Laporan BPJS 2015

NO KARTU NAMA PESERTA
NO TANGGAL PESERTA DIAGNOSA







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NO KARTU PESERTA NAMA PESERTA
NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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TOTAL PESERTA YANG BERKUNJUNG =

TOTAL PESERTA YANG DI RUJUK =
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Jakarta, february 2015
..........................................................
LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN JANUARI TAHUN 2015
Nama Faskes : Klinik Wijaya medika

Alamat : Jl Tipar Cakung 33 Sukapura
NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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NO TANGGAL DIAGNOSA
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TANDA
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LAPORAN PELAYANAN
BULAN oktober TAHUN 2015

NO TANGGAL
1 1613155959 RAMANDO DEDRICSON
2 1621943649 KAILANA
3 1795774127 DIYANA
4 1653582115 HENI SUMARNI
5 1327528877 NABILA HASNA AMIRA
6 1643888856 ALI NURMANSYAH
7 1128868075 ABDUL ROSYAD
8 1640291409 JA RONAH
9 1199878929 ANI YUSIKA
10 1816057787 SUHAILAH FALIHAH
11 1652192695 MUHAMAD RIFAL RAMDHANI
12 1653581158 MASWANI
13 1157319347 MIA RAHMAWATI
14 1653465712 PURMINI
15 1649540114 DEVI RUDIANSYAH
16 1649540125 ENDANG PRIHATIN
17 1315557641 CHELSHIA ARSHA ANANTHA
18 1638874629 MESY NOVIYANA PUTRI
19 2-Oct 1605842425 ALHAMEDI
20 1608909884 RUDI HARTONO
21 1641550904 MAYA
22 1648005996 AH ZAIHAN
23 1392926589 ALAMSYAH
24 1439441919 FIRMANSYAH
25 1868995899 MAESTRO HARUN ARRASYID
NO TANGGAL
26 1868995473 MELI
27 1435771337 NUR RANY FATIMAH
28 1291481414 SAEPUL PALAH HIDAYAT
29 1641551207 DIAN NURWULANSARI
30 1136605656 ALEX SETIAWAN
31 1515964634 RATNAWATI
32 1609589553 SUSILATUL NAJMIAH
33 1638865798 KASTEM
34 1436429068 YULIYATI
35 1182943394 VIRGIAWANAL GIBRAN
36 1621943548 INDRA NINGSIH
37 1621944257 DWI WAHYU KURNIATI
38 1284722155 LILISAN SURATNI
39 1603055698 RIFANO
40 1624766433 SURYANI
41 1133217033 ABDULLAH
42 3-Oct 1627770036 PARNO
43 1157319347 MIA RAHMAWATI
44 1392929829 RAVESH JUNIOR
45 1138194055 JAYADI
46 1432715455 SUPRIYADI
47 1199356334 IHAT SOLIHAT
48 1135266276 SYAIFULLAH
49 4-Oct 1866419919 NURAINI
50 1641503158 SILVIA MA'RIFAH
NO TANGGAL
51 1641503136 SAMSUL MAARIF
52 1216249209 TAJUDIN
53 1803834033 HARINI WIDYASTUTI
54 1376228518 RAYHAN ALBADRI
55 5-Oct 1136575192 HETI ROMZIANA
56 1613155948 RAISA RICHIKA SIRAIT
57 1650838972 ABDUL AZIS
59 1224593662 TIUR
60 1625096351 YUSMIATI
61 1625096362 SHOFI SALSABILAH
62 1286126537 SAIF LUTHFI ALTAMIS
63 1192988913 TSAQIF ADITHIA PUTRA
64 1641508604 AFRI YENI
65 1870755287 SUPATMI
66 1854160165 SURYANI
67 1653463934 LEDITA ARDIANA
68 1844577808 FATKHUROJI
69 1175663362 ROJELAH
70 1603063539 TURAESIH
71 1442014558 I ROSIDAH
72 1641513352 AMSIR
73 1646866146 AGUS FITRIANTO
74 1392927175 JAJANG HERMAWAN
75 1441824715 MUHAMAD KANAKA GILANG PRASETYO
NO TANGGAL
76 1392927186 JONI RAHMA
77 1131604571 LUKMAN NURDIN
78 1621942435 SUDARMONO
79 1188653523 SALWA PUTRI AZZAHRA
80 1603063473 ELISA
81 1430277726 SUPRIYANTI
82 1303986925 MUNASIH
83 1625619082 SUSI AYUNINGSIH
84 1180989764 NAUFA ZAHRA TSABITA
85 6-Oct 1625096362 SHOFI SALSABILAH
86 1216503887 LILI YANTRI
87 1603059445 DESY NUR AINI
88 1180989764 NAUFA ZAHRA TSABITA
89 1611543644 HAFIDZ JULIANO WIBOWO
90 1326330898 AMIRUDDIN
91 1607640478 RIKO PANDU SUMARKO
92 1392927715 SARWANI
93 1603104107 ARYA BIMA SATRIANI MEYVIESA
94 1653582115 HENI SUMARNI
95 1149270658 KIRNO PRASETY
96 1614087167 MASFUFAH
97 1621942569 NENI PEBRIANI
98 1632569411 NURFITRIANI
99 1628089931 DADANG KURNIAWAN
100 1609586638 SITI SOPMAWATI
NO TANGGAL
101 1641515905 SUTINAH
102 1189442665 MUHAMMAD IKBAL LUBIS
103 1603060931 LILI ULIYATI
104 1866608842 VICTORIA SANDRA GUSTANHAI
105 1629197559 MUHAMMAD RAIHAN
106 1181225496 FANI ALYA FEBI
107 7-Oct 1646866168 RIDHO RAMADHANI
108 1829850309 KEYSYAH AMELLIA GABELLA
109 1634512421 AULIA FAUZIYAH
110 1614088631 RIZKY FERDIANSYAH
111 1280019971 ROMDARIYAH
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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LAPORAN PELAYANAN
BULAN oktober TAHUN 2015
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
KB
DIAGNOSA DI RUJUK
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TANDA
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PASIEN
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PASIEN
TANDA
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PASIEN
LAPORAN PELAYANAN

NO TANGGAL
1 2-Feb 000 132539
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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NO TANGGAL
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LAPORAN PELAYANAN
TANDA
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DIAGNOSA DI RUJUK PASIEN
TANDA
TANGAN
TANDA
TANGAN
TANDA
TANGAN
TANDA
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KB
TANDA
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BULAN AGUSTUS TAHUN 2015

NO TANGGAL DIAGNOSA
1 1126562051 ROKHIMAH Tuberculosis of lung, confirmed by culture only
2 1143258131 TONGAT HIDAYAT Disorder of kidney and ureter, unspecified
3 1839969325 RANIA KHUMAIRA ZADNI Influenza with other manifestations, virus not identified
4 1138194055 JAYADI Other hyperlipidaemia
5 1603064259 DARTA Poisoning, drugs affecting uric acid metabolism
6 1859749536 SONDANG JOHN FOLT HUTAGAOL
7 1641530621 IKA SETYA NINGSIH
8 1436425784 MARVEL ANDRA ASMARA conjunctivitis, unspecified
9 1218341518 MAEMUNAH
10 1182943405 SAUSAN KEYSYA SALWA Acute nasopharyngitis [common cold]
11 1202200874 MUHAMMA DNAQSYABANDI Acute nasopharyngitis [common cold]
12 1306617434 FATIMAH Acute nasopharyngitis [common cold]
13 1624001163 DAMAH Influenza with other manifestations, virus not identified
14 1603103387 NURJANAH Influenza with other manifestations, virus not identified
15 1225591931 SUMIATY Dyspepsia
16 2-Aug 1392927557 NURULHUDA
17 1224019293 ASTRI AMANDA PUTRI
18 1224019304 MAMAN SURIAMAN
19 1224019282 JARWANTI
20 1638871648 MULYANI
21 1641537808 RINAWATI
22 1638874899 SUTARJO
23 3-Aug 1641513352 AMSIR
24 1632810666 HADY SUDARSONO
25 1605842425 ALHAMEDI
NO TANGGAL DIAGNOSA
26 1647584076 AKBAROMI
27 1647553408 NURUL MUHTARUDDIN
28 1178736243 SRI PRIWINARSIM
29 1627307458 MUANAH
30 1421803089 AL FATH MAULANA SIGIT
31 1128290117 ABDUL HARIS
32 1845372609 ANNISA RAHMA ALBADRI
33 1640499939 ABDUL ROHMAN
34 1128834099 IRWAN AWALUDIN
35 1625618979 TENI ANGGRAENI
38 1467278133 ETI PURWANI
39 1609392249 ANISAH BT RASWID
40 1181330504 ZIYAD IFHAM HOOD
41 1842722919 WIWI HAMALIA
42 4-Aug 1638871648 MULYANI
43 1621943346 EKA WIJAYA
44 1162484234 SUYATMI
45 1640661366 YADI
46 1605842649 JULKARNAIN
47 1632821319 KARTINI
48 1218341834 ASRI PUTRIA DEWI
49 1638215919 FARDIANSAH
50 1628095162 SUWARN
NO TANGGAL DIAGNOSA
51 1135387719 DEWI AGUSTIKAYANI
52 1406908157 SUPRAYITNO
53 1638216011 YUYUN REZAKIAH
54 1218316487 BILQIS ANINDITA CAHYANI
55 1459264768 TARUNI
56 1459260393 NARDJI
57 1623469779 ABDUL HARIS
58 1638874517 MUSLIM IRAWAN
59 1648045732 MUNAFIAH
60 1224037113 TYA AL-HABSYAH
61 1171586068 HANIFA TU NISA A
62 1610518948 IRNAWATI
63 1638866046 HAYATI NURJANAH
64 1217385077 SITI HOIRUNNISA
65 1603063563 MEGA RAHAYU
66 5-Aug 1647581332 MARIYAH ULFAH
67 1632815087 NURHAYATI
68 1614088618 NURUL SUWANTI
69 1641514599 NURUDIN
70 1641498309 ABDUL KABIR
71 1625096373 SAHIRA KHAIRUNNISA
72 1614088631 RIZKY FERDIANSYAH
73 1848646541 TAHRONI
74 1182943405 SAUSAN KEYSYA SALWA
75 1140812796 ANDWI PRASETIYO
NO TANGGAL DIAGNOSA
76 1638704417 ANDRES NOVENDRI
77 1446895765 DIANI UMRI OKTARINI
78 1446896125 ALIFFIANDRA AZKA MULIA
79 1627307594 ALIMUDIN
80 1632810352 SRI ASTUTI
81 1638866046 HAYATI NURJANAH
82 1815464981 HAFID FAJARUDIN
83 1640293841 SANTI RAHAYU
84 1610519488 YANTI FIANTAR
85 1430526543 OKTO MARPAUNG
86 1128889732 SUGENG WIDODO
87 1392927704 SARPUDIN
88 1194893324 RAISA AURELLIA
89 6-Aug 1638871648 MULYANI
90 1142127101 RIDWAN
91 1199837812 KAEYLA KANZA AZAHRA
92 1641536818 TAJUDDIN
93 1605842425 ALHAMED
94 1843558705 SITI FATIMAH
95 1392929155 MUHAMMAD VINO SEBASTIAN EL SHAARAWY
96 1840171961 ERNI SUMARNI
97 1861605112 MARYAN
98 1406099147 SUTRISNO
99 1424901802 ASSYIFA RIANDA RAMADHANI
100 1610515271 MUHAMMAD AULIA SATRIADJIE
NO TANGGAL DIAGNOSA
101 1307949682 SOFWUN NIDA
103 1603055676 IDA FARIDA
104 1126551677 M NATSIR
105 1180224134 KIKI LESTARI
106 1632822985 WAHYUDIN
107 1647703754 SOLEHUDIN
108 1628092124 MARULOH
109 7-Aug 1628096073 AHMAD YUSUF
110 1641550904 MAYA
113 1157254176 M.CHOLIS
114 1628092181 DERLICIA UTAMI
115 1146141977 MUH AMIN RIZQI
116 1605842651 ROHAN
117 1436420171 RINO YULIANTO
118 1613156231 ALPINI
119 1610518421 SINTA NOVITASARI
120 1175663362 ROJELAH
121 1613444196 AFIFAH AMALIA SAPUTRI
123 1173289882 OKTOFIANTI
124 1631943224 MARHID
125 1631943246 BAHJATUN NUFUS
NO TANGGAL DIAGNOSA
126 1636651359 IWAN SETIAWAN
127 1606256649 MUHAMAD JAYADI
128 1621943087 BELA NURSARIPAH
129 1833704278 TAHYA NURYANI
130 1603109518 MUHIBAH TUN HASANAH
131 1647702202 TAUFIK MAULANA
132 1633457834 RONALD RADJAH , SH.MH
133 1633457823 DINA ANDU, SE.MM
134 1126545309 MUH SUKRIN
135 1603103602 PRIYO SUDJATMIKO
136 1201507211 BAHJATUN NOVITA
137 8-Aug 1375555869 DEPI YANTI
141 1187070704 VIRA ZAHRA AMILIA
142 1855421638 NANDA NOOR FAJRIYAH
143 1607978125 FITRIANI
144 1199960684 SALSABILLAH JUMAYAH
145 1427793928 MUHAMAD RIZKY HIDAYAT
146 1632812174 EKO SISWANTO
147 1180932491 NURLIA
149 1218341518 MAEMUNAH
150 1610519477 WULAN SAFITRI
NO TANGGAL DIAGNOSA
151 1281373806 A SOFYAN HISNUN NAJAH
152 1281373435 JAMILAH
153 9-Aug 1603104107 ARYA BIMA SATRIANI MEYVIESA
154 1603126282 YANUARIUS NAHAK
155 1370470408 MUHAMMAD YAZDAN RAFIF RAZIQ
156 1124963087 INDAH EVASARI
157 1647565762 ROSNAYAH
158 1181028047 AHMAD DAMANHURI
159 1432681536 HULWA HASSIFAH
160 1636651563 YUSRI AYU SETIAWAN
161 1610515271 MUHAMMAD AULIA SATRIADJIE
163 1649536918 JAMALUDIN
164 1641515916 ISMUN PAEDAH
165 10-Aug 1170005343 MUALIFAH
166 1189628403 MUHAMMAD AZZAM
167 1641514612 TETI YUNIAYA
168 1641528516 ROSITA
169 1641523522 MATRA
170 1633653472 SURATMI
171 1605842379 EKA
172 1405029936 SUMARDIYATI
173 1641504947 ZAINI
174 1218197586 YULIANINGSIH
175 1154628325 ALI MUSTOFA
NO TANGGAL DIAGNOSA
176 1638881133 SUTRIONO
177 1640661366 YADI
178 1621942244 ELENDARI
179 1123813315 SAIFUL ANWAR
190 1452939017 ARIF PRIYANTO
181 1628090919 ANANTO KURNIADI
182 1178997377 SULASMINI
183 1794413676 MAHFUZ
185 1187636523 MISTUKI FADLILAH
186 1312731167 PATULOH
187 1306618536 NUR HUMAIRAA
188 1306617434 FATIMAH
189 1606378048 MIRNAWATI
190 1199027788 AISA NURLAELA
191 1145209522 IDA LESTARI
192 1815463798 UJANG AMIN
193 1815464619 SITI HULIYAH
194 1430526543 OKTO MARPAUNG
195 11-Aug 1627307133 SAYDI ALFIAN
196 1814566149 SAUS NIDA AULIA
197 1147448002 HASANUDIN BIN RIFAI
198 1641509155 NURHAYATI
199 1605842425 ALHAMEDI
200 1789373193 JAENAL ARIFIN
NO TANGGAL DIAGNOSA
201 1641551319 GUNAWAN
202 1610519488 YANTI FIANTARI
203 1178296312 MARPUAH
204 1182943405 SAUSAN KEYSYA SALWA
205 1444157504 ANTON
206 1170113984 WAWAYWARTINI
207 1834697518 MIRIH BT DARWAJI
208 1281373435 JAMILAH
209 1392928086 RAYES SURATMAN
210 1371290422 SARI DIANTI
211 1144992104 MAEMUNAH
212 1648006029 BAGAS JUNIARDI SALAS
213 1641525636 IRFAN ARIF NUGROHO
214 1625096351 YUSMIATI
215 1625262794 FACHRUL RAZY
216 1627307594 ALIMUDIN
218 1177174192 MARWADI
219 1607641885 SITI MAESAROH
220 1614086943 SYAFIRA ANINDYA CHERYL
221 1859749536 SONDANG JOHN FOLT HUTAGAOL
222 12-Aug 1642693241 CANDRA NINGSIH
223 1603334733 ADELIA NURFAHADA
225 1187070592 INNAYAH
NO TANGGAL DIAGNOSA
226 1273765645 FA'IS RUDDIN
227 1184159338 MUHAMMAD FATHAN NUR
228 1157320855 NANDA
229 1126218778 BINHAMU
230 1603116101 ABDUL NAFSIR
231 1449924502 ALMIRA ZALFA HABIBAH
232 1608909895 SRI MARYATI
233 1627313679 EKO YUWATI
234 1283560277 SAKHA RADITYA
235 1610519488 YANTI FIANTARI
236 1392927175 JAJANG HERMAWAN
237 1645785202 AZZAH ARWA SALSABILA
238 1610518555 DYAN SETYARINI
239 1523879111 DEVI OCTAVIANOS
240 1641530294 SRI KUNTARI
241 1156524186 IRVANNUDIN
242 1649316328 RETNO PUSPITASARI
243 1649316328 RETNO PUSPITASARI
244 1180042097 AKBARFAHRESI
245 1180042086 MARYANI
246 13-Aug 1515964634 RATNAWATI
247 1428990164 MARYAMAH
248 1638215954 ZAI DARZI
249 1603126102 IIS MULYANTI
250 1621943739 ALI BUKHORI
NO TANGGAL DIAGNOSA
252 1638871659 NUR SUWENDRA
253 1621943201 MUKHLIS SINALAHUDIN
255 1641534581 UTOYO
256 1627316155 MADRUS
257 1634511925 DALIA
258 1647283151 PEFI PURYANT
259 1186502411 ACHMADQOISFARZAN
260 1648049692 MUNARTI
261 1621944235 MARDIAH POHAN
262 1624001139 SOMAD
263 1187424145 MICHELIA NISAKYA DIANTI
264 14-Aug 1628093035 ANITA LESTARI
265 1178889208 M. FAQIH
266 1312444304 IKE TRYANA
267 1128872518 EDI SISWANTO
268 1645781455 RIYATNO
269 1649536929 DWI RININGSIH WULANDARI
270 1641538697 DEDE KURNIASIH
271 1621943638 DODI ANDESTA
272 1641505386 NADZHIFAH ZALFALIA
275 1844470484 EVELYN FRANSISCA TONDAWANI
NO TANGGAL DIAGNOSA
252 1641532972 QUROTUL AINI
253 1641513352 AMSIR
254 1625262794 FACHRUL RAZY
255 1632812152 SUPRIHATI
256 1628092135 NANI
257 1641533084 SITI AISYAH
258 1128843797 LINDA
259 1202387668 TALITHA SUHAILAH RAIHANAH
260 1142301183 HENRY SUDIHATNO
261 1610518792 HOTMARINA MANIK
262 1392927704 SARPUDIN
263 1631943224 MARHIDI
264 1647285063 RUNTONI
265 15-Aug 1621943166 DESCAPRIANI
266 1200694105 NAVISA KHASYAVANI DEPARI
267 1189042683 ADITYA NURUL RAMADHAN
268 1283560277 SAKHA RADITYA
269 1641530621 IKA SETYA NINGSIH
270 1638877871 HOTAMUNABIYAH
271 1603105042 ZAMRONI
272 1427793928 MUHAMAD RIZKY HIDAYAT
273 1427787775 OKTA ARDIYANSYAH
274 1174037275 MUHAMMAD RADITYA SAPUTRA
NO TANGGAL DIAGNOSA
251 1170831126 NURAIDA
252 1614087189 MUHAMMAD BAGAS ZHAFRAN
253 1614087167 MASFUFAH
254 1809859228 DEA AYU SUKOWATI
255 1809860286 ISMAIL FURQON
256 1479667847 SAKTI PUTRA RIYADINATA
257 1627319902 SITI HAWA
258 1640289813 NAYLA CAMELIA
259 1189628403 MUHAMMAD AZZAM
260 18-Aug 1632569207 MUHAMMAD MUKHSIN
261 1605906786 IRFA HAQIQI
262 1379383468 MUHAMMAD RAFFI NUGRAHA
263 1168265889 SHAFIN AKBAR
264 1392927715 SARWANI
266 1392927952 WARSIDI
268 1144992104 MAEMUNAH
270 1614087167 MASFUFAH
271 1273689731 ERI BUDIYANTO
272 1621943346 EKA WIJAYA
273 1805273234 AMAD TOHIRIN
274 1627769777 PURWANTI
275 1603064259 DARTA
NO TANGGAL DIAGNOSA
252 1640289813 NAYLA CAMELIA
254 1803835258 KOMALIANA PRASEPTIWI
255 1392927884 TARTI
256 1189982261 NURUL OKTAFIANI
257 1624766433 SURYANI
258 1603061583 RUSMIYATI
259 1306628673 YENITA
260 1216959805 ENDANG PURNAMAWATI
261 1627315661 JURYATI
262 1606392832 LATIF FERI RAMADHAN
263 1151788263 TAURI
264 1837002587 TRI PURWANINGSIH
265 1124963087 INDAH EVASARI
266 1436403598 ZAHWA AGITSNA
267 1614089711 SAKIDIN
268 19-Aug 1281373075 BUDI SANTOSO
269 1452939017 ARIF PRIYANTO
270 1216471667 AHMAD EFENDI
271 1216471792 AHMAD MAHESA LIANI
273 1603334709 JAMHARI
274 1430277726 SUPRIYANTI
275 1641510527 KOMARUDIN
NO TANGGAL DIAGNOSA
251 1640661366 YADI
252 1638879197 EJI DARJI
253 1609365734 SITI ROHANI
254 1629195603 ROENIH
255 1640292849 DENI SETIAWAN
256 1142089997 NURAENI
257 1131411521 RINO MUSTOFA
258 1641515949 SITI ALYA AZAHRA
259 1638878073 NENI
260 1149138415 FAJAR SAPUTRA
261 1609593592 MUHAMAD ALI SYA'BAN
262 1135446838 SISMOYO
263 20-Aug 1641523634 ROIYAH
264 1641523961 DUROTUL AINIYYAH
265 1628090921 ARFAN PRIHARDIANSYAH
266 1641513352 AMSIR
267 1438559638 SUKINI
268 1871332391 MUCHAMAD
269 1641549835 MASJIDAH
270 1647283533 DIKI DIAN PRATAMA
271 1641504947 ZAINI
272 1641515308 SUPARTI
273 1603063541 SUEB
274 1632569141 ANDI MAHMUDI
275 1628089931 DADANG KURNIAWAN
NO TANGGAL DIAGNOSA
251 1641551207 DIAN NURWULANSARI
252 1392929807 REFNIWAT
253 1607844262 IDAH KOMALASARI
254 1199837812 KAEYLA KANZA AZAHRA
255 1628089942 MELIAWATI
256 21-Aug 1609589553 SUSILATUL NAJMIAH
258 1169018436 SINTIA ANGELINA R
259 1168620131 LIA DIANA NABABAN
260 1641505386 NADZHIFAH ZALFALIA
263 1603127002 WINDI DAMAYANTI
265 1842291448 MUHAMAD ALDI AL GHAZALI
266 1621943616 YAHYA
267 1281373806 A SOFYAN HISNUN NAJAH
268 1310143329 AGUS DARSONO
269 22-Aug 1186653273 HERLIPA
270 1603334733 ADELIA NURFAHADA
271 1199878929 ANI YUSIKA
272 1848486227 ANDRY YADI
273 1640292737 ANAH
274 1641508604 AFRI YENI
275 1634512239 ACHMAD FAUZI
NO TANGGAL DIAGNOSA
251 1436402856 DESMIATI
252 1328053882 VANIA RAMADHINI
253 1641501999 SAIRAH
254 1187070748 SUMARSIH
255 1603108102 MARUF AKBAR ASA
256 1300758862 USWATUN HASANAH
257 1443390682 WAHYU MULYANA
258 1307949682 SOFWUN NIDA
259 1180932491 NURLIA
260 1138605412 NURWAHYUDI
261 23-Aug 1603109518 MUHIBAH TUN HASANAH
262 1467278133 ETI PURWANI
263 1219264918 DEVI AULIA ZAHRA
264 1153871469 MUHAMMAD JARI
265 1826211047 DARMISRI
266 1651116936 SUPRIHATIN
267 1647283533 DIKI DIAN PRATAMA
268 1814660335 RINI SUSANTI
269 1647857777 M PUNJUL
270 1650838959 KARTINI
271 1649536953 SASKIA AININDITA ZHIFARA
272 24-Aug 1621942424 DEFRINA SARI
273 1146541814 HENDRA HERMAWAN
274 1640288079 NASYWAH AZIZAH
275 1392926589 ALAMSYAH
NO TANGGAL DIAGNOSA
251 1632810655 SARTINI PUJI A
252 1132169275 IMAM SUROSO
253 1621943291 GINA TRI YUSIPA
254 1126551701 ABDULLAH ARSYAD
255 1144993241 AYATULLAH
256 1168011808 NUR HASANAH
257 1811919969 SUSILAWATI
258 1170585988 FUJI ANDRIYANI
259 1639789108 ERNA WATI
260 1798300282 SAMSUDIN BIN RASBAN
261 1650839646 NURHAYATI
262 1855421638 NANDA NOOR FAJRIYAH
263 1603062022 INDRA ATMAJA
264 1181330493 ZIYAD FAHMI HOOD
265 1603115886 M ARIPIN
266 1131001942 SAYADIH
267 1621943739 ALI BUKHORI
268 1153498961 AHMAD KHOIRUL
269 1439443506 EUIS SUKMAYATI
270 1614087178 NANDA FAZRI ILYAS
271 1614087189 MUHAMMAD BAGAS ZHAFRAN
272 1641549723 MAS ADAH
273 1603063462 APRILIA ARININGSIH
274 1300758862 USWATUN HASANAH
275 1135266276 SYAIFULLAH
NO TANGGAL DIAGNOSA
251 1861605112 MARYANI
252 1861604785 TEGUH
253 1439441919 FIRMANSYAH
254 1640291409 JA RONAH
255 1281373435 JAMILAH
256 1610518487 DARWANTO
257 1194893324 RAISA AURELLIA
258 1628092247 MASRUDIN
259 1638870963 IIN KUNAENI
260 1605842965 ALI BAHROWI
262 1270279743 DEVI TIURMAIDA
263 1611543633 RITA SISWARI
264 25-Aug 1145209522 IDA LESTARI
265 1201884311 BALDY CHAERUNASIH
266 1632813164 SUMARIAH
267 1144992104 MAEMUNAH
268 1476412389 AHMAD IRFAN AL JAWI
269 1436402856 DESMIATI
270 1841190963 MUHAMAD ALIF ADITYA
271 1642928938 KUSWARA
272 1621943695 ITA SETIANA
273 1833706618 BEYBI WULANDARI
274 1647702202 TAUFIK MAULANA
275 1140286623 MOHAMAD SUPRIYADI
NO TANGGAL DIAGNOSA
252 1164565271 NESYA ALIANI
253 1138119693 CASDIRO
254 1641537808 RINAWATI
255 1609365699 SITI AMINAH
256 1609365723 MUHAMMAD FAHRI ILHAM
257 1156435277 YANTI SRI REZEKI
258 1649540136 HAFIDZ RAFI RABBANI
259 1382220112 LIO ARSAKHA VIRENDRA
260 1641530294 SRI KUNTARI
261 1392927884 TARTI
262 1190273534 CAHYANI
263 1627307594 ALIMUDIN
264 1126551677 M NATSIR
265 1632825922 ALDO ZULIAN
266 26-Aug 1606378048 MIRNAWATI
268 1863573142 NURSADI
269 1609195162 MAULANA HASANUDIN
270 1188653501 MARTHA S
272 1621944156 TABRONI
273 1436420171 RINO YULIANTO
274 1132831697 IRFAN
275 1392927917 TRI HARYANTO
NO TANGGAL DIAGNOSA
251 1628092258 ASNAH BT ACHIR
252 1826211047 DARMISRI
253 1150935322 SUKARMAN
254 1171163316 ALFAT NUR KASIM
256 1649540136 HAFIDZ RAFI RABBANI
257 27-Aug 1392927557 NURULHUDA
258 1644386736 SRI SULISTYANINGSIH
259 1139786875 SUMIATI
260 1610512435 TARLIM
261 1300963601 SYAMSUDIN
262 1804946771 IFTINAH HAURA ZULFA
263 1301129741 JAENI
264 1621944257 DWI WAHYU KURNIATI
265 1632822974 SITIMAH
266 1383933148 UMMY MASYITA
267 1861288863 SITI ARMENAH
268 1614087178 NANDA FAZRI ILYAS
269 1649487622 AI SURYANI
270 1224037113 TYA AL-HABSYAH
271 1138119693 CASDIRO
272
273
274
275
NO TANGGAL DIAGNOSA
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
NO TANGGAL DIAGNOSA
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
NO TANGGAL DIAGNOSA
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
NO TANGGAL DIAGNOSA
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
TANDA
TANGAN
DI RUJUK PASIEN
rs islam spp
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
LAPORAN PELAYANAN

NO TANGGAL
1 1-Jul 1628228766 MOCHAMMAD SAPIIH
2 1641503147 HENI HARIANI
3 1621943548 INDRA NINGSIH
4 1621941658 SYAMSIAH
5 1621943649 KAILANA
6 1138194055 JAYADI
8 1795871531 ALI AKBAR
9 1146030401 SITI MARKONAH
10 1392927884 TARTI
11 1135001068 AZIS
13 1325275413 VIVI YUNITA
15 1328053882 VANIA RAMADHINI
16 1147776715 PATULLOH S
17 1137933617 SITI ALIMAH
18 1621943695 ITA SETIANA
19 2-Jul 1610184003 BOENG ROADI
20 1641523746 WILDAN MUKHOLLADUN
21 1632822985 WAHYUDIN
22 1174067087 SULAM
23 1853837043 IKA
25 1605842976 KUKUH AJI PAMUNGKAS
NO TANGGAL
26 1606365461 HENY LESTARI
27 1186707993 IIN MARLINA
28 1843560325 CHINDI PERMATA SARI
29 1422809392 SHINTIA MUZA SYAFARA
30 1392929807 REFNIWATI
31 0 1621942547 ANINGRUM
32 1610512503 YURINA
33 1843558705 SITI FATIMAH
34 3-Jul
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
NO TANGGAL
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
NO TANGGAL
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
NO TANGGAL
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
NO TANGGAL
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
NO TANGGAL
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
NO TANGGAL
176
177
178
179
190
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
NO TANGGAL
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
NO TANGGAL
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
NO TANGGAL
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
NO TANGGAL
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293

LAPORAN PELAYANAN
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
DIAGNOSA DI RUJUK
KB
DIAGNOSA DI RUJUK
..........................................................
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
TANDA
TANGAN
PASIEN
ju

NO TANGGAL DIAGNOSA
1 1-Jun 000 1199837812 KAEYLA KANZA AZAHRA Fever, unspecified
2 1793091802 SUKI (MARJUKI) Viral conjunctivitis, unspecified
3 1841190513 RISEL AMELIA Acute nasopharyngitis [common cold]
4 1621943649 KAILANA Diarrhoea
5 1611543644 HAFIDZ JULIANO WIBOWO Fever, unspecified
6 1611543622 KRISTADI HARIBOWO Internal haemorrhoids without complication
7 1328811445 AYUNIL JANNAH ALVINA Cutaneous abscess,
8 1328810591 NURHASAH Cluster headache syndrome
9 1632821106 NOVI SYAFRIANT Personal history of allergy to analgesic agent
10 1175663362 ROJELAH General counselling and advice on contraception
11 1376228518 RAYHAN ALBADRI Influenza with other manifestations, virus not identified
12 1621942659 RANA SAPARI Dyspepsia
13 1379784464 DESI KUNTARI COMN COLD
14 1605842908 UNI WINTARSIH Influenza with other manifestations, virus not identified
15 1842291448 MUHAMAD ALDI AL GHAZALI Influenza with other manifestations, virus not identified
16 1133580868 PRIAGUNG BUDI UTOMO Pulpitis
17 1833704278 TAHYA NURYANI Other forms of stomatitis
18 1430202104 MUHAMMAD EZA RIZQI KUSNIADI Fever, unspecified
19 1631665113 AULIA DEWI MASHITA Pulpitis
20 1377422021 AZRIL ALFIZAR Miliaria, unspecified
21 1609586638 SITI SOPMAWATI Diarrhoea
22 1392929829 RAVESH JUNIOR Influenza with other manifestations, virus not identified
23 1392928086 RAYES SURATMAN Influenza with other manifestations, virus not identified
24 1469087177 E'EN HERNAWATI Pulpitis
25 1392929144 HERMAWATI
NO TANGGAL DIAGNOSA
26 1180703924 TUMINI Headache
27 1631665089 SURYANINGSIH Dental examination
28 1627313679 EKO YUWATI Influenza with other manifestations, virus not identified
29 1603055709 RAKEL ROMADON Influenza with other manifestations, virus not identified
30 1178283148 KARTINI Examination of eyes and vision
31 1392928389 SALMAH Supervision of pregnancy with history of abortive o
32 1327050628 HESTININGSIH Influenza with other manifestations, virus not identified
33 3-Jun 1628092574 MUHAMAD RAMLI
34 1152991923 IWAN
35 1292334006 USMAN
36 1143248848 SURYAD
37 1799568022 SUSANTI
38 1603116101 ABDUL NAFS
39 1613156804 KERI MUNISA
40 1610502041 FIKRY ABDILLAH
41 1621942119 IKWAN FIRDAUS
42 1440530188 TARUDIN
43 1150473532 NENENG LAELA SARI
44 1632826607 AAN KARMILAH
45 1184305408 RUSANAH
46 1603104085 NOVI KURNIAWATI
47 1613157153 IIS SUMIATI
48 1837697714 NURKEASIH
49 1632822985 WAHYUDIN
50 1392929807 REFNIWATI
NO TANGGAL DIAGNOSA
51 1625097508 DIAN KRISMAWATI
52 1181041964 ZAIN ROMOHON SUKUR
53 1851247732 MUHAMMAD FAWWAZ
54 4-Jun 1605842649 JULKARNAIN
55 1603334711 MAGPIROH
56 1275902741 MUHAMAD AL-KHAFI
57 1614088607 MUSLIMIN
58 1318208332 ALFIAN IRFANA PUTRA
59 1621943616 YAHYA
60 1312732765 SITI NADROH
61 1480410009 ALIF MAULANA NARKUM
62 1480409414 FIKA NOVIA
63 1627307458 MUANAH
64 5-Jun 1613157153 IIS SUMIATI
66 1621943076 SRI WAHYUNI
67 1634312373 HERI PRIHATIN
68 1643888856 ALI NURMANSYAH
69 1621943166 DESCAPRIANI
70 1132831697 IRFAN
71 1428828265 KUSTINAH BT BUNAMIN
74 1428830335 IDNI PRAMESTI
75 1603120116 PUTRI NUR'AINI
NO TANGGAL DIAGNOSA
76 1609365734 SITI ROHANI
77 1126562051 ROKHIMAH
78 6-Jun 1142725847 AHMAD
79 1843240509 PUTRI JASMINE
81 1424482244 MOCHAMAD SUBEKHI
82 1609594773 THIMOTIUS NIFULAPU
83 1632838757 AGUS SETYO NUGROHO
84 1156896382 MARDIAH
85 7-Jun 1632813164 SUMARIAH
86 1829969559 WENI ROSMAYANA
87 1461371973 RAMDHAN AZHAR
88 1307948657 NAIMAH
89 1609365734 SITI ROHANI
91 1847736123 MUTIARA NAZWA AZZAHR
92 8-Jun 1338478749 NURBAHTIYAH
93 1187424145 MICHELIANISAKYADIANTI
94 1441320322 ERWIN
95 1625097508 DIAN KRISMAWATI
96 1133580868 PRIAGUNG BUDI UTOMO
98 1157254176 M.CHOLIS
99 1475770858 PAINEMI
100 1440125469 DANNING INDAH SEKARSARI
NO TANGGAL DIAGNOSA
101 1439934524 DHEA AMELIA PUTRI
102 1203972761 SADIYAH
104 1153871436 MUHAMAD ABDULLAH
105 1328810591 NURHASAH
106 1627307469 SUBEJO
107 1603102825 RINI WIJAYANTI
108 1428830335 IDNI PRAMESTI
109 1845369573 DEWI LESTARI
110 1123568212 SRI SUDARYANTI
111 1829533465 YANA MULYANA
113 1631665113 AULIA DEWI MASHITA
114 1621943346 EKA WIJAYA
116 1128661255 ROBY
117 1607978125 FITRIANI
118 1135446838 SISMOYO
119 1469087177 E'EN HERNAWATI
120 1469087177 E'EN HERNAWATI
121 1469087201 NAYLA ZASKIA SABILA
122 1621829799 ANTON HILMAN
123 1193930594 ARYO SEJATI
124 1640919857 DARINAH
125 9-Jun 1606256741 SRI PUJIYANTI
NO TANGGAL DIAGNOSA
126 1603119723 KASDIYAH
127 1640919857 DARINAH
130 1280019971 DENIA RAMADANI
131 1280019971 WARYATI
132 1280019971 NURNIATY
133 1280019971 SITI KASMI
134 1280019971 PUTRI FIRIANINGSIH
135 1280019971 IIS SUMIATI
136 1280019971 ZAHWA ADYA NAILA
137 1280019971 ABD ROHMAN
140 1377411726 IIN INDRAYANI
142 1169747561 FATIMAH ABDULLAH
144 1605842919 RIRIS YULIANI
145 1136605656 ALEX SETIAWAN
146 1471597211 SIYETUN
147 1605842998 SURIANI
148 1621176581 RAKHA AL HABSYI
149 10-Jun 1142725847 AHMAD
150 1194885674 PATMAWATI
NO TANGGAL DIAGNOSA
151 1151000829 AGUS SUPRIADI
152 1439934524 DHEA AMELIA PUTRI
153 1224856899 MAHFUZI
154 1288187739 NURLAELA
156 1628228766 MOCHAMMAD SAPIIH
157 1463703737 SUMAT
158 1632842458 UMIYATUN
159 1635775727 SEPTI SUPRIYATIN
160 1280715355 INDRA MULYANA
161 1632825922 ALDO ZULIAN
162 1138891634 SUSI RAHMAWATI
163 1632839501 TUMINEM
164 1438759258 SARINAH
165 1614087167 MASFUFAH
166 1614087156 FITRI YANDI
167 1311610836 ENDRIASARI
170 1603057364 MAULANA FEBRIANSYAH
171 1312444304 IKE TRYANA
172 1843559649 ENDAH DEWI SASMITA
173 1629195759 FITRIAH
174 1629195794 NABHAN ZULFADHLI
175 11-Jun 1619974168 JAMALUDIN
NO TANGGAL DIAGNOSA
176 1187987084 INDRI YENI
177 1614088618 NURUL SUWANTI
178 1635775727 SEPTI SUPRIYATIN
179 1320961149 SHOFIE KALILAH
190 1311610509 AMINUDIN
181 1392927884 TARTI
182 1632821319 KARTINI
183 1132831697 IRFAN
184 1170113962 TURAHMI
185 1145457178 M. RENDY APRIAN
186 1187070761 NOVI DWI MARYANTI
187 1146030221 ZUBAIDAH
188 1149071049 AFRIANAH
189 1200067132 MUHAMAD PRAYOGA PRATAMA
190 1631947713 NUROHMAN
191 1223915613 ABDUL HAMID
192 1609587044 EKAWATI
193 1188379179 ABDUL MUBAROK
194 1145209522 IDA LESTARI
195 1630871807 AZRIL KURNIAWAN
196 1139277969 ISMAIL KURBANI
197 1614088629 ARIO BOBY SAPUTRA
198 1614088607 MUSLIMIN
199 12-Jun 1430262876 NURANI
NO TANGGAL DIAGNOSA
201 1446895765 DIANI UMRI OKTARINI
202 1632822974 SITIMAH
203 1632810352 SRI ASTUTI
204 1621943166 DESCAPRIANI
205 1793091802 SUKI (MARJUKI)
206 1632822985 WAHYUDIN
207 1627307458 MUANAH
208 1467278144 SAEVAN AKHMAD PRATAMA
209 1467278122 AHMAD SAEFI
210 1443075489 YUDI ARFIYANTO
211 1138919163 SUMIASIH Antenatal screening, unspecified
212 1603059445 DESY NUR AINI Myalgia
213 1191994378 NURLAELA General counselling and advice on contraception
214 1627318991 KAMIM Dyspepsia
215 1627318989 WATI SRI WARSAH Influenza with other manifestations, virus not identi
216 1427787775 OKTA ARDIYANSYAH Influenza with other manifestations, virus not identified
217 1427793928 MUHAMAD RIZKY HIDAYAT Influenza with other manifestations, virus not identified
218 1480408749 NARKUM Caries of dentine
219 1179477988 NURISMA HUMAIRA Acute nasopharyngitis [common cold]
220 13-Jun 1157315826 TRIYONO BIN SAYUDI Acute nasopharyngitis [common cold
221 1185018669 ISMANTO Tuberculosis of lung, confirmed by unspecified means
222 1324051176 MUHAMMAD RASHA IBRAHIM Acute tonsillitis, unspecified
223 1444157504 ANTON Haemoptysis
224 1310143329 AGUS DARSONO Diabetic cataract
225 1841190963 MUHAMAD ALIF ADITYA Herpesviral infection, unspecified
NO TANGGAL DIAGNOSA
226 1151998468 PIAN Dyspepsia
227 1630871807 AZRIL KURNIAWAN Influenza with other manifestations, virus not identified
228 1623467654 SRI RAHAYU Chronic tonsillitis
229 1128889732 SUGENG WIDODO Disorder of gingiva and edentulous alveolar ridge, unspec
230 1156524186 IRVANNUDIN Acute pharyngitis, unspecified
231 1428990164 MARYAMAH Pain in joint, other sites
232 1632843009 CHAERUL BASYAR Otitis externa, unspecified
233 1603334171 FADILAH Antenatal screening, unspecified
234 1199960662 NOVALITA CC HARAHAP Influenza with other manifestations, virus not identified
235 1820289925 WASILATUN General counselling and advice on contraception
236 14-Jun 1297442889 ARMAIN Influenza with other manifestations, virus not identified
237 1383933554 PUTRI LAILA SYAWALIA Acute nasopharyngitis [common cold]
238 1189982261 NURUL OKTAFIANI Hypertrophy of tonsils
239 1836985667 FAIREL KHALIF PUTRANTO Fever, unspecified
240 1603056194 TITIN Spontaneous breech delivery
241 15-Jun 1621943087 BELA NURSARIPAH Influenza with other manifestations, virus not identified
242 1228201648 SUKANDI Diarrhoea and gastroenteritis of presumed infectious origin
243 1143515799 AHMADI Rat-bite fever, unspecified
244 1621943638 DODI ANDESTA Acute nasopharyngitis [common cold]
245 1632821106 NOVI SYAFRIANTI Acute bronchitis due to haemophilus influenzae
246 1435771337 NUR RANY FATIMAH Abnormal finding on antenatal screening of mother
247 1826211047 DARMISRI Myalgia
248 1787653978 H. ANWAR BASIR Neuralgia and neuritis,
249 1128946408 SRI MURYANI Acute nasopharyngitis [common cold]
250 1126551677 M NATSIR Chronic tonsillitis
NO TANGGAL DIAGNOSA
251 1140265045 ENDANG SAEPUDIN Influenza with other manifestations, virus not identified
252 1375555869 DEPI YANTI Influenza with other manifestations, virus not identified
253 1627307594 ALIMUDIN Dyspepsia
254 1187070761 NOVI DWI MARYANTI Multiple open wounds of head
255 1135387719 DEWI AGUSTIKAYANI Constipation
256 1182915336 RIZKYHAMDANI Diarrhoea and gastroenteritis of presumed infectious origin
257 1603106774 HERNI ARNIA Dyspepsia
258 1138694512 EKO HERIYANTO Pulpitis
259 1383933148 UMMY MASYITA Pulpitis
260 1484558019 YULINDA EFRIANTI Other antenatal screening
261 1603063552 TIARA BAYU SYABANI Influenza with other manifestations, virus not identified
262 1609589553 SUSILATUL NAJMIAH Cluster headache syndrome
263 1199027788 AISA NURLAELA General counselling and advice on contraception
264 1469087201 NAYLA ZASKIA SABILA Pulpitis
265 1469087177 E'EN HERNAWATI Other atopic dermatitis
266 1128661255 ROBY Acute nasopharyngitis [common cold]
267 1311610836 ENDRIASARI Influenza with other manifestations, virus not identified
268 16-Jun 1339090345 USNI MUBAROK
269 1275902741 MUHAMAD AL-KHAFI
270 1138605412 NURWAHYUDI
271 1632826607 AAN KARMILAH
272 1430262371 IBRAHIM
273 1628095779 NANDA MAULIA AZZAHRA
274 1285639806 MARUWIH DJAUHARI
275 1428990118 AHMAD HARIRI
NO TANGGAL DIAGNOSA
277 1200986853 FITRIA ANGGRAHENI
278 1610502063 KATRIYATI
279 1628094317 SEM TONDAWANI
280 1610514437 RADITHIA
282 1837697714 NURKEASIH
283 1628094339 M. NOVERYAN TONDAWANI
284 1610511996 AGUS SULAIMAN
286 1189982261 NURUL OKTAFIANI
287 1614086943 SYAFIRA ANINDYA CHERYL
288 17-Jun 1290385934 MAS ROFAH
289 1809860286 ISMAIL FURQON
290 1324525983 MAHMUR
291 1853837043 IKA
292 1603108091 NUR LAILA
293 1136354692 RUMINI
1628095162 SUWARNI
1621944178 ERNISA
1607869787 WARTO WIRANATA
NO TANGGAL DIAGNOSA
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
NO TANGGAL DIAGNOSA
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
NO TANGGAL DIAGNOSA
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
NO TANGGAL DIAGNOSA
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
NO TANGGAL DIAGNOSA
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
NO TANGGAL DIAGNOSA
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293

TANDA
TANGAN
DI RUJUK PASIEN
RS PELLABUHAN S.PA
us not identified
us not identified
us not identified
us not identified
us not identified
TANDA
TANGAN
DI RUJUK PASIEN
us not identified
us not identified
RS ISLAM SPM
RS ISLAM SPOG
us not identified
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
sp.og, rs oelabuhan
rs islam tht
us not identified
us not identified
specified means
TANDA
TANGAN
DI RUJUK PASIEN
us not identified
eolar ridge, unspec
us not identified
us not identified
tht rs islam pondok kopi
melahirkan
us not identified
med infectious origin
rs islam obgyn
TANDA
TANGAN
DI RUJUK PASIEN
us not identified
us not identified
med infectious origin
us not identified
sps rs firdaus
us not identified
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN

..........................................................
LAPORAN PELAYANAN
BULAN MEI TAHUN 2015

NO TANGGAL DIAGNOSA
1 2-May 1603459034 FARHAN AZZAKY IRAWAN ispa
2 1603459034 ASEP IRAWAN S periodontal
3 1603459034 AZRIL ALFIZAR ispa
4 1603459034 PENDEKAR AGUNG pharyngitis
5 1603459034 FAJRI periodontal
6 1603459034 FAJRI comn cold
7 1603459034 Diyana other abnormal finding
8 1603459034 Siti Maria Ulfah pulpitis
9 1603459034 Siti Maria Ulfah ispa
10 1603459034 Rahudi diare
11 1603459034 DINI miliaria
12 1603459034 NURAENI ispa
13 1603459034 MAYANG MUFLIKHATUS SONIYA bronkhitis
14 1603459034 MARHIDI pain local velvic
15 1603459034 MUHAMMAD RADITYA SAPUTRA tonslitis
16 3-May 1603103409 AZHAR WISNU NUGRAHA herpes
17 1427959012 SAIMAN ispa
18 1609587268 HARTINI myalgia
19 4-May 1632835181 DAYANAH Hyperemesis gravidarum with metabolic disturbance
20 1178994429 NURUL HIDAYAH Benign lipomatous neoplasm, unspecified
21 1627435001 LAMSIHARINA Imminent Abortion
22 1201151518 BILFAQIH REY ALTEZA Influenza with other manifestations, virus not identified
23 1324051176 MUHAMMAD RASHA IBRAHIM comn cold
24 1633653494 KARMIN Other forms of stomatitis
25 1633653516 KARTIKA Influenza with other manifestations, virus not identified
NO TANGGAL DIAGNOSA
26 1633653483 SITI NINGRUM Influenza with other manifestations, virus not identified
27 1633653527 MAHESA Acute tonsillitis, unspecified
28 1837697962 KAYLA NADINDRA YUSUP Influenza with other manifestations, virus not identified
29 1632816235 MARYATI Influenza with other manifestations, virus not identified
30 1327528877 NABILA HASNA AMIRA Influenza with other manifestations, virus not identified
31 1327524884 ROHMATUN INNAYAH Influenza with other manifestations, virus not identified
32 1632822985 WAHYUDIN Idiopathic gout, ankle/foot
33 1172187786 SRI HIDAYATULLAH Dyspepsia
34 1312449107 EMOT MUSITOH Influenza with other manifestations, virus not identified
35 1621943649 KAILANA Diarrhoea and gastroenteritis of presumed infectious orig
36 1150473532 NENENG LAELA SARI Antenatal screening, unspecified
37 1320961149 SHOFIE KALILAH comn cold
38 1607978248 AHMAD SAPII Dyspepsia
39 1392926793 CEPI RAHMAT Dyspepsia
40 1621943627 ADI CANDRA Urinary tract infection, site not specified
41 1609366858 UMAENI BT KUMALIYA Influenza with other manifestations, virus not identified
42 1624766422 GUGUN GUNAWAN Influenza with other manifestations, virus not identified
43 1799585572 FAWWAZ NUR PRATAMA Febrile convulsions
44 1819108809 YUNDA SYAFITRI Influenza with other manifestations, virus not identified
45 1392927917 TRI HARYANTO Influenza with other manifestations, virus not identified
46 1200694105 NAVISA KHASYAVANI DEPARI Varicella without complication
47 1133376827 SURANTO Dermatitis herpetiformis
48 1452939298 EKA ELISTYANA pulpitis
49 1392929807 REFNIWATI vertigo
50 1371290422 SARI DIANTI anc
NO TANGGAL DIAGNOSA
51 5-May 1172187786 SRI HIDAYATULLAH Pain localized to upper abdomen
52 1273765645 FA'IS RUDDIN Cluster headache syndrome
53 1135387719 DEWI AGUSTIKAYANI Other antenatal screening
54 1228259889 ROYATIH Hypertension, stage II
55 1603102926 R.R SOPHY DIASRIKA, SE Influenza with other manifestations, virus not identified
56 1842291448 MUHAMAD ALDI AL GHAZALI comn cold
57 1842290796 AHMAD ALDO HIPZILLAH Influenza with other manifestations, virus not identified
58 1625096362 SHOFI SALSABILAH Influenza with other manifestations, virus not identified
59 1158097138 MUHAMMAD ILHAM FAZLI Rat-bite fever, unspecified
60 1404303445 MARIYEM Influenza with other manifestations, virus not identified
61 1392926736 BAYU KURNIAWAN dyspepsia
62 1375957484 NADHIFA RAMADHANI Pulpitis
63 1190273534 CAHYANI Influenza with other manifestations, virus not identified
64 1128290163 SUYATMAN Hypertension, stage I
65 1285639806 MARUWIH DJAUHARI Abnormal results of cardiovascular function studies
66 1392928086 RAYES SURATMAN dyspepsia
67 1606256752 MUHAMMAD JAELANI comn cold
68 6-May 1151788263 TAURI ispa
69 1632843033 SITI MUBAROKAH ispa
70 1603126282 YANUARIUS NAHAK ispa
71 1223975294 NENENG ispa
72 1404303478 ESTI NUROHO ispa
73 1603057364 MAULANA FEBRIANSYAH comn cold
74 1603057342 WINDA AMRIYATI Pulpitis
75 1390543479 HERMAN SULAEMAN cepalgia
NO TANGGAL DIAGNOSA
76 1627318991 KAMIM neuritis
77 1147776715 PATULLOH S niddm
78 1191179395 FAJRI tonsilitis
79 1452939298 EKA ELISTYANA ispa
80 1631664977 RIDWAN necrosis pulpa
81 1138694512 EKO HERIYANTO pulpitis
82 1392927704 SARPUDIN ispa
83 1636231713 ROSIDIN alergi
84 1181041953 ROYHAN SATURA tonsilitis
85 1200090971 TATI PURWATI kb
86 1135387719 DEWI AGUSTIKAYANI Hyperemesis gravidarum with metabolic disturbanc
87 1377421288 DIAN IMELDA pain join pelvic
88 1171163316 ALFAT NUR KASIM tonsilitis
89 1202075651 RIFKY ALMI STIAWAN tonsilitis
90 1603104085 NOVI KURNIAWATI kb
91 1300963792 MUHAMMAD WILDAN tonsilitis
92 1300963691 UMU KULSUM Influenza with other manifestations, virus not identified
93 7-May 1625097508 DIAN KRISMAWATI ispa
94 1218341518 MAEMUNAH kb
95 1228201648 SUKANDI diare
96 1435771337 NUR RANY FATIMAH anc
97 1603105323 ADE SUSANTI kb
98 1157318829 RUBIYANTI cepalgiA
99 1174959584 RATIH ARDIA J DYSPEPSIA
100 1141687225 ERNAH Other abnormal findings on antenatal screening of mothe
NO TANGGAL DIAGNOSA
101 1606256649 MUHAMAD JAYADI ANC
102 1819108809 YUNDA SYAFITRI DYSPEPSIA
103 1427959012 SAIMAN COMN COLD
104 1603113592 LINAWATI PHARYNGITIS
105 1400090218 ADHI SUSENO PHARYNGITIS
106 1632812073 GUNARTO ATRITIS
107 1603110082 SUMIATUN DER,MATITIS SEBOROIK
108 1180672547 FELICIA APSARINI TONSILLITIS
109 8-May 1632843033 SITI MUBAROKAH ABNORMAL IN PREGNENCY
110 1312444304 IKE TRYANA LIPOMA
111 1830509976 EDI SUWARTO ISK
112 1443075489 YUDI ARFIYANTO GASTRITIS
113 1123568212 SRI SUDARYANTI DYSPEPSIA
114 1627307122 DEA SANDRA SARTIKA KONJUNTIVITIS
115 1217385044 HUSEN DYSPEPSIA
116 1603109395 SITI MARYAM VERTIGO
117 1392927175 JAJANG HERMAWAN TONSILLITIS
118 1187636534 KHOIROH PULPITIS
119 1309988013 HIKMAWATI LBP
120 1217385088 SAADIYAH DYSPEPSIA
121 1621943616 YAHYA INTERNAL HEMOROID
122 1621942121 MUHAMMAD NUR HENDRO
123 1438399326 MULYANA
124 1139786875 SUMIATI
125 1426742504 ANTON SUJARWO
NO TANGGAL DIAGNOSA
128 1843559346 ISWANTI
129 9-May 1174278554 ARSYAWAHYUNIYATI
131 1438996061 LENNI MARLINA SILITONGA
132 1379784464 DESI KUNTARI
133 1627316155 MADRUS
135 1606256651 DEWI MARIYASTUTI
136 1603334171 FADILAH
137 1621943649 KAILANA
138 1175007295 EEN SUHENTI
139 1631943224 MARHIDI
140 1174854396 ANGGUN KARTIKA PURBAYANTI
141 10-May 1795867154 DWI CITRA OKTOVIANI
142 1179061604 SITI HARTATI
143 1133376827 SURANTO
144 1443390805 ADZWAN RIFQI MULYA
145 1320270985 ENDANG PURWANTI
146 11-May 1202200874 MUHAMMA DNAQSYABANDI
147 1149138415 FAJAR SAPUTRA
148 1605842976 KUKUH AJI PAMUNGKAS
149 1392927704 SARPUDIN
150 1605842548 ERLIANA
NO TANGGAL DIAGNOSA
151 1607601464 ABDUL HARIS
152 1607601497 MUHAMAD AKRAM
153 1126551655 ERFIN YATIMO
154 1157318829 RUBIYANTI
155 1174959584 RATIH ARDIA J
156 1377422021 AZRIL ALFIZAR
157 1142127101 RIDWAN
158 1139786875 SUMIATI
159 1603103409 AZHAR WISNU NUGRAHA
161 1174067087 SULAMI
162 1147016788 ERNAWAT
163 1605842965 ALI BAHROWI
164 1603105042 ZAMRONI
165 1191514803 VALINO SEPTIAJI
166 12-May 1627307469 SUBEJO
167 1841406592 JEJET SURYATI
168 1842291448 MUHAMAD ALDI AL GHAZALI
169 1306104478 ELYAS SETIA MARJI
170 1621943649 KAILANA
171 1147715684 SYARIFUDIN
172 1171586068 HANIFA TU NISA A
173 1168460482 M WAFIQ AR RAZY ASHAR
174 1621943739 ALI BUKHORI
175 1519620513 HIE YEN CE
NO TANGGAL DIAGNOSA
176 1605842548 ERLIANA
177 1603939599 MUHTAR
178 1183209851 SITI NURJANAH
190 1183209862 MELIANA ANNISA
182 1621944156 TABRONI
183 1147776715 PATULLOH S
184 1191994378 NURLAELA
185 1621943662 YON PATRA WIJAYA
186 1139786875 SUMIATI
187 1402624809 NAJWA NURASYIFA SYAKIEB
188 1459260393 NARDJI
189 13-May 1627316605 ERMI
191 1301129807 SITI ASWATI
193 1168151207 M. EVAN MANSHIS
195 1610514437 RADITHIA
196 1196112071 FATIMA
197 1631664977 RIDWAN
198 1631943235 AIS FARICHATUL UMMAH
199 1297493886 IDLAN MUFID
200 15-May 1181744043 KUSYATI
NO TANGGAL DIAGNOSA
202 1133217033 ABDULLAH
203 1843240509 PUTRI JASMINE
204 1320811648 SURYO ARI SAPUTRO
205 1621942367 MUHAMMAD SAMAN
206 1170008256 IBNU FAJAR
207 1621942119 IKWAN FIRDAUS
208 1614088607 MUSLIMIN
209 1182081508 SUMIATI
211 1324051176 MUHAMMAD RASHA IBRAHIM
212 1306618536 NUR HUMAIRAA
213 1306617434 FATIMAH
214 1306616229 USMAN
215 1603106785 ASMIN TOHARI
216 1631665102 MUHAMMAD WILDAN SETIAWAN
218 1371290488 INDRI AULIA
219 1392927884 TARTI
220 1479667847 SAKTI PUTRA RIYADINATA
221 1432715455 SUPRIYADI
222 1131355989 WINARJI
224 1815464305 CHOIRUL UMAM
225 1603939599 MUHTAR
NO TANGGAL DIAGNOSA
226 17-May 1449923804 DIANA NINGSIH
227 1427959102 ENDANG PURWANINGRUM
228 1610514426 SUWIRYO
229 1621943616 YAHYA
230 1223917942 SEVIANI RAMADANI
231 1467278122 AHMAD SAEFI
232 18-May 1377422021 AZRIL ALFIZAR
233 1605842425 ALHAMEDI
236 1147715684 SYARIFUDIN
237 1632815087 NURHAYATI
238 1632816246 ANDIKA ARDIYANSYAH
239 1187082483 ACIH
240 1297493886 IDLAN MUFID
241 1229221247 GHAITS KAMIL
242 1614089981 WAHYU PUTRA WIHARTO
243 1144992104 MAEMUNAH
245 1621943627 ADI CANDRA
246 1376830945 TOMA'AH
247 1629195614 LISA NABILA J.D
249 1392927941 WAHYUDIN
NO TANGGAL DIAGNOSA
251 1138194055 JAYADI KB
252 1377421301 IGWAN RIKI GUNAWAN
253 1158204115 SUYATI
254 1794421653 HAMIDAH
255 1147016788 ERNAWATI
256 19-May 1628089569 ASEP ALI RAHMAT
258 1446895765 DIANI UMRI OKTARIN
259 1228201648 SUKANDI
260 1135258323 SUSI SRI RAHAYU
261 1627307133 SAYDI ALFIAN
262 1627307122 DEA SANDRA SARTIKA
263 1193855872 ANGGIA ZAHRA DEPARI
264 1851247383 FIA SUCI YANISA
265 1631360878 ABD ROHMAN
267 1632171767 UMI MUNGASAROH
268 1603116099 IDAH
269 1139277892 AMBRIN
270 1138694512 EKO HERIYANTO
271 1624766422 GUGUN GUNAWAN
272 1603108091 NUR LAILA
273 1449078298 ARLAN ZAINAL ARIFIN
274 1128661255 ROBY
NO TANGGAL DIAGNOSA
276 1614088607 MUSLIMIN
277 1605842673 HERNAWAN
279 1432113873 DULLOH
280 20-May 1621943649 KAILANA
281 1392927557 NURULHUDA
282 1137744516 AHMAD ANSORI
283 1788471584 ZAENAL SAMIRI
284 1628092247 MASRUDIN
285 1172750141 YULIANTI
286 1189042683 ADITYA NURUL RAMADHAN
287 1632827856 ACHMAD FARIZ MAULANA
289 1325275413 VIVI YUNITA
290 1842290199 SITI NURHAYATI
291 1607868426 RASIMI
292 1603109406 KOMSIYATUN
293 1288187739 NURLAELA
294 1519620513 HIE YEN CE
1126545309 MUH SUKRIN
1138119693 CASDIRO
1631665102 MUHAMMAD WILDAN SETIAWAN
1631665089 SURYANINGSIH
1300816721 JANUARDI
1392927399 MUSKI
NO TANGGAL DIAGNOSA
1631664977 RIDWAN
1218316465 NUROCHIEM HIDAYAT SOLEH
1171293603 SRIYANI
1126551677 M NATSIR
21-May 1627440557 TUTI ASTUTI
1628228766 MOCHAMMAD SAPIIH
1804946771 IFTINAH HAURA ZULFA
1133849632 ADITHIA RUSDIAWAN
1392927208 KOMARIAH BT SAMSUDIN
1187082505 HAIKAL NADI IBRAHIM
1148489302 NURUL MU'IN
1216471792 AHMAD MAHESA LIANI
1216471768 ANNISA FADILAH
1303266363 REGGINA NADYA SARI
1610507463 MASIROHTUSNAENI SHOLIKHHA
1202200874 MUHAMMA DNAQSYABANDI
1201689562 MOHAMMAD IRSAN
1603108091 NUR LAILA
1191179395 FAJRI
1137361882 PURWATI
1136521517 WARIYANTO
1609392407 DEDE CANDRA
1634512239 ACHMAD FAUZI
22-May 1628095779 NANDA MAULIA AZZAHRA
1187070748 SUMARSIH
NO TANGGAL DIAGNOSA
1312449107 EMOT MUSITOH
1193154118 M SEPTIAN RAMADHAN
1216249222 YUHARNITA
1216249244 NISRINA ZAYANI NABILAH
1627307458 MUANAH
1605842548 ERLIANA
1137128005 HERYANTO
1603106774 HERNI ARNIA
1603115706 NOVA ADELIA MUMTAZAH
1446896125 ALIFFIANDRA AZKA MULIA
1603334171 FADILAH
1377411726 IIN INDRAYANI
1377411761 WIKO WIYARNO
1850498381 SUHAIMAH MAISYARA SALSABILA
1834697518 MIRIH BT DARWAJI
23-May 1850498381 SUHAIMAH MAISYARA SALSABILA
1188618682 DZIKRAN FAQIH
1139750561 AGUS SUSANTO
1198048364 ST SRI UMI HANI
1190653255 ERNAWATI
1134124942 HASYIM ASHARI
1481021829 SUSILAWATI
1199960662 NOVALITA CC HARAHAP
1187070748 SUMARSIH
1171163327 SITI INDAH KIRANI
NO TANGGAL DIAGNOSA
1603103253 ELI HERMAWATI
1621943616 YAHYA
24-May 1610501736 NURSYAMSI
1853837684 RIZKI KHOIRUNNISA
1853838009 PUTRI ALLOHA ASEKA
1306628346 DARSONO
1848485643 ROJADI
1147937398 FAJAR AMAL
1851247383 FIA SUCI YANISA
1247674779 MUNGALIM
1629197559 MUHAMMAD RAIHAN
25-May 1216249222 YUHARNITA
1614088618 NURUL SUWANT ISK
1190273556 AHMAD ROMDONI
1126551655 ERFIN YATIMO FEVER
1392927952 WARSIDI diare
1621943706 MUSTIKA SARI APENDIKSITIS
1379383468 MUHAMMAD RAFFI NUGRAHA ISPA
1126551701 ABDULLAH ARSYAD
1459260393 NARDJI ht grd 2
1459264768 TARUNI ispa
1632810352 SRI ASTUTI CEPALGIA
1256732921 ADE ROSWITA
1300890846 KEISYA AULIA ARNELITA I
1150899636 ISMAIL SALEH
NO TANGGAL DIAGNOSA
1621943335 EKO ARIYADI PULPITIS
1621943346 EKA WIJAYA PULPITIS
1202075651 RIFKY ALMI STIAWAN
1606365461 HENY LESTARI ISPA
1630868062 DILA SANDHI PRATIWI DYSPEPSIA
1621943627 ADI CANDRA DYSPEPSIA
1628090919 ANANTO KURNIADI LBP
1627316469 DEWI RUKIATUN CEPALGIA
1123568212 SRI SUDARYANTI DYSPEPSIA
1300890216 DEWI PRIHATININGSIH
1603120083 ALFIYANTI CEPALGIA
1805202044 ACHMAD MASUDI MYALGIA
1157319336 MUHAMAD IQBAL MAULANA
1609364068 KOLIPAH ISPA
1635236381 RIZQON MUBAROK WANGSA ADHITAMA CONJUNGTIVITIS
1603062022 INDRA ATMAJA
1849746352 ELI anc
1270700649 SITI MARYAM
1270703384 DEA ALYA SYIFA
1603062011 UMINAH PULPITIS
1377418353 LISNAWATI DIARE
1631665089 SURYANINGSIH PULPITIS
1149967056 EKO SUHENDRO
26-May 1424269337 AIMI HT
1199356334 IHAT SOLIHAT KB
NO TANGGAL DIAGNOSA
1842722919 WIWI HAMALIA CEPALGIA
1625096362 SHOFI SALSABILAH I8SPA
1621943638 DODI ANDESTA CC
1390587737 ANISA NUR HERMAN SYAH ISPA
1814566149 SAUS NIDA AULIA TONSILLITIS
1421740225 AFFAN PRATAMA EBA ISPA
1392929425 MARLINA MYALGIA
1392927715 SARWANI MYALGIA
1605905504 IRMA FEITRINA ISPA
1609364068 KOLIPAH ISPA
1610502028 SUPADMI MYALGIA
1438997218 CHELSEA DHEA MONICA ISPA
1134407439 SABAH KHOIRUL HEMOROID
1173289882 OKTOFIANTI CC
1311610836 ENDRIASARI DERMATITIS
1621942547 ANINGRUM DIARE
1176081737 FARAH ZAIRINA DYSPEPSIA
1200326196 SITI FATIMAH BENJOLAN DI DINDING LANGIT MULUT
27-May 1844470484 EVELYN FRANSISCA TONDAWANI TONSILIIS
1605842976 KUKUH AJI PAMUNGKAS TONSILITIS
1628090919 ANANTO KURNIADI LBP
1133580868 PRIAGUNG BUDI UTOMO pulpitis
1170585988 FUJI ANDRIYANI HT STAG 2
1128892419 NURUL AYNI dermatitis
1621944156 TABRONI DIARE
NO TANGGAL DIAGNOSA
1392926646 ANDRIAN FAUJI DERMATITIS SEBOROIK
1199837812 KAEYLA KANZA AZAHRA FEVER
1158097138 MUHAMMAD ILHAM FAZLI PULPITIS
1392926646 ANDRIAN FAUJI PULPITIS
1168011808 NUR HASANAH KB
1427959102 ENDANG PURWANINGRUM HERPES
1427959192 ZLATICKHA MUTIA MECHFA HERPES
1150935322 SUKARMAN LBP
1382220112 LIO ARSAKHA VIRENDRA ISPA
1609594492 KADAM MEASLES
1609366869 SITI MULA SIFA OE
1137438797 ROJALI fever
1186428328 AURA PRADITYA MAHADEWI ISPA
1189628403 MUHAMMAD AZZAM ISPA
1136521517 WARIYANTO ispa
28-May 1392928018 YETI NURHIDAYATI myalgia
1187070592 INNAYAH ispa
1156435277 YANTI SRI REZEKI ispa
1635236368 ABDUL HADI AZHARI ispa
1392927208 KOMARIAH BT SAMSUDIN myopia
1613973723 CASRI'AH ispa
1607868426 RASIMI ht grd 1
1461063576 CITRA SEPTYANA ispa
1621942536 LISDIANA urticaria
1608909884 RUDI HARTONO isk
NO TANGGAL DIAGNOSA
1379784464 DESI KUNTARI ispa
1606538316 NILAWATI ispa
1328053882 VANIA RAMADHINI ispa
1164565271 NESYA ALIANI febris
29-May 1634512239 ACHMAD FAUZI hyper tyroidsm
1605842649 JULKARNAIN tb
1469087177 E'EN HERNAWAT ispa
1631360902 AHMAD ZAKY ispa
1804946771 IFTINAH HAURA ZULFA ispa
1136507218 AGUS MUSTOFA ispa
1623467676 GALANG DWI NOVIYANTO ispa
1136354692 RUMINI kb
1283560277 SAKHA RADITYA tb
1427793928 MUHAMAD RIZKY HIDAYAT ispa
1427769178 MUHAMAD FAISAL tonsillitis
1609365767 ANDHIKA DWI SAPUTRA ispa
1186502411 ACHMADQOISFARZAN ispa
1851247732 MUHAMMAD FAWWAZ tonsillitis
30-May 1606551388 MULYONO ispa
1603102825 RINI WIJAYANTI cepalgia
1178994431 LUTHFIAH LABIBAH Acute tonsillitis, unspecified
1184183807 TURIYAH Other antepartum haemorrhage
1186653284 MARSYASIGAPAPSARI nfluenza with other manifestations, virus not identified
1186653273 HERLIPA General counselling and advice on contraception
1632838746 HANDAYANI conjungtivitis
NO TANGGAL DIAGNOSA
1628092135 NANI
1306628673 YENITA nfluenza with other manifestations, virus not identified
1625096373 SAHIRA KHAIRUNNISA comn could
1200067143 DESI KARTIKA nfluenza with other manifestations, virus not identified
1126551701 ABDULLAH ARSYAD Myalgia
1607978248 AHMAD SAPII myalgia
1607978259 DAENAH F miliaria
1128863496 CIATI BT UJANG Toxic effect, other insecticides
1849746352 ELI caries dentis
31-May 1629197662 MIFTAHUL JANNA Influenza with other manifestations, virus not identified
1603105479 SRI KUNAESIH Hypertension, stage II
1628092124 MARULOH Dyspepsia
1181041964 ZAIN ROMOHON SUKUR Asthma
1610514426 SUWIRYO Vertigo of central origin
TANDA
TANGAN
DI RUJUK PASIEN
tht rs islam jakarta utara
spa, rs islam jakarta utara
ic disturbance
obgyn rs islam jakut

us not identified
us not identified
TANDA
TANGAN
DI RUJUK PASIEN
us not identified
us not identified
us not identified
us not identified
us not identified
us not identified
med infectious orig
us not identified
us not identified
igd rs islam
us not identified
us not identified
TANDA
TANGAN
DI RUJUK PASIEN
sppd. Rs firdaus
irus not identified
irus not identified

irus not identified
irus not identified
us not identified
nction studies
TANDA
TANGAN
DI RUJUK PASIEN
rs islam sp og
us not identified
screening of mothe
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
RS ISLAM BEDAH
TANDA
TANGAN
DI RUJUK PASIEN
IGD RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
rs islam sp m
rs koja sp urologi
TANDA
TANGAN
DI RUJUK PASIEN
rs firdaus sp. Paru
rs firdaus spa
rs islam spog
TANDA
TANGAN
DI RUJUK PASIEN
LAPORAN PELAYANAN
BULAN APRIL TAHUN 2015

NO TANGGAL DIAGNOSA
1 1-Apr 1303986881 SUPRIYADI
2 1377792843 FIRMAN NUR AKBAR
4 1631360878 ABD ROHMAN
5 1178994418 SUNARTI
6 1627307392 YUNINGSIH
8 1421740225 affan pratama eba
9 1284722155 LILISAN SURATNI
10 1603063449 Nining
11 1603063462 Aprilia Ariningsih
12 1199976344 HUDRIL FAIZ
14 1178994431 LUTHFIAH LABIBAH
15 1128034045 SYARIFUDDIN
16 1168460482 M WAFIQ AR RAZY ASHARI
17 1303986969 AHMAD KURNIAWAN
18 2-Apr 1135387719 DEWI AGUSTIKAYANI
19 1799176623 ATHA RAMADHAN
20 1839969325 rania khumaira zadni
21 1152219712 SLAMET CUKUP
22 1140940528 PURWANTO
23 1192679886 ADZRA AQUILA NESSA
25 1273798877 SAHARI
NO TANGGAL DIAGNOSA
26 1467210723 NAMAH
27 1603060931 Lili Uliyati
28 1193748579 ULFA WENITA CANIA
29 1169747561 FATIMAH ABDULLAH
30 1328053882 vania ramadhini
31 1183209851 SITI NURJANAH
32 1161325078 SALWATI
33 1152652803 NURYANA ADRIYAN
34 1602500692 NI LUH NYOMAN SUSANTI
35 4-Apr 1147600258 ERIZAL DEPARI
36 1141295444 ALI IMRAN
37 1421439491 bowo eko santoso
38 1128634929 PENDEKAR AGUNG
39 1830509976 edi suwarto
40 1631360902 AHMAD ZAKY
41 1151998468 PIAN
42 1178736254 RIZKY PRAWIRA ATMAJA
43 1147776715 PATULLOH S
44 1603055676 Ida Farida
45 1626138167 YULIANA NINGSIH
46 1199960662 NOVALITA CC HARAHAP
47 1190433745 M YUSRON AMIR
48 1441320322 ERWIN
49 1189442643 MARMI
50 1270700649 SITI MARYAM
NO TANGGAL DIAGNOSA
51 6-Apr 1809860286 ismail furqon
52 1184159338 MUHAMMAD FATHAN NUR
53 1621943739 ALI BUKHORI
54 1455382394 SUDARNO
55 1136836877 AMAN
56 1126551655 ERFIN YATIMO
57 1603116099 IDAH
58 1142127101 RIDWAN
59 1147600258 ERIZAL DEPARI
60 1186708004 M ROY FIRMANSYAH
61 1186707993 IIN MARLINA
62 1446895181 HERON MULIA S
63 1605842943 CASMIATI
64 1628092247 MASRUDIN
65 1458652678 SITI RUKAYAH
66 1180042097 AKBARFAHRESI
67 1200090971 TATI PURWATI
68 1149967056 EKO SUHENDRO
69 1621943346 EKA WIJAYA
70 7-Apr 1627307021 AMELIA
71 1481021829 SUSILAWATI
72 1314174047 YULIANIS
73 1314174126 REZA DESRIZAL
74 1375957484 Nadhifa Ramadhani
75 1797602703 SUHENDRA BIN JAKARIA
NO TANGGAL DIAGNOSA
76 1392927366 MUHAMMAD WAHYUDI
77 1157321575 PUTRI FIRIANINGSIH
78 1603055902 Yuni Sudarningsih
79 1153871436 MUHAMAD ABDULLAH
80 1190433723 ARFIAH
81 1607601475 ARABIAH
83 1603334171 Fadilah
84 1149967056 EKO SUHENDRO
85 8-Apr 1311610836 ENDRIASARI
86 1819028417 LASINI
87 1128946408 SRI MURYANI
88 1603459034 FARHAN AZZAKY IRAWAN
89 1218341801 Indri Alifiani Irawan
90 1628091538 JEPRIZAL
91 1136193669 M RIDWAN KASIM
92 1629195603 ROENIH
93 1621898065 BADRU ZAMAN
94 1178997399 INDAH PRATIWI
95 1621941748 ANDIANSYAH
96 9-Apr 1422809392 shintia muza syafara
97 1301129807 SITI ASWATI
98 1306628673 YENITA
99 1621942121 MUHAMMAD NUR HENDRO
100 1168997769 SIGIT
NO TANGGAL DIAGNOSA
101 1605008968 HERMAN SUHERMAN
102 1142089997 NURAENI
103 1459260393 NARDJI
104 1280713149 NIRIN BIN IBUT
107 1392927254 M. NASRUL LATIF
108 1443390682 WAHYU MULYANA
109 1123568212 SRI SUDARYANTI
110 1430262371 IBRAHIM
111 10-Apr 1128872643 INGOT ARITONANG
112 1196421873 LILY SUPIYAWATI
113 1297493886 IDLAN MUFID
114 1128872518 EDI SISWANTO
115 1170008256 IBNU FAJAR
117 1123813304 SADIKIN
118 1788541896 ABIYU DANISWARA SETIJADI
119 1793093253 nurhayati
120 1476549382 SITI SUBIWATI
121 1186428328 Aura Praditya Mahadewi
122 1190433745 M YUSRON AMIR
123 1628091549 DWIATUN
124 11-Apr 1603108091 Nur Laila
125 1306625139 ALIAH
NO TANGGAL DIAGNOSA
126 1627307469 SUBEJO
127 1441769657 IDA FARIDA
128 1314160762 ASTUTI
129 1181028374 IDA RATNAWATI BSC
130 1273689731 ERI BUDIYANTO
131 1607601453 MUHAMAD SIDIK ARKAM
132 1270167581 MUHAMAT AZKA RIFAI
133 1607844249 Dudu
134 1195831528 DJUBAEDAH
135 1325391489 muhamad alfandi juniansyah
136 1168460482 M WAFIQ AR RAZY ASHARI
137 12-Apr 1607641885 SITI MAESAROH
138 1463703704 SIH LARASATI.
139 1139436797 YUNUS BIN KASDI
140 1135615138 CAHYATI
142 1603105108 Reni Susanti
143 1318109578 TOCHARI
144 1147776715 PATULLOH S
145 1803835258 komaliana praseptiwi
146 13-Apr 1621943166 DESCAPRIANI
147 1830509976 edi suwarto
149 1171293603 SRIYANI
150 1126218778 BINHAMU
NO TANGGAL DIAGNOSA
151 1157320855 NANDA
152 1327055501 H.MAS'AH
153 1443075489 YUDI ARFIYANTO
154 1443075311 LIZA INDRAWATI
156 1188898233 GALIH ADITIYO S
157 1128906797 MADINIH
158 1156896382 MARDIAH
159 1621943627 ADI CANDRA
160 1820289925 Wasilatun
161 14-Apr 1446896125 ALIFFIANDRA AZKA MULIA
162 1392927208 KOMARIAH BT SAMSUDIN
163 1190433723 ARFIAH
164 1791196716 DZAKIYYA TALITA SHOFI
165 1300890216 DEWI PRIHATININGSIH
167 1606365483 HANIFA KAMILIYA AZIZAH
168 1270279743 DEVI TIURMAIDA
169 1136888008 UNTUNG URIP
170 1180672536 MUHAMAD IRVAN NURHAKIM
172 1603063449 Nining
173 1606131011 HANA SAFITRI
174 1815464305 Choirul Umam
175 1392927186 JONI RAHMAT
NO TANGGAL DIAGNOSA
176 1603064193 Warsini
177 1392927884 TARTI
178 1191994378 NURLAELA
179 15-Apr 1135387719 DEWI AGUSTIKAYANI
190 1145452375 VICKY HARI PRASTIAN
182 1621944156 TABRONI
183 1310420125 AGUSTINA BAGUS
184 1380751852 HASANUDDIN
185 1150935322 SUKARMAN
187 1138119693 CASDIRO
188 1182943394 VIRGIAWANAL GIBRAN
189 1606256649 MUHAMAD JAYADI
191 1157547374 AGHNIYAH CHAERUNISYA
192 1631943224 MARHIDI
193 1138919163 SUMIASIH
194 16-Apr 1432681536 HULWA HASSIFAH
195 1631943224 MARHIDI
196 1190871347 AISAH
197 1131411521 RINO MUSTOFA
198 1131001942 SAYADIH
199 1426177877 ADE SISWANTO
200 1838333114 NAZWA KAROMAH
NO TANGGAL DIAGNOSA
201 1139277892 AMBRIN
202 1190433723 ARFIAH
203 1190433745 M YUSRON AMIR
205 1621943627 ADI CANDRA
206 1178994429 NURUL HIDAYAH
207 1621943346 EKA WIJAYA
208 1288187739 NURLAELA
209 1148018916 MUSTAJIB BUROKHMAN
210 17-Apr 1392929155 MUHAMMAD VINO SEBASTIAN EL SHAARAWY
211 1300890216 DEWI PRIHATININGSIH
212 1628094554 DENIA RAMADANI
213 1339090345 USNI MUBAROK
214 1607975111 MUHAMMAD ALIF A ZIKRA
215 1137128027 ERNI WATI
216 1224037113 Tya Al-Habsyah
217 1621943616 YAHYA
218 1198024762 YANI KORIAH
219 1603103264 Dede Sumarna
220 1170831284 WULAN YUNITA
221 1139277925 DEDI ISKANDAR
222 1139282785 KOKO HERYANTO
NO TANGGAL DIAGNOSA
226 1172187786 SRI HIDAYATULLAH
227 1603063462 Aprilia Ariningsih
228 1607868944 ROMLAH
229 18-Apr 1621943166 DESCAPRIANI
230 1187082483 ACIH
231 1199878841 SITI RABIATUL ADAWiyah
232 1623467654 SRI RAHAYU
233 1136521451 SUSANTO
234 1375067463 Rista Herlina Putri
235 1375067439 Fitria Aprian
236 1627315942 AMELIAH
237 1466445115 NURHATI
238 1141687225 ERNAH
239 1318208332 alfian irfana putra
240 1134661634 SUKARWI
243 1147776715 PATULLOH S
244 1136575192 HETI ROMZIANA
245 1189442643 MARMI
247 1467278122 AHMAD SAEFI
248 19-Apr 1392927186 JONI RAHMAT
249 1449924502 Almira Zalfa Habibah
250 1631360902 AHMAD ZAKY
NO TANGGAL DIAGNOSA
251 1128290117 ABDUL HARIS KB
252 1321994891 UMI MATUN HABIBAH
253 20-Apr 1286126098 SETYAJI
254 1621942244 ELENDARI
255 1171293614 SUPRIYANTO
256 1128834099 IRWAN AWALUDIN
258 1796691159 SANDY ARDIYANSYAH
259 1161750262 RUBI NURAPRILLIA
260 1300816721 JANUARDI
261 1180659486 M FADHLUL
262 1157309199 AMIRUDdIN
264 1603126282 Yanuarius Nahak
265 1603126271 Maria Goreti Manehitu
266 1603113592 Linawati
267 1382220112 LIO ARSAKHA VIRENDRA
268 1605842965 ALI BAHROWI
269 1144992104 MAEMUNAH
270 1195831517 MIRDATI
271 1804795582 SULAEMAN
272 21-Apr 1484557435 UNTUNG RIYADI
273 1142896937 IWAN BUDIANTO
274 1379784464 DESI KUNTARI
275 1627435001 LAMSIHARINA
NO TANGGAL DIAGNOSA
277 1201076662 FABIAN ARKANA RADITYA
278 1137128027 ERNI WATI
280 1278741565 HJ IPAH
283 1147776715 PATULLOH S
284 1603060143 Ghaits Talisukma Priyanisa
285 1189442665 MUHAMMAD IKBAL LUBIS
286 1628095173 SHELVIA MARTHA MIANI
288 1603063539 Turaesih
289 1603103253 Eli Hermawati
290 1173094637 NOVITA SAFITRI
291 1603104085 Novi Kurniawati
292 1392929695 GUNAWAN JOKO PRATOMO
293 1430262371 IBRAHIM
1139786875 SUMIATI
22-Apr 1188618682 DZIKRAN FAQIH
1142334426 PRISTIAN ARMAN PERMADI
1800430457 ADE KURNIALLAH
1433307576 nur kumala
1433309152 nur syahada muis
1428990164 MARYAMAH
NO TANGGAL DIAGNOSA
1435576151 tri wahyuningsih
1392926589 ALAMSYAH
1392928312 SUSMIATI
1621943548 INDRA NINGSIH
1168151207 M. EVAN MANSHIS
1328053882 vania ramadhini
1126551677 M NATSIR
1430202104 MUHAMMAD EZA RIZQI KUSNIADI
1430200901 YULI KUSNIADI
1624432342 LEGINO
1621943087 BELA NURSARIPAH
1621942121 MUHAMMAD NUR HENDRO
1603120083 ALFIYANTI
1603119666 NUNUNG SEFITRI
1628090908 MULYATI
1605842919 RIRIS YULIANI
1124963087 INDAH EVASARI
23-Apr 1458652678 SITI RUKAYAH
1621941658 SYAMSIAH
1611543633 RITA SISWARI
1427959012 SAIMAN
1427959102 ENDANG PURWANINGRUM
1621944156 TABRONI
1142896937 IWAN BUDIANTO
1144992104 MAEMUNAH
NO TANGGAL DIAGNOSA
1187636523 MISTUKI FADLILAH
1603115706 NOVA ADELIA MUMTAZAH
TANDA
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DI RUJUK PASIEN
TANDA
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DI RUJUK PASIEN
TANDA
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TANDA
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LAPORAN PELAYANAN

NO TANGGAL DIAGNOSA
1 2-Mar 1481021829 SUSILAWATI ANC
2 1170831126 NURAIDA ABNORMAL FINDING ON ANC OF MOTHER
3 1187424145 MICHELIANISAKYADIANTI CARIES OF DENTINE
4 1625097508 DIAN KRISMAWATI DYSPEPSIA
5 1439934524 dhea amelia putri TB PARU
6 1133580868 PRIAGUNG BUDI UTOMO NEURALGIA
7 1480410009 ALIF MAULANA NARKUM ISPA
8 1427787775 OKTA ARDIYANSYAH ISPA
9 1819108809 YUNDA SYAFITRI MATERNAL HYPERTENSION
10 1191775645 RAHMI LARASATI CUTONEOUS ABSCESS, FURUNCLE
11 1142264632 AGUS SETIAWAN TONSILITIS
12 1193195553 RUSDAH BRONCHIAL ASTHMA
13 1187070592 INNAYAH RAT-BITE FEVER
14 1192389309 SITI MUKAROMAH TONSILITIS
15 1309988013 Hikmawati BRONCHITIS
16 1134407439 SABAH KHOIRUL CUTANEOUS ABSCESS
17 1392927884 TARTI TONSILITIS
18 1189982261 NURUL OKTAFIANI TONSILITIS
19 1379909619 ARPIAH SEBORRHOEIC DERMATITIS
20 1123568212 SRI SUDARYANTI KB
21 1603063563 Mega Rahayu TINEA CORPORIS
22 1443390737 MURYANIH KB
23 3-Mar 1458698141 YULIANA SETYAWANI OTHER SINGLE DELIVERY BY SC SECTION
24 1320961149 shofie kalilah FURUNCLE
25 1199356334 IHAT SOLIHAT KB
NO TANGGAL DIAGNOSA
26 1136354692 RUMINI KB
27 1178889208 M. FAQIH FEBRILE CONVULSIONS
28 1621943335 EKO ARIYADI CARIES OF DENTINE
29 1191179395 FAJRI TOSILITIS
30 1392927917 TRI HARYANTO HEPATITIS B
31 1128661255 ROBY DYSPEPSIA
32 1182943394 VIRGIAWANAL GIBRAN OTITIS MEDIA
33 1126551655 ERFIN YATIMO COMMON COLD
34 1174959584 RATIH ARDIA J DIARE
35 1338474936 EFFATA YUNI KRISNAWATI EXAMINATION TRANSPORT ACCIDENT
36 1606365483 HANIFA KAMILIYA AZIZAH FEBRILE CONVULSIONS
37 1128290117 ABDUL HARIS ISPA
38 1200090971 TATI PURWATI KB
39 4-Mar 1603334733 Adelia Nurfahada ISPA
40 1127495711 SUSIONO COMMON COLD
41 5-Mar 1128661255 ROBY ABN FIND IN SPECS FRM DIGESTIVE ORG
42 1270700649 SITI MARYAM PATHOLOGICAL FRACTURE ,FOREARM
43 1392929144 HERMAWATI CANDIDIASIS OF VULVA AND VAGINA
44 1141687225 ERNAH ANC
45 1187507845 MUHAMMAD RIZKI OTHER DISEASE OF TONGUE
46 1191799754 SANTI ENJELIKA PANJAITAN PULPITIS
47 1191799732 HERnITA SIMANJUNTAK ANC
48 1124963087 INDAH EVASARI COMMON COLD
49 1300890846 KEISYA AULIA ARNELITA ISPA
50 1192988913 TSAQIF ADITHIA PUTRA COMMON COLD
NO TANGGAL DIAGNOSA
51 1427787775 OKTA ARDIYANSYAH TONSILITIS
52 1427769178 MUHAMAD FAISAL ISPA
53 1603106785 Asmin Tohari HYPERTENSION
54 1392927996 WINDIANI ISPA
55 1603119723 KASDIYAH TONSILITIS
56 1603103387 Nurjanah COMMON COLD
57 1187424145 MICHELIANISAKYADIANTI COMMON COLD
58 1280019971 ROMDARIYAH HYPERTENSION
59 1603064237 Rio Rayhan Dwi Saputra STOMATITIS
60 1603064193 Warsini HEADACHE
61 1217385077 SITI HOIRUNNISA ISPA
62 1603110082 Sumiatun ISPA
63 1603334171 Fadilah ANC
64 6-Mar 1135258323 SUSI SRI RAHAYU COMMON COLD
65 1421803089 al fath maulana sigit COMMON COLD
66 1137709776 SIGIT SURATNO ISPA
67 1435771337 nur rany fatimah ANC
68 1144992104 MAEMUNAH COMMON COLD
69 1187636523 MISTUKI FADLILAH DYSPEPSIA
70 1392929458 SARLITA SALMA COMMON COLD
71 1392929447 SALSABILLA MAHARANI TONSILITIS
72 1379784464 DESI KUNTARI ANC
73 1328811445 AYUNIL JANNAH ALVINA TONSILITIS
74 1602500692 NI LUH NYOMAN SUSANTI DIARE
75 1187082494 ANISSA NURHALIZAH TONSILITIS
NO TANGGAL DIAGNOSA
76 1144385954 KARNADI PULPITIS
77 1307321302 KHOIRUNNISA TH COMMON COLD
78 1621943695 ITA SETIANA MALIGNANT NEOPLASM, ENDOMETRIUM
79 1158204115 SUYATI PULPITIS
80 1147937398 FAJAR AMAL COMMON COLD
81 1392926646 ANDRIAN FAUJI COMMON COLD
82 1186502409 DEDEHMAHMUDAH HEADACHE
83 1815464981 Hafid Fajarudin TONSILITIS
84 1128876603 SUKAEMI ATOPIC DERMATITIS
85 1131604571 LUKMAN NURDIN NEURALGIA
86 1797850383 muqoyyad dhiaaus sidqo ISPA
87 7-Mar 1392926589 ALAMSYAH PULPITIS
88 1797848447 NURYANTI PERIODONTITIS
89 1428990265 USWATUN HASANAH PERIODONTITIS
90 1441824715 MUHAMAD KANAKA GILANG PRASETYO ISPA
91 1137438797 ROJALI ISPA
92 1404303298 MOHAMAD ARDIANSYAH FURUNCLE
93 1167653305 WARDENIH ISPA
94 1427769178 MUHAMAD FAISAL ISPA
95 1819247624 yeyen rusdiana ABNORMAL FINDING ON ANC OF MOTHER
96 1141118864 MUSIRAH COMMON COLD
97 9-Mar 1320961149 shofie kalilah ISPA
98 1197478282 DARIYAH ZAENAROH COMMON COLD
99 1154628325 ALI MUSTOFA DIARE
100 1187070693 VIVI ASTIJANI DIARE
NO TANGGAL DIAGNOSA
101 1392929458 SARLITA SALMA ALLERGIC CONTAC DERMATITIS
102 1153871436 MUHAMAD ABDULLAH APPENDICITIS
103 1310143329 AGUS DARSONO COMMON COLD
104 1603106785 Asmin Tohari HYPERTENSION
105 1141106231 AWANG COMMON COLD
106 1603063539 Turaesih VERTIGO
107 1176081748 MAYYANA ILMIRAA COMMON COLD
108 1607601464 ABDUL HARIS HEADACHE
109 1196402354 MUHAMMAD HUGO P ISPA
110 1171586068 HANIFA TU NISA A ISPA
111 1136003747 MUKRI HYPERTENSION
112 1144515126 YATI SURYATI MYALGIA
113 1392926736 BAYU KURNIAWAN VULNUS LACERATUM
114 10-Mar 1128871001 UMIZUMROTUN COMMON COLD
115 1392927557 NURULHUDA EXTERNAL HAEMORRHOIDS
116 1450264623 SIFAH FAUZIAH KB
117 1392928997 MAULIDIYAH ISPA
118 1136516703 ISWANTO COMMON COLD
119 1147776715 PATULLOH S DIARE
120 1132831697 IRFAN DENGUE FEVER
121 1170831284 WULAN YUNITA ISPA
122 1200067143 DESI KARTIKA BRONCHOPNEUMONIA
123 1148018916 MUSTAJIB BUROKHMAN COMMON COLD
124 1432716309 SUPINAH KB
125 1432715455 SUPRIYADI MYALGIA
NO TANGGAL DIAGNOSA
126 11-Mar 1133011528 NAHRUDIN ISPA
127 1458652678 SITI RUKAYAH ISPA
128 1126551701 ABDULLAH ARSYAD ISPA
129 1803834033 harini widyastut ENDOMETRIOSIS OF OVARY
130 1228201648 SUKANDI MYALGIA
131 1605713916 RENDY ISPA
132 1621944156 TABRONI TONSILITIS
133 1300963601 SYAMSUDIN ISPA
134 1606365472 KEISA FARAHIYAH N PULPITIS
135 1140265045 ENDANG SAEPUDIN ISPA
136 1621943087 BELA NURSARIPAH PULPITIS
137 1382220112 LIO ARSAKHA VIRENDRA ISPA
138 1603115706 NOVA ADELIA MUMTAZAH ISPA
139 1138119693 CASDIRO TB PARU
140 1467278122 AHMAD SAEFI TB PARU
141 1603117023 SUHARTI INTERNAL HAEMORRHOIDS
142 1133580868 PRIAGUNG BUDI UTOMO DIARE
143 1467278144 SAEVAN AKHMAD PRATAMA COMMON COLD
144 12-Mar 1442569342 ANIK COMMON COLD
145 1311610836 ENDRIASARI BENIGN LIPOMATOUS NEOPLASM OF OTHER SITES
146 1831820973 alius BENIGN NEOPLASM,PROSTATE
147 1128892419 NURUL AYNI EXAMINATION OF EYES AND VISION
148 1199837812 KAEYLA KANZA AZAHRA FEVER
149 1270700649 SITI MARYAM ISPA
150 1147776715 PATULLOH S INTERNAL HAEMORRHOIDS
NO TANGGAL DIAGNOSA
151 1449079119 MUHAMMAD NURUL MA'ARIF DENGUE HEMORRHAGIC FEVER
152 1200067143 DESI KARTIKA TB PARU
153 1137361882 PURWATI COMMON COLD
154 1128290117 ABDUL HARIS TONSILITIS
155 1175663362 ROJELAH TONSILITIS
156 13-Mar 1280019971 ROMDARIYAH HYPERTENSION
157 1438759642 TRI HANDOKO COMMON COLD
158 1128290117 ABDUL HARIS COMMON COLD
159 1455385634 RUKIYAH MYALGIA
160 1455382394 SUDARNO ASTHMA
161 1157318752 FAHMI NUR ALWI BRONCHITIS
162 1189442643 MARMI SECONDARY HYPERTENSION
163 1603108091 Nur Laila DERMATITIS HERPETIFORMIS
164 1603108102 Maruf Akbar Asa ISPA
165 1180672547 FELICIA APSARINI TONSILITIS
166 1199027788 AISA NURLAELA KB
167 14-Mar 1325390927 christin rahayuningtyas ATOPIC DERMATITIS
168 1427959102 ENDANG PURWANINGRUM OTHER HIGH-RISK PEGNANCIES
169 1626138178 LUKAS TANJUNG ATOPIC DERMATITIS
170 1815464619 Siti Huliyah DIARE
171 1191994378 NURLAELA KB
172 1310459005 florensia geyatri sukardi CUTONEOUS ABSCESS, FURUNCLE
173 1149568391 SUNARYO MYALGIA
174 1428990265 USWATUN HASANAH TONSILITIS
175 1141687225 ERNAH ISPA
NO TANGGAL DIAGNOSA
176 1621943346 EKA WIJAYA PULPITIS
177 1195223837 SURATMAN TONSILITIS
178 1621943616 YAHYA COMMON COLD
179 1178994418 SUNARTI HYPERTENSION
190 1146141977 MUH AMIN RIZQI COMMON COLD
181 1427787775 OKTA ARDIYANSYAH COMMON COLD
182 16-Mar 1228201648 SUKANDI DYSPEPSIA
183 1427959102 ENDANG PURWANINGRUM ISPA
184 1435771901 raisyah putri athayad VIRAL INFECTIONS
185 1128892419 NURUL AYNI CONJUNCTIVITIS
186 1623467643 TRI YANU MULYO SUSANTO HYPERTENSION
187 1170585988 FUJI ANDRIYANI TONSILITIS
188 1392928312 SUSMIATI COMMON COLD
189 1312731167 PATULOH VERTIGO
190 1260311332 HiKMAN DIARE
191 1141106231 AWANG COMMON COLD
192 1217385088 SAADIYAH DYSPEPSIA
193 1187070693 VIVI ASTIJANI MYALGIA
194 1142089997 NURAENI MYALGIA
195 1150935322 SUKARMAN DIARE
196 1140286623 MOHAMAD SUPRIYAD DIARE
197 1480410009 ALIF MAULANA NARKUM VIRAL INFECTIONS
198 1199837812 KAEYLA KANZA AZAHRA FEVER
199 1427787775 OKTA ARDIYANSYAH ISPA
200 17-Mar 1217385077 SITI HOIRUNNISA ABDOMINAL PAIN
NO TANGGAL DIAGNOSA
201 1603103602 Priyo Sudjatmiko MYALGIA
202 1306625139 ALIAH ISPA
203 1306629009 PUTRA SAHREZA TONSILITIS
204 1607601497 MUHAMAD AKRAM ISPA
205 1275902741 MUHAMAD AL-KHAFI TONSILITIS
206 1200694105 NAVISA KHASYAVANI DEPARI EPILEPSY
207 1820289925 Wasilatun DYSPEPSIA
208 1193855872 ANGGIA ZAHRA DEPARI PULPITIS
209 1449924502 Almira Zalfa Habibah ISPA
210 1182915336 RIZKYHAMDANI DIARE
211 1621943346 EKA WIJAYA PULPITIS
212 1392926793 CEPI RAHMAT ISPA
213 1392928514 RODIYAH NURLAELA ISPA
214 1149138415 FAJAR SAPUTRA ISPA
215 1339090345 USNI MUBAROK TB PARU
216 1128889732 SUGENG WIDODO GANGRENE
217 1430277726 SUPRIYANTI ISPA
218 18-Mar 1438758764 TJAHYONO MYALGIA
219 1621943739 ALI BUKHORI FEVER
220 1603115245 MASRIATI RENAL COLIC
221 1153871436 MUHAMAD ABDULLAH APPENDICITIS
222 1149138415 FAJAR SAPUTRA COMMON COLD
223 1443075489 YUDI ARFIYANTO FURUNCLE
224 1427959012 SAIMAN COMMON COLD
225 1621829799 Anton Hilman MYALGIA
NO TANGGAL DIAGNOSA
226 1200067121 TINI yulianti COMMON COLD
227 1454979879 KHASANUDIN MYALGIA
228 1621943087 BELA NURSARIPAH PULPITIS
229 1606365472 KEISA FARAHIYAH N PULPITIS
230 1312732765 SITI NADROH ISPA
231 1392926646 ANDRIAN FAUJI PULPITIS
232 1125053019 WAHID NURSALIM HEADACHE
233 1392929807 REFNIWATI VERTIGO
234 1327050628 HESTININGSIH DIARE
235 19-Mar 1439934524 dhea amelia putri DIARE
236 1202200874 MUHAMMA DNAQSYABANDI COMMON COLD
237 1621944235 MARDIAH POHAN CANDIDIASIS OF VULVA AND VAGINA
238 1136931276 MARHUSNA ISPA
239 1458698141 YULIANA SETYAWANI URINARY TRACT INFECTION
240 1297442968 ROMI ADITYA ARDANA STOMATITIS
241 1392928086 RAYES SURATMAN ISPA
242 1804814223 NABILA SULISETIAWAT TONSILITIS
243 1328053882 vania ramadhini ISPA
244 1128906797 MADINIH MYALGIA
245 1621942121 MUHAMMAD NUR HENDRO DYSPEPSIA
246 1603108091 Nur Laila ANC
247 1132162931 DALINA ISPA
248 1392926589 ALAMSYAH ISPA
249 1201507211 BAHJATUN NOVITA ANC MALFORM USING ULTRASOUND
250 1426408121 SARMANTO BRONCHITIS
NO TANGGAL DIAGNOSA
251 1146579873 INA RENI ANJARNINGSIH DYSPEPSIA
252 20-Mar 1430262876 NURANI KB
253 1133771433 WAIK ISPA
254 1301129807 SITI ASWATI DYSPEPSIA
255 1449922173 Muhamad Ruslan ISPA
256 1173289882 OKTOFIANTI KB
257 1135258323 SUSI SRI RAHAYU GENERAL EXAMINATION
258 1603116854 ICAH PAIN IN JOIN , SHOULDER REGION
259 1603063539 Turaesih PAIN IN JOIN, OTHER SITES
260 1187070761 NOVI DWI MARYANTI TONSILITIS
261 1223975294 NENENG ANC
262 1189982261 NURUL OKTAFIANI TONSILITIS
263 1607601475 ARABIAH ISPA
264 23-Mar 1328811445 AYUNIL JANNAH ALVINA ISPA
265 1621942424 DEFRINA SARI DYSPEPSIA
266 1803835258 komaliana praseptiwi ISK
267 1603113592 Linawati ANC ABNORMAL POSITION
268 1136521451 SUSANTO COMMN COLD
269 1607844497 Nuryati DYSPEPSIA
270 1624432342 LEGINO ISPA
271 1180487665 PAINAH AMBARWATI VARICELKA
272 1156435277 YANTI SRI REZEKI ISPA
273 1392927175 JAJANG HERMAWAN DIARE
274 1603105323 Ade Susanti ISPA
275 1156896382 MARDIAH CONJUNGTIVITIS
NO TANGGAL DIAGNOSA
276 1189442643 MARMI HT STAGE 2
277 1621944156 TABRONI COMMON COLD
278 24-Mar 1627435001 LAMSIHARINA ANC
279 1605906099 ESTI SUKENSI DYSPEPSIA
280 1621943649 KAILANA DIARE
281 1137128027 ERNI WATI ISPA
282 1128634929 PENDEKAR AGUNG TONSILITIS
283 1182943405 SAUSAN KEYSYA SALWA ISPA
284 1124269244 WANDA PUSPITA WULANDARI ANC
285 1149138415 FAJAR SAPUTRA DIARE
286 1627307469 SUBEJO ISK
287 1446724214 KUSMAN WIHADI ABSES
288 1443075489 YUDI ARFIYANTO DIARE
289 1621943201 MUKHLIS SINALAHUDIN DIARE
290 1788759595 RIF'ATUL HUSNA EYES EXAMINATION
291 1186653273 HERLIPA TONSILITIS
292 1192988913 TSAQIF ADITHIA PUTRA COMMON COLD
293 1270703384 DEA ALYA SYIFA DYSPEPSIA
294 1270700649 SITI MARYAM DERMATITIS SEBOROIK
295 1162608546 DONCES SUPRIADI ISPA
296 1392927996 WINDIANI PULPITIS
297 1183209862 MELIANA ANNISA ISPA
298 1831820973 alius BPH
299 1831822086 jarni alius PULPITIS
300 1131304511 MARDI COMMON COLD
NO TANGGAL DIAGNOSA
301 1188618682 DZIKRAN FAQIH ISPA
302 1280019971 ROMDARIYAH ISPA
303 1133580868 PRIAGUNG BUDI UTOMO TONSILITIS
304 1428990118 AHMAD HARIRI VERTIGO
305 1441768083 ADITYA MAHENDRA COMMONN COULD
306 1804814223 NABILA SULISETIAWATI TONSILITIS
307 1804799452 LAILI RAHMAWATI ISPA
308 1479396339 RATIAH ISPA
309 1837002587 TRI PURWANINGSIH PULPITIS
310 1607601442 KAMILAH ISPA
311 1307320626 TAUFIK HIDAYAT ISPA
312 1200986853 FITRIA ANGGRAHENI ABSES
313 1443390805 ADZWAN RIFQI MULYA ISPA
314 1443390682 WAHYU MULYANA ISK
315 25-Mar 1168011808 NUR HASANAH KB
316 1131001942 SAYADIH FEBRIS
317 1621942402 EKA LESTARI DYSPEPSIA
318 1135387719 DEWI AGUSTIKAYANI ANC
319 1182943394 VIRGIAWAN AL GIBRAN DERMATITIS
320 1603063449 NINING PULPITIS
321 1202075651 RIFKY ALMI STIAWAN ISPA
322 1126551701 ABDULLAH ARSYAD ISPA
323 1603103253 ELI HERMAATI KB
324 1607844497 NURYATI DYSPEPSIA
325 26-Mar 1379784464 DESI KUNTARI ANC
NO TANGGAL DIAGNOSA
326 1603117023 SUHARTI CEPAGIA
327 1392927557 NURUL HUDA HEMOROID
328 1438759642 TRI HANDOKO ISPA
329 1603115245 MASRIATI ISPA
330 1144992104 MAEMUNAH TONSILITIS
331 1128664255 ROBY ISPA
332 1392927996 WINDIANI PULPITIS
333 1621941873 AZMAR CARIES DENTIS
334 1461371973 RMDHAN AZHAR COMMN COULD
335 1150463215 ZULPIKRI PULPITIS
336 1621943076 SRI WAHYUNI DYSPEPSIA
337 1392927208 KOMARIAH BT SAMSUDIN COMMN COULD
338 1136878198 MUHAMMAD ABU YAMIN PULPITIS
339 27-Mar 1392927366 MUHAMMAD WAHYUDI HERRRRRNIA
340 1153871436 MUHAMAD ABDULLAH DYSPEPSIA
341 1203972761 SADIYAH DYSPEPSIA
342 1450264623 SIFAH FAUZIAH MYALGIA
343 1140286623 MOHAMAD SUPRIYADI ISPA
344 1149764229 MUHAMAD TAUFIK ISPA
345 1306624498 SYAFRUDIN PULPITIS
346 1187424145 MICHELIA NISAKYA DIANTI PULPITIS
347 1185018669 ISMANTO TB
348 1180703924 TUMINI ISPA
349 1145209522 IDA LESTARI TYROIDITIS
350 1627396255 DARINIH COMD COLD
NO TANGGAL DIAGNOSA
351 1136193669 M RIDWAN KASIM DYSPEPSIA
352 1625097521 KOSIM LBP
353 1819390274 EDDY GUNTORO TYPUS
354 28-Mar 1169986421 SABILLA YASSARAH PENDARAHAN ANUS
355 1136878198 MUHAMMAD ABU YAMIN PULPITIS
356 1631360878 ABD ROHMAN DIARE
357 1310459005 FLORENSIA GEYATRI SUKARDI HERING LOS
358 1175663362 ROJELAH KB
359 1191179373 TITIN BINTI RASIM KB
360 30-Mar 1123519432 ASEP COMD COLD
361 1174067087 SULAMI DYSPEPSIA
362 1194893324 RAISA AURELLIA ISPA
363 1186428328 Aura Praditya Mahadewi ISPA
364 1193930594 ARYO SEJATI ISPA
365 1133641866 RINI SUSIHANTI ISPA
366 1170008256 IBNU FAJAR COMD COLD
367 1157319347 MIA RAHMAWATI COMD COLD
368 1169747561 FATIMAH ABDULLAH LBP
369 1190273534 CAHYANI HEADACHE
370 1795867154 DWI CITRA OKTOVIANI VERTIGO
371 1128661255 ROBY ISPA
372 1428669911 khanza yumnazakia ISPA
373 1178994431 LUTHFIAH LABIBAH common cold
374 1603126585 Ali Imron common cold
375 1180703924 TUMINI HEADACHE
NO TANGGAL DIAGNOSA
376 1202075651 RIFKY ALMI STIAWAN HEADACHE
377 1484557435 UNTUNG RIYADI FEBRIS
378 1133849632 ADITHIA RUSDIAWAN ISPA
379 1146611114 MUNIROH VL
380 1223915613 ABDUL HAMID LBP
381 1224856899 MAHFUZI SKIZOPRENIA
382 1603108214 Lutfi Dimas AL Faresta CEPaLGIA
383 1456409531 M.NASIR GASTRITIS
384 1627307469 SUBEJO ISK
385 1458652678 SITI RUKAYAH ISPA
386 31-Mar 1157318673 NURLAILAH MYALGIa
387 1199356334 IHAT SOLIHAT KB
388 1319478265 ADE IRMA RUHAMA sinusitis
389 1446724214 KUSMAN WIHADI benjolan pipi
390 1192863576 ELA ADAWIAH FEBRIS
391 1794413676 MAHFUZ ispa
392 1136354692 RUMINI kb
393 1280715355 INDRA MULYANA dyspepsia
394 1392927917 TRI HARYANTO FEVER WITH CHILLS
395 1607868459 SRI RAHAYU ispa
396 1621941748 ANDIANSYAH diare
397 1180672536 MUHAMAD IRVAN NURHAKIM ISPA
398 1605008968 HERMAN SUHERMAN ispa
399 1392928086 RAYES SURATMAN dhf
400 1128831254 SUTARNO ISPA
NO TANGGAL DIAGNOSA
401 1795867154 DWI CITRA OKTOVIANI Asthma
402 1815464981 Hafid Fajarudin ispa
TOTAL PESERTA YANG BERKUNJUNG = 402
TOTAL PESERTA YANG DI RUJUK = 37
TANDA
TANGAN
DI RUJUK PASIEN
POLI OBSGYN RS ISLAM JKT UTARA
PPLI ANAK RS ISLAM JKT UTARA

POLI KULIT RS PELABUHAN JAKARTA
TANDA
TANGAN
DI RUJUK PASIEN
UGD RS FIRDAUS
POLI PENYAKIT DALAM RS KOJA

ORT RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
POLI OBSGYN RS KOJA

TANDA
TANGAN
DI RUJUK PASIEN
POLI ANAK RS ISLAM JKT UTARA
TANDA
TANGAN
DI RUJUK PASIEN
POLI OBSGYN RS KOJA

POLI PARU RS FIRDAUS
POLI BEDAH RS ISLAM JKT UTARA

URO RS ISLAM JKT UTARA
TANDA
TANGAN
DI RUJUK PASIEN
POLI ANAK RS FIRDAUS
POLI OBSGYN RS FIRDAUS

TANDA
TANGAN
DI RUJUK PASIEN
POLI PENYAKIT DALAM RS FIRDAUS

POLI ANAK RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
POLI ANAK RS ISLAM JAKARTA

POLI PENYAKIT DALAM, RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
POLI SARAF RS ISLAM JKT UTARA
POLI KULIT RS ISLAM JKT UTARA
TANDA
TANGAN
DI RUJUK PASIEN

POLI PENYAKIT DALAM RS ISLAM JKT UTARA
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
POLI THT RS ISLAM JKT UTARA
TANDA
TANGAN
DI RUJUK PASIEN
POLI PENYAKIT JIWA RS KOJA

POLI BEDAH RS FIRDAUS
POLI PENYAKIT DALAM RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
Jakarta, Maret 2015
..........................................................
LAPORAN PELAYANAN
BULAN FEBRUARI TAHUN 2015

NO TANGGAL DIAGNOSA
1 2-Feb 000 1325390927 CHRISTI RAHAYUNINGTYAS DERMATITIS
2 000 1133819649 EKO NUR S ASMA
3 000 1803834033 HARINI WIDYASTUTI DYSMENOREA
4 000 1201689562 MOHAMMAD IRSAN TONSILLITIS
5 000 1306625534 ANDIKA RAKASWI PULPITIS
6 000 1430200901 YULI KUSNIADI OF
7 000 1133217055 SUSILO DIARE
8 000 1128643097 SRI SUGENG RIANTO ISPA
9 000 1435771337 NUR RANY FATIMAH ISPA
10 000 1136354692 RUMINI KB
11 000 1443390805 ADZWAN RIFQI MULYA ISPA
12 000 1402624809 NAJWA NURASYIFAH S ISPA
13 000 1193195553 RUSDAH ASMA
14 000 1193930616 NAUFA NABILA ISPA
15 000 1123568212 SRI SUDARYANTI KB
16 000 1303986969 AHMAD KURNIAWAN VL, LUKA TERBUKA
17 3-Feb 000 1183209851 SITI NURJANAH kb
18 000 1816915094 DHIRGAM HAIDAR ARHAB DIARE
19 000 1273799395 GUSTIANAH ISPA
20 000 1199837812 KAEYLA KANZA AZAHRA ISPA
21 000 1392927186 JONI RAHMAT ISPA
22 4-Jan 000 1126551701 abdullah arsyad ISPAM
23 000 1142622246 BAKHTIAR ISPA (CC)
24 000 1131411521 RINO MUSTOFA CEPALGIA
25 000 1803009936 RONALD HEZRON TUA ISPA
NO TANGGAL DIAGNOSA
26 000 1128872147 DEWI SARTIKA PULPITIS
27 000 1133849632 ADITYA RUSDIAWAN VL
28 000 1137128005 HERYANTO CEPALGIA
29 000 1300963792 MUHAMAD WILDAN DERMATITIS
30 000 1292492654 SARIAH VL
31 000 1148003111 EDY SURYANTO HEPATITIS SUSPEC
32 000 1427959102 ENDANG PURWANINGRUM HIGH RISK PREGNENCY
33 000 1156524186 IRVANNUDIN PULPITIS
34 000 1150163831 RENGGA ARIANGGA ISPA
35 000 1128871001 UMIZUMROTUN ISPA
36 5-Jan 000 1816915094 DHIRGAM HAIDAR DIARE
37 000 1811919969 SUSILAWATI SUSPEC HEPATITIS
38 000 1480410009 ALIF MAULANA NARKUM TONSILITIS
39 000 1803834033 HARINI WIDYASTUTI HEMOROID
40 000 1280713149 NIRIN BIN IBUT MYALGIA
41 000 1128824706 SARI METHIAH ISPA
42 000 1184648242 DARMANTO TONSILLITIS
43 000 1307949682 SOFWUN NIDA FURUNCLE
44 000 1307948218 HASBYH CEPALGIA
45 000 1392926646 ANDRIAN FAUZI PULPITIS
46 000 1123891694 NURUL IKBAL ISPA
47 000 1159788475 RIZKA INTAN PERMATASARI ISPA
48 000 1404303298 MUHAMAD ADRIANSAH ISPA
49 000 1795866254 AFRIYADI COMN COLD
50 000 1193965468 JIHAN ALMIRA KEJANG DEMAM
NO TANGGAL DIAGNOSA
51 6-Feb 000 1392929177 SRI JAYANI CEPALGIA
52 000 1435771337 NUR RANY FATIMAH ISPA
53 000 1125234876 INDRA JAYA KUSUMA HEMOROID
54 000 1455385634 RUKIYAH HT 1
55 000 1809860286 ISMAIL FURKON ISPA
56 000 1138119693 CASDIRO TB PARU
57 000 1819108809 YUNDA SAFITRI METERNAL HT
58 000 1182943405 SAUSAN KEYSASYA DIARE
59 000 1814659209 PEBRI WANTO ISPA
60 000 1181744032 NENENG AZIZAH ISPA
61 000 1603103602 PRIYO SUJATMIKO NYERI PUNGGUNG
62 000 1603103591 WARTINI DYSPEPSIA
63 000 1174067087 SULAMI DYSPEPSIA
64 7-Feb 000 1320961149 SOFIE KALILAH KONJUNGTIVITIS
65 000 1201507222 ARRAYA KHOIRU ENTERITIS
66 000 1201507233 BUTSAINA KHOIRU ENTERITIS
67 000 1325390927 CHRISTIN RAHAYUNINGTYAS DERMATITIS
68 000 1819247624 YEYEN RUSDIANA ABORTUS IMINEN
69 000 1318111389 SITI MUSNAENI PULPITIS
70 9-Feb 000 1156435277 YANTI SRI REZEKI COMN COULD
71 000 1136354692 RUMINI VL
72 000 1132470628 TURIJO VP
73 10-Feb 000 1458698141 YULIANA SETIAWANI ANC + ABNORMAL ULTRASOUND
74 000 1280019971 ROMDARIYAH HORDEULUM
75 000 1603109406 KOMSIYATUN COMN COULD
NO TANGGAL DIAGNOSA
76 000 1603116101 ABDUL NAFSIR LBP
77 000 1300963601 SYAMSUDIN ISPA
78 000 1375956911 ISMI ARSIH COMN COLD
79 000 1375957484 NADHIFA RAMADHANI COMN COLD
80 000 1194576399 SHINTA NOVIA SAKIT TELINGA
81 000 1149568391 SUNARYO MYALGIA
82 000 1180932502 ADE KEYSYA COME COLD
83 000 1132716464 PUJA GITA MAHARDIKA COMN COLD
84 000 1197646064 NAJWA GITA SAPIUTRI ISPA
85 000 1128824706 SARI METHIAH COMN COLD
86 000 1183652559 MAYANG MUFLIKHATUS S ISPA
87 000 1183652548 DARSONI CEPALGIA
88 000 1142089997 NURAINI KB
89 000 1169747561 FATIMAH ABDULLAH ISPA
90 000 1460512269 ADEN SARAH HT 2
91 000 1187070748 SUMARSIH BRONKHITIS
92 000 1187070761 NOVI DWI M BRONKHITIS
93 000 1170585999 AFRIANDINI ENTERITIS
94 000 1137853631 DIDIK SISMANTO ISPA
95 000 1150935322 SUKARMAN MYALGIA
96 000 1131351491 NURYENI COMN COULD
97 000 1320961149 SHOFI KALILAH NYERI MATA KONJUNGTIVITIS
98 000 1167653316 AULIYAS A DIARE
99 000 1167653305 WARDENIH DIARE
100 11-Feb 000 1814659209 PEBRI WANTO COMN COLD
NO TANGGAL DIAGNOSA
101 000 1603058477 DZAKI DAIFULLAH BRONKHITIS
102 000 1799355666 HARYADI TONSILLITIS
103 000 1136354692 RUMINI TB PARU
104 000 1128838037 JUJU JUNAEDI COMN COLD
105 000 1157340532 DHEA EKA KURNIA TONSILLITIS
106 000 1446895765 DIANI UMRI O DYSPEPSIA
107 000 1446896125 ALIFFIANDRA AZKA MULIA BRONKHITIS
108 000 1273798877 SAHARI DIARE
109 000 1146030401 SITI MARKONAH ISK
110 000 1328811445 AYUNIL JANNAH ISPA
111 000 1427959192 ZLATCHA MUTHIA M STOMATITIS
112 000 1603126574 HAJERIA DYSPEPSIA
113 000 1158204115 SUYATI PULPITIS
114 000 1306624498 SYAFRUDIN PULPITIS
115 000 1306625534 ANDIKA RAKASIWI PULPITIS
116 12-Feb 000 1181744021 MEGA FEBRIANI OTITIS EXTERNA
117 000 1133580868 PRI AGUNG BUDI UTOMO HEADACHE
118 000 1199027788 AISA NURLAELA KB
119 000 1301731053 RANGGA RAFIF ADINATA ISPA
120 000 1325284738 NABILA HASNA AMIRA ISPA
121 000 1153871436 MUHAMMAD ABDULLAH APPENDICITIS
122 000 1814566149 SAUS NIDA AULIA ISPA
123 000 1325275413 VIVI YUNITA KB
124 000 1790209102 DESI LESTARI ISPA
125 000 1187082494 ANISA NURKHALIZA DIARE
NO TANGGAL DIAGNOSA
126 000 1790208314 JOI FEBRIANTO SIMANJUNTAK COUGH
127 000 1790210103 DANIEL SIMANJUNTAK ALLERGIC CONTACT DERMATITIS
128 000 1603114481 SATRIA BAGUS ABIMANYU COMMON COLD
129 000 1603113592 LINAWATI ANC
130 000 1427793928 MUHAMAD RIZKI HIDAYAT TONSILITIS
131 000 1311610836 ENDRIASARI LIPOMATOUS NEOPLASM OF OTHER SITES
132 000 1454979879 KHASANUDIN HEADACHE
133 000 1191179395 FAJRI DIARE
134 000 1225591931 SUMIYATI DIARE
135 000 1185018669 ISMANTO KONTROL TB
136 000 1191799754 SANTI ENJELIKA PANJAITAN COMMON COLD
137 000 1191799743 WARMANDA PERNANDO PANJAITAN DIARE
138 000 1188683368 MUHAMAD FADLI COMMON COLD
139 000 1185039044 YUL HAIDIR YUSUF COMMON COLD
140 13-Feb 000 1143515799 AHMADI COMMON COLD
141 000 1136354692 RUMINI CONCUSSION,WITHOUT OPEN WOUND
142 000 1147600258 ERIZAL DAPARI DYSPEPSIA
143 000 1449078298 ARLAN ZAINAL A DERMATITIS HERPETIFORMIS
144 000 1144515126 YATI SURYATI ALLERGIC CONTACT DERMATITIS
145 000 1273798877 SAHARI OTHER VIRAL ENTERITIS
146 000 1169747561 FATIMAH ABDULLAH COMMON COLD
147 000 1157319347 MIA RAHMAWATI ISPA
148 000 1603057083 RUMLIYANAH COMMON COLD
149 000 1284722155 LILISAN SURATMI COMMON COLD
150 000 1603055665 SURYANTI DIARE
NO TANGGAL DIAGNOSA
151 000 1175663362 ROJELAH OTHER ATOPIC DERMATITIS
152 000 1126551677 M NATSIR OTHER ATOPIC DERMATITIS
153 000 1178997377 SULASMINI OTITIS EXTERNA
154 000 1149138415 FAJAR SAPUTRA HEADACHE
155 000 1131001942 SAYADIH STOMATITIS
156 000 1392929177 SRI JAYANI SUPERVISION OF HIGH-RISK PREGNANCY
157 14-Feb 000 1432113873 DULLOH COMMON COLD
158 000 1188618682 ZIKRAN FAQIH TONSILITIS
159 000 1137361882 PURWATI STOMATITIS
160 000 1450977759 RIFQI ADITYA ISPA
161 000 1441824715 MUHAMMAD KANAKA GILANG ISPA
162 000 1192988913 TSAQIF ADITIA ISPA
163 000 1392929144 HERMAWATI COMMON COLD
164 000 1392929155 MUHAMAD VIN SEBASTIAN COMMON COLD
165 000 1146030401 SITI MARKONAH OTHER LOWER URINARY TRACT CALCULUS
166 000 1128747712 SURYADI ISPA
167 000 1142622246 BAHTIAR ISPA
168 000 1154628325 ALI MUSTOFA BRONCHIAL ASTHMA
169 000 1134307776 ARYA SUBANDI DIARE
170 000 1303986982 SAYYID RAMADHAN OTITIS MEDIA
171 000 1201507211 BAHJATUN NOVITA ISPA
172 000 1794413676 MAHFUZ OTITIS EXTERNA
173 000 1178994418 SUNARTI HYPERTENSION
174 000 1603055676 IDA FARIDA DYSPEPSIA
175 000 1458698141 YULIANA SETIAWATI ABNORMAL FINDING ON ANC OF MOTHER
NO TANGGAL DIAGNOSA
176 16-Feb 1170586001 FALDI FACHREZA COMMON COLD
177 000 1170585988 FUJI ANDRIYANI DIARE
178 000 1135258323 SUSI SRI RAHAYU ISPA
179 000 1446895765 DIANI UMRI OKTARINI COMMON COLD
190 000 1446896125 ALLFIANDRA AZKA M COMMON COLD
181 000 1128868097 ALI KUSEN ISPA
182 000 1339090345 USNI MUBAROK KONTROL TB
183 000 1136521451 SUSANTO FATIGUE
184 000 1603103387 NURJANAH INFLAMMATION OF EYELID
185 000 1140812796 ANDWI PRASETYO ISPA
186 000 1288187739 NURLAELA COMMON COLD
187 000 1441824715 MUHAMMAD GILANG KANAKA COMMON COLD
188 000 1603115245 MASRIATI LOW BACK PAIN
189 000 1157340543 ERDA AFIFAH COMMON COLD
190 000 1421439491 BOWO EKO SANTOSO COMMON COLD
191 000 1191994378 NURLAELA KB
192 000 1194893324 RAISA AURELLA COMMON COLD
193 000 1148043431 ENDANG DARMADI COMMON COLD
194 000 1430277726 SUPRIYANTI ISPA
195 000 1228200006 MUHAMMAD ANDI NUR IKRAM COMMON COLD
196 000 1371290422 SARI DIANTI COMMON COLD
197 000 1174037275 MUHAMMAD RADITYA SAPUTRA ISPA
198 000 1603117045 SUSI SAPTORINI ISPA
199 000 1247674779 MUNGALIM DYSPEPSIA
200 000 1438994147 ARNOLD BRIANDLY MYALGIA
NO TANGGAL DIAGNOSA
201 000 1180672536 MUHAMMAD IRVAN NURHAKIM CONCUSSION, WITH OPEN WOUND
202 000 1382220112 LIO ARSAKHA COMMON COLD
203 000 1187070761 NOVI DWI MARYANTI VARICELLA
204 000 1400090218 ADHI SUSENO COMMON COLD
205 000 1392926589 ALAMSYAH CARIES DENTIS
206 17-Feb 000 1327528877 NABILA HASNA AMIRA ISPA
207 000 1188898233 GALIH ADITYO S ISPA
208 000 1480408749 NARKUM PERIODONTITIS
209 000 1621829788 SUTINI SILALAHI ISPA
210 000 1392927952 WARSIDI OTHER VIRAL ENTERITIS
211 000 1623467676 GALANG DWI NOVIYANTO COMMON COLD
212 000 1138194055 JAYADI COMMON COLD
213 000 1187082505 HAIKAL NADI IBROHIM DIARE
214 000 1187082483 ACIH COMMON COLD
215 000 1603063451 ARI SUTADI MYALGIA
216 000 1217385066 RATU ZILVA NADIRA OTHER ATOPIC DERMATITIS
217 000 1280713149 NIRIN BT IBUT COMMON COLD
218 000 1149967056 EKO SUHENDRO DIARE
219 000 1320961149 SHOFIE KALILAH DIARE
220 18-Feb 000 1181744021 MEGA FEBRIANI DIARE
221 000 1173094637 NOVITA SAVITRI COMMON COLD
222 000 1325390927 CHRISTINE RAHAYUNINGTYAS MYALGIA
223 000 1202200874 MUHAMMADAD DNAQSABANDI COMMON COLD
224 000 1142622246 BAKHTIAR DIARE
225 000 1199837812 KAEYLA KANZA SCARLET FEVER
NO TANGGAL DIAGNOSA
226 000 1144993241 AYATULLAH DIARE
227 000 1158097138 MUHAMMAD ILHAM FAZLI OPEN WOUND
228 000 1260311332 HIKMAN COMMON COLD
229 000 1280019971 ROMDARIYAH HYPERTENSION
230 000 1603106774 HERNI ARNIA DYSPEPSIA
231 000 1136836877 AMAN COMMON COLD
232 000 1147600258 ERIZAL DAPARI DYSPEPSIA
233 000 1181963812 NAZWA NABILA COMMON COLD
234 000 1624000476 SEHONO DYSPEPSIA
235 000 1479667847 SAKTI PUTRA RIYADINATA COMMON COLD
236 000 1402624809 NAJWA NURSYIFA SYAKIB COMMON COLD
238 000 1392928086 RAYES SURATMAN MYOPIA
239 000 1392927884 TARTI COMMON COLD
240 000 1392927175 JAJANG HERMAWAN DIARE
241 000 1603063449 NINING MYALGIA
242 20-Feb 000 1170585988 FUJI ANDRIYANI COMMON COLD
243 000 1515965152 SITI NURKHOLIZA COMMON COLD
244 000 1515964634 RATNAWATI TB PARU
245 000 1175663362 ROJELAH KB
246 000 1158097138 MUHAMMAD ILHAM FAZLI OPEN WOUND
247 000 1157321575 PUTRI FIRININGSIH PULPITIS
248 000 1152219712 SLAMET CUKUP CONSTIPATION
249 000 1461063576 CITRA SEPTYANA ISPA
250 000 1328053882 VANIA RAMADHANI ISPA
NO TANGGAL DIAGNOSA
251 000 1181330493 ZIYAD FAHMI HOOD ISPA
252 000 1181330504 ZIYAD IFHAM HOOD ISPA
253 000 1139282785 KOKO HERYANTO CONJUNCTIVITIS
254 000 1173289882 OKTOFIANTI KB
255 000 1174037275 MUHAMMAD RADITYA SAPUTRA ISPA
256 000 1182081532 CHELSYA JULYA PUTRI ISPA
257 000 1432681536 HULWA HASIFAH ISPA
258 000 1603106785 ASMIN TOHARI HYPERTENSION
259 000 1380751852 HASANUDIN ISPA
260 000 1172187786 SRI HIDAYATULLAH DIARE
261 000 1422809392 SHINTIA MUZA COMMON COLD
262 000 1182081508 SUMIATI KB
263 000 1181225496 FANI ALYA FEBI FURUNCLE
264 000 1427793928 MUHAMMAD RIZKY HIDAYAT DERMATITIS HERPETIFORMIS
265 21-Feb 000 1455382394 SUDARNO ASTHMA
266 000 1169986421 SABILLA YASSARAH COMMON COLD
267 000 1809656177 suci rahmawati OTHER ABNORMAL FINDINGS ON ANC
268 000 1795866254 AFRIYADI FURUNCLE
269 000 1128872518 EDI SISWANTO OTHERVIRAL ENETERITIS
270 000 1139786875 SUMIATI COMMON COLD
271 000 1402624798 SRI MAWARTI ISPA
272 000 1146030401 SITI MARKONAH LEIOMYOMA OF UTERUS
273 000 1178994418 SUNARTI HYPERTENSION
274 000 1428990164 MARYAMAH COMMON COLD
275 000 1432715455 SUPRIYADI LOW BACK PAIN
NO TANGGAL DIAGNOSA
276 23-Feb 000 1439934524 dhea amelia putri TB PARU
277 000 1458698141 YULIANA SETYAWANI ABNORMAL FINDINGS ON ANC
278 000 1440125469 Danning Indah Sekarsari COMN COLD
279 000 1623467676 GALANG DWI NOVIYANTO DIARE
280 000 1796690237 SALSABILA FIRLIANA RAMADHANI ACUTE TONSILLITIS
281 000 1156435277 YANTI SRI REZEKI VERTIGO
282 000 1796688191 SRI ASTUTI HYPERTENSI 2
283 000 1158097138 MUHAMMAD ILHAM FAZLI VL AREA KEPALA
284 000 1794788054 KUSEN ISPA
285 000 1187070693 VIVI ASTIJANI MYALGIA
286 000 1603104107 Arya Bima Satriani Meyviesa ACUTE TONSILLITIS
287 000 1790210103 DANIEL SIMANJUNTAK ISPA
288 000 1790209102 DESI LESTARI SAULINA GENERAL MEDICAL EXAMINATIONM
289 000 1790208314 JOI FEBRIANTO SIMANJUNTAK ACUTE TONSILLITIS
290 000 1136888008 UNTUNG URIP OSTEOPYTE ANKLE
291 000 1603103602 Priyo Sudjatmiko MYALGIA
292 000 1138194055 JAYADI CHRONIKK TONSILITIS
293 000 1270165959 DIYANTORO COMN COLD
294 000 1270167581 MUHAMAT AZKA RIFAI VARICELLA
296 000 1325391489 muhamad alfandi juniansyah VARICELLA
297 000 1325390927 christin rahayuningtyas COMN COLD
298 000 1300963601 SYAMSUDIN VE LUKA
299 24-Feb 000 1126551701 ABDULLAH ARSYAD COMN COLD
300 000 1446896125 ALIFFIANDRA AZKA MULIA COMN COLD
301 000 1175512746 FEBRIANSAH S R ACUTE TONSILLITIS
NO TANGGAL DIAGNOSA
302 000 1319478265 ADE IRMA RUHAMA CEPALGIA
303 000 1319483261 AHMAD SYAUQI ADHA ISPA
304 000 1392927917 TRI HARYANTO ISPA
305 000 1143600636 ASMORO HORDEULUM
306 000 1170893351 M.AFFANZAIDA COMN COLD
307 000 1187082483 ACIH KB
308 000 1371290422 SARI DIANTI ENTERITIS
309 000 1223975294 NENENG ISK
310 000 1442569342 ANIK ACUTE TONSILLITIS
311 000 1795867154 DWI CITRA OKTOVIANI CHEST PAIN
312 000 1161325078 SALWATI MYALGIA
313 000 1603056194 Titin ANC
314 25-Feb 000 1154426815 ADAM ARIWIBOWO HEMOROID
315 000 1603062009 MUHAMMAD GEVI JULIANDA COMN COLD
316 000 1168011808 NURHASANAH KB
317 000 1193930594 ARYO SEJATI MYALGIA
318 000 1158097138 MUHAMMAD ILHAM FAZLI VL
319 000 1790951354 ASEF SOFYN MUBAROK MYALGIA
320 000 1312816724 AZUAN TOTTI RAMADHANI ISPA
322 000 1392926646 ANDRIAN FAUZI PULPITIS
323 000 1152652803 NURYANA ANDRIAN ACUTE TONSILLITIS
324 26-Feb 000 1803834033 HARINI WIDYASTUTI LOWER ABDOMINAL PAIN
325 000 1201094245 BAKRI ISPA
326 000 1621943695 ITA SETIANA MENSTRUAL EXTRACTION
NO TANGGAL DIAGNOSA
327 000 1789095846 RIZAL ANDIK ISPA
328 000 1309988013 HIKMAWATI BRONKHITIS
329 000 1273802073 DEBYANA SARI COMN COLD
330 000 1171163305 MIRAH COMN COLD
331 000 1171163316 ALFAT NUR KASIM COMN COLD
332 000 1224708557 NIA UMNIYATI KB
333 000 1190433723 ARFIAH VERTIGO
334 000 1371290422 SARI DIANTI ANC
335 000 1603063473 ELISA COMN COLD
336 000 1621942547 ANINGRUM CEPALGIA
337 27-Feb 000 1443075489 YUDI ARFIYANTO TB
338 000 1392927366 MUHAMMAD WAHYUDI COMN COLD
339 000 1603126102 IIS MULYATI COMN COLD
340 000 1427793928 MUHAMMAD RIZKI HIDAYAT COMN COLD
341 000 1192988913 TSAQIF ADHITIA PUTRA COMN COLD
342 000 1392926736 BAYU KURNIAWAN DHF
343 000 1136931276 MARHUSNA COMN COLD
344 000 1273802073 DEBYANA SARI DIARE
345 000 1273799395 GUSTIANAH COMN COLD
346 000 1188379179 ABDUL MUBAROK COMN COLD
347 000 1182263411 HASLINDA PULPITIS
348 000 1196402343 MUHAMMAD ZAHRAN ACUT TONSILLITIS
349 000 1126551701 ABDULLAH ARSYAD COMN COLD
350 000 1144515126 YATI SURYATI COMN COLD
351 000 1141923352 RUSLI MYALGIA
NO TANGGAL DIAGNOSA
352 000 1623883959 ERDYCA FIDYA PUTRA VARICELLA
353 28-Feb 000 1338474936 EFFATA YUNI KRISNAWATI LUKA LECET VE
354 000 1788759652 NAJWA YUNI OKTAFIANI COMN COLD
355 000 1260311332 HIKMAN CEPALGIA
356 000 1603057364 MAULANA FEBRIANSYAH ACUTE TONSILLITIS
357 000 1217385066 RATU ZILVIA MYALGIA
358 000 1132831697 IRFAN ACUTE TONSILITIS
359 25-Dec 000 1303986982 SAYYID RAMADHAN BRONKHITIS
360 000 1178994418 SUNARTI HT II
361 000 1146030401 SITI MARKONAH ISPA
362 000 1432113873 DULLOH ASTHMA
TANDA
TANGAN
DI RUJUK PASIEN
UGD, RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
RS PELABUHAN SPPD
RS FIRDAUS SPOG
RS ISLAM JAKARTA UTARA SP.A

RS KOJA SPPD
RS ISLAM JAKARTA UTARA UGD
TANDA
TANGAN
DI RUJUK PASIEN
RS ISLAM JAKARTA UTARA SPOG
TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
RS FIRDAUS PARU-PARU
POLI BEDAH RS KOJA
TANDA
TANGAN
DI RUJUK PASIEN
POLI PARU PARU RS ISLAM JKT UTARA

POLI KULIT RS ISLAM JKT UTARA
TANDA
TANGAN
DI RUJUK PASIEN
POLI OBSGYN RS ISLMA JKT UTARA
POLI PD RS ISLAM JKT UTARA

UGD RS ISLAM JKT UTARA
TANDA
TANGAN
DI RUJUK PASIEN
POLI PARU PARU RS FIRDAUS

TANDA
TANGAN
DI RUJUK PASIEN
TANDA
TANGAN
DI RUJUK PASIEN
POLI PENYAKIT MATA RS ISLAM JKT UTARA
POLI PARU-PARU RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
POLI OBSGYN RS FIRDAUS
TANDA
TANGAN
DI RUJUK PASIEN
POLI OBSGYN RS KOJA
TANDA
TANGAN
DI RUJUK PASIEN
RS FIRDAUS SPOG
RS KOJA SPB
TANDA
TANGAN
DI RUJUK PASIEN
RS ISLAM JAKARTA UTARA SP PARU
RS FIRDAUS UGD
RS KOJA UGD
TANDA
TANGAN
DI RUJUK PASIEN
Jakarta, FEBUARY 2015
..........................................................
LAPORAN PELAYANAN

NO TANGGAL
1 1-Jan 000 1144916616 RAHMAT BAHARI
2 2-Jan 000 1439934524 DHEA AMALIA PUTRI
3 000 1797074651 MUHAMMAD GHIBRAN ALFAIH
4 000 1123568212 SRI SUDARYANTI
5 000 1199837812 KAEYLA KANZA AZAHRA
6 000 1301731053 RANGGA RAFIF ADINATA
7 000 1475556478 TALITA HASNA HUMAIRA
8 000 1144916616 RAHMAT BAHARI
9 000 1149270658 KIRNO PRASETYO
10 000 1199356334 IHAT SHOLIHAT
11 000 1144385954 KARNADI
12 000 1136354692 RUMINI
13 000 1430263236 SEPTI NURUL RAIZA
14 000 1131351491 NURYENI
15 000 1191179395 FAJRI
16 000 1141923352 RUSLI
17 000 1180672536 MUHAMAD IRVAN NURHAKIM
18 5-Jan 000 1182263411 HASLINDA
19 000 1270167581 MUHAMAT AZKA RIFAI
20 000 1170831284 WULAN YUNITA
21 000 1134304569 SELLY SYNTHA RINI
22 000 1310455721 ANTONIUS SUKARDIPAN
23 000 1392927884 TARTI
24 000 1149967056 EKO SUHENDRO
25 000 1247674779 MUNGALIM
NO TANGGAL
26 000 1190407263 IKHDAKHAIRA DINI ISLAM
27 000 1455382394 SUDARNO
28 6-Jan 000 1228201648 SUKANDI
29 000 1792415946 PUSPA SHIHOMBING
30 000 1153871436 MUHAMMAD ABDULLAH
31 000 1133849632 ADHITIA RUSDIAWAN
32 000 1450264623 SIFA FAUZIAH
33 000 1140940528 PURWANTO
34 000 1461371973 RAMDHAN AZHAR
35 000 1126545309 MUH SUKRIN
36 000 1217385088 SAADIYAH
37 000 1156435277 YANTI SRI REZEKI
38 000 1392927996 WINDIANI
39 000 1152842275 KOMISAH
40 000 1152652803 NURYANA ADRIYAN
41 7-Jan 000 1392927917 TRI HARYANTO
42 000 1145452375 VICKY HARI PRASETIAN
43 000 1128871001 UMI ZUMROTUN
44 000 1137128005 HERYANTO
45 000 1194576377 SRI ASTUTI
46 00000 73555031 FUADIAH ITSNA BASIROH
47 000 1427959012 SAIMAN
48 000 1427959102 ENDANG PURWANINGRUM
49 000 1156524186 IRVANNURDIN
50 000 1171586068 HANIFA TU NISSA
NO TANGGAL
51 000 1140286623 MOHAMAD SUPRIYADI
52 000 1190273534 CAHYANI
53 000 1338475724 GINA MEILINDA
54 8-Jan 000 1170831284 WULAN YUNITA
55 000 1300890846 KEISYA AULIA ARNELITA
56 000 1167796517 SYEKHUDIN
57 000 1803008463 MARLINCE E SIANTURI
58 000 1803010961 ESTHER DEASYANADOMINI H
59 000 1191799732 HERNITA SIMANJUNTAK
60 000 1392926646 ANDRIAN FAUZI
61 000 1138119693 CASDIRO
62 000 1438399326 MULYANA
63 000 1180042086 MARYANI
64 000 1273798877 SAHARI
65 000 1426408121 SARMANTO
66 000 1133641866 RINI SUSIHANTI
67 000 1193930616 NAUFA NABILA
68 000 1131001942 SAYADIH
69 9-Jan 000 1804946771 IFTINAH HAURA ZULFA
70 000 1392927366 MUHAMMAD WAHYUDI
71 000 1392926711 CARYATI
72 000 1392928468 RAHMAT HIDAYAT
73 000 1198011262 SAIDAH
74 000 1187636523 MISTUKI FADLILAH
75 000 1285640638 MARDIYAH BT MARDI
NO TANGGAL
76 000 1427959269 ZLATICKHA MUTIA MECHFI
77 000 1150935322 SUKARMAN
78 000 1270700649 SITI MARYAM
79 10-Jan 000 1182263411 HASLINDA
80 000 1339090345 USNI MUBARROK
81 000 1803834033 HARINI W
82 000 1192863576 ELLA ADAWIAH
83 000 1181330493 ZIYAD FAMI HOOD
84 000 1181330504 ZIYAD IFHAM HOOD
85 000 1199960662 NOVALITA CC
86 000 1270701358 MUHAMAD PUTRA ULILABSOR
87 000 1180989764 NAUVA ZHRA
88 000 1125499059 UUM SUMIATI
89 000 1185018669 ISMANTO
90 12-Jan 000 1187636523 MISTUKI FADILAH
91 000 1339312667 DAMIR
92 000 1310455721 ANTONIUS SUKARDIPAN
93 000 1136354692 RUMINI
94 000 1247674779 MUNGALIM
95 000 1158097138 MUHAMAD ILHAM FAZLI
96 13-Jan 000 1285640638 MARDIYAH BT MAHDI
97 000 1441824715 MUHMAD KANAKA GILANG P
98 000 1270722284 MUHAMMAD KAMIL AZZAMI
99 000 1180932491 NURLIA
100 000 1181126766 SULASTRI
NO TANGGAL
101 000 1151998468 PIAN
102 000 1328811445 AYUNIL JANAH
103 000 1128828789 EDI GUNAWAN
104 14-Jan 000 1792415946 PUSPA SHIHOMBING
105 000 1152980548 EKO TRI WIBOWO
106 000 1156524186 IRVANNUDIN
107 000 1280715355 INDRA MULYANA
108 000 1135387719 DEWI AGUSTIKAYANI
109 000 1128871001 UMI ZUMROTUN
110 000 1195831528 DJUBAEDAH
111 000 1135258323 SUSI SRI RAHAYU
112 15-Jan 000 1306616229 USMAN
113 000 1200067143 DESI KARTIKA
114 000 1178296312 MARPUAH
115 000 1459260393 NARDJI
116 000 1223975294 NENENG
117 000 1228200006 MUHAMMAD ANDI NUR IKRAM
118 000 1154628325 ALI MUSTOFA
119 16-Jan 000 1182943394 VIRGIAAN AL GIBRAN
120 000 1435771337 NUR RANY FATIMAH
121 000 1125199034 AHAMAD EFENDI
122 000 1139720916 AHMAD CHAERU YUSUF
123 000 1181028047 AHMAD DAMANHURI
124 000 1141050802 SITI KHODIJAH
125 000 1422809392 SHINTIA MUZA SYAFARA
NO TANGGAL
126 000 1176167305 TRISMIYATI
127 000 1427959012 SAIMAN
128 17-Jan 000 1175663362 ROJELAH
129 000 1149266261 RUDI HARTONO
130 000 1187082483 ACIH
131 000 1142127101 RIDWAN
132 000 1180224134 KIKI LESTARI
133 000 1156896382 MARDIAH
134 19-Jan 000 1137128005 HERYANTO
135 000 1441405179 FIRDA NURJAKIAH
136 000 1403277726 SUPRIYANTI
137 000 1392927557 NURUL HUDA
138 000 1146579873 INA RENI ANJARNINGSIH
139 000 1190407263 IKHDAKHIARA DIDI ISLAMI
140 000 1172750141 YULIANTI
141 000 1140286623 MOHAMAD SUPRIYADI
142 000 1187636523 MISTUKI FADLILAH
143 000 1138194055 JAYADI
144 000 1392927884 TARTI
145 000 1133641866 RINI SUSIHANTI
146 000 1426742504 ANTON SUJARWO
147 20-Jan 000 1795867154 DWI CITRA OKTOVIANI
149 000 1178994431 LUTHFIAH LABIBAH
150 000 1125499059 UUM SUMIYATI
NO TANGGAL
151 000 1144515126 YATI SURYATI
152 000 1325284738 NABILA HASNA AMIRA
153 000 1787775355 PURTINI
154 000 1168151207 M EVAN MANSHIS
155 000 1182263411 HASLINDA
156 000 1191994378 NURLAELA
157 000 1288187739 NURLAELA
158 000 1143639112 HUSEIN YUSUF
159 000 1325389656 MUHAMAD TOYIB
160 000 1325390927 CHRISTIN RAHAYUNINGTYAS
161 000 1168011808 NUR HASANAH
162 000 1168460482 M WAFIQ RAZY ASHARY
163 21-Jan 000 1809860286 ISMAIL FURQON
164 000 1811919969 SUSILAWATI
165 000 1392927434 NANANG JAENUDIN
166 000 1187082505 ACIH
167 000 1427959102 HAIKAL NADI IBRAHIM
169 000 1307948218 ZLATICKHA MUTIA MECHFA
170 000 1307948218 HASBYH
171 000 1307948657 NAIMAH
172 000 1180932491 NURLIA
173 000 1150463215 ZULPIKRI
174 000 1182263411 HASLINDA
175 000 1149967056 EKO SUHENDRO
NO TANGGAL
176 22-Jan 000 1199837812 KAEYLA KANZA AZAHRA
177 000 1273798877 SAHARI
178 000 1136605656 ALEX SETIAWAN
179 000 1180487687 AKBAR AFIANTO
190 000 1144096288 HARYONO
181 000 1426742504 ANTON SUJARWO
182 23-Jan 000 1134307776 ARYA SUBANDI
183 000 1202200874 MUHAMMAD NAQSYABANDI
184 000 1183209851 SITI NURJANAH
185 000 1427959192 ZLATICKHA MUTIA MECHFA
187 000 1170008256 IBNU FAJAR
188 000 1297442968 ROMI ADITYA ARDANA
189 000 1126551677 M NATSIR
190 000 1185018671 FAJAR RUSDIANTO
191 000 1426742515 LILIS HARTATI
192 000 1142102946 SEPUDIN
193 24-Jan 000 1144385954 KARNADI
194 000 1139681968 SAMSUDIN
195 000 1187507845 MUHAMMAD RIZKI
196 000 1128946408 SRI MURYANI
197 000 1190871358 ADAM MALIK
198 000 1186707993 IIN MARLINA
199 000 1186708004 M ROY FIRMANSYAH
200 000 1142127112 UNTUNG SUREDI
NO TANGGAL
201 000 1180989764 NURLIA
202 000 1178994418 SUNARTI
203 000 1180989764 NAUFA ZAHRA TSABITA
204 000 1173289882 OKTOFIANTI
205 000 1139711995 SUGIONO
206 000 1141715261 MAMAN
207 26-Jan 000 1157321564 SITI KASMI
208 000 1392926872 DESTI ERNAWATI
209 000 1183422082 ASMIRANDA DWI KARTIKA
210 000 1183422069 CUNARSIH
211 000 1454013494 ERWANTO NG
212 000 1310143465 WIWIK YULIANI
213 000 1424341541 RISTALINA PUSPITA
214 000 1225591931 SUMIATY
215 000 1432681536 HULWA HASSIFAH
216 000 1128892419 NURUL AYNI
217 000 1427793928 MUHAMAD RIZKY HIDAYAT
218 000 1427769178 MUHAMAD FAISAL
219 000 1406909632 HABIEB MUHAMMAD RIDWAN
220 000 1128834099 IRWAN AWALUDIN
221 000 1458698141 YULIANA SETIAWANI
222 000 1180672547 FELICIA APSARINI
223 000 1307949682 SOFWUN NIDA
224 000 1144992104 MAEMUNAH
225 000 1795867964 KEYSA SALSABILA
NO TANGGAL
226 000 1327528877 NABILA HASNA AMIRA
227 27-Jan 000 1191799732 HERNITA SIMANJUNTAK
228 000 1392929155 M.VINO SEBASTIAN E.
229 000 1392929144 HERMAWATI
230 000 1426742504 ANTON SUJARWO
231 000 1441824715 MUHAMAD KANAKA GILANG P
232 000 1191799754 SANTI ENJELIKA PANJAITAN
233 000 1141923352 RUSLI
234 000 1128294718 HARTO
235 000 1787777392 DAVID PRASETIAWAN
236 000 1312449107 EMOT MUSITOH
237 000 1795871531 ALI AKBAR
238 000 1803009071 DAVID HADINATA
239 000 1144096288 HARYONO
240 28-Jan 000 1153871436 MUHAMAD ABDULLAH
241 000 1312732765 SITI NADROH
242 000 1168460482 M WAFIQ AR RAZY ASHARI
243 000 1392927952 WARSIDI
244 000 1178994418 SUNARTI
245 000 1126551701 ABDULLAH ARYSAD
246 000 1157319336 M. IQBAL MAULANA
247 000 1157319347 MIA RAHMAWATI
248 000 1300963601 SYAMSUDIN
249 000 1300963792 MUHAMMAD WILDAN
250 000 1270167581 MUHAMAT AZKA RIFAI
NO TANGGAL
251 000 1200090971 TATI PURWATI
252 000 1190871347 AISAH
253 29-Jan 000 1171163327 SITI INDAH KIRANI
254 000 1171163338 CITRA RAHMADANI
255 000 1184183818 SYAHIDAN TEGAR PRATAMA
256 000 1814566149 SAUS NIDA AULIA
257 000 1204027391 SARINAH
258 000 1157029367 SITI ULFAH
259 000 1428387996 NIA MADANIYA
260 000 1128845676 NENENG FAUZIAH
261 000 1392929807 REFNIWATI
262 000 1171163316 ALFAT NUR KASIM
263 000 1425451948 AMANDA ZEVANIA
264 000 1171293603 SRIYANI
265 000 1139786875 SUMIATI
266 30-Jan 000 1171586068 HANIFA TU NISA A
267 000 1301129807 SITI ASWATI
268 000 1191799754 SANTI ENJELIKA PANJAITAN
269 000 1193632637 EDIYANSYAH
270 000 1199356334 IHAT SOLIHAT
271 000 1142089997 NURAENI
272 000 1188898233 GALIH ADTIYO S
273 000 1128034045 SYARIFUDDIN
274 000 1328053882 VANIA RAMADHINI
275 000 1187070761 NOVI DWI MARYANTI
NO TANGGAL
276 000 1187070748 SUMARSIH
277 000 1139720916 AHMAD CHAERU YUSUF
278 000 1392929436 AHMAD FAUZI
279 000 1169747638 LUQMAN NURHANIF
280 000 1183422069 CUNARSIH
281 000 1790949317 MARFIAH
282 000 1153871436 MUHAMAD ABDULLAH
283 31-Jan 000 1152947788 SYARIF HIDAYATULLOH
284 000 1320961149 SHOFIE KALILAH
285 000 1217385088 SAADIYAH
286 000 1181090777 DWI PUJI LESTARI
287 000 1190871347 AISAH
288 000 1443390682 WAHYU MULYANA
289 000 1455382394 SUDARNO
290 000 1157321564 SITI KASMI
291 000 1217385077 SITI KHOIRUNNISA
293 000 1187070603 RAHMAT FAUZI R

LAPORAN PELAYANAN
TANDA
TANGAN
ACCESORY FINGGER spb rs islam suka pura
TB PARU sp a rs islam jakarta utara
TB PARU sp.a rs firdaus
KB
ISPA
ISPA
ISPA
ACCESORY FINGGER
TB PARU
MYALGIA
GASTRITIS
KB
ISPA
ANC
PULPITIS
ISPA
EXORIASIS LUKA TERBUKA
PULPITIS
ISPA
ISPA
GASTRITIS
DISLOKASI OTOT
CEPALGIA
DIARE
DERMATITIS
TANDA
TANGAN
DERMATITIS
ASMA
ISPA
ANC
CEPALGIA
CEPALGIA
ISPA
HERPES
ISPA
ISPA
ISPA
ISPA
GASTRITIS
ISK
TONSILITIS
HNP SP.S RS ISLAM JAKARTA UTARA
ISPA
PULPITIS
ISPA
ISPA
ISPA
CEPALGIA
MYALGIA
PULPITIS
ISPA
TANDA
TANGAN
HEMATOMA DADA S, PARU RS ISLAM JAKARTA UTARA
ISPA
TB PARU SP.PARU RSFIRDAUS
TB PARU SP.A RS ISLAM JAKARTA UTARA
ISPA
ISPA
ISPA
ISPA
ANC
DIARE
TB PARU SP.PARU RSFIRDAUS
EXORIASIS LUKA
OBS FEBRIS
DIARE
ISPA
ISPA
TB PARU SP.A RS FIRDAUS
ISPA
HEPATITIS
HERNIA
ISPA
ISPA
CEPALGIA
GASTRITIS
HYPERTENSI
TANDA
TANGAN
ISPA
ISPA
OLIGOMENORALGIA SP.OG RS ISLAM JAKARTA UTARA
PULPITIS
TB PARU SP.PARU RS FIRDAUS
HEMORHOID
TONSLITIS
ISPA
ISPA
KB
ISPA
DERMATITIS
ISPA
TB PARU SP.PARU RS ISLAM JAKARTA UTARA
GASTRITIS
DISORDER MUSCLE
CARCINOMA SKIN SP THT RS UP PERSAHABATAN
TB PARU SP.PARU RS FIRDAUS
ISPA
ISPA
LBP
ISPA
DIARE
DERMATITIS
KB
TANDA
TANGAN
DYSPEPSIA
FURUNCLE
MYALGIA
ANC OBS ANC SP.OG RS.ISLAM JAKARTA UTARA
PULPITIS
PULPITIS
MYALGIA
CEPALGIA
PULPITIS
DYSPEPSIA
MYALGIA
ENTERITIS
ISPA
DIABETES MILETUS SP.PD RS ISLAM JAKARTA UTARA
DERMATITIS
ANC
TONSILLITIS
LOW VISION BOTH EYE
ISPA
ANC
HEPATITIS B SP.PD RS ISLAM JAKARTA UTARA
OEDEMA
URTICARIA
GINGGIVITIS
ISPA
TANDA
TANGAN
DYSPEPSIA
ISPA
KB
ISPA
ISPA
ISPA
ISPA
KB
herpesviral infection POLI KULIT RS ISLAM JKT UTARA
ABNORMAL ANC POLI OBSGYN RS ISLAM JKT UTARA
COMMON COLD
HAEMORRHOIDS POLI BEDAH RS ISLAM JKT UTARA
ISPA
IRRITANT CONTACT DERMATITIS
SCARLET FEVER
GINGIVITIS
DIARE
EXAMINATION OF EYES
DIARE
COMMON COLD
COMMON COLD
ABNORMALITIES OF BREATHING UGD RS ISLAM JKT UTARA
ANC
COMMON COLD
ISPA
TANDA
TANGAN
STOMATITIS
DIARE
HERPESVIRAL VERSICULAR DERMATITIS
COMMON COLD
PULPITIS
KB
ISPA
ISPA
ISPA
HEADACHE
KB
TONSILITIS
ISPA
CHEST PAIN POLI PD RS ISLAM JKT UTARA
DIARE
ISPA
ISPA
ISPA
ISPA
COMMON COLD
ISPA
PERIAPICAL GIGI POLI GIGI RS ISLAM JKT UTARA
ISPA
PULPITIS
MYALGIA
TANDA
TANGAN
DIARE
DIARE
DIARE
TONSILITIS
COMMON COLD
TONSILITIS
ISPA
DIARE
DERMATITIS
GASTRITIS
COMMON COLD
PULPITIS
ISPA
HYPERTENSION
TONSILITIS POLI THT RS ISLAM JAKARTA
ISPA
COMMON COLD
SHOULDER REGION
PERIODONTITIS
ALLERGIC CONTACT DERMATITIS POLI KULIT RS ISLAM JKT UTARA
TINEA PEDIS
ISPA
ISPA
ISPA
PAIN IN JOINT, ANKLE/FOOT
TANDA
TANGAN
ABSES PERIAPICAL GIGI
HYPERTENSION
RHINITIS
KB
COMMON COLD
PAIN IN JOINT,MULTIPLE SITE
MYALGIA
VERTIGO
COMMON COLD
DIARE
CHEST PAIN POLI JANTUNG RSPAD GATOT SUBROTO
NEURALGIA
MYALGIA
LOW BACK PAIN
ISPA
ISPA
ATOPIC DERMATITIS
ISPA
GASTRITIS
COMMON COLD
ANC
ISPA
ISPA
VERTIGO
ISPA
TANDA
TANGAN
COMMON COLD
COMMON COLD
DIARE
DERMATITIS HERPETIFORMIS
TONSILITIS
DIARE
TONSILITIS
GASTRITIS
APPENDICITIS
BRONCHIOLITIS
MYALGIA
TONSILITIS
COMMON COLD
COMMON COLD
APPENDICITIS POLI BEDAH RS KOJA
DENGUE FEVER
DIARE
CONJUNCTIVITIS
HYPERTENSION
COMMON COLD
COMMON COLD
ISPA
CARCINOMA POLI KULIT RS ISLAM JKT UTARA
ASTHMA
COMMON COLD
TANDA
TANGAN
KB
HYPERTENSION
ALLERGIC CONTCT DERMATITIS POLI ANAK RS ISLAM JKT UTARA
COMMON COLD
OTHER SPOTTED FEVER
COMMON COLD
ATOPIC DERMATITIS
KB
COMMON COLD
COMMON COLD
VERTIGO POLI SARAF RS ISLAM JKT UTARA
TONSILITIS
ISPA
ISPA
DYSPEPSIA
COMMON COLD
OTHER SINGLE DELIVERY BY CAESAREAN SECTION POLI OBSGIN RS ISLAM JKT UTARA
VIRAL IFECTION POLI ANAK RS ISLAM JKT UTARA
TB PARU POLI PARU RS FIRDAUS
DYSPEPSIA
PHARYNGITIS
ISPA
COMMON COLD
ISPA
ISPA
TANDA
TANGAN
PAIN IN JOIN, OTHER SITES
INTERNAL HAEMORRHOIDS POLI BEDAH RS ISLAM JKT UTARA
ISPA
ISPA
VARICELLA
EXTERNAL HAEMORRHOID
APPENDICITIS UGD RS KOJA
COMMON COLD
ATOPIC DERMATITIS
DYSPEPSIA
COMMON COLD
HYPERTENSION
DYSOERDER OF URYNARY SYSTEM
HYPERTENSION
OSTEOPHYTE, MULTIPLE SITES
VULNUS LACERATUM
ANC
ISPA
Jakarta, Januari 2015
..........................................................

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NO KARTU NAMA PESERTA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO TANGGAL PESERTA DIAGNOSA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

TOTAL PESERTA YANG BERKUNJUNG =

Nama Faskes : Klinik Wijaya medika

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

Nama Faskes : Klinik Wijaya medika

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

TOTAL PESERTA YANG BERKUNJUNG =

Jakarta, february 2015

Nama Faskes : Klinik Wijaya medika

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

TOTAL PESERTA YANG BERKUNJUNG =

Nama Faskes : Klinik Wijaya medika

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA

NO KARTU PESERTA NAMA PESERTA