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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PATI (1111)


FKTP : Pamotan (11340701)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1 30/10/201 113407011018Y001815 0000092137217 JANARKO L PNS DAERAH Pterygium YA
2 30/10/201 113407011018Y001742 0000092140435 RATNA NINGSIH P PNS DAERAH Seronegative rheumatoid arthritis TIDAK
3 30/10/201 113407011018Y001803 0000092294133 SARDI, SP L PENERIMA PENSIUN Myalgia TIDAK
4 30/10/201 113407011018Y001788 0000092376606 SRI SUDARYANTI P PNS DAERAH Neuralgia and neuritis, unspecified YA
5 30/10/201 113407011018Y001750 0000092402166 SUTIKNO L PNS DAERAH Non-insulin-dependent diabetes TIDAK
6 30/10/201 113407011018Y001749 0000163777037 MASRIATI P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
7 30/10/201 113407011018Y001791 0000573043511 JURINGAH P PBI (APBN) Cutaneous abscess, furuncle and TIDAK
8 30/10/201 113407011018Y001789 0000573043511 JURINGAH P PBI (APBN) Open wound of finger(s) without TIDAK
9 30/10/201 113407011018Y001795 0000582293968 ISTIKOMAH P PBI (APBN) Influenza, virus not identified TIDAK
10 30/10/201 113407011018Y001758 0000582365193 AHMAD HIKAMUL FUADI L PBI (APBN) Varicella [chickenpox] TIDAK
11 30/10/201 113407011018Y001813 0000582375194 SITI MUNAWAROH P PBI (APBN) Influenza, virus not identified TIDAK
12 30/10/201 113407011018Y001754 0000582440613 LASMI P PBI (APBN) Myalgia TIDAK
13 30/10/201 113407011018Y001793 0000582681071 SUMARYATI P PBI (APBN) Influenza, virus not identified TIDAK
14 30/10/201 113407011018Y001811 0000582799015 SUTRIMAN L PBI (APBN) Injury of eye and orbit YA
15 30/10/201 113407011018Y001768 0000582943623 SOLIKATUN P PBI (APBN) Dyspepsia TIDAK
16 30/10/201 113407011018Y001779 0000583144233 ALIMAH P PBI (APBN) Essential (primary) hypertension TIDAK
17 30/10/201 113407011018Y001780 0000583145414 RENIS MAULIDTA P PBI (APBN) Atopic dermatitis TIDAK
18 30/10/201 113407011018Y001760 0000583210989 SUJONO L PBI (APBN) Haemorrhoids TIDAK
19 30/10/201 113407011018Y001761 0000583451649 AHMAD JAUHARI L PBI (APBN) Acute lymphadenitis of upper limb TIDAK
20 30/10/201 113407011018Y001759 0000583507438 RUTINGAH P PBI (APBN) Pterygium YA

31/10/2018 13.55.57
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PATI (1111)


FKTP : Pamotan (11340701)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
21 30/10/201 113407011018Y001804 0000583603839 SITI YUMAROH P PBI (APBN) Surveillance of contraceptive drugs TIDAK
22 30/10/201 113407011018Y001799 0000583651743 MAFTUKIN L PBI (APBN) Other arthritis TIDAK
23 30/10/201 113407011018Y001771 0000583691332 NURUL MIRATUL P PBI (APBN) Conjunctivitis TIDAK
24 30/10/201 113407011018Y001805 0000583720637 NGATIYEM P PBI (APBN) Myalgia TIDAK
25 30/10/201 113407011018Y001817 0000583746401 NAUFAL ABDUL LATHIF L PBI (APBN) Dengue fever [classical dengue] YA
26 30/10/201 113407011018Y001772 0000583753814 ZUBAIDAH P PBI (APBN) Other noninflammatory disorders of TIDAK
27 30/10/201 113407011018Y001802 0000583766921 MUSRIWATI P PEGAWAI PEMERINTAH Surveillance of contraceptive drugs TIDAK
28 30/10/201 113407011018Y001751 0000583825858 DALI L PBI (APBN) Dyspepsia TIDAK
29 30/10/201 113407011018Y001753 0000583827939 SULASTI P PBI (APBN) Influenza, virus not identified TIDAK
30 30/10/201 113407011018Y001794 0000583828672 NUR HIDAYAH P PBI (APBN) Essential (primary) hypertension TIDAK
31 30/10/201 113407011018Y001767 0000583836669 SULARTI P PBI (APBN) Essential (primary) hypertension TIDAK
32 30/10/201 113407011018Y001806 0000583839821 LISWATI P PBI (APBN) Surveillance of contraceptive drugs TIDAK
33 30/10/201 113407011018Y001743 0000583842892 UMASIYAH P PBI (APBN) Abdominal and pelvic pain YA
34 30/10/201 113407011018Y001762 0000583849541 SINDY PRAMUDITA P PBI (APBN) Injury of unspecified body region TIDAK
35 30/10/201 113407011018Y001773 0000583852465 ATIKOH P PBI (APBN) Dyspepsia TIDAK
36 30/10/201 113407011018Y001755 0000583860813 KHOIRIYAH P PBI (APBN) Influenza, virus not identified TIDAK
37 30/10/201 113407011018Y001756 0000583933307 SRI MUNAH P PBI (APBN) Myalgia TIDAK
38 30/10/201 113407011018Y001766 0000584065089 SURINGAH P PBI (APBN) Non-insulin-dependent diabetes TIDAK
39 30/10/201 113407011018Y001775 0000584068959 MA`RIFATUL HIDAYAH P PBI (APBN) Cutaneous abscess, furuncle and TIDAK
40 30/10/201 113407011018Y001800 0000584081954 NOVIANA NUR UTARI P PBI (APBN) Influenza, virus not identified TIDAK
41 30/10/201 113407011018Y001798 0000584096409 ALI MUNAWAR L PBI (APBN) Essential (primary) hypertension TIDAK

31/10/2018 13.55.57
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PATI (1111)


FKTP : Pamotan (11340701)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
42 30/10/201 113407011018Y001784 0000584204793 Muhammad CANDRA L PBI (APBN) Cutaneous abscess, furuncle and TIDAK
43 30/10/201 113407011018Y001747 0000584268838 ABDUL MANAN L PBI (APBN) Essential (primary) hypertension TIDAK
44 30/10/201 113407011018Y001769 0000584529658 SUYUTI L PBI (APBN) Non-insulin-dependent diabetes TIDAK
45 30/10/201 113407011018Y001770 0000584561992 KARISA NUR ALFIANA P PBI (APBN) Fever of other and unknown origin TIDAK
46 30/10/201 113407011018Y001744 0000584589532 RUNTUT ISTIYOWATI P PBI (APBN) Non-insulin-dependent diabetes TIDAK
47 30/10/201 113407011018Y001797 0000584826671 SARJI L PBI (APBN) Atopic dermatitis TIDAK
48 30/10/201 113407011018Y001814 0001024112496 ROSIDI L PBI (APBN) Acute upper respiratory infection, TIDAK
49 30/10/201 113407011018Y001783 0001024130182 MASRIYATI P PBI (APBN) Low back pain YA
50 30/10/201 113407011018Y001764 0001024130204 SULASTRI P PBI (APBN) Non-insulin-dependent diabetes TIDAK
51 30/10/201 113407011018Y001781 0001084802229 MARYATUN P PBI (APBN) Low back pain YA
52 30/10/201 113407011018Y001801 0001277547737 LILIA ARI INDRIASTUTI P TNI ANGKATAN DARAT Surveillance of contraceptive drugs TIDAK
53 30/10/201 113407011018Y001777 0001961869228 urcat miningsih P PEKERJA MANDIRI Fever of other and unknown origin TIDAK
54 30/10/201 113407011018Y001765 0002002885683 PIPIT PRIYANTIN P PBI (APBN) Myalgia TIDAK
55 30/10/201 113407011018Y001776 0002023716216 ERSYA NASHA ZIA P PBI (APBN) Influenza, virus not identified TIDAK
56 30/10/201 113407011018Y001790 0002167252176 NAYLA HASNA NADILA P PBI (APBD) Fever of other and unknown origin TIDAK
57 30/10/201 113407011018Y001809 0002168406189 ISYAQ FADLURROHMAN L PBI (APBD) Need for immunization against single TIDAK
58 30/10/201 113407011018Y001748 0002189995749 DJUWARIYAH P PBI (APBN) Essential (primary) hypertension TIDAK
59 30/10/201 113407011018Y001808 0002234780976 fauzia raifa P PBI (APBN) Need for immunization against single TIDAK
60 30/10/201 113407011018Y001796 0002292719714 moh. fajar ihsan L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
61 30/10/201 113407011018Y001812 0002293377669 ahmad azril maulana sidqi L PEGAWAI SWASTA Diarrhoea and gastroenteritis of TIDAK
62 30/10/201 113407011018Y001763 0002421419433 MOHAMMAD ALVIN FAIZ L PBI (APBN) Influenza, virus not identified TIDAK

31/10/2018 13.55.57
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PATI (1111)


FKTP : Pamotan (11340701)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
63 30/10/201 113407011018Y001807 0002421428354 AZAM DWI KUNCORO L PBI (APBN) Need for immunization against single TIDAK
64 30/10/201 113407011018Y001745 0002427603917 SUMIATI P PEKERJA MANDIRI Non-insulin-dependent diabetes TIDAK
65 30/10/201 113407011018Y001752 0002429687665 SHOLAHUDDIN FAIZ L PEKERJA MANDIRI Redundant prepuce, phimosis and YA
66 30/10/201 113407011018Y001786 0002430673571 KHORIATUN P PEGAWAI PEMERINTAH Other arthritis TIDAK
67 30/10/201 113407011018Y001746 0002430791493 ACHILMA NUR MAULIDIA P PBI (APBN) Influenza, virus not identified TIDAK
68 30/10/201 113407011018Y001810 0002465584626 muhammad jauharotul L PBI (APBN) Need for immunization against single TIDAK
69 30/10/201 113407011018Y001757 0002481531118 MUKHLISIN P PBI (APBN) Inguinal hernia YA

31/10/2018 13.55.57