Anda di halaman 1dari 38

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

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

1 30-04-2018 102004010418Y000433 0000441162707 SAMSINAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

2 30-04-2018 102004010418Y000432 0000441173248 KUSTI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

3 30-04-2018 102004010418Y000441 0000441914534 YUSUP L PBI (APBN) Fever with chills Berobat Jalan

4 30-04-2018 102004010418Y000442 0000441914848 MISNAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
5 30-04-2018 102004010418Y000422 0000441966598 SURYANI P PBI (APBN) Supervision of high-risk Rujuk Lanjut
pregnancy
6 30-04-2018 102004010418Y000659 0000441974215 MARNO L PBI (APBN) Other abnormal findings in Berobat Jalan
urine
7 30-04-2018 102004010418Y000457 0000442235283 IMAN ADIUMAN L PBI (APBN) Polyarthritis, unspecified Berobat Jalan

8 30-04-2018 102004010418Y000478 0000442255746 SARJINI P PBI (APBN) Gastritis, unspecified Berobat Jalan

9 30-04-2018 102004010418Y000603 0000442272622 ARSINAH P PBI (APBN) Fever, unspecified Berobat Jalan

10 30-04-2018 102004010418Y000458 0000442286504 EKOH P PBI (APBN) Gastritis, unspecified Berobat Jalan

11 30-04-2018 102004010418Y000456 0000442492389 MUSLIH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
12 30-04-2018 102004010418Y000660 0000443139164 NURSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
13 30-04-2018 102004010418Y000477 0000443155781 EMAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

14 30-04-2018 102004010418Y000604 0000443433576 ISNAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

15 30-04-2018 102004010418Y000479 0000443674991 SUNIARTI P PBI (APBN) Myalgia Berobat Jalan

16 30-04-2018 102004010418Y000658 0001521329095 EROS ROSIDAH P PEGAWAI SWASTA Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

17 30-04-2018 102004010418Y000781 0002327428394 SATINI P PEKERJA MANDIRI Nausea and vomiting Sembuh

18 29-04-2018 102004010418Y000417 0000066682271 ACIH SUKAESIH P PENERIMA PENSIUN Sciatica Berobat Jalan
PNS
19 28-04-2018 102004010418Y000431 0000441206291 TASRI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
20 28-04-2018 102004010418Y000439 0000441913814 TUMIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
21 28-04-2018 102004010418Y000440 0000441914196 YUNI P PBI (APBN) Fever with chills Berobat Jalan

22 28-04-2018 102004010418Y000455 0000442897075 KURMADI L PBI (APBN) Dermatitis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

23 28-04-2018 102004010418Y000475 0000443309556 SAMSINAH P PBI (APBN) Myalgia Berobat Jalan

24 28-04-2018 102004010418Y000602 0000443309815 KARNA L PBI (APBN) Rheumatism, unspecified Berobat Jalan

25 28-04-2018 102004010418Y000601 0000443463671 RUKMAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

26 28-04-2018 102004010418Y000476 0002000195627 DESTRI RUSTIANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
27 28-04-2018 102004010418Y000416 0002429990201 MIA YULIA NURJAMILAH P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
28 27-04-2018 102004010418Y000664 0000169679608 ROSIDIN L PNS DAERAH Dental caries, unspecified Berobat Jalan

29 27-04-2018 102004010418Y000600 0000441989695 HANI HERMAWATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

30 27-04-2018 102004010418Y000498 0000442003858 MISDA L PBI (APBN) Diarrhoea and Sembuh


gastroenteritis of
presumed infectious origin

31 27-04-2018 102004010418Y000462 0000442202804 AMELIA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
32 27-04-2018 102004010418Y000438 0000442539911 ARDIWAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

33 27-04-2018 102004010418Y000430 0000442704734 WARKIM L PBI (APBN) Dermatitis, unspecified Berobat Jalan

34 27-04-2018 102004010418Y000454 0000442808199 BAHIR L PBI (APBN) Polyarthritis, unspecified Berobat Jalan

35 27-04-2018 102004010418Y000614 0000442853076 SARI HASANAH P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
36 27-04-2018 102004010418Y000661 0000442963844 KANIS P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
37 27-04-2018 102004010418Y000414 0000443535085 SAHUN L PBI (APBN) Retention of urine Rujuk Lanjut

38 27-04-2018 102004010418Y000495 0001006366059 ISAH P PBI (APBN) Nausea and vomiting Sembuh

39 27-04-2018 102004010418Y000543 0001777609449 DICKI MULADI L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
40 27-04-2018 102004010418Y000663 0002424546876 ISMA NURDIANA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
41 27-04-2018 102004010418Y000662 0002425071317 DIMAS FALENTINO L PEKERJA MANDIRI Fever of other and Berobat Jalan
unknown origin
42 26-04-2018 102004010418Y000453 0000066450306 DJUHRI L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
43 26-04-2018 102004010418Y000391 0000066504802 KOMARUDIN L PNS DAERAH Congestive heart failure Rujuk Lanjut

44 26-04-2018 102004010418Y000666 0000202260363 HENDRA HERDIANA L PNS PUSAT Fever of other and Berobat Jalan
unknown origin
45 26-04-2018 102004010418Y000429 0000441219993 ATIN P PBI (APBN) Polyarthritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

46 26-04-2018 102004010418Y000436 0000442537119 RUSTANDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

47 26-04-2018 102004010418Y000437 0000442538684 ARBASAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
48 26-04-2018 102004010418Y000461 0000442883924 ANDI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
49 26-04-2018 102004010418Y000474 0000442891978 JUMSAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
50 26-04-2018 102004010418Y000473 0000443614825 TRI SUCI MELANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
51 26-04-2018 102004010418Y000428 0001006359377 RUTIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
52 26-04-2018 102004010418Y000599 0001006366689 ARNING P PBI (APBN) Dermatitis, unspecified Berobat Jalan

53 26-04-2018 102004010418Y000667 0001006367152 NESIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
54 26-04-2018 102004010418Y000665 0002208396598 KARDI L PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

55 25-04-2018 102004010418Y000372 0000066586318 RAHMAYATI P PNS DAERAH Pterygium Rujuk Lanjut

56 25-04-2018 102004010418Y000672 0000066694689 ARI HARYONO L PNS PUSAT Fever of other and Berobat Jalan
unknown origin
57 25-04-2018 102004010418Y000427 0000441181912 MIMIN SUWARNI P PBI (APBN) Other forms of stomatitis Berobat Jalan

58 25-04-2018 102004010418Y000426 0000441207685 DELA AMALIA P PBI (APBN) Fever with chills Berobat Jalan

59 25-04-2018 102004010418Y000670 0000441907143 ENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
60 25-04-2018 102004010418Y000471 0000441937124 OPONG SUPANDI L PBI (APBN) Dermatitis, unspecified Berobat Jalan

61 25-04-2018 102004010418Y000497 0000442245418 NONO SUHANO L PBI (APBN) Amoebiasis, unspecified Sembuh

62 25-04-2018 102004010418Y000671 0000442302039 SARIM L PBI (APBN) Dental caries, unspecified Berobat Jalan

63 25-04-2018 102004010418Y000434 0000442534577 ADAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
64 25-04-2018 102004010418Y000435 0000442535455 IWAN RISWANDI L PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

65 25-04-2018 102004010418Y000668 0000442803341 AHMID L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
66 25-04-2018 102004010418Y000472 0000442829946 SARKUM L PBI (APBN) Myalgia Berobat Jalan

67 25-04-2018 102004010418Y000460 0000442881371 RAHAN SATRIA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
68 25-04-2018 102004010418Y000452 0001006360571 SARKONI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

69 25-04-2018 102004010418Y000606 0001006367152 NESIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
70 25-04-2018 102004010418Y000669 0001990547684 N NURYATI P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
71 24-04-2018 102004010418Y000688 0000066372096 SUTINI P PNS DAERAH Bronchitis, not specified as Berobat Jalan
acute or chronic
72 24-04-2018 102004010418Y000682 0000066422125 ANDUN L PNS DAERAH Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

73 24-04-2018 102004010418Y000335 0000066490492 IDA ANDRIYANI P PNS DAERAH Blighted ovum and Rujuk Lanjut
nonhydatidiform mole
74 24-04-2018 102004010418Y000697 0000066534219 N. SRIYAMAH P PNS DAERAH Myalgia Berobat Jalan

75 24-04-2018 102004010418Y000695 0000066536695 NUNUNG SITI ROHAETI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
76 24-04-2018 102004010418Y000683 0000066595421 IKE MUHARANI ASTUTI P PEKERJA MANDIRI Fever of other and Berobat Jalan
unknown origin
77 24-04-2018 102004010418Y000425 0000441122501 YONA HADI GUNA L PBI (APBN) Gastritis, unspecified Berobat Jalan

78 24-04-2018 102004010418Y000689 0000442031578 NAZWA PUTRI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
79 24-04-2018 102004010418Y000677 0000442177929 SUHERMAN L PBI (APBN) Headache Berobat Jalan

80 24-04-2018 102004010418Y000673 0000442226283 KASMIN L PBI (APBN) Schizophrenia Berobat Jalan

81 24-04-2018 102004010418Y000690 0000442265523 NINING KARTINI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

82 24-04-2018 102004010418Y000617 0000442277921 SRI YULIAH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

83 24-04-2018 102004010418Y000693 0000442290734 FITRI QOBLIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
84 24-04-2018 102004010418Y000681 0000442291825 YANA S L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

85 24-04-2018 102004010418Y000423 0000442312918 KIRAN AGUSTIaNA P PBI (APBN) Fever with chills Berobat Jalan

86 24-04-2018 102004010418Y000490 0000442375929 KARNA L PBI (APBN) Other acute gastritis Sembuh

87 24-04-2018 102004010418Y000370 0000442531833 ADITIYA AKBAR L PBI (APBN) Fever, unspecified Berobat Jalan

88 24-04-2018 102004010418Y000371 0000442531956 ADILA MUTIARA P PBI (APBN) Myalgia Berobat Jalan

89 24-04-2018 102004010418Y000687 0000442618481 RIAN SYAH L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

90 24-04-2018 102004010418Y000696 0000442677238 NURSIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
91 24-04-2018 102004010418Y000424 0000442721801 SAFA SALSABILA PUTRI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

92 24-04-2018 102004010418Y000699 0000442811305 SATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
93 24-04-2018 102004010418Y000684 0000442833581 TATI HERDIYANTI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

94 24-04-2018 102004010418Y000701 0000442836707 ENDIH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

95 24-04-2018 102004010418Y000694 0000442864034 ANIH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

96 24-04-2018 102004010418Y000459 0000442881022 GALIH NUGRAHA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
97 24-04-2018 102004010418Y000496 0000442893565 SARKA L PBI (APBN) Amoebiasis, unspecified Sembuh

98 24-04-2018 102004010418Y000686 0000443093477 SARTINI P PEGAWAI PEMERINTAH Acute upper respiratory Berobat Jalan
DENGAN PERJANJIAN infection, unspecified

99 24-04-2018 102004010418Y000483 0000443212762 UNING YUNINGSIH P PBI (APBN) Headache Sembuh

100 24-04-2018 102004010418Y000691 0000443239233 KOKOM KOMIASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
101 24-04-2018 102004010418Y000692 0000443239918 FRISKA AMALIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
102 24-04-2018 102004010418Y000680 0000443278192 ELIN MARLINA P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

103 24-04-2018 102004010418Y000679 0000443280183 ERWIN SAPUTRA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
104 24-04-2018 102004010418Y000678 0000443280453 HIKMAL DARMAWAN L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
105 24-04-2018 102004010418Y000470 0000443336523 WAHYO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
106 24-04-2018 102004010418Y000469 0000443471949 KARNODIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
107 24-04-2018 102004010418Y000674 0000443518244 HADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

108 24-04-2018 102004010418Y000451 0000443554154 MULYANA L PBI (APBN) Polyarthritis, unspecified Berobat Jalan

109 24-04-2018 102004010418Y000598 0001006366476 SABO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
110 24-04-2018 102004010418Y000605 0001006366904 SURAHMAN L PBI (APBN) Gastritis and duodenitis Berobat Jalan

111 24-04-2018 102004010418Y000698 0001292845026 NURUL NISSA AZZAHRA P ANGGOTA POLRI Fever, unspecified Berobat Jalan

112 24-04-2018 102004010418Y000337 0001991357188 ROHIDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
113 24-04-2018 102004010418Y000338 0001991357796 PUTRI LESTASRI P PBI (APBN) Myalgia Berobat Jalan

114 24-04-2018 102004010418Y000676 0001991369362 SARDI RUSMAWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
115 24-04-2018 102004010418Y000700 0002228573654 HERLIA GhEA NURAINI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
116 24-04-2018 102004010418Y000685 0002447887241 M KUSMANA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
117 23-04-2018 102004010418Y000299 0000066450317 PATMI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
118 23-04-2018 102004010418Y000301 0000066505127 KOSASIH, S.PD.I L PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

119 23-04-2018 102004010418Y000310 0000066634481 AMINAH P PNS DAERAH Fever, unspecified Berobat Jalan

120 23-04-2018 102004010418Y000305 0000066837655 YUNAH P PENERIMA PENSIUN Dermatitis, unspecified Berobat Jalan
PNS
121 23-04-2018 102004010418Y000420 0000066860853 ENI SARINAH P PENERIMA PENSIUN Fever with chills Berobat Jalan
PNS
122 23-04-2018 102004010418Y000419 0000441155856 KURSIH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

123 23-04-2018 102004010418Y000295 0000441178119 SARIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
124 23-04-2018 102004010418Y000306 0000441852546 RUDIANA L PBI (APBN) Dermatitis, unspecified Berobat Jalan

125 23-04-2018 102004010418Y000389 0000442065712 SUKIMI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

126 23-04-2018 102004010418Y000304 0000442226968 SAPTI P PBI (APBN) Myalgia Berobat Jalan

127 23-04-2018 102004010418Y000421 0000442253709 NOVI SRI HERDIANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
128 23-04-2018 102004010418Y000303 0000442362532 UUM UMIYATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
129 23-04-2018 102004010418Y000308 0000442442079 ROUP L PBI (APBN) Paranoid schizophrenia Berobat Jalan

130 23-04-2018 102004010418Y000368 0000442530336 NURYATI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

131 23-04-2018 102004010418Y000369 0000442530955 MUHAMAD NURSIDIK L PBI (APBN) Fever, unspecified Berobat Jalan

132 23-04-2018 102004010418Y000388 0000442586507 RUWIN P PBI (APBN) Dermatitis, unspecified Berobat Jalan

133 23-04-2018 102004010418Y000309 0000442682965 USIRAH P PBI (APBN) Paranoid schizophrenia Berobat Jalan

134 23-04-2018 102004010418Y000300 0000442693653 TATA L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

135 23-04-2018 102004010218Y000273 0000442778152 JUARI L PBI (APBN) Other urethral stricture Rujuk Lanjut

136 23-04-2018 102004010418Y000253 0000442813702 ETI ERNAWATI P PBI (APBN) Nontoxic single thyroid Rujuk Lanjut
nodule
137 23-04-2018 102004010418Y000293 0000442835379 ONOH P PBI (APBN) Unspecified diabetes Rujuk Lanjut
mellitus without

138 23-04-2018 102004010418Y000296 0000442874722 ABDULAH L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

139 23-04-2018 102004010418Y000468 0000442918686 TURSINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

140 23-04-2018 102004010418Y000463 0000443138433 CUCU CAHYANI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

141 23-04-2018 102004010418Y000464 0000443139164 NURSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
142 23-04-2018 102004010418Y000302 0000443139952 SADRI SARIPUDIN L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

143 23-04-2018 102004010418Y000467 0000443144204 TARWA L PBI (APBN) Dermatitis, unspecified Berobat Jalan

144 23-04-2018 102004010418Y000294 0000443148366 TARYONO L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

145 23-04-2018 102004010418Y000298 0000443535085 SAHUN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
146 23-04-2018 102004010418Y000450 0001006361526 KALMAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

147 23-04-2018 102004010418Y000297 0001006364204 JUMRI L PBI (APBN) Rheumatism, unspecified Berobat Jalan

148 23-04-2018 102004010418Y000034 0001295175892 ATINAH P PEGAWAI SWASTA Acute maxillary sinusitis Rujuk Lanjut

149 23-04-2018 102004010418Y000307 0001437860597 OOM KOMALASARI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

150 23-04-2018 102004010418Y000466 0001777609359 MUHAMAD RIDHO L PBI (APBD) Dermatitis, unspecified Berobat Jalan

151 23-04-2018 102004010418Y000465 0001777609361 HERNAWATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
152 23-04-2018 102004010418Y000449 0001777609596 YOYOH SITI RUKOYAH P PBI (APBD) Fever with chills Berobat Jalan

153 23-04-2018 102004010418Y000418 0001780291214 HANI ISKANDAR L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
154 23-04-2018 102004010418Y000390 0002207299599 SATUB L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
155 23-04-2018 102004010418Y000254 0002445841888 DARWAN RIAWAN L PEKERJA MANDIRI Dyspepsia Rujuk Lanjut

156 21-04-2018 102004010418Y000321 0000066454176 ETOM SUPENDI L PENERIMA PENSIUN Gastric ulcer, unspecified Berobat Jalan
PNS as acute or chronic,
without haemorrhage or

157 21-04-2018 102004010318Y000008 0000066845193 HADIRAH P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
158 21-04-2018 102004010418Y000127 0000441211678 WARSAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

159 21-04-2018 102004010418Y000311 0000441878861 UMSAH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

160 21-04-2018 102004010418Y000316 0000442014748 NESWI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
161 21-04-2018 102004010418Y000314 0000442041974 KASNAH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

162 21-04-2018 102004010418Y000324 0000442303391 NANA SETIANA L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

163 21-04-2018 102004010418Y000125 0000442316518 MARNI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

164 21-04-2018 102004010418Y000326 0000442467145 ETI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

165 21-04-2018 102004010418Y000367 0000442526859 ANDRIYANSYAH L PBI (APBN) Myalgia Berobat Jalan

166 21-04-2018 102004010418Y000325 0000442638123 KARSI P PBI (APBN) Congestive heart failure Berobat Jalan

167 21-04-2018 102004010418Y000214 0000442830227 KARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
168 21-04-2018 102004010418Y000215 0000442830262 NURLIA RAHDI P PBI (APBN) Exfoliation of teeth due to Berobat Jalan
systemic causes
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

169 21-04-2018 102004010418Y000448 0000442865474 ANENG P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
170 21-04-2018 102004010418Y000312 0000442878658 LUSI ROSIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
171 21-04-2018 102004010418Y000322 0000442883788 FENI AL FIANA RAHAYU P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

172 21-04-2018 102004010418Y000320 0000443073745 SAKIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
173 21-04-2018 102004010418Y000330 0000443093556 VINA APRILIANI P PEGAWAI PEMERINTAH Dental caries Berobat Jalan
NON PNS
174 21-04-2018 102004010418Y000319 0000443096739 MARHAMAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

175 21-04-2018 102004010418Y000323 0000443139704 VINA NURMALASARI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

176 21-04-2018 102004010418Y000315 0000443204504 SUPARDI L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

177 21-04-2018 102004010418Y000313 0000443218735 RUHENI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

178 21-04-2018 102004010418Y000387 0000443317151 KUSNIAWATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

179 21-04-2018 102004010418Y000332 0000443340213 SUDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
180 21-04-2018 102004010418Y000327 0000443490952 KARSAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
181 21-04-2018 102004010418Y000328 0000443580985 EDI NURIMAN L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

182 21-04-2018 102004010418Y000333 0000443595903 RUSMIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
183 21-04-2018 102004010418Y000317 0001006368388 IDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
184 21-04-2018 102004010418Y000329 0001780293071 KINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
185 21-04-2018 102004010418Y000318 0001799125929 TIAN SUTIANAH P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

186 21-04-2018 102004010418Y000331 0001888811493 JUHETI P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

187 21-04-2018 102004010418Y000126 0002083941843 RUSMIATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
188 20-04-2018 102004010418Y000711 0000066634481 AMINAH P PNS DAERAH Rheumatism, unspecified Berobat Jalan

189 20-04-2018 102004010418Y000130 0000441193285 JUHATI P PBI (APBN) Other forms of stomatitis Berobat Jalan

190 20-04-2018 102004010418Y000128 0000441210497 ENI BONI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

191 20-04-2018 102004010418Y000129 0000441238836 JARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
192 20-04-2018 102004010418Y000717 0000442025324 IVAH P PBI (APBN) Asthma Berobat Jalan

193 20-04-2018 102004010418Y000710 0000442206538 NURHASIH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

194 20-04-2018 102004010418Y000447 0000442252866 DIANTO L PBI (APBN) Fever with chills Berobat Jalan

195 20-04-2018 102004010418Y000708 0000442322572 KARTA S L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
196 20-04-2018 102004010418Y000703 0000442421662 ENI P PBI (APBN) Headache Berobat Jalan

197 20-04-2018 102004010418Y000702 0000442440551 RUSJA L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

198 20-04-2018 102004010418Y000216 0000442484065 SADI L PBI (APBN) Migraine Berobat Jalan

199 20-04-2018 102004010418Y000217 0000442484188 SUTIAH P PBI (APBN) Myalgia Berobat Jalan

200 20-04-2018 102004010418Y000480 0000442499242 AHMAD FAUZI L PBI (APBN) Acute appendicitis Rujuk Lanjut

201 20-04-2018 102004010418Y000365 0000442520752 NARMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
202 20-04-2018 102004010418Y000366 0000442523237 SITI NURHASANAH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

203 20-04-2018 102004010418Y000386 0000442605453 KANAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

204 20-04-2018 102004010418Y000712 0000442841062 INTAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
205 20-04-2018 102004010418Y000704 0000442843547 BANDI L PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
206 20-04-2018 102004010418Y000705 0000442874722 ABDULAH L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

207 20-04-2018 102004010418Y000124 0000442877602 KARTISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
208 20-04-2018 102004010418Y000715 0000442927664 DIAN SUDIANA L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
209 20-04-2018 102004010418Y000716 0000442928079 ENTIN SUHARTINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
210 20-04-2018 102004010418Y000218 0000443153463 FIKRI APRILIAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

211 20-04-2018 102004010418Y000706 0000443535085 SAHUN L PBI (APBN) Other urethral stricture Berobat Jalan

212 20-04-2018 102004010418Y000718 0000443613284 ETI NURHAYATI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

213 20-04-2018 102004010418Y000707 0001006364193 DANI L PBI (APBN) Dental caries, unspecified Berobat Jalan

214 20-04-2018 102004010418Y000709 0001389985323 TARMI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
215 20-04-2018 102004010418Y000713 0002066522139 TONO SUPRIATNO L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
216 20-04-2018 102004010418Y000714 0002066523434 INING P PEKERJA MANDIRI Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

217 20-04-2018 102004010418Y000102 0002090926495 NURASIH P PENERIMA PENSIUN Hemiplegia, unspecified Rujuk Lanjut
SWASTA
218 19-04-2018 102004010418Y000776 0000066450385 JUMAD L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
219 19-04-2018 102004010418Y000100 0000066716605 IDANINGSIH P PNS DAERAH Anxiety disorder, Rujuk Lanjut
unspecified
220 19-04-2018 102004010418Y000236 0000066932245 TITI JUMIATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
221 19-04-2018 102004010418Y000779 0000440285725 RUDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
222 19-04-2018 102004010418Y000775 0000441171437 SURYAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
223 19-04-2018 102004010418Y000131 0000441183453 EEN ROHAENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
224 19-04-2018 102004010418Y000132 0000441223042 WARNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
225 19-04-2018 102004010418Y000241 0000441919451 MURLINA SUSILAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
226 19-04-2018 102004010418Y000385 0000441959984 SUHAYO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

227 19-04-2018 102004010418Y000384 0000442061594 ARMINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
228 19-04-2018 102004010418Y000772 0000442265354 RUSMAN L PBI (APBN) Myalgia Berobat Jalan

229 19-04-2018 102004010418Y000446 0000442277504 RUHIAT L PBI (APBN) Myalgia Berobat Jalan

230 19-04-2018 102004010418Y000778 0000442288934 ONAH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

231 19-04-2018 102004010418Y000133 0000442320647 SALMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
232 19-04-2018 102004010418Y000774 0000442375929 KARNA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
233 19-04-2018 102004010418Y000363 0000442520392 CECEP HIDAYAT L PBI (APBN) Dermatitis, unspecified Berobat Jalan

234 19-04-2018 102004010418Y000364 0000442520504 ELIYAWATI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

235 19-04-2018 102004010418Y000777 0000442830925 SOHIDIN L PBI (APBN) Dyspepsia Berobat Jalan

236 19-04-2018 102004010418Y000122 0000442875374 ANGGA PURNAMA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
237 19-04-2018 102004010418Y000123 0000442876623 HASAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
238 19-04-2018 102004010418Y000780 0000443098484 SUHERMAN L PBI (APBN) Asthma Berobat Jalan

239 19-04-2018 102004010418Y000243 0000443295336 ROSIH ROSTIKAWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
240 19-04-2018 102004010418Y000244 0000443467901 DAYI P PBI (APBN) Gastritis, unspecified Berobat Jalan

241 19-04-2018 102004010418Y000239 0000443490952 KARSAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
242 19-04-2018 102004010418Y000240 0000443518367 ROHEMI P PBI (APBN) Myalgia Berobat Jalan

243 19-04-2018 102004010418Y000237 0000443647146 OCOH KARSAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

244 19-04-2018 102004010418Y000238 0001006363732 WARTINI P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
245 19-04-2018 102004010418Y000242 0001006363765 KUSTIN P PBI (APBN) Gastritis, unspecified Berobat Jalan

246 19-04-2018 102004010418Y000773 0001006366059 ISAH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

247 19-04-2018 102004010418Y000445 0001777609607 SUDARNA L PBI (APBD) Polyarthritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

248 19-04-2018 102004010418Y000101 0001991155498 SUHARMAN L PBI (APBN) Disorder of cornea, Rujuk Lanjut
unspecified
249 18-04-2018 102004010418Y000768 0000066520001 MARYAM P PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
250 18-04-2018 102004010418Y000229 0000066595421 IKE MUHARANI ASTUTI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
251 18-04-2018 102004010418Y000765 0000066992872 SUALSIH P PENERIMA PENSIUN Gastric ulcer, unspecified Berobat Jalan
PNS as acute or chronic,
without haemorrhage or

252 18-04-2018 102004010418Y000136 0000441224706 RATINI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

253 18-04-2018 102004010418Y000383 0000442058589 YAYAH ROHAYAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

254 18-04-2018 102004010418Y000757 0000442061594 ARMINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
255 18-04-2018 102004010418Y000134 0000442202848 PADILAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
256 18-04-2018 102004010418Y000135 0000442244935 SANAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

257 18-04-2018 102004010418Y000444 0000442277921 SRI YULIAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
258 18-04-2018 102004010418Y000762 0000442303582 OYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
259 18-04-2018 102004010418Y000763 0000442443126 SAIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
260 18-04-2018 102004010418Y000758 0000442475313 SETIANI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

261 18-04-2018 102004010418Y000767 0000442489184 YETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
262 18-04-2018 102004010418Y000361 0000442519042 SUYANTI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

263 18-04-2018 102004010418Y000362 0000442520076 MARNI SUMARNI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

264 18-04-2018 102004010418Y000137 0000442756247 RUNINGSIH P PBI (APBN) Other forms of stomatitis Berobat Jalan

265 18-04-2018 102004010418Y000443 0000442787567 RAHMAT L PBI (APBN) Polyarthritis, unspecified Berobat Jalan

266 18-04-2018 102004010418Y000766 0000442838575 YATI SUPRIYATI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

267 18-04-2018 102004010418Y000760 0000442850523 ERGIA RAHMA AULIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

268 18-04-2018 102004010418Y000119 0000442874722 ABDULAH L PBI (APBN) Migraine Berobat Jalan

269 18-04-2018 102004010418Y000121 0000442875306 IDA WIDASARI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
270 18-04-2018 102004010418Y000234 0000443139276 TARKI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
271 18-04-2018 102004010418Y000230 0000443219218 RITA RUSDAYANTI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
272 18-04-2018 102004010418Y000059 0000443265041 MEITA NINGRUM P PBI (APBN) Malocclusion, unspecified Rujuk Lanjut

273 18-04-2018 102004010418Y000761 0000443348234 SAKAM L PBI (APBN) Myalgia Berobat Jalan

274 18-04-2018 102004010418Y000759 0000443488792 SUKAESIH P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
275 18-04-2018 102004010418Y000771 0000443757576 DUKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
276 18-04-2018 102004010418Y000138 0001006359107 NENA YULIANA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
277 18-04-2018 102004010418Y000481 0001006364193 DANI L PBI (APBN) Fever, unspecified Sembuh

278 18-04-2018 102004010418Y000235 0001777609451 WATI P PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
279 18-04-2018 102004010418Y000756 0001780293644 RUMSAH P PBI (APBD) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

280 18-04-2018 102004010418Y000755 0001889233266 WILDA MIFTAH NURJANAH P PEGAWAI SWASTA Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

281 18-04-2018 102004010418Y000769 0001899916604 MISNAWATI P PEGAWAI PEMERINTAH Gastric ulcer, unspecified Berobat Jalan
DENGAN PERJANJIAN as acute or chronic,
KERJA without haemorrhage or

282 18-04-2018 102004010418Y000770 0001904462954 sutiningsih P PEKERJA MANDIRI Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

283 18-04-2018 102004010418Y000232 0001912532758 NASIH P PBI (APBN) Myalgia Berobat Jalan

284 18-04-2018 102004010418Y000231 0001991076671 KARMI P PBI (APBN) Myalgia Berobat Jalan

285 18-04-2018 102004010418Y000764 0001991247939 SURNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
286 18-04-2018 102004010418Y000233 0002212974707 CASWATI P PEKERJA MANDIRI Migraine Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

287 17-04-2018 102004010418Y000748 0000066454176 ETOM SUPENDI L PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan
PNS [common cold]
288 17-04-2018 102004010418Y000753 0000066488319 ISKANDAR L PNS DAERAH Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

289 17-04-2018 102004010418Y000749 0000066524264 MISNA L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
290 17-04-2018 102004010418Y000750 0000066585464 SODIKIN L PNS DAERAH Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

291 17-04-2018 102004010418Y000722 0000066634481 AMINAH P PNS DAERAH Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

292 17-04-2018 102004010418Y000752 0000066696546 SUHENDA, S.AG L PNS PUSAT Essential (primary) Berobat Jalan
hypertension
293 17-04-2018 102004010418Y000742 0000066716763 SARDY S L PNS DAERAH Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

294 17-04-2018 102004010418Y000744 0000066716774 DAHLIMAH P PNS DAERAH Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

295 17-04-2018 102004010418Y000719 0000066932109 JARSIH P PENERIMA PENSIUN Headache Berobat Jalan
PNS
296 17-04-2018 102004010418Y000381 0000066992343 EMAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
297 17-04-2018 102004010418Y000728 0000066993118 MISKANDI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
298 17-04-2018 102004010418Y000482 0000440285725 RUDI L PBI (APBN) Nausea and vomiting Sembuh

299 17-04-2018 102004010418Y000738 0000441200081 SITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
300 17-04-2018 102004010418Y000139 0000441247342 DEDEH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

301 17-04-2018 102004010418Y000140 0000441247599 IIN SUTINAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

302 17-04-2018 102004010418Y000739 0000441250187 KURNIA P PBI (APBN) Myalgia Berobat Jalan

303 17-04-2018 102004010418Y000751 0000441844143 IYUK RUKIYAH P PBI (APBN) Dyspepsia Berobat Jalan

304 17-04-2018 102004010418Y000382 0000442012386 MISRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

305 17-04-2018 102004010418Y000733 0000442257827 ABDUL SUKUR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
306 17-04-2018 102004010418Y000736 0000442382073 MULYANI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

307 17-04-2018 102004010418Y000737 0000442382499 YUSTIA AULIYANA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
308 17-04-2018 102004010418Y000099 0000442481523 ROKANAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

309 17-04-2018 102004010418Y000740 0000442489184 YETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
310 17-04-2018 102004010418Y000358 0000442517409 RONA P PBI (APBN) Dermatitis, unspecified Berobat Jalan

311 17-04-2018 102004010418Y000359 0000442517905 YANI SURYANI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

312 17-04-2018 102004010418Y000360 0000442518265 AMISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
313 17-04-2018 102004010418Y000141 0000442646763 SHALSHA PRIWINARNI P PBI (APBN) Fever with chills Berobat Jalan

314 17-04-2018 102004010418Y000747 0000442706343 OMAN L PBI (APBN) Headache Berobat Jalan

315 17-04-2018 102004010418Y000727 0000442843547 BANDI L PBI (APBN) Asthma Berobat Jalan

316 17-04-2018 102004010418Y000732 0000442867757 JUHARIAH P PBI (APBN) Fever, unspecified Berobat Jalan

317 17-04-2018 102004010418Y000115 0000442873135 KASTAM L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

318 17-04-2018 102004010418Y000117 0000442874327 ERIS K P PBI (APBN) Other and unspecified Berobat Jalan
gastroenteritis and colitis

319 17-04-2018 102004010418Y000227 0000442878963 JUMSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
320 17-04-2018 102004010418Y000735 0000442885443 IKA ROSTIKA P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

321 17-04-2018 102004010418Y000745 0000443103726 RASMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
322 17-04-2018 102004010418Y000741 0000443139704 VINA NURMALASARI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
323 17-04-2018 102004010418Y000730 0000443142101 RENDI HERDIANA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
324 17-04-2018 102004010418Y000729 0000443143631 RESTU MUHAMAD SIGIT L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

325 17-04-2018 102004010418Y000731 0000443448011 SITI A P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
326 17-04-2018 102004010418Y000228 0000443508254 RUSNADI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
327 17-04-2018 102004010418Y000746 0000443580985 EDI NURIMAN L PBI (APBN) Myalgia Berobat Jalan

328 17-04-2018 102004010418Y000754 0000443687679 SUTIJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
329 17-04-2018 102004010418Y000725 0001006362123 AAN ANISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
330 17-04-2018 102004010418Y000743 0001006364079 TATI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

331 17-04-2018 102004010418Y000720 0001166709688 ACIH SUARSIH P PEGAWAI SWASTA Fever of other and Berobat Jalan
unknown origin
332 17-04-2018 102004010418Y000734 0001780293071 KINAH P PBI (APBD) Dyspepsia Berobat Jalan

333 17-04-2018 102004010418Y000726 0001991155498 SUHARMAN L PBI (APBN) Conjunctivitis Berobat Jalan

334 17-04-2018 102004010418Y000721 0002283282944 SUPRIADI L PEKERJA MANDIRI Asthma Berobat Jalan

335 17-04-2018 102004010418Y000724 0002435233948 SUHA L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

336 17-04-2018 102004010418Y000723 0002436438431 YOGA SAIFUL MI`RAJ L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
337 16-04-2018 102004010418Y000640 0000066504958 SILVI WIDYA PRATIWI P PNS DAERAH Fever of other and Berobat Jalan
unknown origin
338 16-04-2018 102004010418Y000655 0000066585464 SODIKIN L PNS DAERAH Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

339 16-04-2018 102004010418Y000072 0000066992725 RESMIATI P PENERIMA PENSIUN Fracture of lower leg, Berobat Jalan
PNS including ankle
340 16-04-2018 102004010418Y000073 0000066993074 OYOH YULIA P PENERIMA PENSIUN Other rheumatoid arthritis Rujuk Lanjut
PNS
341 16-04-2018 102004010418Y000142 0000441200081 SITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
342 16-04-2018 102004010418Y000378 0000441963213 OMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
343 16-04-2018 102004010418Y000645 0000441999358 MISNAH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

344 16-04-2018 102004010418Y000063 0000442001711 RUSDI L PBI (APBN) Unilateral or unspecified Berobat Jalan
inguinal hernia, without

345 16-04-2018 102004010418Y000379 0000442022545 ATIJAH P PBI (APBN) Fever, unspecified Berobat Jalan

346 16-04-2018 102004010418Y000112 0000442179876 TUTI ROHAETI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

347 16-04-2018 102004010418Y000113 0000442182543 SAPTURI L PBI (APBN) Other forms of stomatitis Berobat Jalan

348 16-04-2018 102004010418Y000644 0000442277921 SRI YULIAH P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
349 16-04-2018 102004010418Y000650 0000442301398 SUHATI P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
350 16-04-2018 102004010418Y000648 0000442375929 KARNA L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

351 16-04-2018 102004010418Y000647 0000442489184 YETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
352 16-04-2018 102004010418Y000356 0000442513225 DARSINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
353 16-04-2018 102004010418Y000357 0000442514654 KIKI MUHAMAD L PBI (APBN) Dermatitis, unspecified Berobat Jalan

354 16-04-2018 102004010418Y000643 0000442652354 KUSNA L PBI (APBN) Myalgia Berobat Jalan

355 16-04-2018 102004010418Y000144 0000442654749 JAEMAH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

356 16-04-2018 102004010418Y000146 0000442724286 DEDE RAMDHANI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
357 16-04-2018 102004010418Y000654 0000442868567 WAWAN WARTONO L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

358 16-04-2018 102004010418Y000226 0000443239233 KOKOM KOMIASIH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
359 16-04-2018 102004010418Y000380 0000443263498 NURIANAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

360 16-04-2018 102004010418Y000221 0000443309163 SUTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
361 16-04-2018 102004010418Y000225 0000443435376 AAN JUNIASIH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
362 16-04-2018 102004010418Y000653 0000443462984 IIK MONIKA P PBI (APBN) Fever, unspecified Berobat Jalan

363 16-04-2018 102004010418Y000219 0000443507613 SARNI P PBI (APBN) Other and unspecified Berobat Jalan
gastroenteritis and colitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

364 16-04-2018 102004010418Y000223 0000443511753 SITI MARYAMAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
365 16-04-2018 102004010418Y000075 0000443594305 SANUSI L PBI (APBN) Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and

366 16-04-2018 102004010418Y000220 0000443738992 WASNAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

367 16-04-2018 102004010418Y000651 0001006366274 SEPTIAN RAMDAN L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
368 16-04-2018 102004010418Y000646 0001777609541 DATI P PBI (APBD) Myalgia Berobat Jalan

369 16-04-2018 102004010418Y000642 0001777609552 EDI RUSNAEDI L PBI (APBD) Bronchitis, not specified as Berobat Jalan
acute or chronic
370 16-04-2018 102004010418Y000656 0001897986295 SOFIYA MUMTAZAH PERMANA P PNS DAERAH Acute nasopharyngitis Berobat Jalan
PUTRI [common cold]
371 16-04-2018 102004010418Y000224 0001991373243 ANNISAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
372 16-04-2018 102004010418Y000641 0002091797651 MARYADI L PEKERJA MANDIRI Observation for suspected Berobat Jalan
disease or condition,

373 16-04-2018 102004010418Y000657 0002251419906 SUBANDI L PEGAWAI PEMERINTAH Dyspepsia Berobat Jalan
NON PNS
374 16-04-2018 102004010418Y000649 0002291979341 CARSAN L PBI (APBD) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

375 16-04-2018 102004010418Y000076 0002327428157 IDI SUHRI L PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

376 16-04-2018 102004010418Y000222 0002424483933 ATIK RIANTI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
377 16-04-2018 102004010418Y000652 0002424523915 ZAHRA AULIA PUTRI L PEKERJA MANDIRI Fever of other and Berobat Jalan
unknown origin
378 16-04-2018 102004010418Y000639 0002425059134 YENI NURLIASIH P PEKERJA MANDIRI Amoebiasis, unspecified Berobat Jalan

379 16-04-2018 102004010418Y000618 0002425727698 RUMHANAH P PEKERJA MANDIRI Excessive vomiting in Sembuh
pregnancy
380 15-04-2018 102004010418Y000492 0000066992725 RESMIATI P PENERIMA PENSIUN Gastric ulcer, unspecified Sembuh
PNS as acute or chronic,
without haemorrhage or

381 15-04-2018 102004010418Y000074 0002251419906 SUBANDI L PEGAWAI PEMERINTAH Haematemesis Rujuk Lanjut
NON PNS
382 14-04-2018 102004010418Y000147 0000442243719 SARININGSIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

383 14-04-2018 102004010418Y000354 0000442507645 RIKA ANGRAENI P PBI (APBN) Fever, unspecified Berobat Jalan

384 14-04-2018 102004010418Y000355 0000442511043 NANA RUSMANA L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

385 14-04-2018 102004010418Y000149 0000442731609 WANCI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
386 13-04-2018 102004010418Y000575 0000066402472 ROSTIKAWATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
387 13-04-2018 102004010418Y000111 0000066440272 DARYAT L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
388 13-04-2018 102004010418Y000638 0000066490413 JAENUDIN L PNS DAERAH Tinea corporis Berobat Jalan

389 13-04-2018 102004010418Y000611 0000066490492 IDA ANDRIYANI P PNS DAERAH Tinea corporis Berobat Jalan

390 13-04-2018 102004010418Y000576 0000066579873 SUNI P PNS DAERAH Migraine Berobat Jalan

391 13-04-2018 102004010418Y000568 0000066716739 RUKINAH P PNS DAERAH Myalgia Berobat Jalan

392 13-04-2018 102004010418Y000635 0000066992376 EMED, S.AG L PENERIMA PENSIUN Pure Berobat Jalan
PNS hypercholesterolaemia
393 13-04-2018 102004010418Y000067 0000441902081 SITI MAITOH P PBI (APBN) Other contraceptive Berobat Jalan
management
394 13-04-2018 102004010418Y000633 0000441919451 MURLINA SUSILAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
395 13-04-2018 102004010418Y000625 0000441950602 RASINAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

396 13-04-2018 102004010418Y000630 0000442001711 RUSDI L PBI (APBN) Inguinal hernia Berobat Jalan

397 13-04-2018 102004010418Y000377 0000442014917 KASMAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
398 13-04-2018 102004010418Y000376 0000442060931 NARSIH P PBI (APBN) Fever, unspecified Berobat Jalan

399 13-04-2018 102004010418Y000110 0000442180271 ZAENAL MUTAKIM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
400 13-04-2018 102004010418Y000573 0000442228465 KURSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

401 13-04-2018 102004010418Y000585 0000442253327 JUMSATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
402 13-04-2018 102004010418Y000593 0000442273724 ANIRI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
403 13-04-2018 102004010418Y000631 0000442290429 ISAH UNISAH P PBI (APBN) Headache Berobat Jalan

404 13-04-2018 102004010418Y000352 0000442507533 SUTISNA L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

405 13-04-2018 102004010418Y000353 0000442507577 CARSINAH P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

406 13-04-2018 102004010418Y000626 0000442823319 MIDAH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
407 13-04-2018 102004010418Y000572 0000442830227 KARSIH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

408 13-04-2018 102004010418Y000566 0000442847744 RANIP L PBI (APBN) Migraine Berobat Jalan

409 13-04-2018 102004010418Y000636 0000442850523 ERGIA RAHMA AULIA P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

410 13-04-2018 102004010717Y000114 0000442864574 RENA HERLINAWATI P PBI (APBN) Other chronic suppurative Rujuk Lanjut
otitis media
411 13-04-2018 102004010418Y000594 0000442874902 RISNATI P PBI (APBN) Myalgia Berobat Jalan

412 13-04-2018 102004010418Y000589 0000442916627 NURSIHAT P PBI (APBN) Other forms of stomatitis Berobat Jalan

413 13-04-2018 102004010418Y000612 0000442999888 KUSWARA L PBI (APBN) Scabies Berobat Jalan

414 13-04-2018 102004010418Y000622 0000443001036 ALI IMRAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
415 13-04-2018 102004010418Y000580 0000443139164 NURSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
416 13-04-2018 102004010418Y000588 0000443173421 UTINI P PBI (APBN) Myalgia Berobat Jalan

417 13-04-2018 102004010418Y000583 0000443181295 AAN KARYAMAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

418 13-04-2018 102004010418Y000582 0000443209476 UTIN P PBI (APBN) Rheumatism, unspecified Berobat Jalan

419 13-04-2018 102004010418Y000595 0000443264725 RUMSILAH P PBI (APBN) Migraine Berobat Jalan

420 13-04-2018 102004010418Y000587 0000443268246 ANASIH P PBI (APBN) Migraine Berobat Jalan

421 13-04-2018 102004010418Y000591 0000443300747 UTIN SARTINAH P PBI (APBN) Myalgia Berobat Jalan

422 13-04-2018 102004010418Y000590 0000443317847 SENTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
423 13-04-2018 102004010418Y000574 0000443341855 CARSIH P PBI (APBN) Myalgia Berobat Jalan

424 13-04-2018 102004010418Y000578 0000443459766 KARSAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
425 13-04-2018 102004010418Y000571 0000443471949 KARNODIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
426 13-04-2018 102004010418Y000586 0000443487115 SARMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

427 13-04-2018 102004010418Y000579 0000443510458 UNAR P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
428 13-04-2018 102004010418Y000577 0000443633163 SAPTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
429 13-04-2018 102004010418Y000596 0000443680751 YATI YULIANA P PBI (APBN) Streptococcal pharyngitis Berobat Jalan

430 13-04-2018 102004010418Y000628 0000443687679 SUTIJAH P PBI (APBN) Other acute gastritis Berobat Jalan

431 13-04-2018 102004010418Y000592 0000443707626 ANTIMI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
432 13-04-2018 102004010418Y000637 0001006359816 KUSTIMI P PBI (APBN) Pain, not elsewhere Berobat Jalan
classified
433 13-04-2018 102004010418Y000623 0001006365609 TASIH P PBI (APBN) Myalgia Berobat Jalan

434 13-04-2018 102004010418Y000634 0001437860597 OOM KOMALASARI P PNS DAERAH Pure Berobat Jalan
hypercholesterolaemia
435 13-04-2018 102004010418Y000581 0001777609383 SUKARSIH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
436 13-04-2018 102004010418Y000632 0001777609631 KUSNAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
437 13-04-2018 102004010418Y000624 0001888811493 JUHETI P PEGAWAI SWASTA Neuralgia and neuritis, Berobat Jalan
unspecified
438 13-04-2018 102004010418Y000071 0001907481802 BIMA SAKTIE L PNS DAERAH Delayed milestone Rujuk Lanjut

439 13-04-2018 102004010418Y000570 0002068345282 RITA IRIAWATI P PEGAWAI PEMERINTAH Dermatitis, unspecified Berobat Jalan
DENGAN PERJANJIAN

440 13-04-2018 102004010418Y000584 0002125255871 MUHAMMAD IKBAL L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
441 13-04-2018 102004010418Y000597 0002227643605 ATI RAHMIATI P PEKERJA MANDIRI Myalgia Berobat Jalan

442 13-04-2018 102004010418Y000629 0002283282944 SUPRIADI L PEKERJA MANDIRI Asthma Berobat Jalan

443 13-04-2018 102004010418Y000627 0002283283236 RUSMINI P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
444 12-04-2018 102004010418Y000069 0000066492966 JEJEN RAHMA PERMANA L PNS DAERAH Acute serous otitis media Berobat Jalan

445 12-04-2018 102004010418Y000108 0000066502179 KARWAN L PNS DAERAH Neuralgia and neuritis, Berobat Jalan
unspecified
446 12-04-2018 102004010418Y000109 0000066502247 TITA SOPIA P PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
447 12-04-2018 102004010418Y000213 0000066536673 NANA KUSDIANA L PNS DAERAH Asthma, unspecified Berobat Jalan

448 12-04-2018 102004010418Y000080 0000066585464 SODIKIN L PNS DAERAH Other acute gastritis Sembuh

449 12-04-2018 102004010418Y000610 0000066837644 AJUKI L PENERIMA PENSIUN Fever, unspecified Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

450 12-04-2018 102004010418Y000212 0000067012479 UDJANG BAGJA PUTRA L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
451 12-04-2018 102004010418Y000066 0000072706408 REDI ERLIAN L PNS DAERAH Unspecified appendicitis Rujuk Lanjut

452 12-04-2018 102004010418Y000079 0000204364337 TARWI P PENERIMA PENSIUN Acute renal failure, Rujuk Lanjut
PNS unspecified
453 12-04-2018 102004010418Y000375 0000442423451 DASRINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
454 12-04-2018 102004010418Y000609 0000442478103 SUTINAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

455 12-04-2018 102004010418Y000098 0000442830925 SOHIDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
456 12-04-2018 102004010418Y000065 0000443032604 ACIH P PBI (APBN) Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle of

457 12-04-2018 102004010418Y000206 0000443129084 SALWA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
458 12-04-2018 102004010418Y000205 0000443129343 DASINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
459 12-04-2018 102004010418Y000207 0000443130153 NURDIANSYAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
460 12-04-2018 102004010418Y000208 0000443253407 ILYAS L PBI (APBN) Myalgia Berobat Jalan

461 12-04-2018 102004010418Y000068 0000443277786 AHLAN SUHENDAR L PBI (APBN) Dermatitis, unspecified Berobat Jalan

462 12-04-2018 102004010418Y000070 0000443278192 ELIN MARLINA P PBI (APBN) Scabies Berobat Jalan

463 12-04-2018 102004010418Y000211 0000443451385 IIN ROHAINAH P PBI (APBN) Migraine Berobat Jalan

464 12-04-2018 102004010418Y000210 0000443506274 RASNA L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

465 12-04-2018 102004010418Y000209 0000443507613 SARNI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
466 12-04-2018 102004010418Y000607 0001006366059 ISAH P PBI (APBN) Tuberculous meningitis Berobat Jalan

467 12-04-2018 102004010418Y000350 0002125255983 TATIA RAHMA J P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
468 12-04-2018 102004010418Y000351 0002125256038 NINA KARENINA P PBI (APBN) Dermatitis, unspecified Berobat Jalan

469 12-04-2018 102004010418Y000078 0002283282944 SUPRIADI L PEKERJA MANDIRI Typhoid fever Sembuh

470 12-04-2018 102004010418Y000608 0002323976681 ROHANAH P PEKERJA MANDIRI Myalgia Berobat Jalan

471 11-04-2018 102004010418Y000564 0000066450385 JUMAD L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

472 11-04-2018 102004010418Y000203 0000066450396 MISNAH P PNS DAERAH Gastritis, unspecified Berobat Jalan

473 11-04-2018 102004010418Y000562 0000066454503 E. FATIMAH P PENERIMA PENSIUN Headache Berobat Jalan
PNS
474 11-04-2018 102004010418Y000202 0000066575439 ENTIN SUTINI P PNS DAERAH Rheumatism, unspecified Berobat Jalan

475 11-04-2018 102004010418Y000557 0000067569052 NARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
476 11-04-2018 102004010418Y000151 0000441187749 NENGSIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
477 11-04-2018 102004010418Y000374 0000441905433 HASANAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

478 11-04-2018 102004010418Y000373 0000441906862 WAHIDIN L PBI (APBN) Rheumatism, unspecified Berobat Jalan

479 11-04-2018 102004010418Y000084 0000442001711 RUSDI L PBI (APBN) Inguinal hernia Sembuh

480 11-04-2018 102004010418Y000107 0000442178447 WARKI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

481 11-04-2018 102004010418Y000569 0000442643859 IWAN nurdiana L PBI (APBN) Scabies Berobat Jalan

482 11-04-2018 102004010418Y000556 0000442831612 MUMU NAZMUDIN L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
483 11-04-2018 102004010418Y000097 0000442841062 INTAN P PBI (APBN) Fever with chills Berobat Jalan

484 11-04-2018 102004010418Y000106 0000442862032 MULYANINGSIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
485 11-04-2018 102004010418Y000150 0000442951391 YUYUN YUHANAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

486 11-04-2018 102004010418Y000197 0000443098484 SUHERMAN L PBI (APBN) Asthma, unspecified Berobat Jalan

487 11-04-2018 102004010418Y000204 0000443136802 DADANG SARIPUDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
488 11-04-2018 102004010418Y000561 0000443154914 CARTAM L PBI (APBN) Other specified general Berobat Jalan
symptoms and signs
489 11-04-2018 102004010418Y000201 0000443164781 SADIMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

490 11-04-2018 102004010418Y000567 0000443316519 MERIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
491 11-04-2018 102004010418Y000560 0000443497893 SADIAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
492 11-04-2018 102004010418Y000559 0000443501469 SALSABILA HOERUN N P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
493 11-04-2018 102004010418Y000064 0000443511753 SITI MARYAMAH P PBI (APBN) Supervision of normal Rujuk Lanjut
pregnancy
494 11-04-2018 102004010418Y000554 0000443537965 M. NURSIH P PBI (APBN) Erosive (osteo)arthrosis Berobat Jalan

495 11-04-2018 102004010418Y000552 0000443608119 YETI HERAWATI P PBI (APBN) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

496 11-04-2018 102004010418Y000558 0000443614959 WARNAH NANI WARNIAH P PBI (APBN) Acute pharyngitis Berobat Jalan

497 11-04-2018 102004010418Y000553 0000443621226 SANDI L PBI (APBN) Other dermatitis Berobat Jalan

498 11-04-2018 102004010418Y000200 0001006364384 YANI P PBI (APBN) Migraine Berobat Jalan

499 11-04-2018 102004010418Y000563 0001478258278 RUMPANI SUPRIHATIN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
500 11-04-2018 102004010418Y000199 0001777609315 RIO RAMADANI L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
501 11-04-2018 102004010418Y000198 0001777609326 DINDA MAHARANI P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
502 11-04-2018 102004010418Y000555 0001780291181 UTRINI P PBI (APBD) Other acute gastritis Berobat Jalan

503 11-04-2018 102004010418Y000348 0002125255959 NAYLA OKTAVIANI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

504 11-04-2018 102004010418Y000349 0002125255972 BERYAN CAHYA QOLBI L PBI (APBN) Fever, unspecified Berobat Jalan

505 11-04-2018 102004010418Y000565 0002424564911 DAVINA NAZALLA PUTRI P PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
506 10-04-2018 102004010418Y000526 0000066490492 IDA ANDRIYANI P PNS DAERAH Supervision of high-risk Berobat Jalan
pregnancy
507 10-04-2018 102004010418Y000062 0000066782518 HEVI LIANA P PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
508 10-04-2018 102004010817Y000566 0000066782518 HEVI LIANA P PNS DAERAH Necrosis of pulp Rujuk Lanjut

509 10-04-2018 102004010418Y000528 0000441155856 KURSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
510 10-04-2018 102004010418Y000153 0000441193285 JUHATI P PBI (APBN) Other forms of stomatitis Berobat Jalan

511 10-04-2018 102004010418Y000152 0000441200081 SITI P PBI (APBN) Other forms of stomatitis Berobat Jalan

512 10-04-2018 102004010418Y000537 0000441869635 SUKARTINI P PBI (APBN) Dyspepsia Berobat Jalan

513 10-04-2018 102004010418Y000542 0000441994454 RUMSI P PBI (APBN) Fever, unspecified Berobat Jalan

514 10-04-2018 102004010418Y000538 0000442001711 RUSDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

515 10-04-2018 102004010418Y000551 0000442025324 IVAH P PBI (APBN) Asthma Berobat Jalan

516 10-04-2018 102004010418Y000544 0000442217439 SATINI P PBI (APBN) Headache Berobat Jalan

517 10-04-2018 102004010418Y000549 0000442235441 YANI SULASTRI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
518 10-04-2018 102004010418Y000541 0000442302039 SARIM L PBI (APBN) Other chronic obstructive Berobat Jalan
pulmonary disease
519 10-04-2018 102004010418Y000540 0000442382073 MULYANI P PBI (APBN) Benign paroxysmal vertigo Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

520 10-04-2018 102004010418Y000536 0000442638123 KARSI P PBI (APBN) Congestive heart failure Berobat Jalan

521 10-04-2018 102004010418Y000539 0000442835379 ONOH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus
522 10-04-2018 102004010418Y000096 0000442841027 TITI SETIASIH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

523 10-04-2018 102004010418Y000533 0000442846282 ARUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
524 10-04-2018 102004010418Y000104 0000442861209 DEWI PATIMAH P PBI (APBN) Migraine Berobat Jalan

525 10-04-2018 102004010418Y000105 0000442861299 TATI SUSILAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
526 10-04-2018 102004010418Y000531 0000442883698 SAIRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
527 10-04-2018 102004010418Y000532 0000442884159 EGI HERDIANSYAH L PBI (APBN) Fever, unspecified Berobat Jalan

528 10-04-2018 102004010418Y000530 0000443073745 SAKIM L PBI (APBN) Other surgical follow-up Berobat Jalan
care
529 10-04-2018 102004010418Y000547 0000443132032 JAMALUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
530 10-04-2018 102004010418Y000196 0000443191026 EEN ROHAENAH P PBI (APBN) Myalgia Berobat Jalan

531 10-04-2018 102004010418Y000525 0000443264725 RUMSILAH P PBI (APBN) Benign paroxysmal vertigo Berobat Jalan

532 10-04-2018 102004010418Y000548 0000443340213 SUDIN L PBI (APBN) Congestive heart failure Berobat Jalan

533 10-04-2018 102004010418Y000194 0000443446334 TASWA L PBI (APBN) Dermatitis, unspecified Berobat Jalan

534 10-04-2018 102004010418Y000529 0000443541429 ENTIN HARTINI P PBI (APBN) Headache Berobat Jalan

535 10-04-2018 102004010418Y000060 0000443651332 SANIRAH P PBI (APBN) Benign paroxysmal vertigo Rujuk Lanjut

536 10-04-2018 102004010418Y000195 0000443704353 NASMAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
537 10-04-2018 102004010418Y000550 0001006363269 MAMAN FAHRUDIN L PBI (APBN) Acute bronchiolitis Berobat Jalan

538 10-04-2018 102004011117Y000845 0001006365677 YENI YULIASMI P PBI (APBN) Benign paroxysmal vertigo Rujuk Lanjut

539 10-04-2018 102004010418Y000535 0001777609631 KUSNAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
540 10-04-2018 102004010418Y000534 0001888812459 NIA SETIAWATI P PEGAWAI SWASTA Dental caries Berobat Jalan

541 10-04-2018 102004010418Y000546 0001903184616 wastinah P PEGAWAI PEMERINTAH Other acute gastritis Berobat Jalan
NON PNS
542 10-04-2018 102004010418Y000346 0002125255937 DONA SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

543 10-04-2018 102004010418Y000347 0002125255948 MARLINA P PBI (APBN) Dermatitis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

544 10-04-2018 102004010418Y000083 0002291979341 CARSAN L PBI (APBD) Haemorrhage from Sembuh
respiratory passages,

545 10-04-2018 102004010418Y000527 0002327428157 IDI SUHRI L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
546 10-04-2018 102004010418Y000545 0002424564066 UJU JUANDA L PEKERJA MANDIRI Myalgia Berobat Jalan

547 10-04-2018 102004010418Y000061 0002425059371 ADITIA MAULANA L PEKERJA MANDIRI Dentofacial functional Rujuk Lanjut
abnormalities
548 10-04-2018 102004010418Y000615 0002429478898 NANI SUMARNI P PEKERJA MANDIRI Supervision of high-risk Rujuk Lanjut
pregnancy
549 09-04-2018 102004010418Y000517 0000066482436 IIN INDIARSIH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
550 09-04-2018 102004010418Y000058 0000066610078 SUTIA L PNS DAERAH Calculus of lower urinary Rujuk Lanjut
tract, unspecified
551 09-04-2018 102004010418Y000516 0000066809981 S. NUCHRO L PENERIMA PENSIUN TNI Dermatitis, unspecified Berobat Jalan

552 09-04-2018 102004010418Y000515 0000066858772 EMAN HERMANA L PENERIMA PENSIUN Observation for suspected Berobat Jalan
PNS disease or condition,

553 09-04-2018 102004010418Y000514 0000066858783 NINGRUM P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
554 09-04-2018 102004010418Y000501 0000066918982 SARNETI P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
555 09-04-2018 102004010418Y000500 0000066993118 MISKANDI L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
556 09-04-2018 102004010418Y000503 0000205867945 KUSWARA L PNS DAERAH Dental caries Berobat Jalan

557 09-04-2018 102004010418Y000155 0000441156341 WINDA NURWAHIDAH P PBI (APBN) Fever with chills Berobat Jalan

558 09-04-2018 102004010418Y000154 0000441163574 JUJU JUANAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
559 09-04-2018 102004010418Y000518 0000441219104 ADAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
560 09-04-2018 102004010418Y000510 0000441905916 RUSTINI P PBI (APBN) Erosive (osteo)arthrosis Berobat Jalan

561 09-04-2018 102004010418Y000513 0000441999358 MISNAH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

562 09-04-2018 102004010418Y000082 0000442001711 RUSDI L PBI (APBN) Inguinal hernia Sembuh

563 09-04-2018 102004010418Y000191 0000442256837 SUTINAH P PBI (APBN) Myalgia Berobat Jalan

564 09-04-2018 102004010418Y000192 0000442258233 MAMAN SURAHMAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

565 09-04-2018 102004010418Y000093 0000442272194 WARYOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
566 09-04-2018 102004010418Y000094 0000442272554 BASIR L PBI (APBN) Dermatitis, unspecified Berobat Jalan

567 09-04-2018 102004010418Y000095 0000442275772 TONO L PBI (APBN) Myalgia Berobat Jalan

568 09-04-2018 102004010418Y000506 0000442636457 WARNAH P PBI (APBN) Arhritis in mycoses, Berobat Jalan
shoulder region
569 09-04-2018 102004010418Y000507 0000442636874 NISA FITRI P PBI (APBN) Myopia Berobat Jalan

570 09-04-2018 102004010418Y000081 0000442835379 ONOH P PBI (APBN) Other acute gastritis Sembuh

571 09-04-2018 102004010418Y000103 0000442861154 RUKI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
572 09-04-2018 102004010418Y000523 0000442929194 FEBY ALIA FAHRA P PBI (APBN) Scabies Berobat Jalan

573 09-04-2018 102004010418Y000504 0000443032604 ACIH P PBI (APBN) Abscess of breast Berobat Jalan
associated with childbirth
574 09-04-2018 102004010418Y000524 0000443094276 DIKI SUPRIATMAN L PBI (APBN) Schizophrenia Berobat Jalan

575 09-04-2018 102004010418Y000193 0000443274862 SOLIHIN L PBI (APBN) Other and unspecified Berobat Jalan
gastroenteritis and colitis

576 09-04-2018 102004010418Y000519 0000443278192 ELIN MARLINA P PBI (APBN) Scabies Berobat Jalan

577 09-04-2018 102004010418Y000521 0000443289036 SRI WAHYUNI P PBI (APBN) Tinea corporis Berobat Jalan

578 09-04-2018 102004010418Y000505 0000443388835 ELI YULIAWATI P PBI (APBN) Fever, unspecified Berobat Jalan

579 09-04-2018 102004010418Y000189 0000443489894 DESI RAHMAWATI P PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

580 09-04-2018 102004010418Y000512 0000443494822 YAYAT HIDAYAT L PBI (APBN) Acute pharyngitis Berobat Jalan

581 09-04-2018 102004010418Y000520 0000443583112 JENAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
582 09-04-2018 102004010418Y000499 0000443595868 OMI P PBI (APBN) Myalgia Berobat Jalan

583 09-04-2018 102004010418Y000077 0000443687679 SUTIJAH P PBI (APBN) Other acute gastritis Sembuh

584 09-04-2018 102004010418Y000508 0001006364439 CARKISAH P PBI (APBN) Tinea corporis Berobat Jalan

585 09-04-2018 102004010418Y000509 0001006364441 SILFI NUR`AINI P PBI (APBN) Gastritis, unspecified Berobat Jalan

586 09-04-2018 102004010418Y000190 0001777609361 HERNAWATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
587 09-04-2018 102004010418Y000511 0002070642205 bilfaqih amzar hidayat L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
588 09-04-2018 102004010418Y000344 0002125255904 ILYAS RAMADHAN L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

589 09-04-2018 102004010418Y000345 0002125255926 SHELI NURAPRILIANI P PBI (APBN) Fever, unspecified Berobat Jalan

590 09-04-2018 102004010418Y000522 0002271627933 maman hidayat L PEKERJA MANDIRI Migraine Berobat Jalan

591 09-04-2018 102004010418Y000502 0002425119761 NURHAYATI P PEKERJA MANDIRI Cysts of oral region, not Berobat Jalan
elsewhere classified
592 07-04-2018 102004010418Y000054 0000066595421 IKE MUHARANI ASTUTI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
593 07-04-2018 102004010418Y000156 0000441142828 SURYA SARTA L PBI (APBN) Other and unspecified Berobat Jalan
gastroenteritis and colitis

594 07-04-2018 102004010418Y000157 0000441146496 RUNTASIH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

595 07-04-2018 102004010418Y000048 0000442206123 SANDER PRATAMA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
596 07-04-2018 102004010418Y000091 0000442221873 BOHIM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
597 07-04-2018 102004010418Y000092 0000442223763 rika apriyanti P PBI (APBN) Other and unspecified Berobat Jalan
gastroenteritis and colitis

598 07-04-2018 102004010418Y000159 0000442244935 SANAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
599 07-04-2018 102004010418Y000184 0000442427231 SUTIASIH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

600 07-04-2018 102004010418Y000056 0000443213717 RAHMA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
601 07-04-2018 102004010418Y000413 0000443532947 AISILA NURALIFAH P PBI (APBN) Dental caries Berobat Jalan

602 07-04-2018 102004010418Y000053 0001777609449 DICKI MULADI L PBI (APBD) Fever, unspecified Berobat Jalan

603 07-04-2018 102004010418Y000412 0001777609552 EDI RUSNAEDI L PBI (APBD) Tinea corporis Berobat Jalan

604 07-04-2018 102004010418Y000158 0001981212726 DIAN SUDIARWATI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

605 07-04-2018 102004010418Y000055 0001991012591 KANDIYASIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
606 07-04-2018 102004010418Y000057 0001991080888 WARTINAH P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

607 07-04-2018 102004010418Y000343 0002125255893 SETIANI P PBI (APBN) Fever, unspecified Berobat Jalan

608 07-04-2018 102004010418Y000038 0002436438036 DEDE YAMAS L PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
without mention of
bacteriological or

609 06-04-2018 102004010418Y000411 0000066423958 ELMA DIANI RUM AZIZAH L PNS DAERAH Acute pharyngitis Berobat Jalan

610 06-04-2018 102004010418Y000400 0000066614826 SUKNAH P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

611 06-04-2018 102004010418Y000398 0000066922604 SUNARSIH P PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan
PNS [common cold]
612 06-04-2018 102004010418Y000405 0000169679608 ROSIDIN L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
613 06-04-2018 102004010418Y000484 0000439484264 JURIAH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

614 06-04-2018 102004010418Y000161 0000441197054 KOMARIAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
615 06-04-2018 102004010418Y000160 0000441206291 TASRI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

616 06-04-2018 102004010418Y000183 0000441891595 ACAH JUARSAH P PBI (APBN) Fever, unspecified Berobat Jalan

617 06-04-2018 102004010418Y000393 0000442206538 NURHASIH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

618 06-04-2018 102004010418Y000164 0000442316518 MARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
619 06-04-2018 102004010418Y000187 0000442484188 SUTIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

620 06-04-2018 102004010418Y000047 0000442860693 KUSNANI L PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
621 06-04-2018 102004010418Y000394 0000443071091 RUSLI L PBI (APBN) Myalgia Berobat Jalan

622 06-04-2018 102004010418Y000188 0000443129409 MUHIDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
623 06-04-2018 102004010418Y000410 0000443139952 SADRI SARIPUDIN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed histologically
624 06-04-2018 102004010418Y000408 0000443148366 TARYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
625 06-04-2018 102004010418Y000397 0000443154914 CARTAM L PBI (APBN) Other specified general Berobat Jalan
symptoms and signs
626 06-04-2018 102004010418Y000406 0000443175028 SURYANA L PBI (APBN) Cough Berobat Jalan

627 06-04-2018 102004010418Y000180 0000443255714 RUSMA L PBI (APBN) Gastritis and duodenitis Berobat Jalan

628 06-04-2018 102004010418Y000181 0000443318196 HODIRAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

629 06-04-2018 102004010418Y000407 0000443388835 ELI YULIAWATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

630 06-04-2018 102004010418Y000401 0000443447673 CARKI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
631 06-04-2018 102004010418Y000186 0000443491299 UDIN JAHUDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

632 06-04-2018 102004010418Y000488 0000443496767 AHDI L PBI (APBN) Other and unspecified Sembuh
abdominal pain
633 06-04-2018 102004010418Y000090 0000443547909 DODI SETIADI L PBI (APBN) Gastritis, unspecified Berobat Jalan

634 06-04-2018 102004010418Y000402 0000443570624 SANTI P PBI (APBN) Urticaria Berobat Jalan

635 06-04-2018 102004010418Y000613 0001006361155 LILIS P PBI (APBN) Unspecified abortion, Sembuh
incomplete, without

636 06-04-2018 102004010418Y000621 0001006361155 LILIS P PBI (APBN) Unspecified abortion, Rujuk Lanjut
incomplete, without

637 06-04-2018 102004010418Y000392 0001006365677 YENI YULIASMI P PBI (APBN) Benign paroxysmal vertigo Berobat Jalan

638 06-04-2018 102004010418Y000395 0001006366048 YAYA JUHYANA L PBI (APBN) Myalgia Berobat Jalan

639 06-04-2018 102004010418Y000396 0001006366059 ISAH P PBI (APBN) Tuberculous meningitis Berobat Jalan

640 06-04-2018 102004010418Y000409 0001191851201 MUHAMAD ZAHRATULLAH L PBI (APBD) Tinea corporis Berobat Jalan

641 06-04-2018 102004010418Y000037 0001320503343 RAFA DZAKY PERMANA L PEGAWAI SWASTA Acute lymphadenitis Rujuk Lanjut

642 06-04-2018 102004010418Y000404 0002092753517 KASNA HERDIANA L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
643 06-04-2018 102004010418Y000403 0002092754349 EUIS SRIHAYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
644 06-04-2018 102004010418Y000399 0002424493203 SHAFWAN AL GHIFARI L PEKERJA MANDIRI Acute bronchitis Berobat Jalan

645 05-04-2018 102004010418Y000165 0000066534636 N. TITI SUSILAWATI P PNS DAERAH Gastritis, unspecified Berobat Jalan

646 05-04-2018 102004010418Y000036 0000066585464 SODIKIN L PNS DAERAH Dacryoadenitis Rujuk Lanjut

647 05-04-2018 102004010418Y000282 0000066992477 INAH JAENAH P PENERIMA PENSIUN Gastric ulcer, unspecified Berobat Jalan
PNS as acute or chronic,
without haemorrhage or

648 05-04-2018 102004010418Y000285 0000441869635 SUKARTINI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

649 05-04-2018 102004010418Y000178 0000441969153 AHDALI L PBI (APBN) Rheumatism, unspecified Berobat Jalan

650 05-04-2018 102004010418Y000045 0000442196594 DASKAM L PBI (APBN) Rheumatism, unspecified Berobat Jalan

651 05-04-2018 102004010418Y000046 0000442198552 ADE ALI IRAWAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
652 05-04-2018 102004010418Y000163 0000442216326 NINING P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

653 05-04-2018 102004010418Y000168 0000442228825 ARIS SUARSIH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

654 05-04-2018 102004010418Y000167 0000442301084 ROHANAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
655 05-04-2018 102004010418Y000283 0000442314303 ALI HIDAYATULLAH L PBI (APBN) Otitis externa Berobat Jalan

656 05-04-2018 102004010418Y000286 0000442643859 IWAN nurdiana L PBI (APBN) Scabies Berobat Jalan

657 05-04-2018 102004010418Y000287 0000442817853 KOMARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
658 05-04-2018 102004010418Y000289 0000442843042 YUYUN PURWASIH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
659 05-04-2018 102004010418Y000252 0000443132548 SURYADI L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

660 05-04-2018 102004010418Y000089 0000443212378 SUDIMAN L PBI (APBN) Polyarthritis, unspecified Berobat Jalan

661 05-04-2018 102004010418Y000175 0000443309398 SAPTINI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

662 05-04-2018 102004010418Y000491 0000443388835 ELI YULIAWATI P PBI (APBN) Hypovolaemic shock Sembuh

663 05-04-2018 102004010418Y000292 0000443435376 AAN JUNIASIH P PBI (APBN) Fever, unspecified Berobat Jalan

664 05-04-2018 102004010318Y000372 0000443435376 AAN JUNIASIH P PBI (APBN) Supervision of normal Rujuk Lanjut
pregnancy
665 05-04-2018 102004010418Y000284 0000443447673 CARKI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
666 05-04-2018 102004010418Y000493 0000443687679 SUTIJAH P PBI (APBN) Gastric ulcer, unspecified Sembuh
as acute or chronic,
without haemorrhage or

667 05-04-2018 102004010418Y000291 0001006362595 DIDI WARSIDI L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

668 05-04-2018 102004010418Y000251 0001006365609 TASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
669 05-04-2018 102004010418Y000035 0001006366252 ENAH P PBI (APBN) Follow-up examination Rujuk Lanjut
after surgery for other

670 05-04-2018 102004010418Y000290 0001006366915 IIM SUPRIATIN P PBI (APBN) Dermatitis, unspecified Berobat Jalan

671 05-04-2018 102004010418Y000620 0001733073265 SRI MULYANI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

672 05-04-2018 102004010418Y000494 0001780291181 UTRINI P PBI (APBD) Gastric ulcer, unspecified Sembuh
as acute or chronic,
without haemorrhage or

673 05-04-2018 102004010418Y000288 0001980337094 TIOH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
674 05-04-2018 102004010418Y000185 0001991155421 MIMIN UMINAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

675 05-04-2018 102004010418Y000342 0001999980292 WARI IRAMA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
676 05-04-2018 102004010418Y000281 0002425117419 AIRA ZULIAWARDANI P PEKERJA MANDIRI Benign neoplasm of Berobat Jalan
parotid gland
677 05-04-2018 102004010418Y000616 0002429478898 NANI SUMARNI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
678 04-04-2018 102004010418Y000278 0000066913659 ROHANAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
679 04-04-2018 102004010418Y000270 0000066918971 SUHAMAD L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
680 04-04-2018 102004010418Y000169 0000441181912 MIMIN SUWARNI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
681 04-04-2018 102004010418Y000173 0000441210497 ENI BONI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

682 04-04-2018 102004010418Y000182 0000441211678 WARSAH P PBI (APBN) Other forms of stomatitis Berobat Jalan

683 04-04-2018 102004010418Y000275 0000442001711 RUSDI L PBI (APBN) Haemorrhoids Berobat Jalan

684 04-04-2018 102004010418Y000044 0000442183217 UTIS S L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
685 04-04-2018 102004010418Y000043 0000442198157 DADI ALI NURHAEDI L PBI (APBN) Acute amoebic dysentery Berobat Jalan

686 04-04-2018 102004010418Y000162 0000442589589 DASPI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
687 04-04-2018 102004010418Y000087 0000442863066 HAERUDIN L PBI (APBN) Polyarthritis, unspecified Berobat Jalan

688 04-04-2018 102004010418Y000088 0000442874823 JOHARI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
689 04-04-2018 102004010418Y000280 0000443196246 SUHARNA L PBI (APBN) Fever, unspecified Berobat Jalan

690 04-04-2018 102004010418Y000172 0000443266604 SUPINAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

691 04-04-2018 102004010418Y000489 0000443447673 CARKI P PBI (APBN) Amoebiasis, unspecified Sembuh

692 04-04-2018 102004010418Y000279 0000443509446 KURNI P PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

693 04-04-2018 102004010418Y000273 0000443588229 ESON L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

694 04-04-2018 102004010418Y000274 0000443594305 SANUSI L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

695 04-04-2018 102004010418Y000486 0000444011793 TUTI SUPRIATI P PBI (APBN) Gastric ulcer, unspecified Sembuh
as acute or chronic,
without haemorrhage or

696 04-04-2018 102004010418Y000170 0001006366443 ROANAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

697 04-04-2018 102004010418Y000276 0001079445565 MAESAROH P PNS DAERAH Conjunctivitis, unspecified Berobat Jalan

698 04-04-2018 102004010418Y000271 0001389982983 KASBAH L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

699 04-04-2018 102004010418Y000277 0001991212209 RASMINAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
700 04-04-2018 102004010418Y000340 0001991373849 DANI HARSA L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

701 04-04-2018 102004010418Y000341 0001999871199 WARSONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
702 04-04-2018 102004010418Y000171 0002083941843 RUSMIATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
703 04-04-2018 102004010418Y000272 0002208396598 KARDI L PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

704 04-04-2018 102004010418Y000269 0002323976229 SAMSUDIN L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

705 03-04-2018 102004010418Y000485 0000066385089 NANA SUPRIATNA L PNS DAERAH Fever of other and Sembuh
unknown origin
706 03-04-2018 102004010418Y000017 0000066716559 RAKA DEICO GENTAR L PNS DAERAH Observation for other Berobat Jalan
RAMADHAN suspected diseases and

707 03-04-2018 102004010418Y000014 0000066851414 SAHINI P PENERIMA PENSIUN Congestive heart failure Berobat Jalan
PNS
708 03-04-2018 102004010418Y000028 0000066993129 SUKTI SETIAWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
709 03-04-2018 102004010418Y000020 0000169260287 SUKANAH P VETERAN Essential (primary) Berobat Jalan
hypertension
710 03-04-2018 102004010418Y000174 0000441132298 KUSTIMAH P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

711 03-04-2018 102004010418Y000176 0000441135483 JENAR P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
712 03-04-2018 102004010418Y000012 0000441234764 EVI NURHADIANINGSIH P PBI (APBN) Prolonged pregnancy Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

713 03-04-2018 102004010418Y000029 0000441886353 AHMI P PBI (APBN) Mononeuropathy, Berobat Jalan
unspecified
714 03-04-2018 102004010418Y000018 0000442025324 IVAH P PBI (APBN) Other specified general Berobat Jalan
symptoms and signs
715 03-04-2018 102004010418Y000041 0000442182497 JIMI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
716 03-04-2018 102004010418Y000042 0000442197393 TASKIROH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

717 03-04-2018 102004010418Y000031 0000442212467 NURMAH SARI P PBI (APBN) Headache Berobat Jalan

718 03-04-2018 102004010418Y000145 0000442216045 YANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

719 03-04-2018 102004010418Y000032 0000442375929 KARNA L PBI (APBN) Congestive heart failure Berobat Jalan

720 03-04-2018 102004010418Y000019 0000442489184 YETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
721 03-04-2018 102004010418Y000015 0000442545715 DENI EFANDRA L PBI (APBN) Impacted cerumen Berobat Jalan

722 03-04-2018 102004010418Y000166 0000442590928 RATMINI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

723 03-04-2018 102004010418Y000008 0000442811305 SATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
724 03-04-2018 102004010418Y000009 0000442819337 ISOH P PBI (APBN) Other peripheral vertigo Berobat Jalan

725 03-04-2018 102004010418Y000086 0000442823444 IFAN HAFIZNI L PBI (APBN) Dermatitis, unspecified Berobat Jalan

726 03-04-2018 102004010418Y000026 0000442841062 INTAN P PBI (APBN) Dental caries Berobat Jalan

727 03-04-2018 102004010418Y000025 0000443085849 NASMAH P PBI (APBN) Foreign body entering into Berobat Jalan
or through eye or natural
orifice, Unspecified Place

728 03-04-2018 102004010418Y000024 0000443239233 KOKOM KOMIASIH P PBI (APBN) Supervision of high-risk Berobat Jalan
pregnancy
729 03-04-2018 102004010418Y000148 0000443300602 AHMAN SURAHMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

730 03-04-2018 102004010418Y000120 0000443435859 AMAH P PBI (APBN) Fever, unspecified Berobat Jalan

731 03-04-2018 102004010418Y000487 0000443489894 DESI RAHMAWATI P PEGAWAI SWASTA Acute tonsillitis Sembuh

732 03-04-2018 102004010418Y000033 0000443524566 NEMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
733 03-04-2018 102004010418Y000010 0000443553783 ARMAT L PBI (APBN) Other chronic renal failure Berobat Jalan

734 03-04-2018 102004010418Y000007 0000443555447 SAEPUDIN L PBI (APBN) Calculus of kidney Rujuk Lanjut

735 03-04-2018 102004010418Y000013 0000443612002 MAMAH SURYAMAH P PBI (APBN) Benign paroxysmal vertigo Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

736 03-04-2018 102004010418Y000016 0000443716492 EUIS HARTINI P PBI (APBN) Other acute gastritis Berobat Jalan

737 03-04-2018 102004010418Y000118 0001006366432 SARJUKI L PBI (APBN) Rheumatism, unspecified Berobat Jalan

738 03-04-2018 102004010418Y000011 0001298730339 nuryadi L PEKERJA MANDIRI Cysts of oral region, not Berobat Jalan
elsewhere classified
739 03-04-2018 102004010418Y000022 0001733073265 SRI MULYANI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
740 03-04-2018 102004010418Y000143 0001777609383 SUKARSIH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
741 03-04-2018 102004010418Y000339 0001991370159 RETSI NIRMALASARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
742 03-04-2018 102004010418Y000030 0002210070789 EMAH P PEKERJA MANDIRI Other cardiac arrhythmias Berobat Jalan

743 03-04-2018 102004010418Y000021 0002321233593 MARLIAH P PEKERJA MANDIRI Supervision of high-risk Berobat Jalan
pregnancy
744 03-04-2018 102004010418Y000023 0002424567947 WAWAT SUNIAWATI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
745 03-04-2018 102004010418Y000027 0002436438982 ANGGI IMAM SUBAGJA L PEKERJA MANDIRI Headache Berobat Jalan

746 02-04-2018 102004010418Y000004 0000049424714 DEMON ISMAR L PENERIMA PENSIUN Migraine Rujuk Lanjut
PNS
747 02-04-2018 102004010418Y000268 0000066384077 MIMIN RUSMINI P PNS DAERAH Rheumatism, unspecified Berobat Jalan

748 02-04-2018 102004010418Y000261 0000066529282 MULYATI,S.PD P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
749 02-04-2018 102004010418Y000247 0000066831647 KIROH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
750 02-04-2018 102004010418Y000051 0000066932245 TITI JUMIATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
751 02-04-2018 102004010418Y000263 0000066993118 MISKANDI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
752 02-04-2018 102004010418Y000179 0000441175825 RUMINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
753 02-04-2018 102004010418Y000177 0000441177287 RAHIM L PBI (APBN) Fever with chills Berobat Jalan

754 02-04-2018 102004010418Y000255 0000441999358 MISNAH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

755 02-04-2018 102004010418Y000040 0000442180697 BAYU HERDIANSAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
756 02-04-2018 102004010418Y000039 0000442183149 ROSIH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

757 02-04-2018 102004010418Y000262 0000442303391 NANA SETIANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
758 02-04-2018 102004010418Y000085 0000442458808 iti SARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
759 02-04-2018 102004010418Y000266 0000442629584 SHINTA HAMDAYANI P PBI (APBN) Low back pain Berobat Jalan

760 02-04-2018 102004010418Y000250 0000442712002 ACAH P PBI (APBN) Typhoid fever Berobat Jalan

761 02-04-2018 102004010418Y000257 0000443071091 RUSLI L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

762 02-04-2018 102004010418Y000264 0000443248648 NANO SUPRIATNO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
763 02-04-2018 102004010418Y000259 0000443262126 YANAH KHODIJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
764 02-04-2018 102004010418Y000052 0000443264725 RUMSILAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
765 02-04-2018 102004010218Y000618 0000443340213 SUDIN L PBI (APBN) Congestive heart failure Rujuk Lanjut

766 02-04-2018 102004010418Y000116 0000443467315 YUNI SOFIANI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

767 02-04-2018 102004010418Y000260 0000444240055 TARSIWAN L PBI (APBN) Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

768 02-04-2018 102004010418Y000114 0001006366454 SUGIANTO L PBI (APBN) Fever, unspecified Berobat Jalan

769 02-04-2018 102004010418Y000267 0001440330535 SUTINAH P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

770 02-04-2018 102004010418Y000256 0001644966336 PINI NURHAYATI P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
771 02-04-2018 102004010418Y000001 0001777609618 MUHAMAD HAIKAL L PBI (APBD) Foreign body in ear Rujuk Lanjut
HERLANGGA
772 02-04-2018 102004010418Y000258 0001780293453 MARNENGSIH P PBI (APBD) Dental caries Berobat Jalan

773 02-04-2018 102004010418Y000002 0001780293453 MARNENGSIH P PBI (APBD) Arrested dental caries Rujuk Lanjut

774 02-04-2018 102004010418Y000003 0001780293464 OKI ARIFIN L PBI (APBD) Retained dental root Rujuk Lanjut

775 02-04-2018 102004010418Y000245 0001896876584 ENUH N L PEKERJA MANDIRI Dental caries Berobat Jalan

776 02-04-2018 102004010418Y000005 0001990547684 N NURYATI P PBI (APBN) Follow-up examination Rujuk Lanjut
after surgery for other

777 02-04-2018 102004010418Y000049 0001991256164 DIAH RATNASARI P PBI (APBN) Migraine Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : CIREBON - 1008

FKTP : SELAJAMBE - 10200401

778 02-04-2018 102004010418Y000050 0001991341956 POPI PUSPITA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
779 02-04-2018 102004010418Y000249 0002088425024 AZKAL AZMI L PEKERJA MANDIRI Bronchitis, not specified as Berobat Jalan
acute or chronic
780 02-04-2018 102004010418Y000006 0002251421043 NANA L PEGAWAI PEMERINTAH Benign lipomatous Rujuk Lanjut
NON PNS neoplasm of skin and
subcutaneous tissue of

781 02-04-2018 102004010418Y000246 0002323976681 ROHANAH P PEKERJA MANDIRI Gastric ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

782 02-04-2018 102004010418Y000248 0002425150269 SUPARMAN L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
783 01-04-2018 102004010418Y000619 0001644966336 PINI NURHAYATI P PEKERJA MANDIRI Acute bronchitis Rujuk Lanjut