LAPORAN PESERTA PRB KLINIK VINCA ROSEA

TAKENGON, ACEH TENGAH

NO BPJS
NO NAMA PESERTA
1 Raddah 00009799230126
2 Madjuardi 0000002825796
3 Murtada 0000002802396
4 Saodah 0000002863067
5 Darwis 0000002863056
6 Nurhasanah 0000002960739
7 Saida Rahmah 0000002788762
8 Zubaidah 0000979234582
9 Ali Husin 0000979231612
10 Umar 0000201408614
11 Ibrahim 0000003888202
12 Rasdiana Latief 0000002879932
13 Ansar 0000002832276
14 Sumarliza 0001173744674
15 H. Asli Mayang 0001122398943
16 Sukrawati 0000002927351
17 Rukiah 0000159480393
18 Tajerian Hasan 0000171701346
19 Seriwangi 0000002932367
20 Nilawati 0000002927856
21 Muchtar 0000002927867
22 Endang Fitriani 0001691623056
23 Aminah Aw 0000002791383
24 Abdullah Arib 0000002791394
25 Kamsiah 0000002873968
26 Marie Wahyuni 0001271127565
27 Nurhidayah 0001300139313
28 Muhammad Nuh 0000000994792
30 Syamsuddin 0000002960741

31 Ramlah 0001423932545
33 Ani 00014343703127
34 Mitra M saleh 000002903703
35 Anisa 0001121194675
 0000002960223
36 Alamsyah
37 Abdullah 0000002899023
38 Rumaini 0000002912332
39 T irjan 0000002802993
40 Maisarah 0002053593639
41 Suryati 0001298579062
42 Dahliani 0000002853887
43 Jumiah 0001078910076
44 Indra Gandi 0001144928215
45 Idawati 0000215980391
46 Ida Royani 0001079423561
47 Seri wahyuni 0000203460052
48 Syulhiah 0000002796862
ERTA PRB KLINIK VINCA ROSEA
ENGON, ACEH TENGAH

TANGGAL
THERAPY PENGAMBILAN
OBAT
Valsatan 80 mg 12/13/2018
Amlodipi 5mg, clopidogrel 75mg,Irbesartan 300mg,
piridoksin 10mg 11/2/2018
Candesartan 8mg, 9/5/2018
Amlodipin 5mg, Glimepiride 2mg, Metformine 500mg 9/6/2018
Amlodipin 5mg 9/6/2018
Amlodipin 5mg 10/16/2018
Metformine 500mg, Irbersartan 150mg, Glimepiride 2mg 10/30/2018
Amlodipin 5mg 10/29/2018
Amlodipin 5mg 11/29/2018
Amlodipin 5mg 10/25/2018
Ramipril 2,5mg, Aspilet 80mg, Clopidrogel 75mg,
Bisoforol 2,5mg, Furosemide 40mg, Spinorolakton
9/13/2018
25mg, Symbicort 2 pump
Atorvastatin 10mg, Micardis 80mg, Bisoprolol 2,5mg 9/15/2018
Glimepiride 2mg, Clopidogrel 75mg 8/4/2018
Amlodipin 5mg 8/4/2018
Irbesartan 150mg 8/20/2018
Valsatan 80 mg 8/20/2018
Amlodipin 5mg, Allupurinol 100mg 8/30/2018
Aspilet 80mg, Amlodipin 10mg, Ramipril 10mg 8/20/2018
Glimepiride 2mg 8/30/2018
Amlodipin 5mg, Metformin 500mg 9/6/2018
Amlodipin 5mg 9/6/2018
Amlodipin 5mg 9/1/2018
Glimepirid 2mg, Metformin 500mg 9/12/2018
Amlodipin 5mg 9/12/2018
Amlodipin 5mg 9/13/2018
Amlodipin 5mg 8/9/2018
Glibenclamide 5mg, Metformin 500mg 8/31/2018
Amlodipin 5mg, Glicazid 80mg, Glukodex 80mg 8/18/2018
Farmasol 100mg, Clopidogrel 75mg, Amlodipin 10mg,
8/14/2018
Sivastatin 20mg, Candesartan 15mg
Nephrocap, Concor 5mg, fenofibrate 300mg,
8/13/2018
candesartan 16mg, Allupurinol 100mg,Plantogrix 75mg
Metformin 500mg, Amlodipin 5mg 8/9/2018
Omeprazole 20mg, Amlodipin 10mg, Gabapentin 300mg 7/24/2018
Amlodipin 5mg 8/6/2018
Valsatan 160mg, Aspilet 80mg, Clopidogrel 75mg,
Metformin 500mg 7/8/2018
Amlodipin 5mg, Ranitidin 150mg 8/3/2018
Amlodipin 5mg 9/24/2018
Clopidrogil 75mg, Nitrocaf Retard, Bisoprolol 2,5mg,
Atorvastatin 10mg, Micardis 20mg, Aspilet 80mg 9/13/2018
Amlodipin 5mg, Glibenclamid 5mg, Metformin 500mg 9/25/2018
Salbutamol 4mg, Metil prednisolon 4mg 9/20/2018
Irbesartan 150mg 9/29/2018
Glibenclamide 5mg 9/20/2018
Glimepirid 2mg, Metformin 500mg 10/6/2018
Amlodipin 5mg 10/15/2018
Amlodipin 10mg 10/18/2018
Amlodipin 5mg 9/17/2108
Amlodipin 5mg 8/31/2018
DAFTAR NAMA PESERTA PESERTA RUJUK BALIK (PRB)
KLINIK VINCA ROSEATAKENGON

NO NAMA PESERTA NO BPJS ALAMAT NO HP

1 Raddah 00009799230126
2 Madjuardi 0000002825796
3 Murtada 0000002802396
4 Saodah 0000002863067 Aspol 081377004095
5 Darwis 0000002863056 Aspol 085270879012
6 Nurhasanah 0000002960739
7 Saida Rahmah 0000002788762
8 Zubaidah 0000979234582
9 Ali Husin 0000979231612
10 Umar 0000201408614
11 Ibrahim 0000003888202
12 Rasdiana Latief 0000002879932
13 Ansar 0000002832276
14 Sumarliza 0001173744674
15 H. Asli Mayang 0001122398943
16 Sukrawati 0000002927351
17 Rukiah 0000159480393
18 Tajerian Hasan 0000171701346
19 Seriwangi 0000002932367
20 Nilawati 0000002927856 Kemili 081360513033
21 Muchtar 0000002927867 Kemili 081360206555
22 Endang Fitriani 0001691623056
23 Aminah Aw 0000002791383
24 Abdullah Arib 0000002791394
25 Kamsiah 0000002873968
26 Marie Wahyuni 0001271127565
27 Nurhidayah 0001300139313 Kala Kemili 085358519186
28 Muhammad Nuh 0000000994792
29 Syamsuddin 0000002960741 Blang Kolak I 085260780655
30 Ramlah 0001423932545
31 Ani 00014343703127
32 Mitra M saleh 000002903703
33 Anisa 0001121194675
34 Alamsyah 0000002960223
35 Abdullah 0000002899023
36 Rumaini 0000002912332
37 T irjan 0000002802993
38 Maisarah 0002053593639 Blang Kolak II 082273039144
39 Suryati 0001298579062
40 Dahliani 0000002853887 Al-Muslim 081375360844
41 Jumiah 0001078910076
42 Indra Gandi 0001144928215
43 Idawati 0000215980391
44 Ida Royani 0001079423561 Umah Opat 082368348029
45 Seri wahyuni 0000203460052 Simpang Empat 085275807522
46 Syulhiah 0000002796862 Keramat Mupakat 085288551472
47 Zuriah 0001264039288 Bale Bawah 085360076161
48
49
 LAPORAN PESERTA PRB KLINIK VINCA ROSEA
TAKENGON

NO NAMA PESERTA NO BPJS THERAPY ALAMAT NO HP

1 Raddah 00009799230126 Valsatan 80 mg Keramat Mupakat
Amlodipi 5mg, clopidogrel 75mg,Irbesartan 300mg,
2 Madjuardi 0000002825796 Kemili 085358451008
piridoksin 10mg
3 Murtada 0000002802396 Candesartan 8mg, Nunang Antara 085260344275
4 Saodah 0000002863067 Amlodipin 5mg, Glimepiride 2mg, Metformine 500mg Aspol 081377004095
5 Darwis 0000002863056 Amlodipin 5mg Aspol 085270879012
6 Nurhasanah 0000002960739 Amlodipin 5mg Blang Kolak I 085227354241
7 Saida Rahmah 0000002788762 Metformine 500mg, Irbersartan 150mg, Glimepiride 2mg Lampahan 085372297405
8 Zubaidah 0000979234582 Amlodipin 5mg Kala Nunang 085372656932
9 Ali Husin 0000979231612 Amlodipin 5mg Kala Nunang 085372656932
10 Umar 0000201408614 Amlodipin 5mg Kemili 081360209380
Ramipril 2,5mg, Aspilet 80mg, Clopidrogel 75mg, Bisoforol
11 Ibrahim 0000003888202 2,5mg, Furosemide 40mg, Spinorolakton 25mg, Symbicort 2 Timangan Gading 082367273527
pump
12 Rasdiana Latief 0000002879932 Atorvastatin 10mg, Micardis 80mg, Bisoprolol 2,5mg Reje Bukit 082273117818
13 Ansar 0000002832276 Glimepiride 2mg, Clopidogrel 75mg Nunang Antara 085359086667
14 Sumarliza 0001173744674 Amlodipin 5mg Mongal 085260033119
15 H. Asli Mayang 0001122398943 Irbesartan 150mg Nunang Antara 0811971605
16 Sukrawati 0000002927351 Valsatan 80 mg Bur Biah 085277775484
17 Rukiah 0000159480393 Amlodipin 5mg, Allupurinol 100mg Wih Ni Bakong 085270902933
18 Tajerian Hasan 0000171701346 Aspilet 80mg, Amlodipin 10mg, Ramipril 10mg Bur Biah 085360056752
19 Seriwangi 0000002932367 Glimepiride 2mg Nunang Antara 085297716451
20 Nilawati 0000002927856 Amlodipin 5mg, Metformin 500mg Kemili 081360513033
21 Muchtar 0000002927867 Amlodipin 5mg Kemili 081360208555
22 Endang Fitriani 0001691623056 Amlodipin 5mg Ulu Nuwih 081370009897
23 Aminah Aw 0000002791383 Glimepirid 2mg, Metformin 500mg jln.Nunang 085296852262
24 Abdullah Arib 0000002791394 Amlodipin 5mg jln.Nunang 085296852262
25 Kamsiah 0000002873968 Amlodipin 5mg Umang 085260076966
26 Marie Wahyuni 0001271127565 Amlodipin 5mg Blang Kolak II 081370990915
27 Nurhidayah 0001300139313 Glibenclamide 5mg, Metformin 500mg Kala Kemili 085358516186
28 Muhammad Nuh 0000000994792 Amlodipin 5mg, Glicazid 80mg, Glukodex 80mg Kemili 085277101200
Farmasol 100mg, Clopidogrel 75mg, Amlodipin 10mg,
30 Syamsuddin 0000002960741 Blang Kolak I 085260780655
Sivastatin 20mg, Candesartan 15mg
 Farmasol 100mg, Clopidogrel 75mg, Amlodipin 10mg,
30 Syamsuddin 0000002960741 Blang Kolak I 085260780655
Sivastatin 20mg, Candesartan 15mg
Nephrocap, Concor 5mg, fenofibrate 300mg, candesartan
31 Ramlah 0001423932545 Wih Ni Bakong 085270902933
16mg, Allupurinol 100mg,Plantogrix 75mg
33 Ani 00014343703127 Metformin 500mg, Amlodipin 5mg Simpang Empat 085362225703
34 Mitra M saleh 000002903703 Omeprazole 20mg, Amlodipin 10mg, Gabapentin 300mg Wih Ni Bakong 085275552641
35 Anisa 0001121194675 Amlodipin 5mg Jln Lintang 085237648178
Valsatan 160mg, Aspilet 80mg, Clopidogrel 75mg, Metformin
0000002960223 Bebesen 082367362865
36 Alamsyah 500mg
37 Abdullah 0000002899023 Amlodipin 5mg, Ranitidin 150mg Kemili 081265416439
38 Rumaini 0000002912332 Amlodipin 5mg Nunang Antara 085260905288
Clopidrogil 75mg, Nitrocaf Retard, Bisoprolol 2,5mg,
39 T irjan 0000002802993 Al-Fitrah 082160055168
Atorvastatin 10mg, Micardis 20mg, Aspilet 80mg
40 Maisarah 0002053593639 Amlodipin 5mg, Glibenclamid 5mg, Metformin 500mg Blang Kolak II 082273039144
41 Suryati 0001298579062 Salbutamol 4mg, Metil prednisolon 4mg Nunang Antara 085362824455
42 Dahliani 0000002853887 Irbesartan 150mg Al-Muslim 081375360844
43 Jumiah 0001078910076 Glibenclamide 5mg BOOM 082161484561
44 Indra Gandi 0001144928215 Glimepirid 2mg, Metformin 500mg Silih Nara 085206785899
45 Idawati 0000215980391 Amlodipin 5mg Keramat Mupakat 085373148462
46 Ida Royani 0001079423561 Amlodipin 10mg Umah Opat 082368348029
47 Seri wahyuni 0000203460052 Amlodipin 5mg Simpang Empat 085275807522
48 Syulhiah 0000002796862 Amlodipin 5mg Keramat Mupakat 085288551472
49 Zuriah 0001264039288 Amlodipin 5mg Bale Bawah 085360076161
50 Idawati 0002051432043 Metformin 500mg, Glimepiride 2mg Kala Kemili