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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 28-11-2018 250814041118Y000041 0002443703602 FATHONAH KHAIRUNISA P PEKERJA MANDIRI Surgical follow-up care, Rujuk Lanjut
KABAU unspecified
2 26-11-2018 250814041118Y000007 0001965866038 AMAR DIO SULDIN ISMANSYA L PNS DAERAH Acute pharyngitis Rujuk Lanjut

3 24-11-2018 250814041118Y000006 0001077442863 MARIAM P PBI (APBN) Conjunctival haemorrhage Rujuk Lanjut

4 21-11-2018 250814041118Y000005 0000152223895 PUJIYANTI P PNS DAERAH Dyspepsia Rujuk Lanjut

5 21-11-2018 250814041118Y000060 0000968749929 SURADI L PBI (APBN) Malaise and fatigue Berobat Jalan

6 21-11-2018 250814041118Y000059 0000968779811 WASAMIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
7 19-11-2018 250814041118Y000058 0000152615777 ASWAD HADJI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
8 19-11-2018 250814041118Y000004 0000165003287 MUHAMAD KASBI L PENERIMA PENSIUN Necrosis of pulp Rujuk Lanjut
PNS
9 19-11-2018 250814041118Y000057 0000968536304 NGAISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
10 17-11-2018 250814041118Y000052 0000967743404 AISA P PBI (APBN) Dyspepsia Berobat Jalan

11 17-11-2018 250814041118Y000053 0000968607202 ASIH SULASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
12 17-11-2018 250814041118Y000056 0000968853036 AINUN TIDORE P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
13 17-11-2018 250814041118Y000055 0002009757227 ABRIYANSA PEKALONGAN L PBI (APBN) Stomatitis and related Berobat Jalan
lesions
14 17-11-2018 250814041118Y000054 0002009757238 ABRIYANTO PEKALONGAN L PBI (APBN) Stomatitis and related Berobat Jalan
lesions
15 16-11-2018 250814041118Y000051 0000967819465 LUTFI ELUWAR L PBI (APBN) Dyspepsia Berobat Jalan

16 15-11-2018 250814041118Y000045 0000967707066 ISMAIL TIDORE L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
17 15-11-2018 250814041118Y000050 0000968625437 MAGDALENA P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
18 15-11-2018 250814041118Y000049 0001077396219 SAHRIL L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
19 15-11-2018 250814041118Y000048 0001390465304 PERCOYO L PEKERJA MANDIRI Low back pain Berobat Jalan

20 15-11-2018 250814041118Y000047 0002271506501 SUKIMAN L PEKERJA MANDIRI Trigeminal neuralgia Berobat Jalan

21 15-11-2018 250814041118Y000046 0002316230504 NUR YUNI NGESTI ASIH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
22 14-11-2018 250814041118Y000042 0000967789631 WA ERI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

23 14-11-2018 250814041118Y000044 0000968506288 SAMSIA RUMBIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
24 14-11-2018 250814041118Y000043 0000968507379 JUMIYATI JAWA L PBI (APBN) Dyspepsia Berobat Jalan

25 13-11-2018 250814041118Y000039 0000968596626 SITI FADHILAH P PBI (APBN) Puerperal sepsis Berobat Jalan

26 13-11-2018 250814041118Y000040 0001475804283 SOLICHIN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan


diabetes mellitus
27 12-11-2018 250814041118Y000032 0000152630651 LA RASYID L PNS DAERAH Dyspepsia Berobat Jalan

28 12-11-2018 250814041118Y000033 0000152656176 IIN SHANTI P PNS DAERAH Dysmenorrhoea, Berobat Jalan
unspecified
29 12-11-2018 250814041118Y000037 0000152659912 LELA WAEL P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
30 12-11-2018 250814041118Y000034 0000152678878 LACABANG RUMAILILI L PNS DAERAH Other specified dermatitis Berobat Jalan

31 12-11-2018 250814041118Y000003 0000967851742 WARAPIA RUMBIA P PBI (APBN) Other specified surgical Rujuk Lanjut
follow-up care
32 12-11-2018 250814041118Y000035 0000968506288 SAMSIA RUMBIA P PBI (APBN) Unspecified maternal Berobat Jalan
hypertension
33 12-11-2018 250814041118Y000038 0000968550759 SYARIF TUKUYOBA L PBI (APBN) Conjunctivitis Berobat Jalan

34 12-11-2018 250814041118Y000036 0000968597201 MAT SALIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
35 10-11-2018 250814041118Y000031 0000152640088 ILMA ULUPUTTY P PNS DAERAH Dyspepsia Berobat Jalan

36 10-11-2018 250814041118Y000002 0000967776309 IKBAL L PBI (APBN) Other specified surgical Rujuk Lanjut
follow-up care
37 10-11-2018 250814041118Y000030 0000968749929 SURADI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

38 09-11-2018 250814041118Y000028 0000968314656 NURMI kolengsusu P PBI (APBN) Single spontaneous Berobat Jalan
delivery, unspecified
39 09-11-2018 250814041118Y000029 0000968744733 MAT SALEH L PBI (APBN) Other specified dermatitis Berobat Jalan

40 08-11-2018 250814041118Y000027 0000152615777 ASWAD HADJI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
41 08-11-2018 250814041118Y000026 0002044530167 SURIYANI LATUKAU P PNS DAERAH Single spontaneous Berobat Jalan
delivery, unspecified
42 07-11-2018 250814041118Y000023 0000968196958 LA JO L PBI (APBN) Dyspepsia Berobat Jalan

43 07-11-2018 250814041118Y000025 0000968553371 DARMANSA TUKUYOBA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
44 07-11-2018 250814041118Y000024 0001077443043 SUHARTO L PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

45 06-11-2018 250814041118Y000001 0000968210583 LUTHFIATUN P PBI (APBN) Other specified surgical Rujuk Lanjut
follow-up care
46 05-11-2018 250814041118Y000019 0000152621368 ASRI RADTYA ARA L PNS DAERAH Myalgia Berobat Jalan

47 05-11-2018 250814041118Y000014 0000968210583 LUTHFIATUN P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

48 05-11-2018 250814041118Y000017 0000968357788 WA ODE NURWIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
49 05-11-2018 250814041118Y000015 0000968576984 SUHARTINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
50 05-11-2018 250814041118Y000016 0000968752901 RATINAH P PBI (APBN) Epidemic vertigo Berobat Jalan

51 05-11-2018 250814041118Y000021 0000968853262 NASRIA PEKALONGAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

52 05-11-2018 250814041118Y000018 0000968888316 ASIS PEBRIYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
53 05-11-2018 250814041118Y000020 0000968914697 HAMIMAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus
54 05-11-2018 250814041118Y000022 0001077442593 AMELIA IRAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

55 02-11-2018 250814041118Y000013 0000152655963 IDA PANGGALO P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
56 02-11-2018 250814041118Y000012 0001891328422 WULANDARI BUTON P PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

57 01-11-2018 250814041118Y000011 0000173203108 URBY LATING L PNS DAERAH Rheumatoid arthritis, Berobat Jalan
unspecified
58 01-11-2018 250814041118Y000009 0001077442863 MARIAM P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
59 01-11-2018 250814041118Y000010 0002249322963 RAYYA FITRIYANA TESA P PNS DAERAH Puerperal sepsis Berobat Jalan

60 01-11-2018 250814041118Y000008 0002460118059 ZAFRAN HAZIQI L PEGAWAI SWASTA Puerperal sepsis Berobat Jalan