Sakit Juni 2021

DAFTAR KUNJUNGAN PESERTA SAKIT
Kantor Cabang : METRO - 0803
FKTP : SUKARAJA NUBAN - 08091202
TANGGAL TANGGAL JENIS STATUS

NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG
080912020621P000 30-06-2021 30-06-2021

1 0000035026503 SURONO L PNS DAERAH Cataract, unspecified Rujuk Vertikal
699 00:00 10:56
080912020621P000 30-06-2021 30-06-2021
2 0000343216067 SITI MARYANI P PBI (APBN) Other atopic dermatitis Berobat Jalan
717 00:00 12:03
080912020621P000 30-06-2021 30-06-2021
3 0000343404955 BAYU PURNOMO AJI L PBI (APBN) Asthma, unspecified Berobat Jalan
706 00:00 11:20
080912020621P000 30-06-2021 30-06-2021
4 0000343470677 MUHAIDIN L PBI (APBN) Congestive heart failure Berobat Jalan
691 00:00 10:28
080912020621P000 30-06-2021 30-06-2021
5 0000343585934 DEDEN L PBI (APBN) Dental caries, unspecified Berobat Jalan
722 00:00 12:35
080912020621P000 30-06-2021 30-06-2021
6 0000343945484 KOMSIYATI P PBI (APBN) Other atopic dermatitis Berobat Jalan
728 00:00 12:44
080912020621P000 30-06-2021 30-06-2021
7 0000343947778 MIS RONI L PBI (APBN) Gastritis and duodenitis Berobat Jalan
729 00:00 12:45
080912020621P000 30-06-2021 30-06-2021
8 0000343997526 RAMLI L PBI (APBN) Other atopic dermatitis Berobat Jalan
811 00:00 21:32
080912020621P000 30-06-2021 30-06-2021 Acute nasopharyngitis
9 0000344241775 SUKIRMAN L PBI (APBN) Berobat Jalan
812 00:00 21:33 [common cold]
080912020621P000 30-06-2021 30-06-2021
10 0000344270698 ROHANI P PBI (APBN) Other atopic dermatitis Berobat Jalan
808 00:00 21:27
080912020621P000 30-06-2021 30-06-2021
11 0000344436568 KUSNADI L PBI (APBN) Myalgia Berobat Jalan
692 00:00 10:41
12 0000344446852 PROBO HARTATO L PBI (APBN) Berobat Jalan
705 00:00 11:06 [common cold]
080912020621P000 30-06-2021 30-06-2021
13 0000344656135 MASTINA P PBI (APBN) Myalgia Berobat Jalan
710 00:00 11:38
080912020621P000 30-06-2021 30-06-2021 Other headache
14 0000344754235 ENI YULIATI P PBI (APBN) Berobat Jalan
694 00:00 10:48 syndromes
Influenza with other
080912020621P000 30-06-2021 30-06-2021
15 0000344755078 BAYU AFRIDHO L PBI (APBN) manifestations, virus not Berobat Jalan
696 00:00 10:54
identified
080912020621P000 30-06-2021 30-06-2021
16 0000344834447 RUDI HERMAWAN L PBI (APBN) manifestations, virus not Berobat Jalan
701 00:00 10:57
identified
17 0000344873529 SITI MUALIFAH P PBI (APBN) Berobat Jalan
807 00:00 21:26 [common cold]
080912020621P000 30-06-2021 30-06-2021 Influenza, virus not

18 0000344933379 NATEM P PBI (APBN) Berobat Jalan
721 00:00 12:34 identified
080912020621P000 30-06-2021 30-06-2021
19 0000344950198 PANILAH P PBI (APBN) Cough Berobat Jalan
809 00:00 21:29
080912020621P000 30-06-2021 30-06-2021
20 0000345344692 JURIAH P PBI (APBN) Myalgia Berobat Jalan
810 00:00 21:31
080912020621P000 30-06-2021 30-06-2021
21 0000345569736 HASIAH P PBI (APBN) Other atopic dermatitis Berobat Jalan
720 00:00 12:28
080912020621P000 30-06-2021 30-06-2021 Essential (primary)
22 0000345908338 NONIK P PBI (APBN) Berobat Jalan
723 00:00 12:36 hypertension
080912020621P000 30-06-2021 30-06-2021
23 0000995203236 RUSMI PURWANTI P PBI (APBN) Dental caries, unspecified Berobat Jalan
719 00:00 12:27
24 0000995457879 AGUS DIANA P PBI (APBN) Berobat Jalan
080912020621P000 30-06-2021 30-06-2021
25 0000995465452 DALISAN L PBI (APBN) Myalgia Berobat Jalan
703 00:00 11:00
080912020621P000 30-06-2021 30-06-2021
26 0000995472573 SUGENG L PBI (APBN) Myalgia Berobat Jalan
693 00:00 10:46
080912020621P000 30-06-2021 30-06-2021
27 0000995475341 ELSA PUJI RAHAYU P PBI (APBN) Gastritis, unspecified Berobat Jalan
707 00:00 11:25
080912020621P000 30-06-2021 30-06-2021
28 0001252387528 AGUS SUROTO L PBI (APBN) Headache Berobat Jalan
726 00:00 12:38
Unspecified diabetes
080912020621P000 30-06-2021 30-06-2021
29 0001302189423 UMI HANI P PNS DAERAH mellitus with unspecified Rujuk Vertikal
689 00:00 09:37
complications
080912020621P000 30-06-2021 30-06-2021 PEGAWAI
30 0001442076849 ZAHRA NOVA RIA P Other atopic dermatitis Berobat Jalan
727 00:00 12:40 SWASTA
KEPALA DESA
080912020621P000 30-06-2021 30-06-2021
31 0001793184322 SUNARDI L DAN PERANGKAT Other visual disturbances Rujuk Vertikal
690 00:00 10:24
DESA
080912020621P000 30-06-2021 30-06-2021 PEKERJA Influenza, virus not

32 0002232786306 DIYONO L Berobat Jalan
725 00:00 12:37 MANDIRI identified
080912020621P000 30-06-2021 30-06-2021 PEKERJA
33 0002250116796 SUMIATI P Other atopic dermatitis Berobat Jalan Hipertensi Hipertensi
724 00:00 12:36 MANDIRI
080912020621P000 30-06-2021 30-06-2021
34 0002595544233 AQILA MAY TASYA P PBI (APBN) Dental caries, unspecified Berobat Jalan
730 00:00 12:46
080912020621P000 30-06-2021 30-06-2021
35 0002790511053 CANDRA KASIH L PBI (APBN) Urticaria Berobat Jalan
708 00:00 11:33
080912020621P000 30-06-2021 30-06-2021

36 0002834917255 JUMARI L PBI (APBN) Enlarged lymph nodes Rujuk Vertikal
695 00:00 10:50
080912020621P000 29-06-2021 30-06-2021
37 0000343696228 SUKINO L PBI (APBN) Myalgia Berobat Jalan
684 00:00 09:01
38 0000344438201 TARMISI L PBI (APBN) Berobat Jalan
686 00:00 09:03 identified
39 0000344531485 JUMINI P PBI (APBN) Berobat Jalan
608 00:00 18:33 [common cold]
080912020621P000 29-06-2021 29-06-2021
40 0000344581018 ROSIDAH P PBI (APBN) Other dermatitis Berobat Jalan
613 00:00 18:54
41 0000344581751 IMAM SUPANGAT L PBI (APBN) Berobat Jalan
738 00:00 13:06 [common cold]
080912020621P000 29-06-2021 30-06-2021
42 0000344639979 RAUDAH P PBI (APBN) Dental caries, unspecified Berobat Jalan
688 00:00 09:05
43 0000344642422 ARBAIN L PBI (APBN) Berobat Jalan
698 00:00 10:56 identified
080912020621P000 29-06-2021 30-06-2021 Diabetes Diabetes
44 0000344816559 RUSMIDAR P PBI (APBN) Dental caries, unspecified Berobat Jalan
682 00:00 08:59 Mellitus Mellitus
080912020621P000 29-06-2021 29-06-2021 Thyrotoxicosis
45 0000344863631 SUHERMAN L PBI (APBN) Rujuk Vertikal
606 00:00 10:46 [hyperthyroidism]
080912020621P000 29-06-2021 30-06-2021
46 0000345286282 RUSLAN L PBI (APBN) Other atopic dermatitis Berobat Jalan
704 00:00 11:00
080912020621P000 29-06-2021 29-06-2021 PEKERJA Other secondary
47 0000345508683 SULASMI P Berobat Jalan Hipertensi Hipertensi
600 00:00 09:12 MANDIRI hypertension
080912020621P000 29-06-2021 30-06-2021
48 0000345748858 ILHAM SAPUTRA L PBI (APBN) Other atopic dermatitis Berobat Jalan
685 00:00 09:02
080912020621P000 29-06-2021 30-06-2021
49 0000345995526 KATIYAH P PBI (APBN) Myalgia Berobat Jalan
700 00:00 10:57
080912020621P000 29-06-2021 29-06-2021
50 0000995469467 HALIMAH P PBI (APBN) Dental caries, unspecified Berobat Jalan
616 00:00 19:17
KEPALA DESA
080912020621P000 29-06-2021 30-06-2021
51 0000995471875 ROSDALIA P DAN PERANGKAT Cough Berobat Jalan
702 00:00 10:58
DESA

080912020621P000 29-06-2021 29-06-2021
52 0000995472639 INDRA YANTI P PBI (APBN) manifestations, virus not Berobat Jalan
612 00:00 18:51
identified
080912020621P000 29-06-2021 29-06-2021
53 0000995472641 MUTIARA INDAH PERTIWI P PBI (APBN) Acute pharyngitis Berobat Jalan
611 00:00 18:47
080912020621P000 29-06-2021 30-06-2021

54 0001091960728 PAINEM P PBI (APBN) Other atopic dermatitis Berobat Jalan
697 00:00 10:55
080912020621P000 29-06-2021 29-06-2021
55 0001252391185 LINA ERMA MASTIANA P PBI (APBN) manifestations, virus not Berobat Jalan
610 00:00 18:42
identified
080912020621P000 29-06-2021 29-06-2021 PEKERJA Chronic ischaemic heart
56 0001841861283 suhadi L Rujuk Vertikal
603 00:00 10:11 MANDIRI disease
Insulin-dependent Diabetes Diabetes
080912020621P000 29-06-2021 29-06-2021 PEKERJA
57 0002033071367 NASIYAH P diabetes mellitus with Berobat Jalan Mellitus Mellitus
607 00:00 11:08 MANDIRI
unspecified complications Hipertensi Hipertensi
080912020621P000 29-06-2021 29-06-2021
58 0002209969304 SELAMET L PBI (APBN) Other schizophrenia Rujuk Vertikal
604 00:00 10:12
080912020621P000 29-06-2021 29-06-2021
59 0002232021093 SUTINAH P PBI (APBN) Other visual disturbances Rujuk Vertikal
601 00:00 09:13
080912020621P000 29-06-2021 29-06-2021 PEGAWAI
60 0002280488973 IVAN NUARI L Urticaria Berobat Jalan
609 00:00 18:37 SWASTA
080912020621P000 29-06-2021 29-06-2021 PEGAWAI
61 0002471332904 SALMA RADITYA IZZATY P Dental caries, unspecified Rujuk Vertikal
605 00:00 10:25 SWASTA
080912020621P000 29-06-2021 29-06-2021 Urinary calculus,
62 0002565646121 ASNURI L PBI (APBD) Rujuk Vertikal
602 00:00 09:17 unspecified
080912020621P000 29-06-2021 29-06-2021
63 0002565649765 ALDIWAN PRATAMA L PBI (APBD) manifestations, virus not Berobat Jalan
615 00:00 19:05
identified
080912020621P000 29-06-2021 30-06-2021
64 0002640296103 RIKA UMAMI P PBI (APBN) Other atopic dermatitis Berobat Jalan
687 00:00 09:04
65 0002648329457 MURTIAH P PBI (APBN) Berobat Jalan
614 00:00 19:00 [common cold]
080912020621P000 29-06-2021 30-06-2021
66 0002689749145 SITI AMINAH P PBI (APBD) Other atopic dermatitis Berobat Jalan
683 00:00 09:00
080912020621P000 28-06-2021 28-06-2021
67 0000034767505 INTI ITASARI P PNS DAERAH manifestations, virus not Berobat Jalan
597 00:00 10:56
identified
Other specified diabetes
080912020621P000 28-06-2021 28-06-2021 PENERIMA
68 0000034839415 HADIJAH P mellitus without Rujuk Vertikal
593 00:00 10:44 PENSIUN PNS
complications
080912020621P000 28-06-2021 30-06-2021
69 0000343741511 ZAINAL L PBI (APBN) Other atopic dermatitis Berobat Jalan
713 00:00 11:47
080912020621P000 28-06-2021 30-06-2021
70 0000343947778 MIS RONI L PBI (APBN) Gastritis and duodenitis Berobat Jalan
732 00:00 12:52
Chronic obstructive
080912020621P000 28-06-2021 28-06-2021
71 0000344111051 A. MANULLOH L PBI (APBN) pulmonary disease, Rujuk Vertikal
579 00:00 08:33
unspecified
080912020621P000 28-06-2021 28-06-2021
72 0000344386258 JUWARTI P PBI (APBN) Other dermatitis Berobat Jalan
590 00:00 10:11
73 0000344420807 PAINAH P PBI (APBN) Berobat Jalan
588 00:00 09:45 [common cold]
080912020621P000 28-06-2021 28-06-2021
74 0000344581064 IDRIS AFANDI L PBI (APBN) Pterygium Rujuk Vertikal
582 00:00 09:09
080912020621P000 28-06-2021 30-06-2021
75 0000344831376 ERMA YANTI P PBI (APBN) Headache Berobat Jalan
731 00:00 12:51
080912020621P000 28-06-2021 28-06-2021
76 0000344933954 ISAK L PBI (APBN) Myalgia Berobat Jalan
594 00:00 10:49
080912020621P000 28-06-2021 28-06-2021
77 0000345176829 MUHYIDIN L PBI (APBN) mellitus without Rujuk Vertikal
589 00:00 10:03
complications
080912020621P000 28-06-2021 30-06-2021
78 0000345333947 USMAN RASID L PBI (APBN) Other atopic dermatitis Berobat Jalan
715 00:00 11:51
080912020621P000 28-06-2021 28-06-2021 Other headache
79 0000345414047 ROHIM L PBI (APBN) Berobat Jalan
591 00:00 10:14 syndromes
080912020621P000 28-06-2021 28-06-2021
80 0000345414352 ASEP BUDIANTO L PBI (APBN) Abdominal and pelvic pain Rujuk Vertikal
581 00:00 08:41
080912020621P000 28-06-2021 30-06-2021
81 0000345661209 SULASTRI P PBI (APBN) Other atopic dermatitis Berobat Jalan
711 00:00 11:42
080912020621P000 28-06-2021 30-06-2021
82 0000345905368 SARATIN P PBI (APBN) Dental caries, unspecified Berobat Jalan Hipertensi
716 00:00 11:53
080912020621P000 28-06-2021 28-06-2021 PEKERJA
83 0001380818079 AIDAM SAHRI L Congestive heart failure Berobat Jalan
596 00:00 10:52 MANDIRI
080912020621P000 28-06-2021 30-06-2021 PEGAWAI
84 0001592491364 SAHRUN L Dental caries, unspecified Berobat Jalan
709 00:00 11:36 SWASTA
080912020621P000 28-06-2021 30-06-2021 PEGAWAI
85 0001592491386 MUTMAINAH P Dental caries, unspecified Berobat Jalan
712 00:00 11:44 SWASTA
KEPALA DESA
080912020621P000 28-06-2021 28-06-2021
86 0001793185964 DANI LESTARI P DAN PERANGKAT Other visual disturbances Rujuk Vertikal
599 00:00 11:28
DESA
080912020621P000 28-06-2021 28-06-2021

87 0002125880166 MESWATI P PBI (APBN) Hypotension, unspecified Berobat Jalan
592 00:00 10:29
Chronic obstructive
080912020621P000 28-06-2021 28-06-2021 PEGAWAI
88 0002280409615 SRI WAHYUNI P pulmonary disease, Rujuk Vertikal
587 00:00 09:43 SWASTA
unspecified
080912020621P000 28-06-2021 30-06-2021
89 0002429376219 AIDA P PBI (APBN) Dental caries, unspecified Berobat Jalan
714 00:00 11:49
080912020621P000 28-06-2021 28-06-2021 ALFINA ROHMATUL
90 0002481570832 P PBI (APBD) Other schizophrenia Rujuk Vertikal
580 00:00 08:35 FADILAH
91 0002583389046 YOSI AGUSTIN P PBI (APBN) Berobat Jalan
595 00:00 10:52 [common cold]
92 0002648328039 SURATI P PBI (APBN) Berobat Jalan
93 0002779391215 ALIKA KASTURI NAIM P PBI (APBD) Berobat Jalan
583 00:00 09:15 [common cold]
080912020621P000 28-06-2021 28-06-2021
94 0002790511705 MARWANTO L PBI (APBN) Myalgia Berobat Jalan
586 00:00 09:36
080912020621P000 28-06-2021 28-06-2021
95 0002790511716 LILIS SURYANI P PBI (APBN) Myalgia Berobat Jalan
585 00:00 09:24
Maternal care due to
080912020621P000 28-06-2021 28-06-2021 PEKERJA
96 0003085660629 OLLA MALDARISA P uterine scar from previous Rujuk Vertikal
598 00:00 11:20 MANDIRI
surgery
080912020621P000 26-06-2021 30-06-2021
97 0000340021664 ELIS NIA NINGSIH P PBI (APBN) Other atopic dermatitis Berobat Jalan
733 00:00 12:57
080912020621P000 26-06-2021 28-06-2021
98 0000343258143 MASTUR L PBI (APBN) manifestations, virus not Berobat Jalan
561 00:00 00:58
identified
080912020621P000 26-06-2021 29-06-2021
99 0000343509963 JASMIATI P PBI (APBN) Dental caries, unspecified Berobat Jalan
630 00:00 19:56
080912020621P000 26-06-2021 29-06-2021
100 0000343511155 SUSLAWATI P PBI (APBN) Dental caries, unspecified Berobat Jalan
625 00:00 19:43
080912020621P000 26-06-2021 30-06-2021
101 0000343801181 ANDI L PBI (APBN) Myalgia Berobat Jalan
734 00:00 12:58
080912020621P000 26-06-2021 29-06-2021
102 0000344346377 SAID L PBI (APBN) Cough Berobat Jalan
619 00:00 19:36
080912020621P000 26-06-2021 27-06-2021
103 0000344505789 MUSIYEM P PBI (APBN) Myalgia Berobat Jalan
546 00:00 00:22
104 0000344507264 RUKANINGSIH P PBI (APBN) Berobat Jalan
547 00:00 00:28 [common cold]
080912020621P000 26-06-2021 29-06-2021
105 0000344730137 PARIDA P PBI (APBN) Myalgia Berobat Jalan
635 00:00 20:02
080912020621P000 26-06-2021 29-06-2021

106 0000344734007 MUSTOPA L PBI (APBN) Other atopic dermatitis Berobat Jalan
637 00:00 20:05
080912020621P000 26-06-2021 29-06-2021
107 0000344911656 FAHMI AZIZ L PBI (APBN) Dental caries, unspecified Berobat Jalan
629 00:00 19:55
KEPALA DESA
080912020621P000 26-06-2021 29-06-2021
108 0000344912073 DENI ZAILANI L DAN PERANGKAT Other atopic dermatitis Berobat Jalan
622 00:00 19:40
DESA
080912020621P000 26-06-2021 26-06-2021

109 0000345201322 SUWARI L PBI (APBN) Low back pain Rujuk Vertikal
523 00:00 08:45
080912020621P000 26-06-2021 29-06-2021
110 0000345318219 SRI YANTI P PBI (APBN) Myalgia Berobat Jalan
628 00:00 19:50
080912020621P000 26-06-2021 29-06-2021
111 0000345320785 JAHRONI L PBI (APBN) Other atopic dermatitis Berobat Jalan
631 00:00 19:57
080912020621P000 26-06-2021 29-06-2021
112 0000345322214 ABADI NUR L PBI (APBN) Cough Berobat Jalan
624 00:00 19:42
080912020621P000 26-06-2021 29-06-2021
113 0000345323924 AKAN EPENDI L PBI (APBN) Gastritis, unspecified Berobat Jalan
632 00:00 19:57
080912020621P000 26-06-2021 29-06-2021
114 0000345330437 ROHANA P PBI (APBN) manifestations, virus not Berobat Jalan
620 00:00 19:38
identified
080912020621P000 26-06-2021 29-06-2021
115 0000345330674 TAPSIYAH P PBI (APBN) Cough Berobat Jalan
633 00:00 19:58
080912020621P000 26-06-2021 29-06-2021
116 0000346224159 WINTA P PBI (APBN) Cough Berobat Jalan
638 00:00 20:06
080912020621P000 26-06-2021 29-06-2021
117 0000346278216 SITI HADIJAH P PBI (APBN) Cough Berobat Jalan
621 00:00 19:39
080912020621P000 26-06-2021 29-06-2021
118 0000995459477 HAMSIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
634 00:00 20:01
080912020621P000 26-06-2021 29-06-2021
119 0000995459499 MASIDAH P PBI (APBN) Myalgia Berobat Jalan
626 00:00 19:44
080912020621P000 26-06-2021 29-06-2021
120 0000995461312 MIMIN SUMIYATI P PBI (APBN) Cough Berobat Jalan
636 00:00 20:03
080912020621P000 26-06-2021 29-06-2021 PEGAWAI
121 0000995461435 SABANIA P Gastritis, unspecified Berobat Jalan
618 00:00 19:35 SWASTA
080912020621P000 26-06-2021 30-06-2021
122 0000995466047 SUJARWO L PBI (APBN) Cough Berobat Jalan
737 00:00 13:00
080912020621P000 26-06-2021 27-06-2021
123 0000995470299 HERNIYATI P PBI (APBN) Myalgia Berobat Jalan
545 00:00 00:16

124 0001252387732 TUSIYAH P PBI (APBD) Berobat Jalan
623 00:00 19:41 [common cold]
080912020621P000 26-06-2021 29-06-2021
125 0001252387754 ABA L PBI (APBD) Other atopic dermatitis Berobat Jalan
627 00:00 19:49
080912020621P000 26-06-2021 29-06-2021
126 0001252387811 YOYON L PBI (APBD) Myalgia Berobat Jalan
617 00:00 19:33
080912020621P000 26-06-2021 26-06-2021
127 0001252388575 SUPARTI P PBI (APBD) Gastritis, unspecified Berobat Jalan
526 00:00 10:42
080912020621P000 26-06-2021 26-06-2021
128 0001252388586 LISA NURSITA P PBI (APBD) manifestations, virus not Berobat Jalan
527 00:00 10:44
identified
080912020621P000 26-06-2021 30-06-2021 PEKERJA
129 0001288388654 YATMINI P Headache Berobat Jalan
736 00:00 12:59 MANDIRI
080912020621P000 26-06-2021 30-06-2021
130 0001852816206 HARTINI P PNS DAERAH Other atopic dermatitis Berobat Jalan
735 00:00 12:58
Hypertensive heart
080912020621P000 26-06-2021 26-06-2021
131 0002073945003 MARSI P PBI (APBN) disease without Rujuk Vertikal
524 00:00 09:38
(congestive) heart failure
080912020621P000 26-06-2021 26-06-2021 MUHAMAD AZMI Acute nasopharyngitis
132 0003050501376 L PBI (APBN) Berobat Jalan
525 00:00 09:49 SETIAWAN [common cold]
080912020621P000 25-06-2021 25-06-2021 Unspecified haemorrhoids

133 0000034908783 ISTI PUJI MULYANI P PNS DAERAH Rujuk Vertikal
495 00:00 09:20 with other complications
080912020621P000 25-06-2021 30-06-2021

134 0000034918997 M. ALI EFFENDI L PNS DAERAH Cough Berobat Jalan
751 00:00 14:30
135 0000035014195 SULAMAH P PNS DAERAH Berobat Jalan
080912020621P000 25-06-2021 30-06-2021
136 0000343435509 JEPRI ARMADA L PBI (APBN) Cough Berobat Jalan
750 00:00 14:29
080912020621P000 25-06-2021 30-06-2021
137 0000343445692 DIYANA SARI P PBI (APBN) manifestations, virus not Berobat Jalan
743 00:00 14:14
identified
080912020621P000 25-06-2021 30-06-2021
138 0000343476268 AHMAD SOPYAN L PBI (APBN) Cough Berobat Jalan
754 00:00 14:39
080912020621P000 25-06-2021 30-06-2021
139 0000343477899 ALDI SOPYAN L PBI (APBN) Cough Berobat Jalan
746 00:00 14:21
080912020621P000 25-06-2021 30-06-2021
140 0000343510661 RAHAYU STYOWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
752 00:00 14:30
080912020621P000 25-06-2021 26-06-2021
141 0000343533036 HUSNIYATI P PBI (APBN) Whooping cough Berobat Jalan
533 00:00 22:23
080912020621P000 25-06-2021 30-06-2021

142 0000344256276 IMRAN L PBI (APBN) Myalgia Berobat Jalan
748 00:00 14:27
080912020621P000 25-06-2021 26-06-2021
143 0000344268505 PONIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
531 00:00 22:22
080912020621P000 25-06-2021 30-06-2021
144 0000344275828 MARYANI P PBI (APBN) Duodenitis Berobat Jalan
753 00:00 14:31
080912020621P000 25-06-2021 30-06-2021
145 0000344282297 HERMAN SAHRI L PBI (APBN) Other atopic dermatitis Berobat Jalan
742 00:00 14:13
080912020621P000 25-06-2021 30-06-2021
146 0000344283737 RAUDIA TAUZZAHARI P PBI (APBN) Cough Berobat Jalan
739 00:00 14:11
080912020621P000 25-06-2021 30-06-2021
147 0000344299601 DIO ALIP UTAMA L PBI (APBN) Dental caries, unspecified Berobat Jalan
745 00:00 14:15
080912020621P000 25-06-2021 29-06-2021
148 0000344531215 JONI L PBI (APBN) Myalgia Berobat Jalan
663 00:00 20:51
080912020621P000 25-06-2021 29-06-2021
149 0000344581064 IDRIS AFANDI L PBI (APBN) Gastritis, unspecified Berobat Jalan
667 00:00 22:15
080912020621P000 25-06-2021 28-06-2021
150 0000344586846 SINEM P PBI (APBN) Myalgia Berobat Jalan
563 00:00 01:14
080912020621P000 25-06-2021 29-06-2021
151 0000344754033 SUYADI L PBI (APBN) Migraine, unspecified Berobat Jalan
664 00:00 20:53
152 0000344805614 SUTARMIN L PBI (APBN) Berobat Jalan
744 00:00 14:15 [common cold]
080912020621P000 25-06-2021 30-06-2021
153 0000344827091 YULIANTI P PBI (APBN) manifestations, virus not Berobat Jalan
747 00:00 14:22
identified
080912020621P000 25-06-2021 30-06-2021
154 0000344917956 HASAN BASRI L PBI (APBN) Other atopic dermatitis Berobat Jalan
755 00:00 14:40
080912020621P000 25-06-2021 30-06-2021
155 0000344938577 ROZALI L PBI (APBN) Gastritis, unspecified Berobat Jalan
749 00:00 14:28
080912020621P000 25-06-2021 30-06-2021
156 0000345216756 KARTINI P PBI (APBN) Cough Berobat Jalan
740 00:00 14:12
080912020621P000 25-06-2021 29-06-2021
157 0000345537292 BIMA L PBI (APBN) Acute pharyngitis Berobat Jalan
668 00:00 22:19
080912020621P000 25-06-2021 30-06-2021
158 0000345939478 KARLINA P PBI (APBN) Myalgia Berobat Jalan
741 00:00 14:12
080912020621P000 25-06-2021 30-06-2021
159 0000778979902 LUTFI L PBI (APBN) Myalgia Berobat Jalan
756 00:00 14:41
160 0000995468567 AHMAT KHOIRUDIN L PBI (APBN) Berobat Jalan
562 00:00 01:12 [common cold]
080912020621P000 25-06-2021 25-06-2021 Other specified

161 0001429787812 firqotussaidah L PNS DAERAH Rujuk Vertikal
493 00:00 08:44 orthopaedic follow-up care
080912020621P000 25-06-2021 29-06-2021

162 0002125880019 CATUR RISNAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
665 00:00 20:57
163 0002284446879 JUNAIDAH P PBI (APBN) Berobat Jalan
Chronic obstructive
080912020621P000 25-06-2021 25-06-2021 PEKERJA
164 0002762510534 TASMI P pulmonary disease, Berobat Jalan
494 00:00 09:19 MANDIRI
unspecified
080912020621P000 25-06-2021 26-06-2021
165 0002931344537 ABIZAR NUR FATIH L PBI (APBD) Whooping cough Berobat Jalan
532 00:00 22:22
080912020621P000 24-06-2021 24-06-2021 PENERIMA
166 0000033459309 ROBANI L Myalgia Berobat Jalan
469 00:00 21:57 PENSIUN PNS
Hypertensive heart
080912020621P000 24-06-2021 26-06-2021 PENERIMA
167 0000034998276 ZAINAL ARIFIN L disease with (congestive) Berobat Jalan
537 00:00 22:27 PENSIUN PNS
heart failure
080912020621P000 24-06-2021 24-06-2021
168 0000343228239 SITI PAUSAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
468 00:00 21:56
080912020621P000 24-06-2021 28-06-2021
169 0000343938701 ROHMAT SAHRI L PBI (APBN) Cough Berobat Jalan
576 00:00 03:09
170 0000344041525 SINAH P PBI (APBN) Berobat Jalan
769 00:00 15:07 [common cold]
080912020621P000 24-06-2021 30-06-2021
171 0000344131626 MARDIAH P PBI (APBN) Cough Berobat Jalan
766 00:00 14:56
080912020621P000 24-06-2021 30-06-2021
172 0000344198924 DARMAWI L PBI (APBN) Cough Berobat Jalan
762 00:00 14:47
080912020621P000 24-06-2021 30-06-2021
173 0000344207079 INDAH PUTRI P PBI (APBN) manifestations, virus not Berobat Jalan
765 00:00 14:50
identified
080912020621P000 24-06-2021 30-06-2021
174 0000344222111 YULI YANA SINTIA P PBI (APBN) manifestations, virus not Berobat Jalan
768 00:00 14:58
identified
175 0000344398836 ISMIYATI P PBI (APBN) Berobat Jalan
470 00:00 21:58 [common cold]
080912020621P000 24-06-2021 24-06-2021
176 0000344412898 MUHAJI L PBI (APBN) Myalgia Berobat Jalan
415 00:00 15:49
080912020621P000 24-06-2021 24-06-2021 Diabetes
177 0000344426613 NGATIMAH P PBI (APBN) mellitus with unspecified Rujuk Vertikal
410 00:00 08:42 Mellitus
complications
080912020621P000 24-06-2021 30-06-2021

178 0000344438019 MARWAN L PBI (APBN) Cough Berobat Jalan
760 00:00 14:46
179 0000344501616 ANDRI PRABOWO L PBI (APBN) Berobat Jalan
578 00:00 03:17 [common cold]
080912020621P000 24-06-2021 28-06-2021
180 0000344743029 HERMAWATI P PBI (APBN) Acute pharyngitis Berobat Jalan
575 00:00 03:04
181 0000344839983 JALAL LUDIN L PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021 30-06-2021
182 0000344894117 RUAHIDAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
761 00:00 14:46
080912020621P000 24-06-2021 30-06-2021
183 0000344947419 LESTARI P PBI (APBN) Gastritis, unspecified Berobat Jalan
767 00:00 14:57
080912020621P000 24-06-2021 24-06-2021
184 0000345235432 ALFIAN L PBI (APBN) manifestations, virus not Berobat Jalan
416 00:00 15:56
identified
080912020621P000 24-06-2021 28-06-2021
185 0000345236264 SARINGATUN P PBI (APBN) Gastritis, unspecified Berobat Jalan
574 00:00 02:56
080912020621P000 24-06-2021 30-06-2021
186 0000995457532 ROS MEGAWATI P PBI (APBN) Myalgia Berobat Jalan
759 00:00 14:45
080912020621P000 24-06-2021 30-06-2021
187 0000995457879 AGUS DIANA P PBI (APBN) Myalgia Berobat Jalan
764 00:00 14:49
080912020621P000 24-06-2021 30-06-2021
188 0000995457881 M DAVA FANY ADITAMA L PBI (APBN) Dental caries, unspecified Berobat Jalan
763 00:00 14:48
080912020621P000 24-06-2021 30-06-2021
189 0000995458217 UFROWI L PBI (APBN) Cough Berobat Jalan
758 00:00 14:44
080912020621P000 24-06-2021 28-06-2021
190 0000995474801 JAMI P PBI (APBN) Myalgia Berobat Jalan
577 00:00 03:13
080912020621P000 24-06-2021 24-06-2021
191 0000995475982 DAMAN L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
414 00:00 11:42
080912020621P000 24-06-2021 24-06-2021
192 0001283597627 JASWADI L PBI (APBN) Other schizophrenia Rujuk Vertikal
413 00:00 09:39
080912020621P000 24-06-2021 26-06-2021
193 0001484039608 ASIH RUMIYAH P PNS DAERAH Gastritis, unspecified Berobat Jalan
534 00:00 22:25
080912020621P000 24-06-2021 26-06-2021 PEGAWAI
194 0002044095884 RENITA FEBRIYANI P Abdominal pregnancy Berobat Jalan
536 00:00 22:26 SWASTA
080912020621P000 24-06-2021 24-06-2021
195 0002125526668 FIO ALIF PRATAMA L PBI (APBN) Enlarged lymph nodes Rujuk Vertikal
411 00:00 09:08
080912020621P000 24-06-2021 26-06-2021 PEGAWAI
196 0002489399921 IRA DESTRIANA P Dental caries, unspecified Berobat Jalan
535 00:00 22:25 SWASTA
080912020621P000 24-06-2021 24-06-2021 Female genital prolapse,

197 0002648321493 TAKSIYAH P PBI (APBN) Rujuk Vertikal
080912020621P000 24-06-2021 30-06-2021 PEKERJA
198 0002882900013 LESMA ARSIFA DINIYANTI P Gastritis, unspecified Berobat Jalan
757 00:00 14:43 MANDIRI
080912020621P000 23-06-2021 23-06-2021
199 0000034739684 SITI KHOTIPAH P PNS DAERAH Endometriosis, unspecified Rujuk Vertikal
324 00:00 09:52
080912020621P000 23-06-2021 23-06-2021 Antenatal screening,
200 0000343078661 MELIN RETNO PANGESTU P PBI (APBN) Rujuk Vertikal
080912020621P000 23-06-2021 30-06-2021 Rheumatoid arthritis,
201 0000343371486 SUTARNO L PBI (APBN) Berobat Jalan
080912020621P000 23-06-2021 23-06-2021
202 0000343526837 FATMAWATI P PBI (APBN) Femoral hernia Rujuk Vertikal
319 00:00 08:38
080912020621P000 23-06-2021 30-06-2021
203 0000344370205 MARJATI P PBI (APBN) Myalgia Berobat Jalan
677 00:00 00:32
080912020621P000 23-06-2021 29-06-2021
204 0000344377359 BUDI L PBI (APBN) manifestations, virus not Berobat Jalan
672 00:00 23:47
identified
080912020621P000 23-06-2021 29-06-2021
205 0000344472693 PUTRI MEGA SARI P PBI (APBN) Gastritis, unspecified Berobat Jalan
673 00:00 23:53
080912020621P000 23-06-2021 29-06-2021
206 0000344493371 GILANG SAPUTRA L PBI (APBN) Acne Berobat Jalan
671 00:00 23:39
080912020621P000 23-06-2021 23-06-2021 Chronic kidney disease,
207 0000344627098 ERNA WATI P PBI (APBN) Rujuk Vertikal
322 00:00 09:18 stage 5
080912020621P000 23-06-2021 29-06-2021
208 0000344814017 TONI ASFIKIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
670 00:00 23:34
209 0000345236174 SABIIS MUNIR L PBI (APBN) Berobat Jalan
674 00:00 00:02 [common cold]
080912020621P000 23-06-2021 30-06-2021
210 0000345397612 PAZAR SAPUTRA L PBI (APBN) Cough Berobat Jalan
676 00:00 00:25
080912020621P000 23-06-2021 29-06-2021
211 0000995470288 YAHYA L PBI (APBN) Myalgia Berobat Jalan
669 00:00 23:30
080912020621P000 23-06-2021 23-06-2021 PEGAWAI
212 0001279549517 Nanik Sri Purwanti P Benign neoplasm of breast Rujuk Vertikal
327 00:00 10:56 SWASTA
080912020621P000 23-06-2021 23-06-2021
213 0001450694711 YULIAWATI P ANGGOTA POLRI Cerebral oedema Rujuk Vertikal
317 00:00 08:34
Insulin-dependent
080912020621P000 23-06-2021 23-06-2021 PEKERJA Diabetes Diabetes
214 0002038345121 SRI WATI P diabetes mellitus with Rujuk Vertikal
320 00:00 09:08 MANDIRI Mellitus Mellitus
unspecified complications
080912020621P000 23-06-2021 23-06-2021
215 0002051199393 sukmawati P PNS DAERAH Cataract, unspecified Rujuk Vertikal
328 00:00 11:38
080912020621P000 23-06-2021 23-06-2021 Other and unspecified

216 0002071520561 RAHMI P PNS DAERAH Rujuk Vertikal
325 00:00 10:04 abdominal pain
Hypertensive heart
080912020621P000 23-06-2021 23-06-2021 PEGAWAI
217 0002269216067 TAYAT SUDIYANTO L disease without Berobat Jalan
318 00:00 08:37 SWASTA
080912020621P000 23-06-2021 26-06-2021 PEKERJA
218 0002777734574 PRAYITNO L Dental caries, unspecified Berobat Jalan
530 00:00 22:21 MANDIRI
080912020621P000 23-06-2021 23-06-2021 PEGAWAI Primary arthrosis of other
219 0003071654223 NURLIYAH L Rujuk Vertikal
323 00:00 09:31 SWASTA joints, unspecified site
080912020621P000 23-06-2021 23-06-2021 PEKERJA
220 0003085570552 AFRIZA NADIYA PUTRI P Cerebral oedema Rujuk Vertikal
321 00:00 09:12 MANDIRI
080912020621P000 22-06-2021 27-06-2021
221 0000034708037 HANA AFRINA DEWI P PNS DAERAH Gastritis, unspecified Berobat Jalan
555 00:00 06:18
080912020621P000 22-06-2021 27-06-2021 Hypertensive heart
222 0000344022805 ROMLAH P PBI (APBN) Berobat Jalan
549 00:00 06:03 disease
223 0000344035664 SILVIA IRAWATI P PBI (APBN) Berobat Jalan
552 00:00 06:06 [common cold]
080912020621P000 22-06-2021 28-06-2021
224 0000344085592 SURTINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
565 00:00 01:43
080912020621P000 22-06-2021 28-06-2021 Stomatitis and related
225 0000344086571 NUR IRWANDA L PBI (APBN) Berobat Jalan
564 00:00 01:41 lesions
080912020621P000 22-06-2021 22-06-2021 Superficial injury of head,
226 0000344238311 KASTUNAH P PBI (APBN) Rujuk Vertikal
314 00:00 11:06 part unspecified
080912020621P000 22-06-2021 27-06-2021
227 0000344458833 UMI RIYANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
553 00:00 06:07
080912020621P000 22-06-2021 28-06-2021
228 0000344470296 ENILIA P PBI (APBN) Cough Berobat Jalan
570 00:00 02:13
080912020621P000 22-06-2021 28-06-2021
229 0000344472322 ARISKA PUTRI P PBI (APBN) Gastritis, unspecified Berobat Jalan
569 00:00 02:07
230 0000344491806 NASARUDIN L PBI (APBN) Berobat Jalan
080912020621P000 22-06-2021 27-06-2021
231 0000344785127 DEWI YULIANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
551 00:00 06:05
080912020621P000 22-06-2021 22-06-2021
232 0000344860773 MUKSIN L PBI (APBN) Schizophrenia Rujuk Vertikal
316 00:00 11:23
080912020621P000 22-06-2021 22-06-2021
233 0000344939861 NURIDAYANI P PBI (APBN) Threatened abortion Rujuk Vertikal
312 00:00 10:31
080912020621P000 22-06-2021 22-06-2021
234 0000345169798 ARDIANSYAH L PBI (APBN) Schizophrenia Rujuk Vertikal
315 00:00 11:22

235 0000345212774 MARTINAH P PBI (APBN) Berobat Jalan
550 00:00 06:05 [common cold]
080912020621P000 22-06-2021 28-06-2021 Rheumatoid arthritis,
236 0000345238751 AHMAD JUNAIDI L PBI (APBN) Berobat Jalan
080912020621P000 22-06-2021 28-06-2021
237 0000345238828 SULIS LESTARI P PBI (APBN) Headache Berobat Jalan
572 00:00 02:31
080912020621P000 22-06-2021 28-06-2021
238 0000345245455 HARTONO L PBI (APBN) Asthma, unspecified Berobat Jalan
573 00:00 02:36
080912020621P000 22-06-2021 28-06-2021 PEGAWAI Acute nasopharyngitis
239 0001442076287 CANDRALEKA L Berobat Jalan
568 00:00 02:01 SWASTA [common cold]
240 0001442076849 ZAHRA NOVA RIA P Berobat Jalan
080912020621P000 22-06-2021 22-06-2021 PEKERJA Antenatal screening,
241 0001787731582 RITA SUSIYANA P Rujuk Vertikal
313 00:00 10:38 MANDIRI unspecified
080912020621P000 22-06-2021 29-06-2021 PEGAWAI
242 0001910834335 RENDI SAPUTRA L Dental caries, unspecified Berobat Jalan
661 00:00 20:44 SWASTA
080912020621P000 22-06-2021 22-06-2021
243 0002054319129 WAHYUNI P PBI (APBD) Other cataract Rujuk Vertikal
311 00:00 08:24
244 0002565649967 RUDIANTO L PBI (APBD) Berobat Jalan
558 00:00 06:22 [common cold]
245 0002598353853 ROCO ALVINO L PBI (APBN) Berobat Jalan
557 00:00 06:21 [common cold]
080912020621P000 22-06-2021 27-06-2021
246 0002636695056 SITI LESTARI P PBI (APBN) Dental caries, unspecified Berobat Jalan
559 00:00 06:23
247 0002637953098 HEFRI L PBI (APBN) Berobat Jalan
560 00:00 06:24 [common cold]
080912020621P000 22-06-2021 27-06-2021
248 0002648328186 MURTINI P PBI (APBN) Myalgia Berobat Jalan
556 00:00 06:20
080912020621P000 22-06-2021 27-06-2021 PEKERJA Acute nasopharyngitis
249 0002748433678 SUTARYO L Berobat Jalan
548 00:00 06:02 MANDIRI [common cold]
080912020621P000 22-06-2021 27-06-2021 MUHAMAD ANANDA AQIL Acute nasopharyngitis
554 00:00 06:08 SALIM [common cold]
251 0000343959647 SULIYANTO L PBI (APBN) Berobat Jalan
303 00:00 11:41 [common cold]
080912020621P000 21-06-2021 21-06-2021
252 0000343960975 SUHAIMI L PBI (APBN) Hypotension, unspecified Berobat Jalan
307 00:00 12:01
080912020621P000 21-06-2021 21-06-2021 Acute appendicitis,
253 0000344102758 ANSORY L PBI (APBN) Rujuk Vertikal
080912020621P000 21-06-2021 21-06-2021

254 0000344387057 MARKATUN P PBI (APBN) Gastritis, unspecified Berobat Jalan
308 00:00 12:06
080912020621P000 21-06-2021 21-06-2021
255 0000344473389 M. YUSUF L PBI (APBN) Myalgia Berobat Jalan
302 00:00 11:38
080912020621P000 21-06-2021 21-06-2021
256 0000344486024 NASI ROTUN P PBI (APBN) Other visual disturbances Rujuk Vertikal
297 00:00 09:47
257 0000345092376 MASNING P PBI (APBN) Berobat Jalan
475 00:00 22:05 [common cold]
080912020621P000 21-06-2021 21-06-2021
258 0000345226217 JAMILAH P PBI (APBN) Other visual disturbances Rujuk Vertikal
301 00:00 10:25
080912020621P000 21-06-2021 21-06-2021 Malignant melanoma of
259 0000345912952 ZAKARIYAH L PBI (APBN) Rujuk Vertikal
300 00:00 10:08 skin, unspecified
260 0000347488738 REVI MARISKA P PBI (APBN) Berobat Jalan
481 00:00 22:12 [common cold]
080912020621P000 21-06-2021 24-06-2021
261 0000995465193 SUMIYEM P PBI (APBN) Myalgia Berobat Jalan
474 00:00 22:04
080912020621P000 21-06-2021 21-06-2021 PEKERJA
262 0001264096192 A SUHAIDI L Inguinal hernia Rujuk Vertikal
292 00:00 08:54 MANDIRI
263 0001264096585 ENNI MAFALDA P Whooping cough Berobat Jalan
080912020621P000 21-06-2021 21-06-2021
264 0001450694711 YULIAWATI P ANGGOTA POLRI Cerebral oedema Rujuk Vertikal
293 00:00 08:57
080912020621P000 21-06-2021 21-06-2021 PEKERJA
265 0001903512429 yaseri L Myalgia Berobat Jalan
306 00:00 11:57 MANDIRI
080912020621P000 21-06-2021 21-06-2021 PEKERJA Other headache
266 0001903525716 mulyati P Berobat Jalan
305 00:00 11:53 MANDIRI syndromes
080912020621P000 21-06-2021 21-06-2021
267 0001967441365 SITI SOLEKAH P PBI (APBD) Hypotension, unspecified Berobat Jalan
309 00:00 12:08
Other benign neoplasm of

080912020621P000 21-06-2021 21-06-2021
268 0002078282788 RIKE SUSANTI P PBI (APBN) connective and other soft Rujuk Vertikal
298 00:00 09:48
tissue of trunk, unspecified
080912020621P000 21-06-2021 24-06-2021 PEKERJA

269 0002433057039 MUJIRAH P Gastritis, unspecified Berobat Jalan
472 00:00 22:01 MANDIRI
080912020621P000 21-06-2021 21-06-2021 Malignant neoplasm of
270 0002436935815 RUSNI P PBI (APBN) Rujuk Vertikal
294 00:00 09:14 breast
271 0002472314602 NADIA HANNA SYAFIRA P PNS PUSAT Berobat Jalan
471 00:00 22:00 [common cold]
080912020621P000 21-06-2021 24-06-2021
272 0002565647087 UMAR BAKRI L PBI (APBD) Whooping cough Berobat Jalan
479 00:00 22:11

080912020621P000 21-06-2021 21-06-2021
273 0002591989356 SAFIRA IKA RAMADANI P PBI (APBN) manifestations, virus not Berobat Jalan
304 00:00 11:44
identified
080912020621P000 21-06-2021 24-06-2021
274 0002594205516 SAMSUL BAHRI L PBI (APBN) Whooping cough Berobat Jalan
477 00:00 22:07
080912020621P000 21-06-2021 24-06-2021 PEKERJA
275 0002624835701 WAGIYAH P Atopic dermatitis Berobat Jalan
473 00:00 22:02 MANDIRI
080912020621P000 21-06-2021 24-06-2021
276 0002636753062 ERVALIZA FEBRIYANI P PBI (APBN) Atopic dermatitis Berobat Jalan
480 00:00 22:11
080912020621P000 21-06-2021 24-06-2021
277 0002637507295 ERNINGSIH P PBI (APBN) Whooping cough Berobat Jalan
478 00:00 22:09
Hypertensive heart
080912020621P000 21-06-2021 21-06-2021 PEKERJA
278 0002922312971 PATIMAH P disease without Rujuk Vertikal
296 00:00 09:34 MANDIRI
080912020621P000 21-06-2021 21-06-2021 PEKERJA Orthopaedic follow-up
279 0002937370779 ARYA MAE SANDI L Rujuk Vertikal
295 00:00 09:25 MANDIRI care, unspecified
Maternal care for other
080912020621P000 21-06-2021 21-06-2021 PEKERJA
280 0003002997126 NURHAYATI P conditions predominantly Rujuk Vertikal
310 00:00 12:17 MANDIRI
related to pregnancy
080912020621P000 19-06-2021 30-06-2021
281 0000344319952 ZAKWAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
802 00:00 19:53
080912020621P000 19-06-2021 30-06-2021
282 0000344320716 MEDIAH LINA P PBI (APBN) Dental caries, unspecified Berobat Jalan
803 00:00 19:54
080912020621P000 19-06-2021 19-06-2021
283 0000344358281 agus parjiyanto L PBI (APBN) Pulpitis Berobat Jalan
276 00:00 22:57
080912020621P000 19-06-2021 19-06-2021 Other headache
284 0000344437626 WAGIYEM P PBI (APBN) Berobat Jalan
279 00:00 23:20 syndromes
080912020621P000 19-06-2021 19-06-2021
285 0000344497375 ENDANG WAHYUNI P PBI (APBN) Myalgia Berobat Jalan
278 00:00 23:16
080912020621P000 19-06-2021 30-06-2021
286 0000344638203 ANITA P PBI (APBN) Cough Berobat Jalan
796 00:00 19:40
080912020621P000 19-06-2021 30-06-2021
287 0000344669152 SITI ASNAH P PBI (APBN) Cough Berobat Jalan
804 00:00 19:55
080912020621P000 19-06-2021 19-06-2021
288 0000344735054 YULIAH P PBI (APBN) Acute pharyngitis Berobat Jalan
281 00:00 23:29
289 0000344735583 CHIKA NUR ROHMAH P PBI (APBN) Berobat Jalan
280 00:00 23:24 [common cold]
080912020621P000 19-06-2021 30-06-2021
290 0000344840308 KIROMAN KATIBIN L PBI (APBN) Other atopic dermatitis Berobat Jalan
801 00:00 19:51

291 0000344932558 LIA SUSANTI P PBI (APBN) Berobat Jalan
465 00:00 21:24 [common cold]
292 0000344932661 SATRIA AHADIWINATA L PBI (APBN) Berobat Jalan
464 00:00 21:11 [common cold]
080912020621P000 19-06-2021 19-06-2021
293 0000344995569 SITI LESTARI P PBI (APBN) Myalgia Berobat Jalan
277 00:00 23:04
080912020621P000 19-06-2021 30-06-2021
294 0000345152867 KIKI PAPUNGGI P PBI (APBN) manifestations, virus not Berobat Jalan
798 00:00 19:48
identified
080912020621P000 19-06-2021 30-06-2021
295 0000345154781 TRIONO L PBI (APBN) Myalgia Berobat Jalan
797 00:00 19:47
080912020621P000 19-06-2021 30-06-2021
296 0000345164207 TARUDIN L PBI (APBN) manifestations, virus not Berobat Jalan
805 00:00 19:57
identified
080912020621P000 19-06-2021 30-06-2021
297 0000345221807 NGADIRAH P PBI (APBN) Other atopic dermatitis Berobat Jalan
800 00:00 19:51
080912020621P000 19-06-2021 19-06-2021
298 0000345244072 PARTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
274 00:00 22:45
080912020621P000 19-06-2021 19-06-2021
299 0000345247345 ANGGI AULIA RAMADANTI P PBI (APBN) Other dermatitis Berobat Jalan
245 00:00 09:38
080912020621P000 19-06-2021 30-06-2021
300 0000345361904 TINEM P PBI (APBN) Gastritis, unspecified Berobat Jalan
806 00:00 19:58
301 0000345403135 SULAIMAN L PBI (APBN) Berobat Jalan
799 00:00 19:50 [common cold]
080912020621P000 19-06-2021 19-06-2021 Other secondary
302 0000995463257 TUSIYEM P PBI (APBN) Rujuk Vertikal Hipertensi Hipertensi
080912020621P000 19-06-2021 19-06-2021
303 0000995465463 SANIATUN P PBI (APBN) Gastritis, unspecified Berobat Jalan
275 00:00 22:51
304 0001283597954 SITI NASIKAH P PBI (APBD) Berobat Jalan
463 00:00 21:09 [common cold]
080912020621P000 19-06-2021 19-06-2021 PEKERJA
305 0001430456218 DAWUD L Other visual disturbances Rujuk Vertikal
247 00:00 10:12 MANDIRI
Hypertensive heart
080912020621P000 19-06-2021 19-06-2021 PEKERJA
306 0002300892671 SUBANI L disease without Rujuk Vertikal
246 00:00 10:07 MANDIRI
307 0002479743358 ZUHRATUL AINI P PBI (APBN) Berobat Jalan
466 00:00 21:36 [common cold]
080912020621P000 19-06-2021 19-06-2021 PEKERJA
308 0002483937753 SEH WINARTI P Congestive heart failure Berobat Jalan Hipertensi
243 00:00 09:30 MANDIRI
Hypertensive heart
080912020621P000 19-06-2021 24-06-2021
309 0002582666561 SARIMO L PBI (APBN) disease with (congestive) Berobat Jalan
462 00:00 21:07
heart failure
080912020621P000 19-06-2021 24-06-2021
310 0002648326072 SRIYANA P PBI (APBN) Gastritis, unspecified Berobat Jalan
467 00:00 21:39
Hypertensive heart
080912020621P000 19-06-2021 24-06-2021
311 0002790506632 PARIJI L PBI (APBN) disease with (congestive) Berobat Jalan
461 00:00 21:04
heart failure
080912020621P000 19-06-2021 19-06-2021
312 0002930160284 ALVINO DWI RAFARDHAN L PBI (APBN) manifestations, virus not Berobat Jalan
244 00:00 09:34
identified
080912020621P000 18-06-2021 25-06-2021
313 0000343228239 SITI PAUSAH P PBI (APBN) Myalgia Berobat Jalan
518 00:00 13:57
080912020621P000 18-06-2021 30-06-2021
314 0000344083048 ILAWATI P PBI (APBN) manifestations, virus not Berobat Jalan
794 00:00 19:39
identified
080912020621P000 18-06-2021 30-06-2021
315 0000344131165 AHMAD BASRI L PBI (APBN) Other atopic dermatitis Berobat Jalan
790 00:00 16:58
080912020621P000 18-06-2021 25-06-2021
316 0000344242282 SUMIATI P PBI (APBN) Myalgia Berobat Jalan
519 00:00 13:59
080912020621P000 18-06-2021 26-06-2021
317 0000344268505 PONIRAH P PBI (APBN) Atopic dermatitis Berobat Jalan
544 00:00 22:34
Chronic obstructive
080912020621P000 18-06-2021 18-06-2021
318 0000344288518 TEGUH WIYONO L PBI (APBN) pulmonary disease, Rujuk Vertikal
228 00:00 09:55
unspecified
319 0000344472693 PUTRI MEGA SARI P PBI (APBN) Rujuk Vertikal
080912020621P000 18-06-2021 21-06-2021
320 0000344487442 RUCHASANAH P PBI (APBN) Myalgia Berobat Jalan
284 00:00 00:39
080912020621P000 18-06-2021 30-06-2021
321 0000344641588 FATTIYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
789 00:00 16:57
KEPALA DESA
080912020621P000 18-06-2021 30-06-2021
322 0000344646088 ROMI SATRIAKA P DAN PERANGKAT Other atopic dermatitis Berobat Jalan
788 00:00 16:56
DESA
080912020621P000 18-06-2021 30-06-2021

323 0000344652118 HABIRUL HASAN L PBI (APBN) Cough Berobat Jalan
787 00:00 16:55
080912020621P000 18-06-2021 30-06-2021
324 0000344654177 WARILAH P PBI (APBN) Dental caries, unspecified Berobat Jalan
786 00:00 16:54
080912020621P000 18-06-2021 30-06-2021
325 0000344655459 RUTINAH P PBI (APBN) Other atopic dermatitis Berobat Jalan
785 00:00 16:53

326 0000344664674 RIAJI L PBI (APBN) Berobat Jalan
782 00:00 16:50 [common cold]
080912020621P000 18-06-2021 30-06-2021
327 0000344671402 RAHIMI L PBI (APBN) Gastritis, unspecified Berobat Jalan
793 00:00 19:38
080912020621P000 18-06-2021 30-06-2021
328 0000344671683 JAHRI L PBI (APBN) Myalgia Berobat Jalan
784 00:00 16:52
329 0000344724333 PATIMAH P PBI (APBN) Berobat Jalan
080912020621P000 18-06-2021 30-06-2021
330 0000344749421 SITI ZUBAEDAH P PBI (APBN) manifestations, virus not Berobat Jalan
783 00:00 16:51
identified
080912020621P000 18-06-2021 30-06-2021
331 0000344829802 AGUNG BAMBANG P L PBI (APBN) Other atopic dermatitis Berobat Jalan
781 00:00 16:50
080912020621P000 18-06-2021 30-06-2021
332 0000344835459 RUSNI IMANI P PBI (APBN) Myalgia Berobat Jalan
780 00:00 16:49
080912020621P000 18-06-2021 30-06-2021
333 0000344861897 ARLI SANJAYA L PBI (APBN) Cough Berobat Jalan
779 00:00 16:41
080912020621P000 18-06-2021 30-06-2021
334 0000344863348 ERI DIAN P PBI (APBN) Dental caries, unspecified Berobat Jalan
778 00:00 16:38
080912020621P000 18-06-2021 18-06-2021
335 0000344898562 MUJILAH P PBI (APBN) Mastoiditis, unspecified Berobat Jalan
231 00:00 10:06
080912020621P000 18-06-2021 26-06-2021
336 0000345157121 MUJILAH P PBI (APBN) Myalgia Berobat Jalan
541 00:00 22:30
080912020621P000 18-06-2021 30-06-2021
337 0000345200128 MARDIYAH P PBI (APBN) Headache Berobat Jalan
792 00:00 19:37
338 0000345210028 SARINI P PBI (APBN) Berobat Jalan
540 00:00 22:30 [common cold]
080912020621P000 18-06-2021 26-06-2021
339 0000345210895 RIKA FAJAR NINGSIH P PBI (APBN) Atopic dermatitis Berobat Jalan
539 00:00 22:29
080912020621P000 18-06-2021 30-06-2021 PEGAWAI
340 0000345276202 TAMSI ALI L Cough Berobat Jalan
791 00:00 16:59 SWASTA
080912020621P000 18-06-2021 20-06-2021
341 0000995463426 DALIYEM P PBI (APBN) Other dermatitis Berobat Jalan
282 00:00 19:09
080912020621P000 18-06-2021 26-06-2021 PEKERJA
342 0001264096192 A SUHAIDI L Myalgia Berobat Jalan
543 00:00 22:33 MANDIRI
343 0001264096585 ENNI MAFALDA P mellitus without Berobat Jalan
complications
080912020621P000 18-06-2021 18-06-2021 PENERIMA Chronic atticoantral

344 0001265754284 MUHYIDDIN L Rujuk Vertikal
226 00:00 09:38 PENSIUN SWASTA suppurative otitis media
080912020621P000 18-06-2021 18-06-2021 PEGAWAI Other specified hearing

345 0001890139702 AZIS BAHARUDIN L Rujuk Vertikal
232 00:00 10:18 SWASTA loss
080912020621P000 18-06-2021 18-06-2021 PEKERJA Malignant neoplasm of
346 0002034007132 siti munawaroh P Rujuk Vertikal
229 00:00 09:58 MANDIRI breast, unspecified
080912020621P000 18-06-2021 18-06-2021 PEKERJA Other orthopaedic
347 0002262786693 BAYU HARIYANTO L Rujuk Vertikal
227 00:00 09:49 MANDIRI follow-up care
348 0002433057039 MUJIRAH P Berobat Jalan
080912020621P000 18-06-2021 18-06-2021 RAYKHAN IRHAMDA Acute nasopharyngitis
234 00:00 10:24 ARIFIN [common cold]
080912020621P000 18-06-2021 25-06-2021 Hypertensive heart
350 0002606752517 SUPARMI P PBI (APBN) Berobat Jalan Hipertensi
520 00:00 14:00 disease
080912020621P000 18-06-2021 26-06-2021
351 0002648322944 SUKIRMAN L PBI (APBN) Atopic dermatitis Berobat Jalan
542 00:00 22:32
352 0002689746794 MARYATI P PBI (APBD) Berobat Jalan
521 00:00 14:01 [common cold]
080912020621P000 18-06-2021 25-06-2021
353 0002689746805 AHMAD BAGAS BASTIAN L PBI (APBD) Other atopic dermatitis Berobat Jalan
522 00:00 14:02
080912020621P000 18-06-2021 18-06-2021
354 0002775847645 MASDALIA P PBI (APBD) Threatened abortion Rujuk Vertikal
230 00:00 10:03
080912020621P000 18-06-2021 26-06-2021
355 0002790510761 DIDIK SETIAWAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
538 00:00 22:28
080912020621P000 17-06-2021 17-06-2021 Diabetes
356 0000034907826 NGATINAH P PNS DAERAH Acute pharyngitis Berobat Jalan
218 00:00 10:01 Mellitus
080912020621P000 17-06-2021 17-06-2021
357 0000034913316 LASMINI P PNS DAERAH Other visual disturbances Rujuk Vertikal
207 00:00 09:08
080912020621P000 17-06-2021 25-06-2021 Disorder of refraction,
358 0000034938538 SRI NANI P PNS DAERAH Berobat Jalan
080912020621P000 17-06-2021 29-06-2021 PEKERJA
359 0000034949439 SISKA AYU KURNIA SARI P Myalgia Berobat Jalan
650 00:00 20:27 MANDIRI
080912020621P000 17-06-2021 17-06-2021
360 0000035037358 TUMIJO L PNS DAERAH Other visual disturbances Rujuk Vertikal
208 00:00 09:08
080912020621P000 17-06-2021 25-06-2021
361 0000343211376 GUSTAM EPINDI L PBI (APBN) Gastritis, unspecified Berobat Jalan
514 00:00 13:52
080912020621P000 17-06-2021 29-06-2021
362 0000343737281 SRIYATI P PBI (APBN) Myalgia Berobat Jalan
654 00:00 20:32

363 0000343988403 ARUM TRI KOMARIYAH P PBI (APBN) Berobat Jalan
515 00:00 13:53 [common cold]
080912020621P000 17-06-2021 29-06-2021
364 0000344203479 ROZIQIN RAHMAN L PBI (APBN) Dental caries, unspecified Berobat Jalan
659 00:00 20:37
365 0000344251179 NAZA RUDDIN L PBI (APBN) Berobat Jalan
652 00:00 20:30 identified
080912020621P000 17-06-2021 17-06-2021
366 0000344359203 sri tuminingsih P PBI (APBN) Myalgia Berobat Jalan
223 00:00 10:53
080912020621P000 17-06-2021 25-06-2021
367 0000344660758 TAIBAN L PBI (APBN) Myalgia Berobat Jalan
516 00:00 13:53
080912020621P000 17-06-2021 29-06-2021
368 0000344689558 APRI SANI L PBI (APBN) Cough Berobat Jalan
658 00:00 20:36
KEPALA DESA
080912020621P000 17-06-2021 17-06-2021 Other headache
369 0000344713779 MARIA LINA SUSILOWATI P DAN PERANGKAT Berobat Jalan
212 00:00 09:28 syndromes
DESA
080912020621P000 17-06-2021 17-06-2021

370 0000344715243 SARIYANTO L PBI (APBN) Headache Berobat Jalan
211 00:00 09:25
080912020621P000 17-06-2021 29-06-2021
371 0000344730262 NURHASANAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan
651 00:00 20:28
080912020621P000 17-06-2021 29-06-2021
372 0000344859603 ANISA P PBI (APBN) Headache Berobat Jalan
656 00:00 20:35
080912020621P000 17-06-2021 17-06-2021
373 0000345104414 MULYANTI P PBI (APBN) Other schizophrenia Rujuk Vertikal
216 00:00 09:56
080912020621P000 17-06-2021 29-06-2021
374 0000345147715 SRI ZULAIHA P PBI (APBN) Gastritis and duodenitis Berobat Jalan
653 00:00 20:31
080912020621P000 17-06-2021 29-06-2021
375 0000345217511 PARMIATI P PBI (APBN) Other atopic dermatitis Berobat Jalan
657 00:00 20:36
080912020621P000 17-06-2021 29-06-2021
376 0000345276292 SUNDARI P PBI (APBN) Gastritis and duodenitis Berobat Jalan
660 00:00 20:38
080912020621P000 17-06-2021 29-06-2021
377 0000346195214 SAKUNAH P PBI (APBN) Dental caries, unspecified Berobat Jalan
655 00:00 20:33
080912020621P000 17-06-2021 17-06-2021
378 0000995462559 SUTRISNO L PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal
206 00:00 08:47
080912020621P000 17-06-2021 17-06-2021 Enlarged lymph nodes,
379 0000995476151 SUPINAH P PBI (APBN) Rujuk Vertikal
Hypertensive heart
080912020621P000 17-06-2021 17-06-2021 PENERIMA
380 0001433067917 AMINAH PUJI RAHAYU P disease without Berobat Jalan Hipertensi
224 00:00 11:08 PENSIUN PNS
080912020621P000 17-06-2021 25-06-2021 PEKERJA Unspecified diabetes

381 0001812801161 SRIYATUN P Berobat Jalan Hipertensi
512 00:00 13:50 MANDIRI mellitus
080912020621P000 17-06-2021 17-06-2021 Enlarged lymph nodes,
382 0002125526668 FIO ALIF PRATAMA L PBI (APBN) Rujuk Vertikal
383 0002127634446 PUTRI ANISA P PBI (APBN) Berobat Jalan
513 00:00 13:51 [common cold]
080912020621P000 17-06-2021 17-06-2021
384 0002274219281 AHMAD SYAFI'I L PBI (APBN) Dyspepsia Berobat Jalan
213 00:00 09:30
385 0002276620277 FAREL ARKAN WIJAYA L Berobat Jalan
080912020621P000 17-06-2021 17-06-2021 PEKERJA Other specified

386 0002291043262 SITI KALIMAH P Rujuk Vertikal Hipertensi
222 00:00 10:52 MANDIRI orthopaedic follow-up care
080912020621P000 17-06-2021 25-06-2021

387 0002565654939 DEA SELFIA P PBI (APBN) Gastritis, unspecified Berobat Jalan
517 00:00 13:54
388 0002565655931 tarmizi L PBI (APBD) Berobat Jalan
508 00:00 13:44 [common cold]
080912020621P000 17-06-2021 25-06-2021
389 0002565655942 aprilica tarisa anugrah P PBI (APBD) Other atopic dermatitis Berobat Jalan
509 00:00 13:45
390 0002601613168 CICI MULYANI P PBI (APBN) Berobat Jalan
080912020621P000 17-06-2021 17-06-2021
391 0002606752304 M BINTANG PRAMUDYA L PBI (APBN) manifestations, virus not Berobat Jalan
217 00:00 09:59
identified
080912020621P000 17-06-2021 17-06-2021 Female genital prolapse,
392 0002790506338 MARNAINI P PBI (APBN) Rujuk Vertikal
080912020621P000 17-06-2021 17-06-2021
393 0002790506632 PARIJI L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
205 00:00 08:45
394 0002834919246 EVI INDAH MIATI P PBI (APBN) Berobat Jalan
511 00:00 13:48 [common cold]
080912020621P000 17-06-2021 17-06-2021 PEKERJA Delivery by caesarean
395 0002877872128 MAESARI P Rujuk Vertikal
220 00:00 10:18 MANDIRI section, unspecified
080912020621P000 16-06-2021 29-06-2021 NI WAYAN NOVI KUSUMA Essential (primary)
396 0000148916777 P PNS DAERAH Berobat Jalan
647 00:00 20:20 DEWI hypertension
397 0000162938507 HENDRA KURNIAWAN L PNS DAERAH Berobat Jalan
496 00:00 13:28 [common cold]
080912020621P000 16-06-2021 16-06-2021
398 0000344120512 HAMINAH P PBI (APBN) Spondylosis Rujuk Vertikal
201 00:00 09:11
399 0000344176277 GIRAN L PBI (APBN) Berobat Jalan
286 00:00 00:54 [common cold]
080912020621P000 16-06-2021 21-06-2021

400 0000344176424 SURYATI P PBI (APBN) Hypotension, unspecified Berobat Jalan
287 00:00 01:02
080912020621P000 16-06-2021 17-06-2021 Other headache
401 0000344458833 UMI RIYANTI P PBI (APBN) Berobat Jalan
214 00:00 09:34 syndromes
080912020621P000 16-06-2021 17-06-2021
402 0000344459013 YUNITA ADILIA PUTRI P PBI (APBN) Other dermatitis Berobat Jalan
215 00:00 09:37
080912020621P000 16-06-2021 21-06-2021
403 0000344499592 LEGIMAN L PBI (APBN) Myalgia Berobat Jalan
285 00:00 00:52
080912020621P000 16-06-2021 16-06-2021
404 0000344651141 TABIIN L PBI (APBN) Other cataract Rujuk Vertikal
202 00:00 09:18
080912020621P000 16-06-2021 25-06-2021
405 0000344685047 ALI NURDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
505 00:00 13:40
080912020621P000 16-06-2021 29-06-2021
406 0000344712936 ROHANA P PBI (APBN) Myalgia Berobat Jalan
648 00:00 20:21
080912020621P000 16-06-2021 30-06-2021
407 0000344759591 SUBHI L PBI (APBN) Cough Berobat Jalan
772 00:00 15:40
408 0000344786073 SABAR L PBI (APBN) Berobat Jalan
771 00:00 15:37 [common cold]
080912020621P000 16-06-2021 29-06-2021
409 0000344852943 DADANG RIYANTO L PBI (APBN) Cough Berobat Jalan
642 00:00 20:12
080912020621P000 16-06-2021 30-06-2021
410 0000344879919 SAYUTI L PBI (APBN) Cough Berobat Jalan
773 00:00 15:41
080912020621P000 16-06-2021 30-06-2021
411 0000344880099 PUSPA RIYADI L PBI (APBN) Other atopic dermatitis Berobat Jalan
776 00:00 16:35
080912020621P000 16-06-2021 30-06-2021
412 0000344880189 MARSIDI L PBI (APBN) Other atopic dermatitis Berobat Jalan
774 00:00 15:43
080912020621P000 16-06-2021 30-06-2021
413 0000344880494 DIDI S L PBI (APBN) manifestations, virus not Berobat Jalan
775 00:00 16:34
identified
080912020621P000 16-06-2021 30-06-2021
414 0000344883137 NOPITA SARI P PBI (APBN) manifestations, virus not Berobat Jalan
777 00:00 16:36
identified
080912020621P000 16-06-2021 29-06-2021
415 0000344902498 ROFIAH P PBI (APBN) Other atopic dermatitis Berobat Jalan
646 00:00 20:19
080912020621P000 16-06-2021 29-06-2021
416 0000345276516 ERWAN SYAH L PBI (APBN) Dental caries, unspecified Berobat Jalan
649 00:00 20:22
080912020621P000 16-06-2021 25-06-2021
417 0000995461942 SUKMA WATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
501 00:00 13:34
080912020621P000 16-06-2021 21-06-2021
418 0000995462649 SUSANTO L PBI (APBN) Asthma, unspecified Berobat Jalan
288 00:00 01:11
080912020621P000 16-06-2021 25-06-2021

419 0000995464888 VINARIA NGULVIANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
497 00:00 13:29
420 0000995464912 MARSINI P PBI (APBN) Berobat Jalan
645 00:00 20:17 identified
KEPALA DESA
080912020621P000 16-06-2021 29-06-2021
421 0000995472516 SANTI ELDA WATI P DAN PERANGKAT Myalgia Berobat Jalan
641 00:00 20:11
DESA
080912020621P000 16-06-2021 16-06-2021

422 0001079666267 YATINAH P PNS DAERAH Pterygium Rujuk Vertikal
203 00:00 10:08
080912020621P000 16-06-2021 16-06-2021 MEGAWATI ARUM PEKERJA
423 0001079666289 P Other visual disturbances Rujuk Vertikal
204 00:00 10:09 SEMERBA PUTRI MANDIRI
080912020621P000 16-06-2021 29-06-2021 PEKERJA
424 0001478909913 SUYATMI P Other atopic dermatitis Berobat Jalan
644 00:00 20:15 MANDIRI
080912020621P000 16-06-2021 16-06-2021 PEKERJA
425 0001829099035 OMAN SAPUTRA L Chronic kidney disease Rujuk Vertikal
199 00:00 08:58 MANDIRI
426 0002268928361 AGUNG SANJAYA L PBI (APBN) Berobat Jalan
500 00:00 13:33 [common cold]
080912020621P000 16-06-2021 29-06-2021 PEKERJA
427 0002282695547 TARMAN L Other atopic dermatitis Berobat Jalan
640 00:00 20:09 MANDIRI
080912020621P000 16-06-2021 29-06-2021 PEKERJA
428 0002282695738 SRIANTI P Gastritis and duodenitis Berobat Jalan
639 00:00 20:08 MANDIRI
080912020621P000 16-06-2021 25-06-2021 MUHAMAD ILHAM Acute nasopharyngitis
429 0002462553437 L PBI (APBD) Berobat Jalan
504 00:00 13:39 ALFATIH [common cold]
430 0002606465981 NGADINEM P PBI (APBN) Berobat Jalan
503 00:00 13:37 [common cold]
080912020621P000 16-06-2021 29-06-2021
431 0002606754644 FITRI RAHMADHANI P PBI (APBN) Headache Berobat Jalan
643 00:00 20:13
432 0002790507014 SUTAMTO L PBI (APBN) Berobat Jalan
506 00:00 13:40 [common cold]
433 0002790510816 AHMAD SARBINI L PBI (APBN) Berobat Jalan
499 00:00 13:31 [common cold]
080912020621P000 16-06-2021 25-06-2021
434 0002834917841 REVANZA ABDILAH L PBI (APBN) Other atopic dermatitis Berobat Jalan
498 00:00 13:30
080912020621P000 16-06-2021 25-06-2021
435 0002856055498 FIRDAUS L PBI (APBN) Myalgia Berobat Jalan
502 00:00 13:36
080912020621P000 16-06-2021 16-06-2021 PEKERJA
436 0003002505838 LENI YUDIAWATI P Prolonged pregnancy Rujuk Vertikal
200 00:00 09:04 MANDIRI
Insulin-dependent
080912020621P000 15-06-2021 15-06-2021 PENERIMA Diabetes Diabetes
437 0000034906059 SUMARDHI L diabetes mellitus with Berobat Jalan
166 00:00 10:16 PENSIUN PNS Mellitus Mellitus
080912020621P000 15-06-2021 15-06-2021 PEKERJA Moderate depressive
438 0000034949439 SISKA AYU KURNIA SARI P Rujuk Vertikal
167 00:00 11:25 MANDIRI episode
439 0000034977936 ANGGAR SUTARTI P PNS DAERAH Berobat Jalan
488 00:00 22:22 [common cold]
080912020621P000 15-06-2021 15-06-2021
440 0000035003171 SOLEHA P PNS DAERAH Other visual disturbances Rujuk Vertikal
162 00:00 09:22
080912020621P000 15-06-2021 15-06-2021
441 0000343998595 SUPRI L PBI (APBN) manifestations, virus not Berobat Jalan
168 00:00 21:39
identified
080912020621P000 15-06-2021 15-06-2021
442 0000344073352 SRI KENCONO WATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
175 00:00 22:12
080912020621P000 15-06-2021 15-06-2021
443 0000344535513 TUMINI P PBI (APBN) Other visual disturbances Rujuk Vertikal
165 00:00 10:00
080912020621P000 15-06-2021 15-06-2021
444 0000344718055 BADRI L PBI (APBN) Nasal polyp, unspecified Rujuk Vertikal
163 00:00 09:32
445 0000344892936 JUMIYO L PBI (APBN) Berobat Jalan
080912020621P000 15-06-2021 15-06-2021 connective and other soft
446 0000344918272 RIKO ANDIKA L PBI (APBN) Rujuk Vertikal
160 00:00 09:04 tissue of head, face and
neck
080912020621P000 15-06-2021 24-06-2021
447 0000345276966 SURATNO L PBI (APBN) Atopic dermatitis Berobat Jalan
482 00:00 22:13
448 0000345939478 KARLINA P PBI (APBN) Berobat Jalan
491 00:00 22:24 [common cold]
080912020621P000 15-06-2021 15-06-2021 Diabetes
449 0000995461997 YAHMAN L PBI (APBN) Congestive heart failure Berobat Jalan
164 00:00 09:55 Mellitus
450 0000995469805 SRI WIYANI P PBI (APBN) Berobat Jalan
Hypertensive heart
080912020621P000 15-06-2021 15-06-2021
451 0001316345624 SUPINI P PBI (APBD) disease without Berobat Jalan
161 00:00 09:11
PEGAWAI
PEMERINTAH
452 0001803846701 RIVCHA WIDIATI SAPUTRI P DENGAN Berobat Jalan
172 00:00 22:01 [common cold]
PERJANJIAN
KERJA
080912020621P000 15-06-2021 15-06-2021 Other headache

453 0002218432825 KHOIRUL ANAM L PBI (APBN) Berobat Jalan
170 00:00 21:50 syndromes
080912020621P000 15-06-2021 15-06-2021
454 0002218432961 SURTINI P PBI (APBN) manifestations, virus not Berobat Jalan
169 00:00 21:44
identified
Hypertensive heart
080912020621P000 15-06-2021 15-06-2021 PEKERJA
455 0002232786306 DIYONO L disease without Berobat Jalan
159 00:00 08:45 MANDIRI
PEGAWAI
PEMERINTAH
080912020621P000 15-06-2021 24-06-2021
456 0002305296325 AZWANTONI L DENGAN Dental caries, unspecified Berobat Jalan
492 00:00 22:25
PERJANJIAN
KERJA
080912020621P000 15-06-2021 24-06-2021
457 0002419173505 SITI AMINAH P PBI (APBD) Gastritis, unspecified Berobat Jalan
483 00:00 22:15
080912020621P000 15-06-2021 24-06-2021 PEGAWAI
458 0002434221663 NOVAL KURNIAWAN L Atopic dermatitis Berobat Jalan
490 00:00 22:23 SWASTA
459 0002565655165 ELDO OKTAVIANO L PBI (APBN) Berobat Jalan
173 00:00 22:05 [common cold]
080912020621P000 15-06-2021 24-06-2021
460 0002689043883 SUWARNO L PBI (APBD) Gastritis, unspecified Berobat Jalan
487 00:00 22:21
080912020621P000 15-06-2021 24-06-2021
461 0002689043894 SUTINAH P PBI (APBD) Gastritis, unspecified Berobat Jalan
489 00:00 22:23
Hypertensive heart
080912020621P000 15-06-2021 24-06-2021
462 0002689503298 KATMI P PBI (APBD) disease with (congestive) Berobat Jalan
485 00:00 22:18
heart failure
463 0002775180892 FARIS REIFANSYAH L PBI (APBD) Berobat Jalan
484 00:00 22:16 [common cold]
080912020621P000 15-06-2021 24-06-2021
464 0003058591217 QIONA ELISH ARSANI P PBI (APBN) Atopic dermatitis Berobat Jalan
486 00:00 22:19
080912020621P000 14-06-2021 14-06-2021
465 0000034978015 SUPARSIAH P PNS DAERAH mellitus with unspecified Rujuk Vertikal
152 00:00 09:41
complications
080912020621P000 14-06-2021 14-06-2021 PENERIMA
466 0000034998276 ZAINAL ARIFIN L Cataract, unspecified Rujuk Vertikal
149 00:00 09:30 PENSIUN PNS
080912020621P000 14-06-2021 24-06-2021
467 0000035275342 BAMBANG WASITO L PNS DAERAH Myalgia Berobat Jalan
454 00:00 20:50
080912020621P000 14-06-2021 14-06-2021
468 0000040352793 KHOIRUL ANAM L PNS PUSAT Calculus of ureter Berobat Jalan
147 00:00 08:53
080912020621P000 14-06-2021 24-06-2021
469 0000195792906 RISWANTO L PNS DAERAH Gastritis, unspecified Berobat Jalan
453 00:00 20:49
080912020621P000 14-06-2021 14-06-2021 Thyrotoxicosis

470 0000343538673 DAWAM L PBI (APBN) Rujuk Vertikal
158 00:00 11:55 [hyperthyroidism]
080912020621P000 14-06-2021 14-06-2021
471 0000343735042 WATI P PBI (APBN) connective and other soft Rujuk Vertikal
144 00:00 08:40
tissue, unspecified
Diarrhoea and
080912020621P000 14-06-2021 15-06-2021
472 0000343994905 PAIJEM P PBI (APBN) gastroenteritis of Berobat Jalan
181 00:00 22:51
presumed infectious origin

473 0000344046532 KARTINI P PBI (APBN) Berobat Jalan
180 00:00 22:45 [common cold]
474 0000344046587 REIHENI AULIYA PUTRI P PBI (APBN) Berobat Jalan
179 00:00 22:38 [common cold]
475 0000344111387 HELIA YUNITA P PBI (APBN) Rujuk Vertikal
080912020621P000 14-06-2021 15-06-2021
476 0000344490028 SUKIDI L PBI (APBN) Myalgia Berobat Jalan
178 00:00 22:31
080912020621P000 14-06-2021 15-06-2021
477 0000344491176 ANI RIANA P PBI (APBN) manifestations, virus not Berobat Jalan
177 00:00 22:28
identified
478 0000344581064 IDRIS AFANDI L PBI (APBN) Berobat Jalan
458 00:00 20:56 [common cold]
080912020621P000 14-06-2021 24-06-2021
479 0000344857781 SITI RAIHAN P PBI (APBN) Gastritis, unspecified Berobat Jalan
457 00:00 20:55
080912020621P000 14-06-2021 14-06-2021 PEGAWAI
480 0000345278913 ALPIAN L Dental caries, unspecified Rujuk Vertikal
151 00:00 09:40 SWASTA
080912020621P000 14-06-2021 14-06-2021
481 0000995468466 BAJURI L PBI (APBN) Other visual disturbances Rujuk Vertikal
154 00:00 10:06
080912020621P000 14-06-2021 14-06-2021 PEGAWAI Anxiety disorder,
482 0001388413383 BILLY GABRIEL PRATAMA L Rujuk Vertikal
156 00:00 11:23 SWASTA unspecified
080912020621P000 14-06-2021 15-06-2021 PEKERJA
483 0002282695738 SRIANTI P Gastritis, unspecified Berobat Jalan
176 00:00 22:23 MANDIRI
484 0002609154382 M HILNI ZULKARNAIN L PBI (APBN) Berobat Jalan
182 00:00 22:57 [common cold]
080912020621P000 14-06-2021 14-06-2021 PEKERJA Visual disturbance,
485 0002610069827 BAYU HANA ARISANDI L Rujuk Vertikal
155 00:00 10:28 MANDIRI unspecified
486 0002624834463 RATIMAN L Berobat Jalan
487 0002624838963 dio hidayat L Berobat Jalan
080912020621P000 14-06-2021 24-06-2021

488 0002639425915 MARDIYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan
455 00:00 20:52
489 0002691899651 ADELIA FARANISA AZKI P PBI (APBD) Berobat Jalan
456 00:00 20:54 [common cold]
080912020621P000 14-06-2021 24-06-2021
490 0002790506474 NGATIJEM P PBI (APBN) Myalgia Berobat Jalan
450 00:00 20:40
080912020621P000 14-06-2021 14-06-2021
491 0002790506632 PARIJI L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
145 00:00 08:47
Sequelae of respiratory
080912020621P000 14-06-2021 14-06-2021 PEKERJA
492 0002874483336 HEBRAN TONI L and unspecified Rujuk Vertikal
153 00:00 09:45 MANDIRI
tuberculosis
080912020621P000 14-06-2021 14-06-2021 PEKERJA Atherosclerotic heart
493 0002889504257 SITI UNAINAH P Berobat Jalan
080912020621P000 14-06-2021 24-06-2021 PEKERJA
494 0002889504404 MUHAMAD RIZAL FAUZI L Gastritis, unspecified Berobat Jalan
459 00:00 20:58 MANDIRI
080912020621P000 14-06-2021 14-06-2021 PEKERJA
495 0003046353761 TUGIMAN L Cataract, unspecified Rujuk Vertikal
148 00:00 08:58 MANDIRI
080912020621P000 14-06-2021 14-06-2021 PEKERJA Disseminated herpesviral
496 0003046752663 SAMSUL ARIFIN L Rujuk Vertikal
080912020621P000 14-06-2021 24-06-2021 ALZAHRAA DARA PEKERJA Acute nasopharyngitis
497 0003082687435 P Berobat Jalan
460 00:00 21:00 SANJAYA MANDIRI [common cold]
080912020621P000 24-06-2021
498 06-12-2021 0000165906202 SURAWATI P PNS DAERAH Atopic dermatitis Berobat Jalan
403 00:17
080912020621P000 12-06-2021
499 06-12-2021 0000343533036 HUSNIYATI P PBI (APBN) Pterygium Rujuk Vertikal
142 09:55
080912020621P000 15-06-2021
500 06-12-2021 0000344241718 SUROSO L PBI (APBN) Myalgia Berobat Jalan
190 23:52
080912020621P000 15-06-2021 Essential (primary)
501 06-12-2021 0000344242282 SUMIATI P PBI (APBN) Berobat Jalan
189 23:47 hypertension
080912020621P000 21-06-2021
502 06-12-2021 0000344438256 GALANG PRATAMA L PBI (APBN) Acute pharyngitis Berobat Jalan
290 01:26
080912020621P000 24-06-2021 Acute nasopharyngitis
503 06-12-2021 0000344462815 ISRINI P PBI (APBN) Berobat Jalan
402 00:16 [common cold]
080912020621P000 24-06-2021
504 06-12-2021 0000344640418 MARYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
405 00:18
080912020621P000 16-06-2021
505 06-12-2021 0000995463764 SITI JUMARIYAH P PBI (APBN) Hypotension, unspecified Berobat Jalan
192 00:03
506 06-12-2021 0000995463775 KELVIN NIKO AHMADANI L PBI (APBN) Berobat Jalan
080912020621P000 12-06-2021 PEKERJA

507 06-12-2021 0002286572725 SUKIJAH P Other visual disturbances Rujuk Vertikal
143 10:59 MANDIRI
080912020621P000 24-06-2021 PEKERJA
508 06-12-2021 0002453182716 DINA APRIYANI P Gastritis, unspecified Berobat Jalan
409 00:21 MANDIRI
080912020621P000 16-06-2021
509 06-12-2021 0002601725747 SITI JAENAH P PBI (APBN) Urticaria Berobat Jalan
193 00:09
080912020621P000 24-06-2021
510 06-12-2021 0002648325407 SITI NURAINI P PBI (APBN) Atopic dermatitis Berobat Jalan
407 00:20
080912020621P000 24-06-2021
511 06-12-2021 0002648327196 SITI MUNTIAMAH P PBI (APBN) Atopic dermatitis Berobat Jalan
404 00:18
512 06-12-2021 0002790504753 CINTYA LATIFA P PBI (APBN) Berobat Jalan
513 06-12-2021 0003068316369 NADIRA ALMAHYRA P PBI (APBN) Berobat Jalan
080912020621P000 15-06-2021 PENERIMA Essential (primary)
514 06-11-2021 0000034995396 ISTIKAH P Berobat Jalan
187 23:28 PENSIUN PNS hypertension
080912020621P000 11-06-2021
515 06-11-2021 0000148994166 DENI FERDA L PNS DAERAH Dental caries, unspecified Rujuk Vertikal
137 08:49
080912020621P000 15-06-2021
516 06-11-2021 0000343999642 SALMA P PBI (APBN) Acute pharyngitis Berobat Jalan
184 23:12
080912020621P000 24-06-2021
517 06-11-2021 0000344499557 JASMADI L PBI (APBN) Dental caries, unspecified Berobat Jalan
395 00:10
Hypertensive heart
080912020621P000 24-06-2021
518 06-11-2021 0000344604609 WIDODO L PBI (APBN) disease with (congestive) Berobat Jalan
400 00:14
heart failure
080912020621P000 23-06-2021
519 06-11-2021 0000344719179 JUWAINI AHMAD L PBI (APBN) Gastritis, unspecified Berobat Jalan
393 23:58
080912020621P000 24-06-2021
520 06-11-2021 0000345299128 ZULKIPLI L PBI (APBN) Gastritis, unspecified Berobat Jalan
399 00:13
080912020621P000 15-06-2021
521 06-11-2021 0000995664846 PIPIT SETIA DEWI P PBI (APBN) Gastritis, unspecified Berobat Jalan
185 23:16
080912020621P000 24-06-2021 NAUFALYN OLIVIA Acute nasopharyngitis
522 06-11-2021 0001767377608 P PNS DAERAH Berobat Jalan
396 00:11 RAFANDA [common cold]
080912020621P000 11-06-2021 PENERIMA Chronic atticoantral
523 06-11-2021 0002052276017 muhammad yamin L Rujuk Vertikal
140 10:09 PENSIUN PNS suppurative otitis media
080912020621P000 11-06-2021 PEKERJA
524 06-11-2021 0002238277634 RAHMAD HANAFI L Glaucoma Rujuk Vertikal
136 08:46 MANDIRI
080912020621P000 24-06-2021 HAYKAL PUTRA Acute nasopharyngitis
525 06-11-2021 0002493287008 L PBI (APBN) Berobat Jalan
401 00:14 ANGGARA [common cold]

080912020621P000 15-06-2021 MUHAMAD IQBAL
526 06-11-2021 0002595351993 L PBI (APBN) manifestations, virus not Berobat Jalan
183 23:07 MUSTAPA
identified
080912020621P000 11-06-2021 Cerebrovascular disease,
527 06-11-2021 0002601254823 UMBARWATI P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
138 09:12 unspecified
080912020621P000 15-06-2021
528 06-11-2021 0002689747975 DINA ANGGEREANI P PBI (APBD) manifestations, virus not Berobat Jalan
186 23:25
identified
Hypertensive heart
080912020621P000 24-06-2021
529 06-11-2021 0002689749202 RISMIYATI P PBI (APBD) disease with (congestive) Berobat Jalan
394 00:09
heart failure
Aneurysm of aorta in
080912020621P000 11-06-2021 PEKERJA
530 06-11-2021 0002759543561 ISMAIL L diseases classified Rujuk Vertikal
139 10:02 MANDIRI
elsewhere
531 06-11-2021 0002851794088 PUTRI P PBI (APBN) Berobat Jalan
080912020621P000 15-06-2021
532 06-11-2021 0002869192214 APRIA LESTARI P PBI (APBN) Acute pharyngitis Berobat Jalan
188 23:39
Hypertensive heart
080912020621P000 24-06-2021 PEKERJA
533 06-11-2021 0002886978227 HAIRUL ANWAR L disease with (congestive) Berobat Jalan
397 00:12 MANDIRI
heart failure
534 06-11-2021 0003049522997 YURA AZZAHRA P PBI (APBN) Berobat Jalan
080912020621P000 11-06-2021 PEGAWAI
535 06-11-2021 0003071655448 AMANDA VIKA AMALIA P Other visual disturbances Rujuk Vertikal
141 10:33 SWASTA
080912020621P000 23-06-2021 Other chronic obstructive
536 06-10-2021 0000034930473 BEKTI PERTIWI P PNS DAERAH Berobat Jalan
385 23:50 pulmonary disease
080912020621P000 10-06-2021
537 06-10-2021 0000034984844 SUKIRNO L PNS DAERAH mellitus with unspecified Rujuk Vertikal
128 09:33
complications
080912020621P000 23-06-2021
538 06-10-2021 0000344006829 G AULIA SARI P PBI (APBN) Gastritis, unspecified Berobat Jalan
387 23:52
539 06-10-2021 0000344034022 DWI YANI P PBI (APBN) Berobat Jalan
080912020621P000 23-06-2021
540 06-10-2021 0000344069684 ZAKIAH P PBI (APBN) Atopic dermatitis Berobat Jalan
386 23:51
080912020621P000 10-06-2021 Other headache
541 06-10-2021 0000344072788 SUPENDI L PBI (APBN) Berobat Jalan
132 09:58 syndromes
080912020621P000 23-06-2021
542 06-10-2021 0000344377618 LILIK SURYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
388 23:52

543 06-10-2021 0000344400153 TARMIATUN P PBI (APBN) Berobat Jalan
080912020621P000 23-06-2021
544 06-10-2021 0000344405957 LENI AFRILIA P PBI (APBN) Abdominal pregnancy Berobat Jalan
381 23:45
545 06-10-2021 0000344406036 DESTIANA P PBI (APBN) Berobat Jalan
080912020621P000 10-06-2021 Antenatal screening,
546 06-10-2021 0000344421865 MARIYANI P PBI (APBN) Rujuk Vertikal
080912020621P000 10-06-2021
547 06-10-2021 0000344890203 SUMIYATI P PBI (APBN) Pulpitis Berobat Jalan
130 09:51
548 06-10-2021 0000344891384 M. IBNU FADLI L PBI (APBN) Berobat Jalan
080912020621P000 23-06-2021
549 06-10-2021 0000344975174 DESKA RAMDANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
392 23:57
550 06-10-2021 0000345160372 MASNONA P PBI (APBN) Berobat Jalan
Other spondylosis with
080912020621P000 10-06-2021
551 06-10-2021 0000345241495 KAMIYAH P PBI (APBN) myelopathy, site Rujuk Vertikal
125 09:20
unspecified
080912020621P000 10-06-2021 Thyrotoxicosis
552 06-10-2021 0000345335433 MISIYAH P PBI (APBN) Rujuk Vertikal
135 10:18 [hyperthyroidism]
553 06-10-2021 0000345748858 ILHAM SAPUTRA L PBI (APBN) Berobat Jalan
554 06-10-2021 0000345755013 SIPAH P PBI (APBN) Berobat Jalan
080912020621P000 10-06-2021 Cyst of oral region,
555 06-10-2021 0001327016338 NILAM MAHKOTA P PNS DAERAH Rujuk Vertikal
080912020621P000 10-06-2021
556 06-10-2021 0001478648733 SRI UMI HALA P PNS DAERAH Cataract, unspecified Rujuk Vertikal
124 09:14
557 06-10-2021 0002689077846 SUPATMI P PBI (APBD) Berobat Jalan
080912020621P000 23-06-2021
558 06-10-2021 0002689077879 ALYCIA FEBRINA PUTRI P PBI (APBD) Gastritis, unspecified Berobat Jalan
384 23:48
559 06-10-2021 0002754424449 AYU NINA MARSHA P PBI (APBN) Berobat Jalan
080912020621P000 19-06-2021 PEGAWAI
560 06-10-2021 0002928520844 SITI KOMSIYAH P Other atopic dermatitis Berobat Jalan
273 16:00 SWASTA
080912020621P000 10-06-2021 PEKERJA
561 06-10-2021 0003049595133 RUSDI L Myalgia Berobat Jalan
127 09:29 MANDIRI
080912020621P000 10-06-2021 PEKERJA

562 06-10-2021 0003049595245 SUBINI P Other peripheral vertigo Berobat Jalan
126 09:25 MANDIRI
080912020621P000 10-06-2021 PEKERJA Malignant neoplasm of
563 06-10-2021 0003072694105 YUSTIANUS MIJO L Rujuk Vertikal
123 09:08 MANDIRI larynx, unspecified
080912020621P000 09-06-2021 Diabetes
564 06-09-2021 0000033897069 SRI SANTINI P PNS DAERAH mellitus with unspecified Rujuk Vertikal
113 09:29 Mellitus
complications
080912020621P000 23-06-2021 PEKERJA
565 06-09-2021 0000034949439 SISKA AYU KURNIA SARI P Gastritis, unspecified Berobat Jalan
379 23:43 MANDIRI
080912020621P000 23-06-2021
566 06-09-2021 0000343716164 ERTINA LESTARI P PBI (APBN) Epilepsy Berobat Jalan
371 23:28
567 06-09-2021 0000343809933 NOPITA SARI P PBI (APBN) Berobat Jalan
080912020621P000 16-06-2021
568 06-09-2021 0000344016213 MINAH P PBI (APBN) Myalgia Berobat Jalan
198 00:48
569 06-09-2021 0000344423643 FARHAN EFFENDI L PBI (APBN) Berobat Jalan
080912020621P000 09-06-2021
570 06-09-2021 0000344457483 NUR ASIAH P PBI (APBN) Dental caries, unspecified Berobat Jalan
118 10:32
080912020621P000 16-06-2021 Other headache
571 06-09-2021 0000344500075 SUKARTI P PBI (APBN) Berobat Jalan
197 00:42 syndromes
080912020621P000 23-06-2021
572 06-09-2021 0000344636739 DESI DAHLIYA P PBI (APBN) Dental caries, unspecified Berobat Jalan
366 23:24
080912020621P000 09-06-2021
573 06-09-2021 0000344712374 EDO TRI CAHYA L PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal
111 09:23
080912020621P000 09-06-2021 M. FAISAL HANDI
574 06-09-2021 0000344762144 L PBI (APBN) Epilepsy, unspecified Rujuk Vertikal
115 09:41 SA[UTRA
080912020621P000 23-06-2021
575 06-09-2021 0000344856429 NURUL HAMIDAH P PBI (APBN) Atopic dermatitis Berobat Jalan
367 23:25
080912020621P000 09-06-2021
576 06-09-2021 0000344877434 ARYA SAPUTRA L PBI (APBN) Dental caries, unspecified Rujuk Vertikal
114 09:35
080912020621P000 09-06-2021
577 06-09-2021 0000344896413 SANTONI L PBI (APBN) Congestive heart failure Rujuk Vertikal
117 10:01
080912020621P000 23-06-2021
578 06-09-2021 0000344922827 ABDUL MUTALIB L PBI (APBN) Gastritis, unspecified Berobat Jalan
365 23:23
080912020621P000 09-06-2021
579 06-09-2021 0000345292301 RASTUTI P PBI (APBN) Dental caries, unspecified Berobat Jalan
119 10:38
080912020621P000 23-06-2021
580 06-09-2021 0000345324003 LULU KUSUMA DEWI P PBI (APBN) Gastritis, unspecified Berobat Jalan
372 23:29
080912020621P000 16-06-2021
581 06-09-2021 0000345347111 UNTUNG L PBI (APBN) Cough Berobat Jalan
196 00:38
080912020621P000 23-06-2021
582 06-09-2021 0000345747914 AULIA FITRI ANGGRAINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
364 23:22
080912020621P000 09-06-2021
583 06-09-2021 0000995463674 TRI ROHANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
120 10:44
080912020621P000 16-06-2021
584 06-09-2021 0000995464293 MISTIAH P PBI (APBN) Pulpitis Berobat Jalan
194 00:22
080912020621P000 23-06-2021 PEGAWAI Acute nasopharyngitis
585 06-09-2021 0001106883246 EXNASIUS OBI ERLANDO L Berobat Jalan
374 23:31 SWASTA [common cold]
080912020621P000 09-06-2021 PEKERJA Other secondary
586 06-09-2021 0001268826219 SARINGAH P Berobat Jalan Hipertensi Hipertensi
112 09:27 MANDIRI hypertension
080912020621P000 23-06-2021 PEKERJA
587 06-09-2021 0001284096082 YUSMELY P Gastritis, unspecified Berobat Jalan
377 23:40 MANDIRI
Hypertensive heart
080912020621P000 09-06-2021
588 06-09-2021 0001316345624 SUPINI P PBI (APBD) disease without Rujuk Vertikal
105 09:11
080912020621P000 23-06-2021 MUHAMMAD NABIL Acute nasopharyngitis
589 06-09-2021 0001647000753 L PEGAWAI BUMN Berobat Jalan
376 23:39 NAZHMI KURNIALI [common cold]
080912020621P000 16-06-2021
590 06-09-2021 0002189227432 LASIYEM P PBI (APBN) Myalgia Berobat Jalan
195 00:29
Respiratory tuberculosis,
080912020621P000 23-06-2021
591 06-09-2021 0002228668222 KEMAL RIZKY RAMADHAN L PNS DAERAH bacteriologically and Berobat Jalan
368 23:26
histologically confirmed
080912020621P000 23-06-2021 PEKERJA Acute nasopharyngitis
592 06-09-2021 0002262786693 BAYU HARIYANTO L Berobat Jalan
369 23:27 MANDIRI [common cold]
593 06-09-2021 0002453182277 HINDUN P Berobat Jalan
080912020621P000 09-06-2021 PEKERJA Lymphoid leukaemia,
594 06-09-2021 0002465825995 SISWOKO L Rujuk Vertikal
116 09:46 MANDIRI unspecified
080912020621P000 23-06-2021
595 06-09-2021 0002565647695 ERWANSYAH L PBI (APBD) Gastritis, unspecified Berobat Jalan
380 23:44
080912020621P000 23-06-2021 PEKERJA
596 06-09-2021 0002748433678 SUTARYO L Gastritis, unspecified Berobat Jalan
378 23:43 MANDIRI
080912020621P000 09-06-2021 PEKERJA Stroke, not specified as
597 06-09-2021 0002886978227 HAIRUL ANWAR L Rujuk Vertikal
110 09:20 MANDIRI haemorrhage or infarction
080912020621P000 09-06-2021 PEKERJA Antenatal screening,
598 06-09-2021 0003072916214 FITRIA WULANDARI P Rujuk Vertikal
080912020621P000 19-06-2021
599 06-08-2021 0000343222097 RUGAIYAH P PBI (APBN) Other atopic dermatitis Berobat Jalan
271 15:58
080912020621P000 19-06-2021
600 06-08-2021 0000344366471 DESTINA SAPITRI P PBI (APBN) Cough Berobat Jalan
272 15:59
080912020621P000 08-06-2021
601 06-08-2021 0000344449394 AIDA P PBI (APBN) Fracture of femur Rujuk Vertikal
092 11:23
080912020621P000 09-06-2021
602 06-08-2021 0000344501289 SUKIRAN L PBI (APBN) Myalgia Berobat Jalan
098 00:03
080912020621P000 08-06-2021 Rheumatoid arthritis,
603 06-08-2021 0000344502832 SAMINI P PBI (APBN) Berobat Jalan
080912020621P000 08-06-2021 Other headache
604 06-08-2021 0000344525286 LAELA DWI SEPTIANI P PBI (APBN) Berobat Jalan
096 23:38 syndromes
080912020621P000 09-06-2021
605 06-08-2021 0000344568666 SUPRI INDRIYANA P PBI (APBN) Myalgia Berobat Jalan
103 00:30
080912020621P000 09-06-2021
606 06-08-2021 0000344575776 DWI MEI SEKAR ARUM P PBI (APBN) manifestations, virus not Berobat Jalan
102 00:28
identified
080912020621P000 19-06-2021
607 06-08-2021 0000345163162 FATIMAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan
267 15:54
080912020621P000 09-06-2021
608 06-08-2021 0000345191714 SUPRIYANA L PBI (APBN) manifestations, virus not Berobat Jalan
099 00:07
identified
Insulin-dependent
080912020621P000 08-06-2021
609 06-08-2021 0000345255895 JAINI L PBI (APBN) diabetes mellitus with Rujuk Vertikal
088 09:55
080912020621P000 08-06-2021
610 06-08-2021 0000345705243 BASUKI L PBI (APBN) Myalgia Berobat Jalan
095 23:16
611 06-08-2021 0000345705579 MARIYEM P PBI (APBN) Berobat Jalan
080912020621P000 09-06-2021
612 06-08-2021 0000995465283 SUPIATUN P PBI (APBN) Myalgia Berobat Jalan
101 00:23
Hypertensive heart
080912020621P000 23-06-2021 PEKERJA
613 06-08-2021 0001264096192 A SUHAIDI L disease with (congestive) Berobat Jalan
362 23:21 MANDIRI
heart failure
080912020621P000 19-06-2021 PEKERJA
614 06-08-2021 0001838513733 MUHAMMAD ALBUkhORI L Dental caries, unspecified Berobat Jalan
270 15:57 MANDIRI
080912020621P000 08-06-2021 PEGAWAI Injury of nerves and spinal
615 06-08-2021 0002328631582 SRI WAHYUNINGSIH P Rujuk Vertikal
089 10:01 SWASTA cord at neck level
080912020621P000 08-06-2021
616 06-08-2021 0002481933194 TITIK SETIYONINGSIH P PBI (APBD) mellitus with unspecified Rujuk Vertikal
090 10:04
complications
080912020621P000 08-06-2021
617 06-08-2021 0002487596782 ALIKA NAYLA PUTRI P PBI (APBN) Bronchiectasis Rujuk Vertikal
093 12:01
080912020621P000 19-06-2021
618 06-08-2021 0002565648854 SRI ASIH P PBI (APBN) Myalgia Berobat Jalan
269 15:56
080912020621P000 09-06-2021 FEBRI FITRIYA WAHDINAL
619 06-08-2021 0002639145464 P PBI (APBN) Hypotension, unspecified Berobat Jalan
100 00:16 HUSNAH
080912020621P000 23-06-2021 PEKERJA Pleural effusion, not
620 06-08-2021 0002874483336 HEBRAN TONI L Berobat Jalan
361 23:20 MANDIRI elsewhere classified
Hypertensive heart
080912020621P000 08-06-2021 PEKERJA
621 06-08-2021 0002922312971 PATIMAH P disease without Berobat Jalan
091 10:09 MANDIRI
080912020621P000 19-06-2021 Influenza, virus not
622 06-08-2021 0003068316369 NADIRA ALMAHYRA P PBI (APBN) Berobat Jalan
268 15:55 identified
PEGAWAI
PEMERINTAH
080912020621P000 23-06-2021 RABELLA NAFEEZA Acute nasopharyngitis
623 06-08-2021 0003081434679 P DENGAN Berobat Jalan
363 23:21 RAMADHANI [common cold]
PERJANJIAN
KERJA
Insulin-dependent
080912020621P000 07-06-2021 PENERIMA Diabetes
624 06-07-2021 0000034854074 SURATA L diabetes mellitus with Berobat Jalan
066 10:27 PENSIUN PNS Mellitus
080912020621P000 07-06-2021
625 06-07-2021 0000034911314 SUKAMDI L PNS DAERAH Congestive heart failure Rujuk Vertikal
058 08:44
Chronic obstructive
080912020621P000 07-06-2021
626 06-07-2021 0000034930473 BEKTI PERTIWI P PNS DAERAH pulmonary disease, Berobat Jalan
072 11:32
unspecified
080912020621P000 07-06-2021 PENERIMA
627 06-07-2021 0000035033793 DJIMIN. BA L Congestive heart failure Rujuk Vertikal
065 10:24 PENSIUN PNS
080912020621P000 07-06-2021 VITO FARREL ADRIAN
628 06-07-2021 0000196790264 L PNS DAERAH Nasal polyp, unspecified Rujuk Vertikal
067 10:41 WISESA
080912020621P000 07-06-2021
629 06-07-2021 0000343946586 MURTINI P PBI (APBN) Other arthrosis Rujuk Vertikal
060 08:49
630 06-07-2021 0000343961065 ROHAYA P PBI (APBN) Berobat Jalan
080912020621P000 19-06-2021
631 06-07-2021 0000344119871 SYAHRIL L PBI (APBN) Other atopic dermatitis Berobat Jalan
262 15:49
632 06-07-2021 0000344274502 SUKARTINI P PBI (APBN) Berobat Jalan
080912020621P000 19-06-2021
633 06-07-2021 0000344581064 IDRIS AFANDI L PBI (APBN) Myalgia Berobat Jalan
263 15:50
080912020621P000 23-06-2021
634 06-07-2021 0000344660692 MAS YATI P PBI (APBN) Dental caries, unspecified Berobat Jalan
358 23:18
080912020621P000 23-06-2021
635 06-07-2021 0000344664933 PARTINEM P PBI (APBN) Myalgia Berobat Jalan
360 23:19
636 06-07-2021 0000344737304 MARSUDI L PBI (APBN) Berobat Jalan
080912020621P000 07-06-2021 Hypertrophy of
637 06-07-2021 0000344879076 TUSLIM L PBI (APBN) Berobat Jalan
076 21:47 (infrapatellar) fat pad
080912020621P000 07-06-2021
638 06-07-2021 0000344879234 JUMIRAH P PBI (APBN) manifestations, virus not Berobat Jalan
075 21:41
identified
639 06-07-2021 0000345136656 YENI OKTARIZA P PBI (APBN) Berobat Jalan
080912020621P000 07-06-2021 Diabetes
640 06-07-2021 0000345525759 UMI SALAMAH P PBI (APBN) mellitus with unspecified Rujuk Vertikal
064 10:07 Mellitus
complications
641 06-07-2021 0000345921827 YUNANI P PBI (APBN) Berobat Jalan
080912020621P000 07-06-2021
642 06-07-2021 0000995470446 KADIM L PBI (APBN) Myalgia Berobat Jalan
087 23:24
KEPALA DESA
080912020621P000 07-06-2021
643 06-07-2021 0000995472516 SANTI ELDA WATI P DAN PERANGKAT Other dermatitis Berobat Jalan
068 10:55
DESA
080912020621P000 07-06-2021 PEKERJA Stroke, not specified as

644 06-07-2021 0001284095597 FAHRUROZI L Berobat Jalan Hipertensi
061 08:49 MANDIRI haemorrhage or infarction
080912020621P000 07-06-2021
645 06-07-2021 0001971724476 UMI KALSUM P PBI (APBN) Asthma, unspecified Berobat Jalan
071 11:18
Hypertensive heart
080912020621P000 07-06-2021 PEGAWAI
646 06-07-2021 0002269216067 TAYAT SUDIYANTO L disease without Rujuk Vertikal
059 08:46 SWASTA
080912020621P000 07-06-2021
647 06-07-2021 0002565649989 SUWITO L PBI (APBD) Myalgia Berobat Jalan
069 11:00
080912020621P000 07-06-2021
648 06-07-2021 0002599492105 SARIYEM P PBI (APBN) Pulpitis Berobat Jalan
070 11:09
080912020621P000 19-06-2021 PEGAWAI
649 06-07-2021 0002637099527 HERMAWAN L Other atopic dermatitis Berobat Jalan
266 15:53 SWASTA
080912020621P000 19-06-2021
650 06-07-2021 0002648321842 ANNISA NUR HAFIZAH P PBI (APBN) Myalgia Berobat Jalan
264 15:50
080912020621P000 07-06-2021 Primary arthrosis of other

651 06-07-2021 0002648326937 JUMIKEM P PBI (APBN) Rujuk Vertikal
063 09:27 joints, pelvic and thigh
080912020621P000 19-06-2021
652 06-07-2021 0002790512223 NURLINA P PBI (APBN) Cough Berobat Jalan
265 15:51
080912020621P000 23-06-2021 PEKERJA
653 06-07-2021 0002875802242 BOINEM P Gastritis, unspecified Berobat Jalan
359 23:18 MANDIRI
080912020621P000 07-06-2021 PEKERJA Other and unspecified
654 06-07-2021 0002917980257 KARTINI P Rujuk Vertikal
062 09:14 MANDIRI abdominal pain
Insulin-dependent
080912020621P000 05-06-2021
655 06-05-2021 0000034984844 SUKIRNO L PNS DAERAH diabetes mellitus with Rujuk Vertikal
056 09:34
080912020621P000 19-06-2021
656 06-05-2021 0000343698805 NANO FIRMANSYAH L PBI (APBN) Other atopic dermatitis Berobat Jalan
260 15:46
080912020621P000 05-06-2021
657 06-05-2021 0000344473481 RUKAIYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
046 08:46
658 06-05-2021 0000344508197 SUGIYARTO L PBI (APBN) Berobat Jalan
080912020621P000 09-06-2021
659 06-05-2021 0000344508636 MARYATI P PBI (APBN) manifestations, virus not Berobat Jalan
106 09:11
identified
660 06-05-2021 0000344842119 ALI NURDIN L PBI (APBN) Berobat Jalan
080912020621P000 05-06-2021
661 06-05-2021 0000344842244 MUJILAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
050 09:02
080912020621P000 05-06-2021
662 06-05-2021 0000345555898 MISKINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
055 09:31
080912020621P000 05-06-2021
663 06-05-2021 0000345751391 SITI UMAYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
054 09:28
080912020621P000 05-06-2021 Dysmenorrhoea,
664 06-05-2021 0000345751547 RIKA RAHMAWATI P PBI (APBN) Berobat Jalan
080912020621P000 05-06-2021
665 06-05-2021 0001302184372 NIDARIANI P PNS DAERAH Dental caries, unspecified Rujuk Vertikal
057 10:27
080912020621P000 05-06-2021 PEKERJA
666 06-05-2021 0002565648314 RISKI FAH REZA L Epilepsy, unspecified Rujuk Vertikal
053 09:24 MANDIRI
667 06-05-2021 0002565648843 TARMIZI ARIFIN L PBI (APBN) Berobat Jalan
080912020621P000 05-06-2021
668 06-05-2021 0002565649978 PARMINAH P PBI (APBD) Myalgia Berobat Jalan
048 08:58
080912020621P000 09-06-2021
669 06-05-2021 0002593322019 SRI YATI NINGSIH P PBI (APBN) Headache Berobat Jalan
104 09:04

670 06-05-2021 0002606655835 DAVIQ KALILMI ZIDDAN L PBI (APBN) Berobat Jalan
080912020621P000 05-06-2021
671 06-05-2021 0002606752383 OKY MERINI P PBI (APBN) manifestations, virus not Berobat Jalan
047 08:53
identified
080912020621P000 05-06-2021 PEKERJA Chronic kidney disease,
672 06-05-2021 0002751991975 WINARTI P Rujuk Vertikal
049 09:00 MANDIRI stage 5
Hypertensive heart
080912020621P000 23-06-2021
673 06-04-2021 0000344242282 SUMIATI P PBI (APBN) disease with (congestive) Berobat Jalan
351 23:11
heart failure
080912020621P000 19-06-2021
674 06-04-2021 0000344283671 SHOLIHATIN NISA P PBI (APBN) Gastritis and duodenitis Berobat Jalan
256 15:43
080912020621P000 19-06-2021
675 06-04-2021 0000344438019 MARWAN L PBI (APBN) Other atopic dermatitis Berobat Jalan
257 15:43
080912020621P000 07-06-2021
676 06-04-2021 0000344737495 SURAYEM P PBI (APBN) Other dermatitis Berobat Jalan
081 22:20
677 06-04-2021 0000344739172 ANISA INDA SARI P PBI (APBN) Berobat Jalan
678 06-04-2021 0000344882002 JUHENDRA L PBI (APBN) Berobat Jalan
080912020621P000 07-06-2021
679 06-04-2021 0000344898764 IPTIAR SUHADI L PBI (APBN) Headache Berobat Jalan
077 21:59
080912020621P000 07-06-2021 Other headache
680 06-04-2021 0000344899473 MARSINI P PBI (APBN) Berobat Jalan
078 22:03 syndromes
681 06-04-2021 0000345125079 RIZKY AFRIANSYAH L PBI (APBN) Berobat Jalan
080912020621P000 07-06-2021
682 06-04-2021 0000345191771 MISWATI P PBI (APBN) Migraine, unspecified Berobat Jalan
083 22:29
080912020621P000 07-06-2021
683 06-04-2021 0000345192478 RAFI SAPUTRA L PBI (APBN) manifestations, virus not Berobat Jalan
084 22:34
identified
080912020621P000 07-06-2021
684 06-04-2021 0000345193053 RAFA SAPUTRA L PBI (APBN) manifestations, virus not Berobat Jalan
085 22:41
identified
080912020621P000 19-06-2021
685 06-04-2021 0000345211751 WAGE L PBI (APBN) Dental caries, unspecified Berobat Jalan
258 15:44
080912020621P000 23-06-2021
686 06-04-2021 0000345229817 TRIYANI P PBI (APBN) Myalgia Berobat Jalan
350 23:11
687 06-04-2021 0000345230122 AGUNG PRATAMA L PBI (APBN) Berobat Jalan
Hypertensive heart
080912020621P000 23-06-2021
688 06-04-2021 0000345341946 SUBANDI L PBI (APBN) disease with (congestive) Berobat Jalan
356 23:15
heart failure
080912020621P000 23-06-2021
689 06-04-2021 0000345527177 DELIYA MUNIKASARI P PBI (APBN) Gastritis, unspecified Berobat Jalan
347 22:55
080912020621P000 23-06-2021
690 06-04-2021 0000995462155 TUMINEM P PBI (APBN) Myalgia Berobat Jalan
353 23:13
080912020621P000 19-06-2021
691 06-04-2021 0001268888174 SRI EKA CAHYA NINGSIH P PRAJURIT AD Other atopic dermatitis Berobat Jalan
259 15:45
Sequelae of respiratory
080912020621P000 04-06-2021
692 06-04-2021 0001268888714 MUHAMMAD TOHA L PBI (APBD) and unspecified Berobat Jalan
041 08:29
tuberculosis
693 06-04-2021 0001302184372 NIDARIANI P PNS DAERAH Berobat Jalan
080912020621P000 04-06-2021 Chronic renal failure,
694 06-04-2021 0001437892863 NURHAYATI P PBI (APBN) Rujuk Vertikal
080912020621P000 23-06-2021
695 06-04-2021 0001816224131 tamin L PBI (APBN) Dental caries Berobat Jalan
354 23:14
696 06-04-2021 0001865757521 ribut budianto L PBI (APBN) Berobat Jalan
080912020621P000 07-06-2021 Other headache
697 06-04-2021 0001865758318 sumiarsih P PBI (APBN) Berobat Jalan
080 22:12 syndromes
080912020621P000 04-06-2021 PEKERJA Fracture of femur, part
698 06-04-2021 0002262786693 BAYU HARIYANTO L Rujuk Vertikal
Fracture of bone following
080912020621P000 04-06-2021 PEKERJA insertion of orthopaedic
699 06-04-2021 0002262786816 JIHAN SYFA AZAHRA P Rujuk Vertikal
043 10:17 MANDIRI implant, joint prosthesis, or
bone plate
080912020621P000 23-06-2021
700 06-04-2021 0002472061915 SITI RAHAYU P PBI (APBD) Dental caries, unspecified Berobat Jalan
355 23:14
080912020621P000 23-06-2021 MUHAMMAD Acute nasopharyngitis
701 06-04-2021 0002565646661 L PBI (APBD) Berobat Jalan
348 22:56 FIKRIANSYAH [common cold]
080912020621P000 04-06-2021 PEKERJA Atherosclerotic heart
702 06-04-2021 0002889504257 SITI UNAINAH P Rujuk Vertikal
045 10:33 MANDIRI disease
080912020621P000 03-06-2021
703 06-03-2021 0000034819143 RATNA TRIWINDARI P PNS DAERAH Other visual disturbances Rujuk Vertikal
026 08:52
080912020621P000 03-06-2021
704 06-03-2021 0000343470677 MUHAIDIN L PBI (APBN) Congestive heart failure Berobat Jalan
032 09:22
080912020621P000 03-06-2021
705 06-03-2021 0000343472286 SUCI ARIF KURNIAWAN L PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal
033 09:24
080912020621P000 03-06-2021 Antenatal screening,

706 06-03-2021 0000343585067 DINI AFIYANTI P PBI (APBN) Rujuk Vertikal
080912020621P000 23-06-2021
707 06-03-2021 0000343994613 MUTMAINAH P PBI (APBN) Myalgia Berobat Jalan
338 22:48
080912020621P000 24-06-2021
708 06-03-2021 0000344034999 FIRDAUS L PBI (APBN) Other atopic dermatitis Berobat Jalan
443 19:18
080912020621P000 03-06-2021 Stroke, not specified as
709 06-03-2021 0000344443195 SUGIYATIN P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
037 10:32 haemorrhage or infarction
080912020621P000 19-06-2021
710 06-03-2021 0000344443577 SALIM L PBI (APBN) Headache Berobat Jalan
254 15:38
080912020621P000 03-06-2021
711 06-03-2021 0000344443959 SITI KHOTIMAH P PBI (APBN) Hypotension, unspecified Berobat Jalan
030 09:10
080912020621P000 19-06-2021
712 06-03-2021 0000344444995 SUKATMAN L PBI (APBN) Gastritis and duodenitis Berobat Jalan
235 07:24
080912020621P000 03-06-2021
713 06-03-2021 0000344445939 IRHANA DESIYANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
029 09:05
714 06-03-2021 0000344467091 SUBANI L PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
715 06-03-2021 0000344467348 WIWIT SUGIANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan
444 19:19
080912020621P000 24-06-2021
716 06-03-2021 0000344468575 SENI P PBI (APBN) Other atopic dermatitis Berobat Jalan
448 19:24
080912020621P000 24-06-2021
717 06-03-2021 0000344468597 YUSTI L PBI (APBN) Cough Berobat Jalan
441 19:16
080912020621P000 24-06-2021
718 06-03-2021 0000344468665 SITI NUR WAKIDAH P PBI (APBN) Cough Berobat Jalan
439 19:10
080912020621P000 03-06-2021
719 06-03-2021 0000344474774 sandy alfarado L PBI (APBN) Gastritis, unspecified Berobat Jalan
027 08:57
080912020621P000 24-06-2021
720 06-03-2021 0000344476967 DALIJAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
445 19:20
080912020621P000 03-06-2021
721 06-03-2021 0000344586846 SINEM P PBI (APBN) Myalgia Berobat Jalan
028 09:01
080912020621P000 24-06-2021
722 06-03-2021 0000344625074 DAMAN HURI L PBI (APBN) Gastritis, unspecified Berobat Jalan
449 19:26
080912020621P000 24-06-2021
723 06-03-2021 0000344627098 ERNA WATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
436 19:06
080912020621P000 24-06-2021
724 06-03-2021 0000344627537 HASAN NUDDIN L PBI (APBN) Myalgia Berobat Jalan
442 19:17

725 06-03-2021 0000344638157 KAUSAR L PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
726 06-03-2021 0000344639722 ERHAM L PBI (APBN) Myalgia Berobat Jalan
438 19:08
727 06-03-2021 0000344641329 MAULANA L PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
728 06-03-2021 0000344642005 YUSRIL IHZA MAHENDRA L PBI (APBN) manifestations, virus not Berobat Jalan
435 19:05
identified
080912020621P000 24-06-2021
729 06-03-2021 0000344643704 YULIANA EMI DWIYANTI P PBI (APBN) Cough Berobat Jalan
434 19:04
080912020621P000 23-06-2021
730 06-03-2021 0000344950198 PANILAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
340 22:49
080912020621P000 23-06-2021
731 06-03-2021 0000344950604 SURATMI P PBI (APBN) Myalgia Berobat Jalan
339 22:48
080912020621P000 24-06-2021
732 06-03-2021 0000345159281 ALFI MINNATU JAJILAH P PBI (APBN) manifestations, virus not Berobat Jalan
446 19:21
identified
Chronic obstructive
080912020621P000 03-06-2021
733 06-03-2021 0000345213764 SITI MARYAM P PBI (APBN) pulmonary disease, Rujuk Vertikal
036 10:18
unspecified
080912020621P000 23-06-2021 PEGAWAI
734 06-03-2021 0000345276202 TAMSI ALI L Myalgia Berobat Jalan
344 22:52 SWASTA
080912020621P000 30-06-2021
735 06-03-2021 0000345297093 SILVI DEWI SAFITRI P PBI (APBN) Pulpitis Berobat Jalan
681 01:16
080912020621P000 23-06-2021
736 06-03-2021 0000345729273 BUDIYONO L PBI (APBN) Myalgia Berobat Jalan
336 22:46
737 06-03-2021 0000345917338 TUMINAH P PBI (APBN) Berobat Jalan
080912020621P000 19-06-2021
738 06-03-2021 0000346008892 ANI PARIDA P PBI (APBN) Dental caries, unspecified Berobat Jalan
253 15:37
739 06-03-2021 0000346219784 HUSNUL FATIMAH P Berobat Jalan
740 06-03-2021 0000976359238 M. ADITYA L PNS DAERAH Berobat Jalan
080912020621P000 26-06-2021
741 06-03-2021 0000995464124 JUMINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
529 22:19
080912020621P000 30-06-2021
742 06-03-2021 0000995465463 SANIATUN P PBI (APBN) Gastritis, unspecified Berobat Jalan
679 01:08
080912020621P000 30-06-2021
743 06-03-2021 0000995465485 WISNU AJI PANGESTU L PBI (APBN) Other dermatitis Berobat Jalan
678 01:02
744 06-03-2021 0000995466982 MARSIYAH P PBI (APBN) Berobat Jalan
080912020621P000 19-06-2021
745 06-03-2021 0001283597627 JASWADI L PBI (APBN) Dental caries, unspecified Berobat Jalan
249 15:29
080912020621P000 03-06-2021 Orthopaedic follow-up
746 06-03-2021 0001429787812 firqotussaidah L PNS DAERAH Rujuk Vertikal
040 11:33 care, unspecified
080912020621P000 03-06-2021 PEKERJA Cerebrovascular disease,
747 06-03-2021 0001808535824 sareh L Berobat Jalan Hipertensi Hipertensi
748 06-03-2021 0001910834335 RENDI SAPUTRA L Berobat Jalan
Chronic obstructive
080912020621P000 03-06-2021 PEKERJA
749 06-03-2021 0002088455927 FEBRI DINA RISTA P pulmonary disease, Berobat Jalan
025 08:50 MANDIRI
unspecified
080912020621P000 19-06-2021
750 06-03-2021 0002648322729 SURATMI P PBI (APBN) Cough Berobat Jalan
252 15:36
080912020621P000 03-06-2021
751 06-03-2021 0002691900044 MARYATUN P PBI (APBD) Spinal stenosis Rujuk Vertikal
035 09:55
080912020621P000 19-06-2021
752 06-03-2021 0002790506474 NGATIJEM P PBI (APBN) Dental caries, unspecified Berobat Jalan
255 15:39
080912020621P000 19-06-2021
753 06-03-2021 0002856055443 HAJIBAH P PBI (APBN) Myalgia Berobat Jalan
251 15:36
080912020621P000 23-06-2021
754 06-03-2021 0002869192157 WALIDI L PBI (APBN) Gastritis, unspecified Berobat Jalan
341 22:50
080912020621P000 03-06-2021 RAKA MAULANA IRSYAT
755 06-03-2021 0002967029965 L PBI (APBN) Dental caries, unspecified Rujuk Vertikal
039 10:56 NAZDIM
080912020621P000 03-06-2021 PEKERJA Malignant neoplasm of
756 06-03-2021 0003046353794 MISKINEM P Rujuk Vertikal
034 09:33 MANDIRI colon, unspecified
757 06-03-2021 0003058591173 QIANO SAKIL ARSEN L PBI (APBN) Berobat Jalan
080912020621P000 02-06-2021 Atherosclerotic heart
758 06-02-2021 0000033897058 DADANG SUHARYANTO L PNS DAERAH Rujuk Vertikal
011 09:52 disease
080912020621P000 02-06-2021 Diabetes
759 06-02-2021 0000033897069 SRI SANTINI P PNS DAERAH Congestive heart failure Rujuk Vertikal
010 09:50 Mellitus
080912020621P000 02-06-2021 PEKERJA
760 06-02-2021 0000034949439 SISKA AYU KURNIA SARI P Epilepsy Rujuk Vertikal
014 10:03 MANDIRI
080912020621P000 02-06-2021 PEKERJA Antenatal screening,
761 06-02-2021 0000342059084 ISTIVERA P Rujuk Vertikal
080912020621P000 24-06-2021
762 06-02-2021 0000343245914 YULI ERNAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
417 16:31
080912020621P000 24-06-2021
763 06-02-2021 0000343246386 MERI SUSANTI P PBI (APBN) Dental caries, unspecified Berobat Jalan
418 16:32
764 06-02-2021 0000344064284 SUMBAIDAH P PBI (APBN) Berobat Jalan
765 06-02-2021 0000344198215 LASNO L PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
766 06-02-2021 0000344198542 REZA SAPUTRA L PBI (APBN) Cough Berobat Jalan
428 18:52
080912020621P000 24-06-2021
767 06-02-2021 0000344276605 SUYATI P PBI (APBN) Myalgia Berobat Jalan
427 18:51
080912020621P000 02-06-2021 Visual disturbance,
768 06-02-2021 0000344314214 NASARUDIN L PBI (APBN) Rujuk Vertikal
769 06-02-2021 0000344423902 SAMIN L PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
770 06-02-2021 0000344462207 HELMAYANTI P PBI (APBN) Cough Berobat Jalan
422 18:45
771 06-02-2021 0000344733445 ZAKI PUTRA TRI RISKI L PBI (APBN) Berobat Jalan
080912020621P000 19-06-2021
772 06-02-2021 0000344825752 BONAT L PBI (APBN) Dental caries, unspecified Berobat Jalan
241 07:30
080912020621P000 02-06-2021 Dysmenorrhoea,
773 06-02-2021 0000344872067 SEKAR WATI P PBI (APBN) Berobat Jalan
080912020621P000 19-06-2021
774 06-02-2021 0000344873801 UNTUNG L PBI (APBN) Gastritis and duodenitis Berobat Jalan
240 07:28
775 06-02-2021 0000344875252 NUR SAFITRI P PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
776 06-02-2021 0000344887233 LASTRI P PBI (APBN) Myalgia Berobat Jalan
420 18:42
080912020621P000 24-06-2021
777 06-02-2021 0000344910947 ERNANI RAMADANI P PBI (APBN) Other atopic dermatitis Berobat Jalan
429 18:58
080912020621P000 02-06-2021 Stroke, not specified as
778 06-02-2021 0000344933379 NATEM P PBI (APBN) Rujuk Vertikal
007 09:28 haemorrhage or infarction
080912020621P000 23-06-2021
779 06-02-2021 0000344944517 HAIRIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
334 22:44
080912020621P000 24-06-2021
780 06-02-2021 0000345216756 KARTINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
432 19:01

080912020621P000 02-06-2021
781 06-02-2021 0000345269902 AYU PERMATA SARI P PBI (APBN) manifestations, virus not Berobat Jalan
012 09:53
identified
782 06-02-2021 0000345325151 FARIDA P PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
783 06-02-2021 0000345326455 YENI P PBI (APBN) manifestations, virus not Berobat Jalan
423 18:46
identified
080912020621P000 24-06-2021
784 06-02-2021 0000345338695 KARLINA P PBI (APBN) Other atopic dermatitis Berobat Jalan
421 18:43
080912020621P000 24-06-2021
785 06-02-2021 0000345394798 HARLI SIN BASRI L PBI (APBN) manifestations, virus not Berobat Jalan
426 18:50
identified
080912020621P000 23-06-2021
786 06-02-2021 0000345470591 SUKENI P PBI (APBN) Gastritis, unspecified Berobat Jalan
330 22:41
080912020621P000 02-06-2021
787 06-02-2021 0000345518504 TEGUH PRIYONO L PBI (APBN) Asthma, unspecified Berobat Jalan
008 09:36
080912020621P000 02-06-2021 Diabetes
788 06-02-2021 0000345525759 UMI SALAMAH P PBI (APBN) Pulpitis Berobat Jalan
006 09:27 Mellitus
Chronic obstructive
080912020621P000 02-06-2021
789 06-02-2021 0000345547361 RODIYAH P PBI (APBN) pulmonary disease, Berobat Jalan
003 09:08
unspecified
790 06-02-2021 0000345913536 MELINDA RILIYANTINA P PBI (APBN) Berobat Jalan
080912020621P000 24-06-2021
791 06-02-2021 0000345939478 KARLINA P PBI (APBN) Myalgia Berobat Jalan
431 18:59
080912020621P000 19-06-2021
792 06-02-2021 0000346004559 ASYA MERTA NUR CANIA P PBI (APBN) Headache Berobat Jalan
238 07:27
080912020621P000 19-06-2021
793 06-02-2021 0000995464089 LASIDI L PBI (APBN) Gastritis and duodenitis Berobat Jalan
236 07:25
080912020621P000 02-06-2021
794 06-02-2021 0000995468725 IDA LESTARI P PBI (APBN) Hypotension, unspecified Berobat Jalan
009 09:48
080912020621P000 02-06-2021
795 06-02-2021 0001327016338 NILAM MAHKOTA P PNS DAERAH Dental caries, unspecified Rujuk Vertikal
001 08:48
080912020621P000 02-06-2021 PEKERJA
796 06-02-2021 0001380818079 AIDAM SAHRI L Congestive heart failure Rujuk Vertikal
005 09:18 MANDIRI
080912020621P000 19-06-2021 PEGAWAI
797 06-02-2021 0001432629595 tarmini P Other atopic dermatitis Berobat Jalan
248 15:28 SWASTA
080912020621P000 02-06-2021 PEKERJA
798 06-02-2021 0001478909913 SUYATMI P Atrial fibrillation and flutter Rujuk Vertikal
022 10:38 MANDIRI
080912020621P000 02-06-2021
799 06-02-2021 0001852818625 SINTIA mufta afifah P PNS DAERAH Gastritis, unspecified Berobat Jalan
017 10:20
080912020621P000 24-06-2021
800 06-02-2021 0002118660917 HERY STIAWAN L PBI (APBN) Myalgia Berobat Jalan
419 16:34
080912020621P000 02-06-2021 PEGAWAI
801 06-02-2021 0002288918687 ABDUL LATIF USMAN L Fever, unspecified Rujuk Vertikal
023 10:59 SWASTA
080912020621P000 24-06-2021
802 06-02-2021 0002437126795 siti soleha P PBI (APBD) Cough Berobat Jalan
433 19:02
080912020621P000 19-06-2021
803 06-02-2021 0002469676026 RAMINI P PBI (APBD) Cough Berobat Jalan
237 07:26
080912020621P000 02-06-2021
804 06-02-2021 0002496279791 TUGAR FITRIA NINGSIH P PBI (APBD) Ganglion Rujuk Vertikal
015 10:12
805 06-02-2021 0002565650542 A. RAIHAN A S L PBI (APBD) Berobat Jalan
806 06-02-2021 0002606753024 DIAN SANJAYA L PBI (APBN) Berobat Jalan
080912020621P000 02-06-2021 PEKERJA Diabetes Diabetes
807 06-02-2021 0002614541297 MARIYAH P mellitus without Berobat Jalan
021 10:34 MANDIRI Mellitus Mellitus
complications
Hypertensive heart
080912020621P000 23-06-2021
808 06-02-2021 0002637638414 ALI JOHAN L PBI (APBN) disease with (congestive) Berobat Jalan
331 22:42
heart failure
PEGAWAI
PEMERINTAH
080912020621P000 02-06-2021
809 06-02-2021 0002744121306 MALIA SUSNITA DEWI P DENGAN Other visual disturbances Rujuk Vertikal
020 10:32
PERJANJIAN
KERJA
080912020621P000 02-06-2021 PEKERJA
810 06-02-2021 0002751991975 WINARTI P Chronic kidney disease Rujuk Vertikal
024 11:52 MANDIRI
080912020621P000 24-06-2021
811 06-02-2021 0002767991692 MAR AINI P PBI (APBN) Cough Berobat Jalan
425 18:49
812 06-02-2021 0002877872128 MAESARI P Berobat Jalan

Sakit Juni 2021

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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

TANGGAL TANGGAL JENIS STATUS

080912020621P000 30-06-2021 30-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 30-06-2021 30-06-2021 Influenza, virus not

080912020621P000 30-06-2021 30-06-2021 PEKERJA Influenza, virus not

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 30-06-2021 30-06-2021

Influenza with other

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 29-06-2021 30-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 28-06-2021 28-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 26-06-2021 29-06-2021

080912020621P000 26-06-2021 26-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 26-06-2021 29-06-2021 Acute nasopharyngitis

080912020621P000 25-06-2021 25-06-2021 Unspecified haemorrhoids

080912020621P000 25-06-2021 30-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 25-06-2021 30-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 25-06-2021 25-06-2021 Other specified

080912020621P000 25-06-2021 29-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 24-06-2021 30-06-2021

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 24-06-2021 24-06-2021 Female genital prolapse,

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 23-06-2021 23-06-2021 Other and unspecified

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 22-06-2021 27-06-2021 Acute nasopharyngitis

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 21-06-2021 21-06-2021

Other benign neoplasm of

080912020621P000 21-06-2021 24-06-2021 PEKERJA

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Influenza with other

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020621P000 19-06-2021 24-06-2021 Acute nasopharyngitis

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202