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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601


NO TANGGAL NO KUNJUNGAN NO KARTU

1 30-06-2018 170406010618Y000382 0000122606188

2 30-06-2018 170406010618Y000397 0000122654801

3 30-06-2018 170406010618Y000392 0000122660032

4 30-06-2018 170406010618Y000390 0000122685467

5 30-06-2018 170406010618Y000398 0000122718791

6 30-06-2018 170406010618Y000399 0000122718824

7 30-06-2018 170406010618Y000400 0000122718982

8 30-06-2018 170406010618Y000401 0000122718993

9 30-06-2018 170406010618Y000402 0000122719026

10 30-06-2018 170406010618Y000403 0000122719037

11 30-06-2018 170406010618Y000404 0000122719094

12 30-06-2018 170406010618Y000405 0000122719151

13 30-06-2018 170406010618Y000406 0000122719206

14 30-06-2018 170406010618Y000407 0000122719432

15 30-06-2018 170406010618Y000408 0000122719509

16 30-06-2018 170406010618Y000389 0000123114969

17 30-06-2018 170406010618Y000383 0000123115061

18 30-06-2018 170406010618Y000385 0000123161793

19 30-06-2018 170406010618Y000395 0000123203169

20 30-06-2018 170406010618Y000377 0000123319956


NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
BARKIAH P PNS DAERAH Tuberculosis of lung, confirmed by
unspecified

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

NUNUK YULIASTUTI P PNS DAERAH Cough

AFWAH P PNS PUSAT Allergic contact dermatitis

DENI ELFENI P PNS DAERAH Examination of blood pressure

DEWI ESTIKA SARI P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

HERTATI P PNS DAERAH Examination of blood pressure

JOHNY RAMOON L PNS PUSAT Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

AINI P PNS DAERAH Essential (primary) hypertension

ARBANI L PNS DAERAH Non-insulin-dependent diabetes


mellitus without

ELYA WAHYUNI P PNS DAERAH Gout

PARANSI L PNS DAERAH Haemorrhoids

NORSILAN P PNS PUSAT Stroke, not specified as


haemorrhage or infarction
DIRUJUK

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
21 30-06-2018 170406010618Y000393 0000124080805

22 30-06-2018 170406010618Y000374 0000124715428

23 30-06-2018 170406010618Y000409 0000167797361

24 30-06-2018 170406010618Y000410 0000204782804

25 30-06-2018 170406010618Y000380 0000889762803

26 30-06-2018 170406010618Y000388 0000889764671

27 30-06-2018 170406010618Y000387 0000889905205

28 30-06-2018 170406010618Y000379 0000890676505

29 30-06-2018 170406010618P000418 0000891565288

30 30-06-2018 170406010618Y000413 0000891661871

31 30-06-2018 170406010618Y000384 0001065413788

32 30-06-2018 170406010618Y000411 0001266035848

33 30-06-2018 170406010618Y000414 0001381946973

34 30-06-2018 170406010618Y000376 0001437094067

35 30-06-2018 170406010618Y000381 0001441794846

36 30-06-2018 170406010618Y000394 0002043588442

37 30-06-2018 170406010618Y000412 0002207775701

38 30-06-2018 170406010618Y000396 0002265929111

39 30-06-2018 170406010618Y000391 0002290778302

40 30-06-2018 170406010618Y000375 0002293991774


RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Tuberculosis of lung, confirmed by
unspecified

MASRUKIAH P PENERIMA PENSIUN PNS Maternal care for viable fetus in


abdominal

RENI, AM.KEB P PNS DAERAH Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

TAPSIAH P PBI (APBN) Caries of dentine

MURSIDAH P PBI (APBN) Cutaneous abscess, furuncle and


carbuncle
FARIDAH P PBI (APBN) Tuberculosis of lung, confirmed by
unspecified

HANIAH P PBI (APBN) Disorder of refraction, unspecified

ANIDA P PBI (APBN) Antenatal screening, unspecified

MASRAH P PBI (APBN) Contraceptive management,


unspecified
SYAIBAH P PBI (APBN) Other postsurgical states

MASTAYAH P PEKERJA MANDIRI Examination of blood pressure

RINA MISLAWATI P PEGAWAI PEMERINTAH Antenatal screening, unspecified


DENGAN PERJANJIAN

RISDA ARIYANI P PEKERJA MANDIRI Maternal care for malpresentation


of fetus,

ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) hypertension

JUHRI L PEKERJA MANDIRI Dyspepsia

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

NURSIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

SELAMAT L PEKERJA MANDIRI Asthma

MULIA KHUSNUL KHATIMAH P PEKERJA MANDIRI Polyp of middle ear


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
41 30-06-2018 170406010618Y000386 0002436711669

42 29-06-2018 170406010618Y000364 0000123319956

43 29-06-2018 170406010618Y000372 0000890042782

44 29-06-2018 170406010618Y000367 0000890302116

45 29-06-2018 170406010618Y000365 0000890466219

46 29-06-2018 170406010618Y000368 0000890495572

47 29-06-2018 170406010618Y000371 0000891637885

48 29-06-2018 170406010618Y000370 0000891639358

49 29-06-2018 170406010618Y000369 0000891675696

50 29-06-2018 170406010618Y000373 0001065414802

51 29-06-2018 170406010618Y000366 0001904156392

52 29-06-2018 170406010618Y000378 0002124150535

53 28-06-2018 170406010618Y000358 0000122707045

54 28-06-2018 170406010618Y000341 0000122733303

55 28-06-2018 170406010618Y000361 0000122805617

56 28-06-2018 170406010618Y000342 0000123815182

57 28-06-2018 170406010618Y000344 0000890328835

58 28-06-2018 170406010618Y000346 0000890334628

59 28-06-2018 170406010618Y000353 0000890791738

60 28-06-2018 170406010618Y000360 0000891218417

61 28-06-2018 170406010618Y000359 0001266035848


SANIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by
unspecified

NORSILAN P PNS PUSAT Stroke, not specified as


haemorrhage or infarction
HUSNA P PBI (APBN) Contraceptive management,
unspecified
MUHAMMAD AINI L PBI (APBN) Allergic contact dermatitis

LAMBERI L PBI (APBN) Cholelithiasis

FATIMAH P PBI (APBN) Essential (primary) hypertension

JUNAIDI L PBI (APBN) Cough

FATMAWATI P PBI (APBN) Other disorders of urinary system

SALASIAH P PBI (APBN) Gout

NUR MUTIA MAINAH P PBI (APBN) Other and unspecified diseases of


pulp and

SALMAN L PEKERJA MANDIRI Senile cataract, unspecified

FAHRIYAH P PBI (APBN) Gout

ROHANI P PENERIMA PENSIUN TNI Asthma, unspecified

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular


disease, so

SAHIB IBERAHIM L PNS DAERAH Cough

NOPARISA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus with

YUSNAN ANANI L PBI (APBN) Undifferentiated schizophrenia

RUDIYANOR L PBI (APBN) Benign lipomatous neoplasm of


other sites
SALAMIAH P PBI (APBN) Hypotension, unspecified

TABRI L PBI (APBN) Essential (primary) hypertension

MASTAYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
62 28-06-2018 170406010618Y000352 0001267501601

63 28-06-2018 170406010618Y000349 0001319216321

64 28-06-2018 170406010618Y000355 0001790572871

65 28-06-2018 170406010618Y000362 0001796551615

66 28-06-2018 170406010618Y000351 0001847113964

67 28-06-2018 170406010618Y000350 0001847115505

68 28-06-2018 170406010618Y000348 0001859978619

69 28-06-2018 170406010618Y000343 0001863928528

70 28-06-2018 170406010618Y000356 0001868732335

71 28-06-2018 170406010618Y000345 0002043596608

72 28-06-2018 170406010618Y000357 0002216666801

73 28-06-2018 170406010618Y000354 0002240179222

74 28-06-2018 170406010618Y000363 0002263889193

75 28-06-2018 170406010618Y000347 0002309331666

76 27-06-2018 170406010618Y000340 0000122718971

77 27-06-2018 170406010618Y000338 0000122733303

78 27-06-2018 170406010618Y000339 0000167797361

79 27-06-2018 170406010618Y000337 0000890002124

80 27-06-2018 170406010618Y000334 0000890674277

81 27-06-2018 170406010618Y000332 0000890681038

82 27-06-2018 170406010618Y000331 0000890852995


ASRANI L PEKERJA MANDIRI Dyspepsia

SITI MARIAM P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

ROHANI P PEKERJA MANDIRI Essential (primary) hypertension

SITI AMINAH P PEKERJA MANDIRI Other and unspecified diseases of


pulp and

FAHRIAH P PNS DAERAH Dyspepsia

HADRI L PNS DAERAH Influenza with pneumonia,


influenza virus identified

NORHAYATI P PEKERJA MANDIRI Other benign neoplasm of skin of


scalp and neck
MARIFATULLAH AWALUDDIN L PEGAWAI SWASTA Systemic lupus erythematosus,

ALWI SALEH L PEKERJA MANDIRI Essential (primary) hypertension

MARTINI P PBI (APBD) Epilepsy

ATAYA DWI RAFKA L PEGAWAI SWASTA Acute pharyngitis, unspecified

PANDI L PEKERJA MANDIRI Other disorders of urinary system

SITI SALAMAH P PEKERJA MANDIRI Other and unspecified diseases of


pulp and

M. ASERI .HA L PEKERJA MANDIRI Hearing loss, unspecified

FARIDAWATY P PNS DAERAH Other dermatitis

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Cough

RENI, AM.KEB P PNS DAERAH Stomatitis and related lesions

GUSNAWATI P PBI (APBN) Contraceptive management,


unspecified
SARINAH P PBI (APBN) Gastritis, unspecified

BAHJAH P PBI (APBN) Essential (primary) hypertension

RAHIMAH P PBI (APBN) Headache


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
83 27-06-2018 170406010618Y000333 0001448541843

84 27-06-2018 170406010618Y000336 0001791969311

85 27-06-2018 170406010618Y000335 0001860287635

86 27-06-2018 170406010618Y000330 0002435607955

87 26-06-2018 170406010618Y000324 0000122756736

88 26-06-2018 170406010618Y000319 0000123115105

89 26-06-2018 170406010618Y000318 0000123205533

90 26-06-2018 170406010618Y000316 0000123583307

91 26-06-2018 170406010618Y000320 0000123587021

92 26-06-2018 170406010618Y000311 0000124507877

93 26-06-2018 170406010618Y000314 0000889956854

94 26-06-2018 170406010618Y000322 0000890005836

95 26-06-2018 170406010618Y000321 0000890055472

96 26-06-2018 170406010618Y000329 0000890512367

97 26-06-2018 170406010618Y000312 0000890532933

98 26-06-2018 170406010618Y000317 0001307796309

99 26-06-2018 170406010618Y000323 0001383336955

100 26-06-2018 170406010618Y000328 0001657157692

101 26-06-2018 170406010618Y000313 0001859978619

102 26-06-2018 170406010618Y000327 0001930384686

103 26-06-2018 170406010618Y000325 0002053007019


ARBAINAH P PEKERJA MANDIRI Headache

isrina P PEKERJA MANDIRI Antenatal screening, unspecified

RUSGIATI P PEKERJA MANDIRI Headache

ANI OKTAVIA P PEKERJA MANDIRI Gastritis, unspecified

ASIAH P PENERIMA PENSIUN PNS Essential (primary) hypertension

BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Essential (primary) hypertension

RASIDI L PNS DAERAH Essential (primary) hypertension

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Necrosis of pulp

ITA AS P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

SITI AISYAH P PENERIMA PENSIUN PNS Primary gonarthrosis, bilateral

BAHRUL BASRI L PBI (APBN) Hyperplasia of prostate

ALAN L PBI (APBN) Non-insulin-dependent diabetes


mellitus without

NABIL ASLAMI L PBI (APBN) Cough

ALA L PBI (APBN) Necrosis of pulp

JAM'AN L PBI (APBN) Undifferentiated schizophrenia

ARBAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

KASEMIN L PEKERJA MANDIRI Myalgia

IWAN JAYA SAPUTERA L PEKERJA MANDIRI Essential (primary) hypertension

NORHAYATI P PEKERJA MANDIRI Other benign neoplasm of skin of


scalp and neck
EDY RAHMADI L PEGAWAI SWASTA Early syphilis

BAHRAN L PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
104 26-06-2018 170406010618Y000315 0002122994632

105 26-06-2018 170406010618Y000326 0002314068906

106 25-06-2018 170406010618Y000290 0000122805314

107 25-06-2018 170406010618Y000288 0000123029032

108 25-06-2018 170406010618Y000295 0000123189243

109 25-06-2018 170406010618Y000293 0000123203169

110 25-06-2018 170406010618Y000292 0000123475667

111 25-06-2018 170406010618Y000302 0000123587021

112 25-06-2018 170406010618Y000291 0000211624683

113 25-06-2018 170406010618Y000294 0000889823586

114 25-06-2018 170406010618Y000299 0000890313906

115 25-06-2018 170406010618Y000309 0000890341863

116 25-06-2018 170406010618Y000306 0000890465016

117 25-06-2018 170406010618Y000310 0000890678632

118 25-06-2018 170406010618Y000286 0000975900565

119 25-06-2018 170406010618Y000307 0001065673585

120 25-06-2018 170406010618Y000305 0001266035848

121 25-06-2018 170406010618Y000303 0001380784746

122 25-06-2018 170406010618Y000300 0001383336955

123 25-06-2018 170406010618Y000308 0001390577152

124 25-06-2018 170406010618Y000297 0001442203481


HAMIDAH P PBI (APBN) Insulin-dependent diabetes
mellitus with

ARBAYAH P PEKERJA MANDIRI Influenza due to other identified


influenza virus
AGUS PRIBADI L PNS DAERAH Unspecified renal colic

AHMADI L PNS DAERAH End-stage renal disease

MISRAN L PNS DAERAH Non-insulin-dependent diabetes


mellitus without

PARANSI L PNS DAERAH Haemorrhoids

SULASTRI P PENERIMA PENSIUN TNI Hemiplegia

ITA AS P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus without

SELAMAT ALIBAR, H L PENERIMA PENSIUN PNS Vascular dementia

FATMAWATI P PBI (APBN) Hyperlipidaemia, unspecified

SYARNIAH P PBI (APBN) Hypertensive heart disease

RENNY SETIA NINGSIH P PBI (APBN) Contraceptive management,


unspecified
RUSMINAH P PBI (APBN) Essential (primary) hypertension

WIWI ARIYANI P PBI (APBN) Contraceptive management,


unspecified
FATHUL JANNAH P PENERIMA PENSIUN TNI Insulin-dependent diabetes
mellitus with

DARDIANSYAH L PBI (APBN) Gout

MASTAYAH P PEKERJA MANDIRI Gastritis, unspecified

RAWANSYAH L PEKERJA MANDIRI Influenza due to other identified


influenza virus
KASEMIN L PEKERJA MANDIRI Gout

a.fauzi as L PEKERJA MANDIRI Essential (primary) hypertension

ASNIAH P PEKERJA MANDIRI Myalgia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
125 25-06-2018 170406010618Y000301 0001801331807

126 25-06-2018 170406010618Y000304 0001808362056

127 25-06-2018 170406010618Y000296 0002229564835

128 25-06-2018 170406010618Y000289 0002277325833

129 25-06-2018 170406010618Y000298 0002309331666

130 25-06-2018 170406010618Y000287 0002442650466

131 23-06-2018 170406010618Y000260 0000122330687

132 23-06-2018 170406010618Y000274 0000122654801

133 23-06-2018 170406010618Y000275 0000122717766

134 23-06-2018 170406010618Y000276 0000122718791

135 23-06-2018 170406010618Y000277 0000122718993

136 23-06-2018 170406010618Y000278 0000122719026

137 23-06-2018 170406010618Y000279 0000122719037

138 23-06-2018 170406010618Y000273 0000122719206

139 23-06-2018 170406010618Y000280 0000122719432

140 23-06-2018 170406010618Y000281 0000122719509

141 23-06-2018 170406010618Y000282 0000167797361

142 23-06-2018 170406010618Y000283 0000204782804

143 23-06-2018 170406010618Y000272 0000889823586

144 23-06-2018 170406010618Y000262 0000889926276


SITI AISYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus without

aliyuni L PEKERJA MANDIRI Haemorrhoids

YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate

MUTMAINAH P PEKERJA MANDIRI Diabetic retinopathy

M. ASERI .HA L PEKERJA MANDIRI Impacted cerumen

AMINAH P PEKERJA MANDIRI Prolonged pregnancy

BAKHDIANI L PNS PUSAT Diarrhoea and gastroenteritis of


presumed infectious origin

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Gout

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

RENI, AM.KEB P PNS DAERAH Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

FATMAWATI P PBI (APBN) Essential (primary) hypertension

ERNA P PBI (APBN) Respiratory tuberculosis,


bacteriologically and
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
145 23-06-2018 170406010618Y000264 0000890561733

146 23-06-2018 170406010618Y000271 0000890620637

147 23-06-2018 170406010618Y000265 0000890811099

148 23-06-2018 170406010618Y000259 0000891030699

149 23-06-2018 170406010618Y000268 0000891031162

150 23-06-2018 170406010618Y000270 0000891506237

151 23-06-2018 170406010618Y000263 0000978029818

152 23-06-2018 170406010618Y000257 0001264610643

153 23-06-2018 170406010618Y000284 0001266035848

154 23-06-2018 170406010618Y000253 0001286806678

155 23-06-2018 170406010618Y000255 0001318164388

156 23-06-2018 170406010618Y000266 0001827796612

157 23-06-2018 170406010618Y000267 0001883400502

158 23-06-2018 170406010618Y000256 0001889939777

159 23-06-2018 170406010618Y000285 0002207775701

160 23-06-2018 170406010618Y000258 0002220897115

161 23-06-2018 170406010618Y000261 0002313410455

162 23-06-2018 170406010618Y000254 0002424634997

163 22-06-2018 170406010618Y000243 0000122654801

164 22-06-2018 170406010618Y000239 0000122757276

165 22-06-2018 170406010618Y000242 0000122805617

166 22-06-2018 170406010618Y000235 0000889376703


SURIADI L PBI (APBN) Non-insulin-dependent diabetes
mellitus without

MIRA SANTI P PBI (APBN) Cough

RUSNANI P PBI (APBN) Essential (primary) hypertension

NIKMAH P PBI (APBN) Disorder of refraction, unspecified

MAULIDA P PBI (APBN) Hypotension, unspecified

NORLATIFAH P PBI (APBN) Gout

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia

MASTAYAH P PEKERJA MANDIRI Examination of blood pressure

MUHAMMAD L PEKERJA MANDIRI Undifferentiated schizophrenia

TANKASIANI L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

SUCI NURHIDAYATI P PEGAWAI SWASTA Allergic contact dermatitis

ROHANI P PEKERJA MANDIRI Influenza due to other identified


influenza virus
SAPIAH P PEKERJA MANDIRI Hypertensive heart disease

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI End-stage renal disease

SRI HARIATI P PEKERJA MANDIRI Headache

HADIJAH P PEKERJA MANDIRI Heart failure, unspecified

ERNAWATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

HJ. MURNI P PENERIMA PENSIUN PNS Essential (primary) hypertension

SAHIB IBERAHIM L PNS DAERAH Essential (primary) hypertension

hj jawita P PBI (APBN) End-stage renal disease


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
167 22-06-2018 170406010618Y000252 0000889927986

168 22-06-2018 170406010618Y000269 0000890074754

169 22-06-2018 170406010618Y000238 0000890539097

170 22-06-2018 170406010618Y000244 0000890812269

171 22-06-2018 170406010618Y000251 0000890812383

172 22-06-2018 170406010618Y000249 0000890844636

173 22-06-2018 170406010618Y000236 0001065413788

174 22-06-2018 170406010618Y000233 0001065415206

175 22-06-2018 170406010618Y000250 0001173437425

176 22-06-2018 170406010618Y000234 0001302569829

177 22-06-2018 170406010618Y000245 0001484476571

178 22-06-2018 170406010618Y000241 0001786622196

179 22-06-2018 170406010618Y000237 0001867189779

180 22-06-2018 170406010618Y000240 0001960244212

181 22-06-2018 170406010618Y000247 0002065715267

182 22-06-2018 170406010618Y000246 0002065715616

183 22-06-2018 170406010618Y000248 0002290778302

184 21-06-2018 170406010618Y000214 0000122606188

185 21-06-2018 170406010618Y000222 0000122824282

186 21-06-2018 170406010618Y000219 0000123287253


NORLAILA P PBI (APBN) Disorders of tooth development
and eruption
BAHRAH P PBI (APBN) Contraceptive management,
unspecified
SAHWATI P PBI (APBN) Cutaneous abscess, furuncle and
carbuncle
MARHAMAH P PBI (APBN) Dyspepsia

NOR HASANAH P PBI (APBN) Diseases of pulp and periapical


tissues
RUDIANSYAH L PEGAWAI SWASTA Dyspepsia

SYAIBAH P PBI (APBN) Other benign neoplasms of skin

SAPNAH P PBI (APBN) Fetus and newborn affected by


other malpresentation, malposition
and disproportion during labour
and delivery

HIKMAH P PEGAWAI SWASTA Caries of dentine

MANSYAH L PEKERJA MANDIRI Nonorganic insomnia

JAMHARI L PEKERJA MANDIRI Cough

SRI YULIANTI P PEKERJA MANDIRI Essential (primary) hypertension

halimatus sadiah P PEKERJA MANDIRI Acute upper respiratory infection,


unspecified
AKIFA NAILA P PEKERJA MANDIRI Acute upper respiratory infection,
unspecified
ABDURRAHIM L PEKERJA MANDIRI Haemorrhoids

AFRIANI P PEKERJA MANDIRI Headache

SELAMAT L PEKERJA MANDIRI Cough

BARKIAH P PNS DAERAH Respiratory tuberculosis,


bacteriologically and

MUHAMMAD FAIZ L PNS DAERAH Cutaneous abscess, furuncle and


carbuncle of

MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
187 21-06-2018 170406010618Y000215 0000123612535

188 21-06-2018 170406010618Y000202 0000200681943

189 21-06-2018 170406010618Y000209 0000889948372

190 21-06-2018 170406010618Y000232 0000890749574

191 21-06-2018 170406010618Y000213 0000890786946

192 21-06-2018 170406010618Y000227 0000890787159

193 21-06-2018 170406010618Y000230 0000890811099

194 21-06-2018 170406010618Y000229 0000891248736

195 21-06-2018 170406010618Y000228 0000891608681

196 21-06-2018 170406010618Y000203 0000976815178

197 21-06-2018 170406010618Y000224 0001065673585

198 21-06-2018 170406010618Y000207 0001079404659

199 21-06-2018 170406010618Y000199 0001264056265

200 21-06-2018 170406010618Y000231 0001266036219

201 21-06-2018 170406010618Y000211 0001266790847

202 21-06-2018 170406010618Y000212 0001302079476

203 21-06-2018 170406010618Y000217 0001317889247

204 21-06-2018 170406010618Y000218 0001319216321

205 21-06-2018 170406010618Y000221 0001425352072

206 21-06-2018 170406010618Y000225 0001425352858

207 21-06-2018 170406010618Y000198 0001548483546

208 21-06-2018 170406010618Y000226 0001551258044


KAMARIAH, HJ P PENERIMA PENSIUN PNS Hypertensive heart disease

SITI MARYAM, JD P PENERIMA PENSIUN TNI Other postsurgical states

M. NAUPAL L PBI (APBN) Disorders of tooth development


and eruption
RAUDAH P PBI (APBN) Contraceptive management,
unspecified
SITI AISYAH P PBI (APBN) Gout

RAMLI L PBI (APBN) Essential (primary) hypertension

RUSNANI P PBI (APBN) Antenatal screening, unspecified

M. NAZRIL L PBI (APBN) Pulp degeneration

ANI P PBI (APBN) Diseases of pulp and periapical


tissues
MUHAMMAD NOOR SYABANI L PNS PUSAT Acute lymphoblastic leukaemia

DARDIANSYAH L PBI (APBN) Gout

AHMAD SAYUTI L PNS DAERAH Non-insulin-dependent diabetes


mellitus with

NORAIDA P PEKERJA MANDIRI Heart failure, unspecified

MURNIATI SARI P PEKERJA MANDIRI Antenatal screening, unspecified

RABIATUL JANAINAH P KEPOLISIAN RI Gingivitis and periodontal diseases

SAIDAH P PNS DAERAH Myalgia

RADIAH P PEKERJA MANDIRI Hypertensive heart disease

SITI MARIAM P PEKERJA MANDIRI Gout

SYUKRAN L PEKERJA MANDIRI Asthma

SITI AISYAH P PEKERJA MANDIRI Myalgia

YANUR L PEGAWAI SWASTA Other benign neoplasm of


connective and other soft tissue of
head, face and

MUHAMMAD FAZERI L PEGAWAI SWASTA Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
209 21-06-2018 170406010618Y000223 0001619221948

210 21-06-2018 170406010618Y000201 0001794328727

211 21-06-2018 170406010618Y000210 0001796551615

212 21-06-2018 170406010618Y000206 0001857673214

213 21-06-2018 170406010618Y000220 0001868732335

214 21-06-2018 170406010618Y000200 0002064469386

215 21-06-2018 170406010618Y000205 0002084904685

216 21-06-2018 170406010618Y000216 0002219622827

217 21-06-2018 170406010618Y000197 0002263889711

218 21-06-2018 170406010618Y000204 0002265929111

219 21-06-2018 170406010618Y000208 0002293208019

220 20-06-2018 170406010618Y000194 0000889697338

221 20-06-2018 170406010618Y000415 0000890042782

222 20-06-2018 170406010618Y000196 0000890310778

223 20-06-2018 170406010618Y000190 0000890467964

224 20-06-2018 170406010618Y000192 0000890630695

225 20-06-2018 170406010618Y000191 0000890632056

226 20-06-2018 170406010618Y000193 0001442203481

227 20-06-2018 170406010618Y000195 0001484092181

228 19-06-2018 170406010618Y000184 0000122654801

229 19-06-2018 170406010618Y000183 0000123807025

230 19-06-2018 170406010618Y000181 0000195861183


MURSINAH P PEKERJA MANDIRI Other dermatitis

SAIDAH P PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
SITI AMINAH P PEKERJA MANDIRI Diseases of pulp and periapical
tissues
alya sairina P PEKERJA MANDIRI Epilepsy

ALWI SALEH L PEKERJA MANDIRI Essential (primary) hypertension

SARKIAH P PEKERJA MANDIRI Other postsurgical states

ASKIAH P PENERIMA PENSIUN PNS Primary gonarthrosis, bilateral

SURIANSYAH L PEKERJA MANDIRI Heart failure, unspecified

MUHAMMAD FIRMANSYAH L PEKERJA MANDIRI Malignant neoplasm of brain,


unspecified
NURSIAH P PEKERJA MANDIRI Hypokalaemia

NOR AISYA MUFIA P PBI (APBN) Acute nasopharyngitis [common


cold]
HALIMATUS SADIAH P PBI (APBN) Contraceptive management,
unspecified
HUSNA P PBI (APBN) Contraceptive management,
unspecified
RUSMIATI P PBI (APBN) Contraceptive management,
unspecified
MURHAN BASERI L PBI (APBN) Cough

MISLIWATI P PBI (APBN) Essential (primary) hypertension

MUHAMAD RIFQI L PBI (APBN) Acute nasopharyngitis [common


cold]
ASNIAH P PEKERJA MANDIRI Idiopathic gout

FITRIA P PEKERJA MANDIRI Contraceptive management,


unspecified
ERNAWATI P PENERIMA PENSIUN PNS Headache

MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Acute upper respiratory infection,


unspecified
M. TAMI ROSADI AHWAN L PNS DAERAH Acute upper respiratory infection,
unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
231 19-06-2018 170406010618Y000185 0000889971309

232 19-06-2018 170406010618Y000186 0000889971658

233 19-06-2018 170406010618Y000188 0000890212026

234 19-06-2018 170406010618Y000189 0000890825084

235 19-06-2018 170406010618Y000182 0000890888488

236 19-06-2018 170406010618Y000180 0001078578224

237 19-06-2018 170406010618Y000187 0001827796612

238 18-06-2018 170406010618Y000171 0000889741888

239 18-06-2018 170406010618Y000168 0000889823586

240 18-06-2018 170406010618Y000169 0000889946976

241 18-06-2018 170406010618Y000174 0000889954997

242 18-06-2018 170406010618Y000176 0000890005836

243 18-06-2018 170406010618Y000178 0000890618714

244 18-06-2018 170406010618Y000173 0000890799434

245 18-06-2018 170406010618Y000177 0000890882469

246 18-06-2018 170406010618Y000172 0002044845753

247 18-06-2018 170406010618Y000170 0002290778302

248 18-06-2018 170406010618Y000175 0002449711642

249 14-06-2018 170406010618Y000179 0002457728673

250 13-06-2018 170406010618Y000164 0000890314064

251 13-06-2018 170406010618Y000165 0000890450109

252 13-06-2018 170406010618Y000163 0000890450335


BARKATI SIMBARA L PBI (APBN) Diarrhoea and gastroenteritis of
presumed infectious origin

NORMAKLIPAH P PBI (APBN) Gout

SYARIFUDINOOR L PBI (APBN) Gout

MASMURAH P PBI (APBN) Antenatal screening, unspecified

ICA PUTRI KIRANA P PBI (APBN) Cough

SHOFIA NOOR AFIFAH P PNS DAERAH Acute nasopharyngitis [common


cold]
SUCI NURHIDAYATI P PEGAWAI SWASTA Other dermatitis

FARIDAH P PBI (APBN) Diarrhoea and gastroenteritis of


presumed infectious origin

FATMAWATI P PBI (APBN) Dyspepsia

YATI P PBI (APBN) Other dermatitis

MULIANA P PBI (APBN) Allergic contact dermatitis

ALAN L PBI (APBN) Non-insulin-dependent diabetes


mellitus without

MASDIANI P PBI (APBN) Contraceptive management,


unspecified
SAERAINA P PBI (APBN) Cough

MAHDA LENA P PBI (APBN) Burn of first degree of wrist and


hand
muhammad keenan umar dian L PEKERJA MANDIRI Acute nasopharyngitis [common
cold]
SELAMAT L PEKERJA MANDIRI Myalgia

FARIDAH P PEGAWAI SWASTA Gastritis, unspecified

ALIFA ANDINI IRASWATI P PEGAWAI SWASTA Allergic contact dermatitis

SAPRANI L PBI (APBN) Essential (primary) hypertension

NOOR EFFENDI L PBI (APBN) Hyperlipidaemia, unspecified

SARI DEWI RAHMA YANI P PBI (APBN) Spondylolysis


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
253 13-06-2018 170406010618Y000166 0000890465016

254 13-06-2018 170406010618Y000161 0000890803383

255 13-06-2018 170406010618Y000160 0001461687039

256 13-06-2018 170406010618Y000162 0001868732335

257 13-06-2018 170406010618Y000167 0001883400502

258 12-06-2018 170406010618Y000135 0000122719094

259 12-06-2018 170406010618Y000134 0000889713551

260 12-06-2018 170406010618Y000138 0000890053525

261 12-06-2018 170406010618Y000139 0000890882469

262 12-06-2018 170406010618Y000137 0001319216321

263 12-06-2018 170406010618Y000136 0001810491085

264 11-06-2018 170406010618Y000118 0000122757276

265 11-06-2018 170406010618Y000131 0000123209379

266 11-06-2018 170406010618Y000124 0000123302812

267 11-06-2018 170406010618Y000117 0000211436987

268 11-06-2018 170406010618Y000130 0000889763624

269 11-06-2018 170406010618Y000126 0000889887025

270 11-06-2018 170406010618Y000116 0000891218417

271 11-06-2018 170406010618Y000122 0001182205574

272 11-06-2018 170406010618Y000120 0001182205585

273 11-06-2018 170406010618Y000125 0001325524151

274 11-06-2018 170406010618Y000127 0001460053989

275 11-06-2018 170406010618Y000128 0001460055453


RUSMINAH P PBI (APBN) Essential (primary) hypertension

YANSYAH L PBI (APBN) Suppurative and unspecified otitis


media
MUHAMMAD MANSYAH L PEKERJA MANDIRI Cough

ALWI SALEH L PEKERJA MANDIRI Other deforming dorsopathies

ROHANI P PEKERJA MANDIRI Acute haemorrhagic gastritis

HERTATI P PNS DAERAH Headache

NOOR HAYANI AGUSTINA P PBI (APBN) Cough

MARIANA P PBI (APBN) Antenatal screening, unspecified

MAHDA LENA P PBI (APBN) Contraceptive management,


unspecified
SITI MARIAM P PEKERJA MANDIRI Gout

MURSILAH P PEKERJA MANDIRI Gout

HJ. MURNI P PENERIMA PENSIUN PNS Allergic contact dermatitis

ANITA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

SUBONO L PENERIMA PENSIUN PNS Heart failure

AHMAD MUHYIDDIN L PNS DAERAH Otitis media, unspecified

SETIA BUDI L PBI (APBN) Stroke, not specified as


haemorrhage or infarction
RIZKA WATI P PBI (APBN) Conjunctivitis

TABRI L PBI (APBN) Idiopathic gout

RUSIDAH P PEGAWAI SWASTA Cough

RAHMA SYEHIDAH P PEGAWAI SWASTA Cough

NAYLA SYABILA AZAHRA P PEGAWAI SWASTA Cough

M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension

RUSMILAWATI P PEGAWAI SWASTA Essential (primary) hypertension


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
276 11-06-2018 170406010618Y000121 0001794111851

277 11-06-2018 170406010618Y000129 0001827796612

278 11-06-2018 170406010618Y000119 0001832275787

279 11-06-2018 170406010618Y000123 0001878840483

280 11-06-2018 170406010618Y000133 0002200021187

281 11-06-2018 170406010618Y000159 0002304843478

282 11-06-2018 170406010618Y000132 0002309476781

283 10-06-2018 170406010618P000417 0000888227987

284 09-06-2018 170406010618Y000114 0000123186846

285 09-06-2018 170406010618Y000102 0000123189243

286 09-06-2018 170406010618Y000106 0000124080805

287 09-06-2018 170406010618Y000103 0000889905205

288 09-06-2018 170406010618Y000113 0000890005836

289 09-06-2018 170406010618Y000105 0000890761072

290 09-06-2018 170406010618Y000112 0000890786946

291 09-06-2018 170406010618Y000111 0000890787159

292 09-06-2018 170406010618Y000158 0000890812383

293 09-06-2018 170406010618Y000110 0000891583244

294 09-06-2018 170406010618Y000108 0001833652293

295 09-06-2018 170406010618Y000107 0001833652394

296 09-06-2018 170406010618Y000157 0001886211189


NOOR AIDA P PEKERJA MANDIRI Dyspepsia

SUCI NURHIDAYATI P PEGAWAI SWASTA Allergic contact dermatitis

MUHAMMAD L PEKERJA MANDIRI Conjunctivitis

NORHANIAH P PEGAWAI SWASTA Cough

ANAL P PEKERJA MANDIRI Dyspepsia

DEWI KARMILAWATI P PEKERJA MANDIRI Antenatal screening, unspecified

HASBIANNOR L PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
MARWIYAH P PBI (APBN) Antenatal screening, unspecified

MASJADI L PENERIMA PENSIUN PNS Spondylolysis

MISRAN L PNS DAERAH Disorder of refraction, unspecified

RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Acute haemorrhagic gastritis

FARIDAH P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

ALAN L PBI (APBN) Non-insulin-dependent diabetes


mellitus with

FATIMAH P PBI (APBN) Non-insulin-dependent diabetes


mellitus with

SITI AISYAH P PBI (APBN) Dyspepsia

RAMLI L PBI (APBN) Essential (primary) hypertension

NOR HASANAH P PBI (APBN) Other and unspecified diseases of


pulp and

ASPURI L PBI (APBN) Dyspepsia

M. AINI L PEKERJA MANDIRI Acute haemorrhagic gastritis

ARSIAH P PEKERJA MANDIRI Dyspepsia

M FAJAR RAMADHANI L PNS DAERAH Other and unspecified diseases of


pulp and
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
297 09-06-2018 170406010618Y000115 0002213331581

298 09-06-2018 170406010618Y000109 0002314068906

299 09-06-2018 170406010618Y000104 0002436711669

300 08-06-2018 170406010618Y000100 0000889819762

301 08-06-2018 170406010618Y000096 0000889830786

302 08-06-2018 170406010618Y000098 0000890656042

303 08-06-2018 170406010618Y000099 0000890656661

304 08-06-2018 170406010618Y000156 0000890657605

305 08-06-2018 170406010618Y000097 0001079404659

306 08-06-2018 170406010618P000416 0001978883133

307 08-06-2018 170406010618Y000101 0002083725639

308 07-06-2018 170406010618Y000089 0000206005847

309 07-06-2018 170406010618Y000154 0000890654883

310 07-06-2018 170406010618Y000152 0000890656435

311 07-06-2018 170406010618Y000153 0000890656435

312 07-06-2018 170406010618Y000093 0000890731258

313 07-06-2018 170406010618Y000088 0000890834578

314 07-06-2018 170406010618Y000087 0000890844592

315 07-06-2018 170406010618Y000150 0000891661871

316 07-06-2018 170406010618Y000094 0001094262467

317 07-06-2018 170406010618Y000142 0001141897746


JAHRATUN SIFA P PEKERJA MANDIRI Acute upper respiratory infection,
unspecified
ARBAYAH P PEKERJA MANDIRI Dyspepsia

SANIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

SARBANI L PBI (APBN) Asthma

RISKA AMALIA PUTRI P PBI (APBN) Dyspepsia

MASRANI L PBI (APBN) Other deforming dorsopathies

IDA RAHMAWATI P PBI (APBN) Dyspepsia

YULIA P PBI (APBN) Other and unspecified diseases of


pulp and

AHMAD SAYUTI L PNS DAERAH Essential (primary) hypertension

SANDRA P PBI (APBN) Complications of anaesthesia


during the

ABD. HALIM L PEKERJA MANDIRI Essential (primary) hypertension

HADIANNOR L PNS DAERAH Tuberculosis of lung, confirmed by


unspecified

RADIAH P PBI (APBN) Diseases of pulp and periapical


tissues
ERNI YANTI P PBI (APBN) Irregular menstruation, unspecified

ERNI YANTI P PBI (APBN) Other and unspecified diseases of


pulp and

MUHAMMAD NOOR L PBI (APBN) Haemorrhoids

ILMI L PBI (APBN) Senile cataract

NORSEHAN P PBI (APBN) External haemorrhoids with other


complications
MASRAH P PBI (APBN) Contraceptive management,
unspecified
M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Essential (primary) hypertension

RAHMAD ARIYADI L PEGAWAI SWASTA Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
318 07-06-2018 170406010618Y000095 0001271566315

319 07-06-2018 170406010618Y000092 0001316257479

320 07-06-2018 170406010618Y000155 0001317889247

321 07-06-2018 170406010618Y000090 0001383336955

322 07-06-2018 170406010618Y000151 0001437094067

323 07-06-2018 170406010618Y000086 0001442907821

324 07-06-2018 170406010618Y000149 0001546142308

325 07-06-2018 170406010618Y000091 0002225985603

326 06-06-2018 170406010618Y000083 0000122621141

327 06-06-2018 170406010618Y000141 0000122654801

328 06-06-2018 170406010618Y000080 0000122756725

329 06-06-2018 170406010618Y000146 0000123147819

330 06-06-2018 170406010618Y000085 0000123452943

331 06-06-2018 170406010618Y000147 0000890539097

332 06-06-2018 170406010618Y000076 0000890742587

333 06-06-2018 170406010618Y000078 0000890834578

334 06-06-2018 170406010618Y000082 0000890886857

335 06-06-2018 170406010618Y000148 0000891576235

336 06-06-2018 170406010618Y000084 0001319216321

337 06-06-2018 170406010618Y000075 0001380784746

338 06-06-2018 170406010618Y000073 0001441794194

339 06-06-2018 170406010618Y000074 0001442206901


NURUL JANNAH P PEKERJA MANDIRI Gingivitis and periodontal diseases

ANTUNG SADARIAH P PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
RADIAH P PEKERJA MANDIRI Disturbances in tooth eruption

KASEMIN L PEKERJA MANDIRI Spondylolysis

RISDA ARIYANI P PEKERJA MANDIRI Antenatal screening, unspecified

HUSAINI L PEKERJA MANDIRI Heart failure, unspecified

ASTRILIA KUSWANDANI P PEKERJA MANDIRI Antenatal screening, unspecified

RAIDA P PEKERJA MANDIRI Cutaneous abscess, furuncle and


carbuncle
KAMARUDDIN L PNS DAERAH Heart failure, unspecified

ERNAWATI P PENERIMA PENSIUN PNS Heart failure, unspecified

AS'ARI ISFANI L PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

NISA ABDINA P PNS DAERAH Antenatal screening, unspecified

SITI MULIA P PENERIMA PENSIUN TNI Headache

SAHWATI P PBI (APBN) Contraceptive management,


unspecified
NOOR ANISA P PBI (APBN) Gingivitis and periodontal diseases

ILMI L PBI (APBN) Chronic myeloid leukaemia

IBRAHIM L PBI (APBN) Acute upper respiratory infection,


unspecified
MAISYARAH P PBI (APBN) Contraceptive management,
unspecified
SITI MARIAM P PEKERJA MANDIRI Cough

RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate

ISKANDAR L PEKERJA MANDIRI Other disorders of cornea

RISMA SUSANTI P PEKERJA MANDIRI Prolonged pregnancy


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
340 06-06-2018 170406010618Y000081 0001451368113

341 06-06-2018 170406010618Y000077 0001481294035

342 06-06-2018 170406010618Y000079 0001870716442

343 05-06-2018 170406010618Y000064 0000122757276

344 05-06-2018 170406010618Y000053 0000122807709

345 05-06-2018 170406010618Y000060 0000122824282

346 05-06-2018 170406010618Y000059 0000123209379

347 05-06-2018 170406010618Y000067 0000123582879

348 05-06-2018 170406010618Y000052 0000889798994

349 05-06-2018 170406010618Y000144 0000889826837

350 05-06-2018 170406010618Y000054 0000890495572

351 05-06-2018 170406010618Y000066 0000890496101

352 05-06-2018 170406010618Y000068 0000890630695

353 05-06-2018 170406010618Y000071 0000890654883

354 05-06-2018 170406010618Y000056 0000890654883

355 05-06-2018 170406010618Y000140 0000890761072

356 05-06-2018 170406010618Y000143 0000890836435

357 05-06-2018 170406010618Y000061 0000890844592

358 05-06-2018 170406010618Y000058 0000976814976

359 05-06-2018 170406010618Y000057 0000976815178

360 05-06-2018 170406010618Y000065 0000978029818


DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified

supiyah P PEKERJA MANDIRI Carcinoma in situ of breast,


unspecified
MARDANITA SARI P PEKERJA MANDIRI Guillain-Barre syndrome

HJ. MURNI P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

AHYANI L PNS DAERAH Necrosis of pulp

MUHAMMAD FAIZ L PNS DAERAH Cutaneous abscess, furuncle and


carbuncle of

ANITA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

ARMAT BASRI L PENERIMA PENSIUN PNS Essential (primary) hypertension

abdul rahim L PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

HASANAH P PBI (APBN) Contraceptive management,


unspecified
FATIMAH P PBI (APBN) Acute upper respiratory infection,
unspecified
RADINAH P PBI (APBN) Influenza, virus not identified

MISLIWATI P PBI (APBN) Essential (primary) hypertension

RADIAH P PBI (APBN) Chronic gingivitis

RADIAH P PBI (APBN) Essential (primary) hypertension

FATIMAH P PBI (APBN) Asthma

RUSMAWATI P PBI (APBN) Antenatal screening, unspecified

NORSEHAN P PBI (APBN) Constipation

AHMAD DHIYAI SYABANI L PNS PUSAT Thalassaemia, unspecified

MUHAMMAD NOOR SYABANI L PNS PUSAT Acute lymphoblastic leukaemia

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
361 05-06-2018 170406010618Y000063 0001065413935

362 05-06-2018 170406010618Y000072 0001079882188

363 05-06-2018 170406010618Y000145 0001444798563

364 05-06-2018 170406010618Y000070 0001545837996

365 05-06-2018 170406010618Y000051 0002079582581

366 05-06-2018 170406010618Y000069 0002079692594

367 05-06-2018 170406010618Y000062 0002229571269

368 05-06-2018 170406010618Y000055 0002327068157

369 04-06-2018 170406010618Y000040 0000122707034

370 04-06-2018 170406010618Y000036 0000122707045

371 04-06-2018 170406010618Y000030 0000122807709

372 04-06-2018 170406010618Y000024 0000122813403

373 04-06-2018 170406010618Y000045 0000200778669

374 04-06-2018 170406010618Y000044 0000202899407

375 04-06-2018 170406010618Y000035 0000204782804

376 04-06-2018 170406010618Y000020 0000889742204

377 04-06-2018 170406010618Y000050 0000889907534

378 04-06-2018 170406010618Y000048 0000889935658

379 04-06-2018 170406010618Y000033 0000890005836

380 04-06-2018 170406010618Y000047 0000890344528

381 04-06-2018 170406010618Y000043 0000890465016

382 04-06-2018 170406010618Y000049 0000894751784


BADRIANSYAH L PBI (APBN) Dyspepsia

MUSTAFA KAMAL L PNS DAERAH Pulpitis

HABIBATURROSYIDAH P PEGAWAI SWASTA Antenatal screening, unspecified

HELDAYATI P PEGAWAI SWASTA Caries of dentine

NURHIDAYAH P PEKERJA MANDIRI Carcinoma in situ of breast,


unspecified
HIDAYAH P PNS DAERAH Headache

DANIANSYAH L PEKERJA MANDIRI Acute haemorrhagic gastritis

HAFSYAH P PEKERJA MANDIRI Spondylolysis

M. MAKI L PENERIMA PENSIUN TNI Insulin-dependent diabetes


mellitus without

ROHANI P PENERIMA PENSIUN TNI Asthma

AHYANI L PNS DAERAH Gingivitis and periodontal diseases

FITRIATI P PENERIMA PENSIUN PNS Surgical follow-up care,


unspecified
NORLIANI P PEKERJA MANDIRI Antenatal screening, unspecified

SITI BARKIS P PENERIMA PENSIUN PNS Essential (primary) hypertension

SITI PATIMAH P PENERIMA PENSIUN PNS Gastritis, unspecified

RAHMAN SADIKIN L PBI (APBN) Thalassaemia, unspecified

NOOR AIDA P PBI (APBN) Antenatal screening, unspecified

RAHMAWATI P PBI (APBN) Antenatal screening, unspecified

ALAN L PBI (APBN) Non-insulin-dependent diabetes


mellitus without

LAMAH P PBI (APBN) Contraceptive management,


unspecified
RUSMINAH P PBI (APBN) Asthma

NOORLIANA SANTI P PBI (APBN) Contraceptive management,


unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
383 04-06-2018 170406010618Y000029 0000976973229

384 04-06-2018 170406010618Y000023 0001065501459

385 04-06-2018 170406010618Y000025 0001266035253

386 04-06-2018 170406010618Y000026 0001266035848

387 04-06-2018 170406010618Y000032 0001269910967

388 04-06-2018 170406010618Y000039 0001279227227

389 04-06-2018 170406010618Y000046 0001284365136

390 04-06-2018 170406010618Y000034 0001303168735

391 04-06-2018 170406010618Y000022 0001385943401

392 04-06-2018 170406010618Y000042 0001545443842

393 04-06-2018 170406010618Y000027 0001786617786

394 04-06-2018 170406010618Y000021 0001928424936

395 04-06-2018 170406010618Y000041 0002093722468

396 04-06-2018 170406010618Y000028 0002122995082

397 04-06-2018 170406010618Y000019 0002213331581

398 04-06-2018 170406010618Y000038 0002216666801

399 04-06-2018 170406010618Y000031 0002253883094

400 04-06-2018 170406010618Y000037 0002257487649

401 02-06-2018 170406010618Y000011 0000122606188

402 02-06-2018 170406010618Y000001 0000122707135


NURIN NADIA AZIZAH P PNS DAERAH Disorders of tooth development
and eruption
NAPIYAH L PBI (APBN) Senile cataract, unspecified

AHMAD MUHAMMAD MARZUKI L PEKERJA MANDIRI Rheumatoid nodule, multiple sites

MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

ENDANG JUMIATI P PEGAWAI SWASTA Heart failure, unspecified

EVA YUSANTI P PEGAWAI SWASTA Essential (primary) hypertension

MASDIANA P PEGAWAI SWASTA Contraceptive management,


unspecified
MUCH SYUKUR L PEKERJA MANDIRI Conjunctivitis

FATHURRAHMAN L PEKERJA MANDIRI Undifferentiated schizophrenia

EKO PRASETIO L PEGAWAI SWASTA Cough

masriah P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

HIDAYATILLAH L PBI (APBD) Paranoid schizophrenia

MANSYAH L PEKERJA MANDIRI Headache

M. JAINI L PBI (APBN) Other and unspecified cirrhosis of


liver
JAHRATUN SIFA P PEKERJA MANDIRI Down's syndrome, unspecified

ATAYA DWI RAFKA L PEGAWAI SWASTA Acute nasopharyngitis [common


cold]
ASNIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus without

ST NORJANI FAUZI P PEKERJA MANDIRI Dyspepsia

BARKIAH P PNS DAERAH Tuberculosis of lung, confirmed by


sputum microscopy with or without

SITI FATIMAH P PENERIMA PENSIUN TNI Stroke, not specified as


haemorrhage or infarction
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
403 02-06-2018 170406010618Y000003 0000123114969

404 02-06-2018 170406010618Y000008 0000123189243

405 02-06-2018 170406010618Y000015 0000889741618

406 02-06-2018 170406010618Y000004 0000889741888

407 02-06-2018 170406010618Y000014 0000889782355

408 02-06-2018 170406010618Y000012 0000889926276

409 02-06-2018 170406010618Y000017 0000889992764

410 02-06-2018 170406010618Y000016 0000890805611

411 02-06-2018 170406010618Y000007 0001260954505

412 02-06-2018 170406010618Y000018 0001484476571

413 02-06-2018 170406010618Y000006 0001907099032

414 02-06-2018 170406010618Y000009 0002209303541

415 02-06-2018 170406010618Y000010 0002220897115

416 02-06-2018 170406010618Y000002 0002220897633

417 02-06-2018 170406010618Y000013 0002309476781

418 02-06-2018 170406010618Y000005 0002309477016


AINI P PNS DAERAH Hyperlipidaemia, unspecified

MISRAN L PNS DAERAH Non-insulin-dependent diabetes


mellitus with

SARKANI L PBI (APBN) Essential (primary) hypertension

FARIDAH P PBI (APBN) Dyspepsia

JAMIAH P PBI (APBN) Asthma

ERNA P PBI (APBN) Tuberculosis of lung, confirmed by


sputum microscopy with or without

WAHIDAH P PBI (APBN) Dyspepsia

UTUH AINI L PBI (APBN) Tuberculosis of lung, confirmed by


sputum microscopy with or without

TABERANI L PEKERJA MANDIRI Dyspepsia

JAMHARI L PEKERJA MANDIRI Acute pharyngitis, unspecified

SUSAN RITA IRENE TORE P PEKERJA MANDIRI Essential (primary) hypertension

ZAKARIYA S L PEKERJA MANDIRI Influenza, virus not identified

JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI End-stage renal disease

ZEN L PEKERJA MANDIRI Disorders of tooth development


and eruption
HASBIANNOR L PEKERJA MANDIRI Dyspepsia

NOR SIFA RAHMA P PEKERJA MANDIRI Essential (primary) hypertension


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