Anda di halaman 1dari 14

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1 30/03/201 021703020319Y000281 0000230929029 SUNIRIA BATE'E P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
2 30/03/201 021703020319Y000282 0001494067105 DESMINA ZEBUA P PBI (APBD) Caries of dentine TIDAK
3 30/03/201 021703020319Y000280 0002148620613 MENIADI GULO P PBI (APBD) Gastritis, unspecified TIDAK
4 30/03/201 021703020319Y000279 0002148643023 BLESSING WARUWU L PBI (APBD) Fever, unspecified TIDAK
5 29/03/201 021703020319Y000277 0000012492887 SABALI LAWOLO L PNS DAERAH Unspecified diabetes mellitus TIDAK
6 29/03/201 021703020319Y000097 0000012614837 LIASA LAOLI L PNS DAERAH Myalgia, site unspecified YA
7 29/03/201 021703020319Y000095 0000210604331 GRISELDA NORISTICIA P PNS DAERAH Otitis media, unspecified YA
8 29/03/201 021703020319Y000275 0000229617898 YUNISA ZEBUA P PBI (APBN) Headache TIDAK
9 29/03/201 021703020319Y000276 0000230163096 ASA'ARO GULO L PBI (APBN) Gastritis, unspecified TIDAK
10 29/03/201 021703020319Y000283 0000230430543 SABARIA LAOLI P PBI (APBN) Caries of dentine TIDAK
11 29/03/201 021703020319Y000272 0000230446271 MASILINA DAELI P PBI (APBN) Myalgia TIDAK
12 29/03/201 021703020319Y000098 0000230525008 JONI SYUKUR NDRAHA L PBI (APBN) Disorders of accommodation YA
13 29/03/201 021703020319Y000273 0000230846163 KASIRINA NDRAHA P PBI (APBN) Fever, unspecified TIDAK
14 29/03/201 021703020319Y000278 0000231148168 MELICAN NDRAHA L PBI (APBN) Fever, unspecified TIDAK
15 29/03/201 021703020319Y000270 0000982439864 LULU SOKHI GULO L PBI (APBN) Myalgia TIDAK
16 29/03/201 021703020319Y000267 0001106786935 MARIA YUNITA NDRAHA P PRAJURIT AD Acute nasopharyngitis [common cold] TIDAK
17 29/03/201 021703020319Y000096 0001388482817 dermawan laoli L PNS DAERAH Unspecified chronic bronchitis YA
18 29/03/201 021703020319Y000094 0001617878777 ASARINA GEA P PBI (APBD) Secondary hypertension, unspecified YA
19 29/03/201 021703020319Y000099 0001886648319 MERIATI HAREFA P PNS DAERAH Other polyp of sinus YA
20 29/03/201 021703020319Y000266 0002146200636 FRANSISKA NDRAHA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
21 29/03/201 021703020319Y000274 0002148051532 ONEKHESI WARUWU L PBI (APBD) Abscess of tendon sheath, ankle and TIDAK
22 29/03/201 021703020319Y000269 0002148633224 RITA MANI NAHE P PBI (APBD) Arthritis in lyme disease, hand TIDAK
23 29/03/201 021703020319Y000271 0002148634293 MASIRIA MENDROFA P PBI (APBD) Tuberculosis of lung, confirmed by TIDAK
24 29/03/201 021703020319Y000268 0002148643506 YULIA BATE'E P PBI (APBD) Unspecified chronic bronchitis TIDAK
25 28/03/201 021703020319Y000260 0000012544683 NUR''ASA GEA P PENERIMA PENSIUN Gastritis, unspecified TIDAK
26 28/03/201 021703020319Y000265 0000229168001 TOROTODO NDRAHA L PBI (APBN) Medical care, unspecified TIDAK
27 28/03/201 021703020319Y000093 0000229805324 ANCE KURNIA GULO L PBI (APBN) Otitis externa YA
28 28/03/201 021703020319Y000259 0000229921997 FATISOKHI HULU L PBI (APBN) Gastritis, unspecified TIDAK
29 28/03/201 021703020319Y000258 0000229922111 MERIBA GULO P PBI (APBN) Headache TIDAK
30 28/03/201 021703020319Y000263 0000230980408 BAZIDUHU WARUWU L PBI (APBN) Headache TIDAK
31 28/03/201 021703020319Y000257 0000231402633 SINEMA BATE'E L PBI (APBN) Gastritis, unspecified TIDAK
32 28/03/201 021703020319Y000262 0000231402699 SENIATI GEA P PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
33 28/03/201 021703020319Y000256 0000982434295 HEZATULO LAWOLO L PBI (APBN) Fever, unspecified TIDAK
34 28/03/201 021703020319Y000091 0001719217056 FATILINA LAWOLO P PEKERJA MANDIRI Low back pain, site unspecified YA
35 28/03/201 021703020319Y000092 0001870429353 joshua lombu L PNS DAERAH Chronic serous otitis media YA
36 28/03/201 021703020319Y000089 0001874176334 ILANA MENDROFA P PEKERJA MANDIRI Gastritis, unspecified YA
37 28/03/201 021703020319Y000090 0002044667147 meniati gea P PNS DAERAH Thyrotoxicosis, unspecified YA
38 28/03/201 021703020319Y000261 0002148640435 LULU'ATO GULO L PBI (APBD) Headache TIDAK
39 28/03/201 021703020319Y000284 0002148640457 MASLINA MENDROFA P PBI (APBD) Caries of dentine TIDAK
40 28/03/201 021703020319Y000264 0002592675988 BUDIMAN LAFAU P PBI (APBN) Urinary tract infection following TIDAK
41 27/03/201 021703020319Y000087 0000230660043 OKTAVIANI GEA P PBI (APBN) Antenatal screening, unspecified YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
42 27/03/201 021703020319Y000088 0001494058871 GUSMAN MITRA JAYA L PBI (APBD) Dental caries, unspecified YA
43 27/03/201 021703020319Y000255 0001494059894 MERILY KASIYANI GULO P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
44 26/03/201 021703020319Y000254 0000012460083 PENIATMAN HAREFA L PNS DAERAH Otitis externa, unspecified TIDAK
45 26/03/201 021703020319Y000245 0000210604331 GRISELDA NORISTICIA P PNS DAERAH Allergic contact dermatitis TIDAK
46 26/03/201 021703020319Y000247 0000229565946 CIPTA CAHYANI ZENDRATO P PBI (APBN) Myalgia TIDAK
47 26/03/201 021703020319Y000246 0000229568049 SUCI KRISTIN PRATAMA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
48 26/03/201 021703020319Y000250 0000229830671 SALINA NDRAHA P PBI (APBN) Gastritis, unspecified TIDAK
49 26/03/201 021703020319Y000252 0000230215307 DINARIA LASE P PBI (APBN) Unspecified chronic bronchitis TIDAK
50 26/03/201 021703020319Y000086 0001260977681 SURYAMAN HALAWA L PEKERJA MANDIRI Myalgia, multiple sites YA
51 26/03/201 021703020319Y000249 0001494058994 Pris Cilla Lawolo P PBI (APBD) Fever, unspecified TIDAK
52 26/03/201 021703020319Y000248 0001494059837 Suryaman Gulo L PBI (APBD) Arthritis in Lyme disease TIDAK
53 26/03/201 021703020319Y000253 0001494064168 FA'AHAKHODODO L PBI (APBD) Allergic contact dermatitis TIDAK
54 26/03/201 021703020319Y000251 0001494064179 FRISKA ZANDROTO P PBI (APBD) Gastritis, unspecified TIDAK
55 25/03/201 021703020319Y000083 0000012585295 IBELALA ZEBUA L PNS DAERAH Sequelae of stroke, not specified as YA
56 25/03/201 021703020319Y000082 0000229783803 JUL HERMAN ZEBUA L PBI (APBN) Gastritis, unspecified YA
57 25/03/201 021703020319Y000242 0000982450001 YARMAN ZAI L PBI (APBN) Allergic contact dermatitis TIDAK
58 25/03/201 021703020319Y000243 0000982450034 SASTA MEI NINCE ZAI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
59 25/03/201 021703020319Y000244 0001078999863 CRYSTIN MARTELENA P PNS DAERAH Fever, unspecified TIDAK
60 25/03/201 021703020319Y000084 0001719217078 SURYA KRISTIANI GULO P PEKERJA MANDIRI Low back pain, site unspecified YA
61 25/03/201 021703020319Y000241 0002148640154 SURIANI ZAI P PBI (APBD) Contraceptive management TIDAK
62 25/03/201 021703020319Y000085 0002592675988 BUDIMAN LAFAU P PBI (APBN) Other specified noninflammatory YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
63 23/03/201 021703020319Y000079 0000012448179 ARTINA ZEBUA P PENERIMA PENSIUN Disorders of accommodation YA
64 23/03/201 021703020319Y000238 0000229641546 GOFUSOKHI WARUWU L PBI (APBN) Gastritis, unspecified TIDAK
65 23/03/201 021703020319Y000078 0000230164255 SEPNIWATI BUAYA P PBI (APBN) Unspecified appendicitis YA
66 23/03/201 021703020319Y000080 0000230192008 TITIMURNI GEA P PBI (APBN) Other contraceptive management YA
67 23/03/201 021703020319Y000081 0000230799249 NIEL SYAH PUTRA JAYA L PBI (APBN) Headache YA
68 23/03/201 021703020319Y000240 0000982447356 HEZATULO GULO L PBI (APBN) Myopia TIDAK
69 23/03/201 021703020319Y000239 0002148621726 TITIAN IMAN LAIA L PBI (APBD) Medical care, unspecified TIDAK
70 22/03/201 021703020319Y000222 0000012462197 ASARIA TELAUMBANUA P PNS DAERAH Myalgia TIDAK
71 22/03/201 021703020319Y000221 0000012618292 OKTI MESRAWATI P PNS DAERAH Gastritis, unspecified TIDAK
72 22/03/201 021703020319Y000237 0000229197903 NIBEHERLINA ZEGA P PBI (APBN) Gastritis, unspecified TIDAK
73 22/03/201 021703020319Y000233 0000230614446 NURCAHAYA SIREGAR P PBI (APBN) Gastritis, unspecified TIDAK
74 22/03/201 021703020319Y000230 0000230727497 INDRI ATI PRATIWI P PBI (APBN) Allergic contact dermatitis TIDAK
75 22/03/201 021703020319Y000229 0000230728162 ALFIANI BATEE P PBI (APBN) Bitten or struck by dog, Home TIDAK
76 22/03/201 021703020319Y000227 0000230728656 BUTET BATEE P PBI (APBN) Abscess of tendon sheath, multiple TIDAK
77 22/03/201 021703020319Y000235 0000231216963 YA'ADI GULO P PBI (APBN) Gastritis, unspecified TIDAK
78 22/03/201 021703020319Y000231 0000231437463 LIANA MENDROFA P PBI (APBN) Gastritis, unspecified TIDAK
79 22/03/201 021703020319Y000224 0000270437567 ADIMINA GULO P PBI (APBN) Myalgia TIDAK
80 22/03/201 021703020319Y000228 0001494064135 ADINIA WARUWU P PBI (APBD) Allergic contact dermatitis TIDAK
81 22/03/201 021703020319Y000225 0001494064146 jonfianus zandroto L PBI (APBD) Gastritis, unspecified TIDAK
82 22/03/201 021703020319Y000226 0001494064168 FA'AHAKHODODO L PBI (APBD) Herpesviral infection, unspecified TIDAK
83 22/03/201 021703020319Y000223 0001617893594 NURIBA WARUWU P PBI (APBD) Gastritis, unspecified TIDAK

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
84 22/03/201 021703020319Y000234 0001967654654 JONATHAN NELSON L PNS DAERAH Allergy, unspecified TIDAK
85 22/03/201 021703020319Y000077 0002115783966 MANIRIA GULO P PBI (APBN) Antenatal screening, unspecified YA
86 22/03/201 021703020319Y000285 0002148642595 ALEX BERKAT JAYA GULO L PBI (APBD) Caries of dentine TIDAK
87 22/03/201 021703020319Y000236 0002274866864 HERMIN ZEBUA P PEKERJA MANDIRI Gastroenteritis and colitis of TIDAK
88 22/03/201 021703020319Y000075 0002422512696 tilina ndraha P PEKERJA MANDIRI Unspecified diabetes mellitus YA
89 22/03/201 021703020319Y000076 0002594838971 IBERIA GULO P PBI (APBN) Conductive and sensorineural hearing YA
90 22/03/201 021703020319Y000232 0002598334637 YUNIASA NDRAHA L PBI (APBN) Gastritis, unspecified TIDAK
91 21/03/201 021703020319Y000211 0000012438281 YANUARI NDrAHA L PNS DAERAH Headache TIDAK
92 21/03/201 021703020319Y000214 0000012582538 FATI MINA ZEBUA P PNS DAERAH Allergic contact dermatitis TIDAK
93 21/03/201 021703020319Y000219 0000012594339 AGUSTINA WARUWU P PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
94 21/03/201 021703020319Y000220 0000229869999 NIADI GULO P PBI (APBN) Fever, unspecified TIDAK
95 21/03/201 021703020319Y000215 0000230159496 ODILIA DAELI P PBI (APBN) Gastritis, unspecified TIDAK
96 21/03/201 021703020319Y000210 0000230822829 SYAHRIL FEBRYANSYAH L PBI (APBN) Medical care, unspecified TIDAK
97 21/03/201 021703020319Y000218 0000982434295 HEZATULO LAWOLO L PBI (APBN) Allergic contact dermatitis TIDAK
98 21/03/201 021703020319Y000212 0001494067116 CINDY OLIVIA GULO P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
99 21/03/201 021703020319Y000213 0001494067127 RYO CANDRA PARTAMA L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
100 21/03/201 021703020319Y000074 0001617895168 OTIRIA ZAI P PBI (APBD) Headache YA
101 21/03/201 021703020319Y000216 0002281542467 nuriah samaeri laia P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
102 21/03/201 021703020319Y000217 0002281543086 neaputri samaeri laia P PNS DAERAH Fever, unspecified TIDAK
103 20/03/201 021703020319Y000203 0000012544683 NUR''ASA GEA P PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
104 20/03/201 021703020319Y000071 0000012610708 FANONGONI ZANDROTO L PNS DAERAH Unspecified diabetes mellitus YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
105 20/03/201 021703020319Y000204 0000230465946 MEI IMANI GULO P PBI (APBN) Allergic contact dermatitis TIDAK
106 20/03/201 021703020319Y000202 0000230601587 MARINA MARIANI BATE'E P PBI (APBN) Medical care, unspecified TIDAK
107 20/03/201 021703020319Y000201 0000230655554 NORIATI GULO P PBI (APBN) Low back pain TIDAK
108 20/03/201 021703020319Y000205 0000231132576 SENIATI BATE'E P PBI (APBN) Unspecified diabetes mellitus TIDAK
109 20/03/201 021703020319Y000207 0001287494087 ENDANG NOVITRISNA P PNS DAERAH Gastritis, unspecified TIDAK
110 20/03/201 021703020319Y000072 0001452878111 DWIKA MARTINA P PNS DAERAH Asthma, unspecified YA
111 20/03/201 021703020319Y000073 0001452878818 WARISMAN TEMAZARO L PNS DAERAH Disorders of accommodation YA
112 20/03/201 021703020319Y000208 0001494069175 Melda Gulo P PBI (APBD) Abscess of tendon sheath, other TIDAK
113 20/03/201 021703020319Y000206 0002125855078 REIHAN JUSTIN NDRAHA L PBI (APBN) Fever, unspecified TIDAK
114 20/03/201 021703020319Y000209 0002236595038 BINTANG APRILIA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
115 19/03/201 021703020319Y000069 0000012460083 PENIATMAN HAREFA L PNS DAERAH Bell's palsy YA
116 19/03/201 021703020319Y000199 0000012572886 FOLALA WARUWU L PNS DAERAH Unspecified diabetes mellitus TIDAK
117 19/03/201 021703020319Y000068 0000230913505 VIVIN KRISTIANI LAWOLO P PBI (APBN) Otitis media, unspecified YA
118 19/03/201 021703020319Y000067 0000982472499 TALIZINEMA LAWOLO L PBI (APBN) Arthritis in lyme disease, unspecified YA
119 19/03/201 021703020319Y000200 0001873257704 ODODOGO NDRAHA L PNS DAERAH Allergic contact dermatitis TIDAK
120 19/03/201 021703020319Y000070 0002465254528 aldrich haga harefa L PNS DAERAH Allergy, unspecified YA
121 18/03/201 021703020319Y000190 0000012541094 SAMIBA GULO P PENERIMA PENSIUN Insulin-dependent diabetes mellitus TIDAK
122 18/03/201 021703020319Y000195 0000012594339 AGUSTINA WARUWU P PENERIMA PENSIUN Headache TIDAK
123 18/03/201 021703020319Y000060 0000229783803 JUL HERMAN ZEBUA L PBI (APBN) Typhoid fever YA
124 18/03/201 021703020319Y000066 0000229871136 YUSNIDAR LAWOLO P PBI (APBN) Thyrotoxicosis, unspecified YA
125 18/03/201 021703020319Y000061 0000230507155 SARIA WARUWU P PBI (APBN) Hypothyroidism, unspecified YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
126 18/03/201 021703020319Y000188 0000230822829 SYAHRIL FEBRYANSYAH L PBI (APBN) Other specified postsurgical states TIDAK
127 18/03/201 021703020319Y000196 0000230953329 ADINIA BATE'E P PBI (APBN) Medical care, unspecified TIDAK
128 18/03/201 021703020319Y000186 0000230980408 BAZIDUHU WARUWU L PBI (APBN) Gastritis, unspecified TIDAK
129 18/03/201 021703020319Y000197 0000231206545 YUNI WATI ZANDROTO P PBI (APBN) Caries of dentine TIDAK
130 18/03/201 021703020319Y000198 0000231206951 SUSI ARIYANTI WARUWU P PBI (APBN) Caries of dentine TIDAK
131 18/03/201 021703020319Y000189 0000982450001 YARMAN ZAI L PBI (APBN) Allergic contact dermatitis TIDAK
132 18/03/201 021703020319Y000064 0001494072202 YANIBA BATEE P PBI (APBD) Insulin-dependent diabetes mellitus YA
133 18/03/201 021703020319Y000187 0001609557366 YULDARNIHATI LAROSA P PEKERJA MANDIRI Other specified postsurgical states TIDAK
134 18/03/201 021703020319Y000191 0001719217056 FATILINA LAWOLO P PEKERJA MANDIRI Arthritis in lyme disease, unspecified TIDAK
135 18/03/201 021703020319Y000194 0001719217078 SURYA KRISTIANI GULO P PEKERJA MANDIRI Allergic contact dermatitis TIDAK
136 18/03/201 021703020319Y000063 0001824870249 SETIAMAN WARUWU L PEKERJA MANDIRI Bronchitis, not specified as acute or YA
137 18/03/201 021703020319Y000065 0001881178604 FITRI JULIANI MENDROFA P PEKERJA MANDIRI Fibroadenosis of breast YA
138 18/03/201 021703020319Y000062 0001891044696 IMELDA FOTURIA LAOLI P PNS DAERAH Fever, unspecified YA
139 18/03/201 021703020319Y000193 0002148634271 ARISMAN MENDROFA L PBI (APBD) Gastritis, unspecified TIDAK
140 18/03/201 021703020319Y000192 0002148634293 MASIRIA MENDROFA P PBI (APBD) Tuberculosis of lung, confirmed by TIDAK
141 17/03/201 021703020319Y000184 0000230918962 YANIRIA LAOLI P PBI (APBN) Gastritis, unspecified TIDAK
142 17/03/201 021703020319Y000185 0002311176227 ROSMANIDAR HAREFA P PEKERJA MANDIRI Disorders of initiating and maintaining TIDAK
143 16/03/201 021703020319Y000058 0000012505792 AMILIRA L PENERIMA PENSIUN Insulin-dependent diabetes mellitus YA
144 16/03/201 021703020319Y000059 0000270567022 FITRIANI HAREFA P PBI (APBN) Antenatal screening, unspecified YA
145 16/03/201 021703020319Y000183 0001494058961 Elius Lawolo L PBI (APBD) Other and unspecified gastroenteritis TIDAK
146 15/03/201 021703020319Y000173 0000012504047 ADILIA GULO P PENERIMA PENSIUN Other pulmonary heart diseases TIDAK

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
147 15/03/201 021703020319Y000051 0000012538348 ADILIA ZEBUA P PENERIMA PENSIUN Secondary hypertension, unspecified YA
148 15/03/201 021703020319Y000050 0000012614837 LIASA LAOLI L PNS DAERAH Myalgia, site unspecified YA
149 15/03/201 021703020319Y000049 0000012614848 MESTINA ZEBUA P PNS DAERAH Low back pain, lumbar region YA
150 15/03/201 021703020319Y000178 0000230442603 YOSRYA BATE'E P PBI (APBN) Heart disease, unspecified TIDAK
151 15/03/201 021703020319Y000053 0000230603501 MARLINA NDRAHA P PBI (APBN) Conjunctivitis, unspecified YA
152 15/03/201 021703020319Y000176 0000230624054 FERIDA NDRAHA P PBI (APBN) Unspecified chronic bronchitis TIDAK
153 15/03/201 021703020319Y000057 0000230742551 RELIAWATI WARUWU P PBI (APBN) Antenatal screening, unspecified YA
154 15/03/201 021703020319Y000177 0000230916036 ADRYANA LAWOLO P PBI (APBN) Arthritis in Lyme disease TIDAK
155 15/03/201 021703020319Y000179 0000230942428 ELVI CAHYANI GEA P PBI (APBN) Allergy, unspecified TIDAK
156 15/03/201 021703020319Y000182 0000230953329 ADINIA BATE'E P PBI (APBN) Other specified postsurgical states TIDAK
157 15/03/201 021703020319Y000172 0000982426048 SARIDINA LAROSA P PBI (APBN) Gastritis, unspecified TIDAK
158 15/03/201 021703020319Y000174 0000982441855 SUDINA GULO P PBI (APBN) Headache TIDAK
159 15/03/201 021703020319Y000175 0000982451711 AGUSTINA BATE'E P PBI (APBN) Gastritis, unspecified TIDAK
160 15/03/201 021703020319Y000056 0000982452262 MESTARIANI NDRAHA P PBI (APBN) Antenatal screening, unspecified YA
161 15/03/201 021703020319Y000181 0000982452317 KARYAWATI LAWOLO P PBI (APBN) Arthritis in lyme disease, hand TIDAK
162 15/03/201 021703020319Y000054 0001428041733 RAMIDA LASE P PEKERJA MANDIRI Disorders of accommodation YA
163 15/03/201 021703020319Y000180 0001494063911 FATILINA ZEBUA P PBI (APBD) Myalgia TIDAK
164 15/03/201 021703020319Y000055 0002148633988 TITI MARIANA ZEBUA P PBI (APBD) Antenatal screening, unspecified YA
165 15/03/201 021703020319Y000052 0002250060669 SILINA ZEBUA P PEKERJA MANDIRI Secondary hypertension, unspecified YA
166 15/03/201 021703020319Y000171 0002476028349 UTINA HUMENDRU P PEKERJA MANDIRI Gastritis, unspecified TIDAK
167 14/03/201 021703020319P000045 0000012462186 YAMONAHA ZEBUA L PNS DAERAH Otitis media, unspecified YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
168 14/03/201 021703020319Y000170 0000229742763 YASNIDA ZAMASI P PBI (APBN) Gastritis, unspecified TIDAK
169 14/03/201 021703020319Y000169 0000230135106 RIADI WARUWU P PBI (APBN) Other specified postsurgical states TIDAK
170 14/03/201 021703020319P000047 0000231497188 MINI PURWANINGSIH P PBI (APBN) Gastritis, unspecified YA
171 14/03/201 021703020319P000048 0000231497684 ROSDIANA ZEBUA P PBI (APBN) Gastritis, unspecified YA
172 14/03/201 021703020319Y000167 0000982452824 AROFAO LAOWO L PBI (APBN) Gastritis, unspecified TIDAK
173 14/03/201 021703020319P000044 0001802636943 NIATI LAWOLO P PEKERJA MANDIRI Secondary hypertension YA
174 14/03/201 021703020319P000046 0002146245974 MINA'ATI NDRAHA P PBI (APBD) Disorders of accommodation YA
175 14/03/201 021703020319Y000168 0002461869786 DELIMA NDRAHA P PEKERJA MANDIRI Bronchitis, not specified as acute or TIDAK
176 13/03/201 021703020319Y000165 0000205198132 ANUGERAH PUTRA ZEGA L PNS DAERAH Motorcycle rider [any] injured in other TIDAK
177 13/03/201 021703020319Y000043 0000230145928 HATISAMA LAWOLO L PBI (APBN) Disorders of accommodation YA
178 13/03/201 021703020319Y000163 0000230706797 ELFIANA NDRAHA P PBI (APBN) Gastritis, unspecified TIDAK
179 13/03/201 021703020319Y000164 0000231448487 INTINIAT ZEGA P PBI (APBN) Myalgia TIDAK
180 13/03/201 021703020319Y000166 0000982440674 FONAHIA GULO L PBI (APBN) Flatulence and related conditions TIDAK
181 13/03/201 021703020319Y000042 0001869935343 faomasi ndraha P PEKERJA MANDIRI Insulin-dependent diabetes mellitus YA
182 12/03/201 021703020319Y000159 0000012438281 YANUARI NDrAHA L PNS DAERAH Headache TIDAK
183 12/03/201 021703020319Y000041 0000230068214 KHILIAMI GULO P PBI (APBN) Thyrotoxicosis, unspecified YA
184 12/03/201 021703020319Y000160 0000230467588 YAREDI BATE'E L PBI (APBN) Gastritis, unspecified TIDAK
185 12/03/201 021703020319Y000040 0000230601587 MARINA MARIANI BATE'E P PBI (APBN) Acute appendicitis, unspecified YA
186 12/03/201 021703020319Y000162 0001328628475 CHELSY AMANDA N. P PEKERJA MANDIRI Bronchiectasis TIDAK
187 12/03/201 021703020319Y000039 0001494124604 SODIYANTO LAWOLO L PBI (APBD) Gastritis, unspecified YA
188 12/03/201 021703020319Y000038 0001494124659 NIEL TRIMAN IFOLALA L PBI (APBD) Fever, unspecified YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
189 12/03/201 021703020319Y000161 0001877587964 agustaniman harefa P PNS DAERAH Caries of dentine TIDAK
190 12/03/201 021703020319Y000158 0002148633033 RITINA GULO P PBI (APBD) Fever, unspecified TIDAK
191 11/03/201 021703020319Y000289 0000205197489 MARTINUS ZEGA,A.MA.PD L PNS DAERAH Gastritis, unspecified TIDAK
192 11/03/201 021703020319Y000157 0000230135106 RIADI WARUWU P PBI (APBN) Other surgical follow-up care TIDAK
193 11/03/201 021703020319P000036 0001494064708 YUSMINA GEA P PBI (APBD) Disorders of accommodation YA
194 11/03/201 021703020319Y000287 0001609557366 YULDARNIHATI LAROSA P PEKERJA MANDIRI Medical care, unspecified TIDAK
195 11/03/201 021703020319Y000286 0001824870249 SETIAMAN WARUWU L PEKERJA MANDIRI Gastritis, unspecified TIDAK
196 11/03/201 021703020319Y000288 0001873257704 ODODOGO NDRAHA L PNS DAERAH Myalgia TIDAK
197 11/03/201 021703020319P000037 0002074437516 TOHUNASOKHI ZAMASI L PBI (APBD) Disorders of accommodation YA
198 09/03/201 021703020319Y000155 0000230610655 YUTIMAN ZEBUA P PBI (APBN) Hypotension TIDAK
199 09/03/201 021703020319Y000154 0000230820232 WENDI KRISMAN LAOLI L PBI (APBN) Abscess of tendon sheath, lower leg TIDAK
200 09/03/201 021703020319Y000156 0000231496301 SIKDELI ZEBUA L PBI (APBN) Secondary hypertension TIDAK
201 08/03/201 021703020319P000034 0000012572886 FOLALA WARUWU L PNS DAERAH Insulin-dependent diabetes mellitus YA
202 08/03/201 021703020319Y000149 0000229584767 AMINA HALAWA P PBI (APBN) Essential (primary) hypertension TIDAK
203 08/03/201 021703020319Y000141 0000230135106 RIADI WARUWU P PBI (APBN) Cough TIDAK
204 08/03/201 021703020319Y000151 0000230143162 YUNIAMA BUAYA P PBI (APBN) Essential (primary) hypertension TIDAK
205 08/03/201 021703020319Y000148 0000230405332 FATINIA BUAYA P PBI (APBN) Gastritis, unspecified TIDAK
206 08/03/201 021703020319Y000146 0000230770719 ANIWATI NDRAHA P PBI (APBN) Allergic rhinitis, unspecified TIDAK
207 08/03/201 021703020319Y000029 0000230803863 MONIKA MELIANA BATE'E P PBI (APBN) Disorders of accommodation YA
208 08/03/201 021703020319Y000152 0000230913202 MESARIA GULO P PBI (APBN) Gastritis, unspecified TIDAK
209 08/03/201 021703020319Y000139 0000231212248 NURNIAMAN GEA P PBI (APBN) Dyspepsia TIDAK

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
210 08/03/201 021703020319Y000138 0000231212711 INTAN BERLIAN LAOLI P PBI (APBN) Tinea cruris TIDAK
211 08/03/201 021703020319Y000147 0000231212801 DERMANSYAH PUTRA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
212 08/03/201 021703020319Y000143 0000231505874 NOFRIDA WIRA MARLETA P PBI (APBN) Myalgia TIDAK
213 08/03/201 021703020319Y000033 0000982443159 DELIMA WARUWU P PBI (APBN) Thyrotoxicosis [hyperthyroidism] YA
214 08/03/201 021703020319Y000140 0001428041733 RAMIDA LASE P PEKERJA MANDIRI Insulin-dependent diabetes mellitus TIDAK
215 08/03/201 021703020319Y000145 0001494055056 Ayu Ningsi Gulo P PBI (APBD) Nausea and vomiting TIDAK
216 08/03/201 021703020319Y000153 0001494059837 Suryaman Gulo L PBI (APBD) Insulin-dependent diabetes mellitus TIDAK
217 08/03/201 021703020319Y000144 0001494060816 Yuniyarman Waruwu L PBI (APBD) Low back pain TIDAK
218 08/03/201 021703020319Y000142 0001494068578 ALINUDIN GEA L PBI (APBD) Secondary hypertension TIDAK
219 08/03/201 021703020319Y000150 0001873257704 ODODOGO NDRAHA L PNS DAERAH Secondary hypertension TIDAK
220 08/03/201 021703020319Y000035 0002074437516 TOHUNASOKHI ZAMASI L PBI (APBD) Caries of dentine YA
221 08/03/201 021703020319Y000032 0002148621726 TITIAN IMAN LAIA L PBI (APBD) Neurofibromatosis (nonmalignant) YA
222 08/03/201 021703020319Y000030 0002148635169 DELIMAWATI LAWOLO P PBI (APBD) Leiomyoma of uterus, unspecified YA
223 08/03/201 021703020319Y000031 0002421202116 FAJAR BERKAT LAOLI L PBI (APBD) Fever, unspecified YA
224 07/03/201 021703020319Y000028 0000012630115 YOSAFATI ZENDRATO L PNS DAERAH Dislocation, sprain and strain of joints YA
225 06/03/201 021703020319Y000132 0000008663973 LALAZIDUHU GULO L PNS DAERAH Insulin-dependent diabetes mellitus TIDAK
226 06/03/201 021703020319Y000134 0000009938709 ABADI HIA P PNS DAERAH Functional diarrhoea TIDAK
227 06/03/201 021703020319Y000027 0000206312602 TRI YUNI LESTARI P PEGAWAI PEMERINTAH Dislocation of other and unspecified YA
228 06/03/201 021703020319Y000025 0000230842438 MURNIATI ZAI P PBI (APBN) Disorders of accommodation YA
229 06/03/201 021703020319Y000022 0000230953329 ADINIA BATE'E P PBI (APBN) Acute appendicitis, unspecified YA
230 06/03/201 021703020319Y000137 0000230957469 BEGAWATI ZAMASI P PBI (APBN) Cough TIDAK

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
231 06/03/201 021703020319Y000131 0000231134501 BEZARO GEA L PBI (APBN) Allergic rhinitis, unspecified TIDAK
232 06/03/201 021703020319Y000020 0000231274236 HERDIAN HAREFA P PBI (APBN) Gastritis, unspecified YA
233 06/03/201 021703020319Y000135 0000231511893 FAOZATULO WARUWU L PBI (APBN) Fever, unspecified TIDAK
234 06/03/201 021703020319Y000136 0000231514018 KURNIAWAN WARUWU L PBI (APBN) Hypotension TIDAK
235 06/03/201 021703020319Y000133 0000270437567 ADIMINA GULO P PBI (APBN) Essential (primary) hypertension TIDAK
236 06/03/201 021703020319Y000021 0000982440843 SIGATI GEA P PBI (APBN) Gastritis, unspecified YA
237 06/03/201 021703020319Y000023 0001494066914 SABARIA BUAYA P PBI (APBD) Disorders of accommodation YA
238 06/03/201 021703020319Y000026 0001494071346 Silas S. Bate'e L PBI (APBD) Low back pain, site unspecified YA
239 06/03/201 021703020319Y000024 0002074437516 TOHUNASOKHI ZAMASI L PBI (APBD) Myalgia, site unspecified YA
240 05/03/201 021703020319Y000016 0000012588401 NIAT ATI LASE P PNS DAERAH Insulin-dependent diabetes mellitus YA
241 05/03/201 021703020319Y000130 0000230404566 TOTONAFO WARUWU L PBI (APBN) Essential (primary) hypertension TIDAK
242 05/03/201 021703020319Y000125 0000230611869 WAOARO WARUWU L PBI (APBN) Secondary hypertension TIDAK
243 05/03/201 021703020319Y000124 0000230613164 TINCE SRI LORENZA P PBI (APBN) Fever, unspecified TIDAK
244 05/03/201 021703020319Y000017 0000230613164 TINCE SRI LORENZA P PBI (APBN) Caries of dentine YA
245 05/03/201 021703020319Y000128 0000231268094 SETIA IMAN ZEBUA L PBI (APBN) Abscess of tendon sheath, pelvic and TIDAK
246 05/03/201 021703020319Y000015 0000252724498 FIDEWI NDRURU P PBI (APBN) Antenatal screening, unspecified YA
247 05/03/201 021703020319P000018 0001824870249 SETIAMAN WARUWU L PEKERJA MANDIRI Fever, unspecified YA
248 05/03/201 021703020319Y000129 0001889287672 MATIUS MELSAN DAELI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
249 05/03/201 021703020319Y000127 0002148635259 MESRA WATI BATE'E P PBI (APBD) Gastritis, unspecified TIDAK
250 05/03/201 021703020319Y000126 0002148635261 HASRAT LAOLI L PBI (APBD) Disorders of accommodation TIDAK
251 05/03/201 021703020319P000019 0002148639456 ANIMA ZAI P PBI (APBD) Gastritis, unspecified YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
252 04/03/201 021703020319Y000121 0000012433533 SABARIA ZEGA P PNS DAERAH Insulin-dependent diabetes mellitus TIDAK
253 04/03/201 021703020319Y000010 0000012435851 SURIANI TELAUMBANUA P PNS DAERAH Chronic kidney disease YA
254 04/03/201 021703020319Y000118 0000158712265 YULIRIA WARUWU P PENERIMA PENSIUN Polyarthritis, unspecified TIDAK
255 04/03/201 021703020319Y000013 0000230459872 RISKANILA NDRAHA P PBI (APBN) Asthma, unspecified YA
256 04/03/201 021703020319Y000011 0000230467588 YAREDI BATE'E L PBI (APBN) Gastritis, unspecified YA
257 04/03/201 021703020319Y000120 0000230467601 SAMARIA GEA P PBI (APBN) Insulin-dependent diabetes mellitus TIDAK
258 04/03/201 021703020319Y000117 0000230706797 ELFIANA NDRAHA P PBI (APBN) Malignant neoplasm of lip, unspecified TIDAK
259 04/03/201 021703020319Y000012 0000231125231 ORDINER FARASI L PBI (APBN) Disorders of accommodation YA
260 04/03/201 021703020319Y000123 0000231476365 ASARIA WARUWU P PBI (APBN) Myalgia TIDAK
261 04/03/201 021703020319Y000122 0000231477625 VRISKI ANUGRAH PUTRA L PBI (APBN) Otitis media, unspecified TIDAK
262 04/03/201 021703020319Y000014 0000982443183 O'OZISOKHI ZEBUA L PBI (APBN) Secondary hypertension, unspecified YA
263 04/03/201 021703020319Y000119 0001825192732 SURYAWATI WARUWU P PNS DAERAH Cough TIDAK
264 04/03/201 021703020319Y000009 0002148635169 DELIMAWATI LAWOLO P PBI (APBD) Unspecified appendicitis YA
265 03/03/201 021703020319Y000116 0000230611329 FIRMAN SYUKUR LASE L PBI (APBN) Malignant neoplasm of lip, unspecified TIDAK
266 02/03/201 021703020319Y000114 0000229860066 DANIEL ALBERTI NDRAHA L PBI (APBN) Medical care, unspecified TIDAK
267 02/03/201 021703020319Y000112 0000231433659 ALIRA LAROSA P PBI (APBN) Haemorrhoids TIDAK
268 02/03/201 021703020319Y000115 0001494061402 BARNABAS NDRAHA L PBI (APBD) Cough TIDAK
269 02/03/201 021703020319Y000110 0002148635586 DESIMANI LAOLI P PBI (APBD) Polyarthritis, unspecified TIDAK
270 02/03/201 021703020319Y000111 0002421201159 CITRA FETRIL LESTARI P PBI (APBD) Cough TIDAK
271 02/03/201 021703020319Y000113 0002421201767 FEMBRIANTI LAOLI P PBI (APBD) Fever, unspecified TIDAK
272 01/03/201 021703020319P000002 0000012548496 YURTINI LAWOLO P PNS DAERAH Polyarthrosis, unspecified YA

26/04/2019 12.54.56
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GUNUNG SITOLI (0208)


FKTP : GIDO (02170302)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
273 01/03/201 021703020319Y000008 0000012580154 FATOLOSA SILOTO L PNS DAERAH Insulin-dependent diabetes mellitus YA
274 01/03/201 021703020319P000005 0000202143778 JULMASNI WARUWU P PNS DAERAH Postpartum care and examination YA
275 01/03/201 021703020319Y000007 0000209596026 SRIWAHYUNI HIA P PNS DAERAH Thyrotoxicosis, unspecified YA
276 01/03/201 021703020319Y000102 0000229566892 YOEL ANDALAN PRATAMA L PBI (APBN) Medical care, unspecified TIDAK
277 01/03/201 021703020319Y000101 0000229869786 YUNIARO LAWOLO L PBI (APBN) Headache TIDAK
278 01/03/201 021703020319Y000104 0000229905461 YULISMAWATI WARUWU P PBI (APBN) Gastritis, unspecified TIDAK
279 01/03/201 021703020319Y000103 0000229905729 UCOK HULU L PBI (APBN) Cough TIDAK
280 01/03/201 021703020319Y000106 0000229922111 MERIBA GULO P PBI (APBN) Zoster [herpes zoster] TIDAK
281 01/03/201 021703020319Y000107 0000229922278 TITUS BERKAT HULU L PBI (APBN) Zoster [herpes zoster] TIDAK
282 01/03/201 021703020319Y000100 0000230203822 SUNIDA WARUWU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
283 01/03/201 021703020319Y000108 0000230482451 YARNI LAOLI P PBI (APBN) Gastritis, unspecified TIDAK
284 01/03/201 021703020319Y000109 0000230651932 NONI TUTI MARIANA P PBI (APBN) Gastritis, unspecified TIDAK
285 01/03/201 021703020319P000006 0000269425181 ASPINTAR GEA P PBI (APBN) Acute vaginitis YA
286 01/03/201 021703020319P000004 0001102053273 BEZISOKHI GULO L PNS DAERAH Thyrotoxicosis, unspecified YA
287 01/03/201 021703020319Y000105 0001494055394 Masaria Gulo P PBI (APBD) Zoster [herpes zoster] TIDAK
288 01/03/201 021703020319Y000001 0001874176334 ILANA MENDROFA P PEKERJA MANDIRI Diabetic mononeuropathy YA
289 01/03/201 021703020319P000003 0002422512696 tilina ndraha P PEKERJA MANDIRI Analgesic nephropathy YA

26/04/2019 12.54.56

Anda mungkin juga menyukai