April 2018 New

DAFTAR KUNJUNGAN PESERTA SAKIT
Kantor Cabang : DENPASAR (2201)

FKTP : Kuta Utara (22030403)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1 30/04/201 220304030418Y000434 0000141719771 I PUTU ARTJA L PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
2 30/04/201 220304030418Y000447 0000141727217 tjok a. istri a. maryati P PENERIMA PENSIUN TNI Myalgia TIDAK
3 30/04/201 220304030418Y000438 0000142612514 I NYOMAN RITA L PNS DAERAH Calculus of lower urinary tract, TIDAK
4 30/04/201 220304030418Y000443 0000142750361 NI PUTU CISTA KARANI P PBI (APBD) Acute pharyngitis, unspecified TIDAK
5 30/04/201 220304030418Y000448 0000211654012 NI MADE KITER MAHYULI L PNS DAERAH Herpesviral vesicular dermatitis TIDAK
6 30/04/201 220304030418Y000455 0000864407992 EMERENSIANA INUR P PBI (APBN) Abdominal pregnancy TIDAK
7 30/04/201 220304030418Y000444 0001137185469 I WAYAN CANDRA L PEGAWAI SWASTA Pure hypercholesterolaemia TIDAK
8 30/04/201 220304030418Y000432 0001381314328 I PUTU PUTRA SUDIARTHA L PEGAWAI SWASTA Malaise and fatigue TIDAK
9 30/04/201 220304030418Y000439 0001385914353 NI KADEK ARYSTA DWI P PBI (APBD) Supervision of normal first pregnancy TIDAK
10 30/04/201 220304030418Y000446 0001452021974 SUJONO TASLIM L PBI (APBD) Primary arthrosis of other joints TIDAK
11 30/04/201 220304030418Y000437 0001575747336 MUJI SANTOSO L PEGAWAI SWASTA Varicella without complication TIDAK
12 30/04/201 220304030418Y000436 0001577206787 I MADE TUSTADI L PEKERJA MANDIRI Other primary disorders of muscles TIDAK
13 30/04/201 220304030418Y000450 0001578524949 I MADE SUPARTA L PEGAWAI SWASTA Primary arthrosis of other joints TIDAK
14 30/04/201 220304030418Y000440 0001578574675 I WAYAN MERTAYASA L PEGAWAI SWASTA Fracture of clavicle TIDAK
15 30/04/201 220304030418Y000433 0001729054743 NASLICHAH P PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
16 30/04/201 220304030418Y000449 0001904189174 KOMANG MANIK SARI P PBI (APBD) Chorioretinal inflammation, TIDAK
17 30/04/201 220304030418Y000435 0002231123095 athaya achmad dwi L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
18 30/04/201 220304030418Y000441 0002245113369 I NYOMAN SUDA L PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
19 28/04/201 220304030418Y000420 0000005049191 NI NYM TIKSNOWATI P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
20 28/04/201 220304030418Y000421 0000141717868 NI WAYAN SURI P PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
03/05/2018 04.26.42

21 28/04/201 220304030418Y000424 0000142584118 I A NYOMAN SAYANG P PNS DAERAH Essential (primary) hypertension TIDAK
22 28/04/201 220304030418Y000426 0000143008749 I GUSTI MADE MERTA L PNS PUSAT Hyperuricaemia without signs of TIDAK
23 28/04/201 220304030418Y000419 0000143301183 MEITINI WAHYUNI P PNS PUSAT Insulin-dependent diabetes mellitus TIDAK
24 28/04/201 220304030418Y000425 0000977601216 IDA BAGUS MANUABA L PNS DAERAH Pure hyperglyceridaemia TIDAK
25 28/04/201 220304030418Y000418 0001054821093 MARTINI P PBI (APBN) Essential (primary) hypertension TIDAK
26 28/04/201 220304030418Y000422 0001582164426 MARCELL JUAN L PBI (APBD) Other atopic dermatitis TIDAK
27 28/04/201 220304030418Y000423 0001583227372 IDA AYU PUTU SRIWIARTI P PBI (APBD) Insulin-dependent diabetes mellitus TIDAK
28 27/04/201 220304030418Y000375 0000143196107 MI LUH NYOMAN P PNS DAERAH Herpesviral ocular disease TIDAK
29 27/04/201 220304030418Y000380 0001095207006 ISMADJI L KEPOLISIAN RI Essential (primary) hypertension TIDAK
30 27/04/201 220304030418Y000378 0001574867316 ANGELINA KADEK WINDY P PEGAWAI SWASTA Mumps with other complications TIDAK
31 27/04/201 220304030418Y000381 0001581266259 I NYOMAN SUSANTA L PEGAWAI SWASTA Dyspepsia TIDAK
32 27/04/201 220304030418Y000382 0001581266261 NI LUH DARNITI P PEGAWAI PEMERINTAH Dyspnoea TIDAK
33 27/04/201 220304030418Y000417 0001582265316 NI nyoman CANGKIR L PBI (APBD) Secondary hypertension, unspecified TIDAK
34 27/04/201 220304030418Y000442 0001582470639 NI KADEK PADMINIASIH P PBI (APBD) Surveillance of contraceptive drugs TIDAK
35 27/04/201 220304030418Y000368 0001583211284 NI KOMANG RIA VALENTINA P PEGAWAI PEMERINTAH Necrosis of pulp TIDAK
36 27/04/201 220304030418Y000445 0001978652362 NI LUH VIRA NOVI BIANTARI P PBI (APBN) Supervision of normal first pregnancy TIDAK
37 27/04/201 220304030418Y000373 0002314113996 I MADE TIKA SUDI L PBI (APBD) Acute pharyngitis, unspecified TIDAK
38 26/04/201 220304030418Y000341 0000141588246 IDA BGS KT DEWANTARA L PNS DAERAH Insulin-dependent diabetes mellitus TIDAK
39 26/04/201 220304030418Y000345 0000141726284 DJAMALUDIN W. L PENERIMA PENSIUN TNI Congestive heart failure TIDAK
40 26/04/201 220304030418Y000338 0000141851575 I MADE KICEN ADNYANA, S. L PNS DAERAH Other otitis externa TIDAK
41 26/04/201 220304030418Y000349 0000143847909 T SOEGITO MAWASDIRI L PENERIMA PENSIUN Hyperuricaemia without signs of TIDAK
03/05/2018 04.26.42

42 26/04/201 220304030418Y000360 0000195108906 I PUTU ALIT RADIYANTO L PNS DAERAH Radicular cyst TIDAK
43 26/04/201 220304030418Y000350 0000824125061 NI NENGAH KARMIASIH P PBI (APBN) Routine postpartum follow-up TIDAK
44 26/04/201 220304030418Y000352 0001080504112 NI NYOMAN SUTRISNI P PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
45 26/04/201 220304030418Y000340 0001575747336 MUJI SANTOSO L PEGAWAI SWASTA Varicella without complication TIDAK
46 26/04/201 220304030418Y000348 0001576832354 I GEDE RANGGA KUSUMA L PEGAWAI SWASTA Acute tonsillitis due to other specified TIDAK
47 26/04/201 220304030418Y000359 0001577983465 NI WAYAN WIDARTI P PEGAWAI SWASTA Supervision of other normal pregnancy TIDAK
48 26/04/201 220304030418Y000342 0001583352358 CAECILIA SUHAID P PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
49 26/04/201 220304030418Y000347 0001627789408 I GEDE SIRAT L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
50 26/04/201 220304030418Y000351 0001646321049 I GUSTI BAGUS KETUT L PEGAWAI SWASTA Fever, unspecified TIDAK
51 26/04/201 220304030418Y000339 0001651417558 RACHEL ALDYZA RYZKINA P PBI (APBD) Fever, unspecified TIDAK
52 26/04/201 220304030418Y000343 0001978652529 I MADE WIRYANTO L PBI (APBN) Cough TIDAK
53 26/04/201 220304030418Y000346 0002046212076 a.a ngurah praditya dipta L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
54 26/04/201 220304030418Y000344 0002204618049 made diah arini L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
55 26/04/201 220304030418Y000383 0002225165826 DEWA AYU NYOMAN P PEKERJA MANDIRI Hyperuricaemia without signs of TIDAK
56 26/04/201 220304030418Y000353 0002440735751 CALON BAYI NY. NI PUTU P PEKERJA MANDIRI Need for immunization against TIDAK
57 25/04/201 220304030418Y000384 0000057585238 PEPEP AMBARDY PETRUS L PENERIMA PENSIUN Presbycusis TIDAK
58 25/04/201 220304030418Y000385 0000057585249 RADEN RORO AWIYATI P PENERIMA PENSIUN Noninfectious dermatoses of eyelid TIDAK
59 25/04/201 220304030418Y000394 0000141595648 I DEWA MADE SUMITRO L PNS DAERAH Insulin-dependent diabetes mellitus TIDAK
60 25/04/201 220304030418Y000390 0000141760563 MADE RAMPINI P PENERIMA PENSIUN Insulin-dependent diabetes mellitus TIDAK
61 25/04/201 220304030418Y000386 0000143314762 NAFISHA NAURAH SANI P PNS PUSAT Acute pharyngitis, unspecified TIDAK
62 25/04/201 220304030418Y000392 0000170831452 NI KADEK RIZKI ARYANI P PNS PUSAT Acute otitis externa, noninfective TIDAK
03/05/2018 04.26.42

63 25/04/201 220304030418Y000395 0000821140086 I KADEK SUPARTAWAN L PBI (APBN) Mumps without complication TIDAK
64 25/04/201 220304030418Y000387 0001381232248 namira moza dahayu P PNS PUSAT Acute pharyngitis, unspecified TIDAK
65 25/04/201 220304030418Y000363 0001430826333 NI MADE SUKERTI P PEKERJA MANDIRI Periodontosis TIDAK
66 25/04/201 220304030418Y000388 0001451610055 YOHANES WOGHA L PEGAWAI SWASTA Acute pharyngitis, unspecified TIDAK
67 25/04/201 220304030418Y000362 0001451616129 SYRILUS VALENTINO AME L PEGAWAI SWASTA Periapical abscess without sinus TIDAK
68 25/04/201 220304030418Y000391 0001483429869 SUZI LINARGO P PEKERJA MANDIRI Cysticercosis, unspecified TIDAK
69 25/04/201 220304030418Y000389 0001582286455 GUSTI PUTU ADI PUTRA L PBI (APBD) Dermatitis, unspecified TIDAK
70 25/04/201 220304030418Y000393 0001582821652 KETUT BUDAYANA L PEGAWAI SWASTA Otitis externa, unspecified TIDAK
71 25/04/201 220304030418Y000361 0001583211284 NI KOMANG RIA VALENTINA P PEGAWAI PEMERINTAH Pulpitis TIDAK
72 25/04/201 220304030418Y000355 0001583295939 DESAK KETUT MERTA P PBI (APBD) Supervision of other normal pregnancy TIDAK
73 25/04/201 220304030418Y000396 0001880002326 nyoman widiasa L PEKERJA MANDIRI Insulin-dependent diabetes mellitus TIDAK
74 25/04/201 220304030418Y000397 0001880004284 komang icha agustin P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
75 25/04/201 220304030418Y000364 0002060847009 KETUT ANGGARA PUTRA L PEKERJA MANDIRI Loss of teeth due to accident, TIDAK
76 25/04/201 220304030418Y000356 0002446317358 NI KADEK PREDI P PEKERJA MANDIRI Supervision of other normal pregnancy TIDAK
77 24/04/201 220304030418Y000330 0000040228468 COKORDA ISTRI SRI P PNS PUSAT Dyspepsia TIDAK
78 24/04/201 220304030418Y000366 0000141643361 NI MADE PURNAMAWATI P PNS PUSAT Necrosis of pulp TIDAK
79 24/04/201 220304030418Y000332 0000141781162 NI NYOMAN PARYATI P PENERIMA PENSIUN Hyperuricaemia without signs of TIDAK
80 24/04/201 220304030418Y000305 0000143184598 DRS.I WAYAN WIDARTA L PNS DAERAH Acute atopic conjunctivitis TIDAK
81 24/04/201 220304030418Y000370 0000821624308 NI LUH SUGIARTI P PBI (APBN) Pulpitis TIDAK
82 24/04/201 220304030418Y000328 0001130230495 NI NYOMAN MURNIATI P PBI (APBD) Urinary tract infection, site not TIDAK
83 24/04/201 220304030418Y000308 0001264790766 RACHMAN WAMORA L PBI (APBD) Insulin-dependent diabetes mellitus TIDAK
03/05/2018 04.26.42

84 24/04/201 220304030418Y000309 0001445274955 NI LUH SUDANI P PBI (APBD) Essential (primary) hypertension TIDAK
85 24/04/201 220304030418Y000331 0001465141241 I KADEK BAGIAYASA L PBI (APBD) Acute pharyngitis, unspecified TIDAK
86 24/04/201 220304030418Y000365 0001476674267 AYU SINTYA L PBI (APBD) Periapical abscess without sinus TIDAK
87 24/04/201 220304030418Y000325 0001575747336 MUJI SANTOSO L PEGAWAI SWASTA Abnormal secretion of gastrin TIDAK
88 24/04/201 220304030418Y000322 0001577447728 I NYOMAN GEDE KRISNA L PEGAWAI SWASTA Asthma, unspecified TIDAK
89 24/04/201 220304030418Y000304 0001581266261 NI LUH DARNITI P PEGAWAI PEMERINTAH Hyperuricaemia without signs of TIDAK
90 24/04/201 220304030418Y000311 0001582253403 I MADE SUDANA L PNS PUSAT Palpitations TIDAK
91 24/04/201 220304030418Y000307 0001582286455 GUSTI PUTU ADI PUTRA L PBI (APBD) Atopic dermatitis, unspecified TIDAK
92 24/04/201 220304030418Y000334 0001582532111 SRI SUPRAPTI P PBI (APBD) Hypermetropia TIDAK
93 24/04/201 220304030418Y000367 0001582582533 KOMANG SWARA PANDE L PBI (APBD) Loss of teeth due to accident, TIDAK
94 24/04/201 220304030418Y000369 0001582851712 NI KADEK SRI PITRIANI P PBI (APBD) Radicular cyst TIDAK
95 24/04/201 220304030418Y000323 0001582865425 NI LUH SRI PARTINI P PBI (APBD) Essential (primary) hypertension TIDAK
96 24/04/201 220304030418Y000329 0001582868182 ZASKIA NUR HIDAYAH AL P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
97 24/04/201 220304030418Y000371 0001869518182 NYOMAN BAGIARTA L PBI (APBD) Radicular cyst TIDAK
98 24/04/201 220304030418Y000315 0001887210538 ACHMAD RAMLI L PBI (APBD) Pruritus, unspecified TIDAK
99 24/04/201 220304030418Y000306 0002049519868 i nyoman sayang L PBI (APBD) Other senile cataract TIDAK
100 24/04/201 220304030418Y000327 0002200193447 I PUTU SUMERTA L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
101 24/04/201 220304030418Y000326 0002276891842 NI KETUT SARINAH P PEKERJA MANDIRI Other benign mammary dysplasias TIDAK
102 24/04/201 220304030418Y000333 0002316717101 MADE SUMANTRA GELGEL L PBI (APBD) Acute pharyngitis, unspecified TIDAK
103 23/04/201 220304030418Y000374 0000141553124 ANJAS HENDRIADI L PNS DAERAH Radicular cyst TIDAK
104 23/04/201 220304030418Y000427 0000141715225 DRA IDA AYU RESI P PENERIMA PENSIUN TNI Necrosis of pulp TIDAK
03/05/2018 04.26.42

105 23/04/201 220304030418Y000428 0000141727263 PAULUS META L PENERIMA PENSIUN TNI Necrosis of pulp TIDAK
106 23/04/201 220304030418Y000403 0000141779373 DEMAR SITOMPUL L PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
107 23/04/201 220304030418Y000402 0000141779384 MARSINTA RETNI MS. P PENERIMA PENSIUN Candidal stomatitis TIDAK
108 23/04/201 220304030418Y000404 0000141798295 MADE PARYANTA L PNS DAERAH Acute Chagas' disease with heart TIDAK
109 23/04/201 220304030418Y000415 0000143325426 I WAYAN WARTA L PNS DAERAH Postural kyphosis, multiple sites in TIDAK
110 23/04/201 220304030418Y000314 0000204989038 H.E. SANGER L PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
111 23/04/201 220304030418Y000398 0000698999275 ROSIANA P PBI (APBN) Acute pharyngitis, unspecified TIDAK
112 23/04/201 220304030418Y000399 0000698999444 ALA BIDIKRILA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
113 23/04/201 220304030418Y000413 0000821121579 MADE AWAN L PBI (APBN) Abnormal secretion of gastrin TIDAK
114 23/04/201 220304030418Y000414 0000821123188 KOMANG SARINI P PBI (APBN) Pure hypercholesterolaemia TIDAK
115 23/04/201 220304030418Y000412 0000821544759 KASIADI L PBI (APBN) Hyperuricaemia without signs of TIDAK
116 23/04/201 220304030418Y000379 0000821578689 NI NYOMAN ARYI P PBI (APBN) Acute gingivitis TIDAK
117 23/04/201 220304030418Y000410 0001054821497 DANIEL TRI PAMUNGKAS L PBI (APBN) Myalgia TIDAK
118 23/04/201 220304030418Y000405 0001099058578 PUTU SANDIKA PRATAMA L KEPOLISIAN RI Hordeolum and other deep TIDAK
119 23/04/201 220304030418Y000301 0001133552889 SUMASTIKA I MD L PEGAWAI SWASTA Essential (primary) hypertension TIDAK
120 23/04/201 220304030418Y000407 0001137185469 I WAYAN CANDRA L PEGAWAI SWASTA Other peripheral vertigo TIDAK
121 23/04/201 220304030418Y000321 0001387867408 WILYARDHONO L PEGAWAI SWASTA Primary arthrosis of other joints TIDAK
122 23/04/201 220304030418Y000408 0001388816785 PUTU NASUTION YANTO L PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
123 23/04/201 220304030418Y000313 0001399039042 Ni Putu yeni P PEGAWAI SWASTA Essential (primary) hypertension TIDAK
124 23/04/201 220304030418Y000372 0001399039053 Ni Luh Geded Evayanti P PEGAWAI SWASTA Necrosis of pulp TIDAK
125 23/04/201 220304030418Y000303 0001440090584 NI NENGAH SEKAR ANIK P PEGAWAI SWASTA Acute pharyngitis, unspecified TIDAK
03/05/2018 04.26.42

126 23/04/201 220304030418Y000320 0001478192444 ANDREAS LEO L PBI (APBD) Tuberculosis of lung, confirmed by TIDAK
127 23/04/201 220304030418Y000319 0001478193849 KATARINA NI KETUT P PBI (APBD) Essential (primary) hypertension TIDAK
128 23/04/201 220304030418Y000376 0001576388373 I MADE RUSTIANA L PEGAWAI SWASTA Loss of teeth due to accident, TIDAK
129 23/04/201 220304030418Y000401 0001582581701 I KETUT SUDIARTHA, BA L PBI (APBD) Essential (primary) hypertension TIDAK
130 23/04/201 220304030418Y000400 0001582581712 SUGIATI P PBI (APBD) Essential (primary) hypertension TIDAK
131 23/04/201 220304030418Y000406 0001794559048 dra. RUT SOEWITO, m.pd P PEKERJA MANDIRI Hyperlipidaemia, unspecified TIDAK
132 23/04/201 220304030418Y000302 0001803320469 NI LUH GEDE RUSTIARINI P PEKERJA MANDIRI Primary arthrosis of other joints TIDAK
133 23/04/201 220304030418Y000300 0001831105809 I NYOMAN SOMADANA L PNS DAERAH Primary arthrosis of other joints TIDAK
134 23/04/201 220304030418Y000310 0001887210955 NURYANI P PBI (APBD) Essential (primary) hypertension TIDAK
135 23/04/201 220304030418Y000318 0001964234935 sumiyati P PBI (APBD) Hyperuricaemia without signs of TIDAK
136 23/04/201 220304030418Y000299 0001978652529 I MADE WIRYANTO L PBI (APBN) Acute pharyngitis, unspecified TIDAK
137 23/04/201 220304030418Y000296 0002064039311 I MADE KAYUN L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
138 23/04/201 220304030418Y000297 0002064039647 NI WAYAN ERAWATI P PEKERJA MANDIRI Insulin-dependent diabetes mellitus TIDAK
139 23/04/201 220304030418Y000377 0002075792523 NI NENGAH SUKENDRI P PEKERJA MANDIRI Necrosis of pulp TIDAK
140 23/04/201 220304030418Y000317 0002084920828 YUMI ZARA JENEBI P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
141 23/04/201 220304030418Y000411 0002108207485 CHESSILIA SONYA DEWI P PEGAWAI SWASTA Idiopathic gout TIDAK
142 23/04/201 220304030418Y000409 0002109752234 AYUK SRI UTAMI P PEGAWAI SWASTA Tonsillar aspergillosis TIDAK
143 23/04/201 220304030418Y000298 0002204618049 made diah arini L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
144 23/04/201 220304030418Y000312 0002217285898 JASMINE P PEKERJA MANDIRI Infantile idiopathic scoliosis TIDAK
145 23/04/201 220304030418Y000316 0002431998202 NI PUTU JAYANTI TRI P PEKERJA MANDIRI Tuberculosis of lung, confirmed by TIDAK
146 21/04/201 220304030418Y000430 0000141643361 NI MADE PURNAMAWATI P PNS PUSAT Pulpitis TIDAK
03/05/2018 04.26.42

147 21/04/201 220304030418Y000429 0001163033651 I GEDE YUDHI SUWIRYA L PBI (APBD) Necrosis of pulp TIDAK
148 21/04/201 220304030418Y000293 0001439785271 DANUARY RIJKAARD L PEGAWAI SWASTA Myalgia TIDAK
149 21/04/201 220304030418Y000431 0001831085493 KAYANA ENGRASIA P PBI (APBD) Loss of teeth due to accident, TIDAK
150 21/04/201 220304030418Y000292 0001842118288 IDA AYU MADE RUSMINI P PBI (APBD) Myalgia TIDAK
151 21/04/201 220304030418Y000295 0002065858514 I MADE DARMA L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
152 21/04/201 220304030418Y000294 0002199008261 DWI ENI RAHMAH P PEKERJA MANDIRI Supervision of other normal pregnancy TIDAK
153 20/04/201 220304030418Y000453 0001806944769 RITA DWI SUSIOWATI P PBI (APBD) Other contraceptive management TIDAK
154 19/04/201 220304030418Y000274 0000141568749 I WAYAN SUDIARTA L PNS DAERAH Mucopurulent conjunctivitis TIDAK
155 19/04/201 220304030418Y000286 0000141723235 SAMAUN L PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
156 19/04/201 220304030418Y000267 0000141727318 RUBINAH P PENERIMA PENSIUN TNI Asthma, unspecified TIDAK
157 19/04/201 220304030418Y000283 0000142612514 I NYOMAN RITA L PNS DAERAH Acute cystitis TIDAK
158 19/04/201 220304030418Y000278 0000142690713 NI MD. SUKASIH P PENERIMA PENSIUN Insulin-dependent diabetes mellitus TIDAK
159 19/04/201 220304030418Y000290 0000158043835 I KETUT SUKARNATA L PNS PUSAT Necrosis of pulp TIDAK
160 19/04/201 220304030418Y000275 0000205729569 PUTU RATNA KENCANA P PNS DAERAH Fever, unspecified TIDAK
161 19/04/201 220304030418Y000280 0000821971361 NI KADEK SUWI P PBI (APBN) Essential (primary) hypertension TIDAK
162 19/04/201 220304030418Y000289 0001130314983 SWARTAWAN I NENGAH IR L PEGAWAI SWASTA Necrosis of pulp TIDAK
163 19/04/201 220304030418Y000279 0001163115088 I GEDE ROTO TIO L PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
164 19/04/201 220304030418Y000281 0001381955758 NI PUTU SUNGARIASIH P PBI (APBD) Essential (primary) hypertension TIDAK
165 19/04/201 220304030418Y000288 0001575676934 A.A. KOMANG SUTEJA L PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
166 19/04/201 220304030418Y000284 0001577186076 KOMANG DIRLI AGUSTIA L PEGAWAI SWASTA Diarrhoea and gastroenteritis of TIDAK
167 19/04/201 220304030418Y000273 0001583287942 ALIT WIDIASTUTI P PBI (APBD) Localization-related (focal) (partial) TIDAK
03/05/2018 04.26.42

168 19/04/201 220304030418Y000271 0001825808512 I NENGAH BADRI L PBI (APBD) Dyspepsia TIDAK
169 19/04/201 220304030418Y000287 0001842118288 IDA AYU MADE RUSMINI P PBI (APBD) Acute upper respiratory infection, TIDAK
170 19/04/201 220304030418Y000270 0001851772375 IMAM AFANDy L PBI (APBD) Acute upper respiratory infection, TIDAK
171 19/04/201 220304030418Y000282 0001978655815 NI MADE SUTAMI P PBI (APBN) Acute laryngopharyngitis TIDAK
172 19/04/201 220304030418Y000269 0002040076776 si made kondra L PEKERJA MANDIRI Chronic obstructive pulmonary disease TIDAK
173 19/04/201 220304030418Y000277 0002245113369 I NYOMAN SUDA L PEKERJA MANDIRI Insulin-dependent diabetes mellitus TIDAK
174 19/04/201 220304030418Y000276 0002245113707 NI MADE SARI P PEKERJA MANDIRI Mucopurulent conjunctivitis TIDAK
175 19/04/201 220304030418Y000268 0002261397633 IDA AYU KETUT RATNA P PEKERJA MANDIRI Nephrotic syndrome, minor glomerular TIDAK
176 19/04/201 220304030418Y000272 0002271224169 I KETUT CARNA L PBI (APBD) Nontoxic diffuse goitre TIDAK
177 19/04/201 220304030418Y000285 0002316717101 MADE SUMANTRA GELGEL L PBI (APBD) Acute upper respiratory infection, TIDAK
178 18/04/201 220304030418Y000259 0000141643394 KM A KESAWA L PNS PUSAT Dyspepsia TIDAK
179 18/04/201 220304030418Y000255 0000141715225 DRA IDA AYU RESI P PENERIMA PENSIUN TNI Pulpitis TIDAK
180 18/04/201 220304030418Y000266 0000141756581 I WAYAN DHANA L PENERIMA PENSIUN Malignant neoplasm of prostate TIDAK
181 18/04/201 220304030418Y000291 0000824125061 NI NENGAH KARMIASIH P PBI (APBN) Supervision of other normal pregnancy TIDAK
182 18/04/201 220304030418Y000260 0001098279022 NI KOMANG AYU MELY P PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
183 18/04/201 220304030418Y000452 0001199738463 NI KADEK SUMEASIH P PEGAWAI SWASTA Other contraceptive management TIDAK
184 18/04/201 220304030418Y000263 0001318758524 DWI HENDRIA NINGRUM P PEGAWAI SWASTA Headache TIDAK
185 18/04/201 220304030418Y000262 0001318761033 ADLY ISYAM DJABBAR L PEGAWAI SWASTA Acute pharyngitis, unspecified TIDAK
186 18/04/201 220304030418Y000265 0001575722913 I PUTU HENDRAWAN L PEGAWAI SWASTA Plasmodium malariae malaria with TIDAK
187 18/04/201 220304030418Y000264 0001580406186 YULISTIA EKANINGRUM P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
188 18/04/201 220304030418Y000258 0001582550234 EVA ISTIANA DEWI P PBI (APBD) Other benign mammary dysplasias TIDAK
03/05/2018 04.26.42

189 18/04/201 220304030418Y000257 0001825375983 DJUWITO L PEGAWAI SWASTA Insulin-dependent diabetes mellitus TIDAK
190 18/04/201 220304030418Y000261 0001896453999 wayan sudiati P PEKERJA MANDIRI Essential (primary) hypertension TIDAK
191 18/04/201 220304030418Y000254 0001966438517 ABDUL RAUF JAWAS L PBI (APBD) Periapical abscess without sinus TIDAK
192 18/04/201 220304030418Y000256 0002257079477 I MADE CAHYADI L PEKERJA MANDIRI Fever, unspecified TIDAK
193 17/04/201 220304030418Y000216 0000141553124 ANJAS HENDRIADI L PNS DAERAH Necrosis of pulp TIDAK
194 17/04/201 220304030418Y000213 0000141591486 I MADE WANDARA L PENERIMA PENSIUN Insulin-dependent diabetes mellitus YA
195 17/04/201 220304030418Y000209 0000141717194 I KETUT LUNCA L PENERIMA PENSIUN TNI Acute nasopharyngitis [common cold] TIDAK
196 17/04/201 220304030418Y000212 0000141717868 NI WAYAN SURI P PENERIMA PENSIUN TNI Acute nasopharyngitis [common cold] TIDAK
197 17/04/201 220304030418Y000208 0000819704428 I KETUT KENUH L PBI (APBN) Hyperplasia of prostate TIDAK
198 17/04/201 220304030418Y000206 0000819889986 A.A. MADE RAI SANTIKA L PBI (APBN) Acute pharyngitis, unspecified TIDAK
199 17/04/201 220304030418Y000224 0001054823679 I KETUT SARMA L PBI (APBN) Hyperuricaemia without signs of TIDAK
200 17/04/201 220304030418Y000207 0001406422157 Made Sudarma L PEGAWAI SWASTA Essential (primary) hypertension TIDAK
201 17/04/201 220304030418Y000215 0001576205111 I MADE INDRA DWI PUTRA L PBI (APBD) Pulpitis TIDAK
202 17/04/201 220304030418Y000223 0001576585484 PUTU ALHYCIA SANTHIKA P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
203 17/04/201 220304030418Y000229 0001831082872 DIDIK WAHYUDI L PBI (APBD) Acute gastroenteropathy due to TIDAK
204 17/04/201 220304030418Y000227 0001863342156 ni wayan suarmi P PEKERJA MANDIRI Presbyopia TIDAK
205 17/04/201 220304030418Y000210 0001884937015 MISRI L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
206 17/04/201 220304030418Y000217 0002042185972 I WAYAN SERAMA L PBI (APBD) Periapical abscess without sinus TIDAK
207 17/04/201 220304030418Y000211 0002204198278 PUTU JELITA P PEGAWAI SWASTA Mumps without complication TIDAK
208 17/04/201 220304030418Y000226 0002307354906 KADEK NURIANIS P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
209 17/04/201 220304030418Y000225 0002315147771 NI KADEK ANGGUN P PEGAWAI SWASTA Acute pharyngitis, unspecified TIDAK
03/05/2018 04.26.42

210 17/04/201 220304030418Y000228 0002315740588 BRAYAN MARSELINO UMBU L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
211 16/04/201 220304030418Y000242 0000141711671 i GEDE ADNYANA L PNS DAERAH Essential (primary) hypertension TIDAK
212 16/04/201 220304030418Y000244 0000819895364 NI WAYAN KINI P PBI (APBN) Essential (primary) hypertension TIDAK
213 16/04/201 220304030418Y000233 0000821351902 I MADE AGUS BAGIARTA L PBI (APBN) Conjunctivitis, unspecified TIDAK
214 16/04/201 220304030418Y000231 0000821352003 I KETUT GENDRA L PBI (APBN) Essential (primary) hypertension TIDAK
215 16/04/201 220304030418Y000235 0000977601216 IDA BAGUS MANUABA L PNS DAERAH Tuberculosis of lung, confirmed by TIDAK
216 16/04/201 220304030418Y000230 0001054822691 I KETUT PUTRAYANA L PBI (APBD) Bronchitis, not specified as acute or TIDAK
217 16/04/201 220304030418Y000249 0001082522136 DESAK MADE SARINI P PNS DAERAH Pure hypercholesterolaemia TIDAK
218 16/04/201 220304030418Y000241 0001137185469 I WAYAN CANDRA L PEGAWAI SWASTA Hyperuricaemia without signs of TIDAK
219 16/04/201 220304030418Y000251 0001256987158 VINA AGUSTINA ANGGRAINI P PEKERJA MANDIRI Background retinopathy and retinal TIDAK
220 16/04/201 220304030418Y000222 0001576388373 I MADE RUSTIANA L PEGAWAI SWASTA Necrosis of pulp TIDAK
221 16/04/201 220304030418Y000248 0001579318615 I PUTU BAGUS KRISNANDA L PBI (APBD) Diarrhoea and gastroenteritis of TIDAK
222 16/04/201 220304030418Y000239 0001582524505 NYOMAN PARIASMINI P PBI (APBD) Low back pain TIDAK
223 16/04/201 220304030418Y000250 0001582541368 NI LUH INDIRA PUTRI ROSE L PBI (APBD) Acute pharyngitis, unspecified TIDAK
224 16/04/201 220304030418Y000246 0001583243739 NI LUH KEMBAR P PBI (APBD) Myalgia TIDAK
225 16/04/201 220304030418Y000252 0001787711951 SURATEMI P PBI (APBD) Pure hypercholesterolaemia TIDAK
226 16/04/201 220304030418Y000237 0001844860151 I NYOMAN PUTRA ARI L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
227 16/04/201 220304030418Y000234 0001978652327 I MADE BIANTARA L PBI (APBN) Acute atopic conjunctivitis TIDAK
228 16/04/201 220304030418Y000236 0001978652564 NI MADE PUJI P PBI (APBN) Other glaucoma TIDAK
229 16/04/201 220304030418Y000243 0002065859177 I MADE GEDE ASTAWA, sh L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
230 16/04/201 220304030418Y000240 0002106047024 I WAYAN SUKENDRA L PBI (APBD) Essential (primary) hypertension TIDAK
03/05/2018 04.26.42

231 16/04/201 220304030418Y000253 0002106069467 NI MADE SURATNITI P PBI (APBD) Localization-related (focal) (partial) TIDAK
232 16/04/201 220304030418Y000247 0002200193864 PUTU SURYAWAN L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
233 16/04/201 220304030418Y000238 0002215603124 GEDE AGUS HARTA PUTRA L PEGAWAI SWASTA Fever, unspecified TIDAK
234 16/04/201 220304030418Y000245 0002249335157 NI LUH WANGI P PEKERJA MANDIRI Insulin-dependent diabetes mellitus TIDAK
235 16/04/201 220304030418Y000232 0002287073801 YUSUF L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
236 13/04/201 220304030418Y000191 0000040228468 COKORDA ISTRI SRI P PNS PUSAT Oesophagitis TIDAK
237 13/04/201 220304030418Y000184 0000141613558 I WAYAN OPER RANA L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
238 13/04/201 220304030418Y000190 0000141644316 SOPARI ABDULGHONI L PENERIMA PENSIUN Insulin-dependent diabetes mellitus TIDAK
239 13/04/201 220304030418Y000220 0000141727263 PAULUS META L PENERIMA PENSIUN TNI Necrosis of pulp TIDAK
240 13/04/201 220304030418Y000183 0000141810592 NI NYOMAN LOSMINI P PNS DAERAH Essential (primary) hypertension TIDAK
241 13/04/201 220304030418Y000192 0000142611873 PUTU IWAN ADIWINATA L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
242 13/04/201 220304030418Y000187 0000142668573 IRMA NATALIES P PNS PUSAT Myopia TIDAK
243 13/04/201 220304030418Y000221 0000143200697 NI NYOMAN SUCI MELATI P PENERIMA PENSIUN Periodontosis TIDAK
244 13/04/201 220304030418Y000188 0001440091102 I PUTU IVAN ADITYA L PEGAWAI SWASTA Cutaneous abscess, furuncle and TIDAK
245 13/04/201 220304030418Y000416 0001581279131 I DEWA AYU NYOMAN USI L PNS DAERAH Hypotension TIDAK
246 13/04/201 220304030418Y000182 0001582538736 TRI JULIANINGSIH P PBI (APBD) Epidemic vertigo TIDAK
247 13/04/201 220304030418Y000181 0001880002326 nyoman widiasa L PEKERJA MANDIRI Insulin-dependent diabetes mellitus TIDAK
248 13/04/201 220304030418Y000189 0001889194522 trisha ayu dewanty L PNS PUSAT Chalazion TIDAK
249 13/04/201 220304030418Y000185 0001964234935 sumiyati P PBI (APBD) Essential (primary) hypertension TIDAK
250 13/04/201 220304030418Y000186 0002065859177 I MADE GEDE ASTAWA, sh L PBI (APBD) Acute upper respiratory infection, TIDAK
251 13/04/201 220304030418Y000193 0002307354906 KADEK NURIANIS P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
03/05/2018 04.26.42

252 12/04/201 220304030418Y000176 0000141719771 I PUTU ARTJA L PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
253 12/04/201 220304030418Y000175 0000141779373 DEMAR SITOMPUL L PENERIMA PENSIUN Mucopurulent conjunctivitis TIDAK
254 12/04/201 220304030418Y000218 0000142814878 BERNADETHA SRIE HARRY P PENERIMA PENSIUN TNI Caries of dentine TIDAK
255 12/04/201 220304030418Y000168 0000821214112 NI KETUT DARPINI P PBI (APBN) Tension-type headache TIDAK
256 12/04/201 220304030418Y000178 0000821854787 NI WAYAN RUNTENG P PBI (APBN) Chronic obstructive pulmonary disease TIDAK
257 12/04/201 220304030418Y000177 0001127238647 NGAKAN KETUT ARTANA L PEGAWAI SWASTA Pure hypercholesterolaemia TIDAK
258 12/04/201 220304030418Y000179 0001576206865 JOYANDA M ALFARO L PEGAWAI SWASTA Fever, unspecified TIDAK
259 12/04/201 220304030418Y000219 0001576388373 I MADE RUSTIANA L PEGAWAI SWASTA Pulpitis TIDAK
260 12/04/201 220304030418Y000172 0001576960119 I GUSTI PUTU WASTRA L PEGAWAI SWASTA Pure hypercholesterolaemia TIDAK
261 12/04/201 220304030418Y000180 0001582136392 YANI ECLESYA P PEGAWAI PEMERINTAH Supervision of other normal pregnancy TIDAK
262 12/04/201 220304030418Y000167 0001722317589 HARRIS NOVENDI PS. L PEKERJA MANDIRI Hypertensive heart disease with TIDAK
263 12/04/201 220304030418Y000174 0001787711951 SURATEMI P PBI (APBD) Essential (primary) hypertension TIDAK
264 12/04/201 220304030418Y000214 0001833376364 rahmadi L PEKERJA MANDIRI Impacted teeth TIDAK
265 12/04/201 220304030418Y000173 0002083287341 YUS SUSILO HADI L PEKERJA MANDIRI Mucopurulent conjunctivitis TIDAK
266 12/04/201 220304030418Y000169 0002111486095 EKA MEY NOVITASARI P PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
267 12/04/201 220304030418Y000171 0002289879404 DAVID BRUCE CLARK L PEGAWAI SWASTA Mucopurulent conjunctivitis TIDAK
268 12/04/201 220304030418Y000170 0002311146268 I KETUT DIMAS DANU L PEKERJA MANDIRI Acute tonsillitis, unspecified TIDAK
269 11/04/201 220304030418Y000358 0000141842136 NI PUTU SRI LISTYARI D. P PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
270 11/04/201 220304030418Y000147 0000159522996 IDA AYU KOMANG ARIANI P PNS DAERAH Other primary disorders of muscles TIDAK
271 11/04/201 220304030418Y000151 0000822053777 I KETUT MEDI L PBI (APBN) Primary arthrosis of other joints, ankle TIDAK
272 11/04/201 220304030418Y000152 0001137185469 I WAYAN CANDRA L PEGAWAI SWASTA Primary arthrosis of other joints TIDAK
03/05/2018 04.26.42

273 11/04/201 220304030418Y000150 0001318761268 AILEEN FAIZAH AFSHEEN P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
274 11/04/201 220304030418Y000165 0001406422168 Ni Nyoman Sucita P PEGAWAI SWASTA Radicular cyst TIDAK
275 11/04/201 220304030418Y000148 0001430826333 NI MADE SUKERTI P PEKERJA MANDIRI Essential (primary) hypertension TIDAK
276 11/04/201 220304030418Y000166 0001577980102 NI PUTU SUDI PARMIATI P PEGAWAI SWASTA Necrosis of pulp TIDAK
277 11/04/201 220304030418Y000357 0001580073491 I MADE SUARKA L PBI (APBD) Cutaneous abscess, furuncle and TIDAK
278 11/04/201 220304030418Y000149 0001633230325 ARLIA INDRIANA P PEGAWAI BUMN Fever, unspecified TIDAK
279 11/04/201 220304030418Y000146 0001842118288 IDA AYU MADE RUSMINI P PBI (APBD) Acute pharyngitis, unspecified TIDAK
280 11/04/201 220304030418Y000145 0001872872875 I GUSTI NGURAH AMBARA L PBI (APBD) Pyoderma TIDAK
281 11/04/201 220304030418Y000144 0001978652362 NI LUH VIRA NOVI BIANTARI P PBI (APBN) Supervision of normal first pregnancy TIDAK
282 11/04/201 220304030418Y000154 0002108775486 DESTOMY DWI KRIS L PEGAWAI SWASTA Migraine, unspecified TIDAK
283 11/04/201 220304030418Y000153 0002108775554 DAVID SEPTIANO RONALDO L PEGAWAI SWASTA Acute pharyngitis, unspecified TIDAK
284 10/04/201 220304030418Y000156 0000141727522 NURATNI P PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
285 10/04/201 220304030418Y000133 0000143106693 DRA. SRI LUTFI HIDAYATI P PENERIMA PENSIUN Acute pharyngitis, unspecified TIDAK
286 10/04/201 220304030418Y000162 0000143278841 I MADE SUNAYA L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
287 10/04/201 220304030418Y000160 0000143278852 NI Nengah YUKI P PNS PUSAT Anal fissure, unspecified TIDAK
288 10/04/201 220304030418Y000354 0000170226538 I GD.K. L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
289 10/04/201 220304030418Y000155 0000821139524 NI WAYAN SURATNI P PBI (APBN) Primary arthrosis of other joints TIDAK
290 10/04/201 220304030418Y000127 0001142665828 NI PUTU AYU KAMALA SARI P PEGAWAI SWASTA Necrosis of pulp TIDAK
291 10/04/201 220304030418Y000143 0001147654394 NI MADE SUKMADEWI P PBI (APBD) Supervision of other normal pregnancy TIDAK
292 10/04/201 220304030418Y000132 0001441528018 SAGUNG OKA SWARI P PBI (APBD) Iron deficiency anaemia, unspecified YA
293 10/04/201 220304030418Y000161 0001574959994 Dewi Fatriani P PEGAWAI PEMERINTAH Acute pharyngitis, unspecified TIDAK
03/05/2018 04.26.42

294 10/04/201 220304030418Y000157 0001577492954 PUTU ADI SASMAYA L PEGAWAI SWASTA Essential (primary) hypertension TIDAK
295 10/04/201 220304030418Y000158 0001578524949 I MADE SUPARTA L PEGAWAI SWASTA Acute otitis externa, noninfective TIDAK
296 10/04/201 220304030418Y000135 0001580069507 NI LUH WIDIANI P PEGAWAI SWASTA Chronic sinusitis, unspecified YA
297 10/04/201 220304030418Y000136 0001850436955 ANTOK BHAKTI KUSUMAH L PBI (APBD) Soft tissue disorder, unspecified YA
298 10/04/201 220304030418Y000122 0001978652349 I NYOMAN YUDIADI L PBI (APBN) Acute pharyngitis, unspecified TIDAK
299 10/04/201 220304030418Y000121 0002200193864 PUTU SURYAWAN L PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
300 10/04/201 220304030418Y000159 0002264902841 I KETUT KERTI L PEKERJA MANDIRI Other forms of stomatitis TIDAK
302 09/04/201 220304030418Y000103 0000141858088 NI KETUT SUKABDI P PNS DAERAH Keratitis, unspecified TIDAK
303 09/04/201 220304030418Y000203 0000143114523 KADEK RIA INTAN DEWI P PNS DAERAH Acute pharyngitis, unspecified TIDAK
304 09/04/201 220304030418Y000102 0000143629356 I WAYAN RETHA ADNYANA L PENERIMA PENSIUN Senile cataract, unspecified TIDAK
305 09/04/201 220304030418Y000163 0000146354185 NI MADE SUSINI P PNS DAERAH Essential (primary) hypertension TIDAK
306 09/04/201 220304030418Y000337 0000821122468 I NYOMAN SUJANA L PBI (APBN) Acute upper respiratory infection, TIDAK
307 09/04/201 220304030418Y000109 0000821356558 I NENGAH DERANA L PBI (APBN) Low back pain TIDAK
308 09/04/201 220304030418Y000107 0000821357166 NI KETUT CANDRI P PBI (APBN) Dyspepsia TIDAK
309 09/04/201 220304030418Y000140 0001279495091 NOVI AGUS PITARNO L KEPOLISIAN RI Periapical abscess without sinus TIDAK
310 09/04/201 220304030418Y000198 0001478732275 I NENGAH SUGIANA L PBI (APBD) Headache TIDAK
311 09/04/201 220304030418Y000142 0001576388373 I MADE RUSTIANA L PEGAWAI SWASTA Pulpitis TIDAK
312 09/04/201 220304030418Y000106 0001577206787 I MADE TUSTADI L PEKERJA MANDIRI General medical examination TIDAK
313 09/04/201 220304030418Y000141 0001577980102 NI PUTU SUDI PARMIATI P PEGAWAI SWASTA Periapical abscess without sinus TIDAK
314 09/04/201 220304030418Y000110 0001582550234 EVA ISTIANA DEWI P PBI (APBD) Benign neoplasm of breast TIDAK
03/05/2018 04.26.42

315 09/04/201 220304030418Y000111 0001796954016 SITI AMINAH P PEKERJA MANDIRI Myalgia TIDAK
316 09/04/201 220304030418Y000139 0001833376364 rahmadi L PEKERJA MANDIRI Necrosis of pulp TIDAK
317 09/04/201 220304030418Y000101 0001844860151 I NYOMAN PUTRA ARI L PNS PUSAT Acute upper respiratory infection, TIDAK
318 09/04/201 220304030418Y000202 0001845363554 A. A. NGR. JAYA L PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
319 09/04/201 220304030418Y000199 0001845366412 anak agung ayu athalia P PEKERJA MANDIRI Dermatophytosis, unspecified TIDAK
320 09/04/201 220304030418Y000205 0001868047042 NI KOMANG AYU PUTRI P PBI (APBD) Acute pain TIDAK
321 09/04/201 220304030418Y000204 0001878444786 NI NYOMAN WATI SWASTITI P PBI (APBD) Essential (primary) hypertension TIDAK
322 09/04/201 220304030418Y000112 0001881054303 RUTH MARYATI MANDRIASA P PEKERJA MANDIRI Varicella without complication TIDAK
323 09/04/201 220304030418Y000195 0001978657514 I MADE SUWARKA L PBI (APBN) Other hyperphenylalaninaemias TIDAK
324 09/04/201 220304030418Y000108 0002040076776 si made kondra L PEKERJA MANDIRI Chronic obstructive pulmonary disease, TIDAK
325 09/04/201 220304030418Y000200 0002046212076 a.a ngurah praditya dipta L PEKERJA MANDIRI Fever, unspecified TIDAK
326 09/04/201 220304030418Y000194 0002089608535 NI KADEK AVIKA KANAYA P PBI (APBD) Acute pharyngitis, unspecified TIDAK
327 09/04/201 220304030418Y000201 0002094306052 I PUTU DEANDRA NAYAKA L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
328 09/04/201 220304030418Y000197 0002256027412 PANDE TROYA BAWA L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
329 09/04/201 220304030418Y000104 0002275212194 ELLY MARYANI P PEKERJA MANDIRI Cardiomegaly TIDAK
330 09/04/201 220304030418Y000105 0002275212611 AURA SIVA MAURA P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
331 09/04/201 220304030418Y000196 0002281364313 PUTU SUARTINI P PEKERJA MANDIRI Primary arthrosis of other joints TIDAK
332 09/04/201 220304030418Y000114 0002425809892 DESI SUMARNI P PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
333 09/04/201 220304030418Y000164 0002440735751 CALON BAYI NY. NI PUTU P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
334 07/04/201 220304030418Y000336 0000141657761 I NYOMAN JADEG L PNS DAERAH Myalgia TIDAK
335 07/04/201 220304030418Y000072 0000141721288 NI WAYAN LANDRI P PENERIMA PENSIUN TNI Staphylococcal arthritis and TIDAK
03/05/2018 04.26.42

336 07/04/201 220304030418Y000335 0000141842136 NI PUTU SRI LISTYARI D. P PEGAWAI PEMERINTAH Malaise and fatigue TIDAK
337 07/04/201 220304030418Y000071 0000141849617 NI WAYAN SWINANTARI P PNS DAERAH Essential (primary) hypertension TIDAK
338 07/04/201 220304030418Y000079 0000142503423 I KETUT PUNIA L PNS PUSAT Essential (primary) hypertension TIDAK
339 07/04/201 220304030418Y000077 0000142602197 I MADE ASWIN L PNS DAERAH General medical examination TIDAK
340 07/04/201 220304030418Y000078 0000143301183 MEITINI WAHYUNI P PNS PUSAT Hyperuricaemia without signs of TIDAK
341 07/04/201 220304030418Y000083 0000195394206 I MADE AGUS SETIAWAN L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
342 07/04/201 220304030418Y000138 0000211624626 NI KOMANG REGITA P PNS PUSAT Loss of teeth due to accident, TIDAK
343 07/04/201 220304030418Y000070 0000821140323 NI LUH SUSILA PURBAWATI P PBI (APBN) Other atopic dermatitis TIDAK
344 07/04/201 220304030418Y000075 0000977601216 IDA BAGUS MANUABA L PNS DAERAH Tuberculosis of lung, confirmed by TIDAK
345 07/04/201 220304030418Y000115 0001100801709 A.A. AYU SADHAYANTI P PEGAWAI PEMERINTAH Special screening examination for TIDAK
346 07/04/201 220304030418Y000074 0001280481423 I NYOMAN SUKAWIJANA L KEPOLISIAN RI Acute anal fissure TIDAK
347 07/04/201 220304030418Y000085 0001380583269 KADEK ARIASIH P PNS DAERAH Acute pharyngitis due to other TIDAK
348 07/04/201 220304030418Y000073 0001441527737 DEWA MADE PARSA L PBI (APBD) Pneumonic plague TIDAK
349 07/04/201 220304030418Y000324 0001575046866 NI LUH PUTU ARI ARGARINI P PEGAWAI PEMERINTAH Gastritis, unspecified TIDAK
350 07/04/201 220304030418Y000082 0001576119767 NI NENGAH SUDIASIH P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
351 07/04/201 220304030418Y000454 0001576243001 NI LUH PON DEWI P PEGAWAI SWASTA Abdominal pregnancy TIDAK
352 07/04/201 220304030418Y000080 0001581933701 NI GST. A.A. KRISNAYANI P PBI (APBD) Abnormal secretion of gastrin TIDAK
353 07/04/201 220304030418Y000137 0001863736244 RIZAL FIRMANSYAH L PEGAWAI SWASTA Impacted teeth TIDAK
354 07/04/201 220304030418Y000076 0001881077027 I GUSTI RAI SUWINDA L PEKERJA MANDIRI Urinary calculus, unspecified TIDAK
355 07/04/201 220304030418Y000116 0001897106703 NI WAYAN BUDIANI P PEGAWAI SWASTA Special screening examination for TIDAK
356 07/04/201 220304030418Y000081 0001907634846 TASRIPIN L PEGAWAI PEMERINTAH Diarrhoea and gastroenteritis of TIDAK
03/05/2018 04.26.42

357 07/04/201 220304030418Y000084 0002434329393 I MADE RADITHYA SATRYA L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
358 06/04/201 220304030418Y000066 0000141711671 i GEDE ADNYANA L PNS DAERAH Essential (primary) hypertension TIDAK
359 06/04/201 220304030418Y000065 0000141841168 IR.I WAYAN WIRATA L PNS DAERAH Benign lipomatous neoplasm, TIDAK
360 06/04/201 220304030418Y000058 0000142628714 DRS.KT. REDI L PNS DAERAH Fracture of neck of femur, closed TIDAK
361 06/04/201 220304030418Y000061 0000143106491 SARIROSO L PNS DAERAH Hypermetropia TIDAK
362 06/04/201 220304030418Y000059 0000143106502 SUMARYATI,S.PD P PNS DAERAH Primary arthrosis of other joints TIDAK
363 06/04/201 220304030418Y000057 0000143163033 KADEK CHRISTIAN L PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
364 06/04/201 220304030418Y000056 0000144065766 I MADE SUTAMA L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
365 06/04/201 220304030418Y000117 0000824125061 NI NENGAH KARMIASIH P PBI (APBN) Supervision of other normal pregnancy TIDAK
366 06/04/201 220304030418Y000118 0001058675534 NONIUS LAJA BEKO P PBI (APBN) Supervision of normal first pregnancy TIDAK
367 06/04/201 220304030418Y000067 0001184556767 NI PUTU SURIANI P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
368 06/04/201 220304030418Y000119 0001267579732 SARI IRAWATI WULANDARI P PEKERJA MANDIRI Supervision of other normal pregnancy TIDAK
369 06/04/201 220304030418Y000060 0001380407152 NI WAYAN EKA PUTRI P PEGAWAI PEMERINTAH Acute tonsillitis due to other specified TIDAK
370 06/04/201 220304030418Y000068 0001577409873 I KADEK ALVIN MAYAWAN L PEGAWAI SWASTA Acute atopic conjunctivitis TIDAK
371 06/04/201 220304030418Y000069 0001822405937 GEDE MAHALUHUR L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
372 06/04/201 220304030418Y000064 0001850044937 GUSTI PUTU PUTRIASIH P PBI (APBD) Pure hypercholesterolaemia TIDAK
373 06/04/201 220304030418Y000063 0001881054303 RUTH MARYATI MANDRIASA P PEKERJA MANDIRI Varicella without complication TIDAK
374 06/04/201 220304030418Y000055 0001966438563 SRI INDRIANI HARYATI P PBI (APBD) Myalgia TIDAK
375 06/04/201 220304030418Y000062 0002291334467 I NYOMAN AGUS ARTA L PBI (APBD) Optic neuritis TIDAK
376 05/04/201 220304030418Y000094 0000141726565 I MADE LANUS L PENERIMA PENSIUN TNI Bronchitis, not specified as acute or TIDAK
377 05/04/201 220304030418Y000091 0000141781026 I NYOMAN MUDALARA L PENERIMA PENSIUN Acute pharyngitis, unspecified TIDAK
03/05/2018 04.26.42

378 05/04/201 220304030418Y000097 0000142526856 ABD RACHIM L PENERIMA PENSIUN Insulin-dependent diabetes mellitus TIDAK
379 05/04/201 220304030418Y000092 0000142529758 MADRAIS SUPARTA L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
380 05/04/201 220304030418Y000090 0000143053569 A.A.PUTRI MARWATI P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
381 05/04/201 220304030418Y000096 0000146354174 I KETUT SUTEJA L PNS DAERAH Paraesthesia of skin TIDAK
382 05/04/201 220304030418Y000095 0000146354185 NI MADE SUSINI P PNS DAERAH Dyspepsia TIDAK
383 05/04/201 220304030418Y000100 0001079398743 KETUT ARYA ISWARDANA L PENERIMA PENSIUN TNI General medical examination TIDAK
384 05/04/201 220304030418Y000089 0001302669731 LUH ENDRAWATI P PEKERJA MANDIRI Mumps without complication TIDAK
385 05/04/201 220304030418Y000054 0001319047299 SRI WAHYUNI ALI P PEGAWAI SWASTA Supervision of other normal pregnancy TIDAK
386 05/04/201 220304030418Y000131 0001434826113 NI NYOMAN YUNIASIH P PEGAWAI SWASTA Periodontosis TIDAK
387 05/04/201 220304030418Y000451 0001575437185 KADEK DYAH SWASNI P PEGAWAI SWASTA Other contraceptive management TIDAK
388 05/04/201 220304030418Y000088 0001577670895 Dito Dominggus Janathan L PEGAWAI SWASTA General medical examination TIDAK
389 05/04/201 220304030418Y000099 0002064039311 I MADE KAYUN L PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
390 05/04/201 220304030418Y000098 0002064039647 NI WAYAN ERAWATI P PEKERJA MANDIRI Essential (primary) hypertension TIDAK
391 05/04/201 220304030418Y000086 0002226778198 IDA FITRI HARIYANTI P PEKERJA MANDIRI Dyspepsia TIDAK
392 05/04/201 220304030418Y000093 0002257078803 NI KADEK PURWANI P PEKERJA MANDIRI Primary arthrosis of other joints, ankle TIDAK
393 05/04/201 220304030418Y000087 0002287727436 RASYA PRADHIKA RATAG L PEGAWAI SWASTA Acute pharyngitis, unspecified TIDAK
394 05/04/201 220304030418Y000134 0002299089655 NI KADEK CHINTYA P PEKERJA MANDIRI Loss of teeth due to accident, TIDAK
395 04/04/201 220304030418Y000017 0000141721571 KASNO BC HK L PENERIMA PENSIUN TNI Pure hypercholesterolaemia TIDAK
396 04/04/201 220304030418Y000015 0000141756581 I WAYAN DHANA L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
397 04/04/201 220304030418Y000014 0000141782376 NI MADE WIRASMI P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
398 04/04/201 220304030418Y000130 0000195108906 I PUTU ALIT RADIYANTO L PNS DAERAH Necrosis of pulp TIDAK
03/05/2018 04.26.42

399 04/04/201 220304030418Y000128 0001582130992 NI KADEK ADIANI P PBI (APBD) Necrosis of pulp TIDAK
400 04/04/201 220304030418Y000016 0001879841654 nyoman sridanis L PEKERJA MANDIRI Presence of cerebrospinal fluid TIDAK
401 04/04/201 220304030418Y000126 0001900795329 I KADEK VERI KRISNADI L PEGAWAI SWASTA Periapical abscess without sinus TIDAK
402 04/04/201 220304030418Y000129 0001978654026 I NYOMAN WIRA AMERTA L PBI (APBN) Loss of teeth due to accident, TIDAK
404 03/04/201 220304030418Y000028 0000141723246 TUMINAH P PENERIMA PENSIUN TNI Pure hypercholesterolaemia TIDAK
405 03/04/201 220304030418Y000026 0000141757795 NI KETUT SRIATMINI P PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
406 03/04/201 220304030418Y000011 0000142809208 NI NYOMAN SUDANI P PENERIMA PENSIUN TNI Other and unspecified abdominal pain TIDAK
407 03/04/201 220304030418Y000022 0000143196107 MI LUH NYOMAN P PNS DAERAH Essential (primary) hypertension TIDAK
408 03/04/201 220304030418Y000018 0001079784999 SABBIHISMA AZKAZILAM L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
409 03/04/201 220304030418Y000023 0001280307508 MARLIN M. KARIAM P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
410 03/04/201 220304030418Y000029 0001421331254 MUPLIKATUN P PEKERJA MANDIRI Abnormal secretion of gastrin TIDAK
411 03/04/201 220304030418Y000007 0001426021007 SUGI HERIYANTO L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
412 03/04/201 220304030418Y000125 0001480764925 I WAYAN SARIYANTO L PEGAWAI SWASTA Impacted teeth TIDAK
413 03/04/201 220304030418Y000019 0001577670895 Dito Dominggus Janathan L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
414 03/04/201 220304030418Y000025 0001582851712 NI KADEK SRI PITRIANI P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
415 03/04/201 220304030418Y000006 0001727254023 DIONISIUS MARSELINO L PEKERJA MANDIRI Acute tonsillitis due to other specified TIDAK
416 03/04/201 220304030418Y000008 0001819926044 I NYOMAN SUMARMA L PBI (APBD) Cutaneous abscess, furuncle and TIDAK
417 03/04/201 220304030418Y000009 0001835227991 NI MADE ADI SURYATINI P PEKERJA MANDIRI Disorders of initiating and maintaining TIDAK
418 03/04/201 220304030418Y000020 0001835229036 KOMANG RISMA ADITYA L PEKERJA MANDIRI Other forms of leprosy TIDAK
419 03/04/201 220304030418Y000005 0001863604721 R. JONI SULARSO L PBI (APBD) Dementia in Parkinson's disease TIDAK
03/05/2018 04.26.42

420 03/04/201 220304030418Y000027 0001878444786 NI NYOMAN WATI SWASTITI P PBI (APBD) Essential (primary) hypertension TIDAK
421 03/04/201 220304030418Y000010 0002080904883 NI NYOMAN PINTI P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
422 03/04/201 220304030418Y000030 0002106039194 I MADE AGUS INDRA L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
423 03/04/201 220304030418Y000024 0002249873201 NI PUTU ASTYANTI UTAMI P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
424 02/04/201 220304030418Y000124 0000110021488 LUH PUTU PRIMAYANTI P PNS DAERAH Periapical abscess without sinus TIDAK
425 02/04/201 220304030418Y000048 0000141726565 I MADE LANUS L PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
426 02/04/201 220304030418Y000052 0000141775176 NI MADE RAMEHATI P PENERIMA PENSIUN Insulin-dependent diabetes mellitus TIDAK
427 02/04/201 220304030418Y000031 0000142505673 I GST KT.HARYANA L PNS PUSAT Epidemic vertigo TIDAK
428 02/04/201 220304030418Y000045 0000142716879 DEWA GEDE ASTARA L PNS PUSAT Tachycardia, unspecified TIDAK
429 02/04/201 220304030418Y000001 0000158013606 I NYOMAN MARHAENO L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
430 02/04/201 220304030418Y000012 0000195935793 MADE MIKA MEGA ASTUTHI P PEGAWAI PEMERINTAH Supervision of normal first pregnancy TIDAK
431 02/04/201 220304030418Y000044 0000820941658 NI PUTU SUASTINI P PBI (APBN) Idiopathic gout, shoulder region TIDAK
432 02/04/201 220304030418Y000123 0001130245075 NI MADE WIRATI P PBI (APBD) Necrosis of pulp TIDAK
433 02/04/201 220304030418Y000050 0001163019611 I B putu SUKSMA WIJAYA L PEGAWAI SWASTA Essential (primary) hypertension TIDAK
434 02/04/201 220304030418Y000036 0001184556778 I PUTU AGUS KRISNA L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
435 02/04/201 220304030418Y000034 0001263081958 I KETUT KANTUN L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
436 02/04/201 220304030418Y000004 0001318758524 DWI HENDRIA NINGRUM P PEGAWAI SWASTA Surveillance of contraceptive drugs TIDAK
437 02/04/201 220304030418Y000033 0001381232248 namira moza dahayu P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
438 02/04/201 220304030418Y000032 0001387246858 A. A. KOMPIANG SARI P PEKERJA MANDIRI Predominantly allergic asthma TIDAK
439 02/04/201 220304030418Y000002 0001406422168 Ni Nyoman Sucita P PEGAWAI SWASTA Necrosis of pulp TIDAK
440 02/04/201 220304030418Y000047 0001577186065 KADEK DINDA RAMAYANTI P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
03/05/2018 04.26.42

441 02/04/201 220304030418Y000041 0001578557597 BUNGA ULI TARINGAN P PEGAWAI SWASTA Abnormal secretion of gastrin TIDAK
442 02/04/201 220304030418Y000120 0001581419586 NURHAINI P PBI (APBD) Supervision of normal first pregnancy TIDAK
443 02/04/201 220304030418Y000046 0001582532111 SRI SUPRAPTI P PBI (APBD) Idiopathic gout TIDAK
444 02/04/201 220304030418Y000013 0001582864659 AYU WIDIANTARA P PBI (APBD) Supervision of other normal pregnancy TIDAK
445 02/04/201 220304030418Y000003 0001633270454 ANAK AGUNG PUTU RAKA P PBI (APBD) Periapical abscess without sinus TIDAK
446 02/04/201 220304030418Y000053 0001794114584 NI KETUT PERNI P PBI (APBD) Idiopathic gout TIDAK
447 02/04/201 220304030418Y000038 0001822224148 NI WAYAN HERMAWATI P PNS DAERAH Insulin-dependent diabetes mellitus TIDAK
448 02/04/201 220304030418Y000051 0001834011909 NONI MULYATI P PBI (APBD) Cholangitis TIDAK
449 02/04/201 220304030418Y000039 0001887210538 ACHMAD RAMLI L PBI (APBD) Essential (primary) hypertension TIDAK
450 02/04/201 220304030418Y000037 0001887210955 NURYANI P PBI (APBD) Acute nasopharyngitis [common cold] TIDAK
451 02/04/201 220304030418Y000042 0001978653936 NI LUH SURIANI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
452 02/04/201 220304030418Y000049 0002021564878 I PUTU GELILIO ALMASIO P PBI (APBN) Varicella without complication TIDAK
453 02/04/201 220304030418Y000040 0002201882872 I KOMANG GALIH PERMANA L PEKERJA MANDIRI Other dermatophytoses TIDAK
454 02/04/201 220304030418Y000043 0002241468246 SUPRIYATI HASTUTI P PEKERJA MANDIRI Idiopathic gout TIDAK
455 02/04/201 220304030418Y000035 0002276165733 bayi ibu ketut ratmini L PEKERJA MANDIRI Unspecified human immunodeficiency TIDAK
03/05/2018 04.26.42

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