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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

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

1 20-04-2019 100118010419Y001829 0000053669002 RUSTINAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan


PNS diabetes mellitus without

2 20-04-2019 100118010419Y001772 0000053763153 MANORSA SIAHAAN, DRS. L PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
3 20-04-2019 100118010419P001839 0000054266343 YOYO L PNS DAERAH Secondary hypertension Rujuk Lanjut

4 20-04-2019 100118010419Y001760 0000055514272 TASTAFTIAN GANDA PERMANA L PNS DAERAH Other disorders of skin Berobat Jalan
and subcutaneous tissue,
not elsewhere classified

5 20-04-2019 100118010419Y001778 0000055556673 TETI HARYETI,S.PD.SD P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

6 20-04-2019 100118010419P001751 0000055583954 SUHATRIL KUNUN L PNS DAERAH Iridocyclitis Rujuk Lanjut

7 20-04-2019 100118010419Y001797 0000055697275 LILIS HODIJAH P PNS DAERAH Dyspepsia Berobat Jalan

8 20-04-2019 100118010419P001866 0000055797243 SITI HAWA BATUBARA P PNS PUSAT Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

9 20-04-2019 100118010419P001856 0000055802136 INCANG CARWINI P PNS PUSAT Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

10 20-04-2019 100118010419Y001835 0000056132021 ETI SURYATI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

11 20-04-2019 100118010419P001755 0000056393807 AI ATIKAH NURHAYATI P PENERIMA PENSIUN TNI Polyneuropathy, Rujuk Lanjut
unspecified
12 20-04-2019 100118010419Y001833 0000056428661 SITI NURMAWAN ALWY P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

13 20-04-2019 100118010419P001759 0000056430674 AMID HAMID L PENERIMA PENSIUN TNI Congestive heart failure Rujuk Lanjut

14 20-04-2019 100118010419Y001787 0000056432305 ROS RAUDAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

15 20-04-2019 100118010419P001842 0000056432316 RUKAYAT L PENERIMA PENSIUN TNI Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
16 20-04-2019 100118010419P001747 0000056957861 TATIN SUPRIATIN P PENERIMA PENSIUN Radiculopathy, lumbar Rujuk Lanjut
PNS region
17 20-04-2019 100118010419P001831 0000056990632 MIMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

18 20-04-2019 100118010419P001863 0000057235318 H. DJAINUL ARIFIN, SH. L PENERIMA PENSIUN Chronic kidney disease Rujuk Lanjut
PNS
19 20-04-2019 100118010419Y001851 0000057237028 ROKAYAH P PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan
PNS [common cold]
20 20-04-2019 100118010419Y001894 0000058693926 NAMPEKEN BANGUN L PENERIMA PENSIUN Chronic gingivitis Berobat Jalan
PNS
21 20-04-2019 100118010419Y001896 0000243906298 GABRIEL SIMARMATA L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

22 20-04-2019 100118010419Y001846 0000501998848 HENI RODIAH P PBI (APBN) Headache Berobat Jalan

23 20-04-2019 100118010419Y001838 0000502028943 IHAT P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus without

24 20-04-2019 100118010419Y001880 0000502061409 MARLINAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
25 20-04-2019 100118010419P001809 0000502067226 INGGIT KARMAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

26 20-04-2019 100118010419Y001870 0000502233513 DADAN HERMANA L PBI (APBN) Headache Berobat Jalan

27 20-04-2019 100118010419Y001853 0000502306244 SUKAESIH P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus without

28 20-04-2019 100118010419P001865 0000502340477 IMAS ROHATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
29 20-04-2019 100118010419Y001786 0000502848358 MUHAMMAD IDRIS L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
30 20-04-2019 100118010419Y001849 0000502933331 WINDA LIANINGSIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
31 20-04-2019 100118010419Y001848 0000503078602 JULAEHA P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
32 20-04-2019 100118010419Y001914 0000503153605 E.KOMARUDIN L PBI (APBN) Dyspepsia Berobat Jalan

33 20-04-2019 100118010419Y001817 0000503157284 YETI SUMIATI P PBI (APBN) Dyspepsia Berobat Jalan

34 20-04-2019 100118010419Y001860 0000503165226 MOH THIA FAZLI PADILAH L PBI (APBN) Fever, unspecified Berobat Jalan

35 20-04-2019 100118010419Y001917 0000503306188 ASEP RAHMAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
36 20-04-2019 100118010419Y001822 0000503336856 LILIS KURNIASIH P PBI (APBN) Cough Berobat Jalan

37 20-04-2019 100118010419Y001801 0000503363474 OMAH ROMLAH P PBI (APBN) Surveillance of Berobat Jalan
contraceptive drugs
38 20-04-2019 100118010419Y001905 0000503428329 RUSI PRATIWI P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

39 20-04-2019 100118010419Y001879 0000503429837 TIARA SANTIKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
40 20-04-2019 100118010419Y001871 0000503731721 DEDEH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

41 20-04-2019 100118010419Y001826 0000503818751 ADE BARNAS L PBI (APBN) Hemiplegia, unspecified Berobat Jalan

42 20-04-2019 100118010419Y001843 0000503819302 YOYOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
43 20-04-2019 100118010419Y001750 0000503821934 KURNIAWATI P PBI (APBN) Primary gonarthrosis, Berobat Jalan
bilateral
44 20-04-2019 100118010419Y001777 0000503836749 SALMA RAHYA RAMADHANI P PBI (APBN) Fever, unspecified Berobat Jalan

45 20-04-2019 100118010419Y001775 0000503836806 SITI MASITOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
46 20-04-2019 100118010419Y001766 0000503876193 MUHAMAD RIFKY FADILLAH L PBI (APBN) Dermatitis, unspecified Berobat Jalan

47 20-04-2019 100118010419Y001793 0000503878263 IRI L PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

48 20-04-2019 100118010419Y001794 0000503878577 AI RASMANAH P PBI (APBN) Chest pain, unspecified Berobat Jalan

49 20-04-2019 100118010419Y001841 0000503917986 ROKAYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus without

50 20-04-2019 100118010419Y001770 0000504012328 EUIS ANINGSIH P PBI (APBN) Other disorders of skin Berobat Jalan
and subcutaneous tissue,
not elsewhere classified

51 20-04-2019 100118010419Y001845 0000504020744 IKA MAEMUNAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
52 20-04-2019 100118010419Y001808 0000504033851 DADANG MAHPUDIN L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

53 20-04-2019 100118010419Y001789 0000504062548 AMELIAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
54 20-04-2019 100118010419Y001800 0000504085656 NYAI KOMARIAH P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
55 20-04-2019 100118010419Y001872 0000504229871 SILVA ROSKAYANTI P PBI (APBN) Impacted cerumen Berobat Jalan

56 20-04-2019 100118010419Y001774 0000504232547 EMPOK SARIPAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
57 20-04-2019 100118010419Y001757 0000504282352 WATI P PBI (APBN) Caries of cementum Berobat Jalan

58 20-04-2019 100118010419Y001780 0000504291339 IIS ISMAYANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

59 20-04-2019 100118010419Y001746 0000504326439 ATANG SASMITA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
60 20-04-2019 100118010419P001811 0000504333314 MIMIN NENGSIH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

61 20-04-2019 100118010419Y001844 0000504421255 DEDEH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
62 20-04-2019 100118010419Y001852 0000504472577 SUNITA P PBI (APBN) General medical Berobat Jalan
examination
63 20-04-2019 100118010419Y001815 0000504833624 WAWAN HERMAWAN L PBI (APBN) Rheumatism, unspecified, Berobat Jalan
shoulder region

64 20-04-2019 100118010419Y001869 0000504940184 ETI ROHAETI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

65 20-04-2019 100118010419P001814 0001013094516 DJUARIAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut


diabetes mellitus without

66 20-04-2019 100118010419P001832 0001013097611 TINI P PBI (APBN) Malignant neoplasm of Berobat Jalan
thyroid gland
67 20-04-2019 100118010419Y001762 0001013098432 UCU AISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
68 20-04-2019 100118010419P001752 0001013098937 NONOH P PBI (APBN) Gastro-oesophageal reflux Rujuk Lanjut
disease without

69 20-04-2019 100118010419Y001868 0001013099613 NUR MARLIAH P PBI (APBN) Necrosis of pulp Berobat Jalan

70 20-04-2019 100118010419Y001855 0001013100873 SUSANTI P PBI (APBN) Headache Berobat Jalan

71 20-04-2019 100118010419Y001850 0001013100884 NOVIA SRI KUSTINI P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
72 20-04-2019 100118010419Y001916 0001013101536 VEBI WIRGININGSIH P PBI (APBN) Dyspepsia Berobat Jalan

73 20-04-2019 100118010419Y001890 0001013101852 KOKOM KOMARIAH P PBI (APBN) Congestive heart failure Berobat Jalan

74 20-04-2019 100118010419Y001804 0001101229773 VIDA TRIMARYANA P PENERIMA PENSIUN Dyspepsia Berobat Jalan
POLRI
75 20-04-2019 100118010419Y001830 0001157890522 INA P PEGAWAI SWASTA Chronic gingivitis Berobat Jalan

76 20-04-2019 100118010419Y001915 0001157918624 SUSANTI P PEGAWAI SWASTA Acute lymphadenitis of Berobat Jalan
upper limb
77 20-04-2019 100118010419Y001773 0001259180616 MOCHAMAD SUKRON L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

78 20-04-2019 100118010419Y001806 0001265642897 ZAENAH MARIANA P PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease without

79 20-04-2019 100118010419Y001887 0001269424811 MAMAT SURYANA L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

80 20-04-2019 100118010419Y001889 0001270046542 DIAN SANDI NUGRAHA L PEGAWAI SWASTA Caries of cementum Berobat Jalan

81 20-04-2019 100118010419Y001885 0001272384055 H.MUHAMMAD ABDILLAH L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
GUNAWAN diabetes mellitus without

82 20-04-2019 100118010419Y001882 0001278085869 INDRA SULISTYO NURCAHYO L PEKERJA MANDIRI Transient cerebral Rujuk Lanjut
ischaemic attack,

83 20-04-2019 100118010419Y001776 0001300574463 ABDUL KODIR L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

84 20-04-2019 100118010419Y001824 0001302780868 JENNY MERIYANTI P PEKERJA MANDIRI Pulpitis Berobat Jalan

85 20-04-2019 100118010419Y001895 0001384017669 MIMIN MITARSIH P PBI (APBD) Acute gingivitis Berobat Jalan

86 20-04-2019 100118010419Y001816 0001398738914 INA WAHYUNIMIATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
87 20-04-2019 100118010419Y001854 0001398751571 DONI KOSWARA L PBI (APBD) Chronic gingivitis Berobat Jalan

88 20-04-2019 100118010419Y001857 0001398768287 ANING HARYATI P PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
89 20-04-2019 100118010419Y001874 0001398779594 AGUS GUSTIRA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
90 20-04-2019 100118010419Y001878 0001398782373 INTAN SURYANTI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
91 20-04-2019 100118010419Y001821 0001398784454 IMAS CUCU SUMIRAT P PBI (APBD) Cervicalgia Berobat Jalan

92 20-04-2019 100118010419Y001884 0001398785793 MIMIN KARMINI P PBI (APBD) Headache Berobat Jalan

93 20-04-2019 100118010419Y001818 0001401224422 ENI RUKMINI MULYATI P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
94 20-04-2019 100118010419Y001781 0001401225311 SITI HASANAH P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

95 20-04-2019 100118010419Y001859 0001401232667 NENENG ELLY TAMLICHO P PBI (APBD) Headache Berobat Jalan

96 20-04-2019 100118010419Y001892 0001401234434 TATI LAELANI P PBI (APBD) Pulpitis Rujuk Lanjut

97 20-04-2019 100118010419Y001893 0001401234456 PUTRI MAHARANI P PBI (APBD) Caries of cementum Berobat Jalan

98 20-04-2019 100118010419Y001779 0001441944549 TATIN SRIYANTIN P PEKERJA MANDIRI Chronic periodontitis Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

99 20-04-2019 100118010419Y001783 0001456068385 YATI ROHAYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

100 20-04-2019 100118010419P001807 0001456304286 ROCHMAN L PEKERJA MANDIRI Tuberculosis of other Rujuk Lanjut
specified organs
101 20-04-2019 100118010419Y001745 0001475491149 DEDEH ROSIDAH P PEGAWAI SWASTA Necrosis of pulp Rujuk Lanjut

102 20-04-2019 100118010419Y001785 0001483324659 BANGBANG PERMANA L PEGAWAI SWASTA Asthma, unspecified Berobat Jalan

103 20-04-2019 100118010419Y001875 0001518665613 SUMIATI P PBI (APBD) Fever, unspecified Berobat Jalan

104 20-04-2019 100118010419Y001792 0001519051713 SARTIKA SUKMA SALTUM P PEGAWAI SWASTA Chronic gingivitis Berobat Jalan

105 20-04-2019 100118010419P001876 0001519223725 NENGSIH P PEGAWAI SWASTA Chronic ischaemic heart Rujuk Lanjut
disease
106 20-04-2019 100118010419Y001873 0001519246642 JUMILAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
107 20-04-2019 100118010419Y001886 0001665911349 MIMIN SUNDAYANI P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus without

108 20-04-2019 100118010419Y001861 0001720125448 CYNTIARA NUR AINI P PEKERJA MANDIRI Perichondritis of external Berobat Jalan
ear
109 20-04-2019 100118010419P001768 0001720323167 SUPARDI L PEKERJA MANDIRI Atherosclerotic heart Rujuk Lanjut
disease
110 20-04-2019 100118010419Y001891 0001720653366 WAWANG WIDANINGSIH P PEKERJA MANDIRI Chronic gingivitis Berobat Jalan

111 20-04-2019 100118010419P001784 0001726312588 HJ.DEDE RUKMINI P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

112 20-04-2019 100118010419Y001840 0001728907457 ISSANTI YUNIA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
113 20-04-2019 100118010419Y001825 0001778079014 ENEH NERSAH P PBI (APBD) Congestive heart failure Rujuk Lanjut

114 20-04-2019 100118010419Y001883 0001778080184 ELMA WIDIYANTI P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
115 20-04-2019 100118010419P001744 0001778080375 YULI PUJIAWATI P PBI (APBD) Benign lipomatous Rujuk Lanjut
neoplasm, unspecified
116 20-04-2019 100118010419Y001864 0001801048274 RUDI SUKAMAJA L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

117 20-04-2019 100118010419Y001769 0001815876696 WACHDIYAT L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

118 20-04-2019 100118010419Y001795 0001815877754 IMAS ROSIDA P PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease without

119 20-04-2019 100118010419P001805 0001886246897 MARKUS EFFENDY L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

120 20-04-2019 100118010419Y001898 0001984556845 REZA PRATAMA L PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
121 20-04-2019 100118010419Y001827 0002038939097 SYAKIRAH ARTIA YUMNA P PEGAWAI BUMN Caries of dentine Berobat Jalan

122 20-04-2019 100118010419Y001819 0002060563724 WILMAN AL GHAZALI L PEKERJA MANDIRI Fever with chills Berobat Jalan

123 20-04-2019 100118010419Y001858 0002120608293 IMAS YANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
124 20-04-2019 100118010419Y001803 0002182411855 DUDU DZULHIJAH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
125 20-04-2019 100118010419Y001799 0002182411866 SALWA MEIHESA P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
126 20-04-2019 100118010419Y001888 0002182422273 JELITA AGUSTINA P PBI (APBD) Need for immunization Berobat Jalan
against diphtheria alone
127 20-04-2019 100118010419Y001823 0002182446538 SELA RAHAYU P PBI (APBD) Headache Berobat Jalan

128 20-04-2019 100118010419Y001798 0002182453705 YANA SETIANA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
129 20-04-2019 100118010419Y001796 0002182459026 AMOY SUKAESIH P PBI (APBD) Low back pain Berobat Jalan

130 20-04-2019 100118010419Y001881 0002182463651 DEWI SRIWIYANTI P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
131 20-04-2019 100118010419Y001765 0002182463706 AHMAD ARIPIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
132 20-04-2019 100118010419Y001764 0002182463717 YAYAN MARLIAH P PBI (APBD) Myalgia Berobat Jalan

133 20-04-2019 100118010419Y001820 0002182464821 ASEP DEDI L PBI (APBD) Arthritis, unspecified Berobat Jalan

134 20-04-2019 100118010419Y001788 0002182511518 DIDIN SURYANA L PBI (APBD) Low back pain Berobat Jalan

135 20-04-2019 100118010419Y001790 0002182511529 INDAH PERMATASARI P PBI (APBD) Headache Berobat Jalan

136 20-04-2019 100118010419Y001812 0002233435432 GARNETA ALAYYA GUMIWAN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

137 20-04-2019 100118010419Y001767 0002241158387 FADHLY MUHAMMAD FAUZAN L PEKERJA MANDIRI Pulpitis Berobat Jalan

138 20-04-2019 100118010419P001782 0002245502024 AFNAN PERMANA SAADAN L PEGAWAI SWASTA Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle
139 20-04-2019 100118010419Y001802 0002246792736 SOFIANINGSIH P PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

140 20-04-2019 100118010419Y001837 0002256027265 TATI SUHARTINI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

141 20-04-2019 100118010419P001867 0002265563204 SUNARLAN L PEKERJA MANDIRI Shoulder lesions Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

142 20-04-2019 100118010419P001836 0002267706879 HJ.NENENG ATIKAH P PEKERJA MANDIRI Internal haemorrhoids Rujuk Lanjut
without complication
143 20-04-2019 100118010419Y001847 0002291216117 SUSANTY P PEKERJA MANDIRI Surveillance of Berobat Jalan
(intrauterine) contraceptive

144 20-04-2019 100118010419Y001899 0002305000348 ZAYYIN AL FIKRI L PEGAWAI SWASTA Loss of teeth due to Berobat Jalan
accident, extraction or

145 20-04-2019 100118010419Y001813 0002421552431 RESKI ANUGRAH L PBI (APBD) Fever, unspecified Berobat Jalan

146 20-04-2019 100118010419Y001810 0002424591224 ENTIN JUARIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
147 20-04-2019 100118010419Y001791 0002429347825 ALAN TASLAN L PBI (APBD) Dyspepsia Berobat Jalan

148 20-04-2019 100118010419Y001828 0002457010282 NENG ELI P PBI (APBD) General counselling and Berobat Jalan
advice on contraception
149 20-04-2019 100118010419Y001897 0002483276613 MIFTAHUL JANAH P PBI (APBD) Urinary tract infection, site Berobat Jalan
RATNANINGSIH not specified
150 20-04-2019 100118010419Y001877 0002593131917 KAMIL PUTRA FAWWAZ L PBI (APBN) Fever with chills Berobat Jalan

151 20-04-2019 100118010419Y001862 0002602063449 TSALTSA AILIYA ROHMAH P PBI (APBN) Fever, unspecified Berobat Jalan

152 20-04-2019 100118010419Y001748 0002605189487 TUTI ASTUTI P PBI (APBN) Dyspepsia Berobat Jalan

153 20-04-2019 100118010419Y001834 0002612603057 GABRIELA VIRGINIA P PEKERJA MANDIRI Caries of cementum Berobat Jalan
TAMBUNAN
154 19-04-2019 100118010419Y001743 0002182444424 INA P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
155 18-04-2019 100118010419Y001647 0000055867061 YULISTYA RATNA WULAN, S.IP P PEGAWAI SWASTA Pulpitis Berobat Jalan

156 18-04-2019 100118010419P001634 0000055940984 YUS R HARDJADINATA L PNS PUSAT Optic atrophy Rujuk Lanjut

157 18-04-2019 100118010419P001640 0000055940995 RD.IDA FARIDA KASMAWATI P PNS PUSAT Radiculopathy, cervical Rujuk Lanjut
region
158 18-04-2019 100118010419P001671 0000056892892 EUIS SURASMANAH P PENERIMA PENSIUN After-cataract Rujuk Lanjut
PNS
159 18-04-2019 100118010419P001685 0000057234554 H. HELMI ZAINAL ARIFIN L PENERIMA PENSIUN Chronic kidney disease, Rujuk Lanjut
PNS stage 5
160 18-04-2019 100118010419Y001678 0000057236769 OHIM ABDUL ROCHIM L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
161 18-04-2019 100118010419Y001641 0000283274109 ELWI MUSLIM DARMANSYAH L PBI (APBN) Fever, unspecified Berobat Jalan

162 18-04-2019 100118010419Y001650 0000418184201 Y. WACHYO L PBI (APBN) Fever, unspecified Berobat Jalan

163 18-04-2019 100118010419Y001664 0000501998005 ANYI SUMARNI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

164 18-04-2019 100118010419P001686 0000502193654 YEYE PRIATNA L PBI (APBN) Inguinal hernia Rujuk Lanjut

165 18-04-2019 100118010419Y001706 0000502193867 LILIS SUPIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
166 18-04-2019 100118010419Y001679 0000502222397 YAYAT SUPRIATNA L PBI (APBN) Disorder of skin and Berobat Jalan
subcutaneous tissue,

167 18-04-2019 100118010419Y001705 0000502850158 MOCH SAEPULOH L PBI (APBN) Caries of dentine Berobat Jalan

168 18-04-2019 100118010419Y001645 0000502875652 PATIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
169 18-04-2019 100118010419Y001666 0000503407721 ENJE L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
170 18-04-2019 100118010419Y001663 0000503417013 NYAI ANI SUMARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
171 18-04-2019 100118010419P001617 0000503451246 ELIA NURLIAWATI P PBI (APBN) Maternal care due to Rujuk Lanjut
uterine scar from previous

172 18-04-2019 100118010419P001624 0000503512547 ROHANAH P PBI (APBN) Senile cataract Rujuk Lanjut

173 18-04-2019 100118010419Y001684 0000503528387 SOPIANA P PBI (APBN) Dermatitis, unspecified Berobat Jalan

174 18-04-2019 100118010419Y001716 0000503608195 ADITIA PUTRA PRATAMA L PBI (APBN) Headache Berobat Jalan

175 18-04-2019 100118010419Y001691 0000503637669 ETI ROHAETI P PENERIMA PENSIUN TNI Bronchitis, not specified as Berobat Jalan
acute or chronic
176 18-04-2019 100118010419Y001681 0000503682074 JULPA GINA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
177 18-04-2019 100118010419Y001632 0000503752318 SANTI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
178 18-04-2019 100118010419Y001619 0000503793764 KARWATI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
179 18-04-2019 100118010419Y001622 0000503835052 ETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
180 18-04-2019 100118010419Y001631 0000503875539 ROHMATULOH L PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
181 18-04-2019 100118010419P001683 0000504075093 LILIS WIDANENGSIH P PBI (APBN) Gonarthrosis [arthrosis of Rujuk Lanjut
knee]
182 18-04-2019 100118010419Y001680 0000504117224 MARIAM P PBI (APBN) Dyspepsia Berobat Jalan

183 18-04-2019 100118010419Y001636 0000504162775 ODAH ROKAYAH P PBI (APBN) Low back pain Berobat Jalan

184 18-04-2019 100118010419Y001722 0000504455725 ALIS SITI FATIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
185 18-04-2019 100118010419Y001695 0000504889492 SOLIHIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

186 18-04-2019 100118010419Y001667 0000504908267 ASEP SOLEHUDIN L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
187 18-04-2019 100118010419Y001692 0001013096261 EULIS RODIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
188 18-04-2019 100118010419Y001637 0001013096349 ANI HARYANI P PBI (APBN) Low back pain Berobat Jalan

189 18-04-2019 100118010419Y001658 0001013104934 ADE ABDURRAHMAN L PBI (APBN) Myalgia Berobat Jalan

190 18-04-2019 100118010419Y001654 0001013104945 SRI FADHILAH H. P PBI (APBN) Disorders of initiating and Berobat Jalan
maintaining sleep

191 18-04-2019 100118010419Y001659 0001013104978 ROHIMAH NUR AZIZAH P PBI (APBN) Other general Berobat Jalan
examinations
192 18-04-2019 100118010419Y001633 0001013105079 JUHARIAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
193 18-04-2019 100118010419P001688 0001013108185 EMAY MARIYANI P PBI (APBN) Chronic ischaemic heart Rujuk Lanjut
disease
194 18-04-2019 100118010419P001677 0001013110648 JUJU P PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
195 18-04-2019 100118010419Y001708 0001013114709 OYAH SUROYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
196 18-04-2019 100118010419P001620 0001013115249 NANANG L PBI (APBN) Cholelithiasis Rujuk Lanjut

197 18-04-2019 100118010419Y001652 0001151855054 LINDA MARLIA P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
198 18-04-2019 100118010419Y001616 0001259180616 MOCHAMAD SUKRON L PEKERJA MANDIRI Developmental disorders Rujuk Lanjut
of jaws
199 18-04-2019 100118010419Y001689 0001261327329 WILDA PRATIWI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
200 18-04-2019 100118010419P001629 0001287361708 DIKI HUSNI MUKHTAR L PBI (APBD) Schizophrenia Rujuk Lanjut

201 18-04-2019 100118010419P001670 0001301690103 MULYADI PRATAMA L PEKERJA MANDIRI Personal history of Rujuk Lanjut
congenital malformations,
deformations and
chromosomal
abnormalities

202 18-04-2019 100118010419Y001660 0001306859387 NENI NURAENI P PEGAWAI SWASTA Acute gingivitis Berobat Jalan

203 18-04-2019 100118010419Y001701 0001308794409 SITI AMINAH P PEGAWAI SWASTA Scabies Berobat Jalan

204 18-04-2019 100118010419Y001676 0001313307022 SUHENTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
205 18-04-2019 100118010419Y001665 0001328478311 YUNI FITRI YANI P PEKERJA MANDIRI Headache Berobat Jalan

206 18-04-2019 100118010419P001712 0001338144805 NANI SUHAENI P PENERIMA PENSIUN Gastritis, unspecified Rujuk Lanjut
SWASTA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

207 18-04-2019 100118010419P001697 0001339435855 YETI HERLINDAWATI P PEKERJA MANDIRI Pain in thoracic spine Rujuk Lanjut

208 18-04-2019 100118010419P001713 0001383390696 YANI P PBI (APBD) Disorder of refraction, Rujuk Lanjut
unspecified
209 18-04-2019 100118010419Y001672 0001398750118 TRESNA P PBI (APBD) Headache Berobat Jalan

210 18-04-2019 100118010419Y001704 0001398754686 ENUNG MARTINI P PBI (APBD) Periodontosis Berobat Jalan

211 18-04-2019 100118010419Y001628 0001398772359 QISTI NADZIFA P PBI (APBD) Caries of dentine Berobat Jalan

212 18-04-2019 100118010419Y001649 0001401225311 SITI HASANAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
213 18-04-2019 100118010419Y001651 0001435058921 MAJOHOR L PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

214 18-04-2019 100118010419P001682 0001452564876 NENENG SUHARIAH P PEKERJA MANDIRI Radiculopathy, cervical Rujuk Lanjut
region
215 18-04-2019 100118010419P001615 0001453624525 OKY WIRYANA L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
216 18-04-2019 100118010419P001618 0001453625256 TUTI HARYATUN P PEKERJA MANDIRI Disorders of refraction and Rujuk Lanjut
accommodation
217 18-04-2019 100118010419Y001614 0001455741099 SAIDIN NABABAN L PEKERJA MANDIRI Headache Berobat Jalan

218 18-04-2019 100118010419P001709 0001455800488 MAS DEDEH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

219 18-04-2019 100118010419P001699 0001456430038 YULIANA P PEGAWAI SWASTA Myopia Rujuk Lanjut

220 18-04-2019 100118010419Y001715 0001462974131 DIANA ADIWIDJAJA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
221 18-04-2019 100118010419Y001623 0001465018356 TITOH SUPENTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
222 18-04-2019 100118010419Y001613 0001470407398 UJANG RUKMANA L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
223 18-04-2019 100118010419Y001714 0001475491127 AHMAD SOFYAN L PEGAWAI SWASTA Unspecified haemorrhoids Berobat Jalan
without complication

224 18-04-2019 100118010419P001694 0001514777185 MOCHAMAD BINTANG L PEGAWAI SWASTA Dislocation of patella Rujuk Lanjut
KHAIRUR RIZAL
225 18-04-2019 100118010419Y001653 0001515437864 HARIAJATI NAGARANA P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

226 18-04-2019 100118010419Y001661 0001518664037 YETI KUSMIATI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
227 18-04-2019 100118010419Y001690 0001636062254 JAUDAH ATHALIA P PEGAWAI SWASTA Pulpitis Berobat Jalan
SOFYANSYAH
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

228 18-04-2019 100118010419P001711 0001660750029 NYIMAS JEJEN P PEGAWAI SWASTA Other specified symptoms Rujuk Lanjut
and signs involving the
digestive system and

229 18-04-2019 100118010419Y001638 0001663820201 RINA REVANIA P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
230 18-04-2019 100118010419Y001646 0001717994788 GINA RAHMANIA UTAMI P PEKERJA MANDIRI Asthma, unspecified Berobat Jalan

231 18-04-2019 100118010419P001648 0001718800402 AI TATI SATI'AH P PEKERJA MANDIRI Disorders of refraction and Rujuk Lanjut
accommodation
232 18-04-2019 100118010419Y001687 0001720725085 HJ.ROHATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
233 18-04-2019 100118010419Y001703 0001733711433 DODY CASMANA L INVESTOR Essential (primary) Berobat Jalan
hypertension
234 18-04-2019 100118010419Y001662 0001778079014 ENEH NERSAH P PBI (APBD) Congestive heart failure Berobat Jalan

235 18-04-2019 100118010419P001710 0001968509283 ENTIN SUKAESIH P PEKERJA MANDIRI Sequelae of cerebral Rujuk Lanjut
infarction
236 18-04-2019 100118010419Y001720 0001968723538 RIZKY CANDRA LUKITO L PEKERJA MANDIRI Nausea and vomiting Berobat Jalan

237 18-04-2019 100118010419P001639 0002085710163 YETI YUNIATI BINTI ONENG P PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

238 18-04-2019 100118010419Y001723 0002087182451 YENDI SINAGA L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

239 18-04-2019 100118010419Y001721 0002091293561 TARSISIUS BOBY SOFIAN L PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
240 18-04-2019 100118010419Y001655 0002182414026 TITIN P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
241 18-04-2019 100118010419Y001644 0002182419415 FADILAH AHMAD FAUZI L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
242 18-04-2019 100118010419Y001657 0002182426064 IIS SITI AISAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
243 18-04-2019 100118010419Y001702 0002182426345 ADE IWAN L PBI (APBD) Scabies Berobat Jalan

244 18-04-2019 100118010419Y001696 0002182437562 RIA ROSMIA NURSANTARI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
245 18-04-2019 100118010419Y001675 0002182455562 MIRA MARLIANA P PBI (APBD) Gastro-oesophageal reflux Berobat Jalan
disease without

246 18-04-2019 100118010419Y001626 0002182463379 IDA WIDAWATI P PBI (APBD) Periodontosis Berobat Jalan

247 18-04-2019 100118010419Y001668 0002182464088 LILIS KOMARIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
248 18-04-2019 100118010419Y001669 0002183371558 SITI SOPIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
249 18-04-2019 100118010419P001643 0002195396032 YEYENSRI RAHAYU P PEKERJA MANDIRI Astigmatism Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

250 18-04-2019 100118010419P001627 0002217302987 KARTINI P PEKERJA MANDIRI Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

251 18-04-2019 100118010419Y001698 0002218475542 DAUD L PEKERJA MANDIRI Periodontosis Berobat Jalan

252 18-04-2019 100118010419Y001656 0002301546238 RAPIUDIN SITOHANG L PEKERJA MANDIRI Myalgia Berobat Jalan

253 18-04-2019 100118010419P001707 0002303472126 SABINA LISYANA HASNA P PBI (APBN) Tuberculosis of other Rujuk Lanjut
specified organs
254 18-04-2019 100118010419Y001674 0002327554798 ISMAN NUR ROHMAN L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

255 18-04-2019 100118010419Y001621 0002396687534 JUANINGSIH P PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
256 18-04-2019 100118010419Y001700 0002433206687 LINDAWATI P PBI (APBD) Necrosis of pulp Berobat Jalan

257 18-04-2019 100118010419Y001718 0002446089399 AI SRI NURYANI P PEKERJA MANDIRI Inflammatory disease of Berobat Jalan
uterus, unspecified
258 18-04-2019 100118010419Y001719 0002446090525 SARI P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
259 18-04-2019 100118010419Y001625 0002461819072 TINI WARTINI P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
260 18-04-2019 100118010419P001717 0002467127766 RANI L PEKERJA MANDIRI Synovial cyst of popliteal Rujuk Lanjut
space [Baker], shoulder

261 18-04-2019 100118010419P001673 0002479505387 RAFARDHAN ATHALLA L PEKERJA MANDIRI Colostomy status Rujuk Lanjut

262 18-04-2019 100118010419Y001635 0002496173488 AISAH NURJANAH P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
263 18-04-2019 100118010419Y001642 0002601766056 CUCU NANI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

264 18-04-2019 100118010419P001693 0002602077783 UGIH RAHMAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
265 18-04-2019 100118010419Y001630 0002620832703 ABDUL HAMID AZIZ L PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

266 17-04-2019 100118010419Y001612 0000057775386 REIHAN FAYYADHI ANAS L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
267 17-04-2019 100118010419Y001611 0000502760709 ROHMAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
268 17-04-2019 100118010419Y001610 0001401225311 SITI HASANAH P PBI (APBD) Counselling, unspecified Berobat Jalan

269 17-04-2019 100118010419Y001609 0002051573927 GITAYA MAHAKIRANA ADIYA P PEKERJA MANDIRI Unspecified viral infection Berobat Jalan
AZRA characterized by skin and
mucous membrane lesions
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

270 16-04-2019 100118010419P001901 0000053408248 SUMADI, SE L PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
271 16-04-2019 100118010419P001508 0000053524956 HJ.EULIS SITI SURNANI P PENERIMA PENSIUN Generalized anxiety Rujuk Lanjut
PNS disorder
272 16-04-2019 100118010419Y001585 0000053735332 NONO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

273 16-04-2019 100118010419Y001584 0000053763726 NELSY MATONDANG P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
274 16-04-2019 100118010419P001907 0000055222931 MAMU TALIMUDIN L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus
275 16-04-2019 100118010419P001556 0000055411457 DADANG MULYAR L PNS DAERAH Disorders of refraction and Rujuk Lanjut
accommodation
276 16-04-2019 100118010419P001904 0000055411762 DADANG SAIFULLAH L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus
277 16-04-2019 100118010419P001524 0000055442204 ASEP SULAEMAN L PNS DAERAH Chronic obstructive Rujuk Lanjut
pulmonary disease,

278 16-04-2019 100118010419P001737 0000055445973 EUIS RATNANINGSIH P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus
279 16-04-2019 100118010419Y001515 0000055466245 TOTO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
280 16-04-2019 100118010419Y001537 0000055529684 SATIA WIDAYAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
281 16-04-2019 100118010419P001733 0000055556673 TETI HARYETI,S.PD.SD P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus
282 16-04-2019 100118010419P001543 0000055613575 RINA YULIANI P PNS DAERAH Myopia Rujuk Lanjut

283 16-04-2019 100118010419P001741 0000055797243 SITI HAWA BATUBARA P PNS PUSAT Non-insulin-dependent Sembuh
diabetes mellitus
284 16-04-2019 100118010419P001903 0000055802136 INCANG CARWINI P PNS PUSAT Non-insulin-dependent Sembuh
diabetes mellitus
285 16-04-2019 100118010419P001742 0000056132021 ETI SURYATI P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
286 16-04-2019 100118010419Y001510 0000056230301 MARDI ALIAS APAN L VETERAN Postzoster neuralgia Berobat Jalan

287 16-04-2019 100118010419P001740 0000056391963 IROH ROCHMAWATI P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
288 16-04-2019 100118010419P001521 0000056427028 SUWARNI P PENERIMA PENSIUN TNI Community Acquired Rujuk Lanjut
Pneumonia
289 16-04-2019 100118010419P001738 0000056428661 SITI NURMAWAN ALWY P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
290 16-04-2019 100118010419P001724 0000056432305 ROS RAUDAH P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

291 16-04-2019 100118010419P001900 0000056990632 MIMI P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus
292 16-04-2019 100118010419P001527 0000057501819 IIS SURYATI P PENERIMA PENSIUN Systemic lupus Rujuk Lanjut
PNS erythematosus
293 16-04-2019 100118010419P001549 0000062722945 H.MASKANA SUMITRA, L PNS DAERAH End-stage renal disease Rujuk Lanjut
DR.DRS.SH, MSI
294 16-04-2019 100118010419P001908 0000072377943 EUNIS HAWIAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus
295 16-04-2019 100118010419P001910 0000171546917 M.PATONAH P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
296 16-04-2019 100118010419Y001604 0000243906298 GABRIEL SIMARMATA L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

297 16-04-2019 100118010419Y001534 0000283273536 ELWI FAIZIL AZIMMA L PBI (APBN) Fever, unspecified Berobat Jalan

298 16-04-2019 100118010419Y001605 0000312347856 ANGGA WIRANATA L PEGAWAI SWASTA Dyspepsia Berobat Jalan

299 16-04-2019 100118010419P001533 0000501576952 YANUAR L PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, without
mention of bacteriological
or histological confirmation

300 16-04-2019 100118010419P001735 0000502028943 IHAT P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus
301 16-04-2019 100118010419P001732 0000502067226 INGGIT KARMAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
302 16-04-2019 100118010419P001753 0000502306244 SUKAESIH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
303 16-04-2019 100118010419Y001577 0000502922878 DEDI SUNGKAWA L PBI (APBN) Impacted cerumen Berobat Jalan

304 16-04-2019 100118010419Y001566 0000503343472 ANI ROHAENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
305 16-04-2019 100118010419Y001580 0000503355486 IMAS MASRIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
306 16-04-2019 100118010419Y001606 0000503434809 MAMAT AMAS L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

307 16-04-2019 100118010419Y001520 0000503442527 NUNUNG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
308 16-04-2019 100118010419Y001536 0000503573196 ZAENAL MUTTAKIN L PBI (APBN) Dyspepsia Berobat Jalan

309 16-04-2019 100118010419P001540 0000503573927 RIMA MUTIA P PBI (APBN) Mild mental retardation Rujuk Lanjut

310 16-04-2019 100118010419Y001548 0000503681512 LINA MARLINA P PBI (APBN) Factitial dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

311 16-04-2019 100118010419P001763 0000503731721 DEDEH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus
312 16-04-2019 100118010419Y001595 0000503779972 ENDANG L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
313 16-04-2019 100118010419Y001552 0000503794348 ELAN SAEPUL L PBI (APBN) Headache Berobat Jalan

314 16-04-2019 100118010419P001586 0000503857023 ADE KASTAM L PBI (APBN) Chronic kidney disease Rujuk Lanjut

315 16-04-2019 100118010419P001731 0000504033851 DADANG MAHPUDIN L PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
316 16-04-2019 100118010419Y001512 0000504229871 SILVA ROSKAYANTI P PBI (APBN) Impacted cerumen Berobat Jalan

317 16-04-2019 100118010419P001558 0000504279189 UCI SUMIATI P PBI (APBN) Surveillance of Berobat Jalan
contraceptive drugs
318 16-04-2019 100118010419Y001551 0000504280192 EUIS KOMARIAH P PBI (APBN) Other contraceptive Berobat Jalan
management
319 16-04-2019 100118010419Y001564 0000504281654 DARMILAH P PBI (APBN) Other contraceptive Berobat Jalan
management
320 16-04-2019 100118010419P001729 0000504333314 MIMIN NENGSIH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
321 16-04-2019 100118010419Y001571 0000504333314 MIMIN NENGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
322 16-04-2019 100118010419Y001526 0000504377133 LILIS SURYANI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
323 16-04-2019 100118010419Y001593 0000504407812 SUKMINI P PBI (APBN) Chronic gingivitis Berobat Jalan

324 16-04-2019 100118010419Y001582 0000504568506 MASITOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
325 16-04-2019 100118010419P001749 0000504940184 ETI ROHAETI P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
326 16-04-2019 100118010419P001754 0001013094516 DJUARIAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
327 16-04-2019 100118010419P001758 0001013095495 ANIH SUMARNI P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
328 16-04-2019 100118010419Y001519 0001013100884 NOVIA SRI KUSTINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
329 16-04-2019 100118010419Y001514 0001013105316 IMAS HAYATI P PBI (APBN) Hypothermia, not Berobat Jalan
associated with low
environmental temperature

330 16-04-2019 100118010419Y001591 0001081212974 SALBIAH ENDANG P PENERIMA PENSIUN TNI Pulpitis Berobat Jalan

331 16-04-2019 100118010419Y001575 0001257456227 YUYUS YUSNIKA MUSTOPA P PEKERJA MANDIRI Chronic gingivitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

332 16-04-2019 100118010419P001919 0001259180616 MOCHAMAD SUKRON L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
333 16-04-2019 100118010419Y001590 0001260085948 H. SUMARNA S.A L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
334 16-04-2019 100118010419P001535 0001261499984 SUKANDA, S.IP L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
335 16-04-2019 100118010419P001734 0001269424811 MAMAT SURYANA L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
336 16-04-2019 100118010419P001911 0001272384055 H.MUHAMMAD ABDILLAH L PEKERJA MANDIRI Non-insulin-dependent Sembuh
GUNAWAN diabetes mellitus
337 16-04-2019 100118010419P001502 0001273601441 HANEMAN GULTOM L PEKERJA MANDIRI Retinal disorder, Rujuk Lanjut
unspecified
338 16-04-2019 100118010419P001522 0001279061796 LILI HALIMATUL SADIAH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
339 16-04-2019 100118010419P001547 0001289991688 HANA L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
340 16-04-2019 100118010419Y001503 0001300574463 ABDUL KODIR L PEKERJA MANDIRI Arthritis, unspecified Berobat Jalan

341 16-04-2019 100118010419P001739 0001300574463 ABDUL KODIR L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
342 16-04-2019 100118010419P001562 0001317244318 H. ZAHAR L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

343 16-04-2019 100118010419Y001608 0001337439071 DEVI NOVIA P PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

344 16-04-2019 100118010419P001511 0001337623299 YASIN SETIADI L PEKERJA MANDIRI Other cholelithiasis Rujuk Lanjut

345 16-04-2019 100118010419P001909 0001340164078 BUDI DANUBRATA L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
346 16-04-2019 100118010419P001516 0001372091141 RAHMAN NUGRAHA L PEGAWAI PEMERINTAH Hyperplasia of prostate Rujuk Lanjut
DENGAN PERJANJIAN

347 16-04-2019 100118010419Y001568 0001382463999 HJ.LIN HALIMAH P PBI (APBD) Other forms of stomatitis Berobat Jalan

348 16-04-2019 100118010419Y001600 0001382889273 EEM ISKANDAR P PEKERJA MANDIRI Caries of dentine Berobat Jalan

349 16-04-2019 100118010419P001912 0001388142595 DARMANTO L PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus
350 16-04-2019 100118010419P001913 0001388145227 OEY MaY GIEK P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
351 16-04-2019 100118010419Y001603 0001398739083 TUTI P PBI (APBD) Myalgia Berobat Jalan

352 16-04-2019 100118010419Y001602 0001398739116 MUTIARA SANY P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

353 16-04-2019 100118010419Y001507 0001398750963 YAYAH JUHAENI P PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
354 16-04-2019 100118010419Y001525 0001398763956 HENI ROHAENI P PBI (APBD) Fever, unspecified Berobat Jalan

355 16-04-2019 100118010419Y001517 0001398766116 DJUARSIH P PBI (APBD) Dyspepsia Berobat Jalan

356 16-04-2019 100118010419Y001587 0001398767196 DANA SURYANA L PBI (APBD) Allergic urticaria Berobat Jalan

357 16-04-2019 100118010419Y001528 0001398779054 IMAS KOMARIAH P PBI (APBD) Dyspepsia Berobat Jalan

358 16-04-2019 100118010419Y001550 0001398784533 AI NENGSIH P PBI (APBD) Other contraceptive Berobat Jalan
management
359 16-04-2019 100118010419Y001574 0001398785703 CUCU SUARTINI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
360 16-04-2019 100118010419Y001560 0001398787716 ARREVAN SEPTIANSYAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
361 16-04-2019 100118010419Y001561 0001398787727 SITI AIDAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
362 16-04-2019 100118010419P001506 0001401224646 AJAT SUDRAJAT L PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
363 16-04-2019 100118010419P001728 0001401225311 SITI HASANAH P PBI (APBD) Non-insulin-dependent Sembuh
diabetes mellitus
364 16-04-2019 100118010419Y001581 0001401231093 AI SUMARNI P PBI (APBD) Chronic gingivitis Berobat Jalan

365 16-04-2019 100118010419Y001579 0001401231104 MARIO APRYAN PUTRO L PBI (APBD) Caries of dentine Berobat Jalan

366 16-04-2019 100118010419Y001570 0001453420045 ANAH SUHAENI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
367 16-04-2019 100118010419Y001592 0001453625256 TUTI HARYATUN P PEKERJA MANDIRI Benign paroxysmal vertigo Berobat Jalan

368 16-04-2019 100118010419P001918 0001456068385 YATI ROHAYATI P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
369 16-04-2019 100118010419P001761 0001456658267 MIMING SUTOMO L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
370 16-04-2019 100118010419P001771 0001456916466 VERONIKA W. P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
371 16-04-2019 100118010419P001725 0001518658187 RAMALIA JELITA L PBI (APBD) Non-insulin-dependent Sembuh
diabetes mellitus
372 16-04-2019 100118010419Y001513 0001519767753 SITI NGATIQOH P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
373 16-04-2019 100118010419P001554 0001521022656 SINDORO BASRI L PEKERJA MANDIRI Calculus of kidney Rujuk Lanjut

374 16-04-2019 100118010419Y001589 0001659840322 ELIS MULYATI.ST P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

375 16-04-2019 100118010419Y001597 0001664350571 HJ. AMNI HAYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
SWASTA hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

376 16-04-2019 100118010419P001902 0001665911349 MIMIN SUNDAYANI P PEGAWAI SWASTA Non-insulin-dependent Sembuh
diabetes mellitus
377 16-04-2019 100118010419P001596 0001666521887 ANTONIUS JEFFREY L PEGAWAI SWASTA Hypertensive heart Rujuk Lanjut
disease
378 16-04-2019 100118010419P001730 0001790983888 GIMAN L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
379 16-04-2019 100118010419Y001501 0001795293718 NOWO JANTO L PEKERJA MANDIRI Acute lymphadenitis, Rujuk Lanjut
unspecified
380 16-04-2019 100118010419P001906 0001801048274 RUDI SUKAMAJA L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
381 16-04-2019 100118010419P001726 0001815876696 WACHDIYAT L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
382 16-04-2019 100118010419P001727 0001815877754 IMAS ROSIDA P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
383 16-04-2019 100118010419P001756 0001830457743 entin kartini P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
384 16-04-2019 100118010419Y001576 0002065319763 ROHAYA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
385 16-04-2019 100118010419Y001538 0002085710163 YETI YUNIATI BINTI ONENG P PEKERJA MANDIRI Chronic renal failure, Berobat Jalan
unspecified
386 16-04-2019 100118010419P001563 0002182416805 ELLIS DARMANAH P PBI (APBD) Hypertensive heart Rujuk Lanjut
disease
387 16-04-2019 100118010419Y001553 0002182421441 ELIS P PBI (APBD) Other contraceptive Berobat Jalan
management
388 16-04-2019 100118010419Y001509 0002182422791 ANGGI JULIYANTI P PBI (APBD) Tuberculous peripheral Berobat Jalan
lymphadenopathy
389 16-04-2019 100118010419Y001545 0002182426266 REEHANA APRILIANA P PBI (APBD) Fever, unspecified Berobat Jalan

390 16-04-2019 100118010419Y001598 0002182432757 ADE BIN MUKRI L PBI (APBD) Person consulting on Berobat Jalan
behalf of another person
391 16-04-2019 100118010419P001559 0002182437854 PUTRI PAUZIAH NURPADILAH P PBI (APBD) Cholecystitis Rujuk Lanjut

392 16-04-2019 100118010419Y001529 0002182445559 RISTA P PBI (APBD) Cough Berobat Jalan

393 16-04-2019 100118010419Y001541 0002182445572 RENDI TRI PUTRA L PBI (APBD) Pneumonia, unspecified Berobat Jalan

394 16-04-2019 100118010419Y001555 0002182448586 SANTI PURNAMA SARI P PBI (APBD) Acute laryngopharyngitis Berobat Jalan

395 16-04-2019 100118010419Y001530 0002182454853 SARAH OKTAVIA P PBI (APBD) Dermatitis, unspecified Berobat Jalan

396 16-04-2019 100118010419Y001518 0002182457261 IKE DATILAH P PBI (APBD) Disorder of skin and Berobat Jalan
subcutaneous tissue,

397 16-04-2019 100118010419Y001557 0002182462525 YUSUP MAULANA L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

398 16-04-2019 100118010419Y001531 0002182466349 NUR SYFA HERIANI P PBI (APBD) Fever, unspecified Berobat Jalan

399 16-04-2019 100118010419Y001583 0002197827246 AULIA RAHSETIA LATIFAH P PEGAWAI SWASTA Fever with chills Berobat Jalan

400 16-04-2019 100118010419P001599 0002215741667 RUKIYAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

401 16-04-2019 100118010419Y001588 0002220324085 HJ.NINING P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

402 16-04-2019 100118010419P001736 0002256027265 TATI SUHARTINI P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
403 16-04-2019 100118010419Y001601 0002267986026 RADEN YUSUF FATAHILLAH L PEKERJA MANDIRI Fever with chills Berobat Jalan

404 16-04-2019 100118010419Y001542 0002276500803 YUNI NURAENUN, SE P PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

405 16-04-2019 100118010419Y001572 0002327155176 ROFIQ MUJTAMA L PEGAWAI SWASTA Pneumonia, unspecified Berobat Jalan

406 16-04-2019 100118010419Y001594 0002432620359 MUHAMAD RAPA L PBI (APBD) Exfoliation of teeth due to Berobat Jalan
systemic causes
407 16-04-2019 100118010419Y001569 0002438826816 RAFKA MUHAMAD ABYAN L PBI (APBD) Redundant prepuce, Berobat Jalan
YUSUF phimosis and

408 16-04-2019 100118010419Y001504 0002455106523 DUDUNG L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

409 16-04-2019 100118010419Y001573 0002456775707 NENDEN ROSWATI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

410 16-04-2019 100118010419P001539 0002466888884 FAJAR PRADIPTA L PEKERJA MANDIRI Acute lymphadenitis Rujuk Lanjut

411 16-04-2019 100118010419Y001607 0002491680464 SHAQIRA RIZKY AWALIYAH P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
412 16-04-2019 100118010419Y001546 0002597954196 OCHA MEIRA SAPUTRI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

413 16-04-2019 100118010419Y001523 0002600800367 ROSTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
414 16-04-2019 100118010419Y001567 0002620248142 H.ABDUL ROHMAN HIDAYAT L PBI (APBD) Disorder of skin and Berobat Jalan
subcutaneous tissue,

415 16-04-2019 100118010419Y001505 0002620810293 POIBE MANURUNG P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
416 16-04-2019 100118010419Y001578 0002749566238 NURHAYATI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
417 16-04-2019 100118010419Y001565 0002750320517 CHERLINA P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

418 16-04-2019 100118010419P001532 0002755110519 ARSYFA PUTRI JUANDA P PEKERJA MANDIRI Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle of

419 16-04-2019 100118010419P001544 0002755511741 SZAHDA REGINA ALMAQHVIRA P PNS DAERAH Myopia Rujuk Lanjut

420 15-04-2019 100118010419Y001481 0000052581497 OYI ANSHORI ABBAS L PNS DAERAH Necrosis of pulp Berobat Jalan

421 15-04-2019 100118010419Y001463 0000052584783 IIS NURHAYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
422 15-04-2019 100118010419Y001482 0000053763726 NELSY MATONDANG P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
423 15-04-2019 100118010419Y001471 0000054313255 LILIS NURLIAWATI P PNS DAERAH Loss of teeth due to Rujuk Lanjut
accident, extraction or

424 15-04-2019 100118010419Y001466 0000055530178 BILSON SIMAMORA, SH L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
425 15-04-2019 100118010419P001402 0000056431023 MARIYAM P PENERIMA PENSIUN TNI Senile cataract Rujuk Lanjut

426 15-04-2019 100118010419Y001462 0000057235869 I GDE NGURAH PUTRA L PENERIMA PENSIUN Dermatitis, unspecified Berobat Jalan
SENJAYA PNS
427 15-04-2019 100118010419P001448 0000057235871 YETTI NOURMIATI P PENERIMA PENSIUN Atopic dermatitis, Rujuk Lanjut
PNS unspecified
428 15-04-2019 100118010419P001419 0000057237366 SUHERMAN L PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease
429 15-04-2019 100118010419Y001393 0000057237502 SRI RAHAYU P PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan
PNS [common cold]
430 15-04-2019 100118010419P001380 0000062005959 WASTIKA P PNS DAERAH Chronic ischaemic heart Rujuk Lanjut
disease
431 15-04-2019 100118010419Y001470 0000502087511 ELAH NURELA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
432 15-04-2019 100118010419Y001418 0000502215704 WAHYU TUGITO L PBI (APBN) Fever with chills Berobat Jalan

433 15-04-2019 100118010419Y001473 0000502747121 ANI SURYANI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
434 15-04-2019 100118010419Y001427 0000503150624 NENENG ROSYANI P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus without

435 15-04-2019 100118010419Y001387 0000503168027 LUKI LUKMAN NULHAKIM L PBI (APBN) Cervicalgia, Berobat Jalan
occipito-atlanto-axial
436 15-04-2019 100118010419Y001395 0000503189673 ANI SUMARNI P PBI (APBN) Allergic urticaria Berobat Jalan

437 15-04-2019 100118010419P001392 0000503191462 HERMAN L PBI (APBN) Schizophrenia Rujuk Lanjut

438 15-04-2019 100118010419P001399 0000503246619 DIDI SULAEMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

439 15-04-2019 100118010419Y001412 0000503273182 EUIS MASRIAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
440 15-04-2019 100118010419Y001401 0000503294995 FIRMANA L PBI (APBN) Fever with chills Berobat Jalan

441 15-04-2019 100118010419Y001415 0000503310712 AISAH P PBI (APBN) Dyspepsia Berobat Jalan

442 15-04-2019 100118010419Y001454 0000503364532 ONENG P PBI (APBN) Necrosis of pulp Berobat Jalan

443 15-04-2019 100118010419Y001446 0000503379911 UGIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
444 15-04-2019 100118010419Y001452 0000503398798 ETTI WIDARTI P PBI (APBN) Headache Berobat Jalan

445 15-04-2019 100118010419P001383 0000503464566 SADIAH P PBI (APBN) Fibrosis and cirrhosis of Rujuk Lanjut
liver
446 15-04-2019 100118010419Y001494 0000503472273 NENENG RONIAH P PBI (APBN) Rheumatism, unspecified, Berobat Jalan
upper arm
447 15-04-2019 100118010419P001445 0000503724104 NANA WIHARNA L PBI (APBN) Secondary hypertension Rujuk Lanjut

448 15-04-2019 100118010419Y001414 0000503727884 TARMILAH P PBI (APBN) Necrosis of pulp Berobat Jalan

449 15-04-2019 100118010419Y001431 0000503729583 LAILA ASYIMA P PBI (APBN) Periodontosis Berobat Jalan

450 15-04-2019 100118010419Y001434 0000503764075 WAWAN L PBI (APBN) Myalgia Berobat Jalan

451 15-04-2019 100118010419Y001433 0000503764558 ASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
452 15-04-2019 100118010419Y001408 0000503793764 KARWATI P PBI (APBN) Asthma Berobat Jalan

453 15-04-2019 100118010419Y001468 0000503817906 YOYO SUTARYO L PBI (APBN) Cough Berobat Jalan

454 15-04-2019 100118010419Y001388 0000503881975 IMAS MULYATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

455 15-04-2019 100118010419Y001438 0000504011621 ENUNG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
456 15-04-2019 100118010419P001428 0000504031375 SHENI ESA TRI OCTAVIANI P PBI (APBN) Myopia Rujuk Lanjut

457 15-04-2019 100118010419P001397 0000504121915 HANDRA L PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

458 15-04-2019 100118010419Y001447 0000504200968 TATI NAWANGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
459 15-04-2019 100118010419Y001478 0000504201194 ODEH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

460 15-04-2019 100118010419Y001439 0000504213669 KARTIWI SUPRIATIN P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
461 15-04-2019 100118010419Y001456 0000504282216 RISKI.M.ILHAM L PBI (APBN) Fever with chills Berobat Jalan

462 15-04-2019 100118010419Y001379 0000504282352 WATI P PBI (APBN) Pulpitis Berobat Jalan

463 15-04-2019 100118010419Y001483 0000504324246 WIWI KARTIKA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
464 15-04-2019 100118010419Y001435 0000504356038 SAHMAN L PBI (APBN) Lichen simplex chronicus Berobat Jalan

465 15-04-2019 100118010419Y001432 0000504356995 UUN P PBI (APBN) Headache Berobat Jalan

466 15-04-2019 100118010419Y001484 0000504363227 AJAT SUDRAJAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
467 15-04-2019 100118010419Y001488 0000504451697 MASRIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
468 15-04-2019 100118010419Y001450 0000504757146 WULANDARI P PBI (APBN) Dyspepsia Berobat Jalan

469 15-04-2019 100118010419Y001398 0000504790571 UWAR P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
470 15-04-2019 100118010419Y001396 0000504873573 DESI MULYANI P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
471 15-04-2019 100118010419Y001403 0001013094044 UYUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
472 15-04-2019 100118010419Y001461 0001013095236 RENI P PBI (APBN) Tinea pedis Berobat Jalan

473 15-04-2019 100118010419P001475 0001259785179 SAIDIN L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

474 15-04-2019 100118010419Y001411 0001260837246 TITI HELAYATI P PEKERJA MANDIRI Myopia Rujuk Lanjut

475 15-04-2019 100118010419Y001458 0001280479623 AHYAR SUGANDA.SIP L PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
476 15-04-2019 100118010419P001391 0001293912044 LOICE SARNI SARAGIH P PEKERJA MANDIRI Disorders of autonomic Rujuk Lanjut
nervous system
477 15-04-2019 100118010419Y001479 0001318622499 RESTIE ARPIANITA ASTUTI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
478 15-04-2019 100118010419Y001467 0001319634909 MAKLIN BABAN L PEKERJA MANDIRI Chronic periodontitis Berobat Jalan

479 15-04-2019 100118010419Y001486 0001319635192 OSAH CUCU P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

480 15-04-2019 100118010419Y001485 0001338912156 DEDE AMYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
481 15-04-2019 100118010419P001389 0001380704128 RINAL NOVATRIANTO K.S L PEGAWAI SWASTA Congestive heart failure Rujuk Lanjut

482 15-04-2019 100118010419Y001474 0001389785477 SAROYAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

483 15-04-2019 100118010419Y001464 0001398736912 HATI HERAWATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
484 15-04-2019 100118010419Y001430 0001398768153 CECEP RUSTIANA L PBI (APBD) Anxiety disorder, Berobat Jalan
unspecified
485 15-04-2019 100118010419P001500 0001398782373 INTAN SURYANTI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
486 15-04-2019 100118010419P001426 0001398786322 IIM P PBI (APBD) Presence of other Rujuk Lanjut
functional implants
487 15-04-2019 100118010419Y001409 0001399610518 RANI SUNDARI P PEKERJA MANDIRI Prolonged pregnancy Rujuk Lanjut

488 15-04-2019 100118010419P001422 0001401233275 HJ.LILIS ROKAYAH P PBI (APBD) Heart failure Rujuk Lanjut

489 15-04-2019 100118010419P001385 0001401236346 ENO SURYONO L PBI (APBD) Asthma Rujuk Lanjut

490 15-04-2019 100118010419P001378 0001453624525 OKY WIRYANA L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
491 15-04-2019 100118010419P001377 0001455067056 IR. YONGKI GUNAWAN. M.A L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
492 15-04-2019 100118010419Y001493 0001471100466 LIE TIN LIUNG L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

493 15-04-2019 100118010419P001413 0001479650477 ESTHER HANDI P PEKERJA MANDIRI Senile cataract Rujuk Lanjut

494 15-04-2019 100118010419Y001492 0001518664353 NYAI SUTARSIH L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
495 15-04-2019 100118010419P001376 0001519237855 SANTI MUSTARI P PEGAWAI SWASTA Hypertensive heart Rujuk Lanjut
disease
496 15-04-2019 100118010419Y001424 0001663675705 VANESA ANGELIN SHARAPOVA P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

497 15-04-2019 100118010419Y001499 0001667611405 SALMA NURKHALSAH P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
SEPTIANTI pregnancy
498 15-04-2019 100118010419Y001489 0001718800402 AI TATI SATI'AH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
499 15-04-2019 100118010419Y001487 0001719195546 ANY HASANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
500 15-04-2019 100118010419Y001394 0001727806432 EUIS ROSITA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
501 15-04-2019 100118010419Y001449 0001728907457 ISSANTI YUNIA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
502 15-04-2019 100118010419Y001405 0001778080105 APONG P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
503 15-04-2019 100118010419P001476 0001807951858 ERNI NURAINI P PEGAWAI SWASTA Radiculopathy, lumbar Rujuk Lanjut
region
504 15-04-2019 100118010419Y001477 0001848403686 SITI NURJANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

505 15-04-2019 100118010419Y001496 0001864145913 IMAS SITI JUARIAH P PEKERJA MANDIRI Supervision of pregnancy Berobat Jalan
with history of abortive

506 15-04-2019 100118010419Y001417 0001883170618 DEDAH JUBAEDAH P PEKERJA MANDIRI Supervision of high-risk Rujuk Lanjut
pregnancy, unspecified
507 15-04-2019 100118010419P001375 0001902288791 wenny kastya p keliat P PEGAWAI SWASTA Cutaneous Rujuk Lanjut
autosensitization
508 15-04-2019 100118010419P001382 0001968311428 H. WAHYUDIN SETIABUDHI L PENERIMA PENSIUN Senile cataract Rujuk Lanjut
PNS
509 15-04-2019 100118010419Y001429 0001984388174 LING LING SUMIATI P PBI (APBN) Dental caries, unspecified Berobat Jalan

510 15-04-2019 100118010419Y001497 0001999687882 DEDEN MUSTAQIM L PBI (APBN) Influenza with pneumonia, Berobat Jalan
influenza virus identified

511 15-04-2019 100118010419Y001420 0002013774827 M.RIFQI MADANIL ULUM L PBI (APBN) Pulpitis Berobat Jalan

512 15-04-2019 100118010419P001442 0002069778352 NANI SUNARNI P PEKERJA MANDIRI Panniculitis affecting Rujuk Lanjut
regions of neck and back,

513 15-04-2019 100118010419Y001490 0002182432386 R.TOTONG SONJAYA L PBI (APBD) Headache Berobat Jalan

514 15-04-2019 100118010419Y001469 0002182442668 YUYUN YUNENGSIH P PBI (APBD) Chronic gingivitis Berobat Jalan

515 15-04-2019 100118010419Y001480 0002182444198 ENUNG ROHATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
516 15-04-2019 100118010419Y001400 0002182444942 NAYLA NUR AZZAHRA P PBI (APBD) Chronic periodontitis Berobat Jalan

517 15-04-2019 100118010419Y001410 0002182447001 NITA ANGELICA P PBI (APBD) Fever with chills Berobat Jalan

518 15-04-2019 100118010419Y001443 0002182449611 LENI ROHAENI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
519 15-04-2019 100118010419Y001390 0002182455516 TETI SUMIATI P PBI (APBD) Headache Berobat Jalan

520 15-04-2019 100118010419Y001441 0002182462402 DINDIN HASANUDIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
521 15-04-2019 100118010419Y001459 0002182464821 ASEP DEDI L PBI (APBD) Sprain and strain of ankle Berobat Jalan

522 15-04-2019 100118010419Y001460 0002182464955 FIRMAN NURAMDANI L PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

523 15-04-2019 100118010419Y001457 0002182506963 WINDA MUSTIKA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

524 15-04-2019 100118010419Y001423 0002182507007 FIRMAN ANDRYAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

525 15-04-2019 100118010419Y001491 0002183361085 KAMIN SITUNGKIR L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
526 15-04-2019 100118010419Y001472 0002183371018 ENDAH P PBI (APBD) Acute pharyngitis Berobat Jalan

527 15-04-2019 100118010419P001455 0002209212584 AMIN SARIPUDIN L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
528 15-04-2019 100118010419Y001421 0002215741375 DUDI NUR RACHMAN L PEKERJA MANDIRI Myelodysplastic Rujuk Lanjut
syndrome, unspecified
529 15-04-2019 100118010419Y001416 0002236922111 SUMINAR P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut

530 15-04-2019 100118010419Y001386 0002241158387 FADHLY MUHAMMAD FAUZAN L PEKERJA MANDIRI Pulpitis Berobat Jalan

531 15-04-2019 100118010419P001451 0002248684209 HJ.EMA MAEMUNAH, SH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
532 15-04-2019 100118010419Y001406 0002308989734 LIEM SIOK HOA P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

533 15-04-2019 100118010419P001407 0002325609911 ASEP SOLEH SUTISNA L PEKERJA MANDIRI Abnormalities of breathing Rujuk Lanjut

534 15-04-2019 100118010419Y001453 0002396478622 AMING L PBI (APBD) Cough Berobat Jalan

535 15-04-2019 100118010419Y001437 0002396721429 WULANSARI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
536 15-04-2019 100118010419Y001384 0002419066383 IWAN L PBI (APBD) Schizophrenia, unspecified Rujuk Lanjut

537 15-04-2019 100118010419Y001381 0002419880815 YANTI SUSILAWATI P PBI (APBD) Chronic gingivitis Berobat Jalan

538 15-04-2019 100118010419P001444 0002432133483 FAJRI MUHAMMAD RIZKY L PBI (APBD) Epilepsy, unspecified Rujuk Lanjut

539 15-04-2019 100118010419P001436 0002438826816 RAFKA MUHAMAD ABYAN L PBI (APBD) Redundant prepuce, Rujuk Lanjut
YUSUF phimosis and

540 15-04-2019 100118010419P001465 0002463562923 IIS NENI ROSTINI P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast
541 15-04-2019 100118010419Y001495 0002466832094 SURYANI P PBI (APBD) Twin pregnancy Berobat Jalan

542 15-04-2019 100118010419P001498 0002480694175 INA RAIS TEYSA AGUNG P PEGAWAI SWASTA Supervision of other Berobat Jalan
JOHARI normal pregnancy
543 15-04-2019 100118010419Y001442 0002602063484 UJANG SOPANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
544 15-04-2019 100118010419Y001440 0002602063495 IMAH ENTIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
545 15-04-2019 100118010419Y001425 0002614131786 YEHEZKIEL CHRISTIAN L PEGAWAI SWASTA Respiratory tuberculosis, Rujuk Lanjut
SIMBOLON bacteriologically and

546 15-04-2019 100118010419P001404 0002616683016 RONA SEPTIANA L PBI (APBD) Tuberculous peripheral Rujuk Lanjut
lymphadenopathy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

547 14-04-2019 100118010419Y001374 0000243906298 GABRIEL SIMARMATA L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

548 13-04-2019 100118010419P001340 0000053006905 SOFWAN BACHTIAR, H. DRS. L PENERIMA PENSIUN Secondary hypertension Berobat Jalan
PNS
549 13-04-2019 100118010419P001349 0000053006916 WIFDAWATI P PENERIMA PENSIUN Secondary hypertension Berobat Jalan
PNS
550 13-04-2019 100118010419P001267 0000053735793 RONIA SIMANJUNTAK P PENERIMA PENSIUN Hypertensive heart Berobat Jalan
PNS disease
551 13-04-2019 100118010419Y001355 0000055459989 IIS NURDIANI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
552 13-04-2019 100118010419P001325 0000055519086 RENI ROHAENI P PNS DAERAH Hyperlipidaemia, Berobat Jalan
unspecified
553 13-04-2019 100118010419P001271 0000056120591 ENTIN KARTINI P PENERIMA PENSIUN TNI Secondary hypertension Berobat Jalan

554 13-04-2019 100118010419Y001302 0000056176817 HJ.DJENAB DJAKIAH P PENERIMA PENSIUN TNI Necrosis of pulp Berobat Jalan

555 13-04-2019 100118010419P001336 0000056395776 TITI MURDIATI P VETERAN Secondary hypertension, Berobat Jalan
unspecified
556 13-04-2019 100118010419P001310 0000056710934 YAYAT SUDRAJAT L PNS PUSAT Hypertensive heart Berobat Jalan
disease
557 13-04-2019 100118010419P001347 0000056871551 MIEN SUMINTARSIH P PENERIMA PENSIUN Secondary hypertension Berobat Jalan
PNS
558 13-04-2019 100118010419P001297 0000056957861 TATIN SUPRIATIN P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without

559 13-04-2019 100118010419P001362 0000057187888 NANI NILAWATI P PENERIMA PENSIUN Gonarthrosis, unspecified Berobat Jalan
PNS
560 13-04-2019 100118010419P001251 0000057190241 WIWI ACHDIWATI D. P PENERIMA PENSIUN Secondary hypertension Berobat Jalan
PNS
561 13-04-2019 100118010419Y001330 0000057230932 R. M. MARSIDI, BE L PENERIMA PENSIUN Pulpitis Rujuk Lanjut
PNS
562 13-04-2019 100118010419P001277 0000057234306 MONANG SUHERMAN L PENERIMA PENSIUN Presbyopia Rujuk Lanjut
PNS
563 13-04-2019 100118010419Y001323 0000057604825 JENY SUCIPERMATA P PEKERJA MANDIRI Impacted teeth Berobat Jalan

564 13-04-2019 100118010419P001334 0000206589093 H.EDI SETIADI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
POLRI hypertension
565 13-04-2019 100118010419Y001358 0000502028943 IHAT P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
566 13-04-2019 100118010419Y001308 0000502060522 AAN MUNAWAR L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

567 13-04-2019 100118010419Y001369 0000502320677 IPAH SARIPAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
568 13-04-2019 100118010419Y001353 0000502765975 MAESAROH P PBI (APBN) Surveillance of Berobat Jalan
(intrauterine) contraceptive

569 13-04-2019 100118010419Y001259 0000502860655 WINARSIH P PBI (APBN) Periodontosis Berobat Jalan

570 13-04-2019 100118010419P001363 0000502980772 MUNBASIROH P PBI (APBN) Secondary hypertension Rujuk Lanjut

571 13-04-2019 100118010419Y001279 0000503133063 NUNUNG JUARIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
572 13-04-2019 100118010419Y001288 0000503164822 UJANG SURYANA L PBI (APBN) Gastritis, unspecified Berobat Jalan

573 13-04-2019 100118010419P001280 0000503279019 ENTIN SUMARNI P PBI (APBN) Secondary hypertension Berobat Jalan

574 13-04-2019 100118010419Y001350 0000503359806 IRMA PITRIA RAHAYU P PBI (APBN) Surveillance of Berobat Jalan
contraceptive drugs
575 13-04-2019 100118010419Y001346 0000503429837 TIARA SANTIKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
576 13-04-2019 100118010419Y001314 0000503474545 LILIS SUPUANTI P PBI (APBN) Dyspepsia Berobat Jalan

577 13-04-2019 100118010419Y001312 0000503474883 RIKA SARTIKA P PBI (APBN) Dizziness and giddiness Berobat Jalan

578 13-04-2019 100118010419P001285 0000503709412 ACAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
579 13-04-2019 100118010419P001257 0000503724104 NANA WIHARNA L PBI (APBN) Senile cataract Rujuk Lanjut

580 13-04-2019 100118010419P001327 0000503729469 SUMIATI P PBI (APBN) Primary pulmonary Rujuk Lanjut
hypertension
581 13-04-2019 100118010419Y001304 0000503818751 ADE BARNAS L PBI (APBN) Hemiplegia, unspecified Berobat Jalan

582 13-04-2019 100118010419Y001303 0000503819302 YOYOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
583 13-04-2019 100118010419P001344 0000503900346 ONENG SUKARYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
584 13-04-2019 100118010419Y001311 0000504013375 CICIH P PBI (APBN) Other disorders of urinary Rujuk Lanjut
system
585 13-04-2019 100118010419P001255 0000504157994 AISAH P PBI (APBN) Congestive heart failure Berobat Jalan

586 13-04-2019 100118010419Y001296 0000504227878 JUHRIAH P PBI (APBN) Asthma, unspecified Berobat Jalan

587 13-04-2019 100118010419Y001289 0000504280315 OKEN P PBI (APBN) Headache Berobat Jalan

588 13-04-2019 100118010419Y001342 0000504339388 HENI NURAENI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
589 13-04-2019 100118010419Y001366 0000504388585 HANI P PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

590 13-04-2019 100118010419P001338 0000504407812 SUKMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
591 13-04-2019 100118010419Y001359 0000504760948 YATI ROHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
592 13-04-2019 100118010419Y001373 0000504821924 ALIA NUR AZKIAH P PBI (APBN) Asthma, unspecified Berobat Jalan

593 13-04-2019 100118010419Y001316 0000504871209 WIDA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
594 13-04-2019 100118010419Y001258 0001013095102 EMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
595 13-04-2019 100118010419Y001270 0001013096103 EULIS P PBI (APBN) Low back pain Berobat Jalan

596 13-04-2019 100118010419Y001365 0001013096171 FITRIYA ILMA P PBI (APBN) Tinea barbae and tinea Berobat Jalan
capitis
597 13-04-2019 100118010419Y001264 0001013097611 TINI P PBI (APBN) Low back pain Berobat Jalan

598 13-04-2019 100118010419Y001265 0001013098432 UCU AISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
599 13-04-2019 100118010419Y001293 0001013100884 NOVIA SRI KUSTINI P PBI (APBN) Other acute upper Berobat Jalan
respiratory infections of

600 13-04-2019 100118010419Y001307 0001013103819 MIRNA P PBI (APBN) Infection following a Berobat Jalan
procedure, not elsewhere

601 13-04-2019 100118010419P001275 0001013107454 ITA DJUWITA P PBI (APBN) Secondary hypertension Rujuk Lanjut

602 13-04-2019 100118010419P001291 0001013107667 IMAR MARYATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease
603 13-04-2019 100118010419P001292 0001013109579 DESI KUSMIATI P PBI (APBN) Congestive heart failure Rujuk Lanjut

604 13-04-2019 100118010419P001351 0001013110637 MUGHONI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
605 13-04-2019 100118010419P001356 0001013110648 JUJU P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
606 13-04-2019 100118010419P001256 0001079633676 NINING P PENERIMA PENSIUN TNI Secondary hypertension Berobat Jalan

607 13-04-2019 100118010419P001298 0001123741743 WALUYO EKO APRIANTO L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

608 13-04-2019 100118010419Y001268 0001197882292 RATIH NURDIAN P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

609 13-04-2019 100118010419Y001324 0001226659893 BABAN SOBANDI JAYA L PRAJURIT AL Necrosis of pulp Berobat Jalan

610 13-04-2019 100118010419Y001326 0001227074409 YAYAH TRISNA P PRAJURIT AL Caries of dentine Rujuk Lanjut

611 13-04-2019 100118010419Y001262 0001257456227 YUYUS YUSNIKA MUSTOPA P PEKERJA MANDIRI Chronic gingivitis Berobat Jalan

612 13-04-2019 100118010419P001354 0001259999392 ERAS RUKMINI P PEKERJA MANDIRI Secondary hypertension Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

613 13-04-2019 100118010419P001370 0001260916143 IESYE GANDASARI ADITYA P PEKERJA MANDIRI Radiculopathy, lumbar Rujuk Lanjut
region
614 13-04-2019 100118010419P001357 0001270376098 TITIN RUSMIATI P PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease
615 13-04-2019 100118010419P001328 0001287290441 UDIN SAMSUDIN L PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease
616 13-04-2019 100118010419P001319 0001297390509 TAN YU LIONG L PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease
617 13-04-2019 100118010419Y001345 0001335770526 BONG ITNA P PEKERJA MANDIRI Loss of teeth due to Berobat Jalan
accident, extraction or

618 13-04-2019 100118010419P001335 0001339957102 ELIHAWATI HAPENDI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
619 13-04-2019 100118010419Y001361 0001398749501 HOERIAH P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
620 13-04-2019 100118010419Y001282 0001398776714 NINING MAESAROH P PBI (APBD) Dyspepsia Berobat Jalan

621 13-04-2019 100118010419Y001321 0001398779594 AGUS GUSTIRA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
622 13-04-2019 100118010419Y001341 0001398785736 IMAS WATI SETIAWATI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
623 13-04-2019 100118010419Y001281 0001398785905 HJ.YAYAH ROKAYAH P PBI (APBD) Streptococcal pharyngitis Berobat Jalan

624 13-04-2019 100118010419Y001263 0001398786017 SITI SOPIAH P PBI (APBD) Headache Berobat Jalan

625 13-04-2019 100118010419Y001252 0001398787727 SITI AIDAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
626 13-04-2019 100118010419Y001286 0001401231093 AI SUMARNI P PBI (APBD) Chronic gingivitis Berobat Jalan

627 13-04-2019 100118010419Y001284 0001401231104 MARIO APRYAN PUTRO L PBI (APBD) Chronic gingivitis Berobat Jalan

628 13-04-2019 100118010419Y001348 0001424281465 SAEPUDIN L PBI (APBD) Myalgia Berobat Jalan

629 13-04-2019 100118010419Y001337 0001424282523 ROSIDA P PBI (APBD) Inflammatory disease of Rujuk Lanjut
cervix uteri
630 13-04-2019 100118010419P001322 0001424329255 ELY ELVIANA P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
631 13-04-2019 100118010419P001313 0001434684003 MAEMUNAH P PBI (APBD) Congestive heart failure Berobat Jalan

632 13-04-2019 100118010419P001274 0001456137718 NOOR YADI L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease without

633 13-04-2019 100118010419P001301 0001459273768 RINA BADHI P PEKERJA MANDIRI Secondary hypertension Berobat Jalan

634 13-04-2019 100118010419P001290 0001465000536 WIWIN KUSWATI P PEKERJA MANDIRI Hypermetropia Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

635 13-04-2019 100118010419Y001299 0001468965442 THEANA LEOMA P PEKERJA MANDIRI Chronic gingivitis Berobat Jalan

636 13-04-2019 100118010419P001364 0001473856749 BAWIE SETIAWATI DJULNAEDI P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
637 13-04-2019 100118010419Y001250 0001778079464 HERNI P PBI (APBD) Benign neoplasm of other Rujuk Lanjut
specified sites
638 13-04-2019 100118010419P001315 0001781442999 HERI ADHADI L PEGAWAI SWASTA Hypokalaemia Rujuk Lanjut

639 13-04-2019 100118010419P001320 0001795293718 NOWO JANTO L PEKERJA MANDIRI Acute lymphadenitis Rujuk Lanjut

640 13-04-2019 100118010419Y001260 0001960997196 NIZAM AFKARI ZAFRAN L PEGAWAI SWASTA Caries of dentine Berobat Jalan

641 13-04-2019 100118010419P001253 0002042752217 BERNI SIMANGUNSON L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
642 13-04-2019 100118010419Y001329 0002056864184 AZZAM ABDURRAHMAN L PEKERJA MANDIRI Acute lymphadenitis Rujuk Lanjut

643 13-04-2019 100118010419P001360 0002071818382 FRISKALANI FELICIA P PEKERJA MANDIRI Secondary hypertension Berobat Jalan

644 13-04-2019 100118010419Y001368 0002083639555 RAMONA OCTAVIANI HASMI P PEKERJA MANDIRI Otitis externa, unspecified Berobat Jalan

645 13-04-2019 100118010419P001309 0002104450402 BENNY BASRI L PEKERJA MANDIRI Atrial fibrillation and flutter Rujuk Lanjut

646 13-04-2019 100118010419Y001318 0002120608293 IMAS YANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
647 13-04-2019 100118010419Y001287 0002182445559 RISTA P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
648 13-04-2019 100118010419Y001306 0002182445572 RENDI TRI PUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
649 13-04-2019 100118010419Y001278 0002182447001 NITA ANGELICA P PBI (APBD) Other acute upper Berobat Jalan
respiratory infections of

650 13-04-2019 100118010419Y001333 0002182457586 SADIAH P PBI (APBD) Dyspepsia Berobat Jalan

651 13-04-2019 100118010419Y001276 0002182511518 DIDIN SURYANA L PBI (APBD) Low back pain Berobat Jalan

652 13-04-2019 100118010419Y001273 0002183360466 ANIH P PBI (APBD) Dyspepsia Berobat Jalan

653 13-04-2019 100118010419P001343 0002183362457 AI RUKMINI P PBI (APBD) Unspecified diabetes Rujuk Lanjut
mellitus without

654 13-04-2019 100118010419P001367 0002183365618 DARMI P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

655 13-04-2019 100118010419Y001295 0002189806165 SUPARMAN L PBI (APBN) Fever, unspecified Berobat Jalan

656 13-04-2019 100118010419Y001269 0002197827246 AULIA RAHSETIA LATIFAH P PEGAWAI SWASTA Fever with chills Berobat Jalan

657 13-04-2019 100118010419P001300 0002201600891 SASKIA FATIHA MADIADIPURA L PEKERJA MANDIRI Hearing loss, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

658 13-04-2019 100118010419P001249 0002267786237 YAYAH RUMTINI P PEKERJA MANDIRI Glaucoma Rujuk Lanjut

659 13-04-2019 100118010419P001266 0002291991456 POPON PATIMAH P PEKERJA MANDIRI Insulin-dependent Rujuk Lanjut
diabetes mellitus
660 13-04-2019 100118010419Y001352 0002327931358 ERNI SURYANI P PEKERJA MANDIRI Surveillance of Berobat Jalan
contraceptive drugs
661 13-04-2019 100118010419P001254 0002420454159 BENNY MS L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
662 13-04-2019 100118010419Y001283 0002424591224 ENTIN JUARIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
663 13-04-2019 100118010419Y001371 0002463728681 DIANE TIA RAMADHANI P PBI (APBD) Need for immunization Berobat Jalan
against measles alone
664 13-04-2019 100118010419P001272 0002482679428 OTAS P PBI (APBD) Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and

665 13-04-2019 100118010419Y001317 0002492919718 DADANG CHOERUDDIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
666 13-04-2019 100118010419Y001305 0002498075054 MUHAMAD RIKZA SAUMI L PEKERJA MANDIRI Loss of teeth due to Berobat Jalan
accident, extraction or

667 13-04-2019 100118010419Y001331 0002500986881 HERNAWATI P PBI (APBD) Dyspepsia Berobat Jalan

668 13-04-2019 100118010419Y001332 0002500987116 NABIL IBRAHIM L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
669 13-04-2019 100118010419Y001261 0002502122321 JUMANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
670 13-04-2019 100118010419Y001339 0002601778184 LALA JUHANA L PBI (APBN) Other surgical follow-up Rujuk Lanjut
care
671 13-04-2019 100118010419Y001294 0002606554067 VEYRHA REVALINA SITI AL L PBI (APBN) Acute laryngopharyngitis Berobat Jalan
QAROMAH
672 13-04-2019 100118010419Y001372 0002625657917 BAYI NYONYA SITI NURJANAH L PBI (APBN) Need for immunization Berobat Jalan
against diphtheria alone
673 12-04-2019 100118010419Y001247 0000055390149 ENTIN SUMARNI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
674 12-04-2019 100118010419Y001234 0000056686836 FELIDA WIDA NINGSIH P PEKERJA MANDIRI Disorder of urinary system, Berobat Jalan
unspecified
675 12-04-2019 100118010419Y001174 0000056870526 IIM AISYAH P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
676 12-04-2019 100118010419Y001175 0000056974026 M. MA'MUN L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
677 12-04-2019 100118010419P001232 0000057119951 ROSELINA SARAGIH P PENERIMA PENSIUN Malignant neoplasm of Rujuk Lanjut
PNS breast
678 12-04-2019 100118010419Y001229 0000057237895 WATY HERAWATI P PENERIMA PENSIUN Pure Berobat Jalan
PNS hypercholesterolaemia
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

679 12-04-2019 100118010419P001197 0000057316487 AAS ASMARA P PENERIMA PENSIUN Other spondylosis with Rujuk Lanjut
PNS radiculopathy
680 12-04-2019 100118010419Y001183 0000161107749 MAMAH SURYAMAH P PENERIMA PENSIUN TNI Necrosis of pulp Rujuk Lanjut

681 12-04-2019 100118010419Y001206 0000502119821 ADE P PBI (APBN) Arthritis, unspecified Berobat Jalan

682 12-04-2019 100118010419Y001220 0000502326808 MARYATI P PBI (APBN) Myalgia, multiple sites Berobat Jalan

683 12-04-2019 100118010419Y001193 0000502850158 MOCH SAEPULOH L PBI (APBN) Caries of dentine Berobat Jalan

684 12-04-2019 100118010419P001168 0000502941644 DEDE ROHAYAH P PBI (APBN) Dizziness and giddiness Rujuk Lanjut

685 12-04-2019 100118010419Y001182 0000503276354 SUDARNO L PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
686 12-04-2019 100118010419Y001202 0000503343516 ASEP EMBANG KURNIA L PBI (APBN) Cough Berobat Jalan

687 12-04-2019 100118010419Y001187 0000503366736 ENI ROHAENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
688 12-04-2019 100118010419Y001188 0000503806239 TIKA P PBI (APBN) Headache Berobat Jalan

689 12-04-2019 100118010419Y001205 0000504229871 SILVA ROSKAYANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
690 12-04-2019 100118010419P001222 0000504280506 ROSMIATI P PBI (APBN) Senile cataract Rujuk Lanjut

691 12-04-2019 100118010419Y001172 0000504291339 IIS ISMAYANTI P PBI (APBN) Open wound of other parts Berobat Jalan
of lower leg
692 12-04-2019 100118010419Y001178 0000504320286 RIFKI RISANDI L PBI (APBN) Other disorders of eye and Rujuk Lanjut
adnexa
693 12-04-2019 100118010419Y001190 0000504393579 SANTI SADIYAH P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

694 12-04-2019 100118010419Y001242 0000504407171 HANI HANDAYANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
695 12-04-2019 100118010419Y001194 0000504443845 DEDEN CEPI L PBI (APBN) Otalgia Berobat Jalan

696 12-04-2019 100118010419Y001170 0001013094753 MAEMUNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
697 12-04-2019 100118010419Y001201 0001013098364 IMAS WARMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
698 12-04-2019 100118010419Y001192 0001013098397 GEULAR HARUMAN L PBI (APBN) Fever, unspecified Berobat Jalan

699 12-04-2019 100118010419Y001181 0001013099657 SITI ANISAH P PBI (APBN) Cough Berobat Jalan

700 12-04-2019 100118010419Y001186 0001013099679 INDRA KUSMANA L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
701 12-04-2019 100118010419Y001184 0001013099692 DENI KUSMANA L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

702 12-04-2019 100118010419P001169 0001259434473 RACHMAT ADI WINATA L PEKERJA MANDIRI Surgical follow-up care, Rujuk Lanjut
unspecified
703 12-04-2019 100118010419P001185 0001260017065 JOICE MARIA NAULINTA P PEKERJA MANDIRI Myopia Rujuk Lanjut
ARITONANG
704 12-04-2019 100118010419P001210 0001298409759 TJUTJU MARINA P PEKERJA MANDIRI Other functional intestinal Rujuk Lanjut
disorders
705 12-04-2019 100118010419Y001176 0001320846366 PEPEN EPENDI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
706 12-04-2019 100118010419P001189 0001335843235 TRI KHOMARIAH P PEKERJA MANDIRI Bronchitis, not specified as Rujuk Lanjut
acute or chronic
707 12-04-2019 100118010419P001218 0001341309104 ELLY ROSALINA P PENERIMA PENSIUN Oedema, unspecified Rujuk Lanjut
SWASTA
708 12-04-2019 100118010419Y001171 0001382889273 EEM ISKANDAR P PEKERJA MANDIRI Chronic periodontitis Berobat Jalan

709 12-04-2019 100118010419Y001243 0001398749883 DARIAH P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
710 12-04-2019 100118010419Y001195 0001398751334 ENUR HASANAH P PBI (APBD) Headache Berobat Jalan

711 12-04-2019 100118010419P001223 0001398771224 HASANAH P PBI (APBD) Non-insulin-dependent Sembuh


diabetes mellitus
712 12-04-2019 100118010419Y001208 0001398785804 NENG SITI KURNIASIH P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
713 12-04-2019 100118010419Y001180 0001458668283 HJ. KIDJAH L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
714 12-04-2019 100118010419Y001236 0001463704042 ARI SYAFARI HAQ L PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
715 12-04-2019 100118010419P001226 0001518652179 N ATIH L PBI (APBD) Pneumonia, organism Rujuk Lanjut
unspecified
716 12-04-2019 100118010419Y001207 0001518660977 TATI HARTATI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
717 12-04-2019 100118010419Y001209 0001518665613 SUMIATI P PBI (APBD) Dyspepsia Berobat Jalan

718 12-04-2019 100118010419Y001217 0001523588321 ARRYAD MUGHNI RAMDHAN L PEGAWAI SWASTA Fever with chills Berobat Jalan

719 12-04-2019 100118010419P001224 0001639096659 RIAN HANDRIANA L PEGAWAI SWASTA Malignant neoplasm of Rujuk Lanjut
connective and soft tissue,

720 12-04-2019 100118010419P001216 0001663867383 HARDJONO L PEGAWAI SWASTA Cardiac arrhythmia, Rujuk Lanjut
unspecified
721 12-04-2019 100118010419P001167 0001666912296 NENENG SURYATI P PEGAWAI SWASTA Anxiety disorder, Rujuk Lanjut
unspecified
722 12-04-2019 100118010419Y001196 0001793380217 ATHALA BILAL VENEZUELA L PEGAWAI PEMERINTAH Acute laryngopharyngitis Berobat Jalan
DENGAN PERJANJIAN
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

723 12-04-2019 100118010419P001215 0001794373121 THEN HO LING L PEKERJA MANDIRI Senile cataract Rujuk Lanjut

724 12-04-2019 100118010419Y001179 0001821249314 TARLIAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
725 12-04-2019 100118010419Y001191 0001867071036 MUHAMAD EL ARBY L PEGAWAI SWASTA Surgical follow-up care, Rujuk Lanjut
unspecified
726 12-04-2019 100118010419P001240 0001886246897 MARKUS EFFENDY L PEKERJA MANDIRI Pleural effusion, not Rujuk Lanjut
elsewhere classified
727 12-04-2019 100118010419Y001244 0001964457461 FEMMY HAMIDAH P PEGAWAI SWASTA Headache Berobat Jalan

728 12-04-2019 100118010419Y001237 0001984641478 SRI MULYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
729 12-04-2019 100118010419P001214 0002038922199 AAN ADIAT L PEGAWAI SWASTA Dengue fever [classical Rujuk Lanjut
dengue]
730 12-04-2019 100118010419Y001198 0002125014423 AVISA ARDELIA P PBI (APBN) Loss of teeth due to Berobat Jalan
accident, extraction or

731 12-04-2019 100118010419Y001203 0002182409976 YOYOH RUKMINI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
732 12-04-2019 100118010419Y001200 0002182411798 SITI QONITA PUTERI HENDIANI P PBI (APBD) Acute tonsillitis Berobat Jalan

733 12-04-2019 100118010419Y001212 0002182412158 SUMYATI P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
734 12-04-2019 100118010419Y001227 0002182422778 ANI MARYANI P PBI (APBD) Other contraceptive Berobat Jalan
management
735 12-04-2019 100118010419Y001219 0002182425952 MUHAMAD RIZKI ARDIANSYAH L PBI (APBD) Fever, unspecified Berobat Jalan

736 12-04-2019 100118010419Y001246 0002182426492 KARTIKASARI P PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
737 12-04-2019 100118010419Y001199 0002182456405 RATU ANE ALIAH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
738 12-04-2019 100118010419Y001238 0002183364786 LAURENCIA VALERIE P PBI (APBD) Dermatitis, unspecified Berobat Jalan
RUDYANTO
739 12-04-2019 100118010419Y001211 0002194923881 ARGA L PBI (APBD) Fever, unspecified Berobat Jalan

740 12-04-2019 100118010419Y001173 0002243114032 KHANSA PUTRI NURHAYADIN P PEGAWAI SWASTA Periapical abscess without Berobat Jalan
sinus
741 12-04-2019 100118010419Y001204 0002303497844 WENTI ALINDA P PEKERJA MANDIRI Caries of dentine Berobat Jalan

742 12-04-2019 100118010419Y001225 0002327554607 IMAS ROSMIATI P PEKERJA MANDIRI Other contraceptive Berobat Jalan
management
743 12-04-2019 100118010419Y001230 0002396865892 SAKINA ANNISA RAMADHAN P PEGAWAI SWASTA Acute laryngopharyngitis Berobat Jalan

744 12-04-2019 100118010419Y001228 0002432133483 FAJRI MUHAMMAD RIZKY L PBI (APBD) Acute laryngopharyngitis Berobat Jalan

745 12-04-2019 100118010419Y001241 0002432705927 MAURA VRICILSHA P PBI (APBD) Chronic periodontitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

746 12-04-2019 100118010419P001221 0002444540523 LILI L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
747 12-04-2019 100118010419P001239 0002471220887 YOULANDA SARI P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

748 12-04-2019 100118010419Y001245 0002483276141 PUTRI AYU RAMADHANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
749 12-04-2019 100118010419Y001233 0002491449344 FAWZIAH DIRA FITRIYANIE S. P PBI (APBD) Other contraceptive Berobat Jalan
management
750 12-04-2019 100118010419Y001248 0002517748209 SUHENDI SAPUTRA L PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

751 12-04-2019 100118010419Y001177 0002617097512 BAYI NY. ROSI DIANAWATI P PBI (APBN) Shigellosis due to Shigella Berobat Jalan
dysenteriae
752 12-04-2019 100118010419P001231 0002747025753 MILA KARMILA P PEKERJA MANDIRI Enlarged lymph nodes Rujuk Lanjut

753 11-04-2019 100118010419Y001153 0000070941497 HASNA FITRIYANTI P PNS PUSAT Dyspepsia Berobat Jalan

754 11-04-2019 100118010419Y001158 0000161107749 MAMAH SURYAMAH P PENERIMA PENSIUN TNI Caries of dentine Berobat Jalan

755 11-04-2019 100118010419Y001104 0000198152774 IIS MAEMUNAH P PENERIMA PENSIUN Caries of dentine Berobat Jalan
PNS
756 11-04-2019 100118010419Y001105 0000502747121 ANI SURYANI P PBI (APBN) Gestational Rujuk Lanjut
[pregnancy-induced]

757 11-04-2019 100118010419Y001150 0000502877035 SINTA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
758 11-04-2019 100118010419Y001116 0000502962052 TITA JUITA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
759 11-04-2019 100118010419Y001149 0000503104274 ENCENG ARIPIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
760 11-04-2019 100118010419Y001117 0000503164822 UJANG SURYANA L PBI (APBN) Dyspepsia Berobat Jalan

761 11-04-2019 100118010419Y001157 0000503212645 INAR PURNAMA P PBI (APBN) Impacted teeth Berobat Jalan

762 11-04-2019 100118010419Y001144 0000503338511 ERNA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

763 11-04-2019 100118010419Y001085 0000503344078 HALIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
764 11-04-2019 100118010419Y001143 0000503361472 AGUS AAN L PBI (APBN) Dermatophytosis Berobat Jalan

765 11-04-2019 100118010419Y001096 0000503407721 ENJE L PBI (APBN) Headache Berobat Jalan

766 11-04-2019 100118010419Y001087 0000503451246 ELIA NURLIAWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
767 11-04-2019 100118010419P001101 0000503452809 ANE NOVIANTI P PBI (APBN) Astigmatism Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

768 11-04-2019 100118010419Y001084 0000503468932 RUSMAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
769 11-04-2019 100118010419Y001139 0000503676966 LILIS SUTIARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
770 11-04-2019 100118010419Y001138 0000503746727 RINA P PBI (APBN) Dyspepsia Berobat Jalan

771 11-04-2019 100118010419Y001082 0000503817906 YOYO SUTARYO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
772 11-04-2019 100118010419Y001160 0000503819302 YOYOH P PBI (APBN) Hyperlipidaemia, Berobat Jalan
unspecified
773 11-04-2019 100118010419Y001127 0000503876349 KURNAETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
774 11-04-2019 100118010419Y001106 0000503991279 HASANAH P PBI (APBN) Myalgia Berobat Jalan

775 11-04-2019 100118010419Y001136 0000504189617 HANI HADIANTI P PBI (APBN) Acute lymphadenitis, Berobat Jalan
unspecified
776 11-04-2019 100118010419Y001110 0000504437128 UJU JUBAEDAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
777 11-04-2019 100118010419Y001086 0000504876431 YAYAH ROKAYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
778 11-04-2019 100118010419Y001140 0000504889492 SOLIHIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
779 11-04-2019 100118010419Y001141 0001013095697 ADE HAFIDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
780 11-04-2019 100118010419P001121 0001013106835 EMAR KONAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

781 11-04-2019 100118010419P001129 0001227074409 YAYAH TRISNA P PRAJURIT AL Disorders of autonomic Rujuk Lanjut
nervous system
782 11-04-2019 100118010419Y001092 0001261500715 NURUL FAUZIAH MARDIANI P PEKERJA MANDIRI Supervision of normal Berobat Jalan
pregnancy, unspecified
783 11-04-2019 100118010419Y001145 0001271700606 IYAH BARLIAH P PEKERJA MANDIRI Heart failure Berobat Jalan

784 11-04-2019 100118010419Y001115 0001280187303 SENI SITI SARASWATI P PBI (APBD) Irregular menstruation, Berobat Jalan
unspecified
785 11-04-2019 100118010419P001103 0001335770526 BONG ITNA P PEKERJA MANDIRI Sequelae of Rujuk Lanjut
cerebrovascular disease
786 11-04-2019 100118010419P001119 0001339890952 ASEP HERYANTO IBRAHIM L PEKERJA MANDIRI Loss of teeth due to Rujuk Lanjut
accident, extraction or

787 11-04-2019 100118010419Y001100 0001381829747 ANDUN JARKASIH L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
788 11-04-2019 100118010419P001114 0001382219155 WIDANINGSIH P PEKERJA MANDIRI Other cataract Rujuk Lanjut

789 11-04-2019 100118010419Y001094 0001398750862 ENONG AMASIH P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

790 11-04-2019 100118010419Y001118 0001398750963 YAYAH JUHAENI P PBI (APBD) Myalgia Berobat Jalan

791 11-04-2019 100118010419Y001152 0001398754686 ENUNG MARTINI P PBI (APBD) Caries of dentine Berobat Jalan

792 11-04-2019 100118010419Y001089 0001398768794 DIDI L PBI (APBD) Myalgia Berobat Jalan

793 11-04-2019 100118010419Y001137 0001398772776 TATIN SUPRIATIN P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
794 11-04-2019 100118010419Y001165 0001398775004 AI SITI RODIAH L PBI (APBD) Tinea cruris Berobat Jalan

795 11-04-2019 100118010419Y001108 0001398780415 N.SRI INDAH NURMAWATI P PBI (APBD) Other peripheral vertigo Berobat Jalan

796 11-04-2019 100118010419Y001123 0001398781315 IMAS SITI MASITOH P PBI (APBD) Unspecified diabetes Berobat Jalan
mellitus without

797 11-04-2019 100118010419Y001090 0001401238629 ASRI HERNAWATI P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
798 11-04-2019 100118010419Y001146 0001456089355 LILIS HARTINI P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
799 11-04-2019 100118010419P001097 0001456916231 YAYAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

800 11-04-2019 100118010419Y001078 0001470407398 UJANG RUKMANA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
801 11-04-2019 100118010419Y001080 0001518649075 MIMIN L PBI (APBD) Caries of dentine Berobat Jalan

802 11-04-2019 100118010419Y001128 0001518665995 KARWILAH L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
803 11-04-2019 100118010419Y001154 0001668600022 HAFID MA'RUF L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

804 11-04-2019 100118010419Y001107 0001670628565 DIDIN SAMSUDIN L PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
805 11-04-2019 100118010419Y001159 0001715938086 JOHNNY SANDRA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
WOUTHUYZEN infection, unspecified
806 11-04-2019 100118010419P001130 0001716142386 BONAR SIMANUNGKALIT L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
807 11-04-2019 100118010419P001095 0001723069438 AGUNG ALFAUZI FIRDAUS L PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
skin of eyelid, including

808 11-04-2019 100118010419Y001098 0001792081192 EUIS SOPIANTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

809 11-04-2019 100118010419Y001109 0001810672064 ASEP RINO SUDRAJAT L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

810 11-04-2019 100118010419Y001161 0001882065352 HENDRAWAN TANADI L PEKERJA MANDIRI Xerosis cutis Berobat Jalan

811 11-04-2019 100118010419P001124 0001891698524 SIE MEY TJOE P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

812 11-04-2019 100118010419Y001135 0002013774827 M.RIFQI MADANIL ULUM L PBI (APBN) Acute periodontitis Berobat Jalan

813 11-04-2019 100118010419Y001120 0002077141138 GHIFARI NASIR RABANI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
814 11-04-2019 100118010419Y001162 0002077628927 SUCI RAHMADANI P PEKERJA MANDIRI Maternal care due to Rujuk Lanjut
uterine scar from previous

815 11-04-2019 100118010419Y001156 0002080254341 NAIMA MAUDY HASTARI P PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan

816 11-04-2019 100118010419Y001111 0002182414083 RENTI FEBRIYANTI P PBI (APBD) Impacted cerumen Berobat Jalan

817 11-04-2019 100118010419P001164 0002182417547 ZAINAL ABIDIN L PBI (APBD) Other forms of stomatitis Berobat Jalan

818 11-04-2019 100118010419Y001155 0002182417841 GIANI RAHMANTIKA P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
819 11-04-2019 100118010419Y001102 0002182435593 YUNI NURAINI P PBI (APBD) Periapical abscess without Berobat Jalan
sinus
820 11-04-2019 100118010419Y001126 0002182446753 NENDEN RODIAH P PBI (APBD) Headache Berobat Jalan

821 11-04-2019 100118010419Y001125 0002182446977 SURYANA L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
822 11-04-2019 100118010419Y001148 0002182449701 EPIN ERIPIN L PBI (APBD) Chronic periodontitis Berobat Jalan

823 11-04-2019 100118010419P001163 0002182449824 ILIS NINGSIH P PBI (APBD) Dermatitis, unspecified Berobat Jalan

824 11-04-2019 100118010419Y001083 0002182460398 BETI ROHMAYATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
825 11-04-2019 100118010419Y001122 0002182464088 LILIS KOMARIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
826 11-04-2019 100118010419Y001166 0002182506524 NINA MARLINA P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
827 11-04-2019 100118010419Y001093 0002182507964 SOPHY P PEKERJA MANDIRI Acute periodontitis Berobat Jalan

828 11-04-2019 100118010419Y001151 0002183370287 KORIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
829 11-04-2019 100118010419P001088 0002206146644 MAESAROH P PEKERJA MANDIRI Heart failure Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

830 11-04-2019 100118010419Y001132 0002318493609 ESIH KURNIASIH P PEKERJA MANDIRI Chronic periodontitis Berobat Jalan

831 11-04-2019 100118010419P001099 0002318493677 RINA MARIANA SAEPUL P PEKERJA MANDIRI Myopia Rujuk Lanjut

832 11-04-2019 100118010419Y001112 0002327554607 IMAS ROSMIATI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
833 11-04-2019 100118010419Y001134 0002395619627 EFIYANTI P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
834 11-04-2019 100118010419Y001133 0002395619638 TENGKU ZABIR HAERULLOH L PEGAWAI SWASTA Acute tonsillitis, Berobat Jalan
unspecified
835 11-04-2019 100118010419Y001091 0002424591088 ODANG SUMARNA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
836 11-04-2019 100118010419Y001142 0002432715164 SRI MEILANY P PBI (APBD) Fever, unspecified Berobat Jalan

837 11-04-2019 100118010419Y001081 0002433206687 LINDAWATI P PBI (APBD) Necrosis of pulp Berobat Jalan

838 11-04-2019 100118010419P001079 0002480543346 MARTINI P PEKERJA MANDIRI Tuberculous peripheral Rujuk Lanjut
lymphadenopathy
839 11-04-2019 100118010419Y001113 0002495650252 AZKAYRA ARISTA P PBI (APBN) Fever, unspecified Rujuk Lanjut

840 11-04-2019 100118010419Y001131 0002602077783 UGIH RAHMAT L PBI (APBN) Myalgia Berobat Jalan

841 11-04-2019 100118010419Y001147 0002620832962 AFAF A.HAMID L PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
842 10-04-2019 100118010419P000867 0000053408248 SUMADI, SE L PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

843 10-04-2019 100118010419P000866 0000053762051 HJ. IYUS HUSTINI P PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
844 10-04-2019 100118010419Y001008 0000053991088 TRIA MAULIDYA AGUSTI P PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

845 10-04-2019 100118010419Y000876 0000055344047 DEDI SUWONDO L PNS DAERAH Chronic gingivitis Berobat Jalan

846 10-04-2019 100118010419Y000881 0000055466245 TOTO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
847 10-04-2019 100118010419Y000880 0000055466256 RAHMA FAUZIAH P PNS DAERAH Myalgia Berobat Jalan

848 10-04-2019 100118010419Y000918 0000055850927 KIRANA PUSPA PERTIWI P PEKERJA MANDIRI Impacted teeth Rujuk Lanjut

849 10-04-2019 100118010419Y000977 0000056095244 IMAS JUBAEDAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
850 10-04-2019 100118010419Y000921 0000056228411 MAMAN SUPARMAN L PENERIMA PENSIUN TNI Arthritis, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

851 10-04-2019 100118010419Y000939 0000056431427 HIDUP SANTOSO, SH, M.SI. L PENERIMA PENSIUN TNI Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous

852 10-04-2019 100118010419Y000972 0000056527738 ROSELINA SIAHAAN P PENERIMA PENSIUN TNI Myalgia Berobat Jalan

853 10-04-2019 100118010419Y001062 0000056686836 FELIDA WIDA NINGSIH P PEKERJA MANDIRI Low back pain Berobat Jalan

854 10-04-2019 100118010419Y001018 0000057233968 IMAS ROKAYAH P PENERIMA PENSIUN Respiratory tuberculosis Berobat Jalan
PNS unspecified, confirmed
bacteriologically and

855 10-04-2019 100118010419Y000901 0000058110704 RORO SRIWULAN HERAWATI P PNS PUSAT Cellulitis and abscess of Berobat Jalan
mouth
856 10-04-2019 100118010419Y000978 0000206589093 H.EDI SETIADI L PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
POLRI
857 10-04-2019 100118010419Y001066 0000243906298 GABRIEL SIMARMATA L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

858 10-04-2019 100118010419Y001052 0000243906614 ERNAWATI BR HALOHO P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
859 10-04-2019 100118010419Y000919 0000502023958 AAN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
860 10-04-2019 100118010419Y000877 0000502877193 MAMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
861 10-04-2019 100118010419Y000905 0000503073685 SUMIYATI P PBI (APBN) Dyspepsia Berobat Jalan

862 10-04-2019 100118010419Y000897 0000503227844 IMAS NURHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
863 10-04-2019 100118010419Y000943 0000503232344 UJANG KARTIWA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
864 10-04-2019 100118010419Y000966 0000503232682 MIMIN P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
865 10-04-2019 100118010419Y000956 0000503281462 LILIS NUR PUYITA ISLAETI P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

866 10-04-2019 100118010419Y000928 0000503328677 NUNUNG SITI SOPIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
867 10-04-2019 100118010419Y001031 0000503366422 ANIS MARSELA P PBI (APBN) Tuberculosis of other Berobat Jalan
specified organs
868 10-04-2019 100118010419Y001063 0000503372171 WINA KULSUM P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

869 10-04-2019 100118010419P000929 0000503374994 YADI KUSNADI L PBI (APBN) Radiculopathy, lumbar Rujuk Lanjut
region
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

870 10-04-2019 100118010419Y000959 0000503398798 ETTI WIDARTI P PBI (APBN) Myalgia Berobat Jalan

871 10-04-2019 100118010419Y001060 0000503404986 SRI WIDYA NENGSIH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

872 10-04-2019 100118010419P000913 0000503417338 ERNA ALFIANI P PBI (APBN) Dysplasia of cervix uteri, Rujuk Lanjut
unspecified
873 10-04-2019 100118010419Y000898 0000503431839 SANILAH P PBI (APBN) Other general symptoms Berobat Jalan
and signs
874 10-04-2019 100118010419Y000899 0000503433382 NINA KARLINA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
875 10-04-2019 100118010419Y000945 0000503442527 NUNUNG P PBI (APBN) Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous

876 10-04-2019 100118010419Y000914 0000503637669 ETI ROHAETI P PENERIMA PENSIUN TNI Acute upper respiratory Berobat Jalan
infection, unspecified
877 10-04-2019 100118010419P000969 0000503678586 DIAH RODIAH P PBI (APBN) Cerebral infarction Rujuk Lanjut

878 10-04-2019 100118010419Y000886 0000503755863 ASEP SURYANA L PBI (APBN) Myalgia Berobat Jalan

879 10-04-2019 100118010419Y000878 0000503793764 KARWATI P PBI (APBN) Necrosis of pulp Berobat Jalan

880 10-04-2019 100118010419Y000930 0000503795643 CUCU P PBI (APBN) Dental caries, unspecified Berobat Jalan

881 10-04-2019 100118010419Y001032 0000503850238 KUSNADI L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

882 10-04-2019 100118010419P000895 0000503859317 NURHAYATI P PBI (APBN) Other specified disorders Berobat Jalan
of skin and subcutaneous

883 10-04-2019 100118010419Y000894 0000503927774 ENENG AMELA P PBI (APBN) Pulpitis Rujuk Lanjut

884 10-04-2019 100118010419Y001076 0000503977858 IRMAYANTI P PBI (APBN) Necrosis of pulp Berobat Jalan

885 10-04-2019 100118010419Y001030 0000504001563 JENI NUR MULYADI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

886 10-04-2019 100118010419Y000931 0000504031375 SHENI ESA TRI OCTAVIANI P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

887 10-04-2019 100118010419Y001072 0000504033917 YOGA SUGANDA L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

888 10-04-2019 100118010419Y001056 0000504065439 YENI K. P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
889 10-04-2019 100118010419Y001073 0000504072753 O.HAYAT L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

890 10-04-2019 100118010419Y000903 0000504171584 LILIS WARTINI P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

891 10-04-2019 100118010419Y001077 0000504244596 DAMAN SUPRIADI L PBI (APBN) Asthma, unspecified Berobat Jalan

892 10-04-2019 100118010419Y000951 0000504254305 YATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
893 10-04-2019 100118010419Y000964 0000504301331 KARTIKA P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus with coma
894 10-04-2019 100118010419Y000906 0000504352089 EULIS KURNIA P PBI (APBN) Headache Berobat Jalan

895 10-04-2019 100118010419P000990 0000504384827 HELEN LUSIANA P PBI (APBN) Other benign neoplasms Rujuk Lanjut
of connective and other

896 10-04-2019 100118010419Y000884 0000504406416 ELIS NENGSIH P PBI (APBN) Other disorders of skin Berobat Jalan
and subcutaneous tissue,
not elsewhere classified

897 10-04-2019 100118010419Y000907 0000504421255 DEDEH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
898 10-04-2019 100118010419Y001006 0000504438917 ASEP TOHA L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

899 10-04-2019 100118010419Y001044 0000504582704 CIN HOAT L PBI (APBN) Urticaria, unspecified Berobat Jalan

900 10-04-2019 100118010419Y000975 0000504725231 SUTIAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
901 10-04-2019 100118010419Y000965 0000504847934 MARTINI P PBI (APBN) Other general Berobat Jalan
examinations
902 10-04-2019 100118010419Y001070 0001013106036 SAHRONI L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

903 10-04-2019 100118010419Y001035 0001013113866 PITRIA PERTIWI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

904 10-04-2019 100118010419Y000967 0001013117477 RIZKA REGINA MONICA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

905 10-04-2019 100118010419Y000949 0001260016817 ROSMALA DELILA SIAGIAN P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
906 10-04-2019 100118010419P000989 0001273965478 R. TOYO SUTARYONO, BA. L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

907 10-04-2019 100118010419Y000954 0001276207863 LALA SUHARA P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

908 10-04-2019 100118010419P000933 0001313191359 ANISA FARIDA ISTIQOMAH P PEKERJA MANDIRI Hypothyroidism, Rujuk Lanjut
unspecified
909 10-04-2019 100118010419Y000916 0001320440859 IDA DHANINGSIH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease with (congestive)

910 10-04-2019 100118010419P000926 0001335219513 SUHAERI, SE. L PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
SWASTA disease
911 10-04-2019 100118010419Y000961 0001337996979 JULAEHA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
912 10-04-2019 100118010419P000875 0001389309805 HJ.APUN JULAEHA P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
913 10-04-2019 100118010419Y001033 0001398740692 JUJUN JUNAEDI L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

914 10-04-2019 100118010419Y000957 0001398741129 IMAS RUKMINI P PBI (APBD) Other general Berobat Jalan
examinations
915 10-04-2019 100118010419Y000970 0001398752886 NADIRA SEPIANTI P PBI (APBD) Loss of teeth due to Berobat Jalan
accident, extraction or

916 10-04-2019 100118010419Y001055 0001398763991 IIN SOLIHIN L PBI (APBD) Fever, unspecified Berobat Jalan

917 10-04-2019 100118010419Y001016 0001398770357 ASEP ANDIKA NUGRAHA L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

918 10-04-2019 100118010419Y000941 0001398779144 LIA ROSTIKA P PBI (APBD) Headache Berobat Jalan

919 10-04-2019 100118010419Y001025 0001398781067 RISTIAWATI P PBI (APBD) Tuberculosis of other Berobat Jalan
specified organs
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

920 10-04-2019 100118010419Y000924 0001398781989 OCIH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
921 10-04-2019 100118010419Y000938 0001398786682 SITI KOMALASARI P PBI (APBD) Caries of dentine Berobat Jalan

922 10-04-2019 100118010419Y000882 0001401229743 TOMO L PBI (APBD) Caries of cementum Berobat Jalan

923 10-04-2019 100118010419Y000869 0001401231082 JOKO PRAMONO L PBI (APBD) Other autoimmune Rujuk Lanjut
haemolytic anaemias
924 10-04-2019 100118010419Y000887 0001401231104 MARIO APRYAN PUTRO L PBI (APBD) Chronic gingivitis Berobat Jalan

925 10-04-2019 100118010419Y000980 0001401238438 YANI NURAENIE P PBI (APBD) Special screening Berobat Jalan
examination for neoplasm

926 10-04-2019 100118010419P000888 0001425715514 TENNY GUNAWAN L PEKERJA MANDIRI Dorsalgia Rujuk Lanjut

927 10-04-2019 100118010419Y000973 0001435058921 MAJOHOR L PEKERJA MANDIRI Panniculitis affecting Berobat Jalan
regions of neck and back
928 10-04-2019 100118010419Y001068 0001455813617 INE NURACHMINI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
929 10-04-2019 100118010419P000890 0001457442371 BEDJO SUDIBYO L PEKERJA MANDIRI Suppurative and Rujuk Lanjut
unspecified otitis media
930 10-04-2019 100118010419P000971 0001458416496 RINA HERLINA P PEKERJA MANDIRI Asthma Rujuk Lanjut

931 10-04-2019 100118010419P000874 0001462477724 TAN KO LIAN P PEKERJA MANDIRI Disorder of cornea, Rujuk Lanjut
unspecified
932 10-04-2019 100118010419Y001074 0001470696423 IMAM SANTOSO, ST L PEGAWAI SWASTA Headache Berobat Jalan

933 10-04-2019 100118010419Y000960 0001514777185 MOCHAMAD BINTANG L PEGAWAI SWASTA Polyarthritis, unspecified Berobat Jalan
KHAIRUR RIZAL
934 10-04-2019 100118010419P000925 0001515724661 TIKA TRISNAWATI P PEKERJA MANDIRI Senile cataract Rujuk Lanjut

935 10-04-2019 100118010419Y000958 0001518649672 DESIANA MARNITA P PBI (APBD) Supraventricular Berobat Jalan
tachycardia
936 10-04-2019 100118010419Y000940 0001518651527 NINA MARLINA P PBI (APBD) Dental caries, unspecified Berobat Jalan

937 10-04-2019 100118010419P000909 0001518660448 AMIN SODIKIN L PBI (APBD) Hypertensive heart Rujuk Lanjut
disease
938 10-04-2019 100118010419Y000915 0001518666647 DIAH RODIAH P PBI (APBD) Stroke, not specified as Berobat Jalan
haemorrhage or infarction
939 10-04-2019 100118010419Y000953 0001524232056 RIZKY APRILIA NOVIANA P PEGAWAI SWASTA Rheumatism, unspecified, Berobat Jalan
shoulder region

940 10-04-2019 100118010419Y000910 0001636062254 JAUDAH ATHALIA P PEGAWAI SWASTA Pulpitis Berobat Jalan
SOFYANSYAH
941 10-04-2019 100118010419Y000984 0001664257476 IIS NURJANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

942 10-04-2019 100118010419Y000963 0001727806432 EUIS ROSITA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
943 10-04-2019 100118010419Y001069 0001739248626 ERIKA SIAHAAN P PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

944 10-04-2019 100118010419Y000902 0001778080307 SITI MARDIYAH P PBI (APBD) Dyspepsia Berobat Jalan

945 10-04-2019 100118010419Y000976 0001788198287 IE SOEJ HOA P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
946 10-04-2019 100118010419P000889 0001801794655 ASEP SETIA BUDIREJA L PEKERJA MANDIRI Other chronic obstructive Rujuk Lanjut
pulmonary disease
947 10-04-2019 100118010419P000892 0001818511806 MIEN LASMINI P PENERIMA PENSIUN Senile cataract Rujuk Lanjut
SWASTA
948 10-04-2019 100118010419P000988 0001822038197 SILIMARA SITORU L PEKERJA MANDIRI Fracture of femur Rujuk Lanjut

949 10-04-2019 100118010419Y000934 0001826710143 LILIS HELVIA P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
950 10-04-2019 100118010419Y001019 0001835017402 DEWI TAHA P PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

951 10-04-2019 100118010419P000879 0001840642176 ENGKOS SUHENDAR L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
952 10-04-2019 100118010419P000883 0001840642571 ENIN RUHAENI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

953 10-04-2019 100118010419Y001015 0001858537539 AGUS SOLEHUDIN L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

954 10-04-2019 100118010419Y000885 0001875702835 KARTINI P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease with (congestive)

955 10-04-2019 100118010419Y001034 0001894009217 NAURA HASNA ANNIDIA L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

956 10-04-2019 100118010419Y000891 0001905856301 YANTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
957 10-04-2019 100118010419Y000986 0001908127855 RIFQI MOCHAMMAD L PNS PUSAT Acute sinusitis, Berobat Jalan
RIDWANSYAH unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

958 10-04-2019 100118010419Y000968 0001958752473 FITRIA RAMADHANI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

959 10-04-2019 100118010419Y000917 0001963955395 RITA TRESNAWATI P PEKERJA MANDIRI Radiculopathy, lumbar Rujuk Lanjut
region
960 10-04-2019 100118010419Y000932 0001966347639 VERAWATI P PEKERJA MANDIRI Necrosis of pulp Rujuk Lanjut

961 10-04-2019 100118010419P000911 0002043936145 kema marawati P PEKERJA MANDIRI Disorders of refraction and Rujuk Lanjut
accommodation
962 10-04-2019 100118010419Y000992 0002065317996 ANGGUN PARAMITHA P PEKERJA MANDIRI Otitis externa, unspecified Berobat Jalan
LIMBONG
963 10-04-2019 100118010419Y000912 0002065319763 ROHAYA P PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan

964 10-04-2019 100118010419P000920 0002068818838 TIFFANY ARSY NAFISAH P PEKERJA MANDIRI Other hearing loss Rujuk Lanjut

965 10-04-2019 100118010419Y000868 0002182425085 IMAS RATNASIH P PBI (APBD) Bronchitis, not specified as Rujuk Lanjut
acute or chronic
966 10-04-2019 100118010419Y000983 0002182434772 ANI GUSTINI P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
967 10-04-2019 100118010419Y000987 0002182436559 ESIH SUKAESIH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
968 10-04-2019 100118010419Y000936 0002182443197 ALBI MUHAMMAD ALFARIEL L PBI (APBD) Pneumonia, unspecified Berobat Jalan

969 10-04-2019 100118010419Y000922 0002182449295 RESTY FEBRIYANI P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
970 10-04-2019 100118010419Y001058 0002182456282 U.SAKIM L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

971 10-04-2019 100118010419Y000948 0002182457924 NURLELA P PBI (APBD) Rheumatism, unspecified, Berobat Jalan
shoulder region

972 10-04-2019 100118010419Y001075 0002182459803 MUDANI L PBI (APBD) Shigellosis, unspecified Berobat Jalan

973 10-04-2019 100118010419Y000904 0002182462402 DINDIN HASANUDIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
974 10-04-2019 100118010419Y000896 0002182462468 YAYAH ROKAYAH P PBI (APBD) Other disorders of skin Berobat Jalan
and subcutaneous tissue,
not elsewhere classified

975 10-04-2019 100118010419Y000974 0002182466529 IIS RISKA P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

976 10-04-2019 100118010419Y001012 0002182467688 SAPRI L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

977 10-04-2019 100118010419Y000993 0002182511632 MUHAMAD RIZKYI L PBI (APBD) Fever with chills Berobat Jalan

978 10-04-2019 100118010419Y001064 0002183361243 ERIK MULYANA L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

979 10-04-2019 100118010419Y000935 0002183361557 TIKTIK ROSYATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
980 10-04-2019 100118010419Y000927 0002183371176 PEGI TRI WAHYUNI P PBI (APBD) Pulpitis Berobat Jalan

981 10-04-2019 100118010419Y000996 0002201600891 SASKIA FATIHA MADIADIPURA L PEKERJA MANDIRI Impacted cerumen Berobat Jalan

982 10-04-2019 100118010419Y001071 0002222888106 T. HADYYANTO L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

983 10-04-2019 100118010419Y000962 0002230475128 FHERNANDESH LAORENTUS L PEKERJA MANDIRI Rheumatism, unspecified, Berobat Jalan
SITUMORANG shoulder region

984 10-04-2019 100118010419Y000900 0002245502024 AFNAN PERMANA SAADAN L PEGAWAI SWASTA Pneumonia, unspecified Berobat Jalan

985 10-04-2019 100118010419Y001027 0002258142805 DAMARHADI AKBAR L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
ALMUCHTAR unspecified, without
mention of bacteriological
or histological confirmation

986 10-04-2019 100118010419Y001038 0002258192709 W.WINARDI L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

987 10-04-2019 100118010419Y001009 0002260637458 WIWIN P PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

988 10-04-2019 100118010419Y000997 0002261304573 YETI KARYETI P PEKERJA MANDIRI Synovial cyst of popliteal Berobat Jalan
space [Baker]
989 10-04-2019 100118010419Y001042 0002276945651 RONI APRIZAL L PEKERJA MANDIRI Headache Berobat Jalan

990 10-04-2019 100118010419Y000946 0002286771478 MIMIN KARMINI P PEGAWAI SWASTA Other arthritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

991 10-04-2019 100118010419Y000979 0002287577698 HEPPY RIA HERDI SAPUTRA P PEGAWAI PEMERINTAH Insertion of (intrauterine) Berobat Jalan
DENGAN PERJANJIAN contraceptive device

992 10-04-2019 100118010419Y001014 0002288763775 RAFLI ALFAREZEL RAMADHAN L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

993 10-04-2019 100118010419Y000942 0002301102639 SITI AMINAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
994 10-04-2019 100118010419Y001053 0002302537623 MUHAMAD GHIYAATS RADITYA L PNS DAERAH Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

995 10-04-2019 100118010419Y000944 0002320336247 NONENG P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
996 10-04-2019 100118010419P000937 0002325670132 NURHAYATI P PBI (APBD) Gastro-oesophageal reflux Rujuk Lanjut
disease
997 10-04-2019 100118010419Y000923 0002396477496 DEVINA SOFITA P PBI (APBD) Necrosis of pulp Berobat Jalan

998 10-04-2019 100118010419Y001007 0002397422889 ANGELINA MOZA MAHRISKA P PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

999 10-04-2019 100118010419P000872 0002422275794 R. SUDIRO L PEKERJA MANDIRI Suppurative and Rujuk Lanjut
unspecified otitis media
1000 10-04-2019 100118010419Y000893 0002424084423 EULIS P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1001 10-04-2019 100118010419Y001047 0002448883552 AZRIL RAFISQI AFKARI L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

1002 10-04-2019 100118010419Y001041 0002455106894 HERAWATI P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

1003 10-04-2019 100118010419Y000955 0002473382125 ACEP CANDRA L PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1004 10-04-2019 100118010419Y000991 0002483276027 KARYOTO L PBI (APBD) Tinea cruris Berobat Jalan

1005 10-04-2019 100118010419Y000982 0002483276141 PUTRI AYU RAMADHANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1006 10-04-2019 100118010419Y000981 0002489629026 ERMI YATI P PEKERJA MANDIRI Surveillance of Berobat Jalan
contraceptive drugs
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1007 10-04-2019 100118010419Y001040 0002494760837 MUHAMMAD HAFIS MAULANA L PBI (APBN) Respiratory tuberculosis Berobat Jalan
SYARIF unspecified, without
mention of bacteriological
or histological confirmation

1008 10-04-2019 100118010419Y000908 0002496743471 MUHAMAD FAHRI L PBI (APBD) Disorder of skin and Berobat Jalan
subcutaneous tissue,

1009 10-04-2019 100118010419Y000947 0002606181333 NANI SUMARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1010 10-04-2019 100118010419Y000985 0002616480628 EDDY LYLYANO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1011 10-04-2019 100118010419Y001049 0002751227864 SYAQILLA SARI RAHMADANI P PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

1012 09-04-2019 100118010419Y000805 0000038928835 SUHARIS L PNS PUSAT Essential (primary) Berobat Jalan
hypertension
1013 09-04-2019 100118010419P000761 0000049284898 BAMBANG WAGE UTOMO L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
1014 09-04-2019 100118010419Y000759 0000052581497 OYI ANSHORI ABBAS L PNS DAERAH Necrosis of pulp Berobat Jalan

1015 09-04-2019 100118010419Y000800 0000052584783 IIS NURHAYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1016 09-04-2019 100118010419P000840 0000052945479 R.RATNI HELIATI P PNS DAERAH Acute myocardial Rujuk Lanjut
infarction, unspecified
1017 09-04-2019 100118010419P000742 0000053283508 MUHAMMAD HASPANDI L PENERIMA PENSIUN TNI Hypertensive heart Rujuk Lanjut
disease without

1018 09-04-2019 100118010419P000740 0000053283519 CHALIMAH P PENERIMA PENSIUN TNI Hypertensive heart Rujuk Lanjut
disease without

1019 09-04-2019 100118010419P000836 0000053763693 NANNY IRIANY HENDARSIH P PENERIMA PENSIUN Acute renal failure, Rujuk Lanjut
PNS unspecified
1020 09-04-2019 100118010419Y000804 0000053956629 MUCHSIN SUHAWIJAYA L PNS DAERAH Hyperplasia of prostate Rujuk Lanjut

1021 09-04-2019 100118010419P000799 0000054270033 RINA OKTORINA P PNS DAERAH Benign neoplasm of breast Rujuk Lanjut

1022 09-04-2019 100118010419Y000798 0000055486989 MARUDUT PANJAITAN P PNS DAERAH Cystitis, unspecified Berobat Jalan

1023 09-04-2019 100118010419P000751 0000055569431 UUM SUMROH P PENERIMA PENSIUN Disorders of refraction and Rujuk Lanjut
PNS accommodation
1024 09-04-2019 100118010419Y000779 0000056396079 SUKRIA DJADJANG L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1025 09-04-2019 100118010419P000774 0000056432542 SURADI B. KUSMAN L PENERIMA PENSIUN TNI Senile cataract Rujuk Lanjut

1026 09-04-2019 100118010419Y000806 0000056432801 ESIH RUKAESIH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1027 09-04-2019 100118010419Y000860 0000057062496 EUIS RISMUNINGSIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1028 09-04-2019 100118010419Y000795 0000057233441 ROKAYAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1029 09-04-2019 100118010419P000834 0000057999587 ALIMIN ABDURACHMAN L PNS PUSAT Unspecified diabetes Rujuk Lanjut
mellitus with multiple

1030 09-04-2019 100118010419Y000843 0000196577965 SYAUKI SYAKIR L PNS DAERAH Asthma, unspecified Berobat Jalan

1031 09-04-2019 100118010419Y000770 0000210786895 IDA FARIDA P PENERIMA PENSIUN Other specified Rujuk Lanjut
PNS postsurgical states
1032 09-04-2019 100118010419Y000856 0000502190616 ELIS TRIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1033 09-04-2019 100118010419Y000792 0000502355619 TISNA HERMAWAN L PBI (APBN) Fever, unspecified Berobat Jalan

1034 09-04-2019 100118010419Y000871 0000502828323 EMPONG HASANAH P PBI (APBN) Internal thrombosed Berobat Jalan
haemorrhoids
1035 09-04-2019 100118010419Y000873 0000502828975 MULYANI P PBI (APBN) Headache Berobat Jalan

1036 09-04-2019 100118010419Y000818 0000502867923 NURSALIM RAMADAN L PBI (APBN) Myalgia Berobat Jalan

1037 09-04-2019 100118010419P000743 0000502963312 ASIH NENGSIH P PBI (APBN) Dacryoadenitis Rujuk Lanjut

1038 09-04-2019 100118010419Y000812 0000503040835 KOMISAH P PBI (APBN) Necrosis of pulp Berobat Jalan

1039 09-04-2019 100118010419Y000789 0000503209877 DEWI SITI NURJANAH P PBI (APBN) Gluteal tendinitis Berobat Jalan

1040 09-04-2019 100118010419Y000861 0000503284983 LILIS LISNAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1041 09-04-2019 100118010419P000819 0000503298246 TOHA L PBI (APBN) Optic neuritis Rujuk Lanjut

1042 09-04-2019 100118010419Y000815 0000503364532 ONENG P PBI (APBN) Chronic gingivitis Berobat Jalan

1043 09-04-2019 100118010419Y000801 0000503390698 GILANG CAHYA DINATA L PBI (APBN) Pulpitis Rujuk Lanjut

1044 09-04-2019 100118010419P000776 0000503433617 TEDI YANA L PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

1045 09-04-2019 100118010419Y000844 0000503456005 NENDEN YUNINGSIH P PBI (APBN) Dyspepsia Berobat Jalan

1046 09-04-2019 100118010419Y000852 0000503681512 LINA MARLINA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1047 09-04-2019 100118010419Y000870 0000503763827 ADAM FATTU RIZQI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1048 09-04-2019 100118010419Y000771 0000503817906 YOYO SUTARYO L PBI (APBN) Cough Berobat Jalan

1049 09-04-2019 100118010419Y000824 0000503855673 ELIN PUJIAWATI P PBI (APBN) Cough Berobat Jalan

1050 09-04-2019 100118010419Y000849 0000503958881 JULAEHA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1051 09-04-2019 100118010419Y000787 0000503979849 OMAN ABDUROHMAN L PBI (APBN) Impacted cerumen Berobat Jalan

1052 09-04-2019 100118010419Y000807 0000503998997 SRI LESTARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1053 09-04-2019 100118010419P000835 0000504078006 NONENG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1054 09-04-2019 100118010419P000810 0000504155902 TUTI P PBI (APBN) Other cardiac arrhythmias Rujuk Lanjut

1055 09-04-2019 100118010419Y000809 0000504209013 HAYATI P PBI (APBN) Other general Berobat Jalan
examinations
1056 09-04-2019 100118010419Y000767 0000504211893 AI ROHMAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1057 09-04-2019 100118010419Y000858 0000504211983 ETI ROHAETI P PBI (APBN) Other specified headache Berobat Jalan
syndromes
1058 09-04-2019 100118010419Y000865 0000504301331 KARTIKA P PBI (APBN) Pneumonia, unspecified Berobat Jalan

1059 09-04-2019 100118010419Y000814 0000504363587 ADE KURNIATI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1060 09-04-2019 100118010419Y000864 0000504757967 SELI P PBI (APBN) Disorder of urinary system, Berobat Jalan
unspecified
1061 09-04-2019 100118010419Y000803 0001013096261 EULIS RODIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1062 09-04-2019 100118010419Y000749 0001013099319 FAZAR NURHASBI L PBI (APBN) Dyspepsia Berobat Jalan

1063 09-04-2019 100118010419Y000821 0001013101176 UPI L PBI (APBN) Other general Berobat Jalan
examinations
1064 09-04-2019 100118010419Y000762 0001013114709 OYAH SUROYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1065 09-04-2019 100118010419Y000760 0001013116691 HARI SUSANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1066 09-04-2019 100118010419Y000785 0001013117207 ELIN DARLINA P PBI (APBN) Necrosis of pulp Berobat Jalan

1067 09-04-2019 100118010419P000822 0001260016817 ROSMALA DELILA SIAGIAN P PENERIMA PENSIUN Hypermetropia Rujuk Lanjut
PNS
1068 09-04-2019 100118010419P000746 0001270756462 TISMAWAN SOMAWINATA L PEGAWAI SWASTA Heart failure Rujuk Lanjut

1069 09-04-2019 100118010419P000748 0001273341442 ZAKIYAH P PBI (APBD) Tuberculosis of other Rujuk Lanjut
specified organs
1070 09-04-2019 100118010419Y000784 0001280479623 AHYAR SUGANDA.SIP L PEKERJA MANDIRI Acute conjunctivitis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1071 09-04-2019 100118010419P000765 0001284305499 JUHANA L PBI (APBD) Schizophrenia, unspecified Rujuk Lanjut

1072 09-04-2019 100118010419Y000790 0001291481447 LILIS RESNANINGSIH P PNS PUSAT Essential (primary) Berobat Jalan
hypertension
1073 09-04-2019 100118010419Y000763 0001292697786 LILI SADELI L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
1074 09-04-2019 100118010419P000839 0001307684215 halim effendy L PEKERJA MANDIRI Unspecified diabetes Rujuk Lanjut
mellitus without

1075 09-04-2019 100118010419P000738 0001310675488 TATI HERYATI P PEKERJA MANDIRI Atopic dermatitis, Rujuk Lanjut
unspecified
1076 09-04-2019 100118010419Y000783 0001337071588 EMMY SASTRA P PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

1077 09-04-2019 100118010419P000825 0001384780577 ADE MARYUNATY P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
1078 09-04-2019 100118010419Y000846 0001398774161 DENI SAHRONI L PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
1079 09-04-2019 100118010419Y000802 0001398781552 ENDANG KARSIMAN L PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
1080 09-04-2019 100118010419Y000769 0001398785027 CEPI PRIATNA L PBI (APBD) Fever, unspecified Berobat Jalan

1081 09-04-2019 100118010419P000754 0001398787751 YANI FITRI P PBI (APBD) Rheumatoid arthritis, Rujuk Lanjut
unspecified
1082 09-04-2019 100118010419P000758 0001401217661 SUPRIYATIN P PBI (APBD) Unspecified diabetes Rujuk Lanjut
mellitus
1083 09-04-2019 100118010419P000744 0001401233038 MUN HAMIR L PBI (APBD) Schizophrenia, unspecified Rujuk Lanjut

1084 09-04-2019 100118010419Y000780 0001422419286 YANTI YULIANTI P PEGAWAI SWASTA Dyspepsia Berobat Jalan

1085 09-04-2019 100118010419Y000796 0001425761605 FARIDA WONGSO P PEKERJA MANDIRI Chronic renal failure, Berobat Jalan
unspecified
1086 09-04-2019 100118010419P000773 0001451348436 TJOA HOK AN L PEKERJA MANDIRI Chronic lymphocytic Rujuk Lanjut
leukaemia
1087 09-04-2019 100118010419P000841 0001459303637 SARIPAH P PEKERJA MANDIRI Tinnitus Rujuk Lanjut

1088 09-04-2019 100118010419Y000854 0001462924462 BONAR SITOHANG L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1089 09-04-2019 100118010419P000745 0001468165948 SUYANTO WELLY ARMONO L PEGAWAI SWASTA Benign neoplasm of Rujuk Lanjut
MARBUN unspecified site
1090 09-04-2019 100118010419P000747 0001468165961 KAEL REHUEL MARBUN L PEGAWAI SWASTA Cellulitis, unspecified Rujuk Lanjut

1091 09-04-2019 100118010419P000837 0001518249442 HERMAN SUPARJI L PEGAWAI SWASTA Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and

1092 09-04-2019 100118010419Y000788 0001518652179 N ATIH L PBI (APBD) Pneumonia, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1093 09-04-2019 100118010419Y000778 0001518656297 KOMARIAH L PBI (APBD) Dyspepsia Berobat Jalan

1094 09-04-2019 100118010419Y000756 0001521960186 TINI KARTINI P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1095 09-04-2019 100118010419Y000833 0001523863833 INDRA SUNARTO L PEGAWAI SWASTA Acute periodontitis Berobat Jalan

1096 09-04-2019 100118010419P000828 0001622253339 DERA YUNITA NM P PEGAWAI SWASTA Constipation Berobat Jalan

1097 09-04-2019 100118010419P000793 0001663810389 NINING SARIMANAH P PEGAWAI SWASTA Mixed asthma Rujuk Lanjut

1098 09-04-2019 100118010419Y000855 0001724566094 TARMUJI L PEKERJA MANDIRI Dyspepsia Berobat Jalan

1099 09-04-2019 100118010419P000823 0001727806432 EUIS ROSITA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1100 09-04-2019 100118010419P000813 0001734281842 WINA SAFITRI P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
nasopharynx, unspecified
1101 09-04-2019 100118010419Y000857 0001777683025 SOLEH AWALUDIN L PEGAWAI SWASTA Superficial injury of hip Berobat Jalan
and thigh, unspecified
1102 09-04-2019 100118010419P000848 0001778079464 HERNI P PBI (APBD) Benign neoplasm of other Berobat Jalan
and unspecified sites

1103 09-04-2019 100118010419P000777 0001852654678 ELIZABETH SUSIELAWATI P PEKERJA MANDIRI Orthopaedic follow-up Rujuk Lanjut
care, unspecified
1104 09-04-2019 100118010419Y000782 0001867326851 YERUSALEM MANALU P PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1105 09-04-2019 100118010419P000830 0001968883841 IRAN SETIAWAN L PEKERJA MANDIRI Sequelae of other and Rujuk Lanjut
unspecified

1106 09-04-2019 100118010419Y000829 0001984314958 FAHMI ABDUL GANI L PBI (APBN) Periapical abscess without Berobat Jalan
sinus
1107 09-04-2019 100118010419Y000859 0001984826474 HAIKAL M KADAFI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1108 09-04-2019 100118010419Y000831 0002038939097 SYAKIRAH ARTIA YUMNA P PEGAWAI BUMN Pulpitis Berobat Jalan

1109 09-04-2019 100118010419P000764 0002070548954 FLOWERIN YEMIMA P PEGAWAI SWASTA Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and

1110 09-04-2019 100118010419Y000766 0002085678584 NURFITRIANI APRILIA P PEKERJA MANDIRI Cysts of oral region, not Rujuk Lanjut
elsewhere classified
1111 09-04-2019 100118010419Y000768 0002182415332 TANIA AZAHRA P PBI (APBD) Fever, unspecified Berobat Jalan

1112 09-04-2019 100118010419Y000838 0002182417198 DIZA LABIBAH SYAFRINA P PBI (APBD) Fever with chills Berobat Jalan

1113 09-04-2019 100118010419Y000826 0002182420912 ENUNG WINARNI P PBI (APBD) Irritant contact dermatitis, Berobat Jalan
unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1114 09-04-2019 100118010419Y000741 0002182438653 SITI FATIMAH P PBI (APBD) Other acute upper Berobat Jalan
respiratory infections of

1115 09-04-2019 100118010419Y000739 0002182444198 ENUNG ROHATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1116 09-04-2019 100118010419Y000817 0002182445886 ANAH P PBI (APBD) Myalgia Berobat Jalan

1117 09-04-2019 100118010419Y000757 0002182452377 MINTARSIH P PBI (APBD) Headache Berobat Jalan

1118 09-04-2019 100118010419P000853 0002182457924 NURLELA P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1119 09-04-2019 100118010419P000851 0002182461669 ALI JUHRIA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1120 09-04-2019 100118010419Y000847 0002182462953 TATI KURNIAWATI P PBI (APBD) Asthma, unspecified Berobat Jalan

1121 09-04-2019 100118010419Y000791 0002182468195 AI NURHAYATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1122 09-04-2019 100118010419Y000820 0002182506996 SINTA NURHAYATI P PBI (APBD) Other general Berobat Jalan
examinations
1123 09-04-2019 100118010419Y000753 0002182507132 ISA SUDRAJAT L PBI (APBD) Myalgia Berobat Jalan

1124 09-04-2019 100118010419Y000772 0002182511845 DEDEN SANDI SOPANDI L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
1125 09-04-2019 100118010419P000786 0002182511856 BISMA ARKANANTA MAHADIKA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1126 09-04-2019 100118010419Y000845 0002183361017 YAYAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1127 09-04-2019 100118010419P000842 0002183362053 MIMIN P PBI (APBD) Myalgia Berobat Jalan

1128 09-04-2019 100118010419P000737 0002201600215 adrian nugraha madiadipura L PEKERJA MANDIRI Mixed anxiety and Rujuk Lanjut
depressive disorder
1129 09-04-2019 100118010419P000736 0002201600452 disa tri rahayu P PEKERJA MANDIRI Mixed anxiety and Rujuk Lanjut
depressive disorder
1130 09-04-2019 100118010419Y000863 0002237445742 AGUS DIANA L PEKERJA MANDIRI Myalgia Berobat Jalan

1131 09-04-2019 100118010419Y000862 0002237454235 MUHAMMAD PASHA AL RIZKY L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1132 09-04-2019 100118010419Y000811 0002295239703 AETI P PNS DAERAH Pulpitis Berobat Jalan

1133 09-04-2019 100118010419Y000775 0002422666743 ANISA NUR AMANAH P PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1134 09-04-2019 100118010419P000816 0002428877878 ARKA DWI RAMADHANI L ANGGOTA POLRI Dengue fever [classical Rujuk Lanjut
dengue]
1135 09-04-2019 100118010419P000832 0002451420145 ZAFRAN ZAID CANTONA L PEKERJA MANDIRI Congenital malformation of Rujuk Lanjut
cardiac septum,
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1136 09-04-2019 100118010419Y000781 0002463562923 IIS NENI ROSTINI P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1137 09-04-2019 100118010419Y000797 0002489846949 RAHMAT FITRA L PEKERJA MANDIRI Myalgia Berobat Jalan

1138 09-04-2019 100118010419P000755 0002492919718 DADANG CHOERUDDIN L PBI (APBD) Other chronic obstructive Rujuk Lanjut
pulmonary disease
1139 09-04-2019 100118010419Y000850 0002500986881 HERNAWATI P PBI (APBD) Dyspepsia Berobat Jalan

1140 09-04-2019 100118010419Y000808 0002595079146 IRMA YUKIANTI P PBI (APBN) Myalgia Berobat Jalan

1141 09-04-2019 100118010419P000752 0002603960111 NIA SUSILAWATI P PBI (APBN) Other and unspecified Rujuk Lanjut
ovarian cysts
1142 09-04-2019 100118010419P000827 0002614764104 NENENG KARTIKA P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

1143 09-04-2019 100118010419P000750 0002752931316 FAJAR DARMAWAN L PEKERJA MANDIRI Calculus in bladder Rujuk Lanjut

1144 09-04-2019 100118010419P000794 0002757371837 DENY IRIANA L PBI (APBD) Disorder of thyroid, Rujuk Lanjut
unspecified
1145 08-04-2019 100118010419Y000611 0000055514272 TASTAFTIAN GANDA PERMANA L PNS DAERAH Tinea cruris Berobat Jalan

1146 08-04-2019 100118010419P000620 0000056101623 ALIN DARLINA ELIA P PENERIMA PENSIUN TNI Other disorders of lacrimal Rujuk Lanjut
gland
1147 08-04-2019 100118010419Y000699 0000057234295 ATIK SUKARATNA P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
1148 08-04-2019 100118010419Y000667 0000069049089 YUSTIN ANGGRAENI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1149 08-04-2019 100118010419P000646 0000169205275 TATI SUHARTI P PNS PUSAT Polyarthritis, unspecified Rujuk Lanjut

1150 08-04-2019 100118010419Y000615 0000169606269 HJ. NURLELY ISA P PNS PUSAT Caries of dentine Berobat Jalan

1151 08-04-2019 100118010419P000706 0000211186721 EEN ROHANAH P PNS DAERAH Malignant neoplasm of Rujuk Lanjut
breast, unspecified
1152 08-04-2019 100118010419Y000690 0000418184201 Y. WACHYO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1153 08-04-2019 100118010419Y000673 0000501969521 ITI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1154 08-04-2019 100118010419Y000663 0000502233513 DADAN HERMANA L PBI (APBN) Myalgia Berobat Jalan

1155 08-04-2019 100118010419P000666 0000502316739 TITI P PBI (APBN) Heart failure Rujuk Lanjut

1156 08-04-2019 100118010419Y000710 0000502323581 SITI NURHANIPAH P PBI (APBN) Supervision of pregnancy Berobat Jalan
with history of abortive

1157 08-04-2019 100118010419Y000622 0000502966427 AI TETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1158 08-04-2019 100118010419Y000727 0000503040475 ASEP SUHENDI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1159 08-04-2019 100118010419Y000652 0000503062402 RANI AGUSTIN P PBI (APBN) Thalassaemia, unspecified Berobat Jalan

1160 08-04-2019 100118010419P000637 0000503302048 EDI SUPRIADI L PBI (APBN) Acute ischaemic heart Rujuk Lanjut
disease, unspecified
1161 08-04-2019 100118010419Y000626 0000503318068 KARNAMAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1162 08-04-2019 100118010419P000641 0000503355971 TONI L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

1163 08-04-2019 100118010419Y000630 0000503438624 EUIS RINI P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
1164 08-04-2019 100118010419Y000669 0000503454778 NINING SRININGSIH P PBI (APBN) Maternal care due to Rujuk Lanjut
uterine scar from previous

1165 08-04-2019 100118010419Y000675 0000503477122 IIM P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
1166 08-04-2019 100118010419Y000722 0000503739944 INTAN NURIKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1167 08-04-2019 100118010419Y000614 0000503751227 EKA NURHAYATI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1168 08-04-2019 100118010419Y000661 0000503859317 NURHAYATI P PBI (APBN) Disorder of skin and Berobat Jalan
subcutaneous tissue,

1169 08-04-2019 100118010419Y000621 0000503997647 SUMARIAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1170 08-04-2019 100118010419Y000627 0000504012071 NENI SUHAENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1171 08-04-2019 100118010419Y000617 0000504021014 NYAI EDAH P PBI (APBN) Pure Berobat Jalan
hypercholesterolaemia
1172 08-04-2019 100118010419Y000628 0000504031375 SHENI ESA TRI OCTAVIANI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

1173 08-04-2019 100118010419Y000610 0000504033851 DADANG MAHPUDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1174 08-04-2019 100118010419Y000708 0000504051377 AGUS MUHARAM L PBI (APBN) Myalgia Berobat Jalan

1175 08-04-2019 100118010419Y000726 0000504170695 SANTIKA SARI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
1176 08-04-2019 100118010419Y000639 0000504176523 RAMA NAOVAL ARASY L PBI (APBN) Scabies Berobat Jalan

1177 08-04-2019 100118010419Y000682 0000504200968 TATI NAWANGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1178 08-04-2019 100118010419Y000657 0000504204524 DENI RONY L PBI (APBN) Pulpitis Berobat Jalan

1179 08-04-2019 100118010419Y000662 0000504204579 YUHANA P PBI (APBN) Low back pain Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1180 08-04-2019 100118010419Y000634 0000504253449 YANI SURYANI P PBI (APBN) Impacted cerumen Berobat Jalan

1181 08-04-2019 100118010419Y000684 0000504284297 LILIS JUHRIAH P PBI (APBN) Disorder of skin and Berobat Jalan
subcutaneous tissue,

1182 08-04-2019 100118010419Y000693 0000504304299 DEDE MARIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1183 08-04-2019 100118010419Y000651 0000504316888 NIA KURNIATIN P PBI (APBN) Myalgia Berobat Jalan

1184 08-04-2019 100118010419Y000674 0000504795137 SARIPAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1185 08-04-2019 100118010419Y000671 0000504826132 DEDEN ALIANSYAH LOING L PBI (APBN) Acute pharyngitis Berobat Jalan

1186 08-04-2019 100118010419Y000624 0000504831036 SITI NURZAENI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1187 08-04-2019 100118010419Y000619 0000504913667 AAS KURNIASIH P PBI (APBN) Dyspepsia Berobat Jalan

1188 08-04-2019 100118010419Y000664 0001013096114 ENENG YANI P PBI (APBN) Necrosis of pulp Berobat Jalan

1189 08-04-2019 100118010419Y000638 0001013098937 NONOH P PBI (APBN) Headache Berobat Jalan

1190 08-04-2019 100118010419Y000660 0001013105079 JUHARIAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1191 08-04-2019 100118010419Y000618 0001013106148 IMAS YOYOH P PBI (APBN) Low back pain Berobat Jalan

1192 08-04-2019 100118010419Y000717 0001013107612 NUR ILHAM L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
1193 08-04-2019 100118010419Y000729 0001173798854 ROSMIWATI P PEGAWAI SWASTA Corns and callosities Berobat Jalan

1194 08-04-2019 100118010419Y000691 0001261328376 SABITAH DAHAYU SERUNI L PEGAWAI SWASTA Unspecified injury of Berobat Jalan
abdomen, lower back and

1195 08-04-2019 100118010419Y000713 0001265957774 SUKIRMAN L PEKERJA MANDIRI Other forms of stomatitis Berobat Jalan

1196 08-04-2019 100118010419P000677 0001269424811 MAMAT SURYANA L PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

1197 08-04-2019 100118010419P000612 0001296344586 TAMASIA SIMBOLON P PEKERJA MANDIRI Gastro-oesophageal reflux Rujuk Lanjut
disease without

1198 08-04-2019 100118010419Y000616 0001300574463 ABDUL KODIR L PEKERJA MANDIRI Myalgia Berobat Jalan

1199 08-04-2019 100118010419Y000656 0001311301236 USUP L PEKERJA MANDIRI Chronic periodontitis Berobat Jalan

1200 08-04-2019 100118010419P000705 0001336514264 BUDI L PEKERJA MANDIRI Presence of intraocular Rujuk Lanjut
lens
1201 08-04-2019 100118010419Y000696 0001389785477 SAROYAH P PEKERJA MANDIRI Pulpitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1202 08-04-2019 100118010419P000642 0001398761752 ADE SURYAHADI L PBI (APBD) Chronic kidney disease Rujuk Lanjut

1203 08-04-2019 100118010419Y000716 0001398763653 DAHLIA P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
1204 08-04-2019 100118010419Y000676 0001398767106 IIN HAYATI P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
1205 08-04-2019 100118010419P000694 0001398778525 AI OJA P PBI (APBD) Congestive heart failure Rujuk Lanjut

1206 08-04-2019 100118010419Y000640 0001398781056 SUSILAWATI P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

1207 08-04-2019 100118010419P000645 0001398785793 MIMIN KARMINI P PBI (APBD) Secondary hypertension Rujuk Lanjut

1208 08-04-2019 100118010419P000702 0001401239755 EMAN HIDAYAT L PBI (APBD) Chronic obstructive Rujuk Lanjut
pulmonary disease with
acute lower respiratory

1209 08-04-2019 100118010419Y000679 0001434908204 SALLY P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1210 08-04-2019 100118010419Y000707 0001435058921 MAJOHOR L PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1211 08-04-2019 100118010419Y000672 0001441944281 YAYAT SUPRIYATNA L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

1212 08-04-2019 100118010419P000653 0001444782521 HJ.AWANGSIH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
1213 08-04-2019 100118010419P000629 0001461692957 SURYA KARMAWAN L PEKERJA MANDIRI Presbyopia Rujuk Lanjut

1214 08-04-2019 100118010419P000712 0001467543982 IMAS UTJIH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease with (congestive)

1215 08-04-2019 100118010419P000688 0001470447663 BUDIMAN L PEKERJA MANDIRI Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

1216 08-04-2019 100118010419P000632 0001482706181 LEONARDO BELED L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut
HARRYWIJAYA
1217 08-04-2019 100118010419Y000680 0001518647758 ENENG YANI ROHAYANI L PBI (APBD) Chronic gingivitis Berobat Jalan

1218 08-04-2019 100118010419Y000659 0001518647769 ZAHRA AULIA MAHARANI L PBI (APBD) Loss of teeth due to Berobat Jalan
accident, extraction or

1219 08-04-2019 100118010419Y000695 0001518652776 ELI MARLIAH P PBI (APBD) Myalgia Berobat Jalan

1220 08-04-2019 100118010419Y000665 0001518666243 LINDA AYU AMALIA L PBI (APBD) Caries of dentine Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1221 08-04-2019 100118010419Y000685 0001519243391 TINI SUHARTINI (KP) P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
1222 08-04-2019 100118010419Y000697 0001728907457 ISSANTI YUNIA P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1223 08-04-2019 100118010419P000689 0001733245514 LUKI DWI ANDRIYANTO L PEKERJA MANDIRI HIV disease resulting in Rujuk Lanjut
unspecified infectious or

1224 08-04-2019 100118010419Y000631 0001776406961 FITRI P PEGAWAI SWASTA Inflammatory disorders of Berobat Jalan
breast
1225 08-04-2019 100118010419Y000648 0001778080015 SALIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1226 08-04-2019 100118010419Y000714 0001789103237 MUHAMMAD ZAHWAN ULUL L PEGAWAI SWASTA Chronic periodontitis Berobat Jalan
AZMI
1227 08-04-2019 100118010419P000709 0001790679835 WAWANG NAWANGSIH P PEKERJA MANDIRI Other diseases of larynx Rujuk Lanjut

1228 08-04-2019 100118010419P000658 0001816190471 ADITYA NUGRAHA L PEGAWAI SWASTA Chronic obstructive Rujuk Lanjut
pulmonary disease with
acute exacerbation,

1229 08-04-2019 100118010419Y000687 0001846901608 SRI MULYANI P PEKERJA MANDIRI Pulpitis Berobat Jalan

1230 08-04-2019 100118010419Y000719 0001847407307 TANIA L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1231 08-04-2019 100118010419Y000700 0002048983211 LILIS HIKMAWATI P PEKERJA MANDIRI Tension-type headache Berobat Jalan

1232 08-04-2019 100118010419P000644 0002068109471 YATI SRI HARYATI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

1233 08-04-2019 100118010419Y000625 0002098009001 MOCHAMAD SOBARI L PEGAWAI SWASTA Panniculitis affecting Berobat Jalan
regions of neck and back
1234 08-04-2019 100118010419Y000698 0002120608383 MOCHAMAD IVANA ANDRIANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1235 08-04-2019 100118010419Y000734 0002182420225 ESTI MEILANI P PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

1236 08-04-2019 100118010419P000735 0002182420225 ESTI MEILANI P PBI (APBD) Respiratory tuberculosis, Berobat Jalan
bacteriologically and

1237 08-04-2019 100118010419Y000723 0002182420596 ADINDA CHRISTIE PUTRI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1238 08-04-2019 100118010419Y000732 0002182441948 NAZWA NUR AZQIA MARSA P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1239 08-04-2019 100118010419Y000731 0002182441959 SILVIA NUR AZQIA DELA P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1240 08-04-2019 100118010419Y000715 0002182449611 LENI ROHAENI P PBI (APBD) Need for immunization Berobat Jalan
against tetanus alone
1241 08-04-2019 100118010419P000643 0002182453749 KURNIA RAMADANI L PBI (APBD) Tuberculous peripheral Rujuk Lanjut
lymphadenopathy
1242 08-04-2019 100118010419Y000703 0002182457496 UNDANG L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1243 08-04-2019 100118010419Y000633 0002182459623 WIDA OKTAVIANI P PBI (APBD) Myalgia Berobat Jalan

1244 08-04-2019 100118010419Y000725 0002182462435 RISKA NURIYANTI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1245 08-04-2019 100118010419Y000649 0002182464685 FARID RIZIK M. SOLIHIN L PBI (APBD) Cellulitis and abscess of Berobat Jalan
mouth
1246 08-04-2019 100118010419P000678 0002182511272 MUHAMMAD FAHRI L PBI (APBD) Fever, unspecified Berobat Jalan
FERDIANSYAH
1247 08-04-2019 100118010419Y000733 0002201224533 SITI NURAISAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1248 08-04-2019 100118010419Y000730 0002245502024 AFNAN PERMANA SAADAN L PEGAWAI SWASTA Bronchitis, not specified as Berobat Jalan
acute or chronic
1249 08-04-2019 100118010419P000683 0002259102429 zulfa ulya tsaniyah P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1250 08-04-2019 100118010419P000613 0002265563204 SUNARLAN L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and

1251 08-04-2019 100118010419Y000636 0002271919217 SULASTRI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1252 08-04-2019 100118010419Y000623 0002276945651 RONI APRIZAL L PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1253 08-04-2019 100118010419P000668 0002278227701 RINA P PEKERJA MANDIRI Other peripheral vertigo Rujuk Lanjut

1254 08-04-2019 100118010419Y000654 0002291217456 PUTRI AISYA SITI RAHMA P PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

1255 08-04-2019 100118010419Y000655 0002291219605 NAURA SITY SHALWA P PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1256 08-04-2019 100118010419P000720 0002313036123 tutty ruyati P PEKERJA MANDIRI Atherosclerotic heart Rujuk Lanjut
disease
1257 08-04-2019 100118010419Y000692 0002325670132 NURHAYATI P PBI (APBD) Dyspepsia Berobat Jalan

1258 08-04-2019 100118010419Y000650 0002422152573 HAMDANI FITRAH NUGRAHA L PBI (APBD) Acute pharyngitis Berobat Jalan

1259 08-04-2019 100118010419P000711 0002428269412 STEVE REYNALDI CHRISTIAN L PEKERJA MANDIRI Other specified Rujuk Lanjut
postsurgical states
1260 08-04-2019 100118010419Y000701 0002433044395 ALSA ARNETA NURFADILLAH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
1261 08-04-2019 100118010419P000686 0002440264904 DAFFA AL PUTRA WAHYUDI L PBI (APBN) Varicella without Berobat Jalan
complication
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1262 08-04-2019 100118010419P000704 0002464177083 JUMA'ALI L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

1263 08-04-2019 100118010419Y000718 0002488618719 GINA HERLINA P PBI (APBD) Caries of dentine Berobat Jalan

1264 08-04-2019 100118010419P000681 0002493338501 QORRI AINA ALIFA P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
1265 08-04-2019 100118010419Y000728 0002517748244 ALEX FEBRIYAN L PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

1266 08-04-2019 100118010419Y000670 0002593131917 KAMIL PUTRA FAWWAZ L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1267 08-04-2019 100118010419Y000635 0002620832703 ABDUL HAMID AZIZ L PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1268 08-04-2019 100118010419Y000724 0002749566238 NURHAYATI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
1269 08-04-2019 100118010419Y000721 0002751568648 PIRLI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
1270 08-04-2019 100118010419Y000647 0002757301738 SURYANI P PBI (APBD) Gestational Rujuk Lanjut
[pregnancy-induced]
hypertension without

1271 06-04-2019 100118010419Y000470 0000053040385 MUHAMAD UMAR L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1272 06-04-2019 100118010419Y000496 0000053040396 EUIS KARTINI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1273 06-04-2019 100118010419P000490 0000053086634 HJ. EUIS MAEMUNAH P PNS PUSAT Congestive heart failure Rujuk Lanjut

1274 06-04-2019 100118010419Y000472 0000053763153 MANORSA SIAHAAN, DRS. L PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
1275 06-04-2019 100118010419Y000592 0000054071548 DEVI NURASSYFA P PNS DAERAH Caries of dentine Berobat Jalan

1276 06-04-2019 100118010419P000547 0000055275816 AI KUSMAWATI P PNS DAERAH Supraventricular Rujuk Lanjut
tachycardia
1277 06-04-2019 100118010419P000498 0000055344047 DEDI SUWONDO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1278 06-04-2019 100118010419Y000591 0000055486989 MARUDUT PANJAITAN P PNS DAERAH Pityriasis versicolor Berobat Jalan

1279 06-04-2019 100118010419Y000551 0000055867061 YULISTYA RATNA WULAN, S.IP P PEGAWAI SWASTA Pulpitis Berobat Jalan

1280 06-04-2019 100118010419P000477 0000055943021 ISKANDAR WAWAN WARDANA L PNS PUSAT Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1281 06-04-2019 100118010419Y000512 0000056101623 ALIN DARLINA ELIA P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1282 06-04-2019 100118010419P000463 0000056687466 ENDAR DARSITA L PNS PUSAT Radiculopathy, Rujuk Lanjut
lumbosacral region
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1283 06-04-2019 100118010419Y000535 0000056990632 MIMI P PENERIMA PENSIUN Chronic gingivitis Berobat Jalan
PNS
1284 06-04-2019 100118010419P000545 0000057070934 SALIAn SIAHAAN, SH. L PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease
1285 06-04-2019 100118010419Y000580 0000057237322 LILIS WINDIAWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1286 06-04-2019 100118010419Y000507 0000166983366 R. SOPIAH P PENERIMA PENSIUN TNI Hypertensive heart Berobat Jalan
disease with (congestive)

1287 06-04-2019 100118010419Y000599 0000194886191 RIDHO AHMAD SOLEHUDIN L PNS PUSAT Periapical abscess without Berobat Jalan
sinus
1288 06-04-2019 100118010419Y000594 0000502755153 YUNINGSIH P PBI (APBN) Surveillance of Berobat Jalan
(intrauterine) contraceptive

1289 06-04-2019 100118010419P000548 0000503041724 AMAN AKUB L PBI (APBN) Heart failure Rujuk Lanjut

1290 06-04-2019 100118010419P000476 0000503094227 AHMAD YANI L PBI (APBN) Myopia Rujuk Lanjut

1291 06-04-2019 100118010419Y000510 0000503156845 ENI ROHAENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1292 06-04-2019 100118010419Y000567 0000503239432 ANIS HARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1293 06-04-2019 100118010419Y000608 0000503287738 ROSMAWATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
1294 06-04-2019 100118010419Y000467 0000503298246 TOHA L PBI (APBN) Malaise and fatigue Berobat Jalan

1295 06-04-2019 100118010419Y000533 0000503303321 ENTIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1296 06-04-2019 100118010419Y000537 0000503303927 TURIAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with

1297 06-04-2019 100118010419P000468 0000503309294 AHMAD DEDI L PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
1298 06-04-2019 100118010419Y000568 0000503321894 ENTJUM P PBI (APBN) Atherosclerotic Berobat Jalan
cardiovascular disease, so

1299 06-04-2019 100118010419Y000536 0000503336856 LILIS KURNIASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1300 06-04-2019 100118010419Y000465 0000503363474 OMAH ROMLAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1301 06-04-2019 100118010419Y000582 0000503429837 TIARA SANTIKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1302 06-04-2019 100118010419P000503 0000503672477 MAMAN SUARSA L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1303 06-04-2019 100118010419Y000581 0000503771466 DAHLAN L PBI (APBN) Polyarthritis, unspecified Berobat Jalan

1304 06-04-2019 100118010419Y000572 0000503839923 MUH.DWI RUSWANDI L PBI (APBN) Dermatitis, unspecified Berobat Jalan

1305 06-04-2019 100118010419Y000482 0000503859317 NURHAYATI P PBI (APBN) Other specified disorders Berobat Jalan
of skin and subcutaneous

1306 06-04-2019 100118010419P000501 0000503897321 RAYI SAPTA ANGRIANSYAH L PBI (APBN) Injury to multiple structures Rujuk Lanjut
of knee
1307 06-04-2019 100118010419P000460 0000503970849 TITING P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

1308 06-04-2019 100118010419Y000511 0000503981256 ROSMIATI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

1309 06-04-2019 100118010419Y000588 0000503995847 NUR BAETI P PBI (APBN) Surveillance of Berobat Jalan
(intrauterine) contraceptive

1310 06-04-2019 100118010419P000607 0000504005365 SRI ANGGRAENI P PEGAWAI SWASTA Generalized oedema Rujuk Lanjut

1311 06-04-2019 100118010419Y000577 0000504012328 EUIS ANINGSIH P PBI (APBN) Myalgia Berobat Jalan

1312 06-04-2019 100118010419Y000488 0000504062548 AMELIAWATI P PBI (APBN) Panniculitis affecting Berobat Jalan
regions of neck and back
1313 06-04-2019 100118010419P000609 0000504087232 KARMANAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1314 06-04-2019 100118010419Y000555 0000504190743 SUHMID L PBI (APBN) Low back pain Berobat Jalan

1315 06-04-2019 100118010419Y000528 0000504280315 OKEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1316 06-04-2019 100118010419Y000570 0000504289271 NANA MULYANAH P PBI (APBN) Atherosclerotic Berobat Jalan
cardiovascular disease, so

1317 06-04-2019 100118010419Y000524 0000504326079 AI SUMARNI P PBI (APBN) Migraine Berobat Jalan

1318 06-04-2019 100118010419Y000464 0000504327161 KARTIWI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1319 06-04-2019 100118010419Y000486 0000504340345 YEYET NURHAYATI P PBI (APBN) Haemorrhoids Berobat Jalan

1320 06-04-2019 100118010419Y000506 0000504377133 LILIS SURYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1321 06-04-2019 100118010419Y000585 0000504773886 YATI ROHMAYATI P PBI (APBN) Other contraceptive Berobat Jalan
management
1322 06-04-2019 100118010419Y000489 0000504815152 EMIT L PBI (APBN) Benign neoplasm of Berobat Jalan
unspecified site
1323 06-04-2019 100118010419Y000519 0000504828178 OMAY P PBI (APBN) Cough Berobat Jalan

1324 06-04-2019 100118010419Y000514 0001013095102 EMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1325 06-04-2019 100118010419Y000525 0001013095923 RANNIE MUTIARIZKI P PBI (APBN) Caries of dentine Berobat Jalan

1326 06-04-2019 100118010419Y000526 0001013097407 CECEP SUDRAJAT L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1327 06-04-2019 100118010419P000485 0001013099051 SUYADI L PBI (APBN) Fever, unspecified Berobat Jalan

1328 06-04-2019 100118010419Y000475 0001013104719 KARYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1329 06-04-2019 100118010419Y000499 0001013105788 ESA TRISNAYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1330 06-04-2019 100118010419Y000539 0001174094289 REVAN A. FAUZI L PEGAWAI SWASTA Acute pharyngitis, Berobat Jalan
unspecified
1331 06-04-2019 100118010419Y000504 0001197882292 RATIH NURDIAN P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1332 06-04-2019 100118010419Y000550 0001270046542 DIAN SANDI NUGRAHA L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1333 06-04-2019 100118010419Y000603 0001280879054 SARINI P PEKERJA MANDIRI Surveillance of Berobat Jalan
contraceptive drugs
1334 06-04-2019 100118010419Y000542 0001322307022 IIS SUTARSIH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1335 06-04-2019 100118010419P000529 0001325239503 ikah karyati P PEKERJA MANDIRI Secondary hypertension Rujuk Lanjut

1336 06-04-2019 100118010419P000556 0001398750208 RINA MARLINA P PBI (APBD) Tinnitus Rujuk Lanjut

1337 06-04-2019 100118010419Y000492 0001398752111 ZAHIRA ANINDYA MYISHA P PBI (APBD) Pulpitis Berobat Jalan

1338 06-04-2019 100118010419Y000602 0001398763686 DEDAH JUBAEDAH P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
1339 06-04-2019 100118010419Y000540 0001398767861 HERAWATI P PBI (APBD) Fever, unspecified Berobat Jalan

1340 06-04-2019 100118010419Y000534 0001398781181 HERI HERAWATI P PBI (APBD) Asthma, unspecified Berobat Jalan

1341 06-04-2019 100118010419Y000513 0001398782373 INTAN SURYANTI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
1342 06-04-2019 100118010419Y000586 0001398782935 HERAWATI P PBI (APBD) Surveillance of Berobat Jalan
(intrauterine) contraceptive

1343 06-04-2019 100118010419Y000532 0001398784296 ROHAETI P PBI (APBD) Headache Berobat Jalan

1344 06-04-2019 100118010419Y000495 0001398788515 HANANTO PRIYO HUTOMO L PBI (APBD) Necrosis of pulp Berobat Jalan

1345 06-04-2019 100118010419P000515 0001401219933 TUTI SUMIATI P PBI (APBD) Insulin-dependent Rujuk Lanjut
diabetes mellitus with

1346 06-04-2019 100118010419Y000587 0001401222036 HETY SUHARTI P PBI (APBD) Surveillance of Berobat Jalan
(intrauterine) contraceptive
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1347 06-04-2019 100118010419Y000595 0001401224422 ENI RUKMINI MULYATI P PBI (APBD) Other contraceptive Berobat Jalan
management
1348 06-04-2019 100118010419Y000480 0001401231104 MARIO APRYAN PUTRO L PBI (APBD) Caries of dentine Berobat Jalan

1349 06-04-2019 100118010419Y000554 0001425310007 CUCU MASKIAH P PEKERJA MANDIRI Caries of dentine Berobat Jalan

1350 06-04-2019 100118010419Y000543 0001434377867 SUCI SONDARI P PEGAWAI SWASTA Acute pharyngitis, Berobat Jalan
unspecified
1351 06-04-2019 100118010419Y000469 0001434900835 LILIS HAYATI P PBI (APBD) Polyarthritis, unspecified Berobat Jalan

1352 06-04-2019 100118010419P000484 0001454252681 DIDI SUPRIYADI L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
1353 06-04-2019 100118010419Y000566 0001461692957 SURYA KARMAWAN L PEKERJA MANDIRI Renovascular Berobat Jalan
hypertension
1354 06-04-2019 100118010419P000522 0001462455033 UMAN LUKMAN L PEKERJA MANDIRI Secondary hypertension Rujuk Lanjut

1355 06-04-2019 100118010419P000559 0001466656885 WAHYU GUNAWAN L PEKERJA MANDIRI Unspecified diabetes Rujuk Lanjut
mellitus without

1356 06-04-2019 100118010419Y001235 0001468615184 AMALIA ANGGARENI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
1357 06-04-2019 100118010419Y000573 0001472070036 ONIH KARYATI P PEKERJA MANDIRI Renovascular Berobat Jalan
hypertension
1358 06-04-2019 100118010419Y000549 0001482297344 YADI SUPRIYADI L PEKERJA MANDIRI Headache Berobat Jalan

1359 06-04-2019 100118010419P000604 0001482882491 DJUWITA P PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

1360 06-04-2019 100118010419P000505 0001518197207 RUSTIANA HUBARAT P PEKERJA MANDIRI Other headache Rujuk Lanjut
syndromes
1361 06-04-2019 100118010419Y000494 0001518655465 KOMALA P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1362 06-04-2019 100118010419Y000569 0001520235966 DENI GINANJAR L PEGAWAI SWASTA Impacted cerumen Berobat Jalan

1363 06-04-2019 100118010419P000605 0001522163979 BENI DWIYANTO L PEGAWAI SWASTA Disorders of refraction and Rujuk Lanjut
accommodation
1364 06-04-2019 100118010419P000606 0001522163981 DARREN PHILLIP CHRISTIAN L PEGAWAI SWASTA Myopia Rujuk Lanjut

1365 06-04-2019 100118010419Y000593 0001523405395 ADE IRMA SURYANI P PEGAWAI SWASTA Insertion of (intrauterine) Berobat Jalan
contraceptive device
1366 06-04-2019 100118010419Y000561 0001636062254 JAUDAH ATHALIA P PEGAWAI SWASTA Caries of dentine Berobat Jalan
SOFYANSYAH
1367 06-04-2019 100118010419Y000597 0001638368987 ABDIRAMA AGRAREVO L PEGAWAI SWASTA Chronic gingivitis Berobat Jalan

1368 06-04-2019 100118010419Y000596 0001638368998 DEDEH ROSMANIAR SOFIA P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1369 06-04-2019 100118010419Y000487 0001659840322 ELIS MULYATI.ST P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1370 06-04-2019 100118010419Y000466 0001663216806 NENI NURAENI P PEGAWAI SWASTA Myalgia Berobat Jalan

1371 06-04-2019 100118010419P000481 0001718317934 ELLY PUSPITA DEWI P PEKERJA MANDIRI Thyrotoxicosis, Rujuk Lanjut
unspecified
1372 06-04-2019 100118010419Y000508 0001720653366 WAWANG WIDANINGSIH P PEKERJA MANDIRI Chronic ischaemic heart Berobat Jalan
disease
1373 06-04-2019 100118010419Y000538 0001722544211 DRA.NENDEN RANI YULIANI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1374 06-04-2019 100118010419Y000471 0001722772304 SANDI MARDIANSYAH L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1375 06-04-2019 100118010419Y000520 0001722782013 ANDRIYANI SETIATY P PEGAWAI SWASTA Pulpitis Berobat Jalan

1376 06-04-2019 100118010419Y000523 0001777683025 SOLEH AWALUDIN L PEGAWAI SWASTA Superficial injury of hip Berobat Jalan
and thigh, unspecified
1377 06-04-2019 100118010419P000461 0001806973029 SITI AISAH P PEKERJA MANDIRI Asthma, unspecified Rujuk Lanjut

1378 06-04-2019 100118010419Y000521 0001807786754 DEDDY ASMARA DAUD L PENERIMA PENSIUN Essential (primary) Berobat Jalan
SWASTA hypertension
1379 06-04-2019 100118010419Y000579 0001810672547 ARDIA L PEKERJA MANDIRI Schizophrenia, unspecified Berobat Jalan

1380 06-04-2019 100118010419P000541 0001812424465 H. MULYANI ANOM LATIEF L PENERIMA PENSIUN Sleep disorder, Rujuk Lanjut
SWASTA unspecified
1381 06-04-2019 100118010419P000530 0001812425793 HJ. HARWINI P PENERIMA PENSIUN Malignant neoplasm of Rujuk Lanjut
SWASTA bronchus or lung,

1382 06-04-2019 100118010419P000601 0001886246897 MARKUS EFFENDY L PEKERJA MANDIRI End-stage renal disease Rujuk Lanjut

1383 06-04-2019 100118010419P000571 0001966347639 VERAWATI P PEKERJA MANDIRI Chronic ischaemic heart Berobat Jalan
disease
1384 06-04-2019 100118010419Y000517 0001999687882 DEDEN MUSTAQIM L PBI (APBN) Fever, unspecified Berobat Jalan

1385 06-04-2019 100118010419P000516 0002048863342 SRI WULANDARI P PNS PUSAT Maternal care for Rujuk Lanjut
malpresentation of fetus,

1386 06-04-2019 100118010419Y000518 0002053152527 SITI AISYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1387 06-04-2019 100118010419P000502 0002068386322 A.ROHANAH P PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
1388 06-04-2019 100118010419Y000527 0002120608293 IMAS YANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1389 06-04-2019 100118010419Y000563 0002182412755 A.SYAMSUDIN L PBI (APBD) Myalgia Berobat Jalan

1390 06-04-2019 100118010419Y000565 0002182412766 ETI HARYATI P PBI (APBD) Myalgia Berobat Jalan

1391 06-04-2019 100118010419P000479 0002182417402 MINI ROSMINI P PBI (APBD) Senile cataract, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1392 06-04-2019 100118010419Y000546 0002182419123 ELIS SULASTRI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
1393 06-04-2019 100118010419P000574 0002182422025 ANISA ROSMALIA DEWI P PBI (APBD) Vasculitis limited to skin, Rujuk Lanjut
unspecified
1394 06-04-2019 100118010419Y000473 0002182425085 IMAS RATNASIH P PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

1395 06-04-2019 100118010419Y000509 0002182431835 MUHAMAD YUSUP NUR L PBI (APBD) Measles without Berobat Jalan
HIDAYATULOH complication
1396 06-04-2019 100118010419Y000557 0002182436976 WINDA WULANDARI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
1397 06-04-2019 100118010419Y000553 0002182436987 MUHAMAD MAULANA FAUZI L PBI (APBD) Other specified surgical Berobat Jalan
follow-up care
1398 06-04-2019 100118010419P000462 0002182453255 NANANG S. L PBI (APBD) Chronic obstructive Rujuk Lanjut
pulmonary disease,

1399 06-04-2019 100118010419Y000600 0002182456394 TITIN SUPRIATIN P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
1400 06-04-2019 100118010419P000497 0002182459623 WIDA OKTAVIANI P PBI (APBD) Pure Berobat Jalan
hypercholesterolaemia
1401 06-04-2019 100118010419Y000491 0002182460016 NUNUNG AMINAH P PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
1402 06-04-2019 100118010419Y000552 0002182462525 YUSUP MAULANA L PBI (APBD) Dyspepsia Berobat Jalan

1403 06-04-2019 100118010419Y000558 0002182462863 DEWI MIRA P PBI (APBD) Myalgia Berobat Jalan

1404 06-04-2019 100118010419Y000483 0002182464606 SARIAH P PBI (APBD) Asthma, unspecified Berobat Jalan

1405 06-04-2019 100118010419P000478 0002182509066 DESSI SETIAWAN P PBI (APBD) Malnutrition-related Rujuk Lanjut
diabetes mellitus without

1406 06-04-2019 100118010419P000576 0002200038052 TAZIANI ZAHRA P PEKERJA MANDIRI Ganglion Rujuk Lanjut

1407 06-04-2019 100118010419Y000590 0002202348238 RINA MARLINA P PEKERJA MANDIRI Acute periodontitis Berobat Jalan

1408 06-04-2019 100118010419Y000531 0002203034242 MARYATI P PEKERJA MANDIRI Polyarthritis, unspecified Berobat Jalan

1409 06-04-2019 100118010419Y000564 0002220324085 HJ.NINING P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1410 06-04-2019 100118010419Y000598 0002291216117 SUSANTY P PEKERJA MANDIRI Insertion of (intrauterine) Berobat Jalan
contraceptive device
1411 06-04-2019 100118010419Y000560 0002317307409 EMOD L PEKERJA MANDIRI Superficial injury of hip Berobat Jalan
and thigh
1412 06-04-2019 100118010419Y000562 0002317307556 YOH SATIAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1413 06-04-2019 100118010419P000493 0002396721442 KARTINI P PBI (APBD) Congestive heart failure Rujuk Lanjut

1414 06-04-2019 100118010419Y000584 0002465635509 TESSA DESTIANI P PBI (APBD) Surveillance of Berobat Jalan
contraceptive drugs
1415 06-04-2019 100118010419Y000583 0002473382125 ACEP CANDRA L PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1416 06-04-2019 100118010419Y000575 0002595440046 ENTIN SUTINAH P PBI (APBN) Supervision of high-risk Rujuk Lanjut
pregnancy, unspecified
1417 06-04-2019 100118010419Y000544 0002602077783 UGIH RAHMAT L PBI (APBN) Arthritis, unspecified Berobat Jalan

1418 06-04-2019 100118010419P000500 0002602077816 ASEP GIGIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1419 06-04-2019 100118010419Y000589 0002612602181 PARULIAN SIRAIT P PEKERJA MANDIRI Chronic gingivitis Berobat Jalan

1420 06-04-2019 100118010419Y000578 0002612603057 GABRIELA VIRGINIA P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan
TAMBUNAN
1421 06-04-2019 100118010419P000474 0002619705352 CAROLINE JULIA PUSPITA P PEKERJA MANDIRI Gastroduodenitis, Rujuk Lanjut
unspecified
1422 05-04-2019 100118010419P000398 0000037449167 IIM NURYATI P PENERIMA PENSIUN Benign neoplasm of breast Rujuk Lanjut
PNS
1423 05-04-2019 100118010419P000388 0000053458705 ARSIH JUARSIH P PNS DAERAH Chronic kidney disease Rujuk Lanjut

1424 05-04-2019 100118010419Y000437 0000056230312 EPON JUNIARTI P VETERAN Headache Berobat Jalan

1425 05-04-2019 100118010419Y000452 0000057062496 EUIS RISMUNINGSIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1426 05-04-2019 100118010419P000389 0000057186944 NENENG SITI HAWANY P PENERIMA PENSIUN Atherosclerotic Rujuk Lanjut
PNS cardiovascular disease, so

1427 05-04-2019 100118010419Y000450 0000057237028 ROKAYAH P PENERIMA PENSIUN Cellulitis, unspecified Berobat Jalan
PNS
1428 05-04-2019 100118010419P000421 0000057733222 ENTIS SUTISNA L PNS DAERAH Asthma, unspecified Berobat Jalan

1429 05-04-2019 100118010419P000405 0000169606269 HJ. NURLELY ISA P PNS PUSAT Hypertensive heart Rujuk Lanjut
disease
1430 05-04-2019 100118010419Y000447 0000501962916 JUHRO L PBI (APBN) Dermatitis, unspecified Berobat Jalan

1431 05-04-2019 100118010419Y000445 0000501963131 DEDEH HODIJAH P PBI (APBN) Dyspepsia Berobat Jalan

1432 05-04-2019 100118010419Y000433 0000502020707 ADE SUARNA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1433 05-04-2019 100118010419Y000454 0000502867923 NURSALIM RAMADAN L PBI (APBN) Fever, unspecified Berobat Jalan

1434 05-04-2019 100118010419Y000409 0000503293577 NENG SUSI JUNENGSIH P PBI (APBN) Myalgia Berobat Jalan

1435 05-04-2019 100118010419P000416 0000503330837 ENIH P PBI (APBN) Congestive heart failure Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1436 05-04-2019 100118010419Y000434 0000503383173 LASMINI FAUZIAH P PBI (APBN) Headache Berobat Jalan

1437 05-04-2019 100118010419Y000425 0000503398798 ETTI WIDARTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1438 05-04-2019 100118010419Y000431 0000503675436 UJANG DEDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1439 05-04-2019 100118010419Y000424 0000503818751 ADE BARNAS L PBI (APBN) Hemiplegia, unspecified Berobat Jalan

1440 05-04-2019 100118010419Y000422 0000503819302 YOYOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1441 05-04-2019 100118010419Y000387 0000503828291 MARIAM P PBI (APBN) Acute periodontitis Berobat Jalan

1442 05-04-2019 100118010419Y000441 0000503859521 AHMAD NURFADILAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1443 05-04-2019 100118010419Y000417 0000503875539 ROHMATULOH L PBI (APBN) Surgical follow-up care, Berobat Jalan
unspecified
1444 05-04-2019 100118010419Y000438 0000504054077 NENG MAYA SINTIA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1445 05-04-2019 100118010419Y000428 0000504064923 RATIH SANTIKASARI P PBI (APBN) Asthma Berobat Jalan

1446 05-04-2019 100118010419Y000419 0000504232547 EMPOK SARIPAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1447 05-04-2019 100118010419Y000432 0000504238735 IMAM NUR HAKIM L PBI (APBN) Allergic rhinitis, Berobat Jalan
unspecified
1448 05-04-2019 100118010419P000392 0000504271001 KIKI P PBI (APBN) Myalgia Berobat Jalan

1449 05-04-2019 100118010419Y000390 0000504279189 UCI SUMIATI P PBI (APBN) Fever, unspecified Berobat Jalan

1450 05-04-2019 100118010419Y000395 0000504291339 IIS ISMAYANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1451 05-04-2019 100118010419Y000448 0000504333314 MIMIN NENGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1452 05-04-2019 100118010419Y000451 0001013095697 ADE HAFIDIN L PBI (APBN) Tinea corporis Berobat Jalan

1453 05-04-2019 100118010419P000408 0001013101176 UPI L PBI (APBN) Malunion of fracture, lower Rujuk Lanjut
leg
1454 05-04-2019 100118010419Y000394 0001273624942 AGUS SETIAWAN L PEKERJA MANDIRI Pityriasis versicolor Berobat Jalan

1455 05-04-2019 100118010419Y000456 0001311009074 BRAVA DIARA LUBIS L PEKERJA MANDIRI Superficial injury of head, Berobat Jalan
part unspecified
1456 05-04-2019 100118010419P000385 0001314871277 NANDANG SUTISNA L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

1457 05-04-2019 100118010419Y000439 0001398778525 AI OJA P PBI (APBD) Cervicalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1458 05-04-2019 100118010419Y000407 0001398779076 NENG DINI NURBADRIAH P PBI (APBD) Unspecified haemorrhoids Berobat Jalan
without complication

1459 05-04-2019 100118010419Y000423 0001398784162 EUIS ROBUSTIAWATI P PBI (APBD) Headache Berobat Jalan

1460 05-04-2019 100118010419Y000427 0001398784926 NIA JUBAEDAH P PBI (APBD) Streptococcal pharyngitis Berobat Jalan

1461 05-04-2019 100118010419Y000430 0001398784937 ANANDA MARDZATILA P PBI (APBD) Other specified disorders Berobat Jalan
of skin and subcutaneous

1462 05-04-2019 100118010419Y000412 0001398785793 MIMIN KARMINI P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
1463 05-04-2019 100118010419Y000429 0001398786636 ALEA ROBBIYATHUL L PBI (APBD) Dyspepsia Berobat Jalan
ADZAWIYAH
1464 05-04-2019 100118010419Y000435 0001431254981 PUTRI MARSHYA DIANI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1465 05-04-2019 100118010419P000444 0001435143521 YANE JUHARLIAH SRI M. P PEKERJA MANDIRI Heart failure Rujuk Lanjut

1466 05-04-2019 100118010419P000415 0001443722477 EVIE RATNA NENGSIH P PEKERJA MANDIRI Presbyopia Rujuk Lanjut

1467 05-04-2019 100118010419Y000426 0001479523487 IMAS KUSMIATI P PEKERJA MANDIRI Surveillance of Berobat Jalan
contraceptive drugs
1468 05-04-2019 100118010419Y000420 0001519742215 DWIRYANI SUSIANTI P PEGAWAI SWASTA Leiomyoma of uterus, Rujuk Lanjut
unspecified
1469 05-04-2019 100118010419Y000386 0001520532393 HUSIN KRISTIANLIE SANJAYA L PEKERJA MANDIRI Caries of dentine Berobat Jalan

1470 05-04-2019 100118010419P000396 0001662966009 UNANG SETIAWAN L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

1471 05-04-2019 100118010419Y000397 0001663675705 VANESA ANGELIN SHARAPOVA P PEGAWAI SWASTA Pulpitis Berobat Jalan

1472 05-04-2019 100118010419Y000418 0001778067584 NATTASYA ALLZAIRA PUTRI P PBI (APBD) Pneumonia, unspecified Berobat Jalan

1473 05-04-2019 100118010419Y000413 0001778078992 ABAN SOBANA L PBI (APBD) Presence of intraocular Rujuk Lanjut
lens
1474 05-04-2019 100118010419P000391 0001808602323 DENNY ERNAWAN L PEKERJA MANDIRI Atherosclerotic heart Rujuk Lanjut
disease
1475 05-04-2019 100118010419Y000414 0001810464311 YESI RAHMAWATI P PEKERJA MANDIRI Loss of teeth due to Berobat Jalan
accident, extraction or

1476 05-04-2019 100118010419P000442 0001810672547 ARDIA L PEKERJA MANDIRI Severe mental retardation Rujuk Lanjut

1477 05-04-2019 100118010419P000393 0001846675247 ACHMAD SAHID L PEGAWAI SWASTA Disorder of refraction, Rujuk Lanjut
unspecified
1478 05-04-2019 100118010419P000443 0001853123117 AFANDI L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
1479 05-04-2019 100118010419Y000449 0001898003136 IDA ISFARIDA GIARTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1480 05-04-2019 100118010419Y000402 0002068818838 TIFFANY ARSY NAFISAH P PEKERJA MANDIRI Other developmental Rujuk Lanjut
disorders of speech and

1481 05-04-2019 100118010419Y000458 0002091633074 SUNARYA L PEKERJA MANDIRI Dermatophytosis, Berobat Jalan
unspecified
1482 05-04-2019 100118010419Y000459 0002091633941 ARIZKI MAULANA L PEKERJA MANDIRI Varicella without Berobat Jalan
complication
1483 05-04-2019 100118010419Y000436 0002182426222 ARIF SEPTIYANA PUTRA L PBI (APBD) Fever, unspecified Berobat Jalan

1484 05-04-2019 100118010419Y000453 0002182450577 SITI FATIMAH P PBI (APBD) Dyspepsia Berobat Jalan

1485 05-04-2019 100118010419Y000401 0002182457261 IKE DATILAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1486 05-04-2019 100118010419Y000404 0002182457283 BRAGA MUHAMMAD RIZKI L PBI (APBD) Caries of dentine Berobat Jalan

1487 05-04-2019 100118010419Y000403 0002182457294 LAILA NURHAYATI P PBI (APBD) Disorder of facial nerve, Berobat Jalan
unspecified
1488 05-04-2019 100118010419Y000406 0002182463706 AHMAD ARIPIN L PBI (APBD) Transient cerebral Rujuk Lanjut
ischaemic attack,

1489 05-04-2019 100118010419Y000455 0002201600891 SASKIA FATIHA MADIADIPURA L PEKERJA MANDIRI Impacted cerumen Berobat Jalan

1490 05-04-2019 100118010419P000411 0002245532848 KASMAWATI P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
1491 05-04-2019 100118010419P000446 0002273815912 NURHASANAH P PEKERJA MANDIRI Panniculitis affecting Rujuk Lanjut
regions of neck and back,
thoracolumbar region

1492 05-04-2019 100118010419Y000410 0002275576863 RIZHA ATAYA GHANIA P PEGAWAI SWASTA Tetralogy of Fallot Rujuk Lanjut

1493 05-04-2019 100118010419Y000400 0002313240401 RAFFI WARDANI L PEGAWAI SWASTA Mastoiditis, unspecified Berobat Jalan

1494 05-04-2019 100118010419Y000440 0002396464683 HENI SUMARNI P PBI (APBD) Predominantly allergic Berobat Jalan
asthma
1495 05-04-2019 100118010419P000399 0002396721442 KARTINI P PBI (APBD) Congestive heart failure Rujuk Lanjut

1496 05-04-2019 100118010419Y000457 0002396953541 VANNY AYUNDANIAR P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
SETIAWAN infection, unspecified
1497 04-04-2019 100118010419P000274 0000053418519 HJ. IMAS WIDANINGSIH P PENERIMA PENSIUN TNI Entropion and trichiasis of Rujuk Lanjut
eyelid
1498 04-04-2019 100118010419P000288 0000053458705 ARSIH JUARSIH P PNS DAERAH Chronic kidney disease Rujuk Lanjut

1499 04-04-2019 100118010419P000278 0000053760958 EUIS NURHAYATI P PENERIMA PENSIUN Presence of intraocular Rujuk Lanjut
PNS lens
1500 04-04-2019 100118010419P000307 0000054071572 NURHASILAH P PNS DAERAH Low back pain Rujuk Lanjut

1501 04-04-2019 100118010419P000376 0000055189506 SRI MULYATI P PNS PUSAT Asthma, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1502 04-04-2019 100118010419Y000378 0000055189528 SHINTA ANGGRAENI P PNS PUSAT Supervision of normal first Berobat Jalan
pregnancy
1503 04-04-2019 100118010419Y000252 0000055347186 MINARTI DIAN SARI HABEAHAN P PEGAWAI SWASTA Disruption of caesarean Rujuk Lanjut
section wound
1504 04-04-2019 100118010419P000296 0000055411457 DADANG MULYAR L PNS DAERAH End-stage renal disease Rujuk Lanjut

1505 04-04-2019 100118010419Y000256 0000056230301 MARDI ALIAS APAN L VETERAN Postzoster neuralgia Berobat Jalan

1506 04-04-2019 100118010419P000289 0000056275097 POPON JULAEHA P PENERIMA PENSIUN TNI Cardiac arrhythmia, Rujuk Lanjut
unspecified
1507 04-04-2019 100118010419P000271 0000056431574 ICAH AISAH P PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

1508 04-04-2019 100118010419P000384 0000197891818 TATI SUTARSIH P PENERIMA PENSIUN TNI Chronic ischaemic heart Rujuk Lanjut
disease
1509 04-04-2019 100118010419P000257 0000198011553 RACHMAWATI P PENERIMA PENSIUN TNI Melanoma in situ Rujuk Lanjut

1510 04-04-2019 100118010419Y000355 0000283271444 ELVIS L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1511 04-04-2019 100118010419Y000328 0000502850158 MOCH SAEPULOH L PBI (APBN) Caries of dentine Berobat Jalan

1512 04-04-2019 100118010419Y000379 0000502857641 DEWI MULYATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1513 04-04-2019 100118010419Y000354 0000502877709 SANTI P PBI (APBN) Anaemia complicating Berobat Jalan
pregnancy, childbirth and

1514 04-04-2019 100118010419P000295 0000503072785 JUJU JUNARTI P PBI (APBN) Myopia Rujuk Lanjut

1515 04-04-2019 100118010419Y000276 0000503148306 YOYO BUDIYAWAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1516 04-04-2019 100118010419Y000259 0000503268726 IJOH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1517 04-04-2019 100118010419Y000349 0000503310014 ERLIN SUSANTI P PBI (APBN) Acute cystitis Berobat Jalan

1518 04-04-2019 100118010419Y000261 0000503350637 IJAH P PBI (APBN) Fever, unspecified Berobat Jalan

1519 04-04-2019 100118010419Y000371 0000503364958 SITI SOPIANTI P PBI (APBN) Acute hepatitis B Rujuk Lanjut

1520 04-04-2019 100118010419Y000323 0000503415966 NENGSIH P PBI (APBN) Cough Berobat Jalan

1521 04-04-2019 100118010419Y000356 0000503446476 ENTIS SUTISNA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1522 04-04-2019 100118010419P000363 0000503745276 NURHAYATI P PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
1523 04-04-2019 100118010419P000303 0000503780005 KIKI RIZKI MERDEKAWATI P PBI (APBN) Depressive episode Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1524 04-04-2019 100118010419Y000272 0000503806239 TIKA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1525 04-04-2019 100118010419P000298 0000503817906 YOYO SUTARYO L PBI (APBN) Cough Berobat Jalan

1526 04-04-2019 100118010419Y000309 0000503822812 WATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1527 04-04-2019 100118010419Y000264 0000503835052 ETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1528 04-04-2019 100118010419Y000306 0000503859317 NURHAYATI P PBI (APBN) Other specified disorders Berobat Jalan
of skin and subcutaneous

1529 04-04-2019 100118010419Y000327 0000503920001 ENTIN P PBI (APBN) Myalgia Berobat Jalan

1530 04-04-2019 100118010419Y000336 0000503978591 NENGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1531 04-04-2019 100118010419Y000365 0000504004375 SUMIATI P PBI (APBN) Loss of teeth due to Rujuk Lanjut
accident, extraction or

1532 04-04-2019 100118010419Y000300 0000504042693 DEDE SUMIATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1533 04-04-2019 100118010419Y000262 0000504083171 CUCU SUPIAH P PBI (APBN) Myalgia Berobat Jalan

1534 04-04-2019 100118010419Y000367 0000504168377 NANIK NURYANI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1535 04-04-2019 100118010419Y000348 0000504190743 SUHMID L PBI (APBN) Low back pain Berobat Jalan

1536 04-04-2019 100118010419Y000302 0000504192508 RENA P PBI (APBN) Low back pain Berobat Jalan

1537 04-04-2019 100118010419Y000267 0000504227878 JUHRIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1538 04-04-2019 100118010419Y000329 0000504229871 SILVA ROSKAYANTI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
1539 04-04-2019 100118010419Y000282 0000504237947 ASEP SETIAWAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1540 04-04-2019 100118010419Y000281 0000504253449 YANI SURYANI P PBI (APBN) Headache Berobat Jalan

1541 04-04-2019 100118010419Y000341 0000504282947 AI JUBAEDAH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

1542 04-04-2019 100118010419Y000352 0000504284297 LILIS JUHRIAH P PBI (APBN) Cluster headache Berobat Jalan
syndrome
1543 04-04-2019 100118010419Y000268 0000504316293 RUKMANA L PBI (APBN) Migraine, unspecified Berobat Jalan

1544 04-04-2019 100118010419Y000343 0000504340345 YEYET NURHAYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1545 04-04-2019 100118010419Y000347 0000504392848 KARYATI P PBI (APBN) Low back pain Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1546 04-04-2019 100118010419Y000290 0000504406416 ELIS NENGSIH P PBI (APBN) Other disorders of skin Berobat Jalan
and subcutaneous tissue,
not elsewhere classified

1547 04-04-2019 100118010419Y000312 0000504464488 SITI MUNAROH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1548 04-04-2019 100118010419Y000287 0000504526274 NIAH KARNIAH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1549 04-04-2019 100118010419Y000313 0000504800954 TITO SULAEMAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1550 04-04-2019 100118010419Y000311 0000504802912 IMAS ATIKAH P PBI (APBN) Dyspepsia Berobat Jalan

1551 04-04-2019 100118010419Y000315 0000504804159 RAFA ANDIKA SULAEMAN L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
1552 04-04-2019 100118010419Y000321 0000504815152 EMIT L PBI (APBN) Benign neoplasm of Rujuk Lanjut
unspecified site
1553 04-04-2019 100118010419Y000357 0000504833196 IDA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1554 04-04-2019 100118010419Y000359 0000504859893 NENG SUMIATI P PBI (APBN) Myalgia Berobat Jalan

1555 04-04-2019 100118010419Y000285 0000513770883 DETTY SARI RATNANINGSIH P PBI (APBN) Migraine Berobat Jalan

1556 04-04-2019 100118010419Y000337 0001013095124 ADE SARI P PBI (APBN) Arthritis, unspecified Berobat Jalan

1557 04-04-2019 100118010419Y000293 0001013101852 KOKOM KOMARIAH P PBI (APBN) Cough Berobat Jalan

1558 04-04-2019 100118010419P000266 0001013101918 DADAN HERIANA L PBI (APBN) Benign neoplasm of other Rujuk Lanjut
and unspecified sites

1559 04-04-2019 100118010419P000344 0001307676554 THOMAS HERLAMBANG L PEKERJA MANDIRI Hyperplasia of prostate Rujuk Lanjut
SUTANTO
1560 04-04-2019 100118010419Y000273 0001308747881 ENTIN KOMALASARI P PEKERJA MANDIRI Caries of dentine Berobat Jalan

1561 04-04-2019 100118010419P000253 0001308793059 BUDIMAN L PEKERJA MANDIRI Hyperplasia of prostate Rujuk Lanjut

1562 04-04-2019 100118010419P000383 0001309390042 DEDE HIDAYAT L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
1563 04-04-2019 100118010419P000277 0001314871852 EUIS NURHAYATI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

1564 04-04-2019 100118010419P000374 0001337317108 DEDE SUHENDA TEDJA L PEKERJA MANDIRI Vitiligo Rujuk Lanjut

1565 04-04-2019 100118010419Y000353 0001339569156 RODIAH P PEKERJA MANDIRI Arthritis, unspecified Berobat Jalan

1566 04-04-2019 100118010419P000368 0001384780577 ADE MARYUNATY P PEKERJA MANDIRI Uterovaginal prolapse, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1567 04-04-2019 100118010419Y000334 0001385910202 SISKA RISKY ARINTYA P PEGAWAI PEMERINTAH Supervision of normal first Berobat Jalan
DENGAN PERJANJIAN pregnancy

1568 04-04-2019 100118010419Y000351 0001398773013 AHMAD HERMAWAN L PBI (APBD) Chronic gingivitis Berobat Jalan

1569 04-04-2019 100118010419P000294 0001398780595 UYU YUSUF L PBI (APBD) Perforation of tympanic Rujuk Lanjut
membrane, unspecified
1570 04-04-2019 100118010419Y000292 0001398782259 NENG YANTI PUJIASTUTI P PBI (APBD) Headache Berobat Jalan

1571 04-04-2019 100118010419P000265 0001398782632 ZULFITRAH AKBAR L PBI (APBD) Peritonitis, unspecified Rujuk Lanjut

1572 04-04-2019 100118010419P000339 0001398788379 IRFAN JULIAWAN L PBI (APBD) Respiratory tuberculosis, Rujuk Lanjut
not confirmed
bacteriologically or

1573 04-04-2019 100118010419Y000317 0001399610518 RANI SUNDARI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
1574 04-04-2019 100118010419Y000335 0001401223533 ASEP MARDIANA L PBI (APBD) Necrosis of pulp Rujuk Lanjut

1575 04-04-2019 100118010419Y000284 0001401231104 MARIO APRYAN PUTRO L PBI (APBD) Acute periodontitis Berobat Jalan

1576 04-04-2019 100118010419Y000342 0001436955704 WULAN RAHAYU P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
1577 04-04-2019 100118010419Y000362 0001451344994 YELI P PEKERJA MANDIRI Caries of dentine Berobat Jalan

1578 04-04-2019 100118010419P000358 0001461414464 ENTIS SUTISNA L PEKERJA MANDIRI Gastro-oesophageal reflux Rujuk Lanjut
disease
1579 04-04-2019 100118010419Y000275 0001518649075 MIMIN L PBI (APBD) Chronic periodontitis Berobat Jalan

1580 04-04-2019 100118010419P000361 0001518654587 SYAMSUL BAHRI L PBI (APBD) Cholesteatoma of middle Rujuk Lanjut
ear
1581 04-04-2019 100118010419Y000254 0001518663328 OOM L PBI (APBD) Low back pain Berobat Jalan

1582 04-04-2019 100118010419Y000260 0001518664476 WAWAT L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1583 04-04-2019 100118010419P000291 0001519397853 WARLIANI RIZKA P PEGAWAI SWASTA Myopia Rujuk Lanjut

1584 04-04-2019 100118010419P000372 0001637760644 GUSTI ADINDA LAKEISHA P PEGAWAI SWASTA Paratyphoid fever, Rujuk Lanjut
unspecified
1585 04-04-2019 100118010419Y000346 0001720653366 WAWANG WIDANINGSIH P PEKERJA MANDIRI Chronic gingivitis Berobat Jalan

1586 04-04-2019 100118010419P000308 0001875028162 IMAS LASMINI P PEKERJA MANDIRI Asthma Rujuk Lanjut

1587 04-04-2019 100118010419P000370 0001886307491 KUMIANNA GIRSANG P PEGAWAI SWASTA Radiculopathy, Rujuk Lanjut
lumbosacral region
1588 04-04-2019 100118010419Y000322 0001894009217 NAURA HASNA ANNIDIA L PEGAWAI SWASTA Fever with chills Berobat Jalan

1589 04-04-2019 100118010419Y000324 0001902288791 wenny kastya p keliat P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1590 04-04-2019 100118010419Y000280 0001905856301 YANTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1591 04-04-2019 100118010419Y000279 0001905856964 RINI NUR'AINI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1592 04-04-2019 100118010419Y000360 0001958752326 RINI NURMAYANTI P PBI (APBD) Injury of eye and orbit, part Berobat Jalan
unspecified
1593 04-04-2019 100118010419Y000320 0001984476418 SUMIATI P PBI (APBN) Caries of dentine Berobat Jalan

1594 04-04-2019 100118010419Y000338 0001984545235 AI MIRAWATI DEWI P PBI (APBN) Other disorders of skin Berobat Jalan
and subcutaneous tissue,
not elsewhere classified

1595 04-04-2019 100118010419Y000258 0001984642953 FAISAL USMAN ARIFIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1596 04-04-2019 100118010419Y000345 0002013774827 M.RIFQI MADANIL ULUM L PBI (APBN) Pulpitis Berobat Jalan

1597 04-04-2019 100118010419P000251 0002065899767 NUR'NI P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut

1598 04-04-2019 100118010419P000301 0002069778352 NANI SUNARNI P PEKERJA MANDIRI Hypothyroidism, Rujuk Lanjut
unspecified
1599 04-04-2019 100118010419Y000326 0002126850737 MOCHAMAD LUKMAN HAKIM L PBI (APBN) Necrosis of pulp Berobat Jalan

1600 04-04-2019 100118010419Y000318 0002182413519 SITI NURUL SYARIFAH P PBI (APBD) General counselling and Berobat Jalan
advice on contraception
1601 04-04-2019 100118010419Y000369 0002182417457 ALI ALVIAN NUGRAHA L PBI (APBD) Acute laryngopharyngitis Berobat Jalan

1602 04-04-2019 100118010419Y000373 0002182419358 MUHAMAD RIZKI ADYATAMA L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
1603 04-04-2019 100118010419Y000270 0002182419404 HARYATI P PBI (APBD) Disorder of skin and Berobat Jalan
subcutaneous tissue,

1604 04-04-2019 100118010419Y000269 0002182419415 FADILAH AHMAD FAUZI L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
1605 04-04-2019 100118010419Y000377 0002182442668 YUYUN YUNENGSIH P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
1606 04-04-2019 100118010419P000255 0002182451973 MAMAT R. L PBI (APBD) Tinnitus Rujuk Lanjut

1607 04-04-2019 100118010419Y000310 0002182462457 MUSTOFA KAMIL L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1608 04-04-2019 100118010419Y000330 0002182507255 YANI P PBI (APBD) Myalgia Berobat Jalan

1609 04-04-2019 100118010419P000299 0002215297721 CUCU P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1610 04-04-2019 100118010419Y000366 0002219938569 MAHAMERU ESA PUTRA L PBI (APBN) Dermatitis, unspecified Berobat Jalan
JANUARSYAH
1611 04-04-2019 100118010419Y000325 0002239747187 SRI MULYAWATI P PEGAWAI SWASTA Supervision of high-risk Rujuk Lanjut
pregnancy, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1612 04-04-2019 100118010419Y000364 0002275576863 RIZHA ATAYA GHANIA P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

1613 04-04-2019 100118010419Y000316 0002280931918 KEANNU MUHAMMAD L PEGAWAI SWASTA Other forms of stomatitis Berobat Jalan
KHAWARIZMI
1614 04-04-2019 100118010419Y000286 0002307033011 SYIFA AULIA RACHMAN P PEGAWAI SWASTA Caries of dentine Berobat Jalan

1615 04-04-2019 100118010419Y000331 0002325670132 NURHAYATI P PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
1616 04-04-2019 100118010419P000283 0002327931358 ERNI SURYANI P PEKERJA MANDIRI Myopia Rujuk Lanjut

1617 04-04-2019 100118010419Y000340 0002396478431 ROSANAH P PBI (APBD) Dyspepsia Berobat Jalan

1618 04-04-2019 100118010419P000333 0002397425692 SOLIHAT P PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

1619 04-04-2019 100118010419Y000381 0002437045165 SATRIA DEWA L PBI (APBD) Trisomy 21, meiotic Berobat Jalan
nondisjunction
1620 04-04-2019 100118010419P000319 0002437045165 SATRIA DEWA L PBI (APBD) Down syndrome Rujuk Lanjut

1621 04-04-2019 100118010419Y000332 0002449819899 KUSMAWATI P PNS DAERAH Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage

1622 04-04-2019 100118010419P000297 0002454441333 HALIMAH P PBI (APBD) Calculus of kidney Rujuk Lanjut

1623 04-04-2019 100118010419Y000380 0002461366113 BAYI NY. LELA SARI L PBI (APBN) Acute laryngopharyngitis Berobat Jalan

1624 04-04-2019 100118010419Y000382 0002465165687 ARYA RAMADANI L PBI (APBD) Pneumonia, unspecified Berobat Jalan

1625 04-04-2019 100118010419Y000350 0002468466325 ENTIN P PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1626 04-04-2019 100118010419Y000314 0002496173488 AISAH NURJANAH P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
1627 04-04-2019 100118010419Y000375 0002499157438 ANNISA NURHASANAH P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1628 04-04-2019 100118010419Y000305 0002500986881 HERNAWATI P PBI (APBD) Dyspepsia Berobat Jalan

1629 04-04-2019 100118010419P000304 0002603599367 DESTIKA PRAMESTI P PBI (APBN) Atopic dermatitis Rujuk Lanjut

1630 04-04-2019 100118010419P000263 0002623701363 HUSNA AKIRA RAMADANI P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft

1631 02-04-2019 100118010419Y000167 0000049524107 ZAKARIA R L PNS PUSAT Essential (primary) Berobat Jalan
hypertension
1632 02-04-2019 100118010419Y000161 0000053101787 SANTI TRESNAWATI P PNS PUSAT Essential (primary) Berobat Jalan
hypertension
1633 02-04-2019 100118010419Y000220 0000053757821 RIRIES SEKARWAHYUNIE P PENERIMA PENSIUN Chronic gingivitis Berobat Jalan
PNS
1634 02-04-2019 100118010419P000204 0000053978319 WIKANA YOGA W L PENERIMA PENSIUN Atherosclerotic heart Rujuk Lanjut
PNS disease
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1635 02-04-2019 100118010419P000193 0000055290273 NOVA SANTOSA L PNS DAERAH Chronic ischaemic heart Rujuk Lanjut
disease
1636 02-04-2019 100118010419Y000158 0000055351124 NI KETUT SITI NURHAYATI P PNS DAERAH Caries of dentine Berobat Jalan

1637 02-04-2019 100118010419Y000134 0000055409769 CUCU SUYADI L PNS DAERAH Surgical follow-up care, Berobat Jalan
unspecified
1638 02-04-2019 100118010419P000192 0000056429796 TATI SUKAESIH P PENERIMA PENSIUN TNI Senile cataract, Rujuk Lanjut
unspecified
1639 02-04-2019 100118010419Y000248 0000057184683 DEDI SUPRIYATNA, SH. L PENERIMA PENSIUN Impacted cerumen Berobat Jalan
PNS
1640 02-04-2019 100118010419Y000247 0000057229558 H.S.SUPRIATNA, DRS. L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1641 02-04-2019 100118010419Y000178 0000057230212 YAYAH SRI HERYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1642 02-04-2019 100118010419Y000164 0000057235263 H. AUN SULAEMAN L PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
1643 02-04-2019 100118010419Y000142 0000057237502 SRI RAHAYU P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
1644 02-04-2019 100118010419P000125 0000057412451 TJUTJU SUHARNA, B.SC. L PENERIMA PENSIUN Other arthritis Rujuk Lanjut
PNS
1645 02-04-2019 100118010419P000123 0000057412462 HENNY RUSTINI P PENERIMA PENSIUN Unspecified diabetes Rujuk Lanjut
PNS mellitus with peripheral

1646 02-04-2019 100118010419P000232 0000197891818 TATI SUTARSIH P PENERIMA PENSIUN TNI Chronic kidney disease Rujuk Lanjut

1647 02-04-2019 100118010419Y000179 0000502087511 ELAH NURELA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1648 02-04-2019 100118010419Y000233 0000502181471 SARININGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1649 02-04-2019 100118010419Y000203 0000502832057 EGGY PIRGIAWAN P PBI (APBN) Allergic rhinitis, Berobat Jalan
unspecified
1650 02-04-2019 100118010419Y000138 0000503072785 JUJU JUNARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1651 02-04-2019 100118010419Y000214 0000503202993 AMINAH P PBI (APBN) Myalgia Berobat Jalan

1652 02-04-2019 100118010419P000155 0000503246619 DIDI SULAEMAN L PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

1653 02-04-2019 100118010419Y000208 0000503338274 INAH AMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1654 02-04-2019 100118010419Y000235 0000503359558 SITI JULAEHA P PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

1655 02-04-2019 100118010419Y000238 0000503390698 GILANG CAHYA DINATA L PBI (APBN) Chronic gingivitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1656 02-04-2019 100118010419Y000156 0000503399867 JAROH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1657 02-04-2019 100118010419Y000211 0000503676966 LILIS SUTIARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1658 02-04-2019 100118010419Y000160 0000503793764 KARWATI P PBI (APBN) Necrosis of pulp Berobat Jalan

1659 02-04-2019 100118010419Y000128 0000503817906 YOYO SUTARYO L PBI (APBN) Cough Berobat Jalan

1660 02-04-2019 100118010419Y000228 0000503848427 AHMAD SAEPULOH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1661 02-04-2019 100118010419Y000246 0000503852409 SITI ROKAYAH P PBI (APBN) Dyspepsia Berobat Jalan

1662 02-04-2019 100118010419Y000175 0000503855673 ELIN PUJIAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1663 02-04-2019 100118010419Y000177 0000503855853 ANNISA SITI HAPSOH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1664 02-04-2019 100118010419Y000137 0000504011621 ENUNG P PBI (APBN) Dyspepsia Berobat Jalan

1665 02-04-2019 100118010419Y000144 0000504011891 IRPAN L PBI (APBN) Oedema, unspecified Berobat Jalan

1666 02-04-2019 100118010419Y000199 0000504013375 CICIH P PBI (APBN) Myalgia Berobat Jalan

1667 02-04-2019 100118010419Y000201 0000504042028 FAISAL AKMAL L PBI (APBN) Disorder of skin and Berobat Jalan
subcutaneous tissue,

1668 02-04-2019 100118010419Y000157 0000504217653 DEDE ROKAYAH P PBI (APBN) Cough Berobat Jalan

1669 02-04-2019 100118010419Y000176 0000504223378 ASIH ROHAETI P PBI (APBN) Disorders of initiating and Berobat Jalan
maintaining sleep

1670 02-04-2019 100118010419Y000152 0000504240816 ENAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1671 02-04-2019 100118010419Y000188 0000504492671 TETI TARMINI P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1672 02-04-2019 100118010419Y000196 0000504712293 MAESAROH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1673 02-04-2019 100118010419Y000191 0000504815152 EMIT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1674 02-04-2019 100118010419Y000181 0000504838181 IIM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1675 02-04-2019 100118010419P000200 0000504910135 DEDE AHRI L PBI (APBN) Congestive heart failure Rujuk Lanjut

1676 02-04-2019 100118010419Y000215 0001013095708 CUCU SUMARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1677 02-04-2019 100118010419Y000166 0001013098432 UCU AISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1678 02-04-2019 100118010419P000149 0001013116296 UCU SYARIPUDIN L PBI (APBN) Benign neoplasm of Rujuk Lanjut
thyroid gland
1679 02-04-2019 100118010419Y000146 0001013116331 SITI SARAH AZIZAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1680 02-04-2019 100118010419Y000236 0001257337045 FREDY RIYANTO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1681 02-04-2019 100118010419Y000231 0001299864464 NANI NURJANAH P PBI (APBD) Acute cystitis Berobat Jalan

1682 02-04-2019 100118010419Y000124 0001310600452 ANI NURHAYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1683 02-04-2019 100118010419Y000187 0001320846366 PEPEN EPENDI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1684 02-04-2019 100118010419Y000186 0001322307022 IIS SUTARSIH P PEKERJA MANDIRI Pneumonia, unspecified Berobat Jalan

1685 02-04-2019 100118010419Y000195 0001337996979 JULAEHA P PEKERJA MANDIRI Polyarthritis, unspecified Berobat Jalan

1686 02-04-2019 100118010419Y000147 0001379282321 NONOK ROKAYAH P PEKERJA MANDIRI Depressive episode, Rujuk Lanjut
unspecified
1687 02-04-2019 100118010419Y000183 0001388142595 DARMANTO L PEKERJA MANDIRI Acute pharyngitis due to Berobat Jalan
other specified organisms
1688 02-04-2019 100118010419Y000140 0001398740692 JUJUN JUNAEDI L PBI (APBD) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

1689 02-04-2019 100118010419Y000234 0001398743728 LIA KUSMILAH P PBI (APBD) Acute cystitis Berobat Jalan

1690 02-04-2019 100118010419Y000240 0001398745214 RHEISYA SILVIAH P PBI (APBD) Counselling, unspecified Berobat Jalan

1691 02-04-2019 100118010419Y000170 0001398751323 NONENG TARWIAH P PBI (APBD) Disorders of initiating and Berobat Jalan
maintaining sleep

1692 02-04-2019 100118010419Y000227 0001398753112 MI'AH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1693 02-04-2019 100118010419Y000226 0001398753145 DIDIN HAERUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1694 02-04-2019 100118010419P000136 0001398784555 A.SADELI L PBI (APBD) Dizziness and giddiness Berobat Jalan

1695 02-04-2019 100118010419Y000184 0001401223252 ETI SUHAETI P PBI (APBD) Necrosis of pulp Berobat Jalan

1696 02-04-2019 100118010419P000122 0001401231003 DZIKRA KHOERUNISA P PBI (APBD) Epilepsy Rujuk Lanjut
MULYANTIKA
1697 02-04-2019 100118010419Y000209 0001424282523 ROSIDA P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1698 02-04-2019 100118010419Y000218 0001451757791 MONICA TJHAY JIT NGO P PEKERJA MANDIRI Myalgia Berobat Jalan

1699 02-04-2019 100118010419Y000225 0001454144387 RASMINDA SENOVITA S.SI P PEKERJA MANDIRI Pulpitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1700 02-04-2019 100118010419P000239 0001454265112 MELLANIE SURYADI P PEKERJA MANDIRI Asthma, unspecified Rujuk Lanjut

1701 02-04-2019 100118010419P000150 0001454723471 HAYATI SETIANINGSIH P PEKERJA MANDIRI Radiculopathy, Rujuk Lanjut
cervicothoracic region
1702 02-04-2019 100118010419P000168 0001463345155 WIWING ISTANTO L PEKERJA MANDIRI Senile cataract Rujuk Lanjut

1703 02-04-2019 100118010419Y000222 0001480735664 SOEBADYO INSWIADI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1704 02-04-2019 100118010419Y000127 0001482297344 YADI SUPRIYADI L PEKERJA MANDIRI Myalgia Berobat Jalan

1705 02-04-2019 100118010419Y000165 0001514955958 DEDE ROHAENI P PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

1706 02-04-2019 100118010419Y000219 0001518652798 YEYET SURYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1707 02-04-2019 100118010419P000141 0001519767753 SITI NGATIQOH P PEGAWAI SWASTA Presbyopia Rujuk Lanjut

1708 02-04-2019 100118010419P000223 0001521236283 LIA YULIANI P PEGAWAI SWASTA Cystitis, unspecified Rujuk Lanjut

1709 02-04-2019 100118010419Y000229 0001521236294 AWLIDA MUTIA KHAIRUNNISA P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

1710 02-04-2019 100118010419Y000162 0001663820177 DINDA SITI SHALEHAH P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
1711 02-04-2019 100118010419P000131 0001720232752 ETTY MARWATI P PEKERJA MANDIRI Secondary hypertension Rujuk Lanjut

1712 02-04-2019 100118010419Y000182 0001720323167 SUPARDI L PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1713 02-04-2019 100118010419P000151 0001812451544 NADIA SHAFIRA P PEKERJA MANDIRI Miliary tuberculosis Rujuk Lanjut

1714 02-04-2019 100118010419P000244 0001886451906 AZRINA MUTIARA GUNAWAN P PEKERJA MANDIRI Polyarteritis nodosa Rujuk Lanjut

1715 02-04-2019 100118010419Y000130 0001892398353 NENGSITI UMAMAH P PEGAWAI SWASTA Tinea corporis Berobat Jalan

1716 02-04-2019 100118010419Y000139 0001980266242 VINNY VEDDRIATI .F P PBI (APBN) Loss of teeth due to Berobat Jalan
accident, extraction or

1717 02-04-2019 100118010419Y000216 0001982841985 CHANDRA FAKHRUL SIDIQ L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1718 02-04-2019 100118010419Y000185 0002033851329 ai ronaesih P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1719 02-04-2019 100118010419Y000174 0002040797237 TRI KARTIKA PUTRI PURNAMA L PEKERJA MANDIRI Varicella without Berobat Jalan
complication
1720 02-04-2019 100118010419Y000154 0002070548954 FLOWERIN YEMIMA P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
1721 02-04-2019 100118010419P000221 0002071039588 CORRY SIANTURI P PEKERJA MANDIRI Other diseases of larynx Rujuk Lanjut

1722 02-04-2019 100118010419P000237 0002091293403 NURLI SABINA GIRSANG P PEKERJA MANDIRI Other disorders of skin Rujuk Lanjut
and subcutaneous tissue,
not elsewhere classified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1723 02-04-2019 100118010419Y000148 0002091385192 AYAT HIDAYAT L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1724 02-04-2019 100118010419Y000198 0002120608168 LILIS TUTI P PBI (APBN) Polyarthritis, unspecified Berobat Jalan

1725 02-04-2019 100118010419Y000210 0002182414724 DESTIANSYAH SAPUTRA L PBI (APBD) Necrosis of pulp Berobat Jalan

1726 02-04-2019 100118010419Y000194 0002182438563 SALSABILA RAHMADANI P PBI (APBD) Periapical abscess without Rujuk Lanjut
sinus
1727 02-04-2019 100118010419Y000172 0002182448283 KRIS APRILIANSYAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1728 02-04-2019 100118010419Y000129 0002182450847 AAS ASKAH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
1729 02-04-2019 100118010419Y000180 0002182453975 SUJANA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1730 02-04-2019 100118010419Y000245 0002182454807 DEWI SUSI LESTARI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1731 02-04-2019 100118010419Y000241 0002182459329 TUTI P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
1732 02-04-2019 100118010419Y000202 0002182461254 RAYHAN MAULANA SANJAYA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1733 02-04-2019 100118010419Y000224 0002182462874 MUHAMMAD RIZAL L PBI (APBD) Dental caries, unspecified Berobat Jalan

1734 02-04-2019 100118010419Y000173 0002182462896 RIZKI KURNIAWAN L PBI (APBD) Other and unspecified Berobat Jalan
diseases of pulp and

1735 02-04-2019 100118010419Y000189 0002182463379 IDA WIDAWATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1736 02-04-2019 100118010419Y000212 0002182464944 TUTI RATNA NENGSIH P PBI (APBD) Myalgia Berobat Jalan

1737 02-04-2019 100118010419Y000169 0002183361388 YUNI FEBRIANI P PEGAWAI SWASTA Myalgia Berobat Jalan

1738 02-04-2019 100118010419P000217 0002183362018 HJ EMIN P PBI (APBD) Polyarthritis, unspecified Rujuk Lanjut

1739 02-04-2019 100118010419P000159 0002183612635 MUHAMMAD SOHIB L PBI (APBD) Benign neoplasm of Rujuk Lanjut
unspecified site
1740 02-04-2019 100118010419P000197 0002238703637 ANTON TANDIKA L PEKERJA MANDIRI Carcinoma in situ of lip, Rujuk Lanjut
oral cavity and pharynx
1741 02-04-2019 100118010419P000242 0002251550812 DESTRY P PEKERJA MANDIRI Leiomyoma of uterus, Rujuk Lanjut
unspecified
1742 02-04-2019 100118010419P000243 0002251848644 HASNA KHAIRUNNISA P PEKERJA MANDIRI Turner's syndrome, Rujuk Lanjut
NOORDIAWAN unspecified
1743 02-04-2019 100118010419P000213 0002258416991 EKO MANUSIANTO BUDI L PEKERJA MANDIRI Cerebrovascular disease, Rujuk Lanjut
UTOMO unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1744 02-04-2019 100118010419Y000230 0002291216117 SUSANTY P PEKERJA MANDIRI Acute vaginitis Berobat Jalan

1745 02-04-2019 100118010419Y000205 0002295239703 AETI P PNS DAERAH Necrosis of pulp Berobat Jalan

1746 02-04-2019 100118010419Y000207 0002303497844 WENTI ALINDA P PEKERJA MANDIRI Caries of dentine Berobat Jalan

1747 02-04-2019 100118010419Y000153 0002316808506 RINA MAYANTI P PEGAWAI SWASTA Counselling, unspecified Berobat Jalan

1748 02-04-2019 100118010419Y000145 0002327931696 FIFI AFIFAH ERDIANA P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1749 02-04-2019 100118010419P000190 0002376421896 SUGIMIN PADMO SUGIYANTO L PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
1750 02-04-2019 100118010419Y000206 0002396626266 TINI SETIANI P PBI (APBD) Dyspepsia Berobat Jalan

1751 02-04-2019 100118010419Y000133 0002419880815 YANTI SUSILAWATI P PBI (APBD) Chronic gingivitis Berobat Jalan

1752 02-04-2019 100118010419P000143 0002445941654 SUPRIADI L PEGAWAI SWASTA Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and

1753 02-04-2019 100118010419P000126 0002446089399 AI SRI NURYANI P PEKERJA MANDIRI Acute sinusitis, Rujuk Lanjut
unspecified
1754 02-04-2019 100118010419Y000163 0002456775707 NENDEN ROSWATI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1755 02-04-2019 100118010419Y000135 0002471739491 YOSUA ARBUN L PEKERJA MANDIRI Loss of teeth due to Berobat Jalan
accident, extraction or

1756 02-04-2019 100118010419P000250 0002483895137 ADE MARLIAH P PEKERJA MANDIRI Gastro-oesophageal reflux Rujuk Lanjut
disease without

1757 02-04-2019 100118010419Y000171 0002492919718 DADANG CHOERUDDIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1758 02-04-2019 100118010419Y000132 0002617512557 FAHMI MUHAMAD RIZKI L PBI (APBD) Scabies Berobat Jalan

1759 02-04-2019 100118010419Y000249 0002752039923 EKA KURAESIN P PENERIMA PENSIUN Chronic gingivitis Berobat Jalan
PNS
1760 01-04-2019 100118010419P000106 0000037286368 BAMBANG RUDIANTO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1761 01-04-2019 100118010419P000079 0000053101787 SANTI TRESNAWATI P PNS PUSAT Dyspepsia Berobat Jalan

1762 01-04-2019 100118010419P001046 0000053408248 SUMADI, SE L PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
1763 01-04-2019 100118010419P000085 0000053524956 HJ.EULIS SITI SURNANI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1764 01-04-2019 100118010419P000030 0000054240107 TITO SUDRAJAT L PNS DAERAH Congestive heart failure Rujuk Lanjut

1765 01-04-2019 100118010419P001057 0000055222931 MAMU TALIMUDIN L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1766 01-04-2019 100118010419Y000072 0000055409769 CUCU SUYADI L PNS DAERAH Acute periodontitis Berobat Jalan

1767 01-04-2019 100118010419P001037 0000055411762 DADANG SAIFULLAH L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus
1768 01-04-2019 100118010419P001021 0000055445973 EUIS RATNANINGSIH P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus
1769 01-04-2019 100118010419P001003 0000055556673 TETI HARYETI,S.PD.SD P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus
1770 01-04-2019 100118010419P000028 0000055781458 YAYAH MARDIAH P PNS PUSAT Anxiety disorder, Rujuk Lanjut
unspecified
1771 01-04-2019 100118010419P001011 0000055802136 INCANG CARWINI P PNS PUSAT Non-insulin-dependent Sembuh
diabetes mellitus
1772 01-04-2019 100118010419P001004 0000056132021 ETI SURYATI P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
1773 01-04-2019 100118010419P001013 0000056391963 IROH ROCHMAWATI P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
1774 01-04-2019 100118010419P001022 0000056428661 SITI NURMAWAN ALWY P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
1775 01-04-2019 100118010419P000952 0000056432305 ROS RAUDAH P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus
1776 01-04-2019 100118010419P001024 0000056990632 MIMI P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus
1777 01-04-2019 100118010419P000001 0000057180025 HJ. AYAT RUDAYAT P PENERIMA PENSIUN Other specified dermatitis Rujuk Lanjut
PNS
1778 01-04-2019 100118010419P000120 0000057234036 AGA AL SURJANA L PENERIMA PENSIUN Constipation Berobat Jalan
PNS
1779 01-04-2019 100118010419P000041 0000057789819 ZUFNI DESTRIANI P PNS DAERAH Sprain and strain of Rujuk Lanjut
shoulder joint
1780 01-04-2019 100118010419P000008 0000058232575 RUHJATI P PENERIMA PENSIUN TNI Presbyopia Rujuk Lanjut

1781 01-04-2019 100118010419P000107 0000194601328 AGUNG GURMAYANA L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1782 01-04-2019 100118010419P000087 0000211186721 EEN ROHANAH P PNS DAERAH Counselling, unspecified Berobat Jalan

1783 01-04-2019 100118010419P000998 0000502028943 IHAT P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus
1784 01-04-2019 100118010419P001043 0000502067226 INGGIT KARMAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
1785 01-04-2019 100118010419Y000039 0000502068958 AAN SULASTRI P PBI (APBN) Pulpitis Berobat Jalan

1786 01-04-2019 100118010419Y000065 0000502149655 DIDIN SAEPUDIN L PBI (APBN) Necrosis of pulp Berobat Jalan

1787 01-04-2019 100118010419Y000094 0000502290595 SENA NUR RAMADHANI L PBI (APBN) Dengue fever [classical Berobat Jalan
dengue]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1788 01-04-2019 100118010419P001026 0000502306244 SUKAESIH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus
1789 01-04-2019 100118010419Y000057 0000502933331 WINDA LIANINGSIH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1790 01-04-2019 100118010419Y000056 0000503036831 YUNNI RIKMASARI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
1791 01-04-2019 100118010419P000022 0000503310341 AGUSTIAR MUSLIM L PBI (APBN) Myopia Rujuk Lanjut

1792 01-04-2019 100118010419P000073 0000503318248 FEVI SIANTURY L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1793 01-04-2019 100118010419P000108 0000503338375 ENTAR P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1794 01-04-2019 100118010419Y000075 0000503342728 SITI NURIAH P PBI (APBN) Chronic gingivitis Berobat Jalan

1795 01-04-2019 100118010419P000113 0000503349423 ILHAM P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

1796 01-04-2019 100118010419P000082 0000503364532 ONENG P PBI (APBN) Dyspepsia Berobat Jalan

1797 01-04-2019 100118010419P000081 0000503369054 ASEP MUHARAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1798 01-04-2019 100118010419Y000078 0000503444676 ECIN KURAESIN P PBI (APBN) Chronic periodontitis Berobat Jalan

1799 01-04-2019 100118010419Y000031 0000503452811 JUJU L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease with
acute exacerbation,

1800 01-04-2019 100118010419Y000067 0000503458165 ELIS P PBI (APBN) Supervision of pregnancy Berobat Jalan
with history of abortive

1801 01-04-2019 100118010419P000102 0000503461113 AYE L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

1802 01-04-2019 100118010419P000021 0000503512547 ROHANAH P PBI (APBN) Insulin-dependent Rujuk Lanjut
diabetes mellitus with

1803 01-04-2019 100118010419Y000059 0000503588733 MARIANA SOFYANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1804 01-04-2019 100118010419Y000038 0000503727884 TARMILAH P PBI (APBN) Necrosis of pulp Berobat Jalan

1805 01-04-2019 100118010419P000023 0000503826208 DADAN L PBI (APBN) Acute miliary tuberculosis, Rujuk Lanjut
unspecified
1806 01-04-2019 100118010419P000100 0000503857653 RAHAYU P PBI (APBN) Tinea cruris Berobat Jalan

1807 01-04-2019 100118010419P001010 0000503917986 ROKAYAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1808 01-04-2019 100118010419Y000051 0000503985216 WIWIN KURNIASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1809 01-04-2019 100118010419P000999 0000504033851 DADANG MAHPUDIN L PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
1810 01-04-2019 100118010419Y000007 0000504130419 ENOK TIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1811 01-04-2019 100118010419P000070 0000504199653 HERI HARYANTO L PBI (APBN) Multiple fractures of lower Rujuk Lanjut
leg
1812 01-04-2019 100118010419P000096 0000504201194 ODEH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1813 01-04-2019 100118010419P000052 0000504213074 EUIS KARTIKA P PBI (APBN) Other specified general Berobat Jalan
symptoms and signs
1814 01-04-2019 100118010419P000112 0000504222041 NONENG P PBI (APBN) Dyspepsia Berobat Jalan

1815 01-04-2019 100118010419Y000024 0000504282352 WATI P PBI (APBN) Caries of dentine Berobat Jalan

1816 01-04-2019 100118010419P001005 0000504333314 MIMIN NENGSIH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
1817 01-04-2019 100118010419P000086 0000504346408 DAMAS L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1818 01-04-2019 100118010419P001039 0000504940184 ETI ROHAETI P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
1819 01-04-2019 100118010419P000058 0000817161535 NANI P PBI (APBN) Migraine Rujuk Lanjut

1820 01-04-2019 100118010419P001036 0001013094516 DJUARIAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus
1821 01-04-2019 100118010419P000099 0001013094663 IMAS TR P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

1822 01-04-2019 100118010419P001059 0001013095495 ANIH SUMARNI P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus
1823 01-04-2019 100118010419Y000018 0001013096114 ENENG YANI P PBI (APBN) Chronic gingivitis Berobat Jalan

1824 01-04-2019 100118010419Y000017 0001013096171 FITRIYA ILMA P PBI (APBN) Chronic gingivitis Berobat Jalan

1825 01-04-2019 100118010419P000014 0001013101918 DADAN HERIANA L PBI (APBN) Benign neoplasm of Rujuk Lanjut
scapula and long bones of

1826 01-04-2019 100118010419Y000036 0001013101929 ENI ROHAYANI P PBI (APBN) Pulp degeneration Rujuk Lanjut

1827 01-04-2019 100118010419P000083 0001013108253 DARYATI P PBI (APBN) Bronchitis, not specified as Rujuk Lanjut
acute or chronic
1828 01-04-2019 100118010419P000048 0001013108646 EMPAT JULAEHA P PBI (APBN) Other cerebrovascular Rujuk Lanjut
disorders in diseases
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1829 01-04-2019 100118010419P000077 0001013112516 DEDEH ELA HAYATI P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease without

1830 01-04-2019 100118010419P000003 0001257456227 YUYUS YUSNIKA MUSTOPA P PEKERJA MANDIRI Vertigo of central origin Rujuk Lanjut

1831 01-04-2019 100118010419P000010 0001258796733 NENI ROHAENI TRI SULASMI P PEGAWAI SWASTA Other arthritis Rujuk Lanjut

1832 01-04-2019 100118010419P001001 0001259180616 MOCHAMAD SUKRON L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1833 01-04-2019 100118010419P000080 0001259868251 NURHAIDA SIJABAT P PEKERJA MANDIRI Superficial injury of head, Berobat Jalan
part unspecified
1834 01-04-2019 100118010419P000055 0001261766518 TEDI ABDUL ROHMAN L PBI (APBD) Thalassaemia, unspecified Rujuk Lanjut

1835 01-04-2019 100118010419P001051 0001269424811 MAMAT SURYANA L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1836 01-04-2019 100118010419P001054 0001269425002 Euis DARYATI P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1837 01-04-2019 100118010419P001028 0001270309015 FIRMAN ABDUL KADIR L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1838 01-04-2019 100118010419P001050 0001283729848 ETI SULASTRI P PBI (APBD) Non-insulin-dependent Sembuh
diabetes mellitus
1839 01-04-2019 100118010419P000012 0001284363551 RASJO L PBI (APBD) Schizophrenia, unspecified Rujuk Lanjut

1840 01-04-2019 100118010419P000111 0001293912044 LOICE SARNI SARAGIH P PEKERJA MANDIRI Zoster without Berobat Jalan
complication
1841 01-04-2019 100118010419P001061 0001300574463 ABDUL KODIR L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1842 01-04-2019 100118010419P000097 0001323976004 MIMIN DARMINI P PEKERJA MANDIRI Headache Berobat Jalan

1843 01-04-2019 100118010419P001002 0001325238579 ENTANG SUMARYA L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1844 01-04-2019 100118010419P000115 0001335210063 HERAWATI KESETYANINGSIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
SWASTA hypertension
1845 01-04-2019 100118010419P000068 0001335633412 OENTOJO TJIPTOBUSONO L PEKERJA MANDIRI Chronic ischaemic heart Rujuk Lanjut
disease
1846 01-04-2019 100118010419P000005 0001336057536 NENI MULYAGANIFAH P PEKERJA MANDIRI Unspecified renal colic Rujuk Lanjut

1847 01-04-2019 100118010419P000109 0001383075753 ROHMAH SITI HASANAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1848 01-04-2019 100118010419P000119 0001398744729 ASEP SOFYAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1849 01-04-2019 100118010419P000105 0001398762551 ECEP EPENDI L PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
1850 01-04-2019 100118010419Y000043 0001398762562 ENON CAHYATI P PBI (APBD) Necrosis of pulp Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1851 01-04-2019 100118010419P000074 0001398765971 BETY S TRIANA P PBI (APBD) Gastro-oesophageal reflux Rujuk Lanjut
disease without

1852 01-04-2019 100118010419P001023 0001398771224 HASANAH P PBI (APBD) Non-insulin-dependent Sembuh


diabetes mellitus
1853 01-04-2019 100118010419Y000045 0001398786682 SITI KOMALASARI P PBI (APBD) Caries of dentine Berobat Jalan

1854 01-04-2019 100118010419P000027 0001401213745 RAHMAT RAMADHAN L PBI (APBD) Nonscarring hair loss, Rujuk Lanjut
JAYUSMAN unspecified
1855 01-04-2019 100118010419P001020 0001401225311 SITI HASANAH P PBI (APBD) Non-insulin-dependent Sembuh
diabetes mellitus
1856 01-04-2019 100118010419P000032 0001421149094 WASRI ATMADJA L PEKERJA MANDIRI Unspecified diabetes Rujuk Lanjut
mellitus without

1857 01-04-2019 100118010419P000089 0001422418858 RODIAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1858 01-04-2019 100118010419Y000040 0001435058921 MAJOHOR L PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1859 01-04-2019 100118010419P000019 0001435076785 YUDHI SAPUTRA L PEKERJA MANDIRI Otitis media, unspecified Rujuk Lanjut

1860 01-04-2019 100118010419P000049 0001440976555 GINA ROSDIANA P PEKERJA MANDIRI Benign neoplasm of Rujuk Lanjut
unspecified site
1861 01-04-2019 100118010419P000114 0001454265112 MELLANIE SURYADI P PEKERJA MANDIRI Myalgia Berobat Jalan

1862 01-04-2019 100118010419P000950 0001456068385 YATI ROHAYATI P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1863 01-04-2019 100118010419P000121 0001456658267 MIMING SUTOMO L PEKERJA MANDIRI Cellulitis Rujuk Lanjut

1864 01-04-2019 100118010419P001065 0001456916466 VERONIKA W. P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus
1865 01-04-2019 100118010419P000118 0001458416496 RINA HERLINA P PEKERJA MANDIRI Counselling, unspecified Berobat Jalan

1866 01-04-2019 100118010419P000101 0001459177367 YAYAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1867 01-04-2019 100118010419P000116 0001515724661 TIKA TRISNAWATI P PEKERJA MANDIRI Intervertebral disc Berobat Jalan
disorder, unspecified
1868 01-04-2019 100118010419Y000060 0001518311608 RANI NURAENI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
1869 01-04-2019 100118010419P000104 0001518653362 AI SUMIRAH L PBI (APBD) Persons encountering Berobat Jalan
health services for other
counselling and medical
advice, not elsewhere
classified
1870 01-04-2019 100118010419P001067 0001518658187 RAMALIA JELITA L PBI (APBD) Non-insulin-dependent Sembuh
diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1871 01-04-2019 100118010419Y001213 0001518664195 DEWI ARIENI L PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1872 01-04-2019 100118010419P000047 0001518666671 VIVIAN RUBY P PBI (APBD) Irregular menstruation, Rujuk Lanjut
unspecified
1873 01-04-2019 100118010419P001048 0001665911349 MIMIN SUNDAYANI P PEGAWAI SWASTA Non-insulin-dependent Sembuh
diabetes mellitus
1874 01-04-2019 100118010419P000004 0001666912296 NENENG SURYATI P PEGAWAI SWASTA Benign neoplasm of other Rujuk Lanjut
specified sites
1875 01-04-2019 100118010419P000117 0001716711333 MARYAM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1876 01-04-2019 100118010419Y000095 0001718343628 RIAN RIZKINAWATI P PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1877 01-04-2019 100118010419P000020 0001722160484 YETI P PEKERJA MANDIRI Unspecified renal colic Rujuk Lanjut

1878 01-04-2019 100118010419P000088 0001724126973 HERMAWAN TJAHYADI L PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
nasal cavity and middle

1879 01-04-2019 100118010419Y000035 0001778079868 EULIS AMINAH P PBI (APBD) Urethral syndrome, Berobat Jalan
unspecified
1880 01-04-2019 100118010419P000071 0001778080241 ISEP RAMDAN L PBI (APBD) Headache Berobat Jalan

1881 01-04-2019 100118010419P000995 0001790983888 GIMAN L PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus
1882 01-04-2019 100118010419Y000016 0001800007356 SANTI KUSMAYANTI L PEGAWAI BUMN Maternal care due to Rujuk Lanjut
uterine scar from previous

1883 01-04-2019 100118010419P001045 0001801048274 RUDI SUKAMAJA L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1884 01-04-2019 100118010419P001000 0001815876696 WACHDIYAT L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1885 01-04-2019 100118010419P000994 0001815877754 IMAS ROSIDA P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1886 01-04-2019 100118010419P000091 0001821249314 TARLIAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1887 01-04-2019 100118010419P001029 0001830457743 entin kartini P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1888 01-04-2019 100118010419P000015 0001833414884 HOLIZA P PEKERJA MANDIRI Recurrent depressive Rujuk Lanjut
disorder, unspecified
1889 01-04-2019 100118010419Y000090 0001858572382 ASIH P PEGAWAI SWASTA Mumps without Berobat Jalan
complication
1890 01-04-2019 100118010419Y000092 0001858572753 SALMA NURUL HIDAYAH P PEGAWAI SWASTA Scabies Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1891 01-04-2019 100118010419Y000093 0001858572854 YUSUF KURNIA SANDI L PEGAWAI SWASTA Scabies Berobat Jalan

1892 01-04-2019 100118010419Y000037 0001867326851 YERUSALEM MANALU P PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1893 01-04-2019 100118010419P000025 0001960724812 IRFAN MAULANA L PNS DAERAH Acne conglobata Rujuk Lanjut

1894 01-04-2019 100118010419P000084 0001984610068 HERNI JUHERNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1895 01-04-2019 100118010419Y000013 0002047191399 MASDIANA SIHOMBING P PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1896 01-04-2019 100118010419Y000011 0002052897579 SILFI KUSMIANA P PEKERJA MANDIRI Ventricular septal defect Rujuk Lanjut

1897 01-04-2019 100118010419P000018 0002059500295 NANA ROHANA L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

1898 01-04-2019 100118010419Y000054 0002182420596 ADINDA CHRISTIE PUTRI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1899 01-04-2019 100118010419Y000062 0002182443197 ALBI MUHAMMAD ALFARIEL L PBI (APBD) Acute laryngopharyngitis Berobat Jalan

1900 01-04-2019 100118010419Y000063 0002182443208 MOCHAMMAD FADIL L PBI (APBD) Acute upper respiratory Berobat Jalan
ADRIELIANSYAH infection, unspecified
1901 01-04-2019 100118010419Y000064 0002182446191 NAZARUDIN L PBI (APBD) Dermatitis, unspecified Berobat Jalan

1902 01-04-2019 100118010419P000002 0002183364527 HANETI P PBI (APBD) Unspecified diabetes Rujuk Lanjut
mellitus with peripheral

1903 01-04-2019 100118010419P000053 0002183366834 IWAN L PBI (APBD) Schizophrenia, unspecified Rujuk Lanjut

1904 01-04-2019 100118010419P000098 0002183368667 SOBANA WARYA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1905 01-04-2019 100118010419Y000026 0002241158387 FADHLY MUHAMMAD FAUZAN L PEKERJA MANDIRI Pulpitis Berobat Jalan

1906 01-04-2019 100118010419P000006 0002248684209 HJ.EMA MAEMUNAH, SH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1907 01-04-2019 100118010419P001017 0002256027265 TATI SUHARTINI P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus
1908 01-04-2019 100118010419P000066 0002259046776 MARIA MAGDALENA P PEKERJA MANDIRI Senile cataract Rujuk Lanjut

1909 01-04-2019 100118010419P000076 0002259046888 GABRIELLA AIDORU P PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan
ELEGANTZO
1910 01-04-2019 100118010419Y000034 0002308989734 LIEM SIOK HOA P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1911 01-04-2019 100118010419P000110 0002318493609 ESIH KURNIASIH P PEKERJA MANDIRI Headache Berobat Jalan

1912 01-04-2019 100118010419Y000009 0002426753204 POPON P P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDUNG - 1001

FKTP : KOPO - 10011801

1913 01-04-2019 100118010419Y000061 0002583646874 RIFKI DARMAWAN L PBI (APBN) Necrosis of pulp Berobat Jalan

1914 01-04-2019 100118010419P000103 0002585546471 IRPAN NUR PAHRIJAL L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1915 01-04-2019 100118010419Y000042 0002595440046 ENTIN SUTINAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
1916 01-04-2019 100118010419P000033 0002602077816 ASEP GIGIN L PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
1917 01-04-2019 100118010419P000044 0002605522151 LATIFAH HUZAENI P PBI (APBN) Otitis media, unspecified Rujuk Lanjut

1918 01-04-2019 100118010419Y000046 0002605522162 FADILLA HAZAENI P PBI (APBN) Impacted cerumen Berobat Jalan

1919 01-04-2019 100118010419P000029 0002617512557 FAHMI MUHAMAD RIZKI L PBI (APBD) Pneumonia, unspecified Rujuk Lanjut

1920 01-04-2019 100118010419Y000069 0002622677826 ASHILA KHAIRUNNISA P PEGAWAI SWASTA Specific developmental Rujuk Lanjut
disorder of motor function
1921 01-04-2019 100118010419Y000050 0002624631535 ROSMAWATI P PBI (APBD) Maternal care due to Rujuk Lanjut
uterine scar from previous

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