Rekap Rujukan 2019

Rabu, 2 Januari 2019
NO NAMA UMUR ALAMAT UMUM SKTM ASKES

1 Eni Sukaeni 72 Skb 4/4
2 Hawat 62 Skb 4/4
3 Nenih 51 Cpd 6/1

4 Titn Aktna 45 Skb 6/6
5 Diah Rodiah 57 Skb 4/7
6 Renita Indriawat 43 Skb 8/4
7 Asep Nurdin Hidayat 46 Skb 8/4
8 Rosye 67 Skb 1/7

9 N Suryat 65 Skb 2/3
10 Esih 66 Skb 4/10 0000056118341
11 Rosdiana dr Gintng 44 Skb 7/6
12 Iwan Kustana Rahmat 69 PSt 5/4
13 Aurellia fela Kirana 0 Skb 3/10

14 Yayat Supriyat 68 Skb 1/10
15 Dedi Hidayat 56 Skb 6/6
16 Dedi Djuhandi 69 Pst 8/11
17 Wiwi Kartwi 38 Cpd 7/4
18 Dita Andriani 27 Skb 4/6
19 Imam Sulistono 47 Cpd 6/6
20 Ani Suryani 50 Pst 2/1
21 Tjetjep Djuhana 65 Pst 6/11
22 Arsyad 22 bln
23 Sofiah 62 Cpd 3/8 0000021305373
24 Ida Ningsih 47 Skb 10/2
25 Meisya Azahra Putri 5 Skb 3/10
26 Agus Supriatna 49 Skb 3/2
27 Anie Kurniasih 66 Pst 4/12

28 Ipit Een Hulaenah 48 CPd 3/1
29 Qayla Zahra Suparta 10 Pst 4/13

Kamis, 3 Januari 2019
30 Eni Junaeni 52 2/7 Skb
31 Tyas Rahmawat 10 6/10 Skb
32 Rumia Sirait 53 4/8 Cpd
33 Tety Sartka 49 5/2 Skb
34 Yayat H 59 5/7 Skb
35 M Reza 14 2/12 Pst
36 A Saefudin 65 3/74 Skg 0000057922132
37 Pitri 29 6/2 Skb
38 Nurdini 34 6/2 Pst 0038-01-19
39 Nurhayat 33 7/3 Skb
40 Nidia Lestari 22 6/9 Pst
41 Wiwin 31 3/9 Pst
42 Didin 65 6/1 Pst
43 Ananda M 11 4/8 Cpd
44 Iin Parlina 40 6/4 Skb
45 Andhika Kautsar 19 Skb
46 Ayo Sutardi 65 4/5 Cpd 0000506030973
47 Yat Sri Mulyat 58 4/8 Cpd
48 Tet Komariah 42 1/10 Pst
49 Suginah Emilia 64 8/3 Skb 0000057809002
50 Hani Rishandayani 41 5/6 Skg
51 Yani 39 7/6 Skb 0051-01-19
52 Sariah 64 7/4 Skb 0000021321674
53 Sri Wigat Setyo Wardani 80 3/7 Pst
54 Eva Apriant 25 7/5 Pst
55 Karwat 76 6/4 Pst
56 Sarah Nurhjanah 35 4/12 Pst
57
Bayi Nyonya Sarah Nurjanah/Rain Shaquila
8 hari 4/12 Pst
Jumat, 4 Januari 2019
58 Soma Somantri 70 Skb 8/2
59 Neneng Euis 24 Cpd 3/9
60 Muntara 53 Cpd 6/5

61 Rodhiatul A 51 Cpd 8/1
62 Sarpin 63 Cpd 1/6

63 Agustni Aemunah 52 Cpd 1/1
64 yet Rubiah 59 Cpd 8/11 0000055166771
65 Ade Sumarna 61 Skb 5/7
66 Dedi Junaedi 46 Pst 3/4
67 Rani Juwita 36 Cpd 6/1
68 Enung Sadeli 78 Skb 8/3
69 Ahmad Aldiansyah 8hr Cpd 4/8
70 Syarifah Ainun 20 Skb 8/2 v
71 Asep Muljani 66 Pst 1/6
72 Bambang Sudewo 68 Skb 2/1
73 Bitara Simanjuntak 71 Parongpong
74 Eviat Soffia 62 Cpd 8/11
75 Rian Ratnasari 41 Skb 7/4

76 Euis Komala 42 Cpd 3/1 0000056063013
Sabtu, 5 Januari 2019
77 Tit Haryat 56 Cpd 8/8

78 Achmad Sardi 53 Cpd 2/8
79 Yussy Shantka 29 Skb 1/7
80 M Tirta N 14 Pst 7/12
81 Waryan Hidayat 65 CPd 5/6 0000021333486
82 Rian Fitria 41 Skb 3/7
83 Rizky Rohidin 14 Skb 10/2
84 Anah Rukinah 43 Skb 6/10
85 lulu Lukman 58 Skb 6/12
86 Triyono 41 Pst 2/10
87 Aji Saputra 21 Pst 7/5

88 Rukiah 70 CPd 2/5 0000021328514
89 Reni Kosmarini 37 PSt 4/5
90 Rini Hartni 59 Pst 4/6
91 Tursino 27 Pst 1/2 v
92 N Widia Kartka 27 Skb 6/4
93 Ade Syamsudin 65 CPd 5/9
94 Jajang Suryana 50 CPd 7/4
95 Yuni Mulyani 16 Skb 1/4

96 Enceng Ruhiat 57 Skb 10/2 0000021305182
97 Euis Rusnat 53 Cpd
98 Refi Rosmawat 19 Cpd 7/4

99 Suja Juanda 72 CPd 8/7
100 Dedy Komara 59 Cpd 1/10
Senin, 7 Januari 2019
101 Warniat 29 Skb 8/4
102 Dede Juhariah 55 Cpd 1/11
103 Rusdia 73 CPd 6/3

104 Epon Poneni 67 Cpd 2/6
105 Sent Triyana 24 Skb 7/4
106 Malla Juni 15 Cpd 6/3
107 Empat Patmah 68 Pst 2/1
108 Dety Wardiant 40 Skb 10/6
109 Beny Supriyadi 54 PSt 5/7
110 Ria Rismulyahat 20 Skb 2/4
111 Lilis Sriyat 64 PSt 2/4
112 Diky Renaldy 24 Skb 6/3 v
113 Tat Sunart 68 Pajajran 3/4 0000057296092
114 Kusnadi 74 CPd 4/10
115 M Rega Syahputra 3 Skb 6/6
116 Dewi 31 Skg 4/3
117 Ziva Rosita 28 Skb 10/4
118 Rina Yuliant 18 Skb 10/6
119 Obar Hidayat 15 Cpd 8/1
120 Diding Syarifudin 58 Cpd 1/7
121 Tet Sumiat 46 Pst 3/1
122 Iping Supriadi 64 Cpd 2/5

123 M Akbar Fauzan 9 Skb 6/4
124 Yuyun Yulianingsih 57 Cpd 8/1 0000138580694
125 Asri Narwat 38 CPd 1/7
126 Sri Mulyaningsih 30 Skb 1/1
127 Arsad Sitepu 56 Cpd 5/10
128 Rini 36 Pst 5/5
129 Nanang Rochman 50 Pst
130 Dhapitra Nisa Nurazizah 0 Pst
131 Aldi Siguna 33 PSt 6/5
132 Arkhan Hafizhan Husin 0 Cpd 5/6

133 Gito Sugianto 35 Cpd 1.5
134 Santka 34 Skb v
135 Qayla Zahra Suparta 10 Pst 4/13

136 Marso 68 Cpd 1/2 0000055352788
137 Dina 27 Cpd 3/7
138 Nina Kurnia 54 Skb 7/4
139 Uko Koswara 78 Cpd 5/11
140 Nopi Mulyani 33

Selasa, 8 Januari 2019
141 Dedeh Nursidah 60 CPd 2/5
142 Suhartoyo 62 CPd 6/11
143 Alan 65 CPd 6/10
144 Nana Juhana 36 Skg 1/3
145 Arkhan Hafizhan Husin 0 Cpd 5/6

146 Euis Juliah 64 Skb 2/3
147 Satria Dwi Fangga 5 Pst 7/5
148 Kaetun 58 Skb 6/4
149 Kosim 68 Skb 2/1 0000021314182
150 Sukaesih 69 PSt 2/2
151 Marylani Putri Dewant 13 CPd 5/8 0000165137319
152 Heri Heryadi 57 Skb 10/2
153 Mitha Hira Rinjani 27 Cihampelas
154 Sanah Hasanah 68 Setrawangi 5/2
155 Sanaryo 65 Skb 5/6
156 Arminah 71 Cpd 2/4 0000021299253

157 Nenden Sutni 31 CPd 5/7
158 Anggita Susant Pertwi 20 Pst 3/1
159 Yanuari 68 Cpd 1/10

160 Salsabila Azzahra 0 CPd 3/7 v
161 Sadji 64 Skg 2/5 0000055804026

162 Wulan Riyakka 17 Skb 5/2
163 Mesri 61 PSt 4/9
164 Riza Artant 51 PSt 3/8
165 Adam Arasyi Tambunan 0 Cpd 1/2
166 Djuwita 62 Cpd 7/8

167 Ratna Komala 47 Skb 2/3
168 Anggraeni Yasa 52 Pst 5/10
169 Nur Fitriyani 26 Lw 0000055560756
170 Ganda Somantri 37 Skb
171 Firmansyah Surat 76 PSt 2/10

172 Darsih 68 Skb 9/4
173 Tut Hastut 73 PSt 1/4 0000021332441
174 Net Herawat 61 Pst 7/12
175 Khaerul Muluk 41 Cpd 6/4
176 M Nizar Amsyari 7 Skb 4/9
177 Yoyoh 54 CPd 5/6
178 Rian Ratnasari 41 Skb 7/4
179 Nasywa L A 11 Pst 7/14
181 Azka Khoirul Rochman 0 Cpd 5/9
182 Ratna 70 Cpd 5/7 0000021134891
183 Supriani 45 Skb 1/4
184 Deon Rusmana 51 Pst

185 Oth 55
186 Tatang 56 Skg 1/3
187 Ismayante 69 PSt 6/4
188 Tendi Rustandi 55 Skb 9/2
189 Yulius 44 CPd 4/10
190 Imas Chodijah 58 Cpd 3/8
191 Eulis 72 PSt 7/5
192 Hani 60 Skb 1/7
193 ELIS NURIAH 66 0000055428265
194 APAD ROCHENDI 70 0000055428276

195 Akmal 13 PSt
196 Nila Djuwita 61 Skg 3/4
197 Tit Suryat 53 Cpd 5/11
198 Yuni Mulyani 16 Skb 1/4
199 Ali Rahmat 20 Pst 6/12
200 Heryanto 69 Cpd 5/9

201 Putri Sintawat 24 Skb 2/1 v
202 Nurul Alifah Nur F 21 Pst 1/13 000005749744
203 Sunanar 58 Cpd 5/11
204 Hendra Gunawan 56 Pst 4/9
205 Net Haryat 53 Skb 5/7

206 Imas Solihah 56 Skb 2/7
207 Sit Sukaesih 34 Cpd 3/10
208 Deddy Kusyandi 61 PSt 6/6
209 Yuningsih 66 Cpd 5/5
210 Arum 68 Cpd 8/7 0000021299308
211 Vera Mayang S 38 Gerlong 3/2

212 Mega Lestari 11 Cpd 1/5
213 Idrus 61 Cpd 5/10

214 Tia Setawat 23 Cpd 2/5
215 Mimi Asusiant 15 CPd 9/4
216 Rafiah 65 Cpd 5/11 0000021136217
217 Rayya Syakirah Zalfa 8 Skg 1/6

218 Dini Ferdiani 24 Pst 6/6
219 Alma Nuzulvi 10 Skb 5/7
220 Endjan 78 Cpd 2/5
221 Dede Julaeha 57 Pst 6/2
222 Meit Iriant 55 Pagarsih 9/7 0000055895793

223 Linda Indriyani 43 PSt 5/11
224 Rainara Yuwanissa 0 Skg 3/4
225 Rizky Elsinta 29 Pst 1/10
226 Sinta H 19 CPd 3/6
227 Pitrah Saputra 0 Cpd 2/9
228 Hotma Nababan 60 Pst 3/4
229 Cucu Mulyana 58 Skb 5/10
230 Arkhan Hafizhan Husin 0 CPd 5/6
231 Silvia ST 55 Cpd 5/7
232 Ratnawat 29 Skb 10/6
233 Susinah 52 Skb 3/2

234 Rahayu W 59 Skb 6/11
235 Bariza Shabrina S 23 Skb 5/12 0000055937553

236 Gilang Ramadhan 24 Cpd 2/5
237 Nanda 65 Cpd 3/8
238 Maman 68 Cpd 7/8
239 Sugeng Pribadi 61 Skb 10/6 0001093801307
240 Mibar Kosasih 52 Skb 3/4

241 Nunung 61 Skg 4/4 0000057012603
242 Udju 80 Skb 7/6 0000021139391

243 Sri Yuniar 35 PSt 2/6
244 Silmi Ramadant 20 Skb 4/10
245 Tambo Samosir 76 Cpd 5/8 0000021138669

246 Elyana 51 CPd 2/5
247 Barnas Effendi 62 Cp[d 7/8 0000055161731
248 Ema Rosmiat 29 CPd 8/8
249 Kartni 58 Cpd 8/11
250 Susi Herlina 44 CPd 8/11
251 Rini Robiani R 52 CPd 1/7 0000053035378
252 Sariyah 80 Pst 2/1 0000021313416
253 Gain Ramadhan T 2 Skg 5/4
254 I Ratna 76 Skb 2/1 0000056367606
255 Asih 70 Cpd 2/1 0000021134158
256 Dewi Kurniasih 47 Skb 8/6 0000053477965
257 Harena Iqlima Dewi 20 Skb 8/6 0000053477987
258 Bambang Sudewo 68 SKb 2/1
259 Jajat Sudrajat 46 Cpd 3/6

260 Endang Syarif Hidayat 49 Skb 6/10
261 Budi Mulyana 65 CPd 6/6
262 Lili Fauzielly 48 Skb 5/7 0000058016226
263 Enan Sutsna 65 Pst 4/12
264 Dedi Suryadi 58 Cpd 7/4
265 Dedi Hidayat 56 Skb 6/6
266 Tarmini 50 Cpd 8/8
267 Mamah Susilawat 55 Cpd 6/6
268 Dewi Ratna Ningsih 50 Cpd 5/8
269 Toto Suparto 52 Skb 6/5
270 Dedi Amin 38 Cpd 2/3
271 M Kahfi AL Fariz 5 Cpd 8/8
272 M Kautsar AL Muiz 0 Cpd 8/9

273 Nur Asni 52
274 H Salim Surjadi 75 Pst 5/12 0000021135745
275 Susan H 27 Cpd 3/1
276 Sunanar 58 Cpd 2/11
277 Ari Koswandi 29 Cpd 6/1
278 Hj Neneg Lumidah 67 Skg 1/4 0000021314215
279 Yudi Gumilar 21 CPd 4/5
280 Dodih Darpikah 75 SKb 4/7

281 Kartwi 53 PSt 7/2
282 Iis Setawat 41 Skb 8/2
283 Susi Susilawat 48 Cpd 2/5
284 Isnwat Fatmah 42 Skb 1/3

285 Uyu H Sutarya 68 Pst 4/6
286 Desi Patmawat 15 Cpd 6/1
287 Sit Rohmah 38 CPd 3/5
288 Rizkiana Santka 16 Cpd 6/7
289 Yulida 35 Skb 2/1

290 Ida Rindayani 43 Skb 3/5
291 Rani F 22 Skb 8/4

292 Wulan Riyaka 17 Skb 5/2
293 Anih 72 CPd 6/10
294 Lia Iklimah 23 Skb 4/2 v
295 Sri Yuliant 42 Skb 6/13
296 Kalince Sagala 44 Cpd 5/5
297 H Sardjo Bin Salta 79 Cpd 4/9 0000021129456
298 Sit Aisyah 73 Cpd 4/10 0000021129467
299 Kelvin Vallery 26 PSt 5/10
300 Annisa Mirna Deila 13 Cpd 4/9
301 Tut Sulastri 61 PSt 6/1
302 Yayan Mulyana 58 Cpd
303 Komar 64 Skb 6/2
304 Hidayat 49 Cpd 4/8
305 Deuis Djubaedah 74 Skg 2/5 0000021303167
306 Aditya Rifki Fadilah 0 Skg 3/4

307 Aat 55 Cpd 1/5
308 U Soeyatno 67 Cpd 4/8
309 Scahrum 79 Cpd 4/7 0000021135598
310 Kalince Sagala 44 Cpd 5/5
311 Yuyu Yuliandhani 50 Cpd 5/1
312 Atang Saputra 55 Cpd 5/9
313 Seira Novia Riana 11 Cpd 5/4 v
314 Ishak Suratman 68 Skg 3/4 0000021311965
315 Jenni Marjat 75 Skw 7/5
316 Isman M Toha 35 Cpd 6/11 0000172858037
317 Paini 50 PSt 5/2
318 Yatn 52 Skb 6/3

319 Sumini 67 PSt 6/4
320 HJ Iyus Ruskonah 72 Skb 6/5
321 Tintn M 69 Cpd 5/8 0000021331923
322 Tet Sumiat 46 PSt 3/1
323 Cahya Rizki Mulyawan 21 Skb 3/3
324 Uat Yunarni 53 Tasik v
325 Oman Suherman 69 Cpd 3/8
326 Deri Rahman 19 Skb 10/2
327 Et Setawat 62 Skb 10/4

328 Rodiah 75 PSt 5/8 0000021323845
329 Soepartwi Hartojo 80 Skg 1/3 0000021136803
330 Aris Kristanto 73 PSt 1/6
331 neneng Mulyat 44 Skb 7/6
332 Tini Kurnianingsih 46 Cpd 4/8
333 Elah 80 Cpd 1/8
334 Herman Yesaya 52 Skb 6/6
335 Sutyah 69 Skb 1/1 0000056999327
336 Amanah 74 Cpd 3/3
337 Nur Rohmah 22 Cpd 4/6
338 Mustar Pilliang 60 Cpd 7/7

339 Ikin Sodikin 58 Skb 6/11
340 Kartni 75 Cpd 4/9 0000021310604
341 Ayi Rohanah 47 Cpd 2/5 v
342 Kholisoh Nur Baeni 53 PSt 3/13

343 Hilda Rahmah 22 PSt 2/3
344 Abu Praritno 36 Skb 9/6
345 Sant Susi Nursant 25 Cibaduyut
346 Ismail Iswan 68 PSt 1/4 0000021312145
347 Moh Dias Febriana 7 Skb 5/7

348 Nicky Dwi P 32 Skg 3/4
349 Ihat Solihat 56 Cpd 6/10
350 Rosiva Fairus 4 Skb 1/9 v
351 Anah K 43 Skb 6/10
352 Dion Rusdiana 62 Skg 1/5 0000057500223
353 Pipin Supini 41 Skb 9/6
354 Ade Suryani 58 Skb 9/6

355 Nixie Bellvania Casimira 2 Cpd 6/5
356 Darta Herdiana 71 Skb 6/3 0000056817319
357 Elan 48 PSt 7/2
358 Cecep 66 Cpd 2/3
359 Ade Irma 17 Skb 7/4
360 Habibah 62 CPd 4/1
361 Damen 70 Cpd 4/5 0000021298511
362 Aning 82 Skg 1/5 0000021321538
363 Enung Nuraeni 25 Cpd 7/8
364 Rendi Febrian 10 Skb 8/2
365 Kusno 77 Skb 5/3 0000021314362

366 Neneng Sity Margiani 58 Cpd 4/8 v
367 Rini Martani 28 Cpd
368 Aas 36 PSt 6/9

369 Holycita Mili Henoki 1 Skb 3/3 v
370 M Rafi El Hakim 21 Cpd 2/8
371 Roihatul 30 Cipagant 1/5
372 Fania Putri Ramadhani 8 Cpd 8/8
373 Iwan Setawan 47 Cipagant v
374 Lasmana Sari 28 PSt 6/2
375 Dina Nurweni 30 SKb 10/6
376 Rani K 39 Pamoyanan 8/1
377 Cok Khiun 63 Skg 3/6
378 Sansan P 17 Skb 2/9
379 Widiani M 19 Cpd 1/5
380 Hendi Efendi 54 Skb 5/3 0000062001303

381 Willem Ronald Van Kerkvoorden 80 Skg
382 Hasna 0 Skb 2/8

383 Neneng Suryat 54 PSt 2/12
384 Wulan Oktavia 21
385 Dedeh kurniasih 66 Cpd 2/10
386 M Fayyadh Al Atsir 2 Cpd 7/8

387 Depiyana Sutedi 20 Pst 1/13
388 Shelly Sylviah 24 Cpd 4/4
389 Anabelia Winatan 19 PSt
390 Nani Widaninengsih 55 Skb 5/3
391 Wahyu 69 Skb 2/6
393 Sit R Jubaedah 68 PSt 4/9 0000021326679

394 Dana 79 Skb 6/6 0000053232377
395 U Fachrudin 76 PSt 5/5
396 Edoh 59 Skb 1/2
397 Iim Ibrahim 60 Skb 5/6
398 Arsya Adlan Elfath 5 Skb 8/3 0001901909823
399 Sit Safa'ah 52 Skb 1/2
400 Rahayu Wismo 59 Skb 6/11

401 Katnem 77 Skb 6/3 0000021313214
402 Mutara Zahwa Venissa 18 SKb 9/2
403 Ening Rukminingsih 73 PSt 1/5 0000056778535
404 Kania Marsya P 14 Cpd 2/9 0000055612247
405 Sukamudyant 51 Skb 4/6 0000057526108
406 Listyat Retna 62 PSt 9/6
407 Eni Daryani 37 Skb 5/11
408 Rian Supriatna 22 Skb 1/1
409 Dedi Setawan 42 Cpd 5/5
410 Raindra Rizkiana 5 Skb 3/1
411 Imas 58 PSt 5/13
412 H Misra Bin Mastu 75 Cpd 4/9 0000021129388
413 Eli Rohmah 54 Paskal 3/11 0000055692461
414 Cahyadi 64 Cpd 5/5
415 Adam Auram S 14 Skb 1/6
416 Dinar Nurlaila Saodah 16 Skb 2/4
417 Maman Sanusi 64 Skb 1/1
418 Aceng 83 Skb 4/3
419 Nunung kurniasih 47 Skb 1/4 0000057889179
420 Enda 67 Skb 1/1
421 Kusno 77 Skb 5/3 0000021314362
422 Meisya Azahra Putri 5 Skb 3/10
423 M Nazril Ilham 0 Cpd 4/5
424 Sabila Divani 15 Cpd 5/7
425 Lia Rochanah 63 Cpd 1/10
426 Revita Indriawat 43 Skb 8/4

427 Enung Sri Daryani 43 Skb 2/7
428 Yulida 35 Skg 2/1
429 Cecep Rahayu 29 CPd 2/5
430 Et Rohaet 59 CPd 2/6
431 Nixie Bellvania Casimira 2 Cpd 6/5
432 Wasis Jatmiko 41 Skg 7/2
433 Putri Alya Shafiqha 0 Cpd 8/11
434 Karyat Ningsih 53 CPd 1/5
435 Asri Handayani 41 Dahlia
436 Fauzi Fadhlurrahman 8 Cpd 7/4
437 Ai Raedah 50 Skb 10/4

438 Rini Susant 26 Skb 2/1
439 Athaya Adhitama Candrakanta 2 PSt 3/1 V

440 Angga Putra 23 Cpd 5/8
441 I Ratna 76 Skb 2/1 0000056367606

442 M Dandy Ramdan 0 Cpd 6/7
443 Regina 21 Skb 5/2 0000055790346
444 Cucu Mulyana 58 SKb 5/10

445 Heryani 48 Cpd 6/5
446 Empok Patmah 57 SKb 6/6
447 Imas Sin 53 Cpd 3/8
448 Atum Rohat 68 Pst 4/6
449 Esther Napitupulu 64 Rahayu kbb
450 Atk Atkah 34 Skg 3/9 v
451 Andika P 13 Cpd 2/6
452 Yat Hadiyat 68 PSt 2/12 0000021333903
453 Dwi Sugondo Aditama 34 Cpd 7/4
454 Rosmayat 38 CPd 2/6
455 Omah 69 PSt 4/6
456 Sudar 74 PSt 4/12
457 Decky Bayu Suryadi Perdana 21 Skb 5/2
458 Syifa A 11 CPd 4/3
459 Azizah Primanda Putu 19 CPd 2/11
460 Rasya Muhammad Athaya 5 Cpd 5/11
461 ANI 47 Cpd 6/6

462 Annisha V RD 15 SKb 6/2 v
463 Yoyoh Rokayah 68 Skb 2/6
464 Chicha Hennita 15 Cpd 4/4
465 H Salim Surjadi 75 PSt 5/12 0000021135745
466 Birkin A K 57
467 Endang Aisyiah 56 Skb 1.10
468 Sit Aminah 42 CPd 8/8

469 Herjaman 65 PSt 2/1 0000021309772
470 Tarya 63 CPd 8/8
471 Bambang Budiono 62 Skg 0000055716355
472 Gibran Juanda Putra 0 CPd 5/5
473 Nurlela 32 Skb 8/2
474 M Dimas S 12 CPd 4/9
475 Tatang 54 SKb 5/6
476 Marleny Arnija 57 PSt 7/11
477 Cahayana Wibisana 20 PSt 3/4

478 Yuyun Yuningsih 43 Cpd 6/8
479 Engkos Kosasih 71 Cpd 2/11
480 Nani Sri Kartka 45 Pst 2/12
481 Andreas Suryadi 55 Sukajaya
482 Arsad Sitepu 56 CPd 5/10

483 Hendra Hermawan 33 CPd 1/11
484 Nur Kholiq Romdhon Ahmadi 17 PSt 4/9

485 Tahri 56 CPd 6/5
486 Dzikran Arkhaira S 2 PSt 2/2
487 Elly Roshiyana 49 Skb 4/2
488 Yohana Veronica Siregar 23 Paledang
489 Jihaddini Fitriyani 26 Pst 2/2
490 Deni Yogi Rahmat 28 PSt 2/2
491 Gregory Arnad E H 15 Skb 5/4

492 Danu 78 Cpd 2/5
493 Lilis Sobariah 55 PSt 1/5
494 Wiwin Wahyuningsih 31 PSt 3/9
495 Hasna Raabiyah 16 Skb 9/2
496 Tut Rusmiaty 49 CPd 1/9
497 Ade Rahmat 61 Skb 5/11
498 Dinar Fauziah 20 Skb 10/6 0000211685927
499 Neddyanto P 73 Skb 2/1
500 Sendyawan 18 Skb 2/4
501 Rusdi Syarif 49 Cpd 1/4

502 Wawang 52 Skb 10/6 0000057534118
503 Rita Hildawat 51 Skg 4/4
504 Dini F 25 Pst 6/6
505 Dessy Morini Santoso 39 PSt 4/12
506 Ayi Warnasit 73 CPd 3/1
507 Iwan Suwandi 51 CPd 8/1
508 M Husni E 37 Skb 5/7
509 Ahmad Satbi 58 Cpd 4/6 0000057779829
510 M Hanafiah 53 Skb 1/11 v

511 Dewi Rosmalasari 36 CPd 8/7
512 Nunung N 36 Cpd 6/7 0000057181307
513 Tia Rostana 52 Skb 2/1
514 Sit Rohayat 61 Skb 5/3 0000021139479

515 Sarno Sutono 50 Skb 5/2
516 Atkah 65 Cpd 3/5
517 Jeje Sit Jenab 45 CPd 8/7
518 Tiah Sumirah 55 Cpd 8/7
519 Septandi Virgahana 49 Skb 5/4
520 Irma Hani Kusrini 39 Skb 5/2
521 HJ Halijah Noer 52 SKb 3/1
522 Dicki Radiansyah N 46 PSt 5/5
523 Nur Rinjani Andrea Dewi 2 Cpd 2/5 v
524 Yulia Hermawat Dipoera 28 PSt 3/5
525 M Wildan 25 Cpd 3/2
526 Sandy Hendrayana 28 Cpd 4/1
527 Helmi Sidebang 49 Cpd 5/5
528 Rahma Syahri 15 Skb 1/4
529 Sudarsih 69 Skb 8/4 0000021139852
530 Mahpud 57 Cpd 6/8

531 Sit Komarijah 82 Cpd 5/6 0000056313933
532 Herman Suherman 69 Pst 1/4 0000021309794
533 Lina Marlina 45 Skb 3/3
534 M Dani Azka 4 Cpd 3/1
535 Haerudin 55 CPd 2/5
536 Epi Apiyat 47 Skb 5/3
537 Heryanto 69 CPd 5/9
538 D Rachmat 78 Skb 1/10 0000021127307
539 Neneng Erlyana 57 Cpd 2/7
540 Kenzie Yafiq Ranggucci 5 PSt 1/11
541 Yani Suharyani 52 SKb 1/11 0000021309805
542 Anggi S 30 Skb 10/6

543 Shakayla 7 CPd 4/1
544 Asep Muljani 56 PSt 1/6
545 Sukoco 52 CPd 5/5
546 Diana Dwi Novita S 26 SKb 5/6
547 Akmal Fahri Ramadan 10 Cpd 8/8
548 E Suhart 65 Cpd 5/9 0000021125676
549 Putri Binandari 8 Skb 1/10
550 Peny Dewi Erisnawat 53 Skb 1/9
551 MUHAMMAD FADHIL AL-FARUQ 14 Cigugur 0001814990769
552 Asep Nuria 49 Skb
553 Habibie Nugraha 3 PSt
554 Enang Priatna 50 Cpd 1/7
555 Lilis Sobariah 55 Pst 1/5
556 Rina J 22
557 Aep Syaepudin 47 SKb 9/6
558 Yani R 20 Cpd 6/10
559 v
560 Durijah 74 SKb 4/6 0000021304473
561 Cindawat 47 Cpd 6/8

562 Edo Sarda 55 SKb 8/3
563 Tuty Suhernawat 52 Sarijadi
564 Cok Khiun 63 SKg 3/6
565 Darmanto Djafar I 64 SKb 2/3
566 Riska Dianti 26 Cpd 2/5
567 Rodhiatul A 51 Cpd 8/1

568 HJ Hadijah 75 Skb 9/6 0000021308218
569 Putri 28 CPd 1/5
570 Tintn Supriatn 52 Skb 5/3
571 Endang Syarif Hidayat 68 Cpd 3/8 0000021305362
572 Anah 80 Pst 2/2
573 Via Oktaviani 18 Cpd 3/6
574 Ai Titn 35 Cpd 6/8 v

575 IR Poltak Sinaga 60 Cpd 3/12 0000036952143
576 Dirga Rasyid 0 PSt 1/12
577 Lilis Sutriaman 70 Skb 8/3 0000021314632
578 Arya Pradana Putra 5 Skb 2/11

579 Deddy Koswara 59 PSt 1/10
580 Raihan Najid Al Fajri 2 Skw 1/3
581 Holidin 54 Skg 7/2 0000056648485
582 Dewi 43 Pst 2/5
583 Wanda 18
584 Andika P 10 hr Pst 6/2
585 Mista 64 Skb 5/3
586 Sutarno 66 CPd 8/7 0000021299321
587 H Misra Bin Mastu 75 CPd 4/4 0000021129388
588 Daniseum 45 Skb 10/4
589 Usman 52 PSt 1/2
590 M Radif Alfarizqi 1 Skg 1/6
591 Nani Setanah 37 PSt 6/9
592 Soeparwi Hartojo 70 CPd 1/3 0000021136803
593 Ana Sutarna 75 SKb 3/10
594 Toto Kuswito 59 PSt 2/12
595 Darmanto Djafar I 64 Skb 2/6
596 Alfiani Merliani 18 Cpd 3/10
597 Eni Darwat 51 PSt 9/5
598 Dedi Pramono 38 Cpd 5/6
599 Anggraeni 44 Cpd 1/11
600 Dhani Darajat 36 Pst 4/12
601 Rosmawat 63 CPd 3/1
602 Mutara Fitri Emimah Irawan 0 Cpd 5/5 v
603 Aldi Tabah Pratama 20 Cpd 5/9
604 Maria Martna S 70 Skb 2/6 0000021316252

605 Wawan Darmawan 48 Cpd 1/5
606 Octely Putri Maharani 0 Baladewa 1/8
607 Agus Hendrawan 37 Cpd 3/3
608 Enur 33
609 Ananda M 11 Cpd 4/8

610 Abdur Rahman 21 Skb 3/5
611 Suhest 48 Cpd 4/5

612 Lia Adelia Rahmawat 13 Cpd 4/5
613 Roni Romdoni 52 Pst 5/9
614 Sudrajat Jajat 65 Skb 1/5

615 Suparman 50 Cpd 4/5
616 OMAN RUSTANDI
617 Ika Sartka 42 Pst 4/12

618 Gustan Suryana 10 Cpd 6/10
619 Eva Apriant 25 Pst 7/5
620 Bisman Nasuton 49 PSt 4/9
621 Anne 35 PSt 5/4
622 Aditya 12 Skb 10.6
623 Rusijah 54 Skb 1/7
624 Rizal Bahrun 24 Husein 3/2
625 Asep Herawan 57 Pst 7/12
626 Nunung 52 Cpd 4/9
627 Nadiya Murteja 9 PSt 1/1
628 Wulan Patmasari 21 PSt 3/1
629 Budi Sukmana 62 Skb 1/4 0000055563208
630 Yant Ika 30 Skg 2/7
631 Indra Sopyan 20 Pst 7/6
632 Sit Komarijah 82 Cpd 5/6 0000056313933
633
634
635
636
637
638
639
640
APBN/APBD MANDIRI POLI/RS
0001317208342 Dalam/Hermina
0002473897882 Urologi/Melinda 2
0001842654194 Kulit/Hermina
0002301360355 Saraf/Hermina
0000505729449 Paru/Hermina
0001380781901 Orthopedi/Hermina
Dalam/Hermina
0002502655075 THT/Hermina
0002479867863 Anak/Hermina
0001272855069 Jantung/Hermina
0001401129663 Obgyn/Hermin
0001717107603 Mata/Hermina
Saraf/Hermina

0002436340566 Bedah Mulut/Hermina
Urologi/Hermina
0000505205436 Obgyn/Hermina
0001328223126 Kebidanan/Garuda
0000506321155 Endodonsi/RSKGM
Obgyn/Hermina
Jantung/Hermina
Orthopedi/Hermina
0002241790402 Mata/Netra
0001401143512 Kebidanan/Garuda
Mata/Hermina

0001401112901 Gigi Bedah Mulut/RSKGM
0001260247173 Bedah/Advent
Saraf/Hermina
0001311759123 Paru/Melinda 2
Mata/Hermina
0001444914887 Dalam/Bungsu
0001295730009 Mata/Netra
Mata/Hermina
0001458296458 Gigi Prosthodont/RSKGM

0000505766272 Jantung/Advent
0001436056626 Anak/Melinda 2
Dalam/Hermina
0002181975298 Jiwa/Melinda 2
0000505656999 Dalam/Melinda 2
Saraf/Hermina
0001978244649 Paru/Melinda 2
B20/RSHS
Saraf/Hermina

0001778072466 Gigi Endodont/RSKGM
0000506314282 Mata/Netra
0001401137177 Bedah/Hermina
IGD/Hermina
Dalam/Hermina
0001778077405 Saraf/Advent
Bedah/Hermina
0002428318585 Saraf/Salamun
0002181945598 Obgyn/Garuda
Mata/Cicendo
Jantung/Advent
0002183236424 Mata/Netra

Mata/Hermina
Mata/Kebonjat
0001460886445 Mata/Netra
Dalam/Kebonjat
Anak/Hermina
Dalam/Hermina
0001270548156 Saraf/Melinda 2
Obgyn/Hermina
0001401102191 Paru/BBKPM
Saraf/Hermina
0000506170991 Mata/Netra

0001429297119 Jiwa/Hermina
0001399384923 Jantung/Salamun
Mata/Hermina
0001013556374
Jantung/Hermina
Jantung/Hermina
0001274006079 Gigi Periodont/RSKGM
Obgyn/Hermina
Dalam/Hermina
0002213300226 Dalam/Kebonjat
Gigi Prosthodont/RSKGM
Dalam/Hermina
Dalam/Hermina

Paru/BBKPM
Mata/Hermina
Dalam/Melinda 2
Dalam/Hermina
Paru/BBKPM
Jantung/Hermina

Kemoterapi/RSHS
Jantung/Hermina
Saraf/Hermina
Dalam/Hermina
Mata/Hermina
Mata/Hermina
0002437529332 Paru/BBKPM
Gigi Bedah Mulut/RSKGM
0000505808493 Bedah/Advent
0001399384629 Jiwa/Grha Atma

Kulit/Hermina
0002213300226 Hemodialisa/Kebonjat
Dalam/Hermina

0001778077899 Obgyn/Kebonjat
0002206630023 Hemodialisa/Habibie
Obgyn/Garuda

Jantung/Kebonjat
Jantung/Kebonjat
0002419743396 Mata/Netra
0001399382605 Gigi Endodont/RSKGM
Dalam/Hermina
Mata/Netra
Anak/Hermina
Jantung/Hermina
0001468126326 Bedah Onkologi/Kebonjat
0002032260074 Mata/Netra
Jantung/Hermina
000050604265 Bedah Plastk/Salamun
Dalam/RSHS

0000505143347 Urologi/Hermina
Jantung/Hermina
Jantung/Hermina
Jantung/Hermina
0000057785139 Mata/Netra
Dalam/Melinda 2
Jantung/Hermina
Urologi/Melinda 2
Anak/Salamun

Paru/Hermina
Mata/Hermina
Saraf/Hermina
Jantung/Hermina
Bedah/Hermina
Dalam/Hermina
Afifa
Bedah/Hermina

0001728062937 Mata/Netra
Dalam/Hermina
0002252654728 Hemodialisa/Santo Borromeus

0002455030631 Jantung/Melinda 2

Jantung/Hermina
0001341941062 Urologi/Kebonjat
Anak/Hermina

Jantung/Kebonjat
Saraf/Hermina
Mata/Kebonjat
Dalam/Kebonjat

Mata/Netra
Dalam/Hermina
0002183241238 Mata/Netra
Mata/Hermina
Saraf/Hermina
Anak/Hermina

Dalam/Hermina
Gigi Endodont/RSKGM
0001295731326 Mata/Netra
Dalam/Hermina
Dalam/Hermina
0001800139599 Mata/Netra
0002315573471 Paru/BBKPM
Bedah/Hermina

THT/Hermina
0001326351374 Gigi Prosthodont /RSKGM
Saraf/Hermina
Bedah/Hermina
0001823109579 Hemodialisa/Advent
000211956332 Mata/Netra
0002356261738 Mata/Netra
0001654134186 Mata/Netra
0002059868777 Mata/Netra

Bedah/Hermina
0002216203839 Sarana Kemoterapi/RSHS
Dalam/Hermina
Paru/BBKPM
Mata/Hermina


0001855557178 Mata/Netra
0001013554045 Jiwa/Hermina
Anak/RSHS

0001401145661 Gigi Radiologi/RSKGM
Jantung/Hermina
Dalam/Hermina
Jiwa/Grha Atma
0002620084702 Anak/Advent
THT/Hermina
Jantung/Hermina
0001457768913 Paru/BBKPM
Dalam/Melinda 2

Bedah/Hermina
0000505646201 Saraf/Kebonjat
Anak/RSHS
Dalam/Hermina
0001728062932 Hemodialisa/Santosa Central
0002375166971 Gigi Prostodont/RSKGM

Dalam/Hermina
Gigi Endodont/RSKGM
Obgyn/Hermina
Urologi/Melinda 2
Saraf/Hermina
Dalam/Hermina
Dalam/Hermina
Dalam/Hermina
Mata/Hermina
0001389399254 Bedah Onkologi/Santo Borromeus

Anak/Hermina
Paru/Hermina
0002465466107 Paru/BBKPM
'0000055366457 Paru/BBKPM
0001401108142 Anak/Kebonjat
Mata/Hermina
Saraf/Hermina
DIAGNOSA
Secondary hypertension
Unspecified diabetes mellitus,
Hyperlipidaemia, unspecified
Secondary hypertension, Hyperlipidaemia,
unspecified
Calculus of kidney and ureter
Unspecified diabetes mellitus, Mixed asthma
Tuberculosis of other specified organs
Epilepsy
Respiratory tuberculosis, bacteriologically and histologically confirmed

Soft tssue disorder, unspecified
Unspecified diabetes mellitus
Suppuratve otts media, unspecified
Other benign neoplasm of connectve and other soft tssue of thorax
Axilla
Impacted cerumen
Other dermatts
Hypertensive heart disease with (congestve) heart failure
Excessive and frequent menstruaton with irregular cycle KIA
Disorder of refracton, unspecified
Other chronic obstructve pulmonary disease
Bronchopneumonia, unspecified
Radiculopathy
Hypothyroidism, unspecified
Impacted cerumen
Non-insulin-dependent diabetes mellitus,
Essental (primary) hypertension
Thyrotoxicosis, unspecified
Other benign neoplasm of connectve and other soft tssue of abdomen
DIAGNOSA
Congestve heart failure
Idiopathic thrombocytopenic purpura
Necrosis of pulp
Presbyopia
Epilepsy
Malignant neoplasm of urinary organ, unspecified
Maternal care for breech presentaton
G2P1A0 Aterm Pro Partus
Necrosis of pulp
Acute lymphadenits, unspecified
Uterovaginal prolapse, unspecified
Asthma
Acute sinusits
Epilepsy
Chronic ischaemic heart disease
Delayed union of fracture
Myopia
G3P2A0 Aterm
Presence of intraocular lens
Acne vulgaris
Placenta praevia specified as without haemorrhage
Fracture of fibula alone, closed
Routne postpartum follow-up
Pneumonia, unspecified
DIAGNOSA
Hypertensive heart disease
Necrosis of pulp
Unspecified diabetes mellitus, Essental
(primary) hypertension
Chronic apical periodontts
Benign neoplasm of thyroid gland
Epilepsy
Malignant neoplasm of cervix uteri
Neonatal jaundice, unspecified
Myopia
Hepatomegaly, not elsewhere classified
Unspecified visual loss
Cutaneous abscess, furuncle and carbuncle,
unspeci, Benign neoplasm of parotd gland
Pterygium
DIAGNOSA
Loss of teeth due to accident, extracton or local periodontal disease

Necrosis of pulp
Epilepsy
Other specified dermatts
Hyperkinetc disorder, unspecified
Acute sinusits
Non-insulin-dependent diabetes mellitus

Radiculopathy
Mixed asthma
Arthrosis, unspecified, Cystts
Human immunodeficiency virus [HIV] disease resultng in infectous and
parasitc diseases
Tuberculous peripheral lymphadenopathy
Gonarthrosis, unspecified
Other respiratory tuberculosis, confirmed bacteriologically and
histologically
Sequelae of cerebral infarcton
Respiratory tuberculosis, not confirmed bacteriologically or
histologically
Vasomotor and allergic rhinits
DIAGNOSA
Myopia
Insulin-dependent diabetes mellitus with peripheral circulatory
complicatons
Congestve heart failure, Other chronic
obstructve pulmonary disease
Glaucoma
Exceptonally large baby KIA
Necrosis of pulp
Sciatca
Other cataract
Epilepsy
Gingivits and periodontal diseases
Acute appendicits, other and unspecified
Allergy, unspecified
Nasal polyp, unspecified
Prolonged first stage (of labour)
Excessive, frequent and irregular menstruaton KIA
Fracture of other finger
Cerebral infarcton
Other benign neoplasms of connectve and other soft tssue
Other benign neoplasm of connectve and other soft tssue of head,
face and neck
Myopia
Epilepsy
Prolonged first stage (of labour) KIA
Presbyopia
G2P3A0 H Aterm
Headache
Strabismus, unspecified
Other cataract
Unilateral or unspecified inguinal hernia, without obstructon or
gangrene
Pterygium
Other benign neoplasm of connectve and other soft tssue of abdomen

Other cataract
Gestatonal [pregnancy-induced] hypertension without significant
proteinuria KIA
DIAGNOSA
Large cell (diffuse) non-Hodgkin's lymphoma
gangrene
Cardiomyopathy, unspecified
Other cataract
Primary gonarthrosis, bilateral
Cholecystts, Chronic gastrits, unspecified
Senile cataract
Malignant neoplasm of prostate
Secondary hypertension, Thyrotoxicosis,
unspecified
Respiratory tuberculosis, not confirmed
bacteriolo
Unspecified diabetes mellitus, Secondary
hypertension
Chronic gastrits, unspecified
Senile cataract
Patent ductus arteriosus
Unspecified diabetes mellitus, Chronic kidney
disease
Fracture of scapula, open
Disorder of facial nerve, unspecified
Maternal care due to uterine scar from previous surgery
bacteriolo, Pleural effusion, not elsewhere
classified
Non-insulin-dependent diabetes mellitus with other specified
complicatons
Chronic ischaemic heart disease, unspecified
Sequelae of cerebrovascular disease
DIAGNOSA
Paranoid personality disorder
Cerebral palsy
Other diseases of salivary glands
Epilepsy
Gonarthrosis [arthrosis of knee]
Paratyphoid fever, unspecified
Disorder of eye and adnexa, unspecified
Presbyopia
Other specified disorders of skin and subcutaneous tssue in diseases
classified elsewhere
Old myocardial infarcton
Other headache syndromes
Cerebral infarcton
Ventricular septal defect
Radiculopathy
Impacted cerumen
Chronic ischaemic heart disease,
Hyperlipidaemia, unspecified
Other and unspecified right bundle-branch
block, Hyperlipidaemia, unspecified
Temporomandibular joint disorders
Dyspepsia
Other arthrits
Acute sinusits
Fever, unspecified, Other symptoms and signs
concerning food and fluid
Candidiasis of vulva and vagina
Chronic kidney disease
DIAGNOSA
Congestve heart failure, Chronic ischaemic
heart disease
Non-insulin-dependent diabetes mellitus with
other, Cerebral infarcton
Gastro-oesophageal reflux disease without oesophagits
Epilepsy

Antenatal screening for fetal growth retardaton using ultrasound and
other physical methods
Cerebral palsy
Other retnal detachments, Vitreous
haemorrhage
G2P1A0 H Aterm
Myopia
Chronic myeloid leukaemia
histologically
G1P0A0 H Aterm
Other superficial injuries of lower leg
Congestve heart failure, Low back pain
Epilepsy
Hypertensive heart disease, Unspecified
diabetes mellitus
Nontoxic single thyroid nodule
Special screening examinaton for eye and ear disorders
Exceptonally large baby
Severe pre-eclampsia
DIAGNOSA
Radiculopathy
Other cataract
Diarrhoea and gastroenterits of presumed infectous origin

Non-insulin-dependent diabetes mellitus, Stroke, not specified as
haemorrhage or infarcton

Toxoplasmosis, unspecified
Cardiomegaly
Glaucoma
gangrene
Congestve heart failure, Other chronic
obstructve pulmonary disease
histologically
Acute myocardial infarcton, unspecified
Pleural effusion, not elsewhere classified
Hypertensive heart disease, Unspecified diabetes mellitus
DIAGNOSA
Malignant neoplasm of breast, unspecified
Foreign body in ear
Intervertebral disc disorder, unspecified
Myopia
Myopia
Sleep disorder, unspecified, Non-insulindependent diabetes
mellitus

Impacted teeth
Sequelae of cerebrovascular disease
Radiculopathy
Cellulits, unspecified
Pityriasis alba
Tinnitus
Unspecified nonorganic psychosis

histologically
DIAGNOSA
Carpal tunnel syndrome
G2P1A0 Grav 37/38 KIA

Anxiety disorder, unspecified
Low back pain, Arthrosis, unspecified,
Low back pain
Supervision of other high-risk pregnancies KIA
Tuberculosis of bones and joints

Hearing loss, unspecified
Tuberculosis of other organs
Radiculopathy
Keratts
other physical methods KIA
Dislocaton, sprain and strain of joint and ligaments of hip
G2P1A0 H Aterm KIA
Hypermetropia, Myopia
Cerebral infarcton
DIAGNOSA
Myopia
Vitligo
Cerebral infarcton
Other depressive episodes
Presbyopia
Necrosis of pulp
Congestve heart failure, Arthrosis,
unspecified, Radiculopathy
bacteriolo, Dengue fever [classical dengue]
Disorder of thyroid, unspecified
Other anaemias
Senile cataract
Cerebral infarcton
Other chronic suppuratve otts media
Malignant neoplasm of cervix uteri, unspecified
gangrene
Pertrochanteric fracture, closed
Other disorders of external ear
Gastric ulcer
DIAGNOSA
Hyperplasia of prostate
Arthrosis, unspecified, Chronic gastrits,
unspecified
Mixed asthma
Epilepsy
Arthrosis, unspecified, Chronic gastrits,
unspecified
Congestve heart failure, Angina pectoris
Acute tonsillits
Impacted teeth
Other and unspecified injuries of abdomen, lower back and pelvis

Myopia
Angina Pectoris
Radiculopathy, Fracture of other metacarpal
bone
Suppuratve and unspecified otts media
Depressive episode
Unspecified viral haemorrhagic fever, Other
symptoms and signs concerning food and fluid
Chronic tonsillits
Radiculopathy, Low back pain
DIAGNOSA
Necrosis of pulp, Essental (primary) hypertension
Presbyopia
Supervision of other high-risk pregnancies KIA
Other specified diabetes mellitus with ketoacidosis
G3P2A0 H 38/39 mg KIA
Ingrowing nail, Non-insulin-dependent diabetes
mellitus with other
Gastric ulcer
Benign neoplasm of breast
Epilepsy
Maternal care due to uterine scar from previous surgery KIA
Cutaneous abscess, furuncle and carbuncle
Maternal care for transverse and oblique lie KIA
Other and unspecified ovarian cysts KIA
DIAGNOSA
Other cataract
Necrosis of pulp
histologically
Other cataract
Impacted teeth
Congestve heart failure, Chronic ischaemic
heart disease
Diarrhoea and gastroenterits of presumed
infecto
Temporomandibular joint disorders
Impacted teeth
Otts media, unspecified
DIAGNOSA
Chronic ischaemic heart disease, Congestve heart failure
Chronic gingivits, Essental (primary)
hypertension
Cardiomegaly
Gastric ulcer
Childhood autsm
Low back pain
Loss of teeth due to accident, extracton or
local

Acute maxillary sinusits
Myopia
Thyrotoxicosis, unspecified, Mixed asthma
Acute tonsillits, unspecified
Unspecified nonorganic psychosis
DIAGNOSA
Schizophrenia
Congenital cataract
Other cysts of oral region, not elsewhere classified
Presbyopia
Myopia
Other cataract
Hypermetropia
Ascites, Congestve heart failure
Cerebral infarcton
Developmental disorder of speech and language, unspecified
Convulsions, not elsewhere classified
Varicella [chickenpox]
Presbyopia
Paratyphoid fever, unspecified, Essental
Hypermetropia
G5P3A1 Grav 38 mg Pro Partus KIA
Necrosis of pulp
Other cataract
Internal haemorrhoids without complicaton
Epilepsy
Hypermetropia
Injury of eye and orbit, part unspecified
Hordeolum and other deep inflammaton of eyelid
Localized swelling, mass and lump,
unspecified
Benign neoplasm of breas
DIAGNOSA
Myopia
Congestve heart failure, Low back pain,
Arthrosis, unspecified
Bullous erythema multforme
Necrosis of pulp
Chronic ischaemic heart disease, Arthrosis,
unspecified
Periapical abscess without sinus
Gout, unspecified
Fatty (change of) liver, not elsewhere classified
Presbyopia, Other cataract
Diabetc retnopathy
Dengue haemorrhagic fever
Mixed asthma, Congestve heart failure
Myopia
Tinnitus
Presbyopia
Necrosis of pulp
Myopia
Mixed asthma
histologically
DIAGNOSA
Tinnitus

Unspecified diabetes mellitus, Acute
lymphadenits, unspecified
Gastro-oesophageal reflux disease without
oesophag, Radiculopathy
Cervicalgia
Cerebral infarcton
Malignant neoplasm of colon, unspecified
Acute appendicits
Unspecified viral haemorrhagic fever
Atopic dermatts
Other disorders of urinary system

Hyperplasia of prostate, Cystts, unspecified
Viral conjunctvits, unspecified
Diphtheria
histologically
Orchits and epididymits
Strabismus, unspecified
Necrosis of pulp
Meningits, unspecified
Myopia
Disorders of refracton and accommodaton
bacteriolo
DIAGNOSA
Benign neoplasm of prostate
Cerebral infarcton
Hypertrophy of salivary gland
Atopic dermatts
Congestve heart failure, Chronic gastrits,
unspecified
Oligohydramnios
Malignant neoplasm of cervix uteri, unspecified
Schizophrenia
histologically
Other and unspecified ovarian cysts
DIAGNOSA
Chronic apical periodontts, Asthma, Essental
Bronchiectasis
Diabetc retnopathy
Bullous erythema multforme
Depressive episode
Other nonorganic psychotc disorders
DIAGNOSA
Anomalies of tooth positon
Other and unspecified cirrhosis of liver,
Oesophageal varices
Schizophrenia
Fever, unspecified
Other cataract
Fever, unspecified

Myopia
Malignant neoplasm of liver, unspecified
Fracture of other finger
Necrosis of pulp
DIAGNOSA
Cellulits of finger and toe
Old myocardial infarcton
Radiculopathy
Premature rupture of membranes, onset of labour after 24 hours KIA
G1P0A0 gr Aterm KIA

Hypertensive heart disease, Acute
lymphadenits of face, head and neck
Radiculopathy
Chronic kidney disease, stage 5
Atopic dermatts
Other hypertrophic cardiomyopathy

Hypertensive heart disease with (congestve) heart failure
G3P2A0 H Aterm KIA
Nontoxic single thyroid nodule
Pulpits
Malignant neoplasm of main bronchus
G1P0A0 H Aterm KIA
Gestatonal [pregnancy-induced] hypertension without significant
proteinuria KIA
Low back pain

Cerebral infarcton
Talipes equinovarus
Cholelithiasis
Leiomyoma of uterus KIA
Herpes gestatonis KIA
Neonatal jaundice from other and unspecified causes
Haemorrhoids
Other and unspecified convulsions
Other cataract
Cerebral infarcton
Cerebral infarcton, Abnormal posture
Missed aborton
Depressive episode
DIAGNOSA
Necrosis of pulp

Schizophrenia
Spontaneous aborton, incomplete, without
complica
histologically
Impacted teeth

Malignant neoplasm of colon, unspecified
bacteriolo, Oedema, unspecified
DIAGNOSA

Myopia
Placenta praevia specified as without haemorrhage
Hypertensive Heart Disease
Necrosis of pulp
Other epilepsy
G2P0A0 gr 37-38 mg
Other cataract
Tinnitus
Radiculopathy, Low back pain
Jumat, 1 Februari 2019
1 Rita Rosita 35 CPd 2/5

2 Sit E Jubaedah 68 0000021326679
3 Budiyana Yali 36 CPd

4 Arsyila Zahratussyifa Nahda 0 Pst 6/2
5 Parmanto 49 SKb 2/5
6 Dinda Novita Irawan 22 Skb 1/4
7 Rani Kartni 38 Skb 9/2
8 Euis Rokayah 49 SKb 1/2

9 Juarsih 57 Pst 9/5
10 Bebby K 11 CPd 2/5 v
11 Sant Setawat 22 SKb 10/5
12 Yulliana 41 SKb 1/10 0000028221208
13 Elsa 22 Pst 4/12
Sabtu, 2 Februari 2019
14 Saepul Romadhon 26 Pst 5/8
15 Triyant 38 CPd 8/2
16 Herry Sapari 57 Cpd 5/2
17 Haerudin 55 Cpd 2/5
18 Entn K 69 SKb 9/6

19 Rifki Nugraha 13 SKb 2/1
20 Imas Komariah 44 PSt 2/1
21 Sugiri Priyantoro 41 Skb 10/4
22 Suciat 52 PSt 4/6
23 Arman S 57 Pst 6/4
24 Hj Ai Kentarsih 60 Skg 5/4 0000021307274
25 H Mawir 78 Skg 5/4 0000021307263
26 Djeje S 53 Cpd 1/5
27 Maman Rochman 70 Cpd 1/7 0000021315712
28 Emma Rukjat 53 Cpd 1/5
29 Susant 34 Cpd 4/5
30 Mamat Rachmat 59 SKb 9.4

Selasa, 4 Februari 2019
31 Dewi 30
32 Nana Sulasmana 68 Skb 2/3
33 Ani 36
34 Rafha Vino Ardiansyah 8 Wangunsari
35 Net Haryat 53 Skb 5/7
36 Dewi Cahyani Puspitasari 29 Cpd 4/3
37 Heni 41 Cpd 1/5
38 Rita Rosita 35 Cpd 2/5
39 Yuyu Wahyuningsih 48 Skb 2/1

40 Ratry Rahmadant 0 Cpd 7/4
41 Alby Luthfy Fachry 4 SKb 6/1
42 Nunung Supriat 64 Skb 1/3
43 Lia Yulianingsih 48 Skb 8/3
44 Rena Kosmarina 37 PSt 4/2
45 Rosye 67 Skb 1/7

46 Rena Kuraesin 46 CPd 5/8
47 Imas Masitoh 40 CPd 3/6
48 Rayyan Arvinza S 0 Skb 4.7
49 yani Maryani 41 CPd 8/7 0000055366018
50 Neng Yeni Rahman 26 Skg 1/4

51 Sit Rokayah 87 Cpd 1/10
52 Mimi N 56 Pst 1/13
53 Jumsih 61 Skb 10/2
54 Tendi Rustandi 54 Skb 9/2
55 Jajang Maulana 30 Skb 9/4
56 Wina Saraswat 53 Cpd 1/7
57 Akmal Fahri 10 Cpd 8/8
58 Novia 31
59 Lya Rosmalia 50 Skb 3/3
60 Nela Garnaila 58 Cpd 0000054163282
61 tasya 28 Pst 6/12
62 Eky Purwant 25
63 Arsyi Awaludin 9 Cpd 2/1
Rabu, 6 Februari 2019
64 Fido Julianto 26 SKB 5/11
65 N Piah 2 Skb 1/11 0000045737122
66 Cunasih 65 Cpd 5/4
67 Dian Sit Kamara 52 Setabudi 2/4 0000164215574
68 Atta Rasyid Indra Putra 4 PSt 6/9
69 Revi Aditya Saputra 18 Skb 1/2 0000194177665
70 Yuni Yant 29 Cpd 3/6

71 Ivan Tedi S 38 Cpd 1/10
72 Nani Sumiat 59 Cpd 1/3 0000055498329
73 Atjah 84 Skb 3/6 0000057084131
74 Syaidatun Nisa 24 Skb 7/6
75 Dion Rusdiana 63 Skg 2/5 0000057500223
76 Euis Komala 42 Cpd 3/1 0000056063013
77 Yulia Hardiani 36 Pst 2/3
78 Tut Suryani 45 CPd 4/5
79 Aurellia Fela Kirana 0 Skb 3/10
80 Maskun 60 Skb 3/10
81 Ninah Rohanah 52 Pst 4/2
82 Sandi 27 Cpd 4/6
83 Sri Lestari 47 SKb 1/3
84 Romyat 63
kamis, 7 Februari 2019
85 Kapsah 48 Skb 10/4
86 Suhartoyo 63 Cpd 6/11
87 Juarsa Bin Kusman 53 Skb 10/4
88 Ari Junaedi 19 Cpd 6/1
89 Wisnu Hidayat 28 Skb
90 Sit Anah 47 CPd 1/7
91 Nyimas Lingga 30 Skb 3/4
92 Mutara Fitri Eminah Irawan 0 Cpd 5/5
93 Ibrachim 84 Cpd 1/9 0000021130187
94 Sit Rumtah 44 Cpd 3/3
95 Ade Hajidjah 71 Cpd 1/7 0000021125722
96 Fitri 29 Skb 6/2
97 Edih Witarsa 61 Pst 7/11
98 Rudolf Andup 70 Cpd 4/9 0000163134382
99 Dea Rahma Agustan 16 Cpd 3/5
100 Risma R 19 Skb
101 Beren 14 skb 1/5
102 Atk M 55 Skb 5/3
103 Mamat Rachmat 66 Skb 4/2 0000159448353
104 Suprida 34 Cpd 7/7
105 Warsa Supriatna 60 Skb 5/4
106 Ast Gustani 36 Skb 10/4
107 Yumanah 38 Cpd 4/8

108 Naufal Sukma Praja 17 Cpd 4/9
109 Rafiah 65 Cpd 5/11 0000021136217
110 Yaya Wijaya 63 PSt 4/5
111 Ening Rukminingsih 73 Skg 5/5 0000056778535
112 Wardjan 76 Skb 8/4 0000021139841

113 Roisah 53 SKb 1/6
114 Andut Ruslan 63 Cpd 4/6
115 Ong Andrias 38 Cpd
116 Sri Purwani 30 CPd

117 Suherman 36 CPd 3/1
118 Susant 35 CPd 4/5
119 Dias Justn Pratama 2 Skg 7/2
120 Eman Kaman 83 Cpd 1/11
121 Partnah 48 Cpd 3/6
122 Jamiat 53 Skb 1/10
123 Akbar Febrian 11 Cpd 3/8
124 Nonong 58 Cpd 6/6
125 Hafsha Zhaafirah 8 Cpd 1/7
126 Enas 75 Cpd 1/7

127 Zani Alessandro 19 PSt 6/12
128 Atng Winarya 79 Cpd 6/4
129 Ikin Solihin 61 PSt 4/6
130 Edih Suryadi 53 Cpd 5/6
131 Ari Fahriansyah 19 Cpd 2/7
132 Anggia Agustyani 22 Cpd 5/5
133 Yosep Jahja 50 SKb 5/6
134 By Ny Graecia 7 hr
135 H salim Surjadi 75 Pst 5/12 0000021135745
136 HJ Onay Rochman 71 Pst 5/13 0000021310661
138 Rere Dwi Anjani 18 CPd 4/8 v

139 Devi Apriyant 25 SKb 8/2
140 Isar Sartka 66 PSt 5/6
141 Dendi Mulyadi 12 Cpd 3/6
142 Sutrisno 26 Skb 8/4

143 Riza Artant 51 PSt 3/8
144 Djuwa 64 Cimahi 3/12
145 Rosyid Suryadi 45 Skb 5/2
146 Idjoen Soendana 75 Cpd3/4
147 Jamiat 53 Skb 1/10
148 Raden Edi N 64 PSt 2/3
149 Akbar F 12 Cpd 3/8
150 Hendriyana 36 Cpd

151 Rastut 67 Cpd 1/9 0000056285302
152 Tut Herawat 65 PSt 3/5

153 Reza Rizki Riyanto 26 Skb
154 Cucu Sutarsih 74 Skb 4/6
155 Neneng Suciat 62 CPd 9/9 0000057683643
156 Inaya 39 PSt
157 Ujang Satria 52 Cpd 2/5
158 Rayyan Arvinza S 0 Skb 4/7
159 Bariza Shabrina S 23 Skb 5/12 0000055937553
160 M Syaeful Azis 30 PSt 2/10

Senin, 11 Februari 2019
161 Dafa Anugrah 10 Cpd 2/11
162 Nana Sulasmana 68 Skb 2/3 '0001401150205
163 Djuariah 68 0000021128253
164 HJ Neneng Lumidah 67 Skg 1/4 0000021314215
165 Dewi Cahyani Puspitasari 29 Cpd 4/3
166 Lukman Jubir 64 Cpd 3/6

167 Cindy Fadhilla Sadira 11 Skg 6/3
168 Rullita Herlianty 30 Cpd 9/4
169 Bunga 12 SKb 5/2
170 M Khoerun Nadaa Aseefa 15 PSt 1/12
171 Erika Lintje 67 PSt 2/2
172 Djuminem 70 Cpd 5/7 0000021127959
173 Andreas Suryadi 55 Skjya
174 Cucu Rodiah 74 cpd 2/8
175 Yayah Rokayah 65 Cpd 2/4 0000021129175
176 Titn S 36 Skb 8/4
177 Agus Gunawan 40 Cpd 8/4
178 Umiyat 49 Skb 5/6
179 Tini Kartni 31 Cpd 3/6
180 Diding S 58
181 Yayat Maryat 51 Skb 9/2
182 Enda 67 Skb 1/1
183 Yuni Sopiawat 28 Cpd 7/8
184 Mamah 55 PSt 6/6 0000055745381
185 M Fadhilah 2 Skb 3/2
186
BAYI NYONYA NINA RISTIANI(Salma) 0 '0002744813079
187 A Suryat 66 SKb 1/10 0000021157318
188 Hadi Wilantara 14 Skb 1/2
189 Sulastri 47 CPd 2/11
190 Hj Dedeh Rusmini 65 PSt 9/5 0000062089841
191 Djumiat 62 Cpd 8/7 0000057491515
192 Rini 36 PSt 5/6
193 Akmal Ata Ramadan 4 PSt 4/6
194 Murni Rochani 69 Skb 1/4
195 Adwa De Agazta 34 Skb 10/2

196 Imas Nurlela 60 PSt 1/11
197 Ade Rochendi 69 Skb 5/4

198 Nita Arindi 23 Cpd 7/11
199 Yani Mulyani 55 PST 3/9
200 Reifansyah 21 hr CPd 1/8 v
201 Ryan Septan 26 CPd 8/1

202 Soma Somantri 70 Skb 8/2
203 Natah 72 Skb 1/2 0000021320008
204 Reifan Ilham Ibrahim 5 PSt 3/9
205 Wiwin Wahyuningsih 31 PSt 3/9
206 Uju Dimyat 77 SKb 8/2

207 M Yuandi 63 PSt
208 Rudi Zaenudin Rachim 56 Pst 1/4

209 Sidik Septadi 53 Skb 2/3
210 Sit Rohayat 61 SKb 5/3 0000021139479
211 Sant Komarasari 33 Skb 6/2
212 Hj Dedeh Rusmini 65 PSt 9/5 0000062089841
213 Irma Ramdaningsih 34 CPd 3/8 v
214 Syifa Aulia Fadilah 11 CPd 4/6
215 Tat Haryat 55 Skb 1/1
216 Rully Riza Ramdani 27 SKb 6/4 v

217 Uka Sukaesih 79 Skb 10.6
218 By M Athar 2 bln Skb 7/9

219 Ar Rasyid Febriapandi Putra 1 PSt 6/2
220 Alula Aysya Falihah 1 PSt 3/1 v
221 Deden Sopian Hardi 38 Skb
222 Thohi Rosani 67 Skb 2/6 0000055557606
223 Epon Kartni 53 Cpd 2/5
224 Euis Rokayah 66 Skg 6/2

Kamis, 14 Februari 2019
225 Enung Nurhaeni 56 SKb 11/5

226 Yulius 44 Cpd 4/1
227 By M Athar 2 bln Skb 7/9
228 Jamiat 53 SKb 1/10
229 Ratry Rahmadant 0 Cpd 7/4
230 Slamet Wardoyo 66 PSt 3/11
231 Ita Melina Stefani 15 Skb 5/6
232 Edih Witarsa 61 PSt 7/4
233 Sent 23 Skb 7/4
234 Aju Somantri 54 SKb
235 Yuliani 42 PSt
236 Darya Rukmana 60 Skb 3/7

237 Yayah Rokayah 59 Skb 5/7
238 Aldi Much 21 Cpd 7/4 0000057521406
239 Tat Hartat 71 Cpd 3/9
240 Ressha Neliasari Andari 39 CPd 4/9
241 Ir Poltak Sinaga 60 CPd 3/2 0000036952143
242 Rian Mahardyka P 24 CPd 5/3 v
243 Liana 37 Skb 4/7
244 Dede Iskandar 51 Cpd 1/6

245 Tut Arningsih 27 Skb 8/4
246 Diaz Revanza Anggara 6 Cpd 1/6

247 Uka Sukaenah 68 Skb 9/6 0000021139457
248 Dodi Achmad 68 Cpd 1/2
249 Yulia T 34 Cpd 3/1
250 Alit Daryat 66 Skb 4/7

251 Eva F 36 Skb 4/10
252 M Fadillah 2 Skb 2/2
253 Heri Irawan 26 Skb 6/3

254 Robi Handika 42 Cpd
255 Sit Ulfah 37 Cpd 4/8
256 Et 58 Skb 3/2
257 Rohayat 56 PSt 9/5
258 Harisman 22 Skb 2/8 v

259 Nur Imthana Makmur 24 SKb
260 Ghandi 21 PSt 3/10
261 Rani 22
262 Sri Wahyu 22
263 Gita Anggraeni 20 Garut v
264 Feby Wicaksono 15 6/11 Skb
265 Edi Supriatna 53 3/5 Skb 0000055763098

266 Dollar Simajuntak 54 4/6 Skb
267 Emi Rosanty 38 1/1 Skb 0000051211552
268 Ani Riani 44 4/4 Skb
269 Tet Sumiat 46 3/1 Pst
270 Herli Oktaviani 11 4/5 Cpd
271 Tjipto Sutanto 85 3/3 Pst
272 Wina Trian Janie 28 8/4 Skb
273 Sit Saodah 32 5/7 Skb
274 Yant Sugiant 49 2/1 SKb

275 Osim Racman 78 0000021134182
276 Yuni W 36 Skb 1/3
277 Ema Suryadi 54 Cpd 3/1
278 KHAIRINNISA SAKHI HASNA 8 Cpd 2/11
279 Yat Rohayat 42 Cpd 2/8
280 M Dandy Ramdan 0 Cpd 6/7
281 Euis Dewi Djuariah 66 Cpd 8/7 0000057496814
282
283 Dudung Sobandi 69 Cpd 8/7 0000021304449
284 Haris Sungkawa 64 Skb 7/3
285 Sutarsih 59 Skb 7/12
286 Rumyat 35 Skb 2/7
287 Ernawate Wisastra 56 Pst 1/11
288 Midah 76 Skg 5/4 0000056994434
289 Emmanuel 31 Skg 3/6
290 Tini Sutni 70 Skb 5/10 0001322490587
291 Usi Susilawat 28 Skb 2/7
292 Irwana 44 Skb 1/2
293 Toha Saputra 50 ?6/6

294 Ineu Eviawat 23 SKb 5/11 0000058027083
295 Diandra 25 Cpd 2/8
296 Sintya Wulandari 27 Cpd 7/4
297 Darmanto Djafar Ismail 64 Skb 2/3

298 M Zahid Junaedi 5 Cpd 3/4
299 Atang 76 CPd 2/3
300 Sant Komarasari 33 SKb 6/2
301 Budi Lesmana 22 CPd 3/1 v
302 Ani Masrur Gufron 52 PSt 5/6

303 Imas Masriah 52 Pst 6/6
304 Tatang Mulyana 34 Cpd 2/5
305 Caca Tarmana 82 Skb 5/6
306 Herlies 67 Cpd 4/10
307 Idjoen Soendara 75 Cpd 3/4
308 Yayan Sofian 28 Skb 5/3
309 Rodi 60 Cpd 6/10
310 Jumirah 65 Skb 6/10
311 Ludiro Sigit 50 PSt 1/1
312 Ike Sudaryant 62 PSt 5/6 0000071602367
313 Asep Rahlan 54 Cpd 2/8
314 Kwan Gioe Hwa 53 cpd 3/9
315 Boy Haryanto 61 CPd 3/9
316 Atep Rochman Nugraha 32 SKb 3/6
317 Vent Trisna 23 Skb 8/2
318 Rena Kuraesin 46 Cpd 5/8

319 Ruzain Asensio S 1 Cpd 6/1
320 Carolina Sinulingga 66 Cpd 4/10

321 Raghita Natasya 20 Cpd 4/7
323 Fitri Nurhayat 31 Skb 1/11
324 Widia Kartka 27 Skb 6/4
325 Ohi Hidayat 60 Skb 5/2
326 Sendi Irwansyah 10 PSt 3/1
327 Cacih Yuningsih 42 Cpd 6/7 0000055819315
328 Atk Suwart 65 Cpd 8/11 0000021127994
329 Maruhum Sipahutar 44 Skb 6/6
330 Birkin A Kusuma 57 Cpd 2/2

331 Qeissya Nurul Hilmi W 10 Pst 1/5
332 Yet Supriyat 48 SKb 5/5
333 E Karyat 72 Cpd 3/8

334 Ista Arya S 15 Skg 1/4
335 Ahmad Ghandi 17
336 Mimin Lasmini 63 Skb 7/6

337 Tant v
338 Johnson Edward S 54 Skg 2/1
339 Megga Natalia Febrianty 23 PSt 1/5
340 Endah 72 Pst 6/4
341 Naufal nurfajar Gunawan 5 Skb 3/6
342 Deri Putra Febian 24hr Skb 5/4 v
343 Ningsih 73 PSt 8/4
344 Salsa R 5 Skb 5/2
345 Marlina 41 Skb 6/7
346 Ujang Rusana 46 Cpd 5/11
347 Deddy Koswara 59 Cpd 1/10
348 Aisyah 59 Pst 4/11

349 Meri Rosalina 24 PSt
350 Iim Minangsih 35 Cpd 1/2
351 Budiyana Yali 36 Cpd
352 Fahdil Maulana 2 Cpd 8/8
353 Iwan Hudaya 30 Cpd 4/5
354 Suherman 59 Pst 1/5
355 Ratna J 44 Skb 9/4
356 Wakirah 72 Cpd 000021140313
357 Toteng Juhari 51 Cpd 7/7
358 Wulan 21 Pst 3/1
359 Imas Permasih 71 Skb 7/3
360 Tet 33 Cpd 9/4
361 Pudjiat Adnyana 72 Cpd 4/3 0000021134417
362 Budi Sukmana 63 Skb 1/4 0000055563208
363 Sri Sugihart 45 PSt 7/2
364 Komariah 53 PSt 2/10

365 Jajang Suryana 50 CPd 7/4
366 Tatang Nasrudin 43 CPd 2/11
367 Pintaurat Situmorang 50 Cpd 6/6
368 Susana Meilant 30 Cpd 3/6
369 Lasya Augustne 0 Cpd 6/10
370 Angi Anggraeni 19 CPd 1/7
371 Mimin Widyawat 51 Skb 5/2
372 Risa Fadila 16 0000194177687
373 Wiguno Saputro 42 Skb 10/2
374 Sit Rosidah 43 Cpd
375 M Musasih 56 CPd 6/1
376 Uko S 59 Cpd 5/4
377 Rahma Adelia 1 Skg 1/4
378 Johny Sastra 63 PSt 5/12

379 Aneng Sarmiat 27 6-Aug v
380 M Wildan 24 CPd 3/2
381 Endang Warja 40 PSt 5/2
382 Mila Kholillah 29 SKb 6/3
383 Dana 78 SKb 6/6 0000053232377
384 Dina Demi Mulya 26 Cpd 3/6
385 Ardy Disastra 75 PSt 9/2
386 Mimin Mintarsih 71 PSt 2/2

387 Risma Rahayu 20 PSt 4/2
388 Ludiro Sigit 50 PSt /14
389 Suhaenah 67 CPd 4/5
390 Elis Kurniasih 43 CPd 2/6
391 Deden Sopian Seta Hardi 38 Skb 1/1
392 Erista Lestari 27 SKw
393 Tut Karwat 56 PSt 4/12
394 Amalia Chandra Asih 13 Cpd 6/1
395 Titn Sumarni 29 Skg 1/3 v
396 Sahla Khansa Khalidah 0 Skb 4/4 v
397 Liah Yuliah 61 PSt 4/12 0000021314316
398 Parsudi 71 Cpd 5/11 0000021134316
399 Arumi Dinar Lestari 1 CPd 5/6 v
400 Suharsono 76 Skb 6/6 0000056330403
401 Madina Alizon Zoda 6 Cpd 3/6
402 Imam Furkon 34 Cpd 1/10
403 Tat Suprihat 50 Skb 7/3
404 Ratnah 71 Skb 5/4

405 Nani Suyant 56 Cpd 3/3 0000054153966
406 Renava Ladera 12 CPd 5/3
407 Hengki Setawan 3 Skb 10/4
408 Rukiah 70 CPd 2/5 0000021328514
409 Omo Suarna 81 Skb 10/2
410 Mukri Ijo 72 Skb 1/1 0000056999316
411 Tet Sobari 53 Skb 8/5 0000055937531
413 Niko Sugianto 24 Cpd 3/8
414 Irna Iriyant 52 Skb 7/3
415 Pepen Tarsija 39 Cpd 4/7 v
416 Saepul Yusup 54 Cpd 2/5
417 Eneng Tet 43 Cpd 2/11
418 Edi Mulyana 42 Cpd 4/4
419 Balebat Ayu Ningsih 11 Cpd 4/1

420 Tini Kurnianingsih 46 CPd 4/8
421 Juhanah 52 Cpd 2/6
422 Agung Sani S 16 CPd 2/11 v
423 Nur Hayat 37 PSt 2/10
424 DS Suparman 79 Cpd 3/1
425 Ani Jubaeda 37 Cpd 5/2
426 Kusno 68 PSt 2/9
427 Cucu Suryani 53 Skb 4/10
428 Yat Hadiyat 68 PSt 2/12 0000021333903
429 Sudakto 60 Skb 4/2 0000206697262
430 Cucu Sumyat 40 CPd 4/7
431 Djahidi 75 Skb 4/3 0000056135957
432 A H Moeis 77 Pst 6/6 0000056882621
433 Ida Pahlawani 53 Skb 10/4
434 Enang Sulaeman 63 SKb 5/6
435 Isah 79 Pst 2/10 0001013566015
436 Endang Cece 74 Skb 10/4
438 Atep Rochman Nugraha 32 Skb 3/6
439 Euis Kusniat 66 Skb 7/2 0000021139593
440 Darya Rukmana 60 Skb 3/7
441 Fadhillah Rahmi 47 Pst 2/4
442 Enceng Ruhiat 67 SKb 10/2 0000021305182
443 Abdul Hair 43 Skb 2/3
444 Chantka Khansa Salsabila 6 Cpd 3/3 v
445 Yeni Anitasari 16 Cpd 8/8
446 Anisa Seta N 27 Skb 3/6
447 Pudjiat A 72 CPd 4/3 0000021134417
449 Adini Nuraini 20 Skb 1/7
450 Ahmad Turmudzi 17 Skb 1/6
451 Eka 21 Skb 9/2
452 Azka Alvaro Permana 2 Skb 6/5
453 Emi 78 Pst 1/10
454 Casria Ilyas 55 PSt
455 Mimin Ruminah 64 Skb 5/4 0000057509831
456 RIFFAT SAKHI AL RIZKY 3
457 Sri Tut H 56 PSt 5/5 0000055384389
458 Surat 53 Skb 7/4

459 Hidayat Supardi 64 Cpd 5/3 0000056611192
460 Endang Ruswana 78 Skb 2/2
461 Sutah 71 Skb 3/4
462 Elis Kurniasih 43 CPd 2/6
463 Tian Sadriyuda M 28 Bbkn Cibudug v
464 Nani Sumarni 63 SKg
465 Satria Wibawa 9 Skb 10/2
466 Morhan Batubara 58 CPd 8/4
467 Karnitje Indriani 75 PST 1/1
468 Nadila Nur Aufa 18 Cpd 5/7 v
469 Lijja Fil Amri 9 Cpd 5/4
470 Ismayante 69 PSt 6/4
471 Gust hadi 71 PSt 6/4
472 Enon Supriyadi 72 CPd 7/7 0000021128927
473 Alka Agnia Wijaya 1 CPd 6/8

474 Tini Kurnianingsih 46 CPd 4/8
475 Asep Arif Ramdani 21 Pst 4/6
476 Muhtar 69 Skb
477 Fahri R J 7 Cpd 8/1
478 Tiar Hamdani E 26 CPd 2/5
479 Suryani 29 CPd 4/10
480 Dudy Iskandar 39 Skb 1/2
481 Bongsu Samosir 55 Cpd 5/5
482 Zaky Muhamad Rizqy 6 Pst 1/13

483 Ferdian Putra Permana 0 Cpd 1/5
484 Titn Rodiyah 58 PSt 6/2
485 Lilis Sriyat 65 PSt 2/4
486 Sit Hasanah 38 Skb 3/6
487 Eka Supriatna 25 Skb 7/4
488 R Ariadiripto 71 CPd 3/7 0000021322192
489 Jajang Herdiyana 47 Skg 1/3
490 Wawang Yet R 58 Skb 5/6
491 Aep Rahmat Priatna 58 Skb 5/3
492 Aan Hadiana 49 PSt 3/1
493 Imas Kuswat 67 Cpd 6/4 0000021311559
494 Tuty 45 Skg 1/3 0000057476182
495 Maman Suherman 71 Skb 8/6
496 Juhaet 67 Skb 6/6
497 Enon Supriyadi 72 CPd 7/7 0000021128927
498 Andien Anandita 8 Cpd 1/7
499 Sri Mardiant 59 Skb 9/2
500 Ade Suparman 67 PSt 9/5
501 Erna Amalia 42 Cpd 2/7 0000055267727
502
503 Ida Widaningsih 70 PSt 2/7 0000021126003
504 Maruli Napitupulu 66 CPd 5/6

505 Yoyom Maryam 65 Skb 9/6 0000021296981
506 Ardi Ariansyah 28 Cpd 2/7
507 Syifa Yulivia 19 Cpd 2/8
508 Tini Sutni 70 5/10 Skb 0001322490587
509 Sit Fatmah 65 3/10 Skb 0000055213672
510 Vivie Cahya Juniar 15 1/10 Cpd 0001401107591
511 Toteng Djuhari 51 7/7 Cpd
512 Budi Riyadi 42 5/3 Pst
513 Yulia Hardiani 36
514 Yana Supriatna 42 3/1 Skb
515 I Wayan Suyasa 51 1/1 Skg
516 Laela Sari 32
517 Maemunah 57 8/4 Skb
518 Mumuh Samsudin 70 2/2 Skb
519 Winda Gita 21 1/5 Skg
520 Ondi Sudirman 76 2/1 Cpd 0000021134147
521 Wawan Darmawan 37 5/6 Skb
522 Ilah 68 1/3 Cpd
523 Rusdia 73 6/3 Cpd
524 Ita Rosita 24
525 Shinta 26
526 Habibah 63 4/1 Cpd
527 Peny Dewi 54 1/9 Cpd
528 Tuliad 70 3/4 Skb
529 Dedi Suryadi 40 3/10 Cpd
530 Wita Agustn 36 5/3 Cpd
531 Dedeh Kurniasih 53 6/6 Skb
532 Hanif Sungkawa 65 7/3 Skb
533 Nurhayat 34 1/4 Skb
534 Tat Sit Aisyah 49 2/8 Cpd
535 Nurul 20 4/7 Cpd
536 Muhamad Andrianda Oktaviano 7 1/3 cpD
537 Andini Aiya Juliant S 8 1/3 cpD
538 Arqi Rahmat Zaidan 1 5/8 Cpd 0002233789960
539 Sofia Naomi 34 3/9 Pst
540 Dewi 30 10/4 Skb
541 Wiwin Winart 46 8/7 Cpd
542 Iis Ratningsih 50 4/11 Pst
543 Iis Miyat 53 6/2 Pst
544 Rahmawat 27 2/11 Skb
545 Abdul Hair 43 2/3 Skb
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
0001260829179 Hemodialisa/Immanuel
Anak/Advent
THT/Hermina

0001730751502 Hemodialisa/Habibie
Mata/Hermina
Jantung/Hermina
Jiwa/Grha Atma

0002499449534 Paru/BBKPM
0001778072534 Paru/Melinda 2
0002464386827 Bedah /Hermina
Bedah /Hermina
0001326829915 Bedah /Hermina
Mata/Hermina
0001203977518 Obgyn/Puter

JIWA/GRHA ATMA
Jantung/Hermina
Hemodialisa/Santosa Central
0001860252276Anak Hemato onkologi/Hermina
Bedah/Kebonjat
0001435166605 Jiwa/Melinda 2
0001399429045 Jiwa/Melinda 2
Jantung/Advent
Dalam/Hermina
Dalam/Hermina
Hemodialisa/Santosa Central
0002479867863 Anak/Santo Borromeus

Jantung/Hermina
0001466110203 Jiwa/Nur Ilahi
Mata/Hermina
Mata/Melinda 2
0001272801835 Gigi bedah Mulut/RSKGM
Saraf/Hermina
0001519830911 Obgyn/Bungsu
0001422779387 Bedah/advent
Kulit/Hermina
Jantung/Hermina
Dalam/Hermina
0000506142099 Obgyn/Kebonjat

0002059661531 Mata/Netra
Jantung/Hermina
Jantung/Hermina
Paru/Hermina
0001728151503 Kulit/Kebonjat

0002037456224 Jantung/Melinda 2
Mata/Melinda 2
0001261650251 Thalasemia/Santosa Central
0001401157293 Mata/Melinda 2
Saraf/Hermina
Paru/BBKPM
0000610183361 B20/RSHS

'0001401150205 Bedah/Hermina
Gigi bedah Mulut/RSKGM
Jantung/Hermina
0002396294471 Paru/BBKPM
0001778077192 Anak/Rajawali
Jantung/Hermina
THT/Hermina

'0002744813079 Anak/Hermina
Jantung/Hermina
0000195667164 Bedah/Rajawali
0001725955018 Bedah/Kebonjat
Paru/Kebonjat
Dalam/Hermina
0002466325877 Paru/BBKPM
0001459627571 Jiwa/Graha Atma
Anak/Sariningsih

Dalam/Hermina
Jantung/Hermina
Jantung/Hermina
Dalam/Hermina
Paru/BBKPM
Anak/Hermina
Jantung/Hermina
0000506753194 Paru/BBKPM
0001872692278 Hemodialisa/RSHS
Urologi/Hermina
Bedah/Hermina
0002743730831 Mata/Netra
Dalam/
Paru/BBKPM
Obgyn/RSHS
Dalam/Hermina
Mata/Hermina

Dalam/Hermina
Orthopedi/Hermina
0001401104327 Paru/BBKPM
Saraf/Hermina

THT/Hermina
Obgyn/Hermina
0001386266545 Thalasemia/RSHS
Saraf/Hermina
0002260635175 Kulit/Melinda 2
0001399427976 Paru/BBKPM
Kulit/Hermina
Bedah/Hermina
Jantung/Hermina

0001261646526 Thalasemia/RSHS
0001401142612 Prosthodont/RSKGM

0001384793908 Paru/BBKPM
Paru/BBKPM
Anak/Salamun
0000505369337 Paru/BBKPM

Saraf/Hermina
Jantung/Hermina
Saraf/Hermina
Dalam/RSHS

0002181925743 Paru/BBKPM
Urologi/Hermina
0001401151566 Bedah/Rajawali
0002484900279 Obgyn/Advent
Dalam/RSHS
IGD/Advent

Saraf/Hermina
Bedah/Hermina
IGD/Hermina
Bedah/Hermina
Jiwa/Grha Atma
Mata/Hermina
Mata/Hermina
IGD/

Anak/Kebonjat
0001401142713 Bedah Onkologi/Santosa Kopo
Dalam/Hermina
Dalam/Hermina
Paru/Hermina
Dalam/Advent
0001291687694 Mata/Kebonjat
Jantung/Hermina
0000504890393 Paru/BBKPM
THT/Hermina
Dalam/Hermina
0000203263378 Gigi endodont/RSKGM
Anak/RSHS
Dalam/Hermina
0002424515286 JIwa/Grha Atma
THT/Hermina

Mata/Hermina
Jantung/Hermina
0002288254994 Mata/Netra
Bedah/Hermina
Bedah/Hermina
0001281247187 Hemofili/RSHS
0001264830287 Mata/Advent
Jantung/Hermina
0001735069882 Anak/Rajawali
0002743188401 Mata/Netra
0001013560953 Mata/Kebonjat

Saraf/Melinda 2
Dalam/Kebonjat
Obgyn/Hermina
Dalam/Hermina
Dalam/Hermina
Mata/Netra
Dalam/Hermina
0001261652139 Thalasemia Dalam/RSHS
0001261653028 Thalasemia Dalam/RSHS

Jantung/Advent
Jantung/Advent
Jiwa/Grha Atma
0002517427405 Garuda
0000505700649 RSKGM/Prosthodont
Urologi/Hermina
0002201427742 Prosthodont/RSKGM
000505167129 Garuda
0002135644255 Garuda
0001401135849 Mata/BEC
0002181946331 Jantung/Kebonjat
0001306204323 Gigi/Hermina
00050603639 Puter
0001261755494 Anak/Melinda 2
0001265171207 Anak/Melinda 2
Bedah/Hermina
0000203263378 RSKGM/Endodonsi
DIAGNOSA
Respiratory tuberculosis, bacteriologically and histologically
confirmed
Necrosis of pulp
gangrene
Disorder of lacrimal system, unspecified
Otts media, unspecified, Tinnitus
Epilepsy
histologically
Tinnitus
Acute sinusits
Myopia
DIAGNOSA
Cerebral infarcton
Cerebral infarcton, Essental (primary)
hypertension, Polyneuropathy, unspecified
Chronic renal failure, unspecified
Cutaneous abscess, furuncle and carbuncle, unspecified
Meningits, unspecified
Other atopic dermatts
Presbyopia
Depressive episode
Dysmenorrhoea, unspecified
Congestve heart failure, Atherosclerotc
cardiovascular disease, so describ
DIAGNOSA
Papilloedema, unspecified
G4P2A1 gr 37-38 mg
Cerebral infarcton
Angina pectoris, unspecified
histologically
Convulsions, not elsewhere classified,
Nephrotc syndrome
Cerebral infarcton
Asthma
confirmed
Myopia
Unilateral or unspecified inguinal hernia, without
Cholelithiasis
Supervision of other high-risk pregnancies,
Asthma
Uterovaginal prolapse, unspecified
Low back pain
Low back pain
Acute myocardial infarcton, unspecified
Congenital cataract
Hypermetropia
Dysphagia
Disorder of refracton, unspecified, Presbyopia
G1P0A0 H Aterm
DIAGNOSA
ANXIETY DISORDER+INSOMNIA
Other cataract
Genetc anomalies of leukocytes
Bipolar affectve disorder, current episode manic with psychotc
symptoms
Schizophrenia
Myopia
Chronic obstructve pulmonary disease, unspecified
Angina pectoris
Low back pain
Periodontosis
DIAGNOSA
Presence of (intrauterine) contraceptve device
Glaucoma
Schizophrenia
Malignant melanoma of skin
Bipolar affectve disorder
Leiomyoma of uterus
Acute myocardial infarcton
Depressive episode
Hypermetropia, Presbyopia
Maternal care for breech presentaton
Bullous keratopathy
Candidiasis of vulva and vagina
Multple sclerosis
Fracture of lower end of radius
Necrosis of pulp
Cervicalgia
Anal fistula
Excessive and frequent menstruaton with
irregular
Epidermal cyst
Other dermatts
complicatons
Radiculopathy
Human immunodeficiency virus [HIV] disease resultng in infectous
and parasitc diseases
Myopia
Polyp of cervix uteri
Excessive bleeding in the premenopausal period
DIAGNOSA
Diabetc retnopathy
Cerebral infarcton
Unspecified viral haemorrhagic fever,
Non-insulin-dependent diabetes mellitus with peripheral circulatory
complicatons
Benign neoplasm of pharynx, unspecified
Tinnitus
histologically
histologically
Melanocytc naevi
Cellulits of finger and toe
Disorder of skin and subcutaneous tssue,
unspecif, Cellulits
Degeneraton of macula and posterior pole
Malignant neoplasm of nasopharynx
Neurofibromatosis (nonmalignant)
DIAGNOSA
Congestve Heart Failure
Disease of salivary gland, unspecified
Hypertensive heart disease without (congestve) heart failure

Beta thalassaemia
Presbyopia
Radiculopathy, lumbar region
Morbidly adherent placenta
Cerebral infarcton
Unilateral or unspecified inguinal hernia,

without, Respiratory tuberculosis, not
confirmed bacteriolo
Pleural effusion, not elsewhere classified,

Respiratory tuberculosis, bacteriologically and
hi
DIAGNOSA
Aortc (valve) stenosis
Papilloedema, unspecified
hi, Pleural effusion, not elsewhere classified
Impacted teeth
Other acquired deformity of head
Cerebral infarcton
Heart failure
Fracture of clavicle
Fistula of vagina to large intestne
Haemorrhoids
Other peripheral vertgo
Necrosis of pulp
Other and unspecified cirrhosis of liver
DIAGNOSA
Fracture of femur, part unspecified
Disorder of eye and adnexa, unspecified
Hypertensive heart disease, Other peripheral
vertgo
confirmed
Cerebral infarcton
gangrene
Impacted teeth
Paranoid schizophrenia
Acute bronchiolits,Neonatal jaundice, unspecified
confirmed
DIAGNOSA
Atrial fibrillaton and flutter, Essental (primary)
hypertension
Stroke, not specified as haemorrhage or
infarcton
Dizziness and giddiness
histologically
gangrene
Gout, unspecified
Atherosclerotc cardiovascular disease, so described
Congestve heart failure, Unspecified diabetes
mellitus
Congestve heart failure, Bronchits, not
specified as acute or chronic
DIAGNOSA
Cerebral infarcton, Essental (primary)
hypertension
Ventricular septal defect
gangrene
Glaucoma
Low back pain
G3P2A0 grav 37/38 mg
confirmed
Hypertensive heart disease, Low back pain,
Unspecified viral hepatts without hepatc
coma
Hypermetropia, Presbyopia
Impacted teeth
Low back pain
Gestatonal [pregnancy-induced] hypertension
witho
Visual impairment including blindness (binocular or monocular)

Gastric ulcer, unspecified as acute or chronic, without haemorrhage
or perforaton
Presbyopia
Necrosis of pulp
Other benign neoplasm of connectve and other soft tssue of
abdomen
Schizophrenia
Other cataract
histologically
confirmed
Acute hepatts B
Mixed asthma
G3P2A0 Atern
DIAGNOSA
Vaginal bleeding
Thalassaemia
complicatons
Other nontoxic goitre
Myopia
Gastro-oesophageal reflux disease
Leiomyoma of uterus
Conjunctvits, Injury of eye and orbit, part unspecified
histologically
histologically
DIAGNOSA
Necrosis of pulp
Necrosis of pulp
Low back pain
Iron deficiency anaemia, unspecified
Other cataract
Trichomoniasis, unspecified
Low back pain
DIAGNOSA
Haemorrhoids
Hearing loss, unspecified, Tinnitus
Manic episode, unspecified
oesophag
Maternal care due to uterine scar from previous su
Oligohydramnios
Pterygium
Unspecified diabetes mellitus, Chronic gastrits,
unspecified
Thalassaemia
Hypermetropia
Bell's palsy
Hypertensive heart disease, Essental (primary)
hypertension
Schizophrenia
Schizophrenia
Presbyopia
Radiculopathy
Schizophrenia
Radiculopathy, Cerebral infarcton
Other intracranial injuries
Fracture of tooth
Hypermetropia
Molluscum contagiosum
Other specified diseases of anus and rectum
G1P0A0 Gr 39-49 mg
DIAGNOSA
Pleural effusion, not elsewhere classified, Gastric
ulcer, unspecified as acute or chronic, wi
Unspecified diabetes mellitus, Respiratory
tuberculosis, not confirmed bacteriolo
Other dermatts
Congestve heart failure, Hypertensive heart disease
Cerebral infarcton
Paratyphoid fever, unspecified, Bronchopneumonia,
unspecified
DIAGNOSA
Thalassaemia
Loss of teeth due to accident, extracton or local
Unspecified dementa, Unspecified nonorganic
psychosis
Unspecified diabetes mellitus, Hypertensive heart
disease
TBC
Unspecified diabetes mellitus, Allergic rhinits,
unspecified
Low back pain
Childhood autsm
Angina pectoris
Schizophrenia
Non-insulin-dependent diabetes mellitus, Chronic

ischaemic heart disease, Respiratory tuberculosis,
bacteriologically and hi
Respiratory tuberculosis, not confirmed bacteriolo
Scrotal varices
DIAGNOSA
Hebephrenic schizophrenia
Parkinson's disease
Mixed asthma
Low back pain
G3P2A0 gr 37-38 mg
Cerebral infarcton
Internal haemorrhoids without complicaton
Chronic ischaemic heart disease, Congestve heart
failure
Presbyopia
Disorder of thyroid, unspecified
Other dermatts, Scabies
Endometriosis, unspecified
Necrosis of pulp
Schizophrenia
Schizophrenia
Necrosis of pulp
Congestve heart failure, Essental (primary)
hypertension
DIAGNOSA
Epilepsy
Respiratory tuberculosis, bacteriologically and hi
Cerebral infarcton due to embolism of cerebral arteries
Heart failure
Thyrotoxicosis, unspecified, Chronic gastrits,
unspecified
Multple sclerosis
Unspecified injury of head
Fracture of shaft of radius, closed
Viral infecton, unspecified
Gout, unspecified
Spontaneous aborton, incomplete, without complicaton
Mixed asthma
DHF
DIAGNOSA
Inguinal hernia, Essental (primary) hypertension
Nontoxic goitre, unspecified
Myopia
Schizophrenia
Hypertensive heart disease, Other chronic

obstructve pulmonary disease, Respiratory
tuberculosis, bacteriologically and hi
Bipolar affectve disorder
Viral conjunctvits
Fever, unspecified
Hypermetropia
Cerebral infarcton
Necrosis of pulp
Epilepsy
Presbyopia
Intake sulit, hipoalbumin, ascites
DIAGNOSA
Schizophrenia
Dyspepsia
Necrosis of pulp
Haemoptysis, Gastric ulcer, unspecified as acute or
chronic, wi
Acute tonsillits, unspecified
Radiculopathy, lumbar region
Dengue fever [classical dengue]
Epilepsy
Radiculopathy
Necrosis of pulp
Gastric ulcer, unspecified as acute or chronic, wi
Inguinal hernia
Mixed asthma
Senile catarac
Tinnitus
Other specified anxiety disorders
Dental caries
Essental (haemorrhagic) thrombocythaemia
Myopia
Schizophrenia
Tinnitus
Cellulits
Sequelae of stroke, not specified as haemorrhage o
DIAGNOSA
Childhood autsm
Other cataract
oesophag, Hypertensive heart disease
Pterygium
Cerebral infarcton, Unspecified diabetes mellitus
Childhood autsm
Cervicalgia
Other cataract
Appendicits,Kista Ovari
Hereditary factor VIII deficiency
Cerebral infarcton
Other cataract
Other pneumonia, organism unspecified, Typhoid
fever
Acute appendicits, unspecified
Ascites, Other and unspecified cirrhosis of liver
Conjunctvits, unspecified
Anogenital (venereal) warts
Other strabismus
Necrosis of pulp
Malignant neoplasm of thyroid gland
Paratyphoid fever, unspecified, Bronchopneumonia,
unspecified
DIAGNOSA
Cerebral infarcton
Gingivits and periodontal diseases
Gastric ulcer
Schizophrenia
Schizophrenia
Acute and transient psychotc disorders
Polyp of cervix uteri
Unspecified diabetes mellitus, Arthrosis, unspecified
Congestve heart failure, Arthrosis, unspecified
Non-insulin-dependent diabetes mellitus with other
Seborrhoeic dermatts
Insulin-dependent diabetes mellitus with unspecifi
Radiculopathy, lumbar region, Radiculopathy,
cervical region
Hypertensive heart disease, Unspecified diabetes
mellitus
Thalassaemia
Thalassaemia
DIAGNOSA
HHD
Unspecified mental retardaton without menton of impairment of behaviour
Schizophrenia
Oligohydramnios, Pre-existng diabetes mellitus, insulin-dependent
Schizophrenia
G3P2A0 H. 38/39 Mg
Prolonged first stage (of labour), Supervision of normal first pregnancy
Calculus of kidney and ureter
Schizophrenia
Unspecified abdominal hernia
G3P1A1 GR 37-38 MGG
G1P0A0 H 37-38 mg
Glaucoma
Chronic gingivits
Unspecified diabetes mellitus, Hypertensive heart disease
Other specified cardiac arrhythmias
G1P0A0 39 40 MG
Thalassaemia
Thalassaemia
Redundant prepuce, phimosis and paraphimosis
upervision of normal first pregnancy, Maternal care due to uterine scar from previous surgery
Systemic lupus erythematosus
Vertgo of central origin
Jumat, 1 Maret 2019
NO NAMA UMUR ALAMAT UMUM SKTM ASKES APBN/APBD
6 Enten 55 Skb 3/7 0000056208688
89 Dadang Kusuma Aji 57 4/12 Pst 0001401101769
95 Patmah 51 1/2 Skb
98 Hadi Priyatna 62 4/3 Pst 0000055828113
167 Agus Basri 69 PSt 5/3 0000056776454
180 Ety Triningsih 50 SKb 10/2
189 Lela Nurlela 35 8/3 CPd v
2/5 Cpd 0001298905222

190 Pujiat 38
191 Agus Basri 73 0000056776454
192 Lela Yuningsih 45 3/10 Cpd 0000505774811
4/9 Cpd 0000505147768

193 Nola Riska Ramadhani 15
194 Wawang S 57 6/7 Cpd 0000505800371
195 Aah Sutah 61 4/1 Cpd
196 Suhart 78 3/10 Cpd 0000021328345
197 Yant Supartni 42 5/11 Skb
198 Suwangsih 75 5/2 Pst 0000056261002
199 Ijah 65 1/5 Cpd
200 Jajah Rokajah 77 2/10 Cpd 0000056202603
201 Yant Rohayat 42 2/8 Cpd 0000506318297
202 Nugie Nugraha 11 6/13 Pst 00014763342398
203 Jubaedah 50 9/2 Skb 0000505764358
204 Tet Sumarni 33 9/4 Cpd
5/8 Cpd
205 Feril Yanus Harefa 48
206 Endang GunaRsih 62 1/1 skb
207 Mochamad Yusup 35 2/5 Cpd V
208 Della Kemalasari 29 2/1 Cpd
209 Rui 14 5/6 Cpd 0001013555068
210 Ida Widaningsih 70 2/7 Pst 0000021126003
211Salsa Viola Syahnia Putri 19 5/6 Pst
1/6 Skb
212 Sit Hafsah 52
213 Mis Rudi 78 9/4 Skb 0000505840871
214 Dian Mulyana 30 4/10 Cpd 0001385950502
215 Holly Sabhira 1 1/10 Cpd 0002181947725
216 Muhamad Fathir 8 1/10 Cpd v
217 Tarba 56 5/7 Cpd
218Yosephine Basaria Samosir 13 5/5 Cpd
219 M. Auffar 4 8/8 Cpd v
220 Nadhifa Hasna 3 6/2 Skb
221 Cindawat 47 6/8 Cpd 0001845465557
222 Madrawi 69 8/7 Cpd 0000021132066
223 Nani Amanah 65 8/7 Cpd 0000021132077
224 Gain Ramadhan T 2 5/4 Skg
225 Nur Asni 52 7/7 Cpd 0001442710697
5/10 Skb 0001013549354

226 Endang Barnas 70
227 Elah Rumiyat 81 7/6 Skb 0000056185907
228 Oneng 65 7/11 Cpd
229 Elsa Permata Sari 15 10/2 Skb 0001013552515
230 Safitri 29 4/3 Cpd 0002237307322
4/1 Pst 0000005110233

231 Hengkie Ishendrate 54
232 Hastut Ningsih 52 5/4 Skb 0002037212201
233 Azi Zulhakim 13 5/10 Skb
234 Surya Suhendar 11 8/1 Cpd v
235 Carisa Destyant 9 4/5 Cpd
236 Et Sadiah 66 7/5 Pst 0000204142983
237 Eulis Rukiah 60 2/1 Pst 0000021306227
238 Alifah Haura Rayya 9 5/5 Cpd
239 Dadang Sutarya 69 2/6 Cpd
4/9 Cpd 0000021129394

240 Djulaeha 69
241 Soleh Tohandar 71 3/3 Pst
242 Ikin Solihin 61 4/6 Pst 0001328188285
5/11 Cpd
243 Tina Agustna 18
244 Maman Tarman 63 2/2 Pst 0000058083849
5/9 Cpd 0002183237559

245 Ani Nur Aeni 53
246 Rani Gartka 49 1/11 Skb
247 Maruli Napitupulu 67 5/6 Cpd
248 Nopi Mulyani 32
249 Nauval Alfian Saputra 4 3/2 Skb 0002607269837
250 Shakila Febriant P 2 3/2 Skb 0002627005072
251 Indri Indriani 30 3/2 Skb 0001984836969
252 Aas K 57 6/9 Pst 0000506183242
253 Nurlela 25 1/2 Skb
6/11 Cpd 0002494667823

254 Zalfaa Rayna 1
255 Afriza 44 3/2 Skb 0001401143624
256 Yat 54 6/4 Cpd
257 Dini Ramdini 57 4/5 Skb 0000057821411
258 Lilis 34
7/11 Cpd 0001399390672
259 Fadlan 50
Selasa, 12 Maret 2019
0002748336726
260 Yeni Nuraeni 36
261 Ade Sukaesih 73 6/7 Cpd 0000056095402
262 Rachmat Atma 68 2/4 Skb
263 Rosdiani 23 2/4 Skb
5/9 Cpd 0002181951584

264 Suherman Susanto 37
265 Alit Hasanah 45 4/11 Cpd 0000505822239
266 Maman Rohman 64 6/6 Pst 0001013567062
267 Nanih 61 6/6 Pst 0001013567073
268 Sity Suat 66 3/3 PSt 0000021326962
269 Euis Rukmini 53 4/9 cPD 0002297867534
270 Dewi Rohman 34 6/11 Cpd 00000505105457
2/5 Cpd 0000055245565

271 Yamin 65
272 Konah 86 7/12 Pst 0000057047444
273 Oyok Aisyah 43 3/1 Pst 000005550575
274 Rosipah 48 7/7Cpd 0001109338749
275 Aisyah Supartni 68 7/3 Skb 0001459921228
276 Syakira Azzahra Shaomi 6 3/10 Skb 0002639843447
277 Ikin Sodikin 58 6/11 Skb 0000057785139
1/1 skb 0000021332261

278 Ai Kurniasih 74
279 Laela Sari 31 0002517427405
280 Adam Arasyi Tambunan 0 1/2 Cpd
281 Tat Sumarni 54 2/6 Pst 0000058109872
282 Hasnani 65 4/9 Cpd 0000056743097
283 Asri Dwi 20 3/6 Cpd 0000056604767
284 Elsa Zahrani Fauziah 1 3/9 Cpd 0002482129664
285 Yadi Supriadi 43 4/10 Cpd 000500174084
286 Rini Suci Yant 25 2/5 Cpd
287 Sulaemi 56 3/6 cPD 0002183242678
288 Erwina Ristanni 58 3/5 Cpd 0000045093249
289 Syafiqa Ghina Verdhiani 1 1/2 Ciumbuleuit v
Rabu, 13 Maret 2019
290 Cucu Sity Sudaryat 55 Cpd 5/10 0000505635985
291 ASEP ZAENALAUSOP 60 Skb 0000055715692
292 Maman Sanusi 64 Skb 1/1 0001401151904
Pst 6/4 0000021127678

293 Enes 69
294 Endang Safei 57 C[pd 2/5 0000505652422
295 Yayat Ruchyat 70 Skg 4/3 0000021334061
296 Yuyun R 50 Skg 1/6
297
Gilang Anugrah Pamungkas 26 Skb 6/11 0001401151094
298 Achmad Mulyadi 67 Skg 2/3
299 M Dandy Ramdan 0 Cpd 6/7 0002463746973
300 Hj Ika Rohanah 76 Cpd 4/1
Pst 1/12 0000505448572

301 Odah 57
Cpd 2/10
302 Rudi Gunawan 36
303 Maman Hidayat 66 Skb 7/3
304 Ikin Solihin 64 CPd 1/3
305 Saeful Kohar 21 Cpd 3/6 0001013561357
306 Saqila Rania Putri 2 Cpd 4/5 0002181986662
307 Waryat 73 Cpd 2/7
308 Jamilah 56 Cpd 6/1 0001399431936
309 Idar 63 Cpd 5/10 0001013558815
310Yance Yosep Daeng Rangka 56 Cpd 5/2
311 Maruli Napitupulu 67 Cpd 5/6
312 Budi Setana 43 Skb 4/2 0001013552471
313 Wawan Koswara 51 Skb 5/12 0002181974949
314 Alif Ramdhan T 11 Skb 8/2 0001401144243
315 Yuliana 28 Cpd 8/7 0000057532364
316 Sudar 74 PSt 4/2
317 Melih Farliana 33 Cpd 4/5 0002744485874
318 Tut Risnawat 67 Cpd 6/7 0000021139367
Cpd 5/4 0001399431159

319 Tina Hartat 39
320 Alvin Pradipta 3 Pajajaran 8/3
Kamis, 14 Maret 2019
321 Rena Kuraesin 46 Cpd 5/8 0001399427976
322 Agus Setanto 57 PSt 6/11 0002181943495
323 Atang Sudarji 62 Cpd 7/4
324 Iming Suhandi 82 Pst 5/12 0000062853142
325 Dedeh Kuarniasih 46 Cpd 6/4
326 Nurdaniar 50 Parongpong 0000055352057
327 Kurnaeni 52 Cpd 2/3
328 Tina T 58 PSt 3/6
Skb 5/3 0000505764641

329 Mumun Munirah 63
330 Rahman Mulyana 20 Cpd 2/5 0001399427864
331 Lilis Juariah 52 PSt 3/1 0001401101019
332 Iis Suharyat 53 PSt 3/1 0001401101122
333 Ani 47 CPd 6/6
334 Mita Kristant 19 CPd 6/6 0002181951009
335
Muhammad Rasya Ardiansyah 1 CPd 7/7
336 Sit Safaah 62 Skb 1/2
337 Iyah Rukiah 70 Skb 3/5 0001013550467
338 Ade Muhammad 59 Cpd 1/10 0002181944856
339 Et 58 Skb 3/2 0000505461802
Nasywa
340 Choirulnisa Restu Putri Husein
15 Skb 4/6
341 II Sumirat 63 Cpd 3/8 0001399384563
342 Arsya Sandina Putra 0 Cpd 4/5 v
343
Annasya Azmiya Almashyra 1 Cpd 8/7 v
344 Endang Sudaya 58 Skb 10/6 0000505955924
345 Eni Sumarni 50 Skb 10/6 0000505956385
346 Titn Rofikoh K 39 Skb 8/2 0001401142151
Jumat, 15 Maret 2019
347 MESONI ZALUKHU 37
348 Shenna Arcita 19 Skb 1/1 0002181992084
349 Rukayah 60 Skb 7/3 0001401138718
350 Yuliyana 46 Cpd 4/5 0001383212362
351 Apip Abdullah 42 Skb 3/10 0000505768116
352 Nursepi 45 Pst 4/12
353 M Daviq Firdaus 17 Parongpong
354 Maulani Junjunana 16 Cpd 1/7
355 Daryono 63 Skb 7/4 0000505716131
356 Engko 75 Skb 6/2
357 Tini Rohmatni 33 Cpd 3/1 0000505665551
358 Jumirah 65 Skb 6/10 0001324159953
359 Kikin Halimah 55 Cpd 4/8 0002463950057
360 Wiwi Kartwi 38 CPd 7/4
361 Agung Dwi Wibowo 32 Skb 2/5 0000506718415
362 Erwansyah 64 PSt 3/1 0000056742906
PSt 5/9 0000021297655

363 Aisyah 76
364 Sri Dewi W K 20 Skb 8/6 002445795775
365 Mia Roosmiaty 37 CPd 5/7
366 Masirah 68 Cpd 4/4 0000021138153
367 Sutarchim 74 Cpd 4/4 0000021138142
368 Rika Rosmaya 48 Skb 6/3 0000504838618
369 Tit Haryat 56 Cpd 8/2
370 Sumarna 64 Cpd 0000057809035
371 Elvin Supriyanto 19 Skb 1/10 0000022672337
372 Enung Suryat 64 Skb 4/7 0000506767847
373 Law Cin Nio 58 SKg 4/4
Skb 10/2
374 Ety Triningsih 50
375 Darmanto Djafar Ismail 64 Skb 2/3
376 Said 69 Skb 10/4 0000506088314
Cpd 1/1 0000505568327

377 Agus Mulyana 49
378 Tat Susilawat 51 Skb 7/3
379 Alea Catra 14 Skb 1/2 0002308409008
380 Susi Irnawat 39 Pst 5/7 0001304968961
Cpd
381 Herlina 59
382Poppy Claudya Sihombing 23 Skg 1/1
Sabtu, 16 Maret 2019
383 Rodijah 77 Cpd 4/9 0000021135071
384 Tat Maryat 71 Skb 5/2 0002451470567
385 Bisman N 49 0000505539009
387 Hj N Mimin 69 Skb 4/7 0000021310299
388 Agni Januwar R 8 Pst 6/4 0002181924933
389 Sit Aminah 60 Skb 2/9 0001013556789
390 Sahroni 73 Skb 8/2 0000506394055
391 Rachmawat 43 Skb 3/3 0000505705173
392 Anang Suryana 56 Pst 1/5
393 Leni Daryat 48 Cpd 0002080934695
394 Marcel Dewandi 17 Cpd 3/6 0000506159144
Skb 6/4
395 Kaetun 59
396 Ananda M 11 Cpd 4/8 0001399426874
397 Feny Rostat 29 Skb 1/3 0001328167113
398 Widia Kartka 27 Skb 6/4 0001401133678
399 Nining Tini 46 Skb 10/6
400 Alia Kartka 24 Cpd 2/3
401 Ayramysha Naira 2 Pst 6/5
402Melinda Putri By Ny Linda 0 Cpd 3/1 0002495707356
Skb 10/2
403 Watsah 55
404 Etty S Radiani 62 Pst 2/1 0000021309783
405 Yani Maryani 39 Pst 4/12 0001401110875
Cpd 6/6 0002752362077

406 Daffa Yoga Ramadhan 0
407 Dady Rohyadi 56 Cpd 1/11 0002181955937
Senin, 18 Maret 2019
408 Sukesi 51 Cpd 4/7
409 Jeany Rizky Lestary 16 Cpd 4/7
410 Hidayat Supardi 64 Cpd 5/3 0000056611192
411 Imas Rohmah 65 CPd 5/6 0000021333497
412 Tit Suat 61 CPd 1/7 0002181952506
413 Amin Soetrisna 70 CPd 7/11
414 Sukaryah 39 PSt 1/6
415 Erina Rahayu 29 Skb 5/7 0000054337149
416 Aah Komariah 76 Skb 1/4 0000505471599
417 Entn Sadiyah 69 CPd 8/4
418 Toto Okto Hendrawan 59 Skb 1/2
CPd 2/5
419 Romyat 63
420 M Arkhan Maulana 2 CPd 3/6
421 Gamal Saputra 17 Pst 2/1 0000505552904
422 Ihah 86 Pst 3/5
Skb 9/2 v
423 Sept Indriyani 24
424 Muhammad Akbar 30 PSt 2/7 0002440387383
425 Mukri Ijo 72 Skb 1/1 0000056999316
426 Sukaesih 73 Cpd 2/7 0000021299218
427 Arurellia Fela Kirana 0 Skb 3/10 0002479867863
428 Subariah 75 Pst 8/5 0000021322361
Pst 4/12 0000505370608

429 Emi Suhaemi 63
430 Soffie Devianty 53 Pst 5/10
431 Shofwan H Makmun 64 PSt 5/6 0000071067756
432 Nur Rochman 31 Skb 8/3
433 Alit Kuraesin 66 Cpd 6/4
434 Asep Isya 59 Cpd 9/4
435 Iman 57 Skb 1/1 0001401149316
CPd 6/5 0000057520168

436 Roisih 64
437 Dina Dwi Astut 28 Skb 5/6 0000506285673
438 Ria 25 Cpd 4/5 0000505542778
439 Widyani M A 19 Cpd 1/5
440 Milah K 46 Skb 6/11
441 Devi Yuliant 25 Skb 1/1
442 Angelica Oktaviani 9 Pst
443 Lilis Sumiat 44 Cpd 5/9 0002181982847
444 Yomitha 22 Skb 6/11
445 Mila 30 Skb 5/2
Skb 1/7 0002019667937

446 Mochamad Rendhy F 19
447 Galuh Bayu 31 Pst 3/1
Cpd 9/4
448 Rasyda 7 hr
449 Neng Dedeh 23 Cpd 7/4 0002615292292
450 Lilis 35 CPd 2/2 0002624357935
451 Hamidah 60 Cpd 1/7 0001281348088
PSt 3/1 0001401100828

452 Aan Hadiana 49
453 Cacah Suryanah 69 Pst 5/5
454 Juju Juliah 62 Cpd 0000055632161
455 Kasmuri 58 CPd 5/9
456 Neng Yeni 26 Skg 1/4 0002377541608
457 Mimin Mintarsih 59 Skb 7/3
458 Mimin Lasmini 53 Skb 5/6 0000505868938
459 Melawat 28 Skb 1/4
460 Tiwi Tarmini 70 PSt
461 Sulastri 52 Pst 5/4
462 Midah 76 Skb 5/4 0000056994434
463 Rahmadani 31 CPd 6/6
464 Nengshah 67 PSt 5/3 0001518720129
465 Sri Sulastri Maisuri 69 Pst 6/13 0000021133348
466 Euis Rodiah 59 Skb 2/9
467 Imas Nurlela 60 PSt 1/11
468 Dedi Hidayat 56 Skb 6/6 0001013551154
469 Juansah 39 Skb 3/10 0001288367627
470 popong 52 Skb 9/2 0001013557105
471 Kokom 46 Skb 5/3 0000504904825
472 Nani Suwarni 46 Skb 10/2 0000505872887
473 Nengsih 67 Pst 6/5
474 Shella Dwi Novitasari 29 PSt 4/2 0002075805382
475 Suwart 49 CPd 2/6 0002181949907
476 Linda Herawat 49 Skg 2/5 0000055612225
477 Ukon Suhendar 59 CPd 4/5 0001013558736
478 Raffa Akbar Oktavian 1 CPd 1/3 v
479 Nur Alam 20 Cpd 4/11
480 Dzakira Alya Adzania 4 CPd 4/7
Rabu, 20 Maret 2019
481 Titn Supriani 61 Skb 4/4
482 M Fajrin 0 PSt 6/9 0002612832682
483 Salamah 56 CPd 6/1
484 Endang Barnas 69 Skb 5/10 0001013549354
485 Hj N Mimin 69 Skb 4/7 0000021310299
486 Windi Okta Sundia 22 PSt 3/5
487
Apoel Mahyoedin Tanoepradja70 Cpd 2/7
488 Fawaz Akbar 12 Cpd 5/4 V
489 Aniah 69 Skg 2/3 '0000056545751
490 Waryat 73 Cpd 2/7
491 Luky Lukman Djamal 46 Pst 6/6 0001280975477
492 Lilis Titn S 46 CPd 2/3 0000505803622
493 Aning 82 Skg 1/5 0000021321538
494 Naningsih 64 Skb 3/10 0001013556767
495 Frida Lusiayani 22 Skb 6/11 0000505856215
496 Andri A 30 Skb 8/2 0000505662445
497 Julaeha 70 SKb 7/3
498 Gatot Djarkasih 82 Skb 10/4 0000506797479
Cpd 2/9 0001399384844

499 Yet Rohayat 63
500 M Althof Suherman 3 Cpd 5/5 0002428800963
501 Sri Nilawat 32 Cpd 4/5
Cpd 4/5 0000057529405

502 Tatang Rustawan 59
503 Sit Rohmah 38 Cpd 3/5 0001399386609
504 Diaz Justn Pratama 2 Skg 7/2
505 Elyana 51 Skg 2/5
CPd 6/11 0000021294696
506 A Apriatn Sasmita 82
507 Heni Nuraeni 57 Skb 7/12 0002181978009
Pst 3/4 0000055520594

508 Lia Agustni 27
509 Yogi Hardiansyah 38 Cpd 6/10 V 0001399976403
510 Putri Pitrianingsih 19 Pst 2/2 0002183589415
511 YUSTINA, SPD 47 ? 0000055881797
512 Eka Rahmawat 17 CPd 8/8 0002011883433
513 Ence Ruhiat 69 Skb 5/7 0001401149744
514 Rista Katerina 57 CPd 7/4
515 Dedi Setawan 42 Cpd 5/5 0001312453754
516 Tiktk 38 Cpd 5/7 0002519194228
517 Omah Romlah 37 Skb 3/10 0002752891828
518 Tet Rohaet 46 CPd 4/1 0002181928588
519 Yayah 42 CPd 3/8 0002183589808
Cpd 3/1 0002475144415

520 Yuliart 59
521 Kusnen 57 Cpd 6/8
522 Varisha Qonitalillah 2 Skb 1/2 v
Cpd 1/6
523 Uben 68
CPd 5/1
524 Eka 26
525 Rere Ardita Ramadani 16 Skb 5/3 0002752906702
526 Tina Maria 34 Cpd 0002502654513
527 Herlin Hendayani 25 CPd 7/11 0000506170089
528 Nani Sumarni 78 Pst 4/6 0000506154609
529Yunika Adikdha Dwi Pratwi 14 Cpd 0000505576833
530Zazkya Aurelia Ramdhani 11 Cpd 0002502654759
531 Keysa Putri Maulida 5 SKb v
532 Atang Sudarji 62 Cpd 7/4
533 Adang Suryana 54 PSt 0000055937542
534 Ondi Sudirman 76 Cpd 2/10 0000021134147
535 Sri Mayasari 36 Skb 5/4 0001013554866
536 Sit Safa'ah 60 Skb 1/2
537 Sarip Satbi 53 Cpd 6/6 0000505808403
538 DRA Riza Artant 51 Cpd 3/8
539 Tommy Dwinanto 32 PST 1/1 0001401106825
Cpd 1/4 0000506215539

540 Ridwan Restudin 30
541 Odjie Muct Permana 57 Skg 1/1
542 Wiwin Mulyani 47 CPd 8/11 0001399385081
543 Meliani 31 Cpd 3/1
544 Neneng Suryat 54 PSt 2/12 0001401110098
Skb 2/10 0000021310031

545 HJ Cucu 76
546 Djakfar Ali 76 Skg 5/6
547 Engko 76 Skb 6/2
548 Waway 62 Skb 3/5
549 Sarinten 60 CPd 5/1
550 Tut S 33 Skb 4/4
551 Bambang Sudewo 68 Skb 2/10
552 Salsabila Aulya Al Faruq 6 skrja 7/3 0002432180755
553 Uci Sanusi 61 Skb 1/10 0001288349267
554Muhammad Rezian Akbar 4 Skb 1/5 v
555 Wiyat Ningrum 54 CPd 8/7
556 Eva Anjani Zulfa 0 CPd 5/9 v
557 Arvino Nazriel Pratama 2 Cpd 4/4 0002432088887
558 Tri Akbar Ariyanto 27 Ciumbuleuit
559 Nining sumiat 53 Skg 0002744130306
560 M Fahri Z 0 PSt 7/2 v
561 Oneng 65 Pst 7/11
562 Agnes Sariningsih 28 CPd 4/6 0002033373971
563 Andi Supriyatna 29 SKb 7/6 0000505994679
Sabtu, 23 Maret 2019
564 Irman Darmawan 23 CPc 1/7
565 Reni 46 Pst 6/2 0002181940918
566 Iis Miyat 53 PSt 6/2 0002073124675
CPd 3/7 0000021322192

567 R Ariadiripto 71
568 Suratni 54 CPd 4/8 0000055750689
CPd 5/5 0001616360668

569 Adyanugrah Saputra 21
570 M Latef 6 Skb 2/7 0002181984827
571 Yuni Ayudia 0 CPd 5/6 v
572 Lia Rohanah 63 CPd 1/10
573 Sediyanto 61 Cpd 8/4
574 R Hendar Kusdiana 46 Cpd 4/9
575 Widyadhari 14 Skb 6/12 0000506343385
576 Ondi 76 CPd 4/10 0001259701143
Skb 7/4 0000505894331

577 Abdul Rahman 26
578 Novanda L W 27 Skb 2/5
579 Ruslan 23 CPd 5/10
580 Imas Solihah 56 Skb 3/7
581 Sit Mulyani 19 Bungur v
582 Tut Supiat 59 Cpd 6/7 0001399428404
Cpd
583 Sadarijah Laksmi S 64
584 Yani heryani 56 Cpd 4/9 0000056379385
585 Ismayadi 12 Skb 3/10 0001870428475
586 Ningsih 37 Skb 6/1 0000505118542
587 Ade Rohmat 64 Cpd 6/1 0002181953485
Senin, 25 Maret 2019
588 Nana Rohana 66 Cipagant 3/6 0000505063631
589 Fitria 31 Pst 1/12 0001013565328
590 Dimas Andika 23 Pst 6/12 0001426088349
591 Ridhowan 54 CPd 7/8 0000505684528
592 Wiwin Wahyuningsih 31 Pst 3/9
Cpd 4/5
593 Nining Rusmiat 57
594 Abdul R 32 Skb 1/1
596 H Eddi Thobari 69 Skg 1/6 0000021319749
597 Untung Suyono 69 Skb 1/1 0001401138123
598 Kusnadi 75 Cpd 4/10 0001399389827
gerlong 10/2
599Adeeva Karin Rizky Pardion 1
600 Hadi Priyatna 52 Pst 4/3 0000055828113
601 Tian H 0002219190704
602 Suhaebah 80 Cpd 8/4 0000021328222
603 II Sumirat 63 CPd 3/8 0001399384563
604 Irwana 44 Skb 1/2 0001284365608
605 Adam Fauzian Hakim 10 Skb 10/4 0001401136503
606 Agus Supriatna 63 Pst 3/4
607 Ir Poltak Sinaga 60 CPd 3/2 0000036952143
608 Tita Suswita 53 CPd
609Maulana Naufal Rahmat 1 Skg 3/4
610 Wiwi Suhartni 30 Skg 5/2
611 Nani Sumarni 57 Skb 8/4
612 Sri Hartat 49 Skb 8/4 0001401134218
SKb 5/3 0000505982935

613 Rochendi 43
PSt 4/11 0000506280396
614 Mini Mintarsih 56
615 Fitria Nur Ajizah 16 Skb 4/2 0002737393727
616 Pipin Supent 53 Skb 3/6 0001401140755
617 Asyla Nur Alifah 9 Skb 10/6 0002181976536
618 Rizky Pauzan Suherman 16 Skb 10/6 0002181976525
619 Syarah Sit Aisyah 7 Cpd 3/5
620 Atk Maryat 56 Skb 5/3
621
Anastasya Pauzan Suherman 16 Skb 10/6
622 Upi Supriatna 65 Cpd 1/7
623 Maria Ubaidillah 72 Skg 5/4 0000021132371
624 Kuryet 59 Pst 6/4
625 Yuni Astriyani 31 CPd 1/7
SKb 5/6
626 Umiyat 49
627 Acah Safitri 37 PSt 1/10
628 Sarikah 39 Skb 7/4 0002315067928
Skb 6/3 0000058129571

629 Eman Sulaeman 62
630 Mimin 68 Skb 2/5 0001267806587
631 Poltak Sinaga 60 CPd 3/2 0000036952143
632 Sanem Sulastri 53 Pst 2/2 0002252376371
633 Abdul Gopar 46 CPd 8/8
634 Saira Y 11 Cpd 3/6
635 Dini Wardani 31 Cpd 6/3 0002181990947
Skb 6/10 0002428678664

636 Endang Sarif Hidayat 54
637 Yuyun Yuningsih 51 Skb 6/10 0002428678719
638 Tri Akbar 27 Ciumbuleuit
639 Firmansyah Suratman 76 Pst 2/10
640AL ZYAN UMAR ABDILLAH 3bln Cpd 4/10 0002617708735
Rabu, 27 Maret 2019
641 Iqbal Nur Rahman 16 Cpd 3/7 0000057752752
642 Lina Nirwanda 52 Skb 1/1 0001401140788
643 Tut Yuliawat 57 PSt 0000055565504
644 Parida 51 Cpd 6/6
645 Zalfa Salsabila 15 PSt 4/6 0001401108118
Cpd 5/6 0000505058477

646 Kartni 67
647 Nengsih 41 CPd 5/10 0002181950324
648 Dudung Sobandi 69 CPd 8/7 0000021304449
649 Rahman Hadiansyah 35 SKb 2/1 0001401147325
650Adeeva Karin Rizky Pardion 1 gerlong 10/2
651 Lina Marlina 46 Cpd 3/2 0000505278472
652 Ade Suryani 58 Skb 9/6
653 Rainara Yuwanissa 0 SKg 3/4
654 Az Zahra 9 Cpd 5/4 0002181990363
655 Elyana 51 Cpd 2/5
656 Asep Rachmat 44 Cpd 4/10 0001013560705
657 M Riandi Fadilah 6 Cpd 6/5
658 Epon 59 Cpd 5/10 0000505734794
Cpd 1/2 0000506187595

659 Fitri Handayani 24
660 Susant 35 Cpd 4/5 0000506142099
661 Iim Durahim 53 PSt 0002181926957
662 Linda Herawat 48 Skg 2/5 0000055612225
663 Nurdini 33 Pst 6/5
664 H.SUKIRMAN 74
665 Idas 56 2/9 Skb 0000505988201
666 Sopiah 58 6/2 Skb 0000505231661
667 Engka 69 1/12 Pst 000056882831
668 Euis Faridah 61 5/12 Pst
669 Besty Inkristus 33 2/2 Cpd
5/11 Pst
670 Yefri Yanita 48
3/5 Skb
671 Rita Mawart 21
672 Ningsih 61 8/7 Cpd
673 Ashhabul Yamin 8 6/3 Skb
479 Suryani 29 CPd 4/10 0001013560953
675 Novi Permatasari 22 1/7 CPd
676 Onih Musaropah 76 Cipagant 0001459627042
677 Lina Purnama S 29 3/7 Skb 0001013555272
678 Echa Fauziah 6 8/11 CPd
679 Feny Rostat 30 1/3 Skb
5/7 Cpd 0001399431341

680 Shabrina Agnialmi 7
681 Atep Rochman Nugraha 32 3/6 Skb
682 Epi Apiyat 48
683 Lilis Waryat 54 Skb 7/3
684 Yani S 62 PSt 1/11 0000021309805
685 Nandang Suganda 46 CPd 3/4 0000505115774
686 Maman Rochman 71 Cpd 1/7 0000021315712
688 Laela 37 CPd 5/1 0000505112747
689 Lalit R 37 0001401157102
690 Muhammad Al Farizqi 0 Skb 4/2 0002744454857
691 Sariah 73 SKb 5/4 0000021136094
692 Adelia Anggraeni 15 Skb 10/2 0000505874103
693 Heri Heryandi 57 Skb 10/2
694 Asriani 41 Skb 5/4 0000505744187
695Andre Randy Ramadhan 26 Skb 6/11
696 Maryata 52 CPd 6/6
697 Desty Fitriyani 16 Cpd 5/3 0002751260635
698 Dian Ridwan 39 Skb 1/2 0002181940042
699 Entn Surtnah 69 PSt 2/12 0000056157445
700 Supini 60 Citepus 2/5 0000057527076
CPd 4/5 0000021298511

701 Damen 70
702 Otang hidayat 62 Cpd 9/6
703 Ahmad Heikal 45 PSt 3/13
704 Deon Rusmana 51 PSt 6/9 0000505319196
706 Gian Winggiandi 29 PSt 2/10
707 Nani Sumarni 60 Cpd 5/5
708 Priyono 33 Pst 8/11 0001401101199
709 Fawaz Akbar 12 CPd 5/4 0000506196393
710 Aan Rohanah 56 Skb 6/11 0000057785128
711 Ganjar Syamsul Falah 12 Skb 3/6
MANDIRI POLI/RS DIAGNOSA
Saraf/Kebonjat Cerebral infarcton, Hypertensive heart disease
Saraf/Hermina Pst Cerebral infarcton, Hyperlipidaemia, unspecified
0001478524678 Saraf/Melinda 2 Cerebral infarcton
Saraf/Hermina Pst Cerebral infarcton, Hypertensive heart disease
Saraf/Hermina Cerebral infarcton
0001723261948 Saraf/Advent Cerebral infarcton
Garuda Partus normal G4P3A0 H. Aterm
Dalam/Hermina Chronic kidney disease, Essental (primary) hypertension

Bedah Mulut Necrosis of pulp
Jantung/Hermina Rheumatc heart disease, unspecified
Disorders of purine and pyrimidine metabolism, Acute and
Jiwa/Grha Atma transient psychotc disorders
Mata/Hermina Conjunctvits, unspecified
0001327726089 Saraf/Hermina Gonarthrosis [arthrosis of knee]
Jantung/Hermina Congestve heart failure
000127405901 Saraf/Hermina Low back pain, Spondylosis
Mata/Netra Other cataract, Essental (primary) hypertension
0001328186542 Saraf/Hermina Cerebral infarcton
Mata/Netra Disorder of refracton, unspecified
00014763342398 Anak/Hermina Allergic rhinits, unspecified
Mata/Hermina Hypermetropia
0001387855012 Obgyn/Hermina Prolonged first stage (of labour)
0001522105209 Unspecified diabetes mellitus, Essental (primary)
Dalam/Hermina hypertension
0001401138156 Dalam/Hermina Peptc ulcer, site unspecified
Dalam/Hermina Hyperthyroid syndrome
0001401107444 Jiwa/Melinda 2 Schizoaffectve disorders
Anak/Advent Specific (isolated) phobias
Jantung/Hermina Hypertensive heart disease
Bedah/Hermina Benign neoplasm of breast
000224431542 Other benign neoplasm of connectve and other soft
Bedah/Hermina tssue, unspecified
Jiwa/Grha Atma Schizophrenia
Anak/Hermina Bronchopneumonia, unspecified
Anak/Hermina Dengue Haemorroghic fever
0001273950807 Mata/Netra Glaucoma
0001425112558 Bedah/Hermina Corns and callosites
Anak/RSKIA Parathypoid Fever
000222355392 Anak/Hermina Typhoid and paratyphoid fevers
Bedah/Hermina Enlarged lymph nodes
Dalam/Hermina Non-insulin-dependent diabetes mellitus
Dalam/Hermina Unspecified diabetes mellitus
0002080817954 THT/Hermina Foreign body in ear
Jantung/Hermina Chronic ischaemic heart disease
Dalam/Hermina Non-insulin-dependent diabetes mellitus with other

0001719013342 Mata/Kebonjat Cataract, unspecified, Glaucoma
Jiwa/Grha Atma Depressive episode, unspecified
Obgyn/Hermina Endometriosis, unspecified
Other disorders of skin and subcutaneous tssue, not
Bedah/Hermina elsewhere classified
Mata/Hermina Glaucoma, Myopia
Anak/Hermina Epilepsy
Jantung/Hermina Heart Failure
0001721931478 THT/Hermina Acute tonsillits, unspecified
0002233973114 Jantung/Hermina Congestve heart failure
Dalam/Hermina Unspecified diabetes mellitus, Hypertensive heart disease

0001474213012 Mata/Melinda 2 Other chronic obstructve pulmonary disease
Dalam/Hermina Other and unspecified T-cell lymphomas
0002181980624 Gestatonal [pregnancy-induced] hypertension without
Obgyn/Hermina significant proteinuria
Saraf/Salamun Cerebral infarcton
Suppuratve and unspecified otts media, Essental
THT/Hermina (primary) hypertension
0002491522378 Saraf/Hermina Low back pain, Essental (primary) hypertension
0002420372215 Mata/Netra 2 Presbyopia
0001401133307 Puskesmas Garuda PRO PARTUS
Kulit/Kebonjat Scabies
Puskesmas Puter PRO PARTUS
0002745770038 Puskesmas Garuda PRO PARTUS
Bronchopneumonia, unspecified, Diarrhoea and

gastroenterits of presumed infectous origin, Volume
Anak/Hermina depleton
Saraf/Hermina Epilepsy
Dalam/Hermina Systemic lupus erythematosus, unspecified
000262435793 Puskesmas Puter PRO PARTUS
Unilateral or unspecified inguinal hernia, without
Bedah obstructon or gangrene

Paru/BKPM histologically confirmed
0001423372116 Dalam/Hermina Typhoid and paratyphoid fevers
Other benign neoplasm of connectve and other soft
Bedah/Hermina tssue of head, face and neck
Obgyn/Kebonjat Leiomyoma of uterus, unspecified
Jiwa/Grha Atma Other nonorganic psychotc disorders
Jantung/Hermina Angina pectoris, unspecified
0505105457 Gigi Bedah Mulut/RSKGM Sialoadenits
Other benign neoplasm of connectve and other soft
Bedah/Hermina tssue, unspecified
Gigi Bedah Mulut/RSKGM Chronic apical periodontts
Dalam/Hermina Typhoid and paratyphoid fevers
Dalam/Hermina Hypertensive heart disease
Anak/Hermina Typhoid and paratyphoid fevers
Jantung/Salamun Congestve heart failure
Unspecified diabetes mellitus, Essental (primary)
Obgyn/Hermina Prolonged first stage (of labour)
0002456492782 Anak/Hermina Patent ductus arteriosus
Mata/Hermina Glaucoma
Gigi Bedah Mulut/RKSGM Impacted teeth
Anak/Hermina Typhoid and paratyphoid fevers
Mata/Hermina Cataract, unspecified
0001399429067 Bedah/Hermina Enlarged lymph nodes, unspecified
Jantung/Hermina Angina pectoris, unspecified
Saraf Hermina Low back pain
IGD/Hermina Kejang Demam

Parkinson's disease, Cerebral infarcton, Essental
Saraf/Hermina (primary) hypertension
THT/Hermina Dysphonia
Mata/Netra Glaucoma
0002282793131 Dalam/Hermina Unspecified diabetes mellitus
Saraf/Hermina Unspecified injury of head
0002033569337 Dalam/Kebonjat Hypertensive heart disease
0001864946575 Radiculopathy, cervical region, Intervertebral disc
Saraf/Hermina disorder, unspecified
0001664034704 Kulit/Hermina Psoriasis, unspecified
0002201427729 Jantung/Hermina Chronic ischaemic heart disease, unspecified
Gigi Bedah Mulut/RSKGM Necrosis of pulp
Anak/Hermina Gastric ulcer, unspecified as acute or chronic, wi
0001279250853 Dalam/Hermina Dyspepsia
0001966749041 THT/Hermina Other allergic rhinits
0002420372215 Paru/Hermina Other chronic obstructve pulmonary disease
Anak/Hermina Paratyphoid fever, unspecified
Gigi Prosthodont/RSKGM Loss of teeth due to accident, extracton or local
0001314525519 Jantung/Advent Chronic ischaemic heart disease
THT/Hermina Hearing loss, unspecified
Dalam/Hermina Gastro-oesophageal reflux disease without oesophag

0002470480637 Anak/Hermina Paratyphoid fever, unspecified

Saraf/Hermina Other peripheral vertgo
Mata/Hermina Pterygium
0001452675058 Bedah/Hermina Soft tssue disorder, unspecified
Dalam/Hermina Secondary hypertension, Asthma
0001457548659 Bedah/Hermina Cellulits of finger and toe
Pulmonary heart disease, unspecified, Congestve
Dalam/Hermina heart failure
Bedah/Hermina Soft tssue disorder, unspecified
Anak/Hermina Hypermetropia, Presbyopia
Mata/Hermina Myopia
0002315573471 Mata/Hermina Myopia
Mata/Hermina Myopia
0002748749679 Anak/Hermina Acute lymphadenits, unspecified
0001079919437 Mata/Hermina Presbyopia
Jantung/Hermina Chronic ischaemic heart disease, Atherosclerosis
Mata/Netra Other disorders of eye and adnexa
0001384781286 Bedah/Hermina Cellulits of finger and toe
Paru/Hermina Respiratory tuberculosis, not confirmed bacteriolo
Anak/Mitra Kasih Paratyphoid fever, unspecified
Saraf/Hermina Low back pain
Bedah/Hermina

0000985172218 Gigi Bedah Mulut/RSKGM Necrosis of pulp
Dalam/Hermina Paratyphoid fever, unspecified
0001279307136 Gigi/RSKGM Chronic periodontts
0001828531405 Dalam/Hermina Thalassaemia
0001279621967 Kulit/Hermina Molluscum contagiosum
Paru/Hermina Other chronic obstructve pulmonary disease
0001321523842 Jantung/Hermina Hypertensive heart disease
Dalam/Hermina Insulin-dependent diabetes mellitus with other spe
0001272855069 THT/Hermina Sensorineural hearing loss, unspecified
Chronic ischaemic heart disease, Hypertensive heart

Jantung/Advent disease with (congestve) heart
Gigi Endodonsi/RSKGM Periapical abscess without sinus
0001766160808 Paru/Hermina Pneumothorax, unspecified
Mata/Netra Disorder of refracton, unspecified
Mata/Netra Myopia
Kulit/Hermina Other dermatts
0001723261948 Non-insulin-dependent diabetes mellitus, Hypertensive
Dalam/Hermina heart disease
0001380781596 Saraf/Advent Cerebral infarcton
Dalam/Hermina Non-insulin-dependent diabetes mellitus with perip

Mata/Hermina Myopia
Saraf/Advent Migraine
0001256678188 Sequelae of stroke, not specified as haemorrhage o,


0002455030631 Kulit/Melinda 2 Psoriasis
Dalam/Hermina Secondary hypertension, Dyspepsia
Dalam/Hermina Down's syndrome, unspecified
Jantung/Advent Congestve heart failure
Paru/Hermina Pleural effusion, not elsewhere classified
0001311676547 THT/Hermina Tinnitus
THT/Hermina Acute sinusits
Dalam/Kebonjat Unspecified viral haemorrhagic fever
Anak/Hermina Respiratory tuberculosis, not confirmed bacteriolo
Saraf/Hermina Tetraplegia, unspecified
Dalam/Hermina Tuberculous peripheral lymphadenopathy
0001385428184 Saraf/Hermina Low back pain
0001305580004 Saraf/Hermina Epilepsy
0002073194471 Anak/Hermina Epilepsy
0001291778436 Non-insulin-dependent diabetes mellitus with other,

Dalam/Hermina Essental (primary) hypertension
Obgyn/Hermina Leiomyoma of uterus, Endometriosis
Melaena, Dengue fever [classical dengue]
Anak/Kebonjat
THT/Hermina Tinnitus

0001433334846 Jantung/Advent Chronic ischaemic heart disease
0001433340472 Mata/Advent Myopia
Urologi/Hermina Benign neoplasm of prostate
Jantung/Salamun Hypertensive heart disease
Saraf/Kebonjat Cerebral infarcton, Hyperlipidaemia, unspecified
0001284132947 Mata/Netra 2 Cataract, unspecified
0002076165257 Hemodialisa/Habibie Chronic kidney disease
Obgyn/Garuda G1P0A0 Aterm
Mata/Netra 2 Senile cataract, Essental (primary) hypertension
0001819828496 Hypertensive heart disease without (congestve) heart
Jantung/Hermina failure
0002252299331 Anak/Hermina Unspecified viral haemorrhagic fever
Anak/Hermina Respiratory tuberculosis, bacteriologically and hi
0001730690223 Jantung/Advent Congestve heart failure
Respiratory tuberculosis, not confirmed bacteriologically
Paru/BBKPM or histologically
Dalam/Hermina Congestve heart failure, Low back pain
Anak/Hermina Tuberculous peripheral lymphadenopathy
Jantung/Advent Rheumatc heart disease, unspecified
Bedah/Hermina Other benign neoplasm of connectve and other soft

0002419743262 Mata/Netra 2 Hypermetropia, Disorder of refracton, unspecified
Jantung/Advent Congestve heart failure
0001389948884 Saraf/Hermina Carpal tunnel syndrome
0001335877907 Jantung/Hermina Chronic ischaemic heart disease
Cerebral infarcton, Unspecified diabetes mellitus,
Obgyn/Garuda G2P1A0 gr 37-38 mg
0001157913685 Bedah/Hermina Acute appendicits, other and unspecified
0001324146723 Bedah/Hermina Necrosis of pulp
0000442051187 Paru/Hermina Respiratory tuberculosis, not confirmed bacteriolo
0001262616759 Anak/Hermina Thalassaemia
Mata/Hermina Hypermetropia
0001324148332 Gigi/RSKGM Dental caries
0001810374625 Obgyn/Hermina Pre-eclampsia, unspecified
Bedah/Hermina Cutaneous abscess, furuncle and carbuncle, unspecified

0001850786515 Obgyn/Hermina Maternal care due to uterine scar from previous su
0002751424198
Anak/Hermina Neonatal jaundice from other and unspecified cause
Puter/Obgyn G1P0A0 H Aterm
Obgyn/Hermina Prolonged first stage (of labour)

Bedah/Hermina unspeci
0001341941073 Saraf/Kebonjat Low back pain
Obgyn/Garuda G3P1A1 H 38/39 mg
0001306206257 Dalam/Hermina Insulin-dependent diabetes mellitus with other spe
Paru/Hermina Mixed asthma
0002519194037 Obgyn/Hermina Threatened aborton
Orthopedi/Hermina Fracture of upper end of ulna
? Bedah/Hermina Soft tssue disorder, unspecified
Paru/Melinda 2 Tuberculous peripheral lymphadenopathy
Saraf/Hermina Other deforming dorsopathies
0001272934923 Dalam/Hermina Non-insulin-dependent diabetes mellitus
Paru/Hermina Hypertensive heart disease
Gigi Periodont/RSKGM Chronic periodontts
Jantung/Hermina Angina pectoris
0000055501165 Mata/Netra 2 Presbyopia
Mata/Netra 2 Myopia
Urologi/Melinda 2 Unilateral or unspecified inguinal hernia, without
IGD/Salamun Dengue haemorrhagic fever
0001525775602 Gigi Endodonsi/RSKGM Necrosis of pulp
0001450134077 Mata/Hermina Aphakia

0001300136297 Paru/Hermina Mixed asthma
Anak/Hermina Respiratory tuberculosis, not confirmed bacteriolo
Gigi Endodonsi/RSKGM Necrosis of pulp
0002473375599 Dalam/Hermina Non-Hodgkin's lymphoma, unspecified type
Bedah/Advent Fracture of forearm
Saraf/Hermina Parkinson's disease
Hemodialisa/Habibie Chronic kidney disease
Kulit/Hermina Alopecia areata
Saraf/Hermina Other specified headache syndromes
Jiwa/Grha Atma Unspecified dementa
Dalam/Hermina oesophag
Anak/Hermina Unspecified injury of head
0001469795861 Obgyn/Hermina Retained placenta without haemorrhage
Cerebral infarcton, Chronic ischaemic heart
Saraf/Hermina disease, Hyperlipidaemia, unspecified
Bedah Saraf/Advent Radiculopathy
0002082111265 Anak/Hermina Disorder of thyroid, unspecified
Other chronic obstructve pulmonary disease, Congestve
Dalam/Hermina heart failure
Respiratory tuberculosis, bacteriologically and hi,
Paru/BBKPM Tuberculous meningits
Dalam/Hermina Dengue haemorrhagic fever
Dalam/Hermina Unspecified viral haemorrhagic fever
Bedah/Melinda 2 Corns and callosites

Gigi Bedah Mulut/RSKGM Impacted teeth
0001257921909 Jantung/Hermina Chronic ischaemic heart disease, unspecified
Obgyn/Hermina Maternal care due to uterine scar from previous su
Obgyn/Hermina Blighted ovum and nonhydatdiform mole
Jantung/Hermina Angina pectoris
Obgyn/Hermina Leiomyoma of uterus, unspecified
Paratyphoid fever, unspecified, Other forms of
Dalam/Hermina stomatts
0001845465963 Other chronic obstructve pulmonary disease
0001473114723
Jantung/Hermina Acute myocardial infarcton, Congestve heart failure
0001797936794 NON AKTMaternal care due to uterine scar from previous
Obgyn/Hermina suI
Mata/Hermina Myopia
Mata/Hermina Myopia
Mata/Hermina Myopia
Anak/Salamun Dengue haemorrhagic fever
Dalam/Melinda 2 Other hyperlipidaemia
Bedah/Hermina Calculus of kidney and ureter
Obgyn/Puter G3P2A0 H Aterm
0001660030053 Mata/Netra 2 Diabetc retnopathy
Jiwa/Grha Atma Unspecified nonorganic psychosis
Bedah/Hermina unspec
0001735360018 Mata/BEC Disorder of eye and adnexa, unspecified
0001270757081 Dalam/Hermina Chronic kidney disease
Dalam/Hermina Unspecified diabetes mellitus, Arthrosis, unspecified

0002294791108 Mata/Hermina Glaucoma
0001291482944 Saraf/Hermina Radiculopathy, lumbar region
0001279734996 Gigi Radiologi/Maranatha Necrosis of pulp
0001462065063 Paru/BBKPM Other chronic obstructve pulmonary disease
Bedah/Hermina Corns and callosites
Anak/SMC Tasik Paratyphoid fever, unspecified
Anak/Hermina Impetgo
0001021235095 Dalam/Hermina Paratyphoid fever, unspecified
Mata/Netra 2 Diabetc retnopathy
Anak/SAlamun Bronchopneumonia, unspecified
0001719013342 Dalam/Kebonjat Non-insulin-dependent diabetes mellitus
Gigi/Hermina Caries of dentne

0001281348617 Jiwa/Grha Atma Atypical autsm
Dalam/Hermina Other peripheral vertgo
Hypertensive heart disease, Chronic gastrits,
Dalam/Melinda 2 unspecified
Mata/Hermina Glaucoma
Pleural effusion, not elsewhere classified,
Paru/Melinda 2 Respiratory tuberculosis, bacteriologically and hi
Anak/Hermina Unspecified viral haemorrhagic fever
0001341941321 Mata/Hermina Senile cataract
0001480305262 Dalam/Kebonjat Leukaemia, unspecified
0002472153355 Jiwa/Grha Atma Schizophrenia
Mata/Hermina Disorders of refracton and accommodaton
THT/Hermina Other benign neoplasm of connectve and other soft

0002394339669 Paru/Hermina Tuberculous peripheral lymphadenopathy
0001521583222 Bedah/Hermina Acute lymphadenits, unspecified
Dalam/Kebonjat Dengue haemorrhagic fever
Mata/Netra 2 Other cataract
Dalam/Hermina Unspecified viral haemorrhagic fever
Bedah/Hermina Cutaneous abscess, furuncle and carbuncle of butto

Obgyn/Puter G4P3A0 H 39/40mg
0002196105625 Bedah/Hermina Benign neoplasm of breast
0001846890336 Non-insulin-dependent diabetes mellitus, Arthrosis,

Dalam/Hermina unspecified
0001823109579 Bedah/Melinda 2 Chronic kidney disease
0002459646933 Bronchopneumonia, unspecified, Unspecified
Anak/Hermina protein-energy malnutriton
Mata/Hermina Other cataract
Bedah/RSKGM Necrosis of pulp
Bedah/Kebonjat Malignant neoplasm of breast
Bedah/Hermina External haemorrhoids without complicaton
Anak/Melinda 2 Respiratory tuberculosis, bacteriologically and hi
Dalam/Hermina Secondary hypertension
0001445181208 Obgyn/Rajawali Excessive, frequent and irregular menstruaton
0002315970696 Anak/Hermina Down's syndrome, unspecified
0001388617413 Bedah/Hermina Soft tssue disorder, unspecified
Paru/Hermina Malignant neoplasm of bronchus or lung, unspecifie
Bedah/Hermina unspecified
Dalam/Santo Yusuf hypertension
Mata/Hermina Other disorders of eye and adnexa
THT/Hermina Acute tonsillits
0001779240969 Anak/Hermina Other and unspecified convulsions
0001272801835 Dalam/Hermina Paratyphoid fever, unspecified
0002196585887 Mata/Hermina Myopia

Jantung/Melinda 2 Congestve heart failure
0001317260733 Dalam/Melinda 2 Secondary hypertension
0002183103505 Bedah/Hermina Fibroadenosis of breast
0002317223777 Melaena, Other specified diseases of anus and
Bedah/Hermina rectum
0001819016256 Saraf/Melinda 2 Migraine
THT/Hermina Otts media, unspecified
Unspecified diabetes mellitus, Secondary
Saraf/Advent Cerebral infarcton, Radiculopathy, lumbar region
Orthopedi/Hermina Gonarthrosis, unspecified
0002246326582 Saraf/Hermina Radiculopathy
0001828060582 Gigi Periodont/RSKGM Necrosis of pulp
Unspecified diabetes mellitus, Chronic ischaemic heart
Dalam/Hermina disease
0001021235095 Paru/Hermina Respiratory tuberculosis, bacteriologically and hi
Anak/Melinda 2 Atopic dermatts

Mata/Hermina Myopia
Jantung/Salamun Hypertensive heart disease
0001262540024 Orthopedi/Hermina Low back pain
Mata/Hermina Myopia
Hypertensive heart disease, Chronic ischaemic heart

Jantung/Hermina disease
Mata/Hermina Presbyopia
Saraf/Hermina Polyneuropathy, unspecified
Paru/Hermina Effusi Pleura Susp, TBC
0002459646933 Paru/BBKPM
Bronchopneumonia, unspecified, Respiratory tuberculosis, not confirmed bacteriolo
Bedah/Hermina Malignant neoplasm of breast, unspecified
0001257471911 Saraf/Hermina Other peripheral vertgo
0002477179258 Anak/Hermina Special screening examinaton for eye and ear diso
Anak/Hermina Mixed asthma
Orthopedi/Hermina Fracture of shaft of radius
0001297174487 Bedah Saraf/Advent Hearing loss, unspecified
Orthopedi/Hermina Arthrosis, unspecified
Disorders of refracton and accommodaton, Other
Mata/Hermina disorders of lacrimal gland
Obgyn/Melinda 2 Polyp of vagina
Bedah/Hermina Varicose veins of lower extremites with ulcer
Dalam/Hermina Iron deficiency anaemia
0001662815608 Dalam/Hermina Acute lymphadenits, unspecified
Paru/Hermina Mixed Asthma
Mata/Hermina Presbyopia, Cataract, unspecified
0001326355053 Gigi Endodonsi/RSKGM Necrosis of pulp
0002743431355 Low back pain, Other spondylosis, lumbar region,
Saraf Hermina Secondary hypertension
0002181991228
Obgyn/Hermina Maternal care due to uterine scar from previous surgery
0000296014364 Anak/Hermina Asthma
Mata/Melinda 2 Other strabismus
0001262837799 Obgyn/Hermina Amenorrhoea, unspecified
Mata/BEC Hordeolum and chalazion
Puskesmas Garuda G2P1A0
0001261680671
Anak Hematologi Onkologi/RSHS Thalassaemia
0001328167113 Dalam/Hermina Chronic gastrits, unspecified
Anak/Hermina Special screening examinaton for respiratory tuberculosis

0000504890392 Bedah/Hermina Other specified diseases of anus and rectum
0001895033204 Hemodialisa/RS Habibie CKD

Gigi Bedah Mulut/RSKGM Gingivits and periodontal diseases
Mata/Hermina Herpesviral ocular disease
0001323521616 THT/Hermina Tinnitus
Obgyn/Hermina Presence of (intrauterine) contraceptve device
Gigi Endodonsi/RSKGM Necrosis of pulp
Mata/Hermina Myopia
0002058966101 Kulit/Hermina Zoster [herpes zoster]
0001885765781 Gigi Bedah Mulut/RSKGM Impacted teeth
0001262539743 Gigi Bedah Mulut/RSKGM Chronic apical periodontts
Anak/Hermina Nontoxic single thyroid nodule, Dyspepsia

Saraf/Hermina Cervical disc disorder, unspecified
Chronic obstructve pulmonary disease, unspecified,

Dalam/Hermina Gonarthrosis, unspecified
THT/Hermina Hearing loss, unspecified
0001323521616 Dalam/Hermina Thyrotoxicosis, unspecified
0001521554308 Jiwa/Grha Atma Severe depressive episode with psychotc symptoms
Dalam/Hermina Acute renal failure
Orthopedi/Hermina Fracture of forearm
Jiwa/Grha Atma Sleep disorder, unspecified
0000505708018 Kulit/Hermina Vitligo
ICD 10
I63,I11 1 8 2 4
I63,E78.5 2 7 6
I63 3 8 4
I63,I11 4 2 5 4
I63 5 1 1 5
I63 5 1 1 5
6 1 3 5
7 0 2 2
N18,I10 8 0 4 0
K04.1 9 2 1 1
I09.9 10 1 6 1
E79,F23 11 0 4 0
H10.9 12 0 5 0
M17 13 0 1 2
I50.0 14 0 2 1
M54.5,M47 15 0 1 2
H26,I10 16 0 2 1
I63 17 0 2 1
I50.0 18 0 0 2
H52.7 19 0 0 2
J30.4 20 3 1 2
H52.0 19 58 50 127
O63.0
E14,I10
K27
E05.9
F25
F40.2
I11
D24
M79.9
I63
F20
J18.0
A91
H40
L84
A01.4
A01
R59
E11
E14,I10
T16
I25
E11.6
I25
H26.9,H40
F32.9
N80.9
L98.9
H40,H52.1
G40
I50
I50.0
J03.9
I50.0
E14,I11
J44
C84.5
O13
I63
H66,I10
M54.5,I10
H52.4
B86
B86
B86
J18.0,A09,E86
G40
I63
M32
K40.9
A15
I25
I63
A01
D21.0
D25.9
E11
F28
E14
I20.9
K11.2
D21.9
K04.5
I50.0
A01
I11
A01
I50.0
E14,I10
O63.0
Q25.0
H40
I25
K01.1
A01
H26.9
R59.9
I20.9
M54.5
ICD 10
F20
E14
I25
G20,I63,I10
R49.0
H40
E14
S09.9
I11
J18.0
I63
E14,I10
M54.16,M51.9
L40.9
I25.9
K04.1
K25.9
K30
I63
I11
J30.3
J44
H10.9
I50.0
A01.4
K08.1
I25
H91.9
I50.0
K21.9
A01.4
ICD 10
H81.3
I50.0
J44
H11.0
M79.9
I15,J45
E14
L03.0
I27.9,I50.0
M79.9
H52.0,H52.4
H52.1
H52.1
H52.2
L04.9
H52.4
I25,I70
H57
E14
L03.0
A15
A01.4
A01.4
I63
M54.5
ICD 10
K04.1
K04.1
I50.0
E11
A01.4
K05.3
D56
B08.1
J44
I11
I50.0
I50.0
E11
H90.3
K04.1
E14
I25,I11.0
K04.7
J93.9
E11
I11
I63
K04.1
H52.7
H52.1
L30
H52.4
E11,I11
I63
M54.5
E11.5
E14
H52.1
G43
I69.4,G40
ICD 10
I11
I25
K04.1
L40.9
I15,K30
Q90.9
I50.0
J40
D24
H93.1
J01
A99
E14,I10
A15
G82.5
A18.2
M54.5
G40
G40
J18.0
E11.6,I10
I11
D25,N80
K92.1,A90
H93.1
ICD 10
I25
H52.1
D29.1
I11
I63,E78.5
H26.9
N18
H26,I10
E14
E14
I11.9
A99
A15
I50.0
A16
M54.5
I63
I50.0,M54.5
A81.2
I09.9
D21.9
H52.0,H52.7
I50.0
G56.0
H52.4
I25
E14
I63,E14,I11
D24
K25.8
K04.1
A15
D56
H52.0
K02
P59
L02.9
O34.2
P59.8
O63.0
ICD 10
I50.0
L02.9
M54.5
I11
I50.0
-
E10.6
j45.8
O20.0
I50.0
I50.0
S52.0
M79.9
a18.2
M43
E14
E11
j44
F20
I11
K05.3
i20
H52.4
H52.1
J45.8
M79.9
K40.9
A91 TACC
K04.1
H27.0
ICD 10
J45.8
A16
I11
I25
K04.1
C85.9
I25
S52.0
G20
I63
N18
L63
J44
E14
G44.8
K04.1
I11
F03
K21.9
S09.9
O73.0
I63,I25,E78.5
M54.1
E07.9
I11
J44,I50.0
D24
A15,A17.0
A91
A99
L84
ICD 10
K01.1
I25
I25.9
F20
O34.2
O02.0
I20
D25.9
A01.4,K12.1
J44
A01.4
I21,I50.0
O34.2
M79.9
H52.1
D24
I25
H52.1
H52.1
A91 TACC
H52.4
E78.4
N20
M54.5
I63
H36.0
F29
l02.9
H57.9
I11
N18
M54.5
ICD 10
E14,M19.9
H40
J45.8
M54.16
E14
K04.1
J44
L84
F20
A01.4
K04.1
A01.4
L01
A01.4
H36.0
J18.0
E11
K02.1
F20
ICD 10
F84.1
J44
H81.3
I11.K29.5
H40
J90,A15
A99
J18.0
H25
C95.9
F20
H52
J44
D21.0
A18.2
L04.9
J45.8
A91 TACC
I50.0
E14,I10
H26
A99
L02.3
M79.9
ICD 10
E11
G40 3/26/2019
J44 3/26/2019
D24 3/26/2019
E11,M19.9 3/26/2019
K04.1 3/28/2019
N18 3/26/2019
I25 3/27/2019
J44 3/26/2019
I25 3/27/2019
J18.0,E46 3/25/2019
H26 3/27/2019
K04.1 3/27/2019
C50 3/26/2019
A16 3/26/2019
A18.5 3/26/2019
A15 3/26/2019
I63
I15 3/26/2019
N92 3/26/2019
Q90.9 3/26/2019
M79.9 3/26/2019
I50.0 3/26/2019
C34.9 3/28/2019
L02.9 3/26/2019
E14,I10 3/26/2019
H10.9 3/26/2019
H57.8 3/26/2019
J03
J03
R56.8
A01.4
H52.1
ICD 10
I50.0
I50.1
I15
N60.2
K92.1,K62.8
G43
H66.9
E14,I15
K04.1
I63,M54.16
M17.9
M54.1
K04.1
K04.1
E14,I25
M54.5
A15
E14
L20
ICD 10
H52.1
E11 08211703566
I11
M54.5 08156078074
H52.1
I11,i25
H52.4 087700339667
G62.9 08122124970
J09
J18.0,A16
C50.9
H81.3
Z13.5
J45.8
I63
S52.3
H91.9
M19.9
H52.H04.12
N84.2
I83.0
D50
L04.9
J45.8
H52.4, H26.9
I11
I25
K04.1
M54.5, M47.86, I15
O34.2
E14
J45
H50
N91.2
H00
D56
K29.5
Z11.1
K62.8
ICD 10
I50.0,I49.9
K05
B00.5
I11
H93.1
Z97.5
K04.1
J18.0
I11
H52.1
B02
F20
K01.1
K04.5
E04.1,K30
M79.9
ICD 10
I50.0
M50.9
J44.9,M17.9
I25
K04.1
H91.9
E05.9
F32.3
I50.0
N17
S52
G47.9
L80
Senin, 1 April 2019
1 Yuni Dewi 32 Skb 10/4
2 Gunawan 35 Skg 5/4
3 Lia Yulianingsih 48 Skb 8/3 0000506014931
4 Ane Setyant 36 PSt 5/1
5 Mamat Rahmat 59 Skb 2/1 0001401149174

6 Wahyu Wiganda 43 Skb 2/2 0001401157225
7 Ida Ningsih 48 Skb 10/2
8 Djuhana 42 PSt 3/1 0000506302029
9 Daffa Fazilla A 5 PSt 6/13 0002126527391
10 Enri Wisep 50 Cpd 5/9
11 Sutsna Natawijaya 68 Cpd 7/3 0001288880493
12 Sutarno 66 Cpd 8/7 0000021299321
13 Hendi Ariadi 46 Cpd 2/8 0001399432555
14 Enang Sulaeman 63 SKb 5/6 0002236973758
15 Tarim S 36 Skb 4/8 0000505252348
16 Suryana 51 Skb 1/9 0000506822949
17 IR Rustam Hanat 76 PSt 1/9
18 Susi Rosita 41 CPd 6/4 0001399432252
19 Asep Warsa Nurrohman 29 Skg 0000505215281
20 Baran Suherman 61 Skb 3/2 0000057496509
21 Ria Rismulyat 20 Skb 2/4 0001401137177
22 Noppy Yant 26 Cpd 8/8 0001013557588
23 Aljuxs Masduki 50 Skb 1/3 0001401136481
24 Chiko Putra Syailendra 2 CPd 6/6 0002396750128
25 Tjetjep Djuhana 66 PSt 6/11
26 Reni Martni Wulandari 26 PSt 6/4
27 Lanie Y 41 Pst 2/5 0002183230067
28 Imamah 59 CPd 5/10
29 AI Endah Munawaroh 20 Skg 2/4
30 Pipit Julianty 31 SKb 7/11 0000505930509
31 Zakky Al Hakim Sofyan 9 SKb 2/7 0002434012569
Selasa, 2 April 2019
32 Endang Aisyiah 57 Skb 1/10 0001282510596
33 Eni Sukaeni 72 Skb 4/6
34 Dadang Kusumaaji 58 PSt 4/12 0001401101796
35 Hawat 62 Skb 4/4 0001401158452
36 Saripah 37 SKb 5/6
37 Eha 46 PSt 4/4 0000505392581

39 Sit Rohayat 61 SKb 7/3 0000021139479
40 Euis Rostni 50 PSt 6/5 0001013565396
41 E Suhart 66 CPd 5/9 0000021125676
42 Ujang Kuswan 28 CPd 8/7 0000424010496
43 Nana Rochana 66 Cipagant 3/6 0000505063631
44 Ipit Een Hulaenah 49 CPd 3/1 0002312096501
45 Suci 30 Pst 2/10
46 Maulana Yusuf 21 Pst 5/5 0000505358807
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
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0001458120339 Obgyn/Garuda G2P1A0 H 37/38 mg
0001455141273 Jiwa/Grha Atma Bipolar affectve disorder, unspecified
Jantung/Advent Hypertensive heart disease
0001288823499 Jiwa/Grha Atma Schizophrenia
0001433718099 Dalam/Hermina Hypothyroidism, unspecified
Jiwa/Grha Atma Unspecified nonorganic psychosis
Anak/Melinda 2 Respiratory tuberculosis, not confirmed bacteriolo
Dalam/Kebonjat Chronic ischaemic heart disease, Dyspepsia
Mata/Hermina Other cataract
0001259876002 Urologi/Hermina Hyperplasia of prostate
Obgyn/Hermina Severe pre-eclampsia
Jiwa/Grha Atma Paranoid schizophrenia
Mata/Hermina Astgmatsm, Myopia
Bedah/Hermina Unilateral or unspecified inguinal hernia, without
Anak/Hermina Hearing loss, unspecified
0001328288815 B20/RSHS B20
Saraf/Hermina Radiculopathy
0001523513439 Saraf/Hermina Carpal tunnel syndrome
Mata/Hermina Myopia, Astgmatsm

0001317208342 Dalam/Hermina Secondary hypertension
Paru/Hermina Soft tssue disorder, unspecified
0001260969996 Bedah/Hermina Other and unspecified ovarian cysts
Non-insulin-dependent diabetes mellitus, Essental
0001327737813 Dalam/Hermina (primary) hypertension
013565396 Bedah/Hermina Acute lymphadenits, unspecified
Orthopedi/Hermina Fracture of clavicle
Saraf/Hermina Polyneuropathy, unspecified
Dalam/Hermina Thyrotoxicosis, unspecified
0001264710216 Obgyn/Hermina Maternal care due to uterine scar from previous su
Dalam/Hermina Acute lymphadenits, unspecified
ICD 10
F31.9
I11
F20
E14,I10
F20
E03.9
F29
A16 a16 2
M54.5
I25,K31
E11
A16
H26
K04.1
M54.5
N40
O14.1
F20.0
F20
H52.2,H52.1
J45.8
K40.9
H91.9
J44
B20
M54.1
I25
G56.0
H52.2,H52.1
J03
ICD 10
E14
I15
M79.9
E11
N83.2
E11
E11,I10
J45.8
L04.9
M54.5
S42.0
G62.9
E05.9
O34.2
L04.9
Rabu, 1 Mei 2019
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DIAGNOSA

Rekap Rujukan 2019

Diunggah oleh

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Judul Asli

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Rabu, 2 Januari 2019

NO NAMA UMUR ALAMAT UMUM SKTM ASKES

2 Hawat 62 Skb 4/4

3 Nenih 51 Cpd 6/1

8 Rosye 67 Skb 1/7

13 Aurellia fela Kirana 0 Skb 3/10

27 Anie Kurniasih 66 Pst 4/12

29 Qayla Zahra Suparta 10 Pst 4/13

60 Muntara 53 Cpd 6/5

62 Sarpin 63 Cpd 1/6

75 Rian Ratnasari 41 Skb 7/4

77 Tit Haryat 56 Cpd 8/8

86 Triyono 41 Pst 2/10

87 Aji Saputra 21 Pst 7/5

95 Yuni Mulyani 16 Skb 1/4

98 Refi Rosmawat 19 Cpd 7/4

102 Dede Juhariah 55 Cpd 1/11

103 Rusdia 73 CPd 6/3

122 Iping Supriadi 64 Cpd 2/5

132 Arkhan Hafizhan Husin 0 Cpd 5/6

135 Qayla Zahra Suparta 10 Pst 4/13

140 Nopi Mulyani 33

145 Arkhan Hafizhan Husin 0 Cpd 5/6

156 Arminah 71 Cpd 2/4 0000021299253

159 Yanuari 68 Cpd 1/10

161 Sadji 64 Skg 2/5 0000055804026

166 Djuwita 62 Cpd 7/8

170 Ganda Somantri 37 Skb

171 Firmansyah Surat 76 PSt 2/10

184 Deon Rusmana 51 Pst

193 ELIS NURIAH 66 0000055428265

194 APAD ROCHENDI 70 0000055428276

200 Heryanto 69 Cpd 5/9

204 Hendra Gunawan 56 Pst 4/9

205 Net Haryat 53 Skb 5/7

210 Arum 68 Cpd 8/7 0000021299308

211 Vera Mayang S 38 Gerlong 3/2

213 Idrus 61 Cpd 5/10

217 Rayya Syakirah Zalfa 8 Skg 1/6

222 Meit Iriant 55 Pagarsih 9/7 0000055895793

232 Ratnawat 29 Skb 10/6

233 Susinah 52 Skb 3/2

235 Bariza Shabrina S 23 Skb 5/12 0000055937553

240 Mibar Kosasih 52 Skb 3/4

242 Udju 80 Skb 7/6 0000021139391

245 Tambo Samosir 76 Cpd 5/8 0000021138669

258 Bambang Sudewo 68 SKb 2/1

259 Jajat Sudrajat 46 Cpd 3/6

271 M Kahfi AL Fariz 5 Cpd 8/8

272 M Kautsar AL Muiz 0 Cpd 8/9

280 Dodih Darpikah 75 SKb 4/7

284 Isnwat Fatmah 42 Skb 1/3

289 Yulida 35 Skb 2/1

291 Rani F 22 Skb 8/4

305 Deuis Djubaedah 74 Skg 2/5 0000021303167

306 Aditya Rifki Fadilah 0 Skg 3/4

318 Yatn 52 Skb 6/3

327 Et Setawat 62 Skb 10/4

338 Mustar Pilliang 60 Cpd 7/7

342 Kholisoh Nur Baeni 53 PSt 3/13

347 Moh Dias Febriana 7 Skb 5/7

354 Ade Suryani 58 Skb 9/6

365 Kusno 77 Skb 5/3 0000021314362