DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 28-06-2019 023501050619Y000211 0000832268125 SALEH L PBI (APBN) Dyspepsia Berobat Jalan

2 28-06-2019 023501050619Y000213 0000833014708 IMAH P PBI (APBN) Gout Berobat Jalan

3 28-06-2019 023501050619Y000212 0000833063501 ANEP P PBI (APBN) Cataract, unspecified Rujuk Lanjut

4 28-06-2019 023501050619Y000214 0000833094685 SAONAH P PBI (APBN) Tinea corporis Berobat Jalan

5 28-06-2019 023501050619Y000209 0001889203779 AHMAD ROIS CAHYADI L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
6 28-06-2019 023501050619Y000205 0002070984396 AHMAD L PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
7 27-06-2019 023501050619Y000208 0000201019555 ALI GAPAR L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
8 27-06-2019 023501050619Y000204 0000831817574 SILA P PBI (APBN) Surgical follow-up care, Berobat Jalan
unspecified
9 27-06-2019 023501050619Y000202 0001055915144 MUZAKIR L PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

10 27-06-2019 023501050619Y000203 0001890914679 SYARIAH P PNS DAERAH Supervision of normal Berobat Jalan
pregnancy, unspecified
11 27-06-2019 023501050619Y000210 0002109687928 MURNI L PBI (APBD) Dyspepsia Berobat Jalan

12 27-06-2019 023501050619Y000207 0002408408998 SAHLAN L PBI (APBD) Dyspepsia Berobat Jalan

13 27-06-2019 023501050619Y000206 0002594335961 BENAH P PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus
14 26-06-2019 023501050619Y000198 0000201019599 SURIYATNI P PNS DAERAH Acute tonsillitis, Berobat Jalan
unspecified
15 26-06-2019 023501050619Y000201 0000830830847 TIMIN P PBI (APBN) Anaemia due to enzyme Sembuh
disorders
16 26-06-2019 023501050619Y000189 0000830916628 KANOM P PBI (APBN) Other disorders of external Berobat Jalan
ear
17 26-06-2019 023501050619Y000188 0000831335409 JUMITRI L PBI (APBN) Secondary hypertension Berobat Jalan

18 26-06-2019 023501050619Y000187 0000831455976 H MAHSUN L PBI (APBN) Secondary hypertension Berobat Jalan

19 26-06-2019 023501050619Y000190 0000832205507 NURANSAH P PBI (APBN) Acute lymphadenitis of Berobat Jalan
face, head and neck
20 26-06-2019 023501050619Y000195 0000832268125 SALEH L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
21 26-06-2019 023501050619Y000191 0000832588413 IPAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
22 26-06-2019 023501050619Y000193 0001055938015 KENEP P PBI (APBN) Tinea barbae and tinea Berobat Jalan
capitis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

23 26-06-2019 023501050619Y000192 0001805009534 MARYAM P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
24 26-06-2019 023501050619Y000197 0001920065725 IIS IDAYANTI P PBI (APBN) Wegener's granulomatosis Berobat Jalan

25 26-06-2019 023501050619Y000194 0001983159843 IQ RENAM P PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus
26 26-06-2019 023501050619Y000185 0002500973818 LALU SUDIRMAN L PEKERJA MANDIRI Unspecified abdominal Rujuk Lanjut
hernia without obstruction

27 26-06-2019 023501050619Y000196 0002593069964 INAQ YAM P PBI (APBN) Myalgia Berobat Jalan

28 26-06-2019 023501050619Y000200 0002662367499 MULIASIH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
29 25-06-2019 023501050619Y000172 0000144591142 DEWI HANDAYANI, A.MD.KEP P PNS DAERAH Insertion of (intrauterine) Berobat Jalan
contraceptive device
30 25-06-2019 023501050619Y000162 0000831441137 RIANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
31 25-06-2019 023501050619Y000171 0000831748162 SALIP P PBI (APBN) Senile cataract Berobat Jalan

32 25-06-2019 023501050619Y000174 0000832130469 NURTIM P PBI (APBN) Dyspepsia Berobat Jalan

33 25-06-2019 023501050619Y000163 0000832450217 SAPAR P PBI (APBN) Anaemia, unspecified Berobat Jalan

34 25-06-2019 023501050619Y000167 0000832466946 IQ APIS P PBI (APBN) Anaemia, unspecified Berobat Jalan

35 25-06-2019 023501050619Y000165 0000832467172 ABD HAFIZ L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
36 25-06-2019 023501050619Y000161 0001055916393 ASUP L PBI (APBN) Paranoid schizophrenia Rujuk Lanjut

37 25-06-2019 023501050619Y000166 0001792593191 HAJI SANUDIN L PEKERJA MANDIRI Senile cataract Rujuk Lanjut

38 25-06-2019 023501050619Y000164 0002235764531 H. MUHIDIN L PEKERJA MANDIRI Parkinson's disease Rujuk Lanjut

39 25-06-2019 023501050619Y000170 0002632168989 SARMI P PBI (APBN) Care and examination Sembuh
immediately after delivery
40 25-06-2019 023501050619P000173 0002632168989 SARMI P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
41 24-06-2019 023501050619Y000121 0000831584283 KINDUN P PBI (APBN) Pyogenic arthritis Berobat Jalan

42 24-06-2019 023501050619Y000119 0000831652277 MALINI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

43 24-06-2019 023501050619Y000128 0000831999756 SELINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
44 24-06-2019 023501050619Y000123 0000832118804 ANDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

45 24-06-2019 023501050619Y000124 0000832119568 GANEP P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

46 24-06-2019 023501050619Y000125 0000832120716 EJAN L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
47 24-06-2019 023501050619Y000120 0000832130346 INAQ JULI P PBI (APBN) Other rheumatoid arthritis Berobat Jalan

48 24-06-2019 023501050619P000113 0000832199758 ISNAINI SAPUTRI P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft

49 24-06-2019 023501050619Y000115 0000832420416 SUMAINI P PBI (APBN) Gastritis, unspecified Berobat Jalan

50 24-06-2019 023501050619Y000116 0000832459241 RATNA WULANDARI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
51 24-06-2019 023501050619Y000132 0000832533153 NURMAT L PBI (APBN) Paranoid schizophrenia Berobat Jalan

52 24-06-2019 023501050619Y000130 0000833063501 ANEP P PBI (APBN) Fever, unspecified Berobat Jalan

53 24-06-2019 023501050619Y000129 0000833064535 ASE P PBI (APBN) Cataract, unspecified Berobat Jalan

54 24-06-2019 023501050619Y000122 0000833336932 INAQ ANTO P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
55 24-06-2019 023501050619Y000118 0001055916393 ASUP L PBI (APBN) Headache Berobat Jalan

56 24-06-2019 023501050619Y000126 0001983159843 IQ RENAM P PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus
57 24-06-2019 023501050619Y000127 0002408408897 MIASIN P PBI (APBD) Dyspepsia Berobat Jalan

58 24-06-2019 023501050619Y000175 0002475391959 SAIAH P PBI (APBD) Essential (primary) Sembuh

hypertension
59 24-06-2019 023501050619P000114 0002593797153 SUKINAH P PBI (APBN) Cataract, unspecified Berobat Jalan

60 24-06-2019 023501050619Y000131 0002631421563 NUHRI L PBI (APBN) Paranoid schizophrenia Berobat Jalan

61 22-06-2019 023501050619Y000109 0000830808426 SAIMAH P PBI (APBN) Other rheumatoid arthritis Berobat Jalan

62 22-06-2019 023501050619Y000133 0000830905716 INAQ GANI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

63 22-06-2019 023501050619Y000176 0000830905716 INAQ GANI P PBI (APBN) Cellulitis and abscess of Berobat Jalan
mouth
64 22-06-2019 023501050619Y000157 0000831425512 AMAQ LUMPUR L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
65 22-06-2019 023501050619Y000158 0000831437008 BIUK P PBI (APBN) Headache Berobat Jalan

66 22-06-2019 023501050619Y000159 0000831437403 MUNISAH P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
67 22-06-2019 023501050619Y000160 0000831441453 GEAN P PBI (APBN) Dyspepsia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

68 22-06-2019 023501050619Y000112 0000831638496 DIAN SABILA P PBI (APBN) Gastritis and duodenitis Berobat Jalan

69 22-06-2019 023501050619Y000108 0000832065693 MAN L PBI (APBN) Other rheumatoid arthritis Berobat Jalan

70 22-06-2019 023501050619Y000106 0000832154128 AMAQ ISAH L PBI (APBN) Gastritis, unspecified Berobat Jalan

71 22-06-2019 023501050619Y000107 0000832173006 ODAH P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
72 22-06-2019 023501050619Y000117 0000832178351 SAKMAH L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

73 22-06-2019 023501050619Y000110 0000832235152 INAQ RUMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
74 22-06-2019 023501050619Y000111 0000832248224 INAQ MENAH P PBI (APBN) Chronic gastritis, Berobat Jalan
unspecified
75 22-06-2019 023501050619Y000184 0000832521058 LEMAN L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

76 22-06-2019 023501050619Y000134 0000833064535 ASE P PBI (APBN) Fever, unspecified Berobat Jalan

77 22-06-2019 023501050619Y000156 0001055913129 SIDIK L PBI (APBN) Fever, unspecified Berobat Jalan

78 22-06-2019 023501050619Y000105 0001055916393 ASUP L PBI (APBN) Acute pain Berobat Jalan

79 22-06-2019 023501050619Y000177 0001983159843 IQ RENAM P PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus
80 22-06-2019 023501050619Y000104 0002408408897 MIASIN P PBI (APBD) Dyspepsia Berobat Jalan

81 21-06-2019 023501050619Y000101 0000832560096 IQ UKUN P PBI (APBN) Gastritis, unspecified Berobat Jalan

82 21-06-2019 023501050619Y000178 0000832792408 INAQ GOLEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
83 21-06-2019 023501050619Y000097 0000833049257 SAINUM P PBI (APBN) Dyspepsia Berobat Jalan

84 21-06-2019 023501050619Y000099 0000833094685 SAONAH P PBI (APBN) Tinea corporis Berobat Jalan

85 21-06-2019 023501050619Y000098 0001982384526 SUANI AQ L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed histologically
86 21-06-2019 023501050619Y000103 0002109568228 SUMARNI P PBI (APBD) Other dermatitis Berobat Jalan

87 21-06-2019 023501050619Y000102 0002408405747 ANTUN P PBI (APBD) Dyspepsia Berobat Jalan

88 21-06-2019 023501050619Y000100 0002492984992 LALU FERDINATA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
89 21-06-2019 023501050619Y000096 0002600284454 LALU ZULFAN HAKI L PBI (APBN) Other cataract Rujuk Lanjut

90 20-06-2019 023501050619Y000082 0000831689537 JUN HARDANI L PBI (APBN) Injury of unspecified body Berobat Jalan
region
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

91 20-06-2019 023501050619Y000085 0000831689537 JUN HARDANI L PBI (APBN) Headache Berobat Jalan

92 20-06-2019 023501050619Y000076 0000831748162 SALIP P PBI (APBN) Seropositive rheumatoid Berobat Jalan
arthritis
93 20-06-2019 023501050619Y000094 0000831819374 KENUR P PBI (APBN) Gastritis and duodenitis Berobat Jalan

94 20-06-2019 023501050619Y000077 0000831879101 SAIMAH L PBI (APBN) Gastritis, unspecified Berobat Jalan

95 20-06-2019 023501050619Y000073 0000831927159 JAYE L PBI (APBN) Other postprocedural Berobat Jalan
disorders of genitourinary

96 20-06-2019 023501050619Y000092 0000831934315 ANDI P PBI (APBN) Low back pain Berobat Jalan

97 20-06-2019 023501050619Y000093 0000832077077 INAQ NA'IM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
98 20-06-2019 023501050619Y000089 0000832096034 ASIM P PBI (APBN) Gout, unspecified Berobat Jalan

99 20-06-2019 023501050619Y000088 0000832097316 HERMAN L PBI (APBN) Influenza, virus not Berobat Jalan
identified
100 20-06-2019 023501050619Y000087 0000832107137 LEMBUT P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
101 20-06-2019 023501050619Y000071 0000832108577 INAH P PBI (APBN) Myalgia Berobat Jalan

102 20-06-2019 023501050619Y000091 0000832251058 MELAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

103 20-06-2019 023501050619Y000070 0000832510438 AQ AKRAM L PBI (APBN) Gastritis, unspecified Berobat Jalan

104 20-06-2019 023501050619Y000083 0000832533153 NURMAT L PBI (APBN) Schizophrenia Berobat Jalan

105 20-06-2019 023501050619Y000081 0000832676231 AHYAR L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
106 20-06-2019 023501050619Y000086 0000832792408 INAQ GOLEN P PBI (APBN) Gastritis and duodenitis Berobat Jalan

107 20-06-2019 023501050619Y000084 0000833014708 IMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
108 20-06-2019 023501050619Y000080 0000833042406 UNAH P PBI (APBN) Dyspepsia Berobat Jalan

109 20-06-2019 023501050619Y000232 0000833096687 LALU IMRAN L PBI (APBN) Gout Berobat Jalan

110 20-06-2019 023501050619Y000090 0000833356809 ANAP P PBI (APBN) Seronegative rheumatoid Berobat Jalan
arthritis
111 20-06-2019 023501050619Y000233 0001055913568 REHAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
112 20-06-2019 023501050619Y000072 0001055917192 INAQ MUSTAMIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

113 20-06-2019 023501050619Y000079 0001055918103 AQ ROZI L PBI (APBN) Gastritis, unspecified Berobat Jalan

114 20-06-2019 023501050619Y000095 0001055940827 SUIAN P PBI (APBN) Seronegative rheumatoid Berobat Jalan
arthritis
115 20-06-2019 023501050619Y000074 0001792593191 HAJI SANUDIN L PEKERJA MANDIRI Anaemia, unspecified Berobat Jalan

116 20-06-2019 023501050619Y000075 0002109696478 IDHAM SAMAWI L PBI (APBD) Congestive heart failure Rujuk Lanjut

117 20-06-2019 023501050619Y000069 0002593797355 JANIM P PBI (APBN) Surveillance of Berobat Jalan
(intrauterine) contraceptive

118 19-06-2019 023501050619Y000182 0000148320369 BAIQ AYU RUSDIANA P PNS DAERAH Special screening Berobat Jalan
examination for neoplasm

119 19-06-2019 023501050619Y000183 0000148320369 BAIQ AYU RUSDIANA P PNS DAERAH Special screening Berobat Jalan
examination for neoplasm

120 19-06-2019 023501050619Y000230 0000831412214 ITISARI L PBI (APBN) Motorcycle rider injured in Berobat Jalan
other and unspecified

121 19-06-2019 023501050619Y000055 0000831455976 H MAHSUN L PBI (APBN) Gout Berobat Jalan

122 19-06-2019 023501050619Y000060 0000831653752 SUARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
123 19-06-2019 023501050619Y000048 0000831680188 H HASYIM L PBI (APBN) Asthma, unspecified Berobat Jalan

124 19-06-2019 023501050619Y000057 0000832029085 KEMAN P PBI (APBN) Surveillance of Berobat Jalan
(intrauterine) contraceptive

125 19-06-2019 023501050619Y000052 0000832042629 INAK ATRE P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

126 19-06-2019 023501050619Y000053 0000832205507 NURANSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
127 19-06-2019 023501050619Y000056 0000832268125 SALEH L PBI (APBN) Periodontal disease, Berobat Jalan
unspecified
128 19-06-2019 023501050619Y000047 0000832268125 SALEH L PBI (APBN) Dyspepsia Berobat Jalan

129 19-06-2019 023501050619Y000051 0000832682621 SENAH P PBI (APBN) Dyspepsia Berobat Jalan

130 19-06-2019 023501050619Y000067 0000832702814 LASIM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
131 19-06-2019 023501050619Y000068 0000832703038 MAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

132 19-06-2019 023501050619Y000064 0000832733548 ENIM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

133 19-06-2019 023501050619Y000065 0000832733987 USMAN P PBI (APBN) Other rheumatoid arthritis Berobat Jalan

134 19-06-2019 023501050619Y000066 0000832735901 USMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

135 19-06-2019 023501050619Y000061 0000832766973 INAQ KAMARIN P PBI (APBN) Gastritis and duodenitis Berobat Jalan

136 19-06-2019 023501050619Y000062 0000832767941 AMAR P PBI (APBN) Influenza, virus not Berobat Jalan
identified
137 19-06-2019 023501050619Y000063 0000832768121 RIZAL L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
138 19-06-2019 023501050619Y000054 0000833037052 TINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
139 19-06-2019 023501050619Y000078 0000833127388 INAQ ESAN P PBI (APBN) Essential (primary) Sembuh
hypertension
140 19-06-2019 023501050619Y000049 0001983159843 IQ RENAM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
other specified

141 19-06-2019 023501050619Y000050 0002408408155 H. AMIN L PBI (APBD) Myalgia Berobat Jalan

142 19-06-2019 023501050619Y000231 0002627196557 KHAIRUL RIJAL L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
143 19-06-2019 023501050619Y000058 0002637127708 ENAM SARI P PBI (APBN) Typhoid fever Sembuh

144 18-06-2019 023501050619Y000059 0000830838194 LALU AMIRUDIN L PBI (APBN) Typhoid fever Sembuh

145 18-06-2019 023501050619Y000137 0000831879101 SAIMAH L PBI (APBN) Gastritis, unspecified Berobat Jalan

146 18-06-2019 023501050619Y000037 0000832070801 AMAQ AYAT L PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus with unspecified

147 18-06-2019 023501050619Y000038 0000832230303 JUMASE L PBI (APBN) Asthma, unspecified Berobat Jalan

148 18-06-2019 023501050619Y000039 0000832230303 JUMASE L PBI (APBN) Asthma, unspecified Berobat Jalan

149 18-06-2019 023501050619Y000138 0001055918103 AQ ROZI L PBI (APBN) Dyspepsia Berobat Jalan

150 18-06-2019 023501050619Y000035 0001055918553 IMAN P PBI (APBN) Other specified anaemias Rujuk Lanjut

151 18-06-2019 023501050619Y000040 0001185703389 SITI HANIFAH P PEGAWAI SWASTA Insertion of (intrauterine) Berobat Jalan
contraceptive device
152 18-06-2019 023501050619Y000036 0002588904819 AGIT APRIYATOPA L PBI (APBN) Fever, unspecified Berobat Jalan

153 17-06-2019 023501050619Y000179 0000723417311 SITI MASHOLIKA P PBI (APBN) Abdominal pregnancy Berobat Jalan

154 17-06-2019 023501050619Y000029 0000831109162 AWALUDIN L PBI (APBN) Schizophrenia Berobat Jalan

155 17-06-2019 023501050619Y000229 0000831376361 M SALEH WAKEK L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

156 17-06-2019 023501050619Y000227 0000831638755 MUSLIM L PBI (APBN) Gastritis, unspecified Berobat Jalan

157 17-06-2019 023501050619Y000226 0000831770155 SAHIR L PBI (APBN) Gout Berobat Jalan

158 17-06-2019 023501050619Y000180 0000832168282 ANIM P PBI (APBN) Abdominal pregnancy Berobat Jalan

159 17-06-2019 023501050619Y000030 0000833094685 SAONAH P PBI (APBN) Tinea corporis Berobat Jalan

160 17-06-2019 023501050619Y000024 0000833161228 ASAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
161 17-06-2019 023501050619Y000027 0001055914413 MUHALIL L PBI (APBN) Benign lipomatous Rujuk Lanjut
neoplasm
162 17-06-2019 023501050619Y000026 0001982846597 AMAK SUNIR L PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
163 17-06-2019 023501050619Y000028 0002292189726 LANGIT GALUH GENTAR L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
164 17-06-2019 023501050619Y000225 0002591145448 IKROK L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

165 17-06-2019 023501050619Y000228 0002604937083 AHYAR L PBI (APBN) Gastritis, unspecified Berobat Jalan

166 17-06-2019 023501050619Y000025 0002632228053 HAJI SULAIMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
167 16-06-2019 023501050619Y000136 0000831748162 SALIP P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified, other sites
168 16-06-2019 023501050619Y000043 0000832674712 RUMASIH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
169 16-06-2019 023501050619Y000044 0000832674958 REBIK P PBI (APBN) Gastritis and duodenitis Berobat Jalan

170 16-06-2019 023501050619Y000045 0000832675779 RAHMAT L PBI (APBN) Dermatitis, unspecified Berobat Jalan

171 16-06-2019 023501050619Y000046 0000832676231 AHYAR L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

172 16-06-2019 023501050619Y000041 0001055937036 SUKNI P PBI (APBN) Seronegative rheumatoid Berobat Jalan
arthritis, multiple sites
173 16-06-2019 023501050619Y000042 0001055937047 SUKINI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

174 15-06-2019 023501050619Y000019 0000831109162 AWALUDIN L PBI (APBN) Dyspepsia Berobat Jalan

175 15-06-2019 023501050619P000016 0000831718034 GAWIK P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

176 15-06-2019 023501050619Y000021 0000831795827 SAENUN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
177 15-06-2019 023501050619Y000017 0000833014708 IMAH P PBI (APBN) Gout Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

178 15-06-2019 023501050619Y000168 0000833042406 UNAH P PBI (APBN) Essential (primary) Sembuh
hypertension
179 15-06-2019 023501050619Y000020 0001055913671 SUHARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
180 15-06-2019 023501050619Y000022 0001055914975 JOHAN P PBI (APBN) Seropositive rheumatoid Berobat Jalan
arthritis
181 15-06-2019 023501050619Y000023 0002109566891 SEMAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
182 15-06-2019 023501050619Y000018 0002473449715 MUNASIP L PEKERJA MANDIRI Surgical follow-up care, Berobat Jalan
unspecified
183 15-06-2019 023501050619P000015 0002495545211 AHMAD NOVA L PEKERJA MANDIRI Osteomyelitis Rujuk Lanjut

184 14-06-2019 023501050619Y000014 0000833014708 IMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

185 14-06-2019 023501050619Y000223 0001055915954 LEMUH L PBI (APBN) Gout Berobat Jalan

186 14-06-2019 023501050619Y000013 0001055918553 IMAN P PBI (APBN) Anaemia, unspecified Berobat Jalan

187 14-06-2019 023501050619Y000224 0001983121233 SAHDAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
188 13-06-2019 023501050619Y000222 0000830908157 PATMAH P PBI (APBN) Tinea corporis Berobat Jalan

189 13-06-2019 023501050619Y000034 0000830933785 NURAEN P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

190 13-06-2019 023501050619Y000144 0000831447854 MAHTIK P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
191 13-06-2019 023501050619Y000032 0000831654494 IQ TOMI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

192 13-06-2019 023501050619Y000169 0000831820072 NURHAYATI P PBI (APBN) Gastritis, unspecified Sembuh

193 13-06-2019 023501050619Y000141 0000831822939 ILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
194 13-06-2019 023501050619Y000142 0000832112829 HARTONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
195 13-06-2019 023501050619Y000139 0000832146647 SAHDAN L PBI (APBN) Fever, unspecified Berobat Jalan

196 13-06-2019 023501050619Y000147 0000832553583 AQ LUK L PBI (APBN) Dyspepsia Berobat Jalan

197 13-06-2019 023501050619Y000031 0000832590235 ANTAN P PBI (APBN) Gastritis and duodenitis Berobat Jalan

198 13-06-2019 023501050619Y000146 0000832724289 RUDI HARTADI L PBI (APBN) Fever, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

199 13-06-2019 023501050619Y000033 0000833024226 MARINI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

200 13-06-2019 023501050619Y000145 0000833094685 SAONAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
201 13-06-2019 023501050619Y000140 0001055939422 SUDIRMAN L PBI (APBN) Fever, unspecified Berobat Jalan

202 13-06-2019 023501050619Y000143 0001055939613 IRAH L PBI (APBN) Headache Berobat Jalan

203 13-06-2019 023501050619P000010 0002495545211 AHMAD NOVA L PEKERJA MANDIRI Other acute osteomyelitis, Rujuk Lanjut
other site
204 13-06-2019 023501050619Y000221 0002591080569 AHMAD LUTFI HGAKIKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
205 13-06-2019 023501050619P000012 0002593325632 SAIDAH L PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft

206 13-06-2019 023501050619Y000181 0002621546335 RAHMAWATI MAULINA P PNS DAERAH Other disorders of Berobat Jalan
refraction
207 13-06-2019 023501050619P000011 0002662367499 MULIASIH P PBI (APBD) Other benign neoplasm of Rujuk Lanjut
connective and other soft

208 12-06-2019 023501050619Y000219 0000831339178 SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
209 12-06-2019 023501050619Y000004 0000831434815 ASMINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
210 12-06-2019 023501050619Y000220 0000832030751 AWALUDDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
211 12-06-2019 023501050619Y000005 0000832205507 NURANSAH P PBI (APBN) Dyspepsia Berobat Jalan

212 12-06-2019 023501050619Y000009 0000832268125 SALEH L PBI (APBN) Dyspepsia Berobat Jalan

213 12-06-2019 023501050619Y000008 0000832646564 KIYE L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
214 12-06-2019 023501050619Y000007 0001982787941 GAMAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
215 12-06-2019 023501050619Y000006 0002603313336 SERAH L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
216 10-06-2019 023501050619Y000154 0000831374717 BUYUT L PBI (APBN) Gastritis, unspecified Berobat Jalan

217 10-06-2019 023501050619Y000155 0000831382277 NANDA NURHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
218 10-06-2019 023501050619Y000153 0000831393685 H ABD WAHID L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
219 10-06-2019 023501050619Y000152 0000831655631 IQ PA'IN P PBI (APBN) Dyspepsia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SELONG - 2406

FKTP : BATU JANGKIH - 02350105

220 10-06-2019 023501050619Y000150 0000831683698 USI L PBI (APBN) Dyspepsia Berobat Jalan

221 10-06-2019 023501050619Y000151 0000831685217 INAQ SALUDIN P PBI (APBN) Headache Berobat Jalan

222 10-06-2019 023501050619Y000218 0000831769896 SUPAAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
223 10-06-2019 023501050619Y000135 0000832510438 AQ AKRAM L PBI (APBN) Dyspepsia Berobat Jalan

224 10-06-2019 023501050619Y000148 0000832700169 MULI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
225 10-06-2019 023501050619Y000149 0000832715842 ALI P PBI (APBN) Fever, unspecified Berobat Jalan

226 10-06-2019 023501050619P000001 0002424433948 M. FAHRI HAMZAH L PBI (APBD) Epilepsy, unspecified Rujuk Lanjut

227 10-06-2019 023501050619P000002 0002628914905 MAIYAH P PBI (APBN) Myalgia Berobat Jalan

228 10-06-2019 023501050619Y000186 0002630421551 NURHAYATI P PBI (APBN) Bronchitis, not specified as Sembuh
acute or chronic
229 10-06-2019 023501050619P000003 0002639424699 ZAINUL L PBI (APBN) Pyoderma gangrenosum Berobat Jalan

230 08-06-2019 023501050619Y000217 0000831753966 SURIANI P PBI (APBN) Toxic effect of snake Berobat Jalan
venom
231 08-06-2019 023501050619Y000216 0001055916516 CEMEK P PBI (APBN) Myalgia Berobat Jalan

232 06-06-2019 023501050619Y000199 0000831081734 INAQ MARHAM P PBI (APBN) Essential (primary) Sembuh
hypertension
233 03-06-2019 023501050619Y000215 0001055913399 CANIS IQ P PBI (APBN) Myalgia Berobat Jalan