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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

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

1 31-07-2019 113004010719P001173 0000575527061 NGATMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
2 31-07-2019 113004010719P001157 0000576453734 SITI MASRIYATUN P PBI (APBN) Maternal care for breech Rujuk Lanjut
presentation
3 31-07-2019 113004010719P001227 0000576712361 MUKINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
4 31-07-2019 113004010719P001240 0000576741903 NADI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
5 31-07-2019 113004010719P001200 0000576793001 SUGIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
6 31-07-2019 113004010719P001203 0000576952727 SUMINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
7 31-07-2019 113004010719P001261 0000576979716 DONI KRISTIAWAN L PBI (APBN) Myalgia Berobat Jalan

8 31-07-2019 113004010719P001250 0000577099888 RUMISIH P PBI (APBN) Headache Berobat Jalan

9 31-07-2019 113004010719P001191 0000577134663 SUTARSIH P PBI (APBN) Myalgia Berobat Jalan

10 31-07-2019 113004010719P001235 0000577214278 RABINAH P PBI (APBN) Headache Berobat Jalan

11 31-07-2019 113004010719P001255 0000577225258 DANDI SUGIANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
12 31-07-2019 113004010719P001169 0000577242178 MUHAMAD SHALUN L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
13 31-07-2019 113004010719P001259 0000577280215 SLAMET L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
14 31-07-2019 113004010719P001165 0000577334902 SUPARMO L PBI (APBN) Gastric ulcer Rujuk Lanjut

15 31-07-2019 113004010719P001158 0000577343867 SITI NIKMAH P PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

16 31-07-2019 113004010719P001172 0000577597566 DARSI BUDIARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
17 31-07-2019 113004010719P001160 0000577657078 SAIDAH P PBI (APBN) Gastric ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

18 31-07-2019 113004010719P001178 0000577673998 MARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
19 31-07-2019 113004010719P001228 0000577676979 KASWATI P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
20 31-07-2019 113004010719P001242 0000577692022 SUSMIAH P PBI (APBN) Myalgia Berobat Jalan

21 31-07-2019 113004010719P001175 0000577733534 SUNARTI P PBI (APBN) Myalgia Berobat Jalan


DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

22 31-07-2019 113004010719P001176 0000577750094 MURNIATUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
23 31-07-2019 113004010719P001264 0000577823859 AULADATUL AWWALIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
24 31-07-2019 113004010719P001182 0000577884216 RUMINI P PBI (APBN) Headache Berobat Jalan

25 31-07-2019 113004010719P001185 0000577888424 SUGINI P PBI (APBN) Myalgia Berobat Jalan

26 31-07-2019 113004010719P001179 0000577929161 EDI SUCIPTO L PBI (APBN) Keratitis Berobat Jalan

27 31-07-2019 113004010719P001188 0000578052617 SUTRIMO L PBI (APBN) Myalgia Berobat Jalan

28 31-07-2019 113004010719P001262 0000578055554 RIMAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
29 31-07-2019 113004010719P001265 0000578073701 SUTIYEM P PBI (APBN) Myalgia Berobat Jalan

30 31-07-2019 113004010719P001194 0000578077402 WAGE P PBI (APBN) Acute pharyngitis Berobat Jalan

31 31-07-2019 113004010719P001180 0000578148276 SUCIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
32 31-07-2019 113004010719P001174 0000578197719 SULTON MUHAMAD C L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
33 31-07-2019 113004010719P001163 0000578224787 BINARSO L PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

34 31-07-2019 113004010719P001184 0000578274715 RADIYO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
35 31-07-2019 113004010719P001167 0000578509075 SUJINAH P PBI (APBN) Chronic periodontitis Berobat Jalan

36 31-07-2019 113004010719P001170 0000578715671 MUNAWIROTUL LAILI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
37 31-07-2019 113004010719P001161 0001023230788 PURWANTO L PBI (APBN) Calculus of kidney Rujuk Lanjut

38 31-07-2019 113004010719P001181 0001023236458 SULIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
39 31-07-2019 113004010719P001251 0001023240352 SUMIRAH P PBI (APBN) Other specified arthritis Berobat Jalan

40 31-07-2019 113004010719P001156 0001023245212 LESTARI P PBI (APBN) Tension-type headache Rujuk Lanjut

41 31-07-2019 113004010719P001162 0001086283438 ALVIANI KHOIRUN NISA'' P PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
42 31-07-2019 113004010719P001267 0001086284147 PARMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
43 31-07-2019 113004010719P001218 0001086360941 SIMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

44 31-07-2019 113004010719P001166 0001267288683 HANIEF ALFAH RIZKY L ANGGOTA POLRI Disturbances in tooth Berobat Jalan
PRATAMA eruption
45 31-07-2019 113004010719P001177 0001833396287 HARTONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
46 31-07-2019 113004010719P001491 0001833397108 TRISWATI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

47 31-07-2019 113004010719P001490 0001914109018 SUPARDI L PBI (APBN) Counselling, unspecified Berobat Jalan

48 31-07-2019 113004010719P001245 0002001791766 ABDUL MALIK NUR L PBI (APBN) Diarrhoea and Berobat Jalan
ROHMATULLAH gastroenteritis of
presumed infectious origin

49 31-07-2019 113004010719P001223 0002129279231 RODLOTUL JANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
50 31-07-2019 113004010719P001266 0002247824755 KARPAN L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
51 31-07-2019 113004010719P001168 0002346478896 FITRIANA RAMADHANI P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
52 31-07-2019 113004010719P001257 0002346480472 AQILA ZAHRA ALBINAR P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
53 31-07-2019 113004010719P001232 0002346484252 PURWO L PBI (APBD) Fever, unspecified Berobat Jalan

54 31-07-2019 113004010719P001219 0002346497302 SRI MAOTI P PBI (APBD) Myalgia Berobat Jalan

55 31-07-2019 113004010719P001159 0002505173984 AHMAD MUNIB HABIBI L PBI (APBN) Influenza, virus not Berobat Jalan
identified
56 31-07-2019 113004010719P001164 0002629140704 USWATUN KASANAH P PBI (APBN) Chronic gingivitis Berobat Jalan

57 31-07-2019 113004010719P001183 0002677487005 KARDIMAN L PBI (APBN) Myalgia Berobat Jalan

58 31-07-2019 113004010719P001212 0002677490853 NGATIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
59 31-07-2019 113004010719P001214 0002738044664 KASMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
60 31-07-2019 113004010719P001226 0002770671058 SUN HADIYAH P PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
61 31-07-2019 113004010719P001492 0002776342882 SITI QOMARIYAH P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

62 31-07-2019 113004010719P001171 0002776342882 SITI QOMARIYAH P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
63 30-07-2019 113004010719P001137 0000575883729 JASMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
64 30-07-2019 113004010719P001480 0000576184072 NUR ROHMAH P PBI (APBN) Counselling, unspecified Berobat Jalan

65 30-07-2019 113004010719P001485 0000576192396 SARPINAH P PBI (APBN) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

66 30-07-2019 113004010719P001483 0000576880187 AKHSANUR ROZI L PBI (APBN) Counselling, unspecified Berobat Jalan

67 30-07-2019 113004010719P001487 0000577037068 DARMI P PBI (APBN) Counselling, unspecified Berobat Jalan

68 30-07-2019 113004010719P001155 0000577037575 SITI MUTMAINAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
69 30-07-2019 113004010719P001489 0000577039105 FATMA SANTI P PBI (APBN) Counselling, unspecified Berobat Jalan

70 30-07-2019 113004010719P001475 0000577041568 SUMARNI P PBI (APBN) Counselling, unspecified Berobat Jalan

71 30-07-2019 113004010719P001477 0000577135517 JUMIYEM P PBI (APBN) Counselling, unspecified Berobat Jalan

72 30-07-2019 113004010719P001144 0000577206606 SITI MUZAROAH P PBI (APBN) Thyrotoxicosis with toxic Rujuk Lanjut
single thyroid nodule
73 30-07-2019 113004010719P001143 0000577223065 RISKA FITROTUN NAFIAH P PBI (APBN) Respiratory tuberculosis, Berobat Jalan
bacteriologically and

74 30-07-2019 113004010719P001486 0000577233696 SUWATI P PBI (APBN) Counselling, unspecified Berobat Jalan

75 30-07-2019 113004010719P001147 0000577534847 HENIK MATUL U. P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
76 30-07-2019 113004010719P001141 0000577587025 MUGIYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

77 30-07-2019 113004010719P001479 0000577587025 MUGIYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

78 30-07-2019 113004010719P001151 0000577587025 MUGIYATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
79 30-07-2019 113004010719P001135 0000577680039 RUMINI P PBI (APBN) Myalgia Berobat Jalan

80 30-07-2019 113004010719P001130 0000577683898 ASIYEM P PBI (APBN) Other rheumatoid arthritis Berobat Jalan

81 30-07-2019 113004010719P001152 0000577724106 LUGITO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
82 30-07-2019 113004010719P001148 0000577778005 PARSIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
83 30-07-2019 113004010719P001133 0000577815197 LIA NURUL SYIYAM P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
84 30-07-2019 113004010719P001140 0000577815197 LIA NURUL SYIYAM P PBI (APBN) Impacted teeth Berobat Jalan

85 30-07-2019 113004010719P001482 0000577823859 AULADATUL AWWALIYAH P PBI (APBN) Counselling, unspecified Berobat Jalan

86 30-07-2019 113004010719P001145 0000577830982 ENI PURWANINGSIH P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
87 30-07-2019 113004010719P001129 0000578001644 ENTENG YULIANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
88 30-07-2019 113004010719P001136 0000578019947 RIKY ANDRIANSYAH L PBI (APBN) Thalassaemia, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

89 30-07-2019 113004010719P001125 0000578021859 DALIL L PBI (APBN) Schizophrenia Rujuk Lanjut

90 30-07-2019 113004010719P001154 0000578058603 MUSTAFAAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
91 30-07-2019 113004010719P001142 0000578058603 MUSTAFAAH P PBI (APBN) Counselling, unspecified Berobat Jalan

92 30-07-2019 113004010719P001481 0000578130039 SARPO L PBI (APBN) Counselling, unspecified Berobat Jalan

93 30-07-2019 113004010719P001150 0000578162981 SUKARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
94 30-07-2019 113004010719P001126 0000578198002 WASIYAH P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
skin, unspecified
95 30-07-2019 113004010719P001484 0000578265873 ZULFA MAZIDAH P PBI (APBN) Counselling, unspecified Berobat Jalan

96 30-07-2019 113004010719P001134 0000578323811 SRI BUDIARTI P PBI (APBN) Other specified joint Berobat Jalan
disorders, hand
97 30-07-2019 113004010719P001139 0001023226863 muhamadniam sya roni P PBI (APBN) Headache Berobat Jalan

98 30-07-2019 113004010719P001146 0001023251499 SUHARTO L PBI (APBN) Other postsurgical states Rujuk Lanjut

99 30-07-2019 113004010719P001128 0001023258576 BUDI RIYANTO L PBI (APBN) Pterygium Rujuk Lanjut

100 30-07-2019 113004010719P001131 0001023259781 PURMINI P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
101 30-07-2019 113004010719P001127 0001526537248 TEGUH SULISTYAWAN L PBI (APBD) Acute conjunctivitis, Berobat Jalan
unspecified
102 30-07-2019 113004010719P001488 0001526902097 JUMAIN L PBI (APBD) Counselling, unspecified Berobat Jalan

103 30-07-2019 113004010719P001478 0001526958268 SITI UMAROH P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

104 30-07-2019 113004010719P001149 0001529384589 SITI.AMINAH P PBI (APBD) Gastritis and duodenitis Berobat Jalan

105 30-07-2019 113004010719P001476 0002314820957 AHMAD ZAENI L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

106 30-07-2019 113004010719P001132 0002450108439 SUTINAH P PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
107 30-07-2019 113004010719P001153 0002574952738 NITA LESTARI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
108 30-07-2019 113004010719P001138 0002580663532 RACHEL ALIFAH FAHRUN NADA P PBI (APBD) Chronic periodontitis Berobat Jalan

109 30-07-2019 113004010719P001124 0002581144907 JUAN ANGGA PRATAMA L PBI (APBD) Influenza, virus not Berobat Jalan
identified
110 29-07-2019 113004010719P001043 0000073816389 RASMINI P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
111 29-07-2019 113004010719P001117 0000576090562 DASIYEM P PBI (APBN) Headache Berobat Jalan

112 29-07-2019 113004010719P001118 0000576092327 NOVI NOKTAVIA P PEGAWAI SWASTA Acute pharyngitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

113 29-07-2019 113004010719P001035 0000576151378 MARTINI AL NIATUL NIRSA P PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

114 29-07-2019 113004010719P001036 0000576151863 SUDARMIN L PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

115 29-07-2019 113004010719P001097 0000576427623 NASIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
116 29-07-2019 113004010719P001103 0000576622462 RISKI NUR CAHYANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
117 29-07-2019 113004010719P001061 0000576622462 RISKI NUR CAHYANI P PBI (APBN) Necrosis of pulp Berobat Jalan

118 29-07-2019 113004010719P001053 0000576626297 SULANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
119 29-07-2019 113004010719P001114 0000576630551 RUMINI P PBI (APBN) Low back pain Berobat Jalan

120 29-07-2019 113004010719P001093 0000576694901 SAWI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
121 29-07-2019 113004010719P001109 0000576750734 MONAH P PBI (APBN) Cellulitis Berobat Jalan

122 29-07-2019 113004010719P001474 0000576751331 MUKHLIS L PBI (APBN) Counselling, unspecified Berobat Jalan

123 29-07-2019 113004010719P001052 0000576807524 ABDUL MAJID L PBI (APBN) Scabies Berobat Jalan

124 29-07-2019 113004010719P001059 0000576898615 DAROJATUR ROFIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
125 29-07-2019 113004010719P001471 0000576935469 MURTININGSIH P PBI (APBN) Counselling, unspecified Berobat Jalan

126 29-07-2019 113004010719P001063 0000576935469 MURTININGSIH P PBI (APBN) Pulpitis Berobat Jalan

127 29-07-2019 113004010719P001087 0000576951625 NENU FITRIYANA P PBI (APBN) Urticaria, unspecified Berobat Jalan

128 29-07-2019 113004010719P001112 0000576979154 SUDARMI P PBI (APBN) Low back pain Berobat Jalan

129 29-07-2019 113004010719P001111 0000577043379 KUSNANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
130 29-07-2019 113004010719P001115 0000577177817 RUKINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
131 29-07-2019 113004010719P001100 0000577193433 SUNARTI P PBI (APBN) Myalgia Berobat Jalan

132 29-07-2019 113004010719P001064 0000577203671 PURYANTI P PBI (APBN) Necrosis of pulp Berobat Jalan

133 29-07-2019 113004010719P001110 0000577224336 SURURI L PBI (APBN) Keratitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

134 29-07-2019 113004010719P001058 0000577256354 SUPARMI P PBI (APBN) Necrosis of pulp Berobat Jalan

135 29-07-2019 113004010719P001113 0000577258648 MIFTAHUL HIMAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
136 29-07-2019 113004010719P001119 0000577279967 HARTINI P PBI (APBN) Myalgia Berobat Jalan

137 29-07-2019 113004010719P001095 0000577298474 RAMSIH P PBI (APBN) Headache Berobat Jalan

138 29-07-2019 113004010719P001069 0000577542857 SUTARMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
139 29-07-2019 113004010719P001272 0000577551284 SUPRAPTO L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

140 29-07-2019 113004010719P001060 0000577663817 SITI ROHMAH P PBI (APBN) Counselling, unspecified Berobat Jalan

141 29-07-2019 113004010719P001041 0000577663817 SITI ROHMAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
142 29-07-2019 113004010719P001082 0000577747416 SULASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
143 29-07-2019 113004010719P001472 0000577754223 LEGIATI P PBI (APBN) Counselling, unspecified Berobat Jalan

144 29-07-2019 113004010719P001078 0000577754223 LEGIATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
145 29-07-2019 113004010719P001108 0000577778073 BATHI NINGSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
146 29-07-2019 113004010719P001040 0000577789751 MUNAMAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
147 29-07-2019 113004010719P001057 0000577844561 SUPI P PBI (APBN) Necrosis of pulp Berobat Jalan

148 29-07-2019 113004010719P001105 0000577924209 RENI DIAN PURNAMASARI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
149 29-07-2019 113004010719P001062 0000577924209 RENI DIAN PURNAMASARI P PBI (APBN) Necrosis of pulp Berobat Jalan

150 29-07-2019 113004010719P001470 0000577948937 YELI NILAWATI P PBI (APBN) Counselling, unspecified Berobat Jalan

151 29-07-2019 113004010719P001099 0000577998369 RAKIYEM P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
152 29-07-2019 113004010719P001116 0000578114651 SULIS SETIYOWATI P PBI (APBN) Asthma Berobat Jalan

153 29-07-2019 113004010719P001120 0000578119252 UMI HIDAYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
154 29-07-2019 113004010719P001107 0000578129668 SUNARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
155 29-07-2019 113004010719P001271 0000578167762 SALIM L PBI (APBN) Essential (primary) Sembuh
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

156 29-07-2019 113004010719P001079 0001023223026 PURWANTINI P PBI (APBN) Other cataract Rujuk Lanjut

157 29-07-2019 113004010719P001123 0001023232599 SUPAMI P PBI (APBN) Headache Berobat Jalan

158 29-07-2019 113004010719P001056 0001023238901 SULASTRI P PBI (APBN) Myalgia Berobat Jalan

159 29-07-2019 113004010719P001098 0001023248316 PARMO L PBI (APBN) Headache Berobat Jalan

160 29-07-2019 113004010719P001090 0001086342906 MURSITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
161 29-07-2019 113004010719P001468 0001283139562 PUSPA DEWI ANGGRAENI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

162 29-07-2019 113004010719P001034 0001283139562 PUSPA DEWI ANGGRAENI P PEKERJA MANDIRI Irregular menstruation, Rujuk Lanjut
unspecified
163 29-07-2019 113004010719P001066 0001526540174 SITI MASTIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
164 29-07-2019 113004010719P001039 0001530526239 RIN MIYANI P PBI (APBD) Schizophrenia Rujuk Lanjut

165 29-07-2019 113004010719P001469 0001531702315 ENDAH WAHYUNI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

166 29-07-2019 113004010719P001101 0002178770782 NGARJONO L PBI (APBN) Headache Berobat Jalan

167 29-07-2019 113004010719P001473 0002178771085 DHALISA LULU MUMTASAH P PBI (APBN) Counselling, unspecified Berobat Jalan

168 29-07-2019 113004010719P001104 0002219261095 NUR ILHAM L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
169 29-07-2019 113004010719P001085 0002244370364 KARSONO L PBI (APBD) Dyspepsia Berobat Jalan

170 29-07-2019 113004010719P001038 0002310894178 ERLANGGA BRIYAN ADITAMA L PBI (APBN) Influenza, virus not Berobat Jalan
identified
171 29-07-2019 113004010719P001089 0002346482867 SAWI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
172 29-07-2019 113004010719P001122 0002346490225 SUWARNI P PBI (APBD) Asthma Berobat Jalan

173 29-07-2019 113004010719P001055 0002505166885 EZZA RAVA MAULANA P PBI (APBN) Headache Berobat Jalan

174 29-07-2019 113004010719P001106 0002505171802 RADIYO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
175 29-07-2019 113004010719P001121 0002575683617 SUSANTI P PBI (APBD) Headache Berobat Jalan

176 29-07-2019 113004010719P001037 0002622839725 FAJAR RISKI ADITIYA L PBI (APBN) Influenza, virus not Berobat Jalan
identified
177 29-07-2019 113004010719P001102 0002677494666 DJASIYEM P PBI (APBN) Headache Berobat Jalan

178 28-07-2019 113004010719P001404 0000073911666 NUR ARI MU'TIAH P PNS DAERAH Supervision of normal Sembuh
pregnancy
179 27-07-2019 113004010719P001091 0000073932085 MASUD L PENERIMA PENSIUN Headache Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

180 27-07-2019 113004010719P001467 0000074029869 IRSAN FUADY L PEGAWAI BUMN Counselling, unspecified Berobat Jalan

181 27-07-2019 113004010719P001049 0000576429952 WIJI SUMARNI P PBI (APBN) Headache Berobat Jalan

182 27-07-2019 113004010719P001044 0000576579701 ARMILO IFLAHA SITRESIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
183 27-07-2019 113004010719P001459 0000576741903 NADI L PBI (APBN) Counselling, unspecified Berobat Jalan

184 27-07-2019 113004010719P001048 0000576861614 MULYONO L PBI (APBN) Low back pain Berobat Jalan

185 27-07-2019 113004010719P001065 0000576861726 SULASTRI P PBI (APBN) Myalgia Berobat Jalan

186 27-07-2019 113004010719P000999 0000576901473 SRI RAHAYU P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
187 27-07-2019 113004010719P001084 0000576913419 MARMINI P PBI (APBN) Headache Berobat Jalan

188 27-07-2019 113004010719P001016 0000576964697 AWANG ANDES KURNIAWAN L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
189 27-07-2019 113004010719P001456 0000576964697 AWANG ANDES KURNIAWAN L PBI (APBN) Counselling, unspecified Berobat Jalan

190 27-07-2019 113004010719P001022 0000577018967 PUJI ASTUTIK P PBI (APBN) Caries of dentine Berobat Jalan

191 27-07-2019 113004010719P001088 0000577135517 JUMIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
192 27-07-2019 113004010719P001463 0000577160201 JASMO L PBI (APBN) Counselling, unspecified Berobat Jalan

193 27-07-2019 113004010719P001462 0000577161066 RATMI P PBI (APBN) Counselling, unspecified Berobat Jalan

194 27-07-2019 113004010719P001086 0000577221232 NGATMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
195 27-07-2019 113004010719P001460 0000577229409 TEGAR MUHAMMAD SOFHIAN L PBI (APBN) Counselling, unspecified Berobat Jalan

196 27-07-2019 113004010719P001001 0000577261686 MONNA SAFIRA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
197 27-07-2019 113004010719P001020 0000577456301 MUHAMMAD SODIKIN L PBI (APBN) Periapical abscess without Berobat Jalan
sinus
198 27-07-2019 113004010719P001014 0000577579241 SRI MULYANI P PBI (APBN) Keratitis Rujuk Lanjut

199 27-07-2019 113004010719P001075 0000577614734 DEVINTA KHOIRUM P PBI (APBN) Acute upper respiratory Berobat Jalan
RAHMAWATI infection, unspecified
200 27-07-2019 113004010719P001080 0000577673998 MARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
201 27-07-2019 113004010719P001455 0000577693359 SUYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

202 27-07-2019 113004010719P001017 0000577693359 SUYATI P PBI (APBN) Chronic periodontitis Berobat Jalan

203 27-07-2019 113004010719P001051 0000577732421 DIYAH LARASATI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

204 27-07-2019 113004010719P001092 0000577763471 SUPI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
205 27-07-2019 113004010719P001466 0000577897929 RUKIN L PBI (APBN) Counselling, unspecified Berobat Jalan

206 27-07-2019 113004010719P001018 0000577897929 RUKIN L PBI (APBN) Other benign neoplasm of Berobat Jalan
connective and other soft

207 27-07-2019 113004010719P001047 0000578058221 SUGIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
208 27-07-2019 113004010719P001070 0001023234309 YAHMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
209 27-07-2019 113004010719P001042 0001023237764 DUWIK CAHYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
210 27-07-2019 113004010719P001033 0001079435474 FADHILAH PURNAMA SARI P PNS PUSAT Epilepsy Sembuh

211 27-07-2019 113004010719P001019 0001086327099 AULIA LUCIANA PRATIWI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
212 27-07-2019 113004010719P000997 0001529880884 EFENDI L PBI (APBD) Scrotal varices Rujuk Lanjut

213 27-07-2019 113004010719P001050 0001843966721 SUKARNI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

214 27-07-2019 113004010719P001004 0001899702955 SUWANDI L PEKERJA MANDIRI Heart failure Rujuk Lanjut

215 27-07-2019 113004010719P001046 0002306276267 SITI PATIMAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

216 27-07-2019 113004010719P000998 0002315708021 SEPTIAN RIZKI HARSONO L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

217 27-07-2019 113004010719P001457 0002315708021 SEPTIAN RIZKI HARSONO L PBI (APBN) Counselling, unspecified Berobat Jalan

218 27-07-2019 113004010719P001458 0002346480459 SUKINI P PBI (APBD) Counselling, unspecified Berobat Jalan

219 27-07-2019 113004010719P001461 0002346480922 UMI DHAKIROH P PBI (APBD) Counselling, unspecified Berobat Jalan

220 27-07-2019 113004010719P000995 0002346484061 SAHID L PBI (APBD) Chronic obstructive Rujuk Lanjut
pulmonary disease with
acute exacerbation,

221 27-07-2019 113004010719P001045 0002346484252 PURWO L PBI (APBD) Fever of other and Berobat Jalan
unknown origin
222 27-07-2019 113004010719P001094 0002346485106 SUPARTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
223 27-07-2019 113004010719P001054 0002346485128 TULUS TIYARTI P PBI (APBD) Myalgia Berobat Jalan

224 27-07-2019 113004010719P001096 0002574949612 SITI PURWANINGSIH P PBI (APBD) Headache Berobat Jalan

225 27-07-2019 113004010719P001015 0002574951388 SULIYAM P PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

226 27-07-2019 113004010719P001021 0002574953188 SUGIARTI P PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

227 27-07-2019 113004010719P001464 0002677489492 SUDARMI P PBI (APBN) Counselling, unspecified Berobat Jalan

228 27-07-2019 113004010719P000996 0002767336018 NAERA DWI JULIYANTI P PBI (APBD) Influenza, virus not Berobat Jalan
identified
229 27-07-2019 113004010719P001465 0002770671058 SUN HADIYAH P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

230 26-07-2019 113004010719P000991 0000073733949 DJURIJAH P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
231 26-07-2019 113004010719P000990 0000073814657 LEGIJONO L PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

232 26-07-2019 113004010719P000989 0000073814668 SUTINI P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

233 26-07-2019 113004010719P000988 0000073911857 SRI MUMPUNI P PENERIMA PENSIUN Hypertensive heart Sembuh
PNS disease with (congestive)

234 26-07-2019 113004010719P000983 0000573478828 NUROIKAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
235 26-07-2019 113004010719P001007 0000576872267 YATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
236 26-07-2019 113004010719P001002 0000577207811 NAWIJAN L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
237 26-07-2019 113004010719P001000 0000577208272 SUMINI P PBI (APBN) Other arthrosis Berobat Jalan

238 26-07-2019 113004010719P001006 0000577256308 RAMIN L PBI (APBN) Myalgia Berobat Jalan

239 26-07-2019 113004010719P000992 0000577256354 SUPARMI P PBI (APBN) Retained dental root Berobat Jalan

240 26-07-2019 113004010719P000985 0000577256354 SUPARMI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with

241 26-07-2019 113004010719P001008 0000577313818 RADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
242 26-07-2019 113004010719P000977 0000577348435 SAPIN L PBI (APBN) Cataract, unspecified Rujuk Lanjut

243 26-07-2019 113004010719P001011 0000577379777 JUMIYATI P PBI (APBN) Asthma Berobat Jalan

244 26-07-2019 113004010719P001451 0000577557246 RASIMAN L PBI (APBN) Counselling, unspecified Berobat Jalan

245 26-07-2019 113004010719P001012 0000577617298 SUWARTI P PBI (APBN) Headache Berobat Jalan

246 26-07-2019 113004010719P001003 0000577928823 SRUMISIH P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

247 26-07-2019 113004010719P000993 0000577951108 RIFKAH ANISA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
248 26-07-2019 113004010719P000976 0000578093523 SUMARDI L PBI (APBN) Peritonsillar abscess Rujuk Lanjut

249 26-07-2019 113004010719P001005 0001022898014 NURHADI PRAYITNO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
250 26-07-2019 113004010719P001452 0001023237494 JAMIYEM P PBI (APBN) Counselling, unspecified Berobat Jalan

251 26-07-2019 113004010719P000978 0001023247179 SUPARTI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
252 26-07-2019 113004010719P001009 0001023248867 SUPANGAT L PBI (APBN) Headache Berobat Jalan

253 26-07-2019 113004010719P000970 0001383323556 HARTINI P PEKERJA MANDIRI Heart failure, unspecified Rujuk Lanjut

254 26-07-2019 113004010719P000994 0001526533031 MUHAMAD NAI'MUL KHASAN L PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
255 26-07-2019 113004010719P001013 0001526959304 SARI P PBI (APBD) Asthma Berobat Jalan

256 26-07-2019 113004010719P001010 0001834702942 SUHARTI P PEKERJA MANDIRI Headache Berobat Jalan

257 26-07-2019 113004010719P001453 0002061774011 WENANG SUJARWANTO L PBI (APBD) Counselling, unspecified Berobat Jalan

258 26-07-2019 113004010719P001454 0002505167368 AHMAD RIDHO L PBI (APBN) Counselling, unspecified Berobat Jalan

259 25-07-2019 113004010719P000968 0000073616703 BUDIYATI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
260 25-07-2019 113004010719P000889 0000166620036 FATMA QOMARIYAH P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
261 25-07-2019 113004010719P000969 0000576026785 JASMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
262 25-07-2019 113004010719P000963 0000576579701 ARMILO IFLAHA SITRESIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
263 25-07-2019 113004010719P000981 0000576661138 SUPARMIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
264 25-07-2019 113004010719P000967 0000576750734 MONAH P PBI (APBN) Cellulitis Berobat Jalan

265 25-07-2019 113004010719P000986 0000576880187 AKHSANUR ROZI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
266 25-07-2019 113004010719P000890 0000576931959 SULISTIYOWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
267 25-07-2019 113004010719P000895 0000577021656 MUSLIKHATUL FADHILAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
268 25-07-2019 113004010719P000925 0000577098224 SABTA NURYANi P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

269 25-07-2019 113004010719P000980 0000577129239 MAKHZAZIN L PBI (APBN) Benign lipomatous Berobat Jalan
neoplasm of skin and
subcutaneous tissue of

270 25-07-2019 113004010719P000891 0000577317431 SITI MUNINGSIH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
271 25-07-2019 113004010719P000974 0000577504113 SAYEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

272 25-07-2019 113004010719P000982 0000577696375 SULIYEM P PBI (APBN) Myalgia Berobat Jalan

273 25-07-2019 113004010719P000897 0000577754111 NURUL BERLIANA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
274 25-07-2019 113004010719P000987 0000577884216 RUMINI P PBI (APBN) Headache Berobat Jalan

275 25-07-2019 113004010719P000965 0000578158446 KUNTINI P PBI (APBN) Hordeolum and chalazion Berobat Jalan

276 25-07-2019 113004010719P001270 0000578183736 SURATMIN L PBI (APBN) Gastritis, unspecified Sembuh

277 25-07-2019 113004010719P000984 0000578184175 MUHAMMAD BAHIRU P L PBI (APBN) Gastritis, unspecified Berobat Jalan

278 25-07-2019 113004010719P000902 0000578233348 AULIVIA SAFITRI P PBI (APBN) Foreign body in ear Rujuk Lanjut

279 25-07-2019 113004010719P000922 0001023221057 mohamad KHOIRUL ANWAR L PBI (APBN) Impacted teeth Berobat Jalan

280 25-07-2019 113004010719P001444 0001023221057 mohamad KHOIRUL ANWAR L PBI (APBN) Counselling, unspecified Berobat Jalan

281 25-07-2019 113004010719P000966 0001023238258 RETNO P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
282 25-07-2019 113004010719P000973 0001023241555 PUdJIATI P PBI (APBN) Dyspepsia Berobat Jalan

283 25-07-2019 113004010719P000971 0001023253198 SUMARMO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
284 25-07-2019 113004010719P000901 0001023253479 MARKAM L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

285 25-07-2019 113004010719P000972 0001086342906 MURSITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
286 25-07-2019 113004010719P000964 0001304624891 SUTRISNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
287 25-07-2019 113004010719P000979 0001529007614 RIZKI NANDA SAPUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
288 25-07-2019 113004010719P000899 0001529880884 EFENDI L PBI (APBD) Male infertility Rujuk Lanjut

289 25-07-2019 113004010719P000912 0002178936325 WAHYONO L PBI (APBN) Intracranial Rujuk Lanjut
space-occupying lesion
290 25-07-2019 113004010719P000907 0002315658227 AISYA ALDININGRUM P PBI (APBN) Influenza, virus not Berobat Jalan
identified
291 25-07-2019 113004010719P000892 0002346498044 DESHI CRISTIANI MUNTIA P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

292 25-07-2019 113004010719P000894 0002348596089 DIRGATAMA SATYA EL HAFIZ L PBI (APBD) Influenza, virus not Berobat Jalan
identified
293 25-07-2019 113004010719P000896 0002424659995 kevin ardana abi putra L PBI (APBN) Influenza, virus not Berobat Jalan
identified
294 25-07-2019 113004010719P000898 0002451144789 INDAH AYU MAULIDA P PBI (APBN) Influenza, virus not Berobat Jalan
identified
295 25-07-2019 113004010719P000975 0002511328871 ELYANA DIAN KUSUMA RINI P PEGAWAI SWASTA Other arthritis Berobat Jalan

296 25-07-2019 113004010719P001443 0002574953515 AHMAD RIFAI L PBI (APBD) Counselling, unspecified Berobat Jalan

297 25-07-2019 113004010719P000893 0002589256923 SLAAMET PURWANTO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
298 25-07-2019 113004010719P000908 0002773538807 ROHMATUN KHASANAH P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
299 24-07-2019 113004010719P001450 0000073632328 SUSHINTA RINA HASTANTRI P PNS DAERAH Counselling, unspecified Berobat Jalan

300 24-07-2019 113004010719P000850 0000166620036 FATMA QOMARIYAH P PEGAWAI SWASTA Retained dental root Berobat Jalan

301 24-07-2019 113004010719P001278 0000576054933 SRI WATIYEM P PBI (APBN) Essential (primary) Sembuh
hypertension
302 24-07-2019 113004010719P001434 0000576207257 TUGINI P PBI (APBN) Counselling, unspecified Berobat Jalan

303 24-07-2019 113004010719P000956 0000576287548 MAISSYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
304 24-07-2019 113004010719P000949 0000576666448 KARTINI P PBI (APBN) Low back pain Berobat Jalan

305 24-07-2019 113004010719P000948 0000576793001 SUGIYATI P PBI (APBN) Headache Berobat Jalan

306 24-07-2019 113004010719P001447 0000576877601 NGATIYEM P PBI (APBN) Counselling, unspecified Berobat Jalan

307 24-07-2019 113004010719P000849 0000576931959 SULISTIYOWATI P PBI (APBN) Retained dental root Berobat Jalan

308 24-07-2019 113004010719P000844 0000576957429 HARYANI P PBI (APBN) Other hearing loss Rujuk Lanjut

309 24-07-2019 113004010719P001448 0000576981731 SUMINEM P PBI (APBN) Counselling, unspecified Berobat Jalan

310 24-07-2019 113004010719P000847 0000577021656 MUSLIKHATUL FADHILAH P PBI (APBN) Counselling, unspecified Berobat Jalan

311 24-07-2019 113004010719P001439 0000577041568 SUMARNI P PBI (APBN) Counselling, unspecified Berobat Jalan

312 24-07-2019 113004010719P000846 0000577041568 SUMARNI P PBI (APBN) Retained dental root Berobat Jalan

313 24-07-2019 113004010719P001438 0000577193433 SUNARTI P PBI (APBN) Counselling, unspecified Berobat Jalan

314 24-07-2019 113004010719P000957 0000577204413 SRI LESTARI P PBI (APBN) Myalgia Berobat Jalan

315 24-07-2019 113004010719P000875 0000577242022 PARMI P PBI (APBN) Counselling, unspecified Berobat Jalan

316 24-07-2019 113004010719P000873 0000577316913 KUSMINI P PBI (APBN) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

317 24-07-2019 113004010719P000848 0000577317431 SITI MUNINGSIH P PBI (APBN) Chronic periodontitis Berobat Jalan

318 24-07-2019 113004010719P000945 0000577342337 NGADIMIN L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
319 24-07-2019 113004010719P000958 0000577342405 SITI SOFIATUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
320 24-07-2019 113004010719P001435 0000577352845 JASMANTO L PBI (APBN) Counselling, unspecified Berobat Jalan

321 24-07-2019 113004010719P000952 0000577641802 SUTARMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
322 24-07-2019 113004010719P000955 0000577778005 PARSIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
323 24-07-2019 113004010719P000950 0000577809235 SUTINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
324 24-07-2019 113004010719P000947 0000577843299 SITI MUSTOFIAH P PBI (APBN) Conjunctivitis Berobat Jalan

325 24-07-2019 113004010719P000860 0000577866508 KABIB SARIF HIDAYAT L PBI (APBN) Fracture of other finger Rujuk Lanjut

326 24-07-2019 113004010719P000960 0000577940433 GATOT BASUKI L PBI (APBN) Headache Berobat Jalan

327 24-07-2019 113004010719P000946 0000578052617 SUTRIMO L PBI (APBN) Myalgia Berobat Jalan

328 24-07-2019 113004010719P000953 0000578323811 SRI BUDIARTI P PBI (APBN) Chest pain, unspecified Berobat Jalan

329 24-07-2019 113004010719P001417 0000578642365 WAFIROH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
330 24-07-2019 113004010719P001436 0001023238416 MASLURI L PBI (APBN) Counselling, unspecified Berobat Jalan

331 24-07-2019 113004010719P000961 0001023241533 NUR SUCI L PBI (APBN) Myalgia Berobat Jalan

332 24-07-2019 113004010719P000842 0001023258699 SARMU L PBI (APBN) Benign neoplasm of testis Rujuk Lanjut

333 24-07-2019 113004010719P000874 0001023262828 SUMIYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

334 24-07-2019 113004010719P001446 0001079435474 FADHILAH PURNAMA SARI P PNS PUSAT Counselling, unspecified Berobat Jalan

335 24-07-2019 113004010719P001445 0001086332488 IRIYANTI P PBI (APBN) Counselling, unspecified Berobat Jalan

336 24-07-2019 113004010719P001442 0001086341556 SITI MUKAYAROH P PBI (APBN) Counselling, unspecified Berobat Jalan

337 24-07-2019 113004010719P000959 0001526538341 WAGIYEM P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
338 24-07-2019 113004010719P001440 0001874075567 DAMAR DWIKA PRAKOSO L PBI (APBD) Counselling, unspecified Berobat Jalan

339 24-07-2019 113004010719P000962 0001977152297 MEILAN ISMAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
340 24-07-2019 113004010719P000841 0002043302679 MARMI P PEKERJA MANDIRI Polycythaemia vera Rujuk Lanjut

341 24-07-2019 113004010719P000843 0002205423426 WASITO L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

342 24-07-2019 113004010719P000954 0002346484408 INTAN DWI RAMADANI P PBI (APBD) Chronic obstructive Berobat Jalan
pulmonary disease with
acute exacerbation,

343 24-07-2019 113004010719P001449 0002346484858 TUMIRAH P PBI (APBD) Counselling, unspecified Berobat Jalan

344 24-07-2019 113004010719P000951 0002346498033 SUNARNI P PBI (APBD) Myalgia Berobat Jalan

345 24-07-2019 113004010719P000845 0002483331041 SHIFA AULIA P PEGAWAI SWASTA Nasal polyp Rujuk Lanjut

346 24-07-2019 113004010719P001441 0002574953188 SUGIARTI P PBI (APBD) Counselling, unspecified Berobat Jalan

347 24-07-2019 113004010719P000944 0002738044664 KASMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
348 23-07-2019 113004010719P000916 0000576712361 MUKINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
349 23-07-2019 113004010719P001277 0000576825063 SUPARMIN L PBI (APBN) Other and unspecified Sembuh
abdominal pain
350 23-07-2019 113004010719P000903 0000576836166 HARTO L PBI (APBN) Low back pain Berobat Jalan

351 23-07-2019 113004010719P000919 0000576899155 ISMI KHOLIFAH DAIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
352 23-07-2019 113004010719P000905 0000576981775 RASIYEM P PBI (APBN) Myalgia Berobat Jalan

353 23-07-2019 113004010719P000909 0000576987254 PARMIN L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

354 23-07-2019 113004010719P000904 0000577068535 RASMINAH P PBI (APBN) Pruritus, unspecified Berobat Jalan

355 23-07-2019 113004010719P000915 0000577142908 SITI NURKHAYATI P PBI (APBN) Headache Berobat Jalan

356 23-07-2019 113004010719P001420 0000577145248 AIMATU SOLEKAH P PBI (APBN) Counselling, unspecified Berobat Jalan

357 23-07-2019 113004010719P000906 0000577191971 SUPARMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
358 23-07-2019 113004010719P000917 0000577241223 SUMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
359 23-07-2019 113004010719P000802 0000577476832 WATI LESTARI P PBI (APBN) Cardiac arrhythmia, Rujuk Lanjut
unspecified
360 23-07-2019 113004010719P001421 0000577511458 SUMINI P PBI (APBN) Counselling, unspecified Berobat Jalan

361 23-07-2019 113004010719P000914 0000577544499 WASIDI L PBI (APBN) Other arthrosis Berobat Jalan

362 23-07-2019 113004010719P000900 0000577552768 SUYONO L PBI (APBN) Chest pain, unspecified Berobat Jalan

363 23-07-2019 113004010719P000820 0000577748068 CATUR YULI TULUS P PBI (APBN) Supervision of normal Berobat Jalan
PRASTYOWATI pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

364 23-07-2019 113004010719P000921 0000577942569 SUWARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
365 23-07-2019 113004010719P000911 0000578038509 KASMI P PBI (APBN) Myalgia Berobat Jalan

366 23-07-2019 113004010719P001402 0000578039117 DINA KUMILASARI P PBI (APBN) Supervision of normal Sembuh
pregnancy
367 23-07-2019 113004010719P001422 0000578156769 ANIK P PBI (APBN) Counselling, unspecified Berobat Jalan

368 23-07-2019 113004010719P000823 0001023230349 PARWIYATUN P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
369 23-07-2019 113004010719P000814 0001023235841 AHMAT SUYOTO L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease with
acute exacerbation,

370 23-07-2019 113004010719P000920 0001023247091 RASMINI P PBI (APBN) Conjunctivitis Berobat Jalan

371 23-07-2019 113004010719P000913 0001023259781 PURMINI P PBI (APBN) Other disorders of urinary Berobat Jalan
system
372 23-07-2019 113004010719P000910 0001086338619 RASIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
373 23-07-2019 113004010719P000918 0001690939978 IDAYANTINI P PBI (APBD) Myalgia Berobat Jalan

374 23-07-2019 113004010719P000818 0001690940114 EKA FITHRIANI P PBI (APBD) Supervision of high-risk Rujuk Lanjut
pregnancy
375 23-07-2019 113004010719P000815 0001897909222 BAMBANG ALISIS SUDARSANA L PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
rectum
376 23-07-2019 113004010719P001403 0002080292938 NOR AL KHIKMAH P PEGAWAI SWASTA Supervision of normal Sembuh
pregnancy
377 23-07-2019 113004010719P001415 0002080872156 FEBRIOLA AJENG CAHYANING P PEGAWAI SWASTA Supervision of normal Berobat Jalan
DEWI pregnancy
378 23-07-2019 113004010719P000817 0002315708021 SEPTIAN RIZKI HARSONO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

379 23-07-2019 113004010719P000813 0002346481484 TAUFIKURROHMAN L PBI (APBD) Acute miliary tuberculosis Rujuk Lanjut
of multiple sites

380 23-07-2019 113004010719P001416 0002581592242 NUR INDAH SARI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
381 22-07-2019 113004010719P001426 0000073734142 GIARNI P PENERIMA PENSIUN TNI Counselling, unspecified Berobat Jalan

382 22-07-2019 113004010719P000756 0000073796196 JUMIYATI P PENERIMA PENSIUN Heart failure, unspecified Rujuk Lanjut
PNS
383 22-07-2019 113004010719P000824 0000074002263 ISTIDATUN P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

384 22-07-2019 113004010719P000834 0000576601806 SUPRIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
385 22-07-2019 113004010719P000793 0000576694901 SAWI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
386 22-07-2019 113004010719P001437 0000576696701 LEGIYAH P PBI (APBN) Counselling, unspecified Berobat Jalan

387 22-07-2019 113004010719P000759 0000576736648 MARIYEM P PBI (APBN) Retained dental root Berobat Jalan

388 22-07-2019 113004010719P000826 0000576806128 SAYEM P PBI (APBN) Myalgia Berobat Jalan

389 22-07-2019 113004010719P000836 0000576861118 PAMIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
390 22-07-2019 113004010719P000797 0000576880187 AKHSANUR ROZI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
391 22-07-2019 113004010719P000781 0000576894587 SRIWATI P PBI (APBN) Chronic kidney disease Rujuk Lanjut

392 22-07-2019 113004010719P000801 0000576951221 SUNOWO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
393 22-07-2019 113004010719P000811 0000576962212 JAMILAH P PBI (APBN) Myalgia Berobat Jalan

394 22-07-2019 113004010719P000812 0000577006852 SURYANTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
395 22-07-2019 113004010719P001401 0000577027271 RUSMI P PBI (APBN) Supervision of normal Sembuh
pregnancy
396 22-07-2019 113004010719P000833 0000577049264 NGARPI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
397 22-07-2019 113004010719P000786 0000577108124 MASLAMAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

398 22-07-2019 113004010719P000790 0000577129239 MAKHZAZIN L PBI (APBN) Benign lipomatous Rujuk Lanjut
neoplasm of intrathoracic

399 22-07-2019 113004010719P001424 0000577148545 MARYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

400 22-07-2019 113004010719P000795 0000577174882 SULASTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
401 22-07-2019 113004010719P000782 0000577257996 SOERATNO L PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
402 22-07-2019 113004010719P000830 0000577258863 NURUL F.Z P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
403 22-07-2019 113004010719P000821 0000577262259 RAMI P PBI (APBN) Myalgia Berobat Jalan

404 22-07-2019 113004010719P000832 0000577282599 MASUDI L PBI (APBN) Myalgia Berobat Jalan

405 22-07-2019 113004010719P000831 0000577283286 HARTINI P PBI (APBN) Chest pain, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

406 22-07-2019 113004010719P001276 0000577298474 RAMSIH P PBI (APBN) Epidemic vertigo Sembuh

407 22-07-2019 113004010719P000839 0000577340256 MUH. YAHYA L PBI (APBN) Parkinson's disease Berobat Jalan

408 22-07-2019 113004010719P000780 0000577351719 suPARMO L PBI (APBN) Calculus of ureter Rujuk Lanjut

409 22-07-2019 113004010719P000805 0000577402492 YAYUK P PBI (APBN) Low back pain Berobat Jalan

410 22-07-2019 113004010719P000804 0000577466357 MASTIAH P PBI (APBN) Myalgia Berobat Jalan

411 22-07-2019 113004010719P000803 0000577466559 ULILKURBA L PBI (APBN) Epilepsy, unspecified Berobat Jalan

412 22-07-2019 113004010719P000837 0000577515442 SUGIMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
413 22-07-2019 113004010719P000816 0000577673998 MARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
414 22-07-2019 113004010719P000794 0000577749958 MOHAMAD ZAENURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
415 22-07-2019 113004010719P000788 0000577763471 SUPI P PBI (APBN) Counselling, unspecified Berobat Jalan

416 22-07-2019 113004010719P000806 0000577807569 ANDIKA PRATAMA L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
417 22-07-2019 113004010719P000825 0000577916021 DARYOTO L PBI (APBN) Chest pain, unspecified Berobat Jalan

418 22-07-2019 113004010719P000810 0000577936394 SITI NURYATI P PBI (APBN) Headache Berobat Jalan

419 22-07-2019 113004010719P000800 0000578058603 MUSTAFAAH P PBI (APBN) Myalgia Berobat Jalan

420 22-07-2019 113004010719P001429 0000578116901 EKA TRI ANINGSIH P PBI (APBN) Counselling, unspecified Berobat Jalan

421 22-07-2019 113004010719P000789 0000578189878 SUTOMO L PBI (APBN) Heart failure, unspecified Rujuk Lanjut

422 22-07-2019 113004010719P001428 0000578235295 MURNI P PBI (APBN) Counselling, unspecified Berobat Jalan

423 22-07-2019 113004010719P000819 0000578349336 SUWARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
424 22-07-2019 113004010719P000828 0001023222249 APRIATOTRI NUGROHO L PBI (APBN) Fever, unspecified Berobat Jalan

425 22-07-2019 113004010719P000787 0001023224128 SEPTA MANDA QIRANA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
426 22-07-2019 113004010719P000835 0001023224319 trisnawati P PBI (APBN) Myalgia Berobat Jalan

427 22-07-2019 113004010719P000808 0001023236447 SUPARI L PBI (APBN) Other rheumatoid arthritis Berobat Jalan

428 22-07-2019 113004010719P000807 0001023236458 SULIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
429 22-07-2019 113004010719P000792 0001023238078 DJUMYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
430 22-07-2019 113004010719P000809 0001023240352 SUMIRAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

431 22-07-2019 113004010719P000822 0001023248316 PARMO L PBI (APBN) Headache Berobat Jalan

432 22-07-2019 113004010719P000791 0001023248676 SUKINI P PBI (APBN) Senile cataract Rujuk Lanjut

433 22-07-2019 113004010719P001083 0001023248981 SOLECHAH P PBI (APBN) Malocclusion, unspecified Berobat Jalan

434 22-07-2019 113004010719P000827 0001023253198 SUMARMO L PBI (APBN) Myalgia Berobat Jalan

435 22-07-2019 113004010719P000783 0001023255156 SUWARJO L PBI (APBN) Malignant neoplasm of Rujuk Lanjut
connective and soft tissue

436 22-07-2019 113004010719P001430 0001086284147 PARMI P PBI (APBN) Counselling, unspecified Berobat Jalan

437 22-07-2019 113004010719P001432 0001086341556 SITI MUKAYAROH P PBI (APBN) Counselling, unspecified Berobat Jalan

438 22-07-2019 113004010719P001427 0001086342906 MURSITI P PBI (APBN) Counselling, unspecified Berobat Jalan

439 22-07-2019 113004010719P000799 0001389123178 siti rochmatun P PEKERJA MANDIRI Myalgia Berobat Jalan

440 22-07-2019 113004010719P001414 0001430238058 SARTIKA P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
441 22-07-2019 113004010719P000798 0001526902097 JUMAIN L PBI (APBD) Gonococcal infection Berobat Jalan

442 22-07-2019 113004010719P001431 0001529878994 SITI NUR KALIMAH SYARIFAH P PBI (APBD) Counselling, unspecified Berobat Jalan

443 22-07-2019 113004010719P001433 0001826596449 SRI AGUSTIANI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

444 22-07-2019 113004010719P000829 0002054621002 JUMINI P PEGAWAI PEMERINTAH Headache Berobat Jalan
DENGAN PERJANJIAN

445 22-07-2019 113004010719P000785 0002129277216 ATIK ATUN NAZILAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
446 22-07-2019 113004010719P000758 0002275403747 SALSABILA RAMADHANI P PEGAWAI SWASTA Retained dental root Berobat Jalan

447 22-07-2019 113004010719P000773 0002346489303 SUTRIYANI P PBI (APBD) Maternal care for Rujuk Lanjut
disproportion, unspecified
448 22-07-2019 113004010719P001413 0002446607441 WINARSIH P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
449 22-07-2019 113004010719P000757 0002451248471 AZZAHRA ADZKIYA PUJI P PBI (APBN) Congenital ptosis Rujuk Lanjut
ALSABILLA
450 22-07-2019 113004010719P000838 0002466238239 SULISTIYOWATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
451 22-07-2019 113004010719P001423 0002574944234 SAWILAH P PBI (APBD) Counselling, unspecified Berobat Jalan

452 22-07-2019 113004010719P000784 0002574951996 MUSRIAH P PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

453 22-07-2019 113004010719P001425 0002574953627 SUTIKNO L PBI (APBD) Counselling, unspecified Berobat Jalan

454 22-07-2019 113004010719P000796 0002575683617 SUSANTI P PBI (APBD) Inflammatory disorders of Berobat Jalan
breast
455 22-07-2019 113004010719P000840 0002677488671 SUPARMIN L PBI (APBN) Myalgia Berobat Jalan

456 22-07-2019 113004010719P000778 0002751967934 BINTANG RAYYAN AL HAKIM L PEKERJA MANDIRI Striking against or bumped Berobat Jalan
into by another person,
Other Specified Area

457 21-07-2019 113004010719P001400 0000656799502 REVIANA ERI KUSUMA P PBI (APBN) Supervision of normal Sembuh
pregnancy
458 20-07-2019 113004010719P000779 0000073626489 ROCHYANI P PNS DAERAH Myalgia Berobat Jalan

459 20-07-2019 113004010719P001386 0000575769881 sarah P PBI (APBN) Counselling, unspecified Berobat Jalan

460 20-07-2019 113004010719P001365 0000576416755 RUDINAH P PBI (APBN) Counselling, unspecified Berobat Jalan

461 20-07-2019 113004010719P001366 0000576427623 NASIRAH P PBI (APBN) Counselling, unspecified Berobat Jalan

462 20-07-2019 113004010719P001371 0000576509073 NGATINI P PBI (APBN) Counselling, unspecified Berobat Jalan

463 20-07-2019 113004010719P000764 0000576533946 SUNDOYO L PBI (APBN) Other dermatitis Berobat Jalan

464 20-07-2019 113004010719P001364 0000576666448 KARTINI P PBI (APBN) Counselling, unspecified Berobat Jalan

465 20-07-2019 113004010719P001382 0000576750734 MONAH P PBI (APBN) Counselling, unspecified Berobat Jalan

466 20-07-2019 113004010719P000755 0000576806253 SULKAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
467 20-07-2019 113004010719P001375 0000576886397 QIRO'ATUL ADKHAENI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

468 20-07-2019 113004010719P000766 0000576987783 DJAMAN L PBI (APBN) Myalgia Berobat Jalan

469 20-07-2019 113004010719P000746 0000577035685 NARSIH P PBI (APBN) Keloid scar Rujuk Lanjut

470 20-07-2019 113004010719P001378 0000577087964 SUPARJO L PBI (APBN) Counselling, unspecified Berobat Jalan

471 20-07-2019 113004010719P001387 0000577193433 SUNARTI P PBI (APBN) Counselling, unspecified Berobat Jalan

472 20-07-2019 113004010719P001368 0000577214548 PAYO L PBI (APBN) Counselling, unspecified Berobat Jalan

473 20-07-2019 113004010719P001377 0000577484122 RELIF KUSWOYO P PBI (APBN) Counselling, unspecified Berobat Jalan

474 20-07-2019 113004010719P001374 0000577558326 RASNO L PBI (APBN) Counselling, unspecified Berobat Jalan

475 20-07-2019 113004010719P001383 0000577558495 RUMINAH P PBI (APBN) Counselling, unspecified Berobat Jalan

476 20-07-2019 113004010719P001367 0000577693359 SUYATI P PBI (APBN) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

477 20-07-2019 113004010719P000751 0000577713611 SUPARTI P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
478 20-07-2019 113004010719P000750 0000577724736 JUMIATI P PBI (APBN) Gastroduodenitis, Rujuk Lanjut
unspecified
479 20-07-2019 113004010719P000745 0000577753716 MOHAMAD JAMALLUDIN L PBI (APBN) Schizophrenia Rujuk Lanjut

480 20-07-2019 113004010719P000767 0000577787905 ADINDA PUTRI AGUSTINA P PBI (APBN) Acute pharyngitis Berobat Jalan

481 20-07-2019 113004010719P000754 0000577788388 EKA SUNYI PUSPITASARI P PBI (APBN) Headache Berobat Jalan

482 20-07-2019 113004010719P000753 0000577940433 GATOT BASUKI L PBI (APBN) Hypertensive heart Berobat Jalan
disease
483 20-07-2019 113004010719P001370 0000577981078 MIYATIN P PBI (APBN) Counselling, unspecified Berobat Jalan

484 20-07-2019 113004010719P001380 0000578585441 HARTONO L PBI (APBN) Counselling, unspecified Berobat Jalan

485 20-07-2019 113004010719P001376 0001023245212 LESTARI P PBI (APBN) Counselling, unspecified Berobat Jalan

486 20-07-2019 113004010719P000734 0001023249273 SULIYEM P PBI (APBN) Calculus in urethra Rujuk Lanjut

487 20-07-2019 113004010719P000738 0001634107083 WIWIK AGUSTINA P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
488 20-07-2019 113004010719P001390 0001826596449 SRI AGUSTIANI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

489 20-07-2019 113004010719P000744 0001874662953 lia pratamawati P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
490 20-07-2019 113004010719P001389 0002024238093 MISBA KHULASIHRORI L PBI (APBN) Counselling, unspecified Berobat Jalan

491 20-07-2019 113004010719P001379 0002167474386 MUSTAIN L PBI (APBD) Counselling, unspecified Berobat Jalan

492 20-07-2019 113004010719P001373 0002178771118 AHMAD KHOIRUL ROHIM L PBI (APBN) Counselling, unspecified Berobat Jalan

493 20-07-2019 113004010719P001372 0002206460935 SUYATI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

494 20-07-2019 113004010719P000752 0002249225436 KLARYBEL FLONA MAUREEN P PEKERJA MANDIRI Nausea and vomiting Rujuk Lanjut
HYUNDEGA
495 20-07-2019 113004010719P001279 0002311113295 MUSBIKHIN L PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

496 20-07-2019 113004010719P000747 0002315654335 DAMAR RIZKI PRATAMA L PBI (APBN) Gastroenteritis and colitis Berobat Jalan
of unspecified origin
497 20-07-2019 113004010719P001385 0002346478615 SITI NUR KHASANAH P PBI (APBD) Counselling, unspecified Berobat Jalan

498 20-07-2019 113004010719P001381 0002346482867 SAWI P PBI (APBD) Counselling, unspecified Berobat Jalan

499 20-07-2019 113004010719P000733 0002346484061 SAHID L PBI (APBD) Cardiac arrhythmia, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

500 20-07-2019 113004010719P001369 0002346485106 SUPARTI P PBI (APBD) Counselling, unspecified Berobat Jalan

501 20-07-2019 113004010719P001412 0002445676661 KHULUD NUR`AINI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
502 20-07-2019 113004010719P001384 0002466238138 AGUS PRIYANTO L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

503 20-07-2019 113004010719P000760 0002574953392 AYATHUL KHUSNA P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
504 20-07-2019 113004010719P001388 0002581146562 MUHAMMAD RIDWAN L PBI (APBD) Counselling, unspecified Berobat Jalan

505 20-07-2019 113004010719P000749 0002611385223 AHMAD KHUMAIDI L PBI (APBD) Influenza, virus not Berobat Jalan
identified
506 20-07-2019 113004010719P000748 0002625794818 BAYI NYONYA DAMAYANTI L PBI (APBN) Influenza, virus not Berobat Jalan
identified
507 19-07-2019 113004010719P000713 0000073814848 martini P PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
508 19-07-2019 113004010719P000732 0000073816176 RUSMIYATI P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
509 19-07-2019 113004010719P000743 0000576818908 SITI RUKANAH P PBI (APBN) Low back pain Berobat Jalan

510 19-07-2019 113004010719P000718 0000576830384 SUWARTI P PBI (APBN) Senile incipient cataract Rujuk Lanjut

511 19-07-2019 113004010719P000722 0000576834625 KARNI P PBI (APBN) Headache Berobat Jalan

512 19-07-2019 113004010719P000736 0000576861118 PAMIN L PBI (APBN) Hypertensive heart Berobat Jalan
disease
513 19-07-2019 113004010719P000709 0000576925672 SUROTO L PBI (APBN) Personal history of Rujuk Lanjut
infectious and parasitic

514 19-07-2019 113004010719P000730 0000577208755 SUPARTI P PBI (APBN) Hypertensive heart Berobat Jalan
disease
515 19-07-2019 113004010719P000724 0000577222749 SATIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
516 19-07-2019 113004010719P000729 0000577336138 MARIYATI P PBI (APBN) Dyspepsia Berobat Jalan

517 19-07-2019 113004010719P000717 0000577476832 WATI LESTARI P PBI (APBN) Cardiac arrhythmia, Rujuk Lanjut
unspecified
518 19-07-2019 113004010719P000737 0000577809235 SUTINAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease
519 19-07-2019 113004010719P000716 0000577812339 SUKARDI L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

520 19-07-2019 113004010719P000711 0000577820621 KALIMAH P PBI (APBN) Necrosis of pulp Berobat Jalan

521 19-07-2019 113004010719P000726 0000577830677 YATMI P PBI (APBN) Hypertensive heart Berobat Jalan
disease
522 19-07-2019 113004010719P001399 0000577863628 MURYANI P PBI (APBN) Supervision of normal Sembuh
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

523 19-07-2019 113004010719P001363 0000577913229 RASI P PBI (APBN) Counselling, unspecified Berobat Jalan

524 19-07-2019 113004010719P000741 0000577919621 YUKAMAN P PBI (APBN) Headache Berobat Jalan

525 19-07-2019 113004010719P000710 0000577956486 IDA DAMAIATIK P PBI (APBN) Supervision of high-risk Rujuk Lanjut
pregnancy
526 19-07-2019 113004010719P000715 0000578013118 ADI SAPUTRA L PBI (APBN) Pulpitis Berobat Jalan

527 19-07-2019 113004010719P000731 0000578130039 SARPO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
528 19-07-2019 113004010719P000727 0000578131323 EKO SISWATO L PBI (APBN) Asthma Berobat Jalan

529 19-07-2019 113004010719P000728 0001023222249 APRIATOTRI NUGROHO L PBI (APBN) Dyspepsia Berobat Jalan

530 19-07-2019 113004010719P001360 0001023224951 SUGIYARTI P PBI (APBN) Counselling, unspecified Berobat Jalan

531 19-07-2019 113004010719P000714 0001023230485 SUTANTO L PBI (APBN) Pulpitis Berobat Jalan

532 19-07-2019 113004010719P000739 0001023232599 SUPAMI P PBI (APBN) Low back pain Berobat Jalan

533 19-07-2019 113004010719P000735 0001023234309 YAHMO L PBI (APBN) Dyspepsia Berobat Jalan

534 19-07-2019 113004010719P000740 0001023241533 NUR SUCI L PBI (APBN) Myalgia Berobat Jalan

535 19-07-2019 113004010719P000742 0001023247091 RASMINI P PBI (APBN) Conjunctivitis Berobat Jalan

536 19-07-2019 113004010719P001273 0001023248867 SUPANGAT L PBI (APBN) Essential (primary) Sembuh
hypertension
537 19-07-2019 113004010719P001361 0001023265383 PUTRI DIAN NOVITA P PBI (APBN) Counselling, unspecified Berobat Jalan

538 19-07-2019 113004010719P001359 0001086342906 MURSITI P PBI (APBN) Counselling, unspecified Berobat Jalan

539 19-07-2019 113004010719P001081 0001528401172 KHOLIFATUR ROSIDAH P PBI (APBD) Retained dental root Berobat Jalan

540 19-07-2019 113004010719P000721 0001528401172 KHOLIFATUR ROSIDAH P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
541 19-07-2019 113004010719P001362 0001826596449 SRI AGUSTIANI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

542 19-07-2019 113004010719P000720 0002072457955 MUSRIAH P PBI (APBD) Thyrotoxicosis Rujuk Lanjut
[hyperthyroidism]
543 19-07-2019 113004010719P000712 0002313674976 SUTARSIH P PBI (APBD) Chronic periodontitis Berobat Jalan

544 19-07-2019 113004010719P001357 0002313674976 SUTARSIH P PBI (APBD) Counselling, unspecified Berobat Jalan

545 19-07-2019 113004010719P000725 0002346482801 UMI KHOLIPAH P PBI (APBD) Dyspepsia Berobat Jalan

546 19-07-2019 113004010719P000719 0002495835033 SULIYEM P PEKERJA MANDIRI Other and unspecified Rujuk Lanjut
ovarian cysts
547 19-07-2019 113004010719P001358 0002574953188 SUGIARTI P PBI (APBD) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

548 19-07-2019 113004010719P000723 0002677490853 NGATIYEM P PBI (APBN) Sciatica Berobat Jalan

549 18-07-2019 113004010719P001328 0000073781796 SUTINI P PENERIMA PENSIUN Counselling, unspecified Berobat Jalan
PNS
550 18-07-2019 113004010719P000674 0000073818707 SUWARSIH P PENERIMA PENSIUN Cerebral oedema Rujuk Lanjut
PNS
551 18-07-2019 113004010719P000687 0000073963776 SITI ROMANI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
552 18-07-2019 113004010719P000652 0000086639005 HERVINA DENSI MAYASARI P PEKERJA MANDIRI Supervision of high-risk Rujuk Lanjut
pregnancy
553 18-07-2019 113004010719P001350 0000575906174 NARSIH P PBI (APBN) Counselling, unspecified Berobat Jalan

554 18-07-2019 113004010719P000706 0000576174723 SITI MUNAWAROH P PBI (APBN) Myalgia Berobat Jalan

555 18-07-2019 113004010719P001411 0000576606982 NINIK SETYOWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
556 18-07-2019 113004010719P000648 0000576701965 MARIYANI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

557 18-07-2019 113004010719P000708 0000576750734 MONAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
558 18-07-2019 113004010719P001351 0000577179876 ASROLI L PBI (APBN) Counselling, unspecified Berobat Jalan

559 18-07-2019 113004010719P000691 0000577224336 SURURI L PBI (APBN) Keratitis Berobat Jalan

560 18-07-2019 113004010719P001327 0000577243394 MARMINAH P PBI (APBN) Counselling, unspecified Berobat Jalan

561 18-07-2019 113004010719P000654 0000577243394 MARMINAH P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

562 18-07-2019 113004010719P000662 0000577282432 KISWATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
563 18-07-2019 113004010719P001353 0000577321187 PURMININGSIH P PBI (APBN) Counselling, unspecified Berobat Jalan

564 18-07-2019 113004010719P000667 0000577321187 PURMININGSIH P PBI (APBN) Pulpitis Berobat Jalan

565 18-07-2019 113004010719P000696 0000577453803 DIAH AYU PUJI ASTUTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
566 18-07-2019 113004010719P000660 0000577466706 SARNI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
567 18-07-2019 113004010719P000694 0000577493932 DARMI P PBI (APBN) Myalgia Berobat Jalan

568 18-07-2019 113004010719P001352 0000577495124 AMANDA SAPUTRI P PBI (APBN) Counselling, unspecified Berobat Jalan

569 18-07-2019 113004010719P000695 0000577696375 SULIYEM P PBI (APBN) Myalgia Berobat Jalan

570 18-07-2019 113004010719P000678 0000577912836 RUMINI P PBI (APBN) Periapical abscess without Berobat Jalan
sinus
571 18-07-2019 113004010719P000655 0000577945438 PASRI P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

572 18-07-2019 113004010719P000699 0000577948443 TINARNI P PBI (APBN) Other arthrosis Berobat Jalan

573 18-07-2019 113004010719P000651 0000577971281 SITI ASIYAH P PBI (APBN) Necrosis of pulp Berobat Jalan

574 18-07-2019 113004010719P000703 0000578058221 SUGIYAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease
575 18-07-2019 113004010719P000704 0000578063698 SUWARTO L PBI (APBN) Urticaria Berobat Jalan

576 18-07-2019 113004010719P001354 0000578114379 SITI MARIANI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

577 18-07-2019 113004010719P000705 0000578119432 SUMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
578 18-07-2019 113004010719P000686 0000578129477 MAMIK MELANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
579 18-07-2019 113004010719P000650 0000578198002 WASIYAH P PBI (APBN) Malignant melanoma of Rujuk Lanjut
skin
580 18-07-2019 113004010719P000700 0001023238078 DJUMYATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease
581 18-07-2019 113004010719P000701 0001023238416 MASLURI L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
582 18-07-2019 113004010719P000692 0001023239788 EVA RAHMAWATI P PBI (APBN) Acute pharyngitis Berobat Jalan

583 18-07-2019 113004010719P000698 0001023244762 LEGI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
584 18-07-2019 113004010719P000653 0001086361312 RUTIYEM P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
skin, unspecified
585 18-07-2019 113004010719P000649 0001372786738 DHYAS MUHAMMAD AKBAR L PEGAWAI SWASTA Senile cataract Rujuk Lanjut

586 18-07-2019 113004010719P000688 0001526902097 JUMAIN L PBI (APBD) Gonococcal infection Berobat Jalan

587 18-07-2019 113004010719P001356 0001826596449 SRI AGUSTIANI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

588 18-07-2019 113004010719P000689 0002056675869 SUTINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
589 18-07-2019 113004010719P000707 0002204189673 DARNI P PBI (APBD) Myalgia Berobat Jalan

590 18-07-2019 113004010719P000702 0002281497895 SUYONO ATMO L PEKERJA MANDIRI Myalgia Berobat Jalan

591 18-07-2019 113004010719P000682 0002323320287 FADHIL ADITYA EVENDI L PBI (APBD) Influenza, virus not Berobat Jalan
identified
592 18-07-2019 113004010719P000690 0002346482698 SITI MUNAWAROH P PBI (APBD) Headache Berobat Jalan

593 18-07-2019 113004010719P001355 0002461243588 LAELATUL MUSYAROFAH P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

594 18-07-2019 113004010719P001349 0002574944234 SAWILAH P PBI (APBD) Counselling, unspecified Berobat Jalan

595 18-07-2019 113004010719P000697 0002574951996 MUSRIAH P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

596 18-07-2019 113004010719P000693 0002738044664 KASMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
597 17-07-2019 113004010719P000672 0000073918563 MUNTIAH P PENERIMA PENSIUN Influenza, virus not Berobat Jalan
PNS identified
598 17-07-2019 113004010719P001076 0000575807084 RUSMIYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

599 17-07-2019 113004010719P000628 0000575850396 SULIYEM P PBI (APBN) Low back pain Rujuk Lanjut

600 17-07-2019 113004010719P000685 0000576026785 JASMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
601 17-07-2019 113004010719P000664 0000576429952 WIJI SUMARNI P PBI (APBN) Headache Berobat Jalan

602 17-07-2019 113004010719P000775 0000576490239 KASMI P PBI (APBN) Myalgia Berobat Jalan

603 17-07-2019 113004010719P001339 0000576500501 RUKMINI P PBI (APBN) Counselling, unspecified Berobat Jalan

604 17-07-2019 113004010719P000772 0000576512515 SURATMI P PBI (APBN) Myalgia Berobat Jalan

605 17-07-2019 113004010719P000641 0000576583942 RENI TRIANINGSIH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
606 17-07-2019 113004010719P001348 0000576626297 SULANI P PBI (APBN) Counselling, unspecified Berobat Jalan

607 17-07-2019 113004010719P000677 0000576736648 MARIYEM P PBI (APBN) Myalgia Berobat Jalan

608 17-07-2019 113004010719P001347 0000576741791 KASWADI L PBI (APBN) Counselling, unspecified Berobat Jalan

609 17-07-2019 113004010719P001346 0000576758248 SARMAN L PBI (APBN) Counselling, unspecified Berobat Jalan

610 17-07-2019 113004010719P000680 0000576791482 SURADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
611 17-07-2019 113004010719P000774 0000576848834 NUR KAYATI P PBI (APBN) Headache Berobat Jalan

612 17-07-2019 113004010719P000659 0000576912598 SUTRISNO L PBI (APBN) Headache Berobat Jalan

613 17-07-2019 113004010719P000645 0000576925547 ARIF MINTARSIH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
614 17-07-2019 113004010719P000647 0000577038925 AINUN JARIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
615 17-07-2019 113004010719P000642 0000577090732 PUTRI NUR ENDAH SARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
616 17-07-2019 113004010719P000679 0000577187987 SITI MUDRIKAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
617 17-07-2019 113004010719P000643 0000577202163 DIAN PUJIYANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
618 17-07-2019 113004010719P001074 0000577282432 KISWATI P PBI (APBN) Counselling, unspecified Berobat Jalan

619 17-07-2019 113004010719P000770 0000577435577 GIANTI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

620 17-07-2019 113004010719P000776 0000577441877 NGADIYEM P PBI (APBN) Headache Berobat Jalan

621 17-07-2019 113004010719P000763 0000577495833 KASMINEM P PBI (APBN) Myalgia Berobat Jalan

622 17-07-2019 113004010719P000769 0000577509129 MUNIRAH P PBI (APBN) Myalgia Berobat Jalan

623 17-07-2019 113004010719P000681 0000577673998 MARYATI P PBI (APBN) Asthma Berobat Jalan

624 17-07-2019 113004010719P000765 0000577674617 SUPRIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
625 17-07-2019 113004010719P000663 0000577724736 JUMIATI P PBI (APBN) Headache Berobat Jalan

626 17-07-2019 113004010719P000665 0000577732421 DIYAH LARASATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease
627 17-07-2019 113004010719P000631 0000577753367 SUWARTI P PBI (APBN) Congenital Rujuk Lanjut
dyserythropoietic anaemia
628 17-07-2019 113004010719P000771 0000577769872 SUMINI P PBI (APBN) Headache Berobat Jalan

629 17-07-2019 113004010719P000668 0000577778005 PARSIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
630 17-07-2019 113004010719P000661 0000577890595 RISWATI P PBI (APBN) Disorder of vestibular Rujuk Lanjut
function, unspecified
631 17-07-2019 113004010719P000657 0000578005301 SUTARNI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
632 17-07-2019 113004010719P000630 0000578014637 DARWATI P PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

633 17-07-2019 113004010719P000683 0000578041446 SRI WAHYU P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
634 17-07-2019 113004010719P000768 0000578305315 SUWARNI P PBI (APBN) Myalgia Berobat Jalan

635 17-07-2019 113004010719P000618 0001023219551 SUTINI P PBI (APBN) Leiomyoma of uterus Rujuk Lanjut

636 17-07-2019 113004010719P000777 0001023226593 RUKINEM P PBI (APBN) Myalgia Berobat Jalan

637 17-07-2019 113004010719P000676 0001315174645 NGARI L PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease with
acute exacerbation,

638 17-07-2019 113004010719P000684 0001317302291 PARMI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
639 17-07-2019 113004010719P000629 0001327063847 hartini P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

640 17-07-2019 113004010719P000658 0001526532805 SUMARTINAH P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus
641 17-07-2019 113004010719P001340 0001651728655 ANI SAFITRI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

642 17-07-2019 113004010719P000669 0001690939978 IDAYANTINI P PBI (APBD) Myalgia Berobat Jalan

643 17-07-2019 113004010719P001341 0001826596449 SRI AGUSTIANI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

644 17-07-2019 113004010719P001073 0001839608908 umi junaedah P PEKERJA MANDIRI Pulpitis Berobat Jalan

645 17-07-2019 113004010719P001343 0002126870616 JUWANA MAULANA ISQAK L PBI (APBN) Counselling, unspecified Berobat Jalan

646 17-07-2019 113004010719P000666 0002126870616 JUWANA MAULANA ISQAK L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

647 17-07-2019 113004010719P000640 0002129918646 SITI MUTMAINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
648 17-07-2019 113004010719P000670 0002178854188 CHOIRUL LANGGENG JIBRIL L PBI (APBN) Influenza, virus not Berobat Jalan
identified
649 17-07-2019 113004010719P000656 0002179024492 SAMIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

650 17-07-2019 113004010719P001342 0002346036614 TIKA RISTIANA P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

651 17-07-2019 113004010719P001345 0002346098264 NAINIS LULU''ATUL P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan
MUBAROKAH
652 17-07-2019 113004010719P001071 0002346481225 AJI BASUKHI L PBI (APBD) Retained dental root Berobat Jalan

653 17-07-2019 113004010719P000646 0002430921565 muhammad faqih burhanuddin L PBI (APBN) Influenza, virus not Berobat Jalan
identified
654 17-07-2019 113004010719P001072 0002505168786 GISKA DEWI MAILANI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
655 17-07-2019 113004010719P001344 0002505181307 ERIENA DYAH YULIYASARI P PBI (APBN) Counselling, unspecified Berobat Jalan

656 17-07-2019 113004010719P001269 0002574943738 WAGIYO L PBI (APBD) Typhoid fever Sembuh

657 17-07-2019 113004010719P000644 0002574952479 NUR SOLEKAH P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
658 17-07-2019 113004010719P001077 0002774069741 RIRIN SAFITRI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

659 16-07-2019 113004010719P000613 0000073734142 GIARNI P PENERIMA PENSIUN TNI Acute upper respiratory Berobat Jalan
infection, unspecified
660 16-07-2019 113004010719P000568 0000073814545 JASMINI P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

661 16-07-2019 113004010719P000572 0000073814657 LEGIJONO L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

662 16-07-2019 113004010719P000574 0000073814668 SUTINI P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

663 16-07-2019 113004010719P000573 0000073911857 SRI MUMPUNI P PENERIMA PENSIUN Hypertensive heart Sembuh
PNS disease with (congestive)
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

664 16-07-2019 113004010719P000569 0000073949499 POYO L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

665 16-07-2019 113004010719P000583 0000345673157 SUKARTI P PBI (APBN) Retained dental root Berobat Jalan

666 16-07-2019 113004010719P000608 0000576469438 SUTIYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
667 16-07-2019 113004010719P000622 0000576793001 SUGIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
668 16-07-2019 113004010719P000634 0000576873268 NURKHAYATI P PBI (APBN) Fever, unspecified Berobat Jalan

669 16-07-2019 113004010719P000633 0000576874091 MANSUR SUAIDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
670 16-07-2019 113004010719P000570 0000576894306 TURMudji L PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

671 16-07-2019 113004010719P000612 0000576911079 DJASMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
672 16-07-2019 113004010719P000576 0000577006132 SITI MUKAROMAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus with

673 16-07-2019 113004010719P000603 0000577090732 PUTRI NUR ENDAH SARI P PBI (APBN) Supervision of high-risk Rujuk Lanjut
pregnancy
674 16-07-2019 113004010719P000623 0000577134663 SUTARSIH P PBI (APBN) Myalgia Berobat Jalan

675 16-07-2019 113004010719P000620 0000577197652 SUWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
676 16-07-2019 113004010719P000639 0000577241223 SUMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
677 16-07-2019 113004010719P001333 0000577256308 RAMIN L PBI (APBN) Counselling, unspecified Berobat Jalan

678 16-07-2019 113004010719P000571 0000577256354 SUPARMI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with

679 16-07-2019 113004010719P000607 0000577310095 HARMANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
680 16-07-2019 113004010719P001338 0000577310962 GUDEL WIDODO L PBI (APBN) Counselling, unspecified Berobat Jalan

681 16-07-2019 113004010719P000610 0000577379777 JUMIYATI P PBI (APBN) Asthma Berobat Jalan

682 16-07-2019 113004010719P000577 0000577390522 RADIYEM P PBI (APBN) Heart failure, unspecified Rujuk Lanjut

683 16-07-2019 113004010719P000624 0000577638292 RINAWATI P PBI (APBN) Myalgia Berobat Jalan

684 16-07-2019 113004010719P000619 0000577733534 SUNARTI P PBI (APBN) Myalgia Berobat Jalan

685 16-07-2019 113004010719P000604 0000577743928 NGATeMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

686 16-07-2019 113004010719P000584 0000577745493 ROFA'A YARO FASA L PBI (APBN) Pulpitis Berobat Jalan

687 16-07-2019 113004010719P000581 0000577844561 SUPI P PBI (APBN) Periapical abscess without Berobat Jalan
sinus
688 16-07-2019 113004010719P000617 0000577867599 KARSIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
689 16-07-2019 113004010719P000614 0000577882877 SUPARMI P PBI (APBN) Myalgia Berobat Jalan

690 16-07-2019 113004010719P000637 0000577883621 FIKI CHOIRUN MALIAH P PBI (APBN) Headache Berobat Jalan

691 16-07-2019 113004010719P000615 0000577888424 SUGINI P PBI (APBN) Headache Berobat Jalan

692 16-07-2019 113004010719P000606 0000578010543 DJARMI P PBI (APBN) Gastritis, unspecified Berobat Jalan

693 16-07-2019 113004010719P000621 0000578052617 SUTRIMO L PBI (APBN) Myalgia Berobat Jalan

694 16-07-2019 113004010719P000579 0000578084185 MURMINI P PBI (APBN) Thyroiditis, unspecified Rujuk Lanjut

695 16-07-2019 113004010719P000554 0000578093523 SUMARDI L PBI (APBN) Whooping cough, Rujuk Lanjut
unspecified
696 16-07-2019 113004010719P000632 0000578121568 KARNADI L PBI (APBN) Low back pain Berobat Jalan

697 16-07-2019 113004010719P000611 0001023224949 DARTO L PBI (APBN) Myalgia Berobat Jalan

698 16-07-2019 113004010719P000580 0001023229618 SUWAR L PBI (APBN) Unspecified haemorrhoids Rujuk Lanjut
without complication

699 16-07-2019 113004010719P001335 0001023235841 AHMAT SUYOTO L PBI (APBN) Counselling, unspecified Berobat Jalan

700 16-07-2019 113004010719P001329 0001023236291 SUMINAH P PBI (APBN) Counselling, unspecified Berobat Jalan

701 16-07-2019 113004010719P000636 0001023236447 SUPARI L PBI (APBN) Other rheumatoid arthritis Berobat Jalan

702 16-07-2019 113004010719P000616 0001023237494 JAMIYEM P PBI (APBN) Myalgia Berobat Jalan

703 16-07-2019 113004010719P001330 0001023239114 WARSIYEM P PBI (APBN) Counselling, unspecified Berobat Jalan

704 16-07-2019 113004010719P000566 0001023243456 SRI HARTATIK P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus with

705 16-07-2019 113004010719P001410 0001023248619 KARYAWATIK P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
706 16-07-2019 113004010719P001337 0001023265552 SULASIH P PBI (APBN) Counselling, unspecified Berobat Jalan

707 16-07-2019 113004010719P000625 0001086332488 IRIYANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
708 16-07-2019 113004010719P000564 0001086361312 RUTIYEM P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
skin, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

709 16-07-2019 113004010719P000552 0001285311374 NUR ARIFIN L PEKERJA MANDIRI Glaucoma in diseases Rujuk Lanjut
classified elsewhere
710 16-07-2019 113004010719P001331 0001526513365 SARWO L PBI (APBD) Counselling, unspecified Berobat Jalan

711 16-07-2019 113004010719P000578 0001528412679 JASMIRAH P PBI (APBD) Chronic obstructive Rujuk Lanjut
pulmonary disease with
acute exacerbation,

712 16-07-2019 113004010719P000627 0001529705204 MASHURI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
713 16-07-2019 113004010719P001334 0001529879275 HENI NUR WAHYUNINGSIH P PBI (APBD) Counselling, unspecified Berobat Jalan

714 16-07-2019 113004010719P001336 0001530486977 ALWI AHMAD AKBAR BINNAJA L PBI (APBD) Counselling, unspecified Berobat Jalan

715 16-07-2019 113004010719P000626 0001693299622 HENI PRIHATIN P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus
716 16-07-2019 113004010719P000638 0001833396287 HARTONO L PEKERJA MANDIRI Headache Berobat Jalan

717 16-07-2019 113004010719P000605 0001843966721 SUKARNI P PEKERJA MANDIRI Low back pain Berobat Jalan

718 16-07-2019 113004010719P000567 0001858702566 IRIYANINGSIH P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus with

719 16-07-2019 113004010719P000582 0002129918646 SITI MUTMAINAH P PBI (APBN) Counselling, unspecified Berobat Jalan

720 16-07-2019 113004010719P000635 0002346482373 FATHAN IBNU RIZKI ALFARIZZI L PBI (APBD) Fever, unspecified Berobat Jalan

721 16-07-2019 113004010719P001332 0002346663341 SRI SUMIYATI P PBI (APBD) Counselling, unspecified Berobat Jalan

722 16-07-2019 113004010719P000609 0002473703774 YANI P PEKERJA MANDIRI Headache Berobat Jalan

723 16-07-2019 113004010719P000565 0002473725969 SUMIYATI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
724 16-07-2019 113004010719P001418 0002505172781 NURHIDAYAH P PBI (APBN) Supervision of normal Sembuh
pregnancy
725 16-07-2019 113004010719P000575 0002677490201 SUYATI P PBI (APBN) Cerebral infarction, Rujuk Lanjut
unspecified
726 15-07-2019 113004010719P000557 0000073815816 SOEDJARMI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
727 15-07-2019 113004010719P000547 0000205214229 TUTIK SULININGSIH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
728 15-07-2019 113004010719P001032 0000576197965 ELDA MARLINA P PBI (APBN) Counselling, unspecified Berobat Jalan

729 15-07-2019 113004010719P001322 0000576197965 ELDA MARLINA P PBI (APBN) Counselling, unspecified Berobat Jalan

730 15-07-2019 113004010719P000563 0000576294546 PASMI P PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

731 15-07-2019 113004010719P000503 0000576464657 RUBIYANTI P PBI (APBN) Multiple delivery, all by Rujuk Lanjut
caesarean section
732 15-07-2019 113004010719P001029 0000576626297 SULANI P PBI (APBN) Retained dental root Berobat Jalan

733 15-07-2019 113004010719P000543 0000576694901 SAWI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
734 15-07-2019 113004010719P000535 0000576701965 MARIYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
735 15-07-2019 113004010719P000558 0000576712361 MUKINAH P PBI (APBN) Asthma Berobat Jalan

736 15-07-2019 113004010719P000536 0000576721405 VERONICA TIARA ANJARSARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
737 15-07-2019 113004010719P000546 0000576740788 SRI HARTATI P PBI (APBN) Low back pain Berobat Jalan

738 15-07-2019 113004010719P000513 0000576883517 CHOLIYAH P PBI (APBN) Glaucoma Rujuk Lanjut

739 15-07-2019 113004010719P001321 0000576979536 SUMARMI P PBI (APBN) Counselling, unspecified Berobat Jalan

740 15-07-2019 113004010719P001315 0000577017786 SUMIYEM P PBI (APBN) Counselling, unspecified Berobat Jalan

741 15-07-2019 113004010719P001028 0000577018967 PUJI ASTUTIK P PBI (APBN) Impacted teeth Berobat Jalan

742 15-07-2019 113004010719P001030 0000577038925 AINUN JARIYAH P PBI (APBN) Impacted teeth Berobat Jalan

743 15-07-2019 113004010719P000541 0000577160201 JASMO L PBI (APBN) Asthma Berobat Jalan

744 15-07-2019 113004010719P000540 0000577161066 RATMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
745 15-07-2019 113004010719P001311 0000577211567 SULASTRI P PBI (APBN) Counselling, unspecified Berobat Jalan

746 15-07-2019 113004010719P001314 0000577218767 TRI UTOMO L PBI (APBN) Counselling, unspecified Berobat Jalan

747 15-07-2019 113004010719P000542 0000577352845 JASMANTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
748 15-07-2019 113004010719P000516 0000577466706 SARNI P PBI (APBN) Retained dental root Berobat Jalan

749 15-07-2019 113004010719P001306 0000577466706 SARNI P PBI (APBN) Counselling, unspecified Berobat Jalan

750 15-07-2019 113004010719P001323 0000577638652 HARTO L PBI (APBN) Counselling, unspecified Berobat Jalan

751 15-07-2019 113004010719P000549 0000577639034 RUSMINI P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
752 15-07-2019 113004010719P001312 0000577763471 SUPI P PBI (APBN) Counselling, unspecified Berobat Jalan

753 15-07-2019 113004010719P000560 0000577764933 SISWATI P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
754 15-07-2019 113004010719P001320 0000577908584 FITRI AFIFAH P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

755 15-07-2019 113004010719P000491 0000577917369 SUTRISNO L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

756 15-07-2019 113004010719P001319 0000577922466 MURNI LUKITOWATI P PBI (APBN) Counselling, unspecified Berobat Jalan

757 15-07-2019 113004010719P000501 0000577922466 MURNI LUKITOWATI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

758 15-07-2019 113004010719P000561 0000577933198 RAMIN L PBI (APBN) Myalgia Berobat Jalan

759 15-07-2019 113004010719P000515 0000577971281 SITI ASIYAH P PBI (APBN) Acute periodontitis Berobat Jalan

760 15-07-2019 113004010719P001313 0000577971281 SITI ASIYAH P PBI (APBN) Counselling, unspecified Berobat Jalan

761 15-07-2019 113004010719P001308 0000577976049 ANGGRELIA KUMALASARI P PBI (APBN) Counselling, unspecified Berobat Jalan

762 15-07-2019 113004010719P000551 0000578038509 KASMI P PBI (APBN) Myalgia Berobat Jalan

763 15-07-2019 113004010719P000553 0000578089102 DARSI P PBI (APBN) Other arthrosis Berobat Jalan

764 15-07-2019 113004010719P000500 0000578089416 SRI ENDANG ASTUTIK P PBI (APBN) Abdominal and pelvic pain Rujuk Lanjut

765 15-07-2019 113004010719P000556 0000578131323 EKO SISWATO L PBI (APBN) Asthma Berobat Jalan

766 15-07-2019 113004010719P001309 0001023224692 PUJIYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

767 15-07-2019 113004010719P001317 0001023226119 MARYAMAH P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

768 15-07-2019 113004010719P001325 0001023233815 SOFIATUN P PBI (APBN) Counselling, unspecified Berobat Jalan

769 15-07-2019 113004010719P000510 0001023237022 SUKIMAN L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

770 15-07-2019 113004010719P000518 0001023247067 BAMBANG SOPONYONO L PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

771 15-07-2019 113004010719P000524 0001023253896 SABAR NARIMO L PBI (APBN) Epilepsy Rujuk Lanjut

772 15-07-2019 113004010719P000517 0001023264696 EKO TEGUH PRAKOSO L PBI (APBN) Pulpitis Berobat Jalan

773 15-07-2019 113004010719P001310 0001315175398 katinem P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

774 15-07-2019 113004010719P001324 0001370717155 MUHAMAD ALSON DHISTONIL L PEGAWAI SWASTA Counselling, unspecified Berobat Jalan
SAPUTRA
775 15-07-2019 113004010719P000559 0001526537248 TEGUH SULISTYAWAN L PBI (APBD) Dyspepsia Berobat Jalan

776 15-07-2019 113004010719P000539 0001526538363 SUMARNI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
777 15-07-2019 113004010719P000537 0001692940724 HENGKY FATNALA SHINTA P PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

778 15-07-2019 113004010719P001318 0001730950896 SURATMAN L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

779 15-07-2019 113004010719P000544 0001790911495 sutantri P PEGAWAI SWASTA Sciatica Berobat Jalan

780 15-07-2019 113004010719P000502 0001897909222 BAMBANG ALISIS SUDARSANA L PEKERJA MANDIRI Ulcerative (chronic) Rujuk Lanjut
proctitis
781 15-07-2019 113004010719P000675 0002072456561 AHMAD DAFFA L PBI (APBD) Influenza, virus not Berobat Jalan
FATHURRAHMAN identified
782 15-07-2019 113004010719P000548 0002178771118 AHMAD KHOIRUL ROHIM L PBI (APBN) Fever, unspecified Berobat Jalan

783 15-07-2019 113004010719P000511 0002178772907 ABDUL ROHMAD L PBI (APBN) Inguinal hernia Rujuk Lanjut

784 15-07-2019 113004010719P000534 0002179112894 NUR SOLEKAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
785 15-07-2019 113004010719P000555 0002215480307 SAMAN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
786 15-07-2019 113004010719P000562 0002245901433 SAIRI L PEGAWAI SWASTA Myalgia Berobat Jalan

787 15-07-2019 113004010719P000538 0002281498075 TURIAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
788 15-07-2019 113004010719P000495 0002302974797 SARIP HIDAYATULOH L PBI (APBD) Schizophrenia, unspecified Rujuk Lanjut

789 15-07-2019 113004010719P000545 0002346477298 MARIYEM P PBI (APBD) Keratitis Berobat Jalan

790 15-07-2019 113004010719P001326 0002346482474 NELY SA'ADAH P PBI (APBD) Counselling, unspecified Berobat Jalan

791 15-07-2019 113004010719P001031 0002447611762 MUHAMMAD FUAT KOIRUL L PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
ANAM eruption
792 15-07-2019 113004010719P000671 0002447661003 aldzikri kasyfu ilham L PBI (APBN) Influenza, virus not Berobat Jalan
identified
793 15-07-2019 113004010719P001307 0002502941174 FELLA ARDINA CAHYANI L PBI (APBD) Counselling, unspecified Berobat Jalan

794 15-07-2019 113004010719P000512 0002574944234 SAWILAH P PBI (APBD) Asthma Berobat Jalan

795 15-07-2019 113004010719P001316 0002574944234 SAWILAH P PBI (APBD) Counselling, unspecified Berobat Jalan

796 15-07-2019 113004010719P000550 0002580670743 JUNAIDI L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus
797 15-07-2019 113004010719P000673 0002621581389 KHENZO EVAN ADI SAPUTRA L PBI (APBN) Influenza, virus not Berobat Jalan
identified
798 15-07-2019 113004010719P000514 0002770671058 SUN HADIYAH P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast
799 14-07-2019 113004010719P001398 0000576829877 WIDIAWATI P PBI (APBN) Supervision of normal Sembuh
pregnancy
800 14-07-2019 113004010719P001275 0002072456256 RIKA DEVI ISTIYANI P PBI (APBD) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

801 13-07-2019 113004010719P000459 0000073622801 SUKMANING PRIHANTIKA P PEGAWAI SWASTA Hordeolum and chalazion Rujuk Lanjut

802 13-07-2019 113004010719P000530 0000073795601 SUTAMI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
803 13-07-2019 113004010719P000533 0000073815952 KARTINI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
804 13-07-2019 113004010719P000505 0000073816751 SUDARMI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
805 13-07-2019 113004010719P000506 0000575884304 JASMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
806 13-07-2019 113004010719P000469 0000575907467 SAROPAH P PBI (APBN) Haemorrhage in early Rujuk Lanjut
pregnancy
807 13-07-2019 113004010719P000531 0000576196582 YAENURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
808 13-07-2019 113004010719P001274 0000576562781 MARKAM L PBI (APBN) Typhoid fever Sembuh

809 13-07-2019 113004010719P000529 0000576834625 KARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
810 13-07-2019 113004010719P000467 0000576887308 AHMAD THORIQ L PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

811 13-07-2019 113004010719P001068 0000576892541 MULYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

812 13-07-2019 113004010719P000527 0000576961468 RATIYEM P PBI (APBN) Low back pain Berobat Jalan

813 13-07-2019 113004010719P001302 0000576961784 ARYO SUDARTO L PBI (APBN) Counselling, unspecified Berobat Jalan

814 13-07-2019 113004010719P000526 0000576992002 SULASMI P PBI (APBN) Myalgia Berobat Jalan

815 13-07-2019 113004010719P001300 0000577001632 HERI SUPARNO L PBI (APBN) Counselling, unspecified Berobat Jalan

816 13-07-2019 113004010719P000521 0000577576697 SUTINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
817 13-07-2019 113004010719P000519 0000577604351 SITI KUSMIYATUN P PBI (APBN) Headache Berobat Jalan

818 13-07-2019 113004010719P001260 0000577693359 SUYATI P PBI (APBN) Essential (primary) Sembuh
hypertension
819 13-07-2019 113004010719P001025 0000577811654 ANINDITA FORBIANA MUJIYATI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
820 13-07-2019 113004010719P000522 0000577884216 RUMINI P PBI (APBN) Headache Berobat Jalan

821 13-07-2019 113004010719P000463 0000577905287 MUNZAROAH P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

822 13-07-2019 113004010719P000477 0000577906841 ULFATUN NADHIFAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
823 13-07-2019 113004010719P000507 0000577923153 RUSTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

824 13-07-2019 113004010719P000525 0000577942569 SUWARNI P PBI (APBN) Myalgia Berobat Jalan

825 13-07-2019 113004010719P000457 0000578161405 KASRINI P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
breast
826 13-07-2019 113004010719P000464 0000578169066 MUHAMAD KHANIB L PEGAWAI SWASTA Sciatica Rujuk Lanjut

827 13-07-2019 113004010719P000523 0000579580132 SITI SUNDARI P PBI (APBN) Urticaria Berobat Jalan

828 13-07-2019 113004010719P000465 0001023238798 SRI MULYATI P PBI (APBN) Heart failure, unspecified Rujuk Lanjut

829 13-07-2019 113004010719P001304 0001023240104 ARYANI SANJAYA PUTRI P PBI (APBN) Counselling, unspecified Berobat Jalan

830 13-07-2019 113004010719P000509 0001023243085 RUMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
831 13-07-2019 113004010719P000532 0001023252838 RIA KHOIRUN NISA P PBI (APBN) Hordeolum and chalazion Berobat Jalan

832 13-07-2019 113004010719P000520 0001086281526 WURDIYANTI P PBI (APBN) Low back pain Berobat Jalan

833 13-07-2019 113004010719P001301 0001086342906 MURSITI P PBI (APBN) Counselling, unspecified Berobat Jalan

834 13-07-2019 113004010719P000508 0001526912267 SUYADI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
835 13-07-2019 113004010719P000504 0001526940865 WANTIAH P PBI (APBD) Myalgia Berobat Jalan

836 13-07-2019 113004010719P001303 0001531702337 DEVANO APTA NUGRAHENDA L PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

837 13-07-2019 113004010719P000468 0001690940079 SUYOTO L PBI (APBD) Other rheumatoid arthritis Rujuk Lanjut

838 13-07-2019 113004010719P001305 0001826596449 SRI AGUSTIANI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

839 13-07-2019 113004010719P001067 0002090919352 arja mubarokul muchammad L PBI (APBN) Counselling, unspecified Berobat Jalan

840 13-07-2019 113004010719P001026 0002126871336 WAHYU RILLIANA P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
841 13-07-2019 113004010719P001027 0002346501633 GANNY ARVIANSYAH L PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
842 13-07-2019 113004010719P000475 0002426147302 azka ranaka jaya L PEGAWAI SWASTA Influenza, virus not Berobat Jalan
identified
843 13-07-2019 113004010719P000462 0002456052906 KAILA ALMIRA MARITSA PUTRI P PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
confirmed by unspecified

844 13-07-2019 113004010719P000528 0002574943874 SUTIYONO L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
845 12-07-2019 113004010719P000489 0000576028157 KIKI SINOK JUNITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
846 12-07-2019 113004010719P000470 0000576269425 IMA RAMAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

847 12-07-2019 113004010719P000483 0000576427623 NASIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
848 12-07-2019 113004010719P000481 0000576630551 RUMINI P PBI (APBN) Low back pain Berobat Jalan

849 12-07-2019 113004010719P000466 0000576961784 ARYO SUDARTO L PBI (APBN) Schizophrenia Rujuk Lanjut

850 12-07-2019 113004010719P000439 0000577009023 PUJIATI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

851 12-07-2019 113004010719P000454 0000577009023 PUJIATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
852 12-07-2019 113004010719P000496 0000577105244 MUHAMAD RIFQI HATIF SYAH L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
853 12-07-2019 113004010719P000456 0000577182543 ADI SAPUTRO L PBI (APBN) Cystitis, unspecified Rujuk Lanjut

854 12-07-2019 113004010719P000493 0000577189798 M.IHSANUDDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
855 12-07-2019 113004010719P001299 0000577249108 SUPARNO L PBI (APBN) Counselling, unspecified Berobat Jalan

856 12-07-2019 113004010719P000492 0000577340548 SITI ROHMATUN P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
857 12-07-2019 113004010719P000473 0000577410489 NOVIA ESTIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
858 12-07-2019 113004010719P000490 0000577444386 SUKARTI P PBI (APBN) Myalgia Berobat Jalan

859 12-07-2019 113004010719P001297 0000577519661 RUBIKAN L PBI (APBN) Counselling, unspecified Berobat Jalan

860 12-07-2019 113004010719P000497 0000577579241 SRI MULYANI P PBI (APBN) Keratitis Berobat Jalan

861 12-07-2019 113004010719P000486 0000577673998 MARYATI P PBI (APBN) Dyspepsia Berobat Jalan

862 12-07-2019 113004010719P000485 0000577696375 SULIYEM P PBI (APBN) Myalgia Berobat Jalan

863 12-07-2019 113004010719P000441 0000577716772 SUWARNO L PBI (APBN) Asthma Rujuk Lanjut

864 12-07-2019 113004010719P000474 0000577720877 SUGIARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
865 12-07-2019 113004010719P000488 0000577792258 SRIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
866 12-07-2019 113004010719P001296 0000577890595 RISWATI P PBI (APBN) Counselling, unspecified Berobat Jalan

867 12-07-2019 113004010719P000499 0000577929161 EDI SUCIPTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

868 12-07-2019 113004010719P000451 0000578037014 PARYANTI P PBI (APBN) Cerebral infarction, Rujuk Lanjut
unspecified
869 12-07-2019 113004010719P000453 0000578057117 ERFINA LISA KUSUMA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
870 12-07-2019 113004010719P000494 0000578089102 DARSI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

871 12-07-2019 113004010719P000478 0000578130039 SARPO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
872 12-07-2019 113004010719P000484 0000578349336 SUWARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
873 12-07-2019 113004010719P000455 0001023233062 MUSLIMATIN P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
874 12-07-2019 113004010719P001024 0001023237213 SRI WAHYUTI P PBI (APBN) Retained dental root Berobat Jalan

875 12-07-2019 113004010719P000480 0001023238416 MASLURI L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
876 12-07-2019 113004010719P000482 0001086284147 PARMI P PBI (APBN) Acute pharyngitis Berobat Jalan

877 12-07-2019 113004010719P000442 0001086395861 SUMIYATUN P PBI (APBN) Supervision of high-risk Rujuk Lanjut
pregnancy
878 12-07-2019 113004010719P000450 0001088252537 DARMO L PBI (APBN) Nonorganic sleep disorder, Rujuk Lanjut
unspecified
879 12-07-2019 113004010719P001295 0001261554096 SITI LULUK NURJANAH P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

880 12-07-2019 113004010719P001298 0001526537417 ENDANG PURWANINGSIH P PBI (APBD) Counselling, unspecified Berobat Jalan

881 12-07-2019 113004010719P000476 0001529878173 RIZQI AMALIA L PBI (APBD) Otitis media, unspecified Berobat Jalan

882 12-07-2019 113004010719P001023 0001774460913 NUR ARIKA P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

883 12-07-2019 113004010719P001397 0002167391553 RANI FEBRIANAWATI P PBI (APBD) Supervision of normal Sembuh
pregnancy
884 12-07-2019 113004010719P000452 0002274038043 FINA NAILUL MUNA P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
885 12-07-2019 113004010719P000460 0002315619775 MUHAMAD ADAM RIZKI L PBI (APBN) Influenza, virus not Berobat Jalan
identified
886 12-07-2019 113004010719P000458 0002346481045 MUHAMMAD DIANDRA ATHARIZ L PBI (APBD) Influenza, virus not Berobat Jalan
identified
887 12-07-2019 113004010719P000487 0002346485106 SUPARTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
888 12-07-2019 113004010719P000472 0002346487424 KAMILAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
889 12-07-2019 113004010719P000471 0002346487435 NASIKHATUN MUNAWAROH P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
890 12-07-2019 113004010719P000461 0002440029969 BUNGA AQILA FARIZA LESTARI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

891 12-07-2019 113004010719P000479 0002574944965 DARIYEM P PBI (APBD) Myalgia Berobat Jalan

892 12-07-2019 113004010719P000498 0002677492798 ROSIDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

893 11-07-2019 113004010719P000400 0000163232234 AULIA HASYIM FIRDAUS P PNS DAERAH Disorders of refraction and Rujuk Lanjut
accommodation
894 11-07-2019 113004010719P000415 0000576003846 DIVA RAMADHANI ARIYANTI P PBI (APBN) Low back pain Rujuk Lanjut

895 11-07-2019 113004010719P001289 0000576043457 SYAIFUL HAMAM L PBI (APBN) Counselling, unspecified Berobat Jalan

896 11-07-2019 113004010719P000939 0000576043457 SYAIFUL HAMAM L PBI (APBN) Acute periodontitis Berobat Jalan

897 11-07-2019 113004010719P000421 0000576395673 SRIYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
898 11-07-2019 113004010719P001287 0000576395673 SRIYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

899 11-07-2019 113004010719P000434 0000576562432 AHMAD FAHRUL ROHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
900 11-07-2019 113004010719P001284 0000576883585 ARIF SODIKUN L PBI (APBN) Counselling, unspecified Berobat Jalan

901 11-07-2019 113004010719P001290 0000576930194 SUKIMAH P PBI (APBN) Counselling, unspecified Berobat Jalan

902 11-07-2019 113004010719P000433 0000576935469 MURTININGSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

903 11-07-2019 113004010719P000397 0000576973754 FARHATUL WAHIDAH P PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

904 11-07-2019 113004010719P000435 0000577005232 SUWARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
905 11-07-2019 113004010719P000418 0000577059805 DESTINA PUTRI EKA SARI P PBI (APBN) Counselling, unspecified Berobat Jalan

906 11-07-2019 113004010719P000443 0000577147252 SLAMET L PBI (APBN) Sciatica Berobat Jalan

907 11-07-2019 113004010719P000429 0000577193433 SUNARTI P PBI (APBN) Headache Berobat Jalan

908 11-07-2019 113004010719P000431 0000577206764 RUSMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
909 11-07-2019 113004010719P001285 0000577211567 SULASTRI P PBI (APBN) Counselling, unspecified Berobat Jalan

910 11-07-2019 113004010719P001286 0000577223065 RISKA FITROTUN NAFIAH P PBI (APBN) Counselling, unspecified Berobat Jalan

911 11-07-2019 113004010719P000438 0000577257996 SOERATNO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
912 11-07-2019 113004010719P000432 0000577280215 SLAMET L PBI (APBN) Asthma Berobat Jalan

913 11-07-2019 113004010719P000425 0000577387473 MUJIYONO L PBI (APBN) Headache Berobat Jalan

914 11-07-2019 113004010719P001294 0000577653873 TUTIK APRILIANI P PBI (APBN) Counselling, unspecified Berobat Jalan

915 11-07-2019 113004010719P000938 0000577653873 TUTIK APRILIANI P PBI (APBN) Chronic periodontitis Berobat Jalan

916 11-07-2019 113004010719P000440 0000577697387 SUHARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

917 11-07-2019 113004010719P000449 0000577747416 SULASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
918 11-07-2019 113004010719P000428 0000577766698 YOGA SATIYA L PBI (APBN) Calculus of kidney Berobat Jalan

919 11-07-2019 113004010719P000424 0000577796534 LEGIYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
920 11-07-2019 113004010719P000423 0000577805725 NYAMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
921 11-07-2019 113004010719P000420 0000577816075 ROHMANITA SARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
922 11-07-2019 113004010719P001283 0000577874002 HARTI P PBI (APBN) Counselling, unspecified Berobat Jalan

923 11-07-2019 113004010719P000941 0000577874002 HARTI P PBI (APBN) Retained dental root Berobat Jalan

924 11-07-2019 113004010719P000936 0000577875791 RISKA PUTRI AGUSTIN P PBI (APBN) Necrosis of pulp Berobat Jalan

925 11-07-2019 113004010719P000426 0000577998369 RAKIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
926 11-07-2019 113004010719P000436 0000578022502 MARIYAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
927 11-07-2019 113004010719P000448 0000578024559 SRIASIH P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
928 11-07-2019 113004010719P001292 0000578025483 KARINA JAYENG SARI P PBI (APBN) Counselling, unspecified Berobat Jalan

929 11-07-2019 113004010719P000427 0000578052617 SUTRIMO L PBI (APBN) Myalgia Berobat Jalan

930 11-07-2019 113004010719P001280 0000578077402 WAGE P PBI (APBN) Counselling, unspecified Berobat Jalan

931 11-07-2019 113004010719P000395 0000578084185 MURMINI P PBI (APBN) Thyroiditis, unspecified Rujuk Lanjut

932 11-07-2019 113004010719P000444 0000578090981 SITI ROFIYATI P PBI (APBN) Conjunctivitis Berobat Jalan

933 11-07-2019 113004010719P000394 0000578161405 KASRINI P PBI (APBN) Anxiety disorder, Rujuk Lanjut
unspecified
934 11-07-2019 113004010719P000445 0000578202671 ISTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
935 11-07-2019 113004010719P000447 0001023219358 ABDUL KARIM L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
936 11-07-2019 113004010719P000419 0001023245019 NGATIPAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
937 11-07-2019 113004010719P001268 0001023245212 LESTARI P PBI (APBN) Typhoid fever Sembuh

938 11-07-2019 113004010719P000412 0001023246099 OKI INDAH PERTIWI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

939 11-07-2019 113004010719P000446 0001464005643 RASTI P PBI (APBD) Gastritis, unspecified Berobat Jalan

940 11-07-2019 113004010719P001291 0001526537586 NOVI NUR SAFITRI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

941 11-07-2019 113004010719P001281 0001526541052 SAMINAH P PBI (APBD) Counselling, unspecified Berobat Jalan

942 11-07-2019 113004010719P000940 0001526541052 SAMINAH P PBI (APBD) Necrosis of pulp Berobat Jalan

943 11-07-2019 113004010719P000437 0001526913707 JAIMAN L PBI (APBD) Keratitis Berobat Jalan

944 11-07-2019 113004010719P000942 0001531702326 AMELIA APTA NUGRAHENY P PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
945 11-07-2019 113004010719P001282 0001631421663 NAJWA KHOIRUN NISA P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

946 11-07-2019 113004010719P000937 0001854800493 FADHIL RIFQI ABQARY L PNS DAERAH Disturbances in tooth Berobat Jalan
eruption
947 11-07-2019 113004010719P000943 0002505165996 PUTRI ARIYANA P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
948 11-07-2019 113004010719P001293 0002505165996 PUTRI ARIYANA P PBI (APBN) Counselling, unspecified Berobat Jalan

949 11-07-2019 113004010719P000396 0002574949702 KASNO L PBI (APBD) Parkinson's disease Rujuk Lanjut

950 11-07-2019 113004010719P000403 0002625006159 PARDI L PBI (APBD) Cardiomegaly Rujuk Lanjut

951 11-07-2019 113004010719P001288 0002625982356 SRI RAHAYU P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

952 11-07-2019 113004010719P000422 0002625982356 SRI RAHAYU P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
953 11-07-2019 113004010719P000430 0002738044664 KASMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
954 11-07-2019 113004010719P000401 0002770990446 SUWATI P PEKERJA MANDIRI Cystic disease of liver Rujuk Lanjut

955 10-07-2019 113004010719P000353 0000073817717 SRI WAHYUNI P PENERIMA PENSIUN Carcinoma in situ of Rujuk Lanjut
PNS breast, unspecified
956 10-07-2019 113004010719P000411 0000576469438 SUTIYONO L PBI (APBN) Dyspepsia Berobat Jalan

957 10-07-2019 113004010719P000388 0000576977793 AYUNDA SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
958 10-07-2019 113004010719P000356 0000576982642 WAHYU ADI SAPUTRA L PBI (APBN) Delayed milestone Rujuk Lanjut

959 10-07-2019 113004010719P000320 0000577099045 NUR FITRIYATIN P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
960 10-07-2019 113004010719P000404 0000577148523 MUJIYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
961 10-07-2019 113004010719P000399 0000577167423 NGATMI P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
962 10-07-2019 113004010719P000935 0000577201972 DARMIN L PBI (APBN) Acute periodontitis Berobat Jalan

963 10-07-2019 113004010719P001254 0000577202321 JASMI P PBI (APBN) Counselling, unspecified Berobat Jalan

964 10-07-2019 113004010719P000398 0000577224898 RAYHAN DWI SAPUTRA L PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

965 10-07-2019 113004010719P000322 0000577412695 MIFTAKUS SAADAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
966 10-07-2019 113004010719P000355 0000577492795 SADIMIN L PBI (APBN) Trigeminal neuralgia Rujuk Lanjut

967 10-07-2019 113004010719P000386 0000577665797 SUTIPAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
968 10-07-2019 113004010719P000413 0000577680039 RUMINI P PBI (APBN) Myalgia Berobat Jalan

969 10-07-2019 113004010719P000406 0000577713521 PASMIN L PBI (APBN) Myalgia Berobat Jalan

970 10-07-2019 113004010719P000402 0000577713611 SUPARTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

971 10-07-2019 113004010719P000407 0000577778005 PARSIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
972 10-07-2019 113004010719P000361 0000577936708 UMI ZULFA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
973 10-07-2019 113004010719P000385 0000577956295 SUJIYAH P PBI (APBN) Headache Berobat Jalan

974 10-07-2019 113004010719P000392 0000577960468 KUMINAH P PBI (APBN) Myalgia Berobat Jalan

975 10-07-2019 113004010719P001256 0000578330357 HENI TASLIMAH P PBI (APBN) Counselling, unspecified Berobat Jalan

976 10-07-2019 113004010719P000354 0001023227111 SUTINI P PBI (APBN) Vitiligo Rujuk Lanjut

977 10-07-2019 113004010719P000387 0001023234085 SUMARTI P PBI (APBN) Myalgia Berobat Jalan

978 10-07-2019 113004010719P001396 0001023235277 SITI SOLEKAH P PBI (APBN) Supervision of normal Sembuh
pregnancy
979 10-07-2019 113004010719P000393 0001023237494 JAMIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
980 10-07-2019 113004010719P000408 0001023239924 KASNI P PBI (APBN) Myalgia Berobat Jalan

981 10-07-2019 113004010719P001253 0001086342906 MURSITI P PBI (APBN) Counselling, unspecified Berobat Jalan

982 10-07-2019 113004010719P000416 0001526532805 SUMARTINAH P PBI (APBD) Low back pain Berobat Jalan

983 10-07-2019 113004010719P000414 0001526951204 PUGER ALAMSYAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
984 10-07-2019 113004010719P000409 0001833396287 HARTONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
985 10-07-2019 113004010719P000405 0002204851239 CHIKA SALSABILA P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

986 10-07-2019 113004010719P000417 0002346478075 SRINI P PBI (APBD) Dyspepsia Berobat Jalan

987 10-07-2019 113004010719P000384 0002346480461 ILHAM SIDIK ARAFFIQ L PBI (APBD) Fever, unspecified Berobat Jalan

988 10-07-2019 113004010719P000390 0002346485591 DJUMIAH P PBI (APBD) Other rheumatoid arthritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

989 10-07-2019 113004010719P000364 0002448725771 arwa falyastathyunis syifa P PBI (APBN) Influenza, virus not Berobat Jalan
identified
990 10-07-2019 113004010719P000342 0002472067484 MUHAMMAD EVAN RAYYAN L PRAJURIT AD Other dermatitis Berobat Jalan

991 10-07-2019 113004010719P000389 0002505168786 GISKA DEWI MAILANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
992 10-07-2019 113004010719P000410 0002505169787 RUSMINI P PBI (APBN) Chest pain, unspecified Berobat Jalan

993 10-07-2019 113004010719P001252 0002574951996 MUSRIAH P PBI (APBD) Non-insulin-dependent Sembuh


diabetes mellitus
994 10-07-2019 113004010719P000391 0002580663519 TASRIB L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
995 10-07-2019 113004010719P001263 0002580663521 SUPAMI P PBI (APBD) Counselling, unspecified Berobat Jalan

996 10-07-2019 113004010719P000362 0002611245508 YUMNA NAFI'A ASYAFARA P PBI (APBN) Influenza, virus not Berobat Jalan
identified
997 10-07-2019 113004010719P000330 0002626015162 RAMADHANI TIYAN IRAWAN L PBI (APBD) Influenza, virus not Berobat Jalan
identified
998 10-07-2019 113004010719P000383 0002677487692 WADISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
999 10-07-2019 113004010719P000363 0002759314318 MARFIATU SOLIKAH P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1000 09-07-2019 113004010719P001241 0000073816558 SRI WIDJININGSIH P PENERIMA PENSIUN Diarrhoea and Sembuh
PNS gastroenteritis of
presumed infectious origin

1001 09-07-2019 113004010719P001395 0000167658603 ANINDITA KUSUMAWARDANI P PEGAWAI SWASTA Supervision of normal Sembuh
pregnancy
1002 09-07-2019 113004010719P000380 0000575784009 NGATINI P PBI (APBN) Myalgia Berobat Jalan

1003 09-07-2019 113004010719P001248 0000576153134 SULISTIYOWATI P PBI (APBN) Counselling, unspecified Berobat Jalan

1004 09-07-2019 113004010719P000349 0000576207257 TUGINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1005 09-07-2019 113004010719P001247 0000576479237 SAHIT HERMAWAN L PBI (APBN) Counselling, unspecified Berobat Jalan

1006 09-07-2019 113004010719P000351 0000576712361 MUKINAH P PBI (APBN) Asthma Berobat Jalan

1007 09-07-2019 113004010719P001243 0000576725488 NGATINI P PBI (APBN) Pre-eclampsia, Sembuh


unspecified
1008 09-07-2019 113004010719P000382 0000576793001 SUGIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1009 09-07-2019 113004010719P001394 0000576900854 SARI MULYANI L PBI (APBN) Supervision of normal Sembuh
pregnancy
1010 09-07-2019 113004010719P000283 0000576912598 SUTRISNO L PBI (APBN) Vertigo of central origin Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1011 09-07-2019 113004010719P000365 0000576944256 KUSWADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1012 09-07-2019 113004010719P000344 0000576951221 SUNOWO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1013 09-07-2019 113004010719P000343 0000576951478 SUTI MURTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1014 09-07-2019 113004010719P000339 0000576969748 KUSTINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1015 09-07-2019 113004010719P000341 0000577016122 RASMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1016 09-07-2019 113004010719P000370 0000577041568 SUMARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1017 09-07-2019 113004010719P000321 0000577099012 NURJANAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1018 09-07-2019 113004010719P000319 0000577099045 NUR FITRIYATIN P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1019 09-07-2019 113004010719P000366 0000577129239 MAKHZAZIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1020 09-07-2019 113004010719P000381 0000577134663 SUTARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1021 09-07-2019 113004010719P000337 0000577191971 SUPARMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1022 09-07-2019 113004010719P000377 0000577222749 SATIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1023 09-07-2019 113004010719P001230 0000577255678 ALFIAH NUR FITRI P PBI (APBN) Counselling, unspecified Berobat Jalan

1024 09-07-2019 113004010719P000934 0000577257265 SUMARMIYATI P PBI (APBN) Necrosis of pulp Berobat Jalan

1025 09-07-2019 113004010719P001258 0000577262204 MURNI P PBI (APBN) Counselling, unspecified Berobat Jalan

1026 09-07-2019 113004010719P000271 0000577265141 SITI MUKAYANAH P PBI (APBN) Pulpitis Berobat Jalan

1027 09-07-2019 113004010719P000267 0000577330558 DASIMIN L PBI (APBN) Oedema, unspecified Rujuk Lanjut

1028 09-07-2019 113004010719P000350 0000577379777 JUMIYATI P PBI (APBN) Asthma Berobat Jalan

1029 09-07-2019 113004010719P000347 0000577411503 SUKARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1030 09-07-2019 113004010719P000357 0000577411762 SANTRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1031 09-07-2019 113004010719P000281 0000577720269 WOTTER ROBETH MUIN SIDIK L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1032 09-07-2019 113004010719P000345 0000577724106 LUGITO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1033 09-07-2019 113004010719P000368 0000577750094 MURNIATUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1034 09-07-2019 113004010719P000348 0000577763471 SUPI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1035 09-07-2019 113004010719P001231 0000577812339 SUKARDI L PBI (APBN) Counselling, unspecified Berobat Jalan

1036 09-07-2019 113004010719P001233 0000577890595 RISWATI P PBI (APBN) Counselling, unspecified Berobat Jalan

1037 09-07-2019 113004010719P001249 0000577897929 RUKIN L PBI (APBN) Recurrent oral aphthae Berobat Jalan

1038 09-07-2019 113004010719P001229 0000577913229 RASI P PBI (APBN) Counselling, unspecified Berobat Jalan

1039 09-07-2019 113004010719P000282 0000578116574 TARSI P PBI (APBN) Retained dental root Berobat Jalan

1040 09-07-2019 113004010719P001246 0000578116574 TARSI P PBI (APBN) Counselling, unspecified Berobat Jalan

1041 09-07-2019 113004010719P000371 0001023220293 SITI KHODIJAH P PBI (APBN) Headache Berobat Jalan

1042 09-07-2019 113004010719P000369 0001023220315 AHMAD JAELANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1043 09-07-2019 113004010719P000367 0001023220326 KUSNIYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

1044 09-07-2019 113004010719P001237 0001023224692 PUJIYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

1045 09-07-2019 113004010719P000272 0001023226863 muhamadniam sya roni P PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

1046 09-07-2019 113004010719P000340 0001023235334 SITI MULYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1047 09-07-2019 113004010719P000373 0001023238056 SRI LESTARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1048 09-07-2019 113004010719P001236 0001023238877 DEVIRA IKA PUSPITASARI P PBI (APBN) Counselling, unspecified Berobat Jalan

1049 09-07-2019 113004010719P001238 0001023243557 SUMINI P PBI (APBN) Counselling, unspecified Berobat Jalan

1050 09-07-2019 113004010719P000317 0001023243557 SUMINI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1051 09-07-2019 113004010719P000279 0001023244108 ECHA SEPTIANA WULANDARI P PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
1052 09-07-2019 113004010719P000273 0001023261355 SUTRISNI P PBI (APBN) Guillain-Barre syndrome Rujuk Lanjut

1053 09-07-2019 113004010719P000374 0001086361312 RUTIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1054 09-07-2019 113004010719P000277 0001402980028 MARTININGSIH P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
ovary
1055 09-07-2019 113004010719P000276 0001475958982 ROMLAH P PNS DAERAH Low back pain Rujuk Lanjut

1056 09-07-2019 113004010719P001234 0001526514873 SUPARMIN L PBI (APBD) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1057 09-07-2019 113004010719P000270 0001526959012 A DAVID ANDRIAN L PBI (APBD) Epilepsy, unspecified Rujuk Lanjut

1058 09-07-2019 113004010719P001244 0001690939989 SUWADI L PBI (APBD) Mild hyperemesis Sembuh
gravidarum
1059 09-07-2019 113004010719P000375 0001693299611 IRA DWI WULANSARI P PBI (APBD) Dyspepsia Berobat Jalan

1060 09-07-2019 113004010719P001239 0001839068965 SUYATI P PBI (APBD) Counselling, unspecified Berobat Jalan

1061 09-07-2019 113004010719P000278 0001899703451 tri nurwati P PEKERJA MANDIRI Cataract, unspecified Rujuk Lanjut

1062 09-07-2019 113004010719P000284 0002054891013 HARNI P PEGAWAI PEMERINTAH Non-insulin-dependent Rujuk Lanjut
DENGAN PERJANJIAN diabetes mellitus

1063 09-07-2019 113004010719P000266 0002178936325 WAHYONO L PBI (APBN) Optic neuritis Rujuk Lanjut

1064 09-07-2019 113004010719P000379 0002179113355 MUHAMMAD REZA ARDIYAN L PBI (APBN) Conjunctivitis Berobat Jalan
SYAH
1065 09-07-2019 113004010719P000336 0002239899568 aldiatsa aden mahesa L PBI (APBN) Influenza, virus not Berobat Jalan
identified
1066 09-07-2019 113004010719P000376 0002346482125 UMI SALAMAH P PBI (APBD) Hordeolum and chalazion Berobat Jalan

1067 09-07-2019 113004010719P000378 0002346482136 NAJWA ABDILA HUSNA P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1068 09-07-2019 113004010719P000323 0002346483486 AHMAD SAIFUDIN L PBI (APBD) Influenza, virus not Berobat Jalan
identified
1069 09-07-2019 113004010719P000359 0002346485128 TULUS TIYARTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1070 09-07-2019 113004010719P000269 0002346490089 NAFISA RIZKI RAMADHANI P PBI (APBD) Pulpitis Berobat Jalan

1071 09-07-2019 113004010719P000372 0002346494951 MUJAHIDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1072 09-07-2019 113004010719P000334 0002422517657 riski dwi saputra L PBI (APBN) Influenza, virus not Berobat Jalan
identified
1073 09-07-2019 113004010719P000338 0002462028693 TISYA RAFFANI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
1074 09-07-2019 113004010719P000335 0002466884046 ANINDITA KEISHA ZAHRA P PBI (APBN) Influenza, virus not Berobat Jalan
identified
1075 09-07-2019 113004010719P000324 0002471058685 MUHAMMAD FAISAL HAFIS L PBI (APBN) Influenza, virus not Berobat Jalan
ALLWA IRAWAN identified
1076 09-07-2019 113004010719P000346 0002482239486 NGATMINATUN P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
1077 09-07-2019 113004010719P000268 0002505166661 FATIMATUZ ZAHRO P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1078 09-07-2019 113004010719P000358 0002580670743 JUNAIDI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1079 09-07-2019 113004010719P000280 0002677491314 IRZA IBNI TSANY L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1080 09-07-2019 113004010719P000352 0002760077801 SUMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
1081 09-07-2019 113004010719P000318 0002762419689 OKTAVIA DWI IRAWATI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy
1082 09-07-2019 113004010719P000360 0002762419757 GILANG RIZKI ADITYA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1083 08-07-2019 113004010719P001195 0000073816558 SRI WIDJININGSIH P PENERIMA PENSIUN Counselling, unspecified Berobat Jalan
PNS
1084 08-07-2019 113004010719P000290 0000074002263 ISTIDATUN P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
1085 08-07-2019 113004010719P000257 0000166755137 SUTINI P PENERIMA PENSIUN TNI Periapical abscess without Rujuk Lanjut
sinus
1086 08-07-2019 113004010719P000222 0000200161732 DWI APRIYANIK P PNS PUSAT Disorders of refraction and Rujuk Lanjut
accommodation
1087 08-07-2019 113004010719P000926 0000575493625 SITI MAESAROH P PBI (APBN) Retained dental root Berobat Jalan

1088 08-07-2019 113004010719P000258 0000575493625 SITI MAESAROH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1089 08-07-2019 113004010719P000263 0000575886958 ARIYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1090 08-07-2019 113004010719P000325 0000576012576 AHMAD DWI HABIB L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1091 08-07-2019 113004010719P000327 0000576026785 JASMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1092 08-07-2019 113004010719P000224 0000576069985 MUAMAT L PBI (APBN) Injury of eye and orbit, part Rujuk Lanjut
unspecified
1093 08-07-2019 113004010719P000293 0000576082045 SITI KORIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1094 08-07-2019 113004010719P000295 0000576416755 RUDINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1095 08-07-2019 113004010719P000328 0000576521234 APRILIA HAYATUL H P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
1096 08-07-2019 113004010719P000292 0000576694901 SAWI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1097 08-07-2019 113004010719P001199 0000576698736 SUWARNO L PBI (APBN) Counselling, unspecified Berobat Jalan

1098 08-07-2019 113004010719P001198 0000576750734 MONAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1099 08-07-2019 113004010719P000302 0000576806128 SAYEM P PBI (APBN) Myalgia Berobat Jalan

1100 08-07-2019 113004010719P000310 0000576807783 ISMAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1101 08-07-2019 113004010719P000304 0000576875891 SRIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1102 08-07-2019 113004010719P001419 0000576900854 SARI MULYANI L PBI (APBN) Supervision of normal Sembuh
pregnancy
1103 08-07-2019 113004010719P000288 0000576911079 DJASMI P PBI (APBN) Asthma Berobat Jalan

1104 08-07-2019 113004010719P000244 0000576936011 KAMIRIN L PBI (APBN) Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage

1105 08-07-2019 113004010719P000300 0000576947586 SRIWATI P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
1106 08-07-2019 113004010719P000246 0000576950139 SUTIYEM P PBI (APBN) Seropositive rheumatoid Rujuk Lanjut
arthritis
1107 08-07-2019 113004010719P000306 0000577054348 MASKUR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1108 08-07-2019 113004010719P000332 0000577061234 SOFIYATUN P PBI (APBN) Fever, unspecified Berobat Jalan

1109 08-07-2019 113004010719P000255 0000577065846 NUR CHAFIDOH P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1110 08-07-2019 113004010719P000286 0000577160201 JASMO L PBI (APBN) Asthma Berobat Jalan

1111 08-07-2019 113004010719P000275 0000577161066 RATMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1112 08-07-2019 113004010719P000930 0000577225629 YULIATUN P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1113 08-07-2019 113004010719P001409 0000577245183 SITI NUR HAMIDAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1114 08-07-2019 113004010719P001202 0000577257467 SAWIDJO L PBI (APBN) Counselling, unspecified Berobat Jalan

1115 08-07-2019 113004010719P001215 0000577291228 BAGAS ARYA SAPUTRA L PBI (APBN) Nausea and vomiting Sembuh

1116 08-07-2019 113004010719P000225 0000577321334 KRISNA ADI SAPUTRA L PBI (APBN) Disorders of refraction and Rujuk Lanjut
accommodation
1117 08-07-2019 113004010719P001216 0000577334215 ALFIYATUN ROHMANIYAH P PBI (APBN) Mild hyperemesis Sembuh
gravidarum
1118 08-07-2019 113004010719P000313 0000577352845 JASMANTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1119 08-07-2019 113004010719P000296 0000577362958 MUDRIKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1120 08-07-2019 113004010719P001213 0000577468146 PUJI LESTARI P PBI (APBN) Counselling, unspecified Berobat Jalan

1121 08-07-2019 113004010719P001211 0000577512797 SISWANTO L PBI (APBN) Counselling, unspecified Berobat Jalan

1122 08-07-2019 113004010719P001205 0000577558642 YUSRIYANTI P PBI (APBN) Counselling, unspecified Berobat Jalan

1123 08-07-2019 113004010719P000285 0000577610469 MUSTAJI L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1124 08-07-2019 113004010719P000311 0000577673998 MARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1125 08-07-2019 113004010719P000331 0000577688139 ANJELINA DEWI SAFITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1126 08-07-2019 113004010719P000245 0000577711023 INTAN ARIYANTI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

1127 08-07-2019 113004010719P000297 0000577732421 DIYAH LARASATI P PBI (APBN) Low back pain Berobat Jalan

1128 08-07-2019 113004010719P000230 0000577734052 EDDY SUTRISNO L PBI (APBN) Disorders of refraction and Rujuk Lanjut
accommodation
1129 08-07-2019 113004010719P000227 0000577824783 SIRAD L PBI (APBN) Follow-up examination Rujuk Lanjut
after treatment of fracture
1130 08-07-2019 113004010719P000316 0000577940433 GATOT BASUKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1131 08-07-2019 113004010719P001201 0000577996288 SEMI P PBI (APBN) Counselling, unspecified Berobat Jalan

1132 08-07-2019 113004010719P000287 0000578058221 SUGIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1133 08-07-2019 113004010719P000260 0000578063834 NURUL HIDAYAH P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1134 08-07-2019 113004010719P000333 0000578064251 M AINUL HAKIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1135 08-07-2019 113004010719P000312 0000578084185 MURMINI P PBI (APBN) Myalgia Berobat Jalan

1136 08-07-2019 113004010719P000309 0000578100453 JUMIRAH P PBI (APBN) Keratitis Berobat Jalan

1137 08-07-2019 113004010719P000307 0000578162981 SUKARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1138 08-07-2019 113004010719P000289 0000578235295 MURNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1139 08-07-2019 113004010719P000315 0000578485855 ST KHOIRUL UMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1140 08-07-2019 113004010719P000305 0000578637988 UMI NURLAILIYAH P PBI (APBN) Fever, unspecified Berobat Jalan

1141 08-07-2019 113004010719P000291 0001023230485 SUTANTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1142 08-07-2019 113004010719P000329 0001023230496 MUNIRAH P PBI (APBN) Dyspepsia Berobat Jalan

1143 08-07-2019 113004010719P001207 0001023235514 GUDIYANTI P PBI (APBN) Counselling, unspecified Berobat Jalan

1144 08-07-2019 113004010719P000262 0001023235514 GUDIYANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1145 08-07-2019 113004010719P001197 0001023245842 SRIWAHYUNI P PBI (APBN) Counselling, unspecified Berobat Jalan

1146 08-07-2019 113004010719P000256 0001023247506 MULYANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1147 08-07-2019 113004010719P000223 0001023249273 SULIYEM P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
breast, unspecified
1148 08-07-2019 113004010719P000294 0001086284147 PARMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1149 08-07-2019 113004010719P000929 0001378708986 RENI SANTIKA PUTRI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan
PUNGKASANI
1150 08-07-2019 113004010719P000265 0001378708986 RENI SANTIKA PUTRI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
PUNGKASANI pregnancy
1151 08-07-2019 113004010719P001206 0001456976046 ENDANG SRI MULARSIH P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1152 08-07-2019 113004010719P000932 0001531702337 DEVANO APTA NUGRAHENDA L PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
1153 08-07-2019 113004010719P001204 0001843966721 SUKARNI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1154 08-07-2019 113004010719P000933 0002060175778 NUR KHASANAH P PEGAWAI PEMERINTAH Disturbances in tooth Berobat Jalan
DENGAN PERJANJIAN eruption

1155 08-07-2019 113004010719P000264 0002178934626 ATIK FAUZIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1156 08-07-2019 113004010719P000928 0002178934626 ATIK FAUZIAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1157 08-07-2019 113004010719P000303 0002219265077 IMAMAH P PBI (APBD) Other arthrosis Berobat Jalan

1158 08-07-2019 113004010719P000326 0002346482867 SAWI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1159 08-07-2019 113004010719P000274 0002346485264 SUYOTO L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1160 08-07-2019 113004010719P001208 0002346486401 ALIXE AL SACHILY L PBI (APBD) Counselling, unspecified Berobat Jalan

1161 08-07-2019 113004010719P000314 0002346490225 SUWARNI P PBI (APBD) Headache Berobat Jalan

1162 08-07-2019 113004010719P000927 0002346501262 AULIA MUNAFISA P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
1163 08-07-2019 113004010719P001217 0002346663341 SRI SUMIYATI P PBI (APBD) Epidemic vertigo Sembuh

1164 08-07-2019 113004010719P001196 0002462028693 TISYA RAFFANI P PBI (APBN) Counselling, unspecified Berobat Jalan

1165 08-07-2019 113004010719P000931 0002474380113 KARTINI P PBI (APBD) Retained dental root Berobat Jalan

1166 08-07-2019 113004010719P000299 0002505166885 EZZA RAVA MAULANA P PBI (APBN) Headache Berobat Jalan

1167 08-07-2019 113004010719P000308 0002505169451 NAILA FATIKHATUL HUSNA P PBI (APBN) Fever, unspecified Berobat Jalan

1168 08-07-2019 113004010719P000221 0002505170709 SRI MULYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1169 08-07-2019 113004010719P000301 0002574943435 SITI SHOHIFAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1170 08-07-2019 113004010719P001210 0002574943457 NURUL MAULITA P PBI (APBD) Counselling, unspecified Berobat Jalan

1171 08-07-2019 113004010719P001209 0002574943468 IRFAN FAQIH MAULANA L PBI (APBD) Counselling, unspecified Berobat Jalan

1172 08-07-2019 113004010719P000298 0002574953436 MASRUH L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1173 08-07-2019 113004010719P000924 0002621895704 RATNA PUSPITASARI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1174 08-07-2019 113004010719P000226 0002763076869 SUPARTI P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut

1175 07-07-2019 113004010719P001393 0000576640956 ELVA LESTARI P PBI (APBN) Supervision of normal Sembuh
pregnancy
1176 07-07-2019 113004010719P001407 0000576725488 NGATINI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1177 07-07-2019 113004010719P001406 0000577541867 FATIHATUN NI'MAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1178 07-07-2019 113004010719P001225 0001023237022 SUKIMAN L PBI (APBN) Hyperplasia of prostate Sembuh

1179 07-07-2019 113004010719P001408 0002346498909 ENDANG SURYANINGSIH P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
1180 06-07-2019 113004010719P001190 0000575519455 RISTIYANI P PBI (APBN) Counselling, unspecified Berobat Jalan

1181 06-07-2019 113004010719P000209 0000576155081 MASRUKIN L PBI (APBN) Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation

1182 06-07-2019 113004010719P000238 0000576427623 NASIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1183 06-07-2019 113004010719P000208 0000576618096 LIYA WAHYU P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1184 06-07-2019 113004010719P000242 0000576847811 MUJI ASTUTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1185 06-07-2019 113004010719P000249 0000576873303 KASWATI P PBI (APBN) Myalgia Berobat Jalan

1186 06-07-2019 113004010719P000248 0000576881111 SUHARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1187 06-07-2019 113004010719P000243 0000576883552 ARIF SODIKIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1188 06-07-2019 113004010719P000250 0000576987783 DJAMAN L PBI (APBN) Myalgia Berobat Jalan

1189 06-07-2019 113004010719P000212 0000577051154 SAWIJO L PBI (APBN) Cataract, unspecified Rujuk Lanjut

1190 06-07-2019 113004010719P000239 0000577241223 SUMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1191 06-07-2019 113004010719P001192 0000577276187 SUPARDI L PBI (APBN) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1192 06-07-2019 113004010719P000254 0000577472951 SUDIYO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1193 06-07-2019 113004010719P000240 0000577645468 WITOYO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1194 06-07-2019 113004010719P000247 0000577781829 MUSKONI'AH P PBI (APBN) Headache Berobat Jalan

1195 06-07-2019 113004010719P000204 0000577874158 PADEMI P PBI (APBN) Gastritis, unspecified Rujuk Lanjut

1196 06-07-2019 113004010719P000213 0000577997572 WARSIDI L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease with
acute exacerbation,

1197 06-07-2019 113004010719P000205 0000578039646 WARMI P PBI (APBN) Ascites Rujuk Lanjut

1198 06-07-2019 113004010719P000241 0000578052617 SUTRIMO L PBI (APBN) Myalgia Berobat Jalan

1199 06-07-2019 113004010719P000259 0001023232599 SUPAMI P PBI (APBN) Headache Berobat Jalan

1200 06-07-2019 113004010719P000207 0001526542547 SRIATI P PBI (APBD) Cataract, unspecified Rujuk Lanjut

1201 06-07-2019 113004010719P000210 0001820597488 HAIKAL AKHDAN ADLI L PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
1202 06-07-2019 113004010719P000923 0002126871336 WAHYU RILLIANA P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1203 06-07-2019 113004010719P001193 0002215480307 SAMAN L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1204 06-07-2019 113004010719P001405 0002242878298 ANA RIYAWATI AZIZAH P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
1205 06-07-2019 113004010719P000253 0002346482384 FATHIR RIZKY KARUNIA AYURI L PBI (APBD) Atopic dermatitis, Berobat Jalan
unspecified
1206 06-07-2019 113004010719P000211 0002495835033 SULIYEM P PEKERJA MANDIRI Noninflammatory disorder Rujuk Lanjut
of ovary, fallopian tube
and broad ligament,

1207 06-07-2019 113004010719P000251 0002574943942 FARDINA NGASTUTIK P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1208 06-07-2019 113004010719P000252 0002574951513 SUYATMI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1209 06-07-2019 113004010719P000261 0002677485655 WARSINAH P PBI (APBN) Headache Berobat Jalan

1210 06-07-2019 113004010719P000206 0002763374635 AMRULLAH AZZAKY L PBI (APBN) Bilateral inguinal hernia, Rujuk Lanjut
with obstruction, without

1211 05-07-2019 113004010719P000201 0000073816648 SITI AMINAH P PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
1212 05-07-2019 113004010719P000219 0000575784009 NGATINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1213 05-07-2019 113004010719P000233 0000575801471 ARIF YULIYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1214 05-07-2019 113004010719P000192 0000576171819 WARSITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1215 05-07-2019 113004010719P000189 0000576171832 TRI NOFIYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1216 05-07-2019 113004010719P000200 0000576393546 IMAM ARIFIN L PBI (APBN) Dyspepsia Berobat Jalan

1217 05-07-2019 113004010719P000199 0000576869117 IMA FAIZAH P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
1218 05-07-2019 113004010719P000214 0000576884272 NGATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1219 05-07-2019 113004010719P000216 0000576890368 WIWIK LESTARI P PBI (APBN) Myalgia Berobat Jalan

1220 05-07-2019 113004010719P000217 0000576930194 SUKIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1221 05-07-2019 113004010719P000188 0000576981775 RASIYEM P PBI (APBN) Other cataract Rujuk Lanjut

1222 05-07-2019 113004010719P000236 0000577042468 AGUS KRISTIAWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1223 05-07-2019 113004010719P000235 0000577097741 NARTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1224 05-07-2019 113004010719P000234 0000577098112 SUMIYATI P PBI (APBN) Anaemia, unspecified Berobat Jalan

1225 05-07-2019 113004010719P000198 0000577264026 SULIS SETIYO WATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1226 05-07-2019 113004010719P000202 0000577380025 SUSI SUSANTI P PBI (APBN) Myalgia Berobat Jalan

1227 05-07-2019 113004010719P000190 0000577486315 MARZUKI L PBI (APBN) Cataract, unspecified Rujuk Lanjut

1228 05-07-2019 113004010719P001187 0000577544499 WASIDI L PBI (APBN) Counselling, unspecified Berobat Jalan

1229 05-07-2019 113004010719P000237 0000577653254 SETYO MAWAR MELATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1230 05-07-2019 113004010719P001189 0000577657078 SAIDAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1231 05-07-2019 113004010719P000215 0000577716963 MARSIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1232 05-07-2019 113004010719P000196 0000577778005 PARSIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1233 05-07-2019 113004010719P000218 0000577785161 BUDIYONO L PBI (APBN) Other arthrosis Berobat Jalan

1234 05-07-2019 113004010719P000220 0000577788131 MUHAMMAD HAMIM JUNAIDI L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
1235 05-07-2019 113004010719P000229 0001023232588 TALIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1236 05-07-2019 113004010719P000888 0001023255876 MAUTIYA RENGGANIS P PBI (APBN) Caries of dentine Berobat Jalan

1237 05-07-2019 113004010719P000203 0001086342906 MURSITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1238 05-07-2019 113004010719P000193 0001377209237 OKTAVIA YUDHI PRASTUTI P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
1239 05-07-2019 113004010719P000195 0001695199577 SUSANTI P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
1240 05-07-2019 113004010719P000197 0002179113581 MARSINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1241 05-07-2019 113004010719P000232 0002224947655 NGARNO L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

1242 05-07-2019 113004010719P001186 0002297228602 JUMINI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

1243 05-07-2019 113004010719P000187 0002346482136 NAJWA ABDILA HUSNA P PBI (APBD) Epispadias Berobat Jalan

1244 05-07-2019 113004010719P000228 0002346485106 SUPARTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1245 05-07-2019 113004010719P001224 0002574944234 SAWILAH P PBI (APBD) Low back pain Sembuh

1246 05-07-2019 113004010719P000191 0002574950646 SUKARTI P PBI (APBD) Myalgia Berobat Jalan

1247 05-07-2019 113004010719P000231 0002677490853 NGATIYEM P PBI (APBN) Low back pain Berobat Jalan

1248 04-07-2019 113004010719P000871 0000075920422 MURTINI P PNS DAERAH Counselling, unspecified Berobat Jalan

1249 04-07-2019 113004010719P000151 0000204450827 ANITA RISTYANI P PNS DAERAH Nasal polyp, unspecified Rujuk Lanjut

1250 04-07-2019 113004010719P000882 0000575482768 NUR AENI P PBI (APBN) Pulpitis Berobat Jalan

1251 04-07-2019 113004010719P000169 0000576269425 IMA RAMAWATI P PBI (APBN) Myalgia Berobat Jalan

1252 04-07-2019 113004010719P000179 0000576470125 RASMIJAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1253 04-07-2019 113004010719P000185 0000576661138 SUPARMIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1254 04-07-2019 113004010719P000178 0000576721157 ARIF SUJIWO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1255 04-07-2019 113004010719P000869 0000576744074 MARNI P PBI (APBN) Counselling, unspecified Berobat Jalan

1256 04-07-2019 113004010719P000157 0000576794981 WARMO L PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1257 04-07-2019 113004010719P000155 0000576795339 SRI WATI P PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

1258 04-07-2019 113004010719P000180 0000576818201 SUWARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1259 04-07-2019 113004010719P000162 0000576934659 KARSI P PBI (APBN) Parkinson's disease Rujuk Lanjut

1260 04-07-2019 113004010719P000167 0000577114435 SUWARNO L PBI (APBN) Myalgia Berobat Jalan

1261 04-07-2019 113004010719P000168 0000577114773 SITI KOYIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1262 04-07-2019 113004010719P000170 0000577191971 SUPARMI P PBI (APBN) Myalgia Berobat Jalan

1263 04-07-2019 113004010719P000886 0000577201972 DARMIN L PBI (APBN) Acute periodontitis Berobat Jalan

1264 04-07-2019 113004010719P000878 0000577201972 DARMIN L PBI (APBN) Counselling, unspecified Berobat Jalan

1265 04-07-2019 113004010719P000166 0000577314876 DARTI P PBI (APBN) Headache Berobat Jalan

1266 04-07-2019 113004010719P000876 0000577506699 SUYADI L PBI (APBN) Counselling, unspecified Berobat Jalan

1267 04-07-2019 113004010719P000186 0000577515442 SUGIMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1268 04-07-2019 113004010719P000160 0000577558642 YUSRIYANTI P PBI (APBN) Headache Berobat Jalan

1269 04-07-2019 113004010719P000122 0000577634016 SUWARJAN L PBI (APBN) Myalgia Berobat Jalan

1270 04-07-2019 113004010719P000181 0000577673998 MARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1271 04-07-2019 113004010719P000173 0000577678386 KUSMINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1272 04-07-2019 113004010719P000175 0000577701426 HARIYANTI P PBI (APBN) Headache Berobat Jalan

1273 04-07-2019 113004010719P000152 0000577820621 KALIMAH P PBI (APBN) Asthma Berobat Jalan

1274 04-07-2019 113004010719P000154 0000577830677 YATMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1275 04-07-2019 113004010719P000150 0000577864517 RUKAYAH P PBI (APBN) Low back pain Berobat Jalan

1276 04-07-2019 113004010719P000121 0000578131323 EKO SISWATO L PBI (APBN) Asthma Berobat Jalan

1277 04-07-2019 113004010719P001392 0000578308779 NURUL HIDAYATIKA P PBI (APBN) Supervision of normal Sembuh
pregnancy
1278 04-07-2019 113004010719P000182 0000578407116 RUKAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1279 04-07-2019 113004010719P000140 0000578586857 RUSMANTO L PBI (APBN) Benign neoplasm of colon, Rujuk Lanjut
rectum, anus and anal

1280 04-07-2019 113004010719P000884 0000578610235 ENJELITA NIHHARANI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1281 04-07-2019 113004010719P000880 0001023235288 MUSKONIAH P PBI (APBN) Necrosis of pulp Berobat Jalan

1282 04-07-2019 113004010719P000171 0001023235334 SITI MULYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1283 04-07-2019 113004010719P000120 0001023237494 JAMIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1284 04-07-2019 113004010719P000176 0001023252096 ANGGI ASTUTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1285 04-07-2019 113004010719P000124 0001023258813 YUSUF ERRY ZANUAR L PBI (APBN) Delayed milestone Rujuk Lanjut

1286 04-07-2019 113004010719P000153 0001023262468 SUKINI P PBI (APBN) Myalgia Berobat Jalan

1287 04-07-2019 113004010719P000172 0001023263616 GORO P PBI (APBN) Headache Berobat Jalan

1288 04-07-2019 113004010719P000184 0001526913281 ACHMAD JUNAEDI L PBI (APBD) Headache Berobat Jalan

1289 04-07-2019 113004010719P000183 0001526951204 PUGER ALAMSYAH L PBI (APBD) Headache Berobat Jalan

1290 04-07-2019 113004010719P000877 0001692896286 AHMAD RIDHO MAHBUB L PBI (APBD) Counselling, unspecified Berobat Jalan

1291 04-07-2019 113004010719P000161 0002061891461 LISKA NUR ERMAWATI P PBI (APBD) Atopic dermatitis, Berobat Jalan
unspecified
1292 04-07-2019 113004010719P000194 0002178854188 CHOIRUL LANGGENG JIBRIL L PBI (APBN) Influenza, virus not Berobat Jalan
identified
1293 04-07-2019 113004010719P000177 0002306276267 SITI PATIMAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1294 04-07-2019 113004010719P000887 0002346480134 TITIK NUR KHAMIDAH P PBI (APBD) Counselling, unspecified Berobat Jalan

1295 04-07-2019 113004010719P000146 0002346484061 SAHID L PBI (APBD) Hyperplasia of prostate Rujuk Lanjut

1296 04-07-2019 113004010719P000129 0002346490394 TAMPI P PBI (APBD) Dyspepsia Berobat Jalan

1297 04-07-2019 113004010719P000165 0002346499708 DWI ENDAH RIYANTI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
1298 04-07-2019 113004010719P000885 0002346499708 DWI ENDAH RIYANTI P PBI (APBD) Necrosis of pulp Berobat Jalan

1299 04-07-2019 113004010719P000164 0002346501633 GANNY ARVIANSYAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1300 04-07-2019 113004010719P000881 0002574947171 ELISA SEFTIANA P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
1301 04-07-2019 113004010719P000879 0002578098317 ZOLA FRANSISKA DEVI P PBI (APBD) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1302 04-07-2019 113004010719P000883 0002578886741 DANIAR SEPTA NUR L PBI (APBD) Pulpitis Berobat Jalan
PAMUNGKAS
1303 04-07-2019 113004010719P000872 0002580670743 JUNAIDI L PBI (APBD) Counselling, unspecified Berobat Jalan

1304 04-07-2019 113004010719P000174 0002677491922 SYAFA THALITA P PBI (APBN) Headache Berobat Jalan

1305 04-07-2019 113004010719P000123 0002677494723 SUWARNO L PBI (APBN) Gastritis, unspecified Berobat Jalan

1306 04-07-2019 113004010719P000870 0002738044664 KASMINAH P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1307 04-07-2019 113004010719P000163 0002760130157 NATURA NASHIHATUS ZAHRO' P PBI (APBD) Influenza, virus not Berobat Jalan
identified
1308 03-07-2019 113004010719P000137 0000073626693 RUSTANTO L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
1309 03-07-2019 113004010719P000868 0000576407687 SITI FATIMATUS ZAHRO P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1310 03-07-2019 113004010719P000117 0000576565795 TRI UTAMI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1311 03-07-2019 113004010719P000867 0000576565795 TRI UTAMI P PBI (APBN) Counselling, unspecified Berobat Jalan

1312 03-07-2019 113004010719P000855 0000576750824 LOSO L PBI (APBN) Counselling, unspecified Berobat Jalan

1313 03-07-2019 113004010719P000854 0000576799751 SRI KUSTINI P PBI (APBN) Counselling, unspecified Berobat Jalan

1314 03-07-2019 113004010719P000141 0000576865192 SUPAR L PBI (APBN) Fever, unspecified Berobat Jalan

1315 03-07-2019 113004010719P000138 0000576865348 SITI BARIYATUN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1316 03-07-2019 113004010719P000136 0000576880457 SUTIYEM P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

1317 03-07-2019 113004010719P000156 0000576959848 JIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1318 03-07-2019 113004010719P000143 0000576960737 YHENI ANGGITA PUTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1319 03-07-2019 113004010719P000110 0000577148501 MUHAMAD ACHYAR L PBI (APBN) Other headache Rujuk Lanjut
syndromes
1320 03-07-2019 113004010719P000131 0000577175905 SITI MEKARSARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1321 03-07-2019 113004010719P000856 0000577177615 APRILIA DWI LESTARI P PBI (APBN) Counselling, unspecified Berobat Jalan

1322 03-07-2019 113004010719P000113 0000577214054 KHOLIDATUN MUBAYYINAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1323 03-07-2019 113004010719P000762 0000577214548 PAYO L PBI (APBN) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1324 03-07-2019 113004010719P000144 0000577328747 CANTIKA REFALIA ANDUNIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1325 03-07-2019 113004010719P000159 0000577342337 NGADIMIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1326 03-07-2019 113004010719P000761 0000577342405 SITI SOFIATUN P PBI (APBN) Counselling, unspecified Berobat Jalan

1327 03-07-2019 113004010719P000859 0000577549451 ARI YULI PRASTYO L PBI (APBN) Counselling, unspecified Berobat Jalan

1328 03-07-2019 113004010719P000125 0000577663233 SRI YATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1329 03-07-2019 113004010719P000132 0000577742512 MAMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1330 03-07-2019 113004010719P000858 0000577776317 SA'DUN MAIMUN SYARIF L PBI (APBN) Counselling, unspecified Berobat Jalan

1331 03-07-2019 113004010719P000128 0000577799054 IKA MEI RAYANTI P PBI (APBN) Headache Berobat Jalan

1332 03-07-2019 113004010719P000127 0000577799469 MUHAMMAD ANDRYAWAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1333 03-07-2019 113004010719P000147 0000577867702 SITI ROHMAH P PBI (APBN) Sciatica Berobat Jalan

1334 03-07-2019 113004010719P000158 0000577874158 PADEMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1335 03-07-2019 113004010719P000863 0000577877758 SITI SAHAROH P PBI (APBN) Retained dental root Berobat Jalan

1336 03-07-2019 113004010719P000115 0000577877758 SITI SAHAROH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1337 03-07-2019 113004010719P000114 0000577885094 UTAMI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1338 03-07-2019 113004010719P000852 0000577923265 ROHMAD ALPIAN L PBI (APBN) Counselling, unspecified Berobat Jalan

1339 03-07-2019 113004010719P000130 0000577940433 GATOT BASUKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1340 03-07-2019 113004010719P000112 0000577997572 WARSIDI L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

1341 03-07-2019 113004010719P000853 0000578098585 NGARNI P PBI (APBN) Counselling, unspecified Berobat Jalan

1342 03-07-2019 113004010719P000862 0000578098585 NGARNI P PBI (APBN) Counselling, unspecified Berobat Jalan

1343 03-07-2019 113004010719P000602 0000578349336 SUWARNI P PBI (APBN) Counselling, unspecified Berobat Jalan

1344 03-07-2019 113004010719P000148 0001023226863 muhamadniam sya roni P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1345 03-07-2019 113004010719P000135 0001023238416 MASLURI L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1346 03-07-2019 113004010719P000851 0001023241241 SULASIH P PBI (APBD) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1347 03-07-2019 113004010719P000145 0001079435474 FADHILAH PURNAMA SARI P PNS PUSAT Epilepsy Berobat Jalan

1348 03-07-2019 113004010719P000116 0001370717111 TRI PUJI LESTARI P PEGAWAI SWASTA Supervision of normal Berobat Jalan
pregnancy
1349 03-07-2019 113004010719P000134 0001526940865 WANTIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1350 03-07-2019 113004010719P000142 0001690940092 NAILI SA'ADAH P PBI (APBD) Acute pharyngitis Berobat Jalan

1351 03-07-2019 113004010719P000864 0001865147488 MUHAMMAD HANIF AQIL L PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
AZHAR eruption
1352 03-07-2019 113004010719P000857 0002178771873 AFTAKUL RIDHO L PBI (APBN) Counselling, unspecified Berobat Jalan

1353 03-07-2019 113004010719P000133 0002179024492 SAMIRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1354 03-07-2019 113004010719P000109 0002268670342 AHMAD GILANG DWI SAPUTRA L PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
eruption
1355 03-07-2019 113004010719P000865 0002274030483 AHMAD RIDLO ZAMZAMI L PEGAWAI SWASTA Pulpitis Berobat Jalan

1356 03-07-2019 113004010719P000866 0002302661316 AZKIA AGNITA AQUUENI L PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
1357 03-07-2019 113004010719P000111 0002304865023 SUNARTI P PBI (APBD) Senile cataract Rujuk Lanjut

1358 03-07-2019 113004010719P000149 0002346487637 KARNI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1359 03-07-2019 113004010719P000118 0002464009716 shabila rizkya ramadhani P PBI (APBN) Influenza, virus not Berobat Jalan
identified
1360 03-07-2019 113004010719P000139 0002505167212 ALIEF MAULANA PRATAMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1361 03-07-2019 113004010719P001391 0002574952154 SUTIMAH P PBI (APBD) Supervision of normal Sembuh
pregnancy
1362 03-07-2019 113004010719P000861 0002633794749 FAJAR AGUS SETIAWAN L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1363 03-07-2019 113004010719P000126 0002744988794 SRI ASTUTIK P PEGAWAI SWASTA Other rheumatoid arthritis Berobat Jalan

1364 03-07-2019 113004010719P000119 0002771624687 NAYLA KAMILA KIRANA P PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
1365 02-07-2019 113004010719P000067 0000576088288 TRI SUWARNI P PBI (APBN) Delivery by elective Rujuk Lanjut
caesarean section
1366 02-07-2019 113004010719P000096 0000576748866 SULIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1367 02-07-2019 113004010719P001221 0000576834625 KARNI P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1368 02-07-2019 113004010719P000075 0000576853119 JAMINEM P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
thyroid gland
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1369 02-07-2019 113004010719P000083 0000576924311 PARMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1370 02-07-2019 113004010719P000100 0000576926109 KASMINAH P PBI (APBN) Headache Berobat Jalan

1371 02-07-2019 113004010719P000092 0000576926796 NOVIA PUTRI AFNITA SARI P PBI (APBN) Gastritis, unspecified Berobat Jalan

1372 02-07-2019 113004010719P000595 0000576934659 KARSI P PBI (APBN) Counselling, unspecified Berobat Jalan

1373 02-07-2019 113004010719P000589 0000576955315 NGATMINATUN P PBI (APBN) Counselling, unspecified Berobat Jalan

1374 02-07-2019 113004010719P000081 0000576955315 NGATMINATUN P PBI (APBN) Necrosis of pulp Berobat Jalan

1375 02-07-2019 113004010719P000592 0000577155936 HARTUTIK P PBI (APBN) Counselling, unspecified Berobat Jalan

1376 02-07-2019 113004010719P000103 0000577160201 JASMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1377 02-07-2019 113004010719P000101 0000577161066 RATMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1378 02-07-2019 113004010719P001222 0000577227071 SUMINI P PBI (APBN) Dyspepsia Sembuh

1379 02-07-2019 113004010719P000107 0000577231582 RUMISIH P PBI (APBN) Myalgia Berobat Jalan

1380 02-07-2019 113004010719P000106 0000577233459 RAHMA SINTA ZULFIANA P PBI (APBN) Other forms of stomatitis Berobat Jalan

1381 02-07-2019 113004010719P000108 0000577233696 SUWATI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus
1382 02-07-2019 113004010719P000105 0000577257467 SAWIDJO L PBI (APBN) Headache Berobat Jalan

1383 02-07-2019 113004010719P000069 0000577276187 SUPARDI L PBI (APBN) Lipomatosis, not Rujuk Lanjut
elsewhere classified
1384 02-07-2019 113004010719P000588 0000577334215 ALFIYATUN ROHMANIYAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1385 02-07-2019 113004010719P000087 0000577338399 TARMI P PBI (APBN) Other rheumatoid arthritis Berobat Jalan

1386 02-07-2019 113004010719P000064 0000577348716 RUMIMI P PBI (APBN) Benign neoplasm of vulva Rujuk Lanjut

1387 02-07-2019 113004010719P000084 0000577558326 RASNO L PBI (APBN) Myalgia Berobat Jalan

1388 02-07-2019 113004010719P000070 0000577561342 ISAROH P PBI (APBN) Hepatomegaly, not Rujuk Lanjut
elsewhere classified
1389 02-07-2019 113004010719P000586 0000577561882 FATIMAH AZZARA P PBI (APBN) Counselling, unspecified Berobat Jalan

1390 02-07-2019 113004010719P000094 0000577630438 KUSNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1391 02-07-2019 113004010719P000090 0000577645154 KASMIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1392 02-07-2019 113004010719P000085 0000577658248 YULI KUSMINDAR P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1393 02-07-2019 113004010719P000599 0000577701426 HARIYANTI P PBI (APBN) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1394 02-07-2019 113004010719P000587 0000577754976 NURKHAYATI P PBI (APBN) Counselling, unspecified Berobat Jalan

1395 02-07-2019 113004010719P000066 0000577805725 NYAMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1396 02-07-2019 113004010719P000597 0000577867702 SITI ROHMAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1397 02-07-2019 113004010719P000601 0000577881325 ACHLIS FAIZUL MUNA L PBI (APBN) Counselling, unspecified Berobat Jalan

1398 02-07-2019 113004010719P000585 0000577885329 DEVI SATUN AZIZAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1399 02-07-2019 113004010719P000102 0000577885329 DEVI SATUN AZIZAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1400 02-07-2019 113004010719P000078 0000577903353 SUGIYANTI P PBI (APBN) Pulpitis Berobat Jalan

1401 02-07-2019 113004010719P000093 0000577905287 MUNZAROAH P PBI (APBN) Myalgia Berobat Jalan

1402 02-07-2019 113004010719P000088 0000577933198 RAMIN L PBI (APBN) Myalgia Berobat Jalan

1403 02-07-2019 113004010719P000091 0000577933874 RASIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1404 02-07-2019 113004010719P000590 0000577982474 PENIPGRMATAAARI P PBI (APBN) Counselling, unspecified Berobat Jalan

1405 02-07-2019 113004010719P000079 0000577993138 SUMINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1406 02-07-2019 113004010719P000065 0000578012938 AHMAD ABU NAIM L PBI (APBN) Schizophrenia Rujuk Lanjut

1407 02-07-2019 113004010719P000598 0000578161056 SULASMI P PBI (APBN) Counselling, unspecified Berobat Jalan

1408 02-07-2019 113004010719P000071 0001023237527 KASNADI L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

1409 02-07-2019 113004010719P000593 0001023241408 SITI CHOIRIYAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1410 02-07-2019 113004010719P000074 0001079933703 ZIANIN KHALILARROSYAD P PNS PUSAT Disorders of refraction and Rujuk Lanjut
accommodation
1411 02-07-2019 113004010719P000095 0001086361312 RUTIYEM P PBI (APBN) Headache Berobat Jalan

1412 02-07-2019 113004010719P000099 0001305144033 SUPATUMI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
1413 02-07-2019 113004010719P000082 0001316289251 HAFIDZAH HASANAH AZZAHRA P PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
1414 02-07-2019 113004010719P000591 0001402980028 MARTININGSIH P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1415 02-07-2019 113004010719P000098 0001526537237 ENDANG SULISTYO R P PBI (APBD) Asthma, unspecified Berobat Jalan

1416 02-07-2019 113004010719P000073 0001526633739 BAMBANG L PBI (APBD) Schizophrenia Rujuk Lanjut

1417 02-07-2019 113004010719P000600 0001529878937 FARIS NUR FALLAQ L PBI (APBD) Counselling, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1418 02-07-2019 113004010719P000086 0001692899717 HENY PUJIASTUTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1419 02-07-2019 113004010719P000594 0001899703451 tri nurwati P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1420 02-07-2019 113004010719P000089 0002054891013 HARNI P PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan
DENGAN PERJANJIAN diabetes mellitus

1421 02-07-2019 113004010719P000104 0002062142076 SUPRAT L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1422 02-07-2019 113004010719P000076 0002074314025 ROHAYATUN P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
1423 02-07-2019 113004010719P000596 0002179112872 SITI KHOTIJAH P PBI (APBN) Counselling, unspecified Berobat Jalan

1424 02-07-2019 113004010719P000080 0002462964309 MUHAMMAD NIZAM L PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
eruption
1425 02-07-2019 113004010719P000097 0002473725969 SUMIYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
1426 02-07-2019 113004010719P000077 0002505166661 FATIMATUZ ZAHRO P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1427 02-07-2019 113004010719P000072 0002575683617 SUSANTI P PBI (APBD) Fibroadenosis of breast Rujuk Lanjut

1428 02-07-2019 113004010719P000063 0002583815512 AHMAD HAIDAR ALI L PBI (APBN) Urticaria Berobat Jalan

1429 02-07-2019 113004010719P000068 0002764717659 ANNA SOFIANA P PEKERJA MANDIRI Other and unspecified Rujuk Lanjut
ovarian cysts
1430 01-07-2019 113004010719P000016 0000073734524 SRI SOEDARSIH P PENERIMA PENSIUN TNI Low back pain Berobat Jalan

1431 01-07-2019 113004010719P000058 0000162478721 WARSITI P PENERIMA PENSIUN Headache Berobat Jalan
PNS
1432 01-07-2019 113004010719P000011 0000575825826 SITI SAFIAH P PBI (APBN) Keratitis Berobat Jalan

1433 01-07-2019 113004010719P000013 0000576054933 SRI WATIYEM P PBI (APBN) Dizziness and giddiness Berobat Jalan

1434 01-07-2019 113004010719P000035 0000576427623 NASIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1435 01-07-2019 113004010719P000020 0000576618862 PUJI EKOWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1436 01-07-2019 113004010719P000004 0000576625937 MULYATI P PBI (APBN) Disorders of refraction and Rujuk Lanjut
accommodation
1437 01-07-2019 113004010719P000036 0000576694901 SAWI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1438 01-07-2019 113004010719P000038 0000576712361 MUKINAH P PBI (APBN) Asthma Berobat Jalan

1439 01-07-2019 113004010719P000047 0000576793001 SUGIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1440 01-07-2019 113004010719P000017 0000576816737 SITI KUSTINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1441 01-07-2019 113004010719P000003 0000576823408 DEWI AMELIA JUMIATI P PBI (APBN) Spastic diplegia Rujuk Lanjut

1442 01-07-2019 113004010719P000057 0000576838978 RUSMINI P PBI (APBN) Headache Berobat Jalan

1443 01-07-2019 113004010719P000030 0000576845166 RUJIYEM P PBI (APBN) Myalgia Berobat Jalan

1444 01-07-2019 113004010719P000028 0000576869398 SUWIDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1445 01-07-2019 113004010719P000053 0000576911531 MULYONO L PBI (APBN) Urticaria, unspecified Berobat Jalan

1446 01-07-2019 113004010719P000060 0000576957429 HARYANI P PBI (APBN) Myalgia Berobat Jalan

1447 01-07-2019 113004010719P000023 0000577005186 LISTYAWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1448 01-07-2019 113004010719P000001 0000577009743 SULASTRI P PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

1449 01-07-2019 113004010719P000059 0000577017786 SUMIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
1450 01-07-2019 113004010719P000061 0000577134663 SUTARSIH P PBI (APBN) Myalgia Berobat Jalan

1451 01-07-2019 113004010719P000040 0000577148501 MUHAMAD ACHYAR L PBI (APBN) Headache Berobat Jalan

1452 01-07-2019 113004010719P000032 0000577148545 MARYATI P PBI (APBN) Dyspepsia Berobat Jalan

1453 01-07-2019 113004010719P000046 0000577197652 SUWATI P PBI (APBN) Headache Berobat Jalan

1454 01-07-2019 113004010719P000029 0000577220938 YATMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1455 01-07-2019 113004010719P000009 0000577336083 SURIPTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1456 01-07-2019 113004010719P000033 0000577494977 JUWARSI P PBI (APBN) Senile incipient cataract Rujuk Lanjut

1457 01-07-2019 113004010719P000021 0000577522315 SULIYEM P PBI (APBN) Other specified disorders Rujuk Lanjut
of eye and adnexa
1458 01-07-2019 113004010719P000049 0000577570252 SUKINDAR L PBI (APBN) Myalgia Berobat Jalan

1459 01-07-2019 113004010719P000048 0000577570623 SULASTRI P PBI (APBN) Myalgia Berobat Jalan

1460 01-07-2019 113004010719P000019 0000577673987 ENI SUNARTI P PBI (APBN) Cerebral infarction, Rujuk Lanjut
unspecified
1461 01-07-2019 113004010719P000012 0000577700728 YAYUK DIAH AGUSTIN P PBI (APBN) Inflammatory disorders of Berobat Jalan
breast
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1462 01-07-2019 113004010719P000018 0000577853223 MARIA ULVA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1463 01-07-2019 113004010719P000015 0000577949321 PUJIYEM P PBI (APBN) Other arthrosis Berobat Jalan

1464 01-07-2019 113004010719P000043 0000578001644 ENTENG YULIANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1465 01-07-2019 113004010719P000039 0000578070055 DASIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1466 01-07-2019 113004010719P000041 0000578130039 SARPO L PBI (APBN) Myalgia Berobat Jalan

1467 01-07-2019 113004010719P000044 0000578295876 SUWARTI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1468 01-07-2019 113004010719P000022 0000578370789 LIMATUL KHASANAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1469 01-07-2019 113004010719P000045 0000578439753 PARJUMI P PBI (APBN) Myalgia Berobat Jalan

1470 01-07-2019 113004010719P001220 0000578582133 SUPI P PBI (APBN) Essential (primary) Sembuh
hypertension
1471 01-07-2019 113004010719P000031 0001023235334 SITI MULYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1472 01-07-2019 113004010719P000050 0001023241533 NUR SUCI L PBI (APBN) Myalgia Berobat Jalan

1473 01-07-2019 113004010719P000052 0001023248373 SUMBALIATUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1474 01-07-2019 113004010719P000062 0001023253198 SUMARMO L PBI (APBN) Myalgia Berobat Jalan

1475 01-07-2019 113004010719P000026 0001023257002 ROHMAT L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1476 01-07-2019 113004010719P000027 0001023257024 ANGGUN LAILA ROMADHONI P PBI (APBN) Fever with chills Berobat Jalan

1477 01-07-2019 113004010719P000037 0001086284147 PARMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1478 01-07-2019 113004010719P000056 0001086342906 MURSITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1479 01-07-2019 113004010719P000051 0001526512094 YASRI L PBI (APBD) Myalgia Berobat Jalan

1480 01-07-2019 113004010719P000024 0001526536541 RATMI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1481 01-07-2019 113004010719P000010 0001843966721 SUKARNI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1482 01-07-2019 113004010719P000014 0002126870807 NAZILA RAHMA NUR P PBI (APBN) Acute upper respiratory Berobat Jalan
FADLILLAH infection, unspecified
1483 01-07-2019 113004010719P000054 0002126870998 FARIDA DEA NINGRUM P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1484 01-07-2019 113004010719P000005 0002179112872 SITI KHOTIJAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Grobogan - 11300401

1485 01-07-2019 113004010719P000002 0002220039527 PURJIYO L PEKERJA MANDIRI After-cataract Rujuk Lanjut

1486 01-07-2019 113004010719P000034 0002346491417 MASRIAH P PBI (APBD) Dizziness and giddiness Berobat Jalan

1487 01-07-2019 113004010719P000006 0002346500867 RETNO SANTI P PBI (APBD) Fever, unspecified Berobat Jalan

1488 01-07-2019 113004010719P000055 0002346501262 AULIA MUNAFISA P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
1489 01-07-2019 113004010719P000007 0002574943435 SITI SHOHIFAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1490 01-07-2019 113004010719P000008 0002574943468 IRFAN FAQIH MAULANA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1491 01-07-2019 113004010719P000042 0002574944965 DARIYEM P PBI (APBD) Myalgia Berobat Jalan

1492 01-07-2019 113004010719P000025 0002607531041 RIDWAN TRI YUWANA L PBI (APBN) Atopic dermatitis Berobat Jalan

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