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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

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

1 30-04-2019 111210020419P000844 0000519457803 KUSMIATI P PBI (APBN) Tuberculous peripheral Berobat Jalan
lymphadenopathy
2 30-04-2019 111210020419P000831 0000519478659 I YANG INDRA KUSUMA L PBI (APBN) Fever, unspecified Berobat Jalan

3 30-04-2019 111210020419P000758 0000519838018 SARIYAH P PBI (APBN) Anxiety disorder, Rujuk Lanjut
unspecified
4 30-04-2019 111210020419P000805 0000520323377 ALISA INDRIANA P PBI (APBN) Amblyopia ex anopsia Berobat Jalan

5 30-04-2019 111210020419P000835 0000520385174 KAMINAH P PBI (APBN) Headache Berobat Jalan

6 30-04-2019 111210020419P000798 0000520410464 WASIYAH P PBI (APBN) Myalgia Berobat Jalan

7 30-04-2019 111210020419P000813 0000520423457 MARYANTO L PBI (APBN) Pulpitis Berobat Jalan

8 30-04-2019 111210020419P000756 0000520570686 ABDUL SYUKUR L PBI (APBN) Unspecified renal colic Rujuk Lanjut

9 30-04-2019 111210020419P000793 0000520709095 YANINDA P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

10 30-04-2019 111210020419P000846 0000520841957 SITI KOMARIYAH P PBI (APBN) Headache Berobat Jalan

11 30-04-2019 111210020419P000757 0000520842767 SITI MUNAWAROH P PBI (APBN) Alveolitis of jaws Rujuk Lanjut

12 30-04-2019 111210020419P000796 0000521260266 RATINEM P PBI (APBN) Headache Berobat Jalan

13 30-04-2019 111210020419P000804 0000521268478 DWI ASTUTI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

14 30-04-2019 111210020419P000830 0000521297458 PARIYAH P PBI (APBN) Headache Berobat Jalan Hipertensi Hipertensi

15 30-04-2019 111210020419P000826 0000521298584 NOVIYANTI P PBI (APBN) Unspecified renal colic Berobat Jalan

16 30-04-2019 111210020419P000853 0000521494841 FADLI NURUL MU'ALIMIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
17 30-04-2019 111210020419P000755 0001015212609 DEDE KURNAESIH P PBI (APBN) Keratitis, unspecified Rujuk Lanjut

18 30-04-2019 111210020419P000851 0001015214725 SARTIYAH P PBI (APBN) Other specified diabetes Berobat Jalan Diabetes Mellitus Diabetes
mellitus with peripheral Mellitus
circulatory complications
19 30-04-2019 111210020419P000843 0001084312956 RUSTAM L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
20 30-04-2019 111210020419P000789 0001084698843 PARIYEM P PBI (APBN) Caries of dentine Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

21 30-04-2019 111210020419P000795 0001084714053 MUDIARJO L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
22 30-04-2019 111210020419P000794 0001084926936 TURMINI P PBI (APBN) Myalgia Berobat Jalan

23 30-04-2019 111210020419P000810 0001770083684 HIKMAHTUN P PEGAWAI SWASTA Allergic contact dermatitis Berobat Jalan

24 30-04-2019 111210020419P000806 0001770083695 MOHAMMAD HAMDANI L PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
25 30-04-2019 111210020419P000839 0001812531227 SAINEM P PEKERJA MANDIRI Myalgia Berobat Jalan

26 30-04-2019 111210020419P000802 0001844402556 SINTA KRIJAYANTI P PEKERJA MANDIRI Unspecified renal colic Berobat Jalan

27 30-04-2019 111210020419P000784 0002009245026 WARTIM SUDIN L PBI (APBN) Ocular pain Berobat Jalan

28 30-04-2019 111210020419P000799 0002128485802 ROSENDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

29 30-04-2019 111210020419P000849 0002129377397 SHOLIYATUN P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
30 30-04-2019 111210020419P001019 0002210004876 NURUL MUHIMAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
31 30-04-2019 111210020419P000842 0002228055491 KHALID AKBAR nURLANGIT L PBI (APBN) Tuberculous peripheral Berobat Jalan
lymphadenopathy
32 30-04-2019 111210020419P000797 0002464275677 MISRAN AHMAD KHANIFUDIN L PEKERJA MANDIRI Myalgia Berobat Jalan

33 30-04-2019 111210020419P001024 0002472687549 SUWARNINGSIH P PEKERJA MANDIRI Contraceptive Berobat Jalan


management, unspecified
34 30-04-2019 111210020419P000852 0002631349315 ERNI P PBI (APBN) Headache Berobat Jalan

35 30-04-2019 111210020419P001023 0002631349315 ERNI P PBI (APBN) Contraceptive Berobat Jalan


management, unspecified
36 30-04-2019 111210020419P000822 0002637994645 SUSILO L PBI (APBN) Unspecified renal colic Berobat Jalan

37 29-04-2019 111210020419P000750 0000518735428 KATEM P PBI (APBN) Urticaria, unspecified Berobat Jalan

38 29-04-2019 111210020419P000725 0000519062422 ASYIFAUL HANNA P PBI (APBN) Gastritis, unspecified Berobat Jalan

39 29-04-2019 111210020419P000744 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan Diabetes Mellitus Diabetes
dressings and sutures Mellitus
40 29-04-2019 111210020419P000746 0000519574577 SUSILAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
41 29-04-2019 111210020419P000709 0000519880792 ILHAM WAGIYANTO L PBI (APBN) Hypertensive heart Rujuk Lanjut
disease without
(congestive) heart failure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

42 29-04-2019 111210020419P001018 0000520169297 SRI WAHYUNI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
43 29-04-2019 111210020419P000713 0000520235493 DWI ERNAETUN P PBI (APBN) Localized swelling, mass Rujuk Lanjut
and lump, neck
44 29-04-2019 111210020419P000739 0000520280932 MADSUPANDI TUGIYO L PBI (APBN) Gastritis, unspecified Berobat Jalan

45 29-04-2019 111210020419P000747 0000520314568 SAMINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
46 29-04-2019 111210020419P000730 0000520465296 SUGINAH P PBI (APBN) Myalgia Berobat Jalan

47 29-04-2019 111210020419P000753 0000520563205 WATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
48 29-04-2019 111210020419P000754 0000520656693 TASEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

49 29-04-2019 111210020419P000734 0000520714945 SUMIYATI P PBI (APBN) Headache Berobat Jalan

50 29-04-2019 111210020419P000748 0000520724384 RATINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
51 29-04-2019 111210020419P000717 0000520822934 TURSINAH P PBI (APBN) Corneal ulcer Rujuk Lanjut

52 29-04-2019 111210020419P000752 0000520839009 MUSRINGAH P PBI (APBN) Headache Berobat Jalan

53 29-04-2019 111210020419P000728 0000520846108 SITI FATIMAH P PBI (APBN) Ocular pain Berobat Jalan

54 29-04-2019 111210020419P000749 0000521074089 MUHTAROM L PBI (APBN) Fever, unspecified Berobat Jalan

55 29-04-2019 111210020419P000751 0000521381981 SARTI P PBI (APBN) Headache Berobat Jalan

56 29-04-2019 111210020419P000721 0001015214725 SARTIYAH P PBI (APBN) Other specified diabetes Rujuk Lanjut Diabetes Mellitus Diabetes
mellitus with peripheral Mellitus
circulatory complications
57 29-04-2019 111210020419P000736 0001081390961 SUGIANTI P PENERIMA PENSIUN Other specified superficial Berobat Jalan
PNS mycoses
58 29-04-2019 111210020419P000969 0001084938423 WASILAH P PBI (APBN) Prolonged second stage Berobat Jalan
(of labour)
59 29-04-2019 111210020419P000720 0001900689985 SITI FATIMAH P PEKERJA MANDIRI Calculus in urethra Rujuk Lanjut

60 29-04-2019 111210020419P000727 0002009245061 MAKMUR HABIDIN L PBI (APBN) Scabies Berobat Jalan

61 29-04-2019 111210020419P000718 0002009246376 SUDARTI P PBI (APBN) Excessive and frequent Rujuk Lanjut Diabetes Mellitus Diabetes
menstruation with regular Mellitus
cycle
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

62 29-04-2019 111210020419P000714 0002009269473 FAJAR FARIYATI P PBI (APBN) Diseases of the circulatory Rujuk Lanjut
system complicating
pregnancy, childbirth and
the puerperium

63 29-04-2019 111210020419P000732 0002051994633 RATNA DEWI ASTUTI P PBI (APBD) Other specified superficial Berobat Jalan
mycoses
64 29-04-2019 111210020419P000724 0002066484576 SURTINAH P PEKERJA MANDIRI Unspecified renal colic Berobat Jalan

65 29-04-2019 111210020419P000733 0002129893571 IKE YULIATAMARSTI P PBI (APBN) Dengue haemorrhagic Berobat Jalan
fever
66 29-04-2019 111210020419P000738 0002209139774 TUMINAH P PEKERJA MANDIRI Headache Berobat Jalan

67 29-04-2019 111210020419P000956 0002210004876 NURUL MUHIMAH P PEKERJA MANDIRI False labour, unspecified Sembuh

68 29-04-2019 111210020419P000737 0002244745394 SUTIYAH P PEKERJA MANDIRI Low back pain Berobat Jalan Hipertensi

69 29-04-2019 111210020419P000742 0002304013757 YAKUB FAHRI L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

70 29-04-2019 111210020419P000740 0002307946994 TOHIRIN SUNARTO L PEKERJA MANDIRI Hyperplasia of prostate Berobat Jalan

71 29-04-2019 111210020419P000711 0002420930406 SARINGUN L PBI (APBD) Pain localized to upper Rujuk Lanjut
abdomen
72 29-04-2019 111210020419P000745 0002450452217 HANIF AL ATSARI L PEKERJA MANDIRI Follow-up care involving Berobat Jalan
removal of fracture plate
and other internal fixation
device
73 29-04-2019 111210020419P000715 0002479918296 SUGENG RIYADI L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
74 29-04-2019 111210020419P000723 0002500472305 KENZIE RAMADHAN L PEKERJA MANDIRI Tuberculous peripheral Berobat Jalan
lymphadenopathy
75 29-04-2019 111210020419P000729 0002504761492 MUHAMMAD FAISAL L PBI (APBN) Fever, unspecified Berobat Jalan
RAHMADANI
76 29-04-2019 111210020419P000712 0002634771374 NURSIDIK L PBI (APBN) Pain localized to upper Rujuk Lanjut
abdomen
77 29-04-2019 111210020419P000719 0002635705337 SARIFUDIN L PBI (APBN) Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
78 29-04-2019 111210020419P000735 0002636903856 SUNANI L PBI (APBN) Myalgia Berobat Jalan

79 29-04-2019 111210020419P000710 0002636929269 CHANDRA FADHILAH L PBI (APBN) Predominantly allergic Rujuk Lanjut
RABBAANI asthma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

80 29-04-2019 111210020419P000743 0002637966036 SARPIN SUNANDAR L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
81 29-04-2019 111210020419P000731 0002639119263 FERDINAN SUKRASSONO L PBI (APBN) Nausea and vomiting Berobat Jalan

82 29-04-2019 111210020419P000722 0002740411405 siti fatimah P PEKERJA MANDIRI Sleep disorder, Rujuk Lanjut
unspecified
83 29-04-2019 111210020419P000716 0002756014659 SUNARDI MADSUKARDI L PEKERJA MANDIRI Low back pain Rujuk Lanjut

84 29-04-2019 111210020419P000741 0002756019688 YATIMAN SAJURI L PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

85 29-04-2019 111210020419P000726 0002756020151 WAGIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan


diabetes mellitus without
complications
86 28-04-2019 111210020419P000857 0000519002155 MUHTAR L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
87 28-04-2019 111210020419P000910 0000519117478 FATIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
88 28-04-2019 111210020419P000874 0000519556792 MUSRINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
89 28-04-2019 111210020419P000858 0000519592871 ROLIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
90 28-04-2019 111210020419P000917 0000519597123 PONIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
91 28-04-2019 111210020419P000885 0000519655599 SAMINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
92 28-04-2019 111210020419P000863 0000519732459 HASANAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Hipertensi Hipertensi
diabetes mellitus without
complications
93 28-04-2019 111210020419P000869 0000519882805 DARTIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
94 28-04-2019 111210020419P000894 0000519896733 DAYAT L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

95 28-04-2019 111210020419P000862 0000519930753 WASINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus without
complications
96 28-04-2019 111210020419P000900 0000519934072 MUSONAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
97 28-04-2019 111210020419P000913 0000519953332 SURATMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
98 28-04-2019 111210020419P000906 0000520021214 TUSINI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
99 28-04-2019 111210020419P000867 0000520052949 AHMAD KUSMADI L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
100 28-04-2019 111210020419P000912 0000520119933 MULASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
101 28-04-2019 111210020419P000864 0000520201146 TARIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
102 28-04-2019 111210020419P000865 0000520286411 MINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
103 28-04-2019 111210020419P000909 0000520383475 INDARTO L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications Hipertensi
104 28-04-2019 111210020419P000884 0000520436114 SITI NAERAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
105 28-04-2019 111210020419P000866 0000520471438 TURMIASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
106 28-04-2019 111210020419P000708 0000520492544 DWI KUSWORO L PBI (APBN) Traumatic amputation of Rujuk Lanjut
wrist and hand
107 28-04-2019 111210020419P000919 0000520678721 KASINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
108 28-04-2019 111210020419P000897 0000520891648 NURSIDIK L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

109 28-04-2019 111210020419P000898 0000520891964 DAISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
110 28-04-2019 111210020419P000914 0000520929066 SUPARTINI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
111 28-04-2019 111210020419P000859 0000520999277 SIKEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
112 28-04-2019 111210020419P000880 0000521410083 SOBIROH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
113 28-04-2019 111210020419P000856 0000521411253 ALFIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
114 28-04-2019 111210020419P000888 0000521603559 TURAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
115 28-04-2019 111210020419P000870 0000521772445 LASMIYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
116 28-04-2019 111210020419P000868 0001084672719 SAMIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
117 28-04-2019 111210020419P000873 0001308471243 SUGIARTI P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
118 28-04-2019 111210020419P000876 0001314919664 ROSIHUN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
119 28-04-2019 111210020419P000861 0001314919776 SUPARMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
120 28-04-2019 111210020419P000875 0001317823378 SUHARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
121 28-04-2019 111210020419P000860 0001322632091 sobiyah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
122 28-04-2019 111210020419P000908 0001473590171 PAINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus
diabetes mellitus without Hipertensi
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

123 28-04-2019 111210020419P000883 0001700513932 PARIYEM P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
124 28-04-2019 111210020419P000903 0001700515045 AMINAH P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
125 28-04-2019 111210020419P000916 0001721235047 SUKIMAN L PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
DENGAN PERJANJIAN diabetes mellitus without Mellitus
KERJA complications
126 28-04-2019 111210020419P000892 0001734459164 ELI PURWANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
127 28-04-2019 111210020419P000891 0001734459208 PENTI FAJRIYANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
128 28-04-2019 111210020419P000878 0001812660794 yasih P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
129 28-04-2019 111210020419P000887 0002009246376 SUDARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
130 28-04-2019 111210020419P000877 0002038985177 PASINAH P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
131 28-04-2019 111210020419P000871 0002090362915 UDIYONO L PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
132 28-04-2019 111210020419P000921 0002102155841 Sutini P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
SWASTA diabetes mellitus without Mellitus
complications
133 28-04-2019 111210020419P000882 0002128484362 KARWITA P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
134 28-04-2019 111210020419P000889 0002175769484 YAYAN P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
135 28-04-2019 111210020419P000915 0002175856378 TOYIBAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
136 28-04-2019 111210020419P000872 0002234887727 FAUZAN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

137 28-04-2019 111210020419P000886 0002254806099 SARNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
138 28-04-2019 111210020419P000879 0002264978081 TRIYONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
139 28-04-2019 111210020419P000881 0002267674661 JUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
140 28-04-2019 111210020419P000907 0002272269014 SALIM TOFIK L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
141 28-04-2019 111210020419P000955 0002281588817 NUZULINA KURNIA BUDI P PEGAWAI SWASTA False labour, unspecified Sembuh
RAHAYU
142 28-04-2019 111210020419P000896 0002285620209 HJ DIANA MARYANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
143 28-04-2019 111210020419P000895 0002296989101 SUDARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications Hipertensi
144 28-04-2019 111210020419P000904 0002298999352 PARIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
145 28-04-2019 111210020419P000905 0002310367915 SUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
146 28-04-2019 111210020419P000890 0002324710585 JULIYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
147 28-04-2019 111210020419P000918 0002423721486 MUSIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
148 28-04-2019 111210020419P000893 0002436979252 ARSIH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
149 28-04-2019 111210020419P000899 0002437322771 ENDANG SOEPRIYANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
150 28-04-2019 111210020419P000901 0002449266535 SARTINEM P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

151 28-04-2019 111210020419P000902 0002456832148 SUNARYO JADI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
152 28-04-2019 111210020419P000911 0002504755056 WAGIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
153 28-04-2019 111210020419P000920 0002637961277 MARDI SISWOYO L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus
diabetes mellitus without
complications
154 27-04-2019 111210020419P000760 0000519002155 MUHTAR L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
155 27-04-2019 111210020419P000832 0000519117478 FATIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
156 27-04-2019 111210020419P001034 0000519488032 SARIJAH P PBI (APBN) Cerebral infarction, Berobat Jalan
unspecified
157 27-04-2019 111210020419P000777 0000519556792 MUSRINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
158 27-04-2019 111210020419P000761 0000519592871 ROLIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
159 27-04-2019 111210020419P000841 0000519597123 PONIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
160 27-04-2019 111210020419P000790 0000519655599 SAMINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
161 27-04-2019 111210020419P000698 0000519707507 NOVIYANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
162 27-04-2019 111210020419P000766 0000519732459 HASANAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Hipertensi Hipertensi
diabetes mellitus without
complications
163 27-04-2019 111210020419P000772 0000519882805 DARTIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
164 27-04-2019 111210020419P000811 0000519896733 DAYAT L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
165 27-04-2019 111210020419P000765 0000519930753 WASINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

166 27-04-2019 111210020419P000817 0000519934072 MUSONAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
167 27-04-2019 111210020419P000836 0000519953332 SURATMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
168 27-04-2019 111210020419P000825 0000520021214 TUSINI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
169 27-04-2019 111210020419P000775 0000520052949 AHMAD KUSMADI L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
170 27-04-2019 111210020419P000834 0000520119933 MULASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
171 27-04-2019 111210020419P000960 0000520169297 SRI WAHYUNI P PBI (APBN) False labour, unspecified Sembuh

172 27-04-2019 111210020419P000767 0000520201146 TARIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
173 27-04-2019 111210020419P000700 0000520240522 MUHYATUN P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
174 27-04-2019 111210020419P000768 0000520286411 MINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
175 27-04-2019 111210020419P000829 0000520383475 INDARTO L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications Hipertensi
176 27-04-2019 111210020419P001031 0000520412286 ROCHIMAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
177 27-04-2019 111210020419P000788 0000520436114 SITI NAERAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
178 27-04-2019 111210020419P000769 0000520471438 TURMIASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
179 27-04-2019 111210020419P001016 0000520480765 WIWIN EKAWATI P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
180 27-04-2019 111210020419P000847 0000520678721 KASINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

181 27-04-2019 111210020419P000695 0000520842767 SITI MUNAWAROH P PBI (APBN) Myalgia Berobat Jalan

182 27-04-2019 111210020419P001017 0000520882053 MIFTAFURROHMAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
183 27-04-2019 111210020419P000814 0000520891648 NURSIDIK L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
184 27-04-2019 111210020419P000815 0000520891964 DAISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
185 27-04-2019 111210020419P000837 0000520929066 SUPARTINI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
186 27-04-2019 111210020419P000968 0000520933432 MARYANTI P PBI (APBN) Prolonged second stage Berobat Jalan
(of labour)
187 27-04-2019 111210020419P000696 0000520983202 IRA SUTIRAH P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
188 27-04-2019 111210020419P000762 0000520999277 SIKEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
189 27-04-2019 111210020419P000702 0000521093092 ARIF SETIAWAN L PBI (APBN) Ocular pain Berobat Jalan

190 27-04-2019 111210020419P000701 0000521389877 ADE WINARNI P PBI (APBN) Calculus in urethra Berobat Jalan

191 27-04-2019 111210020419P000783 0000521410083 SOBIROH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
192 27-04-2019 111210020419P000759 0000521411253 ALFIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
193 27-04-2019 111210020419P000706 0000521494841 FADLI NURUL MU'ALIMIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
194 27-04-2019 111210020419P000800 0000521603559 TURAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
195 27-04-2019 111210020419P000773 0000521772445 LASMIYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
196 27-04-2019 111210020419P000703 0001015221159 LASMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
197 27-04-2019 111210020419P000771 0001084672719 SAMIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

198 27-04-2019 111210020419P000694 0001107698725 FATAHILLAH IBNU ASCAR L PRAJURIT AD Chest pain, unspecified Berobat Jalan

199 27-04-2019 111210020419P000764 0001308471243 SUGIARTI P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
200 27-04-2019 111210020419P000779 0001314919664 ROSIHUN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
201 27-04-2019 111210020419P000770 0001314919776 SUPARMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
202 27-04-2019 111210020419P000778 0001317823378 SUHARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
203 27-04-2019 111210020419P000763 0001322632091 sobiyah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
204 27-04-2019 111210020419P000828 0001473590171 PAINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus
diabetes mellitus without Hipertensi
complications
205 27-04-2019 111210020419P000787 0001700513932 PARIYEM P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
206 27-04-2019 111210020419P000821 0001700515045 AMINAH P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
207 27-04-2019 111210020419P000840 0001721235047 SUKIMAN L PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
DENGAN PERJANJIAN diabetes mellitus without Mellitus
KERJA complications
208 27-04-2019 111210020419P000808 0001734459164 ELI PURWANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
209 27-04-2019 111210020419P000807 0001734459208 PENTI FAJRIYANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
210 27-04-2019 111210020419P000781 0001812660794 yasih P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
211 27-04-2019 111210020419P000792 0002009246376 SUDARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

212 27-04-2019 111210020419P000780 0002038985177 PASINAH P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
213 27-04-2019 111210020419P000774 0002090362915 UDIYONO L PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
214 27-04-2019 111210020419P000850 0002102155841 Sutini P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
SWASTA diabetes mellitus without Mellitus
complications
215 27-04-2019 111210020419P000699 0002125679297 ALIA WIJAYA P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
216 27-04-2019 111210020419P000786 0002128484362 KARWITA P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
217 27-04-2019 111210020419P000801 0002175769484 YAYAN P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
218 27-04-2019 111210020419P000838 0002175856378 TOYIBAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
219 27-04-2019 111210020419P000776 0002234887727 FAUZAN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
220 27-04-2019 111210020419P000791 0002254806099 SARNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
221 27-04-2019 111210020419P000782 0002264978081 TRIYONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
222 27-04-2019 111210020419P000785 0002267674661 JUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
223 27-04-2019 111210020419P000827 0002272269014 SALIM TOFIK L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
224 27-04-2019 111210020419P000812 0002285620209 HJ DIANA MARYANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
225 27-04-2019 111210020419P000820 0002296989101 SUDARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications Hipertensi
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

226 27-04-2019 111210020419P000823 0002298999352 PARIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
227 27-04-2019 111210020419P000824 0002310367915 SUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
228 27-04-2019 111210020419P000803 0002324710585 JULIYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
229 27-04-2019 111210020419P000845 0002423721486 MUSIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
230 27-04-2019 111210020419P000809 0002436979252 ARSIH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
231 27-04-2019 111210020419P000816 0002437322771 ENDANG SOEPRIYANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
232 27-04-2019 111210020419P000818 0002449266535 SARTINEM P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
233 27-04-2019 111210020419P000819 0002456832148 SUNARYO JADI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
234 27-04-2019 111210020419P000697 0002479918296 SUGENG RIYADI L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
235 27-04-2019 111210020419P000707 0002504753875 SLAMET HARYANTO L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
236 27-04-2019 111210020419P000833 0002504755056 WAGIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
237 27-04-2019 111210020419P001032 0002504758509 SITI TOYIBAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
238 27-04-2019 111210020419P000693 0002625808432 NUR MANISEM P PEKERJA MANDIRI Excessive bleeding in the Rujuk Lanjut
premenopausal period
239 27-04-2019 111210020419P000704 0002636864335 NAYLA AZZAHRA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
240 27-04-2019 111210020419P000705 0002636929269 CHANDRA FADHILAH L PBI (APBN) Predominantly allergic Berobat Jalan
RABBAANI asthma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

241 27-04-2019 111210020419P000848 0002637961277 MARDI SISWOYO L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus
diabetes mellitus without
complications
242 26-04-2019 111210020419P000675 0000519010007 MUDIYONO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
243 26-04-2019 111210020419P000683 0000519492701 SAINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
244 26-04-2019 111210020419P000689 0000519784266 TURIMAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
245 26-04-2019 111210020419P000676 0000520152772 NGATIMO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

246 26-04-2019 111210020419P000673 0000520379561 TURASMI P PBI (APBN) Gastritis, unspecified Berobat Jalan

247 26-04-2019 111210020419P000959 0000520480765 WIWIN EKAWATI P PEGAWAI SWASTA False labour, unspecified Sembuh

248 26-04-2019 111210020419P000677 0000520518262 NGATIJEM P PBI (APBN) Myalgia Berobat Jalan

249 26-04-2019 111210020419P000666 0000520612007 AMINAH P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

250 26-04-2019 111210020419P000684 0000520625169 MOCH NURUDIN JAMIL L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
251 26-04-2019 111210020419P000662 0000520657042 KARSITI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

252 26-04-2019 111210020419P000685 0000520870757 USWATUN HASANAH P PBI (APBN) Headache Berobat Jalan

253 26-04-2019 111210020419P000958 0000520882053 MIFTAFURROHMAH P PBI (APBN) False labour, unspecified Sembuh

254 26-04-2019 111210020419P000681 0000521268186 KHOERUL ANAS L PBI (APBN) Otalgia Berobat Jalan

255 26-04-2019 111210020419P000664 0001015213342 KESMI MARYATI P PBI (APBN) Maternal care for Rujuk Lanjut
malpresentation of fetus,
unspecified
256 26-04-2019 111210020419P000661 0001718361538 BAHRUN SARWANI L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

257 26-04-2019 111210020419P000682 0002009246905 SALIMAN L PBI (APBN) Other forms of stomatitis Berobat Jalan

258 26-04-2019 111210020419P000680 0002009273523 KHOERUL ANAS L PBI (APBN) Otalgia Berobat Jalan

259 26-04-2019 111210020419P000687 0002038976109 BINTANG ZASKIA HASBI L PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
260 26-04-2019 111210020419P000678 0002039429856 DWI YULIANTI P PBI (APBD) Fever, unspecified Berobat Jalan

261 26-04-2019 111210020419P000686 0002125678825 MUHAMMAD ALIF FADLAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

262 26-04-2019 111210020419P000674 0002188269022 WARISEM P PBI (APBN) Headache Berobat Jalan

263 26-04-2019 111210020419P000663 0002285620209 HJ DIANA MARYANI P PEKERJA MANDIRI Diabetic polyneuropathy Rujuk Lanjut Diabetes Mellitus Diabetes
Mellitus
264 26-04-2019 111210020419P000679 0002486223707 SIKEM P PEKERJA MANDIRI Coccidioidomycosis Berobat Jalan

265 26-04-2019 111210020419P000692 0002504759297 FEBRIYANTI AYUNINGTIAS P PBI (APBN) Headache Berobat Jalan

266 26-04-2019 111210020419P000665 0002612148669 WIWI SURTIANI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
267 26-04-2019 111210020419P000688 0002633540591 TURSINI P PBI (APBN) Ocular pain Berobat Jalan

268 26-04-2019 111210020419P000672 0002636929901 EKO SAFITRI P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
269 26-04-2019 111210020419P000690 0002754704564 ROBINEM P PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
270 26-04-2019 111210020419P000691 0002756014659 SUNARDI MADSUKARDI L PEKERJA MANDIRI Low back pain Berobat Jalan

271 25-04-2019 111210020419P000650 0000518683487 NAELI AFRIHATUL AZQIYA P PBI (APBN) Scabies Berobat Jalan

272 25-04-2019 111210020419P000646 0000519055806 YATIMIN L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
273 25-04-2019 111210020419P000659 0000519534854 SAMINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
274 25-04-2019 111210020419P000656 0000519710196 TURMAN L PBI (APBN) Low back pain Berobat Jalan

275 25-04-2019 111210020419P000653 0000519786977 NGADIMIN L PBI (APBN) Myalgia Berobat Jalan

276 25-04-2019 111210020419P000660 0000520068791 JAMINGAH P PBI (APBN) Threatened abortion Rujuk Lanjut

277 25-04-2019 111210020419P001014 0000520227382 ANA YASINTA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
278 25-04-2019 111210020419P000671 0000520238428 KAMISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
279 25-04-2019 111210020419P000667 0000520357048 KAMSIYAH P PBI (APBN) Diarrhoea and Berobat Jalan Diabetes Mellitus Diabetes
gastroenteritis of Mellitus
presumed infectious origin

280 25-04-2019 111210020419P000642 0000520407448 SITI NURJANAH P PBI (APBN) Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

281 25-04-2019 111210020419P001015 0000520490968 KHOMSATUN HASANAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
282 25-04-2019 111210020419P000645 0000520564072 SUPARTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

283 25-04-2019 111210020419P000670 0000520744522 SUNARTI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

284 25-04-2019 111210020419P000657 0000520807915 RASIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
285 25-04-2019 111210020419P000658 0000520808376 RESTY AMALIA F P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
286 25-04-2019 111210020419P000648 0000520823259 MANISO L PBI (APBN) Ocular pain Berobat Jalan

287 25-04-2019 111210020419P000668 0000521074023 MAHSUTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
288 25-04-2019 111210020419P000655 0000521421322 UMI RODIYAH P PBI (APBN) Other forms of stomatitis Berobat Jalan

289 25-04-2019 111210020419P001013 0001015215715 WIWIT PUJI ASTUTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
290 25-04-2019 111210020419P000654 0002048666916 ENDANG ROHMAN L PEKERJA MANDIRI Dermatitis herpetiformis Berobat Jalan

291 25-04-2019 111210020419P000647 0002176014857 SRI DARNINGSIH P PBI (APBN) Otalgia Berobat Jalan

292 25-04-2019 111210020419P000669 0002265248812 SIJEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
293 25-04-2019 111210020419P000975 0002281588817 NUZULINA KURNIA BUDI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan
RAHAYU
294 25-04-2019 111210020419P000649 0002314370463 KRISTIANI RUMINAH DARINI P PEKERJA MANDIRI Myalgia Berobat Jalan

295 25-04-2019 111210020419P000652 0002314973946 SARNO, SE L PEGAWAI SWASTA Unspecified renal colic Berobat Jalan

296 25-04-2019 111210020419P000651 0002479752527 MUSINEM P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
297 25-04-2019 111210020419P000641 0002504754538 OPICK YANUAR PANGESTU L PBI (APBN) Nonspecific lymphadenitis, Rujuk Lanjut
unspecified

298 25-04-2019 111210020419P000644 0002629111511 MAKIYAH P PBI (APBN) Unspecified renal colic Berobat Jalan

299 25-04-2019 111210020419P000643 0002756014659 SUNARDI MADSUKARDI L PEKERJA MANDIRI Unilateral or unspecified Rujuk Lanjut
inguinal hernia, without
obstruction or gangrene
300 24-04-2019 111210020419P000633 0000519611264 DEWI SUMISTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

301 24-04-2019 111210020419P000622 0000520280932 MADSUPANDI TUGIYO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
302 24-04-2019 111210020419P000618 0000520298177 SUMARTI P PBI (APBN) Placenta praevia with Rujuk Lanjut
haemorrhage
303 24-04-2019 111210020419P000621 0000520339364 SANSUNARTO L PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
304 24-04-2019 111210020419P000957 0000520490968 KHOMSATUN HASANAH P PBI (APBN) False labour, unspecified Sembuh

305 24-04-2019 111210020419P000619 0000520574567 NGADINAH P PBI (APBN) Pain localized to other Rujuk Lanjut
parts of lower abdomen
306 24-04-2019 111210020419P001033 0000520582274 OOM PRIYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
307 24-04-2019 111210020419P000632 0000520757853 NUR AENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
308 24-04-2019 111210020419P000623 0000520788857 NGAISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
309 24-04-2019 111210020419P000634 0000520885495 PONIRAN L PBI (APBN) Myalgia Berobat Jalan

310 24-04-2019 111210020419P000627 0000520927334 FITRI NOVILIANA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
311 24-04-2019 111210020419P000628 0000521237913 NI'MATURROHMAH P PBI (APBN) Scabies Berobat Jalan

312 24-04-2019 111210020419P000637 0001015223051 SITI RODHATUL JANAH P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
313 24-04-2019 111210020419P000635 0001913892524 ATHAR MAHALI L PBI (APBN) Fever, unspecified Berobat Jalan

314 24-04-2019 111210020419P000625 0002009270428 AWANGSARI KURNIASIH P PBI (APBN) Pregnancy-related Rujuk Lanjut
condition, unspecified
315 24-04-2019 111210020419P000626 0002038378217 KHUSWATUN HASANAH P PBI (APBD) Urticaria, unspecified Berobat Jalan

316 24-04-2019 111210020419P000631 0002139552628 NIKMATUL KHOIRIYAH P PEGAWAI SWASTA Otitis externa Berobat Jalan

317 24-04-2019 111210020419P000620 0002425850763 SUNARTI P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
uterus, part unspecified
318 24-04-2019 111210020419P000624 0002458072596 TUGIYONO L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

319 24-04-2019 111210020419P000629 0002498424647 RAIHAN ADAM'S L PEKERJA MANDIRI Tuberculous peripheral Berobat Jalan
lymphadenopathy
320 24-04-2019 111210020419P000638 0002504753875 SLAMET HARYANTO L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

321 24-04-2019 111210020419P000639 0002618771883 NUR MUROFIKOH P PEKERJA MANDIRI Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
322 24-04-2019 111210020419P000636 0002618772063 LUAY DLIAUL ULUM L PEKERJA MANDIRI Atresia of foramina of Rujuk Lanjut
Magendie and Luschka
323 24-04-2019 111210020419P000630 0002632472796 SAMINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

324 24-04-2019 111210020419P000640 0002756490524 ANI MASRUROH L PEKERJA MANDIRI Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
325 23-04-2019 111210020419P000584 0000519584668 WATAB SANWATAB L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

326 23-04-2019 111210020419P000590 0000519880792 ILHAM WAGIYANTO L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
327 23-04-2019 111210020419P000589 0000519880882 ATI NURYANI P PBI (APBN) Vertigo of central origin Berobat Jalan

328 23-04-2019 111210020419P000617 0000520026726 LILI RUDIANINGSIH P PBI (APBN) Maternal care for known or Rujuk Lanjut
suspected malpresentation
of fetus
329 23-04-2019 111210020419P000586 0000520089671 SAMIYAH P PBI (APBN) Vertigo of central origin Berobat Jalan

330 23-04-2019 111210020419P000952 0000520227382 ANA YASINTA P PBI (APBN) False labour, unspecified Sembuh

331 23-04-2019 111210020419P000598 0000520250725 SUYOTO L PBI (APBN) Fever, unspecified Berobat Jalan

332 23-04-2019 111210020419P000609 0000520275418 ROMYATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

333 23-04-2019 111210020419P000591 0000520275982 SAMIR JASTIN AGUSTINo L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
334 23-04-2019 111210020419P000596 0000520407448 SITI NURJANAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
335 23-04-2019 111210020419P000581 0000520461494 MARYATUN P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
336 23-04-2019 111210020419P000585 0000520465419 RIATMI P PBI (APBN) Vertigo of central origin Berobat Jalan

337 23-04-2019 111210020419P000611 0000520490428 RUDIYONO L PBI (APBN) Headache Berobat Jalan

338 23-04-2019 111210020419P000953 0000520582274 OOM PRIYATI P PBI (APBN) False labour, unspecified Sembuh

339 23-04-2019 111210020419P000583 0000520603187 ANI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

340 23-04-2019 111210020419P000580 0000520610826 WASIRAH P PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
341 23-04-2019 111210020419P000608 0000520621749 UMI SOLIHAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

342 23-04-2019 111210020419P000599 0000520832902 MARYATI P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
343 23-04-2019 111210020419P000607 0000520835084 SUMINI P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
344 23-04-2019 111210020419P000597 0000521201597 TOIMAH P PBI (APBN) Low back pain Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
345 23-04-2019 111210020419P000613 0000521201621 ANISATUN KHORIYAH P PBI (APBN) Headache Berobat Jalan

346 23-04-2019 111210020419P000592 0000521268838 ERNA NOVIANTI P PBI (APBN) Vertigo of central origin Berobat Jalan

347 23-04-2019 111210020419P000616 0000521411657 DIAN RATNASARI P PBI (APBN) Pregnancy-related Rujuk Lanjut
condition, unspecified
348 23-04-2019 111210020419P000595 0000521424663 SAMSIAH P PBI (APBN) Other forms of stomatitis Berobat Jalan

349 23-04-2019 111210020419P000588 0000521909853 SALAMUDIN L PBI (APBN) Headache Berobat Jalan

350 23-04-2019 111210020419P000601 0001015212993 DULAH MUKTI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
351 23-04-2019 111210020419P000600 0001015213893 HIKMAH RIZKIANA RAMADHANI P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
352 23-04-2019 111210020419P000954 0001015215715 WIWIT PUJI ASTUTI P PBI (APBN) False labour, unspecified Sembuh

353 23-04-2019 111210020419P000587 0001015220417 DARUSMAN L PBI (APBN) Myalgia Berobat Jalan

354 23-04-2019 111210020419P001029 0001461704793 SUDASRI DARYATI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
355 23-04-2019 111210020419P000578 0001796416132 herawati P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
356 23-04-2019 111210020419P000606 0002051987049 UMAR SYAHID L PBI (APBD) Urticaria, unspecified Berobat Jalan

357 23-04-2019 111210020419P000612 0002129376431 ANDARA DWI PUSPITA P PBI (APBN) Headache Berobat Jalan

358 23-04-2019 111210020419P000579 0002129377397 SHOLIYATUN P PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
359 23-04-2019 111210020419P000615 0002285074776 ROHAYATUN P PEKERJA MANDIRI Headache Berobat Jalan

360 23-04-2019 111210020419P000603 0002325815572 MEYSHELLA PUTRI PAMBAYUN P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

361 23-04-2019 111210020419P000602 0002334331732 RAFIQIH FERDIANSYAH L PEKERJA MANDIRI Tuberculous peripheral Berobat Jalan
lymphadenopathy
362 23-04-2019 111210020419P000594 0002378922096 EHA JULAEHA P PEKERJA MANDIRI Headache Berobat Jalan

363 23-04-2019 111210020419P000614 0002432172497 UMI KULSUM EP P PEGAWAI SWASTA Headache Berobat Jalan

364 23-04-2019 111210020419P000582 0002432172734 BADERUN L PEGAWAI SWASTA Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
365 23-04-2019 111210020419P000610 0002504755438 ISMIYATI P PBI (APBN) Localized swelling, mass Berobat Jalan
and lump, neck
366 23-04-2019 111210020419P000593 0002593482748 KHAMDAN FAUZI L PBI (APBN) Scabies Berobat Jalan

367 23-04-2019 111210020419P001012 0002624827138 LUSIANA P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
368 23-04-2019 111210020419P000605 0002631400931 ROHMATUN P PBI (APBN) Vertigo of central origin Berobat Jalan

369 23-04-2019 111210020419P000604 0002636903856 SUNANI L PBI (APBN) Gastritis, unspecified Berobat Jalan

370 22-04-2019 111210020419P000574 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
371 22-04-2019 111210020419P001022 0000519798352 MARSIYEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
372 22-04-2019 111210020419P000555 0000519855309 DANI RIZAL PAHLEFI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
373 22-04-2019 111210020419P000560 0000520087116 SAKEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

374 22-04-2019 111210020419P000527 0000520117018 MUNASIR RASAM L PBI (APBN) Vertigo of central origin Berobat Jalan

375 22-04-2019 111210020419P000526 0000520118662 KAMISEM P PBI (APBN) Headache Berobat Jalan

376 22-04-2019 111210020419P000561 0000520223859 WASTIAH P PBI (APBN) Paraesthesia of skin Berobat Jalan

377 22-04-2019 111210020419P000513 0000520234323 LARAH P PBI (APBN) Internal derangement of Rujuk Lanjut
knee, unspecified
378 22-04-2019 111210020419P000552 0000520337889 FIRAS FAUSTIENE L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
379 22-04-2019 111210020419P000551 0000520338767 MUHAMMAD NOORDINSYAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
380 22-04-2019 111210020419P001020 0000520406458 RAHMI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
381 22-04-2019 111210020419P000577 0000520414132 DARIMUN DARMUDI L PBI (APBN) Headache Berobat Jalan

382 22-04-2019 111210020419P000572 0000520462629 PURWATININGSIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

383 22-04-2019 111210020419P000571 0000520474814 PONIRAH SIMBOL P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
384 22-04-2019 111210020419P000517 0000520509543 PARJIMAN L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
385 22-04-2019 111210020419P000512 0000520604897 PONIYAH P PBI (APBN) Heart failure, unspecified Rujuk Lanjut

386 22-04-2019 111210020419P000525 0000520724384 RATINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
387 22-04-2019 111210020419P001021 0000520869363 KASINAH P PEGAWAI PEMERINTAH Contraceptive Berobat Jalan
DENGAN PERJANJIAN management, unspecified
KERJA
388 22-04-2019 111210020419P001028 0000520912091 KURSIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
389 22-04-2019 111210020419P000523 0000520982831 NASIKIN L PBI (APBN) Other forms of stomatitis Berobat Jalan

390 22-04-2019 111210020419P000559 0000521137484 UJI ASWORO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
391 22-04-2019 111210020419P000575 0000521262639 PONIRIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
392 22-04-2019 111210020419P000565 0000521263181 AHMAD MUNADIR L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
393 22-04-2019 111210020419P000567 0000521264338 JEMINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
394 22-04-2019 111210020419P000573 0000521296211 JEMAKUN EKO AHMADI L PBI (APBN) Unspecified renal colic Berobat Jalan

395 22-04-2019 111210020419P000558 0000521297458 PARIYAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
396 22-04-2019 111210020419P000563 0000521374599 DARSILAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
397 22-04-2019 111210020419P000566 0000521396392 WARIS EFENDI L PBI (APBN) Allergic contact dermatitis Berobat Jalan

398 22-04-2019 111210020419P000515 0000521489957 MAYANG SARI P PBI (APBN) Pregnancy-related Rujuk Lanjut
condition, unspecified
399 22-04-2019 111210020419P000520 0000521518094 EKA P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

400 22-04-2019 111210020419P001011 0000521519286 RUSMIATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
401 22-04-2019 111210020419P000548 0001015220507 SITI KOSIYAH P PBI (APBN) Plantar fascial fibromatosis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

402 22-04-2019 111210020419P000524 0001015223253 WASIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
403 22-04-2019 111210020419P000522 0001015223264 SUDARMAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
404 22-04-2019 111210020419P000568 0001522198787 AMELIA DEDE SAFITRI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
405 22-04-2019 111210020419P000564 0001810028935 MUTIRAH P PEKERJA MANDIRI Mechanical complication Rujuk Lanjut
of intrauterine
contraceptive device
406 22-04-2019 111210020419P000521 0001827329073 SITI HOTIJAH P PEGAWAI SWASTA Prolonged pregnancy Rujuk Lanjut

407 22-04-2019 111210020419P000547 0001838728091 SUMARNI P PEKERJA MANDIRI Paraesthesia of skin Berobat Jalan

408 22-04-2019 111210020419P000528 0001838728585 DAFA RIZKY PRATAMA L PEKERJA MANDIRI Acute lymphoblastic Rujuk Lanjut
leukaemia
409 22-04-2019 111210020419P000557 0002038949785 AHMAD SAEBANI SLAMET L PBI (APBD) Dermatophytosis, Berobat Jalan
unspecified
410 22-04-2019 111210020419P000556 0002038983636 MAHFUDIN L PBI (APBD) Ocular pain Berobat Jalan

411 22-04-2019 111210020419P000553 0002038983851 SALAMAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
412 22-04-2019 111210020419P001009 0002070610918 NGAMIROTUL ISLAMIAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
413 22-04-2019 111210020419P001010 0002083631668 FAIKOH TUN NAZAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
414 22-04-2019 111210020419P000514 0002175927265 FITRI ARIYANI P PBI (APBN) Anogenital (venereal) Rujuk Lanjut
warts
415 22-04-2019 111210020419P000569 0002176095363 SAHLI L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
416 22-04-2019 111210020419P000518 0002301214037 SUMARNI P PEKERJA MANDIRI Rheumatoid arthritis, Rujuk Lanjut
unspecified
417 22-04-2019 111210020419P000519 0002316528303 KHAERUDIN L PEKERJA MANDIRI Paranoid schizophrenia Rujuk Lanjut

418 22-04-2019 111210020419P000554 0002442503316 MOHAMAD ASHRAF RAFI L PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
419 22-04-2019 111210020419P000967 0002482287164 SITI TURYANI P PEKERJA MANDIRI Spontaneous abortion, Berobat Jalan
incomplete, complicated
by delayed or excessive
haemorrhage
420 22-04-2019 111210020419P000546 0002504759095 AHMAD RIFKI ADIYANSYAH L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

421 22-04-2019 111210020419P000562 0002611978075 sakiyah P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
422 22-04-2019 111210020419P000549 0002612874879 SUTAMI P PEKERJA MANDIRI Myalgia Berobat Jalan

423 22-04-2019 111210020419P000951 0002624827138 LUSIANA P PEKERJA MANDIRI False labour, unspecified Sembuh

424 22-04-2019 111210020419P000550 0002629111116 WAGIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
425 22-04-2019 111210020419P000570 0002632449969 AMINAH P PBI (APBN) Allergic rhinitis, Berobat Jalan
unspecified
426 22-04-2019 111210020419P000516 0002633643617 NASRUN L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, without
obstruction or gangrene
427 22-04-2019 111210020419P000576 0002754704564 ROBINEM P PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
428 21-04-2019 111210020419P000970 0000520856289 SITA SURYANI P PBI (APBN) Prolonged second stage Berobat Jalan
(of labour)
429 21-04-2019 111210020419P000950 0000521519286 RUSMIATI P PBI (APBN) False labour, unspecified Sembuh

430 20-04-2019 111210020419P000948 0000437768098 AINI HALIMATUS SADIYAH P PBI (APBN) False labour, unspecified Sembuh

431 20-04-2019 111210020419P000531 0000518692061 TUKIRAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
432 20-04-2019 111210020419P000541 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
433 20-04-2019 111210020419P000530 0000519574105 MUFIDAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

434 20-04-2019 111210020419P000533 0000519747074 UMI NURLATIFAH P PBI (APBN) Otalgia Berobat Jalan

435 20-04-2019 111210020419P000540 0000519938335 ARIS ILHAM SAPUTRA L PBI (APBN) Tuberculous peripheral Berobat Jalan
lymphadenopathy
436 20-04-2019 111210020419P000509 0000520041565 NGADIYAH P PBI (APBN) Otalgia Rujuk Lanjut

437 20-04-2019 111210020419P000508 0000520204252 MUHNGALIM L PBI (APBN) Paranoid schizophrenia Rujuk Lanjut

438 20-04-2019 111210020419P000539 0000520337834 SOFIYAH RACHMAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
439 20-04-2019 111210020419P000545 0000520357048 KAMSIYAH P PBI (APBN) Low back pain Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
440 20-04-2019 111210020419P000529 0000520367782 TRI MURYANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
441 20-04-2019 111210020419P000506 0000520461022 SUHARTI P PBI (APBN) Schizoaffective disorder, Rujuk Lanjut
manic type
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

442 20-04-2019 111210020419P000536 0000520499531 SOLIAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
443 20-04-2019 111210020419P000537 0000520507045 MAHPUROH P PBI (APBN) Myalgia Berobat Jalan

444 20-04-2019 111210020419P000511 0000520696664 ROHIMAH P PBI (APBN) Corneal ulcer Rujuk Lanjut

445 20-04-2019 111210020419P000510 0000520816601 INDRIYANI P PBI (APBN) Plantar fascial fibromatosis Rujuk Lanjut

446 20-04-2019 111210020419P000504 0000520990986 TAKEM P PBI (APBN) Localized swelling, mass Rujuk Lanjut
and lump, head
447 20-04-2019 111210020419P000535 0000521137877 EXEL UAIS Q L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
448 20-04-2019 111210020419P000542 0000521262639 PONIRIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
449 20-04-2019 111210020419P000543 0000521494841 FADLI NURUL MU'ALIMIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
450 20-04-2019 111210020419P000949 0002070610918 NGAMIROTUL ISLAMIAH P PEKERJA MANDIRI False labour, unspecified Sembuh

451 20-04-2019 111210020419P000947 0002083631668 FAIKOH TUN NAZAH P PEKERJA MANDIRI False labour, unspecified Sembuh

452 20-04-2019 111210020419P000505 0002234111365 MUHAMMAD FA'IZ ABDILLAH L PEKERJA MANDIRI Respiratory tuberculosis Rujuk Lanjut
unspecified, without
mention of bacteriological
or histological confirmation

453 20-04-2019 111210020419P000507 0002326185876 HAFIZH NUR ROSYID L PEKERJA MANDIRI Septicaemia due to Rujuk Lanjut
Streptococcus
pneumoniae
454 20-04-2019 111210020419P000538 0002326588975 ROMELAH P PEKERJA MANDIRI Senile cataract, Berobat Jalan
unspecified
455 20-04-2019 111210020419P000534 0002504757903 NIA ALFI RAMADHANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
456 20-04-2019 111210020419P000532 0002633540455 SURIPAH P PBI (APBN) Myalgia Berobat Jalan

457 20-04-2019 111210020419P001008 0002634778596 NARTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
458 20-04-2019 111210020419P000544 0002754704564 ROBINEM P PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
459 19-04-2019 111210020419P000946 0002634778596 NARTI P PBI (APBN) False labour, unspecified Sembuh

460 19-04-2019 111210020419P001007 0002738236138 EKA ARI YANTI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
461 18-04-2019 111210020419P000477 0000519322059 SULIYAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

462 18-04-2019 111210020419P000483 0000519713739 SULARNO L PBI (APBN) Unspecified haemorrhoids Berobat Jalan
without complication

463 18-04-2019 111210020419P000470 0000519877721 REZA SUTRISNO L PBI (APBN) Fever, unspecified Berobat Jalan

464 18-04-2019 111210020419P000475 0000520097117 KAMEN P PBI (APBN) Low back pain Berobat Jalan

465 18-04-2019 111210020419P000454 0000520097433 DARSUN L PBI (APBN) Heart failure Rujuk Lanjut

466 18-04-2019 111210020419P001025 0000520106152 WARYATI P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
467 18-04-2019 111210020419P000490 0000520119347 MARTINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
468 18-04-2019 111210020419P000489 0000520314568 SAMINEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
469 18-04-2019 111210020419P000496 0000520323748 JAMIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
470 18-04-2019 111210020419P000493 0000520344213 TARPUNAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
471 18-04-2019 111210020419P000469 0000520352897 MUHYIDIN ADMAN L PBI (APBN) Allergic contact dermatitis Berobat Jalan

472 18-04-2019 111210020419P000465 0000520442897 EKA KUNFIKI MUFIDAH P PBI (APBN) Other forms of stomatitis Berobat Jalan

473 18-04-2019 111210020419P000478 0000520567841 ULFATUN KHASANAH P PBI (APBN) Fever, unspecified Berobat Jalan

474 18-04-2019 111210020419P001005 0000520619905 MUSLIAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
475 18-04-2019 111210020419P001004 0000520790916 SRI NURSANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
476 18-04-2019 111210020419P000494 0000520823643 SATINEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

477 18-04-2019 111210020419P000487 0000520832902 MARYATI P PBI (APBN) Headache Berobat Jalan

478 18-04-2019 111210020419P000486 0000520841957 SITI KOMARIYAH P PBI (APBN) Headache Berobat Jalan

479 18-04-2019 111210020419P000484 0000520973908 ROHIMAH P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
480 18-04-2019 111210020419P000491 0000521050487 SUTRIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
481 18-04-2019 111210020419P000482 0000521909853 SALAMUDIN L PBI (APBN) Vertigo of central origin Berobat Jalan

482 18-04-2019 111210020419P000468 0001015222702 KATIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

483 18-04-2019 111210020419P000473 0001081390961 SUGIANTI P PENERIMA PENSIUN Urticaria, unspecified Berobat Jalan
PNS
484 18-04-2019 111210020419P000453 0001294354293 DALMIYAH P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
485 18-04-2019 111210020419P000472 0001547073753 ROBBY HABLI AL - FAUZA L PEGAWAI SWASTA Predominantly allergic Berobat Jalan
asthma
486 18-04-2019 111210020419P000480 0001842170894 WAGIYO L PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
487 18-04-2019 111210020419P000474 0001842171197 HOMSIAH P PEKERJA MANDIRI Allergic contact dermatitis Berobat Jalan

488 18-04-2019 111210020419P000455 0002090955418 AHMAD TOFIK HIDAYAT L PBI (APBD) Other senile cataract Rujuk Lanjut

489 18-04-2019 111210020419P000466 0002102155841 Sutini P PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
SWASTA [common cold] Mellitus
490 18-04-2019 111210020419P000464 0002209189836 DEWI PUTRI PURWATI P PBI (APBD) Scabies Berobat Jalan

491 18-04-2019 111210020419P000495 0002265248812 SIJEM P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
492 18-04-2019 111210020419P000476 0002271330821 TRIYONO L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
493 18-04-2019 111210020419P000492 0002316103288 UMI SALAMAH P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

494 18-04-2019 111210020419P000488 0002316105292 AHMAD WILDAN AL KAYYIS L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
495 18-04-2019 111210020419P000471 0002479752527 MUSINEM P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
496 18-04-2019 111210020419P001006 0002504762278 NGATIKOH P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
497 18-04-2019 111210020419P001003 0002634743204 ITA SUTARI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
498 18-04-2019 111210020419P000479 0002637965891 WASIKUN L PBI (APBN) Vertigo of central origin Berobat Jalan

499 18-04-2019 111210020419P000481 0002637965902 SRI PAMUJI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
500 18-04-2019 111210020419P000467 0002640119207 RUTINGAH P PBI (APBN) Myalgia Berobat Jalan

501 18-04-2019 111210020419P000945 0002738236138 EKA ARI YANTI P PEKERJA MANDIRI False labour, unspecified Sembuh

502 18-04-2019 111210020419P000485 0002754704564 ROBINEM P PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
503 17-04-2019 111210020419P000941 0000520619905 MUSLIAH P PBI (APBN) False labour, unspecified Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

504 17-04-2019 111210020419P000942 0000520790916 SRI NURSANTI P PBI (APBN) False labour, unspecified Sembuh

505 17-04-2019 111210020419P000943 0002634743204 ITA SUTARI P PBI (APBN) False labour, unspecified Sembuh

506 16-04-2019 111210020419P000459 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
507 16-04-2019 111210020419P000448 0000519863387 SUGIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
508 16-04-2019 111210020419P000440 0000519901255 SAMIN L PBI (APBN) Low back pain Berobat Jalan

509 16-04-2019 111210020419P000449 0000520080502 SUTARJO SIMIN L PBI (APBN) Fever, unspecified Berobat Jalan

510 16-04-2019 111210020419P000461 0000520288075 RISKI SUMEDI L PBI (APBN) Pleural effusion, not Berobat Jalan
elsewhere classified
511 16-04-2019 111210020419P000435 0000520455036 MUDRIKAH SURURIYAH P PBI (APBN) Myalgia Berobat Jalan

512 16-04-2019 111210020419P000452 0000520488369 PARINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
513 16-04-2019 111210020419P000437 0000520621749 UMI SOLIHAH P PBI (APBN) Otitis media, unspecified Berobat Jalan

514 16-04-2019 111210020419P000434 0000520774389 MUSTOFAH L PBI (APBN) Gout, unspecified Berobat Jalan

515 16-04-2019 111210020419P000451 0000520777361 BADRIYATUN P PBI (APBN) Myalgia Berobat Jalan

516 16-04-2019 111210020419P000445 0000520789285 MUJIONO L PBI (APBN) Zoster [herpes zoster] Berobat Jalan

517 16-04-2019 111210020419P000433 0000520820278 SUTARNO L PBI (APBN) Allergic contact dermatitis Berobat Jalan

518 16-04-2019 111210020419P000409 0000520826152 SARWI P PBI (APBN) Thyrotoxicosis Rujuk Lanjut Hipertensi
[hyperthyroidism]
519 16-04-2019 111210020419P001002 0000521009381 SOLIAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
520 16-04-2019 111210020419P000450 0000521137484 UJI ASWORO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
521 16-04-2019 111210020419P000457 0000521262639 PONIRIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
522 16-04-2019 111210020419P001001 0000521376142 KUSNAENI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
523 16-04-2019 111210020419P000446 0000521414741 KODIM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
524 16-04-2019 111210020419P000442 0000521415224 UMISALAMAH MASTUR P PBI (APBN) Malaise and fatigue Berobat Jalan

525 16-04-2019 111210020419P000436 0001287140084 MANISEM P PEKERJA MANDIRI Predominantly allergic Berobat Jalan
asthma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

526 16-04-2019 111210020419P000426 0001442311007 JEMANIS P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
bladder, unspecified
527 16-04-2019 111210020419P000441 0001913892827 SYIFA FATKHATUL KAROMAH L PBI (APBN) Fever, unspecified Berobat Jalan

528 16-04-2019 111210020419P000392 0002009261057 MAD SUPARDI L PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
529 16-04-2019 111210020419P000394 0002009271644 DHINI DAMAYANTI P PBI (APBN) Pain in joint Rujuk Lanjut

530 16-04-2019 111210020419P000365 0002039419629 TABINGIN L PBI (APBD) Predominantly allergic Berobat Jalan
asthma
531 16-04-2019 111210020419P000447 0002051991865 NOVA ASIH ATI P PBI (APBD) Typhoid fever Berobat Jalan

532 16-04-2019 111210020419P000444 0002278305843 ratiyah P PEKERJA MANDIRI Headache Berobat Jalan

533 16-04-2019 111210020419P000463 0002293883223 PARYATI P PEKERJA MANDIRI Headache Berobat Jalan

534 16-04-2019 111210020419P000999 0002422340919 AMIN LAILATUL HIJRIYAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
535 16-04-2019 111210020419P000393 0002437473802 WARSO L PEKERJA MANDIRI Surgical follow-up care, Rujuk Lanjut
unspecified
536 16-04-2019 111210020419P000366 0002448296008 KAMINEM P PEKERJA MANDIRI Senile cataract, Rujuk Lanjut
unspecified
537 16-04-2019 111210020419P000456 0002455745927 MASTURI L PEKERJA MANDIRI Pemphigus vulgaris Berobat Jalan

538 16-04-2019 111210020419P000966 0002504754819 MASKURI L PBI (APBN) Mania with psychotic Berobat Jalan
symptoms
539 16-04-2019 111210020419P000438 0002610330085 ATMA PAWIRA CATAR L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

540 16-04-2019 111210020419P000439 0002630379172 BENGNIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
541 16-04-2019 111210020419P000443 0002630392503 KUSWANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

542 16-04-2019 111210020419P000460 0002631433961 SALIYEM P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
543 16-04-2019 111210020419P000462 0002636930463 SUDARTO ROMELAN L PBI (APBN) Myalgia Berobat Jalan

544 16-04-2019 111210020419P000458 0002754704564 ROBINEM P PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
545 15-04-2019 111210020419P000402 0000519143962 LASINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
546 15-04-2019 111210020419P000376 0000519178353 TITING YENI KURNIA SARI P PBI (APBN) Allergic contact dermatitis Berobat Jalan

547 15-04-2019 111210020419P000407 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

548 15-04-2019 111210020419P000367 0000519196634 DASIRAH P PBI (APBN) Myalgia Berobat Jalan

549 15-04-2019 111210020419P000377 0000519548747 MARSINEM P PBI (APBN) Headache Berobat Jalan

550 15-04-2019 111210020419P000390 0000519552887 ZHUL FATUN KHAFIDHOH L PBI (APBN) Scabies Berobat Jalan

551 15-04-2019 111210020419P000500 0000519574577 SUSILAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
552 15-04-2019 111210020419P000383 0000519716305 SUMARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
553 15-04-2019 111210020419P000400 0000519742506 WARSO GIMAN L PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
554 15-04-2019 111210020419P000378 0000519784143 DWIKA PUTRA ROMADONI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
555 15-04-2019 111210020419P000397 0000519785886 SANKARDI SUKIMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

556 15-04-2019 111210020419P000385 0000519831369 YUNI PRIYANTI P PBI (APBN) Otitis media, unspecified Berobat Jalan

557 15-04-2019 111210020419P000386 0000519963524 RUSMADI RUSMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

558 15-04-2019 111210020419P000380 0000520054942 ISTAHNI MUHSARIFATUN P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
559 15-04-2019 111210020419P000403 0000520262831 TUKIMAN L PBI (APBN) Myalgia Berobat Jalan

560 15-04-2019 111210020419P000405 0000520273539 RISWAN L PBI (APBN) Vertigo of central origin Berobat Jalan

561 15-04-2019 111210020419P000358 0000520385477 REBEN P PBI (APBN) Presence of intraocular Rujuk Lanjut
lens
562 15-04-2019 111210020419P000370 0000520439049 TIKA FIANAH P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
563 15-04-2019 111210020419P000387 0000520554159 SITI AMINAH P PBI (APBN) Myalgia Berobat Jalan

564 15-04-2019 111210020419P000501 0000520563205 WATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
565 15-04-2019 111210020419P000375 0000520584096 DIMAS SETYO ANGGORO L PBI (APBN) Dermatitis, unspecified Berobat Jalan

566 15-04-2019 111210020419P000498 0000520724384 RATINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
567 15-04-2019 111210020419P000356 0000520747187 MAD TUSIRAN L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
568 15-04-2019 111210020419P000497 0000520755311 MURSIKEM P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

569 15-04-2019 111210020419P000391 0000520759653 SUKARTI P PBI (APBN) Headache Berobat Jalan

570 15-04-2019 111210020419P000503 0000520835602 DASIWEN P PBI (APBN) Gastritis, unspecified Berobat Jalan

571 15-04-2019 111210020419P000371 0000520929549 WARSAH P PBI (APBN) Myalgia Berobat Jalan

572 15-04-2019 111210020419P000382 0000521091742 AHMAD MUKSIN L PBI (APBN) Keratitis, unspecified Berobat Jalan

573 15-04-2019 111210020419P000395 0000521314323 JUMINI P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
574 15-04-2019 111210020419P000369 0000521396436 SAMIYATUN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

575 15-04-2019 111210020419P000404 0001015221532 SUNOTO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

576 15-04-2019 111210020419P000396 0001422677204 MUDAKIR L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
577 15-04-2019 111210020419P000381 0001483228642 KHUSNUL KHOTIMAH P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
578 15-04-2019 111210020419P000373 0001616072938 NUNUNG PURWATININGRUM P PBI (APBD) Other forms of stomatitis Berobat Jalan

579 15-04-2019 111210020419P000372 0001616072951 ASNA A'MALIA P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
580 15-04-2019 111210020419P000374 0001862426597 DEWI P PEKERJA MANDIRI Low back pain Berobat Jalan

581 15-04-2019 111210020419P000998 0002039110108 supinah P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
582 15-04-2019 111210020419P001000 0002069349851 SITI ANIROH P PEKERJA MANDIRI Insertion of (intrauterine) Berobat Jalan
contraceptive device
583 15-04-2019 111210020419P000406 0002129893413 RAIH MELINA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
584 15-04-2019 111210020419P000379 0002175770979 RAPEN P PBI (APBN) Tinea pedis Berobat Jalan

585 15-04-2019 111210020419P000357 0002234487475 SARTINI P PEKERJA MANDIRI Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
586 15-04-2019 111210020419P000499 0002265248812 SIJEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
587 15-04-2019 111210020419P000368 0002271330821 TRIYONO L PEKERJA MANDIRI Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

588 15-04-2019 111210020419P000359 0002272269363 SRI MUJIASTUTI P PEKERJA MANDIRI Attention to surgical Rujuk Lanjut
dressings and sutures
589 15-04-2019 111210020419P000389 0002301214037 SUMARNI P PEKERJA MANDIRI Myalgia Berobat Jalan

590 15-04-2019 111210020419P000361 0002420491612 SUSANTI P PEKERJA MANDIRI Prolonged pregnancy Rujuk Lanjut

591 15-04-2019 111210020419P000940 0002422340919 AMIN LAILATUL HIJRIYAH P PEKERJA MANDIRI False labour, unspecified Sembuh

592 15-04-2019 111210020419P000363 0002470478771 QORRI AYUNA DEWI P PEKERJA MANDIRI Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
593 15-04-2019 111210020419P000408 0002479352354 MULYADI L PEKERJA MANDIRI Low back pain Berobat Jalan

594 15-04-2019 111210020419P000401 0002479352782 LASIKEM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
595 15-04-2019 111210020419P000399 0002485174015 SAMIRAH P PEKERJA MANDIRI Myalgia Berobat Jalan

596 15-04-2019 111210020419P000388 0002485174454 RADYSTA SETIAWAN L PEKERJA MANDIRI Urticaria, unspecified Berobat Jalan

597 15-04-2019 111210020419P000360 0002486624343 SITI KOMSINAH P PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
598 15-04-2019 111210020419P000364 0002623920581 MUJIRAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
599 15-04-2019 111210020419P000384 0002630301129 JUARIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
600 15-04-2019 111210020419P000502 0002636928729 RASINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
601 15-04-2019 111210020419P000398 0002637961637 AHMAD SUPARJO L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
602 15-04-2019 111210020419P000362 0002639081553 ABDUL LATIF L PBI (APBN) Fracture of upper end of Rujuk Lanjut
tibia
603 14-04-2019 111210020419P000939 0002285074776 ROHAYATUN P PEKERJA MANDIRI False labour, unspecified Sembuh

604 13-04-2019 111210020419P000355 0000198340108 SRI WINDIASTUTI P PNS DAERAH Abnormal haematological Rujuk Lanjut
finding on antenatal
screening of mother
605 13-04-2019 111210020419P000417 0000519506908 HASANAH P PBI (APBN) Headache Berobat Jalan

606 13-04-2019 111210020419P000432 0000519629747 MUSTOFA L PBI (APBN) Residual schizophrenia Berobat Jalan

607 13-04-2019 111210020419P001027 0000519918546 NASIYAH DWI MARYANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

608 13-04-2019 111210020419P000427 0000520021214 TUSINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
609 13-04-2019 111210020419P000416 0000520148002 SUWARTI P PBI (APBN) Myalgia Berobat Jalan

610 13-04-2019 111210020419P000351 0000520280932 MADSUPANDI TUGIYO L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
611 13-04-2019 111210020419P000412 0000520708342 WARISMAN L PBI (APBN) Allergic contact dermatitis Berobat Jalan

612 13-04-2019 111210020419P000425 0000520709095 YANINDA P PBI (APBN) Allergic contact dermatitis Berobat Jalan

613 13-04-2019 111210020419P000415 0000520711345 ALI SODIK L PBI (APBN) Paraesthesia of skin Berobat Jalan

614 13-04-2019 111210020419P000413 0000520812685 MISWAN L PBI (APBN) Myalgia Berobat Jalan

615 13-04-2019 111210020419P000353 0000520867653 BASIR P PBI (APBN) Low back pain Rujuk Lanjut

616 13-04-2019 111210020419P000410 0000520956573 NUR ASIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

617 13-04-2019 111210020419P000414 0000521040712 SUYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
618 13-04-2019 111210020419P000418 0001483228675 SEPTIA RAHMAWATI P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
619 13-04-2019 111210020419P000419 0001700515045 AMINAH P PBI (APBD) Urticaria, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
620 13-04-2019 111210020419P000428 0002009274737 BADRUN L PBI (APBN) Headache Berobat Jalan

621 13-04-2019 111210020419P000429 0002038970417 BAROKATUS SANIYATUL P PBI (APBD) Acute nasopharyngitis Berobat Jalan
KIROM [common cold]
622 13-04-2019 111210020419P001026 0002120711286 RASITI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
623 13-04-2019 111210020419P000423 0002125678599 NAUFAL RIJAL FAIQ L PBI (APBN) Nausea and vomiting Berobat Jalan

624 13-04-2019 111210020419P000350 0002175769484 YAYAN P PBI (APBN) Non-insulin-dependent Rujuk Lanjut Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
625 13-04-2019 111210020419P000411 0002175856378 TOYIBAH P PBI (APBN) Tinea cruris Berobat Jalan

626 13-04-2019 111210020419P000352 0002296989101 SUDARTI P PEKERJA MANDIRI Chest pain, unspecified Rujuk Lanjut Diabetes Mellitus Diabetes
Mellitus
Hipertensi
627 13-04-2019 111210020419P000424 0002298999352 PARIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes
hypertension Mellitus
628 13-04-2019 111210020419P000354 0002433807786 SAWIKEM P PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

629 13-04-2019 111210020419P000348 0002453744294 WATINI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
630 13-04-2019 111210020419P000349 0002479752527 MUSINEM P PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
631 13-04-2019 111210020419P000347 0002487881733 MISEM P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
632 13-04-2019 111210020419P000421 0002629111858 MARWIYAH P PBI (APBN) Fever, unspecified Berobat Jalan

633 13-04-2019 111210020419P000420 0002629120601 SITI MUSLIHATUN HOTIMAH P PBI (APBN) Fever, unspecified Berobat Jalan

634 13-04-2019 111210020419P000431 0002635705912 ALFI NUR FADILAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
635 13-04-2019 111210020419P000422 0002640230054 WARSIH P PBI (APBN) Vertigo of central origin Berobat Jalan

636 13-04-2019 111210020419P000430 0002640231426 ALFIYAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
637 12-04-2019 111210020419P000341 0000519140114 RASIKIN L PBI (APBN) Fever, unspecified Berobat Jalan

638 12-04-2019 111210020419P000346 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
639 12-04-2019 111210020419P000340 0000519284845 TASIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
640 12-04-2019 111210020419P000307 0000519878316 TOLIB L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
641 12-04-2019 111210020419P000308 0000519962589 KUSMIYATI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
642 12-04-2019 111210020419P000336 0000520041565 NGADIYAH P PBI (APBN) Otitis media, unspecified Berobat Jalan

643 12-04-2019 111210020419P000326 0000520248295 WARNI P PBI (APBN) Gastritis, unspecified Berobat Jalan

644 12-04-2019 111210020419P000304 0000520471438 TURMIASIH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
645 12-04-2019 111210020419P000332 0000520539614 SITI MUNIROH P PBI (APBN) Dental caries Berobat Jalan

646 12-04-2019 111210020419P000997 0000520585817 KHOTIMAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
647 12-04-2019 111210020419P000331 0000520610826 WASIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

648 12-04-2019 111210020419P000329 0000520614189 MUHAMMAD ERLANGGA L PBI (APBN) Fever, unspecified Berobat Jalan
SETIAWAN
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

649 12-04-2019 111210020419P000333 0000520776483 ASFA KHOFIFAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
650 12-04-2019 111210020419P000345 0000521105095 WATIMAH P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
651 12-04-2019 111210020419P000344 0000521264812 NA'IMATUN CHOLIDAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
652 12-04-2019 111210020419P000325 0001015212971 DARIKUN L PBI (APBN) Unspecified haemorrhoids Berobat Jalan
without complication

653 12-04-2019 111210020419P000343 0001015212993 DULAH MUKTI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
654 12-04-2019 111210020419P000327 0001015220766 SUGINI MINTO HARTI P PBI (APBN) Other metabolic disorders Rujuk Lanjut

655 12-04-2019 111210020419P000337 0001015222926 SUKIYEM P PBI (APBN) Paraesthesia of skin Berobat Jalan

656 12-04-2019 111210020419P000318 0001015223051 SITI RODHATUL JANAH P PBI (APBN) Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and
histologically confirmed
657 12-04-2019 111210020419P000339 0001081390961 SUGIANTI P PENERIMA PENSIUN Urticaria, unspecified Berobat Jalan
PNS
658 12-04-2019 111210020419P000335 0001202879373 AFIP SOLIHATUL AKILA L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

659 12-04-2019 111210020419P000313 0001615991398 AHMAD ZAKI L PBI (APBD) Epilepsy Rujuk Lanjut

660 12-04-2019 111210020419P000315 0001615991433 FATIMATUL ALIYAH P PBI (APBD) Epilepsy Rujuk Lanjut

661 12-04-2019 111210020419P000338 0001873701235 DASIYAH P PEKERJA MANDIRI Gonarthrosis [arthrosis of Berobat Jalan
knee]
662 12-04-2019 111210020419P000342 0002038972083 NUR HIDAYAH P PBI (APBD) Myalgia Berobat Jalan

663 12-04-2019 111210020419P000328 0002087116132 SUTARYO L PEKERJA MANDIRI Chronic renal failure, Berobat Jalan Diabetes Mellitus Diabetes
unspecified Mellitus
664 12-04-2019 111210020419P000334 0002176014857 SRI DARNINGSIH P PBI (APBN) Vertigo of central origin Berobat Jalan

665 12-04-2019 111210020419P000303 0002254806099 SARNI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
666 12-04-2019 111210020419P000330 0002272269363 SRI MUJIASTUTI P PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
667 12-04-2019 111210020419P000324 0002436979252 ARSIH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
668 12-04-2019 111210020419P000996 0002616172806 ROBIATUN MELDA YULIANA P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

669 12-04-2019 111210020419P000995 0002623925586 NANI SURYANI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
670 11-04-2019 111210020419P000310 0000080895903 SARMIN L PNS DAERAH Gastritis, unspecified Berobat Jalan

671 11-04-2019 111210020419P000283 0000081286391 SUGIJARTO L PENERIMA PENSIUN Essential (primary) Berobat Jalan Hipertensi Hipertensi
PNS hypertension
672 11-04-2019 111210020419P000309 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
673 11-04-2019 111210020419P000323 0000519592871 ROLIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
674 11-04-2019 111210020419P000319 0000520117018 MUNASIR RASAM L PBI (APBN) Headache Berobat Jalan

675 11-04-2019 111210020419P000305 0000520172897 KAMDI L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
676 11-04-2019 111210020419P000322 0000520205163 ROBIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
677 11-04-2019 111210020419P000994 0000520360031 RASIMAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
678 11-04-2019 111210020419P000285 0000520373889 SARMAN L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,
unspecified
679 11-04-2019 111210020419P000291 0000520387975 NURHAMIDAH P PBI (APBN) Myalgia Berobat Jalan

680 11-04-2019 111210020419P000321 0000520399078 KUSMI HARTI P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
681 11-04-2019 111210020419P000306 0000520414132 DARIMUN DARMUDI L PBI (APBN) Headache Berobat Jalan

682 11-04-2019 111210020419P000290 0000520576288 PASEM SASTRODIYOSO P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
683 11-04-2019 111210020419P000993 0000520578696 TRI WAHYUNI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
684 11-04-2019 111210020419P000276 0000520643125 UTUH SUMAENI P PBI (APBN) Threatened abortion Rujuk Lanjut

685 11-04-2019 111210020419P000287 0000520907534 AFRI INDAH LESTARI P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
686 11-04-2019 111210020419P000292 0000520943679 HASIM L PBI (APBN) Low back pain Berobat Jalan

687 11-04-2019 111210020419P000992 0000521875585 FITRI ANINGSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

688 11-04-2019 111210020419P000317 0000521910268 KASIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
689 11-04-2019 111210020419P000297 0000541843953 ELI SETIYOWATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

690 11-04-2019 111210020419P000991 0001015213364 LASIKEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
691 11-04-2019 111210020419P000294 0001336582383 ENI NURYANI P PEKERJA MANDIRI Myalgia Berobat Jalan

692 11-04-2019 111210020419P000289 0001483228675 SEPTIA RAHMAWATI P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
693 11-04-2019 111210020419P000277 0001719072358 MUHAMAD NGABDUH L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

694 11-04-2019 111210020419P000311 0001855064158 SEPTIA INGKA ANASTHASIA P PNS DAERAH Headache Berobat Jalan
PUTRI
695 11-04-2019 111210020419P000301 0002038976324 SUPRIYATIN RAHAYU P PBI (APBD) Allergic contact dermatitis Berobat Jalan

696 11-04-2019 111210020419P000299 0002090362915 UDIYONO L PBI (APBD) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
697 11-04-2019 111210020419P000298 0002090362959 LASIYEM P PBI (APBD) Vertigo of central origin Berobat Jalan

698 11-04-2019 111210020419P000278 0002126536997 DINDA AULIA NATASYA P PBI (APBN) Thalassaemia, unspecified Rujuk Lanjut

699 11-04-2019 111210020419P000312 0002210005607 KUSMIATI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
700 11-04-2019 111210020419P000281 0002241026796 NURUL HUDA L PEKERJA MANDIRI Low back pain Berobat Jalan

701 11-04-2019 111210020419P000293 0002285408338 SUMIYATI P PEKERJA MANDIRI Low back pain Berobat Jalan

702 11-04-2019 111210020419P000284 0002285620209 HJ DIANA MARYANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
703 11-04-2019 111210020419P000280 0002291930414 ASYRAF UBAIDILLAH L PEKERJA MANDIRI Attention to surgical Rujuk Lanjut
dressings and sutures
704 11-04-2019 111210020419P000295 0002325944709 ADMINAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
705 11-04-2019 111210020419P000316 0002450239367 VENI NURYATI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
706 11-04-2019 111210020419P000300 0002453853971 MACHFUDZ L PEKERJA MANDIRI Calculus in urethra Berobat Jalan

707 11-04-2019 111210020419P000296 0002458553949 SADIN SUNARTO L PEKERJA MANDIRI Senile cataract, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

708 11-04-2019 111210020419P000320 0002501836931 RUDIANTO L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

709 11-04-2019 111210020419P000288 0002600130767 YUNI RAHMAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
710 11-04-2019 111210020419P000938 0002616172806 ROBIATUN MELDA YULIANA P PEKERJA MANDIRI False labour, unspecified Sembuh

711 11-04-2019 111210020419P000937 0002623925586 NANI SURYANI P PEKERJA MANDIRI False labour, unspecified Sembuh

712 11-04-2019 111210020419P000286 0002639092667 ADMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
713 11-04-2019 111210020419P000314 0002646400061 SUMIRAH HARYANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

714 11-04-2019 111210020419P000302 0002740599549 MIHARJO MIDIN L PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
confirmed by unspecified
means
715 11-04-2019 111210020419P000282 0002755425227 TURSINI P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

716 11-04-2019 111210020419P000279 0002755425519 SUPRIADI L PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
nasopharynx, unspecified
717 10-04-2019 111210020419P000257 0000518658603 SUKAESIH P PBI (APBN) Corneal ulcer Rujuk Lanjut

718 10-04-2019 111210020419P000271 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
719 10-04-2019 111210020419P000254 0000519665398 TURYONO TUSIYAM L PBI (APBN) Impacted teeth Rujuk Lanjut

720 10-04-2019 111210020419P000264 0000520254123 MISKIYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

721 10-04-2019 111210020419P000989 0000520256542 WAHYUNI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
722 10-04-2019 111210020419P000270 0000520394782 SUSI SUSANTI P PBI (APBN) Headache Berobat Jalan

723 10-04-2019 111210020419P000255 0000520412444 MURJIYEM P PBI (APBN) Pregnancy-related Rujuk Lanjut
condition, unspecified
724 10-04-2019 111210020419P000246 0000520576288 PASEM SASTRODIYOSO P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
725 10-04-2019 111210020419P000936 0000520578696 TRI WAHYUNI P PBI (APBN) False labour, unspecified Sembuh

726 10-04-2019 111210020419P000262 0000520604943 RINI EKAWATI P PBI (APBN) Vertigo of central origin Berobat Jalan

727 10-04-2019 111210020419P000260 0000520757019 TUGINEM P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
728 10-04-2019 111210020419P000244 0000520760924 MOHAMMAD HASANUDIN L PBI (APBN) Pruritus Berobat Jalan

729 10-04-2019 111210020419P000245 0000520775818 MASRUROH P PBI (APBN) Paraesthesia of skin Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

730 10-04-2019 111210020419P000268 0000520793908 SUMIATI P PBI (APBN) Headache Berobat Jalan

731 10-04-2019 111210020419P000269 0000520803358 BASTIAN TRIAS SINATRIA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
732 10-04-2019 111210020419P000242 0000520848955 SURATMAN L PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
733 10-04-2019 111210020419P000243 0000520982414 SUDIRO L PBI (APBN) Vertigo of central origin Rujuk Lanjut

734 10-04-2019 111210020419P000265 0000521075496 WARSIAH P PBI (APBN) Myalgia Berobat Jalan

735 10-04-2019 111210020419P000259 0000521254269 ROSIDAH P PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
736 10-04-2019 111210020419P000247 0000521379742 TUGIYAH P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
737 10-04-2019 111210020419P000944 0000521875585 FITRI ANINGSIH P PBI (APBN) False labour, unspecified Sembuh

738 10-04-2019 111210020419P000263 0000521896803 MUNGIDAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
739 10-04-2019 111210020419P000250 0002051991808 LASINEM P PBI (APBD) Myalgia Berobat Jalan

740 10-04-2019 111210020419P000249 0002091344624 ATHAN RIZKY YUDISTIRA L PBI (APBD) Conjunctivitis, unspecified Berobat Jalan

741 10-04-2019 111210020419P000267 0002176093642 KAYLA KAMALIA P PBI (APBN) Scabies Berobat Jalan

742 10-04-2019 111210020419P000266 0002176093653 MUKHTAR ALI SYABANA L PBI (APBN) Scabies Berobat Jalan

743 10-04-2019 111210020419P000988 0002188268436 CICI SULASMI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
744 10-04-2019 111210020419P000261 0002209139774 TUMINAH P PEKERJA MANDIRI Headache Berobat Jalan

745 10-04-2019 111210020419P000274 0002426257359 MASIKUN AHMAD WIKARTA L PEGAWAI PEMERINTAH Myalgia Berobat Jalan
DENGAN PERJANJIAN
KERJA
746 10-04-2019 111210020419P000273 0002427417549 RASMINI P PEGAWAI PEMERINTAH Headache Berobat Jalan
DENGAN PERJANJIAN
KERJA
747 10-04-2019 111210020419P000272 0002427417663 AHMAD ZUL KARNAEN L PEGAWAI PEMERINTAH Headache Berobat Jalan
DENGAN PERJANJIAN
KERJA
748 10-04-2019 111210020419P000256 0002455745927 MASTURI L PEKERJA MANDIRI Pemphigus vulgaris Rujuk Lanjut

749 10-04-2019 111210020419P000252 0002503554401 ROHIMI P PEKERJA MANDIRI Myalgia Berobat Jalan

750 10-04-2019 111210020419P000251 0002503555277 ALLESYA ANKIT ZHALICHA P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
TAMANG [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

751 10-04-2019 111210020419P000275 0002504760636 MUBARI L PBI (APBN) Headache Berobat Jalan

752 10-04-2019 111210020419P000248 0002607363112 ZAKY DENIS ARFIANSYAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
753 10-04-2019 111210020419P000258 0002635686696 MA'MUROH P PBI (APBN) Sequelae of respiratory Rujuk Lanjut
and unspecified
tuberculosis
754 10-04-2019 111210020419P000990 0002639091936 TIKA WATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
755 10-04-2019 111210020419P000253 0002646399622 ASTUTI FARDIANINGSIH P PBI (APBN) Phobic anxiety disorder, Berobat Jalan
unspecified
756 09-04-2019 111210020419P000238 0000080725094 RASIWAN L PNS DAERAH Headache Berobat Jalan

757 09-04-2019 111210020419P000234 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
758 09-04-2019 111210020419P000236 0000519521725 TUMINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
diabetes mellitus without Mellitus
complications
759 09-04-2019 111210020419P000205 0000519582508 IHSAN MAULANA L PBI (APBN) Epilepsy Rujuk Lanjut

760 09-04-2019 111210020419P000219 0000519784648 TITAN CANDRA RAHAYU L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
761 09-04-2019 111210020419P000220 0000519855309 DANI RIZAL PAHLEFI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
762 09-04-2019 111210020419P000210 0000519863387 SUGIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
763 09-04-2019 111210020419P000215 0000520081929 VITRON DWI SAPUTRA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
764 09-04-2019 111210020419P000225 0000520152849 SUJIATI P PBI (APBN) Otitis media, unspecified Berobat Jalan

765 09-04-2019 111210020419P000212 0000520193428 RASIKEM P PBI (APBN) Allergic contact dermatitis Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
766 09-04-2019 111210020419P000934 0000520256542 WAHYUNI P PBI (APBN) False labour, unspecified Sembuh

767 09-04-2019 111210020419P000217 0000520349275 KARTEM P PBI (APBN) Vertigo of central origin Berobat Jalan

768 09-04-2019 111210020419P000226 0000520465296 SUGINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
769 09-04-2019 111210020419P000207 0000520750822 MU'AWANAH P PBI (APBN) Otalgia Rujuk Lanjut

770 09-04-2019 111210020419P000233 0000520921866 SATIMAH P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

771 09-04-2019 111210020419P000211 0000521040712 SUYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

772 09-04-2019 111210020419P000230 0000521108627 SITI MAEMUNAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan

773 09-04-2019 111210020419P000204 0000521133939 SADIYAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

774 09-04-2019 111210020419P000237 0000521257713 MARTONO MARWAT L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
775 09-04-2019 111210020419P000228 0000521292969 PARJAN L PBI (APBN) Other disorders of Berobat Jalan
conjunctiva
776 09-04-2019 111210020419P000229 0000521909853 SALAMUDIN L PBI (APBN) Headache Berobat Jalan

777 09-04-2019 111210020419P000224 0001015212971 DARIKUN L PBI (APBN) Unspecified haemorrhoids Berobat Jalan
without complication

778 09-04-2019 111210020419P000232 0001015216817 MARYATI P PBI (APBN) Chronic renal failure, Berobat Jalan
unspecified
779 09-04-2019 111210020419P000206 0001015221069 MUSTOLIH L PBI (APBN) Epilepsy Rujuk Lanjut

780 09-04-2019 111210020419P000203 0001438284295 SUDIONO L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
781 09-04-2019 111210020419P000214 0001818821597 rasem P PEKERJA MANDIRI Other forms of stomatitis Berobat Jalan

782 09-04-2019 111210020419P000221 0002128232575 NUR AMIN L PBI (APBN) Fever, unspecified Berobat Jalan

783 09-04-2019 111210020419P000223 0002167379436 SANIYAH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
784 09-04-2019 111210020419P000213 0002175856389 NOVA TRI RISA P PBI (APBN) Otitis media, unspecified Berobat Jalan

785 09-04-2019 111210020419P000974 0002210004876 NURUL MUHIMAH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

786 09-04-2019 111210020419P000209 0002378922107 CAHYA FADILLAH RAHMAYADI L PEKERJA MANDIRI Predominantly allergic Berobat Jalan
asthma
787 09-04-2019 111210020419P000222 0002442503316 MOHAMAD ASHRAF RAFI L PEGAWAI SWASTA Predominantly allergic Berobat Jalan
asthma
788 09-04-2019 111210020419P000216 0002495833503 TUMINAH P PEKERJA MANDIRI Headache Berobat Jalan

789 09-04-2019 111210020419P000965 0002617015691 SUSMIYATI P PEKERJA MANDIRI Single delivery by Berobat Jalan
caesarean section
790 09-04-2019 111210020419P000227 0002628130702 MUHAMMAD ARJUN'AM L PBI (APBN) Gastritis, unspecified Berobat Jalan

791 09-04-2019 111210020419P000218 0002629111498 RUMIYAH P PBI (APBN) Low back pain Berobat Jalan

792 09-04-2019 111210020419P000231 0002629154733 AHMAD SAEFULOH L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

793 09-04-2019 111210020419P000987 0002631401087 MARWIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
794 09-04-2019 111210020419P000208 0002637972843 DARWONO L PBI (APBN) Chronic sinusitis, Rujuk Lanjut
unspecified
795 09-04-2019 111210020419P000933 0002639091936 TIKA WATI P PBI (APBN) False labour, unspecified Sembuh

796 09-04-2019 111210020419P000235 0002646398867 ROHIM L PBI (APBN) Keratitis Berobat Jalan

797 08-04-2019 111210020419P000167 0000519456497 AISYAH UMMI NAQSABANDI P PBI (APBN) Otalgia Rujuk Lanjut

798 08-04-2019 111210020419P000183 0000519460108 TUNJIAH P PBI (APBN) Vertigo of central origin Berobat Jalan

799 08-04-2019 111210020419P000184 0000519463822 ELMAH YULIANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
800 08-04-2019 111210020419P000199 0000519705696 RASINI P PBI (APBN) Unspecified renal colic Berobat Jalan

801 08-04-2019 111210020419P000984 0000519927322 MUNFARIDAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
802 08-04-2019 111210020419P000194 0000520011112 SAKIMAN AHMAD SAHRO L PBI (APBN) Chest pain, unspecified Berobat Jalan

803 08-04-2019 111210020419P000196 0000520041532 ISMANGIL L PBI (APBN) Fever, unspecified Berobat Jalan

804 08-04-2019 111210020419P000166 0000520164314 TARSEM P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
805 08-04-2019 111210020419P000241 0000520164606 PIPIT SUTIKNO L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

806 08-04-2019 111210020419P000983 0000520169984 SARTINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
807 08-04-2019 111210020419P000176 0000520247485 ISRO MUHLASIN L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

808 08-04-2019 111210020419P000185 0000520247755 SALAMAH P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

809 08-04-2019 111210020419P000195 0000520323636 MURTOFINGAH P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
810 08-04-2019 111210020419P000172 0000520352302 JARWO L PBI (APBN) Paranoid schizophrenia Rujuk Lanjut

811 08-04-2019 111210020419P000201 0000520357724 NURHAYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
812 08-04-2019 111210020419P000162 0000520414571 TAPSIR L PBI (APBN) Old myocardial infarction Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

813 08-04-2019 111210020419P000181 0000520427687 NUR ALIF HIDAYAT L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
814 08-04-2019 111210020419P000158 0000520509543 PARJIMAN L PBI (APBN) Congestive heart failure Rujuk Lanjut

815 08-04-2019 111210020419P000190 0000520557748 MULYANI P PBI (APBN) Myalgia Berobat Jalan

816 08-04-2019 111210020419P000192 0000520593816 SHYFA LULUFATHUL P PBI (APBN) Acute nasopharyngitis Berobat Jalan
KHAERIYAH [common cold]
817 08-04-2019 111210020419P000159 0000520692524 TARSIWEN P PBI (APBN) Congestive heart failure Rujuk Lanjut

818 08-04-2019 111210020419P000168 0000520746693 SUDIRJO L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
819 08-04-2019 111210020419P000239 0000520918492 MISNAH P PBI (APBN) Myalgia Berobat Jalan

820 08-04-2019 111210020419P000986 0000520929549 WARSAH P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
821 08-04-2019 111210020419P000178 0000520997398 UMI MASMIYATUN P PBI (APBN) Low back pain Berobat Jalan

822 08-04-2019 111210020419P000179 0000520998502 ULQIYA KHUMAIROH P PBI (APBN) Fever, unspecified Berobat Jalan

823 08-04-2019 111210020419P000164 0000521381981 SARTI P PBI (APBN) Vertigo of central origin Rujuk Lanjut

824 08-04-2019 111210020419P000170 0000521472161 SYIFA YULIASIH P PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
825 08-04-2019 111210020419P000182 0001015213397 AGUSTINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
826 08-04-2019 111210020419P000177 0002009261981 DULROJI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
827 08-04-2019 111210020419P000186 0002039429261 SAMINTEN P PBI (APBD) Low back pain Berobat Jalan

828 08-04-2019 111210020419P000187 0002039429654 KARIN yULIANA P PBI (APBD) Allergic contact dermatitis Berobat Jalan

829 08-04-2019 111210020419P000189 0002052004241 ELLA SAKILAH P PBI (APBD) Gastritis, unspecified Berobat Jalan

830 08-04-2019 111210020419P000191 0002125679049 ANUGERAH DENIS I L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
831 08-04-2019 111210020419P000200 0002175926141 ISNA MARYANI P PBI (APBN) Tuberculous peripheral Berobat Jalan
lymphadenopathy
832 08-04-2019 111210020419P000932 0002188268436 CICI SULASMI P PBI (APBN) False labour, unspecified Sembuh

833 08-04-2019 111210020419P000157 0002297566877 JAMAK SARI L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
834 08-04-2019 111210020419P000202 0002314022365 SAMIRAN L PEGAWAI SWASTA Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

835 08-04-2019 111210020419P000175 0002436809152 MARSIDI L PEKERJA MANDIRI Predominantly allergic Berobat Jalan
asthma
836 08-04-2019 111210020419P000174 0002437473802 WARSO L PEKERJA MANDIRI Headache Berobat Jalan

837 08-04-2019 111210020419P000193 0002456832148 SUNARYO JADI L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan Diabetes
Mellitus
838 08-04-2019 111210020419P000198 0002500472305 KENZIE RAMADHAN L PEKERJA MANDIRI Tuberculous peripheral Berobat Jalan
lymphadenopathy
839 08-04-2019 111210020419P000163 0002501059836 SUKINAH P PEKERJA MANDIRI Paraesthesia of skin Rujuk Lanjut

840 08-04-2019 111210020419P000982 0002504753831 WAHYUNI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
841 08-04-2019 111210020419P000197 0002504761683 PUTRI AMELIA SARI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
842 08-04-2019 111210020419P000188 0002625168115 ADE ROSANAH P PEKERJA MANDIRI Other rheumatoid arthritis Berobat Jalan

843 08-04-2019 111210020419P000161 0002628130454 SUPARDI L PBI (APBN) Corneal ulcer Rujuk Lanjut

844 08-04-2019 111210020419P000985 0002629069694 PARMI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
845 08-04-2019 111210020419P000169 0002629120948 BAGAS CHOKY RAMADHANI L PBI (APBN) Other orthopaedic Rujuk Lanjut
follow-up care
846 08-04-2019 111210020419P000165 0002629155227 TAPSIR L PBI (APBN) Old myocardial infarction Rujuk Lanjut

847 08-04-2019 111210020419P000160 0002631400997 WARSEM P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
848 08-04-2019 111210020419P000931 0002631401087 MARWIYAH P PBI (APBN) False labour, unspecified Sembuh

849 08-04-2019 111210020419P000180 0002634771666 MAMAT SUNGKOWO L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
850 08-04-2019 111210020419P000173 0002749795367 SITI JAMILATUN P PEKERJA MANDIRI Delayed union of fracture Rujuk Lanjut

851 08-04-2019 111210020419P000171 0002752618318 LENI ERNAWATI P PEKERJA MANDIRI Placenta praevia Rujuk Lanjut

852 07-04-2019 111210020419P000930 0000519502094 WASYATI P PBI (APBN) False labour, unspecified Sembuh

853 07-04-2019 111210020419P000964 0002746354307 LAILI NOVIYANTI P PEKERJA MANDIRI Prolonged first stage (of Berobat Jalan
labour)
854 06-04-2019 111210020419P000928 0000519927322 MUNFARIDAH P PBI (APBN) False labour, unspecified Sembuh

855 06-04-2019 111210020419P000963 0000520122442 KOWIYAH P PBI (APBN) Premature rupture of Berobat Jalan
membranes, unspecified
856 06-04-2019 111210020419P000927 0000520169984 SARTINI P PBI (APBN) False labour, unspecified Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

857 06-04-2019 111210020419P000138 0000520229755 RISEM P PBI (APBN) Predominantly allergic Rujuk Lanjut
asthma
858 06-04-2019 111210020419P000141 0000520357724 NURHAYATI P PBI (APBN) Headache Berobat Jalan

859 06-04-2019 111210020419P000134 0000520471113 KHAERIYAH P PBI (APBN) Myalgia Berobat Jalan

860 06-04-2019 111210020419P000127 0000520814428 SURANI L PBI (APBN) Sequelae of intracerebral Rujuk Lanjut
haemorrhage
861 06-04-2019 111210020419P000142 0000520855389 SITI MU'MINAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
862 06-04-2019 111210020419P000129 0000521265341 KRIS MAELANI P PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
863 06-04-2019 111210020419P000128 0000521881784 KARSIWEN P PBI (APBN) Other and unspecified Rujuk Lanjut
cirrhosis of liver
864 06-04-2019 111210020419P000136 0001015223207 CHOSIYAH P PBI (APBN) Paraesthesia of skin Berobat Jalan

865 06-04-2019 111210020419P000981 0001654124411 LITA NOFITA SARI L PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
866 06-04-2019 111210020419P000132 0002195288829 YATIN PRAYITNO L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
867 06-04-2019 111210020419P000133 0002453853971 MACHFUDZ L PEKERJA MANDIRI Calculus in urethra Berobat Jalan

868 06-04-2019 111210020419P000137 0002468899102 FAIZAL PRATAMA L PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
869 06-04-2019 111210020419P000929 0002629069694 PARMI P PBI (APBN) False labour, unspecified Sembuh

870 06-04-2019 111210020419P000140 0002635686696 MA'MUROH P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
871 06-04-2019 111210020419P000135 0002636903654 NOVI DWI DIANA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
872 06-04-2019 111210020419P000131 0002746755066 SAINAH P PEKERJA MANDIRI Care and examination Rujuk Lanjut
immediately after delivery
873 06-04-2019 111210020419P000139 0002751735475 RAFFAN AKBAR DWI MUKTI L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

874 06-04-2019 111210020419P000130 0002752452988 BAYI NYONYA SAINAH L PEKERJA MANDIRI Other preterm infants Rujuk Lanjut

875 05-04-2019 111210020419P000116 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
876 05-04-2019 111210020419P000108 0000520248295 WARNI P PBI (APBN) Vertigo of central origin Berobat Jalan

877 05-04-2019 111210020419P000099 0000520396143 ARNIKA P PBI (APBN) Chronic sinusitis, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

878 05-04-2019 111210020419P000103 0000520414571 TAPSIR L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
879 05-04-2019 111210020419P000095 0000520453787 ROKHATI P PBI (APBN) Twin pregnancy Rujuk Lanjut

880 05-04-2019 111210020419P000115 0000520467298 SURMAENI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
881 05-04-2019 111210020419P000107 0000520485322 NASIMAN L PBI (APBN) Myalgia Berobat Jalan

882 05-04-2019 111210020419P000119 0000520841957 SITI KOMARIYAH P PBI (APBN) Headache Berobat Jalan

883 05-04-2019 111210020419P000980 0000520933329 CICIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
884 05-04-2019 111210020419P000100 0000521113465 RINI KADARYANTI P PBI (APBN) Dyspepsia Rujuk Lanjut

885 05-04-2019 111210020419P000118 0000521257713 MARTONO MARWAT L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
886 05-04-2019 111210020419P000113 0000521478999 SUTINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
887 05-04-2019 111210020419P000101 0000521881784 KARSIWEN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
888 05-04-2019 111210020419P000117 0001084655744 AMIRUDIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
889 05-04-2019 111210020419P000096 0001084826979 TARMINI P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
890 05-04-2019 111210020419P000093 0001317823378 SUHARTI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
891 05-04-2019 111210020419P000110 0001427200907 SUDIHARJO L PEKERJA MANDIRI Myalgia Berobat Jalan

892 05-04-2019 111210020419P001030 0001450723533 SELVANA RURI PARTININGSIH P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

893 05-04-2019 111210020419P000098 0001615991398 AHMAD ZAKI L PBI (APBD) Disorder of refraction, Rujuk Lanjut
unspecified
894 05-04-2019 111210020419P000112 0001615996012 MOHAMMAD LUTFHI HASYIM L PBI (APBD) Otitis media, unspecified Berobat Jalan

895 05-04-2019 111210020419P000092 0002009261698 SRI TAATI P PBI (APBN) Myalgia Rujuk Lanjut

896 05-04-2019 111210020419P000973 0002083631668 FAIKOH TUN NAZAH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

897 05-04-2019 111210020419P000111 0002188267975 HEDIANA SUBAGIO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

898 05-04-2019 111210020419P000109 0002305302524 SAWIREJA DIKUN L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

899 05-04-2019 111210020419P000105 0002377382398 NUR FAIZAH LINGASIROH P PEKERJA MANDIRI Aplastic anaemia, Berobat Jalan
unspecified
900 05-04-2019 111210020419P000094 0002433170856 LAELA NUR INDAH P PEKERJA MANDIRI Schizophrenia, unspecified Rujuk Lanjut

901 05-04-2019 111210020419P000104 0002458072596 TUGIYONO L PEKERJA MANDIRI Nausea and vomiting Berobat Jalan

902 05-04-2019 111210020419P000114 0002503554401 ROHIMI P PEKERJA MANDIRI Pulpitis Berobat Jalan

903 05-04-2019 111210020419P000925 0002504753831 WAHYUNI P PBI (APBN) False labour, unspecified Sembuh

904 05-04-2019 111210020419P000926 0002504754911 HARTINI P PBI (APBN) False labour, unspecified Sembuh

905 05-04-2019 111210020419P000962 0002619944673 MUHAMMAD AQMAR NADHIF L PBI (APBN) Bronchopneumonia, Berobat Jalan
RAMDAN PRIBADI unspecified
906 05-04-2019 111210020419P000106 0002628130454 SUPARDI L PBI (APBN) Keratitis, unspecified Berobat Jalan

907 05-04-2019 111210020419P000102 0002630301129 JUARIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
908 05-04-2019 111210020419P000097 0002646399622 ASTUTI FARDIANINGSIH P PBI (APBN) Phobic anxiety disorder, Rujuk Lanjut
unspecified
909 05-04-2019 111210020419P000156 0002740599549 MIHARJO MIDIN L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

910 04-04-2019 111210020419P000091 0000080801976 PERGIYAWATI P PNS DAERAH Pulpitis Berobat Jalan

911 04-04-2019 111210020419P000089 0000519143962 LASINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
912 04-04-2019 111210020419P000056 0000519195519 VERI IRAWAN L PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
913 04-04-2019 111210020419P000155 0000519574577 SUSILAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
914 04-04-2019 111210020419P000078 0000519715923 SANMIYADI L PBI (APBN) Gastritis, unspecified Berobat Jalan

915 04-04-2019 111210020419P000082 0000519930167 MARIYATI P PBI (APBN) Myalgia Berobat Jalan

916 04-04-2019 111210020419P000143 0000520134658 SITI NGULWIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
917 04-04-2019 111210020419P000085 0000520142962 SURTIYAH P PBI (APBN) Low back pain Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

918 04-04-2019 111210020419P000079 0000520143028 WAHYONO L PBI (APBN) Gastritis, unspecified Berobat Jalan

919 04-04-2019 111210020419P000054 0000520219978 MASRUHIN L PBI (APBN) Undifferentiated Rujuk Lanjut
schizophrenia
920 04-04-2019 111210020419P000149 0000520238428 KAMISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
921 04-04-2019 111210020419P000062 0000520311767 HALIMAH P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

922 04-04-2019 111210020419P000154 0000520323748 JAMIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
923 04-04-2019 111210020419P000146 0000520434347 SURTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
924 04-04-2019 111210020419P000073 0000520502297 MUSRIFAH P PBI (APBN) Headache Berobat Jalan

925 04-04-2019 111210020419P000076 0000520507045 MAHPUROH P PBI (APBN) Paraesthesia of skin Berobat Jalan

926 04-04-2019 111210020419P000153 0000520563205 WATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
927 04-04-2019 111210020419P000077 0000520621749 UMI SOLIHAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
928 04-04-2019 111210020419P000070 0000520693705 UMI MA'RIFAH P PBI (APBN) Vertigo of central origin Berobat Jalan

929 04-04-2019 111210020419P000065 0000520708342 WARISMAN L PBI (APBN) Allergic contact dermatitis Berobat Jalan

930 04-04-2019 111210020419P000148 0000520724384 RATINAH P PBI (APBN) Headache Berobat Jalan

931 04-04-2019 111210020419P000087 0000520814428 SURANI L PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
932 04-04-2019 111210020419P000144 0000520835602 DASIWEN P PBI (APBN) Gastritis, unspecified Berobat Jalan

933 04-04-2019 111210020419P000152 0000520841261 PARTI DARMIASTUTI P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
934 04-04-2019 111210020419P000071 0000520921809 MADMUSLIH L PBI (APBN) Headache Berobat Jalan

935 04-04-2019 111210020419P000924 0000520933329 CICIH P PBI (APBN) False labour, unspecified Sembuh

936 04-04-2019 111210020419P000058 0000521374599 DARSILAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
937 04-04-2019 111210020419P000150 0000521381981 SARTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

938 04-04-2019 111210020419P000072 0000521909853 SALAMUDIN L PBI (APBN) Headache Berobat Jalan

939 04-04-2019 111210020419P000145 0000616833224 NUR SALIMAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

940 04-04-2019 111210020419P000080 0001015211755 ZAENUDIN L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
941 04-04-2019 111210020419P000053 0001015217807 YATINEM P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
breast, unspecified
942 04-04-2019 111210020419P000090 0001015220766 SUGINI MINTO HARTI P PBI (APBN) Headache Berobat Jalan

943 04-04-2019 111210020419P000060 0001015221161 MADARJO L PBI (APBN) Paraesthesia of skin Rujuk Lanjut

944 04-04-2019 111210020419P000083 0001015223591 KETI LESTARI P PBI (APBN) Fever, unspecified Berobat Jalan

945 04-04-2019 111210020419P000067 0001084655744 AMIRUDIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
946 04-04-2019 111210020419P000064 0001084898125 SURIP P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

947 04-04-2019 111210020419P000061 0001316843065 WAGIMIN SETIAWAN L PEKERJA MANDIRI Calculus of ureter Rujuk Lanjut

948 04-04-2019 111210020419P000059 0001435997992 samini P PEKERJA MANDIRI Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
949 04-04-2019 111210020419P000088 0001692795756 MEGA WAHYU SETIYANINGSIH P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
950 04-04-2019 111210020419P000084 0002009251247 MADSAHLAN DAWUD L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
951 04-04-2019 111210020419P000081 0002009255477 SAMINI P PBI (APBN) Paraesthesia of skin Berobat Jalan

952 04-04-2019 111210020419P000147 0002039424873 TINAH YULIA NINGSIH P PBI (APBD) Dermatophytosis, Berobat Jalan
unspecified
953 04-04-2019 111210020419P000066 0002128232338 IRAH YULIASIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
954 04-04-2019 111210020419P000151 0002265248812 SIJEM P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
955 04-04-2019 111210020419P000069 0002272269284 ERWIN L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
956 04-04-2019 111210020419P000075 0002295951963 warisem P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

957 04-04-2019 111210020419P000086 0002504758612 KHUSNUL KHOTIMAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

958 04-04-2019 111210020419P000055 0002611695565 DENI ARYANI P PEKERJA MANDIRI Attention to surgical Rujuk Lanjut
dressings and sutures
959 04-04-2019 111210020419P000068 0002625168115 ADE ROSANAH P PEKERJA MANDIRI Other rheumatoid arthritis Berobat Jalan

960 04-04-2019 111210020419P000057 0002634778258 OKI SANTOSO L PBI (APBN) Predominantly allergic Rujuk Lanjut
asthma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

961 04-04-2019 111210020419P000063 0002634798565 KAMISEM P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
962 04-04-2019 111210020419P000074 0002636904273 JEMU HADI WALUYO L PBI (APBN) Allergic contact dermatitis Berobat Jalan

963 03-04-2019 111210020419P000979 0000519703558 KODRIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
964 03-04-2019 111210020419P000923 0001428550266 PUJI RAHAYU P PEKERJA MANDIRI False labour, unspecified Sembuh

965 02-04-2019 111210020419P000045 0000518688325 MIMBARIYATUN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

966 02-04-2019 111210020419P000043 0000519212002 SARMA L PBI (APBN) Urticaria, unspecified Berobat Jalan

967 02-04-2019 111210020419P000039 0000519213249 RIYANTO L PBI (APBN) Typhoid fever Berobat Jalan

968 02-04-2019 111210020419P000052 0000519700926 JEREN VALENTIA P PBI (APBN) Headache Berobat Jalan

969 02-04-2019 111210020419P000855 0000519703558 KODRIYAH P PBI (APBN) False labour, unspecified Sembuh

970 02-04-2019 111210020419P000050 0000520159364 NURUL HIDAYAT L PBI (APBN) Allergic contact dermatitis Berobat Jalan

971 02-04-2019 111210020419P000035 0000520180378 MEI KURNIASIH P PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
972 02-04-2019 111210020419P000036 0000520268275 TURIJAN L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
973 02-04-2019 111210020419P000042 0000520268308 KAMISEM P PBI (APBN) Chest pain, unspecified Berobat Jalan

974 02-04-2019 111210020419P000049 0000520646308 SAONAH P PBI (APBN) Scabies Berobat Jalan

975 02-04-2019 111210020419P000048 0000520649324 YULIANTI P PBI (APBN) Scabies Berobat Jalan

976 02-04-2019 111210020419P000038 0000520806071 KHAIRUL AZZAM FADHILAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
977 02-04-2019 111210020419P000040 0000520820278 SUTARNO L PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
978 02-04-2019 111210020419P000034 0000520942149 SUWIGNYO SIMIN L PBI (APBN) Congestive heart failure Rujuk Lanjut

979 02-04-2019 111210020419P000854 0000521003417 TRI NURYANI P PBI (APBN) False labour, unspecified Sembuh

980 02-04-2019 111210020419P000978 0000521007737 SADIYEM P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
981 02-04-2019 111210020419P000047 0000521300867 ROFIKOH P PBI (APBN) Vertigo of central origin Berobat Jalan

982 02-04-2019 111210020419P000977 0000521396818 FITRIYANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

983 02-04-2019 111210020419P000051 0000541073801 DULAH MUKTI L PBI (APBN) Dyspnoea Berobat Jalan

984 02-04-2019 111210020419P000044 0001015216312 MUHAMMAD NASICHUDIN L PBI (APBN) Fever, unspecified Berobat Jalan

985 02-04-2019 111210020419P000041 0001514803241 ANINAH P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

986 02-04-2019 111210020419P000046 0002009274873 DULAH KOMAR WASID L PBI (APBN) Headache Berobat Jalan

987 02-04-2019 111210020419P000961 0002045532587 KARTUM L PEKERJA MANDIRI Unilateral or unspecified Berobat Jalan
inguinal hernia, with
obstruction, without
gangrene
988 02-04-2019 111210020419P000037 0002604364659 NAELI HIDAYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
989 02-04-2019 111210020419P000972 0002624827138 LUSIANA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

990 02-04-2019 111210020419P000033 0002633625134 ANDRI AGUS SUSANTO L PBI (APBN) Localized swelling, mass Rujuk Lanjut
and lump, neck
991 02-04-2019 111210020419P000922 0002646334631 TASTIN RUNIATUN P PBI (APBN) False labour, unspecified Sembuh

992 01-04-2019 111210020419P000004 0000080799175 NGADIMIN L PENERIMA PENSIUN Follow-up care involving Rujuk Lanjut
PNS removal of fracture plate
and other internal fixation
device
993 01-04-2019 111210020419P000021 0000081366647 MARYATUN P PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan
PNS [common cold]
994 01-04-2019 111210020419P000008 0000410662056 IIS MULYATI P PBI (APBN) Enlarged lymph nodes, Rujuk Lanjut
unspecified
995 01-04-2019 111210020419P000121 0000518735428 KATEM P PBI (APBN) Headache Berobat Jalan

996 01-04-2019 111210020419P000029 0000520080669 SAMINGUN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
997 01-04-2019 111210020419P000015 0000520239227 TUMIRAH P PBI (APBN) Headache Berobat Jalan

998 01-04-2019 111210020419P000024 0000520280829 ATIKA KHOERIYAH P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

999 01-04-2019 111210020419P000006 0000520323636 MURTOFINGAH P PBI (APBN) Enlarged lymph nodes, Rujuk Lanjut
unspecified
1000 01-04-2019 111210020419P000122 0000520399078 KUSMI HARTI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1001 01-04-2019 111210020419P000032 0000520409529 AMINUDIN L PBI (APBN) Headache Berobat Jalan

1002 01-04-2019 111210020419P000013 0000520473802 HERLINA WIDIYANTI P PBI (APBN) Scabies Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

1003 01-04-2019 111210020419P000003 0000520576288 PASEM SASTRODIYOSO P PBI (APBN) Localized swelling, mass Rujuk Lanjut
and lump, upper limb
1004 01-04-2019 111210020419P000023 0000520583117 EKA MAULINA P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
1005 01-04-2019 111210020419P000019 0000520617058 SUPRIYATIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1006 01-04-2019 111210020419P000011 0000520680429 DASLAM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1007 01-04-2019 111210020419P000125 0000520724384 RATINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1008 01-04-2019 111210020419P000002 0000520814428 SURANI L PBI (APBN) Hypertensive heart Rujuk Lanjut
disease without
(congestive) heart failure
1009 01-04-2019 111210020419P000028 0000520816601 INDRIYANI P PBI (APBN) Myalgia Berobat Jalan

1010 01-04-2019 111210020419P000009 0000520907534 AFRI INDAH LESTARI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
1011 01-04-2019 111210020419P000025 0000520943837 TRIYANI P PBI (APBN) Other forms of stomatitis Berobat Jalan

1012 01-04-2019 111210020419P000123 0000521025153 SARIMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
1013 01-04-2019 111210020419P000126 0000521050487 SUTRIYAH P PBI (APBN) Pulpitis Berobat Jalan

1014 01-04-2019 111210020419P000010 0000521131083 SADIRIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

1015 01-04-2019 111210020419P000007 0000521174237 MIA KUSMIATI P PBI (APBN) Localized swelling, mass Rujuk Lanjut
and lump, upper limb
1016 01-04-2019 111210020419P000020 0001084613231 WAGINEM P PBI (APBN) Chest pain, unspecified Berobat Jalan

1017 01-04-2019 111210020419P000017 0001514803263 NUR HAFIFA P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1018 01-04-2019 111210020419P000976 0002009252316 ROFINGAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1019 01-04-2019 111210020419P000005 0002009255207 DARMINI P PBI (APBN) Low back pain Rujuk Lanjut

1020 01-04-2019 111210020419P000022 0002128231809 MISWAN AL NAJMUDIN L PBI (APBN) Allergic contact dermatitis Berobat Jalan

1021 01-04-2019 111210020419P000124 0002265025149 SOATI P PEKERJA MANDIRI Dermatophytosis, Berobat Jalan
unspecified
1022 01-04-2019 111210020419P000120 0002265025454 SODIYAH PITALOKA L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

1023 01-04-2019 111210020419P000018 0002276598273 SUTIYEM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

1024 01-04-2019 111210020419P000971 0002422340919 AMIN LAILATUL HIJRIYAH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1025 01-04-2019 111210020419P000014 0002457838168 MUSLIM L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1026 01-04-2019 111210020419P000012 0002457839259 KHOIRU NISA RAMA DHANI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1027 01-04-2019 111210020419P000026 0002479352354 MULYADI L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

1028 01-04-2019 111210020419P000027 0002479352782 LASIKEM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1029 01-04-2019 111210020419P000031 0002504760636 MUBARI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1030 01-04-2019 111210020419P000001 0002616826061 UMI FADILATUN NASIHAH P PEKERJA MANDIRI Prolonged pregnancy Rujuk Lanjut

1031 01-04-2019 111210020419P000030 0002630460238 ALYA MAYLIZA P PBI (APBN) Gastritis, unspecified Berobat Jalan

1032 01-04-2019 111210020419P000016 0002640230739 SITI SUMAENI P PBI (APBN) Myalgia Berobat Jalan

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