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LAPORAN PELAYANAN KUNJUNGAN SEHAT

RAWAT JALAN TINGKAT PERTAMA (RJTP)


BULAN APRIL TAHUN 2016

Nama Faskes
Alamat
NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66

TANGGAL
4/5/2016
4/7/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016

: PUSKESMAS NGASEM
: NGASEM KAB. KEDIRI
NO KARTU
PESERTA
209600368
108266207
675712462
675711573
675711944
675713777
675712506
675713351
675717456
675713981
675717254
675714532
675716602
675718997
675715331
675718301
675718391
675722316
675722406
675721484
675721113
675723688
675723161
675723622
675725005
675725624
675724522
675724465
675723385
675728019
675727547
675726513
675726941
675731182
675730157
675729821
675733004
675727468
675730686
675728098
675730269
675729617
675730203
675732047
675737302
675730225
675737493
675736413
675734703
675738617
675734321
675736828
675739675
675740079
675741982
675741251
675742948
675742342
675740103
675741205
675742509
675743861
675741104
675746717
675748067
675744546

NAMA PESERTA
AMOS CAHYO SETYADI
HARI SUBAGYO
MARWIK INDRAWATI
MONAH
ABIB U
NUR ANINGSIH
ENGGA
NUR ALFAT
LAILATUL SAKDIYAH
NUR ANISA
NUR ULLAYLIYAH
MARCELLA
KASTINI
MASRUKIN
SUWARNO
PARNADI
SULASTRI
AHMAD R
KASINI
NIA FITA
SUDJONO
MUJIATIN
TAMINI
KAMINI
NOVIA WULANSARI
SAMIDI
ARISUDIN
WAHYU FAJARWANTO
SAMINEM
SRI UTAMI
M YUSUF
NUNUK SUPRAPTI
CHUSNUL OKTARIASANI
SATINI
RENIWATI
SRI RAHAYU
SLAMET
KUSNA MELINIA NURFITA SARI
EDI YULIANTO
RIA AYU
YULIO F
SUWARNO
DWI GAYATRI
SUMINI
SUGENG
ARIS NUR
KANIPAH
ARINI
SUMAROJI
DINA A
SULASTRI
FABIAN A
TUKIBAH
LISMI
AGUNG YULIANTO
NANANG KRIATIANTO
KARDI
ADIT APRIANTO
SUGITO
EKA TRI WAHYUNI
SITI R
SULISWANTO
KAMINI
ASTUTIK
NAFIK ELLIF MUYUDA
SLAMET

NO
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013

TANGGAL
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016

NO KARTU
PESERTA
676229534
676233573
676233494
676234034
676234776
676232188
676234697
676245047
676241278
676243045
676245745
676240468
676250717
676242641
676243787
676244946
676242099
676246274
676246566
676249446
676244979
676251213
676250425
676249795
676252113
676252899
676248917
676256927
676253081
676253316
676257131
676256264
676253621
676254655
676256332
676253935
676258075
676253529
676260371
676260257
676256308
676259807
676256512
676258334
676264195
676258975
676260865
676263609
676260639
676260955
676264307
676258795
676261462
676265128
676265038
676263284
676264904
676264678
676262799
676267132
676266592
676266175
676269123
676267918
676269268
676267569

67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141

4/12/2016
4/12/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016

675745986
675748102
675743951
675742465
675745942
675747562
675748629
675751443
675750341
675745042
675750756
675747281
675747191
675747832
675752444
675751779
675753254
675751667
675753941
675751274
675755638
675756685
675760318
675755662
675757146
675754222
675754525
675754042
675756944
675756009
675760601
675761332
675757372
675763266
675758428
675756494
675758338
675762772
675760915
675756786
675761837
675766618
675762399
675767553
675763121
675766506
675763558
675767496
675768328
675766361
675766304
675768892
675769217
675769252
675769961
675769184
675770624
675770747
675774944
675770163
675773774
675771355
675774909
675775372
675775282
675776834
675780658
675777227
675773144
675775124
675777306
675774371
675776081
675781277
675778476

SUGENG
M MAHBUB
SUGIANTO
ZAENAB
WAGIYEM
NICKY AUDREA TRI P
FATIK ASMANIAH
RESTI SINTA FATOMAH
MOH FADIL ADHIM
ASRIKAH
SUTOMO
DWI ASTITIN
UNTARI
MASRUKHIN
SUTOMO
TRI KARTIKO SUKROMOLO
ULIK DJORIYAH
RESTU SURYO UTOMO
KARIYATI
DITYE UTAMI
DAFFA DWI PUTRA
ARJO WARDI
SUMIATI
EDY SUNARYO
SUYONO
SULASTRI
ANANG PRASETYO
JAINUL ARIFIN
SRIKANAH
TITIK PURWANINGSIH
ANIS S
DENIK SUMADI
SUWARNI
ANGGI
IBNU SUMARNO
TEDDY HARFAAS'AD
SUPREYETNO
KARMANI
YULIANA
SARDI
MIZZLELHYDEN
KARDIAT
KLIWON
RINI
SRI HANDAYANI
AGUS D
WAGIYEM
TUKIMAH
MOHAMMAD A
JUMIASIH
SUTIKNO
MOHAMMAD R
SUJONO
SRI ARUMI
BUDI
AURA SILVIA M
TUMIDI
JANI
SUPARMI
DAFID
BAGUS S
NURIAH
NURHASAN
RISKI ADITYA A
PRASTYO ADI N
TAMSI
JUDI
SURATMI
SUGIATI
YUSUF BAHTIAR EKA
WAHYU PUJI SANTOSO
LISA TRI W
REZA ADITYA A
MISIDI
WIJI WINARTI

1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088

4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016

676269213
676270157
676271485
676267773
676267885
676270945
676271867
676271092
676269099
676271057
676272014
676271632
676273184
676272519
676272802
676272172
676276806
676272148
676273522
676274951
676272947
676276018
676277515
676275322
676314461
676312132
676313987
676312154
676312492
676313403
676318961
676318116
676317802
676316968
676312053
676322076
676314742
676319681
676322199
676320838
676321211
676322368
676324304
676323134
676327825
676325283
676324719
676327443
676326947
676324438
676329355
676326982
676326058
676326227
676331651
676331469
676332999
676329423
676331212
676331403
676334575
676335058
676339648
676331741
676335486
676331831
676333833
676333473
676337534
676341022
676334136
676342798
676336588
676340109
676344519

142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216

4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016

675777813
675776586
675781075
675780322
675780862
675779117
675785878
675781029
675779782
675785665
675785979
675786194
675777982
675782076
675785136
675788815
675784629
675782188
675785913
675790165
675788027
675788646
675791019
675783685
675791717
675785215
675787307
675791875
675788771
675786508
675790378
675791954
675793179
675793124
675791054
675796634
675795183
675797962
675797703
675797848
675795519
675798592
675802754
675800932
675799097
675799929
675803698
675802833
675802945
675807783
675800763
675807129
675801191
675805689
675802618
675804159
675804475
675807197
675804115
675804418
675809008
675804857
675807748
675815016
675806938
675810797
675810303
675810742
675813723
675810933
675814792
675809864
675812553
675813071
675813249

PUTRI AMANDA F S
KAMSINAH
AZWA R
AFRILLIA ANNAFSI
TATIK NUR
SUPRIATIN BASUKI
ARSETYO CHOIRUN
FITRIA F
SONAWATI
TITIK RUSMIATI
PASHA NUR AZIZA
TUKIJAN
SUPINAH
MUJIANTI
RIO H
SWEEETA S
RENI
SODIK
NUNGKI ARSTO RINI
SRIKAYAH
RADITYA RENANDRE
MUSIJAN
ANWAR
DARMAWAN
AGUS PRAYITNO
UDOYO
SURATI NINGSIH
BIAN ARDI R
ELI P
MOC ISWANTO
DARMO M
JUPRI PUSPITO
AGUNG PRAYOGI
SIMPEN
KHUSNUL FARIDA
PI AH
BONIYEM
KAUTHI MARTIJUNG
ULAN KARTIKA
KAMSIYEM
RUSMADI
FETRI AMANAH
NAZUA K
ARIATIN
MARIYAM
KAMINAH
FEBRIANTO
JARI
SRIANI
DIAJENG ARIMBI B MAAHARANI
SLAMET
ARY WAHYU TRI B IRAWAN
SURYOKO
TITIK ARIANSI
ENDANG D
NANIK SUNARTI
ANDINI
IRINE B PANCA OKTAVIA
SUBANJAR
ANDI WIJAYANTI
MUNTIAH
IR BUDIANTO
ADINDA ANARA MB PERMATA
IDA RATNAWATI
AGITES BUDI IRAWATI
MARKINI
REVALINA MAYA
SAMINI
ABI
NARIYAH
TOTOK HARIANTO
M DANI FEBRI
DWIPA
RISKIKA
SUPRIHATIN

1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
1116
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1156
1157
1158
1159
1160
1161
1162
1163

4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
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4/23/2016
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4/23/2016
4/23/2016
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4/23/2016
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4/23/2016
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4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016

676343755
676344385
676342179
676345307
676348536
676349122
676342416
676342236
676345735
676341639
676349796
676344071
676345904
676348345
676354498
676354544
676353014
676351124
676354353
676352575
676357806
676354566
676357356
676355916
676351629
676357064
676355163
676358919
676356039
676361586
676365254
676362644
676365647
676365355
676367032
676366547
676367357
676365726
676365467
676368652
676367471
676367436
676366817
676366839
676371374
676371519
676370889
676365928
676375402
676371159
676369225
676373163
676371892
676369168
676367008
676368371
676366659
676366119
676367414
676370823
676368437
676370531
676367572
676370463
676373624
676373387
676372149
676373422
676372252
676378168
676374941
676372689
676371251
676375198
676378473

217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
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254
255
256
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258
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260
261
262
263
264
265
266
267
268
269
270
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273
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275
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279
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281
282
283
284
285
286
287
288
289
290
291

4/13/2016
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4/13/2016
4/13/2016
4/13/2016

675816884
675811754
675816838
675814263
675815141
675819459
675822519
675827291
675820102
675821788
675819955
675825423
675823443
675823465
675830417
675826299
675830362
675825715
675825039
675829124
675824602
675827379
675824905
675829833
675831666
675833297
675830529
675833207
675832858
675832792
675835659
675831148
675833657
675829315
675830338
675832026
675836302
675833714
675835457
675841138
675839889
675834309
675838596
675838899
675839248
675838563
675842499
675837268
675839957
675843243
675847372
675845842
675842231
675844975
675844086
675842646
675847157
675843726
675947531
675844345
675844143
675947428
675950005
675948003
675951366
675949948
675949858
675948778
675951153
675951467
675953133
675948655
675948914
675949421
675953739

SUPIYAH
AILA
SURAJI
DWI M
SINDY IRMAWATI
MUDAKIR
AGUSTIANI
YUDANTO PRAKOSO
M KHOIRUL
KHOLIFATUS S
M KHOLIL
DARIYANTO
ANTONIUS FIRNANDO
WAGE
TIAH
FENDI SANJAYA
NGATEMIN
BINTI KHORIYAH
KATINI
SUPARMAN
ASMINI
KARSIYAH
NURUL SISWANTORO
KHOIRUL HUDA
JOVAN PAMUNGKAS PRATAMA
HENGKI
VIKA DEWI AGUSTINA
JUMINTEN
SUPARNO
KATUM
JAMI
WELAS ASIH
MUK AMANAH
MU'ASOMAH
EFAN NURCHOLIS
JUWARI
HARMOKO
YAYAS
TOHA
BAGAS TRI CAHYONO
SULASTRI
M ADIPTA ALFARO
LASEMI
BUDIONO
HARIONO
SULASTRI
ARIF DWI LESTARI
DIVA HANCE PUTRA V
MULUD MULYONO
DENY
SABIKIS
M BAYU SETYAWAN
TEGUH PRASOJO
MAYA WIDIA PIANTIKA
MUJAMAH
ENI SUSANTI
BERLIANA EKA FEBRIANTI
WIDIONO
MOH HAZZIZIL
SUYANTI
WIDAYAT
MOH ARIFUDDIN
MOH ILYAS
SUMARNI
DIKI YUDA P
DWI SUSENO
BASORI
HERU S
ENY SUSANA
LUJENG WINARKO
SEPTIAN N A
BUDI S
HENDRIK
SUMIATI
PARTINI

1164
1165
1166
1167
1168
1169
1170
1171
1172
1173
1174
1175
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
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1205
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1210
1211
1212
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1214
1215
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1219
1220
1221
1222
1223
1224
1225
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1228
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1234
1235
1236
1237
1238

4/23/2016
4/23/2016
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4/23/2016

676375874
676375659
676378282
676370496
676376875
676374759
676378258
676377909
676377538
676379002
676378574
676380339
676378631
676380306
676380172
676382949
676376897
676384367
676380115
676380205
676379755
676382657
676381252
676378394
676378811
676377257
676384896
676381443
676378833
676384356
676383377
676387091
676387866
676388013
676384874
676382859
676385739
676382804
676386281
676382512
676386358
676391736
676385774
676389936
676390713
676391016
676390511
676386483
676386843
676389137
676392658
676389429
676389374
676387179
676392636
676386009
676386189
676391455
676390408
676387822
676392884
676393457
676389857
676390217
676392085
676393389
676390397
676395077
676391207
676391938
676394897
676393997
676391117
676389352
676392129

292
293
294
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297
298
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300
301
302
303
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305
306
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308
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352
353
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357
358
359
360
361
362
363
364
365
366

4/13/2016
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4/21/2016
4/21/2016
4/21/2016
4/21/2016

675953155
675953774
675953482
675951581
675952468
675951445
675952132
675953537
675953109
675955721
675960377
675958476
675954235
675954674
675961817
675959016
675956834
675958915
675958555
675964236
675959477
675961277
675961751
675963382
675963808
675964596
675965316
675965542
675995624
675993745
1038019241
675998223
675998976
675994241
676001373
676007594
676003588
676006907
676003375
676004769
676008516
676006042
676003994
676009271
676006929
676007111
676007807
676008235
676008145
676009067
676009304
676033457
676038611
676036203
676034796
676035538
676033424
676035505
676038194
676039127
676036473
676038159
676040264
676037496
676039893
676039375
676043436
676042457
676041715
676039724
676043087
676042198
676039768
676043515
676045495

JAITUN
SAIMIN
SUTARTI
FELUK INDRIWATI
NGAROPAH
UNTARI
SUNGKONO
MARTIN
SAHRUL M
AZIMAH
VITA
RIRIN KOIRUNISAK
TUKIJAH
KHOIRIYAH
AGIF AHMAD SUFYAN
RENA SETIAWAN
MOHAMAD ABDUL R M
BAGUS SETYAWAN
RIYO SAPUTRA
SULASTRI
PUJI P
PONIJAN
MUT MAINAH
SUPRIADI
MSYAIFUDIN ZUHRI
ANANTA NUR A F
SUPRIONO
IMAM MULLISIN
DINA MAULANA
GIONO
IIN HIDAYATUL LAILI
MUSTAMIN
KUNTARI ADI
IDA PUSPITA
IMAM F
DELLA SEPTIA PUTRI
SUNARIYATI
SUPRAYITNO
GUNAWAN
MARLIK RAHAYU
FERDI RAGIL S
SULIH DAMARATI
SANDIKO FEBRIAN PUTRA
SRI MULYATI
NINUNG RAHAYU
KARISMA GUMILANG Y
SAMSURI
FRIDA EKA S
TRI WIDARYATI
SURATMAN
MOH JAMALUDIN
SUNARTI
JAINI
SITI SANAWIYAH
JUMALI
IMAM ROMADAN
JAWAWI
SUJANI
DUROTUN NASIKAH
ROBIKAH
MULYONO
MOH NURWAKHID H
SITI SIYAMI
ULIL HIDAYATI
SALAM SUCIPTO
HAMBALI PRASETYO
PRIHAT SYAFE'IE
MATJAINAL
DEA ALAM SAPUTRA
SUSIANI
BINTI FARIDA
NOVAN ARDIANSYAH
GALANG PRASETIO
ENIK MASRUROH
M SATRIA WIJAYA

1239
1240
1241
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267
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1275
1276
1277
1278
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1284
1285
1286
1287
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313

4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
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4/23/2016
4/23/2016
4/23/2016
4/25/2016

676395099
676393683
676391387
676390138
676396181
676396179
676395933
676395459
676394436
676395944
676396258
676399083
676398025
676396271
676397395
676399048
676397823
676399026
676398723
676402312
676402841
676398003
676400523
676397744
676399094
676399612
676398633
676403177
676396653
676401941
676397608
676399217
676401726
676398352
676406654
676402176
676403987
676403324
676401693
676402929
676403987
676407194
676403392
676402806
676403649
676404022
676405539
676402143
676402413
676400051
676408533
676404584
676401761
676401513
676401197
676406788
676406968
676403954
676404112
676405438
676409038
676405236
676400984
676400163
676407881
676401153
676413033
676403291
676408566
676410276
676408937
676403447
676405912
676408307
676408015

367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441

4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
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4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016

676041164
676046349
676047058
676041355
676047227
676046665
676045765
676050265
676048329
676049758
676052842
676052245
676051492
676050614
676047723
676053911
676051301
676050682
676055169
676053336
676052919
676052155
676050895
676051863
676052324
676055935
676056701
676054956
676057228
676060468
676055384
676057702
676059952
676058714
676059669
676060659
676058027
676063462
676063888
676058578
676065317
676065352
676065475
676062112
676070414
676066419
676066263
676068636
676063034
676061166
676066724
676064619
676070368
676065126
676068669
676068783
676071292
676070616
676068963
676068581
676071911
676069885
676074069
676067501
676071898
676071009
676071584
676073878
676068344
676072765
676072078
676074317
676075353
676076613
676074137

RANGGA SATRIYA D
SITI AMINI
ERNAWATI
RAGIL SATRIO D
SUPRIONO
SUMARWAN
SUMARTO
DEBORA JAETUN
SITI KRISNIANI
RUMIATUN
SADIKEM
BONIYEM
ERIK PRASETYO
VICTOR ANDI
M NUR ALIM
MARDIANTO
PUJI ERNANTO
LINDA PUJI R
MOH ARIE HUSEN
M KOZIN
RUKINEM
SUMARLIN
SONGEB
JOKO IRWANTO
SULAIMAN
JUMIATI
FITRI LESTARI
UMIANAH
YUNIATI
KALIMAH
MOH SOLEH ADI PUTRA
TRI NUGROHO EDI N
ZENI EKASARI
BINTANG AKBAR A
SUPARTINI
PAIDI
YUNANIK
AHMAD M
KRISTA NUR IMA S
DIVA CHOIRUNNISA
DJONO
SITI MASIYAH
YUNANIK
ZAENAL A
SITIN WARDHMAH
ST SUMINI
MOHAMAD ALI
SUMARSANTO
MISRIANI
NASIYAH
MOH FAJAR
AHMAD ANDRIONO
FADLI FATIN KOIRIYAH
AHMAD RENDI A
SULISTYOWATI
SAMIRAH
SUHARIATI
BAEKAH
AKHOIRUL
SRI WILUJENG
MUNAWAR
WAGIYEM
PANDU SETIYONO
BAHRUL FAJAR
JOKO SETIAWAN
SURAWAN
M ARIF SETIAWAN
CANDRA LESTARI
SALEH
PANGGIH SUTARJO
SRIIN
ECIN NURSINNAH
DEVI PUSPITASARI
MARKAMAH
MUJIONO

1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
1329
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
1340
1341
1342
1343
1344
1345
1346
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1348
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1350
1351
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1353
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1355
1356
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1358
1359
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382
1383
1384
1385
1386
1387
1388

4/25/2016
4/25/2016
4/25/2016
4/25/2016
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4/25/2016
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4/25/2016

676406542
676406417
676408026
676406812
676408217
676407508
676407543
676407339
676408151
676408173
676410985
676408724
676409128
676412785
676411176
676410131
676411558
676408961
676410017
676411244
676409275
676412324
676411839
676413224
676408476
676409139
676410715
676409848
676409793
676410221
676410592
676411953
676413325
676412054
676412526
676411626
676412155
676412482
676412504
676410636
676412864
676413268
676416306
676414912
676417555
676414506
676414732
676415968
676414359
676415632
676414675
676413898
676414214
676417408
676415518
676416003
676416609
676414236
676416881
676417454
676413584
676414304
676416846
676419344
676421651
676419669
676418962
676414967
676418139
676419873
676420413
676418984
676419726
676420986
676415979

442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516

4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
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4/21/2016
4/21/2016

676078031
676077535
676082518
676080033
676080393
676082957
676075803
676076646
676079346
676079864
676078266
676082755
676084015
676079109
676083835
676082338
676084713
676088054
676080549
676081462
676084072
676082305
676086884
676084533
676088526
676088638
676093004
676086636
676087479
676085769
676088774
676090225
676090607
676090934
676093645
676090179
676088324
676096389
676090135
676099438
676095794
676098415
676091496
676096648
676093239
676095838
676093263
676096953
676093432
676091542
676097807
676095276
676093061
676102735
676099001
676099023
676105479
676105108
676099574
676099574
676107123
676103117
676102026
676103422
676103804
676106144
676101159
676103499
676101609
676109395
676102937
676107549
676105154
676105986
676107178

ANGGIA PRIMUTIANI
MUJIATI
MUJIATI
DIMAS YUSBUDI
MUJI WIYONO
SULASTRI
ANDINI SURYAWATI
SUGENG PRIANTO
SYAMSI
SURATIN
ANJELINA P
RISTI APRILIA
MUALIM
KARTIKO AJI KIBLAT P
BAYU PRASETYO
WARIS
KHOMSATUN
SETYOKO
ANDREAS PUTRO W
WARSI
ROPIAH
DARSONO
ABDUL GHOFAR
MOCHSIN
RISKA AYU S
WENDA RISMA S
IRIA NOVI A
SITI S
SUKIRAH
SITI G
ADITIA BAGUS S
NISAUL ULYA
AFRIDA LUTFIANI
SAKIRUN
SUMIATI
M ZAINAL ABIDIN
ITA SUGIYANTI
GIYANTO
WARSITO
DEWI
SOLIKAH
JINTEN
MUKITUN
DJUMAIYAH
SUMARDIO
ABDULR
SAMIRAH
SUGENG ANTONO
SUDJONO
BUDI ZATMIKO
WAWAN BIMA SAPUTRA
TITUS SAPUTRA
JESICA ADELIA RIFA
SUMARSIH
KASWIANTO
HARYOKO
RASTIA P
ANTON WIJAYA
BRIYAN MARTINO
BRIYAN MARTINO
DWIKA AUGSTIAN N
UZUN ROMIASIH
MAT JAENURI
SOKIP
UTOMO HANDOKO
BUDI UTOMO
ANJELITA KIRANA
LEGIYEM
SUSMIATI
PUJI ASTUTIK
NOVI R
ARIFIN
IMAM SYAFI'I
IMARA AINUR M
ROHMAT

1389
1390
1391
1392
1393
1394
1395
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411
1412
1413
1414
1415
1416
1417
1418
1419
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1440
1441
1442
1443
1444
1445
1446
1447
1448
1449
1450
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463

4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
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4/25/2016
4/25/2016
4/25/2016
4/25/2016

676419862
676417904
676423045
676420582
676415889
676421662
676417331
676415171
676415496
676419254
676419366
676419614
676420086
676420154
676420255
676419996
676422584
676421965
676422404
676421447
676421583
676425611
676421774
676425723
676424709
676422459
676425903
676423844
676423179
676425587
676425756
676429626
676426667
676427815
676427466
676426454
676428873
676428726
676427038
676428568
676430886
676428129
676428142
676429694
676431641
676428974
676431011
676427635
676429007
676431606
676426509
676431472
676429187
676427602
676432012
676431213
676428456
676433158
676428658
676430201
676428489
676435285
676431731
676429964
676432361
676431461
676434418
676432326
676431167
676432304
676433711
676431009
676433979
676432866
676434789

517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591

4/21/2016
4/21/2016
4/21/2016
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4/21/2016
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4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016

676107516
676110227
676106831
676110082
676109709
676106278
676108697
676108506
676112433
676115684
676110069
676113568
676114367
676111048
676110161
676113085
676114211
676112894
676116009
676115829
676112826
676115561
676118992
676111724
676111386
676112962
676113175
676116055
676111599
676113816
676115627
676119565
676121488
676116134
676118147
676121995
676114569
676116246
676121286
676118878
676124886
676123075
676123323
676123558
676125033
676122131
676122783
676124831
676124965
676125178
676126833
676125832
676128688
676130714
676131041
676128622
676126146
676128712
676128598
676128058
676132132
676130051
676130084
676129656
676130229
676135629
676134303
676131838
676137429
676133032
676134134
676133561
676135089
676135146
676132413

TUKIYEM
SUTINAH
DIO ALIF UTAMA
JAETON
HARIS HARDIANTO
INDASAH
SRI WAHYUNI
MURIYAH
SHANTI RAHAYU
TUNIK S
SAMSINI
DINA AMARTA PUTRI
RIZKI ADI SAPUTRA
YULI ASTUTI
SUGIONO
SURATI
JUWANAH
SHIDQI
DERIS ARISANDI
AFITRIANI
HAFIDZ KHARISI
OCTA MIFTAKUL USNA
WARTINI
WINARTO
NOVA NANDES
SHOLEH
FREDI SURYA LISDIANTO
RIZAL RIKO S
PITRIA ANDRIANI
SUKAMTO
SAMPURNO
WAHYU SUGENG A
SUKARI
DEBORA NISA SILVANA
DEWI I
SUKESI
TUWIN PRAWESTI
SANAWI
SUTRISNO
SUPARDI
SUWARDJI
JAENAH
SOLIKIN
DOMIRAN
MOH SOIM
ENDI PRASETIO
DANI FITRIYANTO
PARTIYAH
SITI AMINAH
M YAZID
ADI WIYONO
MUJAYANAH
MARTIANA ERNAWATI
MUJIONO
M SULUR
ALEK CANDRA ADITYA
M ANGGIT MUZAKI
ANIS B
NOVITA DELLA ROSY
YAYUK W
DARMIATI
ELANDA ANANDA
NOVA RIADI
ARI KUNTORO
MUKLIS
SAMINAH
SALSA F A
M SAMSUL
PARDI
SITI YULAIKAH
SUHARTI
KATINI
WIJI
UMAR
SUDARTO

1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492
1493
1494
1495
1496
1497
1498
1499
1500
1501
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538

4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
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4/25/2016
4/25/2016
4/25/2016
4/25/2016

676432438
676433485
676430032
676432664
676435937
676431099
676437805
676436128
676435983
676439684
676436894
676437647
676438907
676434431
676432618
676436782
676436523
676436411
676434363
676442766
676436016
676441304
676438288
676440325
676443993
676443699
676441697
676438593
676438031
676445095
676442169
676440347
676444318
676445141
676442823
676437941
676448403
676445883
676439919
676442035
676442452
676439111
676444814
676445591
676441269
676448853
676440865
676446647
676441956
676446524
676445207
676442619
676446434
676448717
676450451
676449279
676444421
676451035
676448076
676448302
676450798
676449821
676449707
676448493
676451079
676454455
676447931
676453195
676450844
676448256
676449988
676450157
676450708
676453544
676454657

592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666

4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
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4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016

676136035
676132277
676139286
676134066
676135989
676136981
676136979
676138048
676135776
676138814
676136171
676138926
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676137339
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676140366
676141885
676138533
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676144844
676148444
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676143077
676139398
676139859
676142447
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676150896
676149445
676150661
676151504
676148308
676147386
676154823
676153934
676147239
676151684
676153517

ALVI NURLAILATUL F
M NURKHOLIS
RAHAYU WIJAYANTI
PURNOMO
BAGUS RUDIANTO
SUPRIYANTO
KHOIRUL ANAM
KRISTIA
MUNSIYAH
JOKO EFENDI
WARSINAH
IVA WINARTI
DARIMAH
GILAND MULANA P
SITI KHOLIFAH
LANI NOVIANTI
LENI PUJI LESTARI
RUSMINI
SUDARSUIH
RIZAL AAWALUDIN
SUMINAH
LENI PUJI LESTARI
SAIFUL ANAM
RIZAL AAWALUDIN
MOH YUSUF
TOIB
LEGISRI
YUSUF
OSTYA CHRISDIYANTY
ZENI AHMAD
BAGUS FATHUROY
RATNAWATI
SUKARMAN
SAMIRAN
DHEA AZZHROTUS ST
ABIDIN
SUYANTO
SITI MALIKAH
KHUSNUL KHOTIMAH
ERNI
M AGUNG JANUAR
MURSINAH
PURWANINGSIH
ERNA
SARINAH
MOH YUNUS
SUGENG SANTOSO
SUGITO
SHOLEHAN
SULAIMAN
RUMINI
DEWI MUFIDAH
SULIYAH
AMELIA NUR A
FITRIA NOVIANA
IPIT SUDOMO
SABARUDIN
M MUKLASIN
MARDJUKI
PURWANINGRUM
AJI ABDUL AZIS
WIJI
MUJIRAH
WARSIATUN
JAMIATI
ALI IMRON
MUSTAJIB
PURYANTO
NGATEMI
MOH ALIF U
ANADA ASOFI
SUPRAYETNO
MASHADI
SRI UTAMI
ISWANTO

1539
1540
1541
1542
1543
1544
1545
1546
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1548
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1613

4/25/2016
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676451564
676454589
676449865
676454049
676453667
676452183
676456683
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676451722
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676453105
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676463466
676457785
676457379
676458742
676459001
676461971
676465762
676462397
676461881
676464827
676463668
676462138
676460261
676463771
676466155
676462015
676464669
676463376
676469226
676465558
676471994
676466054
676471847
676469665
676472894
676477247
676477214
676473963
676474615
676477978
676474086
676479082
676471397
676478373
676475796
676476764
676477056
676478261

667
668
669
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671
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673
674
675
676
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680
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719
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721
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723
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727
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730
731
732
733
734
735
736
737
738
739
740
741

4/21/2016
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676152358
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676164868
676165239
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676169482
676168119
676165937
676169368
676160829
676164126
676162855
676166141
676167388
676167761
676166275
676164947
676163766
676165847

WIDALBO
SUDARTO
MUJI SLAMET
DIDIK PURWANTO
ANSORI
ARIFIN
RISKA AYU Y N
AGUS PRASETIO
AHMAD WIJAYA
RISKO BAGUS
AGUS SUSILO
SUMINI
KORMEN
MULYONO
YAYUK SUMIATI
ZAENAL ARIFIN
YATI
SURTINI
SAMIATIN
KHOTIMAH
DARMI
ELLY SUDARSONO
DWI YULIANASARI
NIKEN KARTIKA DEWI
FIRJATULLOH NUR M
KARSI
NANIK PUJI RAHAYU
ENDAH SARI
MARIYAM
TEGUH SANTOSO
SUDARMI
DJUWITO
MARIATUL ISRO
HADINDA AYU FARISQI
AGUS MALIK
MOH ALI
SRI EKO PURNAMI
DINDA AYU AMELIA
SUMIATI
RUM HAYATI NINGSIH
MUJIATUN
ISKAK
TEGUH BASUKI
SUTIYAR
BINTI NUR LIAWATI
MOHAMAD ANWAR
ARMA A
RUSEMI
YAMINI
ASARI
CATUR UDKUATALIA
MAMIK PRASETYO
ABDUL GHOFUR
DWI ASTUTIK
NURJANAH
UMI MARDIYAH
SUWEDI WALUYO
TRI UNICK SANTOSO
SUDARMAN
SUKARTI
AHMAD NUR SAED
ANGGAYUDA RIZKI
MOH ZAINAL A
EKA NURFIKRIA
JOKO SANTOSO
NADI
JUNAIDI
OKTAVIA RL
M SAUQI ABDUS S
SUDARTIK
HARUN
REGA PRADANTA QAUNTA
IMAM MUKHSIN
RENALDI PUTRA
DEVIKA FRISKA APRILLIA

1614
1615
1616
1617
1618
1619
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1627
1628
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4/29/2016

676479925
676479374
676482197
676479036
676480419
676481501
676479115
676482647
676479328
676481501
676481027
676478496
676479778
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676480386
676479701
676481376
676481455
676483762
676484177
676485426
676482164
676483795
676487002
676487979
676488385
676484019
676483479
676484302
676480746
676484324
676486293
676483154
676486596
676488666
676481646
676486844
676487327
676488701
676487889
676483863
676491557
676490433
676492727
676489105
676492637
676486877
676488982
676493605
676492244
676491445
676490332
676494437
676494865
676494639
676492299
676494369
676495124
676495541
676495991
676497868
676495271
676495359
676497227
676496889
676502188
676495427
676498972
676495214
676497611
676496733
676497407
676500423
676498498
676500096

742
743
744
745
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754
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4/22/2016

676165746
676168187
676168457
676168097
676169425
676170549
676168424
676168659
676171629
676170821
676175038
676171776
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676169649
676173238
676171012
676173824
676166905
676173543
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676172957
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676178493
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676172068
676173756
676171978
676179371
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676172575
676174511
676180269
108266207
676172351
676174792
676173789
676178223
676175321
676176557
676178278
676178414
676174959
676178741
676177839
676179448
676179213
676177863
676178695
676175984
676177222
676177929
676179595
676179797
676182025
676180697
676181834
676180585
676182802
676185838
676183555
676180877
676181981
676181485
676185041
676179775

SULISTIYO WATI
TUMINI
SUGENG PUJIANTO
SOFYAN T
SUPRAPTI
SUTIKO
ITA PURNAMA SARI M
BASUKI
SUJITO
RUBIATI
M FARID H
ISTIANAH
SUGITO
ANGGA YUDA RIZKI
MOH LUTFI SHAHNARULIA
ALFIANA LUTFIA AZATUL
NURDATIN
DEVITA AINUR ROHMA
MOH TIYUL NUGRAHA
DIDIK LEKSONO
SIRIN
KLIWON
M FADEL JULWIYAN
MAMIK
ANDIHERI KARTONO
TUTIK YULIANTI
MISIYAH
HARIANI
SUBIARNO
SUNARSIH
CHUSNUL K
MOH MURSALIM
NIKO DWI P
AHMAD SUTRISNO
HANIFAH MANDA IJATI
SUMANI
SRI NURHAYATI
MOH MAULANA WAFIQ
HALIYAH
SHEVIRA FITRIA D
MISWANTO
MOH MUJI
HARI SUBAGYO
LISTIANA
NANIK YUKIATUL A
SINI
SUWONO
SUNARTI
AGUS AKBAR
SITI K
SUNARSIH
NIKEN AYU A
PAIMAN
MULYANI
NURHALIMAH
FITRI PUJI
FATEKUR ROKIM
NURIL NISA KHOIRINA
DANIEL EFENDI
JOKO SUSILO
SUGIK PRISKAWANTI
INTAN SARI
TRI SUYATMI
SAMIJAN
NUR HALIM
SRIMAN
FAREL DANI WICAKSANA
HARIANTO
NURUL FADILAH
YATIMAH
MOH ARIFIN
SUWARNI
ELY N
SUGENG RIYADI
SUSIYO

1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
1700
1701
1702
1703
1704
1705
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1711
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1749
1750
1751
1752
1753
1754
1755
1756
1757
1758
1759
1760
1761
1762
1763

4/29/2016
4/29/2016
4/29/2016
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4/29/2016
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4/29/2016
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4/30/2016

676499297
676501018
676500535
676503189
676501863
676501413
676503437
676501446
676501839
676500941
676502021
676503843
676503933
676502561
676504675
676506183
676506497
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676505463
676506363
676505114
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676509783
676507432
676508668
676509658
676507926
676513811
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676513372
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676517128
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676513258
676512044
676513146
676516072
676512876
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676517433
676519031
676514283
676514406
676523564
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676523125
676514463
676518726
676523968
676524767
676521336
676525487
676522361
676527581
676524712
676522168
676521977
676525432
676521718
676525656
676523619
676526758
676525094
676525116
676524148
676526016
676526488
676525972

817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891

4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
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4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016

676182205
676182914
676184501
676181575
676189181
676184466
676184815
676183533
676183836
676185906
676187199
676188753
676186198
676189956
676187458
676184771
676189708
676187908
676190327
676192015
676190766
676191374
676190428
676192274
676191576
676194355
676191622
676193826
676193308
676192781
676195953
676195773
676194963
676195042
676193951
676191835
676196379
676194917
676198978
676193264
676195784
676193703
676199698
676195222
676193883
676194074
676192678
676193466
676201803
676197786
676199024
676194906
676197134
676198102
676197066
676198923
676200431
676203311
676202229
676202861
676200058
676200003
676203827
676204312
676198541
676205201
676201296
676201689
676202894
676205021
676205605
676201904
676207607
676208158
676205302

MINI
MAROTIN
MOCH ALI MUCHSIN
FALENTINO DWI CAHYO
IMAM WAHYUDI
KUSNANTI
KUSHARTINI
SAMINGAN
LAILI HANDIYAH
JUMINTEN
RUMINAH
ASTUTIK
M IRFAN ABIDIN
DIMYATI
DIKDO NUGROHO
KUSHARTINA
IMAM BUKHORI
ERWIGATI NATALENA
SUPARTI
BIBIT
PUJI ASTUTIK
SALAMAH
SAMIRIN
MUJIAMAN
ANDOKO
KATINI
MAHMUD AFANDI
RENDI AHMAT GILI
FEBRI ROSADI
SUMINI
RAUL DIAS
SUKARNIK
HELIRIYATIN
SRI UTAMI
NIKHAYATUL NIKMAH
ARGO WIJAYA
SUKESY
KOMSATUN
SITI KASANAH
JUMITA ROSADI
DIYEM
SITI ASLIKAN
AHMAT FAIZ EKA S
HERLIN EKA SAFITRI
SAHER
JUMAIDI
M ILHAM YUSUF
M MASTUR
DELLA FITA CAHYANTI
ROIS
MOH ALI SODIK
NAILA NUR AINI CRISNIMI
ROMLAH
NIKMATUL KASANAH
MU'INI
MOCH NUR ZAINI
YULIANTO
MASIJAN
SUDARNO
SRIGATI
SUMARNI
DJUMADI
LASMINI
SULASIH
FATIRIN
BEJO
AGUS DIANTORO
ZENI SUSIANI
ARIS WIBOWO
MUJI LESTARI
SIPIN
AZIZ MUSTAQIM
SUYATI
PRITA MAYASARI
RANTINEM

1764
1765
1766
1767
1768
1769
1770
1771
1772
1773
1774
1775
1776
1777
1778
1779
1780
1781
1782
1783
1784
1785
1786
1787
1788
1789
1790
1791
1792
1793
1794
1795
1796
1797
1798
1799
1800
1801
1802
1803
1804
1805
1806
1807
1808
1809
1810
1811
1812
1813
1814
1815
1816
1817
1818
1819
1820
1821
1822
1823
1824
1825
1826
1827
1828
1829
1830
1831
1832
1833
1834
1835
1836
1837
1838

4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
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4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016

676525331
676524442
676525768
676525836
676525509
676526354
676527546
676528367
676527974
676532553
676528233
676527941
676531574
676528108
676529166
676528571
676532068
676532518
676533587
676526949
676527311
676531012
676533071
676529447
676533712
676533317
676533352
676534329
676534397
676534015
676537683
676536614
676536658
676540258
676536041
676535332
676537154
676534915
676537738
676539123
676535411
676539742
676540045
676544545
676537378
676538065
676537672
676537964
676540348
676540078
676544545
676543792
676543882
676544185
676543138
676544488
676542947
676542609
676541248
676545322
676544411
676541867
676543397
676548077
676547616
676546738
676549089
676549776
676547234
676551835
676550305
676551003
676548404
676549809
676547032

892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947

4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
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4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016

676206628
676208024
676204626
676207945
676205458
676207113
676208891
676208946
676211411
676209058
676209846
676211646
676214807
676212761
676213435
676213018
676215483
676218339
676219149
676214166
676216451
676211095
676215371
676214289
676212074
676215988
676217158
676221671
676221849
676218723
676215696
676219803
676220073
676219206
676220466
676221974
676221265
676217542
676222604
676219645
676222244
676223638
676225034
676228105
676225811
676228421
676232651
676232717
676228645
676230186
676230985
676233167
676228184
676234653
676228059
676231323

PARNI
MAT TOHA
KESIYANA DWI YATIM
PUJI WALUYO
RIADI
RUBIAH
SRI WINARSIH
ERNA DWI SRI LESTARI
RAZITA ISMAIL
CANTIKA PUTRI RIZKI W
RUTBAN ALIYAH
PUJI LESTARI
M DAI
TOTOK KLIWON
SUPTEMI
MASRIKI
SITI ASMINAH
M MAWASAN IKROM
SUPINAH
TRIO HARTONO
LINA LILIK ERNAWATI
SONY ANDRIANTO
NUR IMA APRILIA
JKAFKA NAPASA
SUKARDI
AHMAD SYAIFUDIN
TRI NINGSIH
FIRDAUS DWI HARDIANSYAH
SENEN
ROHMAD
TUGIATI
RISKAWATI
YULIONO
AGUS RIADI
SUNARMI
SAMI
AFIK CANDAR ADITYA
NINA HERMAWATI
SUDIARTO
SUPRIADI
SRI KANTI ASIH
M BAGUS PRASETYO
WIWIN WIYONO
SITI FATIMAH
DINING MINARTI
MELINDA AGUSTINA
SITI ASIYAH
ABDULLAH MABRUR
ADIONO
PUTRIINDARWATI
IIS SULISTYOWATI
M NUR MAFID
NIKA AGUSTIN
DEVI MARTIK PUTRI
PARWOTO
MURTINI

JUMLAH KUNJUNGAN SEHAT BPJS 1897

1839
1840
1841
1842
1843
1844
1845
1846
1847
1848
1849
1850
1851
1852
1853
1854
1855
1856
1857
1858
1859
1860
1861
1862
1863
1864
1865
1866
1867
1868
1869
1870
1871
1872
1873
1874
1875
1876
1877
1878
1879
1880
1881
1882
1883
1884
1885
1886
1887
1888
1889
1890
1891
1892
1893
1894
1895
1896
1897

4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
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4/30/2016
4/30/2016
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4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016

676566549
676566573
676566753
676571681
676576001
676573672
676576023
676571073
676579522
676577204
676577597
676580859
676579105
676578655
676580139
676578137
676585822
676583932
676583212
676585798
676583976
676584213
676579601
676590232
676581164
676585045
676588509
676586878
676587126
676584742
676583289
676589635
676586643
676591053
676590333
676589973
676588948
676588408
676588555
676592289
676596846
676598545
676593674
676594967
676596892
676597015
676593854
676596115
676597768
676603012
676598398
676600119
676602325
676600029
676600154
676599052
676602415
676604248
676602887

Kepala UPTD Puskes

dr. MUSTAD
NIP: 19710605 200

NAMA PESERTA
SUPIYAH
YAYUK SRI ASTUTIK
SUTARNO
RAFITA SARI
MISINEM
AGUS BAYU S
SANDY AULIA PUTRI
AGUNG
JULIANTO
NURUDHOL JANAN
MUSRIYAM
MINTO
WIYONO
SITI SHOLEKAH
NUGROHO SULAIMAN
MIA KARINA
MUSTOFA
ROMDAH
NIKMATUR ROHMAH
MOZAIYANATOL L
KATEMI
SITI KHOTIJAH
MARTAKIM
MARBINGU
KUNARTO
A BAGAS BAHTIYAR
DEWI LAILATUL F
TRI PRASETYO FIRMANSYAH
A FAJAR
SUGITO
SAEAN
SUKIRAN
ANDRIK EKO P
M RISYANTO
NANANG HARIYANTO
AAN FEBRI G
SAMIRAH
SUYANTI
KOMARI
YULVA DWI AGUSTIN
PARMIATI
MEGA RIANA PUTRI
TRI PRASETYO FIRMANSYAH
SULASONO
KABEB K
SITI ROMELAH
MOH SUKRON
NARIATI
MU'AWAHAH
NURUL C
SITI K
ABDULLAH
KASMINI
SUPARDI
SUPARNO
SUGIONO
MUCH IQBAL
ANA NURUL
BUNGA A A
ERIK ALDO PRAMANTA
YUNI RIANA WATI
WINARTO
CATUR MEI N H
PONIRAN
ENGGAR L
SUALIN

MESIRAN
NUR M
DESI DWI PURWATI
HARSONO
CHOIRUL H
PURNOMO
IBNU SALAM
APRILIA SARASWATI
MISTIYAH
NORBADRIAH
SITI R
PUTRI FRANSISKA
KHAERUL ANUGRAH S
JATMIKO
SRI MANDAYATI
SITI ANISA N
MUHAMAD ERGA A
UNA P
AMANDA SRI NIRMALA
MASRINGAH
AMANDA SHELIA S
SUWARNI NINGSIH
IMAM SOFI'I
SAEROJI
IMAM SHOLEH
MAMIK KUSTIANI
SILFIA K
EKO PRIONO
SAPTO
SITI MARFUAH
HENIS MUSAROFAH
DEWI ZULAIKAH
M MUCHSIN
ABDUL GOFUR
SARDI
ALFIANA R
SITI KHOLIFAH
FATKHUR ROHMAN
MOH DINO Z
MOHAMAD YAHYA
ISNAINI
MARKUS WIBOWO
ADELFIA CRISTINA W
YUNI KRISTIANA
SUNARMI
KUSMIATI
EXSELIANO CRISTIAN W
TONO
MOH RIZQI
ANDREAS CRISTIA W
SANTOSO
RENO S
HERU SANTOSO
SUNANI
ABDUR ROHMAN
DIAN RAHAYU
NOVA IBARU S
SUSANTO
BAMBANG PRAKOSO
DIANAWATI
EKO YULIANTO
WINARTI
SURYANTO
NURJANAH
TULID R
FAISAL ARIS
MOH YUSRIL
UMI SHOLEKAH
SUBANDI
SUJINEM
DEWI IKHAYATUL K
IKHSAN TRI PATAH
SUPRIYADI
DEKA YULIONO
FITRI NURHAYATI

SLAMET
EKO PRASETYO
SUPARDI
AAN TRU SUSANTO
GERY SOLIDEA ASNAWI
BREY VIANO ROUL P
RAGIL SUPRIANTO
KATMINAH
MOH FADILA
RIZKY NURWAHID PRATAMA
KATIRIN
SUMIYEM
SHERLY ROSITA INPAN A
GATOT SUPRIYONO
TANEM
JUMIRAH
ANIK SURYATI
SUPINI
DJADI
AGUS SETYAWAN
EKO A
LEGIYEM
NUR SHOLEKAH
JAIMIN
WIJIANTO
PRABOWO
WALOYO
M RIAN
KATEMI
NOR CKOLES
M NOVA A
WAGIMAN
YULI HARIYANTO
SUNAR
SITI MARFUATUN
RIZAL KURNIAWAN
ANAM
DIANA FUL MAR'AH
SUPRIANTO
KENTRIS YUNIARTI
SULISTIONO
SINTIA UMI KULSUM
SUKARNO
SEMI
SHEILA Y
SUYATI
ABDUL KARIM
SRIGATI
MOH ALI M
SITI MARIYAM
CATUR PUSPITA SARI
IMAM MUJALI
PRAYITNO
DEBY NIRMANYAH
MESRAN
SUGIARTO
SUPARTIN
IQLIMA AZKA CN
BASRI
DARI SUGIANTO
SUPARTI
SYIFANI MARISKA Y
JOHAN SAIFUDIN
PONCO SUPRAPTO
LEGINAH
WAGIRAN
SANTIKA Y
SITI MAHMUDAH
M HADI SANTOSO
NABILA O
SUMADI
TUKINI
SRI YULIANTI
KIPTIYAH
SERA LUFITA S

JONI
SUDARTI
SITI RUKILAH
IMAM M
IKBAL T
SIGIT SUGIONO
SITI AIYAH
EKA K
SOPIYAH
GIRAN
RAMELAN
WINDARI C N
UMINATUL YAROH
SUDARNO
ENDANG S
SAMSURI
WIDODO
M SURURI
DWI MURYATI
ADITYA SAPUTRA
DIKDO KUNCORO
ANDREAN A
SUMARLAN
JAREK SUYONO
NUR FATICHAH A
PUJIANTO
SUKARDI
DARMITI
GIYEM
NURLIYAH
MAHMUD
SOEHARIYANTO
ERDILA
LARISSA OKTAVIANI PUTRI
M YASIN Y
SAMINEM
HERMANTO
MURTAM
SITI NAIFAH
EAVI MEGA
SANTO
SUPIYAH
AGUS PRASETYO
EKO WINARTO
RARA AJENG
NURHADI
SUKARMI
PURNAWAN
SANTI
DEBI SEPTIAWAN
DINA L
SUKARDI
ERVINA
SITI DWIJAYANTI
YOUIHANITA CITRA D
SUPARLAN
YUNUS SUGITO
JUMISRI
MOCH KUDORI
ADELIA EKA PUSPITASARI
ALDO ROY DERMAWAN
ALDI ROY A
SRI AMINAH
RIKO SETIAWAN
DONY S
DEFI PUJI
LITA FATMA W
SAIFUDIN
SUMARSIH
ROIKAN
REVANDO BRYAN ADI P
RICO GALI FEBRIANTO
SUPARDI
DEWI SURYANI
SRI LESTARI

DESI
SUKAMTO
SUGENG WIJI HADI PUTRA
AHMAD GANDI S
RIZA DANUARTA
MOH EKDIN S
SITI IRNAWATI
SUNARMI
DIMAS S
DANIS PRI HAMBODO
DANANG SAIFUL R
INDARSIH
BHAYU AGUNG MEGA NANDA
SANI
DHARMA PRASETYO YHAN RAHARJO
IPAM SUSANTO
ADE ERMA S
MUSRIKAH
ALIMAH
SITI JUARIYAH
IMAM M
IMAM ARI W
ANDI P
SUBANDI AGUNG NARESWORO
SINGGIH SURAJI
DEKHA
WAHYONO S
NURYATIN
SLAMET RAHARJO
GATOT SUPOMO
RUDIANTO
SUKARNI
DELA MAI PURI A
BHIMA NARES MADA ARDANA
DEVINA MELANI S
MUTINGAH
TUMIRAH
ST KHOIRUN NISA
M FADIL NALUL ALA
KAMSIATUN
TUMIRAH
SHANTY K
SUMIATI
SUNARTO
ROBIANA
ITA WAHYU SARI
EKA WAHYUNI S
ANDRE WAHYU WIDODO
SUPARTI
SHOLIKAH S
RAHMAT
RUSMADI
SITI MAESAROH
MUSRIATUN
TEGUH PRIYANTO
IFIN HUDAYANA
LAZARUS PRIYADI
RASIO
YATMINAH
RATNA SARI
SUMARNI
ABDUL MUKID
EMA PRISKAWATI
SHOLIKIN
ALFIAN DITA
FIFIN K
SRIATUN
IMRON S
MUSRIKIN
ABIDIN
SUPARNO
SARIANTO
ROHMAD
M DAVA
ALFIAN DIAN

SITI YASIROH
SAMIRAN
YULIANA S
SUYATI
FITRI
AFAN ALIF D
ZAMRUD L
RUSMIATI
DIANTI
MERITA L
SUSANTI
FITRIAYA NINGTYAS
MOCH YOGA SAPUTRA
PURWATININGSIH
RASMINAH
RIANTO
DASI
EGA PERMATASARI
KAISTANTIASI
NURDIANA CRISANTI
BELLA Y
MOH RIZAL EFENDI
YONI ARWATI
FAJAR HUSANI
AHMAD S
MUJIAH
ROMIDAH
MUSTAFA
PUGUH LESTARI
FADHIL RIZKY M K
IMAM S
NOVITA INDRIANI
NEHA ELINA SAPUTRI
TEGUH SANTOSO
CLADINVA CRISINDA
RADINSA CRISTIAN
SITI AISYAH
SAMSUL HADI
FARADINA CRISANDI
SUPRAPTI
ARDINKA CRIMARFINSA
SUPARMAN
KASMIJAN
MOCH RADIT FARELIAN
ARIF ALDAYATUL
SOLIHIN
AJENG ARFIANDA
MOH ALDY ZANUANSYAH
ARIFIN
RINI HARTATIK
JAENAL ARIPIN
SAIF ARABA
ENDAH PUJI RAHAYU
AGUSTIN H
SRIATUN
ZUDIONO
ARI SETYOWATI
SUMARSIH
AAN DARSA MARYUDA
M RIFKY ARYUDIA
SUPARTI
TRIWULANDARI
INA HERIWATI
SANIMAN
SITI BAROKAH
SUNARWATI
ZAENAL FANANI
SUTAJI
SRIATI
M ALI MUHDOR
YUDHA
KHOIRUL HUDA
AHMAD ANWAR D
SUKAJI
ARIF NUR

MISDI
SUWARNO A
SERLI FUTRIANI
SELLY
MUSRIANI
SURIPTO
EKO SUGIANTORO
WIDODO
SUKIRAH
LILIK SRI RAHAYU
LAMINTEN
PUTRI KUSUMAWATI
ASTANTI
MOCH REZA SETIYAWAN
SUPARMAN
M KHOIRUDIN
SOLKAN
MAULANA RIZWAN
RIFA ATU SHOLEKAH
INDAH DWI
SUMARI
AJENG NANA U
RUSMINI
SAHRUL ANDREAN
MUTOHAROH
DEANA ASTIAN
SUGIANTO
KHOIRUL ANAM
ULFIANA
KADIMAN
KHOIRUL R
RIAMAH
NINA SUSANTI
SHEVA
MUKTI HERMAWAN
SUSIATI
ROKANI
RIANI
AGXELA GIANA SHINTA
PAIMIN
SURATEN
JUNAIDI
AGXELA GIANA ROSALI
ANIK M
MAMIK RAHAY
MUNARI
DIMAS ADITYA P
FIKI
SITI HALIMAH
DWI SANTOSO
MUKTI JUNAIDI
SRI LESTARI
DITO RAHMADANI
SITI ROHMAH
JUMITON'
A ZANUARIES
AGXELA GIANA SYIFA
NURHAYATI
SITI ROISAH
DAFAN ARDINATA
AGXELA GIANA SYELVIA
SITI ASIAH
KASILAH
SUGENG ARIYADI
ELI WARDANI
SULAIMAN
AISYA F
CHOIRUR ANAM
SEGER ROHMAN
DHANI PRATIWI
SHINTA NUR F
RIYANA NOVITA SARI
SUNARTI
M FACHESA F
NGASIRUN

ILHAM DIAN
SYAILENDR Y E
PUTRI NURAINI
DINI ARISTI
YOGA ZAKARIA
PALAL
MIFTAHUL MILA C
SATIYEM
NUR PRAYITNO
TOFIK WIJAYA
SULAM
SRI UTAMI
SITI ROBIKAH
SIGIT HERI W
NAIMATUL R
JOKO SUSILO
ABDUL RAHMAN
CRISNA CRISTINA
DESTI AYU KUSUM
AURA PUTRI
M HERU WASESO
RAFIKA DEWI
KASTURI
LUTFI TRI D
AMBARUWI L
JUWARIYAH
SUGIYO
SUWARNO
MOH IBNU ABAS
MITUN
ERVINA R
SUMARTI
A UMAR ALI
HARI PRASETYO
ALI RIDHO
UMI KULSUM
SAMROTUL M
SLAMET
RUBINGAH
ERLINA KAFITA
UNKOWN
AGUNG SANTOSO
ABU YASID A
UMI FITRIYAH
RISKI BAKBARIA R
M AJIB BULLOH
TRI SUMARNO
ANJAR SARI
KAFIFAH
AHMAT ROIS
ANOM P
KOIRUL ANAM
WAGINI
AGUS KARYAWAN
DENYS DWI SUKAMTO
SUMARNO
DEVI MAULANA OCHA
ANI AGUSTINA
YULIANTI
SUGIANTO
ADI WIYONO
KAMSINI
SULIKAH
TUMINEM
M RANGGA PUTRA SANTOSO
MELSAH
MUBADI AZIZ
M SHOLEH
DEWI AGUSTINA
NI'MATUL KHOIRUN N
M ZAENAL ARIFIN
TERESA AYU DEWANTI
RIBUT SANTOSO
INDRA W
JUNAIDI A

TOSIM
SAKHONI
TIARA AYU DAMAYANTI
SUYANTO
KARTINI
MAKSUN
FINISYA PUTRI NIRMALA
RIO RIZKI CAHYANING D
ASIYAH
DEFI MEI SILFIA
DEWI ANJARWATI
MURSIKAH
SITI PRIYANTI
SALBIYAH
NASROKAH
DANY KS
MUALIMAH
BINTI MUAROFAH
WAHYU RIDHO SETIAWAN
CALVEN INDRA
SATRIO BUDI UTOMO
FANDY J
SITI AMINAH
RUSTINGAH
ADI KURNIAWAN
SITI LAILATUL F
MUKLAS
SUPRAPTI
SRI MURTINI
JAMALI
HENDRIS
YULIATI
RAHMA EKA NURAINI
PAIJAH
SUKATINI
DWI MARGONO
SITI KOMARIYAH
SUMINAH
NUR HUDA
SUHARNO
ARDIAN FANANI
SUGIONO
HESTI
AMALIS
YESI
TINA
PAYEM
SUBINGAH
BAGUS
TRIMO
HARIYO
FARIDA AZELIA AZIZAH
GAMI
DIAN P
PURNOMO
SARIEM
JUMIATUN
MIRAN
MOHAMMAD ROMADHIN
A QOWIYAN HAKIM
SITI RUKANAH
BIBIT SRILESTARI
MUNIATUIN
KUSPRIYADI
BINTI MUKARONAH
SUBAGIO
MUARIF
VERY GUNAWAN
SITI UMAYAH
M SHOIM
CINTA CANTIKA
SUWARTI
SALSA SEPI A
KADIMAN
SAMSINI

RIZAD
HELLEN MARSANDA
MARIANI
MUGIONO
KAMSANAH
FEBBY ARDIAKSA
SULASTRI
DENI BARINDRA
RETNO SEVENDAWATI
FEBBY ARDIAKSA
IMAM AFADI
MUSYAROFAH
SURATEMI
SELAMET
ASHARI
RIDWAN
PUDJI RAHAYU
AGUS SANTOSO
AURELIA SILVI YUNISA
KALIMI
OLVIN AULIA
AVAN BHAYAKI
ELFI NAZOFAH
SUYADI
SUBIANTO
SUMIATI
SOPIAH
SUMARDI
NUR A
JAROH
RIRIS SUGIARTI
JUMARLIYAH
ISWANDI
RIA SAFITRI
NUR HAYATI
GUNAWAN
FAJARUDIN
PATEMI
FANDI MOH PRATAMA
MOH MUSA
WINARNI
UMI AMANAH
KHOIRUL ANWAR
BAYU PUTRA
MISIYEM
INDAH
RISKA SAFITRI
SUMALI
WIDYANTORO
SUGENG BASUKI
SUMARDI
SUKARSI
SARI DEWI
DERICO CHARLOS
EVA MARDIANA
MARTI
VARDO ZIDANE
VYSNA IAD
NURYANTO
ELVIN NATALIA
AZRIL YSRIL FIKRI
SUPARTUN
SUWARTI
MARIYANTO
SLAMET RIYANTO
SITI FATIMAH
IMAM SUDRAJAD
PARIADI
JIKEN
SRI SETITI JATI
NURYATI
SIRTOMO
SUPADI
MEI DWI HARTATIK
WAHYU R PRIADI

SITI MARIYAM
SLAMET
SITI SAUDAH
MUNIR
PUJIANI
LITO PRIMA
NANIK LESTARI
SITI AMINAH
VINICKA ALVIO NITA
DIAN NATALIA
SUPINGI
SITI ASPIYAH
ANANDA ADITIA N P
DANIEL PUTRA
M ADIB MUDHOFAR
IDA NUR CAHYATI
RAFA CAHYA APRILIANO
DEWI PURWANTI
SULASTRI
JOKO PURNOMO
SUHANIF
A DANIL
SUTIANI
KASROH
KARMIASIH
REFIAN ARDI WARDANA
SUWANDI
KASMIJAH
ADI SUNYOTO
WINARTI
TUMEN
VITA DWI ENDARWATI
DEFA ARFINDA PUTRI
CICI V
NURROIKATUL
KATIRAH
LISTIANI
SUNARKO
ROHMAN RIADI
SIGIT NOVI WAHYUDI
RUSMINI
SULARSIH
EDI RIYANTO
LINDA MARLIANA
LISIL MIKAFAH
MOH ANDI RIYANTO
SUKARNI
ASNGARI
TUGIRAH
GUS MAT
MEGA KRISTINA
WAHYUDI SETIANTO
BEJO BAGUS PRATOMO
PARTINAH
MUSTAFA KAMAL
FITRA
SUBAGIO
HERI YUNIAWAN
EKA YUDHA PRATAMA
SATRIYO WIBOWO W
INDRIYAH
ALIFAH
SATRIYO BESARI
KUSMINI
SETYOWATI
JESSICA RIRIS
BINTI NAFSIATUN
LISTIYOWATI
ALVO YERO
WINARKO
SRIDADI
SUBANI
PUTRA BAGUS TONO
SUKONO
FAJAR TRI WAHONO

MOHAMAD SOLIKIN
SUJADI
MUSIDI
SUMINAH
DWI AMALIA AGUSTIN
M TEGAR
KASWONO
METNIRA
ANDIK WAHYUDI
HERI WIBOWO
LASINAH
LOSO
ENDANG MARDIANINGSIH
PONIAH
SODIN
RETNO SARI
SUNARNO
KASMIATI SULASTRI
EKO
NOVITA DIAH A
RASTIKA DWI C
MISRACHUL MUNIR
DWI PRASETIA
MUSPIAH
SUYONO
ERNA TRI WAHYUNI
SARMI
ARDIA SRI UDIANI
PURWANTI
SUHARNI
KASEMI
NURYANTO
SULASTRI
MUNIR
SUTARSI
AGUS SETIONO
EMI WIDARTI
DEVI LIBRIANA
MUIATI
REZA NABABAN
AMIN SRI LESTARI
PURWATI
EMILIA
RAHAYU TRI
SUMARJI
DEPA YONO
JOKO IRAWAN
SUKARMAN
ANIK MIATI
YENI WAHYU P
RAHAYU TRI
SUNARMI
SUKANDAR
SUNTIAMAN
SITI MASRIAH
ANTONIG H BLOM
SUNARDI
EVI LIA
ANDI KURNIAWAN
MOH SAIFUL
FATIMATUL S
INDAH ARUM
MARDIANA
EKO WATI
SUPRIYANTO
MUKLIS SAIFUDIN
DHIMAS SUROSO
KATIMAN
SILVANDA FATMA PURTI
CHRISTIANO ZAKYS
ROHMAN
KASMIATI
DIAN PUTRI SRI
SRINI
SITI R

AAN ADE R
SULAIMAN
SITI MUKAYAH
DASUKI
SUGIANTORO
TARMUDJI
JOKO WARSITO
GEMI
AGUS SUWARTO
MAT SAMIN
SANEM
SUMILAH
MASKAMAH
AGUS SUSANTO
M SAMIRUN
SUMINI
JUMIRAH
ROHMAN
KURNIA SALEH
AMALYA AYU M
ISWATI
ANAS FIKRI ZAMZAM
YENI ANJARWATI
HAIFA KHOIRUNNISA
M JAYA ADI
IDHIMAS B U
FITRIA ALIEF
SITI SOBIAYAH
RIFKI AHMAD
RIFQI ASFIYA AKHRIJA
SRIMAH
GALIH BAKTI PRASETYO
FERY BAGUS
MALIKI
ANDY IRAWAN
SUWITO
MUH ARGO BRAMANTYO
AGUS RAIS
SITI SOFIYAH
SITI NURBIYATI
SUNATO
CATUR W
MUCHLISIN
SIMNAH
KARIANI
MARTA DWI PUSPITA
SUMBER
AYUK RIMA WATI
AYU YULI
SUKATI
FEBRIANA S
SAMSUL HADI
WINARDI
TUMIRIN
DEVI R
SRININGSIH
WIDYA
FIRMA SANYOTO
ISKAK

UPTD Puskesmas Ngasem

dr. MUSTADHIM
19710605 200212 1011

LAPORAN PELAYANAN KUNJUNGAN SAKIT


RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN APRIL TAHUN 2016

Nama Faskes
Alamat
NO

TANGGAL

: PUSKESMAS NGASEM
: NGASEM KAB. KEDIRI
NO KARTU
PESERTA

1
2
3
4
5

4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016

108139904
108696745
108962188
676075353
676098022

6
7
8

4/1/2016
4/1/2016
4/1/2016

9
10
11

NAMA PESERTA

DIAGNOSA

DI RUJUK

Malignant neoplasm of breast, unspecified


Periapical abscess with sinus
Acute nasopharyngitis [common cold]
General medical examination
Hyperplasia of prostate

YA
TIDAK
TIDAK
TIDAK
YA

676668543 HARTINI
676702956 BINTI MUSRIFAH
676713611 EKO CAHYONO

Supervision of normal first pregnancy


Acute laryngopharyngitis
Allergic contact dermatitis due to metals

TIDAK
TIDAK
TIDAK

4/1/2016
4/1/2016
4/1/2016

676836404 MURYATI
676838261 DWI SOLIKATIN
676904782 SRI ASTUTIK

Essential (primary) hypertension


Acute upper respiratory infection, unspecified
Primary amenorrhoea

TIDAK
TIDAK
TIDAK

12
13
14

4/1/2016
4/1/2016
4/1/2016

677054463 RISTI
677209667 NIADAH
677315248 SUBARI

Acute nasopharyngitis [common cold]


Urogenital trichomoniasis
Internal thrombosed haemorrhoids

TIDAK
TIDAK
TIDAK

15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103

4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/1/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/2/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016

677332934
677344026
677368269
677374356
677486305
677489141
677511189
677541339
677546289
677652996
677699537
677839926
678017417
1038019228
1038021074
1038026564
1038027565
1038029073
1038029095
1038029095
1038030513
1038031323
1083267538
1389903974
1389973577
1477994185
1477994185
1796723368
1850920762
1959138279
1963866227
108139689
108355961
108429827
108475029
108477292
108610402
676133032
676197134
676371374
676392085
676400051
676489792
676622777
677044787
677083566
677650307
677932187
677935989
746052693
1038020477
1038030456
1038032616
1260958972
1264981296
1264981533
1267079062
1269416711
1399542974
1536441491
1603138781
1603138814
1823852981
1863651576
1963510007
108103634
108103634
108157566
108157566
108174813
108174813
108258849
108268132
108490781
108890673
109568384
109997098
164164274
207303489
675576819
675780862
675781075
675825715
675827379
676093004
676354353
676372149
676410276
676420086

SUMARNI,SPD.
NURYANI ISMAIL
CHOIRUL ANAM
DEVI PUSPITASARI
KASENI

KAYLA ASFA
M IQBAL RAMADANI
MUKTIASIH
ZAENAL A
SRIANI NINGSIH
SUWITO
DWI PRASTYAWAN
ALEX ARDIANSAYAH P
KATMINI
SUMINI
SRIATUN
EKA NUR
RUBINGATUN
UMI HANIK LAILATIN
PONIMEN
MONAH
RINIKAH
KARTINEM
ZAKY
ZAKY
ZAENAL MUSTOFA
RIRIN UTAMI
M.ROFIT APRILIAN
SUKIRMAN
YANTI
SUKAMTI
SUKAMTI
AUREL NATASYA PUTRI SANTOSO
SUNDARI
DESTA PRATAMA PUTRA
MUDRIKAH
SUYOSO
ZAHRIA ULFA
SALBIJAH
HARTUTIK
KATIRAN
SITI SURYANI
SITI YULAIKAH
ROMLAH
SHEILA Y
DONY S
SHOLIKAH S
SUNARI
BEJAN
MUHAMMAD ISNAINI TAMENGGE
AYU SURYANINGSIH
CATUR WULAN
SYAIFUDIN
M REZA RIDWAN
SANTI
MARWITO
SLAMET
MADA IM
IDA YUNI ASTUTIK
MOH. OHAN HANAFI SUHARNA
SUMILAH
LASTRI
ENDANG ELYS YUDOWATI
BATI UTAMA
M. ZAZA AMINUDIN WICAHYONO
HERU TJAHJONO
AURELIA BALQIS HERINDA PUTRI
AHMAD FADIL
ROCH. ARI SRI SUBEKTI
SRI ISNANINGSIH
SULIANINGSIH
SULIANINGSIH
NUR CHAYATIN
NUR CHAYATIN
ROCHMAN
ROCHMAN
BUDIYONO
SUWARNI
SUHARTONO
LAMIRIN
SITI NGABIDAH
ENY SULASMY
AHMAD NURHANIF
SITI ZAENAB
SITI PURWANTI
TATIK NUR
AZWA R
BINTI KHORIYAH
KARSIYAH
IRIA NOVI A
DJADI
SANTIKA Y
ABIDIN
ASTANTI

Streptococcal tonsillitis
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Other contraceptive management
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Primary amenorrhoea
TIDAK
Essential (primary) hypertension
TIDAK
Acute laryngopharyngitis
TIDAK
Abscess of external ear
TIDAK
Essential (primary) hypertension
TIDAK
Essential (primary) hypertension
TIDAK
Essential (primary) hypertension
TIDAK
Dyspepsia
TIDAK
Acute laryngopharyngitis
TIDAK
Acute haemorrhagic gastritis
TIDAK
Myalgia
TIDAK
Myalgia
TIDAK
Dyspepsia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Typhoid fever
TIDAK
Typhoid fever
TIDAK
Acute laryngopharyngitis
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Malignant neoplasm of breast, unspecified
YA
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Hirschsprung's disease
YA
Myalgia
TIDAK
Periapical abscess with sinus
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Malignant neoplasm of ovary
YA
Acute nasopharyngitis [common cold]
TIDAK
Dyspepsia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Heart failure, unspecified
YA
Dyspepsia
TIDAK
Dyspepsia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Myalgia
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Myalgia
TIDAK
Other contraceptive management
TIDAK
General counselling and advice on contraception
TIDAK
Unspecified haemorrhoids without complication
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Mucopurulent conjunctivitis
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Myalgia
TIDAK
Malignant neoplasm of breast, unspecified
YA
Acute nasopharyngitis [common cold]
TIDAK
Acute laryngopharyngitis
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK
Deposits [accretions] on teeth
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Necrosis of pulp
TIDAK
Dyspepsia
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Necrosis of pulp
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Disorder of lipoprotein metabolism, unspecified
TIDAK
Disorder of lipoprotein metabolism, unspecified
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Essential (primary) hypertension
TIDAK
Essential (primary) hypertension
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Essential (primary) hypertension
TIDAK
Myalgia
TIDAK
Acute tonsillitis, unspecified
TIDAK
Hypertensive heart disease without (congestive) heart failure
YA
Myalgia
TIDAK
Essential (primary) hypertension
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Dyspepsia
TIDAK
Non-insulin-dependent diabetes mellitus with coma
TIDAK
Necrosis of pulp
TIDAK
Myalgia
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Essential (primary) hypertension
TIDAK
Allergic contact dermatitis due to metals
TIDAK

104
105

4/4/2016
4/4/2016

676495214 JIKEN
676501839 VINICKA ALVIO NITA

Allergic contact dermatitis due to metals


Acute upper respiratory infection, unspecified

TIDAK
TIDAK

106
107
108

4/4/2016
4/4/2016
4/4/2016

676502188 SITI FATIMAH


676503393 LAILATUL REZEKI
676704947 PONIYEM

Headache
Nummular dermatitis
Zoster encephalitis

TIDAK
TIDAK
TIDAK

109
110
111

4/4/2016
4/4/2016
4/4/2016

676705713 FEBRIANA WULANDARI


676750105 SUPARTI
676819653 PRAMIDI ALANSYAH

Acute laryngopharyngitis
Myalgia
Grand mal seizures, unspecified (with or without petit mal)

TIDAK
TIDAK
YA

112
113
114
115
116

4/4/2016
4/4/2016
4/4/2016
4/4/2016
4/4/2016

676827753
676895646
676901103
676912781
676948972

Other contraceptive management


Acute laryngopharyngitis
Mucopurulent conjunctivitis
Non-insulin-dependent diabetes mellitus with coma
Acute upper respiratory infection, unspecified

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

117
118
119

4/4/2016
4/4/2016
4/4/2016

676966206 KATIRAN
676989832 SUPIYAH
677014773 SIH PANGESTU

Essential (primary) hypertension


Myalgia
Myalgia

TIDAK
TIDAK
TIDAK

120
121
122

4/4/2016
4/4/2016
4/4/2016

677047061 BINTI MUNAFIRO


677097145 VINDA RATNA SARI
677097145 VINDA RATNA SARI

Other contraceptive management


Acute upper respiratory infection, unspecified
Excessive and frequent menstruation with regular cycle

TIDAK
TIDAK
TIDAK

123
124
125

4/4/2016
4/4/2016
4/4/2016

677195201 SALBIYAH
677195695 MASTUR
677195695 MASTUR

Headache
Paranoid schizophrenia
Schizophrenia, unspecified

TIDAK
TIDAK
YA

126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
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202
203
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214

4/4/2016
4/4/2016
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4/4/2016
4/4/2016
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4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
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4/5/2016
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4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016

677200353
677337535
677395855
677481974
677483392
677513799
677516782
677541339
677579444
677588556
677661669
677789875
677839869
677839926
678039636
1038017722
1038017801
1038019228
1038019252
1038024538
1038026957
1038028421
1038028656
1038029758
1038030939
1038033786
1038037792
1038038343
1129965298
1261095221
1261498689
1264981533
1270019777
1273747476
1325133641
1445157202
1445172917
1538116514
1617399325
1627404399
1828980911
1828983475
1839038387
1841406524
1856416173
1898844311
108133841
108267489
108435082
108475029
108482681
108696745
108865517
109804476
109831353
109831364
109845652
169914611
194369409
200966984
206666076
675571252
675571252
675576819
676043515
676400051
676489792
676653254
676654446
676691943
676721632
676766564
676796556
676832343
676835605
676895646
676903555
676950693
676950906
676953707
676968107
676973237
677046284
677134225
677134225
677231829
677312278
677374356
677440967

KUSNUL KHOTIMAH
HADI SUPANGAT
MUSTIANAH
SITI ROBIAH
FAIZAH AMATULLOH

YULIATUN
SUPINI
SUCI INDRA LIANA
ATIK
AZAHRAR A
PONINTEN
FEBRI A
ALEX ARDIANSAYAH P
WARSINEM
DWI ISMIATI
MARNI
ARDIRAN INDRA M
MARTI'AH
EKA NUR
KASRI
PAMUJI
MUSIYAH
UMI HANIK LAILATIN
PUSPITA AMELIA
EKO MARWANTO
SUWARSIH
M ILHAM ALI N
SIRMAN
SUMINTO
BUDIONO
TUKIYEM
ASMORO RINI
KAMSINI
MOHAMAD MOKSIN
FARREL PINGGALA
IMAM MUCHSIN
SUMILAH
M. FATCHUL MUTTAQIN
LANI ERNAWATI
IMAM BASRI
AL MAHIRA SYAKHI MAFAZA MOKSIN
SUMALIKAH
BARAKA RAHARDIAN FAHREZI
ARUM SURYANTI
GUNADI
ERNAWATI
RICO FERNANDITTO
PADANG SATRIA GENDIS WISESA
SUPARMI
MUSTOFA
SOPINGI
KARIYANI
SEGER
SITI MAUNAH
HARTUTIK
PAODJAN
NURYANI ISMAIL
ABDOEL KARIM
ENTA ULFA NORMAWATI
IMAM BISRI
MUTAMIMAH
AGUS SETIYADI
ISMIATI
SOLICHIN
MIFTAKHUN NA'IMAH
LAMIYEM
ENI WIATI
ENI WIATI
SITI PURWANTI
ENIK MASRUROH
SHOLIKAH S
SUNARI
ALBERTO F H
ALFARIAN N C
NOVOI HANDAYANI
SRI WAHYUNI
PONIYEM
RETNO PUJI ASTUTI
KATIJAN
SOLIKIN
HADI SUPANGAT
IMAM BUKHORI
JURI
KARTINI
MISRI FERI SISWANTO
DJUANAH
MUTANTI
KOMSATUN
HAMONG WAHYU BAIHAQI
HAMONG WAHYU BAIHAQI
SANTOSO
GEMI
ZAENAL A
SRIGATI

Headache
TIDAK
Nummular dermatitis
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Dyspepsia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute laryngopharyngitis
TIDAK
Allergic urticaria
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Pulpitis
TIDAK
Acute periodontitis
TIDAK
Myalgia
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Typhoid fever
TIDAK
Myalgia
TIDAK
Essential (primary) hypertension
TIDAK
Acute laryngopharyngitis
TIDAK
Typhoid fever
TIDAK
Headache
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Malignant neoplasm of cervix uteri, unspecified
YA
Acute upper respiratory infection, unspecified
TIDAK
Myalgia
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Chronic ischaemic heart disease, unspecified
YA
Myalgia
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Dyspepsia
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Alpha thalassaemia
YA
Stroke, not specified as haemorrhage or infarction
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Schizophrenia, unspecified
YA
Malignant neoplasm of cervix uteri, unspecified
YA
Acute upper respiratory infection, unspecified
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Nontoxic goitre, unspecified
YA
Non-insulin-dependent diabetes mellitus with other specified complicYA
Deposits [accretions] on teeth
TIDAK
Pulpitis
TIDAK
Acute laryngopharyngitis
TIDAK
Myalgia
TIDAK
Stroke, not specified as haemorrhage or infarction
TIDAK
Non-insulin-dependent diabetes mellitus with neurological complicat YA
Insulin-dependent diabetes mellitus with neurological complications YA
Acute upper respiratory infection, unspecified
TIDAK
Insulin-dependent diabetes mellitus with neurological complications YA
Dyspepsia
TIDAK
Essential (primary) hypertension
TIDAK
Necrosis of pulp
TIDAK
Chronic periodontitis
TIDAK
Deposits [accretions] on teeth
TIDAK
Myalgia
TIDAK
Chronic apical periodontitis
TIDAK
Necrosis of pulp
TIDAK
Myalgia
TIDAK
Non-insulin-dependent diabetes mellitus with neurological complicat TIDAK
Headache
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
General medical examination
TIDAK
Urogenital trichomoniasis
TIDAK
Localization-related (focal) (partial) idiopathic epilepsy and epilepti TIDAK
Other contraceptive management
TIDAK
Essential (primary) hypertension
TIDAK
Acute haemorrhagic gastritis
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Localization-related (focal) (partial) idiopathic epilepsy and epilepti TIDAK
Essential (primary) hypertension
TIDAK
Myalgia
TIDAK
Headache
TIDAK
General counselling and advice on contraception
TIDAK
Pulpitis
TIDAK
Stroke, not specified as haemorrhage or infarction
TIDAK
Typhoid fever
TIDAK
Typhoid fever
TIDAK
Chronic ischaemic heart disease, unspecified
YA
Atherosclerotic cardiovascular disease, so described
YA
Bronchitis, not specified as acute or chronic
TIDAK
Deposits [accretions] on teeth
TIDAK

215
216

4/5/2016
4/5/2016

677441114 KARLINA CAHYA S


677466336 MURTINI

Deposits [accretions] on teeth


Essential (primary) hypertension

TIDAK
TIDAK

217
218
219

4/5/2016
4/5/2016
4/5/2016

677552488 SUPARTI
677582043 KARMIJAH
677721554 SUGIRAN

General counselling and advice on contraception


Essential (primary) hypertension
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

220
221
222

4/5/2016
4/5/2016
4/5/2016

677893151 NANIK SRIWILUJENG


677994579 THOHA
678017417 RUBINGATUN

Acute nasopharyngitis [common cold]


Headache
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

223
224
225
226
227

4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016

678032616
678032954
678096718
678175402
1038030456

Dyspepsia
Headache
Acute laryngopharyngitis
Myalgia
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

228
229
230

4/5/2016
4/5/2016
4/5/2016

1038030759 TUKINI
1038035946 PAINAH
1261582266 EKO SUHENDRA

Acute nasopharyngitis [common cold]


Dyspepsia
Schizophrenia, unspecified

TIDAK
TIDAK
TIDAK

231
232
233

4/5/2016
4/5/2016
4/5/2016

1425013064 KOMSIYATUN
1451686599 ANIK MASFUFAH
1787936589 IMA ROSITA

Myalgia
Acute nasopharyngitis [common cold]
Acute upper respiratory infection, unspecified

TIDAK
TIDAK
TIDAK

234
235
236

4/5/2016
4/5/2016
4/5/2016

1787938143 MUHAMMAD FAJAR PUTRA RAMADHAN Acute nasopharyngitis [common cold]


1803684161 M. YAMIN
Necrosis of pulp
1803686894 SRI NURASIH
Allergic contact dermatitis due to metals

237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
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271
272
273
274
275
276
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284
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298
299
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301
302
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305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325

4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/5/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
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4/6/2016
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4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/6/2016
4/7/2016
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4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016

1820818563
1828958545
1828980911
1839038319
1851052836
1958728623
2036133922
4555192
102724795
102845946
108357164
108475435
108489701
108611548
109820147
109999541
116306796
195976989
675591186
676358919
676384896
676478261
676500535
676501839
676537683
676628302
676771536
676881167
676890876
676892979
676898921
677045665
677090349
677104672
677105357
677234553
677254713
677343126
677352947
677354343
677382028
677483008
677495035
677572525
677576338
678060685
1037222471
1038017643
1038030456
1038032043
1038032616
1082991611
1083807551
1264004627
1264981296
1264981533
1267112092
1303520545
1318090601
1384709343
1426854508
1470523724
1794945688
1852333536
1870120181
1872732914
1872743962
1873812598
1898815983
1900601289
4555192
4555192
108113984
108113995
108147688
109025897
206923397
675576819
675596171
675596384
676043515
676269268
676397823
676403291
676716039
676759599
676759667
676761399
676762266

SITI MUNTOYAH
EVA NUR ANGGARINI
SUKARTI
TUGIYO
SLAMET

TIDAK
TIDAK
TIDAK

LELI ERNAWATI
Acute nasopharyngitis [common cold]
TIDAK
ASYIFA SULISTYA RAMADHANI
Acute nasopharyngitis [common cold]
TIDAK
ERNAWATI
Deposits [accretions] on teeth
TIDAK
ALEX HADI PRASETIA
Hebephrenic schizophrenia
YA
MUHAMMAD HUSAIN 'ATHAA-ILLAH D Acute nasopharyngitis [common cold]
TIDAK
AHMAD HAFIYYAN AL ISFAHANI
Acute nasopharyngitis [common cold]
TIDAK
DANTE VALORA APRILIO
Acute nasopharyngitis [common cold]
TIDAK
PUSPITASARI
Supervision of normal first pregnancy
TIDAK
SUKANDRI
Other general examinations
TIDAK
KARDIJAT
Insulin-dependent diabetes mellitus with neurological complications YA
DINI YUNIANSARI
Urogenital trichomoniasis
TIDAK
IMAM ASRONI
Dyspepsia
TIDAK
SONY SUMARTONO,DRS.MM.
Other general examinations
TIDAK
SUMIATUN
Essential (primary) hypertension
TIDAK
AHMAD SUHARTO
Localization-related (focal) (partial) idiopathic epilepsy and epilepti YA
MUHAMMAD HIDAYAT
Insulin-dependent diabetes mellitus with neurological complications YA
IMAM SUTIKNO
End-stage renal disease
YA
MISIRAN
Myalgia
TIDAK
NURUL HIDAYAH
Other contraceptive management
TIDAK
M RIAN
Acute upper respiratory infection, unspecified
TIDAK
SUKARDI
Acute upper respiratory infection, unspecified
TIDAK
SAMSINI
Streptococcal tonsillitis
TIDAK
SITI SAUDAH
Pulpitis
TIDAK
VINICKA ALVIO NITA
Typhoid fever
TIDAK
KASEMI
Myalgia
TIDAK
ISTIQOMAH
Other acute gastritis
TIDAK
KADINAH
Allergic contact dermatitis due to adhesives
TIDAK
M KHOIRI
Necrosis of pulp
TIDAK
KARTINAH
Hepatomegaly with splenomegaly, not elsewhere classified
TIDAK
TUTIK ASMIATI
Acute nasopharyngitis [common cold]
TIDAK
KHOIRUL MUSTOFA
Acute nasopharyngitis [common cold]
TIDAK
YAHMI
Acute periodontitis
TIDAK
DARMANI
Essential (primary) hypertension
TIDAK
JURI
Other acute gastritis
TIDAK
SABITAH
Headache
TIDAK
MUSRIPAH
Other contraceptive management
TIDAK
RUBATI
Acute gingivitis
TIDAK
MARIKAH
Atherosclerotic cardiovascular disease, so described
YA
ELLY SULASTRI
Acute upper respiratory infection, unspecified
TIDAK
ARDELIANA CHINTYA PUTRI D
Typhoid fever
TIDAK
RISKI NANDA SAPUTRA
Acute nasopharyngitis [common cold]
TIDAK
MUJINEM
Myalgia
TIDAK
SUJAMI
Acute upper respiratory infection, unspecified
TIDAK
JUPRIYANTO
Stroke, not specified as haemorrhage or infarction
TIDAK
SAPARI
Acute upper respiratory infection, unspecified
TIDAK
ROHMAH WATIN
Acute laryngopharyngitis
TIDAK
NINIL SRI WAHYUNI
Acute upper respiratory infection, unspecified
TIDAK
SUMARMI
Acute nasopharyngitis [common cold]
TIDAK
SLAMET
Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK
WINARTI
Myalgia
TIDAK
MADA IM
Headache
TIDAK
MUKRI
Stroke, not specified as haemorrhage or infarction
TIDAK
RINI PUJI .A
Acute upper respiratory infection, unspecified
TIDAK
MUJIANTO
Hebephrenic schizophrenia
YA
MOH. OHAN HANAFI SUHARNA
Essential (primary) hypertension
TIDAK
SUMILAH
Acute laryngopharyngitis
TIDAK
SUPARNO
Essential (primary) hypertension
TIDAK
MOH LUTHFIL FUAD
Schizophrenia, unspecified
YA
WAGIYEM
Myalgia
TIDAK
WARTINI
Essential (primary) hypertension
TIDAK
DIAN DESSY NOVITA SARI
Acute nasopharyngitis [common cold]
TIDAK
ISMIATI
Non-insulin-dependent diabetes mellitus with neurological complicat YA
ACHMAD HAFIZ ADYA
Acute upper respiratory infection, unspecified
TIDAK
ANTOK SUPRIANTO
Other general examinations
TIDAK
YULIANI
Other and unspecified cirrhosis of liver
YA
PRIMIATI
Dyspepsia
TIDAK
AMELIA VITALIA SESHA
Acute nasopharyngitis [common cold]
TIDAK
SITI NUR HAYATI
Other acute gastritis
TIDAK
SRI UNTARI
Dyspepsia
TIDAK
SUPIYAH
Periapical abscess with sinus
TIDAK
PUSPITASARI
Supervision of normal first pregnancy
TIDAK
PUSPITASARI
Supervision of normal first pregnancy
TIDAK
ELLY ASTUTININGSIH
Malaise and fatigue
TIDAK
SUKARDI
Acute nasopharyngitis [common cold]
TIDAK
S.SUTIKNO
Insulin-dependent diabetes mellitus with neurological complications YA
YUNUS
Acute nasopharyngitis [common cold]
TIDAK
ZULFA DIAR NAJIBAH
Acute nasopharyngitis [common cold]
TIDAK
SITI PURWANTI
Essential (primary) hypertension
TIDAK
MUJIATI
Acute nasopharyngitis [common cold]
TIDAK
RAWANDA DANI
Acute nasopharyngitis [common cold]
TIDAK
ENIK MASRUROH
Essential (primary) hypertension
TIDAK
ENGGAR L
Impacted teeth
YA
ADE ERMA S
Acute nasopharyngitis [common cold]
TIDAK
IMRON S
Dyspepsia
TIDAK
BIBIT SULASTRI
Essential (primary) hypertension
TIDAK
DUKUD
Acute upper respiratory infection, unspecified
TIDAK
GENDROWATI
Headache
TIDAK
RIKI ARDIANSAH
Acute nasopharyngitis [common cold]
TIDAK
RIKO ARDIANSAH
Acute upper respiratory infection, unspecified
TIDAK

326
327

4/7/2016
4/7/2016

676766981 KARTIN
676776565 SITI WATI

Headache
Urogenital trichomoniasis

TIDAK
TIDAK

328
329
330

4/7/2016
4/7/2016
4/7/2016

676844414 RUBINI
676895646 HADI SUPANGAT
677199846 TITO ADI S

Acute upper respiratory infection, unspecified


Bronchitis, not specified as acute or chronic
Periapical abscess without sinus

TIDAK
TIDAK
TIDAK

331
332
333

4/7/2016
4/7/2016
4/7/2016

677300062 SULAMI
677302582 MUJIATI
677302582 MUJIATI

Essential (primary) hypertension


Supervision of normal first pregnancy
Supervision of normal first pregnancy

TIDAK
TIDAK
TIDAK

334
335
336
337
338

4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016

677477801
677479307
677533105
677544524
677556639

Allergic contact dermatitis, unspecified cause


Predominantly allergic asthma
Headache
Acute nasopharyngitis [common cold]
Periapical abscess without sinus

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

339
340
341

4/7/2016
4/7/2016
4/7/2016

677558136 PONIRAH
677601865 M GALIH EKO
677724006 SAMINI

Essential (primary) hypertension


Acute nasopharyngitis [common cold]
Other acute gastritis

TIDAK
TIDAK
TIDAK

342
343
344

4/7/2016
4/7/2016
4/7/2016

677880404 JANI
678021478 TINAH
678222325 SUPINAH

Predominantly allergic asthma


Allergic contact dermatitis, unspecified cause
Tuberculosis of lung, bacteriologically and histologically negative

TIDAK
TIDAK
TIDAK

345
346
347

4/7/2016
4/7/2016
4/7/2016

1038017136 SIAMIK
1038017136 SIAMIK
1038017272 LAMIRAN

Supervision of normal first pregnancy


Supervision of normal first pregnancy
Essential (primary) hypertension

TIDAK
TIDAK
TIDAK

348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436

4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/7/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/8/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016

1038020837
1038027813
1038027947
1038033461
1038035968
1038037792
1163555313
1261498689
1261705645
1288998191
1308243824
1325133641
1390490616
1787935555
1815983616
1815991255
1816852454
1839038387
1851052138
1880554735
1895003886
1901940399
1958728623
2032276814
2040717374
2043425103
108064269
108064269
108310162
108368471
108962199
109831353
109831364
206666076
676354353
676502188
676664998
676750105
676852323
676858566
676865553
676890617
676892035
676898651
676918236
676944088
677025966
677039602
677108643
677264861
677506151
677520426
677718235
677865047
677866329
678018633
678026441
678048658
678051573
1038016506
1038016517
1038017272
1038017801
1038021085
1038026564
1038030759
1038032853
1264981296
1264981533
1268801616
1445913404
1543964264
1605817697
1702206044
1796087946
1799209315
1840746126
1869846546
1876768143
1963509467
1963511864
1968425245
82541496
195976989
209140402
675809008
675810303
676387179
676489792

Allergic urticaria
Necrosis of pulp
Essential (primary) hypertension
Pulpitis
Other acute gastritis
Allergic urticaria
Caries of cementum
Essential (primary) hypertension
Myalgia
Atherosclerotic cardiovascular disease, so described
Non-insulin-dependent diabetes mellitus with neurological complicat
Predominantly allergic asthma
General medical examination
Pulpitis
Essential (primary) hypertension
Myalgia
Non-insulin-dependent diabetes mellitus with coma
Acute nasopharyngitis [common cold]
Viral pneumonia, unspecified
Herpesviral vesicular dermatitis
Acute nasopharyngitis [common cold]
Myalgia
Acute laryngopharyngitis
Schizophrenia, unspecified
General medical examination
Acute nasopharyngitis [common cold]
Typhoid fever
Typhoid fever
Acute nasopharyngitis [common cold]
Stroke, not specified as haemorrhage or infarction
Acute haemorrhagic gastritis
Myalgia
Nummular dermatitis
Nummular dermatitis
Myalgia
Acute laryngopharyngitis
Acute nasopharyngitis [common cold]
Myalgia
Headache
Dyspepsia
Acute haemorrhagic gastritis
Acute laryngopharyngitis
Acute laryngopharyngitis
Acute nasopharyngitis [common cold]
Acute upper respiratory infection, unspecified
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Pulpitis
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Essential (primary) hypertension
Primary amenorrhoea
Myalgia
Headache
Headache
Essential (primary) hypertension
Essential (primary) hypertension
Diarrhoea and gastroenteritis of presumed infectious origin
Allergic contact dermatitis due to metals
Chronic apical periodontitis
Myalgia
Heart failure, unspecified
Headache
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Essential (primary) hypertension
Bronchitis, not specified as acute or chronic
Acute laryngopharyngitis
Acute laryngopharyngitis
Acute nasopharyngitis [common cold]
Acute haemorrhagic gastritis
Iron deficiency anaemia secondary to blood loss (chronic)
Myalgia
Pulpitis
Periapical abscess without sinus
Streptococcal tonsillitis
Typhoid fever
Myalgia
Nummular dermatitis
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Atherosclerotic cardiovascular disease, so described
Myalgia
Acute upper respiratory infection, unspecified
Acute nasopharyngitis [common cold]
Headache
Allergic contact dermatitis, unspecified cause
Typhoid fever
Myalgia

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

SAMIYAH
SAMPUN
BUNASIH
JULIA SISKA PURWATI
AGUNG SUSANTO

ALFRINTON CHELLES S
M. ARMAN
SUPARMI
SRI UTAMI
SUCIANI
ASMORO RINI
RIA KARTIKA DEWI
IMAM MUCHSIN
SRI MULYATI
MARDI SANTOSO
SITI MASLIMAH
IMAM BASRI
ERIKA DWI HERAWATI
BAHRUDDIN
MULYONO
MUJINAH
PIRNATUN
PADANG SATRIA GENDIS WISESA
MUHAMMAD HASAN 'ATHAA-ILLAH BA
YUHANDIK WALUYO
KRISTOPHORUS BAGASWARA REDO
BAMBANG DARWANTO
AHMAD HAFIYYAN AL ISFAHANI
YOGI PRIYO PURWANTO
AHMAD ADLAN FADHLY SAPUTRA
PRASETYO NUR CAHYO
ELLY ANDRIASTUTI
ELLY ANDRIASTUTI
NURUL FAIQOH
ABD MUID
HJ.AZIZAH
IMAM BISRI
MUTAMIMAH
LAMIYEM
DJADI
SITI FATIMAH
ERIK SUDRAJAT
SUPARTI
NAVIS PUTRI
MOH HAIKAL ULUMUDIN
SUWARNO
WINARSIH
ANGGI WIDIANTI
MAIZA N
ZAFIRA NURUL Z
SARMINAH
SEMI
SUKINI
SITI MUTMAINAH
DASIAH
SUKI
SITI AMINAH
SITI JUARIAH
BADRIATUL MUNAWAROH
SHOLIFUL H
WIJI
SITI MAROKAH
SRIANI
FIOREN BINTANG AJI S
KARBI
KATIKAH
LAMIRAN
MUSIYAH
YAUMI
MONAH
TUKINI
M ZAENI
MOH. OHAN HANAFI SUHARNA
SUMILAH
JOAQUIN IQBAL HARTANTO
SUTINI
PITRIAH
KUSMIATI
DIAN ARIS SETYORINI
NUR FATIMAH
DINDA RULLY PERMATA DEWI
PURNA JUWANTI
MARSUTI
SUKARDJIYEM
YUWONO HADI SANTOSO
REKSA AMETIS
JUMARI
AGUS SUNARSO
MISIRAN
FARHAN DAFFA ILAHI
MUNTIAH
REVALINA MAYA
SITI DWIJAYANTI
SUNARI

437
438

4/9/2016
4/9/2016

676628302 ISTIQOMAH
676890876 KARTINAH

Acute upper respiratory infection, unspecified


Hepatomegaly with splenomegaly, not elsewhere classified

TIDAK
TIDAK

439
440
441

4/9/2016
4/9/2016
4/9/2016

677127306 SUTIKNO
677127881 SUHARTINI
677127925 FINAIRA YANG CRETANTI

Zoster encephalitis
Zoster encephalitis
Zoster encephalitis

TIDAK
TIDAK
TIDAK

442
443
444

4/9/2016
4/9/2016
4/9/2016

677186471 SUTINI
677498005 SULI SETYORINI
677498319 DINDA CHAOLINA

Essential (primary) hypertension


Headache
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

445
446
447
448
449

4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016

677546897
677547696
677572525
677646257
677650307

Acute upper respiratory infection, unspecified


Acute upper respiratory infection, unspecified
Stroke, not specified as haemorrhage or infarction
Acute nasopharyngitis [common cold]
Headache

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

450
451
452

4/9/2016
4/9/2016
4/9/2016

677652996 SUMINI
677839814 SUNANDAR
677839869 MARTI'AH

Essential (primary) hypertension


Acute laryngopharyngitis
Allergic contact dermatitis due to metals

TIDAK
TIDAK
TIDAK

453
454
455

4/9/2016
4/9/2016
4/9/2016

677839926 EKA NUR


677932187 SYAIFUDIN
677936518 FATKUR ROHMAH

Typhoid fever
Dyspepsia
Acute upper respiratory infection, unspecified

TIDAK
TIDAK
TIDAK

456
457
458

4/9/2016
4/9/2016
4/9/2016

678222325 SUPINAH
1038032616 MADA IM
1262862685 FAWNIA NAJWA

Tuberculosis of lung, bacteriologically and histologically negative


Headache
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547

4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/9/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/11/2016

1301489831
1432717119
1702210184
1788422736
1802570297
1833122169
1900601289
108241446
108475029
108967792
109567822
109793643
110018193
675564063
675576819
675578261
675674493
676045495
676414359
676502188
676503393
676512562
676549809
676667968
676762784
676766564
676771536
676789503
676801157
676832343
676835605
676892979
676901103
676911148
676911936
676925076
676939779
676989832
676995219
677014773
677038331
677038882
677040895
677097088
677181115
677210962
677327758
677354883
677466336
677493718
677494607
677503271
677535243
677547696
677555223
677555458
677556639
677562603
677562772
677563198
677572525
677671593
677839869
677840185
677932154
678013266
678015022
678025776
678028375
678164128
1038016034
1038016539
1038017801
1038018609
1038018622
1038019228
1038028667
1038030456
1038037792
1079096681
1080895599
1082867815
1261705645
1307655279
1325133641
1384709343
1425786658
1536441491
1538030013

Acute nasopharyngitis [common cold]


Acute laryngopharyngitis
Hyperplasia of prostate
Typhoid fever
Myalgia
Supervision of normal first pregnancy
Myalgia
Acute transmural myocardial infarction of inferior wall
Essential (primary) hypertension
Essential (primary) hypertension
Non-insulin-dependent diabetes mellitus with coma
Other contraceptive management
Dependence on renal dialysis
Acute laryngopharyngitis
Essential (primary) hypertension
Acute nasopharyngitis [common cold]
Dyspepsia
Acute nasopharyngitis [common cold]
Paranoid schizophrenia
Myalgia
Acute laryngopharyngitis
Cerebral infarction, unspecified
Acute laryngopharyngitis
Disturbances in tooth eruption
Essential (primary) hypertension
Localization-related (focal) (partial) idiopathic epilepsy and epilepti
Myalgia
Non-insulin-dependent diabetes mellitus with coma
Acute laryngopharyngitis
Essential (primary) hypertension
Headache
Headache
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Allergic urticaria
Stroke, not specified as haemorrhage or infarction
Epilepsy, unspecified
Myalgia
Myalgia
Myalgia
Dyspepsia
Acute laryngopharyngitis
Myalgia
Acute upper respiratory infection, unspecified
Allergic contact dermatitis due to metals
Headache
Other contraceptive management
Pulpitis
Essential (primary) hypertension
Headache
Acute upper respiratory infection, unspecified
Essential (primary) hypertension
Acute laryngopharyngitis
Dyspepsia
Acute laryngopharyngitis
Acute laryngopharyngitis
Alveolitis of jaws
Acute laryngopharyngitis
Necrosis of pulp
Disturbances in tooth eruption
Stroke, not specified as haemorrhage or infarction
Myalgia
Arrested dental caries
Periapical abscess with sinus
Acute nasopharyngitis [common cold]
Acute laryngopharyngitis
Cutaneous mycobacterial infection
Paranoid schizophrenia
Non-insulin-dependent diabetes mellitus with coma
Streptococcal tonsillitis
Headache
Acute laryngopharyngitis
Headache
Myalgia
Acute laryngopharyngitis
Dyspepsia
Acute laryngopharyngitis
Acute laryngopharyngitis
Allergic contact dermatitis due to metals
Hebephrenic schizophrenia
Essential (primary) hypertension
Predominantly allergic asthma
Myalgia
Congestive heart failure
Acute laryngopharyngitis
Essential (primary) hypertension
Acute laryngopharyngitis
Acute laryngopharyngitis
Myalgia

TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

RIATI
FERIS ANDA
JUPRIYANTO
RIRIN
CATUR WULAN

SAVIO ARDIANSYAH
ATHAYA HARYA INDRASTA
SUGIYANTO
DARWATI
MINAH
LINA SETYA WULANDARI
SUPIYAH
ARIEF RUSDIYANTO
HARTUTIK
MUJATNO
ARBIAH
MULYA YUNDHARI
AHMAD SHOBIRI MUSLIM
SUGIYEM
SITI PURWANTI
LIA
MARIYAH
M SATRIA WIJAYA
ARIFIN
SITI FATIMAH
LAILATUL REZEKI
SRINAH
SRINI
SHELOMITA M
JOKO KARBOWO
PONIYEM
KADINAH
SUPARNO
M SALIM
KATIJAN
SOLIKIN
TUTIK ASMIATI
MUSTIANAH
MUJIANI
LITA DWI A
SUHARTI
KAWIT SANTOSO
SUPIYAH
SUYATI
SIH PANGESTU
SITI ZULAIKAH
DHEA NANDA
PAIRIN
AZHRA LINTANG F
MASUDI
SUKALIM
ELIS SUNARSIH
PUJI UTAMI
MURTINI
SURATI
ROSI
JUMADI
ASTINI PUJI RAHAYU
FERIS ANDA
YENI R
ADE BAGUS
AGUNG SUSANTO
MISAROH
EVANTA H
ADINDA A
JUPRIYANTO
YAYUK
MARTI'AH
TYA EKA
MAHARANI RAGIL
SUDARMI
AGA BINAR PRATAMA
SAWIDJI
SITI KHOSIYAH
MIASIN
KASTURI
MISBAHUL M
MUSIYAH
SUNARTI
SINGGIH WIDIANTO
UMI HANIK LAILATIN
SUKARMI
SLAMET
ASMORO RINI
JOHAN AKHMAD
SITI MUTMAINAH
RUSIK
SRI MULYATI
ISMIYATI
IMAM BASRI
WARTINI
DJIAT
M. ZAZA AMINUDIN WICAHYONO
SAIFUL SALBIYAH

548
549

4/11/2016
4/11/2016

1538030237 OLIVIA PUTRI RAMADHANI


1605817697 KUSMIATI

550
551
552

4/11/2016
4/11/2016
4/11/2016

1702206044 DIAN ARIS SETYORINI


Necrosis of pulp
1702206055 EDWIN DARMAYUDHA HAYAM WURUK Diarrhoea and gastroenteritis of presumed infectious origin
1810714375 MUSLIMAH
Essential (primary) hypertension

TIDAK
TIDAK
TIDAK

553
554
555

4/11/2016
4/11/2016
4/11/2016

1820792349 SUKIYAH
Essential (primary) hypertension
1832570695 CITRA KIRANA PUTRI AL`AURA SHALSAAcute nasopharyngitis [common cold]
1841406524 SUPARMI
Myalgia

TIDAK
TIDAK
TIDAK

556
557
558
559
560

4/11/2016
4/11/2016
4/11/2016
4/11/2016
4/12/2016

1864900282
1867211504
1867212369
1958727655
108894846

Dependence on renal dialysis


Acute transmural myocardial infarction of inferior wall
Headache
Pulpitis
Predominantly allergic asthma

YA
YA
TIDAK
TIDAK
TIDAK

561
562
563

4/12/2016
4/12/2016
4/12/2016

108967792 MUJATNO
108967792 MUJATNO
109005333 SUYATMI

Non-insulin-dependent diabetes mellitus without complications


Non-insulin-dependent diabetes mellitus without complications
Essential (primary) hypertension

TIDAK
TIDAK
TIDAK

564
565
566

4/12/2016
4/12/2016
4/12/2016

109030871 SAKOER
169914611 ISMIATI
204261355 SLAMET ADI PURNOMO

Essential (primary) hypertension


Acute upper respiratory infection, unspecified
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

567
568
569

4/12/2016
4/12/2016
4/12/2016

675584807 YATEMI
675598263 HARTIWI
675674673 SANTOSO

Essential (primary) hypertension


Essential (primary) hypertension
Predominantly allergic asthma

TIDAK
TIDAK
TIDAK

570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658

4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/12/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016

675687374
675847372
676169649
676208722
676384896
676420413
676605363
676606926
676691943
676912781
676947633
676950693
676950906
676970706
676978648
677015605
677195087
677231842
677283636
677284345
677304246
677327758
677327758
677393605
677479307
677497858
677497858
677498319
677533105
677801351
678021478
678021478
678175402
678222325
1038019667
1082991611
1261498689
1264981296
1264981533
1399542963
1535480021
1536474925
1543053159
1787936589
1793909507
1793909507
1802869288
1851052836
1863651576
1866828521
1903184098
1906320936
1963509467
2033238881
108235416
108263057
108358154
108430154
108492838
108492849
108604934
108967522
108972944
194369409
209140402
675608207
676489792
676735244
676750105
676792034
676912408
676966206
676986603
676986895
677082262
677200105
677241573
677254138
677315024
677358189
677503855
677548394
677555537
677558136
677582043
677582166
677589265
677642938
677644402

PURWONINGSIH
SUYOSO
GOOD MINARMININGSIH
SULTHON AL AMIN
SUTARSI

Allergic contact dermatitis due to metals


Myalgia

MULIS HARTI
Acute haemorrhagic gastritis
SABIKIS
Cerebral infarction, unspecified
NURDATIN
Predominantly allergic asthma
SITI FATONAH
Acute upper respiratory infection, unspecified
SUKARDI
Typhoid fever
YUDHA
Headache
KASIYAN
Chronic periodontitis
WAGIRIN
Cardiomyopathy, unspecified
NOVOI HANDAYANI
Acute nasopharyngitis [common cold]
SITI ROBIAH
Non-insulin-dependent diabetes mellitus with coma
KIPSIYAH
Acute upper respiratory infection, unspecified
JURI
Essential (primary) hypertension
KARTINI
Essential (primary) hypertension
MUKINI
Acute upper respiratory infection, unspecified
HARTINI
Deposits [accretions] on teeth
FEBRIANTO
Acute upper respiratory infection, unspecified
WIBOWO
Myalgia
UMI ASIH
Headache
ASTIMAH
Essential (primary) hypertension
MELSA ASTRIANI
Allergic contact dermatitis due to metals
SUMARTI
Acute nasopharyngitis [common cold]
ELIS SUNARSIH
General counselling and advice on contraception
ELIS SUNARSIH
Myalgia
MURTINI
Supervision of normal first pregnancy
SAMPUN
Stroke, not specified as haemorrhage or infarction
RIZKA F
Fever with chills
RIZKA F
Fever with chills
DINDA CHAOLINA
Acute nasopharyngitis [common cold]
BUNASIH
Headache
LENIA WATI
Supervision of normal first pregnancy
TINAH
Non-insulin-dependent diabetes mellitus without complications
TINAH
Non-insulin-dependent diabetes mellitus without complications
TUGIYO
Myalgia
SUPINAH
Acute miliary tuberculosis of a single specified site
M IRCHAM AFRIZAL
Allergic contact dermatitis due to metals
MUKRI
Stroke, not specified as haemorrhage or infarction
IMAM MUCHSIN
Stroke, not specified as haemorrhage or infarction
MOH. OHAN HANAFI SUHARNA
Dyspepsia
SUMILAH
Acute laryngopharyngitis
ZULKRNAEN PONCO ARIWIDODO
Pulpitis
MUDAYAT
Acute upper respiratory infection, unspecified
HAVIDA EKA SULISTIYONO
Periapical abscess without sinus
AHMAD QOLBI
Allergic contact dermatitis due to metals
IMA ROSITA
Allergic contact dermatitis due to metals
MUHAMMAD ALTHOFANO SYABANA
Fever with chills
MUHAMMAD ALTHOFANO SYABANA
Fever with chills
SUKARINI
Acute laryngopharyngitis
MUHAMMAD HUSAIN 'ATHAA-ILLAH D Acute nasopharyngitis [common cold]
ROCH. ARI SRI SUBEKTI
Necrosis of pulp
MUHAMMAD AL LATHIF KHALIFAH
Acute upper respiratory infection, unspecified
SUMILAH
Non-insulin-dependent diabetes mellitus with neurological complicat
BINAR PRASETYO
Dyspepsia
YUWONO HADI SANTOSO
Acute upper respiratory infection, unspecified
KETANG
Essential (primary) hypertension
ISA ANSORI
Heart failure, unspecified
AHMAD YANI
Myalgia
SUROTO
Malaise and fatigue
MUSRIANINGSIH
Essential (primary) hypertension
SUTO
Essential (primary) hypertension
SUNARTI
Acute laryngopharyngitis
DRS. AGUS TRIWIJONO, MSI.
Urethral stricture, unspecified
PONAMI
Paranoid schizophrenia
SOETADJI
Essential (primary) hypertension
SOLICHIN
Non-insulin-dependent diabetes mellitus without complications
FARHAN DAFFA ILAHI
Acute nasopharyngitis [common cold]
SUPENO
Stroke, not specified as haemorrhage or infarction
SUNARI
Myalgia
KHARISA ADELIA
Periapical abscess without sinus
SUPARTI
Myalgia
GITA
Acute nasopharyngitis [common cold]
PONIDIN
Headache
KATIRAN
Essential (primary) hypertension
SUMIATI
Predominantly allergic asthma
HIZKI OKTAVID
Schizophrenia, unspecified
KASITON
Acute laryngopharyngitis
SITI JUARIYAH
Myalgia
MULYONO
Allergic contact dermatitis due to metals
CAHYA WAHYU S
Mumps orchitis
SLAMET IMAM SUFII
Myalgia
HARIYANTO
Mucopurulent conjunctivitis
KUSNO
Headache
RULIN NANDA
Chronic apical periodontitis
WIWIK ASTRIANI
Myalgia
PONIRAH
Essential (primary) hypertension
KARMIJAH
Malaise and fatigue
MEI WATINI
Gastroduodenitis, unspecified
ABU KHOLIK
Acute nasopharyngitis [common cold]
IMAM SOPINGI
Acute upper respiratory infection, unspecified
ZAKIYA ALFANI
Acute nasopharyngitis [common cold]

TIDAK
TIDAK

TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

659
660

4/13/2016
4/13/2016

677646257 RIRIN
677650307 CATUR WULAN

Acute laryngopharyngitis
Headache

TIDAK
TIDAK

661
662
663

4/13/2016
4/13/2016
4/13/2016

677660332 KOMSIATUN
677768117 ARIS SETIAWAN
677818732 MISILAH

Excessive and frequent menstruation with regular cycle


Allergic urticaria
Dyspepsia

TIDAK
TIDAK
TIDAK

664
665
666

4/13/2016
4/13/2016
4/13/2016

677943134 TATIAN JAVA


677999981 JASIR
678071305 SUMARMI

Disturbances in tooth eruption


Non-insulin-dependent diabetes mellitus with coma
Headache

TIDAK
TIDAK
TIDAK

667
668
669
670
671

4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/13/2016

1038016506
1038016517
1038023662
1038024911
1038025978

Chronic apical periodontitis


Myalgia
Headache
Thyrotoxicosis, unspecified
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK
YA
TIDAK

672
673
674

4/13/2016
4/13/2016
4/13/2016

1038028678 SUMARI
1038029758 SUMINTO
1038031637 AGIL SYAHRIAR

Acute nasopharyngitis [common cold]


Mucopurulent conjunctivitis
Nephrotic syndrome, minor glomerular abnormality

TIDAK
TIDAK
YA

675
676
677

4/13/2016
4/13/2016
4/13/2016

1038035002 MIRAWATI
1038035024 RIZA AYU UMAMI
1038035913 SUWARTO

Myalgia
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

678
679
680

4/13/2016
4/13/2016
4/13/2016

1038039557 PANCA KRISTINA


1104318257 JUWADI
1259370494 ANITA YULIA

Headache
Essential (primary) hypertension
Supervision of normal first pregnancy

TIDAK
TIDAK
TIDAK

681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769

4/13/2016
4/13/2016
4/13/2016
4/13/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/14/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016

1311388334
1536474925
1819309983
2032276814
105995968
107177242
108103634
108112847
108113984
108113995
108133874
108224043
108688285
171505383
675663939
675688781
676357356
676410276
676410985
676502021
676716039
676766248
676801157
676861525
676881516
677058434
677058434
677058434
677075231
677075703
677337535
677493718
677494607
677556639
677556808
677572525
677697974
677698007
677766407
678035079
678053362
678053362
678053362
678090745
678222325
1038028667
1038030952
1038032616
1082991611
1276341985
1425402066
1445172917
1793908653
1812160866
1815991255
1823852981
1852435383
1866828521
1903700125
1960135738
1968323624
2048473484
108098998
108277839
108493558
108611548
195976989
198431289
675576819
675674673
676086884
676331831
676721362
676788524
676833805
676867105
676947633
676985354
677010486
677126193
677139142
677352317
677493685
677505971
677506454
677517063
677527119
678002534
678031659

Headache
Inflammatory conditions of jaws
Myalgia
Schizophrenia, unspecified
Stroke, not specified as haemorrhage or infarction
Myalgia
Non-insulin-dependent diabetes mellitus with coma
Myalgia
Essential (primary) hypertension
Insulin-dependent diabetes mellitus with coma
Non-insulin-dependent diabetes mellitus with neurological complicat
Deposits [accretions] on teeth
Myalgia
Epilepsy, unspecified
Essential (primary) hypertension
Acute upper respiratory infection, unspecified
Acute upper respiratory infection, unspecified
Essential (primary) hypertension
Myalgia
Diarrhoea and gastroenteritis of presumed infectious origin
Acute upper respiratory infection, unspecified
Essential (primary) hypertension
Acute upper respiratory infection, unspecified
Dyspepsia
Essential (primary) hypertension
Caries limited to enamel
Supervision of normal first pregnancy
Supervision of normal first pregnancy
Headache
Predominantly allergic asthma
Headache
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Inflammatory conditions of jaws
Acute nasopharyngitis [common cold]
Stroke, not specified as haemorrhage or infarction
Acute nasopharyngitis [common cold]
Acute upper respiratory infection, unspecified
Headache
Essential (primary) hypertension
Supervision of normal first pregnancy
Supervision of normal first pregnancy
Pulpitis
Dyspepsia
Tuberculosis of bones and joints
Acute upper respiratory infection, unspecified
Other and unspecified ovarian cysts
Essential (primary) hypertension
Stroke, not specified as haemorrhage or infarction
Non-insulin-dependent diabetes mellitus with coma
Acute laryngopharyngitis
Acute upper respiratory infection, unspecified
Acute laryngopharyngitis
Acute haemorrhagic gastritis
Myalgia
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Bell's palsy (TACC)
Acute upper respiratory infection, unspecified
Other acute gastritis
Acute nasopharyngitis [common cold]
Dyspepsia
Myalgia
Acute nasopharyngitis [common cold]
Dyspepsia
Essential (primary) hypertension
Acute laryngopharyngitis
Myalgia
Chronic apical periodontitis
Dyspepsia
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Allergic contact dermatitis due to metals
Acute laryngopharyngitis
Acute nasopharyngitis [common cold]
Acute upper respiratory infection, unspecified
Acute laryngopharyngitis
Allergic contact dermatitis due to metals
Predominantly allergic asthma
Acute nasopharyngitis [common cold]
Allergic urticaria
Headache
Zoster with other nervous system involvement
Acute nasopharyngitis [common cold]
Paranoid schizophrenia
Acute laryngopharyngitis

TIDAK
YA
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

KARBI
KATIKAH
SUMARNI
TIWI L
WILDAN

KUNTANAL BIRRO
HAVIDA EKA SULISTIYONO
SITI AMANAH
YOGI PRIYO PURWANTO
SAMSIYAH
SUCIANIK
SULIANINGSIH
SUHARTILAH
ELLY ASTUTININGSIH
SUKARDI
SUKATMI
VERONICA LUCKY RETNOSARI
AGUNG ISNARTO MARDIONO
SAGITA DELLA SARI
KATEMI
SULASTRI
NUR SHOLEKAH
ABIDIN
SUSANTI
SUPINGI
BIBIT SULASTRI
NGATINI
M SALIM
SITI KHOLIPAH
SITI ANTIYAH
NITA
NITA
NITA
HARTUTIK
ULIL NUR INAWATI
SUPINI
SURATI
ROSI
AGUNG SUSANTO
DIAN LESTARI
JUPRIYANTO
AMIN NIROM
OKY FIRMAN CAHYONO
DOTI HERAWATI
KUSWANDI
ZENI DWI RAHAYU
ZENI DWI RAHAYU
ZENI DWI RAHAYU
MURTINI
SUPINAH
SUKARMI
UMI HANIK
MADA IM
MUKRI
SUJONO
USWATUN CHASANAH
SUMALIKAH
RENY YUNIKE DEWI
SUKARMI
MUJINAH
AHMAD FADIL
BAMBANG MURYADI
MUHAMMAD AL LATHIF KHALIFAH
AHMAD KHOIRUN NA'IM
NANA ROMAHA
ASMADI
NUR CHOLIYAH
MARIATI
TRISASONGKO BUDIONO
SUPRAPTI
SUMIATUN
MISIRAN
KOMARUDIN
SITI PURWANTI
SANTOSO
ABDUL GHOFAR
FAISAL ARIS
ROMLAH
SUMARTI
ANSYA TRI L
M HUDA
KIPSIYAH
NAINA R
M MEDO LARANG
MASROKAH
AURA MEGA SARI
NURHAYATI
SOYEM
SITI MUKTI A S
M HELGA
SRIATIN
ENDAH UMARIAH
AGUS MAILIK
MOCH ASEP RAHMADANI

770
771

4/15/2016
4/15/2016

678058841 ST AMINAH
1038026564 MONAH

Essential (primary) hypertension


Essential (primary) hypertension

TIDAK
TIDAK

772
773
774

4/15/2016
4/15/2016
4/15/2016

1038026722 A SAIKHUL ISLAM


1038030456 SLAMET
1038032853 M ZAENI

Acute nasopharyngitis [common cold]


Acute laryngopharyngitis
Dyspepsia

TIDAK
TIDAK
TIDAK

775
776
777

4/15/2016
4/15/2016
4/15/2016

1038039851 KHOTEMI
1262097066 MISBAH
1311553978 SUHERMAN R

Borderline lepromatous leprosy


Acute haemorrhagic gastritis
Myalgia

YA
TIDAK
TIDAK

778
779
780
781
782

4/15/2016
4/15/2016
4/15/2016
4/15/2016
4/15/2016

1383516955
1397728923
1426197835
1860950182
1891082035

Paranoid schizophrenia
Supervision of normal first pregnancy
Myalgia
Acute laryngopharyngitis
Acute haemorrhagic gastritis

YA
TIDAK
TIDAK
TIDAK
TIDAK

783
784
785

4/15/2016
4/15/2016
4/15/2016

1969510511 JUMINTEN
1971941758 SUWATIN
1971943075 SUHARTONO

Essential (primary) hypertension


Acute laryngopharyngitis
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

786
787
788

4/15/2016
4/15/2016
4/16/2016

2033238881 KETANG
2048473484 NUR CHOLIYAH
108139803 SRIGATI

Dyspepsia
Malignant neoplasm of breast, unspecified
Other acute gastritis

TIDAK
TIDAK
TIDAK

789
790
791

4/16/2016
4/16/2016
4/16/2016

Pulpitis
Essential (primary) hypertension
Myalgia

TIDAK
TIDAK
TIDAK

792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880

4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/16/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016

Acute nasopharyngitis [common cold]


Non-insulin-dependent diabetes mellitus with coma
Acute nasopharyngitis [common cold]
Other contraceptive management
Acute nasopharyngitis [common cold]
Acute laryngopharyngitis
Headache
Headache
Essential (primary) hypertension
Headache
Predominantly allergic asthma
Acute nasopharyngitis [common cold]
Other contraceptive management
Acute laryngopharyngitis
Headache
Essential (primary) hypertension
Acute transmural myocardial infarction of inferior wall
Stroke, not specified as haemorrhage or infarction
Non-insulin-dependent diabetes mellitus with coma
Myalgia
Allergic urticaria
Deposits [accretions] on teeth
Non-insulin-dependent diabetes mellitus with coma
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Dyspepsia
Myalgia
Acute laryngopharyngitis
Acute laryngopharyngitis
Acute laryngopharyngitis
Acute laryngopharyngitis
Rheumatism, unspecified
Dyspepsia
Headache
Allergic urticaria
Headache
Chronic apical periodontitis
Myalgia
Myalgia
Rheumatism, unspecified
Myalgia
Non-insulin-dependent diabetes mellitus without complications
Congestive heart failure
Periapical abscess without sinus
Headache
Headache
General counselling and advice on contraception
Acute haemorrhagic gastritis
Acute upper respiratory infection, unspecified
Acute haemorrhagic gastritis
Myalgia
Rheumatism, unspecified
Primary hyperparathyroidism
Acute nasopharyngitis [common cold]
Rheumatism, unspecified
Myalgia
Acute upper respiratory infection, unspecified
Urinary tract infection, site not specified
Dyspepsia
Acute laryngopharyngitis
Headache
Acute haemorrhagic gastritis
Acute upper respiratory infection, unspecified
Acute upper respiratory infection, unspecified
Acute laryngopharyngitis
Headache
Acute nasopharyngitis [common cold]
Dyspepsia
Acute haemorrhagic gastritis
Nummular dermatitis
Pulpitis
Calculus of gallbladder with acute cholecystitis
Acute nasopharyngitis [common cold]
General counselling and advice on contraception
Headache
Acute haemorrhagic gastritis
Headache
Acute nasopharyngitis [common cold]
Headache
Acute nasopharyngitis [common cold]
Supervision of normal first pregnancy
Acute nasopharyngitis [common cold]
Acute upper respiratory infection, unspecified
Diarrhoea and gastroenteritis of presumed infectious origin
Myalgia
Acute laryngopharyngitis
Atherosclerotic cardiovascular disease, so described
Essential (primary) hypertension

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK

SRIBIYANTI
SUTIYANI
SAMURI
SUMARTO PARING
SUNARSIH

108161212 PURNOMO
108475029 HARTUTIK
109013771 BADJURI
109850703
676384896
676550305
676745537
676789503
676964698
677032751
677186471
677264861
677839869
677880404
1038021996
1038032548
1038034844
1038039131
1080895599
1260938891
1261498689
1477994185
1538030013
1538030237
1603138814
1816852454
2041926682
108329534
108355882
108430154
108472781
108477292
108492838
108492849
675564063
675777982
676337534
676407194
676495214
676502188
676528108
676707513
676766406
676766564
676784417
676789503
676830003
676833805
676835605
676871111
676871144
676884677
676892979
676901103
676920431
676966206
677016606
677126193
677343161
677352317
677371138
677393831
677399938
677408859
677425263
677483008
677493718
677494607
677496328
677496677
677524926
677533623
677536064
677537392
677579444
677607388
677661759
677671593
677718235
677719181
678026002
678030153
678045971
678046612
678199509
678211233
1038016607
1038019623
1038028678
1038030456
1038033505
1038034844

HERNING PRAMUDYA
SUKARDI
ROHMAN
IKA RAHAYU
SUPARNO
NANDA SYIFA YULIANI
SUMARNI
SUTINI
DASIAH
MARTI'AH
JANI
SUGIHANIK
KOMSATUN
AMINUDIN
MUSRIAH
SITI MUTMAINAH
LASEMI
IMAM MUCHSIN
SUKAMTI
SAIFUL SALBIYAH
OLIVIA PUTRI RAMADHANI
AURELIA BALQIS HERINDA PUTRI
PIRNATUN
SYIFA` SALSABILA MANDA NURHASAN
JOKO SUSKIONO,SH.MM.
TUIN WIDODO
MUSRIANINGSIH
EVA NIRMALA
KATIRAN
SUTO
SUNARTI
SUGIYEM
SUPINAH
SUBANDI
SHANTY K
JIKEN
SITI FATIMAH
PONIAH
ZUJINAH
MUJITO
PONIYEM
SITI KHOTIMAH
SUPARNO
MOCH UMAR FAROQ
ANSYA TRI L
SOLIKIN
DWI SISWANTORO
SULASTRI
EDI SUPARMIN
TUTIK ASMIATI
MUSTIANAH
KOMSATUN
KATIRAN
ROIKATIN
MASROKAH
WIJI BAITURROHMAH
NURHAYATI
RIYANAH
MOH SUBANDI
FARIDA HARI WAHYUNI
SESILIA MPA
SUMARNI
MUJINEM
SURATI
ROSI
SUYONO
SUPRAPTI
PONIRAH
MURDANI
GEMI
MOH FAISAL ARIP
WARSINEM
SUMIRAH
MISLAN UTOMO
YAYUK
SITI JUARIAH
ALIF FATUR R
PAIRIN
AULIA SEPTIANA
TATIK
HERNIK
MEGA RATNASARI
SAKTIAWAN
SUPANGAT
M KHOIRI
SUMARI
SLAMET
WARINAH
AMINUDIN

881
882

4/18/2016
4/18/2016

1082904985 SANNI
1124584301 SRI DENOK LINA LIANA WATI

Dyspepsia
Impacted teeth

883
884
885

4/18/2016
4/18/2016
4/18/2016

1129965298 MOHAMAD MOKSIN


1255947017 SITI YULAIKAH
1276341985 SUJONO

Acute laryngopharyngitis
TIDAK
Dyspepsia
TIDAK
Insulin-dependent diabetes mellitus with neurological complications YA

886
887
888

4/18/2016
4/18/2016
4/18/2016

1298075804 SRI SUHARTINI


1445157202 AL MAHIRA SYAKHI MAFAZA MOKSIN
1472528709 TRI YUNIARTI

Allergic contact dermatitis due to metals


Acute nasopharyngitis [common cold]
Other bipolar affective disorders

889
890
891
892
893

4/18/2016
4/18/2016
4/18/2016
4/18/2016
4/18/2016

1803686894
1803690022
1820792349
1831368418
1852435383

SRI NURASIH
SUKARSIH
SUKIYAH
MUJIRAH
BAMBANG MURYADI

Nummular dermatitis
TIDAK
Nummular dermatitis
TIDAK
Myalgia
TIDAK
Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK
Acute laryngopharyngitis
TIDAK

894
895
896

4/18/2016
4/18/2016
4/19/2016

1860696652 ISTIANAH
2048846128 BIMBI KUKUH AGIANTO PERDANA
102724795 SUKANDRI

Non-insulin-dependent diabetes mellitus with neurological complicat YA


Acute laryngopharyngitis
TIDAK
Stroke, not specified as haemorrhage or infarction
YA

897
898
899

4/19/2016
4/19/2016
4/19/2016

107664715 PANURI
108234101 MUNAWAROH
108257949 HENDRO SUESTONO S,SH

Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK


Essential (primary) hypertension
TIDAK
Stroke, not specified as haemorrhage or infarction
YA

900
901
902

4/19/2016
4/19/2016
4/19/2016

108268053 SUPRATIWI
108268064 WIDODO,BBA
108329387 ICHWANTO,SH

Essential (primary) hypertension


Essential (primary) hypertension
Headache

903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991

4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/19/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016
4/20/2016

108434902
158424366
675584807
675636939
676171776
676515183
676683729
676702596
676721362
676721823
676920431
676988526
677012499
677044787
677075635
677077029
677077503
677218285
677276109
677330559
677351261
677367628
677393605
677466336
677497522
677498005
677760658
677999981
678090745
678175402
1038022029
1038023662
1038024898
1038028173
1038035799
1038035801
1038036969
1038039131
1082499748
1260981639
1261705645
1263704635
1270454141
1325133641
1429706338
1448795406
1451035899
1622283221
1803684161
1809796151
1824882816
1824883108
1857755136
1863650316
1888804181
1916905037
1963337422
2033238881
2033240207
2038649319
107893372
108098987
108235416
108268064
675571858
675576819
675692482
676741869
676849105
676954574
676955204
676986895
676986974
677070538
677139614
677280396
677330559
677340393
677393831
677576338
677589265
677661669
678015022
678017417
678028375
678035079
678222325
1038024033
1038030456

SRI ASTUTIK
SITI ASIYAH
YATEMI
ANISA N A
ISTIANAH
MEGA KRISTINA
YOLANDA BUNGA LESTARI
DENI MUSYAROFAH
ROMLAH
SUJARWO
KOMSATUN
HAJJAH SAUDAH
PONAH
MUHAMMAD ISNAINI TAMENGGE
SITI PARTIMAH
INNAKA MARIATUS S
SITI ZAENATUL ELFIYAH
KARTINI
SITI AMINAH
ISMIATI NAKNUNAH
SITI UMI HANIK
SAROPAH
MURTINI
MURTINI
YUDI HERMAWAN
SULI SETYORINI
LASMINAH
JASIR
MURTINI
TUGIYO
ADI CANDRA BUDI AD
SUMARNI
NAFSIAH
ELOK ZAINATIN N
MEGA WATI
JOVANKA MEGA N
ILMA MUFIDA
MUSRIAH
ZUYUN TRI WULANDARI
SUPRAPTO
SRI MULYATI
KARYONO
ANDRIS DWI WAHYUDI
IMAM BASRI
SITI ANDAWIYAH
JUMIRAH
KACUNG
OCTAVIANA CATURWULAN
M. YAMIN
UJIK PRASETIYO
NURKASAN
EKA LESTARI
SAMUD
WIENARTO
AELSA PUTRI RAZA AIZA
OCH IBRAHIM
SULASTRI
KETANG
ISMIATI
CALON BY. NYONYA KUNTANAL BIRRO
DRS.ROESMAN
MASIRAN
ISA ANSORI
WIDODO,BBA
MULYATNO
SITI PURWANTI
MUSAROFAH
SITI KOMARIYAH
SITI MUSADAAH
NUR HASNAH
IVA AGUSTINA
HIZKI OKTAVID
DENIS AGUNG P
LULU ROUDIATUL JANNAH
YULI SINTIA MILDA
ROPINNGI
ISMIATI NAKNUNAH
SUBARI
MOH SUBANDI
SAPARI
ABU KHOLIK
MARNI
AGA BINAR PRATAMA
RUBINGATUN
SITI KHOSIYAH
KUSWANDI
SUPINAH
AMILATUS S
SLAMET

TIDAK
TIDAK

TIDAK
TIDAK
YA

TIDAK
TIDAK
TIDAK

Dyspepsia
TIDAK
Myalgia
TIDAK
Essential (primary) hypertension
TIDAK
Urticaria, unspecified
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Cutaneous abscess, furuncle and carbuncle of face
TIDAK
Chronic apical periodontitis
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Essential (primary) hypertension
TIDAK
Acute laryngopharyngitis
TIDAK
Seropositive rheumatoid arthritis, unspecified
YA
Essential (primary) hypertension
TIDAK
Essential (primary) hypertension
TIDAK
Myalgia
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Streptococcal tonsillitis
TIDAK
Chronic obstructive pulmonary disease, unspecified
YA
Myalgia
TIDAK
Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK
Headache
TIDAK
Essential (primary) hypertension
TIDAK
Pulpitis
TIDAK
Essential (primary) hypertension
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Acute laryngopharyngitis
TIDAK
Essential (primary) hypertension
TIDAK
Non-insulin-dependent diabetes mellitus with coma
TIDAK
Essential (primary) hypertension
TIDAK
Myalgia
TIDAK
Acute laryngopharyngitis
TIDAK
Non-insulin-dependent diabetes mellitus with coma
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Dyspepsia
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Acute laryngopharyngitis
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Essential (primary) hypertension
TIDAK
Acute laryngopharyngitis
TIDAK
Myalgia
TIDAK
Dyspepsia
TIDAK
Non-insulin-dependent diabetes mellitus with coma
TIDAK
Tuberculosis of lung, bacteriologically and histologically negative
TIDAK
Acute laryngopharyngitis
TIDAK
Acute laryngopharyngitis
TIDAK
Heart failure, unspecified
YA
Allergic contact dermatitis due to metals
TIDAK
Myalgia
TIDAK
Necrosis of pulp
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute laryngopharyngitis
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Heart failure, unspecified
YA
Chronic ischaemic heart disease, unspecified
YA
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Myalgia
TIDAK
Essential (primary) hypertension
TIDAK
Myalgia
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Heart failure, unspecified
YA
Insulin-dependent diabetes mellitus with neurological complications YA
Acute nasopharyngitis [common cold]
TIDAK
Acute transmural myocardial infarction of inferior wall
YA
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Headache
TIDAK
Dyspepsia
TIDAK
Other contraceptive management
TIDAK
Necrosis of pulp
TIDAK
Diarrhoea and gastroenteritis of presumed infectious origin
TIDAK
Localization-related (focal) (partial) idiopathic epilepsy and epilepti TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK
Heart failure, unspecified
YA
Headache
TIDAK
Urinary tract infection, site not specified
TIDAK
Acute laryngopharyngitis
TIDAK
Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK
Other acute gastritis
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Nummular dermatitis
TIDAK
Non-insulin-dependent diabetes mellitus with coma
TIDAK
Essential (primary) hypertension
TIDAK
Tuberculosis of bones and joints
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK

992
993

4/20/2016
4/20/2016

1038032785 MUSERIN
1038035913 SUWARTO

Acute nasopharyngitis [common cold]


Headache

994
995
996

4/20/2016
4/20/2016
4/20/2016

1287501928 SUGIYEM
1792771288 SUYATI
1807401611 SUMARTI

Insulin-dependent diabetes mellitus with neurological complications YA


Acute nasopharyngitis [common cold]
TIDAK
Headache
TIDAK

997
998
999

4/20/2016
4/20/2016
4/20/2016

1888978836 KATINAH
1968124408 MUKARWIATI
2048205767 SUMIJAN

Myalgia
Headache
Calculus in urethra

TIDAK
TIDAK
YA

1000
1001
1002
1003
1004

4/20/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016

2048846128
108063336
108113984
108301869
108340536

Acute nasopharyngitis [common cold]


Pulpitis
Other acute gastritis
Essential (primary) hypertension
Disorder of refraction, unspecified

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

1005
1006
1007

4/21/2016
4/21/2016
4/21/2016

108430997 MUANAM
108430997 MUANAM
108492039 SUPARA

Necrosis of pulp
Myalgia
Glaucoma suspect

TIDAK
TIDAK
YA

1008
1009
1010

4/21/2016
4/21/2016
4/21/2016

108493558 SUPRAPTI
675729821 SRI RAHAYU
675760318 SUMIATI

Acute haemorrhagic gastritis


Headache
Headache

TIDAK
TIDAK
TIDAK

1011
1012
1013

4/21/2016
4/21/2016
4/21/2016

675949421 SUMIATI
676169649 NURDATIN
676377538 SOPIYAH

Headache
Non-insulin-dependent diabetes mellitus without complications
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102

4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/21/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/22/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016

676601212
676738348
676771536
676847979
676847979
676847979
676956971
676989832
676995636
677014773
677097088
677097145
677111163
677113762
677150403
677152146
677161596
677171867
677282376
677505442
677534488
677541339
678072835
678094312
1038018093
1038026597
1038039557
1278268907
1441641126
1445157202
1452235105
1452235689
1479941853
1796136355
1797064176
1802570297
1898379066
108228183
108430154
108430997
108472781
108475029
108493558
108688375
109033007
109853392
675590308
676197134
676495214
676544545
676903555
676903768
676928698
677506151
677515094
677855092
678056332
1038016034
1038017013
1038017722
1038017801
1038021085
1038026564
1261705645
1261892946
1261893104
1262493448
1317292143
1445913404
1483449208
1538030013
1796240992
1810714375
1822682327
1863651576
1869846546
1887437193
1966551276
1966554617
2033248408
108474423
109034177
675576819
676103422
676103499
676103499
676357356
676481376
676628302

BIMBI KUKUH AGIANTO PERDANA


SITI MUDRIKAH
ELLY ASTUTININGSIH
ABDUL AZIZ
SUSANTA

JARIYAN
ROSIYAM
KADINAH
RIRIN MUAWANAH
RIRIN MUAWANAH
RIRIN MUAWANAH
LILIK PUJIARTI
SUPIYAH
KORNIAWATI
SIH PANGESTU
AZHRA LINTANG F
VINDA RATNA SARI
MUJIATI
SUYONO
MUINI
FEBRI
SITI KALIMAH
ERISA FITRIA R
SUTIYEM
TUMINI
SAMPUNAH
ALEX ARDIANSAYAH P
RIKA
SUNARSIH
WAKIDI
SUPIAH
PANCA KRISTINA
MISTINAWATI
ANITA SYAHRIYAH
AL MAHIRA SYAKHI MAFAZA MOKSIN
DJOKO SUTRISNO
SUMARMI
NIKA NUR HIDAYAH
MIRATUN ASTUTIK
CHOIRI
MINAH
MERINDA AURELLITA AGUSTIN
SUWONO
MUSRIANINGSIH
MUANAM
EVA NIRMALA
HARTUTIK
SUPRAPTI
EKO WINARSIH
SUNYATA
JASMITO BAGYO
BAMBANG BEJO S
ROMLAH
JIKEN
RAHAYU TRI
IMAM BUKHORI
GANANG
VIKANINUR
SUKI
PURWATI
SUTINAH
SUCI RAHAYU
KASTURI
FIRDA DIAN P
PAMUJI
MUSIYAH
YAUMI
MONAH
SRI MULYATI
ERNI SUGIARTI
SHABRINA DINI AMALINA
SRIAMINI
MU'AWANAH
SUTINI
RUMINI
SAIFUL SALBIYAH
SUKEMI
MUSLIMAH
DEWA VICCANA SAPUTRA
ROCH. ARI SRI SUBEKTI
MARSUTI
IVO GOVINDA DIXON DARMAWAN
BELVANA OZORA HIMMATANA
CITTA FULCA LIYA FURAIDAH
SUWONDO
SUNIATI
JASKOER
SITI PURWANTI
SOKIP
LEGIYEM
LEGIYEM
NUR SHOLEKAH
PUDJI RAHAYU
ISTIQOMAH

TIDAK
TIDAK

Myalgia
TIDAK
Headache
TIDAK
Allergic contact dermatitis due to metals
TIDAK
Supervision of normal first pregnancy
TIDAK
Supervision of normal first pregnancy
TIDAK
Pulpitis
TIDAK
Diarrhoea and gastroenteritis of presumed infectious origin
TIDAK
Rheumatism, unspecified
TIDAK
Headache
TIDAK
Myalgia
TIDAK
Periapical abscess without sinus
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Rheumatism, unspecified
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Non-insulin-dependent diabetes mellitus with coma
TIDAK
Other acute gastritis
TIDAK
Dyspepsia
TIDAK
Headache
TIDAK
Headache
TIDAK
Recurrent oral aphthae
TIDAK
Supervision of normal first pregnancy
TIDAK
Acute upper respiratory infection, unspecified
TIDAK
Headache
TIDAK
Essential (primary) hypertension
TIDAK
Headache
TIDAK
Acute haemorrhagic gastritis
TIDAK
Myalgia
TIDAK
Acute laryngopharyngitis
TIDAK
Essential (primary) hypertension
TIDAK
Essential (primary) hypertension
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Headache
TIDAK
Tuberculosis of lung, confirmed by sputum microscopy with or withouTIDAK
Myalgia
TIDAK
Malignant neoplasm of ovary
YA
Hordeolum and other deep inflammation of eyelid
TIDAK
Acute laryngopharyngitis
TIDAK
Allergic urticaria
TIDAK
Myalgia
TIDAK
Other acute gastritis
TIDAK
Myalgia
TIDAK
Headache
TIDAK
Low back pain
YA
Essential (primary) hypertension
TIDAK
Myalgia
TIDAK
Myalgia
TIDAK
Myalgia
TIDAK
Arrested dental caries
TIDAK
Essential (primary) hypertension
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Allergic urticaria
TIDAK
Headache
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Headache
TIDAK
Headache
TIDAK
Myalgia
TIDAK
Myalgia
TIDAK
Acute laryngopharyngitis
TIDAK
Deposits [accretions] on teeth
TIDAK
Deposits [accretions] on teeth
TIDAK
Heart failure, unspecified
YA
Dyspepsia
TIDAK
Myalgia
TIDAK
Non-insulin-dependent diabetes mellitus with neurological complicat YA
Myalgia
TIDAK
Myalgia
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Myalgia
TIDAK
Essential (primary) hypertension
TIDAK
Acute laryngopharyngitis
TIDAK
Dyspepsia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Headache
TIDAK
Myalgia
TIDAK
Senile nuclear cataract
YA
Essential (primary) hypertension
TIDAK
Allergic urticaria
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Non-insulin-dependent diabetes mellitus without complications
TIDAK
Myalgia
TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Other acute gastritis
TIDAK

1103
1104

4/23/2016
4/23/2016

676912781 SITI ROBIAH


676962832 YULIATIN

Non-insulin-dependent diabetes mellitus with coma


Acute laryngopharyngitis

TIDAK
TIDAK

1105
1106
1107

4/23/2016
4/23/2016
4/23/2016

677031895 SITI KHOMARIYAH


677101094 SUGIARTI
677247412 SUMIATI

Dyspepsia
Urogenital trichomoniasis
Urogenital trichomoniasis

TIDAK
TIDAK
TIDAK

1108
1109
1110

4/23/2016
4/23/2016
4/23/2016

677392031 AMAD R
677479307 SAMPUN
677818732 MISILAH

Benign lipomatous neoplasm of skin and subcutaneous tissue of hea TIDAK


Essential (primary) hypertension
TIDAK
Acute upper respiratory infection, unspecified
TIDAK

1111
1112
1113
1114
1115

4/23/2016
4/23/2016
4/23/2016
4/23/2016
4/23/2016

678035079
678051303
678096718
1038016438
1038016462

1116
1117
1118

4/23/2016
4/23/2016
4/23/2016

1038028678 SUMARI
1038033145 AGUSTINA DWI
1264981296 MOH. OHAN HANAFI SUHARNA

Myalgia
Acute nasopharyngitis [common cold]
Myalgia

TIDAK
TIDAK
TIDAK

1119
1120
1121

4/23/2016
4/23/2016
4/23/2016

1264981533 SUMILAH
1833598743 SUPARMAN
1841902356 PUJI SARI

Acute laryngopharyngitis
Acute upper respiratory infection, unspecified
Malignant neoplasm of pelvic bones, sacrum and coccyx

TIDAK
TIDAK
YA

1122
1123
1124

4/23/2016
4/23/2016
4/25/2016

1858761303 SUMIRAH
2033238881 KETANG
108133874 SUKATMI

Insulin-dependent diabetes mellitus with neurological complications YA


Myalgia
TIDAK
Headache
TIDAK

1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
1169
1170
1171
1172
1173
1174
1175
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1212
1213

4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/25/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016

108258974
108267491
108329387
108655312
108967511
108967522
108967792
109025897
109775079
109910406
110018204
152081313
170039406
195976989
675737493
676152358
676337534
676689805
676698783
676733229
676766564
676766597
676766981
676796231
676832343
676832455
676835605
676848881
676916864
676966206
676995636
677011419
677012488
677344184
677477801
677480196
677497206
677557348
677601707
677601707
677661669
677695331
677869716
677870065
678026867
678030491
678044081
678044665
678201388
1038017507
1038023741
1038024887
1038026654
1038027565
1038028656
1038028667
1038030456
1038032785
1038034844
1261498689
1325133641
1451686599
1452235105
1790522054
1841406524
1847366346
1880999054
1963493616
99764864
108222849
108222862
108224043
108235438
108260381
108267456
108430154
108430997
108472781
108489701
109025897
109753648
109831353
109831364
169914611
197483231
675584807
676489792
676503393
676615127

Acute transmural myocardial infarction of inferior wall


Essential (primary) hypertension
Non-insulin-dependent diabetes mellitus with coma
Myalgia
Non-insulin-dependent diabetes mellitus with neurological complicat
Insulin-dependent diabetes mellitus with neurological complications
Myalgia
Allergic urticaria
Acute periodontitis
Secondary polycythaemia
Non-insulin-dependent diabetes mellitus without complications
Myalgia
Non-insulin-dependent diabetes mellitus with coma
Acute nasopharyngitis [common cold]
Acute haemorrhagic gastritis
Myalgia
Allergic contact dermatitis due to metals
Acute nasopharyngitis [common cold]
Non-insulin-dependent diabetes mellitus with coma
Disorder of refraction, unspecified
Rheumatism, unspecified
Rheumatism, unspecified
Headache
General counselling and advice on contraception
Essential (primary) hypertension
Acute nasopharyngitis [common cold]
Headache
Acute nasopharyngitis [common cold]
Acute upper respiratory infection, unspecified
Essential (primary) hypertension
Headache
Myalgia
Supervision of normal first pregnancy
Hordeolum and other deep inflammation of eyelid
Allergic contact dermatitis, unspecified cause
Other and unspecified cirrhosis of liver
Acute nasopharyngitis [common cold]
Myalgia
Headache
Acute nasopharyngitis [common cold]
Myalgia
Aplastic anaemia, unspecified
Allergic urticaria
Acute nasopharyngitis [common cold]
Acute laryngopharyngitis
Myalgia
Myalgia
Epilepsy, unspecified
Myalgia
Chronic apical periodontitis
Acute nasopharyngitis [common cold]
Headache
Acute nasopharyngitis [common cold]
Myalgia
Myalgia
Acute laryngopharyngitis
Essential (primary) hypertension
Headache
Acute laryngopharyngitis
Essential (primary) hypertension
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Supraventricular tachycardia
Myalgia
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Non-insulin-dependent diabetes mellitus with coma
Allergic contact dermatitis due to metals
Acute laryngopharyngitis
Caries of cementum
Thalassaemia, unspecified
Acute transmural myocardial infarction of inferior wall
Stroke, not specified as haemorrhage or infarction
Dyspepsia
Myalgia
Myalgia
Hyperplasia of prostate
Essential (primary) hypertension
Pulpitis
Myalgia
Myalgia
Essential (primary) hypertension
Essential (primary) hypertension
Essential (primary) hypertension
Essential (primary) hypertension
Headache
Myalgia

KUSWANDI
SUWITA SARI
SUKARTI
JUMIATI
ANDIKA HANDA PUTRA

DWIONO SUSILO
KASMINI
ICHWANTO,SH
KASMIATI
MUBANI
PONAMI
MUJATNO
YUNUS
LILIK MISWATI
SITI MUTTOMINAH
LASMIATI,DRA.
KHUSNUL KHOTIMAH
SUPRAPTI
MISIRAN
KANIPAH
WIDALBO
SUBANDI
MUNTIAH
PAERAN
AYU AMALIA
PONIYEM
SUGIONO
KARTIN
ARIS ALPIN
KATIJAN
SUPRAPTI
SOLIKIN
WAGINAH
DWI AGUNG NUR CAHYO
KATIRAN
KORNIAWATI
ISUAINI
PUTRI YANIK
ANISA KUSUMA DEWI
SAMIYAH
LEGIMIN
RIZKI EFENDI
ALFINA IRMATIANI
TIAS WAHYUNI
TIAS WAHYUNI
MARNI
HAMAD KAMAL UDIN
MUJIANI
AHMAD R
SUKATI
ASMINAH
JUMINI
WIJI FAHMI
KUSNODIN
SULASTRI
MARTINI
MULYONO
INDAH SUNDARI
RINIKAH
SIRMAN
SUKARMI
SLAMET
MUSERIN
AMINUDIN
IMAM MUCHSIN
IMAM BASRI
ANIK MASFUFAH
DJOKO SUTRISNO
PARINI
SUPARMI
JOKO SUJIWAN
NIZAR RAMDAN KARVI
SLAMET
DARTO JUWONO
TIEN SUSIATI
AYU TENTI DIAHNINGTYAS
VERONICA LUCKY RETNOSARI
MIRZA ARASYID
WASIS RUDYATMOKO
DARDIRI ARIFIN
MUSRIANINGSIH
MUANAM
EVA NIRMALA
SONY SUMARTONO,DRS.MM.
YUNUS
MURNIATI
IMAM BISRI
MUTAMIMAH
ISMIATI
SUDARLINA
YATEMI
SUNARI
LAILATUL REZEKI
SULASTRI

Essential (primary) hypertension


TIDAK
Acute nasopharyngitis [common cold]
TIDAK
Non-insulin-dependent diabetes mellitus with neurological complicat YA
Essential (primary) hypertension
TIDAK
Acute nasopharyngitis [common cold]
TIDAK

YA
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

1214
1215

4/26/2016
4/26/2016

676771536 KADINAH
677012499 PONAH

Myalgia
Myalgia

TIDAK
TIDAK

1216
1217
1218

4/26/2016
4/26/2016
4/26/2016

677392031 AMAD R
677556808 DIAN LESTARI
677718235 SITI JUARIAH

Allergic contact dermatitis due to metals


Acute nasopharyngitis [common cold]
Headache

TIDAK
TIDAK
TIDAK

1219
1220
1221

4/26/2016
4/26/2016
4/26/2016

677742985 RIWAYATI
677743964 MUHAMMAD RIDHO R
678002534 AGUS MAILIK

Myalgia
Allergic contact dermatitis due to metals
Schizophrenia, unspecified

TIDAK
TIDAK
TIDAK

1222
1223
1224
1225
1226

4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016

678035079
678094312
678175402
1038023662
1038029758

Essential (primary) hypertension


Myalgia
Essential (primary) hypertension
Urogenital trichomoniasis
Myalgia

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

1227
1228
1229

4/26/2016
4/26/2016
4/26/2016

1038030783 ABU BAKAR


1038030939 BUDIONO
1038032616 MADA IM

Acute nasopharyngitis [common cold]


Headache
Headache

TIDAK
TIDAK
TIDAK

1230
1231
1232

4/26/2016
4/26/2016
4/26/2016

1267112092 SUPARNO
1269416711 ENDANG ELYS YUDOWATI
1311388334 KUNTANAL BIRRO

Essential (primary) hypertension


Allergic contact dermatitis due to metals
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK

1233
1234
1235

4/26/2016
4/26/2016
4/26/2016

1538116479 SUNARTI
1538116503 BARAKA RAHARDIAN FAHREZA
1863651576 ROCH. ARI SRI SUBEKTI

Myalgia
Acute laryngopharyngitis
Caries of cementum

TIDAK
TIDAK
TIDAK

1236
1237
1238
1239
1240
1241
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1282
1283
1284
1285
1286
1287
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324

4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/26/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/27/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016
4/28/2016

1869846546
1883732848
1907573534
2038647969
2041806317
2044943313
108316596
108374477
167521533
167521893
675576819
675674493
676397744
676732667
676847013
677050942
677197506
677513529
677661669
678045611
1038039412
1038039669
1038039671
1109885343
1264981533
1264981803
1280044089
1426441443
1449090404
1787935555
1787935555
1787936589
1816852454
1834142466
1849879888
1851052836
1863651576
1864900282
1881287324
1888978836
1960809197
2048473484
105995968
108232042
108265814
108655312
108973113
109775079
673202002
673202002
673202002
675620144
676169649
676172621
676414359
676771536
676800112
676904782
676904782
676904782
677034639
677101094
677101094
677101094
677130366
677187112
677275615
677315248
677667644
677695735
677760658
677839869
677864621
677865047
677866329
678066827
1038017643
1038017979
1038031367
1038033145
1038037241
1263319143
1381829319
1389452589
1426197835
1444747296
1444747296
1444747296
1538116503

KUSWANDI
SUNARSIH
TUGIYO
SUMARNI
SUMINTO

MARSUTI
Essential (primary) hypertension
MASRUKIN
Essential (primary) hypertension
SUPONO
Essential (primary) hypertension
MOCHAMMAD ATHO`ILLAH
Acute nasopharyngitis [common cold]
RUBINGAH
Acute upper respiratory infection, unspecified
MARDIYAH
Essential (primary) hypertension
RINI
Acute nasopharyngitis [common cold]
ROESTAMADJI
Acute periodontitis
CICIK NASRIKAH
Acute nasopharyngitis [common cold]
CHIBERDA SYARLA ZETA
Acute upper respiratory infection, unspecified
SITI PURWANTI
Essential (primary) hypertension
MARIYAH
Insulin-dependent diabetes mellitus with neurological complications
SUBANDI AGUNG NARESWORO
Myalgia
ANIK RIANA
Headache
MUHYIDIN
Predominantly allergic asthma
YATIM
Myalgia
KAMINI
Essential (primary) hypertension
RETNO W
Acute nasopharyngitis [common cold]
MARNI
Other acute gastritis
SITI MAESAROH
Urogenital trichomoniasis
PAINEM
Heart failure, unspecified
IMAM BUKHARI
Non-Hodgkin's lymphoma, unspecified type
BINTI SOLIKAH
Other acute gastritis
HADI WALUYO
Other acute gastritis
SUMILAH
Myalgia
RACHMAD PRASETYO
Deposits [accretions] on teeth
PUJI ASTUTI
Schizophrenia, unspecified
HARTI
Non-insulin-dependent diabetes mellitus without complications
ARIF SOEDARSONO
Pulpitis
BAHRUDDIN
Pulpitis
BAHRUDDIN
Acute nasopharyngitis [common cold]
IMA ROSITA
Acute nasopharyngitis [common cold]
PIRNATUN
Non-insulin-dependent diabetes mellitus without complications
DEWI MARIYAM
Other acute gastritis
WIWIK WIDANINGSIH
Pulpitis
MUHAMMAD HUSAIN 'ATHAA-ILLAH D Acute nasopharyngitis [common cold]
ROCH. ARI SRI SUBEKTI
Caries of cementum
PURWONINGSIH
Insulin-dependent diabetes mellitus with neurological complications
SULASMI
Other general examinations
KATINAH
Insulin-dependent diabetes mellitus with neurological complications
RIZKI ANINDYA PUTRI
Premature rupture of membranes, labour delayed by therapy
NUR CHOLIYAH
Malignant neoplasm of breast, unspecified
SAMSIYAH
Essential (primary) hypertension
ALI ERPAN
Allergic contact dermatitis due to metals
FIKA UNSI UMMI ROBI
Acute nasopharyngitis [common cold]
KASMIATI
Myalgia
SRI ARTINI
Acute laryngopharyngitis
LILIK MISWATI
Deposits [accretions] on teeth
SITI HINDUN
Supervision of normal first pregnancy
SITI HINDUN
Supervision of normal first pregnancy
SITI HINDUN
Pulpitis
SURIPTO
Senile incipient cataract
NURDATIN
Non-insulin-dependent diabetes mellitus without complications
MOH LUTFI SHAHNARULIA
Acute nasopharyngitis [common cold]
ARIFIN
Schizophrenia, unspecified
KADINAH
Allergic urticaria
JAITUN
Insulin-dependent diabetes mellitus with neurological complications
SRI ASTUTIK
Supervision of normal first pregnancy
SRI ASTUTIK
Supervision of normal first pregnancy
SRI ASTUTIK
Pulpitis
PURNOMO
Mucopurulent conjunctivitis
SUGIARTI
Pulpitis
SUGIARTI
Supervision of normal first pregnancy
SUGIARTI
Supervision of normal first pregnancy
KHOLIKAH
Predominantly allergic asthma
KASIYAH
Myalgia
M DIMAS
Acute nasopharyngitis [common cold]
SUBARI
Myalgia
SUNARTI
Myalgia
KARMINI
Chronic obstructive pulmonary disease, unspecified
LASMINAH
Essential (primary) hypertension
MARTI'AH
Caries of cementum
SANUSI
Acute laryngopharyngitis
BADRIATUL MUNAWAROH
Acute nasopharyngitis [common cold]
SHOLIFUL H
Acute nasopharyngitis [common cold]
SATIRAH
Mucopurulent conjunctivitis
SUMARMI
Acute laryngopharyngitis
KATIYEM
Myalgia
HERU KUSUMAWATI
Other acute gastritis
AGUSTINA DWI
Predominantly allergic asthma
SUPIYAH
Insulin-dependent diabetes mellitus with neurological complications
KASINAH
Acute transmural myocardial infarction of inferior wall
DENOK AFANTY KUSWORO ADI
Anaemia, unspecified
SUJADI
Myalgia
SAMURI
Headache
NURUL LAILATUL FUAD
Supervision of normal first pregnancy
NURUL LAILATUL FUAD
Supervision of normal first pregnancy
NURUL LAILATUL FUAD
Pulpitis
BARAKA RAHARDIAN FAHREZA
Acute laryngopharyngitis

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
YA
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

1325
1326

4/28/2016
4/28/2016

1797758122 ISMAIL
1809797027 ZUNETA SARI

Acute nasopharyngitis [common cold]


Supervision of normal first pregnancy

TIDAK
TIDAK

1327
1328
1329

4/28/2016
4/28/2016
4/28/2016

1881287324 SULASMI
1969510511 JUMINTEN
2033238881 KETANG

Stroke, not specified as haemorrhage or infarction


Myalgia
Other acute gastritis

YA
TIDAK
TIDAK

1330
1331
1332

4/28/2016
4/28/2016
4/28/2016

2041926287 YENI RIFATUL MAHMUDAH


2041926287 YENI RIFATUL MAHMUDAH
2041926287 YENI RIFATUL MAHMUDAH

Supervision of normal first pregnancy


Supervision of normal first pregnancy
Pulpitis

TIDAK
TIDAK
TIDAK

1333
1334
1335
1336
1337

4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016

102845935
108098583
108228183
108267491
108267513

Essential (primary) hypertension


Myalgia
Allergic urticaria
Myalgia
Headache

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

1338
1339
1340

4/29/2016
4/29/2016
4/29/2016

108480317 DAMIATUN
108973091 SOEWARNO
170047214 KHOLIYAH

Myalgia
Acute nasopharyngitis [common cold]
Myalgia

TIDAK
TIDAK
TIDAK

1341
1342
1343

4/29/2016
4/29/2016
4/29/2016

197483231 SUDARLINA
675628738 INAYAH
675742465 ZAENAB

Essential (primary) hypertension


Periapical abscess with sinus
Chronic apical periodontitis

TIDAK
TIDAK
TIDAK

1344
1345
1346

4/29/2016
4/29/2016
4/29/2016

675760318 SUMIATI
676075803 ANDINI SURYAWATI
676397744 SUBANDI AGUNG NARESWORO

Mucopurulent conjunctivitis
Pulpitis
Myalgia

TIDAK
TIDAK
TIDAK

1347
1348
1349
1350
1351
1352
1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382
1383
1384
1385
1386
1387
1388
1389
1390
1391
1392
1393
1394
1395
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411
1412
1413
1414
1415
1416
1417
1418
1419
1420

4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/29/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016
4/30/2016

Stroke, not specified as haemorrhage or infarction


Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Myalgia
Acute nasopharyngitis [common cold]
Myalgia
Essential (primary) hypertension
Allergic urticaria
Other acute gastritis
Acute nasopharyngitis [common cold]
Typhoid fever
Myalgia
Acute nasopharyngitis [common cold]
Acute laryngopharyngitis
Predominantly allergic asthma
Acute upper respiratory infection, unspecified
Dyspepsia
Other acute gastritis
Myalgia
Allergic urticaria
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Myalgia
Acute nasopharyngitis [common cold]
Myalgia
Necrosis of pulp
Allergic contact dermatitis due to metals
Acute nasopharyngitis [common cold]
Disturbances in tooth eruption
Myalgia
Essential (primary) hypertension
Acute upper respiratory infection, unspecified
General counselling and advice on contraception
Acute nasopharyngitis [common cold]
Pulpitis
Streptococcal tonsillitis
Acute laryngopharyngitis
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Essential (primary) hypertension
Acute haemorrhagic gastritis
Acute haemorrhagic gastritis
Acute haemorrhagic gastritis
Acute haemorrhagic gastritis
Acute haemorrhagic gastritis
Myalgia
Headache
Other acute gastritis
Acute upper respiratory infection, unspecified
Myalgia
Abscess of external ear
Non-insulin-dependent diabetes mellitus with coma
Allergic urticaria
Non-insulin-dependent diabetes mellitus with coma
Essential (primary) hypertension
Allergic urticaria
Myalgia
Essential (primary) hypertension
Essential (primary) hypertension
Predominantly allergic asthma
Allergic contact dermatitis due to metals
Myalgia
Non-insulin-dependent diabetes mellitus without complications
Myalgia
Non-insulin-dependent diabetes mellitus without complications
Non-insulin-dependent diabetes mellitus without complications
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold]
Myalgia
Mucopurulent conjunctivitis
Typhoid fever
General counselling and advice on contraception
Acute nasopharyngitis [common cold]

TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK

676832343
676865553
676890044
677014773
677067805
677186471
677211309
677477801
677562603
677562772
677563198
677576338
677593912
678141933
678158357
1038016438
1038026564
1038027565
1038034012
1288998191
1308223991
1849809688
1852333536
1869846546
2046639565
108234099
198431289
206666076
206680228
676045495
676400051
676716039
676718223
676811665
676811744
676811744
676827753
677033043
677073857
677152146
677280148
677480196
677493685
677518211
677526074
677526873
677527119
677533105
677601821
677702867
677839869
677841996
677999981
678015022
678028375
678035079
1038025181
1038028678
1038033123
1261498689
1325133641
1372444648
1427671315
1477994185
1815983616
1815991255
1816852454
1851052138
1851052836
1858761303
1881671534
1891082035
2046621677
2046626583

SITI MUTOMIMAH
NETTY MURHAWATI,DRA.
SUWONO
KASMINI
SULIS ERIYANTO

KATIJAN
SUWARNO
JUMINTEN
SIH PANGESTU
RIZA AZHARI
SUTINI
SUPINGAH
SAMIYAH
MISAROH
EVANTA H
ADINDA A
SAPARI
AURELIA PUTRI N
SUPI
NURANI
JUMIATI
MONAH
RINIKAH
WAGIMAN
MARDI SANTOSO
AGUS ISWAHYUDI
ALISHA NOVI WULANDARI
ANTOK SUPRIANTO
MARSUTI
SURYA MAULANA MAGHRIBI
TRIATMUDJI
KOMARUDIN
LAMIYEM
INDRA RIANDA PAMUNGKAS
M SATRIA WIJAYA
SHOLIKAH S
BIBIT SULASTRI
ELLI FITRIANA
SRI WAHYUNI
DWI RAHMA A
DWI RAHMA A
KUSNUL KHOTIMAH
ADITYA NUR A
NIKY MILA RAFITA
FEBRI
MUSLIMATUN
LEGIMIN
SOYEM
EKO KRISTIYANTO
SUPINEM
SUNARTI
ENDAH UMARIAH
BUNASIH
WIWIK SUNARTI
NANDA
MARTI'AH
INATUL DWI
JASIR
AGA BINAR PRATAMA
SITI KHOSIYAH
KUSWANDI
RAFAEL YUGA P
SUMARI
MUSINI
IMAM MUCHSIN
IMAM BASRI
RAFI SANJAYA
SUKATI MUJIASTUTI
SUKAMTI
MULYONO
MUJINAH
PIRNATUN
MUHAMMAD HASAN 'ATHAA-ILLAH BA
MUHAMMAD HUSAIN 'ATHAA-ILLAH D
SUMIRAH
SUMARIYANTO
SUNARSIH
KAMSATUN
ELY SETYO WATI

JUMLAH KUNJUNGAN SAKIT BPJS 1420


KUNJUNGAN BPJS YANG DIRUJUK 120

Kepala UPTD Puskesmas Ngasem

dr. MUSTADHIM
NIP: 19710605 200212 1011