DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1 30/01/201 102402020114Y000144 0000425632959 ENTIN P PBI (APBN) Influenza with oth resp manifestation TIDAK
2 30/01/201 102402020114Y000081 0000426212864 EVA SUTINAH P PBI (APBN) Duodenitis TIDAK
3 30/01/201 102402020114Y000145 0000426668174 MUHAMMAD PIAN SOPIAN L PBI (APBN) Influenza with oth resp manifestation TIDAK
4 30/01/201 102402020114Y000148 0000426720868 M YUSUP L PBI (APBN) Influenza with oth resp manifestation TIDAK
5 30/01/201 102402020114Y000016 0000427077314 GUGUM GUMILAR L PBI (APBN) Other specified diseases of upper TIDAK
6 30/01/201 102402020114Y000147 0000427082297 EUIS MASRIPAH P PBI (APBN) Duodenitis TIDAK
7 30/01/201 102402020114Y000143 0001004611307 ENGKOY P PBI (APBN) Arthritis, unspecified TIDAK
8 30/01/201 102402020114Y000146 0001004617664 MIMI P PBI (APBN) Herpesviral vesicular dermatitis TIDAK
9 29/01/201 102402020114Y000138 0000069356981 SITI HAOLAH P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
10 29/01/201 102402020114Y000141 0000069451479 HUSEN WIDJAYA L PENERIMA PENSIUN Disorder of teeth and supporting TIDAK
11 29/01/201 102402020114Y000133 0000425926798 ENENG P PBI (APBN) Acute upper respiratory infection, TIDAK
12 29/01/201 102402020114Y000140 0000425993769 YAYAH P PBI (APBN) Disorder of teeth and supporting TIDAK
13 29/01/201 102402020114Y000015 0000425996109 ATIK P PBI (APBN) Unspecified protein-energy YA
14 29/01/201 102402020114Y000134 0000426184659 AULIA ROHMAH P PBI (APBN) Influenza with oth resp manifestation TIDAK
15 29/01/201 102402020114Y000136 0000426265031 IMING P PBI (APBN) Unspecified diabetes mellitus without YA
16 29/01/201 102402020114Y000132 0000426304269 AISAH P PBI (APBN) Disorder of teeth and supporting TIDAK
17 29/01/201 102402020114Y000137 0000426625468 ELIS P PBI (APBN) Acute upper respiratory infection, TIDAK
18 29/01/201 102402020114Y000135 0000426834437 FEBI ABDILAH L PBI (APBN) Paratyphoid fever, unspecified TIDAK
19 29/01/201 102402020114Y000139 0000426984614 BUDIMAN L PBI (APBN) Other specified disorders of skin and TIDAK
20 29/01/201 102402020114Y000014 0001265852619 hilma herawati P PEKERJA MANDIRI Chronic ischaemic heart disease, YA

29/09/2017 05.17.00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
21 28/01/201 102402020114Y000130 0000163317892 SASKIA SULISTIAWATI P PNS DAERAH Abscess, furuncle and carbuncle of TIDAK
22 28/01/201 102402020114Y000128 0000425738103 II P PBI (APBN) Essential (primary) hypertension TIDAK
23 28/01/201 102402020114Y000012 0000425805726 HERMIN SRI NURWATI P PBI (APBN) Gastritis, unspecified TIDAK
24 28/01/201 102402020114Y000123 0000425824323 MILOH P PBI (APBN) Myalgia TIDAK
25 28/01/201 102402020114Y000013 0000425869975 IDAH P PBI (APBN) Essential (primary) hypertension YA
26 28/01/201 102402020114Y000125 0000425985276 DIDAH P PBI (APBN) Duodenitis TIDAK
27 28/01/201 102402020114Y000131 0000426233643 SITI FSRIDAH P PBI (APBN) Other specified general symptoms and TIDAK
28 28/01/201 102402020114Y000127 0000426272894 SOPIA P PBI (APBN) Asthma, unspecified TIDAK
29 28/01/201 102402020114Y000129 0000426656013 AGNI GINA M P PBI (APBN) Upper resp tract hypersensitivity TIDAK
30 28/01/201 102402020114Y000126 0001004579717 EBAH P PBI (APBN) Disorder of eye and adnexa, TIDAK
31 28/01/201 102402020114Y000124 0001004611871 SARIPUDIN L PBI (APBN) Influenza with oth resp manifestation TIDAK
32 27/01/201 102402020114Y000119 0000163823332 DAMI P PNS DAERAH Acute upper respiratory infection, TIDAK
33 27/01/201 102402020114Y000103 0000425642714 NANIH P PBI (APBN) Disorder of skin and subcutaneous TIDAK
34 27/01/201 102402020114Y000104 0000425644514 DEDE M SOLEH L PBI (APBN) Disorder of skin and subcutaneous TIDAK
35 27/01/201 102402020114Y000111 0000425741354 SURYANA L PBI (APBN) Other cystitis TIDAK
36 27/01/201 102402020114Y000121 0000426149932 RIKI L PBI (APBN) Arthritis, unspecified TIDAK
37 27/01/201 102402020114Y000107 0000426255186 NENAH P PBI (APBN) Conjunctivitis, unspecified TIDAK
38 27/01/201 102402020114Y000122 0000426289746 DIKI SUPRIATNA L PBI (APBN) Cutaneous abscess, furuncle and TIDAK
39 27/01/201 102402020114Y000008 0000426327287 HIDAYAT L PBI (APBN) Disorder of teeth and supporting YA
40 27/01/201 102402020114Y000009 0000426327963 AI JENAB P PBI (APBN) Disorder of teeth and supporting YA
41 27/01/201 102402020114Y000007 0000426510843 ENAH P PBI (APBN) Cataract, unspecified YA

29/09/2017 05.17.00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
42 27/01/201 102402020114Y000115 0000426539529 ADE AISYAH P PBI (APBN) Influenza with oth resp manifestation TIDAK
43 27/01/201 102402020114Y000114 0000426540429 RIAN GUNAWAN L PBI (APBN) Influenza with oth resp manifestation TIDAK
44 27/01/201 102402020114Y000116 0000426543805 ANDRIYANSAH L PBI (APBN) Other specified disorders of skin and TIDAK
45 27/01/201 102402020114Y000110 0000426624208 TITI P PBI (APBN) Essential (primary) hypertension TIDAK
46 27/01/201 102402020114Y000102 0000426625468 ELIS P PBI (APBN) Disorder of teeth and supporting TIDAK
47 27/01/201 102402020114Y000005 0000426708685 RINA P PBI (APBN) Unilateral or unspecified femoral YA
48 27/01/201 102402020114Y000112 0000426728204 SITI KHODIJAH P PBI (APBN) Disorder of skin and subcutaneous TIDAK
49 27/01/201 102402020114Y000117 0000426780358 AGUS JAENUDIN L PBI (APBN) Duodenitis TIDAK
50 27/01/201 102402020114Y000010 0000426780472 ENTAY L PBI (APBN) Chronic ischaemic heart disease, YA
51 27/01/201 102402020114Y000011 0000426781304 YANA L PBI (APBN) Paratyphoid fever, unspecified YA
52 27/01/201 102402020114Y000006 0000426863529 TOTO P PBI (APBN) Chronic ischaemic heart disease, YA
53 27/01/201 102402020114Y000106 0000426937746 NANI ROHANI P PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
54 27/01/201 102402020114Y000109 0000426988978 NYANYAH SITI KHODIJAH P PBI (APBN) Acute upper respiratory infection, TIDAK
55 27/01/201 102402020114Y000108 0000426990003 LULU NURONIAH P PBI (APBN) Influenza with oth resp manifestation TIDAK
56 27/01/201 102402020114Y000113 0000427040504 MIMI P PBI (APBN) Zoster with other complications TIDAK
57 27/01/201 102402020114Y000105 0001004606302 M JAAN ALI MUHYI L PBI (APBN) Influenza with oth resp manifestation TIDAK
58 27/01/201 102402020114Y000120 0001004617664 MIMI P PBI (APBN) Zoster without complication TIDAK
59 27/01/201 102402020114Y000118 0001264733043 RAHMAWATI P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
60 25/01/201 102402020114Y000098 0000424237623 ASEP SAEPULOH L PBI (APBN) Influenza with oth resp manifestation TIDAK
61 25/01/201 102402020114Y000101 0000425639621 INA SARINAH P PBI (APBN) Other specific arthropathies, not TIDAK
62 25/01/201 102402020114Y000097 0000426006898 SRI P PBI (APBN) Other specified general symptoms and TIDAK

29/09/2017 05.17.00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
63 25/01/201 102402020114Y000096 0000426006944 SOPI ARDIANSYAH P PBI (APBN) Acute upper respiratory infection, TIDAK
64 25/01/201 102402020114Y000095 0000426927227 SUMIATI P PBI (APBN) Essential (primary) hypertension TIDAK
65 25/01/201 102402020114Y000100 0001004613581 BARNA L PBI (APBN) Bronchitis, not specified as acute or TIDAK
66 25/01/201 102402020114Y000099 0001004617372 YESA P PBI (APBN) Other specified general symptoms and TIDAK
67 24/01/201 102402020114Y000089 0000425805726 HERMIN SRI NURWATI P PBI (APBN) Acute upper respiratory infection, TIDAK
68 24/01/201 102402020114Y000094 0000425839882 MOYA P PBI (APBN) Acute upper respiratory infection, TIDAK
69 24/01/201 102402020114Y000092 0000426239166 SITI AISYAH P PBI (APBN) Arthritis, unspecified TIDAK
70 24/01/201 102402020114Y000093 0000426240922 SUYI SOLAHUDIN L PBI (APBN) Arthritis, unspecified TIDAK
71 24/01/201 102402020114Y000084 0000426276933 HIKMAT L PBI (APBN) Acute upper respiratory infection, TIDAK
72 24/01/201 102402020114Y000091 0000426399489 ADE RIFKI L PBI (APBN) Cutaneous abscess, furuncle and TIDAK
73 24/01/201 102402020114Y000090 0000426399557 ITAN SRI RAHAYU P PBI (APBN) Acute pharyngitis, unspecified TIDAK
74 24/01/201 102402020114Y000085 0000426563537 KARMANAH P PBI (APBN) Acute upper respiratory infection, TIDAK
75 24/01/201 102402020114Y000086 0000426565337 RIKEU HERVANI P PBI (APBN) Acute upper respiratory infection, TIDAK
76 24/01/201 102402020114Y000087 0000426717865 TIA P PBI (APBN) Influenza with oth resp manifestation TIDAK
77 24/01/201 102402020114Y000004 0001004606032 AI RUKMANAH P PBI (APBN) Benign neoplasm of unspecified site YA
78 24/01/201 102402020114Y000088 0001262723163 SITI SOBARIAH P PEKERJA MANDIRI Duodenitis TIDAK
79 23/01/201 102402020114Y000078 0000425684496 AYI L PBI (APBN) Influenza with oth resp manifestation TIDAK
80 23/01/201 102402020114Y000083 0000425749555 WAWAH RUKOYAH P PBI (APBN) Myalgia TIDAK
81 23/01/201 102402020114Y000080 0000426097798 USMAN NURJAMAH L PBI (APBN) Other specified general symptoms and TIDAK
82 23/01/201 102402020114Y000082 0000426226511 BIBAH P PBI (APBN) Asthma, unspecified TIDAK
83 23/01/201 102402020114Y000077 0000426319683 WINDA ALIFAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

29/09/2017 05.17.00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
84 23/01/201 102402020114Y000075 0000426334026 YADI L PBI (APBN) Other specified general symptoms and TIDAK
85 23/01/201 102402020114Y000040 0000426820072 RAMDAN L PBI (APBN) Influenza with oth resp manifestation TIDAK
86 23/01/201 102402020114Y000079 0000426847566 IIM P PBI (APBN) Essential (primary) hypertension TIDAK
87 23/01/201 102402020114Y000076 0001004613208 AI JUARSIH P PBI (APBN) Acute pharyngitis, unspecified TIDAK
88 22/01/201 102402020114Y000073 0000163823332 DAMI P PNS DAERAH Influenza with oth resp manifestation TIDAK
89 22/01/201 102402020114Y000067 0000169711288 ANUNG P VETERAN Dermatitis, unspecified TIDAK
90 22/01/201 102402020114Y000072 0000173741005 NURUL ASYAH P PNS DAERAH Other specified general symptoms and TIDAK
91 22/01/201 102402020114Y000069 0000425642444 ANA L PBI (APBN) Gastroduodenitis, unspecified TIDAK
92 22/01/201 102402020114Y000068 0000425723231 IYUS HUSINAH P PBI (APBN) Gastroduodenitis, unspecified TIDAK
93 22/01/201 102402020114Y000052 0000426161204 AZKIA NURI RAMADHANI P PBI (APBN) Acute upper respiratory infection, TIDAK
94 22/01/201 102402020114Y000066 0000426246748 AMIR L PBI (APBN) Fever, unspecified TIDAK
95 22/01/201 102402020114Y000071 0000426625468 ELIS P PBI (APBN) Disorder of teeth and supporting TIDAK
96 22/01/201 102402020114Y000070 0000426667149 YANI P PBI (APBN) Other specified general symptoms and TIDAK
97 22/01/201 102402020114Y000003 0000427032641 PIPIT saputri utami P PBI (APBN) Unspecified viral hepatitis without YA
98 22/01/201 102402020114Y000065 0001199196224 AISYAH THARA SINTHA P PEKERJA MANDIRI Disorder of teeth and supporting TIDAK
99 22/01/201 102402020114Y000074 0001262778478 KOMALASARI P PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
100 21/01/201 102402020114Y000049 0000425537796 YUDISTIRA L PBI (APBN) Influenza with oth resp manifestation TIDAK
101 21/01/201 102402020114Y000043 0000425669567 RAMDANI L PBI (APBN) Acute pharyngitis, unspecified TIDAK
102 21/01/201 102402020114Y000041 0000425805726 HERMIN SRI NURWATI P PBI (APBN) Influenza with oth resp manifestation TIDAK
103 21/01/201 102402020114Y000048 0000425806064 LUTFI BAEHAQI L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
104 21/01/201 102402020114Y000051 0000425991497 MUMU L PBI (APBN) Neuralgia and neuritis, unspecified TIDAK

29/09/2017 05.17.00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
105 21/01/201 102402020114Y000044 0000426036205 MIRA P PBI (APBN) Influenza with oth resp manifestation TIDAK
106 21/01/201 102402020114Y000047 0000426123246 IBAH P PBI (APBN) Acute upper respiratory infection, TIDAK
107 21/01/201 102402020114Y000046 0000426124001 RESTA P PBI (APBN) Influenza with oth resp manifestation TIDAK
108 21/01/201 102402020114Y000042 0000426544277 DIKI ALVIRANSYAH L PBI (APBN) Relapsing fever, unspecified TIDAK
109 21/01/201 102402020114Y000050 0000426870303 MUHAMAD ABDUL AZIZ L PBI (APBN) Disorder of skin and subcutaneous TIDAK
110 21/01/201 102402020114Y000045 0000427059729 MAMAN L PBI (APBN) Unspecified injury of lower leg TIDAK
111 20/01/201 102402020114Y000039 0000163823332 DAMI P PNS DAERAH Periodontal disease, unspecified TIDAK
112 20/01/201 102402020114Y000036 0000425662896 SILMI MARYAM P PBI (APBN) Disorder of skin and subcutaneous TIDAK
113 20/01/201 102402020114Y000030 0000425690234 SRI NENGSIH P PBI (APBN) Influenza with oth resp manifestation TIDAK
114 20/01/201 102402020114Y000034 0000425693384 obi yasin nurhakim L PBI (APBN) Influenza with oth resp manifestation TIDAK
115 20/01/201 102402020114Y000037 0000426040301 IDAH P PBI (APBN) Gastroduodenitis, unspecified TIDAK
116 20/01/201 102402020114Y000038 0000426041458 GILANG epriansyah L PBI (APBN) Influenza with oth resp manifestation TIDAK
117 20/01/201 102402020114Y000032 0000426133438 ANA YULIANA L PBI (APBN) Acute upper respiratory infection, TIDAK
118 20/01/201 102402020114Y000033 0000426163342 OMIH P PBI (APBN) Polymyalgia rheumatica TIDAK
119 20/01/201 102402020114Y000029 0000426334026 YADI L PBI (APBN) Acute upper respiratory infection, TIDAK
120 20/01/201 102402020114Y000035 0000426352397 ROSMIATI P PBI (APBN) Influenza with oth resp manifestation TIDAK
121 20/01/201 102402020114Y000031 0000426927227 SUMIATI P PBI (APBN) Asthma, unspecified TIDAK
122 18/01/201 102402020114Y000151 0000425751862 MIMIN M P PBI (APBN) Gynaecological examination (general) TIDAK
123 18/01/201 102402020114Y000001 0000426517571 OMAN SURYAMAN L PBI (APBN) Essential (primary) hypertension TIDAK
124 18/01/201 102402020114Y000002 0001004606098 NURDIN L PBI (APBN) Tuberculosis of lung, confirmed by YA
125 17/01/201 102402020114Y000026 0000425332923 SANDI SUBAGJA L PBI (APBN) Disorder of skin and subcutaneous TIDAK

29/09/2017 05.17.00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
126 17/01/201 102402020114Y000027 0000426320537 ENIH P PBI (APBN) Myalgia, multiple sites TIDAK
127 17/01/201 102402020114Y000028 0001004605896 RENDI L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
128 17/01/201 102402020114Y000153 0001004619778 SITI SOPIAH P PBI (APBN) Spontaneous vertex delivery TIDAK
129 17/01/201 102402020114Y000150 0001004619778 SITI SOPIAH P PBI (APBN) Gynaecological examination (general) TIDAK
130 15/01/201 102402020114Y000025 0001264733043 RAHMAWATI P PEKERJA MANDIRI Paratyphoid fever, unspecified TIDAK
131 13/01/201 102402020114Y000023 0000425480859 IWAL P PBI (APBN) Influenza with oth resp manifestation TIDAK
132 13/01/201 102402020114Y000022 0000425662896 SILMI MARYAM P PBI (APBN) Influenza with oth resp manifestation TIDAK
133 13/01/201 102402020114Y000020 0000425693384 obi yasin nurhakim L PBI (APBN) Influenza with oth resp manifestation TIDAK
134 13/01/201 102402020114Y000019 0000426163342 OMIH P PBI (APBN) Myalgia TIDAK
135 13/01/201 102402020114Y000017 0000426239166 SITI AISYAH P PBI (APBN) Gastritis, unspecified TIDAK
136 13/01/201 102402020114Y000021 0000426352397 ROSMIATI P PBI (APBN) Gastroduodenitis, unspecified TIDAK
137 13/01/201 102402020114Y000018 0000426927227 SUMIATI P PBI (APBN) Influenza with oth resp manifestation TIDAK
138 13/01/201 102402020114Y000024 0001004608181 DEDE P PBI (APBN) Gastroduodenitis, unspecified TIDAK
139 09/01/201 102402020114Y000064 0001004612804 POPON P PBI (APBN) Essential (primary) hypertension TIDAK
140 08/01/201 102402020114Y000063 0000425746372 NURAIDA HADIANI P PBI (APBN) Migraine, unspecified TIDAK
141 08/01/201 102402020114Y000062 0001199140266 MUHAMMAD RIZAL MUSLIM L PEGAWAI SWASTA Disorder of teeth and supporting TIDAK
142 07/01/201 102402020114Y000061 0000425772909 YULI YULIANTI P PBI (APBN) Atopic dermatitis, unspecified TIDAK
143 07/01/201 102402020114Y000060 0001199243913 RAHMIAPRILIANI P PEGAWAI SWASTA Disorder of teeth and supporting TIDAK
144 06/01/201 102402020114Y000056 0000119919622 HJ.HALIFAH P PENERIMA PENSIUN Disorder of teeth and supporting TIDAK
145 06/01/201 102402020114Y000152 0000425649431 IPAH PARIDAH P PBI (APBN) Spontaneous vertex delivery TIDAK
146 06/01/201 102402020114Y000149 0000425649431 IPAH PARIDAH P PBI (APBN) Gynaecological examination (general) TIDAK

29/09/2017 05.17.00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TASIKMALAYA (1009)

FKTP : KARANG MULYA (10240202)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
147 06/01/201 102402020114Y000057 0001199092239 SUSANTI P PEGAWAI SWASTA Migraine, unspecified TIDAK
148 06/01/201 102402020114Y000059 0001199196224 AISYAH THARA SINTHA P PEKERJA MANDIRI Dental caries, unspecified TIDAK
149 06/01/201 102402020114Y000058 0001200087123 jUNITA ANDRIADI ayaq P PEGAWAI SWASTA Influenza with oth resp manifestation TIDAK
150 03/01/201 102402020114Y000054 0000426560128 RIKI L PBI (APBN) Disorder of teeth and supporting TIDAK
151 03/01/201 102402020114Y000055 0001199092239 SUSANTI P PEGAWAI SWASTA Diarrhoea and gastroenteritis of TIDAK
152 02/01/201 102402020114Y000053 0001004606098 NURDIN L PBI (APBN) Other specified general symptoms and TIDAK

29/09/2017 05.17.00