Download as pdf or txt
Download as pdf or txt
You are on page 1of 27

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

TANGGAL TANGGAL JENIS STATUS


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

040500000921Y000 27-09-2021 27-09-2021


1 0000016645116 ZIKRA TAUFIK P PNS DAERAH Open wound of knee Berobat Jalan
453 00:00 10:55
040500000921P000 27-09-2021 27-09-2021 PEKERJA Supervision of normal
2 0000017107323 ATH THAHIRATUL FITRI P Berobat Jalan
464 00:00 11:24 MANDIRI pregnancy
040500000921Y000 27-09-2021 27-09-2021 Essential (primary)
3 0000283126893 ZAINAB P PBI (APBN) Berobat Jalan
434 00:00 09:23 hypertension
040500000921Y000 27-09-2021 27-09-2021 Acute nasopharyngitis
4 0000284177889 ADERI NALDI L PBI (APBN) Berobat Jalan
431 00:00 08:51 [common cold]
040500000921Y000 27-09-2021 27-09-2021 Rheumatoid arthritis,
5 0000284875053 ARLINA P PBI (APBN) Berobat Jalan
433 00:00 09:00 unspecified
040500000921Y000 27-09-2021 27-09-2021
6 0000285209403 LELI ANDAYANI P PBI (APBN) Headache Berobat Jalan
441 00:00 10:18
040500000921Y000 27-09-2021 27-09-2021 Rheumatoid arthritis,
7 0000285533853 TAUFIK L PBI (APBN) Berobat Jalan
436 00:00 09:51 unspecified
040500000921Y000 27-09-2021 27-09-2021 Acute nasopharyngitis
8 0000987567423 GUSTIANA ZAIMAR P PBI (APBN) Berobat Jalan
454 00:00 10:57 [common cold]

KEPALA DESA
040500000921Y000 27-09-2021 27-09-2021
9 0001330001919 FAHREZI SAPUTRA L DAN PERANGKAT Gastritis, unspecified Berobat Jalan
432 00:00 08:54
DESA

040500000921Y000 27-09-2021 27-09-2021 Acute nasopharyngitis


10 0001334049682 AL HADID PRATAMA L PBI (APBN) Berobat Jalan
455 00:00 10:59 [common cold]
040500000921Y000 27-09-2021 27-09-2021 Rheumatoid arthritis,
11 0001334152675 YULIMAR P PBI (APBD) Berobat Jalan
439 00:00 10:07 unspecified
040500000921Y000 27-09-2021 27-09-2021 FACHRI FEBRIZIO PEGAWAI Acute nasopharyngitis
12 0001426115777 L Berobat Jalan
456 00:00 11:01 HENDRI SWASTA [common cold]

KEPALA DESA
040500000921P000 27-09-2021 27-09-2021 Supervision of normal
13 0001502655614 SISKA ALAM SARI P DAN PERANGKAT Berobat Jalan
463 00:00 11:19 pregnancy
DESA

040500000921Y000 27-09-2021 27-09-2021 Rheumatoid arthritis,


14 0001686163667 AMINUDDIN L PBI (APBN) Berobat Jalan
443 00:00 10:25 unspecified
040500000921Y000 27-09-2021 27-09-2021 Other chronic suppurative
15 0001686174028 YETRADEWI P - Berobat Jalan
435 00:00 09:30 otitis media
040500000921Y000 27-09-2021 27-09-2021 IRPAN SURYA
16 0001849972162 L PBI (APBD) Pityriasis versicolor Berobat Jalan
440 00:00 10:11 RAMADHAN
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 27-09-2021 27-09-2021 Acute nasopharyngitis


17 0002071686936 ALI AKBAR L PBI (APBD) Berobat Jalan
457 00:00 11:02 [common cold]
040500000921Y000 27-09-2021 27-09-2021 Rheumatoid arthritis,
18 0002074980284 ERLINDA P PBI (APBD) Berobat Jalan
437 00:00 09:56 unspecified
040500000921Y000 27-09-2021 27-09-2021
19 0002228969147 MARNIS P PBI (APBD) Other peripheral vertigo Berobat Jalan
430 00:00 08:45
040500000921Y000 27-09-2021 27-09-2021 Viral intestinal infection,
20 0002457862211 ZAHERMAN L PBI (APBD) Berobat Jalan
438 00:00 09:57 unspecified

KEPALA DESA
040500000921Y000 27-09-2021 27-09-2021 M.AL FAKRI ASYRAF Acute nasopharyngitis
21 0002779427136 L DAN PERANGKAT Berobat Jalan
452 00:00 10:55 MUJAMAL [common cold]
DESA

KEPALA DESA
040500000921Y000 27-09-2021 27-09-2021 M.EL FIKRA ASYRAF Acute nasopharyngitis
22 0002779427474 L DAN PERANGKAT Berobat Jalan
442 00:00 10:19 MUFASAL [common cold]
DESA

Non-insulin-dependent
040500000921Y000 27-09-2021 27-09-2021
23 0002903315073 MARTINUS L PBI (APBN) diabetes mellitus with Rujuk Vertikal
446 00:00 10:34
neurological complications

040500000921Y000 27-09-2021 27-09-2021


24 0002932253976 FARIT NOVRI DIANSYAH L PBI (APBD) Paratyphoid fever A Berobat Jalan
458 00:00 11:03
040500000921Y000 27-09-2021 27-09-2021 Rheumatoid arthritis,
25 0003056011378 RAMLI.R L PBI (APBD) Berobat Jalan
429 00:00 08:39 unspecified
040500000921Y000 25-09-2021 27-09-2021 Acute nasopharyngitis
26 0000017080075 WIWIK SUWITA P PNS DAERAH Berobat Jalan
424 00:00 08:05 [common cold]
040500000921Y000 25-09-2021 27-09-2021 Acute upper respiratory
27 0000017080119 YENI NOVIANTI P PNS DAERAH Berobat Jalan
425 00:00 08:06 infection, unspecified
040500000921Y000 25-09-2021 27-09-2021 Acute nasopharyngitis
28 0000017119653 YULHEPI P PNS DAERAH Berobat Jalan
415 00:00 07:55 [common cold]
040500000921Y000 25-09-2021 27-09-2021 Herpesviral infection,
29 0000285416943 HASAN BASRI L PBI (APBN) Berobat Jalan
414 00:00 07:54 unspecified
040500000921Y000 25-09-2021 25-09-2021
30 0000987568661 SYAMSUDIN L PBI (APBN) Senile cataract Rujuk Vertikal
412 00:00 09:56
040500000921Y000 25-09-2021 27-09-2021
31 0001285464148 NURMA P PBI (APBD) Headache Berobat Jalan
418 00:00 07:59
040500000921Y000 25-09-2021 27-09-2021
32 0001329593051 DESI SUARNI P PBI (APBN) Other dermatitis Berobat Jalan
417 00:00 07:57
040500000921P000 25-09-2021 27-09-2021 Insulin-dependent
33 0001496693531 ZARNIATI P PBI (APBN) Berobat Jalan
428 00:00 08:10 diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 25-09-2021 27-09-2021 Acute nasopharyngitis


34 0001786356584 MUSTIKA P PNS DAERAH Berobat Jalan
423 00:00 08:04 [common cold]
040500000921P000 25-09-2021 27-09-2021 PENERIMA
35 0001849179903 YESFI AIDIL FACHREZI L Myalgia Berobat Jalan
426 00:00 08:08 PENSIUN PNS
040500000921Y000 25-09-2021 27-09-2021
36 0002274529678 ASLI NARTI P PBI (APBD) Dyspepsia Berobat Jalan
419 00:00 08:01
040500000921Y000 25-09-2021 27-09-2021
37 0002274529678 ASLI NARTI P PBI (APBD) Dyspepsia Berobat Jalan
420 00:00 08:01
040500000921Y000 25-09-2021 27-09-2021 ADELOVA DWI Acute nasopharyngitis
38 0002743110641 P PBI (APBN) Berobat Jalan
459 00:00 11:06 HUMAIRATUL AZMI [common cold]

Non-insulin-dependent
040500000921Y000 25-09-2021 25-09-2021
39 0002756741163 YASMI L PBI (APBD) diabetes mellitus with Rujuk Vertikal
411 00:00 09:50
neurological complications

040500000921Y000 25-09-2021 27-09-2021 Acute nasopharyngitis


40 0002908775474 M. ARIF L PBI (APBD) Berobat Jalan
416 00:00 07:56 [common cold]
040500000921P000 25-09-2021 27-09-2021 Acute nasopharyngitis
41 0002932289144 DEDET IRAWADI L PBI (APBD) Berobat Jalan
427 00:00 08:09 [common cold]
040500000921Y000 25-09-2021 27-09-2021 Acute nasopharyngitis
42 0002932289223 DEFI SOFNITA P PBI (APBD) Berobat Jalan
421 00:00 08:02 [common cold]
040500000921Y000 25-09-2021 27-09-2021 Acute nasopharyngitis
43 0002932289223 DEFI SOFNITA P PBI (APBD) Berobat Jalan
422 00:00 08:02 [common cold]
040500000921Y000 24-09-2021 24-09-2021 Open wound of finger(s)
44 0000284934148 BAKRI L PBI (APBN) Berobat Jalan
404 00:00 10:46 with damage to nail
040500000921P000 24-09-2021 25-09-2021 Supervision of normal
45 0000285382855 NURANI P PBI (APBN) Berobat Jalan
413 00:00 10:05 pregnancy

KEPALA DESA
040500000921Y000 24-09-2021 24-09-2021 Rheumatoid arthritis,
46 0001329119807 AL BADRI L DAN PERANGKAT Berobat Jalan
408 00:00 10:53 unspecified
DESA

040500000921Y000 24-09-2021 24-09-2021 Rheumatoid arthritis,


47 0001333074791 YASMI P PBI (APBN) Berobat Jalan
406 00:00 10:50 unspecified
040500000921P000 24-09-2021 24-09-2021
48 0001334049682 AL HADID PRATAMA L PBI (APBN) Open wound of lower leg Berobat Jalan
410 00:00 11:01
040500000921Y000 24-09-2021 24-09-2021 Rheumatoid arthritis,
49 0001334152675 YULIMAR P PBI (APBD) Berobat Jalan
407 00:00 10:52 unspecified
040500000921Y000 24-09-2021 24-09-2021 Acute nasopharyngitis
50 0001334820273 FIFI AFRIANI P PBI (APBD) Berobat Jalan
387 00:00 09:04 [common cold]
040500000921Y000 24-09-2021 24-09-2021
51 0001496541104 SRI ERYANI P PBI (APBN) Fever, unspecified Berobat Jalan
385 00:00 08:58
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 24-09-2021 24-09-2021


52 0001499555676 ZAINI L PBI (APBN) Other forms of stomatitis Berobat Jalan
384 00:00 08:57
040500000921Y000 24-09-2021 27-09-2021 AFIKA SALSABILA
53 0001502656121 P PBI (APBD) Other dermatitis Berobat Jalan
460 00:00 11:08 RAMADANI
040500000921Y000 24-09-2021 24-09-2021 Rheumatoid arthritis,
54 0001686160888 RIDWAN EFENDY L PBI (APBN) Berobat Jalan
403 00:00 10:44 unspecified
040500000921Y000 24-09-2021 24-09-2021
55 0002093606289 HASNAH P PBI (APBD) Other peripheral vertigo Berobat Jalan
405 00:00 10:47
040500000921Y000 24-09-2021 24-09-2021
56 0002935351427 DETRI AMRIKA L PBI (APBD) Fever, unspecified Berobat Jalan
386 00:00 09:00
040500000921P000 24-09-2021 24-09-2021 Supervision of high-risk
57 0003076588315 NURPIA P PBI (APBD) Rujuk Vertikal
383 00:00 08:45 pregnancy
040500000921Y000 24-09-2021 24-09-2021 PEKERJA Intrahepatic bile duct
58 0003079244542 INDRA. M L Rujuk Vertikal
393 00:00 09:39 MANDIRI carcinoma
Follow-up examination
040500000921Y000 24-09-2021 24-09-2021
59 0003097717536 JEPRI L PBI (APBD) after other treatment for Rujuk Vertikal
409 00:00 10:54
other conditions
040500000921Y000 23-09-2021 24-09-2021 PENERIMA Essential (primary)
60 0000017130161 BUSTAMAR L Berobat Jalan
397 00:00 09:51 PENSIUN PNS hypertension
040500000921Y000 23-09-2021 24-09-2021 PENERIMA
61 0000017133028 KASDIAR P Atopic dermatitis Berobat Jalan
398 00:00 09:53 PENSIUN PNS
Unilateral or unspecified
040500000921Y000 23-09-2021 23-09-2021
62 0000285230957 ADMUDASIR L PBI (APBN) inguinal hernia, without Rujuk Vertikal
378 00:00 08:46
obstruction or gangrene
040500000921Y000 23-09-2021 24-09-2021
63 0000285343615 MISLAWATI P PBI (APBN) Dyspepsia Berobat Jalan
395 00:00 09:49
040500000921Y000 23-09-2021 24-09-2021
64 0000987567748 TRI WAHYUDI L PBI (APBN) Myalgia Berobat Jalan
391 00:00 09:23
040500000921Y000 23-09-2021 23-09-2021
65 0001331849755 LANI REGINA P PBI (APBD) Other atopic dermatitis Rujuk Vertikal
377 00:00 08:35
040500000921Y000 23-09-2021 24-09-2021
66 0001387652106 JUNIARTI P PBI (APBN) Acute tonsillitis Berobat Jalan
399 00:00 09:56
040500000921Y000 23-09-2021 24-09-2021 Acute nasopharyngitis
67 0001499555687 AHMAD AFANDI DASMA L PBI (APBD) Berobat Jalan
400 00:00 09:57 [common cold]
040500000921Y000 23-09-2021 24-09-2021 Rheumatoid arthritis,
68 0001681360018 ASNIWATI P - Berobat Jalan
389 00:00 09:20 unspecified
040500000921Y000 23-09-2021 23-09-2021 Burn of second degree,
69 0001686174311 MARTINI P PBI (APBN) Rujuk Vertikal
381 00:00 09:58 body region unspecified
040500000921Y000 23-09-2021 23-09-2021 PEKERJA
70 0001873357615 A RIDWAN AY L Paranoid schizophrenia Rujuk Vertikal
380 00:00 09:29 MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 23-09-2021 23-09-2021 PEKERJA


71 0001873358774 MARIO PUTRA L Paranoid schizophrenia Rujuk Vertikal
379 00:00 09:25 MANDIRI
040500000921Y000 23-09-2021 24-09-2021 Essential (primary)
72 0002624397219 NUAN P PBI (APBN) Berobat Jalan
390 00:00 09:22 hypertension
040500000921Y000 23-09-2021 27-09-2021 KAYLA NURUL Acute nasopharyngitis
73 0002784607874 P - Berobat Jalan
461 00:00 11:12 RAMADHANI [common cold]
040500000921P000 23-09-2021 24-09-2021 Insulin-dependent
74 0002855231201 ELFIDAWATI P PBI (APBN) Berobat Jalan
402 00:00 10:00 diabetes mellitus
040500000921Y000 23-09-2021 24-09-2021
75 0002862698951 KASMABOTI P - Dyspepsia Berobat Jalan
396 00:00 09:50
040500000921Y000 23-09-2021 24-09-2021 Rheumatoid arthritis,
76 0002903067887 EKASARI P PBI (APBN) Berobat Jalan
388 00:00 09:18 unspecified
040500000921Y000 23-09-2021 27-09-2021 Acute nasopharyngitis
77 0002903068102 DIFRA AL RASYID L PBI (APBN) Berobat Jalan
449 00:00 10:50 [common cold]
040500000921P000 23-09-2021 24-09-2021 Acute nasopharyngitis
78 0002913301631 AIRA HUMAIRA P - Berobat Jalan
401 00:00 09:59 [common cold]
040500000921Y000 23-09-2021 27-09-2021 Acute nasopharyngitis
79 0002918715884 ALIFIA HAFLANI FURQAN P PNS DAERAH Berobat Jalan
451 00:00 10:52 [common cold]
040500000921Y000 23-09-2021 24-09-2021
80 0002932298324 NURJASMI P PBI (APBD) Other peripheral vertigo Berobat Jalan
392 00:00 09:24
040500000921Y000 23-09-2021 24-09-2021 Essential (primary)
81 0003076511736 FIRMAN L PBI (APBD) Berobat Jalan
394 00:00 09:46 hypertension
040500000921P000 22-09-2021 24-09-2021 Acute nasopharyngitis
82 0000015780554 DINIA HAFIZAH Z P PNS DAERAH Berobat Jalan
382 00:00 08:32 [common cold]
040500000921Y000 22-09-2021 22-09-2021
83 0000199261427 FIKRIANTO L PNS DAERAH Myopia Berobat Jalan
346 00:00 08:56
040500000921Y000 22-09-2021 22-09-2021
84 0000199261743 ETY SUSANTI P PNS DAERAH Astigmatism Berobat Jalan
344 00:00 08:45
040500000921P000 22-09-2021 22-09-2021 Insertion of (intrauterine)
85 0000275734102 SEPNI ALFAJRIANTI P - Berobat Jalan
359 00:00 10:20 contraceptive device
040500000921Y000 22-09-2021 22-09-2021 Acute nasopharyngitis
86 0000284130549 AFRIANA P PBI (APBN) Berobat Jalan
366 00:00 10:44 [common cold]
040500000921Y000 22-09-2021 22-09-2021 Acute nasopharyngitis
87 0000284131732 PUTRI MARCELA P PBI (APBN) Berobat Jalan
367 00:00 10:46 [common cold]
040500000921Y000 22-09-2021 22-09-2021 Essential (primary)
88 0000284620285 ARNEL NISMITA P PBI (APBN) Berobat Jalan Hipertensi
365 00:00 10:43 hypertension
Insulin-dependent
040500000921Y000 22-09-2021 22-09-2021
89 0000284866738 YASMANIZAR P PBI (APBN) diabetes mellitus with Rujuk Vertikal
345 00:00 08:49
unspecified complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 22-09-2021 22-09-2021 Rheumatoid arthritis,


90 0000284930976 DARLIS L PBI (APBN) Berobat Jalan
357 00:00 10:19 unspecified
Respiratory tuberculosis,
040500000921Y000 22-09-2021 22-09-2021 not confirmed
91 0000284965885 DAHRUL L PBI (APBN) Berobat Jalan
358 00:00 10:20 bacteriologically or
histologically
040500000921Y000 22-09-2021 22-09-2021
92 0000285110537 MURLIATI P PBI (APBN) Myalgia Berobat Jalan
368 00:00 10:47
Diabetes
040500000921Y000 22-09-2021 22-09-2021
93 0000285176518 LENI SUMARNI P - Myopia Berobat Jalan Hipertensi Mellitus
348 00:00 09:43
Hipertensi
040500000921Y000 22-09-2021 22-09-2021
94 0000285413927 DONI RAMADHAN L PBI (APBN) Haemoptysis Berobat Jalan
371 00:00 11:11
040500000921P000 22-09-2021 22-09-2021 Insertion of (intrauterine)
95 0000987568222 DAHLIA PERMATA SARI P - Berobat Jalan
369 00:00 10:48 contraceptive device
040500000921Y000 22-09-2021 22-09-2021 Essential (primary) Diabetes
96 0001331451551 MUSLIMIN L PBI (APBD) Berobat Jalan Hipertensi
364 00:00 10:42 hypertension Mellitus
040500000921Y000 22-09-2021 22-09-2021
97 0001437203237 MARYAM P PBI (APBN) Schizophrenia Berobat Jalan
356 00:00 10:18
040500000921Y000 22-09-2021 22-09-2021 Rheumatoid arthritis,
98 0001496511009 FATMAWATI P PBI (APBN) Berobat Jalan
362 00:00 10:22 unspecified
040500000921P000 22-09-2021 22-09-2021 Insertion of (intrauterine)
99 0001686153519 Anulya P - Berobat Jalan
376 00:00 11:54 contraceptive device
040500000921Y000 22-09-2021 22-09-2021 Superficial injury of head,
100 0001686164681 EGO ILAHI L PBI (APBN) Berobat Jalan
370 00:00 10:49 part unspecified
040500000921P000 22-09-2021 22-09-2021 Insertion of (intrauterine)
101 0001686172858 DESNAWATI P - Berobat Jalan
375 00:00 11:39 contraceptive device
040500000921Y000 22-09-2021 22-09-2021 Rheumatoid arthritis,
102 0001686174478 YURLI ARIFI P PBI (APBN) Berobat Jalan
355 00:00 10:17 unspecified
040500000921Y000 22-09-2021 22-09-2021
103 0001865287991 FEDRI ANDI L PBI (APBD) Schizophrenia Rujuk Vertikal
343 00:00 08:43
040500000921Y000 22-09-2021 22-09-2021 Supervision of normal
104 0002200970103 PITRIANI P PBI (APBD) Berobat Jalan
373 00:00 11:14 pregnancy
040500000921Y000 22-09-2021 27-09-2021 Acute nasopharyngitis
105 0002215193117 FAREL JIBRAN L PBI (APBD) Berobat Jalan
448 00:00 10:47 [common cold]
040500000921P000 22-09-2021 22-09-2021 Insertion of (intrauterine)
106 0002261588848 SRI WAHYUNITA P - Berobat Jalan
372 00:00 11:13 contraceptive device
040500000921P000 22-09-2021 22-09-2021 Insertion of (intrauterine)
107 0002297224697 PUTRI RAMAYANI P - Berobat Jalan
363 00:00 10:37 contraceptive device
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 22-09-2021 22-09-2021


108 0002754024625 JACK NERI MUNIR L PBI (APBN) Dyspepsia Berobat Jalan
361 00:00 10:21
040500000921P000 22-09-2021 22-09-2021 Insertion of (intrauterine)
109 0002862699129 LILIS MARIANI P - Berobat Jalan
374 00:00 11:31 contraceptive device
040500000921Y000 22-09-2021 22-09-2021 Acute nasopharyngitis
110 0002903025339 DIVA FRESIA P PBI (APBN) Berobat Jalan
360 00:00 10:20 [common cold]
040500000921Y000 22-09-2021 22-09-2021 Acute nasopharyngitis
111 0002903025418 FARHAN MEITRA L PBI (APBN) Berobat Jalan
353 00:00 09:58 [common cold]
040500000921Y000 22-09-2021 22-09-2021
112 0002903095372 DENIS PERMATA PUTRA L PBI (APBD) Scabies Berobat Jalan
352 00:00 09:56
Acute upper respiratory
040500000921Y000 22-09-2021 22-09-2021
113 0002932249083 KAIRA SEPRIANSAH P PBI (APBD) infections of multiple and Berobat Jalan
351 00:00 09:52
unspecified sites
040500000921Y000 21-09-2021 21-09-2021 Essential (primary)
114 0000017119653 YULHEPI P PNS DAERAH Berobat Jalan
324 00:00 09:08 hypertension
040500000921Y000 21-09-2021 21-09-2021 Open wound of wrist and
115 0000284992187 SYAFRI L PBI (APBN) Berobat Jalan
328 00:00 09:39 hand
040500000921P000 21-09-2021 21-09-2021
116 0000285008231 ERMAWATI P - Atopic dermatitis Berobat Jalan
337 00:00 11:47
040500000921Y000 21-09-2021 21-09-2021 Rheumatoid arthritis,
117 0000285106555 ABDUL RAHMAN L PBI (APBN) Berobat Jalan
326 00:00 09:36 unspecified
040500000921Y000 21-09-2021 21-09-2021 Perforation of tympanic
118 0000285279704 AHMAD YUNUS. M L PBI (APBN) Rujuk Vertikal
323 00:00 08:30 membrane

KEPALA DESA
040500000921P000 21-09-2021 21-09-2021
119 0001265674307 ZAIDIR L DAN PERANGKAT Schizophrenia Berobat Jalan
339 00:00 11:50
DESA

KEPALA DESA
040500000921P000 21-09-2021 21-09-2021 Essential (primary)
120 0001265674443 WARNI P DAN PERANGKAT Berobat Jalan
338 00:00 11:49 hypertension
DESA

040500000921Y000 21-09-2021 21-09-2021 Rheumatoid arthritis,


121 0001330879408 NURJANI P PBI (APBD) Berobat Jalan
330 00:00 09:41 unspecified
040500000921Y000 21-09-2021 21-09-2021 Essential (primary)
122 0001496510447 DAHLIAR P PBI (APBN) Berobat Jalan
329 00:00 09:40 hypertension
040500000921Y000 21-09-2021 21-09-2021 Acute nasopharyngitis
123 0001499554629 NILMA P PBI (APBN) Berobat Jalan
331 00:00 09:46 [common cold]
040500000921Y000 21-09-2021 21-09-2021 Stomatitis and related
124 0001499555676 ZAINI L PBI (APBN) Berobat Jalan
327 00:00 09:37 lesions
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 21-09-2021 21-09-2021 PENERIMA Acute nasopharyngitis


125 0001849179903 YESFI AIDIL FACHREZI L Berobat Jalan
325 00:00 09:09 PENSIUN PNS [common cold]
040500000921Y000 21-09-2021 21-09-2021 Rheumatoid arthritis,
126 0001854745492 MIRAWATI P PBI (APBD) Berobat Jalan
332 00:00 10:33 unspecified
040500000921Y000 21-09-2021 21-09-2021 Essential (primary) Diabetes
127 0002461947298 DARMAN L PBI (APBN) Berobat Jalan Hipertensi
335 00:00 10:35 hypertension Mellitus
040500000921Y000 21-09-2021 21-09-2021 Rheumatoid arthritis,
128 0002903066649 ILYAS L PBI (APBD) Berobat Jalan
334 00:00 10:34 unspecified
040500000921Y000 21-09-2021 21-09-2021 Acute nasopharyngitis
129 0002912948728 NELDAWATI P PBI (APBD) Berobat Jalan
333 00:00 10:33 [common cold]
040500000921P000 21-09-2021 21-09-2021
130 0002929026971 SANTI MARLINA P - Fever, unspecified Berobat Jalan
342 00:00 14:52
040500000921Y000 20-09-2021 20-09-2021 PENERIMA
131 0000016612918 ERLINDA P Congestive heart failure Rujuk Vertikal
311 00:00 10:45 PENSIUN PNS
040500000921Y000 20-09-2021 20-09-2021 PENERIMA Chronic renal failure,
132 0000017121058 ZAILI L Rujuk Vertikal
282 00:00 09:34 PENSIUN PNS unspecified
040500000921Y000 20-09-2021 20-09-2021 Rheumatoid arthritis,
133 0000285261535 YASMANIAR P PBI (APBN) Berobat Jalan
296 00:00 10:12 unspecified
040500000921P000 20-09-2021 20-09-2021 Supervision of normal
134 0000285314692 YUSMIATI P PBI (APBN) Berobat Jalan
302 00:00 10:27 pregnancy
040500000921P000 20-09-2021 27-09-2021 Rheumatoid arthritis,
135 0000285328179 DAHLIAR P - Berobat Jalan Hipertensi Hipertensi
444 00:00 10:28 unspecified
040500000921P000 20-09-2021 27-09-2021 Supervision of normal
136 0000285370233 ERNIATI P - Berobat Jalan
445 00:00 10:30 pregnancy
Primary respiratory
040500000921Y000 20-09-2021 20-09-2021 tuberculosis, confirmed
137 0000295952782 IRWAN L PBI (APBN) Rujuk Vertikal
276 00:00 08:59 bacteriologically and
histologically
040500000921Y000 20-09-2021 20-09-2021 Acute upper respiratory
138 0000987564508 BAKRI L PBI (APBN) Berobat Jalan
290 00:00 10:05 infection, unspecified
040500000921Y000 20-09-2021 20-09-2021 Rheumatoid arthritis,
139 0000987567715 RAZALI L PBI (APBN) Berobat Jalan
316 00:00 11:02 unspecified
040500000921Y000 20-09-2021 20-09-2021 Acute nasopharyngitis
140 0001330122161 ADYTIA YUANATA L PBI (APBD) Berobat Jalan
318 00:00 11:46 [common cold]
040500000921Y000 20-09-2021 20-09-2021 Rheumatoid arthritis,
141 0001330781139 MARDIANA P PBI (APBD) Berobat Jalan
275 00:00 08:51 unspecified
040500000921Y000 20-09-2021 20-09-2021 Acute nasopharyngitis
142 0001332753491 KEVIN YUANATA L PBI (APBN) Berobat Jalan
294 00:00 10:11 [common cold]
040500000921Y000 20-09-2021 20-09-2021 Acute upper respiratory
143 0001333337591 MAHYUDIN L PBI (APBN) Berobat Jalan
292 00:00 10:07 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 20-09-2021 20-09-2021 Dysmenorrhoea,


144 0001334820273 FIFI AFRIANI P PBI (APBD) Rujuk Vertikal
279 00:00 09:30 unspecified
040500000921Y000 20-09-2021 20-09-2021 Essential (primary)
145 0001496511009 FATMAWATI P PBI (APBN) Berobat Jalan
315 00:00 11:01 hypertension
040500000921Y000 20-09-2021 20-09-2021
146 0001496541565 ERA RAHMADANI P PBI (APBD) Carcinoma in situ of breast Rujuk Vertikal
300 00:00 10:18
040500000921P000 20-09-2021 20-09-2021 Supervision of normal
147 0001496693182 LISA SURYANI P PBI (APBN) Berobat Jalan
295 00:00 10:11 pregnancy
040500000921Y000 20-09-2021 20-09-2021 Acute nasopharyngitis
148 0001499555057 AFRINA P PBI (APBN) Berobat Jalan
310 00:00 10:43 [common cold]
040500000921Y000 20-09-2021 20-09-2021 Rheumatoid arthritis,
149 0001499555169 YASRIDA P PBI (APBN) Berobat Jalan
307 00:00 10:40 unspecified
Respiratory tuberculosis,
040500000921Y000 20-09-2021 20-09-2021 not confirmed
150 0001502656244 NOVITA DEWI SUSANTI P PBI (APBN) Berobat Jalan
314 00:00 11:00 bacteriologically or
histologically
Non-insulin-dependent
040500000921Y000 20-09-2021 20-09-2021
151 0001686165287 JASMI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
283 00:00 09:37
unspecified complications
040500000921Y000 20-09-2021 20-09-2021 Insulin-dependent
152 0002015629266 SUSILAWATI P PBI (APBN) Berobat Jalan
291 00:00 10:06 diabetes mellitus
Acute upper respiratory
040500000921Y000 20-09-2021 22-09-2021
153 0002093608743 RIZKI RADITIA ANGGARA L PBI (APBD) infections of multiple and Berobat Jalan
349 00:00 09:47
unspecified sites
040500000921Y000 20-09-2021 20-09-2021
154 0002275222612 SYUKUR L PBI (APBD) Other arthrosis Berobat Jalan
306 00:00 10:37
040500000921Y000 20-09-2021 20-09-2021 Acute nasopharyngitis
155 0002456564995 NAZILA NAZIF PUTRI P PBI (APBD) Berobat Jalan
313 00:00 10:58 [common cold]

KEPALA DESA
040500000921Y000 20-09-2021 20-09-2021
156 0002499435876 YULISMAN L DAN PERANGKAT Fever, unspecified Berobat Jalan
299 00:00 10:14
DESA

040500000921Y000 20-09-2021 20-09-2021


157 0002622183636 KAHLIL GIBRAN ANLI L PBI (APBD) Scabies Berobat Jalan
312 00:00 10:55
040500000921Y000 20-09-2021 20-09-2021 Other general
158 0002767383314 TIALUMA P PBI (APBN) Berobat Jalan
317 00:00 11:07 examinations
040500000921Y000 20-09-2021 20-09-2021 Essential (primary)
159 0002903041967 ARNIMA P PBI (APBN) Berobat Jalan
298 00:00 10:13 hypertension
040500000921Y000 20-09-2021 20-09-2021
160 0002903287195 YUNI SEPTIANA P PBI (APBD) Myopia Berobat Jalan
287 00:00 09:59
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 20-09-2021 20-09-2021


161 0002908540438 ABDUL RAUF L PBI (APBD) Other rheumatoid arthritis Rujuk Vertikal
288 00:00 09:59
040500000921Y000 20-09-2021 20-09-2021
162 0002914047685 PUTRI SAKHIRA P PBI (APBN) Dermatitis herpetiformis Berobat Jalan
320 00:00 11:56
040500000921Y000 20-09-2021 20-09-2021
163 0002914047731 ANGGA YUANATA L PBI (APBN) Scabies Berobat Jalan
319 00:00 11:53
040500000921Y000 20-09-2021 22-09-2021 DIKA SYAHRUL Acute nasopharyngitis
164 0002932245832 L PBI (APBD) Berobat Jalan
347 00:00 09:43 RAHMADAN [common cold]
040500000921Y000 20-09-2021 22-09-2021 Acute nasopharyngitis
165 0003056306152 ALFI RAHMADHAN L PBI (APBD) Berobat Jalan
350 00:00 09:49 [common cold]
040500000921Y000 18-09-2021 18-09-2021
166 0000017076238 ELIDA WAHYUNI P PNS DAERAH Gastritis, unspecified Berobat Jalan
263 00:00 11:21
040500000921Y000 18-09-2021 18-09-2021 Acute nasopharyngitis
167 0000017080075 WIWIK SUWITA P PNS DAERAH Berobat Jalan
257 00:00 10:16 [common cold]
040500000921Y000 18-09-2021 18-09-2021 Acute nasopharyngitis
168 0000017080086 MUHAMMAD FAREL L PNS DAERAH Berobat Jalan
259 00:00 10:19 [common cold]
040500000921Y000 18-09-2021 18-09-2021 Essential (primary)
169 0000164991251 SATRIA BUANA L PNS DAERAH Berobat Jalan
258 00:00 10:18 hypertension
040500000921Y000 18-09-2021 20-09-2021 Acute nasopharyngitis
170 0000164991295 DELKA MAULANA PUTRA L PNS DAERAH Berobat Jalan
286 00:00 09:57 [common cold]
040500000921Y000 18-09-2021 20-09-2021
171 0000172194625 YURIKO PRATAMA L PNS DAERAH Dyspepsia Berobat Jalan
303 00:00 10:29
040500000921P000 18-09-2021 27-09-2021
172 0000283786143 SURNIATI P - Headache Berobat Jalan
462 00:00 11:14
040500000921Y000 18-09-2021 18-09-2021 Stomatitis and related
173 0000284664442 DELIA P PBI (APBN) Berobat Jalan
264 00:00 11:25 lesions
040500000921Y000 18-09-2021 18-09-2021 Rheumatoid arthritis,
174 0000285209065 ALI MUZAKAR L PBI (APBN) Berobat Jalan
261 00:00 10:23 unspecified
040500000921Y000 18-09-2021 18-09-2021 Rheumatoid arthritis,
175 0000285209403 LELI ANDAYANI P PBI (APBN) Berobat Jalan
262 00:00 10:24 unspecified
040500000921Y000 18-09-2021 18-09-2021 Insulin-dependent Diabetes
176 0000285245976 DJASMANI P PBI (APBN) Berobat Jalan
266 00:00 11:31 diabetes mellitus Mellitus
040500000921Y000 18-09-2021 20-09-2021 Acute nasopharyngitis
177 0000977979813 AHDAN VETO YURIZA L PNS DAERAH Berobat Jalan
297 00:00 10:12 [common cold]
040500000921Y000 18-09-2021 20-09-2021
178 0001334049682 AL HADID PRATAMA L PBI (APBN) Other dermatitis Berobat Jalan
289 00:00 10:04
040500000921Y000 18-09-2021 18-09-2021 Acute pharyngitis,
179 0001496540709 YELMI HERIANTI P PBI (APBN) Berobat Jalan
265 00:00 11:28 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921P000 18-09-2021 27-09-2021 Bronchopneumonia,


180 0001499555338 YUSNIMAR P - Berobat Jalan
447 00:00 10:42 unspecified
040500000921Y000 18-09-2021 18-09-2021 Chronic renal failure,
181 0001686153284 SAINI L PBI (APBN) Rujuk Vertikal
255 00:00 10:08 unspecified
040500000921Y000 18-09-2021 20-09-2021 NADHIFA AZZAHRA Acute nasopharyngitis
182 0001853266961 P PNS DAERAH Berobat Jalan
304 00:00 10:32 WAHYUNI [common cold]
040500000921P000 18-09-2021 27-09-2021 Bronchopneumonia,
183 0002908775845 M. ZACKY ADETYA L - Berobat Jalan
450 00:00 10:52 unspecified
040500000921Y000 18-09-2021 18-09-2021 Primary open-angle
184 0002908890066 ERTATI P PBI (APBN) Rujuk Vertikal
256 00:00 10:11 glaucoma
040500000921Y000 18-09-2021 20-09-2021 ARFA'UNNAS YOLVA Acute nasopharyngitis
185 0002913591306 L PBI (APBN) Berobat Jalan
293 00:00 10:07 WARDI [common cold]
040500000921Y000 18-09-2021 20-09-2021 Acute nasopharyngitis
186 0002913661798 NAVIYA P PBI (APBD) Berobat Jalan
301 00:00 10:23 [common cold]
040500000921Y000 18-09-2021 20-09-2021 Acute nasopharyngitis
187 0002913661866 DAVI RAMADHAN L PBI (APBD) Berobat Jalan
308 00:00 10:40 [common cold]
040500000921Y000 18-09-2021 18-09-2021 Rheumatoid arthritis,
188 0002918715761 ALFURQAN L PNS DAERAH Berobat Jalan
260 00:00 10:21 unspecified
040500000921Y000 18-09-2021 20-09-2021 Acute nasopharyngitis
189 0003091096732 GHINAA KHAIRUN NISA P PBI (APBD) Berobat Jalan
305 00:00 10:37 [common cold]
040500000921Y000 17-09-2021 17-09-2021 Viral intestinal infection,
190 0000284187936 ERJOHN L PBI (APBN) Berobat Jalan
222 00:00 09:20 unspecified
Diabetes
040500000921Y000 17-09-2021 17-09-2021 General medical
191 0000285176518 LENI SUMARNI P - Berobat Jalan Hipertensi Mellitus
221 00:00 09:18 examination
Hipertensi
040500000921Y000 17-09-2021 17-09-2021
192 0000987568659 ZARMIATI P - Schizophrenia Berobat Jalan
230 00:00 10:38
040500000921Y000 17-09-2021 17-09-2021
193 0001329841271 ADE YULIA PUTRI P PBI (APBD) Gastritis, unspecified Berobat Jalan
232 00:00 10:47
General examination and
040500000921Y000 17-09-2021 17-09-2021 investigation of persons
194 0001332203264 RAZALI L PBI (APBD) Berobat Jalan
231 00:00 10:42 without complaint and
reported diagnosis
040500000921P000 17-09-2021 19-09-2021 Single spontaneous
195 0001334476168 TETI SUMARNI P - Sembuh
268 00:00 20:19 delivery, unspecified
040500000921Y000 17-09-2021 17-09-2021
196 0001450806748 ANISA LAURA L PBI (APBD) Other peripheral vertigo Berobat Jalan
226 00:00 09:50
040500000921Y000 17-09-2021 17-09-2021
197 0001786356584 MUSTIKA P PNS DAERAH Atopic dermatitis Berobat Jalan
223 00:00 09:22
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 17-09-2021 20-09-2021 NADHIFA AZZAHRA Acute nasopharyngitis


198 0001853266961 P PNS DAERAH Berobat Jalan
284 00:00 09:42 WAHYUNI [common cold]
040500000921Y000 17-09-2021 18-09-2021 Rheumatoid arthritis,
199 0001863821878 EMILIA P PBI (APBD) Berobat Jalan
233 00:00 07:57 unspecified
Peptic ulcer, unspecified
040500000921Y000 17-09-2021 17-09-2021 as acute or chronic,
200 0002085638433 ZAINAB P PNS PUSAT Rujuk Vertikal
227 00:00 10:27 without haemorrhage or
perforation
040500000921Y000 17-09-2021 17-09-2021 Acute upper respiratory
201 0002207762908 BURMAWI L PBI (APBD) Berobat Jalan
229 00:00 10:33 infection, unspecified
040500000921Y000 17-09-2021 17-09-2021 Acute upper respiratory
202 0002207766363 NURHAYATI P - Berobat Jalan
228 00:00 10:32 infection, unspecified
040500000921Y000 17-09-2021 20-09-2021
203 0002738375921 MUZAKKI OKTAFIO L PBI (APBN) Other dermatitis Berobat Jalan
285 00:00 09:53
040500000921Y000 17-09-2021 17-09-2021 Rheumatoid arthritis,
204 0002784608583 YUSWARTI P PBI (APBN) Berobat Jalan
224 00:00 09:47 unspecified
040500000921P000 17-09-2021 18-09-2021
205 0002862696857 GIBRAN RAMADHAN L PBI (APBN) Fever, unspecified Berobat Jalan
252 00:00 08:23
040500000921Y000 17-09-2021 17-09-2021
206 0002903089285 ERMA P PBI (APBD) Other peripheral vertigo Berobat Jalan
220 00:00 09:16
040500000921Y000 17-09-2021 17-09-2021
207 0002903323792 KESHA HENRI ANANDA P PBI (APBD) Dyspepsia Berobat Jalan
225 00:00 09:49
040500000921P000 17-09-2021 18-09-2021
208 0002920223777 ALMAHIRA YURIZKI P - Fever, unspecified Berobat Jalan
253 00:00 08:24
040500000921Y000 17-09-2021 17-09-2021
209 0002929021852 RINA SUSANTI P PBI (APBD) Chalazion Berobat Jalan
219 00:00 09:14
Follow-up examination
040500000921Y000 17-09-2021 17-09-2021
210 0003097717536 JEPRI L PBI (APBD) after other treatment for Rujuk Vertikal
217 00:00 08:46
other conditions
040500000921Y000 16-09-2021 18-09-2021 PENERIMA Rheumatoid arthritis,
211 0000017121069 NURBAITI P Berobat Jalan
245 00:00 08:14 PENSIUN PNS unspecified
040500000921Y000 16-09-2021 18-09-2021 Rheumatoid arthritis,
212 0000284930976 DARLIS L PBI (APBN) Berobat Jalan
243 00:00 08:11 unspecified
040500000921Y000 16-09-2021 18-09-2021 Rheumatoid arthritis,
213 0001331504605 MARTINI P PBI (APBN) Berobat Jalan Hipertensi
250 00:00 08:19 unspecified
040500000921Y000 16-09-2021 18-09-2021 Acute nasopharyngitis
214 0001333337591 MAHYUDIN L PBI (APBN) Berobat Jalan
244 00:00 08:12 [common cold]
040500000921Y000 16-09-2021 18-09-2021 Other general
215 0001686153284 SAINI L PBI (APBN) Berobat Jalan
246 00:00 08:15 examinations
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 16-09-2021 18-09-2021 Rheumatoid arthritis,


216 0002257493062 SYAFRI L - Berobat Jalan
247 00:00 08:16 unspecified
040500000921Y000 16-09-2021 18-09-2021 Acute nasopharyngitis
217 0002469329177 ERMI P PBI (APBD) Berobat Jalan
248 00:00 08:17 [common cold]
040500000921Y000 16-09-2021 20-09-2021 MUHAMMAD AZKA Acute nasopharyngitis
218 0002929027184 L PBI (APBD) Berobat Jalan
281 00:00 09:34 ZALDAN [common cold]
040500000921Y000 16-09-2021 18-09-2021 Rheumatoid arthritis,
219 0003056011378 RAMLI.R L PBI (APBD) Berobat Jalan
249 00:00 08:18 unspecified
040500000921Y000 15-09-2021 18-09-2021 Rheumatoid arthritis,
220 0000284132733 ARMAILIS P PBI (APBN) Berobat Jalan
237 00:00 08:06 unspecified
Chronic obstructive
040500000921Y000 15-09-2021 15-09-2021 pulmonary disease with
221 0000285296635 ZAIDIR L PBI (APBN) Rujuk Vertikal
213 00:00 09:40 acute lower respiratory
infection
040500000921Y000 15-09-2021 15-09-2021
222 0001245224226 DASRIL L PBI (APBN) Gastritis, unspecified Berobat Jalan
211 00:00 09:05
040500000921Y000 15-09-2021 18-09-2021 Rheumatoid arthritis,
223 0001285464148 NURMA P PBI (APBD) Berobat Jalan
236 00:00 08:05 unspecified

KEPALA DESA
040500000921Y000 15-09-2021 18-09-2021 Rheumatoid arthritis,
224 0001329119807 AL BADRI L DAN PERANGKAT Berobat Jalan
234 00:00 08:01 unspecified
DESA

040500000921Y000 15-09-2021 18-09-2021 Acute nasopharyngitis


225 0001329438161 NILA FITRIANI P PBI (APBD) Berobat Jalan
242 00:00 08:10 [common cold]
040500000921Y000 15-09-2021 18-09-2021 Acute nasopharyngitis
226 0001440543453 IMRAN L PBI (APBD) Berobat Jalan
240 00:00 08:09 [common cold]
040500000921Y000 15-09-2021 18-09-2021
227 0001496510605 YESSI AINI P PBI (APBD) Headache Berobat Jalan
238 00:00 08:07
040500000921Y000 15-09-2021 20-09-2021 Acute nasopharyngitis
228 0001681359873 GHINA NAFSI USHNA P PBI (APBN) Berobat Jalan
280 00:00 09:30 [common cold]
040500000921Y000 15-09-2021 18-09-2021 Rheumatoid arthritis,
229 0002275222612 SYUKUR L PBI (APBD) Berobat Jalan
239 00:00 08:08 unspecified
Tuberculosis of lung,
040500000921Y000 15-09-2021 15-09-2021
230 0002275223804 NURAINI P PBI (APBD) bacteriologically and Rujuk Vertikal
209 00:00 08:22
histologically negative
040500000921P000 15-09-2021 19-09-2021 Single spontaneous
231 0002892080272 ZALENITA FAJRI P - Sembuh
267 00:00 20:00 delivery, unspecified
Supervision of pregnancy
040500000921P000 15-09-2021 15-09-2021
232 0002966015362 DESI SANTI NOVITA P PBI (APBN) with history of abortive Rujuk Vertikal
212 00:00 09:26
outcome
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

Pre-existing hypertensive
040500000921P000 15-09-2021 15-09-2021 heart disease complicating
233 0003048615191 LENI BUSTINA P PBI (APBD) Rujuk Vertikal
214 00:00 09:43 pregnancy, childbirth and
the puerperium

040500000921Y000 15-09-2021 18-09-2021 PEGAWAI


234 0003065162758 JILIUSMAN L Impacted cerumen Berobat Jalan
235 00:00 08:03 SWASTA
040500000921Y000 15-09-2021 18-09-2021 Acute nasopharyngitis
235 0003071984793 RONAL ILHAM L PBI (APBD) Berobat Jalan
241 00:00 08:09 [common cold]
040500000921Y000 15-09-2021 15-09-2021 PEKERJA Internal haemorrhoids with
236 0003083022279 MUSLIM L Rujuk Vertikal
210 00:00 08:30 MANDIRI other complications
040500000921Y000 14-09-2021 14-09-2021 Acute nasopharyngitis
237 0000017080075 WIWIK SUWITA P PNS DAERAH Berobat Jalan
206 00:00 10:54 [common cold]
Cutaneous abscess,
040500000921Y000 14-09-2021 14-09-2021
238 0000017122162 INESANTIA ZURISTI P PNS DAERAH furuncle and carbuncle, Berobat Jalan
202 00:00 09:25
unspecified
040500000921Y000 14-09-2021 14-09-2021 Insulin-dependent
239 0000285328179 DAHLIAR P - Berobat Jalan Hipertensi Hipertensi
203 00:00 09:26 diabetes mellitus
040500000921Y000 14-09-2021 14-09-2021 Rheumatoid arthritis,
240 0000285428564 NURMANIS P PBI (APBN) Berobat Jalan
207 00:00 11:05 unspecified
040500000921Y000 14-09-2021 14-09-2021 Rheumatoid arthritis,
241 0000987568187 RAMAYULIS L PBI (APBN) Berobat Jalan Hipertensi
200 00:00 09:17 unspecified
040500000921Y000 14-09-2021 14-09-2021 Acute nasopharyngitis
242 0000987568198 NURSIMA P PBI (APBN) Berobat Jalan
199 00:00 09:16 [common cold]
040500000921Y000 14-09-2021 14-09-2021 Insulin-dependent Diabetes
243 0001330585143 FATIMAH P PBI (APBD) Berobat Jalan Hipertensi
208 00:00 11:33 diabetes mellitus Mellitus
040500000921Y000 14-09-2021 14-09-2021 Rheumatoid arthritis,
244 0001334873687 SRI MEILENI P PBI (APBD) Berobat Jalan
204 00:00 09:50 unspecified
040500000921Y000 14-09-2021 20-09-2021
245 0001687551039 KHAILA RAHMIJUNITA P PBI (APBN) Paratyphoid fever A Berobat Jalan
278 00:00 09:24
040500000921Y000 14-09-2021 14-09-2021 PENERIMA Cutaneous abscess,
246 0001849179903 YESFI AIDIL FACHREZI L Berobat Jalan
201 00:00 09:19 PENSIUN PNS furuncle and carbuncle
040500000921Y000 14-09-2021 14-09-2021 Insulin-dependent
247 0002784608774 NURMANI P PBI (APBN) Berobat Jalan
205 00:00 09:51 diabetes mellitus
040500000921Y000 14-09-2021 20-09-2021 Acute nasopharyngitis
248 0002903270253 AZAHA RATUNI ZIKQRA P PBI (APBN) Berobat Jalan
277 00:00 09:21 [common cold]
040500000921P000 14-09-2021 18-09-2021
249 0002923724013 HAIBA ZIA AL MAHYRA P PBI (APBD) Fever, unspecified Berobat Jalan
251 00:00 08:22
040500000921Y000 13-09-2021 13-09-2021 Rheumatoid arthritis,
250 0000285471911 MANI CHANDRA L PBI (APBN) Berobat Jalan
191 00:00 11:21 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

KEPALA DESA
040500000921Y000 13-09-2021 13-09-2021 Rheumatoid arthritis,
251 0001245221739 MASRIZAL L DAN PERANGKAT Berobat Jalan
193 00:00 11:23 unspecified
DESA

040500000921Y000 13-09-2021 13-09-2021 Rheumatoid arthritis,


252 0001332256059 ASNAH P PBI (APBD) Berobat Jalan
190 00:00 11:20 unspecified

KEPALA DESA
040500000921Y000 13-09-2021 13-09-2021
253 0001333293052 YERNALIS P DAN PERANGKAT Other peripheral vertigo Berobat Jalan
186 00:00 11:15
DESA

KEPALA DESA
040500000921Y000 13-09-2021 13-09-2021 Rheumatoid arthritis,
254 0001334908271 ALFIANDA L DAN PERANGKAT Berobat Jalan
194 00:00 11:53 unspecified
DESA

040500000921Y000 13-09-2021 13-09-2021


255 0001496540968 FAUZAN L PBI (APBN) Epilepsy Rujuk Vertikal
183 00:00 08:45
Fracture of navicular
040500000921Y000 13-09-2021 13-09-2021
256 0001499555013 ASNIMAR P PBI (APBN) [scaphoid] bone of hand , Berobat Jalan
184 00:00 08:52
closed
040500000921Y000 13-09-2021 13-09-2021
257 0001499555744 TAUFIK HIDAYAT L PBI (APBN) Paranoid schizophrenia Rujuk Vertikal
185 00:00 10:11
040500000921Y000 13-09-2021 13-09-2021 Acute nasopharyngitis
258 0001686157266 YUSNILAWATI P PBI (APBN) Berobat Jalan
180 00:00 08:41 [common cold]
040500000921P000 13-09-2021 15-09-2021 Supervision of normal
259 0001980793045 SISKA RATNA JUWITA P PBI (APBN) Berobat Jalan
215 00:00 10:12 pregnancy
040500000921Y000 13-09-2021 13-09-2021 Acute nasopharyngitis
260 0002034822633 MERY LESTARI PUTRI P PBI (APBN) Berobat Jalan
182 00:00 08:43 [common cold]
040500000921Y000 13-09-2021 13-09-2021 Acute nasopharyngitis
261 0002090729463 ALIMUL HAKIM L PBI (APBN) Berobat Jalan
181 00:00 08:42 [common cold]
040500000921Y000 13-09-2021 13-09-2021 Acute upper respiratory
262 0002241651284 YOGIE JADENIS L PBI (APBD) Berobat Jalan
192 00:00 11:22 infection, unspecified
040500000921Y000 13-09-2021 13-09-2021 Acute nasopharyngitis
263 0002274529678 ASLI NARTI P PBI (APBD) Berobat Jalan
187 00:00 11:16 [common cold]
040500000921Y000 13-09-2021 20-09-2021 Acute nasopharyngitis
264 0002855231008 ELISYHA PUTRIANTI P PBI (APBN) Berobat Jalan
309 00:00 10:43 [common cold]
040500000921Y000 13-09-2021 13-09-2021
265 0002862697048 SYAFARUDIN L PBI (APBN) Haemorrhoids Berobat Jalan
189 00:00 11:18
040500000921Y000 13-09-2021 13-09-2021 Rheumatoid arthritis,
266 0002903041967 ARNIMA P PBI (APBN) Berobat Jalan
188 00:00 11:17 unspecified
040500000921Y000 11-09-2021 PENERIMA Essential (primary)
267 09-11-2021 0000017121069 NURBAITI P Berobat Jalan
177 09:35 PENSIUN PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921P000 13-09-2021 Contraceptive


268 09-11-2021 0001308265345 SISKA HAYATI P PBI (APBD) Berobat Jalan
196 11:57 management, unspecified
040500000921Y000 11-09-2021 Rheumatoid arthritis,
269 09-11-2021 0001330308382 MUSTIKA P PBI (APBN) Berobat Jalan
179 09:38 unspecified
040500000921Y000 11-09-2021
270 09-11-2021 0001331849755 LANI REGINA P PBI (APBD) Miliaria, unspecified Berobat Jalan
175 08:40
040500000921Y000 11-09-2021
271 09-11-2021 0001686174467 MANIDAR P PBI (APBN) Iron deficiency anaemia Rujuk Vertikal
176 09:29
Acute upper respiratory
040500000921Y000 22-09-2021
272 09-11-2021 0002062630462 CAYLA OKTA YUMEZA P PNS DAERAH infections of multiple and Berobat Jalan
354 10:06
unspecified sites
040500000921P000 13-09-2021 Acute nasopharyngitis
273 09-11-2021 0002082525794 EPI SUANTO L PBI (APBN) Berobat Jalan
195 11:56 [common cold]
040500000921Y000 11-09-2021 Acute pharyngitis,
274 09-11-2021 0002754023613 MARNETTY MUNIR P PBI (APBN) Berobat Jalan
178 09:37 unspecified
040500000921Y000 11-09-2021
275 09-11-2021 0003056011378 RAMLI.R L PBI (APBD) Open wound of knee Berobat Jalan
174 08:38
040500000921P000 19-09-2021 Supervision of normal
276 09-10-2021 0000284968901 RUSMI WAHDINA P - Berobat Jalan
272 20:47 pregnancy
040500000921P000 19-09-2021 Other contraceptive
277 09-10-2021 0001245213145 KIKI OKTAVIA P - Berobat Jalan
274 21:00 management
040500000921Y000 10-09-2021 Acute upper respiratory
278 09-10-2021 0001331901134 ALI SUMAR L PBI (APBD) Berobat Jalan
150 09:20 infection, unspecified
040500000921Y000 10-09-2021
279 09-10-2021 0001332127023 FINDA SURYANI P PBI (APBN) Keloid scar Rujuk Vertikal
164 10:43
040500000921Y000 10-09-2021 Acute nasopharyngitis
280 09-10-2021 0001332645827 SUMARNI P PBI (APBD) Berobat Jalan
159 10:10 [common cold]
040500000921P000 17-09-2021 Postpartum care and
281 09-10-2021 0001436014844 NURLAILA RAHMADIANA P - Berobat Jalan
218 09:12 examination
040500000921Y000 10-09-2021 Essential (primary)
282 09-10-2021 0002862698815 KAMINAR P PBI (APBN) Berobat Jalan
158 10:07 hypertension
040500000921Y000 10-09-2021
283 09-10-2021 0002929027162 YOSI DESNITA P PBI (APBD) Conjunctivitis, unspecified Berobat Jalan
152 09:22
040500000921Y000 09-09-2021
284 09-09-2021 0000017080075 WIWIK SUWITA P PNS DAERAH Cough Berobat Jalan
146 10:22
040500000921Y000 09-09-2021 PENERIMA Rheumatoid arthritis,
285 09-09-2021 0000017130161 BUSTAMAR L Berobat Jalan
143 10:08 PENSIUN PNS unspecified
040500000921Y000 09-09-2021 PENERIMA
286 09-09-2021 0000017133028 KASDIAR P Atopic dermatitis Berobat Jalan
144 10:11 PENSIUN PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 10-09-2021 Acute nasopharyngitis


287 09-09-2021 0000172194625 YURIKO PRATAMA L PNS DAERAH Berobat Jalan
171 11:11 [common cold]
040500000921Y000 09-09-2021
288 09-09-2021 0000284148009 MUHAMAD AGIL L PBI (APBN) Fever, unspecified Berobat Jalan
141 10:05
Follow-up examination
040500000921Y000 09-09-2021
289 09-09-2021 0000284149664 NASPUL MASWARDI L - after other treatment for Rujuk Vertikal
145 10:17
other conditions
040500000921Y000 09-09-2021 Acute upper respiratory
290 09-09-2021 0000284959405 LISMAR L PBI (APBN) Berobat Jalan
134 08:28 infection, unspecified
040500000921Y000 09-09-2021
291 09-09-2021 0000285138371 SURMANIAR P PBI (APBN) Presbyopia Berobat Jalan
137 09:02
040500000921Y000 09-09-2021 Rheumatoid arthritis,
292 09-09-2021 0000285294925 ARNALIS P PBI (APBN) Berobat Jalan
139 09:22 unspecified
040500000921Y000 09-09-2021 Rheumatoid arthritis,
293 09-09-2021 0000285428564 NURMANIS P PBI (APBN) Berobat Jalan
135 08:29 unspecified
Respiratory tuberculosis,
040500000921Y000 09-09-2021 not confirmed
294 09-09-2021 0000987567726 MARJULIS P PBI (APBN) Rujuk Vertikal
136 08:56 bacteriologically or
histologically
040500000921P000 19-09-2021 Supervision of normal
295 09-09-2021 0001332438636 DANIATI P - Berobat Jalan
270 20:35 pregnancy
040500000921P000 10-09-2021 Supervision of normal
296 09-09-2021 0001496693518 RISMA P PBI (APBD) Berobat Jalan
151 09:21 pregnancy
040500000921Y000 09-09-2021
297 09-09-2021 0001686153284 SAINI L PBI (APBN) Tinea corporis Berobat Jalan
142 10:07
040500000921Y000 09-09-2021
298 09-09-2021 0002584465042 MARZALIS L PBI (APBN) Fever, unspecified Berobat Jalan
147 10:50
040500000921Y000 09-09-2021 Rheumatoid arthritis,
299 09-09-2021 0002918715761 ALFURQAN L PNS DAERAH Berobat Jalan
138 09:09 unspecified
040500000921Y000 09-09-2021 Acute upper respiratory
300 09-09-2021 0003044787805 AMRIZAL TANJUNG L PBI (APBD) Berobat Jalan
140 09:24 infection, unspecified
040500000921Y000 10-09-2021 Acute nasopharyngitis
301 09-09-2021 0003044787873 FARID AL- KAUTSAR L PBI (APBD) Berobat Jalan
169 11:03 [common cold]
040500000921Y000 10-09-2021 Acute nasopharyngitis
302 09-09-2021 0003044787941 M. REIHAN NOVRIZAL L PBI (APBD) Berobat Jalan
170 11:08 [common cold]
040500000921Y000 10-09-2021 Acute nasopharyngitis
303 09-09-2021 0003091096732 GHINAA KHAIRUN NISA P PBI (APBD) Berobat Jalan
172 11:13 [common cold]
040500000921Y000 08-09-2021 Essential (primary)
304 09-08-2021 0000017119653 YULHEPI P PNS DAERAH Berobat Jalan
122 09:54 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 08-09-2021 Essential (primary)


305 09-08-2021 0000283126893 ZAINAB P PBI (APBN) Berobat Jalan
112 08:59 hypertension
040500000921Y000 08-09-2021 Peptic ulcer, site
306 09-08-2021 0000284701555 MISWARDI L PBI (APBN) Rujuk Vertikal
132 11:10 unspecified
Respiratory tuberculosis,
040500000921Y000 08-09-2021 not confirmed
307 09-08-2021 0000284965885 DAHRUL L PBI (APBN) Berobat Jalan
125 10:20 bacteriologically or
histologically
040500000921Y000 08-09-2021
308 09-08-2021 0000284975987 YANTI LAURA P PBI (APBN) Asthma, unspecified Rujuk Vertikal
131 10:55
040500000921P000 19-09-2021 Supervision of normal
309 09-08-2021 0000284991153 ROSANTI P - Berobat Jalan
273 20:53 pregnancy
040500000921Y000 08-09-2021
310 09-08-2021 0000285109481 DASWAR L PBI (APBN) Otitis media, unspecified Berobat Jalan
130 10:43
040500000921P000 19-09-2021 Supervision of normal
311 09-08-2021 0000285425651 KISNA JUNITA P - Berobat Jalan
271 20:41 pregnancy
040500000921Y000 08-09-2021 Rheumatoid arthritis,
312 09-08-2021 0000285428564 NURMANIS P PBI (APBN) Berobat Jalan
129 10:41 unspecified
040500000921Y000 08-09-2021
313 09-08-2021 0000987567546 MASRIL L PBI (APBN) Atopic dermatitis Berobat Jalan
116 09:09
040500000921Y000 08-09-2021 Atherosclerotic heart
314 09-08-2021 0000987567557 NURSIMA P PBI (APBN) Rujuk Vertikal
128 10:39 disease
Excessive and frequent
040500000921P000 08-09-2021
315 09-08-2021 0001300523938 JUNI HARSRI YANI P PBI (APBD) menstruation with irregular Berobat Jalan
126 10:24
cycle
040500000921Y000 08-09-2021
316 09-08-2021 0001330879408 NURJANI P PBI (APBD) Senile cataract Rujuk Vertikal
111 08:36
040500000921Y000 08-09-2021 Rheumatoid arthritis,
317 09-08-2021 0001332750519 KARTINI P PBI (APBN) Berobat Jalan
133 11:29 unspecified
040500000921Y000 08-09-2021 Rheumatoid arthritis,
318 09-08-2021 0001334152675 YULIMAR P PBI (APBD) Berobat Jalan
124 10:19 unspecified
Chronic obstructive
040500000921Y000 08-09-2021
319 09-08-2021 0001334303458 ALIDAR L PBI (APBN) pulmonary disease, Berobat Jalan
113 09:01
unspecified
040500000921Y000 08-09-2021
320 09-08-2021 0001686173319 RIKA DEWI SARTIKA P PBI (APBN) Other disorders of eyelid Rujuk Vertikal
110 08:18
040500000921Y000 08-09-2021 PENERIMA Acute nasopharyngitis
321 09-08-2021 0001849179903 YESFI AIDIL FACHREZI L Berobat Jalan
123 09:56 PENSIUN PNS [common cold]
040500000921Y000 08-09-2021
322 09-08-2021 0002275222612 SYUKUR L PBI (APBD) Congestive heart failure Rujuk Vertikal
114 09:02
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 08-09-2021 Rheumatoid arthritis,


323 09-08-2021 0002275223804 NURAINI P PBI (APBD) Berobat Jalan
115 09:08 unspecified
040500000921Y000 08-09-2021
324 09-08-2021 0002496446109 HANIFA BILQISTI P PBI (APBN) Epistaxis Rujuk Vertikal
118 09:19
040500000921Y000 08-09-2021 Uterovaginal prolapse,
325 09-08-2021 0002767142518 MANIAR P PBI (APBD) Rujuk Vertikal
120 09:50 unspecified
040500000921Y000 08-09-2021 Stroke, not specified as
326 09-08-2021 0002784607637 ALINAR P PBI (APBN) Rujuk Vertikal
119 09:36 haemorrhage or infarction
Respiratory tuberculosis,
040500000921Y000 08-09-2021 not confirmed
327 09-08-2021 0002883847555 IWA OCHITA BERKAH P PBI (APBD) Berobat Jalan
121 09:53 bacteriologically or
histologically
Tuberculosis of lung,
040500000921Y000 08-09-2021 confirmed by sputum
328 09-08-2021 0003056011389 YARMAINI P PBI (APBD) Rujuk Vertikal
117 09:15 microscopy with or without
culture
040500000921P000 08-09-2021 Supervision of normal
329 09-08-2021 0003076588315 NURPIA P PBI (APBD) Berobat Jalan
127 10:26 pregnancy
040500000921Y000 07-09-2021 Acute nasopharyngitis
330 09-07-2021 0000017080075 WIWIK SUWITA P PNS DAERAH Berobat Jalan
090 09:52 [common cold]
Chronic obstructive
040500000921Y000 07-09-2021 PENERIMA
331 09-07-2021 0000017121058 ZAILI L pulmonary disease, Rujuk Vertikal
100 10:30 PENSIUN PNS
unspecified
040500000921Y000 07-09-2021 Acute nasopharyngitis
332 09-07-2021 0000164991251 SATRIA BUANA L PNS DAERAH Berobat Jalan
091 09:57 [common cold]
040500000921Y000 07-09-2021 Insulin-dependent
333 09-07-2021 0000284869225 NARMAWATI P PBI (APBN) Berobat Jalan
102 10:42 diabetes mellitus
Antenatal screening for
040500000921P000 07-09-2021 fetal growth retardation
334 09-07-2021 0000284935206 ZULNELLY P PBI (APBN) Rujuk Vertikal
097 10:15 using ultrasound and other
physical methods
040500000921Y000 10-09-2021
335 09-07-2021 0000284936275 MUTIA AZZARA P PBI (APBN) Paratyphoid fever A Berobat Jalan
157 10:02
040500000921Y000 07-09-2021
336 09-07-2021 0000285024363 NURVAMINAWATI P PBI (APBN) Atopic dermatitis Berobat Jalan
095 10:13
040500000921Y000 07-09-2021
337 09-07-2021 0000285248237 MASRIAL L PBI (APBN) Schizophrenia Berobat Jalan
087 09:46
040500000921Y000 10-09-2021
338 09-07-2021 0000285403476 RANDI EKA PUTRA L PBI (APBN) Other dermatitis Berobat Jalan
155 09:57
040500000921Y000 07-09-2021 Peptic ulcer, site
339 09-07-2021 0000987568435 MUSLI ZARNI L PBI (APBN) Rujuk Vertikal
092 10:01 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921P000 07-09-2021 Rheumatoid arthritis,


340 09-07-2021 0001334476168 TETI SUMARNI P - Berobat Jalan
094 10:11 unspecified
040500000921P000 07-09-2021 Supervision of normal
341 09-07-2021 0001334476168 TETI SUMARNI P - Berobat Jalan
108 11:03 pregnancy
040500000921Y000 07-09-2021 Acute nasopharyngitis
342 09-07-2021 0001387652106 JUNIARTI P PBI (APBN) Berobat Jalan
109 11:15 [common cold]
040500000921Y000 07-09-2021 Acute nasopharyngitis
343 09-07-2021 0001499555687 AHMAD AFANDI DASMA L PBI (APBD) Berobat Jalan
086 08:26 [common cold]
040500000921Y000 07-09-2021
344 09-07-2021 0001502655794 ELIANIS P PBI (APBD) Other peripheral vertigo Berobat Jalan
088 09:48
040500000921Y000 10-09-2021 Acute nasopharyngitis
345 09-07-2021 0001502656233 ZAHIDA QALBI NADHIFA P PBI (APBN) Berobat Jalan
154 09:53 [common cold]
040500000921P000 19-09-2021 Supervision of normal
346 09-07-2021 0001686153328 ERLINA P - Berobat Jalan
269 20:28 pregnancy
040500000921Y000 07-09-2021 Acute nasopharyngitis
347 09-07-2021 0001686163285 WANDA PUTRA L PBI (APBD) Berobat Jalan
099 10:26 [common cold]
040500000921Y000 07-09-2021 Rheumatoid arthritis,
348 09-07-2021 0001686175299 NURBAINI P PBI (APBD) Berobat Jalan
096 10:14 unspecified
040500000921Y000 07-09-2021 Acute upper respiratory
349 09-07-2021 0001875295091 LAZUARDIMAN L PBI (APBD) Berobat Jalan
098 10:16 infection, unspecified
040500000921P000 09-09-2021 Single spontaneous
350 09-07-2021 0002015629266 SUSILAWATI P PBI (APBN) Berobat Jalan
148 16:37 delivery, unspecified
040500000921Y000 07-09-2021
351 09-07-2021 0002207766363 NURHAYATI P - Cough Berobat Jalan
085 08:23
040500000921P000 07-09-2021 Supervision of normal
352 09-07-2021 0002228548713 AFRIL LOVINA P PBI (APBD) Berobat Jalan
101 10:33 pregnancy
040500000921Y000 07-09-2021 Rheumatoid arthritis,
353 09-07-2021 0002275222612 SYUKUR L PBI (APBD) Berobat Jalan
105 10:51 unspecified
040500000921Y000 07-09-2021 Acute upper respiratory
354 09-07-2021 0002275223804 NURAINI P PBI (APBD) Berobat Jalan
104 10:47 infection, unspecified
040500000921P000 07-09-2021 PEKERJA Supervision of normal
355 09-07-2021 0002495071326 WELENDRI YANNOVITA P Berobat Jalan
107 10:55 MANDIRI pregnancy
040500000921Y000 07-09-2021
356 09-07-2021 0002903289434 RESI ISWATI P PBI (APBD) Hordeolum and chalazion Berobat Jalan
089 09:49
040500000921Y000 07-09-2021 Rheumatoid arthritis,
357 09-07-2021 0002914015364 YARMIS L PBI (APBN) Berobat Jalan
106 10:52 unspecified
040500000921Y000 07-09-2021
358 09-07-2021 0002918715761 ALFURQAN L PNS DAERAH Haemorrhoids Berobat Jalan
103 10:44
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 10-09-2021 Acute nasopharyngitis


359 09-07-2021 0002932330274 IBNU FIRMANSYAH L PBI (APBD) Berobat Jalan
156 09:59 [common cold]
040500000921Y000 10-09-2021 Acute nasopharyngitis
360 09-07-2021 0002940107027 NURUL AGUSTIN P PBI (APBD) Berobat Jalan
153 09:51 [common cold]
040500000921P000 07-09-2021 DEVAN HAFIS PUTRA Acute nasopharyngitis
361 09-07-2021 0002940107163 L - Berobat Jalan
093 10:10 PILIANG [common cold]
040500000921Y000 06-09-2021 Acute sinusitis,
362 09-06-2021 0000147929051 ANGGIA DAMAYANA P PNS DAERAH Berobat Jalan
066 09:02 unspecified
040500000921Y000 06-09-2021 Rheumatoid arthritis,
363 09-06-2021 0000284639174 NURHAYATI P PBI (APBN) Berobat Jalan
075 09:45 unspecified
040500000921Y000 06-09-2021 Chronic ischaemic heart
364 09-06-2021 0000284953296 AZWAR L PBI (APBN) Rujuk Vertikal
067 09:03 disease
040500000921Y000 06-09-2021 Acute nasopharyngitis
365 09-06-2021 0000284965749 DESY SUSANTI P - Berobat Jalan
072 09:38 [common cold]
040500000921Y000 10-09-2021
366 09-06-2021 0000284966289 TASYA SALSABILA P PBI (APBN) Paratyphoid fever A Berobat Jalan
165 10:44

Pain and other conditions


040500000921Y000 06-09-2021 associated with female
367 09-06-2021 0000285416471 RESI INDRAWANI P PBI (APBN) Rujuk Vertikal
081 10:39 genital organs and
menstrual cycle

040500000921Y000 10-09-2021 Acute nasopharyngitis


368 09-06-2021 0001313634418 ABDUL JAMIL PRIHAYAT L PBI (APBD) Berobat Jalan
160 10:31 [common cold]

KEPALA DESA
040500000921Y000 06-09-2021 Rheumatoid arthritis,
369 09-06-2021 0001329119807 AL BADRI L DAN PERANGKAT Berobat Jalan
070 09:35 unspecified
DESA

040500000921Y000 06-09-2021 Essential (primary)


370 09-06-2021 0001332447614 KHADIJAH P PBI (APBN) Berobat Jalan
073 09:41 hypertension
040500000921P000 06-09-2021
371 09-06-2021 0001334303458 ALIDAR L PBI (APBN) Senile cataract Rujuk Vertikal
065 08:55
040500000921Y000 06-09-2021
372 09-06-2021 0001496510482 NURTINI P - Other peripheral vertigo Berobat Jalan
071 09:37
040500000921Y000 06-09-2021
373 09-06-2021 0001686156838 FADHILATURRAHMY P PBI (APBN) Atopic dermatitis Berobat Jalan
082 11:15
040500000921Y000 06-09-2021
374 09-06-2021 0001875295901 YULIZAR P PBI (APBD) Low back pain Rujuk Vertikal
063 08:34
040500000921P000 06-09-2021 Other contraceptive
375 09-06-2021 0002015629266 SUSILAWATI P PBI (APBN) Berobat Jalan
084 15:01 management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

Labour and delivery


040500000921P000 06-09-2021
376 09-06-2021 0002200970103 PITRIANI P PBI (APBD) complicated by fetal stress Rujuk Vertikal
077 10:09
[distress]
040500000921Y000 10-09-2021 Acute nasopharyngitis
377 09-06-2021 0002215193117 FAREL JIBRAN L PBI (APBD) Berobat Jalan
167 10:49 [common cold]
040500000921Y000 10-09-2021 Acute nasopharyngitis
378 09-06-2021 0002496446109 HANIFA BILQISTI P PBI (APBN) Berobat Jalan
162 10:37 [common cold]
040500000921Y000 06-09-2021
379 09-06-2021 0002754024625 JACK NERI MUNIR L PBI (APBN) Keratitis Rujuk Vertikal
076 09:51
040500000921Y000 06-09-2021
380 09-06-2021 0002862696969 ZULKIFLI L PBI (APBN) Cough Berobat Jalan
074 09:43
040500000921Y000 06-09-2021 Rheumatoid arthritis,
381 09-06-2021 0002862697577 ROSTINA P PBI (APBN) Berobat Jalan
079 10:33 unspecified
040500000921Y000 06-09-2021 Atopic dermatitis,
382 09-06-2021 0002862698343 FEFI SYOFIANDA P PBI (APBN) Berobat Jalan
078 10:31 unspecified
040500000921Y000 06-09-2021
383 09-06-2021 0002903336166 YETNA WATI P PBI (APBD) Cough Berobat Jalan
069 09:10
040500000921Y000 10-09-2021
384 09-06-2021 0002914046638 INTAN ASKA PUTRI P - Paratyphoid fever A Berobat Jalan
168 10:54
040500000921Y000 10-09-2021 Acute nasopharyngitis
385 09-06-2021 0002914051768 KEYSA AFIQAH P PBI (APBD) Berobat Jalan
163 10:40 [common cold]
040500000921Y000 06-09-2021 Open wound of ankle and
386 09-06-2021 0002918495529 ASYIFA APRILIA P PBI (APBD) Berobat Jalan
064 08:41 foot
040500000921Y000 10-09-2021 Acute nasopharyngitis
387 09-06-2021 0002932239262 HAFIZAH ZAHARA P PBI (APBD) Berobat Jalan
166 10:47 [common cold]
040500000921Y000 06-09-2021 Essential (primary)
388 09-06-2021 0002932298324 NURJASMI P PBI (APBD) Berobat Jalan
068 09:08 hypertension
040500000921Y000 06-09-2021
389 09-06-2021 0002966015182 SYAMSUARDI L PBI (APBN) Cough Berobat Jalan
080 10:34
040500000921Y000 06-09-2021 Superficial injury of lower
390 09-06-2021 0003056011378 RAMLI.R L PBI (APBD) Berobat Jalan
062 08:17 leg
040500000921Y000 06-09-2021 Acute nasopharyngitis
391 09-06-2021 0003056307647 JONI ADRIAN L PBI (APBD) Berobat Jalan
083 11:16 [common cold]
040500000921Y000 10-09-2021
392 09-06-2021 0003056307816 CANTIKA ADRIAN PUTRI P PBI (APBD) Scabies Berobat Jalan
161 10:33
040500000921Y000 06-09-2021
393 09-04-2021 0000285369996 ERIZAL L PBI (APBN) Headache Berobat Jalan
059 07:45
Labour and delivery
040500000921P000 04-09-2021
394 09-04-2021 0000285370233 ERNIATI P - complicated by fetal heart Rujuk Vertikal
055 10:47
rate anomaly
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 04-09-2021 Acute leukaemia of


395 09-04-2021 0000285433446 HADI ZAKLI L PBI (APBN) Rujuk Vertikal
054 10:08 unspecified cell type
040500000921P000 05-09-2021 Single spontaneous
396 09-04-2021 0000285475408 IRA OKTAVIANI P - Sembuh
057 21:32 delivery, unspecified

KEPALA DESA
040500000921Y000 06-09-2021 Rheumatoid arthritis,
397 09-04-2021 0001329119807 AL BADRI L DAN PERANGKAT Berobat Jalan
058 07:43 unspecified
DESA

040500000921Y000 04-09-2021 Cerebral infarction,


398 09-04-2021 0001499555654 DASWATI L PBI (APBD) Rujuk Vertikal
052 09:47 unspecified
040500000921Y000 04-09-2021
399 09-04-2021 0001499555687 AHMAD AFANDI DASMA L PBI (APBD) Epilepsy Rujuk Vertikal
053 09:57
040500000921Y000 06-09-2021
400 09-04-2021 0001849970823 KARTINI P PBI (APBD) Gastritis, unspecified Berobat Jalan
060 07:47

KEPALA DESA
040500000921P000 06-09-2021 RASYA MUHAMMAD
401 09-04-2021 0002501334483 L DAN PERANGKAT Fever, unspecified Berobat Jalan
061 07:50 FATHIR
DESA

040500000921Y000 04-09-2021 PENERIMA Acute nasopharyngitis


402 09-03-2021 0000017130161 BUSTAMAR L Berobat Jalan
042 08:33 PENSIUN PNS [common cold]
040500000921Y000 04-09-2021 PENERIMA Rheumatoid arthritis,
403 09-03-2021 0000017133028 KASDIAR P Berobat Jalan
041 08:30 PENSIUN PNS unspecified
040500000921Y000 04-09-2021
404 09-03-2021 0000284148347 EMI P PBI (APBN) Pyoderma Berobat Jalan
044 08:41
040500000921Y000 03-09-2021
405 09-03-2021 0000284891275 ZURNIATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
037 09:46
040500000921Y000 04-09-2021 Acute nasopharyngitis
406 09-03-2021 0000284892186 WAHYUDI PUTRA L PBI (APBN) Berobat Jalan
047 08:48 [common cold]
Tuberculosis of lung,
040500000921Y000 03-09-2021 without mention of
407 09-03-2021 0000284965885 DAHRUL L PBI (APBN) Berobat Jalan
036 09:44 bacteriological or
histological confirmation
040500000921Y000 04-09-2021 Acute nasopharyngitis
408 09-03-2021 0000285414456 JORDI ARDIAN L PBI (APBN) Berobat Jalan
051 09:02 [common cold]
040500000921Y000 04-09-2021 Acute nasopharyngitis
409 09-03-2021 0001245214484 KHAIRUL ILMI L PBI (APBN) Berobat Jalan
048 08:51 [common cold]
040500000921Y000 04-09-2021
410 09-03-2021 0001285464148 NURMA P PBI (APBD) Gastritis, unspecified Berobat Jalan
043 08:37
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

KEPALA DESA
040500000921Y000 04-09-2021
411 09-03-2021 0001334819035 SURYANI P DAN PERANGKAT Gastritis, unspecified Berobat Jalan
050 08:59
DESA

040500000921Y000 03-09-2021 WINDA EMILDA


412 09-03-2021 0001496510649 P PBI (APBD) Atopic dermatitis Berobat Jalan
038 09:48 MANULANG
040500000921Y000 04-09-2021 Rheumatoid arthritis,
413 09-03-2021 0001496510807 MARDALENA P PBI (APBN) Berobat Jalan
045 08:44 unspecified
040500000921Y000 04-09-2021
414 09-03-2021 0001496541104 SRI ERYANI P PBI (APBN) Headache Berobat Jalan
046 08:46
040500000921Y000 04-09-2021 Rheumatoid arthritis,
415 09-03-2021 0001686153284 SAINI L PBI (APBN) Berobat Jalan
049 08:54 unspecified
040500000921P000 21-09-2021 Rheumatoid arthritis,
416 09-03-2021 0001686156006 NURMA P - Berobat Jalan
341 14:42 unspecified
040500000921Y000 10-09-2021 Acute nasopharyngitis
417 09-03-2021 0001686167335 REHAN ADRIANSYAH L PBI (APBN) Berobat Jalan
173 11:15 [common cold]

Human immunodeficiency
040500000921Y000 03-09-2021 virus [HIV] disease
418 09-03-2021 0002775091724 VERY L PBI (APBD) Rujuk Vertikal
040 09:58 resulting in infectious and
parasitic diseases

040500000921Y000 03-09-2021 Injury of unspecified body


419 09-03-2021 0002832100571 AFRIWANDI L PBI (APBN) Berobat Jalan
034 08:54 region
Tuberculosis of lung,
040500000921Y000 03-09-2021 without mention of
420 09-03-2021 0002883847555 IWA OCHITA BERKAH P PBI (APBD) Berobat Jalan
039 09:53 bacteriological or
histological confirmation
Follow-up examination
040500000921Y000 03-09-2021
421 09-03-2021 0002903332476 NOFIRA FEBRIANI P PBI (APBD) after other treatment for Rujuk Vertikal
035 09:29
other conditions
040500000921P000 21-09-2021 Gingivitis and periodontal
422 09-02-2021 0000284922944 ZAIRUDIN L - Berobat Jalan
340 14:28 diseases
040500000921Y000 02-09-2021 Acute nasopharyngitis
423 09-02-2021 0000284961688 HAFSYAHTUL FADHILAH P PBI (APBN) Berobat Jalan
012 08:43 [common cold]
Tuberculosis of lung,
040500000921Y000 02-09-2021
424 09-02-2021 0000284965885 DAHRUL L PBI (APBN) bacteriologically and Berobat Jalan
033 11:37
histologically negative
040500000921P000 21-09-2021
425 09-02-2021 0000285008231 ERMAWATI P - Other dermatitis Berobat Jalan
336 10:40
040500000921Y000 02-09-2021 Diabetes
426 09-02-2021 0000285096407 ZAINAL ABIDIN L PBI (APBN) Senile nuclear cataract Rujuk Vertikal Hipertensi
018 09:40 Mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 02-09-2021 Rheumatoid arthritis,


427 09-02-2021 0000285097397 MARNI P PBI (APBN) Berobat Jalan
032 11:35 unspecified
040500000921Y000 02-09-2021 Rheumatoid arthritis,
428 09-02-2021 0000285242185 ARMAINI P PBI (APBN) Berobat Jalan
030 11:32 unspecified
040500000921Y000 02-09-2021 Rheumatoid arthritis,
429 09-02-2021 0000285275349 YUSMANELI P PBI (APBN) Berobat Jalan
028 11:28 unspecified
040500000921Y000 02-09-2021 Acute nasopharyngitis
430 09-02-2021 0000285414939 HENGKI IRAWAN L PBI (APBN) Berobat Jalan
026 11:01 [common cold]
040500000921P000 02-09-2021 Acute nasopharyngitis
431 09-02-2021 0000987564519 ELLY SUKAESIH P PBI (APBN) Berobat Jalan
024 10:21 [common cold]

KEPALA DESA
040500000921Y000 02-09-2021
432 09-02-2021 0001265674307 ZAIDIR L DAN PERANGKAT Schizophrenia Berobat Jalan
010 08:32
DESA

KEPALA DESA
040500000921Y000 02-09-2021 Essential (primary)
433 09-02-2021 0001265674443 WARNI P DAN PERANGKAT Berobat Jalan
011 08:34 hypertension
DESA

040500000921Y000 02-09-2021 PENERIMA Rheumatoid arthritis,


434 09-02-2021 0001267100414 ALEXMAN MAMUJA L Berobat Jalan
019 09:45 PENSIUN POLRI unspecified

KEPALA DESA
040500000921Y000 02-09-2021
435 09-02-2021 0001334819035 SURYANI P DAN PERANGKAT Fever, unspecified Berobat Jalan
027 11:26
DESA

040500000921Y000 02-09-2021 Acute nasopharyngitis


436 09-02-2021 0001496692809 ZAKI AKMAL L PBI (APBN) Berobat Jalan
022 10:15 [common cold]
040500000921Y000 02-09-2021
437 09-02-2021 0001499555711 MULYADI L PBI (APBN) Schizophrenia Berobat Jalan
014 08:52
040500000921Y000 02-09-2021 Acute nasopharyngitis
438 09-02-2021 0001502656143 LINDA HERMAWATI P - Berobat Jalan
029 11:30 [common cold]
040500000921Y000 02-09-2021
439 09-02-2021 0001686175299 NURBAINI P PBI (APBD) Senile cataract Rujuk Vertikal
017 09:34
040500000921P000 05-09-2021 Single spontaneous
440 09-02-2021 0001686180791 ERNAWATI P - Sembuh
056 21:20 delivery, unspecified
040500000921Y000 02-09-2021 Essential (primary)
441 09-02-2021 0001829880112 SUARDI L PBI (APBD) Berobat Jalan
013 08:49 hypertension
Vomiting associated with
040500000921Y000 02-09-2021 FAZIA AFRANNY
442 09-02-2021 0002421034468 P PNS DAERAH other psychological Rujuk Vertikal
020 10:06 HARGUSMI
disturbances
040500000921Y000 02-09-2021
443 09-02-2021 0002622183636 KAHLIL GIBRAN ANLI L PBI (APBD) Scabies Rujuk Vertikal
016 09:29
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921Y000 02-09-2021
444 09-02-2021 0002784609099 ARMANSYAH PUTRA L PBI (APBN) Atopic dermatitis Berobat Jalan
031 11:33
040500000921Y000 02-09-2021 Fracture of upper end of
445 09-02-2021 0002832100571 AFRIWANDI L PBI (APBN) Rujuk Vertikal
021 10:08 radius
040500000921Y000 02-09-2021 Acute sinusitis,
446 09-02-2021 0002862698815 KAMINAR P PBI (APBN) Rujuk Vertikal
025 10:45 unspecified
040500000921P000 20-09-2021
447 09-02-2021 0002929026993 REFNI APRIANTI P - Other dermatitis Berobat Jalan
322 19:36
040500000921Y000 02-09-2021 Rheumatoid arthritis,
448 09-02-2021 0003045066669 NURBAITI P PBI (APBD) Berobat Jalan
015 09:01 unspecified
Hypertensive heart
040500000921Y000 01-09-2021 PENERIMA
449 09-01-2021 0000017133028 KASDIAR P disease without Rujuk Vertikal
005 10:44 PENSIUN PNS
(congestive) heart failure
Delayed delivery after
040500000921P000 16-09-2021 spontaneous or
450 09-01-2021 0000285574195 NOVA DESMITA P - Rujuk Vertikal
216 10:47 unspecified rupture of
membranes
040500000921P000 13-09-2021 Acute nasopharyngitis
451 09-01-2021 0001330444383 SEMOK L - Berobat Jalan
197 11:59 [common cold]
040500000921Y000 01-09-2021 Essential (primary)
452 09-01-2021 0001333074791 YASMI P PBI (APBN) Berobat Jalan
008 11:20 hypertension
040500000921P000 13-09-2021 Rheumatoid arthritis,
453 09-01-2021 0001333438018 NURSIDA P - Berobat Jalan
198 12:00 unspecified
040500000921Y000 02-09-2021 Acute nasopharyngitis
454 09-01-2021 0001334049682 AL HADID PRATAMA L PBI (APBN) Berobat Jalan
023 10:17 [common cold]
040500000921P000 09-09-2021 Supervision of normal
455 09-01-2021 0001499555575 YULIANA EFITA P - Berobat Jalan
149 16:46 pregnancy
040500000921Y000 01-09-2021
456 09-01-2021 0001686171126 SUHARDINATA L PBI (APBN) Other peripheral vertigo Berobat Jalan
006 10:48
040500000921Y000 01-09-2021
457 09-01-2021 0002862697048 SYAFARUDIN L PBI (APBN) Haemorrhoids Berobat Jalan
004 10:40
040500000921Y000 01-09-2021
458 09-01-2021 0002862697059 FAUZIAH P PBI (APBN) Cough Berobat Jalan
003 10:39
Respiratory tuberculosis,
040500000921Y000 01-09-2021 not confirmed
459 09-01-2021 0002883847555 IWA OCHITA BERKAH P PBI (APBD) Berobat Jalan
007 10:50 bacteriologically or
histologically
040500000921P000 01-09-2021 Supervision of normal
460 09-01-2021 0002892080272 ZALENITA FAJRI P - Berobat Jalan
001 09:30 pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PADANG - 0301

FKTP : SIKAPAK - 04050000

040500000921P000 20-09-2021
461 09-01-2021 0002933743678 ADAM ALBANI YAZIZ L - Fever, unspecified Berobat Jalan
321 19:26
040500000921Y000 01-09-2021 Acute nasopharyngitis
462 09-01-2021 0003044782348 FERA ADE RINA L PBI (APBD) Berobat Jalan
009 11:21 [common cold]
040500000921Y000 01-09-2021
463 09-01-2021 0003056011378 RAMLI.R L PBI (APBD) Open wound of lower leg Berobat Jalan
002 10:38

You might also like