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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA STATUS PRB PROLANIS
PULANG

1 31-05-2019 101212010519P000723 0000063788141 SITI KOMALA P PNS DAERAH Non-insulin-dependent Rujuk Vertikal
diabetes mellitus
2 31-05-2019 101212010519Y000741 0000488615264 RIBAN L PBI (APBN) Myalgia Berobat Jalan

3 31-05-2019 101212010519Y000725 0000488662604 TAIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4 31-05-2019 101212010519Y000739 0000488842863 SALBIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
5 31-05-2019 101212010519Y000730 0000488906144 JAYA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
6 31-05-2019 101212010519P000738 0000488983173 LUSNI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
7 31-05-2019 101212010519Y000724 0000489139402 DADANG L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
8 31-05-2019 101212010519P000732 0000489154871 ICIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
9 31-05-2019 101212010519P000737 0000489615761 NARYA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
10 31-05-2019 101212010519P000731 0000489959662 BENI ASHAR L PBI (APBN) Schizophrenia Rujuk Vertikal

11 31-05-2019 101212010519Y000726 0000490037523 MAEMUNAH P PBI (APBN) Dyspepsia Berobat Jalan

12 31-05-2019 101212010519P000722 0001011084129 ASNAH P PBI (APBN) Heart failure Rujuk Vertikal

13 31-05-2019 101212010519Y000729 0001011088078 SUHENDAR L PBI (APBN) Myalgia Berobat Jalan

14 31-05-2019 101212010519P000735 0001011117216 KINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
15 31-05-2019 101212010519Y000736 0001011132426 NURSALIH L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
16 31-05-2019 101212010519P000740 0001011139749 RUSMI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

17 31-05-2019 101212010519Y000727 0002142821169 MASNIAH P PEGAWAI SWASTA Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
18 31-05-2019 101212010519Y000728 0002142821169 MASNIAH P PEGAWAI SWASTA Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
19 31-05-2019 101212010519Y000733 0002254963858 HAIKAL SULAEMAN L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
20 31-05-2019 101212010519P000734 0002504645278 ATENG SUGANDI L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
21 30-05-2019 101212010519P000748 0000489006707 ADINDA ROBIATUL A P PBI (APBN) Dyspepsia Sembuh

22 29-05-2019 101212010519Y000690 0000063792369 UMAR L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
23 29-05-2019 101212010519Y000683 0000488123054 AMELIA P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
24 29-05-2019 101212010519Y000689 0000488662604 TAIM L PBI (APBN) Myalgia Berobat Jalan

25 29-05-2019 101212010519Y000680 0000489230583 TARSINAH P PBI (APBN) Other specified dermatitis Berobat Jalan

26 29-05-2019 101212010519P000703 0000489239548 ACIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
27 29-05-2019 101212010519P000693 0000489370037 ROKIYAH P PBI (APBN) Conjunctivitis Berobat Jalan

28 29-05-2019 101212010519P000688 0000489400942 YAYAH HORIYAH P PEGAWAI SWASTA Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
29 29-05-2019 101212010519Y000682 0000489669118 YATMI P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
30 29-05-2019 101212010519Y000684 0000489849849 REMIN L PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
31 29-05-2019 101212010519P000692 0000489907067 DELIA P PBI (APBN) Unspecified abortion, Rujuk Vertikal
incomplete, without
complication
32 29-05-2019 101212010519P000678 0000489911387 EFENDI L PBI (APBN) Other cataract Rujuk Vertikal
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

33 29-05-2019 101212010519Y000696 0000490023437 EDI I R L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
34 29-05-2019 101212010519P000746 0000490039683 SALIM L PBI (APBN) Essential (primary) Sembuh
hypertension
35 29-05-2019 101212010519Y000686 0000490076199 RIZQI MAULANA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
36 29-05-2019 101212010519Y000685 0000490076954 NANA SUPRIATNA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

37 29-05-2019 101212010519P000707 0000490129119 RIA RAHMAWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
38 29-05-2019 101212010519P000721 0000490820027 DEWI SARTIKA P PBI (APBN) Single live birth Sembuh

39 29-05-2019 101212010519P000747 0001011083051 MIMIN MINTARSIH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

40 29-05-2019 101212010519Y000681 0001011086032 juju P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
41 29-05-2019 101212010519P000694 0001011088945 ERNAWATI P PBI (APBN) Acute tonsillitis Berobat Jalan

42 29-05-2019 101212010519P000695 0001011104234 NATIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
43 29-05-2019 101212010519P000706 0001011104278 NENENG SHOLIHAT P PBI (APBN) Irregular menstruation, Berobat Jalan
unspecified
44 29-05-2019 101212010519P000687 0001011109432 MARIAM P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
45 29-05-2019 101212010519P000679 0001311816644 limah P PEKERJA MANDIRI Malignant neoplasm of Rujuk Vertikal
liver, unspecified
46 29-05-2019 101212010519P000744 0001982608547 ANDA SUHANDA L PBI (APBN) Essential (primary) Sembuh
hypertension
47 29-05-2019 101212010519P000745 0002504654728 ANGGIE MAHARANI P PBI (APBN) Typhoid and paratyphoid Sembuh
fevers
48 29-05-2019 101212010519P000704 0002504658363 EUIS SUSILAWATI DEWI P PBI (APBN) Menstrual extraction Berobat Jalan

49 29-05-2019 101212010519P000708 0002620257232 DEDEH APRIYANI P PEKERJA MANDIRI Toxoplasmosis, Rujuk Vertikal
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

50 29-05-2019 101212010519Y000691 0002624291054 WANIH P PEKERJA MANDIRI Conjunctivitis Berobat Jalan

51 29-05-2019 101212010519P000705 0002759991131 BAYI NYONYA ASNAH ROSITA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
52 28-05-2019 101212010519P000668 0000487782224 KARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
53 28-05-2019 101212010519Y000676 0000488292309 UDIN SONIN L PBI (APBN) Headache Berobat Jalan

54 28-05-2019 101212010519Y000672 0000488859625 DEDI SETIADI P PBI (APBN) Myalgia Berobat Jalan

55 28-05-2019 101212010519P000674 0000489087279 SARI P PBI (APBN) Heart failure Berobat Jalan

56 28-05-2019 101212010519P000743 0000489318625 SARIPAH DEWI P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

57 28-05-2019 101212010519P000675 0000489409817 ANIH P PBI (APBN) Epilepsy Rujuk Vertikal

58 28-05-2019 101212010519Y000666 0000489555472 NANI P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
59 28-05-2019 101212010519Y000673 0000490010231 AWAN L PBI (APBN) Conjunctivitis Berobat Jalan

60 28-05-2019 101212010519Y000671 0001011141876 WASTI P PBI (APBN) Dyspepsia Berobat Jalan

61 28-05-2019 101212010519Y000667 0001388207046 SURNI P PEKERJA MANDIRI Myalgia Berobat Jalan

62 28-05-2019 101212010519P000665 0002436383643 NAMIH P PEKERJA MANDIRI Residual foreign body in Rujuk Vertikal
soft tissue
63 28-05-2019 101212010519P000670 0002477457303 NATA L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
64 28-05-2019 101212010519P000669 0002504661412 ATI ROHMAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
65 28-05-2019 101212010519P000709 0002520662826 NAMI ANGGRAINI P PEKERJA MANDIRI Severe pre-eclampsia Sembuh

66 27-05-2019 101212010519Y000642 0000488440304 ASRO RODIN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
67 27-05-2019 101212010519Y000648 0000488769524 ANIS P PBI (APBN) Headache Berobat Jalan

68 27-05-2019 101212010519Y000647 0000488854484 NECIH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

69 27-05-2019 101212010519Y000643 0000488919464 AHMAD SOPIAN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
70 27-05-2019 101212010519P000655 0000488919947 SITI MAISAROH P PBI (APBN) Gastritis, unspecified Berobat Jalan

71 27-05-2019 101212010519P000659 0000489247986 LAELAH KHODARIAH P PBI (APBN) Haemoptysis Rujuk Vertikal

72 27-05-2019 101212010519Y000652 0000489385552 NUR JUBAEDAH P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

73 27-05-2019 101212010519Y000650 0000489423161 ASMADIH L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
74 27-05-2019 101212010519Y000651 0000489572177 ROJALAH L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,
unspecified
75 27-05-2019 101212010519P000654 0000489585881 NYAI SAFITRI P PBI (APBN) Myalgia Berobat Jalan

76 27-05-2019 101212010519Y000646 0000489597502 KARSIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
77 27-05-2019 101212010519Y000649 0000489692542 ANIN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
78 27-05-2019 101212010519Y000645 0000489718541 AMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
79 27-05-2019 101212010519P000658 0000489964599 KARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
80 27-05-2019 101212010519P000653 0000490032101 TIA MUTIARA SANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
81 27-05-2019 101212010519P000640 0001011085547 NARSIH P PBI (APBN) Epilepsy Berobat Jalan

82 27-05-2019 101212010519Y000644 0001011100667 DIDIN SAPUTRA L PBI (APBN) Epilepsy Berobat Jalan

83 27-05-2019 101212010519P000641 0001723391673 SAEPUL ADNAN L PEKERJA MANDIRI Heart failure Berobat Jalan

84 27-05-2019 101212010519P000656 0002195154876 REGINA NOVITASARI P PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

85 27-05-2019 101212010519P000657 0002203691962 MUHAMMAD ALIF L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
86 26-05-2019 101212010519P000677 0000488389329 ANISAH P PBI (APBN) Dyspepsia Sembuh

87 26-05-2019 101212010519P000661 0001654572194 DEDE SUPRIATNA L PEGAWAI SWASTA Dyspepsia Sembuh

88 25-05-2019 101212010519Y000596 0000488116888 ISAN L PBI (APBN) Myalgia Berobat Jalan


DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

89 25-05-2019 101212010519Y000603 0000488381578 SARDI L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
90 25-05-2019 101212010519P000664 0000488388251 SITI NUROLIZA P PBI (APBN) Dyspepsia Sembuh

91 25-05-2019 101212010519Y000599 0000488508873 DARSIH P PBI (APBN) Benign neoplasm of breast Berobat Jalan

92 25-05-2019 101212010519P000609 0000488662604 TAIM L PBI (APBN) Other soft tissue disorders, Rujuk Vertikal
not elsewhere classified

93 25-05-2019 101212010519Y000598 0000489669118 YATMI P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
94 25-05-2019 101212010519P000662 0000489798685 MURNI P PBI (APBN) Dyspepsia Sembuh

95 25-05-2019 101212010519Y000600 0000489840478 INAN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
96 25-05-2019 101212010519Y000602 0000489948041 TARSIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
97 25-05-2019 101212010519Y000604 0000489959302 DAYAT HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

98 25-05-2019 101212010519P000663 0000490104483 SAIMAN L PBI (APBN) Dyspepsia Sembuh

99 25-05-2019 101212010519Y000606 0000490206071 MUNIROH P PBI (APBN) Dyspepsia Berobat Jalan

100 25-05-2019 101212010519Y000597 0001011089665 ANISA ZUHRO P PBI (APBN) Dyspepsia Berobat Jalan

101 25-05-2019 101212010519Y000605 0001011133181 SANIH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
102 25-05-2019 101212010519P000607 0001790354711 nani suryani P PEKERJA MANDIRI Maternal care for breech Berobat Jalan
presentation
103 25-05-2019 101212010519Y000601 0002243138793 ATIA APRIANI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

104 25-05-2019 101212010519P000697 0002320404928 ALFIAH P PEKERJA MANDIRI Haemorrhage in early Sembuh
pregnancy, unspecified
105 24-05-2019 101212010519Y000568 0000063575223 EUIS KARTIKA P PNS DAERAH Conjunctivitis Berobat Jalan

106 24-05-2019 101212010519Y000571 0000489537325 MARDIAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
107 24-05-2019 101212010519P000742 0000489982836 MARNI P PBI (APBN) Dyspepsia Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

108 24-05-2019 101212010519Y000570 0000490326164 MANAH P PBI (APBN) Dyspepsia Berobat Jalan

109 24-05-2019 101212010519P000572 0001011119589 HERLIDA J S P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
110 24-05-2019 101212010519P000569 0001830371545 DARMI DAMAYANTI P PEKERJA MANDIRI Severe pre-eclampsia Berobat Jalan

111 24-05-2019 101212010519P000699 0001830371545 DARMI DAMAYANTI P PEKERJA MANDIRI Maternal infectious and Sembuh
parasitic diseases
classifiable elsewhere but
complicating pregnancy,
childbirth and the
puerperium
112 24-05-2019 101212010519Y000567 0001890460157 RASDI SUYATNA L PEKERJA MANDIRI Fracture of femur Berobat Jalan

113 24-05-2019 101212010519P000564 0002062355038 iin parlina P PEKERJA MANDIRI Intracranial Rujuk Vertikal
space-occupying lesion
114 24-05-2019 101212010519P000565 0002136517323 FITRI YANTI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy, unspecified
115 24-05-2019 101212010519Y000566 0002504654616 ENGKAY TRISNAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

116 23-05-2019 101212010519P000555 0000488116888 ISAN L PBI (APBN) Headache Berobat Jalan

117 23-05-2019 101212010519P000551 0000488615264 RIBAN L PBI (APBN) Other soft tissue disorders, Rujuk Vertikal
not elsewhere classified

118 23-05-2019 101212010519Y000560 0000488920781 SANAH P PBI (APBN) Myalgia Berobat Jalan

119 23-05-2019 101212010519P000636 0000488997189 SAIN L PBI (APBN) Dyspepsia Sembuh

120 23-05-2019 101212010519Y000550 0000489134362 MAMING L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
121 23-05-2019 101212010519P000553 0000489585172 NURHAYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

122 23-05-2019 101212010519Y000546 0000489870538 MINAH P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

123 23-05-2019 101212010519Y000558 0000490078372 RINA ASMIKA P PBI (APBN) Gastritis, unspecified Berobat Jalan

124 23-05-2019 101212010519Y000549 0000490248685 CENGKAR L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
125 23-05-2019 101212010519P000557 0000490254355 TATI SURYATI P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

126 23-05-2019 101212010519P000556 0000490254524 TARMUJI RAMDANI L PBI (APBN) Leprosy [Hansen disease] Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

128 23-05-2019 101212010519P000561 0001468555661 TRI ATIYAH P PEKERJA MANDIRI Myopia Rujuk Vertikal

129 23-05-2019 101212010519P000554 0001638817121 DEDI IRAWAN L PEGAWAI SWASTA Fever of other and Berobat Jalan
unknown origin
130 23-05-2019 101212010519Y000552 0001835387335 SITIRAHMAWATI P PEGAWAI SWASTA Stomatitis and related Berobat Jalan
lesions
131 23-05-2019 101212010519P000545 0002085501486 NARYAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Vertikal
diabetes mellitus
132 23-05-2019 101212010519Y000547 0002142821169 MASNIAH P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
133 23-05-2019 101212010519Y000559 0002176867146 APIL FAUZI L PBI (APBN) Other specified dermatitis Berobat Jalan

134 23-05-2019 101212010519P000639 0002317677974 ADHARA SHAZIA P PEKERJA MANDIRI Dyspepsia Sembuh

135 23-05-2019 101212010519P000579 0002426896372 ISYRAFULLAH AL KHAIR L PEKERJA MANDIRI Bronchopneumonia, Sembuh
MUBAROK unspecified
136 23-05-2019 101212010519Y000548 0002504648632 SYAMLUTPIYANTI P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
137 23-05-2019 101212010519P000608 0002758234735 ROSIANAH P PEKERJA MANDIRI Secondary hypertension, Rujuk Vertikal
unspecified
138 22-05-2019 101212010519P000515 0000488508873 DARSIH P PBI (APBN) Benign neoplasm of breast Rujuk Vertikal

139 22-05-2019 101212010519P000541 0000488552207 KOKOM M. P PBI (APBN) Myalgia Berobat Jalan

140 22-05-2019 101212010519Y000532 0000488610022 RODIAH L PBI (APBN) Myalgia Berobat Jalan

141 22-05-2019 101212010519Y000522 0000488854484 NECIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
142 22-05-2019 101212010519Y000525 0000489102772 MINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
143 22-05-2019 101212010519Y000540 0000489137253 SUHENDA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
144 22-05-2019 101212010519Y000526 0000489161125 MASIP L PBI (APBN) Myalgia Berobat Jalan

145 22-05-2019 101212010519Y000530 0000489195325 NAMAN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
146 22-05-2019 101212010519Y000529 0000489319749 MISIH P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

147 22-05-2019 101212010519Y000516 0000489322293 ARSIH P PBI (APBN) Dyspepsia Berobat Jalan

148 22-05-2019 101212010519Y000542 0000489343037 RITA SEPTIANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
149 22-05-2019 101212010519P000538 0000489479668 ROYAH sumiyati P PBI (APBN) Chronic renal failure, Rujuk Vertikal
unspecified
150 22-05-2019 101212010519Y000535 0000489495622 DIANA PUNGKI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
151 22-05-2019 101212010519Y000531 0000489597502 KARSIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
152 22-05-2019 101212010519Y000519 0000489615761 NARYA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
153 22-05-2019 101212010519P000537 0000489644357 DEDEH ROSMAWATI P PBI (APBN) Delivery by elective Rujuk Vertikal
caesarean section
154 22-05-2019 101212010519Y000544 0000489644357 DEDEH ROSMAWATI P PBI (APBN) Delivery by elective Berobat Jalan
caesarean section
155 22-05-2019 101212010519Y000520 0000489692542 ANIN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
156 22-05-2019 101212010519Y000523 0000489996191 NACIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
157 22-05-2019 101212010519P000563 0000490110535 NISAN L PBI (APBN) General examination and Rujuk Vertikal
investigation of persons
without complaint and
reported diagnosis
158 22-05-2019 101212010519P000624 0000490210064 NAIN L PBI (APBN) Dyspepsia Sembuh

159 22-05-2019 101212010519Y000543 0000490485677 JANAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
160 22-05-2019 101212010519Y000517 0001011086032 juju P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
161 22-05-2019 101212010519P000539 0001011086043 JUNAEDI L PBI (APBN) Pulpitis Berobat Jalan

162 22-05-2019 101212010519Y000518 0001011086605 NGASIJAN L PBI (APBN) Pneumonia, unspecified Berobat Jalan

163 22-05-2019 101212010519Y000536 0001011139209 NENGSIH P PBI (APBN) Dependence on enabling Berobat Jalan
machines and devices, not
elsewhere classified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

164 22-05-2019 101212010519Y000534 0001431470913 SAIPUL ANWAR L PEGAWAI SWASTA Herpesviral [herpes Berobat Jalan
simplex] infections
165 22-05-2019 101212010519Y000521 0002284029922 SADIH ROSADI L PEGAWAI SWASTA Myalgia Berobat Jalan

166 22-05-2019 101212010519Y000527 0002315231741 MARDANI L PEKERJA MANDIRI Other specified dermatitis Berobat Jalan

167 22-05-2019 101212010519P000578 0002504665348 TIAH P PBI (APBN) Dyspepsia Sembuh

168 22-05-2019 101212010519Y000528 0002624291054 WANIH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
169 22-05-2019 101212010519Y000533 0002743051781 SITI MASITOH P PEKERJA MANDIRI Retained placenta without Berobat Jalan
haemorrhage
170 22-05-2019 101212010519P000524 0002743051781 SITI MASITOH P PEKERJA MANDIRI Maternal care for fetal Rujuk Vertikal
problem, unspecified
171 22-05-2019 101212010519P000562 0002759609136 BAYI NYONYA NUNUNG P PEKERJA MANDIRI Other low birth weight Rujuk Vertikal
NURBAITI
172 21-05-2019 101212010519Y000497 0000488508873 DARSIH P PBI (APBN) Benign neoplasm of breast Berobat Jalan

173 21-05-2019 101212010519P000509 0000488704533 KARMADI L PBI (APBN) Systemic lupus Rujuk Vertikal
erythematosus with organ
or system involvement

174 21-05-2019 101212010519Y000498 0000489100061 SAANIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
175 21-05-2019 101212010519Y000505 0000489360058 YANIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
176 21-05-2019 101212010519Y000500 0000489425613 AYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
177 21-05-2019 101212010519Y000495 0000489430912 SARMAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
178 21-05-2019 101212010519Y000508 0000489528134 HJ EEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
179 21-05-2019 101212010519Y000510 0000489769784 VEVY TARIAS P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
180 21-05-2019 101212010519Y000511 0001011132178 KUSNADI L PBI (APBN) Myalgia Berobat Jalan

181 21-05-2019 101212010519Y000507 0001011132426 NURSALIH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
182 21-05-2019 101212010519P000504 0001011141527 ASEP L PBI (APBN) Conjunctivitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

183 21-05-2019 101212010519Y000501 0001187289617 MUHAMAD ERLANGGA L PEGAWAI SWASTA Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
184 21-05-2019 101212010519Y000506 0001846459113 SUKRI SAPRI L PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease,
unspecified
185 21-05-2019 101212010519P000499 0001850176269 JUBAEDAH P PEKERJA MANDIRI Premature rupture of Rujuk Vertikal
membranes, onset of
labour within 24 hours
186 21-05-2019 101212010519Y000513 0002227234239 BACANG L PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease,
unspecified
187 21-05-2019 101212010519Y000512 0002227234353 KENIL P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
188 21-05-2019 101212010519Y000502 0002236214259 HJ. haLIMAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
189 21-05-2019 101212010519P000496 0002315231741 MARDANI L PEKERJA MANDIRI Leprosy [Hansen disease] Berobat Jalan

190 21-05-2019 101212010519P000514 0002320305658 RINI P PEGAWAI SWASTA Acute appendicitis, other Rujuk Vertikal
and unspecified
191 21-05-2019 101212010519Y000503 0002504662165 TUNUNG P PBI (APBN) Other specified dermatitis Berobat Jalan

192 20-05-2019 101212010519P000467 0000063718391 ENAH P PNS DAERAH Headache Berobat Jalan

193 20-05-2019 101212010519Y000469 0000063729235 SUPANDI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
194 20-05-2019 101212010519P000481 0000489189609 IJAH P PBI (APBN) Intracranial Rujuk Vertikal
space-occupying lesion
195 20-05-2019 101212010519Y000453 0000489230583 TARSINAH P PBI (APBN) Other specified dermatitis Berobat Jalan

196 20-05-2019 101212010519Y000463 0000489405969 UDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
197 20-05-2019 101212010519Y000461 0000489461308 ISAM L PBI (APBN) Myalgia Berobat Jalan

198 20-05-2019 101212010519Y000454 0000489534322 SAIN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
199 20-05-2019 101212010519Y000448 0000489555472 NANI P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
200 20-05-2019 101212010519Y000460 0000489564718 MASNI P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

201 20-05-2019 101212010519P000465 0000489597546 MURSIH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

202 20-05-2019 101212010519P000466 0000489598762 OMIH KULSUM P PBI (APBN) Conjunctivitis Berobat Jalan

203 20-05-2019 101212010519Y000447 0000489718541 AMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
204 20-05-2019 101212010519Y000455 0000489948041 TARSIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
205 20-05-2019 101212010519Y000450 0000490024596 HARNI MAWARNI P PBI (APBN) Thyroid crisis or storm Berobat Jalan

206 20-05-2019 101212010519Y000462 0000490232193 ANAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
207 20-05-2019 101212010519Y000468 0000490232597 KUNIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

208 20-05-2019 101212010519P000472 0000490317344 NUNUNG NUR MARYATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
209 20-05-2019 101212010519Y000470 0000490432544 SITI ASIAH P PBI (APBN) Myalgia Berobat Jalan

210 20-05-2019 101212010519P000452 0001011093243 ENUNG L PBI (APBN) Congestive heart failure Rujuk Vertikal

211 20-05-2019 101212010519Y000457 0001011105369 AMIH P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

212 20-05-2019 101212010519Y000456 0001011124383 WAMIN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
213 20-05-2019 101212010519Y000458 0001011127061 NIMIN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
214 20-05-2019 101212010519Y000459 0001011129592 SITI HADAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
215 20-05-2019 101212010519P000471 0001323242469 NARSIH P PEKERJA MANDIRI Single spontaneous Berobat Jalan
delivery, unspecified
216 20-05-2019 101212010519P000442 0001466521648 ROYAH P PEKERJA MANDIRI Other cataract Rujuk Vertikal

217 20-05-2019 101212010519P000443 0001880081695 TITIN P PNS DAERAH Other orthopaedic Rujuk Vertikal
follow-up care
218 20-05-2019 101212010519P000444 0002084203179 WAWAN GUNAWAN L PEKERJA MANDIRI Pterygium Rujuk Vertikal

219 20-05-2019 101212010519Y000446 0002222890929 IDA FARIDA P PEKERJA MANDIRI Conjunctivitis Berobat Jalan

220 20-05-2019 101212010519Y000445 0002504654616 ENGKAY TRISNAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

221 20-05-2019 101212010519Y000451 0002504665348 TIAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
222 20-05-2019 101212010519P000627 0002507883579 KAIMIN L PEGAWAI SWASTA Dengue fever [classical Sembuh
dengue]
223 20-05-2019 101212010519Y000464 0002520538615 ARMANIH AP. P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
224 20-05-2019 101212010519P000719 0002624390853 KASNI P PEGAWAI SWASTA Pre-eclampsia, Sembuh
unspecified
225 20-05-2019 101212010519P000449 0002758147367 NIZAR AL FARIZI L PEGAWAI SWASTA Need for immunization Berobat Jalan
against plague
226 19-05-2019 101212010519P000632 0000488960864 EMAH P PBI (APBN) Essential (primary) Sembuh
hypertension
227 19-05-2019 101212010519P000628 0000489116158 FITRI NURFITRI P PEGAWAI SWASTA Dyspepsia Sembuh

228 19-05-2019 101212010519P000629 0001011089665 ANISA ZUHRO P PBI (APBN) Dyspepsia Sembuh

229 18-05-2019 101212010519P000436 0000063885813 DRS.AHMAD, S.PD L PNS PUSAT Gastritis, unspecified Berobat Jalan

230 18-05-2019 101212010519P000432 0000488004399 AMI P PBI (APBN) Pregnancy-related Berobat Jalan
condition, unspecified
231 18-05-2019 101212010519Y000437 0000488971258 RUNTI P PBI (APBN) Headache Berobat Jalan

232 18-05-2019 101212010519P000475 0000489011769 ABI MAULA L PBI (APBN) Dermatitis, unspecified Berobat Jalan

233 18-05-2019 101212010519P000477 0000489012017 YUNASIH P PBI (APBN) Myalgia Berobat Jalan

234 18-05-2019 101212010519P000479 0000489012131 CACIH P PBI (APBN) Myalgia Berobat Jalan

235 18-05-2019 101212010519P000482 0000489012783 HOLIMAH P PBI (APBN) Fever, unspecified Berobat Jalan

236 18-05-2019 101212010519P000486 0000489013143 NENDAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

237 18-05-2019 101212010519P000488 0000489013198 SRI YULITA WINARSIH P PBI (APBN) Other acute gastritis Berobat Jalan

238 18-05-2019 101212010519P000490 0000489013277 HOLINDA P PBI (APBN) Fever, unspecified Berobat Jalan

239 18-05-2019 101212010519P000474 0000489015887 IIS SUKAESIH P PBI (APBN) Other acute gastritis Berobat Jalan

240 18-05-2019 101212010519P000476 0000489016034 SUBAWATI P PBI (APBN) Other acute gastritis Berobat Jalan

241 18-05-2019 101212010519P000485 0000489016618 KARWITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

242 18-05-2019 101212010519P000487 0000489016877 TINI P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
243 18-05-2019 101212010519P000491 0000489017417 WARSIH P PBI (APBN) Myalgia Berobat Jalan

244 18-05-2019 101212010519Y000440 0000489033876 USNI P PBI (APBN) Other specified dermatitis Berobat Jalan

245 18-05-2019 101212010519P000473 0000489041864 NURUL ALIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
246 18-05-2019 101212010519P000484 0000489043067 JANIH P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
247 18-05-2019 101212010519P000494 0000489043258 WATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
248 18-05-2019 101212010519P000493 0000489045317 EMMAY P PBI (APBN) Other acute gastritis Berobat Jalan

249 18-05-2019 101212010519P000478 0000489045936 AMAH P PBI (APBN) Myalgia Berobat Jalan

250 18-05-2019 101212010519P000480 0000489045969 CHODIJAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
251 18-05-2019 101212010519P000483 0000489046252 ASTI P PBI (APBN) Myalgia Berobat Jalan

252 18-05-2019 101212010519P000489 0000489046983 YATNA SUTRISNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
253 18-05-2019 101212010519P000492 0000489047488 NANI NURAENI P PBI (APBN) Other acute Berobat Jalan
nonsuppurative otitis
media
254 18-05-2019 101212010519Y000434 0000489050561 SIDEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
255 18-05-2019 101212010519P000431 0000489052326 AYU RAHAYU P PBI (APBN) Endometriosis of uterus Rujuk Vertikal

256 18-05-2019 101212010519P000433 0000489052326 AYU RAHAYU P PBI (APBN) Single spontaneous Berobat Jalan
delivery, unspecified
257 18-05-2019 101212010519P000633 0000489126475 MASKA L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

258 18-05-2019 101212010519P000439 0000489186843 ATIM P PBI (APBN) Single spontaneous Berobat Jalan
delivery, unspecified
259 18-05-2019 101212010519P000430 0000489280779 SAKEM P PBI (APBN) Calculus of kidney and Rujuk Vertikal
ureter
260 18-05-2019 101212010519Y000441 0000489293357 ERSIH FATMAWATI P PBI (APBN) Other specified dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

261 18-05-2019 101212010519Y000438 0000489519044 NENIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
262 18-05-2019 101212010519Y000426 0000490115068 SINAH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
263 18-05-2019 101212010519P000577 0000494530694 SAMI P PBI (APBN) Dyspepsia Sembuh

264 18-05-2019 101212010519Y000425 0001011140842 YATI P PBI (APBN) Other diseases of anus Berobat Jalan
and rectum
265 18-05-2019 101212010519P000435 0001153781537 SAMSUL BAHRI L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
266 18-05-2019 101212010519P000429 0001301488211 MAISUROH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
267 18-05-2019 101212010519P000427 0002312696665 SHINTA NOVIYANI AZZAHRA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
268 18-05-2019 101212010519P000428 0002504654638 ILHAM FAJAR FIRMANSYAH L PBI (APBN) Conjunctivitis Berobat Jalan

269 18-05-2019 101212010519P000635 0002518912765 SUHERNI P PEKERJA MANDIRI Dyspepsia Sembuh

270 17-05-2019 101212010519P000423 0000488381578 SARDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

271 17-05-2019 101212010519P000713 0000488806863 DINDA P PBI (APBN) Single spontaneous Sembuh
delivery
272 17-05-2019 101212010519P000414 0000488806863 DINDA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
273 17-05-2019 101212010519P000422 0000488990529 NASAR L PBI (APBN) Myalgia Berobat Jalan

274 17-05-2019 101212010519P000638 0000488990529 NASAR L PBI (APBN) Typhoid and paratyphoid Sembuh
fevers
275 17-05-2019 101212010519Y000410 0000489141224 KOMAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
276 17-05-2019 101212010519P000408 0000489171824 MIDUN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
277 17-05-2019 101212010519Y000403 0000489344038 NIMIN L PBI (APBN) Myalgia Berobat Jalan

278 17-05-2019 101212010519P000631 0000489344174 SUMIATI P PBI (APBN) Dyspepsia Sembuh

279 17-05-2019 101212010519P000420 0000489430383 MITA PERMATA SARI P PBI (APBN) Benign neoplasm of breast Rujuk Vertikal

280 17-05-2019 101212010519Y000398 0000489827248 NENENG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

281 17-05-2019 101212010519P000404 0000489874353 TRILESTARI P PBI (APBN) Malignant neoplasm of Rujuk Vertikal
breast
282 17-05-2019 101212010519P000405 0000490064141 MULYANAH P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

283 17-05-2019 101212010519P000397 0000490064141 MULYANAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
284 17-05-2019 101212010519P000419 0000490177697 SUNAMI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
285 17-05-2019 101212010519P000416 0001011083679 KARMILA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
286 17-05-2019 101212010519P000417 0001011104278 NENENG SHOLIHAT P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
287 17-05-2019 101212010519Y000407 0001011107147 DELA P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

288 17-05-2019 101212010519Y000406 0001011114033 SHALMAN ALFARIDZY L PBI (APBN) Conjunctivitis Berobat Jalan

289 17-05-2019 101212010519P000411 0001011119411 LINDA PURNAMA SARI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
290 17-05-2019 101212010519P000415 0001011122526 ENGKAR P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
291 17-05-2019 101212010519P000424 0001011137027 NURKOMALASARI P PBI (APBN) Conjunctivitis Berobat Jalan

292 17-05-2019 101212010519P000418 0001188097108 SILVIA HERAWATI P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy, unspecified
293 17-05-2019 101212010519P000700 0001389722837 ENI SUHERNI P PEKERJA MANDIRI Gestational Sembuh
[pregnancy-induced]
hypertension without
significant proteinuria
294 17-05-2019 101212010519Y000412 0001439777619 IMUN L PEKERJA MANDIRI Conjunctivitis Berobat Jalan

295 17-05-2019 101212010519P000630 0001732822244 DAWIAH P PEKERJA MANDIRI Dyspepsia Sembuh

296 17-05-2019 101212010519P000421 0002068367398 ARKAN PRATAMA AHLAN L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
297 17-05-2019 101212010519P000413 0002176515257 ASMUNAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
298 17-05-2019 101212010519Y000401 0002176721458 NANA SURYANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
299 17-05-2019 101212010519Y000400 0002242595474 ENDANG L PEKERJA MANDIRI Schizophrenia Berobat Jalan

300 17-05-2019 101212010519Y000399 0002477457303 NATA L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

301 17-05-2019 101212010519Y000402 0002504658947 UDI ULFIA L PBI (APBN) Gastritis, unspecified Berobat Jalan

302 17-05-2019 101212010519Y000409 0002520538604 SAPANIH L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
303 17-05-2019 101212010519P000634 0002616106364 AHMAD RIFAI L PEKERJA MANDIRI Dyspepsia Sembuh

304 16-05-2019 101212010519P000359 0000063672963 IRA RAHMAWATI P PEGAWAI PEMERINTAH Slow fetal growth and fetal Rujuk Vertikal
DENGAN PERJANJIAN malnutrition
KERJA
305 16-05-2019 101212010519P000345 0000063672963 IRA RAHMAWATI P PEGAWAI PEMERINTAH Supervision of normal Berobat Jalan
DENGAN PERJANJIAN pregnancy, unspecified
KERJA
306 16-05-2019 101212010519Y000340 0000063807489 AI MAS'AH P PNS DAERAH Conjunctivitis Berobat Jalan

307 16-05-2019 101212010519P000617 0000488440304 ASRO RODIN L PBI (APBN) Tuberculosis of lung, Sembuh
confirmed by sputum
microscopy with or without
culture
308 16-05-2019 101212010519P000698 0000488620798 IDA WAHYUNI P PBI (APBN) Preterm delivery without Sembuh
spontaneous labour
309 16-05-2019 101212010519Y000335 0000488781022 WASNA L PBI (APBN) Schizophrenia Berobat Jalan

310 16-05-2019 101212010519P000368 0000488829633 ATIH P PBI (APBN) Myalgia Berobat Jalan

311 16-05-2019 101212010519P000378 0000488830094 ROSMA P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
312 16-05-2019 101212010519P000380 0000488830162 IKA KARLINA P PEGAWAI SWASTA Other acute gastritis Berobat Jalan

313 16-05-2019 101212010519P000382 0000488830353 NANI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

314 16-05-2019 101212010519P000394 0000488830983 ICAH P PBI (APBN) Myalgia Berobat Jalan

315 16-05-2019 101212010519P000352 0000488831411 AMAD L PBI (APBN) Fever, unspecified Berobat Jalan

316 16-05-2019 101212010519P000350 0000488864665 ITOH P PBI (APBN) Myalgia Berobat Jalan

317 16-05-2019 101212010519P000351 0000488864823 AHMAD JOHARI L PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
318 16-05-2019 101212010519P000343 0000488865148 INDRA L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
319 16-05-2019 101212010519P000358 0000488865172 TARMI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

320 16-05-2019 101212010519P000361 0000488865486 DARMI P PBI (APBN) Other acute gastritis Berobat Jalan

321 16-05-2019 101212010519P000365 0000488865576 SAKIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
322 16-05-2019 101212010519P000370 0000488865958 ANIM L PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
323 16-05-2019 101212010519P000384 0000488866173 RISKI RAMADAN L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

324 16-05-2019 101212010519P000389 0000488866836 CAHYADI L PBI (APBN) Other acute gastritis Berobat Jalan

325 16-05-2019 101212010519P000396 0000488867365 ROHMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
326 16-05-2019 101212010519P000346 0000488888684 AMIH P PBI (APBN) Other acute gastritis Berobat Jalan

327 16-05-2019 101212010519P000348 0000488888829 SARUDIN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

328 16-05-2019 101212010519P000354 0000488889448 NACIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
329 16-05-2019 101212010519P000374 0000488890394 TASIM L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

330 16-05-2019 101212010519P000376 0000488890405 YENI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

331 16-05-2019 101212010519P000386 0000488891002 MANSUR L PBI (APBN) Myalgia Berobat Jalan

332 16-05-2019 101212010519P000349 0000488917618 KOKOM P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
333 16-05-2019 101212010519P000353 0000488917989 WINDA MAHESA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
334 16-05-2019 101212010519P000360 0000488918384 TARMAN L PBI (APBN) Myalgia Berobat Jalan

335 16-05-2019 101212010519P000367 0000488918935 UNIH P PBI (APBN) Myalgia Berobat Jalan

336 16-05-2019 101212010519P000369 0000488919227 ANIP L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
337 16-05-2019 101212010519P000375 0000488919385 SAIDAH P PBI (APBN) Other acute gastritis Berobat Jalan

338 16-05-2019 101212010519P000377 0000488919734 TATI P PBI (APBN) Other acute gastritis Berobat Jalan

339 16-05-2019 101212010519P000381 0000488920116 NURHOLIPAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
340 16-05-2019 101212010519P000387 0000488920634 LIAN L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
341 16-05-2019 101212010519P000388 0000488920781 SANAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

342 16-05-2019 101212010519P000393 0000488921163 FIRMANSYAH L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

343 16-05-2019 101212010519P000347 0000488941727 SOVIAH P PBI (APBN) Fever, unspecified Berobat Jalan

344 16-05-2019 101212010519P000356 0000488942515 ASIH P PBI (APBN) Other acute gastritis Berobat Jalan

345 16-05-2019 101212010519P000357 0000488942774 MISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
346 16-05-2019 101212010519P000362 0000488943101 MUKRIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
347 16-05-2019 101212010519P000372 0000488943922 KARMAN L PBI (APBN) Other acute Berobat Jalan
nonsuppurative otitis
media
348 16-05-2019 101212010519P000379 0000488943988 TIMAH P PBI (APBN) Myalgia Berobat Jalan

349 16-05-2019 101212010519P000385 0000488944809 MASENA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
350 16-05-2019 101212010519P000390 0000488945248 AISAH P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

351 16-05-2019 101212010519P000392 0000488945575 JUAMIH P PBI (APBN) Other acute gastritis Berobat Jalan

352 16-05-2019 101212010519P000395 0000488945722 JUMADI L PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
353 16-05-2019 101212010519P000383 0000488946058 LIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
354 16-05-2019 101212010519P000619 0000489069707 MIRTA L PBI (APBN) Dyspepsia Sembuh

355 16-05-2019 101212010519Y000334 0000489154871 ICIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
356 16-05-2019 101212010519Y000339 0000489192377 SUMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
357 16-05-2019 101212010519P000342 0000489348292 WATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
358 16-05-2019 101212010519Y000333 0000489384279 KARDI SURYADI L PBI (APBN) Myalgia Berobat Jalan

359 16-05-2019 101212010519P000391 0000489452591 NUR YANI P PBI (APBN) Non-insulin-dependent Rujuk Vertikal
diabetes mellitus with
unspecified complications
360 16-05-2019 101212010519Y000366 0000489521283 ONIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
361 16-05-2019 101212010519Y000371 0000489669118 YATMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
362 16-05-2019 101212010519P000615 0000489669118 YATMI P PBI (APBN) Essential (primary) Sembuh
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

363 16-05-2019 101212010519Y000337 0000490287486 WARSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

364 16-05-2019 101212010519P000341 0000490290489 NENTI P PBI (APBN) Chronic renal failure, Rujuk Vertikal
unspecified
365 16-05-2019 101212010519Y000363 0000491228954 ASEP L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
366 16-05-2019 101212010519Y000364 0000491228954 ASEP L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
367 16-05-2019 101212010519Y000336 0001011100667 DIDIN SAPUTRA L PBI (APBN) Epilepsy Berobat Jalan

368 16-05-2019 101212010519Y000355 0001011128152 NARYADI L PBI (APBN) Fever, unspecified Berobat Jalan

369 16-05-2019 101212010519Y000373 0001649291038 JAHRUDIN L PEGAWAI SWASTA Fissure and fistula of anal Rujuk Vertikal
and rectal regions
370 16-05-2019 101212010519P000344 0001727959004 HJ. YAYAH P PEKERJA MANDIRI Chronic renal failure, Berobat Jalan
unspecified
371 16-05-2019 101212010519P000714 0002176515257 ASMUNAH P PBI (APBN) Single spontaneous Sembuh
delivery
372 16-05-2019 101212010519Y000338 0002504645278 ATENG SUGANDI L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
373 15-05-2019 101212010519P000305 0000488456392 RASAM L PBI (APBN) Chronic ischaemic heart Rujuk Vertikal
disease
374 15-05-2019 101212010519P000306 0000488572795 NAMIH P PBI (APBN) Other and unspecified Rujuk Vertikal
injuries of lower leg
375 15-05-2019 101212010519P000317 0000488775227 JUNASIH P PBI (APBN) Myalgia Berobat Jalan

376 15-05-2019 101212010519Y000313 0000488919464 AHMAD SOPIAN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
377 15-05-2019 101212010519Y000307 0000488960864 EMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
378 15-05-2019 101212010519Y000309 0000488978741 TUNAH P PBI (APBN) Congestive heart failure Berobat Jalan

379 15-05-2019 101212010519Y000323 0000488983397 KASTA L PBI (APBN) Conjunctivitis Berobat Jalan

380 15-05-2019 101212010519Y000324 0000488984095 SAIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

381 15-05-2019 101212010519Y000320 0000489027115 AINI ASIPAH P PBI (APBN) Fever, unspecified Berobat Jalan

382 15-05-2019 101212010519Y000331 0000489089081 SULISTIANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
383 15-05-2019 101212010519Y000316 0000489102772 MINAH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
384 15-05-2019 101212010519Y000312 0000489268743 KANEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
385 15-05-2019 101212010519P000319 0000489318726 SURYONO L PBI (APBN) Calculus of kidney Rujuk Vertikal

386 15-05-2019 101212010519Y000325 0000489319749 MISIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
387 15-05-2019 101212010519Y000329 0000489528358 LIYA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
388 15-05-2019 101212010519Y000326 0000489870538 MINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
389 15-05-2019 101212010519Y000314 0000489959559 SUTIYAH P PBI (APBN) Heart failure Berobat Jalan

390 15-05-2019 101212010519Y000328 0001011086032 juju P PBI (APBN) Periapical abscess without Berobat Jalan
sinus
391 15-05-2019 101212010519Y000322 0001011120377 NURYANAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

392 15-05-2019 101212010519Y000327 0001011140842 YATI P PBI (APBN) Haemorrhoids Berobat Jalan

393 15-05-2019 101212010519P000303 0001380854518 ALEK TRISNA L PEKERJA MANDIRI Heart failure Berobat Jalan

394 15-05-2019 101212010519Y000315 0001454422094 SUBUR L PEKERJA MANDIRI Congestive heart failure Berobat Jalan

395 15-05-2019 101212010519Y000310 0001730192747 AKHYAR MU'MIN L PEKERJA MANDIRI Schizophrenia Berobat Jalan

396 15-05-2019 101212010519Y000330 0001740964487 ADIT L PEGAWAI SWASTA Chronic periodontitis Berobat Jalan

397 15-05-2019 101212010519Y000308 0002307639126 KASMAH P PEGAWAI SWASTA Dyspepsia Berobat Jalan

398 15-05-2019 101212010519Y000311 0002504654616 ENGKAY TRISNAWATI P PBI (APBN) Dyspepsia Berobat Jalan

399 15-05-2019 101212010519P000573 0002504654616 ENGKAY TRISNAWATI P PBI (APBN) Dyspepsia Sembuh

400 15-05-2019 101212010519Y000318 0002520538615 ARMANIH AP. P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
401 15-05-2019 101212010519P000321 0002621852638 OLINAH P PEKERJA MANDIRI Benign neoplasm of other Rujuk Vertikal
and unspecified parts of
mouth
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

402 14-05-2019 101212010519P000296 0000063643746 MOHAMMAD ABDUH ADDAI L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
403 14-05-2019 101212010519Y000295 0000488473165 ROJUDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

404 14-05-2019 101212010519P000616 0000488775227 JUNASIH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

405 14-05-2019 101212010519P000301 0000488857544 NAWIYAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
406 14-05-2019 101212010519P000297 0000489050561 SIDEM P PBI (APBN) Headache Berobat Jalan

407 14-05-2019 101212010519P000299 0000489340192 NEMI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
408 14-05-2019 101212010519P000298 0000489344433 TINA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
409 14-05-2019 101212010519P000302 0000489606671 IDA NURHASANAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
410 14-05-2019 101212010519P000288 0000489959559 SUTIYAH P PBI (APBN) Heart failure Berobat Jalan

411 14-05-2019 101212010519Y000300 0000490076954 NANA SUPRIATNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
412 14-05-2019 101212010519P000287 0000490224958 ACIH P PBI (APBN) Benign mammary Rujuk Vertikal
dysplasia
413 14-05-2019 101212010519Y000292 0000490290489 NENTI P PBI (APBN) Myalgia Berobat Jalan

414 14-05-2019 101212010519Y000293 0001011110466 SOFIRAH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
415 14-05-2019 101212010519Y000290 0001011127656 ONENG P PBI (APBN) Retained dental root Berobat Jalan

416 14-05-2019 101212010519P000618 0001450942211 AHMAD L PEKERJA MANDIRI Typhoid and paratyphoid Sembuh
fevers
417 14-05-2019 101212010519P000289 0001732143789 SITI AMINAH P PEKERJA MANDIRI Epilepsy Rujuk Vertikal

418 14-05-2019 101212010519Y000291 0002136653537 AHMAD FADIL ABDILAH L PEGAWAI SWASTA Pulpitis Berobat Jalan

419 14-05-2019 101212010519Y000294 0002236214259 HJ. haLIMAH P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
420 14-05-2019 101212010519P000720 0002299165659 SINAH P PEKERJA MANDIRI Single spontaneous Sembuh
delivery
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

421 13-05-2019 101212010519P000304 0000063502727 ACHMAD SOBARI FAUZIE L PENERIMA PENSIUN Intervertebral disc Rujuk Vertikal
PNS disorder, unspecified
422 13-05-2019 101212010519Y000267 0000063676631 SAEPUDIN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
423 13-05-2019 101212010519P000332 0000064001327 MARIAH,NY JD OYO P PENERIMA PENSIUN Other cataract Rujuk Vertikal
PNS
424 13-05-2019 101212010519Y000277 0000488842457 YANAH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
425 13-05-2019 101212010519P000272 0000488842863 SALBIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
426 13-05-2019 101212010519Y000280 0000488934775 HAMIMAH P PBI (APBN) Myalgia Berobat Jalan

427 13-05-2019 101212010519Y000278 0000488935506 IMAM MALIK L PBI (APBN) Gastritis, unspecified Berobat Jalan

428 13-05-2019 101212010519P000262 0000489043091 MISIN L PBI (APBN) Other cataract Rujuk Vertikal

429 13-05-2019 101212010519P000270 0000489045892 SUHODI L PBI (APBN) Other soft tissue disorders, Rujuk Vertikal
not elsewhere classified

430 13-05-2019 101212010519Y000265 0000489226858 SUKASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
431 13-05-2019 101212010519P000271 0000489238503 SAMIN L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal

432 13-05-2019 101212010519P000285 0000489340383 BUNAYAH P PBI (APBN) Nontoxic goitre, Rujuk Vertikal
unspecified
433 13-05-2019 101212010519Y000275 0000489400942 YAYAH HORIYAH P PEGAWAI SWASTA Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
434 13-05-2019 101212010519P000276 0000489405835 LIANA P PBI (APBN) Single spontaneous Berobat Jalan
delivery, unspecified
435 13-05-2019 101212010519P000274 0000489410008 WARNIH P PBI (APBN) Single spontaneous Berobat Jalan
delivery, unspecified
436 13-05-2019 101212010519P000268 0000489434005 ANDI L PBI (APBN) Headache Berobat Jalan

437 13-05-2019 101212010519Y000266 0000489555472 NANI P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
438 13-05-2019 101212010519Y000282 0000489564718 MASNI P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

439 13-05-2019 101212010519P000284 0000489778479 MEHE P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
440 13-05-2019 101212010519Y000279 0000490224958 ACIH P PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

441 13-05-2019 101212010519P000269 0000490518077 SAPEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
442 13-05-2019 101212010519Y000264 0000490534018 CAROM L PBI (APBN) Gastroenteritis and colitis Berobat Jalan
of unspecified origin
443 13-05-2019 101212010519Y000281 0001011105369 AMIH P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

444 13-05-2019 101212010519P000614 0001849200614 DEDE CHANDRA R. L PEKERJA MANDIRI Dyspepsia Sembuh

445 13-05-2019 101212010519P000263 0002449415259 ROM P PEKERJA MANDIRI Chronic renal failure, Rujuk Vertikal
unspecified
446 13-05-2019 101212010519P000283 0002504654616 ENGKAY TRISNAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

447 13-05-2019 101212010519P000273 0002762140847 BAYI NYONYA MAYASARI P PEKERJA MANDIRI Allergic contact dermatitis, Berobat Jalan
unspecified cause

448 12-05-2019 101212010519P000610 0001401829953 ENI SUHERNI P PEGAWAI SWASTA Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

449 11-05-2019 101212010519Y000257 0000162921947 ALFIAH RAHMIYATI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
450 11-05-2019 101212010519P000258 0000488116888 ISAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
451 11-05-2019 101212010519Y000255 0000488916999 HUSNAINI P PBI (APBN) Headache Berobat Jalan

452 11-05-2019 101212010519Y000253 0000489084693 DINDA MARIA P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

453 11-05-2019 101212010519Y000252 0000489430912 SARMAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
454 11-05-2019 101212010519P000286 0000489530619 JAENABUN P PBI (APBN) Ascites Rujuk Vertikal

455 11-05-2019 101212010519P000259 0000489579827 AI KARNI P PBI (APBN) Myalgia Berobat Jalan

456 11-05-2019 101212010519Y000251 0000489840478 INAN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
457 11-05-2019 101212010519P000612 0000490176055 TINGGAL L PBI (APBN) Dyspepsia Sembuh

458 11-05-2019 101212010519Y000254 0001011097304 SUHARA L PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

459 11-05-2019 101212010519Y000256 0001011132178 KUSNADI L PBI (APBN) Gastroenteritis and colitis Berobat Jalan
of unspecified origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

460 11-05-2019 101212010519P000261 0002519979017 ROHIMAH P PEKERJA MANDIRI Special screening Rujuk Vertikal
examination for neoplasm,
unspecified
461 11-05-2019 101212010519P000260 0002620257232 DEDEH APRIYANI P PEKERJA MANDIRI Toxoplasmosis, Rujuk Vertikal
unspecified
462 10-05-2019 101212010519P000216 0000488906144 JAYA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
463 10-05-2019 101212010519P000211 0000488920239 NOVIA NIKE P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
464 10-05-2019 101212010519P000219 0000488983173 LUSNI P PBI (APBN) Myalgia Berobat Jalan

465 10-05-2019 101212010519P000250 0000488983173 LUSNI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
466 10-05-2019 101212010519Y000236 0000489032291 MAAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
467 10-05-2019 101212010519P000214 0000489396137 YUDISTIRA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
468 10-05-2019 101212010519Y000233 0000489509651 NARI P PBI (APBN) Gastritis, unspecified Berobat Jalan

469 10-05-2019 101212010519P000249 0000489683496 WIDYA ASTUTI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
470 10-05-2019 101212010519P000221 0000490037523 MAEMUNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
471 10-05-2019 101212010519P000591 0000490037523 MAEMUNAH P PBI (APBN) Dyspepsia Sembuh

472 10-05-2019 101212010519P000611 0000490070889 JAMSURI L PBI (APBN) Dyspepsia Sembuh

473 10-05-2019 101212010519P000613 0000490252239 SAIN L PBI (APBN) Dyspepsia Sembuh

474 10-05-2019 101212010519P000593 0000490584148 SANAH P PBI (APBN) Dyspepsia Sembuh

475 10-05-2019 101212010519P000594 0001011112064 ASNAH ROSITA P PBI (APBN) Dyspepsia Sembuh

476 10-05-2019 101212010519P000226 0001439777619 IMUN L PEKERJA MANDIRI Headache Berobat Jalan

477 10-05-2019 101212010519P000199 0001439777946 OON P PEKERJA MANDIRI Heart failure Rujuk Vertikal

478 10-05-2019 101212010519Y000245 0001720450113 WILDAN UMAMI L PEKERJA MANDIRI Other acute gastritis Berobat Jalan

479 10-05-2019 101212010519Y000246 0001872478833 ESAH P PEGAWAI SWASTA Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

480 10-05-2019 101212010519Y000241 0001907711853 ENOK ASMARIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
481 10-05-2019 101212010519P000207 0002206167028 CARTINI P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
482 10-05-2019 101212010519P000223 0002394452643 AMINAH P PBI (APBD) Other abnormal products Rujuk Vertikal
of conception
483 10-05-2019 101212010519P000248 0002394452643 AMINAH P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
484 10-05-2019 101212010519Y000204 0002504659487 MARSINI P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
485 10-05-2019 101212010519P000595 0002520538604 SAPANIH L PEKERJA MANDIRI Chronic obstructive Sembuh
pulmonary disease with
acute lower respiratory
infection
486 10-05-2019 101212010519P000247 0002620257232 DEDEH APRIYANI P PEKERJA MANDIRI Toxoplasmosis, Rujuk Vertikal
unspecified
487 09-05-2019 101212010519P000176 0000063639371 hj NURYATI P PENERIMA PENSIUN Congestive heart failure Rujuk Vertikal
PNS
488 09-05-2019 101212010519P000592 0000172487463 SOLIHA, NY P PNS DAERAH Abdominal and pelvic pain Sembuh

489 09-05-2019 101212010519P000718 0000488612788 AAM P PBI (APBN) Single spontaneous Sembuh
delivery
490 09-05-2019 101212010519Y000184 0000488781022 WASNA L PBI (APBN) Schizophrenia Berobat Jalan

491 09-05-2019 101212010519Y000170 0000488934775 HAMIMAH P PBI (APBN) Myalgia Berobat Jalan

492 09-05-2019 101212010519Y000177 0000489138851 SOPIAH L PBI (APBN) Conjunctivitis Berobat Jalan

493 09-05-2019 101212010519Y000179 0000489154871 ICIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
494 09-05-2019 101212010519Y000175 0000489653875 MUSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
495 09-05-2019 101212010519Y000173 0000489959302 DAYAT HIDAYAT L PBI (APBN) Myalgia Berobat Jalan

496 09-05-2019 101212010519P000172 0000489968177 ASMAWIH L PBI (APBN) Chronic renal failure, Rujuk Vertikal
unspecified
497 09-05-2019 101212010519P000180 0000490019703 MARWA WATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
498 09-05-2019 101212010519P000186 0000490192705 SINAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

499 09-05-2019 101212010519P000188 0000490193199 TANIH P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
500 09-05-2019 101212010519P000190 0000490193223 DESI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
501 09-05-2019 101212010519P000192 0000490193324 KARTI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

502 09-05-2019 101212010519P000194 0000490194202 MISNI P PBI (APBN) Other acute gastritis Berobat Jalan

503 09-05-2019 101212010519P000196 0000490195034 SALMAH P PBI (APBN) Other acute Berobat Jalan
nonsuppurative otitis
media
504 09-05-2019 101212010519P000198 0000490196226 SITI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

505 09-05-2019 101212010519P000201 0000490196496 WANGSIH P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
506 09-05-2019 101212010519P000203 0000490197565 NENIH P PBI (APBN) Myalgia Berobat Jalan

507 09-05-2019 101212010519P000206 0000490197712 MARTINI P PBI (APBN) Other acute gastritis Berobat Jalan

508 09-05-2019 101212010519P000209 0000490199229 MARYANI P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
509 09-05-2019 101212010519P000212 0000490201345 KIKI MUSTAQIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
510 09-05-2019 101212010519P000215 0000490201424 NESIN L PBI (APBN) Myalgia Berobat Jalan

511 09-05-2019 101212010519P000218 0000490201784 KARNIAH P PBI (APBN) Myalgia Berobat Jalan

512 09-05-2019 101212010519P000222 0000490201817 DARSO L PBI (APBN) Myalgia Berobat Jalan

513 09-05-2019 101212010519P000225 0000490202234 NENSIH P PBI (APBN) Fever, unspecified Berobat Jalan

514 09-05-2019 101212010519P000228 0000490202278 NENIH P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
515 09-05-2019 101212010519P000230 0000490202324 NURYAMAN L PBI (APBN) Fever, unspecified Berobat Jalan

516 09-05-2019 101212010519P000232 0000490202335 ROKAYAH P PBI (APBN) Myalgia Berobat Jalan

517 09-05-2019 101212010519P000235 0000490203009 RIKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
518 09-05-2019 101212010519P000238 0000490203617 ISMAIL L PBI (APBN) Dermatitis, unspecified Berobat Jalan

519 09-05-2019 101212010519P000240 0000490203865 KARSIH P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

520 09-05-2019 101212010519P000242 0000490204271 SAIDIH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
521 09-05-2019 101212010519P000244 0000490204282 SOLEH L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
522 09-05-2019 101212010519P000187 0000490205103 SAAN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
523 09-05-2019 101212010519P000189 0000490205316 MANA L PBI (APBN) Myalgia Berobat Jalan

524 09-05-2019 101212010519P000191 0000490205395 TINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
525 09-05-2019 101212010519P000193 0000490205676 ATA L PBI (APBN) Other acute gastritis Berobat Jalan

526 09-05-2019 101212010519P000195 0000490206071 MUNIROH P PBI (APBN) Myalgia Berobat Jalan

527 09-05-2019 101212010519P000197 0000490206216 TEGUH GUNAWAN L PBI (APBN) Fever, unspecified Berobat Jalan

528 09-05-2019 101212010519P000200 0000490207116 ANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
529 09-05-2019 101212010519P000202 0000490207746 LASMI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

530 09-05-2019 101212010519P000205 0000490208106 TALIM L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
531 09-05-2019 101212010519P000208 0000490209344 ERNAWATI P PBI (APBN) Other acute gastritis Berobat Jalan

532 09-05-2019 101212010519P000210 0000490209906 NANI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

533 09-05-2019 101212010519P000213 0000490210187 DAYAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
534 09-05-2019 101212010519P000217 0000490210492 SANIAH ALPIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
535 09-05-2019 101212010519P000220 0000490211583 AHMAD L PBI (APBN) Other acute gastritis Berobat Jalan

536 09-05-2019 101212010519P000224 0000490212494 MAYSAROH P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
537 09-05-2019 101212010519P000227 0000490213157 KARTI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

538 09-05-2019 101212010519P000229 0000490213192 ASEP SUNARYA L PBI (APBN) Other acute Berobat Jalan
nonsuppurative otitis
media
539 09-05-2019 101212010519P000231 0000490213541 JUJU P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
540 09-05-2019 101212010519P000234 0000490214068 SRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
541 09-05-2019 101212010519P000237 0000490214384 SANTIH SUSILAWATI P PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

542 09-05-2019 101212010519P000239 0000490214744 MARNAH P PBI (APBN) Myalgia Berobat Jalan

543 09-05-2019 101212010519P000243 0000490215532 MARDIAH P PBI (APBN) Other acute gastritis Berobat Jalan

544 09-05-2019 101212010519P000167 0000490241643 YOYOH P PBI (APBN) Malignant neoplasm of Rujuk Vertikal
thyroid gland
545 09-05-2019 101212010519P000181 0001273802128 SITI UPIBADRIAH L PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy, unspecified
546 09-05-2019 101212010519P000168 0001735189841 H. MUDIH L PEKERJA MANDIRI Other soft tissue disorders, Rujuk Vertikal
not elsewhere classified

547 09-05-2019 101212010519Y000183 0002242595474 ENDANG L PEKERJA MANDIRI Schizophrenia Berobat Jalan

548 09-05-2019 101212010519Y000169 0002294340243 HALIMATUS SA'DIAH P PEKERJA MANDIRI Conjunctivitis Berobat Jalan

549 09-05-2019 101212010519P000182 0002304670331 ILMA NURANZALIA P PEKERJA MANDIRI Conjunctivitis Berobat Jalan

550 09-05-2019 101212010519P000178 0002624390853 KASNI P PEGAWAI SWASTA Pre-eclampsia, Rujuk Vertikal
unspecified
551 09-05-2019 101212010519P000174 0002754888333 OYOH YUNINGSIH P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy, unspecified
552 09-05-2019 101212010519Y000171 0002758234735 ROSIANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
553 08-05-2019 101212010519Y000164 0000488521113 ADAM L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
554 08-05-2019 101212010519Y000160 0000488803702 ARPAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
555 08-05-2019 101212010519P000185 0000489318491 IMAH P PEGAWAI SWASTA Excessive, frequent and Rujuk Vertikal
irregular menstruation
556 08-05-2019 101212010519Y000163 0001011097247 SUTI P PBI (APBN) Other specified dermatitis Berobat Jalan

557 08-05-2019 101212010519Y000166 0001187289617 MUHAMAD ERLANGGA L PEGAWAI SWASTA Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
558 08-05-2019 101212010519Y000162 0001516567465 RUSLAN SOPANDI L PEGAWAI SWASTA Conjunctivitis Berobat Jalan

559 08-05-2019 101212010519Y000161 0001516567465 RUSLAN SOPANDI L PEGAWAI SWASTA Conjunctivitis Berobat Jalan

560 08-05-2019 101212010519P000159 0001865216441 ujang L PEKERJA MANDIRI Tic disorder, unspecified Rujuk Vertikal

561 08-05-2019 101212010519Y000165 0002299335153 AINEROFIK P PEKERJA MANDIRI Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

562 07-05-2019 101212010519P000100 0000193908936 FADEL MUHAMMAD ABDIE L PNS DAERAH Fracture of shoulder and Rujuk Vertikal
upper arm
563 07-05-2019 101212010519P000660 0000488053012 OYO P PBI (APBN) Dyspepsia Sembuh

564 07-05-2019 101212010519Y000093 0000488885657 ROHMANI L PBI (APBN) Gastritis, unspecified Berobat Jalan

565 07-05-2019 101212010519P000101 0000488919464 AHMAD SOPIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
566 07-05-2019 101212010519P000102 0000489370037 ROKIYAH P PBI (APBN) Headache Berobat Jalan

567 07-05-2019 101212010519P000589 0000489415162 IYAN L PBI (APBN) Chronic obstructive Sembuh
pulmonary disease with
acute lower respiratory
infection
568 07-05-2019 101212010519P000620 0000489601631 AMI P PBI (APBN) Dyspepsia Sembuh

569 07-05-2019 101212010519P000114 0000489767657 KAMIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

570 07-05-2019 101212010519P000099 0000489874375 RINI PURWATI P PBI (APBN) Dyspepsia Berobat Jalan

571 07-05-2019 101212010519P000092 0000490038636 YATI P PBI (APBN) Other benign neoplasm of Rujuk Vertikal
connective and other soft
tissue of abdomen
572 07-05-2019 101212010519Y000095 0000490164816 ILAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
573 07-05-2019 101212010519P000119 0000490534064 CANIH P PBI (APBN) Conjunctivitis Berobat Jalan

574 07-05-2019 101212010519P000116 0001011097269 NURAEDAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
575 07-05-2019 101212010519P000098 0001011120377 NURYANAH P PBI (APBN) Myalgia Berobat Jalan

576 07-05-2019 101212010519P000711 0001011136498 SADIYAH P PBI (APBN) Hyperemesis gravidarum Sembuh
with metabolic disturbance

577 07-05-2019 101212010519P000120 0001453745946 LILIS SURYANI P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

578 07-05-2019 101212010519P000091 0001454422094 SUBUR L PEKERJA MANDIRI Heart failure Rujuk Vertikal

579 07-05-2019 101212010519P000104 0001645173382 FELIZA FRANSISKA P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
580 07-05-2019 101212010519P000157 0001649291038 JAHRUDIN L PEGAWAI SWASTA Allergic contact dermatitis, Rujuk Vertikal
unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

581 07-05-2019 101212010519P000158 0001726490013 TUTI ALAWIYAH P PEKERJA MANDIRI Chronic kidney disease Rujuk Vertikal

582 07-05-2019 101212010519P000588 0001741011715 NENI ROHAENI P PEKERJA MANDIRI Dyspepsia Sembuh

583 07-05-2019 101212010519P000103 0002264029119 SIPAH KOLDIYAH P PBI (APBD) Conjunctivitis Berobat Jalan

584 07-05-2019 101212010519P000117 0002375468199 DELIA MAHARANIE L PEKERJA MANDIRI Other specified dermatitis Berobat Jalan

585 07-05-2019 101212010519Y000094 0002504648632 SYAMLUTPIYANTI P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
586 07-05-2019 101212010519P000096 0002743051781 SITI MASITOH P PEKERJA MANDIRI Other specified abnormal Rujuk Vertikal
uterine and vaginal
bleeding
587 07-05-2019 101212010519P000097 0002750085641 SANYI P PEKERJA MANDIRI Myalgia Berobat Jalan

588 06-05-2019 101212010519P000079 0000488268516 PARMAN L PBI (APBN) Chronic renal failure, Rujuk Vertikal
unspecified
589 06-05-2019 101212010519P000715 0000489013176 WARSIH P PBI (APBN) Single spontaneous Sembuh
delivery
590 06-05-2019 101212010519P000082 0000489312562 DASUM L PBI (APBN) Calculus in bladder Rujuk Vertikal

591 06-05-2019 101212010519P000622 0000489353106 samad alfarez L PBI (APBN) Dyspepsia Sembuh

592 06-05-2019 101212010519P000712 0000489419717 IYATMI P PBI (APBN) Twin pregnancy Sembuh

593 06-05-2019 101212010519P000084 0000490582451 RIDWAN HAKIM L PBI (APBN) Undescended testicle, Rujuk Vertikal
unspecified
594 06-05-2019 101212010519P000710 0001011091522 DINA MARYANIH P PBI (APBN) Severe pre-eclampsia Sembuh

595 06-05-2019 101212010519P000086 0001452939704 E RUSMAWATHI P PEGAWAI SWASTA Myopia Rujuk Vertikal

596 06-05-2019 101212010519P000085 0001452939928 WALIM, S.Pt.,MP. L PEGAWAI SWASTA Other vitreous opacities Rujuk Vertikal

597 06-05-2019 101212010519P000087 0001470303652 HESPI INDRIYANI P PEKERJA MANDIRI Other and unspecified Rujuk Vertikal
ovarian cysts
598 06-05-2019 101212010519P000081 0001645173382 FELIZA FRANSISKA P PEGAWAI SWASTA Acute appendicitis Rujuk Vertikal

599 06-05-2019 101212010519P000083 0001899202015 muhammad abbad nail nabhan L PEGAWAI SWASTA Foreign body in nasal Rujuk Vertikal
sinus
600 06-05-2019 101212010519P000078 0002205032106 hasbie L PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease
601 06-05-2019 101212010519P000080 0002520538604 SAPANIH L PEKERJA MANDIRI Pleural effusion, not Rujuk Vertikal
elsewhere classified
602 05-05-2019 101212010519P000574 0000489338302 OCEH L PBI (APBN) Dyspepsia Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

603 04-05-2019 101212010519P000077 0000063901135 TATANG SUHADA L PNS DAERAH Conjunctivitis Rujuk Vertikal

604 04-05-2019 101212010519Y000072 0000488405608 SUMIYATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
605 04-05-2019 101212010519Y000065 0000488854484 NECIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
606 04-05-2019 101212010519P000066 0000489022187 KARTIKA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
607 04-05-2019 101212010519Y000064 0000489063216 KAMAH P PBI (APBN) Myalgia Berobat Jalan

608 04-05-2019 101212010519P000088 0000489079056 SAROH P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
609 04-05-2019 101212010519P000090 0000489080136 HIA SAPITRI P PBI (APBN) Other acute gastritis Berobat Jalan

610 04-05-2019 101212010519P000106 0000489080283 NABILA S P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
611 04-05-2019 101212010519P000108 0000489081003 EEN P PBI (APBN) Myalgia Berobat Jalan

612 04-05-2019 101212010519P000110 0000489081183 ERNA P PBI (APBN) Fever, unspecified Berobat Jalan

613 04-05-2019 101212010519P000112 0000489081497 NATI SURYANI P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
614 04-05-2019 101212010519P000115 0000489082612 DARMI P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
615 04-05-2019 101212010519P000121 0000489082869 SANAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

616 04-05-2019 101212010519P000123 0000489082904 MINAH P PBI (APBN) Nonsuppurative otitis Berobat Jalan
media, unspecified
617 04-05-2019 101212010519P000125 0000489083736 IPAH P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
618 04-05-2019 101212010519P000133 0000489084197 RISAH P PBI (APBN) Myalgia Berobat Jalan

619 04-05-2019 101212010519P000135 0000489084399 MARSIH PUSPITASARI ANJANI P PBI (APBN) Fever, unspecified Berobat Jalan

620 04-05-2019 101212010519P000137 0000489084412 APRIANSYAH L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

621 04-05-2019 101212010519P000139 0000489084524 IKAH P PBI (APBN) Other acute gastritis Berobat Jalan

622 04-05-2019 101212010519P000716 0000489155027 LENI RAHMAWATI P PBI (APBN) Single spontaneous Sembuh
delivery
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

623 04-05-2019 101212010519P000127 0000489172612 MASITOH P PBI (APBN) Myalgia Berobat Jalan

624 04-05-2019 101212010519P000129 0000489172926 NURLAELA L PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
625 04-05-2019 101212010519P000131 0000489173973 DIMAH P PBI (APBN) Other acute gastritis Berobat Jalan

626 04-05-2019 101212010519P000109 0000489303314 ITOH MASITOH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

627 04-05-2019 101212010519P000124 0000489306554 DARIAH P PBI (APBN) Myalgia Berobat Jalan

628 04-05-2019 101212010519P000128 0000489307173 YANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
629 04-05-2019 101212010519P000138 0000489308343 KARSINAH P PBI (APBN) Myalgia Berobat Jalan

630 04-05-2019 101212010519P000141 0000489319569 ERA MADU P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
631 04-05-2019 101212010519P000152 0000489320649 AAN P PBI (APBN) Other acute gastritis Berobat Jalan

632 04-05-2019 101212010519P000154 0000489320706 DINA PERMANA L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

633 04-05-2019 101212010519P000113 0000489323632 RAHMAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
634 04-05-2019 101212010519P000126 0000489326501 KARTIKA P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

635 04-05-2019 101212010519P000143 0000489347267 SITI P PBI (APBN) Other acute gastritis Berobat Jalan

636 04-05-2019 101212010519P000144 0000489347627 SRI DEWI P PBI (APBN) Other acute Berobat Jalan
nonsuppurative otitis
media
637 04-05-2019 101212010519P000148 0000489348808 ITI P PBI (APBN) Myalgia Berobat Jalan

638 04-05-2019 101212010519P000150 0000489349179 MANAN L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
639 04-05-2019 101212010519P000156 0000489349495 DAISAH P PBI (APBN) Myalgia Berobat Jalan

640 04-05-2019 101212010519P000147 0000489349686 MARHAYATI L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
641 04-05-2019 101212010519P000105 0000489350597 SAMAN P PBI (APBN) Fever, unspecified Berobat Jalan

642 04-05-2019 101212010519P000107 0000489351519 WASNI P PBI (APBN) Myalgia Berobat Jalan

643 04-05-2019 101212010519P000111 0000489351824 TARSINAH P PBI (APBN) Other acute gastritis Berobat Jalan

644 04-05-2019 101212010519P000118 0000489352825 AYA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
645 04-05-2019 101212010519P000122 0000489353062 DAMAHYANTI P PBI (APBN) Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

646 04-05-2019 101212010519P000134 0000489354434 SUPIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
647 04-05-2019 101212010519P000146 0000489356673 NUSIH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
hypertension
648 04-05-2019 101212010519P000155 0000489357134 YENI P PBI (APBN) Fever, unspecified Berobat Jalan

649 04-05-2019 101212010519P000089 0000489357369 CANTIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
650 04-05-2019 101212010519P000130 0000489374807 RANI P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
651 04-05-2019 101212010519P000140 0000489374875 NIAH P PBI (APBN) Myalgia Berobat Jalan

652 04-05-2019 101212010519P000132 0000489374954 NURMALA DEWI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

653 04-05-2019 101212010519P000136 0000489376258 ISAH SOKOT P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
654 04-05-2019 101212010519P000142 0000489377046 HJ.ARMANIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
655 04-05-2019 101212010519P000145 0000489377788 ONIH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

656 04-05-2019 101212010519P000149 0000489378475 EDI KARSO L PBI (APBN) Dermatitis, unspecified Berobat Jalan

657 04-05-2019 101212010519P000151 0000489378857 RUKMINI P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
658 04-05-2019 101212010519P000153 0000489379072 ANAH P PBI (APBN) Myalgia Berobat Jalan

659 04-05-2019 101212010519Y000076 0000489539608 KARNIH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
660 04-05-2019 101212010519P000585 0000489968177 ASMAWIH L PBI (APBN) Dyspepsia Sembuh

661 04-05-2019 101212010519Y000067 0000489977976 ADE IRWAN L PEGAWAI SWASTA Leprosy [Hansen disease] Berobat Jalan

662 04-05-2019 101212010519Y000062 0000489998698 SYAFA AQILAH P PBI (APBN) Dyspepsia Berobat Jalan

663 04-05-2019 101212010519Y000071 0000490453626 DEDE BADRIAH P PBI (APBN) Hyperemesis gravidarum Berobat Jalan
with metabolic disturbance

664 04-05-2019 101212010519Y000070 0001011082948 RAMINI SETIANINGSIH P PBI (APBN) Myalgia Berobat Jalan

665 04-05-2019 101212010519Y000063 0001011129592 SITI HADAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
666 04-05-2019 101212010519P000590 0001208544849 NENTIH SUHAYANIH P PEKERJA MANDIRI Dyspepsia Sembuh

667 04-05-2019 101212010519Y000068 0001730192747 AKHYAR MU'MIN L PEKERJA MANDIRI Schizophrenia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

668 04-05-2019 101212010519Y000061 0002281181883 DARIYAH P PEKERJA MANDIRI Myalgia Berobat Jalan

669 04-05-2019 101212010519Y000073 0002469405936 AMAH YANI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy, unspecified
670 04-05-2019 101212010519P000717 0002469405936 AMAH YANI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery
671 04-05-2019 101212010519Y000075 0002482110303 BY NY SURTIYAWATI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
672 04-05-2019 101212010519Y000060 0002504663335 MAIMUNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
673 04-05-2019 101212010519Y000069 0002754888333 OYOH YUNINGSIH P PEKERJA MANDIRI Disruption of caesarean Berobat Jalan
section wound
674 04-05-2019 101212010519Y000074 0002762140847 BAYI NYONYA MAYASARI P PEKERJA MANDIRI Supervision of pregnancy Berobat Jalan
with history of abortive
outcome
675 03-05-2019 101212010519P000045 0000064124897 H. HUSNI L PNS DAERAH Calculus of kidney and Rujuk Vertikal
ureter
676 03-05-2019 101212010519P000050 0000488073914 SARNIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

677 03-05-2019 101212010519P000055 0000488075308 AHMAD RIzKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
678 03-05-2019 101212010519P000056 0000488942504 NARJA SUMINTRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
679 03-05-2019 101212010519P000048 0000489372445 TANTI P PBI (APBN) Anaemia complicating Berobat Jalan
pregnancy, childbirth and
the puerperium
680 03-05-2019 101212010519P000049 0000489827248 NENENG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
681 03-05-2019 101212010519P000058 0000489845586 WARSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
682 03-05-2019 101212010519P000057 0000490090612 KOKOM KOMARIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

683 03-05-2019 101212010519P000053 0000490184109 ODIH L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
684 03-05-2019 101212010519P000052 0001011090666 SANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
685 03-05-2019 101212010519P000047 0001011100667 DIDIN SAPUTRA L PBI (APBN) Epilepsy Berobat Jalan

686 03-05-2019 101212010519P000059 0001339424785 TARSIH P PEKERJA MANDIRI Chronic renal failure, Rujuk Vertikal
unspecified
687 03-05-2019 101212010519P000054 0001384349602 mian, h L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

688 03-05-2019 101212010519P000051 0001659132944 HUSNI MUBAROK L PEGAWAI SWASTA Myalgia Berobat Jalan

689 03-05-2019 101212010519P000046 0001727959004 HJ. YAYAH P PEKERJA MANDIRI Chronic renal failure, Rujuk Vertikal
unspecified
690 02-05-2019 101212010519P000009 0000063526149 ASEP SYAFRUDIN L PNS DAERAH Heart failure Rujuk Vertikal

691 02-05-2019 101212010519P000002 0000487934695 NIAN L PBI (APBN) Non-insulin-dependent Rujuk Vertikal
diabetes mellitus
692 02-05-2019 101212010519P000028 0000488431811 NEMAN L PBI (APBN) Headache Berobat Jalan

693 02-05-2019 101212010519P000015 0000488464042 AMIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
694 02-05-2019 101212010519P000030 0000488503056 NENG ACIH P PBI (APBN) Postpartum coagulation Rujuk Vertikal
defects
695 02-05-2019 101212010519P000043 0000488769524 ANIS P PBI (APBN) Pulp degeneration Berobat Jalan

696 02-05-2019 101212010519P000582 0000488903646 TARSAD L PBI (APBN) Dyspepsia Sembuh

697 02-05-2019 101212010519P000022 0000488941852 PEBRI KAMALUDIN L PBI (APBN) Other specified dermatitis Berobat Jalan

698 02-05-2019 101212010519P000021 0000489040672 LAMIH P PBI (APBN) Myalgia Berobat Jalan

699 02-05-2019 101212010519P000012 0000489114922 NAMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
700 02-05-2019 101212010519P000038 0000489137308 DIKA SUSENA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
701 02-05-2019 101212010519P000583 0000489137308 DIKA SUSENA L PBI (APBN) Fever of other and Sembuh
unknown origin
702 02-05-2019 101212010519P000004 0000489154871 ICIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
703 02-05-2019 101212010519P000702 0000489235825 ARSIH P PBI (APBN) Maternal infectious and Sembuh
parasitic diseases
classifiable elsewhere but
complicating pregnancy,
childbirth and the
puerperium
704 02-05-2019 101212010519P000007 0000489319749 MISIH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
705 02-05-2019 101212010519P000033 0000489337975 MARYANIH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

706 02-05-2019 101212010519P000042 0000489380128 SRI DIYANAH P PBI (APBN) Gestational Rujuk Vertikal
[pregnancy-induced]
hypertension without
significant proteinuria
707 02-05-2019 101212010519P000016 0000489418233 MINUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
708 02-05-2019 101212010519P000027 0000489430743 AHMAD SALABI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
709 02-05-2019 101212010519P000029 0000489434466 ROWINAH P PBI (APBN) Myalgia Berobat Jalan

710 02-05-2019 101212010519P000003 0000489437875 NARWAN NAHRUDIN L PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal

711 02-05-2019 101212010519P000010 0000489477341 MASKANAH P PBI (APBN) Cardiac arrhythmia, Rujuk Vertikal
unspecified
712 02-05-2019 101212010519P000020 0000489601631 AMI P PBI (APBN) Gastritis, unspecified Berobat Jalan

713 02-05-2019 101212010519P000008 0000489669118 YATMI P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
714 02-05-2019 101212010519P000024 0000489705445 IMAH P PBI (APBN) Conjunctivitis Berobat Jalan

715 02-05-2019 101212010519P000037 0000489934765 KARNIYAH P PBI (APBN) Myalgia Berobat Jalan

716 02-05-2019 101212010519P000019 0000489936194 KHOFIFAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

717 02-05-2019 101212010519P000031 0000490085627 SAAMIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
718 02-05-2019 101212010519P000013 0000490093637 TARSIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
719 02-05-2019 101212010519P000040 0000490163049 URIH L PBI (APBN) Periodontal disease, Berobat Jalan
unspecified
720 02-05-2019 101212010519P000032 0001011104234 NATIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
721 02-05-2019 101212010519P000623 0001011131425 HADIYANTO L PBI (APBN) Typhoid and paratyphoid Sembuh
fevers
722 02-05-2019 101212010519P000036 0001011137027 NURKOMALASARI P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
723 02-05-2019 101212010519P000011 0001273710622 M. HASBIE, H L PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal

724 02-05-2019 101212010519P000039 0001453745946 LILIS SURYANI P PEKERJA MANDIRI Endometriosis of uterus Rujuk Vertikal

725 02-05-2019 101212010519P000584 0001453745946 LILIS SURYANI P PEKERJA MANDIRI Typhoid and paratyphoid Sembuh
fevers
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

726 02-05-2019 101212010519P000014 0001722841648 NAHROWI L PEKERJA MANDIRI Conjunctivitis Berobat Jalan

727 02-05-2019 101212010519P000018 0001727959004 HJ. YAYAH P PEKERJA MANDIRI Chronic kidney disease Rujuk Vertikal

728 02-05-2019 101212010519P000044 0001964462692 SYAFIQ DAIFULLOH MAHFUD L PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
729 02-05-2019 101212010519P000026 0002047942269 SOULTAN PRATAMA ABDUL L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
730 02-05-2019 101212010519P000005 0002136653526 JAITUN NURKOMARIAH P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
731 02-05-2019 101212010519P000006 0002136653548 NABILA TARTILANI P PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

732 02-05-2019 101212010519P000023 0002175320913 MANGSUR L PBI (APBN) Myalgia Berobat Jalan

733 02-05-2019 101212010519P000701 0002175478716 RAHMAWATI P PBI (APBN) Gestational Sembuh


[pregnancy-induced]
hypertension without
significant proteinuria
734 02-05-2019 101212010519P000041 0002233574381 ACIH P PEKERJA MANDIRI Periodontal disease, Berobat Jalan
unspecified
735 02-05-2019 101212010519P000034 0002242595474 ENDANG L PEKERJA MANDIRI Schizophrenia Berobat Jalan

736 02-05-2019 101212010519P000001 0002279781933 MAJUR PATA L PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal

737 02-05-2019 101212010519P000625 0002358312783 MILASARI P PEGAWAI SWASTA Typhoid and paratyphoid Sembuh
fevers
738 02-05-2019 101212010519P000017 0002496802004 DEDEH P PEKERJA MANDIRI Gastric ulcer, unspecified Rujuk Vertikal
as acute or chronic,
without haemorrhage or
perforation
739 02-05-2019 101212010519P000035 0002504645278 ATENG SUGANDI L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
740 02-05-2019 101212010519P000025 0002520538615 ARMANIH AP. P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
741 01-05-2019 101212010519P000621 0000488787412 WARSITI P PBI (APBN) Essential (primary) Sembuh
hypertension
742 01-05-2019 101212010519P000626 0000489585251 INDAH PUSPITASARI P PBI (APBN) Dyspepsia Sembuh

743 01-05-2019 101212010519P000576 0000489937217 YANTI P PBI (APBN) Dyspepsia Sembuh

744 01-05-2019 101212010519P000575 0000489942832 KOYAH ROKOYAH P PBI (APBN) Dyspepsia Sembuh

745 01-05-2019 101212010519P000580 0000490038636 YATI P PBI (APBN) Dyspepsia Sembuh


DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : BATUJAYA - 10121201

746 01-05-2019 101212010519P000587 0001011129952 HASANUDIN L PBI (APBN) Dyspepsia Sembuh

747 01-05-2019 101212010519P000586 0002175107769 DANIH SUHAYANIH P PBI (APBN) Dyspepsia Sembuh

748 01-05-2019 101212010519P000581 0002379374627 SUNENGSIH P PEKERJA MANDIRI Dyspepsia Sembuh

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