Rujukan 2023

DAFTAR PELAYANAN RUJUKAN DI UPTD PUSKESMAS JEULINGKE
BULAN : JANUARI 2023

JAMINAN RUMAH SAKIT
NO TANGGAL NAMA PASIEN UMUR JK ALAMAT NO BPJS DIAGNOSA
KESEHATAN RUJUKAN
1 1/2/2023 Muhuddin Saman Ask 67 0000000955337 Jeulingke L Gastrointestinal haemorrhage, unspecified Cempaka Lima
2 Fadliani Ask 64 0000000959927 Peurada P Other arthrosis Cempaka Lima
3 Putri Ramadhani Ask 33 0000001121444 Pineung P Supervision of normal pregnancy, unspecified Cempaka Azzahra
4 Sunazar Ask 65 0000001231198 Jeulingke L Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
5 Janidah Basyah Ask 68 0000001584819 Peurada P Senile cataract Cempaka Lima
6 Machmud Ask 75 0000001588498 Peurada L Chronic ischaemic heart disease Cempaka Lima
7 Nurhafni Ask 49 0000003676342 Jeulingke P Glaucoma, unspecified Cempaka Lima
8 teuku Faiz Pasha Ask 16 0000202352883 Peurada L Carrier of infectious disease, unspecified RS USK
9 Khaidir Jkm 59 0000228391964 Alue Naga L Chronic ischaemic heart disease Pertamedika
10 Abdurrahman Jkm 60 0000228818665 Tibang L Senile cataract Cempaka Lima
11 Nurhayati Jkm 63 0000229157122 Jeulingke P Other chronic obstructive pulmonary disease Pertamedika
12 Romi Julian Syah Jkm 13 0000981965294 Kp. Pineung L Hypospadias, unspecified Pertamedika
13 Akmal Rabik Jka 61 0001081945271 Jeulingke P Other arthrosis Cempaka Lima
14 Agustinar Jka 61 0001110673539 Jeulingke P Lumbar and other intervertebral disc disorders with myelopathy Pertamedika
15 Said Saiful Jka 46 0001111145354 Peurada L Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
16 Nisrina Ar Jka 41 0001111166098 Peurada P Disorder of binocular movement, unspecified Cempaka Lima
17 Jupri Hariansyah Jka 29 0001120612059 Jeulingke L Diseases of pulp and periapical tissues RS Meuraxa
18 Sulastri Jka 35 0001304068972 Peurada P Diseases of pulp and periapical tissues RS Iskandar Muda
19 Salmiah Jka 52 0001438074156 Alue Naga P Unstable angina Cempaka Lima
20 Cut Intan Syahira Jka 14 0001790730404 Alue Naga P Low back pain Pertamedika
21 ABD Samad Jka 71 0001814659874 Peurada L Lichen simplex chronicus Cempaka Lima
22 Yuswan Jka 63 0001827716455 Jeulingke L Malignant neoplasm of thyroid gland RS USK
23 Nuzul Kamariah Jka 58 0001895508112 Peurada P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
24 Nurhayaton Jailani Jka 49 0002044203142 Jeulingke P Diseases of pulp and periapical tissues Cempaka Lima
25 T. Heri Irawan Jka 46 0002212445114 Peurada L Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
26 Siti Maisarah Jka 53 0002212445542 Jeulingke P Diseases of pulp and periapical tissues RS Iskandar Muda
27 1/3/2023 Syamsidar Ask 64 0000001026393 Jeulingke P Schizophrenia Cempaka Lima
28 Nazri Maudijal Ask 48 0000001043548 Jeulingke L Disorders of tooth development and eruption USK
29 Ervini Octa Nurhandayani Ask 40 0000001231209 Peurada P Pulpitis Cempaka Lima
30 Ny. Hj. Wardiah Amin Ask 70 0000001583267 Pineung P Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
31 Yusmanidar Husen Ask 65 0000001636773 Jeulingke P Chronic ischaemic heart disease Cempaka Lima
32 Aryani Arsyad Ask 64 0000003815278 Peurada P Chronic ischaemic heart disease Cempaka Lima
33 Nurulsaadah Jkm 51 0000194361726 Peurada P Disease of intestine, unspecified Cempaka Lima
34 Rauzatul Jannah Jkm 28 0000198637334 Jeulingke P Necrosis of pulp Cempaka Lima
35 Ulil Khairianur Jkm 30 0000217838687 Peurada P Placenta praevia Cempaka Azzahra
36 Yenni Wahyuni Jkm 37 0000228364222 Alue Naga P Disorder of skin and subcutaneous tissue, unspecified Cempaka Lima
37 Jauharie Pidie Jkm 57 0000228850042 Tibang P Sequelae of cerebrovascular disease Cempaka Lima
38 M. Nur Jka 62 0001813416221 Jeulingke L Hypertensive heart disease Cempaka Lima
39 Ainsyah Ainol Jka 50 0001842968518 Jeulingke P Myalgia Pertamedika
40 Dhalisa Azzahra Jka 7 0001869865413 Peurada P Typhoid and paratyphoid fevers Cempaka Lima
41 Suryani Jka 43 0002036487036 Pineung P Pulpitis Pertamedika
42 Raja Ar Riyadh Azmi Jka 6 0002047641849 Jeulingke L Low vision, both eyes USK
43 Insan Kamil Jka 29 0002484823195 Peurada L Calculus of kidney and ureter Harapan Bunda
44 Alif Al Farisi Jka 6 0003078217181 Peurada L Allergic contact dermatitis Cempaka Lima
45 1/4/2023 Ahmadi Ask 66 0000000009764 Jeulingke L Anxiety disorder, unspecified RSJ
46 Annisa Ulya Ask 29 0000000970356 Ulee Kareng P Other benign neoplasms of uterus Cempaka Lima
47 Robert Husin Ask 65 0000001017876 Pineung L Allergic contact dermatitis due to drugs in contact with skin Pertamedika
48 Zainun Usman Ask 73 0000001189102 Pineung L Chronic ischaemic heart disease Cempaka Lima
49 Idris ahmad Ask 88 0000001554704 Pineung L Heart failure RS Meuraxa
50 M Nasir Amin Ask 68 0000001606061 Peurada L Gonarthrosis, unspecified Cempaka Lima
51 Darmiati Jkm 49 0000165494812 Tibang P Malignant neoplasm of breast RSZA
52 Syifa'unnisa' Jkm 16 0000202211144 Jeulingke P Hypothyroidism, unspecified Cempaka Lima
53 Mulia Sari Jkm 37 0000219107147 Jeulingke P Supervision of normal pregnancy, unspecified Cempaka Azzahra
54 Nursyiah Jkm 67 0000228791305 Peurada P Stroke, not specified as haemorrhage or infarction Cempaka Lima
55 Agustinar Jka 61 0001110673539 Jeulingke P Low vision, both eyes Pertamedika
56 Cut Nuraini Jka 66 0001266934329 Pineung P Other specified intervertebral disc displacement Pertamedika
57 Addrun Nafis Jka 14 0001848966794 Pineung L Rheumatoid arthritis, unspecified Cempaka Lima
58 Siti Mutia Safila Jka 20 0002032903315 Jeulingke P Pulpitis Pertamedika
59 Muhammad Nauval Afkar Jka 7 0002248916286 Rukoh L Unspecified viral hepatitis Pertamedika
60 Nurmahlinda Jka 40 0002489464192 Peurada P Other chronic obstructive pulmonary disease Harapan Bunda
61 Danish Raziq Dalimunthe Jka 2 0002933639436 Jeulingke L Congenital malformations of cardiac septa Harapan Bunda
62 Dalisha aleeya Jka 1 0003129107679 Pineung P Psoriasis vulgaris Cempaka Lima
63 1/5/2023 Ismail Ibrahim Ask 69 0000000800662 Pineung L Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
64 Sri Murlina Ask 47 0000001052425 Jeulingke P Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
65 Saleha Jkm 42 0000228411538 Deah Raya P Thyrotoxicosis [hyperthyroidism] Cempaka Lima
66 Zainabon Jkm 65 0000229252858 Jeulingke P Other surgical follow-up care Pertamedika
67 Rahmi Maulida Jka 45 0001111163545 Pineung P Hyperplasia of prostate Cempaka Lima
68 Idawati Jka 41 0001264715144 Lamgugop P Lumbago with sciatica Pertamedika
69 Roni Satria Darma Putra Jka 44 0001270952098 Jeulingke L Prophylactic surgery Cempaka Lima
70 Novi Afrianti Jka 33 0001274208309 Tibang P Fracture of first metacarpal bone Cempaka Lima
71 Hendrayana Jka 37 0001482336336 Jeulingke L Schizophrenia RSJ
72 Rozal Abdul Hanif Jka 52 0001876487477 Pineung L Cerebral infarction Cempaka Lima
73 Jose Firaus Sirait Jka 21 0002039236097 Peurada L Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases Cempaka Lima
74 Nesfi Mulya Sari Jka 29 0002055594464 Jeulingke P Thyrotoxicosis, unspecified Cempaka Lima
75 Muhammad Zaki Alfarizi Jka 14 0002745843456 Katju L Low vision, both eyes Pertamedika
76 1/6/2022 Meutia Salni Jka 35 0001276441479 Jeulingke P Lesion of sciatic nerve Cempaka Lima
77 Muarif Jka 7 0001825901177 Tibang L Chronic rhinitis Cempaka Lima
78 Zulfa Ulya Suhaimah Jka 6 0002068619859 Jeulingke P Epilepsy, unspecified Cempaka Lima
79 Apriani Jka 35 0002090324913 Tibang P Mechanical complication of intrauterine contraceptive device Cempaka Lima
80 1/9/2022 Sri Wahyuni Ask 48 0000000979536 ie Masen P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
81 Nuraini Ask 66 0000001079019 Lamgugop P Low back pain Cempaka Lima
82 Aiyub Thaib Ask 72 0000001117653 Jeulingke L Chronic ischaemic heart disease Cempaka Lima
83 Nur Aini Ask 60 0000001165364 Jeulingke P Diseases of pulp and periapical tissues Iskandar Muda
84 Elidar Ask 53 0000001582064 Pineung P Cerebral infarction Cempaka Lima
85 Razali Sabil Ask 82 0000001584685 Pineung L Other disorders of thyroid Cempaka Lima
86 Nurjasmiah Ask 73 0000001584696 Peurada P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
87 Inayah Zhia Ul Fajri Ask 30 0000001584911 Jeulingke L Diseases of pulp and periapical tissues Iskandar Muda
88 Nirmala Ask 65 0000001627299 Pineung P Necrosis of pulp USK
89 Muhammad Sjafei Ask 73 0000034390168 Pineung L Glaucoma in endocrine, nutritional and metabolic diseases Cempaka Lima
90 Nur Aini Ask 69 0000034390179 Jeulingke P Cluster headache syndrome Cempaka Lima
91 Cut Faisah Jkm 70 0000193836881 Pineung P Other intervertebral disc disorders Pertamedika
92 Yahya Jkm 14 0000210212087 Pineung L Autoimmune thyroiditis Cempaka Lima
93 Rudianto Jkm 28 0000227952461 Pineung L Acute cholecystitis Pertamedika
94 Ida Keumala Sari Jkm 48 0000227954439 Peurada P Low back pain Cempaka Lima
95 Yusriaty Jkm 49 0000228856184 Alue Naga P Other and unspecified ovarian cysts Cempaka Azzahra
96 Erlina Jkm 45 0000229235545 Peurada P Pulpitis Iskandar Muda
97 Rinaldi Habib Jka 35 0001078233412 Jeulingke L Chronic obstructive pulmonary disease, unspecified Cempaka Lima
98 Fanny Nurul Fitria Jka 12 0001111154152 Jeulingke P Foreign body in alimentary tract, part unspecified Cempaka Lima
99 Syarifah Widia Jka 23 0001114041475 Rukoh P Thyrotoxicosis [hyperthyroidism] Cempaka Lima
100 Muhammad Fahmi Jka 28 0001117195007 Jeulingke L Other specified orthopaedic follow-up care Pertamedika
101 Rizky Maulana Jka 11 0001264716268 Jeulingke L Hearing loss, unspecified Pertamedika
102 Gazali Abubakar Jka 72 0001266492058 Pineung L Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
103 Siti Arsid Jka 63 0001270946698 Pineung P Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
104 Azhari Sulaiman Jka 59 0001275209335 Peurada L Low vision, both eyes Cempaka Lima
105 Yusdi Elvian Jka 46 0001443278564 Peurada L Senile cataract, unspecified Cempaka Lima
106 Adwir Jka 43 0001610598069 Pineung L Diseases of pulp and periapical tissues USK
107 Nasywa Nurul Huda Jka 21 0001815188477 Jeulingke P Thyrotoxicosis [hyperthyroidism] Cempaka Lima
108 Yusrizal Jka 42 0001827829348 Jeulingke L Low back pain Cempaka Lima
109 Azwani Jka 53 0002147049178 Pineung L Non-insulin-dependent diabetes mellitus with neurological complications RSUZA
110 T. Muhammad Rizki Wandika Jka 14 0002212445979 Jeulingke L Diseases of pulp and periapical tissues Iskandar Muda
111 Rania Aqila Humaira Jka 2 0003078337162 Pineung P Disease of upper respiratory tract, unspecified Cempaka Lima
112 Zahara Zein Jka 39 0003139033162 Pineung P Diseases of pulp and periapical tissues Cempaka Lima
113 1/10/2023 Cut Selli Mutiawaty Ask 20 0000001052638 Gue Gajah P Prophylactic surgery, unspecified Harapan Bunda
114 Nadia Rahmi Ask 18 0000001072901 Lamgugop P Disorder of thyroid, unspecified Cempaka Lima
115 Fatimah Ask 66 0000001136248 Tanjong P Injury of eye and orbit, part unspecified Cempaka Lima
116 Chairul Bariah Ask 64 0000001237544 Pineung P Hypertensive heart disease Cempaka Lima
117 Burhan Ibrahim Ask 84 0000001447198 ie Masen L Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
118 Rohani Ask 77 0000001447209 ie Masen P Sequelae of cerebrovascular disease Cempaka Lima
119 Rosdiana Ask 75 0000001583111 Pineung P Low back pain Cempaka Lima
120 Syamsul Bahri Yushani Ask 72 0000001757092 Lampriet L Hypertensive heart disease Pertamedika
121 Lisa Imdriani Jkm 29 0000228290444 Alue Naga P Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium Cempaka Azzahra
122 Syamsuddin Jkm 62 0000228691495 Alue Naga L Senile nuclear cataract Pertamedika
123 Nurnida Jkm 51 0000228819069 Pineung P Senile cataract Cempaka Lima
124 Elisa Oktara Jkm 27 0000229130594 Tibang P Disease of intestine, unspecified Cempaka Lima
125 Zulbahri Jkm 44 0000229140281 Jeulingke L Other chronic obstructive pulmonary disease Cempaka Lima
126 Fadila Ananda jka 13 0001114350715 Jeulingke P Necrosis of pulp Pertamedika
127 Khiyarul Aulia jka 35 0001272629709 Jeulingke L Other benign neoplasm of connective and other soft tissue, unspecified Cempaka Lima
128 Darlina jka 47 0001278697241 Pineung P Other arthrosis Cempaka Lima
129 Rosdiana jka 20 0002200670482 Pineung P Postprocedural musculoskeletal disorders, not elsewhere classified Cempaka Lima
130 Fatimah Alhumairah jka 6 0002463237281 Jeulingke P Injury of eye and orbit, part unspecified Cempaka Lima
131 Bilal Uwai Al Quraini jka 6 0002477212637 Jeulingke L Unspecified injury of head Cempaka Lima
132 Ellyana jka 49 0003048106601 Tibang P Periapical abscess without sinus Cempaka Lima
133 1/11/2023 Husmaniah Ask 56 0000000970211 Pineung P Malignant neoplasm of breast RSUZA
134 Halimah Ask 63 0000001159874 Jeulingke P Mastoiditis and related conditions Cempaka Lima
135 Hj. Cut Marlina Ask 68 0000001581399 Alue Naga P Other Thrombophilia Pertamedika
136 Ida Kamalih Ask 51 0000001728988 Peurada P Malignant neoplasm of breast Meutia Hospital
137 Syukur Munadi Ask 68 0000003743471 Jeulingke L Non-insulin-dependent diabetes mellitus with neurological complications Harapan Bunda
138 Raminah Ask 68 0000003850817 Jeulingke P Non-insulin-dependent diabetes mellitus with neurological complications Harapan Bunda
139 Riska Wulandari Jkm 23 0000227921646 Rukoh P Insufficient intake of food and water due to self neglect Pertamedika
140 Hanna Luthfia Jkm 18 0000228616874 Pineung P Papulosquamous disorders in diseases classified elsewhere Cempaka Lima
141 Fathur Karib Jkm 14 0000229195271 Peurada L Necrosis of pulp USK
142 Mawaddah Jkm 30 0000229248347 Peurada P Acute pharyngitis Cempaka Azzahra
143 Helmi Erwinsyah Jka 44 0001111155996 Jeulingke L Other disorders of lens Cempaka Lima
144 Muhammad Hirzan Tirafi Jka 13 0001115293972 Gue Gajah L Cluster headache syndrome Cempaka Lima
145 T. Mansur Lizam Jka 59 0001119693521 Lamgugop L Other disorders of lens Pertamedika
146 Ruhamah Jka 37 0001288938688 ie Masen P Other intervertebral disc disorders Cempaka Lima
147 Ambia Jka 57 0001802139546 Pineung L Chronic ischaemic heart disease Pertamedika
148 Alfia Mumtaz Jka 13 0001831524682 Pineung P Pulpitis USK
149 Eddy Fardiansyah Jka 41 0001842367577 Peurada L Other polyneuropathies Cempaka Lima
150 Yasmin Rahma Izzati Jka 18 0001876487589 Pineung P Status asthmaticus Cempaka Lima
151 Desrina Jka 40 0001883874159 Jeulingke P Thyrotoxicosis [hyperthyroidism] Pertamedika
152 Mutia Jka 37 0001907685562 Jeulingke P Cerebral infarction Cempaka Lima
153 Risya Fitria Jka 23 0002309631017 Pineung P Diseases of pulp and periapical tissues Cempaka Lima
154 1/12/2023 Mardhiati Ask 63 0000001118103 Jeulingke P Non-insulin-dependent diabetes mellitus with neurological complications Harapan Bunda
155 Azizah Ask 64 0000001121861 Jeulingke P Benign neoplasm of breast Cempaka Lima
156 Nishmuhar Ask 41 0000001206821 Kp. Pineung L Visual disturbance, unspecified Harapan Bunda
157 Muthmainnah Ask 81 0000001561386 Lampineung P Chronic ischaemic heart disease Cempaka Lima
158 Cut Sumarni Ask 62 0000001618018 ie Masen P Sequelae of cerebrovascular disease Cempaka Lima
159 Anwar Ask 70 0000003782373 Jeulingke L Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
160 Mas'adh O Mazrook Jkm 82 0000157071295 Lampineung P Chronic ischaemic heart disease Cempaka Lima
161 Yuliana Jkm 41 0000214768078 ie Masen P Diseases of pulp and periapical tissues RS USK
162 Rosvila Devi Jka 56 0001110797932 Lampineung P Chronic ischaemic heart disease Cempaka Lima
163 Cut Celsa Alsa Nibila Jka 20 0001111149819 Peurada P Low back pain Cempaka Lima
164 Usman Jka 62 0001271968154 Jeulingke L Hypertensive heart disease Pertamedika
165 Yuka Rahmadhani Jka 35 0001275039483 Pineung P Congenital hypothyroidism without goitre Pertamedika
166 Muhammad Fauzan Jka 14 0001797471077 Krueng Cut L Amblyopia ex anopsia Cempaka Lima
167 Haris Sajidi Jka 19 0001805693905 Jeulingke L Periapical abscess without sinus Pertamedika
168 Siti Aminah Jka 43 0001869593141 Peurada P Other chronic obstructive pulmonary disease Cempaka Lima
169 Muhammad Dzaki Jka 13 0002255938266 Jeulingke L Unspecified injury of head Cempaka Lima
170 Afkar Muhammad Jka 2 0002936094748 Tibang L Dissociative convulsions Cempaka Lima
171 Alif Al Farisi Jka 6 0003078217181 Jeulingke L Certain current complications following acute myocardial infarction Cempaka Lima
172 1/13/2023 Sulastri Husna Jka 43 0001125254428 Jeulingke P Necrosis of pulp Cempaka Lima
173 1/16/2023 Fatimah Alhumairah Ask 52 0000001380734 P Senile cataract, unspecified Cempaka Lima
174 Nuraini Hamzah Ask 63 0000001627536 Peurada P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
175 Cut Sriyani Ask 60 0000001677644 Peurada P Fibroblastic disorders Cempaka Lima
176 Zunnizam Umar Ask 60 0000001719461 Pineung L Insulin-dependent diabetes mellitus with neurological complications Harapan Bunda
177 Naysa Mezra Ask 16 0000001739373 Jeulingke P Unspecified mental retardation, significant impairment of behaviour requiring attention or treatment Cempaka Lima
178 Martono Ask 64 0000003734019 Jeulingke L Keratitis Cempaka Lima
179 Mahruddin Ask 54 0000033226918 Peurada L Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction Cempaka Lima
180 Sri hermi Purwanti Ask 61 0000040761459 Jeulingke P Other chronic obstructive pulmonary disease Pertamedika
181 Alifa Fathin Zufri Jkm 16 0000204796135 Pineung P Rheumatic heart disease, unspecified Cempaka Lima
182 Siti Sarah Jkm 35 0000217924975 Jeulingke P Delivery by elective caesarean section Cempaka Lima
183 Nurnida Jkm 51 0000228819069 Tibang P Thyroiditis, unspecified Cempaka Lima
184 Eviani Jkm 33 0000228900789 Tibang P Follow-up examination after other treatment for other conditions Cempaka Azzahra
185 Jumiati Jkm 51 0000229249023 Jeulingke P Malignant neoplasm of breast RSUZA
186 Maulidar Jkm 31 0000979952466 Tibang P Absent, scanty and rare menstruation Cempaka Azzahra
187 Rusli Husein Jkm 65 0000981965531 Jeulingke L Other intervertebral disc disorders Cempaka Lima
188 Zubaidah Jkm 57 0000981965542 Pineung P Other intervertebral disc disorders Cempaka Lima
189 Sulaiman M Jkm 69 0000981966273 Jeulingke L Presbycusis Cempaka Lima
190 Syarifuddin Saad Jka 71 0001112457453 Jeulingke L Lichen simplex chronicus and prurigo Cempaka Lima
191 Ramli Burhaty Jka 49 0001112967178 Jeulingke L Diseases of pulp and periapical tissues Pertamedika
192 Nurlaili Jka 38 0001188073541 Jeulingke P Other chronic obstructive pulmonary disease Cempaka Lima
193 Karim Ali Sudaruadi Jka 64 0001265131642 Jeulingke L Calculus of kidney and ureter RS USK
194 Nursyiah Jka 57 0001446581608 Tibang P Low back pain Cempaka Lima
195 M Saleh Jka 45 0001448969229 Tibang L Unspecified viral hepatitis Cempaka Lima
196 Ibrahim Jka 62 0001451128353 Tibang L Alopecia areata Harapan Bunda
197 Syarifah Widia Jka 57 0001451128814 Tibang P Pterygium Harapan Bunda
198 Yuliana Jka 60 0001789661845 Alue Naga P Hypertensive heart disease Cempaka Lima
199 M Yusuf Ahmad Jka 62 0001793959198 Alue Naga L Hypertensive heart disease Cempaka Lima
200 Nuraini Jka 41 0001800031195 Alue Naga P Excessive and frequent menstruation with irregular cycle Cempaka Lima
201 Rahma Wati Jka 22 0001834289739 Jeulingke P Disorders of tooth development and eruption Iskandar Muda
202 Radja Miftahul Rizki Jka 19 0001876493237 Alue Naga L Other surgical follow-up care Pertamedika
203 Malio Eni Itaria Jka 29 0002007789827 Jeulingke P Supervision of normal pregnancy, unspecified Cempaka Azzahra
204 Putri Rahayu Jka 33 0002086193542 Jeulingke P Infections of urethra in pregnancy Cempaka Lima
205 Haerani Jka 56 0003107168032 Peurada P Follow-up examination after other treatment for other conditions Pertamedika
206 Cut Andian Jka 69 0003182810095 P Retained dental root Cempaka Lima
207 1/17/2023 Sumarni Ask 55 0000000142299 Peurada P Neuralgia and neuritis, unspecified Cempaka Lima
208 Yuniati Ask 54 0000000981933 Peurada P Cervical disc disorder with myelopathy Cempaka Lima
209 Cut Tasya Ega Chantika Ask 23 0000001082924 P Anxiety disorder, unspecified Cempaka Lima
210 Iriani Ask 59 0000001144552 Jeulingke P Hypertensive heart disease Cempaka Lima
211 Nurhayati Ask 60 0000001411571 Peurada P Fracture of lumbar spine and pelvis Cempaka Lima
212 Asrul Sani Ask 47 0000001613327 Jeulingke L Psoriasis Cempaka Lima
213 Erisa Rahmadani Jkm 16 0000194761754 Jeulingke P Pulpitis Cempaka Lima
214 Mawaddatillah Jkm 30 0000198637119 Tibang P Other benign neoplasm of connective and other soft tissue of head, face and neck Cempaka Lima
215 Humaira Jkm 23 0000208553771 Jeulingke P Supervision of normal pregnancy, unspecified Cempaka Azzahra
216 Nurcaya Jkm 53 0000212464934 Tibang P Chronic renal failure, unspecified Cempaka Lima
217 Yuliana Jka 34 0001386291633 Alue Naga P Supervision of normal pregnancy, unspecified Cempaka Azzahra
218 Afifa Rizkia Putri Jka 21 0001827053335 Alue Naga P Calculus of gallbladder with acute cholecystitis Cempaka Lima
219 Farira Latifa Narira Jka 19 0001842722278 Jeulingke P Necrosis of pulp Cempaka Lima
220 Suryani Jka 54 0001842833193 Peurada P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
221 Yuyun Yuniar Jka 52 0001876487545 Pineung P Low back pain Cempaka Lima
222 Liliek Yulistia Jka 51 0001884134687 Alue Naga P Adhesive capsulitis of shoulder Cempaka Lima
223 Abid Ar Rafif B Jka 7 0001963972405 Jeulingke L Unilateral or unspecified inguinal hernia, without obstruction or gangrene Cempaka Lima
224 Juriah Daud Jka 64 0002212304883 Pineung P Senile cataract, morgagnian type Harapan Bunda
225 Abu Bakar Aji Jka 67 0002779911494 Alue Naga L Senile cataract Cempaka Lima
226 Muhammad Azzam Iqbal Jka 2 0003066411576 Jeulingke L Certain current complications following acute myocardial infarction Pertamedika
227 Hendriansyah Jka 29 0003087270167 Jeulingke L Cerebral infarction Pertamedika
228 Dedi Arbudy Jka 38 0003293013857 Pineung L Hypertensive heart disease Cempaka Lima
229 Rafka Athala Jka 1 0003501965261 Jeulingke L Other benign neoplasm of connective and other soft tissue of head, face and neck Cempaka Lima
230 1/18/2023 Pakeh Sulaiman Ask 55 0000000989471 Jeulingke L Fracture of shoulder and upper arm Cempaka Lima
231 Shidqi Mutawalli Ask 16 0000001006536 Tibang L Diseases of pulp and periapical tissues Iskandar Muda
232 Dahlia Ask 69 0000001126192 Jeulingke P Arthrosis, unspecified, multiple sites Cempaka Lima
233 Basri Ask 59 0000001375086 Tibang L Disorder of vein, unspecified Pertamedika
234 Zainal Ask 77 0000001446737 Alue Naga L Other specified disorders of ear in diseases classified elsewhere Cempaka Lima
235 Nurhayati Ask 70 0000001585135 Alue Naga P Senile incipient cataract Harapan Bunda
236 Novita Ask 42 0000001745032 Jeulingke P Other benign neoplasm of connective and other soft tissue, unspecified Cempaka Lima
237 Idrus AB Ask 80 0000004089339 Peurada L Chronic kidney disease, stage 5 Cempaka Lima
238 Nurjannah Jkm 68 0000227906008 Pineung P Pterygium Harapan Bunda
239 Budiman Jkm 83 0000228783701 Alue Naga L Schizophrenia RSJ
240 Samsul Bahri Jkm 35 0000228837497 Jeulingke L Nasal polyp, unspecified Cempaka Lima
241 Ismael Thaleb Jkm 77 0000229239731 Pineung L Lumbar and other intervertebral disc disorders with myelopathy Pertamedika
242 Herman Ar Jka 62 0001323131196 Alue Naga L Conductive hearing loss, unspecified Cempaka Lima
243 Syarifah Jka 57 0001451128814 Jeulingke P Arthrosis, unspecified, multiple sites Harapan Bunda
244 Maulidar Rahmi Jka 39 0001842722201 Jeulingke P Retinal detachment with retinal break Cempaka Lima
245 Zubaidah Jka 52 0002741967257 Pineung P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
246 1/19/2023 Lasmiati Ask 67 0000000091956 Jeulingke P Other rheumatoid arthritis RS USK
247 Ade Firza Suryati Ask 56 0000000964528 Jeulingke P Polyarthrosis Pertamedika
248 Muhammad Syahriadi Ask 55 0000000964539 Tibang L Polyarthrosis Pertamedika
249 Nurlina Ask 62 0000001168481 Jeulingke P Other arthrosis Cempaka Lima
250 Aja Ratudur Ask 55 0000001215123 Tibang P Gonarthrosis [arthrosis of knee] Cempaka Lima
251 Nurhayati Ask 52 0000001215292 Alue Naga P Phobic anxiety disorders Cempaka Lima
252 Erdawati Ask 60 0000001318026 Alue Naga P Hypertensive heart disease Cempaka Lima
253 Syarifah Rasuna Hasan Ask 83 0000001568259 Jeulingke P Chronic ischaemic heart disease Cempaka Lima
254 Salbiah Ask 70 0000001586823 Peurada P Arthrosis, unspecified Pertamedika
255 Abdullah Ask 60 0000001627468 Pineung L Insulin-dependent diabetes mellitus with ketoacidosis Cempaka Lima
256 evi Yufita Ask 47 0000001725074 Alue Naga P Rheumatoid arthritis, unspecified RS USK
257 Pitrah Hati Jkm 18 0000978546802 Jeulingke P Pulpitis Iskandar Muda
258 Marzuki Juned Jka 72 0001111159179 Pineung L Other intervertebral disc disorders Cempaka Lima
259 Thainiati Jka 66 0001111159192 Alue Naga P Polyneuropathy, unspecified Cempaka Lima
260 Dora Oktaviani Jka 39 0001111161429 Jeulingke P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
261 Muhammad Adib Fadhilah Apia Jka 20 0001650104987 Jeulingke L Pterygium Pertamedika
262 Muhammad Falih Firdaus Apia Jka 18 0001650104998 Pineung L Pterygium Pertamedika
263 Nuraini M Ali Jka 83 0002036629258 Jeulingke P Injury of muscle and tendon at neck level Cempaka Lima
264 Nuraini Jka 70 0002063543308 Jeulingke P Non-insulin-dependent diabetes mellitus with neurological complications Harapan Bunda
265 Najwa Azwani Jka 12 0002778863073 Jeulingke P Gastric ulcer, unspecified as acute or chronic, without haemorrhage or perforation RS USK
266 1/20/2023 Indrawati Jka 62 0001111150631 Peurada P Cerebral infarction Cempaka Lima
267 1/21/2023 Nurmasyithah Ask 58 0000000235888 Pineung P Glaucoma RS Meutia
268 Shamsa Aleena Kahla jka 7 0001968085743 Alue Naga P Pulpitis Pertamedika
269 Tsaqif Siddiq jka 4 0002446748212 Jeulingke L Diseases of pulp and periapical tissues Pertamedika
270 1/24/2023 Hartini Ask 64 0000000969489 Peurada P Pain in throat and chest Pertamedika
271 Yusri Yunus Ask 66 0000001048206 Pineung L Parkinson's disease Pertamedika
272 Hasnani A Ask 71 0000001139657 Alue Naga P Low back pain Cempaka Lima
273 Fakriah Ask 66 0000001445951 Jeulingke P Status asthmaticus Cempaka Lima
274 Azwar Zein Ask 76 0000001475436 Pineung L Disorders of vitreous body and globe in diseases classified elsewhere Pertamedika
275 M. Yusuf Gam Ask 88 0000001558899 Alue Naga L Corneal ulcer Pertamedika
276 Hj. Cut Marlina Ask 68 0000001581399 Jeulingke P Senile cataract Cempaka Lima
277 Nurmala Asyek Ask 74 0000001582852 Jeulingke P Senile cataract, unspecified Pertamedika
278 Azhari Usman Ask 66 0000003372039 Pineung L Cerebral infarction Cempaka Lima
279 Silfia Ulfia Ask 15 0000003388443 Jeulingke P Other benign neoplasm of skin of eyelid, including canthus Cempaka Lima
280 Arkan Ramadhan Ask 24 0000004545303 Jeulingke L Keratitis Cempaka Lima
281 Syahbuddin S Jkm 71 0000157070867 Tibang L Unspecified dementia Cempaka Lima
282 Rafini Jkm 34 0000217865384 Jeulingke P Other chronic obstructive pulmonary disease RSUD Meuraxa
283 Safriani Sulaiman Jkm 40 0000221195351 Tibang P Hearing loss, unspecified Cempaka Lima
284 Cut Puan Sabrina Jka 20 0001111149347 Alue Naga P Other chronic obstructive pulmonary disease Cempaka Lima
285 Aidil Azhar Jka 47 0001119685375 Alue Naga L Calculus of kidney and ureter Harapan Bunda
286 T Manzur Lizam Jka 59 0001119693521 Jeulingke L Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
287 Mursyidah Jka 46 0001266461763 Peurada P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
288 M. Aqil Maula Jka 15 0001282352679 Pineung L Other surgical follow-up care Pertamedika
289 Zulfikar Jka 47 0001294032431 Alue Naga L Schizophrenia RSJ
290 Dara Zauhara Jka 34 0001301219324 Jeulingke P Supervision of normal pregnancy, unspecified Cempaka Azzahra
291 Lidiana Jka 38 0001388023288 Pineung P Disorder of orbit, unspecified Cempaka Lima
292 M. Mirza Masri Jka 39 0001425157378 Alue Naga L Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
293 Maulidar Jka 36 0001791188728 Jeulingke P Keratitis, unspecified Cempaka Lima
294 Husaini Jka 36 0001798999863 Jeulingke L Hypertensive heart disease Cempaka Lima
295 Nurul Saadah Jka 31 0001799001191 Pineung P Chronic ischaemic heart disease Cempaka Lima
296 Nursidah Jka 59 0001842694255 Jeulingke P Hypertensive heart disease Teuku Fakinah
297 Afrizal Jka 40 0001880671555 Jeulingke L Pulpitis Pertamedika
298 Jailani Ubit Jka 53 0002052917201 Tibang L Diseases of pulp and periapical tissues Pertamedika
299 Sarifah Awanis Jka 21 0002476080292 Jeulingke P Other visual disturbances Harapan Bunda
300 Nurlayya Jka 39 0002739039276 Jeulingke P Other disorders of thyroid Cempaka Lima
301 Cut Tasriani Jka 59 0002915851577 Jeulingke P Other benign neoplasm of connective and other soft tissue of head, face and neck Cempaka Lima
302 1/25/2023 Nur Aini Ask 53 0000000193768 Peurada P Fracture at wrist and hand level Cempaka Lima
303 Fitriati Ask 43 0000000469067 Pineung P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
304 Kurnia Ilahi Ask 54 0000000986455 Alue Naga P Low vision, both eyes Cempaka Lima
305 Muharni Rasyid Ask 66 0000001071099 Jeulingke P Low back pain Pertamedika
306 Nurani Ask 51 0000001111296 Pineung P Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
307 Uzir Mahmud Ask 85 0000001585631 Alue Naga L Cervical disc disorders Pertamedika
308 Maimun Budiman Ask 66 0000001707456 Jeulingke L Senile cataract Pertamedika
309 Barensyah Ask 60 0000002603079 Jeulingke P Cerebral infarction Cempaka Lima
310 Teuku Hafas Umara Ask 23 0000038687613 Pineung L Visual impairment including blindness (binocular or monocular) Cempaka Lima
311 Marwi Alawiah Jkm 43 0000167974075 Jeulingke P Low back pain Pertamedika
312 Zulfiadi Jkm 47 0000172401412 Jeulingke L Pain in throat and chest Cempaka Lima
313 Nisma wati Jkm 68 0000227940671 Tibang P Heart failure Cempaka Lima
314 Maulidar Jkm 31 0000979952466 Jeulingke P Thalassaemia, unspecified Cempaka Lima
315 Durratun Nasywa Jka 16 0001114500508 Tibang P Diseases of pulp and periapical tissues USK
316 Maryati s Jka 46 0001323132028 Alue Naga P Dysphonia Cempaka Lima
317 Ratna Dewi Jka 40 0001436194001 Alue Naga P Diseases of pulp and periapical tissues Pertamedika
318 Ayu Wulan Dari Jka 29 0001444129018 Jeulingke P Visual disturbance, unspecified Pertamedika
319 Nurlaili Jka 51 0001484652227 Peurada P Disorder of thyroid, unspecified Cempaka Lima
320 Linarmardian Jka 36 0001791180325 Pineung P Supervision of normal pregnancy, unspecified Cempaka Azzahra
321 Zainuddin Jka 67 0001792454095 Alue Naga L Speech disturbances, not elsewhere classified Klinik Saihak
322 Roslinda Jka 43 0002034736795 Jeulingke P Schizophrenia RSJ
323 Muhammad Usman Jka 58 0002049915846 Pineung L Schizophrenia RSJ
324 Etino Feriana Gea Jka 51 0002198022917 Alue Naga P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
325 Sayed Muslim Jka 41 0003279640285 Jeulingke L Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
326 1/26/2023 Suryati Ask 53 0000000142885 Jeulingke P Other senile cataract Cempaka Lima
327 Ansyurni Ask 54 0000000965182 Mata Ie P Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
328 Siti Khadijah Ask 33 0000001119453 Jeulingke P Thyrotoxicosis, unspecified Harapan Bunda
329 Maitsa Raihadatul Matsy Ask 23 0000001285042 Lamgugop P Low vision, both eyes Pertamedika
330 Masriza Ask 75 0000001551813 Pineung P Low back pain Pertamedika
331 Mursyida Ask 51 0000001735839 Jeulingke P Disorder of autonomic nervous system, unspecified Cempaka Lima
332 Mastura Sari Ask 30 0000001735841 Jeulingke P Gastric ulcer Cempaka Lima
333 Ridwan Mahmud Ask 67 0000001749025 Jeulingke L Chronic ischaemic heart disease Pertamedika
334 Junaidi Jkm 49 0000228371422 Ie Masen L Fracture of patella Pertamedika
335 Rahmatunnisa Jka 13 0001111142081 Alue Naga P Gastric ulcer Cempaka Lima
336 M. Jailani Syafiq Jailani Jka 37 0001112458239 Jeulingke L Pulpitis USK
337 Nurma Jka 75 0001311028176 Peurada P Senile cataract, unspecified Pertamedika
338 Siska Saputri Jka 50 0001328101176 Jeulingke P Other lesions of median nerve Pertamedika
339 Nanda Ulan Tari Jka 16 0001792669004 Jeulingke P Supervision of normal pregnancy, unspecified Cempaka Azzahra
340 Nurbaiti Yusuf Jka 69 0001817670914 Pineung P Lumbago with sciatica Pertamedika
341 Taufiq Al Hasyir Jka 29 0001843156631 Jeulingke L Pulpitis Pertamedika
342 Marisa Jka 17 0002069434732 Jeulingke P Cluster headache syndrome Pertamedika
343 Izhar Salmah Jka 27 0002145841468 Deah Raya P Other and unspecified ovarian cysts Cempaka Lima
344 1/27/2023 Mariati Jka 62 0001873974407 Jeulingke P Hypertensive heart disease Cempaka Lima
345 1/30/2023 Tuti Fadlilah Ask 53 0000000964157 Lamgugop P Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
346 Said Muhammad Ask 61 0000000985577 Pineung L Sequelae of cerebrovascular disease Cempaka Lima
347 Syarifah Zahrah Ask 49 0000000985588 Pineung P Gout, unspecified Cempaka Lima
348 Arafat Ask 63 0000001010428 Jeulingke L Hypertensive heart disease Cempaka Lima
349 Cut Selli Mutiawaty Ask 20 0000001052638 Gue Gajah P Surgical follow-up care, unspecified Harapan Bunda
350 Nurmi Ask 60 0000001121433 Pineung P Cerebral infarction Cempaka Lima
351 Putri Ramadhani Ask 31 0000001121444 Jeulingke P Pulpitis Iskandar Muda
352 Ridwan Mahmud Ask 67 0000001749025 Jeulingke L Senile cataract, unspecified Klinik Saihak
353 Sulaiman Yusuf Ask 59 0000001755156 Lamgugop L Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
354 Arkan Ramadhan Ask 24 0000004545303 Jeulingke L Diseases of pulp and periapical tissues Pertamedika
355 A Karim Ask 54 0000038379655 Jeulingke L Perforation of tympanic membrane Pertamedika
356 Teuku Muhammad Fidiansyah Jkm 13 0000165682629 Peurada L Low vision, both eyes Cempaka Lima
357 Nurdiana Jkm 47 0000227940783 Jeulingke P Diseases of pulp and periapical tissues Pertamedika
358 Halimah Jkm 47 0000228338043 Alue Naga P Radiculopathy, lumbar region Pertamedika
359 Ramullah Jkm 67 0000229196351 Jeulingke P Low back pain Cempaka Lima
360 M. Bill Faras Jka 28 0001098985094 Jeulingke L Other specified mental disorders due to brain damage and dysfunction and to physical disease Cempaka Lima
361 M Nasir Amin Jka 56 0001111147964 Peurada L Chronic ischaemic heart disease Cempaka Lima
362 Manshuroh Zamira Bibi Jka 37 0001111152058 Jeulingke P Gastric ulcer Cempaka Lima
363 Reza Antoni Jka 26 0001291318198 Peurada L Diseases of pulp and periapical tissues Rs Meuraxa
364 Devan Arya Davandra Jka 10 0001479073588 Jeulingke L Dislocation, sprain and strain of joints and ligaments at ankle and foot level Harapan Bunda
365 Sri Martuti Jka 40 0001482298154 Jeulingke P Diseases of pulp and periapical tissues Cempaka Lima
366 Nurhayati Jka 52 0001788427901 Tibang P Endometriosis of uterus Pertamedika
367 Ridwan Yahya Jka 60 0001798033509 Jeulingke L Lumbago with sciatica Pertamedika
368 Fakhrurrazi Jka 18 0001902939208 Jeulingke L Injury of eye and orbit Cempaka Lima
369 Gibran Nabil Alfayadh Jka 8 0001961764896 Pineung L Visual disturbance, unspecified Saihak Eye Center
370 Suwardi Jka 54 0002048416042 Pineung L Low back pain Pertamedika
371 Ahmad Dewi al Fansuri Jka 6 0002231889917 Alue Naga L Burns classified according to extent of body surface involved RSIA
372 Sri Handayani Jka 36 0002445927208 Jeulingke P Mechanical complication of intrauterine contraceptive device Cempaka Lima
373 M. Husen Jka 57 0002635209022 Alue Naga L Cerebral infarction Cempaka Lima
374 Aisyah Varisa Zuhra Jka 3 0002763613495 Tibang P Childhood autism RSIA
375 1/31/2023 Aiyub Ahmad Ask 65 0000001275467 Lamgugop L Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
376 Nurisah Ask 78 0000001547739 kota Baru P Status asthmaticus Pertamedika
377 PROF.DR.H.Z.ABIDIN ALAWY,M.AG Ask 83 0000001589984 Jeulingke L Chronic ischaemic heart disease Cempaka Lima
378 Wardiah Abdullah Ask 75 0000001589995 Jeulingke P Fracture of lower leg, part unspecified Cempaka Lima
379 Mustika Hayati Ask 58 0000001654042 Pineung P Hypertensive heart disease RS USK
380 Muhammad Habibie Faisal Ask 27 0000008545206 Lambhuk L Gastric ulcer Cempaka Lima
381 Saidi Hasan Porang Jkm 80 0000195109345 Pineung L Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
382 Nurhafifah Jkm 21 0000217724455 Alue Naga P Status asthmaticus Cempaka Lima
383 Cut Miadianda Jkm 38 0000228789775 Peurada P Other benign neoplasm of connective and other soft tissue of head, face and neck Cempaka Lima
384 Irhamdi Jkm 35 0000229132045 Tibang L Status asthmaticus Pertamedika
385 Raja Dakasah Jkm 52 0000977829232 Jeulingke L Diseases of pulp and periapical tissues Iskandar Muda
386 Misna Hasviani Jka 27 0001110674259 Tibang P Benign neoplasm of breast Cempaka Lima
387 Elza Putri Lestari Jka 25 0001110980788 Jeulingke P Anxiety disorder, unspecified Cempaka Lima
388 Husniah Jka 29 0001111157605 Jeulingke P Low back pain Cempaka Lima
389 Sayed Mukhtar Jka 68 0001111212742 Pineung L Other and unspecified cirrhosis of liver Rs Meuraxa
390 Cut Rosnidar Jka 60 0001111212764 Pineung P Disorder of thyroid, unspecified Cempaka Lima
391 Zulfan Jka 46 0001267897645 Jeulingke L Schizophrenia RSJ
392 Iwan Syafrizal Jka 43 0001270710178 Pineung L Chronic ischaemic heart disease Cempaka Lima
393 Suryani Jka 49 0001387051187 beurawe P Hypertensive heart disease Cempaka Lima
394 Monita Jka 31 0001792907122 Tibang P Epilepsy Cempaka Lima
395 M Yusuf Ahmad Jka 62 0001793959198 Alue Naga L Aphakia Cempaka Lima
396 Furkan Al Haitan Jka 8 0001804442174 Pineung L Other viral haemorrhagic fevers, not elsewhere classified Cempaka Lima
397 Rafif Alif Maulana Jka 8 0001814363897 Jeulingke L Pulpitis Cempaka Lima
398 Saidah Jka 59 0001814663957 Peurada P Senile cataract Cempaka Lima
399 Azzany Jka 54 0001816210056 Lampineung P Pulpitis Pertamedika
400 Safwan Yusuf Jka 59 0001902704409 Jeulingke L Hypertensive heart disease Pertamedika
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Mengetahui
Kepala UPTD Puskesmas Jeulingke
Rahmah Kurniasih, SKM

NIP. 19820702 200012 2 001
POLI
Penyakit Dalam
Penyakit Dalam
Obgyn
Penyakit Dalam
Mata
Jantung
Mata
Anak
Jantung
Mata
Paru
Bedah
Saraf
Penyakit Dalam
Penyakit Dalam
Saraf
Gigi
Gigi
Jantung
Orthopedi
Kulit
Bedah
Penyakit Dalam
Gigi
Penyakit Dalam
Gigi
Jiwa
Gigi
Gigi
Penyakit Dalam
Jantung
Jantung
Penyakit Dalam
Gigi
Obgyn
Kulit
Saraf
Saraf
Saraf
Anak
Gigi
Mata
Urologi
Anak
Jiwa
Obgyn
Kulit
Jantung
Jantung
Saraf
Kemoterapi
Anak
Obgyn
Saraf
Mata
Saraf
Anak
Gigi
Anak
Paru
Anak
Kulit
Penyakit Dalam
Penyakit Dalam
Penyakit Dalam
Orthopedi
Penyakit Dalam
Saraf
Urologi
Orthopedi
Jiwa
Saraf
Penyakit Dalam
Penyakit Dalam
Mata
Saraf
THT
Anak
Obgin
Penyakit Dalam
Saraf
Jantung
Gigi
Saraf
Penyakit Dalam
Penyakit Dalam
Gigi
Gigi
Mata
Saraf
Saraf
Anak
Penyakit Dalam
Saraf
Obgyn
Gigi
Paru
Anak
Penyakit Dalam
Orthopedi
Anak
Penyakit Dalam
Penyakit Dalam
Mata
Mata
Gigi
Penyakit Dalam
Saraf
Paru
Gigi
Anak
Gigi
Orthopedi
Penyakit Dalam
Mata
Jantung
Penyakit Dalam
Saraf
Saraf
Penyakit Dalam
Obgyn
mata
Mata
Bedah
Paru
Gigi
Bedah
Saraf
Orthopedi
Mata
Saraf
Gigi
Kemoterapi
Mata
Paru
Ongkologi
Penyakit Dalam
Penyakit Dalam
Penyakit Dalam
Kulit
Gigi
Obgyn
Mata
Saraf
Mata
Saraf
Jantung
Gigi
Saraf
Paru
Penyakit Dalam
Saraf
Gigi
Penyakit Dalam
Bedah
Mata
Jantung
Saraf
Penyakit Dalam
Jantung
Gigi
Jantung
Orthopedi
Penyakit Dalam
Penyakit Dalam
mata
Gigi
Paru
Saraf
Anak
Kulit
Gigi
Mata
Penyakit Dalam
Saraf
Penyakit Dalam
Jiwa
Mata
Saraf
Paru
Jantung
Obgyn
Penyakit Dalam
Obgyn
Kemoterapi
Obgyn
Saraf
Saraf
THT
Kulit
Gigi
Paru
Urologi
Saraf
Penyakit Dalam
Saraf
Mata
Jantung
Jantung
Obgyn
Gigi
Bedah
Obgyn
Obgyn
Orthopedi
Gigi
Saraf
Saraf
Jiwa
Jantung
Orthopedi
Kulit
Gigi
Penyakit Dalam
Obgyn
Penyakit Dalam
Obgyn
Penyakit Dalam
Gigi
Penyakit Dalam
Penyakit Dalam
Saraf
Anak
Mata
Mata
Anak
Saraf
Jantung
Anak
Orthopedi
Gigi
Penyakit Dalam
Jantung
THT
Mata
Penyakit Dalam
Urologi
Mata
Jiwa
THT
Saraf
THT
Saraf
Mata
Penyakit Dalam
Penyakit Dalam
Penyakit Dalam
Saraf
Saraf
Saraf
Jiwa
Jantung
Jantung
Penyakit Dalam
Penyakit Dalam
Penyakit Dalam
Gigi
Saraf
Saraf
Penyakit Dalam
Mata
Mata
Penyakit Dalam
Penyakit Dalam
Anak
Saraf
Mata
Gigi
Gigi
Jantung
Jantung
Saraf
Paru
Mata
Mata
Mata
Mata
Saraf
Mata
Mata
Saraf
Paru
THT
Paru
Urologi
Penyakit Dalam
Penyakit Dalam
Orthopedi
Jiwa
Obgyn
Mata
Penyakit Dalam
Mata
Jantung
Jantung
Penyakit Dalam
Gigi
Gigi
Mata
Penyakit Dalam
Penyakit Dalam
Orthopedi
Penyakit Dalam
Mata
Saraf
Penyakit Dalam
Saraf
Mata
Saraf
Mata
Saraf
Penyakit Dalam
Jantung
Penyakit Dalam
Gigi
THT
Gigi
Mata
Penyakit Dalam
Obgyn
Mata
Jiwa
Jiwa
Penyakit Dalam
Penyakit Dalam
Mata
Penyakit Dalam
Penyakit Dalam
Mata
Saraf
Saraf
Penyakit Dalam
Jantung
Orthopedi
Anak
Gigi
Mata
Mata
Obgyn
Saraf
Gigi
Saraf
Obgyn
Jantung
Penyakit Dalam
Saraf
Saraf
Penyakit Dalam
Orthopedi
Saraf
Gigi
Mata
Penyakit Dalam
Gigi
THT
Mata
Gigi
Saraf
Saraf
Jiwa
Jantung
Penyakit Dalam
Gigi
Orthopedi
Gigi
Obgyn
Saraf
Mata
Mata
Saraf
Installasi Rehabilitasi Medik
Obgyn
Saraf
Installasi Rehabilitasi Medik
Penyakit Dalam
Paru
Jantung
Orthopedi
Penyakit Dalam
Penyakit Dalam
Penyakit Dalam
Paru
Bedah
Paru
Gigi
Bedah
Jiwa
Saraf
Penyakit Dalam
Penyakit Dalam
Jiwa
Jantung
Penyakit Dalam
Saraf
Mata
THT
Gigi
Mata
Gigi
Jantung
BULAN : FEBRUARI 2023
JAMINAN
RUMAH SAKIT
NO TANGGAL NAMA PASIEN KESEHAT UMUR JK ALAMAT NO BPJS DIAGNOSA POLI
RUJUKAN
AN
1 2/1/2023 Rosmawar Ask 63 P Pineung 0000000366052 Visual disturbance, unspecified Cempaka Lima Mata
2 Hilma Muzni Ask 58 P Jeulingke 0000000970132 Hypertensive heart disease Cempaka Lima Penyakit Dalam
3 Ryzanyaty Ask 41 P Ie Masen 0000000978568 Hypertensive heart disease Cempaka Lima Jantung
4 Irwan Ask 49 L Ie Masen 0000000978579 Hypertensive heart disease Cempaka Lima Jantung
5 Saifullah Ask 61 L Pineung 0000001079616 Hyperplasia of prostate Harapan Bunda Urologi
Peptic ulcer, unspecified as acute or chronic, without
6 Rukayah B Cut Ask 67 P Pineung 0000001315427 Cempaka Lima Penyakit Dalam
haemorrhage or perforation
7 Ajrina Alimna Ask 19 P Jeulingke 0000001607332 Disorders of tooth development and eruption USK Gigi
8 Azwita Ask 70 P Jeulingke 0000001616861 Low vision, both eyes Pertamedika Mata
9 Muhammad Ihsan Ask 32 L Jeulingke 0000001651443 Schizophrenia Cempaka Lima Jiwa
Non-insulin-dependent diabetes mellitus with neurological
10 Arief Luqman Jkm 70 L Pineung 0000165990532 Pertamedika Penyakit Dalam
complications
11 Suryati Jkm 38 P Jeulingke 0000194249913 Benign neoplasm of other male genital organs Cempaka Lima Obgyn
12 Nailil Maghfirah Jkm 25 P Pineung 0000228847803 Necrosis of pulp Iskandar Muda Gigi
13 Merry Safrina Jkm 29 P Jeulingke 0000979417506 Supervision of normal pregnancy, unspecified Cempaka Lima Obgyn
14 Nurlaili Jka 56 P Peurada 0001111151081 Pertamedika Penyakit Dalam
complications
15 Azkia Safira Jka 14 P Pineung 0001112455517 Diseases of pulp and periapical tissues Cempaka Lima Gigi
Muhammad Hirzan
16 Jka 13 L Lampriet 0001115293972 Fracture of shaft of radius Pertamedika Orthopedi
Tirafi
17 Risma Hirawati Jka 24 P Alue Naga 0001267354304 Fibroadenosis of breast Harapan Bunda Bedah
18 Ayu Ramadhani Jka 36 P Jeulingke 0001268629828 Hypothyroidism, unspecified Cempaka Lima Penyakit Dalam
19 Edi M Yusuf Jka 40 L Jeulingke 0001796753068 Chronic ischaemic heart disease Cempaka Lima Jantung
20 Istariadi Idris Jka 51 L Pineung 0001858868526 Pertamedika Penyakit Dalam
complications
21 Bayi Nyonya Amirah Jka 2 Bln L Pineung 0003310604662 Umbilical polyp of newborn Klinik Nangroe Madani Bedah Anak
22 2/2/2023 Asmaul Husna Ask 29 P Jeulingke 0000000776733 Supervision of normal pregnancy, unspecified Cempaka Lima Obgyn
23 Eli Hartati Ask 60 P Lamgugob 0000000967623 Chronic ischaemic heart disease Cempaka Lima Jantung
24 Mardhiati Ask 63 P Pineung 0000001118103 Fracture of femur Pertamedika Orthopedi
25 Rosmiaty Ask 65 P Jeulingke 0000001512516 Chronic ischaemic heart disease Cempaka Lima Jantung
26 Nurhasanah Ask 72 P Jeulingke 0000001586744 Cempaka Lima Penyakit Dalam
complications
27 Kartini Johan Ask 75 P Peurada 0000001587914 Other intervertebral disc disorders Cempaka Lima Orthopedi
28 Sufyan Ahmad Ask 73 L Pineung 0000001806074 Rheumatoid arthritis, unspecified Cempaka Lima Penyakit Dalam
29 Sri Hermi Purwanti Ask 61 P Jeulingke 0000040761459 Hypertensive heart disease Pertamedika Jantung
30 Sofyan Jkm 49 L Pineung 0000197706475 Cempaka Lima Penyakit Dalam
complications
31 Adhe Wulandari Jkm 27 P Ie Masen 0000216876453 Low vision, both eyes Cempaka Lima Mata
32 Bakhtiar Jkm 54 L Peurada 0000229105473 Chronic ischaemic heart disease Cempaka Lima Jantung
33 Hanif A Bakar Jka 51 L Jeulingke 0001078228372 Low vision, both eyes Pertamedika Mata
34 M RAFIQ AKRAM HAFWA Jka 20 L Jeulingke 0001078228451 Fracture of clavicle Cempaka Lima Orthopedi
Muhammad Arifin
35 Jka 15 L Pineung 0001115927717 Low vision, both eyes Cempaka Lima Mata
Balfas
36 Sri Wahyuni Jka 29 P Jeulingke 0001302612276 Disorders of tooth development and eruption Cempaka Lima Gigi
37 Ajie Arafat Jka 22 L Jeulingke 0001318646665 Diseases of pulp and periapical tissues Pertamedika Gigi
38 Dessy Maulizar Jka 34 P Ie Masen 0001427826262 Thyrotoxicosis [hyperthyroidism] Cempaka Lima Penyakit Dalam
39 Ayu Wulandari Jka 29 P Pineung 0001444129018 Disorders of tooth development and eruption Pertamedika Gigi
40 Irfan Jka 53 L Jeulingke 0001451868592 Gastric ulcer Cempaka Lima Penyakit Dalam
41 Nurlaila Jka 46 P Pineung 0001791708399 Diseases of pulp and periapical tissues RS USK Gigi
42 Kayyisah Jka 17 P Pineung 0001824912922 Delayed union of fracture Harapan Bunda Orthopedi
43 Hafas Novriansyah Jka 31 L Jeulingke 0002887893538 Calculus of kidney and ureter Rsu Meuraxa Urologi
44 2/3/2023 Sitti Syarifah Ask 40 P Peurada 0000001096053 Arthrosis, unspecified Pertamedika Orthopedi
45 Zarhratul Azkia Jka 15 P Pineung 0001111144882 Periapical abscess without sinus Iskandar Muda Gigi
46 Muliani Jka 33 P Jeulingke 0001431484255 Low vision, both eyes Cempaka Lima Mata
47 Feri Putri alqis Jka 12 P Jeulingke 0001479006292 Pulpitis Cempaka Lima Gigi
48 Khairul Fuadi Jka 29 L Beurawe 0001791186254 Anxiety disorder, unspecified Cempaka Lima Jiwa
49 2/4/2023 Binawan Ask 62 L Cot Cut 0000001066318 Chronic ischaemic heart disease (I25) Pertamedika Jantung
50 2/6/2023 Amirullah Majid Ask 69 L Ie Masen 0000000057464 Hypertensive heart disease Pertamedika Penyakit Dalam
51 Ismail Ta Dipl He Ask 71 L Kp. Pineung 0000000950771 Cerebral infarction Cempaka Lima Saraf
52 Nani Yunizar Ask 63 P Jeulingke 0000001009326 Chronic gingivitis Cempaka Lima Gigi
53 Adi Rusdizal Ask 61 L Pineung 0000001010619 Schizophrenia Cempaka Lima Jiwa
54 Muhammad M Ask 66 L Lhong Raya 0000001181294 Hyperplasia of prostate Harapan Bunda Urologi
55 Cut Nurhayati Ask 56 P Alue Naga 0000001446423 Retinal detachment with retinal break Pertamedika Mata
56 Buchari Ask 73 L Peurada 0000001482096 Senile cataract, unspecified Cempaka Lima Mata
57 Maimunah Ask 80 P Pineung 0000001572107 Chronic ischaemic heart disease Pertamedika Jantung
58 Cut Mahidar Ta Ask 72 P Jeulingke 0000001684383 Hypertensive heart disease Cempaka Lima Jantung
59 Dorisma BR Silaen Ask 59 P Lamteumen 0000002305912 Insulin-dependent diabetes mellitus with neurological complic Cempaka Lima Penyakit Dalam
60 Zulkarnain Ask 49 L Jeulingke 0000002469554 Schizophrenia RS Jiwa Jiwa
61 Widyati Ask 47 P Lampineung 0000004530363 Cellulitis of external ear Pertamedika THT
62 Zikrina Hadiana Jkm 28 P Jeulingke 0000208495383 Hypokalaemia Cempaka Lima Saraf
63 Ainal Mardhiyah Jkm 14 P Pineung 0000227938803 Chronic ischaemic heart disease Pertamedika Jantung
64 Selli Qadiah M Jkm 35 P Peurada 0000228652277 Placenta praevia with haemorrhage Cempaka Azzahra Obgyn
65 Ruhamah Juned Jkm 72 P Jeulingke 0000229206677 Low vision, both eyes Pertamedika Mata
66 Nabila Safira Jka 13 P Pineung 0001078233939 Pulpitis Cempaka Lima Gigi
67 M Dahri Jka 63 L Jeulingke 0001111151586 Senile cataract, unspecified Cempaka Lima Mata
68 Ernawati Jka 37 P Peurada 0001324565875 Senile cataract, unspecified Cempaka Lima Mata
69 Dinda Lheena Jka 24 P Jeulingke 0001327039672 Other noninflammatory disorders of ovary, fallopian tube and Pertamedika Obgyn
70 Sulastri Jka 19 P Alue Naga 0001613383942 Diseases of pulp and periapical tissues RS USK Gigi
71 Ilham Syawal Jka 11 L Alue Naga 0001788708969 Diseases of pulp and periapical tissues RS USK Gigi
72 Mufazzal Jka 11 L Peurada 0001790984338 Diseases of pulp and periapical tissues Cempaka Lima Gigi
73 Usratil Ulfah Jka 9 P Kp. Pineung 0001801716322 Other intervertebral disc disorders Harapan Bunda Anak
74 Rahmaniar B Jka 29 P Jeulingke 0001803296294 Supervision of normal pregnancy, unspecified Cempaka Azzahra Obgyn
75 Rusli Jka 54 L Peurada 0002091363118 Pleural effusion in conditions classified elsewhere Pertamedika Paru
76 Mahfud Jka 39 L Peurada 0002473101718 Low vision, both eyes Pertamedika Mata
77 Ernawati Jka 47 P Alue Naga 0002495668724 Non-insulin-dependent diabetes mellitus with neurological co Harapan Bunda Penyakit Dalam
78 Jamaliah Syukri Jka 29 P Kp. Pineung 0002830590494 Threatened abortion Cempaka Lima Obgyn
79 2/7/2023 Drs Fauzi Emhans Ask 69 L Pineung 0000000991157 Epilepsy, unspecified Cempaka Lima Saraf
80 M Yusuf K Gam Ask 88 L Lampineung 0000001558899 Hyperplasia of prostate Pertamedika Penyakit Dalam
81 Hj. Cut Marlina Ask 68 P Pineung 0000001581399 Rheumatoid arthritis, unspecified Cempaka Lima Penyakit Dalam
82 Zurriah Ask 71 P Jeulingke 0000001584347 Hypertensive heart disease Cempaka Lima Penyakit Dalam
83 Cut Sriyani Ask 60 P Peurada 0000001677644 Other surgical follow-up care Cempaka Lima Bedah
84 Ahmad Ask 57 L Jeulingke 0000001712632 Hypertensive heart disease Harapan Bunda Penyakit Dalam
Aulia Agusdi L Benign neoplasm of middle ear, nasal cavity and accessory
85 Ask 23 Jeulingke 0000004367338 Pertamedika Kulit
sinuses
86 Marlaini S Jkm 64 P Pineung 0000208400174 Chronic ischaemic heart disease Pertamedika Jantung
87 Safrizal H Jkm 34 L Lam Ujong 0000228368766 Chronic ethmoidal sinusitis Cempaka Lima THT
88 Syamsuddin Jkm 62 L Alue Naga 0000228691495 Senile cataract, unspecified Pertamedika Mata
89 Kemalawati Jkm 37 P Jeulingke 0000229225645 Other and unspecified ovarian cysts Pertamedika Obgyn
90 Muhammad Husen Jkm 68 L Tibang 0000980775808 Low vision, both eyes Cempaka Lima Mata
91 M RAFIQ AKRAM Jka 20 L Jeulingke 0001078228451 Fracture of clavicle Pertamedika Orthopedi
HAFWA
92 Nurdin Jamil Jka 52 L Jeulingke 0001111157763 Disorders of optic nerve, not elsewhere classified Cempaka Lima Mata
Saut Manahan
93 Jka 65 L Jeulingke 0001111160441 Chronic ischaemic heart disease Cempaka Lima Jantung
Rumahorbo
94 Feri Fernanda Jka 37 L Pineung 0001112491653 Thyrotoxicosis [hyperthyroidism] Pertamedika Penyakit Dalam
95 Teuku Andiansyah Jka 34 L Pineung 0001116043277 Diseases of pulp and periapical tissues Rsu Meuraxa Gigi
96 Cut Salmawati Jka 40 P Jeulingke 0001265885313 Status asthmaticus Pertamedika Paru
97 M Yusuf Jka 72 L Tibang 0001422256904 Heart failure Harapan Bunda Penyakit Dalam
Fadli Ardiyansyah L Other benign neoplasm of connective and other soft tissue,
98 Jka 28 Alue Naga 0001790730044 Pertamedika Bedah
unspecified
99 Ismail Jka 70 L Jeulingke 0001802162777 Sequelae of cerebrovascular disease Cempaka Lima Saraf
100 Annalia Jka 33 P Kp. Pineung 0001834227786 Peptic ulcer, site unspecified Pertamedika Penyakit Dalam
101 Wahyu Ramadhan Jka 41 L Jeulingke 0001878556803 Chronic ischaemic heart disease Rsu Meuraxa Jantung
102 Finta Maulida Yulisma Jka 23 P Jeulingke 0001884434861 Disorders of tooth development and eruption Cempaka Azzahra Gigi
103 M Nasir Jka 46 L Peurada 0002759655363 Low vision, both eyes Cempaka Lima Mata
104 2/8/2023 Rosmina HB Ask 64 P Pineung 0000000002823 Senile cataract, unspecified Cempaka Lima Mata
105 Hj. Saudah Ask 87 P Tibang 0000000603426 Cerebral infarction Cempaka Lima Saraf
Pineung Non-insulin-dependent diabetes mellitus with neurological
106 Isdarida Ask 61 P 0000000991168 Cempaka Lima Penyakit Dalam
complications
107 Chairani AB Ask 69 P Peurada 0000001054124 Hypertensive heart disease Cempaka Lima Jantung
108 Zulfiadi Ask 50 L Peurada 0000001305933 Spondylosis Pertamedika Penyakit Dalam
109 Rosmaniar Ask 69 P Pineung 0000001406619 Arthrosis, unspecified Pertamedika Saraf
Tibang Occlusion and stenosis of precerebral arteries, not resulting
110 Basri M. Nur Gani Ask 70 L 0000001582053 Cempaka Lima Saraf
in cerebral infarction
111 Cut Sumarni Ask 62 P Ie Masen 0000001618018 Hypertensive heart disease Cempaka Lima Penyakit Dalam
112 Hasmiana Ask 69 P Peurada 0000001728393 Acute subendocardial myocardial infarction Cempaka Lima Penyakit Dalam
Jeulingke Non-insulin-dependent diabetes mellitus with neurological
113 Asmawati Ask 59 P 0000001735479 Fakinah Penyakit Dalam
complications
114 Muhibullah Yuzairi Ask 30 L Jeulingke 0000001756394 Low vision, both eyes Cempaka Lima Mata
115 Iskandar Jkm 66 L Pineung 0000158000242 Other intervertebral disc disorders Cempaka Lima Saraf
116 Suwarni Jkm 71 P Ie Masen 0000197807106 Hypertensive heart disease Pertamedika Penyakit Dalam
117 Salma Jkm 51 P Pineung 0000227911375 Sterilization Cempaka Lima Obgyn
Jkm Tibang Visual impairment including blindness (binocular or
118 Fahmi Mubarak 28 L 0000228847566 Cempaka Lima mata
monocular)
Jka Jeulingke Non-insulin-dependent diabetes mellitus with neurological
119 Murdani 63 L 0001094279949 Cempaka Lima Penyakit Dalam
complications
120 Maharah Jka 31 P Alue Naga 0001122640187 Fracture of upper end of humerus Pertamedika Orthopedi
121 Jamaliah Jka 33 P Peurada 0001320571798 Benign neoplasm of eye and adnexa Cempaka Lima Mata
122 Nurmasyithah Jka 34 P Tibang 0002049916206 Diseases of pulp and periapical tissues Pertamedika Obgyn
123 M. Razi Jka 53 L Jeulingke 0001792615072 Dislocation of ankle joint Cempaka Lima Orthopedi
124 Nuraida Jka 45 P Peurada 0002049916206 Diseases of pulp and periapical tissues Iskandar Muda Gigi
125 Salman Kayyis Jka 4 L Jeulingke 0002759711679 Allergic contact dermatitis Cempaka Lima Anak
126 Ridwan Jka 54 L Tibang 0003505849806 Low vision, both eyes Cempaka Lima Mata
127 2/9/2023 Agustina Ask 58 P Lamgugob 0000000964697 Cempaka Lima Penyakit Dalam
complications
128 Hayatun Mutmainnah Ask 22 P Jeulingke 0000001375119 Peritonsillar abscess Pertamedika THT
kamaruzzaman
129 Ask 81 L kuta alam 0000001549473 Pneumonitis due to food and vomit Cempaka Lima Paru
Hasyim
130 Novita Andayani Ask 44 P Jeulingke 0000001745043 Status asthmaticus RS USK Paru
131 Muhammad Sjafei Ask 73 L Peurada 0000034390168 Hypertensive heart disease Cempaka Lima Saraf
132 Aini Fitriah Ask 27 P Pineung 0000220058054 Chronic gingivitis Iskandar Muda Gigi
133 Syarifah Nur Ask 23 P Pineung 0000228836215 Diseases of pulp and periapical tissues Iskandar Muda Gigi
Other benign neoplasm of connective and other soft tissue of
134 Devi Andiani Ask 21 P Tibang 0000228899643 Cempaka Lima Mata
head, face and neck
Krueng
135 Mukhtasar Ask 34 L 0001114861195 Hypertensive heart disease Pertamedika Penyakit Dalam
Barona Jaya
136 Nadiah Ask 63 P Peurada 0001116339996 Mastoiditis and related conditions Pertamedika Mata
137 Chaira Ulfa Ask 17 P Jeulingke 0001119685937 Diseases of pulp and periapical tissues RSIA Gigi
138 Nella Arsyibah Ask 36 P Jeulingke 0001442026192 Benign neoplasm of ovary Cempaka Azzahra Obgyn
139 Marsiah Ask 16 P Alue Naga 0001790531469 Allergic contact dermatitis Cempaka Lima Kulit
140 Iman Santosa Ask 49 L Peurada 0001801769714 Foreign body in ear Cempaka Lima THT
141 Lola Astari Ask 40 P Jeulingke 0001817660845 Endometriosis Cempaka Lima Obgyn
142 Silvia Nurdin Ask 43 P Jeulingke 0002039132889 Cempaka Lima Penyakit Dalam
complications
143 Bazla Khareem Ali Ask 3 L Jeulingke 0002775432734 Thalassaemia trait RSUZA Anak
144 2/10/2023 Nurhasanah Ask 57 P Jeulingke 0000001611729 Pertamedika Penyakit Dalam
complications
145 Nasrullah Ask 46 L Jeulingke 0000001744108 Diseases of pulp and periapical tissues Cempaka Lima Gigi
146 Samsu Aili Jkm 33 L Alue Naga 0000212608168 Schizophrenia RSJ Jiwa Jiwa
147 Sri Handayani Jka 48 P Pineung 0001119700359 Low vision, both eyes Cempaka Lima Mata
148 Munir Jka 55 L Pineung 0002310987003 Gangrene, not elsewhere classified Cempaka Lima Bedah
149 2/13/2023 Isfaniari Ask 42 P Jeulingke 0000000085127 Other benign neoplasm of skin, unspecified Cempaka Lima Bedah
150 Nurhasanah Ali Ask 64 P Lamprit 0000000976239 Intervertebral disc disorder, unspecified Cempaka Lima Saraf
151 Ira Zulfa Ask 35 P Pineung 0000001017887 Fracture of shaft of humerus Rsu Meuraxa Orthopedi
152 Tamzil Ask 63 L Pineung 0000001140895 Low back pain Cempaka Lima Saraf
153 Husniah Yahya Ask 60 P Jeulingke 0000001141841 Chronic ischaemic heart disease Cempaka Lima Jantung
154 Nazariah Ask 66 P Pineung 0000001163597 Harapan Bunda Penyakit Dalam
complications
155 IR.M.ILYAS AB Ask 79 L Jeulingke 0000001589218 Keloid scar Harapan Bunda Bedah
156 Malahayati Jkm 46 P Jeulingke 0000165784408 Chronic obstructive pulmonary disease, unspecified Cempaka Lima Paru
157 Saifuddin Harun Jkm 69 L Jeulingke 0000167264482 Chronic ischaemic heart disease Cempaka Lima Jantung
158 Qaulan Sadida Thaha Jkm 23 P Jeulingke 0000209170012 Disorders of tooth development and eruption Iskandar Muda Gigi
159 Juriah Jkm 64 P Pineung 0000228184762 Other chronic obstructive pulmonary disease Cempaka Lima Paru
160 Zahratul Humaira Jkm 25 P Pineung 0000228196449 Low vision, both eyes Pertamedika Mata
161 Herawati Jkm 37 P Jeulingke 0000229158235 Cluster headache syndrome Pertamedika Saraf
162 Raski Auvari Jka 18 L Alue Naga 0001111110682 Other anxiety disorders Cempaka Lima Jiwa
163 Nurdiani Jka 55 P Jeulingke 0001111152846 Visual disturbance, unspecified Cempaka Lima Mata
164 Khairul Amal Jka 50 L Pineung 0001111157471 Chronic ischaemic heart disease Cempaka Lima Jantung
165 Eka Darmawati Jka 59 P Jeulingke 0001111159708 Other rheumatoid arthritis Cempaka Lima Saraf
166 Armia Rd Jka 50 L Jeulingke 0001112567332 Calculus of kidney and ureter Pertamedika Urologi
167 Marzuki Usma Jka 47 L Jeulingke 0001119686185 Disease of inner ear, unspecified Cempaka Lima THT
168 Siti Arsid Jka 63 P Pineung 0001270946698 Intracerebral haemorrhage Iskandar Muda Saraf
169 Wahidah Jka 39 P Jeulingke 0001450720989 Pterygium Cempaka Lima Mata
170 Roby Candra Jka 26 L Jeulingke 0001830752313 Low back pain Pertamedika Saraf
171 Jauhari Jka 77 P Pineung 0001876489165 Chronic ischaemic heart disease Cempaka Lima Jantung
172 Zulfa Hanum Jka 49 P Jeulingke 0002437455554 Glaucoma suspect Pertamedika Mata
Muhammad Hazziq 0003052845448
173 Jka 2 P Tungkop Juvenile rheumatoid arthritis USK Anak
Fathahillah
174 Siti AyaSofa Armisya Jka 2 P Tibang 0003066371289 Foreign body in cornea Cempaka Lima Mata
175 2/14/2023 Muhiddin Saman Ask 67 L Jeulingke 0000000955337 Senile cataract, unspecified Cempaka Lima Mata
176 Elli Mariana Ask 62 P Ie Masen 0000000959905 Low back pain Cempaka Lima Saraf
177 Nurazizah Ask 62 P Jeulingke 0000003842875 Cerebral infarction Pertamedika Saraf
178 Ladya Guntari Jkm 26 P Pineung 0000207917414 Other benign neoplasms of connective and other soft tissue Cempaka Lima Bedah
179 M. Kevin Fahrezi Jkm 13 L Jeulingke 0000977762722 Injury of eye and orbit Pertamedika Mata
180 Zahra Jka 16 P Jeulingke 0001089165126 Status asthmaticus Cempaka Lima Paru
181 Danil Umriadi Jka 43 L Jeulingke 0001110678748 Pterygium Cempaka Lima Mata
182 Warjani Jka 36 P Jeulingke 0001112455945 Calculus of kidney and ureter Cempaka Lima Urologi
183 Amir Syarif Jka 49 L Pineung 0001113042971 Asphyxiation Pertamedika Jantung
184 Syabilla Nayyarani Jka 14 L Jeulingke 0001113217176 Allergic contact dermatitis Harapan Bunda Kulit
185 Diana Diputri Jka 44 P Jeulingke 0001277884451 Insulin-dependent diabetes mellitus with neurological Cempaka Lima Penyakit Dalam
complications
186 Amzar Irham Jka 10 L Pineung 0001325274849 Scrotal varices Harapan Bunda Urologi
187 Amirudin Jka 56 L Pineung 0001434178091 Senile cataract, unspecified Cempaka Lima Mata
188 Kaysan Nafwal Jka 13 L Jeulingke 0001838648621 Allergic contact dermatitis Harapan Bunda Kulit
Mayanda
189 Nurbayti Jka 50 P Tibang 0001884435052 Acute pansinusitis Pertamedika THT
190 Rusydi Jka 56 L Jeulingke 0002090699897 Other chronic obstructive pulmonary disease Cempaka Lima Paru
191 2/15/2023 A H. Imanda Ask 25 L Jeulingke 0000000999112 Angina pectoris Pertamedika Jantung
192 Afriatna Ask 64 P Kp. Pineung 0000001285773 Low vision, both eyes Pertamedika Mata
193 Mariani Ask 69 P Pineung 0000001585326 Chronic gingivitis Cempaka Lima Gigi
194 Yasir Ask 30 L Pineung 0000001611753 Gastric ulcer Pertamedika Penyakit Dalam
Abnormal findings in specimens from male genital organs,
195 Juanda Ask 40 L Kp. Pineung 0000001732667 Harapan Bunda Urologi
abnormal cytological findings
Other benign neoplasm of connective and other soft tissue of
196 Neswa Rezena Jkm 12 P Jeulingke 0000208179167 Pertamedika Anak
head, face and neck
197 Hendriansyah Jkm 28 L Darussalam 0000217100845 Calculus of kidney and ureter Cempaka Lima Urologi
198 Husni Jkm 33 L Jeulingke 0000219067659 Cempaka Lima Penyakit Dalam
complications
199 Nilawati Jkm 43 P Jeulingke 0000229220291 Retained dental root Iskandar Muda Gigi
200 Bairuni Jka 55 L Peurada 0001114501926 Pertamedika Penyakit Dalam
complications
201 Mulyanti Jka 40 P Jeulingke 0001229907791 Pterygium Klinik Saihak Mata
202 Arsyad Jka 62 L Alue Naga 0001806275722 Low vision, both eyes Cempaka Lima Mata
203 Fanni Nurul Dini Jka 15 P Peurada 0001843152827 Diseases of pulp and periapical tissues Pertamedika Gigi
204 Yunni Farah Nanda Jka 33 P Pineung 0002228879215 Low vision, both eyes Pertamedika Mata
205 Salisa Asmala Jka 22 P Jeulingke 0002257400531 Pulpitis Pertamedika Gigi
206 Husmiati Jka 43 P Alue Naga 0002585725931 Low vision, both eyes Cempaka Lima Mata
207 2/16/2022 Binawan Ask 62 L Cot Cut 0000001066318 Other anxiety disorders RSJ Jiwa Jiwa
208 Hamidah Ask 57 P Pineung 0000001246937 Cardiomegaly Cempaka Lima Jantung
209 Salma Ask 42 P Jeulingke 0000001387157 Low vision, both eyes Cempaka Lima Mata
210 Faridah Ask 73 P kota baru 0000001551712 Chronic ischaemic heart disease Cempaka Lima Jantung
211 Fitriansyah Jkm 50 L Peurada 0000165268462 Expressive language disorder Cempaka Lima Saraf
212 Nurjannah Jkm 62 P Pineung 0000227949276 Hypertensive heart disease Pertamedika Jantung
213 Syamsuddin Jkm 59 L Jeulingke 0000228338212 Dorsalgia Cempaka Lima Saraf
214 Hera Agustina Jkm 37 P Tibang 0000229110333 Ganglion Cempaka Lima Bedah
215 Kamariah Jkm 60 P Jeulingke 0000979042768 Senile cataract Harapan Bunda Mata
Resman Mulia
216 Jka 37 L Jeulingke 0001156638385 Diseases of pulp and periapical tissues Pertamedika Gigi
Sitohang
217 Nilawati Jka 74 P Jeulingke 0001303259152 Cerebral infarction Cempaka Lima Saraf
218 Iftina Ukhtia Jka 16 P Tibang 0001448862546 Other venous embolism and thrombosis Cempaka Lima Anak
Muhammad Ihsan
219 Jka 12 L Jeulingke 0001794083962 Eosinophilia Cempaka Lima Anak
Abadi
220 Bahgia Jka 16 L Tibang 0001797469773 Unspecified viral hepatitis Cempaka Lima Anak
221 Zahratul Jannah Jka 16 L Jeulingke 0001817661767 Chronic periodontitis Iskandar Muda Gigi
222 Muhammad Nazriel Jka 7 L Pineung 0002062824568 Respiratory disorder, unspecified Cempaka Lima Anak
223 Irawati Jka 47 P Jeulingke 0002071278393 Other benign neoplasm of other parts of uterus Cempaka Lima Obgyn
224 Aulia Rahma Jka 17 P Jeulingke 0002212445823 Diseases of pulp and periapical tissues Iskandar Muda Gigi
225 2/17/2023 Rusli HS Ask 65 L Kp. Pineung 0000001104232 Hyperplasia of prostate Harapan Bunda Urologi
226 Nabila Wulandari Jkm 24 P Jeulingke 0000219818507 Haemoptysis Pertamedika Paru
227 Abdullah Musa Jka 65 L Jeulingke 0001096481935 Cempaka Lima Penyakit Dalam
complications
228 Nursiah Jka 63 P Jeulingke 0001292435008 Atherosclerosis Cempaka Lima Penyakit Dalam
229 2/20/2023 Cut Badriah Ask 55 P Pineung 0000000066137 Status asthmaticus Pertamedika Paru
230 Saleha Ask 79 P Jeulingke 0000000612415 Intracerebral haemorrhage in hemisphere, unspecified Cempaka Lima Saraf
231 Rubiah Ask 92 P Lamgugob 0000000614406 Pertamedika Penyakit Dalam
complications
232 Elli Mariana Ask 62 P Ie Masen 0000000959905 Low vision, both eyes Cempaka Lima Mata
233 Nilawati Ask 60 P Peurada 0000001164306 Chronic ischaemic heart disease Cempaka Lima Jantung
234 Yulidin Ask 52 L Pineung 0000001186604 Calculus of kidney and ureter Meutia Urologi
235 Ali Amran Ask 81 L Pineung 0000001584213 Hypertensive heart disease Cempaka Lima Jantung
236 Yusniar Ask 69 P Pineung 0000001584224 Congestive heart failure Cempaka Lima Jantung
237 Cut Zuraidah Ask 60 P Jeulingke 0000001684574 Heart failure RSUD Meuraxa Jantung
238 Juanda Ask 40 L Pineung 0000001732667 Scrotal varices Harapan Bunda Urologi
239 Mohd Daud Yusuf Ask 70 L Peurada 0000001739812 Chronic ischaemic heart disease Cempaka Lima Jantung
240 Asnawi Ask 71 L Jeulingke 0000005020132 Cerebral infarction Cempaka Lima Saraf
241 Rahmad B Jkm 42 L Jeulingke 0000194249891 Non-insulin-dependent diabetes mellitus with neurological co Cempaka Lima Penyakit Dalam
242 Yusmayarni Jkm 54 P Tibang 0000228898743 Hypertensive heart disease Pertamedika Penyakit Dalam
243 M. Amin Jkm 43 L Jeulingke 0000229167191 Other chronic obstructive pulmonary disease RSUDZA Paru
244 Kamariah Jkm 60 P Jeulingke 0000979042768 Hypertensive heart disease Cempaka Lima Penyakit Dalam
245 Arif Fahmi Jkm 42 P Alue Naga 0000979953546 Disorders of trigeminal nerve Pertamedika Saraf
Al Badri
246 Jka 31 L Pineung 0001110745348 Pulpitis Pertamedika Gigi
Yunastiansyah
247 Idawati Jka 57 P Alue Naga 0001116015974 Alopecia areata Cempaka Lima Saraf
248 Yeni Fahriani Jka 55 P Pineung 0001121525471 Pertamedika Penyakit Dalam
complications
249 Nurjannah Jka 57 P Jeulingke 0001263644392 Senile cataract Pertamedika Mata
250 Jaya Mustika Jka 29 P Jeulingke 0001274000681 Papulosquamous disorders in diseases classified elsewhere Cempaka Lima Kulit
Other disorders of skin and subcutaneous tissue in diseases
251 Rizkia Ramadzani Jka 16 L Jeulingke 0001304503413 Cempaka Lima Kulit
classified elsewhere
252 Nurillah Jka 56 P Jeulingke 0001456939754 Cholelithiasis Pertamedika Bedah
253 Rahmat Fauzan Jka 19 L Jeulingke 0001876821568 Respiratory disorder, unspecified Pertamedika Paru
Muhammad Adam Al
254 Jka 9 L Jeulingke 0001902835743 Necrosis of pulp Iskandar Muda Gigi
Fateh
255 Renal Khalid Jka 19 L Pineung 0001903885986 Corns and callosities Cempaka Lima Bedah
256 Khanza Adeeva Adavi Jka 7 P Pineung 0002037659308 Mucocele of salivary gland Pertamedika Gigi
257 Dinda Syakira Keisya Jka 8 P Pango Deah 0002063306417 Abnormalities of breathing Pertamedika THT
258 Sulaiman Jka 57 L Tibang 0002065863655 Chronic ischaemic heart disease Cempaka Lima Jantung
259 Syahriman Surya Jka 35 L Pineung 0002230291743 Chronic periodontitis Iskandar Muda Gigi
260 T. Faiq Taufiqullah Jka 10 L Pineung 0002255135714 Unspecified injury of head Cempaka Lima Saraf
Muhammad Ali Al
261 Jka 6 L Tibang 0002259114074 Unspecified haematuria Pertamedika Anak
Hafidzi
Other disorders of skin and subcutaneous tissue, not
262 Nur Fathimatuzzahra Jka 2 P Alue Naga 0003111547713 Cempaka Lima Anak
elsewhere classified
Other benign neoplasm of connective and other soft tissue,
263 Tri Dian Pranata Jka 40 L Peurada 0003303762287 Cempaka Lima Bedah
unspecified
264 2/21/2023 Sartinah Ask 47 P Jeulingke 0000000979132 Malignant neoplasm of parotid gland Cempaka Lima Bedah
265 Suparman Lisda Ask 49 L Ie Masen 0000000980109 Intracranial abscess and granuloma Cempaka Lima Saraf
266 Jamaluddin Abdullah Ask 67 L Jeulingke 0000000981393 Heart failure Pertamedika Jantung
267 Kurnia Ilahi Ask 54 P Jeulingke 0000000986455 Diseases of pulp and periapical tissues USK Gigi
268 R Junanto Ask 57 L Lampineung 0000001072067 Chronic ischaemic heart disease Cempaka Lima Jantung
269 Fatharani Thalib Ask 69 P Jeulingke 0000001136103 Heart failure Cempaka Lima Jantung
Non-insulin-dependent diabetes mellitus with neurological Cempaka Lima
270 Hamidah Ask 57 P Pineung 0000001246937 Penyakit Dalam
complications
271 Fajri Ask 60 L Pineung 0000001331166 Hypertensive heart disease Cempaka Lima Jantung
272 Fahrian Ask 43 L Peurada 0000001355062 Visual disturbance, unspecified Cempaka Lima Mata
273 Mariani Ask 69 P Peurada 0000001585326 Hypertensive heart disease Cempaka Lima Penyakit Dalam
Other disorders of skin and subcutaneous tissue in diseases Cempaka Lima
274 Muhammad Alief Jkm 14 L Ie Masen 0000199827167 Kulit
classified elsewhere
275 Ladya Guntari Jkm 26 P Pineung 0000207917414 Cough Cempaka Lima Paru
276 Siti Baheram Jkm 50 P Pineung 0000228153666 Unspecified appendicitis USK Penyakit Dalam
277 Misna Hasviani Jka 27 P Tibang 0001110674259 Visual disturbance, unspecified Cempaka Lima Mata
278 Ummi Kalsum Jka 40 P Alue Naga 0001111146118 Low back pain Cempaka Lima Saraf
279 Taufik Ismail Jka 41 L Deah Raya 0001265885054 Visual disturbance, unspecified Pertamedika Mata
280 Riska Maisarah Jka 22 P Jeulingke 0001813416996 Visual disturbance, unspecified Cempaka Lima Mata
281 Asrel Nazar Jka 57 L Peurada 0002197381149 Cerebrovascular disease, unspecified Cempaka Lima Saraf
282 Rania Putri Zalikha Jka 4 P Tibang 0002739690382 Cough Cempaka Lima Anak
283 Marisi Paulina Salwa Jka 7 P Alue Naga 0003305881528 Cough Cempaka Lima Anak
284 2/22/2023 Syahril Ask 61 L Jeulingke 0000001318015 Cempaka Lima Penyakit Dalam
complications
285 Zainal Muttaqin Ask 26 L Peurada 0000001607321 Embedded and impacted teeth USK Gigi
Visual impairment including blindness (binocular or
286 Sazira Maulida Ask 28 P Jeulingke 0000001922567 USK Mata
monocular)
287 Marwiah Amsali Jkm 43 P Tibang 0000167974075 Visual disturbance, unspecified Cempaka Lima Mata
288 Junaidi Jkm 49 L Ie Masen 0000228371422 Other surgical follow-up care Cempaka Lima Orthopedi
289 Rahmawati Jkm 46 P Alue Naga 0000228378036 Low back pain Cempaka Lima Saraf
290 Erny A Jkm 55 P Kp. Pineung 0001110786107 Lumbago with sciatica Cempaka Lima Mata
291 Darmawan Jka 42 L Pineung 0001113148168 Visual disturbance, unspecified Pertamedika Mata
292 Mahdi MD Jka 65 L Lamdingin 0001114501871 Chronic ischaemic heart disease Cempaka Lima Jantung
293 Dodi Diputra Jka 42 L Jeulingke 0001440840903 Rheumatoid arthritis, unspecified Cempaka Lima Saraf
294 Fadhil Fahlevi Jka 9 L Jeulingke 0001791193105 Gastric ulcer Cempaka Lima Anak
295 Ainaol Mardiah Jka 48 P Alue Naga 0001802022434 Disorder of thyroid, unspecified Cempaka Lima Penyakit Dalam
296 Rahmawati Jka 50 P Tibang 0001859291313 Low vision, both eyes Cempaka Lima Mata
Ahmad Azam
297 Jka 6 L Kajhu 0002194819209 Cough Harapan Bunda Anak
Fathurrahman
298 Aisyah Akselia Atifa Jka 4 P Tibang 0002456913565 Respiratory disorders in diseases classified elsewhere Cempaka Lima Anak
299 Rukini Jka 50 P Peurada 0003078052446 Senile cataract, unspecified Cempaka Lima Mata
300 salma Alifah Jka 0 P Jeulingke 0003296740768 Perforation of tympanic membrane, unspecified Cempaka Lima THT
301 Zikrina Melinda Jka 26 P Lamdingin 0003299232385 Trigeminal neuralgia Cempaka Lima Saraf
302 2/23/2023 Kusnaini Ask 56 P Deah Raya 0000001587982 Primary generalized (osteo)arthrosis Cempaka Lima Saraf
Cahaya Permata
303 Ask 23 P Deah Raya 0000001588004 Nasal polyp, unspecified Cempaka Lima THT
Iqlima
304 David Maulana Ask 26 L Kp. Pineung 0000228154263 Meralgia paraesthetica Cempaka Lima Saraf
305 fatimah Jkm 67 P Jeulingke 0000229173491 Cerebral infarction Cempaka Lima Saraf
306 Kurniawati Jkm 44 P Jeulingke 0000979460616 Low vision, both eyes Cempaka Lima Mata
307 Rasidah Jkm 53 P Jeulingke 0000981966857 Thyrotoxicosis [hyperthyroidism] Cempaka Lima Penyakit Dalam
308 Maneh Adam Jka 67 L Alue Naga 0001111145163 Chronic ischaemic heart disease Cempaka Lima Jantung
309 Rosnaini Jka 52 P Jeulingke 0001111161317 Lesion of sciatic nerve Cempaka Lima Saraf
310 Cut Nurbaidah Jka 52 P Jeulingke 0001115105512 Cempaka Lima Bedah
unspecified
311 Nur Asiah Jka 48 P Jeulingke 0001277867902 Other hypothyroidism Cempaka Lima Penyakit Dalam
312 Abdullah Sulaiman Jka 71 L Pineung 0001280974037 Chronic ischaemic heart disease Pertamedika Jantung
313 Syamsiah Jka 67 P Jeulingke 0001281034089 Other chronic obstructive pulmonary disease Pertamedika Paru
314 Cut Intan Agustia Jka 21 P Pineung 0001421086037 Low vision, both eyes Cempaka Lima Mata
315 Nursiah Jka 34 P Jeulingke 0001432380598 Pulpitis Cempaka Lima Gigi
Muhammad Adib
316 Jka 20 L Pineung 0001650104987 Papulosquamous disorders in diseases classified elsewhere Pertamedika Kulit
Fadhilah Apia
Muhammad Falih
317 Jka 18 L Pineung 0001650104998 Papulosquamous disorders in diseases classified elsewhere Pertamedika Kulit
Firdaus Apia
318 Salbiah Hasyim Jka 63 P Jeulingke 0001815747805 Gastric ulcer Cempaka Lima Penyakit Dalam
319 Syamsuddin Jka 68 L Peurada 0001842693041 Chronic ischaemic heart disease Cempaka Lima Jantung
320 Aldi Hardiansyah Jka 38 L Jeulingke 0002336863285 Diseases of pulp and periapical tissues Cempaka Lima Gigi
321 Putri Sofia Maulina Jka 9 P Pineung 0002899875183 Diseases of pulp and periapical tissues Cempaka Lima Gigi
322 2/24/2023 Muhammad Usman Ask 65 L Pineung 0000000955282 Chronic ischaemic heart disease Cempaka Lima Jantung
Muhhammad Aliif
323 Harapan Bunda
Zikirinayya Ask 16 L Jeulingke 0000001228094 Other nontoxic goitre Anak
324 M. Yahya Jka 47 L Tibang 0001266720423 Chronic ischaemic heart disease Cempaka Lima Jantung
325 Yusuf Haikal Putra Jka 10 L Jeulingke 0001484466085 Abnormal weight loss Harapan Bunda Anak
326 2/25/2023 Binawam ask 62 L Cot Cut 0000001066318 Low vision, both eyes Pertamedika Mata
0000037806107 Non-insulin-dependent diabetes mellitus with neurological
327 Imran Hasan ask 42 L Peurada Pertamedika Penyakit Dalam
complications
328 Ilyas Djuned Jkm 77 L Jeulingke 0000229202065 Disturbances in tooth eruption Cempaka Lima Gigi
329 2/27/2023 Lussi Erlita Ask 52 P Pineung 0000001000372 Diseases of pulp and periapical tissues Iskandar Muda Gigi
330 Nasri Ask 60 P Ie Masen 0000001163158 Hypertensive heart disease Pertamedika Penyakit Dalam
331 Teuku Muhammad Akli Ask 48 L Peurada 0000001239851 Other arthrosis Pertamedika Penyakit Dalam
332 Zulkifli Makan Ask 86 L Peurada 0000001530033 Sequelae of cerebrovascular disease Cempaka Lima Saraf
333 Rosmawar AR Ask 72 P Jeulingke 0000001585247 Rheumatoid arthritis, unspecified Cempaka Lima Penyakit Dalam
334 Rozalinda Ask 59 P Pineung 0000001607657 Status asthmaticus Cempaka Lima Paru
Muhammad Syahrul 20 Jeulingke Harapan Bunda
335 L 0000199395382 Low vision, both eyes Mata
Akmal Jkm
336 Benazir Fatimah Zuhra Jkm 34 P Lambhuk 0000207573816 Threatened abortion Pertamedika Obgyn
55 Pieneung Non-insulin-dependent diabetes mellitus with other specified Cempaka Lima
337 Rapur Laito Jkm L 0000227914683 Bedah
complications
338 Zuraidah Jkm 50 P Jeulingke 0000228252194 Panniculitis affecting regions of neck and back Pertamedika Saraf
339 Khairan Nisa Jkm 13 P Pineung 0000228375641 Pulpitis USK Gigi
340 Jauhari Pidie Jkm 57 P Tibang 0000228850042 Retained dental root Pertamedika Gigi
341 Zainabon Jkm 65 P Jeulingke 0000229252858 Other specified surgical follow-up care Pertamedika Orthopedi
342 Siti Nurmasyithah Jkm 41 P Jeulingke 0000979607542 Other and unspecified ovarian cysts Pertamedika Obgyin
343 Salmiah Jkm 72 P Jeulingke 0000981966576 Other specified intervertebral disc disorders Cempaka Lima Saraf
344 Ruhamah Jka 55 P Jeulingke 0001111144735 Cempaka Lima Penyakit Dalam
complications
345 Fajar Raiskan Jka 20 L Peurada 0001111148965 Severe depressive episode with psychotic symptoms RSJ Jiwa
346 Mukhtasar Jka 34 L Jeulingke 0001114861195 Vitiligo Pertamedika Kulit
347 Surmayeti Jka 56 P Peurada 0001119682877 Low vision, both eyes Cempaka Lima Mata
348 Sri Ulfa Yunita Jka 22 P Peurada 0001119682923 Disorders of tooth development and eruption USK Gigi
349 Nova Marlina Jka 43 P Pineung 0001266378219 Low vision, both eyes Pertamedika Mata
350 Kamaruddin Rahman Jka 64 L Jeulingke 0001266724989 Hypertensive heart disease Cempaka Lima Jantung
351 Fourani Jka 22 L Jeulingke 0001477246004 Acute appendicitis, other and unspecified RSUD Meuraxa Penyakit Dalam
352 Mulina Jka 15 P Pineung 0001789768776 Pulpitis USK Gigi
354 Muhammad Yusuf Jka 49 L Alue Naga 0001804116712 Other specified surgical follow-up care Pertamedika Urologi
355 Zulfan Jka 42 L Jeulingke 0001858832302 Obstruction of duodenum Cempaka Lima Penyakit Dalam
356 Mayulidar Jka 19 P Jeulingke 0001903031223 Disorders of tooth development and eruption Cempaka Lima Gigi
357 Rusydi Jka 56 L Jeulingke 0002090699897 Pulpitis Iskandar Muda gigi
358 Almahyra Ulya Jka 5 P Jeulingke 0002425245671 Pulpitis Iskandar Muda gigi
359 2/28/2023 Nazarullah Ask 38 L Jeulingke 0000000085138 Unstable angina Cempaka Lima Jantung
360 Nurhayati Ask 52 P Peurada 0000001215292 Cempaka Lima Penyakit Dalam
complications
361 Duriana Ask 67 P Tibang 0000001243269 Low vision, both eyes RSUD Meuraxa Mata
362 T Rahmadi Ask 40 L Pineung 0000001393391 USK Penyakit Dalam
complications
363 M. Nurdin Daud Ask 74 L Jeulingke 0000001585236 Cempaka Lima bedah
unspecified
364 Rika Afriani Ask 37 P Pineung 0000004581202 Pulpitis USK Gigi
365 Darin Zalfa Alya Jkm 19 P Tibang 0000167143713 Lichen simplex chronicus and prurigo RSUD Meuraxa Kulit
Usman Ramli Jkm 59 L Jeulingke 0000228375786 Sequelae of cerebral infarction Iskandar Muda Saraf
366 Marliah Jkm 47 P Tibang 0000228851504 Hypertensive heart disease Pertamedika Jantung
367 Cut Zahari Jka 73 P Pineung 0001111159023 Chronic ischaemic heart disease Cempaka lima Jantung
368 Ismid Jka 62 L Peurada 0001119682866 Low vision, both eyes USK Mata
369 Cut Jamaliah Jka 57 P Pineung 0001271988876 Cerebral infarction Pertamedika Saraf
370 Adian Jka 70 P Peurada 0001442265489 Low vision, both eyes Meutia Mata
371 Failul Akbar Jka 29 L Tibang 0001791708467 Schizophrenia Cempaka Lima Jiwa
372 Mahmudiah Jka 69 L Alue Naga 0001798263696 Heart failure Pertamedika Jantung
373 Nuraini Jka 56 P Peurada 0001813325793 Low vision, both eyes Meutia Mata
Raziana Restu Dislocation, sprain and strain of joints and ligaments of
374 Jka 16 L Peurada 0001968822224 Cempaka Lima Bedah
Fadillah shoulder girdle
375 M. Gibran Habibie Jka 6 L Jeulingke 0002223202015 Papulosquamous disorders in diseases classified elsewhere Cempaka Lima Kulit
376 Tumini Jka 67 P Pineung 0002461923887 Arthrosis, unspecified Pertamedika Saraf

377 Khairani Jka 50 P Jeulingke 0002474727478 Radiculopathy RSUD Meuraxa Saraf
378 Khansa Humaira Jka 1 P Pineung 0003074704716 Developmental disorder of speech and language, unspecified Cempaka Lima Anak
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Mengetahui

NIP. 19820702 200012 2 001
BULAN : MARET 2023
JAMINAN RUMAH SAKIT
NO TANGGAL NAMA PASIEN UMUR JK ALAMAT NO BPJS DIAGNOSA
KESEHATAN RUJUKAN
1 3/1/2023 Ahmadi Ask 66 L Jeulingke 0000000009764 Senile incipient cataract Cempaka Lima
2 Isfaniari Ask 42 P Jeulingke 0000000085127 Low vision, both eyes Cempaka Lima
3 Syakur Azis Ask 67 L Jeulingke 0000001058602 Other mononeuropathies Cempaka Lima
4 Zuraidah Ask 51 P Peurada 0000001389611 Injury of eye and orbit Cempaka Lima
5 Rohana Yusuf Ask 68 P Peurada 0000001689884 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
6 Saidan Jamil Jkm 51 L Peurada 0000228784037 Schizophrenia Cempaka Lima
7 Muhammad Fikri Jkm 12 L Jeulingke 0000229262466 Tuberculous peripheral lymphadenopathy Pertamedika
8 Kamaruddin Jka 58 L Pineung 0001112477253 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
9 Sukmawartati Jka 57 P Lamgugop 0001116547536 Trigeminal neuralgia RSUD Meuraxa
10 Heri Agung Krisnono Jka 58 L Jeulingke 0001142879128 Heart failure Cempaka Lima
11 Mahyiddin Abdi Jka 68 L Lamgugop 0001322445881 Chronic ischaemic heart disease Cempaka Lima
12 Tinike Jka 44 P Jeulingke 0001422018112 Low vision, both eyes Cempaka Lima
13 Faridah Hanim Jka 58 P Pineung 0001610600984 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
14 Rosmaniar Jka 71 P Jeulingke 0001677363197 Malignant neoplasm of nipple and areola Meutia
15 Nurlatifah Jka 40 P Tibang 0001796198016 Allergic contact dermatitis Cempaka Lima
16 Zuraini Abdullah Jka 41 P Pineung 0001802319232 Other abnormal uterine and vaginal bleeding Cempaka Lima
17 Safriani Jka 37 P Tibang 0001884200567 Diseases of pulp and periapical tissues USK
18 Rahadul 'aisy Husni Jka 25 P Peurada 0002237334298 Pain in joint Cempaka Lima
19 Syahrul Ramadhan Jka 4 L Tibang 0002752839415 Disorder of middle ear and mastoid, unspecified Cempaka Lima
20 Aya Shopia Jka 9 Bulan P Tibang 0003274379831 Papulosquamous disorder, unspecified Cempaka Lima
21 3/2/2023 Nurmasyithah Ask 58 P Kp. Pineung 0000000235888 Glaucoma Saihak Eye Center
22 Nurhasanah Ask 55 P Lambaro Skep 0000000976195 Polyarthrosis Pertamedika
23 Zubariah Ask 54 P Peurada 0000001130499 Hearing loss, unspecified Cempaka Lima
24 Hafriza Ask 39 L Jeulingke 0000001381116 Chalazion Saihak Eye Center
25 Zahri Mahmud Ask 76 L Kp. Pineung 0000001585664 Hypertensive heart disease Cempaka Lima
26 Cindi Viona Ask 21 P Ie Masen 0000002614544 Papulosquamous disorders in diseases classified elsewhere Cempaka Lima
27 Nadiyah Mawaddah Ask 20 P Lambhuk 0000009367481 Corns and callosities Cempaka Lima
28 Daffa Aqillul Fawwas Jkm 12 L Tibang 0000196162661 Acute sinusitis Cempaka Lima
29 Adinda Herlina Jkm 16 P Jeulingke 0000229215778 Perforation of tympanic membrane Cempaka Lima
30 Suci Geubrina YG Jka 24 P Pineung 0001111156503 Ganglion Cempaka Lima
31 Ismail Sulaiman Jka 67 L Jeulingke 0001111157853 Senile cataract Cempaka Lima
32 Mutia Farida Jka 29 P Jeulingke 0001142856077 Other arthrosis Pertamedika
33 Darlina Jka 47 P Jeulingke 0001278697241 Other chronic obstructive pulmonary disease Pertamedika
34 Reza Kurniawan Jka 30 L Peurada 0001308246974 Fever, unspecified Cempaka Lima
35 Siti Sauwiyah Jka 50 P Jeulingke 0001477245903 Low vision, both eyes Pertamedika
36 Yuliana Jka 60 P Alue Naga 0001789661845 Dorsalgia Cempaka Lima
37 Syahrul Ibrahim Jka 44 L Jeulingke 0001801065598 Disease of stomach and duodenum, unspecified Pertamedika
38 Sarmila Jka 49 P Peurada 0001805693837 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
39 Abdullah Jka 63 L Jeulingke 0001817100854 Non-insulin-dependent diabetes mellitus with neurological complications Tgk. Fakinah
40 Muhammad Nizam Jka 7 L Alue Naga 0001971951322 Hyperkinetic disorder, unspecified Cempaka Lima
41 Jimmi Fahmi Jka 43 L Peurada 0002253779043 Schizophrenia RSJ Jiwa
42 Dara Faradisa Jka 4 P Lambhuk 0002466539908 Hypertrophy of adenoids Cempaka Lima
43 Ibrahim Jka 61 L Jeulingke 0003139007949 Epilepsy RSUD Meuraxa
44 3/3/2023 Aulia Agusdi Ask 23 L Jeulingke 0000004367338 Keloid Scar Pertamedika
45 3/6/2023 Muzakir A Wahab Ask 67 L Jeulingke 0000000109978 Other specified intervertebral disc degeneration Harapan Bunda
46 Sulaimana A Ask 64 L Tibang 0000001026382 Chronic ischaemic heart disease Cempaka Lima
47 Drs. Ibnu Hasyim Ask 69 L Pineung 0000001154733 Hyperplasia of prostate Harapan Bunda
48 Nurlela AR Ask 65 P 0000001168391 Senile cataract Cempaka Lima
49 Iswanda Ask 32 L Jeulingke 0000001168402 Injury of eye and orbit, part unspecified Cempaka Lima
50 Ainal Mardhiah Ask 68 P 0000001588127 Chronic ischaemic heart disease Pertamedika
51 T. Zaini Yuzar Ask 69 L Peurada 0000001759555 Hyperplasia of prostate Harapan Bunda
52 Muhammad Afwan Aulia Ask 25 L Pineung 0000001760084 Epilepsy RSJ
53 Syamsidar Ask 61 P Jeulingke 0000001954517 Intervertebral disc disorder, unspecified Cempaka Lima
54 Yayang Lestari Ask 24 P Jeulingke 0000005020299 Disorders of tooth development and eruption Iskandar Muda
55 Linta Rizeka Ask 23 P Jeulingke 0000017743634 Diseases of pulp and periapical tissues USK
56 A Karim Ask 54 L Tibang 0000038379655 Acute vascular disorders of intestine Cempaka Lima
57 Zainabon Cut Jkm 73 P Jeulingke 0000159601397 Low vision, both eyes Cempaka Lima
58 Aini Fitriah Jkm 27 P Jeulingke 0000220058054 Other and unspecified ovarian cysts Cempaka Azzahra
59 Ainul Mardhiah Jkm 49 P Pineung 0000227945283 Cerebral infarction Cempaka Lima
60 Roswita Jkm 33 P Jeulingke 0000229174402 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
61 Nurul Maqvirah Jka 33 P Jeulingke 0001110672584 Excessive, frequent and irregular menstruation Cempaka Lima
62 Eva Julianti Jka 29 P Jeulingke 0001112802783 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
63 Jumiati Jka 49 P Tibang 0001114490384 Low vision, both eyes Cempaka Lima
64 M. Yusuf Mahmud Jka 78 L Pineung 0001287305357 Chronic ischaemic heart disease Pertamedika
65 Nurmuhayat Jka 70 L Jeulingke 0001335136792 Cerebral infarction Cempaka Lima
66 Attaya Bilal Rizqillah Jka 14 L Jeulingke 0001373724404 Hearing loss, unspecified Cempaka Lima
67 Nurhayati Jka 39 P Alue Naga 0001443707008 Supervision of normal pregnancy, unspecified Cempaka Azzahra
68 Nuradian Jka 51 P Jeulingke 0001610598194 Dorsalgia Cempaka Lima
69 Iman Santosa Jka 49 L Peurada 0001801769714 Hypertensive heart disease Cempaka Lima
70 Mariyamah Jka 48 P Jeulingke 0001804117274 Chronic apical periodontitis Iskandar Muda
71 Mahdalena Jka 34 P Alue Naga 0001842325659 Supervision of normal pregnancy, unspecified Cempaka Azzahra
72 Raja Ar Riyadh Azmi Jka 7 L Darussalam 0002047641849 Other conjunctival vascular disorders and cysts USK
73 T. Hafnibar Jka 56 L Pineung 0002064936611 Calculus of kidney and ureter Cempaka Lima
74 Nazariah Jka 56 P Jeulingke 0002081824863 Low vision, both eyes Cempaka Lima
75 Cut Muliani Jka 28 P Pineung 0002614987348 Low vision, both eyes Cempaka Lima
76 3/7/2023 Tajuddin Ask 62 L Pineung 0000000147341 Non-insulin-dependent diabetes mellitus with neurological complications Harapan Bunda
77 Zakaria H Ubit Ask 70 L Lamnyong 0000000376705 Other heart disorders in diseases classified elsewhere Cempaka Lima
78 Nunik Gemiarty Ask 47 P Jeulingke 0000000979323 Other and unspecified ovarian cysts Harapan Bunda
79 Ichsani Ask 68 L Jeulingke 0000001338557 Hyperplasia of prostate Pertamedika
80 Ita Sumarni Ask 57 P Pineung 0000001446175 Diseases of pulp and periapical tissues Cempaka Lima
81 Djasmidarwaty Ask 67 P Jeulingke 0000001446748 Sequelae of cerebrovascular disease Cempaka Lima
82 Drs. H. Oemar Alqarim Ask 80 L Pineung 0000001583471 Other chronic obstructive pulmonary disease Cempaka Lima
83 Nurhayati Ibrahim Ask 70 P Peurada 0000001588252 Low vision, both eyes Pertamedika
84 M. Rasyid Ask 76 L Uj0ng Bate 0000001591446 Low back pain Pertamedika
85 Nursiah Yahya Ask 72 P Pineung 0000001629483 Hypertensive heart disease Cempaka Lima
86 Hasmiana Ask 69 P Peurada 0000001728393 Cardiomegaly Cempaka Lima
87 Euis Sisca Ningrum Ask 24 P Tibang 0000002283322 Hypertrophy of tonsils with hypertrophy of adenoids Harapan Bunda
88 Ismail Mahmud Jkm 75 L Jeulingke 0000167123935 Allergic contact dermatitis, unspecified cause Cempaka Lima
89 Putri Rahilla Jkm 21 P Jeulingke 0000981966104 Low vision, both eyes Cempaka Lima
90 M. Akbar Syuhada Jka 31 L Peurada 0001111147997 Arthrosis, unspecified Pertamedika
91 Mellia Ulfa Jka 40 P Pineung 0001438121711 Supervision of normal pregnancy, unspecified Cempaka Azzahra
92 Zulidarniwaty Jka 53 P Jeulingke 0001444803671 Pulpitis Iskandar Muda
93 Elli Zainah Jka 57 P Pineung 0001620559888 Gonarthrosis [arthrosis of knee] Pertamedika
94 Nurbaity Jka 78 P Ie Masen 0001804537236 Arthrosis, unspecified Pertamedika
95 Eli Wardani Jka 35 P Jeulingke 0001807193496 Supervision of normal pregnancy, unspecified Cempaka Azzahra
96 Nurjannah Jka 29 P Jeulingke 0001866833561 Disorders of tooth development and eruption Pertamedika
97 Wildan Mukhaladun Jka 4 L Tibang 0002744069804 Unilateral or unspecified inguinal hernia, without obstruction or gangrene Cempaka Lima
98 Zilmira Almahira Jka 1 P Jeulingke 0003305054968 Allergic contact dermatitis Cempaka Lima
99 3/8/2023 Juraida Ask 50 P Pineung 0000000574481 Low vision, both eyes Cempaka Lima
100 Dwi Wahyu Lestari Ask 51 P Gue Gajah 0000001084274 Low vision, both eyes Cempaka Lima
101 Ainalsafwani Ask 60 P Pineung 0000001117135 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
102 A K Djailani Ask 72 L Jeulingke 0000004280095 Chronic ischaemic heart disease Cempaka Lima
103 Sufrida Jkm 57 P Jeulingke 0000168882208 Low back pain Pertamedika
104 M. Afif Asyawal Jkm 22 L Jeulingke 0000204566229 Low vision, both eyes Cempaka Lima
105 Aisyah Nur Azizah Jka 12 P Jeulingke 0001110675789 Secondary sideroblastic anaemia due to disease Cempaka Lima
106 Miswar Jka 51 L Pineung 0001195746568 Thyrotoxicosis [hyperthyroidism] Cempaka Lima
107 Miftahul Jannah Jka 15 P Alue Naga 0001793962361 Cluster headache syndrome Cempaka Lima
108 Salbiah Hasyim Jka 63 P Jeulingke 0001815747805 Dorsalgia Cempaka Lima
109 Teuku Nabul Muhammad Dhuha Jka 20 L Krueng Cut 0002215294525 Low vision, both eyes Cempaka Lima
110 Latifa Asyura Jka 9 P Jeulingke 0002266405773 Periapical abscess without sinus Cempaka Lima
111 Adrian Ahmad Al Hafidz Jka 2 L Peurada 0003076585964 Other disorders of penis Harapan Bunda
112 3/9/2023 Usman Bahrumsyah Ask 79 L Jeulingke 0000000644139 Chronic ischaemic heart disease Cempaka Lima
113 Kamararuzzaman Ask 64 L Pineung 0000001148027 Hyperplasia of prostate Harapan Bunda
114 Siti Zubaidah Ask 53 P Jeulingke 0000001251404 Low back pain Cempaka Lima
115 Nurul Fajar Jkm 40 P Tungkop 0000148706201 Other superficial keratitis without conjunctivitis Pertamedika
116 Qomariah Firdaus Jkm 28 P Alue Naga 0000228465202 Supervision of normal pregnancy, unspecified Cempaka Lima
117 Ibnu Hajar Jkm 47 L Jeulingke 0000229157695 Heart failure Pertamedika
118 Basri T Agani Jkm 49 L Tibang 0000981966745 Senile cataract Cempaka Lima
119 Cut Malahayati Jka 47 P Peurada 0001111150888 Disorders of tooth development and eruption USK
120 Cut Amalia Jka 22 P Jeulingke 0001114432659 Low vision, both eyes Cempaka Lima
121 Meutia Riskana Jka 24 P Jeulingke 0001267050868 Thalassaemia RSUZA
122 Muamanah Hutasuhut Jka 37 P Jeulingke 0001805090771 Chronic sinusitis, unspecified Cempaka Lima
123 Nurbetty Jka 32 P Jeulingke 0001813710778 Malignant neoplasm of larynx, unspecified Pertamedika
124 Yurnaini Jka 72 P Peurada 0001833091986 Hypertensive heart disease Cempaka Lima
125 Octiva Nora Jka 36 P Deah Raya 0001968029921 Diseases of pulp and periapical tissues Cempaka Lima
126 Idil Fitri Jka 68 P Pineung 0002050030089 Other chronic obstructive pulmonary disease Harapan Bunda
127 Khadijah Jka 80 P Jeulingke 0002188755202 Pulpitis Cempaka Lima
128 Zuharni Jka 52 P Peurada 0002213602299 Sequelae of cerebrovascular disease Cempaka Lima
Follow-up care involving removal of fracture plate and other internal fixation
129 Muhammad Hafiz Moulvi Jka 33 L Pineung 0002500925163 Harapan Bunda
device
130 3/13/2023 Jannatun Wardati Ask 30 P Peurada 0000000309756 Chronic serous otitis media Cempaka Lima
131 Fauziah Ask 63 P Pineung 0000001136845 Hypertensive heart disease Cempaka Lima
132 Azanasriaty Ask 47 P Lampineung 0000001319387 Non-insulin-dependent diabetes mellitus with neurological complications RSUD Meuraxa
133 Lasimah Ask 74 P Pineung 0000001445455 Chronic ischaemic heart disease Pertamedika
134 Nurhayati Ibrahim Ask 70 P Peurada 0000001588252 Unspecified dementia RSJ
135 Waliyuddin Daud Ask 75 L Pineung 0000001760556 Hypertensive heart disease Cempaka Lima
136 Yuninda Pangastuti Ask 62 P Pineung 0000008861141 Hypertensive heart disease Pertamedika
137 Nadiyah Mawaddah Ask 20 P Lambhuk 0000009367481 Supervision of normal pregnancy, unspecified Cempaka Lima
138 Cut Devi Auliani Jkm 27 P Jeulingke 0000228252328 Diseases of pulp and periapical tissues RSUD Meuraxa
139 Aisyah Gade Jkm 63 P Alue Naga 0000228685858 Paranoid schizophrenia Cempaka Lima
140 Lisayani Jka 36 P Peurada 0000228698289 Diseases of pulp and periapical tissues Iskandar Muda
141 Cut Hasanah Jka 70 P Pineung 0001110984265 Senile cataract Cempaka Lima
142 T. Indra Zulfiansyah Jka 36 L Peurada 0001111151518 Gingivitis and periodontal diseases Cempaka Lima
143 Abdul Hafiz Jka 46 L Peurada 0001111156075 Low vision, both eyes Cempaka Lima
144 Yolla Adriana Jka 32 P Alue Naga 0001121661764 Supervision of normal pregnancy, unspecified Cempaka Azzahra
145 Anifar Jka 43 P Jeulingke 0001274172783 Diseases of pulp and periapical tissues Cempaka Lima
146 Sayudi Irfansyah Jka 13 L Alue Naga 0001289995817 Allergic contact dermatitis Cempaka Lima
147 Safrida Gusni Jka 63 P Lamgugop 0001451905918 Cluster headache syndrome Cempaka Lima
148 Chamsiah Jka 67 P Ie Masen 0001481569839 Chronic ischaemic heart disease Pertamedika
149 M. Oscarito Jka 27 L Neuhun 0001766889178 HIV disease resulting in unspecified infectious or parasitic disease Cempaka Lima
150 Azanul Fajri Jka 26 L Beurawe 0001791192508 Diseases of pulp and periapical tissues Cempaka Lima
151 Intan Rihadatul Aisyi Jka 14 P Jeulingke 0001806401621 Peptic ulcer, unspecified as acute or chronic, without haemorrhage or perforation Bayangkara
152 Dedi Irwansyah Jka 46 L Alue Naga 0001813379872 Low back pain Cempaka Lima
153 Sumiati Jka 47 P Peurada 0001813557216 Cyst of Bartholin's gland Cempaka Azzahra
154 Agung Firmansyah Jka 16 L Jeulingke 0001817579902 Diseases of pulp and periapical tissues Cempaka Lima
155 Juminah Jka 58 P Tibang 0002032363225 Arthrosis, unspecified Cempaka Lima
156 Khansa Khalida Azahra Jka 6 P Jeulingke 0002251363983 Cough Cempaka Lima
157 Alysa Sabria Malika Jka 4 P Jeulingke 0002478913211 Cough Pertamedika

158 Ayudia Inara Jka 3 P Tibang 0002922883828 Certain current complications following acute myocardial infarction Cempaka Lima
159 Suci Ramadhani Jka 1 P Alue Naga 0003081640959 Certain current complications following acute myocardial infarction Cempaka Lima
160 Salma Alifah Jka 1 P Jeulingke 0003296740768 Cough Cempaka Lima
161 3/14/2023 Sofyan Ask 69 L Ie Masen 0000000017212 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
162 Aspino Abusamah Ask 71 L Jeulingke 0000001084037 Hypertensive heart disease Cempaka Lima
163 Amri Andid Ask 53 L Jeulingke 0000001093443 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
164 Hairiah Ask 63 P Jeulingke 0000001138239 Subclinical iodine-deficiency hypothyroidism Pertamedika
165 Yulindawaty Ask 42 P Baet 0000001195536 Excessive and frequent menstruation with regular cycle Cempaka Azzahra
166 Nurhayati Ask 52 P Peurada 0000001215292 Epilepsy Cempaka Lima
167 Rita Br Sebahyang Ask 63 P Pineung 0000001655807 Chronic ischaemic heart disease Cempaka Lima
168 Nurmawati Ask 53 P Pineung 0000001732274 Glaucoma, unspecified Meutia
169 Rahmah Jka 57 P Jeulingke 0001277559933 Cerebral infarction Cempaka Lima
170 Aulia Putra Jka 40 L Pineung 0001438121518 Pterygium USK
171 Ulfa Junidar Jka 34 P Jeulingke 0001442377541 Pulpitis RSUD Meuraxa
172 Nakhiah Hasan Jka 65 P Jeulingke 0001791702832 Senile cataract, unspecified Harapan Bunda
173 Zaini Jka 45 L Jeulingke 0001963649226 Schizophrenia Cempaka Lima
174 Asdila Ishara Zanjabila Jka 18 P Pineung 0002323005489 Glaucoma, unspecified Meutia
175 3/15/2023 Safira Mardathillah Ask 27 P Pineung 0000000193779 Epilepsy Cempaka Lima
176 Salma Thalib Ask 71 P Jeulingke 0000000978939 Cerebral infarction Cempaka Lima
177 Wiji Lestari Ask 63 P Jeulingke 0000000996208 Senile cataract, unspecified Cempaka Lima
178 Nazariah Ask 66 P Pineung 0000001163597 Low vision, both eyes Harapan Bunda
179 Saidin Nur Ask 71 L Peurada 0000001457638 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
180 Laiyina Ask 52 P Jeulingke 0000001605295 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
181 Aisyah Ali Ask 68 P Jeulingke 0000001615274 Hypertensive heart disease Cempaka Lima
182 Rukiah Jkm 54 P Jeulingke 0000218798831 Other specified surgical follow-up care Cempaka Lima
183 Ferawati Jkm 45 P Peurada 0000228372063 Pterygium Cempaka Lima
184 Zuraifa Jkm 17 L Jeulingke 0000228373918 Allergic contact dermatitis Cempaka Lima
185 Nurlatifah Jkm 56 P Peurada 0000228836722 Cerebral infarction, unspecified Cempaka Lima
186 Sukrati Jkm 41 P Jeulingke 0000229238032 Nontoxic goitre, unspecified RSUZA
187 Marhansyah Jka 46 L Jeulingke 0001085622614 Diseases of pulp and periapical tissues USK
188 Hasanusi Jka 63 L Pineung 0001111151046 Glaucoma Pertamedika
189 Desi Rahmadani Jka 22 P Pineung 0001111151632 Acute appendicitis, other and unspecified Cempaka Lima
190 Rusli Arsyad Jka 70 L Alue Naga 0001270810293 Chronic ischaemic heart disease Cempaka Lima
191 Ummiah Jka 72 P Jeulingke 0001271340876 Senile cataract, unspecified Cempaka Lima
192 Nurhayati Jka 38 P Peurada 0001444124114 Delivery by elective caesarean section Cempaka Azzahra
193 Yusniar Jka 62 P Jeulingke 0001484992596 Non-insulin-dependent diabetes mellitus with neurological complications RSUD Meuraxa
194 Basyariah Jka 62 P Peurada 0001786857344 Hypertensive heart disease Cempaka Lima
195 Fauzie Afidh Jka 76 L Jeulingke 0001790239746 Glaucoma Cempaka Lima
196 Saskia Firawita Jka 5 P Peurada 0002293871591 Cough Pertamedika
197 Azizul Jabar Mukni Jka 13 L Jeulingke 0002899898368 Delirium, not induced by alcohol and other psychoactive substances Cempaka Lima
198 Anwar Jka 33 L Pineung 0003066064097 Other chronic obstructive pulmonary disease Cempaka Lima
199 3/16/2023 Hilda Ainis Ask 29 P Jeulingke 0000000097018 Peptic ulcer, site unspecified Rsu Meuraxa
200 Nunuy Nurhayati Ask 63 P Pineung 0000001010079 Adhesive capsulitis of shoulder Cempaka Lima
201 M Nur Daud Ask 67 L Pineung 0000001307395 Hypertensive heart disease Pertamedika
202 Zuraidah Ask 51 P Peurada 0000001389611 Diseases of pulp and periapical tissues Cempaka Lima
203 Nenah Haneti Ask 58 P Jeulingke 0000001694812 Low back pain Cempaka Lima
204 Salahuddin Ask 69 L Lampineung 0000001726018 Other specified surgical follow-up care Cempaka Lima
205 t. Amirul Mutaqqin Ask 26 L Baet 0000001746347 Depressive episode, unspecified Cempaka Lima
206 Cut Nurul Fajri Herlita Ask 25 P Krueng Cut 0000001746358 Low vision, both eyes Cempaka Lima
207 Tilma Syahnanda Ask 52 L Jeulingke 0000040263401 Cerebral infarction Cempaka Lima
208 Dzaki Arkana Muhammad Ihsan Jkm 11 L Jeulingke 0000208904973 Rheumatic heart disease, unspecified Pertamedika
209 Nisma Wati Jkm 68 P Pineung 0000227940671 Retained dental root Pertamedika
210 Herawati Jkm 37 P Jeulingke 0000229158235 Pain in throat and chest Pertamedika
211 Muhammad Arif Maulana Jka 20 L Peurada 0001081324844 Epilepsy Cempaka Lima
212 Nora Maulana Jka 34 P Jeulingke 0001107646672 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
213 Nura Syahriani Jka 32 P Tibang 0001111154466 Threatened abortion Cempaka Azzahra
214 Fatihiyati Jka 49 P Pineung 0001111160068 Senile cataract, unspecified Cempaka Lima
215 Ibrahim Mansyur Jka 66 L Alue Naga 0001119686624 Other chronic obstructive pulmonary disease Cempaka Lima
216 Qamariatul Al Fia Jka 18 P Tibang 0001796198117 Papulosquamous disorder, unspecified Cempaka Lima
217 Hafiz Riadi Jka 38 L Pineung 0001803637192 Habit and impulse disorders Cempaka Lima
218 Ananda Sari Munardi Jka 23 P Jeulingke 0002076307942 Fracture of shaft of humerus Harapan Bunda
219 Nurmahlinda Jka 41 P Peurada 0002489464192 Gastric ulcer Harapan Bunda
220 Kamariah Jka 52 P Lamgugop 0002762911642 Lumbar and other intervertebral disc disorders with myelopathy Harapan Bunda
221 Muhmammad Ridha Fahmi Jka 0 L Blang Bintang 0003300346901 Respiratory disorder, unspecified Cempaka Azzahra
222 3/17/2023 Mauidhah Ask 64 L Jeulingke 0000004407063 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
223 Risa Desika Jkm 30 P Pineung 0000199448728 Diseases of pulp and periapical tissues Pertamedika
224 Sutrisno Jkm 44 L Peurada 0000228745304 Low vision, both eyes Cempaka Lima
225 Syahrul Jka 54 L Jeulingke 0001644161837 Low vision, both eyes Cempaka Lima
226 3/20/2023 Muhammad Yusuf Ask 57 L Tibang 0000001103411 Chronic ischaemic heart disease Pertamedika
227 Cut Zubaidah Ask 66 P Lampineung 0000001125988 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
228 Rahmawaty Ask 48 P Jeulingke 0000001171517 Peptic ulcer, unspecified as acute or chronic, without haemorrhage or perforation Cempaka Lima
229 Suryati Djohan Ask 64 P Jeulingke 0000001187166 Diseases of pulp and periapical tissues Pertamedika
230 Nurbaiti Ask 64 P Jeulingke 0000001287314 Hypothyroidism, unspecified Cempaka Lima
231 Nurdin Ishak Ask 71 L Pineung 0000001287369 Hypertensive heart disease Pertamedika
232 Drs. H. Abd. Gani Latif Ask 83 L Peurada 0000001482491 Hypertensive heart disease Cempaka Lima
233 Bahiyah Ask 83 P Jeulingke 0000001509175 Fracture of femur Cempaka Lima
234 Ruqayah Ask 74 P Lampineung 0000001586891 Hypertensive heart disease Cempaka Lima
235 Hasmiana Ask 69 P Jeulingke 0000001728393 Pulpitis Cempaka Lima
236 Miftahul Jannah Ask 26 P Jeulingke 0000001735852 Peptic ulcer, unspecified as acute or chronic, without haemorrhage or perforation Cempaka Lima
237 Wirdatul Jannah Ask 27 P Baet 0000001903105 Supervision of normal pregnancy, unspecified Cempaka Lima
238 Ruhalena Wilis Ask 54 P Lampineung 0000008854367 Hypertensive heart disease Cempaka Lima
239 Eka Maida Jkm 42 P Pineung 0000208542609 Respiratory disorder, unspecified Cempaka Lima
240 Muhammad Fauzan Jkm 17 L Tibang 0000219058165 Other generalized epilepsy and epileptic syndromes Cempaka Lima
241 Mahdi A Rasyid Jkm 50 L Tibang 0000228360374 Peptic ulcer, unspecified as acute or chronic, without haemorrhage or perforation Cempaka Lima
242 Jarifah Alamsyah Jkm 42 P Alue Naga 0000980013238 Thyrotoxicosis [hyperthyroidism] RSUZA
243 Cut Mawar Raisya Jka 23 P Kp. Pineung 0001110797256 Status asthmaticus Harapan Bunda
244 Maimun Rasyid Jka 69 L Jeulingke 0001111149437 Chronic ischaemic heart disease Cempaka Lima
245 Nur Asiah Ismail Jka 64 P Peurada 0001111149459 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
246 Nuriah Jka 74 P Jeulingke 0001115340208 Senile cataract, unspecified Cempaka Lima
247 Jhon Tara Jka 63 L Alue Naga 0001116015963 Unilateral or unspecified inguinal hernia, without obstruction or gangrene Cempaka Lima
248 Bahri Ar Jka 75 L Jeulingke 0001119686512 Peptic ulcer, site unspecified Cempaka Lima
249 Bakhron Rachi Jka 52 Alue Naga 0001267858787 Chronic renal failure, unspecified RSUZA
250 Muhammad Nasir Jka 57 L Jeulingke 0001277712663 Cerebral infarction, unspecified Cempaka Lima
251 Afzalul Fata Jka 11 L Tibang 0001288939375 Disorder of conjunctiva, unspecified Cempaka Lima
252 Muhammad Sayuqi Ramadhan Jka 18 L Jeulingke 0001305255565 Disorders of tooth development and eruption Cempaka Lima
253 Novia Ariska Jka 31 P Alue Naga 0001313747673 Other intervertebral disc disorders Cempaka Lima
254 Marsha Dara Anastasha Jka 15 P Jeulingke 0001449302264 Hypertrophy of nasal turbinates Cempaka Lima
255 Muhammad Hasan Jka 58 L Jeulingke 0001483416268 Insulin-dependent diabetes mellitus with neurological complications Pertamedika
256 Nursami Jka 60 P Jeulingke 0001483417708 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
257 Surya Ningsih Jka 54 P Alue Naga 0001789487054 Carpal tunnel syndrome Cempaka Lima
258 Saed Herlin Setiawan Jka 22 L Ie Masen 0001807790602 Other surgical follow-up care Pertamedika
259 M. Ridho Akbar Jka 23 L Kp. Pineung 0001840271848 Polyneuropathy, unspecified Pertamedika
260 Tendi Risfandi Jka 42 L Jeulingke 0002057567499 Hypertensive heart disease Cempaka Lima
261 Chadijah Jka 88 P Tibang 0002205349773 Calculus in urethra Cempaka Lima
262 Nurul Hidayati Jka 12 P Jeulingke 0002275240364 Pulpitis Iskandar Muda
263 Sobari Jka 62 L Alue Naga 0002447187491 Pulmonary collapse Cempaka Lima
264 Dara Faradisa Jka 4 P Lambhuk 0002466539908 Sleep apnoea Cempaka Lima
265 Sri Haryati Jka 34 P Jeulingke 0002775432339 Acute posthaemorrhagic anaemia Cempaka Azzahra
266 Arash Zeky Alhusayn Jka 0 L Ule Kareng 0003503279823 Respiratory disorder, unspecified Pertamedika
267 Bayi Nyonya Widya Lestari Jka 0 L Pineung 0003512563817 Hirschsprung's disease Harapan Bunda
268 3/21/2023 Eliana Ask 62 P Kp. Pineung 0000000951557 Sequelae of cerebral infarction Harapan Bunda
269 Safriani Ask 53 P Kp. Pineung 0000001117664 Senile cataract Saihak Eye Center
270 Nurmaya Ask 57 P Pelanggahan 0000026230959 Non-insulin-dependent diabetes mellitus with neurological complications RSIA
271 Amril Jkm 44 L Jeulingke 0000162714227 Lichen simplex chronicus Pertamedika
272 Maryam Jkm 53 P Jeulingke 0000168887057 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
273 Muhammad Haiqal Ayaza Jkm 18 L Peurada 0000204912999 Chancroid Cempaka Lima
274 Husaini Jkm 53 L Jeulingke 0000229192773 Hypertensive heart disease Pertamedika
275 Yusna Yusuf Jkm 54 P Jeulingke 0000229209996 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
276 Keumalawati Jkm 53 P Jeulingke 0000229239988 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
277 Salbiah Hasyim Jkm 73 P Jeulingke 0000979644611 Cerebral infarction Iskandar Muda
278 Livia Ariska Jkm 25 P Pineung 0000981965259 Low vision, both eyes Cempaka Lima
279 Saskia Syakira Jka 14 P Peurada 0001110674799 Respiratory disorder, unspecified Cempaka Lima
280 Maryamah Is Jka 65 P Jeulingke 0001111154703 Diseases of pulp and periapical tissues Cempaka Lima
281 Putroe Humaira Jka 12 P Jeulingke 0001112967224 Visual disturbance, unspecified Pertamedika
282 Silfiani Jka 32 P Jeulingke 0001123333841 Arthrosis, unspecified Pertamedika
283 Fadhilah Husna Jka 26 P Jeulingke 0001268076317 Schizophrenia RSJ Jiwa
284 T. Syahrial Jka 59 L Jeulingke 0001725178228 Glaucoma suspect Pertamedika
285 Nasrinah Jka 45 P Peurada 0002263282841 Disorder of skin and subcutaneous tissue, unspecified Cempaka Lima
286 Fathiya Alifa Jka 13 P Tibang 0003069331119 Visual disturbance, unspecified Cempaka Lima
287 Irdina Ulya Jka 11 P Pineung 0003286692393 Polyp of middle ear Rsu Meuraxa
288 3/24/2023 Umar Bin Khatab Jka 37 L Pineung 0000227950086 Haemorrhagic disorder due to circulating anticoagulants Pertamedika
289 Keumalawati Jka 53 P Jeulingke 0000229239988 Non-insulin-dependent diabetes mellitus with peripheral circulatory complications Pertamedika
290 Fajriah Darmayati Jka 25 P Jeulingke 0000979189626 Calculus of ureter Pertamedika

291 Nurmuhayat Jka 70 L Tibang 0001335136792 Senile cataract Pertamedika
292 Dilla Kurnia Jka 23 P Lamdingin 0001829839094 Other arthrosis Pertamedika
293 3/27/2023 Nellita Mutia Ask 53 P Peurada 0000000010078 Low back pain Harapan Bunda
294 Zulkarnain Ask 54 L Peurada 0000000010089 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
295 Thursina Ask 54 P Pineung 0000000222592 Other arthrosis Cempaka Lima
296 Ismail Ask 69 L Pineung 0000000950962 Hypertensive heart disease Cempaka Lima
297 Zainal Abidin Umar Ask 69 L Ie Masen 0000000962054 Hypertensive heart disease Cempaka Lima
298 Saifullah Ask 61 L Pineung 0000001079616 Polyneuropathy, unspecified Harapan Bunda
299 Nurbaiti Ask 58 P Jeulingke 0000001109169 Senile cataract, unspecified Pertamedika
300 Aswat Ask 69 L Pineung 0000001121422 Pterygium Cempaka Lima
301 Ika Yuliani Ask 38 P Peurada 0000001143044 Scoliosis, unspecified, lumbar region Cempaka Lima
302 Nazariah Ask 62 P Jeulingke 0000001163608 Carpal tunnel syndrome Harapan Bunda
303 Iskandar Usman Ask 60 L Jeulingke 0000001163621 Low back pain Harapan Bunda
304 Muhammad Alif Zikranayya Ask 16 L Jeulingke 0000001228094 Other epilepsy Nanggroe Madani
305 Sunazar Ask 65 L Jeulingke 0000001231198 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
306 Bachtiar Ask 58 L Jeulingke 0000001265545 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
307 Cut Aida Fitri Ask 56 P Pineung 0000001719459 Hypertensive heart disease USK
Gastric ulcer, unspecified as acute or chronic, without haemorrhage or
308 Masitah Ask 62 P Jeulingke 0000002200904 Pertamedika
perforation
Gastric ulcer, unspecified as acute or chronic, without haemorrhage or
309 T. Mahyuddin Ar Jkm 58 L Pineung 0000228182591 Cempaka Lima
perforation
310 M. Yusuf Jkm 44 L Alue Naga 0000228363344 Schizophrenia RSJ Jiwa
311 Safrizal M Jkm 35 L Tibang 0000228799675 Orchitis, epididymitis and epididymo-orchitis without abscess Cempaka Lima
312 Musliadi Jkm 32 L Jeulingke 0000229160024 Erythematous condition, unspecified Cempaka Lima
313 Ina Aminah Jka 29 P Peukan Bada 0001114391968 Urinary calculus, unspecified Harapan Bunda
314 Siti Asid Jka 63 P Pineung 0001270946698 Low vision, both eyes Iskandar Muda
315 Trisnawati Jka 39 P Pineung 0001309429293 Neuralgia and neuritis, unspecified Cempaka Lima
316 Darmansyah Jka 63 L Jeulingke 0001477245824 Non-insulin-dependent diabetes mellitus with neurological complications RSUD Meuraxa
317 Siti Sauwiyah Jka 50 P Jeulingke 0001477245903 Hypertensive heart disease Pertamedika
318 Yusnidarnawati Jka 33 P Jeulingke 0001477246566 Low vision, both eyes Pertamedika
319 Hendrayana Jka 37 L Jeulingke 0001482336336 Other chronic obstructive pulmonary disease USK
320 Jalaluddin Jka 77 L Jeulingke 0001483980276 Cerebral infarction Cempaka Lima
321 Adi Suarno Jka 65 L Pineung 0001785226195 Low back pain Cempaka Lima
322 Mahdiah Jka 49 L Pineung 0001836722608 Chronic ischaemic heart disease Cempaka Lima
323 Syarifah Yanti Jka 37 P Jeulingke 0001902957164 Cervicalgia Pertamedika
324 Zubaidah Jka 30 P Tibang 0002080130883 Gestational [pregnancy-induced] hypertension without significant proteinuria Cempaka azzahra
325 Cut Irma Yunita Jka 33 P Jeulingke 0002235164804 Low vision, both eyes Pertamedika
326 Azzahra Putri Annisa Jka 4 P Peurada 0002897217055 Haemangioma, any site Fakinah
327 Sufia Syukira Jka 3 P Jeulingke 0002925511593 Periapical abscess without sinus Cempaka Lima
328 Muhammad Syifari Asy Syafiq Jka 4 Bulan L Jeulingke 0003309900963 Cough Pertamedika
329 3/28/2023 Musa Umar Ask 66 L Ie Masen 0000000192791 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
330 Jufri Ask 55 L Peurada 0000000971436 Chronic ischaemic heart disease Cempaka Lima
331 Cut Zuwardiana Ask 59 P Pineung 0000001079649 Other arthrosis Harapan Bunda
332 Cut Yunita Sari Ask 62 P Peurada 0000001125944 Low vision, both eyes Pertamedika
333 Raini Johan Ask 67 L Jeulingke 0000001171708 Chronic ischaemic heart disease Cempaka Lima
334 Ny. Hj. Wardiah Amin Ask 70 P Peurada 0000001583267 Non-insulin-dependent diabetes mellitus with neurological complications Pertamedika
335 Imran Daud Ask 69 L Jeulingke 0000001584898 Chronic ischaemic heart disease Cempaka Lima
336 Rahmah Ask 69 P Pineung 0000001588386 Low vision, both eyes Cempaka Lima
337 Martono Ask 64 L Jeulingke 0000003734019 Low vision, both eyes Cempaka Lima
338 Moliati Ask 39 P Deah Raya 0000004585612 Low vision, both eyes Cempaka Lima
339 Yayang Lestari Ask 24 P Jeulingke 0000005020299 Low vision, both eyes Cempaka Lima
340 Nurlatifah Jkm 30 P Jeulingke 0000225607296 Pulpitis Pertamedika
341 Nursidah Jkm 50 P Pineung 0000227942526 Low vision, both eyes Cempaka Lima
342 Mawarni Jumpa Rezeki Jkm 20 P Jeulingke 0000228712937 Diabetes mellitus arising in pregnancy Cempaka azzahra
343 Ainul Marziah Jka 53 P Jeulingke 0001111156874 Abdominal and pelvic pain Cempaka azzahra
344 Zubaidi Jka 59 L Jeulingke 0001283507706 Cerebral infarction Cempaka Lima
345 Nur Asiah Jka 46 P Alue Naga 0001787643876 Malignant melanoma of skin, unspecified Cempaka Lima
346 Juariah Jka 47 P Jeulingke 0001802140165 Pleural effusion in conditions classified elsewhere Cempaka Lima
347 Trisnardi Jka 33 L Pineung 0002222091235 Other intervertebral disc disorders Cempaka Lima
348 Khalisa Ulya Elhanum Jka 4 P Jeulingke 0002775833302 Cough Cempaka Lima
349 Arisha Lashira Safra Jka 1 P Tibang 0003093546352 Extremely low birth weight Pertamedika
350 3/29/2023 Tuanku Isa Abdillah Ask 34 L Pineung 0000001126001 Rheumatoid arthritis, unspecified Pertamedika
351 Akhyar Abdullah Ask 52 L Pineung 0000001291465 Schizophrenia RSJ Jiwa
352 Fitriany Ask 48 P Peurada 0000001610425 Polyneuropathy, unspecified Rsu Meuraxa
353 Roni Muharis Ask 56 L Jeulingke 0000004541297 Rheumatoid arthritis, unspecified Cempaka Lima
354 Nasron Jkm 39 L Jeulingke 0000229200063 Schizophrenia Cempaka Lima
355 Nur Ismi Jalil Jkm 39 P Jeulingke 0000229209309 Visual disturbance, unspecified Pertamedika
356 Zulfitri Jkm 43 L Peurada 0000229210108 Pterygium Cempaka Lima
357 Erikha Nabila Jka 25 P Jeulingke 0001111148921 Threatened abortion Cempaka azzahra
358 Meutia Salni Jka 36 P Peurada 0001276441479 Mononeuropathies of lower limb Cempaka Lima
359 Usman Ali Jka 72 L Jeulingke 0001815747658 Psoriasis, unspecified Cempaka Lima
360 Zurachman Ibrahim Jka 75 P Jeulingke 0002299348989 Other and unspecified cirrhosis of liver Pertamedika
361 Sayed Muslim Jka 41 L Jeulingke 0003279640285 Superficial injury of ankle and foot, unspecified Cempaka Lima
362 3/30/2023 Jufri Ask 59 L Pineung 0000000130364 Hypertensive heart disease Cempaka Lima
363 M. Isa Ask 60 L Jeulingke 0000000193757 Lichen simplex chronicus Cempaka Lima
Other specified symptoms and signs involving the circulatory and respiratory
364 Roslina Ask 59 P Tibang 0000001047791 Cempaka Lima
systems
365 M. Nasir Amin Ask 68 L Peurada 0000001606061 Gonarthrosis, unspecified Cempaka Lima
366 Amril Jkm 44 L Jeulingke 0000162714227 Necrosis of pulp Pertamedika
367 M. Jafar Jkm 53 L Pineung 0000165848613 Chronic ischaemic heart disease Pertamedika
368 Zahara Humaira Jkm 15 P Tibang 0000228797706 Visual disturbance, unspecified Cempaka Lima
369 Said Saiful Jka 47 L Peurada 0001111145354 Non-insulin-dependent diabetes mellitus with neurological complications Cempaka Lima
370 Meutia Salni Jka 36 P Jeulingke 0001276441479 Low vision, both eyes Cempaka Lima
371 Said Hafidz Akbar Jka 14 L Lampineung 0001277665031 Diseases of pulp and periapical tissues Pertamedika
372 M. Fathir Danafis Jka 11 L Jeulingke 0001791693145 Cough Cempaka Lima
373 Asheqa Zarin Jka 3 P Jeulingke 0002942739808 Papulosquamous disorders in diseases classified elsewhere Cempaka Lima
374 3/31/2023 Hasan Basri Jkm 29 P Jeulingke 0000226771694 Schizophrenia Cempaka Lima
375 Miftahul Jannah Jka 10 P Alue Naga 0001799096343 Other benign neoplasms of connective and other soft tissue Cempaka Lima
Mengetahui
NIP. 19820702 200012 2 001
POLI
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Penyakit Dalam
Gigi
Penyakit Dalam
Obgyn
Penyakit Dalam
Paru
Saraf
Penyakit Dalam
Kemoterapi
Paru
Jantung
Penyakit Dalam
Mata
Bedah
Penyakit Dalam
Hemodialisa
Saraf
Mata
Gigi
Saraf
Tht
Penyakit Dalam
Penyakit Dalam
Saraf
Orthopedi
Saraf
Jantung
Urologi
Gigi
Paru
Tht
Penyakit Dalam
Anak
Bedah
Saraf
Mata
Penyakit Dalam
Kulit
Penyakit Dalam
Kulit
Jantung
Penyakit Dalam
Penyakit Dalam
Saraf
Mata
Anak
Gigi
Mata
Orthopedi
Jiwa
Mata
Kulit
Mata
Tht
Penyakit Dalam
Bedah
Urologi
Mata
Saraf
Penyakit Dalam
Penyakit Dalam
Saraf
Penyakit Dalam
Jantung
Saraf
Mata
Mata
Orthopedi
Saraf
Saraf
Anak
Penyakit Dalam
Paru
Jantung
Penyakit Dalam
Penyakit Dalam
Jiwa
Urologi
Kulit
Penyakit Dalam
Mata
Penyakit Dalam
Penyakit Dalam
Penyakit Dalam
Mata
Paru
Saraf
Saraf
Jantung
Saraf
Obgyn
Mata
bedah Anak
Gigi
Anak
Penyakit Dalam
Jantung
Saraf
Mata
Jantung
Penyakit Dalam
Jantung
Mata
Mata
Mata
Mata
Gigi
Mata
Obgyn
Penyakit Dalam
Saraf
Kulit
Paru
Saraf
Anak
Anak
Penyakit Dalam
Jiwa
Saraf
Penyakit Dalam
Jiwa
Mata
Mata
Obgyn
Saraf
Kulit
Penyakit Dalam
Bedah
Jantung
Kulit
Tht
Saraf
Gigi
Jantung
Mata
Penyakit Dalam
Mata
Gigi
Anak
Kulit
Jiwa
Anak
DAFTAR PELAYANAN RUJUKAN DI UPTD PUSKES
BULAN : MARET 2023
JAMINAN
NO TANGGAL NAMA PASIEN UMUR JK ALAMAT
KESEHATAN
1 3/1/2023 NU******* IB***** P
2 SU**** P
3 MA**** DA** L
4 MU**** L
5 RO**** P
P
6 NY***** KH******
L
7 SY***** BA*** YU*****
8 MA***** L
9 MU***** HA**** L
10 MA***** P
11 FI*********** P
12 FA**** L
13 EL** PU*** LE***** P
14 FA*** AB* BA*** L
15 NA**** FU*** P
16 SA***** PU****** P
17 CU* NU***** P
18 YU** HE******** P
19 HA*** MU****** L
20 M AL* BA**** L
21 DE*** OK******** P
P
22 NU*** KA******
P
23 nu*****
24 KH****** P
L
25 MU****** HA*** MO****
26
27
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Meng
Kepala UPTD Pus
Rahmah Ku
NIP. 19820702
01010304042 4/3/2023 4/3/2023 11:53 187468 NU***** P
3P000026 **
IB*****
01010304042 4/3/2023 4/3/2023 8:34 1096468 SU**** P

3P000003
01010304042 4/3/2023 4/3/2023 10:04 1153495 MA**** L

3P000014 DA**
01010304042 4/3/2023 4/3/2023 12:07 1331831 MU**** L

3P000029
01010304042 4/3/2023 4/3/2023 9:43 1585765 RO**** P

3P000012
01010304042 4/3/2023 4/3/2023 9:11 1589771 NY***** P

3P000008 KH******
01010304042 4/3/2023 4/3/2023 8:36 1757092 SY***** L

3P000004 BA***
YU*****
01010304042 4/3/2023 4/3/2023 9:44 41353334 MA***** L

3P000013
01010304042 4/3/2023 4/3/2023 10:17 1.59E+08 MU***** L

3P000016 HA****
01010304042 4/3/2023 4/3/2023 9:38 2.2E+08 MA***** P

3P000011
01010304042 4/3/2023 4/3/2023 10:52 9.82E+08 FI******* P

3P000020 ****
01010304042 4/3/2023 4/3/2023 11:57 1.08E+09 FA**** L

3P000027
01010304042 4/3/2023 4/3/2023 11:28 1.11E+09 EL** P

3P000024 PU***
LE*****
01010304042 4/3/2023 4/3/2023 10:07 1.11E+09 FA*** L
3P000015 AB*
BA***
01010304042 4/3/2023 4/3/2023 10:36 1.11E+09 NA**** P

3P000017 FU***
01010304042 4/3/2023 4/3/2023 9:08 1.12E+09 SA***** P

3P000007 PU******
01010304042 4/3/2023 4/3/2023 8:32 1.27E+09 CU* P

3P000002 NU*****
01010304042 4/3/2023 4/3/2023 10:47 1.28E+09 YU** P

3P000019 HE******
**
01010304042 4/3/2023 4/3/2023 12:01 1.45E+09 HA*** L

3P000028 MU*****
*
01010304042 4/3/2023 4/3/2023 11:24 1.79E+09 M AL* L

3P000022 BA****
01010304042 4/3/2023 4/3/2023 10:41 1.81E+09 DE*** P

3P000018 OK*****
***
01010304042 4/3/2023 4/3/2023 9:32 1.9E+09 NU*** P

3P000010 KA******
01010304042 4/3/2023 4/3/2023 8:29 2.04E+09 nu***** P

3P000001
01010304042 4/3/2023 4/3/2023 8:39 2.27E+09 KH****** P

3P000005
01010304042 4/3/2023 4/3/2023 11:26 2.5E+09 MU***** L

3P000023 * HA***
MO****
ANAN RUJUKAN DI UPTD PUSKESMAS JEULINGKE
RUMAH SAKIT
NO BPJS DIAGNOSA
RUJUKAN
187468 Other surgical follow-up care
1096468 Polyneuropathy, unspecified
1153495 Hypertensive heart disease
1331831 Chronic ischaemic heart disease
1585765 Senile cataract, unspecified
1589771
complications
1757092 Hypertensive heart disease
41353334 Low vision, both eyes

159496209 Hyperplasia of prostate
219526896
complications
981880007 Female pelvic inflammatory disease, unspecified
1114970398 Obsessive-compulsive disorder
1116075879 Low back pain
1266934329 Other specified intervertebral disc displacement
1275447328 Diseases of pulp and periapical tissues
1793205191 Low back pain
1813755688 Injury of unspecified blood vessel at wrist and hand level
1895508112
complications
2041532324
complications

Mengetahui

NIP. 19820702 200012 2 001
Other surgical follow- YA
up care
Polyneuropathy, YA
unspecified
Hypertensive heart YA
disease
Chronic ischaemic YA
heart disease
Senile cataract, YA
unspecified
Non-insulin- YA
dependent diabetes
mellitus with
neurological
complications
Hypertensive heart YA
disease
Low vision, both eyes YA
Hyperplasia of YA
prostate
Non-insulin- YA
dependent diabetes
mellitus with
neurological
complications
Female pelvic YA
inflammatory disease,
unspecified

Obsessive- YA
compulsive disorder
Low back pain YA
Other specified YA
intervertebral disc
displacement
Diseases of pulp and YA
periapical tissues
Low back pain YA
Injury of unspecified YA
blood vessel at wrist
and hand level
Non-insulin- YA
dependent diabetes
mellitus with
neurological
complications
Non-insulin- YA
dependent diabetes
mellitus with
neurological
complications

up care

up care
POLI

Rujukan 2023

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DAFTAR PELAYANAN RUJUKAN DI UPTD PUSKESMAS JEULINGKE

BULAN : JANUARI 2023

Rahmah Kurniasih, SKM

376 Tumini Jka 67 P Pineung 0002461923887 Arthrosis, unspecified Pertamedika Saraf

Rahmah Kurniasih, SKM

157 Alysa Sabria Malika Jka 4 P Jeulingke 0002478913211 Cough Pertamedika

290 Fajriah Darmayati Jka 25 P Jeulingke 0000979189626 Calculus of ureter Pertamedika

01010304042 4/3/2023 4/3/2023 8:34 1096468 SU**** P

01010304042 4/3/2023 4/3/2023 10:04 1153495 MA**** L

01010304042 4/3/2023 4/3/2023 12:07 1331831 MU**** L

01010304042 4/3/2023 4/3/2023 9:43 1585765 RO**** P

01010304042 4/3/2023 4/3/2023 9:11 1589771 NY***** P

01010304042 4/3/2023 4/3/2023 8:36 1757092 SY***** L

01010304042 4/3/2023 4/3/2023 9:44 41353334 MA***** L

01010304042 4/3/2023 4/3/2023 10:17 1.59E+08 MU***** L

01010304042 4/3/2023 4/3/2023 9:38 2.2E+08 MA***** P

01010304042 4/3/2023 4/3/2023 10:52 9.82E+08 FI******* P

01010304042 4/3/2023 4/3/2023 11:57 1.08E+09 FA**** L

01010304042 4/3/2023 4/3/2023 11:28 1.11E+09 EL** P

01010304042 4/3/2023 4/3/2023 10:36 1.11E+09 NA**** P

01010304042 4/3/2023 4/3/2023 9:08 1.12E+09 SA***** P

01010304042 4/3/2023 4/3/2023 8:32 1.27E+09 CU* P

01010304042 4/3/2023 4/3/2023 10:47 1.28E+09 YU** P

01010304042 4/3/2023 4/3/2023 12:01 1.45E+09 HA*** L

01010304042 4/3/2023 4/3/2023 11:24 1.79E+09 M AL* L

01010304042 4/3/2023 4/3/2023 10:41 1.81E+09 DE*** P

01010304042 4/3/2023 4/3/2023 9:32 1.9E+09 NU*** P

01010304042 4/3/2023 4/3/2023 8:29 2.04E+09 nu***** P

01010304042 4/3/2023 4/3/2023 8:39 2.27E+09 KH****** P

01010304042 4/3/2023 4/3/2023 11:26 2.5E+09 MU***** L

1757092 Hypertensive heart disease

41353334 Low vision, both eyes

2500925163 Other surgical follow-up care

Rahmah Kurniasih, SKM

Low vision, both eyes YA

Low vision, both eyes YA

Low vision, both eyes YA

Low back pain YA

Low vision, both eyes YA

Low back pain YA

Other surgical follow- YA

Other surgical follow- YA

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