CreatePDF (2) - Dikonversi

Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601

NO TANGGAL NO KUNJUNGAN NO KARTU
1 31-07-2019 170406010719P000707 0000890212026
2 31-07-2019 170406010719P000691 0000890561733
3 31-07-2019 170406010719P000690 0000890886857
4 31-07-2019 170406010719P000701 0000890888488
5 31-07-2019 170406010719P000687 0001065833976
6 31-07-2019 170406010719P000678 0001260938799
7 31-07-2019 170406010719P000679 0001264610643
8 31-07-2019 170406010719P000680 0001283181399
9 31-07-2019 170406010719P000684 0001389419965
10 31-07-2019 170406010719P000699 0001451661669
11 31-07-2019 170406010719P000700 0001460140132
12 31-07-2019 170406010719P000689 0001811095839
13 31-07-2019 170406010719P000685 0001848375303
14 31-07-2019 170406010719P000704 0001882580229
15 31-07-2019 170406010719P000686 0002082551848
16 31-07-2019 170406010719P000693 0002084904685
17 31-07-2019 170406010719P000692 0002215322638
18 31-07-2019 170406010719P000702 0002224516149
19 31-07-2019 170406010719P000694 0002270854721
20 31-07-2019 170406010719P000703 0002425519765

NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
SYARIFUDINOOR L PBI (APBN) Spondylolysis
SURIADI L PBI (APBN) Acute upper respiratory infection,

unspecified
IBRAHIM L PBI (APBN) Acute upper respiratory infection,
unspecified
ICA PUTRI KIRANA P PBI (APBN) Disturbances in tooth eruption
RAHMAWATI P PBI (APBN) Dyspepsia
m.murjani L PEKERJA MANDIRI Thalassaemia
MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia
M.IRIADI L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SAPIAH P PEKERJA MANDIRI Other specified intervertebral disc
ANSYAR L PEKERJA MANDIRI Pulpitis
BAHRANI L PEKERJA MANDIRI Pulpitis
SAIDAH P PEKERJA MANDIRI Gout
MAIMUNAH P PEKERJA MANDIRI Presence of intraocular lens
NINA RAHMASANTI P PEGAWAI SWASTA Antenatal screening, unspecified
HAIRIYAH P PEKERJA MANDIRI Essential (primary) hypertension
ASKIAH P PENERIMA PENSIUN PNS Malaise and fatigue
BELA DWI KURNIANSYAH L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
NORMA P PEKERJA MANDIRI Antenatal screening, unspecified
BARIAH P PEKERJA MANDIRI Insulin-dependent diabetes

mellitus with
NURHIDAYAH P PEGAWAI SWASTA Antenatal screening, unspecified

DIRUJUK
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21 31-07-2019 170406010719P000705 0002614856229
22 31-07-2019 170406010719P000688 0002758522904
23 30-07-2019 170406010719P000663 0000122257427
24 30-07-2019 170406010719P000681 0000122719026
25 30-07-2019 170406010719P000654 0000123189243
26 30-07-2019 170406010719P000695 0000123322184
27 30-07-2019 170406010719P000652 0000123587021
28 30-07-2019 170406010719P000674 0000124564544
29 30-07-2019 170406010719P000653 0000889364597
30 30-07-2019 170406010719P000664 0000889896701
31 30-07-2019 170406010719P000723 0000889943534
32 30-07-2019 170406010719P000673 0000890474343
33 30-07-2019 170406010719P000677 0000890681038
34 30-07-2019 170406010719P000682 0001303166687
35 30-07-2019 170406010719P000698 0001319509001
36 30-07-2019 170406010719P000696 0001433475369
37 30-07-2019 170406010719P000655 0001459884532
38 30-07-2019 170406010719P000683 0001546717421
39 30-07-2019 170406010719P000697 0001770974559
40 30-07-2019 170406010719P000651 0001857673214
41 30-07-2019 170406010719P000675 0002215322638

NIKMAH P PEKERJA MANDIRI Antenatal screening, unspecified
RUSMAWARNI P PEKERJA MANDIRI Essential (primary) hypertension
SITI INDERA HJ P PENERIMA PENSIUN PNS Essential (primary) hypertension
H SAIBATUL HAMDI L PNS DAERAH Headache
MISRAN L PNS DAERAH Insulin-dependent diabetes

mellitus with
IFAH AMINAH P PNS PUSAT Contraceptive management,

unspecified
ITA AS P PENERIMA PENSIUN PNS Insulin-dependent diabetes
mellitus with
ABDUL GAFAR L PENERIMA PENSIUN POLRI Essential (primary) hypertension
MARDIKAYAH P PBI (APBN) Heart failure, unspecified
A SAYUTI L PBI (APBN) Hypertensive heart disease
MUNSI L PBI (APBN) Cough
RISKA P PBI (APBN) Malaise and fatigue
BAHJAH P PBI (APBN) Essential (primary) hypertension
SYAEPULLAH L PEKERJA MANDIRI Diseases of pulp and periapical

tissues
RAUDHATUL JANNAH P PEKERJA MANDIRI Antenatal screening, unspecified
HARTATI P PEKERJA MANDIRI Antenatal screening, unspecified
HJ. THAIBAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SOLEHA P PEGAWAI SWASTA Diseases of pulp and periapical

tissues
SUSILAWATI P PEKERJA MANDIRI Antenatal screening, unspecified
alya sairina P PEKERJA MANDIRI Epilepsy

unspecified
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42 30-07-2019 170406010719P000724 0002632624457
43 29-07-2019 170406010719P000631 0000122707091
44 29-07-2019 170406010719P000659 0000122824484
45 29-07-2019 170406010719P000627 0000123287253
46 29-07-2019 170406010719P000633 0000123313206
47 29-07-2019 170406010719P000661 0000123322386
48 29-07-2019 170406010719P000626 0000123329542
49 29-07-2019 170406010719P000623 0000123359861
50 29-07-2019 170406010719P000656 0000123807025
51 29-07-2019 170406010719P000650 0000166736766
52 29-07-2019 170406010719P000644 0000889477964
53 29-07-2019 170406010719P000676 0000889478021
54 29-07-2019 170406010719P000721 0000889910908
55 29-07-2019 170406010719P000722 0000889981389
56 29-07-2019 170406010719P000641 0000890465016
57 29-07-2019 170406010719P000640 0000890466164
58 29-07-2019 170406010719P000660 0000890492995
59 29-07-2019 170406010719P000720 0000890767664
60 29-07-2019 170406010719P000645 0000890860094
61 29-07-2019 170406010719P000643 0000890860307
62 29-07-2019 170406010719P000636 0001137631116
63 29-07-2019 170406010719P000662 0001280208868

AHMAD FAJAR L PBI (APBN) Cough
OMAN SUDARMAN L PENERIMA PENSIUN TNI Essential (primary) hypertension
SAHIDAWATI P PNS DAERAH Diseases of pulp and periapical

tissues
MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified
A ATHAILAH L PNS PUSAT Senile cataract, unspecified
NEELA AFIFAH P PEGAWAI PEMERINTAH Antenatal screening, unspecified

DENGAN PERJANJIAN
CHAIRUL ANWAR L PNS DAERAH Panic disorder [episodic

paroxysmal anxiety]
RUSLI L PENERIMA PENSIUN PNS Non-insulin-dependent diabetes
mellitus with
MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Diseases of pulp and periapical

tissues
MARWIYAH P PNS DAERAH Examination of blood pressure
RUBIAH P PBI (APBN) Dyspepsia
DESSY SHOPIA RENDA P PBI (APBN) Nummular dermatitis
NAPHANI EFENDI L PBI (APBN) Cough
JARIAH P PBI (APBN) Contraceptive management,

unspecified
RUSMINAH P PBI (APBN) Gastritis, unspecified
TAUFIK L PBI (APBN) Acute haemorrhagic gastritis
HAMIDAH P PBI (APBN) Contraceptive management,

unspecified
ARIFIN L PBI (APBN) Cutaneous abscess, furuncle and
carbuncle
SULAIMAN L PBI (APBN) Cough
MUHAMMAD AULIA RAHMAN L PBI (APBN) Impacted cerumen
MUHAMMAD IRWAN L PEGAWAI SWASTA Headache
SELVIA SHOLEHAH P PEGAWAI SWASTA Contraceptive management,

unspecified
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64 29-07-2019 170406010719P000648 0001280209667
65 29-07-2019 170406010719P000649 0001283181399
66 29-07-2019 170406010719P000639 0001290766375
67 29-07-2019 170406010719P000658 0001550631183
68 29-07-2019 170406010719P000638 0001801331807
69 29-07-2019 170406010719P000634 0001808362462
70 29-07-2019 170406010719P000629 0001810489083
71 29-07-2019 170406010719P000642 0001811732523
72 29-07-2019 170406010719P000635 0001824252412
73 29-07-2019 170406010719P000630 0001848375303
74 29-07-2019 170406010719P000628 0001882580229
75 29-07-2019 170406010719P000624 0002215322638
76 29-07-2019 170406010719P000646 0002215322739
77 29-07-2019 170406010719P000625 0002224516149
78 29-07-2019 170406010719P000647 0002304453453
79 29-07-2019 170406010719P000712 0002374552642
80 29-07-2019 170406010719P000632 0002434225994
81 29-07-2019 170406010719P000637 0002501762736
82 29-07-2019 170406010719P000657 0002741828804
83 27-07-2019 170406010719P000621 0000117635602
84 27-07-2019 170406010719P000614 0000122707045
85 27-07-2019 170406010719P000772 0000122718982

DHEA FATHONAH L PEGAWAI SWASTA Influenza due to other identified
influenza virus
M.IRIADI L PEKERJA MANDIRI Typhoid and paratyphoid fevers
MUHAMMAD FAISAL L PEKERJA MANDIRI Undifferentiated schizophrenia
IRPAN L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
SITI AISYAH P PEKERJA MANDIRI Influenza due to other identified
influenza virus
YANTI P PEKERJA MANDIRI Epilepsy
SYARKAWI L PEKERJA MANDIRI Pneumonia, unspecified
SUAIBATUL ASLAMIAH P PNS PUSAT Myalgia
SAMSIAH P PEKERJA MANDIRI Dyspepsia
MAIMUNAH P PEKERJA MANDIRI Heart failure, unspecified
NINA RAHMASANTI P PEGAWAI SWASTA Supervision of normal pregnancy

unspecified
ERDAWATI P PEKERJA MANDIRI Spondylolysis
NORMA P PEKERJA MANDIRI Supervision of normal pregnancy
MUHAMMAD RASYID MUTTAQIN L PNS PUSAT Scabies
NUR LAYLA P PBI (APBD) Other and unspecified

gastroenteritis and colitis
YUNI L PEKERJA MANDIRI Unspecified dementia
ST MU'DIAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified
FATHUR RAHMAN L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
HERY SUSANTO L PNS DAERAH Diseases of pulp and periapical
tissues
ROHANI P PENERIMA PENSIUN TNI Myalgia
FAULIAH P PNS DAERAH Examination of blood pressure

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86 27-07-2019 170406010719P000773 0000122719026
87 27-07-2019 170406010719P000774 0000122719037
88 27-07-2019 170406010719P000775 0000122719151
89 27-07-2019 170406010719P000788 0000122719162
90 27-07-2019 170406010719P000776 0000122719195
91 27-07-2019 170406010719P000777 0000122719206
92 27-07-2019 170406010719P000778 0000122725012
93 27-07-2019 170406010719P000620 0000123114969
94 27-07-2019 170406010719P000609 0000123212373
95 27-07-2019 170406010719P000779 0000123587021
96 27-07-2019 170406010719P000617 0000123777753
97 27-07-2019 170406010719P000780 0000124715428
98 27-07-2019 170406010719P000781 0000163507184
99 27-07-2019 170406010719P000612 0000209011217
100 27-07-2019 170406010719P000716 0000889984124
101 27-07-2019 170406010719P000718 0000890624823
102 27-07-2019 170406010719P000719 0000890630695
103 27-07-2019 170406010719P000717 0000890633002
104 27-07-2019 170406010719P000706 0000890773154
105 27-07-2019 170406010719P000715 0000891532473
106 27-07-2019 170406010719P000619 0001065414295
107 27-07-2019 170406010719P000615 0001278170245

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure
MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure
JOHNY RAMOON L PNS PUSAT Examination of blood pressure
RUSLIASARI P PNS PUSAT Examination of blood pressure
MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure
NOOR ASLIANI P PNS DAERAH Examination of blood pressure
PAUZIAH P PNS DAERAH Examination of blood pressure
AINI P PNS DAERAH Pulpitis
SAIFUL ANWAR L PNS DAERAH Tuberculosis of lung, confirmed by

unspecified
ITA AS P PENERIMA PENSIUN PNS Examination of blood pressure
M. SYIHAB FADHILAH L PNS DAERAH Dyspepsia
MASRUKIAH P PENERIMA PENSIUN PNS Examination of blood pressure
RUSDIANA. HJ P PENERIMA PENSIUN PNS Examination of blood pressure
YUDA FRISNO L PNS DAERAH Myalgia
ALUS L PBI (APBN) Dyspepsia
JUHANSYAH L PBI (APBN) Essential (primary) hypertension
MISLIWATI P PBI (APBN) Essential (primary) hypertension
HASAN BASRI L PBI (APBN) Essential (primary) hypertension
SALIMAH P PBI (APBN) Dyspepsia
SUPIAN L PBI (APBN) Cough
AHMAD FARID HIDAYAT L PBI (APBN) Pulpitis
MARDIANA P PEKERJA MANDIRI Examination of blood pressure

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108 27-07-2019 170406010719P000782 0001291769392
109 27-07-2019 170406010719P000783 0001327093402
110 27-07-2019 170406010719P000784 0001441794846
111 27-07-2019 170406010719P000611 0001451642679
112 27-07-2019 170406010719P000785 0001648188944
113 27-07-2019 170406010719P000605 0001790572871
114 27-07-2019 170406010719P000786 0001873511245
115 27-07-2019 170406010719P000618 0001882580229
116 27-07-2019 170406010719P000787 0002207775701
117 27-07-2019 170406010719P000604 0002215322638
118 27-07-2019 170406010719P000622 0002274062714
119 27-07-2019 170406010719P000616 0002487431147
120 27-07-2019 170406010719P000610 0002745649157
121 27-07-2019 170406010719P000613 0002771514652
122 26-07-2019 170406010719P000603 0000122824495
123 26-07-2019 170406010719P000602 0000889472665
124 26-07-2019 170406010719P000607 0000889713314
125 26-07-2019 170406010719P000714 0000889937447
126 26-07-2019 170406010719P000593 0000889960869

ST FARADIBAH P PEKERJA MANDIRI Examination of blood pressure
MURSEHAN P PEKERJA MANDIRI Examination of blood pressure
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure
A. ARBANI L PEKERJA MANDIRI Urinary calculus, unspecified
BURHANUDDIN L PEGAWAI SWASTA Examination of blood pressure
ROHANI P PEKERJA MANDIRI Hypertensive heart disease
MASTANIAH P PEKERJA MANDIRI Examination of blood pressure
NINA RAHMASANTI P PEGAWAI SWASTA Antenatal screening, unspecified
DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

unspecified
M. SYAMAN BAZAR L PEGAWAI PEMERINTAH Dental caries

DENGAN PERJANJIAN
MUHAMMAD HERY L PEGAWAI SWASTA Dyspepsia
ALVIN KEANU RAFISQY L PEGAWAI PEMERINTAH Diarrhoea and gastroenteritis of

DENGAN PERJANJIAN KERJA presumed infectious origin
MISNAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
YUDA SYAIFUDDIN L PEKERJA MANDIRI Other specified mental disorders

due to brain damage and
dysfunction
UMAR HASAN L PBI (APBN) Pulpitis
KHAIRIYAH P PBI (APBN) Contraceptive management,

unspecified
LATIFAH P PBI (APBN) Influenza due to other identified
influenza virus
PURI L PBI (APBN) Malaise and fatigue
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127 26-07-2019 170406010719P000606 0000890467727
128 26-07-2019 170406010719P000595 0000890793279
129 26-07-2019 170406010719P000601 0000891526443
130 26-07-2019 170406010719P000713 0000891547661
131 26-07-2019 170406010719P000608 0000894751784
132 26-07-2019 170406010719P000598 0001065413362
133 26-07-2019 170406010719P000592 0001065413619
134 26-07-2019 170406010719P000591 0001136266942
135 26-07-2019 170406010719P000589 0001280203964
136 26-07-2019 170406010719P000594 0001300283256
137 26-07-2019 170406010719P000587 0001478920871
138 26-07-2019 170406010719P000590 0002215322638
139 26-07-2019 170406010719P000588 0002216157221
140 26-07-2019 170406010719P000597 0002657109475
141 25-07-2019 170406010719P000549 0000038401018
142 25-07-2019 170406010719P000545 0000093521856
143 25-07-2019 170406010719P000711 0000122718745
144 25-07-2019 170406010719P000560 0000122805303
145 25-07-2019 170406010719P000559 0000122805314
146 25-07-2019 170406010719P000544 0000122811704

NOR SIAH P PBI (APBN) Antenatal screening, unspecified
IBNU SUHUD L PBI (APBN) Conjunctivitis
PADLAN L PBI (APBN) Diarrhoea and gastroenteritis of

presumed infectious origin
WARDAH P PBI (APBN) Influenza due to other identified

influenza virus
NOORLIANA SANTI P PBI (APBN) Contraceptive management,
unspecified
DAHLIA P PBI (APBN) Embedded and impacted teeth
HADIDJAH P PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
AHMAD YANI YUSUF L PEGAWAI SWASTA Diarrhoea and gastroenteritis of

RAUDAH P PEKERJA MANDIRI Heart failure, unspecified
LILY DRINAWATI P PEKERJA MANDIRI Spondylolysis
ARBAINAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with

unspecified
KARTASIAH P PEKERJA MANDIRI Hypertensive heart disease
SURYA L PBI (APBD) Headache
HARTINI P PENERIMA PENSIUN PNS Glaucoma
SITI MUFLICHAH P PNS PUSAT Gingivitis and periodontal diseases
AMRULLAH L PNS DAERAH Acute haemorrhagic gastritis
MASNUNIAH P PNS DAERAH Spondylolysis
AGUS PRIBADI L PNS DAERAH Dyspepsia
ST AISYAH P PNS DAERAH Heart failure, unspecified

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147 25-07-2019 170406010719P000554 0000889478583
148 25-07-2019 170406010719P000551 0000889681588
149 25-07-2019 170406010719P000709 0000889763624
150 25-07-2019 170406010719P000710 0000889764311
151 25-07-2019 170406010719P000565 0000890002629
152 25-07-2019 170406010719P000564 0000890310778
153 25-07-2019 170406010719P000548 0000890465106
154 25-07-2019 170406010719P000563 0000890771062
155 25-07-2019 170406010719P000671 0000890773154
156 25-07-2019 170406010719P000555 0000890786946
157 25-07-2019 170406010719P000562 0000890886857
158 25-07-2019 170406010719P000546 0000891557223
159 25-07-2019 170406010719P000600 0001170141794
160 25-07-2019 170406010719P000553 0001318164388
161 25-07-2019 170406010719P000596 0001478920871
162 25-07-2019 170406010719P000550 0001548389698
163 25-07-2019 170406010719P000599 0001786622196
164 25-07-2019 170406010719P000556 0001793660769
165 25-07-2019 170406010719P000558 0001860287635
166 25-07-2019 170406010719P000561 0001907099032
167 25-07-2019 170406010719P000547 0002043596608
168 25-07-2019 170406010719P000557 0002085005272

DEWI MAHARANI P PBI (APBN) Haemorrhoids
M RAMADHANI L PBI (APBN) Epilepsy
SETIA BUDI L PBI (APBN) Headache
SETIAWATI P PBI (APBN) Influenza, virus not identified
SITI KHADIJAH P PBI (APBN) Contraceptive management,

unspecified
RUSMIATI P PBI (APBN) Contraceptive management,
unspecified
ABDULLAH L PBI (APBN) Heart failure, unspecified
WARDANIAH P PBI (APBN) Contraceptive management,

unspecified
SALIMAH P PBI (APBN) Allergic contact dermatitis
SITI AISYAH P PBI (APBN) Non-insulin-dependent diabetes

mellitus without
IBRAHIM L PBI (APBN) Pulpitis
SITI AISYAH P PBI (APBN) Undifferentiated schizophrenia
SARIFUDIN L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
TANKASIANI L PEKERJA MANDIRI Essential (primary) hypertension
ARBAINAH P PEKERJA MANDIRI Examination of blood pressure
MIRDA BANJARIAH P PEGAWAI SWASTA Insulin-dependent diabetes

mellitus with
SRI YULIANTI P PEKERJA MANDIRI Essential (primary) hypertension
RAHIMAH P PEKERJA MANDIRI Anal fistula
RUSGIATI P PEKERJA MANDIRI Myalgia
SUSAN RITA IRENE TORE P PEKERJA MANDIRI Essential (primary) hypertension
MARTINI P PBI (APBD) Epilepsy
SASRA L PEKERJA MANDIRI Essential (primary) hypertension

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169 25-07-2019 170406010719P000672 0002093722571
170 25-07-2019 170406010719P000552 0002215322638
171 25-07-2019 170406010719P000708 0002277325833
172 24-07-2019 170406010719P000482 0000100596093
173 24-07-2019 170406010719P000466 0000122606201
174 24-07-2019 170406010719P000485 0000124770161
175 24-07-2019 170406010719P000531 0000889697338
176 24-07-2019 170406010719P000668 0000889979534
177 24-07-2019 170406010719P000534 0000889982098
178 24-07-2019 170406010719P000530 0000890047484
179 24-07-2019 170406010719P000537 0000890048496
180 24-07-2019 170406010719P000480 0000890310778
181 24-07-2019 170406010719P000532 0000890323301
182 24-07-2019 170406010719P000536 0000890453248
183 24-07-2019 170406010719P000468 0000890466219
184 24-07-2019 170406010719P000533 0000891207448
185 24-07-2019 170406010719P000669 0000891248319
186 24-07-2019 170406010719P000483 0001065833976
187 24-07-2019 170406010719P000481 0001065833987
188 24-07-2019 170406010719P000538 0001271659735
189 24-07-2019 170406010719P000503 0001287065406

WARDANIAH P PEKERJA MANDIRI Contraceptive management

unspecified
MUTMAINAH P PEKERJA MANDIRI Acute haemorrhagic gastritis
MARSANTO ADI NURCAHYO L PNS PUSAT Pterygium
MUHAMMAD MISRAN DARMY L PEKERJA MANDIRI Diseases of pulp and periapical

tissues
M.AZHARI AKBAR L PNS DAERAH Disorder of refraction, unspecified
HALIMATUS SADIAH P PBI (APBN) Contraceptive management,

unspecified
M. SUPIAN SAURI L PBI (APBN) Influenza due to other identified
influenza virus
ASLINA P PBI (APBN) Acute upper respiratory infection,
unspecified
ROHANA P PBI (APBN) Essential (primary) hypertension
NUR ANIYA P PBI (APBN) Cough
RUSMIATI P PBI (APBN) Essential (primary) hypertension
HERLINA P PBI (APBN) Contraceptive management,

unspecified
JULKINI L PBI (APBN) Examination of blood pressure
LAMBERI L PBI (APBN) Hyperplasia of prostate
ISMAYUDI L PBI (APBN) Pulpitis
HAIFA P PBI (APBN) Influenza due to other identified

influenza virus
RAHMAWATI P PBI (APBN) Antenatal screening, unspecified
SUPIAN SAURI L PBI (APBN) Acute upper respiratory infection,

unspecified
RAHMAWATI P PEKERJA MANDIRI Cough
SAIHU L PEKERJA MANDIRI Essential (primary) hypertension

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190 24-07-2019 170406010719P000511 0001302082593
191 24-07-2019 170406010719P000540 0001316257479
192 24-07-2019 170406010719P000470 0001666656178
193 24-07-2019 170406010719P000474 0001786616504
194 24-07-2019 170406010719P000484 0001821515725
195 24-07-2019 170406010719P000504 0001824596493
196 24-07-2019 170406010719P000467 0001831292943
197 24-07-2019 170406010719P000487 0002036325429
198 24-07-2019 170406010719P000469 0002084904685
199 24-07-2019 170406010719P000479 0002215322638
200 24-07-2019 170406010719P000539 0002438267624
201 24-07-2019 170406010719P000529 0002461994291
202 24-07-2019 170406010719P000535 0002483102529
203 24-07-2019 170406010719P000670 0002636563487
204 23-07-2019 170406010719P000446 0000122707091
205 23-07-2019 170406010719P000541 0000122740244
206 23-07-2019 170406010719P000577 0000122813403
207 23-07-2019 170406010719P000437 0000122824855
208 23-07-2019 170406010719P000523 0000123322184
209 23-07-2019 170406010719P000542 0000889741618
210 23-07-2019 170406010719P000665 0000889773827

ACHMAD EFFENDI L PEKERJA MANDIRI Atherosclerotic cardiovascular
disease, so
ANTUNG SADARIAH P PEKERJA MANDIRI Stroke, not specified as

haemorrhage or infarction
H SAID SULTAN L PEGAWAI BUMN Chronic renal failure, unspecified
BASRUNI L PEKERJA MANDIRI Hyperplasia of prostate
FARIDAH P PEKERJA MANDIRI Essential (primary) hypertension
RUSMAWATI, HJ P PEKERJA MANDIRI Essential (primary) hypertension
SUBLI L PEKERJA MANDIRI Undifferentiated schizophrenia
nunsiah P PEKERJA MANDIRI Thyrotoxicosis [hyperthyroidism]
ASKIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with

unspecified
RAISA ASPIAN P PEKERJA MANDIRI Conjunctivitis
NOOR ALAMSYAH L PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
WIJIATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified
NOVA REHANA DHIFA P PBI (APBN) Allergic contact dermatitis
OMAN SUDARMAN L PENERIMA PENSIUN TNI Essential (primary) hypertension
ASLAMIYAH P PENERIMA PENSIUN PNS Essential (primary) hypertension
FITRIATI P PENERIMA PENSIUN PNS Influenza due to other identified

influenza virus
NOORLENA P PNS DAERAH Mixed anxiety and depressive
disorder
IFAH AMINAH P PNS PUSAT Contraceptive management,
unspecified
SARKANI L PBI (APBN) Essential (primary) hypertension
NOORMILA SARI P PBI (APBN) Dyspepsia

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211 23-07-2019 170406010719P000575 0000889788824
212 23-07-2019 170406010719P000576 0000889800748
213 23-07-2019 170406010719P000435 0000890005836
214 23-07-2019 170406010719P000525 0000890042782
215 23-07-2019 170406010719P000524 0000890539097
216 23-07-2019 170406010719P000526 0000890678632
217 23-07-2019 170406010719P000667 0000890773154
218 23-07-2019 170406010719P000528 0000890785405
219 23-07-2019 170406010719P000438 0001307796309
220 23-07-2019 170406010719P000574 0001319216321
221 23-07-2019 170406010719P000527 0001898501613
222 23-07-2019 170406010719P000578 0002055376157
223 23-07-2019 170406010719P000478 0002215322638
224 23-07-2019 170406010719P000579 0002215333506
225 23-07-2019 170406010719P000580 0002215333642
226 23-07-2019 170406010719P000581 0002215335339
227 23-07-2019 170406010719P000436 0002228752034
228 23-07-2019 170406010719P000450 0002269846912
229 23-07-2019 170406010719P000543 0002607339745
230 23-07-2019 170406010719P000586 0002623762282

RAPIAH P PBI (APBN) Acute haemorrhagic gastritis
RUSMINA P PBI (APBN) Headache
ALAN L PBI (APBN) Non-insulin-dependent diabetes

mellitus with
HUSNA P PBI (APBN) Contraceptive management,

unspecified
SAHWATI P PBI (APBN) Contraceptive management,
unspecified
WIWI ARIYANI P PBI (APBN) Contraceptive management,
unspecified
LIDYA WARDANI P PBI (APBN) Pulpitis
ARBAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SITI MARIAM P PEKERJA MANDIRI Dyspepsia
MUHAMMAD IHSAN L PNS DAERAH Other and unspecified diseases of

pulp and
siti masnah P PENERIMA PENSIUN PNS Myalgia

unspecified
NOOR ISLAMI L PEKERJA MANDIRI Dyspepsia
MARDIANA P PEKERJA MANDIRI Acute haemorrhagic gastritis
KHAIRANI L PEKERJA MANDIRI Myalgia
FATIMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
GURITNO L PEKERJA MANDIRI Follow-up care involving removal

of fracture plate and other internal
fixation
KURNIA P PBI (APBN) Essential (primary) hypertension
RUDI SANJAYA L PEKERJA MANDIRI Myalgia

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231 23-07-2019 170406010719P000585 0002623762629
232 23-07-2019 170406010719P000583 0002623762686
233 23-07-2019 170406010719P000582 0002623762754
234 23-07-2019 170406010719P000584 0002623762912
235 23-07-2019 170406010719P000666 0002633924193
236 22-07-2019 170406010719P000432 0000122719037
237 22-07-2019 170406010719P000415 0000122813313
238 22-07-2019 170406010719P000424 0000193834923
239 22-07-2019 170406010719P000471 0000210133923
240 22-07-2019 170406010719P000431 0000889798577
241 22-07-2019 170406010719P000418 0000889830213
242 22-07-2019 170406010719P000505 0000889945569
243 22-07-2019 170406010719P000507 0000889984124
244 22-07-2019 170406010719P000500 0000890005915
245 22-07-2019 170406010719P000413 0000890313906
246 22-07-2019 170406010719P000419 0000890467964
247 22-07-2019 170406010719P000429 0000890492995
248 22-07-2019 170406010719P000473 0000890525992
249 22-07-2019 170406010719P000521 0000890618736
250 22-07-2019 170406010719P000501 0000890630695
251 22-07-2019 170406010719P000522 0000890685347
252 22-07-2019 170406010719P000428 0000890789139

HERLIANA P PEKERJA MANDIRI Myalgia
YULI RAHMAN L PEKERJA MANDIRI Influenza due to other identified

influenza virus
ILHAM FADILAH L PEKERJA MANDIRI Influenza due to other identified
influenza virus
RULY RAHMAN L PEKERJA MANDIRI Cough
MUHAMMAD ZAKIR L PBI (APBN) Influenza due to other identified

influenza virus
MAHDIATUL WAHDAH P PNS DAERAH Non-insulin-dependent diabetes
mellitus without
M.ASYARI L PNS DAERAH Calculus in bladder
RICKY HARIS SANDI, A.MD L PNS PUSAT Otitis media, unspecified
AHMAD NAZARI L PNS DAERAH Other and unspecified diseases of

pulp and
KARMIYANTI P PBI (APBN) Antenatal screening, unspecified
TABRANI L PBI (APBN) Essential (primary) hypertension
GHINA SOFIA P PBI (APBN) Stomatitis and related lesions
ALUS L PBI (APBN) Gout
KARTINI P PBI (APBN) Essential (primary) hypertension
SYARNIAH P PBI (APBN) Hypertensive heart disease
MURHAN L PBI (APBN) Essential (primary) hypertension
HAMIDAH P PBI (APBN) Contraceptive management,

unspecified
SAPNAH P PBI (APBN) Cough
MURHANI L PBI (APBN) Myalgia
MUTMAINAH P PBI (APBN) Myalgia
MUHAMMAD HAMDI .HB L PBI (APBN) Essential (primary) hypertension

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253 22-07-2019 170406010719P000426 0000891208394
254 22-07-2019 170406010719P000506 0000891547661
255 22-07-2019 170406010719P000508 0000891607432
256 22-07-2019 170406010719P000434 0001136266942
257 22-07-2019 170406010719P000410 0001302082593
258 22-07-2019 170406010719P000416 0001432040681
259 22-07-2019 170406010719P000427 0001443518504
260 22-07-2019 170406010719P000433 0001817692839
261 22-07-2019 170406010719P000412 0001863928528
262 22-07-2019 170406010719P000414 0001928424936
263 22-07-2019 170406010719P000430 0002100012579
264 22-07-2019 170406010719P000420 0002215322638
265 22-07-2019 170406010719P000421 0002215322739
266 22-07-2019 170406010719P000422 0002229571269
267 22-07-2019 170406010719P000411 0002229571541
268 22-07-2019 170406010719P000425 0002295291352
269 22-07-2019 170406010719P000423 0002378786534
270 22-07-2019 170406010719P000417 0002434225994
271 22-07-2019 170406010719P000472 0002472635248
272 22-07-2019 170406010719P000409 0002621034268
273 20-07-2019 170406010719P000760 0000122718791
274 20-07-2019 170406010719P000761 0000122718903

ROHANA P PBI (APBN) Influenza due to other identified
influenza virus
WARDAH P PBI (APBN) Influenza due to other identified
influenza virus
MARYATI P PBI (APBN) Influenza due to other identified
influenza virus
AHMAD YANI YUSUF L PEGAWAI SWASTA Headache
ACHMAD EFFENDI L PEKERJA MANDIRI Heart failure, unspecified
nur jannah L PEKERJA MANDIRI Gonarthrosis [arthrosis of knee]
NASRUDDIN L PEKERJA MANDIRI Essential (primary) hypertension
SUKRAN L PEKERJA MANDIRI Essential (primary) hypertension
MARIFATULLAH AWALUDDIN L PEGAWAI SWASTA Systemic lupus erythematosus,
HIDAYATILLAH L PBI (APBD) Paranoid schizophrenia
UMI SALAMAH P PEGAWAI SWASTA Contraceptive management,

unspecified
unspecified
ERDAWATI P PEKERJA MANDIRI Acute haemorrhagic gastritis
DANIANSYAH L PEKERJA MANDIRI Spondylolysis
SITI SARAH P PEKERJA MANDIRI Idiopathic peripheral autonomic

neuropathy
M FAHRIAN ABDI RAMOON L PNS PUSAT Acute upper respiratory infection,
unspecified
MASRANI L PEKERJA MANDIRI Pterygium
YUNI L PEKERJA MANDIRI Essential (primary) hypertension
MUHAMMAD ARKHAN AL - SYAKIRI L PEKERJA MANDIRI Pulpitis
SITI HAMDANAH P PEKERJA MANDIRI Heart failure, unspecified
DENI ELFENI P PNS DAERAH Examination of blood pressure
ENDAH HARYANI P PNS DAERAH Examination of blood pressure

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275 20-07-2019 170406010719P000762 0000122718982
276 20-07-2019 170406010719P000763 0000122719026
277 20-07-2019 170406010719P000764 0000122719037
278 20-07-2019 170406010719P000765 0000122719162
279 20-07-2019 170406010719P000766 0000122719195
280 20-07-2019 170406010719P000767 0000122719206
281 20-07-2019 170406010719P000406 0000122757491
282 20-07-2019 170406010719P000405 0000122757502
283 20-07-2019 170406010719P000387 0000123114969
284 20-07-2019 170406010719P000520 0000123171401
285 20-07-2019 170406010719P000390 0000123189243
286 20-07-2019 170406010719P000386 0000123209379
287 20-07-2019 170406010719P000768 0000163507184
288 20-07-2019 170406010719P000769 0000209011217
289 20-07-2019 170406010719P000477 0000211542693
290 20-07-2019 170406010719P000404 0000889800028
291 20-07-2019 170406010719P000462 0000889899074
292 20-07-2019 170406010719P000464 0000889931463
293 20-07-2019 170406010719P000461 0000889984124
294 20-07-2019 170406010719P000465 0000890005915
295 20-07-2019 170406010719P000463 0000890630695

JUMINEM P PENERIMA PENSIUN PNS Headache
M RESO DIHARJO L PENERIMA PENSIUN PNS Essential (primary) hypertension
AINI P PNS DAERAH Atherosclerotic cardiovascular

disease, so
HERDAYANI P PNS DAERAH Acute haemorrhagic gastritis
MISRAN L PNS DAERAH Diabetic retinopathy
ANITA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with
YUDA FRISNO L PNS DAERAH Examination of blood pressure
SITI AISYAH SOFIA P PNS DAERAH Diseases of pulp and periapical

tissues
ISNA KLARA P PBI (APBN) Acute haemorrhagic gastritis
MANAWIYAH P PBI (APBN) Influenza due to other identified

influenza virus
IRNAWATI P PBI (APBN) Contraceptive management
ALUS L PBI (APBN) Dyspepsia
KARTINI P PBI (APBN) Essential (primary) hypertension
MISLIWATI P PBI (APBN) Cough

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296 20-07-2019 170406010719P000389 0000890762264
297 20-07-2019 170406010719P000398 0000891128957
298 20-07-2019 170406010719P000460 0000891639009
299 20-07-2019 170406010719P000771 0000977274977
300 20-07-2019 170406010719P000388 0001065413619
301 20-07-2019 170406010719P000395 0001065414284
302 20-07-2019 170406010719P000408 0001065414407
303 20-07-2019 170406010719P000407 0001065414429
304 20-07-2019 170406010719P000475 0001306759375
305 20-07-2019 170406010719P000384 0001327093402
306 20-07-2019 170406010719P000391 0001441794846
307 20-07-2019 170406010719P000402 0001546214995
308 20-07-2019 170406010719P000476 0001548483568
309 20-07-2019 170406010719P000770 0001648188944
310 20-07-2019 170406010719P000394 0001867189779
311 20-07-2019 170406010719P000397 0002074966233
312 20-07-2019 170406010719P000396 0002085005272
313 20-07-2019 170406010719P000399 0002207775701
314 20-07-2019 170406010719P000400 0002213305784
315 20-07-2019 170406010719P000393 0002215322638
316 20-07-2019 170406010719P000392 0002220754948
317 20-07-2019 170406010719P000403 0002313476752

SITI AISYAH P PBI (APBN) Tuberculosis of lung, confirmed by
unspecified
NOR ASIAH P PBI (APBN) Conjunctivitis
WAHIDAH P PBI (APBN) Essential (primary) hypertension
DADANG SEPTIYANGGA L PNS DAERAH Examination of blood pressure

unspecified
LATIFAH P PBI (APBN) Essential (primary) hypertension
AMBERIYAH P PBI (APBN) Headache
AHMAD SAUKANI L PBI (APBN) Headache
KARNIWATI P PEGAWAI SWASTA Pulpitis
MURSEHAN P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus
ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) hypertension
SITI SITONAH P PEGAWAI SWASTA Pulpitis
M HIDAYATURRAHMAN L PEGAWAI SWASTA Pulpitis
halimatus sadiah P PEKERJA MANDIRI Dyspepsia
MARNITI L ANGGOTA POLRI Hyperlipidaemia, unspecified
SASRA L PEKERJA MANDIRI Conjunctivitis
DINA MARIANI P PEGAWAI SWASTA Dyspepsia
MUHAMMAD NAUFAL AL-FARHAN L PEGAWAI PEMERINTAH Fever of other and unknown origin
DENGAN PERJANJIAN

unspecified
AUFA RIZAL RASYAD L PENERIMA PENSIUN PNS Cough
ZAINAH P PEGAWAI SWASTA Headache

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318 20-07-2019 170406010719P000385 0002751505378
319 19-07-2019 170406010719P000401 0000101714872
320 19-07-2019 170406010719P000378 0000122718791
321 19-07-2019 170406010719P000357 0000123313689
322 19-07-2019 170406010719P000361 0000123694931
323 19-07-2019 170406010719P000371 0000123740054
324 19-07-2019 170406010719P000358 0000889742204
325 19-07-2019 170406010719P000496 0000889934163
326 19-07-2019 170406010719P000454 0000889979534
327 19-07-2019 170406010719P000458 0000889988174
328 19-07-2019 170406010719P000372 0000890210452
329 19-07-2019 170406010719P000519 0000890637142
330 19-07-2019 170406010719P000518 0000890638187
331 19-07-2019 170406010719P000455 0000890768889
332 19-07-2019 170406010719P000459 0000890773154
333 19-07-2019 170406010719P000379 0000891215561
334 19-07-2019 170406010719P000457 0000891607432
335 19-07-2019 170406010719P000374 0001290242992
336 19-07-2019 170406010719P000375 0001388729081
337 19-07-2019 170406010719P000456 0002093722571
338 19-07-2019 170406010719P000373 0002215322638
339 19-07-2019 170406010719P000377 0002216157221

MUHAMMAD ANIS HABIBI L PEKERJA MANDIRI Acute nephritic syndrome, other
SUHARTI P PENERIMA PENSIUN PNS Influenza, virus not identified
DENI ELFENI P PNS DAERAH Hyperlipidaemia, unspecified
ABDULLAHKARIM L PNS PUSAT Non-insulin-dependent diabetes

mellitus with
AISYAH P PNS DAERAH Asthma, unspecified
MASTIKAWATI P PNS DAERAH Cough
RAHMAN SADIKIN L PBI (APBN) Thalassaemia, unspecified
SITI ZALEHA P PBI (APBN) Essential (primary) hypertension
M. SUPIAN SAURI L PBI (APBN) Headache
MASNIAH P PBI (APBN) Essential (primary) hypertension
SYARIFAH MA'NAWIYAH P PBI (APBN) Acute upper respiratory infection,

unspecified
DIAWATI P PBI (APBN) Cough
NOOR MILA P PBI (APBN) Influenza, virus not identified
NORJANAH P PBI (APBN) Influenza due to other identified

influenza virus
BARNIAH P PBI (APBN) Acute upper respiratory infection,

unspecified
MARYATI P PBI (APBN) Headache
CHALISA FEYRUZ JULIANTI P PRAJURIT AD Cough
PUTRI P PEGAWAI SWASTA Dyspepsia
WARDANIAH P PEKERJA MANDIRI Contraceptive management

unspecified
KARTASIAH P PEKERJA MANDIRI Essential (primary) hypertension

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340 19-07-2019 170406010719P000381 0002291960981
341 19-07-2019 170406010719P000382 0002296306888
342 19-07-2019 170406010719P000380 0002311635879
343 19-07-2019 170406010719P000376 0002314068906
344 19-07-2019 170406010719P000360 0002378786534
345 19-07-2019 170406010719P000497 0002597572236
346 19-07-2019 170406010719P000359 0002757780483
347 19-07-2019 170406010719P000383 0002761085024
348 18-07-2019 170406010719P000362 0000122451298
349 18-07-2019 170406010719P000356 0000122719353
350 18-07-2019 170406010719P000493 0000889944671
351 18-07-2019 170406010719P000355 0000889948247
352 18-07-2019 170406010719P000368 0000889953142
353 18-07-2019 170406010719P000366 0000889963143
354 18-07-2019 170406010719P000491 0000889984124
355 18-07-2019 170406010719P000370 0000890013352
356 18-07-2019 170406010719P000365 0000890017211
357 18-07-2019 170406010719P000453 0000890048968
358 18-07-2019 170406010719P000452 0000890049082
359 18-07-2019 170406010719P000448 0000890064854
360 18-07-2019 170406010719P000447 0000890335631
361 18-07-2019 170406010719P000451 0000890773154
362 18-07-2019 170406010719P000353 0000890852995

MASRIAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified
ARMANSYAH L PEKERJA MANDIRI Cutaneous abscess, furuncle and

carbuncle
JUMADI L PEKERJA MANDIRI Acute upper respiratory infection,
unspecified
ARBAYAH P PEKERJA MANDIRI Myalgia
MASRANI L PEKERJA MANDIRI Pterygium
SARMILA P PBI (APBN) Influenza due to other identified

influenza virus
FATIMAH SHAQILA KHAIRINA P PEKERJA MANDIRI Other chronic suppurative otitis
media
JOHANSYAH L PEKERJA MANDIRI Cough
NORLIAN,S.SOS P PNS DAERAH Pulpitis
PUJI RAHAYU P PNS DAERAH Stroke, not specified as

BASHITAH P PBI (APBN) Dyspepsia
JAMHURI L PBI (APBN) Influenza, virus not identified
MULYANA L PBI (APBN) Contraceptive management,

unspecified
SARI P PBI (APBN) Contraceptive management,
unspecified
HELDAWATI P PBI (APBN) Contraceptive management,

unspecified
AMAH P PBI (APBN) Contraceptive management,
unspecified
SUPIAN L PBI (APBN) Dyspepsia
RAMLAN L PBI (APBN) Cough
KHADIJAH P PBI (APBN) Antenatal screening, unspecified
MARIYATI P PBI (APBN) Headache
SALIMAH P PBI (APBN) Essential (primary) hypertension
RAHIMAH P PBI (APBN) Dyspepsia

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363 18-07-2019 170406010719P000449 0000891548763
364 18-07-2019 170406010719P000363 0000891603865
365 18-07-2019 170406010719P000350 0001065413676
366 18-07-2019 170406010719P000367 0001065413687
367 18-07-2019 170406010719P000351 0001065833976
368 18-07-2019 170406010719P000364 0001139609643
369 18-07-2019 170406010719P000338 0001260938799
370 18-07-2019 170406010719P000343 0001786591023
371 18-07-2019 170406010719P000342 0001812558609
372 18-07-2019 170406010719P000494 0002036325429
373 18-07-2019 170406010719P000352 0002085005272
374 18-07-2019 170406010719P000354 0002215322638
375 18-07-2019 170406010719P000349 0002263277801
376 18-07-2019 170406010719P000337 0002420683334
377 18-07-2019 170406010719P000348 0002491059778
378 18-07-2019 170406010719P000369 0002742947763
379 17-07-2019 170406010719P000346 0000122685467
380 17-07-2019 170406010719P000335 0000122718791
381 17-07-2019 170406010719P000340 0000123155414
382 17-07-2019 170406010719P000347 0000123209379
383 17-07-2019 170406010719P000345 0000124080805

AULIA KARIMAH P PBI (APBN) Allergic contact dermatitis
JAUHAR LATIFAH P PBI (APBN) Antenatal screening, unspecified
SYAHRUDDIN L PBI (APBN) Acute upper respiratory infection,

unspecified
AINAWATI P PBI (APBN) Antenatal screening, unspecified
RAHMAWATI P PBI (APBN) Cough
SITI FATIMAH P PEGAWAI SWASTA Antenatal screening, unspecified
m.murjani L PEKERJA MANDIRI Thalassaemia, unspecified
surzanie L PEKERJA MANDIRI Essential (primary) hypertension
HJ. ARBAINAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
nunsiah P PEKERJA MANDIRI Symptoms and signs concerning

food and fluid
SASRA L PEKERJA MANDIRI Conjunctivitis

unspecified
RIDHA WAHYUNI P PEKERJA MANDIRI Obstetric high vaginal laceration

alone
ARDIANSYAH L PEKERJA MANDIRI Presence of intraocular lens
M. ADAM HUSIN L PBI (APBN) Malaise and fatigue
NORSILA P PEKERJA MANDIRI Supervision of normal pregnancy
AFWAH P PNS PUSAT Hyperlipidaemia, unspecified
DENI ELFENI P PNS DAERAH Headache
PAHLI RAIHANA DEWI P PEGAWAI SWASTA Antenatal screening, unspecified
ANITA P PENERIMA PENSIUN PNS Cutaneous abscess, furuncle and

carbuncle
RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Cough
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384 17-07-2019 170406010719P000336 0000163415349
385 17-07-2019 170406010719P000572 0000889795449
386 17-07-2019 170406010719P000341 0000889807713
387 17-07-2019 170406010719P000439 0000889984124
388 17-07-2019 170406010719P000442 0000890048968
389 17-07-2019 170406010719P000331 0000890203083
390 17-07-2019 170406010719P000441 0000890630695
391 17-07-2019 170406010719P000443 0000890805756
392 17-07-2019 170406010719P000332 0000890872716
393 17-07-2019 170406010719P000334 0000891248264
394 17-07-2019 170406010719P000333 0000891248319
395 17-07-2019 170406010719P000444 0000891504696
396 17-07-2019 170406010719P000509 0000891547661
397 17-07-2019 170406010719P000440 0000891607432
398 17-07-2019 170406010719P000339 0000891639483
399 17-07-2019 170406010719P000571 0001065414407
400 17-07-2019 170406010719P000320 0001300283256
401 17-07-2019 170406010719P000445 0001433475369
402 17-07-2019 170406010719P000322 0001861993012
403 17-07-2019 170406010719P000344 0002082551848
404 17-07-2019 170406010719P000573 0002100012579
405 17-07-2019 170406010719P000321 0002215322638
406 16-07-2019 170406010719P000311 0000119301219

MUCHLIS L PNS PUSAT Cough
SALMA P PBI (APBN) Myalgia
WARDANIAH P PBI (APBN) Contraceptive management,

unspecified
SUPIAN L PBI (APBN) Dyspepsia
gazali RAHMAN L PBI (APBN) Undifferentiated schizophrenia
KIPTIAH P PBI (APBN) Dyspepsia
NOORJANAH P PBI (APBN) End-stage renal disease
AL PISAH P PBI (APBN) Essential (primary) hypertension
HAIFA P PBI (APBN) Dyspepsia
ZARKASI L PBI (APBN) Allergic contact dermatitis
WARDAH P PBI (APBN) Dyspepsia
MARYATI P PBI (APBN) Essential (primary) hypertension
SUMIATI P PBI (APBN) Contraceptive management,

unspecified
AMBERIYAH P PBI (APBN) Headache
LILY DRINAWATI P PEKERJA MANDIRI Disorder of refraction, unspecified
HARTATI P PEKERJA MANDIRI Antenatal screening, unspecified
BAKTI YAPANI L PEKERJA MANDIRI Disorder of refraction, unspecified
UMI SALAMAH P PEGAWAI SWASTA Myalgia

unspecified
M HANAFI L PNS DAERAH End-stage renal disease

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407 16-07-2019 170406010719P000517 0000122718745
408 16-07-2019 170406010719P000570 0000122757491
409 16-07-2019 170406010719P000309 0000122805617
410 16-07-2019 170406010719P000324 0000123329957
411 16-07-2019 170406010719P000326 0000889477964
412 16-07-2019 170406010719P000330 0000889776448
413 16-07-2019 170406010719P000329 0000889815137
414 16-07-2019 170406010719P000323 0000889824205
415 16-07-2019 170406010719P000568 0000889830213
416 16-07-2019 170406010719P000567 0000889830483
417 16-07-2019 170406010719P000315 0000890450109
418 16-07-2019 170406010719P000307 0000890553609
419 16-07-2019 170406010719P000319 0000890704585
420 16-07-2019 170406010719P000308 0000890784088
421 16-07-2019 170406010719P000327 0000890785405
422 16-07-2019 170406010719P000569 0001065414442
423 16-07-2019 170406010719P000310 0001166092108
424 16-07-2019 170406010719P000312 0001261333539
425 16-07-2019 170406010719P000318 0001266035848
426 16-07-2019 170406010719P000328 0001433475369
427 16-07-2019 170406010719P000313 0001460053989

AMRULLAH L PNS DAERAH Allergic contact dermatitis
JUMINEM P PENERIMA PENSIUN PNS Headache
SAHIB IBERAHIM L PNS DAERAH Secondary hypertension
MEGA KESUMA P PNS DAERAH Spondylolysis
RUBIAH P PBI (APBN) Diseases of pulp and periapical

tissues
SALSA DILA ADINDA P PBI (APBN) Antenatal screening, unspecified
HALIMATUS SABIAH P PBI (APBN) Antenatal screening, unspecified
YULIADI L PBI (APBN) Motorcycle rider injured in collision

with pedestrian or
TABRANI L PBI (APBN) Essential (primary) hypertension
ROHANI P PBI (APBN) Dyspepsia
NOOR EFFENDI L PBI (APBN) Influenza, virus not identified
HUSAINI L PBI (APBN) Allergic contact dermatitis
DINA OLIPIA P PBI (APBN) Dyspepsia
MASYURAH P PBI (APBN) Essential (primary) hypertension
LIDYA WARDANI P PBI (APBN) Diseases of pulp and periapical

tissues
MARUYAH P PBI (APBN) Headache
MUHAMMAD SURIANSYAH, SE L PEGAWAI SWASTA Tuberculosis of lung, confirmed by

unspecified
MARIATUL KIBTIAH P PEKERJA MANDIRI Gingival and edentulous alveolar

ridge lesions
MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
HARTATI P PEKERJA MANDIRI Contraceptive management,

unspecified
M. SUBLI MAKSUM L PEGAWAI SWASTA Secondary hypertension
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428 16-07-2019 170406010719P000314 0001786591023
429 16-07-2019 170406010719P000303 0001817692839
430 16-07-2019 170406010719P000316 0001873511245
431 16-07-2019 170406010719P000304 0001963324348
432 16-07-2019 170406010719P000306 0002215322638
433 16-07-2019 170406010719P000305 0002215322739
434 16-07-2019 170406010719P000317 0002311635879
435 16-07-2019 170406010719P000566 0002313476752
436 16-07-2019 170406010719P000325 0002740926161
437 15-07-2019 170406010719P000291 0000122608732
438 15-07-2019 170406010719P000280 0000122707135
439 15-07-2019 170406010719P000515 0000122757658
440 15-07-2019 170406010719P000283 0000123115105
441 15-07-2019 170406010719P000294 0000123209379
442 15-07-2019 170406010719P000301 0000200312019
443 15-07-2019 170406010719P000298 0000889743352
444 15-07-2019 170406010719P000276 0000889764502
445 15-07-2019 170406010719P000285 0000889950172
446 15-07-2019 170406010719P000274 0000890202284
447 15-07-2019 170406010719P000286 0000890313906
448 15-07-2019 170406010719P000293 0000890466827
449 15-07-2019 170406010719P000290 0000890632484

surzanie L PEKERJA MANDIRI Essential (primary) hypertension
SUKRAN L PEKERJA MANDIRI Hyperplasia of prostate
MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
KARTASIAH P PEKERJA MANDIRI Senile cataract, unspecified

unspecified
ERDAWATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified
JUMADI L PEKERJA MANDIRI Influenza due to other identified

influenza virus
ZAINAH P PEGAWAI SWASTA Headache
MUHAMMAD RAMADHAN SAPUTRA L PEGAWAI SWASTA Pulpitis
M. JAMAHSYARI L PNS PUSAT Mixed asthma
SITI FATIMAH P PENERIMA PENSIUN TNI Stroke, not specified as

RABIATUL ADAWIyAH P PENERIMA PENSIUN PNS Myalgia
BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Essential (primary) hypertension
ANITA P PENERIMA PENSIUN PNS Cutaneous abscess, furuncle and

carbuncle
ERNAWATI P PNS DAERAH Diseases of pulp and periapical
tissues
SITI NOR HALISA P PBI (APBN) Antenatal screening, unspecified
KASRIANI L PBI (APBN) Essential (primary) hypertension
M. MAULANA L PBI (APBN) Dyspepsia
NOOR SYARIFAH P PBI (APBN) Cough
SYARNIAH P PBI (APBN) Cough
SABERAN L PBI (APBN) Other arthritis
HERIADI L PBI (APBN) Foreign body in cornea

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450 15-07-2019 170406010719P000275 0000890674277
451 15-07-2019 170406010719P000292 0000890680746
452 15-07-2019 170406010719P000281 0000894711071
453 15-07-2019 170406010719P000284 0001065413564
454 15-07-2019 170406010719P000288 0001065413619
455 15-07-2019 170406010719P000279 0001065413878
456 15-07-2019 170406010719P000300 0001170141794
457 15-07-2019 170406010719P000282 0001295326405
458 15-07-2019 170406010719P000272 0001318164388
459 15-07-2019 170406010719P000302 0001550631183
460 15-07-2019 170406010719P000278 0001812308231
461 15-07-2019 170406010719P000295 0002047460747
462 15-07-2019 170406010719P000289 0002055376157
463 15-07-2019 170406010719P000287 0002069648886
464 15-07-2019 170406010719P000273 0002093457723
465 15-07-2019 170406010719P000299 0002122994777
466 15-07-2019 170406010719P000277 0002269846912
467 15-07-2019 170406010719P000296 0002632624457
468 15-07-2019 170406010719P000516 0002633786447
469 15-07-2019 170406010719P000297 0002770511703

SARINAH P PBI (APBN) Gastritis and duodenitis
MUHAMMAD L PBI (APBN) Gout
NOFITA P PBI (APBN) Mixed asthma
RABIATUL FARIDAH P PBI (APBN) Allergic contact dermatitis

unspecified
NORLINA P PBI (APBN) Other disorders of conjunctiva
SARIFUDIN L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
SYARKAWI L PEKERJA MANDIRI Other benign neoplasm of skin,
unspecified
TANKASIANI L PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with
IRPAN L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
KASTANIAH P PNS DAERAH Cardiomegaly
M. AINI L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
siti masnah P PENERIMA PENSIUN PNS Cluster headache syndrome
AFIFAH P PEKERJA MANDIRI Essential (primary) hypertension
HARI LISWATI P PEKERJA MANDIRI Insulin-dependent diabetes

mellitus
NAFIA LATUN NISA P PBI (APBN) Diseases of pulp and periapical
tissues
GURITNO L PEKERJA MANDIRI Other deforming dorsopathies
AHMAD FAJAR L PBI (APBN) Symptoms and signs concerning

food and fluid
MASRATU P PBI (APBN) Cough
MARCEL ZEEN PRATAMA L PEKERJA MANDIRI Symptoms and signs concerning

food and fluid
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470 13-07-2019 170406010719P000743 0000122357564
471 13-07-2019 170406010719P000263 0000122622085
472 13-07-2019 170406010719P000744 0000122717766
473 13-07-2019 170406010719P000745 0000122718982
474 13-07-2019 170406010719P000746 0000122719026
475 13-07-2019 170406010719P000747 0000122719037
476 13-07-2019 170406010719P000748 0000122719162
477 13-07-2019 170406010719P000749 0000122719195
478 13-07-2019 170406010719P000750 0000122719206
479 13-07-2019 170406010719P000751 0000122719432
480 13-07-2019 170406010719P000752 0000122719509
481 13-07-2019 170406010719P000753 0000122725012
482 13-07-2019 170406010719P000262 0000122819692
483 13-07-2019 170406010719P000264 0000123212373
484 13-07-2019 170406010719P000754 0000163507184
485 13-07-2019 170406010719P000268 0000202900915
486 13-07-2019 170406010719P000265 0000889746636
487 13-07-2019 170406010719P000258 0000889825768
488 13-07-2019 170406010719P000269 0000889860341
489 13-07-2019 170406010719P000270 0000890018043

ERLYNDA OCTAVERRA NOOR P PNS DAERAH Examination of blood pressure
MUHAMMAD TAAT NOOR L PNS DAERAH Congestive heart failure
ADTRI KORNIATI P PNS DAERAH Examination of blood pressure
SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure
SUNARNI P PNS DAERAH Examination of blood pressure
PAUZIAH P PNS DAERAH Examination of blood pressure
SITI RUSINAH P PNS DAERAH Senile cataract, unspecified
SAIFUL ANWAR L PNS DAERAH Tuberculosis of lung, confirmed by

unspecified
SUKARSIH P PENERIMA PENSIUN PNS Gout
WARSIDAH P PBI (APBN) Essential (primary) hypertension
UDAY HUSEIN L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
NOOR SINAH P PBI (APBN) Other deforming dorsopathies
MUHAMMAD NAZER L PBI (APBN) Diseases of pulp and periapical

tissues
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490 13-07-2019 170406010719P000261 0001130950686
491 13-07-2019 170406010719P000266 0001173437425
492 13-07-2019 170406010719P000755 0001266035848
493 13-07-2019 170406010719P000756 0001327093402
494 13-07-2019 170406010719P000757 0001441794846
495 13-07-2019 170406010719P000514 0001623245995
496 13-07-2019 170406010719P000758 0001648188944
497 13-07-2019 170406010719P000759 0001873511245
498 13-07-2019 170406010719P000257 0002065412452
499 13-07-2019 170406010719P000259 0002086106883
500 13-07-2019 170406010719P000267 0002436711669
501 13-07-2019 170406010719P000260 0002482520681
502 13-07-2019 170406010719P000271 0002492232366
503 12-07-2019 170406010719P000237 0000122608732
504 12-07-2019 170406010719P000243 0000122707034
505 12-07-2019 170406010719P000236 0000122739107
506 12-07-2019 170406010719P000235 0000123347103
507 12-07-2019 170406010719P000250 0000200312019
508 12-07-2019 170406010719P000252 0000889477964
509 12-07-2019 170406010719P000239 0000889824205

DJAYADI L PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with
HIKMAH P PEGAWAI SWASTA Acute upper respiratory infections

of multiple and
MASTAYAH P PEKERJA MANDIRI Examination of blood pressure
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure
SAIDAH P PEGAWAI SWASTA Contraceptive management,

unspecified
PANG SING KOK L PEKERJA MANDIRI Gastritis and duodenitis
JUHRI L PEKERJA MANDIRI Heart failure, unspecified
SANIAH P PEKERJA MANDIRI Respiratory tuberculosis,

bacteriologically and
BAYI NY RUSNANI L PBI (APBN) Persistent fever
ADI DARUSSALAM L PEGAWAI SWASTA Cough
M. JAMAHSYARI L PNS PUSAT Asthma
M. MAKI L PENERIMA PENSIUN TNI Non-insulin-dependent diabetes

mellitus with
SAHURA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with
HERYADI, DRS L PNS PUSAT Senile cataract

tissues
RUBIAH P PBI (APBN) Diseases of pulp and periapical
tissues
YULIADI L PBI (APBN) Symptoms and signs concerning
food and fluid
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510 12-07-2019 170406010719P000254 0000890002124
511 12-07-2019 170406010719P000238 0000890216109
512 12-07-2019 170406010719P000241 0000890674277
513 12-07-2019 170406010719P000253 0000890758563
514 12-07-2019 170406010719P000244 0000890811099
515 12-07-2019 170406010719P000240 0001380784746
516 12-07-2019 170406010719P000242 0001730556101
517 12-07-2019 170406010719P000245 0001730556112
518 12-07-2019 170406010719P000247 0001785680741
519 12-07-2019 170406010719P000246 0002215322638
520 12-07-2019 170406010719P000251 0002297138231
521 12-07-2019 170406010719P000248 0002482520681
522 12-07-2019 170406010719P000249 0002753828695
523 11-07-2019 170406010719P000224 0000122621141
524 11-07-2019 170406010719P000513 0000122728195
525 11-07-2019 170406010719P000512 0000122738387
526 11-07-2019 170406010719P000230 0000123414827
527 11-07-2019 170406010719P000227 0000158985099
528 11-07-2019 170406010719P000234 0000889783165
529 11-07-2019 170406010719P000218 0000890001088

GUSNAWATI P PBI (APBN) Contraceptive management
SYAIPULLAH L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
SARINAH P PBI (APBN) Essential (primary) hypertension
SITI MUAYADAH P PBI (APBN) Contraceptive management
RUSNANI P PBI (APBN) Essential (primary) hypertension
RAWANSYAH L PEKERJA MANDIRI Gastritis and duodenitis
SIMON L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
SRI YANI P PEKERJA MANDIRI Hyperlipidaemia, unspecified
MARIANAH P PEKERJA MANDIRI Gout

unspecified
ZAINAL ABIDIN L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
BAYI NY RUSNANI L PBI (APBN) Symptoms and signs concerning
food and fluid
NUR SYIFA ORESMA P PEKERJA MANDIRI Symptoms and signs concerning

food and fluid
KAMARUDDIN L PNS DAERAH Heart failure, unspecified
ANNAWATI. P PENERIMA PENSIUN PNS Influenza due to other identified

influenza virus
M.ABERANI. L PENERIMA PENSIUN PNS Influenza due to other identified
influenza virus
HELDA HAYATI P PNS DAERAH Allergic contact dermatitis
MAHRANI EFFENDI, SH L PNS DAERAH Nonorganic sleep disorder,

unspecified
M. RIZKI ABDUL AKBAR L PBI (APBN) Symptoms and signs concerning
food and fluid
MUHAMMAD MAULANA L PBI (APBN) Dyspepsia

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530 11-07-2019 170406010719P000231 0000890053119
531 11-07-2019 170406010719P000225 0000890679058
532 11-07-2019 170406010719P000228 0001318164388
533 11-07-2019 170406010719P000223 0001322442448
534 11-07-2019 170406010719P000226 0001451368113
535 11-07-2019 170406010719P000219 0001551090813
536 11-07-2019 170406010719P000220 0001551380747
537 11-07-2019 170406010719P000222 0001886806989
538 11-07-2019 170406010719P000256 0001967913595
539 11-07-2019 170406010719P000221 0002205284128
540 11-07-2019 170406010719P000232 0002224516149
541 11-07-2019 170406010719P000229 0002291960981
542 11-07-2019 170406010719P000255 0002466118607
543 11-07-2019 170406010719P000233 0002614856229
544 10-07-2019 170406010719P000207 0000122620127
545 10-07-2019 170406010719P000214 0000123815171
546 10-07-2019 170406010719P000203 0000202899407
547 10-07-2019 170406010719P000199 0000889345449
548 10-07-2019 170406010719P000217 0000889949823
549 10-07-2019 170406010719P000205 0000890618736
550 10-07-2019 170406010719P000211 0000890785405

MURSINAH P PBI (APBN) Allergic contact dermatitis
ACHMAD RAMADHAN L PBI (APBN) Influenza due to other identified

influenza virus
TANKASIANI L PEKERJA MANDIRI Other deforming dorsopathies
PATIMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified
YOSEP SUGITO L PEGAWAI SWASTA Retinal detachments and breaks
AUGUSTIN JOSEPHIN P PEGAWAI SWASTA Glaucoma, unspecified
RAHMAD HIDAYAT L PEGAWAI SWASTA Other disorders of conjunctiva
MUHAMMAD SAUKANI L PEKERJA MANDIRI Symptoms and signs concerning

food and fluid
SAFRUDIN L PEKERJA MANDIRI Undifferentiated schizophrenia
NORMA P PEKERJA MANDIRI Symptoms and signs concerning

food and fluid
MASRIAH P PEKERJA MANDIRI Essential (primary) hypertension
AHMAD HUSNI MUBARAK L PBI (APBN) Symptoms and signs concerning

food and fluid
NIKMAH P PEKERJA MANDIRI Antenatal screening, unspecified
HARTINAH P PNS DAERAH Cutaneous abscess, furuncle and

carbuncle
MUHAMMAD RAMLAN L PENERIMA PENSIUN PNS Diseases of pulp and periapical
tissues
SITI BARKIS P PENERIMA PENSIUN PNS Essential (primary) hypertension
WATINI P PBI (APBN) Premature rupture of membranes,

unspecified
NORMAYA P PBI (APBN) Antenatal screening, unspecified
MURHANI L PBI (APBN) Retinal vascular occlusion,

unspecified
tissues
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551 10-07-2019 170406010719P000204 0000890786946
552 10-07-2019 170406010719P000209 0000891215561
553 10-07-2019 170406010719P000202 0001045157973
554 10-07-2019 170406010719P000215 0001173437425
555 10-07-2019 170406010719P000197 0001278170245
556 10-07-2019 170406010719P000213 0001314899278
557 10-07-2019 170406010719P000201 0001730252125
558 10-07-2019 170406010719P000200 0001790572871
559 10-07-2019 170406010719P000198 0001868489177
560 10-07-2019 170406010719P000210 0002269847013
561 10-07-2019 170406010719P000206 0002322789028
562 10-07-2019 170406010719P000208 0002428492072
563 10-07-2019 170406010719P000212 0002741828804
564 10-07-2019 170406010719P000216 0002750950438
565 09-07-2019 170406010719P000185 0000122606526
566 09-07-2019 170406010719P000196 0000122719026
567 09-07-2019 170406010719P000163 0000122719151
568 09-07-2019 170406010719P000174 0000122756602

SITI AISYAH P PBI (APBN) Non-insulin-dependent diabetes
mellitus without
BARNIAH P PBI (APBN) Acute upper respiratory infections

of multiple and
JOKO PURNOMO L PBI (APBN) Acute tonsillitis
HIKMAH P PEGAWAI SWASTA Contraceptive management
MARDIANA P PEKERJA MANDIRI Undifferentiated schizophrenia
FITRIYANI P PEGAWAI SWASTA Diseases of pulp and periapical

tissues
AINUN JARIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with
ROHANI P PEKERJA MANDIRI Hypertensive heart disease
ARDIANSYAH IDIPASI L PEKERJA MANDIRI Insulin-dependent diabetes

mellitus with
NIKMAH ADILLA P PEKERJA MANDIRI Diseases of pulp and periapical

tissues
NIA MASMIANI P PEGAWAI SWASTA Diarrhoea and gastroenteritis of
MISBAH P PEKERJA MANDIRI Diarrhoea and gastroenteritis of

FATHUR RAHMAN L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
MASTIKA P PEGAWAI SWASTA Antenatal screening, unspecified
ZULPAEDHA P PNS DAERAH Diseases of pulp and periapical

tissues
H SAIBATUL HAMDI L PNS DAERAH Disorder of refraction, unspecified
JOHNY RAMOON L PNS PUSAT Disorder of refraction, unspecified
PATHUL JANNAH P PENERIMA PENSIUN PNS Other deforming dorsopathies

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569 09-07-2019 170406010719P000184 0000123612535
570 09-07-2019 170406010719P000164 0000163851063
571 09-07-2019 170406010719P000172 0000889464543
572 09-07-2019 170406010719P000182 0000889693446
573 09-07-2019 170406010719P000187 0000889824205
574 09-07-2019 170406010719P000183 0000889829098
575 09-07-2019 170406010719P000157 0000889851442
576 09-07-2019 170406010719P000192 0000889937831
577 09-07-2019 170406010719P000156 0000889943534
578 09-07-2019 170406010719P000173 0000889986622
579 09-07-2019 170406010719P000155 0000890025816
580 09-07-2019 170406010719P000175 0000890049082
581 09-07-2019 170406010719P000191 0000890335945
582 09-07-2019 170406010719P000165 0000890366758
583 09-07-2019 170406010719P000160 0000890459752
584 09-07-2019 170406010719P000179 0000890465016
585 09-07-2019 170406010719P000181 0000890466164
586 09-07-2019 170406010719P000193 0000890882469
587 09-07-2019 170406010719P000162 0000891557223

KAMARIAH, HJ P PENERIMA PENSIUN PNS Diseases of pulp and periapical
tissues
SA DIAH P PENERIMA PENSIUN TNI Gastritis and duodenitis
MAHYUNI L PBI (APBN) Disorder of refraction, unspecified
MUHAMMAD KHAPI L PBI (APBN) Acute upper respiratory infections

of multiple and
YULIADI L PBI (APBN) Symptoms and signs concerning

food and fluid
ARSUNI L PBI (APBN) Hyperparathyroidism, unspecified
SUMIATI P PBI (APBN) Essential (primary) hypertension
FITRIANI P PBI (APBN) Diseases of pulp and periapical

tissues
MUNSI L PBI (APBN) Senile cataract, unspecified
MASNIAH P PBI (APBN) Acute upper respiratory infections

of multiple and
ILMI L PBI (APBN) Hyperplasia of prostate
RAMLAN L PBI (APBN) Cough
MUDIA ANANDA P PBI (APBN) Diseases of pulp and periapical

tissues
AHMAD RIFANI L PBI (APBN) Mental and behavioural disorders
due to multiple drug use and use
of psychoactive substances,
dependence syndrome
MARLINA P PBI (APBN) Diseases of pulp and periapical

tissues
RUSMINAH P PBI (APBN) Essential (primary) hypertension
TAUFIK L PBI (APBN) Irritant contact dermatitis
MAHDA LENA P PBI (APBN) Contraceptive management
SITI AISYAH P PBI (APBN) Disorder of refraction, unspecified

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588 09-07-2019 170406010719P000194 0001065416433
589 09-07-2019 170406010719P000180 0001065416455
590 09-07-2019 170406010719P000510 0001080711843
591 09-07-2019 170406010719P000186 0001136266942
592 09-07-2019 170406010719P000171 0001191563043
593 09-07-2019 170406010719P000190 0001261333539
594 09-07-2019 170406010719P000195 0001280203964
595 09-07-2019 170406010719P000189 0001314899278
596 09-07-2019 170406010719P000177 0001794111851
597 09-07-2019 170406010719P000176 0001797332152
598 09-07-2019 170406010719P000178 0001883400502
599 09-07-2019 170406010719P000168 0002236019938
600 09-07-2019 170406010719P000170 0002236019951
601 09-07-2019 170406010719P000188 0002517114576
602 09-07-2019 170406010719P000166 0002521840048
603 09-07-2019 170406010719P000169 0002657114346
604 08-07-2019 170406010719P000502 0000123318865
605 08-07-2019 170406010719P000152 0000123405873
606 08-07-2019 170406010719P000148 0000889830786
607 08-07-2019 170406010719P000151 0000890012575
608 08-07-2019 170406010719P000147 0000890341863
609 08-07-2019 170406010719P000158 0000890554419
610 08-07-2019 170406010719P000159 0000890773119
611 08-07-2019 170406010719P000161 0000890860307

SRI HARTATI P PBI (APBN) Antenatal screening, unspecified
SALWA FITRIANTI P PBI (APBN) Cough
MUHAMMAD HAGI SUSENO L PNS DAERAH Cough
AHMAD YANI YUSUF L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
SILVIA KARMILA P PEKERJA MANDIRI Epilepsy, unspecified
MARIATUL KIBTIAH P PEKERJA MANDIRI Diseases of pulp and periapical

tissues
RAUDAH P PEKERJA MANDIRI Heart failure, unspecified
FITRIYANI P PEGAWAI SWASTA Diseases of pulp and periapical

tissues
NOOR AIDA P PEKERJA MANDIRI Gastritis and duodenitis
MARIATUL KIFTIAH P PEKERJA MANDIRI Inflammatory disorders of breast
ROHANI P PEKERJA MANDIRI Gastritis and duodenitis
M. AINI L PEKERJA MANDIRI Essential (primary) hypertension
MAIMUNAH P PEKERJA MANDIRI Gastritis and duodenitis
BADIANA P PEKERJA MANDIRI Gout
MONA DIANA P INVESTOR Cutaneous abscess, furuncle and

carbuncle
GUSTI SABERAN L PBI (APBD) Retention of urine
MUHAMMAD MUKRI, H L PNS PUSAT Allergic contact dermatitis
NGADIMIN L PNS PUSAT Haemorrhoids
RISKA AMALIA PUTRI P PBI (APBN) Acute suppurative otitis media
SAIDAH P PBI (APBN) Benign lipomatous neoplasm
RENNY SETIA NINGSIH P PBI (APBN) Contraceptive management
ALYA NURKHAIRA P PBI (APBN) Influenza due to other identified

influenza virus
MAELANI PUTRI P PBI (APBN) Asthma
MUHAMMAD AULIA RAHMAN L PBI (APBN) Diseases of pulp and periapical

tissues
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612 08-07-2019 170406010719P000146 0001127475246
613 08-07-2019 170406010719P000142 0001142909897
614 08-07-2019 170406010719P000150 0001279182374
615 08-07-2019 170406010719P000149 0001381991128
616 08-07-2019 170406010719P000167 0001484092181
617 08-07-2019 170406010719P000143 0001786617786
618 08-07-2019 170406010719P000144 0001873511245
619 08-07-2019 170406010719P000153 0002047460747
620 08-07-2019 170406010719P000154 0002095501386
621 08-07-2019 170406010719P000145 0002308025171
622 06-07-2019 170406010719P000725 0000122718791
623 06-07-2019 170406010719P000726 0000122718824
624 06-07-2019 170406010719P000727 0000122718971
625 06-07-2019 170406010719P000728 0000122718982
626 06-07-2019 170406010719P000729 0000122719026
627 06-07-2019 170406010719P000730 0000122719037
628 06-07-2019 170406010719P000732 0000122719151
629 06-07-2019 170406010719P000733 0000122719162
630 06-07-2019 170406010719P000734 0000122719195
631 06-07-2019 170406010719P000735 0000122719206
632 06-07-2019 170406010719P000736 0000122719509

TAUFIK RAHMAN L PEGAWAI SWASTA Influenza due to other identified
influenza virus
HULLYATIE P PEGAWAI SWASTA Essential (primary) hypertension
AHMAD SYAIPUDIN L PEKERJA MANDIRI Epilepsy
ABDUL HADI L PEKERJA MANDIRI Other intervertebral disc disorders
FITRIA P PEKERJA MANDIRI Antenatal screening, unspecified
MASRIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
MASTANIAH P PEKERJA MANDIRI Gout
M. AINI L PEKERJA MANDIRI Senile cataract, unspecified
PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,

THAIBAH P PEKERJA MANDIRI Essential (primary) hypertension
DENI ELFENI P PNS DAERAH Examination of blood pressure
DEWI ESTIKA SARI P PNS DAERAH Examination of blood pressure
FARIDAWATY P PNS DAERAH Examination of blood pressure
JOHNY RAMOON L PNS PUSAT Examination of blood pressure
SUNARNI P PNS DAERAH Examination of blood pressure

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633 06-07-2019 170406010719P000130 0000122726979
634 06-07-2019 170406010719P000498 0000123318887
635 06-07-2019 170406010719P000141 0000123807025
636 06-07-2019 170406010719P000737 0000124715428
637 06-07-2019 170406010719P000738 0000163507184
638 06-07-2019 170406010719P000739 0000204782804
639 06-07-2019 170406010719P000127 0000889741618
640 06-07-2019 170406010719P000125 0000889741888
641 06-07-2019 170406010719P000123 0000889767178
642 06-07-2019 170406010719P000134 0000890508407
643 06-07-2019 170406010719P000138 0000890706115
644 06-07-2019 170406010719P000135 0000891105917
645 06-07-2019 170406010719P000124 0001065413788
646 06-07-2019 170406010719P000129 0001262527097
647 06-07-2019 170406010719P000740 0001291769392
648 06-07-2019 170406010719P000741 0001327093402
649 06-07-2019 170406010719P000139 0001443525816
650 06-07-2019 170406010719P000132 0001484006861
651 06-07-2019 170406010719P000731 0001648188944
652 06-07-2019 170406010719P000128 0001790572871
653 06-07-2019 170406010719P000742 0001873511245

AH.BIDJIRMI AM L PENERIMA PENSIUN PNS Diseases of pulp and periapical
tissues
MUSLIMAH P PEKERJA MANDIRI Acute haemorrhagic gastritis
MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Diseases of pulp and periapical

tissues
MASRUKIAH P PENERIMA PENSIUN PNS Examination of blood pressure
SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure
SARKANI L PBI (APBN) Essential (primary) hypertension
FARIDAH P PBI (APBN) Hypotension
SADIKIN L PBI (APBN) Other specified mental disorders

due to brain damage and
dysfunction
HELDAWATI P PBI (APBN) Gout
ILHAM L PBI (APBN) Diarrhoea and gastroenteritis of

MAHRITA P PBI (APBN) Other arthritis
SYAIBAH P PBI (APBN) Hyperlipidaemia, unspecified
RAKHA FAUZAN RIZKY L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
ST FARADIBAH P PEKERJA MANDIRI Examination of blood pressure
NURUL MA RIFAH P PEKERJA MANDIRI Diseases of pulp and periapical

tissues
NOOR JUBAIDAH A.A P PEKERJA MANDIRI Other arthritis
ROHANI P PEKERJA MANDIRI Cough

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654 06-07-2019 170406010719P000126 0002082551848
655 06-07-2019 170406010719P000133 0002216551094
656 06-07-2019 170406010719P000122 0002220754948
657 06-07-2019 170406010719P000499 0002277325833
658 06-07-2019 170406010719P000131 0002355891208
659 06-07-2019 170406010719P000137 0002436711669
660 06-07-2019 170406010719P000140 0002466118607
661 06-07-2019 170406010719P000136 0002487431147
662 05-07-2019 170406010719P000112 0000123212373
663 05-07-2019 170406010719P000120 0000200312019
664 05-07-2019 170406010719P000105 0000889823586
665 05-07-2019 170406010719P000111 0000889839314
666 05-07-2019 170406010719P000116 0000889860341
667 05-07-2019 170406010719P000108 0000889943534
668 05-07-2019 170406010719P000109 0000890860094
669 05-07-2019 170406010719P000114 0000890860307
670 05-07-2019 170406010719P000103 0000975900565
671 05-07-2019 170406010719P000113 0001065413935
672 05-07-2019 170406010719P000104 0001267501601
673 05-07-2019 170406010719P000118 0001801332437
674 05-07-2019 170406010719P000121 0002084192313

AHMAD SANI L PEKERJA MANDIRI Essential (primary) hypertension
AUFA RIZAL RASYAD L PENERIMA PENSIUN PNS Other specified disorders of penis
MUTMAINAH P PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
NUR HIDAYANI P PEGAWAI SWASTA Diseases of pulp and periapical
tissues
SANIAH P PEKERJA MANDIRI Dyspepsia
AHMAD HUSNI MUBARAK L PBI (APBN) Influenza due to other identified

influenza virus
MUHAMMAD HERY L PEGAWAI SWASTA Cough
SAIFUL ANWAR L PNS DAERAH Respiratory tuberculosis,


tissues
FATMAWATI P PBI (APBN) Essential (primary) hypertension
RUSMIYATI P PBI (APBN) Conjunctivitis
NOOR SINAH P PBI (APBN) Essential (primary) hypertension
MUNSI L PBI (APBN) Senile cataract, unspecified
SULAIMAN L PBI (APBN) Diarrhoea and gastroenteritis of

MUHAMMAD AULIA RAHMAN L PBI (APBN) Influenza due to other identified

influenza virus
FATHUL JANNAH P PENERIMA PENSIUN TNI Unspecified diabetes mellitus
without
BADRIANSYAH L PBI (APBN) Gastritis and duodenitis
ASRANI L PEKERJA MANDIRI Heart failure
MUHAMMAD HAEKAL L PEKERJA MANDIRI Dyspepsia
SUPARMI P PEGAWAI SWASTA Contraceptive management

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675 05-07-2019 170406010719P000115 0002269846912
676 05-07-2019 170406010719P000106 0002470184559
677 05-07-2019 170406010719P000110 0002499952307
678 05-07-2019 170406010719P000119 0002584268076
679 05-07-2019 170406010719P000117 0002607502162
680 05-07-2019 170406010719P000107 0002740926161
681 04-07-2019 170406010719P000085 0000122757276
682 04-07-2019 170406010719Y000089 0000122805617
683 04-07-2019 170406010719P000100 0000123322184
684 04-07-2019 170406010719P000091 0000123329586
685 04-07-2019 170406010719P000102 0000124053074
686 04-07-2019 170406010719P000082 0000124507877
687 04-07-2019 170406010719P000086 0000889757537
688 04-07-2019 170406010719P000087 0000889763624
689 04-07-2019 170406010719P000097 0000889830213
690 04-07-2019 170406010719Y000092 0000889952927
691 04-07-2019 170406010719P000090 0000889953399
692 04-07-2019 170406010719P000495 0000889988488
693 04-07-2019 170406010719P000095 0000890342234
694 04-07-2019 170406010719P000094 0001065833976
695 04-07-2019 170406010719P000096 0001264056265

GURITNO L PEKERJA MANDIRI Other surgical follow-up care
SARTIKA WULANDARI P PEKERJA MANDIRI Allergic contact dermatitis
ASMIYAH P PEKERJA MANDIRI Uterovaginal prolapse, unspecified
AHMAD ZAINAL ILMI L PBI (APBN) Influenza due to other identified

influenza virus
SYAHRUJI L PBI (APBN) Dyspepsia
MUHAMMAD RAMADHAN SAPUTRA L PEGAWAI SWASTA Acute upper respiratory infections

of multiple and
HJ. MURNI P PENERIMA PENSIUN PNS Allergic contact dermatitis
SAHIB IBERAHIM L PNS DAERAH Essential (primary) hypertension
IFAH AMINAH P PNS PUSAT Contraceptive management
DARSIAH P PNS DAERAH Acute upper respiratory infections

of multiple and
dr. h. ANWARISO L PNS DAERAH Diseases of pulp and periapical

tissues
SITI AISYAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes
mellitus with
MAJEDI MUNAWAR L PBI (APBN) End-stage renal disease
SETIA BUDI L PBI (APBN) Stroke, not specified as

TABRANI L PBI (APBN) Unilateral or unspecified inguinal
hernia, with
SITI SARAH P PBI (APBN) Non-insulin-dependent diabetes

mellitus
SALAMAH P PBI (APBN) Gout
JUMAINAH P PBI (APBN) Cough
AYU ANGGRAINI P PBI (APBN) Conjunctivitis
RAHMAWATI P PBI (APBN) Cough
NORAIDA P PEKERJA MANDIRI Heart failure, unspecified

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696 04-07-2019 170406010719P000093 0001371940738
697 04-07-2019 170406010719P000098 0001476811541
698 04-07-2019 170406010719P000101 0001793660556
699 04-07-2019 170406010719P000099 0001797527327
700 04-07-2019 170406010719P000088 0002036325429
701 04-07-2019 170406010719P000084 0002305908887
702 03-07-2019 170406010719P000067 0000122685704
703 03-07-2019 170406010719P000492 0000122757658
704 03-07-2019 170406010719P000490 0000123318876
705 03-07-2019 170406010719P000064 0000123347103
706 03-07-2019 170406010719P000059 0000124507877
707 03-07-2019 170406010719P000065 0000166736766
708 03-07-2019 170406010719P000076 0000211542693
709 03-07-2019 170406010719P000060 0000890455779
710 03-07-2019 170406010719P000068 0000890838832
711 03-07-2019 170406010719P000070 0000890860138
712 03-07-2019 170406010719P000074 0000890860307
713 03-07-2019 170406010719P000061 0000891206932
714 03-07-2019 170406010719P000079 0000891537827
715 03-07-2019 170406010719P000066 0000891675696
716 03-07-2019 170406010719P000072 0001262527097

NOOR RABIATUL FARAH P PENERIMA PENSIUN SWASTA End-stage renal disease
KHUSNUL KHATIMAH P PEGAWAI SWASTA Cough
NUR LATIFAH P PEKERJA MANDIRI Diseases of pulp and periapical

tissues
SITI FATIMAH P PEGAWAI PEMERINTAH Diseases of pulp and periapical
DENGAN PERJANJIAN tissues
nunsiah P PEKERJA MANDIRI Visual field defects
HJ. NOORJANAH P PEKERJA MANDIRI Essential (primary) hypertension
MUHAMMAD RIDHWAN L PNS PUSAT Chronic cholecystitis
RABIATUL ADAWIyAH P PENERIMA PENSIUN PNS Myalgia
MARIANI P PNS PUSAT Acute haemorrhagic gastritis
HERYADI, DRS L PNS PUSAT Essential (primary) hypertension
SITI AISYAH P PENERIMA PENSIUN PNS Low back pain
MARWIYAH P PNS DAERAH Insulin-dependent diabetes

mellitus with
SITI AISYAH SOFIA P PNS DAERAH Diseases of pulp and periapical

tissues
JUBAIDAH P PBI (APBN) Tuberculosis of lung, confirmed by
unspecified
SITI AISYAH P PBI (APBN) Hyperlipidaemia, unspecified
NORLINA P PBI (APBN) Gout

tissues
ARBANI L PBI (APBN) Gastric ulcer, acute with
haemorrhage
RAIHANAH P PBI (APBN) Antenatal screening, unspecified
SALASIAH P PBI (APBN) Essential (primary) hypertension
RAKHA FAUZAN RIZKY L PEGAWAI SWASTA Diseases of pulp and periapical

tissues
Rujuk Lanjut
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717 03-07-2019 170406010719P000063 0001269910967
718 03-07-2019 170406010719P000080 0001306752142
719 03-07-2019 170406010719P000083 0001664277287
720 03-07-2019 170406010719P000069 0001801331807
721 03-07-2019 170406010719P000071 0001858815112
722 03-07-2019 170406010719P000078 0002044843637
723 03-07-2019 170406010719P000073 0002269847013
724 03-07-2019 170406010719P000062 0002295291352
725 03-07-2019 170406010719P000081 0002470856141
726 03-07-2019 170406010719P000075 0002583607972
727 03-07-2019 170406010719P000077 0002750950438
728 02-07-2019 170406010719P000052 0000122606526
729 02-07-2019 170406010719P000027 0000122811344
730 02-07-2019 170406010719P000045 0000123366071
731 02-07-2019 170406010719Y000035 0000889764671
732 02-07-2019 170406010719Y000046 0000890005408
733 02-07-2019 170406010719P000044 0000890053525
734 02-07-2019 170406010719P000047 0000890454396
735 02-07-2019 170406010719P000031 0000890467964
736 02-07-2019 170406010719P000488 0000890685347
737 02-07-2019 170406010719P000029 0000890761072

ENDANG JUMIATI P PEGAWAI SWASTA Heart failure, unspecified
MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction
HASANAH P PEKERJA MANDIRI Antenatal screening, unspecified
SITI AISYAH P PEKERJA MANDIRI Influenza due to other identified

influenza virus
MARIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus
FITRIANI P PEKERJA MANDIRI Contraceptive management
NIKMAH ADILLA P PEKERJA MANDIRI Diseases of pulp and periapical

tissues
M FAHRIAN ABDI RAMOON L PNS PUSAT Striae atrophicae
aisya syifa alina rahman P PEKERJA MANDIRI Cough
NARSIAH P PBI (APBN) Contraceptive management
MASTIKA P PEGAWAI SWASTA Antenatal screening, unspecified
ZULPAEDHA P PNS DAERAH Diseases of pulp and periapical

tissues
AKHMAD RUSDI L PENERIMA PENSIUN PNS Other deforming dorsopathies
HASAN BASRI L PNS PUSAT Hyperplasia of prostate
MURSIDAH P PBI (APBN) Diarrhoea and gastroenteritis of

AULIA NABILA P PBI (APBN) Allergic contact dermatitis
MARIANA P PBI (APBN) Contraceptive management
BAINAH P PBI (APBN) Dyspepsia
MURHAN L PBI (APBN) Allergic contact dermatitis
MUTMAINAH P PBI (APBN) Acute haemorrhagic gastritis
FATIMAH P PBI (APBN) Non-insulin-dependent diabetes

mellitus
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738 02-07-2019 170406010719P000039 0000890762264
739 02-07-2019 170406010719P000049 0000890785405
740 02-07-2019 170406010719P000050 0000890785405
741 02-07-2019 170406010719P000028 0000890786946
742 02-07-2019 170406010719P000057 0000890846469
743 02-07-2019 170406010719P000043 0000890860307
744 02-07-2019 170406010719P000033 0000891205918
745 02-07-2019 170406010719P000032 0000891205975
746 02-07-2019 170406010719P000040 0000891218801
747 02-07-2019 170406010719P000038 0001065413619
748 02-07-2019 170406010719P000489 0001065415645
749 02-07-2019 170406010719P000037 0001065416005
750 02-07-2019 170406010719P000048 0001136266942
751 02-07-2019 170406010719P000051 0001261333539
752 02-07-2019 170406010719P000054 0001290766375
753 02-07-2019 170406010719P000041 0001291540961
754 02-07-2019 170406010719Y000036 0001325524151
755 02-07-2019 170406010719P000053 0001328026138
756 02-07-2019 170406010719P000030 0001867189274
757 02-07-2019 170406010719P000056 0002124150761
758 02-07-2019 170406010719P000034 0002313410455
759 02-07-2019 170406010719P000026 0002490519521

SITI AISYAH P PBI (APBN) Tuberculosis of lung, confirmed by
unspecified
LIDYA WARDANI P PBI (APBN) Fever of other and unknown origin

tissues
SITI AISYAH P PBI (APBN) Other arthritis
NORSIAH P PBI (APBN) Essential (primary) hypertension

tissues
nur ANNISA P PBI (APBN) Cough
MUHAMMAD RIZKI L PBI (APBN) Epilepsy, unspecified
INTAN P PBI (APBN) Cough

unspecified
NANAWIAH P PBI (APBN) Acute haemorrhagic gastritis
ANANG RIDUAN L PBI (APBN) Non-insulin-dependent diabetes

mellitus
AHMAD YANI YUSUF L PEGAWAI SWASTA Headache
MARIATUL KIBTIAH P PEKERJA MANDIRI Diseases of pulp and periapical

tissues
MUHAMMAD FAISAL L PEKERJA MANDIRI Undifferentiated schizophrenia
MUHAMMAD KEISYA L PEKERJA MANDIRI Diseases of pulp and periapical

tissues
NAYLA SYABILA AZAHRA P PEGAWAI SWASTA Cough
SALAMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
suriansyah L PEKERJA MANDIRI Other lipid storage disorders
JUBAIDAH P PBI (APBN) Allergic contact dermatitis
SRI HARIATI P PEKERJA MANDIRI Premature rupture of membranes
MUHAMMAD NAUFAL L PEKERJA MANDIRI Corns and callosities

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760 02-07-2019 170406010719P000042 0002501472543
761 02-07-2019 170406010719P000058 0002584268076
762 02-07-2019 170406010719P000055 0002747267087
763 01-07-2019 170406010719P000486 0000122738387
764 01-07-2019 170406010719P000010 0000122757625
765 01-07-2019 170406010719P000012 0000122757636
766 01-07-2019 170406010719P000002 0000122811772
767 01-07-2019 170406010719P000003 0000122811783
768 01-07-2019 170406010719P000008 0000123421228
769 01-07-2019 170406010719P000011 0000889757537
770 01-07-2019 170406010719P000021 0000889979534
771 01-07-2019 170406010719P000022 0000889979725
772 01-07-2019 170406010719P000019 0000890043671
773 01-07-2019 170406010719P000020 0000890056539
774 01-07-2019 170406010719P000004 0000890738932
775 01-07-2019 170406010719P000015 0000891149747
776 01-07-2019 170406010719P000007 0001094262467
777 01-07-2019 170406010719P000009 0001286578293
778 01-07-2019 170406010719P000018 0001388729081
779 01-07-2019 170406010719P000023 0001805013696
780 01-07-2019 170406010719P000006 0001814819387

RUSDIANA P PEKERJA MANDIRI Diseases of pulp and periapical
tissues
AHMAD ZAINAL ILMI L PBI (APBN) Influenza due to other identified
influenza virus
MUSLIA WATI P PEKERJA MANDIRI Antenatal screening, unspecified
M.ABERANI. L PENERIMA PENSIUN PNS Influenza due to other identified

influenza virus
MAHYUDDIN L PENERIMA PENSIUN PNS Disorders of refraction and
accommodation
IMAS P PENERIMA PENSIUN PNS Essential (primary) hypertension
THAIBAH,A.MA P PNS DAERAH Disorders of refraction and

accommodation
ISKANDAR L PNS DAERAH Disorders of refraction and
accommodation
ACHMAD NOOR L PENERIMA PENSIUN PNS Essential (primary) hypertension
MAJEDI MUNAWAR L PBI (APBN) End-stage renal disease
M. SUPIAN SAURI L PBI (APBN) Hyperlipidaemia, unspecified
ERNAWATI P PBI (APBN) Antenatal screening, unspecified
ASNIAH P PBI (APBN) Other deforming dorsopathies
MUHAMMAD NOOR L PBI (APBN) Haemorrhoids
KURNAIN L PBI (APBN) Allergic contact dermatitis
BADAWI L PBI (APBN) Impacted cerumen
M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Essential (primary) hypertension
MAHFUD L PNS DAERAH Atherosclerotic cardiovascular

disease, so
PUTRI P PEGAWAI SWASTA Diseases of pulp and periapical

tissues
AKHMAD RAIHAN ALMADHANI L PEGAWAI SWASTA Diseases of pulp and periapical
tissues
SARI INDRIYANI P PEGAWAI PEMERINTAH Mixed asthma
DENGAN PERJANJIAN
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781 01-07-2019 170406010719P000001 0001820461926
782 01-07-2019 170406010719P000024 0002043596608
783 01-07-2019 170406010719P000013 0002074966233
784 01-07-2019 170406010719P000025 0002092390031
785 01-07-2019 170406010719P000016 0002297138264
786 01-07-2019 170406010719P000014 0002438267624
787 01-07-2019 170406010719P000017 0002465198234
788 01-07-2019 170406010719P000005 0002465205759

MUHAMMAD NOOR L PEGAWAI SWASTA Hearing loss, unspecified
MARTINI P PBI (APBD) Haemorrhoids
MARNITI L ANGGOTA POLRI Essential (primary) hypertension
ALESHA YUMNA L PEGAWAI SWASTA Influenza due to other identified

influenza virus
AKHMAD FAUZI L PEGAWAI SWASTA Influenza due to other identified
influenza virus
RAISA ASPIAN P PEKERJA MANDIRI Cough
NOR AMELIA P PEKERJA MANDIRI Diseases of pulp and periapical

tissues
ARBAINAH P PEKERJA MANDIRI Gastritis and duodenitis
Rujuk Lanjut
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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

1 31-07-2019 170406010719P000707 0000890212026

2 31-07-2019 170406010719P000691 0000890561733

3 31-07-2019 170406010719P000690 0000890886857

4 31-07-2019 170406010719P000701 0000890888488

5 31-07-2019 170406010719P000687 0001065833976

6 31-07-2019 170406010719P000678 0001260938799

7 31-07-2019 170406010719P000679 0001264610643

8 31-07-2019 170406010719P000680 0001283181399

9 31-07-2019 170406010719P000684 0001389419965

10 31-07-2019 170406010719P000699 0001451661669

11 31-07-2019 170406010719P000700 0001460140132

12 31-07-2019 170406010719P000689 0001811095839

13 31-07-2019 170406010719P000685 0001848375303

14 31-07-2019 170406010719P000704 0001882580229

15 31-07-2019 170406010719P000686 0002082551848

16 31-07-2019 170406010719P000693 0002084904685

17 31-07-2019 170406010719P000692 0002215322638

18 31-07-2019 170406010719P000702 0002224516149

19 31-07-2019 170406010719P000694 0002270854721

20 31-07-2019 170406010719P000703 0002425519765

SURIADI L PBI (APBN) Acute upper respiratory infection,

RAHMAWATI P PBI (APBN) Dyspepsia

m.murjani L PEKERJA MANDIRI Thalassaemia

MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia

M.IRIADI L PEKERJA MANDIRI Non-insulin-dependent diabetes

SAPIAH P PEKERJA MANDIRI Other specified intervertebral disc

ANSYAR L PEKERJA MANDIRI Pulpitis

BAHRANI L PEKERJA MANDIRI Pulpitis

SAIDAH P PEKERJA MANDIRI Gout

MAIMUNAH P PEKERJA MANDIRI Presence of intraocular lens

NINA RAHMASANTI P PEGAWAI SWASTA Antenatal screening, unspecified

HAIRIYAH P PEKERJA MANDIRI Essential (primary) hypertension

ASKIAH P PENERIMA PENSIUN PNS Malaise and fatigue

BELA DWI KURNIANSYAH L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

NORMA P PEKERJA MANDIRI Antenatal screening, unspecified

BARIAH P PEKERJA MANDIRI Insulin-dependent diabetes

NURHIDAYAH P PEGAWAI SWASTA Antenatal screening, unspecified

22 31-07-2019 170406010719P000688 0002758522904

23 30-07-2019 170406010719P000663 0000122257427

24 30-07-2019 170406010719P000681 0000122719026

25 30-07-2019 170406010719P000654 0000123189243

26 30-07-2019 170406010719P000695 0000123322184

27 30-07-2019 170406010719P000652 0000123587021

28 30-07-2019 170406010719P000674 0000124564544

29 30-07-2019 170406010719P000653 0000889364597

30 30-07-2019 170406010719P000664 0000889896701

31 30-07-2019 170406010719P000723 0000889943534

32 30-07-2019 170406010719P000673 0000890474343

33 30-07-2019 170406010719P000677 0000890681038

34 30-07-2019 170406010719P000682 0001303166687

35 30-07-2019 170406010719P000698 0001319509001

36 30-07-2019 170406010719P000696 0001433475369

37 30-07-2019 170406010719P000655 0001459884532

38 30-07-2019 170406010719P000683 0001546717421

39 30-07-2019 170406010719P000697 0001770974559

40 30-07-2019 170406010719P000651 0001857673214

41 30-07-2019 170406010719P000675 0002215322638

RUSMAWARNI P PEKERJA MANDIRI Essential (primary) hypertension

SITI INDERA HJ P PENERIMA PENSIUN PNS Essential (primary) hypertension

H SAIBATUL HAMDI L PNS DAERAH Headache

MISRAN L PNS DAERAH Insulin-dependent diabetes