Jumlah : 2389
No No Transaksi No CM CM Lama No Asuransi
1 00201B0349520220180901 '034952 '0002451269103
2 00201B0352260220180901 '035226 '0000523486146
3 00201B0358140220180901 '035814 '0002010909655
4 00201B0360680220180901 '036068
5 00201B0369210220180901 '036921 '1021030106940199
6 00201B0390520220180901 '039052 '0001015765716
9 00201B0400490220180901 '040049
10 00201B0408970220180901 '040897
12 00201B0416610220180901 '041661
17 00201B0001380220180901 '000138
18 00201B0002910220180901 '000291 '0000525057783
19 00201B0003540220180901 '000354 '0001015760294
32 00201B0049320220180901 '004932
33 00201B0049460220180901 '004946
36 00201B0058370220180901 '005837
37 00201B0062270220180901 '006227
38 00201B0064540220180901 '006454
58 00201B0141920220180901 '014192
59 00201B0159550220180901 '015955
60 00201B0166950220180901 '016695 '0001849536336
61 00201B0167200220180901 '016720
64 00201B0190880220180901 '019088
77 00201B0239870220180901 '023987
79 00201B0268960220180901 '026896
80 00201B0275340220180901 '027534
81 00201B0277330220180901 '027733 '0002429177602
82 00201B0287530220180901 '028753
83 00201B0288760220180901 '028876
84 00201B0288780220180901 '028878
90 00201B0297480220180901 '029748
9/1/2018 WARTI
9/3/2018 YUANITA
'3302024307880003 9/3/2018 SITI MUTMAINAH
'3302023112460004 9/3/2018 MUNARJI SOCHIB
9/3/2018 IRNASARI
9/4/2018 NAFISA
9/4/2018 KARSINI
ERNA ANANDA OKTAVIANI LAKSANA
'3302027110990005 9/4/2018 PUTRI
9/4/2018 SUHANDONO
9/8/2018 RATEM
'3302012012060001 9/8/2018 MUHAMMAD RISKI
'3302021511000007 9/8/2018 IBNU FATIN NOFAL
'3519110806990001 9/8/2018 FREDY HARIYO SENO
9/8/2018 SIFA
9/8/2018 RAMUDI
'3302024505060001 9/8/2018 MEITA ARIYANTI
9/12/2018 RAMUDI
9/13/2018 TARWAN
'3302024103850007 9/13/2018 ERMAWATI
9/13/2018 KASIRAH
9/14/2018 AISAR
9/17/2018 AL GAZALI
9/18/2018 TARSIH
9/19/2018 MUHIRIN
9/19/2018 GIBRAN DIRGA D
'3302027110680003 9/19/2018 RASEM
9/19/2018 KUSINAH
'3302022301740002 9/19/2018 DARSO
'3302023012630009 9/19/2018 JALIMAN
'3302017112720009 9/19/2018 SADIYAH
9/19/2018 ZAHNANTA GINANJAR
'3302021306970001 9/19/2018 ERFIN YOGI ENDRIYANSAH
9/19/2018 SOLIAH
9/19/2018 GILANG ZAKI RAMADHAN
9/19/2018 WAFIK NAELA AZIZAH
9/19/2018 KARTIKA RETNO
9/19/2018 GILANG
9/19/2018 AHTAR ADITIA
'3302025003600002 9/19/2018 SITI MARYAM
9/19/2018 SALSABILA PUTRI ANGGRAENI
9/22/2018 INDRIYANTI
9/25/2018 SUSANTO
9/26/2018 HASAN
'3302022403450001 9/26/2018 MADSIDIK
9/26/2018 AZAN
'330202669810001 9/26/2018 RUMINI
'3302045508510001 9/26/2018 RISWATI
9/27/2018 RATEM
9/27/2018 JUMINI
9/28/2018 PAINAH
'3302014504810003 9/28/2018 KHOMSATUN
'3302010403040001 9/28/2018 ALQI ARJIAN
KLAPAGADING L 5 Th 11 Bln 10 Hr
CIRAHAB 1/ 4 P 25 Th 8 Bln 30 Hr
WANGON RT 02 RW 5 P 66 Th 2 Bln 6 Hr
WANGON 3/12 P 61 Th 4 Bln 7 Hr
KLAPAGADING RT 03 RW 12 P 56 Th 11 Bln 26 Hr
RAWAHENG 5/4 L 51 Th 7 Bln 10 Hr
WANGON 4/4 P 50 Th 9 Bln 8 Hr
KLAPAGADING 2/11 P 56 Th 8 Bln 11 Hr
RANDEGAN 2/2 L 8 Th 7 Bln 10 Hr
JAMBU RT 03 RW 03 L 40 Th 4 Bln 2 Hr
WANASARI
38/7,BUDIASIH,SINDANGKASIH-CIAMIS L 0 Th 10 Bln 18 Hr
BANTERAN RT 04 RW 5 P 39 Th 5 Bln 19 Hr
JAMBU RT 03 RW 03 L 40 Th 4 Bln 8 Hr
RAWAHENG RT 2/4 P 68 Th 7 Bln 4 Hr
RANDEGAN 2 /6 P 1 Th 7 Bln 27 Hr
BANTERAN RT 04 RW 5 P 39 Th 5 Bln 24 Hr
JAMBUSARI 5/2 CILACAP L 11 Th 7 Bln 23 Hr
RAWAHENG 3/2 L 31 Th 7 Bln 27 Hr
PENGADEGAN 1/10 L 45 Th 1 Bln 7 Hr
BANTERAN RT 02 RW 02 P 48 Th 4 Bln 26 Hr
PEKUNCEN P 14 Th 2 Bln 20 Hr
BANTERAN 4/4 P 58 Th 8 Bln 27 Hr
RAWAHENG 6/3 L 29 Th 2 Bln 5 Hr
GERDUREN 2/4 P 32 Th 11 Bln 23 Hr
BPJS MANDIRI KLINIK UMUM / BP Rujuk Lanjut Rumah Sakit Umum Bunda
BPJS MANDIRI KLINIK UMUM / BP Rujuk Lanjut Rumah Sakit Umum Bunda
BAYAR KLINIK UMUM / BP Berobat Jalan
BPJS MANDIRI KLINIK UMUM / BP Rujuk Lanjut RSUD BANYUMAS
BPJS MANDIRI KLINIK UMUM / BP Rujuk Lanjut RSUD BANYUMAS
BPJS MANDIRI KLINIK UMUM / BP Rujuk Lanjut Rumah Sakit Umum Bunda
Gonarthrosis, unspecified
Low back pain
Superficial injury of unspecified body
region
Tension-type headache
Tension-type headache
Unspecified haemorrhoids without
complication
Fracture of clavicle
Schizophrenia, unspecified
Allergic contact dermatitis, unspecified
cause
Tension-type headache
Low back pain
Coxarthrosis, unspecified
Non-insulin-dependent diabetes
mellitus with ophthalmic complications
Essential (primary) hypertension
Pruritus, unspecified
Unspecified haemorrhoids without
complication
Herpesviral infection, unspecified
Varicella without complication
Fever, unspecified
Follow-up examination after surgery for
other conditions
Tuberculous peripheral
lymphadenopathy
Acute pharyngitis, unspecified
Acute pharyngitis, unspecified
Dyspepsia
Calculus of kidney
Impetigo [any organism] [any site]
Fever, unspecified
Dyspepsia
Non-insulin-dependent diabetes
mellitus without complications
Vertiginous syndromes in diseases
classified elsewhere
Dyspepsia
Acute upper respiratory infection,
unspecified
Psoriasis, unspecified
Glaucoma suspect
Tinea corporis
Gonococcal infection, unspecified
Tension-type headache
Schizophrenia, unspecified
Schizophrenia, unspecified
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Non-insulin-dependent diabetes
mellitus with ophthalmic complications
Rheumatoid arthritis, unspecified
Pyoderma
Prurigo nodularis
Acute upper respiratory infection,
unspecified
Gastro-oesophageal reflux disease
without oesophagitis
Typhoid fever
Cervicalgia
Acute pharyngitis, unspecified
Fever, unspecified
Superficial injury of unspecified body
region
Acute upper respiratory infection,
unspecified
Myalgia
Otalgia
Low vision, both eyes
Surgical follow-up care, unspecified
Surgical follow-up care, unspecified
Superficial injury of unspecified body
region
Recurrent oral aphthae
Cervicocranial syndrome
Lichen simplex chronicus
Recurrent oral aphthae
Non-insulin-dependent diabetes
mellitus without complications
Senile cataract, unspecified
Polyneuropathy, unspecified
Polymyalgia rheumatica
Fever, unspecified
Acute pharyngitis, unspecified
Other benign neoplasm of connective
and other soft tissue of head, face and
neck
Dyspepsia
Bronchitis, not specified as acute or
chronic
Calculus of kidney
Schizoaffective disorder, manic type
Conjunctivitis, unspecified
Pyoderma
Essential (primary) hypertension
Dyspepsia
Non-insulin-dependent diabetes
mellitus without complications
Essential (primary) hypertension
Non-insulin-dependent diabetes
mellitus without complications
Acute upper respiratory infection,
unspecified
Senile cataract, unspecified
Acute pharyngitis, unspecified
Bronchitis, not specified as acute or
chronic
Dyspepsia
Varicella without complication
Calculus in bladder
Tuberculosis of lung, confirmed by
culture only
Conjunctivitis, unspecified
Essential (primary) hypertension
Schizophrenia, unspecified
Low vision, one eye
Chondrocostal junction syndrome
[Tietze]
Chondrocostal junction syndrome
[Tietze]
Impetigo [any organism] [any site]
Essential (primary) hypertension
Non-insulin-dependent diabetes
mellitus without complications
Pemphigus vulgaris
Presence of intraocular lens
Candidal stomatitis
Inflammatory disorders of breast
Hyperplasia of prostate
Superficial injury of unspecified body
region
Superficial injury of unspecified body
region
Essential (primary) hypertension
Diarrhoea and gastroenteritis of
presumed infectious origin
Fever, unspecified
Bronchitis, not specified as acute or
chronic
Senile cataract, unspecified
Acute cholecystitis
Headache
Fever, unspecified
Cutaneous abscess, furuncle and
carbuncle, unspecified
Anaemia, unspecified
Other cholelithiasis
Fibroadenosis of breast
Epilepsy, unspecified
Chronic obstructive pulmonary disease,
unspecified
Other cholelithiasis
Cutaneous abscess, furuncle and
carbuncle of other sites
Non-insulin-dependent diabetes
mellitus without complications
Influenza with pneumonia, virus not
identified
Migraine, unspecified
Hordeolum and other deep
inflammation of eyelid
Mixed asthma
Fever, unspecified
Headache
Dyspepsia
Myalgia
Vertiginous syndromes in diseases
classified elsewhere
Nontoxic single thyroid nodule
Influenza with other manifestations, virus
not identified
Dyspepsia
Hyperplasia of prostate
Gastro-oesophageal reflux disease
without oesophagitis
Pediculosis due to Pediculus humanus
capitis
Conjunctivitis, unspecified
Acute pharyngitis, unspecified
Dyspepsia
Myalgia
Tension-type headache
Tuberculosis of lung, confirmed by
culture only
Cellulitis, unspecified
Myalgia
Pleurisy
Pleurisy
Fever, unspecified
Acute pharyngitis, unspecified
Acute pharyngitis, unspecified
Non-insulin-dependent diabetes
mellitus without complications
Corns and callosities
Chest pain, unspecified
Disorder of refraction, unspecified
Tinea corporis
Diarrhoea and gastroenteritis of
presumed infectious origin
Urticaria, unspecified
Epilepsy, unspecified
Essential (primary) hypertension
Varicella without complication
Chronic obstructive pulmonary disease,
unspecified
Jumlah : 2389
No No Transaksi No CM CM Lama No Asuransi
8 00201B0399760220180901 '039976
54 00201B0117670220180901 '011767 '1021012901740262