522 SUKARDI
MUGHNI P (APBD)
PBI
52 22/12/2017 1028757868 A
DWI P (APBN)
PNS
64 21/12/2017 75055217 SETIORINI P DAERAH
PBI
89 20/12/2017 610233232 RASMI P (APBN)
PNS
96 19/12/2017 75165669 KUNAENI
SUPRIYAT P DAERAH
PNS
104 18/12/2017 75476002 I P DAERAH
UMI PNS
115 18/12/2017 1482552268 SUMIYATI P DAERAH
PBI
116 18/12/2017 1530157926 KUMINI
ISTIKOMA P (APBD)
PEKERJA
SITI
129 18/12/2017 2300298434 HACHADIY P MANDIRI
PBI
141 16/12/2017 610565747 AH
ROSYIDA P (APBN)
PEKERJA
147 16/12/2017 1154116517 H P MANDIRI
PEKERJA
NADHIFA
IRMA
161 16/12/2017 2052229487 NYAMI
NISA P MANDIRI
PNS
JAUZA
171 15/12/2017 75300467 SATRA
HERIASKA P DAERAH
PNS
SITI ROI PENERIM
191 14/12/2017 165558453 LMA
KHAFIDH P DAERAH
PNS
NA JUN
TSANIA A
205 13/12/2017 209936013 OH
MOY AL P DAERAH
PENSIUN
HIMAA
210 13/12/2017 976489569 HERNI
DINA P TNI
PEKERJA
218 13/12/2017 2090007639 NUROYYA P MANDIRI
PEGAWAI
260 11/12/2017 2253001735 NASMIAH P SWASTA
PEGAWAI
261 11/12/2017 2303283126 ASMUN
KUSRIATU P SWASTA
PNS
263 9/12/2017 75165816 INA
N NUR P DAERAH
PNS
266 9/12/2017 75300478 RAHMA P PENERIM
DAERAH
PBI
A
273 9/12/2017 1028755629 SUCI P (APBN)
PENSIUN
285 8/12/2017 75241102 SIYAMU
ISMAWAT P PNS
PEKERJA
TITIK
298 8/12/2017 1851090355 IPUJIASTU P MANDIRI
PNS
KHOIR
305 7/12/2017 75318502 TI
AKFINI P DAERAH
PEKERJA
326 6/12/2017 75106596 DIDIA
JUWARIY P MANDIRI
PBI
330 6/12/2017 608642144 AH P (APBN)
PBI
331 6/12/2017 609072838 SOLIKATI
INDAH P (APBN)
PEKERJA
412 4/12/2017 2308137221 WAHYUNI P MANDIRI
PNS
424 2/12/2017 75165669 KUNAENI P DAERAH
PNS
425 2/12/2017 75166468 MARTINI P DAERAH
Unspecified renal colic YA
Low vision, both eyes YA
Retention of urine YA
Other specified intervertebral disc
displacement YA
Myopia YA
Disorder of pigmentation, unspecified YA
Surgical follow-up care, unspecified YA
Myopia YA
Impacted teeth YA
Essential (primary) hypertension YA
Chronic obstructive pulmonary disease,
unspecified YA
Myopia YA
Retention of urine YA
Chronic gastritis, unspecified YA
Schizophrenia, unspecified YA
Disorder of middle ear and mastoid,
unspecified YA
Papilloedema, unspecified YA
Chronic ischaemic heart disease, unspecified YA
Otitis media in diseases classified elsewhere YA
Injury of eye YA
Unilateral or and orbit, part
unspecified unspecified
inguinal hernia,
without obstruction or gangrene YA
Acute YA
Stroke,ischaemic heartasdisease,
not specified unspecified
haemorrhage or
infarction YA
Haematemesis YA
Cataract, unspecified YA
Tuberculous peripheral lymphadenopathy YA
Essential (primary) hypertension YA
Senile cataract, unspecified YA
Other disorders YA
Haemorrhage inof nose
early and nasal sinuses
pregnancy,
unspecified YA
Non-follicular lymphoma YA
Arthritis in lyme disease, lower leg YA
Angina pectoris, unspecified YA
Necrosis of pulp YA
Myopia YA
Other postsurgical states YA
Lymphoedema, not elsewhere classified YA
Chronic ischaemic heart disease, unspecified YA
Rheumatoid arthritis, unspecified YA
Non-follicular lymphoma YA
ut, unspecified YA
Diseases of the respiratory system YA
Essential (primary)
complicating hypertension
pregnancy, childbirth and the
puerperium YA
Epilepsy, unspecified YA
Twin pregnancy YA
with unspecified complications YA
Impacted teeth YA
Acute sinusitis, unspecified YA
Chronic periodontitis YA
Pterygium YA
Acute tonsillitis, unspecified YA
Hypermetropia YA
Benign neoplasm of breast YA
Calculus of kidney YA
with unspecified complications YA
Nontoxic single thyroid nodulemention of YA
Tuberculosis of lung, without
bacteriological or histological confirmation YA
without obstruction or gangrene YA
Tuberculosis of other specified organs YA
Rheumatoid arthritis, unspecified YA
Verti of central origin YA
34 43
20 30
39 49
25 38
23 41
11 23
36 54
37 41
39 43
25 56
39 62
29 40
357 520

Rujukan 2017

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