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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601


NO TANGGAL NO KUNJUNGAN NO KARTU

1 30-04-2018 170406010418Y000448 0000122654801

2 30-04-2018 170406010418Y000450 0000122756714

3 30-04-2018 170406010418Y000462 0000148656216

4 30-04-2018 170406010418Y000457 0000158013213

5 30-04-2018 170406010418Y000452 0000889706283

6 30-04-2018 170406010418Y000469 0000889798577

7 30-04-2018 170406010418Y000465 0000889907534

8 30-04-2018 170406010418Y000464 0000889930056

9 30-04-2018 170406010418Y000449 0000889971309

10 30-04-2018 170406010418Y000467 0000890013352

11 30-04-2018 170406010418Y000511 0000890017211

12 30-04-2018 170406010418Y000460 0000890452405

13 30-04-2018 170406010418Y000463 0000890739033

14 30-04-2018 170406010418Y000466 0000890749574

15 30-04-2018 170406010418Y000458 0000890786946

16 30-04-2018 170406010418Y000451 0000976815178

17 30-04-2018 170406010418Y000461 0001078578224

18 30-04-2018 170406010418Y000454 0001267645329

19 30-04-2018 170406010418Y000453 0001325524151

20 30-04-2018 170406010418Y000468 0002084192313

21 30-04-2018 170406010418Y000459 0002252866072

22 30-04-2018 170406010418Y000456 0002279875746


NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
ERNAWATI P PENERIMA PENSIUN PNS Heart failure, unspecified

ARKANI L PENERIMA PENSIUN PNS Parkinson's disease

LAILA RAHMI, A.MA P PNS DAERAH Contraceptive management,


unspecified
M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Heart failure

RISNAWATI P PBI (APBN) Twin pregnancy

KARMIYANTI P PBI (APBN) Contraceptive management,


unspecified
NOOR AIDA P PBI (APBN) Antenatal screening, unspecified

MULIATI P PBI (APBN) Contraceptive management,


unspecified
BARKATI SIMBARA L PBI (APBN) Dyspepsia

HELDAWATI P PBI (APBN) Antenatal screening, unspecified

AMAH P PBI (APBN) Contraceptive management

DESY NOVITA P PBI (APBN) Pulp degeneration

HAMIDAH P PBI (APBN) Contraceptive management,


unspecified
RAUDAH P PBI (APBN) Antenatal screening, unspecified

SITI AISYAH P PBI (APBN) Cough

MUHAMMAD NOOR SYABANI L PNS PUSAT Acute lymphoblastic leukaemia

SHOFIA NOOR AFIFAH P PNS DAERAH Necrosis of pulp

M. IRFAN MAULANA L PEKERJA MANDIRI Thalassaemia

NAYLA SYABILA AZAHRA P PEGAWAI SWASTA Allergic contact dermatitis

SUPARMI P PEGAWAI SWASTA Contraceptive management,


unspecified
NURUL PURNAMA SARI P PEKERJA MANDIRI Diseases of pulp and periapical
tissues
RASYIDAH P PEKERJA MANDIRI Essential (primary) hypertension
DIRUJUK

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
23 30-04-2018 170406010418Y000455 0002420982358

24 28-04-2018 170406010418Y000497 0000122654801

25 28-04-2018 170406010418Y000498 0000122713345

26 28-04-2018 170406010418Y000499 0000122717766

27 28-04-2018 170406010418Y000500 0000122718791

28 28-04-2018 170406010418Y000501 0000122718824

29 28-04-2018 170406010418Y000502 0000122718971

30 28-04-2018 170406010418Y000503 0000122718993

31 28-04-2018 170406010418Y000504 0000122719037

32 28-04-2018 170406010418Y000505 0000122719195

33 28-04-2018 170406010418Y000506 0000122719206

34 28-04-2018 170406010418Y000507 0000122719432

35 28-04-2018 170406010418Y000440 0000122726979

36 28-04-2018 170406010418Y000429 0000122819692

37 28-04-2018 170406010418Y000435 0000123189243

38 28-04-2018 170406010418Y000438 0000124080805

39 28-04-2018 170406010418Y000432 0000158013213

40 28-04-2018 170406010418Y000508 0000167797361

41 28-04-2018 170406010418Y000442 0000889905205

42 28-04-2018 170406010418Y000443 0000890348747

43 28-04-2018 170406010418Y000444 0000890503378


ISLAHIAH P PEKERJA MANDIRI Cough

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ANNA BUDIARTI P PNS DAERAH Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

DEWI ESTIKA SARI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

AH.BIDJIRMI AM L PENERIMA PENSIUN PNS Allergic contact dermatitis

SITI RUSINAH P PNS DAERAH Disorder of refraction, unspecified

MISRAN L PNS DAERAH Non-insulin-dependent diabetes


mellitus without

RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Periapical abscess without sinus

RENI, AM.KEB P PNS DAERAH Examination of blood pressure

FARIDAH P PBI (APBN) Asthma

AMIYA P PBI (APBN) Acute upper respiratory infection,


unspecified
PATIMAH P PBI (APBN) Suppurative and unspecified otitis
media
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
44 28-04-2018 170406010418Y000446 0000890555253

45 28-04-2018 170406010418Y000437 0001266035848

46 28-04-2018 170406010418Y000428 0001381991128

47 28-04-2018 170406010418Y000436 0001441794846

48 28-04-2018 170406010418Y000430 0001660140303

49 28-04-2018 170406010418Y000431 0001801331807

50 28-04-2018 170406010418Y000509 0002207775701

51 28-04-2018 170406010418Y000434 0002250656627

52 28-04-2018 170406010418Y000439 0002308001635

53 28-04-2018 170406010418Y000433 0002436711524

54 28-04-2018 170406010418Y000445 0002445543696

55 27-04-2018 170406010418Y000471 0000122621141

56 27-04-2018 170406010418Y000425 0000122719162

57 27-04-2018 170406010418Y000477 0000122843171

58 27-04-2018 170406010418Y000427 0000123815182

59 27-04-2018 170406010418Y000472 0000204782804

60 27-04-2018 170406010418Y000470 0000889697632

61 27-04-2018 170406010418Y000474 0000890632528

62 27-04-2018 170406010418Y000476 0000890685123

63 27-04-2018 170406010418Y000475 0000890888488

64 27-04-2018 170406010418Y000473 0001275340601

65 27-04-2018 170406010418Y000426 0001974870775


SUTIMAH P PBI (APBN) Contraceptive management,
unspecified
MASTAYAH P PEKERJA MANDIRI Dyspepsia

ABDUL HADI L PEKERJA MANDIRI Low back pain

ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) hypertension

AINA AZKIA P PEGAWAI SWASTA Disorders of tooth development


and eruption
SITI AISYAH P PEKERJA MANDIRI Caries of dentine

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

YULIANTO PONGTULURAN L PEGAWAI SWASTA Acute pharyngitis

muhammad ghani rais L PEKERJA MANDIRI Pneumonia due to other infectious


organisms, not

KIRAN L PEKERJA MANDIRI Acute upper respiratory infection,


unspecified
MASLIAH P PEKERJA MANDIRI Cough

KAMARUDDIN L PNS DAERAH Heart failure, unspecified

RUSLIASARI P PNS PUSAT Gonarthrosis, unspecified

ZAINUDDIN L PNS DAERAH Necrosis of pulp

NOPARISA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus with

SITI PATIMAH P PENERIMA PENSIUN PNS Myalgia

FADRIAN NOOR L PBI (APBN) Acute nasopharyngitis [common


cold]
NORHASANAH P PBI (APBN) Acute upper respiratory infection,
unspecified
IDA P PBI (APBN) Necrosis of pulp

ICA PUTRI KIRANA P PBI (APBN) Fever of other and unknown origin

HUSAINI L PEKERJA MANDIRI Heart failure, unspecified

NASRULLAH L PBI (APBN) Undifferentiated schizophrenia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
66 27-04-2018 170406010418Y000447 0002231648234

67 26-04-2018 170406010418Y000418 0000117635602

68 26-04-2018 170406010418Y000408 0000123093011

69 26-04-2018 170406010418Y000417 0000123583307

70 26-04-2018 170406010418Y000421 0000123583307

71 26-04-2018 170406010418Y000406 0000124507877

72 26-04-2018 170406010418Y000423 0000889697338

73 26-04-2018 170406010418Y000405 0000889950172

74 26-04-2018 170406010418Y000424 0000890454587

75 26-04-2018 170406010418Y000416 0000890773154

76 26-04-2018 170406010418Y000409 0000890843826

77 26-04-2018 170406010418Y000420 0000978029818

78 26-04-2018 170406010418Y000413 0001302082593

79 26-04-2018 170406010418Y000411 0001442907821

80 26-04-2018 170406010418Y000410 0001634570829

81 26-04-2018 170406010418Y000415 0001810491085

82 26-04-2018 170406010418Y000419 0001847931783

83 26-04-2018 170406010418Y000412 0001880785214

84 26-04-2018 170406010418Y000422 0002204133423

85 26-04-2018 170406010418Y000407 0002220897115

86 26-04-2018 170406010418Y000414 0002253471063

87 25-04-2018 170406010418Y000390 0000122805314

88 25-04-2018 170406010418Y000395 0000889823586


NURJANAH P PEGAWAI SWASTA Acute upper respiratory infection,
unspecified
HERY SUSANTO L PNS DAERAH Caries of dentine

RAHMAYANTI P PNS DAERAH Disorder of refraction, unspecified

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Diseases of pulp and periapical


tissues
RITTA CHAIRIAH P PENERIMA PENSIUN PNS Gout

SITI AISYAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

HALIMATUS SADIAH P PBI (APBN) Contraceptive management,


unspecified
M. MAULANA L PBI (APBN) Hyperparathyroidism, unspecified

PITRIYAH P PBI (APBN) Antenatal screening, unspecified

SALIMAH P PBI (APBN) Caries of dentine

KHAIRUDIN L PBI (APBN) Gout

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

ACHMAD EFFENDI L PEKERJA MANDIRI Acute bronchiolitis

HUSAINI L PEKERJA MANDIRI Heart failure, unspecified

PURNAMA P PEGAWAI SWASTA Myalgia

MURSILAH P PEKERJA MANDIRI Gout

AGUS SOEHARIYANTO L PEGAWAI SWASTA Gingivitis and periodontal diseases

budi hartono L PNS DAERAH Cough

ITA P PEGAWAI PEMERINTAH NON Contraceptive management,


PNS unspecified
JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI End-stage renal disease

NORLATIFAH P PEKERJA MANDIRI Allergic contact dermatitis

AGUS PRIBADI L PNS DAERAH Unspecified renal colic

FATMAWATI P PBI (APBN) Dyspepsia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
89 25-04-2018 170406010418Y000394 0000889835477

90 25-04-2018 170406010418Y000396 0000890202284

91 25-04-2018 170406010418Y000400 0000890525992

92 25-04-2018 170406010418Y000401 0000890836435

93 25-04-2018 170406010418Y000391 0000891218417

94 25-04-2018 170406010418Y000510 0000891241018

95 25-04-2018 170406010418Y000404 0000891582489

96 25-04-2018 170406010418Y000402 0001460055453

97 25-04-2018 170406010418Y000398 0001889939654

98 25-04-2018 170406010418Y000403 0002043596608

99 25-04-2018 170406010418Y000399 0002206784924

100 25-04-2018 170406010418Y000397 0002309476781

101 25-04-2018 170406010418Y000392 0002314068906

102 25-04-2018 170406010418Y000393 0002327068135

103 24-04-2018 170406010418Y000368 0000122620127

104 24-04-2018 170406010418Y000371 0000124080805

105 24-04-2018 170406010418Y000328 0000200681943

106 24-04-2018 170406010418Y000329 0000889798577

107 24-04-2018 170406010418Y000373 0000889798577

108 24-04-2018 170406010418Y000372 0000889957427

109 24-04-2018 170406010418Y000370 0000890467964

110 24-04-2018 170406010418Y000369 0000890681038

111 24-04-2018 170406010418Y000366 0000890791885


RASIAH P PBI (APBN) Dyspepsia

NOOR SYARIFAH P PBI (APBN) Dyspepsia

SAPNAH P PBI (APBN) Spondylolisthesis

RUSMAWATI P PBI (APBN) Allergic contact dermatitis

TABRI L PBI (APBN) Spondylolysis

MUNAWARAH P PBI (APBN) Contraceptive management,


unspecified
M. LUTHFI L PBI (APBN) Acute apical periodontitis of pulpal
origin
RUSMILAWATI P PEGAWAI SWASTA Essential (primary) hypertension

M. ROMAWIE L PEKERJA MANDIRI Essential (primary) hypertension

MARTINI P PBI (APBD) Necrosis of pulp

RIKA P PEKERJA MANDIRI Diarrhoea and gastroenteritis of


presumed infectious origin

HASBIANNOR L PEKERJA MANDIRI Dyspepsia

ARBAYAH P PEKERJA MANDIRI Acute haemorrhagic gastritis

TADJUDIN NOOR L PEKERJA MANDIRI Allergic contact dermatitis

HARTINAH P PNS DAERAH Gastritis, unspecified

RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Tuberculosis of lung, confirmed by


unspecified

SITI MARYAM, JD P PENERIMA PENSIUN TNI Primary gonarthrosis, bilateral

KARMIYANTI P PBI (APBN) Allergic contact dermatitis

KARMIYANTI P PBI (APBN) Contraceptive management,


unspecified
SITI RABIAH P PBI (APBN) Gastritis, unspecified

MURHAN BASERI L PBI (APBN) Asthma

BAHJAH P PBI (APBN) Essential (primary) hypertension

JANNATUL RAHMI P PBI (APBN) Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
112 24-04-2018 170406010418Y000326 0000890872716

113 24-04-2018 170406010418Y000367 0000891583244

114 24-04-2018 170406010418Y000365 0001266035848

115 24-04-2018 170406010418Y000325 0001424633861

116 24-04-2018 170406010418Y000330 0001426235523

117 24-04-2018 170406010418Y000331 0001902576161

118 24-04-2018 170406010418Y000327 0002308001635

119 23-04-2018 170406010418Y000324 0000122707045

120 23-04-2018 170406010418Y000359 0000122733303

121 23-04-2018 170406010418Y000364 0000148656216

122 23-04-2018 170406010418Y000318 0000202391043

123 23-04-2018 170406010418Y000317 0000889854445

124 23-04-2018 170406010418Y000311 0000890203083

125 23-04-2018 170406010418Y000312 0000890340614

126 23-04-2018 170406010418Y000363 0000891661871

127 23-04-2018 170406010418Y000320 0001173437447

128 23-04-2018 170406010418Y000361 0001267501601

129 23-04-2018 170406010418Y000321 0001302082593

130 23-04-2018 170406010418Y000310 0001302083278

131 23-04-2018 170406010418Y000314 0001316879897

132 23-04-2018 170406010418Y000309 0001389842087

133 23-04-2018 170406010418Y000313 0001425352072

134 23-04-2018 170406010418Y000308 0001481549793


NOORJANAH P PBI (APBN) End-stage renal disease

ASPURI L PBI (APBN) Cough

MASTAYAH P PEKERJA MANDIRI Dyspepsia

husnah P PEKERJA MANDIRI Heart failure, unspecified

arbiansyah L PEKERJA MANDIRI Diseases of pulp and periapical


tissues
RINI ANDRIATI P PEKERJA MANDIRI Pulpitis

muhammad ghani rais L PEKERJA MANDIRI Ventricular septal defect

ROHANI P PENERIMA PENSIUN TNI Asthma

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Heart failure, unspecified

LAILA RAHMI, A.MA P PNS DAERAH Contraceptive management,


unspecified
KARMAH P PNS DAERAH Essential (primary) hypertension

AHMAD YANI L PBI (APBN) Diseases of pulp and periapical


tissues
gazali RAHMAN L PBI (APBN) Undifferentiated schizophrenia

redho setiawan L PBI (APBN) Undifferentiated schizophrenia

MASRAH P PBI (APBN) Contraceptive management,


unspecified
ADHA AZ ZAHRA P PEGAWAI SWASTA Dyspepsia

ASRANI L PEKERJA MANDIRI Gastritis, unspecified

ACHMAD EFFENDI L PEKERJA MANDIRI Other chronic obstructive


pulmonary disease
NURLIANA P PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with

KAMSIAH P PEKERJA MANDIRI Heart failure, unspecified

MARTA P PEKERJA MANDIRI Disorder of refraction, unspecified

SYUKRAN L PEKERJA MANDIRI Other chronic obstructive


pulmonary disease
RAZAKIAH P PEKERJA MANDIRI Primary gonarthrosis, bilateral
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
135 23-04-2018 170406010418Y000315 0001821515725

136 23-04-2018 170406010418Y000322 0001833652293

137 23-04-2018 170406010418Y000323 0001833652394

138 23-04-2018 170406010418Y000319 0001904156392

139 23-04-2018 170406010418Y000307 0002208762955

140 23-04-2018 170406010418Y000316 0002252866072

141 23-04-2018 170406010418Y000360 0002286853053

142 23-04-2018 170406010418Y000362 0002442650466

143 21-04-2018 170406010418Y000303 0000122622085

144 21-04-2018 170406010418Y000374 0000122654801

145 21-04-2018 170406010418Y000375 0000122713907

146 21-04-2018 170406010418Y000376 0000122717766

147 21-04-2018 170406010418Y000377 0000122718791

148 21-04-2018 170406010418Y000378 0000122718971

149 21-04-2018 170406010418Y000379 0000122719026

150 21-04-2018 170406010418Y000380 0000122719037

151 21-04-2018 170406010418Y000381 0000122719151

152 21-04-2018 170406010418Y000382 0000122719195

153 21-04-2018 170406010418Y000299 0000122719206

154 21-04-2018 170406010418Y000383 0000122719432

155 21-04-2018 170406010418Y000384 0000122719509

156 21-04-2018 170406010418Y000304 0000122725899


FARIDAH P PEKERJA MANDIRI Essential (primary) hypertension

M. AINI L PEKERJA MANDIRI Allergic contact dermatitis

ARSIAH P PEKERJA MANDIRI Dyspepsia

SALMAN L PEKERJA MANDIRI Heart failure, unspecified

MUHAMMAD YANI L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with peripheral circulatory

NURUL PURNAMA SARI P PEKERJA MANDIRI Necrosis of pulp

FATHAN GHAZI RAIHAN L PNS DAERAH Fever, unspecified

AMINAH P PEKERJA MANDIRI Antenatal screening, unspecified

MUHAMMAD TAAT NOOR L PNS DAERAH Congestive heart failure

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

NURIL ARIFAH P PNS DAERAH Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

JOHNY RAMOON L PNS PUSAT Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Polyneuropathy, unspecified

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

ABDUL HADI, BBA. L PENERIMA PENSIUN PNS Stroke, not specified as


haemorrhage or infarction
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
157 21-04-2018 170406010418Y000347 0000123209379

158 21-04-2018 170406010418Y000301 0000123583307

159 21-04-2018 170406010418Y000345 0000136245993

160 21-04-2018 170406010418Y000305 0000158013213

161 21-04-2018 170406010418Y000385 0000167797361

162 21-04-2018 170406010418Y000351 0000889705326

163 21-04-2018 170406010418Y000350 0000889705934

164 21-04-2018 170406010418Y000346 0000889764671

165 21-04-2018 170406010418Y000300 0000889764759

166 21-04-2018 170406010418Y000344 0000889926276

167 21-04-2018 170406010418Y000306 0000889948372

168 21-04-2018 170406010418Y000358 0000890043671

169 21-04-2018 170406010418Y000354 0000890503378

170 21-04-2018 170406010418Y000357 0000890533091

171 21-04-2018 170406010418Y000352 0000890555253

172 21-04-2018 170406010418Y000348 0001260954505

173 21-04-2018 170406010418Y000349 0001320164785

174 21-04-2018 170406010418Y000356 0001796551615

175 21-04-2018 170406010418Y000302 0002041697171

176 21-04-2018 170406010418Y000355 0002043596608

177 21-04-2018 170406010418Y000386 0002207775701


ANITA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes
mellitus without

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Other postsurgical states

ABD FATAH SAFRONI L PEGAWAI SWASTA Hypotension, unspecified

M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Periapical abscess without sinus

RENI, AM.KEB P PNS DAERAH Examination of blood pressure

TUHLUS L PBI (APBN) Gastritis, unspecified

INA P PBI (APBN) Dyspepsia

MURSIDAH P PBI (APBN) Myalgia

ahmad saidi L PBI (APBN) Undifferentiated schizophrenia

ERNA P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

M. NAUPAL L PBI (APBN) Disturbances in tooth eruption

ASNIAH P PBI (APBN) Contraceptive management,


unspecified
PATIMAH P PBI (APBN) Suppurative and unspecified otitis
media
ARBAYAH P PBI (APBN) Contraceptive management,
unspecified
SUTIMAH P PBI (APBN) Allergic contact dermatitis

TABERANI L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

MARIANI P PNS DAERAH Hypotension, unspecified

SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp

MUSLIM L PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

MARTINI P PBI (APBD) Necrosis of pulp

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure


Berobat Jalan

Rujuk Lanjut

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Rujuk Lanjut

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
178 21-04-2018 170406010418Y000353 0002436711669

179 20-04-2018 170406010418Y000294 0000122808969

180 20-04-2018 170406010418Y000292 0000124003618

181 20-04-2018 170406010418Y000296 0000890630695

182 20-04-2018 170406010418Y000297 0000890674277

183 20-04-2018 170406010418Y000343 0001065415601

184 20-04-2018 170406010418Y000293 0001271659454

185 20-04-2018 170406010418Y000298 0001441794846

186 20-04-2018 170406010418Y000291 0001793642095

187 20-04-2018 170406010418Y000295 0002445543696

188 19-04-2018 170406010418Y000284 0000122756591

189 19-04-2018 170406010418Y000289 0000122819657

190 19-04-2018 170406010418Y000496 0000122843171

191 19-04-2018 170406010418Y000279 0000123313206

192 19-04-2018 170406010418Y000286 0000123421228

193 19-04-2018 170406010418Y000290 0000889305963

194 19-04-2018 170406010418Y000342 0000889471293

195 19-04-2018 170406010418Y000340 0000889981389

196 19-04-2018 170406010418Y000341 0000890067633

197 19-04-2018 170406010418Y000281 0000890212026

198 19-04-2018 170406010418Y000280 0000890356476


SANIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by
unspecified

SUHARI L PNS DAERAH Cough

MUNIROH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

MISLIWATI P PBI (APBN) Essential (primary) hypertension

SARINAH P PBI (APBN) Dyspepsia

NOR JANAH P PBI (APBN) Antenatal screening, unspecified

ASFIANOOR BAHRAN L PEKERJA MANDIRI Chest pain, unspecified

ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) hypertension

KASPIAH P PENERIMA PENSIUN PNS Sciatica, multiple sites

MASLIAH P PEKERJA MANDIRI Pneumothorax

ABDUL HADI L PENERIMA PENSIUN PNS Rheumatism, unspecified, multiple


sites
MASRANI L PNS DAERAH Essential (primary) hypertension

ZAINUDDIN L PNS DAERAH Caries of dentine

A ATHAILAH L PNS PUSAT Follow-up examination after


surgery for other

ACHMAD NOOR L PENERIMA PENSIUN PNS Allergic rhinitis due to pollen

MAULIDANI L PBI (APBN) Diseases of pulp and periapical


tissues
ARBAYAH P PBI (APBN) Antenatal screening, unspecified

JARIAH P PBI (APBN) Contraceptive management,


unspecified
MARIANI P PBI (APBN) Antenatal screening, unspecified

SYARIFUDINOOR L PBI (APBN) Headache

SRI RAHAYU P PBI (APBN) Fracture of forearm


Berobat Jalan

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Rujuk Lanjut

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Berobat Jalan

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Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
199 19-04-2018 170406010418Y000283 0000890466219

200 19-04-2018 170406010418Y000285 0000890764659

201 19-04-2018 170406010418Y000339 0001271659735

202 19-04-2018 170406010418Y000288 0001460055453

203 19-04-2018 170406010418Y000495 0001460057297

204 19-04-2018 170406010418Y000494 0001852185093

205 19-04-2018 170406010418Y000282 0002229564835

206 19-04-2018 170406010418Y000287 0002420982303

207 18-04-2018 170406010418Y000275 0000122757276

208 18-04-2018 170406010418Y000272 0000123114969

209 18-04-2018 170406010418Y000277 0000889376703

210 18-04-2018 170406010418Y000271 0000890555253

211 18-04-2018 170406010418Y000335 0000890678632

212 18-04-2018 170406010418Y000333 0000890710312

213 18-04-2018 170406010418Y000336 0000890811977

214 18-04-2018 170406010418Y000269 0000975900565

215 18-04-2018 170406010418Y000268 0001306752142

216 18-04-2018 170406010418Y000278 0001307796309

217 18-04-2018 170406010418Y000276 0001380784746

218 18-04-2018 170406010418Y000337 0001442206901

219 18-04-2018 170406010418Y000334 0001810491085


LAMBERI L PBI (APBN) Atherosclerotic heart disease

MISRAN L PBI (APBN) Motorcycle rider injured in collision


with pedestrian or animal,
passenger, nontraffic accident

RAHMAWATI P PEKERJA MANDIRI Contraceptive management,


unspecified
RUSMILAWATI P PEGAWAI SWASTA Essential (primary) hypertension

M. RIYADH AZHAR L PEGAWAI SWASTA Calculus of gallbladder with other


cholecystitis
YUSRIANSYAH L PEKERJA MANDIRI Acute periodontitis

YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate

SURIANSYAH L PEKERJA MANDIRI Essential (primary) hypertension

HJ. MURNI P PENERIMA PENSIUN PNS Essential (primary) hypertension

AINI P PNS DAERAH Allergic contact dermatitis

hj jawita P PBI (APBN) End-stage renal disease

SUTIMAH P PBI (APBN) Allergic contact dermatitis

WIWI ARIYANI P PBI (APBN) Essential (primary) hypertension

SITI AISYAH P PBI (APBN) Essential (primary) hypertension

MISBATUN NI'MAH P PBI (APBN) Gastritis, unspecified

FATHUL JANNAH P PENERIMA PENSIUN TNI Moderate depressive episode

MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction

ARBAYAH P PEKERJA MANDIRI Insulin-dependent diabetes


mellitus with

RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate

RISMA SUSANTI P PEKERJA MANDIRI Contraceptive management,


unspecified
MURSILAH P PEKERJA MANDIRI Stomatitis and related lesions
Berobat Jalan

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Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
220 18-04-2018 170406010418Y000273 0001825643171

221 18-04-2018 170406010418Y000338 0001870716442

222 18-04-2018 170406010418Y000270 0001930384686

223 18-04-2018 170406010418Y000492 0002043596608

224 18-04-2018 170406010418Y000332 0002263889193

225 18-04-2018 170406010418Y000274 0002263889711

226 18-04-2018 170406010418Y000493 0002441771368

227 17-04-2018 170406010418Y000223 0000121375045

228 17-04-2018 170406010418Y000222 0000121375056

229 17-04-2018 170406010418Y000230 0000122620127

230 17-04-2018 170406010418Y000490 0000167075875

231 17-04-2018 170406010418Y000228 0000889759631

232 17-04-2018 170406010418Y000229 0000890820944

233 17-04-2018 170406010418Y000212 0000890834578

234 17-04-2018 170406010418Y000217 0000890887825

235 17-04-2018 170406010418Y000219 0000976814976

236 17-04-2018 170406010418Y000218 0000976815178

237 17-04-2018 170406010418Y000231 0001065414284

238 17-04-2018 170406010418Y000227 0001065417333

239 17-04-2018 170406010418Y000489 0001173437425

240 17-04-2018 170406010418Y000224 0001302082593

241 17-04-2018 170406010418Y000214 0001318164388


MUCHRI DAHLAN L PEKERJA MANDIRI Presence of intraocular lens

MARDANITA SARI P PEKERJA MANDIRI Contraceptive management,


unspecified
EDY RAHMADI L PEGAWAI SWASTA Motorcycle rider injured in collision
with pedestrian or

MARTINI P PBI (APBD) Pulpitis

SITI SALAMAH P PEKERJA MANDIRI Pruritus

MUHAMMAD FIRMANSYAH L PEKERJA MANDIRI Malignant neoplasm of brain,


unspecified
ABDULLAH SANI L PEKERJA MANDIRI Acute periodontitis

ERNAWATY KUSTIAH, SH. P PENERIMA PENSIUN PNS Essential (primary) hypertension

TOTO SUMEKTO L PENERIMA PENSIUN PNS Heart failure, unspecified

HARTINAH P PNS DAERAH Essential (primary) hypertension

JUHAN HADI KRISWANTO, ST L PNS DAERAH Chronic periodontitis

JASMANI L PBI (APBN) Cough

MAHRIANI P PBI (APBN) Essential (primary) hypertension

ILMI L PBI (APBN) Chronic myeloid leukaemia

RIDUAN L PBI (APBN) Hearing loss, unspecified

AHMAD DHIYAI SYABANI L PNS PUSAT Thalassaemia, unspecified

MUHAMMAD NOOR SYABANI L PNS PUSAT Acute lymphoblastic leukaemia

LATIFAH P PBI (APBN) Essential (primary) hypertension

SITI RAHMAH P PBI (APBN) Allergic contact dermatitis

HIKMAH P PEGAWAI SWASTA Necrosis of pulp

ACHMAD EFFENDI L PEKERJA MANDIRI Other chronic obstructive


pulmonary disease
TANKASIANI L PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with
Rujuk Lanjut

Berobat Jalan

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Berobat Jalan

Rujuk Lanjut

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Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
242 17-04-2018 170406010418Y000225 0001376122037

243 17-04-2018 170406010418Y000226 0001425352072

244 17-04-2018 170406010418Y000491 0001426235523

245 17-04-2018 170406010418Y000488 0001484006861

246 17-04-2018 170406010418Y000221 0001821515725

247 17-04-2018 170406010418Y000216 0002043596608

248 17-04-2018 170406010418Y000220 0002124150851

249 17-04-2018 170406010418Y000215 0002277325754

250 17-04-2018 170406010418Y000213 0002322240895

251 16-04-2018 170406010418Y000191 0000122728915

252 16-04-2018 170406010418Y000193 0000158671361

253 16-04-2018 170406010418Y000207 0000889917669

254 16-04-2018 170406010418Y000208 0000890212026

255 16-04-2018 170406010418Y000210 0000890420049

256 16-04-2018 170406010418Y000202 0000890656042

257 16-04-2018 170406010418Y000487 0000890685123

258 16-04-2018 170406010418Y000201 0000890786946

259 16-04-2018 170406010418Y000204 0000891518962

260 16-04-2018 170406010418Y000200 0000891539008

261 16-04-2018 170406010418Y000206 0000891583244

262 16-04-2018 170406010418Y000199 0000978029818

263 16-04-2018 170406010418Y000198 0001262525938


HABIB ABDUL ADHIM L PEGAWAI SWASTA Acute suppurative otitis media

SYUKRAN L PEKERJA MANDIRI Other chronic obstructive


pulmonary disease
arbiansyah L PEKERJA MANDIRI Pulpitis

NOOR JUBAIDAH A.A P PEKERJA MANDIRI Necrosis of pulp

FARIDAH P PEKERJA MANDIRI Essential (primary) hypertension

MARTINI P PBI (APBD) Epilepsy

SITI MAIMUNAH P PBI (APBN) Dyspepsia

HADERI L PEKERJA MANDIRI Other specified anaemias

ABDUL GANI L PEKERJA MANDIRI Senile cataract, unspecified

ASUN B L PENERIMA PENSIUN PNS Other specified disorders of


muscle, lower leg
NORHAYATI P PNS PUSAT Heart failure, unspecified

GALUH P PBI (APBN) Dyspepsia

SYARIFUDINOOR L PBI (APBN) Dyspepsia

RUSIADI L PBI (APBN) Allergic contact dermatitis

MASRANI L PBI (APBN) Influenza with pneumonia,


influenza virus identified

IDA P PBI (APBN) Loss of teeth due to accident,


extraction or

SITI AISYAH P PBI (APBN) Essential (primary) hypertension

M. TAUFIQ RAHMAN L PBI (APBN) Acute pharyngitis

AINI L PBI (APBN) Other benign neoplasm of skin of


ear and external

ASPURI L PBI (APBN) Influenza with pneumonia,


influenza virus identified

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

RACHMAD HIDAYAT L PEKERJA MANDIRI Fracture of upper end of radius,


closed
Berobat Jalan

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Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
264 16-04-2018 170406010418Y000209 0001271566315

265 16-04-2018 170406010418Y000205 0001286578293

266 16-04-2018 170406010418Y000203 0001286581386

267 16-04-2018 170406010418Y000196 0001291826709

268 16-04-2018 170406010418Y000190 0001481549793

269 16-04-2018 170406010418Y000486 0001791971043

270 16-04-2018 170406010418Y000485 0001796551615

271 16-04-2018 170406010418Y000211 0002124150851

272 16-04-2018 170406010418Y000195 0002213331581

273 16-04-2018 170406010418Y000194 0002229571541

274 16-04-2018 170406010418Y000192 0002309476781

275 16-04-2018 170406010418Y000197 0002320909738

276 13-04-2018 170406010418Y000252 0000122654801

277 13-04-2018 170406010418Y000253 0000122695571

278 13-04-2018 170406010418Y000183 0000122707135

279 13-04-2018 170406010418Y000254 0000122713345

280 13-04-2018 170406010418Y000255 0000122717766

281 13-04-2018 170406010418Y000256 0000122718791

282 13-04-2018 170406010418Y000257 0000122718971

283 13-04-2018 170406010418Y000258 0000122718982

284 13-04-2018 170406010418Y000259 0000122718993

285 13-04-2018 170406010418Y000260 0000122719026


NURUL JANNAH P PEKERJA MANDIRI Headache

MAHFUD L PNS DAERAH Heart failure, unspecified

SITI MARIYAM L PNS DAERAH Headache

AHMAD ZAKI ILMI L PEKERJA MANDIRI Undifferentiated schizophrenia

RAZAKIAH P PEKERJA MANDIRI Insulin-dependent diabetes


mellitus with peripheral circulatory

yulia karina rakhman P PEKERJA MANDIRI Disturbances in tooth eruption

SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp

SITI MAIMUNAH P PBI (APBN) Myalgia

JAHRATUN SIFA P PEKERJA MANDIRI Delayed milestone

SITI SARAH P PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
HASBIANNOR L PEKERJA MANDIRI Stroke, not specified as
haemorrhage or infarction
RUSDI L PEKERJA MANDIRI Hyperplasia of prostate

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ERNI RAHMI P PNS DAERAH Examination of blood pressure

SITI FATIMAH P PENERIMA PENSIUN TNI Stroke, not specified as


haemorrhage or infarction
ANNA BUDIARTI P PNS DAERAH Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure


Berobat Jalan

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Rujuk Lanjut

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Berobat Jalan

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Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
286 13-04-2018 170406010418Y000261 0000122719037

287 13-04-2018 170406010418Y000262 0000122719195

288 13-04-2018 170406010418Y000263 0000122719206

289 13-04-2018 170406010418Y000264 0000122719432

290 13-04-2018 170406010418Y000265 0000122719509

291 13-04-2018 170406010418Y000181 0000123302812

292 13-04-2018 170406010418Y000185 0000123612535

293 13-04-2018 170406010418Y000484 0000163775867

294 13-04-2018 170406010418Y000187 0000889763624

295 13-04-2018 170406010418Y000182 0000890678709

296 13-04-2018 170406010418Y000180 0000890787159

297 13-04-2018 170406010418Y000179 0001424666294

298 13-04-2018 170406010418Y000186 0001425352072

299 13-04-2018 170406010418Y000188 0001425352858

300 13-04-2018 170406010418Y000266 0001441794846

301 13-04-2018 170406010418Y000189 0001460053989

302 13-04-2018 170406010418Y000267 0002207775701

303 13-04-2018 170406010418Y000184 0002436711669

304 12-04-2018 170406010418Y000174 0000122605626

305 12-04-2018 170406010418Y000177 0000122605637

306 12-04-2018 170406010418Y000175 0000122653631

307 12-04-2018 170406010418Y000236 0000122843171


MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

SUBONO L PENERIMA PENSIUN PNS Heart failure, unspecified

KAMARIAH, HJ P PENERIMA PENSIUN PNS Spondylolysis

EDISON SITORUS L PNS PUSAT Caries of dentine

SETIA BUDI L PBI (APBN) Heart failure, unspecified

NOOR MULYANI P PBI (APBN) Cough

RAMLI L PBI (APBN) Essential (primary) hypertension

FAJRI NANDA L PEKERJA MANDIRI Spondylolysis

SYUKRAN L PEKERJA MANDIRI Cough

SITI AISYAH P PEKERJA MANDIRI Cough

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

SANIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by


culture only
MUHAIMIN L PENERIMA PENSIUN PNS Parkinson's disease

HJ. SYUFIAH UHIN P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

SANIAH H KACIL P PNS PUSAT Allergic contact dermatitis

ZAINUDDIN L PNS DAERAH Diseases of pulp and periapical


tissues
Berobat Jalan

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Berobat Jalan

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Rujuk Lanjut

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Rujuk Lanjut

Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
308 12-04-2018 170406010418Y000166 0000123313689

309 12-04-2018 170406010418Y000483 0000890340423

310 12-04-2018 170406010418Y000169 0000890512367

311 12-04-2018 170406010418Y000164 0000890561733

312 12-04-2018 170406010418Y000170 0000890679058

313 12-04-2018 170406010418Y000176 0001065501459

314 12-04-2018 170406010418Y000173 0001078411318

315 12-04-2018 170406010418Y000168 0001094262467

316 12-04-2018 170406010418Y000167 0001267501601

317 12-04-2018 170406010418Y000171 0001478814906

318 12-04-2018 170406010418Y000165 0001825643171

319 12-04-2018 170406010418Y000172 0001877935768

320 12-04-2018 170406010418Y000178 0002074966233

321 12-04-2018 170406010418Y000234 0002204133423

322 12-04-2018 170406010418Y000235 0002315556729

323 11-04-2018 170406010418Y000149 0000122598483

324 11-04-2018 170406010418Y000148 0000122706988

325 11-04-2018 170406010418Y000154 0000122757052

326 11-04-2018 170406010118Y000404 0000122805617

327 11-04-2018 170406010418Y000482 0000122843171

328 11-04-2018 170406010418Y000156 0000122976088


ABDULLAHKARIM L PNS PUSAT Non-insulin-dependent diabetes
mellitus with

SITI FATIMAH P PBI (APBN) Caries of dentine

ALA L PBI (APBN) Cough

SURIADI L PBI (APBN) Dyspepsia

ACHMAD RAMADHAN L PBI (APBN) Cough

NAPIYAH L PBI (APBN) Senile cataract, unspecified

RUSTINI P PNS PUSAT Sequelae of cerebrovascular


disease
M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Non-insulin-dependent diabetes
mellitus with

ASRANI L PEKERJA MANDIRI Dyspepsia

PANDI ARIADI L PEKERJA MANDIRI Heart failure, unspecified

MUCHRI DAHLAN L PEKERJA MANDIRI Essential (primary) hypertension

norsabah P PEKERJA MANDIRI Cutaneous abscess, furuncle and


carbuncle
MARNITI L KEPOLISIAN RI Examination of blood pressure

ITA P PEGAWAI PEMERINTAH NON Necrosis of pulp


PNS
MUHAMMAD FADEL YUSRAN L PEKERJA MANDIRI Other and unspecified diseases of
pulp and

NOOR HASANAH P PENERIMA PENSIUN PNS Chronic kidney disease

KASPUL ANWAR, H L PENERIMA PENSIUN TNI Disorder of refraction, unspecified

ABDUL HADI L PENERIMA PENSIUN PNS Surgical follow-up care,


unspecified
SAHIB IBERAHIM L PNS DAERAH Essential (primary) hypertension

ZAINUDDIN L PNS DAERAH Caries of dentine

HAMDAH P PNS DAERAH Leiomyoma of uterus, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
329 11-04-2018 170406010418Y000158 0000123189243

330 11-04-2018 170406010218Y000160 0000123287253

331 11-04-2018 170406010418Y000163 0000196393419

332 11-04-2018 170406010418Y000160 0000889479854

333 11-04-2018 170406010418Y000161 0000889947977

334 11-04-2018 170406010418Y000152 0000890342302

335 11-04-2018 170406010418Y000151 0000975900565

336 11-04-2018 170406010418Y000153 0001065417333

337 11-04-2018 170406010418Y000159 0001442536211

338 11-04-2018 170406010418Y000155 0001548389698

339 11-04-2018 170406010418Y000481 0001548389709

340 11-04-2018 170406010418Y000150 0001790572871

341 11-04-2018 170406010418Y000162 0001821515725

342 11-04-2018 170406010418Y000157 0001857673214

343 10-04-2018 170406010418Y000144 0000122707001

344 10-04-2018 170406010418Y000136 0000122736183

345 10-04-2018 170406010418Y000139 0000122810556

346 10-04-2018 170406010418Y000138 0000123114969

347 10-04-2018 170406010418Y000137 0000123115105

348 10-04-2018 170406010418Y000133 0000123209379

349 10-04-2018 170406010418Y000479 0000123329542

350 10-04-2018 170406010418Y000134 0000123612535


MISRAN L PNS DAERAH Non-insulin-dependent diabetes
mellitus with

MUDERAN L PENERIMA PENSIUN PNS Heart failure

JACKY MANIHIN L PENERIMA PENSIUN POLRI Cervicalgia

AMINAH P PBI (APBN) Acute vaginitis

NAPSIAH P PBI (APBN) Dyspepsia

WAHYU ADHITYA L PBI (APBN) Acute pharyngitis

FATHUL JANNAH P PENERIMA PENSIUN TNI Insulin-dependent diabetes


mellitus with

SITI RAHMAH P PBI (APBN) Allergic contact dermatitis

HAURA ELYSA GUNTUR P PEKERJA MANDIRI Allergic contact dermatitis

MIRDA BANJARIAH P PEGAWAI SWASTA Non-insulin-dependent diabetes


mellitus with

INTAN CAMELIA SARI P PEGAWAI SWASTA Caries of dentine

ROHANI P PEKERJA MANDIRI Secondary hypertension

FARIDAH P PEKERJA MANDIRI Idiopathic gout

alya sairina P PEKERJA MANDIRI Epilepsy, unspecified

SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Primary gonarthrosis, bilateral

HASYIM AMID L PENERIMA PENSIUN PNS Acute pharyngitis, unspecified

MURWATI P PNS DAERAH Dyspepsia

AINI P PNS DAERAH Varicella [chickenpox]

BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Presence of intraocular lens

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

CHAIRUL ANWAR L PNS DAERAH Chronic periodontitis

KAMARIAH, HJ P PENERIMA PENSIUN PNS Hypertensive heart disease without


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
351 10-04-2018 170406010418Y000132 0000196393419

352 10-04-2018 170406010418Y000141 0000890539097

353 10-04-2018 170406010418Y000140 0000890729717

354 10-04-2018 170406010418Y000143 0000891177164

355 10-04-2018 170406010418Y000142 0000891580421

356 10-04-2018 170406010418Y000147 0001261691144

357 10-04-2018 170406010418Y000129 0001266035253

358 10-04-2018 170406010418Y000130 0001266035848

359 10-04-2018 170406010418Y000146 0001271659454

360 10-04-2018 170406010418Y000480 0001279185816

361 10-04-2018 170406010418Y000128 0001302569829

362 10-04-2018 170406010418Y000131 0001381991128

363 10-04-2018 170406010418Y000478 0001484006861

364 10-04-2018 170406010418Y000135 0002211778811

365 10-04-2018 170406010418Y000145 0002235454154

366 09-04-2018 170406010418Y000122 0000122653631

367 09-04-2018 170406010418Y000127 0000122756725

368 09-04-2018 170406010418Y000107 0000122824495

369 09-04-2018 170406010418Y000103 0000123029032

370 09-04-2018 170406010418Y000115 0000123807036


JACKY MANIHIN L PENERIMA PENSIUN POLRI Hyperplasia of prostate

SAHWATI P PBI (APBN) Allergic contact dermatitis

NOOR AIN P PBI (APBN) Motorcycle rider injured in collision


with pedestrian or

YULIANA P PBI (APBN) Acute haemorrhagic gastritis

HELDA P PBI (APBN) Examination of blood pressure

JURAHMAH P PENERIMA PENSIUN PNS Influenza, virus not identified

AHMAD MUHAMMAD MARZUKI L PEKERJA MANDIRI Rheumatoid nodule, multiple sites

MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

ASFIANOOR BAHRAN L PEKERJA MANDIRI Dyspepsia

FAHREZY ADITYA PUTRA L PEKERJA MANDIRI Disturbances in tooth eruption

MANSYAH L PEKERJA MANDIRI Sequelae of cerebral infarction

ABDUL HADI L PEKERJA MANDIRI Low back pain

NOOR JUBAIDAH A.A P PEKERJA MANDIRI Caries of dentine

SITI AISYAH P PEKERJA MANDIRI Acute pharyngitis, unspecified

BARKIAH P PNS DAERAH Essential (primary) hypertension

SANIAH H KACIL P PNS PUSAT Allergic contact dermatitis

AS'ARI ISFANI L PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

YUDA SYAIFUDDIN L PEKERJA MANDIRI Other specified mental disorders


due to brain damage and
dysfunction

AHMADI L PNS DAERAH End-stage renal disease

NORMI ULFAH P PENERIMA PENSIUN PNS Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
371 09-04-2018 170406010418Y000121 0000124564544

372 09-04-2018 170406010418Y000108 0000889477964

373 09-04-2018 170406010418Y000114 0000889721201

374 09-04-2018 170406010418Y000105 0000889951116

375 09-04-2018 170406010418Y000112 0000889988657

376 09-04-2018 170406010418Y000117 0000890467964

377 09-04-2018 170406010418Y000118 0000890513302

378 09-04-2018 170406010418Y000110 0000890561733

379 09-04-2018 170406010318Y000061 0000890681038

380 09-04-2018 170406010418Y000116 0000891539008

381 09-04-2018 170406010418Y000123 0000891540786

382 09-04-2018 170406010418Y000124 0001264056265

383 09-04-2018 170406010418Y000125 0001271566315

384 09-04-2018 170406010418Y000119 0001465179546

385 09-04-2018 170406010418Y000120 0001627257521

386 09-04-2018 170406010418Y000111 0001664277287

387 09-04-2018 170406010418Y000104 0001791037012

388 09-04-2018 170406010418Y000106 0001863928528

389 09-04-2018 170406010218Y000115 0001974854092

390 09-04-2018 170406010418Y000109 0002256219628

391 09-04-2018 170406010418Y000113 0002315556246


ABDUL GAFAR L PENERIMA PENSIUN POLRI Spondylolysis

RUBIAH P PBI (APBN) Diseases of pulp and periapical


tissues
MAULIDA P PBI (APBN) Gastritis and duodenitis

SITI AISYAH P PBI (APBN) Thyrotoxicosis [hyperthyroidism]

SALAPUDIN L PBI (APBN) Allergic contact dermatitis

MURHAN BASERI L PBI (APBN) Cough

AMAT YANI L PBI (APBN) Undifferentiated schizophrenia

SURIADI L PBI (APBN) Non-insulin-dependent diabetes


mellitus with

BAHJAH P PBI (APBN) Essential (primary) hypertension

AINI L PBI (APBN) Other benign neoplasm of skin of


ear and external

YANTO L PBI (APBN) Gastritis and duodenitis

NORAIDA P PEKERJA MANDIRI Heart failure, unspecified

NURUL JANNAH P PEKERJA MANDIRI Low back pain

JURAH P PEKERJA MANDIRI Gastritis and duodenitis

MUHAMMAD MAULANA RIFQI L PEKERJA MANDIRI Acute upper respiratory infections


of multiple and

HASANAH P PEGAWAI SWASTA Cough

TImAH P PEKERJA MANDIRI Calculus of kidney

MARIFATULLAH AWALUDDIN L PEGAWAI SWASTA Systemic lupus erythematosus,

ASPANDI L PBI (APBN) Non-insulin-dependent diabetes


mellitus without

BAHARUDIN L PEKERJA MANDIRI Spondylolisthesis

JUMRIAH P PEKERJA MANDIRI Allergic contact dermatitis


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
392 09-04-2018 170406010418Y000126 0002438267005

393 07-04-2018 170406010418Y000237 0000122654801

394 07-04-2018 170406010418Y000094 0000122660032

395 07-04-2018 170406010418Y000238 0000122695571

396 07-04-2018 170406010418Y000239 0000122713345

397 07-04-2018 170406010418Y000240 0000122717766

398 07-04-2018 170406010418Y000250 0000122718982

399 07-04-2018 170406010418Y000241 0000122718993

400 07-04-2018 170406010418Y000242 0000122719026

401 07-04-2018 170406010418Y000243 0000122719037

402 07-04-2018 170406010418Y000244 0000122719195

403 07-04-2018 170406010418Y000245 0000122719206

404 07-04-2018 170406010418Y000246 0000122719432

405 07-04-2018 170406010418Y000247 0000122719509

406 07-04-2018 170406010418Y000091 0000122757636

407 07-04-2018 170406010418Y000093 0000123093268

408 07-04-2018 170406010418Y000092 0000123318865

409 07-04-2018 170406010418Y000102 0000889905205

410 07-04-2018 170406010418Y000099 0000890786946

411 07-04-2018 170406010418Y000100 0000890791738

412 07-04-2018 170406010418Y000090 0001266035848


FITRIA P PEKERJA MANDIRI Periapical abscess without sinus

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

NUNUK YULIASTUTI P PNS DAERAH Other disorders of eye and adnexa

ERNI RAHMI P PNS DAERAH Examination of blood pressure

ANNA BUDIARTI P PNS DAERAH Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

IMAS P PENERIMA PENSIUN PNS Follow-up examination after


surgery for other

RUDY ANWARI L PNS DAERAH Acute hepatitis B

MUHAMMAD MUKRI, H L PNS PUSAT Hyperplasia of prostate

FARIDAH P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

SITI AISYAH P PBI (APBN) Spondylolysis

SALAMIAH P PBI (APBN) Examination of blood pressure

MASTAYAH P PEKERJA MANDIRI Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
413 07-04-2018 170406010418Y000101 0001279182374

414 07-04-2018 170406010418Y000248 0001441794846

415 07-04-2018 170406010418Y000096 0001455741314

416 07-04-2018 170406010418Y000249 0001873511245

417 07-04-2018 170406010418Y000098 0002124150535

418 07-04-2018 170406010418Y000251 0002207775701

419 07-04-2018 170406010418Y000095 0002220897115

420 07-04-2018 170406010418Y000097 0002290778302

421 06-04-2018 170406010418Y000083 0000122653631

422 06-04-2018 170406010418Y000081 0000122688617

423 06-04-2018 170406010418Y000084 0000890043535

424 06-04-2018 170406010418Y000088 0000890678709

425 06-04-2018 170406010418Y000087 0001079882201

426 06-04-2018 170406010418Y000085 0001266044051

427 06-04-2018 170406010418Y000086 0001271659454

428 06-04-2018 170406010418Y000082 0001302083278

429 06-04-2018 170406010418Y000080 0001328026138

430 06-04-2018 170406010418Y000089 0001433414924

431 06-04-2018 170406010418Y000233 0002438267005

432 05-04-2018 170406010418Y000075 0000122660032

433 05-04-2018 170406010418Y000066 0000122706988

434 05-04-2018 170406010418Y000069 0000122738387


AHMAD SYAIPUDIN L PEKERJA MANDIRI Disorder of urinary system,
unspecified
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

FAKHRUROZI L PEKERJA MANDIRI Disorder of refraction, unspecified

MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

FAHRIYAH P PBI (APBN) Acute haemorrhagic gastritis

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI Chronic kidney disease

SELAMAT L PEKERJA MANDIRI Influenza, virus not identified

SANIAH H KACIL P PNS PUSAT Senile cataract, unspecified

JUNAIDI, DRS L PNS PUSAT Mixed anxiety and depressive


disorder
TAUFIK AKHMAD L PBI (APBN) Atherosclerotic cardiovascular
disease, so

NOOR MULYANI P PBI (APBN) Cough

MIRA JELITA P PNS DAERAH Cutaneous abscess, furuncle and


carbuncle
RAHMANI L PBI (APBD) Heart failure, unspecified

ASFIANOOR BAHRAN L PEKERJA MANDIRI Dyspepsia

NURLIANA P PEKERJA MANDIRI Senile cataract, unspecified

SALAMAH P PEKERJA MANDIRI Undifferentiated schizophrenia

SABARIAH P PEKERJA MANDIRI Spondylolysis

FITRIA P PEKERJA MANDIRI Disturbances in tooth eruption

NUNUK YULIASTUTI P PNS DAERAH Essential (primary) hypertension

KASPUL ANWAR, H L PENERIMA PENSIUN TNI Hyperplasia of prostate

M.ABERANI. L PENERIMA PENSIUN PNS Secondary hypertension,


unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
435 05-04-2018 170406010418Y000068 0000122824855

436 05-04-2018 170406010418Y000065 0000889956854

437 05-04-2018 170406010418Y000073 0000890637142

438 05-04-2018 170406010418Y000074 0000890820944

439 05-04-2018 170406010418Y000072 0000890836435

440 05-04-2018 170406010418Y000079 0001267733373

441 05-04-2018 170406010418Y000067 0001809273262

442 05-04-2018 170406010418Y000071 0002209303541

443 05-04-2018 170406010418Y000070 0002262697762

444 05-04-2018 170406010418Y000078 0002277325754

445 05-04-2018 170406010418Y000077 0002277325833

446 05-04-2018 170406010418Y000076 0002424466754

447 04-04-2018 170406010418Y000063 0000122608732

448 04-04-2018 170406010418Y000052 0000122733303

449 04-04-2018 170406010418Y000061 0000158671361

450 04-04-2018 170406010418Y000054 0000889477964

451 04-04-2018 170406010418Y000053 0000889777067

452 04-04-2018 170406010418Y000062 0000889798994

453 04-04-2018 170406010418Y000060 0000890656042

454 04-04-2018 170406010418Y000059 0000890656661

455 04-04-2018 170406010418Y000513 0000890728839

456 04-04-2018 170406010418Y000051 0000890764659

457 04-04-2018 170406010418Y000058 0001065415779


NOORLENA P PNS DAERAH Mixed anxiety and depressive
disorder
BAHRUL BASRI L PBI (APBN) Hyperplasia of prostate

WIDIAWATI MASLOMAN P PBI (APBN) Pterygium

MAHRIANI P PBI (APBN) Essential (primary) hypertension

RUSMAWATI P PBI (APBN) Essential (primary) hypertension

ERNAYATI P PEKERJA MANDIRI Essential (primary) hypertension

iwan sulaiman L PEGAWAI PEMERINTAH NON Acute viral hepatitis, unspecified


PNS
ZAKARIYA S L PEKERJA MANDIRI Fever, unspecified

ANANG SHALAHUDDIN NOOR L PEKERJA MANDIRI Motorcycle rider injured in collision


with pedestrian or

HADERI L PEKERJA MANDIRI Dyspepsia

MUTMAINAH P PEKERJA MANDIRI Essential (primary) hypertension

MIFTAHUL QARI'AH P PEGAWAI PEMERINTAH NON Dyspepsia


PNS
MUHAMMAD JAMAHSYARI L PNS PUSAT Predominantly allergic asthma

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Cough

NORHAYATI P PNS PUSAT Hyperlipidaemia, unspecified

RUBIAH P PBI (APBN) Asthma, unspecified

HELMAN MAHMUDI L PBI (APBN) Typhoid fever

abdul rahim L PBI (APBN) Other and unspecified convulsions

MASRANI L PBI (APBN) Essential (primary) hypertension

IDA RAHMAWATI P PBI (APBN) Dyspepsia

NORIDAH P PBI (APBN) Contraceptive management,


unspecified
MISRAN L PBI (APBN) Ganglion

SITI HALIDAH P PBI (APBN) Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
458 04-04-2018 170406010418Y000064 0001260954505

459 04-04-2018 170406010418Y000056 0001262525938

460 04-04-2018 170406010418Y000050 0001279182374

461 04-04-2018 170406010418Y000057 0001306752142

462 04-04-2018 170406010418Y000049 0001481294035

463 04-04-2018 170406010418Y000055 0001483848887

464 03-04-2018 170406010418Y000035 0000122707135

465 03-04-2018 170406010418Y000037 0000122805314

466 03-04-2018 170406010418Y000036 0000123313206

467 03-04-2018 170406010418Y000030 0000123329542

468 03-04-2018 170406010418Y000389 0000123329542

469 03-04-2018 170406010418Y000041 0000890561733

470 03-04-2018 170406010418Y000038 0000890674277

471 03-04-2018 170406010418Y000046 0000890729717

472 03-04-2018 170406010418Y000042 0000890789139

473 03-04-2018 170406010418Y000043 0000890843826

474 03-04-2018 170406010418Y000048 0000891218417

475 03-04-2018 170406010418Y000031 0001267501601

476 03-04-2018 170406010418Y000029 0001269910967

477 03-04-2018 170406010418Y000028 0001303166687


TABERANI L PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with

RACHMAD HIDAYAT L PEKERJA MANDIRI Fracture of upper end of radius,


closed
AHMAD SYAIPUDIN L PEKERJA MANDIRI Epilepsy

MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction

supiyah P PEKERJA MANDIRI Carcinoma in situ of breast,


unspecified
jumaiah P PEKERJA MANDIRI Dyspepsia

SITI FATIMAH P PENERIMA PENSIUN TNI Conjunctivitis

AGUS PRIBADI L PNS DAERAH Chronic periodontitis

A ATHAILAH L PNS PUSAT Benign lipomatous neoplasm of


skin and subcutaneous tissue of
other and unspecified sites

CHAIRUL ANWAR L PNS DAERAH Panic disorder [episodic


paroxysmal anxiety]
CHAIRUL ANWAR L PNS DAERAH Acute periodontitis

SURIADI L PBI (APBN) Dyspepsia

SARINAH P PBI (APBN) Dyspepsia

NOOR AIN P PBI (APBN) Motorcycle rider injured in collision


with pedestrian or

MUHAMMAD HAMDI .HB L PBI (APBN) Essential (primary) hypertension

KHAIRUDIN L PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

TABRI L PBI (APBN) Essential (primary) hypertension

ASRANI L PEKERJA MANDIRI Atherosclerotic cardiovascular


disease, so

ENDANG JUMIATI P PEGAWAI SWASTA Hypertensive heart disease

SYAEPULLAH L PEKERJA MANDIRI Epilepsy


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
478 03-04-2018 170406010418Y000034 0001313876002

479 03-04-2018 170406010418Y000033 0001484006861

480 03-04-2018 170406010418Y000032 0001790572871

481 03-04-2018 170406010418Y000040 0001810491085

482 03-04-2018 170406010418Y000039 0001858815112

483 03-04-2018 170406010418Y000044 0001967109647

484 03-04-2018 170406010418Y000232 0001967109647

485 03-04-2018 170406010418Y000045 0002219622827

486 03-04-2018 170406010418Y000047 0002235454154

487 03-04-2018 170406010418Y000512 0002304843478

488 02-04-2018 170406010418Y000019 0000122660032

489 02-04-2018 170406010418Y000020 0000122707034

490 02-04-2018 170406010418Y000011 0000122707045

491 02-04-2018 170406010418Y000018 0000122757985

492 02-04-2018 170406010418Y000003 0000123115105

493 02-04-2018 170406010418Y000026 0000123189243

494 02-04-2018 170406010418Y000024 0000889783165

495 02-04-2018 170406010418Y000001 0000889829098

496 02-04-2018 170406010418Y000002 0000889830786

497 02-04-2018 170406010418Y000007 0000890630695

498 02-04-2018 170406010418Y000022 0000890780196


MUKHTAR L PEKERJA MANDIRI Hyperplasia of prostate

NOOR JUBAIDAH A.A P PEKERJA MANDIRI Acute nasopharyngitis [common


cold]
ROHANI P PEKERJA MANDIRI Essential (primary) hypertension

MURSILAH P PEKERJA MANDIRI Gout

MARIAH P PEKERJA MANDIRI Diarrhoea and gastroenteritis of


presumed infectious origin

DWI RIDHA YULIANTI P PEGAWAI SWASTA Dyspepsia

DWI RIDHA YULIANTI P PEGAWAI SWASTA Contraceptive management,


unspecified
SURIANSYAH L PEKERJA MANDIRI Heart failure, unspecified

BARKIAH P PNS DAERAH Essential (primary) hypertension

DEWI KARMILAWATI P PEKERJA MANDIRI Contraceptive management,


unspecified
NUNUK YULIASTUTI P PNS DAERAH Conjunctivitis

M. MAKI L PENERIMA PENSIUN TNI Insulin-dependent diabetes


mellitus without

ROHANI P PENERIMA PENSIUN TNI Cough

SANUSI TUGANAL,H L PENERIMA PENSIUN PNS Essential (primary) hypertension

BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Essential (primary) hypertension

MISRAN L PNS DAERAH Non-insulin-dependent diabetes


mellitus with

M. RIZKI ABDUL AKBAR L PBI (APBN) Dyspepsia

ARSUNI L PBI (APBN) Hyperparathyroidism, unspecified

RISKA AMALIA PUTRI P PBI (APBN) Fracture of upper end of tibia,


closed
MISLIWATI P PBI (APBN) Essential (primary) hypertension

ANANG SAHRI L PBI (APBN) Dyspepsia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
499 02-04-2018 170406010418Y000012 0000890786946

500 02-04-2018 170406010418Y000027 0000890835862

501 02-04-2018 170406010418Y000017 0000890852995

502 02-04-2018 170406010418Y000008 0000890854716

503 02-04-2018 170406010418Y000014 0000891056237

504 02-04-2018 170406010418Y000016 0000891058779

505 02-04-2018 170406010418Y000009 0001441794846

506 02-04-2018 170406010418Y000387 0001460057297

507 02-04-2018 170406010418Y000006 0001790572871

508 02-04-2018 170406010418Y000005 0001833652394

509 02-04-2018 170406010418Y000388 0001852185093

510 02-04-2018 170406010418Y000021 0001877935768

511 02-04-2018 170406010418Y000015 0002079582581

512 02-04-2018 170406010418Y000004 0002213331581

513 02-04-2018 170406010418Y000025 0002216875296

514 02-04-2018 170406010418Y000023 0002220754948

515 02-04-2018 170406010418Y000010 0002262697762

516 02-04-2018 170406010418Y000013 0002420982303


SITI AISYAH P PBI (APBN) Essential (primary) hypertension

M YUSUP L PBI (APBN) Asthma, unspecified

RAHIMAH P PBI (APBN) Dyspepsia

AKHMAD NASRULLAH L PBI (APBN) Thalassaemia, unspecified

JUMILAH P PBI (APBN) Disorder of refraction, unspecified

NADIA AMALIA P PBI (APBN) Otitis media, unspecified

ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) hypertension

M. RIYADH AZHAR L PEGAWAI SWASTA Calculus of gallbladder with other


cholecystitis
ROHANI P PEKERJA MANDIRI Examination of blood pressure

ARSIAH P PEKERJA MANDIRI Essential (primary) hypertension

YUSRIANSYAH L PEKERJA MANDIRI Acute periodontitis

norsabah P PEKERJA MANDIRI Cutaneous abscess, furuncle and


carbuncle
NURHIDAYAH P PEKERJA MANDIRI Carcinoma in situ of breast,
unspecified
JAHRATUN SIFA P PEKERJA MANDIRI Down's syndrome, unspecified

KALAMI L PEKERJA MANDIRI Dyspepsia

AUFA RIZAL RASYAD L PENERIMA PENSIUN PNS Acute upper respiratory infection,
unspecified
ANANG SHALAHUDDIN NOOR L PEKERJA MANDIRI Motorcycle rider injured in collision
with pedestrian or

SURIANSYAH L PEKERJA MANDIRI Cough


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