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JANUARI 2020

No. No. Registrasi No. RM Nama Pasien Dokter Unit

REG/IP/200107-0036 333176 ZAKA PRATAMA BIN dr. Depi Jufri, Sp. MERANTI
1 ERWIN T.H.T.K.L

REG/IP/200106-0041 193802 M.DANISH BIN DONI dr. Depi Jufri, Sp. MERANTI
2 FEBRIANSYAH T.H.T.K.L

REG/IP/200113-0043 332957 M.ABDUL DZAID BIN dr. Depi Jufri, Sp. MERANTI
3 M.ZAIZ T.H.T.K.L

REG/IP/191230-0014 260470 BAMBANG IRAWAN BIN dr. Depi Jufri, Sp. MERANTI
4 A GOPUR T.H.T.K.L

REG/IP/200106-0036 315244 RASIKAH IFTINAH dr. Depi Jufri, Sp. MERANTI


5 KARTINI T.H.T.K.L

REG/IP/200121-0047 244681 RENDI ADI BIN NUR dr. Depi Jufri, Sp. PETANANG
6 HASAN T.H.T.K.L

REG/IP/200103-0050 332800 DODY RIZKY ALFAJRI dr. Depi Jufri, Sp. PETANANG
7 T.H.T.K.L

REG/IP/200121-0048 333547 PATMONO BIN KASDAI dr. Depi Jufri, Sp. PETANANG
8 T.H.T.K.L

REG/IP/191229-0028 092385 M. IHSAN AL QODRI dr. Depi Jufri, Sp. PETANANG


9 T.H.T.K.L

REG/IP/200120-0048 300147 MUHAMMAD LUQMAN dr. Depi Jufri, Sp. PETANANG


10 NUL HAKIM T.H.T.K.L

REG/IP/200120-0047 331947 GUNATAN BT MASIGA dr. Depi Jufri, Sp. MEDANG


11 T.H.T.K.L

REG/IP/191229-0025 332107 AHMAD FAIZ BIN DIKI dr. Depi Jufri, Sp. MEDANG
12 HARNANTO T.H.T.K.L

REG/IP/200120-0050 333479 RIGEN HARTONO BIN dr. Depi Jufri, Sp. MEDANG
13 FIRDAUS T.H.T.K.L

REG/IP/200114-0041 333371 M. RIZKY RAMADHAN dr. Depi Jufri, Sp. MEDANG


14 BIN SUSYANTO T.H.T.K.L

REG/IP/200121-0037 333804 ALEK IMRON BIN INA dr. Depi Jufri, Sp. MEDANG
15 T.H.T.K.L

REG/IP/200120-0049 100668 INDRA KUSUMA BIN dr. Depi Jufri, Sp. MEDANG
16 MEDIAN SAPUTRA T.H.T.K.L

REG/IP/200114-0032 283007 ARFAN BIN ZULKOPLI dr. Depi Jufri, Sp. MEDANG
17 T.H.T.K.L

REG/IP/200113-0039 006972 AZZAHRA OLLIVIA BT dr. Depi Jufri, Sp. TEMBESU


18 HERMAN HERMAN / T.H.T.K.L
AYAH
REG/IP/200114-0063 284414 KOMALA SARI BT dr. Depi Jufri, Sp. TEMBESU
19 RUSLAN T.H.T.K.L

REG/IP/200106-0035 332518 IRA ANGGRAINI BT dr. Depi Jufri, Sp. TEMBESU


20 INDRA T.H.T.K.L

REG/IP/200107-0040 331956 ADELIA SAFITRI BT dr. Depi Jufri, Sp. TEMBESU


21 HENGKI SUDIANTO T.H.T.K.L

FEBRUARI 2020
No. No. Registrasi No. RM Nama Pasien Dokter Unit
9793 REG/IP/200213-0001 241249 EPENDI BIN ZAENAL dr. Depi Jufri, Sp. MANGGARIS
T.H.T.K.L
9797 REG/IP/200129-0070 334837 PAJRI BIN SAMSU dr. Depi Jufri, Sp. MANGGARIS
T.H.T.K.L

10001 REG/IP/200210-0040 335081 NAURA RAYYANI BT dr. Depi Jufri, Sp. MERANTI
SUANDI T.H.T.K.L
10034 REG/IP/200203-0047 263262 ASIANA BT SESUAI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
10035 REG/IP/200203-0075 323789 TUSLAN DIBYO dr. Depi Jufri, Sp. MERANTI
SUWITO T.H.T.K.L

10060 REG/IP/200217-0028 260470 BAMBANG IRAWAN BIN dr. Depi Jufri, Sp. MERANTI
A GOPUR T.H.T.K.L
10062 REG/IP/200217-0033 335461 EARLYTA DZAKIYAH BT dr. Depi Jufri, Sp. MERANTI
TRI PRIYANTO T.H.T.K.L
10145 REG/IP/200218-0060 119017 AZIWA ALFARIZI BIN dr. Depi Jufri, Sp. MERANTI
AZILANI T.H.T.K.L

10163 REG/IP/200220-0038 219930 FEDRO FIRMANSYAH dr. Ahmad Hifni, Sp. MERANTI
BIN ABU SAMA THT.KL
10168 REG/IP/200203-0052 193802 M.DANISH BIN DONI dr. Depi Jufri, Sp. MERANTI
FEBRIANSYAH T.H.T.K.L
10227 REG/IP/200224-0026 103267 ALEKSANDER dr. Depi Jufri, Sp. PETANANG
BN.ABDULLAH T.H.T.K.L
10254 REG/IP/200217-0032 034693 RIRIN JUNI AMELIA BT dr. Depi Jufri, Sp. MEDANG
AGUS IRAWAN T.H.T.K.L
10256 REG/IP/200217-0031 116306 DION NASRUL UTAMA dr. Depi Jufri, Sp. MEDANG
BIN NASRULLA T.H.T.K.L
10273 REG/IP/200210-0037 137427 VIKIA DIFANYA SING dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L

10283 REG/IP/200217-0029 175647 AZIZA BT CIKMAT dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
10326 REG/IP/200203-0028 255776 ADITIA PRATAMA BIN dr. Depi Jufri, Sp. MEDANG
RISENTERI T.H.T.K.L
10352 REG/IP/200217-0040 262920 VIKTO OKTAVIAN BIN dr. Depi Jufri, Sp. MEDANG
ALAN MARDONA T.H.T.K.L
10388 REG/IP/200220-0033 150626 SUSILAWATI BT IDRUS dr. Ahmad Hifni, Sp. MEDANG
THT.KL
10390 REG/IP/200217-0030 205454 TIYO PRAYOGA BIN dr. Depi Jufri, Sp. MEDANG
INDRA SYAHIL T.H.T.K.L

10423 REG/IP/200203-0048 276822 LIKA SERFIA BT YANTO dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
10497 REG/IP/200217-0039 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L

10593 REG/IP/200203-0074 239002 TAUFIQ KAMIL BIN dr. Depi Jufri, Sp. TEMBESU
ZULYANSYAR T.H.T.K.L
10619 REG/IP/200203-0025 275330 MENTON NOVENDRA dr. Depi Jufri, Sp. TEMBESU
BIN PERI IRAWAN T.H.T.K.L
10829 REG/IP/200203-0050 334416 ICA OLIVIA BT dr. Depi Jufri, Sp. LEBAN
SURATMIN T.H.T.K.L
10832 REG/IP/200218-0063 266825 GIBRAN ARSHAKA dr. Depi Jufri, Sp. LEBAN
KENANDRA BIN ADI T.H.T.K.L
PIRMANTO

MARET 2020
No. No. Registrasi No. RM Nama Pasien Dokter Unit

11099 REG/IP/200314-0022 337401 EPIN NOPITA dr. Depi Jufri, Sp. MANGGARIS
T.H.T.K.L
11181 REG/IP/200303-0055 264509 DANA YUSRIFALAH dr. Depi Jufri, Sp. MERANTI
BINTI ZULIANSYAH T.H.T.K.L
11296 REG/IP/200302-0035 336349 NAUFAL DWI AJI BIN dr. Depi Jufri, Sp. MERANTI
SOFYAN HADI T.H.T.K.L
11347 REG/IP/200307-0023 295945 MAWIYAH BT dr. Depi Jufri, Sp. PETANANG
MAHANAN T.H.T.K.L
11383 REG/IP/200315-0019 337415 CIK ALI BIN M.ALI dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L

11552 REG/IP/200317-0046 337128 SANDI BIN YOGI ES dr. Depi Jufri, Sp. MEDANG
MEMET T.H.T.K.L
11594 REG/IP/200310-0036 111054 HENDRA SEPTIADI BIN dr. Depi Jufri, Sp. MEDANG
SARMONO T.H.T.K.L
11600 REG/IP/200302-0046 078669 ASLAMIN BIN SAKONI dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
11602 REG/IP/200303-0058 081462 ABDUL RAHMAN BIN dr. Depi Jufri, Sp. MEDANG
A.GONI T.H.T.K.L
11609 REG/IP/200225-0025 256977 EGI PRATAMA BIN dr. Depi Jufri, Sp. MEDANG
DEDY SOPYA T.H.T.K.L
11632 REG/IP/200303-0059 314661 BADRU SALAM BIN dr. Depi Jufri, Sp. MEDANG
OSID T.H.T.K.L
11887 REG/IP/200302-0040 250188 ARIEF BUDI dr. Depi Jufri, Sp. LEBAN
DARMAWAN BIN T.H.T.K.L
SUKADIYONO

Apr-20
No. No. Registrasi No. RM Nama Pasien Dokter Unit

5290 REG/OP/200417-0068 336435 JOKO PRIONO BIN dr. Achmad Harri POLI BEDAH UMUM
SUARNO Kuncoro, Sp.B
5291 REG/OP/200403-0036 336435 JOKO PRIONO BIN dr. Achmad Harri POLI BEDAH UMUM
SUARNO Kuncoro, Sp.B
5313 REG/OP/200403-0217 310015 ROZI YULIANDRI BIN dr. Achmad Harri POLI BEDAH UMUM
AMRI Kuncoro, Sp.B

5318 REG/OP/200424-0077 307626 MUKSIN BIN SAKYAD dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5328 REG/OP/200417-0106 336359 CICI ARMILAH BT dr. Achmad Harri POLI BEDAH UMUM
LAMAZI Kuncoro, Sp.B
5334 REG/OP/200424-0116 012279 INDRIATI BT KARAM dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B

5345 REG/OP/200403-0183 010798 IDA ROYANI BT dr. Achmad Harri POLI BEDAH UMUM
A.LATIF Kuncoro, Sp.B

5377 REG/OP/200417-0102 110557 PARMON BIN SAMINAH dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5387 REG/OP/200403-0139 280576 EDI MS BIN INPALTE dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B

5416 REG/OP/200330-0148 153108 PALNIK BT SAMSUDIN dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5422 REG/OP/200330-0139 334289 NAPOLEON BONAPARTE dr. Achmad Harri POLI BEDAH UMUM
BIN SUPARMIN Kuncoro, Sp.B
5428 REG/OP/200403-0212 338345 PERTIWI BT UJUD dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B

5439 REG/OP/200417-0022 194023 DANDI SAPUTRA BIN dr. Achmad Harri POLI BEDAH UMUM
YUSNADI Kuncoro, Sp.B
5468 REG/OP/200417-0110 316171 CITRO WIDOYO BIN dr. Achmad Harri POLI BEDAH UMUM
MULYORJO Kuncoro, Sp.B
5480 REG/OP/200330-0132 333144 ERLINA R BT ROMLI dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B

5508 REG/OP/200403-0126 028744 SUSWANA BT MUJAR dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5513 REG/OP/200403-0142 337505 MEYLANY JUWITA SARI dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B

5514 REG/OP/200417-0084 337558 AHMAD ZULFAKAR BIN dr. Achmad Harri POLI BEDAH UMUM
KHOLIL Kuncoro, Sp.B
5543 REG/OP/200424-0032 289086 MUSBIRIN BIN ABU dr. Achmad Harri POLI BEDAH UMUM
HANI Kuncoro, Sp.B
5567 REG/OP/200403-0043 336425 SERJAN BIN KASAN dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B

5585 REG/OP/200424-0067 230466 AVITA LADEA BT dr. Achmad Harri POLI BEDAH UMUM
YULIAS Kuncoro, Sp.B

5610 REG/OP/200424-0057 229503 RUSLI NARONI BIN dr. Achmad Harri POLI BEDAH UMUM
NARONI Kuncoro, Sp.B
5618 REG/OP/200403-0171 216076 EVAN INDO dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5621 REG/OP/200403-0184 338336 HADI PURWOREKSO dr. Achmad Harri POLI BEDAH UMUM
BIN MUKSON Kuncoro, Sp.B

5624 REG/OP/200417-0098 338345 PERTIWI BT UJUD dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5625 REG/OP/200424-0086 338345 PERTIWI BT UJUD dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5632 REG/OP/200417-0040 207878 DEVI BT BASRI MUSA dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5643 REG/OP/200403-0087 338100 ZAENAL BAKRI BIN dr. Achmad Harri POLI BEDAH UMUM
BAKRI Kuncoro, Sp.B

5644 REG/OP/200424-0046 207878 DEVI BT BASRI MUSA dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B
5647 REG/OP/200417-0132 229503 RUSLI NARONI BIN dr. Achmad Harri POLI BEDAH UMUM
NARONI Kuncoro, Sp.B

5657 REG/OP/200330-0154 215893 HARTONO BIN S.MIJAN dr. Achmad Harri POLI BEDAH UMUM
Kuncoro, Sp.B

6710 REG/IP/200412-0020 338686 SOPYANTONO BIN A dr. Achmad Harri KULIM


BUSTOMI Kuncoro, Sp.B

6809 REG/IP/200410-0033 338652 LINA ARDIANA BT dr. Achmad Harri MANGGARIS


KAUSAR Kuncoro, Sp.B

6832 REG/IP/200405-0004 338281 KUNARI BN JASAN dr. Achmad Harri MANGGARIS


Kuncoro, Sp.B

6834 REG/IP/200327-0011 299198 SURYATI BT SISWOYO dr. Achmad Harri MANGGARIS


Kuncoro, Sp.B
6843 REG/IP/200320-0029 337792 NURJANA BT KURIS dr. Achmad Harri MANGGARIS
Kuncoro, Sp.B

6857 REG/IP/200327-0008 326425 M.RIDUAN BIN dr. Achmad Harri MANGGARIS


LAHMUDIN Kuncoro, Sp.B

6870 REG/IP/200410-0032 265013 DWI APRILIA BT dr. Achmad Harri MANGGARIS


SUKIRMAN Kuncoro, Sp.B
6898 REG/IP/200410-0030 303948 MARSUDI BIN USMAN dr. Achmad Harri ICU
Kuncoro, Sp.B

6903 REG/IP/200411-0017 338668 ARI BIN INSAN dr. Achmad Harri ICU
Kuncoro, Sp.B
6906 REG/IP/200412-0011 338685 KUSNANDAR BIN dr. Achmad Harri MERANTI
CASKAN Kuncoro, Sp.B

6917 REG/IP/200403-0029 338354 DIKY CHANDRA BIN dr. Achmad Harri MERANTI
MUSLIM Kuncoro, Sp.B
6991 REG/IP/200410-0031 152756 M.SOIM BIN NASIR dr. Achmad Harri MERANTI
Kuncoro, Sp.B
7014 REG/IP/200327-0010 055304 TUKIJAN BIN BENU dr. Achmad Harri PETANANG
Kuncoro, Sp.B
7038 REG/IP/200327-0006 241505 NURFADILA BT MAHALI dr. Achmad Harri PETANANG
Kuncoro, Sp.B

7044 REG/IP/200327-0012 335195 DARMAWATI BT dr. Achmad Harri MEDANG


MUAZAN Kuncoro, Sp.B
7072 REG/IP/200411-0012 338667 PUTRA BIN JAMAIN dr. Achmad Harri MEDANG
Kuncoro, Sp.B
7081 REG/IP/200404-0010 338366 MUHAMMAD NADIR dr. Achmad Harri MEDANG
Kuncoro, Sp.B

7089 REG/IP/200424-0002 339138 ARIES BN SAYUTI dr. Achmad Harri MEDANG


Kuncoro, Sp.B
7091 REG/IP/200424-0021 339154 DIMAS BIN HOIRIN dr. Achmad Harri MEDANG
Kuncoro, Sp.B
7108 REG/IP/200410-0019 338646 ABDUL RUSMAN BIN dr. Achmad Harri MEDANG
SARBI Kuncoro, Sp.B
7138 REG/IP/200411-0009 338666 MAT SANI dr. Achmad Harri MEDANG
Kuncoro, Sp.B

7195 REG/IP/200325-0016 337979 SUMARSONO BIN dr. Depi Jufri, Sp. MEDANG
TUKIRAN T.H.T.K.L
7216 REG/IP/200403-0003 338325 PEBRIADI BIN NAZORI dr. Achmad Harri MEDANG
Kuncoro, Sp.B
7217 REG/IP/200403-0028 338339 AYU ANDIRA BINTI ABU dr. Achmad Harri MEDANG
SIRIN Kuncoro, Sp.B

7221 REG/IP/200424-0032 339170 AGIL FIRMANSYAH BIN dr. Achmad Harri MEDANG
RUSTAM EFENDI Kuncoro, Sp.B
7222 REG/IP/200412-0013 285543 HENDRIADI BIN dr. Achmad Harri MEDANG
MASYUR Kuncoro, Sp.B

7232 REG/IP/200327-0021 313545 YABANI BIN MURNI dr. Achmad Harri MEDANG
Kuncoro, Sp.B
7241 REG/IP/200424-0001 293498 YOGI KURNIAWAN BIN dr. Achmad Harri MEDANG
AHALIX Kuncoro, Sp.B
7263 REG/IP/200322-0021 276802 DWI SHINTA PUJI dr. Depi Jufri, Sp. TEMBESU
ASTUTI T.H.T.K.L
7319 REG/IP/200330-0015 153108 PALNIK BT SAMSUDIN dr. Achmad Harri TEMBESU
Kuncoro, Sp.B

7329 REG/IP/200404-0023 322948 ZULKARNAIN BIN ALIAS dr. Achmad Harri TEMBESU
Kuncoro, Sp.B

7368 REG/IP/200403-0021 310015 ROZI YULIANDRI BIN dr. Achmad Harri TEMBESU
AMRI Kuncoro, Sp.B
MEI 2020
No. No. Registrasi No. RM Nama Pasien Dokter Unit

2857 REG/OP/200527-0201 340420 HARMEN BIN HARNIS dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L
2858 REG/OP/200504-0018 287497 DODIE PANAROSA BIN dr. Depi Jufri, Sp. POLI THT
JANEN T.H.T.K.L
2859 REG/OP/200527-0248 340432 M ALI ROJA'I BIN M dr. Depi Jufri, Sp. POLI THT
ROSAT T.H.T.K.L

2860 REG/OP/200528-0043 287497 DODIE PANAROSA BIN dr. Ahmad Hifni, Sp. POLI THT
JANEN THT.KL
2861 REG/OP/200512-0040 139723 VETI HERLIZA BT dr. Depi Jufri, Sp. POLI THT
SUHENDRI T.H.T.K.L

2862 REG/OP/200513-0141 138092 DEDY HERDIANTO BIN dr. Depi Jufri, Sp. POLI THT
M.HUSEN T.H.T.K.L
2863 REG/OP/200519-0259 186319 M. NAUFAL SAKHI dr. Depi Jufri, Sp. POLI THT
ZAIDAN T.H.T.K.L
2864 REG/OP/200511-0152 339727 ALDO OKTAVIAN BIN dr. Depi Jufri, Sp. POLI THT
AGUNG PRIYANTO T.H.T.K.L
2865 REG/OP/200511-0164 339731 SURAIRAH BT SUKIMAN dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L

2866 REG/OP/200511-0162 339729 RIYAN SAPUTRA BIN dr. Depi Jufri, Sp. POLI THT
LUKMAN HAKIM T.H.T.K.L
2867 REG/OP/200518-0306 310845 MARIANI THERESIA BR dr. Depi Jufri, Sp. POLI THT
GINTING T.H.T.K.L

2868 REG/OP/200504-0220 224860 HASANA TUHA dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L
2869 REG/OP/200506-0118 239406 SERA PUSPITA SARI dr. Depi Jufri, Sp. POLI THT
BT AZWARI JAUHARI T.H.T.K.L
2870 REG/OP/200511-0215 339744 DIMAS VALENTINO dr. Depi Jufri, Sp. POLI THT
SETYOPUTRA T.H.T.K.L

2871 REG/OP/200515-0030 224853 CLARISSA PUTRI dr. Ahmad Hifni, Sp. POLI THT
ERLANGGA BT EKA THT.KL
ERLANGGA

2872 REG/OP/200511-0072 224644 JAMILAH BT ABUL dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L

2873 REG/OP/200511-0269 339759 EDY BN TARMIZI dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L
2874 REG/OP/200511-0270 339760 ROHAYA BINTI dr. Depi Jufri, Sp. POLI THT
SULAIMAN T.H.T.K.L
2875 REG/OP/200504-0355 046418 CHALISTA dr. Depi Jufri, Sp. POLI THT
DELVIAKINANTI T.H.T.K.L
HENDRA RUSLAN
2876 REG/OP/200504-0022 339407 ANTON ASWADI dr. Depi Jufri, Sp. POLI THT
BINANANGLIS T.H.T.K.L

2877 REG/OP/200504-0229 327492 SUSI ARDILAH BINTI dr. Depi Jufri, Sp. POLI THT
FARUK T.H.T.K.L
2878 REG/OP/200505-0139 221778 BENNY SATRIA BIN dr. Depi Jufri, Sp. POLI THT
SAIPULLAH T.H.T.K.L

2879 REG/OP/200511-0140 110008 YULI ANGGRIANI BT dr. Depi Jufri, Sp. POLI THT
SUPARMAN T.H.T.K.L
2880 REG/OP/200512-0102 231005 SRI DETA BT DEDI dr. Depi Jufri, Sp. POLI THT
ERMAN T.H.T.K.L
2881 REG/OP/200508-0061 339619 HAFIZAH BT TORIK dr. Ahmad Hifni, Sp. POLI THT
THT.KL

2882 REG/OP/200504-0231 145531 RUDI GUNAWAN BIN dr. Depi Jufri, Sp. POLI THT
MANALI T.H.T.K.L

2883 REG/OP/200508-0172 339629 SYARIFUDIN BIN dr. Ahmad Hifni, Sp. POLI THT
HUZAIRIN THT.KL
2884 REG/OP/200518-0203 110008 YULI ANGGRIANI BT dr. Depi Jufri, Sp. POLI THT
SUPARMAN T.H.T.K.L

2885 REG/OP/200518-0267 284895 JIHAN NABILAH AISYAH dr. Depi Jufri, Sp. POLI THT
PUTRI T.H.T.K.L
2886 REG/OP/200519-0080 141009 POPI ANDELA BT dr. Depi Jufri, Sp. POLI THT
WAWAN T.H.T.K.L
2887 REG/OP/200528-0175 252921 DEWI BT ROHMAN dr. Ahmad Hifni, Sp. POLI THT
THT.KL
2888 REG/OP/200526-0126 146546 ASMANAH BT dr. Depi Jufri, Sp. POLI THT
MUHAMAD T.H.T.K.L

2889 REG/OP/200522-0046 339429 RIYAN AMRI PURNAMA dr. Ahmad Hifni, Sp. POLI THT
BIN AMRIZAL THT.KL

2890 REG/OP/200528-0138 100423 JAMILAH BT dr. Ahmad Hifni, Sp. POLI THT
H.DRAHMAN THT.KL
ZARKASIH/AYAH
2891 REG/OP/200519-0255 283681 M. DANDI RAKASYIWI dr. Depi Jufri, Sp. POLI THT
BIN KAILANI T.H.T.K.L
2892 REG/OP/200518-0243 338775 ROMIYANTI BINTI dr. Depi Jufri, Sp. POLI THT
AHMAT KASNAWI T.H.T.K.L
2893 REG/OP/200520-0063 163124 ADELA QURRATU AIN dr. Depi Jufri, Sp. POLI THT
BT ADE SAMSU T.H.T.K.L

2894 REG/OP/200508-0050 141009 POPI ANDELA BT dr. Ahmad Hifni, Sp. POLI THT
WAWAN THT.KL

2895 REG/OP/200526-0105 145531 RUDI GUNAWAN BIN dr. Depi Jufri, Sp. POLI THT
MANALI T.H.T.K.L

2896 REG/OP/200505-0085 339500 MUHAMMAD FRIZKY dr. Depi Jufri, Sp. POLI THT
YUNIKA T.H.T.K.L
2897 REG/OP/200513-0020 339844 NODI HERMAN BIN dr. Depi Jufri, Sp. POLI THT
PARDANI T.H.T.K.L

2898 REG/OP/200506-0112 339544 ANASYA ADREENA dr. Depi Jufri, Sp. POLI THT
RISKI BT MUHAMMAD T.H.T.K.L
RISKI KURNIAWAN
2899 REG/OP/200526-0083 340347 MARYANTO BIN dr. Depi Jufri, Sp. POLI THT
RABAIN T.H.T.K.L
2900 REG/OP/200508-0167 333107 FITRIANA BT M.YUSUF dr. Ahmad Hifni, Sp. POLI THT
THT.KL

2901 REG/OP/200518-0273 323744 SATRIA BIN ALPIAN dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L

2902 REG/OP/200526-0204 340377 APRIADI BIN ZAINAL dr. Depi Jufri, Sp. POLI THT
ARIFIN T.H.T.K.L
2903 REG/OP/200526-0200 340376 ARSAKHA AL GHIFARI dr. Depi Jufri, Sp. POLI THT
BN M. SYUKUR T.H.T.K.L
2904 REG/OP/200508-0127 097153 ARJONI DARWIN BIN dr. Ahmad Hifni, Sp. POLI THT
HASANUDDIN THT.KL

2905 REG/OP/200504-0153 001113 MUHAMAD KHAIRI dr. Depi Jufri, Sp. POLI THT
ALHAKIM T.H.T.K.L

2906 REG/OP/200504-0217 339322 NIKMAT BN YASRI dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L
2907 REG/OP/200511-0145 305775 FAHREZA FARZAN BIN dr. Depi Jufri, Sp. POLI THT
AGUNG P T.H.T.K.L
2908 REG/OP/200511-0229 306807 LARASHATI BT ABDUL dr. Depi Jufri, Sp. POLI THT
KODIR T.H.T.K.L
2909 REG/OP/200511-0015 111995 DEDY CANDRA BIN CIK dr. Depi Jufri, Sp. POLI THT
MAS T.H.T.K.L

2910 REG/OP/200514-0077 088878 FARIDA BT H.NAINI dr. Ahmad Hifni, Sp. POLI THT
THT.KL
2911 REG/OP/200506-0162 109985 MUHAMMAD FIKRI dr. Depi Jufri, Sp. POLI THT
ASTIRA T.H.T.K.L

2912 REG/OP/200511-0161 033116 HANIK WAL UMARO dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L
2913 REG/OP/200514-0269 260304 DWI SELLY AGUSTIN dr. Ahmad Hifni, Sp. POLI THT
BINTI DEDI THT.KL
2914 REG/OP/200528-0215 025836 OKTARINA BIN ARZALI dr. Ahmad Hifni, Sp. POLI THT
THT.KL
2915 REG/OP/200526-0144 283157 SARLINSA BN dr. Depi Jufri, Sp. POLI THT
MAKSONI T.H.T.K.L

2916 REG/OP/200508-0046 004826 RUS DIANA BT dr. Ahmad Hifni, Sp. POLI THT
ABDULAH THT.KL
2917 REG/OP/200518-0307 261699 PUTRI AYU ANDINI BT dr. Depi Jufri, Sp. POLI THT
YAN SUNARSIH YAN T.H.T.K.L
SUNARSIH / AYAH
2918 REG/OP/200520-0076 076016 KHAIRATUNNISA dr. Depi Jufri, Sp. POLI THT
AZHAR T.H.T.K.L
2919 REG/OP/200504-0031 331625 RUMAIHA BT AZIZ dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L

2920 REG/OP/200511-0131 260558 MASHIDIN CHOLIK BIN dr. Depi Jufri, Sp. POLI THT
M.ZEN T.H.T.K.L

2921 REG/OP/200519-0158 099324 NETI AGUSTINA BT dr. Depi Jufri, Sp. POLI THT
IDRIS T.H.T.K.L

2922 REG/OP/200513-0145 076016 KHAIRATUNNISA dr. Depi Jufri, Sp. POLI THT
AZHAR T.H.T.K.L
2923 REG/OP/200505-0113 061198 M.DICKY ERLANGGA dr. Depi Jufri, Sp. POLI THT
BIN A.MUZOHIRIN T.H.T.K.L

2924 REG/OP/200508-0107 283157 SARLINSA BN dr. Ahmad Hifni, Sp. POLI THT
MAKSONI THT.KL

2925 REG/OP/200508-0110 174395 SUPRIYADI BIN dr. Ahmad Hifni, Sp. POLI THT
A.SYUKRI THT.KL
2926 REG/OP/200520-0190 124116 AFRIZA BT H.BAINAL dr. Depi Jufri, Sp. POLI THT
HAKIM T.H.T.K.L
2927 REG/OP/200514-0079 339911 NAJWA AZZAHRA BT dr. Ahmad Hifni, Sp. POLI THT
BUDI VERNANDES THT.KL
2928 REG/OP/200515-0159 176082 INDRI LESTARI BT dr. Ahmad Hifni, Sp. POLI THT
SUDARTO THT.KL
2929 REG/OP/200514-0176 339922 ALIANSYAH SUMIRAT dr. Ahmad Hifni, Sp. POLI THT
BIN SUHERIAN THT.KL
SUMIRAT
2930 REG/OP/200513-0085 124116 AFRIZA BT H.BAINAL dr. Depi Jufri, Sp. POLI THT
HAKIM T.H.T.K.L
2931 REG/OP/200506-0180 217845 ASMAL BIN SAHMAT dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L
2932 REG/OP/200518-0182 340061 ISMAIL JALILI BIN dr. Depi Jufri, Sp. POLI THT
BUJANG ALI T.H.T.K.L
2933 REG/OP/200505-0096 067662 NURHADI JAYA BIN dr. Depi Jufri, Sp. POLI THT
ABDUL MALIK T.H.T.K.L

2934 REG/OP/200506-0202 246139 YURNA NINGSIH BINTI dr. Depi Jufri, Sp. POLI THT
DAHAMID T.H.T.K.L
2935 REG/OP/200518-0274 340073 FHORATI NINGSI BT dr. Depi Jufri, Sp. POLI THT
ASMADI T.H.T.K.L
2936 REG/OP/200505-0115 099324 NETI AGUSTINA BT dr. Depi Jufri, Sp. POLI THT
IDRIS T.H.T.K.L

2937 REG/OP/200527-0064 340406 ERIK TOHIR BIN RUDI dr. Depi Jufri, Sp. POLI THT
T.H.T.K.L
2938 REG/OP/200526-0101 340351 MIKI SUTRIANA BT dr. Depi Jufri, Sp. POLI THT
MUHAMAD T.H.T.K.L
2939 REG/OP/200508-0200 104767 NURSIHA BT LEMAN dr. Ahmad Hifni, Sp. POLI THT
THT.KL
Pemeriksaan
Diagnosa Premier Diagnosa Sekunder Tindakan
Diagnostik
Cellulitis&abscess of mouth- Drainage of face and floor of
Submandibular abscess mouth [ 27.0 ]
[ K12.2 ]
Hypertrophy of tonsils -
Enlargement of tonsils [ J35.1 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]

Tracheostomy status [ Z93.0 ] Replacement of tracheostomy


tube [ 97.23 ]

Chronic tonsillitis [ J35.0 ] Excision of tonsil tag [ 28.4 ]

Chronic sinusitis,unspecif.- Other septoplasty [ 21.88 ]


Sinusitis (chronic)NOS [ J32.9 ]

Noninfective disorders of pinna [


H61.1 ]

Chronic maxillary sinusitis - Deviated nasal septum [ J34.2 ] Other septoplasty [ 21.88 ]
Antritis (chronic) [ J32.0 ]

Chronic tonsillitis [ J35.0 ] Tonsillectomy without


adennoidectomy [ 28.2 ]

Chronic tonsillitis [ J35.0 ] Tonsillectomy without


adennoidectomy [ 28.2 ]

Maxillary sinus - Antrum Chronic maxillary sinusitis - Antritis Open biopsy of nasal sinus
(Highmore)(maxillary) [ C31.0 ] (chronic) [ J32.0 ] [ 22.12 ]

Hypertrophy of tonsils - Other acute upper resp.inf... Tonsillectomy without


Enlargement of tonsils [ J35.1 ] (Tonsillopharyngitis) [ J06.8 ] adennoidectomy [ 28.2 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]

Other specified disorders of Excision of preauricular sinus


external ear [ H61.8 ] [ 18.21 ]

Tracheostomy status [ Z93.0 ] Replacement of tracheostomy


tube [ 97.23 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]

Cellulitis of other sites [ L03.8 ]

Chronic tonsillitis [ J35.0 ] Tonsillectomy without


adennoidectomy [ 28.2 ]

Middle ear, nasal cavity & Sinusectomy, not otherwise


accessory sinuses [ D14.0 ] specified [ 22.60 ]

Pemeriksaan
Diagnosa Premier Diagnosa Sekunder Tindakan
Diagnostik
Larynx, unspecified [ C32.9 ] Anaemia in neoplastic disease Transfusion of packed
(C00-D48+) [ D63.0* ] cells [ 99.04 ]
Peritonsillar abscess-Abscess of Incision and drainage of tonsil
tonsil [ J36 ] and peritonsilar structures [ 28.0
]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Nasopharynx, unspecified Acute respiratory failure [ J96.0 ] Diagnostic procedures
(M8010/3) [ C11.9 ] on larynx and trachea
[ 31.4 ]
Tracheostomy status [ Z93.0 ] Replacement of tracheostomy
tube [ 97.23 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic maxillary sinusitis - Open biopsy of nasal sinus
Antritis (chronic) [ J32.0 ] [ 22.12 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore
throat [ J31.2 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]

Chronic maxillary sinusitis - Polyp of nasal cavity [ J33.0 ] Other external maxillary
Antritis (chronic) [ J32.0 ] antrotomy [ 22.39 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore
throat [ J31.2 ]
Acute epiglottitis - Epiglottitis
NOS [ J05.1 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]
Tracheostomy status [ Z93.0 ] Replacement of tracheostomy
tube [ 97.23 ]

Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without


throat [ J31.2 ] adennoidectomy [ 28.2 ]
Noninfective disorders of pinna [ Excision or destruction of lession
H61.1 ] of external ear [ 18.2 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Foreign body in nostril - Nose Removal of intraluminal foreign
NOS [ T17.1 ] body from nose without incision
[ 98.12 ]

Pemeriksaan
Diagnosa Premier Diagnosa Sekunder Tindakan
Diagnostik
Peritonsillar abscess-Abscess of
tonsil [ J36 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without
adennoidectomy [ 28.2 ]
Fracture of nasal bones Ventricular premature Reduction of nasal fracture
[ S02.2 ] depolarization [ I49.3 ] [ 21.7 ]
Pneumonia, unspecified
[ J18.9 ]

Hypertrophy of tonsils - Chronic pharyngitis - Chronic sore Tonsillectomy without


Enlargement of tonsils [ J35.1 ] throat [ J31.2 ] adennoidectomy [ 28.2 ]
Hypertrophy of tonsils - Chronic pharyngitis - Chronic sore Tonsillectomy without
Enlargement of tonsils [ J35.1 ] throat [ J31.2 ] adennoidectomy [ 28.2 ]
Polyp of nasal cavity [ J33.0 ] Local excision or destruction of
intranasal lesion [ 21.31 ]
Polyp of nasal cavity [ J33.0 ] Local excision or destruction of
intranasal lesion [ 21.31 ]
Chronic tonsillitis [ J35.0 ] Chronic pharyngitis - Chronic sore Tonsillectomy without
throat [ J31.2 ] adennoidectomy [ 28.2 ]
Chronic maxillary sinusitis - Other external maxillary
Antritis (chronic) [ J32.0 ] antrotomy [ 22.39 ]
Preauricular sinus and cyst Excision of preauricular sinus
[ Q18.1 ] [ 18.21 ]

Pemeriksaan
Diagnosa Premier Diagnosa Sekunder Tindakan
Diagnostik
Other and unspecified Calculus of kidney - Nephrolithiasis
hydronephrosis [ N13.3 ] NOS [ N20.0 ]
Surgical follow-up care, Calculus of kidney - Nephrolithiasis
unspecified [ Z48.9 ] NOS [ N20.0 ]
Colon, unspecified - Anaemia, unspecified [ D64.9 ]
Adenomatosis of colon [ D12.6 ]

Hyperplasia of prostate [ N40 ]

Surgical follow-up care, Nontoxic goitre, unspecified - Other chest x-ray


unspecified [ Z48.9 ] Goitre NOS [ E04.9 ] [ 87.49 ]
Surgical follow-up care, Unspecified injury of head [ S09.9 ]
unspecified [ Z48.9 ]

Surgical follow-up care, Other specified sites - Eye - Heart [ Other irrigation of
unspecified [ Z48.9 ] D48.7 ] wound, wound
cleaning NOS [ 96.59 ]
Hyperplasia of prostate [ N40 ]

Surgical follow-up care, Other specified sites - Eye - Heart [ Other irrigation of
unspecified [ Z48.9 ] D48.7 ] wound, wound
cleaning NOS [ 96.59 ]
Cutaneous abscess, furuncle
and carbuncle of limb [ L02.4 ]
Scrotal varices - Varicocele
[ I86.1 ]
Parotid gland [ D11.0 ] Diagnostic procedures
on thyroid and
parathyroid glands
[ 06.1 ]
End-stage renal disease
[ N18.0 ]
Surgical follow-up care, Hyperplasia of prostate [ N40 ]
unspecified [ Z48.9 ]
Surgical follow-up care, Other specified sites - Eye - Heart [ Other irrigation of
unspecified [ Z48.9 ] D48.7 ] wound, wound
cleaning NOS [ 96.59 ]
Carcinoma of Breast,
unspecified [ C50.9 ]
Surgical follow-up care, Benign neoplasm of breast [ D24 ] Other irrigation of
unspecified [ Z48.9 ] wound, wound
cleaning NOS [ 96.59 ]
Surgical follow-up care, Parotid gland [ D11.0 ] Other chest x-ray
unspecified [ Z48.9 ] [ 87.49 ]
Hyperplasia of prostate [ N40 ]

Observation for suspected Nasopharynx, unspecified Contrast radiogram of


malignant neoplasm [ Z03.1 ] (M8010/3) [ C11.9 ] sinus [ 87.15 ]

Surgical follow-up care, Inguinal hernia (unilateral) NOS Other irrigation of


unspecified [ Z48.9 ] [ K40.9 ] wound, wound
cleaning NOS [ 96.59 ]
Surgical follow-up care, Sialoadenitis [ K11.2 ]
unspecified [ Z48.9 ]
Surgical follow-up care, Cellulitis, unspecified [ L03.9 ] Other x-ray of skull
unspecified [ Z48.9 ] [ 87.17 ]
Observ.for other suspected Hyperplasia of prostate [ N40 ]
diseases and conditions
[ Z03.8 ]
Surgical follow-up care, Acute lymphadenitis, unspecified
unspecified [ Z48.9 ] [ L04.9 ]
Acute lymphadenitis of face, Acute lymphadenitis of face, head
head and neck [ L04.0 ] and neck [ L04.0 ]
Surgical follow-up care, Carcinoma of Breast, unspecified Other chest x-ray
unspecified [ Z48.9 ] [ C50.9 ] [ 87.49 ]
Tuber.peripheral Tuber.peripheral lymphadenopathy
lymphadenopathy - - Tuber.adeniti [ A18.2 ]
Tuber.adeniti [ A18.2 ]
Surgical follow-up care, Benign neoplasm of breast [ D24 ]
unspecified [ Z48.9 ]
Parotid gland [ D11.0 ] Diagnostic procedures
on thyroid and
parathyroid glands
[ 06.1 ]
Unspecified renal colic [ N23 ] Cystitis, unspecified [ N30.9 ] Diagnostic ultrasound
of urinary system
[ 88.75 ]
Acute peritonitis [ K65.0 ] Observation for suspected
tuberculosis [ Z03.0 ]

Inflammatory disorders of Other incision with


breast [ N61 ] drainage of skin and
subcutaneous tissue
[ 86.04 ]
Cutaneous abscess, furuncle Other incision with drainage of
and carbuncle of limb [ L02.4 ] skin and subcutaneous tissue
[ 86.04 ]

Carcinoma of Breast, Unilateral extended simple


unspecified [ C50.9 ] mastectomy [ 85.43 ]
Insulin-dependent DM with Hypertension - High blood pressure Other incision with drainage of
gangrene (ulcer) [ E10.5 ] [ I10 ] skin and subcutaneous tissue
[ 86.04 ]
Parathyroid gland [ C75.0 ] Other partial thyroidectomy
[ 06.39 ]

Unspecified appendicitis [ K37 ] Hepatomegaly, NEC -


Hepatomegaly NOS [ R16.0 ]
Subdural haemorrhage (acute) Continuous
(nontraumatic) [ I62.0 ] mechanical ventilation
of unspecified
duration, mecahnical
ventilation NOS
[ 96.70 ]
Burn of second degree, body Debridement Excisional [ 86.22 ]
region unspecified [ T30.2 ]
Contusion of thorax [ S20.2 ]

Unspecified appendicitis [ K37 ]

Open wound of lower limb, level


unspecified [ T13.1 ]
End-stage renal disease Hemodialysis [ 39.95 ] Arteriovenostomy for renal
[ N18.0 ] dialysis [ 39.27 ]
Nontoxic single thyroid nodule Other partial
[ E04.1 ] thyroidectomy
[ 06.39 ]
Other specified sites - Eye - Procedure not carried out,
Heart [ D48.7 ] unspecified reason [ Z53.9 ]
Burns involving 10-19% of body Debridement Excisional [ 86.22 ]
surface [ T31.1 ]
Injury of Achilles tendon [ S86.0 Other plastic
] operations of tendon [
83.88 ]
Intracerebral haemorrhage,
unspecified [ I61.9 ]
Multiple open wounds of lower Fracture of pubis [ S32.5 ] Suture of skin and subcutaneous
leg [ S81.7 ] tissue of other sites [ 86.59 ]
Acute appendicitis with Other appendectomy [ 47.09 ]
generalized peritonitis [ K35.2 ]
Burn of second degree, body Other incision of skin
region unspecified [ T30.2 ] and subcutaneous
tissue [ 86.09 ]
Chronic sinusitis,unspecif.-
Sinusitis (chronic)NOS [ J32.9 ]
Other and unspecified
hydronephrosis [ N13.3 ]
Unspecified injury of head
[ S09.9 ]

Unspecified injury of head


[ S09.9 ]
Open wound of other parts of Hypertension - High blood pressure
head [ S01.8 ] [ I10 ]

Snake venom - Sea-snake


venom [ T63.0 ]
Constipation - Obstipation Hypo-osmolality and
[ K59.0 ] hyponatraemia [ E87.1 ]
Open wound of lower leg, part Debridement Excisional [ 86.22 ]
unspecified [ S81.9 ]
Cutaneous absc.,furuncle & Other incision with drainage of
carbuncle,unspecified [ L02.9 ] skin and subcutaneous tissue
[ 86.04 ]
Insulin-dependent DM with Other incision with drainage of
gangrene (ulcer) [ E10.5 ] skin and subcutaneous tissue
[ 86.04 ]
Colon, unspecified - Anaemia, unspecified [ D64.9 ] Transfusion of packed
Adenomatosis of colon [ D12.6 ] cells [ 99.04 ]
Pemeriksaan
Diagnosa Premier Diagnosa Sekunder Tindakan
Diagnostik
Superficial mycosis, unspecified Irrigation of ear
[ B36.9 ] [ 96.52 ]
Other chronic suppurative otitis Irrigation of ear
media [ H66.3 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]

Other chronic suppurative otitis Irrigation of ear


media [ H66.3 ] [ 96.52 ]
Otitis media, unspecified Irrigation of ear
[ H66.9 ] [ 96.52 ]

Allergic rhinitis, unspecified Rhinoscopy [ 21.21 ]


[ J30.4 ]
Impacted cerumen - Wax in ear Irrigation of ear
[ H61.2 ] [ 96.52 ]
Allergic rhinitis, unspecified Rhinoscopy [ 21.21 ]
[ J30.4 ]
Tinnitus [ H93.1 ] Irrigation of ear
[ 96.52 ]

Impacted cerumen - Wax in ear Irrigation of ear


[ H61.2 ] [ 96.52 ]
Chronic pharyngitis - Chronic Irrigation of nasal
sore throat [ J31.2 ] passages [ 96.53 ]

Impacted cerumen - Wax in ear Irrigation of ear


[ H61.2 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
OE AS [ ] Irrigation of ear
[ 96.52 ]

Foreign body in ear - Auditory Removal of


canal [ T16 ] intraluminal foreign
body from ear without
incision [ 98.11 ]
Foreign body in mouth [ T18.0 ] Diagnostic procedures
on larynx and trachea
[ 31.4 ]
Foreign body in ear - Auditory Irrigation of ear
canal [ T16 ] [ 96.52 ]
Tinnitus [ H93.1 ] Irrigation of ear
[ 96.52 ]
Other chronic suppurative otitis Irrigation of ear
media [ H66.3 ] [ 96.52 ]

Foreign body in ear - Auditory Removal of


canal [ T16 ] intraluminal foreign
body from ear without
incision [ 98.11 ]
Chronic pharyngitis - Chronic Irrigation of nasal
sore throat [ J31.2 ] passages [ 96.53 ]
Foreign body in ear - Auditory Irrigation of ear
canal [ T16 ] [ 96.52 ]

Chronic pharyngitis - Chronic Diagnostic procedures


sore throat [ J31.2 ] on larynx and trachea
[ 31.4 ]
Other chronic suppurative otitis Irrigation of ear
media [ H66.3 ] [ 96.52 ]
Foreign body in nasal sinus Removal of
[ T17.0 ] intraluminal foreign
body from nose
without incision
[ 98.12 ]
Middle ear, nasal cavity & Diagnostic procedures
accessory sinuses [ D14.0 ] on larynx and trachea
[ 31.4 ]
Impacted cerumen - Wax in ear Irrigation of ear
[ H61.2 ] [ 96.52 ]
Chronic pharyngitis - Chronic Diagnostic procedures
sore throat [ J31.2 ] on larynx and trachea
[ 31.4 ]
Impacted cerumen - Wax in ear Irrigation of ear
[ H61.2 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Otitis media, unspecified Irrigation of ear
[ H66.9 ] [ 96.52 ]
Other chronic suppurative otitis Irrigation of ear
media [ H66.3 ] [ 96.52 ]

Otitis externa, unspecified Irrigation of ear


[ H60.9 ] [ 96.52 ]

Otomycosis NOS (H62.2* Otitis Irrigation of ear


externa in mycoses) [ B36.9+ ] [ 96.52 ]

Otitis externa, unspecified Irrigation of ear


[ H60.9 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Connective & other soft tissue of Diagnostic procedures
head, face&neck [ D21.0 ] on larynx and trachea
[ 31.4 ]
Otitis externa, unspecified Other irrigation of
[ H60.9 ] wound, wound
cleaning NOS [ 96.59 ]
Middle ear, nasal cavity &
accessory sinuses [ D14.0 ]

Allergic rhinitis, unspecified Rhinoscopy [ 21.21 ]


[ J30.4 ]
Chronic pharyngitis - Chronic Diagnostic procedures
sore throat [ J31.2 ] on larynx and trachea
[ 31.4 ]
Foreign body in nasal sinus Rhinoscopy [ 21.21 ]
[ T17.0 ]

Otitis externa, unspecified Irrigation of ear


[ H60.9 ] [ 96.52 ]
Superficial mycosis, unspecified Irrigation of ear
[ B36.9 ] [ 96.52 ]

Impacted cerumen - Wax in ear Irrigation of ear


[ H61.2 ] [ 96.52 ]

Otitis media, unspecified Irrigation of ear


[ H66.9 ] [ 96.52 ]
Otitis media, unspecified Irrigation of ear
[ H66.9 ] [ 96.52 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures
on larynx and trachea
[ 31.4 ]
Tinnitus [ H93.1 ] Irrigation of ear
[ 96.52 ]

Other chronic suppurative otitis Irrigation of ear


media [ H66.3 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
OE AS [ ] Irrigation of ear
[ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]

Sensorineural hearing loss, Irrigation of ear


unspecified [ H90.5 ] [ 96.52 ]
Sensorineural hearing loss, Irrigation of ear
unspecified [ H90.5 ] [ 96.52 ]

Otitis externa, unspecified Irrigation of ear


[ H60.9 ] [ 96.52 ]
Foreign body in ear - Auditory Irrigation of ear
canal [ T16 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Hypertrophy of tonsils - Diagnostic procedures
Enlargement of tonsils [ J35.1 ] on larynx and trachea
[ 31.4 ]
Tinnitus [ H93.1 ] Irrigation of ear
[ 96.52 ]
Other chronic suppurative otitis Irrigation of ear
media [ H66.3 ] [ 96.52 ]

Otitis externa, unspecified Irrigation of ear


[ H60.9 ] [ 96.52 ]
Larynx, unspecified [ C32.9 ] Diagnostic procedures
on larynx and trachea
[ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures
on larynx and trachea
[ 31.4 ]
Middle ear, nasal cavity & Rhinoscopy [ 21.21 ]
accessory sinuses [ D14.0 ]

Otitis externa, unspecified Irrigation of ear


[ H60.9 ] [ 96.52 ]
Acute pharyngitis, unspecified Diagnostic procedures
[ J02.9 ] on larynx and trachea
[ 31.4 ]
Chronic laryngitis and Diagnostic procedures
laryngotracheitis [ J37 ] on larynx and trachea
[ 31.4 ]
Impacted cerumen - Wax in ear Irrigation of ear
[ H61.2 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Impacted cerumen - Wax in ear Irrigation of ear
[ H61.2 ] [ 96.52 ]
Acute sinusitis [ J01 ] Rhinoscopy [ 21.21 ]

Chronic sinusitis,unspecif.- Rhinoscopy [ 21.21 ]


Sinusitis (chronic)NOS [ J32.9 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Foreign body in ear - Auditory Irrigation of ear
canal [ T16 ] [ 96.52 ]
Foreign body in ear - Auditory Irrigation of ear
canal [ T16 ] [ 96.52 ]
Perforation of tympanic Irrigation of ear
membrane, unspecified [ 96.52 ]
[ H72.9 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Middle ear, nasal cavity & Rhinoscopy [ 21.21 ]
accessory sinuses [ D14.0 ]

Superficial injury of ear Irrigation of ear


[ S00.4 ] [ 96.52 ]
Otitis externa, unspecified Irrigation of ear
[ H60.9 ] [ 96.52 ]
Impacted cerumen - Wax in ear Irrigation of ear
[ H61.2 ] [ 96.52 ]
User Coding
Penjamin Cara Pulang Kondisi Pulang Tanggal Lahir
Diagnosa
BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 03.09.2015

BPJS (PNS/POLRI & Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 08.01.2014
MANDIRI)

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 23.05.2007

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 02.06.1981

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 21.04.2005

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 06.06.1991

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 20.07.2000

BPJS (PNS/POLRI & Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 06.06.1965
MANDIRI)

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 14.04.2011

PRIBADI Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 16.06.1992

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 17.11.1963

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 28.12.2011

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 14.07.2001

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 29.09.2006

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 01.12.2012

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 29.09.2009

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 09.09.1980

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 16.01.2006

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 23.04.1967

PRIBADI Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 24.11.2013

BPJS (PNS/POLRI & Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 16.05.2004
MANDIRI)

User Coding
Penjamin Cara Pulang Kondisi Pulang Tanggal Lahir
Diagnosa
BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 10.04.1962

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 06.06.1983

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 02.05.2015

BPJS (PNS/POLRI & Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 09.05.1993
MANDIRI)
BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 13.08.1949

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 02.06.1981

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 14.01.2013

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 15.05.2010

BPJS (PNS/POLRI & dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 13.12.1998
MANDIRI)
BPJS (PNS/POLRI & dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 08.01.2014
MANDIRI)
BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 30.12.1964

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 08.06.2012

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 25.09.2009

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 08.12.2010

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 18.03.1964

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 08.10.2010

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 11.10.2010

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 16.07.1987

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 15.06.2011

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 23.09.2006

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 20.05.1965

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 01.12.2000

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 24.11.1993

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 17.05.2001

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 06.07.2017

User Coding
Penjamin Cara Pulang Kondisi Pulang Tanggal Lahir
Diagnosa
BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 02.11.1996
BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 15.07.2014

PRIBADI Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 15.11.2013

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 26.07.1957

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 03.02.1971

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 18.02.2010

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 14.09.1992

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 21.05.1977

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 23.03.1957

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 21.12.2005

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 14.09.1985

BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 18.07.2001

User Coding
Penjamin Cara Pulang Kondisi Pulang Tanggal Lahir
Diagnosa
BPJS (PBI) Romiani 08.10.1979

BPJS (PBI) Romiani 08.10.1979

BPJS (PNS/POLRI & Romiani 16.07.1985


MANDIRI)

PRIBADI Romiani 15.12.1953

BPJS (PBI) Romiani 15.06.2001

BPJS (PBI) Romiani 19.12.1972

BPJS (KESEHATAN) Romiani 03.08.1971

BPJS (PBI) Romiani 15.10.1963

BPJS (PBI) Romiani 01.01.1977

BPJS (KESEHATAN) Romiani 21.01.1972

BPJS (KESEHATAN) Romiani 26.05.2006

BPJS (PBI) Romiani 21.07.1972

BPJS (PBI) Romiani 04.12.1999

BPJS (PBI) Romiani 16.06.1943


BPJS (KESEHATAN) Romiani 18.08.1962

BPJS (KESEHATAN) Romiani 07.05.1975

BPJS (PBI) Romiani 06.05.1999

BPJS (PBI) Romiani 06.06.1974

BPJS (KESEHATAN) Romiani 29.06.1942

BPJS (PBI) Romiani 01.09.1955

BPJS (PBI) Romiani 08.10.2002

BPJS (PBI) Romiani 12.04.1955

BPJS (KESEHATAN) Romiani 16.01.1986

BPJS (PBI) Romiani 10.03.1940

BPJS (PBI) Romiani 21.07.1972

BPJS (PBI) Romiani 21.07.1972

BPJS (PBI) Romiani 07.06.1976

BPJS (PBI) Romiani 10.08.1971

BPJS (PBI) Romiani 07.06.1976

BPJS (PBI) Romiani 12.04.1955

BPJS (KESEHATAN) Romiani 04.05.1964

BPJS (PBI) Fiana Arimbi, AmdPK LAIN-LAIN MENINGGAL < 48 07.08.1977


JAM

BPJS (PBI) dr. Indria Rizki ATAS PERSETUJUAN SEMBUH 10.07.1989

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 12.07.1964

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 05.01.1978

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 11.02.1968

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 15.09.1996

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 29.12.1992


BPJS (PBI) dr. Sutisna Widiawati LAIN-LAIN MENINGGAL < 24 09.07.1962
JAM

PRIBADI dr. Indria Rizki LAIN-LAIN MENINGGAL >= 48 01.01.1985


JAM
PRIBADI dr. Indria Rizki ATAS PERSETUJUAN MEMBAIK 25.10.1998

BPJS (PNS/POLRI & dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 28.03.1998
MANDIRI)
BPJS (KESEHATAN) dr. Indria Rizki ATAS PERSETUJUAN MEMBAIK 11.03.1993

BPJS (PNS/POLRI & Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 12.05.1966
MANDIRI)
BPJS (KESEHATAN) dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 16.06.1975

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 04.02.1967

JAMINAN DINAS dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 17.10.1997


KESEHATAN
BPJS (PBI) dr. Indria Rizki ATAS PERSETUJUAN MEMBAIK 23.07.2015

PRIBADI dr. Sutisna Widiawati DIRUJUK TIDAK SEMBUH 01.01.1996

PRIBADI Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 06.11.2002

BPJS (PBI) dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 27.12.1970

JAMINAN DINAS dr. Indria Rizki ATAS PERSETUJUAN MEMBAIK 17.12.1960


KESEHATAN

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 04.12.1964

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN MEMBAIK 18.12.1988

PRIBADI dr. Sutisna Widiawati ATAS PERSETUJUAN MEMBAIK 25.05.2000

PRIBADI Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 03.02.2011

BPJS (PBI) dr. Indria Rizki ATAS PERSETUJUAN MEMBAIK 01.12.1970

BPJS (PBI) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 15.10.1991

BPJS (PBI) dr. Indria Rizki ATAS PERSETUJUAN MEMBAIK 03.02.2003

PT. JASA RAHARJA dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 17.02.2001

BPJS (KESEHATAN) Fiana Arimbi, AmdPK ATAS PERSETUJUAN SEMBUH 21.01.1972

BPJS (PNS/POLRI & dr. Sutisna Widiawati ATAS PERSETUJUAN SEMBUH 24.04.1964
MANDIRI)

BPJS (PNS/POLRI & dr. Indria Rizki ATAS PERSETUJUAN MEMBAIK 16.07.1985
MANDIRI)
User Coding
Penjamin Cara Pulang Kondisi Pulang Tanggal Lahir
Diagnosa
PRIBADI Tuti Hartini, AmdPK 21.07.1983

PRIBADI Tuti Hartini, AmdPK 25.05.1983

PRIBADI Tuti Hartini, AmdPK 05.10.1963

PRIBADI Tuti Hartini, AmdPK 25.05.1983

BPJS (PBI) Tuti Hartini, AmdPK 15.02.2012

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 12.12.1985


MANDIRI)
BPJS (PBI) Tuti Hartini, AmdPK 04.07.2014

PRIBADI Tuti Hartini, AmdPK 16.10.2007

PRIBADI Tuti Hartini, AmdPK 03.02.1984

BPJS (PBI) Tuti Hartini, AmdPK 29.08.2003

BPJS (KESEHATAN) Tuti Hartini, AmdPK 17.07.1991

PRIBADI Tuti Hartini, AmdPK 10.08.1972

PRIBADI Tuti Hartini, AmdPK 29.12.1997

PRIBADI Tuti Hartini, AmdPK 14.02.1997

BPJS (KESEHATAN) Tuti Hartini, AmdPK 18.12.2015

PRIBADI Tuti Hartini, AmdPK 01.09.1966

BPJS (PBI) Tuti Hartini, AmdPK 12.03.1989

PRIBADI Tuti Hartini, AmdPK 08.04.1968

BPJS (PBI) Tuti Hartini, AmdPK 26.08.2009

PRIBADI Tuti Hartini, AmdPK 12.02.2003

BPJS (KESEHATAN) Tuti Hartini, AmdPK 15.10.1990

BPJS (PBI) Tuti Hartini, AmdPK 12.12.1994

BPJS (KESEHATAN) Tuti Hartini, AmdPK 29.07.1987


BPJS (PBI) Tuti Hartini, AmdPK 03.03.2004

BPJS (KESEHATAN) Tuti Hartini, AmdPK 08.11.2017

BPJS (PBI) Tuti Hartini, AmdPK 15.01.1992

BPJS (PBI) Tuti Hartini, AmdPK 12.08.1981

BPJS (KESEHATAN) Tuti Hartini, AmdPK 29.07.1987

BPJS (KESEHATAN) Tuti Hartini, AmdPK 28.03.2002

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 24.04.1986


MANDIRI)
BPJS (PBI) Tuti Hartini, AmdPK 10.05.1989

BPJS (KESEHATAN) Tuti Hartini, AmdPK 10.08.1961

PRIBADI Tuti Hartini, AmdPK 05.05.1999

BPJS (KESEHATAN) Tuti Hartini, AmdPK 12.07.1964

PRIBADI Tuti Hartini, AmdPK 17.11.1996

BPJS (PBI) Tuti Hartini, AmdPK 14.04.1987

BPJS (KESEHATAN) Tuti Hartini, AmdPK 09.06.2009

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 24.04.1986


MANDIRI)

BPJS (PBI) Tuti Hartini, AmdPK 15.01.1992

BPJS (KESEHATAN) Tuti Hartini, AmdPK 09.06.2006

BPJS (PBI) Tuti Hartini, AmdPK 04.08.1978

PRIBADI Tuti Hartini, AmdPK 27.01.2018

BPJS (KESEHATAN) Tuti Hartini, AmdPK 30.03.1977

BPJS (PBI) Tuti Hartini, AmdPK 18.02.1970

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 31.08.2014


MANDIRI)

PRIBADI Tuti Hartini, AmdPK 05.04.1990

PRIBADI Tuti Hartini, AmdPK 03.03.2016


BPJS (KESEHATAN) Tuti Hartini, AmdPK 13.08.1975

BPJS (KESEHATAN) Tuti Hartini, AmdPK 30.10.2006

PRIBADI Tuti Hartini, AmdPK 31.12.1968

PRIBADI Tuti Hartini, AmdPK 14.05.2016

BPJS (KESEHATAN) Tuti Hartini, AmdPK 17.06.2008

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 08.06.1980


MANDIRI)

BPJS (PBI) Tuti Hartini, AmdPK 29.12.1973

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 15.08.2003


MANDIRI)

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 12.04.2003


MANDIRI)
BPJS (PBI) Tuti Hartini, AmdPK 16.08.2002

BPJS (PBI) Romiani 10.02.1981

PRIBADI Tuti Hartini, AmdPK 07.06.1992

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 11.08.1953


MANDIRI)
PRIBADI Tuti Hartini, AmdPK 25.11.2016

BPJS (KESEHATAN) Tuti Hartini, AmdPK 11.02.2002

BPJS (PBI) Tuti Hartini, AmdPK 06.10.1954

BPJS (PBI) Tuti Hartini, AmdPK 12.08.1999

BPJS (PBI) Tuti Hartini, AmdPK 16.08.1968

BPJS (KESEHATAN) Tuti Hartini, AmdPK 11.02.2002

BPJS (KESEHATAN) Tuti Hartini, AmdPK 06.11.1995

PRIBADI Tuti Hartini, AmdPK 07.06.1992

BPJS (PBI) Tuti Hartini, AmdPK 01.09.1973

BPJS (KESEHATAN) Tuti Hartini, AmdPK 05.05.1972

PRIBADI Tuti Hartini, AmdPK 01.01.2012

BPJS (KESEHATAN) Tuti Hartini, AmdPK 01.04.1987

PRIBADI Tuti Hartini, AmdPK 29.03.2011


BPJS (KESEHATAN) Tuti Hartini, AmdPK 05.05.1972

BPJS (PBI) Tuti Hartini, AmdPK 20.06.1979

PRIBADI Tuti Hartini, AmdPK 21.01.2001

BPJS (PNS/POLRI & Tuti Hartini, AmdPK 05.10.1982


MANDIRI)

BPJS (PBI) Tuti Hartini, AmdPK 06.04.1977

BPJS (KESEHATAN) Tuti Hartini, AmdPK 27.05.1983

BPJS (PBI) Tuti Hartini, AmdPK 16.08.1968

PRIBADI Tuti Hartini, AmdPK 14.05.2014

PRIBADI Tuti Hartini, AmdPK 20.02.1988

BPJS (PBI) Tuti Hartini, AmdPK 23.07.1962


Alamat Tanggal Pulang

DS.III LAIS 13.01.2020

SIMPANG MUARA 10.01.2020


TELDAN BALAI AGUNG

DS 4 TOMAN BABAT 16.01.2020


TOMAN

LK 3 BALAI AGUNG 01.01.2020


RT/23 RW/10

DUSUN I BUKIT INDAH 08.01.2020

DS 3 SUKARAMI 24.01.2020

JL. MERDEKA LK. 1 09.01.2020


RT.001 RW.001 KEL.
BALAI AGUNG
DSN 3 DESA BUKIT 27.01.2020
JAYA

SERASAN JAYA 31.12.2019

LR. MUSOLAH AL IKLAS 22.01.2020


RT.009 RW.002

SUNGAI LILIN 22.01.2020

DUSUN 1 SUKA MAJU 31.12.2019

KASMARAN 22.01.2020

DESA SUKA DAMAI 16.01.2020


KEC. PLAKAT TINGGI

DS TEBING BULANG 23.01.2020


SUNGAI KERUH

KELUANG RT/14 RW/04 22.01.2020

DUSUN 2 DESA GAJAH 15.01.2020


MATI KEC SUNGAI
KERUH KAB MUBA
DS 1 SIDORAHAYU
PROVINSI SUMATRA 15.01.2020
PLAKAT
SELATANTINGGI
DUSUN 3 RANTAU 17.01.2020
PANJANG

DUSUN IV SUKARAMI 08.01.2020

KOMP.IBI BLOK A5 11.01.2020


NO.21 BALAI AGUNG

Alamat Tanggal Pulang


DS 2 TANAH ABANG 21.02.2020

DUSUN 1 DESA 31.01.2020


KARANG RINGIN 2 KEC
LAWANG WETAN KAB
MUBA
JL PROVINSI
MERDEKA LK 11 12.02.2020
SUMATRA
BALAI SELATAN
AGUNG
DSN III LUMPATAN II 08.02.2020

DS NUSA SERASAN 07.02.2020


SUNGAI LILIN RT18
RW04
LK 3 BALAI AGUNG 19.02.2020
RT/23 RW/10
JL.MERDEKA SOAK 19.02.2020
BARU
JL. KOLONEL WAHID 20.02.2020
UDIN LK.3 BALAI
AGUNG RT/01 RW/0
DS 2 MEKAR JAYA 22.02.2020
JIRAK
SIMPANG MUARA 05.02.2020
TELDAN BALAI AGUNG
TELUK KIJING 27.02.2020

MANGUN JAYA 19.02.2020

DSN III CINTA KARYA 19.02.2020

JL. SULUK DANU ULAK 14.02.2020


LIA SOAK BARU RT16
RW05
DS II BAILANGU TIMUR 19.02.2020

DS III BAILANGU 05.02.2020


TIMUR
BUKIT SELABU BATANG 19.02.2020
HARI LEKO
DS 2 TALANG PIASE 25.02.2020
KEC LAWANG WETAN
JL. LINGKAR LK III 22.02.2020
BALAI AGUNG RT3
RW10
DS 5 SUNGAI BATANG 05.02.2020
RT/11 RW/05
JL. LETNAN MUNANDAR 18.02.2020
RT.004/002 BALAI
AGUNG
JL. KOL. WAHID UDIN 05.02.2020
LK. 2 NO. 061 SEKAYU
DS II EPIL 05.02.2020

SUNGAI BATANG 05.02.2020

SUKARAMI 21.02.2020

Alamat Tanggal Pulang

DS.II BANDAR JAYA 17.03.2020


SEKAYU 06.03.2020

SUNGAI LILIN 04.03.2020

SERASAN JAYA R6T/14 13.03.2020


RW/02
JL. KAPTEN ARIVAI 19.03.2020
BALAI AGUNG RT04
RW02
DS 1 TEBING BULANG 19.03.2020
SUNGAI KERUH
PERUMNAS LK 2 BALAI 12.03.2020
AGUNG RT02 RW01
DS 4 TOMAN 05.03.2020

DS BAGAN LUMPATAN 06.03.2020


RT/01 RW/01
DS 4 KARANG ANYAR 27.02.2020

DUSUN 1 MEKAR JAYA 06.03.2020


JIRAK JAYA
DS TEGAL MULYO RT12 05.03.2020
RW06 KELIANG

Alamat Tanggal Pulang

DS 3 SINDANG MARGA
SUNGAI KERUH
DS 3 SINDANG MARGA
SUNGAI KERUH
BAYUNG LENCIR
RT.002 RW.001 KEC.
BAYUNG LINCIR
KARYA MAJU

DSN IV DESA EPIL LAIS

JL.MERDEKA LK 2
BALAI AGUNG RT/06
RW/03
G.RANDIK BLOK A2
KAYUARA

DS 2 SUNGAI BATANG
RT/05 RW/02
KOMP GRIYA RANDIK
BLOK C5 AYUARA

DSN I LUMPATAN

DSN IV DESA LAIS

DSN I DESA NAPAL


SANGA DESA

DS 2 PENINGGALAN

DS 1 TANJUNG
KEPUTRAN PLAKAT
TINGGI RT02 RW01
DS SINAR TUNGKAL
RT04 RW02

DS 4 EPIL

JL.KOP HAMID SOAK


BARU RT08 RW03

DUSUN 1 DAWAS
KELUANG
BABAT TOMAN RT/13
RW/05
DESA PINANG BANJAR
RT 014 KEC SUNGAI
LILIN
JL.LINGKAR RANDIK LK
1 SERASAN JAYA

DS 1 MUARA TELADAN
RT/01 RW/01
JL AMD BLOK A4 NO 34
RT/RW.037/010
SUKA MAJU

DSN I DESA NAPAL


SANGA DESA
DSN I DESA NAPAL
SANGA DESA
DS 3 LUMPATAN

DS 2 RANTAU SIALANG
SUNGAI KERUH

DS 3 LUMPATAN

DS 1 MUARA TELADAN
RT/01 RW/01

SUMBER KARYA MUSI


RAWAS

DUSUN III RT 06 13.04.2020


MEKAR JAYA JIRAK
JAYA
DS 2 LUMPATAN 2 14.04.2020

JL KOL WAHID UDIN 09.04.2020


KEL SERASAN JAYA KAB
MUBA PROVINSI
SUMATRA SELATAN
DUSUN 4 BERLIAN 01.04.2020
MAKMUR SUNGAI LILIN
DUSUN 2 KASMARAN 30.03.2020

LK 1 MANGUN JAYA 30.03.2020


BABAT TOMAN RT05
RW03
DS.I GAJAH MATI 15.04.2020
KEC.BABAT SUPAT
JLMERDEKA LK.II 11.04.2020
006/002 BALAI AGUNG
SEKAYU

KEBAN I SANGA DESA 15.04.2020


MUBA
DUSUN II RT 02 SUKA 13.04.2020
MULYA TUAH NEGERI
MUSI RAWAS
SUNGAI LILIN 08.04.2020

DUSUN 2 BAILANGU 14.04.2020

G.RANDIK BLOK A2 NO 31.03.2020


23 KAYUARA
JL. MULAN JADI NO. 48 01.04.2020
BABAT

KELUANG 30.03.2020

KEBAN I SANGA DESA 21.04.2020


MUBA
DUSUN IV RT/RW 07.04.2020
01/04 BUMI KENCANA
SUNGAI LILIN MUBA
DS. 1 EPIL LAIS 24.04.2020

DS III BAILANGU 25.04.2020


TIMUR
DS I DESA SUKARAMI 20.04.2020

KEBAN I SANGA DESA 22.04.2020


MUBA

DESA LOKA JAYA 31.03.2020


KEC.KELUANG
DUSUN II TELUK LAIS 06.04.2020
MUBA
DESA MANGUN JAYA 07.04.2020
KEC BABAT TOMAN KAB
MUBA PROVINSI
SUMATRA SELATAN
DUSUN 1 LAIS 25.04.2020

JL.MERDEKA LK 1 14.04.2020
BALAI AGUNG RT/05
RW/02
DUSUN 1 DESA NAPAL 29.03.2020
KEC. LAWANG WETAN
JL. IMPRES PENJARA 27.04.2020
BARU SERASAN JAYA
SEKAYU 01.04.2020

DSN I LUMPATAN 01.04.2020

DS. II MUARA TELADAN 07.04.2020

BAYUNG LENCIR 12.04.2020


RT.002 RW.001 KEC.
BAYUNG LINCIR
Alamat Tanggal Pulang

PERUM KIRANA
RESIDENCE SUKARAMI
DSN I DESA MACANG
SAKTI SANGA DESA
KOMP. PERUMNAS
BLOK B NO 76 RT 01
BALAI AGUNG
DSN I DESA MACANG
SAKTI SANGA DESA
JL MERDEKA LK I
RT/RW 04/02 KAYUARA
SEKAYU MUBA
DS 2 LUMPATAN

JL MERDEKA RT/RW
0/01 SOAK BARU
KELUANG

DS BUKIT
PANGKUASAN RT05
RW03 BATANG HARI
LEKO
SOAK BARU

JL MELATI PEMATANG
REBA.RENGAT BARAT
RIAU
KARYA MAJU KELUANG

KOMP PRUMNAS BALAI


AGUNG
KOMP GRIYA PESONA
NLOK A4 KALIDONI
PALEMBANG
JL MUARA TELADAN
SEKAYU

DS BABAT T/RW.08/04

JL DANAU ULAK LIA


SOAK BARU
DS.III SIDO RAHAYU

LK.1 KAYUARA

LUBUK TAMPUI

JL MERDEKA LK II
SEKAYU
JL.KAPTEN ARIFAI LK. I
BALAI AGUNG RT03
RW01
DS 2 EPIL LAIS
DS 1 PAGAR KAYA
SUNGAI KERUH
DSN II RT 03 TANJUNG
GELAM INDRALAYA
( PT. GATRI )

DS CINTA KARYA
PLAKAT TINGGI RT02
RW02
KAYUARA

DS 2 EPIL LAIS

JL. LET NUR RT 005


SOAK BARU
KOMP VBS BLOK A7
KAYUARA
DESA PURWOSARI KEC
LAIS RT10 RW03
JL MERDEKA NO 056
RT/RW 08/04 SERASAN
JAYA
JORONG PAKAN AKAD
KEL. SABU KEC.
BATIPUH KAB. TANAH
DATAR
LK 1 KAYURA

RANDIK BLOK C6 NO 16
KAYUARA
DESA PINANG BANJAR
RT 05 SUNGAI LILIN
BUKIT AGUNG
SEJAHTERA KAYUARA

KOMP VBS BLOK A7


KAYUARA

DS CINTA KARYA
PLAKAT TINGGI RT02
RW02
DS 2 SUKARAMI

ULAK TEBERAU

PINANG BANJAR

JL.MERDEKA LK IV RT
04 SOAK BARU SEKAYU
JL.MERDEKA LK.II
004/004 SOAK BARU
SEKAYU
DUSUN 4 DESA
SUKARAMI KEC SEKAYU
KAB MUBA PROVINSI
SUMATRA SELATAN
JLN. MERDEKA RT 09
SOAK BARU SEKAYU
SERASAN JAYA
DS 3 SUKARAMI

KOMP BUKIT AGUNG


SEJAHTERA BLOK B5
BALAI AGUNG RT21
RW06
RANTAU PANJANG
LAWANG WETAN
DS CIPTA PRAJA KEC
KELUANG
JL MERDEKA SOAK
BARU SEKAYU MUBA
JL.MERDEKA LK.II
SERASAN JAYA RT09
RW04
DS.IV DESA BAILANGU
TIMUR
KOMP GRIYA SKY
CENTER BLOK A NO 22
SERASAN JAYA RT14
RW06
DS 1 BAILANGU TIMUR

LUMPATAN

JL.M.TELADAN LK 3
BALAI AGUNG RT/05
DUSUN 2 RANTAU
KEROYA

LK 1 SOAK BARU R/01


RW/01
DS KELUANG

SERASAN DAMAI
KAYUARA
DS 2 KARANG ANYAR
LAWANG WETAN

DS 4 KASMARAN

JL.KOL WAHID UDIN LK


2 BALAI AGUNG RT19
RW06
SERASAN DAMAI
KAYUARA
JL.MERDEKA LK I RT 05
BALAI AGUNG

DUSUN 2 RANTAU
KEROYA

DS I EPIL LAIS

JLN MERDEKA LKNGN 1


KAYUARA RT24 RW01`
DS 1 TANJUNG AGUNG
SELATAN LAIS
DUSUN 4 TELUK KIJING

DS KELUANG
JLN MERDEKA LKNGN 1
KAYUARA RT24 RW01`
DS 2 LUBUK TAMPUI

SRI DAMAI KELUANG

KOMP VBS BLOK D 10


KAYUARA

DUSUN III DESA


SUKARAMI KEC SEKAYU
LK 1 BABAT TOMAN
RT11 RW04
JL.KOL WAHID UDIN LK
2 BALAI AGUNG RT19
RW06
DESA BABAT TOMAN

BAILANGU

LK 7 SERASAN JAYA
RT03 RW02
No. No. Registrasi No. RM Nama Pasien Dokter Unit

REG/OP/190111-0018 242863 DIRGANTARA BIN M.WARNIK dr. Depi Jufri, Sp. POLI THT
1 M.WARNIK / AYAH T.H.T.K.L

REG/OP/190114-0305 305315 EDWIN ARDIANSYAH BIN USMAN dr. Depi Jufri, Sp. POLI THT
2 EFENDI T.H.T.K.L

REG/OP/190121-0168 274610 NISRINA NURFAIZA BT IMAM dr. Depi Jufri, Sp. POLI THT
3 TAUFIK T.H.T.K.L

REG/OP/190122-0347 274568 SITI AISAH BT SAHRIN dr. Depi Jufri, Sp. POLI THT
4 T.H.T.K.L

REG/OP/190107-0254 214979 HARTOYO BIN SUPARDI dr. Depi Jufri, Sp. POLI THT
5 T.H.T.K.L

REG/OP/190128-0075 310251 RUSMINI BT RUSDI dr. Depi Jufri, Sp. POLI THT
6 T.H.T.K.L

REG/OP/190122-0234 310251 RUSMINI BT RUSDI dr. Depi Jufri, Sp. POLI THT
7 T.H.T.K.L

REG/OP/181231-0234 181046 A NAUFAL AKBAR dr. Depi Jufri, Sp. POLI THT
8 T.H.T.K.L

REG/OP/190128-0047 185105 WINDHA JULIANA dr. Depi Jufri, Sp. POLI THT
9 T.H.T.K.L

REG/OP/190107-0058 307920 IVAN KURNIAWAN BIN SUKAMDI dr. Depi Jufri, Sp. POLI THT
10 T.H.T.K.L

REG/OP/181231-0083 307921 RIA PRIANA BIN MUHENI dr. Depi Jufri, Sp. POLI THT
11 T.H.T.K.L

REG/OP/190115-0110 113054 ABDULLAH BIN TIAN TIAN dr. Depi Jufri, Sp. POLI THT
12 T.H.T.K.L

REG/OP/190122-0193 296484 ZOHER BIN NUSTOMI dr. Depi Jufri, Sp. POLI THT
13 T.H.T.K.L

REG/OP/190111-0207 296097 SITI MAEMUNAH dr. Depi Jufri, Sp. POLI THT
14 T.H.T.K.L

REG/OP/190124-0385 308295 SINTA WATI BT MAT DAMIN dr. Depi Jufri, Sp. POLI THT
15 T.H.T.K.L

REG/OP/190128-0098 115804 M.ARIS AKBAR BIN KAMALUDIN dr. Depi Jufri, Sp. POLI THT
16 T.H.T.K.L

REG/OP/190117-0335 307920 IVAN KURNIAWAN BIN SUKAMDI dr. Depi Jufri, Sp. POLI THT
17 T.H.T.K.L

REG/OP/190102-0027 307920 IVAN KURNIAWAN BIN SUKAMDI dr. Depi Jufri, Sp. POLI THT
18 T.H.T.K.L

REG/OP/190128-0215 181058 REDI SASWADI BIN ALAMSYAH dr. Depi Jufri, Sp. POLI THT
19 T.H.T.K.L

REG/OP/190114-0127 094848 RICA NOVIYENTI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
20 T.H.T.K.L

REG/OP/190124-0247 043529 BUDI SRI PURWANTI BT TRIYONO dr. Depi Jufri, Sp. POLI THT
21 T.H.T.K.L

REG/OP/190109-0044 016978 ARMINIARICA YBS dr. Depi Jufri, Sp. POLI THT
22 T.H.T.K.L

REG/OP/190103-0029 115267 DWI MAYA KURNIATI dr. Depi Jufri, Sp. POLI THT
23 T.H.T.K.L

REG/OP/190104-0112 112889 RICO ZAMARA BIN KURNIAWAN dr. Depi Jufri, Sp. POLI THT
24 MURSIDA / IBU T.H.T.K.L
REG/OP/190103-0580 184584 HERMES ALEXANDER BN SIMEON dr. Depi Jufri, Sp. POLI THT
25 T.H.T.K.L

REG/OP/190116-0129 179885 AWAM BIN ANANG dr. Depi Jufri, Sp. POLI THT
26 T.H.T.K.L

REG/OP/190114-0443 308362 MULYANTO BN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
27 T.H.T.K.L

REG/OP/190107-0321 307341 PARMI BINTI PARIO dr. Depi Jufri, Sp. POLI THT
28 T.H.T.K.L

REG/OP/190103-0165 292842 WIJIATI BT SUYATNI dr. Depi Jufri, Sp. POLI THT
29 T.H.T.K.L

REG/OP/190107-0310 307483 CAHAYA REFASIFA NEFA BT JOKO dr. Depi Jufri, Sp. POLI THT
30 SUPRIANTO T.H.T.K.L

REG/OP/190125-0100 310182 EKO BUDIANTO BIN SAROPI dr. Depi Jufri, Sp. POLI THT
31 T.H.T.K.L

REG/OP/190103-0659 154903 M.KHOLILUR ROHMAN BIN ISMET dr. Depi Jufri, Sp. POLI THT
32 T.H.T.K.L

REG/OP/190116-0345 098906 KARINA PERMATA PUTRI HERI dr. Depi Jufri, Sp. POLI THT
33 ARIYADI T.H.T.K.L

REG/OP/190102-0232 308532 HAFISH BAIHAQI BIN JOHAN BUDI dr. Depi Jufri, Sp. POLI THT
34 S T.H.T.K.L

REG/OP/190125-0067 155862 MELLA ROSADA BT MULYADI dr. Depi Jufri, Sp. POLI THT
35 T.H.T.K.L

REG/OP/190117-0253 097972 TATI YUSMIRA BT SYUKRI dr. Depi Jufri, Sp. POLI THT
36 T.H.T.K.L

REG/OP/190128-0183 191167 MUHAMMAD RHAMDANI dr. Depi Jufri, Sp. POLI THT
37 STARLINDA T.H.T.K.L

REG/OP/190115-0222 155588 AHMAD SYAWALUDIN AHMAD dr. Depi Jufri, Sp. POLI THT
38 SYAWALUDIN T.H.T.K.L

REG/OP/190122-0339 308545 TARISA DWI ANANDA BT dr. Depi Jufri, Sp. POLI THT
39 HERIYANTO T.H.T.K.L

REG/OP/190116-0356 308545 TARISA DWI ANANDA BT dr. Depi Jufri, Sp. POLI THT
40 HERIYANTO T.H.T.K.L

REG/OP/190124-0091 273333 NAINAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
41 T.H.T.K.L

REG/OP/190104-0085 100244 LINDA PURNAMA SARI KAMLI dr. Depi Jufri, Sp. POLI THT
42 ARDIANSYAH T.H.T.K.L

REG/OP/181231-0345 102138 FATMAWATI dr. Depi Jufri, Sp. POLI THT


43 T.H.T.K.L

REG/OP/181231-0052 101009 NANDA RIZKI PRATAMA BN dr. Depi Jufri, Sp. POLI THT
44 HASANA TUL T.H.T.K.L

REG/OP/190107-0477 134741 SEPTA FADLUR ROHMAN BIN DEDI dr. Depi Jufri, Sp. POLI THT
45 I DEDI ISKANDAR T.H.T.K.L

REG/OP/181231-0055 016978 ARMINIARICA YBS dr. Depi Jufri, Sp. POLI THT
46 T.H.T.K.L

REG/OP/190116-0085 016978 ARMINIARICA YBS dr. Depi Jufri, Sp. POLI THT
47 T.H.T.K.L

REG/OP/181231-0063 279361 YENI APRIYANTI BT ROMLI dr. Depi Jufri, Sp. POLI THT
48 T.H.T.K.L

REG/OP/190110-0207 309611 NURAINI BT JAMAL dr. Depi Jufri, Sp. POLI THT
49 T.H.T.K.L

REG/OP/190107-0120 014347 CICI LISTY UTAMI JON HERI dr. Depi Jufri, Sp. POLI THT
50 T.H.T.K.L
REG/OP/190115-0177 309885 SALANANG BIN ACIS dr. Depi Jufri, Sp. POLI THT
51 T.H.T.K.L

REG/OP/190128-0449 284859 JUNISYAH AMELIA HASANAH dr. Depi Jufri, Sp. POLI THT
52 T.H.T.K.L

REG/OP/190104-0095 278485 HUZAIDIN BIN AMRI dr. Depi Jufri, Sp. POLI THT
53 T.H.T.K.L

REG/OP/190121-0460 309811 RENI APRIANI BT HABIBUR dr. Depi Jufri, Sp. POLI THT
54 RAHMAN T.H.T.K.L

REG/OP/190116-0070 309928 MUHAMMAD RAYHAN BN AGUS dr. Depi Jufri, Sp. POLI THT
55 T.H.T.K.L

REG/OP/190121-0104 309931 KENZI AKHMAD FATONI ANANG dr. Depi Jufri, Sp. POLI THT
56 JATMIKO T.H.T.K.L

REG/OP/190102-0438 213854 GISELA AMINAH BT RINTO dr. Depi Jufri, Sp. POLI THT
57 T.H.T.K.L

REG/OP/190102-0389 295510 AMMAR AMRULAH dr. Depi Jufri, Sp. POLI THT
58 T.H.T.K.L

REG/OP/190128-0305 146084 ALI AKBAR BN.TUBIT TUBIT dr. Depi Jufri, Sp. POLI THT
59 T.H.T.K.L

REG/OP/190128-0140 309931 KENZI AKHMAD FATONI ANANG dr. Depi Jufri, Sp. POLI THT
60 JATMIKO T.H.T.K.L

REG/OP/190115-0134 133199 ESTA BT YUHARI dr. Depi Jufri, Sp. POLI THT
61 T.H.T.K.L

REG/OP/190117-0265 141016 FERI IRAWAN BIN SYARIFUDIN dr. Depi Jufri, Sp. POLI THT
62 T.H.T.K.L

REG/OP/190103-0482 144436 ISMIKRAJ BIN NAHNU dr. Depi Jufri, Sp. POLI THT
63 T.H.T.K.L

REG/OP/190115-0229 144168 SYAMSURIZAL dr. Depi Jufri, Sp. POLI THT


64 T.H.T.K.L

REG/OP/190110-0258 309618 TRIONO PUJIARSO BN SOEWANDI dr. Depi Jufri, Sp. POLI THT
65 T.H.T.K.L

REG/OP/190109-0112 141016 FERI IRAWAN BIN SYARIFUDIN dr. Depi Jufri, Sp. POLI THT
66 T.H.T.K.L

REG/OP/190114-0267 157330 KARYANI BT SUKARI dr. Depi Jufri, Sp. POLI THT
67 T.H.T.K.L

REG/OP/190117-0352 113239 MALATINA BT M.YUNUS dr. Depi Jufri, Sp. POLI THT
68 T.H.T.K.L

REG/OP/181231-0141 138980 RIAN SAPUTRA BIN MOHD. dr. Depi Jufri, Sp. POLI THT
69 RISYWAN T.H.T.K.L

REG/OP/190117-0132 156611 NURHAYATI BT ROZALI dr. Depi Jufri, Sp. POLI THT
70 T.H.T.K.L

REG/OP/190114-0161 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
71 YBS T.H.T.K.L

REG/OP/190109-0206 216098 SANTI BT SAKREWI dr. Depi Jufri, Sp. POLI THT
72 T.H.T.K.L

REG/OP/190109-0039 292842 WIJIATI BT SUYATNI dr. Depi Jufri, Sp. POLI THT
73 T.H.T.K.L

REG/OP/190115-0148 277923 DIANA PERTAMA SARI dr. Depi Jufri, Sp. POLI THT
74 T.H.T.K.L

REG/OP/190122-0160 310244 ARMAN AS ARY BIN MUSLIKIN dr. Depi Jufri, Sp. POLI THT
75 T.H.T.K.L

REG/OP/190111-0141 010161 PADUL ARPA. S.SOS. MSI BIN H. dr. Depi Jufri, Sp. POLI THT
76 SALIM T.H.T.K.L
REG/OP/190125-0112 133199 ESTA BT YUHARI dr. Depi Jufri, Sp. POLI THT
77 T.H.T.K.L

REG/OP/190102-0194 089479 DECHA DWI ARMITA ADI CANDRA dr. Depi Jufri, Sp. POLI THT
78 T.H.T.K.L

REG/OP/190121-0068 089479 DECHA DWI ARMITA ADI CANDRA dr. Depi Jufri, Sp. POLI THT
79 T.H.T.K.L

REG/OP/190122-0116 095412 NELLY HASTATI BT A. ROHIM dr. Depi Jufri, Sp. POLI THT
80 T.H.T.K.L

REG/OP/190129-0311 310172 MUSMULIADI BN ZAKARIA dr. Depi Jufri, Sp. POLI THT
81 T.H.T.K.L

REG/OP/190121-0150 012237 MEILYANTIKA BINTI ARIVAI dr. Depi Jufri, Sp. POLI THT
82 T.H.T.K.L

REG/OP/190121-0334 155862 MELLA ROSADA BT MULYADI dr. Depi Jufri, Sp. POLI THT
83 T.H.T.K.L

REG/OP/190121-0335 310183 NAZILAH BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
84 T.H.T.K.L

REG/OP/190121-0399 310192 MUHAMMAD RIZKI BIN ARWIN dr. Depi Jufri, Sp. POLI THT
85 T.H.T.K.L

REG/OP/190121-0393 247446 ZULYADI BIN RUSNADI TUKINI dr. Depi Jufri, Sp. POLI THT
86 T.H.T.K.L

REG/OP/190121-0381 309854 NURMINI BT BIANTORO dr. Depi Jufri, Sp. POLI THT
87 T.H.T.K.L

REG/OP/190121-0322 310182 EKO BUDIANTO BIN SAROPI dr. Depi Jufri, Sp. POLI THT
88 T.H.T.K.L

REG/OP/190121-0118 185105 WINDHA JULIANA dr. Depi Jufri, Sp. POLI THT
89 T.H.T.K.L

REG/OP/190117-0208 083837 IRMA ERVIANA BT M.RUSTAM dr. Depi Jufri, Sp. POLI THT
90 EFENDI T.H.T.K.L

REG/OP/190125-0020 254206 RUSLAN ABDULAH dr. Depi Jufri, Sp. POLI THT
91 T.H.T.K.L

REG/OP/190115-0199 131584 FAHRIZA BT M.ANSORI dr. Depi Jufri, Sp. POLI THT
92 T.H.T.K.L

REG/OP/190124-0387 130833 PEBRIANSYAH BIN ARPAWAN dr. Depi Jufri, Sp. POLI THT
93 T.H.T.K.L

REG/OP/190130-0307 308295 SINTA WATI BT MAT DAMIN dr. Depi Jufri, Sp. POLI THT
94 T.H.T.K.L

REG/OP/190114-0155 214979 HARTOYO BIN SUPARDI dr. Depi Jufri, Sp. POLI THT
95 T.H.T.K.L

REG/OP/190110-0200 144168 SYAMSURIZAL dr. Depi Jufri, Sp. POLI THT


96 T.H.T.K.L

REG/OP/190110-0104 309600 BAHRI PAHLAWI BN YURIZAL dr. Depi Jufri, Sp. POLI THT
97 T.H.T.K.L

REG/OP/190107-0185 305315 EDWIN ARDIANSYAH BIN USMAN dr. Depi Jufri, Sp. POLI THT
98 EFENDI T.H.T.K.L

REG/OP/181231-0184 306422 RIRIN SARINSI BT M.ZEN dr. Depi Jufri, Sp. POLI THT
99 T.H.T.K.L

REG/OP/190109-0187 296540 HARUN BIN TB SIDIK dr. Depi Jufri, Sp. POLI THT
100 T.H.T.K.L

REG/OP/190122-0211 131584 FAHRIZA BT M.ANSORI dr. Depi Jufri, Sp. POLI THT
101 T.H.T.K.L

REG/OP/190109-0048 309522 NURHANA BT HAYAT dr. Depi Jufri, Sp. POLI THT
102 T.H.T.K.L
REG/OP/190121-0164 242202 ANDRY SETIAWAN EFENDI dr. Depi Jufri, Sp. POLI THT
103 T.H.T.K.L

REG/OP/190122-0245 310258 ABNER ADI PUTRA dr. Depi Jufri, Sp. POLI THT
104 T.H.T.K.L

REG/OP/190122-0122 133199 ESTA BT YUHARI dr. Depi Jufri, Sp. POLI THT
105 T.H.T.K.L

REG/OP/190116-0224 309945 AYU LISTARI BT HENDRA dr. Depi Jufri, Sp. POLI THT
106 T.H.T.K.L

REG/OP/190116-0095 309931 KENZI AKHMAD FATONI ANANG dr. Depi Jufri, Sp. POLI THT
107 JATMIKO T.H.T.K.L

REG/OP/190109-0103 179885 AWAM BIN ANANG dr. Depi Jufri, Sp. POLI THT
108 T.H.T.K.L

REG/OP/190109-0099 297737 NAZHIFA ATHIYYAH NURTI dr. Depi Jufri, Sp. POLI THT
109 T.H.T.K.L

REG/OP/190121-0245 143007 ISWAHYUDI BN YADI SUPARNO dr. Depi Jufri, Sp. POLI THT
110 YADI SUPARNO T.H.T.K.L

REG/OP/190121-0300 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
111 T.H.T.K.L

REG/OP/190117-0369 310014 AXEL YEHEZKIEL SITEPO dr. Depi Jufri, Sp. POLI THT
112 T.H.T.K.L

REG/OP/190107-0021 204883 LELA RIA SUSANTI BT SAMSU dr. Depi Jufri, Sp. POLI THT
113 HANAPIA T.H.T.K.L

REG/OP/190130-0109 291969 DELA HERISTI TIA dr. Depi Jufri, Sp. POLI THT
114 T.H.T.K.L

REG/OP/190104-0321 305175 DEBI NOVALIA BT TARMIZI dr. Depi Jufri, Sp. POLI THT
115 T.H.T.K.L

REG/OP/190110-0415 258867 ALFAIRUZT IBRAHIM ANTONY M. dr. Depi Jufri, Sp. POLI THT
116 AMRI ANTONI T.H.T.K.L

REG/OP/190103-0432 291138 NANTASYA C LEVANA BINTI M dr. Depi Jufri, Sp. POLI THT
117 ANAS T.H.T.K.L

REG/OP/190107-0198 260710 ROHMAD SIDIN BIN RUSLI EVI dr. Depi Jufri, Sp. POLI THT
118 YANA /ISTRI T.H.T.K.L

REG/OP/190107-0046 308871 NURULITA BT BAHARUDIN dr. Depi Jufri, Sp. POLI THT
119 T.H.T.K.L

REG/OP/181231-0122 308871 NURULITA BT BAHARUDIN dr. Depi Jufri, Sp. POLI THT
120 T.H.T.K.L

REG/OP/190114-0112 308754 SUMIO SELPIRAH BT MEDAN dr. Depi Jufri, Sp. POLI THT
121 T.H.T.K.L

REG/OP/190111-0079 252795 RIZKA FATIMA BT A.RIZAL dr. Depi Jufri, Sp. POLI THT
122 T.H.T.K.L

REG/OP/190123-0287 310342 SUBAKIR BIN UDI UTOMO dr. Depi Jufri, Sp. POLI THT
123 T.H.T.K.L

REG/OP/190130-0158 310351 YANTI BT JOHAN dr. Depi Jufri, Sp. POLI THT
124 T.H.T.K.L

REG/OP/190129-0258 310342 SUBAKIR BIN UDI UTOMO dr. Depi Jufri, Sp. POLI THT
125 T.H.T.K.L

REG/OP/190107-0190 308754 SUMIO SELPIRAH BT MEDAN dr. Depi Jufri, Sp. POLI THT
126 T.H.T.K.L

REG/OP/190116-0159 120879 VEBBY MELIANTY NABILA dr. Depi Jufri, Sp. POLI THT
127 T.H.T.K.L

REG/OP/190104-0232 120879 VEBBY MELIANTY NABILA dr. Depi Jufri, Sp. POLI THT
128 T.H.T.K.L
REG/OP/190104-0271 223624 MEI AYU PRASISKA BT IWAN dr. Depi Jufri, Sp. POLI THT
129 T.H.T.K.L

REG/OP/190128-0250 120879 VEBBY MELIANTY NABILA dr. Depi Jufri, Sp. POLI THT
130 T.H.T.K.L

REG/OP/190107-0032 120879 VEBBY MELIANTY NABILA dr. Depi Jufri, Sp. POLI THT
131 T.H.T.K.L

REG/OP/190102-0067 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
132 T.H.T.K.L

REG/OP/190103-0218 228657 A KHALIK BN SAHABUDIN dr. Depi Jufri, Sp. POLI THT
133 SAHABUDIN T.H.T.K.L

REG/OP/190114-0117 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
134 T.H.T.K.L

REG/OP/190111-0052 229070 SRI WAHYUNI BT ALWIS EFENDI dr. Depi Jufri, Sp. POLI THT
135 T.H.T.K.L

REG/OP/190122-0196 224551 ANDESTA WAHYU PERDANA dr. Depi Jufri, Sp. POLI THT
136 T.H.T.K.L

REG/OP/190115-0168 309206 DONI PERDIANSYAH dr. Depi Jufri, Sp. POLI THT
137 T.H.T.K.L

REG/OP/190110-0347 309214 AFRIANTO BIN YURNALIS dr. Depi Jufri, Sp. POLI THT
138 T.H.T.K.L

REG/OP/190128-0146 170419 MAHATIR REGI HANDOKO BIN dr. Depi Jufri, Sp. POLI THT
139 AMRULLAH T.H.T.K.L

REG/OP/190128-0264 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. POLI THT
140 T.H.T.K.L

REG/OP/190121-0191 170067 MUNA AFIFAH BT HOIRUL dr. Depi Jufri, Sp. POLI THT
141 T.H.T.K.L

REG/OP/190122-0176 302337 ASYABIRRA KIMORA ERSAMI BIN dr. Depi Jufri, Sp. POLI THT
142 AL BRAMA LOKASARHADI T.H.T.K.L

REG/OP/190124-0169 309216 KHOLIL ALBAB BIN ERLAN AHMAD dr. Depi Jufri, Sp. POLI THT
143 T.H.T.K.L

REG/OP/190128-0393 004726 PENDI BIN ARIPAI ARIPAI / AYAH dr. Depi Jufri, Sp. POLI THT
144 T.H.T.K.L

REG/OP/190122-0114 309206 DONI PERDIANSYAH dr. Depi Jufri, Sp. POLI THT
145 T.H.T.K.L

REG/OP/190114-0216 224551 ANDESTA WAHYU PERDANA dr. Depi Jufri, Sp. POLI THT
146 T.H.T.K.L

REG/OP/190121-0115 308754 SUMIO SELPIRAH BT MEDAN dr. Depi Jufri, Sp. POLI THT
147 T.H.T.K.L

REG/OP/190115-0232 108873 DRS. ASRORI BIN ABU BASIR dr. Depi Jufri, Sp. POLI THT
148 T.H.T.K.L

REG/OP/190128-0182 212736 NURMALA BT ILYAS dr. Depi Jufri, Sp. POLI THT
149 T.H.T.K.L

REG/OP/190128-0465 247056 ERNILAWATI BT ISHAK dr. Depi Jufri, Sp. POLI THT
150 KHAIRUDDIN T.H.T.K.L

REG/OP/190129-0128 095412 NELLY HASTATI BT A. ROHIM dr. Depi Jufri, Sp. POLI THT
151 T.H.T.K.L

REG/OP/190129-0242 309407 JEPRI BIN MULYADI dr. Depi Jufri, Sp. POLI THT
152 T.H.T.K.L

REG/OP/190129-0306 129831 JON KANEDY BIN MASRO dr. Depi Jufri, Sp. POLI THT
153 T.H.T.K.L

REG/OP/190124-0218 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. POLI THT
154 T.H.T.K.L
REG/OP/190117-0385 303782 UWAIS ALQARNI BIN RENOPIAN dr. Depi Jufri, Sp. POLI THT
155 T.H.T.K.L

REG/OP/190125-0150 303782 UWAIS ALQARNI BIN RENOPIAN dr. Depi Jufri, Sp. POLI THT
156 T.H.T.K.L

REG/OP/190128-0317 137920 NGASIDIH BIN RASMADI SUPAMI dr. Depi Jufri, Sp. POLI THT
157 T.H.T.K.L

REG/OP/190128-0284 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
158 T.H.T.K.L

REG/OP/190115-0105 292842 WIJIATI BT SUYATNI dr. Depi Jufri, Sp. POLI THT
159 T.H.T.K.L

REG/OP/190114-0236 309811 RENI APRIANI BT HABIBUR dr. Depi Jufri, Sp. POLI THT
160 RAHMAN T.H.T.K.L

REG/OP/190115-0187 309886 ANDES LISBA dr. Depi Jufri, Sp. POLI THT
161 T.H.T.K.L

REG/OP/190130-0059 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
162 YBS T.H.T.K.L

REG/OP/190124-0045 241154 ALI RAHMAN BIN TAHMRIN dr. Depi Jufri, Sp. POLI THT
163 TAHMRIN / AYAH T.H.T.K.L

REG/OP/190116-0089 297737 NAZHIFA ATHIYYAH NURTI dr. Depi Jufri, Sp. POLI THT
164 T.H.T.K.L

REG/OP/190116-0150 273333 NAINAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
165 T.H.T.K.L

REG/OP/190116-0083 112889 RICO ZAMARA BIN KURNIAWAN dr. Depi Jufri, Sp. POLI THT
166 MURSIDA / IBU T.H.T.K.L

REG/OP/190116-0143 014347 CICI LISTY UTAMI JON HERI dr. Depi Jufri, Sp. POLI THT
167 T.H.T.K.L

REG/OP/190115-0264 309897 FIQI AFNURIZZA dr. Depi Jufri, Sp. POLI THT
168 T.H.T.K.L

REG/OP/190129-0088 223985 FAUZI BIN SOLIHIN SOLIHIN dr. Depi Jufri, Sp. POLI THT
169 T.H.T.K.L

REG/OP/190118-0098 310059 TRI OKTAVIA BT HALIM dr. Depi Jufri, Sp. POLI THT
170 T.H.T.K.L

REG/OP/190114-0172 089479 DECHA DWI ARMITA ADI CANDRA dr. Depi Jufri, Sp. POLI THT
171 T.H.T.K.L

REG/OP/190114-0474 309854 NURMINI BT BIANTORO dr. Depi Jufri, Sp. POLI THT
172 T.H.T.K.L

REG/OP/190130-0301 310738 PUTRI BT ANDRI KUSUMA dr. Depi Jufri, Sp. POLI THT
173 T.H.T.K.L

REG/OP/190130-0240 310727 M.YULISTIONO dr. Depi Jufri, Sp. POLI THT


174 T.H.T.K.L

REG/OP/190124-0114 310399 UMI KALSUM BT MARBAWI dr. Depi Jufri, Sp. POLI THT
175 T.H.T.K.L

REG/OP/190107-0366 120071 AUREL DWI FITRIA BT SARNUJI dr. Depi Jufri, Sp. POLI THT
176 SARNUJI / AYAH T.H.T.K.L

REG/OP/190124-0406 310431 JEFRI SILALAHI BIN JANINGAT dr. Depi Jufri, Sp. POLI THT
177 T.H.T.K.L

REG/OP/190103-0412 120071 AUREL DWI FITRIA BT SARNUJI dr. Depi Jufri, Sp. POLI THT
178 SARNUJI / AYAH T.H.T.K.L

REG/OP/181231-0346 097972 TATI YUSMIRA BT SYUKRI dr. Depi Jufri, Sp. POLI THT
179 T.H.T.K.L

REG/OP/190110-0166 309099 MESSY PUTRI BT ERWIN dr. Depi Jufri, Sp. POLI THT
180 T.H.T.K.L
REG/OP/190117-0173 309099 MESSY PUTRI BT ERWIN dr. Depi Jufri, Sp. POLI THT
181 T.H.T.K.L

REG/OP/190129-0265 310657 RIA BINTI SAMSUL BAHRI dr. Depi Jufri, Sp. POLI THT
182 T.H.T.K.L

REG/OP/190103-0170 309099 MESSY PUTRI BT ERWIN dr. Depi Jufri, Sp. POLI THT
183 T.H.T.K.L

REG/OP/190129-0095 310638 SUKARSIH BT SUYATMO dr. Depi Jufri, Sp. POLI THT
184 T.H.T.K.L

REG/OP/190125-0174 065867 DEA AMIRAH YUNISEFRIDA dr. Depi Jufri, Sp. POLI THT
185 T.H.T.K.L

REG/OP/181231-0239 308892 TOIPAH BT TABID dr. Depi Jufri, Sp. POLI THT
186 T.H.T.K.L

REG/OP/190103-0491 309157 ANDINI AMALIA BT YUSMULYADI dr. Depi Jufri, Sp. POLI THT
187 T.H.T.K.L

REG/OP/190128-0165 309157 ANDINI AMALIA BT YUSMULYADI dr. Depi Jufri, Sp. POLI THT
188 T.H.T.K.L

REG/OP/190107-0052 055301 ALIYADIN BIN ALI KUBIS dr. Depi Jufri, Sp. POLI THT
189 T.H.T.K.L

REG/OP/190107-0286 309157 ANDINI AMALIA BT YUSMULYADI dr. Depi Jufri, Sp. POLI THT
190 T.H.T.K.L

REG/OP/190108-0333 214979 HARTOYO BIN SUPARDI dr. Depi Jufri, Sp. POLI THT
191 T.H.T.K.L

REG/OP/190103-0646 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
192 T.H.T.K.L

REG/OP/190107-0498 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
193 T.H.T.K.L

REG/OP/190114-0431 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
194 T.H.T.K.L

REG/OP/190111-0283 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
195 T.H.T.K.L

REG/OP/190109-0332 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
196 T.H.T.K.L

REG/OP/190107-0493 168882 RUSDI BIN SOPA dr. Depi Jufri, Sp. POLI THT
197 T.H.T.K.L

REG/OP/190117-0108 123268 ARNITA BT UDING ARPA dr. Depi Jufri, Sp. POLI THT
198 T.H.T.K.L

REG/OP/190121-0193 125369 ERNA SUSANTI BT IWAN IWAN dr. Depi Jufri, Sp. POLI THT
199 T.H.T.K.L

REG/OP/190107-0428 144436 ISMIKRAJ BIN NAHNU dr. Depi Jufri, Sp. POLI THT
200 T.H.T.K.L

REG/OP/190107-0053 309339 AIM MATUL FUQOHA dr. Depi Jufri, Sp. POLI THT
201 T.H.T.K.L

REG/OP/190109-0151 124116 AFRIZA BINTI H.BAINAL HAKIM dr. Depi Jufri, Sp. POLI THT
202 T.H.T.K.L

REG/OP/190129-0080 124115 M.TEDDY SEPTRIANSYAH BN dr. Depi Jufri, Sp. POLI THT
203 DENDI S T.H.T.K.L

REG/OP/190114-0217 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
204 T.H.T.K.L

REG/OP/190123-0282 232110 SERLI MALITON BT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
205 SENEN T.H.T.K.L

REG/OP/190125-0094 232110 SERLI MALITON BT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
206 SENEN T.H.T.K.L
REG/OP/190108-0357 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
207 T.H.T.K.L

REG/OP/190107-0134 138980 RIAN SAPUTRA BIN MOHD. dr. Depi Jufri, Sp. POLI THT
208 RISYWAN T.H.T.K.L

REG/OP/190122-0194 240921 NIA SULASTRI BT SELAMAT dr. Depi Jufri, Sp. POLI THT
209 EKOHERBIANSYAH T.H.T.K.L

REG/OP/190115-0055 309407 JEPRI BIN MULYADI dr. Depi Jufri, Sp. POLI THT
210 T.H.T.K.L

REG/OP/190114-0358 242202 ANDRY SETIAWAN EFENDI dr. Depi Jufri, Sp. POLI THT
211 T.H.T.K.L

REG/OP/190114-0277 235680 PUJIONO BIN SLAMET dr. Depi Jufri, Sp. POLI THT
212 T.H.T.K.L

REG/OP/190121-0267 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
213 HAR T.H.T.K.L

REG/OP/190103-0072 229942 GUSNA DEWITA BT JAMUAR dr. Depi Jufri, Sp. POLI THT
214 T.H.T.K.L

REG/OP/190125-0076 310132 MADANI USMAN dr. Depi Jufri, Sp. POLI THT
215 T.H.T.K.L

REG/OP/190125-0308 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
216 HAR T.H.T.K.L

REG/OP/190107-0070 242863 DIRGANTARA BIN M.WARNIK dr. Depi Jufri, Sp. POLI THT
217 M.WARNIK / AYAH T.H.T.K.L

REG/OP/181231-0067 055301 ALIYADIN BIN ALI KUBIS dr. Depi Jufri, Sp. POLI THT
218 T.H.T.K.L

REG/OP/190121-0132 310156 ROITI BT BUDIN dr. Depi Jufri, Sp. POLI THT
219 T.H.T.K.L

REG/OP/190121-0271 310172 MUSMULIADI BN ZAKARIA dr. Depi Jufri, Sp. POLI THT
220 T.H.T.K.L

REG/OP/190128-0316 310156 ROITI BT BUDIN dr. Depi Jufri, Sp. POLI THT
221 T.H.T.K.L

REG/OP/181231-0283 308897 ANNISA SALSABILA MAULIDIA BT dr. Depi Jufri, Sp. POLI THT
222 HERI HERMANSYAH T.H.T.K.L

REG/OP/190107-0163 229070 SRI WAHYUNI BT ALWIS EFENDI dr. Depi Jufri, Sp. POLI THT
223 T.H.T.K.L

REG/OP/190107-0074 138572 MIFTAHUL JANNAH BINTI ENDANG dr. Depi Jufri, Sp. POLI THT
224 KUSASI T.H.T.K.L

REG/OP/190128-0222 269029 DANIL SETIAWAN BIN MUKSIN dr. Depi Jufri, Sp. POLI THT
225 SYAMSUDIN T.H.T.K.L

REG/OP/190121-0352 269029 DANIL SETIAWAN BIN MUKSIN dr. Depi Jufri, Sp. POLI THT
226 SYAMSUDIN T.H.T.K.L

REG/OP/190107-0363 308295 SINTA WATI BT MAT DAMIN dr. Depi Jufri, Sp. POLI THT
227 T.H.T.K.L

REG/OP/190121-0199 130484 ATHAILLAH CAESAR.A BIN INDRA dr. Depi Jufri, Sp. POLI THT
228 M T.H.T.K.L

REG/OP/190107-0489 309407 JEPRI BIN MULYADI dr. Depi Jufri, Sp. POLI THT
229 T.H.T.K.L

REG/OP/190107-0307 169694 M HALILINTAR BIN YUS A dr. Depi Jufri, Sp. POLI THT
230 T.H.T.K.L

REG/OP/190107-0378 269029 DANIL SETIAWAN BIN MUKSIN dr. Depi Jufri, Sp. POLI THT
231 SYAMSUDIN T.H.T.K.L

REG/OP/190107-0149 098906 KARINA PERMATA PUTRI HERI dr. Depi Jufri, Sp. POLI THT
232 ARIYADI T.H.T.K.L
REG/OP/190107-0113 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
233 T.H.T.K.L

REG/OP/190104-0152 102963 AHMAD AL-FARISI RENZA BIN dr. Depi Jufri, Sp. POLI THT
234 ABDULLAH RENO T.H.T.K.L

REG/OP/190104-0350 309236 MUNIR BIN SAHRI dr. Depi Jufri, Sp. POLI THT
235 T.H.T.K.L

REG/OP/190103-0645 309176 DZAKIYAH SALWANABILA dr. Depi Jufri, Sp. POLI THT
236 T.H.T.K.L

REG/OP/181231-0165 030741 RUSLAN ABDUL GANI dr. Depi Jufri, Sp. POLI THT
237 T.H.T.K.L

REG/OP/190102-0028 187527 PONCO PUTRO BIN SARIMAN dr. Depi Jufri, Sp. POLI THT
238 KELANA T.H.T.K.L

REG/OP/190102-0179 297737 NAZHIFA ATHIYYAH NURTI dr. Depi Jufri, Sp. POLI THT
239 T.H.T.K.L

REG/OP/190102-0055 260710 ROHMAD SIDIN BIN RUSLI EVI dr. Depi Jufri, Sp. POLI THT
240 YANA /ISTRI T.H.T.K.L

REG/OP/181231-0094 001248 AFRIAN HARDIANSYAH BIN AGUS dr. Depi Jufri, Sp. POLI THT
241 CIK T.H.T.K.L

REG/OP/190125-0256 310483 SOFYAN ISKANDAR,SH,.MH dr. Depi Jufri, Sp. POLI THT
242 T.H.T.K.L

REG/OP/190128-0485 310484 AGUNG WIJAYA BIN WAIDI dr. Depi Jufri, Sp. POLI THT
243 T.H.T.K.L

REG/OP/190125-0277 310484 AGUNG WIJAYA BIN WAIDI dr. Depi Jufri, Sp. POLI THT
244 T.H.T.K.L

REG/OP/190117-0052 309981 DIAN RAHMA YULIANTI dr. Depi Jufri, Sp. POLI THT
245 T.H.T.K.L

REG/OP/190128-0025 309981 DIAN RAHMA YULIANTI dr. Depi Jufri, Sp. POLI THT
246 T.H.T.K.L

REG/OP/190102-0090 172453 RIA OKTA RIZA BT HABIBUR dr. Depi Jufri, Sp. POLI THT
247 RAHMAN T.H.T.K.L

REG/OP/190128-0296 240921 NIA SULASTRI BT SELAMAT dr. Depi Jufri, Sp. POLI THT
248 EKOHERBIANSYAH T.H.T.K.L

REG/OP/190128-0288 012237 MEILYANTIKA BINTI ARIVAI dr. Depi Jufri, Sp. POLI THT
249 T.H.T.K.L

REG/OP/190125-0082 213580 martina bt m asli dr. Depi Jufri, Sp. POLI THT
250 T.H.T.K.L

REG/OP/190117-0241 309993 NANDA SATRIO BAYUAJI BIN dr. Depi Jufri, Sp. POLI THT
251 AHMAD RAIS T.H.T.K.L

REG/OP/190121-0180 127840 FADHLI AZHAR BIN AZWAR dr. Depi Jufri, Sp. POLI THT
252 T.H.T.K.L

REG/OP/190122-0322 300906 ANISA BT ANDI WIJAYA dr. Depi Jufri, Sp. POLI THT
253 T.H.T.K.L

REG/OP/190121-0333 254206 RUSLAN ABDULAH dr. Depi Jufri, Sp. POLI THT
254 T.H.T.K.L

REG/OP/190121-0015 162604 M SULTAN HABIBULLAH BN dr. Depi Jufri, Sp. POLI THT
255 SYAFRIANTO T.H.T.K.L

REG/OP/190130-0079 300234 AGUS GUNAWAN . SH BIN BAZARI dr. Depi Jufri, Sp. POLI THT
256 T.H.T.K.L

REG/OP/190114-0255 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. POLI THT
257 T.H.T.K.L

REG/OP/190125-0108 162839 M. RAYHAN AL GHUFRAN DENI dr. Depi Jufri, Sp. POLI THT
258 NOVRIADI / AYAH T.H.T.K.L
REG/OP/190117-0133 298537 IBNU ABAS BIN NANANG dr. Depi Jufri, Sp. POLI THT
259 T.H.T.K.L

REG/OP/190114-0180 162604 M SULTAN HABIBULLAH BN dr. Depi Jufri, Sp. POLI THT
260 SYAFRIANTO T.H.T.K.L

REG/OP/190129-0204 247446 ZULYADI BIN RUSNADI TUKINI dr. Depi Jufri, Sp. POLI THT
261 T.H.T.K.L

REG/OP/190129-0208 185810 MUHAMMAD SIGIT APRIYANSAH dr. Depi Jufri, Sp. POLI THT
262 T.H.T.K.L

REG/OP/190129-0257 310655 MUSLMIN dr. Depi Jufri, Sp. POLI THT


263 T.H.T.K.L

REG/OP/190130-0117 293898 MUHAMAD ARGA HAZILAL BIN dr. Depi Jufri, Sp. POLI THT
264 ZUMROWI T.H.T.K.L

REG/OP/190130-0149 279898 M ALDI KUSGARA dr. Depi Jufri, Sp. POLI THT
265 T.H.T.K.L

REG/OP/190130-0297 310737 RICKI MANGKU ADIPATI dr. Depi Jufri, Sp. POLI THT
266 T.H.T.K.L

REG/OP/190130-0310 255776 ADITIA PRATAMA BIN RISENTERI dr. Depi Jufri, Sp. POLI THT
267 T.H.T.K.L

REG/OP/190130-0130 247273 LUMBA TAMPUBOLON dr. Depi Jufri, Sp. POLI THT
268 T.H.T.K.L

REG/OP/190130-0172 310718 KOMARIA BT HERWANTO dr. Depi Jufri, Sp. POLI THT
269 T.H.T.K.L

REG/OP/190129-0199 310645 WAHYU MUSTAKIM BIN TANZIL dr. Depi Jufri, Sp. POLI THT
270 T.H.T.K.L

REG/OP/190129-0169 303886 LASMIATI dr. Depi Jufri, Sp. POLI THT


271 T.H.T.K.L

REG/OP/190117-0267 309995 CHIANI NERCIA BT KAMRAN dr. Depi Jufri, Sp. POLI THT
272 T.H.T.K.L

REG/OP/190117-0034 094848 RICA NOVIYENTI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
273 T.H.T.K.L

REG/OP/190117-0289 309998 DAFFA ABBASY ZAIDAN dr. Depi Jufri, Sp. POLI THT
274 T.H.T.K.L

REG/OP/190117-0343 310009 LUTHFI RAMADAN BIN ASRORI dr. Depi Jufri, Sp. POLI THT
275 T.H.T.K.L

REG/OP/190117-0264 309994 TIYA WULANDARI dr. Depi Jufri, Sp. POLI THT
276 T.H.T.K.L

REG/OP/181231-0358 221348 IRFAN ADEN JUNARIS BN RIZAL dr. Depi Jufri, Sp. POLI THT
277 T.H.T.K.L

REG/OP/181231-0068 246868 HASANAH BT KODIR dr. Depi Jufri, Sp. POLI THT
278 T.H.T.K.L

REG/OP/190122-0213 149641 MARTINI BT WIRO SUWITO dr. Depi Jufri, Sp. POLI THT
279 T.H.T.K.L

REG/IP/190114-0040 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. MERANTI
280 HAR T.H.T.K.L

REG/IP/190121-0032 309157 ANDINI AMALIA BT YUSMULYADI dr. Depi Jufri, Sp. MERANTI
281 T.H.T.K.L

REG/IP/190122-0029 309981 DIAN RAHMA YULIANTI dr. Depi Jufri, Sp. MERANTI
282 T.H.T.K.L

REG/IP/190107-0045 308545 TARISA DWI ANANDA BT dr. Depi Jufri, Sp. MERANTI
283 HERIYANTO T.H.T.K.L

REG/IP/190107-0048 305315 EDWIN ARDIANSYAH BIN USMAN dr. Depi Jufri, Sp. MERANTI
284 EFENDI T.H.T.K.L
REG/IP/190115-0033 224551 ANDESTA WAHYU PERDANA dr. Depi Jufri, Sp. MERANTI
285 T.H.T.K.L

REG/IP/190107-0043 309339 AIM MATUL FUQOHA dr. Depi Jufri, Sp. MERANTI
286 T.H.T.K.L

REG/IP/190121-0034 120879 VEBBY MELIANTY NABILA dr. Depi Jufri, Sp. MERANTI
287 T.H.T.K.L

REG/IP/181230-0037 155588 AHMAD SYAWALUDIN AHMAD dr. Depi Jufri, Sp. PETANANG
288 SYAWALUDIN T.H.T.K.L

REG/IP/190114-0043 308295 SINTA WATI BT MAT DAMIN dr. Depi Jufri, Sp. MEDANG
289 T.H.T.K.L

REG/IP/190108-0035 089479 DECHA DWI ARMITA ADI CANDRA dr. Depi Jufri, Sp. MEDANG
290 T.H.T.K.L

REG/IP/190121-0031 309931 KENZI AKHMAD FATONI ANANG dr. Depi Jufri, Sp. MEDANG
291 JATMIKO T.H.T.K.L

REG/IP/190114-0025 188332 NATO IDRUS dr. Depi Jufri, Sp. MEDANG


292 T.H.T.K.L

REG/IP/190115-0019 134908 ARZAMI SYAI BIN SYAIPUDIN dr. Depi Jufri, Sp. MEDANG
293 T.H.T.K.L

REG/IP/190114-0028 169694 M HALILINTAR BIN YUS A dr. Depi Jufri, Sp. MEDANG
294 T.H.T.K.L

REG/IP/190114-0044 269029 DANIL SETIAWAN BIN MUKSIN dr. Depi Jufri, Sp. MEDANG
295 SYAMSUDIN T.H.T.K.L

REG/IP/190121-0019 309407 JEPRI BIN MULYADI dr. Depi Jufri, Sp. MEDANG
296 T.H.T.K.L

REG/IP/190108-0019 223714 ANGGUN APRILIA BT YUSWAN dr. Depi Jufri, Sp. MEDANG
297 YUSWAN T.H.T.K.L

REG/IP/181225-0030 307483 CAHAYA REFASIFA NEFA BT JOKO dr. Depi Jufri, Sp. MEDANG
298 SUPRIANTO T.H.T.K.L

REG/IP/181230-0031 307608 VERDI MUHARROM BIN MARZUKI dr. Depi Jufri, Sp. MEDANG
299 T.H.T.K.L

REG/IP/190107-0050 308871 NURULITA BT BAHARUDIN dr. Depi Jufri, Sp. MEDANG


300 T.H.T.K.L

REG/IP/190108-0033 308754 SUMIO SELPIRAH BT MEDAN dr. Depi Jufri, Sp. MEDANG
301 T.H.T.K.L

REG/IP/190108-0047 214979 HARTOYO BIN SUPARDI dr. Depi Jufri, Sp. TEMBESU
302 T.H.T.K.L

REG/IP/190107-0037 307920 IVAN KURNIAWAN BIN SUKAMDI dr. Depi Jufri, Sp. TEMBESU
303 T.H.T.K.L

REG/IP/190108-0046 238830 FERNANDO PRATAMA BIN BURNANI dr. Depi Jufri, Sp. TEMBESU
304 T.H.T.K.L

REG/IP/190107-0035 014347 CICI LISTY UTAMI JON HERI dr. Depi Jufri, Sp. TEMBESU
305 T.H.T.K.L

REG/IP/190101-0028 016978 ARMINIARICA YBS dr. Depi Jufri, Sp. TEMBESU


306 T.H.T.K.L

REG/IP/190121-0023 103784 BILAL USMAN ABDULLAH dr. Depi Jufri, Sp. TEMBESU
307 T.H.T.K.L

REG/OP/190204-0278 310967 FEBIA AHRI MAITA FAZLIA dr. Depi Jufri, Sp. POLI THT
308
T.H.T.K.L
REG/OP/190213-0394 310737 RICKI MANGKU ADIPATI dr. Depi Jufri, Sp. POLI THT
309
T.H.T.K.L
REG/OP/190219-0096 290159 ROHMAN BIN GENALIN dr. Depi Jufri, Sp. POLI THT
310
T.H.T.K.L
REG/OP/190219-0371 294958 SITI NURWANA BT HASAN dr. Depi Jufri, Sp. POLI THT
311
T.H.T.K.L
REG/OP/190207-0292 131774 SILVIA DWI PUTRI BT dr. Depi Jufri, Sp. POLI THT
312
BADARUDDIN BADARUDDIN T.H.T.K.L
REG/OP/190206-0337 310737 RICKI MANGKU ADIPATI dr. Depi Jufri, Sp. POLI THT
313
T.H.T.K.L
REG/OP/190204-0387 225144 ALIFA ALHANIFIA BT BAMBANG dr. Depi Jufri, Sp. POLI THT
314
HERYANTO T.H.T.K.L
REG/OP/190204-0075 291969 DELA HERISTI TIA dr. Depi Jufri, Sp. POLI THT
315
T.H.T.K.L
REG/OP/190219-0060 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
316
T.H.T.K.L
REG/OP/190225-0304 312244 ADEN FATHUL PITONA BIN dr. Depi Jufri, Sp. POLI THT
317
CANDRA KURNIA T.H.T.K.L
REG/OP/190225-0399 312256 WIDIAWATI BINTI TURMAN dr. Depi Jufri, Sp. POLI THT
318
T.H.T.K.L
REG/OP/190207-0176 045771 IWAN SUPRIADI R.A RITA dr. Depi Jufri, Sp. POLI THT
319
ANGGRAENI T.H.T.K.L
REG/OP/190207-0098 310825 FITRI FEBRIYANTI BT AGUS dr. Depi Jufri, Sp. POLI THT
320
SUPRAPTO T.H.T.K.L
REG/OP/190225-0155 110675 NURDIN BIN HISOM dr. Depi Jufri, Sp. POLI THT
321
T.H.T.K.L
REG/OP/190222-0263 312095 ALICIA VALENTIKA BT KAREL dr. Depi Jufri, Sp. POLI THT
322
T.H.T.K.L
REG/OP/190221-0150 312004 MURZI BIN MAIRUL dr. Depi Jufri, Sp. POLI THT
323
T.H.T.K.L
REG/OP/190226-0122 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
324
T.H.T.K.L
REG/OP/190221-0327 312028 HERMAN BIN SOBIRIN dr. Depi Jufri, Sp. POLI THT
325
T.H.T.K.L
REG/OP/190221-0439 312054 AHMAD LUTFI MAULIDI dr. Depi Jufri, Sp. POLI THT
326
T.H.T.K.L
REG/OP/190221-0393 312046 HENDRI JAYA dr. Depi Jufri, Sp. POLI THT
327
T.H.T.K.L
REG/OP/190221-0283 312018 NOPFREJA BIN MULYADI dr. Depi Jufri, Sp. POLI THT
328
T.H.T.K.L
REG/OP/190201-0035 310820 HASAN BIN REBO dr. Depi Jufri, Sp. POLI THT
329
T.H.T.K.L
REG/OP/190218-0446 279675 WALIDI BIN KASIMIN dr. Depi Jufri, Sp. POLI THT
330
T.H.T.K.L
REG/OP/190218-0474 046501 SADED HILMI BIN M.HASBI dr. Depi Jufri, Sp. POLI THT
331
M.HASBI T.H.T.K.L
REG/OP/190201-0270 310855 ARI FAHLEPI BIN MJ PANIAGAN dr. Depi Jufri, Sp. POLI THT
332
T.H.T.K.L
REG/OP/190219-0309 174049 AGAM ABDILAH IBNU DENDRA dr. Depi Jufri, Sp. POLI THT
333
T.H.T.K.L
REG/OP/190222-0177 312051 ADWA FILZA FARZANA BT DAMTO dr. Depi Jufri, Sp. POLI THT
334
T.H.T.K.L
REG/OP/190222-0257 177454 HERMANTO LANI BIN DJAILANI dr. Depi Jufri, Sp. POLI THT
335
T.H.T.K.L
REG/OP/190220-0160 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
336
HAR T.H.T.K.L
REG/OP/190201-0176 310836 FITRIANA BT ZUBER dr. Depi Jufri, Sp. POLI THT
337
T.H.T.K.L
REG/OP/190218-0458 294454 AZMAWATI BT A MALIK dr. Depi Jufri, Sp. POLI THT
338
T.H.T.K.L
REG/OP/190218-0082 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
339
T.H.T.K.L
REG/OP/190215-0275 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
340
HAR T.H.T.K.L
REG/OP/190226-0317 310277 ZAFIRA AULIA RAHMA dr. Depi Jufri, Sp. POLI THT
341
T.H.T.K.L
REG/OP/190206-0187 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
342
T.H.T.K.L
REG/OP/190226-0445 281185 ERNI WATI BT ABDIN dr. Depi Jufri, Sp. POLI THT
343
T.H.T.K.L
REG/OP/190219-0207 310277 ZAFIRA AULIA RAHMA dr. Depi Jufri, Sp. POLI THT
344
T.H.T.K.L
REG/OP/190204-0488 310244 ARMAN AS ARY BIN MUSLIKIN dr. Depi Jufri, Sp. POLI THT
345
T.H.T.K.L
REG/OP/190201-0069 108981 APRILIA DWI PUTRI JON ASRI dr. Depi Jufri, Sp. POLI THT
346
T.H.T.K.L
REG/OP/190211-0370 279675 WALIDI BIN KASIMIN dr. Depi Jufri, Sp. POLI THT
347
T.H.T.K.L
REG/OP/190219-0417 221349 PAUZI BIN JABARUDIN ROSITA dr. Depi Jufri, Sp. POLI THT
348
T.H.T.K.L
REG/OP/190211-0436 108874 RUSIMI BT JAMALUDIN ARIPIN dr. Depi Jufri, Sp. POLI THT
349
T.H.T.K.L
REG/OP/190226-0188 243445 CHERLI OKTAVIANI dr. Depi Jufri, Sp. POLI THT
350
T.H.T.K.L
REG/OP/190222-0221 311647 DEBI ARIKA BIN RENHAR dr. Depi Jufri, Sp. POLI THT
351 T.H.T.K.L

REG/OP/190215-0141 311647 DEBI ARIKA BIN RENHAR dr. Depi Jufri, Sp. POLI THT
352
T.H.T.K.L
REG/OP/190225-0443 020945 NOPI KAMILA SANTI dr. Depi Jufri, Sp. POLI THT
353
T.H.T.K.L
REG/OP/190207-0127 100824 BAKAR M HANEMAN BIN HANEMAN dr. Depi Jufri, Sp. POLI THT
354
T.H.T.K.L
REG/OP/190208-0084 100824 BAKAR M HANEMAN BIN HANEMAN dr. Depi Jufri, Sp. POLI THT
355
T.H.T.K.L
REG/OP/190225-0211 228305 RUWAIYA BT R YANIN dr. Depi Jufri, Sp. POLI THT
356
T.H.T.K.L
REG/OP/190226-0252 290159 ROHMAN BIN GENALIN dr. Depi Jufri, Sp. POLI THT
357
T.H.T.K.L
REG/OP/190225-0363 246986 LAILATUL MARHAMAH DEDEN H dr. Depi Jufri, Sp. POLI THT
358
T.H.T.K.L
REG/OP/190215-0298 102611 ARDANI BIN RIDUAN dr. Depi Jufri, Sp. POLI THT
359
T.H.T.K.L
REG/OP/190204-0323 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
360
T.H.T.K.L
REG/OP/190204-0325 310484 AGUNG WIJAYA BIN WAIDI dr. Depi Jufri, Sp. POLI THT
361
T.H.T.K.L
REG/OP/190206-0442 310718 KOMARIA BT HERWANTO dr. Depi Jufri, Sp. POLI THT
362
T.H.T.K.L
REG/OP/190219-0215 311878 DAHIRIAN BIN M,NUR dr. Depi Jufri, Sp. POLI THT
363
T.H.T.K.L
REG/OP/190206-0452 192845 INTAN PURNAMA SARI BT RUDI dr. Depi Jufri, Sp. POLI THT
364
HARTONO T.H.T.K.L
REG/OP/190225-0346 311878 DAHIRIAN BIN M,NUR dr. Depi Jufri, Sp. POLI THT
365
T.H.T.K.L
REG/OP/190214-0172 301617 DEWI SRINANDARI BT ARKA dr. Depi Jufri, Sp. POLI THT
366
T.H.T.K.L
REG/OP/190225-0105 118126 SALSABILAH TULHUSNAH dr. Depi Jufri, Sp. POLI THT
367
T.H.T.K.L
REG/OP/190219-0231 311410 APRILY PUTRI SUHARJA BT dr. Depi Jufri, Sp. POLI THT
368
SUHARJA T.H.T.K.L
REG/OP/190204-0123 310251 RUSMINI BT RUSDI dr. Depi Jufri, Sp. POLI THT
369
T.H.T.K.L
REG/OP/190226-0189 006912 M.YUSRO BIN ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
370
T.H.T.K.L
REG/OP/190214-0257 006912 M.YUSRO BIN ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
371
T.H.T.K.L
REG/OP/190204-0092 246058 JAYADI RAMADHAN BIN dr. Depi Jufri, Sp. POLI THT
372
WARYANTO T.H.T.K.L
REG/OP/190204-0148 309157 ANDINI AMALIA BT YUSMULYADI dr. Depi Jufri, Sp. POLI THT
373
T.H.T.K.L
REG/OP/190219-0081 311407 MUHAMMAD SOKO BN AHMAD dr. Depi Jufri, Sp. POLI THT
374
SAKIR T.H.T.K.L
REG/OP/190201-0122 242003 MARISA EKA PUTRI BT MARDANI dr. Depi Jufri, Sp. POLI THT
375
T.H.T.K.L
REG/OP/190201-0114 310825 FITRI FEBRIYANTI BT AGUS dr. Depi Jufri, Sp. POLI THT
376
SUPRAPTO T.H.T.K.L
REG/OP/190201-0145 310830 MAYA NOVITA SARI BT MATNAWI dr. Depi Jufri, Sp. POLI THT
377 T.H.T.K.L

REG/OP/190201-0065 162635 FAHREZI AZWAN ALMUBAROK BIN dr. Depi Jufri, Sp. POLI THT
378 AZUAN T.H.T.K.L

REG/OP/190225-0256 312235 FATHUL QUSSAY BIN AHMAD SIDIK dr. Depi Jufri, Sp. POLI THT
379
T.H.T.K.L
REG/OP/190225-0330 049023 HERMAN SUYANTO BIN MADANI dr. Depi Jufri, Sp. POLI THT
380
T.H.T.K.L
REG/OP/190204-0151 130484 ATHAILLAH CAESAR.A BIN INDRA dr. Depi Jufri, Sp. POLI THT
381
M T.H.T.K.L
REG/OP/190225-0112 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
382
T.H.T.K.L
REG/OP/190225-0477 312276 M E JANI PURWANI BIN RUSLAINI dr. Depi Jufri, Sp. POLI THT
383
T.H.T.K.L
REG/OP/190201-0193 268404 NADIAH ARSYILA AHMAD dr. Depi Jufri, Sp. POLI THT
384
T.H.T.K.L
REG/OP/190226-0394 312380 M RIZKI QODRATUL AMANAH dr. Depi Jufri, Sp. POLI THT
385
T.H.T.K.L
REG/OP/190212-0151 311407 MUHAMMAD SOKO BN AHMAD dr. Depi Jufri, Sp. POLI THT
386
SAKIR T.H.T.K.L
REG/OP/190225-0048 175012 ZUMROWI BIN HASNUDIN dr. Depi Jufri, Sp. POLI THT
387
ZUMROWI T.H.T.K.L
REG/OP/190226-0066 296484 ZOHER BIN NUSTOMI dr. Depi Jufri, Sp. POLI THT
388
T.H.T.K.L
REG/OP/190225-0441 312054 AHMAD LUTFI MAULIDI dr. Depi Jufri, Sp. POLI THT
389
T.H.T.K.L
REG/OP/190220-0295 310718 KOMARIA BT HERWANTO dr. Depi Jufri, Sp. POLI THT
390
T.H.T.K.L
REG/OP/190211-0028 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. POLI THT
391
T.H.T.K.L
REG/OP/190212-0022 103178 ROMITA BT MAULANA ADI dr. Depi Jufri, Sp. POLI THT
392
T.H.T.K.L
REG/OP/190212-0148 154085 ASMA BT HASUNI dr. Depi Jufri, Sp. POLI THT
393
T.H.T.K.L
REG/OP/190207-0452 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
394
T.H.T.K.L
REG/OP/190206-0139 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
395
T.H.T.K.L
REG/OP/190204-0451 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
396
T.H.T.K.L
REG/OP/190208-0250 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
397
T.H.T.K.L
REG/OP/190212-0157 311410 APRILY PUTRI SUHARJA BT dr. Depi Jufri, Sp. POLI THT
398
SUHARJA T.H.T.K.L
REG/OP/190212-0194 298537 IBNU ABAS BIN NANANG dr. Depi Jufri, Sp. POLI THT
399
T.H.T.K.L
REG/OP/190214-0366 311412 ISNENI BT KASTIMAN dr. Depi Jufri, Sp. POLI THT
400
T.H.T.K.L
REG/OP/190201-0054 298537 IBNU ABAS BIN NANANG dr. Depi Jufri, Sp. POLI THT
401
T.H.T.K.L
REG/OP/190208-0227 298618 AUREL RAMADHANI PUTRI dr. Depi Jufri, Sp. POLI THT
402
T.H.T.K.L
REG/OP/190207-0395 298537 IBNU ABAS BIN NANANG dr. Depi Jufri, Sp. POLI THT
403
T.H.T.K.L
REG/OP/190211-0500 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
404
T.H.T.K.L
REG/OP/190222-0285 306436 HARMA BT HUSIN dr. Depi Jufri, Sp. POLI THT
405
T.H.T.K.L
REG/OP/190207-0197 213285 SUARSUD BIN SUARDI ERNA / dr. Depi Jufri, Sp. POLI THT
406
ISTRI T.H.T.K.L
REG/OP/190206-0329 204961 I GUSTI NYOMAN WISTARA dr. Depi Jufri, Sp. POLI THT
407
T.H.T.K.L
REG/OP/190206-0237 311057 MUHAMMAD ARFAN ALBIRRU dr. Depi Jufri, Sp. POLI THT
408
T.H.T.K.L
REG/OP/190214-0260 151266 NURBAITI BT DAUD dr. Depi Jufri, Sp. POLI THT
409
T.H.T.K.L
REG/OP/190222-0165 311193 PUTRI SUNDARI BT SARNU dr. Depi Jufri, Sp. POLI THT
410
T.H.T.K.L
REG/OP/190201-0133 261089 AHMAD LIBERTI BIN HAIRIL AKBAR dr. Depi Jufri, Sp. POLI THT
411
HAIRIL AKBAR T.H.T.K.L
REG/OP/190131-0363 307628 M HATANI DIPO dr. Depi Jufri, Sp. POLI THT
412
T.H.T.K.L
REG/OP/190213-0186 218215 GALIH WIBOWO M.TAUFIK dr. Depi Jufri, Sp. POLI THT
413
T.H.T.K.L
REG/OP/190213-0069 311485 RUDY ANUGRAH dr. Depi Jufri, Sp. POLI THT
414
T.H.T.K.L
REG/OP/190225-0082 304940 FILMA TUSIA BT BUSTOMI dr. Depi Jufri, Sp. POLI THT
415
T.H.T.K.L
REG/OP/190206-0118 217115 SITI HAWI BT KAMALUDIN dr. Depi Jufri, Sp. POLI THT
416
T.H.T.K.L
REG/OP/190123-0111 217115 SITI HAWI BT KAMALUDIN dr. Depi Jufri, Sp. POLI THT
417
T.H.T.K.L
REG/OP/190222-0226 259606 LALAISNINA BT ISDIANTO dr. Depi Jufri, Sp. POLI THT
418
T.H.T.K.L
REG/OP/190208-0222 311209 SUKARDI BIN KERIAP dr. Depi Jufri, Sp. POLI THT
419
T.H.T.K.L
REG/OP/190215-0243 177920 RITA SUSANTI BT SUKRI dr. Depi Jufri, Sp. POLI THT
420
T.H.T.K.L
REG/OP/190226-0233 146094 MAHARANI GAPENA PUTRI BT dr. Depi Jufri, Sp. POLI THT
421
HENDRI T.H.T.K.L
REG/OP/190215-0219 147822 LAURA ARSHYLA BT ARDY DONNI S dr. Depi Jufri, Sp. POLI THT
422
T.H.T.K.L
REG/OP/190215-0082 242758 NAJMI BT SAHRI dr. Depi Jufri, Sp. POLI THT
423
T.H.T.K.L
REG/OP/190215-0168 311648 DIDY SETIADI BIN SUPRIADI dr. Depi Jufri, Sp. POLI THT
424
T.H.T.K.L
REG/OP/190215-0127 219559 EL FATIH ANGGALAN BN EKO. G dr. Depi Jufri, Sp. POLI THT
425
T.H.T.K.L
REG/OP/190204-0209 215027 ADELIA AGUSTIN M.SURYADI dr. Depi Jufri, Sp. POLI THT
426
T.H.T.K.L
REG/OP/190214-0220 143421 MISRATI BT KEMIS dr. Depi Jufri, Sp. POLI THT
427
T.H.T.K.L
REG/OP/190214-0144 213271 NOPRIYANTO BIN HATTA dr. Depi Jufri, Sp. POLI THT
428
T.H.T.K.L
REG/OP/190214-0061 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
429
T.H.T.K.L
REG/OP/190201-0088 209002 ANITA PAUZIA BT ENDAR INDRA dr. Depi Jufri, Sp. POLI THT
430
T.H.T.K.L
REG/OP/190215-0089 257118 SYAHRIL BIN SYUKUR dr. Depi Jufri, Sp. POLI THT
431
T.H.T.K.L
REG/OP/190226-0222 145159 MUSTIKA BIN HENDRIK MISBAH dr. Depi Jufri, Sp. POLI THT
432
HENDRIK MISBAH T.H.T.K.L
REG/OP/190219-0128 197362 ETA HERIA JULITA dr. Depi Jufri, Sp. POLI THT
433
T.H.T.K.L
REG/OP/190214-0263 049023 HERMAN SUYANTO BIN MADANI dr. Depi Jufri, Sp. POLI THT
434
T.H.T.K.L
REG/OP/190215-0170 097840 MIMI APRIANI BT IRAWAN dr. Depi Jufri, Sp. POLI THT
435
T.H.T.K.L
REG/OP/190214-0174 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
436
T.H.T.K.L
REG/OP/190226-0177 197362 ETA HERIA JULITA dr. Depi Jufri, Sp. POLI THT
437
T.H.T.K.L
REG/OP/190218-0508 197032 YULIANA BT ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
438
T.H.T.K.L
REG/OP/190218-0199 165644 SUPRIADI BIN SOPUAN dr. Depi Jufri, Sp. POLI THT
439
T.H.T.K.L
REG/OP/190218-0209 122611 M DZAKIY NOFALIANSYAH dr. Depi Jufri, Sp. POLI THT
440
T.H.T.K.L
REG/OP/190218-0300 012237 MEILYANTIKA dr. Depi Jufri, Sp. POLI THT
441
T.H.T.K.L
REG/OP/190212-0294 142477 VELIS FEBRIANTI BT KHOLIFA IRO dr. Depi Jufri, Sp. POLI THT
442
KHOLIFA IROSYIDIN T.H.T.K.L
REG/OP/190218-0212 172453 RIA OKTA RIZA dr. Depi Jufri, Sp. POLI THT
443
T.H.T.K.L
REG/OP/190213-0309 310718 KOMARIA BT HERWANTO dr. Depi Jufri, Sp. POLI THT
444
T.H.T.K.L
REG/OP/190215-0056 142477 VELIS FEBRIANTI BT KHOLIFA IRO dr. Depi Jufri, Sp. POLI THT
445
KHOLIFA IROSYIDIN T.H.T.K.L
REG/OP/190225-0347 144436 ISMIKRAJ BIN NAHNU dr. Depi Jufri, Sp. POLI THT
446
T.H.T.K.L
REG/OP/190225-0467 094848 RICA NOVIYENTI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
447
T.H.T.K.L
REG/OP/190226-0435 094692 SYAFRI ZAKIRIN BIN MUNSIR dr. Depi Jufri, Sp. POLI THT
448
T.H.T.K.L
REG/OP/190214-0129 142477 VELIS FEBRIANTI BT KHOLIFA IRO dr. Depi Jufri, Sp. POLI THT
449
KHOLIFA IROSYIDIN T.H.T.K.L
REG/OP/190219-0392 142477 VELIS FEBRIANTI BT KHOLIFA IRO dr. Depi Jufri, Sp. POLI THT
450
KHOLIFA IROSYIDIN T.H.T.K.L
REG/OP/190215-0019 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
451
YBS T.H.T.K.L
REG/OP/190225-0036 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
452
YBS T.H.T.K.L
REG/OP/190204-0056 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
453
YBS T.H.T.K.L
REG/OP/190219-0274 252903 NI KOMANG SUASTINIASIH dr. Depi Jufri, Sp. POLI THT
454
NYOMAN / AYAH T.H.T.K.L
REG/OP/190206-0104 255776 ADITIA PRATAMA BIN RISENTERI dr. Depi Jufri, Sp. POLI THT
455
T.H.T.K.L
REG/OP/190131-0054 155633 AQILA ZENOBIA SANTOSO dr. Depi Jufri, Sp. POLI THT
456
SANTOSO T.H.T.K.L
REG/OP/190131-0397 297874 UDIN SYAMSUDIN BN MINTA dr. Depi Jufri, Sp. POLI THT
457
T.H.T.K.L
REG/OP/190207-0161 141016 FERI IRAWAN BIN SYARIFUDIN dr. Depi Jufri, Sp. POLI THT
458
T.H.T.K.L
REG/OP/190207-0220 255776 ADITIA PRATAMA BIN RISENTERI dr. Depi Jufri, Sp. POLI THT
459
T.H.T.K.L
REG/OP/190225-0351 255776 ADITIA PRATAMA BIN RISENTERI dr. Depi Jufri, Sp. POLI THT
460
T.H.T.K.L
REG/OP/190131-0430 264012 SUGANDA BIN UMAR dr. Depi Jufri, Sp. POLI THT
461
T.H.T.K.L
REG/OP/190131-0394 146084 ALI AKBAR BN.TUBIT TUBIT dr. Depi Jufri, Sp. POLI THT
462 T.H.T.K.L

REG/OP/190131-0081 273333 NAINAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
463
T.H.T.K.L
REG/OP/190201-0034 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. POLI THT
464
T.H.T.K.L
REG/OP/190201-0199 177069 HAFIZAH HUSNIAH AHMAD AHMAD dr. Depi Jufri, Sp. POLI THT
465
SAROPI T.H.T.K.L
REG/OP/190201-0197 306596 NOPRIADI BIN RAFLES dr. Depi Jufri, Sp. POLI THT
466
T.H.T.K.L
REG/OP/190201-0031 156611 NURHAYATI BT ROZALI dr. Depi Jufri, Sp. POLI THT
467
T.H.T.K.L
REG/OP/190212-0201 004545 NURAINI BT HATTA dr. Depi Jufri, Sp. POLI THT
468
T.H.T.K.L
REG/OP/190226-0074 216297 RUSDI EFENDI BIN ARAWANI dr. Depi Jufri, Sp. POLI THT
469
T.H.T.K.L
REG/OP/190226-0228 197032 YULIANA BT ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
470
T.H.T.K.L
REG/OP/190226-0296 201459 YUNUS BIN AZHAR dr. Depi Jufri, Sp. POLI THT
471
T.H.T.K.L
REG/OP/190225-0523 089969 MAYA AGUSTINA BT DJOKO dr. Depi Jufri, Sp. POLI THT
472
SUYONO T.H.T.K.L
REG/OP/190226-0235 217135 FEBRIANI dr. Depi Jufri, Sp. POLI THT
473
T.H.T.K.L
REG/OP/190226-0044 204197 KARISMA TABTILAH BT DEAR dr. Depi Jufri, Sp. POLI THT
474
FAUZUL AZIM T.H.T.K.L
REG/OP/190214-0473 140060 FADEL PURNAMA BIN FRANZ SEDA dr. Depi Jufri, Sp. POLI THT
475
FRANZ SEDA T.H.T.K.L
REG/OP/190208-0144 255776 ADITIA PRATAMA BIN RISENTERI dr. Depi Jufri, Sp. POLI THT
476
T.H.T.K.L
REG/OP/190213-0260 204961 I GUSTI NYOMAN WISTARA dr. Depi Jufri, Sp. POLI THT
477
T.H.T.K.L
REG/OP/190213-0153 132793 ABDUL GUFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
478
T.H.T.K.L
REG/OP/190204-0395 252795 RIZKA FATIMA BT A.RIZAL dr. Depi Jufri, Sp. POLI THT
479 T.H.T.K.L

REG/OP/190204-0206 003614 PADILAH BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
480
T.H.T.K.L
REG/OP/190225-0232 270628 AHMAD SUJAI AKBAR dr. Depi Jufri, Sp. POLI THT
481
T.H.T.K.L
REG/OP/190206-0192 271838 YUEFA ULIAH RAFIKA BT EFRAN dr. Depi Jufri, Sp. POLI THT
482
HANSON T.H.T.K.L
REG/OP/190206-0053 273333 NAINAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
483
T.H.T.K.L
REG/OP/190211-0213 270628 AHMAD SUJAI AKBAR dr. Depi Jufri, Sp. POLI THT
484
T.H.T.K.L
REG/OP/190212-0227 311425 NOVI LIANSYAH dr. Depi Jufri, Sp. POLI THT
485
T.H.T.K.L
REG/OP/190207-0348 268404 NADIAH ARSYILA AHMAD dr. Depi Jufri, Sp. POLI THT
486
T.H.T.K.L
REG/OP/190225-0141 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
487
T.H.T.K.L
REG/OP/190225-0124 003614 PADILAH BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
488
T.H.T.K.L
REG/OP/190219-0110 153363 BAMBANG ADI.S. BIN ASRI dr. Depi Jufri, Sp. POLI THT
489
T.H.T.K.L
REG/OP/190213-0071 253514 IDHAM MUCHLIS - dr. Depi Jufri, Sp. POLI THT
490
T.H.T.K.L
REG/OP/190222-0052 253514 IDHAM MUCHLIS - dr. Depi Jufri, Sp. POLI THT
491
T.H.T.K.L
REG/OP/190214-0071 253514 IDHAM MUCHLIS - dr. Depi Jufri, Sp. POLI THT
492
T.H.T.K.L
REG/OP/190213-0065 311484 HAUZAN QADIALVARO ANDIASZ dr. Depi Jufri, Sp. POLI THT
493
T.H.T.K.L
REG/OP/190220-0096 311484 HAUZAN QADIALVARO ANDIASZ dr. Depi Jufri, Sp. POLI THT
494
T.H.T.K.L
REG/OP/190215-0088 253514 IDHAM MUCHLIS - dr. Depi Jufri, Sp. POLI THT
495
T.H.T.K.L
REG/OP/190213-0381 311525 ZAHARO UMIATI dr. Depi Jufri, Sp. POLI THT
496
T.H.T.K.L
REG/OP/190213-0243 311503 KEYZIA FEBRIANI dr. Depi Jufri, Sp. POLI THT
497
T.H.T.K.L
REG/OP/190206-0122 311048 AZRIL HIKMATULLAH BIN IBNU dr. Depi Jufri, Sp. POLI THT
498
SAUD T.H.T.K.L
REG/OP/190213-0389 311527 PARAMITHA DEWI dr. Depi Jufri, Sp. POLI THT
499
T.H.T.K.L
REG/OP/190226-0182 151906 NAWAWI BIN ABDUL RAHMAN dr. Depi Jufri, Sp. POLI THT
500
T.H.T.K.L
REG/OP/190206-0172 311052 SUYANTO BIN WAGIMIN dr. Depi Jufri, Sp. POLI THT
501
T.H.T.K.L
REG/OP/190225-0205 308079 SIROTOL MUSTAKIM dr. Depi Jufri, Sp. POLI THT
502
T.H.T.K.L
REG/OP/190225-0409 308143 LENI MARLINA BT MARZIKAL dr. Depi Jufri, Sp. POLI THT
503
T.H.T.K.L
REG/OP/190219-0056 308101 MUHAMMAD IQBAL BIN ASRIZAL dr. Depi Jufri, Sp. POLI THT
504
CHAN T.H.T.K.L
REG/OP/190213-0061 311057 MUHAMMAD ARFAN ALBIRRU dr. Depi Jufri, Sp. POLI THT
505
T.H.T.K.L
REG/OP/190206-0303 311063 CINDRALELA BT SUKRI dr. Depi Jufri, Sp. POLI THT
506
T.H.T.K.L
REG/OP/190213-0043 273333 NAINAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
507
T.H.T.K.L
REG/OP/190213-0075 130484 ATHAILLAH CAESAR.A BIN INDRA dr. Depi Jufri, Sp. POLI THT
508
M T.H.T.K.L
REG/OP/190218-0094 253514 IDHAM MUCHLIS - dr. Depi Jufri, Sp. POLI THT
509
T.H.T.K.L
REG/OP/190213-0222 271838 YUEFA ULIAH RAFIKA BT EFRAN dr. Depi Jufri, Sp. POLI THT
510
HANSON T.H.T.K.L
REG/OP/190211-0098 310244 ARMAN AS ARY BIN MUSLIKIN dr. Depi Jufri, Sp. POLI THT
511
T.H.T.K.L
REG/OP/190214-0235 082663 LAILI BT SUKUR dr. Depi Jufri, Sp. POLI THT
512
T.H.T.K.L
REG/OP/190219-0063 253514 IDHAM MUCHLIS - dr. Depi Jufri, Sp. POLI THT
513
T.H.T.K.L
REG/OP/190206-0351 310342 SUBAKIR BIN UDI UTOMO dr. Depi Jufri, Sp. POLI THT
514
T.H.T.K.L
REG/OP/190222-0147 242758 NAJMI BT SAHRI dr. Depi Jufri, Sp. POLI THT
515
T.H.T.K.L
REG/OP/190206-0234 242758 NAJMI BT SAHRI dr. Depi Jufri, Sp. POLI THT
516
T.H.T.K.L
REG/OP/190222-0157 292278 ZICKO GUSTIAN PRATAMA BIN dr. Depi Jufri, Sp. POLI THT
517
SUTRISNO T.H.T.K.L
REG/OP/190220-0327 241249 EPENDI BIN ZAENAL dr. Depi Jufri, Sp. POLI THT
518
T.H.T.K.L
REG/OP/190211-0329 083260 SUMADI BIN SUTRIMO dr. Depi Jufri, Sp. POLI THT
519
T.H.T.K.L
REG/OP/190225-0311 248529 EVI SUSILOWATI BT YOMNA dr. Depi Jufri, Sp. POLI THT
520
T.H.T.K.L
REG/OP/190226-0256 312346 BINESWARES BIN SYAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
521
T.H.T.K.L
REG/OP/190225-0504 312283 MUSTADI BIN SAK ARI dr. Depi Jufri, Sp. POLI THT
522
T.H.T.K.L
REG/OP/190225-0450 312264 LISANTI INTEN JUWITA dr. Depi Jufri, Sp. POLI THT
523
T.H.T.K.L
REG/OP/190131-0402 250984 NASRUL BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
524
T.H.T.K.L
REG/OP/190204-0042 293898 MUHAMAD ARGA HAZILAL BIN dr. Depi Jufri, Sp. POLI THT
525
ZUMROWI T.H.T.K.L
REG/OP/190214-0069 293898 MUHAMAD ARGA HAZILAL BIN dr. Depi Jufri, Sp. POLI THT
526
ZUMROWI T.H.T.K.L
REG/OP/190207-0444 296540 HARUN BIN TB SIDIK dr. Depi Jufri, Sp. POLI THT
527
T.H.T.K.L
REG/OP/190222-0301 242545 M DAVIN RAMADHAN DODI dr. Depi Jufri, Sp. POLI THT
528
IRAWAN / AYAH T.H.T.K.L
REG/OP/190206-0346 247273 LUMBA TAMPUBOLON dr. Depi Jufri, Sp. POLI THT
529
T.H.T.K.L
REG/OP/190206-0252 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
530
HAR T.H.T.K.L
REG/OP/190219-0384 311909 DITA OKTA LIANA dr. Depi Jufri, Sp. POLI THT
531
T.H.T.K.L
REG/OP/190219-0409 311913 SYAFRULLANI BIN NAZORI dr. Depi Jufri, Sp. POLI THT
532
T.H.T.K.L
REG/OP/190206-0156 310156 ROITI BT BUDIN dr. Depi Jufri, Sp. POLI THT
533
T.H.T.K.L
REG/OP/190208-0061 242758 NAJMI BT SAHRI dr. Depi Jufri, Sp. POLI THT
534
T.H.T.K.L
REG/OP/190219-0086 296484 ZOHER BIN NUSTOMI dr. Depi Jufri, Sp. POLI THT
535
T.H.T.K.L
REG/OP/190225-0259 132793 ABDUL GUFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
536
T.H.T.K.L
REG/OP/190218-0120 310251 RUSMINI BT RUSDI dr. Depi Jufri, Sp. POLI THT
537
T.H.T.K.L
REG/OP/190225-0158 081686 RINDU HANDAYANI BT ISMET dr. Depi Jufri, Sp. POLI THT
538
ARHAN T.H.T.K.L
REG/OP/190225-0108 311284 ARLANGGA BIN LATIF dr. Depi Jufri, Sp. POLI THT
539
T.H.T.K.L
REG/OP/190206-0136 112225 WIWIEN SULISTIOWATY UTAMI dr. Depi Jufri, Sp. POLI THT
540
T.H.T.K.L
REG/OP/190211-0271 311331 MUHAMMAD SATRIA dr. Depi Jufri, Sp. POLI THT
541
T.H.T.K.L
REG/OP/190218-0153 311346 KUSNO WIDARTO BIN REJO dr. Depi Jufri, Sp. POLI THT
542
T.H.T.K.L
REG/OP/190211-0278 311332 RIZAL BIN HUSRIN dr. Depi Jufri, Sp. POLI THT
543
T.H.T.K.L
REG/OP/190225-0216 185972 SARI BANUN dr. Depi Jufri, Sp. POLI THT
544
T.H.T.K.L
REG/OP/190211-0475 311366 AFIF GHEBRIL dr. Depi Jufri, Sp. POLI THT
545
T.H.T.K.L
REG/OP/190201-0231 185810 MUHAMMAD SIGIT APRIYANSAH dr. Depi Jufri, Sp. POLI THT
546
T.H.T.K.L
REG/OP/190131-0164 185196 M SUWARDI SEPTIANSYAH M dr. Depi Jufri, Sp. POLI THT
547
SOLEH T.H.T.K.L
REG/OP/190204-0122 185196 M SUWARDI SEPTIANSYAH M dr. Depi Jufri, Sp. POLI THT
548
SOLEH T.H.T.K.L
REG/OP/190211-0058 291969 DELA HERISTI TIA dr. Depi Jufri, Sp. POLI THT
549
T.H.T.K.L
REG/OP/190211-0025 308101 MUHAMMAD IQBAL BIN ASRIZAL dr. Depi Jufri, Sp. POLI THT
550
CHAN T.H.T.K.L
REG/OP/190211-0072 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
551
YBS T.H.T.K.L
REG/OP/190211-0062 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
552
T.H.T.K.L
REG/OP/190211-0369 311346 KUSNO WIDARTO BIN REJO dr. Depi Jufri, Sp. POLI THT
553
T.H.T.K.L
REG/OP/190221-0077 072049 ROPITA BT ANWAR JOKO dr. Depi Jufri, Sp. POLI THT
554
KUNCORO T.H.T.K.L
REG/OP/190211-0324 310484 AGUNG WIJAYA BIN WAIDI dr. Depi Jufri, Sp. POLI THT
555
T.H.T.K.L
REG/OP/190211-0252 124091 CEK EHA BT JAUHARI dr. Depi Jufri, Sp. POLI THT
556
T.H.T.K.L
REG/OP/190211-0056 003614 PADILAH BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
557
T.H.T.K.L
REG/OP/190211-0257 311328 SUTAJI BIN NGADIMAN dr. Depi Jufri, Sp. POLI THT
558
T.H.T.K.L
REG/OP/190213-0304 311412 ISNENI BT KASTIMAN dr. Depi Jufri, Sp. POLI THT
559
T.H.T.K.L
REG/OP/190212-0237 297044 AYU ARISMA BT ANISAM dr. Depi Jufri, Sp. POLI THT
560
T.H.T.K.L
REG/OP/190212-0221 001484 SRI MULYATI BT UJANG dr. Depi Jufri, Sp. POLI THT
561
T.H.T.K.L
REG/OP/190211-0171 165644 SUPRIADI BIN SOPUAN dr. Depi Jufri, Sp. POLI THT
562
T.H.T.K.L
REG/OP/190207-0502 129831 JON KANEDY dr. Depi Jufri, Sp. POLI THT
563
T.H.T.K.L
REG/OP/190221-0178 037115 FRANZ SEDA BIN A.KAILANI dr. Depi Jufri, Sp. POLI THT
564
T.H.T.K.L
REG/OP/190211-0426 255776 ADITIA PRATAMA BIN RISENTERI dr. Depi Jufri, Sp. POLI THT
565
T.H.T.K.L
REG/OP/190220-0212 218215 GALIH WIBOWO M.TAUFIK dr. Depi Jufri, Sp. POLI THT
566 T.H.T.K.L

REG/OP/190220-0271 192845 INTAN PURNAMA SARI BT RUDI dr. Depi Jufri, Sp. POLI THT
567
HARTONO T.H.T.K.L
REG/OP/190220-0127 310156 ROITI BT BUDIN dr. Depi Jufri, Sp. POLI THT
568
T.H.T.K.L
REG/OP/190225-0060 236709 ALDI YOANSYAH PUTRA dr. Depi Jufri, Sp. POLI THT
569
T.H.T.K.L
REG/OP/190221-0044 293898 MUHAMAD ARGA HAZILAL BIN dr. Depi Jufri, Sp. POLI THT
570
ZUMROWI T.H.T.K.L
REG/OP/190221-0069 098700 AGUNG SYAHPUTRA BIN MULKATI dr. Depi Jufri, Sp. POLI THT
571
T.H.T.K.L
REG/OP/190221-0398 204197 KARISMA TABTILAH BT DEAR dr. Depi Jufri, Sp. POLI THT
572
FAUZUL AZIM T.H.T.K.L
REG/OP/190221-0430 312051 ADWA FILZA FARZANA BT DAMTO dr. Depi Jufri, Sp. POLI THT
573
T.H.T.K.L
REG/OP/190221-0284 092665 IHSAN NURDI BIN TOLIB dr. Depi Jufri, Sp. POLI THT
574
T.H.T.K.L
REG/OP/190218-0154 168193 UTIN BT ALKOSIM dr. Depi Jufri, Sp. POLI THT
575
T.H.T.K.L
REG/OP/190219-0413 168193 UTIN BT ALKOSIM dr. Depi Jufri, Sp. POLI THT
576
T.H.T.K.L
REG/OP/190213-0374 168193 UTIN BT ALKOSIM dr. Depi Jufri, Sp. POLI THT
577
T.H.T.K.L
REG/OP/190215-0332 168193 UTIN BT ALKOSIM dr. Depi Jufri, Sp. POLI THT
578
T.H.T.K.L
REG/OP/190211-0344 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. POLI THT
579
T.H.T.K.L
REG/OP/190225-0424 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. POLI THT
580
T.H.T.K.L
REG/OP/190214-0446 168193 UTIN BT ALKOSIM dr. Depi Jufri, Sp. POLI THT
581
T.H.T.K.L
REG/OP/190218-0514 311792 NABILA IZZATUL JANNAH BT dr. Depi Jufri, Sp. POLI THT
582
MUHAMMAD SIDIK T.H.T.K.L
REG/OP/190218-0391 311814 DAFHA NOFEBRIANS dr. Depi Jufri, Sp. POLI THT
583
T.H.T.K.L
REG/OP/190225-0198 168791 ALIA HASANA PUTRI BT ENDANG dr. Depi Jufri, Sp. POLI THT
584
T.H.T.K.L
REG/OP/190221-0324 311792 NABILA IZZATUL JANNAH BT dr. Depi Jufri, Sp. POLI THT
585
MUHAMMAD SIDIK T.H.T.K.L
REG/OP/190221-0149 119247 KARLENDI BIN MARWA LINDA SARI dr. Depi Jufri, Sp. POLI THT
586
T.H.T.K.L
REG/OP/190214-0230 118126 SALSABILAH TULHUSNAH dr. Depi Jufri, Sp. POLI THT
587
T.H.T.K.L
REG/OP/190220-0019 273333 NAINAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
588
T.H.T.K.L
REG/OP/190226-0111 311867 DWI RAHMI BT ASKOLANI dr. Depi Jufri, Sp. POLI THT
589
T.H.T.K.L
REG/OP/190219-0113 311867 DWI RAHMI BT ASKOLANI dr. Depi Jufri, Sp. POLI THT
590
T.H.T.K.L
REG/OP/190214-0094 235680 PUJIONO BIN SLAMET dr. Depi Jufri, Sp. POLI THT
591
T.H.T.K.L
REG/OP/190225-0109 235680 PUJIONO BIN SLAMET dr. Depi Jufri, Sp. POLI THT
592
T.H.T.K.L
REG/OP/190208-0208 233749 PURDANI BIN MAJID dr. Depi Jufri, Sp. POLI THT
593
T.H.T.K.L
REG/OP/190218-0150 236709 ALDI YOANSYAH PUTRA dr. Depi Jufri, Sp. POLI THT
594
T.H.T.K.L
REG/OP/190214-0149 235227 DAVID PRAYOGO BIN CHAIRUL dr. Depi Jufri, Sp. POLI THT
595
SALEH T.H.T.K.L
REG/OP/190221-0355 233749 PURDANI BIN MAJID dr. Depi Jufri, Sp. POLI THT
596
T.H.T.K.L
REG/OP/190220-0114 097840 MIMI APRIANI BT IRAWAN dr. Depi Jufri, Sp. POLI THT
597
T.H.T.K.L
REG/OP/190204-0180 120879 VEBBY MELIANTY NABILA dr. Depi Jufri, Sp. POLI THT
598
T.H.T.K.L
REG/OP/190221-0243 151266 NURBAITI BT DAUD dr. Depi Jufri, Sp. POLI THT
599
T.H.T.K.L
REG/OP/190221-0223 006912 M.YUSRO BIN ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
600
T.H.T.K.L
REG/OP/190221-0227 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
601
T.H.T.K.L
REG/OP/190131-0233 115804 M.ARIS AKBAR BIN KAMALUDIN dr. Depi Jufri, Sp. POLI THT
602
T.H.T.K.L
REG/IP/190205-0040 130484 ATHAILLAH CAESAR.A BIN INDRA dr. Depi Jufri, Sp. MERANTI
M T.H.T.K.L
603

REG/IP/190129-0030 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. MERANTI
604
T.H.T.K.L
REG/IP/190204-0001 310915 WAHYU CANDRA BIN ANDRI dr. Depi Jufri, Sp. MEDANG
605
T.H.T.K.L
REG/IP/190212-0042 310638 SUKARSIH BT SUYATMO dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
606

REG/IP/190130-0029 310251 RUSMINI BT RUSDI dr. Depi Jufri, Sp. MEDANG


607
T.H.T.K.L
REG/IP/190129-0034 310244 ARMAN AS ARY BIN MUSLIKIN dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
608

REG/IP/190225-0023 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
609

REG/IP/190130-0061 310749 IRAWAN BN IDHAM dr. Depi Jufri, Sp. MEDANG


T.H.T.K.L
610

REG/IP/190215-0024 311643 SARTONO BIN NATA DI KARSA dr. Depi Jufri, Sp. MEDANG
611
T.H.T.K.L
REG/IP/190205-0032 293898 MUHAMAD ARGA HAZILAL BIN dr. Depi Jufri, Sp. MEDANG
ZUMROWI T.H.T.K.L
612

REG/IP/190211-0023 297874 UDIN SYAMSUDIN BN MINTA dr. Depi Jufri, Sp. TEMBESU
613 T.H.T.K.L

REG/IP/190128-0016 003614 PADILAH BT ABDULLAH dr. Depi Jufri, Sp. TEMBESU


614 T.H.T.K.L

REG/IP/190212-0001 153993 MUSTOPA ANWARI BIN USMAN dr. Depi Jufri, Sp. TEMBESU
615 USMAN T.H.T.K.L

REG/IP/190129-0014 310484 AGUNG WIJAYA BIN WAIDI dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
616

REG/OP/190315-0407 103447 HERNI YULIA CITRA HUZAIRIN dr. Depi Jufri, Sp. POLI THT
617 T.H.T.K.L

REG/OP/190304-0288 228305 RUWAIYA BT R YANIN dr. Depi Jufri, Sp. POLI THT
618 T.H.T.K.L
REG/OP/190304-0505 230681 MUHAMMAD ZULFA BIN EDISON dr. Depi Jufri, Sp. POLI THT
619 T.H.T.K.L

REG/OP/190227-0355 230681 MUHAMMAD ZULFA BIN EDISON dr. Depi Jufri, Sp. POLI THT
620 T.H.T.K.L

REG/OP/190318-0348 230560 NURHAYATI BT NANG UNING dr. Depi Jufri, Sp. POLI THT
621 T.H.T.K.L

REG/OP/190313-0093 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
622 T.H.T.K.L

REG/OP/190304-0313 230340 DESI TRI ARISKI BT SUBEKI dr. Depi Jufri, Sp. POLI THT
623 SUBEKI / BAPAK T.H.T.K.L

REG/OP/190312-0200 230340 DESI TRI ARISKI BT SUBEKI dr. Depi Jufri, Sp. POLI THT
624 SUBEKI / BAPAK T.H.T.K.L

REG/OP/190325-0203 229375 BINES WARES BIN SYAIFUL ANWAR dr. Depi Jufri, Sp. POLI THT
625 ROZANA T.H.T.K.L

REG/OP/190320-0095 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
626 T.H.T.K.L

REG/OP/190304-0103 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
627 T.H.T.K.L

REG/OP/190319-0438 228462 KHOLIFAH BT SURAT SURAT dr. Depi Jufri, Sp. POLI THT
628 T.H.T.K.L

REG/OP/190311-0611 103447 HERNI YULIA CITRA HUZAIRIN dr. Depi Jufri, Sp. POLI THT
629 T.H.T.K.L

REG/OP/190318-0207 311266 SURYA DHARMA BIN ALI MULTIPAN dr. Depi Jufri, Sp. POLI THT
630 T.H.T.K.L

REG/OP/190308-0188 027342 JAIDAH BT JAMAL dr. Ahmad Hifni, Sp. POLI THT
631 THT.KL

REG/OP/190306-0514 312991 WIYOLA RENATA BT SUYATMAN dr. Depi Jufri, Sp. POLI THT
632 T.H.T.K.L

REG/OP/190312-0183 312991 WIYOLA RENATA BT SUYATMAN dr. Depi Jufri, Sp. POLI THT
633 T.H.T.K.L

REG/OP/190306-0456 312974 TRIA AMELIA BT KARSAWIRA dr. Depi Jufri, Sp. POLI THT
634 T.H.T.K.L

REG/OP/190320-0474 312244 ADEN FATHUL PITONA BIN dr. Depi Jufri, Sp. POLI THT
635 CANDRA KURNIA T.H.T.K.L

REG/OP/190327-0394 313303 ALIMIN BIN GONI dr. Depi Jufri, Sp. POLI THT
636 T.H.T.K.L

REG/OP/190327-0151 139301 SRI UTAMI BT SURAJI dr. Depi Jufri, Sp. POLI THT
637 T.H.T.K.L

REG/OP/190306-0174 312933 NITA MARTITA BT HASBI KADIR dr. Depi Jufri, Sp. POLI THT
638 T.H.T.K.L
REG/OP/190315-0138 312933 NITA MARTITA BT HASBI KADIR dr. Ahmad Hifni, Sp. POLI THT
639 THT.KL

REG/OP/190319-0086 100399 M DEMIAN MAHARAJA PUTRA dr. Depi Jufri, Sp. POLI THT
640 T.H.T.K.L

REG/OP/190308-0070 100399 M DEMIAN MAHARAJA PUTRA dr. Ahmad Hifni, Sp. POLI THT
641 THT.KL

REG/OP/190304-0359 265836 DEDEK NOVIANTI dr. Depi Jufri, Sp. POLI THT
642 T.H.T.K.L

REG/OP/190311-0172 100399 M DEMIAN MAHARAJA PUTRA dr. Depi Jufri, Sp. POLI THT
643 T.H.T.K.L

REG/OP/190325-0510 265753 DZALFA SYAKIRAH BT, DEDI dr. Depi Jufri, Sp. POLI THT
644 T.H.T.K.L

REG/OP/190313-0159 121948 SILVIA BT SAHLAN SAHLAN / AYAH dr. Depi Jufri, Sp. POLI THT
645 T.H.T.K.L

REG/OP/190319-0206 265608 RUSDI BIN HUSIN dr. Depi Jufri, Sp. POLI THT
646 T.H.T.K.L

REG/OP/190313-0135 265608 RUSDI BIN HUSIN dr. Depi Jufri, Sp. POLI THT
647 T.H.T.K.L

REG/OP/190327-0160 314340 SOLICA BT HUSIN dr. Depi Jufri, Sp. POLI THT
648 T.H.T.K.L

REG/OP/190327-0180 315331 HULAILAH BT KEMIS dr. Depi Jufri, Sp. POLI THT
649 T.H.T.K.L

REG/OP/190322-0304 121399 M. BAGAS ALFATHAN BN LASIDI dr. Depi Jufri, Sp. POLI THT
650 LASIDI T.H.T.K.L

REG/OP/190327-0217 315339 RIA UTAMI dr. Depi Jufri, Sp. POLI THT
651 T.H.T.K.L

REG/OP/190228-0346 120809 DEDI CHANDRA BIN M. RISUAN M. dr. Depi Jufri, Sp. POLI THT
652 RIDWAN T.H.T.K.L

REG/OP/190312-0272 120879 VEBBY MELIANTY NABILA dr. Depi Jufri, Sp. POLI THT
653 T.H.T.K.L

REG/OP/190308-0124 120809 DEDI CHANDRA BIN M. RISUAN M. dr. Ahmad Hifni, Sp. POLI THT
654 RIDWAN THT.KL

REG/OP/190327-0072 001154 MUADAMILAH BT A.RAPIK dr. Depi Jufri, Sp. POLI THT
655 T.H.T.K.L

REG/OP/190327-0201 141016 FERI IRAWAN BIN SYARIFUDIN dr. Depi Jufri, Sp. POLI THT
656 T.H.T.K.L

REG/OP/190327-0383 225276 LASIDAR BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
657 T.H.T.K.L

REG/OP/190327-0127 174581 AYU SULISTINA BT REDIUS dr. Depi Jufri, Sp. POLI THT
658 T.H.T.K.L
REG/OP/190228-0171 119770 CHELSEA BT NASRUL dr. Depi Jufri, Sp. POLI THT
659 T.H.T.K.L

REG/OP/190327-0487 129074 RIKA SYIRLIANTI BT ALPIAN dr. Depi Jufri, Sp. POLI THT
660 T.H.T.K.L

REG/OP/190311-0289 118126 SALSABILAH TULHUSNAH dr. Depi Jufri, Sp. POLI THT
661 T.H.T.K.L

REG/OP/190320-0249 117924 DEWI ASTUTI BT TAMRIN dr. Depi Jufri, Sp. POLI THT
662 T.H.T.K.L

REG/OP/190327-0384 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. POLI THT
663 T.H.T.K.L

REG/OP/190327-0229 302901 ALIFAH FEBRIANA BT RIJEK dr. Depi Jufri, Sp. POLI THT
664 NIKSEN T.H.T.K.L

REG/OP/190319-0527 118959 FARIDA YAZID BT ABU YAZID dr. Depi Jufri, Sp. POLI THT
665 T.H.T.K.L

REG/OP/190327-0405 095135 HENDRI GUNAWAN BIN HUSIN dr. Depi Jufri, Sp. POLI THT
666 T.H.T.K.L

REG/OP/190326-0271 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
667 T.H.T.K.L

REG/OP/190318-0063 251039 DEDEK BIN MAHIYEN dr. Depi Jufri, Sp. POLI THT
668 T.H.T.K.L

REG/OP/190313-0537 312244 ADEN FATHUL PITONA BIN dr. Depi Jufri, Sp. POLI THT
669 CANDRA KURNIA T.H.T.K.L

REG/OP/190306-0297 151266 NURBAITI BT DAUD dr. Depi Jufri, Sp. POLI THT
670 T.H.T.K.L

REG/OP/190305-0221 312264 LISANTI INTEN JUWITA dr. Depi Jufri, Sp. POLI THT
671 T.H.T.K.L

REG/OP/190318-0654 314247 IQBAL LATASA BIN APRIADI dr. Depi Jufri, Sp. POLI THT
672 T.H.T.K.L

REG/OP/190319-0128 314247 IQBAL LATASA BIN APRIADI dr. Depi Jufri, Sp. POLI THT
673 T.H.T.K.L

REG/OP/190226-0241 312264 LISANTI INTEN JUWITA dr. Depi Jufri, Sp. POLI THT
674 T.H.T.K.L

REG/OP/190304-0376 312276 M E JANI PURWANI BIN RUSLAINI dr. Depi Jufri, Sp. POLI THT
675 T.H.T.K.L

REG/OP/190301-0218 312276 M E JANI PURWANI BIN RUSLAINI dr. Depi Jufri, Sp. POLI THT
676 T.H.T.K.L

REG/OP/190314-0217 151266 NURBAITI BT DAUD dr. Depi Jufri, Sp. POLI THT
677 T.H.T.K.L

REG/OP/190315-0215 148651 AULIYA BIN CEK AKIM dr. Depi Jufri, Sp. POLI THT
678 T.H.T.K.L
REG/OP/190314-0135 238626 ILYASA MAULANA BIN ERNO dr. Depi Jufri, Sp. POLI THT
679 HERYANTO T.H.T.K.L

REG/OP/190314-0095 299499 PONO SAMIDO BIN SUPARDI dr. Depi Jufri, Sp. POLI THT
680 T.H.T.K.L

REG/OP/190306-0467 064637 RAFA FAREL AL MUFLIH BIN dr. Depi Jufri, Sp. POLI THT
681 ROHIMI ROHIMI T.H.T.K.L

REG/OP/190123-0341 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
682 T.H.T.K.L

REG/OP/190318-0388 314147 JULIADI BIN SYAMSUDIN dr. Depi Jufri, Sp. POLI THT
683 T.H.T.K.L

REG/OP/190306-0323 060903 PADIA HAWALIMA BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
684 MUHT SUGITO / SUAMI T.H.T.K.L

REG/OP/190308-0266 306436 HARMA BT HUSIN dr. Ahmad Hifni, Sp. POLI THT
685 THT.KL

REG/OP/190301-0289 306436 HARMA BT HUSIN dr. Depi Jufri, Sp. POLI THT
686 T.H.T.K.L

REG/OP/190227-0195 060903 PADIA HAWALIMA BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
687 MUHT SUGITO / SUAMI T.H.T.K.L

REG/OP/190227-0226 305315 EDWIN ARDIANSYAH BIN USMAN dr. Depi Jufri, Sp. POLI THT
688 EFENDI T.H.T.K.L

REG/OP/190322-0196 306900 DARMANTO BIN DJURI dr. Ahmad Hifni, Sp. POLI THT
689 HARJOLUKITO THT.KL

REG/OP/190318-0580 305319 MUHAMAD BIN MAT ASIR dr. Depi Jufri, Sp. POLI THT
690 T.H.T.K.L

REG/OP/190306-0295 060690 SARIANAH SUTRISNO dr. Depi Jufri, Sp. POLI THT
691 T.H.T.K.L

REG/OP/190304-0348 049426 SINAR HERAWATI BT NALIN dr. Depi Jufri, Sp. POLI THT
692 T.H.T.K.L

REG/OP/190304-0414 262912 SALMAN ALFARIZI BIN AMIRSON dr. Depi Jufri, Sp. POLI THT
693 T.H.T.K.L

REG/OP/190312-0547 058552 MEIANA ASTUTI BT ABDUL KARIM dr. Depi Jufri, Sp. POLI THT
694 T.H.T.K.L

REG/OP/190308-0166 058281 ARIS SUGIONO BIN SUGIMIN dr. Ahmad Hifni, Sp. POLI THT
695 SUGIMIN THT.KL

REG/OP/190314-0124 005032 SUMIYATI BT MAT WAHID dr. Depi Jufri, Sp. POLI THT
696 T.H.T.K.L

REG/OP/190305-0466 312051 ADWA FILZA FARZANA BT DAMTO dr. Depi Jufri, Sp. POLI THT
697 T.H.T.K.L

REG/OP/190315-0059 156866 M.RAKA ALBAQI BIN MEDIANSYAH dr. Depi Jufri, Sp. POLI THT
698 T.H.T.K.L
REG/OP/190325-0059 264996 SANTI SARTIKA dr. Depi Jufri, Sp. POLI THT
699 T.H.T.K.L

REG/OP/190315-0091 131007 NALMAIDAH BT MARZUKI AZHARI dr. Depi Jufri, Sp. POLI THT
700 SITI MASMINAH T.H.T.K.L

REG/OP/190304-0244 277643 MISNAWATI BNT NASUTION dr. Depi Jufri, Sp. POLI THT
701 T.H.T.K.L

REG/OP/190312-0307 312321 NOPITASARI BT NURDIN dr. Depi Jufri, Sp. POLI THT
702 T.H.T.K.L

REG/OP/190305-0190 312830 SONI BN MUSLAH SONI dr. Depi Jufri, Sp. POLI THT
703 T.H.T.K.L

REG/OP/190311-0272 263786 ROSYIDAH BT JAFAR dr. Depi Jufri, Sp. POLI THT
704 T.H.T.K.L

REG/OP/190227-0403 294958 SITI NURWANA BT HASAN dr. Depi Jufri, Sp. POLI THT
705 T.H.T.K.L

REG/OP/190320-0493 294958 SITI NURWANA BT HASAN dr. Depi Jufri, Sp. POLI THT
706 T.H.T.K.L

REG/OP/190305-0136 251039 DEDEK BIN MAHIYEN dr. Depi Jufri, Sp. POLI THT
707 T.H.T.K.L

REG/OP/190305-0300 225718 WAHYU ALBA PRACAHYA dr. Depi Jufri, Sp. POLI THT
708 PAHRUDIN T.H.T.K.L

REG/OP/190305-0326 094692 SYAFRI ZAKIRIN BIN MUNSIR dr. Depi Jufri, Sp. POLI THT
709 T.H.T.K.L

REG/OP/190327-0248 290888 DEVI APRILIANTI BT SUDARMAN dr. Depi Jufri, Sp. POLI THT
710 T.H.T.K.L

REG/OP/190305-0287 312854 AHMAD SYAUQI BIN AZHAR dr. Depi Jufri, Sp. POLI THT
711 BAHTIAR T.H.T.K.L

REG/OP/190319-0042 291969 DELA HERISTI TIA dr. Depi Jufri, Sp. POLI THT
712 T.H.T.K.L

REG/OP/190305-0259 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. POLI THT
713 T.H.T.K.L

REG/OP/190319-0179 291680 NUR INTAN RAHMADIYAH dr. Depi Jufri, Sp. POLI THT
714 T.H.T.K.L

REG/OP/190306-0052 144830 DUWIVA KHUMAIROH BIN dr. Depi Jufri, Sp. POLI THT
715 MUSTIKA T.H.T.K.L

REG/OP/190304-0290 312719 TAESYA JUWITA SARI dr. Depi Jufri, Sp. POLI THT
716 T.H.T.K.L

REG/OP/190305-0424 144436 ISMIKRAJ BIN NAHNU dr. Depi Jufri, Sp. POLI THT
717 T.H.T.K.L

REG/OP/190325-0027 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
718 T.H.T.K.L
REG/OP/190326-0072 208338 WINDA PISKALITA dr. Depi Jufri, Sp. POLI THT
719 T.H.T.K.L

REG/OP/190306-0481 164904 DRS.LUKMAN BIN SAHIL SAHIL dr. Depi Jufri, Sp. POLI THT
720 T.H.T.K.L

REG/OP/190306-0321 293865 WARIYO BIN MERTO dr. Depi Jufri, Sp. POLI THT
721 T.H.T.K.L

REG/OP/190306-0135 049426 SINAR HERAWATI BT NALIN dr. Depi Jufri, Sp. POLI THT
722 T.H.T.K.L

REG/OP/190319-0164 292842 WIJIATI BT SUYATNI dr. Depi Jufri, Sp. POLI THT
723 T.H.T.K.L

REG/OP/190305-0243 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
724 T.H.T.K.L

REG/OP/190318-0055 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. POLI THT
725 T.H.T.K.L

REG/OP/190325-0115 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. POLI THT
726 T.H.T.K.L

REG/OP/190326-0218 142692 KHODIJAH BT H.RAHMAD dr. Depi Jufri, Sp. POLI THT
727 T.H.T.K.L

REG/OP/190314-0108 210626 SUDIRMAN dr. Depi Jufri, Sp. POLI THT


728 T.H.T.K.L

REG/OP/190308-0223 257957 NURHAYATI BT ADE dr. Ahmad Hifni, Sp. POLI THT
729 THT.KL

REG/OP/190318-0642 141863 RAHMAT RADITYA GUNAWAN BIN dr. Depi Jufri, Sp. POLI THT
730 ANDI GUNAWAN T.H.T.K.L

REG/OP/190321-0041 206383 NIZMA YUNITA BT YUSUF AMIN dr. Depi Jufri, Sp. POLI THT
731 T.H.T.K.L

REG/OP/190315-0241 257297 ANISYA MEGA PRATIWI BT SETIA dr. Depi Jufri, Sp. POLI THT
732 TIMUR T.H.T.K.L

REG/OP/190325-0092 314958 HARTANTO BIN KHOLILAH dr. Depi Jufri, Sp. POLI THT
733 T.H.T.K.L

REG/OP/190304-0286 118126 SALSABILAH TULHUSNAH dr. Depi Jufri, Sp. POLI THT
734 T.H.T.K.L

REG/OP/190315-0076 313901 DARMINTO BIN BADRI dr. Ahmad Hifni, Sp. POLI THT
735 THT.KL

REG/OP/190319-0172 299499 PONO SAMIDO BIN SUPARDI dr. Depi Jufri, Sp. POLI THT
736 T.H.T.K.L

REG/OP/190304-0125 072049 ROPITA BT ANWAR JOKO dr. Depi Jufri, Sp. POLI THT
737 KUNCORO T.H.T.K.L

REG/OP/190319-0291 314355 ABEL NADHIFAH ARSYA dr. Depi Jufri, Sp. POLI THT
738 T.H.T.K.L
REG/OP/190319-0421 314403 RUDYANSYAH BN THAMRIN dr. Depi Jufri, Sp. POLI THT
739 T.H.T.K.L

REG/OP/190320-0283 314548 FANESA FRATISTA BT ORGANISASI dr. Depi Jufri, Sp. POLI THT
740 T.H.T.K.L

REG/OP/190320-0431 162533 SUSILAH BT SYARIPUDIN dr. Depi Jufri, Sp. POLI THT
741 T.H.T.K.L

REG/OP/190319-0250 314340 SOLICA BT HUSIN dr. Depi Jufri, Sp. POLI THT
742 T.H.T.K.L

REG/OP/190314-0250 153993 MUSTOPA ANWARI BIN USMAN dr. Depi Jufri, Sp. POLI THT
743 USMAN T.H.T.K.L

REG/OP/190228-0364 155340 SELVI ULANDARI dr. Depi Jufri, Sp. POLI THT
744 T.H.T.K.L

REG/OP/190325-0232 312235 FATHUL QUSSAY BIN AHMAD SIDIK dr. Depi Jufri, Sp. POLI THT
745 T.H.T.K.L

REG/OP/190322-0330 314825 HENDRIADI BIN M.HANAS dr. Depi Jufri, Sp. POLI THT
746 T.H.T.K.L

REG/OP/190322-0299 314818 MUHAMAD NURYANI dr. Depi Jufri, Sp. POLI THT
747 T.H.T.K.L

REG/OP/190315-0166 313914 M AFFAN RASYID BN ADI RIANTO dr. Depi Jufri, Sp. POLI THT
748 T.H.T.K.L

REG/OP/190301-0284 312596 TARMIZI BIN ROZALI dr. Depi Jufri, Sp. POLI THT
749 T.H.T.K.L

REG/OP/190325-0651 020945 NOPI KAMILA SANTI dr. Depi Jufri, Sp. POLI THT
750 T.H.T.K.L

REG/OP/190315-0186 224778 AUDYA AZSYFA BT ALAMSYAH dr. Depi Jufri, Sp. POLI THT
751 T.H.T.K.L

REG/OP/190325-0628 313956 KAUMA SAFIYA SALSABILA BINTI dr. Depi Jufri, Sp. POLI THT
752 BENI HERIYANTO T.H.T.K.L

REG/OP/190319-0116 222427 M. FAIDHAN AZHARI M. HASAN dr. Depi Jufri, Sp. POLI THT
753 AZHARI T.H.T.K.L

REG/OP/190325-0278 222161 SARNUBI BIN ZAKARIA dr. Depi Jufri, Sp. POLI THT
754 T.H.T.K.L

REG/OP/190318-0238 160451 NIKO NOPRIANSYAH KUSRI dr. Depi Jufri, Sp. POLI THT
755 T.H.T.K.L

REG/OP/190318-0029 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
756 T.H.T.K.L

REG/OP/190315-0358 313956 KAUMA SAFIYA SALSABILA BINTI dr. Depi Jufri, Sp. POLI THT
757 BENI HERIYANTO T.H.T.K.L

REG/OP/190304-0166 312502 ALKOMI BIN SUHUD dr. Depi Jufri, Sp. POLI THT
758 T.H.T.K.L
REG/OP/190318-0428 117638 RAWINA BT WANTIR WANTIR dr. Depi Jufri, Sp. POLI THT
759 T.H.T.K.L

REG/OP/190305-0120 197362 ETA HERIA JULITA dr. Depi Jufri, Sp. POLI THT
760 T.H.T.K.L

REG/OP/190306-0147 217115 SITI HAWI BT KAMALUDIN dr. Depi Jufri, Sp. POLI THT
761 T.H.T.K.L

REG/OP/190314-0083 216622 RAHMA DINI PRATIWI dr. Depi Jufri, Sp. POLI THT
762 T.H.T.K.L

REG/OP/190318-0112 216297 RUSDI EFENDI BIN ARAWANI dr. Depi Jufri, Sp. POLI THT
763 T.H.T.K.L

REG/OP/190319-0230 197362 ETA HERIA JULITA dr. Depi Jufri, Sp. POLI THT
764 T.H.T.K.L

REG/OP/190304-0251 312714 ERWIN BIN SALAM dr. Depi Jufri, Sp. POLI THT
765 T.H.T.K.L

REG/OP/190304-0448 256736 M. YANI DUNGCIK BIN DUNGCIK dr. Depi Jufri, Sp. POLI THT
766 T.H.T.K.L

REG/OP/190304-0188 201459 YUNUS BIN AZHAR dr. Depi Jufri, Sp. POLI THT
767 T.H.T.K.L

REG/OP/190327-0117 223899 PUTRI MIFTAHUL JANNAH dr. Depi Jufri, Sp. POLI THT
768 T.H.T.K.L

REG/OP/190327-0462 165365 RIKA SULANJARI BT ABU BAKAR dr. Depi Jufri, Sp. POLI THT
769 T.H.T.K.L

REG/OP/190327-0455 301420 AHMAD JULIANSYAH BIN MAYANG dr. Depi Jufri, Sp. POLI THT
770 KUSUMA T.H.T.K.L

REG/OP/190318-0213 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
771 T.H.T.K.L

REG/OP/190319-0158 049426 SINAR HERAWATI BT NALIN dr. Depi Jufri, Sp. POLI THT
772 T.H.T.K.L

REG/OP/190304-0447 312757 BERLY ALDA BIN BENI dr. Depi Jufri, Sp. POLI THT
773 OKTARIANSYAH T.H.T.K.L

REG/OP/190301-0237 277643 MISNAWATI BNT NASUTION dr. Depi Jufri, Sp. POLI THT
774 T.H.T.K.L

REG/OP/190312-0433 270628 AHMAD SUJAI AKBAR dr. Depi Jufri, Sp. POLI THT
775 T.H.T.K.L

REG/OP/190304-0020 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
776 T.H.T.K.L

REG/OP/190306-0253 270628 AHMAD SUJAI AKBAR dr. Depi Jufri, Sp. POLI THT
777 T.H.T.K.L

REG/OP/190319-0104 112225 WIWIEN SULISTIOWATY UTAMI dr. Depi Jufri, Sp. POLI THT
778 T.H.T.K.L
REG/OP/190305-0035 271115 ADAM BIN MANAN dr. Depi Jufri, Sp. POLI THT
779 T.H.T.K.L

REG/OP/190228-0045 271115 ADAM BIN MANAN dr. Depi Jufri, Sp. POLI THT
780 T.H.T.K.L

REG/OP/190304-0085 003614 PADILAH BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
781 T.H.T.K.L

REG/OP/190322-0381 280193 ADELIA CALLISTA BT M.ALI dr. Depi Jufri, Sp. POLI THT
782 T.H.T.K.L

REG/OP/190308-0176 313054 SYAHQILLA MAULIA RIANO BT dr. Ahmad Hifni, Sp. POLI THT
783 SUHARTONO THT.KL

REG/OP/190315-0223 313054 SYAHQILLA MAULIA RIANO BT dr. Depi Jufri, Sp. POLI THT
784 SUHARTONO T.H.T.K.L

REG/OP/190318-0679 097912 MISMINAH BT ALI HASAN dr. Depi Jufri, Sp. POLI THT
785 T.H.T.K.L

REG/OP/190226-0302 223962 ANDRI GRAMIKO H. SOBRI dr. Depi Jufri, Sp. POLI THT
786 T.H.T.K.L

REG/OP/190326-0469 049426 SINAR HERAWATI BT NALIN dr. Depi Jufri, Sp. POLI THT
787 T.H.T.K.L

REG/OP/190304-0078 094848 RICA NOVIYENTI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
788 T.H.T.K.L

REG/OP/190325-0356 315060 MEGI BIN ANGGARA dr. Depi Jufri, Sp. POLI THT
789 T.H.T.K.L

REG/OP/190319-0337 096545 RANDIY ARDAZAH MUZAKIR dr. Depi Jufri, Sp. POLI THT
790 T.H.T.K.L

REG/OP/190304-0484 147200 ANGGELIA AGUS DWILANI dr. Depi Jufri, Sp. POLI THT
791 T.H.T.K.L

REG/OP/190325-0490 116186 AKHMAD ARIADI BN USMAN DAUD dr. Depi Jufri, Sp. POLI THT
792 T.H.T.K.L

REG/OP/190325-0412 315092 SUHARDI BIN KODIR dr. Depi Jufri, Sp. POLI THT
793 T.H.T.K.L

REG/OP/190326-0069 110675 NURDIN BIN HISOM dr. Depi Jufri, Sp. POLI THT
794 T.H.T.K.L

REG/OP/190326-0274 032475 KORIFARNI BT A.MUIS dr. Depi Jufri, Sp. POLI THT
795 T.H.T.K.L

REG/OP/190305-0219 312235 FATHUL QUSSAY BIN AHMAD SIDIK dr. Depi Jufri, Sp. POLI THT
796 T.H.T.K.L

REG/OP/190327-0154 014077 AMRULLAH BIN MUSTOPA dr. Depi Jufri, Sp. POLI THT
797 LAILI/ISTRI T.H.T.K.L

REG/OP/190227-0290 310718 KOMARIA BT HERWANTO dr. Depi Jufri, Sp. POLI THT
798 T.H.T.K.L
REG/OP/190322-0269 240660 HENDRA BAYU BIN M.RASYID dr. Depi Jufri, Sp. POLI THT
799 T.H.T.K.L

REG/OP/190311-0321 313254 SUTRA ASPA ARADIA dr. Depi Jufri, Sp. POLI THT
800 T.H.T.K.L

REG/OP/190311-0341 313257 MUHAMMAD ABDILLAH dr. Depi Jufri, Sp. POLI THT
801 T.H.T.K.L

REG/OP/190325-0460 310638 SUKARSIH BT SUYATMO dr. Depi Jufri, Sp. POLI THT
802 T.H.T.K.L

REG/OP/190306-0313 012237 MEILYANTIKA dr. Depi Jufri, Sp. POLI THT


803 T.H.T.K.L

REG/OP/190318-0626 313303 ALIMIN BIN GONI dr. Depi Jufri, Sp. POLI THT
804 T.H.T.K.L

REG/OP/190319-0167 311867 DWI RAHMI BT ASKOLANI dr. Depi Jufri, Sp. POLI THT
805 T.H.T.K.L

REG/OP/190311-0624 313341 SUPARTO BIN REDI dr. Depi Jufri, Sp. POLI THT
806 T.H.T.K.L

REG/OP/190326-0037 285333 RENI PUTRI AYU BT LUNAR dr. Depi Jufri, Sp. POLI THT
807 T.H.T.K.L

REG/OP/190228-0374 153861 FITRI NURHAYATI BT MUKHAYAN dr. Depi Jufri, Sp. POLI THT
808 T.H.T.K.L

REG/OP/190326-0312 010882 KARTIKA PERDANA dr. Depi Jufri, Sp. POLI THT
809 T.H.T.K.L

REG/OP/190321-0535 313956 KAUMA SAFIYA SALSABILA BINTI dr. Depi Jufri, Sp. POLI THT
810 BENI HERIYANTO T.H.T.K.L

REG/OP/190321-0180 314661 BADRU SALAM BIN OSID dr. Depi Jufri, Sp. POLI THT
811 T.H.T.K.L

REG/OP/190319-0032 285333 RENI PUTRI AYU BT LUNAR dr. Depi Jufri, Sp. POLI THT
812 T.H.T.K.L

REG/OP/190228-0412 300906 ANISA BT ANDI WIJAYA dr. Depi Jufri, Sp. POLI THT
813 T.H.T.K.L

REG/OP/190301-0177 201459 YUNUS BIN AZHAR dr. Depi Jufri, Sp. POLI THT
814 T.H.T.K.L

REG/OP/190226-0419 311834 GRACIA CITRA BUNTA ULI BR dr. Depi Jufri, Sp. POLI THT
815 SIBURIAN T.H.T.K.L

REG/OP/190301-0084 094848 RICA NOVIYENTI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
816 T.H.T.K.L

REG/OP/190326-0417 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. POLI THT
817 T.H.T.K.L

REG/OP/190304-0064 113049 AGHNIA RAZITA BT A.ARAFAH dr. Depi Jufri, Sp. POLI THT
818 A.ARAFAH T.H.T.K.L
REG/OP/190306-0464 094848 RICA NOVIYENTI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
819 T.H.T.K.L

REG/OP/190312-0419 313346 HERCHA MAURA BT HERWAN dr. Depi Jufri, Sp. POLI THT
820 T.H.T.K.L

REG/OP/190325-0432 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
821 T.H.T.K.L

REG/OP/190318-0278 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
822 T.H.T.K.L

REG/OP/190318-0331 246058 JAYADI RAMADHAN BIN dr. Depi Jufri, Sp. POLI THT
823 WARYANTO T.H.T.K.L

REG/OP/190321-0270 242472 KHALISHAH MELODY BT FIRMAN dr. Depi Jufri, Sp. POLI THT
824 T.H.T.K.L

REG/OP/190304-0304 246986 LAILATUL MARHAMAH DEDEN H dr. Depi Jufri, Sp. POLI THT
825 T.H.T.K.L

REG/OP/190319-0394 245837 ISMI JUNIARSIH BT AWALUDIN dr. Depi Jufri, Sp. POLI THT
826 AWALUDIN / AYAH T.H.T.K.L

REG/OP/190325-0512 242472 KHALISHAH MELODY BT FIRMAN dr. Depi Jufri, Sp. POLI THT
827 T.H.T.K.L

REG/OP/190311-0525 313303 ALIMIN BIN GONI dr. Depi Jufri, Sp. POLI THT
828 T.H.T.K.L

REG/OP/190313-0510 313728 WENDI PRANATA BN SAKRUN dr. Depi Jufri, Sp. POLI THT
829 T.H.T.K.L

REG/OP/190314-0372 140477 NURAINI BT DAHIL SOPIAN dr. Depi Jufri, Sp. POLI THT
830 T.H.T.K.L

REG/OP/190320-0309 140477 NURAINI BT DAHIL SOPIAN dr. Depi Jufri, Sp. POLI THT
831 T.H.T.K.L

REG/OP/190325-0028 140477 NURAINI BT DAHIL SOPIAN dr. Depi Jufri, Sp. POLI THT
832 T.H.T.K.L

REG/OP/190304-0139 186940 HILMAN ABDUL RAHMAN BIN dr. Depi Jufri, Sp. POLI THT
833 MUHAMAD SALIM T.H.T.K.L

REG/OP/190325-0489 313302 BAHIMA BT MANSYUR dr. Depi Jufri, Sp. POLI THT
834 T.H.T.K.L

REG/OP/190311-0487 313295 AHMAD LUFPI BIN IDE TUNGKAL dr. Depi Jufri, Sp. POLI THT
835 IKA T.H.T.K.L

REG/OP/190325-0246 284170 M. RAJA ABDAS BN CANDRA - - dr. Depi Jufri, Sp. POLI THT
836 T.H.T.K.L

REG/OP/190308-0335 183284 APRIADI BT RASIAN YBS dr. Ahmad Hifni, Sp. POLI THT
837 THT.KL

REG/OP/190313-0555 029448 ISNANIAR BT ANHAR SAMSUL dr. Depi Jufri, Sp. POLI THT
838 T.H.T.K.L
REG/OP/190313-0378 302901 ALIFAH FEBRIANA BT RIJEK dr. Depi Jufri, Sp. POLI THT
839 NIKSEN T.H.T.K.L

REG/OP/190313-0187 245837 ISMI JUNIARSIH BT AWALUDIN dr. Depi Jufri, Sp. POLI THT
840 AWALUDIN / AYAH T.H.T.K.L

REG/OP/190227-0368 094848 RICA NOVIYENTI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
841 T.H.T.K.L

REG/OP/190319-0477 094505 FITRIYANI SRI AFRIYANTI dr. Depi Jufri, Sp. POLI THT
842 T.H.T.K.L

REG/OP/190314-0119 291680 NUR INTAN RAHMADIYAH dr. Depi Jufri, Sp. POLI THT
843 T.H.T.K.L

REG/OP/190228-0446 264588 DEWI PURNAMA dr. Depi Jufri, Sp. POLI THT
844 T.H.T.K.L

REG/OP/190228-0276 289788 RITA SIMENES BT EUGENIO dr. Depi Jufri, Sp. POLI THT
845 T.H.T.K.L

REG/OP/190306-0330 311266 SURYA DHARMA BIN ALI MULTIPAN dr. Depi Jufri, Sp. POLI THT
846 T.H.T.K.L

REG/OP/190312-0495 243445 CHERLI OKTAVIANI dr. Depi Jufri, Sp. POLI THT
847 T.H.T.K.L

REG/OP/190311-0355 312557 KEPIN BIN LUIN dr. Depi Jufri, Sp. POLI THT
848 T.H.T.K.L

REG/OP/190311-0133 049426 SINAR HERAWATI BT NALIN dr. Depi Jufri, Sp. POLI THT
849 T.H.T.K.L

REG/OP/190314-0379 179200 SUSILAWATI BT ISNAINI dr. Depi Jufri, Sp. POLI THT
850 T.H.T.K.L

REG/OP/190312-0378 246058 JAYADI RAMADHAN BIN dr. Depi Jufri, Sp. POLI THT
851 WARYANTO T.H.T.K.L

REG/OP/190312-0309 117213 BAGAS ADITYA PRATAMA JONI dr. Depi Jufri, Sp. POLI THT
852 SUTRISNO T.H.T.K.L

REG/OP/190320-0362 090149 NABILA ZAKIA BT SUPAAT MAULUD dr. Depi Jufri, Sp. POLI THT
853 T.H.T.K.L

REG/OP/190306-0209 090149 NABILA ZAKIA BT SUPAAT MAULUD dr. Depi Jufri, Sp. POLI THT
854 T.H.T.K.L

REG/OP/190313-0231 256736 M. YANI DUNGCIK BIN DUNGCIK dr. Depi Jufri, Sp. POLI THT
855 T.H.T.K.L

REG/OP/190313-0571 135166 LOLI ARIPA BT ALKOSIM dr. Depi Jufri, Sp. POLI THT
856 T.H.T.K.L

REG/OP/190312-0264 257957 NURHAYATI BT ADE dr. Depi Jufri, Sp. POLI THT
857 T.H.T.K.L

REG/OP/190227-0338 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. POLI THT
858 T.H.T.K.L
REG/OP/190312-0344 313461 NURNAILAH BT ZUBER dr. Depi Jufri, Sp. POLI THT
859 T.H.T.K.L

REG/OP/190227-0086 246986 LAILATUL MARHAMAH DEDEN H dr. Depi Jufri, Sp. POLI THT
860 T.H.T.K.L

REG/OP/190304-0039 311284 ARLANGGA BIN LATIF dr. Depi Jufri, Sp. POLI THT
861 T.H.T.K.L

REG/OP/190301-0034 311266 SURYA DHARMA BIN ALI MULTIPAN dr. Depi Jufri, Sp. POLI THT
862 T.H.T.K.L

REG/OP/190326-0468 172002 EKA PUSPA BT SOBLI ENDRAYANI dr. Depi Jufri, Sp. POLI THT
863 T.H.T.K.L

REG/OP/190314-0357 238400 SISKA AYU WULADARI BT dr. Depi Jufri, Sp. POLI THT
864 A.ZAWAWI ZAWAWI / AYAH T.H.T.K.L

REG/OP/190325-0613 080672 RIZKI RAMADHAN BIN SUTOPO dr. Depi Jufri, Sp. POLI THT
865 T.H.T.K.L

REG/OP/190318-0502 310186 TIA ELFIRA BT TOMI dr. Depi Jufri, Sp. POLI THT
866 T.H.T.K.L

REG/OP/190318-0629 079497 ARSISKA PEBRIYANTI BIN ARJUHA dr. Depi Jufri, Sp. POLI THT
867 T.H.T.K.L

REG/OP/190227-0215 082152 HOLIPA BT ZENOL dr. Depi Jufri, Sp. POLI THT
868 T.H.T.K.L

REG/OP/190313-0515 081384 SEPRIANTO BN DULHAJI DULHAJI dr. Depi Jufri, Sp. POLI THT
869 T.H.T.K.L

REG/OP/190320-0320 081384 SEPRIANTO BN DULHAJI DULHAJI dr. Depi Jufri, Sp. POLI THT
870 T.H.T.K.L

REG/OP/190321-0074 183284 APRIADI BT RASIAN YBS dr. Depi Jufri, Sp. POLI THT
871 T.H.T.K.L

REG/OP/190308-0350 238626 ILYASA MAULANA BIN ERNO dr. Ahmad Hifni, Sp. POLI THT
872 HERYANTO THT.KL

REG/OP/190305-0025 175012 ZUMROWI BIN HASNUDIN dr. Depi Jufri, Sp. POLI THT
873 ZUMROWI T.H.T.K.L

REG/OP/190312-0052 236709 ALDI YOANSYAH PUTRA dr. Depi Jufri, Sp. POLI THT
874 T.H.T.K.L

REG/OP/190304-0353 236709 ALDI YOANSYAH PUTRA dr. Depi Jufri, Sp. POLI THT
875 T.H.T.K.L

REG/OP/190318-0021 236709 ALDI YOANSYAH PUTRA dr. Depi Jufri, Sp. POLI THT
876 T.H.T.K.L

REG/OP/190308-0051 174581 AYU SULISTINA BT REDIUS dr. Ahmad Hifni, Sp. POLI THT
877 THT.KL

REG/OP/190320-0097 174581 AYU SULISTINA BT REDIUS dr. Depi Jufri, Sp. POLI THT
878 T.H.T.K.L
REG/OP/190315-0021 174581 AYU SULISTINA BT REDIUS dr. Depi Jufri, Sp. POLI THT
879 T.H.T.K.L

REG/OP/190227-0178 104913 FAHRI AGENG KIWI BIN RUSLI dr. Depi Jufri, Sp. POLI THT
880 T.H.T.K.L

REG/OP/190318-0065 172880 NIA ISLAMIATI BT SULAIMAN dr. Depi Jufri, Sp. POLI THT
881 T.H.T.K.L

REG/OP/190326-0063 172880 NIA ISLAMIATI BT SULAIMAN dr. Depi Jufri, Sp. POLI THT
882 T.H.T.K.L

REG/OP/190306-0528 130391 BAGAS PATIH HOLAND BIN WIN dr. Depi Jufri, Sp. POLI THT
883 HOLAND T.H.T.K.L

REG/OP/190325-0168 131275 HOTAMA BT KUSIM JAILANI dr. Depi Jufri, Sp. POLI THT
884 T.H.T.K.L

REG/OP/190306-0144 132793 ABDUL GUFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
885 T.H.T.K.L

REG/OP/190319-0380 131275 HOTAMA BT KUSIM JAILANI dr. Depi Jufri, Sp. POLI THT
886 T.H.T.K.L

REG/OP/190304-0253 173074 UNDANG EFENDI dr. Depi Jufri, Sp. POLI THT
887 T.H.T.K.L

REG/OP/190322-0164 131007 NALMAIDAH BT MARZUKI AZHARI dr. Depi Jufri, Sp. POLI THT
888 SITI MASMINAH T.H.T.K.L

REG/OP/190305-0239 185972 SARI BANUN dr. Depi Jufri, Sp. POLI THT
889 T.H.T.K.L

REG/OP/190301-0313 129831 JON KANEDY dr. Depi Jufri, Sp. POLI THT
890 T.H.T.K.L

REG/OP/190305-0247 107125 RIKA dr. Depi Jufri, Sp. POLI THT


891 T.H.T.K.L

REG/OP/190325-0408 311266 SURYA DHARMA BIN ALI MULTIPAN dr. Depi Jufri, Sp. POLI THT
892 T.H.T.K.L

REG/OP/190319-0045 129074 RIKA SYIRLIANTI BT ALPIAN dr. Depi Jufri, Sp. POLI THT
893 T.H.T.K.L

REG/OP/190305-0421 294958 SITI NURWANA BT HASAN dr. Depi Jufri, Sp. POLI THT
894 T.H.T.K.L

REG/OP/190305-0254 312321 NOPITASARI BT NURDIN dr. Depi Jufri, Sp. POLI THT
895 T.H.T.K.L

REG/OP/190319-0302 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. POLI THT
896 T.H.T.K.L

REG/OP/190311-0175 197362 ETA HERIA JULITA dr. Depi Jufri, Sp. POLI THT
897 T.H.T.K.L

REG/OP/190306-0244 006912 M.YUSRO BIN ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
898 T.H.T.K.L
REG/OP/190311-0481 313292 NOPERLIN BN TAMRIN dr. Depi Jufri, Sp. POLI THT
899 T.H.T.K.L

REG/OP/190311-0382 312757 BERLY ALDA BIN BENI dr. Depi Jufri, Sp. POLI THT
900 OKTARIANSYAH T.H.T.K.L

REG/OP/190311-0521 146995 SARPANI BIN ISHAR ISHAR dr. Depi Jufri, Sp. POLI THT
901 T.H.T.K.L

REG/OP/190311-0515 313302 BAHIMA BT MANSYUR dr. Depi Jufri, Sp. POLI THT
902 T.H.T.K.L

REG/OP/190311-0292 160451 NIKO NOPRIANSYAH KUSRI dr. Depi Jufri, Sp. POLI THT
903 T.H.T.K.L

REG/OP/190311-0280 117638 RAWINA BT WANTIR WANTIR dr. Depi Jufri, Sp. POLI THT
904 T.H.T.K.L

REG/OP/190320-0180 005032 SUMIYATI BT MAT WAHID dr. Depi Jufri, Sp. POLI THT
905 T.H.T.K.L

REG/OP/190306-0227 005032 SUMIYATI BT MAT WAHID dr. Depi Jufri, Sp. POLI THT
906 T.H.T.K.L

REG/OP/190311-0340 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
907 T.H.T.K.L

REG/OP/190227-0129 310156 ROITI BT BUDIN dr. Depi Jufri, Sp. POLI THT
908 T.H.T.K.L

REG/OP/190322-0307 314819 ADRIAN DWI PUTRA BIN HARYADI dr. Depi Jufri, Sp. POLI THT
909 T.H.T.K.L

REG/OP/190322-0255 238072 QORINA AZIZAH BT HELMI dr. Depi Jufri, Sp. POLI THT
910 T.H.T.K.L

REG/OP/190322-0065 259505 SRI HANDAYANI - dr. Ahmad Hifni, Sp. POLI THT
911 THT.KL

REG/OP/190311-0295 312668 TATANG SAPUTRA BIN ZAKIR dr. Depi Jufri, Sp. POLI THT
912 T.H.T.K.L

REG/OP/190311-0152 216297 RUSDI EFENDI BIN ARAWANI dr. Depi Jufri, Sp. POLI THT
913 T.H.T.K.L

REG/OP/190322-0025 164414 HAIKAL KHADAFI MUHAMAD dr. Depi Jufri, Sp. POLI THT
914 T.H.T.K.L

REG/OP/190322-0310 178197 M. DAMAR FIRJATULLAH LASIDI dr. Depi Jufri, Sp. POLI THT
915 T.H.T.K.L

REG/OP/190322-0172 313914 M AFFAN RASYID BN ADI RIANTO dr. Depi Jufri, Sp. POLI THT
916 T.H.T.K.L

REG/OP/190312-0288 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. POLI THT
917 T.H.T.K.L

REG/OP/190325-0208 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. POLI THT
918 T.H.T.K.L
REG/OP/190226-0116 312321 NOPITASARI BT NURDIN dr. Depi Jufri, Sp. POLI THT
919 T.H.T.K.L

REG/OP/190227-0387 312469 NURFITRIAH ANGGRAINI dr. Depi Jufri, Sp. POLI THT
920 T.H.T.K.L

REG/OP/190227-0381 201459 YUNUS BIN AZHAR dr. Depi Jufri, Sp. POLI THT
921 T.H.T.K.L

REG/OP/190227-0412 006106 FADLAWATI BT M. UMAR KODIR dr. Depi Jufri, Sp. POLI THT
922 T.H.T.K.L

REG/OP/190227-0344 312459 SUMIATI BT WARTO dr. Depi Jufri, Sp. POLI THT
923 T.H.T.K.L

REG/OP/190227-0027 186940 HILMAN ABDUL RAHMAN BIN dr. Depi Jufri, Sp. POLI THT
924 MUHAMAD SALIM T.H.T.K.L

REG/OP/190227-0161 225144 ALIFA ALHANIFIA BT BAMBANG dr. Depi Jufri, Sp. POLI THT
925 HERYANTO T.H.T.K.L

REG/OP/190311-0291 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
926 T.H.T.K.L

REG/OP/190304-0230 171607 BUDIMAN BIN KAMIL dr. Depi Jufri, Sp. POLI THT
927 T.H.T.K.L

REG/OP/190228-0322 312520 ISMAIL BIN ZAINI dr. Depi Jufri, Sp. POLI THT
928 T.H.T.K.L

REG/OP/190228-0113 006912 M.YUSRO BIN ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
929 T.H.T.K.L

REG/OP/190228-0117 312502 ALKOMI BIN SUHUD dr. Depi Jufri, Sp. POLI THT
930 T.H.T.K.L

REG/OP/190313-0167 002362 MUKARDI dr. Depi Jufri, Sp. POLI THT


931 T.H.T.K.L

REG/OP/190228-0335 139821 JHONTRA PUTRA BIN AHMAD dr. Depi Jufri, Sp. POLI THT
932 HOIRUNISA T.H.T.K.L

REG/OP/190312-0232 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
933 T.H.T.K.L

REG/OP/190227-0203 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
934 T.H.T.K.L

REG/OP/190326-0298 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
935 T.H.T.K.L

REG/OP/190226-0117 232920 ANANDA OKTA FAREZA dr. Depi Jufri, Sp. POLI THT
936 T.H.T.K.L

REG/OP/190319-0409 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
937 T.H.T.K.L

REG/OP/190312-0236 313439 SRI MINARSIH BT ABUHANI dr. Depi Jufri, Sp. POLI THT
938 T.H.T.K.L
REG/OP/190321-0311 231916 TARRA TIFFANY HARRY dr. Depi Jufri, Sp. POLI THT
939 MUNANDAR/AYAH T.H.T.K.L

REG/OP/190306-0086 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
940 T.H.T.K.L

REG/OP/190321-0023 127542 HOSIAH BT YAZID dr. Depi Jufri, Sp. POLI THT
941 T.H.T.K.L

REG/OP/190312-0065 127542 HOSIAH BT YAZID dr. Depi Jufri, Sp. POLI THT
942 T.H.T.K.L

REG/OP/190228-0383 127967 PAUZAN BIN H. ISHAK dr. Depi Jufri, Sp. POLI THT
943 T.H.T.K.L

REG/OP/190308-0385 127967 PAUZAN BIN H. ISHAK dr. Ahmad Hifni, Sp. POLI THT
944 THT.KL

REG/OP/190227-0049 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
945 T.H.T.K.L

REG/OP/190312-0117 020732 SUMARNI ILHAM / SUAMI dr. Depi Jufri, Sp. POLI THT
946 T.H.T.K.L

REG/OP/190327-0158 125136 EDI CANDRA BIN ARDANI ARDANI dr. Depi Jufri, Sp. POLI THT
947 T.H.T.K.L

REG/OP/190312-0137 311867 DWI RAHMI BT ASKOLANI dr. Depi Jufri, Sp. POLI THT
948 T.H.T.K.L

REG/OP/190312-0310 312235 FATHUL QUSSAY BIN AHMAD SIDIK dr. Depi Jufri, Sp. POLI THT
949 T.H.T.K.L

REG/OP/190228-0329 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
950 T.H.T.K.L

REG/OP/190327-0471 312344 SAHLAN SIREGAR BIN dr. Depi Jufri, Sp. POLI THT
951 TALIMONANG SIREGAR T.H.T.K.L

REG/OP/190306-0208 067789 AMINALLOH BT M.YUSUF dr. Depi Jufri, Sp. POLI THT
952 T.H.T.K.L

REG/OP/190319-0258 067789 AMINALLOH BT M.YUSUF dr. Depi Jufri, Sp. POLI THT
953 T.H.T.K.L

REG/OP/190312-0342 312346 BINESWARES BIN SYAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
954 T.H.T.K.L

REG/OP/190305-0123 312346 BINESWARES BIN SYAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
955 T.H.T.K.L

REG/OP/190326-0446 255466 HAIRUL BIN GINO dr. Depi Jufri, Sp. POLI THT
956 T.H.T.K.L

REG/OP/190318-0424 283007 ARFAN BIN ZULKOPLI dr. Depi Jufri, Sp. POLI THT
957 T.H.T.K.L

REG/OP/190313-0423 255466 HAIRUL BIN GINO dr. Depi Jufri, Sp. POLI THT
958 T.H.T.K.L
REG/OP/190318-0039 312380 M RIZKI QODRATUL AMANAH dr. Depi Jufri, Sp. POLI THT
959 T.H.T.K.L

REG/OP/190315-0033 312380 M RIZKI QODRATUL AMANAH dr. Depi Jufri, Sp. POLI THT
960 T.H.T.K.L

REG/OP/190319-0135 149555 ABDUL WAFAH BIN RONI dr. Depi Jufri, Sp. POLI THT
961 T.H.T.K.L

REG/OP/190226-0456 312388 MUHAMMAD ZAINUDIN dr. Depi Jufri, Sp. POLI THT
962 T.H.T.K.L

REG/OP/190312-0544 149924 MUHAMMAD IKHSAN .A LUBIS BN dr. Depi Jufri, Sp. POLI THT
963 BUDI NIRWANA T.H.T.K.L

REG/OP/190312-0375 152715 PASIHA BT ALI EFENDI/SUAMI dr. Depi Jufri, Sp. POLI THT
964 T.H.T.K.L

REG/OP/190320-0267 302901 ALIFAH FEBRIANA BT RIJEK dr. Depi Jufri, Sp. POLI THT
965 NIKSEN T.H.T.K.L

REG/OP/190315-0261 252903 NI KOMANG SUASTINIASIH dr. Ahmad Hifni, Sp. POLI THT
966 NYOMAN / AYAH THT.KL

REG/OP/190305-0432 149924 MUHAMMAD IKHSAN .A LUBIS BN dr. Depi Jufri, Sp. POLI THT
967 BUDI NIRWANA T.H.T.K.L

REG/OP/190320-0188 223899 PUTRI MIFTAHUL JANNAH dr. Depi Jufri, Sp. POLI THT
968 T.H.T.K.L

REG/OP/190320-0057 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
969 T.H.T.K.L

REG/OP/190326-0142 149555 ABDUL WAFAH BIN RONI dr. Depi Jufri, Sp. POLI THT
970 T.H.T.K.L

REG/OP/190304-0048 149521 RATIH PUSPA DEWI PUTRI BIN dr. Depi Jufri, Sp. POLI THT
971 ZAIDIR T.H.T.K.L

REG/OP/190319-0185 149521 RATIH PUSPA DEWI PUTRI BIN dr. Depi Jufri, Sp. POLI THT
972 ZAIDIR T.H.T.K.L

REG/OP/190227-0116 312412 ANWAR BIN YUSUP dr. Depi Jufri, Sp. POLI THT
973 T.H.T.K.L

REG/OP/190313-0338 270121 ALITA MESA BT KHOLIDI dr. Depi Jufri, Sp. POLI THT
974 T.H.T.K.L

REG/OP/190312-0337 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
975 T.H.T.K.L

REG/OP/190315-0279 028576 BIMO DWITAMA dr. Depi Jufri, Sp. POLI THT
976 T.H.T.K.L

REG/OP/190327-0260 315345 GHAZY GHALIBIE ABIYYU dr. Depi Jufri, Sp. POLI THT
977 T.H.T.K.L

REG/OP/190327-0261 315346 RUDI HARTONO dr. Depi Jufri, Sp. POLI THT
978 T.H.T.K.L
REG/OP/190312-0262 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
979 T.H.T.K.L

REG/OP/190304-0267 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
980 T.H.T.K.L

REG/OP/190326-0429 315244 RASIKAH IFTINAH KARTINI dr. Depi Jufri, Sp. POLI THT
981 T.H.T.K.L

REG/OP/190326-0458 315252 ROHMAN MOH IKSAN BN ACES dr. Depi Jufri, Sp. POLI THT
982 SUNJANA T.H.T.K.L

REG/OP/190326-0534 315276 SUKAESIH BT ARSUDIN dr. Depi Jufri, Sp. POLI THT
983 T.H.T.K.L

REG/OP/190326-0467 315253 MAYA HERAWATI BT UMBRAG dr. Depi Jufri, Sp. POLI THT
984 T.H.T.K.L

REG/OP/190326-0393 315235 WIELDAN PRAYOGA BIN JUMONO dr. Depi Jufri, Sp. POLI THT
985 T.H.T.K.L

REG/OP/190326-0338 315224 RASIAN BIN ROHMAT dr. Depi Jufri, Sp. POLI THT
986 T.H.T.K.L

REG/OP/190227-0193 312421 NATARIA NIAS SETIORINI dr. Depi Jufri, Sp. POLI THT
987 T.H.T.K.L

REG/OP/190227-0235 312431 MIFTAHUL JANAH dr. Depi Jufri, Sp. POLI THT
988 T.H.T.K.L

REG/OP/190312-0346 312854 AHMAD SYAUQI BIN AZHAR dr. Depi Jufri, Sp. POLI THT
989 BAHTIAR T.H.T.K.L

REG/OP/190315-0120 027342 JAIDAH BT JAMAL dr. Depi Jufri, Sp. POLI THT
990 T.H.T.K.L

REG/IP/190304-0031 312668 TATANG SAPUTRA BIN ZAKIR dr. Depi Jufri, Sp. MANGGARIS
991 T.H.T.K.L

REG/IP/190224-0029 312051 ADWA FILZA FARZANA BT DAMTO dr. Depi Jufri, Sp. MERANTI
992 T.H.T.K.L

REG/IP/190305-0044 312244 ADEN FATHUL PITONA BIN dr. Depi Jufri, Sp. MERANTI
993 CANDRA KURNIA T.H.T.K.L

REG/IP/190318-0050 311266 SURYA DHARMA BIN ALI MULTIPAN dr. Depi Jufri, Sp. MERANTI
994 T.H.T.K.L

REG/IP/190226-0028 312264 LISANTI INTEN JUWITA dr. Depi Jufri, Sp. MERANTI
995 T.H.T.K.L

REG/IP/190319-0032 129074 RIKA SYIRLIANTI BT ALPIAN dr. Depi Jufri, Sp. MERANTI
996 T.H.T.K.L

REG/IP/190310-0052 245629 RUSDI BIN ZAINUDIN dr. Depi Jufri, Sp. PETANANG
997 T.H.T.K.L

REG/IP/190226-0033 312321 NOPITASARI BT NURDIN dr. Depi Jufri, Sp. MEDANG


998 T.H.T.K.L
REG/IP/190225-0038 270628 AHMAD SUJAI AKBAR dr. Depi Jufri, Sp. MEDANG
999 T.H.T.K.L

REG/IP/190319-0033 313303 ALIMIN BIN GONI dr. Depi Jufri, Sp. MEDANG
1000 T.H.T.K.L

REG/IP/190318-0052 251039 DEDEK BIN MAHIYEN dr. Depi Jufri, Sp. MEDANG
1001 T.H.T.K.L

REG/IP/190319-0047 299499 PONO SAMIDO BIN SUPARDI dr. Depi Jufri, Sp. MEDANG
1002 T.H.T.K.L

REG/IP/190226-0032 216297 RUSDI EFENDI BIN ARAWANI dr. Depi Jufri, Sp. MEDANG
1003 T.H.T.K.L

REG/IP/190226-0031 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. MEDANG
1004 T.H.T.K.L

REG/IP/190225-0039 118126 SALSABILAH TULHUSNAH dr. Depi Jufri, Sp. TEMBESU


1005 T.H.T.K.L

REG/IP/190319-0021 314247 IQBAL LATASA BIN APRIADI dr. Depi Jufri, Sp. TEMBESU
1006 T.H.T.K.L

REG/IP/190315-0057 264996 SANTI SARTIKA dr. Depi Jufri, Sp. TEMBESU


1007 T.H.T.K.L

REG/IP/190319-0015 314299 PADLI BIN A RAHMAN dr. Depi Jufri, Sp. TEMBESU
1008 T.H.T.K.L

REG/IP/190318-0020 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. LEBAN
1009 T.H.T.K.L

REG/IP/190318-0028 283007 ARFAN BIN ZULKOPLI dr. Depi Jufri, Sp. LEBAN
1010 T.H.T.K.L

REG/OP/190423-0069 110675 NURDIN BIN HISOM dr. Depi Jufri, Sp. POLI THT
1011
T.H.T.K.L
REG/OP/190422-0378 298700 YUNI ARDA NINGSIH dr. Depi Jufri, Sp. POLI THT
1012
T.H.T.K.L
REG/OP/190412-0361 109328 MAULANA NUR HIDAYAT ISMET dr. Ahmad Hifni, Sp. POLI THT
1013
THT.KL
REG/OP/190418-0456 317182 NENDEN DEKA RUSDEKAWATI BIN dr. Depi Jufri, Sp. POLI THT
1014
DEDEN SAEPUDIN T.H.T.K.L
REG/OP/190405-0427 109328 MAULANA NUR HIDAYAT ISMET dr. Depi Jufri, Sp. POLI THT
1015
T.H.T.K.L
REG/OP/190422-0277 110136 AMELDA SESILLIA BT IMRON dr. Depi Jufri, Sp. POLI THT
1016
T.H.T.K.L
REG/OP/190423-0152 258060 INDRA SAPUTRA BIN AGUS dr. Depi Jufri, Sp. POLI THT
1017
APRIADI T.H.T.K.L
REG/OP/190422-0043 260055 REGAN NUGRAHA dr. Depi Jufri, Sp. POLI THT
1018
T.H.T.K.L
REG/OP/190402-0464 315244 RASIKAH IFTINAH KARTINI dr. Depi Jufri, Sp. POLI THT
1019
T.H.T.K.L
REG/OP/190416-0328 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
1020
T.H.T.K.L
REG/OP/190422-0075 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1021
T.H.T.K.L
REG/OP/190408-0049 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1022
T.H.T.K.L
REG/OP/190401-0072 315252 ROHMAN MOH IKSAN BN ACES dr. Depi Jufri, Sp. POLI THT
1023
SUNJANA T.H.T.K.L
REG/OP/190326-0486 297874 UDIN SYAMSUDIN BN MINTA dr. Depi Jufri, Sp. POLI THT
1024
T.H.T.K.L
REG/OP/190423-0137 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
1025
T.H.T.K.L
REG/OP/190402-0160 310251 RUSMINI BT RUSDI dr. Depi Jufri, Sp. POLI THT
1026
T.H.T.K.L
REG/OP/190402-0107 293950 YAN ARDIANSYAH dr. Depi Jufri, Sp. POLI THT
1027
T.H.T.K.L
REG/OP/190402-0270 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. POLI THT
1028
T.H.T.K.L
REG/OP/190423-0112 230080 RIFKY SAPUTRA BIN MANTAP dr. Depi Jufri, Sp. POLI THT
1029
MANTAP T.H.T.K.L
REG/OP/190409-0238 296512 SITI PATONAH BT TONO dr. Depi Jufri, Sp. POLI THT
1030
T.H.T.K.L
REG/OP/190423-0510 117970 DIAS PLARA SARI BT RUKLI dr. Depi Jufri, Sp. POLI THT
1031
T.H.T.K.L
REG/OP/190402-0143 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. POLI THT
1032
T.H.T.K.L
REG/OP/190321-0124 314653 M YUSUF dr. Depi Jufri, Sp. POLI THT
1033
T.H.T.K.L
REG/OP/190422-0068 316767 ARIKI BN AHLAN dr. Depi Jufri, Sp. POLI THT
1034
T.H.T.K.L
REG/OP/190408-0058 167756 ADE ARI WIBOWO dr. Depi Jufri, Sp. POLI THT
1035
T.H.T.K.L
REG/OP/190408-0574 316772 SUTI CAMELIA BT NURDIN dr. Depi Jufri, Sp. POLI THT
1036
T.H.T.K.L
REG/OP/190402-0239 197362 ETA HERIA JULITA dr. Depi Jufri, Sp. POLI THT
1037
T.H.T.K.L
REG/OP/190423-0352 149649 MUTHIAH SARI BT PARYONO dr. Depi Jufri, Sp. POLI THT
1038
PARYONO T.H.T.K.L
REG/OP/190402-0376 316042 NOPRI YANDI BN RODIANSAH dr. Depi Jufri, Sp. POLI THT
1039
T.H.T.K.L
REG/OP/190415-0151 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
1040
T.H.T.K.L
REG/OP/190326-0079 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. POLI THT
1041
T.H.T.K.L
REG/OP/190402-0060 216622 RAHMA DINI PRATIWI dr. Depi Jufri, Sp. POLI THT
1042
T.H.T.K.L
REG/OP/190423-0576 114978 ASHIFA ALIYAH BT RUSIDI dr. Depi Jufri, Sp. POLI THT
1043
T.H.T.K.L
REG/OP/190409-0071 216622 RAHMA DINI PRATIWI dr. Depi Jufri, Sp. POLI THT
1044 T.H.T.K.L

REG/OP/190408-0098 293950 YAN ARDIANSYAH dr. Depi Jufri, Sp. POLI THT
1045
T.H.T.K.L
REG/OP/190422-0392 215370 YUSRIANI BT DARWANI DARWANI dr. Depi Jufri, Sp. POLI THT
1046
T.H.T.K.L
REG/OP/190402-0168 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. POLI THT
1047
T.H.T.K.L
REG/OP/190402-0419 314340 SOLICA BT HUSIN dr. Depi Jufri, Sp. POLI THT
1048
T.H.T.K.L
REG/OP/190402-0395 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
1049
T.H.T.K.L
REG/OP/190402-0387 236108 RUSWITA BT ZAWAWI dr. Depi Jufri, Sp. POLI THT
1050
T.H.T.K.L
REG/OP/190405-0143 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
1051
T.H.T.K.L
REG/OP/190402-0162 001631 FERI IRAWAN SARIPUDIN/AYAH dr. Depi Jufri, Sp. POLI THT
1052
T.H.T.K.L
REG/OP/190422-0457 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1053
T.H.T.K.L
REG/OP/190411-0342 251691 AYDIN KHALFANI REAHYAN P dr. Depi Jufri, Sp. POLI THT
1054
T.H.T.K.L
REG/OP/190411-0161 090149 NABILA ZAKIA BT SUPAAT MAULUD dr. Depi Jufri, Sp. POLI THT
1055
T.H.T.K.L
REG/OP/190423-0229 291680 NUR INTAN RAHMADIYAH dr. Depi Jufri, Sp. POLI THT
1056
T.H.T.K.L
REG/OP/190423-0449 292842 WIJIATI BT SUYATNI dr. Depi Jufri, Sp. POLI THT
1057
T.H.T.K.L
REG/OP/190411-0286 140653 M. YUNUS BIN SULAIMAN dr. Depi Jufri, Sp. POLI THT
1058
T.H.T.K.L
REG/OP/190409-0217 291680 NUR INTAN RAHMADIYAH dr. Depi Jufri, Sp. POLI THT
1059
T.H.T.K.L
REG/OP/190416-0032 100116 PUPUT TAMIRA BT SOMAD dr. Depi Jufri, Sp. POLI THT
1060
T.H.T.K.L
REG/OP/190411-0423 317168 ZAINAL ABIDIN BN BAMBANG dr. Depi Jufri, Sp. POLI THT
1061
T.H.T.K.L
REG/OP/190416-0177 290888 DEVI APRILIANTI BT SUDARMAN dr. Depi Jufri, Sp. POLI THT
1062
T.H.T.K.L
REG/OP/190422-0524 100819 SUTRIS YANI BT NASRUL dr. Depi Jufri, Sp. POLI THT
1063
T.H.T.K.L
REG/OP/190422-0095 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
1064
T.H.T.K.L
REG/OP/190405-0452 202115 LYRA NANDA MEYCIKA YULIZAL dr. Ahmad Hifni, Sp. POLI THT
1065
THT.KL
REG/OP/190404-0223 125136 EDI CANDRA BIN ARDANI ARDANI dr. Depi Jufri, Sp. POLI THT
1066
T.H.T.K.L
REG/OP/190321-0150 240925 RATENA DEWI BT M.NUH M.NUH / dr. Depi Jufri, Sp. POLI THT
1067
AYAH T.H.T.K.L
REG/OP/190422-0204 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
1068
T.H.T.K.L
REG/OP/190412-0225 294958 SITI NURWANA BT HASAN dr. Ahmad Hifni, Sp. POLI THT
1069
THT.KL
REG/OP/190412-0195 285333 RENI PUTRI AYU BT LUNAR dr. Ahmad Hifni, Sp. POLI THT
1070
THT.KL
REG/OP/190409-0099 199379 ELIYAROSA BT SYAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
1071
T.H.T.K.L
REG/OP/190404-0595 235040 YUDA YULIANSYAH SITEPU dr. Depi Jufri, Sp. POLI THT
1072
ROMADHONI / AYAH T.H.T.K.L
REG/OP/190422-0160 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1073
T.H.T.K.L
REG/OP/190411-0447 235040 YUDA YULIANSYAH SITEPU dr. Depi Jufri, Sp. POLI THT
1074
ROMADHONI / AYAH T.H.T.K.L
REG/OP/190401-0628 202115 LYRA NANDA MEYCIKA YULIZAL dr. Depi Jufri, Sp. POLI THT
1075
T.H.T.K.L
REG/OP/190423-0506 098165 WARTIYEM KAMARI dr. Depi Jufri, Sp. POLI THT
1076
T.H.T.K.L
REG/OP/190412-0354 129802 RUSTANDI BIN HERMAN ROKIYAH dr. Ahmad Hifni, Sp. POLI THT
1077
THT.KL
REG/OP/190404-0236 112356 LILI KASYANTI BT FAISOL FAISOL dr. Depi Jufri, Sp. POLI THT
1078
T.H.T.K.L
REG/OP/190404-0072 199379 ELIYAROSA BT SYAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
1079
T.H.T.K.L
REG/OP/190404-0408 316282 DWI YULITA BT SUBROTO dr. Depi Jufri, Sp. POLI THT
1080
T.H.T.K.L
REG/OP/190412-0299 317254 KARTINI BT SAPAR dr. Ahmad Hifni, Sp. POLI THT
1081
THT.KL
REG/OP/190412-0235 137025 MUHAMMAD DAFFA AL FARIZI dr. Ahmad Hifni, Sp. POLI THT
1082 THT.KL

REG/OP/190423-0059 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1083
YBS T.H.T.K.L
REG/OP/190422-0593 210795 URWATUL WUSQO dr. Depi Jufri, Sp. POLI THT
1084
T.H.T.K.L
REG/OP/190416-0121 107095 MURNIATI BT NGADIMAN dr. Depi Jufri, Sp. POLI THT
1085
T.H.T.K.L
REG/OP/190402-0469 313303 ALIMIN BIN GONI dr. Depi Jufri, Sp. POLI THT
1086
T.H.T.K.L
REG/OP/190409-0486 287508 EDISON SYAHRI BIN ATIMRON dr. Depi Jufri, Sp. POLI THT
1087
T.H.T.K.L
REG/OP/190424-0165 141016 FERI IRAWAN BIN SYARIFUDIN dr. Depi Jufri, Sp. POLI THT
1088
T.H.T.K.L
REG/OP/190409-0234 251691 AYDIN KHALFANI REAHYAN P dr. Depi Jufri, Sp. POLI THT
1089
T.H.T.K.L
REG/OP/190422-0186 198746 NY. KARMILA BT KEMIS dr. Depi Jufri, Sp. POLI THT
1090
T.H.T.K.L
REG/OP/190402-0454 085776 LUSI ANDRIYANI BT ARSYAD dr. Depi Jufri, Sp. POLI THT
1091
ARSYAD T.H.T.K.L
REG/OP/190416-0282 252744 NURAINI BT A.GANI dr. Depi Jufri, Sp. POLI THT
1092
T.H.T.K.L
REG/OP/190404-0477 316304 FUTRI MUTIARA ZAHRA BINTI dr. Depi Jufri, Sp. POLI THT
1093
FATHUL T.H.T.K.L
REG/OP/190402-0511 256011 NUR MUHAMMAD BIN JUNI AMRI dr. Depi Jufri, Sp. POLI THT
1094
T.H.T.K.L
REG/OP/190409-0346 316350 MARLINA BT LUKMAN dr. Depi Jufri, Sp. POLI THT
1095
T.H.T.K.L
REG/OP/190409-0485 313303 ALIMIN BIN GONI dr. Depi Jufri, Sp. POLI THT
1096
T.H.T.K.L
REG/OP/190416-0311 316350 MARLINA BT LUKMAN dr. Depi Jufri, Sp. POLI THT
1097
T.H.T.K.L
REG/OP/190408-0063 253879 ADILAH BT SUHAPRI SUHAPRI dr. Depi Jufri, Sp. POLI THT
1098
T.H.T.K.L
REG/OP/190409-0037 103506 ROY FERDINAND VALLENTINO dr. Depi Jufri, Sp. POLI THT
1099
T.H.T.K.L
REG/OP/190409-0223 100116 PUPUT TAMIRA BT SOMAD dr. Depi Jufri, Sp. POLI THT
1100
T.H.T.K.L
REG/OP/190409-0243 316042 NOPRI YANDI BN RODIANSAH dr. Depi Jufri, Sp. POLI THT
1101
T.H.T.K.L
REG/OP/190410-0374 317054 RIDUAN HASANI BIN USMAN dr. Depi Jufri, Sp. POLI THT
1102
T.H.T.K.L
REG/OP/190410-0150 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
1103
T.H.T.K.L
REG/OP/190410-0158 020945 NOPI KAMILA SANTI dr. Depi Jufri, Sp. POLI THT
1104
T.H.T.K.L
REG/OP/190409-0325 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. POLI THT
1105
T.H.T.K.L
REG/OP/190408-0456 316734 AYUHANA BT SAHMAD dr. Depi Jufri, Sp. POLI THT
1106
T.H.T.K.L
REG/OP/190404-0612 316350 MARLINA BT LUKMAN dr. Depi Jufri, Sp. POLI THT
1107
T.H.T.K.L
REG/OP/190402-0238 313956 KAUMA SAFIYA SALSABILA BINTI dr. Depi Jufri, Sp. POLI THT
1108
BENI HERIYANTO T.H.T.K.L
REG/OP/190402-0567 316115 ANDILLA FAZA dr. Depi Jufri, Sp. POLI THT
1109 T.H.T.K.L

REG/OP/190402-0284 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
1110
T.H.T.K.L
REG/OP/190402-0186 223899 PUTRI MIFTAHUL JANNAH dr. Depi Jufri, Sp. POLI THT
1111
T.H.T.K.L
REG/OP/190402-0190 020945 NOPI KAMILA SANTI dr. Depi Jufri, Sp. POLI THT
1112
T.H.T.K.L
REG/OP/190409-0344 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
1113
T.H.T.K.L
REG/OP/190326-0151 251039 DEDEK BIN MAHIYEN dr. Depi Jufri, Sp. POLI THT
1114
T.H.T.K.L
REG/OP/190401-0683 255466 HAIRUL BIN GINO dr. Depi Jufri, Sp. POLI THT
1115
T.H.T.K.L
REG/OP/190401-0590 049426 SINAR HERAWATI BT NALIN dr. Depi Jufri, Sp. POLI THT
1116
T.H.T.K.L
REG/OP/190328-0143 041091 ASMAWATI BT USMAN USMAN dr. Depi Jufri, Sp. POLI THT
1117
T.H.T.K.L
REG/OP/190326-0440 020945 NOPI KAMILA SANTI dr. Depi Jufri, Sp. POLI THT
1118
T.H.T.K.L
REG/OP/190328-0453 315542 DERIS RAMADON BN DEDI DORES dr. Depi Jufri, Sp. POLI THT
1119
T.H.T.K.L
REG/OP/190328-0290 314661 BADRU SALAM BIN OSID dr. Depi Jufri, Sp. POLI THT
1120
T.H.T.K.L
REG/OP/190326-0196 116186 AKHMAD ARIADI BN USMAN DAUD dr. Depi Jufri, Sp. POLI THT
1121
T.H.T.K.L
REG/OP/190328-0505 162533 SUSILAH BT SYARIPUDIN dr. Depi Jufri, Sp. POLI THT
1122
T.H.T.K.L
REG/OP/190328-0352 148651 AULIYA BIN CEK AKIM dr. Depi Jufri, Sp. POLI THT
1123
T.H.T.K.L
REG/OP/190326-0115 090149 NABILA ZAKIA BT SUPAAT MAULUD dr. Depi Jufri, Sp. POLI THT
1124
T.H.T.K.L
REG/OP/190404-0434 090149 NABILA ZAKIA BT SUPAAT MAULUD dr. Depi Jufri, Sp. POLI THT
1125
T.H.T.K.L
REG/OP/190328-0032 314247 IQBAL LATASA BIN APRIADI dr. Depi Jufri, Sp. POLI THT
1126
T.H.T.K.L
REG/OP/190423-0272 315252 ROHMAN MOH IKSAN BN ACES dr. Depi Jufri, Sp. POLI THT
1127
SUNJANA T.H.T.K.L
REG/OP/190402-0070 315954 RAFEL IRMAN APRIO dr. Depi Jufri, Sp. POLI THT
1128
T.H.T.K.L
REG/OP/190408-0039 315954 RAFEL IRMAN APRIO dr. Depi Jufri, Sp. POLI THT
1129
T.H.T.K.L
REG/OP/190408-0069 315252 ROHMAN MOH IKSAN BN ACES dr. Depi Jufri, Sp. POLI THT
1130
SUNJANA T.H.T.K.L
REG/OP/190423-0183 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. POLI THT
1131
T.H.T.K.L
REG/OP/190401-0049 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
1132
T.H.T.K.L
REG/OP/190401-0282 251039 DEDEK BIN MAHIYEN dr. Depi Jufri, Sp. POLI THT
1133
T.H.T.K.L
REG/OP/190401-0056 313302 BAHIMA BT MANSYUR dr. Depi Jufri, Sp. POLI THT
1134
T.H.T.K.L
REG/OP/190405-0464 007200 IIN DARLIAH BT NASIR dr. Depi Jufri, Sp. POLI THT
1135
T.H.T.K.L
REG/OP/190401-0195 266817 M RASYIQUL ABID BIN DADANG dr. Depi Jufri, Sp. POLI THT
1136
JASUMA T.H.T.K.L
REG/OP/190408-0097 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. POLI THT
1137
T.H.T.K.L
REG/OP/190409-0021 109755 ABDUL HADI BIN AZIZ SALEH dr. Depi Jufri, Sp. POLI THT
1138
T.H.T.K.L
REG/OP/190401-0675 315907 KARTIYANA BT PUJI dr. Depi Jufri, Sp. POLI THT
1139
T.H.T.K.L
REG/OP/190405-0233 316481 DWI FEBRIANI dr. Ahmad Hifni, Sp. POLI THT
1140
THT.KL
REG/OP/190401-0625 315881 NADIN MEYSAH BT HAYUN dr. Depi Jufri, Sp. POLI THT
1141 FIRMANSYAH T.H.T.K.L

REG/OP/190422-0591 284007 SUPIATUN BT NAZARUDIN dr. Depi Jufri, Sp. POLI THT
1142
T.H.T.K.L
REG/OP/190416-0170 020945 NOPI KAMILA SANTI dr. Depi Jufri, Sp. POLI THT
1143
T.H.T.K.L
REG/OP/190416-0081 115558 HENDRA SAPUTRA BIN AGUS dr. Depi Jufri, Sp. POLI THT
1144
T.H.T.K.L
REG/OP/190416-0230 298700 YUNI ARDA NINGSIH dr. Depi Jufri, Sp. POLI THT
1145
T.H.T.K.L
REG/OP/190416-0172 230080 RIFKY SAPUTRA BIN MANTAP dr. Depi Jufri, Sp. POLI THT
1146
MANTAP T.H.T.K.L
REG/OP/190416-0295 316949 HENI FITRIA NINGSIH BINTI dr. Depi Jufri, Sp. POLI THT
1147
TAUFIK T.H.T.K.L
REG/OP/190423-0458 315881 NADIN MEYSAH BT HAYUN dr. Depi Jufri, Sp. POLI THT
1148 FIRMANSYAH T.H.T.K.L

REG/OP/190401-0028 109755 ABDUL HADI BIN AZIZ SALEH dr. Depi Jufri, Sp. POLI THT
1149
T.H.T.K.L
REG/OP/190408-0317 122600 ERNALIZA BT A.RAHMAN dr. Depi Jufri, Sp. POLI THT
1150
T.H.T.K.L
REG/OP/190410-0415 317061 YADYA RAFISAH BT ALAMSYAH dr. Depi Jufri, Sp. POLI THT
1151
T.H.T.K.L
REG/OP/190410-0361 212977 YENI SANDRA DEWI BT MUHAM dr. Depi Jufri, Sp. POLI THT
1152
T.H.T.K.L
REG/OP/190410-0387 014919 SETIYONO BN SUKADI SUKARDI dr. Depi Jufri, Sp. POLI THT
1153
T.H.T.K.L
REG/OP/190410-0179 317013 DIAR CAHAYA GUSTI BIN A dr. Depi Jufri, Sp. POLI THT
1154
SUHARDI T.H.T.K.L
REG/OP/190405-0320 316501 NAFIS MUSAFA BIN NUR KHOZIN dr. Ahmad Hifni, Sp. POLI THT
1155
THT.KL
REG/OP/190405-0352 081992 RAHMAD PIRLO RAMADONI dr. Ahmad Hifni, Sp. POLI THT
1156
THT.KL
REG/OP/190405-0252 316490 M HAKIM dr. Ahmad Hifni, Sp. POLI THT
1157
THT.KL
REG/OP/190422-0379 243120 MERI ARITA BT SULAIMAN AHMAD dr. Depi Jufri, Sp. POLI THT
1158 MAULANA T.H.T.K.L

REG/OP/190401-0516 315845 DIA WULANDARI BT DESI dr. Depi Jufri, Sp. POLI THT
1159
ARISANDI T.H.T.K.L
REG/OP/190410-0055 133746 VILI ANDIRTI BT ANDI M.NASIR dr. Depi Jufri, Sp. POLI THT
1160
T.H.T.K.L
REG/OP/190405-0191 315793 BOYLEN BN YAMIN dr. Ahmad Hifni, Sp. POLI THT
1161
THT.KL
REG/OP/190409-0152 298440 AMIRAH RAFANI UMBARA dr. Depi Jufri, Sp. POLI THT
1162
T.H.T.K.L
REG/OP/190408-0421 296484 ZOHER BIN NUSTOMI dr. Depi Jufri, Sp. POLI THT
1163
T.H.T.K.L
REG/OP/190401-0337 315793 BOYLEN BN YAMIN dr. Depi Jufri, Sp. POLI THT
1164
T.H.T.K.L
REG/OP/190409-0443 248127 AKTARY HERDIANTO dr. Depi Jufri, Sp. POLI THT
1165
T.H.T.K.L
REG/OP/190416-0235 248127 AKTARY HERDIANTO dr. Depi Jufri, Sp. POLI THT
1166
T.H.T.K.L
REG/OP/190423-0424 248127 AKTARY HERDIANTO dr. Depi Jufri, Sp. POLI THT
1167
T.H.T.K.L
REG/OP/190423-0218 273084 AULIYAH NURFITRIA BINTI M dr. Depi Jufri, Sp. POLI THT
1168
ROSIDIN - T.H.T.K.L
REG/OP/190408-0249 185212 IFTINA ASSAYABIYA RAFIFA dr. Depi Jufri, Sp. POLI THT
1169
T.H.T.K.L
REG/OP/190401-0158 276073 SUCI TRISTIANTI BT HUSMERI dr. Depi Jufri, Sp. POLI THT
1170
T.H.T.K.L
REG/OP/190405-0348 145154 RIDHO IBRA HAKIM dr. Ahmad Hifni, Sp. POLI THT
1171
THT.KL
REG/OP/190416-0244 273084 AULIYAH NURFITRIA BINTI M dr. Depi Jufri, Sp. POLI THT
1172
ROSIDIN - T.H.T.K.L
REG/OP/190409-0303 315244 RASIKAH IFTINAH KARTINI dr. Depi Jufri, Sp. POLI THT
1173
T.H.T.K.L
REG/OP/190422-0235 317013 DIAR CAHAYA GUSTI BIN A dr. Depi Jufri, Sp. POLI THT
1174
SUHARDI T.H.T.K.L
REG/OP/190423-0119 129765 RESKITA BT AHMAT YUSUP dr. Depi Jufri, Sp. POLI THT
1175
T.H.T.K.L
REG/OP/190412-0136 081992 RAHMAD PIRLO RAMADONI dr. Ahmad Hifni, Sp. POLI THT
1176
THT.KL
REG/OP/190326-0488 315257 IKE SUCI YULIANA PUTRI BT dr. Depi Jufri, Sp. POLI THT
1177
BURHAN T.H.T.K.L
REG/OP/190408-0043 314247 IQBAL LATASA BIN APRIADI dr. Depi Jufri, Sp. POLI THT
1178
T.H.T.K.L
REG/OP/190409-0052 032475 KORIFARNI BT A.MUIS dr. Depi Jufri, Sp. POLI THT
1179
T.H.T.K.L
REG/OP/190411-0478 230560 NURHAYATI BT NANG UNING dr. Depi Jufri, Sp. POLI THT
1180
T.H.T.K.L
REG/OP/190411-0497 317182 NENDEN DEKA RUSDEKAWATI BIN dr. Depi Jufri, Sp. POLI THT
1181
DEDEN SAEPUDIN T.H.T.K.L
REG/OP/190411-0401 236108 RUSWITA BT ZAWAWI dr. Depi Jufri, Sp. POLI THT
1182
T.H.T.K.L
REG/OP/190409-0277 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
1183
T.H.T.K.L
REG/OP/190408-0178 298797 DARMAWI BN HASANUDIN dr. Depi Jufri, Sp. POLI THT
1184
T.H.T.K.L
REG/OP/190401-0073 080672 RIZKI RAMADHAN BIN SUTOPO dr. Depi Jufri, Sp. POLI THT
1185
T.H.T.K.L
REG/OP/190408-0170 229942 GUSNA DEWITA BT JAMUAR dr. Depi Jufri, Sp. POLI THT
1186
T.H.T.K.L
REG/OP/190408-0337 290888 DEVI APRILIANTI BT SUDARMAN dr. Depi Jufri, Sp. POLI THT
1187
T.H.T.K.L
REG/OP/190405-0031 001154 MUADAMILAH BT A.RAPIK dr. Depi Jufri, Sp. POLI THT
1188
T.H.T.K.L
REG/OP/190408-0225 266817 M RASYIQUL ABID BIN DADANG dr. Depi Jufri, Sp. POLI THT
1189
JASUMA T.H.T.K.L
REG/OP/190409-0504 316966 ASMA BT NA'AM dr. Depi Jufri, Sp. POLI THT
1190
T.H.T.K.L
REG/OP/190423-0176 000976 SINARYA BT DAYAN dr. Depi Jufri, Sp. POLI THT
1191
T.H.T.K.L
REG/OP/190405-0090 316455 ROSIDI dr. Ahmad Hifni, Sp. POLI THT
1192
THT.KL
REG/OP/190408-0073 142692 KHODIJAH BT H.RAHMAD dr. Depi Jufri, Sp. POLI THT
1193
T.H.T.K.L
REG/OP/190405-0223 174581 AYU SULISTINA BT REDIUS dr. Depi Jufri, Sp. POLI THT
1194 T.H.T.K.L

REG/OP/190409-0433 032617 YUNIARNI dr. Depi Jufri, Sp. POLI THT


1195
T.H.T.K.L
REG/OP/190411-0373 315276 SUKAESIH BT ARSUDIN dr. Depi Jufri, Sp. POLI THT
1196
T.H.T.K.L
REG/OP/190401-0043 315276 SUKAESIH BT ARSUDIN dr. Depi Jufri, Sp. POLI THT
1197
T.H.T.K.L
REG/OP/190405-0343 173314 YATI BT MAT KOHAN dr. Depi Jufri, Sp. POLI THT
1198
T.H.T.K.L
REG/OP/190404-0371 316270 VERAWATI BT GUNADI dr. Depi Jufri, Sp. POLI THT
1199
T.H.T.K.L
REG/OP/190410-0105 161204 TAISIR BIN SULAIMAN SULAIMAN / dr. Depi Jufri, Sp. POLI THT
1200
AYAH T.H.T.K.L
REG/OP/190326-0076 172233 ASMALINA BT NAWAS dr. Depi Jufri, Sp. POLI THT
1201
T.H.T.K.L
REG/OP/190424-0356 172428 RASID BIN SAMSAM dr. Depi Jufri, Sp. POLI THT
1202
T.H.T.K.L
REG/OP/190412-0109 172233 ASMALINA BT NAWAS dr. Ahmad Hifni, Sp. POLI THT
1203
THT.KL
REG/OP/190320-0192 167959 MUHAMMAD NUR BIN KANE dr. Depi Jufri, Sp. POLI THT
1204
T.H.T.K.L
REG/OP/190404-0447 316264 SAREI BIN DELIMAT dr. Depi Jufri, Sp. POLI THT
1205
T.H.T.K.L
REG/OP/190423-0404 158458 ADITYA DZAKI DAIFULLAH dr. Depi Jufri, Sp. POLI THT
1206
T.H.T.K.L
REG/OP/190401-0094 315413 ACHAY PRAMUDYA UTAMA BIN dr. Depi Jufri, Sp. POLI THT
1207
SUKAIMI T.H.T.K.L
REG/OP/190326-0263 315210 NELI A REGAR BT SIREGAR dr. Depi Jufri, Sp. POLI THT
1208
T.H.T.K.L
REG/OP/190401-0174 265753 DZALFA SYAKIRAH BT, DEDI dr. Depi Jufri, Sp. POLI THT
1209
T.H.T.K.L
REG/OP/190411-0314 225276 LASIDAR BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
1210
T.H.T.K.L
REG/OP/190415-0139 225276 LASIDAR BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
1211
T.H.T.K.L
REG/OP/190402-0392 225276 LASIDAR BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
1212
T.H.T.K.L
REG/OP/190328-0161 315484 SUGIANTI BT TARJO dr. Depi Jufri, Sp. POLI THT
1213
T.H.T.K.L
REG/OP/190405-0105 156866 M.RAKA ALBAQI BIN MEDIANSYAH dr. Depi Jufri, Sp. POLI THT
1214
T.H.T.K.L
REG/OP/190423-0241 261189 FIRMAN BIN DIRI ROMIDA / IBU dr. Depi Jufri, Sp. POLI THT
1215
T.H.T.K.L
REG/OP/190401-0210 223409 M WAHYU NUGRAHA dr. Depi Jufri, Sp. POLI THT
1216
T.H.T.K.L
REG/OP/190402-0052 032475 KORIFARNI BT A.MUIS dr. Depi Jufri, Sp. POLI THT
1217
T.H.T.K.L
REG/OP/190320-0065 314492 JUNAIDI BIN WINTARA dr. Depi Jufri, Sp. POLI THT
1218
T.H.T.K.L
REG/OP/190402-0379 316043 DIANDRA NUR ALIM dr. Depi Jufri, Sp. POLI THT
1219
T.H.T.K.L
REG/OP/190408-0157 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
1220
T.H.T.K.L
REG/OP/190416-0233 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
1221
T.H.T.K.L
REG/OP/190416-0221 221258 M.FATHAN KHALIFI ALDRIC dr. Depi Jufri, Sp. POLI THT
1222
T.H.T.K.L
REG/OP/190409-0506 221258 M.FATHAN KHALIFI ALDRIC dr. Depi Jufri, Sp. POLI THT
1223
T.H.T.K.L
REG/OP/190402-0570 279667 PUTRI ALMAIRA BT ABUZAR ALQI dr. Depi Jufri, Sp. POLI THT
1224
VARI T.H.T.K.L
REG/OP/190422-0304 236108 RUSWITA BT ZAWAWI dr. Depi Jufri, Sp. POLI THT
1225
T.H.T.K.L
REG/OP/190409-0330 028477 SULASTRI BT USMAN dr. Depi Jufri, Sp. POLI THT
1226
T.H.T.K.L
REG/IP/190422-0057 250175 SUWITO BIN AKMAL dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
1227

REG/IP/190325-0058 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. MERANTI
1228 T.H.T.K.L

REG/IP/190401-0032 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. MERANTI
1229 YBS T.H.T.K.L

REG/IP/190408-0018 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. MERANTI
1230 T.H.T.K.L

REG/IP/190326-0033 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG


1231 T.H.T.K.L

REG/IP/190325-0057 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. MEDANG
1232 T.H.T.K.L

REG/IP/190326-0039 090149 NABILA ZAKIA BT SUPAAT MAULUD dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1233

REG/IP/190422-0025 316772 SUTI CAMELIA BT NURDIN dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1234

REG/IP/190326-0059 315210 NELI A REGAR BT SIREGAR dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1235

REG/IP/190225-0026 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG


1236 T.H.T.K.L

REG/IP/190401-0049 291680 NUR INTAN RAHMADIYAH dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
1237
REG/IP/190326-0038 297874 UDIN SYAMSUDIN BN MINTA dr. Depi Jufri, Sp. TEMBESU
1238 T.H.T.K.L

REG/IP/190409-0037 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. TEMBESU
1239 YBS T.H.T.K.L

REG/IP/190326-0051 020945 NOPI KAMILA SANTI dr. Depi Jufri, Sp. TEMBESU
1240 T.H.T.K.L

REG/IP/190422-0009 199379 ELIYAROSA BT SYAIPUL ANWAR dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
1241

REG/IP/190415-0029 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. TEMBESU
1242 T.H.T.K.L

REG/IP/190415-0033 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. LEBAN
1243
T.H.T.K.L
REG/IP/190401-0031 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. LEBAN
1244 T.H.T.K.L

REG/IP/190415-0015 317013 DIAR CAHAYA GUSTI BIN A dr. Depi Jufri, Sp. LEBAN
SUHARDI T.H.T.K.L
1245

REG/IP/190325-0026 163235 SHERLI BT DARMAWI HARIYANTO dr. Depi Jufri, Sp. LEBAN
1246 T.H.T.K.L

REG/IP/190423-0041 129765 RESKITA BT AHMAT YUSUP dr. Depi Jufri, Sp. LEBAN
1247
T.H.T.K.L
REG/IP/190415-0030 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. LEBAN
1248 YBS T.H.T.K.L

REG/IP/190401-0044 315276 SUKAESIH BT ARSUDIN dr. Depi Jufri, Sp. LEBAN


T.H.T.K.L
1249

1250
1251
1252
1253
REG/OP/190516-0409 175478 SUPIRMAN BIN ANDOI dr. Depi Jufri, Sp. POLI
1254
T.H.T.K.L SYARAF
REG/OP/190513-0313 319424 KATINI BT SUKADI dr. Depi Jufri, Sp. POLI THT
1255
T.H.T.K.L
REG/OP/190425-0354 286416 RALIN DWI TASYA BT ENDANG dr. Ahmad Hifni, Sp. POLI THT
1256
KRISTIAN THT.KL
REG/OP/190506-0118 318508 M.GIBRAN MELAZI BIN AGUS dr. Depi Jufri, Sp. POLI THT
1257
ZULKIPLI T.H.T.K.L
REG/OP/190430-0131 318508 M.GIBRAN MELAZI BIN AGUS dr. Depi Jufri, Sp. POLI THT
1258
ZULKIPLI T.H.T.K.L
REG/OP/190418-0226 223385 DERI PRABOWO BIN SARBI S dr. Depi Jufri, Sp. POLI THT
1259
MERI /IBU T.H.T.K.L
REG/OP/190510-0096 286416 RALIN DWI TASYA BT ENDANG dr. Ahmad Hifni, Sp. POLI THT
1260
KRISTIAN THT.KL
REG/OP/190513-0134 319390 RIDHANA HASEGA BT MUHAMAD dr. Depi Jufri, Sp. POLI THT
1261
HASBI T.H.T.K.L
REG/OP/190506-0126 313302 BAHIMA BT MANSYUR dr. Depi Jufri, Sp. POLI THT
1262
T.H.T.K.L
REG/OP/190514-0082 175293 DEWI PUDJI ROCHJANI dr. Depi Jufri, Sp. POLI THT
1263
T.H.T.K.L
REG/OP/190514-0156 318442 ZALIKA ROPITA BT JONI ISKANDAR dr. Depi Jufri, Sp. POLI THT
1264
T.H.T.K.L
REG/OP/190516-0225 319167 MUHAMMAD HABIBILLAH BIN dr. Ahmad Hifni, Sp. POLI THT
1265
CANDRA THT.KL
REG/OP/190523-0334 248638 RIYAN PRATAMA MERDEKAWAN dr. Ahmad Hifni, Sp. POLI THT
1266
BAIHAKKI THT.KL
REG/OP/190515-0058 120646 ASIA BT ABBAS dr. Depi Jufri, Sp. POLI THT
1267
T.H.T.K.L
REG/OP/190515-0146 281841 ARDIANA BT WAHNI dr. Depi Jufri, Sp. POLI THT
1268
T.H.T.K.L
REG/OP/190527-0140 312957 ROAINI BNT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1269
T.H.T.K.L
REG/OP/190527-0277 258060 INDRA SAPUTRA BIN AGUS dr. Depi Jufri, Sp. POLI THT
1270
APRIADI T.H.T.K.L
REG/OP/190515-0089 176832 MASTINA BT BURHAN dr. Depi Jufri, Sp. POLI THT
1271
T.H.T.K.L
REG/OP/190515-0209 188170 IMAM CASTELLO FRIZANO ALFIAN dr. Depi Jufri, Sp. POLI THT
1272
T.H.T.K.L
REG/OP/190515-0260 222161 SARNUBI BIN ZAKARIA dr. Depi Jufri, Sp. POLI THT
1273
T.H.T.K.L
REG/OP/190515-0309 063665 DESNA BT KORHI dr. Depi Jufri, Sp. POLI THT
1274
T.H.T.K.L
REG/OP/190514-0288 155799 M RASYID FARRAS ANUGRAH BIN dr. Depi Jufri, Sp. POLI THT
1275
MULYATO T.H.T.K.L
REG/OP/190514-0064 311885 AAN PRIANTO BIN ARYONO dr. Depi Jufri, Sp. POLI THT
1276
T.H.T.K.L
REG/OP/190520-0107 311885 AAN PRIANTO BIN ARYONO dr. Depi Jufri, Sp. POLI THT
1277
T.H.T.K.L
REG/OP/190515-0143 318361 ANDRE GUSTIAN BIN YEYEN dr. Depi Jufri, Sp. POLI THT
1278
T.H.T.K.L
REG/OP/190502-0614 257165 YANRI ANATA BIN SUDARYON dr. Ahmad Hifni, Sp. POLI THT
1279
THT.KL
REG/OP/190513-0096 172233 ASMALINA BT NAWAS dr. Depi Jufri, Sp. POLI THT
1280
T.H.T.K.L
REG/OP/190516-0208 167286 ACHMAD VICKI ARDIANZAH dr. Ahmad Hifni, Sp. POLI THT
1281
THT.KL
REG/OP/190430-0188 311232 MEI LIANA ZANDIA BT IRZAN dr. Depi Jufri, Sp. POLI THT
1282
T.H.T.K.L
REG/OP/190506-0238 101348 RIDHANA HASEKA BIN M.HASBI dr. Depi Jufri, Sp. POLI THT
1283
T.H.T.K.L
REG/OP/190401-0162 311266 SURYA DHARMA BIN ALI MULTIPAN dr. Depi Jufri, Sp. POLI THT
1284
T.H.T.K.L
REG/OP/190424-0362 309887 YUDHI ARDIANSYAH BN IMRON dr. Depi Jufri, Sp. POLI THT
1285
T.H.T.K.L
REG/OP/190415-0148 315881 NADIN MEYSAH BT HAYUN dr. Depi Jufri, Sp. POLI THT
1286
FIRMANSYAH T.H.T.K.L
REG/OP/190415-0334 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1287
T.H.T.K.L
REG/OP/190415-0097 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1288
T.H.T.K.L
REG/OP/190426-0121 318299 A WAHID BIN ASROPI dr. Ahmad Hifni, Sp. POLI THT
1289
THT.KL
REG/OP/190415-0205 296512 SITI PATONAH BT TONO dr. Depi Jufri, Sp. POLI THT
1290
T.H.T.K.L
REG/OP/190506-0364 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. POLI THT
1291
T.H.T.K.L
REG/OP/190523-0282 167286 ACHMAD VICKI ARDIANZAH dr. Ahmad Hifni, Sp. POLI THT
1292
THT.KL
REG/OP/190429-0282 318361 ANDRE GUSTIAN BIN YEYEN dr. Depi Jufri, Sp. POLI THT
1293
T.H.T.K.L
REG/OP/190415-0166 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. POLI THT
1294
T.H.T.K.L
REG/OP/190430-0158 284979 ARMAWI BIN HANAPIA dr. Depi Jufri, Sp. POLI THT
1295
T.H.T.K.L
REG/OP/190426-0056 172233 ASMALINA BT NAWAS dr. Ahmad Hifni, Sp. POLI THT
1296
THT.KL
REG/OP/190522-0367 249980 RUDATIN BT SELAMAT dr. Depi Jufri, Sp. POLI THT
1297
T.H.T.K.L
REG/OP/190520-0397 319467 MELY ANDANI BT RIPAZR dr. Depi Jufri, Sp. POLI THT
1298
T.H.T.K.L
REG/OP/190415-0417 236108 RUSWITA BT ZAWAWI dr. Depi Jufri, Sp. POLI THT
1299
T.H.T.K.L
REG/OP/190430-0331 238626 ILYASA MAULANA BIN ERNO dr. Depi Jufri, Sp. POLI THT
1300
HERYANTO T.H.T.K.L
REG/OP/190425-0179 238490 ERMALINDA BT BAIHAKI dr. Ahmad Hifni, Sp. POLI THT
1301
THT.KL
REG/OP/190429-0330 318442 ZALIKA ROPITA BT JONI ISKANDAR dr. Depi Jufri, Sp. POLI THT
1302
T.H.T.K.L
REG/OP/190429-0439 318452 ERISKI ARIANA SARI BT dr. Depi Jufri, Sp. POLI THT
1303
SUKIMAN T.H.T.K.L
REG/OP/190430-0285 102626 MUKSIN BIN IBRAHIM SARIFAH dr. Depi Jufri, Sp. POLI THT
1304
T.H.T.K.L
REG/OP/190430-0165 291680 NUR INTAN RAHMADIYAH dr. Depi Jufri, Sp. POLI THT
1305
T.H.T.K.L
REG/OP/190401-0052 291680 NUR INTAN RAHMADIYAH dr. Depi Jufri, Sp. POLI THT
1306
T.H.T.K.L
REG/OP/190426-0039 290888 DEVI APRILIANTI BT SUDARMAN dr. Ahmad Hifni, Sp. POLI THT
1307
THT.KL
REG/OP/190429-0041 318414 ABEL BIN SENANTO dr. Depi Jufri, Sp. POLI THT
1308
T.H.T.K.L
REG/OP/190506-0166 097840 MIMI APRIANI BT IRAWAN dr. Depi Jufri, Sp. POLI THT
1309
T.H.T.K.L
REG/OP/190502-0179 097840 MIMI APRIANI BT IRAWAN dr. Ahmad Hifni, Sp. POLI THT
1310
THT.KL
REG/OP/190418-0495 170433 MUHAMMAD NUH BIN WAHAB dr. Depi Jufri, Sp. POLI THT
1311
T.H.T.K.L
REG/OP/190514-0190 238490 ERMALINDA BT BAIHAKI dr. Depi Jufri, Sp. POLI THT
1312
T.H.T.K.L
REG/OP/190521-0216 300906 ANISA BT ANDI WIJAYA dr. Depi Jufri, Sp. POLI THT
1313
T.H.T.K.L
REG/OP/190425-0198 282477 MUHAMMAD SULAIMAN FIRDAUS dr. Ahmad Hifni, Sp. POLI THT
1314
BIN AGUS JUNAIDI THT.KL
REG/OP/190528-0246 238490 ERMALINDA BT BAIHAKI dr. Depi Jufri, Sp. POLI THT
1315
T.H.T.K.L
REG/OP/190418-0536 317722 RETNO NINGTYAS TRI WARDANI dr. Depi Jufri, Sp. POLI THT
1316
T.H.T.K.L
REG/OP/190418-0502 317715 TUSKO SUGIANTO BIN ASMEJA dr. Depi Jufri, Sp. POLI THT
1317
T.H.T.K.L
REG/OP/190424-0104 317715 TUSKO SUGIANTO BIN ASMEJA dr. Depi Jufri, Sp. POLI THT
1318
T.H.T.K.L
REG/OP/190418-0466 317709 CIK UNA BT BAHASAN dr. Depi Jufri, Sp. POLI THT
1319
T.H.T.K.L
REG/OP/190418-0173 238490 ERMALINDA BT BAIHAKI dr. Depi Jufri, Sp. POLI THT
1320
T.H.T.K.L
REG/OP/190430-0358 302249 CINDY IRVINA OKTAREVA dr. Depi Jufri, Sp. POLI THT
1321
T.H.T.K.L
REG/OP/190506-0270 248127 AKTARY HERDIANTO dr. Depi Jufri, Sp. POLI THT
1322
T.H.T.K.L
REG/OP/190430-0356 248127 AKTARY HERDIANTO dr. Depi Jufri, Sp. POLI THT
1323
T.H.T.K.L
REG/OP/190513-0345 248127 AKTARY HERDIANTO dr. Depi Jufri, Sp. POLI THT
1324
T.H.T.K.L
REG/OP/190520-0080 319785 MELSA APIKA dr. Depi Jufri, Sp. POLI THT
1325
T.H.T.K.L
REG/OP/190429-0515 318154 ERTISA BT SUKRI dr. Depi Jufri, Sp. POLI THT
1326
T.H.T.K.L
REG/OP/190506-0375 249980 RUDATIN BT SELAMAT dr. Depi Jufri, Sp. POLI THT
1327
T.H.T.K.L
REG/OP/190418-0197 095412 NELLY HASTATI BT A. ROHIM dr. Depi Jufri, Sp. POLI THT
1328
T.H.T.K.L
REG/OP/190513-0466 016926 RIPQI CAHYO BIN ISKANDAR dr. Depi Jufri, Sp. POLI THT
1329
T.H.T.K.L
REG/OP/190520-0326 319449 MASNIM BINTI ANANG ANWAR dr. Depi Jufri, Sp. POLI THT
1330
T.H.T.K.L
REG/OP/190527-0121 311885 AAN PRIANTO BIN ARYONO dr. Depi Jufri, Sp. POLI THT
1331
T.H.T.K.L
REG/OP/190527-0333 226682 HENDRA SYAPUTRA BN ALIMIN dr. Depi Jufri, Sp. POLI THT
1332
T.H.T.K.L
REG/OP/190527-0265 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1333
T.H.T.K.L
REG/OP/190527-0459 220903 AHMAD FATONI BN SAMIN dr. Depi Jufri, Sp. POLI THT
1334
T.H.T.K.L
REG/OP/190520-0162 176832 MASTINA BT BURHAN dr. Depi Jufri, Sp. POLI THT
1335
T.H.T.K.L
REG/OP/190502-0151 316734 AYUHANA BT SAHMAD dr. Ahmad Hifni, Sp. POLI THT
1336
THT.KL
REG/OP/190408-0493 316744 ANDI MESA BIN ARSAD dr. Depi Jufri, Sp. POLI THT
1337
T.H.T.K.L
REG/OP/190430-0452 049426 SINAR HERAWATI BT NALIN dr. Depi Jufri, Sp. POLI THT
1338
T.H.T.K.L
REG/OP/190514-0115 278485 HUZAIDIN BIN AMRI dr. Depi Jufri, Sp. POLI THT
1339
T.H.T.K.L
REG/OP/190521-0171 278485 HUZAIDIN BIN AMRI dr. Depi Jufri, Sp. POLI THT
1340
T.H.T.K.L
REG/OP/190506-0104 316767 ARIKI BN AHLAN dr. Depi Jufri, Sp. POLI THT
1341
T.H.T.K.L
REG/OP/190429-0412 278644 KAYLA OKTA HARISTIA dr. Depi Jufri, Sp. POLI THT
1342
T.H.T.K.L
REG/OP/190502-0634 275068 AGUS KURNIAWAN BIN DJAHRI dr. Ahmad Hifni, Sp. POLI THT
1343
THT.KL
REG/OP/190415-0497 317466 PONIKEM dr. Depi Jufri, Sp. POLI THT
1344
T.H.T.K.L
REG/OP/190415-0193 317387 YOGA OKTA PRATAMA dr. Depi Jufri, Sp. POLI THT
1345
T.H.T.K.L
REG/OP/190510-0166 275068 AGUS KURNIAWAN BIN DJAHRI dr. Ahmad Hifni, Sp. POLI THT
1346
THT.KL
REG/OP/190506-0157 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1347
T.H.T.K.L
REG/OP/190513-0359 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1348
T.H.T.K.L
REG/OP/190527-0179 213271 NOPRIYANTO BIN HATTA dr. Depi Jufri, Sp. POLI THT
1349
T.H.T.K.L
REG/OP/190416-0225 317558 CANTIKA DWI ARAHMA BT SUROTO dr. Depi Jufri, Sp. POLI THT
1350
T.H.T.K.L
REG/OP/190502-0200 316772 SUTI CAMELIA BT NURDIN dr. Ahmad Hifni, Sp. POLI THT
1351
THT.KL
REG/OP/190415-0079 316772 SUTI CAMELIA BT NURDIN dr. Depi Jufri, Sp. POLI THT
1352
T.H.T.K.L
REG/OP/190528-0244 207634 NAYLA KHANSA ZAHIRA dr. Depi Jufri, Sp. POLI THT
1353
T.H.T.K.L
REG/OP/190513-0079 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
1354
T.H.T.K.L
REG/OP/190506-0041 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
1355
T.H.T.K.L
REG/OP/190426-0276 206001 WIDIYANTI BT ZAINI dr. Depi Jufri, Sp. POLI THT
1356
T.H.T.K.L
REG/OP/190520-0249 316767 ARIKI BN AHLAN dr. Depi Jufri, Sp. POLI THT
1357
T.H.T.K.L
REG/OP/190527-0370 320197 RESNI BT HASBULLAH dr. Depi Jufri, Sp. POLI THT
1358
T.H.T.K.L
REG/OP/190527-0373 320199 RESMIYATI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
1359
T.H.T.K.L
REG/OP/190527-0367 320196 MELLY ANDANI BT RIFAZIR dr. Depi Jufri, Sp. POLI THT
1360
T.H.T.K.L
REG/OP/190426-0103 097840 MIMI APRIANI BT IRAWAN dr. Ahmad Hifni, Sp. POLI THT
1361
THT.KL
REG/OP/190409-0164 316881 MARIAM BT MUSIP dr. Depi Jufri, Sp. POLI THT
1362
T.H.T.K.L
REG/OP/190502-0469 240160 SELLA BT RUDI dr. Ahmad Hifni, Sp. POLI THT
1363
THT.KL
REG/OP/190527-0357 320195 FRILLY LIYA BINTI KRISTIAN dr. Depi Jufri, Sp. POLI THT
1364
T.H.T.K.L
REG/OP/190528-0294 320265 KARINA SULISTIAWATI BINTI dr. Depi Jufri, Sp. POLI THT
1365
JAJAK JAILANI T.H.T.K.L
REG/OP/190506-0092 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
1366
T.H.T.K.L
REG/OP/190418-0079 317650 RIZKHA KARUNIA PUTRY dr. Depi Jufri, Sp. POLI THT
1367
T.H.T.K.L
REG/OP/190424-0219 305319 MUHAMAD BIN MAT ASIR dr. Depi Jufri, Sp. POLI THT
1368
T.H.T.K.L
REG/OP/190418-0087 317665 ASIA BT USRO dr. Depi Jufri, Sp. POLI THT
1369
T.H.T.K.L
REG/OP/190527-0358 123162 NURHAYATI BT.USMAN ANTHON dr. Depi Jufri, Sp. POLI THT
1370 RUSANTO T.H.T.K.L

REG/OP/190510-0061 134944 SITI JUSIA BT SOLHA dr. Ahmad Hifni, Sp. POLI THT
1371
THT.KL
REG/OP/190528-0250 304054 MUHAMMAD KENZO FAHREZA dr. Depi Jufri, Sp. POLI THT
1372
T.H.T.K.L
REG/OP/190510-0080 137911 DARWIN BIN SUKAWATI dr. Ahmad Hifni, Sp. POLI THT
1373
THT.KL
REG/OP/190418-0279 317687 ADITIA SANJAYA BIN SUPRIYANTO dr. Depi Jufri, Sp. POLI THT
1374 T.H.T.K.L

REG/OP/190510-0156 271908 IMAM MEDYANSYAH BIN JONASRI dr. Ahmad Hifni, Sp. POLI THT
1375
THT.KL
REG/OP/190527-0282 140322 RINA ANDRIANI BINTI YONDI dr. Depi Jufri, Sp. POLI THT
1376 T.H.T.K.L

REG/OP/190429-0214 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1377
T.H.T.K.L
REG/OP/190430-0160 199379 ELIYAROSA BT SYAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
1378
T.H.T.K.L
REG/OP/190415-0073 199379 ELIYAROSA BT SYAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
1379
T.H.T.K.L
REG/OP/190520-0207 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1380
T.H.T.K.L
REG/OP/190523-0041 320010 BUDI DOYO dr. Ahmad Hifni, Sp. POLI THT
1381
THT.KL
REG/OP/190513-0492 319467 MELY ANDANI BT RIPAZR dr. Depi Jufri, Sp. POLI THT
1382
T.H.T.K.L
REG/OP/190506-0305 318940 KARTINA BT TUSIN dr. Depi Jufri, Sp. POLI THT
1383
T.H.T.K.L
REG/OP/190429-0154 197362 ETA HERIA JULITA dr. Depi Jufri, Sp. POLI THT
1384
T.H.T.K.L
REG/OP/190524-0096 320027 YON HERI BIN RUSLAN dr. Ahmad Hifni, Sp. POLI THT
1385
THT.KL
REG/OP/190520-0267 249983 WILIYA RAHMA SARI BT DARWIN dr. Depi Jufri, Sp. POLI THT
1386
T.H.T.K.L
REG/OP/190510-0091 100819 SUTRIS YANI BT NASRUL dr. Ahmad Hifni, Sp. POLI THT
1387
THT.KL
REG/OP/190429-0232 317013 DIAR CAHAYA GUSTI BIN A dr. Depi Jufri, Sp. POLI THT
1388
SUHARDI T.H.T.K.L
REG/OP/190506-0336 078745 ALEXANDRIA BRILLIANI PUTRI dr. Depi Jufri, Sp. POLI THT
1389
DWIYAN T.H.T.K.L
REG/OP/190523-0301 240160 SELLA BT RUDI dr. Ahmad Hifni, Sp. POLI THT
1390
THT.KL
REG/OP/190527-0124 284007 SUPIATUN BT NAZARUDIN dr. Depi Jufri, Sp. POLI THT
1391
T.H.T.K.L
REG/OP/190418-0441 284007 SUPIATUN BT NAZARUDIN dr. Depi Jufri, Sp. POLI THT
1392 T.H.T.K.L

REG/OP/190524-0223 219160 MUHAMMAD FAIZ ADITYA EDI dr. Ahmad Hifni, Sp. POLI THT
1393
PURNOMO THT.KL
REG/OP/190524-0092 320074 ASHADIYA NAIFA BT RUSNAN dr. Ahmad Hifni, Sp. POLI THT
1394
THT.KL
REG/OP/190430-0438 117970 DIAS PLARA SARI BT RUKLI dr. Depi Jufri, Sp. POLI THT
1395
T.H.T.K.L
REG/OP/190521-0240 075956 PRISKA NEDRIA BT M. HUSEN dr. Depi Jufri, Sp. POLI THT
1396
T.H.T.K.L
REG/OP/190430-0079 119122 YOGA FATURAHMAN BIN dr. Depi Jufri, Sp. POLI THT
1397
UBAIDILAH T.H.T.K.L
REG/OP/190429-0370 307422 ZARATU RAHMA DANI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
1398
T.H.T.K.L
REG/OP/190424-0087 119122 YOGA FATURAHMAN BIN dr. Depi Jufri, Sp. POLI THT
1399
UBAIDILAH T.H.T.K.L
REG/OP/190521-0313 119122 YOGA FATURAHMAN BIN dr. Depi Jufri, Sp. POLI THT
1400
UBAIDILAH T.H.T.K.L
REG/OP/190426-0170 284007 SUPIATUN BT NAZARUDIN dr. Ahmad Hifni, Sp. POLI THT
1401
THT.KL
REG/OP/190426-0138 318301 HARUN BIN HAMID dr. Ahmad Hifni, Sp. POLI THT
1402
THT.KL
REG/OP/190425-0128 041091 ASMAWATI BT USMAN USMAN dr. Ahmad Hifni, Sp. POLI THT
1403
THT.KL
REG/OP/190424-0110 095412 NELLY HASTATI BT A. ROHIM dr. Depi Jufri, Sp. POLI THT
1404
T.H.T.K.L
REG/OP/190424-0163 138734 MUHAMMAD YUSUF BIN SA ARI SA dr. Depi Jufri, Sp. POLI THT
1405
ARI T.H.T.K.L
REG/OP/190424-0047 308101 MUHAMMAD IQBAL BIN ASRIZAL dr. Depi Jufri, Sp. POLI THT
1406
CHAN T.H.T.K.L
REG/OP/190425-0124 318182 TRI SUTRISNO BIN ABDUL AZIZ dr. Ahmad Hifni, Sp. POLI THT
1407
THT.KL
REG/OP/190430-0401 074625 DENSI SUSANTI BT DARNIS YBS dr. Depi Jufri, Sp. POLI THT
1408
T.H.T.K.L
REG/OP/190502-0182 129765 RESKITA BT AHMAT YUSUP dr. Ahmad Hifni, Sp. POLI THT
1409
THT.KL
REG/OP/190426-0052 129802 RUSTANDI BIN HERMAN ROKIYAH dr. Ahmad Hifni, Sp. POLI THT
1410
THT.KL
REG/OP/190415-0229 129765 RESKITA BT AHMAT YUSUP dr. Depi Jufri, Sp. POLI THT
1411
T.H.T.K.L
REG/OP/190527-0345 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1412
T.H.T.K.L
REG/OP/190524-0033 320068 LUSI EDI BT YULI dr. Ahmad Hifni, Sp. POLI THT
1413
THT.KL
REG/OP/190502-0541 318677 HIFKA ARMANDA BT HERENDI dr. Ahmad Hifni, Sp. POLI THT
1414
THT.KL
REG/OP/190502-0579 318688 ASWAH DAHLIA BT AMER HAMZAH dr. Ahmad Hifni, Sp. POLI THT
1415
THT.KL
REG/OP/190506-0151 290057 ARAFFI ATHARRAZKA BIN dr. Depi Jufri, Sp. POLI THT
1416
AGUSTIAN T.H.T.K.L
REG/OP/190520-0273 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1417
T.H.T.K.L
REG/OP/190430-0274 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1418
T.H.T.K.L
REG/OP/190513-0193 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1419
T.H.T.K.L
REG/OP/190527-0298 320191 UMAR HIDAYAT YONDI dr. Depi Jufri, Sp. POLI THT
1420
T.H.T.K.L
REG/OP/190521-0094 319875 ANDRI AFRILA BIN A.ROHIM dr. Depi Jufri, Sp. POLI THT
1421 T.H.T.K.L

REG/OP/190528-0115 319875 ANDRI AFRILA BIN A.ROHIM dr. Depi Jufri, Sp. POLI THT
1422 T.H.T.K.L
REG/OP/190418-0179 287682 RISMA NUR AIDA dr. Depi Jufri, Sp. POLI THT
1423
T.H.T.K.L
REG/OP/190527-0462 267293 IQWAN MAULANA HAFID dr. Depi Jufri, Sp. POLI THT
1424
T.H.T.K.L
REG/OP/190510-0172 319265 VIESILIYA ADINDA BT INDRA dr. Ahmad Hifni, Sp. POLI THT
1425
SISWANTO THT.KL
REG/OP/190430-0115 135166 LOLI ARIPA BT ALKOSIM dr. Depi Jufri, Sp. POLI THT
1426
T.H.T.K.L
REG/OP/190429-0294 006189 MADANI LUDAR BN M.AFFAN dr. Depi Jufri, Sp. POLI THT
1427
T.H.T.K.L
REG/OP/190502-0361 222161 SARNUBI BIN ZAKARIA dr. Ahmad Hifni, Sp. POLI THT
1428
THT.KL
REG/OP/190528-0147 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
1429
T.H.T.K.L
REG/OP/190520-0393 220903 AHMAD FATONI BN SAMIN dr. Depi Jufri, Sp. POLI THT
1430
T.H.T.K.L
REG/OP/190510-0159 319263 SELVI YANI BIN WIYONO dr. Ahmad Hifni, Sp. POLI THT
1431
THT.KL
REG/OP/190513-0287 093487 AMRULLAH S BIN SUID dr. Depi Jufri, Sp. POLI THT
1432
T.H.T.K.L
REG/OP/190523-0339 134125 WELLY FITRI ARIANI BT ANSORI dr. Ahmad Hifni, Sp. POLI THT
1433
THT.KL
REG/OP/190514-0320 005166 GILANG RAFLY HERMANSYAH dr. Depi Jufri, Sp. POLI THT
1434
T.H.T.K.L
REG/OP/190528-0241 114810 DESRI FITONAH BT AZWAR ALI dr. Depi Jufri, Sp. POLI THT
1435
MURTOPO T.H.T.K.L
REG/OP/190424-0205 318093 SEPTA ARDEANSYAH dr. Depi Jufri, Sp. POLI THT
1436
T.H.T.K.L
REG/OP/190514-0221 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
1437
HERMANTO T.H.T.K.L
REG/OP/190418-0262 316490 M HAKIM dr. Depi Jufri, Sp. POLI THT
1438
T.H.T.K.L
REG/OP/190402-0272 298440 AMIRAH RAFANI UMBARA dr. Depi Jufri, Sp. POLI THT
1439
T.H.T.K.L
REG/OP/190424-0356 172428 RASID BIN SAMSAM dr. Depi Jufri, Sp. POLI THT
1440
T.H.T.K.L
REG/OP/190424-0257 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
1441
HERMANTO T.H.T.K.L
REG/OP/190424-0245 212977 YENI SANDRA DEWI BT MUHAM dr. Depi Jufri, Sp. POLI THT
1442
T.H.T.K.L
REG/OP/190430-0301 143985 SYAMSUL FITHRI BIN M.NUR dr. Depi Jufri, Sp. POLI THT
1443
BAHTIA T.H.T.K.L
REG/OP/190424-0113 143985 SYAMSUL FITHRI BIN M.NUR dr. Depi Jufri, Sp. POLI THT
1444
BAHTIA T.H.T.K.L
REG/OP/190430-0132 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
1445
T.H.T.K.L
REG/OP/190514-0050 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
1446
T.H.T.K.L
REG/OP/190523-0297 143535 RAMA KARMA BIN HASNAWI dr. Ahmad Hifni, Sp. POLI THT
1447
THT.KL
REG/OP/190520-0245 235227 DAVID PRAYOGO BIN CHAIRUL dr. Depi Jufri, Sp. POLI THT
1448 SALEH T.H.T.K.L

REG/OP/190513-0368 235227 DAVID PRAYOGO BIN CHAIRUL dr. Depi Jufri, Sp. POLI THT
1449
SALEH T.H.T.K.L
REG/OP/190502-0590 230560 NURHAYATI BT NANG UNING dr. Ahmad Hifni, Sp. POLI THT
1450
THT.KL
REG/OP/190506-0134 223085 HANA AISTISALMA BINTI SIAGIAN dr. Depi Jufri, Sp. POLI THT
1451
T.H.T.K.L
REG/OP/190416-0133 317545 SARMIAN dr. Depi Jufri, Sp. POLI THT
1452
T.H.T.K.L
REG/OP/190506-0423 318963 MUHAMMAD KEVIN APRILIO BIN dr. Depi Jufri, Sp. POLI THT
1453
AGUS KRISWANTO T.H.T.K.L
REG/OP/190522-0257 230560 NURHAYATI BT NANG UNING dr. Depi Jufri, Sp. POLI THT
1454
T.H.T.K.L
REG/OP/190515-0038 144654 NATASHA ADELA BINTI SUPANTRI dr. Depi Jufri, Sp. POLI THT
1455
SUPANTRI T.H.T.K.L
REG/OP/190520-0088 319786 M FATIH ARSHAVIN IBU YULIS dr. Depi Jufri, Sp. POLI THT
1456
T.H.T.K.L
REG/OP/190523-0219 001837 SYAMSIDAR BT RUSLAN MUSLIM dr. Ahmad Hifni, Sp. POLI THT
1457
THT.KL
REG/OP/190520-0172 319793 ETIRIA BINT JEMAD dr. Depi Jufri, Sp. POLI THT
1458
T.H.T.K.L
REG/OP/190506-0388 316350 MARLINA BT LUKMAN dr. Depi Jufri, Sp. POLI THT
1459
T.H.T.K.L
REG/OP/190516-0198 001837 SYAMSIDAR BT RUSLAN MUSLIM dr. Ahmad Hifni, Sp. POLI THT
1460
THT.KL
REG/OP/190516-0070 317715 TUSKO SUGIANTO BIN ASMEJA dr. Ahmad Hifni, Sp. POLI THT
1461
THT.KL
REG/OP/190516-0215 078745 ALEXANDRIA BRILLIANI PUTRI dr. Ahmad Hifni, Sp. POLI THT
1462
DWIYAN THT.KL
REG/OP/190514-0206 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. POLI THT
1463
T.H.T.K.L
REG/OP/190430-0269 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. POLI THT
1464
T.H.T.K.L
REG/OP/190515-0167 318414 ABEL BIN SENANTO dr. Depi Jufri, Sp. POLI THT
1465
T.H.T.K.L
REG/OP/190425-0399 186627 M RIZKY ADITYA PRATAMA dr. Ahmad Hifni, Sp. POLI THT
1466
THT.KL
REG/OP/190418-0504 294958 SITI NURWANA BT HASAN dr. Depi Jufri, Sp. POLI THT
1467
T.H.T.K.L
REG/OP/190523-0103 320014 EFRIANSYAH BN RIDUWAN dr. Ahmad Hifni, Sp. POLI THT
1468
THT.KL
REG/OP/190523-0300 277794 EKA DIANA BT SUPARIN dr. Ahmad Hifni, Sp. POLI THT
1469
THT.KL
REG/OP/190523-0317 320027 YON HERI BIN RUSLAN dr. Ahmad Hifni, Sp. POLI THT
1470
THT.KL
REG/OP/190521-0123 112421 ZULKAMASTAM BIN SOLBI dr. Depi Jufri, Sp. POLI THT
1471
T.H.T.K.L
REG/OP/190528-0079 112421 ZULKAMASTAM BIN SOLBI dr. Depi Jufri, Sp. POLI THT
1472
T.H.T.K.L
REG/OP/190522-0373 007200 IIN DARLIAH BT NASIR dr. Depi Jufri, Sp. POLI THT
1473
T.H.T.K.L
REG/OP/190522-0145 319937 ATHIRAH DWI PUTRI dr. Depi Jufri, Sp. POLI THT
1474 T.H.T.K.L

REG/OP/190522-0073 317715 TUSKO SUGIANTO BIN ASMEJA dr. Depi Jufri, Sp. POLI THT
1475
T.H.T.K.L
REG/OP/190418-0432 109328 MAULANA NUR HIDAYAT ISMET dr. Depi Jufri, Sp. POLI THT
1476
T.H.T.K.L
REG/OP/190522-0146 318414 ABEL BIN SENANTO dr. Depi Jufri, Sp. POLI THT
1477
T.H.T.K.L
REG/OP/190524-0084 110675 NURDIN BIN HISOM dr. Ahmad Hifni, Sp. POLI THT
1478
THT.KL
REG/OP/190527-0244 110149 CANDRA WINATA BIN DARWIN dr. Depi Jufri, Sp. POLI THT
1479
T.H.T.K.L
REG/OP/190415-0447 110168 ETI HERLINA BT AKADIR AKADIR dr. Depi Jufri, Sp. POLI THT
1480
T.H.T.K.L
REG/OP/190429-0227 110136 AMELDA SESILLIA BT IMRON dr. Depi Jufri, Sp. POLI THT
1481
T.H.T.K.L
REG/OP/190523-0064 235680 PUJIONO BIN SLAMET dr. Ahmad Hifni, Sp. POLI THT
1482
THT.KL
REG/OP/190523-0249 320032 SHADIQI ARTIB BIN DARMAWI dr. Ahmad Hifni, Sp. POLI THT
1483
THT.KL
REG/OP/190523-0087 120646 ASIA BT ABBAS dr. Ahmad Hifni, Sp. POLI THT
1484
THT.KL
REG/OP/190425-0242 296865 RIA ARIKA BT SAMIRIN dr. Ahmad Hifni, Sp. POLI THT
1485
THT.KL
REG/OP/190416-0141 295384 NUYATI BT KARNA dr. Depi Jufri, Sp. POLI THT
1486
T.H.T.K.L
REG/OP/190514-0048 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1487
YBS T.H.T.K.L
REG/OP/190522-0218 063665 DESNA BT KORHI dr. Depi Jufri, Sp. POLI THT
1488
T.H.T.K.L
REG/OP/190424-0207 294972 ADI CANDRA BIN SAKROWI dr. Depi Jufri, Sp. POLI THT
1489
T.H.T.K.L
REG/OP/190506-0162 294972 ADI CANDRA BIN SAKROWI dr. Depi Jufri, Sp. POLI THT
1490
T.H.T.K.L
REG/OP/190506-0420 233775 AGUS KRISWANTO BIN JUNAIDI dr. Depi Jufri, Sp. POLI THT
1491
T.H.T.K.L
REG/OP/190520-0436 233749 PURDANI BIN MAJID dr. Depi Jufri, Sp. POLI THT
1492
T.H.T.K.L
REG/OP/190502-0240 318629 ANGGI ANGGRAINI BT SIDIK dr. Ahmad Hifni, Sp. POLI THT
1493
THT.KL
REG/OP/190513-0431 294972 ADI CANDRA BIN SAKROWI dr. Depi Jufri, Sp. POLI THT
1494 T.H.T.K.L

REG/OP/190430-0154 294972 ADI CANDRA BIN SAKROWI dr. Depi Jufri, Sp. POLI THT
1495
T.H.T.K.L
REG/OP/190510-0132 230990 DHIFO ALFIAN BIN SUPARNO dr. Ahmad Hifni, Sp. POLI THT
1496 THT.KL

REG/OP/190424-0360 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
1497
T.H.T.K.L
REG/OP/190521-0374 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
1498
T.H.T.K.L
REG/OP/190425-0445 306974 MUHAMMAD FAUZAN ANWAR BT dr. Depi Jufri, Sp. POLI THT
1499
SYAHRONI T.H.T.K.L
REG/OP/190430-0227 131929 MARWANI BT FIRDAUS dr. Depi Jufri, Sp. POLI THT
1500
T.H.T.K.L
REG/OP/190411-0141 158615 SABRI BN.MITA MITA dr. Depi Jufri, Sp. POLI THT
1501
T.H.T.K.L
REG/OP/190521-0188 172233 ASMALINA BT NAWAS dr. Depi Jufri, Sp. POLI THT
1502
T.H.T.K.L
REG/OP/190521-0262 150841 M ROFI IWAN WAHYUDI dr. Depi Jufri, Sp. POLI THT
1503
T.H.T.K.L
REG/OP/190521-0190 247312 M REFFAN AL BASITH dr. Depi Jufri, Sp. POLI THT
1504
T.H.T.K.L
REG/OP/190521-0292 314347 THASYA APRILIA BINTI LEVI dr. Depi Jufri, Sp. POLI THT
1505
T.H.T.K.L
REG/OP/190430-0290 314724 SUDARTO BIN SUBARDI dr. Depi Jufri, Sp. POLI THT
1506
T.H.T.K.L
REG/OP/190515-0173 314724 SUDARTO BIN SUBARDI dr. Depi Jufri, Sp. POLI THT
1507
T.H.T.K.L
REG/OP/190514-0078 293950 YAN ARDIANSYAH dr. Depi Jufri, Sp. POLI THT
1508
T.H.T.K.L
REG/OP/190429-0066 315252 ROHMAN MOH IKSAN BN ACES dr. Depi Jufri, Sp. POLI THT
1509
SUNJANA T.H.T.K.L
REG/OP/190524-0216 148406 YUSMIANA BT ALWAN dr. Ahmad Hifni, Sp. POLI THT
1510
THT.KL
REG/OP/190515-0370 147181 VAZRIEL NUR MICHAIL BIN IPIN dr. Depi Jufri, Sp. POLI THT
1511
SYARIPIN T.H.T.K.L
REG/OP/190523-0321 147265 NURSANI BT AHMAD dr. Ahmad Hifni, Sp. POLI THT
1512 THT.KL

REG/OP/190522-0375 147181 VAZRIEL NUR MICHAIL BIN IPIN dr. Depi Jufri, Sp. POLI THT
1513
SYARIPIN T.H.T.K.L
REG/OP/190424-0381 315276 SUKAESIH BT ARSUDIN dr. Depi Jufri, Sp. POLI THT
1514
T.H.T.K.L
REG/OP/190502-0466 315256 PERRY YANSYAH BIN MATKURO dr. Ahmad Hifni, Sp. POLI THT
1515
THT.KL
REG/OP/190522-0319 278282 HARIS MUNANDAR BIN KANDAR dr. Depi Jufri, Sp. POLI THT
1516
T.H.T.K.L
REG/OP/190424-0134 105777 ESI NOVRIANI BT SUBROTO dr. Depi Jufri, Sp. POLI THT
1517
T.H.T.K.L
REG/OP/190520-0382 063382 SRI GUSNIATI BT SUDARLI BASIRdr. Depi Jufri, Sp. POLI THT
1518
T.H.T.K.L
REG/OP/190506-0181 105865 H. IBNU SAAD S.SOS, M.SI dr. Depi Jufri, Sp. POLI THT
1519
T.H.T.K.L
REG/OP/190522-0259 312957 ROAINI BNT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1520
T.H.T.K.L
REG/OP/190522-0227 314724 SUDARTO BIN SUBARDI dr. Depi Jufri, Sp. POLI THT
1521
T.H.T.K.L
REG/OP/190522-0136 116943 SRI CHAIRANI BT ASNAWI dr. Depi Jufri, Sp. POLI THT
1522
T.H.T.K.L
REG/OP/190516-0189 319642 JOHAN SATRIA BIN UBAIDILAH dr. Ahmad Hifni, Sp. POLI THT
1523
THT.KL
REG/OP/190522-0077 000976 SINARYA BT DAYAN dr. Depi Jufri, Sp. POLI THT
1524
T.H.T.K.L
REG/OP/190522-0230 233775 AGUS KRISWANTO BIN JUNAIDI dr. Depi Jufri, Sp. POLI THT
1525
T.H.T.K.L
REG/OP/190503-0290 182491 RAFLY ALFAREZI BIN MUSLIMIN dr. Ahmad Hifni, Sp. POLI THT
1526
MUSLIMIN / AYAH THT.KL
REG/OP/190502-0341 060296 AFIF AL GHIFARI BIN M MUN'IM dr. Ahmad Hifni, Sp. POLI THT
1527
THT.KL
REG/OP/190522-0208 156508 ALPINO BN ROSIDI dr. Depi Jufri, Sp. POLI THT
1528
T.H.T.K.L
REG/OP/190429-0070 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
1529
T.H.T.K.L
REG/OP/190506-0038 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
1530
T.H.T.K.L
REG/OP/190523-0370 058269 NURHAZANA BT HAMZA dr. Ahmad Hifni, Sp. POLI THT
1531
THT.KL
REG/OP/190522-0217 058269 NURHAZANA BT HAMZA dr. Depi Jufri, Sp. POLI THT
1532
T.H.T.K.L
REG/OP/190522-0241 078745 ALEXANDRIA BRILLIANI PUTRI dr. Depi Jufri, Sp. POLI THT
1533
DWIYAN T.H.T.K.L
REG/OP/190522-0313 188170 IMAM CASTELLO FRIZANO ALFIAN dr. Depi Jufri, Sp. POLI THT
1534
T.H.T.K.L
REG/OP/190520-0128 001403 MASITO BT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1535
T.H.T.K.L
REG/OP/190520-0407 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1536
T.H.T.K.L
REG/OP/190517-0062 281974 MAULANA AL RASYID DINARTA dr. Ahmad Hifni, Sp. POLI THT
1537
THT.KL
REG/OP/190515-0082 000976 SINARYA BT DAYAN dr. Depi Jufri, Sp. POLI THT
1538
T.H.T.K.L
REG/OP/190430-0049 000976 SINARYA BT DAYAN dr. Depi Jufri, Sp. POLI THT
1539
T.H.T.K.L
REG/OP/190430-0408 230990 DHIFO ALFIAN BIN SUPARNO dr. Depi Jufri, Sp. POLI THT
1540
T.H.T.K.L
REG/OP/190520-0461 230866 WINDO TIO KARSYAH BIN dr. Depi Jufri, Sp. POLI THT
1541
HARJONO T.H.T.K.L
REG/OP/190527-0514 230866 WINDO TIO KARSYAH BIN dr. Depi Jufri, Sp. POLI THT
1542
HARJONO T.H.T.K.L
REG/OP/190514-0270 060296 AFIF AL GHIFARI BIN M MUN'IM dr. Depi Jufri, Sp. POLI THT
1543
T.H.T.K.L
REG/OP/190514-0284 282866 NAJUA CITRA KIRANA dr. Depi Jufri, Sp. POLI THT
1544
T.H.T.K.L
REG/OP/190514-0129 236963 MESRA DIANA BT ALIMASKORO dr. Depi Jufri, Sp. POLI THT
1545
ALIMASKORO T.H.T.K.L
REG/OP/190514-0358 001768 RIATI ELPITA BT A/KARIM dr. Depi Jufri, Sp. POLI THT
1546
T.H.T.K.L
REG/OP/190415-0070 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1547
YBS T.H.T.K.L
REG/OP/190430-0074 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1548
YBS T.H.T.K.L
REG/OP/190401-0138 143580 HARDIANSYAH BIN MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1549
YBS T.H.T.K.L
REG/OP/190430-0260 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
1550
HERMANTO T.H.T.K.L
REG/OP/190429-0217 318093 SEPTA ARDEANSYAH dr. Depi Jufri, Sp. POLI THT
1551
T.H.T.K.L
REG/OP/190426-0049 092033 SYAFARUDIN IDRUS BIN IDRUS dr. Ahmad Hifni, Sp. POLI THT
1552
ZAIN THT.KL
REG/IP/190507-0033 319034 INDRA FIKRI KUSUMA WIJAYA BN dr. Depi Jufri, Sp. MERANTI
1553
USMAN TARJIK T.H.T.K.L
REG/IP/190527-0036 156508 ALPINO BN ROSIDI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
1554

REG/IP/190506-0022 314724 SUDARTO BIN SUBARDI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
1555

REG/IP/190513-0040 249980 RUDATIN BT SELAMAT dr. Depi Jufri, Sp. MERANTI


T.H.T.K.L
1556

REG/IP/190508-0005 222161 SARNUBI BIN ZAKARIA dr. Depi Jufri, Sp. PETANANG
1557 T.H.T.K.L

REG/IP/190527-0044 075956 PRISKA NEDRIA BT M. HUSEN dr. Depi Jufri, Sp. MEDANG
1558 T.H.T.K.L

REG/IP/190506-0016 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG


1559 T.H.T.K.L

REG/IP/190521-0035 235227 DAVID PRAYOGO BIN CHAIRUL dr. Depi Jufri, Sp. MEDANG
SALEH T.H.T.K.L
1560

REG/IP/190506-0023 318414 ABEL BIN SENANTO dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1561

REG/IP/190429-0042 317715 TUSKO SUGIANTO BIN ASMEJA dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1562

REG/IP/190527-0004 112826 TAMRIN ARIANTO BIN HASAN 1 dr. Depi Jufri, Sp. MEDANG
1563
HASAN T.H.T.K.L
REG/IP/190422-0042 316734 AYUHANA BT SAHMAD dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1564

REG/IP/190513-0041 233775 AGUS KRISWANTO BIN JUNAIDI dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1565

REG/IP/190507-0017 078745 ALEXANDRIA BRILLIANI PUTRI dr. Depi Jufri, Sp. TEMBESU
DWIYAN T.H.T.K.L
1566

REG/IP/190520-0016 319786 M FATIH ARSHAVIN IBU YULIS dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
1567

REG/IP/190506-0021 318361 ANDRE GUSTIAN BIN YEYEN dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
1568

REG/IP/190522-0032 313302 BAHIMA BT MANSYUR dr. Depi Jufri, Sp. LEBAN


1569 T.H.T.K.L
REG/IP/190513-0015 313302 BAHIMA BT MANSYUR dr. Depi Jufri, Sp. LEBAN
1570 T.H.T.K.L

REG/IP/190429-0041 298700 YUNI ARDA NINGSIH dr. Depi Jufri, Sp. LEBAN
1571 T.H.T.K.L

REG/OP/190610-0088 235227 DAVID PRAYOGO BIN CHAIRUL dr. Depi Jufri, Sp. POLI THT
1572
SALEH T.H.T.K.L
REG/OP/190610-0445 156508 ALPINO BN ROSIDI dr. Depi Jufri, Sp. POLI THT
1573
T.H.T.K.L
REG/OP/190621-0064 321502 SYAHKIRAH ECA FATIYYAH dr. Ahmad Hifni, Sp. POLI THT
1574
THT.KL
REG/OP/190621-0182 230064 M LUTHFY NURDAFFA BIN SOLIMIN dr. Ahmad Hifni, Sp. POLI THT
1575
THT.KL
REG/OP/190624-0046 285333 RENI PUTRI AYU BT LUNAR dr. Depi Jufri, Sp. POLI THT
1576
T.H.T.K.L
REG/OP/190610-0517 233749 PURDANI BIN MAJID dr. Depi Jufri, Sp. POLI THT
1577
T.H.T.K.L
REG/OP/190626-0247 277930 FATIHA INAYAH AZZAHRA dr. Depi Jufri, Sp. POLI THT
1578
T.H.T.K.L
REG/OP/190626-0143 320199 RESMIYATI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
1579
T.H.T.K.L
REG/OP/190626-0335 320385 M.LUTFAN ALAMGIR BIN SELAMAT dr. Depi Jufri, Sp. POLI THT
1580
T.H.T.K.L
REG/OP/190529-0287 233775 AGUS KRISWANTO BIN JUNAIDI dr. Depi Jufri, Sp. POLI THT
1581
T.H.T.K.L
REG/OP/190625-0081 177069 HAFIZAH HUSNIAH AHMAD AHMAD dr. Depi Jufri, Sp. POLI THT
1582
SAROPI T.H.T.K.L
REG/OP/190626-0039 075077 MASTORI AHMAD BIN AHMAD dr. Depi Jufri, Sp. POLI THT
1583
T.H.T.K.L
REG/OP/190529-0307 249980 RUDATIN BT SELAMAT dr. Depi Jufri, Sp. POLI THT
1584
T.H.T.K.L
REG/OP/190614-0292 137008 APRESI JULIYUS BIN RASYID dr. Ahmad Hifni, Sp. POLI THT
1585
THT.KL
REG/OP/190625-0386 321788 DIKI ANUGRA BIN SUSANTO dr. Depi Jufri, Sp. POLI THT
1586 T.H.T.K.L

REG/OP/190625-0121 321317 RENATA RAMADHAN BIN EKO dr. Depi Jufri, Sp. POLI THT
1587
GUSWORO T.H.T.K.L
REG/OP/190614-0063 321076 ROKAINI BT AHMAD MARDI dr. Ahmad Hifni, Sp. POLI THT
1588
THT.KL
REG/OP/190610-0127 319875 ANDRI AFRILA BIN A.ROHIM dr. Depi Jufri, Sp. POLI THT
1589 T.H.T.K.L

REG/OP/190614-0260 300016 HENI WINARNO BIN JUADI dr. Ahmad Hifni, Sp. POLI THT
1590
THT.KL
REG/OP/190614-0103 223085 HANA AISTISALMA BINTI SIAGIAN dr. Ahmad Hifni, Sp. POLI THT
1591
THT.KL
REG/OP/190610-0317 319937 ATHIRAH DWI PUTRI dr. Depi Jufri, Sp. POLI THT
1592
T.H.T.K.L
REG/OP/190626-0235 288876 SUTRA BT A.PUAD dr. Depi Jufri, Sp. POLI THT
1593
T.H.T.K.L
REG/OP/190610-0402 320032 SHADIQI ARTIB BIN DARMAWI dr. Depi Jufri, Sp. POLI THT
1594
T.H.T.K.L
REG/OP/190610-0479 220903 AHMAD FATONI BN SAMIN dr. Depi Jufri, Sp. POLI THT
1595
T.H.T.K.L
REG/OP/190614-0037 018347 MASTANI BIN ABDULLAH dr. Ahmad Hifni, Sp. POLI THT
1596
THT.KL
REG/OP/190613-0346 303055 FADLAN RAFFAZA BIN M IRPAN dr. Ahmad Hifni, Sp. POLI THT
1597
THT.KL
REG/OP/190625-0198 217582 AHMAD FADLY SWANRIS dr. Depi Jufri, Sp. POLI THT
1598
T.H.T.K.L
REG/OP/190610-0397 223305 SATYA BAGASKARA MARC MARC dr. Depi Jufri, Sp. POLI THT
1599
ADITIA PUTRA T.H.T.K.L
REG/OP/190613-0307 119770 CHELSEA BT NASRUL dr. Ahmad Hifni, Sp. POLI THT
1600
THT.KL
REG/OP/190624-0447 320273 ISA BT MUSA dr. Depi Jufri, Sp. POLI THT
1601
T.H.T.K.L
REG/OP/190613-0199 246951 ASIA BT REBO dr. Ahmad Hifni, Sp. POLI THT
1602
THT.KL
REG/OP/190610-0079 007200 IIN DARLIAH BT NASIR dr. Depi Jufri, Sp. POLI THT
1603
T.H.T.K.L
REG/OP/190624-0325 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1604
T.H.T.K.L
REG/OP/190624-0489 081384 SEPRIANTO BN DULHAJI DULHAJI dr. Depi Jufri, Sp. POLI THT
1605
T.H.T.K.L
REG/OP/190610-0412 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1606
T.H.T.K.L
REG/OP/190614-0038 212736 NURMALA BT ILYAS dr. Ahmad Hifni, Sp. POLI THT
1607
THT.KL
REG/OP/190626-0232 251203 SARNI BINTI TAMBIR SUJI / SUAMI dr. Depi Jufri, Sp. POLI THT
1608
T.H.T.K.L
REG/OP/190624-0392 321686 WULAN PUSPITA SARI BT SUKRO dr. Depi Jufri, Sp. POLI THT
1609 T.H.T.K.L

REG/OP/190624-0433 165774 RATNA DEWI BT ZAINI dr. Depi Jufri, Sp. POLI THT
1610
T.H.T.K.L
REG/OP/190610-0151 224853 CLARISSA PUTRI ERLANGGA EKA dr. Depi Jufri, Sp. POLI THT
1611
ERLANGGA T.H.T.K.L
REG/OP/190614-0030 075077 MASTORI AHMAD BIN AHMAD dr. Ahmad Hifni, Sp. POLI THT
1612
THT.KL
REG/OP/190610-0205 055846 SUKRI BIN MARZUKI dr. Depi Jufri, Sp. POLI THT
1613
T.H.T.K.L
REG/OP/190625-0057 250274 ANNISA KHALISA BT IRWANSYAH dr. Depi Jufri, Sp. POLI THT
1614
T.H.T.K.L
REG/OP/190625-0374 046418 CHALISTA DELVIAKINANTI HENDRA dr. Depi Jufri, Sp. POLI THT
1615
RUSLAN T.H.T.K.L
REG/OP/190626-0233 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
1616
T.H.T.K.L
REG/OP/190626-0108 110149 CANDRA WINATA BIN DARWIN dr. Depi Jufri, Sp. POLI THT
1617
T.H.T.K.L
REG/OP/190626-0215 018347 MASTANI BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
1618
T.H.T.K.L
REG/OP/190625-0152 261370 MEGAWATI BT HAKIM dr. Depi Jufri, Sp. POLI THT
1619
T.H.T.K.L
REG/OP/190625-0271 260585 SISKA DIANA BT MAHRI dr. Depi Jufri, Sp. POLI THT
1620
T.H.T.K.L
REG/OP/190625-0348 004713 BUHADI BIN SAARIN dr. Depi Jufri, Sp. POLI THT
1621
T.H.T.K.L
REG/OP/190529-0179 277052 SISKAMIA BT ROKANI dr. Depi Jufri, Sp. POLI THT
1622
T.H.T.K.L
REG/OP/190529-0330 101200 ASMAWATI BT ASRIL dr. Depi Jufri, Sp. POLI THT
1623
T.H.T.K.L
REG/OP/190529-0273 320014 EFRIANSYAH BN RIDUWAN dr. Depi Jufri, Sp. POLI THT
1624
T.H.T.K.L
REG/OP/190626-0071 311885 AAN PRIANTO BIN ARYONO dr. Depi Jufri, Sp. POLI THT
1625
T.H.T.K.L
REG/OP/190610-0054 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
1626
T.H.T.K.L
REG/OP/190529-0069 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
1627
T.H.T.K.L
REG/OP/190529-0177 319937 ATHIRAH DWI PUTRI dr. Depi Jufri, Sp. POLI THT
1628
T.H.T.K.L
REG/OP/190626-0237 306562 MIRA OFRIYANI BT SYAWALUDIN dr. Depi Jufri, Sp. POLI THT
1629
T.H.T.K.L
REG/OP/190621-0193 312957 ROAINI BNT MUHAMMAD dr. Ahmad Hifni, Sp. POLI THT
1630
THT.KL
REG/OP/190528-0208 318766 SANGKUT BIN SALIM dr. Depi Jufri, Sp. POLI THT
1631
T.H.T.K.L
REG/OP/190624-0170 312957 ROAINI BNT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
1632
T.H.T.K.L
REG/OP/190529-0194 313302 BAHIMA BT MANSYUR dr. Depi Jufri, Sp. POLI THT
1633
T.H.T.K.L
REG/OP/190625-0110 175492 ANITA RIZKA BT HUSIN HUSNI dr. Depi Jufri, Sp. POLI THT
1634
T.H.T.K.L
REG/OP/190626-0122 321076 ROKAINI BT AHMAD MARDI dr. Depi Jufri, Sp. POLI THT
1635
T.H.T.K.L
REG/OP/190625-0104 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
1636
T.H.T.K.L
REG/OP/190528-0112 320242 ADAM BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
1637
T.H.T.K.L
REG/OP/190626-0094 198436 DERI SULIANTO BIN M.SALIM dr. Depi Jufri, Sp. POLI THT
1638
T.H.T.K.L
REG/OP/190614-0259 321103 IRMA BT A.RAHMAN dr. Ahmad Hifni, Sp. POLI THT
1639
THT.KL
REG/OP/190624-0430 273408 HAIBILLAH TRISMA PUTRA dr. Depi Jufri, Sp. POLI THT
1640
T.H.T.K.L
REG/OP/190626-0054 128932 YUSNAINI BT USMAN dr. Depi Jufri, Sp. POLI THT
1641
T.H.T.K.L
REG/OP/190529-0102 235227 DAVID PRAYOGO BIN CHAIRUL dr. Depi Jufri, Sp. POLI THT
1642
SALEH T.H.T.K.L
REG/OP/190529-0204 120646 ASIA BT ABBAS dr. Depi Jufri, Sp. POLI THT
1643
T.H.T.K.L
REG/OP/190529-0279 219227 ASMA ULHUSNAH BT YUSUF dr. Depi Jufri, Sp. POLI THT
1644
T.H.T.K.L
REG/OP/190529-0324 278282 HARIS MUNANDAR BIN KANDAR dr. Depi Jufri, Sp. POLI THT
1645
T.H.T.K.L
REG/OP/190610-0284 083425 HELMI EFENDI BIN EFENDI dr. Depi Jufri, Sp. POLI THT
1646
T.H.T.K.L
REG/OP/190610-0333 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1647
T.H.T.K.L
REG/OP/190625-0205 269175 SYAMSU BIN KODAR dr. Depi Jufri, Sp. POLI THT
1648
T.H.T.K.L
REG/OP/190610-0052 058269 NURHAZANA BT HAMZA dr. Depi Jufri, Sp. POLI THT
1649
T.H.T.K.L
REG/OP/190610-0264 320740 ARIF RIFIO ALFATIH dr. Depi Jufri, Sp. POLI THT
1650
T.H.T.K.L
REG/OP/190610-0431 075956 PRISKA NEDRIA BT M. HUSEN dr. Depi Jufri, Sp. POLI THT
1651
T.H.T.K.L
REG/OP/190625-0214 122633 ALKASIH BIN IMRON dr. Depi Jufri, Sp. POLI THT
1652
T.H.T.K.L
REG/OP/190625-0323 233782 MUTHINIL JIHAN BIN EDI dr. Depi Jufri, Sp. POLI THT
1653
SANTOSO T.H.T.K.L
REG/OP/190614-0167 088484 SUARNI BT MUSA PAUZAN dr. Ahmad Hifni, Sp. POLI THT
1654
THT.KL
REG/OP/190625-0299 290057 ARAFFI ATHARRAZKA BIN dr. Depi Jufri, Sp. POLI THT
1655
AGUSTIAN T.H.T.K.L
REG/OP/190625-0102 141651 FITRI ARIYANI BT MOH.YUSROH dr. Depi Jufri, Sp. POLI THT
1656
T.H.T.K.L
REG/OP/190625-0077 000976 SINARYA BT DAYAN dr. Depi Jufri, Sp. POLI THT
1657
T.H.T.K.L
REG/OP/190610-0566 296865 RIA ARIKA BT SAMIRIN dr. Depi Jufri, Sp. POLI THT
1658
T.H.T.K.L
REG/OP/190613-0069 228462 KHOLIFAH BT SURAT SURAT dr. Ahmad Hifni, Sp. POLI THT
1659
THT.KL
REG/OP/190626-0330 227970 EMI WATI BT ARIFIN dr. Depi Jufri, Sp. POLI THT
1660
T.H.T.K.L
REG/OP/190625-0337 083425 HELMI EFENDI BIN EFENDI dr. Depi Jufri, Sp. POLI THT
1661
T.H.T.K.L
REG/OP/190613-0388 321034 HERIYANTI BT SUAIBU dr. Ahmad Hifni, Sp. POLI THT
1662
THT.KL
REG/OP/190613-0239 321016 ARIF ANDIKA MAULANA BIN AGUS dr. Ahmad Hifni, Sp. POLI THT
1663
KURNIAWAN THT.KL
REG/OP/190613-0293 155862 MELLA ROSADA BT MULYADI dr. Ahmad Hifni, Sp. POLI THT
1664
THT.KL
REG/OP/190625-0207 154407 STARLINDA BIN A.AZIZ dr. Depi Jufri, Sp. POLI THT
1665
T.H.T.K.L
REG/IP/190611-0033 096976 ZAWAWI BIN EPENDI dr. Depi Jufri, Sp. MERANTI
1666
T.H.T.K.L
REG/IP/190624-0035 063665 DESNA BT KORHI dr. Depi Jufri, Sp. PETANANG
T.H.T.K.L
1667

REG/IP/190610-0046 220903 AHMAD FATONI BN SAMIN dr. Depi Jufri, Sp. MEDANG
1668
T.H.T.K.L
REG/IP/190617-0035 319875 ANDRI AFRILA BIN A.ROHIM dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1669

REG/IP/190527-0037 058269 NURHAZANA BT HAMZA dr. Depi Jufri, Sp. MEDANG


T.H.T.K.L
1670

REG/IP/190613-0025 316767 ARIKI BN AHLAN dr. Depi Jufri, Sp. MEDANG


1671
T.H.T.K.L
REG/IP/190611-0049 226682 HENDRA SYAPUTRA BN ALIMIN dr. Depi Jufri, Sp. MEDANG
1672 T.H.T.K.L

REG/IP/190610-0047 267293 IQWAN MAULANA HAFID dr. Depi Jufri, Sp. MEDANG
1673
T.H.T.K.L
REG/IP/190624-0040 193005 AFRIYANI OKTAVIA BT IWAN dr. Depi Jufri, Sp. TEMBESU
1674 WAHYUDI T.H.T.K.L

REG/IP/190610-0035 110149 CANDRA WINATA BIN DARWIN dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
1675

REG/IP/190617-0018 083425 HELMI EFENDI BIN EFENDI dr. Depi Jufri, Sp. LEBAN
1676 T.H.T.K.L

REG/IP/190612-0040 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. LEBAN


1677 T.H.T.K.L

REG/OP/190628-0219 126028 JON HARMEDI BN AZAM HARI dr. Ahmad Hifni, Sp. POLI THT
1678
THT.KL
REG/OP/190703-0059 128932 YUSNAINI BT USMAN dr. Depi Jufri, Sp. POLI THT
1679
T.H.T.K.L
REG/OP/190702-0176 260585 SISKA DIANA BT MAHRI dr. Depi Jufri, Sp. POLI THT
1680
T.H.T.K.L
REG/OP/190709-0298 261532 SULVIANA BT ARPAN dr. Depi Jufri, Sp. POLI THT
1681
T.H.T.K.L
REG/OP/190717-0353 323119 SAFIRA WIDIA ASTUTI BT ROBI dr. Depi Jufri, Sp. POLI THT
1682
T.H.T.K.L
REG/OP/190627-0247 261227 KIRKI CATLYA BT ADI KARSO dr. Ahmad Hifni, Sp. POLI THT
1683
THT.KL
REG/OP/190718-0308 100819 SUTRIS YANI BT NASRUL dr. Ahmad Hifni, Sp. POLI THT
1684
THT.KL
REG/OP/190702-0028 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
1685
T.H.T.K.L
REG/OP/190612-0284 280193 ADELIA CALLISTA BT M.ALI dr. Depi Jufri, Sp. POLI THT
1686
T.H.T.K.L
REG/OP/190702-0304 322188 AIDIL SYAPUTRA BIN SUDIRMAN dr. Depi Jufri, Sp. POLI THT
1687
T.H.T.K.L
REG/OP/190702-0359 046418 CHALISTA DELVIAKINANTI HENDRA dr. Depi Jufri, Sp. POLI THT
1688
RUSLAN T.H.T.K.L
REG/OP/190612-0228 320199 RESMIYATI BT RUSLAN dr. Depi Jufri, Sp. POLI THT
1689
T.H.T.K.L
REG/OP/190702-0282 261370 MEGAWATI BT HAKIM dr. Depi Jufri, Sp. POLI THT
1690
T.H.T.K.L
REG/OP/190716-0028 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
1691
T.H.T.K.L
REG/OP/190703-0355 227970 EMI WATI BT ARIFIN dr. Depi Jufri, Sp. POLI THT
1692
T.H.T.K.L
REG/OP/190718-0202 117172 ROKIYAH SAARI dr. Ahmad Hifni, Sp. POLI THT
1693
THT.KL
REG/OP/190611-0378 239212 TIARA APRIDIANI BT YUNI dr. Depi Jufri, Sp. POLI THT
1694
KURNIAWAN YUNI KURNIAWAN T.H.T.K.L
REG/OP/190625-0365 140799 PEBRI AMINIYATI BT M.AMIN dr. Depi Jufri, Sp. POLI THT
1695
T.H.T.K.L
REG/OP/190705-0198 238626 ILYASA MAULANA BIN ERNO dr. Ahmad Hifni, Sp. POLI THT
1696
HERYANTO THT.KL
REG/OP/190710-0433 306562 MIRA OFRIYANI BT SYAWALUDIN dr. Depi Jufri, Sp. POLI THT
1697
T.H.T.K.L
REG/OP/190611-0457 238626 ILYASA MAULANA BIN ERNO dr. Depi Jufri, Sp. POLI THT
1698
HERYANTO T.H.T.K.L
REG/OP/190719-0073 154407 STARLINDA BIN A.AZIZ dr. Ahmad Hifni, Sp. POLI THT
1699
THT.KL
REG/OP/190711-0238 322662 SUCI ANJANI BT JAYADI dr. Ahmad Hifni, Sp. POLI THT
1700
THT.KL
REG/OP/190715-0134 322924 FITRI BT YUHAN dr. Depi Jufri, Sp. POLI THT
1701
T.H.T.K.L
REG/OP/190710-0054 322647 ETA TRIANI BT ZAINI dr. Depi Jufri, Sp. POLI THT
1702
T.H.T.K.L
REG/OP/190716-0106 322647 ETA TRIANI BT ZAINI dr. Depi Jufri, Sp. POLI THT
1703
T.H.T.K.L
REG/OP/190717-0307 110675 NURDIN BIN HISOM dr. Depi Jufri, Sp. POLI THT
1704
T.H.T.K.L
REG/OP/190705-0269 126178 RAJA PRAMAGILANG AGIL BIN ABD. dr. Ahmad Hifni, Sp. POLI THT
1705
THT.KL
REG/OP/190612-0107 311885 AAN PRIANTO BIN ARYONO dr. Depi Jufri, Sp. POLI THT
1706
T.H.T.K.L
REG/OP/190719-0068 311885 AAN PRIANTO BIN ARYONO dr. Ahmad Hifni, Sp. POLI THT
1707
THT.KL
REG/OP/190712-0025 311885 AAN PRIANTO BIN ARYONO dr. Ahmad Hifni, Sp. POLI THT
1708
THT.KL
REG/OP/190704-0066 311885 AAN PRIANTO BIN ARYONO dr. Ahmad Hifni, Sp. POLI THT
1709
THT.KL
REG/OP/190702-0156 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
1710
T.H.T.K.L
REG/OP/190627-0178 311232 MEI LIANA ZANDIA BT IRZAN dr. Ahmad Hifni, Sp. POLI THT
1711
THT.KL
REG/OP/190710-0345 304640 DENI IDRIS BIN RUSTAM dr. Depi Jufri, Sp. POLI THT
1712
T.H.T.K.L
REG/OP/190710-0414 322702 HENDRY PRAMANA BIN SUHERMAN dr. Depi Jufri, Sp. POLI THT
1713
T.H.T.K.L
REG/OP/190715-0319 269865 FITRI YANTI BT HAJRI dr. Depi Jufri, Sp. POLI THT
1714
T.H.T.K.L
REG/OP/190620-0430 230560 NURHAYATI BT NANG UNING dr. Ahmad Hifni, Sp. POLI THT
1715
THT.KL
REG/OP/190708-0472 269865 FITRI YANTI BT HAJRI dr. Depi Jufri, Sp. POLI THT
1716
T.H.T.K.L
REG/OP/190628-0153 223085 HANA AISTISALMA BINTI SIAGIAN dr. Ahmad Hifni, Sp. POLI THT
1717
THT.KL
REG/OP/190705-0306 223085 HANA AISTISALMA BINTI SIAGIAN dr. Ahmad Hifni, Sp. POLI THT
1718
THT.KL
REG/OP/190718-0416 322702 HENDRY PRAMANA BIN SUHERMAN dr. Ahmad Hifni, Sp. POLI THT
1719
THT.KL
REG/OP/190702-0239 269175 SYAMSU BIN KODAR dr. Depi Jufri, Sp. POLI THT
1720
T.H.T.K.L
REG/OP/190708-0294 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
1721
T.H.T.K.L
REG/OP/190705-0127 308740 CITRA FAUZIAH BT SUNARTO dr. Ahmad Hifni, Sp. POLI THT
1722
THT.KL
REG/OP/190726-0083 308740 CITRA FAUZIAH BT SUNARTO dr. Ahmad Hifni, Sp. POLI THT
1723
THT.KL
REG/OP/190712-0035 308740 CITRA FAUZIAH BT SUNARTO dr. Ahmad Hifni, Sp. POLI THT
1724
THT.KL
REG/OP/190611-0322 226682 HENDRA SYAPUTRA BN ALIMIN dr. Depi Jufri, Sp. POLI THT
1725
T.H.T.K.L
REG/OP/190710-0326 118544 M.ANDHIKA ALFARREL BIN dr. Depi Jufri, Sp. POLI THT
1726
KATENEN T.H.T.K.L
REG/OP/190718-0222 118544 M.ANDHIKA ALFARREL BIN dr. Ahmad Hifni, Sp. POLI THT
1727
KATENEN THT.KL
REG/OP/190715-0208 268066 SYAKIRA AZURA HASANAH BT JONI dr. Depi Jufri, Sp. POLI THT
1728
WAHYUDI T.H.T.K.L
REG/OP/190708-0345 268066 SYAKIRA AZURA HASANAH BT JONI dr. Depi Jufri, Sp. POLI THT
1729
WAHYUDI T.H.T.K.L
REG/OP/190719-0033 308740 CITRA FAUZIAH BT SUNARTO dr. Ahmad Hifni, Sp. POLI THT
1730
THT.KL
REG/OP/190704-0253 321907 MULIYANA BT UMAR dr. Ahmad Hifni, Sp. POLI THT
1731
THT.KL
REG/OP/190627-0217 321907 MULIYANA BT UMAR dr. Ahmad Hifni, Sp. POLI THT
1732
THT.KL
REG/OP/190620-0107 116451 NGATINI BT DULLAH KASMUNI dr. Ahmad Hifni, Sp. POLI THT
1733
THT.KL
REG/OP/190716-0092 323005 SITI HANDAN BT H KOSIM dr. Depi Jufri, Sp. POLI THT
1734
T.H.T.K.L
REG/OP/190726-0038 322983 HERMAN BIN KANCING dr. Ahmad Hifni, Sp. POLI THT
1735
THT.KL
REG/OP/190628-0199 321984 RASTI APRIANI BT RAMA KARMA dr. Ahmad Hifni, Sp. POLI THT
1736 THT.KL

REG/OP/190716-0199 323018 MUHAMMAD NAUFAL AKBAR BIN dr. Depi Jufri, Sp. POLI THT
1737
LUIN T.H.T.K.L
REG/OP/190711-0357 309993 NANDA SATRIO BAYUAJI BIN dr. Ahmad Hifni, Sp. POLI THT
1738
AHMAD RAIS THT.KL
REG/OP/190628-0118 321972 NABILA MISHA ALPA TIHA BT dr. Ahmad Hifni, Sp. POLI THT
1739 ISMAIL PAHMI THT.KL

REG/OP/190628-0095 309995 CHIANI NERCIA BT KAMRAN dr. Ahmad Hifni, Sp. POLI THT
1740
THT.KL
REG/OP/190715-0152 309993 NANDA SATRIO BAYUAJI BIN dr. Depi Jufri, Sp. POLI THT
1741
AHMAD RAIS T.H.T.K.L
REG/OP/190628-0130 308740 CITRA FAUZIAH BT SUNARTO dr. Ahmad Hifni, Sp. POLI THT
1742
THT.KL
REG/OP/190710-0033 021594 SYAIPUL BIN MUHAMAD dr. Depi Jufri, Sp. POLI THT
1743
T.H.T.K.L
REG/OP/190717-0176 323093 AGREETA RADHESTA BT SEPTA dr. Depi Jufri, Sp. POLI THT
1744
AGREE PRATAMA T.H.T.K.L
REG/OP/190710-0353 223410 HANA ZAHRA ALISHA BT WAWAN dr. Depi Jufri, Sp. POLI THT
1745
T.H.T.K.L
REG/OP/190711-0408 020857 ASNANI BT MUNSIR dr. Ahmad Hifni, Sp. POLI THT
1746
THT.KL
REG/OP/190628-0166 020806 MAWARNI BT A AZIZ YASIN dr. Ahmad Hifni, Sp. POLI THT
1747
THT.KL
REG/OP/190709-0385 154407 STARLINDA BIN A.AZIZ dr. Depi Jufri, Sp. POLI THT
1748
T.H.T.K.L
REG/OP/190612-0358 139733 RESA ALDITA BIN SETIAWAN dr. Depi Jufri, Sp. POLI THT
1749
T.H.T.K.L
REG/OP/190704-0368 224080 NABILA PUTRI KAMELIA YAUMUDIN dr. Ahmad Hifni, Sp. POLI THT
1750
THT.KL
REG/OP/190703-0170 018347 MASTANI BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
1751
T.H.T.K.L
REG/OP/190710-0207 018347 MASTANI BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
1752
T.H.T.K.L
REG/OP/190709-0065 119795 SARASAPIA BT M.ARSYAD dr. Depi Jufri, Sp. POLI THT
1753
M.ARSYAD T.H.T.K.L
REG/OP/190702-0372 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1754
T.H.T.K.L
REG/OP/190612-0182 228030 M. NABIL LIKANDRA CANDRA dr. Depi Jufri, Sp. POLI THT
1755
T.H.T.K.L
REG/OP/190612-0405 161516 SUDARMAN BIN SAYO dr. Depi Jufri, Sp. POLI THT
1756
T.H.T.K.L
REG/OP/190612-0187 137175 ENDANG BT NURDIN NURDIN dr. Depi Jufri, Sp. POLI THT
1757
T.H.T.K.L
REG/OP/190702-0111 233782 MUTHINIL JIHAN BIN EDI dr. Depi Jufri, Sp. POLI THT
1758
SANTOSO T.H.T.K.L
REG/OP/190708-0347 161516 SUDARMAN BIN SAYO dr. Depi Jufri, Sp. POLI THT
1759
T.H.T.K.L
REG/OP/190612-0147 312161 SUCI WULANDARI BIN MARTIUS dr. Depi Jufri, Sp. POLI THT
1760
T.H.T.K.L
REG/OP/190716-0161 269177 FANESYA BT AIDIT dr. Depi Jufri, Sp. POLI THT
1761
T.H.T.K.L
REG/OP/190723-0156 222687 SITI KHODIJAH BT BADARUDIN dr. Depi Jufri, Sp. POLI THT
1762
SUDARYADI (SUAMI) T.H.T.K.L
REG/OP/190702-0090 177069 HAFIZAH HUSNIAH AHMAD AHMAD dr. Depi Jufri, Sp. POLI THT
1763
SAROPI T.H.T.K.L
REG/OP/190711-0034 134538 AZ ZAHRA MIKAYLA DEVIRA BT dr. Ahmad Hifni, Sp. POLI THT
1764
DEDDY RUM THT.KL
REG/OP/190711-0118 174695 MUHAMMAD ADAM BN RUSMI dr. Ahmad Hifni, Sp. POLI THT
1765
HASAN RUSMI HASAN THT.KL
REG/OP/190702-0102 158731 TALITHA ANINDYA A.ARIPANI dr. Depi Jufri, Sp. POLI THT
1766
T.H.T.K.L
REG/OP/190711-0262 320385 M.LUTFAN ALAMGIR BIN SELAMAT dr. Ahmad Hifni, Sp. POLI THT
1767
THT.KL
REG/OP/190702-0340 228030 M. NABIL LIKANDRA CANDRA dr. Depi Jufri, Sp. POLI THT
1768
T.H.T.K.L
REG/OP/190701-0435 274568 SITI AISAH BT SAHRIN dr. Depi Jufri, Sp. POLI THT
1769
T.H.T.K.L
REG/OP/190701-0221 322096 ERLINA BT BASTOMI dr. Depi Jufri, Sp. POLI THT
1770
T.H.T.K.L
REG/OP/190709-0011 321321 M.SYAIROZI SOBRUN JAMIL BIN dr. Depi Jufri, Sp. POLI THT
1771
FATHURRAHMAN T.H.T.K.L
REG/OP/190711-0151 322730 YULIA BT MALIAN dr. Ahmad Hifni, Sp. POLI THT
1772
THT.KL
REG/OP/190716-0359 323054 HALIMAH BINTI IMRON dr. Depi Jufri, Sp. POLI THT
1773
T.H.T.K.L
REG/OP/190716-0153 138618 THOMAS EBTANTO BIN AGUSTINUS dr. Depi Jufri, Sp. POLI THT
1774
T.H.T.K.L
REG/OP/190708-0383 322501 GAARA ADITYA PRATAMA dr. Depi Jufri, Sp. POLI THT
1775
T.H.T.K.L
REG/OP/190705-0100 131275 HOTAMA BT KUSIM JAILANI dr. Ahmad Hifni, Sp. POLI THT
1776
THT.KL
REG/OP/190715-0185 245378 NOPI YANTI BT EFENDI dr. Depi Jufri, Sp. POLI THT
1777
T.H.T.K.L
REG/OP/190717-0310 230560 NURHAYATI BT NANG UNING dr. Depi Jufri, Sp. POLI THT
1778
T.H.T.K.L
REG/OP/190712-0340 322784 ELSA ARWINATA dr. Ahmad Hifni, Sp. POLI THT
1779 THT.KL

REG/OP/190708-0353 322494 MASTANTI BT SARBINI dr. Depi Jufri, Sp. POLI THT
1780
T.H.T.K.L
REG/OP/190711-0031 101564 M.KUSMURTONY BIN GATOT dr. Ahmad Hifni, Sp. POLI THT
1781
GATOT / AYAH THT.KL
REG/OP/190702-0062 217582 AHMAD FADLY SWANRIS dr. Depi Jufri, Sp. POLI THT
1782
T.H.T.K.L
REG/OP/190711-0396 322767 JON ALPA EDISON BIN HASBI dr. Ahmad Hifni, Sp. POLI THT
1783
THT.KL
REG/OP/190708-0308 322489 ROSYIDA BT BENDAWAN dr. Depi Jufri, Sp. POLI THT
1784
T.H.T.K.L
REG/OP/190705-0249 101200 ASMAWATI BT ASRIL dr. Ahmad Hifni, Sp. POLI THT
1785
THT.KL
REG/OP/190712-0036 101195 AHMAD BN PENDEKAR dr. Ahmad Hifni, Sp. POLI THT
1786
THT.KL
REG/OP/190709-0256 023313 SITI NABILA CINTHYA BELLA BT N dr. Depi Jufri, Sp. POLI THT
1787 NOPIS HARIANTO T.H.T.K.L

REG/OP/190715-0248 100977 M.FARID FAHMI dr. Depi Jufri, Sp. POLI THT
1788
T.H.T.K.L
REG/OP/190711-0115 135311 TUTI MARLINA BT EDISON dr. Ahmad Hifni, Sp. POLI THT
1789
THT.KL
REG/OP/190710-0319 100977 M.FARID FAHMI dr. Depi Jufri, Sp. POLI THT
1790
T.H.T.K.L
REG/OP/190726-0126 100819 SUTRIS YANI BT NASRUL dr. Ahmad Hifni, Sp. POLI THT
1791
THT.KL
REG/OP/190708-0427 138386 NURHAYANI BT HASIM MAAT dr. Depi Jufri, Sp. POLI THT
1792
T.H.T.K.L
REG/OP/190702-0317 319642 JOHAN SATRIA BIN UBAIDILAH dr. Depi Jufri, Sp. POLI THT
1793
T.H.T.K.L
REG/OP/190611-0170 282597 SITI FATIMAH NASYWA YUMNA BT dr. Depi Jufri, Sp. POLI THT
1794
SAMSIADJI T.H.T.K.L
REG/OP/190611-0319 304640 DENI IDRIS BIN RUSTAM dr. Depi Jufri, Sp. POLI THT
1795
T.H.T.K.L
REG/OP/190611-0271 067216 NURUL KOMAR BINTI NAJAMARIN dr. Depi Jufri, Sp. POLI THT
1796
T.H.T.K.L
REG/OP/190611-0238 320833 BARATA BIN KUSMAYADI dr. Depi Jufri, Sp. POLI THT
1797 T.H.T.K.L

REG/OP/190611-0466 317421 FIRMAN BIN KOMARUDIN dr. Depi Jufri, Sp. POLI THT
1798
T.H.T.K.L
REG/OP/190627-0096 131746 AHMAD PALUT BIN MARSUDI dr. Ahmad Hifni, Sp. POLI THT
1799
THT.KL
REG/OP/190611-0128 268404 NADIAH ARSYILA AHMAD dr. Depi Jufri, Sp. POLI THT
1800
T.H.T.K.L
REG/OP/190611-0135 122358 YUKI TASNIM BT ROBIADI dr. Depi Jufri, Sp. POLI THT
1801
T.H.T.K.L
REG/OP/190705-0086 321473 CIK AMA dr. Ahmad Hifni, Sp. POLI THT
1802
THT.KL
REG/OP/190627-0135 321473 CIK AMA dr. Ahmad Hifni, Sp. POLI THT
1803
THT.KL
REG/OP/190620-0135 321448 MEGA BT BRENHAR dr. Ahmad Hifni, Sp. POLI THT
1804
THT.KL
REG/OP/190627-0345 321405 YUNIARTI BT HERMANTO dr. Ahmad Hifni, Sp. POLI THT
1805
THT.KL
REG/OP/190716-0110 321321 M.SYAIROZI SOBRUN JAMIL BIN dr. Depi Jufri, Sp. POLI THT
1806
FATHURRAHMAN T.H.T.K.L
REG/OP/190709-0056 322568 AHMAD HABIB ARROYYAN BN dr. Depi Jufri, Sp. POLI THT
1807
MUSTAMIR T.H.T.K.L
REG/OP/190709-0277 162533 SUSILAH BT SYARIPUDIN dr. Depi Jufri, Sp. POLI THT
1808
T.H.T.K.L
REG/OP/190716-0294 322568 AHMAD HABIB ARROYYAN BN dr. Depi Jufri, Sp. POLI THT
1809
MUSTAMIR T.H.T.K.L
REG/OP/190708-0340 048820 NURWASTU BIN USMAN dr. Depi Jufri, Sp. POLI THT
1810
T.H.T.K.L
REG/OP/190719-0023 258333 SRI NURJANAH, SPD dr. Ahmad Hifni, Sp. POLI THT
1811
THT.KL
REG/OP/190715-0268 257463 DONI BIN HASIM dr. Depi Jufri, Sp. POLI THT
1812
T.H.T.K.L
REG/OP/190709-0278 269177 FANESYA BT AIDIT dr. Depi Jufri, Sp. POLI THT
1813
T.H.T.K.L
REG/OP/190717-0029 323079 ASNAWI PAKU ALAM BIN ATUN dr. Depi Jufri, Sp. POLI THT
1814
T.H.T.K.L
REG/OP/190718-0019 064585 RAHMAYATI BT RIDWAN dr. Ahmad Hifni, Sp. POLI THT
1815
THT.KL
REG/OP/190709-0117 004447 NAFILAH RAMADHANTI dr. Depi Jufri, Sp. POLI THT
1816
BTPATRULLAH PATRULLAH T.H.T.K.L
REG/OP/190702-0374 004713 BUHADI BIN SAARIN dr. Depi Jufri, Sp. POLI THT
1817
T.H.T.K.L
REG/OP/190717-0279 323108 HJ. ASIAH AMIR BT ARIFIN SAYIN dr. Depi Jufri, Sp. POLI THT
1818
T.H.T.K.L
REG/OP/190717-0318 308107 ANTO SUPRIYADI BIN SUKIRMAN dr. Depi Jufri, Sp. POLI THT
1819
T.H.T.K.L
REG/OP/190709-0283 020806 MAWARNI BT A AZIZ YASIN dr. Depi Jufri, Sp. POLI THT
1820
T.H.T.K.L
REG/OP/190709-0274 257350 JASMINE AZ ZAHRA BT SUHERMAN dr. Depi Jufri, Sp. POLI THT
1821
T.H.T.K.L
REG/OP/190717-0148 018347 MASTANI BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
1822
T.H.T.K.L
REG/OP/190611-0297 271126 DEFA SARI BT WISNU WARDANA dr. Depi Jufri, Sp. POLI THT
1823
T.H.T.K.L
REG/OP/190627-0271 235680 PUJIONO BIN SLAMET dr. Ahmad Hifni, Sp. POLI THT
1824
THT.KL
REG/OP/190611-0437 278282 HARIS MUNANDAR BIN KANDAR dr. Depi Jufri, Sp. POLI THT
1825
T.H.T.K.L
REG/OP/190717-0322 274568 SITI AISAH BT SAHRIN dr. Depi Jufri, Sp. POLI THT
1826
T.H.T.K.L
REG/OP/190611-0306 014147 YANTI IRZAN dr. Depi Jufri, Sp. POLI THT
1827
T.H.T.K.L
REG/OP/190703-0162 245378 NOPI YANTI BT EFENDI dr. Depi Jufri, Sp. POLI THT
1828
T.H.T.K.L
REG/OP/190704-0407 134538 AZ ZAHRA MIKAYLA DEVIRA BT dr. Ahmad Hifni, Sp. POLI THT
1829
DEDDY RUM THT.KL
REG/OP/190703-0243 187527 PONCO PUTRO BIN SARIMAN dr. Depi Jufri, Sp. POLI THT
1830
KELANA T.H.T.K.L
REG/OP/190611-0138 177069 HAFIZAH HUSNIAH AHMAD AHMAD dr. Depi Jufri, Sp. POLI THT
1831
SAROPI T.H.T.K.L
REG/OP/190709-0017 177069 HAFIZAH HUSNIAH AHMAD AHMAD dr. Depi Jufri, Sp. POLI THT
1832
SAROPI T.H.T.K.L
REG/OP/190701-0301 119770 CHELSEA BT NASRUL dr. Depi Jufri, Sp. POLI THT
1833
T.H.T.K.L
REG/OP/190701-0083 148489 MESRA DIANA BT ANANGYU dr. Depi Jufri, Sp. POLI THT
1834
ANANGYU T.H.T.K.L
REG/OP/190701-0200 273408 HAIBILLAH TRISMA PUTRA dr. Depi Jufri, Sp. POLI THT
1835
T.H.T.K.L
REG/OP/190715-0273 322945 SRI SUKATI BT KALIMAN dr. Depi Jufri, Sp. POLI THT
1836
T.H.T.K.L
REG/OP/190701-0466 322124 SUDIRMAN BIN AMAD dr. Depi Jufri, Sp. POLI THT
1837
T.H.T.K.L
REG/OP/190712-0223 208640 YUNITA BT SUGIANTO IRAWAN dr. Ahmad Hifni, Sp. POLI THT
1838
THT.KL
REG/OP/190708-0342 210638 DADANG ADE PUTRA IRAWAN dr. Depi Jufri, Sp. POLI THT
1839
T.H.T.K.L
REG/OP/190717-0192 132058 RUSMADA LENA BT HOLIP HOLIP dr. Depi Jufri, Sp. POLI THT
1840
T.H.T.K.L
REG/OP/190718-0161 135311 TUTI MARLINA BT EDISON dr. Ahmad Hifni, Sp. POLI THT
1841
THT.KL
REG/OP/190717-0201 258135 APRIZAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
1842
T.H.T.K.L
REG/OP/190717-0273 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
1843
T.H.T.K.L
REG/OP/190704-0346 257463 DONI BIN HASIM dr. Ahmad Hifni, Sp. POLI THT
1844
THT.KL
REG/OP/190702-0383 296823 DERTA ALGA PUTRI dr. Depi Jufri, Sp. POLI THT
1845
T.H.T.K.L
REG/OP/190705-0113 000976 SINARYA BT DAYAN dr. Ahmad Hifni, Sp. POLI THT
1846
THT.KL
REG/OP/190717-0089 112688 ESSI VINDIANI PUTERI BT M.DIAH dr. Depi Jufri, Sp. POLI THT
1847
T.H.T.K.L
REG/OP/190718-0290 100376 LEWIN MARLINA BT MUSTAR dr. Ahmad Hifni, Sp. POLI THT
1848
THT.KL
REG/OP/190704-0040 164414 HAIKAL KHADAFI MUHAMAD dr. Ahmad Hifni, Sp. POLI THT
1849
THT.KL
REG/OP/190611-0159 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. POLI THT
1850
T.H.T.K.L
REG/OP/190719-0075 122573 ADE NIA SURYANI dr. Ahmad Hifni, Sp. POLI THT
1851
THT.KL
REG/OP/190710-0265 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. POLI THT
1852
T.H.T.K.L
REG/OP/190627-0354 110431 AKBAR RAFLI BIN M.ILHAM dr. Ahmad Hifni, Sp. POLI THT
1853 M.ILHAM THT.KL

REG/OP/190627-0439 321939 NOVIA SARI BINTI ASMAYUDIN dr. Ahmad Hifni, Sp. POLI THT
1854
THT.KL
REG/OP/190704-0201 305649 MUHAMMAD ADITYA PUTRA dr. Ahmad Hifni, Sp. POLI THT
1855
THT.KL
REG/OP/190719-0224 284481 ATILA LESTARI BT M.AMIN dr. Ahmad Hifni, Sp. POLI THT
1856
THT.KL
REG/OP/190701-0033 319875 ANDRI AFRILA BIN A.ROHIM dr. Depi Jufri, Sp. POLI THT
1857 T.H.T.K.L

REG/OP/190715-0098 120536 FUTRI ANGGRAINI BT SYAIFUL dr. Depi Jufri, Sp. POLI THT
1858
T.H.T.K.L
REG/OP/190716-0278 097234 HERNITA BT SUHARMAN dr. Depi Jufri, Sp. POLI THT
1859
T.H.T.K.L
REG/OP/190717-0190 095637 M.FAJAR BIN RAHADI dr. Depi Jufri, Sp. POLI THT
1860
T.H.T.K.L
REG/OP/190710-0167 184583 LATHIEFAH ANJANI BT APENI dr. Depi Jufri, Sp. POLI THT
1861
KASBARUA T.H.T.K.L
REG/OP/190710-0411 282081 MASHUN AYYAS AMANULLOH dr. Depi Jufri, Sp. POLI THT
1862
T.H.T.K.L
REG/OP/190710-0363 095637 M.FAJAR BIN RAHADI dr. Depi Jufri, Sp. POLI THT
1863
T.H.T.K.L
REG/OP/190708-0462 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1864
T.H.T.K.L
REG/OP/190718-0283 199692 RIZKI FATIMA BT ANDI ARDIANSAH dr. Ahmad Hifni, Sp. POLI THT
1865
THT.KL
REG/OP/190711-0360 322759 HERMANSYAH BN CEK ANANG dr. Ahmad Hifni, Sp. POLI THT
1866
THT.KL
REG/OP/190716-0247 276510 SRI MURTI BT AMIN dr. Depi Jufri, Sp. POLI THT
1867
T.H.T.K.L
REG/OP/190715-0470 223410 HANA ZAHRA ALISHA BT WAWAN dr. Depi Jufri, Sp. POLI THT
1868
T.H.T.K.L
REG/OP/190711-0223 199692 RIZKI FATIMA BT ANDI ARDIANSAH dr. Ahmad Hifni, Sp. POLI THT
1869
THT.KL
REG/OP/190716-0354 162533 SUSILAH BT SYARIPUDIN dr. Depi Jufri, Sp. POLI THT
1870
T.H.T.K.L
REG/OP/190716-0361 023313 SITI NABILA CINTHYA BELLA BT N dr. Depi Jufri, Sp. POLI THT
1871 NOPIS HARIANTO T.H.T.K.L

REG/OP/190704-0414 290057 ARAFFI ATHARRAZKA BIN dr. Ahmad Hifni, Sp. POLI THT
1872
AGUSTIAN THT.KL
REG/OP/190702-0238 176556 ENGKUS KUSIYAH JUNAIDI dr. Depi Jufri, Sp. POLI THT
1873
T.H.T.K.L
REG/OP/190708-0543 289794 EPNI HUTAGALUNG BIN KENEDI dr. Depi Jufri, Sp. POLI THT
1874
T.H.T.K.L
REG/OP/190717-0147 198436 DERI SULIANTO BIN M.SALIM dr. Depi Jufri, Sp. POLI THT
1875
T.H.T.K.L
REG/OP/190701-0042 063665 DESNA BT KORHI dr. Depi Jufri, Sp. POLI THT
1876
T.H.T.K.L
REG/OP/190702-0369 197607 NYIAYU HAFIZAH SULASRI dr. Depi Jufri, Sp. POLI THT
1877
T.H.T.K.L
REG/OP/190709-0143 174920 RENI PERMATASARI BT dr. Depi Jufri, Sp. POLI THT
1878
SYAMSUDIN T.H.T.K.L
REG/OP/190620-0201 099046 DEDE GUNAWAN ASIKIN dr. Ahmad Hifni, Sp. POLI THT
1879
THT.KL
REG/OP/190620-0364 280193 ADELIA CALLISTA BT M.ALI dr. Ahmad Hifni, Sp. POLI THT
1880
THT.KL
REG/OP/190620-0334 321473 CIK AMA dr. Ahmad Hifni, Sp. POLI THT
1881
THT.KL
REG/OP/190627-0090 110675 NURDIN BIN HISOM dr. Ahmad Hifni, Sp. POLI THT
1882
THT.KL
REG/OP/190625-0187 161204 TAISIR BIN SULAIMAN SULAIMAN / dr. Depi Jufri, Sp. POLI THT
1883
AYAH T.H.T.K.L
REG/OP/190627-0429 321937 PUTRA BIN RUSLI dr. Ahmad Hifni, Sp. POLI THT
1884
THT.KL
REG/OP/190708-0332 063665 DESNA BT KORHI dr. Depi Jufri, Sp. POLI THT
1885
T.H.T.K.L
REG/OP/190716-0386 289794 EPNI HUTAGALUNG BIN KENEDI dr. Depi Jufri, Sp. POLI THT
1886
T.H.T.K.L
REG/OP/190715-0409 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1887
T.H.T.K.L
REG/OP/190719-0043 055846 SUKRI BIN MARZUKI dr. Ahmad Hifni, Sp. POLI THT
1888
THT.KL
REG/OP/190701-0069 289664 WAKIDI BIN WAGI dr. Depi Jufri, Sp. POLI THT
1889
T.H.T.K.L
REG/OP/190702-0189 193933 UFAIRAH NUR AFIFA BT HAPPY dr. Depi Jufri, Sp. POLI THT
1890
CHANDRA T.H.T.K.L
REG/OP/190703-0359 320210 RUZIAH BT H.M. ZALI dr. Depi Jufri, Sp. POLI THT
1891
T.H.T.K.L
REG/OP/190708-0565 193005 AFRIYANI OKTAVIA BT IWAN dr. Depi Jufri, Sp. POLI THT
1892
WAHYUDI T.H.T.K.L
REG/OP/190703-0216 288876 SUTRA BT A.PUAD dr. Depi Jufri, Sp. POLI THT
1893
T.H.T.K.L
REG/OP/190705-0063 101195 AHMAD BN PENDEKAR dr. Ahmad Hifni, Sp. POLI THT
1894
THT.KL
REG/OP/190703-0396 319685 RAINA ASREILA HIDAYAT dr. Depi Jufri, Sp. POLI THT
1895
T.H.T.K.L
REG/OP/190715-0112 127840 FADHLI AZHAR BIN AZWAR dr. Depi Jufri, Sp. POLI THT
1896
T.H.T.K.L
REG/OP/190716-0291 287508 EDISON SYAHRI BIN ATIMRON dr. Depi Jufri, Sp. POLI THT
1897
T.H.T.K.L
REG/OP/190726-0240 252903 NI KOMANG SUASTINIASIH dr. Ahmad Hifni, Sp. POLI THT
1898
NYOMAN / AYAH THT.KL
REG/OP/190712-0114 126616 SRI NIRWANA BT NABAWI dr. Ahmad Hifni, Sp. POLI THT
1899
THT.KL
REG/OP/190612-0117 320923 AHMAD RIFAI BIN MUGI IRYANTO dr. Depi Jufri, Sp. POLI THT
1900
T.H.T.K.L
REG/OP/190717-0100 319490 MUHAMMAD SAFE'I BIN TOMO dr. Depi Jufri, Sp. POLI THT
1901
T.H.T.K.L
REG/OP/190710-0286 319490 MUHAMMAD SAFE'I BIN TOMO dr. Depi Jufri, Sp. POLI THT
1902
T.H.T.K.L
REG/OP/190710-0338 320948 RIFFAT ALFARIZI STAR dr. Depi Jufri, Sp. POLI THT
1903
T.H.T.K.L
REG/OP/190628-0145 321016 ARIF ANDIKA MAULANA BIN AGUS dr. Ahmad Hifni, Sp. POLI THT
1904
KURNIAWAN THT.KL
REG/OP/190717-0256 320948 RIFFAT ALFARIZI STAR dr. Depi Jufri, Sp. POLI THT
1905
T.H.T.K.L
REG/OP/190711-0339 277839 RASHI AYU PRIMADANI dr. Ahmad Hifni, Sp. POLI THT
1906 THT.KL

REG/OP/190611-0427 320860 GUNTUR CATUR PRASETIYO BIN dr. Depi Jufri, Sp. POLI THT
1907
SUPARAPTO T.H.T.K.L
REG/OP/190715-0169 321076 ROKAINI BT AHMAD MARDI dr. Depi Jufri, Sp. POLI THT
1908
T.H.T.K.L
REG/OP/190701-0400 321034 HERIYANTI BT SUAIBU dr. Depi Jufri, Sp. POLI THT
1909
T.H.T.K.L
REG/OP/190715-0104 321045 SUKUR BIN SOBIRIN dr. Depi Jufri, Sp. POLI THT
1910
T.H.T.K.L
REG/OP/190710-0383 321034 HERIYANTI BT SUAIBU dr. Depi Jufri, Sp. POLI THT
1911
T.H.T.K.L
REG/OP/190709-0279 253513 ADZKIA LULU NAFISAH dr. Depi Jufri, Sp. POLI THT
1912
T.H.T.K.L
REG/OP/190710-0135 274467 SENTIA DEWI ULAN DARI BT BUDI dr. Depi Jufri, Sp. POLI THT
1913
WALUYO T.H.T.K.L
REG/OP/190719-0235 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
1914
THT.KL
REG/OP/190704-0362 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
1915
THT.KL
REG/OP/190716-0235 253513 ADZKIA LULU NAFISAH dr. Depi Jufri, Sp. POLI THT
1916
T.H.T.K.L
REG/OP/190715-0101 251790 DORA SAPUTRA BIN KOSIM dr. Depi Jufri, Sp. POLI THT
1917
KOSIM / AYAH T.H.T.K.L
REG/OP/190708-0201 157866 HERLIADI BIN RAHMAN TAMIN dr. Depi Jufri, Sp. POLI THT
1918
T.H.T.K.L
REG/OP/190712-0146 318301 HARUN BIN HAMID dr. Ahmad Hifni, Sp. POLI THT
1919
THT.KL
REG/OP/190712-0165 250775 EEM BT ALKAP dr. Ahmad Hifni, Sp. POLI THT
1920
THT.KL
REG/OP/190718-0297 240960 VERAWATI BT M.YUSUF dr. Ahmad Hifni, Sp. POLI THT
1921
THT.KL
REG/OP/190709-0134 251203 SARNI BINTI TAMBIR SUJI / SUAMI dr. Depi Jufri, Sp. POLI THT
1922
T.H.T.K.L
REG/OP/190717-0313 251203 SARNI BINTI TAMBIR SUJI / SUAMI dr. Depi Jufri, Sp. POLI THT
1923
T.H.T.K.L
REG/OP/190701-0137 251203 SARNI BINTI TAMBIR SUJI / SUAMI dr. Depi Jufri, Sp. POLI THT
1924
T.H.T.K.L
REG/OP/190718-0379 237967 HAZKI ABDUL JALIL dr. Ahmad Hifni, Sp. POLI THT
1925
THT.KL
REG/OP/190611-0119 242345 CANDRA WEDI BIN SULAIMAN dr. Depi Jufri, Sp. POLI THT
1926
T.H.T.K.L
REG/OP/190709-0304 237967 HAZKI ABDUL JALIL dr. Depi Jufri, Sp. POLI THT
1927 T.H.T.K.L

REG/OP/190705-0174 322373 SAFA BT HERMAN dr. Ahmad Hifni, Sp. POLI THT
1928
THT.KL
REG/OP/190708-0372 242260 SABRINA TIPANIA IDHAM KHOLID dr. Depi Jufri, Sp. POLI THT
1929
T.H.T.K.L
REG/OP/190715-0243 142596 HENIYA BT ISKANDAR DAMIRI dr. Depi Jufri, Sp. POLI THT
1930
T.H.T.K.L
REG/OP/190708-0302 142596 HENIYA BT ISKANDAR DAMIRI dr. Depi Jufri, Sp. POLI THT
1931
T.H.T.K.L
REG/OP/190710-0317 285333 RENI PUTRI AYU BT LUNAR dr. Depi Jufri, Sp. POLI THT
1932
T.H.T.K.L
REG/OP/190702-0094 141651 FITRI ARIYANI BT MOH.YUSROH dr. Depi Jufri, Sp. POLI THT
1933
T.H.T.K.L
REG/OP/190704-0159 142145 ASRIL BIN Z.A. BIDIN dr. Ahmad Hifni, Sp. POLI THT
1934
THT.KL
REG/OP/190711-0190 142145 ASRIL BIN Z.A. BIDIN dr. Ahmad Hifni, Sp. POLI THT
1935
THT.KL
REG/OP/190709-0217 181781 MUHAMMA NAUFAL AKBAR BIN dr. Depi Jufri, Sp. POLI THT
1936
LUIN T.H.T.K.L
REG/OP/190702-0209 126616 SRI NIRWANA BT NABAWI dr. Depi Jufri, Sp. POLI THT
1937
T.H.T.K.L
REG/OP/190710-0051 124703 ERNA ZAHARA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
1938
T.H.T.K.L
REG/IP/190715-0048 322983 HERMAN BIN KANCING dr. Depi Jufri, Sp. MANGGARIS
1939
T.H.T.K.L
REG/IP/190625-0059 321750 VINKAN PRICILLIA BT SUVENPRI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
1940
REG/IP/190715-0039 269865 FITRI YANTI BT HAJRI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
1941

REG/IP/190709-0040 174920 RENI PERMATASARI BT dr. Depi Jufri, Sp. MERANTI


1942
SYAMSUDIN T.H.T.K.L
REG/IP/190708-0063 153124 ANWAR BIN M.ALI dr. Depi Jufri, Sp. MERANTI
1943 T.H.T.K.L

REG/IP/190716-0039 323018 MUHAMMAD NAUFAL AKBAR BIN dr. Depi Jufri, Sp. MERANTI
1944
LUIN T.H.T.K.L
REG/IP/190709-0039 004447 NAFILAH RAMADHANTI dr. Depi Jufri, Sp. MERANTI
BTPATRULLAH PATRULLAH T.H.T.K.L
1945

REG/IP/190624-0036 321321 M.SYAIROZI SOBRUN JAMIL BIN dr. Depi Jufri, Sp. MERANTI
1946 FATHURRAHMAN T.H.T.K.L

REG/IP/190703-0034 322110 ATHIFA ZAHRA PUTRI BT dr. Depi Jufri, Sp. PETANANG
HERMANTO T.H.T.K.L
1947

REG/IP/190715-0037 245378 NOPI YANTI BT EFENDI dr. Depi Jufri, Sp. MEDANG
1948 T.H.T.K.L

REG/IP/190701-0058 119795 SARASAPIA BT M.ARSYAD dr. Depi Jufri, Sp. MEDANG


M.ARSYAD T.H.T.K.L
1949

REG/IP/190716-0041 322647 ETA TRIANI BT ZAINI dr. Depi Jufri, Sp. MEDANG
1950
T.H.T.K.L
REG/IP/190715-0030 305649 MUHAMMAD ADITYA PUTRA dr. Depi Jufri, Sp. MEDANG
1951
T.H.T.K.L
REG/IP/190715-0040 100977 M.FARID FAHMI dr. Depi Jufri, Sp. MEDANG
1952
T.H.T.K.L
REG/IP/190715-0026 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG
1953
T.H.T.K.L
REG/IP/190702-0027 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. MEDANG
1954
T.H.T.K.L
REG/IP/190709-0042 251203 SARNI BINTI TAMBIR SUJI / SUAMI dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
1955

REG/IP/190715-0038 309993 NANDA SATRIO BAYUAJI BIN dr. Depi Jufri, Sp. TEMBESU
1956 AHMAD RAIS T.H.T.K.L

REG/IP/190701-0045 320385 M.LUTFAN ALAMGIR BIN SELAMAT dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
1957

REG/IP/190708-0046 138618 THOMAS EBTANTO BIN AGUSTINUS dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
1958

REG/IP/190625-0060 238626 ILYASA MAULANA BIN ERNO dr. Depi Jufri, Sp. LEBAN
HERYANTO T.H.T.K.L
1959

REG/OP/190726-0021 323560 HERIYANTO BIN HASAN KASNO dr. Ahmad Hifni, Sp. POLI THT
1960
THT.KL
REG/OP/190730-0142 323776 WELAS BT GITO dr. Depi Jufri, Sp. POLI THT
1961
T.H.T.K.L
REG/OP/190726-0043 254373 RUSTAM EFENDI BIN USMAN dr. Ahmad Hifni, Sp. POLI THT
1962
THT.KL
REG/OP/190723-0375 023313 SITI NABILA CINTHYA BELLA BT N dr. Depi Jufri, Sp. POLI THT
1963 NOPIS HARIANTO T.H.T.K.L

REG/OP/190726-0092 271115 ADAM BIN MANAN dr. Ahmad Hifni, Sp. POLI THT
1964 THT.KL

REG/OP/190726-0027 215636 M.DWI SATRIA DHARMA PUTRA dr. Ahmad Hifni, Sp. POLI THT
1965
HERIANTO THT.KL
REG/OP/190725-0244 142277 HASANATUL KUBRO BIN HASAN dr. Ahmad Hifni, Sp. POLI THT
1966
BAKSIN THT.KL
REG/OP/190725-0307 100376 LEWIN MARLINA BT MUSTAR dr. Ahmad Hifni, Sp. POLI THT
1967
THT.KL
REG/OP/190726-0071 258333 SRI NURJANAH, SPD dr. Ahmad Hifni, Sp. POLI THT
1968
THT.KL
REG/OP/190815-0069 324713 SAHIBI BIN YAKIM dr. Ahmad Hifni, Sp. POLI THT
1969 THT.KL

REG/OP/190725-0371 301647 ABIZAR AL GHIFARI BIN IMRON dr. Ahmad Hifni, Sp. POLI THT
1970
THT.KL
REG/OP/190725-0325 288124 MUHAMMAD ZAHRAN ASH SHOBHI dr. Ahmad Hifni, Sp. POLI THT
1971
THT.KL
REG/OP/190725-0315 269865 FITRI YANTI BT HAJRI dr. Ahmad Hifni, Sp. POLI THT
1972
THT.KL
REG/OP/190815-0329 205184 MUHAMAD EFFENDI BIN SUBEKI dr. Ahmad Hifni, Sp. POLI THT
1973
THT.KL
REG/OP/190815-0127 106930 AIDIL FITRI BIN BAHTIAR dr. Ahmad Hifni, Sp. POLI THT
1974
THT.KL
REG/OP/190815-0197 262460 CITRA MASITA BT MUZAKIR dr. Ahmad Hifni, Sp. POLI THT
1975
THT.KL
REG/OP/190815-0201 180374 FENI WIJAYA dr. Ahmad Hifni, Sp. POLI THT
1976
THT.KL
REG/OP/190815-0169 222687 SITI KHODIJAH BT BADARUDIN dr. Ahmad Hifni, Sp. POLI THT
1977
SUDARYADI (SUAMI) THT.KL
REG/OP/190815-0093 108118 MAHYA BIN MANUSIN dr. Ahmad Hifni, Sp. POLI THT
1978
THT.KL
REG/OP/190730-0122 323246 ANDRE JULIANSYAH BIN ENDANG dr. Depi Jufri, Sp. POLI THT
1979
T.H.T.K.L
REG/OP/190724-0153 323452 RAISYA ARDILLA BT RUSLI dr. Depi Jufri, Sp. POLI THT
1980
T.H.T.K.L
REG/OP/190722-0453 323348 AIRIN BT GOY dr. Depi Jufri, Sp. POLI THT
1981
T.H.T.K.L
REG/OP/190729-0034 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
1982
T.H.T.K.L
REG/OP/190729-0031 323393 HUTRI AZAHRA FIRDHA RAYA SM dr. Depi Jufri, Sp. POLI THT
1983
BT WASKO T.H.T.K.L
REG/OP/190813-0253 018132 ROZI WIJAYA SUSANTO BIN SOLEH dr. Depi Jufri, Sp. POLI THT
1984
T.H.T.K.L
REG/OP/190731-0279 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. POLI THT
1985
T.H.T.K.L
REG/OP/190724-0359 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
1986
T.H.T.K.L
REG/OP/190809-0206 324360 MUHAMMAD NAJMI ZIKRI dr. Ahmad Hifni, Sp. POLI THT
1987
THT.KL
REG/OP/190723-0212 071783 CITRA AGUSTINA BT HUZAIRIN dr. Depi Jufri, Sp. POLI THT
1988
SYARIFUDDIN T.H.T.K.L
REG/OP/190731-0194 043743 MONA SISILIA BINTI M, NATSIR dr. Depi Jufri, Sp. POLI THT
1989
T.H.T.K.L
REG/OP/190724-0143 323449 SUPREN BIN ARIP dr. Depi Jufri, Sp. POLI THT
1990
T.H.T.K.L
REG/OP/190813-0220 167553 LIZZY DESTIANY BT IPAN NUSALIM dr. Depi Jufri, Sp. POLI THT
1991
T.H.T.K.L
REG/OP/190724-0322 323248 AZAN WIJAYA BAKTI dr. Depi Jufri, Sp. POLI THT
1992
T.H.T.K.L
REG/OP/190724-0318 212320 AZHAR BIN MUZAKIR MUZAKIR dr. Depi Jufri, Sp. POLI THT
1993
T.H.T.K.L
REG/OP/190724-0348 117734 WIDYAWATI BT ARZI dr. Depi Jufri, Sp. POLI THT
1994
T.H.T.K.L
REG/OP/190724-0351 323119 SAFIRA WIDIA ASTUTI BT ROBI dr. Depi Jufri, Sp. POLI THT
1995
T.H.T.K.L
REG/OP/190814-0364 313726 EKA SUMARLIN BIN A. KADIR dr. Depi Jufri, Sp. POLI THT
1996
T.H.T.K.L
REG/OP/190724-0328 308107 ANTO SUPRIYADI BIN SUKIRMAN dr. Depi Jufri, Sp. POLI THT
1997
T.H.T.K.L
REG/OP/190724-0250 323470 BELLA AFIFA BT AMRAN ( XXXXX ) dr. Depi Jufri, Sp. POLI THT
1998
T.H.T.K.L
REG/OP/190724-0213 323462 KUSNILA BT DAMSI dr. Depi Jufri, Sp. POLI THT
1999
T.H.T.K.L
REG/OP/190814-0181 322662 SUCI ANJANI BT JAYADI dr. Depi Jufri, Sp. POLI THT
2000
T.H.T.K.L
REG/OP/190724-0191 323456 TUWUH SAPTINI BT dr. Depi Jufri, Sp. POLI THT
2001
SISWOSUMATO T.H.T.K.L
REG/OP/190813-0171 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. POLI THT
2002
T.H.T.K.L
REG/OP/190813-0147 324554 ISWANTO BIN JAHRI dr. Depi Jufri, Sp. POLI THT
2003
T.H.T.K.L
REG/OP/190805-0062 100819 SUTRIS YANI BT NASRUL dr. Depi Jufri, Sp. POLI THT
2004
T.H.T.K.L
REG/OP/190814-0125 018347 MASTANI BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
2005
T.H.T.K.L
REG/OP/190805-0052 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
2006
T.H.T.K.L
REG/OP/190814-0285 060903 PADIA HAWALIMA BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
2007
MUHT SUGITO / SUAMI T.H.T.K.L
REG/OP/190814-0274 324658 MUHAMMAD YUDHAWANTARA BIN dr. Depi Jufri, Sp. POLI THT
2008
SAPTO T.H.T.K.L
REG/OP/190814-0272 186222 ROHAYATI BT IHWANI dr. Depi Jufri, Sp. POLI THT
2009
T.H.T.K.L
REG/OP/190814-0262 248235 BALQIS FAIRUZ ZAMAN BT dr. Depi Jufri, Sp. POLI THT
2010
ROMADHONI T.H.T.K.L
REG/OP/190814-0250 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
2011
T.H.T.K.L
REG/OP/190814-0126 324634 SUPRIYANTO BIN SUKIRNO dr. Depi Jufri, Sp. POLI THT
2012
T.H.T.K.L
REG/OP/190731-0210 323842 CHANTIKA SHAKIRA PRABOWO BT dr. Depi Jufri, Sp. POLI THT
2013
IDO PRABOWO T.H.T.K.L
REG/OP/190814-0119 174129 M. ADITIA PRADANA BIN ALEX dr. Depi Jufri, Sp. POLI THT
2014
RAMRAN T.H.T.K.L
REG/OP/190725-0176 245378 NOPI YANTI BT EFENDI dr. Ahmad Hifni, Sp. POLI THT
2015
THT.KL
REG/OP/190731-0214 095637 M.FAJAR BIN RAHADI dr. Depi Jufri, Sp. POLI THT
2016
T.H.T.K.L
REG/OP/190730-0163 309811 RENI APRIANI BT HABIBUR dr. Depi Jufri, Sp. POLI THT
2017
RAHMAN T.H.T.K.L
REG/OP/190814-0093 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
2018
HAR T.H.T.K.L
REG/OP/190724-0127 305649 MUHAMMAD ADITYA PUTRA dr. Depi Jufri, Sp. POLI THT
2019
T.H.T.K.L
REG/OP/190724-0206 172428 RASID BIN SAMSAM dr. Depi Jufri, Sp. POLI THT
2020
T.H.T.K.L
REG/OP/190724-0195 229115 MUHAMMAD ARYA FICKY PRADITYA dr. Depi Jufri, Sp. POLI THT
2021
T.H.T.K.L
REG/OP/190724-0199 322647 ETA TRIANI BT ZAINI dr. Depi Jufri, Sp. POLI THT
2022
T.H.T.K.L
REG/OP/190812-0080 323732 BELLA APIPA BT AMRAN dr. Depi Jufri, Sp. POLI THT
2023
T.H.T.K.L
REG/OP/190724-0172 321045 SUKUR BIN SOBIRIN dr. Depi Jufri, Sp. POLI THT
2024
T.H.T.K.L
REG/OP/190723-0199 323246 ANDRE JULIANSYAH BIN ENDANG dr. Depi Jufri, Sp. POLI THT
2025
T.H.T.K.L
REG/OP/190814-0062 257463 DONI BIN HASIM dr. Depi Jufri, Sp. POLI THT
2026
T.H.T.K.L
REG/OP/190726-0232 323577 NURHAYATI BT M.ALI dr. Ahmad Hifni, Sp. POLI THT
2027
THT.KL
REG/OP/190723-0179 323379 MUCHTAR MALIAN dr. Depi Jufri, Sp. POLI THT
2028
T.H.T.K.L
REG/OP/190731-0135 323462 KUSNILA BT DAMSI dr. Depi Jufri, Sp. POLI THT
2029
T.H.T.K.L
REG/OP/190723-0186 317633 MUSLIMAINI BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
2030
T.H.T.K.L
REG/OP/190814-0032 184696 YEYEN BT ABU RONI dr. Depi Jufri, Sp. POLI THT
2031
T.H.T.K.L
REG/OP/190722-0208 257463 DONI BIN HASIM dr. Depi Jufri, Sp. POLI THT
2032
T.H.T.K.L
REG/OP/190813-0333 222661 MUHAMMAD AFANDI IRAWAN BIN dr. Depi Jufri, Sp. POLI THT
2033
DEDI IRAWAN T.H.T.K.L
REG/OP/190813-0354 324597 WILLIAM BALORA BN TOYYIBIN dr. Depi Jufri, Sp. POLI THT
2034
T.H.T.K.L
REG/OP/190813-0091 324143 DEVI ANGGRAINI BT MISRAN dr. Depi Jufri, Sp. POLI THT
2035
T.H.T.K.L
REG/OP/190731-0146 142277 HASANATUL KUBRO BIN HASAN dr. Depi Jufri, Sp. POLI THT
2036
BAKSIN T.H.T.K.L
REG/OP/190723-0148 138618 THOMAS EBTANTO BIN AGUSTINUS dr. Depi Jufri, Sp. POLI THT
2037
T.H.T.K.L
REG/OP/190815-0205 311232 MEI LIANA ZANDIA BT IRZAN dr. Ahmad Hifni, Sp. POLI THT
2038
THT.KL
REG/OP/190813-0315 324152 LENI ROSDIANA BT SAHRUL dr. Depi Jufri, Sp. POLI THT
2039
T.H.T.K.L
REG/OP/190815-0181 180790 NASRULLAH BIN M.ZULKOPLI dr. Ahmad Hifni, Sp. POLI THT
2040
THT.KL
REG/OP/190815-0258 000044 NURMALIZA BT SOLIHIN dr. Ahmad Hifni, Sp. POLI THT
2041
THT.KL
REG/OP/190815-0348 300906 ANISA BT ANDI WIJAYA dr. Ahmad Hifni, Sp. POLI THT
2042
THT.KL
REG/OP/190729-0496 323732 BELLA APIPA BT AMRAN dr. Depi Jufri, Sp. POLI THT
2043
T.H.T.K.L
REG/OP/190815-0280 310029 SHAKEELA ELEANOR AMEERA BT dr. Ahmad Hifni, Sp. POLI THT
2044
DADANG THT.KL
REG/OP/190815-0297 133706 MAWARNILA BT ILYAS dr. Ahmad Hifni, Sp. POLI THT
2045
THT.KL
REG/OP/190813-0302 324581 SOLIMIN BIN NANG ALI dr. Depi Jufri, Sp. POLI THT
2046
T.H.T.K.L
REG/OP/190723-0074 100977 M.FARID FAHMI dr. Depi Jufri, Sp. POLI THT
2047
T.H.T.K.L
REG/OP/190815-0242 310586 DAHLIA BINTI SOLAH dr. Ahmad Hifni, Sp. POLI THT
2048
THT.KL
REG/OP/190815-0163 184728 DAVID SUPARMAN BIN SARJI dr. Ahmad Hifni, Sp. POLI THT
2049
THT.KL
REG/OP/190724-0049 323079 ASNAWI PAKU ALAM BIN ATUN dr. Depi Jufri, Sp. POLI THT
2050
T.H.T.K.L
REG/OP/190717-0263 118544 M.ANDHIKA ALFARREL BIN dr. Depi Jufri, Sp. POLI THT
2051
KATENEN T.H.T.K.L
REG/OP/190724-0038 110703 MAISYAROH BT BADRI dr. Depi Jufri, Sp. POLI THT
2052
T.H.T.K.L
REG/OP/190731-0118 018347 MASTANI BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
2053
T.H.T.K.L
REG/OP/190815-0139 324722 AZIMAH BT SUMILEK dr. Ahmad Hifni, Sp. POLI THT
2054
THT.KL
REG/OP/190722-0471 231194 ROHANI BT AZIM AZIM/AYAH dr. Depi Jufri, Sp. POLI THT
2055
T.H.T.K.L
REG/OP/190729-0217 174920 RENI PERMATASARI BT dr. Depi Jufri, Sp. POLI THT
2056
SYAMSUDIN T.H.T.K.L
REG/OP/190729-0438 323718 MARDUNA BINTI MAHYA dr. Depi Jufri, Sp. POLI THT
2057
T.H.T.K.L
REG/OP/190723-0322 109656 AROIKA BT M.ALI ARIF NUGROHO / dr. Depi Jufri, Sp. POLI THT
2058
SUAMI T.H.T.K.L
REG/OP/190722-0288 174920 RENI PERMATASARI BT dr. Depi Jufri, Sp. POLI THT
2059
SYAMSUDIN T.H.T.K.L
REG/OP/190729-0426 323713 EKA YULIANA BT ESTAMAN dr. Depi Jufri, Sp. POLI THT
2060
T.H.T.K.L
REG/OP/190731-0092 323452 RAISYA ARDILLA BT RUSLI dr. Depi Jufri, Sp. POLI THT
2061
T.H.T.K.L
REG/OP/190722-0177 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
2062
T.H.T.K.L
REG/OP/190813-0067 323079 ASNAWI PAKU ALAM BIN ATUN dr. Depi Jufri, Sp. POLI THT
2063
T.H.T.K.L
REG/OP/190729-0201 257463 DONI BIN HASIM dr. Depi Jufri, Sp. POLI THT
2064
T.H.T.K.L
REG/OP/190729-0178 253838 GUIDO VICTOR KURNIA DIDIK A dr. Depi Jufri, Sp. POLI THT
2065
T.H.T.K.L
REG/OP/190729-0180 223567 ADRIANA ADELIA ARETHA dr. Depi Jufri, Sp. POLI THT
2066
KHOIRUL T.H.T.K.L
REG/OP/190729-0397 323018 MUHAMMAD NAUFAL AKBAR BIN dr. Depi Jufri, Sp. POLI THT
2067
LUIN T.H.T.K.L
REG/OP/190723-0307 323400 SEPTI AULIA ANGGRAINI BT dr. Depi Jufri, Sp. POLI THT
2068
AHMAD SYAHRONI T.H.T.K.L
REG/OP/190729-0153 001560 AMINULLAH HUSIN BN HUSIN dr. Depi Jufri, Sp. POLI THT
2069
T.H.T.K.L
REG/OP/190731-0065 166733 ALDO PUTRA ANUGRAH BIN dr. Depi Jufri, Sp. POLI THT
2070
M.ANSORI T.H.T.K.L
REG/OP/190729-0358 323699 DULROJI BIN DOLAH JABAR dr. Depi Jufri, Sp. POLI THT
2071
T.H.T.K.L
REG/OP/190731-0059 323079 ASNAWI PAKU ALAM BIN ATUN dr. Depi Jufri, Sp. POLI THT
2072
T.H.T.K.L
REG/OP/190722-0051 153124 ANWAR BIN M.ALI dr. Depi Jufri, Sp. POLI THT
2073
T.H.T.K.L
REG/OP/190729-0365 323703 ZURNI APTIKA BT SUADI dr. Depi Jufri, Sp. POLI THT
2074
T.H.T.K.L
REG/OP/190731-0055 120536 FUTRI ANGGRAINI BT SYAIFUL dr. Depi Jufri, Sp. POLI THT
2075
T.H.T.K.L
REG/OP/190730-0219 323789 TUSLAN DIBYO SUWITO BIN dr. Depi Jufri, Sp. POLI THT
2076
MERTO SETOMO T.H.T.K.L
REG/OP/190816-0164 193933 UFAIRAH NUR AFIFA BT HAPPY dr. Ahmad Hifni, Sp. POLI THT
2077
CHANDRA THT.KL
REG/OP/190729-0117 322662 SUCI ANJANI BT JAYADI dr. Depi Jufri, Sp. POLI THT
2078
T.H.T.K.L
REG/OP/190723-0281 322977 AL VIYAH RAMADHANI BT dr. Depi Jufri, Sp. POLI THT
2079
BAMBANG T.H.T.K.L
REG/OP/190724-0074 258391 SYAMSUL BAHRI BN M. DENAN M dr. Depi Jufri, Sp. POLI THT
2080
DENAN T.H.T.K.L
REG/OP/190723-0277 162533 SUSILAH BT SYARIPUDIN dr. Depi Jufri, Sp. POLI THT
2081
T.H.T.K.L
REG/OP/190731-0029 258391 SYAMSUL BAHRI BN M. DENAN M dr. Depi Jufri, Sp. POLI THT
2082
DENAN T.H.T.K.L
REG/OP/190813-0041 264693 ABID FADHIL ABIYAN dr. Depi Jufri, Sp. POLI THT
2083
T.H.T.K.L
REG/OP/190730-0419 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
2084
HERMANTO T.H.T.K.L
REG/OP/190731-0014 092297 SASKIA RAMADANI BT YUDI dr. Depi Jufri, Sp. POLI THT
2085
ARDIANSAH T.H.T.K.L
REG/OP/190729-0237 237967 HAZKI ABDUL JALIL dr. Depi Jufri, Sp. POLI THT
2086 T.H.T.K.L

REG/OP/190723-0261 323393 HUTRI AZAHRA FIRDHA RAYA SM dr. Depi Jufri, Sp. POLI THT
2087
BT WASKO T.H.T.K.L
REG/OP/190730-0048 293950 YAN ARDIANSYAH dr. Depi Jufri, Sp. POLI THT
2088
T.H.T.K.L
REG/OP/190813-0030 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
2089
T.H.T.K.L
REG/OP/190730-0380 032345 MARIANA BT BAKRI dr. Depi Jufri, Sp. POLI THT
2090
T.H.T.K.L
REG/OP/190730-0102 321321 M.SYAIROZI SOBRUN JAMIL BIN dr. Depi Jufri, Sp. POLI THT
2091
FATHURRAHMAN T.H.T.K.L
REG/OP/190730-0302 258135 APRIZAH BT JAMALUDIN dr. Depi Jufri, Sp. POLI THT
2092
T.H.T.K.L
REG/OP/190731-0337 308107 ANTO SUPRIYADI BIN SUKIRMAN dr. Depi Jufri, Sp. POLI THT
2093
T.H.T.K.L
REG/OP/190730-0335 165365 RIKA SULANJARI BT ABU BAKAR dr. Depi Jufri, Sp. POLI THT
2094
T.H.T.K.L
REG/OP/190730-0346 323807 YOHAN BIN RUSLAN dr. Depi Jufri, Sp. POLI THT
2095
T.H.T.K.L
REG/OP/190730-0338 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2096
T.H.T.K.L
REG/OP/190730-0316 096005 LENI ROSDIANA BT SYAIFUL dr. Depi Jufri, Sp. POLI THT
2097
ANWAR KARTINI / IBU T.H.T.K.L
REG/OP/190730-0042 071783 CITRA AGUSTINA BT HUZAIRIN dr. Depi Jufri, Sp. POLI THT
2098
SYARIFUDDIN T.H.T.K.L
REG/OP/190715-0343 322952 RIDHO A SITANGGANG BIN M dr. Depi Jufri, Sp. POLI THT
2099
SITANGGANG T.H.T.K.L
REG/OP/190715-0502 322979 RAMA BN ASEP dr. Depi Jufri, Sp. POLI THT
2100
T.H.T.K.L
REG/OP/190715-0217 140977 NAUFAL AKHDAN dr. Depi Jufri, Sp. POLI THT
2101
T.H.T.K.L
REG/OP/190715-0114 305649 MUHAMMAD ADITYA PUTRA dr. Depi Jufri, Sp. POLI THT
2102
T.H.T.K.L
REG/OP/190805-0359 324077 SRIYANTI BT TJEKMAD dr. Depi Jufri, Sp. POLI THT
2103
T.H.T.K.L
REG/OP/190805-0445 003111 R.A. NURRAHMA BIN RADEN dr. Depi Jufri, Sp. POLI THT
2104
MUHAMMAD UMAR T.H.T.K.L
REG/OP/190715-0303 317306 MUIZZATIN IDA BT SUGIMIN dr. Depi Jufri, Sp. POLI THT
2105
T.H.T.K.L
REG/IP/190729-0038 323393 HUTRI AZAHRA FIRDHA RAYA SM dr. Depi Jufri, Sp. MERANTI
2106
BT WASKO T.H.T.K.L
REG/IP/190729-0043 322662 SUCI ANJANI BT JAYADI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
2107

REG/IP/190729-0049 257463 DONI BIN HASIM dr. Depi Jufri, Sp. MERANTI
2108 T.H.T.K.L

REG/IP/190813-0047 323732 BELLA APIPA BT AMRAN dr. Depi Jufri, Sp. MEDANG
2109
T.H.T.K.L
REG/IP/190813-0060 323079 ASNAWI PAKU ALAM BIN ATUN dr. Depi Jufri, Sp. MEDANG
2110
T.H.T.K.L
REG/IP/190820-0046 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG
2111 T.H.T.K.L

REG/IP/190805-0034 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. MEDANG
2112 T.H.T.K.L

REG/IP/190812-0018 232265 DIKKI PRAMANA PUTRA BIN dr. Depi Jufri, Sp. MEDANG
2113
MATNOH T.H.T.K.L
REG/IP/190819-0047 324449 AYU NONA BT H.MAHBUN dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2114

REG/IP/190801-0001 104501 RAYHAN DEYA RAMADHAN dr. Depi Jufri, Sp. TEMBESU
2115
T.H.T.K.L
REG/IP/190816-0022 284422 RAHMAT KURNIAWAN BIN ZAIDAN dr. Ahmad Hifni, Sp. TEMBESU
2116
THT.KL
REG/IP/190812-0024 104501 RAYHAN DEYA RAMADHAN dr. Depi Jufri, Sp. TEMBESU
2117
T.H.T.K.L
REG/IP/190821-0030 161516 SUDARMAN BIN SAYO dr. Depi Jufri, Sp. LEBAN
2118
T.H.T.K.L
REG/IP/190820-0031 283007 ARFAN BIN ZULKOPLI dr. Depi Jufri, Sp. LEBAN
2119 T.H.T.K.L

REG/OP/190830-0180 322010 SULASTRI BT ANSORI dr. Ahmad Hifni, Sp. POLI THT
2120
THT.KL
REG/OP/190924-0058 111915 M.FARIZ BIN RIZWAN dr. Depi Jufri, Sp. POLI THT
2121
T.H.T.K.L
REG/OP/190924-0243 216376 RENO HIDAYATULLOH BIN dr. Depi Jufri, Sp. POLI THT
2122
ISMARYANTO T.H.T.K.L
REG/OP/190924-0217 136485 MULYANA BT A.HARIS dr. Depi Jufri, Sp. POLI THT
2123
T.H.T.K.L
REG/OP/190920-0073 164389 ANJALI BIN ASWIN dr. Ahmad Hifni, Sp. POLI THT
2124
THT.KL
REG/OP/190920-0254 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
2125
THT.KL
REG/OP/190912-0091 164389 ANJALI BIN ASWIN dr. Ahmad Hifni, Sp. POLI THT
2126
THT.KL
REG/OP/190924-0122 281974 MAULANA AL RASYID DINARTA dr. Depi Jufri, Sp. POLI THT
2127
T.H.T.K.L
REG/OP/190916-0237 157580 LILIS SURYANI BT ANAS dr. Depi Jufri, Sp. POLI THT
2128
T.H.T.K.L
REG/OP/190926-0305 326646 HANDY MUSOFA ULANAM dr. Ahmad Hifni, Sp. POLI THT
2129
THT.KL
REG/OP/190805-0081 324041 M.IIP RAMAPRAJA BN dr. Depi Jufri, Sp. POLI THT
2130 DRS.H.M.SAYUTI,MSI T.H.T.K.L

REG/OP/190809-0050 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
2131
THT.KL
REG/OP/190927-0196 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
2132
THT.KL
REG/OP/190805-0185 324044 M.RAIHAN AL-HAPIZ dr. Depi Jufri, Sp. POLI THT
2133
T.H.T.K.L
REG/OP/190917-0051 326652 ALWI BIN YUSUF dr. Depi Jufri, Sp. POLI THT
2134
T.H.T.K.L
REG/OP/190918-0122 087310 AL JAHRO UCU H dr. Depi Jufri, Sp. POLI THT
2135
T.H.T.K.L
REG/OP/190927-0109 326667 RAHMADITA HAZBILLAH RIZKA dr. Ahmad Hifni, Sp. POLI THT
2136
THT.KL
REG/OP/190917-0154 326667 RAHMADITA HAZBILLAH RIZKA dr. Depi Jufri, Sp. POLI THT
2137
T.H.T.K.L
REG/OP/190917-0144 326666 MAKDA KRISTIANI BR .MANALU dr. Depi Jufri, Sp. POLI THT
2138
BT LASDOR M T.H.T.K.L
REG/OP/190830-0159 085449 CIK UDAH BT KISRO dr. Ahmad Hifni, Sp. POLI THT
2139
THT.KL
REG/OP/190903-0156 323379 MUCHTAR MALIAN dr. Depi Jufri, Sp. POLI THT
2140
T.H.T.K.L
REG/OP/190924-0043 326652 ALWI BIN YUSUF dr. Depi Jufri, Sp. POLI THT
2141
T.H.T.K.L
REG/OP/190926-0344 084004 SUSILAWATI BT SYAMSUDDIN dr. Ahmad Hifni, Sp. POLI THT
2142
THT.KL
REG/OP/190819-0144 082809 ROSITA BT JUS AN dr. Depi Jufri, Sp. POLI THT
2143
T.H.T.K.L
REG/OP/190903-0158 222687 SITI KHODIJAH BT BADARUDIN dr. Depi Jufri, Sp. POLI THT
2144
SUDARYADI (SUAMI) T.H.T.K.L
REG/OP/190902-0395 152817 JENNY ARISANTI BT JUNIANTO dr. Depi Jufri, Sp. POLI THT
2145
T.H.T.K.L
REG/OP/190902-0275 229070 SRI WAHYUNI BT ALWIS EFENDI dr. Depi Jufri, Sp. POLI THT
2146
T.H.T.K.L
REG/OP/190904-0296 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
2147
HERMANTO T.H.T.K.L
REG/OP/190807-0339 324199 DYON DWI SAPUTRA BIN dr. Depi Jufri, Sp. POLI THT
2148
SUNARYONO T.H.T.K.L
REG/OP/190806-0242 324143 DEVI ANGGRAINI BT MISRAN dr. Depi Jufri, Sp. POLI THT
2149
T.H.T.K.L
REG/OP/190808-0210 131243 M. HAFIZ AL-FATIH BIN MAIZI dr. Ahmad Hifni, Sp. POLI THT
2150
SYAIFUL THT.KL
REG/OP/190827-0233 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
2151
T.H.T.K.L
REG/OP/190826-0434 325363 MARIAM BT ABDUL RAHMAN dr. Depi Jufri, Sp. POLI THT
2152
T.H.T.K.L
REG/OP/190826-0239 050864 M. TARIS APRIYANTO BIN TARMIZI dr. Depi Jufri, Sp. POLI THT
2153
TARMIZI T.H.T.K.L
REG/OP/190806-0284 324152 LENI ROSDIANA BT SAHRUL dr. Depi Jufri, Sp. POLI THT
2154
T.H.T.K.L
REG/OP/190805-0289 324061 DINIE NASTA RAMADHANI BT dr. Depi Jufri, Sp. POLI THT
2155 SAPARUDIN T.H.T.K.L

REG/OP/190912-0310 318264 PALASIPA WATI dr. Ahmad Hifni, Sp. POLI THT
2156
THT.KL
REG/OP/190912-0041 246116 SULNA ATIKA BINTI M YUSUP dr. Ahmad Hifni, Sp. POLI THT
2157
THT.KL
REG/OP/190912-0188 325966 YULI AGUSTINA BT M ALI dr. Ahmad Hifni, Sp. POLI THT
2158
THT.KL
REG/OP/190827-0169 068935 AIDIL SAPUTRA BIN ARIYANTO dr. Depi Jufri, Sp. POLI THT
2159
T.H.T.K.L
REG/OP/190826-0273 325334 SUGIANTO BIN SUWANDI dr. Depi Jufri, Sp. POLI THT
2160
T.H.T.K.L
REG/OP/190801-0334 070477 MISLINA WATI BT SUKIRMAN dr. Ahmad Hifni, Sp. POLI THT
2161
THT.KL
REG/OP/190805-0120 324045 DAFINAH SILMY PUTRI BT dr. Depi Jufri, Sp. POLI THT
2162 SUTRIYOSI T.H.T.K.L

REG/OP/190805-0245 324051 SUCI SEFTIANI BT SUKARNO dr. Depi Jufri, Sp. POLI THT
2163
T.H.T.K.L
REG/OP/190927-0019 132895 ERNAWATI BT HANAPIAH dr. Ahmad Hifni, Sp. POLI THT
2164
THT.KL
REG/OP/190925-0082 277464 TASYA ANJELLI BT MERIANTO dr. Depi Jufri, Sp. POLI THT
2165
T.H.T.K.L
REG/OP/190923-0183 310309 MURDIONO BIN MAHAJI dr. Depi Jufri, Sp. POLI THT
2166
T.H.T.K.L
REG/OP/190809-0197 252903 NI KOMANG SUASTINIASIH dr. Ahmad Hifni, Sp. POLI THT
2167
NYOMAN / AYAH THT.KL
REG/OP/190830-0031 252903 NI KOMANG SUASTINIASIH dr. Ahmad Hifni, Sp. POLI THT
2168
NYOMAN / AYAH THT.KL
REG/OP/190806-0270 251332 ERNAWATI BT ISMAIL dr. Depi Jufri, Sp. POLI THT
2169
T.H.T.K.L
REG/OP/190909-0099 310029 SHAKEELA ELEANOR AMEERA BT dr. Depi Jufri, Sp. POLI THT
2170
DADANG T.H.T.K.L
REG/OP/190830-0040 310029 SHAKEELA ELEANOR AMEERA BT dr. Ahmad Hifni, Sp. POLI THT
2171
DADANG THT.KL
REG/OP/190906-0100 275933 BRIGITA AYU CHANDIA dr. Ahmad Hifni, Sp. POLI THT
2172
THT.KL
REG/OP/190827-0278 275933 BRIGITA AYU CHANDIA dr. Depi Jufri, Sp. POLI THT
2173
T.H.T.K.L
REG/OP/190916-0189 326576 DWI ERI PRASNANTO dr. Depi Jufri, Sp. POLI THT
2174
T.H.T.K.L
REG/OP/190923-0189 326576 DWI ERI PRASNANTO dr. Depi Jufri, Sp. POLI THT
2175
T.H.T.K.L
REG/OP/190808-0269 309993 NANDA SATRIO BAYUAJI BIN dr. Ahmad Hifni, Sp. POLI THT
2176
AHMAD RAIS THT.KL
REG/OP/190918-0055 326576 DWI ERI PRASNANTO dr. Depi Jufri, Sp. POLI THT
2177
T.H.T.K.L
REG/OP/190924-0275 112271 SENDY MARTHELS ALFAN dr. Depi Jufri, Sp. POLI THT
2178
T.H.T.K.L
REG/OP/190924-0261 255325 HERMADA BIN ZAINAL dr. Depi Jufri, Sp. POLI THT
2179
T.H.T.K.L
REG/OP/190924-0113 239665 NAUVAL PRAWIRA BIN AZWARI dr. Depi Jufri, Sp. POLI THT
2180
T.H.T.K.L
REG/OP/190924-0039 123382 REJAB N BIN BUJANG NAWAR dr. Depi Jufri, Sp. POLI THT
2181
T.H.T.K.L
REG/OP/190924-0111 326157 MENI RUSMINI BT ROIHAN dr. Depi Jufri, Sp. POLI THT
2182
T.H.T.K.L
REG/OP/190925-0054 201167 ROGAYAH IDRIS dr. Depi Jufri, Sp. POLI THT
2183
T.H.T.K.L
REG/OP/190902-0195 201167 ROGAYAH IDRIS dr. Depi Jufri, Sp. POLI THT
2184
T.H.T.K.L
REG/OP/190827-0117 201167 ROGAYAH IDRIS dr. Depi Jufri, Sp. POLI THT
2185
T.H.T.K.L
REG/OP/190910-0205 201167 ROGAYAH IDRIS dr. Depi Jufri, Sp. POLI THT
2186
T.H.T.K.L
REG/OP/190924-0090 263193 ADZKIA ALMEERA VIOLA dr. Depi Jufri, Sp. POLI THT
2187
T.H.T.K.L
REG/OP/190828-0202 167553 LIZZY DESTIANY BT IPAN NUSALIM dr. Depi Jufri, Sp. POLI THT
2188
T.H.T.K.L
REG/OP/190809-0052 308740 CITRA FAUZIAH BT SUNARTO dr. Ahmad Hifni, Sp. POLI THT
2189
THT.KL
REG/OP/190806-0280 167553 LIZZY DESTIANY BT IPAN NUSALIM dr. Depi Jufri, Sp. POLI THT
2190
T.H.T.K.L
REG/OP/190917-0087 123382 REJAB N BIN BUJANG NAWAR dr. Depi Jufri, Sp. POLI THT
2191
T.H.T.K.L
REG/OP/190903-0198 123382 REJAB N BIN BUJANG NAWAR dr. Depi Jufri, Sp. POLI THT
2192
T.H.T.K.L
REG/OP/190910-0062 123382 REJAB N BIN BUJANG NAWAR dr. Depi Jufri, Sp. POLI THT
2193
T.H.T.K.L
REG/OP/190902-0065 124115 M.TEDDY SEPTRIANSYAH BN dr. Depi Jufri, Sp. POLI THT
2194
DENDI S T.H.T.K.L
REG/OP/190918-0056 124115 M.TEDDY SEPTRIANSYAH BN dr. Depi Jufri, Sp. POLI THT
2195
DENDI S T.H.T.K.L
REG/OP/190916-0500 123777 USAMA BIN HAMID dr. Depi Jufri, Sp. POLI THT
2196
T.H.T.K.L
REG/OP/190805-0355 169672 ALTI GUNAWAN BIN ALFIAN SAHIB dr. Depi Jufri, Sp. POLI THT
2197
T.H.T.K.L
REG/OP/190902-0168 325715 MALICA AZAHRA AKA BT ASEP dr. Depi Jufri, Sp. POLI THT
2198
AGUNG SAPUTRA T.H.T.K.L
REG/OP/190909-0358 122947 HERDI PRANATA BN.DARWIN dr. Depi Jufri, Sp. POLI THT
2199
DARWIN T.H.T.K.L
REG/OP/190806-0305 323703 ZURNI APTIKA BT SUADI dr. Depi Jufri, Sp. POLI THT
2200
T.H.T.K.L
REG/OP/190808-0071 122633 ALKASIH BIN IMRON dr. Ahmad Hifni, Sp. POLI THT
2201
THT.KL
REG/OP/190808-0356 133706 MAWARNILA BT ILYAS dr. Ahmad Hifni, Sp. POLI THT
2202
THT.KL
REG/OP/190805-0283 323718 MARDUNA BINTI MAHYA dr. Depi Jufri, Sp. POLI THT
2203
T.H.T.K.L
REG/OP/190902-0180 325724 ULIMA NITRA RAMADHAN BIN dr. Depi Jufri, Sp. POLI THT
2204
PONIRAN T.H.T.K.L
REG/OP/190923-0310 325724 ULIMA NITRA RAMADHAN BIN dr. Depi Jufri, Sp. POLI THT
2205
PONIRAN T.H.T.K.L
REG/OP/190902-0440 325737 RUBAMA BT HUSIN dr. Depi Jufri, Sp. POLI THT
2206
T.H.T.K.L
REG/OP/190912-0121 010358 SUTISNA WIDYAWATI BT SUHAIMI dr. Ahmad Hifni, Sp. POLI THT
2207
THT.KL
REG/OP/190807-0121 257463 DONI BIN HASIM dr. Depi Jufri, Sp. POLI THT
2208
T.H.T.K.L
REG/OP/190821-0095 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
2209
T.H.T.K.L
REG/OP/190905-0296 164389 ANJALI BIN ASWIN dr. Ahmad Hifni, Sp. POLI THT
2210
THT.KL
REG/OP/190906-0327 180689 AQIILAH SAADAH BT SADILI dr. Ahmad Hifni, Sp. POLI THT
2211
THT.KL
REG/OP/190905-0242 202853 HUSNI THAUFIK BIN M.HUSNI dr. Ahmad Hifni, Sp. POLI THT
2212
THT.KL
REG/OP/190805-0236 196922 QUEENA ANJANI ZAHIRA RUDI dr. Depi Jufri, Sp. POLI THT
2213
HARTONO T.H.T.K.L
REG/OP/190906-0238 143622 DINI PADILAH BT SAMSUL RIJAL dr. Ahmad Hifni, Sp. POLI THT
2214
THT.KL
REG/OP/190827-0198 321328 YUNI PURNAMA SARI BINTI AMIR dr. Depi Jufri, Sp. POLI THT
2215
HAMZAH T.H.T.K.L
REG/OP/190826-0278 284422 RAHMAT KURNIAWAN BIN ZAIDAN dr. Depi Jufri, Sp. POLI THT
2216
T.H.T.K.L
REG/OP/190805-0279 313726 EKA SUMARLIN BIN A. KADIR dr. Depi Jufri, Sp. POLI THT
2217
T.H.T.K.L
REG/OP/190910-0181 326212 NUR BAITI BT KUDIR dr. Depi Jufri, Sp. POLI THT
2218
T.H.T.K.L
REG/OP/190805-0329 223567 ADRIANA ADELIA ARETHA dr. Depi Jufri, Sp. POLI THT
2219
KHOIRUL T.H.T.K.L
REG/OP/190807-0256 320967 NICO SATYA PRADANA BIN dr. Depi Jufri, Sp. POLI THT
2220
ILANDRA T.H.T.K.L
REG/OP/190805-0261 082809 ROSITA BT JUS AN dr. Depi Jufri, Sp. POLI THT
2221
T.H.T.K.L
REG/OP/190913-0200 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
2222
THT.KL
REG/OP/190913-0390 180689 AQIILAH SAADAH BT SADILI dr. Ahmad Hifni, Sp. POLI THT
2223
THT.KL
REG/OP/190909-0078 124115 M.TEDDY SEPTRIANSYAH BN dr. Depi Jufri, Sp. POLI THT
2224
DENDI S T.H.T.K.L
REG/OP/190906-0333 326056 APRIATUN BT SUMPENO dr. Ahmad Hifni, Sp. POLI THT
2225 THT.KL

REG/OP/190909-0368 265705 SIFA SINTIA DEWI BT BAHTIAR dr. Depi Jufri, Sp. POLI THT
2226
T.H.T.K.L
REG/OP/190911-0129 294012 FIKRI MUAMAR HADI dr. Depi Jufri, Sp. POLI THT
2227
T.H.T.K.L
REG/OP/190911-0298 232472 MAYKO PRASETYA PRATAMA BN A dr. Depi Jufri, Sp. POLI THT
2228
KODIR T.H.T.K.L
REG/OP/190911-0014 223878 MIFTHA HULJANNAH BENI FASRAH dr. Depi Jufri, Sp. POLI THT
2229
T.H.T.K.L
REG/OP/190911-0170 325907 KARTINA BT A.RAHMAN dr. Depi Jufri, Sp. POLI THT
2230
T.H.T.K.L
REG/OP/190916-0365 326600 NUR SHOFII ANDRIANSYAH BIN dr. Depi Jufri, Sp. POLI THT
2231
JABIR T.H.T.K.L
REG/OP/190905-0323 311830 TAHARUDIN BIN JUNAEDI dr. Ahmad Hifni, Sp. POLI THT
2232
THT.KL
REG/OP/190910-0312 326239 M AFLAH ALFARIZIH BIN dr. Depi Jufri, Sp. POLI THT
2233 TARMIZON T.H.T.K.L

REG/OP/190801-0329 001686 NAHIMA BT WAHAB dr. Ahmad Hifni, Sp. POLI THT
2234
THT.KL
REG/OP/190905-0096 165377 FAULINA BT ARIFAI dr. Ahmad Hifni, Sp. POLI THT
2235
THT.KL
REG/OP/190906-0196 085449 CIK UDAH BT KISRO dr. Ahmad Hifni, Sp. POLI THT
2236
THT.KL
REG/OP/190911-0304 326326 POPPY WULANDARI BT DONAL dr. Depi Jufri, Sp. POLI THT
2237
T.H.T.K.L
REG/OP/190910-0277 326233 RIYAN ARDIANTO BN SUYANTO dr. Depi Jufri, Sp. POLI THT
2238
T.H.T.K.L
REG/OP/190906-0173 018132 ROZI WIJAYA SUSANTO BIN SOLEH dr. Ahmad Hifni, Sp. POLI THT
2239
THT.KL
REG/OP/190906-0159 097840 MIMI APRIANI BT IRAWAN dr. Ahmad Hifni, Sp. POLI THT
2240
THT.KL
REG/OP/190903-0172 319424 KATINI BT SUKADI dr. Depi Jufri, Sp. POLI THT
2241
T.H.T.K.L
REG/OP/190805-0151 097840 MIMI APRIANI BT IRAWAN dr. Depi Jufri, Sp. POLI THT
2242
T.H.T.K.L
REG/OP/190904-0145 255241 ARTIDA BT SAMUN dr. Depi Jufri, Sp. POLI THT
2243
T.H.T.K.L
REG/OP/190905-0317 074635 FARIDA ARIYANI BT ABDULLAH dr. Ahmad Hifni, Sp. POLI THT
2244
THT.KL
REG/OP/190830-0144 000044 NURMALIZA BT SOLIHIN dr. Ahmad Hifni, Sp. POLI THT
2245
THT.KL
REG/OP/190925-0298 326600 NUR SHOFII ANDRIANSYAH BIN dr. Depi Jufri, Sp. POLI THT
2246
JABIR T.H.T.K.L
REG/OP/190828-0153 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
2247
T.H.T.K.L
REG/OP/190902-0234 325363 MARIAM BT ABDUL RAHMAN dr. Depi Jufri, Sp. POLI THT
2248
T.H.T.K.L
REG/OP/190830-0310 198357 AQILA ZAHIRA BT AKMAL dr. Ahmad Hifni, Sp. POLI THT
2249
THT.KL
REG/OP/190909-0205 325363 MARIAM BT ABDUL RAHMAN dr. Depi Jufri, Sp. POLI THT
2250
T.H.T.K.L
REG/OP/190809-0115 274854 ZAIDAN RIFQI TASBIQ SUMARLIN dr. Ahmad Hifni, Sp. POLI THT
2251
THT.KL
REG/OP/190918-0186 274449 SEPRIANA PUSPA DEWI dr. Depi Jufri, Sp. POLI THT
2252
T.H.T.K.L
REG/OP/190828-0320 274568 SITI AISAH BT SAHRIN dr. Depi Jufri, Sp. POLI THT
2253
T.H.T.K.L
REG/OP/190829-0257 274467 SENTIA DEWI ULAN DARI BT BUDI dr. Ahmad Hifni, Sp. POLI THT
2254
WALUYO THT.KL
REG/OP/190923-0247 103714 ROEHANTO BIN SANKARDI dr. Depi Jufri, Sp. POLI THT
2255
SANKARDI T.H.T.K.L
REG/OP/190911-0237 197480 HAFIZH ABDILLAH YUDID BIN AAN dr. Depi Jufri, Sp. POLI THT
2256
YUDID AAN YUDID T.H.T.K.L
REG/OP/190918-0271 197480 HAFIZH ABDILLAH YUDID BIN AAN dr. Depi Jufri, Sp. POLI THT
2257
YUDID AAN YUDID T.H.T.K.L
REG/OP/190923-0292 060903 PADIA HAWALIMA BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
2258
MUHT SUGITO / SUAMI T.H.T.K.L
REG/OP/190827-0228 325423 KRISNA ADINATA BIN MENCAKA dr. Depi Jufri, Sp. POLI THT
2259
AMILISON T.H.T.K.L
REG/OP/190913-0258 302901 ALIFAH FEBRIANA BT RIJEK dr. Ahmad Hifni, Sp. POLI THT
2260
NIKSEN THT.KL
REG/OP/190828-0333 302901 ALIFAH FEBRIANA BT RIJEK dr. Depi Jufri, Sp. POLI THT
2261
NIKSEN T.H.T.K.L
REG/OP/190909-0042 303362 M.GHANI SYAHER BIN SYAMSUL dr. Depi Jufri, Sp. POLI THT
2262
BAHRI T.H.T.K.L
REG/OP/190902-0304 303362 M.GHANI SYAHER BIN SYAMSUL dr. Depi Jufri, Sp. POLI THT
2263
BAHRI T.H.T.K.L
REG/OP/190906-0267 302901 ALIFAH FEBRIANA BT RIJEK dr. Ahmad Hifni, Sp. POLI THT
2264
NIKSEN THT.KL
REG/OP/190923-0101 324791 KHAYRA AZZALEA IRAWAN BT dr. Depi Jufri, Sp. POLI THT
2265
FERRY IRAWAN T.H.T.K.L
REG/OP/190805-0234 245378 NOPI YANTI BT EFENDI dr. Depi Jufri, Sp. POLI THT
2266
T.H.T.K.L
REG/OP/190909-0025 218493 ADNAN KHIAR ARDANI ANDODIS dr. Depi Jufri, Sp. POLI THT
2267
T.H.T.K.L
REG/OP/190918-0101 218916 HAURA SYAKIRA WIDARTA dr. Depi Jufri, Sp. POLI THT
2268
T.H.T.K.L
REG/OP/190828-0133 219559 EL FATIH ANGGALAN BN EKO. G dr. Depi Jufri, Sp. POLI THT
2269
T.H.T.K.L
REG/OP/190924-0115 218916 HAURA SYAKIRA WIDARTA dr. Depi Jufri, Sp. POLI THT
2270
T.H.T.K.L
REG/OP/190807-0250 322662 SUCI ANJANI BT JAYADI dr. Depi Jufri, Sp. POLI THT
2271
T.H.T.K.L
REG/OP/190913-0332 161516 SUDARMAN BIN SAYO dr. Ahmad Hifni, Sp. POLI THT
2272
THT.KL
REG/OP/190805-0368 246820 NORA ANGGRAINI T MUZAKI dr. Depi Jufri, Sp. POLI THT
2273
HENGKI FIRMANSYAH T.H.T.K.L
REG/OP/190919-0325 305784 RIANA SALWABILAH BT MARJONO dr. Ahmad Hifni, Sp. POLI THT
2274
THT.KL
REG/OP/190912-0346 305784 RIANA SALWABILAH BT MARJONO dr. Ahmad Hifni, Sp. POLI THT
2275
THT.KL
REG/OP/190926-0279 305784 RIANA SALWABILAH BT MARJONO dr. Ahmad Hifni, Sp. POLI THT
2276
THT.KL
REG/OP/190919-0034 246116 SULNA ATIKA BINTI M YUSUP dr. Ahmad Hifni, Sp. POLI THT
2277
THT.KL
REG/OP/190826-0393 246508 AHMED NAUFAL FARERA BIN dr. Depi Jufri, Sp. POLI THT
2278
RAYNALDO FARELA T.H.T.K.L
REG/OP/190905-0383 303401 FRADIPTA AKILA NAUFAL dr. Ahmad Hifni, Sp. POLI THT
2279
THT.KL
REG/OP/190902-0250 246508 AHMED NAUFAL FARERA BIN dr. Depi Jufri, Sp. POLI THT
2280
RAYNALDO FARELA T.H.T.K.L
REG/OP/190829-0069 246116 SULNA ATIKA BINTI M YUSUP dr. Ahmad Hifni, Sp. POLI THT
2281
THT.KL
REG/OP/190903-0057 325810 DINDA MEISA BT TARMAN dr. Depi Jufri, Sp. POLI THT
2282
T.H.T.K.L
REG/OP/190905-0351 255325 HERMADA BIN ZAINAL dr. Ahmad Hifni, Sp. POLI THT
2283
THT.KL
REG/OP/190808-0314 310586 DAHLIA BINTI SOLAH dr. Ahmad Hifni, Sp. POLI THT
2284
THT.KL
REG/OP/190828-0150 310586 DAHLIA BINTI SOLAH dr. Depi Jufri, Sp. POLI THT
2285
T.H.T.K.L
REG/OP/190916-0286 255325 HERMADA BIN ZAINAL dr. Depi Jufri, Sp. POLI THT
2286
T.H.T.K.L
REG/OP/190909-0273 311830 TAHARUDIN BIN JUNAEDI dr. Depi Jufri, Sp. POLI THT
2287
T.H.T.K.L
REG/OP/190917-0324 311830 TAHARUDIN BIN JUNAEDI dr. Depi Jufri, Sp. POLI THT
2288
T.H.T.K.L
REG/OP/190828-0082 302076 AL AQIB ANUGERAH RAMADHAN dr. Depi Jufri, Sp. POLI THT
2289
BIN KUSMIADI T.H.T.K.L
REG/OP/190829-0181 325557 HANA AZZALEA BT SUKRI dr. Ahmad Hifni, Sp. POLI THT
2290 THT.KL

REG/OP/190902-0501 307963 MIFZAL ARIF BIN MUZALMI dr. Depi Jufri, Sp. POLI THT
2291
T.H.T.K.L
REG/OP/190808-0318 257056 WEMPI RIYUS BT SUHABUDIN dr. Ahmad Hifni, Sp. POLI THT
2292
THT.KL
REG/OP/190909-0285 311570 NASFERI BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
2293
T.H.T.K.L
REG/OP/190911-0198 326306 MUHAMAD FIRLAN PRATAMA BIN dr. Depi Jufri, Sp. POLI THT
2294 ROLANDO T.H.T.K.L

REG/OP/190918-0238 326306 MUHAMAD FIRLAN PRATAMA BIN dr. Depi Jufri, Sp. POLI THT
2295 ROLANDO T.H.T.K.L

REG/OP/190909-0045 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2296
T.H.T.K.L
REG/OP/190909-0207 152817 JENNY ARISANTI BT JUNIANTO dr. Depi Jufri, Sp. POLI THT
2297
T.H.T.K.L
REG/OP/190909-0377 326094 AZZAHRA OLLIVIA BIN HERMAN dr. Depi Jufri, Sp. POLI THT
2298
SAWIRAN T.H.T.K.L
REG/OP/190906-0049 324449 AYU NONA BT H.MAHBUN dr. Ahmad Hifni, Sp. POLI THT
2299
THT.KL
REG/OP/190805-0397 139531 RIZA ASNETA BT ASTONI dr. Depi Jufri, Sp. POLI THT
2300
T.H.T.K.L
REG/OP/190906-0209 316360 ZAPRI CHARLI BIN PAIZAR dr. Ahmad Hifni, Sp. POLI THT
2301
THT.KL
REG/OP/190909-0391 263902 MUHAMMAD AL FATIH ZYO dr. Depi Jufri, Sp. POLI THT
2302
T.H.T.K.L
REG/OP/190904-0183 302076 AL AQIB ANUGERAH RAMADHAN dr. Depi Jufri, Sp. POLI THT
2303
BIN KUSMIADI T.H.T.K.L
REG/OP/190903-0351 325840 RESTI MIRANDA BT TRISNO dr. Depi Jufri, Sp. POLI THT
2304
T.H.T.K.L
REG/OP/190807-0237 160412 ZAKIA NURUL AZIZAH IMAM dr. Depi Jufri, Sp. POLI THT
2305
MANSYUR T.H.T.K.L
REG/OP/190806-0282 264693 ABID FADHIL ABIYAN dr. Depi Jufri, Sp. POLI THT
2306 T.H.T.K.L

REG/OP/190913-0308 326444 RAFA AZKA PUTRA BIN HADI dr. Ahmad Hifni, Sp. POLI THT
2307 DARMAWAN THT.KL

REG/OP/190924-0324 176196 RADITTYA PRATAMA BIN SUPRIADI dr. Depi Jufri, Sp. POLI THT
2308
T.H.T.K.L
REG/OP/190909-0418 176333 YUSNELI BIN ONI MUNIR dr. Depi Jufri, Sp. POLI THT
2309
MARHAMA T.H.T.K.L
REG/OP/190830-0237 325629 IIN SARTIKA BT ABU BAKAR dr. Ahmad Hifni, Sp. POLI THT
2310 THT.KL

REG/OP/190913-0350 326450 TUSIAULIKA BINTI TOHARI dr. Ahmad Hifni, Sp. POLI THT
2311
THT.KL
REG/OP/190906-0180 325629 IIN SARTIKA BT ABU BAKAR dr. Ahmad Hifni, Sp. POLI THT
2312 THT.KL

REG/OP/190903-0117 031194 YULITA AFRIANTI BT TARJHONI dr. Depi Jufri, Sp. POLI THT
2313
T.H.T.K.L
REG/OP/190823-0066 324791 KHAYRA AZZALEA IRAWAN BT dr. Ahmad Hifni, Sp. POLI THT
2314
FERRY IRAWAN THT.KL
REG/OP/190909-0439 228462 KHOLIFAH BT SURAT SURAT dr. Depi Jufri, Sp. POLI THT
2315
T.H.T.K.L
REG/OP/190916-0165 173432 ARINDITA TYAS APRIANI BT dr. Depi Jufri, Sp. POLI THT
2316
WAHIDIN T.H.T.K.L
REG/OP/190809-0202 228030 M. NABIL LIKANDRA CANDRA dr. Ahmad Hifni, Sp. POLI THT
2317
THT.KL
REG/OP/190830-0301 290057 ARAFFI ATHARRAZKA BIN dr. Ahmad Hifni, Sp. POLI THT
2318
AGUSTIAN THT.KL
REG/OP/190809-0075 324347 ANDRI NOVIS BIN BASTARI dr. Ahmad Hifni, Sp. POLI THT
2319
THT.KL
REG/OP/190920-0194 143622 DINI PADILAH BT SAMSUL RIJAL dr. Ahmad Hifni, Sp. POLI THT
2320
THT.KL
REG/OP/190830-0162 143622 DINI PADILAH BT SAMSUL RIJAL dr. Ahmad Hifni, Sp. POLI THT
2321
THT.KL
REG/OP/190809-0098 324348 RAFI FILDA PRAMOTO BIN RAGIL dr. Ahmad Hifni, Sp. POLI THT
2322
THT.KL
REG/OP/190829-0049 324449 AYU NONA BT H.MAHBUN dr. Ahmad Hifni, Sp. POLI THT
2323
THT.KL
REG/OP/190925-0124 327153 CHRISTIAN BIN RAHMAT dr. Depi Jufri, Sp. POLI THT
2324 T.H.T.K.L

REG/OP/190808-0295 142836 AMRULLAH BIN A.KADIR A.KADIRdr. Ahmad Hifni, Sp. POLI THT
2325
THT.KL
REG/OP/190830-0225 316360 ZAPRI CHARLI BIN PAIZAR dr. Ahmad Hifni, Sp. POLI THT
2326
THT.KL
REG/OP/190904-0200 232472 MAYKO PRASETYA PRATAMA BN A dr. Depi Jufri, Sp. POLI THT
2327
KODIR T.H.T.K.L
REG/OP/190910-0362 187527 PONCO PUTRO BIN SARIMAN dr. Depi Jufri, Sp. POLI THT
2328
KELANA T.H.T.K.L
REG/OP/190926-0236 222425 RUSMA BT H.SAYIN dr. Ahmad Hifni, Sp. POLI THT
2329
THT.KL
REG/OP/190902-0318 318110 TAMBUNAN BIN MUSTAR dr. Depi Jufri, Sp. POLI THT
2330
T.H.T.K.L
REG/OP/190920-0274 324576 ANGGI KAPERA BT WIDI ARDI dr. Ahmad Hifni, Sp. POLI THT
2331
THT.KL
REG/OP/190920-0279 296085 RITA HARTATI BT YAKUB dr. Ahmad Hifni, Sp. POLI THT
2332
THT.KL
REG/OP/190828-0080 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2333
T.H.T.K.L
REG/OP/190926-0262 153255 ROJAKI BN SARIF dr. Ahmad Hifni, Sp. POLI THT
2334
THT.KL
REG/OP/190916-0172 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2335
T.H.T.K.L
REG/OP/190916-0022 184696 YEYEN BT ABU RONI dr. Depi Jufri, Sp. POLI THT
2336
T.H.T.K.L
REG/OP/190809-0162 152827 ASWA BT JAPARDIN WALIADIN dr. Ahmad Hifni, Sp. POLI THT
2337
THT.KL
REG/OP/190923-0064 317578 SAIDILAH BIN BUHTAN dr. Depi Jufri, Sp. POLI THT
2338
T.H.T.K.L
REG/OP/190920-0064 318264 PALASIPA WATI dr. Ahmad Hifni, Sp. POLI THT
2339
THT.KL
REG/OP/190828-0203 232472 MAYKO PRASETYA PRATAMA BN A dr. Depi Jufri, Sp. POLI THT
2340
KODIR T.H.T.K.L
REG/OP/190916-0363 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2341
T.H.T.K.L
REG/OP/190830-0213 186222 ROHAYATI BT IHWANI dr. Ahmad Hifni, Sp. POLI THT
2342
THT.KL
REG/OP/190919-0256 319827 MUHAMMAD YAMRONI BIN dr. Ahmad Hifni, Sp. POLI THT
2343
LASIMIN THT.KL
REG/OP/190920-0219 185075 TANIA KHANSA PUTRI dr. Ahmad Hifni, Sp. POLI THT
2344
THT.KL
REG/OP/190828-0146 324554 ISWANTO BIN JAHRI dr. Depi Jufri, Sp. POLI THT
2345
T.H.T.K.L
REG/OP/190917-0317 326693 YAMMANAH AYUDIA INARA dr. Depi Jufri, Sp. POLI THT
2346
T.H.T.K.L
REG/OP/190917-0178 111915 M.FARIZ BIN RIZWAN dr. Depi Jufri, Sp. POLI THT
2347
T.H.T.K.L
REG/OP/190916-0400 112271 SENDY MARTHELS ALFAN dr. Depi Jufri, Sp. POLI THT
2348
T.H.T.K.L
REG/OP/190828-0193 288259 M. RAFISQY MARCELLO dr. Depi Jufri, Sp. POLI THT
2349
T.H.T.K.L
REG/OP/190809-0156 173265 KAYLA PUTRI BT SYARIF HIDAYATU dr. Ahmad Hifni, Sp. POLI THT
2350 SYARIF HIDAYATULLAH THT.KL

REG/OP/190801-0270 231194 ROHANI BT AZIM AZIM/AYAH dr. Ahmad Hifni, Sp. POLI THT
2351
THT.KL
REG/OP/190927-0174 140473 HELMI BIN A LATIF dr. Ahmad Hifni, Sp. POLI THT
2352
THT.KL
REG/OP/190919-0080 326808 DONA WULANDARI BT ARIS dr. Ahmad Hifni, Sp. POLI THT
2353
MUNANDAR THT.KL
REG/OP/190806-0344 222661 MUHAMMAD AFANDI IRAWAN BIN dr. Depi Jufri, Sp. POLI THT
2354 DEDI IRAWAN T.H.T.K.L

REG/OP/190918-0111 326739 ROSMALA DEWI BT ADAMSYAH dr. Depi Jufri, Sp. POLI THT
2355
T.H.T.K.L
REG/OP/190919-0229 050864 M. TARIS APRIYANTO BIN TARMIZI dr. Ahmad Hifni, Sp. POLI THT
2356
TARMIZI THT.KL
REG/OP/190902-0228 050864 M. TARIS APRIYANTO BIN TARMIZI dr. Depi Jufri, Sp. POLI THT
2357
TARMIZI T.H.T.K.L
REG/OP/190918-0260 326757 HENDRI BIN HASAN dr. Depi Jufri, Sp. POLI THT
2358
T.H.T.K.L
REG/OP/190917-0340 287817 JIHAN PUTRISTA AZZAHRA dr. Depi Jufri, Sp. POLI THT
2359
T.H.T.K.L
REG/OP/190808-0155 222687 SITI KHODIJAH BT BADARUDIN dr. Ahmad Hifni, Sp. POLI THT
2360
SUDARYADI (SUAMI) THT.KL
REG/OP/190918-0046 223878 MIFTHA HULJANNAH BENI FASRAH dr. Depi Jufri, Sp. POLI THT
2361
T.H.T.K.L
REG/OP/190902-0490 183687 ICHA RAHMAWATI BT DIDIN R dr. Depi Jufri, Sp. POLI THT
2362
T.H.T.K.L
REG/OP/190909-0277 326157 MENI RUSMINI BT ROIHAN dr. Depi Jufri, Sp. POLI THT
2363
T.H.T.K.L
REG/OP/190910-0133 111915 M.FARIZ BIN RIZWAN dr. Depi Jufri, Sp. POLI THT
2364
T.H.T.K.L
REG/OP/190911-0277 043026 MARLINA BT KAMALUDIN ALKOMI dr. Depi Jufri, Sp. POLI THT
2365
T.H.T.K.L
REG/OP/190905-0185 187154 YULITA BT HUSIN dr. Ahmad Hifni, Sp. POLI THT
2366
THT.KL
REG/OP/190911-0093 319424 KATINI BT SUKADI dr. Depi Jufri, Sp. POLI THT
2367
T.H.T.K.L
REG/OP/190801-0191 047825 SUSANTO BIN SYARKOWI dr. Ahmad Hifni, Sp. POLI THT
2368
THT.KL
REG/OP/190926-0162 319827 MUHAMMAD YAMRONI BIN dr. Ahmad Hifni, Sp. POLI THT
2369
LASIMIN THT.KL
REG/OP/190927-0172 327239 HASBI BIN MANAN dr. Ahmad Hifni, Sp. POLI THT
2370
THT.KL
REG/OP/190926-0272 327228 RAHMAD HIDAYATULLAH BIN A dr. Ahmad Hifni, Sp. POLI THT
2371
LAKONI THT.KL
REG/OP/190801-0104 261370 MEGAWATI BT HAKIM dr. Ahmad Hifni, Sp. POLI THT
2372
THT.KL
REG/OP/190917-0156 043073 EDDY AZHARI dr. Depi Jufri, Sp. POLI THT
2373
T.H.T.K.L
REG/OP/190828-0276 183687 ICHA RAHMAWATI BT DIDIN R dr. Depi Jufri, Sp. POLI THT
2374
T.H.T.K.L
REG/OP/190910-0162 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. POLI THT
2375
T.H.T.K.L
REG/OP/190808-0284 261370 MEGAWATI BT HAKIM dr. Ahmad Hifni, Sp. POLI THT
2376
THT.KL
REG/OP/190808-0283 038876 NENNY KURNIATI BT SOPUAN dr. Ahmad Hifni, Sp. POLI THT
2377
SOPUAN / AYAH THT.KL
REG/OP/190830-0212 018132 ROZI WIJAYA SUSANTO BIN SOLEH dr. Ahmad Hifni, Sp. POLI THT
2378
THT.KL
REG/OP/190918-0251 184620 NOVI FATHIYA MUSLIM A HAMID dr. Depi Jufri, Sp. POLI THT
2379
T.H.T.K.L
REG/OP/190920-0255 236396 EKAYULIANA BT SAMSUL BAHRI dr. Ahmad Hifni, Sp. POLI THT
2380
THT.KL
REG/OP/190910-0082 031194 YULITA AFRIANTI BT TARJHONI dr. Depi Jufri, Sp. POLI THT
2381
T.H.T.K.L
REG/OP/190917-0100 031194 YULITA AFRIANTI BT TARJHONI dr. Depi Jufri, Sp. POLI THT
2382
T.H.T.K.L
REG/OP/190828-0185 035462 HERI GUNAWAN BN AGUS SALIM dr. Depi Jufri, Sp. POLI THT
2383
T.H.T.K.L
REG/OP/190917-0112 326157 MENI RUSMINI BT ROIHAN dr. Depi Jufri, Sp. POLI THT
2384
T.H.T.K.L
REG/OP/190806-0225 032469 A.FAUZI BIN UDING UDING / AYAH dr. Depi Jufri, Sp. POLI THT
2385
T.H.T.K.L
REG/OP/190806-0330 018132 ROZI WIJAYA SUSANTO BIN SOLEH dr. Depi Jufri, Sp. POLI THT
2386
T.H.T.K.L
REG/OP/190917-0031 180790 NASRULLAH BIN M.ZULKOPLI dr. Depi Jufri, Sp. POLI THT
2387
T.H.T.K.L
REG/OP/190830-0283 180689 AQIILAH SAADAH BT SADILI dr. Ahmad Hifni, Sp. POLI THT
2388
THT.KL
REG/OP/190917-0269 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. POLI THT
2389
T.H.T.K.L
REG/OP/190826-0369 180994 RESTI YANTIKA BT SLAMET dr. Depi Jufri, Sp. POLI THT
2390
MURDOWO T.H.T.K.L
REG/OP/190904-0305 325907 KARTINA BT A.RAHMAN dr. Depi Jufri, Sp. POLI THT
2391
T.H.T.K.L
REG/OP/190910-0289 110000 EKA RAHMAWATI BT BUDI dr. Depi Jufri, Sp. POLI THT
2392
SUSANTO BUDI SUSANTO T.H.T.K.L
REG/OP/190902-0291 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. POLI THT
2393
T.H.T.K.L
REG/OP/190826-0263 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. POLI THT
2394
T.H.T.K.L
REG/OP/190911-0091 258637 SUDARNI BINTI MATAHAR dr. Depi Jufri, Sp. POLI THT
2395
T.H.T.K.L
REG/OP/190911-0154 138604 HENI ARIANTI BT M. RAWI dr. Depi Jufri, Sp. POLI THT
2396
T.H.T.K.L
REG/OP/190808-0111 180790 NASRULLAH BIN M.ZULKOPLI dr. Ahmad Hifni, Sp. POLI THT
2397
THT.KL
REG/OP/190828-0143 179885 AWAM BIN ANANG dr. Depi Jufri, Sp. POLI THT
2398
T.H.T.K.L
REG/OP/190912-0341 326386 ADYASTHA PRANAJA BIN WIWING dr. Ahmad Hifni, Sp. POLI THT
2399
ANDESTA THT.KL
REG/OP/190910-0141 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
2400
HAR T.H.T.K.L
REG/OP/190819-0447 179505 SUTIMI BIN ROMLI SUHARNI dr. Depi Jufri, Sp. POLI THT
2401
T.H.T.K.L
REG/OP/190925-0096 172896 BHILAL HABIBI BIN IWAN dr. Depi Jufri, Sp. POLI THT
2402
T.H.T.K.L
REG/OP/190912-0384 257350 JASMINE AZ ZAHRA BT SUHERMAN dr. Ahmad Hifni, Sp. POLI THT
2403
THT.KL
REG/OP/190912-0398 050864 M. TARIS APRIYANTO BIN TARMIZI dr. Ahmad Hifni, Sp. POLI THT
2404
TARMIZI THT.KL
REG/OP/190910-0321 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2405
T.H.T.K.L
REG/OP/190920-0192 326386 ADYASTHA PRANAJA BIN WIWING dr. Ahmad Hifni, Sp. POLI THT
2406
ANDESTA THT.KL
REG/OP/190911-0195 172453 RIA OKTA RIZA BT HABIBUR dr. Depi Jufri, Sp. POLI THT
2407
RAHMAN T.H.T.K.L
REG/OP/190829-0382 104501 RAYHAN DEYA RAMADHAN dr. Ahmad Hifni, Sp. POLI THT
2408
THT.KL
REG/OP/190826-0440 318842 VANIA CARISA SALSABILLA dr. Depi Jufri, Sp. POLI THT
2409
T.H.T.K.L
REG/OP/190826-0437 136809 M DZAKI SYAKIRAH BIN NOPIS dr. Depi Jufri, Sp. POLI THT
2410
HARI T.H.T.K.L
REG/OP/190924-0306 323407 M. PANJI ALAM BIN SOLAHUDIN dr. Depi Jufri, Sp. POLI THT
2411
T.H.T.K.L
REG/OP/190903-0368 120261 MARIANCI SINAGA dr. Depi Jufri, Sp. POLI THT
2412
T.H.T.K.L
REG/OP/190917-0136 135602 MACU PUTRA BIN MUSTOPA dr. Depi Jufri, Sp. POLI THT
2413
MUSTOPAH T.H.T.K.L
REG/OP/190916-0364 100423 JAMILAH BT H.DRAHMAN dr. Depi Jufri, Sp. POLI THT
2414
ZARKASIH/AYAH T.H.T.K.L
REG/OP/190909-0029 100423 JAMILAH BT H.DRAHMAN dr. Depi Jufri, Sp. POLI THT
2415
ZARKASIH/AYAH T.H.T.K.L
REG/OP/190807-0337 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. POLI THT
2416
T.H.T.K.L
REG/OP/190807-0153 324222 LUCYANA BT SUPRIYANTO dr. Depi Jufri, Sp. POLI THT
2417
T.H.T.K.L
REG/OP/190830-0122 097840 MIMI APRIANI BT IRAWAN dr. Ahmad Hifni, Sp. POLI THT
2418
THT.KL
REG/OP/190918-0089 153255 ROJAKI BN SARIF dr. Depi Jufri, Sp. POLI THT
2419
T.H.T.K.L
REG/OP/190918-0075 232472 MAYKO PRASETYA PRATAMA BN A dr. Depi Jufri, Sp. POLI THT
2420
KODIR T.H.T.K.L
REG/OP/190807-0222 183430 TASMIRAH AZZARAH IRAWAN dr. Depi Jufri, Sp. POLI THT
2421
T.H.T.K.L
REG/OP/190807-0351 137374 NAZARMAD SARKOWI BIN NARONI dr. Depi Jufri, Sp. POLI THT
2422
T.H.T.K.L
REG/OP/190807-0155 018347 MASTANI BIN ABDULLAH dr. Depi Jufri, Sp. POLI THT
2423
T.H.T.K.L
REG/OP/190807-0235 323393 HUTRI AZAHRA FIRDHA RAYA SM dr. Depi Jufri, Sp. POLI THT
2424
BT WASKO T.H.T.K.L
REG/OP/190902-0344 100423 JAMILAH BT H.DRAHMAN dr. Depi Jufri, Sp. POLI THT
2425
ZARKASIH/AYAH T.H.T.K.L
REG/OP/190903-0058 148957 M.NUR MUSTAQIM dr. Depi Jufri, Sp. POLI THT
2426
T.H.T.K.L
REG/OP/190918-0014 218493 ADNAN KHIAR ARDANI ANDODIS dr. Depi Jufri, Sp. POLI THT
2427
T.H.T.K.L
REG/OP/190807-0082 166733 ALDO PUTRA ANUGRAH BIN dr. Depi Jufri, Sp. POLI THT
2428
M.ANSORI T.H.T.K.L
REG/OP/190828-0156 323079 ASNAWI PAKU ALAM BIN ATUN dr. Depi Jufri, Sp. POLI THT
2429
T.H.T.K.L
REG/OP/190909-0440 182793 RANGGA SUGIARTO BIN FIRDAUS dr. Depi Jufri, Sp. POLI THT
2430
FIRDAUS T.H.T.K.L
REG/OP/190827-0122 158435 SUANA WATI BT H.MULUK dr. Depi Jufri, Sp. POLI THT
2431
T.H.T.K.L
REG/OP/190906-0245 186222 ROHAYATI BT IHWANI dr. Ahmad Hifni, Sp. POLI THT
2432
THT.KL
REG/OP/190906-0069 324634 SUPRIYANTO BIN SUKIRNO dr. Ahmad Hifni, Sp. POLI THT
2433
THT.KL
REG/OP/190828-0318 005492 NURMAYA BT AZWARI dr. Depi Jufri, Sp. POLI THT
2434
T.H.T.K.L
REG/OP/190902-0280 145658 M.BILAL PRAKOSO M.PRAWOTO dr. Depi Jufri, Sp. POLI THT
2435
T.H.T.K.L
REG/OP/190903-0306 180994 RESTI YANTIKA BT SLAMET dr. Depi Jufri, Sp. POLI THT
2436
MURDOWO T.H.T.K.L
REG/OP/190905-0212 310586 DAHLIA BINTI SOLAH dr. Ahmad Hifni, Sp. POLI THT
2437
THT.KL
REG/OP/190905-0218 325966 YULI AGUSTINA BT M ALI dr. Ahmad Hifni, Sp. POLI THT
2438
THT.KL
REG/OP/190909-0292 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
2439
T.H.T.K.L
REG/OP/190910-0140 215730 RADITRA BETRA UTAMA dr. Depi Jufri, Sp. POLI THT
2440
T.H.T.K.L
REG/OP/190920-0065 158731 TALITHA ANINDYA A.ARIPANI dr. Ahmad Hifni, Sp. POLI THT
2441
THT.KL
REG/OP/190827-0132 319424 KATINI BT SUKADI dr. Depi Jufri, Sp. POLI THT
2442
T.H.T.K.L
REG/OP/190827-0257 270047 LAPINA PRICILIA BT YUSANDI dr. Depi Jufri, Sp. POLI THT
2443
T.H.T.K.L
REG/OP/190925-0284 311830 TAHARUDIN BIN JUNAEDI dr. Depi Jufri, Sp. POLI THT
2444
T.H.T.K.L
REG/OP/190827-0260 114810 DESRI FITONAH BT AZWAR ALI dr. Depi Jufri, Sp. POLI THT
2445
MURTOPO T.H.T.K.L
REG/OP/190827-0219 005212 KURNIATI BT M.TETAP dr. Depi Jufri, Sp. POLI THT
2446
T.H.T.K.L
REG/OP/190826-0224 280995 ASMAR BIN ROZAK dr. Depi Jufri, Sp. POLI THT
2447
T.H.T.K.L
REG/OP/190923-0460 280995 ASMAR BIN ROZAK dr. Depi Jufri, Sp. POLI THT
2448
T.H.T.K.L
REG/OP/190911-0295 216634 AZRI AL FATIH BIN HAZAIRIN dr. Depi Jufri, Sp. POLI THT
2449 T.H.T.K.L

REG/OP/190925-0149 274449 SEPRIANA PUSPA DEWI dr. Depi Jufri, Sp. POLI THT
2450
T.H.T.K.L
REG/OP/190924-0319 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2451
T.H.T.K.L
REG/OP/190925-0057 124115 M.TEDDY SEPTRIANSYAH BN dr. Depi Jufri, Sp. POLI THT
2452
DENDI S T.H.T.K.L
REG/OP/190925-0285 232472 MAYKO PRASETYA PRATAMA BN A dr. Depi Jufri, Sp. POLI THT
2453 KODIR T.H.T.K.L

REG/OP/190925-0267 326757 HENDRI BIN HASAN dr. Depi Jufri, Sp. POLI THT
2454
T.H.T.K.L
REG/OP/190829-0179 301170 HAFIDZ ALFARIZI BIN RUSAN dr. Ahmad Hifni, Sp. POLI THT
2455
THT.KL
REG/OP/190809-0174 155530 ETIKA MAIDA BT NURBIN dr. Ahmad Hifni, Sp. POLI THT
2456
THT.KL
REG/OP/190906-0095 067992 ALEX PUTRA BIN NAWAWI dr. Ahmad Hifni, Sp. POLI THT
2457
THT.KL
REG/OP/190902-0371 243195 DAVID ANDREANSYAH BIN dr. Depi Jufri, Sp. POLI THT
2458
SAFARUDIN T.H.T.K.L
REG/OP/190806-0316 300734 KHODIJA BT ASGARI dr. Depi Jufri, Sp. POLI THT
2459
T.H.T.K.L
REG/OP/190919-0394 271705 LIVENG LIANSYA BIN JON YUSARI dr. Ahmad Hifni, Sp. POLI THT
2460 THT.KL

REG/OP/190920-0302 263902 MUHAMMAD AL FATIH ZYO dr. Ahmad Hifni, Sp. POLI THT
2461
THT.KL
REG/OP/190904-0299 325909 NAILA ADEA PUTRI BT SUBAN dr. Depi Jufri, Sp. POLI THT
2462
T.H.T.K.L
REG/OP/190809-0091 238658 CAESAR ARJUNA BIN YUS dr. Ahmad Hifni, Sp. POLI THT
2463
MULIYADI THT.KL
REG/OP/190920-0121 153421 SHINTA KRISNA BT.SAIPUL ANWAR dr. Ahmad Hifni, Sp. POLI THT
2464
THT.KL
REG/OP/190828-0174 240138 HEVI SARTIKA BT USMAN dr. Depi Jufri, Sp. POLI THT
2465
T.H.T.K.L
REG/OP/190926-0264 154201 OCTA PRATAMA MAHENDRA BIN dr. Ahmad Hifni, Sp. POLI THT
2466
SANDRA MAHENDRA THT.KL
REG/OP/190917-0282 154201 OCTA PRATAMA MAHENDRA BIN dr. Depi Jufri, Sp. POLI THT
2467
SANDRA MAHENDRA T.H.T.K.L
REG/OP/190806-0136 157492 EDDY PURWANTO BIN PUJIMAN dr. Depi Jufri, Sp. POLI THT
2468
T.H.T.K.L
REG/OP/190904-0223 156841 MEIKA ULFATUNISYAH IRWANSYAH dr. Depi Jufri, Sp. POLI THT
2469
T.H.T.K.L
REG/OP/190910-0108 156841 MEIKA ULFATUNISYAH IRWANSYAH dr. Depi Jufri, Sp. POLI THT
2470
T.H.T.K.L
REG/OP/190917-0244 156841 MEIKA ULFATUNISYAH IRWANSYAH dr. Depi Jufri, Sp. POLI THT
2471
T.H.T.K.L
REG/OP/190807-0044 153993 MUSTOPA ANWARI BIN USMAN dr. Depi Jufri, Sp. POLI THT
2472
USMAN T.H.T.K.L
REG/OP/190826-0150 153421 SHINTA KRISNA BT.SAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
2473
T.H.T.K.L
REG/OP/190902-0286 153421 SHINTA KRISNA BT.SAIPUL ANWAR dr. Depi Jufri, Sp. POLI THT
2474
T.H.T.K.L
REG/OP/190919-0056 067992 ALEX PUTRA BIN NAWAWI dr. Ahmad Hifni, Sp. POLI THT
2475
THT.KL
REG/OP/190829-0090 067992 ALEX PUTRA BIN NAWAWI dr. Ahmad Hifni, Sp. POLI THT
2476
THT.KL
REG/OP/190923-0050 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2477
T.H.T.K.L
REG/OP/190923-0084 213259 NURHASANAH NURHASANAH dr. Depi Jufri, Sp. POLI THT
2478
T.H.T.K.L
REG/OP/190923-0345 310586 DAHLIA BINTI SOLAH dr. Depi Jufri, Sp. POLI THT
2479
T.H.T.K.L
REG/OP/190923-0328 327043 SA'ATULLAH BIN UMAR SALIM dr. Depi Jufri, Sp. POLI THT
2480
T.H.T.K.L
REG/OP/190801-0290 286957 ANGGRAINI BT HAIRAN GANI dr. Ahmad Hifni, Sp. POLI THT
2481
THT.KL
REG/OP/190924-0360 012281 HERTATI BT ZAINI dr. Depi Jufri, Sp. POLI THT
2482
T.H.T.K.L
REG/OP/190924-0062 005466 NAZMI EFENDI MAILAH dr. Depi Jufri, Sp. POLI THT
2483
T.H.T.K.L
REG/OP/190806-0340 060903 PADIA HAWALIMA BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
2484
MUHT SUGITO / SUAMI T.H.T.K.L
REG/OP/190923-0192 009702 NELI DESIRINA dr. Depi Jufri, Sp. POLI THT
2485
T.H.T.K.L
REG/IP/190918-0038 326757 HENDRI BIN HASAN dr. Depi Jufri, Sp. MANGGARIS
2486 T.H.T.K.L

REG/IP/190926-0025 327230 FATHUROHIM BIN TRISNO dr. Ahmad Hifni, Sp. MERANTI
THT.KL
2487

REG/IP/190909-0063 311830 TAHARUDIN BIN JUNAEDI dr. Depi Jufri, Sp. MERANTI
2488
T.H.T.K.L
REG/IP/190820-0060 324554 ISWANTO BIN JAHRI dr. Depi Jufri, Sp. MERANTI
2489
T.H.T.K.L
REG/IP/190903-0050 319424 KATINI BT SUKADI dr. Depi Jufri, Sp. MERANTI
2490
T.H.T.K.L
REG/IP/190916-0045 326600 NUR SHOFII ANDRIANSYAH BIN dr. Depi Jufri, Sp. MERANTI
2491
JABIR T.H.T.K.L
REG/IP/190923-0031 310309 MURDIONO BIN MAHAJI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
2492

REG/IP/190917-0068 031194 YULITA AFRIANTI BT TARJHONI dr. Depi Jufri, Sp. PETANANG
2493
T.H.T.K.L
REG/IP/190909-0062 326157 MENI RUSMINI BT ROIHAN dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2494

REG/IP/190902-0027 139504 FANDY FURNAYA BIN ZUL KOPLI dr. Depi Jufri, Sp. MEDANG
2495 T.H.T.K.L

REG/IP/190916-0063 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. MEDANG
2496
T.H.T.K.L
REG/IP/190916-0062 184696 YEYEN BT ABU RONI dr. Depi Jufri, Sp. MEDANG
2497 T.H.T.K.L

REG/IP/190917-0039 112271 SENDY MARTHELS ALFAN dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2498

REG/IP/190917-0067 154201 OCTA PRATAMA MAHENDRA BIN dr. Depi Jufri, Sp. MEDANG
2499
SANDRA MAHENDRA T.H.T.K.L
REG/IP/190902-0039 050864 M. TARIS APRIYANTO BIN TARMIZI dr. Depi Jufri, Sp. TEMBESU
TARMIZI T.H.T.K.L
2500

REG/IP/190909-0047 124115 M.TEDDY SEPTRIANSYAH BN dr. Depi Jufri, Sp. TEMBESU


2501
DENDI S T.H.T.K.L
REG/IP/190909-0051 218493 ADNAN KHIAR ARDANI ANDODIS dr. Depi Jufri, Sp. TEMBESU
T.H.T.K.L
2502

REG/OP/191002-0309 327539 RAFIF ALKAUTSAR FIRDAUS dr. Depi Jufri, Sp. POLI THT
2503
T.H.T.K.L
REG/OP/191003-0120 001403 MASITO BT MUHAMMAD dr. Ahmad Hifni, Sp. POLI THT
2504
THT.KL
REG/OP/191017-0210 326667 RAHMADITA HAZBILLAH RIZKA dr. Ahmad Hifni, Sp. POLI THT
2505
THT.KL
REG/OP/191023-0114 327631 LATIEF BIN RUSMAN dr. Depi Jufri, Sp. POLI THT
2506
T.H.T.K.L
REG/OP/191007-0285 021249 YUSNANI BT GONI dr. Depi Jufri, Sp. POLI THT
2507
T.H.T.K.L
REG/OP/191007-0338 213259 NURHASANAH NURHASANAH dr. Depi Jufri, Sp. POLI THT
2508
T.H.T.K.L
REG/OP/191021-0032 171154 HERIYANTO BIN ZAINAL ABIDIN dr. Depi Jufri, Sp. POLI THT
2509
T.H.T.K.L
REG/OP/191023-0048 084004 SUSILAWATI BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
2510
T.H.T.K.L
REG/OP/191001-0027 222425 RUSMA BT H.SAYIN dr. Depi Jufri, Sp. POLI THT
2511
T.H.T.K.L
REG/OP/191017-0148 153999 HOMSYIAH BINTI M.ROZALI dr. Ahmad Hifni, Sp. POLI THT
2512
THT.KL
REG/OP/191017-0262 328437 ABDUL KHOLIK BIN MA'AT dr. Ahmad Hifni, Sp. POLI THT
2513
THT.KL
REG/OP/191017-0267 328439 ELFAREZKY CHANDRA BIN DIKA dr. Ahmad Hifni, Sp. POLI THT
2514
CANDRA THT.KL
REG/OP/191017-0086 292909 FATHIN FAKHIRA BT DEDI dr. Ahmad Hifni, Sp. POLI THT
2515
MULYADI ALPAN THT.KL
REG/OP/191017-0341 328016 QALISYA AZ ZAHRA BT ARMED dr. Ahmad Hifni, Sp. POLI THT
2516
WIBOWO THT.KL
REG/OP/191015-0086 277458 FALENTRIA NUR FIRDANA FAISAL dr. Depi Jufri, Sp. POLI THT
2517
ALHABIB T.H.T.K.L
REG/OP/191015-0265 328289 ALAMSRI BIN ARBO dr. Depi Jufri, Sp. POLI THT
2518
T.H.T.K.L
REG/OP/191010-0302 125504 ZUBAIDAH BT M.KHON dr. Ahmad Hifni, Sp. POLI THT
2519
THT.KL
REG/OP/191015-0251 236533 M. DIKA ALMAHESA BIN RUSMAN dr. Depi Jufri, Sp. POLI THT
2520
T.H.T.K.L
REG/OP/191015-0275 314008 QIANA ZYVA NAUREEN dr. Depi Jufri, Sp. POLI THT
2521
T.H.T.K.L
REG/OP/191014-0099 327690 AFIF AL FAHTIR dr. Depi Jufri, Sp. POLI THT
2522
T.H.T.K.L
REG/OP/191014-0120 328188 RUSLI BIN SATAR dr. Depi Jufri, Sp. POLI THT
2523
T.H.T.K.L
REG/OP/191014-0361 172493 RIESTA RAHMITA BT M.ROHMAT dr. Depi Jufri, Sp. POLI THT
2524
M.ROHM T.H.T.K.L
REG/OP/191015-0067 087614 SALMAAN ZAKKI dr. Depi Jufri, Sp. POLI THT
2525
T.H.T.K.L
REG/OP/191017-0362 101473 ASWAN BIN ABDUL KODIR dr. Ahmad Hifni, Sp. POLI THT
2526
THT.KL
REG/OP/191029-0171 328856 RIYA KUDU BIN M ABDUH dr. Depi Jufri, Sp. POLI THT
2527
T.H.T.K.L
REG/OP/191029-0299 080915 HEPI YOVITA BT TARMIZI TARMIZI dr. Depi Jufri, Sp. POLI THT
2528
T.H.T.K.L
REG/OP/191029-0304 209149 DAFFA HANIFAH BT SUGITO dr. Depi Jufri, Sp. POLI THT
2529
T.H.T.K.L
REG/OP/191014-0419 327818 SUMIYATI BT DOLAH SOBRI dr. Depi Jufri, Sp. POLI THT
2530
T.H.T.K.L
REG/OP/191029-0356 237654 DAHRO EFFENDHI BIN SAMIHATMA dr. Depi Jufri, Sp. POLI THT
2531
T.H.T.K.L
REG/OP/191007-0029 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2532
T.H.T.K.L
REG/OP/190930-0132 213259 NURHASANAH NURHASANAH dr. Depi Jufri, Sp. POLI THT
2533
T.H.T.K.L
REG/OP/190930-0252 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Depi Jufri, Sp. POLI THT
2534
T.H.T.K.L
REG/OP/190930-0399 327335 SERA SANTIKA BT SARIYONO dr. Depi Jufri, Sp. POLI THT
2535
T.H.T.K.L
REG/OP/190930-0107 031194 YULITA AFRIANTI BT TARJHONI dr. Depi Jufri, Sp. POLI THT
2536
T.H.T.K.L
REG/OP/190930-0156 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2537
T.H.T.K.L
REG/OP/191016-0057 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2538
T.H.T.K.L
REG/OP/191015-0193 237654 DAHRO EFFENDHI BIN SAMIHATMA dr. Depi Jufri, Sp. POLI THT
2539
T.H.T.K.L
REG/OP/191008-0188 237654 DAHRO EFFENDHI BIN SAMIHATMA dr. Depi Jufri, Sp. POLI THT
2540
T.H.T.K.L
REG/OP/191017-0366 127741 RIAN PAHLEVI BT ARIFIN dr. Ahmad Hifni, Sp. POLI THT
2541
THT.KL
REG/OP/191001-0249 236533 M. DIKA ALMAHESA BIN RUSMAN dr. Depi Jufri, Sp. POLI THT
2542
T.H.T.K.L
REG/OP/191008-0177 122458 SYAIRA SYAFITRI TRI AFRIANTA / dr. Depi Jufri, Sp. POLI THT
2543
AYAH T.H.T.K.L
REG/OP/191015-0306 122458 SYAIRA SYAFITRI TRI AFRIANTA / dr. Depi Jufri, Sp. POLI THT
2544
AYAH T.H.T.K.L
REG/OP/191008-0064 236533 M. DIKA ALMAHESA BIN RUSMAN dr. Depi Jufri, Sp. POLI THT
2545
T.H.T.K.L
REG/OP/191022-0123 314008 QIANA ZYVA NAUREEN dr. Depi Jufri, Sp. POLI THT
2546
T.H.T.K.L
REG/OP/190507-0352 278485 HUZAIDIN BIN AMRI dr. Depi Jufri, Sp. POLI THT
2547
T.H.T.K.L
REG/OP/191022-0117 324184 M RIZKY GEOFANDI dr. Depi Jufri, Sp. POLI THT
2548
T.H.T.K.L
REG/OP/191017-0158 327999 MITA WIDIA BT H. HOMSANI dr. Ahmad Hifni, Sp. POLI THT
2549
THT.KL
REG/OP/191015-0220 132895 ERNAWATI BT HANAPIAH dr. Depi Jufri, Sp. POLI THT
2550
T.H.T.K.L
REG/OP/190927-0087 273054 KARIATI BT LAGISAN dr. Ahmad Hifni, Sp. POLI THT
2551
THT.KL
REG/OP/191007-0227 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
2552
T.H.T.K.L
REG/OP/190927-0263 327285 ENI RAHAYU BT PONIMAN dr. Ahmad Hifni, Sp. POLI THT
2553
THT.KL
REG/OP/191004-0161 135922 CECEP KOCO SUCIPTO BIN HARGO dr. Ahmad Hifni, Sp. POLI THT
2554
THT.KL
REG/OP/190930-0310 327043 SA'ATULLAH BIN UMAR SALIM dr. Depi Jufri, Sp. POLI THT
2555
T.H.T.K.L
REG/OP/191022-0218 323462 KUSNILA BT DAMSI dr. Depi Jufri, Sp. POLI THT
2556
T.H.T.K.L
REG/OP/190930-0125 326576 DWI ERI PRASNANTO dr. Depi Jufri, Sp. POLI THT
2557
T.H.T.K.L
REG/OP/191003-0322 327591 ANANDA DWI YANDRI dr. Ahmad Hifni, Sp. POLI THT
2558
THT.KL
REG/OP/190930-0044 185075 TANIA KHANSA PUTRI dr. Depi Jufri, Sp. POLI THT
2559
T.H.T.K.L
REG/OP/191022-0146 132895 ERNAWATI BT HANAPIAH dr. Depi Jufri, Sp. POLI THT
2560
T.H.T.K.L
REG/OP/191004-0034 132895 ERNAWATI BT HANAPIAH dr. Ahmad Hifni, Sp. POLI THT
2561
THT.KL
REG/OP/191029-0122 132895 ERNAWATI BT HANAPIAH dr. Depi Jufri, Sp. POLI THT
2562
T.H.T.K.L
REG/OP/191008-0247 264029 ABID RIPQI AQILA PUTRA dr. Depi Jufri, Sp. POLI THT
2563
T.H.T.K.L
REG/OP/191018-0269 281315 AMORA KEYLA NAJWA dr. Ahmad Hifni, Sp. POLI THT
2564
THT.KL
REG/OP/191004-0146 327631 LATIEF BIN RUSMAN dr. Ahmad Hifni, Sp. POLI THT
2565
THT.KL
REG/OP/191008-0311 286048 MOMO SEPTIANA BT EENG dr. Depi Jufri, Sp. POLI THT
2566
T.H.T.K.L
REG/OP/191008-0170 310309 MURDIONO BIN MAHAJI dr. Depi Jufri, Sp. POLI THT
2567
T.H.T.K.L
REG/OP/191008-0235 326720 SARNUBI BIN ABUL dr. Depi Jufri, Sp. POLI THT
2568
T.H.T.K.L
REG/OP/191003-0070 184665 CYNTIA AYU ALVIONITA RIZWAN / dr. Ahmad Hifni, Sp. POLI THT
2569
AYAH THT.KL
REG/OP/191014-0124 327631 LATIEF BIN RUSMAN dr. Depi Jufri, Sp. POLI THT
2570
T.H.T.K.L
REG/OP/191004-0089 327626 ROLIA BT ALI GOMES dr. Ahmad Hifni, Sp. POLI THT
2571
THT.KL
REG/OP/191009-0195 313485 SRI LILIS NURHAYATI dr. Depi Jufri, Sp. POLI THT
2572
T.H.T.K.L
REG/OP/191009-0155 311203 FARREL ELVANO BIN M.NESTIAN dr. Depi Jufri, Sp. POLI THT
2573
T.H.T.K.L
REG/OP/191009-0043 326874 M. RAIHAN AL-HAFIZ dr. Depi Jufri, Sp. POLI THT
2574
T.H.T.K.L
REG/OP/191018-0218 328527 SUSI SUSANTI BT JHON HERI dr. Ahmad Hifni, Sp. POLI THT
2575
THT.KL
REG/OP/190507-0128 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2576
T.H.T.K.L
REG/OP/191002-0058 131275 HOTAMA BT KUSIM JAILANI dr. Depi Jufri, Sp. POLI THT
2577
T.H.T.K.L
REG/OP/191002-0242 277464 TASYA ANJELLI BT MERIANTO dr. Depi Jufri, Sp. POLI THT
2578
T.H.T.K.L
REG/OP/191022-0190 277458 FALENTRIA NUR FIRDANA FAISAL dr. Depi Jufri, Sp. POLI THT
2579
ALHABIB T.H.T.K.L
REG/OP/191001-0311 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2580
T.H.T.K.L
REG/OP/191004-0298 327652 ANDIKA PRATAMA BIN HERMANTO dr. Ahmad Hifni, Sp. POLI THT
2581
THT.KL
REG/OP/191002-0037 136485 MULYANA BT A.HARIS dr. Depi Jufri, Sp. POLI THT
2582
T.H.T.K.L
REG/OP/191004-0093 140473 HELMI BIN A LATIF dr. Ahmad Hifni, Sp. POLI THT
2583
THT.KL
REG/OP/191017-0150 271240 AL AZHAR BIN H.ARAHMAN dr. Ahmad Hifni, Sp. POLI THT
2584
THT.KL
REG/OP/191016-0097 084004 SUSILAWATI BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
2585
T.H.T.K.L
REG/OP/191018-0337 328542 SAMUEL BN BILY dr. Ahmad Hifni, Sp. POLI THT
2586
THT.KL
REG/OP/191002-0176 327517 DEKA LISDA BT GUNAWAN dr. Depi Jufri, Sp. POLI THT
2587
T.H.T.K.L
REG/OP/191002-0183 327518 ARMITASARI BT ARWIN dr. Depi Jufri, Sp. POLI THT
2588
T.H.T.K.L
REG/OP/191007-0335 327690 AFIF AL FAHTIR dr. Depi Jufri, Sp. POLI THT
2589
T.H.T.K.L
REG/OP/191014-0223 326652 ALWI BIN YUSUF dr. Depi Jufri, Sp. POLI THT
2590
T.H.T.K.L
REG/OP/191014-0290 328200 ROCKY FERNANDO BN RICIH dr. Depi Jufri, Sp. POLI THT
2591
T.H.T.K.L
REG/OP/191004-0176 154201 OCTA PRATAMA MAHENDRA BIN dr. Ahmad Hifni, Sp. POLI THT
2592
SANDRA MAHENDRA THT.KL
REG/OP/191014-0440 163886 DARATI BT DAENG JUHANASE dr. Depi Jufri, Sp. POLI THT
2593
T.H.T.K.L
REG/OP/191007-0532 163886 DARATI BT DAENG JUHANASE dr. Depi Jufri, Sp. POLI THT
2594
T.H.T.K.L
REG/OP/191007-0279 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
2595
HERMANTO T.H.T.K.L
REG/OP/190507-0179 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
2596
HERMANTO T.H.T.K.L
REG/OP/191007-0280 249531 PERMADI BIN ZUBAIRI dr. Depi Jufri, Sp. POLI THT
2597
T.H.T.K.L
REG/OP/191007-0156 185075 TANIA KHANSA PUTRI dr. Depi Jufri, Sp. POLI THT
2598
T.H.T.K.L
REG/OP/191021-0053 142145 ASRIL BIN Z.A. BIDIN dr. Depi Jufri, Sp. POLI THT
2599
T.H.T.K.L
REG/OP/191015-0234 216376 RENO HIDAYATULLOH BIN dr. Depi Jufri, Sp. POLI THT
2600
ISMARYANTO T.H.T.K.L
REG/OP/191017-0193 145794 DIAN MAYA SARI BT WASINGTON dr. Ahmad Hifni, Sp. POLI THT
2601
THT.KL
REG/OP/191015-0322 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2602
T.H.T.K.L
REG/OP/191014-0312 319135 A. ZUKASHMIR, S.STP., M.EC.DEV dr. Depi Jufri, Sp. POLI THT
2603
T.H.T.K.L
REG/OP/191014-0094 047844 MESRA JAYA BIN HASANUDIN dr. Depi Jufri, Sp. POLI THT
2604
T.H.T.K.L
REG/OP/191014-0150 328191 HAPIZAH BT MARYADI dr. Depi Jufri, Sp. POLI THT
2605
T.H.T.K.L
REG/OP/191018-0115 090611 KRISNA UNTARI BT M YUSUF UMAR dr. Ahmad Hifni, Sp. POLI THT
2606
THT.KL
REG/OP/191017-0392 021249 YUSNANI BT GONI dr. Ahmad Hifni, Sp. POLI THT
2607
THT.KL
REG/OP/191002-0205 327520 PERMADI BIN ZUBAIRI dr. Depi Jufri, Sp. POLI THT
2608
T.H.T.K.L
REG/OP/191015-0181 136485 MULYANA BT A.HARIS dr. Depi Jufri, Sp. POLI THT
2609
T.H.T.K.L
REG/OP/191016-0366 155722 GHIFARI AZAHRI AL FATIH dr. Depi Jufri, Sp. POLI THT
2610
T.H.T.K.L
REG/OP/191007-0093 084004 SUSILAWATI BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
2611
T.H.T.K.L
REG/OP/191002-0105 172880 NIA ISLAMIATI BT SULAIMAN dr. Depi Jufri, Sp. POLI THT
2612
T.H.T.K.L
REG/OP/191008-0024 222425 RUSMA BT H.SAYIN dr. Depi Jufri, Sp. POLI THT
2613
T.H.T.K.L
REG/OP/191003-0243 297682 MEDI FIRMAN BIN RUSLI dr. Ahmad Hifni, Sp. POLI THT
2614
THT.KL
REG/OP/191007-0418 327802 KERISMON BIN EFFENDI dr. Depi Jufri, Sp. POLI THT
2615
T.H.T.K.L
REG/OP/191023-0214 278485 HUZAIDIN BIN AMRI dr. Depi Jufri, Sp. POLI THT
2616
T.H.T.K.L
REG/OP/191021-0251 226402 TUTI ERTI BT DUL HAMID dr. Depi Jufri, Sp. POLI THT
2617
T.H.T.K.L
REG/OP/191029-0335 226323 QU'AYUDIYA BT DI HANIS dr. Depi Jufri, Sp. POLI THT
2618
T.H.T.K.L
REG/OP/191007-0459 172493 RIESTA RAHMITA BT M.ROHMAT dr. Depi Jufri, Sp. POLI THT
2619
M.ROHM T.H.T.K.L
REG/OP/191023-0363 248984 BIMO PRASETYO BIN EKO.P dr. Depi Jufri, Sp. POLI THT
2620
T.H.T.K.L
REG/OP/191023-0187 225157 MUHAMMAD SYARIF ADITIYA dr. Depi Jufri, Sp. POLI THT
2621
T.H.T.K.L
REG/OP/191011-0143 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Ahmad Hifni, Sp. POLI THT
2622
THT.KL
REG/OP/191007-0411 327800 MARLENA BT HERMAN dr. Depi Jufri, Sp. POLI THT
2623
T.H.T.K.L
REG/OP/191022-0157 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. POLI THT
2624
T.H.T.K.L
REG/OP/191015-0253 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. POLI THT
2625
T.H.T.K.L
REG/OP/191022-0113 328289 ALAMSRI BIN ARBO dr. Depi Jufri, Sp. POLI THT
2626
T.H.T.K.L
REG/OP/191029-0162 328289 ALAMSRI BIN ARBO dr. Depi Jufri, Sp. POLI THT
2627
T.H.T.K.L
REG/OP/191003-0324 035370 LEVI DIANA BT ALIMIN dr. Ahmad Hifni, Sp. POLI THT
2628
THT.KL
REG/OP/191021-0312 328200 ROCKY FERNANDO BN RICIH dr. Depi Jufri, Sp. POLI THT
2629
T.H.T.K.L
REG/OP/191021-0058 328191 HAPIZAH BT MARYADI dr. Depi Jufri, Sp. POLI THT
2630
T.H.T.K.L
REG/OP/190926-0281 327230 FATHUROHIM BIN TRISNO dr. Ahmad Hifni, Sp. POLI THT
2631
THT.KL
REG/OP/191029-0071 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. POLI THT
2632
T.H.T.K.L
REG/OP/191022-0034 249946 ROKI DEDI SANJAYA ABI ALAMSA dr. Depi Jufri, Sp. POLI THT
2633
T.H.T.K.L
REG/OP/191021-0244 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
2634
HERMANTO T.H.T.K.L
REG/OP/191001-0254 327459 NAKKOK SIMARE-MARE BIN dr. Depi Jufri, Sp. POLI THT
2635
DEKMAN T.H.T.K.L
REG/OP/191007-0395 327798 ALYA SHAKILA SAKHI BT IDHAM dr. Depi Jufri, Sp. POLI THT
2636
SYAMSIR T.H.T.K.L
REG/OP/191021-0419 155722 GHIFARI AZAHRI AL FATIH dr. Depi Jufri, Sp. POLI THT
2637
T.H.T.K.L
REG/OP/191008-0159 141382 FAISOL BIN AZIM dr. Depi Jufri, Sp. POLI THT
2638
T.H.T.K.L
REG/OP/191007-0244 031194 YULITA AFRIANTI BT TARJHONI dr. Depi Jufri, Sp. POLI THT
2639
T.H.T.K.L
REG/OP/191004-0119 045402 MULYA MAHFUZ, SSI dr. Ahmad Hifni, Sp. POLI THT
2640
THT.KL
REG/OP/191008-0016 179547 DECHI KHESYA AULIA BT DINO dr. Depi Jufri, Sp. POLI THT
2641
KARNO T.H.T.K.L
REG/OP/190820-0153 179885 AWAM BIN ANANG dr. Depi Jufri, Sp. POLI THT
2642
T.H.T.K.L
REG/OP/191021-0164 179885 AWAM BIN ANANG dr. Depi Jufri, Sp. POLI THT
2643
T.H.T.K.L
REG/OP/191016-0110 179547 DECHI KHESYA AULIA BT DINO dr. Depi Jufri, Sp. POLI THT
2644
KARNO T.H.T.K.L
REG/OP/191015-0200 151653 M.RIZKI SAPUTRA BIN FIRMAN dr. Depi Jufri, Sp. POLI THT
2645
FIRMAN T.H.T.K.L
REG/OP/191002-0201 179547 DECHI KHESYA AULIA BT DINO dr. Depi Jufri, Sp. POLI THT
2646
KARNO T.H.T.K.L
REG/OP/191021-0156 204283 PARASTIWA AMRI BIN AHMAD dr. Depi Jufri, Sp. POLI THT
2647
HOSNANI T.H.T.K.L
REG/OP/191021-0290 328671 ANGGI ANWARI BT ANWAR SANUSI dr. Depi Jufri, Sp. POLI THT
2648
T.H.T.K.L
REG/OP/191010-0102 327517 DEKA LISDA BT GUNAWAN dr. Ahmad Hifni, Sp. POLI THT
2649
THT.KL
REG/OP/191010-0415 244239 SALSABILA NAQIYYAH BT HASIM dr. Ahmad Hifni, Sp. POLI THT
2650
THT.KL
REG/OP/191011-0264 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
2651
THT.KL
REG/OP/191010-0326 131929 MARWANI BT FIRDAUS dr. Ahmad Hifni, Sp. POLI THT
2652
THT.KL
REG/OP/191009-0087 327930 SURYANI BT TURAHMAN dr. Depi Jufri, Sp. POLI THT
2653
T.H.T.K.L
REG/OP/191010-0262 328016 QALISYA AZ ZAHRA BT ARMED dr. Ahmad Hifni, Sp. POLI THT
2654
WIBOWO THT.KL
REG/OP/191011-0349 310029 SHAKEELA ELEANOR AMEERA BT dr. Ahmad Hifni, Sp. POLI THT
2655
DADANG THT.KL
REG/OP/191022-0186 136485 MULYANA BT A.HARIS dr. Depi Jufri, Sp. POLI THT
2656
T.H.T.K.L
REG/OP/191018-0263 289717 WAHYUDI BIN AZIZ dr. Ahmad Hifni, Sp. POLI THT
2657
THT.KL
REG/OP/191022-0294 272312 FARHAN SEPTIANSYAH BN dr. Depi Jufri, Sp. POLI THT
2658
TABRANI T.H.T.K.L
REG/OP/191022-0150 272148 ELA SAPUTRI BT ABADIL dr. Depi Jufri, Sp. POLI THT
2659
T.H.T.K.L
REG/OP/191021-0275 328045 IQBAL MAULANA IBRAHIM dr. Depi Jufri, Sp. POLI THT
2660
T.H.T.K.L
REG/OP/191029-0337 329118 BUNGA ICA PUTRI AURELIA BT dr. Depi Jufri, Sp. POLI THT
2661
TIPE SULTAN T.H.T.K.L
REG/OP/191029-0242 329112 MUHAMMAD SALMAN ALFARIZI dr. Depi Jufri, Sp. POLI THT
2662
T.H.T.K.L
REG/OP/191009-0299 327969 MELDA LISA BT ARMADA dr. Depi Jufri, Sp. POLI THT
2663
T.H.T.K.L
REG/OP/191009-0327 327966 KAYSAN NAWFAL NISCAL BIN M. dr. Depi Jufri, Sp. POLI THT
2664
NAVIN NISCAL NASUTION T.H.T.K.L
REG/OP/191016-0356 310023 SEPTI WULANDARI BT ZULYANI dr. Depi Jufri, Sp. POLI THT
2665
T.H.T.K.L
REG/OP/191021-0476 239212 TIARA APRIDIANI BT YUNI dr. Depi Jufri, Sp. POLI THT
2666
KURNIAWAN T.H.T.K.L
REG/OP/191010-0053 327999 MITA WIDIA BT H. HOMSANI dr. Ahmad Hifni, Sp. POLI THT
2667
THT.KL
REG/OP/191016-0177 311203 FARREL ELVANO BIN M.NESTIAN dr. Depi Jufri, Sp. POLI THT
2668
T.H.T.K.L
REG/OP/191016-0230 100234 M CANDY AMANA BT SYAIPUL dr. Depi Jufri, Sp. POLI THT
2669
T.H.T.K.L
REG/OP/191001-0074 239665 NAUVAL PRAWIRA BIN AZWARI dr. Depi Jufri, Sp. POLI THT
2670
T.H.T.K.L
REG/OP/191016-0412 316767 ARIKI BN AHLAN dr. Depi Jufri, Sp. POLI THT
2671
T.H.T.K.L
REG/OP/191021-0274 326646 HANDY MUSOFA ULANAM dr. Depi Jufri, Sp. POLI THT
2672
T.H.T.K.L
REG/OP/191001-0016 326652 ALWI BIN YUSUF dr. Depi Jufri, Sp. POLI THT
2673
T.H.T.K.L
REG/OP/191029-0060 329102 VANISA TANTRIANI BT DENDI dr. Depi Jufri, Sp. POLI THT
2674
T.H.T.K.L
REG/OP/191008-0318 314008 QIANA ZYVA NAUREEN dr. Depi Jufri, Sp. POLI THT
2675
T.H.T.K.L
REG/OP/191007-0390 326646 HANDY MUSOFA ULANAM dr. Depi Jufri, Sp. POLI THT
2676
T.H.T.K.L
REG/OP/191016-0326 225157 MUHAMMAD SYARIF ADITIYA dr. Depi Jufri, Sp. POLI THT
2677
T.H.T.K.L
REG/OP/191021-0478 328695 KIMBERLY APRILIA BT ERWIN dr. Depi Jufri, Sp. POLI THT
2678
T.H.T.K.L
REG/OP/191029-0355 147433 MUSTABA BIN MADIAN dr. Depi Jufri, Sp. POLI THT
2679
T.H.T.K.L
REG/OP/191029-0155 329107 BUDI AYU BT ABDUL MUTHALIB dr. Depi Jufri, Sp. POLI THT
2680
T.H.T.K.L
REG/OP/190822-0105 310309 MURDIONO BIN MAHAJI dr. Ahmad Hifni, Sp. POLI THT
2681
THT.KL
REG/OP/191003-0368 326600 NUR SHOFII ANDRIANSYAH BIN dr. Ahmad Hifni, Sp. POLI THT
2682
JABIR THT.KL
REG/OP/191001-0130 310309 MURDIONO BIN MAHAJI dr. Depi Jufri, Sp. POLI THT
2683
T.H.T.K.L
REG/OP/191009-0237 310023 SEPTI WULANDARI BT ZULYANI dr. Depi Jufri, Sp. POLI THT
2684
T.H.T.K.L
REG/OP/191002-0114 205977 ENDAH SRI HARTI - dr. Depi Jufri, Sp. POLI THT
2685
T.H.T.K.L
REG/OP/190823-0067 310029 SHAKEELA ELEANOR AMEERA BT dr. Ahmad Hifni, Sp. POLI THT
2686
DADANG THT.KL
REG/OP/191023-0270 310023 SEPTI WULANDARI BT ZULYANI dr. Depi Jufri, Sp. POLI THT
2687
T.H.T.K.L
REG/OP/191029-0248 272148 ELA SAPUTRI BT ABADIL dr. Depi Jufri, Sp. POLI THT
2688
T.H.T.K.L
REG/OP/191021-0416 328687 BAINA BT ZAINI dr. Depi Jufri, Sp. POLI THT
2689
T.H.T.K.L
REG/OP/191001-0056 176196 RADITTYA PRATAMA BIN SUPRIADI dr. Depi Jufri, Sp. POLI THT
2690
T.H.T.K.L
REG/OP/191016-0109 139821 JHONTRA PUTRA BIN AHMAD dr. Depi Jufri, Sp. POLI THT
2691
T.H.T.K.L
REG/OP/191002-0264 311356 ALYA SYARA BT FETERIZAL dr. Depi Jufri, Sp. POLI THT
2692
T.H.T.K.L
REG/OP/191004-0306 324576 ANGGI KAPERA BT WIDI ARDI dr. Ahmad Hifni, Sp. POLI THT
2693
THT.KL
REG/OP/191023-0401 275120 NOPENTI KIRANA SARI BT MASHUR dr. Depi Jufri, Sp. POLI THT
2694
T.H.T.K.L
REG/OP/191001-0137 290273 LELI SURYANI BT SUDIRO dr. Depi Jufri, Sp. POLI THT
2695
T.H.T.K.L
REG/OP/191001-0225 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
2696
HERMANTO T.H.T.K.L
REG/OP/191021-0378 178446 ABDULLAH HADI BIN AZUALI dr. Depi Jufri, Sp. POLI THT
2697
T.H.T.K.L
REG/OP/190821-0097 302711 LILIS ANATASYAH BT PAJAR dr. Depi Jufri, Sp. POLI THT
2698 ASKARI T.H.T.K.L

REG/OP/191022-0278 302711 LILIS ANATASYAH BT PAJAR dr. Depi Jufri, Sp. POLI THT
2699
ASKARI T.H.T.K.L
REG/OP/191007-0169 267798 JHONIE INDOE BIN SURIANTO dr. Depi Jufri, Sp. POLI THT
2700
T.H.T.K.L
REG/OP/191023-0329 267652 NIRWANA BT ROJAK dr. Depi Jufri, Sp. POLI THT
2701
T.H.T.K.L
REG/OP/191002-0171 098364 NOVRIADI BIN HELMI dr. Depi Jufri, Sp. POLI THT
2702
T.H.T.K.L
REG/OP/191022-0108 275686 DESI MARIANAH BT MARTAWI dr. Depi Jufri, Sp. POLI THT
2703
T.H.T.K.L
REG/OP/191022-0262 106095 IKA HAMDALA BT SUDIRMAN dr. Depi Jufri, Sp. POLI THT
2704
T.H.T.K.L
REG/OP/190930-0152 327239 HASBI BIN MANAN dr. Depi Jufri, Sp. POLI THT
2705
T.H.T.K.L
REG/OP/191001-0018 111915 M.FARIZ BIN RIZWAN dr. Depi Jufri, Sp. POLI THT
2706
T.H.T.K.L
REG/OP/191015-0039 275686 DESI MARIANAH BT MARTAWI dr. Depi Jufri, Sp. POLI THT
2707
T.H.T.K.L
REG/OP/191011-0043 273054 KARIATI BT LAGISAN dr. Ahmad Hifni, Sp. POLI THT
2708
THT.KL
REG/OP/191007-0449 274568 SITI AISAH BT SAHRIN dr. Depi Jufri, Sp. POLI THT
2709
T.H.T.K.L
REG/OP/191007-0509 327818 SUMIYATI BT DOLAH SOBRI dr. Depi Jufri, Sp. POLI THT
2710
T.H.T.K.L
REG/OP/191023-0224 135922 CECEP KOCO SUCIPTO BIN HARGO dr. Depi Jufri, Sp. POLI THT
2711
T.H.T.K.L
REG/IP/190927-0011 273054 KARIATI BT LAGISAN dr. Ahmad Hifni, Sp. MANGGARIS
THT.KL
2712

REG/IP/191008-0052 179547 DECHI KHESYA AULIA BT DINO dr. Depi Jufri, Sp. MERANTI
KARNO T.H.T.K.L
2713

REG/IP/191008-0049 222425 RUSMA BT H.SAYIN dr. Depi Jufri, Sp. PETANANG


T.H.T.K.L

2714

REG/IP/191008-0051 327861 YENI ANUGRAH BINTI JAMALLUDIN dr. Depi Jufri, Sp. PETANANG
T.H.T.K.L
2715

REG/IP/191021-0030 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG


2716 T.H.T.K.L

REG/IP/191008-0012 267798 JHONIE INDOE BIN SURIANTO dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2717

REG/IP/191008-0013 326646 HANDY MUSOFA ULANAM dr. Depi Jufri, Sp. MEDANG
2718
T.H.T.K.L
REG/IP/191014-0041 327631 LATIEF BIN RUSMAN dr. Depi Jufri, Sp. MEDANG
2719 T.H.T.K.L

REG/IP/191007-0040 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. MEDANG


T.H.T.K.L
2720

REG/IP/191007-0034 084004 SUSILAWATI BT SYAMSUDDIN dr. Depi Jufri, Sp. TEMBESU


T.H.T.K.L
2721

REG/IP/191007-0042 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. LEBAN
HERMANTO T.H.T.K.L
2722

REG/OP/191113-0017 109985 MUHAMMAD FIKRI ASTIRA dr. Depi Jufri, Sp. POLI THT
2723
ROSIHAN T.H.T.K.L
REG/OP/191025-0149 108560 ADNAN KHAIR PRIAN JUPRI dr. Ahmad Hifni, Sp. POLI THT
2724
THT.KL
REG/OP/191106-0248 118323 MUALIMAH BINTI SOLIHIN dr. Depi Jufri, Sp. POLI THT
2725
T.H.T.K.L
REG/OP/191106-0089 218576 NURAIDAH BT H.MUNIR dr. Depi Jufri, Sp. POLI THT
2726
T.H.T.K.L
REG/OP/191105-0136 329459 ALLAN WARI BIN TIHAMDI dr. Depi Jufri, Sp. POLI THT
2727
T.H.T.K.L
REG/OP/191105-0238 117955 NADHIRAH QASRINA BT dr. Depi Jufri, Sp. POLI THT
2728
NGADIMAN T.H.T.K.L
REG/OP/191105-0361 215275 IVANA PUTRI SIANIPAR BT RUDI dr. Depi Jufri, Sp. POLI THT
2729
T.H.T.K.L
REG/OP/191104-0029 249946 ROKI DEDI SANJAYA ABI ALAMSA dr. Depi Jufri, Sp. POLI THT
2730
T.H.T.K.L
REG/OP/191106-0246 227170 HOMSIA BINTI SUHAIMI dr. Depi Jufri, Sp. POLI THT
2731
T.H.T.K.L
REG/OP/191104-0060 328191 HAPIZAH BT MARYADI dr. Depi Jufri, Sp. POLI THT
2732
T.H.T.K.L
REG/OP/191105-0377 329503 WAJAMAIN BIN ARAHMAN dr. Depi Jufri, Sp. POLI THT
2733
T.H.T.K.L
REG/OP/191105-0423 329509 SHELLAH PUTRI ULAN DARI BT dr. Depi Jufri, Sp. POLI THT
2734
HERWANDI T.H.T.K.L
REG/OP/191113-0089 225157 MUHAMMAD SYARIF ADITIYA dr. Depi Jufri, Sp. POLI THT
2735
T.H.T.K.L
REG/OP/191108-0232 280960 JONICO NAUFAL KAPANI dr. Ahmad Hifni, Sp. POLI THT
2736
THT.KL
REG/OP/191114-0119 329979 NAFIZA ASHIQA KURNIAWAN BT dr. Ahmad Hifni, Sp. POLI THT
2737
ADI KURNIAWAN THT.KL
REG/OP/191030-0078 278485 HUZAIDIN BIN AMRI dr. Depi Jufri, Sp. POLI THT
2738
T.H.T.K.L
REG/OP/191113-0278 329943 HELI ASMINI BT TEGUH dr. Depi Jufri, Sp. POLI THT
2739
T.H.T.K.L
REG/OP/191106-0026 138572 MIFTAHUL JANNAH BINTI ENDANG dr. Depi Jufri, Sp. POLI THT
2740
KUSASI T.H.T.K.L
REG/OP/191105-0099 142145 ASRIL BIN Z.A. BIDIN dr. Depi Jufri, Sp. POLI THT
2741
T.H.T.K.L
REG/OP/191028-0339 138572 MIFTAHUL JANNAH BINTI ENDANG dr. Depi Jufri, Sp. POLI THT
2742
KUSASI T.H.T.K.L
REG/OP/191113-0287 107318 EFFENDI KASIM dr. Depi Jufri, Sp. POLI THT
2743
T.H.T.K.L
REG/OP/191024-0375 282213 ASMIRA BT ZAURI dr. Ahmad Hifni, Sp. POLI THT
2744
THT.KL
REG/OP/191101-0069 279606 DYENDRA ZALMA KURNIAWAN BN dr. Ahmad Hifni, Sp. POLI THT
2745
M.MARITSO THT.KL
REG/OP/191025-0215 182066 AMRI BIN AMER HAMZAH ZALIAH dr. Ahmad Hifni, Sp. POLI THT
2746
THT.KL
REG/OP/191112-0147 125350 DZAKIRAH ALIYAH AFIFAH dr. Depi Jufri, Sp. POLI THT
2747
T.H.T.K.L
REG/OP/191106-0164 219227 ASMA ULHUSNAH BT YUSUF dr. Depi Jufri, Sp. POLI THT
2748
T.H.T.K.L
REG/OP/191106-0062 328527 SUSI SUSANTI BT JHON HERI dr. Depi Jufri, Sp. POLI THT
2749
T.H.T.K.L
REG/OP/191106-0106 225157 MUHAMMAD SYARIF ADITIYA dr. Depi Jufri, Sp. POLI THT
2750
T.H.T.K.L
REG/OP/191106-0271 327157 ARDI PRANATA BIN LEDY dr. Depi Jufri, Sp. POLI THT
2751
T.H.T.K.L
REG/OP/191106-0232 125350 DZAKIRAH ALIYAH AFIFAH dr. Depi Jufri, Sp. POLI THT
2752
T.H.T.K.L
REG/OP/191106-0053 329536 HADI RAHMANSYAH BIN ROMA dr. Depi Jufri, Sp. POLI THT
2753
IRAWAN T.H.T.K.L
REG/OP/191104-0243 071821 LUSPAWATI BT EFENDI EFENDI dr. Depi Jufri, Sp. POLI THT
2754
T.H.T.K.L
REG/OP/191105-0109 179885 AWAM BIN ANANG dr. Depi Jufri, Sp. POLI THT
2755
T.H.T.K.L
REG/OP/191104-0141 291969 DELA HERISTI TIA dr. Depi Jufri, Sp. POLI THT
2756
T.H.T.K.L
REG/OP/191104-0177 197036 RAYNA ALMEERA FRITZI TRI dr. Depi Jufri, Sp. POLI THT
2757
SANTOSO T.H.T.K.L
REG/OP/191113-0037 329536 HADI RAHMANSYAH BIN ROMA dr. Depi Jufri, Sp. POLI THT
2758
IRAWAN T.H.T.K.L
REG/OP/191108-0140 329664 M RADEN BIN JHON HERI dr. Ahmad Hifni, Sp. POLI THT
2759
THT.KL
REG/OP/191105-0175 137427 VIKIA DIFANYA SING dr. Depi Jufri, Sp. POLI THT
2760
T.H.T.K.L
REG/OP/191028-0276 318109 PRATIWI PRIHATINI BT BAMBANG dr. Depi Jufri, Sp. POLI THT
2761
HERMANTO T.H.T.K.L
REG/OP/191024-0160 328858 NURLIZA BT ANUGRA dr. Ahmad Hifni, Sp. POLI THT
2762
THT.KL
REG/OP/191101-0101 285573 INDRI TRI WAHYUNI BT HAIRUL dr. Ahmad Hifni, Sp. POLI THT
2763
THT.KL
REG/OP/191118-0478 158574 DEVAN ADITYA BIN NICKSEN dr. Depi Jufri, Sp. POLI THT
2764 VANDER T.H.T.K.L
REG/OP/191104-0385 106095 IKA HAMDALA BT SUDIRMAN dr. Depi Jufri, Sp. POLI THT
2765
T.H.T.K.L
REG/OP/191106-0147 135922 CECEP KOCO SUCIPTO BIN HARGO dr. Depi Jufri, Sp. POLI THT
2766
T.H.T.K.L
REG/OP/191101-0281 276667 LASWATI BT LASMIJAN dr. Ahmad Hifni, Sp. POLI THT
2767
THT.KL
REG/OP/191104-0101 209149 DAFFA HANIFAH BT SUGITO dr. Depi Jufri, Sp. POLI THT
2768
T.H.T.K.L
REG/OP/190822-0406 274568 SITI AISAH BT SAHRIN dr. Ahmad Hifni, Sp. POLI THT
2769
THT.KL
REG/OP/191108-0245 020428 M IRMAN MADANI dr. Ahmad Hifni, Sp. POLI THT
2770
THT.KL
REG/OP/191031-0229 270490 DUWI FEBRI YANTI dr. Ahmad Hifni, Sp. POLI THT
2771
THT.KL
REG/OP/191101-0266 275120 NOPENTI KIRANA SARI BT MASHUR dr. Ahmad Hifni, Sp. POLI THT
2772
THT.KL
REG/OP/191024-0201 279606 DYENDRA ZALMA KURNIAWAN BN dr. Ahmad Hifni, Sp. POLI THT
2773
M.MARITSO THT.KL
REG/OP/191024-0269 090611 KRISNA UNTARI BT M YUSUF UMAR dr. Ahmad Hifni, Sp. POLI THT
2774
THT.KL
REG/OP/191108-0090 226402 TUTI ERTI BT DUL HAMID dr. Ahmad Hifni, Sp. POLI THT
2775
THT.KL
REG/OP/191106-0289 328439 ELFAREZKY CHANDRA BIN DIKA dr. Depi Jufri, Sp. POLI THT
2776
CANDRA T.H.T.K.L
REG/OP/191105-0252 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. POLI THT
2777
T.H.T.K.L
REG/OP/191108-0075 306900 DARMANTO BIN DJURI dr. Ahmad Hifni, Sp. POLI THT
2778
HARJOLUKITO THT.KL
REG/OP/191113-0229 015459 UMAR BIN AHMAD dr. Depi Jufri, Sp. POLI THT
2779
T.H.T.K.L
REG/OP/191024-0118 328855 IRWAN SAPUTRA BIN RUSLI dr. Ahmad Hifni, Sp. POLI THT
2780
THT.KL
REG/OP/191101-0066 328855 IRWAN SAPUTRA BIN RUSLI dr. Ahmad Hifni, Sp. POLI THT
2781
THT.KL
REG/OP/191112-0058 132895 ERNAWATI BT HANAPIAH dr. Depi Jufri, Sp. POLI THT
2782
T.H.T.K.L
REG/OP/191113-0277 132793 ABDUL GOFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
2783
T.H.T.K.L
REG/OP/191025-0039 292909 FATHIN FAKHIRA BT DEDI dr. Ahmad Hifni, Sp. POLI THT
2784
MULYADI ALPAN THT.KL
REG/OP/191119-0197 329459 ALLAN WARI BIN TIHAMDI dr. Depi Jufri, Sp. POLI THT
2785
T.H.T.K.L
REG/OP/191113-0207 134878 SURIPTINI BT SAN MIHARJO dr. Depi Jufri, Sp. POLI THT
2786
T.H.T.K.L
REG/OP/191028-0425 155722 GHIFARI AZAHRI AL FATIH dr. Depi Jufri, Sp. POLI THT
2787
T.H.T.K.L
REG/OP/191107-0429 155958 M.RAMADHAN SALEH dr. Ahmad Hifni, Sp. POLI THT
2788
THT.KL
REG/OP/191118-0256 117955 NADHIRAH QASRINA BT dr. Depi Jufri, Sp. POLI THT
2789
NGADIMAN T.H.T.K.L
REG/OP/191111-0270 172493 RIESTA RAHMITA BT M.ROHMAT dr. Depi Jufri, Sp. POLI THT
2790
M.ROHM T.H.T.K.L
REG/OP/191118-0062 131310 HERLITA BT SUPRIADI dr. Depi Jufri, Sp. POLI THT
2791
T.H.T.K.L
REG/OP/191101-0317 098347 ROHIBAH BT SOLEH dr. Ahmad Hifni, Sp. POLI THT
2792
THT.KL
REG/OP/191118-0405 329102 VANISA TANTRIANI BT DENDI dr. Depi Jufri, Sp. POLI THT
2793
T.H.T.K.L
REG/OP/191029-0017 325061 WIJI BT TAGIK dr. Depi Jufri, Sp. POLI THT
2794
T.H.T.K.L
REG/OP/191029-0250 329113 M. RAMBO AL JABBAR BIN dr. Depi Jufri, Sp. POLI THT
2795
HERIANTO T.H.T.K.L
REG/OP/191114-0210 280193 ADELIA CALLISTA BT M.ALI dr. Ahmad Hifni, Sp. POLI THT
2796
THT.KL
REG/OP/191104-0523 101093 HELLY KURNIAWATI BT HAJAR dr. Depi Jufri, Sp. POLI THT
2797
T.H.T.K.L
REG/OP/191114-0135 151567 VINAE APRILIA BT ANDRI YANTO dr. Ahmad Hifni, Sp. POLI THT
2798
THT.KL
REG/OP/191118-0441 245762 FERDINAND RAFFAEL BIN dr. Depi Jufri, Sp. POLI THT
2799
FEBRIANTO T.H.T.K.L
REG/OP/191115-0337 100020 DINDA NAFISAH BT ANDRI ANDRI dr. Ahmad Hifni, Sp. POLI THT
2800
THT.KL
REG/OP/191121-0406 100020 DINDA NAFISAH BT ANDRI ANDRI dr. Ahmad Hifni, Sp. POLI THT
2801
THT.KL
REG/OP/191114-0023 264586 ABDILAH FARIS PRADIPTA dr. Ahmad Hifni, Sp. POLI THT
2802
THT.KL
REG/OP/191030-0348 329194 REDY TIAWARMAN BIN SYAMSUL dr. Depi Jufri, Sp. POLI THT
2803
T.H.T.K.L
REG/OP/191112-0389 060967 ALEX BN RUSLI dr. Depi Jufri, Sp. POLI THT
2804
T.H.T.K.L
REG/OP/191030-0273 329187 ANNISA MAUZA RAHIIM dr. Depi Jufri, Sp. POLI THT
2805
T.H.T.K.L
REG/OP/191024-0334 287652 APRIANA BT SAMSUL dr. Ahmad Hifni, Sp. POLI THT
2806
THT.KL
REG/OP/191112-0365 287508 EDISON SYAHRI BIN ATIMRON dr. Depi Jufri, Sp. POLI THT
2807
T.H.T.K.L
REG/OP/191120-0254 330053 AL FATHAN BN AMAT KAMALUDIN dr. Depi Jufri, Sp. POLI THT
2808
T.H.T.K.L
REG/OP/191115-0285 330053 AL FATHAN BN AMAT KAMALUDIN dr. Ahmad Hifni, Sp. POLI THT
2809
THT.KL
REG/OP/191028-0205 328527 SUSI SUSANTI BT JHON HERI dr. Depi Jufri, Sp. POLI THT
2810
T.H.T.K.L
REG/OP/191112-0379 323577 NURHAYATI BT M.ALI dr. Depi Jufri, Sp. POLI THT
2811
T.H.T.K.L
REG/OP/191031-0071 329218 AYU DESI LESTARI BT ANDI dr. Ahmad Hifni, Sp. POLI THT
2812
THT.KL
REG/OP/191111-0110 328289 ALAMSRI BIN ARBO dr. Depi Jufri, Sp. POLI THT
2813
T.H.T.K.L
REG/OP/191118-0279 033116 HANIK WAL UMARO EDY SUPRIADI dr. Depi Jufri, Sp. POLI THT
2814
T.H.T.K.L
REG/OP/191028-0128 328439 ELFAREZKY CHANDRA BIN DIKA dr. Depi Jufri, Sp. POLI THT
2815
CANDRA T.H.T.K.L
REG/OP/191111-0361 323789 TUSLAN DIBYO SUWITO BIN dr. Depi Jufri, Sp. POLI THT
2816
MERTO SETOMO T.H.T.K.L
REG/OP/191111-0347 002690 ROHANI BT BAHAYAN dr. Depi Jufri, Sp. POLI THT
2817
T.H.T.K.L
REG/OP/191104-0317 172493 RIESTA RAHMITA BT M.ROHMAT dr. Depi Jufri, Sp. POLI THT
2818
M.ROHM T.H.T.K.L
REG/OP/191114-0374 239212 TIARA APRIDIANI BT YUNI dr. Ahmad Hifni, Sp. POLI THT
2819
KURNIAWAN THT.KL
REG/OP/191107-0314 151567 VINAE APRILIA BT ANDRI YANTO dr. Ahmad Hifni, Sp. POLI THT
2820
THT.KL
REG/OP/191029-0350 328152 KAHUM BIN DROM dr. Depi Jufri, Sp. POLI THT
2821
T.H.T.K.L
REG/OP/191118-0240 330162 ZASKIA LUSIANI BT SAKRI dr. Depi Jufri, Sp. POLI THT
2822
T.H.T.K.L
REG/OP/191104-0525 309613 AISYAFIRA ZAHRATUSSYIFA dr. Depi Jufri, Sp. POLI THT
2823
T.H.T.K.L
REG/OP/191028-0216 060812 ALIENNASTA BIN EVI LUSPA dr. Depi Jufri, Sp. POLI THT
2824
T.H.T.K.L
REG/OP/191118-0464 330190 VIYOLLA SETIYA SARY dr. Depi Jufri, Sp. POLI THT
2825
T.H.T.K.L
REG/OP/191030-0110 228535 A. KOSASIH BIN MAJID dr. Depi Jufri, Sp. POLI THT
2826
T.H.T.K.L
REG/OP/191028-0285 071821 LUSPAWATI BT EFENDI EFENDI dr. Depi Jufri, Sp. POLI THT
2827
T.H.T.K.L
REG/OP/191028-0288 170566 EKA NOVRALIZA BT SYAMSURIZAL dr. Depi Jufri, Sp. POLI THT
2828
T.H.T.K.L
REG/OP/191030-0147 225157 MUHAMMAD SYARIF ADITIYA dr. Depi Jufri, Sp. POLI THT
2829
T.H.T.K.L
REG/OP/191030-0286 310023 SEPTI WULANDARI BT ZULYANI dr. Depi Jufri, Sp. POLI THT
2830
T.H.T.K.L
REG/OP/191107-0381 329622 SUHIRI BIN NITI SUKARTO dr. Ahmad Hifni, Sp. POLI THT
2831
THT.KL
REG/OP/191104-0152 264630 AYAMA HABIBI BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2832
T.H.T.K.L
REG/OP/191118-0351 330174 MUHAMMAD MURTAQI dr. Depi Jufri, Sp. POLI THT
2833
T.H.T.K.L
REG/OP/191118-0490 330170 MINARIPA BT AZWAN dr. Depi Jufri, Sp. POLI THT
2834
T.H.T.K.L
REG/OP/191028-0266 172493 RIESTA RAHMITA BT M.ROHMAT dr. Depi Jufri, Sp. POLI THT
2835
M.ROHM T.H.T.K.L
REG/OP/191028-0444 272312 FARHAN SEPTIANSYAH BN dr. Depi Jufri, Sp. POLI THT
2836
TABRANI T.H.T.K.L
REG/OP/191028-0443 327818 SUMIYATI BT DOLAH SOBRI dr. Depi Jufri, Sp. POLI THT
2837
T.H.T.K.L
REG/OP/191111-0452 155722 GHIFARI AZAHRI AL FATIH dr. Depi Jufri, Sp. POLI THT
2838
T.H.T.K.L
REG/OP/191118-0121 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. POLI THT
2839
T.H.T.K.L
REG/OP/191118-0086 277643 MISNAWATI BT NASUTION dr. Depi Jufri, Sp. POLI THT
2840
T.H.T.K.L
REG/OP/191118-0126 328671 ANGGI ANWARI BN ANWAR SANUSI dr. Depi Jufri, Sp. POLI THT
2841
T.H.T.K.L
REG/OP/191101-0311 329293 NUR AZIZAH BT EDI SUSANTO dr. Ahmad Hifni, Sp. POLI THT
2842
THT.KL
REG/OP/191105-0023 329293 NUR AZIZAH BT EDI SUSANTO dr. Depi Jufri, Sp. POLI THT
2843
T.H.T.K.L
REG/OP/191106-0220 134878 SURIPTINI BT SAN MIHARJO dr. Depi Jufri, Sp. POLI THT
2844
T.H.T.K.L
REG/OP/191030-0163 328045 IQBAL MAULANA IBRAHIM dr. Depi Jufri, Sp. POLI THT
2845
T.H.T.K.L
REG/OP/191115-0231 239762 ASKARI BIN SAMSURI dr. Ahmad Hifni, Sp. POLI THT
2846
THT.KL
REG/OP/191108-0286 239762 ASKARI BIN SAMSURI dr. Ahmad Hifni, Sp. POLI THT
2847
THT.KL
REG/OP/191111-0346 329102 VANISA TANTRIANI BT DENDI dr. Depi Jufri, Sp. POLI THT
2848
T.H.T.K.L
REG/OP/191028-0172 329027 M ALIFUDIN BIN TEFURI dr. Depi Jufri, Sp. POLI THT
2849
T.H.T.K.L
REG/OP/191111-0303 033116 HANIK WAL UMARO EDY SUPRIADI dr. Depi Jufri, Sp. POLI THT
2850
T.H.T.K.L
REG/OP/191105-0422 237654 DAHRO EFFENDHI BIN SAMIHATMA dr. Depi Jufri, Sp. POLI THT
2851
T.H.T.K.L
REG/OP/191025-0216 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
2852
THT.KL
REG/OP/191101-0242 106513 ABUYAD BIN H.ABU BAKAR dr. Ahmad Hifni, Sp. POLI THT
2853
THT.KL
REG/OP/191107-0439 107668 RENTI LISTA BT MUPAZI dr. Ahmad Hifni, Sp. POLI THT
2854
THT.KL
REG/OP/191111-0022 087614 SALMAAN ZAKKI dr. Depi Jufri, Sp. POLI THT
2855
T.H.T.K.L
REG/OP/191104-0516 328152 KAHUM BIN DROM dr. Depi Jufri, Sp. POLI THT
2856
T.H.T.K.L
REG/OP/191118-0412 227424 JUNI AZKA BIN TRI BUANA dr. Depi Jufri, Sp. POLI THT
2857
T.H.T.K.L
REG/OP/191118-0138 264630 AYAMA HABIBI BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2858
T.H.T.K.L
REG/OP/191113-0209 227124 DEVY NOVITASARI, S.FARM dr. Depi Jufri, Sp. POLI THT
2859
T.H.T.K.L
REG/OP/191112-0075 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. POLI THT
2860
T.H.T.K.L
REG/OP/191105-0087 329102 VANISA TANTRIANI BT DENDI dr. Depi Jufri, Sp. POLI THT
2861
T.H.T.K.L
REG/OP/191104-0394 167380 IBRAHIM BN ABDUL RONI dr. Depi Jufri, Sp. POLI THT
2862
T.H.T.K.L
REG/OP/191115-0268 324654 TITI INDRIATI BT ASRAN dr. Ahmad Hifni, Sp. POLI THT
2863
THT.KL
REG/OP/191107-0408 307299 ACHMAD RAFLI dr. Ahmad Hifni, Sp. POLI THT
2864
THT.KL
REG/OP/191111-0433 329823 MARJILAH BT KARTO WR dr. Depi Jufri, Sp. POLI THT
2865
T.H.T.K.L
REG/OP/191030-0313 303552 M LIANDRA ABSYAR BIN CANDRA dr. Depi Jufri, Sp. POLI THT
2866
HALIM T.H.T.K.L
REG/OP/191104-0436 232517 DODI HERMANTO BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
2867
T.H.T.K.L
REG/OP/191101-0134 231734 MOZA AULIA BT LUKMAN dr. Ahmad Hifni, Sp. POLI THT
2868
THT.KL
REG/OP/191101-0165 087614 SALMAAN ZAKKI dr. Ahmad Hifni, Sp. POLI THT
2869
THT.KL
REG/OP/191031-0287 105286 ERLIZA YUNIARTI BNT ARIF.H dr. Ahmad Hifni, Sp. POLI THT
2870
THT.KL
REG/OP/190823-0200 087564 MASDA BT ISMAIL dr. Ahmad Hifni, Sp. POLI THT
2871
THT.KL
REG/OP/191115-0320 327459 NAKKOK SIMARE-MARE BIN dr. Ahmad Hifni, Sp. POLI THT
2872
DEKMAN THT.KL
REG/OP/191112-0083 223085 HANA AISTISALMA BINTI SIAGIAN dr. Depi Jufri, Sp. POLI THT
2873
T.H.T.K.L
REG/OP/191112-0276 329459 ALLAN WARI BIN TIHAMDI dr. Depi Jufri, Sp. POLI THT
2874
T.H.T.K.L
REG/OP/191112-0112 159761 MARWAN SYAPUTRA dr. Depi Jufri, Sp. POLI THT
2875
T.H.T.K.L
REG/OP/191112-0425 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
2876
T.H.T.K.L
REG/OP/191104-0341 327800 MARLENA BT HERMAN dr. Depi Jufri, Sp. POLI THT
2877
T.H.T.K.L
REG/OP/191104-0199 323789 TUSLAN DIBYO SUWITO BIN dr. Depi Jufri, Sp. POLI THT
2878
MERTO SETOMO T.H.T.K.L
REG/OP/191106-0201 274568 SITI AISAH BT SAHRIN dr. Depi Jufri, Sp. POLI THT
2879
T.H.T.K.L
REG/OP/191112-0266 125274 NUR SIWAN BIN M.ISAT TOAT dr. Depi Jufri, Sp. POLI THT
2880
T.H.T.K.L
REG/OP/191112-0109 220676 SUMARNI BT SARIKIN dr. Depi Jufri, Sp. POLI THT
2881
T.H.T.K.L
REG/OP/191114-0396 307299 ACHMAD RAFLI dr. Ahmad Hifni, Sp. POLI THT
2882
THT.KL
REG/OP/190812-0081 021594 SYAIPUL BIN MUHAMAD dr. Depi Jufri, Sp. POLI THT
2883
T.H.T.K.L
REG/OP/191115-0118 306900 DARMANTO BIN DJURI dr. Ahmad Hifni, Sp. POLI THT
2884
HARJOLUKITO THT.KL
REG/OP/191115-0188 221856 RIKO ANDRIANO BN ALI TAMRIN dr. Ahmad Hifni, Sp. POLI THT
2885
THT.KL
REG/OP/191112-0244 323462 KUSNILA BT DAMSI dr. Depi Jufri, Sp. POLI THT
2886
T.H.T.K.L
REG/OP/191112-0261 163517 MUHAMMAD ALHADI BIN ZULKIPLI dr. Depi Jufri, Sp. POLI THT
2887
T.H.T.K.L
REG/OP/191112-0153 118323 MUALIMAH BINTI SOLIHIN dr. Depi Jufri, Sp. POLI THT
2888
T.H.T.K.L
REG/OP/191113-0237 218576 NURAIDAH BT H.MUNIR dr. Depi Jufri, Sp. POLI THT
2889
T.H.T.K.L
REG/OP/191111-0311 139394 AGUS NARIMO BIN WAGITO dr. Depi Jufri, Sp. POLI THT
2890
T.H.T.K.L
REG/OP/191111-0460 329828 JAYA AKBAR BIN ABDUL MUTOLIB dr. Depi Jufri, Sp. POLI THT
2891
T.H.T.K.L
REG/OP/191112-0376 322944 BAGAS DWI LANGGA BIN dr. Depi Jufri, Sp. POLI THT
2892
SUKANDAR T.H.T.K.L
REG/OP/191113-0269 257657 VANIA ADERIA GUNAWAN BT RUDI dr. Depi Jufri, Sp. POLI THT
2893
GUNAWAN T.H.T.K.L
REG/OP/191112-0042 215275 IVANA PUTRI SIANIPAR BT RUDI dr. Depi Jufri, Sp. POLI THT
2894
T.H.T.K.L
REG/OP/191118-0219 215275 IVANA PUTRI SIANIPAR BT RUDI dr. Depi Jufri, Sp. POLI THT
2895
T.H.T.K.L
REG/OP/191111-0194 117955 NADHIRAH QASRINA BT dr. Depi Jufri, Sp. POLI THT
2896
NGADIMAN T.H.T.K.L
REG/OP/191105-0222 328856 RIYA KUDU BIN M ABDUH dr. Depi Jufri, Sp. POLI THT
2897
T.H.T.K.L
REG/OP/191030-0318 118323 MUALIMAH BINTI SOLIHIN dr. Depi Jufri, Sp. POLI THT
2898
T.H.T.K.L
REG/OP/191104-0095 329381 RAKA OKTORA BIN CANDRA dr. Depi Jufri, Sp. POLI THT
2899
IRAWAN T.H.T.K.L
REG/OP/191118-0248 329381 RAKA OKTORA BIN CANDRA dr. Depi Jufri, Sp. POLI THT
2900 IRAWAN T.H.T.K.L

REG/OP/191111-0103 329381 RAKA OKTORA BIN CANDRA dr. Depi Jufri, Sp. POLI THT
2901 IRAWAN T.H.T.K.L

REG/OP/191105-0302 080915 HEPI YOVITA BT TARMIZI TARMIZI dr. Depi Jufri, Sp. POLI THT
2902
T.H.T.K.L
REG/OP/191104-0115 021594 SYAIPUL BIN MUHAMAD dr. Depi Jufri, Sp. POLI THT
2903
T.H.T.K.L
REG/OP/191113-0326 181502 KASMAN BIN WARJO dr. Depi Jufri, Sp. POLI THT
2904
T.H.T.K.L
REG/OP/191106-0171 110675 NURDIN BIN HISOM dr. Depi Jufri, Sp. POLI THT
2905
T.H.T.K.L
REG/OP/191105-0080 060812 ALIENNASTA BIN EVI LUSPA dr. Depi Jufri, Sp. POLI THT
2906
T.H.T.K.L
REG/OP/191112-0067 207750 RULINA BT SAKDIAH dr. Depi Jufri, Sp. POLI THT
2907
T.H.T.K.L
REG/OP/191105-0321 323462 KUSNILA BT DAMSI dr. Depi Jufri, Sp. POLI THT
2908
T.H.T.K.L
REG/OP/191118-0135 161369 NINGSIH BT MATNALI HERMANTO dr. Depi Jufri, Sp. POLI THT
2909
T.H.T.K.L
REG/OP/191118-0273 194661 HOPSAH BT USMAN dr. Depi Jufri, Sp. POLI THT
2910
T.H.T.K.L
REG/OP/191031-0048 194661 HOPSAH BT USMAN dr. Ahmad Hifni, Sp. POLI THT
2911 THT.KL

REG/OP/191111-0114 329503 WAJAMAIN BIN ARAHMAN dr. Depi Jufri, Sp. POLI THT
2912
T.H.T.K.L
REG/OP/191106-0165 329545 M ADNAN SULKY BIN SIEMEN dr. Depi Jufri, Sp. POLI THT
2913
GUCIANO T.H.T.K.L
REG/OP/191111-0096 194661 HOPSAH BT USMAN dr. Depi Jufri, Sp. POLI THT
2914 T.H.T.K.L

REG/OP/191030-0048 047168 DIO RAMDHANI BIN HINDRAL dr. Depi Jufri, Sp. POLI THT
2915
T.H.T.K.L
REG/OP/191030-0277 219358 WIDYAH SEPTA NENGSIH BT dr. Depi Jufri, Sp. POLI THT
2916
HAMKA T.H.T.K.L
REG/OP/191104-0045 194661 HOPSAH BT USMAN dr. Depi Jufri, Sp. POLI THT
2917
T.H.T.K.L
REG/OP/191106-0066 154296 PAULINA BT ALIE WAHNI dr. Depi Jufri, Sp. POLI THT
2918
T.H.T.K.L
REG/IP/191112-0061 196025 SUNARNO BIN PANUT dr. Depi Jufri, Sp. MANGGARIS
T.H.T.K.L
2919

REG/IP/191109-0037 329719 RUSNI BIN SANUDIN dr. Depi Jufri, Sp. MANGGARIS
2920
T.H.T.K.L
REG/IP/191104-0035 323789 TUSLAN DIBYO SUWITO BIN dr. Depi Jufri, Sp. MERANTI
2921
MERTO SETOMO T.H.T.K.L
REG/IP/191026-0021 323789 TUSLAN DIBYO SUWITO BIN dr. Depi Jufri, Sp. MERANTI
2922
MERTO SETOMO T.H.T.K.L
REG/IP/191104-0036 194661 HOPSAH BT USMAN dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
2923

REG/IP/191112-0037 215275 IVANA PUTRI SIANIPAR BT RUDI dr. Depi Jufri, Sp. PETANANG
T.H.T.K.L
2924

REG/IP/191104-0027 329381 RAKA OKTORA BIN CANDRA dr. Depi Jufri, Sp. MEDANG
IRAWAN T.H.T.K.L
2925

REG/IP/191028-0046 328527 SUSI SUSANTI BT JHON HERI dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2926

REG/IP/191111-0032 329503 WAJAMAIN BIN ARAHMAN dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2927

REG/IP/191028-0043 328439 ELFAREZKY CHANDRA BIN DIKA dr. Depi Jufri, Sp. MEDANG
CANDRA T.H.T.K.L
2928

REG/IP/191112-0043 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2929

REG/IP/191112-0049 125350 DZAKIRAH ALIYAH AFIFAH dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2930

REG/IP/191105-0046 329102 VANISA TANTRIANI BT DENDI dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
2931

REG/IP/191104-0013 172493 RIESTA RAHMITA BT M.ROHMAT dr. Depi Jufri, Sp. LEBAN
M.ROHM T.H.T.K.L
2932

REG/OP/191129-0135 068103 SEMUR BNT ABU YANSID dr. Ahmad Hifni, Sp. POLI THT
2933
THT.KL
REG/OP/191209-0109 068103 SEMUR BNT ABU YANSID dr. Depi Jufri, Sp. POLI THT
2934
T.H.T.K.L
REG/OP/191231-0145 068103 SEMUR BNT ABU YANSID dr. Depi Jufri, Sp. POLI THT
2935
T.H.T.K.L
REG/OP/191218-0127 068103 SEMUR BNT ABU YANSID dr. Depi Jufri, Sp. POLI THT
2936
T.H.T.K.L
REG/OP/191128-0228 288738 MUSA KHOIRUN NASITH BIN RUWI dr. Ahmad Hifni, Sp. POLI THT
2937
YANTO THT.KL
REG/OP/191126-0168 257657 VANIA ADERIA GUNAWAN BT RUDI dr. Depi Jufri, Sp. POLI THT
2938
GUNAWAN T.H.T.K.L
REG/OP/191209-0390 322102 SYAIFUL AZHAR BIN ABU KUSIM dr. Depi Jufri, Sp. POLI THT
2939
T.H.T.K.L
REG/OP/191120-0144 257657 VANIA ADERIA GUNAWAN BT RUDI dr. Depi Jufri, Sp. POLI THT
2940
GUNAWAN T.H.T.K.L
REG/OP/191128-0370 181502 KASMAN BIN WARJO dr. Ahmad Hifni, Sp. POLI THT
2941
THT.KL
REG/OP/191204-0292 257657 VANIA ADERIA GUNAWAN BT RUDI dr. Depi Jufri, Sp. POLI THT
2942
GUNAWAN T.H.T.K.L
REG/OP/191211-0247 257657 VANIA ADERIA GUNAWAN BT RUDI dr. Depi Jufri, Sp. POLI THT
2943
GUNAWAN T.H.T.K.L
REG/OP/191125-0373 330787 RANGGA PERDANA PUTERA dr. Depi Jufri, Sp. POLI THT
2944
T.H.T.K.L
REG/OP/191126-0349 330863 RAHMAN EDY BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
2945
T.H.T.K.L
REG/OP/191227-0194 260470 BAMBANG IRAWAN BIN A GOPUR dr. Ahmad Hifni, Sp. POLI THT
2946
THT.KL
REG/OP/191127-0296 259665 RIANTO BIN IMRON dr. Depi Jufri, Sp. POLI THT
2947
T.H.T.K.L
REG/OP/191121-0333 083529 SOMAD BIN HOLIDI dr. Ahmad Hifni, Sp. POLI THT
2948
THT.KL
REG/OP/191218-0123 084004 SUSILAWATI BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
2949
T.H.T.K.L
REG/OP/191127-0302 084004 SUSILAWATI BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
2950
T.H.T.K.L
REG/OP/191120-0148 084004 SUSILAWATI BT SYAMSUDDIN dr. Depi Jufri, Sp. POLI THT
2951
T.H.T.K.L
REG/OP/191209-0557 310535 NETI KUSMERI MEGAWATI dr. Depi Jufri, Sp. POLI THT
2952
T.H.T.K.L
REG/OP/191125-0423 215275 IVANA PUTRI SIANIPAR BT RUDI dr. Depi Jufri, Sp. POLI THT
2953
T.H.T.K.L
REG/OP/191127-0281 262796 APRI YULIANTI BT DANIEL dr. Depi Jufri, Sp. POLI THT
2954
T.H.T.K.L
REG/OP/191216-0289 154564 AL JAZAIR BIN UDING dr. Depi Jufri, Sp. POLI THT
2955
T.H.T.K.L
REG/OP/191127-0179 310029 SHAKEELA ELEANOR AMEERA BT dr. Depi Jufri, Sp. POLI THT
2956
DADANG T.H.T.K.L
REG/OP/191217-0353 319360 MULYONO BIN KARIONO dr. Depi Jufri, Sp. POLI THT
2957
T.H.T.K.L
REG/OP/191213-0211 288738 MUSA KHOIRUN NASITH BIN RUWI dr. Ahmad Hifni, Sp. POLI THT
2958
YANTO THT.KL
REG/OP/191211-0167 041585 HATIMON BT DJAKIR dr. Depi Jufri, Sp. POLI THT
2959
T.H.T.K.L
REG/OP/191209-0423 331132 M ISAH BIN SUCIPTO dr. Depi Jufri, Sp. POLI THT
2960
T.H.T.K.L
REG/OP/191210-0375 236700 NYIAYU NUR AZIZAH dr. Depi Jufri, Sp. POLI THT
2961
T.H.T.K.L
REG/OP/191204-0117 309501 I PUTU RENATHA INDRA PUTRABIN dr. Depi Jufri, Sp. POLI THT
2962
I KETUT SUTEJA PUTRA T.H.T.K.L
REG/OP/191120-0197 319490 MUHAMMAD SAFE'I BIN TOMO dr. Depi Jufri, Sp. POLI THT
2963
T.H.T.K.L
REG/OP/191122-0043 144932 ADI CANDRA, SE, M.SI BIN dr. Ahmad Hifni, Sp. POLI THT
2964
ZAWAWI THT.KL
REG/OP/191125-0231 143025 LENI AGUSTINA BT YAKE dr. Depi Jufri, Sp. POLI THT
2965
T.H.T.K.L
REG/OP/191127-0107 144426 ASMALA BT M.TULIP dr. Depi Jufri, Sp. POLI THT
2966
T.H.T.K.L
REG/OP/191204-0182 144426 ASMALA BT M.TULIP dr. Depi Jufri, Sp. POLI THT
2967
T.H.T.K.L
REG/OP/191203-0076 143025 LENI AGUSTINA BT YAKE dr. Depi Jufri, Sp. POLI THT
2968
T.H.T.K.L
REG/OP/191210-0050 143025 LENI AGUSTINA BT YAKE dr. Depi Jufri, Sp. POLI THT
2969
T.H.T.K.L
REG/OP/191203-0257 134160 MEGAWATI BT BADURI dr. Depi Jufri, Sp. POLI THT
2970
T.H.T.K.L
REG/OP/191216-0127 141382 FAISOL BIN AZIM dr. Depi Jufri, Sp. POLI THT
2971
T.H.T.K.L
REG/OP/191203-0294 322273 SOPIAH BT SAEFI dr. Depi Jufri, Sp. POLI THT
2972
T.H.T.K.L
REG/OP/191204-0381 181145 MAT ZAINI BIN ZEN YBS dr. Depi Jufri, Sp. POLI THT
2973
T.H.T.K.L
REG/OP/191230-0214 000450 TARSUSI MURIS BIN MURIS dr. Depi Jufri, Sp. POLI THT
2974
T.H.T.K.L
REG/OP/191219-0156 000450 TARSUSI MURIS BIN MURIS dr. Ahmad Hifni, Sp. POLI THT
2975
THT.KL
REG/OP/191226-0524 319360 MULYONO BIN KARIONO dr. Ahmad Hifni, Sp. POLI THT
2976
THT.KL
REG/OP/191121-0180 330560 UMAR BN JUHAR dr. Ahmad Hifni, Sp. POLI THT
2977
THT.KL
REG/OP/191125-0412 329995 ANGGIA BT SUBAIRIN dr. Depi Jufri, Sp. POLI THT
2978
T.H.T.K.L
REG/OP/191128-0221 230019 DADANG JASUMA PURCILLO dr. Ahmad Hifni, Sp. POLI THT
2979
THT.KL
REG/OP/191206-0255 331023 ADIBA KANZA BT SUHATRIL dr. Ahmad Hifni, Sp. POLI THT
2980
THT.KL
REG/OP/191216-0034 306900 DARMANTO BIN DJURI dr. Depi Jufri, Sp. POLI THT
2981
HARJOLUKITO T.H.T.K.L
REG/OP/191210-0022 329194 REDY TIAWARMAN BIN SYAMSUL dr. Depi Jufri, Sp. POLI THT
2982
T.H.T.K.L
REG/OP/191121-0418 008062 DEMOKRIASI BT SARKOWI dr. Ahmad Hifni, Sp. POLI THT
2983
THT.KL
REG/OP/191203-0212 331220 SRI RATMAYAWATI BT ARIS dr. Depi Jufri, Sp. POLI THT
2984
DIARJO T.H.T.K.L
REG/OP/191211-0262 331220 SRI RATMAYAWATI BT ARIS dr. Depi Jufri, Sp. POLI THT
2985
DIARJO T.H.T.K.L
REG/OP/191203-0223 331222 VAIVI PUTRI GK BT JAMANI dr. Depi Jufri, Sp. POLI THT
2986
T.H.T.K.L
REG/OP/191217-0059 329194 REDY TIAWARMAN BIN SYAMSUL dr. Depi Jufri, Sp. POLI THT
2987
T.H.T.K.L
REG/OP/191204-0125 329194 REDY TIAWARMAN BIN SYAMSUL dr. Depi Jufri, Sp. POLI THT
2988
T.H.T.K.L
REG/OP/191216-0181 064637 RAFA FAREL AL MUFLIH BIN dr. Depi Jufri, Sp. POLI THT
2989
ROHIMI T.H.T.K.L
REG/OP/191203-0363 331241 M HAFIZ BIN JAMDIN dr. Depi Jufri, Sp. POLI THT
2990
T.H.T.K.L
REG/OP/191126-0218 329503 WAJAMAIN BIN ARAHMAN dr. Depi Jufri, Sp. POLI THT
2991
T.H.T.K.L
REG/OP/191120-0055 329536 HADI RAHMANSYAH BIN ROMA dr. Depi Jufri, Sp. POLI THT
2992
IRAWAN T.H.T.K.L
REG/OP/191218-0446 161516 SUDARMAN BIN SAYO dr. Depi Jufri, Sp. POLI THT
2993
T.H.T.K.L
REG/OP/191127-0061 329536 HADI RAHMANSYAH BIN ROMA dr. Depi Jufri, Sp. POLI THT
2994
IRAWAN T.H.T.K.L
REG/OP/191127-0236 329459 ALLAN WARI BIN TIHAMDI dr. Depi Jufri, Sp. POLI THT
2995
T.H.T.K.L
REG/OP/191219-0188 052942 FANISAH BT ZULFAKAR dr. Ahmad Hifni, Sp. POLI THT
2996
THT.KL
REG/OP/191227-0217 124051 YULIATI BT ROMZI dr. Ahmad Hifni, Sp. POLI THT
2997
THT.KL
REG/OP/191204-0222 331287 NURMA BT ABDULLAH dr. Depi Jufri, Sp. POLI THT
2998
T.H.T.K.L
REG/OP/191231-0043 103814 H. RUSYDAN, SH, M.HUM BN dr. Depi Jufri, Sp. POLI THT
2999
ARSAD T.H.T.K.L
REG/OP/191218-0254 332070 BINTANG LESTARI BT M.YUSUP dr. Depi Jufri, Sp. POLI THT
3000
T.H.T.K.L
REG/OP/191216-0308 331024 SRI LIANA PUTRI BT SAHPUTRA dr. Depi Jufri, Sp. POLI THT
3001
T.H.T.K.L
REG/OP/191129-0236 331023 ADIBA KANZA BT SUHATRIL dr. Ahmad Hifni, Sp. POLI THT
3002
THT.KL
REG/OP/191129-0295 331030 TOMMY KRISTIAN NAINGGOLAN dr. Ahmad Hifni, Sp. POLI THT
3003
THT.KL
REG/OP/191216-0451 331915 DWIKI VAN BASTEN BINKARNA dr. Depi Jufri, Sp. POLI THT
3004
MASA T.H.T.K.L
REG/OP/191129-0166 331017 RUDY WIJAYA BIN TAMRIN dr. Ahmad Hifni, Sp. POLI THT
3005
THT.KL
REG/OP/191129-0100 331013 SEPTI NUR HILFA BT HAMKA dr. Ahmad Hifni, Sp. POLI THT
3006
THT.KL
REG/OP/191125-0115 328671 ANGGI ANWARI BN ANWAR SANUSI dr. Depi Jufri, Sp. POLI THT
3007
T.H.T.K.L
REG/OP/191125-0457 308079 SIROTOL MUSTAKIM BN M.SIDIK dr. Depi Jufri, Sp. POLI THT
3008
T.H.T.K.L
REG/OP/191230-0328 329503 WAJAMAIN BIN ARAHMAN dr. Depi Jufri, Sp. POLI THT
3009
T.H.T.K.L
REG/OP/191216-0444 331563 LINDA BT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
3010
T.H.T.K.L
REG/OP/191209-0426 331563 LINDA BT MUHAMMAD dr. Depi Jufri, Sp. POLI THT
3011
T.H.T.K.L
REG/OP/191216-0221 209149 DAFFA HANIFAH BT SUGITO dr. Depi Jufri, Sp. POLI THT
3012
T.H.T.K.L
REG/OP/191206-0243 179763 WAHYU NINGSIH BT SURADI dr. Ahmad Hifni, Sp. POLI THT
3013
THT.KL
REG/OP/191230-0086 306900 DARMANTO BIN DJURI dr. Depi Jufri, Sp. POLI THT
3014
HARJOLUKITO T.H.T.K.L
REG/OP/191202-0040 306900 DARMANTO BIN DJURI dr. Depi Jufri, Sp. POLI THT
3015
HARJOLUKITO T.H.T.K.L
REG/OP/191209-0482 146508 MANUSUN SIHITE BIN MULA dr. Depi Jufri, Sp. POLI THT
3016 T.H.T.K.L

REG/OP/191209-0269 141382 FAISOL BIN AZIM dr. Depi Jufri, Sp. POLI THT
3017
T.H.T.K.L
REG/OP/191216-0307 322102 SYAIFUL AZHAR BIN ABU KUSIM dr. Depi Jufri, Sp. POLI THT
3018
T.H.T.K.L
REG/OP/191121-0407 307299 ACHMAD RAFLI dr. Ahmad Hifni, Sp. POLI THT
3019
THT.KL
REG/OP/191202-0045 134878 SURIPTINI BT SAN MIHARJO dr. Depi Jufri, Sp. POLI THT
3020
T.H.T.K.L
REG/OP/191216-0172 329503 WAJAMAIN BIN ARAHMAN dr. Depi Jufri, Sp. POLI THT
3021
T.H.T.K.L
REG/OP/191223-0466 331024 SRI LIANA PUTRI BT SAHPUTRA dr. Depi Jufri, Sp. POLI THT
3022
T.H.T.K.L
REG/OP/191230-0204 331492 SAPITRI BT SUDARMAN dr. Depi Jufri, Sp. POLI THT
3023
T.H.T.K.L
REG/OP/191125-0445 330170 MINARIPA BT AZWAN dr. Depi Jufri, Sp. POLI THT
3024
T.H.T.K.L
REG/OP/191202-0407 158574 DEVAN ADITYA BIN NICKSEN dr. Depi Jufri, Sp. POLI THT
3025 VANDER T.H.T.K.L

REG/OP/191213-0202 331806 DIVANTI CALISTA SALSABILA BT dr. Ahmad Hifni, Sp. POLI THT
3026
SAWO EDI THT.KL
REG/OP/191121-0194 330562 PUTRI AMELIA AGUSTIN BT dr. Ahmad Hifni, Sp. POLI THT
3027
JUPRIANTO THT.KL
REG/OP/191211-0087 329536 HADI RAHMANSYAH BIN ROMA dr. Depi Jufri, Sp. POLI THT
3028
IRAWAN T.H.T.K.L
REG/OP/191127-0043 122518 LIA NOVA LINA BT NIJAR dr. Depi Jufri, Sp. POLI THT
3029
T.H.T.K.L
REG/OP/191209-0049 220907 GEMA UMBARA, SH BIN PATONI dr. Depi Jufri, Sp. POLI THT
3030
T.H.T.K.L
REG/OP/191122-0155 200050 AGUS TRI UTARI BT TARMONO dr. Ahmad Hifni, Sp. POLI THT
3031
THT.KL
REG/OP/191202-0158 326688 M. AZRIL RAMADHAN BIN SUHARDI dr. Depi Jufri, Sp. POLI THT
3032
T.H.T.K.L
REG/OP/191125-0359 326688 M. AZRIL RAMADHAN BIN SUHARDI dr. Depi Jufri, Sp. POLI THT
3033
T.H.T.K.L
REG/OP/191210-0140 201167 ROGAYAH IDRIS dr. Depi Jufri, Sp. POLI THT
3034
T.H.T.K.L
REG/OP/191206-0290 022336 ARIYANTO BT AMAN dr. Ahmad Hifni, Sp. POLI THT
3035
THT.KL
REG/OP/191121-0360 330588 YUNITA BT HASAN BASRI dr. Ahmad Hifni, Sp. POLI THT
3036
THT.KL
REG/OP/191121-0420 330603 REFLIN SIMANUNGKALIT BN S dr. Ahmad Hifni, Sp. POLI THT
3037
MANUNGKALIT THT.KL
REG/OP/191202-0461 201459 YUNUS BIN AZHAR dr. Depi Jufri, Sp. POLI THT
3038
T.H.T.K.L
REG/OP/191125-0376 033116 HANIK WAL UMARO EDY SUPRIADI dr. Depi Jufri, Sp. POLI THT
3039
T.H.T.K.L
REG/OP/191204-0135 329536 HADI RAHMANSYAH BIN ROMA dr. Depi Jufri, Sp. POLI THT
3040
IRAWAN T.H.T.K.L
REG/OP/191202-0349 272071 PAULINDA WATI BT AHMAD dr. Depi Jufri, Sp. POLI THT
3041
PAIMIN T.H.T.K.L
REG/OP/191120-0287 181502 KASMAN BIN WARJO dr. Depi Jufri, Sp. POLI THT
3042
T.H.T.K.L
REG/OP/191120-0225 129502 M. RAKHA ZAHRAN. F BIN ENGGA R dr. Depi Jufri, Sp. POLI THT
3043
T.H.T.K.L
REG/OP/191127-0350 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
3044
HAR T.H.T.K.L
REG/OP/191120-0298 272071 PAULINDA WATI BT AHMAD dr. Depi Jufri, Sp. POLI THT
3045
PAIMIN T.H.T.K.L
REG/OP/191120-0358 093188 MARDIA TIKA BT YASUN dr. Depi Jufri, Sp. POLI THT
3046
T.H.T.K.L
REG/OP/191119-0185 125274 NUR SIWAN BIN M.ISAT TOAT dr. Depi Jufri, Sp. POLI THT
3047
T.H.T.K.L
REG/OP/191209-0443 272071 PAULINDA WATI BT AHMAD dr. Depi Jufri, Sp. POLI THT
3048
PAIMIN T.H.T.K.L
REG/OP/191119-0283 125350 DZAKIRAH ALIYAH AFIFAH dr. Depi Jufri, Sp. POLI THT
3049
T.H.T.K.L
REG/OP/191210-0335 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
3050
T.H.T.K.L
REG/OP/191202-0333 269016 M IMRON BIN ANANG dr. Depi Jufri, Sp. POLI THT
3051
T.H.T.K.L
REG/OP/191226-0037 332070 BINTANG LESTARI BT M.YUSUP dr. Ahmad Hifni, Sp. POLI THT
3052
THT.KL
REG/OP/191218-0383 332095 M.MUFTI PRATAMA BIN SONNI dr. Depi Jufri, Sp. POLI THT
3053
KURNIAWAN T.H.T.K.L
REG/OP/191126-0343 125350 DZAKIRAH ALIYAH AFIFAH dr. Depi Jufri, Sp. POLI THT
3054
T.H.T.K.L
REG/OP/191128-0272 268637 M.AZKA ALRISKI BIN AZHARI dr. Ahmad Hifni, Sp. POLI THT
3055
THT.KL
REG/OP/191218-0439 332107 AHMAD FAIZ BIN DIKI HARNANTO dr. Depi Jufri, Sp. POLI THT
3056
T.H.T.K.L
REG/OP/191203-0398 201459 YUNUS BIN AZHAR dr. Depi Jufri, Sp. POLI THT
3057
T.H.T.K.L
REG/OP/191218-0488 332118 RANGGA FEBRIADI BINSUHADI dr. Depi Jufri, Sp. POLI THT
3058
T.H.T.K.L
REG/OP/191226-0565 332118 RANGGA FEBRIADI BINSUHADI dr. Ahmad Hifni, Sp. POLI THT
3059
THT.KL
REG/OP/191128-0255 179763 WAHYU NINGSIH BT SURADI dr. Ahmad Hifni, Sp. POLI THT
3060
THT.KL
REG/OP/191119-0321 172493 RIESTA RAHMITA BT M.ROHMAT dr. Depi Jufri, Sp. POLI THT
3061
M.ROHM T.H.T.K.L
REG/OP/191204-0141 329459 ALLAN WARI BIN TIHAMDI dr. Depi Jufri, Sp. POLI THT
3062
T.H.T.K.L
REG/OP/191119-0259 060903 PADIA HAWALIMA BT MUSTOPA dr. Depi Jufri, Sp. POLI THT
3063
MUHT SUGITO / SUAMI T.H.T.K.L
REG/OP/191119-0125 291969 DELA HERISTI TIA dr. Depi Jufri, Sp. POLI THT
3064
T.H.T.K.L
REG/OP/191203-0225 094746 PUJI ASTUTI BT MALIK dr. Depi Jufri, Sp. POLI THT
3065
T.H.T.K.L
REG/OP/191204-0089 252795 RIZKA FATIMA BT A.RIZAL dr. Depi Jufri, Sp. POLI THT
3066
T.H.T.K.L
REG/OP/191119-0168 159761 MARWAN SYAPUTRA dr. Depi Jufri, Sp. POLI THT
3067
T.H.T.K.L
REG/OP/191209-0401 101186 HUSNIYAH BT ABDUL HALIM dr. Depi Jufri, Sp. POLI THT
3068
T.H.T.K.L
REG/OP/191119-0216 278485 HUZAIDIN BIN AMRI dr. Depi Jufri, Sp. POLI THT
3069
T.H.T.K.L
REG/OP/191129-0242 095705 WANDIRA UTAMI HANDAYANI dr. Ahmad Hifni, Sp. POLI THT
3070
THT.KL
REG/OP/191119-0306 303552 M LIANDRA ABSYAR BIN CANDRA dr. Depi Jufri, Sp. POLI THT
3071
HALIM T.H.T.K.L
REG/OP/191120-0338 244784 ELSYA MARYANTI BT MUALIMIN dr. Depi Jufri, Sp. POLI THT
3072
T.H.T.K.L
REG/OP/191119-0310 163517 MUHAMMAD ALHADI BIN ZULKIPLI dr. Depi Jufri, Sp. POLI THT
3073
T.H.T.K.L
REG/OP/191202-0379 094852 BAMBANG SISWANTO BIN dr. Depi Jufri, Sp. POLI THT
3074
KHOMIDIN T.H.T.K.L
REG/OP/191212-0074 130326 MALISA WALIARNI ZHUFAIRAH dr. Ahmad Hifni, Sp. POLI THT
3075
THT.KL
REG/OP/191211-0290 149385 RISKA HELSAPITRI BT HELMI dr. Depi Jufri, Sp. POLI THT
3076
T.H.T.K.L
REG/OP/191126-0210 094746 PUJI ASTUTI BT MALIK dr. Depi Jufri, Sp. POLI THT
3077
T.H.T.K.L
REG/OP/191125-0381 131310 HERLITA BT SUPRIADI dr. Depi Jufri, Sp. POLI THT
3078
T.H.T.K.L
REG/OP/191212-0367 331767 AL FATIH BIN MUHAMMAD dr. Ahmad Hifni, Sp. POLI THT
3079 THT.KL

REG/OP/191219-0270 332184 YUSUF EFENDI BIN AHMAD IDHAM dr. Ahmad Hifni, Sp. POLI THT
3080
GHOLID THT.KL
REG/OP/191202-0295 300753 AINUR ROHMA BT KAROMAT dr. Depi Jufri, Sp. POLI THT
3081
T.H.T.K.L
REG/OP/191210-0339 052645 PRATIWI APRIANTI BT IKHSAN dr. Depi Jufri, Sp. POLI THT
3082
HAR T.H.T.K.L
REG/OP/191204-0155 328856 RIYA KUDU BIN M ABDUH dr. Depi Jufri, Sp. POLI THT
3083
T.H.T.K.L
REG/OP/191205-0186 013552 DEAR FAUZUL AZIM dr. Ahmad Hifni, Sp. POLI THT
3084
THT.KL
REG/OP/191127-0230 330928 MUHAMMAD AL SYAFRI BIN dr. Depi Jufri, Sp. POLI THT
3085
SUGENG RIYADI T.H.T.K.L
REG/OP/191210-0284 122140 KAMIL BIN NUHASAN dr. Depi Jufri, Sp. POLI THT
3086
T.H.T.K.L
REG/OP/191121-0260 288738 MUSA KHOIRUN NASITH BIN RUWI dr. Ahmad Hifni, Sp. POLI THT
3087
YANTO THT.KL
REG/OP/191202-0405 158435 SUANA WATI BT H.MULUK dr. Depi Jufri, Sp. POLI THT
3088
T.H.T.K.L
REG/OP/191129-0076 157595 NELY PURNAMA SARI BT LATIF dr. Ahmad Hifni, Sp. POLI THT
3089
LATIF THT.KL
REG/OP/190819-0302 158435 SUANA WATI BT H.MULUK dr. Depi Jufri, Sp. POLI THT
3090
T.H.T.K.L
REG/OP/191212-0366 157622 PAIDI BIN KARSO DAMAN dr. Ahmad Hifni, Sp. POLI THT
3091
THT.KL
REG/OP/191210-0057 322273 SOPIAH BT SAEFI dr. Depi Jufri, Sp. POLI THT
3092
T.H.T.K.L
REG/OP/191212-0059 155722 GHIFARI AZAHRI AL FATIH dr. Ahmad Hifni, Sp. POLI THT
3093
THT.KL
REG/OP/191126-0290 323462 KUSNILA BT DAMSI dr. Depi Jufri, Sp. POLI THT
3094
T.H.T.K.L
REG/OP/191205-0237 288738 MUSA KHOIRUN NASITH BIN RUWI dr. Ahmad Hifni, Sp. POLI THT
3095
YANTO THT.KL
REG/OP/191217-0305 012237 MEILYANTIKA BINTI ARIVAI dr. Depi Jufri, Sp. POLI THT
3096
T.H.T.K.L
REG/OP/191205-0069 328671 ANGGI ANWARI BN ANWAR SANUSI dr. Ahmad Hifni, Sp. POLI THT
3097
THT.KL
REG/OP/191226-0282 332184 YUSUF EFENDI BIN AHMAD IDHAM dr. Ahmad Hifni, Sp. POLI THT
3098
GHOLID THT.KL
REG/OP/191211-0213 161786 ROSMALENA BT HAMZAN dr. Depi Jufri, Sp. POLI THT
3099
T.H.T.K.L
REG/OP/191204-0268 161786 ROSMALENA BT HAMZAN dr. Depi Jufri, Sp. POLI THT
3100
T.H.T.K.L
REG/OP/191204-0249 041585 HATIMON BT DJAKIR dr. Depi Jufri, Sp. POLI THT
3101
T.H.T.K.L
REG/OP/191210-0070 131275 HOTAMA BT KUSIM JAILANI dr. Depi Jufri, Sp. POLI THT
3102
T.H.T.K.L
REG/OP/191216-0177 131255 RAISA RAMEYZA ALYA BT ROHIMI dr. Depi Jufri, Sp. POLI THT
3103
T.H.T.K.L
REG/OP/191119-0394 330081 M YASIN BIN JAPRI dr. Depi Jufri, Sp. POLI THT
3104
T.H.T.K.L
REG/OP/191210-0238 330863 RAHMAN EDY BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
3105
T.H.T.K.L
REG/OP/191125-0126 117955 NADHIRAH QASRINA BT dr. Depi Jufri, Sp. POLI THT
3106
NGADIMAN T.H.T.K.L
REG/OP/191210-0362 134160 MEGAWATI BT BADURI dr. Depi Jufri, Sp. POLI THT
3107
T.H.T.K.L
REG/OP/191203-0344 278876 M.AQIL ALFATHIR dr. Depi Jufri, Sp. POLI THT
3108
T.H.T.K.L
REG/OP/191121-0156 144932 ADI CANDRA, SE, M.SI BIN dr. Ahmad Hifni, Sp. POLI THT
3109
ZAWAWI THT.KL
REG/OP/191119-0426 323577 NURHAYATI BT M.ALI dr. Depi Jufri, Sp. POLI THT
3110
T.H.T.K.L
REG/OP/191120-0301 218576 NURAIDAH BT H.MUNIR dr. Depi Jufri, Sp. POLI THT
3111
T.H.T.K.L
REG/OP/191216-0189 105491 SAIPUL BIN BAKAR dr. Depi Jufri, Sp. POLI THT
3112
T.H.T.K.L
REG/OP/191119-0110 329503 WAJAMAIN BIN ARAHMAN dr. Depi Jufri, Sp. POLI THT
3113
T.H.T.K.L
REG/OP/191119-0346 330295 FARIDA BT AMIRUDIN dr. Depi Jufri, Sp. POLI THT
3114
T.H.T.K.L
REG/OP/191128-0265 330295 FARIDA BT AMIRUDIN dr. Ahmad Hifni, Sp. POLI THT
3115
THT.KL
REG/OP/191127-0138 113903 KEVIN ANDIKA PRATAMA BIN dr. Depi Jufri, Sp. POLI THT
3116
GIYARNO GIARNO T.H.T.K.L
REG/OP/191125-0157 113903 KEVIN ANDIKA PRATAMA BIN dr. Depi Jufri, Sp. POLI THT
3117
GIYARNO GIARNO T.H.T.K.L
REG/OP/191212-0135 113692 M. AMIN BIN NARSA dr. Ahmad Hifni, Sp. POLI THT
3118
THT.KL
REG/OP/191202-0390 148651 AULIYA BIN CEK AKIM dr. Depi Jufri, Sp. POLI THT
3119
T.H.T.K.L
REG/OP/191218-0090 103814 H. RUSYDAN, SH, M.HUM BN dr. Depi Jufri, Sp. POLI THT
3120
ARSAD T.H.T.K.L
REG/OP/191211-0243 331706 RAFFASYA RIZQI RAMADHAN BIN dr. Depi Jufri, Sp. POLI THT
3121
YUGO FALINTINO T.H.T.K.L
REG/OP/191212-0283 239765 EVA SUSANTI BT DAMURI - dr. Ahmad Hifni, Sp. POLI THT
3122
THT.KL
REG/OP/191119-0225 330282 SRI HARTATI BT RUSLI dr. Depi Jufri, Sp. POLI THT
3123
T.H.T.K.L
REG/OP/191203-0413 280423 SINAR BT ABDULLAH GANI dr. Depi Jufri, Sp. POLI THT
3124
T.H.T.K.L
REG/OP/191126-0080 132895 ERNAWATI BT HANAPIAH dr. Depi Jufri, Sp. POLI THT
3125
T.H.T.K.L
REG/OP/191209-0171 331514 SUSANTO BIN SAMIR dr. Depi Jufri, Sp. POLI THT
3126
T.H.T.K.L
REG/OP/191202-0293 060967 ALEX BN RUSLI dr. Depi Jufri, Sp. POLI THT
3127
T.H.T.K.L
REG/OP/191202-0106 132793 ABDUL GOFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
3128
T.H.T.K.L
REG/OP/191210-0378 278876 M.AQIL ALFATHIR dr. Depi Jufri, Sp. POLI THT
3129
T.H.T.K.L
REG/OP/191205-0258 278485 HUZAIDIN BIN AMRI dr. Ahmad Hifni, Sp. POLI THT
3130
THT.KL
REG/OP/191218-0129 132793 ABDUL GOFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
3131
T.H.T.K.L
REG/OP/191202-0386 175968 TRIA REGITA BT DJOKO SANTOSO dr. Depi Jufri, Sp. POLI THT
3132
DJOKO SANTOSO T.H.T.K.L
REG/OP/191205-0251 328353 GUSTI RAMADHONA dr. Ahmad Hifni, Sp. POLI THT
3133
THT.KL
REG/OP/191219-0439 176816 ANI SUSILAWATI BT ZAIDAN dr. Ahmad Hifni, Sp. POLI THT
3134
THT.KL
REG/OP/191125-0146 328286 AHLAWI BIN ARHAM dr. Depi Jufri, Sp. POLI THT
3135
T.H.T.K.L
REG/OP/191213-0311 291543 MUHAMMAD FARIS RABBIKA dr. Ahmad Hifni, Sp. POLI THT
3136
THT.KL
REG/OP/191205-0119 291543 MUHAMMAD FARIS RABBIKA dr. Ahmad Hifni, Sp. POLI THT
3137
THT.KL
REG/OP/191217-0091 097840 MIMI APRIANI BT IRAWAN dr. Depi Jufri, Sp. POLI THT
3138
T.H.T.K.L
REG/OP/191217-0195 322373 SAFA BT HERMAN dr. Depi Jufri, Sp. POLI THT
3139
T.H.T.K.L
REG/OP/191230-0311 249147 ROSA FITRI YANTI BT ANANGYU dr. Depi Jufri, Sp. POLI THT
3140
T.H.T.K.L
REG/OP/191217-0057 331128 MUHAMMAD JUSUF ANANTA dr. Depi Jufri, Sp. POLI THT
3141
T.H.T.K.L
REG/OP/191217-0452 312380 M RIZKI QODRATUL AMANAH dr. Depi Jufri, Sp. POLI THT
3142
T.H.T.K.L
REG/OP/191223-0597 329194 REDY TIAWARMAN BIN SYAMSUL dr. Depi Jufri, Sp. POLI THT
3143
T.H.T.K.L
REG/OP/191120-0238 235208 ROHAYA BT SALEMAN dr. Depi Jufri, Sp. POLI THT
3144
T.H.T.K.L
REG/OP/191202-0178 331128 MUHAMMAD JUSUF ANANTA dr. Depi Jufri, Sp. POLI THT
3145
T.H.T.K.L
REG/OP/191223-0136 331128 MUHAMMAD JUSUF ANANTA dr. Depi Jufri, Sp. POLI THT
3146
T.H.T.K.L
REG/OP/191202-0193 331132 M ISAH BIN SUCIPTO dr. Depi Jufri, Sp. POLI THT
3147
T.H.T.K.L
REG/OP/191202-0422 331154 NIKEN MEGARIA BT dr. Depi Jufri, Sp. POLI THT
3148
PURNAWARMAN T.H.T.K.L
REG/OP/191209-0143 331154 NIKEN MEGARIA BT dr. Depi Jufri, Sp. POLI THT
3149
PURNAWARMAN T.H.T.K.L
REG/OP/191209-0098 331128 MUHAMMAD JUSUF ANANTA dr. Depi Jufri, Sp. POLI THT
3150
T.H.T.K.L
REG/OP/191216-0304 101186 HUSNIYAH BT ABDUL HALIM dr. Depi Jufri, Sp. POLI THT
3151
T.H.T.K.L
REG/OP/191202-0464 331165 RIKEM BT SUKER dr. Depi Jufri, Sp. POLI THT
3152
T.H.T.K.L
REG/OP/191216-0182 236385 NESSI DESMASARI BT ARMAN dr. Depi Jufri, Sp. POLI THT
3153
T.H.T.K.L
REG/OP/191216-0242 331492 SAPITRI BT SUDARMAN dr. Depi Jufri, Sp. POLI THT
3154
T.H.T.K.L
REG/OP/191127-0323 329932 SOLIYAH BT RAMADI dr. Depi Jufri, Sp. POLI THT
3155
T.H.T.K.L
REG/OP/191217-0134 331956 ADELIA SAFITRI BT HENGKI dr. Depi Jufri, Sp. POLI THT
3156
SUDIANTO T.H.T.K.L
REG/OP/191125-0428 107318 EFFENDI KASIM dr. Depi Jufri, Sp. POLI THT
3157
T.H.T.K.L
REG/OP/191125-0481 158574 DEVAN ADITYA BIN NICKSEN dr. Depi Jufri, Sp. POLI THT
3158 VANDER T.H.T.K.L

REG/OP/191125-0438 330797 ROMAN DANA BIN RUSLAN dr. Depi Jufri, Sp. POLI THT
3159
T.H.T.K.L
REG/OP/191209-0200 189501 ARDIANSYAH BIN YUDIARSYAH dr. Depi Jufri, Sp. POLI THT
3160
T.H.T.K.L
REG/OP/191202-0263 189501 ARDIANSYAH BIN YUDIARSYAH dr. Depi Jufri, Sp. POLI THT
3161
T.H.T.K.L
REG/OP/191203-0133 330863 RAHMAN EDY BIN ZAINURI dr. Depi Jufri, Sp. POLI THT
3162
T.H.T.K.L
REG/OP/191127-0266 218576 NURAIDAH BT H.MUNIR dr. Depi Jufri, Sp. POLI THT
3163
T.H.T.K.L
REG/OP/191202-0375 187871 RUSDI BIN SOMAD dr. Depi Jufri, Sp. POLI THT
3164
T.H.T.K.L
REG/OP/191212-0179 184984 DWI CHRISTIYANI dr. Ahmad Hifni, Sp. POLI THT
3165
THT.KL
REG/OP/191128-0341 219162 MUHAMMAD SIDARUDIN BIN dr. Ahmad Hifni, Sp. POLI THT
3166
H.HALIM THT.KL
REG/OP/191217-0078 322273 SOPIAH BT SAEFI dr. Depi Jufri, Sp. POLI THT
3167
T.H.T.K.L
REG/OP/191217-0422 217613 ANINDITA SYAQILA EL-HAFIT BT dr. Depi Jufri, Sp. POLI THT
3168
HAFIZ ASAT T.H.T.K.L
REG/OP/191125-0100 277643 MISNAWATI BT NASUTION dr. Depi Jufri, Sp. POLI THT
3169
T.H.T.K.L
REG/OP/191212-0222 277397 TRI DONA PAMELA dr. Ahmad Hifni, Sp. POLI THT
3170
THT.KL
REG/OP/191230-0279 134878 SURIPTINI BT SAN MIHARJO dr. Depi Jufri, Sp. POLI THT
3171
T.H.T.K.L
REG/OP/191125-0518 132793 ABDUL GOFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
3172
T.H.T.K.L
REG/OP/191205-0094 012237 MEILYANTIKA BINTI ARIVAI dr. Ahmad Hifni, Sp. POLI THT
3173
THT.KL
REG/OP/191216-0378 274568 SITI AISAH BT SAHRIN dr. Depi Jufri, Sp. POLI THT
3174
T.H.T.K.L
REG/OP/191127-0137 225157 MUHAMMAD SYARIF ADITIYA dr. Depi Jufri, Sp. POLI THT
3175
T.H.T.K.L
REG/OP/191119-0298 060967 ALEX BN RUSLI dr. Depi Jufri, Sp. POLI THT
3176
T.H.T.K.L
REG/OP/191126-0204 163517 MUHAMMAD ALHADI BIN ZULKIPLI dr. Depi Jufri, Sp. POLI THT
3177
T.H.T.K.L
REG/OP/191203-0372 201167 ROGAYAH IDRIS dr. Depi Jufri, Sp. POLI THT
3178
T.H.T.K.L
REG/OP/191128-0080 131861 SELIYANTI BT.ARIPIN SIMBOLON dr. Ahmad Hifni, Sp. POLI THT
3179
SIMBOLON / AYAH THT.KL
REG/OP/191121-0244 172453 RIA OKTA RIZA BT HABIBUR dr. Ahmad Hifni, Sp. POLI THT
3180
RAHMAN THT.KL
REG/OP/191125-0227 264630 AYAMA HABIBI BIN ZAINUDIN dr. Depi Jufri, Sp. POLI THT
3181
T.H.T.K.L
REG/OP/191230-0316 154564 AL JAZAIR BIN UDING dr. Depi Jufri, Sp. POLI THT
3182
T.H.T.K.L
REG/OP/191217-0030 331947 GUNATAN BT MASIGA dr. Depi Jufri, Sp. POLI THT
3183
T.H.T.K.L
REG/OP/191217-0381 329223 ADZIKRA PUTRI BILQIS dr. Depi Jufri, Sp. POLI THT
3184
T.H.T.K.L
REG/OP/191217-0082 249147 ROSA FITRI YANTI BT ANANGYU dr. Depi Jufri, Sp. POLI THT
3185
T.H.T.K.L
REG/OP/190821-0050 262460 CITRA MASITA BT MUZAKIR dr. Depi Jufri, Sp. POLI THT
3186
T.H.T.K.L
REG/OP/191122-0165 262460 CITRA MASITA BT MUZAKIR dr. Ahmad Hifni, Sp. POLI THT
3187
THT.KL
REG/OP/191206-0035 246453 MUHAMMAD ARZACHEL RAMADHAN dr. Ahmad Hifni, Sp. POLI THT
3188
THT.KL
REG/OP/191126-0333 154564 AL JAZAIR BIN UDING dr. Depi Jufri, Sp. POLI THT
3189
T.H.T.K.L
REG/OP/191210-0109 134878 SURIPTINI BT SAN MIHARJO dr. Depi Jufri, Sp. POLI THT
3190
T.H.T.K.L
REG/OP/191210-0300 234681 AFIQ AHMAD BAQIR BN DEKY dr. Depi Jufri, Sp. POLI THT
3191
T.H.T.K.L
REG/OP/191211-0043 103814 H. RUSYDAN, SH, M.HUM BN dr. Depi Jufri, Sp. POLI THT
3192
ARSAD T.H.T.K.L
REG/OP/191211-0106 132793 ABDUL GOFUR BIN M.PAKO dr. Depi Jufri, Sp. POLI THT
3193
T.H.T.K.L
REG/OP/191217-0101 134878 SURIPTINI BT SAN MIHARJO dr. Depi Jufri, Sp. POLI THT
3194
T.H.T.K.L
REG/OP/191203-0162 154564 AL JAZAIR BIN UDING dr. Depi Jufri, Sp. POLI THT
3195
T.H.T.K.L
REG/IP/191209-0018 331128 MUHAMMAD JUSUF ANANTA dr. Depi Jufri, Sp. MERANTI
3196
T.H.T.K.L
REG/IP/191126-0040 117955 NADHIRAH QASRINA BT dr. Depi Jufri, Sp. MERANTI
NGADIMAN T.H.T.K.L
3197
REG/IP/191125-0042 277643 MISNAWATI BT NASUTION dr. Depi Jufri, Sp. MERANTI
3198
T.H.T.K.L
REG/IP/191125-0043 328671 ANGGI ANWARI BN ANWAR SANUSI dr. Depi Jufri, Sp. MERANTI
T.H.T.K.L
3199

REG/IP/191218-0002 331165 RIKEM BT SUKER dr. Depi Jufri, Sp. MEDANG


3200 T.H.T.K.L

REG/IP/191202-0045 132793 ABDUL GOFUR BIN M.PAKO dr. Depi Jufri, Sp. MEDANG
3201 T.H.T.K.L

REG/IP/191126-0038 257657 VANIA ADERIA GUNAWAN BT RUDI dr. Depi Jufri, Sp. MEDANG
GUNAWAN T.H.T.K.L
3202

REG/IP/191209-0019 331154 NIKEN MEGARIA BT dr. Depi Jufri, Sp. MEDANG


PURNAWARMAN T.H.T.K.L
3203

REG/IP/191210-0030 329194 REDY TIAWARMAN BIN SYAMSUL dr. Depi Jufri, Sp. MEDANG
T.H.T.K.L
3204

REG/IP/191210-0032 322273 SOPIAH BT SAEFI dr. Depi Jufri, Sp. MEDANG


T.H.T.K.L
3205

REG/IP/191202-0037 134878 SURIPTINI BT SAN MIHARJO dr. Depi Jufri, Sp. MEDANG
3206 T.H.T.K.L

REG/IP/191216-0019 295625 ZURLINA BT A LATIF dr. Depi Jufri, Sp. MEDANG


3207
T.H.T.K.L
REG/IP/191203-0057 154564 AL JAZAIR BIN UDING dr. Depi Jufri, Sp. TEMBESU
3208 T.H.T.K.L
Tanggal
Diagnosa Premier Pemeriksaan Diagnostik Tindakan Penjamin
Lahir
Sensorineural hearing loss, bilateral BPJS 25.12.2009
[ H90.3 ] (KESEHATAN)

Common cold (Acute nasopharyngitis)- BPJS 05.04.1991


Coryza (acute) [ J00 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 02.08.2010
]

Larynx, unspecified [ C32.9 ] BPJS 09.10.1969


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 19.01.1985


(KESEHATAN)

Middle ear, nasal cavity & accessory Contrast radiogram of BPJS 12.01.1977
sinuses [ D14.0 ] nasopharynx [ 87.06 ] (KESEHATAN)

Middle ear, nasal cavity & accessory BPJS 12.01.1977


sinuses [ D14.0 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 28.04.2014
] (KESEHATAN)

Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 02.07.1988


[ 96.53 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 16.06.2006


(KESEHATAN)

Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages JAMINAN DINAS 22.09.1986
[ 96.53 ] KESEHATAN

Chronic laryngitis [ J37.0 ] BPJS 03.02.1951


(KESEHATAN)

Polyp of nasal cavity [ J33.0 ] BPJS (PBI) 04.07.1967

Allergic rhinitis, unspecified [ J30.4 ] BPJS 07.05.1966


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 05.11.1969

Acute pharyngitis, unspecified [ J02.9 ] PRIBADI 20.03.1997

Postprocedur.disord.of ear&mastoid BPJS 16.06.2006


process,unspec. [ H95.9 ] (KESEHATAN)

Other chronic suppurative otitis media [ Diagnostic procedures on BPJS 16.06.2006


H66.3 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 18.02.1988


(KESEHATAN)

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 10.11.1985


] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 18.02.1982

Acute tonsillitis, unspecified [ J03.9 ] Diagnostic procedures on BPJS 17.06.2005


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 29.07.1975


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.04.1999


larynx and trachea [ 31.4 ] (KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.01.2014
[ H68.1 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 23.11.1961
H66.3 ] (KESEHATAN)

Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 03.09.1973


larynx and trachea [ 31.4 ] (KESEHATAN)

Epistaxis-Haemorrhage from nose- PRIBADI 08.04.1959


Nosebleed [ R04.0 ]

Abscess of external ear [ H60.0 ] BPJS 20.08.1991


(KESEHATAN)

Chronic disease of tonsils &adenoids, PRIBADI 15.04.2012


unspecified [ J35.9 ]

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 24.09.1990


[ H68.1 ] (KESEHATAN)

Abscess of external ear [ H60.0 ] Irrigation of ear [ 96.52 ] BPJS 03.06.2013


(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] BPJS 01.08.2000


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 09.10.2012
]

Obstruction of Eustachian tube BPJS 05.05.1998


[ H68.1 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 07.12.1981


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Removal of intraluminal BPJS 04.09.2009


] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Chronic tonsillitis [ J35.0 ] BPJS (PNS/POLRI 08.09.1980
& MANDIRI)

Postprocedur.disord.of ear&mastoid BPJS (PNS/POLRI 11.11.2005


process,unspec. [ H95.9 ] & MANDIRI)

Chronic tonsillitis [ J35.0 ] BPJS (PNS/POLRI 11.11.2005


& MANDIRI)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 03.10.1972
H66.3 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 24.08.1984


[ 96.53 ] (KESEHATAN)

Epistaxis-Haemorrhage from nose- Irrigation of nasal passages BPJS 28.11.1984


Nosebleed [ R04.0 ] [ 96.53 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 15.04.2003


(KESEHATAN)

Other chronic suppurative otitis media [ PRIBADI 29.09.2012


H66.3 ]

Chronic tonsillitis [ J35.0 ] BPJS 17.06.2005


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 17.06.2005


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] JAMINAN DINAS 21.04.1990


KESEHATAN

Other chronic suppurative otitis media [ PRIBADI 20.06.1971


H66.3 ]

Chronic tonsillitis [ J35.0 ] BPJS 19.04.2005


(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 09.09.1953
]

Otitis externa, unspecified [ H60.9 ] PRIBADI 23.06.2015

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 10.06.1983


[ 96.53 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] BPJS (PBI) 11.04.1992

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 11.12.2010


]

Chronic tonsillitis [ J35.0 ] BPJS 16.05.2013


(KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 21.09.2014


[ H68.1 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 08.08.2005


[ 96.53 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 22.06.1991


[ H68.1 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid BPJS 16.05.2013


process,unspec. [ H95.9 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 BPJS (PNS/POLRI 11.09.1969


] & MANDIRI)

Chronic laryngitis [ J37.0 ] BPJS 06.11.1973


(KESEHATAN)

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 25.03.1976


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Obstruction of Eustachian tube PRIBADI 24.06.1968


[ H68.1 ]

Foreign body in ear - Auditory canal BPJS (PNS/POLRI 12.09.1973


[ T16 ] & MANDIRI)

Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS 06.11.1973


larynx and trachea [ 31.4 ] (KESEHATAN)

Developmental disorders of jaws - Diagnostic procedures on BPJS (PNS/POLRI 03.06.1982


Stafne's cyst [ K10.0 ] larynx and trachea [ 31.4 ] & MANDIRI)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 07.11.1968
]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 13.04.1987
H66.3 ] (KESEHATAN)

Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 27.09.1963


(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 16.12.1984
H66.3 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1980
H66.3 ]

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.08.1991


[ 96.53 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 20.10.1970

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 01.01.1996


larynx and trachea [ 31.4 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 15.02.1968


(KESEHATAN)
Open wound of nose [ S01.2 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 11.09.1969
& MANDIRI)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 24.10.2009


larynx and trachea [ 31.4 ]

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 24.10.2009

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 04.01.1981


(KESEHATAN)

Acute upper respiratory infection, Diagnostic procedures on BPJS (PBI) 14.07.1977


unspecified [ J06.9 ] larynx and trachea [ 31.4 ]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 05.05.1975
H66.3 ] (KESEHATAN)

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 05.05.1998


] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 29.11.2010
]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 17.07.2013
] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 15.03.1978
H66.3 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 06.05.2002
H66.3 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 24.09.1990


(KESEHATAN)

Chronic nasopharyngitis [ J31.1 ] Irrigation of nasal passages BPJS 02.07.1988


[ 96.53 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] PRIBADI 01.01.1986

Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS 25.08.1956


[ H90.5 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] BPJS 20.04.1984


(KESEHATAN)

Foreign body in mouth [ T18.0 ] Rhinoscopy [ 21.21 ] BPJS 08.02.1992


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 05.11.1969


larynx and trachea [ 31.4 ]

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 19.01.1985


larynx and trachea [ 31.4 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 24.06.1968
] (KESEHATAN)

Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 01.10.1991


[ H90.5 ] (KESEHATAN)

Bone and articular cartilage, unspecified BPJS 05.04.1991


[ D16.9 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] JAMINAN DINAS 27.10.2003


KESEHATAN

Nasopharynx, unspecified (M8010/3) Irrigation of ear [ 96.52 ] BPJS (PBI) 01.08.1965


[ C11.9 ]

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 20.04.1984


(KESEHATAN)

Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS 09.07.1951


[ H90.5 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 21.04.2002
[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PT. AJ INHEALTH 19.11.1991
] INDONESIA

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 11.09.1969
] & MANDIRI)

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 10.02.2002


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 16.05.2013


larynx and trachea [ 31.4 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 23.11.1961
H66.3 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 09.02.2017
H66.3 ] (KESEHATAN)

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 27.02.1982

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)

Foreign body in ear - Auditory canal PRIBADI 03.03.2011


[ T16 ]

Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS (PBI) 17.11.1984


larynx and trachea [ 31.4 ]

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 07.07.2005


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 30.11.1986
H66.3 ] (KESEHATAN)

Other chronic suppurative otitis media [ PRIBADI 17.03.2017


H66.3 ]

BPJS 31.10.2003
(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS 05.07.1980


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 01.07.1999

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 01.07.1999

Abscess, furuncle and carbuncle of nose Irrigation of nasal passages BPJS (PBI) 06.09.2003
[ J34.0 ] [ 96.53 ]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.04.2016
] (KESEHATAN)

Chronic laryngitis [ J37.0 ] BPJS 10.05.1980


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PT. AJ INHEALTH 06.08.1984
] INDONESIA

Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS 10.05.1980


larynx and trachea [ 31.4 ] (KESEHATAN)

Nasal polyp, unspecified [ J33.9 ] BPJS (PBI) 06.09.2003

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 13.05.2004


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 13.05.2004


larynx and trachea [ 31.4 ] (KESEHATAN)
Tuber.peripheral lymphadenopathy - Diagnostic procedures on BPJS 17.05.1998
Tuber.adeniti [ A18.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid BPJS 13.05.2004


process,unspec. [ H95.9 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 13.05.2004


larynx and trachea [ 31.4 ] (KESEHATAN)

Hypertrophy of nasal turbinates Irrigation of nasal passages BPJS 04.05.1965


[ J34.3 ] [ 96.53 ] (KESEHATAN)

Abscess of external ear [ H60.0 ] Irrigation of ear [ 96.52 ] BPJS 18.04.1970


(KESEHATAN)

Acute tonsillitis, unspecified [ J03.9 ] Irrigation of nasal passages BPJS 04.05.1965


[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 BPJS 22.01.1986


] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 10.11.2012


(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 19.02.2007
H66.3 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] PRIBADI 01.10.1982

Other chronic suppurative otitis media [ PRIBADI 06.04.1994


H66.3 ]

Acute tonsillitis, unspecified [ J03.9 ] Rhinoscopy [ 21.21 ] BPJS 03.09.1983


(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 18.02.2001


(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 07.09.2017

Acute laryngitis (NOS - oedematous ) BPJS 23.03.1984


[ J04.0 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 21.05.1984


]

Granulomatous BPJS 19.02.2007


dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 10.11.2012
larynx and trachea [ 31.4 ] (KESEHATAN)

Polyp of nasal cavity [ J33.0 ] Irrigation of nasal passages BPJS (PBI) 06.09.2003
[ 96.53 ]

Obstruction of Eustachian tube BPJS 14.03.1965


[ H68.1 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 06.09.1984
H66.3 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 21.06.1972


[ 96.53 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 04.01.1981


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.01.2014


larynx and trachea [ 31.4 ] (KESEHATAN)

Female infertility of tubal origin Rhinoscopy [ 21.21 ] BPJS 15.03.1966


[ N97.1 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 03.09.1983


(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 20.10.2018
(KESEHATAN)

Obstruction of Eustachian tube BPJS 20.10.2018


[ H68.1 ] (KESEHATAN)

Other chronic suppurative otitis media [ Removal of intraluminal PRIBADI 01.01.1968


H66.3 ] foreign body from ear without
incision [ 98.11 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.08.1991


[ 96.53 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 11.04.1992

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 01.03.1984
H66.3 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 16.12.1984
] (KESEHATAN)

Foreign body in mouth [ T18.0 ] Irrigation of ear [ 96.52 ] PRIBADI 13.07.2016

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 09.02.2017


[ H68.1 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 03.10.1972


[ H68.1 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.04.1999


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 19.04.2005


larynx and trachea [ 31.4 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 15.08.2012
]

Otitis media, unspecified [ H66.9 ] BPJS (PBI) 03.06.1986

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PRIBADI 28.08.1990
H66.3 ]

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 24.10.2009


larynx and trachea [ 31.4 ]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 06.05.2002
H66.3 ] (KESEHATAN)

Abscess of external ear [ H60.0 ] PRIBADI 04.06.2015

Epidermal cyst [ L72.0 ] PRIBADI 09.01.1996

Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] PRIBADI 02.05.1979


unspecified [ H72.9 ]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 11.09.2010
] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 27.09.1975

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 11.09.2010
] (KESEHATAN)

Otalgia [ H92.0 ] Irrigation of ear [ 96.52 ] PRIBADI 07.12.1981

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.2015
H66.3 ] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS 31.07.2015
H66.3 ] (KESEHATAN)

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 25.06.1987


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 31.07.2015


membrane [ H72.0 ] (KESEHATAN)

Common cold (Acute nasopharyngitis)- BPJS (PBI) 11.05.1973


Coryza (acute) [ J00 ]

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 11.12.2009


(KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis PRIBADI 07.06.1982


(chronic)NOS [ J32.9 ]

Noninfective disorders of pinna Irrigation of ear [ 96.52 ] BPJS 26.03.1998


[ H61.1 ] (KESEHATAN)

Noninfective disorders of pinna Irrigation of ear [ 96.52 ] BPJS 26.03.1998


[ H61.1 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 14.04.1973
H66.3 ] (KESEHATAN)

Disorder of external ear, unspecified BPJS 26.03.1998


[ H61.9 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 19.01.1985


larynx and trachea [ 31.4 ] (KESEHATAN)

Abscess of external ear [ H60.0 ] Irrigation of ear [ 96.52 ] BPJS 09.03.1972


(KESEHATAN)

Other chronic suppurative otitis media [ BPJS 09.03.1972


H66.3 ] (KESEHATAN)

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 09.03.1972


] (KESEHATAN)

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 09.03.1972
(KESEHATAN)

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 09.03.1972


] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 01.06.1964
] (KESEHATAN)

Chronic laryngitis [ J37.0 ] BPJS 24.07.1963


(KESEHATAN)

Cellulitis&abscess of mouth- Other chest x-ray [ 87.49 ] BPJS 23.08.1993


Submandibular abscess [ K12.2 ] (KESEHATAN)

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 25.03.1976


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] PRIBADI 29.10.2001

Otitis externa, unspecified [ H60.9 ] BPJS 05.05.1972


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 01.09.2011


(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 22.08.2001

Arthrosis, unspecified [ M19.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 22.08.2001


Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 09.03.1972
] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 13.04.1987
H66.3 ] (KESEHATAN)

Otomycosis NOS (H62.2* Otitis externa BPJS 19.10.1990


in mycoses) [ B36.9+ ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 03.01.2014


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS 21.04.2002


(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 11.11.1964

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 20.04.1987


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 05.08.1992
(KESEHATAN)

Epistaxis-Haemorrhage from nose- Rhinoscopy [ 21.21 ] PRIBADI 22.06.1958


Nosebleed [ R04.0 ]

Sensorineural hearing loss, unspecified Rhinoscopy [ 21.21 ] BPJS 20.04.1987


[ H90.5 ] (KESEHATAN)

Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 25.12.2009
[ T16 ] (KESEHATAN)

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 14.04.1973


(KESEHATAN)

Sensorineural hearing loss, unspecified PRIBADI 01.07.1960


[ H90.5 ]

Acute laryngitis (NOS - oedematous ) BPJS (PBI) 14.07.1977


[ J04.0 ]

Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 01.07.1960


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 04.06.2001

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 22.01.1986
] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.10.2010

Postprocedur.disord.of ear&mastoid BPJS 07.10.1998


process,unspec. [ H95.9 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 07.10.1998


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 05.11.1969


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 12.05.2011


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.01.2014


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 07.09.2012


larynx and trachea [ 31.4 ]

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 07.10.1998


larynx and trachea [ 31.4 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.08.2000


(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 04.05.1965
[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.11.2000
] (KESEHATAN)

Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 01.10.1951
[ T16 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.01.2015
] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 06.12.1976


(KESEHATAN)

Otalgia and effusion of ear [ H92 ] Irrigation of ear [ 96.52 ] BPJS 09.11.1960
(KESEHATAN)

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 09.02.2017


(KESEHATAN)

Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS 05.07.1980


(chronic) [ J32.0 ] [ 96.53 ] (KESEHATAN)

Otomycosis NOS (H62.2* Otitis externa Irrigation of ear [ 96.52 ] BPJS 28.04.1973
in mycoses) [ B36.9+ ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] PRIBADI 29.09.1972

Chronic tonsillitis [ J35.0 ] BPJS 18.04.2001


(KESEHATAN)

Hypertrophy of tonsils - Enlargement of Rhinoscopy [ 21.21 ] BPJS 18.04.2001


tonsils [ J35.1 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 28.07.2004


(KESEHATAN)

Postprocedur.disord.of ear&mastoid BPJS 28.07.2004


process,unspec. [ H95.9 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 17.10.1997
H66.3 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 19.10.1990


(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 05.05.1975
H66.3 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] PRIBADI 10.08.1979


[ H68.1 ]

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 14.07.1993


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 02.11.1999


[ 96.53 ] (KESEHATAN)

Accessory sinus, unspecified [ C31.9 ] BPJS 13.01.1999


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 25.08.1956
] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 04.11.2005


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 13.03.1989


]

Other arthrosis [ M19 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.07.1987

Common cold (Acute nasopharyngitis)- BPJS 04.02.2011


Coryza (acute) [ J00 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.02.2002
H66.3 ]

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 04.11.2005


larynx and trachea [ 31.4 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 15.03.1978
H66.3 ] (KESEHATAN)

Abscess of external ear [ H60.0 ] Irrigation of ear [ 96.52 ] BPJS 01.04.2001


(KESEHATAN)

Middle ear, nasal cavity & accessory Rotation tests [ 95.45 ] PT. AJ INHEALTH 26.11.1972
sinuses [ D14.0 ] INDONESIA

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 12.02.2008


larynx and trachea [ 31.4 ]

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 05.05.2000

Abscess of external ear [ H60.0 ] Irrigation of ear [ 96.52 ] BPJS 18.11.1981


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 08.10.2010
]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 25.03.1990
] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1988


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 30.09.2003


larynx and trachea [ 31.4 ] (KESEHATAN)

Abscess of external ear [ H60.0 ] Irrigation of ear [ 96.52 ] BPJS 18.11.1956


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.04.2011
] (KESEHATAN)

Otitis externa in mycoses [ H62.2* ] Irrigation of ear [ 96.52 ] BPJS 10.11.1985


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 14.04.2015
] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 30.10.2005
] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 19.05.2001


]

Postprocedural disord.of eye& Irrigation of nasal passages BPJS (PBI) 07.07.1998


adnexa,unspecified [ H59.9 ] [ 96.53 ]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] JAMINAN DINAS 06.05.1958
H66.3 ] KESEHATAN

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 08.10.1961


(KESEHATAN)

Chronic maxillary sinusitis - Antritis Other BPJS 20.04.1987


(chronic) [ J32.0 ] turbinectomy (KESEHATAN)
[ 21.69 ]
Preauricular sinus and cyst [ Q18.1 ] Excision of BPJS 26.03.1998
preauricular (KESEHATAN)
sinus [ 18.21 ]
Hypertrophy of tonsils - Enlargement of Tonsillectomy BPJS 28.07.2004
tonsils [ J35.1 ] without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS (PNS/POLRI 11.11.2005
without & MANDIRI)
adennoidectomy
Deviated nasal septum [ J34.2 ] Other
[ 28.2 ] BPJS 05.04.1991
septoplasty (KESEHATAN)
[ 21.88 ]
Chronic tonsillitis [ J35.0 ] BPJS 10.11.2012
(KESEHATAN)

Deviated nasal septum [ J34.2 ] Other PRIBADI 29.10.2001


septoplasty
[ 21.88 ]
Hypertrophy of tonsils - Enlargement of Tonsillectomy BPJS 13.05.2004
tonsils [ J35.1 ] without (KESEHATAN)
adennoidectomy
Other postprocedural respiratory Tonsillectomy without [ 28.2 ] BPJS (PNS/POLRI 08.09.1980
disorders [ J95.8 ] adennoidectomy [ 28.2 ] & MANDIRI)

Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 05.11.1969


without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS (PBI) 24.10.2009
without
adennoidectomy
Chronic tonsillitis [ J35.0 ] [ 28.2 ] BPJS 16.05.2013
(KESEHATAN)

Skin [ D48.5 ] Removal of PRIBADI 20.04.1964


lesion of eyelid
[ 08.20 ]
Hypertrophy of tonsils - Enlargement of Tonsillectomy PRIBADI 05.01.2000
tonsils [ J35.1 ] without
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS (PBI) 07.09.2012
without
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS 07.10.1998
without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS 03.01.2014
without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] PRIBADI 30.04.2008
without
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] JAMINAN DINAS 15.04.2012
without KESEHATAN
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] JAMINAN DINAS 03.02.2006
without KESEHATAN
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS (PBI) 01.07.1999
without
adennoidectomy
Polyp of nasal cavity [ J33.0 ] Local
[ 28.2excision
] or BPJS (PBI) 06.09.2003
destruction of
intranasal lesion
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 21.31 ] BPJS 19.01.1985
without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS 16.06.2006
without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS 04.04.2001
without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] Tonsillectomy
[ 28.2 ] BPJS 19.04.2005
without (KESEHATAN)
adennoidectomy
Chronic tonsillitis [ J35.0 ] [ 28.2 ] BPJS 17.06.2005
(KESEHATAN)

Peritonsillar abscess-Abscess of tonsil BPJS 06.12.2009


[ J36 ] (KESEHATAN)

Sensor.hear.loss,unilateral with PRIBADI 21.10.2011


unrestric.hearing [ H90.4 ]
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 18.11.1981
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 17.08.1976
H66.3 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 07.04.1972
& MANDIRI)
Abscess of external ear [ H60.0 ] BPJS 28.04.1993
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 18.11.1981
(KESEHATAN)
Acute lymphadenitis of face, head and PRIBADI 15.07.2005
neck [ L04.0 ]
Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS 07.07.2005
(chronic) [ J32.0 ] [ 96.53 ] (KESEHATAN)
BPJS (PBI) 05.07.1972

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.04.2008


larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages PRIBADI 07.07.1984
[ 96.53 ]
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 11.12.1974
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 24.02.1996
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.12.1953
[ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 14.02.2011
[ T16 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] PRIBADI 21.04.1993

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)
Obstruction of Eustachian tube Irrigation of nasal passages BPJS 13.10.1961
[ H68.1 ] [ 96.53 ] (KESEHATAN)
Open wound of ear [ S01.3 ] BPJS (PNS/POLRI 20.06.2001
& MANDIRI)
Other forms of stomatitis [ K12.1 ] PRIBADI 03.05.1983

Noninfective disorders of pinna PRIBADI 22.11.2007


[ H61.1 ]
Otitis externa, unspecified [ H60.9 ] PRIBADI 07.12.2000

Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS 05.09.1978


larynx and trachea [ 31.4 ] (KESEHATAN)
Acute tonsillitis, unspecified [ J03.9 ] Irrigation of nasal passages BPJS 27.08.2009
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 10.11.1982

Foreign body in nasal sinus [ T17.0 ] Irrigation of ear [ 96.52 ] PRIBADI 01.08.2015

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 06.04.2011


larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 21.12.1959
(KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 20.04.1987
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 17.08.1979

Acute upper respiratory infection, Diagnostic procedures on BPJS 05.02.1978


unspecified [ J06.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 29.10.1968
(KESEHATAN)
Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS 20.04.1987
(chronic) [ J32.0 ] [ 96.53 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 16.08.2013

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 21.06.1964
[ H90.5 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 16.08.2013
H66.3 ]
Chronic tonsillitis [ J35.0 ] BPJS 01.01.1996
(KESEHATAN)
Otomycosis NOS (H62.2* Otitis externa PRIBADI 05.04.1999
in mycoses) [ B36.9+ ]
Gastrooesophageal reflux disease with Diagnostic procedures on BPJS 05.09.1978
oesophagitis [ K21.0 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Foreign body in nasal sinus [ T17.0 ] Irrigation of ear [ 96.52 ] BPJS 05.06.1973
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 01.11.1967
(KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.10.1980
[ H68.1 ] (KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 05.12.1999
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Connective and other soft tissue, PRIBADI 05.12.1999
unspecified [ D21.9 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 19.11.1981
[ 96.53 ] (KESEHATAN)
Cutaneous absc.,furuncle & BPJS 05.03.1953
carbuncle,unspecified [ L02.9 ] (KESEHATAN)
Abscess, furuncle and carbuncle of nose Rhinoscopy [ 21.21 ] BPJS 05.03.1953
[ J34.0 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.06.1982
H66.3 ]
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 17.08.1976
membrane [ H72.0 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 17.11.2014
] & MANDIRI)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 24.04.1981
[ T16 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 29.10.1968
H66.3 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 18.04.2001
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1988
(KESEHATAN)
Abscess, furuncle and carbuncle of nose PRIBADI 25.01.1962
[ J34.0 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 23.08.2001
]
Chronic sinusitis,unspecif.-Sinusitis PRIBADI 25.01.1962
(chronic)NOS [ J32.9 ]
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 18.11.1995
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 20.01.2012
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 02.04.2002
(KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 12.01.1977
sinuses [ D14.0 ] [ 96.53 ]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 17.08.1977

Other infective otitis externa [ H60.3 ] BPJS 17.08.1977


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 26.11.2002
(KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS 26.03.1998
process,unspec. [ H95.9 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 28.12.2005
(KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 03.11.1996
[ H68.1 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 24.02.1996
] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS (PBI) 25.05.1997
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 10.11.2008
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 21.04.2003
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PNS/POLRI 08.06.1980
[ 96.53 ] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Other chest x-ray [ 87.49 ] BPJS 12.05.2011
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ]
Irrigation of nasal passages BPJS 04.05.1965
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.07.1995
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.07.2017
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 12.11.2008
(KESEHATAN)
Acute serous otitis media [ H65.0 ] Irrigation of ear [ 96.52 ] BPJS 28.12.2005
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 13.09.1968
[ 96.53 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 04.07.1967
process,unspec. [ H95.9 ] [ 96.53 ]
Unspecified injury of head [ S09.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 20.06.2001
& MANDIRI)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1988
(KESEHATAN)
Sensor.hear.loss,unilateral with Irrigation of ear [ 96.52 ] BPJS (PBI) 04.07.1987
unrestric.hearing [ H90.4 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 09.02.1983

Chronic maxillary sinusitis - Antritis Irrigation of ear [ 96.52 ] BPJS (PBI) 17.07.1962
(chronic) [ J32.0 ]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 09.03.1972
(KESEHATAN)
Other chronic suppurative otitis media [ BPJS 09.03.1972
H66.3 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of nasal passages BPJS 09.03.1972
] [ 96.53 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 09.03.1972
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 02.04.2002
(KESEHATAN)
Chronic serous otitis media [ H65.2 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.02.2002

Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 12.06.1995
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.02.2002

Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 15.06.2017
[ T16 ] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS (PBI) 01.02.2002
H66.3 ]
Candidiasis of skin and nail [ B37.2 ] Other nonoperative insertion BPJS 09.03.1972
[ 96.1 ] (KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 25.04.1973
[ H90.5 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 09.08.1975

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 20.03.2015
] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 28.08.2013

Acute serous otitis media [ H65.0 ] Irrigation of ear [ 96.52 ] BPJS 07.11.1980
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] PRIBADI 04.05.1992

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 16.08.1994


(KESEHATAN)
Peritonsillar abscess-Abscess of tonsil PRIBADI 10.11.1957
[ J36 ]
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 09.12.1998
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 06.06.2001
]
Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 04.08.1991

Gastrooesophageal reflux disease with Diagnostic procedures on BPJS 01.12.1963


oesophagitis [ K21.0 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 01.12.1963
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 02.01.1971
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 08.09.1999

Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 17.10.1987
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 12.06.2002
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.03.2013

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.07.1964

Deviated nasal septum [ J34.2 ] Irrigation of ear [ 96.52 ] BPJS 16.06.1999


(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Irrigation of ear [ 96.52 ] BPJS 20.01.2008
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 04.08.2015
]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 05.05.1957
(KESEHATAN)
Nasopharynx, unspecified (M8010/3) Diagnostic procedures on BPJS 29.09.1985
[ C11.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Hypertrophy of nasal turbinates Irrigation of nasal passages BPJS 04.05.1965
[ J34.3 ] [ 96.53 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of PRIBADI 29.12.1989
tonsils [ J35.1 ]
Dysphonia - Hoarseness [ R49.0 ] PRIBADI 10.05.1952

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 24.02.2010


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 14.07.1988
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 08.06.1980
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 16.04.1985
(KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 03.04.1980
throat [ J31.2 ] larynx and trachea [ 31.4 ]
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 14.07.1988
membrane [ H72.0 ] (KESEHATAN)
Other forms of stomatitis [ K12.1 ] Diagnostic procedures on BPJS 04.07.1974
larynx and trachea [ 31.4 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 03.03.1980
(KESEHATAN)
Chronic maxillary sinusitis - Antritis Irrigation of ear [ 96.52 ] BPJS 18.09.2005
(chronic) [ J32.0 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 05.05.1975
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] BPJS 17.02.2010
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of nasal passages BPJS 17.10.1997
[ 96.53 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1988
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 17.02.2010
(KESEHATAN)
Chronic laryngotracheitis [ J37.1 ] Diagnostic procedures on BPJS 25.03.1976
larynx and trachea [ 31.4 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 10.11.1985
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 22.05.1959
[ 96.53 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] BPJS 17.02.2010
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 17.02.2010
(KESEHATAN)
Foreign body in nasal sinus [ T17.0 ] Audiometry [ 95.41 ] BPJS 16.12.1984
(KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 16.12.1984
(KESEHATAN)
Tinnitus [ H93.1 ] Audiometry [ 95.41 ] BPJS 16.12.1984
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 23.04.1984

Impacted cerumen - Wax in ear [ H61.2 BPJS (PBI) 08.10.2010


]
Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 02.05.2012
(KESEHATAN)
Postprocedur.disord.of ear&mastoid Rhinoscopy [ 21.21 ] BPJS (PNS/POLRI 04.09.1959
process,unspec. [ H95.9 ] & MANDIRI)
Gastrooesophageal reflux disease with BPJS 06.11.1973
oesophagitis [ K21.0 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 08.10.2010

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 08.10.2010


larynx and trachea [ 31.4 ]
Otomycosis NOS (H62.2* Otitis externa Irrigation of ear [ 96.52 ] BPJS 09.03.1972
in mycoses) [ B36.9+ ] (KESEHATAN)
Keratitis & keratoconjunctiv.in other Irrigation of ear [ 96.52 ] BPJS 22.06.1991
infectious-(B30.0+ epidemic (KESEHATAN)
keratoconjunctivis) [ H19.2* ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 03.10.1972
[ H68.1 ] (KESEHATAN)
Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS (PBI) 04.07.1987
[ H90.5 ]
Epistaxis-Haemorrhage from nose- Irrigation of nasal passages BPJS 12.03.2014
Nosebleed [ R04.0 ] [ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 04.08.1985
(KESEHATAN)
Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS 27.09.1963
[ H90.5 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 10.12.1965
[ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.12.1976
(chronic)NOS [ J32.9 ] [ 96.53 ]
Other forms of stomatitis [ K12.1 ] Diagnostic procedures on BPJS 04.07.1974
larynx and trachea [ 31.4 ] (KESEHATAN)
Candidiasis of skin and nail-(H62.2* Irrigation of ear [ 96.52 ] BPJS 17.07.1985
Otitis externa in mycoses) [ B37.2+ ] (KESEHATAN)
Cleft lip, unilateral - Cleft lip NOS Diagnostic procedures on BPJS (PBI) 28.08.2007
[ Q36.9 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 17.02.1979
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 06.07.2014
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.04.2006
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 08.10.2010
]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 20.03.2015
] (KESEHATAN)
Polyp of nasal cavity [ J33.0 ] Irrigation of nasal passages BPJS 05.08.1962
[ 96.53 ] (KESEHATAN)
Foreign body in nasal sinus [ T17.0 ] Removal of intraluminal BPJS 08.04.2016
foreign body from nose (KESEHATAN)
without incision [ 98.12 ]
Postprocedur.disord.of ear&mastoid BPJS 20.05.1958
process,unspec. [ H95.9 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 02.08.2010
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 07.10.1999
(KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 03.10.1972
[ H68.1 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.08.2010
larynx and trachea [ 31.4 ] (KESEHATAN)
Noninfective disorders of pinna PRIBADI 23.10.1988
[ H61.1 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.07.2017
] (KESEHATAN)
Foreign body in ear - Auditory canal PT. JASA 01.05.1958
[ T16 ] RAHARJA
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 20.05.1958
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Acute tonsillitis, unspecified [ J03.9 ] BPJS (PBI) 11.10.1998

Candidiasis of skin and nail [ B37.2 ] BPJS 22.03.1989


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 22.03.1989
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] BPJS 22.03.1989
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] PRIBADI 12.08.2013

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 12.08.2013


]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 22.03.1989
(KESEHATAN)
Headache - Cephalalgia - Facial pain PRIBADI 10.08.1968
NOS [ R51 ]
Nasopharynx, unspecified (M8010/3) PRIBADI 23.02.2016
[ C11.9 ]
Nonspecific lymphadenitis, unspecified [ BPJS 03.01.2007
I88.9 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 29.07.2000

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 19.03.1963


[ H68.1 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of nasal passages PRIBADI 24.12.1981
[ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 12.12.1996
]
Obstruction of Eustachian tube PRIBADI 09.09.1991
[ H68.1 ]
Acute suppurative otitis media [ H66.0 ] PRIBADI 09.12.2010

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 28.08.2013

Chronic rhinitis - Ozena [ J31.0 ] PRIBADI 04.04.1974

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 03.10.1972


(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.05.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 22.03.1989
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 07.10.1999
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 01.01.1996
larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 11.03.1984
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 22.03.1989
(KESEHATAN)
Gastrooesophageal reflux disease with Diagnostic procedures on BPJS (PBI) 10.05.1980
oesophagitis [ K21.0 ] larynx and trachea [ 31.4 ]
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.07.1964

Otitis externa, unspecified [ H60.9 ] BPJS (PBI) 10.07.1964

Otitis externa, unspecified [ H60.9 ] PRIBADI 27.02.2009

Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 10.04.1962


larynx and trachea [ 31.4 ] (KESEHATAN)
Hearing loss, unspecified [ H91.9 ] SMART MEDICA 05.06.1981

Other respiratory tuberculosis [ A16.8 ] PRIBADI 07.04.1997

Chronic pharyngitis - Chronic sore BPJS 16.10.1983


throat [ J31.2 ] (KESEHATAN)
Peritonsillar abscess-Abscess of tonsil PRIBADI 25.09.1965
[ J36 ]
Chronic tonsillitis [ J35.0 ] PRIBADI 29.04.2009

Middle ear, nasal cavity & accessory BPJS (PBI) 01.10.1957


sinuses [ D14.0 ]
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 12.02.2008

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 12.02.2008


larynx and trachea [ 31.4 ]
Nasopharynx, unspecified (M8010/3) BPJS (PBI) 01.08.1965
[ C11.9 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 15.08.2012
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 25.03.1990
] (KESEHATAN)
Hypertrophy of nasal turbinates BPJS 20.04.1987
[ J34.3 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 31.10.2001

Deviated nasal septum [ J34.2 ] PRIBADI 04.10.1986

Sensor.hear.loss,unilateral with Irrigation of ear [ 96.52 ] BPJS 01.07.1960


unrestric.hearing [ H90.4 ] (KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.07.1964

Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 04.07.1967


process,unspec. [ H95.9 ] [ 96.53 ]
Polyp of nasal cavity [ J33.0 ] Irrigation of nasal passages BPJS 05.08.1962
[ 96.53 ] (KESEHATAN)
Common cold (Acute nasopharyngitis)- Irrigation of ear [ 96.52 ] BPJS (PBI) 12.01.1977
Coryza (acute) [ J00 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 30.09.1986
[ T16 ] (KESEHATAN)
Fracture of nasal bones [ S02.2 ] Irrigation of nasal passages BPJS (PBI) 25.11.1997
[ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 03.09.1980
[ 96.53 ] (KESEHATAN)
Open wound of ear [ S01.3 ] PRIBADI 27.03.2015

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 03.12.1985

Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] PRIBADI 12.12.1978

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 02.03.1940


(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 02.01.2016
]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.04.2001

Otitis externa, unspecified [ H60.9 ] BPJS (PNS/POLRI 15.09.1994


& MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 15.09.1994
] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 07.07.2005
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] PRIBADI 09.12.2010

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 16.12.1984


(KESEHATAN)
Chronic tubotympanic suppurative otitis Irrigation of ear [ 96.52 ] BPJS 29.10.1968
media [ H66.1 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 03.12.1985

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 21.09.1969


[ H68.1 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Irrigation of ear [ 96.52 ] BPJS 18.04.2001
(KESEHATAN)
Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS 14.09.1959
(chronic) [ J32.0 ] [ 96.53 ] (KESEHATAN)
Tracheostomy status [ Z93.0 ] Diagnostic procedures on BPJS 20.05.1958
larynx and trachea [ 31.4 ] (KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PBI) 21.06.1984
[ H68.1 ]
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 12.06.1995
(KESEHATAN)
Abscess of external ear [ H60.0 ] Irrigation of nasal passages PRIBADI 11.11.1993
[ 96.53 ]
Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS (PBI) 27.06.1973
(chronic) [ J32.0 ] [ 96.53 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 03.03.1980
(KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 15.03.1966
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 18.05.1968
& MANDIRI)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 08.10.2010
Granulomatous Irrigation of ear [ 96.52 ] BPJS 09.12.1998
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 23.08.2001
]
Sensor.hear.loss,unilateral with Irrigation of ear [ 96.52 ] BPJS 01.07.1960
unrestric.hearing [ H90.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 18.11.2015
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 12.02.2008
larynx and trachea [ 31.4 ]
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 22.04.2001
larynx and trachea [ 31.4 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 06.07.2014
[ T16 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 06.04.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 28.12.1980
] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 09.01.1984
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 09.01.1984
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] BPJS 09.01.1984
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 09.01.1984
(KESEHATAN)
Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS 03.09.1983
(chronic) [ J32.0 ] [ 96.53 ] (KESEHATAN)
Vasomotor rhinitis [ J30.0 ] Irrigation of nasal passages BPJS 03.09.1983
[ 96.53 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] BPJS 09.01.1984
(KESEHATAN)
Pharyngeal diphtheria -Tonsillar PRIBADI 28.06.2014
diphtheria [ A36.0 ]
Foreign body in nasal sinus [ T17.0 ] PRIBADI 04.11.2013

Foreign body in ear - Auditory canal PRIBADI 27.07.2004


[ T16 ]
Diphtheria, unspecified [ A36.9 ] Diagnostic procedures on BPJS 28.06.2014
larynx and trachea [ 31.4 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 19.11.1981
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 20.01.2012
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 03.10.1972
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 29.12.2003
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 29.12.2003
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 11.11.1964
(KESEHATAN)
Skin of ear and external auricular canal Irrigation of ear [ 96.52 ] BPJS 11.11.1964
[ D23.2 ] (KESEHATAN)
Middle ear, nasal cavity & accessory BPJS 27.11.1964
sinuses [ D14.0 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 18.11.2015
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 01.12.1999
]
Middle ear, nasal cavity & accessory BPJS 27.11.1964
sinuses [ D14.0 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 16.04.1985
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 13.05.2004
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 07.11.1980
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 17.08.1977

Acute upper respiratory infection, Diagnostic procedures on BPJS (PBI) 03.04.1980


unspecified [ J06.9 ] larynx and trachea [ 31.4 ]
Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 20.03.1997

Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 12.05.2011


without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Polyp of nasal cavity [ J33.0 ] Ethmoidectomy [ BPJS 03.09.1983
22.63 ] (KESEHATAN)
Epistaxis-Haemorrhage from nose- Control of epistaxis [ 21.0 ] BPJS 18.09.2001
Nosebleed [ R04.0 ] (KESEHATAN)
Chronic maxillary sinusitis - Antritis Other external BPJS (PBI) 11.05.1973
(chronic) [ J32.0 ] maxillary
antrotomy
[ 22.39 ]
Middle ear, nasal cavity & accessory Biopsy of nose BPJS 12.01.1977
sinuses [ D14.0 ] [ 21.22 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 01.01.1996
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Foreign body in ear - Auditory canal Removal of PT. JASA 01.05.1958
[ T16 ] intraluminal RAHARJA
foreign body
from ear without
incision [ 98.11 ]
Peritonsillar abscess-Abscess of tonsil Incision and JAMINAN DINAS 03.12.1988
[ J36 ] drainage of KESEHATAN
tonsil and
peritonsilar
structures [ 28.0
]
Peritonsillar abscess-Abscess of tonsil BPJS 04.07.1970
[ J36 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 12.02.2008
without
adennoidectomy
[ 28.2 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS (PNS/POLRI 04.09.1959
tracheostomy & MANDIRI)
tube [ 97.23 ]
Tracheostomy status [ Z93.0 ] Removal of BPJS 20.05.1958
tracheostomy (KESEHATAN)
tube [ 97.37 ]
Acute respiratory failure [ J96.0 ] Temporary BPJS 24.10.1954
tracheostomy (KESEHATAN)
[ 31.1 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 18.04.2001
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 29.11.2000
]

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.06.1982
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 07.05.2015
] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 07.05.2015
] (KESEHATAN)

Accessory sinus, unspecified [ C31.9 ] BPJS 21.04.1960


(KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 04.05.1965


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 20.12.2010


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 20.12.2010


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic laryngitis and laryngotracheitis BPJS 16.10.1983


[ J37 ] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 04.05.1965


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 04.05.1965


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Nasopharynx, unspecified (M8010/3) BPJS 15.05.1963


[ C11.9 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 29.11.2000
]

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 14.01.1995


[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 JAMINAN DINAS 06.11.1965


] KESEHATAN

Foreign body in ear - Auditory canal BPJS (PBI) 29.12.2015


[ T16 ]

Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS (PBI) 29.12.2015


process,unspec. [ H95.9 ]

Foreign body in mouth [ T18.0 ] PRIBADI 14.05.2015

Postprocedur.disord.of ear&mastoid BPJS 03.04.2008


process,unspec. [ H95.9 ] (KESEHATAN)

Follow-up exam.after unspec.treatm.for Irrigation of nasal passages BPJS (PBI) 01.06.1955


other cond. [ Z09.9 ] [ 96.53 ]

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.01.1980


[ 96.53 ] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] PRIBADI 25.05.1977


Other chronic suppurative otitis media [ Diagnostic procedures on PRIBADI 25.05.1977
H66.3 ] larynx and trachea [ 31.4 ]

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 05.12.2008


(KESEHATAN)

Candidiasis of skin and nail-(H62.2* BPJS 05.12.2008


Otitis externa in mycoses) [ B37.2+ ] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 22.11.1988


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Candidiasis, unspecified - Thrush NOS [ Irrigation of ear [ 96.52 ] BPJS 05.12.2008


B37.9 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.03.2010


(KESEHATAN)

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 12.04.1990
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 23.09.1959
] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 23.09.1959
] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.11.1965
H66.3 ]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1966
]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 01.08.2010
] (KESEHATAN)

Foreign body in ear - Auditory canal Removal of other foreign body PRIBADI 14.01.1992
[ T16 ] without incision from head and
neck [ 98.22 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.10.1984
(KESEHATAN)

Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 13.05.2004


larynx and trachea [ 31.4 ] (KESEHATAN)

Other chronic suppurative otitis media [ BPJS 23.10.1984


H66.3 ] (KESEHATAN)

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 02.11.1947


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Gastrooesophageal reflux dis. without Diagnostic procedures on BPJS 06.11.1973


oesophagitis [ K21.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Other otitis externa-Chronic otitis Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 04.05.1984
externa NOS [ H60.8 ] & MANDIRI)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.09.1999


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 10.04.2011
(KESEHATAN)

Follow-up exam.after unspec.treatm.for Diagnostic procedures on BPJS (PBI) 26.02.1996


other cond. [ Z09.9 ] larynx and trachea [ 31.4 ]

Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 20.01.2012


process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 05.01.1992
] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 03.09.1983


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Acute serous otitis media [ H65.0 ] Irrigation of ear [ 96.52 ] BPJS 05.02.2018
(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 11.05.1972


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 21.08.1978
[ 96.53 ]

Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958


unspecified [ H72.9 ] RAHARJA

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 19.08.1993


[ 96.53 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 03.04.2008


process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Other acute nonsuppurative otitis BPJS 07.11.1980


media [ H65.1 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid PRIBADI 29.04.2009


process,unspec. [ H95.9 ]

Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 05.11.2001


tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 05.11.2001


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] PRIBADI 29.04.2009

Cholesteatoma of external ear [ H60.4 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.1995

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.07.1995
] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 07.11.1980
(KESEHATAN)

Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 17.12.1987


larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 19.10.2000
larynx and trachea [ 31.4 ]

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 01.02.1999


larynx and trachea [ 31.4 ] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] BPJS 29.04.2010


(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 13.05.1990
H66.3 ] (KESEHATAN)

Deviated nasal septum [ J34.2 ] Rhinoscopy [ 21.21 ] BPJS 03.09.1987


(KESEHATAN)

Obstruction of Eustachian tube BPJS 14.03.1973


[ H68.1 ] (KESEHATAN)

Tinnitus [ H93.1 ] BPJS 25.04.1973


(KESEHATAN)

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 25.04.1973


(KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 14.03.1973


[ H68.1 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid Rhinoscopy [ 21.21 ] BPJS 05.04.1991


process,unspec. [ H95.9 ] (KESEHATAN)

Acute pharyngitis, unspecified [ J02.9 ] BPJS 06.05.1977


(KESEHATAN)

Other specified disord. of nose and Irrigation of nasal passages PRIBADI 12.10.1972
nasal sinuses [ J34.8 ] [ 96.53 ]

Acute suppurative otitis media [ H66.0 ] BPJS 16.08.1978


(KESEHATAN)

Foreign body in respiratory tract [ T17 ] Removal of intraluminal BPJS (PBI) 01.05.1978
foreign body from nose
without incision [ 98.12 ]
Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS 28.09.2002
(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 17.05.1984


[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 06.06.2006


]

Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 06.12.1952


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 06.04.2011


larynx and trachea [ 31.4 ] (KESEHATAN)

Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 26.06.2013
(KESEHATAN)
Benign paroxysmal vertigo [ H81.1 ] BPJS 21.09.2001
(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.05.1965


(KESEHATAN)

Haemangioma, any site [ D18.0 ] Irrigation of nasal passages BPJS 06.05.1991


[ 96.53 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 12.10.2003


process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Granuloma faciale[eosinophilic Irrigation of ear [ 96.52 ] PRIBADI 27.07.2010


granuloma of skin] [ L92.2 ]

Other chronic suppurative otitis media [ BPJS 18.11.1940


H66.3 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 07.04.1972
H66.3 ] & MANDIRI)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 07.04.1972
H66.3 ] & MANDIRI)

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 19.08.1993


[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.01.1985
] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 22.05.1959


[ 96.53 ] (KESEHATAN)

Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS (PBI) 02.04.1999


larynx and trachea [ 31.4 ]

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 29.01.2017


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 07.07.2005


[ 96.53 ] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PNS/POLRI 12.02.1979


(chronic)NOS [ J32.9 ] [ 96.53 ] & MANDIRI)

Nasal polyp, unspecified [ J33.9 ] Irrigation of nasal passages BPJS 12.11.2000


[ 96.53 ] (KESEHATAN)

Foreign body in ear - Auditory canal PRIBADI 02.02.2013


[ T16 ]

Postprocedur.disord.of ear&mastoid PRIBADI 28.01.2018


process,unspec. [ H95.9 ]

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 25.03.1976


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Central perforation of tympanic BPJS 29.10.1968


membrane [ H72.0 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 12.02.1989
larynx and trachea [ 31.4 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 BPJS 25.06.1966


] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 01.07.1958


]

Otitis externa, unspecified [ H60.9 ] BPJS (PBI) 01.05.1978

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.08.1991


[ 96.53 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)

Sensorineural hearing loss, bilateral BPJS (PBI) 04.07.1987


[ H90.3 ]

Tinnitus [ H93.1 ] BPJS (PBI) 04.07.1987

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 04.10.1958


[ H68.1 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.05.1977


[ H68.1 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 BPJS 11.08.1987


] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.05.2007


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 30.06.1963


[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 PT. JASA 27.02.2017


] RAHARJA

Other acute nonsuppurative otitis PRIBADI 23.03.1989


media [ H65.1 ]

Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 20.01.2012


process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Hearing loss, unspecified [ H91.9 ] PRIBADI 08.04.1990

Chronic tonsillitis [ J35.0 ] BPJS 01.02.1999


(KESEHATAN)

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 21.09.1969


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 08.05.2015


[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 16.01.1990
(KESEHATAN)

Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS 23.03.2013


(KESEHATAN)

Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 17.05.1980
(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.11.1965
H66.3 ]

Larynx - Epiglottis (suprahyoid portion) BPJS 24.10.1954


[ D14.1 ] (KESEHATAN)

Acute pharyngitis, unspecified [ J02.9 ] PRIBADI 14.01.1990

Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS 21.04.2003


(chronic)NOS [ J32.9 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 08.04.1957


]

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 16.02.1965


]

Foreign body in respiratory tract,part Removal of intraluminal BPJS 20.05.2017


unspecified [ T17.9 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 08.08.1991
[ T16 ] (KESEHATAN)

Deviated nasal septum [ J34.2 ] Rhinoscopy [ 21.21 ] BPJS 19.11.1981


(KESEHATAN)

Acute tonsillitis, unspecified [ J03.9 ] Diagnostic procedures on BPJS (PBI) 09.06.2015


larynx and trachea [ 31.4 ]

Chronic tonsillitis [ J35.0 ] BPJS (PNS/POLRI 04.08.2015


& MANDIRI)

Acute serous otitis media [ H65.0 ] Irrigation of ear [ 96.52 ] PRIBADI 11.02.2014

Larynx, unspecified [ C32.9 ] BPJS 14.07.1957


(KESEHATAN)

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 30.11.2012


(KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 29.10.1968
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 04.08.2015
] & MANDIRI)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.04.1981


larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 21.01.1984
(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] BPJS 14.07.1988


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 01.12.1963


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 BPJS 08.03.2007


] (KESEHATAN)

Follow-up exam.after other treatm.for Irrigation of nasal passages BPJS (PBI) 12.12.1976
other condi. [ Z09.8 ] [ 96.53 ]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 14.07.1988
H66.3 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PBI) 05.11.1982


[ H68.1 ]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 15.07.1965
] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 17.07.1985


(KESEHATAN)

Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS 28.04.2013


media [ H65.1 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 21.02.1988


larynx and trachea [ 31.4 ] (KESEHATAN)

Foreign body in ear - Auditory canal Removal of other foreign body BPJS 18.07.1999
[ T16 ] without incision from head and (KESEHATAN)
neck [ 98.22 ]
Anosmia [ R43.0 ] Irrigation of nasal passages BPJS 16.08.2002
[ 96.53 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.05.1978

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 31.05.2013
] & MANDIRI)

Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS 06.05.1991
sinuses [ D14.0 ] [ 96.53 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 02.08.2010


process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 29.10.1968
H66.3 ] (KESEHATAN)

Postprocedural disord.of eye& BPJS 02.08.2010


adnexa,unspecified [ H59.9 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 03.09.1980


[ 96.53 ] (KESEHATAN)
Obstruction of Eustachian tube BPJS 02.08.1967
[ H68.1 ] (KETENAGAKERJA
AN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 02.08.1967
(KETENAGAKERJA
AN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 20.05.1958
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Central perforation of tympanic BPJS (PBI) 26.09.2015


membrane [ H72.0 ]

Otitis media, unspecified [ H66.9 ] BPJS 20.01.2014


(KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 20.01.2014
(KESEHATAN)

Acute suppurative otitis media [ H66.0 ] PRIBADI 25.11.1959

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 01.01.1978

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.05.1978
H66.3 ]

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 10.11.1985


] (KESEHATAN)

Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 08.07.2010


[ T16 ] foreign body from ear without
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 30.12.2004
(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 22.08.2003
[ 96.53 ]

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 15.12.1990

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] PRIBADI 31.12.1968

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.12.1953


[ 96.53 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 29.11.1965

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 21.04.2003


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS 05.09.1983


(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 01.01.1988
H66.3 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] BPJS 25.10.1984
(KESEHATAN)

Chronic tonsillitis [ J35.0 ] PRIBADI 19.03.2003

Candidiasis of skin and nail [ B37.2 ] PRIBADI 19.09.1990

Middle ear, nasal cavity & accessory BPJS (PBI) 11.05.1973


sinuses [ D14.0 ]

Other chronic suppurative otitis media [ BPJS 05.05.1975


H66.3 ] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 01.06.1955


(chronic)NOS [ J32.9 ] [ 96.53 ]

Otomycosis NOS (H62.2* Otitis externa Irrigation of ear [ 96.52 ] BPJS 29.12.2003
in mycoses) [ B36.9+ ] (KESEHATAN)

Foreign body in respiratory tract [ T17 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 29.06.2001

Candidiasis of skin and nail [ B37.2 ] Irrigation of nasal passages BPJS (PNS/POLRI 23.08.1979
[ 96.53 ] & MANDIRI)

Other infective otitis externa [ H60.3 ] Removal of intraluminal BPJS (PBI) 25.11.1984
foreign body from ear without
incision [ 98.11 ]
Acute tonsillitis, unspecified [ J03.9 ] Diagnostic procedures on BPJS 25.09.1985
larynx and trachea [ 31.4 ] (KESEHATAN)

Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 04.08.2015
[ T16 ] & MANDIRI)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 14.09.1985
[ 96.53 ]

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.08.1979
& MANDIRI)

Accessory sinus, unspecified [ C31.9 ] Rhinoscopy [ 21.21 ] BPJS 13.01.1999


(KESEHATAN)

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 17.07.1985
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 24.04.2013
]

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 10.11.1985


] (KESEHATAN)

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] JAMINAN DINAS 21.04.1960


KESEHATAN

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 12.09.2009
Candidiasis of skin and nail [ B37.2 ] BPJS 10.11.1985
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 09.10.2014
]

Hypertrophy of adenoids-Enlargement Irrigation of nasal passages BPJS (PBI) 03.04.1980


of adenoids [ J35.2 ] [ 96.53 ]

Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 03.04.1980


tonsils [ J35.1 ] larynx and trachea [ 31.4 ]

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 26.11.2002


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 22.02.2016
] (KESEHATAN)

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 17.11.2014
] & MANDIRI)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 04.06.2016
]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 22.02.2016
] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 01.06.1955


(chronic)NOS [ J32.9 ] [ 96.53 ]

Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 01.12.1994
[ T16 ] (KESEHATAN)

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 30.11.1965


(KESEHATAN)

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 30.11.1965


(KESEHATAN)

Tinnitus [ H93.1 ] BPJS 30.11.1965


(KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 14.08.2013
H66.3 ] (KESEHATAN)

Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 03.10.1965
[ H90.5 ]

Foreign body in ear - Auditory canal Removal of intraluminal BPJS (PBI) 18.01.2017
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.10.2014
(KESEHATAN)

Other acute nonsuppurative otitis BPJS 14.04.1978


media [ H65.1 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 26.09.1971


[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 05.02.2018
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 04.06.2016
]

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 10.11.1985


] (KESEHATAN)

Chronic pharyngitis - Chronic sore BPJS 15.06.1986


throat [ J31.2 ] (KESEHATAN)

Other specified disord. of nose and Irrigation of nasal passages BPJS 12.11.2000
nasal sinuses [ J34.8 ] [ 96.53 ] (KESEHATAN)

Foreign body in respiratory tract [ T17 ] Removal of intraluminal BPJS 03.03.2001


foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 08.04.1980
(KESEHATAN)

Granulomatous BPJS 14.01.1995


dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.10.1980
[ H68.1 ] (KESEHATAN)

Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 24.12.2009

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.05.1978

Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 12.07.1978

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 26.11.2002


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 14.02.2012
] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 21.12.2010


larynx and trachea [ 31.4 ]

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 21.12.2010

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 15.07.1965
] (KESEHATAN)

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1991
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 11.08.1987
] (KESEHATAN)

Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 04.07.1987
[ H90.5 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 22.12.1982
[ 96.53 ]

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 17.11.2014
] & MANDIRI)

Fracture of orbital floor [ S02.3 ] Irrigation of nasal passages BPJS (PBI) 25.11.1997
[ 96.53 ]

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 14.01.1995


(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.10.1979

Acute suppurative otitis media [ H66.0 ] PRIBADI 16.09.1994

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 30.08.2008

Specific developmental disorder of PRIBADI 04.05.2017


motor function [ F82 ]

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.02.2002


[ H68.1 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] PRIBADI 23.10.1977

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 04.12.1982


[ 96.53 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 04.12.1982


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Irrigation of ear [ 96.52 ] BPJS 14.04.1978


(KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 19.10.2000

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS 13.09.1968


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.11.2015
] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 18.11.2015
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.11.2015
] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 23.09.1999
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 23.09.1999
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 23.09.1999
] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 20.06.2001


larynx and trachea [ 31.4 ] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 21.11.1995

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 21.11.1995
H66.3 ]

Acute suppurative otitis media [ H66.0 ] BPJS (PBI) 07.06.2012

Middle ear, nasal cavity & accessory BPJS 07.01.1964


sinuses [ D14.0 ] (KESEHATAN)

Nasal polyp, unspecified [ J33.9 ] BPJS 05.08.1962


(KESEHATAN)

Lethal midline granuloma [ M31.2 ] Irrigation of nasal passages BPJS 07.01.1964


[ 96.53 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 04.09.1964
]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 01.05.1965
] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 02.03.1940


(KESEHATAN)

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 15.03.1966


(KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Audiometry [ 95.41 ] BPJS (PBI) 04.05.1991

Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 14.01.1995


membrane [ H72.0 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 26.02.1996

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 07.04.1972
H66.3 ] & MANDIRI)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.10.2003


larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PNS/POLRI 12.02.1979
[ 96.53 ] & MANDIRI)

Otitis externa, unspecified [ H60.9 ] Computerized axial BPJS 14.07.1988


tomography of head [ 87.03 ] (KESEHATAN)

Candidiasis of skin and nail [ B37.2 ] BPJS (PBI) 17.08.1977


Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 06.09.1987
(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 31.05.2013
] & MANDIRI)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 02.05.1961
]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 03.10.1965
H66.3 ]

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 30.11.2012


(KESEHATAN)

Foreign body in respiratory tract [ T17 ] Irrigation of ear [ 96.52 ] BPJS 21.01.1984
(KESEHATAN)

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 06.12.1952


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Acute lymphadenitis of face, head and BPJS 06.12.1952


neck [ L04.0 ] (KESEHATAN)

Chronic pansinusitis - Pansinusitis NOS Irrigation of nasal passages BPJS 16.08.2002


[ J32.4 ] [ 96.53 ] (KESEHATAN)

Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 01.07.1960


[ H90.5 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 16.12.2003
] & MANDIRI)

Other acute nonsuppurative otitis Rhinoscopy [ 21.21 ] BPJS 24.04.2002


media [ H65.1 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 09.09.1969
] (KESEHATAN)

Necrosis of pulp - Pulpal gangrene Diagnostic procedures on BPJS (PBI) 14.06.1986


[ K04.1 ] larynx and trachea [ 31.4 ]

Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 12.12.1976


process,unspec. [ H95.9 ] [ 96.53 ]

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 23.02.2013


(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS 21.10.2013


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 20.05.2017
] (KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PNS/POLRI 12.02.1979


(chronic)NOS [ J32.9 ] [ 96.53 ] & MANDIRI)

Chronic sinusitis,unspecif.-Sinusitis BPJS (PNS/POLRI 12.02.1979


(chronic)NOS [ J32.9 ] & MANDIRI)
Chronic tonsillitis [ J35.0 ] BPJS 12.10.2003
(KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 19.08.2012


(KESEHATAN)

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 17.07.1985


] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 18.02.1977


(KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] PRIBADI 22.09.1980


(chronic)NOS [ J32.9 ]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 14.08.2013
H66.3 ] (KESEHATAN)

Nonspecific lymphadenitis, unspecified [ Irrigation of ear [ 96.52 ] BPJS 15.07.2005


I88.9 ] (KESEHATAN)

Other acute upper resp.inf... Diagnostic procedures on BPJS (PBI) 03.04.1980


(Tonsillopharyngitis) [ J06.8 ] larynx and trachea [ 31.4 ]

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 14.01.1994


[ 96.53 ] (KESEHATAN)

Acute laryngitis (NOS - oedematous ) Diagnostic procedures on BPJS (PBI) 01.07.1961


[ J04.0 ] larynx and trachea [ 31.4 ]

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PBI) 17.08.1977
]

Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 12.04.1981


process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Acute upper respiratory infection, Diagnostic procedures on BPJS 12.08.1962


unspecified [ J06.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Skin of ear and external auricular canal Irrigation of ear [ 96.52 ] BPJS 08.06.1986
[ D23.2 ] (KESEHATAN)

Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS 31.07.1987


process,unspec. [ H95.9 ] (KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of nasal passages BPJS (PBI) 03.04.1980
] [ 96.53 ]

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)

Otitis media, unspecified [ H66.9 ] PRIBADI 09.10.2009

Other chronic suppurative otitis media [ BPJS 31.07.1987


H66.3 ] (KESEHATAN)

Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 08.07.1978


dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 08.04.2002
(KESEHATAN)

Other chronic suppurative otitis media [ BPJS (PBI) 05.07.1972


H66.3 ]

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 22.08.1954


[ H68.1 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 22.08.1954


[ H68.1 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 20.01.1970


[ H68.1 ] (KESEHATAN)

Obstruction of Eustachian tube BPJS 20.01.1970


[ H68.1 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 05.07.1972
H66.3 ]

Chronic tonsillitis [ J35.0 ] Irrigation of nasal passages BPJS 03.04.1962


[ 96.53 ] (KESEHATAN)

Superficial injury of ear [ S00.4 ] Irrigation of ear [ 96.52 ] BPJS 28.12.1987


(KESEHATAN)

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 29.12.2003
(KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 21.04.2003


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 13.05.1990
H66.3 ] (KESEHATAN)

Foreign body in larynx [ T17.3 ] Diagnostic procedures on BPJS (PBI) 09.11.1960


larynx and trachea [ 31.4 ]

Other chronic suppurative otitis media [ BPJS 22.11.1975


H66.3 ] (KESEHATAN)

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 22.11.1975
H66.3 ] (KESEHATAN)

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 16.10.1983


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 16.10.1983


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 19.01.1970


(KESEHATAN)

Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 09.09.1980


process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 19.01.1970


(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 12.11.2008
(KESEHATAN)

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 12.11.2008
(KESEHATAN)

Otomycosis NOS (H62.2* Otitis externa Irrigation of ear [ 96.52 ] BPJS 06.08.1948
in mycoses) [ B36.9+ ] (KESEHATAN)

Obstruction of Eustachian tube PRIBADI 08.05.1990


[ H68.1 ]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 05.04.2013
] (KESEHATAN)

Foreign body in respiratory tract,part Irrigation of ear [ 96.52 ] BPJS 26.09.1976


unspecified [ T17.9 ] (KESEHATAN)

Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 05.02.2018
(KESEHATAN)

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages PRIBADI 23.04.1984


[ 96.53 ]

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 05.04.2013
] (KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 28.04.2013
(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 05.07.1972

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 06.08.1948
(KESEHATAN)

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 10.07.2003


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 10.07.2003


[ 96.53 ] (KESEHATAN)

Foreign body in ear - Auditory canal Removal of intraluminal BPJS 10.10.1961


[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 14.05.2016
(KESEHATAN)

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 13.05.1990


(KESEHATAN)

Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 14.04.2008
[ T16 ] (KESEHATAN)

Foreign body in nostril - Nose NOS Removal of intraluminal PRIBADI 19.09.2015


[ T17.1 ] foreign body from nose
without incision [ 98.12 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 05.10.1983
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
RAHARJA

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
H66.3 ] RAHARJA

Otitis externa, unspecified [ H60.9 ] Irrigation of nasal passages BPJS 21.04.2005


[ 96.53 ] (KESEHATAN)

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 18.09.1973


[ H68.1 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 11.09.1984


larynx and trachea [ 31.4 ]

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 21.04.1982


(KESEHATAN)

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 09.03.2013

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 14.02.1953


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)

Foreign body in nostril - Nose NOS Irrigation of nasal passages PRIBADI 07.11.2016
[ T17.1 ] [ 96.53 ]

Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 25.11.2004

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 29.01.2017


(KESEHATAN)

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 06.11.1965
] (KESEHATAN)

Peritonsillar abscess-Abscess of tonsil Incision and BPJS (PBI) 14.06.1986


[ J36 ] drainage of
tonsil and
Chronic tonsillitis [ J35.0 ] peritonsilar
Tonsillectomy BPJS 06.04.2011
structures
without [ 28.0 (KESEHATAN)
]adennoidectomy

Chronic tonsillitis [ J35.0 ] [Tonsillectomy


28.2 ] BPJS 03.04.2008
without (KESEHATAN)
adennoidectomy
Skin of ear and external auricular canal [Excision
28.2 ] or BPJS 14.01.1995
[ D23.2 ] destruction of (KESEHATAN)
lession of
Hypertrophy of tonsils - Enlargement of external ear
Tonsillectomy PRIBADI 29.04.2009
tonsils [ J35.1 ] [without
18.2 ]
adennoidectomy
Chronic tonsillitis [ J35.0 ] [Tonsillectomy
28.2 ] BPJS (PBI) 26.02.1996
without
adennoidectomy
Epistaxis-Haemorrhage from nose- [ 28.2 ] PRIBADI 25.08.1943
Nosebleed [ R04.0 ]

Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 12.10.2003


without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 02.08.2010
without (KESEHATAN)
adennoidectomy
Deviated nasal septum [ J34.2 ] [Other
28.2 ] BPJS (PBI) 01.06.1955
septoplasty
[ 21.88 ]
Deviated nasal septum [ J34.2 ] Other BPJS 19.08.1993
septoplasty (KESEHATAN)
[ 21.88 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 01.02.1999
without (KESEHATAN)
adennoidectomy
Chronic maxillary sinusitis - Antritis [Other
28.2 external
] BPJS (PBI) 12.12.1976
(chronic) [ J32.0 ] maxillary
antrotomy
Central perforation of tympanic [ 22.39 ]
Myringoplasty BPJS 31.07.1987
membrane [ H72.0 ] [ 19.4 ] (KESEHATAN)

Chronic tonsillitis [ J35.0 ] Plastic operation BPJS 20.01.2012


of pharynx (KESEHATAN)
[ 29.4 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 05.11.2001
without (KESEHATAN)
adennoidectomy
Benign paroxysmal vertigo [ H81.1 ] [ 28.2 ] BPJS 21.09.2001
(KESEHATAN)

Benign paroxysmal vertigo [ H81.1 ] PRIBADI 16.05.1969

Tinnitus [ H93.1 ] Injection of BPJS (PBI) 04.07.1987


tympanum
[ 20.94 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS (PBI) 09.09.1980
tracheostomy
tube [ 97.23 ]
Allergic rhinitis, unspecified [ J30.4 ] BPJS 20.12.1953
(KESEHATAN)
Otitis externa [ H60 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.06.1993

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 13.01.2009


(KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 19.03.1982
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 13.01.2009
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.02.2010
] (KESEHATAN)
Developmental disorder of speech BPJS 10.03.2017
&language, unspec [ F80.9 ] (KESEHATAN)
Epistaxis-Haemorrhage from nose- Rhinoscopy [ 21.21 ] BPJS 19.08.2013
Nosebleed [ R04.0 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 21.04.2005
(KESEHATAN)
Accessory sinus, unspecified [ C31.9 ] Irrigation of nasal passages BPJS 20.09.1969
[ 96.53 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
H66.3 ] RAHARJA
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
unspecified [ H72.9 ] RAHARJA
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 18.09.1973
[ H68.1 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS (PNS/POLRI 04.09.1959
process,unspec. [ H95.9 ] & MANDIRI)
Otitis media, unspecified [ H66.9 ] BPJS 04.05.1965
(KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 12.01.1977
sinuses [ D14.0 ] [ 96.53 ]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 19.02.1984
[ 96.53 ]
Deviated nasal septum [ J34.2 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 12.02.1979
& MANDIRI)
Otitis externa, unspecified [ H60.9 ] BPJS 29.03.2013
(KESEHATAN)
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS 17.11.1989
media [ H65.1 ] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS 20.08.2004
H66.3 ] (KESEHATAN)
Acquired absence of part of head & Diagnostic procedures on BPJS 20.05.1965
neck-Eye-Larynx [ Z90.0 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on PRIBADI 06.06.1942
larynx and trachea [ 31.4 ]
Middle ear, nasal cavity & accessory Rhinoscopy [ 21.21 ] BPJS (PBI) 10.04.2006
sinuses [ D14.0 ]
Other acute nonsuppurative otitis PRIBADI 26.01.1986
media [ H65.1 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 15.03.2009
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 14.07.1988
H66.3 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS (PNS/POLRI 20.03.2010
] & MANDIRI)
Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 06.02.1990
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Computerized axial BPJS 13.05.1990
tomography of head [ 87.03 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS 20.05.1965
process,unspec. [ H95.9 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.03.2007
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS 18.01.2012
] (KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS 08.03.2007
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 19.02.1984
[ 96.53 ]
Otitis externa in mycoses [ H62.2* ] PRIBADI 23.11.1985

Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS 21.04.1960


process,unspec. [ H95.9 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.11.1965

Nasopharynx, unspecified (M8010/3) Diagnostic procedures on BPJS (PBI) 03.04.1980


[ C11.9 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 30.05.1976
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 05.07.1972
H66.3 ]
Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS 06.11.1973
larynx and trachea [ 31.4 ] (KESEHATAN)
Gastrooesophageal reflux disease with BPJS (PBI) 07.09.1970
oesophagitis [ K21.0 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 30.03.2010
& MANDIRI)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 21.12.2010
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Nasal polyp [ J33 ] BPJS 12.11.2000
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 20.08.1991
(KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS (PBI) 02.11.1973
larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Irrigation of ear [ 96.52 ] BPJS 12.11.2000
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.10.1993
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 20.06.1993

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 02.04.1999


throat [ J31.2 ] larynx and trachea [ 31.4 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 01.03.1994
[ T16 ]
Chronic serous otitis media [ H65.2 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 05.07.1972

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 29.05.2007


[ 96.53 ] (KESEHATAN)
Superficial injury of ear [ S00.4 ] Irrigation of ear [ 96.52 ] BPJS 28.12.1987
(KESEHATAN)
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] PRIBADI 28.11.1983
media [ H65.1 ]
Chronic serous otitis media [ H65.2 ] Irrigation of ear [ 96.52 ] BPJS 29.10.1968
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 07.04.1972
& MANDIRI)
Other marginal perforations of tympanic Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.08.1979
membrane [ H72.2 ] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 29.10.1968
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.07.1998
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 07.05.1955
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.07.1998
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 29.05.2007
(KESEHATAN)
Foreign body in ear - Auditory canal BPJS 01.07.1957
[ T16 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 06.01.1986
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.10.1987
[ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 29.10.1968
larynx and trachea [ 31.4 ] (KESEHATAN)
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS 13.07.1998
media [ H65.1 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 02.02.1992
]
Foreign body in ear - Auditory canal Removal of intraluminal BPJS (PBI) 07.06.2012
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Tinnitus [ H93.1 ] BPJS 16.12.1984
(KESEHATAN)
Perforation of tympanic membrane Irrigation of ear [ 96.52 ] BPJS (PBI) 16.03.1972
[ H72 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 01.05.1978

Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 01.06.1955


process,unspec. [ H95.9 ] [ 96.53 ]
Nasopharynx, unspecified (M8010/3) Irrigation of nasal passages BPJS 10.11.1972
[ C11.9 ] [ 96.53 ] (KESEHATAN)
Acute laryngitis (NOS - oedematous ) BPJS 06.11.1973
[ J04.0 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 30.03.2010
& MANDIRI)
Acute serous otitis media [ H65.0 ] Irrigation of ear [ 96.52 ] BPJS 07.01.1983
(KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.05.1978

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 01.09.1985
]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 02.04.2003

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 28.08.2010
(KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 20.02.1974
throat [ J31.2 ] larynx and trachea [ 31.4 ]
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 01.06.1955
[ 96.53 ]
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 20.02.1974
throat [ J31.2 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 07.05.1993
]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 26.11.2008
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.10.1993
(KESEHATAN)
Foreign body in ear - Auditory canal Diagnostic procedures on BPJS 06.02.1990
[ T16 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 13.12.1989
H66.3 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 13.05.1990
H66.3 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 19.11.1981
[ 96.53 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 12.02.1979
& MANDIRI)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 01.11.1992
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS (PBI) 20.02.1974
larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 04.08.2015
larynx and trachea [ 31.4 ] & MANDIRI)
Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 08.04.1992
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 13.05.1990
H66.3 ] (KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS 28.04.2013
(KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 19.11.1981
[ 96.53 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS 19.08.1993
process,unspec. [ H95.9 ] [ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 19.01.1970
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.05.1978

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 15.04.1973


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Rhinoscopy [ 21.21 ] BPJS 19.11.1981
(KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 03.08.2012
[ T16 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 14.09.1985
[ 96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS (PBI) 15.12.1990
(chronic)NOS [ J32.9 ]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 17.05.1980
(KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 17.12.1987
larynx and trachea [ 31.4 ] (KESEHATAN)
Acute tonsillitis, unspecified [ J03.9 ] BPJS (PBI) 21.12.2010

Follow-up exam.after unspec.treatm.for Diagnostic procedures on BPJS (PBI) 21.12.2010


other cond. [ Z09.9 ] larynx and trachea [ 31.4 ]
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 05.11.2001
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Other specified disord. of nose and BPJS 18.09.1973
nasal sinuses [ J34.8 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 29.04.2015
]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 29.04.2015
]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 18.09.1973
[ H68.1 ] (KESEHATAN)
Tinnitus [ H93.1 ] BPJS 21.04.1960
(KESEHATAN)
Other chronic suppurative otitis media [ Computerized axial BPJS (PBI) 05.07.1972
H66.3 ] tomography of head [ 87.03 ]
Deviated nasal septum [ J34.2 ] Irrigation of ear [ 96.52 ] BPJS 19.08.1993
(KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 03.10.1965
[ H90.5 ]
Tinnitus [ H93.1 ] Irrigation of nasal passages BPJS 16.05.1982
[ 96.53 ] (KESEHATAN)
Specific developmental disorder of Irrigation of ear [ 96.52 ] BPJS 06.07.2017
motor function [ F82 ] (KESEHATAN)
Tinnitus [ H93.1 ] BPJS 21.04.1960
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 25.03.1999
[ 96.53 ] (KESEHATAN)
Other acute nonsuppurative otitis PRIBADI 21.04.1977
media [ H65.1 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 25.02.2011

Granulomatous Irrigation of ear [ 96.52 ] BPJS 28.05.2009


dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Otomycosis NOS (H62.2* Otitis externa Irrigation of ear [ 96.52 ] BPJS (PBI) 23.01.1999
in mycoses) [ B36.9+ ]
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 19.11.1981
[ 96.53 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 03.05.1987
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.06.1993

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 29.03.2013


(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 12.12.1985

Granulomatous BPJS 28.05.2009


dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Allergic rhinitis, unspecified [ J30.4 ]
Irrigation of nasal passages BPJS 25.03.1999
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 31.03.1983
]
Foreign body in nostril - Nose NOS Irrigation of nasal passages PRIBADI 07.06.2015
[ T17.1 ] [ 96.53 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 30.03.1986
[ H68.1 ] (KESEHATAN)
Acute tonsillitis, unspecified [ J03.9 ] Diagnostic procedures on PRIBADI 07.07.1977
larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 06.05.2009
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 14.01.2014

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 09.08.2010
]
Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] PRIBADI 26.03.2016
process,unspec. [ H95.9 ]
Otitis externa in mycoses [ H62.2* ] Removal of other foreign body PRIBADI 15.12.1974
without incision from head and
neck [ 98.22 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of nasal passages BPJS 13.02.2004
[ 96.53 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 24.09.1987

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 20.03.1978

Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS 04.08.2018


(KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 04.07.1967
process,unspec. [ H95.9 ] [ 96.53 ]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] PRIBADI 20.03.1978

Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS 14.10.2014


(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 14.10.2014
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 14.10.2014
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS (PBI) 26.07.2014
]
Developmental disorder of speech Irrigation of ear [ 96.52 ] BPJS 17.05.2014
&language, unspec [ F80.9 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 05.07.1998
H66.3 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 06.02.2013
]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 26.07.2014

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 21.04.2005


(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 06.05.2009
larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] BPJS 14.08.1998
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 09.08.2010
]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 06.07.2006

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 05.11.2001


larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 29.11.1965
[ 96.53 ]
Accessory sinus, unspecified [ C31.9 ] Irrigation of nasal passages BPJS 21.04.1960
[ 96.53 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 19.03.1982
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 30.05.1976
Nasopharynx, unspecified (M8010/3) Irrigation of nasal passages BPJS (PBI) 03.04.1980
[ C11.9 ] [ 96.53 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] PRIBADI 17.01.1985
[ T16 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 30.08.2008

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 05.08.1992
(KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 02.04.1999
throat [ J31.2 ] larynx and trachea [ 31.4 ]
Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS 02.11.1947
larynx and trachea [ 31.4 ] (KESEHATAN)
Developmental disorder of speech Irrigation of ear [ 96.52 ] BPJS 06.07.2017
&language, unspec [ F80.9 ] (KESEHATAN)
Sudden idiopathic hearing loss Irrigation of ear [ 96.52 ] PRIBADI 12.07.1950
[ H91.2 ]
Chronic laryngitis [ J37.0 ] PRIBADI 20.02.1979

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PRIBADI 11.10.1977
H66.3 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 04.10.1958
[ H68.1 ] (KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS 23.09.1999
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 23.06.1975
[ H68.1 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 11.09.1984
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 11.09.1984
larynx and trachea [ 31.4 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 12.07.1959
(KESEHATAN)
Superficial injury of ear [ S00.4 ] Irrigation of ear [ 96.52 ] BPJS 09.02.1981
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 07.07.1963
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 28.12.1968
H66.3 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 26.06.1979
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 28.12.1968

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 03.08.1951


throat [ J31.2 ] larynx and trachea [ 31.4 ]
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on PRIBADI 01.12.1948
[ J04.0 ] larynx and trachea [ 31.4 ]
Epistaxis-Haemorrhage from nose- BPJS (PBI) 21.04.2013
Nosebleed [ R04.0 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 26.02.2001
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 16.08.1998
larynx and trachea [ 31.4 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 23.03.2010
(KESEHATAN)
Attic perforation of tympanic membrane Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 04.05.1984
[ H72.1 ] & MANDIRI)
Otitis externa, unspecified [ H60.9 ] BPJS (PNS/POLRI 04.05.1984
& MANDIRI)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 04.05.1984
& MANDIRI)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.05.1960

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 26.06.2013


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 14.06.1987

Foreign body in ear - Auditory canal Irrigation of nasal passages BPJS (PBI) 28.11.2015
[ T16 ] [ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 29.11.1965
[ 96.53 ]
Sudden idiopathic hearing loss Audiometry [ 95.41 ] PRIBADI 01.10.1975
[ H91.2 ]
Otitis externa, unspecified [ H60.9 ] PRIBADI 25.03.2015

Anosmia [ R43.0 ] Irrigation of nasal passages BPJS 16.08.2002


[ 96.53 ] (KESEHATAN)
Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS (PBI) 03.04.1980
larynx and trachea [ 31.4 ]
Superficial injury of head, part Irrigation of ear [ 96.52 ] BPJS 16.06.2015
unspecified [ S00.9 ] (KESEHATAN)
Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS 16.06.2015
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 01.07.2013

Otitis externa in mycoses [ H62.2* ] BPJS (PBI) 30.05.1976

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 20.05.1964


(KESEHATAN)
Peritonsillar abscess-Abscess of tonsil Incision and BPJS 25.12.1968
[ J36 ] drainage of (KESEHATAN)
tonsil and
peritonsilar
structures [ 28.0
]
Deviated nasal septum [ J34.2 ] Other BPJS (PNS/POLRI 12.02.1979
septoplasty & MANDIRI)
[ 21.88 ]
Tinnitus [ H93.1 ] Injection of BPJS 16.12.1984
tympanum (KESEHATAN)
[ 20.94 ]
Tinnitus [ H93.1 ] Injection of BPJS 21.04.1960
tympanum (KESEHATAN)
[ 20.94 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS 20.05.1965
tracheostomy (KESEHATAN)
tube [ 97.23 ]
Overlapping lesion of nasopharynx Open biopsy of BPJS (PBI) 03.04.1980
[ C11.8 ] nasal sinus
[ 22.12 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 21.12.2010
without
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 15.03.2009
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 16.08.1998
without
adennoidectomy
[ 28.2 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS 20.05.1965
tracheostomy (KESEHATAN)
tube [ 97.23 ]
Polyp of nasal cavity [ J33.0 ] Local excision or BPJS 12.11.2000
destruction of (KESEHATAN)
intranasal lesion
[ 21.31 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS (PNS/POLRI 04.09.1959
tracheostomy & MANDIRI)
tube [ 97.23 ]
Tinnitus [ H93.1 ] Injection of BPJS 16.12.1984
tympanum (KESEHATAN)
[ 20.94 ]
Deviated nasal septum [ J34.2 ] Other BPJS 19.11.1981
septoplasty (KESEHATAN)
[ 21.88 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 29.10.1968
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Tinnitus [ H93.1 ] Injection of BPJS 21.04.1960
tympanum (KESEHATAN)
[ 20.94 ]
Central perforation of tympanic Myringoplasty PT. JASA 01.05.1958
membrane [ H72.0 ] [ 19.4 ] RAHARJA
Tinnitus [ H93.1 ] Injection of BPJS (PBI) 04.07.1987
tympanum
[ 20.94 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 06.05.2009
without
adennoidectomy
[ 28.2 ]
Tinnitus [ H93.1 ] Injection of BPJS (PBI) 04.07.1987
tympanum
[ 20.94 ]
Chronic tonsillitis [ J35.0 ] BPJS 14.08.1998
(KESEHATAN)
Tinnitus [ H93.1 ] Injection of BPJS 16.12.1984
tympanum (KESEHATAN)
[ 20.94 ]
Polyp of nasal cavity [ J33.0 ] Tonsillectomy BPJS (PBI) 11.09.1984
without
adennoidectomy
[ 28.2 ]

Otoscopy [ 18.11 ] BPJS 09.04.1987


(KESEHATAN)
Chronic nasopharyngitis [ J31.1 ] Irrigation of nasal passages BPJS 10.09.1976
[ 96.53 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.02.2018

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 06.07.2016
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 06.07.2016
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS (PBI) 23.04.1999

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.02.2018

Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 11.08.2000

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 03.10.1965

Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 09.01.1960


membrane [ H72.0 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.08.1993

Otitis externa, unspecified [ H60.9 ] Otoscopy [ 18.11 ] BPJS (PBI) 31.03.2016


Other acute upper resp.inf... PRIBADI 17.08.1987
(Tonsillopharyngitis) [ J06.8 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 15.05.1962

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 13.08.1976
] (KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 01.12.1950
sinuses [ D14.0 ] [ 96.53 ]
Developmental disorder of speech Irrigation of ear [ 96.52 ] BPJS 10.03.2017
&language, unspec [ F80.9 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 10.11.1967
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 04.08.2014
(KESEHATAN)
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 14.07.1957
larynx and trachea [ 31.4 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 03.12.1982
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 28.12.2012
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.06.1997
larynx and trachea [ 31.4 ] (KESEHATAN)
Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS 02.06.1997
larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 16.08.2005
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 PRIBADI 16.12.1985
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 28.12.1968
H66.3 ]
Foreign body in ear - Auditory canal Otoscopy [ 18.11 ] BPJS (PBI) 12.06.2011
[ T16 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 05.05.2005
& MANDIRI)
Superficial injury of nose [ S00.3 ] Irrigation of nasal passages BPJS (PBI) 11.08.2000
[ 96.53 ]
Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS 14.01.1995
process,unspec. [ H95.9 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 23.11.1993
(KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS 28.05.2009
process,unspec. [ H95.9 ] (KESEHATAN)
Chronic laryngotracheitis [ J37.1 ] Diagnostic procedures on BPJS (PBI) 07.09.1970
larynx and trachea [ 31.4 ]
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
unspecified [ H72.9 ] RAHARJA
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.06.1969

Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS 17.11.1989


media [ H65.1 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 03.09.1983
[ 96.53 ] (KESEHATAN)
Otitis externa [ H60 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 12.06.2011

Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 16.08.2005


tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 21.04.1960
(KESEHATAN)
Tinnitus [ H93.1 ] Audiometry [ 95.41 ] BPJS 21.04.1960
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 28.12.1968
H66.3 ]
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 12.10.1972
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 15.05.1999
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 30.05.1976

Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 19.10.2000


tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 25.11.1978
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.08.1993

Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 03.08.1992


tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 10.08.1949
] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS 12.11.2000
process,unspec. [ H95.9 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of ear [ 96.52 ] BPJS 12.11.2000
(chronic)NOS [ J32.9 ] (KESEHATAN)
Chronic laryngitis [ J37.0 ] Diagnostic procedures on BPJS (PBI) 02.04.1999
larynx and trachea [ 31.4 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 25.06.2011
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 16.04.1985
] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 BPJS 16.04.1985
] (KESEHATAN)
Other acute nonsuppurative otitis BPJS 11.04.1961
media [ H65.1 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 25.11.1978
(chronic)NOS [ J32.9 ] [ 96.53 ]
Nasal cavity [ C30.0 ] Irrigation of nasal passages BPJS 13.01.1999
[ 96.53 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 04.04.2016
(KESEHATAN)
Anosmia [ R43.0 ] Irrigation of nasal passages BPJS (PBI) 25.11.1978
[ 96.53 ]
Sensorineural hearing loss, unspecified BPJS 15.05.2004
[ H90.5 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS 01.07.1978
(KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 01.07.1978
[ 96.53 ] (KESEHATAN)
Other acute nonsuppurative otitis BPJS (PBI) 24.10.1944
media [ H65.1 ]
Allergic rhinitis, unspecified [ J30.4 ] BPJS 25.11.1978
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of nasal passages BPJS (PBI) 29.10.1993
[ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 14.10.2014
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 14.10.2014
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 14.10.2014
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PRIBADI 15.10.2017
H66.3 ]
Headache - Cephalalgia - Facial pain Irrigation of ear [ 96.52 ] BPJS 01.07.1961
NOS [ R51 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.10.1972
larynx and trachea [ 31.4 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 BPJS 04.01.1981
] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 30.01.2003
[ T16 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 01.02.1959
]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.06.1997
larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 04.05.1991
[ 96.53 ]
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 07.05.1955
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 02.03.1973
[ 96.53 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 10.11.1967
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Postprocedur.disord.of ear&mastoid BPJS (PBI) 01.11.1992
process,unspec. [ H95.9 ]
Other marginal perforations of tympanic PRIBADI 15.05.1990
membrane [ H72.2 ]
Other marginal perforations of tympanic Irrigation of ear [ 96.52 ] BPJS (PBI) 01.05.1978
membrane [ H72.2 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.07.1982
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.07.1982
[ 96.53 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Other x-ray of facial bones BPJS (PBI) 10.04.2006
sinuses [ D14.0 ] [ 87.16 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 29.10.2013
]
Acute pharyngitis, unspecified [ J02.9 ] BPJS 07.03.1989
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 25.12.1978

Chronic tonsillitis [ J35.0 ] BPJS 13.10.2001


(KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 07.03.1989
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic laryngitis [ J37.0 ] Diagnostic procedures on BPJS (PBI) 07.09.1970
larynx and trachea [ 31.4 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 07.09.1970
[ J37 ] larynx and trachea [ 31.4 ]
Nasal cavity [ C30.0 ] Irrigation of nasal passages BPJS 29.09.1985
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 31.01.2014
]
Postprocedur.disord.of ear&mastoid BPJS 15.03.2009
process,unspec. [ H95.9 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 15.03.2009
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.10.2014
] (KESEHATAN)
Abscess, furuncle and carbuncle of nose Irrigation of nasal passages BPJS 20.09.1969
[ J34.0 ] [ 96.53 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS 20.09.1969
sinuses [ D14.0 ] [ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 25.09.1981
[ T16 ] (KESEHATAN)
Nasopharynx, unspecified (M8010/3) Irrigation of nasal passages BPJS (PBI) 10.04.2006
[ C11.9 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.09.1981

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 25.08.1995


(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PBI) 15.05.1999
]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 16.04.1985
(KESEHATAN)
Sensorineural hearing loss, bilateral Irrigation of ear [ 96.52 ] BPJS (PBI) 15.02.1965
[ H90.3 ]
Superficial mycosis, unspecified [ B36.9 BPJS 13.06.1996
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 20.02.2003

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 17.06.2014
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 05.07.1972
H66.3 ]
Superficial injury of nose [ S00.3 ] PRIBADI 14.06.2015

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 12.10.1972


[ 96.53 ] (KESEHATAN)
Other acute nonsuppurative otitis PRIBADI 20.12.1959
media [ H65.1 ]
Foreign body in mouth [ T18.0 ] Removal of intraluminal BPJS 14.02.1974
foreign body from pharynx (KESEHATAN)
without incision [ 98.13 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1957

Impacted cerumen - Wax in ear [ H61.2 Irrigation of nasal passages BPJS 04.08.2016
] [ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 13.05.1964
] (KESEHATAN)
Foreign body in nostril - Nose NOS Removal of intraluminal BPJS (PBI) 21.11.2016
[ T17.1 ] foreign body from nose
without incision [ 98.12 ]
Suppurative otitis media, unspecified Irrigation of ear [ 96.52 ] BPJS 22.05.2012
[ H66.4 ] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS (PBI) 19.04.1988
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
RAHARJA
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 29.10.1968
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 29.10.1968
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Otoscopy [ 18.11 ] PT. JASA 01.05.1958
RAHARJA
Otitis externa [ H60 ] PRIBADI 06.08.1979

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 15.05.1999


] (KESEHATAN)
Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS (PBI) 01.12.1975
[ H90.5 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 14.07.1988
(KESEHATAN)
Sensorineural hearing loss, unspecified BPJS (PBI) 01.12.1964
[ H90.5 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 26.05.2015
[ T16 ]
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS (PBI) 01.03.1994
larynx and trachea [ 31.4 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 06.05.2009
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 16.07.2010
larynx and trachea [ 31.4 ] (KESEHATAN)
Otomycosis NOS (H62.2* Otitis externa Irrigation of ear [ 96.52 ] BPJS 13.06.1996
in mycoses) [ B36.9+ ] (KESEHATAN)
Otomycosis NOS (H62.2* Otitis externa Other irrigation of wound, BPJS (PBI) 23.01.1999
in mycoses) [ B36.9+ ] wound cleaning NOS [ 96.59 ]
Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 23.01.1999
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Chronic tonsillitis [ J35.0 ] Irrigation of ear [ 96.52 ] BPJS 08.04.2013
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 07.11.2017
] (KESEHATAN)
Other infective otitis externa [ H60.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 20.08.2004

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 04.02.2008


larynx and trachea [ 31.4 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 25.04.2006
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 06.09.2010
]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 25.04.2006
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 25.04.2006
[ 96.53 ] (KESEHATAN)
Open wound of lip and oral cavity Irrigation of ear [ 96.52 ] BPJS (PBI) 23.01.1999
[ S01.5 ]
Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] PRIBADI 10.03.1939

Chronic laryngitis [ J37.0 ] Diagnostic procedures on BPJS 15.04.1973


larynx and trachea [ 31.4 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 04.01.1981
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.08.1959
] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 09.12.2010

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 20.11.1984


(KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PNS/POLRI 12.02.1979
[ 96.53 ] & MANDIRI)
Postprocedur.disord.of ear&mastoid BPJS (PBI) 14.08.1998
process,unspec. [ H95.9 ]
Sensorineural hearing loss, bilateral Irrigation of ear [ 96.52 ] BPJS 06.01.1986
[ H90.3 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 14.08.1998
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic laryngitis [ J37.0 ] Diagnostic procedures on BPJS (PBI) 07.09.1970
larynx and trachea [ 31.4 ]
Common cold (Acute nasopharyngitis)- Irrigation of nasal passages BPJS 28.01.1988
Coryza (acute) [ J00 ] [ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS (PBI) 10.01.2010
]
Acute pharyngitis, unspecified [ J02.9 ] PRIBADI 28.10.1970

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 07.04.2018


(KESEHATAN)
Cholesteatoma of external ear [ H60.4 ] Irrigation of ear [ 96.52 ] BPJS 07.05.1955
(KESEHATAN)
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS 07.05.1955
media [ H65.1 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 07.05.1955
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 10.12.2012
] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 26.03.1980
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Granulomatous Irrigation of ear [ 96.52 ] BPJS 26.03.1980
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Otitis media, unspecified [ H66.9 ] PRIBADI 12.12.2016

Hypertrophy of tonsils - Enlargement of Irrigation of nasal passages BPJS (PBI) 06.12.2008


tonsils [ J35.1 ] [ 96.53 ]
Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS 01.11.2016
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1991
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 08.03.1957
] & MANDIRI)
Postprocedur.disord.of ear&mastoid BPJS 14.07.1957
process,unspec. [ H95.9 ] (KESEHATAN)
Anosmia [ R43.0 ] Irrigation of nasal passages BPJS 16.08.2002
[ 96.53 ] (KESEHATAN)
Dyspepsia - Indigestion [ K30 ] Irrigation of nasal passages BPJS (PBI) 02.03.1973
[ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 27.09.2009
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 23.09.1965
[ 96.53 ] (KESEHATAN)
Perforation of tympanic membrane, PRIBADI 27.03.1989
unspecified [ H72.9 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 02.01.2007
(KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 28.12.1989
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 07.09.1984
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 10.01.1995
[ 96.53 ]
Foreign body in nostril - Nose NOS Irrigation of nasal passages PRIBADI 26.03.2016
[ T17.1 ] [ 96.53 ]
Foreign body in ear - Auditory canal BPJS 04.08.2018
[ T16 ] (KESEHATAN)
Irrigation of nasal passages BPJS 26.06.1979
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 10.01.1995
[ 96.53 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 30.03.1986
[ H68.1 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 13.06.1982
H66.3 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 13.06.1982
(KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 04.05.1965
[ 96.53 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 04.05.1965
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 24.02.1990
(KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 01.12.1999
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 01.12.1999
]
Nasal cavity [ C30.0 ] BPJS 21.04.1960
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 24.11.2015
] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] PRIBADI 10.04.1989
[ T16 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 17.04.2016
[ 96.53 ]
Maxillary sinus - Antrum (Highmore) Irrigation of nasal passages BPJS 21.04.1960
(maxillary) [ C31.0 ] [ 96.53 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 13.07.2001
] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 17.03.2009
larynx and trachea [ 31.4 ] (KESEHATAN)
Otomycosis NOS (H62.2* Otitis externa BPJS (PBI) 21.06.1982
in mycoses) [ B36.9+ ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 07.10.1990

Other forms of stomatitis [ K12.1 ] Diagnostic procedures on BPJS (PBI) 20.02.1974


larynx and trachea [ 31.4 ]
Candidiasis of skin and nail [ B37.2 ] Otoscopy [ 18.11 ] BPJS (PBI) 21.06.1982

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 01.07.1978
[ 96.53 ]
Chronic tonsillitis [ J35.0 ] Pharyngoscopy [ 29.11 ] BPJS 16.07.2010
(KESEHATAN)
Postprocedur.disord.of ear&mastoid Insertion of other BPJS (PBI) 20.05.1965
process,unspec. [ H95.9 ] (naso-)gastric tube [ 96.07 ]
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 20.05.1965
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 25.06.2011
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 06.05.2012
[ T16 ]
Other chronic suppurative otitis media [ BPJS (PNS/POLRI 07.04.1972
H66.3 ] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 14.09.2001
larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.08.1991
[ 96.53 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.12.1964

Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 11.03.1966


(KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 11.03.1966
[ H90.5 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 16.05.1982
(KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 03.06.2012
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 01.07.1978
[ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 13.01.2009
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 25.06.2011
larynx and trachea [ 31.4 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.12.1953
[ 96.53 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 20.11.2011
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] BPJS (PBI) 21.10.1973

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.02.2010
] (KESEHATAN)
Malignant neoplasm of skin, unspecified Irrigation of ear [ 96.52 ] BPJS 11.11.1964
[ C44.9 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 08.10.2001
]
Acute serous otitis media [ H65.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 15.05.1962

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PBI) 24.02.1988


[ H68.1 ]
Hearing loss, unspecified [ H91.9 ] PRIBADI 06.07.1970
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 16.12.1984
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.12.1982
larynx and trachea [ 31.4 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Irrigation of nasal passages BPJS 06.08.1980
tonsils [ J35.1 ] [ 96.53 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of ear [ 96.52 ] BPJS 06.08.1980
(KESEHATAN)
Polyp of nasal cavity [ J33.0 ] Irrigation of nasal passages BPJS (PBI) 19.08.1986
[ 96.53 ]
Accessory sinus, unspecified [ C31.9 ] Irrigation of nasal passages BPJS 27.11.1964
[ 96.53 ] (KESEHATAN)
Epistaxis-Haemorrhage from nose- PRIBADI 22.08.1995
Nosebleed [ R04.0 ]
Chronic nasopharyngitis [ J31.1 ] Irrigation of BPJS 06.08.1980
nasal passages [ (KESEHATAN)
96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 06.08.1980
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS 09.06.2009
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 31.07.1987
(KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 31.07.1987
membrane [ H72.0 ] (KESEHATAN)
Foreign body in nostril - Nose NOS Irrigation of nasal passages PRIBADI 19.10.2014
[ T17.1 ] [ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 04.03.1992
] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on PRIBADI 02.04.1953
larynx and trachea [ 31.4 ]
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS (PBI) 28.12.1968
membrane [ H72.0 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 25.06.2007
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 14.12.2015
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 19.04.2001
(KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on PRIBADI 16.10.1992
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 16.10.1992
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 19.02.1984
[ 96.53 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 18.09.1973
[ H68.1 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 26.11.1976

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 04.01.2013
H66.3 ] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS (PBI) 10.10.1974
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Other chronic suppurative otitis media [ Irrigation of nasal passages BPJS 04.01.2013
H66.3 ] [ 96.53 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 11.09.1984
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Tinnitus [ H93.1 ] BPJS (PBI) 15.03.1999

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 22.01.2014
(KESEHATAN)
Other acute nonsuppurative otitis PRIBADI 25.11.1991
media [ H65.1 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 12.08.1984
(KESEHATAN)
Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 10.12.1962
larynx and trachea [ 31.4 ] (KESEHATAN)
Maxillary sinus - Antrum (Highmore) Irrigation of nasal passages BPJS (PBI) 01.12.1950
(maxillary) [ C31.0 ] [ 96.53 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 16.10.1992
larynx and trachea [ 31.4 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 15.07.1969
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Otoscopy [ 18.11 ] BPJS 21.09.1988
] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 20.02.1979
[ J37 ] larynx and trachea [ 31.4 ]
Polyp of nasal cavity [ J33.0 ] Irrigation of nasal passages BPJS (PBI) 19.08.1986
[ 96.53 ]
PRIBADI 01.01.2007

Superficial mycosis, unspecified [ B36.9 BPJS (PNS/POLRI 23.12.2001


] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 17.06.2010
larynx and trachea [ 31.4 ] & MANDIRI)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 29.10.1968
H66.3 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 29.10.1968
H66.3 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 10.03.1949
[ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 10.03.1949
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 16.07.2010
larynx and trachea [ 31.4 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 04.08.2014
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Otoscopy [ 18.11 ] BPJS (PNS/POLRI 22.10.1964
& MANDIRI)
Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS (PBI) 07.09.1970
larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Otoscopy [ 18.11 ] BPJS 09.04.2016
] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 20.02.1979
[ J37 ] larynx and trachea [ 31.4 ]
Acute laryngopharyngitis [ J06.0 ] Irrigation of ear [ 96.52 ] PRIBADI 20.02.1979

Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 09.06.2009
[ T16 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 02.02.2004
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.02.2004
(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.12.2001
] & MANDIRI)
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS (PBI) 18.12.2015
[ T17.1 ] [ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 10.06.1986
] (KESEHATAN)
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on BPJS 19.10.1968
[ J04.0 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 16.12.1984
(KESEHATAN)
Tinnitus [ H93.1 ] Audiometry [ 95.41 ] BPJS 16.12.1984
(KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 16.12.1984
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 10.01.1995
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 07.09.1984
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 07.08.1950
(KESEHATAN)
Chronic maxillary sinusitis - Antritis Ethmoidectomy [ BPJS 15.12.1985
(chronic) [ J32.0 ] 22.63 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PNS/POLRI 17.06.2010
without & MANDIRI)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 16.10.1992
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 12.10.1972
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS 14.07.1957
tracheostomy (KESEHATAN)
tube [ 97.23 ]
Chronic tonsillitis [ J35.0 ] Plastic operation BPJS (PBI) 04.02.2008
of pharynx
[ 29.4 ]
Tracheostomy status [ Z93.0 ] Revision of BPJS (PBI) 20.05.1965
tracheostomy
[ 31.74 ]
Skin of ear and external auricular canal Radical excision BPJS (PBI) 01.12.1999
[ C44.2 ] of lesion of
external ear
[ 18.31 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 25.06.2011
without
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Other external BPJS (PBI) 01.07.1978
(chronic) [ J32.0 ] maxillary
antrotomy
[ 22.39 ]
Epistaxis-Haemorrhage from nose- BPJS (PBI) 12.06.1966
Nosebleed [ R04.0 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 01.11.1992
without
adennoidectomy
[ 28.2 ]
Polyp of nasal cavity [ J33.0 ] Other external BPJS (PBI) 19.08.1986
maxillary
antrotomy
[ 22.39 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 16.07.2010
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 17.03.2009
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 16.08.2005
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Tinnitus [ H93.1 ] Injection of BPJS (PBI) 03.10.1965
tympanum
[ 20.94 ]
Tinnitus [ H93.1 ] Injection of BPJS (PBI) 03.10.1965
tympanum
[ 20.94 ]
Skin of ear and external auricular canal Excision of BPJS (PBI) 19.06.1993
[ C44.2 ] preauricular
sinus [ 18.21 ]
Middle ear, nasal cavity & accessory Other x-ray of facial bones BPJS (PBI) 01.12.1999
sinuses [ D14.0 ] [ 87.16 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 17.06.2010
larynx and trachea [ 31.4 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.07.2018
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 21.04.2013
] (KESEHATAN)
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.08.1979
media [ H65.1 ] & MANDIRI)
Nasal cavity [ C30.0 ] Irrigation of nasal passages BPJS 27.11.1964
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.11.2017
] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 25.08.1995
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 30.10.2002
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 19.08.1986
(chronic)NOS [ J32.9 ] [ 96.53 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 12.03.2014
(KESEHATAN)
Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS 01.01.1943
[ H90.5 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.10.1972
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 08.04.1985
(KESEHATAN)
Foreign body in nostril - Nose NOS Removal of intraluminal BPJS (PBI) 27.08.2016
[ T17.1 ] foreign body from nose
without incision [ 98.12 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 08.03.2014
(KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 08.01.1965
sinuses [ D14.0 ] [ 96.53 ]
Granulomatous Irrigation of ear [ 96.52 ] BPJS 26.03.1980
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 15.01.1979
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 24.11.2015
(KESEHATAN)
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS 03.06.2012
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.11.1978

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 08.10.2001
]
Hypertrophy of tonsils - Enlargement of BPJS (PBI) 02.03.1973
tonsils [ J35.1 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 25.08.1954
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.04.2018

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 29.10.2014

Open wound of ear [ S01.3 ] Irrigation of nasal passages BPJS 27.03.2015


[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 10.04.2011
(KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on PRIBADI 28.12.1947
[ J37 ] larynx and trachea [ 31.4 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 30.09.1958

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 16.05.1982


(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
H66.3 ] RAHARJA
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 04.12.1982
[ 96.53 ] (KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
membrane [ H72.0 ] RAHARJA
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 06.09.1984
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 08.02.1966
larynx and trachea [ 31.4 ] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 01.05.2017
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1970
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 18.12.2015
(KESEHATAN)
Presbycusis - Presbyacusia [ H91.1 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1943
(KESEHATAN)
Central perforation of tympanic Irrigation of nasal passages BPJS 29.10.1968
membrane [ H72.0 ] [ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 16.11.2016
] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 26.08.2009

Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 31.07.1987


membrane [ H72.0 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 20.11.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 25.08.1954
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 28.11.1992
& MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 23.10.1991
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 13.04.1985

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 09.09.1998
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 22.04.1978

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 14.09.2001


larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.06.1997
larynx and trachea [ 31.4 ] (KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS (PBI) 05.07.1972
membrane [ H72.0 ]
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS (PBI) 05.07.1972
media [ H65.1 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 03.06.2012
[ T16 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.10.1992
& MANDIRI)
Middle ear, nasal cavity & accessory Rhinoscopy [ 21.21 ] PRIBADI 01.12.1950
sinuses [ D14.0 ]
Chronic pharyngitis - Chronic sore PRIBADI 15.10.1977
throat [ J31.2 ]
Middle ear, nasal cavity & accessory Rhinoscopy [ 21.21 ] BPJS (PBI) 01.12.1950
sinuses [ D14.0 ]
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 03.10.1965

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.03.1986


larynx and trachea [ 31.4 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 08.01.1965
sinuses [ D14.0 ] [ 96.53 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 03.04.1980
[ J37 ] larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 12.12.1957

Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 06.12.1984


membrane [ H72.0 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.10.1971

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 22.01.2015
H66.3 ]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 04.08.1962
[ 96.53 ]
Middle ear, nasal cavity & accessory Irrigation of ear [ 96.52 ] BPJS (PBI) 01.12.1999
sinuses [ D14.0 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 15.05.1962

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 15.10.2002


(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 22.01.2014
(KESEHATAN)
Tinnitus [ H93.1 ] Audiometry [ 95.41 ] BPJS (PBI) 01.08.1971

Cholesteatoma of external ear [ H60.4 ] Irrigation of ear [ 96.52 ] BPJS 07.05.1955


(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Diagnostic procedures on BPJS 13.04.1957
(chronic)NOS [ J32.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS 10.03.1949
(chronic) [ J32.0 ] [ 96.53 ] (KESEHATAN)
Foreign body in nasal sinus [ T17.0 ] Irrigation of nasal passages BPJS 30.10.2015
[ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 04.02.2008
larynx and trachea [ 31.4 ]
Presbycusis - Presbyacusia [ H91.1 ] Irrigation of ear [ 96.52 ] BPJS 30.12.1960
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 03.12.2005

Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 24.08.1966


larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 07.04.2018
] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 06.11.1980
(KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 20.02.1979
[ J37 ] larynx and trachea [ 31.4 ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 24.02.1988

Nasopharynx, unspecified (M8010/3) BPJS 15.05.1963


[ C11.9 ] (KESEHATAN)
Chronic pharyngitis - Chronic sore BPJS 29.12.1979
throat [ J31.2 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.08.1971

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.10.1983


(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 12.01.2012
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 05.05.1998
(KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PBI) 12.06.1980
[ H68.1 ]
Tracheostomy status [ Z93.0 ] Replacement of tracheostomy BPJS 09.01.1981
tube [ 97.23 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 03.12.1982
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic sinusitis,unspecif.-Sinusitis BPJS (PBI) 02.03.1973
(chronic)NOS [ J32.9 ]
Skin of ear and external auricular canal Excision or BPJS 26.03.1980
[ D23.2 ] destruction of (KESEHATAN)
lession of
external ear
[ 18.2 ]
Chronic maxillary sinusitis - Antritis Other external BPJS 10.03.1949
(chronic) [ J32.0 ] maxillary (KESEHATAN)
antrotomy
[ 22.39 ]
Nasal cavity [ C30.0 ] BPJS (PBI) 10.04.2006

Chronic ethmoidal sinusitis - Ethmoidal Other BPJS (PBI) 04.05.1991


sinusi.NOS [ J32.2 ] septoplasty
[ 21.88 ]
Chronic tonsillitis [ J35.0 ] Diagnostic ultrasound of heart BPJS (PBI) 06.12.2008
[ 88.72 ]
Lip, oral cavity and pharynx [ D37.0 ] Wide excision or destruction of BPJS 07.10.1995
lesion or tissue of bony palate (KESEHATAN)
[ 27.32 ]
Hypertrophy of tonsils - Enlargement of Tonsillectomy BPJS 20.11.2011
tonsils [ J35.1 ] without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Tinnitus [ H93.1 ] Injection of BPJS (PBI) 01.08.1971
tympanum
[ 20.94 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS (PBI) 20.05.1965
tracheostomy
tube [ 97.23 ]
Traumatic rupture of ear drum Irrigation of ear [ 96.52 ] PRIBADI 17.09.1975
[ S09.2 ]
Chronic maxillary sinusitis - Antritis Rhinoscopy [ 21.21 ] BPJS (PBI) 04.08.1962
(chronic) [ J32.0 ]
Allergic rhinitis, unspecified [ J30.4 ]
Irrigation of nasal passages BPJS 23.10.1991
[ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on PRIBADI 21.06.1975
larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 09.11.2014
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 26.08.1989
(KESEHATAN)
Observ.for other suspected diseases Diagnostic procedures on BPJS (PBI) 01.03.1994
and conditions [ Z03.8 ] larynx and trachea [ 31.4 ]
Abscess, furuncle and carbuncle of nose Irrigation of nasal passages BPJS 20.09.1969
[ J34.0 ] [ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 26.09.2015

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 20.05.2016
] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 26.08.2009

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 25.08.1995
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 28.11.1992
& MANDIRI)
Abscess, furuncle and carbuncle of nose Irrigation of nasal passages BPJS 20.09.1969
[ J34.0 ] [ 96.53 ] (KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 29.12.1979
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Presbycusis - Presbyacusia [ H91.1 ] Irrigation of ear [ 96.52 ] BPJS 16.11.1939
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 14.04.2002
(KESEHATAN)
Other acute upper resp.inf... PRIBADI 27.02.1990
(Tonsillopharyngitis) [ J06.8 ]
Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS (PBI) 19.10.2000
process,unspec. [ H95.9 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.10.1992
& MANDIRI)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 19.10.2000
larynx and trachea [ 31.4 ]
Obstruction of Eustachian tube BPJS (PBI) 12.06.1980
[ H68.1 ]
Chronic tonsillitis [ J35.0 ] PRIBADI 04.09.2008

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 15.11.2000
]
Chronic tonsillitis [ J35.0 ] BPJS 23.02.2000
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 23.02.2000
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.12.1953
[ 96.53 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Rhinoscopy [ 21.21 ] BPJS 26.07.2003
(KESEHATAN)
Acute laryngopharyngitis [ J06.0 ] Diagnostic procedures on BPJS 02.06.1997
larynx and trachea [ 31.4 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] BPJS 02.06.1997
(KESEHATAN)
Chronic pharyngitis - Chronic sore BPJS 02.06.1997
throat [ J31.2 ] (KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 02.06.1997
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Dysphagia - Difficulty in swallowing BPJS (PBI) 03.04.1980
[ R13 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 05.05.2005
H66.3 ] & MANDIRI)
Acute laryngitis (NOS - oedematous ) BPJS 07.12.1978
[ J04.0 ] (KESEHATAN)
Central perforation of tympanic PRIBADI 19.05.2012
membrane [ H72.0 ]
Chronic tonsillitis [ J35.0 ] BPJS 02.07.1990
(KESEHATAN)
Accessory sinus, unspecified [ C31.9 ] BPJS 21.04.1960
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.07.1990
larynx and trachea [ 31.4 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 24.11.2015
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 24.11.2015
] (KESEHATAN)
Central perforation of tympanic PRIBADI 19.05.2012
membrane [ H72.0 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 13.04.1957
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Central perforation of tympanic Audiometry [ 95.41 ] PT. JASA 01.05.1958
membrane [ H72.0 ] RAHARJA
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 08.07.1997
(KESEHATAN)
Otomycosis NOS (H62.2* Otitis externa BPJS 08.07.1997
in mycoses) [ B36.9+ ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] BPJS 08.07.1997
(KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS (PBI) 04.05.1991

Impacted cerumen - Wax in ear [ H61.2 BPJS 18.10.2006


] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 18.10.2006
]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 26.11.2016
& MANDIRI)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 26.11.2016
& MANDIRI)
Candidiasis of other sites-(H62.2* Otitis BPJS 08.07.1997
externa in mycoses) [ B37.8 + ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 12.12.1986

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 12.12.1986

Chronic laryngitis and laryngotracheitis BPJS (PBI) 06.09.1978


[ J37 ]
Sensorineural hearing loss, bilateral Audiometry [ 95.41 ] PRIBADI 01.05.1955
[ H90.3 ]
Peritonsillar abscess-Abscess of tonsil BPJS (PBI) 17.09.1983
[ J36 ]
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 20.04.2008
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Chronic tonsillitis [ J35.0 ] BPJS 25.11.2009
(KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 14.07.1993
[ 96.53 ]
Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 05.12.2016
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.04.2011
] (KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS 14.07.1993
(KESEHATAN)
Abscess of external ear [ H60.0 ] Irrigation of ear [ 96.52 ] BPJS 08.07.1997
(KESEHATAN)
Perforation of tympanic membrane, BPJS 25.01.1945
unspecified [ H72.9 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] PRIBADI 25.12.2018

Epistaxis-Haemorrhage from nose- Rhinoscopy [ 21.21 ] BPJS 22.03.2015


Nosebleed [ R04.0 ] (KESEHATAN)
Foreign body in ear - Auditory canal BPJS 01.08.1968
[ T16 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 25.02.1969
& MANDIRI)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 12.06.1980

Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] PRIBADI 13.07.1992

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 31.01.2005
] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 25.08.1954
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis BPJS 25.08.1954
[ J37 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 22.08.1996
larynx and trachea [ 31.4 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 07.09.1970
[ J37 ] larynx and trachea [ 31.4 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 25.06.2015
(KESEHATAN)
Middle ear, nasal cavity & accessory Diagnostic procedures on BPJS (PBI) 07.01.1966
sinuses [ D14.0 ] larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 23.04.1970
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 03.12.2005

Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS (PBI) 07.01.1966


larynx and trachea [ 31.4 ]
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS 09.05.2017
unspecified [ H72.9 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.08.2017

Otomycosis NOS (H62.2* Otitis externa PRIBADI 06.03.1988


in mycoses) [ B36.9+ ]
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 12.03.2014
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.09.2012
] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] PRIBADI 08.07.2007

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 18.10.2010


larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS 30.10.2002
process,unspec. [ H95.9 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 25.06.2015
] (KESEHATAN)
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 09.10.1969
larynx and trachea [ 31.4 ] (KESEHATAN)
Nontoxic goitre, unspecified - Goitre Diagnostic procedures on BPJS (PBI) 01.07.1970
NOS [ E04.9 ] larynx and trachea [ 31.4 ]
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 30.04.1981
[ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal PRIBADI 01.03.1975
[ T16 ]
Other major salivary glands [ D11.7 ] Diagnostic procedures on BPJS 17.07.2005
larynx and trachea [ 31.4 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 28.04.1986
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Developmental disorder of speech Irrigation of ear [ 96.52 ] BPJS 06.09.2017
&language, unspec [ F80.9 ] (KESEHATAN)
Lethal midline granuloma [ M31.2 ] Irrigation of nasal passages BPJS 07.01.1964
[ 96.53 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS (PBI) 10.07.2000

Nasal cavity [ C30.0 ] Irrigation of nasal passages BPJS 21.04.1960


[ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 14.04.2017
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 18.11.1976
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.08.2001
] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 29.10.2014

Nontoxic goitre, unspecified - Goitre BPJS 28.04.1991


NOS [ E04.9 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] PRIBADI 24.04.2011
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 22.04.1978
]
Hearing loss, unspecified [ H91.9 ] BPJS 12.07.1945
(KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 12.01.2007
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 04.06.1992

Chronic rhinitis - Ozena [ J31.0 ] BPJS 07.07.1984


(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 04.06.1992

Nontoxic single thyroid nodule [ E04.1 ] Diagnostic procedures on BPJS (PBI) 01.03.1994
larynx and trachea [ 31.4 ]
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 27.12.1970
membrane [ H72.0 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 21.09.1988
[ T16 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 27.02.2006
(KESEHATAN)
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on BPJS 07.12.1978
[ J04.0 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 17.04.2002
membrane [ H72.0 ] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 17.08.2016
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 07.09.1970
[ J37 ] larynx and trachea [ 31.4 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 20.08.1970
[ H68.1 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.07.2017
] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 19.04.2012
(KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 07.03.1955
membrane [ H72.0 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 07.03.1955
H66.3 ] (KESEHATAN)
Traumatic rupture of ear drum BPJS 04.06.1983
[ S09.2 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 27.11.1986
[ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 30.04.1981
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 18.10.2006
larynx and trachea [ 31.4 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 17.05.1980
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 18.10.2006
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.01.1950
(KESEHATAN)
Chronic maxillary sinusitis - Antritis BPJS 02.02.1973
(chronic) [ J32.0 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 11.07.1992
[ 96.53 ] (KESEHATAN)
Developmental disorder of speech Irrigation of nasal passages BPJS (PBI) 04.08.2017
&language, unspec [ F80.9 ] [ 96.53 ]
Epistaxis-Haemorrhage from nose- Irrigation of ear [ 96.52 ] BPJS 03.09.1995
Nosebleed [ R04.0 ] (KESEHATAN)
Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 05.06.1953
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 21.10.2003
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 13.04.1985

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 18.05.1951


[ 96.53 ] (KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 24.08.1988
membrane [ H72.0 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 25.02.1969
& MANDIRI)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 12.09.2006
[ T16 ] (KESEHATAN)
Chronic laryngitis [ J37.0 ] Diagnostic procedures on BPJS 25.08.1954
larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 07.12.1999
[ 96.53 ] (KESEHATAN)
Malignant neoplasm of skin, unspecified BPJS 11.11.1964
[ C44.9 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 22.01.2014
[ T16 ] (KESEHATAN)
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 09.10.1969
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 12.12.1981

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 10.07.2000
[ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.09.2012
] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 09.11.1960
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 12.03.2014
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 12.03.2014
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of nasal passages BPJS 10.04.2011
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 29.09.1980
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 22.01.2015

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.07.1968


(KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 11.09.1969
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Diseases of vocal cords and larynx, NEC BPJS 07.10.1989
[ J38 ] (KESEHATAN)
Stomatitis and related lesions [ K12 ] Diagnostic procedures on BPJS 15.12.1991
larynx and trachea [ 31.4 ] (KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] PRIBADI 20.05.1983
[ H68.1 ]
Chronic nasopharyngitis [ J31.1 ] Irrigation of nasal passages BPJS 07.07.1984
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of nasal passages BPJS 29.04.1991
[ 96.53 ] (KESEHATAN)
Aphakia [ H27.0 ] Irrigation of ear [ 96.52 ] BPJS 13.05.1990
(KESEHATAN)
Fracture of nasal bones [ S02.2 ] Irrigation of nasal passages BPJS 11.07.1992
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 22.12.2008
] (KESEHATAN)
Nontoxic goitre, unspecified - Goitre Diagnostic procedures on BPJS (PBI) 20.02.1979
NOS [ E04.9 ] larynx and trachea [ 31.4 ]
Epistaxis-Haemorrhage from nose- Irrigation of nasal passages BPJS 23.10.1993
Nosebleed [ R04.0 ] [ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 03.12.1985

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 23.02.2013


[ 96.53 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS (PBI) 20.05.1965
process,unspec. [ H95.9 ]
Impacted cerumen - Wax in ear [ H61.2 BPJS 04.06.1979
] (KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS (PBI) 20.05.1965
process,unspec. [ H95.9 ]
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 01.10.2003
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.11.1991

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 21.10.2012


larynx and trachea [ 31.4 ]
Acute suppurative otitis media [ H66.0 ] BPJS 29.02.2012
(KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS 26.03.1980
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS 09.11.2001
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 09.12.1986
(KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS (PBI) 23.06.1975
membrane [ H72.0 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 27.03.2014
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS (PBI) 31.01.2013

Central perforation of tympanic BPJS (PBI) 23.06.1975


membrane [ H72.0 ]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 07.05.1955
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.08.2014
] (KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] PRIBADI 07.04.1985
membrane [ H72.0 ]
Nontoxic goitre, unspecified - Goitre Diagnostic procedures on BPJS (PBI) 11.01.1990
NOS [ E04.9 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 22.03.2015
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS 26.08.2014
] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 17.05.1980
] (KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 12.01.2007
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 07.04.2018
] (KESEHATAN)
Sensorineural hearing loss, unspecified PRIBADI 06.04.1970
[ H90.5 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 30.10.1987
] (KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS 06.12.1984
membrane [ H72.0 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.12.1982
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 29.06.2010
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 24.07.1992
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 02.02.2001
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 26.09.2015
H66.3 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 07.03.1955
H66.3 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS 20.12.1953
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PRIBADI 07.07.1963
H66.3 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 08.07.2001
[ T16 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 03.12.1982
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 30.10.1987
]
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 07.05.1955
] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS 29.10.1968
H66.3 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 07.05.1955
(KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 17.10.2014
[ T16 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 14.05.1974
(KESEHATAN)
Connective and other soft tissue of BPJS 07.10.1995
abdomen [ D21.4 ] (KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.11.1978

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.07.1945
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 19.05.2008
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] BPJS 02.11.1999
(KESEHATAN)
Malignant neoplasm of nasal cavity and Irrigation of nasal passages BPJS 10.11.1972
middle ear [ C30 ] [ 96.53 ] (KESEHATAN)
Otomycosis NOS (H62.2* Otitis externa BPJS (PNS/POLRI 23.04.1984
in mycoses) [ B36.9+ ] & MANDIRI)
Tinnitus [ H93.1 ] BPJS 12.12.1973
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.12.1996

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.02.1972

Acute suppurative otitis media [ H66.0 ] BPJS (PBI) 18.02.1972

Acute suppurative otitis media [ H66.0 ] BPJS (PBI) 09.03.2018

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS 12.01.2012
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 09.03.2018

Granulomatous BPJS (PBI) 07.11.2017


dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on BPJS (PBI) 25.11.2001
[ J04.0 ] larynx and trachea [ 31.4 ]
Middle ear, nasal cavity & accessory Other x-ray of facial bones BPJS (PBI) 08.01.1965
sinuses [ D14.0 ] [ 87.16 ]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 01.10.1983
(KESEHATAN)
Sensorineural hearing loss, bilateral Irrigation of ear [ 96.52 ] BPJS (PBI) 03.04.1986
[ H90.3 ]
Superficial mycosis, unspecified [ B36.9 BPJS 01.10.1983
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.08.2014
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 01.07.2002
(KESEHATAN)
Chronic laryngitis and laryngotracheitis BPJS (PNS/POLRI 06.03.1977
[ J37 ] & MANDIRI)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 06.03.1977
& MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.08.2014
] (KESEHATAN)
Middle ear, nasal cavity & accessory Other x-ray of facial bones BPJS 01.04.1989
sinuses [ D14.0 ] [ 87.16 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 09.07.2013
[ T16 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] PRIBADI 10.03.1939
[ T16 ]
Superficial injury of nose [ S00.3 ] BPJS (PBI) 28.05.1994

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.12.1984


[ H68.1 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 08.02.1966
(KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 08.02.1966
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 08.02.1966
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.03.2016
] (KESEHATAN)
Acute laryngitis (NOS - oedematous ) BPJS 23.01.1982
[ J04.0 ] (KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS 02.03.2016
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Otitis externa, unspecified [ H60.9 ] BPJS 02.09.2009
(KESEHATAN)
Superficial injury of nose [ S00.3 ] PRIBADI 26.07.2016

Chronic laryngitis [ J37.0 ] Other chest x-ray [ 87.49 ] BPJS (PNS/POLRI 09.11.1987
& MANDIRI)
Dysphonia - Hoarseness [ R49.0 ] Diagnostic procedures on BPJS (PNS/POLRI 09.11.1987
larynx and trachea [ 31.4 ] & MANDIRI)
Superficial mycosis, unspecified [ B36.9 BPJS (PNS/POLRI 23.08.1979
] & MANDIRI)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 06.11.1980
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 11.05.1957

Acute suppurative otitis media [ H66.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 11.05.1957

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 25.11.2010


larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.12.1973
] (KESEHATAN)
Central perforation of tympanic BPJS (PBI) 05.07.1972
membrane [ H72.0 ]
Peritonsillar abscess-Abscess of tonsil BPJS (PBI) 17.09.1983
[ J36 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 28.02.2004
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 02.07.1990
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS (PBI) 24.07.1992
adennoidectomy [ 28.2 ]
Peritonsillar abscess-Abscess of tonsil Incision and drainage of tonsil BPJS (PNS/POLRI 12.11.1967
[ J36 ] and peritonsilar structures & MANDIRI)
[ 28.0 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS 25.11.2009
adennoidectomy [ 28.2 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 21.10.2003
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Other BPJS 30.04.1981
(chronic) [ J32.0 ] septoplasty (KESEHATAN)
[ 21.88 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 09.01.2008
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Deviated nasal septum [ J34.2 ] Repair and BPJS (PBI) 10.07.2000
plastic operation
on nose [ 21.8 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 22.08.1996
without
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS 23.02.2000
adennoidectomy [ 28.2 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS (PBI) 21.10.2012
adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS (PBI) 04.06.1992
adennoidectomy [ 28.2 ]
Tracheostomy status [ Z93.0 ] Replacement of tracheostomy BPJS (PBI) 20.05.1965
tube [ 97.23 ]
Dysphagia - Difficulty in swallowing Transabdominal gastroscopy BPJS (PBI) 03.04.1980
[ R13 ] [ 44.11 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 08.02.1966
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Other BPJS 14.07.1993
(chronic) [ J32.0 ] septoplasty (KESEHATAN)
[ 21.88 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 30.10.2002
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 28.04.1986
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 19.10.2000
without
adennoidectomy
[ 28.2 ]
Chronic sinusitis,unspecif.-Sinusitis BPJS 11.10.1977
(chronic)NOS [ J32.9 ] (KESEHATAN)
Candidiasis, unspecified - Thrush NOS [ PRIBADI 02.12.1937
B37.9 ]
Hearing loss, unspecified [ H91.9 ] BPJS (PBI) 25.12.1955
Granulomatous BPJS (PBI) 12.01.2007
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Tinnitus [ H93.1 ] BPJS 02.08.1967
(KETENAGAKERJA
AN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 11.03.2008
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis BPJS 05.06.1979
(chronic)NOS [ J32.9 ] (KESEHATAN)
Perforation of tympanic membrane, BPJS (PBI) 03.12.1985
unspecified [ H72.9 ]
Chronic sinusitis,unspecif.-Sinusitis BPJS 02.02.1973
(chronic)NOS [ J32.9 ] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS (PBI) 02.10.1957
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Impacted cerumen - Wax in ear [ H61.2 BPJS 21.06.2016
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 22.09.2009
(KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS 02.07.1990
process,unspec. [ H95.9 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 29.03.1973
] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 08.11.2000
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 17.07.1983
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.08.1988
] (KESEHATAN)
Other specified superficial mycoses Irrigation of ear [ 96.52 ] PRIBADI 06.03.1988
[ B36.8 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 06.05.1934
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 10.07.2009

Acute suppurative otitis media [ H66.0 ] BPJS (PBI) 05.09.2013

Hypertrophy of tonsils - Enlargement of Rhinoscopy [ 21.21 ] BPJS (PBI) 06.06.2012


tonsils [ J35.1 ]
Abscess, furuncle and carbuncle of nose BPJS (PBI) 20.09.1969
[ J34.0 ]
Chronic tonsillitis [ J35.0 ] BPJS 11.08.2007
(KESEHATAN)
Other chronic suppurative otitis media [ BPJS (PBI) 12.12.1967
H66.3 ]
Obstruction of Eustachian tube BPJS (PBI) 04.10.1993
[ H68.1 ]
Other chronic suppurative otitis media [ BPJS 13.05.1990
H66.3 ] (KESEHATAN)
Unspecified injury of head [ S09.9 ] Irrigation of ear [ 96.52 ] BPJS 20.02.2014
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis BPJS 23.08.1982
(chronic)NOS [ J32.9 ] (KESEHATAN)
Foreign body in ear - Auditory canal BPJS 21.02.2000
[ T16 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS 15.10.1973
(chronic)NOS [ J32.9 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] BPJS (PBI) 01.02.2012

Foreign body in ear - Auditory canal BPJS (PBI) 23.11.2014


[ T16 ]
Acute pharyngitis, unspecified [ J02.9 ] PRIBADI 15.01.1987
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.03.1975
[ H68.1 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 09.11.2014
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 23.05.1987
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 24.08.1988
H66.3 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Rhinoscopy [ 21.21 ] PRIBADI 10.05.2009
sinuses [ D14.0 ]
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS 03.02.1988
(chronic)NOS [ J32.9 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS 04.09.2008
process,unspec. [ H95.9 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] PRIBADI 17.11.1977
(chronic)NOS [ J32.9 ]
Deviated nasal septum [ J34.2 ] BPJS (PBI) 04.10.1993

Chronic tonsillitis [ J35.0 ] BPJS 11.05.1980


(KESEHATAN)
Congenital malformations of other Diagnostic ultrasound of head BPJS (PBI) 01.03.1994
endocrine glands [ Q89.2 ] and neck [ 88.71 ]
Chronic laryngitis [ J37.0 ] BPJS 25.08.1954
(KESEHATAN)
Middle ear, nasal cavity & accessory BPJS (PBI) 20.09.1969
sinuses [ D14.0 ]
Otitis externa, unspecified [ H60.9 ] BPJS 14.03.1973
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 04.12.2010
(KESEHATAN)
Chronic pharyngitis - Chronic sore BPJS (PBI) 04.03.1983
throat [ J31.2 ]
Otitis externa, unspecified [ H60.9 ] BPJS 20.10.2016
(KESEHATAN)
Anosmia [ R43.0 ] BPJS 16.08.2002
(KESEHATAN)
Obstruction of Eustachian tube BPJS 02.04.1984
[ H68.1 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 20.01.2015
]
Chronic tonsillitis [ J35.0 ] PRIBADI 15.04.2007

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 10.07.2000
[ 96.53 ]
Other chronic suppurative otitis media [ BPJS (PBI) 23.06.1975
H66.3 ]
Candidiasis of skin and nail [ B37.2 ] BPJS (PBI) 11.04.1992

Allergic rhinitis, unspecified [ J30.4 ] BPJS 20.04.1987


(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 21.10.2012

Middle ear, nasal cavity & accessory BPJS 26.06.1979


sinuses [ D14.0 ] (KESEHATAN)
Obstruction of Eustachian tube BPJS 18.08.2009
[ H68.1 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of BPJS 23.02.2000
tonsils [ J35.1 ] (KESEHATAN)
Nasal polyp, unspecified [ J33.9 ] BPJS (PBI) 10.05.2009

Hearing loss, unspecified [ H91.9 ] BPJS (PBI) 03.04.1986

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 10.07.2009


Chronic sinusitis,unspecif.-Sinusitis BPJS 11.07.1992
(chronic)NOS [ J32.9 ] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS (PBI) 01.07.1951
H66.3 ]
Larynx - Epiglottis (suprahyoid portion) BPJS 27.03.1952
[ D14.1 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis BPJS 03.02.1988
(chronic)NOS [ J32.9 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of BPJS 17.05.1970
tonsils [ J35.1 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 10.12.1987
(KESEHATAN)
Deviated nasal septum [ J34.2 ] Rhinoscopy [ 21.21 ] BPJS 11.07.1992
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS 15.12.2013
] (KESEHATAN)
Foreign body in ear - Auditory canal PRIBADI 10.04.2015
[ T16 ]
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 13.04.1979

Tinnitus [ H93.1 ] PRIBADI 05.06.1979

Postprocedur.disord.of ear&mastoid BPJS 28.04.1986


process,unspec. [ H95.9 ] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS (PNS/POLRI 05.05.2005
H66.3 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 BPJS 10.08.1995
] (KESEHATAN)
Epistaxis-Haemorrhage from nose- BPJS 23.04.2014
Nosebleed [ R04.0 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 25.09.1971
(KESEHATAN)
Nasal cavity [ C30.0 ] BPJS 13.01.1999
(KESEHATAN)
Middle ear, nasal cavity & accessory BPJS (PBI) 10.05.2009
sinuses [ D14.0 ]
Otitis media, unspecified [ H66.9 ] BPJS 17.01.2019
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis BPJS (PBI) 08.03.1988
(chronic)NOS [ J32.9 ]
Foreign body in nasal sinus [ T17.0 ] BPJS (PBI) 01.08.1985

Postprocedur.disord.of ear&mastoid BPJS (PBI) 04.06.1992


process,unspec. [ H95.9 ]
Chronic laryngitis and laryngotracheitis BPJS 18.08.1973
[ J37 ] (KESEHATAN)
Chronic pharyngitis - Chronic sore BPJS (PBI) 05.03.1971
throat [ J31.2 ]
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS 03.09.1995
(chronic)NOS [ J32.9 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.10.2006
] (KESEHATAN)
Dysphonia - Hoarseness [ R49.0 ] BPJS 12.06.1979
(KESEHATAN)
Chronic laryngotracheitis [ J37.1 ] BPJS 25.08.1954
(KESEHATAN)
Other specified superficial mycoses PRIBADI 01.07.1982
[ B36.8 ]
Acute pharyngitis, unspecified [ J02.9 ] BPJS 03.07.1963
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 24.07.1992

Impacted cerumen - Wax in ear [ H61.2 BPJS (PBI) 21.07.1958


]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 10.06.1986

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 24.07.1992

Perforation of tympanic membrane, BPJS 06.01.2000


unspecified [ H72.9 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] BPJS (PBI) 05.09.2013

Anosmia [ R43.0 ] BPJS 16.08.2002


(KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS 03.09.1995
(KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS 11.07.1992
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 31.03.1991
]
Superficial injury of nose [ S00.3 ] PRIBADI 01.12.2015

Chronic tonsillitis [ J35.0 ] BPJS 25.11.2009


(KESEHATAN)
Foreign body in ear - Auditory canal BPJS (PBI) 22.09.2016
[ T16 ]
Foreign body in ear - Auditory canal PRIBADI 07.02.1948
[ T16 ]
Chronic sinusitis,unspecif.-Sinusitis BPJS (PNS/POLRI 11.02.2004
(chronic)NOS [ J32.9 ] & MANDIRI)
Dysphagia - Difficulty in swallowing BPJS 08.12.1943
[ R13 ] (KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS 03.09.1995
(KESEHATAN)
Peritonsillar abscess-Abscess of tonsil BPJS (PNS/POLRI 12.11.1967
[ J36 ] & MANDIRI)
Acute pharyngitis, unspecified [ J02.9 ] BPJS 10.01.1962
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 09.11.2001
(KESEHATAN)
Nasopharynx, unspecified (M8010/3) BPJS 13.08.1949
[ C11.9 ] (KESEHATAN)
Irrigation of ear [ 96.52 ] BPJS 17.10.2014
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 04.09.2008
(KESEHATAN)
Superficial injury of nose [ S00.3 ] PRIBADI 05.06.2016

Chronic laryngitis and laryngotracheitis BPJS 20.03.1953


[ J37 ] (KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] BPJS 17.05.1980
(KESEHATAN)
Chronic laryngitis and laryngotracheitis BPJS 20.03.1953
[ J37 ] (KESEHATAN)
Foreign body in ear - Auditory canal BPJS 05.06.2017
[ T16 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis BPJS (PBI) 10.01.1995
(chronic)NOS [ J32.9 ]
Impacted cerumen - Wax in ear [ H61.2 BPJS 01.09.2010
] (KESEHATAN)
Granulomatous BPJS 02.03.2016
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Chronic tonsillitis [ J35.0 ] BPJS 11.08.2007
(KESEHATAN)
Deviated nasal septum [ J34.2 ] BPJS (PBI) 19.02.1984

Middle ear, nasal cavity & accessory BPJS (PBI) 20.09.1969


sinuses [ D14.0 ]
Epistaxis-Haemorrhage from nose- PRIBADI 10.04.1983
Nosebleed [ R04.0 ]
Deviated nasal septum [ J34.2 ] BPJS 30.04.1981
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 29.04.1991
(KESEHATAN)
Other chronic suppurative otitis media [ BPJS 24.08.1988
H66.3 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of BPJS 21.02.1988
tonsils [ J35.1 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 12.06.1973

Other chronic suppurative otitis media [ BPJS 31.07.1987


H66.3 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS 12.03.1999
] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] BPJS 23.08.1982
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 15.08.1990

Foreign body in ear - Auditory canal PRIBADI 20.06.2016


[ T16 ]
Laceration of eye NOS [ S05.3 ] PRIBADI 29.10.2012

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 21.10.2012

Superficial mycosis, unspecified [ B36.9 BPJS 16.03.1976


] (KESEHATAN)
Epistaxis-Haemorrhage from nose- PRIBADI 29.11.1972
Nosebleed [ R04.0 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 08.05.1985

Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS 11.08.2007


adennoidectomy [ 28.2 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 04.09.2008
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Deviated nasal septum [ J34.2 ] Other BPJS 11.07.1992
septoplasty (KESEHATAN)
[ 21.88 ]
Chronic maxillary sinusitis - Antritis Open biopsy of nasal sinus BPJS (PBI) 10.05.2009
(chronic) [ J32.0 ] [ 22.12 ]
Chronic ethmoidal sinusitis - Ethmoidal Ethmoidectomy [ BPJS 03.09.1995
sinusi.NOS [ J32.2 ] 22.63 ] (KESEHATAN)
Tracheostomy status [ Z93.0 ] Replacement of BPJS (PBI) 20.05.1965
tracheostomy
tube [ 97.23 ]
Accessory sinus, unspecified [ C31.9 ] Open biopsy of BPJS (PBI) 20.09.1969
nasal sinus
[ 22.12 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS (PBI) 02.11.2000
adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 15.07.1967
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] BPJS 01.09.2010
(KESEHATAN)
Haemorrhage &haematoma Diagnostic procedures on BPJS (PNS/POLRI 13.04.1999
complicating a procedure,.. [ T81.0 ] larynx and trachea [ 31.4 ] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS 01.09.2010
adennoidectomy [ 28.2 ] (KESEHATAN)
Tracheostomy status [ Z93.0 ] BPJS (PBI) 07.01.1966
Tracheostomy status [ Z93.0 ] Replacement of BPJS (PBI) 09.09.1980
tracheostomy
tube [ 97.23 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 06.06.1996

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.06.2009
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 03.01.2012
& MANDIRI)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.11.1959
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 29.01.2013
] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PNS/POLRI 06.03.1977
[ J37 ] larynx and trachea [ 31.4 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 29.01.2013
] (KESEHATAN)
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS 09.04.2016
[ T17.1 ] [ 96.53 ] (KESEHATAN)
Tinnitus [ H93.1 ] BPJS 23.06.1968
(KESEHATAN)
Fracture of nasal bones [ S02.2 ] Irrigation of nasal passages BPJS (PBI) 09.06.2007
[ 96.53 ]
Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 03.04.1992
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Chronic rhinitis - Ozena [ J31.0 ] BPJS (PNS/POLRI 06.03.1977
& MANDIRI)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PNS/POLRI 06.03.1977
[ J37 ] larynx and trachea [ 31.4 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 19.11.2018
]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 13.06.1973
[ 96.53 ] (KESEHATAN)
Sensorineural hearing loss, unspecified PRIBADI 03.01.1983
[ H90.5 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 06.02.2004
[ J37 ] larynx and trachea [ 31.4 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 06.02.2004
[ J37 ] larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 20.09.1994
(KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS 09.08.1987
[ 96.53 ] (KESEHATAN)
Larynx - Epiglottis (suprahyoid portion) Diagnostic procedures on BPJS 27.03.1952
[ D14.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 13.06.1973
[ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 06.10.1970
larynx and trachea [ 31.4 ] (KESEHATAN)
Otomycosis NOS (H62.2* Otitis externa BPJS 12.08.1966
in mycoses) [ B36.9+ ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Otoscopy [ 18.11 ] BPJS 06.03.1988
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 15.07.2002
(KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 22.01.1986
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 10.01.1995
[ 96.53 ]
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS (PBI) 09.09.2015
[ T17.1 ] [ 96.53 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 13.04.1979
larynx and trachea [ 31.4 ]
Unspecified injury of head [ S09.9 ] BPJS 08.08.2011
(KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
[ H68.1 ] RAHARJA
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1950
H66.3 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.04.1996
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 10.08.1995
] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal PRIBADI 30.09.2009
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Dysphagia - Difficulty in swallowing Diagnostic procedures on BPJS (PBI) 18.09.1965
[ R13 ] larynx and trachea [ 31.4 ]
Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 07.07.1971
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 25.08.1987
(KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 24.11.2003
unspecified [ H72.9 ] & MANDIRI)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 12.08.1975
(KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 12.12.1970
[ T16 ] (KESEHATAN)
Foreign body in nasal sinus [ T17.0 ] Removal of intraluminal PRIBADI 12.05.2015
foreign body from nose
without incision [ 98.12 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 10.09.2009

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.01.1964


(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.09.2017

Chronic tonsillitis [ J35.0 ] BPJS 15.10.1998


(KESEHATAN)
Tinnitus [ H93.1 ] PRIBADI 23.04.1984

Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS 23.04.1984


[ H90.5 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 16.07.1984
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 17.01.2019
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 17.01.2019
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 13.10.2017
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 13.10.2017
] (KESEHATAN)
Chronic nasopharyngitis [ J31.1 ] PRIBADI 15.11.2009

Chronic sinusitis,unspecif.-Sinusitis Irrigation of ear [ 96.52 ] BPJS (PBI) 15.11.2009


(chronic)NOS [ J32.9 ]
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS 14.07.1993
process,unspec. [ H95.9 ] [ 96.53 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Rhinoscopy [ 21.21 ] PRIBADI 15.11.2009

Surgical follow-up care, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 25.03.2008
[ Z48.9 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PBI) 27.02.1966
[ H68.1 ]
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 28.12.2011
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.05.1956
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 17.05.1988
larynx and trachea [ 31.4 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS 20.04.1949
sinuses [ D14.0 ] [ 96.53 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Rhinoscopy [ 21.21 ] BPJS 20.04.1949
sinuses [ D14.0 ] (KESEHATAN)
Nasopharynx - Pharyngeal tonsil Irrigation of nasal passages BPJS 20.04.1949
[ D10.6 ] [ 96.53 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS 20.04.1949
sinuses [ D14.0 ] [ 96.53 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 11.12.2014
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 01.02.2012
]
Superficial mycosis, unspecified [ B36.9 BPJS 08.07.1997
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.02.2012

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.05.1956


(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Otoscopy [ 18.11 ] BPJS 02.05.1956
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.05.1956
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 01.09.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 01.09.2011
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS 11.06.1983
media [ H65.1 ] (KESEHATAN)
Malignant neoplasm of nasal cavity and BPJS 03.09.1983
middle ear [ C30 ] (KESEHATAN)
Foreign body in nostril - Nose NOS Rhinoscopy [ 21.21 ] PRIBADI 09.09.2016
[ T17.1 ]
Thyrotoxicosis,unsp.-Hyperthyroidism Diagnostic procedures on PRIBADI 17.02.1992
NOS [ E05.9 ] larynx and trachea [ 31.4 ]
Chronic pharyngitis - Chronic sore Irrigation of nasal passages BPJS 10.01.1962
throat [ J31.2 ] [ 96.53 ] (KESEHATAN)
Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 30.12.1960
(KESEHATAN)
Allergic rhinitis due to pollen [ J30.1 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 08.03.1988

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 21.07.1958
]
Otitis media, unspecified [ H66.9 ] Otoscopy [ 18.11 ] PRIBADI 26.05.2018

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 26.05.2018

Otitis externa, unspecified [ H60.9 ] Otoscopy [ 18.11 ] PRIBADI 15.06.1985

Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 15.02.1988


throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS 11.07.1992
process,unspec. [ H95.9 ] [ 96.53 ] (KESEHATAN)
Anosmia [ R43.0 ] BPJS 16.08.2002
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 29.01.2013
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.03.2008
& MANDIRI)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 26.07.1979
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.11.2014
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.08.1992
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 06.06.1997
larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PNS/POLRI 13.04.1999
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 23.05.1987
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 03.11.1954

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.12.2015


(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 17.12.2017
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 12.08.1966

Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PNS/POLRI 06.03.1977


[ J37 ] larynx and trachea [ 31.4 ] & MANDIRI)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.03.2008
& MANDIRI)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 01.09.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Removal of intraluminal PRIBADI 25.04.1999
foreign body from ear without
incision [ 98.11 ]
Noninfective disorders of pinna Irrigation of ear [ 96.52 ] PRIBADI 16.03.2014
[ H61.1 ]
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS (PBI) 24.10.2017
[ T17.1 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 27.04.2013
(KESEHATAN)
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS 11.03.2011
[ T17.1 ] [ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.04.1984

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 16.11.2000

Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages PRIBADI 01.02.1985


[ 96.53 ]
Foreign body in nostril - Nose NOS Removal of intraluminal BPJS (PBI) 16.09.2015
[ T17.1 ] foreign body from nose
without incision [ 98.12 ]
Tinnitus [ H93.1 ] BPJS (PBI) 01.07.1932

Foreign body in ear - Auditory canal Otoscopy [ 18.11 ] BPJS (PNS/POLRI 06.06.1981
[ T16 ] & MANDIRI)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 09.08.1987
[ 96.53 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Rhinoscopy [ 21.21 ] BPJS 21.09.1998
sinuses [ D14.0 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 04.01.2014
]
Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 12.12.1967

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 16.04.1985


] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Other chest x-ray [ 87.49 ] BPJS 10.09.1976
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 16.04.1985
(KESEHATAN)
Tinnitus [ H93.1 ] Otoscopy [ 18.11 ] BPJS 01.07.1957
(KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 06.06.1974
[ H68.1 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 25.09.1971
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 16.11.2000
larynx and trachea [ 31.4 ]
Anosmia [ R43.0 ] Irrigation of nasal passages BPJS 16.08.2002
[ 96.53 ] (KESEHATAN)
Other chronic suppurative otitis media [ Otoscopy [ 18.11 ] BPJS (PBI) 01.07.1950
H66.3 ]
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 11.10.2014
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1950
H66.3 ]
Otitis externa, unspecified [ H60.9 ] BPJS 28.06.2016
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 12.09.2000

Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 09.10.1969


larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] BPJS 01.07.2002
(KESEHATAN)
Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 10.11.1954
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 06.04.2014
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 06.04.2014
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 14.03.1973
(KESEHATAN)
Chronic pharyngitis - Chronic sore PRIBADI 15.07.2006
throat [ J31.2 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 05.02.2018
& MANDIRI)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 05.02.2018
[ T16 ] & MANDIRI)
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS 04.05.2018
(KESEHATAN)
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS 04.05.2018
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 05.02.2018
& MANDIRI)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] PRIBADI 11.12.2017
unspecified [ H72.9 ]
Chronic tonsillitis [ J35.0 ] Irrigation of nasal passages BPJS (PBI) 10.07.2000
[ 96.53 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 19.09.2015
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 24.04.2014
& MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.01.2008
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 24.04.2014
& MANDIRI)
Postprocedur.disord.of ear&mastoid BPJS 04.09.2008
process,unspec. [ H95.9 ] (KESEHATAN)
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS (PBI) 07.01.1966
larynx and trachea [ 31.4 ]
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] PRIBADI 04.11.1996
]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 17.11.2018

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 17.11.2018


Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 17.11.2018

Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 07.07.1971


(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.04.2015

Foreign body in oesophagus [ T18.1 ] Other x-ray of abdomen BPJS 15.10.2018


[ 88.19 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.04.2015

Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 07.07.1971


(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 21.05.2008

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 27.02.1966
H66.3 ]
Chronic pharyngitis - Chronic sore BPJS 18.08.1973
throat [ J31.2 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 18.08.1973
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 27.02.1966
H66.3 ]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PNS/POLRI 01.02.1985
[ 96.53 ] & MANDIRI)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PNS/POLRI 01.02.1985
[ 96.53 ] & MANDIRI)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 17.10.2002
[ H68.1 ] (KESEHATAN)
Foreign body in nasal sinus [ T17.0 ] Removal of intraluminal PRIBADI 14.01.2017
foreign body from pharynx
without incision [ 98.13 ]
Developmental disorder of speech Irrigation of ear [ 96.52 ] BPJS (PBI) 30.09.2016
&language, unspec [ F80.9 ]
Acute pharyngitis - Includes: acute sore BPJS 28.06.1983
throat [ J02 ] (KESEHATAN)
Dysphagia - Difficulty in swallowing Diagnostic procedures on BPJS (PBI) 03.04.1980
[ R13 ] larynx and trachea [ 31.4 ]
Granulomatous Irrigation of ear [ 96.52 ] PRIBADI 13.01.2016
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 13.01.2016
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS (PBI) 29.09.1955
(chronic)NOS [ J32.9 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 15.07.2002
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 16.01.2006
larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 15.07.1967
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 10.06.1999
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 09.05.2009
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 03.07.2016
] & MANDIRI)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 17.10.2002
[ H68.1 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] PRIBADI 04.12.2010

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 17.04.2008


larynx and trachea [ 31.4 ] (KESEHATAN)
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 05.06.2017
[ T16 ] foreign body from nose (KESEHATAN)
without incision [ 98.12 ]
Impacted cerumen - Wax in ear [ H61.2 Removal of intraluminal BPJS (PBI) 08.02.2015
] foreign body from ear without
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.03.2014
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 10.08.1984
]
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 26.01.1994
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on PRIBADI 14.06.2006
larynx and trachea [ 31.4 ]
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 26.01.1994
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Allergic rhinitis, unspecified [ J30.4 ] Contrast radiogram of sinus BPJS 22.07.1980
[ 87.15 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 11.12.2017
(KESEHATAN)
Nasopharynx - Pharyngeal tonsil BPJS 15.05.1963
[ D10.6 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 01.12.2000
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] BPJS 25.06.2015
(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 07.04.2018
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 10.11.1982

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.08.1992


(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.08.1992
(KESEHATAN)
Other chronic suppurative otitis media [ PRIBADI 16.04.2013
H66.3 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 15.07.1967
larynx and trachea [ 31.4 ] (KESEHATAN)
Granulomatous PRIBADI 25.12.1972
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Tinnitus [ H93.1 ] BPJS (PBI) 01.07.1951

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 09.05.2009


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 27.04.2013
(KESEHATAN)
Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 09.11.1960
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis BPJS 01.07.1955
(chronic)NOS [ J32.9 ] (KESEHATAN)
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on PRIBADI 10.12.1985
[ J04.0 ] larynx and trachea [ 31.4 ]
Otitis externa, unspecified [ H60.9 ] PRIBADI 14.10.2003

Chronic laryngitis and laryngotracheitis BPJS 23.03.1972


[ J37 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 29.09.1955
[ 96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of ear [ 96.52 ] BPJS 07.12.1983
(chronic)NOS [ J32.9 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Contrast radiogram of sinus BPJS (PBI) 29.09.1955
sinuses [ D14.0 ] [ 87.15 ]
Allergic rhinitis, unspecified [ J30.4 ] BPJS 10.12.1987
(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 BPJS 10.11.1980
] (KESEHATAN)
Nasal cavity [ C30.0 ] BPJS (PBI) 20.09.1969

Abnormal findings on diagnostic Diagnostic procedures on BPJS (PBI) 18.09.1965


imaging of lung [ R91 ] larynx and trachea [ 31.4 ]
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 27.04.2013
] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS 31.07.1987
H66.3 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 04.03.1983
[ J37 ] larynx and trachea [ 31.4 ]
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 10.10.1976
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 07.05.2013
]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 11.05.1980
larynx and trachea [ 31.4 ] (KESEHATAN)
Foreign body in nasal sinus [ T17.0 ] PRIBADI 17.12.2016

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.06.2009
] (KESEHATAN)
Benign neoplasm of middle BPJS 25.03.2008
ear&respiratory system [ D14 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 15.03.2018
] (KESEHATAN)
Impetigo ...(any site)- O.E. in impetigo- PRIBADI 09.04.2013
(H03.8*Involvement of eyelid in other
diseases) [ L01.0 + ]
Chronic pharyngitis - Chronic sore BPJS 03.07.1963
throat [ J31.2 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 12.12.1949

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] PRIBADI 23.02.1994

Foreign body in ear - Auditory canal Removal of intraluminal BPJS 15.12.2013


[ T16 ] foreign body from pharynx (KESEHATAN)
without incision [ 98.13 ]
Epistaxis-Haemorrhage from nose- Irrigation of nasal passages BPJS 15.05.1979
Nosebleed [ R04.0 ] [ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.04.1996
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.04.1996
larynx and trachea [ 31.4 ] (KESEHATAN)
Peritonsillar abscess-Abscess of tonsil Diagnostic procedures on BPJS (PBI) 01.08.1988
[ J36 ] larynx and trachea [ 31.4 ]
Epistaxis-Haemorrhage from nose- Packing of external auditory BPJS 03.11.2014
Nosebleed [ R04.0 ] canal [ 96.11 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 06.03.1988
] (KESEHATAN)
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS 11.03.2011
[ T17.1 ] [ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 19.07.2001

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 17.05.1988


larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.06.2009
] (KESEHATAN)
Acute laryngitis (NOS - oedematous ) Other chest x-ray [ 87.49 ] BPJS 01.10.1963
[ J04.0 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 20.07.1992
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 10.09.1976
[ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 09.12.1967
[ T16 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 10.10.1976
(KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages PRIBADI 08.03.1963
sinuses [ D14.0 ] [ 96.53 ]
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS (PBI) 08.11.2016
[ T17.1 ] [ 96.53 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 28.11.1992
[ T16 ] & MANDIRI)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 11.09.1976
(KESEHATAN)
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages PRIBADI 19.07.2001
[ 96.53 ]
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 04.10.1993
process,unspec. [ H95.9 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 28.11.1992
& MANDIRI)
Tinnitus [ H93.1 ] Audiometry [ 95.41 ] BPJS 03.05.1987
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 12.12.1967
H66.3 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 01.11.1996
H66.3 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.07.1994

Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 22.07.1980


[ 96.53 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Diagnostic procedures on BPJS 22.07.1980
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 13.06.1990
]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 17.05.1988
larynx and trachea [ 31.4 ] (KESEHATAN)
Connective and other soft tissue of PRIBADI 15.07.1945
abdomen [ D21.4 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 12.12.1967
H66.3 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 23.04.2014
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.03.2008
& MANDIRI)
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 04.10.1993
process,unspec. [ H95.9 ] [ 96.53 ]
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 04.05.2011

Tinnitus [ H93.1 ] BPJS (PBI) 18.04.1984

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 21.08.2005

Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 04.10.1993
[ 96.53 ]
Deviated nasal septum [ J34.2 ] Irrigation of nasal passages BPJS (PBI) 04.10.1993
[ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of ear [ 96.52 ] PRIBADI 28.01.1942

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PNS/POLRI 19.01.1985
[ 96.53 ] & MANDIRI)
Epistaxis-Haemorrhage from nose- Rhinoscopy [ 21.21 ] BPJS 23.04.2014
Nosebleed [ R04.0 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.11.1961
H66.3 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 26.06.2018
] (KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS 20.04.1987
throat [ J31.2 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 26.03.1969
(KESEHATAN)
Acute suppurative otitis media [ H66.0 ] BPJS (PBI) 19.07.2013

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 12.09.2006


(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.04.1996
larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS 26.06.2018
] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 17.10.1997
H66.3 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 01.09.2010
larynx and trachea [ 31.4 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of nasal passages BPJS 29.06.2015
[ T16 ] [ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 24.10.2012
]
Otitis media, unspecified [ H66.9 ] PRIBADI 24.06.2019

Impacted cerumen - Wax in ear [ H61.2 BPJS 24.08.1982


] (KESEHATAN)
Chronic diseases of tonsils and PRIBADI 09.10.2012
adenoids [ J35 ]
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 12.07.1964
] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 12.07.1964
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Diagnostic procedures on BPJS (PBI) 04.10.1993
larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] PRIBADI 20.09.2005

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 16.04.1985


] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 07.12.1983
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 27.04.2013
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 28.05.2014
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 03.09.1965
(KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 25.08.1954
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid BPJS 11.08.2007
process,unspec. [ H95.9 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 12.07.1964
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Otoscopy [ 18.11 ] BPJS 09.05.2000
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 19.09.2015
larynx and trachea [ 31.4 ] (KESEHATAN)
Hearing loss, unspecified [ H91.9 ] BPJS (PNS/POLRI 11.02.2004
& MANDIRI)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 03.09.1995
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 10.10.1992
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 08.09.1963
larynx and trachea [ 31.4 ] & MANDIRI)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 04.03.1983
[ J37 ] larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.04.1984
(KESEHATAN)
Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 04.07.1983
larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PNS/POLRI 19.09.2010
[ 96.53 ] & MANDIRI)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 04.05.2011
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 18.08.1973
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Packing of external auditory BPJS 25.08.1987
canal [ 96.11 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
H66.3 ] RAHARJA
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] PRIBADI 29.03.2009
]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 18.10.2010
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 10.09.1976
[ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 17.02.2017
[ T16 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PNS/POLRI 01.02.1985
(chronic)NOS [ J32.9 ] [ 96.53 ] & MANDIRI)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 28.12.1989
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 17.08.1967
[ 96.53 ] (KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 05.06.1965
[ H90.5 ] (KESEHATAN)
Sensorineural hearing loss, unspecified BPJS 05.06.1965
[ H90.5 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Removal of intraluminal BPJS (PNS/POLRI 21.09.2014
] foreign body from ear without & MANDIRI)
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 12.09.2000

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 01.09.2011
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS 27.04.2013
dis.ofskin&subcutaneous tissue,uns. (KESEHATAN)
[ L92.9 ]
Peritonsillar abscess-Abscess of tonsil Diagnostic procedures on BPJS (PBI) 01.08.1988
[ J36 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 22.08.2008
] (KESEHATAN)
Tinnitus [ H93.1 ] BPJS 18.08.1968
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 11.11.1981
(KESEHATAN)
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS 08.08.2016
(KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on PRIBADI 01.07.1953
throat [ J31.2 ] larynx and trachea [ 31.4 ]
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 19.09.1992
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 03.07.2016
] & MANDIRI)
Other chronic suppurative otitis media [ Otoscopy [ 18.11 ] PRIBADI 15.05.2005
H66.3 ]
Superficial mycosis, unspecified [ B36.9 BPJS 31.01.2002
] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 12.07.1992
H66.3 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 24.01.1992
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 04.10.2011
larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 04.10.2011

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.08.1987
] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Otoscopy [ 18.11 ] BPJS 12.05.2012
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 12.05.2012
(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 12.05.2012
] (KESEHATAN)
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 24.10.1954
larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Diagnostic procedures on BPJS 12.07.1992
H66.3 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Diagnostic procedures on BPJS 12.07.1992
H66.3 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 11.11.1981
(KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS 11.11.1981
unspecified [ H72.9 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 29.09.1955
sinuses [ D14.0 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 15.07.1965
(KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 18.08.1973
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 03.11.1981
]
Chronic pharyngitis - Chronic sore BPJS 07.05.1994
throat [ J31.2 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 12.12.1970
[ T16 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 11.04.1964
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 14.03.1973
] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 25.12.1981
[ T16 ] (KESEHATAN)
Peritonsillar abscess-Abscess of tonsil Incision and drainage of tonsil BPJS (PBI) 01.08.1988
[ J36 ] and peritonsilar structures
[ 28.0 ]
Abscess, furuncle and carbuncle of nose Aspiration and BPJS (PNS/POLRI 19.08.1971
[ J34.0 ] lavage of nasal & MANDIRI)
sinus, not
otherwise
specified [ 22.0 ]
Chronic maxillary sinusitis - Antritis Other turbinectomy [ 21.69 ] BPJS (PNS/POLRI 01.02.1985
(chronic) [ J32.0 ] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS 11.05.1980
adennoidectomy [ 28.2 ] (KESEHATAN)
Chronic maxillary sinusitis - Antritis Other external maxillary BPJS 10.09.1976
(chronic) [ J32.0 ] antrotomy [ 22.39 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS (PBI) 16.11.2000
adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 15.10.1998
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Hypertrophy of nasal turbinates Other turbinectomy [ 21.69 ] BPJS 22.07.1980
[ J34.3 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 17.05.1988
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Deviated nasal septum [ J34.2 ] Other BPJS (PBI) 04.10.1993
turbinectomy
[ 21.69 ]
Otitis media, unspecified [ H66.9 ] Myringoplasty BPJS 31.07.1987
[ 19.4 ] (KESEHATAN)
Hypertrophy of nasal turbinates Other BPJS 10.12.1987
[ J34.3 ] turbinectomy (KESEHATAN)
[ 21.69 ]
Skin of ear and external auricular canal Radical excision BPJS 25.03.2008
[ D23.2 ] of lesion of (KESEHATAN)
external ear
[ 18.31 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS (PBI) 04.10.2011
adennoidectomy [ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 02.04.1996
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS 01.09.2011
adennoidectomy [ 28.2 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 19.09.2015
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Epistaxis-Haemorrhage from nose- Irrigation of nasal passages BPJS (PNS/POLRI 06.04.2012
Nosebleed [ R04.0 ] [ 96.53 ] & MANDIRI)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 22.10.1964
H66.3 ] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 06.02.2004

Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 21.12.1983
sinuses [ D14.0 ] [ 96.53 ]
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 10.05.1963
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 15.07.1965
H66.3 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] Otoscopy [ 18.11 ] BPJS 05.06.1973
(KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PNS/POLRI 06.10.1970
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] & MANDIRI)
Epistaxis-Haemorrhage from nose- Contrast radiogram of sinus BPJS 01.07.1955
Nosebleed [ R04.0 ] [ 87.15 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 23.05.1953
] (KESEHATAN)
Foreign body in ear - Auditory canal Otoscopy [ 18.11 ] BPJS (PBI) 08.03.1983
[ T16 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.04.2012
larynx and trachea [ 31.4 ] (KESEHATAN)
Penetrating wound of eyeball without Otoscopy [ 18.11 ] BPJS 08.11.2013
foreign body [ S05.6 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 31.10.2013
] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Diagnostic procedures on BPJS (PNS/POLRI 20.09.2007
larynx and trachea [ 31.4 ] & MANDIRI)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 08.01.1985
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 11.12.1972
[ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 07.05.2014

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 16.03.2019


(KESEHATAN)
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 17.08.2017

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 15.07.1958

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 22.03.1995


(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ]
Irrigation of nasal passages BPJS 16.04.2006
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Otoscopy [ 18.11 ] BPJS (PNS/POLRI 29.07.1968
] & MANDIRI)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 14.11.1967
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 15.12.1988
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Diagnostic procedures on BPJS 07.12.2000
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 08.12.1973
larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.10.1958
H66.3 ] & MANDIRI)
Middle ear, nasal cavity & accessory BPJS (PBI) 29.09.1955
sinuses [ D14.0 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 15.07.1965
(KESEHATAN)
Anosmia [ R43.0 ] Irrigation of nasal passages BPJS 16.08.2002
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.04.2016

Postprocedur.disord.of ear&mastoid Irrigation of ear [ 96.52 ] BPJS 22.07.1980


process,unspec. [ H95.9 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 29.09.1955
sinuses [ D14.0 ] [ 96.53 ]
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 29.09.1955
sinuses [ D14.0 ] [ 96.53 ]
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.10.1958
media [ H65.1 ] & MANDIRI)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.10.1958
& MANDIRI)
Otitis media, unspecified [ H66.9 ] Otoscopy [ 18.11 ] BPJS 01.12.1981
(KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS (PBI) 07.05.2014
unspecified [ H72.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 27.07.2011
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 27.07.2011
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Diagnostic procedures on BPJS (PBI) 07.05.2014
larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 16.03.2019
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.07.1982
[ 96.53 ] (KESEHATAN)
Epistaxis-Haemorrhage from nose- BPJS (PBI) 03.06.2018
Nosebleed [ R04.0 ]
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 28.05.1981
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 12.01.1964
[ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] BPJS (PBI) 23.10.1975

Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958


unspecified [ H72.9 ] RAHARJA
Otitis media, unspecified [ H66.9 ] PRIBADI 03.04.2001

Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 18.07.1975


(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 03.11.1981
]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 03.02.1988
[ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 15.11.2009
(chronic)NOS [ J32.9 ] [ 96.53 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on PT. AJ INHEALTH 12.07.2014
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] INDONESIA
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 07.05.2013
] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.01.1964
(chronic)NOS [ J32.9 ] [ 96.53 ]
Chronic sinusitis [ J32 ] Irrigation of nasal passages BPJS (PBI) 12.01.1964
[ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] Diagnostic procedures on BPJS (PBI) 12.01.1964
larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 17.05.2013
] (KESEHATAN)
Superficial injury of nose [ S00.3 ] Otoscopy [ 18.11 ] BPJS (PBI) 18.12.2017

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 21.12.1983


(chronic)NOS [ J32.9 ] [ 96.53 ]
Developmental disorder of speech Irrigation of ear [ 96.52 ] BPJS 24.01.2017
&language, unspec [ F80.9 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 15.10.1998
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 03.09.1958
[ J37 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 15.03.2012
] (KESEHATAN)
Maxillary sinus - Antrum (Highmore) BPJS (PBI) 21.12.1983
(maxillary) [ C31.0 ]
Peritonsillar abscess-Abscess of tonsil Diagnostic procedures on BPJS 31.12.1942
[ J36 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 13.07.1973
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 08.02.2019
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 19.09.2018
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 14.09.2003
larynx and trachea [ 31.4 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 31.07.1987
H66.3 ] (KESEHATAN)
Giant cell granuloma, central [ K10.1 ] BPJS 07.01.1964
(KESEHATAN)
Acute serous otitis media [ H65.0 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.09.2017

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 20.09.2007


larynx and trachea [ 31.4 ] & MANDIRI)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 31.07.1987
H66.3 ] & MANDIRI)
Foreign body in ear - Auditory canal PRIBADI 08.06.2016
[ T16 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.11.1959
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS (PBI) 12.12.1949

Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 15.07.1970


larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PNS/POLRI 06.10.1970
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 14.12.2009
]
Central perforation of tympanic Irrigation of nasal passages BPJS 09.08.1979
membrane [ H72.0 ] [ 96.53 ] (KESEHATAN)
Central perforation of tympanic PRIBADI 15.11.1999
membrane [ H72.0 ]
Superficial injury of nose [ S00.3 ] Irrigation of nasal passages BPJS (PBI) 17.08.2017
[ 96.53 ]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 13.06.1973
[ 96.53 ] (KESEHATAN)
Noninfective disorders of pinna Irrigation of ear [ 96.52 ] BPJS 01.06.2008
[ H61.1 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 04.10.2011
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 21.02.1974
]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 21.02.1974
]
Acute bronchitis due to rhinovirus BPJS (PBI) 10.01.1995
[ J20.6 ]
Chronic sinusitis,unspecif.-Sinusitis BPJS (PBI) 10.01.1995
(chronic)NOS [ J32.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 01.02.1989
] & MANDIRI)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 07.05.2013
[ T16 ] (KESEHATAN)
Tinnitus [ H93.1 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 11.05.1957

Epistaxis-Haemorrhage from nose- BPJS (PNS/POLRI 03.01.2012


Nosebleed [ R04.0 ] & MANDIRI)
Streptococcal tonsillitis [ J03.0 ] Open biopsy of larynx or BPJS 20.10.1989
trachea [ 31.45 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 31.07.1987
H66.3 ] & MANDIRI)
Otitis externa, unspecified [ H60.9 ] Diagnostic procedures on BPJS 07.09.1983
larynx and trachea [ 31.4 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Contrast radiogram of sinus BPJS (PBI) 01.04.1984
sinuses [ D14.0 ] [ 87.15 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 08.11.1999
H66.3 ]
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS (PNS/POLRI 29.09.1979
(chronic)NOS [ J32.9 ] & MANDIRI)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.05.1963

Impacted cerumen - Wax in ear [ H61.2 PRIBADI 01.02.1984


]
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 01.11.1959
(KESEHATAN)
Open wound of ear [ S01.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 07.05.2013

Chronic tonsillitis [ J35.0 ] BPJS 06.10.1970


(KESEHATAN)
Central perforation of tympanic Irrigation of ear [ 96.52 ] BPJS (PBI) 21.11.1995
membrane [ H72.0 ]
Epistaxis-Haemorrhage from nose- Contrast radiogram of sinus BPJS 01.07.1955
Nosebleed [ R04.0 ] [ 87.15 ] (KESEHATAN)
Sensorineural hearing loss, unspecified Audiometry [ 95.41 ] BPJS 05.04.1984
[ H90.5 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 29.09.2000
H66.3 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.07.1982
[ 96.53 ] (KESEHATAN)
Otalgia [ H92.0 ] Otoscopy [ 18.11 ] BPJS 04.04.1973
(KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 21.04.2004
[ T16 ]
Chronic tonsillitis [ J35.0 ] Irrigation of nasal passages BPJS (PBI) 22.03.1995
[ 96.53 ]
Acute tonsillitis, unspecified [ J03.9 ] Diagnostic procedures on BPJS 16.07.2012
larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 26.08.2006
[ 96.53 ]
Anosmia [ R43.0 ] Irrigation of ear [ 96.52 ] BPJS 16.08.2002
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 13.01.1996

Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 12.10.1958
[ 96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.10.1958
(chronic)NOS [ J32.9 ] [ 96.53 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 08.01.1985
H66.3 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 08.01.1985
H66.3 ]
Foreign body in alimentary tract,part BPJS (PBI) 24.04.1974
unspecified [ T18.9 ]
Noninfective disorders of pinna Otoscopy [ 18.11 ] BPJS 01.06.2008
[ H61.1 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 08.11.1999

Abscess, furuncle and carbuncle of nose BPJS (PNS/POLRI 19.08.1971


[ J34.0 ] & MANDIRI)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.10.1958
(chronic)NOS [ J32.9 ] [ 96.53 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 16.08.2008
H66.3 ]
Postprocedur.disord.of ear&mastoid Rhinoscopy [ 21.21 ] BPJS (PBI) 10.01.1995
process,unspec. [ H95.9 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 28.12.1984

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.06.2013

Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS (PBI) 07.05.2013


unspecified [ H72.9 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.06.1972

Allergic rhinitis, unspecified [ J30.4 ]


Irrigation of nasal passages BPJS 22.07.1980
[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 28.09.1969
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 13.12.2008
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.11.1961
H66.3 ] & MANDIRI)
Other chronic suppurative otitis media [ Otoscopy [ 18.11 ] BPJS (PNS/POLRI 23.11.1961
H66.3 ] & MANDIRI)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 13.12.2008
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Hearing loss, unspecified [ H91.9 ] PRIBADI 03.03.2011

Acute tonsillitis due to other specified Diagnostic procedures on BPJS 13.12.2008


organisms [ J03.8 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Nasal polyp [ J33 ] PRIBADI 14.10.1958

Tinnitus [ H93.1 ] Rhinoscopy [ 21.21 ] BPJS 12.08.1992


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 09.08.1979
(KESEHATAN)
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 20.01.2016

Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PNS/POLRI 06.03.1977


[ J37 ] larynx and trachea [ 31.4 ] & MANDIRI)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 04.03.1992
(KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 16.09.1993
[ H90.5 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 31.10.2013
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 17.01.2019
(KESEHATAN)
Candidiasis of skin and nail [ B37.2 ] Irrigation of ear [ 96.52 ] BPJS 01.11.1959
(KESEHATAN)
Foreign body in ear - Auditory canal Otoscopy [ 18.11 ] BPJS 12.06.1976
[ T16 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 11.09.2017
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 27.12.1996
[ 96.53 ]
Otitis media, unspecified [ H66.9 ] Otoscopy [ 18.11 ] BPJS 02.02.2011
(KESEHATAN)
Epistaxis-Haemorrhage from nose- BPJS (PBI) 16.11.2010
Nosebleed [ R04.0 ]
Mastoiditis, unspecified [ H70.9 ] BPJS (PBI) 07.06.2018

Foreign body in ear - Auditory canal PRIBADI 30.06.2015


[ T16 ]
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 12.07.2007
]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 10.04.2002
[ H68.1 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 14.04.2002
[ T16 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 28.05.1981
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 08.02.2019
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 05.06.1996
(KESEHATAN)
Superficial injury of nose [ S00.3 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 28.12.2011

Middle ear, nasal cavity & accessory Rhinoscopy [ 21.21 ] BPJS (PBI) 10.04.2006
sinuses [ D14.0 ]
Fracture of nasal bones [ S02.2 ] Irrigation of nasal passages BPJS (PBI) 09.06.2007
[ 96.53 ]
Chronic sinusitis [ J32 ] Irrigation of nasal passages BPJS 13.06.1973
[ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 17.01.2014
larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 16.03.2019
(KESEHATAN)
Fracture of nasal bones [ S02.2 ] BPJS (PBI) 09.06.2007

Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 26.08.2006

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 09.04.2013
] (KESEHATAN)
Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 01.07.1985
larynx and trachea [ 31.4 ] (KESEHATAN)
Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 08.07.1983
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 15.10.1998
(KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 16.11.2000
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 15.10.1998
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 10.04.2002
(KESEHATAN)
Acute mastoiditis [ H70.0 ] Irrigation of ear [ 96.52 ] BPJS 02.05.1973
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS 17.01.2019
(KESEHATAN)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 10.04.2002
[ H68.1 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 27.12.1996
[ 96.53 ]
Epistaxis-Haemorrhage from nose- Rhinoscopy [ 21.21 ] BPJS (PBI) 28.06.1972
Nosebleed [ R04.0 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 01.03.2014
(KESEHATAN)
Skin of ear and external auricular canal Irrigation of ear [ 96.52 ] BPJS 08.06.1986
[ D23.2 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 06.04.2010
] & MANDIRI)
Other acute upper resp.inf... PRIBADI 14.10.2003
(Tonsillopharyngitis) [ J06.8 ]
Chronic sinusitis,unspecif.-Sinusitis BPJS 24.11.1994
(chronic)NOS [ J32.9 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 15.07.1985
(KESEHATAN)
Chronic sinusitis [ J32 ] Irrigation of nasal passages BPJS (PBI) 10.01.1995
[ 96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS (PBI) 17.01.1993
(chronic)NOS [ J32.9 ]
Foreign body in ear - Auditory canal Removal of intraluminal BPJS (PBI) 28.01.2017
[ T16 ] foreign body from ear without
incision [ 98.11 ]
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 28.01.2017
[ H90.5 ]
Hypertrophy of tonsils - Enlargement of BPJS (PBI) 20.10.2000
tonsils [ J35.1 ]
Acute pharyngitis, unspecified [ J02.9 ] BPJS (PBI) 01.08.1972

Foreign body in respiratory tract,part Diagnostic procedures on BPJS 23.11.1977


unspecified [ T17.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 04.12.1987
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 06.09.1992
[ 96.53 ]
Middle ear, nasal cavity & accessory Contrast radiogram of sinus BPJS (PBI) 08.03.1963
sinuses [ D14.0 ] [ 87.15 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.06.2009
] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 04.12.1987
[ 96.53 ] (KESEHATAN)
Surgical follow-up care, unspecified BPJS (PBI) 23.10.1975
[ Z48.9 ]
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 09.10.1969
larynx and trachea [ 31.4 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of BPJS 08.12.1973
tonsils [ J35.1 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 18.07.1975
(KESEHATAN)
Abscess, furuncle and carbuncle of nose Other incision of BPJS (PBI) 23.10.1975
[ J34.0 ] skin and
subcutaneous
tissue [ 86.09 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 13.12.2008
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Bones of skull and face - Maxilla Other local BPJS 01.07.1955
(superior) [ D16.4 ] excision or (KESEHATAN)
destruction of
lesion or tissue
of skin and
subcutaneous
tissue [ 86.3 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy PRIBADI 15.12.2005
without
adennoidectomy
[ 28.2 ]
Tracheostomy status [ Z93.0 ] Replacement of BPJS (PBI) 20.05.1965
tracheostomy
tube [ 97.23 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 20.10.2000
without
adennoidectomy
[ 28.2 ]
Fracture of nasal bones [ S02.2 ] BPJS (PBI) 09.06.2007

Maxillary sinus - Antrum (Highmore) Open biopsy of BPJS (PBI) 21.12.1983


(maxillary) [ C31.0 ] nasal sinus
[ 22.12 ]
Middle ear, nasal cavity & accessory Microscopic examination of Excision of lesion BPJS (PBI) 29.09.1955
sinuses [ D14.0 ] specimen from unspecified, of maxillary
other microscopic examination sinus with other
[ 91.99 ] approach [ 22.62
]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 06.10.1970
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Other external BPJS (PBI) 10.01.1995
(chronic) [ J32.0 ] maxillary
antrotomy
[ 22.39 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 15.08.2003
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 25.10.2010
(KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Other x-ray of facial bones BPJS 10.08.1985
[ 87.16 ] (KESEHATAN)
Chronic laryngitis [ J37.0 ] Diagnostic procedures on BPJS 19.09.1956
larynx and trachea [ 31.4 ] (KESEHATAN)
Superficial injury of ear [ S00.4 ] Irrigation of ear [ 96.52 ] BPJS 17.06.1994
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 21.09.2005
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.09.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 16.08.2008
H66.3 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 02.03.1979

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 08.11.1999
H66.3 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 13.10.1965
(chronic)NOS [ J32.9 ] [ 96.53 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 01.07.2002
[ T16 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 26.08.2006
[ 96.53 ]
Foreign body in nostril - Nose NOS Irrigation of nasal passages BPJS (PBI) 06.12.2016
[ T17.1 ] [ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 14.03.2018
]
Allergic rhinitis, unspecified [ J30.4 ] Diagnostic procedures on BPJS 10.06.1983
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] PRIBADI 17.08.1971

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 19.10.2010
H66.3 ]
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 11.05.1957
[ H90.5 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 19.10.2010
H66.3 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 07.11.1963
[ H68.1 ] (KESEHATAN)
Foreign body in ear - Auditory canal PRIBADI 21.09.1984
[ T16 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 09.04.2015
]
Tinnitus [ H93.1 ] BPJS (PBI) 08.08.1970

Chronic tonsillitis [ J35.0 ] BPJS (PBI) 10.02.2012

Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 15.10.2002


[ H90.5 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 14.09.2003
larynx and trachea [ 31.4 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 26.08.2006
[ 96.53 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 18.06.2000
H66.3 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 10.02.2012
larynx and trachea [ 31.4 ]
Noninfective disorders of pinna Irrigation of ear [ 96.52 ] BPJS (PBI) 27.12.2011
[ H61.1 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 01.12.1984
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.11.1961
H66.3 ] & MANDIRI)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 07.07.2005
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 15.04.2014
(KESEHATAN)
Noninfective disorders of pinna Irrigation of ear [ 96.52 ] BPJS (PBI) 27.12.2011
[ H61.1 ]
Otitis media, unspecified [ H66.9 ] PRIBADI 27.10.2018

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 08.12.2010


larynx and trachea [ 31.4 ]
Hypertrophy of tonsils - Enlargement of Irrigation of nasal passages BPJS (PBI) 10.01.1995
tonsils [ J35.1 ] [ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 10.11.1969
(KESEHATAN)
Recurrent oral aphthae - Bednar's Diagnostic procedures on BPJS (PBI) 03.02.2011
aphthae [ K12.0 ] larynx and trachea [ 31.4 ]
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.2013
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 06.09.1992
[ 96.53 ]
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 18.07.1975
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 04.05.1975
[ 96.53 ] (KESEHATAN)
Acute lymphadenitis of face, head and Diagnostic ultrasound of head BPJS 07.12.2000
neck [ L04.0 ] and neck [ 88.71 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 09.10.1969
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 11.05.1981
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 16.02.2017

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 24.11.1994


[ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 09.04.2015
]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PNS/POLRI 29.09.1979
(chronic)NOS [ J32.9 ] [ 96.53 ] & MANDIRI)
Other chronic suppurative otitis media [ Irrigation of nasal passages BPJS 04.04.1973
H66.3 ] [ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 02.04.2012
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PBI) 12.10.1956
[ 96.53 ]
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 06.05.1977
throat [ J31.2 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 06.06.1957
]
Conductive hearing loss, bilateral BPJS (PBI) 20.10.1992
[ H90.0 ]
Sensorineural hearing loss, bilateral Irrigation of ear [ 96.52 ] BPJS (PBI) 20.10.1992
[ H90.3 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 12.01.1964
[ 96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of ear [ 96.52 ] BPJS 29.04.1962
(chronic)NOS [ J32.9 ] (KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS 08.11.2013
unspecified [ H72.9 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 17.06.1994
H66.3 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.1953

Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS (PBI) 07.05.2013


unspecified [ H72.9 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 05.08.2012
& MANDIRI)
Chronic diseases of tonsils and Diagnostic procedures on BPJS 21.09.2005
adenoids [ J35 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 22.03.1995
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Rhinoscopy [ 21.21 ] BPJS 30.08.1988
(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 BPJS (PBI) 30.04.1957
]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 17.01.2014
larynx and trachea [ 31.4 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 29.09.1955
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis media, unspecified [ H66.9 ] PRIBADI 08.02.2015

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 26.09.2015
H66.3 ]
Other chronic suppurative otitis media [ PRIBADI 20.05.1988
H66.3 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 20.04.2011

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 16.09.2016
]
Otitis externa, unspecified [ H60.9 ] PRIBADI 17.08.2009

Otitis externa, unspecified [ H60.9 ] PRIBADI 17.08.2009

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 24.06.2016
] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 12.12.1985
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 12.03.1985
[ H90.5 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 17.04.2018
(KESEHATAN)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PBI) 02.04.1982
[ H90.5 ]
Nasopharynx, unspecified (M8010/3) Irrigation of ear [ 96.52 ] BPJS 10.11.1972
[ C11.9 ] (KESEHATAN)
Other chronic suppurative otitis media [ PRIBADI 26.08.2018
H66.3 ]
Other chronic suppurative otitis media [ PRIBADI 26.08.2018
H66.3 ]
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 14.09.2003

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1951
H66.3 ]
Foreign body in ear - Auditory canal PRIBADI 09.02.2017
[ T16 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 08.01.1985
H66.3 ]
Otitis externa [ H60 ] Irrigation of ear [ 96.52 ] BPJS 12.04.2003
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 02.04.2012
(KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS 13.08.1949
sinuses [ D14.0 ] [ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 19.03.1951
& MANDIRI)
Hypertrophy of tonsils - Enlargement of BPJS 22.03.1995
tonsils [ J35.1 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 14.04.2002

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 20.04.2011


(KESEHATAN)
Headache - Cephalalgia - Facial pain Computerized axial BPJS (PBI) 15.09.1965
NOS [ R51 ] tomography of head [ 87.03 ]
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 13.10.2012
]
Otitis media, unspecified [ H66.9 ] PRIBADI 10.08.2010

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 07.03.2010
]
Foreign body in nasal sinus [ T17.0 ] Rhinoscopy [ 21.21 ] BPJS 22.09.2015
(KESEHATAN)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PNS/POLRI 04.05.1965
sinuses [ D14.0 ] [ 96.53 ] & MANDIRI)
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on BPJS 01.12.1984
[ J04.0 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on BPJS 25.11.1989
[ J04.0 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 26.08.2006
[ 96.53 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 10.04.2002
[ H68.1 ] (KESEHATAN)
Acute pharyngitis, unspecified [ J02.9 ] PRIBADI 07.03.1976

Chronic laryngitis [ J37.0 ] Diagnostic procedures on PT. AJ INHEALTH 11.06.1988


larynx and trachea [ 31.4 ] INDONESIA
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 05.05.2010
]
Central perforation of tympanic BPJS 10.12.1973
membrane [ H72.0 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 22.03.1995
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 11.09.2017
] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 08.12.1973
larynx and trachea [ 31.4 ] (KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS (PBI) 07.05.2013
unspecified [ H72.9 ]
Chronic sinusitis [ J32 ] Rhinoscopy [ 21.21 ] BPJS (PBI) 12.10.1956

Other specified sites - Nose NOS Rhinoscopy [ 21.21 ] BPJS 06.05.1991


[ D36.7 ] (KESEHATAN)
Chronic maxillary sinusitis - Antritis Rhinoscopy [ 21.21 ] BPJS 12.08.1992
(chronic) [ J32.0 ] (KESEHATAN)
Otalgia [ H92.0 ] PRIBADI 02.06.2014

Otalgia [ H92.0 ] PRIBADI 02.06.2014

Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 18.07.1953


[ H90.5 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 02.02.2011
(KESEHATAN)
Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 12.09.1969
& MANDIRI)
Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 12.09.1969
[ H90.5 ] & MANDIRI)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 17.01.2014
larynx and trachea [ 31.4 ]
Unspecified injury of head [ S09.9 ] PRIBADI 10.11.1963

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 12.04.2003


(KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 10.10.1958
& MANDIRI)
Acute laryngitis (NOS - oedematous ) Diagnostic procedures on BPJS (PNS/POLRI 06.03.1977
[ J04.0 ] larynx and trachea [ 31.4 ] & MANDIRI)
Chronic laryngitis [ J37.0 ] Diagnostic procedures on BPJS (PNS/POLRI 15.07.1961
larynx and trachea [ 31.4 ] & MANDIRI)
Chronic pharyngitis - Chronic sore BPJS 17.08.1981
throat [ J31.2 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Contrast radiogram of sinus BPJS 16.04.2006
[ 87.15 ] (KESEHATAN)
Nasopharynx - Pharyngeal tonsil BPJS (PBI) 15.09.1965
[ D10.6 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 25.06.2013
] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on PT. AJ INHEALTH 11.06.1988
[ J37 ] larynx and trachea [ 31.4 ] INDONESIA
Foreign body in mouth [ T18.0 ] Diagnostic procedures on BPJS 12.04.1992
larynx and trachea [ 31.4 ] (KESEHATAN)
Nasal polyp, unspecified [ J33.9 ] BPJS (PBI) 12.10.1956
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 17.01.2014

Sensorineural hearing loss, unspecified BPJS 06.04.1958


[ H90.5 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 21.07.1986
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 27.10.2017
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 05.07.1974
(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS (PBI) 17.06.2018
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 31.07.1987
H66.3 ] & MANDIRI)
Otitis externa, unspecified [ H60.9 ] PRIBADI 22.08.2007

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 16.04.2006


[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 25.06.1969
[ 96.53 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis BPJS (PNS/POLRI 06.03.1977
[ J37 ] & MANDIRI)
Otomycosis NOS (H62.2* Otitis externa PRIBADI 28.12.1984
in mycoses) [ B36.9+ ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 24.11.2015
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 17.06.1994
H66.3 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 05.06.1985
H66.3 ] (KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
unspecified [ H72.9 ] RAHARJA
Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 13.01.1996

Nasopharynx - Pharyngeal tonsil BPJS 13.08.1949


[ D10.6 ] (KESEHATAN)
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 09.10.1969
larynx and trachea [ 31.4 ] (KESEHATAN)
Epistaxis-Haemorrhage from nose- Irrigation of nasal passages BPJS (PBI) 01.08.1954
Nosebleed [ R04.0 ] [ 96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 06.08.1953
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 27.10.2017
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 BPJS 25.01.1945
] (KESEHATAN)
Chronic pharyngitis - Chronic sore Diagnostic procedures on BPJS (PBI) 06.05.1977
throat [ J31.2 ] larynx and trachea [ 31.4 ]
Anosmia [ R43.0 ] Irrigation of nasal passages BPJS 16.08.2002
[ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 03.02.1988
(chronic)NOS [ J32.9 ] [ 96.53 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 30.01.2007
larynx and trachea [ 31.4 ] & MANDIRI)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 10.08.1985
[ 96.53 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 19.09.1956
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Labyrinthitis [ H83.0 ] Irrigation of nasal passages BPJS 12.10.1985
[ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 01.07.1992
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] PRIBADI 18.09.2003
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 13.06.2014
larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] BPJS 12.09.2011
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.09.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 21.09.2005
larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 14.11.1967
(KESEHATAN)
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 10.08.1985
[ 96.53 ] (KESEHATAN)
Skin of ear and external auricular canal BPJS (PBI) 09.10.2012
[ D23.2 ]
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 09.10.2012
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 09.10.2012
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS 15.12.1988
[ 96.53 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 25.01.1945
H66.3 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 17.09.1958
larynx and trachea [ 31.4 ] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PNS/POLRI 20.12.1953
[ 96.53 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 07.03.2010
]
Chronic rhinitis - Ozena [ J31.0 ] Diagnostic procedures on BPJS 17.08.1963
larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 03.02.1988
[ 96.53 ]
Obstruction of Eustachian tube PRIBADI 11.02.1965
[ H68.1 ]
Benign paroxysmal vertigo [ H81.1 ] PRIBADI 01.07.1973

Granulomatous PRIBADI 01.07.1973


dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Other polyp of sinus(accessory- BPJS (PBI) 13.10.1965
ethmoidal-maxilla.) [ J33.8 ]
Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 30.09.2004

Granulomatous PRIBADI 01.07.1973


dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Allergic rhinitis, unspecified [ J30.4 ]
Irrigation of nasal passages BPJS (PNS/POLRI 13.08.2009
[ 96.53 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.09.1990
] (KESEHATAN)
Other granulomatous dis.ofskin & PRIBADI 01.07.1973
subcutaneous ti. [ L92.8 ]
Chronic tonsillitis [ J35.0 ] BPJS 16.12.1968
(KESEHATAN)
Peritonsillar abscess-Abscess of tonsil Incision and BPJS (PBI) 15.03.1981
[ J36 ] drainage of
tonsil and
peritonsilar
structures [ 28.0
]
Cellulitis&abscess of mouth- BPJS (PBI) 03.04.1959
Submandibular abscess [ K12.2 ]
Overlapping lesion of nasopharynx BPJS 13.08.1949
[ C11.8 ] (KESEHATAN)
Other specified disord. of nose and BPJS 13.08.1949
nasal sinuses [ J34.8 ] (KESEHATAN)
Skin of ear and external auricular canal Radical excision PRIBADI 01.07.1973
[ D23.2 ] of lesion of
external ear
[ 18.31 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 12.09.2011
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Skin of ear and external auricular canal Radical excision BPJS (PBI) 09.10.2012
[ D23.2 ] of lesion of
external ear
[ 18.31 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 14.09.2003
without
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Other external BPJS (PBI) 13.10.1965
(chronic) [ J32.0 ] maxillary
antrotomy
[ 22.39 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 02.04.2012
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Other external BPJS (PBI) 12.10.1956
(chronic) [ J32.0 ] maxillary
antrotomy
[ 22.39 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 10.02.2012
without
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 17.01.2014
without
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Other external BPJS 22.03.1995
(chronic) [ J32.0 ] maxillary (KESEHATAN)
antrotomy
[ 22.39 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 02.07.1983
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 02.07.1983
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 02.07.1983
[ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 02.07.1983
[ 96.53 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 24.06.2016
H66.3 ]
Chronic tonsillitis [ J35.0 ] BPJS (PBI) 13.06.2014

Sensorineural hearing loss, unspecified Irrigation of ear [ 96.52 ] BPJS 05.06.1958


[ H90.5 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 13.06.2014
larynx and trachea [ 31.4 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PNS/POLRI 17.09.1958
[ J37 ] larynx and trachea [ 31.4 ] & MANDIRI)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 13.06.2014
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 13.06.2014
larynx and trachea [ 31.4 ]
Peritonsillar abscess-Abscess of tonsil Diagnostic procedures on BPJS 15.01.1990
[ J36 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PNS/POLRI 21.03.1961
(chronic)NOS [ J32.9 ] [ 96.53 ] & MANDIRI)
Intracerebral haemorrh.in hemisphere, BPJS 02.06.1981
subcortical [ I61.0 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 13.09.1990
[ T16 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 17.08.1965
[ H68.1 ] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PNS/POLRI 06.10.1970
[ 96.53 ] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS (PNS/POLRI 06.10.1970
& MANDIRI)
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 06.10.1970
[ H68.1 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 24.10.1978
]
Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS 12.09.2011
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 03.04.2000
]
Deviated nasal septum [ J34.2 ] Irrigation of ear [ 96.52 ] BPJS 15.03.1963
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 17.01.2019
H66.3 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 15.10.1969
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 24.06.2016
H66.3 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 21.01.1974
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 07.06.1981
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 01.05.2014
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 02.05.1994
]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 18.02.1972
H66.3 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 31.07.1979

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 18.10.1982
] (KESEHATAN)
Other chronic suppurative otitis media [ BPJS (PBI) 01.07.1972
H66.3 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1972

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 18.10.1982


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.10.1982

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 02.06.1992


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.06.1972

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PBI) 28.09.1992


larynx and trachea [ 31.4 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 19.05.1954

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 20.09.1940
H66.3 ] & MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 20.09.1940
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 15.10.1969
]
Conductive hearing loss, unspecified PRIBADI 10.02.1975
[ H90.2 ]
Cervicobrachial syndrome [ M53.1 ] Diagnostic procedures on PRIBADI 30.03.1996
larynx and trachea [ 31.4 ]
Other acute upper resp.inf... Diagnostic procedures on BPJS 27.02.1991
(Tonsillopharyngitis) [ J06.8 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of nasal passages BPJS (PBI) 14.08.2014
H66.3 ] [ 96.53 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 06.05.1977
[ J37 ] larynx and trachea [ 31.4 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.12.1985
(chronic)NOS [ J32.9 ] [ 96.53 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 03.04.1966
[ T16 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 03.02.1961
H66.3 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 03.02.1961
H66.3 ] (KESEHATAN)
Other specified disorders of Eustachian PRIBADI 12.05.1991
tube [ H69.8 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.12.1985
(chronic)NOS [ J32.9 ] [ 96.53 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.12.1985
(chronic)NOS [ J32.9 ] [ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 29.04.2010
] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 21.01.2012
H66.3 ]
Postprocedur.disord.of ear&mastoid Rhinoscopy [ 21.21 ] BPJS (PBI) 13.10.1965
process,unspec. [ H95.9 ]
Preauricular sinus and cyst [ Q18.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 27.12.2011

Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS (PBI) 07.01.1966


larynx and trachea [ 31.4 ]
Preauricular sinus and cyst [ Q18.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 27.12.2011

Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 17.06.1994
H66.3 ]
Foreign body in pharynx - Nasopharynx Diagnostic procedures on BPJS (PBI) 12.12.1961
- Throat NOS [ T17.2 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 09.07.1968
]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 26.10.1965
] & MANDIRI)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS 16.03.1959
unspecified [ H72.9 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 24.08.2003

Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS 06.05.1999


(chronic) [ J32.0 ] [ 96.53 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of nasal passages BPJS (PBI) 14.08.2014
H66.3 ] [ 96.53 ]
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] PT. INTI AGRO 23.12.1991
[ T16 ] MAKMUR
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 08.03.1996
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis PRIBADI 22.03.1990
(chronic)NOS [ J32.9 ]
Conductive and sensorineural hearing PRIBADI 13.05.2012
loss [ H90 ]
Chronic sinusitis,unspecif.-Sinusitis BPJS 12.08.1992
(chronic)NOS [ J32.9 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 PRIBADI 12.12.1996
]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 13.10.1965
(chronic)NOS [ J32.9 ] [ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.02.1984
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.02.1984
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 07.12.2000
[ 96.53 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PNS/POLRI 10.07.1982
(chronic)NOS [ J32.9 ] [ 96.53 ] & MANDIRI)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 06.05.1977
[ J37 ] larynx and trachea [ 31.4 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 06.05.1977
[ J37 ] larynx and trachea [ 31.4 ]
Foreign body in ear - Auditory canal Removal of intraluminal BPJS 07.03.1968
[ T16 ] foreign body from ear without (KESEHATAN)
incision [ 98.11 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.06.1972

Hearing loss, unspecified [ H91.9 ] Audiometry [ 95.41 ] BPJS (PNS/POLRI 05.06.1958


& MANDIRI)
Otitis media, unspecified [ H66.9 ] BPJS 27.10.2017
(KESEHATAN)
Otitis media, unspecified [ H66.9 ] BPJS (PBI) 18.07.1953

Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 13.10.1965


(chronic)NOS [ J32.9 ] [ 96.53 ]
Chronic maxillary sinusitis - Antritis Irrigation of nasal passages BPJS (PBI) 06.05.1999
(chronic) [ J32.0 ] [ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.12.2002

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 10.12.1973


(KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.2013
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 28.06.2013
]
Other chronic suppurative otitis media [ PRIBADI 23.08.2005
H66.3 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 27.12.2011
]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 20.06.1996
] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 07.09.1988
(KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 20.08.1997
[ T16 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 24.05.2018

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 24.05.2018

Nasopharynx - Pharyngeal tonsil Irrigation of nasal passages BPJS 20.04.1949


[ D10.6 ] [ 96.53 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.07.1973
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 07.09.1990

Chronic tonsillitis [ J35.0 ] Diagnostic procedures on BPJS (PNS/POLRI 04.12.1981


larynx and trachea [ 31.4 ] & MANDIRI)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 17.07.1985
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 12.04.2003
(KESEHATAN)
Preauricular sinus and cyst [ Q18.1 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 27.12.2011

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 04.08.1980


(KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PNS/POLRI 17.09.1958
[ J37 ] larynx and trachea [ 31.4 ] & MANDIRI)
Malignant otitis externa [ H60.2 ] Irrigation of ear [ 96.52 ] BPJS 28.05.2009
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.04.1987
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 04.08.1980
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 17.11.1983

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 01.08.1954
[ 96.53 ]
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 04.08.1980
] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 10.02.2012
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
H66.3 ] RAHARJA
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] PT. JASA 01.05.1958
H66.3 ] RAHARJA
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 24.08.2003

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 25.05.2008


(KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS (PBI) 10.02.2012
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 30.07.2017
]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 28.12.2011
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] PRIBADI 17.07.1985

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 15.02.1989


(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 15.02.1989
(KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 10.07.1982
[ 96.53 ] (KESEHATAN)
Recurrent cholesteat. of Rhinoscopy [ 21.21 ] PRIBADI 22.03.1995
postmastoidectomy cavity [ H95.0 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 17.06.1994
H66.3 ]
Tinnitus [ H93.1 ] Audiometry [ 95.41 ] BPJS 14.03.1973
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS 07.07.2005
(chronic)NOS [ J32.9 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 06.06.1981
[ 96.53 ]
Hearing loss, unspecified [ H91.9 ] Irrigation of ear [ 96.52 ] BPJS 08.04.2016
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 05.06.1985
H66.3 ] (KESEHATAN)
Larynx - Epiglottis (suprahyoid portion) Diagnostic procedures on BPJS 05.12.1959
[ D14.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 10.06.1983
[ J37 ] larynx and trachea [ 31.4 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 08.06.2009
(KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 17.06.2018
]
Allergic rhinitis, unspecified [ J30.4 ] Rhinoscopy [ 21.21 ] BPJS 16.04.1984
(KESEHATAN)
Chronic tonsillitis [ J35.0 ] Rhinoscopy [ 21.21 ] BPJS (PNS/POLRI 30.01.2007
& MANDIRI)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 25.04.1966
]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 03.07.2012
] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 13.05.1990
[ 96.53 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 06.06.1981
[ 96.53 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 30.08.1988
[ 96.53 ] (KESEHATAN)
Foreign body in mouth [ T18.0 ] Removal of intraluminal BPJS 24.07.2017
foreign body from pharynx (KESEHATAN)
without incision [ 98.13 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 26.07.1997
H66.3 ]
Nontoxic goitre, unspecified - Goitre Diagnostic procedures on BPJS (PNS/POLRI 08.03.1970
NOS [ E04.9 ] larynx and trachea [ 31.4 ] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 20.04.1987
[ 96.53 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 14.11.1967
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 23.01.1982
H66.3 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] PRIBADI 10.12.1998

Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 08.05.1962
] & MANDIRI)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 24.06.2016
H66.3 ]
Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 08.09.1968
[ H68.1 ] & MANDIRI)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS 25.11.1976
sinuses [ D14.0 ] [ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] BPJS 08.09.1968
(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS 01.10.1961
H66.3 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 28.09.1992
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 07.05.2013

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 03.02.1988
[ 96.53 ]
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 24.06.2016
H66.3 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 05.05.1975
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 12.08.1992
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 26.07.1997
H66.3 ]
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS (PBI) 13.07.1984
unspecified [ H72.9 ]
Perforation of tympanic membrane, BPJS (PBI) 13.07.1984
unspecified [ H72.9 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 21.01.1974
(KESEHATAN)
Lethal midline granuloma [ M31.2 ] Diagnostic procedures on BPJS 07.01.1964
larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 13.08.2012
] (KESEHATAN)
Nasopharynx - Pharyngeal tonsil Rhinoscopy [ 21.21 ] BPJS (PBI) 24.08.1954
[ D10.6 ]
Chronic rhinitis - Ozena [ J31.0 ] Irrigation of nasal passages BPJS (PNS/POLRI 21.03.1961
[ 96.53 ] & MANDIRI)
Hypertrophy of tonsils - Enlargement of BPJS 21.09.2005
tonsils [ J35.1 ] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 02.06.1992

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 20.11.2017

Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 31.07.1979


(KESEHATAN)
Other chronic suppurative otitis media [ Irrigation of ear [ 96.52 ] BPJS (PBI) 01.07.1951
H66.3 ]
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 19.09.1956
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 30.12.1954
] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Rhinoscopy [ 21.21 ] BPJS (PBI) 13.10.1965
process,unspec. [ H95.9 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 10.11.1978

Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] PRIBADI 10.11.1978


]
Chronic pharyngitis - Chronic sore PRIBADI 19.05.2010
throat [ J31.2 ]
Chronic pharyngitis - Chronic sore PRIBADI 19.05.2010
throat [ J31.2 ]
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 05.11.1974
& MANDIRI)
Acute pharyngitis, unspecified [ J02.9 ] Diagnostic procedures on BPJS 17.12.1987
larynx and trachea [ 31.4 ] (KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS 16.03.1959
unspecified [ H72.9 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 23.07.2015
] & MANDIRI)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 27.03.1980
[ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 21.05.1973
[ T16 ]
Otitis externa, unspecified [ H60.9 ] PRIBADI 15.12.1994

Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 12.01.1964
[ 96.53 ]
Acute pharyngitis, unspecified [ J02.9 ] PRIBADI 23.02.1990

Obstruction of Eustachian tube Irrigation of ear [ 96.52 ] BPJS 12.03.1985


[ H68.1 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Other chest x-ray [ 87.49 ] BPJS (PBI) 29.04.1962
(chronic)NOS [ J32.9 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 20.11.2017

Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS (PBI) 10.06.1983


[ J37 ] larynx and trachea [ 31.4 ]
Bronchus and lung [ D14.3 ] Irrigation of nasal passages BPJS (PBI) 29.04.1962
[ 96.53 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 25.06.1997
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 01.12.2000
[ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PBI) 07.07.1998
[ T16 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 12.10.1956
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 13.03.2003
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 13.03.2003
(KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 16.04.1985
] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS 02.09.2009
[ T16 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Rhinoscopy [ 21.21 ] BPJS 10.06.1976
(chronic)NOS [ J32.9 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 26.10.2014
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 12.11.2008
] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Irrigation of nasal passages BPJS (PBI) 12.12.1985
process,unspec. [ H95.9 ] [ 96.53 ]
Other chronic suppurative otitis media [ PRIBADI 10.05.1963
H66.3 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 26.10.2014
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Postprocedur.disord.of ear&mastoid Diagnostic procedures on BPJS 26.10.2014
process,unspec. [ H95.9 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS 07.06.1981
[ 96.53 ] (KESEHATAN)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 04.10.2012
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Hypertrophy of tonsils - Enlargement of Other chest x-ray [ 87.49 ] BPJS (PBI) 04.10.2012
tonsils [ J35.1 ]
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS 26.10.2014
tonsils [ J35.1 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Larynx - Epiglottis (suprahyoid portion) Diagnostic procedures on BPJS (PNS/POLRI 05.12.1959
[ D14.1 ] larynx and trachea [ 31.4 ] & MANDIRI)
Otitis externa, unspecified [ H60.9 ] PRIBADI 28.09.1942

Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 12.06.1988


[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 04.12.2002

Otomycosis NOS (H62.2* Otitis externa PRIBADI 02.03.1964


in mycoses) [ B36.9+ ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of ear [ 96.52 ] BPJS 16.05.2004
(chronic)NOS [ J32.9 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS 07.11.1963
(KESEHATAN)
Granulomatous Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.2013
dis.ofskin&subcutaneous tissue,uns.
[ L92.9 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS (PBI) 02.06.2012
]
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 07.09.2009
(KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of ear [ 96.52 ] BPJS 07.09.2009
(KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PNS/POLRI 21.03.1961
(chronic)NOS [ J32.9 ] [ 96.53 ] & MANDIRI)
Chronic laryngitis and laryngotracheitis Diagnostic procedures on BPJS 19.09.1956
[ J37 ] larynx and trachea [ 31.4 ] (KESEHATAN)
Tinnitus [ H93.1 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 20.04.1956
& MANDIRI)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS 07.02.1985
(chronic)NOS [ J32.9 ] [ 96.53 ] (KESEHATAN)
Foreign body in ear - Auditory canal Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 28.12.1977
[ T16 ] & MANDIRI)
Hypertrophy of tonsils - Enlargement of Diagnostic procedures on BPJS (PBI) 28.09.1992
tonsils [ J35.1 ] larynx and trachea [ 31.4 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 02.06.2015
] (KESEHATAN)
Nasal cavity [ C30.0 ] BPJS 06.05.1991
(KESEHATAN)
Epistaxis-Haemorrhage from nose- Irrigation of nasal passages BPJS (PBI) 27.06.2013
Nosebleed [ R04.0 ] [ 96.53 ]
Other acute nonsuppurative otitis Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.1953
media [ H65.1 ]
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 29.04.1962
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 05.05.1975
(KESEHATAN)
Larynx, unspecified [ C32.9 ] Diagnostic procedures on BPJS 09.10.1969
larynx and trachea [ 31.4 ] (KESEHATAN)
Allergic rhinitis, unspecified [ J30.4 ] Irrigation of nasal passages BPJS (PBI) 26.08.2006
[ 96.53 ]
Obstruction of Eustachian tube Audiometry [ 95.41 ] BPJS 12.03.1985
[ H68.1 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Rhinoscopy [ 21.21 ] BPJS (PNS/POLRI 30.01.2007
& MANDIRI)
Nasopharynx - Pharyngeal tonsil Irrigation of nasal passages BPJS 20.04.1949
[ D10.6 ] [ 96.53 ] (KESEHATAN)
Acute laryngitis (NOS - oedematous ) PRIBADI 01.02.1986
[ J04.0 ]
Other perforations of tympanic Irrigation of ear [ 96.52 ] BPJS 17.10.1997
membrane [ H72.8 ] (KESEHATAN)
Middle ear, nasal cavity & accessory Diagnostic procedures on PT. AJ INHEALTH 11.06.1988
sinuses [ D14.0 ] larynx and trachea [ 31.4 ] INDONESIA
Deviated nasal septum [ J34.2 ] Irrigation of ear [ 96.52 ] BPJS (PNS/POLRI 15.03.1963
& MANDIRI)
Middle ear, nasal cavity & accessory Irrigation of nasal passages BPJS (PBI) 17.11.1963
sinuses [ D14.0 ] [ 96.53 ]
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 09.04.2013
] (KESEHATAN)
Other chronic sinusitis [ J32.8 ] Irrigation of nasal passages BPJS 10.06.1976
[ 96.53 ] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 17.07.1983
] (KESEHATAN)
Superficial mycosis, unspecified [ B36.9 Irrigation of ear [ 96.52 ] BPJS 17.07.1983
] (KESEHATAN)
Impacted cerumen - Wax in ear [ H61.2 Irrigation of ear [ 96.52 ] BPJS 05.07.2015
] (KESEHATAN)
Otitis externa, unspecified [ H60.9 ] Irrigation of nasal passages BPJS 15.03.1963
[ 96.53 ] (KESEHATAN)
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.1953

Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS 01.07.2015


(KESEHATAN)
Perforation of tympanic membrane, Irrigation of ear [ 96.52 ] BPJS 16.03.1959
unspecified [ H72.9 ] (KESEHATAN)
Chronic sinusitis,unspecif.-Sinusitis Irrigation of nasal passages BPJS (PBI) 29.04.1962
(chronic)NOS [ J32.9 ] [ 96.53 ]
Otitis media, unspecified [ H66.9 ] Irrigation of ear [ 96.52 ] BPJS (PBI) 18.07.1953

Fracture of nasal bones [ S02.2 ] Irrigation of nasal passages BPJS 15.03.1963


[ 96.53 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy without BPJS 26.10.2014
adennoidectomy [ 28.2 ] (KESEHATAN)
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS 21.09.2005
without (KESEHATAN)
adennoidectomy
[ 28.2 ]
Nasal cavity [ C30.0 ] Biopsy of nose BPJS 06.05.1991
[ 21.22 ] (KESEHATAN)
Chronic maxillary sinusitis - Antritis Other external BPJS 12.08.1992
(chronic) [ J32.0 ] maxillary (KESEHATAN)
antrotomy
[ 22.39 ]
Oesophagitis - Abscess of oesophagus [ Other BPJS (PBI) 28.09.1942
K20 ] gastroscopy
[ 44.13 ]
Maxillary sinus - Antrum (Highmore) Open biopsy of BPJS (PBI) 29.04.1962
(maxillary) [ C31.0 ] nasal sinus
[ 22.12 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 13.06.2014
without
adennoidectomy
[ 28.2 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 04.10.2012
without
adennoidectomy
[ 28.2 ]
Chronic maxillary sinusitis - Antritis Local excision or BPJS (PBI) 12.12.1985
(chronic) [ J32.0 ] destruction of
intranasal lesion
[ 21.31 ]
Chronic tonsillitis [ J35.0 ] Tonsillectomy BPJS (PBI) 28.09.1992
without
adennoidectomy
[ 28.2 ]
Otitis media, unspecified [ H66.9 ] Myringotomy BPJS (PBI) 18.07.1953
with insertion of
tube [ 20.01 ]
Tracheostomy status [ Z93.0 ] Replacement of tracheostomy BPJS (PBI) 20.05.1965
tube [ 97.23 ]
Deviated nasal septum [ J34.2 ] Other BPJS 15.03.1963
septoplasty (KESEHATAN)
[ 21.88 ]
Alamat

PERUMNAS BLOK A BALAI AGUNG

KEL. NGULAK 1 SANGA DESA

JL KOL WAHID UDIN KEL SERASAN JAYA

DS 1 MACANG SAKTI SANGA DESA

BABAT TOMAN

LUMPATAN

LUMPATAN

BALAI AGUNG

BELAKANG TERMINAL RANDIK KEL.KAYUAR

BUMI KENCANA SUNGAI LILIN

BEJI MULYO

LK.I KAYUARA

BUMI AYU LAWANG WETAN

DSN I RT 02 NUSA SERASAN SUNGAI LILIN

DS 3 LUMPATAN 2

BUMI KENCANA SUNGAI LILIN

BUMI KENCANA SUNGAI LILIN

KOMP. VBS KAYUARA

SOAK BARU RT.06 RW.03

RIMBA UKUR RT/01 RW/01

SERASAN JAYA

SEKAYU

PERUMNAS BLOK B BALAI AGUNG


AIR PUTIH ULU

JL.LET.H.NUR KEL SERASAN JAYA RT06 RW01

DS. 2 DANAU CALA

DUSUN I DESA NUSA SERASAN KEC SUNGAI LILIN


KAB MUBA PROVINSI SUMATRA SELATAN

KARYA MAJU RT/13 RW/12

DSN I KERTAYU

DS KEMANG AGUNG KERTAPATI PALEMBANG

LK 3 SERASAN JAYA RT/10 RW/05

LK.I BALAI AGUNG SEKAYU

A1KARYA MAJU KELUANG

PERUMNAS BALAI AGUNG

DS PINANG BANJAR RT/06 RW/02

DS 4 EPIL

MUARA TELADAN

DS 1 BUMI AYU

DS 1 BUMI AYU

DSN I DESA MUARA TELADAN

JL KASNARIANSYAH NO.09 RT/RW.10/04


PALEMBANG

DUSUN 6 SIDO RAHAYU

DS 3 SUGI WARAS

ULAK PACEH JAYA

SERASAN JAYA

SERASAN JAYA

JL.MERDEKA LK I KAYUARA RT/04 RW/02

LK IV BABAT

DS I ULAK PACE JAYA


LK.III RIMBA ASAM BETUNG

DS V KOMPL TALANG UCIN RT 01 TELUK KIJING III


LAIS

DSN I TELUK LAIS

SOAK BARU

BALAI AGUNG

DSN V RT 20NUSA SERASAN SUNGAI LILIN

JL PRAJA PERMAI KEL BALAI AGUNG

MUBA

ULAK EMBACANG

DSN V RT 20NUSA SERASAN SUNGAI LILIN

RIMBA UKUR PLAKAT TINGGI

JL BERINGIN LK 1 SERASAN JAYA RT/04 RW/02

DS 3 BAILANGU TIMUR

KOMPLEK PRAJA PERMAI SEKAYU

BALAI AGUNG

JL BERINGIN LK 1 SERASAN JAYA RT/04 RW/02

DS III KELUANG

DS 2 TELUK

KOMPLEK VILLA BUKIT SEJAHTERA BLOKC.3 NO.08

BALAI AGUNG RT/03 RW/01

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

DSN II TELUK KIJING II

KARYA MAJU RT/13 RW/12

ULAK PACEH JAYA

DSN VIII RT 01 BUMI KENCANA SUNGAI LILIN

LORONG DARUSSALAM SERASAN JAYA


RIMBA UKUR PLAKAT TINGGI

DS.I LUPMPATAN

DS.I LUPMPATAN

SOAK BARU SEKAYU

SUKA MAJU . PLAKAT TUNGGI

GRIYA RANDIK

PERUMNAS BALAI AGUNG

SUNGAI LILIN

DUSUN IV LAWANG WETAN

DS 4 SUKA DAMAI

SIMPANG TUNGKAL

DS KEMANG AGUNG KERTAPATI PALEMBANG

BELAKANG TERMINAL RANDIK KEL.KAYUAR

KAYUARA LK 1 SEKAYU

LK 2 SERASAN JAYA

JL. DEPATI SERASAN JAYA

MUARA TELADAN

DSN I RT 02 NUSA SERASAN SUNGAI LILIN

BABAT TOMAN

KOMPLEK PRAJA PERMAI SEKAYU

KAYUARA

KEL. NGULAK 1 SANGA DESA

MUARA TELADAN

SUNGAI LILIN RT/01 RW/02

JL. DEPATI SERASAN JAYA

EPIL
LK.3 SOAK BARU

BENGKULU SELATAN

RIMBA UKUR PLAKAT TINGGI

NGULAK SANGA DESA

DSN V RT 20NUSA SERASAN SUNGAI LILIN

JL.LET.H.NUR KEL SERASAN JAYA RT06 RW01

JL DEPATI NO 835 SEERASAN JAYA SEKAYU MUBA

KELUANG RT/01 RW/01

LK 3 BALAI AGUNG RT/34 RW/10

PT MBI

LOKA JAYA KELUANG

PANAI

DUSUN 2 SUMBER REZEKI

LUMPATAN

KAYUARA KEC SEKAYU KAB MUBA PROVINSI


SUMATRA SELATAN

DS 3 PANGKALAN JAYA KEC BABAT TOMAN

KEBAN 2 SANGA DESA

KEBAN 2 SANGA DESA

TELUK KIJING

DS 2 JIRAK

SUMBER REZEKI SUNGAI LILIN

BABAT BANYUASIN

SUMBER REZEKI SUNGAI LILIN

TELUK KIJING

LK 2 KAYUARA

LK 2 KAYUARA
DESA KELUANG RT/01 RW/01

LK 2 KAYUARA

LK 2 KAYUARA

DS 2 EPIL

DS KERTAYU

DS 2 EPIL

ASRAMA KODIM SERASAN JAYA

DS BAGAN LUMPATAN

KOMP SERASAN SEKATE BALAI AGUNG

PEKAN BARU

DS ULAK PACEH

LK. III BABAT TOMAN RT10 RW04

JL.INFRES PENJARA SERASAN JAYA RT/14 RW/04

ASPOL POLISI

SERASAN JAYA RT/03 RW/05

DS 4 BAILANGU

KOMP SERASAN SEKATE BALAI AGUNG

DS BAGAN LUMPATAN

TELUK KIJING

DS. 2 KAMP. TALANG DUKU TELUK KIJING

DS EPIL LAIS

DS 4 DAWAS

SOAK BARU SEKAYU

DSN I TANJUNG AGUNG SELATAN LAIS

GRIYA RANDIK KAYUARA BLOK A1 NO16

LK. III BABAT TOMAN RT10 RW04


LK. 7 SERASAN JAYA SEKAYU

LK. 7 SERASAN JAYA SEKAYU

SERASAN JAYA

LK 3 BALAI AGUNG RT/34 RW/10

KARYA MAJU RT/13 RW/12

SOAK BARU

BALAI AGUNG

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

KEC LUMPATAN 1

JL DEPATI NO 835 SEERASAN JAYA SEKAYU MUBA

DSN I DESA MUARA TELADAN

PERUMNAS BLOK B BALAI AGUNG

DS I ULAK PACE JAYA

GAJAH MATI

DUSUN 3 TANAH ABANG

DS.IV ULAK PACEH JAYA

DS.I LUPMPATAN

SIMPANG TUNGKAL

DS SINDANG MARGA

DS.II TERUSAN

BALAI AGUNG

DS 3 RANTAU PANJANG

JL.SULTAN SYARIF QASIM RT 10 PERAWANG


BARAT TUALANG

DS 3 RANTAU PANJANG

DS PINANG BANJAR RT/06 RW/02

SERASAN JAYA
SERASAN JAYA

SUNGAI LILIN

SERASAN JAYA

WARGA MULYA

PRAJA PERMAI BALAI AGUNG

KARYA MAJU RT 01 RW 01 KARYA MAJU

TALANG PIASE

TALANG PIASE

JL.MERDEKA LK.2 BALAI AGUNG

TALANG PIASE

BABAT TOMAN

DSN III TALANG PIASE

DSN III TALANG PIASE

DSN III TALANG PIASE

DSN III TALANG PIASE

DSN III TALANG PIASE

BUMI AYU

DSN. 1 TELUK KIJING 2

LK.II BALAI AGUNG

DS 3 BAILANGU TIMUR

CIPTA PRAJA

JLN MERDEKA LKNGN 1 KAYUARA

G.RANDIK BLOK A KAYUARA

LK 3 BALAI AGUNG RT/34 RW/10

SUKARAMI

SUKARAMI
DSN III TALANG PIASE

KOMPLEK VILLA BUKIT SEJAHTERA BLOKC.3 NO.08

DS 1 LUMPATAN

DSN I TANJUNG AGUNG SELATAN LAIS

LK.3 SOAK BARU

KOMP VBS BLOK D5 KAYUARA

JL.KOL WAHID UDIN KAYUARA RT/03 RW/02

DS 2 LAIS

DS 1 SUMBER REZEKI SUNGAI LILIN

JL.KOL WAHID UDIN KAYUARA RT/03 RW/02

PERUMNAS BLOK A BALAI AGUNG

JL.MERDEKA LK.2 BALAI AGUNG

RANTAU KROYA

SUKA MAJU . PLAKAT TUNGGI

RANTAU KROYA

KOMP. VBS

ASRAMA KODIM SERASAN JAYA

JL. LAUT LK 1 SERASAN JAYA

DS 4 LUMPATAN 2

DS 4 LUMPATAN 2

DSN I RT 02 NUSA SERASAN SUNGAI LILIN

KEL. SUNGAI LILIN RT.003/003

DSN I TANJUNG AGUNG SELATAN LAIS

DS 2 MUARA PUNJUNG

DS 4 LUMPATAN 2

LK.I BALAI AGUNG SEKAYU


DS 2 EPIL

KOMP.RANDIK

LUMPATAN

DS 2 BUMI AYU

JL.MERDEKA LK 2 NO.29 KAYUARA RT/05

JL.DEPATI KEL SERASAN JAYA RT/10 RW/01

JL DEPATI NO 835 SEERASAN JAYA SEKAYU MUBA

DS 3 PANGKALAN JAYA KEC BABAT TOMAN

KOMPELK PERUMNAS JL. CENDANA B.183

DS CIPAMOKOLAN PANCASARI BANDUNG

LAIS

LAIS

MANGUN JAYA

MANGUN JAYA

JL.KAMPUNG SEKATE SOAK BARU RT15 RW06

DS 1 LUMPATAN

GRIYA RANDIK

teluk kujing

JL. KABUPATEN RT.015 RW.005 NGULAK 1 SANGA


DESA

PERUM SERASAN DAMAI B 9 KAYUARA

KELUANG

LK 2 SERASAN JAYA

JL. AMD KOMP. GRIYA BUMI LESTARI RT.037/010

JL. AGRIES NO 12 LK I RT 01 SUMBER REJO


SEJATERA KEMILING

SOAK BARU

KOMP. GRIYA RANDIK BLOK B4 NO6 KAYUARA


DS 4 SIDORAHAYU

JL. AMD KOMP. GRIYA BUMI LESTARI RT.037/010

DS 4 SUKA DAMAI

JL.MERDEKA LK 3 KAYUARA RT/12 RW/05

KAMPUNG SERASAN DAMAI BLOK NO.10

GRIYA RANDIK KAYUARA

DESA BABAT TOMAN RT/12 RW/05

SERASAN JAYA

DS III BAILANGU TIMUR

JL SEKAYU SUKARAMI KEL BALAI AGUNG

SUPAT BARAT

DUSUN I TELUK KIJING II

DS BAILANGU

DS PINANG BANJAR RT/06 RW/02

SOAK BARU RT.06 RW.03

KOMP GRIYA BUMI LESTARI BLOK A2 BALAI AGUNG

CINTA KARYA

C2 SUNGAI LILIN

DS 1 LUMPATAN 2

JL.MERDEKA LK 2 BALAI AGUNG RT/01 RW/01

BUMI KENCANA SUNGAI LILIN RT/01 RW/01

JL.KOL WAHID UDIN KAYUARA RT/03 RW/02

TALANG PIASE

MANGUN JAYA

DS 1 BUMI AYU

KEL. NGULAK 1 SANGA DESA


DS BAGAN LUMPATAN

CIPTA PRAJA

LK 2 KAYUARA

MUARA TELADAN

DSN I RT 02 NUSA SERASAN SUNGAI LILIN

DS.I LUPMPATAN

DSN V RT 20NUSA SERASAN SUNGAI LILIN

DS KELUANG

JL.KH AHMAD DAHLAN LK 1 BALAI AGUNG

DS 2 MUARA PUNJUNG

DS 4 LUMPATAN 2

DSN I TANJUNG AGUNG SELATAN LAIS

KELUANG

DSN I KERTAYU

DS 3 TELUK

KEBAN 2 SANGA DESA

TELUK KIJING

BABAT TOMAN

BUMI KENCANA SUNGAI LILIN

PERUMAHAN VILLA BUKIT SEJAHTERA BLOK A2


NO.39

DS I ULAK PACE JAYA

SERASAN JAYA

KP 5 LUMPATAN

PANDAN DULANG

SERASAN JAYA

DS 3 JEMBATAN GANTUNG
JL. DEWA RUCI RT.026/007 BETUNG

DS 2 BANDAR JAYA

SERASAN JAYA

KELUANG

PANAI

DS KASMARAN

LINK 1 KAYUARA RT/04 RW/02

SUMBER AGUNG

JL. LET. MUNANDAR LK. III

ASPOL POLRES MUBA

DSN.2 LUMPATAN II

SERASAN JAYA

DS.IV TELUK KIJING1

LK 3 BALAI AGUNG RT/34 RW/10

TELUK KIJING II

DS 2 NGULAK

PALEMBANG

TOMAN

TALANG SELARAI BALAI AGUNG

DS 3 JIRAK

BALAI AGUNG

KOMP. GRIYA MULYA PERMAI LR.VALERMO RT 022


BALAI AGUNG
PETALING

TRANS TSM DESA KEBANI SANGA DESA

DS 2 DESA BABAT BANYUASIN

KAYUARA RT/03 RW/02

PAGAR ALAM

ULAK PACEH

DS 2 LUMPATAN

KAYUARA RT/03 RW/02

DS 2 LUMPATAN

LK 3 BALAI AGUNG RT/34 RW/10


DSN 3 EPIL

DS 2 LUMPATAN

DSN VIII RT 01 BUMI KENCANA SUNGAI LILIN

KOMP PEMDA SERASAN JAYA

DS 3 JIRAK

DS.III SUKARAMI

DS 3 TEBING BULANG

JL DUSUN LAMA KEL SOAK BARU

NGULAK III

NGULAK III

SERASAN DAMAI KAYUARA

DS 4 DANAU CALA

DS 4 DANAU CALA

DS 4 TELUK KIJING 1

DS 3 JEMBATAN GANTUNG

DS 4 BAILANGU

DS 3 ULAK PACEH JAYA

DS 2 LUMPATAN

LAIS

SUPAT BARAT

TANJUNG KERANG

DS 2 SIMPANG SARI

TANJUNG KERANG

PETALING

SOAK BARU RT10 RW04

SIMPANG TUNGKAL JAYA

LUMPATAN

DS 2 LUMPATAN

DS 2 LUMPATAN

PRUMNAS BALAI AGUNG

TALANG PIASE

SOAK BARU
ASPOL POLRES SEKAYU

ASPOL POLRES MUBA

DUSUN 1 TELUK KIJING

KOMP. GATRI

KOMP. PERUMNAS BLOK A NO 74 SEKAYU

JL.KOL WAHID UDIN BALAI A GUNG RT/03 RW/02

KEL. SUNGAI LILIN RT.003/003

EPIL

DSN IV CINTA KARYA RT 010 PLAKAT TINGGI

DS TANAH ABANG

SIMPANG SARI

SOAK BARU

GRIYA RANDIK BLOK A3 NO 20

BUMI AYU LAWANG WETAN

DS 2 NGULAK

SUPAT BARAT

SOAK BARU

LK 1 SERASAN JAYA RT03 RW02

DESA TELUK KIJING III

DSN III TALANG PIASE

DSN III TALANG PIASE

DSN III TALANG PIASE

DSN III TALANG PIASE

SIMPANG TUNGKAL JAYA

DS 4 SIDORAHAYU

DS EPIL LAIS

DS 4 SIDORAHAYU

BAILANGU

DS 4 SIDORAHAYU

DSN III TALANG PIASE

TELUK KIJING
DS 3 TANAH ABANG

SUNGAI MEDAK

PERUM GRIYA BUMI LESTARI BLOK A2 BALAI


AGUNG
DS SIDORAHAYU

BROTOWIRYAN RT.002 RW.001 KEC. KARTASURA

JLN. KOL WAHID UDIN RT 02 SERASAN JAYA

DUSUN VI SIMPANG GARDU RT.003 RW. 006


TELUKKIJING III KEC. LAIS
KOMP GRIYA RANDIK

JL MERDEKA SOAK BARU

DESA KELUANG

NGULAK 1

NGULAK 1

KELAPA GADING TIMUR JAKARTA RT/07 RW/13

DESA PAJERING RANTAU KASIH LAWANG WETAN

DS V LUMPATAN II

KOMP. GPI 1 TALANG PIASE

JL MERDEKA LK.II KAYUARA RT/RW.06/03

DS 1 LUMPATAN 2

KAYUARA

KOMP. PERUM IBI

DSN II TANDING MARGA PENUKAL UTARA

DS 3 JIRAK

NGULAK RT/05 RW/02

EPIL

SERASAN JAYA

DS 4 EPIL

GPI 1 RANTAU PANJANG

DS 1 SUGI RAYA

JL.KOL WAHID UDIN BALAI A GUNG RT/03 RW/02

LK 6 SERASAN JAYA RT13 RW02

DS TANJUNG AGUNG TIMUR LAIS

DS 1 SUGI RAYA
JL.MERDEKA SOAK BARU RT/06 RW/03

DUSUN 3 EPIL

LK.II SOAK BARU

GRIYA RANDIK

JL. LAUT SERASAN JAYA RT/16 RW/02

JL.KAMPUNG SEKATE SOAK BARU

SUPAT BARAT

JL. LAUT SERASAN JAYA RT/16 RW/02

DS 3 BAILANGU TIMUR

SOAK BARU RT.06 RW.03

DS 3 LUMPATAN 2

JL. LAUT SERASAN JAYA RT/16 RW/02

JL. LAUT SERASAN JAYA RT/16 RW/02

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

DS BUKIT SELABU

DS III BAILANGU TIMUR

LK I KAYUARA

SUNGAI LILIN

JL BERINGIN LK 1 SERASAN JAYA RT/04 RW/02

DS III BAILANGU TIMUR

DS III BAILANGU TIMUR

DSN III TALANG PIASE

ULAK EMBACANG

DSN I DESA MUARA TELADAN

SOAK BARU

TANAH ABANG

KOMP. PRUMNAS BLOK A RT 05 BALAI AGUNG

BALAI AGUNG RT/03 RW/01

PRAJA PERMAI BALAI AGUNG

DS 2 MUARA TELADAN
JL.MERDEKA SOAK BARU RT/06 RW/03

DS 1 KARANG WARU

ULAK PACEH

SERASAN JAYA

LK 1 KAYUARA

JL. LASKAR JIMBUN NO. 312

DS III BAILANGU TIMUR

SUNGAI MEDAK

JL.MERDEKA SERASAN JAYA RT12 RW05

DS 2 JIRAK

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

DS CIPTA PRAJA RT/06 RW/02

DS 3 PANGKALAN JAYA KEC BABAT TOMAN

DSN I DESA MUARA TELADAN

DS CIPTA PRAJA RT/06 RW/02

TANJUNG AGUNG BARAT

DS TANAH ABANG

BALAI AGUNG RT/RW 015/002

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

PRUMNAS BLOK B BALAI AGUNG

PRAJA PE RMAI BLOK A 3 BALAI AGUNG

PRAJA PE RMAI BLOK A 3 BALAI AGUNG

PRAJA PE RMAI BLOK A 3 BALAI AGUNG

JL PRAMUKA SERASAN JAYA

JL PRAMUKA SERASAN JAYA

PRAJA PE RMAI BLOK A 3 BALAI AGUNG

BERLIAN JAYA TUNGKAL JAYA

DS.I TOMAN

NGULAK I

MEKAR SARI KELUANG

ASRAMA KODIM SERASAN JAYA

DS.I SUKA DAMAI


DUSUN I BANDAR JAYA SEKAYU MUBA

DS 3 TANAH ABANG

JLN. KOL WAHID UDIN LK II RT 03 BALAI AGUNG

PERUM GRIYA BUMI LESTARI BLOK A2 BALAI


AGUNG
DS.I BABAT TOMAN

DSN I DESA MUARA TELADAN

KEL. SUNGAI LILIN RT.003/003

PRAJA PE RMAI BLOK A 3 BALAI AGUNG

DS 3 PANGKALAN JAYA KEC BABAT TOMAN

DSN VIII RT 01 BUMI KENCANA SUNGAI LILIN

JL.LET.MUNANDAR SOAK BARU

PRAJA PE RMAI BLOK A 3 BALAI AGUNG

SUMBER REZEKI SUNGAI LILIN

DS 1 LUMPATAN 2

DS 1 LUMPATAN 2

DUSUN 2 JIRAK SUNGAI KERUH

DS 2 TANAH ABANG

JL.MERDEKA LKII RT 013 KEL BALAI AGUNG


SEKAYU
DS BUKIT SEJAHTERA

DS 4 BAILANGU TIMUR RT/10 RW/04

DESA NGULAK II SANGA DESA

SUMBER AGUNG KELUANG

DS 1 TELUK KIJING 2

GRIYA RANDIK KAYUARA

GRIYA RANDIK KAYUARA

SUNGAI LILIN RT/01 RW/02

KOMP VBS KAYUARA

JL SEKAYU SUKARAMI KEL BALAI AGUNG

KAYUARA RT/03 RW/02

LK 7 BETUNG RT/48 RW/13

MARIANA BANYAUSIN 1

RANTAU KROYA
DS 1 LUMPATAN 2

BUMI AYU LAWANG WETAN

JL.MERDEKA SERASAN JAYA RT12 RW05

LUMPATAN

PERUMNAS BLOK A BALAI AGUNG

JL SEKAYU PENDOPO RT/RW 13/05 SOAK BARU


SEKAYU MUBA SUMSEL
JL.KOL WAHID UDIN RT.001/001 BALAI AGUNG

DS.I AIR PUTIH ULU

LUMPATAN

BABAT SUPAT

DS.IV EPIL

DS.I PETALING LAIS

JL.MERDEKA LK 3 KAYUARA RT/12 RW/05

PALEMBANG

PALEMBANG

PANAI

JLN. KOL WAHID UDIN LK II RT 03 BALAI AGUNG

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

DS 2 LUMPATAN

LUMPATAN

JL.MERDEKA LK.VII SERASAN JAYA

LAIS

MUARA LAKITAN

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

TANJUNG RAYA

DS EPIL LAIS

DESA CINTA KARYA C3 PLAKAT TINGGI

JL.IMPRES SERASAN JAYA RT14 RW 06

DUSUN 3 EPIL

GRIYA RANDIK KAYUARA

JL.PERUMNAS BALAI AGUNG RT/19 RW/06

DS III BAILANGU TIMUR


KOMP GRIYA RANDIK

DS 2 SIMPANG SARI

RANTAU KROYA

JL MERDEKA LK 2 KMPUNG OGAN KEL BALAI


AGUNG
GRIYA RANDIK KAYUARA

KOMPLEK VBS JL. ANGGREK 1 BLOK B8 NO.5

LK 1 KAYUARA

TRANS TSM DESA KEBANI SANGA DESA

DS TANAH ABANG

DS 2 EPIL

DS 2 EPIL

DS 2 EPIL

DS 2 EPIL

LK. III BABAT TOMAN RT10 RW04

LK. III BABAT TOMAN RT10 RW04

DS 2 EPIL

DESA TANJUNG KEPUTRAN PLAKAT TINGGI

DS.2 SUNGAI BATANG

DS. 3 TANAH ABANG

DESA TANJUNG KEPUTRAN PLAKAT TINGGI

DUSUN III SUKARAMI

SOAK BARU RT10 RW04

DSN I DESA MUARA TELADAN

DS 1 TELUK KIJING 1

DS 1 TELUK KIJING 1

KOMP VBS BLOK D5 KAYUARA

KOMP VBS BLOK D5 KAYUARA

DS II SUKARAMI

JL MERDEKA LK 2 KMPUNG OGAN KEL BALAI


AGUNG
DS BABAT

DS II SUKARAMI

LK 6 SERASAN JAYA RT13 RW02


LK 2 KAYUARA

DS SIDORAHAYU

DS 2 LUMPATAN

DS TANJUNG AGUNG TIMUR LAIS

DS 3 LUMPATAN 2

KEL. SUNGAI LILIN RT.003/003

LK. III BABAT TOMAN RT10 RW04

DESA LUMPATAN KEC SEKAYU KAB MUBA PROVINSI


SUMATRA SELATAN
WARGA MULYA

LUMPATAN

DSN VIII RT 01 BUMI KENCANA SUNGAI LILIN

BALAI AGUNG RT/RW 015/002

DSN. 2 DAWAS

SUMBER AGUNG KELUANG MUA

GRIYA RANDIK KAYUARA

SUNGAI LILIN

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

HL DEPATI LK III SERASAN JAYA

LAIS

KAMPUNG 5 SEKAYU

DS 4 TELUK KIJING 1
DS 1 GAJAH MATI SUNGAI KERUH

DS 1 GAJAH MATI SUNGAI KERUH

DS TANJUNG KERANG

EPIL

DESA KASMARAN KEC BABAT TOMAN

DESA KASMARAN KEC BABAT TOMAN

DS 4 BAILANGU TIMUR

EPIL

EPIL

SUNGAI LILIN JAYA

KAMPUNG 5 SEKAYU

DS. 4 EPIL LAIS MUBA

SERASAN JAYA RT/08 RW/02 JL.PELTU YUSUF

DUSUN 7 TEBING BULANG

DUSUN 7 TEBING BULANG

KASMARAN

LINK 1 KAYUARA RT/04 RW/02

DS 2 TELUK KIJING 2 LAIS

PERUM VILA AGUNG SEJAHTERA BALAI AGUNG

LUMPATAN II
LUMPATAN II

LK II KAYUARA

LK II KAYUARA

DS LUMPATAN

LK II KAYUARA

LUMPATAN

BALAI AGUNG RT/03 RW/01

DS BUMI AYU

DS BUMI AYU

TEBING BULAN

EPIL

GRIYA RANDIK

LK.III BALAI AGUNG

DS 2 LUMPATAN 2

LK 2 KAYUARA

DS 2 LUMPATAN 2

SERASAN JAYAV RT/04 RW/02

JL BERINGIN LK 1 SERASAN JAYA RT/04 RW/02

JL SEKAYU MUARA TELADAN LK III KEL BALAI


AGUNG

DUSUN 3 EPIL
DS 1 LAIS

DS 1 SUKARAMI

SOAK BARU RT10 RW04

JL.PELTU YUSUF ULAK LK.II SERASAN JAYA RT08


RW04

LK. III BABAT TOMAN RT10 RW04

DUSUN II EPIL LAIS MUBA SEKAYU

ASPOL BALAI AGUNG

LK 2 BALAI AGUNG RT 12 RW03

BALAI AGUNG RT/RW 015/002

NGULAK 1

LINK 1 KAYUARA RT/04 RW/02

DS SIDORAHAYU

SUMBER AGUNG KELUANG

SUNGAI LILIN

SUNGAI LILIN

SUMBER AGUNG KELUANG

DSN IV CINTA KARYA RT 010 PLAKAT TINGGI

DSN IV CINTA KARYA RT 010 PLAKAT TINGGI

DS SIDORAHAYU

DSN II TELUK KIJING II


DS 2 ULAK PACEH JAYA

DUSUN 2 DESA JIRAK

KAYUARA

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

LK. KAYUARA

GMP BLOK B 1 NO18 BALAI AGUNG

TELUK KIJING

TELUK KIJING

GMP BLOK B 1 NO18 BALAI AGUNG

KEL. NGULAK 1 SANGA DESA

GRIYA RANDIK KAYUARA RT16 RW06

KARYA MAJU KELUANG

JL. LAUT LK.I NO 442 KEL. SERASAN JAYA

DUSUN III ULAK PACEH

DS 1 EPIL

PERUMAHAN BUKIT AGUNG SEJAHTERA NO 12


BLOK B5

KOMP.BUKIT AGUNG SEJAHTERA SEKAYU

JL.KAPTEN ARIVAI LK I BALAI AGUNG

TRANS TSM DESA KEBANI SANGA DESA

BALAI AGUNG
KOMP.GRIYA RANDIK BLOK A5 NO 31 KAYUARA

G.RANDIK KAYUARA BLOK A7

DS 2 MUARA TELADAN RT/08 RW/04

DS 1 KERTAYU SUNGAI KERUH

DUSN III SUKA MAKMUR

JL.MERDEKA LK 1 SOAK BARU RT/03 RW/01

JL. DEWA RUCI RT.026/007 BETUNG

JL. DEWA RUCI RT.026/007 BETUNG

NGULAK 1

SERASAN JAYA

DS 3 LUMPATAN 2

JL.SEKAYU PALEMBANG DSN IV DESA BAILANGU

DS 4 AIR PUTIH ULU PLAKAT TINGGI

PANAI

SERASAN JAYA

MUARA TELADAN

SUKARAMI

PRABUMULIH

DS 3 BAILANGU TIMUR

DS 2 LUMPATAN
DS 3 LUMPATAN

SERASAN JAYA

DUSUN 1 SUKA MULYA BETUNG

DUSUN III ULAK PACEH

KARYA MAJU RT/13 RW/12

LK 3 BALAI AGUNG RT/34 RW/10

SOAK BARU

SOAK BARU

PRUM PEMDA DARAT SERASAN JAYA

SEKAYU

JL SEKAYU PLAKAT TINGGI DESA SUNGAI MEDAK

KOMP. IBI BLOK C2 NO.04 KEL. BALAI AGUNG

PERUMNAS BALAI AGUNG

SERASAN JAYA

DS.II KASMARAN

SOAK BARU RT10 RW04

DS.I GAJAH MATI

DUSUN 2 DESA JIRAK

JL.MERDEKA LK.VII SERASAN JAYA

JL.MERDEKA LK 2 SERASAN JAYA RT/08 RW/02


DEMANG LEBAR DAUN

DESA SUKA MAJU SUNGAI LILIN

DS I LUMPATAN I

TEBING BULAN

HL DEPATI LK III SERASAN JAYA

EPIL

KOMP. PERUMNAS BLOK A NO 74 SEKAYU

SUKABANGUN PALEMBANG

PURWAKARTA JABAR

KARANG ANYAR

MUARA TELADAN

SERASAN DAMAI KAYUARA

TALANG SELARAI KEL BALAI AGUNG

PERUM GRIYA BUMI LESTARI RT 036 BALAI AGUNG

JL. KOL WAHID UDIN NO.II RT/RW.001/001

DS 1 NAPAL

BAILANGU

DS 2 LUMPATAN

PERUM GRIYA BUMI LESTARI RT 036 BALAI AGUNG

KOMP. PRAJA PERMAI BLOK B3 NO 9 BALAI AGUNG


SOAK BARU RT12 RW05

DS 1 SUGI RAYA

NGULAK 1

KOMP. VBS BLOK A7 KAYUARA

DS 2 MUARA TELADAN

DS 1 SUGI RAYA

SUNGAI LILIN JAYA

KOMP. PERUMNAS BLOK B LK. II RT/RW.04/02

DS 1 KARANG WARU

TOMAN

KOMP IBI BALAI AGUNG

JL. KOL. WAHID UDIN LK. 2

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DUSUN III ULAK PACEH

DS 4 DANAU CALA

DS 2 MUARA TELADAN RT/08 RW/04

DS CIPTA PRAJA RT/06 RW/02

DS 2 LUMPATAN

DS CIPTA PRAJA RT/06 RW/02

JL.KOL WAHID UDIN RT.001/001 BALAI AGUNG


KOMP' GREEN VILLAGE BLOK H 7 LK II RT 038
BALAI AGUNG

KOMP' GREEN VILLAGE BLOK H 7 LK II RT 038


BALAI AGUNG

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

DS BAILANGU TIMUR

SERASAN JAYA

SERASAN JAYA

DS 2 SUNGAI NAPAL

KARANG RINGIN II

DUSUN III ULAK PACEH

SOAK BARU RT.06 RW.03

PANGKALAN BAYAT BANYUNG LENCIR

LK 2 BALAI AGUNG RT02 RW01

DS 2 MUARA TELADAN

LK.I RT.004/002 KAYUARA

SIMPANG TUNGKAL

DSN.2 LUMPATAN II

JL.KOL WAHID UDIN SERASAN JAYA RT/0

KOMP. PERUMNAS BLOK A NO 74 SEKAYU

JL.LET MUNANDAR SOAK BARU RT/10 RW/

SUPAT BARAT
JL.MERDEKA SERASAN JAYA

DS,I JIRAK

PALEMBANG

WARGA MULYA

GRIYA RANDIK

DS 2 TELUK KIJING 2 LAIS

DS 1 TELUK KIJING 1

DESA TANJUNG AGUNG SELATAN LAIS

KEL SUNGAI LILIN RT/03 RW/03

DS 2 ULAK PACEH

DS 2 LUMPATAN 2

PERUM GRIYA BUMI LESTARI RT 036 BALAI AGUNG

DUSUN 1 MEKAR JAYA

KEL SUNGAI LILIN RT/03 RW/03

KELUANG

DS 1 KARANG WARU

DS.I AIR ITAM SANGA DESA

SOAK BARU RT.06 RW.03

DS 1 ULAK PACEH JAYA

JL.TERMINAL RANDIK RT.014/006 SERAS KAYUARA


SOAK BARU RT.06 RW.03

TELUK KIJING 3

DS TANJUNG AGUNG TIMUR LAIS

DS TANJUNG AGUNG TIMUR LAIS

PRUMNAS BALAI AGUNG

DESA TANAH ABANG

DS 4 BAILANGU

DS 2 LUMPATAN 2

DESA TANAH ABANG

DS 2 TELUK KIJING 2 LAIS

SINDANG MARGA

LK 1 KAYUARA RT/02 RW/01

LK 1 KAYUARA RT/02 RW/01

LK 1 KAYUARA RT/02 RW/01

JL. VILAREAL GMP AI LK II RT 015 RW 005 BALAI


AGUNG

DUSUN 4 GAJAH MATI

DS 2 SINDANG MARGA RT/01 RW/02

PERUM VILLA BUKIT SEJAHTERA

PT. ANDALAS CEMERLANG (LAIS)

DSN III RANTAU PANJANG


DUSUN II EPIL LAIS MUBA SEKAYU

DS 2 LUMPATAN 2

SOAK BARU RT.06 RW.03

JL. MERDEKA LK I KAYUARA RT/03 RW/02

MUARA TELADAN

SERASAN JAYA

SD 5 SUPAT BARAT RT/07 RW/06

DS. 4 EPIL LAIS MUBA

JL DUSUN LAMA KEL SOAK BARU

JL MERDEKA LK 2 BALAI AGUNG SEKAYU MUBA

DUSUN III ULAK PACEH

JL KOMPRES KELUANG

PRUMNAS BALAI AGUNG

LK.II BALAI AGUNG

DUSUN 4 EPIL

DUSUN 4 EPIL

KOMP. PERUMNAS BLOK B LK. II RT/RW.04/02

VILLA BUKIT SEJAHTERA BLOK D2 NO.08 KEL.


KAYUARA

JL SEKAYU PLAKAT TINGGI DESA SUNGAI MEDAK

SOAK BARU
JL.PELTU USUF ULAK SERASAN JAYA RT/08 RW/04

DS 4 BAILANGU

JL SEKAYU PENDOPO RT/RW 13/05 SOAK BARU


SEKAYU MUBA SUMSEL

DS. 4 EPIL LAIS MUBA

DUSUN.III TALANG PIASE

DS 2 SUNGAI ANGIT

SERASAN JAYA RT/02 RW/01

DS RANTAU KEROYA LAIS

G.RANDIK BLOK A4 KAYUARA RT15 RW06

DS 2 PAGAR KAYA

PT. ANDALS CEMERLANG (EPIL)

PT. ANDALS CEMERLANG (EPIL)

PT. ANDALAS CEMERLANG (LAIS)

DS 2 ULAK PACEH JAYA

GRIYA RANDIK BLOK A3 NO 20

JL MERDEKA LK 2 KMPUNG OGAN KEL BALAI


AGUNG

JL MERDEKA LK 2 KMPUNG OGAN KEL BALAI


AGUNG

JL MERDEKA LK 2 KMPUNG OGAN KEL BALAI


AGUNG

DUSUN 3 EPIL

DUSUN 3 EPIL
DUSUN 3 EPIL

DUSUN 1 DESA LUMPATAN KEC. SEKAYU

JL.LET MUNANDAR LK 1 BALAI AGUNG RT04 RW02

JL.LET MUNANDAR LK 1 BALAI AGUNG RT04 RW02

DUSUN.IV LUMPATAN II

DSN II RW 02 DESA KASMARAN

JL.MERDEKA SERASAN JAYA RT12 RW05

DSN II RW 02 DESA KASMARAN

SUKODADI SUKARAMI PALEMBANG

G.RANDIK KAYUARA BLOK A7

DS.IV EPIL

GRIYA RANDIK KAYUARA

DS 1 LUMPATAN

DS. 4 EPIL LAIS MUBA

DS 1 SUKARAMI

JL. DEWA RUCI RT.026/007 BETUNG

DS 1 KERTAYU SUNGAI KERUH

SERASAN JAYA

DS 1 SUGI RAYA

DS 2 LUMPATAN
BAILANGU

DS 4 DANAU CALA

DS 1 GAJAH MATI

DUSUN 4 GAJAH MATI

BAILANGU

SOAK BARU RT12 RW05

JL.KAPTEN ARIVAI LK I BALAI AGUNG

JL.KAPTEN ARIVAI LK I BALAI AGUNG

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

RANTAU KROYA

KOMP. ASRAMA KODIM RT 04 SERASAN JAYA

DS 4 NUSA SERASAN SUNGAI LILIN

JL/KOL WAHID UDIN LK 1 KAYUARA RT/01 RW/01

DUSUN.IV DESA KERTA JAYA SUNGAI KERUH

DS 2 MUARA TELADAN

G.RANDIK BLOK B2 KAYUARA

KOMPLEK VILLA BUKIT SEJAHTERA

KARANG ANYAR

SERASAN JAYA

SERASAN JAYA
DS 1 KERTAYU SUNGAI KERUH

DUSUN III KEMANG

DS 1 KARANG WARU

PERUMNAS BLOK A166 BALAI AGUNG

PATI JAWA TENGAH

JL. VILAREAL GMP AI LK II RT 015 RW 005 BALAI


AGUNG

KELUANG

DS TANJUNG AGUNG TIMUR LAIS

DUSUN 4 TELUK

DS 1 PINANG BANJAR RT/03 RW/01

DS 2 LUMPATAN

KOMP. PRAJA PERMAI BLOK B3 NO 9 BALAI AGUNG

ASRAMA POLISI

SERASAN JAYA

LK 3 BALAI AGUNG RT/34 RW/10

DS TANJUNG AGUNG TIMUR LAIS

LK 3 BALAI AGUNG RT/34 RW/10

DS TEGAL MULYO KELUANG RT/12 RW/06

LK 3 BALAI AGUNG RT/34 RW/10

DSN II NO 5 DESA LUMPATAN


GARBA MUTIARA ASRI RANDIK KAYUARA

DS KASMARAN

LK.VII SERASAN JAYA

LK.VII SERASAN JAYA

DS.1 DESA KASMARAN

DS.1 DESA KASMARAN

DS KASMARAN

JL.INFRES PENJARA SERASAN JAYA

KASMARAN

DS 1 TELUK KIJING 1

KOMP. PERUMNAS BLOK A NO 74 SEKAYU

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

JL.LET MUNANDAR LK 1 BALAI AGUNG RT/02


RW/01

BAILANGU

BAILANGU

DS 4 BAILANGU TIMUR RT/10 RW/04

DS 4 BAILANGU TIMUR RT/10 RW/04

DS 1 DANAU CALA

DUSUN 2 DESA GAJAH MATI KEC SUNGAI KERUH


KAB MUBA PROVINSI SUMATRA SELATAN

DS 1 DANAU CALA
SIMPANG SARI

SIMPANG SARI

DSN IV EPIL

SUNGAI LILIN JAYA

KOMP,BUKIT AGUNG AGUNG SEJAHTERA

DUSUN.II DESA LUMPATAN II

DUSUN II EPIL LAIS MUBA SEKAYU

DS BUKIT SELABU

KOMP,BUKIT AGUNG AGUNG SEJAHTERA

TOMAN

DS KASMARAN

DSN IV EPIL

LK 2 BALAI AGUNG RT03 RW02

LK 2 BALAI AGUNG RT03 RW02

DUSUN 2 LUMPATAN

DS 2 EPIL

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

KAYUARA

KELUANG

DS.I ULAK PACEH JAYA


BALAI AGUNG RT/RW 015/002

BALAI AGUNG RT/RW 015/002

DUSUN I BUKIT INDAH

DUSUN VII DESA SUNGAI PINANG

DESA LEBAK BUDI MERAPI BARAT LAHAT

SUNGAI PINANG

JL. KOL. WAHID UDIN LK.3 SEKAYU

SUNGAI LILIN

SUNGAI BATANG

C2 BERLIAN MAKMUR SUNGAI LILIN

DS 4 AIR PUTIH ULU PLAKAT TINGGI

SERASAN JAYA RT/08 RW/02 JL.PELTU YUSUF

DUSUN.IV DESA KERTA JAYA SUNGAI KERUH

TRANS TSM DESA KEBANI SANGA DESA

LINK 1 KAYUARA RT/04 RW/02

DS. 4 EPIL LAIS MUBA

SUMBER AGUNG KELUANG

DS 1 SUKARAMI

DESA BANGUN SARI KEC BABAT TOMAN

DS 1 KERTAYU SUNGAI KERUH


DS CIPTA PRAJA RT/06 RW/02

DS 2 TELUK KIJING 2 LAIS

NGULAK 1

DUSUN 2 DESA JIRAK

DS 2 MUARA TELADAN

LK 3 BALAI AGUNG RT/34 RW/10

SOAK BARU RT10 RW04

SUNGAI LILIN

KOMP.GRIYA RANDIK BLOK A5 NO 31 KAYUARA

DSN 3 LUMPATAN 2 SEKAYU MUBA

SOAK BARU

DUSUN 2 DESA GAJAH MATI KEC SUNGAI KERUH


KAB MUBA PROVINSI SUMATRA SELATAN

DSN.2 LUMPATAN II

SUKA MAJU RT/05 RW/04

KOMP. GPI 1 RANTAU PANJANG

DSN IV BABAT RAMBA JAYA

KOMP. GPI 1 RANTAU PANJANG

JL.JATI NO.01 BLOK D3 KAYUARA

JL.LET H NUR SOAK BARU RT/05 RW/02

SEKAYU

DUSUN I BUKIT INDAH

DS 2 CINTA DAMAI RT03 RW02

BALAI AGUNG RT/RW 015/002

BALAI AGUNG RT/RW 015/002

DUSUN VII DESA SUNGAI PINANG


SUNGAI LILIN

EPIL

LUMPATAN

DSN 2 GAJAH MUDA BABAT SUPAT MUBA

SERASAN JAYA

BUKIT SELABU

MARGO RAHAYU RT/RW 02/01 SIMPANG


PEMATANG MESUJI LAMPUNG
PERUMAHAN SERASAN DAMAI

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

KAYUARA

PURWOSARI RT/08 RW/02

PERUM VBS NO 21 KAYUARA

SUKARAMI

DS 1 SUGI RAYA

SUNGAI BATANG

TELUK KIJING 111

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

KOMP. VBS BLOK A7 KAYUARA

DUSUN.1 DESA SUKARAMI

KOMP. VBS BLOK A7 KAYUARA

DSN 2 GAJAH MUDA BABAT SUPAT MUBA

LK 1 KAYUARA

DS 1 ULAK PACEH JAYA

TEBING BULAN

DS TANJUNG AGUNG TIMUR LAIS

DS 2 BAILANGU TIMUR

DS KASMARAN

JL MBERINGIKN LK.I RT/RW.04/02 SERASAN JAYA

G.RANDIK BLOK B 2 KAYUARA

SERASAN JAYA

DUSUN 4 EPIL
MUARA TELADAN

KARYA MAJU RT/13 RW/12

JL.KOP. HAMID LK 1 BALAI AGUNG RT/01 RW/01

MUARA TELADAN

DUSUN 1 ULAK PACEH

TEGAL MULYO

JL.SEKAYU PALEMBANG DSN IV DESA BAILANGU

DS 1 TELUK KIJING 2

DS KASMARAN

GRIYA RANDIK KAYUARA

KASMARAN

DS 3 MUARA PUNJUNG

DS 2 LUMPATAN

JL. DEWA RUCI RT.026/007 BETUNG

KEL SUNGAI LILIN RT/03 RW/03

JL. MERDEKA RT/RW.008/003 SOAK BARU

DS PINANG BANJAR

DS 2 LUMPATAN

DS PINANG BANJAR

GRIYA RANDIK KAYUARA

DS SUNGAI BATANG

JL SEKAYU TELADAN LK 3 BALAI AGUNG

KASMARAN

JL. MERDEKA RT/RW.008/003 SOAK BARU

BALAI AGUNG

BALAI AGUNG RT/01 RW/01

JL PEMDA LK V RT/RW 22/09 KAYUARA SEKAYU


MUBA

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

DS.I DANAU CALA

DS 2 SUNGAI BATANG

DS 2 TELUK KIJING 2 LAIS

DESA SINAR TUNGKAL RT12 RW04


JL BERINGIN LK 1 SERASAN JAYA RT/04 RW/02

SERASAN JAYA

JL.MERDEKA SERASAN JAYA RT/01 RW/02

KAYUARA

JL.MERDEKA LK 2 BALAI AGUNG RT/14 RW/05

DESA TENGGARO RT 07 KELUANG

LK.2 KEL KAYUARA

DUSUN 2 PETALING

DS 2 TELUK KIJING 2 LAIS

DUSUN 2 PETALING

SUKA BANGUN

LK 5 SOAK BARU

DUSUN 1 ULAK PACEH

TELUK KIJING 111

DSN I DESA TANAH ABANG BATANG HARI LEKO

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

SERASAN DAMAI KAYUARA

SERASAN JAYA

DS 2 NGULAK 2

DUSUN 2 PETALING

PERUM GRIYA BUMI LESTARI RT 036 BALAI AGUNG

TELUK KIJING III

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

TOMAN

SERASAN DAMAI KAYUARA

LK 3 BALAI AGUNG RT/34 RW/10

NGULAK 1

DS 1 DANAU CALA

DUSUN III ULAK PACEH

SUNGAI LILIN TALANG BARU MUBA

SERASAN DAMAI KAYUARA

BAILANGU TIMUR
DUSUN 1 MEKAR JAYA

LK.I RT.004/002 KAYUARA

DS I LUMPATAN I

DSN II TELUK KIJING II

DUSUN 4 EPIL

DUSUN 4 EPIL

SUNGAI LILIN

DUSUN VII DESA SUNGAI PINANG

BETUNG

BETUNG

DUSUN VII DESA SUNGAI PINANG

DS 1 ULAK PACEH JAYA

DS KASMARAN

NGULAK 1

DUSUN 4 GAJAH MATI

BALAI AGUNG

KOMP.GRIYA CAHAYA ILAHI BALAI AGUNG

DS 1 ULAK PACEH JAYA

JL. KOL WAHID UDIN KEL. SOAK BARU

BUKIT PANGKUASAN RT RW 002/001 BATANG HARI


LEKO

PENINGGALAN RT/04 RW/02

DS 1 SUKALALI

SERASAN DAMAI KAYUARA

DS 4 TELUK KIJING 1

SUKA MAJU RT/05 RW/04

BUKIT SELABU

DSN. II BABAT SUPAT

PENINGGALAN RT/04 RW/02

JL. KOL WAHID UDIN KEL. SOAK BARU

DS 2 LUMPATAN 2
DUSUN II ULAK PACEH

JL PRAJA KOMP AZ ZAHRA KEL BALAI AGUNG

DESA BUKIT SEJAHTERA KEC. BATANG HARI LEKO

DS 1 TERUSAN

DESA PINANG BANJAR

LK 4 SOAK BARU

SUNGAT ANGIT

DS.II TERUSAN

SERASAN JAYA

G.RANDIK KAYUARA

TELUK

SERASAN JAYA SEKAYU

BUMI AYU LAWANG WETAN

TELUK

DS 3 LAIS

DS 3 LAIS

DS 3 LAIS

DUSUN 2 DESA SUKA DAMAI KEC PLAKAT TINGGI


KAB MUBA PROVINSI SUMATRA SELATAN
JL.MERDEKA SERASAN JAYA RT/09 RW/02

DS 1 EPIL

LK 5 SOAK BARU RT/01 RW/01

DUSUN 2 DESA SUKA DAMAI KEC PLAKAT TINGGI


KAB MUBA PROVINSI SUMATRA SELATAN
DUSUN I BUKIT INDAH

DS 1 TERUSAN

AIR PUTIH ILIR

LK 4 SOAK BARU

MEKAR SARI

SUNGAI LILIN

JL.KOL WAHID UDIN SERASAN JAYA RT/0

DS TANJUNG KERANG

DSN IV BABAT RAMBA JAYA

DS 2 BAILANGU TIMUR
DS TANJUNG AGUNG TIMUR LAIS

SIDO MUKTI PLAKAT TINGGI

SERASAN JAYA RT/02 RW/01

DS 2 LAIS

JL.SEKAYU PALEMBANG DSN IV DESA BAILANGU

SERASAN JAYAV RT/04 RW/02

KOMP.GRIYA CAHAYA ILAHI BALAI AGUNG

BABAT TOMAN

DS I TOMAN BABAT TOMAN

MUSI BANYUASIN

PRUM PEMDA DARAT SERASAN JAYA

DUSUN 3 EPIL

LUMPATAN

DESA LEBAK BUDI MERAPI BARAT LAHAT

DESA LEBAK BUDI MERAPI BARAT LAHAT

DUSUN 1 RT 001 RW 001 DESA SUPAT BARAT KEC.


BBAT SUAPAT
LAIS

DS 3 KARYA MAJU

DUSUN 2 LAIS

DUSUN 1 DESA GAJAH MATI RT.01 KEC. SUNGAI


KERUH
DUSUN 2 LAIS

JL.KAP RIVAI LK 1 BALAI AGUNG RT/03 RW/01

DUSUN 1 LAIS

JL.KOP HANAFIAH LK 3 SERASAN JAYA RT12 RW05

DSN III RT 02 ANYAR MUARA LAKITAN

JL.MERDEKA LK 2 KAYUARA RT/02 RW/01

LUMPATAN

JL SEKAYU MUARA TELADAN LK III KEL BALAI


AGUNG
JL SEKAYU MUARA TELADAN LK III KEL BALAI
AGUNG
JL SEKAYU MUARA TELADAN LK III KEL BALAI
AGUNG
DUSUN 3 SRI GUNUNG

BALAI AGUNG
DS 1 KERTAYU

DS 4 BAILANGU

JL.KOL WAHID UDIN SERASAN JAYA RT/0

DESA LUMPATAN

TELUK

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DS TANJUNG AGUNG TIMUR LAIS

LK 2 KAYUARA

LK 2 KAYUARA

JL.SEKAYU SUKARAMI BALAI AGUNG

DS 2 BAILANGU TIMUR

DS 1 ULAK PACEH JAYA

DSN. IV BABAT BANYUASIN KECBABAT SUPAT


MUBA

SERASAN JAYA

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

DS 1 ULAK PACEH JAYA

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

DS TANJUNG AGUNG TIMUR LAIS

DUSUN 4 EPIL

SUKARAMI

JL.MERDEKA LK 2 KAYUARA RT/02 RW/01

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

MUARA TELADAN
SUNGAI LILIN

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

SERASAN DAMAI KAYUARA

JL. MERDEKA RT/RW.008/003 SOAK BARU

DS 1 ULAK PACEH JAYA

BALAI AGUNG RT/RW 015/002

SOAK BARU

DS 1 TERUSAN

SOAK BARU

AIR PUTIH ILIR

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

DESA LEBAK BUDI MERAPI BARAT LAHAT

TANJUNG AGUNG UTARA

AIR PUTIH ULU

DS RANTAU PANJANG

JL.MULANJADI BABAT

JL.MULANJADI BABAT

LK.II SOAK BARU

DS RANTAU PANJANG

LINK 2 KAYUARA

DUSUN 4 GAJAH MATI

DSN IV TELUK KEC.LAIS

DS 1 LUMPATAN

DSN III RT 10 DESA MUARA TELADAN


KOTA PALEMBANG

BUMI AYU BABAT TOMAN

DS 1 PETALING

LOKA JAYA RT.001/001 KELUANG

JL.LET H NUR SOAK BARU RT/05 RW/02

NGULAK I RT/05 RW/02

JL INPRES PENJARA LK.III RT/RW.14/05 SERASAN


JAYA
DS 1 NAPAL

RANTAU PANJANG

KOMP PERUMNAS KEL BALAI AGUNG

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DS. IV MUARA TELADAN

LUBAI MUARA ENIM

DUSUN 2 LAIS

DUSUN.II MUARA TELADAN

JL. MERDEKA LK. III KAYUARA

LINK 2 KAYUARA

DS. 4 EPIL LAIS MUBA

KAYUARA

PENINGGALAN RT/04 RW/02

G.RANDIK BLOK B 2 KAYUARA

BALAI AGUNG RT/RW 015/002

JL.LASKAR JIMBUN SOAK BARU RT/08 RW/03

MARGO RAHAYU RT/RW 02/01 SIMPANG


PEMATANG MESUJI LAMPUNG
LK. III BABAT TOMAN RT10 RW04

DUSUN.II MUARA TELADAN

DS. IV MUARA TELADAN

DS 1 ULAK PACEH JAYA

DS 1 ULAK PACEH JAYA

DUSUN 2 LAIS

DS 2 MUARA TELADAN
DS 2 BAILANGU TIMUR

DS 2 ULAK PACEH JAYA

DS 2 RANTAU PANJANG

DS 1 LUMPATAN

SUNGAI PINANG

LK 1 SOAK BARU RT01 RW01

MUARA TELADAN

MUARA TELADAN

JL.SEKAYU PALEMBANG DSN IV DESA BAILANGU

DUSUN 5 TEBING BULANG

LK 6 SERASAN JAYA RT13 RW02

LK 6 SERASAN JAYA RT13 RW02

LK 3 BALAI AGUNG RT33 RW10

DS 2 RANTAU PANJANG

KELUANG

KOMP MUSI GREND RESIDENCE

DS 2 RANTAU PANJANG

LK 3 BALAI AGUNG RT/33 RW/10

DUSUN II LINGGO SARI

DUSUN II LINGGO SARI

SOAK BARU

DS 2 RANTAU PANJANG

GRIYA RANDIK BLOK A4 NO 04

DS 3 LAIS

DS 3 LAIS

DS 3 LAIS

TERUSAN SANGA DESA

DESA TELUK KEC LAIS KAB MUBA PROVINSI


SUMATRA SELATAN
DS 2 MUARA TELADAN

SOAK BARU SEKAYU

DS 2 GAJAH MATI SUNGAI KERUH


BABAT SUPAT

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DS 1 LUMPATAN

DS 2 LUMPATAN

DS 1 BUKIT PANGKUASAN

NGULAK I RT/05 RW/02

DS 2 NGULAK 2

BAYUNG LENCIR

DUSUN III ULAK PACEH

DSN I TELUK LAIS

DSN I TELUK LAIS

PURWOSARI RT/08 RW/02

LK.I KAYUARA

DS 1 SUPAT TIMUR

SIMPANG SARI

BALAI AGUNG

DS 1 SUPAT TIMUR

G.RANDIK BLOK B 2 KAYUARA

G.RANDIK BLOK B 2 KAYUARA

NGULAK RT/05 RW/02

DUSUN 1 DESA SIALANG AGUNG PLAKAT TINGGI

SUKARAMI

SUKARAMI

KOMP IBI BALAI AGUNG

DS 2 CINTA DAMAI RT03 RW02

DS 2 CINTA DAMAI RT03 RW02

KARANG RINGIN LAWANG WETAN

PURWOSARI RT/08 RW/02

LINK 2 BALAI AGUNG

DS 4 TALANG DUKU JAYA LAIS

DUSUN 2 EPIL

LK 6 SERASAN JAYA RT13 RW02


NGUNANG

DS 4 MUARA TELADAN

DSN II DESA TOMAN

JL.SEKAYU MUARA TELADAN LK III RT 035 BALAI


AGUNG
DS KASMARAN

JL KH AHMAD DAHLAN SEKAYU

KARYA MAJU KELUANG

JL.MERDEKA KAYUARA

JL. MERDEKA NO.157

JL.KOL WAHID UDIN LK 3 BALAI AGUNG R5T/01


RW/01
KOMP IBI BALAI AGUNG

DS 3 LUMPATAN 2

DS 1 ULAK PACEH JAYA

PERUM PEMDA LK 1 SERASAN JAYA RT04 RW02

DSN 3 LAIS

BALAI AGUNG RT/RW 015/002

JL. MERDEKA RT/RW.008/003 SOAK BARU

JL. MERDEKA RT/RW.008/003 SOAK BARU

BALAI AGUNG RT/RW 015/002

LAMPUNG TIMUR

DS 2 PANAI SANGA DESA

DS 1 SUGI RAYA

DS 1 MACANG SAKTI

JLN.LAUT KOMP DANAU CALA RT 016 SERASAN


JAYA
DS 1 TELUK KIJING 2

DS 1 TERUSAN

DS 3 ULAK PACEH LAWANG WETAN

DS 4 MUARA TELADAN

DS 1 SUKALALI
DS 1 SUKALALI

DS X AIR PUTIH ULU

JLN. SELARAI BANDAR JAYA

PERUMAHAN SERASAN DAMAI

DSN 2 LUMPATAN

LK 2 BALAI AGUNG RT04 RW03

DS. 1 MUARA TELADAN KEC SEKAYU

LK 2 BALAI AGUNG RT04 RW03

LK 2 BALAI AGUNG RT04 RW03

DS 1 SUKALALI

LK.I KAYUARA

SUNGAI LILIN TALANG BARU MUBA

SOAK BARU SEKAYU

GRIYA RANDIK KAYUARA

JLN. KOL WAHID UDIN LK II RT 03 BALAI AGUNG

TANAH ABANG

SERASAN JAYA

AIR PUTIH ILIR

JL SEKAYU TELADAN LK 3 BALAI AGUNG

AIR PUTIH ILIR

G.RANDIK BLOK B 2 KAYUARA

DUSUN I DESA KERTAYU

DS TANAH ABANG

SEKAYU

KOMPLEK GRIYA BUMI LESTARI BLOK A2 BALAI


AGUNG RT36 RW10
DS 2 LUMPATAN

DS 2 LUMPATAN

DS 2 LUMPATAN

LAIS

DS 3 TANJUNG KERANG BABAT SUPAT

DS 3 TANJUNG KERANG BABAT SUPAT


DESA SUKA MAKMUR KEC PLAKAT TINGGI KAB
MUBA PROVINSI SUMATRA SELATAN
BUKIT PANGKUASAN RT/RW.01/01

DUSUN IV LAIS

VILLA BUKIT SEJAHTERA BLOK D2 NO.08 KEL.


KAYUARA
DS 1 LUMPATAN 2

DS 1 NAPAL

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DS 1 BUKIT PANGKUASAN

SUNGAI MEDAK KEC SEKAYU

JL.KOL WAHID UDIN LK 1 SERASAN JAYA RT/02


RW/01
DUSUN III LUMPATAN

JL.MERDEKA SOAK BARU RT05 RW02

LK 2 KAYUARA

BABAT TOMAN

SUNGAI LILIN RT/03 RW/06

SUNGAT ANGIT

SERASAN JAYA SEKAYU

DUSUN 1 DESA GAJAH MATI RT.01 KEC. SUNGAI


KERUH
SUNGAI LILIN RT/03 RW/06

JL PRAJA KOMP AZ ZAHRA KEL BALAI AGUNG

JL. INPRES LK. 1 BALAI AGUNG RT06 RW02

JL. INPRES LK. 1 BALAI AGUNG RT06 RW02

EPIL

EPIL

DS 2 MUARA TELADAN

DS BABAT

DS BABAT

DS TANJUNG KERANG

SOAK BARU

BABAT TOMAN

JL.MERDEKA NO 427 RT 06 SEKAYU

DS TANJUNG KERANG
JL.PASAR INPRES LK 1 BALAI AGUNG

PALEMBANG

GRIYA RANDIK KAYUARA

BALAI AGUNG

DUSUN 2 PETALING

GRIYA RANDIK KAYUARA

DUSUN II LINGGO SARI

DS 3 ULAK PACEH LAWANG WETAN

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

DUSUN 5 TEBING BULANG

JL MERDEKA LK 2 KEL BALAI AGUNG

JL. DEWA RUCI RT.026/007 BETUNG

SUMBERANG ULU 1

DS SUPAT BARAT KEC BABAT SUPAT

DS 1 MACANG SAKTI

JL. MERDEKA BALAI AGUNG RT05 RW02

JL. MERDEKA BALAI AGUNG RT05 RW02

BALAI AGUNG

DUSUN 1 KASMARAN

DUSUN II LINGGO SARI

KOMP. GPI 1 RANTAU PANJANG

DUSUN 5 TEBING BULANG

DSN.2 LUMPATAN II

DS 5 PINANG BANJAR SUNGAI LILIN RT14 RW05

DS 2 PETALING

JL.JATI NO.01 BLOK D3 KAYUARA

KOMP VBS BLOK D5 KAYUARA

JL.MERDEKA LK 3 KAYUARA RT10 RW04

BUMI AYU BABAT TOMAN

JL. SEKAYU MUARA TELADAN

BUKIT SELABU
KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

RANTAU PANJANG

DS 4 LAIS

DS 4 LAIS

JL MERDEKA SOAK BARU RT06 RW03

DS II SUKARAMI

KERTAYU

DS 4 LAIS

DS 4 LAIS

DS 6 AIR PUTIH ULU

LK 3 BALAI AGUNG RT/34 RW/10

LK 3 BALAI AGUNG RT/34 RW/10

DUSUN IV DESA SUNGAI ANGIT

PERUMNAS BLOK B NO 66 BALAI AGUNG

SUMBER AGUNG

DUSUN 2 LAIS

KOMP SERASAN DAMAI

JL KOL WAHID UDIN KEL SERASAN JAYA

BALAI AGUNG SEKAYU

DUSUN 3 SUMBER REJEKI

DUSUN 3 SUMBER REJEKI

DSN 2 GAJAH MUDA BABAT SUPAT MUBA

DUSUN VII DESA SUNGAI PINANG

DSN IV LAIS

JL.LET H NUR SOAK BARU RT/04 RW/02

LK 2 KAYUARA RT/05 RW/02

JL.LET H NUR SOAK BARU RT/04 RW/02

DESA LEBAK BUDI MERAPI BARAT LAHAT

JL.LINGKAR RANDIK LK I RT 01 SERASAN JAYA

DS 5 SUPAT BARAT

RANTAU PANJANG
DUSUN.III ULAK PACEH JAYA

JALAN SEKAYU MUARA TELADAN LK. III NO. 035


RT.005 RW.002 KEL. BALAI AGUNG
LOKA JAYA RT.001/001 KELUANG

DUSUN 3 SUMBER REJEKI

DS 3 BUMI AYU

JL.RATU SIANUM LR H UMAR NO.507 ILIR TUMUR 2


PALEMBANG
DS I TOMAN BABAT TOMAN

JL MERDEKA SOAK BARU RT06 RW03

DS 3 RANTAU SIALANG RT/08 RW/03

DS 1 LUMPATAN 1

LK 2 BALAI AGUNG RT/01 RW/01

DS 2 LUMPATAN

DS 2 LUMPATAN

DSN 1 LUMPATAN 2

DSN 1 LUMPATAN 2

DS 3 ULAK PACEH LAWANG WETAN

JL INPRES PENJARA LK.III RT/RW.14/05 SERASAN


JAYA
G.RANDIK BLOK A5 KAYUARA

G.RANDIK BLOK B 2 KAYUARA

PERUMAHAN KIRANA RESIDENCE DS IV SUKARAMI

DS I TOMAN BABAT TOMAN

DS I TOMAN BABAT TOMAN

DS 6 AIR PUTIH ULU

GRIA RANDIK BLOK A5 NO.02 KAYUARA

GRIA RANDIK BLOK A5 NO.02 KAYUARA

DS 1 LUMPATAN 1

DS 7 TEBING BULANG

DS TELUK KEC LAIS

DS 3 LUMPATAN 2

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY

KOMP GRIYA RANDIK BLOK C5 N0 03 KAY


SUNGAI LILIN RT/03 RW/06

BABAT TOMAN

JL.PRAMUKA SERASAN JAYA RT/05 RW/03

KAYUARA

LK 2 BALAI AGUNG RT/01 RW/01

DUSUN 3 SUMBER REJEKI

DS 2 MUARA TELADAN

DS 1 NAPAL

DSN 2 LUMPATAN

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

DS BABAT

DUSUN 5 TEBING BULANG

DUSUN II LINGGO SARI

DS 4 LUMPATAN

DS 2 NGULAK 2

JL MERDEKA SOAK BARU RT06 RW03

DS 3 ULAK PACEH LAWANG WETAN

PALEMBANG

DS. IV MUARA TELADAN

DUSUN 4 GAJAH MATI


DUSUN 4 GAJAH MATI

SUKA MAJU RT/05 RW/04

DS BABAT

LK 2 BALAI AGUNG RT/01 RW/01

KOMPLK AMD

SERASAN JAYA

KEL SUNGAI LILIN RT/03 RW/03

DS II SUKARAMI

DS.2 DANAU CALA

DS 4 TALANG DUKU JAYA LAIS

DS 4 TELUK KIJING 2

JL MERDEKA SOAK BARU RT06 RW03

TANAH ABANG

DSN I LUMPATAN

DS 2 MUARA TELADAN

VILLA BUKIT SEJAHTERA BLOK D.10 NO.23 KEL.


KAYUARA
JL.MERDEKA LK 2 BALAI AGUNG RT13 RW03

BANDAR JAYA

TANJUNG AGUNG

DS 3 TANJUNG KERANG BABAT SUPAT

SERASAN JAYA

SOAK BARU

DUSUN 1 KASMARAN

JL.LET MUROD ILIR TIMUR PALEMBANG

JL.MERDEKA LK 3 KAYUARA RT10 RW04

DS 1 BUKIT PANGKUASAN

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01

KOMP GRITYA BUMI LESTARI BALAI AGUNG

DSN II TELUK KIJING III

DS 3 LUMPATAN
DS 1 LAIS

DUSUN 1 SUNGAI ANGIT

JL MERDEKA SOAK BARU RT06 RW03

BALAI AGUNG

BALAI AGUNG RT/RW 015/002

PT. ANDALS CEMERLANG (EPIL)

BALAI AGUNG RT/RW 015/002

DS EPIL LAIS

DUSUN IV DESA SUNGAI BATANG KEC PLAKAT


TINGGI
JL.INPRES KEL.SOAK BARU

GAJAH MATI RT/02 RW/03

SOAK BARU

DSN I LUMPATAN

DS 2 LUMPATAN

LK II SERASAN JAYA

LK.1 KAYUARA

LK 3 BALAI AGUNG RT/34 RW/10

DS 5 PINANG BANJAR SUNGAI LILIN RT14 RW05

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01

DS 1 LUMPATAN

DS.2 MUARA TELADAN

DS 1 SINDANG MARGA SUNGAI KERUH

DS MEKAR JAYA

JL.PELTU YUSUF ULAK SERASAN JAYA RT08 RW04

SUMBERANG ULU 1

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DS KASMARAN

DS KASMARAN

DUSUN 1 KASMARAN

DUSUN 3 SUNGAI BATANG RT10 RW03

LOKA JAYA RT.001/001 KELUANG

KELUANG SEKAYU
LOKA JAYA RT.001/001 KELUANG

DUSUN 4 GAJAH MATI

KOMP PTPN 7 TALANG DUKU LAIS RT/03 RW/02

TANJUNG AGUNG

DS TANJUNG AGUNG TIMUR LAIS

TELUK KIJING 3

DS 1 SINDANG MARGA SUNGAI KERUH

DS 1 LUMPATAN 2

JL.DEPATI SERASAN JAYA RT/01 RW/01

BANDAR JAYA

DS BABAT

BUMI AYU BABAT TOMAN

SERASAN JAYA

DS 5 SUPAT BARAT

GRIYA RANDIK BLOK C6 KAYUARA

DS 2 LUMPATAN

DS 5 JIRAK

DSN 1 LUMPATAN 2

MANGUN JAYA

DSN 2 LUMPATAN

DS 3 PETALING

JL.KOL WAHID UDIN SERASAN JAYA RT/01 RW/01

SOAK BARU

KOMPLEK GRIYA BUMI LESTARI BLOK A2 BALAI


AGUNG RT36 RW10
LK 1 MANGUN JAYA RT01 RW01

DS I TOMAN BABAT TOMAN

JL. SEKAYU MUARA TELADAN

SUNGAI LILIN JAYA

KARANG RINGIN 2

GRIYA RANDIK BLOK C6 KAYUARA

SUGIWARAS

DUUSN 1 SUPAT TIMUR


PERUMNAS BALAI AGUNG

DS EPIL LAIS

DS 2 RANTAU PANJANG LAWANG WETAN

RANTAU PANJANG

DS 1 BUKIT PANGKUASAN

DS 3 TANJUNG KERANG BABAT SUPAT

DSN 1 LUMPATAN 2

PURWOSARI RT/08 RW/02

DS 1 LUMPATAN

BUKIT PANGKUASAN RT/RW.01/01

LK 1 KAYUARA RT/24 RW/01

DS 5 PINANG BANJAR SUNGAI LILIN RT14 RW05

GRIYA RANDIK BLOK C6 KAYUARA

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

DS. 1 TANAH ABANG

BANDAR JAYA

DS.2 MUARA TELADAN

DS 1 MUARA TELADAN RT/03 RW/02

SUPAT BARAT MUSI BANYUASIN

JL.KAP A ANWAR ARSYAD DEMANG LEBAR DAUN


NO4228 PALEMBANG
DS 1 TELUK KIJING 2

DS 2 CINTA DAMAI RT03 RW02

DS BAILANGU TIMUR

BALAI AGUNG

LK.1 KAYUARA

DS 4 TALANG DUKU JAYA LAIS


DS 1 LUMPATAN

DS 2 CINTA DAMAI RT03 RW02

KARANG RINGIN 2

DS ULAK PACEH

LK 1 BALAI AGUNG

LK 1 MANGUN JAYA RT/01 RW/01

DS 2 ULAK PACEH JAYA

DUSUN 3 SUNGAI BATANG RT10 RW03

DS 2 ULAK PACEH JAYA

DS EPIL LAIS

DUSUN II DESA GAJAH MATI

DS 3 KEMANG SANGA DESA

DS.I I SETIA JAYA SUNGAI KERUH

DS.I I SETIA JAYA SUNGAI KERUH

DSN.2 LUMPATAN II

RANTAU KASIH

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DESA SUKAJAYA KEC.PLAKAT TINGGI KAB.MUBA

DS TANJUNG AGUNG TIMUR LAIS

JL. MERDEKA LK. III KAYUARA

LK.1 RT.003 RW.002 MANGUN JAYA

DAWAS

DS PEMULUTAN ULU OGAN ILIR

DS TANJUNG KERANG

DS PEMULUTAN ULU OGAN ILIR

SOAK BARU

SOAK BARU

DAWAS

DS 5 JIRAK

BALAI AGUNG RT/RW 015/002


DESA TAMPANG BARU RT.003 RW.003 KEC.
BAYUNG LENCIR
DESA TAMPANG BARU RT.003 RW.003 KEC.
BAYUNG LENCIR
DESA TAMPANG BARU RT.003 RW.003 KEC.
BAYUNG LENCIR
DS 1 LUMPATAN

PERUMNAS BLOK B NO 205 BALAI AGUNG

PERUMNAS BLOK B NO 205 BALAI AGUNG

DS 1 LUMPATAN

DS 1 LUMPATAN

DESA TAMPANG BARU RT.003 RW.003 KEC.


BAYUNG LENCIR
DSN MEKAR JAYA

DSN MEKAR JAYA

SIDO REJO RT/10 RW/04

ULAK EMBACANG

DESA SEREKA KEC.BABAT TOMAN

MUARA TELADAN

DUSUN 5 TEBING BULANG

JL. KABUPATEN RT.015 RW.005 NGULAK 1 SANGA


DESA
DANAU CALA

DS PINANG BANJAR RT/06 RW/02

JL. KABUPATEN RT.015 RW.005 NGULAK 1 SANGA


DESA
DESA TAMPANG BARU RT.003 RW.003 KEC.
BAYUNG LENCIR
JL.MERDEKA SOAK BARU RT/01 RW/01

DESA SUGIWARAS

DSV 1 GAJAH MATI

DS 1 LUMPATAN 2

JL.KOL WAHID UDIN SERASAN JAYA RT02 RW01

DS EPIL LAIS

LOKA JAYA RT12 RW06 KELUANG

BALAI AGUNG

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01


DS 1 GAJAH MATI

G.RANDIK BLOK B 2 KAYUARA

KASMARAN

DS BUKIT SELABU BATANG HARI LEKO

BALAI AGUNG

JL.KOL WAHID UDIN SERASAN JAYA RT/01 RW/01

DS BUKIT SELABU BATANG HARI LEKO

DS 1 LUMPATAN

KARANG RINGIN 1 BABAT TOMAN

TENGGARO RT.006 RW.003 KELUANG

TANAH ABANG

LK. 2 KAYUARA

JL.LET.MUNANDAR SOAK BARU

LK 1 SERASAN JAYA

DS 4 TELUK KIJING 2

KASMARAN

DS 1 MACANG SAKTI SANGA DESA

DESA MEKAR JAYA A3 KELUANG RT01 RW07

SUNGAI LILIN

TANJUNG DALAM

DS.I MEKAR JAYA

JL.MERDEKA LK 1 SERASAN JAYA RT/16 RW/02

DS.VI RANTAU PANJANG

DSN II RW 02 DESA KASMARAN

DS 4 KASMARAN BABAT TOMAN

DS TANJUNG KERANG

PENINGGALAN

SEKAYU

KOMP RUSD KAYUARA

DSN II TELUK KIJING III

DUSUN 7 BSC SUNGAI PINANG

DUSN.I DESA LUMPATAN


JL.PELTU YUSUF ULAK SERASAN JAYA RT08 RW04

DS 2 LUMPATAN 2

LUMPATAN

LK 2 BALAI AGUNG RT03 RW02

LAIS

LK 2 BALAI AGUNG RT03 RW02

DS 1 TELUK KIJING 2

SUNGAI LILIN

JL.RATU SIANUM LR H UMAR NO.507 ILIR TUMUR 2


PALEMBANG
JL.KOL WAHID UDIN RT 032 RW 010 KEL. BALAI
AGUNG KEC. SEKAYU
LK.1 RT.003 RW.002 MANGUN JAYA

DSIV. EPIL

TANAH ABANG

G.RANDIK BLOK B 2 KAYUARA

JL. MERDELA LK.III RT/RW.02/01LK 3 KAYUARA

DS TANAH ABANG

KOMP. BUKIT AGUNG SELATAN BLOK. B1

DS.II LAIS

DS.II LAIS

DSN 11 JEMBATAN GANTUNG , SUNGAI KERUH

EPIL

SUNGAI LILIN

SERASAN JAYA

DS I LUMPATAN I

SERASAN JAYA

DS 1 LUMPATAN 2

KOMP VBS KAYUARA RT/27 RW/10

DS 4 WARGA MULYA RT08 RW04 PLAKAT TINGGI

KARANG RINGIN 1 BABAT TOMAN

DUSUN II SUKA MAJU PLAKAT TINGGI

JL. LET. MUNANDARLK.1 BALAI AGUNG


KEL BABAT TOMAN

DS 1 SINDANG MARGA SUNGAI KERUH

JL SOSIAL GANG HARAPAN 34 SUKA BANGUN


PALEMBANG
JL. KOL. WAHID UDIN RT.001 RW.001 SERASAN
JAYA
JL.KOL WAHID UDIN SERASAN JAYA RT02 RW01

KOTA PALEMBANG

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01

DS 1 BANDAR JAYA

KOMP VBS BLOK D5 KAYUARA

DS 5 SUPAT BARAT

DS 1 MACANG SAKTI SANGA DESA

LUMPATAN

DS 4 KASMARAN BABAT TOMAN

LK. 2 KAYUARA

JL.DEPATI KEL SERASAN JAYA RT/10 RW/01

TANAH ABANG

TANAH ABANG

DS 1 LAIS

DS BABAT

JL.DEPATI SERASAN JAYA RT/01 RW/01

DS 1 SIDORAHAYU PLAKAT TINGGI

DS SUNGAI PINANG MUARA LAKITAN

DS 3 JIRAK

PAGAR KAYA

DSN 2 BAILANGU

LAIS

KOMP BUMI SEKAYU DAMAI KEL BALAI AGUNG

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

DS 4 WARGA MULYA RT08 RW04 PLAKAT TINGGI

DESA BUKIT INDAH PLAKAT TINGGI

DS I TOMAN BABAT TOMAN

KOMP PRUMNAS BALAI AGUNG


DS 1 JIRAK RT01 RW01

G.RANDIK BLOK B2 KAYUARA

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

JL.KOL.WAHID UDIN SERASAN JAYA

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

BALAI AGUNG RT03 RW01

JLN.MERDEKA LK II RT 09 BALAI AGUNG

DUSUN.I DESA TOMAN

DS 1 LUMPATAN 2

DS 3 TANJUNG KERANG BABAT SUPAT

JL.MERDEKA LK.II KAYUARA RT/05 RW/03

GAJAH MATI SUNGAI KERUH

DS 3 BARU JAYA SUNGAI KERUH

JL.JAYA 7 NO.909 SEBERANG ULU 2 PALEMBANG

SUMBER REZEKI KEC.SUNGAI LILIN RT13 RW05

DS 3 BARU JAYA SUNGAI KERUH

DS 2 LUMPATAN

BALAI AGUNG RT/08 RW/01

DSN NGULAK

DS BUKIT SELABU BATANG HARI LEKO

DSV 1 GAJAH MATI

BALAI AGUNG RT/08 RW/01

DS I LUMPATAN I

LUMPATAN

KOMPLEK GRIYA BUMI LESTARI BLOK A2 BALAI


AGUNG RT36 RW10
BUKIT INDAH PLAKAT TINGGI

DUSUN 3 DESA TANAH ABANG

DS 1 SINDANG MARGA SUNGAI KERUH

RANTAU PANJANG

LK 3 KAYUARA

DS 1 LUMPATAN 2
LK 3 KAYUARA RT11 RW05

DS BAILANGU TIMUR

DS.II LAIS

DSN.2 LUMPATAN II

DS 3 KARYA MAJU

DSN I DESA TERUSAN SANGA DESA

RANTAU PANJANG

DUSUN 3 DESA TANAH ABANG

DS 2 LUMPATAN

DS 2 LUMPATAN

DS 2 LUMPATAN

JL. MERDEKA LK.II RT/RW.013/003 BALAI AGUNG

JL.SEKOLAH BABAT TOMAN RT12 RW05

LK 1 KAYUARA RT/24 RW/01

JL.LET MUROD ILIR TIMUR PALEMBANG

DS 2 LUMPATAN 2

JL.KOL WAHID UDIN SERASAN JAYA RT02 RW01

PERUM SERASAN DAMAI B 9 KAYUARA

DESA SINAR TUNGKAL RT12 RW04

DS BUKIT SELABU

LK 1 KAYUARA RT/02 RW/01

DS BUMI KENCANA RT02 RW03 SUNGAI LILIN

LINGGO SARI

LINGGO SARI

KOMP GRIYA BUMI LESTARI BLOK A1 BALAI AGUNG

DUUSN 1 SUPAT TIMUR

KOMP GRIYA BUMI LESTARI BLOK A1 BALAI AGUNG

DUSUN 3 DESA SUKARAMI KEC SEKAYU KAB MUBA


PROVINSI SUMATRA SELATAN

JL. SEKAYU PLAKAT TINGGI

TANJUNG AGUNG

SUGIWARAS

DS. I SUKA LALI


SUGIWARAS

JL.SAID TOYIB BUKIT SANGKALPALEMBANG

DS 1 SRI GUNUNG SUNGAI LILIN RT/02 RW/01

LK 3 BALAI GUNG RT/34 RW/10

LK 3 BALAI GUNG RT/34 RW/10

JL.SAID TOYIB BUKIT SANGKALPALEMBANG

DS 1 KARANG ANYAR

JL. MERTDEKA LK.I KAYUARA RT01 RW01

LK.I KAYUARA

DS 3 MUARA TELADAN RT/10 RW/03

DS 3 LAIS

DUSUN IV DESA SUNGAI BATANG KEC PLAKAT


TINGGI
DUSUN IV DESA SUNGAI BATANG KEC PLAKAT
TINGGI
DUSUN IV DESA SUNGAI BATANG KEC PLAKAT
TINGGI
JL.KOL WAHID UDIN LK 1 KAYUARA RT/03 RW/02

KOMP VBS BLOK C5 NO26 KAYUARA

JL.KOL WAHID UDIN LK 1 KAYUARA RT/03 RW/02

DS PURWOSARI RT10 RW03

DS.II BABAT

PERUM PEMDA SERASAN JAYA

PERUM PEMDA SERASAN JAYA

KEL SUNGAI LILIN RT/03 RW/03

LK 1 MANGUN JAYA RT01 RW01

JL.KOL WAHID UDIN LK I KAYUARA RT/02 RW/01

JL.KOL WAHID UDIN LK I KAYUARA RT/02 RW/01

DUSUN 5 TEBING BULANG

LK 1 KAYUARA RT/02 RW/01

DS KASMARAN

DESA SEREKA KEC.BABAT TOMAN

DUSUN 4 MUARA TELADAN


DS PEMULUTAN ULU OGAN ILIR

DS 1 LUMPATAN 2

JL.MERDEKA LK 2 KAYUARA RT/07 RW/03

DUSUN 5 TEBING BULANG

KEL BABAT TOMAN

SUNGAI LILIN

JL.LET H NUR LK 3 SERASAN JAYA RT13 RW02

DS 4 KASMARAN BABAT TOMAN

DS 1 GAJAH MATI

DS.I I SETIA JAYA SUNGAI KERUH

DUSUN.I DESA TOMAN

LK 2 BALAI AGUNG RT03 RW02

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

DS TANJUNG AGUNG TIMUR LAIS

DUSUN IV DESA SUNGAI BATANG KEC PLAKAT


TINGGI

JL. KABUPATEN RT.015 RW.005 NGULAK 1 SANGA


DESA

DS 4 TELUK KIJING 2

JL.MERDEKA LK 1 SERASAN JAYA RT/16 RW/02

DS 2 ULAK PACEH JAYA

DS.III ULAK PACEH

JIRAK SUNGAI KERUH

DS 1 EPIL
LUMPATAN

KOMP' GREEN VILLAGE BLOK H 7 LK II RT 038


BALAI AGUNG

ULAKP ACEH

DS 3 SUGI WARAS

DS 1 JIRAK RT01 RW01

KOMP VBS KAYUARA RT/27 RW/10

DSN I DESA SUKA MAKMUR PLAKAT TINGI

KARANG RINGIN II

DSN 2 BANDAR JAYA

DS PEMULUTAN ULU OGAN ILIR

JL.PRAMUKA LK 7 SERASAN JAYA RT06 RW03

LK 1 KAYUARA RT01 RW01

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

JL MERDEKA LK III KAYUARA

TENGGARO RT.006 RW.003 KELUANG

LK II BABAT TOMAN

DS. 2 SRI MULYO BABAT TOMAN

JL.PRAJA MUKTI SOAK BARU RT11 RW04

DS BAGAN LUMPATAN

DS 2 CINTA DAMAI RT03 RW02

DS 5 LINGGO SARI SUNGAI LILIN RT01 RW05

JL.MERDEKA LK. 1 SOAK BARU

LK 2 BALAI AGUNG RT/08 RW/01

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

WARGA MULYA PLAKAT TINGGI

DS 2 DESA BANDAR JAYA

KOMP. PRUMNAS BLOK B NO 109 RT 10 BALAI


AGUNG
DS.II BARU JAYA JIRAK JAYA

ULAK PACEH JAYA

DS 2 BAILANGU

BUKIT SELABU
DS 1 TELUK

SUPAT BARAT MUSI BANYUASIN

NGULAK III KP. II KEC. SANGA DESA KAB. MUBA

JL. KOL. WAHID UDIN RT.001 RW.001 SERASAN


JAYA
DSN I PANGKALAN JAYA

DS.III LUMPATAN II

DUSUN II DESA GAJAH MATI

TEGAL MULYO

LK 2 BALAI AGUNG RT/08 RW/01

DS 9 AIR PUTIH ULU PLAKAT TINGGI

DS 1 TELUK KIJING 2

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01

DS 2 CINTA DAMAI RT03 RW02

GMP BLOK B 1 NO18 BALAI AGUNG

JL.KOP HAPIS LK 7 SERASAN JAYA

JL RANDIK BARU BUNDARAN SERASAN JAYA RT01


RW01
JL.TEUKU UMAR LK 2 PENENGAHAN KEDATON
BANDAR LAMPUNG
JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DUSUN 1 LAIS UTARA

JL. LETNAN MUNANDAR BALAI AGUNG

KOMP. SERASAN DAMAI KAYUARA

DS 4 KASMARAN BABAT TOMAN

DS 3 BARU JAYA SUNGAI KERUH

SOAK BARU

KAYUARA RT/03 RW/02

DUSUN.I DESA TOMAN

DUSUN 1 DESA GAJAH MATI RT.01 KEC. SUNGAI


KERUH
JL.MERDEKA LK 4 SOAK BARU RT02 RW04

DS.I I SETIA JAYA SUNGAI KERUH

DS 1 PANGKALAN JAYA BABAT TOMAN RT01 RW01

DS. I SUKA LALI

DS. 2 SRI MULYO BABAT TOMAN


DS 4 WARGA MULYA RT08 RW04 PLAKAT TINGGI

JL.MERDEKA LK 1 KAYUARA RT03 RW02

DEPAN POLRES MUBA SERASAN JAYA

DS.III LUMPATAN II

RT 02 RW 04 KEL SUNGAI LILIN

DS NGULAK 1

DS 4 WARGA MULYA RT08 RW04 PLAKAT TINGGI

DS 1 TANAH ABANG BATANG HARI LEKO

DSN BAILANGU

SIMPANG TUNGKAL

DS 3 SUGI WARAS

JL.MERDEKA LK 1 SERASAN JAYA RT/16 RW/02

JL. MERDEKA LK. III KAYUARA

DS 1 PINANG BANJAR

GMP BALAI AGUNG

KAYUARA PERMAI

KELUANG

DS 1 PANGKALAN JAYA BABAT TOMAN RT01 RW01

PERUMAHAN GRIYA CAHAYA ILAHI BALAI AGUNG


SEKAYU
DSN I SUNGAI BATANG KARANG ANYAR

JL.DEPATI SERASAN JAYA

LK 2 BALAI AGUNG RT03 RW02

JL.SEKAYU SELARAI RT 03 BANDAR JAYA SEKAYU

DS 5 AIR PUTIH ULU PLAKAT TINGGI

DUSUN II SUKA MAJU PLAKAT TINGGI

PERUMNAS BLOK B NO 205 BALAI AGUNG

DS 1 GAJAH MATI

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01

DSN II BABAT SUPAT

KAYUARA

DS 1 LUMPATAN 2

LK II BABAT RT04 BABAT TOMAN


DS NGULAK 1 RT/12 RW/04

DS 1 LUMPATAN 2

DS MANGUN JAYA RT01 RW01 BABAT TOMAN

JL.PRAJA MUKTI SOAK BARU RT11 RW04

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DUSUN II SUKA MAJU PLAKAT TINGGI

DS 4 WARGA MULYA RT08 RW04 PLAKAT TINGGI

KOMP SERASAN DAMAI KAYUARA

JL PELTU YUSUP ULAK

DUSUN 5 TEBING BULANG

DS 2 LAIS

KOMP PEMDA SERASAN JAYA RT/04 RW/02

JL.LET H NUR SERASAN JAYA RT12 RW01

DS.2 SUMBER REJEKI

DUSUN II SUKA MAJU PLAKAT TINGGI

JL.MERDEKA LK 2 KAYUARA RT/07 RW/03

DUSUN 5 EPIL

JL.MERDEKA LK.II KAYUARA RT/05 RW/03

DS NUSA SERASAN SUNGAI LILIN RT18 RW04

JL. MERDEKA LK.II RT/RW.013/003 BALAI AGUNG

DUSUN II DESA GAJAH MATI

KARYA MAJU

JL LET MUNANDAR RT04

DS I LUMPATAN I

JL LET MUNANDAR RT04

LUMPATAN KEC SEKAYU

SUNGAI LILIN RT/03 RW/06

LK 2 SOAK BARU

JL.KOL WAHID UDIN LK 1 KAYUARA RT/03 RW/02

DS 5 LINGGO SARI SUNGAI LILIN RT01 RW05

DSN 2 GAJAH MUDA BABAT SUPAT MUBA

DS 2 CINTA DAMAI RT03 RW02


DSN. I ULAK PACEH KEC LAWANG WETAN

SUNGAI LILIN

KOMP BUMI SEKAYU DAMAI KEL BALAI AGUNG

JL. KOL. WAHID UDIN RT.001 RW.001 SERASAN


JAYA
KOMP IBI BALAI AGUNG

LK III RT 04 DESA MANGUN JAYA BABAT TOMAN

LK 3 BALAI AGUNG RT/34 RW/10

JL.MERDEKA LK 7 SERASAN JAYA

DS 2 DESA BANDAR JAYA

PERUM VILA BUKIT SEJAHTERA

KELUANG

JL.MERDEKA SERASAN JAYA

DUSUN.I DESA TOMAN

JL.MASJID SUKA MAJU RT04 RW02

JL. PELTU YUSUF ULAK SERASAN JAYA

LK.III KAYUARA SEKAYU

DS 5 LINGGO SARI SUNGAI LILIN RT01 RW05

DUSUN II DESA GAJAH MATI

DS 4 WARGA MULYA RT08 RW04 PLAKAT TINGGI

DS 1 PANGKALAN JAYA BABAT TOMAN RT01 RW01

DUSUN II SUKA MAJU PLAKAT TINGGI

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

DS 2 CINTA DAMAI RT03 RW02

DS RANTAU SIALANG RT04 RW02

NGULAK I SANGA DESA

KOMP VBS BLOK A6 KAYUARA

DUSUN 2 DESA KASMARAN

KOMP VBS BLOK A6 KAYUARA

DS BUKIT SELABU BATANG HARI LEKO


DUSUN 2 DESA GAJAH MATI KEC SUNGAI KERUH
KAB MUBA PROVINSI SUMATRA SELATAN

DS. II TOMAN

GRIYA RANDIK KAYUARA

KARYA MAJU RT.15/014 KELUANG

GRIYA RANDIK KAYUARA

DUSUN 3 BAILANGU TIMUR

LK 3 BALAI GUNG RT/34 RW/10

DUSUN 3 BAILANGU TIMUR

PERUMAHAN KIRANA RESIDENCE DS IV SUKARAMI

JL.DEPATI SERASAN JAYA RT/10 RW/01

DESA SUMBER AGUNG KELUANG

BANGKA BELITUNG

LK 3 BALAI GUNG RT/34 RW/10

LK 3 BALAI GUNG RT/34 RW/10

JLN.KOLONEL WAHID UDIN NO 545 KEL.SERASAN


JAYA KEC SEKAYU
DS 6 SUPAT TIMUR BABAT SUPAT

SUNGAI MEDAK

JL.MERDEKA LK 2 SERASAN JAYA RT08 RW04

JL.MERDEKA LK 2 SERASAN JAYA RT08 RW04

SUGI WARAS BABAT TOMAN

DS 2 LUMPATAN

DEPAN POLRES MUBA SERASAN JAYA

DS 6 SUPAT TIMUR BABAT SUPAT

DS 2 TOMAN

DUSUN 2 SUPAT

TENGGARO RT.006 RW.003 KELUANG

LUMPATAN

ASRAMA KODIM SERASAN JAYA

SUNGAI LILIN RT/03 RW/06

DS 1 TOMAN BABAT TOMAN

SIMPANG TUNGKAL
KOMP VBS BLOK A 6 NO 21 KAYUARA

BALAI AGUNG RT/RW 015/002

DS NGULAK 1 RT01 RW01 SANGA DESA

LK 1 SEKAYU

DS 1 PINANG BANJAR

SEKAYU

TANJUNG DALAM KELUANG MUBA SUMSEL

LK IV RT 014 RW 05 BABAT

SERASAN JAYA

DS.II ULAK PACEH JAYA LAWANG WETAN

PURWODADI MUSI RAWAS

SERASAN JAYA RT/03 RW/02

KOMPLEK VILLA BUKIT SEJAHTERA BLOK B1 NO.12

SUNGAI ANGIT

KASMARAN

DS BUMI AYU

DS.III EPIL LAIS

DS BUKIT SELABU

DS BUKIT SELABU

DS 1 RANTAU PANJANG

PERUMAHAN GRIYA CAHAYA ILAHI BALAI AGUNG


SEKAYU
PERUMAHAN GRIYA CAHAYA ILAHI BALAI AGUNG
SEKAYU
SEKAYU

SEKAYU

BUKIT JAYA

BUKIT JAYA

JL. KABUPATEN RT.015 RW.005 NGULAK 1 SANGA


DESA
BUKIT JAYA

DS I LUMPATAN RT01

DS 2 BUMI AYU LAWANG WETAN

JL.MERDEKA LK 1 SOAK BARU RT03 RW01


DS 3 BABAT SUPAT RW/03

DS 4 LAIS

LK.II KAYUARA

LK.II KAYUARA

LK.II KAYUARA

LK.II KAYUARA

KMP VBS KAYUARA

ULAK PACEH JAYA

DESA TAMPANG BARU RT.003 RW.003 KEC.


BAYUNG LENCIR
ULAK PACEH JAYA

DS 3 BABAT SUPAT RW/03

DS 3 BABAT SUPAT RW/03

DS 3 BABAT SUPAT RW/03

G.RANDIK BLOK A KAYUARA

G.RANDIK BLOK A KAYUARA

KARANG WARU

LK. III BABAT TOMAN RT10 RW04

SUNGAI ANGIT

DS 1 LUMPTAN 2

DUSUN 5 EPIL

DS 3 PETALING

DSN I SUNGAI BATANG KARANG ANYAR

LK II BABAT RT04 BABAT TOMAN

JL KELUANG MEKAR JAYA

JL KELUANG MEKAR JAYA

DUSUN 2 DESA PANGKALAN BULIAN

LK.1 KAYUARA RT/03 RW/02

DS 4 WARGA MULYA RT08 RW04 PLAKAT TINGGI

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DUSUN 3 BAILANGU TIMUR

JL MERDEKA SERASAN JAYA LK 1RT15 RW01

LUMPATAN 2 RT/01 RW/01


JL MERDEKA RT/RW.009/004 SOAK BARU

DS KARANG RINGIN 2

DUSUN II DESA PANAI KEC. SANGA DESA

DUSUN 2 DESA KASMARAN

NGULAK III KP. II KEC. SANGA DESA KAB. MUBA

DSN I TELUK KIJING

JL PELTU YUSUP ULAK

JL.MERDEKA LK 4 SEKAYU

DUSUN 2 SUPAT

LK 3 BALAI GUNG RT/34 RW/10

JL MERDEKA SERASAN JAYA LK 1RT15 RW01

G.RANDIK BLOK A KAYUARA

KOMPLEK DC

SP 1 PLAKAT TINGGI

DS 4 SIDO MUKTI KEC PLAKAT TINGGI

DSN IV ULAK EMBACANG

DS 2 TELUK KIJING 2

DS 4 KASMARAN BABAT TOMAN

DUSUN 3 KELUANG

DS.IV TASA VII BABAT SUPAT

DS 4 BAILANGU TIMUR

DS 1 TOMAN BABAT TOMAN

VILLA BUKIT SEJAHTERA BLOK C1 NO 8 KAYUARA

DS 2 LUMPATAN

DS 2 BAILANGU

MEKAR JAYA KELUANG

JL.MERDEKA LK. 1 SOAK BARU

LK 6 SERASAN JAYA RT13 RW02

AIR PUTIH ULU

LK 6 SERASAN JAYA RT13 RW02

TANAH ABANG
GRIYA RANDIK BLOK A2 NO.7 KAYUARA SEKAYU

KAYUARA PERMAI

DUSUN 3 KELUANG

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DS NGULAK 1 RT01 RW01 SANGA DESA

JL. IMPRES PENJARA RT/RW.14/02 SERASAN JAYA

DS NGULAK 1 RT01 RW01 SANGA DESA

ASRAMA KODIM SERASAN JAYA KAB MUBA


PROVINSI SUMATRA SELATAN
WARGA MULYA RT008/004 P. TINGGI

DS 1 MACANG SAKTI SANGA DESA

DS 1 SRI GUNUNG SUNGAI LILIN RT/02 RW/01

LK 3 BALAI AGUNG RT05 RW02

DS EPIL

DS EPIL

GMP BLOK B 1 NO18 BALAI AGUNG

DUSUN 2 DESA PANAI

DUSUN II EPIL LAIS MUBA SEKAYU

DUSUN II EPIL LAIS MUBA SEKAYU

JL.MERDEKA LK 1 KAYUARA RT/01 RW/01

JL.MERDEKA LK 1 KAYUARA RT/01 RW/01

DUSUN II EPIL LAIS MUBA SEKAYU

JL LETNAN MUNANDAR NO 279 LK 1 SEKAYU

DS 4 KASMARAN BABAT TOMAN

LK 2 KAYUARA

JL.BERINGIN G.RANDIK BLOK A3 KAYUARA

KOMP. PERUM IBI

JL.BERINGIN G.RANDIK BLOK A3 KAYUARA

DUSUN II DESA GAJAH MATI

DS BUKIT SELABU BATANG HARI LEKO

DSN III KARANG WARU

DESA TALANG LEBAN BATANG HARI LEKO

DESA TALANG LEBAN BATANG HARI LEKO


DESA TALANG LEBAN BATANG HARI LEKO

LK IV RT 014 RW 05 BABAT

DS KARANG RINGIN 2 LAWANG WETAN

JL. LAUT KOMP DANAU CALA

DS KARANG RINGIN 2 LAWANG WETAN

LK IV RT 014 RW 05 BABAT

LINGKUNGAN IV BABAT TOMAN MUSI BANYUASIN

DS 2 BUMI AYU LAWANG WETAN

JL.SEKAYU SELARAI RT 03 BANDAR JAYA SEKAYU

JL.SEKAYU SELARAI RT 03 BANDAR JAYA SEKAYU

DS 2 BUMI AYU LAWANG WETAN

DS.IV TASA VII BABAT SUPAT

DS.IV TASA VII BABAT SUPAT

JL. PENGADILAN NEGERI NO 4823/2 SERASAN JAYA

JLN.MERDEKA SOAK BARU

DSN III TELUK KIJING I

DS TANJUNG AGUNG UTARA LAIS

DS TANJUNG AGUNG TIMUR LAIS

JLN PALEMBANG SEKAYU DS 1 EPIL

JLN PALEMBANG SEKAYU DS 1 EPIL

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN
LUMPATAN

DESA SIDO REHAYU KEVC PLAKAT TINGGI KAB


MUBA PROVINSI SUMATRA SELATAN
NGULAK I SANGA DESA

PRUMNAS BLOK A BALAI AGUNG RT11 RW04

DUSUN III PETALING LAIS

KOP GRIYA RANDIK BLOK B 6 KAYUARA

JL. PENGADILAN NEGERI NO 4823/2 SERASAN JAYA

NGUNANG

TANAH ABANG
LUMPATAN KEC SEKAYU

JL.PELTU YUSUF ULAK SERASAN JAYA NO117 RT08


RW02

DS 4 LUMPATAN 2

DS SUMBER REJEKI

DS 3 SUKARAMI

DESA LUBUK TAMPUI PALI

DS 3 SUKARAMI

JL.RANDIK KAYUARA RT/19 RW/08

JL LETNAN MUNANDAR NO 279 LK 1 SEKAYU

SUNGAI LILIN JAYA

LK I KAYUARA

KASMARAN

KOMPLEK GRIYA BUMI LESTARI BLOK A2 BALAI


AGUNG RT36 RW10
TANAH ABANG BATANG HARI LEKO

DS KARANG RINGIN 2

DS KARANG RINGIN 2

PURWOSARI

NGULAK I SANGA DESA

BLOK 03 BUMI PRATAMA SUNGAI MENANG

JL JAMI AN NUR SERASAN JAYA RT/13 RW/06


SEKAYU
DUSUN III PETALING LAIS

DSN IV ULAK EMBACANG

JL.DEPATI KEL SERASAN JAYA RT/10 RW/01

LK.4 MANGUN JAYA

DS.II PANGKALAN BULIAN

PP. ASALAM

SMK MODEL 3 KAYUARA RT15 RW06

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN
PEMDA LAUT SERASAN JAYA

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN
DS NGULAK 1

DS 1 TANJUNG KEPUTARAN

DS 2 CINTA DAMAI RT03 RW02

TANJUNG DALAM KELUANG MUBA SUMSEL

DSN IV ULAK EMBACANG

LK 3 BALAI AGUNG RT/34 RW/10

JL RANDIK BARU BUNDARAN SERASAN JAYA RT01


RW01
DUSUN III TALANG LEBAN

SERASAN JAYA

DS 9 AIR PUTIH ULU PLAKAT TINGGI

DESA SUNGAI ANGIT KEC BABAT TOMAN

GRIYA RANDIK KAYUARA

DS I LUMPATAN RT01

LK. 3 KAYUARA

DS III KASMARAN

KAYUARA

KOMP GRIYA RANDIK BLOK A7 KAYUARA

DUSUN II LUMPATAN II

DS 1 TANAH ABANG BATANG HARI LEKO

DS SUNGAI PINANG MUARA LAKITAN MUSI RAWAS

LK 1 SEKAYU

LK 1 SEKAYU

DSN 7 DESA TEBING BULANG SUNGAI KERUH

KOMP VBS KAYUARA

TENGGARO RT.006 RW.003 KELUANG

DS 2 TELUK KIJING 2

DSN IV DESA LAIS

DS 4 LAIS

GRIYA RANDIK KAYUARA

LK. 7 SERASAN JAYA

DS PURWOSARI RT.008 RW.002 LAIS


AIR PUTIH ULU

DS 3 EPIL

DUSUN III TALANG LEBAN

DS 1 TELUK KIJING 2

BAI,LANGU

DS 1 LUMPATAN

SERASAN JAYA

DSN IV DESA LAIS

LK 2 BALAI AGUNG RT/08 RW/01

DS 1 LUMPATAN

DS 2 EPIL

JL.MERDEKA LK. 1 SOAK BARU

KOMP. GRIYA RANDIK KAYUARA

DS BAGAN LUMPATAN RT01

JL.RANDIK KAYUARA RT/19 RW/08

JL.RANDIK KAYUARA RT/19 RW/08

BALAI AGUNG

DS 4 LAIS

EPIL

JL.MERDEKA LK. 1 SOAK BARU

GMP BALAI AGUNG

JL MERDEKA SERASAN JAYA LK 1RT15 RW01

LK 2 BALAI AGUNG RT/08 RW/01

DUSUN 1 SUNGAI BATANG

DS 4 KASMARAN BABAT TOMAN

LOKA JAYA KELUANG

LK 2 BALAI AGUNG RT/08 RW/01

LK 2 BALAI AGUNG RT/08 RW/01

DESA KELUANG

PERUM VILA BUKIT SEJAHTERA RT. 028/010

GMP BALAI AGUNG

JL.LET.H.NUR KEL SERASAN JAYA RT06 RW01


DS 2 MUARA TELADAN RT07 RW04

JL.KOL WAHID UDIN KAYUARA RT/03 RW/02

GRIYA BUKIT AGUNG SEJAHTERA BALAI A

DS 3 BAILANGU

KOTA PALEMBANG

LK 1 SEKAYU

LK 3 BALAI AGUNG RT/34 RW/10

DS 2 MUARA TELADAN RT07 RW04

JL.KAMPUNG SEKATE SOAK BARU RT15 RW06

KOMP VBS BLOK A6 KAYUARA

DUSUN.I DESA ULAK PACEH JAYA KEC.LAWANG


WETAN
DESA 2 LUMPATAN

PRAJA MUKTI SEKAYU

KOMP PMKS PT. PINAGO UTAMA DS.IV SUGI


WARAS
DS.1TELUK KIJING

LK 1 KAYURA

LK 1 KAYURA

LK 2 BALAI AGUNG RT/08 RW/01

DUSUN V SIDO MUKTI PLAKAT TINGGI

LK 6 SERASAN JAYA RT13 RW02

PEMDA LAUT SERASAN JAYA

DSN IV ULAK EMBACANG

JL BERINGIN LK I RT/RW 14/02 SERASAN JAYA


SEKAYU
KOMP.GRIYA RANDIK BLOK A3 NO 11 KAYUARA

JL.KH AHMAD DAHLAN BALAI AGUNG RT01 RW01

DS 5 LINGGO SARI SUNGAI LILIN RT01 RW05

LK 1 KAYURA

KOMP BAS BLOK C2 BALAI AGUNG

LK 2 KAYUARA

JL.LET H NUR SERASAN JAYA RT12 RW01

DUSUN II SUKA MAJU PLAKAT TINGGI

JL.SKY PENDOPO SOAK BARU SEKAYU


DS 3 SUKARAMI

JL RANDIK BARU BUNDARAN SERASAN JAYA RT01


RW01
DUSUN 1 LAIS UTARA

JL. INPRES SERASAN JAYA

ASRAMA KODIM SERASAN JAYA

DUSUN 1 SUNGAI BATANG

JL.SEKAYU SELARAI RT 03 BANDAR JAYA SEKAYU

SERASAN JAYA

BALAI AGUNG RT/RW 015/002

VBS KAYUARA

LK 1 SERASAN JAYA

AIR PUTIH ULU

DUSUN II MUARA TELADAN

DS.IV TASA VII BABAT SUPAT

LK 2 KAYUARA

DS 1 EPIL LAIS

DUSUN 3 MUARA TELADAN

DUSUN 3 MUARA TELADAN

KOMP BUKIT AGUNG SEJAHTERA LK 2 BALAI


AGUNG RT22 RW06

WARGA MULYA RT008/004 P. TINGGI

LK 3 BALAI AGUNG RT/34 RW/10

G.RANDIK BLOK A KAYUARA

DSN IV ULAK EMBACANG

DSN 7 DESA TEBING BULANG SUNGAI KERUH

DS 3 TELUK KEC LAIS

DS 1 BUKIT INDAH PLAKAT TINGGI

DS 3 BABAT BANYUASIN BABAT SUPAT

JL.MERDEKA LK II KAYUARA

BETUNG

DESA GAJAH MATI KEC SUNGAI KERUH KAB MUBA


PROVINSI SUMATRA SELATAN

KOP GRIYA RANDIK BLOK B 6 KAYUARA


LUBUK BINTIALO

PT GPI BABAT TOMAN

GRIYA RANDIK A103

DS 2 SUKARAMI

DUSUN.III ULAK PACEH JAYA

DUSUN.III ULAK PACEH JAYA

KOMP VBS BLOK D KAYUARA

KOMP. VILA BUKIT SEJAHTERA KAYUARA

KOMP. VILA BUKIT SEJAHTERA KAYUARA

KOMP. VILA BUKIT SEJAHTERA KAYUARA

HL DEPATI LK III SERASAN JAYA

GRIYA RANDIK A103

GRIYA RANDIK A103

DS 3 BABAT BANYUASIN BABAT SUPAT

DS 3 BABAT BANYUASIN BABAT SUPAT

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN
BALAI AGUNG

JL.SEKAYU SELARAI RT 03 BANDAR JAYA SEKAYU

SERASAN JAYA

TELUK KIJING 3

DSN 1 ULAK TEBERAU LAWANG WETAN

JL.MERDEKA LK.I SERASAN JAYA

GMP BLOK B 1 NO18 BALAI AGUNG

SERASAN JAYA

DSN 7 DESA TEBING BULANG SUNGAI KERUH 9/21/2019

DS 5 LINGGO SARI SUNGAI LILIN RT02 RW05 9/28/2019

DS.IV TASA VII BABAT SUPAT 9/13/2019

DS 9 AIR PUTIH ULU PLAKAT TINGGI 8/22/2019

AIR PUTIH ULU 9/5/2019

DUSUN 3 KELUANG 9/18/2019


DS.III EPIL LAIS 9/25/2019

JL.RANDIK KAYUARA RT/19 RW/08 9/23/2019

DS 4 LAIS 9/11/2019

LK 2 BALAI AGUNG RT/08 RW/01 9/6/2019

LK 3 BALAI AGUNG RT/34 RW/10 9/20/2019

DS NGULAK 1 9/20/2019

DS I LUMPATAN RT01 9/19/2019

DUSUN.III ULAK PACEH JAYA 9/19/2019

LK 1 SEKAYU 9/5/2019

G.RANDIK BLOK A KAYUARA 9/11/2019

LK 2 KAYUARA 9/11/2019

JL.HINDOLI SUNGAI LILIN

G.RANDIK BLOK A5 KAYUARA

JL.MERDEKA LK 2 SERASAN JAYA RT08 RW04

DS TANAH ABANG BATANG HARI LEKO

JL PRAJA MUKTI KEL SOAK BARU RT11 RW04

BALAI AGUNG

KOMP. BUKIT AGUNG SEJAHTERA

DS 2 TOMAN

LK.4 MANGUN JAYA

JL.PRAMUKA NO 273 SERASAN JAYA

LINGGO SARI RT02 RW.02 SUNGAI LILIN

SUNGAI LILIN

SUNGAI LILIN

DS 3 KARANG ANYAR LAWANG WETAN

KOMP VBS KAYUARA

KAYUARA
SERASAN JAYA RT/12 RW/05

BUKIT AGUNG SEJATERA BLOK A2 NO 9 BALAI


AGUNG
KOMP.PERUM RANDIK BLOK A KAYUARA

JL.SEKAYU MUARA TELADAN LK.III BALAI AGUNG

MANGUN JAYA

SUMBER AGUNG RT/03 RW/02

SEKAYU

DS 5 LAIS

BANDAR AGUNG RT 002 RW 001 LALAN MUBA

DS ULAK PACEH

KOMP GMP BALAI AGUNG

RANTAU KASIH LAWANG WETAN

DS TEGAL MULYO RT07 RW01 KELUANG

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN
BALAI AGUNG

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DSN. 4 BUKIT SELABU BATANG HARI LEKO

JL.RANDIK KAYUARA RT/19 RW/08

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN
DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI
LILIN
DS TEGAL MULYO RT07 RW01 KELUANG

DS TEGAL MULYO RT07 RW01 KELUANG

BALAI AGUNG

BUKIT AGUNG SEJATERA BLOK A2 NO 9 BALAI


AGUNG
KOMP. GMP. BALAI AGUNG

KOMP. GMP. BALAI AGUNG

BUKIT AGUNG SEJATERA BLOK A2 NO 9 BALAI


AGUNG
KOMP.PERUM RANDIK BLOK A KAYUARA

DSN I TELUK LAIS

DS III SUNGAI BATANG MUBA

KOMPLEK VILLA BUKIT SEJAHTERA BLOK A5 NO 23

KASMARAN
RIMBAH UKUR RT/06 RW/03

BALAI AGUNG RT/RW 015/002

DUSUN IV GAJAH MATI BABAT SUPAT

DS 2 SRI MULYO BABAT TOMAN

SERASAN JAYA

DS.III LUMPATAN II

BUKIT JAYA

TELUK KIJING

SERASAN JAYA

KASMARAN

KASMARAN

KASMARAN

DS.2 BAILANGU TIMUR

DUSUN LAMA RT/RW 17/05 SOAK BARU SEKAYU


MUBA SUMSEL
DS TANAH ABANG BATANG HARI LEKO

PERUM VBS BLOK C3 KAYUARA

DS.III EPIL LAIS

DS. 5 TOMAN BABAT TOMAN

KOMP GRIYA RANDIK KAYUARA

DS TANAH ABANG BATANG HARI LEKO

PENGAMBANGAN BANJAARMANIS KALIMANTAN

PT PINAGO MANGUN JAYA

LK 2 BALAI AGUNG

JL. KOL. WAHID UDIN 2/1 SERASAN JAYA SEKAYU

SUNGAI ANGIT

LK 3 BALAI AGUNG RT/34 RW/10

DSN II RW 02 DESA KASMARAN

DS BUMI AYU

KOMP VBS KAYUARA

LK 3 BALAI AGUNG RT/34 RW/10

DUSUN 6 LAIS

GRIYA RANDIK KAYUARA


KOMP GRIYA RANDIK BLOK A7 KAYUARA

LK 1 BALAI AGUNG

DS 2 TOMAN

DUSUN 1 SUPAT

DUSUN III KEBAN II SANGA DESA

JL.SEKAYU MUARA TELADAN LK.III BALAI AGUNG

DS 6 SUPAT TIMUR BABAT SUPAT

KAYUARA

DUSUN.III ULAK PACEH JAYA

SUNGAI LILIN RT/04 RW/01

SUNGAI LILIN RT/04 RW/01

SUNGAI LILIN RT/03 RW/06

SUNGAI LILIN RT/03 RW/06

DUSUN IV ULAK PACEH JAYA LAWANG WETAN

SERASAN JAYA

JL.KOL WAHID UDIN LK I KAYUARA RT/02 RW/01

KARYA MAJU RT.15/014 KELUANG

DS IV BAILANGU TIMUR

LK 3 BALAI AGUNG RT/34 RW/10

JL. KOL. WAHID UDIN NO.46 RT.032 RW.010 KEL.


BALAI AGUNG
DUSUN III SIMPANG SARI LAWANG WETAN

NGULAK

MUSI GREN RESIDENCE SEKAYU

JL PRAJA MUKTI KEL SOAK BARU RT11 RW04

DUSUN IV ULAK PACEH JAYA

GRIYA RANDIK KAYUARA

JL.DEPATI RT/10 RW/05 SERASAN JAYA

DS 2 TOMAN

JL.LET MUNANDAR LK 1 BALAI AGUNG RT04 RW02

LK.4 MANGUN JAYA

DUSUN 3 SUKARAMI
PURWOSARI

DSN I TELUK LAIS

LK 3 MANGUN JAYA RT/10 RW/06

JL.MERDEKA LK 3 KAYUARA RT07 RW03

SUMBER AGUNG RT/03 RW/02

BALAI AGUNG

DS.III SIMPANG SARI LAWANG WETAN

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DSN I BANGUN SARI

EPIL

EPIL

KAYUARA

KAYUARA

JL. LET HAJI NUR RT/RW.006/003 SERASAN JAYA

KAYUARA

NGULAK

DS 5 LINGGO SARI SUNGAI LILIN RT02 RW05

EPIL

SUNGAI LILIN JAYA

SUNGAI LILIN RT/03 RW/06

DUSUN VI SILAU MARAJA KECAMATAN SETIA JANJI

JL.PASAR INPRES LINK 1 BALAI AGUNG

JL.DEPATI RT/10 RW/05 SERASAN JAYA

SERASAN JAYA

JL.RANDIK KAYUARA RT/19 RW/08

SEKAYU KOMP RANDIK

KOMP. GRIYA BUMI LESTARI BLOK A4 NO.5 KEL.


KAYUARA
JL.LET.H.NUR KEL SERASAN JAYA RT06 RW01

JL.LET.H.NUR KEL SERASAN JAYA RT06 RW01

KOMP. GRIYA BUMI LESTARI BLOK A4 NO.5 KEL.


KAYUARA
DUSUN 2 SUKARAMI

KOMP. GRIYA BUMI LESTARI BLOK A4 NO.5 KEL.


KAYUARA
DS NAPAL

DS 6 SUKA MAJU BABAT SUPAT RT01 RW06

DUSUN 1 SUPAT

DS 2 KARANG RINGIN 1

LK 3 BALAI GUNG RT/34 RW/10

PERUMNAS BLOK B NO 66 BALAI AGUNG

DS 4 CINTA KARYA PLAKAT TINGGI RT07 RW04

DS 3 KARANG ANYAR LAWANG WETAN

PERUMAHAN GRIYA CAHAYA ILAHI BALAI AGUNG


SEKAYU
GRIYA RANDIK KAYUARA

DESA TALANG PIASE

JL.LASKAR JIMBUN

DS 5 TEBING BULANG SUNGAI KERUH

ASRAMA KODIM 0401 MUBA

TEBING BULANG

SERASAN JAYA

DSN I MACANG SAKTI SANGA DESA

PT. PINAGO UTAMA

DS 3 TALANG LEBAN BATANG HARI LEKO

LK 1 BALAI AGUNG

KOMPLEK VILLA BUKIT SEJAHTERA BLOK A5 NO 23

LK 2 BALAI AGUNG

SERASAN JAYA RT04 RW02

JL.MERDEKA LK 1 SOAK BARU RT03 RW01

PURWOSARI RT/08 RW/02

DESA SUMBER AGUNG KELUANG

DS 6 SUPAT TIMUR BABAT SUPAT

DSN I DESA LAIS

KOMP.PERUM RANDIK BLOK A KAYUARA

DESA SUMBER AGUNG KELUANG

DS.III SIMPANG SARI LAWANG WETAN

TALANG AMAN PALEMBANG


DS BAILANGU

ASRAMA KODIM SERASAN JAYA

DS.III EPIL LAIS

DUSUN 3 KELUANG

DS.III EPIL LAIS

DS 3 TALANG LEBAN BATANG HARI LEKO

DS SUNGAI MEDAK RT/03 RW/02

PERUMAHAN GRIYA CAHAYA ILAHI BALAI AGUNG


SEKAYU
DS 3 TALANG LEBAN BATANG HARI LEKO

DS 5 TEBING BULANG SUNGAI KERUH

JL.KAP A RIVAI LK 1 BALAI AGUNG RT03 RW01

DS 4 LUMPATAN 2

SERASAN JAYA

DS 3 PANGKALAN JAYA RT03 RW01 BABAT TOMAN

PP. ASALAM

LK 1 BABAT TOMAN RT/01 RW/01

DS 1 SUKA MAKMUR KEC PLAKAT TINGGI

SUNGAI LILIN RT/03 RW/06

BALAI AGUNG

DUSUN III ULAK PACEH JAYA LAWANG WETAN

DUSUN III ULAK PACEH JAYA LAWANG WETAN

SEREKA KEC. BABAT TOMAN

DS 2 TELUK KIJING

KOMP GRIYA RANDIK BLOK A7 KAYUARA

JL LEBUK SAUNG KEL PANGKALAN BALAI

JL.MERDEKA LK I KAYUARA RT/01 RW/01

DS 1 TELUK KIJING 2

GRIYA RANDIK KAYUARA

JL LEBUK SAUNG KEL PANGKALAN BALAI

RIMBAH UKUR RT/06 RW/03

DS 1 MACANG SAKTI SANGA DESA

RANTAU KASIH LAWANG WETAN


DS 2 SRI MULYO BABAT TOMAN

RIMBAH UKUR RT/06 RW/03

KOMP. GRIYA BUMI LESTARI BLOK A4 NO.5 KEL.


KAYUARA

LK.4 MANGUN JAYA

LUBUK BINTIALO

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

SEREKA KEC. BABAT TOMAN

DESA SUMBER AGUNG KELUANG

DS TANAH ABANG BATANG HARI LEKO

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN

DS 2 TOMAN

SUNGAI LILIN RT/03 RW/06

JL.MERDEKA LK.4 SOAK BARU

KOMP RDG MAN MODEL

CINTA KARYA RT 05 PLAKAT TINGGI

DS 1 SIMPANG SARI

JL. PROPINSI SEKAYU LBG LINNGAU RT 03 NGULAK


I SANGA DESA
SERASAN JAYA RT03 RW01

VILLA BUKITSEJAHTERA. KAYUARA

SUNGAI LILIN JAYA

DS.III KARANG ANYAR

NGULAK
DESA PANDAN DULANG SEKAYU

DSN 11 ULAK PACEH JAYA LAWANG WETAN

DS.III SIMPANG SARI LAWANG WETAN

JL.SKY PENDOPO SOAK BARU RT12 RW05

JL MERDEKA LK II RT 009 RW 004 KELURAHAN


KAYUARA SEKAYU
DSN I TELUK LAIS

DUSUN II DESA LUMPATAN II

JL. LAUT LK 1 SERASAN JAYA

JL.KOL WAHID UDIN LK I KAYUARA RT/02 RW/01

JL. LAUT LK 1 SERASAN JAYA

GRIYA RANDIK BLOK C4 KAYUARA

JL.KAP RIVAI BALAI AGUNG RT/03 RW/01

JL.MERDEKA LK 1 KAYUARA RT/02 RW/01

JL LET H NUR SERASAN JAYA

DS 3 GAJAH MATI SUNGAI KERUH

SERASAN JAYA

SUNGAI ANGIT

DS.III SIMPANG SARI LAWANG WETAN

DUSUN 3 RT.003 RW.001 DESA PANGKALAN JAYA

DS 3 GAJAH MATI SUNGAI KERUH

DS 2 KEMANG

DS 3 LUMPATAN 2

JL.LET.H.NUR KEL SERASAN JAYA RT06 RW01

PANAI

BALAI AGUNG

DS 2 KEMANG

BABAT TOMAN

LK 1 BALAI AGUNG

SUNGAI LILIN RT/03 RW/06

BABAT TOMAN

DESA PANAI KEC.SANGA DESA

KOMP. GBL BLOK A1 NO .7 BALAI AGUNG


JL.MERDEKA LK I KAYUARA RT/01 RW/01

DS 2 SRI MULYO BABAT TOMAN

DS WARGA MULYA KEC PLAKAT TINGGI

KOMP GMP BALAI AGUNG

DS 1 MACANG SAKTI SANGA DESA

JL. KOL WAHID UDIN RT/RW.003/002 LK.II BALAI


AGUNG
DS.I LUMPATAN

LK 1 BABAT TOMAN RT/01 RW/01

JL.MERDEKA LK 1 KAYUARA RT/02 RW/01

MUSI GREN RESIDENCE SEKAYU

LK 3 MANGUN JAYA RT/10 RW/06

SUNGAI LILIN

DS 3 EPIL LAIS

GRIYA RANDIK KAYUARA RT16 RW06

SOAK BARU RT/06 RW/03

RAUTAU PANJANG

RAUTAU PANJANG

KASMARAN

JL.MERDEKA SERASAN JAYA RT12 RW05

SUNGAI LILIN

JL. PROPINSI SEKAYU LBG LINNGAU RT 03 NGULAK


I SANGA DESA
DS 5 SIDO MUKTI PLAKAT TINGGI

JL.DEPATI RT/10 RW/05 SERASAN JAYA

PERUM.BUKIT AGUNG SEJAHTERA

SERASAN JAYA RT03 RW01

SUMBER AGUNG RT/03 RW/02

TEGAL MULYO RT11 RW06 KELUANG

SERASAN JAYA RT/09 RW/02

DSN I DESA LAIS

DUSUN 5 PANCA TUNGGAL RT09 RW05 SUNGAI


LILIN
DUSUN I TOMAN KECAMATAN BABAT TOMAN

DS BAILANGU TIMUR
DS PUROSARI RT09 RW03

DS TANJUNG BALI BATANG HARI LEKO

DUSUN I DESA LUMPATAN

DS 3 BAILANGU

DS 3 BAILANGU

SEKAYU

DS 1 LUMPATAN SEKAYU

DS SUNGAI MEDAK RT/02 RW/01

LUMPATAN

DUSUN II DESA BAILANGU

DESA SINAR TUNGKAL RT12 RW04

DS KARYA MAJU KELUANG

DS KARYA MAJU KELUANG

SUNGAI ANGIT

JL.MERDEKA LK 1 KAYUARA RT03 RW02

KASMARAN

KAYUARA

DS 1 LUMPATAN

SUNGAI LILIN

DS NUSA SERASAN SUNGAI LILIN RT18 RW04

DS LUMPATAN

SUMBER AGUNG RT/03 RW/02

JL.LET MUNANDAR LK 1 BALAI AGUNG RT04 RW02

DS TANJUNG BALI BATANG HARI LEKO

JALAN PAHLAWAN LK.III KAYUARA

MULYO ASIH KEC. KELUANG

PERUM KODIM 0401/MUBA KEL. SERASAN JAYA


KAB. MUBA
LUMPATAN

DS 7 SUNGAI PINANG MUARA LAKITAN

DS 2 EPIL

DS 3 LUMPATAN 2

PRAJA PERMAI
DS.III SIMPANG SARI LAWANG WETAN

DS 3 TALANG LEBAN BATANG HARI LEKO

BOJONG RT 003 RW 006 DESA BUMIREJA


KECAMATAN KEDUNGREJA
DS TEBING BULANG KEL SUNGAI KERUH

DS CIPTA PRAJA KEC.KELUANG

DUSUN 3 BABAT BANYUASIN

SUMBER AGUNG RT/03 RW/02

JL.LASKAR JIMBUN

RANTAU KASIH LAWANG WETAN

JL.DEPATI RT/10 RW/05 SERASAN JAYA

DS 3 EPIL LAIS

DS 2 MUARA TELADAN RT/08 RW/04

DS 6 SUKA MAJU BABAT SUPAT RT01 RW06

DESA SIDO MULYO 20 RT 014 RW 004 KECAMATAN


MUARA PADANG BANYUASIN
DESA SIDO MULYO 20 RT 014 RW 004 KECAMATAN
MUARA PADANG BANYUASIN
DS 5 SIDO MUKTI PLAKAT TINGGI

ASRAMA KODIM 0401 MUBA

DS 4 ULAK PACEH JAYA

DS 4 ULAK PACEH JAYA

DSN I DESA LAIS

KOMP SUKAJAYA INDAH BLOK J NO 1 DESA SUKA


BANGUN SUKARAMI
DS 1 LUMPATAN

DS TEGAL MULYO RT07 RW01 KELUANG

LK 3 BALAI GUNG RT/34 RW/10

KOMP SERASAN DAMAI BLOK B1 KAYUARA

DUSUN VI NO 252 RT/RW 08/08 SUNGAI BATANG


MUBA SUMSEL
SEKAYU

JALAN PAHLAWAN LK.III KAYUARA

JL MERDEKA LK II BALAI AGUNG SEKAYU

DS TEBING BULANG KEL SUNGAI KERUH

BABAT TOMAN

DS 3 EPIL LAIS
DSN I DESA LAIS

BABAT

DUSUN 2 DESA LAIS KEC. LAIS KAB. MUBA

LK 3 BABAT TOMAN MUBA

DUSUN 3 LEBAN

JL. MERDEKA LK III KAYUARA RT/09 RW/04

LK 3 BALAI AGUNG RT/34 RW/10

DUSUN 4 DESA DAWAS KEC KELUANG

SEKAYU

PRAJA PERMAI BLOK C1 SOAK BARU

LK 3 BALAI GUNG RT/34 RW/10

DUSUN VI SILAU MARAJA KECAMATAN SETIA JANJI

SOAK BARU

JL. PROPINSI SEKAYU LBG LINNGAU RT 03 NGULAK


I SANGA DESA
DSN 1 GAJAH MATI

BALAI AGUNG RT/RW 015/002

DSN I BANGUN SARI

DS NUSA SERASAN SUNGAI LILIN RT18 RW04

DS 1 MACANG SAKTI SANGA DESA

DS 1 LUMPATAN 2

DS.I ULAK PACEH JAYA LAWANG WETAN

LK 3 BABAT TOMAN MUBA

JL.MERDEKA SOAK BARU RT/01 RW/01

GRIYA RANDIK KAYUARA RT16 RW06

JL MERDEKA KEL SERSAN JAYA RT/3 RW/02

DS.III LUMPATAN II

JL. LET H NUR RT.005/002 SOAK BARU

CINTA KARYA RT 05 PLAKAT TINGGI

DS 1 SIMPANG SARI

DS 4 TELUK KIJING 2

KASMARAN

WISMA ATLET
CINTA KARYA PLAKAT TINGGI

VILLA BUKITSEJAHTERA. KAYUARA

VILLA BUKITSEJAHTERA. KAYUARA

SERASAN JAYA RT03 RW01

BANDAR AGUNG RT 002 RW 001 LALAN MUBA

CINTA KARYA RT 05 PLAKAT TINGGI

KARANG ANYAR

KARANG ANYAR

KARANG ANYAR

DS ULAK PACEH

JL.MERDEKA SOAK BARU RT/01 RW/01

JL.KOL.WAHID UDIN SERASAN JAYA RT/02 RW/01

DSN.2 LUMPATAN II

LUMPATAN

LK 2 BALAI AGUNG RT/06 RW/03

DS.III LUMPATAN II

DSN 1 BABAT BANYUASIN

DS 3 BUMI KENCANA KEC SUNGAI LILIN

DS 3 BUMI KENCANA KEC SUNGAI LILIN

DESA PANDAN DULANG SEKAYU

PERUMNAS BLOK C NOMOR 32 SEKAYU

DS 3 BUMI KENCANA KEC SUNGAI LILIN

DS 1 DESA MUARA TELADAN

DUSUN 2 LUMPATAN

DS 3 BUMI KENCANA KEC SUNGAI LILIN

DS 2 TELUK

JL KOL WAHID UDIN SERASAN JAYA

DUSUN III TELUK KIJING II LAIS MUBA


DS NUSA SERASAN SUNGAI LILIN RT18 RW04

DS NUSA SERASAN SUNGAI LILIN RT18 RW04

DS 3 BUMI KENCANA KEC SUNGAI LILIN

VILLA BUKITSEJAHTERA. KAYUARA

KARANG ANYAR

SUNGAI ANGIT

DESA PANDAN DULANG SEKAYU

SUNGAI LILIN

DS 3 EPIL LAIS

DS 3 GAJAH MATI SUNGAI KERUH

DSN I DESA LAIS

SUMBER AGUNG RT/03 RW/02

DS 1 SEREKA

DS 1 SEREKA

DS 1 SEREKA

DS 1 SEREKA

DS 1 MULYO REJO SUNGAI LILIN RT03 RW01

CINTA KARYA PLAKAT TINGGI

DS 3 RANTAU PANJANG LAWANG WETAN

CINTA KARYA PLAKAT TINGGI

JL.KOL.WAHID UDIN SERASAN JAYA RT/02 RW/01

CINTA KARYA PLAKAT TINGGI

CINTA KARYA PLAKAT TINGGI


LOROK PAKJO PALEMBANG

JL.MERDEKA KAYUARA RT02 RW01

LK 3 BALAI AGUNG RT/23 RW/10

JL.MERDEKA LK 1 BALAI AGUNG RT/06 RW/03

ULAK PACEH

DS 2 TOMAN

DS 2 TOMAN

DS 2 TOMAN

JL. SEKAYU-SUKARAMI LK II BALAI AGUNG SEKAYU

VILLA BUKITSEJAHTERA. KAYUARA

JL.PELTU YUSUF SERASAN JAYA RT/08 RW/02

DUSUN.I RANTAU SIALANG SUNGAI KERUH

PERUMAHAN GRIYA CAHAYA ILAHI BALAI AGUNG


SEKAYU
DS BANGUN SARI BABAT TOMAN

DS 1 MULYO REJO SUNGAI LILIN RT03 RW01

DS 2 LUMPATAN 2

MUARA PUNJUNG

KOMP VBS KEL KAYUARA

BR. AKTA LEMBENG KETEWEL SUKAWATI GIANYAR


BALI
LINGGO SARI

PERUM SDN 3 SERASAN JAYA

JL MERDEKA LK 1 BALAI AGUNG

DS 3 TANAH ABANG

DS 3 TANAH ABANG

JL MERDEKA LK 1 BALAI AGUNG

JL MERDEKA LK 1 BALAI AGUNG

MANGUN JAYA

JALAN LAUT RT.003 RW.002 KEL. SERASAN JAYA

DS 2 KASMARAN BABAT TOMAN

DS IV KERAMAT JAYA

KOMP PEMDA SERASAN JAYA RT/04 RW/02

KOMP PEMDA SERASAN JAYA RT/04 RW/02


DS BANGUN SARI BABAT TOMAN

BABAT TOMAN

DUSUN 3 BABAT TOMAN

KOMP.GRIYA CAHAYA ILAHI BALAI AGUNG

KEC. SUNGAI LILIN RT06 RW01

GRIYA RANDIK KAYUARA RT16 RW06

DS 1 LUMPATAN SEKAYU

JL.LET MUNANDAR SOAK BARU RT/10 RW/04

DUSUN 4 MULYO REJO SUNGAI LILIN

DUSUN 4 MULYO REJO SUNGAI LILIN

DUSUN III KEBAN II SANGA DESA

DS 1 LUMPATAN SEKAYU

DS 1 LUMPATAN SEKAYU

SERASAN DAMAI KAYUARA

ULAK TABERAU

DESA PANDAN DULANG SEKAYU

DS 2 KEMANG

DS BUKIT SELABU BATANG HARI LEKO

DS 2 KEMANG

JL. PROPINSI SEKAYU LBG LINNGAU RT 03 NGULAK


I SANGA DESA
SUNGAI MEDAK RT/02 RW/01 PLAKAT TINGGI

KOMP GMP BALAI AGUNG

DS 3 SUKARAMI SEKAYU

KOMPLEK PRAJA MUKTI BLOK A NO.2 SEKAYU

DUSUN 1 ULAK TEBERAU

DESA SUKA JAYA PLAKAT TINGGI

KEC. SUNGAI LILIN RT06 RW01

DUSUN SIMPANG PUJUD RT 002 RW 002 DESA


BAHTERA MAKMUR
PETALING

KELURAHAN SUNGAI LILIN JAYA

JL DEPATI H M SAHIL KEL NGULAK 1 SANGA DESA

DS 6 SUKA MAJU BABAT SUPAT RT01 RW06


DUSUN I BANDAR JAYA SEKAYU MUBA

DESA PANDAN DULANG SEKAYU

MUARA PUNJUNG

MUARA PUNJUNG

KOMP GMP BALAI AGUNG

WARGA MULYA RT 6 RW 3 PLAKAT TINGGI

GRIYA RANDIK KAYUARA RT16 RW06

GRIYA RANDIK KAYUARA RT16 RW06

PERUMNAS BALAI AGUNG

JALAN LAUT RT.003 RW.002 KEL. SERASAN JAYA

DS 3 RANTAU PANJANG LAWANG WETAN

LK 3 BABAT TOMAN MUBA

DS 5 SIDO MUKTI PLAKAT TINGGI

DESA PANDAN DULANG SEKAYU

DESA SUKA JAYA PLAKAT TINGGI

JL SEKAYU MUARA TELADAN BALAI AGUNG RT34


RW10
DUSUN 3 BABAT BANYUASIN

KOMP. GBL BLOK A1 NO .7 BALAI AGUNG

SOAK BARU

KELUANG

DS 2 KEMANG

LK 1 KAYUARA RT/04 RW/02

SOAK BARU

PURWOSARI RT/05 RW/01

KOMP PRUMNAS KEL BALAI AGUNG KEC SEKAYU


KAB MUBA PROVINSI SUMATRA SELATAN
KOMP PRUMNAS KEL BALAI AGUNG KEC SEKAYU
KAB MUBA PROVINSI SUMATRA SELATAN
LK.II KAYUARA

ULAK PACEH JAYA

KARANG AGUNG

BAYUNG LINCIR ASRAMA POLISI BAYUNG

DS 1 KARANG WARU
DS 1 LUMPATAN

DS 2 KEMANG

DS 3 SIMPANG SARI

JL.KOL.WAHID UDIN SERASAN JAYA RT/02 RW/01

JL. PRAJA PERMAI KOMPLEK AZZAHRA NO.41 31/9


BALAI AGUNG
JL.KOL WAHID UDIN KAYUARA RT/03 RW/02

DS 3 SIMPANG SARI

LUBUK BUAH

DS 1 LUMPATAN 2

DS 3 SIMPANG SARI

DS 3 GAJAH MATI SUNGAI KERUH

BALAI AGUNG RT/RW 015/002

BALAI AGUNG RT/RW 015/002

DUSUN 1 ULAK TEBERAU

JL.LET H.NUR SERASAN JAYA

DS 3 GAJAH MATI SUNGAI KERUH

JL.PELTU YUSUF ULAK SERASAN JAYA RT08 RW04

DUSUN 1 SUKA MAJU

DS 1 KARANG WARU

PINANG BANJAR

PINANG BANJAR

WARGA MULYA RT 6 RW 3 PLAKAT TINGGI

SUMBER AGUNG RT/03 RW/02

JL. PROPINSI SEKAYU LBG LINNGAU RT 03 NGULAK


I SANGA DESA
GMP BLOK B 1 NO18 BALAI AGUNG

PANAI

DS I TANJUNG DURIAN KEC LAWANG WETANG

DS 2 JIRAK

DSN 1 GAJAH MATI

DS 3 RANTAU PANJANG LAWANG WETAN

DSN I TELUK LAIS

JL.LAUT SERASAN JAYA


JL. MERDEKA LK III KAYUARA RT/09 RW/04

DS 1 KOMPLEK POM TELUK KIJING 3 LAIS

JL. LET H NUR RT.005/002 SOAK BARU

PERUMNAS BLOK C BALAI AGUNG

PERUMNAS BALAI AGUNG

KOM BUKIT AGUNG SEJAHTERA LK 2 BALAI AGUNG

DS I TANJUNG DURIAN KEC LAWANG WETANG

TEGAL MULYO RT11 RW06 KELUANG

TALANG SALABURAU LK II BALAI AGUNG

SUMBER REJEKI

JL.MERDEKA LK 1 BALAI AGUNG RT/06 RW/02

JL.KOL WAHID UDIN KAYUARA RT/03 RW/02

BANDAR AGUNG RT 002 RW 001 LALAN MUBA

KAYUARA

JLN SEKOLAH KEL BABAT TOMAN

DS 4 TELUK LAIS

DS 1 MULYO REJO SUNGAI LILIN RT03 RW01

DS 3 SUKARAMI

LINK 3 MANGUN JAYA

DS 3 SUKARAMI

KASMARAN

DS 2 KASMARAN BABAT TOMAN

JL.DEPATI RT/10 RW/05 SERASAN JAYA

DS.III LUMPATAN II

DS 1 MULYO REJO SUNGAI LILIN RT03 RW01

GRIYA RANDIK

DS 6 SUKA MAJU BABAT SUPAT RT01 RW06

SUMBER REJEKI

DUSUN 3 TALANG PIASE

DUSUN 3 TALANG PIASE

DS 2 LUMPATAN 2

DSN II RW 02 DESA KASMARAN


PERUM SERASAN DAMAI KAYUARA

DUSUN III DESA SUKA MAKMUR PLAKAT TINGGI


MUBA
JL.MERDEKA KAYUARA RT02 RW01

SERASAN JAYA RT03 RW01

MANGUN JAYA

JL LAUT LK. I KEL.SERASAN JAYA

PERUM SDN 3 SERASAN JAYA

JL.MERDEKA LK 1 KAYUARA RT03 RW02

DS 1 SIMPANG SARI

JL. AKBP H.UMA NO 97 ARIO KEMUNING


PALEMBANG
DESA PANDAN DULANG SEKAYU

KEMANG

KEMANG

DS SIDO REJO

DS SIDO REJO

JL.KOL WAHID UDIN LK 3 SERSAN JAYA RT13


RW02
DSN II TELUK KIJING II

KOMPLEK PRAJA MUKTI BLOK A NO.2 SEKAYU

SEKAYU

LK 2 BALAI AGUNG

DS PURWOSARI RT13 RW04 LAIS

DUSUN 2 PANGKALAN BULAN

KASMARAN

DUSUN III BUMI KENCANA RT 002 RW 003 DESA


BUMI KENCANA SUNGAI LILIN
DS SUNGAI MEDAK RT/02 RW/01

JL.MERDEKA SERASAN JAYA RT12 RW05

JL LAUT LK. I KEL.SERASAN JAYA

DSN I TELUK LAIS

JL.MERDEKA SERASAN JAYA RT12 RW05

DUSUN 2 TOMAN

JL MERDEKA LK I KAYUARA

DS 2 LUMPATAN II
DS 3 EPIL LAIS

JL.MUARA TELADAN PRAJA PERMAI SEKAYU

JL.MUARA TELADAN PRAJA PERMAI SEKAYU

LK 6 SERASAN JAYA RT13 RW02

DS PURWOSARI RT10 RW03

KARYA MAJU RT/10 RW/10

PERUM GARDAN BATAM

DS 1 SIMPANG SARI LAWANG WETAN

DS 1 LUMPATAN SEKAYU

DS 2 DANAU CALA

PERUM GARDAN BATAM

PERUM GARDAN BATAM

MUARA PUNJUNG

DS 6 SUNGAI BATANG RT08 RW06

DS 6 SUNGAI BATANG RT08 RW06

PERUM GARDAN BATAM

DS 3 RANTAU PANJANG LAWANG WETAN

JATILAWANG

DS 4 TELUK

JL SEKAYU MUARA TELADAN BALAI AGUNG RT34


RW10
DK TEMPURAN HARJOWINANGGUN BARAT

KOMP.IBI BLOK A5 NO.21 BALAI AGUNG

GRIYA RANDIK BLOK C4 KAYUARA

KOMP. GBL BLOK A1 NO .7 BALAI AGUNG

DSN III DESA EPIL LAIS

SOAK BARU

SOAK BARU

JL.MERDEKA KAYUARA RT02 RW01

DS 1 SIMPANG SARI

DS II RANTAU PANJANG LAWANG WETAN

KOMPL.SERASAN SEKATE LK II BALAI AGUNG

DS 1 JUD 2 SANGA DESA


DS 2 KASMARAN BABAT TOMAN

KOMPLEK BUKIT SEJAHTERA KAYUARA

DS 2 MUARA TELADAN RT/08 RW/04

JL SEKAYU PENDOPO KEL SOAK BARU RT/12


RW/05
DS 5 SIDO MUKTI PLAKAT TINGGI

JL.MERDEKA SERASAN JAYA RT12 RW05

GRIYA RANDIK

DS 1 MACANG SAKTI SANGA DESA

DS.III SIMPANG SARI LAWANG WETAN

DS SUNGAI MEDAK RT/02 RW/01

JL. LET H NUR RT.005/002 SOAK BARU

LK.II KAYUARA

JL.MERDEKA LK 1 KAYUARA

JL.KAMPUNG SEKATE SOAK BARU RT15 RW06

DS TEBING BULANG KEL SUNGAI KERUH

DUSUN.I RANTAU SIALANG SUNGAI KERUH

SUNGAI LILIN

LK 4 SOAK BARU SEKAYU

KARYA MAJU RT/10 RW/10

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

JL.MERDEKA LK 3 KAYUARA RT/11 RW/05

LK.III KAYUARA

DUSUN.I RANTAU SIALANG SUNGAI KERUH

DS 5 SIDO MUKTI PLAKAT TINGGI

ASRAMA KODIM SERASAN JAYA

KOMPLEK PRAJA MUKTI BLOK A NO.2 SEKAYU

JL.MERDEKA SERASAN JAYA RT12 RW05

DS 5 SIDO MUKTI PLAKAT TINGGI

DUSUN.I RANTAU SIALANG SUNGAI KERUH

PERUM GARDAN BATAM

SERASAN JAYA RT03 RW01


DS 2 MUARA TELADAN RT/08 RW/04

DS 6 SUKA MAJU BABAT SUPAT RT01 RW06

JATILAWANG

JL.MERDEKA SERASAN JAYA RT12 RW05

CINTA KARYA PLAKAT TINGGI

DS 6 SUNGAI BATANG RT08 RW06

DS 1 LUMPATAN SEKAYU

DS 2 KASMARAN BABAT TOMAN

DS 5 SIDO MUKTI PLAKAT TINGGI

JL. LETNAN MUNANDAR RT.004/002 BALAI AGUNG

DUSUN.I RANTAU SIALANG SUNGAI KERUH

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