NO NAMA UMUR ALAMAT

L P
1 ARINI 20 KADU COKROM 8:08
2 H AMIN 80 CIMEONG 8:25
3 WULAN YUNIATI 16 BAROS 8:25
4 ADE ELDI 35 SUKAMANAH 8:41
5 AISYLA HUSNA 2 BAROS MASJID 8:42
6 DILA NURFADILAH 19 KADU COKROM 9:02
7 ALPIAN 2 CIPARI 9:07
8 MULIA KOMALASARI 29 SUKACAI 3459 9:11
9 LISNA 14 CIPANCUR 9:26
10 SAWINAH 50 KOROSOK 9:26
11 EMAH 39 CANGKUDU 2655 9:39
12 M ALKHALIFI 6 BAROS 10:18
13 SARNI 48 PASIR SIREUM 10:18
14 JUBAEDAH 50 PANYIRAPAN 10:28
15 SAYUNI 60 ASTANA 1:57
16 TARSIH 42 BAROS MASJID 7550 11:16
17 ALWI HAIYONG 55 BAROS MASJID 7550 11:16
18 MUHAMMAD RAMADHAN 8 BAROS MASJID 7550 11:16
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JUMLAH
JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
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2 16 9 9 14 0 2 0 0
 RUJUKAN NAMA PEMERIKSA ICD-X DIAGNOSA
UGD VK LAB BPJS SKTM

KIR SCHOOL
F20

1 SUNTIK TBC
1 0 0 0 0
 UMUR
NO NAMA ALAMAT
L P
1 supriyati 44 pas erih
2 tb hendra g 42 korosok
3 teguh jatnika 39 kalapa lima
4 silvia 7 tejamari
5 sumirah 54 tejamari
6 mutiah 47 pabarak
7 h islahudin 63 serang
8 yayat 38 sobong
9 irman 3 sobong
10 iyus 37 taman sari
11 mutmainah 45 l asem
12 lia 32 duku ratu
13 RODIAH 60 KALOBARANG
14 AINAYA 4,5 OTENG
15 ASIFA 5.6 SOBONG
16 ALPIAH 45 RANCA KAREO
17 ADE ELDI 42 SUKAMANAH
18 ELSA 8BL PADURUNG
19 DIMAS 9 PADURUNG
20 SUHENAH 58 CIPEUCANG
21 AJIS S 29 NYATUH
22 SELIA 21 KL 5
23 DWI WIJAYANTI 34 BBH
24 TUTI JULIANTI 12 CIKONENG
25 M MAULANA 2 CIKONENG
29 SOPIAH 45 SINDANG MANDI
30 SUPRIJI 50 sobong
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
04 DESEMBER 2018

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
8;02 1 1 1
8;02 1 1 1
1 1 1
8;07 1 1 1
8;06 1 1 1
8;16 1 1 1
8;17 1 1 1
8;44 1 1 1
9:12 1 1 1
9:20 1 1 1
1 1 1
9:40 1 1 1
9:54 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 26 18 9 21 1 4 1
TUJUAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
KB UGD VK LAB BPJS SKTM
0 0 0 0 0 0
 DIAGNOSA

odgj

odgj

ODGJ

ODGJ
 UMUR
NO NAMA ALAMAT FF
L P
1 1 SUHARIAH 36 NAGREG
2 2 HUMAEROH 25 PAGEDONGAN
3 3 ECE SUBAKTI 43 SENGIR
4 4 SAMHUDI 48 PARUMASAN
5 5 SAEFULLOH 39 BOJOT 5759
6 6 ALIYUDIN WARUNG
7 7 SONHAJI 2 PANGEONGAN 6726
8 8 MUJI SISWANTO 39 PANYIRAPAN
9 9 IHWANUDIN 71 NYATUH 770
11 10 ANISA JULIA PUTRI 10 SIDUWET
12 11 JUHRI 37 SIDUWET
13 12 ANSORI 24 HULUCAI
14 13 SAMIAH 43 SIKEREMBENG 4627
15 14 IBNU 1,7 KATULISAN
16 15 MOHAMAD RAGIL FAJAR RIYANTO 16 BAROS
17 16 EMBAY 57 CIPACUNG
18 17 DILLA NURFADILLAH 19 KADU COKROM
19 18 SITI FATIMAH 3 BAROS PASAR
20 19 SITI NURHALIMAH 38 PALWATES
21 20 M ALDI 6 PALWATES
22 21 HJ SITI MAESAROH 43 BAROS MASJID
23 22 NURMILA 20 BOJOT
24 23 EMBEN 68 LENGGOR
25 24 RADEN 2 PAGEDONGAN 6054
26 25 HOLIL 45 HULUCAI
27 26 GILANG 14 PASIR LOR
28 27 OHAN HANANI 51 BAROS 139
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
07 NOVEMBER 2018

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

JAM
BARU LAMA UMUM BPJS BPU BPG MTBS
8:05 1 1 1
8:06 1 1 1
8:10 1 1 1
8:11 1 1 1
8:13 1 1 1
8:15 1 1 1
8:18 1 1 1
8:20 1 1 1
8:21 1 1 1
8:25 1 1 1
8:02 1 1 1
8:30 1 1 1
8:31 1 1 1
8:39 1 1 1
8:56 1 1 1
9:02 1 1 1
9:02 1 1
9:02 1 1 1
9:32 1 1 1
9:32 1 1 1
9:55 1 1 1
9:58 1 1 1
10:03 1 1 1
10:04 1 1 1
10:07 1 1 1
10:25 1 1 1
10:40 1 1 1
6 21 17 10 22 0 4
AN

TUJUAN POLI RUJUKAN

NAMA PEMERIKSA ICD-X
KIA KB UGD VK LAB BPJS SKTM

1
0 0 1 0 0 0 0
DIAGNOSA
 UMUR
NO NAMA ALAMAT FF
L P
1 MUMINAH 32 SOBONG
2 MAMAN 70 CIPANCUR
3 RIKA 25 BAROS MASJID
4 MARKINAH 30 SUKAMANAH
5 SAPRONI 47 SIDUWET
6 IPAH LATIPAH 34 SUKAMANAH 7588
7 SUMIATI 45 LENGGOR 6146
8 SUNAENI 48 NAGREG 6975
9 AISAH 71 PASIR KIDUL
10 AMSANAH 32 MAYAK 6956
11 EEN SUHAENI 47 COMBONG 2801
12 HAMAD 45 NARETEL 85
13 PUTRI RAHAYU 16 MAYAK 5277
14 SITI ROMLAH 35 SUKACAI
15 SUHARIAH 76 NAGREG
16 TURMUDI 40 LENGGOR
17 ARIFAL 3,8 CIKAPAS
18 MUMUN 35
19 LIFIA 7
20 MIKA KAILA 1
21 ETI 41 JAMI 6597
22 SURYA 14
23 SAHUDIN 50 PERTANIAN
24 MUHAYANAH 27 SIRANGGON
25 DELA 8 BL NAGARA PADANG
26 DILA NURFADILAH 19 KADU COKROM
27 ALDA RISMA 12 MAYAK
28 IRAH 50 MAYAK
29 KURIAH 30 CIPACUNG 7223
30 SAMIAH 15 CISOYI
31 ASNATI 70 KADU KONENG
32 by ny humaeroh 5 hr pagedongan
34 SADIKIN 45 JAHA
35 LIANA 35 PABATAN
36 BAYU IMAN 27 BBH
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
06 NOVEMBER 2018

REGIS TERASI KUNJUNGAN RAWAT JALAN

PKM BAROS
5 MARET 2019

KUNJUNGAN PEMBAYARAN TUJUAN POLI

JAM
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
8:04 1 1
8:08 1 1 1
8:09 1 1 1
8:12 1 1 1
8:14 1 1
8:15 1 1
8:19 1 1 1
8:22 1 1
8:23 1 1 1
8:27 1 1 1
8:30 1 1 1
8:31 1 1 1
8:33 1 1 1
8:35 1 1 1
8:39 1 1
8:41 1 1 1
8:41 1 1 1
8:41
8:41
8:41
8:41 1 1
8:41
9:03 1 1 1
9:05 1 1
9:00 1 1 1
9:13 1 1
9:14 1 1 1
9:17 1 1 1 S
9:18 1 1
9:27 1 1 1
 9:55 1 1 1
10:02 1 1 1
10:27 1 1
10:29 1 1 1
11:05 1 1 1
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UAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM
1

1
1

1
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SUNTIK TBC
KIR SIM
 UMUR
NO NAMA ALAMAT JAM
L P
1 SITI KHODIJAH 23 PABARAK 8:01
2 NIA MAWWATI 25 DUKUH PINANG 8:02
3 RIA PUSPITASARI 10 BL DUKUH PINANG 8:04
4 ASIH 17 MAYAK 8:06
5 SITI AMALIAH 22 LEMBURASEUM 8:07
6 FEBI 23 RANCA KAREO 8:09
7 FARHAN 4 CIPANCUR 8:12
8 SARYANAH 48 KALOBARANG 8:13
9 SANTI 25 BOJOT 8:15
10 SAMIAH 15 CISOYI 8:18
11 JUNAWATI 25 DUKUH RATU 8:20
12 SUEGAH 29 PANYIRAPAN 8:21
13 KOMARIYAH 47 NYODOR 8:25
14 TRI ANANDA 25 MAYAK 8:34
15 JUJU JUNAWAT 23 MAYAK 8:35
16 TIKA KARTIKA 23 CISOLONG 9:00
17 ISMAWATI 24 TAMANSARI 9:15
18 SUSI 38 WARUNG 9:52
19 ATI SUSANTI 30 CURUG MANJANGAN 9:56
20 FITRI APRIYANTI 27 SUMUR PETEUY 10:34
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
06 April 2020

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
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4 16 15 5 4 0 2 11 0
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UAN POLI RUJUKAN

NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM

1
1

1
0 3 0 0 0
DIAGNOSA
 UMUR
NO NAMA ALAMAT
L P
1 ENDEH 55 MARAPIT 8:04
2 MUHAMAD KHOIRUL NOVAL 7
3 DEA RAMADANI 11 SIDUNGKUL 8:06
4 MUMINAH 31 SOBONG 8:10
5 ROSITA 26 CIPACUNG 8:13
6 ETI 40 JAMI 8:15
7 SITILIAH 35 SIMAYENG 8:19
8 FARIDA ZAHROH 15 SIMAYENG 8:19
9 SITI ROMLAH 35 SUKACAI 8:21
10 IPAH LATIPAH 36 SUKAMANAH 7588 8:23
11 AMSIAH 58 CIPANCUR 8:26
12 UCI SANUSI 62 CIPANCUR 8:26
13 SAPRONI 47 SIDUWET 7209 8:28
14 ROHIM 59 LAME HIDEUNG 8:29
15 RIZKI ARDIANSYAH 15 KADU BIEUK 8:33
16 ASHMAD RIFKI 35 KP SAWAH 4992 8:34
17 ROPIAH 33 MUNJUL 8:35
18 MAMAS 30 PASIR EURIH 8:38
19 NAWATI 37 BAROS PASAR 8:42
20 QURATUL AENI 15 KOROD 8:44
21 ARDIAN 26 BATU LINGGA 8:46
22 TIWI 25 BATU LINGGA 8:47
23 EEN SUHAENI 46 COMBONG 2801 8:49
24 FADLI FIRDAUS 9 PARUNG SENTUL 8:50
25 MURTAPIAH 46 PARUNG SENTUL 8:51
26 SANTI NUR SAMSIAH 22 SIBOKOR 8:52
27 JABIDI 50 HULUCAI 8:55
28 TONI 40 PASIR HUNI 8:57
29 ILHAM 1 PASIR HUNI 8:57
30 ANIS MUSPIROH 25 NAGREG 8:59
31 SADIKIN 45 JAHA 9:01
32 KURIAH 30 CIPOCUNG 9:03
33 uyun 50 nyodor 9:04
34 HERI 15 CISOLONG 9:06
35 PAPAT PATIMAH 33 PALIMA INDAH 9:08
36 LAMSAH 56 PAGEDONGAN 2023 9:11
37 H MAKI 55 SIDAGEL 9:12
38 SUNAENI 47 NAGREG 6975 9:14
39 MADSURI 20 PANDEOMAS 9:24
40 YAYAH SUNARYA 28 BAROS PASAR 9:27
41 M ALWI 1 PAGEDONGAN
42 PURWALIYAH 23 SUKACAI 9:27
43 ABSAH 42 KADU COKROM 9:31
44 MUKSIN 63 NARETEL 9:46
45 SANDRA KIRANA
46 SUPIAN 52 SITAMBAGA 10:22
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JUMLAH
 JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
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UAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM

1
1

1
1
0 1 9 0 0
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KIR
KIR
 UMUR
NO NAMA ALAMAT
L P
1 RISKI 15 RANCA KAREO
BASRI 56 DAAGEM
2 MAARUF 39 SIDUWET
3 M RADEN 2 PAGEDONGAN 6054
4 KHALISA AZZAHRA 1 HULUCAI
5 M REYHAN 6 BATU LINGGA
6 SUNARDI 48 GOSALI CIKEUSAL
7 ANDI DIDI SUANDI 32 WARUNG
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
08 April 2020

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA
7:53 1 1 1
8:00 1 1 1
7:56 1 1 1
7:58 1 1 1
8:00 1 1 1
8:02 1 1 1
8:05 1 1 1
8:12 1 1 1
2 6 5 3 6 0 2 0
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NAMA PEMERIKSA ICD-X
KB UGD VK LAB BPJS SKTM
0 0 0 0 0 0
DIAGNOSA
 RE

UMUR
NO NAMA ALAMAT JAM
L P
1 ROHAYATI 45 baros masjid 8:12
2 suheti 45 padurung
3 rasanah 68 pasir kukuk 8:13
4 DEDE SOPIAN 24 SUKAMULYA 8:16
5 ROHMAT 42 SUKACAI 8:17
6 RISMAYANTI 24 SUKACAI 8:19
7 ATIKAH 20 SUKACAI 8:20
8 MUHAYAH 14 SIDUWET 6849 8:21
9 BAHRUL ULUM 43 CIBONGOR 8:28
11 RENDI PADILAH 17 JAHA 8:29
12 SITI MUNAWAROH 14 HULUCAI 8:31
13 AHMAD 39 HONJE 8:32
14 SUHARTINI 30 PABATAN 8:33
15 MUSPIROH 33 CIPEUCANG 8:34
16 KHOLID S.AG 40 SINDANGMANDI 8:37
17 JOHARIYAH 55 SUKAMANAH 132 8:38
18 SULASIAH 47 NYODOR 8:41
19 ISMAWATI 50 oteng 7313 8:43
20 juju 60 sumur peteuy 8:45
21 fadil 4 sumur peteuy 8:45
22 nanan 60 cadasari 8:49
23 ipah 47 koranji 8:53
25 sukaesih 28 sigeger 8:54
26 FITRI 25 SIGEGER 8:56
27 NURHAYATI 60 SUKAMANAH 8:58
28 SANDI IBRAHIM 2 sengir 8:59
29 RITA 27 CIPANCUR 9:00
30 MUKLAS 40 SINDANGMANDI 9:02
31 RIANSYAH 13 COMBONG 9:04
32 SARAH 11 BL SARONGGE 9:05
33 HILMAN 18 pasir kukuk 9:07
34 YAYA SUNARYA 29 CIPARI 9:09
35 RASMNI 23 PARUNG SENTUL 9:11
36 ANAYA 3 SIDAGEL 6536 9:13
37 ICIH 49 MARAPIT 9:23
38 SUMARNI 50 PAGEDONGAN 1520 9:45
39 KANAH 38 KALAHANG 9:56
40
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
09 maret 2020

JENIS KUNJUNGAN
JENIS PEMBAYARAN TUJUAN POLI RUJUKAN
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK LAB BPJS SKTM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
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1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
9 28 22 15 25 0 4 1 0 0 2 5 0 0
NAMA PEMERIKSA ICD-X DIAGNOSA
 UMUR
NO NAMA ALAMAT
L P
1 ROHAYATI 47 BAROS MASJID 7:53
2 MUHAMAD ABDUROHIM 15 BAROS MASJID 7:53
3 ENTIN 59 SUKAMANAH 5597 7:54
4 SUGIRI 63 SUKAMANAH 113 7:55
5 UTI 62 SUKAMANAH 5124 7:55
6 MUSPIROH 37 KADU COKROM 7:59
7 SAROJI 54 GUNALONG 5020 8:03
8 JUMAESAH 39 SIRANGGON 8:05
9 FATON 11 DUKUH RATU 7155 8?:06
10 SHEILA AGUSTIA 10 NEGLASARI 8?:06
11 NUHAYANI 34 NEGLASARI 8?:06
12 MITI SALIA 27 BAROS MASJID 8:17
13 SITI MARIAM 6 BL PANDEOMAS 8:19
14 IRMA SUPRIYATI 33 SIDAGEL 8:20
15 SUBHI 35 CIKOKOSAN 8:23
16 SARNI 33 CIKOKOSAN 8:23
17 SILAWATI 36 KALOBARANG 2260 8:25
18 H UYUNG 60 NYATUH 8:30
19 SUMENI 49 NARETEL 2101 8:32
20 RODIAT 16 PASIR HUNI 8:33
21 SUHERAN 13 PASIR HUNI 8:34
22 RUKIAH 59 BAROS MASJID 8:37
23 VINA SALSABILA ISKANDAR 20 CADASARI 8:39
24 BUSTOMI 50 LAME HIDEUNG 8:42
25 MUHAMAD SURYA PERKASA 5,4 SIDAGEL 956 8:44
26 NATASYA 2,7 BOJOT 8:45
27 REVALINA 6 BOJOT 8:45
28 NARMAN 32 CIPEUCANG 8:50
29 FEBRI YANSYAH MAULIDI 9 PANARAGAN
30 ALAN WALI 11 CIBONGOR 8:57
31 YANA 49 KADU KONENG 8:58
32 H ILYAS 58 MARAPIT 9:01
33 ZAMJURI 26 NAGREG 9:02
34 MUTIAH 47 SUMUR PETEUY 9:07
35 ANGGA IRAWAN 38 KALAMPITAN
36 ARIFIN 1,7 KEBONJATI 6268 9:13
37 RARA ANTEN 6 MARAPIT 9:15
38 MARDIAH 30 MARAPIT 9:15
39 ALISA ANGGRAENI 3 BL COMBONG 9:19
40 ERMIL USITIA 46 CIGADUNG 9:20
41 M FAHRUL HAIDAR 10 BL DUKUB PINANG 2083 9:24
42 UMAENAH 70 SINARMUKTI 9:26
43 HANAH 33 SINDANGMANDI 1417 9:30
44 HANIF 8 BL KAREO 9:35
45 RESTIYAWATI 21 PANDEOMAS 9:37
46 HIDAYATULLAH 4 PASIR HUNI 7157 9:39
47 ROJANAH 40 CIPOCUNG 2739 9:41
48 EUIS MUSAROPAH 19 CIPOCUNG 2739 9:41
49 BAYI NYONYA WULANDARI 1 BL CIPARI 9:46
MARTINI 35 MAYAK 6347 9:48
ALIF 6,5 CIPARI 9:50
ATIAH 63 KP SITU 9:51
MULIDA 19 KAREO KULON 9:53
RATU AIDA 10 BL PAGEDONGAN 6484 9:54
MAYARNIS 69 SUMUR PETEUY 9:56
APUD 54 MUNCANG 9:58
57 TUTI 20 SIGEGER 9:59
58 TRISNA 30 KOROSOK 2025 10:01
59 MUHAMMAD YUSUF AL GHIFARI 2 KADU KONENG 6694 10:04
60 ROSIFA 7 TEJAMARI 10:06
61 SOPIAH 10 KALAPA LIMA 10:09
62 SITI MAEROH 22 SARONGGE 10:11
63 AZKA 1 PETIR 10:13
64 MULYATI 39 CIHUNYUR 10:14
65 DITA KHAIRUL ISMI 25 KALAPA LIMA 10:18
66 AJRUM 59 PADURUNG 10:20
67 DURISAH 62 PABATAN 10:23
68 TITIN SUARTINI 37 CIPACUNG 7120 10:24
69 EHA 22 KELANGGARAN 10:26
70 GOZALI 54 KALOBARANG 338 10:28
71 NASUHI 2,6 BUNIACI 10:31
72 ECIH 24 KATULISAN 10:32
73 HAFID 6,6 PENCALAKSANA 10:36
74 SAMAH 63 KADU BIEUK 1038 10:38
75 MAESAROH 25 CADASARI 10:41
76 LINDA 29 TEJAMARI 10:42
77 SITI INDRIYANA 1 PADURUNG 10:44
78 M FAQIH 2 KADU COKROM 10:45
79 LEVIANA 3 JAHA 10:48
80 SAFIK 6 BL JAHA 10:48
81 ZIKDRI 1 CILENGSIR 10:50
82 NABIL RIPAT 1,1 JAMBU 10:51
 83 EKA JAKARIA 28 CIPANCUR 10:52
84 ANASYA SHEILA 2,7 SUMUR PETEUY 10:53
85 AZMI MUSAFA 4 BAROS MASJID 10:54
86 ITA 34 KP BARU 1057 10:57
87 M NOVAL 6 PANYIRAPAN 6929 10:58
88 SITI PATIMAH 52 PABUARAN 11:00
89 AHMAD SUPRIYADI 24 CADASARI 11:02
90 RO MANGKU BUMI 3,6 SILUWUNG 11:05
91 KHUSTIAROH 60 BAROS PASAR 11:07
92 AHMAD ALFALAH 1 KOPRAH 11:09
93 WAHDA NABILA 7 OTENG 2930 11:12
94 IDRIS 67 CISEYEG 11:15
95 SUMIYATI 50 LAME HIDEUNG 11:17
96 M AMRI 22 SARONGGE 11:18
97 QORI 31 SUKACAI 11:20
98 SITI NURAZIZAH 1,9 LAME HIDEUNG 11:20
99 SYARIF HIDAYAT 55 SIGEGER 11":22
100 DONI ROMADHONI 21 CISALAM 11:24
101 FAHRU 20 PAGWERWARU 11:24
102 MUHTAR 17 PASIR KUKUK 11:25
103 IMELDA AGUSTIN 16 LENGGOR 11:27
104 SANUKAR 43 KADU LADUR 11:28
105 HAFSAH 50 PAGEDONGAN 3658 11:30
106 erismelina 9 pagedongan 3658 11:30
107 DEDE 37 KADU BIUK 7060 11:35
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
11 juli 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

0 106 61 45 71 3 23 7 1
UAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM

1
1 0 0 0 0
DIAGNOSA
 UMUR
NO NAMA ALAMAT
L P
1 ANWARA 89 MUNJUL 1173
2 M RAIDAN WIJAYA 6 BL SIDAGEL
3 ALDIANSYAH 9 KALITANJUNG
4 SAPRAH 49 KALITANJUNG 6861
5 HERNI 40 SUMUR PETEUY 343
6 SAEPUDIN 41 CIPACUNG
7 NOVAL DEMIAN 11 JAHA
8 KOMARIYAH 47 NYODOR
9 AMIN 35 RAMPONES 2485
10 KOSYATI 40 KADU COKROM 5559
11 TOHIRI 27 NYATUH 4450
12 YULIANTI 39 CISOYI
13 BINYATI 78 KADU COKROM
14 SAWINAH 50 KOROSOK
15 AFIT SETIAWAN 16 NYATUH
16 SITI AISYAH 56 NYATUH
17 MAHMUDIN 19 SILAYUNG
18 MA'NAINIYAH 32 CIPANCUR SUKAINDAH
19 HAYATI 20 CIPANCUR
20 AYATUROHMAH 18 CIPUECANG
21 ARYANI 27 MUNJUL
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
 83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
13 JUNI 2019

JENIS KUNJUNGAN
JENIS PEMBAYARAN TUJUAN POLI
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD
7:57 1 1 1
7:59 1 1 1
8:00 1 1 1
8:01 1 1 1
8:05 1 1 1
8:07 1 1 1
8:09 1 1 1
8:10 1 1 1
8:12 1 1 1
8:19 1 1 1
8:22 1 1 1
8:27 1 1 1
8:32 1 1 1
8:34 1 1 1
8:34 1 1 1
8:34 1 1 1
8:49 1 1 1
9:06 1 1 1
9:26 1 1 1
9:44 1 1 1
10:04 1 1 1
2 19 8 13 16 0 1 2 2 0
I RUJUKAN
NAMA PEMERIKSA ICD-X
VK LAB BPJS SKTM
0 0 0 0
DIAGNOSA

SKIZO
 UMUR
NO NAMA ALAMAT
L P
1 RUSMANI 61 BATU LINGGA
2 RUMAENAH 57 BATU LINGGA
3 AMAH ROHAMAH 46 PERTANIAN
4 ROHAENI 59 BATU LINGGA
5 ACHMADYANI 45 CICENTONG
6 ISMAH 43 SOBONG
7 SITI ROHAMAH 50 CIKOKOSAN
8 NESLIAWATI 48 KADU BIEUK
WAHYU ADI NUGRAHA
9 17 CIKOKOSAN
10 SITI YUNI 47 CIKOKOSAN
11 JOJOH ROKAYAH 60 KALAPA LIMA
12 AGUNG MADHANI 18 SOBONG
13 NETI 50 SARONGGE
14 FATONAH 68 JAHA
15 MUHAYAH 14 SIDUWET
16
17 SARNA 62 WARUNG
18 SAEPUDIN 26 CIKONDANG
19 ASRI GUNAWAN BATUM KARUT
20 ENI 60 PULOKIONG
21 DEDE SOPIUDIN 25 SUKAMULYA
22 VANIA 2 JAHA
23 FARHAN 4 JAHA
24 HASANAH 36 JAHA
25 ELVANO 1 MAYAK
26 SANAH MAYAK
27 HAYATI 58 SARONGGE
S RASANAH 68 PASIR KUKUK
29 JAHUDI 60 MUNJUL
30 AGUS SYARIPUDIN 61 SILUWUNG
31 ALIYAH 68 LAME HIDEUNG
32 SITI ROHMAH 2 BOJOT
33 EDI SUHAEDI 47 SIRANGGON
34 JUNARIAH 74 CIPARI
35 HJ ROHANI 53 PABATAN
36 YATI 44 BAROS MASJID
37 ASMANAH 70 KP BARU
38 AHMAD 47 HONJE
40 AMAS 32 SUKACAI
41 ARTEWI 50 NEGLASARI
42 SALSA AULIA 1 NEGLASARI
43 NURLELA 37 cangkudu
44 SITI MUSLIHAT 52 DUKUH RATU
45 HOTIMAH 22 MUNJUL
46 SANTI 24 SUKAMANAH
47 LINDA MABRUROH 19 KADU KONENG
48 ALAWIYAH 60 CIGARUT
49 SITI ROHMAH 19 BOJOT
50 UMAR 33 PASIR SIREUM
51 M DJABIER 63 CIBONGOR
52 ANAH 48 KOROSOK
53 AMINAH 54 LENGGOR
54 IRFAN 7 NYODOR
55 MARYAM 24 NAGREG
56 SARYANAH 72 NARETEL
57 YANTI 49 KAREO WETAN
58 LILIS SUSANTI 27 WARUNG
59 SUARAH 56 SIDUWET
60 BINYATI 70 KADU COKROM
62 NURHAYATI 53 NYATUH
63 AAS ASMARIAH 23 CIPANCUR
64 MUNJIAH PARAKAN SAAT
65 NANANG 50 JAHA
66 MUFIDATUN NUFUS 16 SIDAGEL
67 LISNAWATI 47 CIPANCUR
68 AMAMAH 47 SUKACAI
69 YUNENGSIH 25 CIPANCUR
70 EDAH 34 LAME HIDEUNG
71 KAERUL PADLI 10 LAME HIDEUNG
72 KOJALI 52 KALOBARANG
73 KASYATI 30 NAGERANG
74 ERINA SAAJIDAH 7 DUKUB PINANG
75 AAS ASMARIYAH 47 GARDU KALAPA
76 INDAH 32 GARDU KALAPA
77 JUMRIYAH 35 PALENAM
78 LUSNAWATI 40 DUKUH RATU
79 AMI HOTIMAH 35 CIKOKOSAN
80 FIRMAN MAULANA 4 CIKOKOSAN
81 LILIS SUSANTI 49 CANGKUDU
82 BADRUDIN 43 MAYAK
83 AGISTA 7 MAYAK
 84 IFAH 56 NYODOR
85 NAZMA 3 SARONGGE
86 M RAFI 2 KADU SUMUR
87 AMAH 24 NYODOR
88 MIRA NURUL AISAH 25 NYODOR
89 HAERIYAH 49 WARUNG
90 SUPRIYAHWATI 24 SIKAPUDANG
91 SANUSI 50 DUKUH PINANG
92 KAMSANAH 49 KOROSOK
93 MURWAH 50 SEUAT
94 MUTAWAKIL 3 CIKOKOSAN
95 ROHAYATI 46 BAROS
96 MUTIAH 51 SIDAGEL
97 HAYATI 20 CISEYEG
98 JUMENAH 40 GARDU KALAPA
99 ARWANAH 50 CIPANCUR
100 NENI 22 GARATIIS
101 RENO 8 BL SARONGGE
102 NARA 2 SUKERTA
103 TALITA 5,1 SUKERTA
104 ALIPAH 1 MASIGIT
105 SILVIA NOVITA 24 PULOKIONG
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
14 JUNI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA
5618 1 1 1
5818 8:05 1 1 1
362 8:08 1 1 1
7147 8:12 1 1 1
6759 8:13 1 1 1
7099 8:14 1 1 1
403 8:17 1 1 1
5868 8:19 1 1 1

138 8:19 1 1 1
830 8:19 1 1 1
600 8:24 1 1 1
8:25 1 1 1
8:27 1 1 1
651 8:29 1 1 1
6849 8:31 1 1

6567 8:32 1 1 1
7583 8:33 1 1
8:39 1 1 1
1207 8:40 1 1 1
8:41 1 1
8:41 1 1 1
8:41 1 1 1
8:45 1 1 1
8:46 1 1 1
8:46 1 1 1
8:49 1 1 1
8:50 1 1 1
8:51 1 1 1
8:53 1 1 1
8:56 1 1 1
578 8:56 1 1 1
8:57 1 1 1
8:59 1 1 1
8:59 1 1 1
1008 9:03 1 1 1
 9:06 1 1 1
9:08 1 1
9:10 1 1
9:12 1 1 1
9:12 1 1 1
9:18 1 1 1
9:19 1 1 1
6624 9:21 1 1 1
373 9:22 1 1 1
9:24 1 1 1
9:25 1 1 1
9:26 1 1 1
9:28 1 1 1
9:30 1 1 1
9:31 1 1 1
9:35 1 1 1
1518 9:36 1 1 1
9:38 1 1 1
9:40 1 1 1
1160 9:41 1 1 1
3058 9:43 1 1 1
9:46 1 1 1
6372 9:48 1 1
9:49 1 1 1
9:52 1 1
9:52 1 1
971 9:55 1 1 1
9:58 1 1 1
10:03 1 1 1
10:08 1 1
10:08 1 1
10:12 1 1 1
10:12 1 1 1
10:14 1 1 1
10:18 1 1 1
10:19 1 1 1
10:21 1 1 1
10:21 1 1 1
10:24 1 1 1
10:26 1 1 1
10:31 1 1 1
10:31 1 1 1
10:33 1 1 1
10:35 1 1 1
10:37 1 1 1
 10:39 1 1 1
10:40 1 1 1
10:42 1 1 1
6156 10:44 1 1 1
10:45 1 1
10:47 1 1 1
10:48 1 1
10:49 1 1 1
10:52 1 1 1
10:52 1 1 1
10:56 1 1 1
10:05 1 1 1
11:05 1 1 1
11:07 1 1 1
11:10 1 1 1
11:12 1 1 1
11:13 1 1
11;14 1 1 1
11;14 1 1 1
11;14 1 1 1
11:14 1 1 1
11:19 1 1 1

8 94 40 57 72 1 13 3
TUJUAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
KB UGD VK LAB BPJS SKTM

811071606

1086496569
811301321
 1
1

41551108
811744301
2484307899

1230605728

1 1086699464
1 1053311556

1053335608
1
1

2208494114
 812000979

5 1 0 7 0 0
 DIAGNOSA

KIR

TBC
 UMUR
NO NAMA ALAMAT BUKU
L P
1 DJUMAIAH 70 SIDGAEL 585
2 IYAH 30 PASIR KUKUK
3 IRWAN 5 PASIR KUKUK
4 RADIT 1 SENGIR
5 FIKRI 31 BAROS 5454
6 RAISA SAFITRI 10 BL NYODOR
7 ANDRA 10 BL WARUNG
8 RASYA 5 BL BAROS
9 LINA 36 SIMERAK
10 ETIN SUHARTINI 50 PAGEDONGAN
11 SANAH 47 SUKACAI
12 NOVITA SARI 20 SIDAGEL 236
13 NASEHAH 31 MUNTUR
14 ROHANAH 39 JAHA 7422
15 ANDI SAMDIA SHARA 51 SIDAGEL 1771
16 ALIYUDIN 45 WARUNG
17 SITI NURFADILLAH 18 CISEYEG
18 MADSURO 50 BAROS MASJID
19 SUIRAT 27 MUNJUL
20 HAERIYAH 51 SUMUR PETEUY
21 HANAH 35 SINDANGMANDI
22 ATIKAH 39 SINDANGMANDI
23 SUNIAH 69 SOBONG
24 NURUL AENI 22 JAHA
25 HEDI PRATAMA 3 CIKOKOSAN
26 SEFTI ADEWI 20 CIKOKOSAN
27 ENONG TOHIRI 27 NYATUH
28 SUHELI 53 PARUMASAN
29 SUHAEBAH 23 BATU LINGGA
30 ENI 45 PARUMASAN
31 MISRA 70 PULOKIONG 324
32 HASAN BASRI 27 BATU LINGGA 6319
33 M. ROHMATULLAH 1.6 BARU
WIWI M
34 24 sukacai
35 MUHAMAD HAIKAL HIDAYAT 7 SUKACAI
36 AINI 15 KAREO WETAN
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
 82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PUSKESMAS BAROS
15 JUNI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

JAM
BARU LAMA UMUM BPJS BPU BPG MTBS KIA
7:53 1 1 1
7:53 1 1 1
7:53 1 1 1
7:59 1 1 1
7;59 1 1 1
8:01 1 1 1
8:03 1 1 1
8:04 1 1 1
8:06 1 1 1
8:11 1 1 1
8:13 1 1 1
8:13 1 1 1
8:16 1 1 1
8:18 1 1 1
8:20 1 1 1
8:23 1 1 1
8:27 1 1 1
8:41 1 1 1
8:42 1 1 1
8:47 1 1
1
8:52 1 1 1
9:07 1 1 1
9:16 1 1 1
9:20 1 1 1
9:35 1 1 1
9:36 1 1 1
9;40 1 1 1
10:13 1 1 1
10:13 1 1 1
10:14 1 1 1
10:17 1 1 1
10:25 1 1 1
10:28 1 1 1

10:36 1 1 1
10:36 1 1 1
10:38 1 1 1
9 27 16 20 25 0 2 9
ALAN

TUJUAN POLI RUJUKAN

NAMA PEMERIKSA ICD-X
KB UGD VK LAB BPJS SKTM
0 0 0 0 0 0
 DIAGNOSA

KIR
 UMUR
NO NAMA ALAMAT BUKU JAM
L P
1 KAMSIN 70 BAROS MASJID 7:41
2 SAPIRI 70 SUKAMANAH 7:44
3 HERMAN 54 CIPEUCANG 7:47
4 TITIN SUPRIATIN 27 PADURUNG 7:50
5 ILYAS 6 BL PADURUNG 7:50
6 MUAIPAH 22 PADURUNG 7:52
7 ENDI HARUN 25 CIKOKOSAN 7:53
8 FAHRU 51 CIPANCUR 7:56
9 JAMAL 15 KOROD 7:58
10 MITA SUMIATI 23 CIPANCUR 8:09
11 MUHAMAD ARIFIN 28 PERTANIAN 0.403472
12 ROSIDA 50 KOPRAH 2111 8:13
13 AGUS RAMDAN 9 OTENG 6971 8:14
14 OJAH 65 PERTANIAN 8:22
15 NENI 43 PERTANIAN N 8:24
16 NURUL HOMSAH 37 TONGGOH 8:30
17 TIAH 49 CIHUNYUR 8:38
18 AMAH 45 NYODOR 0:00 8:39
19 M ARDI 3 KALOBARANG 8:42
20 HJ IKOH 39 CANGKUDU 8:43
21 HARIS 29 CANDALI 4547 8:44
22 MUSPIROH 1 PADURUNG 8:49
23 M FARIS 1 PERTANIAN 8:53
24 HAMAD 50 NARETEL 8:59
25 MIATUN SOBRIAH 59
26 H SURAI 70 KADU ELA 9:04
27 AFIDATUN NISA 3 SOBONG 915 9:06
28 DESI 15 SOBONG 915 9:08
29 MISRA 70 PULOKIONG 324 9:09
30 AKBAR 4 NYODOR 9:11
31 AAM TAMANSARI 3561 9:12
32 DEDI MARYADI 23 PABUARAN 3372 9:14
33 RINA 25 PALWATES 9:17
34 NIA KURNIAWATI 25 SOBONG 533 9:26
35 M NOVAL 1 CIKONENG 9:27
36 DEA AULIA 21 CIPACUNG 9:28
 ICIH SUTARSIH
37 52 CIPARI 2059 9:29
38 SOFA MARWATI 18 KAREO KULON 9:31
39 ATITI WIHDATI 18 BARS MASJID 9:32
40 ABDULLOH 1,6 LIMUS BUEK 7022 9:33
41 ROHIM 55 PANARAGAN 6764 9:42
42 ISLAHUDIN 61 SERANG 6197 9:44
43 ENCIH JARKASIH 49 BAROS MASJID 1068 9:49
44 SITI NADIRA 2,10 SOBONG 6821 9:52
45 UYUN 45 PADASUKA 1499 10:05
46 ROHIM 39 MLENDENG 10:17
47 FATIMAH 40 CIKEUSAL 10:40
48 JAMAN 46 CIKEUSAL 10:40
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
16 JULI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
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 1 1 1
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6 41 31 15 30 1 7 2 1
JUAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM

1
1
1

1
0 0 7 0 0
DIAGNOSA
KIR
KIR
 UMUR
NO NAMA ALAMAT
L P
1 KHOIRUL ANAM 12 CISOLONG 7:51
2 KUSNIAH 35 CISOLONG 7:51
3 RUKIAH 56 BAROS MASJID 56 7:54
4 EDAH 45 SUKAMANAH 373 7:55
5 ENTUS 75 KOROSOK 2381 7:58
6 JUNARIAH 75 CIPARI 404 7:58
7 MULYADI 31 GUNALONG 8:00
8 SLAMET 20 KOPENG 8:01
9 TASYA 1,6 ASTANA 8:03
11 MUHAMAD ANDIKA AMRODI 2 KP BARU 8:05
12 ROHAYATI 33 KP BARU 8:05
13 SITI AISYAH 3 BL CIPARI 8:09
14 YANTI 31 KADU DAMPIT 8:10
15 ARINI 20 KADU COKROM 8:12
16 MAULANA 12 CIPARI 8:23
17 SAHRUDIN 56 PERTANIAN 362 8:37
18 ROSITA 25 SINARMUKTI 8:46
19 SRI PUJIYANTI 20 SINARMUKTI 8:46
20 SATIAH 32 PARAKAN SAAT 8:57
21 PARHAT 23 PADURUNG
22 MUSKIAH 31 CIPEUCANG 9:09
23 JIDAN 2 CIPARI 9:16
24 DILA NURFADILLAH 18 KADU COKROM 9:18
25 MUSPIROH 21 CIPANCUR 9:26
26 ELAH 25 SOBONG 9:27
27 WAWAN RIDWAN 26 PASIR KUKUK 9:35
28 NANI ALFIANI 29 COMBONG 9:37
29 M RAFLI A 7 SUKAMANAH
30 JUJUN 45 PERTANIAN
31 RUMI 20 COMBONG 9:53
32 ARTAMAH 50 KAREO KEBON 1036 10:04
33 UMAMAH 42 PARUNG SENTUL 1849 10:06
34 NURJANAH 21 KOPRAH 10:26
35 ADJID 70 SUKAMANAH 317 10:51
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
18 MEI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK
1 1 1
1 1 1
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6 27 21 12 19 0 4 9 0 1 0
 RUJUKAN NAMA
ICD-X DIAGNOSA
LAB BPJS SKTM PEMERIKSA

SUNTIK TBC
0 0 0
 UMUR
NO NAMA ALAMAT FF JAM
L P
1 SITI UMETI 25 LAME HIDEUNG 7:53
2 SITI KHODIJAH 30 MARAPIT 7:53
4 ELAH 41 PANARAGAN 101 7:55
5 SINDI AULIA 5 SIDUWET 7:56
6 SUMARNI 38 SIDUWET 7510 7:58
7 FAJRI 2 HULUCAI 8:00
8 SADIAH 68 KADU COKROM 8:03
9 KARSIH 65 KADU COKROM 8:03
10 OMAN 50 PASIR SIREUM 8:06
11 AKMAD RIPAI 25 ASTANA 7554 8:09
12 ETIN SUHARTINI 55 PAGEDONGAN 6054 8:11
13 MUHAMAD HERDIYANSAH 6 SUMUR PETEUY 8:11
14 HERNI 38 SUMUR PETEUY 8:11
15 MUHAMMAD FAHMI 2 SIDAGEL 8:16
16 ASRORIAH 59 PALWATES 8:19
17 ADINDA OLIVIANI 3 CIPEUCANG 8:25
18 M LUTFI UMAM 27 CIPEUCANG 8:25
19 MUTMAINAH 59 PASIR EURIH 867 8:30
20 SUARAH 56 SIDUWET 8:32
21 SUTIHAT 56 MARAPIT 5090 8:34
23 ETI 40 BAROS 1068 8:36
24 HERLAN 33 CITAMAN 8:38
25 SUHETI 68 PASIR LOR 176 8:39
26 ENDEH 55 MARAPIT 8:40
27 VINA SALSABILA 20 CADASARI 6316 8:45
28 EFIN 24 LEMBUR ASEUM 8:47
29 APRIYANA 23 BATU LINGGA 8:49
30 PATIMAH 55 BATU LINGGA 8:52
31 RUKAYAH 45 SIDAGEL 6561 8:52
32 MEKARSARI 21 PAGEDONGAN 3153 8:55
33 MARIYAM 35 PARUMASAN 8:56
34 HANIF 1 CURUG AGUNG 8:59
35 YUMNA 1
36 SUMIYAH
37 SUMIRAH 52 TEJAMARI 9:02
38 DILLA NURFADILLAH 19 KADU COKROM 9:10
39 NASRUDIN 31 CIJENGKOL 9:24
40 SUHETI 42 KOPENG 1297 9:25
41 RASMAWI 70 KADU KONENG 9:33
42 RUSLI TOPAN 21 HONJE 9:35
43 YOYON 37 CIHUNYUR 9:56
44 UYUN 5 PADASUKA 10:06
45 ABDUL 35 SINDANGMANDI 10:07
46 NURHAYATI 43 DUKUH PINANG 10:33
47 NARSITI 25 SOBONG 10:48
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
01 OKTOBER 2019

JENIS KUNJUNGANJENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK LAB
1 1 1
1 1 1
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 1 1 1
1 1 1 1
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1 1 1
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1 1 1
1 1 1
1 1 1
6 37 22 22 24 2 3 1 1 1 2 9
 RUJUKAN
NAMA PEMERIKSA ICD-X DIAGNOSA
BPJS SKTM

KIR
0 0
 UMUR
NO NAMA ALAMAT FF JAM
L P
1 RODIAH 52 PABATAN 5913 7:10
2 TATU MUNAWAROH 27 PABUARAN 7:12
3 SITI MULYENI 21 PANGEONGAN 7265 7:13
4 ROHAYATI 47 BAROS MASJID 1150 7:15
5 ROSMAWATI 24 BAROS MASJID 7:17
6 AHMAD DANA 36 NEGLASARI 599 7:21
7 KOJALI 55 BAROS MASJID
8 RIZKI MAULANA 1,6 PARUMASAN 8:23
9 ABDUROHIM 19 BAROS MASJID 8:26
10 ROHAYATI 19 KATULISAN 8:28
11 DEFA 4 SIMERAK 4807 8:29
12 ROHANIAH 46 MALENDENG 8:30
13 SALMI 56 WARUNG 86 8:32
14 RAIKA 19 CIPACUNG 8:36
36 AMINAH 50 SOBONG 8:47
16 MASKUN 28 SILYAUNG 8:05
17 M NUR HOLIS 2 PANANGGULAN 8:50
18 DARYATI 48 PARUNG SENTUL 8:53
19 NURJANAH 53 CIPANCUR 8:58
20 NURSABILA 2 MUNJUL 8:59
21 LINDA PRATIWI 33 DUKUH RATU 9:07
22 ELI MARYATI 35 KADU LADUR 9:44
23 IBAH 52 KADU KONENG 9:45
24 NURUL HOLIPAH 15 MARAPIT 9:54
25 SOLEMAN 49 MARAPIT 9:54
26 SUNAENAH 22 HULUCAI 7328 9:57
27 MAYA SORAYA 33 CIKARANG 10:04
28 SUHENI 33 PANGEONGAN 10:04
29 ELI MARYATI 35 KADU LADUR 10:22
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
31 JANUARI 2019

JENIS KUNJUNGAN
JENIS PEMBAYARAN TUJUAN POLI
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK LAB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
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1 1 1
1 1 1
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1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
4 23 16 11 20 0 4 1 2 0 0 0
 RUJUKAN
NAMA PEMERIKSA ICD-X DIAGNOSA
BPJS SKTM

F20
0 0
 UMUR
NO NAMA ALAMAT JAM
L P
1 MADSUPI 55 CURUG AGUNG 694 8:00
2 KHUJAEMAH 42 BAROS 8:00
3 NARUDIN 39 CISEYEG 5425 8:07
4 PUTRI NAILA 14 RAMPONES 442 8:11
5 MUKLIS 40 SINDANGMANDI 8:26
6 MUHLISAH 36 KADU SUMUR 1286 8:32
7 MULYATI 40 CIHUNYUR 8:59
8 NAZWA 6 SUKACAI 9:01
8 BAYU 1 CIPANCUR 9:10
9 TIKA 37 SARONGGE 9:10
10 MARIYAM 45 CANGKUDU 9:12
11 SUMYATI 19 CIOMAS 9:14
12 SOHANAH 31 CIPANCUR 9:19
13 MUNAMAH 45 CANGKUDU 5815 9:23
14 DILA 19 LADU COKROM 9:25
15 PADIL 70 SUKADIRI 9:26
16 NUNUNG 42 KALITANJUNG 1689 9:58
17 JULIA 17 KALITANJUNG 1689 9:59
18 FATMAWATI 45 324
19 M BUHORI 17 324
20 SAWIYAH 50 KOROSOK 10:12
21 HAETAMI 5 CISOLONG 10:35
22 REZA MIJAJI 20 KALAPA LIMA 10:36
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
18 juni 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
7 14 13 8 17 1 1 1 0
JUAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM

2563438599
1 0 0 0 0
 DIAGNOSA

SUTIK TB
 UMUR
NO NAMA ALAMAT
L P
1 sanah 66 sukamanah 92 7:45
2 kirana 4 pabatan 7:45
3 DODY SUDRAJAT 66 KALAPA LIMA 22 7:47
4 TOYIB MUHIDIN 45 SUKACAI 7:49
5 PALILI 60 SUKACAI 7:50
6 SAMIAH 43 SIKEWREMBENG 4627 7:55
7 SUMYATI 39 CISOLONG 7:56
8 MARIYAM 24 SOBONG 7:58
9 UBAEDILLAH 29 WARUNG 7:59
10 WAHAYATUN 8 SUMUR PETEUY 8:00
MARUDUT SITUMORANG
11 61 AMBULEUIT 8:02
12 ARNAH 33 MUNJUL 8:06
13 SAEFUL ANWAR 45 SINDANGMANDI 8:10
14 SUNAIYAH 70 PASIR KIDUL 1178 8:12
15 RISKI 10 BL padurung
16 SITI HUNAH 31 CURUG AGUNG 8:24
17 MUKTAR 45 KADU KEMPONG 8:30
18 ROSIAH 27 SITAMBAGA 8:34
19 RIKJA 7 PASIR KUKUK 8:41
20 YAROH 34 PASIR KUKUK 8:41
21 MUNDIAH 21 CIDEHENG 8:53
22 BASUKI 60 PALIMA 6124 9:04
23 M YUSUF 2 KADU COKROM 9:10
24 ULFI 4 NEGLASARI 9:10
25 SUSIYANTI 31 KADU DAMPIT 9:11
26 DILA FADILAH 19 KADU COKROM 9:13
27 ERAH 29 LAME HIDEUNG 9:23
28 MULYAWATI 26 KAREO WETAN 9:32
29 SOPIAH 24 KALITANJUNG 9:34
30 MULYANTI 35 BAROS MASJID 9:35
31 M HAIKAL PRATAMA 3 BL JEUNG JING 9:41
32 BASAR 40 KOROD 9:49
33 NURHAYATI 45 MEKARSARI 10:00
34 NETIN 44 padurung 10:00
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
21 JANUARI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK LAB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
10 22 19 13 20 0 3 6 2 0 0 1
 RUJUKAN
NAMA PEMERIKSA ICD-X DIAGNOSA
BPJS SKTM

KIR SIM

jiwa
5000
0 0
 UMUR
NO NAMA ALAMAT
L P
1 DOING 67 KAREO WETAN 69
2 RODIAH 45 BATU LINGGA
3 HAMAD 71 NARETEL 85
4 ROHAENAH 45 KADU KONENG
5 ASKAH 46 CIKOKOSAN 643
6 SITI ROMLAH 35 SUKACAI
7 KAMSIN 44 BAROS MASJID
8 AHMAD DANA 38 NEGLASARI 599
9 FANIA RAHMADINI 5 NEGLASARI 599
10 ABD ROJAK 19 KADU HAWU
11 ROHMAH 28 MAYAK
12 KINANTI 10 BL KALITANJUNG
13 ANWARA 74 MUNJUL 1173
14 SARIP 54 PARAKAN SAAT
16 SITI SUNARSIH 19 WARUNG
17 IPAH LATIPAH 35 SUKAMANAH 7588
18 SOLIHATUNISA 23 KOROD
19 MADSURI 30 PANDEOMAS
20 ASNAWI 59 PANYIRAPAN
21 SAPRIYAH 61 SOBONG
22 TURMUDI 50 LENGGOR
23
24 RUDIANSYAH 36 SUMUR PETEY 6959
25 SITI WIDAWATI 31 SILUWUNG
26 SADIKIN 54 JAHA
27 DILA FADILAH 19 KADU COKROM
28 MAESAH 38 DUKUH PINANG
29 SIT IUMSIAH 23 NYODOR KIDUL
30 TITIN SUPRIATIN 30 PADURUNG
31 RENO JULIAN 10 BL SARONGGE
32 SAEPI 26 SIKEREMBENG
33 SARNI 47 PASIR SIREUM
34 UYUN 50 PADASUKA 1499
35 NURSIAH 45 NARETEL
36 ELIS SYAADAH 23 SUMUR PETEY
37 RAFABIAN 4 CIKONENG
38 NOPI CAHYATI 27 SUKACAI
39 ZAHROTUL APIPAH 11 SUKACAI
40 SUTIHAT 54 CIGARUT
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
25 JUNI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA
7:43 1 1 1
7:46 1 1 1
7:47 1 1 1

7:51 1 1 1
7:53 1 1
7:55 1 1 1
7:58 1 1 1
7:58 1 1 1
7:59 1 1 1
8:04 1 1 1
8:08 1 1 1
8:08 1 1 1
8:08 1 1
8:11 1 1 1
8:15 1
8:18 1 1 1
8:28 1 1 1
8:36 1 1 1
8:38 1 1 1
8:46 1 1 1

8:52 1 1 1
8:55 1 1 1
1 1
1 1
1 1 1 1
1 1
9:07 1 1 1
9:24 1 1 1
9:32 1 1
9:37 1 1 1
10:00 1 1
10:13 1 1 1
10:14 1 1 1
10:34 1 1 1
10:54 1 1
10:54 1 1 1
11:02 1 1 1
2 34 13 23 20 1 3 6
TUJUAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
KB UGD VK LAB BPJS SKTM

A15
A15

A15

A15

1
A15
0 1 0 4 0 0
 DIAGNOSA

KIR KERJA

PASANG KATETER
 UMUR
NO NAMA ALAMAT FF JAM
L P
1 KUSNALIAH 30 SUKACAI 3293 7:48
2 JAHRA 2 CURUG AGUNG 7:53
3 SILAWATI 35
S DEDE SULAELAH 45
5 NURMAN 63 PARUMASAN 7:58
6 SALWA 4 MARAPIT 7:59
7 JUARSIH 60 CIPANCUR
8 PUTRI ANGGARA 14 CI[PACNUR
9 RAHMA 2 PASIR KUKUK 8:04
10 LESTARI ANGGRAENI 25 SIDUNGKUL 8:08
11 SAYUNI 64 ASTANA 8:17
12 JANTI 27 BOJOT 8:34
13 ARTAMAH 42 KAREO KEBON 1036 8:38
14 JUBAEDAH 49 PANYIRAPAN 3080 8:40
15 HJ SITI MAESAROH
16 BY NY SITI MAESAROH
17 M AGUS SAPUTRA 23 kadu hileud 8:48
18 ANGGUN SUJANA 27 WARUNG 8:50
19 SITI UMAEROH 43 SIJENGKOL 9:00
20 IPAH SAPINAH 39 DUKUH PINANG 9:15
21 SUTIAWAN 23 KP SAWAH 9:25
22 ARISKA 18 SUKAJAYA 9:26
23 suherman 34 kareo kebon 654 9:36
24 mutmainah 42 DUKUH PINANG 10:09
25 MISAH 28 MAYAK 10:40
26 NORIS 13 MAYAK 10:40
27 SUHERMAN 50 KADUKEMPONG 11:16
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
24

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

JB
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD
1 1 1
1 1 1

1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
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1 1 1
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1 1 1
1 1 1
1 1 1
1 1 1
0 18 9 12 13 0 2 5 1 0
I RUJUKAN
NAMA PEMERIKSA ICD-X
VK LAB BPJS SKTM
0 0 0 0
 DIAGNOSA

KIR MASUK CAMPUS

BUTA
 UMUR
NO NAMA ALAMAT
L P
1 RUMISAH 52 REGO BAROS 7:49
2 ROKAYAH 45 LAME HIDEUNG 4920 7:50
3 SITI ROHAMAH 50 CIKOKOSAN 403 7:53
4 ISMAH 43 SOBONG 7099 7:54
5 IBNU RUSADI 35 SIDAGEL 7:56
6 UMJANAH 49 PANYIRAPAN 592 7:57
7 ACHMADYANI 46 CICENTONG 6759 7:58
8 ASNAWATI 36 CISALAM 6500 8:01
9 MISTRI 55 CURUG AGUNG 2187 8:01
10 ALAWIYAH 60 CIGARUT 8:03
11 HAMIDAH 67 BATU KARUT 74 8:07
12 KAMSANAH 49 KOROSOK 446 8:08
13 SAMAH 65 CIPACUNG 7499 8:12
14 HAERIYAH 50 MUNTUR 7307 8:15
15 SAEPUDIN 26 DARAGEM 7583 8:17
16 ULYAWATI 48 KAREO KEOBON 8:21
17 SALMI 55 WARUNG 86 8:22
18 EMIN 57 GUNALONG 1535 8:24
19 AWANAH 54 DUKU PINANG 417 8:26
20 SUHALIAH 25 NYODOR KIDUL 8:28
21 YULIANTI 45 NYATUH 5337 8:30
22 SAMSIAH 52 KP SITU 6688 8:32
23 SULAEMAH 54 CIBONGOR 143 8:34
24 DODY SUDRAJAT 66 KALAPA LIMA 22 8:36
25 SAPIGI 42 COMBONG 2080 8:37
26 FATONAH 68 JAHA 651 8:38
27 FITRI HANDAYANI 20 BATU LINGGA 7147 8:38
28 ROHAENI 59 BATU LINGGA 7147 8:38
29 RUMAENAH 57 BATU LINGGA 5618 8:38
30 RUSMANI 62 BATU LINGGA 5618 8:38
31 MARHAMAH 60 SUKACAI 8:46
32 RISMAYANTI 24 SUKACAI 8:48
33 SITINURAENI 32 KOPRAH 7487 8:50
34 SITI YUNI MARHAMAH 47 CIKOKOSAN 138 8:53
35 MASUM 56 LEMBUR TENGAH 5998 8:53
36 BAISAH 52 LEMBUR TENGAH 5998 8:53
37 MAFTUH 11 LEMBUR TENGAH 5998 8:55
38 WARIAH 57 SUKACAI 4286 8:58
39 SUKAESIH 39 CISOLONG 5892 9:00
40 RIA FITRIANI 29 SUMUR PETEUY 9:01
41 ALI SOBRI 23 JEMAKA MESJID 9:05
42 RASANAH 68 PASIR KUKUK 9:08
43 TATI VERAWATI 43 LEMBUR ASEUM 9:10
44 SUHAEBAH 47 LAME HIDEUNG 9173 9:12
45 ROJIAH 39 LEMBUR TENGAH 9:16
46 SULHI 7 KAREO KULON 6721 9:17
47 RINI MULYANI 68 PASIR LOR 2871 9:19
48 MUZDAFULLOH 4 KP BARU 6937 9:20
49 MAEMUNAH 31 KADU BIUK 1166 9:22
50 SUTINI 52 KAREO PANJANG 9:24
51 NUR HOLIS 3 PANUNGGULAN 9:26
52 AMSANAH 31 MAYAK 6956 9:28
53 SAHRUL 6 PANUNGGULAN 7064 9:31
54 UNES 40 PANANGULAN 7064 9:31
55 LIA ANDRIANINGSIH 20 SIRANGGON 8:34
56 UNGGAH. 81 COMBONG 8:36
57 ENI 68 PULOKIONG 1207 9:39
58 NURHAYATI 65 NYATUH 4450 9:41
59 ASRONI 49 TEJAMARI 754 9:45
60 HERMAN 54 CIPEUCANG 9:46
61 SITI KUROTUL AIN 10 HULUCAI 9:48
62 SITI FATONAH 7 BL LEGOK 9:53
63 RASUDIN 41 BATU KARUT 9:55
64 SAWINAH 50 KOROSOK 9:56
65 WIWI WININGSIH 19 BATULINGGA 10:02
66 DILA NURFADILAH 19 KADU COKROM 10:03
67 SAETI 76 CIKOKOSAN 5011 10:05
68 NURSURYATIN 34 CIKOKOSAN 4105 10:05
69 NINGRAT RATNA SULASTRI 39 CIBODAS 10:09
70 ROFAHIYATUL 19 CISEYEG 10:11
71 KOHARUDIN 46 CIMEONG 4989 10:12
72 RAHMAT SUPANDI 37 PABATAN 10:15
73 DAWIAH 56 SINDANGJAYA 10:16
74 FATUROHMAN 13 OTENG 7313 10:18
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
23 JANUARI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK
1 1 1
1 1 1
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1 1 1
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1 1 1
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1 1 1
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 1 1 1
1 1 1
1 1 1
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1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
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1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
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1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
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3 43 19 28 39 0 0 2 0 0 0
 RUJUKAN
NAMA PEMERIKSA ICD-X DIAGNOSA
LAB BPJS SKTM

KIR

1
1

SUNTIK TBC

1
KIR
5 0 0
 UMUR
NO NAMA ALAMAT
L P
1 AMALIAH 24 KP SAWAH TENGAH 8:01
2 SALSA ANGGRAENI 2 BL SUMUR PETEUY 8:03
3 MAULANA MALIK 5 BL HULUCAI 8:05
4 DILLA NURFADILAH 19 KADU COKROM 8:06
5 SAMAH 28 MAYAK 8:08
6 ATIAH 57 CIDADAP 8:16
7 USEP IRAWAN HERMAWAN 35 CIPANCUR 8:16
8 AI NURLINA 35 BAROS 8:36
9 SUBHAN 30 BAROS 8:40
10 IMAS SUNDARI 23 CIPANCUR 8:48
11 M TONI 43 HONJE 8:58
12 SAODAH 52 DUKU RATU 9:01
13 HIKMAH 12 KAMANISAN CURUG 9:09
14 FITRI 15 SUMUR PETEUY
36 YUDI 31 SIDAGEL 9:18
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
28 JANUARI 2019

JENIS KUNJUNGAN
JENIS PEMBAYARAN TUJUAN POLI
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK LAB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
6 8 11 3 7 1 2 0 1 1 2 0
 RUJUKAN
NAMA PEMERIKSA ICD-X DIAGNOSA
BPJS SKTM

Schizophrenia
KIR
0 0
 UMUR
NO NAMA ALAMAT
L P
1 SITI ADAWIYAH 28 CIBONGOR
2 ANSORI 27 RANCA KAREO 6577
3 E ROHAYATI 47 KADU KONENG
4 FITRI AULIA 4 KALOBARANG
5 DILA NURFADILLAH 19 KADU COKROM
6 ASMAWATI 40 PABUARAN 6418
7 KOYAH 35 SOBONG 249
8 YAYAH SUNARYA 28 CIPARI
9 RIFKI 8 CIPEUCANG
11 SUWARTI 53 DUKUH RATU
12 RINA 25 PALWATES 1519
13 JAENAL FIKRI 9 PALWATES 1519
14 SATMAH 39 GARATIIS
15 SAMIAH 40 MAYAK 72
16 NORIS 8 MAYAK
17 RANDI 6 BL RANCA KAREO
18 RAMA PERMANA 1 RANCA KAREO
19 EGy ANDIKA PRATAMA 8 LEMBUR ASEUM 517
20 MADROJI 39 CIPACUNG
21 ROHAN 33 KALITANJUNG 1689
22 ASRUL 2 LENGGOR
23 MAELINA 30 SUKAMANAH
24 ASSIFA 5,6 SOBONG
25 NURFIANA 25 SOBONG
26 NURAENAH 24 SENGIR
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
25 februari 2020

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA
7:56 1 1 1
7:59 1 1 1
8:04 1 1
8:05 1 1 1
8:06 1 1
8:29 1 1 1
8:38 1 1 1
8:40 1 1 1
8:42 1 1 1
8:48 1 1 1
8:50 1 1 1
8:50 1 1 1
8:58 1 1
8:24 1 1 1
8:44 1 1 1
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8:47 1 1 1
9:55 1 1 1
9:56 1 1 1
9:58 1 1 1
10:09 1 1 1
10:18 1 1 1
10:42 1 1 1
10:42 1 1 1
10:10 1 1 1
6 19 13 12 16 1 4 1
N

TUJUAN POLI RUJUKAN

NAMA PEMERIKSA ICD-X
KB UGD VK LAB BPJS SKTM

dr. Hj. Moemoen Situmorang

1 2 0 0 0 0
DIAGNOSA

THALASEMIA
 UMUR
NO NAMA ALAMAT FF
L P
1 SUHALIAH 25 NYODOR
2 STI ROHMAH 27 KP SITU
3 NURYAMAH 50 SUKACAI
4 ASKAH 50 NYODOR 7475
5 LILIS 39 BATU KUDA
6 PAI 60 KELEBET
7 JUHROTUL AULIA 10 PARUMASAN 6426
8 AEP 38 CIKOLELET
9 NAURA 8 BL MALENDENG
10 SAFIRA ZAHROH 10 SIMAYENG
11 MAD HALIM 40 SIMAYENG
12 RAFKA 3 BL SIMAYENG
13 SITI NURAENI 31 KOPRAH 7487
14 AINAH 50 PERTANIAN 962
36 SAHROJI 23 MARAPIT
16 SALWA 4 MARAPIT
17 RATNA 48 MARAPIT
18 SAR'AH 50 WARU 5082
19 ROHAYATI 53 RAMPONES 5948
20 IHAT OKTAVIA 10 HULUCAI
21 ROHMAT 42 SUKACAI
22 ANTO 39 PARUMASAN
23 YUMNA 1 MASIGIT
24 METI 28 MASIGIT
25 DJUMAIAH 70 SIDAGEL
26 JUHRI 40 JAGABAYA
27 MIS'AH 18 SINDANGMANDI
28 DILA MARDILA 21 DUKUH RATU
29 RIDHO 7 PANYIRAPAN
30 EVA 27 PANYIRAPAN
31 SAPTUNAH 23 MUNTUR
32 IIS 23 JAMI
33 SRI 37 CIPARI
34 NUR 40 LIMUS BUEK
35 DILA NURFADILAH 19 KADU COKROM
36 RT UBED DJUBAEDAH 66 PERTANIAN
37 AULIA 4 JAHA
38 MURNI 45 LIMUS BUEK
39 ROBI SUGANDI 45 CIPANCUR
40 WASEHUDIN BIN JAYA 54 PAGEDONGAN
41 NURHAYATI 45
42 RENDI SEPTIANSAH 8 KADU COKROM
43 MUHAMAD ADITIYA FIRDAUS 4 KADU COKROM
44 ASNAWAWI 50 CILEUNGSIR
45 HAYATI 25 PALIMA
46 PITRIAH 23 CIPANCUR
47 TB M ZEN 80 MALENDENG 6730
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28 MEI 2019

JENIS KUNJUNGAN
JENIS PEMBAYARAN TUJUAN POLI
JAM
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK
7:55 1 1 1
7:57 1 1 1
8:00 1 1 1
8:01 1 1 1
8:06 1 1 1
8:08 1 1 1
8:10 1 1 1
8:12 1 1 1

8:16 1 1 1
8:16 1 1 1
8:16 1 1 1
8:18 1 1 1
8:21 1 1 1
8:21 1 1 1
8:21 1 1 1
8:21 1 1 1
8:30 1 1 1
8:33 1 1 1
8:38 1 1 1
8:46 1 1 1
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8:53 1 1 1
8:59 1 1 1
9:03 1 1 1
9:06 1 1 1
9:00 1 1 1
9:10 1 1 1
9:11 1 1 1
9:12 1 1 1
9:14 1 1 1
9:16 1 1 1
9:17 1 1 1
9:19 1 1 1
9:23 1 1 1
9:31 1 1 1
9:34 1 1 1
9:35 1 1 1

9:35 1 1 1
9:35 1 1 1
9:50 1 1 1
9:56 1 1 1
9:57 1 1 1
10:15 1 1 1
7 38 25 20 31 0 4 8 1 1 0
 NAMA PEMERIKSA ICD-X DIAGNOSA
LAB BPJS SKTM

LEPROSY ALIAS KUSTA

SUNTIK KB
0 0 0
 UMUR
NO NAMA ALAMAT FF
L P
1 BILAL MAULANA 1 CISEYEG
2 KAMSIN 70 BAROS MASJID
3 PIPIN 29 SIDAGEL
4 HAMAD 71 NARETEL 85
5 FATONAH 68 JAHA 651
YAYU PITRIAH
6 22 SIDUNGKUL 6732
7 MADSUPI 59 CURUG AGUNG 694
8 SAMIAH 43 CIKEREMBENG 4627
9 ENDI HARUN 25 CIKOKOSAN 7587
10 JAMAL 15 KOROD 6911
11 AHMAD DANA 36 NEGLASARI 599
12 SAEPUDIN 45 SINARMUKTI 7579
13 ROHMAH 30 CIKOKOSAN 9172
14 NURUL 5,6 PASIR HUNI
36 SALIMAH 9 BL PASIR HUNI
YAYU PITRIAH
16 35 NYODOR
17 RAHMA YANTI 9 NYODOR
18 JUMADI RAMADHAN 25 CIPANCUR
19 SANTANI 50 KOPENG
20 SYARIF HIDAYAT 45 SIGEGER
21 NURHASANAH 35 BAROS MASJID
22 SANJAYA 35 SIMAYENG
23 SAHRUDIN 35 BAROS
24 MUSPIROH 1 PADURUNG
25 FAJRI 7 SOBONG
26 SUHALIAH 32 SIDUWET
27 YULIANA PUTRI 4 SIDUWET
28 DILA NURFADILAH 19 KADU COKROM
29 DONI HEWANSAH 38 MAYAK
30 MUDIAH
31 YAYAH SUHAYAH 20 SUKACAI
33 NAZWA 4 BUNIACI
34 FEBRIANSYAH 2 KP. UNYUR
35 ILYAS 6 BL PADURUNG
36 TURMUDI 50 SIKAPUDANG
37 SAMSIYAH 45 SIMAYENG
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 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
29 MEI 2019

JENIS KUNJUNGANJENIS PEMBAYARAN TUJUAN POLI

JAM
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD
7:59 1 1 1
7:02 1 1 1
7:03 1 1 1
8:06 1 1 1
8:08 1 1 1

8:10 1 1 1
8:00 1 1 1
8:13 1 1 1
8:15 1 1
8:17 1 1
8:19 1 1
8:21 1 1
8:22 1 1 1
8:24 1 1 1
8:25 1 1 1

8:29 1 1 1
8:29 1 1 1
8:42 1 1 1
8:46 1 1 1
8:52 1 1 1
8:56 1 1 1
9:00 1 1 1
9:03 1 1 1
9:14 1
9:17 1 1 1
9:19 1 1 1
9:19 1 1 1
9:24 1 1 1
9:24 1 1 1

9:31 1 1 1
9:39 1 1 1
1 1 1 1
9:49 1 1 1
9:51 1 1 1
11:00 1 1 1
OLI RUJUKAN
NAMA PEMERIKSA ICD-X
VK LAB BPJS SKTM

1
1
1
1

1
 DIAGNOSA

KIR

SUNTIK TBC
 UMUR
NO NAMA ALAMAT NO JAM
L P
1 SITI WAHYUNI 15 SUKACAI 8:03
2 ROHANAH 50 BATU KARUT 75 8:06
3 MADSUNI 54 MUNCANG 5680 8:09
4 HARUN 64 CIBONGOR 666 8:10
5 M AKSOL 15 SUKADIRI 8:12
6 ROHMAWATI 11 SUKADIRI 8:13
7 NUROHMAH 21 OTENG 8:15
8 SONHAJI 2 PANGEONGAN 8:22
9 SAHIRA 7 BL KAREO 8?:33
10 IDOH 10 KAREO 8:33
11 JUMIAH 13
12 ASIKAH 69 KOROSOK 8:45
13 MAESOROH 52 MALENDENG 8:32
14 ATIN 44 CISALAM 8?:48
15 RISNA 5,1 CISALAM 8:50
16 RISMA DAMAYANTI 18 MUNJUL SKM
17 HAERIYAH 27 SIRANGGON 8:16
18 IIS LISTIANI 27 KALAPA LIMA 8:17
19 DILA NURFADILLAH 16 KADU COKROM 8:17
20 MIA KOMALASARI 35 BATU LINGGA 8:15
21 MUKTI 53 SANTOAN 8:15
22 PATMAH 49 PASIR LOR 8:15
23 WAHYUDI 41 MAYAK 8:21
24 KIRAY 1,6 KAREO KULON 8:32
25 M RIFKI 11 BAROS 8:51
26 HIDAYAT 40 SENGIR 8:51
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JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
14 JANUARI 2018

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

JAM
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
0 25 16 8 18 2 2 2 0
UAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM

1
1 0 0 0 1
 DIAGNOSA

SUNTIK TB
 UMUR
NO NAMA ALAMAT
L P
1 WILLAH 80 CIPARI 1841
2 OMAN 50 PASIR SIREUM
3 HJ ARIAH 50 PASIR SIREUM
4 FATONAH 68 JAHA 651
5 KOMARIAH 31 SOBONG 39
6 NURAINI 31 KOPRAH
7 MISKIAH 23 PASIR SIREUM 7043
8 SAMAH 79 CIPACUNG 7449
9 SILAWATI 36 KALOBARANG 2260
10 SUPRIYADI 52 KP SITU 7562
11 ARINI 20 KADU COKROM
12 AEP 39 CIKOLELET
13 NASEHAH 31 MUNTUR
14 UUM 66 OTENG 3162
36 NUROHMAH 21 OTENG 3162
16 DILA 19 KADU COKROM
17 MUNIR 50 PARUMASAN
18 ARDIAN 25 BATU LINGGA
19 SITI AMINAH 51 KALITANJUNG 201
21 JAHRA 8 JAHA
22 euis suryani 50
23 SAPUROH 23 WARUNG
24 ROBI SUGANDA 50 CIPANCUR
25 KHUJAEMI 50 BAROS
26 FADLI 1 NYODOR
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
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57
58
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60
61
62
63
64
65
66
67
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75
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117
118
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
31 JULI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA
8:04 1 1 1
8:05 1 1 1
8:07 1 1 1
8:09 1 1 1
8:11 1 1
8:13 1 1
8:14 1 1 1
8:16 1 1 1
8:18 1 1 1
8:20 1 1
8:20 1 1 1
8:24 1 1 1
8:31 1 1 1
8:53 1 1 1
8:53 1 1
9:01 1 1
9:13 1 1 I
9:20 1 1 1
9:22 1 1 1
9:24 1 1 1

9:38 1 1 1
9:40 1 1 1
9:44 1 1 1
10:11 1 1 1

1
1 23 9 15 14 0 1 4
TUJUAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
KB UGD VK LAB BPJS SKTM

1
1

1
1
KIR

1
0 1 0 4 0 1
 DIAGNOSA

TBC
TBC

TBC

TB C
SUTIK TB
TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
31 JULI 2019

NO NAMA UMUR ALAMAT

L P
1 ROKAYAH 35 DARAGEM 25 7:06
2 ARMIN 34 SUKAMANAH 7:06
3 SAPRONI 47 SIDUWET 7209 8:08
4 SILAWATI 36 KALOBARANG 2260 8:11
5 UDIN 45 SINARMUKTI 7579 8:12
6 SAPTO AGUNG 35 KAREO KULON 7036 8:14
7 SUP'AH 55 SINDANGMANDI 8:15
8 ENDI HARUN 25 CIKOKOSAN 7587 8:16
9 ENTU WARDAH 25 PARUMASAN 8:18
10 AISAH 61 PASIR KIDUL 8:20
11 ANWARA 89 MUNJUL 1173 8:22
12 ANIS MUSFIROH 25 NAGREG 6845 8:25
13 NURLINA 43 CURUG AGUNG 7237 8:30
14 EGA APRIANSYAH 20 CURUGA AGUNG 8:31
36 UYUN 50 PADASUKA 1499 8:32
16 MOCH ALDY 19 PANARAGAN 8:35
17 ULFAH 18 BBH 8:36
18 MASRISELLIA UHRAIZEN 4 CIPACUNG 8:37
19 NURIAH 32 CIPACUNG 8:37
20 ANA ADIBAH 1,6 BOJOT 8:39
21 NENENG 49 SUMUR PETEUY 8:41
22 MUSPIROH 1 PADURUNG 8:43
23 YAYAH SUNARYA 28 CIPARI 9:04
24 CAHLIAH 33 KL LIMA 9:16
25 JABAR 18 SALAH MANGSA 9:20
26 SUDRAJAT 68 NYODOR 9:25
27 ILHAM 7 CIKONDANG 9:26
28 MIAH 54 CISOLONG
29 MIROH S 31 LAME HIDENG 9:44
30 SUNAYAH 36 SUKAMANAH 9:45
31 ISMA 1 SUKAMANAH 9:45
32 MISNATI 37 CURUG AGUNG 9:49
33 AJID S 56 SUKAMANAH
34 ANAH 36 PASIR HUNI 5171 10:01
35 ZULFA FITRIANA 22 SOBONG 10:11
36 AMDANAH 61 MALENDENG 10:21
37 DEDI 23 PABUARAN 11:10
38 ALFI 7 SUKACAI 11:11
39 ANISA 40 SUKACAI 11:11
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
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70
71
72
73
74
75
76
77
78
79
80
81
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 83
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85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
4 35 21 18 26 0 4 1 1
 RUJUKAN NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM

1
1

1
0 0 7 0 0
DIAGNOSA
 UMUR
NO NAMA ALAMAT JAM
L P
1 ILHAM 1,3 BOJOT 8:06
2 ISMAWATI 32 KP SITU 8:07
3 RUWAIDA 8 NANCANG 8:09
4 SANTI 24 SUKAMANAH 373 8:12
5 AHMAD MUNJAJI 3 KALOBARANG 545 8:14
6 ARSYILA 1,1 KALAPA LIMA 8:15
7 SITI RAHMA AULIA 12 SIDAGEL 1775 8:17
8 NIA KURNIASIH 50 KP SAWAH 8:18
9 ROHAENI 59 BATU LINGGA 7147 8:21
10 JUNARIAH 74 CIPARI 404 8:23
11 KURTUBI 66 KOPRAH 8:24
12 MAEMUNAH 35 KALOBARANG 8:28
13 SUNARIAH 60 SUMUR PETEUY 5243 8:29
14 DANIAH 51 BAROS MASJID 5114 8:33
15 SIFA NURHASANAH 7 CISEYEG 8:34
16 NURMAKIYAH 38 LIMUS BUEK 8:37
17 NOVA ALPIANI 19 LIMUS BUEK 8:38
18 NURJAYA 62 CIPACUNG 8:40
19 SAEPUDIN 26 CIKONDANG 8:41
20 MUZDAFIULLAH 3 KP BARU 6937 8:43
21 MUHAMMAD RISKI AKILAH 11 SIDAGEL 8:45
22 SUSI NURASITA DEWI 22 BAROS MASJID 8:47
23 SITI LAILATUL AZULA 7 BL KALOBARANG 1881 8:49
24 MURTASIAH 44 SUMUR PETEUY 54 8:51
25 M. Furqon Maulana 12 SUMUR PETEUY 54 8:51
26 MIA audina 20 BAROS MASJID 756 8:53
27 SITI AMALIAH 28 BAROS MASJID 756 8:54
28 PUTRI AMELIANA 13 KAREO KEBON 8:59
29 BAYU 10 BL CIPANCUR 9:01
30 JUMAETI 27 MASIGIT 9:02
31 KHOLISOH 25 CIKAPAS 9:04
32 M MAULANA ARIFIN 2 CIKONENG 9:05
33 IRGI 7 COMBONG 9:08
34 NURUL MUSTAQIMAH 2 JAHA 9:09
35 DWI SAFITRI 30 KALAPA LIMA 9:11
36 SAPUROH 25 WARUNG 6622 9:14
37 HAYATI NUFUS 2 CIBEO 9:15
38 EHA 52 CIKOKOSAN 9:19
39 SUARSIH 39 SUKACAI 9:19
40 M PAUJAN 13 8 9:19
41 TOBI 12 CIPOCUNG 9:19
42 ROJANAH 42 CIPOCUNG 9:19
43 DINI 7 PADURUNG 9:31
44 DINA 7 PADURUNG 9:31
45 NADROH 47 PADURUNG 9:31
46 ARMENAH 49 DUKUH RATU 9:37
47 ALI 34 KASTURI 2890 9:39
48 SAMUTI 65 SIBOPONG 9:41
49 AMDANAH 16 CIKOKOSAN 9:44
50 INTAN WIJAYANTI 27 BBH 9:45
51 ILA SALSABILA 16 CIPANCUR 9:46
52 ARYA MUSIBTI 5,2 CISEYEG 9:47
53 MINA 23 CIGARUT 7496 9:51
54 HADIJAH 67 KADU MANGGU 9:53
55 AMNAH 73 CIKOKOSAN 9:55
56 HAYATI NUFUS 7 PANANGGUNGAN 9:57
56 TANIA RAHMA 1 PARUMASAN 9:59
57 YOHANAH 20 PARUMASAN 9:59
58 RIFKI MAULANA 1,6 RAMPONES 10:02
59 SUMIATI 33 PERTANIAN 7152 10:03
60 UTIAH 59 SIKUPA 1442 10:06
61 SYAMSU RIZAL 29 PARUMASAN 10:09
62 ANAH 52 CIPANCUR 10:10
63 ABDUL KOBIR 41 PANGEONGAN 10:12
64 MAHDI 48 PADURUNG 10:13
65 DILA MAHDILA 21 DUKUH RATU 7212 10:15
66 MUSLIMAH 32 SENGIR 10:17
67 FITRI 35 DUKUB PINANG 10:19
68 RAJABANI 5,2 DUKUH PINANG 10:20
69 RESI 25 KADU HILUED 10:21
70 NIA 35 KAREO WETAN 10:23
71 AMAH 43 JAMBU 10:24
72 JUHERIAH 54 NYATUH 10:27
73
74
75
76
77
78
79
80
81
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83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
22 JULI 2019

JENIS KUNJUNGAN JENIS PEMBAYARAN TUJUAN POLI

BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
JUAN POLI RUJUKAN
NAMA PEMERIKSA ICD-X
UGD VK LAB BPJS SKTM
1 ###
DIAGNOSA

KIR
KIR
 I10 222
RTIKARIA R50 137
A15 TBC R05 131
J06.9 160
R05 BATUK K29 86
KONSTIPASI E11 42
I10 + R51 HT + HEADACHE M13 58
I10 HT + HYPERCOLESTEROL + ASMA Z34 84
I10 + M79.1HT + MYALGIA + ISPA A15 154
E11 + I10 DM + HT A09 55
I10 + J06.9HT + ISPA + MYALGIA
E11 + I10 DM + HT

Z30 KB
A15 + I10 TBC + HT
HAEMOPTYSIS
I10 HT + GOUT
I10 + E10 HT + DM TYPE 2
I10 HT + HYPERKOLESTEROL
E11 + DM + GOUT ARTHRITIS
E11 + I10 DM + HT
I10 HT + CERUMEN PROOF
A15 + I10 TBC
I10 HT
I10 HT
E11 + M13.DM + ARTHRITIS
CERUMEN PROOF
R05 BATUK
J45 ASMA
K04.1 NECROSIS PULP
J06.9 ISPA
J45 ASMA
SUSP. BRONCHITIS
E11 + I10 DM + HT
I10 HT
R05 + R50.BBP + DBM
M13.9 ARTHRITIS
I10 + M13.HT + ARTHRITIS

J45 ASMA
E11 DM
I10 HT
I10 HT
E10 + R05 DM TYPE 2 + BATUK
I10 HT + CC
I10 + E11 HT + DM
I10 HT
I10 HT + HYPERCHOLESTEROL
I10 + E11 HT + DM
I10 HT
A15 TBC
I10 HT
VARICELLA
E11 DM
A15 TBC ANAK
K00.63
R05 + R50.BBP + DBM
E10 DM TYPE 2
I10 HT
IMPLANT
URTIKARIA
I10 + K29.7HT + GASTRITIS
Z30 KB
KONTROL IMPLANT
K29.7 GASTRITIS
I10 HT + ABSES
I10 HT

A15 TBC
K29.7 GASTRITIS
R05 + R50.BBP + DBM + DTD
B90 POST TB
R50.9 DBM
K02.00
A15 TBC
A30 KB
R05 + R50.BBP + DBM
R05 + R50.BBP + DBM
Z34 ANC
J06.9 ISPA
M13.9 + J4ARTHRITIS + SOPT
R05 + R50.BBP + DBM
I10 + K29.7HT + GASTRITIS
L23.9 DRA
E11 + M13.DM + ARTHRITIS
E11 + M13.DM + ARTHRITIS
E11 DM + HYPERCOLESTEROL
L23.9 DRA
L23.9 DRA
M13.9 ARTHRITIS
L30.9 + R5 DERMATITIS + DBM
I10 HT
R50.9 OBS. FEBRIS
Z30 KB
I10 HT + VARISES
R50.9 OBS. FEBRIS
MYCOSIS
PNEUMONIA
J45 ASMA
KATARAK SENILE
I10 HT + VARISES
A15 TBC
A15 TBC
I10 + K29.7HT + GASTRITIS
I10 HT
I10 HT
K00.63
Z34 + I10 ANC + HT
Z34 ANC
Z34 ANC
R50.9 OBS. FEBRIS
I10 HT
I10 HT
I10 HT

K29.7 GASTRITIS
R50.9 DBM
K29.7 GASTRITIS
OEDEM DI LEHER
E11 DM
Z30 KB
Z30 KB
A15 TBC
A15 TBC
R05 + R50.BBP + DBM
K04.1 NECROSIS PULP
POST TRAUMA KEPALA
A09 + R50.DTD + DBM
R05 BBP
R50.9 OBS. FEBRIS
A15 TBC
J06.9 ISPA
J06.9 + A0 ISPA + DTD
A15 TBC
I10 + L23.9HT+ DRA
OMA
A15 TBC
CKD
K29.7 GASTRITIS
K04.1
Z34 ANC
Z34 ANC
FLOUR ALBUS
OTALGIA
J45 ASMA BRONCHIAL
L30.9 DERMATITIS
K29.7 GASTRITIS
Z03 SUPS. TB
A15 TBC
J06.9 ISPA
J06.9 ISPA
SUSP. BRONCHITIS
J06.9 ISPA
J06.9 ISPA
J06.9 ISPA
K04.1 NECROSIS PULP
I10 HT
KONSTROL POSTPARTUM DENGAN RIWAYAT HT
A15 TBC
J06.9 ISPA
J06.9 ISPA
J06.9 + L30ISPA + DERMATITIS
L30.9 DERMATITIS
L320
J06.9 ISPA
J06.9 + A0 ISPA + DIARE
H10 CONJUNCTIVITIS
I10 HT
I10 HT
SUSP. VARICELLA
GANTI PERBAN
A15 TBC

R50.9 OBS. FEBRIS

J06.9 ISPA
Z34 AMC
J06.9 ISPA
F20 SCHIZOFRENIA
L30.9 DERMATITIS
L30.9 DERMATITIS
K29.7 GASTRITIS
OSTEOTITIS
A09 DTD
J06.9 ISPA
K29.7 + L23GASTRITIS + DRA
J06.9 ISPA
R50.9 OBS. FEBRIS
R50.9 DBM
J06.9 ISPA
L30.9 DERMATITIS
J45 ASMA
I63 SNH
PEB
J06.9 ISPA
A09 DIARE
I10 HT
Z30 KB
R05 + R50.BBP + DBM
A15 TBC
ABSES
K00.63
R50.9 DBM
R50.9 OBS. FEBRIS
K29.7 GASTRITIS
Z34.1 ANC
SUSP ISK
J06.9 ISPA
R50.9 FEBRIS

B86 SCABIES
VERTIGO
J02.9 FA
J06.9 ISPA
KONTROL JAHITAN
J06.9 + K30ISPA + DYSPEPSIA
B86 SCABIES
HORDELEUM + ABSES
A09 DIARE
A09 DIARE
A15 TBC
K05.9
Z30 KB
A15 TBC
J06.9 + K30ISPA + DYSPEPSIA
 NYERI PUTTING SUSU
R50.9 DBM
PNEUMONIA
Z34 ANC
Z00 KONSUL
B86 SCABIES
A15 TBC
Z03 SUSP. TB
E11 DM
Z30 KB
J06.9 ISPA
A09 DIARE
VL
J06.9 ISPA
R05 BATUK GATEL
M13.9 ARTHRITIS
J06.9 + K30ISPA + DYSPEPSIA
K04.1 NECROSIS PULP
A09 + R50.DTD + FEBRIS
A09 DIARE
A09 DIARE
J45 ASMA
J06.9 + K30ISPA + DYSPEPSIA
H10 CONJUNCTIVITIS
K29.7 GASTRITIS
J06.9 ISPA
SAKIT GIGI

Z34 ANC
K04.1 NECROSIS PULP
OBS. VOMITUS
M13.9 ARTHRITIS
J06.9 + K30ISPA + DYSPEPSIA
R50.9 + I10OBS. FEBRIS + HT
A09 DIARE
J06.9 ISPA
ALERGI
H10 CONJUNCTIVITIS
SAKIT GIGI
K30 DYSPEPSIA
K29.7 GASTRITIS
PNEUMONIA
PNEUMONIA
K04.1 NECROSIS PULP
R05 BBP
K04.1 NECROSIS PULP
J06.9 + K29ISPA + GATSRITIS
I10 HT
J06.9 ISPA
VP
R50.9 FEBRIS
J44.9 SOPT
R50.9 OBS. FEBRIS
A15 TBC
R05 + R50.BBP + DBM + DERMATITIS
AMENORRHEA
R50.9 FEBRIS
J06.9 ISPA
R50.9 OBS. FEBRIS
K29.7 GASTRITIS
R50.9 + H1DBM + CONJUNCTIVITIS
R05 BATUK
CHRONIC GASTRITIS
K29.7 GASTRITIS
R05 + R50.BBP + DBM + SARIAWAN
K30 DYSPEPSIA
R05 + R50.BBP + DBM
H10 CONJUNCTIVITIS
GANTI PERBAN
A15 TBC
A15 TBC
K29.7 GASTRITIS
Z34 ANC
R05 + R50.BBP + DBM
OMSK
I10 HT + CC
K04.1 NECROSIS PULP
Z30 KB
MASTITIS
A15 TBC
I10 + J06.9HT + ISPA
J06.9 ISPA
R05 + R50.BBP + DBM
J06.9 ISPA
L23.9 DRA
A15 TBC
OTALGIA
Z34 ANC
Z34 ANC
K30 DYSPESIA
K04.7
K00.63
I10 HT + CC
CALLOSITIES
Z34 ANC
R51 HEADACHE
DEHIDRASI RINGAN
R05 + R50.BBP + DBM + DTD
R05 + R50.BBP + DBM
K04.1
I10 + M13.HT + ARTHRITIS
K02.00
R68
Z30 KB
Z34 ANC
Z34 ANC
R50.9 FEBRIS
J02.9 FA
L30.9 DERMATITIS

TINES
K04.7
L23.9 DRA
R05 + R50.BBP + DBM
R51 HEADACHE
R05 + R50.BBP + DBM
K30 DYSPEPSIA
I10 HT + URTIKARIA
I25 CHF
R05 + R50.BBP + DBM
Z34 ANC
Z34 ANC
R05 BATUK

R50.9 DBM
J06.9 ISPA
L30.9 DERMATITIS
K29.7 GASTRITIS

OTHER ANEMIAS
FOLLOW UP ORTHOPEDIC

EFUSI FLEURA
J06.9 ISPA
L23.9 DRA
A15 TBC
A15 TBC
A15 TBC
A15 TBC
R50.9 OBS. FEBRIS
R05 + I10 BATUK + HT
J06.9 ISPA
A15 TBC
A15 TBC
A15 TBC
TELAT HAID
K04.1 NECROSIS PULP
R51 + K29.HEADACHE + GASTRITIS
A15 TBC
K04.7
A15 TBC
A15 TBC
R50.9 OBS. FEBRIS
I10 + J06.9HT + ISPA + GASTRITIS
ABSES
R51 + K29.HEADACHE + GASTRITIS
A15 TBC
K00.63
A15 TBC
MASTOIDITIS
Z34 ANC
R50.9 DBM
B86 SCABIES

R05 + R50.BBP + DBM

KONSTIPASI
A15 TBC
E11 DM
A15 TBC
A15 TBC
A15 TBC
Z34 ANC
A15 TBC
A15 TBC
ABSES
R05 + R50.BBP + DBM

I63 SNH
L30.9 DERMATITIS
R05 + R50.BBP + DBM
J02.9 FA
HMEATURIA
R05 + R50.BBP + DBM
J45 ASMA
R51 + K29.HEADACHE + GASTRITIS
R05 + R50.BBP + DBM
J44.9 SOPT
A15 TBC
K29.7 GASTRITIS
A15 TBC
J02.9 FA

K29.7 + R5GASTRITIS + HEADACHE

A15 TBC
A15 TBC
R50.9 OBS. FEBRIS
ACUTE STRESS REACTION
A15 TBC
I10 0
J06.9 ISPA
A15 TB KAMBUH
OTALGIA
A09 DTD
E10 DM TYPE 2
I10 + J45 HT + ASMA
Z34 ANC
J45 ASMA
I10 HT
K05.3
N18 CKD
A15 TBC
A09 + R05 DTD + BBP
J03.9 TONSILITIS
I10 + J45 HT + ASMA
R05 BATUK
I10 HT
R05 BBP
Z34 ANC
I10 HT
A09 DTD
K04.7
Z34 ANC
Z34 ANC
Z34 ANC
J45 ASMA BROMCHIAL
A09 DTD
R05 + R50.BBP + DBM
I10 HT + OTALGIA
K00.63
LYMPADENITIS
MATA BINTITAN
M13.9 ARTHRITIS
J06.9 ISPA
J06.9 ISPA
INSOMNIA
K04.1 NECROSIS PULP
PIGATI TOTALIS
K04.2
R05 + R50.BBP + DBM
J44.9 SOPT
R05 + R50.BBP + DBM + CONJUNCTIVITIS
BENIGN NEOPLASM OF PERIPHERAL NERVE
R05 BATUK
K29.7 GASTRITIS
KONTROL JAHITAN
LATENT SHYPILIS
R05 + R50.BBP + DBM

A09 DTD
TELAT HAID
CANDIDIASIS
A09 DTD
OTHER LOWER URINARY TRACT CALCULUS
J06.9 ISPA
I10 HT
K29.7 GASTRITIS
L30.9 DERMATITIS
L30.9 DERMATITIS
I10 + L23.9HT + DRA
HEMOROID INTERNA

J44.9 SOPT
R51 + M79HEADACHE + MYALGIA
OTHER SPECIFIED FEVER
J06.9 ISPA
R05 BATUK
J45 ASMA
VL
L30.9 DERMATITIS
R51 + M79HEADACHE + MYALGIA
I10 + M79.HT + MYALGIA
I10 + M13.GHT + ARTHRITIS
E11 + I10 DM + HT
E11 DM
I10 HT
E11 DM
A15 TBC
I10 HT
K29.7 + I10GASTRITIS + HT
E11 + R05 DM + BATUK
A15 TB
I10 + J06.9HT + ISPA
I10 HT
I10 + K29.7HT + GASTRITIS
A15 TBC
I10 + E11 HT + DM
J06.9 ISPA
J06.9 + M7ISPA + MYALGIA
J06.9 ISPA
J06.9 ISPA
I10 HT
I10 HT
I10 + M13.HT + ARTHRITIS
J06.9 ISPA
A15 TBC
A15 TBC
A15 TBC
D11 + I10 DM + HT
I10 HT
SENILLE CATARACT
J06.9 + L30ISPA + DERMATITIS
J06.9 ISPA
R05 BATUK
KATARAK SENILE
COMBUTION EC KENA STERIKAAN
M79.1 MYALGIA
E11 + I10 DM + HT
A15 TBC
I10 HT
Z03 SUSP. TB
Z34 ANC
A15 TBC
I10 HT
J06.9 ISPA
R50.9 OBS. FEBRIS
E11 DM
ABSES
H10 CONJUNCTIVITIS
J06.9 + K29ISPA + GASTRITIS
I10 + H10 HT + CONJUNCTIVITIS
J06.9 ISPA
I10 HT
I10 + M13.HT + ARTHRITIS
L30.9 DERMATITIS
A15 TBC
I10 HT
R51 CEPHALGIA
SAKIT GIGI
GINGIVITIS
R50.9 DBM
Z30 KB
I10 + J06.9HT + ISPA
Z03 SUSP. TB
A15 TBC
Z30 KB
I10 + M13.HT + GASTRITIS
M13.9 ARTHRITIS
I10 + H10 HT + CONJUNCTIVITIS
VL
A15 TBC
K29.7 GASTRITIS
I10 HT
I10 + M13.HT + ARTHRITIS
A15 TBC
VL
J06.9 ISPA
J06.9 ISPA
I10 + M79.HT + MYALGIA
I10 HT
A09 DIARE
I10 + M13.HT + ARTHRITIS
I10 + M13.HT + ARTHRITIS
J06.9 ISPA
J06.9 ISPA
L30.9 GATEL
A15 TBC
A15 TBC
M79.1 MYALGIA + STOMATITIS
J06.9 ISPA
J06.9 ISPA
Z30 KV
I10 + K29.7HT + GASTRITIS
A09 DIARE
K29.7 + M7GASTRITIS + MYALGIA
A15 TBC
Z30 KB
Z00 CHECK UP
J06.9 ISPA
I10 HT
Z34.1 ANC ANAK KE 1
Z30 KB
I10 HT
VL
A15 TBC
A09 DTD
I10 + M13.HT + ARTHRITIS
E11 + J06.9DM + ISPA
J06.9 ISPA
E11 + I10 DM + HT
I10 HT + HYPERCHOLETEROL
L30.9 DERMATITIS
A15 TBC
L30.9 DERMATITIS
Z03 SUSP. TB
B86 SCABIES
I10 + M13.HT + ARTHRITIS
A18.4 LYMPADENITIS TB
J06.9 ISPA
J06.9 ISPA
R51 + K29.HEADACHE + GASTRITIS
K29.7 GASTRITIS
A15 TBC
K29.7 GASTRITIS
M79.1 MYALGIA
Z34 ANC
A09 DTD
Z34 ANC
I10 + K29.7HT + GASTRITIS
I10 + M13.HT + ARTHRITIS

E11 + I10 DM + HT

J06.9 ISPA
E11 DM
J06.9 ISPA
R05 COUGH
Z00 CHECK UP
K29.7 GASTRITIS
Z30 KB
J06.9 ISPA
J06.9 ISPA
EPILEPSY
THALASSEMIA
POLYARTHRITIS
HAEMORROIDS

HHD
SECONDARYT HT
NUTRITIONAL DEFIENCY

CHEST PAIN

I25 CHD
J44.9 SOPT
NELEN KANCING BAJU
R50.9 OBS. FEBRIS
R05 + R50.BBP + DBM + DERMATITIS
ADAPTOR IUD
J03.9 TONSILITIS
A15 TBC
A15 TBC
R05 BATUK
J06.9 ISPA
OTALGIA EC OMA
K04.7
Z34 ANC
E11 DM
I10 HT
K04.1 + K05.1
R50.9 DBM
K29.7 GSTRITIS
E78 CANDIDIASIS
K04.7
SUSP. BRONCHITIS
I10 HT
OBS. VOMITUS
R50.9 FEBRIS
K04.1 NECROSIS PULP
CKD
J06.9 ISPA
R05 + R50.BBP + DBM
J06.9 ISPA
TN LYMPADENITIS
M79.1 MYALGIA
K04.1 NECROSIS PULP
F20 SCHIZOFRENIA
F20 SCHIZOFRENIA
F20 SCHIZOFRENIA
K29.7 GASTRITIS
M13.9 ARTHRITIS
DECOM CORDIS
J06.9 ISPA
L30.9 DERMATITIS
R07.8 CHEST PAIN
M13.9 ARTHRITIS
J03.9 TONSILITIS
R05 BATUK
A09 DTD
DEMENTIA
R05 + R50.BBP + DBM
A15 TBC
A15 TBC
OMA
J44.9 SOPT + LBP

I10 + K29.7HT + GASTRITIS

R05 BBP
J03.9 TONSILITIS
L23.9 DRA
R05 BBP
K04.1 NECROSIS PULP
SUSP. TYPHOID
R51 + K29.HEADACHE + GASTRITIS
K29.7 + I10GASTRITIS + HT
J06.9 ISPA
J06.9 + I10ISPA + HT + STOMATITIS
RHINITIS ALERGI
VL
J44.9 PPOK
R51 HEADACHE
DIGIGIT ULAR
SUSP. TYPHOID
K29.7 GASTRITIS
A15 TBC
K04.7
J44.9 SOPT
A09 GE
B01 VARICELLA
K29.7 GASTRITIS
J45 ASMA
K04.1 NECROSIS PULP
R05 BBP
R05 BBP
R50.9 OBS. FEBRIS
K29.7 GASTRITIS
I10 HT
A00 CHECK UP
DYSENTRI
R51 HEADACHE + TINEA
A09 + R05 DIARE + BBP
I10 + K29.7HT + GASTRITIS
A09 GE + OBS. VOMITTUS
R50.9 + K2DEMAM + GASTRITIS
HYPERMETROPIA
Z34 ANC
R50.9 OBS. FEBRIS
J02.9 FA
STOMATITIS
R50.9 DBM
R07.4 CHEST PAIN
E11 + I10 DM + HT
R51 HEADACHE
Z34 ANC

A09 DIARE
K04.1 NECROSIS PULP
K29.7 GASTRITIS
J06.9 ISPA
R50.9 OBS. FEBRIS
A09+ K29.7GE + GASTRITIS
RHINITIS ALERGI
R05 BATUK
FREQUENT MENSTRUATION
CHEST PAIN

Z34 ANC
I10 + R05 HT + BATUK
I10 HT
kusta

I63 SNH
A15 TBC

L23.9 DRA
IRRITABLE BOWEL SYNDROME
R05 BATUK
K04.7
Z34 ANC
R05 BATUK
kontrol jaitan
R50.9 DBM
I10 HT
J06.9 ISPA
R50.9 OBS. FEBRIS
OEDEM REGIO PATELLA
R05 BATUK
R05 + R50.BBP + DBM
K04.1 NECROSIS PULP
R05 + R50.BBP + DBM
R50.9 OBS. FEBRIS
I10 HT
R51 CEPHALGIA
R05
R05 + R50.BBP + DBM + DTD
K04.1 NECROSIS PULP
J06.9 ISPA
I10 + E10 HT + DM TYPE 2
CANDIDIASIS
OTITIS EC OMSK
VL
A15 TBC
K04.7
J45 ASMA
ANXIETAS
Z34 ANC
J44.9 SOPT
Z03 SUSP. TB
Z34 ANC
Z34 ANC
I10 HT
R50.9 DBM
R05 BATUK
GANTI PERBAN
K04.1 NECROSIS PULP
K29.7 GASTRITIS

K04.1 NECROSIS PULP

A15 TBC
K04.1 NECROSIS PULP
N20 COLITIS KIDNEY
Z34 ANC
R05 + L30. BBP + DERMATITIS
K29.7 GASTRITIS
UTRIKARIA EC SVABIES
Z34 ANC
Z34 ANC
R05 + R50.BBP + DBM
AMENNORHAGE GRAVIS
MYCOSIS
J45 ASMA
K00.63
K00.63
Z00 CHECK UP
EBSTEIN ANOMALY

OMA
STOMATITIS
Z34 ANC
I10 HT
R51 CEPHALGIA
STOMATITIS
LBP
K04.7
Z34 ANC
HEMOROID INTERNA
IMUNISASI
R05 + K29.BATUK + AGSTRITIS
HHD WITH RENAL FAILURE
R05 + R50.BBP + DBM
SUSP SOPT
K04.1 NECROSIS PULP
R05 BATUK
R05 BATUK LAMA
BISUL DI KEMALUAN
Z00 CHECK UP
R05 + R50.BBP + DBM
R05 BATUK
R50.9 + L3 DBM + DERMATITIS
R05 BATUK
J06.9 ISPA
ABDOMINAL PAIN
R50.9 OBS. FEBRIS
K29.7 GASTRITIS
J06.9 ISPA
R05 + R50.BBP + DBM
K00.63
I10 HT
KUSTA
EBSTEIN ANOMALLY

J06.9 ISPA
M13.9 ARTHRITIS
A15 TBC
J06.9 ISPA
J06.9 ISPA
Z34.1 ANC ANAK KE 1
J06.9 ISPA
Z34 ANC
M13.9 ARTHRITIS
K04.1 NECROSIS PULP
A15 TBC
H10 CONJUNCTIVITIS
J06.9 ISPA
B86 SCABIES
A15 TBC
Z34 ANC
L30.9 + M1DERMATITIS + MYALGIA
Z03 SUSP TB
K29.7 GASTRITIS
K29.7 GASTRITIS
J06.9 ISPA
K29.7 GASTRITIS
J06.9 ISPA
J06.9 ISPA
A15 TBC
M13.9 ARTHRITIS
R50.9 OBS. FEBRIS
J06.9 ISPA
J06.9 ISPA
A15 TBC
J06.9 ISPA
K04.1 NECROSIS PULP
HERNIA
A15 TBC
GANTI PERBAN
J06.9 ISPA
Z34 ANC
LIMFADENITIS
A15 TBC
A15 TBC
A15 TBC
A15 TBC
K04.1 NECROSIS PULP
A15 TBC
R50.9 OBS. FEBRIS
I10 + J06.9HT + ISPA + DERMATITIS
L30.9 DERMATITIS
K04.1 NECROSIS PULP
TERTUSUK PAKU
J06.9 ISPA
K04.1 NECROSIS PULP
R50.9 OBS. FEBRIS

R50.9 + L3 OBS. FEBRIS + DERMATITIS

L30.9 DERMATITIS
B90 SEQUALE TB
L30.9 + I10DERMATITIS + HT
Z30 KB
J06.9 ISPA
H10 CONJUNCTIVITIS
K29.7 GASTRITIS
I10 HT
Z34 ANC
A15 TBC
L30.9 DERMATITIS
K29.7 GASTRITIS
K04.1 NECROSIS PULP

J06.9 ISPA
HYPOKALAEMIA
R50.9 DEMAM
L30.9 DERMATITIS
A15 TBC
L30.9 DERMATITIS
Z00 CHECK UP
J06.9 ISPA
H10 CONJUNCTIVITIS
INSECT BITE
K59.7 GASTRITIS
K29.7 GASTRITIS
J06.9 ISPA
M79.1 MYALGIA
R51 HEADACHE
R51 + M13HEADACHE + ARTHRITIS
R05 BATUK PILEK
J45 ASMA
A15 TBC
ISK
I10 HT
I63 SNH
HHD
I10 + L30.9HT + DERMATITIS
J06.9 ISPA
A15 TBC
OMA
A15 TBC
R05 BBP
HEMOROID
Z34 ANC
R50.9 FEBRIS
K00.63
A09 DIARE
B01 VARICELLA
B01 VARICELLA
Z30
KB
R50.9 OBS. FEBRIS
R05 BBP
R05 BBP
HAEMORRGHIA
A15 TBC
THALASEMIA
R05 BBP
J06.9 ISPA
Z34 ANC
R51 HEADACHE
A09 DTD
M15
A15 TBC
SUSP. TYPHOID
R50.9 DBM
I10 HT
K04.1 NECROSIS PULP
R50.9 FEBRIS
R50.9 + A0DBM + DTD
J06.9 ISPA
M13.9 ARTHRITIS
K04.1 NECROSIS PULP
R51 HEADACHE
A15 TBC
J11 INFLUENZA
Z34 ANC
Z34 ANC
R50.9 FEBRIS HIPOTERMIA
I10 HT
J06.9 ISPA
K30 + I10 DYSPEPSIA + HT
Z30 KB
R50.9 DBM
Z34 ANC
R51 HEADACHE
R51 HEADACHE
ABSES
MARSITACUTE TRANSMURAL MYOCARDIAL
CHD
I10 HT
I10 + J02.9HT + FA
A15 TBC
I10 HT
M13.9 ARTHRITIS
OTALGIA
A15 TBC
I10 + M13.HT + ARTHRITIS
I10 HT
R50.9 OBS. FEBRIS
I10 + K29.7HT + GASTRITIS
R05 + R50.BBP + DBM
E10 DM TYPE 2
I10 HT
I10 HT
I10 HT
I10 HT
A15 TBC
I10 HT
J45.9 SOPT
I10 HT
MYOPIA
I10 + E11 HT + DM
A09 + R50.DTD + DBM
I10 + E11 HT + DM + TYPHOID
E10 DM TYPE 2
R05 + R50.BBP + DBM + DERMATITIS
I10 + K29.7HT + GASTRITIS
A15 TBC
R05 BBP
I10 HT
DAHAK
I10 HT + GIGI CARIES
I10 HT
URTIKARIA
PNEUMONIA
CANDIDIASIS
OMA
I10 HT
I10 HT
J06.9 ISPA
Z34 ANC
MELAHIRKAN
J06.9 ISPA
J06.9 ISPA
R05 BBP
R50.9 OBS. FEBRIS
A15 TBC

R05 BBP
L30.9 DERMATITIS
KESEMUTAN
A15 TBC
A18 TB LYMPADENOPATY
K29.7 GASTRITIS
I10 HT
K29.7 + H1GASTRITIS + CONJUNCTIVITIS
I10 + M13.HT + ARTHRITIS
A15 TBC
I10 HT
K29.7 GASTRITIS
J06.9 ISPA
I10 HT
J04.1 NECROSIS PULP
L30.9 DERMATITIS
A15 TBC
I10 HT
I10 HT
 VL
I10 HT
R51 HEADACHE
I10 HT
COMBUTIO
SUSP. TYPHOID
Z30 KB
R51 HEADACHE
ABDOMINAL PAIN
K04.1 NECROSIS PULP
K29.7 GASTRITIS
K04.1 NECROSIS PULP
I10 HT
R51 HEADACHE
SKLERITIK
I10 HT
A15 TBC
A09 DIARE
R50.9 OBS. FEBRIS
J06.9 ISPA
CHEST PAIN
A15 TBC
CANDIDIASIS
A15 TBC
J06.9 ISPA

A00 CHECK UP
A09 DIARE

K04.1 NECROSIS PULP

J11 INFLUENZA
H10 CONJUNCTIVITIS
J06.9 ISPA
ABDOMINAL PAIN
B86 SCABIES
POST TRAUMA
OEDEM REGION PATELLA
J06.9 ISPA
R05 BATUK
R05 BATUK
RHINITIS
STOMATITIS
L30.9 DERMATITIS
LBP
J06.9 ISPA
J06.9 ISPA
R05 BBP
URTIKARIA
HERPES
Z34 ANC
A15 TBC
A15 TBC
LBP + GOUT ARTHRITIS
K04.1 NECROSIS PULP
I10 HT
K04.1 NECROSIS PULP
R50.9 DBM
R50.9 DBM
K29.7 GASTRITIS
ISK
Z34 ANC
Z34 ANC

A09 DIARE
VL
J06.9 ISPA
A09 DTD
Z34 ANC
J06.9 ISPA
M13.9 ARTHRITIS
L23.9 DRA
R50.9 OBS. FEBRIS
I10 HT
Z34 ANC
K04.1 NECROSIS PULP
K04.1 NECROSIS PULP
J06.9 ISPA
VARICELLA
1I0 HT
B86 SCABIES
HERPES
M13.9 ARTHRITIS
A09 DIARE
A09 + J06. DTA + ISPA
R50.9 FEBRIS
STOMATITIS
L30.9 DERMATITIS

J45 ASMA
 HEMOROID
H10 CONJUNCTIVITIS
R05 + R50.BBP + DBM
A15 TBC
A15 TBC
ABSES
L23.9 DRA
A09 GE + OBS. VOMITUS
A09 DTD
I10 + A09 HT + GE
I10 HT + HYPERCHOLESTEROL
L23.9 + R5 DRA + OBS. FEBRIS
VL CC KLL
R51 + J02. HEADACHE + FA
K29.7 GASTRITIS + RHINITIS ALERGI
UP HECTING
J02.9 FA
COMBUTIO
L23.9 DRA
Z34 ANC
GIZI BURUK
K00.63
A18.4 TB LIMFADENITIS
J06.9 ISPA
A15 TBC
K29.7 + H1GASTRITIS + CONJUNCTIVITIS
I10 HT
K04.7
SUSP APPEDNICITIS
L30.9 DERMATITIS
R05 + R50.BBP + DBM
R05 BATUK
Z34 ANC
FURUNKLE
M13.9 ARTHRITIS
A15 TBC
R51 HEADACHE + INSOMNIA
J06.9 + J03ISPA + TONSILITIS
K04.1 NECROSIS PULP
R50.9 OBS. FEBRIS
M13.9 ARTHRITIS
R50.9 OBS. FEBRIS
K29.7 GASTRITIS
J03.9 + J06TONSILITIS + ISPA
Z34 ANC
J06.9 ISPA
A09 DTD
K04.1 NECROSIS PULP
K04.1 NECROSIS PULP
Z34 ANC
R05 BBP
J06.9 + K29ISPA + GASTRITIS
R50.9 OBS. FEBRIS
M13.9 ARTHRITIS
L23.9 DRA
I10 + J44.9HT + PPOK
R50.9 OBS. FEBRIS
E10 DM
R51 + J06. CEPHALGIA + ISPA
K00.63
R05 + A09 BBP + DTD
I10 HT
I10 + E10 HT + DM TYPE 2
K05.2
SUSP. URETHROLITHIS
A15 TBC
A15 TBC
VARISES
I10 HT
J06.9 ISPA
L30.9 DERMATITIS
IMDOSKLIRITIS
Z34 ANC
K04.1 NECROSIS PULP
R51 CAPHALGIA
H10 COMJUNCTIVITIS
Z34 ANC
HIPERTENSI GOUT

H10 CONJUNCTIVITIS
R05 BBP
K05.2
LIPOMA
K04.1
J06.9 ISPA
SUSP. BRONCHITIS
M79.1 MYALGIA
J06.9 ISPA
Z34 ANC
Z34.1 ANC ANAK KE 1
L30.9 DERMATITIS
M13.9 ARTHRITIS
Z34 ANC
KATARAK
J06.9 ISPA
M79.1 MYALGIA
R05 BBP
R05 BATUK
ISK
GONATHROSIS
R05 BBP
POST ABORTUS
A09 DIARE
R05 BBP
M79.1 MYALGIA + SKLERITIS
STOMATITIS
A15 TBC
KONTROL POST PARTUM
J06.9 ISPA
J06.9 ISPA
R05 BBP
A15 TBC
OEDEM DI PIPI
K04.1 NECROSIS PULP
I10 HT
FLOUR ALBUS

R50.9 OBS. FEBRIS

ABDOMINAL PAIN
K04.1 NECROSIS PULP
Z34 ANC
B86 SCABIES
ABSES

R05 COUGH
M13.9 ARTHRITIS
URTIKARIA
Z34 ANC
J06.9 ISPA
I10 HT
MYCOSIS
A34.1 ANC ANAK KE 1
R50.9 OBS. FEBRIS

CHD
K00.63
SKLERITIS
I10 HT + MYCOSIS
ISK
IMPETIGO
R05 + J11 BATUK + PILEK
A09 DIARE
K29.7 GASTRITIS
HAEMORROID
R51 CEPHALGIA EC ASMA
K05.2

CHD
CANDIDIASIS
CHD
Z34 ANC
K29.7 GASTRITIS
URTIKARIA EC SCABIES
KUSTA
K29.7 + J44GASTRITIS + SOPT

L23.9 DRA + SAKIT MATA

A15 TBC
COMMOND COLD
L30.9 DERMATITIS
A15 TBC
A09 DTD
OTHER ANEMIAS
M13.9 ARTHRITIS
K29.7 + J02GASTRITIS + FA
ABSES
HERPES
R50.9 + K2OBS. FEBRIS + GASTRITIS
R05 + R50.BBP + DBM + CONJUNCTIVITIS
Z30 KB
J06.9 ISPA
R05 BATUK
R05 COUGH
J06.9 ISPA
K29.7 GASTRITIS
SUNTIK
KLL
I10 + L30.9HT + DERMATITIS
R05 + A09 BBP + DTD
J06.9 ISPA
K04.7
K30 + J45 DYSPEPSIA + SESAK
K04.1 NECROSIS PULP
R05 + R50.BBP + DBM
Z30 KB
A09 + R50.DTD + DBM
R05 BBP
R05 BBP

BACKGROUND RETINOPATHY
Z34.1 ANC ANAK KE 1
K29.7 GASTRITIS
R05 + L30. BBP + DERMATITIS
R05 BBP
OTHER ANEMIAS
BISUL + DERMATITIS
L23.9 + R0 DRA + COUGH
R05 + R50.BBP + DBM
GIZI
Z34 ANC
A15 TBC
I10 + J06.9HT + ISPA
L23.9 DRA
A15 TBC
COMBUTIO EC KNALPOT
J45 ASMA
A34 ANC
HLL DEXTRA
K29.7 GASTRITIS
Z30 KB
R05 + L30. BBP + DERMATITIS
I63 + E10 SNH + DM TYPE 2
K29.7 GASTRITIS
R50.9 OBS. FEBRIS
M13.9 ARTHRITIS
K05.2

L23.9 DRA
L30.9 DERMATITIS
L30.9 DERMATITIS
R51 HEADACHE + HIPOTENSI
Z30 KB
R05 + R50.BBP + DBM
R05 + R50.BBP + DBM + DTD
R05 BBP
I10 HT
R50.9 FEBRIS
K04.1 NECROSISI PULP
L23.9 DRA
I10 HT
J06.9 ISPA
R05 BBP
A09 + M13DIARE + ARTHRITIS
E10 DM TYPE 2
J06.9 ISPA
M13 ARTHRITIS
I25 CHD
R50.9 DBM
J02.9 FA
K30 DYSPEPSIA
SAKIT GIGI
R05 BATUK LAMA
VERTIGO
HEADACHE SYNDROME
DOWN SYNDROME
R51 CEPHALGIA
Z34 ANC
R05 + L30. BBP + DERMATITIS
I10 HT
I10 + M13.HT + ARTHRITIS
I10 + E10 HT + DM
I10 HT
I10 HT
R50.9 DBM
I10 + E11 HT + DM
E11 + M13.DM + ARTHRITIS
I10 + M13.ARTHRITIS
I10 HT
E11 + H10 DM + CINJUNCTIVITIS
E11 DM
A15 TBC
I11 DM
I10 + M13.HT + ARTHRITIS
I10 HT
A15 TBC
M13.9 ARTHRITIS
I10 HT
I10 + M13.INSOMNIA + HT + ARTHRITIS
A15 TBC
I10 + M13.HT + ARTHRITIS
J45 ASMA
R50.9 DBM
I10 HT
J06.9 ISPA
E11 + J06.9DM + ISPA
A15 TBC
Z34 ANC
I10 + E11 HT + DM + ARTHRITIS
A15 TBC
I10 HT
J06.9 ISPA + OTALGIA

R05 BBP
I10 + K29. HT + GASTRITIS + ARTHRITIS
A15 TBC
A15 TBC
A15 TBC
A15 TBC
A15 TBC
E10 DM TYPE 2
RHINITIS
MYCOSIS
R05 + J11 +BBP + PILEK + DERMATITIS
R05 + J11 +BBP + PILEK + DERMATITIS
OEDEM
I10 + E11 HT + DM
A15 TBC
I10 HT
J06.9 + K20ISPA + OSEOPHAGITIS + HT
ISK
HEMAPTOE
I10 HT
J06.9 ISPA
A15 TBC
J06.9 + L2. ISPA + DRA
J06.9 + E10ISPA + DM TYPE 2
A15 TBC
A15 TBC
I10 + M79.HT + MYALGIA
I10 HT
I10 HT
KONTROL JAHITAN
I10 + M79.HT + MYALGIA
I10 HT
 SECONDARY HT
A18 TB LIMFADENITIS
K04.1 NECROSIS PULP
J45 ASMA
R50.9 + T0 PANAS + BBP + PILEK
I10 K29.7 HT + GASTRITIS
CHEST PAIN
A15 TBC
I10 HT + STOMATITIS
I10 HT
J11 + R05 PILEK + BATUK
A15 TBC
I10 + E11 HT + DM
KONTROL POST SC
E11 + I10 DM + HT + ARTHRITIS
E11 + I10 DM + HT + ARTHRITIS
K04.1 NECROSIS PULP
Z0.3 SUSP. TB
J44.9 SOPT
I10 + K30 HT + DYSPEPSIA
A15 TBC
K04.1 NECROSIS PULP
J06.9 ISPA
1I0 + M13.HT + ARTHRITIS
J06.9 ISPA
R05 + L30. BBP + DERMATITIS
HORDELEOUM
R50.9 DEMAM
A15 TBC
Z34 ANC
A15 TBC
MYCOSIS
Z34 ANC
IMPETIGO
I10 + J44.9HT + SOPT
A15 TBC
I10 FLOUR ALBUS + HHD
VP EC KETUSUK PAKU
Z30 KB
A15 TBC
A15 TBC
A15 TBC
A15 TBC
A15 TBC
I10 + H10 HT + CONJUNCTIVITIS
 IKHTIOSIS
A15 TBC
I10 HT
K04.1 NECROSIS PULP
A15 TBC

J06.9 ISPA
Z34 ANC
Z34 ANC
CANDIDIASIS
A09 DIARE + CANDIDIASIS
I10 HT

M13.9 ARTHRITIS
Z34 ANC
MYCOSIS
A15 TBC
I10 HT
K05.1
A15 TBC
J06.9 ISPA
M13.9 ARTHRITIS
E11 DM
I10 HT
E10 DM
1I0 HT
I10 HT
I10 + K29.7HT + GASTRITIS
J06.9 ISPA

MYOPIA
J06.9 ISPA
MYCOSIS
ISK
J06.9 + L23ISPA + DRA

R50.9 OBS. FEBRIS

A15 TBC
A15 TBC
R05 BBP
J06.9 ISPA
K30 + L23. DYSPEPSIA + DRA
R50.9 DBM
I10 HT
K30 + R50.SYPSEPSIA + OBS. FEBRIS
K30 DYSPEPSIA
J45 ASMA
R05 BBP
HERPES
R50.9 DBM
SUSP. TYPHOID
R50.9 OBS. FEBRIS
R05 BBP
K30 DYSPEPSIA
J02.9 + K30FA + DYSPEPSIA

J44.9 SOPT
R50.9 DBM

E10 DM
J06.9 ISPA
J06.9 ISPA
KONTAK DENGAN PENDERITA TB

L23.9 DRA
POST HECTING
EPILEPSI
J06.9 ISPA
R50.9 DBM
J45 ASMA
B86 SCABIES
R50.9 OBS. FEBRIS
R05 BBP
R50.9 DBM
R05 BBP

Z34.1 ANC ANAK KE 1

A15 TBC

R50.9 OBS. FEBRIS + KATARAK OS

K29.7 GASTRITIS
I10 HT
A15 TBC
R05 BATUK
R05 BBP

R51 CEPHALGIA
Z34 ANC
Z34 ANC
K29.7 GASTRITIS
 FLOUR ALBUS
K30 DYSPEPSIA

K30 DYSPEPSIA
ALLERGY
Z34 ANC
R05 BBP
I10 + K29.7HT + GASTRITIS
Z34 ANC
SAKIT GIGI
J45 ASMA
J06.9 ISPA
R50.9 OBS. FEBIS
I10 + A09 DHT + DIARE
 UMUR
NO NAMA ALAMAT
L P
1 DEDE RAHMAT 43 PASIR LOR 6443 7:41
2 KUSDI 74 MARAPIT 1501 7:43
3 HAYATI 39 MARAPIT 1501 7:44
4 SITI MAR'ATU SOLEHAH 6 BL PANANGGUNGAN 5322 7:46
5 SITI ANISA 3 PANANGGUNGAN 5322 7:46
6 ALFIAH 33 KADU SUMUR 1726 7:49
7 ASKAH 64 NYODOR 7475 7:51
8 ALIKA 6 BL CIPANCUR 2774 7:52
9 SITI ROHAMAH 49 CIKOKOSAN 403 7:55
10 SITI AISAH 44 KASTURI 7:55
11 SAWIRI 50 KASTURI 7:55
12 EMBAY 34 CISEYEG 8:02
13 JUHAERIYAH 42 SUMUR PETEUY 352 8:04
14 SUBAEKAH 73 SIKALAPA 8:07
15 PAIKOH 39 SIKALAPA 8:09
16 HOLIDAH 20 SIKALAPA 8:09
17 MISTA 51 CIKOKOSAN 6811 8:15
18 ROSIDA 59 KOPRAH 2111 8:17
19 MUHIDIN 17 CURUG AGUNG 4571 8:19
20 AHMAD RIFKI 33 KP SAWHA 4992 8:22
21 ROSMAWATI 23 BAROS MASJID 1150 8:23
22 AFDA L 9 SIRANGGON 8:28
23 SOFIAH 9 SIRANGGON 8:28
24 BAMBANG IRAWAN 20 LAMPUNG 8:31
25 MAEMUNAH 25 PASIR EURIH 8:33
26 ROSIAH 26 SITAMBAGA 8:36
27 RIFAI 55 SUKAMANAH 373 8:39
28 FATIMAH 65 LEMBUR ASEUM 8:42
29 SAMIAH 43 CIKEREMBENG 4627 8:45
30 SAEPUDIN 61 CIPEUCANG 2146 8:46
31 SARIPUDIN 54 CIMEONG 8:49
32 ROHAYATI 47 CIMEONG 8:51
33 KAYLA 1,8 BOJOT 8:53
34 SRI RUMYANAH 44 CIPARI 8:54
35 SULASIAH 22 SILAYUNG 8:56
36 TATI HASANAH 27 CIKARANG 8:57
37 TEGUH RAHMAT 40 PALIMA INDAH 7471 8:59
38 SUNARDI 41 CIPEUCANG 9:05
SITI AKMALIYAH ADHA
39 3 BAROS MASJID 6044 9:08
40 M IBNU 8 DUKU PINANG 1920 9:11
41 IPAH SAPINAH 38 DUKU PINANG 1920 9:11
42 LELAH 18 CALINCING 9:13
43 PAJRI 10 SINDANGMANDI 5698 9:15
44 DINI ASSIFA 2 KASTURI 7302 9:17
45 HUNTOMAH 52 PEJATEN 54 9:18
46 DANDI 2 DUKUH RATU 2108 9:18
47 ALISA 1,5 CIPARI 9:20
48 JUMAH 49 KALAPA LIMA 7507 9:23
49 HAYATI NUFUS 56 KALAPA LIMA 9:25
50 JUMAETI 37 KAREO PANJANG 9:27
51 MUPLIHAH 22 SOBONG 9:29
52 MAMAD 28 PASIR SIREUM 9:31
53 PADLI 28 KADU MALAM 9:32
54 abbad nauli habshan 3 GUNALONG 6337 9:33
55 SAPIAH 31 JEUNGJING 9:34
56 MAEMUNAH 38 CIPACUNG 9:37
57 TUTI 20 SIGEGER 9:40
58 KODRI 48 CIPACUNG 9:42
59 RINA ALFIANI 26 SUMUR PETEUY 9:43
60 EDI PURWANTO 46 KP SAWAH 6972 9:45
61 NELIANA 29 KADU TIKUKUR 9:46
62 DODY SUDRAJAT 68 KALAPA LIMA 22 9:54
63 UDI 45 WARUNG 9:55
64 HAMIMAH 60 RANCA KAREO 10:02
65 IYAH 35 SEUAT 10:02
66 DEDE ASHADIAH 27 CANGKUDU 10:04
67 LIA RAHMAWATI 27 SINDANGJAYA 10:09
68 SANA 50 RANCA KAREO 10:10
69 MARPUAH 49 MEKARSARI 10:11
70 MUTIARA AL ZAHRA 6 DUKU RATU 10:14
71 SURNI 35 CIPACUNG 10:16
72 HINDUN 40 KAREO WETAN 10:17
73 ARIFIN 19 SINDANGMANDI 4462 10:23
74 TITIN SUARTINI 37 CIPACUNG 7120 10:25
75 GIBRAN 3,6 CIPACUNG 7120 10:25
76 ACENG EFENDI 37 CIPACUNG 7120 10:25
77 HAFID 2 BOJOT 10:29
78 SRI RAHAYU 9 BL DUKUH RATU 10:30
79 JUBAEDAH 40 NYATUH 4617 10:32
80 SILAWATI 36 KALOBARANG 2260 10:43
81 HJ EHA 70 KALOBARANG 10:44
 82 SANHANI 46 PARAKAN SAAT 5471 10:50
83 GUNTUR SAPUTRA 9 SENGIR 10:53
84 amdanah 44 padurung 10:58
85 SARNAH 64 MAYAK 793 11:04
86 HISAM 2 BATU LINGGA 11:09
87 ALI IMRON 30 KAREO PANJANG 11:12
88 MUHAYAH SIDUWET 11:12
89 SAPRONI SIDUWET 11:12
90 M IRDWAN 14 PAGEDONGAN 838 11:47
66 H. AKHMAD PATONI NYATUH 11:47
67 KANAN NYATUH 11:47
68 MUHAMAD FAQIH DAEROBI 7 HULUCAI 11:00
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
JUMLAH
 REGIS TERASI KUNJUNGAN RAWAT JALAN
PKM BAROS
1 AGUSTUS

JENIS KUNJUNGAN
JENIS PEMBAYARAN TUJUAN POLI RUJUKAN
BARU LAMA UMUM BPJS BPU BPG MTBS KIA KB UGD VK LAB BPJS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
32 60 45 47 74 0 12 6 0 0 0 0 0
RUJUKAN
NAMA PEMERIKSA ICD-X DIAGNOSA
SKTM

KUSTA
KIR
KIR
KIR S
0