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PEMERINTAH KABUPATEN NATUNA

PUSKESMAS SEDANAU
Jln. Hang Tuah No. 20 - Sedanau Kec. Bunguran Barat Provinsi Kepulauan Riau
Telp. /puskesmas.sedanau@gmail.com
SEDANAU

LAPORAN KUNJUNGAN RAWAT JALAN (01-Mar-2023 s.d 30-Apr-2023)

Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
1 RJ0001.01.01.796 13-Apr-2023 08:35 00.08.56 YENI MARLINA Perempuan 39 Lama L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
2 RJ2023.03.03.105 03-Mar-2023 08:39 00.22.77 ABU AL HASAN HARKONI Laki-Laki 20 Lama J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified
3 RJ2023.03.03.111 03-Mar-2023 08:48 00.26.99 AHMAD Laki-Laki 63 Lama I20 Angina pectoris Poli Umum KIS dr. ROSI NADILAH
Essential (primary)
4 RJ2023.03.03.113 03-Mar-2023 08:54 00.19.19 PIT TAT ALIAS JEFTA Laki-Laki 75 Lama I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
Essential (primary)
5 RJ2023.03.03.123 03-Mar-2023 09:23 00.09.61 R.RAHMANIAR Perempuan 63 Baru I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
Essential (primary)
6 RJ2023.03.03.125 03-Mar-2023 09:33 00.19.70 MAIMUNAH Perempuan 48 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. ROSI NADILAH
dependent diabetes mellitus
7 RJ2023.03.03.133 03-Mar-2023 09:44 00.25.75 DEDEK Perempuan 44 Lama F20 Schizophrenia Poli Umum KIS dr. ROSI NADILAH
Essential (primary)
8 RJ2023.03.03.138 03-Mar-2023 09:52 00.05.44 DEWA SETIAWATI Perempuan 54 Lama I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
Acute upper respiratory
9 RJ2023.03.03.143 03-Mar-2023 10:00 00.25.84 RASYIFA ANNAURA Perempuan 10 Lama J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified
Acute upper respiratory
10 RJ2023.03.03.146 03-Mar-2023 10:01 00.11.81 CITRA DWI HERNIS Perempuan 23 Baru J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified
11 RJ2023.03.03.147 03-Mar-2023 10:07 00.27.14 DANIEL OKTAVIANUS Laki-Laki 19 Lama L23 Allergic contact dermatitis Poli Umum KIS dr. ROSI NADILAH

12 RJ2023.03.03.148 03-Mar-2023 10:07 00.04.75 KEYZHA DWI LESTARI Perempuan 14 Lama J45.9 Asthma, unspecified Poli Umum KIS dr. ROSI NADILAH
Acute upper respiratory
13 RJ2023.03.03.151 03-Mar-2023 10:58 00.27.15 KHAIRUNNISA Perempuan 17 Lama J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified
14 RJ2023.03.04.223 04-Mar-2023 10:14 00.20.91 TSABIT QEIS ABQORI Laki-Laki 8 Lama H52.1 Myopia Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
hypertension ,Non-insulin-
I10 ,E11
15 RJ2023.03.04.229 04-Mar-2023 10:31 00.27.91 SYARIFAH ZAHARAH Perempuan 72 Baru dependent diabetes Poli Umum KIS dr. Wan Arie Afryadi
,E78.4
mellitus ,Other
hyperlipidaemia
16 RJ2023.03.06.279 06-Mar-2023 09:11 00.08.90 VIKRI RAHMADANI Laki-Laki 6 Lama B86 Scabies Poli Umum KIS dr. ROSI NADILAH
Other forms of systemic lupus
17 RJ2023.03.06.290 06-Mar-2023 10:50 00.06.56 KARTINI SUHARTO Perempuan 41 Lama M32.8 Poli Umum KIS dr. ROSI NADILAH
erythematosus

06 May 2023 1/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Hepatomegaly and
18 RJ2023.03.06.297 06-Mar-2023 11:28 00.27.92 MELKI SUARDI Laki-Laki 20 Baru R16 splenomegaly, not elsewhere Poli Umum KIS dr. ROSI NADILAH
classified
Allergic contact
L23 ,K29
19 RJ2023.03.07.327 07-Mar-2023 08:43 00.27.93 NURHAJEMAH Perempuan 21 Lama dermatitis ,Gastritis, Poli Umum KIS dr. Wan Arie Afryadi
.7
unspecified
Gastro-oesophageal reflux
K21.9 ,K
20 RJ2023.03.07.341 07-Mar-2023 09:18 00.27.94 USKAR Laki-Laki 67 Baru disease without Poli Umum KIS dr. Wan Arie Afryadi
59.0
oesophagitis ,Constipation
Acute renal failure,
21 RJ2023.03.07.348 07-Mar-2023 09:55 00.27.95 NAJAMUDDIN Laki-Laki 43 Lama N17.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified
Fever, unspecified ,Other
R50.9 ,K
22 RJ2023.03.07.354 07-Mar-2023 10:21 00.06.66 JOEL ASKAIDO MANURUNG Laki-Laki 8 Lama specified disorders of teeth Poli Umum KIS dr. Wan Arie Afryadi
08.8
and supporting structures
MUHAAMMAD HANIF Acute upper respiratory
23 RJ2023.03.07.359 07-Mar-2023 10:35 00.15.73 Laki-Laki 8 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
MAULANA infection, unspecified
Acute upper respiratory
24 RJ2023.03.07.360 07-Mar-2023 10:38 00.27.96 KHODIJAH FITRIA AZZAHA Perempuan 6 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
25 RJ2023.03.07.366 07-Mar-2023 11:18 00.18.69 FINA HERNIATY Perempuan 36 Lama D23.9 Skin, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
26 RJ2023.03.08.372 08-Mar-2023 08:19 00.08.23 AISYAH Perempuan 65 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. ROSI NADILAH
dependent diabetes mellitus
Non-insulin-dependent
diabetes mellitus ,Essential
E11 ,I10
27 RJ2023.03.08.373 08-Mar-2023 08:22 00.27.97 NORMIAH Perempuan 59 Baru (primary) Poli Umum KIS dr. ROSI NADILAH
,I50.0
hypertension ,Congestive
heart failure
L20.9 ,G Atopic dermatitis,
28 RJ2023.03.08.374 08-Mar-2023 08:30 00.10.04 MUHAMMAD GAFUR Laki-Laki 60 Lama Poli Umum KIS dr. ROSI NADILAH
40 unspecified ,Epilepsy
29 RJ2023.03.08.375 08-Mar-2023 08:52 00.02.25 SYAFARUDIN Laki-Laki 51 Lama G44 Other headache syndromes Poli Umum KIS dr. ROSI NADILAH

30 RJ2023.03.08.376 08-Mar-2023 08:59 00.10.12 MANGGURNA Perempuan 61 Lama K29.7 Gastritis, unspecified Poli Umum KIS dr. ROSI NADILAH
Essential (primary)
I10 ,E78.
31 RJ2023.03.08.385 08-Mar-2023 09:09 00.09.59 WAN ASWAR Laki-Laki 70 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. ROSI NADILAH
5
, unspecified
Essential (primary)
hypertension ,Arthrosis,
I10 ,M19 unspecified ,Hyperuricaemia
32 RJ2023.03.08.387 08-Mar-2023 09:38 00.07.02 ZIADI Laki-Laki 59 Lama Poli Umum KIS dr. ROSI NADILAH
.9 ,E79.0 without signs of inflammatory
arthritis and tophaceous
disease
33 RJ2023.03.08.434 08-Mar-2023 10:35 00.21.92 FAHRULLAZI Laki-Laki 47 Lama F20 Schizophrenia Poli Umum KIS dr. ROSI NADILAH
Gastritis,
K29.7 ,E unspecified ,Hyperlipidaemia,
34 RJ2023.03.09.454 09-Mar-2023 08:14 00.14.67 AZRIANTI Perempuan 43 Lama 78.5 ,J0 unspecified ,Acute upper Poli Umum KIS dr. Wan Arie Afryadi
6.9 respiratory infection,
unspecified

06 May 2023 2/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Disorders of initiating and
35 RJ2023.03.09.456 09-Mar-2023 08:17 00.08.43 H. ABDUL MUIN Laki-Laki 79 Lama G47.0 Poli Umum KIS dr. Wan Arie Afryadi
maintaining sleep [insomnias]
36 RJ2023.03.09.462 09-Mar-2023 08:26 00.09.27 WARIA Laki-Laki 60 Lama J45 Asthma Poli Umum KIS dr. Wan Arie Afryadi
K29.7 ,M Gastritis, unspecified ,Gout,
37 RJ2023.03.09.463 09-Mar-2023 08:28 00.09.28 RATNAWATI Perempuan 57 Lama Poli Umum KIS dr. Wan Arie Afryadi
10.9 unspecified
Acute nasopharyngitis
38 RJ2023.03.09.464 09-Mar-2023 08:28 00.09.29 KARINA Perempuan 19 Lama J00 Poli Umum KIS dr. Wan Arie Afryadi
[common cold]
Non-insulin-dependent
39 RJ2023.03.09.468 09-Mar-2023 08:31 00.20.66 RAJA JUMADIAR Laki-Laki 58 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
Non-insulin-dependent
40 RJ2023.03.09.472 09-Mar-2023 08:37 00.07.05 ABDUL MALIK Laki-Laki 61 Lama E11 ,I10 diabetes mellitus ,Essential Poli Umum KIS dr. Wan Arie Afryadi
(primary) hypertension
41 RJ2023.03.09.484 09-Mar-2023 08:54 00.03.87 FAUZAN HABIBURROHIM Laki-Laki 10 Lama L50.9 Urticaria, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,K29.
42 RJ2023.03.09.488 09-Mar-2023 09:07 00.00.03 YURNORWATI Perempuan 57 Lama hypertension ,Gastritis, Poli Umum KIS dr. Wan Arie Afryadi
7
unspecified
43 RJ2023.03.09.500 09-Mar-2023 09:22 00.27.61 FARIDA Laki-Laki 34 Lama J45 Asthma Poli Umum KIS dr. Wan Arie Afryadi
Burns classified according to
44 RJ2023.03.09.502 09-Mar-2023 09:24 00.20.81 RAISA ANDRIANA Perempuan 1 Lama T31 extent of body surface Poli Umum KIS dr. Wan Arie Afryadi
involved
45 RJ2023.03.10.550 10-Mar-2023 08:18 00.22.81 SURYANI Perempuan 56 Baru B35.6 Tinea cruris Poli Umum KIS dr. ROSI NADILAH
With other specified
46 RJ2023.03.10.559 10-Mar-2023 08:34 00.18.28 USMAN Perempuan 64 Lama E11.6 Poli Umum KIS dr. ROSI NADILAH
complications
47 RJ2023.03.10.562 10-Mar-2023 08:38 00.27.98 RAHIMAN HAFFIZ STIAWAN Laki-Laki 7 Baru R50.9 Fever, unspecified Poli Umum KIS dr. ROSI NADILAH

48 RJ2023.03.10.566 10-Mar-2023 08:46 00.02.72 AIDIL RACHMAN Laki-Laki 46 Baru M79.1 Myalgia Poli Umum KIS dr. ROSI NADILAH
Cutaneous abscess, furuncle
49 RJ2023.03.10.571 10-Mar-2023 09:02 00.26.09 MUTTARIDI Laki-Laki 58 Lama L02.9 Poli Umum KIS dr. ROSI NADILAH
and carbuncle, unspecified
Essential (primary)
50 RJ2023.03.10.576 10-Mar-2023 09:12 00.02.94 JOHAN Laki-Laki 64 Lama I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
51 RJ2023.03.10.581 10-Mar-2023 09:32 00.10.40 WAN HASBIOLLAH Laki-Laki 47 Lama H16 Keratitis Poli Umum KIS dr. ROSI NADILAH
Essential (primary)
52 RJ2023.03.10.588 10-Mar-2023 10:11 00.23.42 FAUZI Laki-Laki 64 Lama I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
53 RJ2023.03.10.589 10-Mar-2023 11:00 00.24.11 AZKAYRA HASNA Perempuan 6 Lama R50.9 Fever, unspecified Poli Umum KIS dr. ROSI NADILAH

54 RJ2023.03.11.594 11-Mar-2023 08:05 00.08.08 THE HOA KIANG Laki-Laki 84 Baru E78.5 Hyperlipidaemia, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
55 RJ2023.03.11.598 11-Mar-2023 08:21 00.05.75 APIT Laki-Laki 41 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Acute upper respiratory
56 RJ2023.03.11.616 11-Mar-2023 08:52 00.12.30 LUKMAN NURUL HAKIM Laki-Laki 40 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
I10 ,E78.
57 RJ2023.03.11.632 11-Mar-2023 09:15 00.13.37 NURHATIBAH Perempuan 59 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
5
, unspecified
Open wound of unspecified
58 RJ2023.03.11.645 11-Mar-2023 09:23 00.28.01 SRI DEKA WAHYUNI Perempuan 33 Baru T14.1 Poli Umum KIS dr. Wan Arie Afryadi
body region
06 May 2023 3/23
Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
I10 ,R07
59 RJ2023.03.11.652 11-Mar-2023 09:42 00.24.87 MUSLIM Laki-Laki 50 Lama hypertension ,Chest pain, Poli Umum KIS dr. Wan Arie Afryadi
.4
unspecified
Hyperlipidaemia,
E78.5 ,J unspecified ,Acute upper
60 RJ2023.03.11.668 11-Mar-2023 10:13 00.09.40 ZUBAIDAH Perempuan 71 Lama 06.9 ,L2 respiratory infection, Poli Umum KIS dr. Wan Arie Afryadi
0.9 unspecified ,Atopic dermatitis,
unspecified
Essential (primary)
61 RJ2023.03.11.679 11-Mar-2023 10:46 00.02.31 NURMA Perempuan 63 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
62 RJ2023.03.11.681 11-Mar-2023 11:04 00.04.75 KEYZHA DWI LESTARI Perempuan 14 Lama J45.9 Asthma, unspecified Poli Umum KIS dr. Wan Arie Afryadi
With other specified
E11.6 ,E
63 RJ2023.03.13.702 13-Mar-2023 08:12 00.28.02 AYAT MUHAYATSYAH Laki-Laki 56 Lama complications ,Non-insulin- Poli Umum KIS dr. ROSI NADILAH
11
dependent diabetes mellitus
Essential (primary)
I10 ,J06. hypertension ,Acute upper
64 RJ2023.03.13.719 13-Mar-2023 08:44 00.05.78 AZWAR KADIR Laki-Laki 73 Lama Poli Umum KIS dr. ROSI NADILAH
9 respiratory infection,
unspecified
Essential (primary)
I10 ,E78.
65 RJ2023.03.13.725 13-Mar-2023 08:52 00.03.71 BUJANG ASFAR Laki-Laki 71 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. ROSI NADILAH
5
, unspecified
Heart failure ,Essential
66 RJ2023.03.13.734 13-Mar-2023 08:57 00.12.58 ARIS MAJID Laki-Laki 63 Lama I50 ,I10 Poli Umum KIS dr. ROSI NADILAH
(primary) hypertension
67 RJ2023.03.13.742 13-Mar-2023 09:09 00.08.80 HALIMAH TUSSAKDIAH Perempuan 49 Lama L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. ROSI NADILAH
Essential (primary)
68 RJ2023.03.13.743 13-Mar-2023 09:09 00.08.79 ALI MUSA Laki-Laki 53 Lama I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
Essential (primary)
hypertension ,Adhesive
I10 ,M75
69 RJ2023.03.13.746 13-Mar-2023 09:13 00.06.23 IBRAHIM Laki-Laki 67 Lama capsulitis of shoulder ,Non- Poli Umum KIS dr. ROSI NADILAH
.0 ,E11
insulin-dependent diabetes
mellitus
Chronic ischaemic heart
70 RJ2023.03.13.749 13-Mar-2023 09:17 00.07.97 MULIHARDI Laki-Laki 60 Lama I25 Poli Umum KIS dr. ROSI NADILAH
disease
Acute upper respiratory
J06.9 ,H infection,
71 RJ2023.03.13.757 13-Mar-2023 09:25 00.13.93 JUMIATI Perempuan 21 Baru Poli Umum KIS dr. ROSI NADILAH
61.2 unspecified ,Impacted
cerumen
72 RJ2023.03.13.763 13-Mar-2023 09:38 00.10.40 WAN HASBIOLLAH Laki-Laki 47 Lama H16 Keratitis Poli Umum KIS dr. Wan Arie Afryadi
Irregular menstruation,
73 RJ2023.03.13.785 13-Mar-2023 10:24 00.28.09 KRISDAYANTI Perempuan 25 Baru N92.6 Poli Umum KIS dr. ROSI NADILAH
unspecified
Essential (primary)
I10 ,E78.
74 RJ2023.03.13.787 13-Mar-2023 10:42 00.11.32 SITI SAHARA Perempuan 66 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. ROSI NADILAH
5
, unspecified
75 RJ2023.03.13.789 13-Mar-2023 10:45 00.28.10 FITRA DENI SUKMA NANDA Laki-Laki 27 Baru G51.0 Bell's palsy Poli Umum KIS dr. ROSI NADILAH

76 RJ2023.03.14.822 14-Mar-2023 08:22 00.28.12 muhammad al fatih Laki-Laki 3 Lama R10 Abdominal and pelvic pain Poli Umum JASA RAHARJA dr. Wan Arie Afryadi

77 RJ2023.03.14.832 14-Mar-2023 08:33 00.13.36 SYARIFAH AZAM Perempuan 70 Lama M10.9 Gout, unspecified Poli Umum KIS dr. Wan Arie Afryadi

06 May 2023 4/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
78 RJ2023.03.14.834 14-Mar-2023 08:36 00.14.16 FARZIAH Laki-Laki 43 Lama G43.9 Migraine, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
79 RJ2023.03.14.835 14-Mar-2023 08:37 00.02.07 RAJA MUHAMMAD SAID Laki-Laki 63 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
80 RJ2023.03.14.871 14-Mar-2023 09:43 00.05.32 DEWI KUSUMA Perempuan 51 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
81 RJ2023.03.14.876 14-Mar-2023 10:01 00.03.27 rustam Laki-Laki 43 Baru R53 Malaise and fatigue Poli Umum KIS dr. Wan Arie Afryadi
Gastro-oesophageal reflux
82 RJ2023.03.14.878 14-Mar-2023 10:08 00.10.27 NURIPAH Perempuan 35 Lama K21 Poli Umum KIS dr. Wan Arie Afryadi
disease
Non-insulin-dependent
83 RJ2023.03.14.883 14-Mar-2023 10:23 00.03.26 ASFIZA Perempuan 43 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
Essential (primary)
I10 ,F20.
84 RJ2023.03.14.896 14-Mar-2023 10:52 00.18.92 AYU RUSMINI Perempuan 53 Lama hypertension ,Schizophrenia, Poli Umum KIS dr. Wan Arie Afryadi
9
unspecified
Non-insulin-dependent
E11 ,J06 diabetes mellitus ,Acute upper
85 RJ2023.03.14.900 14-Mar-2023 11:48 00.18.21 SUHARTATI Perempuan 59 Lama Poli Umum KIS dr. Wan Arie Afryadi
.9 respiratory infection,
unspecified
86 RJ2023.03.15.1000 15-Mar-2023 13:16 00.28.18 IMAN WIRANJAYA Laki-Laki 25 Baru R50.9 Fever, unspecified Poli Umum KIS dr. ROSI NADILAH
Acute upper respiratory
87 RJ2023.03.15.911 15-Mar-2023 07:57 00.03.64 HAMIDAH Perempuan 59 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Disorders of initiating and
88 RJ2023.03.15.912 15-Mar-2023 08:00 00.25.04 HASTUTI Perempuan 28 Lama G47.0 Poli Umum KIS dr. ROSI NADILAH
maintaining sleep [insomnias]
With other specified
89 RJ2023.03.15.916 15-Mar-2023 08:06 00.22.07 RAJA IDAH Perempuan 68 Lama E11.6 Poli Umum KIS dr. ROSI NADILAH
complications
Impetigo ,Acute upper
L01 ,J06
90 RJ2023.03.15.931 15-Mar-2023 08:32 00.13.95 muhammad ezar albianisya Perempuan 4 Baru respiratory infection, Poli Umum KIS dr. ROSI NADILAH
.9
unspecified
Cutaneous abscess, furuncle
91 RJ2023.03.15.934 15-Mar-2023 08:32 00.28.13 TAMIN Laki-Laki 47 Baru L02.9 Poli Umum KIS dr. ROSI NADILAH
and carbuncle, unspecified
Non-insulin-dependent
92 RJ2023.03.15.935 15-Mar-2023 08:36 00.09.16 THERI KUSNADI Laki-Laki 54 Lama E11 Poli Umum KIS dr. ROSI NADILAH
diabetes mellitus
Acute upper respiratory
93 RJ2023.03.15.960 15-Mar-2023 09:16 00.20.54 zaleha Perempuan 22 Lama J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified
Essential (primary)
I10 ,M06
94 RJ2023.03.15.961 15-Mar-2023 09:19 00.03.80 UMI KALSUM Perempuan 52 Lama hypertension ,Rheumatoid Poli Umum KIS dr. ROSI NADILAH
.9
arthritis, unspecified
Bronchitis, not specified as
95 RJ2023.03.15.964 15-Mar-2023 09:28 00.20.09 FERA IRAWATI Perempuan 43 Lama J40 Poli Umum KIS dr. Wan Arie Afryadi
acute or chronic
96 RJ2023.03.15.965 15-Mar-2023 09:35 00.18.43 CITRA ERNANDA EXSTRADA Perempuan 9 Lama R50.9 Fever, unspecified Poli Umum KIS dr. Wan Arie Afryadi

97 RJ2023.03.15.967 15-Mar-2023 09:43 00.28.14 ALYA PUSPITASARI Perempuan 18 Baru Poli Umum KIS dr. ROSI NADILAH
LUTFILANSAH ELFATH
98 RJ2023.03.15.970 15-Mar-2023 09:52 00.27.04 Laki-Laki 1 Lama R11 Nausea and vomiting Poli Umum KIS dr. ROSI NADILAH
GAUZANAQI
99 RJ2023.03.15.976 15-Mar-2023 10:08 00.24.87 MUSLIM Laki-Laki 50 Lama I20 Angina pectoris Poli Umum KIS dr. ROSI NADILAH

06 May 2023 5/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Surgical follow-up care,
100 RJ2023.03.15.978 15-Mar-2023 10:11 00.28.01 SRI DEKA WAHYUNI Perempuan 33 Lama Z48.9 Poli Umum KIS dr. ROSI NADILAH
unspecified
Connective and other soft
101 RJ2023.03.15.980 15-Mar-2023 10:13 00.07.80 elyana Perempuan 47 Lama D21.0 Poli Umum KIS dr. ROSI NADILAH
tissue of head, face and neck
102 RJ2023.03.15.993 15-Mar-2023 10:55 00.25.59 DEVI MARISKA Perempuan 20 Lama J45.9 Asthma, unspecified Poli Umum KIS dr. ROSI NADILAH

103 RJ2023.03.15.994 15-Mar-2023 10:58 00.28.16 SANDI SUMAWI Laki-Laki 21 Baru I95.1 Orthostatic hypotension Poli Umum KIS dr. ROSI NADILAH

104 RJ2023.03.15.998 15-Mar-2023 11:47 00.28.17 SYARIFAH SHAFIRA Perempuan 13 Baru K29.7 Gastritis, unspecified Poli Umum KIS dr. ROSI NADILAH
Essential (primary)
I10 ,J06. hypertension ,Acute upper
105 RJ2023.03.16.1013 16-Mar-2023 08:10 00.00.50 BANIAH Perempuan 54 Lama Poli Umum KIS dr. Wan Arie Afryadi
9 respiratory infection,
unspecified
Seropositive rheumatoid
106 RJ2023.03.16.1027 16-Mar-2023 08:32 00.04.52 SYARIFAH MARLINA Perempuan 41 Lama M05.9 Poli Umum KIS dr. Wan Arie Afryadi
arthritis, unspecified
Acute upper respiratory
107 RJ2023.03.16.1029 16-Mar-2023 08:34 00.18.84 SAID AL MUNZIRI Laki-Laki 2 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
108 RJ2023.03.16.1031 16-Mar-2023 08:35 00.04.51 SAID MUBARAK Laki-Laki 44 Lama G44 Other headache syndromes Poli Umum KIS dr. Wan Arie Afryadi
With perpheral circulatory
109 RJ2023.03.16.1034 16-Mar-2023 08:36 00.22.07 RAJA IDAH Perempuan 68 Lama E14.5 Poli Umum KIS dr. Wan Arie Afryadi
complications
Essential (primary)
110 RJ2023.03.16.1052 16-Mar-2023 09:50 00.24.98 SARTINA Perempuan 24 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
111 RJ2023.03.16.1063 16-Mar-2023 10:15 00.10.23 ROHANI Perempuan 77 Lama R51 Headache Poli Umum KIS dr. Wan Arie Afryadi

112 RJ2023.03.16.1069 16-Mar-2023 10:20 00.09.28 RATNAWATI Perempuan 57 Lama K29.7 Gastritis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
113 RJ2023.03.16.1077 16-Mar-2023 10:57 00.00.14 URAI HAZIJAH Perempuan 64 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
Otitis media,
H66.9 ,J unspecified ,Acute upper
114 RJ2023.03.16.1078 16-Mar-2023 10:59 00.19.02 NURHAYATI Perempuan 59 Lama Poli Umum KIS dr. Wan Arie Afryadi
06.9 respiratory infection,
unspecified
115 RJ2023.03.16.1083 16-Mar-2023 11:56 00.25.27 LITOH Laki-Laki 40 Lama L30.9 Dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
116 RJ2023.03.16.1084 16-Mar-2023 13:53 00.21.13 A FUNG Perempuan 60 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
Acute upper respiratory
117 RJ2023.03.17.1106 17-Mar-2023 08:37 00.24.50 EDWARD Laki-Laki 8 Lama J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified
118 RJ2023.03.17.1108 17-Mar-2023 08:49 00.18.17 WAN ABDULLAH Laki-Laki 67 Lama M79.1 Myalgia Poli Umum KIS dr. ROSI NADILAH

119 RJ2023.03.17.1111 17-Mar-2023 08:56 00.09.46 RUSMINI Perempuan 65 Lama Poli Umum KIS dr. ROSI NADILAH
Acute upper respiratory
120 RJ2023.03.17.1114 17-Mar-2023 09:05 00.17.19 M ABUSYARI Laki-Laki 74 Lama J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified
Cutaneous abscess, furuncle
121 RJ2023.03.17.1116 17-Mar-2023 09:08 00.13.49 MAIMUN Perempuan 69 Lama L02 Poli Umum KIS dr. ROSI NADILAH
and carbuncle
Acute upper respiratory
122 RJ2023.03.17.1127 17-Mar-2023 09:22 00.26.84 JENI PREDHELYNA PUTRI Perempuan 3 Lama J06.9 Poli Umum KIS dr. ROSI NADILAH
infection, unspecified

06 May 2023 6/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
123 RJ2023.03.17.1134 17-Mar-2023 09:51 00.10.81 MUNAWIR Laki-Laki 37 Lama K29.7 Gastritis, unspecified Poli Umum KIS dr. ROSI NADILAH
Essential (primary)
124 RJ2023.03.18.1156 18-Mar-2023 08:22 00.10.11 BUJANG ABDUL RAHMAN Laki-Laki 61 Lama I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
With perpheral circulatory
125 RJ2023.03.18.1169 18-Mar-2023 08:44 00.22.07 RAJA IDAH Perempuan 68 Lama E14.5 Poli Umum KIS dr. Wan Arie Afryadi
complications
Acute upper respiratory
126 RJ2023.03.18.1179 18-Mar-2023 08:51 00.20.87 muhammad parrijal Laki-Laki 10 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
127 RJ2023.03.18.1185 18-Mar-2023 08:55 00.01.38 AGUS SRIYANTI Perempuan 42 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Surgical follow-up care,
128 RJ2023.03.18.1190 18-Mar-2023 08:57 00.01.40 RINO ARDIANSYAH Laki-Laki 23 Baru Z48.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified
Acute upper respiratory
J06.9 ,J infection,
129 RJ2023.03.18.1195 18-Mar-2023 09:06 00.28.19 KALSUM JAYA Perempuan 73 Baru Poli Umum KIS dr. Wan Arie Afryadi
45.9 unspecified ,Asthma,
unspecified
130 RJ2023.03.18.1198 18-Mar-2023 09:12 00.00.08 RAJA ZAINUN Perempuan 57 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

131 RJ2023.03.18.1199 18-Mar-2023 09:13 00.00.16 LETTY FAYETRI Perempuan 55 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

132 RJ2023.03.18.1200 18-Mar-2023 09:13 00.12.16 rosilawati Perempuan 56 Lama M79.1 Myalgia Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
133 RJ2023.03.18.1204 18-Mar-2023 09:22 00.07.73 SUKMAWATI Perempuan 51 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
134 RJ2023.03.18.1211 18-Mar-2023 09:35 00.21.88 ASNAH Perempuan 55 Lama I10 Poli Umum KIS dr. ROSI NADILAH
hypertension
General examination and
investigation of persons
135 RJ2023.03.18.1221 18-Mar-2023 10:10 00.18.44 GUT LIM AL.ROSNIWATI Perempuan 63 Lama Z00 Poli Umum KIS dr. ROSI NADILAH
without complaint and
reported diagnosis
136 RJ2023.03.20.1302 20-Mar-2023 08:50 00.28.23 TAKSIAH Perempuan 53 Baru M79.1 Myalgia Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
137 RJ2023.03.20.1306 20-Mar-2023 08:56 00.07.07 SYAIDAH Perempuan 65 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
138 RJ2023.03.20.1307 20-Mar-2023 09:00 00.08.88 NASIR Laki-Laki 50 Lama J45 Asthma Poli Umum KIS dr. Wan Arie Afryadi
R53 ,M7
139 RJ2023.03.20.1310 20-Mar-2023 09:01 00.07.03 ABD RAZAK PANGCIK Laki-Laki 73 Lama Malaise and fatigue ,Myalgia Poli Umum KIS dr. Wan Arie Afryadi
9.1
With other specified
140 RJ2023.03.20.1311 20-Mar-2023 09:04 00.22.07 RAJA IDAH Perempuan 68 Lama E11.6 Poli Umum KIS dr. Wan Arie Afryadi
complications
Non-insulin-dependent
141 RJ2023.03.20.1313 20-Mar-2023 09:05 00.12.83 LAU PO SING Laki-Laki 82 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
Essential (primary)
I10 ,E11 hypertension ,Non-insulin-
142 RJ2023.03.20.1314 20-Mar-2023 09:07 00.06.23 IBRAHIM Laki-Laki 67 Lama Poli Umum KIS dr. Wan Arie Afryadi
,M79.1 dependent diabetes
mellitus ,Myalgia
Non-insulin-dependent
E11 ,E7
143 RJ2023.03.20.1318 20-Mar-2023 09:12 00.10.77 ASNORA Perempuan 52 Lama diabetes mellitus ,Other Poli Umum KIS dr. Wan Arie Afryadi
8.4
hyperlipidaemia

06 May 2023 7/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Acute upper respiratory
144 RJ2023.03.20.1320 20-Mar-2023 09:13 00.07.18 AULIA NATASA NORDIN Perempuan 10 Baru J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
I10 ,M05 hypertension ,Seropositive
145 RJ2023.03.20.1321 20-Mar-2023 09:16 00.05.78 AZWAR KADIR Laki-Laki 73 Lama Poli Umum KIS dr. Wan Arie Afryadi
.9 rheumatoid arthritis,
unspecified
Acute upper respiratory
146 RJ2023.03.20.1325 20-Mar-2023 09:21 00.26.84 JENI PREDHELYNA PUTRI Perempuan 3 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Surgical follow-up care,
147 RJ2023.03.20.1328 20-Mar-2023 09:24 00.03.47 ADRIAN Laki-Laki 44 Lama Z48.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified
Essential (primary)
148 RJ2023.03.20.1331 20-Mar-2023 09:29 00.15.62 BUJANG KHAINI Laki-Laki 73 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
SUHAILA WAFALIA Acute upper respiratory
149 RJ2023.03.20.1334 20-Mar-2023 09:32 00.25.23 Perempuan 1 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
AUFIANISA infection, unspecified
Essential (primary)
hypertension ,Seropositive
I10 ,M05
150 RJ2023.03.20.1337 20-Mar-2023 09:34 00.18.54 FAUZIAH Perempuan 61 Lama rheumatoid arthritis, Poli Umum KIS dr. Wan Arie Afryadi
.9 ,K29.7
unspecified ,Gastritis,
unspecified
151 RJ2023.03.20.1341 20-Mar-2023 09:45 00.13.93 JUMIATI Perempuan 21 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. ROSI NADILAH

152 RJ2023.03.20.1343 20-Mar-2023 09:48 00.07.24 AHMAD JALALUDIN Laki-Laki 23 Baru L84 Corns and callosities Poli Umum KIS dr. ROSI NADILAH

153 RJ2023.03.20.1346 20-Mar-2023 09:55 00.07.41 TAMMERI Perempuan 56 Lama J45 Asthma Poli Umum KIS dr. ROSI NADILAH
M79.1 , Myalgia ,Chest pain,
154 RJ2023.03.20.1347 20-Mar-2023 09:40 00.12.53 MINARIA Perempuan 46 Baru Poli Umum KIS dr. Wan Arie Afryadi
R07.4 unspecified
Acute upper respiratory
J06.9 ,L infection,
155 RJ2023.03.20.1348 20-Mar-2023 09:56 00.25.19 GUSTI ADELIA Perempuan 10 Lama Poli Umum KIS dr. ROSI NADILAH
30.9 unspecified ,Dermatitis,
unspecified
Essential (primary)
I10 ,M05 hypertension ,Seropositive
156 RJ2023.03.20.1349 20-Mar-2023 09:59 00.28.24 ACIK Perempuan 66 Baru Poli Umum KIS dr. Wan Arie Afryadi
.9 rheumatoid arthritis,
unspecified
Surgical follow-up care,
157 RJ2023.03.20.1353 20-Mar-2023 10:08 00.28.01 SRI DEKA WAHYUNI Perempuan 33 Lama Z48.9 Poli Umum KIS dr. ROSI NADILAH
unspecified
158 RJ2023.03.20.1354 20-Mar-2023 10:10 00.09.36 SUHARNITA Perempuan 51 Lama Poli Umum KIS dr. Wan Arie Afryadi

159 RJ2023.03.20.1356 20-Mar-2023 10:13 00.04.51 SAID MUBARAK Laki-Laki 44 Lama F31 Bipolar affective disorder Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,E78.
160 RJ2023.03.20.1362 20-Mar-2023 10:26 00.09.48 NURHAYATI Perempuan 59 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
161 RJ2023.03.20.1364 20-Mar-2023 10:32 00.06.30 ABDUL RIZAL Laki-Laki 38 Lama Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
162 RJ2023.03.20.1370 20-Mar-2023 11:15 00.28.26 ARFIN KRISTI Laki-Laki 27 Baru J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Other
E78.4 ,G
163 RJ2023.03.20.1371 20-Mar-2023 11:22 00.07.04 MUNARIZA Laki-Laki 46 Lama hyperlipidaemia ,Cluster Poli Umum KIS dr. Wan Arie Afryadi
44.0
headache syndrome

06 May 2023 8/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
164 RJ2023.03.20.1373 20-Mar-2023 11:42 00.19.08 ITA APRIANA Perempuan 36 Lama K12 Stomatitis and related lesions Poli Umum KIS dr. Wan Arie Afryadi
Surgical follow-up care,
165 RJ2023.03.21.1415 21-Mar-2023 08:32 00.07.80 elyana Perempuan 47 Lama Z48.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified
166 RJ2023.03.21.1428 21-Mar-2023 08:41 00.09.20 MASKAM Perempuan 71 Lama G44 Other headache syndromes Poli Umum KIS dr. Wan Arie Afryadi

167 RJ2023.03.21.1432 21-Mar-2023 08:49 00.28.27 TEDI SANTONA Laki-Laki 32 Baru K12 Stomatitis and related lesions Poli Umum KIS dr. Wan Arie Afryadi

168 RJ2023.03.21.1434 21-Mar-2023 08:54 00.12.71 asni Perempuan 55 Lama K29.9 Gastroduodenitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
General examination and
investigation of persons
169 RJ2023.03.21.1438 21-Mar-2023 08:56 00.28.28 HERLINA PUTRI Perempuan 19 Baru Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
Surgical follow-up care,
170 RJ2023.03.21.1441 21-Mar-2023 09:03 00.03.47 ADRIAN Laki-Laki 44 Lama Z48.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified
Essential (primary)
hypertension ,Non-insulin-
I10 ,E11 dependent diabetes
171 RJ2023.03.21.1451 21-Mar-2023 09:13 00.06.51 NAZRI Laki-Laki 77 Lama Poli Umum KIS dr. Wan Arie Afryadi
,M05.9 mellitus ,Seropositive
rheumatoid arthritis,
unspecified
Essential (primary)
172 RJ2023.03.21.1457 21-Mar-2023 09:18 00.20.18 DEWI YANA Perempuan 56 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
Surgical follow-up care,
173 RJ2023.03.21.1478 21-Mar-2023 10:23 00.07.24 AHMAD JALALUDIN Laki-Laki 23 Lama Z48.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified
Essential (primary)
174 RJ2023.03.21.1480 21-Mar-2023 10:26 00.07.06 NURMIATI Perempuan 57 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
175 RJ2023.03.21.1481 21-Mar-2023 10:32 00.00.59 MARTIANA Laki-Laki 72 Lama G40 Epilepsy Poli Umum KIS dr. Wan Arie Afryadi

176 RJ2023.03.21.1483 21-Mar-2023 10:35 00.07.82 HAIRUNISYAK Perempuan 35 Lama H66.9 Otitis media, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
177 RJ2023.03.21.1486 21-Mar-2023 11:03 00.08.91 NURLELA Perempuan 60 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Bitten or stung by
nonvenomous insect and
178 RJ2023.03.24.1512 24-Mar-2023 08:24 00.01.40 RINO ARDIANSYAH Laki-Laki 23 Lama W57 Poli Umum KIS dr. Wan Arie Afryadi
other nonvenomous
arthropods
179 RJ2023.03.24.1513 24-Mar-2023 08:33 00.07.02 ZIADI Laki-Laki 59 Lama M19.9 Arthrosis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
180 RJ2023.03.24.1514 24-Mar-2023 08:42 00.02.21 RAJA YUDIANA Perempuan 55 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
Essential (primary)
I10 ,E78.
181 RJ2023.03.24.1537 24-Mar-2023 08:46 00.28.29 BAHNIAR Perempuan 59 Baru hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Essential (primary)
182 RJ2023.03.24.1539 24-Mar-2023 09:00 00.12.34 NURAINI Perempuan 47 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
183 RJ2023.03.24.1547 24-Mar-2023 09:08 00.11.16 SAMSU BAHARI Laki-Laki 51 Lama M10.9 Gout, unspecified Poli Umum KIS dr. Wan Arie Afryadi

06 May 2023 9/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
184 RJ2023.03.24.1550 24-Mar-2023 09:10 00.00.52 ANJASMARA Laki-Laki 61 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Open wound of unspecified
185 RJ2023.03.24.1558 24-Mar-2023 09:28 00.07.80 elyana Perempuan 47 Lama T14.1 Poli Umum KIS dr. Wan Arie Afryadi
body region
186 RJ2023.03.24.1569 24-Mar-2023 09:45 00.00.51 DEVI WARDANA Laki-Laki 18 Baru K12 Stomatitis and related lesions Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
187 RJ2023.03.24.1583 24-Mar-2023 10:52 00.28.30 POPPI AGUSTIAN Laki-Laki 29 Baru J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Acute upper respiratory
188 RJ2023.03.25.1599 25-Mar-2023 08:43 00.06.96 SUHAIMI Laki-Laki 54 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
I10 ,K29. hypertension ,Gastritis,
189 RJ2023.03.25.1600 25-Mar-2023 08:44 00.06.97 NURHAYATI Perempuan 52 Lama Poli Umum KIS dr. Wan Arie Afryadi
7 ,R50.9 unspecified ,Fever,
unspecified
190 RJ2023.03.25.1610 25-Mar-2023 08:49 00.28.31 M. FAHRIZI ZALFA Laki-Laki 10 Baru R11 Nausea and vomiting Poli Umum KIS dr. Wan Arie Afryadi

191 RJ2023.03.25.1613 25-Mar-2023 08:57 00.10.21 ETI SUMYETI Perempuan 48 Lama Poli Umum KIS dr. Wan Arie Afryadi

192 RJ2023.03.25.1625 25-Mar-2023 09:10 00.09.86 SANIA GANI Perempuan 10 Lama B35.4 Tinea corporis Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
193 RJ2023.03.25.1628 25-Mar-2023 09:13 00.26.56 ARINA NAFISA Perempuan 8 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
I10 ,E78. hypertension ,Other
194 RJ2023.03.25.1632 25-Mar-2023 09:16 00.05.98 SRI MUJI Perempuan 49 Lama Poli Umum KIS dr. Wan Arie Afryadi
4 ,M19.9 hyperlipidaemia ,Arthrosis,
unspecified
Essential (primary)
I10 ,E78.
195 RJ2023.03.25.1634 25-Mar-2023 09:18 00.08.06 RAJA AISYAH S Perempuan 76 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
R50.9 ,R Fever, unspecified ,Nausea
196 RJ2023.03.25.1638 25-Mar-2023 09:21 00.13.51 ANAS ABDULLAH Laki-Laki 7 Baru Poli Umum KIS dr. Wan Arie Afryadi
11 and vomiting
With perpheral circulatory
197 RJ2023.03.25.1643 25-Mar-2023 09:38 00.28.02 AYAT MUHAYATSYAH Laki-Laki 56 Lama E14.5 Poli Umum KIS dr. Wan Arie Afryadi
complications
198 RJ2023.03.25.1650 25-Mar-2023 09:42 00.09.24 AZWAR ABDULLAH Laki-Laki 79 Lama M19.9 Arthrosis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,E78.
199 RJ2023.03.25.1655 25-Mar-2023 09:44 00.27.95 NAJAMUDDIN Laki-Laki 43 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Essential (primary)
I10 ,E78.
200 RJ2023.03.25.1668 25-Mar-2023 10:32 00.13.94 RAHMAWATI Laki-Laki 51 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Essential (primary)
I10 ,E78.
201 RJ2023.03.25.1671 25-Mar-2023 11:03 00.02.26 NEFRIYANTI Perempuan 46 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
KRISTIRA LESTARI
202 RJ2023.03.25.1674 25-Mar-2023 11:16 00.18.02 Perempuan 27 Lama H00.1 Chalazion Poli Umum KIS dr. Wan Arie Afryadi
PANJAITAN
203 RJ2023.03.25.1675 25-Mar-2023 11:18 00.17.42 HIRZANA APRIYANTI Perempuan 34 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

06 May 2023 10/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
General examination and
investigation of persons
204 RJ2023.03.25.1676 25-Mar-2023 11:24 00.18.87 RAKHMATIKA SARI Perempuan 44 Lama Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
General examination and
investigation of persons
205 RJ2023.03.25.1678 25-Mar-2023 11:52 00.28.33 FUJI HARTATI Perempuan 37 Baru Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
Essential (primary)
206 RJ2023.03.27.1729 27-Mar-2023 08:49 00.17.83 SYAMSIDAR.S Perempuan 66 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
Essential (primary)
I10 ,E78.
207 RJ2023.03.27.1733 27-Mar-2023 08:51 00.09.04 MENUK SAFITRI Perempuan 51 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Other hyperlipidaemia ,Acute
E78.4 ,J
208 RJ2023.03.27.1736 27-Mar-2023 08:52 00.08.80 HALIMAH TUSSAKDIAH Perempuan 49 Lama upper respiratory infection, Poli Umum KIS dr. Wan Arie Afryadi
06.9
unspecified
209 RJ2023.03.27.1740 27-Mar-2023 08:53 00.24.87 MUSLIM Laki-Laki 50 Lama L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Open wound of unspecified
210 RJ2023.03.27.1742 27-Mar-2023 08:55 00.07.80 elyana Perempuan 47 Lama T14.1 Poli Umum KIS dr. Wan Arie Afryadi
body region
Other hyperlipidaemia ,Gastro
-oesophageal reflux disease
E78.4 ,K
without
211 RJ2023.03.27.1744 27-Mar-2023 08:58 00.00.16 LETTY FAYETRI Perempuan 55 Lama 21.9 ,A0 Poli Umum KIS dr. Wan Arie Afryadi
oesophagitis ,Diarrhoea and
9
gastroenteritis of presumed
infectious origin
Essential (primary)
I10 ,M81
212 RJ2023.03.27.1747 27-Mar-2023 08:59 00.00.08 RAJA ZAINUN Perempuan 57 Lama hypertension ,Osteoporosis, Poli Umum KIS dr. Wan Arie Afryadi
.9
unspecified
Essential (primary)
I10 ,E78.
213 RJ2023.03.27.1750 27-Mar-2023 09:01 00.28.35 nor'aini Perempuan 39 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Other
E78.4 ,I1
214 RJ2023.03.27.1752 27-Mar-2023 09:07 00.12.16 rosilawati Perempuan 56 Lama hyperlipidaemia ,Essential Poli Umum KIS dr. Wan Arie Afryadi
0
(primary) hypertension
215 RJ2023.03.27.1755 27-Mar-2023 09:30 00.19.90 ENDAH LESTARI Perempuan 25 Lama Poli Umum KIS dr. Wan Arie Afryadi

216 RJ2023.03.27.1757 27-Mar-2023 09:10 00.28.36 hendiika pratama Laki-Laki 17 Baru L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,E78.
217 RJ2023.03.27.1766 27-Mar-2023 09:25 00.18.59 SITI HABSAH Laki-Laki 67 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Essential (primary)
I10 ,E78.
218 RJ2023.03.27.1767 27-Mar-2023 09:28 00.18.58 ASMAN JA'FAR Laki-Laki 69 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Open wound of unspecified
219 RJ2023.03.27.1768 27-Mar-2023 09:31 00.28.01 SRI DEKA WAHYUNI Perempuan 33 Lama T14.1 Poli Umum KIS dr. Wan Arie Afryadi
body region

06 May 2023 11/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
I10 ,E78. hypertension ,Other
220 RJ2023.03.27.1769 27-Mar-2023 09:33 00.05.84 SALBIAH Perempuan 69 Lama Poli Umum KIS dr. Wan Arie Afryadi
4 ,M10.9 hyperlipidaemia ,Gout,
unspecified
AZZAM RAMADHAN
221 RJ2023.03.27.1773 27-Mar-2023 09:36 00.24.55 Laki-Laki 2 Lama H10.9 Conjunctivitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
SYAHPUTRA
Essential (primary)
I10 ,E78. hypertension ,Other
222 RJ2023.03.27.1776 27-Mar-2023 09:41 00.22.01 FIKRIA ISNANIA Perempuan 46 Lama Poli Umum KIS dr. Wan Arie Afryadi
4 ,M10.9 hyperlipidaemia ,Gout,
unspecified
E78.4 ,L Other hyperlipidaemia ,Atopic
223 RJ2023.03.27.1778 27-Mar-2023 09:48 00.19.66 EKA HARBIYATI Perempuan 44 Lama Poli Umum KIS dr. Wan Arie Afryadi
20.9 dermatitis, unspecified
Bronchitis, not specified as
224 RJ2023.03.27.1781 27-Mar-2023 09:50 00.05.23 SUKARI Laki-Laki 61 Lama J40 Poli Umum KIS dr. Wan Arie Afryadi
acute or chronic
Essential (primary)
I10 ,E78. hypertension ,Other
225 RJ2023.03.27.1782 27-Mar-2023 09:52 00.05.52 VIVI ISMALAILI Perempuan 51 Baru Poli Umum KIS dr. Wan Arie Afryadi
4 ,M10.9 hyperlipidaemia ,Gout,
unspecified
226 RJ2023.03.27.1804 27-Mar-2023 10:43 00.18.44 GUT LIM AL.ROSNIWATI Perempuan 63 Lama M67.4 Ganglion Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
hypertension ,Non-insulin-
I10 ,E11
227 RJ2023.03.28.1820 28-Mar-2023 08:07 00.11.75 GIAP HARTONO Perempuan 62 Lama dependent diabetes Poli Umum KIS dr. Wan Arie Afryadi
,E78.4
mellitus ,Other
hyperlipidaemia
Non-insulin-dependent
E11 ,E7
228 RJ2023.03.28.1823 28-Mar-2023 08:15 00.15.17 SYAMSIAH Perempuan 60 Lama diabetes mellitus ,Other Poli Umum KIS dr. Wan Arie Afryadi
8.4
hyperlipidaemia
Other
E78.4 ,J hyperlipidaemia ,Bronchitis,
229 RJ2023.03.28.1834 28-Mar-2023 08:28 00.28.37 SUSBETRI YENI Laki-Laki 44 Baru Poli Umum KIS dr. Wan Arie Afryadi
40 not specified as acute or
chronic
230 RJ2023.03.28.1840 28-Mar-2023 08:37 00.22.02 PATRA DEMAI ERNANDA Laki-Laki 12 Lama L50 Urticaria Poli Umum KIS dr. Wan Arie Afryadi

231 RJ2023.03.28.1841 28-Mar-2023 08:41 00.12.38 RISMA MONICA Perempuan 8 Lama J02 Acute pharyngitis Poli Umum KIS dr. Wan Arie Afryadi

232 RJ2023.03.28.1858 28-Mar-2023 09:08 00.12.79 UMI KALSUM Perempuan 37 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

233 RJ2023.03.28.1860 28-Mar-2023 09:15 00.04.78 SULASTRI Perempuan 38 Lama Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
E11 ,E7
234 RJ2023.03.28.1864 28-Mar-2023 09:30 00.06.01 SYARIFAH JULITA Perempuan 39 Lama diabetes mellitus ,Other Poli Umum KIS dr. Wan Arie Afryadi
8.4
hyperlipidaemia
Other
E78.4 ,I1
235 RJ2023.03.28.1866 28-Mar-2023 09:31 00.12.29 SYARIFAH DAMNAH Perempuan 64 Lama hyperlipidaemia ,Essential Poli Umum KIS dr. Wan Arie Afryadi
0
(primary) hypertension
236 RJ2023.03.28.1870 28-Mar-2023 09:34 00.28.40 SYARIFAH NURMARIAH Perempuan 57 Baru E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

237 RJ2023.03.28.1883 28-Mar-2023 10:16 00.26.24 JUMARNI Perempuan 41 Lama L20 Atopic dermatitis Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
238 RJ2023.03.28.1887 28-Mar-2023 10:23 00.28.41 MASDIANA Perempuan 55 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension

06 May 2023 12/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
I10 ,E78.
239 RJ2023.03.28.1890 28-Mar-2023 10:33 00.00.91 ROHAYA Perempuan 53 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Sequelae of cerebral
240 RJ2023.03.28.1892 28-Mar-2023 10:34 00.00.90 WAN ZULKARNAIN Laki-Laki 52 Lama I69.3 Poli Umum KIS dr. Wan Arie Afryadi
infarction
241 RJ2023.03.28.1901 28-Mar-2023 11:03 00.11.25 SYARIFAH FATIMAH Perempuan 48 Lama M79.1 Myalgia Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
242 RJ2023.03.29.1935 29-Mar-2023 08:32 00.28.42 AL FANIA LARISKA Perempuan 9 Baru J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
243 RJ2023.03.29.1937 29-Mar-2023 08:47 00.10.74 NANY EDAYANTI Perempuan 51 Lama R51 Headache Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,E78.
244 RJ2023.03.29.1941 29-Mar-2023 08:51 00.12.87 WAN LUTHFI Laki-Laki 63 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Essential (primary)
245 RJ2023.03.29.1948 29-Mar-2023 09:09 00.28.43 SUPARMIN Laki-Laki 52 Baru I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
I10 ,E78. hypertension ,Other
246 RJ2023.03.29.1955 29-Mar-2023 09:32 00.19.06 RUSNAWATI Perempuan 57 Lama Poli Umum KIS dr. Wan Arie Afryadi
4 ,M10.9 hyperlipidaemia ,Gout,
unspecified
247 RJ2023.03.29.1957 29-Mar-2023 09:36 00.02.77 MILANI APRILIA Laki-Laki 9 Lama H66.9 Otitis media, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,R50
248 RJ2023.03.29.1959 29-Mar-2023 09:37 00.16.74 SAYID AHMAD SAIHU Laki-Laki 55 Lama hypertension ,Fever, Poli Umum KIS dr. Wan Arie Afryadi
.9
unspecified
G40 ,L2
249 RJ2023.03.29.1961 29-Mar-2023 09:46 00.10.04 MUHAMMAD GAFUR Laki-Laki 60 Lama Epilepsy ,Atopic dermatitis Poli Umum KIS dr. Wan Arie Afryadi
0
250 RJ2023.03.29.1979 29-Mar-2023 10:32 00.28.4 SY.SHAKIRA AZZAHRA Perempuan 5 Lama Poli Umum KIS dr. Wan Arie Afryadi
Pneumonia, organism
251 RJ2023.03.29.1981 29-Mar-2023 10:47 00.05.23 SUKARI Laki-Laki 61 Lama J18 Poli Umum KIS dr. Wan Arie Afryadi
unspecified
252 RJ2023.03.29.1984 29-Mar-2023 10:52 00.17.53 EMILIA Perempuan 41 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

253 RJ2023.03.29.1985 29-Mar-2023 10:55 00.19.71 ADNAN Laki-Laki 49 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

254 RJ2023.03.29.1992 29-Mar-2023 11:23 00.28.46 IRMA INDAH LESTARI Perempuan 18 Lama J20 Acute bronchitis Poli Umum KIS dr. Wan Arie Afryadi

255 RJ2023.03.29.1993 29-Mar-2023 11:33 00.05.44 DEWA SETIAWATI Perempuan 54 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
Unspecified haemorrhoids
256 RJ2023.04.01.022 01-Apr-2023 08:38 00.02.72 AIDIL RACHMAN Laki-Laki 46 Lama I84.9 Poli Umum KIS dr. Wan Arie Afryadi
without complication
Non-insulin-dependent
257 RJ2023.04.01.026 01-Apr-2023 08:40 00.21.37 HAI SENG Laki-Laki 54 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
258 RJ2023.04.01.030 01-Apr-2023 08:42 00.27.09 ELIFA HUMAIRA BILQIS Perempuan 7 Lama B02.9 Zoster without complication Poli Umum KIS dr. Wan Arie Afryadi

259 RJ2023.04.01.035 01-Apr-2023 08:51 00.08.44 M.RAWI Laki-Laki 68 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

260 RJ2023.04.01.038 01-Apr-2023 08:53 00.28.48 AKMALUDIN Laki-Laki 49 Baru Poli Umum KIS dr. Wan Arie Afryadi
Disorders of initiating and
261 RJ2023.04.01.040 01-Apr-2023 09:01 00.08.43 H. ABDUL MUIN Laki-Laki 79 Lama G47.0 Poli Umum KIS dr. Wan Arie Afryadi
maintaining sleep [insomnias]

06 May 2023 13/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
I10 ,E78.
262 RJ2023.04.01.055 01-Apr-2023 09:28 00.19.05 WAN HENDRA Laki-Laki 28 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Noninfective gastroenteritis
263 RJ2023.04.01.069 01-Apr-2023 10:20 00.28.49 A. SAAD Laki-Laki 44 Baru K52.9 Poli Umum KIS dr. Wan Arie Afryadi
and colitis, unspecified
Gastro-oesophageal reflux
264 RJ2023.04.01.072 01-Apr-2023 10:44 00.28.50 HENDRAWAN Laki-Laki 53 Baru K21.9 Poli Umum KIS dr. Wan Arie Afryadi
disease without oesophagitis
Non-insulin-dependent
265 RJ2023.04.01.075 01-Apr-2023 12:15 00.18.21 SUHARTATI Perempuan 59 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
266 RJ2023.04.01.076 01-Apr-2023 12:20 00.23.42 FAUZI Laki-Laki 64 Lama J45.9 Asthma, unspecified Poli Umum KIS dr. Wan Arie Afryadi

267 RJ2023.04.03.084 03-Apr-2023 07:55 00.08.90 VIKRI RAHMADANI Laki-Laki 6 Lama L23 Allergic contact dermatitis Poli Umum KIS dr. Wan Arie Afryadi
Bronchitis, not specified as
268 RJ2023.04.03.106 03-Apr-2023 08:33 00.28.51 SITI FATIMAH Perempuan 29 Baru J40 Poli Umum KIS dr. Wan Arie Afryadi
acute or chronic
Essential (primary)
269 RJ2023.04.03.113 03-Apr-2023 08:44 00.03.64 HAMIDAH Perempuan 59 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
270 RJ2023.04.03.124 03-Apr-2023 08:51 00.28.52 SURYANI Perempuan 26 Baru I10 ,B86 Poli Umum KIS dr. Wan Arie Afryadi
hypertension ,Scabies
271 RJ2023.04.03.125 03-Apr-2023 08:58 00.24.59 M. DOVLA RADJASAH Laki-Laki 9 Lama B86 Scabies Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
272 RJ2023.04.03.131 03-Apr-2023 09:08 00.11.05 SAJAB Laki-Laki 66 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
273 RJ2023.04.03.148 03-Apr-2023 09:31 00.05.84 SALBIAH Perempuan 69 Lama Poli Umum KIS dr. Wan Arie Afryadi
KRISTIRA LESTARI
274 RJ2023.04.03.150 03-Apr-2023 09:34 00.18.02 Perempuan 27 Lama Poli Umum KIS dr. Wan Arie Afryadi
PANJAITAN
275 RJ2023.04.03.153 03-Apr-2023 09:36 00.10.37 MARZUKI Laki-Laki 70 Lama Poli Umum KIS dr. Wan Arie Afryadi

276 RJ2023.04.03.158 03-Apr-2023 09:42 00.04.34 HASNAH Perempuan 63 Lama Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
277 RJ2023.04.03.166 03-Apr-2023 09:54 00.28.53 NUR AINI Perempuan 70 Baru I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
278 RJ2023.04.03.168 03-Apr-2023 09:59 00.12.07 MAWARTI Perempuan 33 Lama L23 Allergic contact dermatitis Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
279 RJ2023.04.03.170 03-Apr-2023 10:03 00.09.99 SULASTRI Perempuan 48 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
280 RJ2023.04.03.174 03-Apr-2023 10:12 00.02.53 IBNU AKMAL Laki-Laki 50 Lama G40 Epilepsy Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
281 RJ2023.04.03.175 03-Apr-2023 10:16 00.18.84 SAID AL MUNZIRI Laki-Laki 2 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Open wound of unspecified
282 RJ2023.04.03.177 03-Apr-2023 10:17 00.04.51 SAID MUBARAK Laki-Laki 44 Lama T14.1 Poli Umum KIS dr. Wan Arie Afryadi
body region
283 RJ2023.04.03.179 03-Apr-2023 10:22 00.21.34 FAKHRIE ZHAFRAN KHAIRY Laki-Laki 9 Lama B86 Scabies Poli Umum KIS dr. Wan Arie Afryadi

284 RJ2023.04.03.182 03-Apr-2023 10:31 00.04.75 KEYZHA DWI LESTARI Perempuan 14 Lama J45.9 Asthma, unspecified Poli Umum KIS dr. Wan Arie Afryadi

285 RJ2023.04.03.183 03-Apr-2023 10:33 00.08.07 RAJA SEPRIANTI HASRAINI Perempuan 53 Lama K29.7 Gastritis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
286 RJ2023.04.03.186 03-Apr-2023 10:35 00.08.05 INDAH PERMATASARI Perempuan 11 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
287 RJ2023.04.03.196 03-Apr-2023 11:13 00.28.54 RONI ZAIKA Laki-Laki 0 Baru L40.9 Psoriasis, unspecified Poli Umum KIS dr. Wan Arie Afryadi

06 May 2023 14/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
I10 ,I20.
288 RJ2023.04.03.199 03-Apr-2023 13:20 00.18.99 JEFTA RORING Laki-Laki 47 Lama hypertension ,Angina pectoris, Poli Umum KIS dr. Wan Arie Afryadi
9
unspecified
Fever, unspecified ,Allergic
R50.9 ,L
289 RJ2023.04.04.222 04-Apr-2023 09:02 00.21.48 SANDY BANI SAFATAR Laki-Laki 4 Lama contact dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
23.9
cause
Essential (primary)
290 RJ2023.04.04.225 04-Apr-2023 09:07 00.05.78 AZWAR KADIR Laki-Laki 73 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Diarrhoea and gastroenteritis
291 RJ2023.04.04.233 04-Apr-2023 09:21 00.12.38 RISMA MONICA Perempuan 8 Lama A09 Poli Umum KIS dr. Wan Arie Afryadi
of presumed infectious origin
General examination and
investigation of persons
292 RJ2023.04.04.236 04-Apr-2023 09:23 00.24.81 MARLINA Perempuan 42 Lama Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
Non-insulin-dependent
293 RJ2023.04.04.242 04-Apr-2023 09:37 00.09.01 ARYA Laki-Laki 39 Baru E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
294 RJ2023.04.04.255 04-Apr-2023 10:48 00.28.56 M. ARIFIN Laki-Laki 29 Baru R60.9 Oedema, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Diarrhoea and gastroenteritis
295 RJ2023.04.04.262 04-Apr-2023 12:37 00.28.57 SERI WAHYUNI Perempuan 23 Baru A09 Poli Umum KIS dr. Wan Arie Afryadi
of presumed infectious origin
E78.5 ,M Hyperlipidaemia,
296 RJ2023.04.05.276 05-Apr-2023 08:35 00.27.16 M. NAZIR Laki-Laki 67 Lama Poli Umum KIS dr. Wan Arie Afryadi
10.9 unspecified ,Gout, unspecified
Infection following a
procedure, not elsewhere
T81.4 ,E
297 RJ2023.04.05.278 05-Apr-2023 08:37 00.13.49 MAIMUN Perempuan 69 Lama classified ,Hyperlipidaemia, Poli Umum KIS dr. Wan Arie Afryadi
78.5 ,I10
unspecified ,Essential
(primary) hypertension
Essential (primary)
I10 ,E78.
298 RJ2023.04.05.284 05-Apr-2023 08:49 00.27.57 FATMAWATI Perempuan 60 Baru hypertension ,Hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
5
, unspecified
Asthma, unspecified ,Acute
J45.9 ,J
299 RJ2023.04.05.288 05-Apr-2023 08:53 00.28.58 FITRI SANTI Perempuan 37 Baru upper respiratory infection, Poli Umum KIS dr. Wan Arie Afryadi
06.9
unspecified
Essential (primary)
I10 ,E78.
300 RJ2023.04.05.296 05-Apr-2023 09:04 00.28.43 SUPARMIN Laki-Laki 52 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
5
, unspecified
301 RJ2023.04.05.298 05-Apr-2023 09:06 00.09.24 AZWAR ABDULLAH Laki-Laki 79 Lama M19.9 Arthrosis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,E78.
302 RJ2023.04.05.300 05-Apr-2023 09:09 00.03.71 BUJANG ASFAR Laki-Laki 71 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
5
, unspecified
303 RJ2023.04.05.321 05-Apr-2023 10:08 00.05.44 DEWA SETIAWATI Perempuan 54 Lama K29.7 Gastritis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Bitten or stung by
nonvenomous insect and
304 RJ2023.04.05.326 05-Apr-2023 10:32 00.28.59 YUNUS Laki-Laki 27 Baru W57 Poli Umum JASA RAHARJA dr. Wan Arie Afryadi
other nonvenomous
arthropods
305 RJ2023.04.05.330 05-Apr-2023 10:48 00.27.09 ELIFA HUMAIRA BILQIS Perempuan 7 Lama B02.9 Zoster without complication Poli Umum KIS dr. Wan Arie Afryadi

06 May 2023 15/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
General examination and
investigation of persons
306 RJ2023.04.08.457 08-Apr-2023 09:02 00.28.61 DESSI WAHYUNI Perempuan 18 Baru Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
307 RJ2023.04.08.462 08-Apr-2023 09:13 00.26.48 RADIA KESYA ISKANDAR Perempuan 4 Lama L23 Allergic contact dermatitis Poli Umum KIS dr. Wan Arie Afryadi

308 RJ2023.04.08.479 08-Apr-2023 09:49 00.04.44 RAMIDAYULI Perempuan 35 Lama L23 Allergic contact dermatitis Poli Umum KIS dr. Wan Arie Afryadi

309 RJ2023.04.08.491 08-Apr-2023 10:34 00.19.66 EKA HARBIYATI Perempuan 44 Lama B86 Scabies Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
310 RJ2023.04.10.516 10-Apr-2023 08:12 00.28.62 IE SEN TJUI Laki-Laki 58 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
Acute upper respiratory
311 RJ2023.04.10.524 10-Apr-2023 08:22 00.10.46 WAN YA'COB Laki-Laki 69 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Rheumatoid arthritis,
M06.9 ,I
312 RJ2023.04.10.527 10-Apr-2023 08:26 00.19.51 R. NURPIAH Laki-Laki 51 Lama unspecified ,Essential Poli Umum KIS dr. Wan Arie Afryadi
10
(primary) hypertension
313 RJ2023.04.10.540 10-Apr-2023 08:44 00.07.02 ZIADI Laki-Laki 59 Lama K29.7 Gastritis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
hypertension ,Hyperuricaemia
I10 ,E79.
314 RJ2023.04.10.560 10-Apr-2023 09:08 00.24.47 ZULNA Laki-Laki 76 Lama without signs of inflammatory Poli Umum KIS dr. Wan Arie Afryadi
0
arthritis and tophaceous
disease
Injury of unspecified body
315 RJ2023.04.10.562 10-Apr-2023 09:12 00.28.62 HARIS Laki-Laki 55 Baru T14 Poli Umum KIS dr. Wan Arie Afryadi
region
Acute upper respiratory
J06.9 ,J infection,
316 RJ2023.04.10.578 10-Apr-2023 09:36 00.14.06 CHALIK RADITYA Perempuan 10 Lama Poli Umum KIS dr. Wan Arie Afryadi
45.9 unspecified ,Asthma,
unspecified
Non-insulin-dependent
317 RJ2023.04.10.585 10-Apr-2023 09:44 00.00.14 URAI HAZIJAH Perempuan 64 Lama E11 ,I10 diabetes mellitus ,Essential Poli Umum KIS dr. Wan Arie Afryadi
(primary) hypertension
Suppurative and unspecified
318 RJ2023.04.10.589 10-Apr-2023 09:50 00.08.65 SUSILO MURTI Perempuan 42 Lama H66 Poli Umum KIS dr. Wan Arie Afryadi
otitis media
Essential (primary)
hypertension ,Non-insulin-
I10 ,E11
319 RJ2023.04.10.611 10-Apr-2023 10:48 00.02.31 NURMA Perempuan 63 Lama dependent diabetes Poli Umum KIS dr. Wan Arie Afryadi
,M19.9
mellitus ,Arthrosis,
unspecified
320 RJ2023.04.11.622 11-Apr-2023 08:09 00.21.48 SANDY BANI SAFATAR Laki-Laki 4 Lama L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
321 RJ2023.04.11.627 11-Apr-2023 08:14 00.28.66 M.ARIF Laki-Laki 75 Baru I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
322 RJ2023.04.11.685 11-Apr-2023 10:32 00.28.67 HAIKEL GUSTIADI Laki-Laki 15 Baru L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Open wound of unspecified
323 RJ2023.04.11.690 11-Apr-2023 11:36 00.04.51 SAID MUBARAK Laki-Laki 44 Lama T14.1 Poli Umum KIS dr. Wan Arie Afryadi
body region
324 RJ2023.04.11.691 11-Apr-2023 11:40 00.27.93 NURHAJEMAH Perempuan 21 Lama L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
325 RJ2023.04.11.692 11-Apr-2023 12:58 00.09.33 ernawati Perempuan 53 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension

06 May 2023 16/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
I10 ,E78.
326 RJ2023.04.12.715 12-Apr-2023 08:03 00.08.00 DEWI ROSITA Perempuan 55 Baru hypertension ,Hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
5
, unspecified
327 RJ2023.04.12.731 12-Apr-2023 09:16 00.28.68 NOR HABIBAH Perempuan 66 Baru H81.4 Vertigo of central origin Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
328 RJ2023.04.12.739 12-Apr-2023 09:49 00.09.24 AZWAR ABDULLAH Laki-Laki 79 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
I10 ,E78.
329 RJ2023.04.12.742 12-Apr-2023 09:55 00.19.70 MAIMUNAH Perempuan 48 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
5
, unspecified
Other and unspecified ovarian
330 RJ2023.04.12.758 12-Apr-2023 10:35 00.28.70 NUR AQIAH Perempuan 17 Baru N83.2 Poli Umum KIS dr. Wan Arie Afryadi
cysts
Essential (primary)
I10 ,E78.
331 RJ2023.04.12.759 12-Apr-2023 10:39 00.06.35 ENDONG NOFIANDI Laki-Laki 42 Lama hypertension ,Hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
5
, unspecified
332 RJ2023.04.12.776 12-Apr-2023 12:28 00.22.48 MEI SELLA Perempuan 21 Lama R51 Headache Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
333 RJ2023.04.13.790 13-Apr-2023 08:29 00.13.37 NURHATIBAH Perempuan 59 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
334 RJ2023.04.13.797 13-Apr-2023 08:37 00.21.31 RIFALDI ARIYANTO Laki-Laki 14 Lama B35.4 Tinea corporis Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
335 RJ2023.04.13.800 13-Apr-2023 08:43 00.18.28 USMAN Perempuan 64 Lama E11 ,I10 diabetes mellitus ,Essential Poli Umum KIS dr. Wan Arie Afryadi
(primary) hypertension
Essential (primary)
hypertension ,Hyperlipidaemia
I10 ,E78. , unspecified ,Hyperuricaemia
336 RJ2023.04.13.814 13-Apr-2023 09:07 00.18.17 WAN ABDULLAH Laki-Laki 67 Lama Poli Umum KIS dr. Wan Arie Afryadi
5 ,E79.0 without signs of inflammatory
arthritis and tophaceous
disease
Essential (primary)
337 RJ2023.04.13.821 13-Apr-2023 09:13 00.10.78 SUPRIYONO Laki-Laki 47 Baru I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Gastritis,
K29.7 ,E
338 RJ2023.04.13.826 13-Apr-2023 09:26 00.12.93 DEVI SUYANDRIYANI Perempuan 45 Lama unspecified ,Hyperlipidaemia, Poli Umum KIS dr. Wan Arie Afryadi
78.5
unspecified
Asthma ,Essential (primary)
339 RJ2023.04.13.832 13-Apr-2023 09:42 00.07.41 TAMMERI Perempuan 56 Lama J45 ,I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Acute upper respiratory
340 RJ2023.04.13.835 13-Apr-2023 09:47 00.20.09 FERA IRAWATI Perempuan 43 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
341 RJ2023.04.13.836 13-Apr-2023 09:52 00.06.51 NAZRI Laki-Laki 77 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
342 RJ2023.04.13.838 13-Apr-2023 09:54 00.18.03 CITRA DEWI Perempuan 31 Lama H81.4 Vertigo of central origin Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
343 RJ2023.04.13.840 13-Apr-2023 09:56 00.28.71 ROBI Laki-Laki 26 Baru I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
I10 ,T14.
344 RJ2023.04.13.842 13-Apr-2023 10:05 00.28.62 HARIS Laki-Laki 55 Lama hypertension ,Open wound of Poli Umum KIS dr. Wan Arie Afryadi
1
unspecified body region

06 May 2023 17/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Acute upper respiratory
345 RJ2023.04.13.845 13-Apr-2023 10:11 00.28.72 M. ZUL QOHRI Laki-Laki 0 Baru J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Psoriasis,
L40.9 ,I1
346 RJ2023.04.13.846 13-Apr-2023 10:30 00.22.81 SURYANI Perempuan 56 Lama unspecified ,Essential Poli Umum KIS dr. Wan Arie Afryadi
0
(primary) hypertension
347 RJ2023.04.14.865 14-Apr-2023 08:10 00.01.81 LA SABDA Laki-Laki 8 Lama L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
hypertension ,Hyperuricaemia
I10 ,E79.
348 RJ2023.04.14.876 14-Apr-2023 08:23 00.09.21 ABDULLAH Laki-Laki 64 Lama without signs of inflammatory Poli Umum KIS dr. Wan Arie Afryadi
0
arthritis and tophaceous
disease
Diarrhoea and gastroenteritis
349 RJ2023.04.14.887 14-Apr-2023 08:36 00.28.73 UBIUM RANITA SARI Perempuan 45 Baru A09 Poli Umum KIS dr. Wan Arie Afryadi
of presumed infectious origin
Essential (primary)
I10 ,L23.
350 RJ2023.04.14.890 14-Apr-2023 08:46 00.28.53 NUR AINI Perempuan 70 Lama hypertension ,Allergic contact Poli Umum KIS dr. Wan Arie Afryadi
9
dermatitis, unspecified cause
Allergic contact dermatitis,
351 RJ2023.04.14.894 14-Apr-2023 08:52 00.00.15 ZUBIR Perempuan 64 Lama L23.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified cause
Essential (primary)
352 RJ2023.04.14.895 14-Apr-2023 08:53 00.28.66 M.ARIF Laki-Laki 75 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
353 RJ2023.04.14.898 14-Apr-2023 08:59 00.12.89 HABIBAH Perempuan 51 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
Essential (primary)
354 RJ2023.04.14.900 14-Apr-2023 09:01 00.05.44 DEWA SETIAWATI Perempuan 54 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Injury of unspecified body
355 RJ2023.04.14.910 14-Apr-2023 09:24 00.18.44 GUT LIM AL.ROSNIWATI Perempuan 63 Lama T14 Poli Umum KIS dr. Wan Arie Afryadi
region
Allergic contact dermatitis,
356 RJ2023.04.14.917 14-Apr-2023 09:48 00.07.15 WAN ISMAIL Laki-Laki 80 Lama L23.9 Poli Umum KIS dr. Wan Arie Afryadi
unspecified cause
357 RJ2023.04.14.923 14-Apr-2023 09:55 00.18.69 FINA HERNIATY Perempuan 36 Lama G40 Epilepsy Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
358 RJ2023.04.15.1003 15-Apr-2023 09:54 00.07.73 SUKMAWATI Perempuan 51 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
359 RJ2023.04.15.1004 15-Apr-2023 09:58 00.28.74 M. MAULANA PAZLI Laki-Laki 16 Baru L40 Psoriasis Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
360 RJ2023.04.15.1005 15-Apr-2023 10:05 00.20.66 RAJA JUMADIAR Laki-Laki 58 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
361 RJ2023.04.15.1008 15-Apr-2023 10:07 00.28.75 SYARIFAH RABUNAH Perempuan 55 Baru R50.9 Fever, unspecified Poli Umum KIS dr. Wan Arie Afryadi

362 RJ2023.04.15.962 15-Apr-2023 08:14 00.04.75 KEYZHA DWI LESTARI Perempuan 14 Lama J45.9 Asthma, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
363 RJ2023.04.15.984 15-Apr-2023 09:33 00.11.05 SAJAB Laki-Laki 66 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
I10 ,K29.
364 RJ2023.04.15.991 15-Apr-2023 09:43 00.19.06 RUSNAWATI Perempuan 57 Lama hypertension ,Gastritis, Poli Umum KIS dr. Wan Arie Afryadi
7
unspecified
Non-insulin-dependent
365 RJ2023.04.17.1020 17-Apr-2023 08:00 00.28.62 IE SEN TJUI Laki-Laki 58 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus

06 May 2023 18/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Other
E78.4 ,I1
366 RJ2023.04.17.1038 17-Apr-2023 08:38 00.10.11 BUJANG ABDUL RAHMAN Laki-Laki 61 Lama hyperlipidaemia ,Essential Poli Umum KIS dr. Wan Arie Afryadi
0
(primary) hypertension
Essential (primary)
367 RJ2023.04.17.1042 17-Apr-2023 08:44 00.03.39 SUMARDI.M Laki-Laki 60 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
I10 ,M19
368 RJ2023.04.17.1049 17-Apr-2023 09:01 00.19.51 R. NURPIAH Laki-Laki 51 Lama hypertension ,Arthrosis, Poli Umum KIS dr. Wan Arie Afryadi
.9
unspecified
Superficial injury of
T14.0 ,G
369 RJ2023.04.17.1054 17-Apr-2023 09:13 00.10.04 MUHAMMAD GAFUR Laki-Laki 60 Lama unspecified body Poli Umum KIS dr. Wan Arie Afryadi
40
region ,Epilepsy
Essential (primary)
I10 ,E78.
370 RJ2023.04.17.1063 17-Apr-2023 09:40 00.09.76 SUMARNI Perempuan 46 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Open wound of unspecified
371 RJ2023.04.17.1067 17-Apr-2023 09:44 00.28.76 NURHAZIZIN KASTIA PUTRI Perempuan 9 Baru T14.1 Poli Umum KIS dr. Wan Arie Afryadi
body region
372 RJ2023.04.17.1079 17-Apr-2023 10:22 00.28.77 RIDUAN Laki-Laki 42 Baru L23 Allergic contact dermatitis Poli Umum KIS dr. Wan Arie Afryadi
Hyperuricaemia without signs
373 RJ2023.04.17.1080 17-Apr-2023 10:41 00.12.62 ISMAIL Laki-Laki 56 Lama E79.0 of inflammatory arthritis and Poli Umum KIS dr. Wan Arie Afryadi
tophaceous disease
Acute upper respiratory
374 RJ2023.04.17.1084 17-Apr-2023 10:53 00.05.06 mentari ajmain Perempuan 11 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Haemorrhage of anus and
375 RJ2023.04.17.1085 17-Apr-2023 11:01 00.07.02 ZIADI Laki-Laki 59 Lama K62.5 Poli Umum KIS dr. Wan Arie Afryadi
rectum
Acute upper respiratory
376 RJ2023.04.18.1117 18-Apr-2023 08:37 00.01.82 JUNA WATI Perempuan 47 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Acute upper respiratory
377 RJ2023.04.18.1119 18-Apr-2023 08:38 00.27.45 M. AZRIL RAFFASYA Laki-Laki 1 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
378 RJ2023.04.18.1126 18-Apr-2023 08:41 00.00.67 TUTI MISDAYANI Perempuan 31 Lama J02 Acute pharyngitis Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
379 RJ2023.04.18.1129 18-Apr-2023 08:49 00.28.78 SYARIFAH SUFI SAKILA Perempuan 20 Baru J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
380 RJ2023.04.18.1132 18-Apr-2023 09:03 00.08.68 B.IRMAN Laki-Laki 57 Lama I10 ,R11 hypertension ,Nausea and Poli Umum KIS dr. Wan Arie Afryadi
vomiting
381 RJ2023.04.18.1133 18-Apr-2023 09:05 00.06.97 NURHAYATI Perempuan 52 Lama L23 Allergic contact dermatitis Poli Umum KIS dr. Wan Arie Afryadi

382 RJ2023.04.18.1144 18-Apr-2023 09:33 00.14.98 AZKA ALFAYYADH Laki-Laki 4 Lama B86 Scabies Poli Umum KIS dr. Wan Arie Afryadi

383 RJ2023.04.18.1145 18-Apr-2023 09:34 00.14.97 ALTA FURRAHMAN SHAKEL Laki-Laki 7 Lama B86 Scabies Poli Umum KIS dr. Wan Arie Afryadi

384 RJ2023.04.18.1160 18-Apr-2023 09:58 00.28.80 ZULKARNAIN Laki-Laki 66 Baru Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,E78.
385 RJ2023.04.18.1161 18-Apr-2023 10:17 00.02.07 RAJA MUHAMMAD SAID Laki-Laki 63 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Dietary selenium
E59 ,E7
386 RJ2023.04.18.1162 18-Apr-2023 10:20 00.07.22 BAHTIAR Laki-Laki 55 Lama deficiency ,Other Poli Umum KIS dr. Wan Arie Afryadi
8.4
hyperlipidaemia

06 May 2023 19/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
387 RJ2023.04.18.1164 18-Apr-2023 10:30 00.18.05 LENI MARLINA Perempuan 27 Lama R53 Malaise and fatigue Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
388 RJ2023.04.18.1166 18-Apr-2023 10:42 00.09.22 WAN ARIFIN Laki-Laki 72 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
LI PANG GOK ALIAS
389 RJ2023.04.18.1172 18-Apr-2023 11:10 00.19.09 Perempuan 82 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
LISDAWATI
dependent diabetes mellitus
Essential (primary)
390 RJ2023.04.26.1236 26-Apr-2023 07:58 00.07.17 LILIS SURYANI Perempuan 44 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
391 RJ2023.04.26.1239 26-Apr-2023 08:05 00.17.42 HIRZANA APRIYANTI Perempuan 34 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
392 RJ2023.04.26.1241 26-Apr-2023 08:07 00.15.62 BUJANG KHAINI Laki-Laki 73 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
I10 ,E78. hypertension ,Disorder of
393 RJ2023.04.26.1262 26-Apr-2023 08:50 00.00.50 BANIAH Perempuan 54 Lama Poli Umum KIS dr. Wan Arie Afryadi
9 lipoprotein metabolism,
unspecified
Acute upper respiratory
394 RJ2023.04.26.1263 26-Apr-2023 08:54 00.09.24 AZWAR ABDULLAH Laki-Laki 79 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
395 RJ2023.04.26.1269 26-Apr-2023 09:17 00.24.27 YULIA Perempuan 38 Lama L50 Urticaria Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
396 RJ2023.04.26.1277 26-Apr-2023 09:21 00.07.07 SYAIDAH Perempuan 65 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
397 RJ2023.04.26.1283 26-Apr-2023 09:28 00.15.15 SYARIFAH YATI Perempuan 69 Lama N20 Calculus of kidney and ureter Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
398 RJ2023.04.26.1295 26-Apr-2023 09:44 00.18.59 SITI HABSAH Laki-Laki 67 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
hypertension ,Other
I10 ,E78.
399 RJ2023.04.26.1296 26-Apr-2023 09:46 00.18.58 ASMAN JA'FAR Laki-Laki 69 Lama hyperlipidaemia ,Bronchitis, Poli Umum KIS dr. Wan Arie Afryadi
4 ,J40
not specified as acute or
chronic
400 RJ2023.04.26.1301 26-Apr-2023 09:57 00.19.51 R. NURPIAH Laki-Laki 51 Lama Poli Umum KIS dr. Wan Arie Afryadi

401 RJ2023.04.26.1310 26-Apr-2023 10:21 00.28.81 AULIYAH HUMAIRA Perempuan 18 Lama H52.1 Myopia Poli Umum KIS dr. Wan Arie Afryadi
Acute upper respiratory
402 RJ2023.04.26.1319 26-Apr-2023 10:56 00.08.07 RAJA SEPRIANTI HASRAINI Perempuan 53 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
403 RJ2023.04.27.1345 27-Apr-2023 08:20 00.13.97 SYARIFAH NANI Perempuan 32 Lama B86 Scabies Poli Umum KIS dr. Wan Arie Afryadi

404 RJ2023.04.27.1347 27-Apr-2023 08:21 00.21.48 SANDY BANI SAFATAR Laki-Laki 4 Lama B86 Scabies Poli Umum KIS dr. Wan Arie Afryadi
Gastro-oesophageal reflux
K21.9 ,M disease without
405 RJ2023.04.27.1354 27-Apr-2023 08:27 00.13.36 SYARIFAH AZAM Perempuan 70 Lama Poli Umum KIS dr. Wan Arie Afryadi
79.1 ,I10 oesophagitis ,Myalgia ,Essenti
al (primary) hypertension
406 RJ2023.04.27.1361 27-Apr-2023 08:41 00.13.39 ATANDI Laki-Laki 66 Lama L23 Allergic contact dermatitis Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
407 RJ2023.04.27.1362 27-Apr-2023 08:42 00.07.34 MUHAMAD TAHIR Laki-Laki 55 Lama I10 ,L23 hypertension ,Allergic contact Poli Umum KIS dr. Wan Arie Afryadi
dermatitis

06 May 2023 20/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Essential (primary)
408 RJ2023.04.27.1367 27-Apr-2023 08:47 00.17.83 SYAMSIDAR.S Perempuan 66 Lama I10 ,E11 hypertension ,Non-insulin- Poli Umum KIS dr. Wan Arie Afryadi
dependent diabetes mellitus
409 RJ2023.04.27.1369 27-Apr-2023 08:48 00.01.81 LA SABDA Laki-Laki 8 Lama R04.0 Epistaxis Poli Umum KIS dr. Wan Arie Afryadi
Non-insulin-dependent
410 RJ2023.04.27.1376 27-Apr-2023 08:53 00.20.51 AWANG HERWANTO Laki-Laki 35 Lama E11 Poli Umum KIS dr. Wan Arie Afryadi
diabetes mellitus
Non-insulin-dependent
LI PANG GOK ALIAS E11 ,I10 diabetes mellitus ,Essential
411 RJ2023.04.27.1384 27-Apr-2023 09:04 00.19.09 Perempuan 82 Lama Poli Umum KIS dr. Wan Arie Afryadi
LISDAWATI ,E78.4 (primary) hypertension ,Other
hyperlipidaemia
General examination and
investigation of persons
412 RJ2023.04.27.1412 27-Apr-2023 09:52 00.28.83 BILL GAIT Laki-Laki 12 Baru Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
Essential (primary)
413 RJ2023.04.27.1416 27-Apr-2023 09:58 00.02.94 JOHAN Laki-Laki 64 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Bronchitis, not specified as
414 RJ2023.04.27.1420 27-Apr-2023 10:04 00.19.97 ASMIRA Perempuan 31 Lama J40 Poli Umum KIS dr. Wan Arie Afryadi
acute or chronic
Acute upper respiratory
415 RJ2023.04.27.1430 27-Apr-2023 10:12 00.15.53 MITA WAHYUNI Perempuan 25 Baru J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
General examination and
investigation of persons
416 RJ2023.04.27.1438 27-Apr-2023 10:21 00.28.84 NURWANDI Laki-Laki 30 Baru Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
I10 ,M79 Essential (primary)
417 RJ2023.04.28.1467 28-Apr-2023 08:07 00.11.97 RUSMINI USMAN Perempuan 61 Baru Poli Umum KIS dr. Wan Arie Afryadi
.1 hypertension ,Myalgia
Essential (primary)
418 RJ2023.04.28.1471 28-Apr-2023 08:13 00.18.19 SURTINA Perempuan 63 Lama I10 ,K30 Poli Umum KIS dr. Wan Arie Afryadi
hypertension ,Dyspepsia
419 RJ2023.04.28.1473 28-Apr-2023 08:17 00.08.88 NASIR Laki-Laki 50 Lama J45.9 Asthma, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
420 RJ2023.04.28.1476 28-Apr-2023 08:19 00.23.29 WAN NURWAWI Laki-Laki 65 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
I10 ,E78.
421 RJ2023.04.28.1479 28-Apr-2023 08:26 00.04.07 LATIFAH Perempuan 43 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
422 RJ2023.04.28.1483 28-Apr-2023 08:29 00.12.98 PAMAKUSTA Perempuan 51 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,K29.
423 RJ2023.04.28.1484 28-Apr-2023 08:31 00.12.97 JASMAN Laki-Laki 53 Lama hypertension ,Gastritis, Poli Umum KIS dr. Wan Arie Afryadi
7
unspecified
Essential (primary)
424 RJ2023.04.28.1486 28-Apr-2023 08:33 00.00.52 ANJASMARA Laki-Laki 61 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Acute upper respiratory
425 RJ2023.04.28.1495 28-Apr-2023 08:44 00.10.58 YUSMAWATI Perempuan 28 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
426 RJ2023.04.28.1497 28-Apr-2023 08:50 00.01.50 MIRA SUNARTI Perempuan 44 Lama Poli Umum KIS dr. Wan Arie Afryadi

06 May 2023 21/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
Human immunodeficiency
virus [HIV] disease resulting in
427 RJ2023.04.28.1499 28-Apr-2023 08:53 00.16.11 JUNITA Perempuan 38 Lama B20 Poli Umum KIS dr. Wan Arie Afryadi
infectious and parasitic
diseases
Human immunodeficiency
virus [HIV] disease resulting in
428 RJ2023.04.28.1500 28-Apr-2023 08:54 00.19.75 ARDAN TONO Laki-Laki 34 Lama B20 Poli Umum KIS dr. Wan Arie Afryadi
infectious and parasitic
diseases
Essential (primary)
I10 ,E78. hypertension ,Other
429 RJ2023.04.28.1506 28-Apr-2023 08:59 00.17.51 HALIFAH Perempuan 78 Lama Poli Umum KIS dr. Wan Arie Afryadi
4 ,M19 hyperlipidaemia ,Other
arthrosis
430 RJ2023.04.28.1507 28-Apr-2023 08:59 00.13.01 NURAINI Laki-Laki 51 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

431 RJ2023.04.28.1508 28-Apr-2023 09:00 00.23.99 SAIDA TINA UMAIROH Perempuan 3 Lama L20.9 Atopic dermatitis, unspecified Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
432 RJ2023.04.28.1517 28-Apr-2023 09:30 00.28.85 NURHAYATI Perempuan 0 Baru I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
433 RJ2023.04.28.1519 28-Apr-2023 09:37 00.12.31 NOER HAZWAN HAKIM Laki-Laki 6 Lama L50 Urticaria Poli Umum KIS dr. Wan Arie Afryadi
Essential (primary)
I10 ,E78.
434 RJ2023.04.28.1522 28-Apr-2023 09:39 00.22.44 BUJANG RUZAINI Laki-Laki 66 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Acute upper respiratory
435 RJ2023.04.28.1523 28-Apr-2023 09:43 00.05.92 MARIANA Perempuan 38 Lama J06.9 Poli Umum KIS dr. Wan Arie Afryadi
infection, unspecified
Essential (primary)
I10 ,E78.
436 RJ2023.04.28.1524 28-Apr-2023 09:46 00.18.15 KWAN OEI SIAU ALIAS ACI Perempuan 71 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Essential (primary)
437 RJ2023.04.28.1525 28-Apr-2023 09:48 00.09.55 RUMYANA Perempuan 60 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
J45.9 ,M
438 RJ2023.04.28.1526 28-Apr-2023 09:49 00.09.56 ABDULLAH JAYA Laki-Laki 64 Lama Asthma, unspecified ,Myalgia Poli Umum KIS dr. Wan Arie Afryadi
79.1
Essential (primary)
I10 ,E78.
439 RJ2023.04.28.1529 28-Apr-2023 09:52 00.28.86 MARTINAH Perempuan 0 Baru hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
Essential (primary)
I10 ,E78. hypertension ,Other
440 RJ2023.04.28.1532 28-Apr-2023 10:00 00.02.31 NURMA Perempuan 63 Lama Poli Umum KIS dr. Wan Arie Afryadi
4 ,E11 hyperlipidaemia ,Non-insulin-
dependent diabetes mellitus
Essential (primary)
441 RJ2023.04.28.1533 28-Apr-2023 10:23 00.00.03 YURNORWATI Perempuan 57 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
Essential (primary)
442 RJ2023.04.28.1534 28-Apr-2023 10:25 00.13.49 MAIMUN Perempuan 69 Lama I10 Poli Umum KIS dr. Wan Arie Afryadi
hypertension
E78.4 ,M Other hyperlipidaemia ,Gout,
443 RJ2023.04.28.1535 28-Apr-2023 10:30 00.16.78 RUSTINAH Perempuan 57 Lama Poli Umum KIS dr. Wan Arie Afryadi
10.9 unspecified
Disorders of initiating and
444 RJ2023.04.29.1553 29-Apr-2023 08:23 00.08.43 H. ABDUL MUIN Laki-Laki 79 Lama G47.0 Poli Umum KIS dr. Wan Arie Afryadi
maintaining sleep [insomnias]

06 May 2023 22/23


Jenis
No No RJ Tanggal Pasien ID Pasien Umur Kunjungan ICD10 Diagnosa Lokasi Jaminan Dokter
Kelamin
General examination and
investigation of persons
445 RJ2023.04.29.1559 29-Apr-2023 08:28 00.08.10 MURNI Perempuan 63 Lama Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
General examination and
investigation of persons
446 RJ2023.04.29.1564 29-Apr-2023 08:29 00.08.09 RIDWAN Laki-Laki 61 Baru Z00 Poli Umum KIS dr. Wan Arie Afryadi
without complaint and
reported diagnosis
Essential (primary)
I10 ,E78.
447 RJ2023.04.29.1572 29-Apr-2023 08:50 00.00.32 RAJA FATIMAH KALSUM Perempuan 69 Lama hypertension ,Other Poli Umum KIS dr. Wan Arie Afryadi
4
hyperlipidaemia
448 RJ2023.04.29.1576 29-Apr-2023 08:53 00.28.87 MOHD.AFRIZAL Laki-Laki 23 Baru Poli Umum KIS dr. Wan Arie Afryadi
Disorders of initiating and
449 RJ2023.04.29.1578 29-Apr-2023 09:03 00.05.23 SUKARI Laki-Laki 61 Lama G47.0 Poli Umum KIS dr. Wan Arie Afryadi
maintaining sleep [insomnias]
450 RJ2023.04.29.1582 29-Apr-2023 09:09 00.10.73 SONI ABDULLAH Laki-Laki 61 Lama C76.2 Abdomen Poli Umum KIS dr. Wan Arie Afryadi

451 RJ2023.04.29.1597 29-Apr-2023 09:45 00.21.21 KARMILA Perempuan 46 Lama E04.1 Nontoxic single thyroid nodule Poli Umum KIS dr. Wan Arie Afryadi

452 RJ2023.04.29.1610 29-Apr-2023 10:35 00.09.26 SABRINA Perempuan 64 Lama E78.4 Other hyperlipidaemia Poli Umum KIS dr. Wan Arie Afryadi

Keterangan Jumlah

Baru 81

Lama 371

TOTAL 452

Penjamin

JASA RAHARJA 2

KIS 450

Jenis Kelamin

Laki-Laki 204

Perempuan 248

06 May 2023 23/23

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