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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1 28/02/201 010414010219Y001402 0000000766528 MARIANA P PNS PUSAT Acute upper respiratory infection, TIDAK
2 28/02/201 010414010219Y001209 0000218276109 RUSMINI P PBI (APBN) Non-insulin-dependent diabetes YA
3 28/02/201 010414010219Y001263 0000218640374 BUKHARI L PBI (APBN) Senile cataract TIDAK
4 28/02/201 010414010219Y001356 0000218691617 NURHAYATI P PBI (APBN) Other specified dermatitis TIDAK
5 28/02/201 010414010219Y001240 0000218706445 MARDHIAH P PBI (APBN) Acute upper respiratory infection, TIDAK
6 28/02/201 010414010219Y001282 0000218724985 SYAKUMI P PBI (APBN) Acute upper respiratory infection, TIDAK
7 28/02/201 010414010219Y001397 0000218737743 AYU MARLINDA P PBI (APBN) Other dermatitis TIDAK
8 28/02/201 010414010219Y001249 0000218740037 NURUL NISA P PBI (APBN) Need for immunization against tetanus TIDAK
9 28/02/201 010414010219Y001212 0000218749015 MUSTAKIM L PBI (APBN) Schizophrenia YA
10 28/02/201 010414010219Y001163 0000218962945 BARIAH P PBI (APBN) Disorders of refraction and YA
11 28/02/201 010414010219Y001256 0000218995694 HASBI YACOB L PBI (APBN) Essential (primary) hypertension TIDAK
12 28/02/201 010414010219Y001398 0000218997843 ALZIRA FITRI ANANTA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
13 28/02/201 010414010219Y001265 0000219133146 RUSLAN L PBI (APBN) Pedestrian injured in collision with TIDAK
14 28/02/201 010414010219Y001174 0000219197147 M ADAM JALIL L PBI (APBN) Acute upper respiratory infection, TIDAK
15 28/02/201 010414010219Y001355 0000219239976 IDAWATI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
16 28/02/201 010414010219Y001244 0000219256345 RAMAYANA P PBI (APBN) Need for immunization against tetanus TIDAK
17 28/02/201 010414010219Y001173 0000219292931 M.YUSUF L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
18 28/02/201 010414010219Y001354 0000219311954 JAMALUDIN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
19 28/02/201 010414010219Y001401 0000219584024 ZULKIFLI L PBI (APBN) Dyspepsia TIDAK
20 28/02/201 010414010219Y001298 0000219693688 KHAIRA LINA P PBI (APBN) Low back pain TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
21 28/02/201 010414010219Y001399 0000219817484 AHMAD L PBI (APBN) Other dermatitis TIDAK
22 28/02/201 010414010219Y001172 0000219824943 NURDIN L PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
23 28/02/201 010414010219Y001400 0000219945598 MUTIA RAIZA P PBI (APBN) Other dermatitis TIDAK
24 28/02/201 010414010219Y001271 0000220012896 KASOMMAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
25 28/02/201 010414010219Y001205 0000220015179 DIAN PRAYETNI P PBI (APBN) Single spontaneous delivery, YA
26 28/02/201 010414010219Y001280 0000220078833 ROHANA P PBI (APBN) Acute upper respiratory infection, TIDAK
27 28/02/201 010414010219Y001232 0000220134396 MUTIA KASRA P PBI (APBN) Dental caries TIDAK
28 28/02/201 010414010219Y001170 0000220424679 SAPIAH ALI P PBI (APBN) Respiratory tuberculosis, YA
29 28/02/201 010414010219Y001275 0000979799804 JABARIAH P PBI (APBN) Other specified dermatitis TIDAK
30 28/02/201 010414010219Y001246 0000979804045 ERNA SUSI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
31 28/02/201 010414010219Y001202 0000979806666 ERIZA P PBI (APBN) Acute appendicitis with generalized YA
32 28/02/201 010414010219Y001201 0000979817152 MAHDANI L PBI (APBN) Schizophrenia YA
33 28/02/201 010414010219Y001208 0000979818579 ASMA ISMAIL P PBI (APBN) Nonsuppurative otitis media YA
34 28/02/201 010414010219Y001207 0001115689937 ZAINAL L PBI (APBD) Schizophrenia YA
35 28/02/201 010414010219Y001204 0001116338499 ROSMINI P PBI (APBD) Dislocation, sprain and strain of YA
36 28/02/201 010414010219Y001299 0001271604317 ILYAS L PNS DAERAH Other specified dermatitis TIDAK
37 28/02/201 010414010219Y001297 0001281482278 TSAQIF JAWAHIR L PNS DAERAH Unspecified viral infection of central TIDAK
38 28/02/201 010414010219Y001287 0001316711902 NURLAILI P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
39 28/02/201 010414010219Y001203 0001390433343 HUSNA TGK CUT P PBI (APBD) Dyspepsia YA
40 28/02/201 010414010219Y001253 0001436538126 AZKA AFIFA L PNS DAERAH Other specified dermatitis TIDAK
41 28/02/201 010414010219Y001200 0001438110718 ROHANA P PBI (APBD) Cerebral infarction YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
42 28/02/201 010414010219Y001242 0001448809852 AMIRUDDIN L PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
43 28/02/201 010414010219Y001243 0001451448009 ZAMZAMI L PBI (APBD) Dyspepsia TIDAK
44 28/02/201 010414010219Y001241 0001453286439 TILIAN P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
45 28/02/201 010414010219Y001206 0001474475297 NURWAN P PBI (APBD) Non-insulin-dependent diabetes YA
46 28/02/201 010414010219Y001171 0001788565331 MUHAMMAD SALEH L PNS DAERAH Senile cataract YA
47 28/02/201 010414010219Y001278 0002195242119 M. DHIYAUL ASYRAF L PBI (APBD) Acute upper respiratory infection, TIDAK
48 28/02/201 010414010219Y001268 0002496972284 SUHAIL SYUJA L PBI (APBD) Acute upper respiratory infection, TIDAK
49 28/02/201 010414010219Y001285 0002742003404 MUHAMMAD IQBAL L PBI (APBN) General examination and investigation TIDAK
50 27/02/201 010414010219Y001116 0000000564568 INDRA PUTRA L PNS DAERAH Non-insulin-dependent diabetes YA
51 27/02/201 010414010219Y001166 0000000721449 KHUSFIAH P PNS DAERAH Non-insulin-dependent diabetes TIDAK
52 27/02/201 010414010219Y001185 0000000788512 ROSNITA P PNS DAERAH Acute upper respiratory infection, TIDAK
53 27/02/201 010414010219Y001181 0000000815308 BAKHTIAR L PNS DAERAH Acute upper respiratory infection, TIDAK
54 27/02/201 010414010219Y001168 0000218255095 YULIDAR P PBI (APBN) Paranoid schizophrenia TIDAK
55 27/02/201 010414010219Y001178 0000218386629 FAKRIZAL L PBI (APBN) Schizophrenia TIDAK
56 27/02/201 010414010219Y001186 0000218457933 ALMUNAWAR L PBI (APBN) Other specified dermatitis TIDAK
57 27/02/201 010414010219Y001120 0000218692923 ASNMARANI P PBI (APBN) Heart failure YA
58 27/02/201 010414010219Y001179 0000218699234 SUDIRMAN L PBI (APBN) Acute pharyngitis TIDAK
59 27/02/201 010414010219Y001160 0000218706309 FEBBY ALYA FEBRIANI P PBI (APBN) Gastritis, unspecified YA
60 27/02/201 010414010219Y001180 0000218738542 MISTAHUL JANNAH P PBI (APBN) Typhoid and paratyphoid fevers TIDAK
61 27/02/201 010414010219Y001122 0000218911983 NURLAILA IBRAHIM P PBI (APBN) Disorders of refraction and YA
62 27/02/201 010414010219Y001165 0000218977615 nurul ramazani P PBI (APBN) Urinary tract infection, site not TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
63 27/02/201 010414010219Y001395 0000218998585 JARIAH RAZAK P PBI (APBN) Other dermatitis TIDAK
64 27/02/201 010414010219Y001393 0000219000925 MIRNAWATI P PBI (APBN) Conjunctivitis TIDAK
65 27/02/201 010414010219Y001199 0000219006808 MIFTAH KHAIRINA P PBI (APBN) Pedestrian injured in collision with TIDAK
66 27/02/201 010414010219Y001162 0000219037645 M DAUD L PBI (APBN) Headache TIDAK
67 27/02/201 010414010219Y001167 0000219460948 SUBHAN L PBI (APBN) Headache TIDAK
68 27/02/201 010414010219Y001177 0000219470826 ABDUL KARIM L PBI (APBN) Arthrosis, unspecified TIDAK
69 27/02/201 010414010219Y001296 0000219718754 MUTIA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
70 27/02/201 010414010219Y001191 0000219928691 ZULKARNAINI L PBI (APBN) Senile cataract TIDAK
71 27/02/201 010414010219Y001189 0000219931817 FATIMAH HASYID P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
72 27/02/201 010414010219Y001176 0000219987292 HASBI ZAKARIA L PBI (APBN) Acute upper respiratory infection, TIDAK
73 27/02/201 010414010219Y001183 0000220422183 SYAKUBANDI P PBI (APBN) Dyspepsia TIDAK
74 27/02/201 010414010219Y001121 0000979794088 AMBIA L PBI (APBN) Schizophrenia YA
75 27/02/201 010414010219Y001182 0000979798724 KAMARIAH ISMAIL P PBI (APBN) Other specified dermatitis TIDAK
76 27/02/201 010414010219Y001093 0000979800232 NURDIN PIAH L PBI (APBN) Chronic obstructive pulmonary disease YA
77 27/02/201 010414010219Y001394 0000979810209 HALIMATON P PBI (APBN) Gastritis and duodenitis TIDAK
78 27/02/201 010414010219Y001195 0000979812753 SAFRINA P PBI (APBN) Acute upper respiratory infection, TIDAK
79 27/02/201 010414010219Y001133 0000979819301 HALIMATON P PBI (APBN) Non-insulin-dependent diabetes YA
80 27/02/201 010414010219Y001353 0000979822394 JAMILAH P PBI (APBN) Gastritis, unspecified TIDAK
81 27/02/201 010414010219Y001193 0001272747892 ZAINABON P PBI (APBD) Acute upper respiratory infection, TIDAK
82 27/02/201 010414010219Y001117 0001318319223 RUHANA P PBI (APBD) Essential (primary) hypertension YA
83 27/02/201 010414010219Y001169 0001434774453 AINOL MARDIAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
84 27/02/201 010414010219Y001091 0001450359145 USMAN L PBI (APBD) Scabies YA
85 27/02/201 010414010219Y001197 0001451190137 ROSDIANA P PBI (APBD) Acute upper respiratory infection, TIDAK
86 27/02/201 010414010219Y001175 0001804941393 muhammad maun L PBI (APBD) Acute upper respiratory infection, TIDAK
87 27/02/201 010414010219Y001103 0002032882637 CUT NURJANNAH P PBI (APBD) Other and unspecified injuries of head YA
88 27/02/201 010414010219Y001396 0002125088548 AL FINA KHAIRA L PBI (APBN) Other dermatitis TIDAK
89 27/02/201 010414010219Y001104 0002146693858 TEUKU ALMUDZAFFAR L PBI (APBD) Other and unspecified injuries of head YA
90 27/02/201 010414010219Y001198 0002218452939 M KHALIL AL GHIFARI L PBI (APBD) Acute upper respiratory infection, TIDAK
91 27/02/201 010414010219Y001210 0002269059761 NAZIA ANNASYA SHANUM P PBI (APBD) Impacted cerumen YA
92 27/02/201 010414010219Y001119 0002292754252 ZAKIRA ULFA P PBI (APBD) Bronchitis, not specified as acute or YA
93 27/02/201 010414010219Y001095 0002314105582 muhammad rasyiqul abid L PBI (APBN) Conjunctivitis, unspecified YA
94 27/02/201 010414010219Y001118 0002621020476 SYAUQI AL SYA'BANI L PBI (APBD) Psoriasis vulgaris YA
95 27/02/201 010414010219Y001188 0002746268346 MUZHABIRA P PBI (APBD) Zoster without complication TIDAK
96 26/02/201 010414010219Y001161 0000000512695 NURJANNAH P PNS PUSAT Mononeuropathy, unspecified YA
97 26/02/201 010414010219Y001097 0000000514449 SYUKRI L PNS PUSAT Disorders of refraction and YA
98 26/02/201 010414010219Y001349 0000000736446 NURJANNAH P PNS DAERAH Dental caries TIDAK
99 26/02/201 010414010219Y001100 0000195460176 EVI SUWARNI P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
100 26/02/201 010414010219Y001221 0000218462951 ABDUL KADIR L PBI (APBN) Dyspepsia TIDAK
101 26/02/201 010414010219Y001030 0000218640374 BUKHARI L PBI (APBN) Senile cataract YA
102 26/02/201 010414010219Y001348 0000218696782 KARTINI ISMAIL P PBI (APBN) Bronchitis, not specified as acute or TIDAK
103 26/02/201 010414010219Y001099 0000218739925 SITI RAHMA P PBI (APBN) Scabies TIDAK
104 26/02/201 010414010219Y001192 0000218983318 SAMSINAR BUGEH P PBI (APBN) Other dermatitis TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
105 26/02/201 010414010219Y001315 0000219004053 SITI AMINAH P PBI (APBN) Gastritis, unspecified TIDAK
106 26/02/201 010414010219Y001190 0000219013874 HASBALLAH L PBI (APBN) Acute upper respiratory infection, TIDAK
107 26/02/201 010414010219Y001389 0000219059943 KARTINI HARUN P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
108 26/02/201 010414010219Y001184 0000219067661 AMINAH P PBI (APBN) Headache TIDAK
109 26/02/201 010414010219Y001350 0000219164602 SYARBANI P PBI (APBN) Bronchitis, not specified as acute or TIDAK
110 26/02/201 010414010219Y001187 0000219621857 CUT FARIDAH P PBI (APBN) Other dermatitis TIDAK
111 26/02/201 010414010219Y001213 0000219702071 SALMIAH KASEM P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
112 26/02/201 010414010219Y001295 0000219717955 NURIAH UMAR P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
113 26/02/201 010414010219Y001111 0000219813658 ILYAS L PBI (APBN) Other chronic obstructive pulmonary YA
114 26/02/201 010414010219Y001164 0000220063634 MUHAMMAD ICHSAN L PBI (APBN) Pedestrian injured in collision with TIDAK
115 26/02/201 010414010219Y001347 0000220065175 MARDIANI P PBI (APBN) Dyspepsia TIDAK
116 26/02/201 010414010219Y001071 0000220072691 BURHAN L PBI (APBN) Hordeolum and chalazion YA
117 26/02/201 010414010219Y001351 0000220085008 FATIMAH DORA P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
118 26/02/201 010414010219Y001092 0000220443794 MUHAMMAD AKMAL L PBI (APBN) Asthma TIDAK
119 26/02/201 010414010219Y001216 0000220469376 IBRAHIM RUBI L PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
120 26/02/201 010414010219Y001390 0000979810108 M.TAHER ALI L PBI (APBN) Gastritis and duodenitis TIDAK
121 26/02/201 010414010219Y001101 0000979813721 KAMARIAH CUT P PBI (APBN) Dyspepsia TIDAK
122 26/02/201 010414010219Y001196 0000979815396 SULTHAN MARDHATILLAH L PBI (APBN) Headache TIDAK
123 26/02/201 010414010219Y001352 0000979825353 YUSLINA P PBI (APBN) Other contraceptive management TIDAK
124 26/02/201 010414010219Y001102 0001267243841 NURMA WATI P PBI (APBD) Arthrosis, unspecified YA
125 26/02/201 010414010219Y001392 0001389733571 IBRAHIM L PBI (APBD) Gastritis and duodenitis TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
126 26/02/201 010414010219Y001215 0001389788741 FAUZIAH P PBI (APBD) Pedestrian injured in collision with TIDAK
127 26/02/201 010414010219Y001300 0001481992097 SYAKUMI P PBI (APBD) Acute upper respiratory infection, TIDAK
128 26/02/201 010414010219Y001094 0001899998774 MUHAMMAD MIRZA AULIA L PNS DAERAH Pedestrian injured in collision with TIDAK
129 26/02/201 010414010219Y001223 0001908635308 AKRAM L PBI (APBN) Acute upper respiratory infection, TIDAK
130 26/02/201 010414010219Y001327 0001961598238 LUTHFI ALMUBARRACK L PBI (APBD) Cutaneous abscess, furuncle and TIDAK
131 26/02/201 010414010219Y001096 0002070354363 SIDKIA FITRIANA P PBI (APBD) Pedestrian injured in collision with TIDAK
132 26/02/201 010414010219Y001194 0002071911767 ZAHRATUL ULYA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
133 26/02/201 010414010219Y001218 0002079955686 NURASIAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
134 26/02/201 010414010219Y001070 0002146690067 SAIFUL AFWADI L PBI (APBD) Acute ischaemic heart disease, YA
135 26/02/201 010414010219Y001329 0002146693511 ISMAIL MAJID L PBI (APBD) Cutaneous abscess, furuncle and TIDAK
136 26/02/201 010414010219Y001031 0002147026961 T ARRAZI ISLAMI L PBI (APBD) Fracture of femur, part unspecified YA
137 26/02/201 010414010219Y001328 0002207549924 SAIRAH P PBI (APBD) Acute upper respiratory infection, TIDAK
138 26/02/201 010414010219Y001056 0002229551807 AMINAH P PEKERJA MANDIRI Cystitis, unspecified YA
139 26/02/201 010414010219Y001388 0002265644439 NURBAITI MARHABAN P PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
140 26/02/201 010414010219Y001391 0002300094246 REZTYA FAHIRA P PBI (APBD) Other dermatitis TIDAK
141 25/02/201 010414010219Y001025 0000000573006 ISMAIL L PNS DAERAH Acute upper respiratory infection, TIDAK
142 25/02/201 010414010219Y000989 0000000650968 NYAK FATIMAH P PENERIMA PENSIUN Senile incipient cataract YA
143 25/02/201 010414010219Y001033 0000000803261 MARLINA P PNS DAERAH Acute upper respiratory infection, TIDAK
144 25/02/201 010414010219Y000990 0000218369485 CUT MANYAK P PBI (APBN) Other specified dermatitis TIDAK
145 25/02/201 010414010219Y001053 0000218433677 BASRI L PBI (APBN) Other specified dermatitis TIDAK
146 25/02/201 010414010219Y000968 0000218458214 CUT SUMARNI P PBI (APBN) Asthma YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
147 25/02/201 010414010219Y001041 0000218715118 ASKIA SASABILLA P PBI (APBN) Acute tonsillitis, unspecified TIDAK
148 25/02/201 010414010219Y001069 0000218726324 ARAMAN TP L PBI (APBN) Acute upper respiratory infection, TIDAK
149 25/02/201 010414010219Y001098 0000218743356 RUKIAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
150 25/02/201 010414010219Y000965 0000218923288 BASIAH P PBI (APBN) Chronic sinusitis YA
151 25/02/201 010414010219Y001055 0000219016912 LINDA NOVITA P PBI (APBN) Dyspepsia TIDAK
152 25/02/201 010414010219Y001314 0000219022132 JUARNI ISMAIL L PBI (APBN) Gastritis, unspecified TIDAK
153 25/02/201 010414010219Y001059 0000219042281 RIDWAN IBRAHIM L PBI (APBN) Acute upper respiratory infection, TIDAK
154 25/02/201 010414010219Y000975 0000219046432 AMIR NAHDI L PBI (APBN) Acute upper respiratory infection, TIDAK
155 25/02/201 010414010219Y000974 0000219058378 CUT RUDI P PBI (APBN) Myalgia TIDAK
156 25/02/201 010414010219Y000979 0000219112018 DESI P PBI (APBN) Single spontaneous delivery, TIDAK
157 25/02/201 010414010219Y001038 0000219115541 EKA WAHYUNI P PBI (APBN) Acute upper respiratory infection, TIDAK
158 25/02/201 010414010219Y000986 0000219129085 ISMIRA P PBI (APBN) Benign neoplasm of breast YA
159 25/02/201 010414010219Y001050 0000219165311 NAZIATUL ULFA P PBI (APBN) General examination and investigation TIDAK
160 25/02/201 010414010219Y001326 0000219264726 ROSMI P PBI (APBN) Other specified dermatitis TIDAK
161 25/02/201 010414010219Y000982 0000219300502 KHAIRUL ZANAN L PBI (APBN) Disorders of refraction and YA
162 25/02/201 010414010219Y001386 0000219317859 AYATI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
163 25/02/201 010414010219Y000977 0000219364378 CUT AJA NURSYAM P PBI (APBN) Non-insulin-dependent diabetes YA
164 25/02/201 010414010219Y001107 0000219555088 KHAIRIAH P PBI (APBN) Acute upper respiratory infection, TIDAK
165 25/02/201 010414010219Y001067 0000219596185 AMINAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
166 25/02/201 010414010219Y001068 0000219600516 KURRATUN A'YUNI P PBI (APBN) Acute upper respiratory infection, TIDAK
167 25/02/201 010414010219Y000983 0000219715885 M.RAMDANI L PBI (APBN) Other specified dermatitis TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
168 25/02/201 010414010219Y001002 0000219718754 MUTIA P PBI (APBN) Gingivitis and periodontal diseases YA
169 25/02/201 010414010219Y001029 0000219913222 HENDON AJI P PBI (APBN) Pedestrian injured in collision with TIDAK
170 25/02/201 010414010219Y001324 0000220035699 UMIATI IDRIS P PBI (APBN) Noninfective gastroenteritis and colitis, TIDAK
171 25/02/201 010414010219Y001026 0000220093479 NADARIYAH P PBI (APBN) Dyspepsia TIDAK
172 25/02/201 010414010219Y000976 0000220106564 ISMAIL RASYID L PBI (APBN) Acute upper respiratory infection, TIDAK
173 25/02/201 010414010219Y000954 0000220345672 NURMALA P PBI (APBN) Heart failure YA
174 25/02/201 010414010219Y000947 0000220383358 NYAK MANEH P PBI (APBN) Disorders of lipoprotein metabolism YA
175 25/02/201 010414010219Y000978 0000979799793 ABDULLAH WAHAB L PBI (APBN) Other specified dermatitis TIDAK
176 25/02/201 010414010219Y001061 0000979800827 MAULINA PITRI P PBI (APBN) Dyspepsia TIDAK
177 25/02/201 010414010219Y000980 0000979801615 ZULFIKAR L PBI (APBN) Pneumothorax YA
178 25/02/201 010414010219Y000924 0000979804394 IRMA P PBI (APBN) Pterygium YA
179 25/02/201 010414010219Y001387 0000979805428 AFNIDAR P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
180 25/02/201 010414010219Y000993 0000979806352 SAYURI P PBI (APBN) Disorders of refraction and YA
181 25/02/201 010414010219Y000991 0000979806374 RISKI NANDA PUTRA L PBI (APBN) Left ventricular failure YA
182 25/02/201 010414010219Y001211 0000979809153 NUR AIDA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
183 25/02/201 010414010219Y000960 0000979810626 ASNARITA P PBI (APBN) Calculus of kidney and ureter YA
184 25/02/201 010414010219Y001385 0000979810931 ERNA SUSI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
185 25/02/201 010414010219Y001106 0000979812988 NURMIAH P PBI (APBN) Pedestrian injured in collision with TIDAK
186 25/02/201 010414010219Y001036 0000979814092 M JALIL SAIDI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
187 25/02/201 010414010219Y000941 0000979816566 T IDRIS L PBI (APBN) Essential (primary) hypertension YA
188 25/02/201 010414010219Y001046 0000979819479 AINAL MARDHIAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
189 25/02/201 010414010219Y000944 0001114245854 ALMIRAH ATHAYA P PBI (APBD) Acute nasopharyngitis [common cold] YA
190 25/02/201 010414010219Y001058 0001114614898 SYUKRIATI P PBI (APBD) Non-insulin-dependent diabetes TIDAK
191 25/02/201 010414010219Y000987 0001114629287 T. HUSEN L PBI (APBD) Heart failure YA
192 25/02/201 010414010219Y001108 0001114631076 NELI YANI P PBI (APBD) Acute upper respiratory infection, TIDAK
193 25/02/201 010414010219Y001027 0001114736589 ISHAK HASBALLAH L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
194 25/02/201 010414010219Y000981 0001114792165 MUTIA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
195 25/02/201 010414010219Y001051 0001385998762 JULIADI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
196 25/02/201 010414010219Y001028 0001436547284 MUHAMMAD ASYRAF L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
197 25/02/201 010414010219Y000988 0001450359145 USMAN L PBI (APBD) Other specified dermatitis TIDAK
198 25/02/201 010414010219Y000994 0001482680171 CUT FARHANI P PBI (APBD) Pregnancy-related condition, YA
199 25/02/201 010414010219Y001294 0001807405121 IDA ZAHARA P PBI (APBD) Gastritis, unspecified TIDAK
200 25/02/201 010414010219Y001112 0001904915891 MUHAMMAD ZAQI L PBI (APBD) Viral pneumonia, not elsewhere TIDAK
201 25/02/201 010414010219Y000969 0002058601882 MUHAMMAD rafis maulana L PBI (APBD) Mastoiditis and related conditions YA
202 25/02/201 010414010219Y000962 0002073822489 ERLINA P PBI (APBD) Nonsuppurative otitis media YA
203 25/02/201 010414010219Y001105 0002074711228 NORA HAFIZA P PBI (APBD) Acute upper respiratory infection, TIDAK
204 25/02/201 010414010219Y000930 0002146786683 RAHMA YANTI P PBI (APBD) Single spontaneous delivery, YA
205 25/02/201 010414010219Y000970 0002147356934 ZULFIKAR L PBI (APBD) Fracture of lower leg, part unspecified YA
206 25/02/201 010414010219Y001110 0002197875532 SYIFATUN NISA P PBI (APBD) Other specified dermatitis TIDAK
207 25/02/201 010414010219Y001109 0002210341094 balqis khairunnisa P PBI (APBN) Acute upper respiratory infection, TIDAK
208 25/02/201 010414010219Y001003 0002219032596 M YATIM L PBI (APBD) Benign lipomatous neoplasm, YA
209 25/02/201 010414010219Y000973 0002242604755 cut assyifa khalisa L PBI (APBN) Diarrhoea and gastroenteritis of YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
210 25/02/201 010414010219Y000992 0002275777719 ZAMHARIRA NUR P PBI (APBD) Diseases of pulp and periapical tissues TIDAK
211 25/02/201 010414010219Y001325 0002426169655 AYU TANSYURI P PBI (APBD) Bronchitis, not specified as acute or TIDAK
212 25/02/201 010414010219Y000949 0002467906435 muhammad syahrial abrar L PBI (APBD) Hirschsprung's disease YA
213 25/02/201 010414010219Y000943 0002743950767 PUTRI HUMAIRA P PBI (APBD) Other dermatitis YA
214 24/02/201 010414010219Y001044 0000220394856 NURAINI P PBI (APBN) Headache TIDAK
215 22/02/201 010414010219Y000906 0000000344474 MARWAN T. HANAFIAH L PENERIMA PENSIUN Non-insulin-dependent diabetes YA
216 22/02/201 010414010219Y001248 0000000574413 JUNIATI P PNS DAERAH General examination and investigation TIDAK
217 22/02/201 010414010219Y001247 0000148689213 NURMAWATI A.RAHMAN P PNS PUSAT General examination and investigation TIDAK
218 22/02/201 010414010219Y001245 0000167395454 RUSNI P PNS DAERAH General examination and investigation TIDAK
219 22/02/201 010414010219Y001259 0000172290532 M YUSUF L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
220 22/02/201 010414010219Y001255 0000199842851 M HASAN L PNS DAERAH General examination and investigation TIDAK
221 22/02/201 010414010219Y000904 0000204365147 NAWAL AZKA P PNS DAERAH Gastritis, unspecified YA
222 22/02/201 010414010219Y000931 0000218367055 MUSTAFA KAMAL L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
223 22/02/201 010414010219Y001066 0000218528199 AZIZAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
224 22/02/201 010414010219Y001252 0000218538415 RAZUNA P PBI (APBN) General examination and investigation TIDAK
225 22/02/201 010414010219Y000955 0000218699234 SUDIRMAN L PBI (APBN) Acute upper respiratory infection, TIDAK
226 22/02/201 010414010219Y000951 0000218745369 RINAWATI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
227 22/02/201 010414010219Y001254 0000218771267 IBRAHIM AMIN L PBI (APBN) General examination and investigation TIDAK
228 22/02/201 010414010219Y000948 0000218782247 ABDUL MANAF L PBI (APBN) Other specified dermatitis TIDAK
229 22/02/201 010414010219Y001381 0000218953596 SULAIMAN HASAN L PBI (APBN) Other dermatitis TIDAK
230 22/02/201 010414010219Y000907 0000218984275 ONI MAULIANI P PBI (APBN) Respiratory tuberculosis, YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
231 22/02/201 010414010219Y000936 0000219111715 NILAWATI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
232 22/02/201 010414010219Y000933 0000219225688 USMAN YUSUF L PBI (APBN) Contraceptive management TIDAK
233 22/02/201 010414010219Y000956 0000219233518 PO PUTEH BUGEH P PBI (APBN) Dyspepsia TIDAK
234 22/02/201 010414010219Y001260 0000219246895 NURDIN L PBI (APBN) General examination and investigation TIDAK
235 22/02/201 010414010219Y001250 0000219254477 MANSUR L PBI (APBN) General examination and investigation TIDAK
236 22/02/201 010414010219Y001251 0000219256018 BAKHTIAR L PBI (APBN) General examination and investigation TIDAK
237 22/02/201 010414010219Y001318 0000219285404 MUHAMMAD HUSEN L PBI (APBN) Asthma TIDAK
238 22/02/201 010414010219Y000946 0000219301356 ANWAR L PBI (APBN) Myalgia TIDAK
239 22/02/201 010414010219Y000908 0000219359193 HASYIMI L PBI (APBN) Gastritis, unspecified YA
240 22/02/201 010414010219Y001064 0000219364244 MUNIRA P PBI (APBN) Other specified dermatitis TIDAK
241 22/02/201 010414010219Y000958 0000219367236 LISMAR P PBI (APBN) Dyspepsia TIDAK
242 22/02/201 010414010219Y000937 0000219594262 MARSIDIK L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
243 22/02/201 010414010219Y001292 0000219688997 AMIRUDDIN L PBI (APBN) Other specified dermatitis TIDAK
244 22/02/201 010414010219Y001065 0000219779807 RISA RAHANUR P PBI (APBN) Other specified dermatitis TIDAK
245 22/02/201 010414010219Y001383 0000219942674 FARIDAH P PBI (APBN) Dental caries TIDAK
246 22/02/201 010414010219Y001382 0000219944957 NURHAYATI P PBI (APBN) Essential (primary) hypertension TIDAK
247 22/02/201 010414010219Y000945 0000220064534 NURHAYATI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
248 22/02/201 010414010219Y001321 0000220110322 AINSYAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
249 22/02/201 010414010219Y001322 0000220110524 LISTIA NAZAR P PBI (APBN) Dental caries TIDAK
250 22/02/201 010414010219Y000957 0000220421946 NAZARIAH P PBI (APBN) Acute upper respiratory infection, TIDAK
251 22/02/201 010414010219Y000927 0000220458497 SULAIMAN L PBI (APBN) Other specified dermatitis TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
252 22/02/201 010414010219Y000950 0000979797418 ABDURRAHMAN ARDAT L PBI (APBN) Myalgia TIDAK
253 22/02/201 010414010219Y001293 0000979813776 MISWAR L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
254 22/02/201 010414010219Y001317 0000979819593 KHATIJAH AMAT P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
255 22/02/201 010414010219Y000934 0000979819773 AGANI IBRAHIM L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
256 22/02/201 010414010219Y000938 0000979820098 NURLAILA P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
257 22/02/201 010414010219Y001258 0001114629287 T. HUSEN L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
258 22/02/201 010414010219Y000935 0001114700556 NANDA SINTIA P PBI (APBD) Acute upper respiratory infection, TIDAK
259 22/02/201 010414010219Y001316 0001115104241 SAFRIATI P PBI (APBD) Contraceptive management, TIDAK
260 22/02/201 010414010219Y000932 0001115375185 AFRIDAWATI P PBI (APBD) Other disorders of gingiva and TIDAK
261 22/02/201 010414010219Y000905 0001272118825 NAILUL AZKA P PNS DAERAH Bronchopneumonia, unspecified YA
262 22/02/201 010414010219Y000959 0001451251304 HABIBAH P PBI (APBD) Other specified dermatitis TIDAK
263 22/02/201 010414010219Y001323 0001451800225 ZIL AZHMI ALWAHIDI L PBI (APBD) Other specified dermatitis TIDAK
264 22/02/201 010414010219Y000928 0001477624487 YULIANIDAR P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
265 22/02/201 010414010219Y000939 0001794036238 RAHMADDANI L PNS DAERAH Other specified dermatitis TIDAK
266 22/02/201 010414010219Y000940 0001798499452 samsidar P PBI (APBD) Paranoid schizophrenia TIDAK
267 22/02/201 010414010219Y000953 0001850805202 KEICHA AQILLA P PBI (APBD) Essential (primary) hypertension TIDAK
268 22/02/201 010414010219Y000909 0001860738568 T MIRZA L PBI (APBD) Arthrosis, unspecified YA
269 22/02/201 010414010219Y000952 0001903045623 M. JAMIL HUSEN L VETERAN Acute upper respiratory infection, TIDAK
270 22/02/201 010414010219Y001320 0001961598238 LUTHFI ALMUBARRACK L PBI (APBD) Cutaneous abscess, furuncle and TIDAK
271 22/02/201 010414010219Y001257 0002047871035 NUR ASIAH P PBI (APBD) General examination and investigation TIDAK
272 22/02/201 010414010219Y000929 0002066714019 MUHAMMAD ALFIN L PBI (APBD) Acute upper respiratory infection, TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
273 22/02/201 010414010219Y000926 0002211552516 muhammad syauki al asyari L PBI (APBD) Other functional intestinal disorders TIDAK
274 22/02/201 010414010219Y001319 0002212265711 PUTRI BALQIS P PBI (APBD) Acute upper respiratory infection, TIDAK
275 22/02/201 010414010219Y000942 0002230481081 NURLIANA P PBI (APBD) Other specified dermatitis TIDAK
276 22/02/201 010414010219Y000903 0002251683303 CUT NURLAILA P PBI (APBD) Single spontaneous delivery, YA
277 22/02/201 010414010219Y001384 0002430747764 SANANUL MISWARI L PBI (APBD) Acute upper respiratory infection, TIDAK
278 21/02/201 010414010219Y000821 0000000510142 T. AHYAUL KAMAL L PNS PUSAT Disorders of lacrimal system YA
279 21/02/201 010414010219Y000886 0000000521346 TEUKU MUNZIR L PBI (APBD) Traumatic rupture of ligament of wrist YA
280 21/02/201 010414010219Y000897 0000000587924 RATNA DEWI P PNS DAERAH Conjunctivitis YA
281 21/02/201 010414010219Y000822 0000000697781 AINAL MARDHIAH P PENERIMA PENSIUN Injury of unspecified body region YA
282 21/02/201 010414010219Y000891 0000195483598 USWATUL HUSNA L PBI (APBD) Dyspepsia YA
283 21/02/201 010414010219Y001088 0000199621629 NUR AFNI P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
284 21/02/201 010414010219Y001063 0000218429289 NYAK PUTEH P PBI (APBN) Dyspepsia TIDAK
285 21/02/201 010414010219Y001090 0000218696488 NURBAITI P PBI (APBN) Essential (primary) hypertension TIDAK
286 21/02/201 010414010219Y000862 0000218709415 NELLY FITRIANTI P PBI (APBN) Other specified noninflammatory YA
287 21/02/201 010414010219Y000901 0000218731037 RIZKI KHADAFI L PBI (APBN) Dislocation, sprain and strain of joints YA
288 21/02/201 010414010219Y000984 0000218735853 NURLAILA P PBI (APBN) Acute upper respiratory infection, TIDAK
289 21/02/201 010414010219Y000800 0000218751063 MIFTAHUL JANNAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
290 21/02/201 010414010219Y000881 0000218768106 RAFIKUL KAMAL L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
291 21/02/201 010414010219Y000888 0000218898865 MUHAMMAD RAVIKY L PBI (APBN) Miliaria, unspecified TIDAK
292 21/02/201 010414010219Y001379 0000218943044 RUWAIDA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
293 21/02/201 010414010219Y001377 0000218945485 RAHMAZANI P PBI (APBN) Acute upper respiratory infection, TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
294 21/02/201 010414010219Y000802 0000218958513 UMMI HANIK P PBI (APBN) Disorders of refraction and YA
295 21/02/201 010414010219Y000972 0000219006685 SALMIAH P PBI (APBN) Acute upper respiratory infection, TIDAK
296 21/02/201 010414010219Y000874 0000219015246 NELLY DIANA P PBI (APBN) Malignant neoplasm of breast YA
297 21/02/201 010414010219Y000810 0000219026597 T NAZARUL FADIL L PBI (APBN) Dental caries YA
298 21/02/201 010414010219Y001313 0000219038106 ADHAWIYAH P PBI (APBN) Acute upper respiratory infection, TIDAK
299 21/02/201 010414010219Y000964 0000219040571 SULHA ASQIATUNNISA P PBI (APBN) Acute upper respiratory infection, TIDAK
300 21/02/201 010414010219Y000804 0000219041482 NASRUDDIN L PBI (APBN) Dental caries YA
301 21/02/201 010414010219Y000884 0000219047872 MEGAWATI P PBI (APBN) Low back pain TIDAK
302 21/02/201 010414010219Y001089 0000219197395 NURASIAH M TALEB P PBI (APBN) Bronchitis, not specified as acute or TIDAK
303 21/02/201 010414010219Y000878 0000219259348 SAIFUDDIN L PBI (APBN) Headache TIDAK
304 21/02/201 010414010219Y000889 0000219305406 MUHAMMAD RIJAL L PBI (APBN) Acute upper respiratory infection, TIDAK
305 21/02/201 010414010219Y000882 0000219335927 NYAK UBIT P PBI (APBN) Arthrosis, unspecified TIDAK
306 21/02/201 010414010219Y000895 0000219362139 MARZUKI YUSUF L PBI (APBN) Fracture of shaft of tibia YA
307 21/02/201 010414010219Y000896 0000219362207 WARDIANA MUHAMMAD P PBI (APBN) Disorders of refraction and YA
308 21/02/201 010414010219Y001062 0000219366336 MURATUL MUNA P PBI (APBN) Other specified dermatitis TIDAK
309 21/02/201 010414010219Y000963 0000219702071 SALMIAH KASEM P PBI (APBN) Acute upper respiratory infection, TIDAK
310 21/02/201 010414010219Y000815 0000220074333 ERLINA P PBI (APBN) Xanthelasma of eyelid YA
311 21/02/201 010414010219Y000899 0000220356876 MUTIA DEWI P PBI (APBN) Scabies YA
312 21/02/201 010414010219Y000900 0000220357269 WULAN P PBI (APBN) Scabies YA
313 21/02/201 010414010219Y000853 0000220554549 BADRIAH ABIDIN P PBI (APBN) Embolism and thrombosis of YA
314 21/02/201 010414010219Y000885 0000979799286 T MUSTAFA L PBI (APBN) Pedestrian injured in collision with TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
315 21/02/201 010414010219Y000887 0000979799319 T M RIJAL L PBI (APBN) Pedestrian injured in collision with TIDAK
316 21/02/201 010414010219Y000836 0000979806576 AJRI YANI P PBI (APBN) Headache TIDAK
317 21/02/201 010414010219Y000890 0000979807869 AZHAR L PBI (APBN) Schizophrenia TIDAK
318 21/02/201 010414010219Y000967 0000979809298 FAUZIAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
319 21/02/201 010414010219Y001378 0000979810031 KHATIJAH MAJID P PBI (APBN) Gastritis and duodenitis TIDAK
320 21/02/201 010414010219Y000883 0000979813359 AHMAD L PBI (APBN) Pedestrian injured in collision with TIDAK
321 21/02/201 010414010219Y000961 0000979813394 RABUMAH A.RAHMAN P PBI (APBN) Non-insulin-dependent diabetes TIDAK
322 21/02/201 010414010219Y000971 0000979816342 RIZA MULIA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
323 21/02/201 010414010219Y000877 0001079600095 RAJA INDRA MAULANA L PENERIMA PENSIUN TNI Dental caries YA
324 21/02/201 010414010219Y000898 0001114736872 AIYUB JALIL L PBI (APBD) Heart failure TIDAK
325 21/02/201 010414010219Y000892 0001270574313 YUSNIDAR P PBI (APBD) Non-insulin-dependent diabetes YA
326 21/02/201 010414010219Y000902 0001270843661 MARIANI P PBI (APBD) Disorders of refraction and YA
327 21/02/201 010414010219Y000985 0001285717623 AUFANAZILA P PBI (APBD) Diseases of pulp and periapical tissues TIDAK
328 21/02/201 010414010219Y000966 0001299247301 FARIDAH P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
329 21/02/201 010414010219Y000798 0001968608316 LISA YANA P PBI (APBD) Pregnancy-related condition, YA
330 21/02/201 010414010219Y000894 0002056654102 ZAITUNI P PBI (APBD) Foreign body entering into or through YA
331 21/02/201 010414010219Y001380 0002146989857 MUHAMMAD KHALIL L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
332 21/02/201 010414010219Y000879 0002251683303 CUT NURLAILA P PBI (APBD) Need for immunization against tetanus TIDAK
333 21/02/201 010414010219Y000805 0002313163945 issika auza P PBI (APBN) Diarrhoea and gastroenteritis of YA
334 21/02/201 010414010219Y000808 0002746653478 MAULANA FIKRI L PBI (APBD) Other disorders of urinary system YA
335 20/02/201 010414010219Y000787 0000000442045 ASMADIYATI P PNS DAERAH Disorders of refraction and YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
336 20/02/201 010414010219Y000780 0000000496304 CUT NURSIAH P VETERAN Non-insulin-dependent diabetes YA
337 20/02/201 010414010219Y000817 0000000511424 NAYLA MIZKIRA P PNS PUSAT Acute upper respiratory infection, TIDAK
338 20/02/201 010414010219Y001022 0000000648314 SAUDAH P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
339 20/02/201 010414010219Y000803 0000000737076 NURLAILA HAYATI P PNS DAERAH Disorders of lipoprotein metabolism TIDAK
340 20/02/201 010414010219Y000791 0000000749744 SAUDAH P PNS DAERAH Chest pain, unspecified YA
341 20/02/201 010414010219Y000850 0000174108352 ABDURRAHMAN L VETERAN Essential (primary) hypertension TIDAK
342 20/02/201 010414010219Y000832 0000218369485 CUT MANYAK P PBI (APBN) Dyspepsia TIDAK
343 20/02/201 010414010219Y000818 0000218486632 BADRIAH P PBI (APBN) Dyspepsia TIDAK
344 20/02/201 010414010219Y000801 0000218492177 SURYANI P PBI (APBN) Acute upper respiratory infection, TIDAK
345 20/02/201 010414010219Y000786 0000218623735 ABDUL GANI L PBI (APBN) Respiratory tuberculosis, YA
346 20/02/201 010414010219Y000843 0000218711553 IRWANDI L PBI (APBN) Scabies TIDAK
347 20/02/201 010414010219Y000833 0000218778783 TIHASANAH MAHMUD P PBI (APBN) Myalgia TIDAK
348 20/02/201 010414010219Y001024 0000218787603 KHATIJAH P PBI (APBN) Essential (primary) hypertension TIDAK
349 20/02/201 010414010219Y000785 0000218905121 NUR AZMINA P PBI (APBN) Benign neoplasm of breast YA
350 20/02/201 010414010219Y000784 0000218930354 JIHAN SYAHIRA P PBI (APBN) Epilepsy YA
351 20/02/201 010414010219Y001376 0000218989618 RAHMAYANTI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
352 20/02/201 010414010219Y000826 0000219022367 M.YUSUF SARONG L PBI (APBN) Other bacterial foodborne TIDAK
353 20/02/201 010414010219Y001372 0000219023414 ISMAIL L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
354 20/02/201 010414010219Y001373 0000219023763 HALIMATON P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
355 20/02/201 010414010219Y000799 0000219041673 SILFIANA P PBI (APBN) General examination and investigation TIDAK
356 20/02/201 010414010219Y000796 0000219081025 BUDIMAN L PBI (APBN) Tuberculosis of lung, confirmed by YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
357 20/02/201 010414010219Y000820 0000219221616 AZIZAH P PBI (APBN) Acute upper respiratory infection, TIDAK
358 20/02/201 010414010219Y001374 0000219320122 MONALISA P PBI (APBN) Acute upper respiratory infection, TIDAK
359 20/02/201 010414010219Y000816 0000219359193 HASYIMI L PBI (APBN) Typhoid and paratyphoid fevers TIDAK
360 20/02/201 010414010219Y000792 0000219478015 FIRDAUS L PBI (APBN) Non-insulin-dependent diabetes YA
361 20/02/201 010414010219Y000893 0000219567464 M JALIL L PBI (APBN) Low vision, one eye YA
362 20/02/201 010414010219Y000783 0000219688997 AMIRUDDIN L PBI (APBN) Cerebral infarction YA
363 20/02/201 010414010219Y000782 0000219689976 JUNASRI P PBI (APBN) Other cataract YA
364 20/02/201 010414010219Y001291 0000219716087 AWANGKU AZHAR L PBI (APBN) Acute upper respiratory infection, TIDAK
365 20/02/201 010414010219Y001057 0000219786478 HENDAN P PBI (APBN) Essential (primary) hypertension TIDAK
366 20/02/201 010414010219Y000842 0000219862438 MANSUR L PBI (APBN) Other dermatitis TIDAK
367 20/02/201 010414010219Y000789 0000220005347 SAIFUL BAHRI L PBI (APBN) Conjunctivitis, unspecified YA
368 20/02/201 010414010219Y000790 0000220093277 FATIMAH P PBI (APBN) Respiratory tuberculosis, YA
369 20/02/201 010414010219Y000824 0000220422183 SYAKUBANDI P PBI (APBN) Dyspepsia TIDAK
370 20/02/201 010414010219Y000797 0000979795192 ZURAIDAH P PBI (APBN) Ventricular fibrillation and flutter YA
371 20/02/201 010414010219Y001060 0000979795214 SAUDAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
372 20/02/201 010414010219Y001375 0000979806363 DEVI ANDRIANI P PBI (APBN) Contraceptive management, TIDAK
373 20/02/201 010414010219Y000851 0000979813438 SABIRIN L PBI (APBN) Low back pain TIDAK
374 20/02/201 010414010219Y001023 0000979819828 UBIT P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
375 20/02/201 010414010219Y000846 0000979821099 DARYATI P PBI (APBN) Schizophrenia TIDAK
376 20/02/201 010414010219Y000795 0000979822967 FATIMAH SYAM P PBI (APBN) Conjunctivitis, unspecified YA
377 20/02/201 010414010219Y000835 0001112606976 KHATIJAH P PBI (APBD) Headache TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
378 20/02/201 010414010219Y000838 0001114614821 FITRI RAHMAYANI P PNS DAERAH Other forms of stomatitis TIDAK
379 20/02/201 010414010219Y000793 0001114627948 HJ NURHAYATI P PBI (APBD) Non-insulin-dependent diabetes YA
380 20/02/201 010414010219Y000814 0001309030694 ERNA ZAHARA AZIZ P PBI (APBD) Acute upper respiratory infection, TIDAK
381 20/02/201 010414010219Y000781 0001443380894 M ADAM L PBI (APBD) Cerebral infarction YA
382 20/02/201 010414010219Y000813 0001449417868 M. ARIFUL HAQQI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
383 20/02/201 010414010219Y000880 0001477591367 HAFNIDAR P PBI (APBD) Headache YA
384 20/02/201 010414010219Y000788 0002146976897 WILDA RAHAYU P PBI (APBD) Impacted cerumen YA
385 20/02/201 010414010219Y000794 0002746105997 SAFRIANI P PBI (APBD) Single delivery by caesarean section YA
386 19/02/201 010414010219Y000711 0000000563095 ASNAH P PNS DAERAH Disorders of refraction and YA
387 19/02/201 010414010219Y000710 0000000822216 JUAIRIAH P PNS DAERAH Rheumatoid arthritis, unspecified YA
388 19/02/201 010414010219Y000708 0000218313167 ARIKA P PBI (APBN) Scabies YA
389 19/02/201 010414010219Y000726 0000218412112 RAMLAH P PBI (APBN) Gastritis, unspecified YA
390 19/02/201 010414010219Y001049 0000218437705 HABIBAH UMAR P PBI (APBN) Headache TIDAK
391 19/02/201 010414010219Y000828 0000218448764 BAIHAQI L PBI (APBN) General examination and investigation TIDAK
392 19/02/201 010414010219Y000863 0000218507681 AINSYAH P PBI (APBN) Dyspepsia TIDAK
393 19/02/201 010414010219Y000844 0000218639531 ROSMIATI P PBI (APBN) Acute upper respiratory infection, TIDAK
394 19/02/201 010414010219Y000839 0000218699234 SUDIRMAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
395 19/02/201 010414010219Y000811 0000218705861 NAILATUL UHYA P PBI (APBN) General examination and investigation TIDAK
396 19/02/201 010414010219Y000859 0000218739093 MARDIAH P PBI (APBN) Acute upper respiratory infection, TIDAK
397 19/02/201 010414010219Y000925 0000218755348 ROSNA P PBI (APBN) Acute upper respiratory infection, TIDAK
398 19/02/201 010414010219Y000806 0000218765417 MUSTAFA L PBI (APBN) General examination and investigation TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
399 19/02/201 010414010219Y000872 0000218774439 NURAINI ZAKARIA P PBI (APBN) Contraceptive management, TIDAK
400 19/02/201 010414010219Y000841 0000218790775 WADDAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
401 19/02/201 010414010219Y000849 0000218845618 RAIHAN SAFITRI P PBI (APBN) Other dermatitis TIDAK
402 19/02/201 010414010219Y000699 0000218882204 MUHAMMAD ALI L PBI (APBN) Calculus of kidney YA
403 19/02/201 010414010219Y000847 0000218970178 AYU WANDIRA P PBI (APBN) Asthma TIDAK
404 19/02/201 010414010219Y001312 0000219009317 NAILUL RAHMAH P PBI (APBN) Nonsuppurative otitis media TIDAK
405 19/02/201 010414010219Y001369 0000219026147 SARMINAWATI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
406 19/02/201 010414010219Y001310 0000219031356 UMAR P PBI (APBN) Other specified dermatitis TIDAK
407 19/02/201 010414010219Y001311 0000219032065 AMBIA L PBI (APBN) Acute upper respiratory infection, TIDAK
408 19/02/201 010414010219Y000720 0000219038512 MIRNA LISTA P PBI (APBN) Single spontaneous delivery, YA
409 19/02/201 010414010219Y000823 0000219099306 RAHMAYANI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
410 19/02/201 010414010219Y000868 0000219120862 MUHAMMAD ANSARI L PBI (APBN) Other inflammation of eyelid TIDAK
411 19/02/201 010414010219Y001021 0000219187258 NURHAYATI P PBI (APBN) Bronchitis, not specified as acute or TIDAK
412 19/02/201 010414010219Y000856 0000219225071 YUSNIDAR P PBI (APBN) Essential (primary) hypertension TIDAK
413 19/02/201 010414010219Y001017 0000219234295 ANITA P PBI (APBN) Cutaneous abscess, furuncle and TIDAK
414 19/02/201 010414010219Y000834 0000219235476 ENDANG RAHAYU P PBI (APBN) Dyspepsia TIDAK
415 19/02/201 010414010219Y001048 0000219360047 M JUNED L PBI (APBN) Dental caries TIDAK
416 19/02/201 010414010219Y000694 0000219463007 INDAH SRI BUNGA P PBI (APBN) Dental caries YA
417 19/02/201 010414010219Y000744 0000219608133 NURJANNAH P PBI (APBN) Disorders of refraction and YA
418 19/02/201 010414010219Y000722 0000219611237 MALAWATI P PBI (APBN) Disorders of refraction and YA
419 19/02/201 010414010219Y000830 0000219612093 RITA ISMAIL P PBI (APBN) Heart failure TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
420 19/02/201 010414010219Y000869 0000219640858 ROSLAINI P PBI (APBN) Acute upper respiratory infection, TIDAK
421 19/02/201 010414010219Y001054 0000219771191 AZIZAH P PBI (APBN) Gastritis and duodenitis TIDAK
422 19/02/201 010414010219Y001052 0000219774857 AINSYAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
423 19/02/201 010414010219Y000837 0000219888775 RIDWAN L PBI (APBN) Dyspepsia TIDAK
424 19/02/201 010414010219Y000870 0000219929185 NURAINI P PBI (APBN) Disorders of lipoprotein metabolism TIDAK
425 19/02/201 010414010219Y000779 0000219985479 NURJANNAH SULAIMAN P PBI (APBN) Zoster [herpes zoster] YA
426 19/02/201 010414010219Y000840 0000219997179 HERAWATI P PBI (APBN) General examination and investigation TIDAK
427 19/02/201 010414010219Y000865 0000220035699 UMIATI IDRIS P PBI (APBN) Low back pain TIDAK
428 19/02/201 010414010219Y001004 0000220046848 NURLIDA P PBI (APBN) Monoplegia of lower limb YA
429 19/02/201 010414010219Y000866 0000220150618 RIZAL NABAWI L PBI (APBN) Scabies TIDAK
430 19/02/201 010414010219Y000876 0000220418526 M. DAUD SULAIMAN L PBI (APBN) Acute upper respiratory infection, TIDAK
431 19/02/201 010414010219Y000714 0000220459342 NURIKLIMA P PBI (APBN) Conjunctivitis, unspecified YA
432 19/02/201 010414010219Y000852 0000220484799 DESI SUSANTI P PBI (APBN) Contraceptive management, TIDAK
433 19/02/201 010414010219Y001371 0000220559477 HASBI AB L PBI (APBN) Other dermatitis TIDAK
434 19/02/201 010414010219Y000860 0000979795304 ISMAIL L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
435 19/02/201 010414010219Y000858 0000979797284 ISLAMIYAH P PBI (APBN) Dyspepsia TIDAK
436 19/02/201 010414010219Y000861 0000979797339 SUMARNI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
437 19/02/201 010414010219Y000825 0000979800928 NURJANNAH P PBI (APBN) Dyspepsia TIDAK
438 19/02/201 010414010219Y000695 0000979803731 NURHAYATI P PBI (APBN) Diseases of pulp and periapical tissues YA
439 19/02/201 010414010219Y000709 0000979805777 DARMAWATI P PBI (APBN) Asthma YA
440 19/02/201 010414010219Y000809 0000979807768 MUKHLIS L PBI (APBN) General examination and investigation TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
441 19/02/201 010414010219Y000776 0000979808128 ISMAIL L PBI (APBN) Hypotension YA
442 19/02/201 010414010219Y000777 0000979809467 HAFIDZ AULIA L PBI (APBN) Fracture of clavicle YA
443 19/02/201 010414010219Y001370 0000979810604 IDANIAR P PBI (APBN) Noninfective gastroenteritis and colitis, TIDAK
444 19/02/201 010414010219Y000696 0000979813978 KHAIDIR L PBI (APBN) Bronchitis, not specified as acute or YA
445 19/02/201 010414010219Y001015 0000979821865 RAZIAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
446 19/02/201 010414010219Y001018 0000979822034 NURJANNAH P PBI (APBN) Cutaneous abscess, furuncle and TIDAK
447 19/02/201 010414010219Y000807 0000979921146 YUNIZAR P PBI (APBN) General examination and investigation TIDAK
448 19/02/201 010414010219Y000778 0001114659415 ANDRIZAL RIZKI L PBI (APBD) Inflammatory liver disease, unspecified YA
449 19/02/201 010414010219Y000873 0001114964987 RATNA JUWITA P PBI (APBD) Acute upper respiratory infection, TIDAK
450 19/02/201 010414010219Y000700 0001115111935 AYU WANIRA P PBI (APBD) Dyspepsia YA
451 19/02/201 010414010219Y000827 0001115474073 MUHD. NIZAM ZAMZAMI L PBI (APBD) Scabies TIDAK
452 19/02/201 010414010219Y000743 0001266950992 ISNA P PNS DAERAH Calculus of kidney YA
453 19/02/201 010414010219Y000706 0001274054905 HJ NURHAYATI P PBI (APBD) Essential (primary) hypertension YA
454 19/02/201 010414010219Y000848 0001390428595 MASYKUR BIN RAMLI L PBI (APBD) Headache TIDAK
455 19/02/201 010414010219Y000854 0001433119138 ROHANI SAIDI P PBI (APBD) Essential (primary) hypertension TIDAK
456 19/02/201 010414010219Y000867 0001436537878 CUT SURYA P PNS DAERAH Pedestrian injured in collision with TIDAK
457 19/02/201 010414010219Y000855 0001436665037 RATNA DEWI P PBI (APBD) Contraceptive management, TIDAK
458 19/02/201 010414010219Y000829 0001447675211 SAFRINA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
459 19/02/201 010414010219Y000715 0001482673454 MAISURATULJANNAH P PNS PUSAT Disorders of refraction and YA
460 19/02/201 010414010219Y001019 0001792634567 RAMLAH AHMAD P PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
461 19/02/201 010414010219Y000812 0001800542654 ABDULLAH L PBI (APBD) Paranoid schizophrenia TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
462 19/02/201 010414010219Y000745 0001801725164 YULITA P PBI (APBD) Single spontaneous delivery, YA
463 19/02/201 010414010219Y000717 0001847696962 RASYIDI L PBI (APBD) Fracture of shaft of tibia YA
464 19/02/201 010414010219Y001020 0001961598238 LUTHFI ALMUBARRACK L PBI (APBD) Cutaneous abscess, furuncle and TIDAK
465 19/02/201 010414010219Y001047 0002032984541 ALFA RAFIKI L PBI (APBD) Other specified dermatitis TIDAK
466 19/02/201 010414010219Y001290 0002066093357 HASANAL BULQIAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
467 19/02/201 010414010219Y000692 0002075160791 ARSYILA FARZANA P PBI (APBD) Fever, unspecified YA
468 19/02/201 010414010219Y000845 0002078991459 ASMARA P PBI (APBD) Diarrhoea and gastroenteritis of TIDAK
469 19/02/201 010414010219Y000712 0002087983675 MUHAMMAD ARSYA L PBI (APBD) Asthma YA
470 19/02/201 010414010219Y001016 0002146693511 ISMAIL MAJID L PBI (APBD) Cutaneous abscess, furuncle and TIDAK
471 19/02/201 010414010219Y000871 0002146699247 NURHAYATI P PBI (APBD) Dyspepsia TIDAK
472 19/02/201 010414010219Y000875 0002207549924 SAIRAH P PBI (APBD) Low back pain TIDAK
473 19/02/201 010414010219Y000707 0002209946286 ZULKIFLI L PBI (APBD) Gastritis, unspecified YA
474 19/02/201 010414010219Y000857 0002213520928 SRI AYATI P PBI (APBD) General examination and investigation TIDAK
475 19/02/201 010414010219Y000819 0002213820088 rosana P PBI (APBD) Asthma TIDAK
476 19/02/201 010414010219Y000716 0002262050199 NURLATIFAH P PBI (APBD) Disorders of refraction and YA
477 19/02/201 010414010219Y000729 0002471174098 NURJANNAH P PBI (APBD) Disorders of refraction and YA
478 19/02/201 010414010219Y000831 0002485976894 MUHAMMAD ASYRAF L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
479 19/02/201 010414010219Y000721 0002494918113 muhammad aidil akbar L PBI (APBN) Scabies YA
480 19/02/201 010414010219Y000693 0002746105997 SAFRIANI P PBI (APBD) Single delivery by caesarean section YA
481 19/02/201 010414010219Y000864 0002746742016 CUT AUVIA SIDIQA P PBI (APBD) Acute upper respiratory infection, TIDAK
482 18/02/201 010414010219Y000644 0000000426137 MARIATI P PNS DAERAH Dislocation, sprain and strain of YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
483 18/02/201 010414010219Y000656 0000000473793 NITA SARI, AM KEB P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
484 18/02/201 010414010219Y000754 0000000474636 NURLINA P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
485 18/02/201 010414010219Y000677 0000000496203 SITTI AMAN P VETERAN Senile cataract YA
486 18/02/201 010414010219Y000697 0000000572488 IRMA P PNS DAERAH General examination and investigation TIDAK
487 18/02/201 010414010219Y000698 0000000583683 RAHMATULLAH L PBI (APBD) General examination and investigation TIDAK
488 18/02/201 010414010219Y000731 0000000588846 NURAZIZAH P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
489 18/02/201 010414010219Y000667 0000000603472 TJUT AINAL MARDHIAH P PENERIMA PENSIUN TNI Non-insulin-dependent diabetes YA
490 18/02/201 010414010219Y000684 0000000645851 NURHAYATI P PENERIMA PENSIUN Low back pain YA
491 18/02/201 010414010219Y000761 0000000764616 HASBALLAH L PNS PUSAT Dyspepsia TIDAK
492 18/02/201 010414010219Y000740 0000000844749 SUHENDRA L PBI (APBD) General examination and investigation TIDAK
493 18/02/201 010414010219Y000768 0000218286257 FERI WAHYUNI P PBI (APBN) Need for immunization against tetanus TIDAK
494 18/02/201 010414010219Y000757 0000218394382 HENDON P PBI (APBN) Schizophrenia TIDAK
495 18/02/201 010414010219Y000760 0000218530934 HELMI L PBI (APBN) Tinea corporis TIDAK
496 18/02/201 010414010219Y000669 0000218665978 KHAIRUN NISA P PBI (APBN) Foreign body in mouth YA
497 18/02/201 010414010219Y000663 0000218666024 RISKA MUNANDA ULFA P PBI (APBN) Gastritis and duodenitis YA
498 18/02/201 010414010219Y000657 0000218692923 ASNMARANI P PBI (APBN) Dyspepsia TIDAK
499 18/02/201 010414010219Y000735 0000218702395 HAFID ALKADRI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
500 18/02/201 010414010219Y000685 0000218704094 MAHYUDDIN L PBI (APBN) Other diseases of appendix YA
501 18/02/201 010414010219Y000674 0000218742827 FENI YANTI P PBI (APBN) Benign neoplasm of breast YA
502 18/02/201 010414010219Y000766 0000218742963 KANDI P PBI (APBN) Dyspepsia TIDAK
503 18/02/201 010414010219Y000774 0000218744414 HABIBAH P PBI (APBN) Low back pain TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
504 18/02/201 010414010219Y000763 0000218755293 MUHAMMAD LUTFI L PBI (APBN) Scabies TIDAK
505 18/02/201 010414010219Y000686 0000218756406 SULAIMAN L PBI (APBN) Dyspepsia YA
506 18/02/201 010414010219Y000653 0000218764664 ABU BAKAR L PBI (APBN) Paranoid schizophrenia YA
507 18/02/201 010414010219Y000734 0000218772055 DAHNIAR P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
508 18/02/201 010414010219Y000752 0000218775925 MARIANI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
509 18/02/201 010414010219Y000618 0000218885049 US,MAN ISHAK L PBI (APBN) Stroke, not specified as haemorrhage YA
510 18/02/201 010414010219Y000659 0000218892249 REVI KARESI P PBI (APBN) Myalgia TIDAK
511 18/02/201 010414010219Y000759 0000218907663 ZAINAL ABIDIN L PBI (APBN) Acute upper respiratory infection, TIDAK
512 18/02/201 010414010219Y000741 0000218923132 HASBALLAH ISMAIL L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
513 18/02/201 010414010219Y000748 0000218932029 NURUL AFLAWATI P PBI (APBN) General examination and investigation TIDAK
514 18/02/201 010414010219Y000769 0000218938691 MIRNA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
515 18/02/201 010414010219Y000742 0000218954046 CUT AISYA NURUL ULVA P PBI (APBN) Scabies TIDAK
516 18/02/201 010414010219Y000688 0000218985895 MUNIRWAN ANWAR L PBI (APBN) Disorders of refraction and YA
517 18/02/201 010414010219Y000630 0000219013817 ABDULLAH AZIS L PBI (APBN) Otitis media, unspecified YA
518 18/02/201 010414010219Y000671 0000219038264 IDRIS IBRAHIM L PBI (APBN) Dislocation, sprain and strain of YA
519 18/02/201 010414010219Y000724 0000219050818 MARWATI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
520 18/02/201 010414010219Y000662 0000219058378 CUT RUDI P PBI (APBN) Acute upper respiratory infection, TIDAK
521 18/02/201 010414010219Y000649 0000219063137 YUSNITA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
522 18/02/201 010414010219Y000764 0000219067514 MARyaM P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
523 18/02/201 010414010219Y000730 0000219104921 AFZALUL ZIKRI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
524 18/02/201 010414010219Y000732 0000219115541 EKA WAHYUNI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
525 18/02/201 010414010219Y000772 0000219181015 DAHRI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
526 18/02/201 010414010219Y000664 0000219197147 M ADAM JALIL L PBI (APBN) Acute upper respiratory infection, TIDAK
527 18/02/201 010414010219Y000675 0000219228647 ROSDIANA P PBI (APBN) Fracture of clavicle YA
528 18/02/201 010414010219Y000683 0000219252431 IDRIS L PBI (APBN) Senile cataract YA
529 18/02/201 010414010219Y000603 0000219269485 MUHAMMAD AFDAL L PBI (APBN) Schizophrenia YA
530 18/02/201 010414010219Y000681 0000219274817 SAUDAH P PBI (APBN) Low back pain YA
531 18/02/201 010414010219Y000682 0000219329054 NURMAYA SANTOFA P PBI (APBN) Calculus of kidney and ureter YA
532 18/02/201 010414010219Y000668 0000219344196 YULIANA SALEH P PBI (APBN) Primary oligomenorrhoea YA
533 18/02/201 010414010219Y000765 0000219462816 SAKDIAH PATAM P PBI (APBN) Low back pain TIDAK
534 18/02/201 010414010219Y000604 0000219464627 NURLAILI P PBI (APBN) Calculus of kidney YA
535 18/02/201 010414010219Y000756 0000219465347 ASMIATI ISMAIL P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
536 18/02/201 010414010219Y000680 0000219475192 HALIMATUS SAKDIAH P PBI (APBN) Low back pain YA
537 18/02/201 010414010219Y000687 0000219477521 JUBAIDAH P PBI (APBN) Left ventricular failure YA
538 18/02/201 010414010219Y000737 0000219564538 SYAHRIL UMAM L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
539 18/02/201 010414010219Y001367 0000219584147 ASMA WATI P PBI (APBN) Dental caries TIDAK
540 18/02/201 010414010219Y000666 0000219585677 AINOL MARDIAH P PBI (APBN) Need for immunization against tetanus TIDAK
541 18/02/201 010414010219Y000718 0000219587242 NURAINIDA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
542 18/02/201 010414010219Y000739 0000219595691 AFRIZAL L PBI (APBN) Scabies TIDAK
543 18/02/201 010414010219Y000654 0000219600516 KURRATUN A'YUNI P PBI (APBN) Cicatricial alopecia [scarring hair loss] YA
544 18/02/201 010414010219Y000673 0000219686444 MAULIDAR P PBI (APBN) Irregular menstruation, unspecified YA
545 18/02/201 010414010219Y001288 0000219702071 SALMIAH KASEM P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
546 18/02/201 010414010219Y000728 0000219870189 LINDA LISNA P PBI (APBN) General examination and investigation TIDAK
547 18/02/201 010414010219Y001366 0000219908441 NURHAYATI ABD P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
548 18/02/201 010414010219Y000648 0000220000678 MURNI P PBI (APBN) Myalgia TIDAK
549 18/02/201 010414010219Y001014 0000220082646 NURJANNAH P PBI (APBN) Dyspepsia TIDAK
550 18/02/201 010414010219Y000605 0000220111165 CUT MARLAINI P PBI (APBN) Pregnancy-related condition, YA
551 18/02/201 010414010219Y000771 0000220129389 NURASIYAH P PBI (APBN) General examination and investigation TIDAK
552 18/02/201 010414010219Y000733 0000220155759 SITI FATIMAH P PBI (APBN) Contraceptive management, TIDAK
553 18/02/201 010414010219Y000651 0000220396689 TAUFIK S L PBI (APBN) Respiratory tuberculosis, YA
554 18/02/201 010414010219Y000723 0000220447899 ERNA P PBI (APBN) General examination and investigation TIDAK
555 18/02/201 010414010219Y001368 0000220559714 AZIMAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
556 18/02/201 010414010219Y000755 0000220597569 SAFRATON P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
557 18/02/201 010414010219Y000703 0000978850326 M RIZAL L PBI (APBN) Other specified dermatitis TIDAK
558 18/02/201 010414010219Y000701 0000979794865 SYARIBANUN ISMAIL P PBI (APBN) Hypotension TIDAK
559 18/02/201 010414010219Y000747 0000979795192 ZURAIDAH P PBI (APBN) Hypotension TIDAK
560 18/02/201 010414010219Y000655 0000979795833 ABDUL HAMID L PBI (APBN) Acute upper respiratory infection, TIDAK
561 18/02/201 010414010219Y000736 0000979797442 DAVID MAULANA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
562 18/02/201 010414010219Y000770 0000979799286 T MUSTAFA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
563 18/02/201 010414010219Y000746 0000979799635 ARMIANI P PBI (APBN) General examination and investigation TIDAK
564 18/02/201 010414010219Y000773 0000979801301 TI HALIMAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
565 18/02/201 010414010219Y000749 0000979802199 ASMAUL HUSNA P PBI (APBN) Diseases of pulp and periapical tissues TIDAK
566 18/02/201 010414010219Y000758 0000979802818 RUSNAWATI P PBI (APBN) Other disorders of external ear TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
567 18/02/201 010414010219Y000704 0000979804124 ZULFIKAR L PBI (APBN) General examination and investigation TIDAK
568 18/02/201 010414010219Y000652 0000979814845 KAMARUDDIN ARSYAD L PBI (APBN) Paranoid schizophrenia YA
569 18/02/201 010414010219Y000670 0000979815789 CUT ERNITA P PBI (APBN) Other anxiety disorders YA
570 18/02/201 010414010219Y000751 0000979816386 FATIMAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
571 18/02/201 010414010219Y000622 0000979820572 M YUSUF ABDULLAH L PBI (APBN) Gastritis and duodenitis YA
572 18/02/201 010414010219Y000665 0000979821088 ROHANI WALI P PBI (APBN) Calculus of kidney and ureter YA
573 18/02/201 010414010219Y000660 0000979822214 SUMARNI P PBI (APBN) Headache TIDAK
574 18/02/201 010414010219Y000750 0000979832349 MUSLIMAH P PBI (APBN) Dental caries TIDAK
575 18/02/201 010414010219Y000614 0000980024769 MUHAMMAD ABDULLAH L PBI (APBN) Gastritis and duodenitis YA
576 18/02/201 010414010219Y000647 0001082924054 JUWAINI L PBI (APBN) Respiratory tuberculosis, YA
577 18/02/201 010414010219Y000719 0001114700556 NANDA SINTIA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
578 18/02/201 010414010219Y000661 0001114827873 FARIDAH P PBI (APBD) Acute upper respiratory infection, TIDAK
579 18/02/201 010414010219Y000727 0001114876348 AZIZY AINAIYA L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
580 18/02/201 010414010219Y000753 0001115543261 DAHLIANA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
581 18/02/201 010414010219Y000602 0001267390348 FARIDAH P PBI (APBD) Gastritis, unspecified YA
582 18/02/201 010414010219Y000762 0001268123477 ABDUL MUTHALEB L PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
583 18/02/201 010414010219Y000702 0001318112278 FITRIANI P PNS DAERAH Acute upper respiratory infection, TIDAK
584 18/02/201 010414010219Y000643 0001434767319 NURDIN ARSYAD L PBI (APBD) Pleural effusion, not elsewhere YA
585 18/02/201 010414010219Y001289 0001443381186 NURHAYATI P PBI (APBD) Other specified dermatitis TIDAK
586 18/02/201 010414010219Y000738 0001443824008 ZULFATAN L PNS DAERAH General examination and investigation TIDAK
587 18/02/201 010414010219Y000713 0001481993133 RAZIAH P PBI (APBD) Acute upper respiratory infection, TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
588 18/02/201 010414010219Y001013 0001786906528 MUHAMMAD NAZIR L PBI (APBD) Dyspepsia TIDAK
589 18/02/201 010414010219Y000689 0001796045354 USWATUN NADILA P PBI (APBD) Pregnancy-related condition, YA
590 18/02/201 010414010219Y000624 0001852888241 WALY YUNIS L PBI (APBD) Chronic tonsillitis YA
591 18/02/201 010414010219Y000705 0001861503006 MONA ZAINATUL L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
592 18/02/201 010414010219Y000725 0001965682877 HASBI L PBI (APBD) Non-insulin-dependent diabetes TIDAK
593 18/02/201 010414010219Y000676 0002047711645 ASSIQA FAUZATUL ILMI P PNS PUSAT Dental caries YA
594 18/02/201 010414010219Y000626 0002080424608 BEURANSAH L PBI (APBD) Disorders of refraction and YA
595 18/02/201 010414010219Y000767 0002146703218 M FURQAN AZIZI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
596 18/02/201 010414010219Y000658 0002201706731 PUTROE AFRA P PBI (APBD) Acute upper respiratory infection, TIDAK
597 18/02/201 010414010219Y001359 0002207549924 SAIRAH P PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
598 18/02/201 010414010219Y000691 0002220368332 NURBAIDAH P PBI (APBD) Left ventricular failure YA
599 18/02/201 010414010219Y000679 0002234088009 MULIADI L PBI (APBD) Other forms of acute pericarditis YA
600 18/02/201 010414010219Y000678 0002269669116 SALSABILA P PBI (APBD) Benign neoplasm of breast YA
601 18/02/201 010414010219Y000650 0002275642449 VATHINA SIDQIA P PBI (APBD) Other inflammation of eyelid YA
602 18/02/201 010414010219Y000634 0002296395641 AZWAR L PBI (APBD) Respiratory tuberculosis, YA
603 18/02/201 010414010219Y000645 0002491166349 TARMIZI L PBI (APBD) Gastritis and duodenitis YA
604 18/02/201 010414010219Y000672 0002619120148 KANAYA KHAIRUNA P PBI (APBD) Other disorders of external ear YA
605 18/02/201 010414010219Y000690 0002739032482 M. SYARIF DZAKIZAIN L PBI (APBN) Fever of other and unknown origin YA
606 15/02/201 010414010219Y000588 0000000413144 SYUKRI L PNS DAERAH Non-insulin-dependent diabetes YA
607 15/02/201 010414010219Y000573 0000000496271 A. MAJID L VETERAN Acute upper respiratory infection, TIDAK
608 15/02/201 010414010219Y000554 0000000514451 TUTI HARNINGSIH P PNS PUSAT Low back pain YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
609 15/02/201 010414010219Y000631 0000000526364 NURLAILA P PNS PUSAT Other disorders of middle ear and TIDAK
610 15/02/201 010414010219Y001146 0000000646132 TEUKU HASAN UMAR L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
611 15/02/201 010414010219Y000560 0000000739563 ROSLIANA P PNS DAERAH Acute pharyngitis YA
612 15/02/201 010414010219Y000635 0000167395454 RUSNI P PNS DAERAH Rheumatoid arthritis, unspecified TIDAK
613 15/02/201 010414010219Y000575 0000172926988 ROHANA AMIN P PENERIMA PENSIUN Other dermatitis TIDAK
614 15/02/201 010414010219Y001151 0000197976622 CUT NURHAYATI P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
615 15/02/201 010414010219Y000636 0000218375245 NURMALA SARI P PBI (APBN) Dyspepsia TIDAK
616 15/02/201 010414010219Y000637 0000218394382 HENDON P PBI (APBN) Schizophrenia TIDAK
617 15/02/201 010414010219Y000628 0000218430415 KHATIJAH P PBI (APBN) Hypotension TIDAK
618 15/02/201 010414010219Y001012 0000218696782 KARTINI ISMAIL P PBI (APBN) Dyspepsia TIDAK
619 15/02/201 010414010219Y000638 0000218702182 ISHAK L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
620 15/02/201 010414010219Y001363 0000218740667 RADIAH P PBI (APBN) Gastritis and duodenitis TIDAK
621 15/02/201 010414010219Y000553 0000218775532 REZIKA ZIARA P PBI (APBN) Benign neoplasm of breast YA
622 15/02/201 010414010219Y000627 0000218777861 MARWAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
623 15/02/201 010414010219Y001361 0000218943999 AIZIL FITRI L PBI (APBN) Other dermatitis TIDAK
624 15/02/201 010414010219Y001362 0000218954248 SAIFANNUR L PBI (APBN) Acute upper respiratory infection, TIDAK
625 15/02/201 010414010219Y000576 0000218974691 JULIANA P PBI (APBN) Essential (primary) hypertension TIDAK
626 15/02/201 010414010219Y000589 0000219055858 SUMARNI P PBI (APBN) Senile cataract YA
627 15/02/201 010414010219Y001154 0000219058378 CUT RUDI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
628 15/02/201 010414010219Y001158 0000219067514 MARyaM P PBI (APBN) Acute upper respiratory infection, TIDAK
629 15/02/201 010414010219Y000571 0000219081519 ROUDIAH P PBI (APBN) Single spontaneous delivery, YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
630 15/02/201 010414010219Y001148 0000219083793 NURAIDAH ALI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
631 15/02/201 010414010219Y000555 0000219103762 M SALEH L PBI (APBN) Conjunctivitis, unspecified YA
632 15/02/201 010414010219Y001010 0000219178653 NOVI SUSKA SULAIMAN P PBI (APBN) Bronchitis, not specified as acute or TIDAK
633 15/02/201 010414010219Y000646 0000219225688 USMAN YUSUF L PBI (APBN) Disorders of lipoprotein metabolism TIDAK
634 15/02/201 010414010219Y000578 0000219257537 MUSALAN L PBI (APBN) Low back pain YA
635 15/02/201 010414010219Y001009 0000219264726 ROSMI P PBI (APBN) Bronchitis, not specified as acute or TIDAK
636 15/02/201 010414010219Y000640 0000219462693 MUHAMMAD JABAL L PBI (APBN) General examination and investigation TIDAK
637 15/02/201 010414010219Y000592 0000219475822 NUR AIDA P PBI (APBN) Chronic sinusitis YA
638 15/02/201 010414010219Y000579 0000219564279 UDAI RIFAL L PBI (APBN) Acute upper respiratory infection, TIDAK
639 15/02/201 010414010219Y001364 0000219817809 UMMI SALAMAH P PBI (APBN) Gastritis and duodenitis TIDAK
640 15/02/201 010414010219Y000574 0000219888685 AZIZUL AZWAR L PBI (APBN) Acute upper respiratory infection, TIDAK
641 15/02/201 010414010219Y001011 0000220088316 JOHARI P PBI (APBN) Bronchitis, not specified as acute or TIDAK
642 15/02/201 010414010219Y001006 0000220109995 SISKA HANIM FURQAN P PBI (APBN) Noninfective gastroenteritis and colitis, TIDAK
643 15/02/201 010414010219Y000561 0000220121572 ZUBIR ABDULLAH L PBI (APBN) Stroke, not specified as haemorrhage TIDAK
644 15/02/201 010414010219Y001147 0000220145804 TI ARFAN P PBI (APBN) Gout TIDAK
645 15/02/201 010414010219Y000642 0000220155298 ZIKRIAH P PBI (APBN) Hypotension TIDAK
646 15/02/201 010414010219Y000577 0000220380928 ISMAIL YAHYA L PBI (APBN) Pedestrian injured in collision with TIDAK
647 15/02/201 010414010219Y000567 0000220381593 USMAN AHMAD L PBI (APBN) Unspecified abdominal hernia without YA
648 15/02/201 010414010219Y001149 0000220410808 RUHON ADAM P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
649 15/02/201 010414010219Y001153 0000220458071 HENDAN HARUN P PBI (APBN) Essential (primary) hypertension TIDAK
650 15/02/201 010414010219Y001150 0000220466946 ABUBAKAR L PBI (APBN) Essential (primary) hypertension TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
651 15/02/201 010414010219Y001152 0000220482516 MARIANA P PBI (APBN) Acute upper respiratory infection, TIDAK
652 15/02/201 010414010219Y001155 0000220491573 ISMAIL AHMAD L PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
653 15/02/201 010414010219Y000632 0000220518854 M ZIKRIL IVANDI L PBI (APBN) Scabies TIDAK
654 15/02/201 010414010219Y001159 0000979798217 HALIMAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
655 15/02/201 010414010219Y001157 0000979798454 AMINAH P PBI (APBN) Dyspepsia TIDAK
656 15/02/201 010414010219Y001365 0000979801029 ROSLAINI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
657 15/02/201 010414010219Y000641 0000979802111 YUSRENA P PBI (APBN) General examination and investigation TIDAK
658 15/02/201 010414010219Y000629 0000979807746 MAIMUNAH P PBI (APBN) Influenza due to other identified TIDAK
659 15/02/201 010414010219Y001360 0000979810367 NURHAYATI P PBI (APBN) Essential (primary) hypertension TIDAK
660 15/02/201 010414010219Y000633 0000979812494 ZAINABON P PBI (APBN) Cardiomyopathy TIDAK
661 15/02/201 010414010219Y000775 0000979816566 T IDRIS L PBI (APBN) Essential (primary) hypertension YA
662 15/02/201 010414010219Y001309 0000979825419 FATIMAH BEN CUT P PBI (APBN) Gastritis, unspecified TIDAK
663 15/02/201 010414010219Y000552 0001114612637 T.M.ALI L PBI (APBD) Chronic gingivitis YA
664 15/02/201 010414010219Y000591 0001114629129 LAIBAH CUT P PBI (APBD) Atherosclerotic heart disease YA
665 15/02/201 010414010219Y001008 0001114672331 FITRI MAULIZAR P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
666 15/02/201 010414010219Y001156 0001115328115 CUT AMRI P PBI (APBD) Essential (primary) hypertension TIDAK
667 15/02/201 010414010219Y000584 0001115454958 JONI HASAN L PBI (APBD) Disorders of refraction and YA
668 15/02/201 010414010219Y000583 0001115565311 FATMAWATI P PBI (APBD) Tinea corporis YA
669 15/02/201 010414010219Y000558 0001115758484 PUTRI SYIFAUS SIRRIAH L PBI (APBD) Acute upper respiratory infection, YA
670 15/02/201 010414010219Y000581 0001270843661 MARIANI P PBI (APBD) Essential (primary) hypertension TIDAK
671 15/02/201 010414010219Y000582 0001275569548 LIHAUDDIN H.RASYID L PBI (APBD) Stroke, not specified as haemorrhage YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
672 15/02/201 010414010219Y000639 0001427053252 MAIMUN L PBI (APBD) General examination and investigation TIDAK
673 15/02/201 010414010219Y001007 0001451800225 ZIL AZHMI ALWAHIDI L PBI (APBD) Bronchitis, not specified as acute or TIDAK
674 15/02/201 010414010219Y000572 0001786814965 UMMI KALSUM P PBI (APBD) Respiratory tuberculosis, TIDAK
675 15/02/201 010414010219Y000580 0001886042092 RAMLI ABDURRAHMAN L PBI (APBD) Non-insulin-dependent diabetes TIDAK
676 15/02/201 010414010219Y000586 0001971593098 mutia faridah P PBI (APBD) Lumbago with sciatica YA
677 15/02/201 010414010219Y000587 0001971594191 akmalul zikry L PBI (APBD) Dental caries YA
678 15/02/201 010414010219Y000590 0002146700013 NABILA FARHANA P PBI (APBD) Inflammation of eyelid, unspecified YA
679 15/02/201 010414010219Y000559 0002255099308 LASRIANI P PBI (APBD) Pregnancy-related condition, YA
680 15/02/201 010414010219Y000585 0002500073021 putri iklima P PBI (APBN) Other viral pneumonia YA
681 14/02/201 010414010219Y000570 0000000523855 JAILANI L PNS PUSAT Congestive heart failure TIDAK
682 14/02/201 010414010219Y000485 0000000762096 ZULKIFLI A Z L PNS DAERAH Non-insulin-dependent diabetes YA
683 14/02/201 010414010219Y000566 0000038381062 ANWAR, S.AG L PNS PUSAT Pedestrian injured in collision with TIDAK
684 14/02/201 010414010219Y000569 0000168256203 ERNI YANTI HASANUSI P PNS PUSAT Asthma TIDAK
685 14/02/201 010414010219Y000510 0000218296203 RUHUL KHALIS L PBI (APBN) Other dermatitis TIDAK
686 14/02/201 010414010219Y000475 0000218312774 NURJANNATI P PBI (APBN) Other and unspecified convulsions YA
687 14/02/201 010414010219Y000479 0000218664999 HENDON P PBI (APBN) Senile cataract YA
688 14/02/201 010414010219Y001045 0000218724985 SYAKUMI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
689 14/02/201 010414010219Y001043 0000218726324 ARAMAN TP L PBI (APBN) Acute upper respiratory infection, TIDAK
690 14/02/201 010414010219Y001283 0000218736819 KARTINI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
691 14/02/201 010414010219Y000564 0000218745077 NYAK DHIN P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
692 14/02/201 010414010219Y000495 0000218749263 S BUYUNG L PBI (APBN) Polyneuropathy, unspecified YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
693 14/02/201 010414010219Y000477 0000218958557 SURYATI P PBI (APBN) Benign neoplasm of breast TIDAK
694 14/02/201 010414010219Y001284 0000218998855 FATIMAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
695 14/02/201 010414010219Y000491 0000219016023 NURJANNAH P PBI (APBN) Non-insulin-dependent diabetes YA
696 14/02/201 010414010219Y001286 0000219045339 CUT CHALIDAWATI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
697 14/02/201 010414010219Y000483 0000219073037 JALALUDDIN L PBI (APBN) Chronic nephritic syndrome, YA
698 14/02/201 010414010219Y000511 0000219078088 MURNI P PBI (APBN) Acute upper respiratory infection, TIDAK
699 14/02/201 010414010219Y000522 0000219121525 USMAN ADAM L PBI (APBN) Other dermatitis TIDAK
700 14/02/201 010414010219Y000529 0000219133056 NELIANTI P PBI (APBN) Single spontaneous delivery, TIDAK
701 14/02/201 010414010219Y000493 0000219138287 RAMADANI L PBI (APBN) Fracture of neck YA
702 14/02/201 010414010219Y000535 0000219334228 NURMALAWATI P PBI (APBN) Contraceptive management, TIDAK
703 14/02/201 010414010219Y000568 0000219367991 RIZKI WANARA P PBI (APBN) Gastritis and duodenitis TIDAK
704 14/02/201 010414010219Y000513 0000219463007 INDAH SRI BUNGA P PBI (APBN) Diseases of pulp and periapical tissues TIDAK
705 14/02/201 010414010219Y000512 0000219474786 SAFARANI L PBI (APBN) Arthrosis, unspecified TIDAK
706 14/02/201 010414010219Y000517 0000219564011 M ADAM L PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
707 14/02/201 010414010219Y000524 0000219611237 MALAWATI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
708 14/02/201 010414010219Y000520 0000219720363 CHAIRIL HIDAYAT L PBI (APBN) Acute pharyngitis, unspecified TIDAK
709 14/02/201 010414010219Y000523 0000219743155 ANISDATUL KHAIRA P PBI (APBN) Conjunctivitis TIDAK
710 14/02/201 010414010219Y000505 0000219826664 MARA WAHYUNI P PBI (APBN) Pilonidal cyst TIDAK
711 14/02/201 010414010219Y000518 0000219908441 NURHAYATI ABD P PBI (APBN) Myalgia TIDAK
712 14/02/201 010414010219Y000562 0000220026194 JAFARUDDIN L PBI (APBN) Other specified dermatitis TIDAK
713 14/02/201 010414010219Y000506 0000220093479 NADARIYAH P PBI (APBN) Pedestrian injured in collision with TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
714 14/02/201 010414010219Y001115 0000220110322 AINSYAH P PBI (APBN) Other specified dermatitis TIDAK
715 14/02/201 010414010219Y000496 0000220111896 RAMAZAN HASAN L PBI (APBN) Low back pain YA
716 14/02/201 010414010219Y000476 0000220184109 NURHAFNI P PBI (APBN) Bronchitis, not specified as acute or TIDAK
717 14/02/201 010414010219Y000514 0000220357427 MURSYIDILLAH L PBI (APBN) Bronchitis, not specified as acute or TIDAK
718 14/02/201 010414010219Y000557 0000220510247 RAIS FAHREZA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
719 14/02/201 010414010219Y000492 0000979804001 RUSYDI L PBI (APBN) Schizophrenia YA
720 14/02/201 010414010219Y000537 0000979804203 NURHAYATI P PBI (APBN) Dyspepsia YA
721 14/02/201 010414010219Y000498 0000979810582 SALAMAH P PBI (APBN) Senile cataract YA
722 14/02/201 010414010219Y000538 0000979810738 SALAMIAH P PBI (APBN) Senile cataract YA
723 14/02/201 010414010219Y000536 0000979810749 AMRI RAMLI L PBI (APBN) Schizophrenia YA
724 14/02/201 010414010219Y000515 0000979816566 T IDRIS L PBI (APBN) Dyspepsia TIDAK
725 14/02/201 010414010219Y000497 0000979819479 AINAL MARDHIAH P PBI (APBN) Fracture of patella YA
726 14/02/201 010414010219Y001072 0000979822304 BAIDAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
727 14/02/201 010414010219Y000489 0000979825353 YUSLINA P PBI (APBN) Chronic sinusitis YA
728 14/02/201 010414010219Y000500 0001114633258 ERNI SAAD P PBI (APBD) Vertigo of central origin YA
729 14/02/201 010414010219Y000494 0001114877766 HASBALLAH AR L PBI (APBD) Injury of blood vessels of thorax YA
730 14/02/201 010414010219Y000534 0001115376625 RAFIQA ZUHRA P PBI (APBD) Hordeolum and chalazion TIDAK
731 14/02/201 010414010219Y000487 0001115464511 M YUSUF L PBI (APBD) Gastritis, unspecified YA
732 14/02/201 010414010219Y000521 0001115479495 NURJANNAH P PBI (APBD) Arthrosis, unspecified TIDAK
733 14/02/201 010414010219Y001074 0001115720886 FITRIANI P PBI (APBD) Hypotension TIDAK
734 14/02/201 010414010219Y000465 0001477480961 AIYUB L PBI (APBD) Other specified dermatitis YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
735 14/02/201 010414010219Y000528 0001484685461 KHAIRUN NISA P PBI (APBD) Need for immunization against tetanus TIDAK
736 14/02/201 010414010219Y000463 0001785166569 ZAINON L PBI (APBD) Congestive heart failure YA
737 14/02/201 010414010219Y000527 0001801751995 YULIA ZAHARA P PBI (APBD) Need for immunization against tetanus TIDAK
738 14/02/201 010414010219Y000509 0001824386398 MAGHFIRAH P PBI (APBD) Acute upper respiratory infection, TIDAK
739 14/02/201 010414010219Y000556 0001869857954 SAUMI HIDAYATI P PBI (APBD) Headache TIDAK
740 14/02/201 010414010219Y000502 0001898240714 MUHAMMAD KHUZARI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
741 14/02/201 010414010219Y000504 0001904371997 ZAHRATUL ULFIDA P PBI (APBD) Acute upper respiratory infection, TIDAK
742 14/02/201 010414010219Y001073 0002082534074 JURIAH P PBI (APBD) Dyspepsia TIDAK
743 14/02/201 010414010219Y000519 0002146696108 RUSANA HASAN P PBI (APBD) Non-insulin-dependent diabetes TIDAK
744 14/02/201 010414010219Y000503 0002146700125 HELMI P PBI (APBD) Headache TIDAK
745 14/02/201 010414010219Y000563 0002226617278 fariz ataullah L PBI (APBN) Acute upper respiratory infection, TIDAK
746 14/02/201 010414010219Y000499 0002257235324 AHMAD MUBARRAK L PBI (APBD) Impetigo TIDAK
747 14/02/201 010414010219Y000490 0002297377539 rifie musyirach L PBI (APBD) Sialoadenitis YA
748 14/02/201 010414010219Y000501 0002313045099 NURUL AZKIA P PBI (APBD) Scabies TIDAK
749 14/02/201 010414010219Y000565 0002324295011 AQILLA SYAFARA P PBI (APBD) Acute upper respiratory infection, TIDAK
750 14/02/201 010414010219Y000508 0002439952176 M. ALMEER ZHAFRAN L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
751 14/02/201 010414010219Y000507 0002742003404 MUHAMMAD IQBAL L PBI (APBN) Acute upper respiratory infection, TIDAK
752 14/02/201 010414010219Y000516 0002745358481 AZKA ULYA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
753 13/02/201 010414010219Y000551 0000000496271 A. MAJID L VETERAN Acute upper respiratory infection, TIDAK
754 13/02/201 010414010219Y000482 0000000514451 TUTI HARNINGSIH P PNS PUSAT Headache TIDAK
755 13/02/201 010414010219Y000480 0000000587924 RATNA DEWI P PNS DAERAH Essential (primary) hypertension TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
756 13/02/201 010414010219Y001123 0000000603448 KAMARIAH P PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
757 13/02/201 010414010219Y000923 0000000645579 NURBAITI P PENERIMA PENSIUN Dyspepsia TIDAK
758 13/02/201 010414010219Y001126 0000000645715 SAKDIAH P PENERIMA PENSIUN Gout TIDAK
759 13/02/201 010414010219Y001124 0000165548823 KHADIJAH P P PENERIMA PENSIUN TNI Acute upper respiratory infection, TIDAK
760 13/02/201 010414010219Y000464 0000174108352 ABDURRAHMAN L VETERAN Arthrosis, unspecified TIDAK
761 13/02/201 010414010219Y000541 0000196126953 VERRA YANA ,S.PD.I P PNS PUSAT Need for immunization against tetanus TIDAK
762 13/02/201 010414010219Y000526 0000218045463 AYU MAULIZA P PBI (APBN) Pneumonia due to Streptococcus TIDAK
763 13/02/201 010414010219Y000525 0000218054722 NONI AMARWATI P PBI (APBN) Scabies TIDAK
764 13/02/201 010414010219Y000548 0000218227127 MIFTAHUL JANNAH P PBI (APBN) Other dermatitis TIDAK
765 13/02/201 010414010219Y000609 0000218377157 JUNAIDAH P PBI (APBN) Non-insulin-dependent diabetes TIDAK
766 13/02/201 010414010219Y000478 0000218386629 FAKRIZAL L PBI (APBN) Schizophrenia TIDAK
767 13/02/201 010414010219Y001042 0000218429289 NYAK PUTEH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
768 13/02/201 010414010219Y000619 0000218440585 ASNI P PBI (APBN) Non-insulin-dependent diabetes TIDAK
769 13/02/201 010414010219Y000533 0000218492458 EVA MAULIDAR P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
770 13/02/201 010414010219Y000455 0000218666417 NURTINI P PBI (APBN) Disorders of refraction and YA
771 13/02/201 010414010219Y000460 0000218741332 FATIMAH P PBI (APBN) Headache TIDAK
772 13/02/201 010414010219Y000452 0000218743042 KAMARIAH P PBI (APBN) Disorders of refraction and YA
773 13/02/201 010414010219Y000484 0000218743356 RUKIAH P PBI (APBN) Essential (primary) hypertension TIDAK
774 13/02/201 010414010219Y000472 0000218744414 HABIBAH P PBI (APBN) Low back pain TIDAK
775 13/02/201 010414010219Y000457 0000218761558 RUHUL NADILA P PBI (APBN) Acute upper respiratory infection, TIDAK
776 13/02/201 010414010219Y000453 0000218947915 HAMAMAH ALI P PBI (APBN) Predominantly allergic asthma YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
777 13/02/201 010414010219Y000539 0000218960875 ADILAH MUJAHIDA P PBI (APBN) Scabies TIDAK
778 13/02/201 010414010219Y000474 0000218970257 ACHIVA ZAHRA P PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
779 13/02/201 010414010219Y000486 0000218993398 NASRULLAH L PBI (APBN) Acute pharyngitis TIDAK
780 13/02/201 010414010219Y000608 0000219179417 FATIMAH P PBI (APBN) Arthrosis, unspecified TIDAK
781 13/02/201 010414010219Y000488 0000219197147 M ADAM JALIL L PBI (APBN) Myalgia TIDAK
782 13/02/201 010414010219Y000615 0000219256345 RAMAYANA P PBI (APBN) General examination and investigation TIDAK
783 13/02/201 010414010219Y001086 0000219294573 M ALI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
784 13/02/201 010414010219Y000623 0000219298498 MAHYUNI P PBI (APBN) General examination and investigation TIDAK
785 13/02/201 010414010219Y001279 0000219330731 NYAK TEH P PBI (APBN) Other dermatitis TIDAK
786 13/02/201 010414010219Y000458 0000219359261 M SARONG L PBI (APBN) Asthma TIDAK
787 13/02/201 010414010219Y001039 0000219360712 AYI NINGSIH P PBI (APBN) Other specified dermatitis TIDAK
788 13/02/201 010414010219Y000530 0000219367124 KAMARIAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
789 13/02/201 010414010219Y000451 0000219552366 MEGAWATI P PBI (APBN) Disorders of refraction and YA
790 13/02/201 010414010219Y000532 0000219701507 TIRNA WATI P PBI (APBN) Headache TIDAK
791 13/02/201 010414010219Y000544 0000219766397 SAFRINA P PBI (APBN) General examination and investigation TIDAK
792 13/02/201 010414010219Y000547 0000219825461 SYAMADI P PBI (APBN) Acute upper respiratory infection, TIDAK
793 13/02/201 010414010219Y000611 0000219861775 NANDA AFDALIA P PBI (APBN) Other disorders of middle ear and TIDAK
794 13/02/201 010414010219Y001277 0000219917801 RAMLI HUSEN L PBI (APBN) Acute upper respiratory infection, TIDAK
795 13/02/201 010414010219Y001127 0000220060934 JAUHARI P PBI (APBN) Dyspepsia TIDAK
796 13/02/201 010414010219Y000621 0000220067605 M.YUNUS PUTEH L PBI (APBN) Acute upper respiratory infection, TIDAK
797 13/02/201 010414010219Y001131 0000220091938 ROHANI ISHAK P PBI (APBN) Low back pain TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
798 13/02/201 010414010219Y001129 0000220105528 YULIANA. AB P PBI (APBN) Hypotension TIDAK
799 13/02/201 010414010219Y000610 0000220357269 WULAN P PBI (APBN) Scabies TIDAK
800 13/02/201 010414010219Y000625 0000220360948 MARLINA P PBI (APBN) General examination and investigation TIDAK
801 13/02/201 010414010219Y000468 0000220361218 NURLIA ULFA P PBI (APBN) Acute upper respiratory infection, TIDAK
802 13/02/201 010414010219Y000471 0000220388949 MARIANA P PBI (APBN) Acute upper respiratory infection, TIDAK
803 13/02/201 010414010219Y000424 0000220425816 T. BAYEK A. GANI L PBI (APBN) Unspecified abdominal hernia without YA
804 13/02/201 010414010219Y000620 0000220462435 AMINAH P PBI (APBN) Pregnancy-related condition, TIDAK
805 13/02/201 010414010219Y000540 0000220494936 SABARIAH P PBI (APBN) Single spontaneous delivery, TIDAK
806 13/02/201 010414010219Y000549 0000979794819 ROSMIATI P PBI (APBN) Acute upper respiratory infection, TIDAK
807 13/02/201 010414010219Y000612 0000979795372 NURAIDAH P PBI (APBN) Asthma TIDAK
808 13/02/201 010414010219Y001040 0000979801301 TI HALIMAH P PBI (APBN) Acute upper respiratory infection, TIDAK
809 13/02/201 010414010219Y000617 0000979807329 MAHDI SAIFUL L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
810 13/02/201 010414010219Y000467 0000979810031 KHATIJAH MAJID P PBI (APBN) Essential (primary) hypertension TIDAK
811 13/02/201 010414010219Y000466 0000979810209 HALIMATON P PBI (APBN) Dyspepsia TIDAK
812 13/02/201 010414010219Y001128 0000979811559 AMAN ABDULLAH P PBI (APBN) Essential (primary) hypertension TIDAK
813 13/02/201 010414010219Y001130 0000979811706 SYAMSIAH AHMAD P PBI (APBN) Low back pain TIDAK
814 13/02/201 010414010219Y001132 0000979811796 M JALI L PBI (APBN) Essential (primary) hypertension TIDAK
815 13/02/201 010414010219Y000481 0000979813462 TIHASANAH P PBI (APBN) Low back pain TIDAK
816 13/02/201 010414010219Y000616 0000979813721 KAMARIAH CUT P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
817 13/02/201 010414010219Y001281 0000979816645 KAFRAWI L PBI (APBN) Dental caries TIDAK
818 13/02/201 010414010219Y000613 0000979820572 M YUSUF ABDULLAH L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
819 13/02/201 010414010219Y000543 0000979821257 NURMA P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
820 13/02/201 010414010219Y000545 0001085584768 VIVI FAJRI P PNS PUSAT General examination and investigation TIDAK
821 13/02/201 010414010219Y000429 0001112862126 CUT FARHANI P PBI (APBD) General examination and investigation TIDAK
822 13/02/201 010414010219Y000531 0001114236955 AMINAH AMIN P PBI (APBD) Other dermatitis TIDAK
823 13/02/201 010414010219Y001125 0001114627037 SYUKRI KARIM L PBI (APBD) Headache TIDAK
824 13/02/201 010414010219Y000607 0001114629287 T. HUSEN L PBI (APBD) Dyspepsia TIDAK
825 13/02/201 010414010219Y000456 0001115116301 MUHAMMAD FARHAN L PBI (APBD) Acute pharyngitis TIDAK
826 13/02/201 010414010219Y000450 0001115800378 MUHAMMAD HANIF L PNS DAERAH Urinary tract infection, site not YA
827 13/02/201 010414010219Y000470 0001389684734 KHADIJAH P PBI (APBD) Other dermatitis TIDAK
828 13/02/201 010414010219Y000469 0001422854278 TAUQAN ZIA ULHAQ L PNS DAERAH Pedestrian injured in collision with TIDAK
829 13/02/201 010414010219Y000430 0001432586902 AKMANABILA L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
830 13/02/201 010414010219Y000459 0001440117202 SINTIYA HAURA P PBI (APBD) Acute upper respiratory infection, TIDAK
831 13/02/201 010414010219Y000425 0001443316757 KAMARIAH Saidi P PBI (APBD) Arthrosis, unspecified YA
832 13/02/201 010414010219Y000454 0001451578375 CUT AISYAH P PBI (APBD) Low back pain YA
833 13/02/201 010414010219Y000546 0001481883862 MAHRIFAL L PBI (APBD) Scabies TIDAK
834 13/02/201 010414010219Y000448 0001796602814 fatarani P PBI (APBD) Essential (primary) hypertension YA
835 13/02/201 010414010219Y001087 0002015676257 NURMALAWATI P PBI (APBN) Dyspepsia TIDAK
836 13/02/201 010414010219Y000542 0002068664848 SABARINA P PBI (APBD) General examination and investigation TIDAK
837 13/02/201 010414010219Y000473 0002086766381 IRWANDI L PBI (APBD) General examination and investigation TIDAK
838 13/02/201 010414010219Y000423 0002146700114 RAMLI YUSUF L PBI (APBD) Viral pneumonia, not elsewhere YA
839 13/02/201 010414010219Y000426 0002210329787 RISKA P PBI (APBD) Asthma, unspecified YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
840 13/02/201 010414010219Y001358 0002213343325 MARZUKI L PBI (APBD) Acute upper respiratory infection, TIDAK
841 13/02/201 010414010219Y000606 0002279578173 SYABAN NURULLAH L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
842 13/02/201 010414010219Y000449 0002486066477 M. ATTHAR MAUZA L PBI (APBD) Pneumonia, organism unspecified YA
843 13/02/201 010414010219Y000462 0002491166349 TARMIZI L PBI (APBD) Dyspepsia TIDAK
844 12/02/201 010414010219Y000431 0000000427825 NURMAWATI P PNS DAERAH Dyspepsia TIDAK
845 12/02/201 010414010219Y000414 0000000525306 CUT NASRIATI P PNS PUSAT Other disorders of breast YA
846 12/02/201 010414010219Y000427 0000000561745 SAYUTI L PNS DAERAH Arthrosis, unspecified TIDAK
847 12/02/201 010414010219Y000407 0000000588835 RIZANIADI L PNS DAERAH Fracture of shaft of tibia YA
848 12/02/201 010414010219Y000309 0000000695147 A MARDHIAH P PNS DAERAH Arthrosis, unspecified YA
849 12/02/201 010414010219Y000428 0000000714497 HENDON,A.MA P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
850 12/02/201 010414010219Y000396 0000000829304 NUNZAIRINA P PNS DAERAH Non-insulin-dependent diabetes TIDAK
851 12/02/201 010414010219Y000413 0000163481883 HABIBAH P VETERAN Other specified dermatitis YA
852 12/02/201 010414010219Y000439 0000218448639 FARIDAH ZAHRA P PBI (APBN) Other specified dermatitis TIDAK
853 12/02/201 010414010219Y000337 0000218665923 M DAHLAN IS L PBI (APBN) Disorders of refraction and YA
854 12/02/201 010414010219Y001084 0000218692923 ASNMARANI P PBI (APBN) Dyspepsia TIDAK
855 12/02/201 010414010219Y000444 0000218706478 MUHAMMAD SYUKUR L PBI (APBN) General examination and investigation TIDAK
856 12/02/201 010414010219Y000410 0000218710067 SYAHKUMADI P PBI (APBN) Non-insulin-dependent diabetes YA
857 12/02/201 010414010219Y000416 0000218731577 CUT FITRI DAHRITA P PBI (APBN) Care and examination immediately TIDAK
858 12/02/201 010414010219Y001272 0000218753965 MAISURA P PBI (APBN) Acute upper respiratory infection, TIDAK
859 12/02/201 010414010219Y000389 0000218755967 ABU BAKAR AR L PBI (APBN) Non-insulin-dependent diabetes YA
860 12/02/201 010414010219Y000306 0000218762313 SAIDI PUTEH L PBI (APBN) Asthma YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
861 12/02/201 010414010219Y001136 0000218765226 NYAK GADE P PBI (APBN) Essential (primary) hypertension TIDAK
862 12/02/201 010414010219Y001139 0000218773157 SYAMIAH M.HASAN P PBI (APBN) Essential (primary) hypertension TIDAK
863 12/02/201 010414010219Y000393 0000218776691 DEWI SARI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
864 12/02/201 010414010219Y001134 0000218778783 TIHASANAH MAHMUD P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
865 12/02/201 010414010219Y000400 0000218879965 RAHMAT L PBI (APBN) Schizophrenia YA
866 12/02/201 010414010219Y001144 0000218938779 JURIAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
867 12/02/201 010414010219Y001137 0000218947915 HAMAMAH ALI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
868 12/02/201 010414010219Y001141 0000218960954 NYAK MANEH P PBI (APBN) Acute upper respiratory infection, TIDAK
869 12/02/201 010414010219Y001135 0000218968176 IBRAHIM NAFI L PBI (APBN) Essential (primary) hypertension TIDAK
870 12/02/201 010414010219Y000406 0000218980102 H. RAMLI L PBI (APBN) Congestive heart failure YA
871 12/02/201 010414010219Y000408 0000218980923 AKHIAR L PBI (APBN) Paranoid schizophrenia YA
872 12/02/201 010414010219Y000312 0000218982071 AULIANA P PBI (APBN) Other specified dermatitis YA
873 12/02/201 010414010219Y000390 0000218987414 NURSIDAH P PBI (APBN) Disorders of refraction and YA
874 12/02/201 010414010219Y001273 0000218996109 MARWANI AB P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
875 12/02/201 010414010219Y000411 0000218996831 AISYAH P PBI (APBN) Other disorders of binocular movement YA
876 12/02/201 010414010219Y001308 0000219031828 RISKQA YASYA P PBI (APBN) Other specified dermatitis TIDAK
877 12/02/201 010414010219Y000401 0000219062889 NAZIRAH PUTROE P PBI (APBN) Dyspepsia TIDAK
878 12/02/201 010414010219Y000403 0000219194616 NURHAYATI P PBI (APBD) Dyspepsia TIDAK
879 12/02/201 010414010219Y000412 0000219221223 AZHAR L PBI (APBN) Chronic renal failure, unspecified YA
880 12/02/201 010414010219Y000421 0000219233518 PO PUTEH BUGEH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
881 12/02/201 010414010219Y001140 0000219459982 NURJANNAH P PBI (APBN) Arthrosis, unspecified TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
882 12/02/201 010414010219Y001138 0000219462142 NYAK ALOH SUUD P PBI (APBN) Rheumatism, unspecified TIDAK
883 12/02/201 010414010219Y001142 0000219462873 M.YUSUF AMIN L PBI (APBN) Dyspepsia TIDAK
884 12/02/201 010414010219Y001145 0000219463536 JAMALIAH P PBI (APBN) Acute upper respiratory infection, TIDAK
885 12/02/201 010414010219Y000402 0000219476349 HAMAMAH P PBI (APBN) Dyspepsia TIDAK
886 12/02/201 010414010219Y001276 0000219577138 ZUBAIDAH P PBI (APBN) Other dermatitis TIDAK
887 12/02/201 010414010219Y001270 0000219582459 AFNIDAR P PBI (APBN) Acute upper respiratory infection, TIDAK
888 12/02/201 010414010219Y000419 0000219640858 ROSLAINI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
889 12/02/201 010414010219Y000922 0000219675712 RIVAL HIDAYAT L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
890 12/02/201 010414010219Y000405 0000219681922 JAILANI L PBI (APBN) Dyspepsia TIDAK
891 12/02/201 010414010219Y000404 0000219930851 SRI HARTATI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
892 12/02/201 010414010219Y000315 0000220104099 JUNAIDI L PBI (APBN) Foreign body entering into or through YA
893 12/02/201 010414010219Y001404 0000220124799 FITRI IBRAHIM P PBI (APBN) Fever of other and unknown origin TIDAK
894 12/02/201 010414010219Y000388 0000220129481 ROLA ANDRA P PBI (APBN) Low back pain YA
895 12/02/201 010414010219Y000308 0000220148739 ZAINAL IDRIS L PBI (APBN) Senile cataract YA
896 12/02/201 010414010219Y000441 0000220383459 MUTIA ulfa P PBI (APBN) Other dermatitis TIDAK
897 12/02/201 010414010219Y000436 0000220384113 NURHAYATI P PBI (APBN) Irritant contact dermatitis TIDAK
898 12/02/201 010414010219Y000310 0000220420372 M. RAIHAN FAZILA L PBI (APBN) Calculus of kidney YA
899 12/02/201 010414010219Y000550 0000220422183 SYAKUBANDI P PBI (APBN) Dyspepsia TIDAK
900 12/02/201 010414010219Y000432 0000978850326 M RIZAL L PBI (APBN) Other specified dermatitis TIDAK
901 12/02/201 010414010219Y000399 0000979794707 MIFTAHUDDIN L PBI (APBN) Left ventricular failure YA
902 12/02/201 010414010219Y001143 0000979799769 AINON MARZIAH P PBI (APBN) Acute upper respiratory infection, TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
903 12/02/201 010414010219Y000392 0000979801975 TI LAIBAH P PBI (APBN) Disorders of refraction and YA
904 12/02/201 010414010219Y001274 0000979805575 SYARBANI P PBI (APBN) Other dermatitis TIDAK
905 12/02/201 010414010219Y000445 0000979805687 ZAHARA P PBI (APBN) General examination and investigation TIDAK
906 12/02/201 010414010219Y000422 0000979812123 ANITA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
907 12/02/201 010414010219Y000434 0000979816421 DIKA PRATAMA L PBI (APBN) Other dermatitis TIDAK
908 12/02/201 010414010219Y000447 0000979825217 INTAN YUDIA P PBI (APBN) General examination and investigation TIDAK
909 12/02/201 010414010219Y000435 0001114827873 FARIDAH P PBI (APBD) Disorders of lipoprotein metabolism TIDAK
910 12/02/201 010414010219Y000438 0001114881873 M ISA PUTEH L PBI (APBD) Acute upper respiratory infection, TIDAK
911 12/02/201 010414010219Y000440 0001115563871 MUHAMMAD ZHARKHASYI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
912 12/02/201 010414010219Y000420 0001115850947 MUTIA HASAN P PBI (APBD) Essential (primary) hypertension TIDAK
913 12/02/201 010414010219Y000398 0001273015091 M.JALIL DAUD L PBI (APBD) Senile cataract YA
914 12/02/201 010414010219Y000391 0001433120073 ERISWATI P PBI (APBD) Asthma TIDAK
915 12/02/201 010414010219Y000409 0001789344224 MUHAMMAD RIZAL L PBI (APBD) Fracture of clavicle YA
916 12/02/201 010414010219Y000415 0001800059714 suryana P PBI (APBD) Single spontaneous delivery, TIDAK
917 12/02/201 010414010219Y000417 0001801728246 SAMSUL BAHRI L PBI (APBD) Scabies TIDAK
918 12/02/201 010414010219Y000307 0001880630943 SUWARDI L PBI (APBD) Respiratory tuberculosis, YA
919 12/02/201 010414010219Y000386 0001961078286 LATIFAH P PBI (APBD) Arthrosis, unspecified TIDAK
920 12/02/201 010414010219Y001357 0002079955686 NURASIAH P PBI (APBD) Noninfective gastroenteritis and colitis, TIDAK
921 12/02/201 010414010219Y000446 0002093336166 ZAINAL ABIDIN L PBI (APBD) General examination and investigation TIDAK
922 12/02/201 010414010219Y000442 0002146982602 TEUKU HASRATUL MUNIR L PBI (APBD) General examination and investigation TIDAK
923 12/02/201 010414010219Y000418 0002146989565 HALIMAH P PBI (APBD) General examination and investigation TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
924 12/02/201 010414010219Y000323 0002199493618 SALWATUL AISY P PBI (APBD) Shigellosis, unspecified YA
925 12/02/201 010414010219Y001085 0002207549924 SAIRAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
926 12/02/201 010414010219Y000433 0002308608257 muhammad nafis L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
927 12/02/201 010414010219Y000437 0002610164643 SITI HUMAIRA P PBI (APBD) Erythema multiforme TIDAK
928 11/02/201 010414010219Y000289 0000000572657 IRWAN L PNS DAERAH Conjunctivitis, unspecified YA
929 11/02/201 010414010219Y000261 0000000828674 MUSTAFA,S.PD L PNS DAERAH Low back pain YA
930 11/02/201 010414010219Y000340 0000167714109 MUHAMMAD ZAKI ALFATA L PNS DAERAH Acute upper respiratory infection, TIDAK
931 11/02/201 010414010219Y000339 0000194102447 ISKANDAR L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
932 11/02/201 010414010219Y001080 0000199621629 NUR AFNI P PNS PUSAT Bronchitis, not specified as acute or TIDAK
933 11/02/201 010414010219Y000285 0000218384976 MARIANA P PBI (APBN) Diseases of pulp and periapical tissues YA
934 11/02/201 010414010219Y000266 0000218465381 MISWAR L PBI (APBN) Schizophrenia YA
935 11/02/201 010414010219Y000351 0000218522834 TGK CUT ALI L PBI (APBN) Acute pharyngitis TIDAK
936 11/02/201 010414010219Y000294 0000218700257 HANUM ZAHRINA P PBI (APBN) Maternal care for other abnormalities YA
937 11/02/201 010414010219Y000443 0000218706118 HUSNATUR RAHMI P PBI (APBN) General examination and investigation TIDAK
938 11/02/201 010414010219Y000347 0000218710449 RUBIAH P PBI (APBN) Dyspepsia TIDAK
939 11/02/201 010414010219Y000334 0000218726324 ARAMAN TP L PBI (APBN) Dyspepsia TIDAK
940 11/02/201 010414010219Y000305 0000218742805 NUR LIANI P PBI (APBN) General examination and investigation TIDAK
941 11/02/201 010414010219Y000373 0000218753965 MAISURA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
942 11/02/201 010414010219Y000366 0000218768106 RAFIKUL KAMAL L PBI (APBN) Scabies TIDAK
943 11/02/201 010414010219Y000277 0000218770997 NOVIANI P PBI (APBN) Contraceptive management TIDAK
944 11/02/201 010414010219Y000329 0000218771368 SAIDAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
945 11/02/201 010414010219Y000301 0000218773912 ARIS KAMAULIDA P PBI (APBN) Dyspepsia YA
946 11/02/201 010414010219Y000274 0000218778131 ANIAN P PBI (APBN) Contraceptive management TIDAK
947 11/02/201 010414010219Y000346 0000218779187 ANITA BASRI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
948 11/02/201 010414010219Y000304 0000218781821 SURIATI P PBI (APBN) General examination and investigation TIDAK
949 11/02/201 010414010219Y000385 0000218964339 MULIDA P PBI (APBN) Single spontaneous delivery, TIDAK
950 11/02/201 010414010219Y000298 0000218994412 ANWAR MAHMUD L PBI (APBN) Scabies YA
951 11/02/201 010414010219Y000300 0000218994603 ELIDAWATI P PBI (APBN) Scabies YA
952 11/02/201 010414010219Y001269 0000218995571 IDA MAISARA P PBI (APBN) Noninfective gastroenteritis and colitis, TIDAK
953 11/02/201 010414010219Y000299 0000218996008 ABILULRONI L PBI (APBN) Scabies YA
954 11/02/201 010414010219Y000331 0000219026968 ANISAH P PBI (APBN) Headache TIDAK
955 11/02/201 010414010219Y001267 0000219033786 ERLINA WATI P PBI (APBN) Acute upper respiratory infection, TIDAK
956 11/02/201 010414010219Y000358 0000219049143 HUSAINI AR L PBI (APBN) Acute upper respiratory infection, TIDAK
957 11/02/201 010414010219Y000343 0000219058378 CUT RUDI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
958 11/02/201 010414010219Y001264 0000219059943 KARTINI HARUN P PBI (APBN) Other dermatitis TIDAK
959 11/02/201 010414010219Y000336 0000219081519 ROUDIAH P PBI (APBN) Single spontaneous delivery, TIDAK
960 11/02/201 010414010219Y000363 0000219140572 SUMARNI P PBI (APBN) Pedestrian injured in collision with TIDAK
961 11/02/201 010414010219Y000271 0000219176379 ISMAIL UBIT L PBI (APBN) Arthrosis, unspecified YA
962 11/02/201 010414010219Y000368 0000219178451 SYUKRI L PBI (APBN) Acute upper respiratory infection, TIDAK
963 11/02/201 010414010219Y000275 0000219183546 DEWI ROZANA P PBI (APBN) Inflammatory liver disease, unspecified YA
964 11/02/201 010414010219Y001082 0000219190296 SYAMSIAH P PBI (APBN) Bronchitis, not specified as acute or TIDAK
965 11/02/201 010414010219Y000292 0000219237355 JURIAH P PBI (APBN) Impacted cerumen YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
966 11/02/201 010414010219Y001081 0000219285404 MUHAMMAD HUSEN L PBI (APBN) Asthma TIDAK
967 11/02/201 010414010219Y000330 0000219323463 AGUSTIA ANANDA P PBI (APBN) Acute upper respiratory infection, TIDAK
968 11/02/201 010414010219Y000348 0000219460869 JAMILAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
969 11/02/201 010414010219Y000327 0000219470826 ABDUL KARIM L PBI (APBN) Non-insulin-dependent diabetes TIDAK
970 11/02/201 010414010219Y000276 0000219579478 RAHILLA P PBI (APBN) Mononeuropathy, unspecified YA
971 11/02/201 010414010219Y000333 0000219596466 SULAIMAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
972 11/02/201 010414010219Y000322 0000219600189 AFZA NAZIFA P PBI (APBN) Acute upper respiratory infection, TIDAK
973 11/02/201 010414010219Y000264 0000219606298 SYARIFAH P PBI (APBN) Disorders of refraction and YA
974 11/02/201 010414010219Y001037 0000219613994 FATIMAH SABI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
975 11/02/201 010414010219Y000265 0000219621216 AMINAH P PBI (APBN) Disorders of refraction and YA
976 11/02/201 010414010219Y000303 0000219790236 NURHAJARAH P PBI (APBN) General examination and investigation TIDAK
977 11/02/201 010414010219Y001266 0000219944957 NURHAYATI P PBI (APBN) Essential (primary) hypertension TIDAK
978 11/02/201 010414010219Y000345 0000220051383 FAUZIAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
979 11/02/201 010414010219Y000286 0000220062824 ROSNA WATI P PBI (APBN) Tuberculosis of lung, confirmed by YA
980 11/02/201 010414010219Y001083 0000220092783 RISKI MAULANA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
981 11/02/201 010414010219Y000287 0000220110221 ABDULLAH m yunus L PBI (APBN) Dyspepsia YA
982 11/02/201 010414010219Y000288 0000220110704 ROSMINA P PBI (APBN) Essential (primary) hypertension YA
983 11/02/201 010414010219Y000280 0000220117105 ZUBAIDAH P PBI (APBN) Heart failure YA
984 11/02/201 010414010219Y000297 0000220130739 YUSWANDI L PBI (APBN) Low back pain YA
985 11/02/201 010414010219Y000328 0000220133147 M ZALDI L PBI (APBN) General examination and investigation TIDAK
986 11/02/201 010414010219Y000387 0000220150001 NURHAYATI YAHYA P PBI (APBN) Single spontaneous delivery, TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
987 11/02/201 010414010219Y000311 0000220151171 NURFIDAH M YUSUF P PBI (APBN) Respiratory tuberculosis, TIDAK
988 11/02/201 010414010219Y000353 0000220358204 M.JAMIL SUUD L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
989 11/02/201 010414010219Y000341 0000220466946 ABUBAKAR L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
990 11/02/201 010414010219Y000335 0000220534773 ELFI MAGFIRAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
991 11/02/201 010414010219Y000354 0000220547531 MASYITAH P PBI (APBN) Headache TIDAK
992 11/02/201 010414010219Y000365 0000979795304 ISMAIL L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
993 11/02/201 010414010219Y000361 0000979799848 SITI HASANAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
994 11/02/201 010414010219Y000377 0000979800581 RATNAWATI P PBI (APBN) Asthma TIDAK
995 11/02/201 010414010219Y000325 0000979802291 NURLATIFAH P PBI (APBN) Conjunctivitis, unspecified TIDAK
996 11/02/201 010414010219Y000326 0000979805575 SYARBANI P PBI (APBN) Dyspepsia TIDAK
997 11/02/201 010414010219Y001261 0000979810209 HALIMATON P PBI (APBN) Gastritis and duodenitis TIDAK
998 11/02/201 010414010219Y000268 0000979813451 ARIFIN ALI L PBI (APBN) Cerebral infarction YA
999 11/02/201 010414010219Y000921 0000979814081 MARIA ULFAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
1000 11/02/201 010414010219Y000263 0000979816061 CUT RUHAMAH P PBI (APBN) Asthma YA
1001 11/02/201 010414010219Y000283 0000979817602 TARMIZI L PBI (APBN) Stroke, not specified as haemorrhage YA
1002 11/02/201 010414010219Y000364 0000979819817 BUKHARI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1003 11/02/201 010414010219Y000362 0000979820087 BAKHTIAR KAOY L PBI (APBN) Headache TIDAK
1004 11/02/201 010414010219Y000352 0000979822449 KARIMAN P PBI (APBN) Essential (primary) hypertension TIDAK
1005 11/02/201 010414010219Y000295 0000979824003 IDAWATI A GANI P PBI (APBN) Disorders of refraction and YA
1006 11/02/201 010414010219Y000284 0000979825184 RADHIAH P PBI (APBN) Rheumatoid arthritis, unspecified YA
1007 11/02/201 010414010219Y001306 0000979825465 NURHAYATI P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1008 11/02/201 010414010219Y000260 0001082447245 ZAINAB P PENERIMA PENSIUN Other disorders of pigmentation YA
1009 11/02/201 010414010219Y000375 0001115255777 YUSMARLINA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1010 11/02/201 010414010219Y000355 0001115302138 HASBALLAH AR L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1011 11/02/201 010414010219Y000267 0001120071328 T AYUB HUSEN L PBI (APBD) Calculus of kidney and ureter YA
1012 11/02/201 010414010219Y000313 0001268123477 ABDUL MUTHALEB L PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
1013 11/02/201 010414010219Y000293 0001271083252 HUSNI L PBI (APBD) Migraine, unspecified YA
1014 11/02/201 010414010219Y000378 0001274072488 YUSNIDAR P PEGAWAI SWASTA General examination and investigation TIDAK
1015 11/02/201 010414010219Y000262 0001274075144 MARIANI P PBI (APBD) Non-insulin-dependent diabetes YA
1016 11/02/201 010414010219Y000290 0001314601604 CUT MEGAWATI P PBI (APBD) Keratitis, unspecified YA
1017 11/02/201 010414010219Y000357 0001325161247 WAHYUNI P PBI (APBD) Acute pharyngitis TIDAK
1018 11/02/201 010414010219Y000356 0001436537878 CUT SURYA P PNS DAERAH Pedestrian injured in collision with TIDAK
1019 11/02/201 010414010219Y000319 0001436542312 TAZKIYATUN NAFIS P PBI (APBD) Disturbances in tooth eruption TIDAK
1020 11/02/201 010414010219Y000360 0001437687279 ABDULLAH L PBI (APBD) Essential (primary) hypertension TIDAK
1021 11/02/201 010414010219Y000342 0001448809852 AMIRUDDIN L PBI (APBD) Arthrosis, unspecified TIDAK
1022 11/02/201 010414010219Y000316 0001449539583 ISMAIL HASAN L PBI (APBD) Other specified dermatitis TIDAK
1023 11/02/201 010414010219Y000302 0001451249919 RISKA SRINOVA P PNS DAERAH Staphylococcal scalded skin syndrome YA
1024 11/02/201 010414010219Y000332 0001477561735 NAJMUDDIN L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1025 11/02/201 010414010219Y001403 0001484547298 SYAMSIAH DAUD P PBI (APBD) Fever of other and unknown origin TIDAK
1026 11/02/201 010414010219Y000338 0001796957818 ADE RAHNI P PBI (APBD) Genital tract and pelvic infection TIDAK
1027 11/02/201 010414010219Y000349 0001896179163 ASYIFA SYAKILA P PBI (APBD) Acute upper respiratory infection, TIDAK
1028 11/02/201 010414010219Y000324 0001908327104 AZIZAH P PNS DAERAH Spontaneous vertex delivery TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1029 11/02/201 010414010219Y000370 0002093018556 MUHAMMAD ASYRAF L PBI (APBD) Diarrhoea and gastroenteritis of TIDAK
1030 11/02/201 010414010219Y000317 0002094044692 TEUKU ALTAF ALBI L PBI (APBD) Acute upper respiratory infection, TIDAK
1031 11/02/201 010414010219Y000291 0002115751645 MUZAMMIL L PBI (APBN) Visual disturbances YA
1032 11/02/201 010414010219Y000278 0002146701802 T. RUSLI L PBI (APBD) Headache YA
1033 11/02/201 010414010219Y000320 0002146786683 RAHMA YANTI P PBI (APBD) Spontaneous vertex delivery TIDAK
1034 11/02/201 010414010219Y000273 0002188732162 NURPUAT P PBI (APBN) Disorders of refraction and YA
1035 11/02/201 010414010219Y000314 0002296395641 AZWAR L PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
1036 11/02/201 010414010219Y000318 0002306756193 AURA AZZILLA P PBI (APBD) Disturbances in tooth eruption TIDAK
1037 11/02/201 010414010219Y000369 0002313166915 ulfika dwi khairunnisa P PBI (APBN) Acute upper respiratory infection, TIDAK
1038 11/02/201 010414010219Y000296 0002314888389 RASIMAH P PBI (APBD) Disorders of refraction and YA
1039 11/02/201 010414010219Y000350 0002441144114 restu arival L PBI (APBD) Scabies TIDAK
1040 11/02/201 010414010219Y000367 0002470485677 SYADA SALSABILA P PBI (APBD) Viral pneumonia, not elsewhere TIDAK
1041 11/02/201 010414010219Y001262 0002486409579 KAILA ALMAIRA P PBI (APBD) Acute upper respiratory infection, TIDAK
1042 11/02/201 010414010219Y001307 0002589601983 ASYIFATUL HAIFA P PBI (APBN) Acute upper respiratory infection, TIDAK
1043 11/02/201 010414010219Y000344 0002739390366 TASYA ULKHAIRA P PBI (APBD) Acute upper respiratory infection, TIDAK
1044 11/02/201 010414010219Y000359 0002739465628 MUHAMMAD ADLI L PBI (APBD) Acute upper respiratory infection, TIDAK
1045 08/02/201 010414010219Y000279 0000000474636 NURLINA P PNS PUSAT Myalgia TIDAK
1046 08/02/201 010414010219Y000210 0000200649532 ILYAS L PNS DAERAH Disorders of refraction and YA
1047 08/02/201 010414010219Y000374 0000218305089 HANISAH P PBI (APBN) General examination and investigation TIDAK
1048 08/02/201 010414010219Y000259 0000218699289 NURLIANA P PBI (APBN) Primary oligomenorrhoea YA
1049 08/02/201 010414010219Y001079 0000218700134 NURHAYATI ZA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1050 08/02/201 010414010219Y000384 0000218702237 HALIMATON SAKDIAH P PBI (APBN) Dyspepsia TIDAK
1051 08/02/201 010414010219Y000383 0000218702349 NOVAL SAPUTRA L PBI (APBN) Cutaneous abscess, furuncle and TIDAK
1052 08/02/201 010414010219Y000999 0000218705681 FATIMAH P PBI (APBN) Dyspepsia TIDAK
1053 08/02/201 010414010219Y000395 0000218750545 MUZAKIR L PBI (APBN) Myalgia TIDAK
1054 08/02/201 010414010219Y000372 0000218769276 SRI DEVI P PBI (APBN) General examination and investigation TIDAK
1055 08/02/201 010414010219Y000216 0000218844009 HUSAINI L PBI (APBN) Tuberculosis of lung, confirmed by YA
1056 08/02/201 010414010219Y000371 0000219045205 NOVITA SARI P PBI (APBN) General examination and investigation TIDAK
1057 08/02/201 010414010219Y000226 0000219069652 ISHAK A JALIL L PBI (APBN) Heart failure YA
1058 08/02/201 010414010219Y000282 0000219121525 USMAN ADAM L PBI (APBN) Dyspepsia TIDAK
1059 08/02/201 010414010219Y000997 0000219221616 AZIZAH P PBI (APBN) Acute upper respiratory infection, TIDAK
1060 08/02/201 010414010219Y001001 0000219225025 SALAWIYAH L PBI (APBN) Essential (primary) hypertension TIDAK
1061 08/02/201 010414010219Y001000 0000219240303 KHATIJAH P PBI (APBN) Acute upper respiratory infection, TIDAK
1062 08/02/201 010414010219Y000995 0000219257706 SURYATI P PBI (APBN) Essential (primary) hypertension TIDAK
1063 08/02/201 010414010219Y000272 0000219359261 M SARONG L PBI (APBN) Other dermatitis TIDAK
1064 08/02/201 010414010219Y000239 0000219475991 ULFA JANNAH P PBI (APBN) Left ventricular failure YA
1065 08/02/201 010414010219Y001035 0000219611237 MALAWATI P PBI (APBN) Other specified dermatitis TIDAK
1066 08/02/201 010414010219Y000920 0000219740692 NURAINI AB P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1067 08/02/201 010414010219Y000381 0000219757342 SYAHRIAL L PBI (APBN) General examination and investigation TIDAK
1068 08/02/201 010414010219Y000269 0000219885129 NURKASYAH P PBI (APBN) Myalgia TIDAK
1069 08/02/201 010414010219Y001077 0000220025158 LINA MARIANA P PBI (APBN) Disorders of external ear in diseases TIDAK
1070 08/02/201 010414010219Y000220 0000220066615 LINDA YANA P PBI (APBN) Pregnancy-related condition, YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1071 08/02/201 010414010219Y000222 0000220147446 DARMAWATI INSYA P PBI (APBN) Keratitis, unspecified YA
1072 08/02/201 010414010219Y000380 0000220380928 ISMAIL YAHYA L PBI (APBN) Pedestrian injured in collision with TIDAK
1073 08/02/201 010414010219Y000228 0000979806227 NURMA ARIF P PBI (APBN) Senile cataract YA
1074 08/02/201 010414010219Y000224 0000979812202 ERWIN L PBI (APBN) Diseases of pulp and periapical tissues YA
1075 08/02/201 010414010219Y000919 0000979814452 NURSIDAH P PBI (APBN) Other specified dermatitis TIDAK
1076 08/02/201 010414010219Y001078 0000979822653 sabon P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1077 08/02/201 010414010219Y000376 0000979823024 SYARIFUDDIN L PBI (APBN) General examination and investigation TIDAK
1078 08/02/201 010414010219Y000281 0001288350347 MUTIA DEWI P PBI (APBD) Other dermatitis TIDAK
1079 08/02/201 010414010219Y000321 0001311212248 FITRIANI P PBI (APBD) General examination and investigation TIDAK
1080 08/02/201 010414010219Y000382 0001429236573 ulul azmi L PBI (APBD) Acute upper respiratory infection, TIDAK
1081 08/02/201 010414010219Y000996 0001433090463 AZIZAH P PBI (APBD) Essential (primary) hypertension TIDAK
1082 08/02/201 010414010219Y000998 0001443752357 ROSLAINI P PBI (APBD) Dyspepsia TIDAK
1083 08/02/201 010414010219Y000209 0001794618088 ZAINAL ABIDIN GANI L PBI (APBD) Respiratory tuberculosis, YA
1084 08/02/201 010414010219Y000223 0001873800437 DAHNIAR P PBI (APBD) Pterygium YA
1085 08/02/201 010414010219Y000379 0001902488229 ZAHRINA PUTRI P PBI (APBD) Scabies TIDAK
1086 08/02/201 010414010219Y000394 0001961078286 LATIFAH P PBI (APBD) Acute upper respiratory infection, TIDAK
1087 08/02/201 010414010219Y000397 0002080424608 BEURANSAH L PBI (APBD) Headache TIDAK
1088 08/02/201 010414010219Y000240 0002236285956 maulana irsan L PBI (APBD) Chronic rhinitis YA
1089 08/02/201 010414010219Y000270 0002439920283 ULFIATUL KHAIRA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1090 08/02/201 010414010219Y000230 0002744782132 FAISAL THAYEB L PBI (APBD) Chronic rhinitis YA
1091 07/02/201 010414010219Y000191 0000000645737 AINSYAH BASYAH P PENERIMA PENSIUN Disorders of refraction and YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1092 07/02/201 010414010219Y000197 0000000823972 M YUSUF KAOY L PENERIMA PENSIUN Visual disturbances YA
1093 07/02/201 010414010219Y000187 0000032950258 T. MOHD. FADHIL SH L PENERIMA PENSIUN Cerebral infarction YA
1094 07/02/201 010414010219Y000188 0000032950269 POCUT HILYATI FAUZI P PENERIMA PENSIUN Cerebral infarction YA
1095 07/02/201 010414010219Y000217 0000218255095 YULIDAR P PBI (APBN) Schizophrenia TIDAK
1096 07/02/201 010414010219Y000201 0000218264477 RIDWAN L PBI (APBN) Respiratory tuberculosis, YA
1097 07/02/201 010414010219Y000204 0000218271341 ROHANI P PBI (APBN) Pterygium YA
1098 07/02/201 010414010219Y000236 0000218449473 T.NAZAR PUTRA L PBI (APBN) General examination and investigation TIDAK
1099 07/02/201 010414010219Y000198 0000218636368 CUT AINAL MARDHIAH P PBI (APBN) Fracture of lower leg, including ankle YA
1100 07/02/201 010414010219Y000249 0000218664955 M YUSUF L PBI (APBN) Headache TIDAK
1101 07/02/201 010414010219Y000235 0000218665978 KHAIRUN NISA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1102 07/02/201 010414010219Y000195 0000218692596 RAHMA LINA P PBI (APBN) Other benign neoplasms of connective YA
1103 07/02/201 010414010219Y000229 0000218693294 IMRAN L PBI (APBN) General examination and investigation TIDAK
1104 07/02/201 010414010219Y000205 0000218706265 FANNY ALYA RAHMADANI P PBI (APBN) Disorders of refraction and YA
1105 07/02/201 010414010219Y000227 0000218738946 NURUL AZMI P PBI (APBN) General examination and investigation TIDAK
1106 07/02/201 010414010219Y000243 0000218742232 ELVA SARI P PBI (APBN) Urticaria TIDAK
1107 07/02/201 010414010219Y000215 0000218755989 RAHMATUL NUFUS P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1108 07/02/201 010414010219Y000250 0000218787096 SAFRIDA P PBI (APBN) General examination and investigation TIDAK
1109 07/02/201 010414010219Y000182 0000218903861 NAZARIAH P PBI (APBN) Unspecified haemorrhoids without YA
1110 07/02/201 010414010219Y001237 0000218987987 AINA ARSYAD P PBI (APBN) Acute upper respiratory infection, TIDAK
1111 07/02/201 010414010219Y000247 0000219052394 NUR ASYURA P PBI (APBN) Scabies TIDAK
1112 07/02/201 010414010219Y000232 0000219083488 KASRIATI P PBI (APBN) Acute upper respiratory infection, TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1113 07/02/201 010414010219Y000248 0000219229672 FAZLI L PBI (APBN) General examination and investigation TIDAK
1114 07/02/201 010414010219Y001075 0000219264726 ROSMI P PBI (APBN) Asthma TIDAK
1115 07/02/201 010414010219Y000202 0000219363129 SYUKRIAH P PBI (APBN) Presbyopia YA
1116 07/02/201 010414010219Y000233 0000219476349 HAMAMAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
1117 07/02/201 010414010219Y000253 0000219582459 AFNIDAR P PBI (APBN) General examination and investigation TIDAK
1118 07/02/201 010414010219Y000186 0000219598468 NASRON AZIZ L PBI (APBN) Viral pneumonia, not elsewhere YA
1119 07/02/201 010414010219Y000254 0000219611215 ABUBAKAR L PBI (APBN) General examination and investigation TIDAK
1120 07/02/201 010414010219Y000242 0000220071532 NANI SURYANI P PBI (APBN) General examination and investigation TIDAK
1121 07/02/201 010414010219Y000208 0000220134521 SURYATI P PBI (APBN) Non-insulin-dependent diabetes YA
1122 07/02/201 010414010219Y000206 0000220137219 ABDUL MUTHALIB L PBI (APBN) Non-insulin-dependent diabetes YA
1123 07/02/201 010414010219Y001344 0000220346706 DAHNIAR M NUR P PBI (APBN) Influenza due to other identified TIDAK
1124 07/02/201 010414010219Y001343 0000220385698 HALIMAH SAAD P PBI (APBN) Essential (primary) hypertension TIDAK
1125 07/02/201 010414010219Y001236 0000220562706 IRAWATI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1126 07/02/201 010414010219Y000181 0000979794044 CUT BULEUN P PBI (APBN) Senile cataract YA
1127 07/02/201 010414010219Y000184 0000979794055 T. PAKEH L PBI (APBN) Paranoid schizophrenia YA
1128 07/02/201 010414010219Y000214 0000979807869 AZHAR L PBI (APBN) Schizophrenia TIDAK
1129 07/02/201 010414010219Y000918 0000979814079 AHMAD SULAIMAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1130 07/02/201 010414010219Y000159 0000979822394 JAMILAH P PBI (APBN) Low back pain YA
1131 07/02/201 010414010219Y000213 0001080817042 ALYA ZAHIRA P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1132 07/02/201 010414010219Y000238 0001114629287 T. HUSEN L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1133 07/02/201 010414010219Y000237 0001114681026 TENLIA NINGSIH P PBI (APBD) Diseases of pulp and periapical tissues TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1134 07/02/201 010414010219Y000234 0001115302138 HASBALLAH AR L PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
1135 07/02/201 010414010219Y001235 0001115691851 T. HERMAN. TS L PBI (APBD) Gastritis and duodenitis TIDAK
1136 07/02/201 010414010219Y000185 0001115844581 RAZIKA AULIA P PBI (APBD) Other pulmonary heart diseases YA
1137 07/02/201 010414010219Y000193 0001278114153 TEUKU AZIZAN FAWWAZ L PNS DAERAH Conjunctivitis, unspecified YA
1138 07/02/201 010414010219Y000258 0001450041704 NURLAILI P PBI (APBD) Acute upper respiratory infection, TIDAK
1139 07/02/201 010414010219Y000192 0001478679849 NURJANNAH P PBI (APBD) Disorders of refraction and YA
1140 07/02/201 010414010219Y000241 0001481992097 SYAKUMI P PBI (APBD) Other specified dermatitis TIDAK
1141 07/02/201 010414010219Y000211 0001792908775 EKA AGUSTINA P PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
1142 07/02/201 010414010219Y000246 0001795951708 NURUL ASIKIN P PBI (APBD) Acute tonsillitis, unspecified TIDAK
1143 07/02/201 010414010219Y000256 0001799292789 nurlaila novita P PBI (APBD) General examination and investigation TIDAK
1144 07/02/201 010414010219Y000190 0001842823811 CUT RAUDHATUL JANNAH P PBI (APBD) Benign neoplasm of breast YA
1145 07/02/201 010414010219Y000189 0001842825418 POCUT HASRATUL P PENERIMA PENSIUN Acne vulgaris YA
1146 07/02/201 010414010219Y000244 0001894619057 SITI RAHMI P PNS DAERAH Acute upper respiratory infection, TIDAK
1147 07/02/201 010414010219Y000207 0002046202413 mudasir L PBI (APBD) Diseases of pulp and periapical tissues YA
1148 07/02/201 010414010219Y000203 0002055801611 AQILA NAIFA P PEGAWAI PEMERINTAH Asthma YA
1149 07/02/201 010414010219Y001345 0002125088695 ZAFIRA P PBI (APBN) Fever of other and unknown origin TIDAK
1150 07/02/201 010414010219Y001346 0002146692846 JAMALIAH P PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
1151 07/02/201 010414010219Y000231 0002146976842 FARAH NATASYA P PBI (APBD) Acute upper respiratory infection, TIDAK
1152 07/02/201 010414010219Y001238 0002146989857 MUHAMMAD KHALIL L PBI (APBD) Noninfective gastroenteritis and colitis, TIDAK
1153 07/02/201 010414010219Y000251 0002188732329 NURAZIZAH P PBI (APBN) Scabies TIDAK
1154 07/02/201 010414010219Y001076 0002195942016 PUTEH CUT P PBI (APBD) Bronchitis, not specified as acute or TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1155 07/02/201 010414010219Y000245 0002208419201 ERATUL JANNAH P PBI (APBD) General examination and investigation TIDAK
1156 07/02/201 010414010219Y000252 0002230481081 NURLIANA P PBI (APBD) Scabies TIDAK
1157 07/02/201 010414010219Y000200 0002254115081 safa umairah P PBI (APBD) Hordeolum and other deep YA
1158 07/02/201 010414010219Y000183 0002289412089 m radit L PBI (APBD) Acute upper respiratory infection, YA
1159 07/02/201 010414010219Y001239 0002300094426 VIKA ROSI AMALIA P PBI (APBD) Acute upper respiratory infection, TIDAK
1160 07/02/201 010414010219Y000156 0002744297256 ALESHA ZAHRA P PBI (APBD) Facial nerve disorders YA
1161 06/02/201 010414010219Y000143 0000000696295 ABDULLAH L PNS DAERAH Diseases of pulp and periapical tissues TIDAK
1162 06/02/201 010414010219Y000136 0000000792808 YUSRA HANAFIAH P PNS DAERAH Arthrosis, unspecified YA
1163 06/02/201 010414010219Y000134 0000000797501 DRS.ANWAR L PNS DAERAH Heart failure YA
1164 06/02/201 010414010219Y000119 0000218277922 AFNIDAR P PBI (APBN) Fracture of bone following insertion of YA
1165 06/02/201 010414010219Y000160 0000218443814 KARTINI P PBI (APBN) Dyspepsia TIDAK
1166 06/02/201 010414010219Y000176 0000218471499 ROSMAWAR P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1167 06/02/201 010414010219Y000173 0000218529742 MELIYANI P PBI (APBN) General examination and investigation TIDAK
1168 06/02/201 010414010219Y000174 0000218735853 NURLAILA P PBI (APBN) General examination and investigation TIDAK
1169 06/02/201 010414010219Y001234 0000218736977 HALIMAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1170 06/02/201 010414010219Y000127 0000218747823 ASNAWATI P PBI (APBN) Myopia YA
1171 06/02/201 010414010219Y000126 0000218750591 JULIANA P PBI (APBN) Presbyopia YA
1172 06/02/201 010414010219Y000128 0000218751928 MULYANA P PBI (APBN) Pterygium YA
1173 06/02/201 010414010219Y000171 0000218764754 SURIANI P PBI (APBN) General examination and investigation TIDAK
1174 06/02/201 010414010219Y000109 0000218857702 CUT NIDA ULHUSNI P PBI (APBN) Other disorders of eyelid YA
1175 06/02/201 010414010219Y000133 0000218877478 NIZAM FAHLEVY L PBI (APBN) Presbyopia YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1176 06/02/201 010414010219Y000114 0000218932828 JAILANI L PBI (APBN) Gastritis, unspecified YA
1177 06/02/201 010414010219Y000135 0000218969414 CUT ANALISMA P PBI (APBN) Schizophrenia YA
1178 06/02/201 010414010219Y000221 0000218979303 TI ADNAN P PBI (APBN) Non-insulin-dependent diabetes TIDAK
1179 06/02/201 010414010219Y001340 0000218999799 AINSYAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
1180 06/02/201 010414010219Y000116 0000219018374 SRI WAHYUNI P PBI (APBN) Disorder of bone, unspecified YA
1181 06/02/201 010414010219Y000131 0000219043506 NURJANNAH P PBI (APBN) Non-insulin-dependent diabetes YA
1182 06/02/201 010414010219Y000162 0000219047106 IBRAHIM L PBI (APBN) Dyspepsia TIDAK
1183 06/02/201 010414010219Y000095 0000219066366 FARHAN SAFIRA P PBI (APBN) Other disorders of middle ear and YA
1184 06/02/201 010414010219Y000163 0000219092319 MULIADI L PBI (APBN) Pedestrian injured in collision with TIDAK
1185 06/02/201 010414010219Y000121 0000219121773 AINSYAH PUTEH P PBI (APBN) Low back pain YA
1186 06/02/201 010414010219Y000601 0000219233518 PO PUTEH BUGEH P PBI (APBN) Bronchitis, not specified as acute or TIDAK
1187 06/02/201 010414010219Y001231 0000219335927 NYAK UBIT P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
1188 06/02/201 010414010219Y000218 0000219462254 CUT PUTRI HANDAYANI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1189 06/02/201 010414010219Y000099 0000219469511 M SUFI L PBI (APBN) Essential (primary) hypertension YA
1190 06/02/201 010414010219Y000212 0000219475798 ELLY IRMIANI P PBI (APBN) General examination and investigation TIDAK
1191 06/02/201 010414010219Y001228 0000219594666 RUKIAH P PBI (APBN) Contraceptive management, TIDAK
1192 06/02/201 010414010219Y000120 0000219983804 KARTINI USMAN P PBI (APBN) Dyspepsia YA
1193 06/02/201 010414010219Y000137 0000220002737 FITRAH AUZIA P PBI (APBN) Hordeolum and other deep YA
1194 06/02/201 010414010219Y000178 0000220084367 NAZIRATUN AIYUNI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1195 06/02/201 010414010219Y000122 0000220085346 MAHYUDDIN L PBI (APBN) Disorders of refraction and YA
1196 06/02/201 010414010219Y000124 0000220101748 SOFYAN L PBI (APBN) Respiratory tuberculosis, YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1197 06/02/201 010414010219Y000177 0000220356876 MUTIA DEWI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1198 06/02/201 010414010219Y000165 0000220357653 ASMANI L PBI (APBN) Acute upper respiratory infection, TIDAK
1199 06/02/201 010414010219Y000164 0000220384113 NURHAYATI P PBI (APBN) Irritant contact dermatitis TIDAK
1200 06/02/201 010414010219Y001342 0000220456427 MURNIATI P PBI (APBN) Dental caries TIDAK
1201 06/02/201 010414010219Y000225 0000220512734 RAZALI L PBI (APBN) General examination and investigation TIDAK
1202 06/02/201 010414010219Y000130 0000220563178 AMRI ABDULLAH L PBI (APBN) Schizophrenia YA
1203 06/02/201 010414010219Y001230 0000220574452 HALIMAH P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
1204 06/02/201 010414010219Y000168 0000979795304 ISMAIL L PBI (APBN) Essential (primary) hypertension TIDAK
1205 06/02/201 010414010219Y000169 0000979797418 ABDURRAHMAN ARDAT L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1206 06/02/201 010414010219Y000180 0000979800737 SITI HAJAR P PBI (APBN) Other specified dermatitis TIDAK
1207 06/02/201 010414010219Y000175 0000979802381 IDA LAILA P PBI (APBN) General examination and investigation TIDAK
1208 06/02/201 010414010219Y000144 0000979803235 JUWAIDAH P PBI (APBN) Diseases of pulp and periapical tissues TIDAK
1209 06/02/201 010414010219Y000086 0000979813517 RASYID ANDID L PBI (APBN) Calculus of kidney YA
1210 06/02/201 010414010219Y000092 0000979814992 JARIAH P PBI (APBN) Senile cataract YA
1211 06/02/201 010414010219Y000117 0000979959328 DEWIANA P PBI (APBN) Other and unspecified ovarian cysts YA
1212 06/02/201 010414010219Y000179 0001112606976 KHATIJAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1213 06/02/201 010414010219Y000257 0001114876337 IRNAWATI P PBI (APBD) General examination and investigation TIDAK
1214 06/02/201 010414010219Y000107 0001115107749 M ALI SYAM L PBI (APBD) Low back pain YA
1215 06/02/201 010414010219Y000196 0001115111935 AYU WANIRA P PBI (APBD) Dyspepsia TIDAK
1216 06/02/201 010414010219Y000111 0001115115513 WALIL MURTADHA L PBI (APBD) Acute tonsillitis, unspecified YA
1217 06/02/201 010414010219Y000141 0001115116301 MUHAMMAD FARHAN L PBI (APBD) Diseases of pulp and periapical tissues TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1218 06/02/201 010414010219Y000097 0001115333076 ABIZAL ALRI FAHRI L PBI (APBD) Headache YA
1219 06/02/201 010414010219Y001114 0001115720886 FITRIANI P PBI (APBD) Urinary tract infection, site not TIDAK
1220 06/02/201 010414010219Y000140 0001115850947 MUTIA HASAN P PBI (APBD) Essential (primary) hypertension TIDAK
1221 06/02/201 010414010219Y000139 0001268789387 SALAMUDDIN L PBI (APBD) Other specified mental disorders due YA
1222 06/02/201 010414010219Y000142 0001276310957 WARDIANA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1223 06/02/201 010414010219Y001229 0001294611996 FERA FINANDA ROSA P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1224 06/02/201 010414010219Y000118 0001324591536 NABILA BALKIS P PBI (APBD) Typhoid fever YA
1225 06/02/201 010414010219Y000161 0001389684734 KHADIJAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1226 06/02/201 010414010219Y000132 0001450105468 LIZA AULIA P PBI (APBD) Keloid scar YA
1227 06/02/201 010414010219Y000123 0001451250371 NURIAH P PBI (APBD) Viral pneumonia, not elsewhere YA
1228 06/02/201 010414010219Y000138 0001477180653 BAHRUL WALIDIN L PBI (APBD) Senile cataract YA
1229 06/02/201 010414010219Y001233 0001480533805 TARA AL KHAIRA P PBI (APBD) Acute upper respiratory infection, TIDAK
1230 06/02/201 010414010219Y000199 0001482942778 JULIANA P PBI (APBD) Acute upper respiratory infection, TIDAK
1231 06/02/201 010414010219Y000167 0001483110123 RUMAINUR P PBI (APBD) Dyspepsia TIDAK
1232 06/02/201 010414010219Y000170 0001786877561 YUSNIDAR P PBI (APBD) Asthma TIDAK
1233 06/02/201 010414010219Y000125 0001800035155 cut alya nazirah P PBI (APBD) Other disorders of middle ear and YA
1234 06/02/201 010414010219Y001341 0002078034491 ROSWITA P PBI (APBD) Contraceptive management, TIDAK
1235 06/02/201 010414010219Y000219 0002195246057 ZIKRI MAULANA L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1236 06/02/201 010414010219Y000166 0002262960674 HUMAIRATUNNAFISA P PBI (APBD) Acute upper respiratory infection, TIDAK
1237 06/02/201 010414010219Y000194 0002307145882 ERNITA P PBI (APBD) General examination and investigation TIDAK
1238 06/02/201 010414010219Y000129 0002324534319 muhammad nawafil L PBI (APBD) Febrile convulsions YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1239 06/02/201 010414010219Y000255 0002494918113 muhammad aidil akbar L PBI (APBN) Measles without complication TIDAK
1240 06/02/201 010414010219Y000115 0002742821921 HASANUDDIN L PBI (APBD) Other local infections of skin and YA
1241 04/02/201 010414010219Y000101 0000000521346 TEUKU MUNZIR L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1242 04/02/201 010414010219Y000050 0000000572488 IRMA P PNS DAERAH Single spontaneous delivery, YA
1243 04/02/201 010414010219Y000055 0000000759407 MUZAKIR L PNS DAERAH Essential (primary) hypertension YA
1244 04/02/201 010414010219Y000057 0000000765731 MUHAMMAD HADI L PNS DAERAH Tinea corporis YA
1245 04/02/201 010414010219Y000053 0000000798243 ERLINA P PNS DAERAH Low back pain YA
1246 04/02/201 010414010219Y000038 0000000799874 ROISRINANDA L PBI (APBD) Fracture of scapula YA
1247 04/02/201 010414010219Y000090 0000000803261 MARLINA P PNS DAERAH Acute upper respiratory infection, TIDAK
1248 04/02/201 010414010219Y000073 0000195844656 NILAWATI P PNS PUSAT Non-insulin-dependent diabetes TIDAK
1249 04/02/201 010414010219Y000037 0000199686532 NY. CUT JUWAIRIAH P VETERAN Bronchitis, not specified as acute or YA
1250 04/02/201 010414010219Y001032 0000218440585 ASNI P PBI (APBN) Acute upper respiratory infection, TIDAK
1251 04/02/201 010414010219Y000084 0000218641792 FAUZI ABDUL WAHAB L PBI (APBN) Scabies TIDAK
1252 04/02/201 010414010219Y000076 0000218693755 CHAIRINI P PBI (APBN) Pregnancy-related condition, TIDAK
1253 04/02/201 010414010219Y000148 0000218710899 UMMIKASUM P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1254 04/02/201 010414010219Y000098 0000218726324 ARAMAN TP L PBI (APBN) Dyspepsia TIDAK
1255 04/02/201 010414010219Y000113 0000218747035 NURUL JANNAH P PBI (APBN) Fracture of femur, part unspecified YA
1256 04/02/201 010414010219Y001226 0000218753122 AMINAH A BAKAR P PBI (APBN) Acute upper respiratory infection, TIDAK
1257 04/02/201 010414010219Y001227 0000218753965 MAISURA P PBI (APBN) Acute upper respiratory infection, TIDAK
1258 04/02/201 010414010219Y000067 0000218762133 MAULINA P PBI (APBN) Acute upper respiratory infection, TIDAK
1259 04/02/201 010414010219Y000081 0000218767656 MULIANA P PBI (APBN) Tinea corporis TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1260 04/02/201 010414010219Y000093 0000218879469 UMIANI P PBI (APBN) Acute upper respiratory infection, TIDAK
1261 04/02/201 010414010219Y000075 0000218879908 NURMASYITAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1262 04/02/201 010414010219Y000154 0000218969166 WARDIAH AMBIA P PBI (APBN) Hypotension TIDAK
1263 04/02/201 010414010219Y001303 0000218982666 SYAMSIYAH BAYAK P PBI (APBN) Acute upper respiratory infection, TIDAK
1264 04/02/201 010414010219Y000599 0000218993545 KASMIAH BUGEH P PBI (APBN) Asthma TIDAK
1265 04/02/201 010414010219Y001305 0000219006281 HENDON YUSUF P PBI (APBN) Acute upper respiratory infection, TIDAK
1266 04/02/201 010414010219Y000059 0000219029736 YUSNIDAR P PBI (APBN) Pterygium YA
1267 04/02/201 010414010219Y001304 0000219045161 NURMALIA P PBI (APBN) Acute upper respiratory infection, TIDAK
1268 04/02/201 010414010219Y000157 0000219058378 CUT RUDI P PBI (APBN) Acute upper respiratory infection, TIDAK
1269 04/02/201 010414010219Y000039 0000219072071 HABIBAH P PBI (APBN) Senile incipient cataract YA
1270 04/02/201 010414010219Y000066 0000219176379 ISMAIL UBIT L PBI (APBN) Essential (primary) hypertension TIDAK
1271 04/02/201 010414010219Y000172 0000219191624 MUHAMMAD ZIKRI L PBI (APBN) Other specified dermatitis TIDAK
1272 04/02/201 010414010219Y000046 0000219224406 DEWI INDRA MUTIA P PBI (APBN) Disorders of refraction and YA
1273 04/02/201 010414010219Y000082 0000219246895 NURDIN L PBI (APBN) Non-insulin-dependent diabetes TIDAK
1274 04/02/201 010414010219Y001034 0000219360137 ANITA P PBI (APBN) Acute upper respiratory infection, TIDAK
1275 04/02/201 010414010219Y000085 0000219460869 JAMILAH P PBI (APBN) Myalgia TIDAK
1276 04/02/201 010414010219Y000056 0000219464829 HALIMAH P PBI (APBN) Heart failure YA
1277 04/02/201 010414010219Y001224 0000219465281 JAILANI L PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
1278 04/02/201 010414010219Y000049 0000219466607 HUSAINI L PBI (APBN) Non-insulin-dependent diabetes YA
1279 04/02/201 010414010219Y000104 0000219466844 MARZATILLAH P PBI (APBN) Hypotension TIDAK
1280 04/02/201 010414010219Y000094 0000219604588 ASYIFA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1281 04/02/201 010414010219Y000065 0000219657723 NURLATIFAH P PBI (APBN) Essential (primary) hypertension TIDAK
1282 04/02/201 010414010219Y000070 0000219681922 JAILANI L PBI (APBN) Dyspepsia TIDAK
1283 04/02/201 010414010219Y000044 0000219864172 ABDUL HAMID L PBI (APBN) Asthma YA
1284 04/02/201 010414010219Y000063 0000219929938 ROJATUL JANNAH P PBI (APBN) Hypotension TIDAK
1285 04/02/201 010414010219Y000077 0000219971979 MUHZI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1286 04/02/201 010414010219Y000105 0000220034002 MUSLIATI P PBI (APBN) Other dermatitis TIDAK
1287 04/02/201 010414010219Y000069 0000220074445 KHATIJAH P PBI (APBN) General examination and investigation TIDAK
1288 04/02/201 010414010219Y000064 0000220080407 NASHRATULMUNA P PBI (APBN) Acute upper respiratory infection, TIDAK
1289 04/02/201 010414010219Y000598 0000220088316 JOHARI P PBI (APBN) Other diseases of gallbladder TIDAK
1290 04/02/201 010414010219Y000043 0000220108173 SITI ZIHAN LAUNA P PBI (APBN) Shigellosis, unspecified YA
1291 04/02/201 010414010219Y001339 0000220118804 NURMI MUSA P PBI (APBN) Acute upper respiratory infection, TIDAK
1292 04/02/201 010414010219Y001336 0000220121368 NILAWATI P PBI (APBN) Fever of other and unknown origin TIDAK
1293 04/02/201 010414010219Y000153 0000220147446 DARMAWATI INSYA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1294 04/02/201 010414010219Y000155 0000220443794 MUHAMMAD AKMAL L PBI (APBN) Acute upper respiratory infection, TIDAK
1295 04/02/201 010414010219Y000051 0000220467903 NURHAMAMAH P PBI (APBN) Dyspepsia YA
1296 04/02/201 010414010219Y000071 0000979798724 KAMARIAH ISMAIL P PBI (APBN) Other dermatitis TIDAK
1297 04/02/201 010414010219Y000078 0000979798948 SURIANI P PBI (APBN) Single spontaneous delivery, TIDAK
1298 04/02/201 010414010219Y000151 0000979803731 NURHAYATI P PBI (APBN) Diseases of pulp and periapical tissues TIDAK
1299 04/02/201 010414010219Y000047 0000979809748 RUKIAH P PBI (APBN) Asthma YA
1300 04/02/201 010414010219Y000035 0000979810108 M.TAHER ALI L PBI (APBN) Heart failure YA
1301 04/02/201 010414010219Y000080 0000979812156 ROHANA P PBI (APBN) Hypotension TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1302 04/02/201 010414010219Y000041 0000979821516 ASIAH BASYAH P PBI (APBN) Fractures of other parts of lower leg YA
1303 04/02/201 010414010219Y000040 0000979821628 RUHAMAH P PBI (APBN) Fracture of other metacarpal bone YA
1304 04/02/201 010414010219Y000048 0000979822697 M YAKUB DAUD L PBI (APBN) Tinea corporis YA
1305 04/02/201 010414010219Y000045 0001093852675 T. AZHARI L ANGGOTA POLRI Viral pneumonia, not elsewhere YA
1306 04/02/201 010414010219Y000060 0001114629311 SAUDAH SYAMAUN P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1307 04/02/201 010414010219Y001337 0001114633067 NURMALA BASYAH P PBI (APBD) Fever of other and unknown origin TIDAK
1308 04/02/201 010414010219Y000074 0001114692401 NURLIAN P PBI (APBD) Acute upper respiratory infection, TIDAK
1309 04/02/201 010414010219Y000149 0001114794099 YUSNIAR P PBI (APBD) Diseases of pulp and periapical tissues TIDAK
1310 04/02/201 010414010219Y000150 0001115255812 NAILUL IZZA P PBI (APBD) Other disorders of gingiva and TIDAK
1311 04/02/201 010414010219Y000042 0001115412006 MUCHTAR MAKAM L PBI (APBD) Senile cataract YA
1312 04/02/201 010414010219Y000917 0001443381186 NURHAYATI P PBI (APBD) Other specified dermatitis TIDAK
1313 04/02/201 010414010219Y000152 0001451578375 CUT AISYAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1314 04/02/201 010414010219Y000072 0001477127992 KAMARIAH P PBI (APBD) Dyspepsia TIDAK
1315 04/02/201 010414010219Y000061 0001478991249 MUHAMMAD SYAUQAR L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1316 04/02/201 010414010219Y000147 0001480128816 ALISYHA P PBI (APBD) Diseases of pulp and periapical tissues TIDAK
1317 04/02/201 010414010219Y001335 0001484548391 REZA MAULANA L PBI (APBD) Acute upper respiratory infection, TIDAK
1318 04/02/201 010414010219Y001338 0001791215886 NURLELA P PBI (APBD) Post-traumatic wound infection, not TIDAK
1319 04/02/201 010414010219Y000100 0001792908775 EKA AGUSTINA P PEGAWAI PEMERINTAH Asthma TIDAK
1320 04/02/201 010414010219Y000058 0001798140249 NURDIN L PBI (APBD) Unspecified abdominal hernia without YA
1321 04/02/201 010414010219Y000145 0001799278176 jarimin L PBI (APBD) Diseases of pulp and periapical tissues TIDAK
1322 04/02/201 010414010219Y001225 0001801730608 faridahnim P PBI (APBD) Gastritis and duodenitis TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1323 04/02/201 010414010219Y000054 0001883912567 ABDUL MANAF L PBI (APBD) Parkinson's disease YA
1324 04/02/201 010414010219Y000083 0002087286401 ZAHARA P PBI (APBD) Acute upper respiratory infection, TIDAK
1325 04/02/201 010414010219Y000062 0002115752409 SUBHAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1326 04/02/201 010414010219Y000600 0002207035574 NADARIAH P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1327 04/02/201 010414010219Y000079 0002424588693 almashira nafiza P PBI (APBN) Acute upper respiratory infection, TIDAK
1328 04/02/201 010414010219Y000068 0002439952176 M. ALMEER ZHAFRAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1329 04/02/201 010414010219Y000089 0002461010319 hafis mahesa L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1330 04/02/201 010414010219Y000052 0002461862417 ALFI FAHREZA L PBI (APBD) Other dermatitis YA
1331 04/02/201 010414010219Y000096 0002491166349 TARMIZI L PBI (APBD) Dyspepsia TIDAK
1332 04/02/201 010414010219Y000102 0002742852071 MARTONIS L PBI (APBD) Acute upper respiratory infection, TIDAK
1333 03/02/201 010414010219Y000158 0000219908441 NURHAYATI ABD P PBI (APBN) Acute upper respiratory infection, TIDAK
1334 01/02/201 010414010219Y000913 0000000344474 MARWAN T. HANAFIAH L PENERIMA PENSIUN Other specified dermatitis TIDAK
1335 01/02/201 010414010219Y000910 0000000645579 NURBAITI P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
1336 01/02/201 010414010219Y000110 0000195938548 ABDUL AZIS L PNS DAERAH Dyspepsia TIDAK
1337 01/02/201 010414010219Y000023 0000218063136 RAYANA P PBI (APBN) Other disorders of middle ear and TIDAK
1338 01/02/201 010414010219Y001332 0000218241461 MULIANA P PBI (APBN) Other contraceptive management TIDAK
1339 01/02/201 010414010219Y000008 0000218384717 ILYAS ISHAK L PBI (APBN) Low back pain YA
1340 01/02/201 010414010219Y000016 0000218446773 MUZAKKIR L PBI (APBN) Presbyopia YA
1341 01/02/201 010414010219Y000017 0000218447616 NURLAILA P PBI (APBN) Absent, scanty and rare menstruation TIDAK
1342 01/02/201 010414010219Y000146 0000218487216 MARYANA P PBI (APBN) Diseases of pulp and periapical tissues TIDAK
1343 01/02/201 010414010219Y001005 0000218597128 ANISAH P PBI (APBN) Care and examination immediately TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1344 01/02/201 010414010219Y000106 0000218693204 M. JAFAR USMAN L PBI (APBN) Abnormalities of breathing TIDAK
1345 01/02/201 010414010219Y000001 0000218696128 WARDIAH P PBI (APBN) False labour, unspecified YA
1346 01/02/201 010414010219Y000593 0000218700404 NURLAILA P PBI (APBN) Contraceptive management, TIDAK
1347 01/02/201 010414010219Y000088 0000218710001 RIZAL FANDI L PBI (APBN) General examination and investigation TIDAK
1348 01/02/201 010414010219Y000103 0000218711373 M GADE L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1349 01/02/201 010414010219Y000002 0000218735741 RUSLI L PBI (APBN) Acute renal failure YA
1350 01/02/201 010414010219Y000005 0000218772628 NURMIATI P PBI (APBN) Acute renal failure YA
1351 01/02/201 010414010219Y000034 0000218851659 ARDIANSYAH L PBI (APBN) Other dermatitis TIDAK
1352 01/02/201 010414010219Y000112 0000218952639 JOFRIEL P PBI (APBN) Scabies TIDAK
1353 01/02/201 010414010219Y001219 0000219033786 ERLINA WATI P PBI (APBN) Acute upper respiratory infection, TIDAK
1354 01/02/201 010414010219Y000013 0000219168775 ROSLIANA P PBI (APBN) Dislocation, sprain and strain of joints YA
1355 01/02/201 010414010219Y000596 0000219190296 SYAMSIAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1356 01/02/201 010414010219Y000594 0000219285404 MUHAMMAD HUSEN L PBI (APBN) Asthma TIDAK
1357 01/02/201 010414010219Y000003 0000219315431 NUR ASIAH P PBI (APBN) Rheumatoid arthritis, unspecified YA
1358 01/02/201 010414010219Y001217 0000219317859 AYATI P PBI (APBN) Other dermatitis TIDAK
1359 01/02/201 010414010219Y000025 0000219657723 NURLATIFAH P PBI (APBN) Dyspepsia TIDAK
1360 01/02/201 010414010219Y000916 0000219675712 RIVAL HIDAYAT L PBI (APBN) Acute upper respiratory infection, TIDAK
1361 01/02/201 010414010219Y000912 0000219688997 AMIRUDDIN L PBI (APBN) Other specified dermatitis TIDAK
1362 01/02/201 010414010219Y000914 0000219720284 MUSLIM ABI L PBI (APBN) Other specified dermatitis TIDAK
1363 01/02/201 010414010219Y000091 0000219780213 MUHAMMAD KIRDANA L PBI (APBN) Pedestrian injured in collision with TIDAK
1364 01/02/201 010414010219Y001222 0000219944957 NURHAYATI P PBI (APBN) Essential (primary) hypertension TIDAK

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1365 01/02/201 010414010219Y000024 0000220059832 CUT MARDI P PBI (APBN) Acute upper respiratory infection, TIDAK
1366 01/02/201 010414010219Y001113 0000220065039 M JAFAR L PBI (APBN) Noninfective gastroenteritis and colitis, TIDAK
1367 01/02/201 010414010219Y000595 0000220082646 NURJANNAH P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1368 01/02/201 010414010219Y000597 0000220088316 JOHARI P PBI (APBN) Other specified dermatitis TIDAK
1369 01/02/201 010414010219Y001330 0000220118872 SAUDAH P PBI (APBN) Peptic ulcer, unspecified as acute or TIDAK
1370 01/02/201 010414010219Y000028 0000220122358 PUTRI MUNAZILLA P PBI (APBN) Acute upper respiratory infection, TIDAK
1371 01/02/201 010414010219Y000031 0000220421946 NAZARIAH P PBI (APBN) Acute upper respiratory infection, TIDAK
1372 01/02/201 010414010219Y000004 0000979800164 MAHYUDDIN P PBI (APBN) Chronic rhinitis YA
1373 01/02/201 010414010219Y000012 0000979802954 FARIDAH P PBI (APBN) Essential (primary) hypertension YA
1374 01/02/201 010414010219Y000022 0000979808128 ISMAIL L PBI (APBN) Asthma TIDAK
1375 01/02/201 010414010219Y000036 0000979809748 RUKIAH P PBI (APBN) Asthma TIDAK
1376 01/02/201 010414010219Y001220 0000979810031 KHATIJAH MAJID P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1377 01/02/201 010414010219Y001214 0000979810209 HALIMATON P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1378 01/02/201 010414010219Y000018 0000979813721 KAMARIAH CUT P PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
1379 01/02/201 010414010219Y000009 0000979815069 ZAIHATON NISA P PBI (APBN) Ascariasis, unspecified YA
1380 01/02/201 010414010219Y000007 0000979815341 NAZARWATI P PBI (APBN) Polyneuropathy, unspecified YA
1381 01/02/201 010414010219Y000029 0000979815352 MUNAWIR L PBI (APBN) Polyneuropathy, unspecified YA
1382 01/02/201 010414010219Y000026 0000979815622 MUKHTAR L PBI (APBN) Acute upper respiratory infection, TIDAK
1383 01/02/201 010414010219Y000033 0000979824453 MARIANI P PBI (APBN) Disorders of lipoprotein metabolism TIDAK
1384 01/02/201 010414010219Y001302 0000979825465 NURHAYATI P PBI (APBN) Peptic ulcer, unspecified as acute or TIDAK
1385 01/02/201 010414010219Y000014 0000980873616 RATNAWATI P PBI (APBN) Premature rupture of membranes, YA

04/03/2019 12.36.55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH (0101)


FKTP : INDRA JAYA (01041401)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1386 01/02/201 010414010219Y000019 0001114676256 HJ SAKDIAH JALIL P PBI (APBD) Routine general health check-up of TIDAK
1387 01/02/201 010414010219Y000011 0001115693728 SALMIAH PUTEH P PBI (APBD) Senile incipient cataract YA
1388 01/02/201 010414010219Y000006 0001266950992 ISNA P PNS DAERAH Diseases of pulp and periapical tissues YA
1389 01/02/201 010414010219Y000108 0001298680839 NUR AFNI P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1390 01/02/201 010414010219Y000010 0001301901704 AYU NAJWA P PBI (APBD) Ascariasis, unspecified YA
1391 01/02/201 010414010219Y000021 0001325603891 MUHAMMAD SYAUQI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1392 01/02/201 010414010219Y000911 0001426059832 ASRINA MUKHTAR P PBI (APBD) Acute upper respiratory infection, TIDAK
1393 01/02/201 010414010219Y000087 0001478679849 NURJANNAH P PBI (APBD) Myalgia TIDAK
1394 01/02/201 010414010219Y001333 0001784958063 husnul khatimah P PBI (APBD) Dermatitis, unspecified TIDAK
1395 01/02/201 010414010219Y000032 0001796445009 MUHAMMAD FAIZ AZKA L PNS PUSAT Other specified dermatitis TIDAK
1396 01/02/201 010414010219Y000915 0001807405121 IDA ZAHARA P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
1397 01/02/201 010414010219Y000015 0001908540707 MUHAMMAD VaZIL L PBI (APBD) Hemiplegia, unspecified YA
1398 01/02/201 010414010219Y000027 0002075138785 SAFINATUN NAJA P PBI (APBD) Acute upper respiratory infection, TIDAK
1399 01/02/201 010414010219Y001334 0002079043288 ALIEF NAIZAL L PBI (APBD) Acute upper respiratory infection, TIDAK
1400 01/02/201 010414010219Y001301 0002225983781 AFIF FIRDAUS L PBI (APBD) Other specified dermatitis TIDAK
1401 01/02/201 010414010219Y000030 0002231546141 DESI MAULIANA P PBI (APBD) Acute upper respiratory infection, TIDAK
1402 01/02/201 010414010219Y000020 0002261543049 PUTRI ASYIFA P PBI (APBD) Typhoid and paratyphoid fevers TIDAK
1403 01/02/201 010414010219Y001331 0002305166387 ADILLA SYAHIRA P PBI (APBD) Fever of other and unknown origin TIDAK

04/03/2019 12.36.55

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