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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1 31/01/201 241301030118Y001385 0000146994658 DORCE MANU P PNS DAERAH Dysphonia YA
2 31/01/201 241301030118Y001440 0000147057232 JONAS EGBERTH S. L PENERIMA PENSIUN Conjunctivitis, unspecified TIDAK
3 31/01/201 241301030118Y001452 0000147785185 YUMINCE FAOT TAKUBESSI P PNS PUSAT Essential (primary) hypertension TIDAK
4 31/01/201 241301030118Y001449 0000149850955 JONATHAN KANDA METE L PENERIMA PENSIUN TNI Diarrhoea and gastroenteritis of TIDAK
5 31/01/201 241301030118Y001457 0000149937568 SITI AMINAH P PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
6 31/01/201 241301030118Y001462 0000150002561 SAUL TAFETIN L PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
7 31/01/201 241301030118Y001453 0000150105587 SIMON PETRUS NENOBAIS L PNS DAERAH Predominantly allergic asthma TIDAK
8 31/01/201 241301030118Y001379 0000150124318 ISAK M. FANGIDAE L PNS DAERAH Chronic ischaemic heart disease YA
9 31/01/201 241301030118Y001380 0000150129281 SYLVIA LOISA SOLO P PNS DAERAH Essential (primary) hypertension YA
10 31/01/201 241301030118Y001447 0000150130629 FERDI KAAT L PNS DAERAH Non-insulin-dependent diabetes TIDAK
11 31/01/201 241301030118Y001384 0000150244312 YEHESKIAL IBU L PNS DAERAH Essential (primary) hypertension YA
12 31/01/201 241301030118Y001444 0000851086359 FITRIANA TALANGGOE P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
13 31/01/201 241301030118Y001469 0000871730021 SILVESTER R HARI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
14 31/01/201 241301030118Y001454 0000871760125 GERALDO W ANIN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
15 31/01/201 241301030118Y001466 0000871802256 OLIVIA TITU KAJU P PBI (APBN) Acute upper respiratory infection, TIDAK
16 31/01/201 241301030118Y001451 0000872293318 SAMUEL SILA L PBI (APBN) Predominantly allergic asthma TIDAK
17 31/01/201 241301030118Y001465 0000872321005 AVRILIA DJARA DIMA P PBI (APBN) Other injuries of unspecified body TIDAK
18 31/01/201 241301030118Y001460 0000872477447 FRANSISKA UNENOR P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
19 31/01/201 241301030118Y001458 0000872646219 KHARIS I M TENIS L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
20 31/01/201 241301030118Y001442 0000872664513 ASRON PITAY L PBI (APBN) Essential (primary) hypertension TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
21 31/01/201 241301030118Y001459 0000872672949 MELKISEDEK BESITUBA L PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
22 31/01/201 241301030118Y001463 0000873026908 SANETA NALLE P PBI (APBN) Contraceptive management, TIDAK
23 31/01/201 241301030118Y001381 0000873030431 SOWHERIP LOE L PBI (APBN) Essential (primary) hypertension YA
24 31/01/201 241301030118Y001464 0000873045112 DANIEL MELKIANUS HARI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
25 31/01/201 241301030118Y001448 0001058903201 YEREMIAS ADU L PBI (APBN) Dyspepsia TIDAK
26 31/01/201 241301030118Y001439 0001062835582 WELEM RADJA L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
27 31/01/201 241301030118Y001446 0001080601143 ADI APRIANTO LOINENAK L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
28 31/01/201 241301030118Y001445 0001080601187 MEFI LOINENAK P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
29 31/01/201 241301030118Y001382 0001089870377 HESTY k. TAMONOB P PBI (APBN) Other disorders of electrolyte and fluid YA
30 31/01/201 241301030118Y001455 0001300448777 VINSENSIUS MUDE SIU L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
31 31/01/201 241301030118Y001467 0001431198202 EU RIZKY DAYANA PANDHU P PEKERJA MANDIRI Pregnancy confirmed TIDAK
32 31/01/201 241301030118Y001450 0001633197273 LAZRY HELLEN PAULA P PEGAWAI BUMN Dyspepsia TIDAK
33 31/01/201 241301030118Y001456 0001818701357 SHARON GRACIA LOVELY P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
34 31/01/201 241301030118Y001461 0001870424706 AMINAH ZARA ZATUNNUR L PEGAWAI PEMERINTAH Fever, unspecified TIDAK
35 31/01/201 241301030118Y001443 0001872547064 trifosa putra semota L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
36 31/01/201 241301030118Y001436 0002236675961 WULANDARI RIHI PATY P PEKERJA MANDIRI Pregnancy confirmed TIDAK
37 31/01/201 241301030118Y001441 0002246201673 JOSEPH LIONEL MESSI L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
38 31/01/201 241301030118Y001438 0002297930444 FEBI YURIKE BALE TODA P PEKERJA MANDIRI Other and unspecified abdominal pain TIDAK
39 31/01/201 241301030118Y001437 0002297930534 VANESA FREDAH DJO P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
40 31/01/201 241301030118Y001468 0002327815135 MARGARITA NOMLENI P PEKERJA MANDIRI Pregnancy confirmed TIDAK
41 30/01/201 241301030118Y001222 0000021904615 YULIUS FONI, ST L PNS PUSAT Panic disorder [episodic paroxysmal YA

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
42 30/01/201 241301030118Y001399 0000149782331 HANOK SILLA L PNS PUSAT Essential (primary) hypertension TIDAK
43 30/01/201 241301030118Y001369 0000149848817 FRANSISKA BEA GUDU P PENERIMA PENSIUN TNI Bacterial intestinal infection, TIDAK
44 30/01/201 241301030118Y001245 0000149863645 ELISABETH HOLO P PENERIMA PENSIUN TNI Examination of eyes and vision YA
45 30/01/201 241301030118Y001277 0000149899059 DANTJE DAMALEDO L PNS DAERAH Examination of eyes and vision YA
46 30/01/201 241301030118Y001391 0000149987507 THERESIA B. FERNANDEZ P PENERIMA PENSIUN Rheumatism, unspecified TIDAK
47 30/01/201 241301030118Y001264 0000149994178 ANNA ROZINA LEDO BILLIK P PENERIMA PENSIUN Essential (primary) hypertension YA
48 30/01/201 241301030118Y001383 0000150017106 DONA SARGINA MARSELA P PNS DAERAH Acute upper respiratory infection, TIDAK
49 30/01/201 241301030118Y001280 0000150237472 TINTJE MINGOTU - RATU P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
50 30/01/201 241301030118Y001275 0000153885159 VIKTORIA BANI P PNS DAERAH Pure hypercholesterolaemia TIDAK
51 30/01/201 241301030118Y001261 0000196407066 DESI RATNA TAUNAIS P PNS DAERAH Mucocele of salivary gland YA
52 30/01/201 241301030118Y001397 0000871012372 BERTA KOLO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
53 30/01/201 241301030118Y001392 0000871035671 FABIANUS B MAING L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
54 30/01/201 241301030118Y001227 0000871500093 MAGDALENA B NIRON P PBI (APBN) Essential (primary) hypertension TIDAK
55 30/01/201 241301030118Y001386 0000871545622 YULITA BAKO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
56 30/01/201 241301030118Y001387 0000871545947 SOVIA LENI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
57 30/01/201 241301030118Y001368 0000871558975 YUANDA LUDJI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
58 30/01/201 241301030118Y001367 0000871559302 JUAN RICARD L PBI (APBN) Acute upper respiratory infection, TIDAK
59 30/01/201 241301030118Y001388 0000871643531 TONI J RATULOLO L PBI (APBN) Headache TIDAK
60 30/01/201 241301030118Y001371 0000871739785 YOHANES BREGMANS L PBI (APBN) Acute upper respiratory infection, TIDAK
61 30/01/201 241301030118Y001235 0000871783301 RAME WANYNYI L PBI (APBN) Grand mal seizures, unspecified (with YA
62 30/01/201 241301030118Y001370 0000872164552 RAFAEL K MANUK L PBI (APBN) Chest pain, unspecified TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
63 30/01/201 241301030118Y001389 0000872461517 MARGARETHA A.H. P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
64 30/01/201 241301030118Y001212 0000872462428 NIKOLAS SELLU L PBI (APBN) Non-insulin-dependent diabetes YA
65 30/01/201 241301030118Y001293 0000872845165 THERSIA M HAYON P PBI (APBN) Acute inflammation of orbit YA
66 30/01/201 241301030118Y001282 0000872892606 AGUSTINA RIHI UDJU P PBI (APBN) Otitis media, unspecified TIDAK
67 30/01/201 241301030118Y001395 0001448347454 JUNI ARTINA P PEKERJA MANDIRI Myalgia TIDAK
68 30/01/201 241301030118Y001238 0001448882954 THERSIA P PEKERJA MANDIRI Essential (primary) hypertension YA
69 30/01/201 241301030118Y001396 0001463549051 LEONARDUS ARKIAN L PEKERJA MANDIRI Headache TIDAK
70 30/01/201 241301030118Y001394 0001578702576 YERMIAS WABANG L PEGAWAI SWASTA Other and unspecified abdominal pain TIDAK
71 30/01/201 241301030118Y001289 0001820912231 SUHAIL MUTTAQI NABHAN L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
72 30/01/201 241301030118Y001294 0001847420594 NOVITARIA GRESTIAWATI P PEKERJA MANDIRI Routine postpartum follow-up TIDAK
73 30/01/201 241301030118Y001398 0001856495722 IMELDA OSRINA SILLA P PEKERJA MANDIRI Headache TIDAK
74 30/01/201 241301030118Y001276 0002067591655 PETRA MARSELINA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
75 30/01/201 241301030118Y001281 0002067591745 SOLEMAN GERALD L PEKERJA MANDIRI Otitis media, unspecified TIDAK
76 30/01/201 241301030118Y001250 0002088917043 LIS MANSYUR-KELUANAN P PEKERJA MANDIRI Examination of eyes and vision YA
77 30/01/201 241301030118Y001365 0002195365318 AGNESIA TAWA ANA HALO P PEKERJA MANDIRI Routine postpartum follow-up TIDAK
78 30/01/201 241301030118Y001393 0002202534527 PAULUS BOLLU ADU L PEKERJA MANDIRI Irritant contact dermatitis TIDAK
79 30/01/201 241301030118Y001400 0002231345801 BY NYONYA FEBRIYANI F L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
80 30/01/201 241301030118Y001278 0002232805408 JEREMI REYVALDO L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
81 30/01/201 241301030118Y001274 0002265525437 MELISA MAGDALINA TOH P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
82 30/01/201 241301030118Y001364 0002289537415 ana novita sari siringoringo P PEKERJA MANDIRI Pregnancy confirmed TIDAK
83 30/01/201 241301030118Y001279 0002316487599 NURNELA ORA PAU P PEKERJA MANDIRI Predominantly allergic asthma TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
84 30/01/201 241301030118Y001366 0002322927472 BY NYONYA AGNESIA TAWA P PEKERJA MANDIRI Routine child health examination TIDAK
85 30/01/201 241301030118Y001211 0002419258252 ELISABETH OSE DONI P PEKERJA MANDIRI Other benign neoplasm of connective YA
86 29/01/201 241301030118Y001206 0000146926361 ANSELMUS NONG L PNS DAERAH Essential (primary) hypertension YA
87 29/01/201 241301030118Y001138 0000147102456 DJAMILA MUHAMAD P PENERIMA PENSIUN Presence of intraocular lens YA
88 29/01/201 241301030118Y001429 0000147274457 Sem D. T. AMNIFU L PENERIMA PENSIUN Predominantly allergic asthma TIDAK
89 29/01/201 241301030118Y001422 0000147973498 ARNOLDUS TONDA L PNS DAERAH Retained dental root TIDAK
90 29/01/201 241301030118Y001424 0000148931098 DEWI SANTHY WIRABUANA P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
91 29/01/201 241301030118Y001202 0000149636608 NAOMI SOFIA BANA P PNS DAERAH Examination of eyes and vision YA
92 29/01/201 241301030118Y001201 0000149636621 IRA YUNITA NUHALAWANG P PNS DAERAH Examination of eyes and vision YA
93 29/01/201 241301030118Y001203 0000149768278 ZACHARIAS NABEN L PENERIMA PENSIUN Sensorineural hearing loss, unspecified YA
94 29/01/201 241301030118Y001430 0000149770337 AGUSTINA YUBLINA PAA P PNS PUSAT Myalgia TIDAK
95 29/01/201 241301030118Y001267 0000149800836 MANUELA MONIZ SOARES P PNS PUSAT Essential (primary) hypertension TIDAK
96 29/01/201 241301030118Y001428 0000149811107 DAMIANA DETHAN P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
97 29/01/201 241301030118Y001434 0000149838524 YANI LAKISINA L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
98 29/01/201 241301030118Y001287 0000149853396 MARSELINA WAINGU BANI P PENERIMA PENSIUN TNI Allergic contact dermatitis, unspecified TIDAK
99 29/01/201 241301030118Y001433 0000149959078 HJ. NURJANNAH H. WAHAB P PENERIMA PENSIUN Diarrhoea and gastroenteritis of TIDAK
100 29/01/201 241301030118Y001192 0000149989173 HENDRIKUS NAI, SH L PENERIMA PENSIUN Non-insulin-dependent diabetes YA
101 29/01/201 241301030118Y001207 0000150102516 YOHANA NAILIU P PNS DAERAH Thyrotoxicosis, unspecified YA
102 29/01/201 241301030118Y001199 0000150130629 FERDI KAAT L PNS DAERAH Non-insulin-dependent diabetes YA
103 29/01/201 241301030118Y001134 0000150184629 JASINTA KELENDONU - P PNS DAERAH Non-insulin-dependent diabetes TIDAK
104 29/01/201 241301030118Y001435 0000170739371 GLENNARDO IMANUEL L PNS DAERAH Cutaneous abscess, furuncle and TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
105 29/01/201 241301030118Y001421 0000200806571 DAMARIS BENU - RAMU P PNS DAERAH Retained dental root TIDAK
106 29/01/201 241301030118Y001390 0000209264242 PHILIP MEY LANDRO L PNS DAERAH Otitis media, unspecified TIDAK
107 29/01/201 241301030118Y001268 0000871030225 WELEMMAKONIMAU L PBI (APBN) Dyspepsia TIDAK
108 29/01/201 241301030118Y001262 0000871555623 STOLING Y LEO L PBI (APBN) Necrosis of pulp TIDAK
109 29/01/201 241301030118Y001431 0000871641257 LIDYA c. LAY LADO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
110 29/01/201 241301030118Y001273 0000871648817 AGUSTINUS AKOIT L PBI (APBN) Cough TIDAK
111 29/01/201 241301030118Y001292 0000871667368 MUSA TANEO L PBI (APBN) Tuberculosis of lung, bacteriologically TIDAK
112 29/01/201 241301030118Y001425 0000871723337 MARIANA Y D P PBI (APBN) Dyspepsia TIDAK
113 29/01/201 241301030118Y001361 0000871824982 AFIRSA LAY LELE P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
114 29/01/201 241301030118Y001360 0000872057046 FARIDA ULY P PBI (APBN) Acute upper respiratory infection, TIDAK
115 29/01/201 241301030118Y001359 0000872059004 ROLAN ULY L PBI (APBN) Other forms of stomatitis TIDAK
116 29/01/201 241301030118Y001353 0000872091718 NOVIANI SESUAO P PBI (APBN) Adverse effects in the therapeutic use TIDAK
117 29/01/201 241301030118Y001354 0000872101269 EDITRUDIS LALUS P PBI (APBN) Contraceptive management, TIDAK
118 29/01/201 241301030118Y001363 0000872131667 JONDTRON KALE L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
119 29/01/201 241301030118Y001423 0000872253898 MARTA PENU P PBI (APBN) Essential (primary) hypertension TIDAK
120 29/01/201 241301030118Y001208 0000872311162 ROSINA LAMEN P PBI (APBN) Pregnancy confirmed TIDAK
121 29/01/201 241301030118Y001129 0000872314615 ADENGA BUKANG P PBI (APBN) Essential (primary) hypertension YA
122 29/01/201 241301030118Y001432 0000872453867 SINTA POLIN P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
123 29/01/201 241301030118Y001291 0000872536623 THERESIA LUDJI P PBI (APBN) Headache TIDAK
124 29/01/201 241301030118Y001426 0000872553835 YOHANIS METAN L PBI (APBN) Otitis media, unspecified TIDAK
125 29/01/201 241301030118Y001355 0000872644206 PAULINA HAPPU P PBI (APBN) Acute upper respiratory infection, TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
126 29/01/201 241301030118Y001352 0000872673377 YUNITA YULIANA PENIGEKA P PBI (APBN) Contraceptive management, TIDAK
127 29/01/201 241301030118Y001209 0000872847696 YUNITA SASI P PBI (APBN) Pregnancy confirmed TIDAK
128 29/01/201 241301030118Y001358 0000872874483 PETRONELA RIHI HEKE P PBI (APBN) Dyspepsia TIDAK
129 29/01/201 241301030118Y001290 0000873030431 SOWHERIP LOE L PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
130 29/01/201 241301030118Y001205 0001059299122 ISABELA HURINT P PBI (APBN) Non-insulin-dependent diabetes YA
131 29/01/201 241301030118Y001132 0001062884384 WIWIEK SUKENI WAKE P PBI (APBN) Non-insulin-dependent diabetes TIDAK
132 29/01/201 241301030118Y001288 0001062887613 YOHANES LOLO L PBI (APBN) Cutaneous abscess, furuncle and TIDAK
133 29/01/201 241301030118Y001351 0001082145554 GETRUDIS ARAKAT P PNS DAERAH Adverse effects in the therapeutic use TIDAK
134 29/01/201 241301030118Y001362 0001090055531 NELFI AFLIANA TALLO P PBI (APBN) Myalgia TIDAK
135 29/01/201 241301030118Y001260 0001288777307 MARIA SAUDALE NAUK P PEKERJA MANDIRI Caries of dentine TIDAK
136 29/01/201 241301030118Y001356 0001800145888 GILBERT SUEK L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
137 29/01/201 241301030118Y001263 0001852950363 DOLLY FATRIASTI P PEGAWAI PEMERINTAH Necrosis of pulp TIDAK
138 29/01/201 241301030118Y001204 0001860498988 TIVANY RIANTI TERAMAHI P PEKERJA MANDIRI Foreign body in ear YA
139 29/01/201 241301030118Y001357 0001861857461 RAFELA JOSEPHA ONA L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
140 29/01/201 241301030118Y001265 0001864614058 MEISA CIKA RAHMA V. P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
141 29/01/201 241301030118Y001266 0001890400241 yati chahyani langotek P PEKERJA MANDIRI Myalgia TIDAK
142 29/01/201 241301030118Y001272 0002225587386 NAEMA KAMESA GERIMU P PEGAWAI SWASTA Dyspepsia TIDAK
143 29/01/201 241301030118Y001210 0002229290458 DESTI MELA NOPE P PEKERJA MANDIRI Pregnancy confirmed TIDAK
144 29/01/201 241301030118Y001270 0002231278705 APPELLES BELLA L PEKERJA MANDIRI Headache TIDAK
145 29/01/201 241301030118Y001177 0002272875219 MINUHARI P PEKERJA MANDIRI Insulin-dependent diabetes mellitus YA
146 29/01/201 241301030118Y001269 0002297889538 by nyonya MARLINA EFRINA L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
147 29/01/201 241301030118Y001427 0002300727543 ZAYLA DAMIA PURNAIPTU P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
148 29/01/201 241301030118Y001271 0002303877745 lentji amalo rihi L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
149 27/01/201 241301030118Y001113 0000149870079 SARTJIE BANGUHARI P PENERIMA PENSIUN TNI Non-insulin-dependent diabetes TIDAK
150 27/01/201 241301030118Y001416 0000150227987 YEMCI R. PANIE- P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
151 27/01/201 241301030118Y001417 0000150273033 BONEFASIUS HAMA L PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
152 27/01/201 241301030118Y001413 0000150305141 SESILIA KETONA P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
153 27/01/201 241301030118Y001187 0000871557996 POPIYEFRI LUDJI L PBI (APBN) Acute upper respiratory infection, TIDAK
154 27/01/201 241301030118Y001259 0000871804563 ANTONIA TAMEON P PBI (APBN) Pyoderma TIDAK
155 27/01/201 241301030118Y001415 0000871812617 DONISIUS B KALE L PBI (APBN) Acute pharyngitis, unspecified TIDAK
156 27/01/201 241301030118Y001414 0000871815914 yesaya KALE L PBI (APBN) Superficial injury of unspecified body TIDAK
157 27/01/201 241301030118Y001112 0000872293814 DORKAS SILA P PBI (APBN) Essential (primary) hypertension TIDAK
158 27/01/201 241301030118Y001193 0000872321005 AVRILIA DJARA DIMA P PBI (APBN) Superficial injury of unspecified body TIDAK
159 27/01/201 241301030118Y001349 0000872340265 VERONIKA MONORIHI P PBI (APBN) Contraceptive management, TIDAK
160 27/01/201 241301030118Y001190 0000872494784 DEBORA BAUNSELE P PBI (APBN) Dyspepsia TIDAK
161 27/01/201 241301030118Y001350 0000872665413 ORPA WABANG BEDA P PBI (APBN) Contraceptive management, TIDAK
162 27/01/201 241301030118Y001186 0000872686146 ELIASER AMALO L PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
163 27/01/201 241301030118Y001117 0000872690872 ANJELIKA EKO P PBI (APBN) Systemic lupus erythematosus, YA
164 27/01/201 241301030118Y001189 0000872723496 DELFIANTI I PAU RIWU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
165 27/01/201 241301030118Y001115 0000872845165 THERSIA M HAYON P PBI (APBN) Essential (primary) hypertension YA
166 27/01/201 241301030118Y001348 0001062887207 SUMARTINI PAWIRO P PBI (APBN) Contraceptive management, TIDAK
167 27/01/201 241301030118Y001114 0001852950363 DOLLY FATRIASTI P PEGAWAI PEMERINTAH Necrosis of pulp TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
168 27/01/201 241301030118Y001420 0001889490082 alfinsia CHERINA LEGHU P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
169 27/01/201 241301030118Y001418 0002092936419 FRANSISKA MARLENY NATA P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
170 27/01/201 241301030118Y001188 0002225729169 cantika P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
171 27/01/201 241301030118Y001116 0002249291261 THERESIA RADJA PADJI P PEKERJA MANDIRI Essential (primary) hypertension YA
172 27/01/201 241301030118Y001419 0002251463681 JAKLI PRATAMA KANA LOMI L PEGAWAI PEMERINTAH Conjunctivitis, unspecified TIDAK
173 26/01/201 241301030118Y001403 0000040194101 ROSYANI BIDASARI P PNS PUSAT Other and unspecified abdominal pain TIDAK
174 26/01/201 241301030118Y001284 0000147786129 YAKOBIS Z. NDII L PNS PUSAT Acute pharyngitis, unspecified TIDAK
175 26/01/201 241301030118Y001405 0000149257394 SOLEMAN MESSAKH L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
176 26/01/201 241301030118Y001102 0000149658928 MATHEUS ANTONIUS L PNS DAERAH Adhesive capsulitis of shoulder YA
177 26/01/201 241301030118Y001229 0000149691791 KRISTHIAN MAXMILIAN L PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
178 26/01/201 241301030118Y001228 0000149724246 JUBLIaNA L. MBAU P PEKERJA MANDIRI Tinea corporis TIDAK
179 26/01/201 241301030118Y001099 0000149748309 LAZARUS LETMAI L PENERIMA PENSIUN Examination of eyes and vision YA
180 26/01/201 241301030118Y001412 0000149751663 REGINA DE CARVALHO P PNS DAERAH Conjunctivitis, unspecified TIDAK
181 26/01/201 241301030118Y001104 0000149758075 SELFIUS SELAN L PNS DAERAH Essential (primary) hypertension YA
182 26/01/201 241301030118Y001230 0000149769279 JOSINA EBIE KAWA-FIA P PNS DAERAH Essential (primary) hypertension TIDAK
183 26/01/201 241301030118Y001404 0000149895009 AGUSTINA NURA P PENERIMA PENSIUN Urinary tract infection, site not TIDAK
184 26/01/201 241301030118Y001410 0000149996665 MARTHEN DAMALEDO L PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
185 26/01/201 241301030118Y001411 0000149996676 ALETHA DAMALEDO - P PENERIMA PENSIUN Cough TIDAK
186 26/01/201 241301030118Y001101 0000150210944 BENEDITA NUR P PNS DAERAH Essential (primary) hypertension YA
187 26/01/201 241301030118Y001407 0000150241419 RUT MALOLE DEQUELJOE P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
188 26/01/201 241301030118Y001105 0000150242589 KONSTANTINUS GANGGUR L PENERIMA PENSIUN Essential (primary) hypertension TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
189 26/01/201 241301030118Y001110 0000150245842 AGUSTINA NAGE P PNS DAERAH Non-insulin-dependent diabetes YA
190 26/01/201 241301030118Y001408 0000163318904 MICHAEL HELENRO TASSI L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
191 26/01/201 241301030118Y001251 0000204666298 ERWIN SYAHPUTRA L PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
192 26/01/201 241301030118Y001106 0000871541458 DESINGKE DANO P PBI (APBN) Pregnancy confirmed TIDAK
193 26/01/201 241301030118Y001252 0000871712087 AHMAD AKE L PBI (APBN) Urinary tract infection, site not TIDAK
194 26/01/201 241301030118Y001246 0000871824036 MERRY MARINCE ATTI P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
195 26/01/201 241301030118Y001286 0000871934488 JIJBAIDAH P PBI (APBN) Pulpitis TIDAK
196 26/01/201 241301030118Y001107 0000871954727 EDI GIUS BESAK L PBI (APBN) Special screening examination for YA
197 26/01/201 241301030118Y001094 0000872244876 ASNAT SIOKAIN P PBI (APBN) Senile cataract YA
198 26/01/201 241301030118Y001248 0000872295614 KETRIN SILA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
199 26/01/201 241301030118Y001108 0000872405414 YULIANA SAIYUNA P PBI (APBN) narthrosis [arthrosis of knee] YA
200 26/01/201 241301030118Y001183 0000872636253 CHRISTINA LALUS P PBI (APBN) Acute upper respiratory infection, TIDAK
201 26/01/201 241301030118Y001347 0000872939722 MARIYATA MOOY P PBI (APBN) Adverse effects in the therapeutic use TIDAK
202 26/01/201 241301030118Y001082 0001062379359 ANDE DAPA KUE L PBI (APBN) Inguinal hernia YA
203 26/01/201 241301030118Y001185 0001062884496 THERESIA DURU TEA P PBI (APBN) Cutaneous abscess, furuncle and TIDAK
204 26/01/201 241301030118Y001283 0001062887859 SAFIRA henukh P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
205 26/01/201 241301030118Y001184 0001090055531 NELFI AFLIANA TALLO P PBI (APBN) Myalgia TIDAK
206 26/01/201 241301030118Y001092 0001261990247 IMAKULATA ELDA NGONGO P PEKERJA MANDIRI Delivery by caesarean section, YA
207 26/01/201 241301030118Y001409 0001275271119 petrus damian d. g. wali L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
208 26/01/201 241301030118Y001406 0001276995982 NAYLA RENATALIA RIWU P PEGAWAI SWASTA Acute tonsillitis, unspecified TIDAK
209 26/01/201 241301030118Y001109 0001308301762 LENI LIE P PNS DAERAH Primary angle-closure glaucoma YA

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
210 26/01/201 241301030118Y001346 0001327062317 SISKA TABUN P PEKERJA MANDIRI Adverse effects in the therapeutic use TIDAK
211 26/01/201 241301030118Y001401 0001390525683 FABIO ALFRED L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
212 26/01/201 241301030118Y001111 0001450910992 TRI PASAGI L PEKERJA MANDIRI Other benign neoplasms of connective YA
213 26/01/201 241301030118Y001285 0001898292982 SEMEUL ADE PUTRA L PNS PUSAT Other and unspecified abdominal pain TIDAK
214 26/01/201 241301030118Y001103 0002039539667 HENDRICUS MAUBERE L PEKERJA MANDIRI Impacted teeth YA
215 26/01/201 241301030118Y001402 0002042287569 JASTIN ALVARO DJARA L PBI (APBN) Fever, unspecified TIDAK
216 26/01/201 241301030118Y001226 0002075261995 TRISTY KAREN P PNS DAERAH Routine child health examination TIDAK
217 26/01/201 241301030118Y001224 0002217494068 tiffany roswita ndun P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
218 25/01/201 241301030118Y000991 0000146949568 YULIUS STEFANUS DIMOE L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
219 25/01/201 241301030118Y000998 0000147104256 JULIANA P. MALAIRE A. P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
220 25/01/201 241301030118Y001050 0000147234262 MELANIA PILIS P PNS DAERAH Retained dental root TIDAK
221 25/01/201 241301030118Y001025 0000149634066 ELIASAR BOYMAU L PENERIMA PENSIUN Cough TIDAK
222 25/01/201 241301030118Y000997 0000149800836 MANUELA MONIZ SOARES P PNS PUSAT Essential (primary) hypertension TIDAK
223 25/01/201 241301030118Y000949 0000149801275 MARK CHARLI MANAFE L PNS PUSAT Corns and callosities YA
224 25/01/201 241301030118Y000955 0000149813908 EDYANTO FERDINANDUS L PNS DAERAH Nontoxic single thyroid nodule YA
225 25/01/201 241301030118Y001023 0000149821582 NURDIA NUREN P PNS PUSAT Haemoptysis TIDAK
226 25/01/201 241301030118Y000953 0000149964153 MARIANA M. NADAWEO P PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
227 25/01/201 241301030118Y001180 0000149993864 ANTHONIA APLUGI RANOH P PENERIMA PENSIUN Dyspepsia TIDAK
228 25/01/201 241301030118Y001062 0000149994178 ANNA ROZINA LEDO BILLIK P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
229 25/01/201 241301030118Y001181 0000150006295 DEBRINA WABANG LIBING P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
230 25/01/201 241301030118Y001027 0000150082266 HENY JUANLY GIRI P PNS DAERAH Pure hypercholesterolaemia TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
231 25/01/201 241301030118Y001000 0000150129281 SYLVIA LOISA SOLO P PNS DAERAH Essential (primary) hypertension TIDAK
232 25/01/201 241301030118Y000943 0000150184629 JASINTA KELENDONU - P PNS DAERAH Non-insulin-dependent diabetes YA
233 25/01/201 241301030118Y001026 0000150201718 AGNES IDALETA P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
234 25/01/201 241301030118Y001019 0000150227987 YEMCI R. PANIE- P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
235 25/01/201 241301030118Y001061 0000150237461 FREDRIK MINGOTU L PENERIMA PENSIUN Headache TIDAK
236 25/01/201 241301030118Y000966 0000150237472 TINTJE MINGOTU - RATU P PENERIMA PENSIUN Essential (primary) hypertension YA
237 25/01/201 241301030118Y000977 0000150265765 SIMEON BURENI L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
238 25/01/201 241301030118Y000946 0000150285756 GORAN TOKAN SELLY L PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
239 25/01/201 241301030118Y001052 0000164782225 CH. B. ANGGITA SILITONGA L PNS DAERAH Retained dental root TIDAK
240 25/01/201 241301030118Y001014 0000170739371 GLENNARDO IMANUEL L PNS DAERAH Cutaneous abscess, furuncle and TIDAK
241 25/01/201 241301030118Y001002 0000209066332 WINNER ARKHADIUS L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
242 25/01/201 241301030118Y001030 0000864342843 DAVID HENUKH L PBI (APBN) Benign lipomatous neoplasm of skin YA
243 25/01/201 241301030118Y001003 0000871515909 APRILIANA NEDI P PBI (APBN) Pyoderma TIDAK
244 25/01/201 241301030118Y000983 0000871529995 SHARA LAY P PBI (APBN) Urinary tract infection, site not TIDAK
245 25/01/201 241301030118Y001049 0000871555623 STOLING Y LEO L PBI (APBN) Necrosis of pulp TIDAK
246 25/01/201 241301030118Y001055 0000871758191 MARGARETHA ANIN P PBI (APBN) Chronic apical periodontitis TIDAK
247 25/01/201 241301030118Y001018 0000871836625 ARdY a.a. NABUASA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
248 25/01/201 241301030118Y000956 0000872165406 ADRIANA MANUK LOE P PBI (APBN) Fibroadenosis of breast YA
249 25/01/201 241301030118Y001004 0000872201081 MARNI CHR HENUK P PBI (APBN) Acute tonsillitis, unspecified TIDAK
250 25/01/201 241301030118Y001178 0000872279482 YEFNES S BENU P PBI (APBN) Myalgia TIDAK
251 25/01/201 241301030118Y001179 0000872282171 MARTIN BENU L PBI (APBN) Suppurative otitis media, unspecified TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
252 25/01/201 241301030118Y001345 0000872709761 THERESIA Y BANUSU P PEGAWAI SWASTA Pregnancy confirmed TIDAK
253 25/01/201 241301030118Y000980 0000872882212 AMELIA NENOBAIS P PBI (APBN) Delivery by emergency caesarean YA
254 25/01/201 241301030118Y001008 0000872908209 M REZI SYAHBAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
255 25/01/201 241301030118Y000993 0000873064405 YANE i. LAISKODAT P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
256 25/01/201 241301030118Y001047 0000873077411 YOHANis RIHI L PBI (APBN) Necrosis of pulp TIDAK
257 25/01/201 241301030118Y001028 0000873136901 FIDENTIUS DJIRA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
258 25/01/201 241301030118Y000996 0000873166419 CINTAMI ADOE P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
259 25/01/201 241301030118Y001038 0001062880795 WELMINCE BOY P PBI (APBN) Pregnancy confirmed TIDAK
260 25/01/201 241301030118Y001010 0001267940035 HILARION ZACHARIAS L PEGAWAI PEMERINTAH Tinea pedis TIDAK
261 25/01/201 241301030118Y000934 0001299347594 libriatika oktaviani gunawan P PNS PUSAT Examination of eyes and vision YA
262 25/01/201 241301030118Y000957 0001385902361 ADRIANUS SORU L PNS DAERAH Non-insulin-dependent diabetes YA
263 25/01/201 241301030118Y001042 0001578849333 MILKA E NIAN P PEGAWAI SWASTA Pregnancy confirmed TIDAK
264 25/01/201 241301030118Y001021 0001655872569 Cornelia E Isliko P PEGAWAI SWASTA Allergic rhinitis, unspecified TIDAK
265 25/01/201 241301030118Y000981 0001858616098 hernan juan musa letfra L PNS DAERAH Fever, unspecified TIDAK
266 25/01/201 241301030118Y001036 0001896027658 SITI MUNJAYANI P PEKERJA MANDIRI Low back pain, lumbosacral region YA
267 25/01/201 241301030118Y001054 0002054260721 SIMON MARKUS NGILI L PEGAWAI PEMERINTAH Chronic apical periodontitis TIDAK
268 25/01/201 241301030118Y001033 0002057178993 YUMITA AGSMIRA BANU P PEKERJA MANDIRI Pregnancy confirmed TIDAK
269 25/01/201 241301030118Y001016 0002061019102 MUHAMAD HIJRAN L PEGAWAI SWASTA Respiratory disorders in diseases TIDAK
270 25/01/201 241301030118Y000989 0002065706594 SUWITNO SULAIMAN L PEKERJA MANDIRI Cutaneous abscess, furuncle and TIDAK
271 25/01/201 241301030118Y000988 0002231278705 APPELLES BELLA L PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
272 25/01/201 241301030118Y001012 0002251576078 NEYSHA GLORIA DOKE P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
273 25/01/201 241301030118Y001182 0002259458728 DORTJE DOPONG P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
274 25/01/201 241301030118Y000984 0002260977928 MEYSIA BANUNAEK P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
275 25/01/201 241301030118Y001045 0002305431382 VEREN FOES L PEKERJA MANDIRI Pregnancy confirmed TIDAK
276 25/01/201 241301030118Y000954 0002316487083 ECHLAMIS ERASMUS L PEKERJA MANDIRI Cervical root disorders, not elsewhere YA
277 25/01/201 241301030118Y000986 0002316918734 ALI WAFA L PEKERJA MANDIRI Examination for adolescent TIDAK
278 25/01/201 241301030118Y001031 0002323106076 ROSALINA KAUSE P PEKERJA MANDIRI Pregnancy confirmed TIDAK
279 25/01/201 241301030118Y001040 0002324418603 YUSTI HENUKH P PEKERJA MANDIRI Pregnancy confirmed TIDAK
280 24/01/201 241301030118Y001173 0000147005638 ANDREAS DWI N. M. BIRE L PNS DAERAH Acute tonsillitis, unspecified TIDAK
281 24/01/201 241301030118Y000907 0000147057232 JONAS EGBERTH S. L PENERIMA PENSIUN Conjunctivitis, unspecified TIDAK
282 24/01/201 241301030118Y000973 0000147096944 JAKOBUS SEWA L PENERIMA PENSIUN Cough TIDAK
283 24/01/201 241301030118Y000926 0000147104032 PETRUS C.BANABERA L PENERIMA PENSIUN Essential (primary) hypertension YA
284 24/01/201 241301030118Y000970 0000147274457 Sem D. T. AMNIFU L PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
285 24/01/201 241301030118Y001378 0000149617416 YUSAK MAIFA, S.SOS L PNS DAERAH Essential (primary) hypertension TIDAK
286 24/01/201 241301030118Y000920 0000149644934 IMAGENESIS I. C. DOPE P PNS DAERAH Acute pharyngitis, unspecified TIDAK
287 24/01/201 241301030118Y000929 0000149645698 YUDITH MARLON DERE L PNS DAERAH Necrosis of pulp TIDAK
288 24/01/201 241301030118Y001169 0000149689528 HUBERTUS BEREK, S.SOS L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
289 24/01/201 241301030118Y000975 0000149696796 FEBIANA OTEMUSU P PNS DAERAH Dyspepsia TIDAK
290 24/01/201 241301030118Y001175 0000149761416 MARIA AGUSTINA RERE P PNS PUSAT Acute upper respiratory infection, TIDAK
291 24/01/201 241301030118Y001174 0000149761427 FRANSISKUS DHORO L PNS PUSAT Acute upper respiratory infection, TIDAK
292 24/01/201 241301030118Y001176 0000149761438 SKOLASTIKA SUSANA P PNS PUSAT Acute upper respiratory infection, TIDAK
293 24/01/201 241301030118Y001373 0000149833135 LEDY CHATERINA OUIANA P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
294 24/01/201 241301030118Y000882 0000149902064 MERIYANTI P PNS DAERAH Varicella meningitis TIDAK
295 24/01/201 241301030118Y000972 0000149997025 AGUSTINA DELU - LASIKO P PENERIMA PENSIUN Urticaria, unspecified TIDAK
296 24/01/201 241301030118Y000917 0000150000671 PETRUS MALAIKOSA L PENERIMA PENSIUN Dyspepsia TIDAK
297 24/01/201 241301030118Y001376 0000150206196 MULIATI RAHMAH P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
298 24/01/201 241301030118Y001375 0000150245469 BLASISUS TADAS L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
299 24/01/201 241301030118Y001372 0000150245774 TOMASIA DIAS XIMENES P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
300 24/01/201 241301030118Y000910 0000150259972 ERNY PAH P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
301 24/01/201 241301030118Y000923 0000150350422 ELISABETH BUA P PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
302 24/01/201 241301030118Y000968 0000169655286 PITHER PATANDUNG L PNS DAERAH Urinary tract infection, site not TIDAK
303 24/01/201 241301030118Y001377 0000197997298 WELHELMUS J. LAKAPU L PNS DAERAH Diarrhoea and gastroenteritis of TIDAK
304 24/01/201 241301030118Y001374 0000207311308 OKTAVIA SEVERIN NOEMAY P PNS DAERAH General medical examination TIDAK
305 24/01/201 241301030118Y000962 0000871503491 DEWI A PUSPA P PBI (APBN) Tinea nigra TIDAK
306 24/01/201 241301030118Y000895 0000871507809 YASINTHA TAKE P PBI (APBN) Senile cataract YA
307 24/01/201 241301030118Y000974 0000871536341 IMELDA YULIANA AMELIA P PBI (APBN) Fever, unspecified TIDAK
308 24/01/201 241301030118Y000915 0000871673139 ELIAS NGURU L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
309 24/01/201 241301030118Y000933 0000871724981 MARIA A O SIKI P PBI (APBN) Acute upper respiratory infection, TIDAK
310 24/01/201 241301030118Y000971 0000871802831 TABITA MAU BANU P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
311 24/01/201 241301030118Y000964 0000871833699 IMELDA BANO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
312 24/01/201 241301030118Y000906 0000871905868 SURYANTI HAEKASE P PBI (APBN) Dyspepsia TIDAK
313 24/01/201 241301030118Y000927 0000872041803 DOMINGGUS LEBA L PBI (APBN) Asthma TIDAK
314 24/01/201 241301030118Y001172 0000872517587 ERNA NGURU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
315 24/01/201 241301030118Y001343 0000872517587 ERNA NGURU P PBI (APBN) Adverse effects in the therapeutic use TIDAK
316 24/01/201 241301030118Y000911 0000872569991 THERESIA RAMBU LAWA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
317 24/01/201 241301030118Y000919 0000872716768 ALAN L NGABA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
318 24/01/201 241301030118Y001344 0000872866012 MARGARITHA HAE P PBI (APBN) Pregnancy confirmed TIDAK
319 24/01/201 241301030118Y000913 0000872874977 LUKAS HERE L PBI (APBN) Predominantly allergic asthma TIDAK
320 24/01/201 241301030118Y000914 0000872892887 MARTHA N. RIHI P PBI (APBN) Dyspepsia TIDAK
321 24/01/201 241301030118Y000912 0000872897668 AGUSTINA RIWU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
322 24/01/201 241301030118Y000918 0000872999054 RICHARD ARIESTA NDUN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
323 24/01/201 241301030118Y000897 0000873179987 MAYA SELAN BE'ES P PBI (APBN) Pregnancy confirmed TIDAK
324 24/01/201 241301030118Y000924 0001062886994 MENGKI HENUKH L PBI (APBN) Lepromatous leprosy TIDAK
325 24/01/201 241301030118Y000901 0001093176639 MIKAEL Hironim us NDIWA L KEPOLISIAN RI Necrosis of pulp YA
326 24/01/201 241301030118Y000930 0001258881636 PUTRI ANDRIANI P PEKERJA MANDIRI Chronic gingivitis TIDAK
327 24/01/201 241301030118Y000976 0001319866672 YAKOb LEDOH L PNS DAERAH Superficial injury of unspecified body TIDAK
328 24/01/201 241301030118Y000922 0001450433687 elshadiny nikita p. killa P PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
329 24/01/201 241301030118Y000896 0001621247602 ARDIANSYAH SYAABAN L PEGAWAI SWASTA Chest pain, unspecified YA
330 24/01/201 241301030118Y000959 0001791492838 NOVITA ERNAWATI P PEKERJA MANDIRI Other specified anaemias TIDAK
331 24/01/201 241301030118Y000881 0001830420821 MEIK SARI P PEKERJA MANDIRI Varicella meningitis TIDAK
332 24/01/201 241301030118Y000958 0001843572982 RIANDY LAISKODAT L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
333 24/01/201 241301030118Y000961 0001851332297 NAOMI E. SOFIA TAEBENU P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
334 24/01/201 241301030118Y000908 0001868040033 DOMINGGUS BANAO L PEGAWAI PEMERINTAH Tuberculosis of lung, bacteriologically TIDAK
335 24/01/201 241301030118Y000884 0001875957175 sumarni P PEKERJA MANDIRI Malignant neoplasm of breast, YA

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
336 24/01/201 241301030118Y000921 0001884872733 CHRISTIAN S. MOULAK L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
337 24/01/201 241301030118Y000885 0001900156781 MATEUS DA SILVA L PEKERJA MANDIRI HIV disease resulting in mycobacterial YA
338 24/01/201 241301030118Y000965 0001959306895 mikhael febrian ledjab L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
339 24/01/201 241301030118Y000890 0001970053075 BRUNO SAWI L PNS DAERAH Hyperplasia of prostate YA
340 24/01/201 241301030118Y000916 0002039582496 vallint junaidi ansyar L PEKERJA MANDIRI Fever, unspecified TIDAK
341 24/01/201 241301030118Y000963 0002058713662 ORNALDO SAMJULINO L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
342 24/01/201 241301030118Y000883 0002069918234 muhammad arsyad falahy L PEKERJA MANDIRI Developmental disorder of speech and YA
343 24/01/201 241301030118Y000960 0002107765135 HENDRA BUDIMAN JAMATO L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
344 24/01/201 241301030118Y000925 0002218685951 CHAROLUS IREUS NDIWA L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
345 24/01/201 241301030118Y000931 0002226265852 AGUSTINA F. P PEKERJA MANDIRI Pregnancy confirmed TIDAK
346 24/01/201 241301030118Y000909 0002232805408 JEREMI REYVALDO L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
347 24/01/201 241301030118Y001170 0002293988681 JANNE MARSHELLA BALLE P PEKERJA MANDIRI Acute tonsillitis, unspecified TIDAK
348 24/01/201 241301030118Y000932 0002322617455 YUSTINA EMA WOKA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
349 23/01/201 241301030118Y000849 0000146994658 DORCE MANU P PNS DAERAH Dysphagia TIDAK
350 23/01/201 241301030118Y000763 0000147010138 SEMUEL PAH L PNS DAERAH Coronary thrombosis not resulting in YA
351 23/01/201 241301030118Y000861 0000147104043 MAEGARITHA BANIK P PENERIMA PENSIUN Myalgia TIDAK
352 23/01/201 241301030118Y000903 0000147785185 YUMINCE FAOT TAKUBESSI P PNS PUSAT Essential (primary) hypertension TIDAK
353 23/01/201 241301030118Y000876 0000147883937 AKUILINA RUAN NINU, SH P PNS PUSAT Examination for adolescent TIDAK
354 23/01/201 241301030118Y000873 0000149635811 MARSEL BOUK L PNS DAERAH Myalgia TIDAK
355 23/01/201 241301030118Y000860 0000149760101 ELSYE SINAY P PNS PUSAT Acute nasopharyngitis [common cold] TIDAK
356 23/01/201 241301030118Y000877 0000149820557 HENDRIK YOHANIS L PERINTIS Essential (primary) hypertension TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
357 23/01/201 241301030118Y000762 0000149900433 HELENA HANI P PNS DAERAH Fibroadenosis of breast YA
358 23/01/201 241301030118Y000899 0000150023002 LODIA LAUKAMANG P PNS DAERAH Cough TIDAK
359 23/01/201 241301030118Y000894 0000150091874 ROSALIA B. LEBUAN- P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
360 23/01/201 241301030118Y000880 0000150261254 KORNELIS MEO BANASE L PNS DAERAH Acute upper respiratory infection, TIDAK
361 23/01/201 241301030118Y001156 0000150373236 EMALIA O TOEPOE P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
362 23/01/201 241301030118Y000870 0000165068638 MARIA SOARES P PNS DAERAH Myalgia TIDAK
363 23/01/201 241301030118Y000928 0000195837581 AISHA BILQISTI NURUL P PNS PUSAT Dental examination TIDAK
364 23/01/201 241301030118Y000855 0000206867035 RAMONA ISLIKO P PNS DAERAH Pulpitis TIDAK
365 23/01/201 241301030118Y001164 0000871516811 DORKAS LABUH ORAPAU P PBI (APBN) Cough TIDAK
366 23/01/201 241301030118Y001166 0000871518879 TRI PRISKILA N LABUH P PBI (APBN) Cough TIDAK
367 23/01/201 241301030118Y000893 0000871788666 RUBEN LOY KUDJU L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
368 23/01/201 241301030118Y000831 0000871825094 HARLENCI NUBATONIS P PBI (APBN) Essential (primary) hypertension YA
369 23/01/201 241301030118Y001160 0000871831732 PAULINA MEA P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
370 23/01/201 241301030118Y001158 0000871833339 PETRUS P WATUNONO L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
371 23/01/201 241301030118Y000878 0000871843151 JULIANA FANGGIDAE P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
372 23/01/201 241301030118Y000874 0000871943332 MELSIANA KADJI P PBI (APBN) Otitis media, unspecified TIDAK
373 23/01/201 241301030118Y001167 0000872035402 REGINA SINLAELOE P PBI (APBN) Dyspepsia TIDAK
374 23/01/201 241301030118Y001157 0000872129553 HENDERINA ROHI KALE P PBI (APBN) Insulin-dependent diabetes mellitus TIDAK
375 23/01/201 241301030118Y001152 0000872132016 KRISTIAN KALE L PBI (APBN) Acute upper respiratory infection, TIDAK
376 23/01/201 241301030118Y000898 0000872723643 FAAREL LUDJI L PBI (APBN) Otitis externa TIDAK
377 23/01/201 241301030118Y000856 0000872845165 THERSIA M HAYON P PBI (APBN) Essential (primary) hypertension TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
378 23/01/201 241301030118Y001161 0000873027336 HEDWIG I NALLE P PBI (APBN) Cough TIDAK
379 23/01/201 241301030118Y000851 0000873136901 FIDENTIUS DJIRA L PBI (APBN) Acute upper respiratory infection, TIDAK
380 23/01/201 241301030118Y000872 0000873158141 FERY ERLINCE KASEMETAN P PBI (APBN) Tinea corporis TIDAK
381 23/01/201 241301030118Y000852 0000873184138 BERALDINE S SUNBANU P PBI (APBN) Allergic urticaria TIDAK
382 23/01/201 241301030118Y000803 0001062878861 SUSANA LUSI NDOLU P PBI (APBN) Examination of eyes and vision YA
383 23/01/201 241301030118Y000850 0001062883719 ORPA KOLAWILLA P PBI (APBN) Superficial injury of unspecified body TIDAK
384 23/01/201 241301030118Y001162 0001062929024 SAFRIANTO BASO JAYA L PBI (APBN) Acute upper respiratory infection, TIDAK
385 23/01/201 241301030118Y000875 0001260851409 PARTONO L PEKERJA MANDIRI Superficial injury of unspecified body TIDAK
386 23/01/201 241301030118Y000858 0001380627786 VALENTINI GUIDO L TNI ANGKATAN DARAT Acute upper respiratory infection, TIDAK
387 23/01/201 241301030118Y000826 0001440440414 JULITA MADO P PEKERJA MANDIRI Secondary amenorrhoea YA
388 23/01/201 241301030118Y000900 0001655872558 Dorche F Manafe P PEGAWAI SWASTA Cough TIDAK
389 23/01/201 241301030118Y000902 0001655872571 Paula Luisa Isliko P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
390 23/01/201 241301030118Y000905 0001854580386 ANDREAS ANDE BATE L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
391 23/01/201 241301030118Y000904 0001878399999 agnesia benedikta juliana P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
392 23/01/201 241301030118Y000778 0001893159922 theresia sinaina ayu rebon P PNS DAERAH Impacted cerumen YA
393 23/01/201 241301030118Y000853 0002069805734 elisabet ina piran P PEKERJA MANDIRI Necrosis of pulp TIDAK
394 23/01/201 241301030118Y001154 0002236864768 leticia mannuela mulik P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
395 23/01/201 241301030118Y000836 0002258347465 DIANA HERLINA NABUNOME P PEKERJA MANDIRI Pregnancy confirmed TIDAK
396 23/01/201 241301030118Y000879 0002302096454 APRIYANTI MARIA NUSIN P PEKERJA MANDIRI Contraceptive management, TIDAK
397 23/01/201 241301030118Y000871 0002316918734 ALI WAFA L PEKERJA MANDIRI Examination for adolescent TIDAK
398 23/01/201 241301030118Y000789 0002326847321 NONA TESA BENGGU P PEKERJA MANDIRI Other hypertrophic disorders of skin YA

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
399 22/01/201 241301030118Y000776 0000146974511 MARIA GORETI SANAM, P PNS PUSAT Essential (primary) hypertension TIDAK
400 22/01/201 241301030118Y000800 0000149226107 EFROSINA SELAN P PNS PUSAT Dyspepsia TIDAK
401 22/01/201 241301030118Y000801 0000149226118 FLORINS YERMIA TANEO L PNS PUSAT Allergic contact dermatitis, unspecified TIDAK
402 22/01/201 241301030118Y000818 0000149634066 ELIASAR BOYMAU L PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
403 22/01/201 241301030118Y000764 0000149893413 CONSTANTINO DA COSTA L PNS DAERAH Essential (primary) hypertension TIDAK
404 22/01/201 241301030118Y000738 0000149939144 NINO MATHEOS NOPE, L PENERIMA PENSIUN Disorders of lacrimal system YA
405 22/01/201 241301030118Y000733 0000149941686 PETRONELA KNAOFMONE P PENERIMA PENSIUN Stroke, not specified as haemorrhage YA
406 22/01/201 241301030118Y000835 0000149949303 STEPHANUS L PENERIMA PENSIUN Cough TIDAK
407 22/01/201 241301030118Y000739 0000149963185 ADRIANA A. MBAU - P P PENERIMA PENSIUN Essential (primary) hypertension YA
408 22/01/201 241301030118Y000798 0000150241419 RUT MALOLE DEQUELJOE P PNS DAERAH Acute tonsillitis, unspecified TIDAK
409 22/01/201 241301030118Y000731 0000150249227 MARIYANI TAMONOB P PNS DAERAH Secondary hypertension YA
410 22/01/201 241301030118Y000838 0000150249249 YUNIKE TAMONOB P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
411 22/01/201 241301030118Y000728 0000150258363 SITI SYARAH IBRAHIM P PNS DAERAH Essential (primary) hypertension TIDAK
412 22/01/201 241301030118Y000769 0000194422476 RONALDUS RAYA TODO L PNS DAERAH Superficial injury of unspecified body TIDAK
413 22/01/201 241301030118Y000828 0000850754002 NAOMI NUBATONIS-KEO P PBI (APBN) Cough TIDAK
414 22/01/201 241301030118Y000734 0000870456868 ursula UPA WADU P PBI (APBN) Epilepsy YA
415 22/01/201 241301030118Y000839 0000870536597 YANE SARLOTA POLIN- P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
416 22/01/201 241301030118Y000812 0000870943127 RIATOAONUS BAKO L PBI (APBN) Acute upper respiratory infection, TIDAK
417 22/01/201 241301030118Y000730 0000871491521 FELIX TALI L PBI (APBN) Essential (primary) hypertension TIDAK
418 22/01/201 241301030118Y000810 0000871497595 LAURENSIA BATAN SUNI P PBI (APBN) Urinary tract infection, site not TIDAK
419 22/01/201 241301030118Y000732 0000871525776 EROS CH MARTUTTY L PBI (APBN) Essential (primary) hypertension YA

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
420 22/01/201 241301030118Y000848 0000871648817 AGUSTINUS AKOIT L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
421 22/01/201 241301030118Y000767 0000871712087 AHMAD AKE L PBI (APBN) nococcal infection, unspecified TIDAK
422 22/01/201 241301030118Y001342 0000871715518 OFFIKE WIDU HAU P PBI (APBN) Pregnancy confirmed TIDAK
423 22/01/201 241301030118Y001139 0000871730493 HELENA ROHI LOBO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
424 22/01/201 241301030118Y000775 0000871797554 BENDELIN HABA WUNU P PBI (APBN) Headache TIDAK
425 22/01/201 241301030118Y000804 0000871813056 ESTER ISAK P PBI (APBN) Peritonitis TIDAK
426 22/01/201 241301030118Y000820 0000871844027 DANIEL SAU L PBI (APBN) Pyoderma TIDAK
427 22/01/201 241301030118Y000756 0000871880332 DELMIA ABANAT P PBI (APBN) Pregnancy confirmed TIDAK
428 22/01/201 241301030118Y000829 0000871909874 YULIANCE LAU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
429 22/01/201 241301030118Y000773 0000871917996 NAOMI MONEHEME DARA P PBI (APBN) Essential (primary) hypertension TIDAK
430 22/01/201 241301030118Y001150 0000871934949 NONCE MENO LETE P PBI (APBN) Acute upper respiratory infection, TIDAK
431 22/01/201 241301030118Y001148 0000871936727 AMELIA MENO P PBI (APBN) Acute upper respiratory infection, TIDAK
432 22/01/201 241301030118Y001147 0000871937008 TRIFENA MENO P PBI (APBN) Acute upper respiratory infection, TIDAK
433 22/01/201 241301030118Y000774 0000871953041 INDRI v. FOES P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
434 22/01/201 241301030118Y000834 0000872038462 RAMIL ITOMASUI P PBI (APBN) Myalgia TIDAK
435 22/01/201 241301030118Y001081 0000872116896 MEYSAH T H ADOE P PBI (APBN) Allergic rhinitis, unspecified TIDAK
436 22/01/201 241301030118Y000770 0000872180087 AMELIA NABEN P PBI (APBN) Urinary tract infection, site not TIDAK
437 22/01/201 241301030118Y000824 0000872205221 NAOMI SADUK P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
438 22/01/201 241301030118Y001143 0000872327351 ENGELBERTUS KENJAM L PBI (APBN) Suppurative otitis media, unspecified TIDAK
439 22/01/201 241301030118Y000759 0000872341209 MINCE SEO P PBI (APBN) Pregnancy confirmed TIDAK
440 22/01/201 241301030118Y000768 0000872361966 INA M KOROU LULU P PBI (APBN) Urinary calculus, unspecified TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
441 22/01/201 241301030118Y000809 0000872453867 SINTA POLIN P PBI (APBN) External hirudiniasis TIDAK
442 22/01/201 241301030118Y001144 0000872651136 YULIANA TAFUI P PBI (APBN) Acute upper respiratory infection, TIDAK
443 22/01/201 241301030118Y000808 0000872709524 BERNADETA TONBESI P PBI (APBN) Postzoster neuralgia TIDAK
444 22/01/201 241301030118Y001140 0000872731124 MARIA B TANI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
445 22/01/201 241301030118Y000729 0000872733868 BIBIANA NUBATONIS TAENA P PBI (APBN) Essential (primary) hypertension TIDAK
446 22/01/201 241301030118Y000735 0000873066701 ANASTASIA l. LAISKODAT P PBI (APBN) Calculus of lower urinary tract, YA
447 22/01/201 241301030118Y000736 0000873067825 ISWENTy r. LAISKODAT P PBI (APBN) Examination of eyes and vision YA
448 22/01/201 241301030118Y000765 0000873092935 IMELDA D PAPA P PBI (APBN) Foreign body in ear TIDAK
449 22/01/201 241301030118Y001142 0000873170177 SERGIUS TSE L PBI (APBN) Dyspepsia TIDAK
450 22/01/201 241301030118Y000758 0000873193061 FLORIANA ASUAT P PBI (APBN) Pregnancy confirmed TIDAK
451 22/01/201 241301030118Y000822 0001062881943 ARIYANTI R. HE - TIMO P PBI (APBN) Non-insulin-dependent diabetes TIDAK
452 22/01/201 241301030118Y000760 0001062882191 YULITA BABU P PBI (APBN) Pregnancy confirmed TIDAK
453 22/01/201 241301030118Y000746 0001062882663 YULIANA SUSANA NDOLU- P PBI (APBN) Inflammatory disorders of breast YA
454 22/01/201 241301030118Y000832 0001062887016 MARSELINA RADJA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
455 22/01/201 241301030118Y000802 0001424356514 ALFONSO BOBE L PEKERJA MANDIRI Fever, unspecified TIDAK
456 22/01/201 241301030118Y000737 0001811494899 ORPA MANAFE - JO P PEKERJA MANDIRI Essential (primary) hypertension YA
457 22/01/201 241301030118Y000816 0001818697476 CHARLES RONALD L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
458 22/01/201 241301030118Y000766 0001819239849 ribka pati bebe P PEKERJA MANDIRI Headache TIDAK
459 22/01/201 241301030118Y000771 0001819511976 esther meiliana agusthin P PNS PUSAT Cough TIDAK
460 22/01/201 241301030118Y001341 0001873806344 ANDI RAMAYANTI SINLAE P PEGAWAI SWASTA Pregnancy confirmed TIDAK
461 22/01/201 241301030118Y000755 0001965771123 KARTIKA DWI ASTUTI P PEKERJA MANDIRI Pregnancy confirmed TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
462 22/01/201 241301030118Y000837 0002085639851 SAMUEL JULISTINO L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
463 22/01/201 241301030118Y000772 0002198611078 ERNESTA FRANSISCA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
464 22/01/201 241301030118Y000814 0002225531125 NOVILIANA RAMBU P.DJARA P PEKERJA MANDIRI Cough TIDAK
465 22/01/201 241301030118Y000757 0002242107663 NOVITA SARI BALLO P PEGAWAI SWASTA Pregnancy confirmed TIDAK
466 22/01/201 241301030118Y000761 0002305056835 DIYAH AYU MAYASARI P PNS PUSAT Pregnancy confirmed TIDAK
467 20/01/201 241301030118Y000724 0000037421853 GODELIVA PRATIWI WEA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
468 20/01/201 241301030118Y000748 0000146954283 SAMUEL MAIDJEN L PNS DAERAH Myalgia TIDAK
469 20/01/201 241301030118Y000845 0000146956858 AGUSTINA A. KOMARIAH P PNS DAERAH Conjunctivitis, unspecified TIDAK
470 20/01/201 241301030118Y000712 0000149870654 SAYEM P PENERIMA PENSIUN TNI Non-insulin-dependent diabetes TIDAK
471 20/01/201 241301030118Y000726 0000149876908 IVONNE YOSIMA LANING P PNS PUSAT Pregnancy confirmed TIDAK
472 20/01/201 241301030118Y000718 0000149915158 ELISABETH DAGA DIMA P PENERIMA PENSIUN Disorder of thyroid, unspecified YA
473 20/01/201 241301030118Y000713 0000149991761 JOHANIS LOAO, SPAK L PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
474 20/01/201 241301030118Y000710 0000149993752 LASARUS LONA L PENERIMA PENSIUN Non-insulin-dependent diabetes YA
475 20/01/201 241301030118Y000719 0000149995732 MARIA MAGDALENA BAON P PENERIMA PENSIUN Non-insulin-dependent diabetes YA
476 20/01/201 241301030118Y000714 0000150005316 WELLEM KADJA L PENERIMA PENSIUN Atherosclerotic cardiovascular disease, YA
477 20/01/201 241301030118Y000715 0000150005902 YOHANIS BULLEN L PENERIMA PENSIUN Essential (primary) hypertension YA
478 20/01/201 241301030118Y000711 0000150245594 MERIJATI LONA ADU P PNS DAERAH Non-insulin-dependent diabetes YA
479 20/01/201 241301030118Y000721 0000150273044 SUSANA SISILIA OTANG P PNS DAERAH Essential (primary) hypertension TIDAK
480 20/01/201 241301030118Y000847 0000205544676 THERESIA SRIYANTI P PNS DAERAH Dyspepsia TIDAK
481 20/01/201 241301030118Y000742 0000851137435 TESALONIKA PONG mestuni P PBI (APBN) Fever, unspecified TIDAK
482 20/01/201 241301030118Y000722 0000854151502 ANTONIA TANEO P PBI (APBN) Ileus, unspecified YA

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
483 20/01/201 241301030118Y000740 0000865070324 FREDIK FILLY L PBI (APBN) Superficial injury of unspecified body TIDAK
484 20/01/201 241301030118Y000753 0000870893673 MELFIANA M KALE P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
485 20/01/201 241301030118Y000725 0000871665232 RITA M TANEO P PBI (APBN) Pregnancy confirmed TIDAK
486 20/01/201 241301030118Y000754 0000871852397 NICKY L BAUNSELE L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
487 20/01/201 241301030118Y001075 0000872143165 NIKODEMUS N FAOT L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
488 20/01/201 241301030118Y001079 0000872321411 MARTHEN TENIS L PBI (APBN) Chronic gingivitis TIDAK
489 20/01/201 241301030118Y000797 0000872462428 NIKOLAS SELLU L PBI (APBN) Non-insulin-dependent diabetes TIDAK
490 20/01/201 241301030118Y001080 0000872663973 ARANCI NESI P PBI (APBN) Acute upper respiratory infection, TIDAK
491 20/01/201 241301030118Y000751 0000872674525 DEWI CANTIKA ELLO P PBI (APBN) Gastritis, unspecified TIDAK
492 20/01/201 241301030118Y000750 0000872715969 VALENTINA C GOBANG P PBI (APBN) Non-insulin-dependent diabetes TIDAK
493 20/01/201 241301030118Y000844 0000872999054 RICHARD ARIESTA NDUN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
494 20/01/201 241301030118Y000745 0000873030508 OKTOFINA TENGGU P PBI (APBN) Acute upper respiratory infection, TIDAK
495 20/01/201 241301030118Y001077 0000873032657 OKTOVIANUS ASTEN L PBI (APBN) Essential (primary) hypertension TIDAK
496 20/01/201 241301030118Y001076 0000873033412 DENSIANA rUTO KOLO P PBI (APBN) Other acute gastritis TIDAK
497 20/01/201 241301030118Y000794 0000873113139 JOHANIS TAMONOB L PBI (APBN) Acute upper respiratory infection, TIDAK
498 20/01/201 241301030118Y000793 0001062880569 NOVI KOME P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
499 20/01/201 241301030118Y001078 0001062883102 ALVINO ROBINSON L PBI (APBN) Cough TIDAK
500 20/01/201 241301030118Y001074 0001082145554 GETRUDIS ARAKAT P PNS DAERAH Acute upper respiratory infection, TIDAK
501 20/01/201 241301030118Y000752 0001581090502 ARION JULIO PRATAMA L PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
502 20/01/201 241301030118Y001340 0001803151732 YULI ARIATI BARA HURU P PEGAWAI SWASTA Routine postpartum follow-up TIDAK
503 20/01/201 241301030118Y000743 0001889940262 PUTRI T. NAKMOFA P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
504 20/01/201 241301030118Y000843 0001898121071 ABRIO RUBEN JORDANS L PNS DAERAH Pyoderma TIDAK
505 20/01/201 241301030118Y000747 0002032105667 SALOMI NGILI P PEKERJA MANDIRI Essential (primary) hypertension TIDAK
506 20/01/201 241301030118Y000846 0002093151385 ELLYA LEORA MP P PEGAWAI PEMERINTAH Headache TIDAK
507 20/01/201 241301030118Y000716 0002108543319 Angela Evita Henukh P PBI (APBD) General examination and investigation YA
508 20/01/201 241301030118Y000749 0002218686502 PAOLO MALDINI IN NDIWA L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
509 20/01/201 241301030118Y000741 0002224345149 calon by nyonya SARLILKA P PEKERJA MANDIRI Fever, unspecified TIDAK
510 20/01/201 241301030118Y000727 0002236675961 WULANDARI RIHI PATY P PEKERJA MANDIRI Pregnancy confirmed TIDAK
511 20/01/201 241301030118Y000717 0002274662259 RINARY ADVENTURESS P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
512 20/01/201 241301030118Y000723 0002306516613 OKTAVIANUS OLA BENAUK L PEKERJA MANDIRI Depressive episode, unspecified YA
513 20/01/201 241301030118Y000744 0002316918734 ALI WAFA L PEKERJA MANDIRI Tuberculosis of lung, bacteriologically TIDAK
514 20/01/201 241301030118Y000720 0002320969285 FRANSINA ISU P PEKERJA MANDIRI Other benign neoplasm of connective YA
515 19/01/201 241301030118Y000666 0000146974511 MARIA GORETI SANAM, P PNS PUSAT Hypertensive heart disease without YA
516 19/01/201 241301030118Y000700 0000147028329 AYUB LONA L PNS DAERAH Superficial injury of unspecified body TIDAK
517 19/01/201 241301030118Y000709 0000147740657 MONIKHA FLORINDA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
518 19/01/201 241301030118Y000699 0000149691791 KRISTHIAN MAXMILIAN L PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
519 19/01/201 241301030118Y000670 0000149866828 GLEMI MEITY RUMONDOR P PENERIMA PENSIUN TNI Non-insulin-dependent diabetes TIDAK
520 19/01/201 241301030118Y000708 0000149987507 THERESIA B. FERNANDEZ P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
521 19/01/201 241301030118Y000702 0000150005316 WELLEM KADJA L PENERIMA PENSIUN Coronary thrombosis not resulting in TIDAK
522 19/01/201 241301030118Y000667 0000150006003 YOSEPH NGE L PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
523 19/01/201 241301030118Y000668 0000150006014 SUPHIA H. NGE-BAUN P PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
524 19/01/201 241301030118Y000842 0000150209594 STEFEN MELYAN L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
525 19/01/201 241301030118Y000704 0000150249227 MARIYANI TAMONOB P PNS DAERAH Essential (primary) hypertension TIDAK
526 19/01/201 241301030118Y001339 0000871835681 SITI SARAH UMAR P PBI (APBN) Contraceptive management, TIDAK
527 19/01/201 241301030118Y000706 0000871836625 ARdY a.a. NABUASA L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
528 19/01/201 241301030118Y000705 0000871918176 NOVITA DADA GOLE P PBI (APBN) Dyspepsia TIDAK
529 19/01/201 241301030118Y000703 0000872295489 NORI SILLA PULU P PBI (APBN) Fever, unspecified TIDAK
530 19/01/201 241301030118Y001072 0000872637524 ABRAHAM DJRA HAU L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
531 19/01/201 241301030118Y000701 0000872699286 THOMAS THU L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
532 19/01/201 241301030118Y000669 0000872723643 FAAREL LUDJI L PBI (APBN) Chalazion YA
533 19/01/201 241301030118Y000697 0001059306355 YUFITA MAUBANU P PBI (APBN) Fever, unspecified TIDAK
534 19/01/201 241301030118Y000671 0001061678968 JOHN LOFA L PBI (APBN) Senile cataract YA
535 19/01/201 241301030118Y000707 0001380627786 VALENTINI GUIDO L TNI ANGKATAN DARAT Acute nasopharyngitis [common cold] TIDAK
536 19/01/201 241301030118Y000681 0001820462466 YULIANA BENGA ARAN P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
537 19/01/201 241301030118Y000665 0001852950363 DOLLY FATRIASTI P PEGAWAI PEMERINTAH Hypertensive heart disease without YA
538 19/01/201 241301030118Y001073 0001861857461 RAFELA JOSEPHA ONA L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
539 19/01/201 241301030118Y000698 0002202534527 PAULUS BOLLU ADU L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
540 19/01/201 241301030118Y000672 0002241103678 DINTJE NDOEN-NDAOMANU P PEKERJA MANDIRI Corns and callosities YA
541 18/01/201 241301030118Y000649 0000147012581 PAULUS EFU L PNS DAERAH Fever, unspecified TIDAK
542 18/01/201 241301030118Y001256 0000147257627 JOAQUINA I. f. c. de brito P PNS DAERAH Myalgia TIDAK
543 18/01/201 241301030118Y001253 0000147612137 MEDIATI SUSANA P PNS DAERAH Myalgia TIDAK
544 18/01/201 241301030118Y001255 0000147776736 ADAM BLEGUR L PNS DAERAH Acute upper respiratory infection, TIDAK
545 18/01/201 241301030118Y001257 0000149229167 SISILIA NONA P PNS PUSAT Myalgia TIDAK

28/02/2018 14.57.50
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
546 18/01/201 241301030118Y000640 0000149622906 HENDRIK SUMINTORO L PNS PUSAT Examination of eyes and vision YA
547 18/01/201 241301030118Y001249 0000149645417 TERESIA ARKIAN P PNS DAERAH Gastritis, unspecified TIDAK
548 18/01/201 241301030118Y000634 0000149684758 RUDY ERWIN LAY L PENERIMA PENSIUN Essential (primary) hypertension YA
549 18/01/201 241301030118Y000646 0000149724246 JUBLIaNA L. MBAU P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
550 18/01/201 241301030118Y000652 0000149800443 DANIEL SAKAN L PNS PUSAT Allergic contact dermatitis, unspecified TIDAK
551 18/01/201 241301030118Y000639 0000149830143 PAULINA RAKA - TOBO P PNS DAERAH Pregnancy confirmed TIDAK
552 18/01/201 241301030118Y000659 0000149832909 DAHLIA SUKSIN P PNS DAERAH Superficial injury of unspecified body TIDAK
553 18/01/201 241301030118Y001243 0000149834529 MELKISEDEK Y SEO L PNS DAERAH Acute upper respiratory infection, TIDAK
554 18/01/201 241301030118Y001247 0000149837073 SEFRINUS d. SNAE L PNS DAERAH Acute upper respiratory infection, TIDAK
555 18/01/201 241301030118Y000635 0000149866525 DONATUS M. NIBA, SMHK L PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
556 18/01/201 241301030118Y001258 0000149899678 URI BENEDIKTA P PNS DAERAH Myalgia TIDAK
557 18/01/201 241301030118Y000675 0000149986721 ESTER WALA-WAANG P PENERIMA PENSIUN Chronic periodontitis TIDAK
558 18/01/201 241301030118Y001071 0000149994246 LEONARD KAHO L PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
559 18/01/201 241301030118Y000628 0000150003022 ARIANCE HUBERTHA SEDA P PENERIMA PENSIUN Other anxiety disorders YA
560 18/01/201 241301030118Y000694 0000150095182 VERONIKA BIDA P PNS DAERAH Tuberculosis of lung, bacteriologically TIDAK
561 18/01/201 241301030118Y000629 0000150129281 SYLVIA LOISA SOLO P PNS DAERAH Essential (primary) hypertension TIDAK
562 18/01/201 241301030118Y000693 0000150133184 FRANSISCUS FERNANDES L PENERIMA PENSIUN Arthrosis, unspecified TIDAK
563 18/01/201 241301030118Y000688 0000150174055 GRESYE GUTAMI P PNS DAERAH Cough TIDAK
564 18/01/201 241301030118Y001244 0000150243805 SAPTO YOGO RIYADI L PNS DAERAH Myalgia TIDAK
565 18/01/201 241301030118Y000683 0000150248226 OCTO RIVIN KAMEO L PENERIMA PENSIUN Caries of dentine TIDAK
566 18/01/201 241301030118Y000673 0000150264134 JONATHAN ANDERIAS L PENERIMA PENSIUN Necrosis of pulp TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
567 18/01/201 241301030118Y000623 0000150285756 GORAN TOKAN SELLY L PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
568 18/01/201 241301030118Y000624 0000160039765 LUKAS LIUNOME L PENERIMA PENSIUN Non-insulin-dependent diabetes YA
569 18/01/201 241301030118Y000690 0000164129512 ADITIO HENDRIKO LAKA L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
570 18/01/201 241301030118Y000676 0000164782225 CH. B. ANGGITA SILITONGA L PNS DAERAH Necrosis of pulp TIDAK
571 18/01/201 241301030118Y000678 0000165068638 MARIA SOARES P PNS DAERAH Myalgia TIDAK
572 18/01/201 241301030118Y000627 0000172484921 JON EDWARD PARULIAN L PNS DAERAH Necrosis of pulp YA
573 18/01/201 241301030118Y000651 0000172974519 SARY FANI B. AWANG P PEKERJA MANDIRI Pregnancy confirmed TIDAK
574 18/01/201 241301030118Y000687 0000200800899 RIVANA CALISTA P PNS DAERAH Disturbances in tooth eruption TIDAK
575 18/01/201 241301030118Y000630 0000205138359 COSTANTIA B BEEH P PENERIMA PENSIUN Cellulitis, unspecified YA
576 18/01/201 241301030118Y000684 0000206867035 RAMONA ISLIKO P PNS DAERAH Pulpitis TIDAK
577 18/01/201 241301030118Y000656 0000853736084 APLUNIA TANEO P PBI (APBN) Urinary tract infection, site not TIDAK
578 18/01/201 241301030118Y001065 0000871738615 YAFET E RIDO L PBI (APBN) Acute tonsillitis, unspecified TIDAK
579 18/01/201 241301030118Y000696 0000871799027 MARGARETA HONGGU P PBI (APBN) Allergic rhinitis, unspecified TIDAK
580 18/01/201 241301030118Y000695 0000871801018 vALENTINO CH. o. MALI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
581 18/01/201 241301030118Y000674 0000871855569 TRI G KADJA L PBI (APBN) Chronic gingivitis TIDAK
582 18/01/201 241301030118Y000636 0000871888364 YOSEPH BEDA PIRA L PBI (APBN) Retention of urine YA
583 18/01/201 241301030118Y001068 0000871962276 ESTER KOLLO P PBI (APBN) Other acute gastritis TIDAK
584 18/01/201 241301030118Y000689 0000872041803 DOMINGGUS LEBA L PBI (APBN) Retained dental root TIDAK
585 18/01/201 241301030118Y000650 0000872066496 ANTHONIA P L SOLEH P PBI (APBN) Headache TIDAK
586 18/01/201 241301030118Y001332 0000872318316 DEWI S DJARA DIMA P PBI (APBN) Pregnancy confirmed TIDAK
587 18/01/201 241301030118Y001069 0000872340748 DRILIAN M R GA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
588 18/01/201 241301030118Y001338 0000872669529 MERLINCE WABANG P PBI (APBN) Contraceptive management, TIDAK
589 18/01/201 241301030118Y000647 0000872714676 GLORIANUS Y R SEGEL L PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
590 18/01/201 241301030118Y000631 0000872733868 BIBIANA NUBATONIS TAENA P PBI (APBN) Essential (primary) hypertension YA
591 18/01/201 241301030118Y000691 0000873069445 CAMILI A HILLY P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
592 18/01/201 241301030118Y000654 0000873098504 ADRIANA PINGAH KASE P PBI (APBN) Essential (primary) hypertension TIDAK
593 18/01/201 241301030118Y001254 0000873130419 BLASIUS UN MANEK L PBI (APBN) Headache TIDAK
594 18/01/201 241301030118Y001066 0001062873819 RAIMUNDUS WElLA L PBI (APBN) Essential (primary) hypertension TIDAK
595 18/01/201 241301030118Y000644 0001062880795 WELMINCE BOY P PBI (APBN) Pregnancy confirmed TIDAK
596 18/01/201 241301030118Y001070 0001062883146 SEPRINA ROHI MUHU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
597 18/01/201 241301030118Y001064 0001062886612 LAURNTASYA DAPAWOLE P PBI (APBN) Acute upper respiratory infection, TIDAK
598 18/01/201 241301030118Y001333 0001081687151 LIDYA FLORENCE BALLU P PNS DAERAH Other contraceptive management TIDAK
599 18/01/201 241301030118Y000625 0001260851409 PARTONO L PEKERJA MANDIRI Essential (primary) hypertension YA
600 18/01/201 241301030118Y000642 0001261132874 APRIYANTI MOUWLAKA P PNS DAERAH Pregnancy confirmed TIDAK
601 18/01/201 241301030118Y000655 0001276010324 MATHIAS SATRIANO OLA L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
602 18/01/201 241301030118Y001336 0001380819194 rahmawati P PEKERJA MANDIRI Contraceptive management, TIDAK
603 18/01/201 241301030118Y000643 0001837377156 MARTHA HENCE BALLA P PEGAWAI SWASTA Pregnancy confirmed TIDAK
604 18/01/201 241301030118Y000632 0001898576943 SUZANA VERONIKA KAUSE P PNS DAERAH Examination of eyes and vision YA
605 18/01/201 241301030118Y001067 0002055824932 najwa adibah nawir P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
606 18/01/201 241301030118Y000692 0002080120342 EPIFANUS RAJA MEGA L PEGAWAI PEMERINTAH Conjunctivitis, unspecified TIDAK
607 18/01/201 241301030118Y001335 0002195365318 AGNESIA TAWA ANA HALO P PEKERJA MANDIRI Pregnancy confirmed TIDAK
608 18/01/201 241301030118Y000633 0002202535089 MARIANA BOLLU ADU ADU P PEKERJA MANDIRI Essential (primary) hypertension YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
609 18/01/201 241301030118Y000626 0002203789228 DOMINIKUS KOBESI L PEKERJA MANDIRI Chest pain, unspecified YA
610 18/01/201 241301030118Y000645 0002224345149 calon by nyonya SARLILKA P PEKERJA MANDIRI Fever, unspecified TIDAK
611 18/01/201 241301030118Y000679 0002225587904 KRISTIAN BERNADUS L PEGAWAI SWASTA Acute pharyngitis, unspecified TIDAK
612 18/01/201 241301030118Y001337 0002254416401 SARI PURNAMA DIAN P PEGAWAI SWASTA Pregnancy confirmed TIDAK
613 18/01/201 241301030118Y000658 0002273734056 KEYLA NATASYA DJOLEBA L PEGAWAI SWASTA Pyoderma TIDAK
614 18/01/201 241301030118Y000657 0002273734091 JHUANTO ALVARO L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
615 18/01/201 241301030118Y000653 0002274662259 RINARY ADVENTURESS P PEKERJA MANDIRI Allergic contact dermatitis, unspecified TIDAK
616 18/01/201 241301030118Y000677 0002288623601 YENI MAGDALENA NUBAN P PEKERJA MANDIRI Malaise and fatigue TIDAK
617 18/01/201 241301030118Y000648 0002294103508 FLORIDA MITE P PEKERJA MANDIRI Contraceptive management, TIDAK
618 18/01/201 241301030118Y000680 0002297889538 by nyonya MARLINA EFRINA L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
619 18/01/201 241301030118Y001334 0002324418603 YUSTI HENUKH P PEKERJA MANDIRI Pregnancy confirmed TIDAK
620 17/01/201 241301030118Y000606 0000147782856 LEWI LIUNOME, S.SOS L PNS DAERAH Non-insulin-dependent diabetes TIDAK
621 17/01/201 241301030118Y000585 0000149608078 PETRUS ULIN L PENERIMA PENSIUN Essential (primary) hypertension YA
622 17/01/201 241301030118Y000614 0000149684095 ADE FANIA BELLAWANI P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
623 17/01/201 241301030118Y000638 0000149899656 SRI HERLIN ERNAWATI P PNS DAERAH Contraceptive management, TIDAK
624 17/01/201 241301030118Y000621 0000149995574 MARIA ADELHEID NAWU P PENERIMA PENSIUN Myalgia TIDAK
625 17/01/201 241301030118Y000570 0000149997914 PETRUS META JIWA, DRS L PENERIMA PENSIUN Glaucoma YA
626 17/01/201 241301030118Y000637 0000150096025 IVONI APRIANTI TAHU P PEKERJA MANDIRI Contraceptive management, TIDAK
627 17/01/201 241301030118Y001239 0000150150982 MARTHEN IGNATIUS SERAN L PNS DAERAH Acute upper respiratory infection, TIDAK
628 17/01/201 241301030118Y000607 0000150189489 KHESTOFEL HENRI NATU, s. L PNS DAERAH Headache TIDAK
629 17/01/201 241301030118Y000563 0000150238449 WELHELMINA KABNANI - P PNS DAERAH Ocular pain YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
630 17/01/201 241301030118Y000591 0000150239079 ADRIS NORIANTI TAFULI P PEKERJA MANDIRI Pregnancy confirmed TIDAK
631 17/01/201 241301030118Y000612 0000150259601 DJODJO JULIANUS BALE L PNS DAERAH Myalgia TIDAK
632 17/01/201 241301030118Y000609 0000150358296 LILIANI LEDOH P PNS DAERAH Urinary tract infection, site not TIDAK
633 17/01/201 241301030118Y000571 0000150404714 GABRIELLA ERO WIjelse P PNS DAERAH Chronic kidney disease YA
634 17/01/201 241301030118Y000613 0000166756105 YASINTHA MUTIARA INA L PNS DAERAH Fever, unspecified TIDAK
635 17/01/201 241301030118Y000685 0000173135575 AFIANI SUSANA KINLEE P PNS DAERAH Retained dental root TIDAK
636 17/01/201 241301030118Y000602 0000871517643 KRISTENSIUS M WURE L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
637 17/01/201 241301030118Y000611 0000871776775 LAMBER LAISIMAU L PBI (APBN) Cough TIDAK
638 17/01/201 241301030118Y000616 0000871810053 THERESIA BOYS P PBI (APBN) Myalgia TIDAK
639 17/01/201 241301030118Y000620 0000871883829 JARLENS HAILITIK L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
640 17/01/201 241301030118Y001058 0000872129553 HENDERINA ROHI KALE P PBI (APBN) Insulin-dependent diabetes mellitus TIDAK
641 17/01/201 241301030118Y000608 0000872163178 JENIFER HANING P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
642 17/01/201 241301030118Y000599 0000872625802 SAKARIAS A SIKI L PBI (APBN) Other specified anaemias TIDAK
643 17/01/201 241301030118Y000597 0000873158141 FERY ERLINCE KASEMETAN P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
644 17/01/201 241301030118Y000564 0000873173158 ZAIRANI TASY ABDULLAH P PBI (APBN) Essential (primary) hypertension TIDAK
645 17/01/201 241301030118Y000615 0001062880907 BOBY A Y NGAHU L PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
646 17/01/201 241301030118Y000682 0001062887051 PRHEA DENSANY FEKA P PBI (APBN) Caries of dentine TIDAK
647 17/01/201 241301030118Y000566 0001090054686 NANIN A. BERELAKU P PBI (APBN) Essential (primary) hypertension TIDAK
648 17/01/201 241301030118Y000686 0001093176639 MIKAEL Hironim us NDIWA L KEPOLISIAN RI Necrosis of pulp TIDAK
649 17/01/201 241301030118Y001240 0001130510687 KORNELIA ARA KOLI P PEGAWAI SWASTA Headache TIDAK
650 17/01/201 241301030118Y000618 0001281369126 winda estania laukamang P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
651 17/01/201 241301030118Y000601 0001325775295 israel reinaldy tanaos L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
652 17/01/201 241301030118Y001242 0001435979496 BENI TRIYONO L PNS DAERAH Myalgia TIDAK
653 17/01/201 241301030118Y000604 0001452643233 EDUARDUS GHETA L PEKERJA MANDIRI Gastric ulcer, acute with haemorrhage YA
654 17/01/201 241301030118Y000567 0001576140333 DEWI SARTIKA DOPONG P PEGAWAI SWASTA Pregnancy confirmed YA
655 17/01/201 241301030118Y000568 0001576461993 ANTHONIUS SUSANG L PEKERJA MANDIRI Essential (primary) hypertension YA
656 17/01/201 241301030118Y001063 0001578702587 REGINA E L A WABANG P PEGAWAI SWASTA Other acute gastritis TIDAK
657 17/01/201 241301030118Y001331 0001578702587 REGINA E L A WABANG P PEGAWAI SWASTA Contraceptive management, TIDAK
658 17/01/201 241301030118Y000572 0001579300233 CORNALIA DJAMI ADI P PEGAWAI SWASTA Essential (primary) hypertension YA
659 17/01/201 241301030118Y000605 0001850446798 CHALISTA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
660 17/01/201 241301030118Y001241 0001858418662 ANGELINA FITRIANY P PENERIMA PENSIUN Gastritis, unspecified TIDAK
661 17/01/201 241301030118Y000610 0001859327739 mardiana callysta decki P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
662 17/01/201 241301030118Y000641 0001860919694 aqila azzahra fauziyah P PNS DAERAH Fever, unspecified TIDAK
663 17/01/201 241301030118Y001060 0001861858888 CHRISTIAN J G L PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
664 17/01/201 241301030118Y000619 0001867938208 wanda elsin esmeralda P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
665 17/01/201 241301030118Y000565 0001872406866 MARIANA POLIN P PEKERJA MANDIRI Epilepsy YA
666 17/01/201 241301030118Y000617 0001874101285 FEBRIYANI FRANSINA P PEKERJA MANDIRI Myalgia TIDAK
667 17/01/201 241301030118Y000569 0001885514005 MARIANA LEWU P PNS DAERAH Disorders of lacrimal system YA
668 17/01/201 241301030118Y001059 0002065048648 DAUD TELNONI L PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
669 17/01/201 241301030118Y000603 0002067368411 CHERRYL KORNELIA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
670 17/01/201 241301030118Y000622 0002069956326 kezia anthonia jufinry tonu P PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
671 17/01/201 241301030118Y000596 0002089814804 calon by nyonya rosnalia m P PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
672 17/01/201 241301030118Y001057 0002200901343 SUBAIDA TARONA P PEKERJA MANDIRI Essential (primary) hypertension TIDAK
673 17/01/201 241301030118Y000600 0002225587386 NAEMA KAMESA GERIMU P PEGAWAI SWASTA Headache TIDAK
674 17/01/201 241301030118Y000580 0002229290458 DESTI MELA NOPE P PEKERJA MANDIRI Pregnancy confirmed TIDAK
675 17/01/201 241301030118Y000595 0002232805612 JESSICA UTAMI NENABU P PEGAWAI PEMERINTAH Acute tonsillitis, unspecified TIDAK
676 17/01/201 241301030118Y000598 0002246201673 JOSEPH LIONEL MESSI L PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
677 16/01/201 241301030118Y000481 0000146976906 YUNUS ELODEA L PNS PUSAT Calculus of kidney YA
678 16/01/201 241301030118Y000502 0000147089878 MATHILDE KUNDA - HAU P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
679 16/01/201 241301030118Y000516 0000147097899 MARTHA MESAH LONDA P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
680 16/01/201 241301030118Y000582 0000147973498 ARNOLDUS TONDA L PNS DAERAH Necrosis of pulp TIDAK
681 16/01/201 241301030118Y000594 0000149618349 AYUB ARNOL ABATAN L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
682 16/01/201 241301030118Y001233 0000149645417 TERESIA ARKIAN P PNS DAERAH Headache TIDAK
683 16/01/201 241301030118Y001215 0000149645665 MALESIA DERE L PNS DAERAH Myalgia TIDAK
684 16/01/201 241301030118Y001056 0000149660638 YOHANES BRIA LEKI L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
685 16/01/201 241301030118Y000592 0000149694129 BONITA KARULINA P PNS DAERAH Myalgia TIDAK
686 16/01/201 241301030118Y000497 0000149765084 ALEXANDER PADAFANI L PNS PUSAT Essential (primary) hypertension TIDAK
687 16/01/201 241301030118Y000579 0000149803042 JUNIWAN H. BERHITU L PNS PUSAT Acute upper respiratory infection, TIDAK
688 16/01/201 241301030118Y001214 0000149837567 STEFANUS NATY L PNS DAERAH Myalgia TIDAK
689 16/01/201 241301030118Y001213 0000149838625 YEHESKIAL FAI L PNS DAERAH Essential (primary) hypertension TIDAK
690 16/01/201 241301030118Y000553 0000149846321 ELISABETH RIWOE DA P PENERIMA PENSIUN TNI Non-insulin-dependent diabetes TIDAK
691 16/01/201 241301030118Y000493 0000149964153 MARIANA M. NADAWEO P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
692 16/01/201 241301030118Y000575 0000149986721 ESTER WALA-WAANG P PENERIMA PENSIUN Chronic periodontitis TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
693 16/01/201 241301030118Y000557 0000149987507 THERESIA B. FERNANDEZ P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
694 16/01/201 241301030118Y000480 0000149995001 RAMBU ONI DAIPAING P PENERIMA PENSIUN Essential (primary) hypertension YA
695 16/01/201 241301030118Y000489 0000149997014 MARTHINUS DELU L PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
696 16/01/201 241301030118Y000484 0000149997453 FELPINA BANIK - P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
697 16/01/201 241301030118Y000485 0000150005902 YOHANIS BULLEN L PENERIMA PENSIUN Hyperplasia of prostate YA
698 16/01/201 241301030118Y000561 0000150044714 CORNELIS PELLE L PNS DAERAH Acute upper respiratory infection, TIDAK
699 16/01/201 241301030118Y001218 0000150150881 IMELDA PERETO KOLIN P PNS DAERAH Diarrhoea and gastroenteritis of TIDAK
700 16/01/201 241301030118Y000555 0000150223544 HINA PANDJARA L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
701 16/01/201 241301030118Y001216 0000150234715 TARSISIUS NAU L PNS DAERAH Essential (primary) hypertension TIDAK
702 16/01/201 241301030118Y001237 0000150240791 NICODEMUS KASE L PNS DAERAH Cutaneous abscess, furuncle and TIDAK
703 16/01/201 241301030118Y000487 0000150245842 AGUSTINA NAGE P PNS DAERAH Senile cataract YA
704 16/01/201 241301030118Y001217 0000150255876 ANASTASIA BANASE P PNS DAERAH Myalgia TIDAK
705 16/01/201 241301030118Y001232 0000150256844 MARIA DIZI P PNS DAERAH Myalgia TIDAK
706 16/01/201 241301030118Y001220 0000150257215 PURIDA HUTABALIAN, se P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
707 16/01/201 241301030118Y001221 0000150257305 ROLAND EDUARD NOPE L PNS DAERAH Headache TIDAK
708 16/01/201 241301030118Y001231 0000150260815 JENENGKE M NAPA P PNS DAERAH Other hypotension TIDAK
709 16/01/201 241301030118Y000488 0000150267058 FRANSISKUS SEDA LEBA L PNS DAERAH Senile cataract YA
710 16/01/201 241301030118Y001219 0000150267284 MARIA ROSALINDA NDIWA P PNS DAERAH Essential (primary) hypertension TIDAK
711 16/01/201 241301030118Y001225 0000150756693 MELIANUS NOMLENI L PNS DAERAH Myalgia TIDAK
712 16/01/201 241301030118Y001223 0000150756704 NAOMI NOMLENI - TANEO P PNS DAERAH Urinary tract infection, site not TIDAK
713 16/01/201 241301030118Y000508 0000163490422 GLeDIS NARAY P PNS PUSAT Plasmodium falciparum malaria, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
714 16/01/201 241301030118Y000482 0000165171609 ALBERTINA MAKALDJEN P PENERIMA PENSIUN TNI Non-insulin-dependent diabetes YA
715 16/01/201 241301030118Y001041 0000854928077 DORTIA TAMONOB P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
716 16/01/201 241301030118Y001328 0000854928077 DORTIA TAMONOB P PBI (APBN) Contraceptive management, TIDAK
717 16/01/201 241301030118Y000554 0000858975017 MARIA PUASGAY P PBI (APBN) Dyspepsia TIDAK
718 16/01/201 241301030118Y000490 0000871012315 MARTINUS BINSASI L PBI (APBN) Bell's palsy YA
719 16/01/201 241301030118Y000515 0000871497595 LAURENSIA BATAN SUNI P PBI (APBN) Cystitis, unspecified TIDAK
720 16/01/201 241301030118Y000504 0000871528713 Loreyanti Magdalena P PEGAWAI SWASTA Pregnancy confirmed TIDAK
721 16/01/201 241301030118Y000581 0000871673139 ELIAS NGURU L PBI (APBN) Dyspepsia TIDAK
722 16/01/201 241301030118Y001053 0000871738986 YOHANIS S RIDO L PBI (APBN) Other acute gastritis TIDAK
723 16/01/201 241301030118Y001044 0000871740821 ANONCE G ELLIK P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
724 16/01/201 241301030118Y000589 0000871760125 GERALDO W ANIN L PBI (APBN) Otitis media, unspecified TIDAK
725 16/01/201 241301030118Y000559 0000871783885 MARTHA SUTAY-HETMINA P PBI (APBN) Cough TIDAK
726 16/01/201 241301030118Y000578 0000871799117 IRAD IVY D HABA P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
727 16/01/201 241301030118Y001046 0000871814158 MINCE VINSAE P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
728 16/01/201 241301030118Y001043 0000871824036 MERRY MARINCE ATTI P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
729 16/01/201 241301030118Y000560 0000871852836 APRIANA NDUN FOES P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
730 16/01/201 241301030118Y000588 0000871918176 NOVITA DADA GOLE P PBI (APBN) Other and unspecified abdominal pain TIDAK
731 16/01/201 241301030118Y000584 0000872041803 DOMINGGUS LEBA L PBI (APBN) Necrosis of pulp TIDAK
732 16/01/201 241301030118Y000590 0000872476839 OFLIANA LENGGU P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
733 16/01/201 241301030118Y001329 0000872494784 DEBORA BAUNSELE P PBI (APBN) Contraceptive management, TIDAK
734 16/01/201 241301030118Y001048 0000872526036 SISKA GLORYA RIDHO P PBI (APBN) Acute tonsillitis, unspecified TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
735 16/01/201 241301030118Y001330 0000872529017 JULLIANA I TONBESI P PBI (APBN) Contraceptive management, TIDAK
736 16/01/201 241301030118Y001035 0000872694775 DIKSON DEBRIANTO L PBI (APBN) Infective dermatitis TIDAK
737 16/01/201 241301030118Y001037 0000872725746 EMAPRATIWI PAU RIWU P PBI (APBN) Cough TIDAK
738 16/01/201 241301030118Y000513 0000872882212 AMELIA NENOBAIS P PBI (APBN) Pregnancy confirmed TIDAK
739 16/01/201 241301030118Y001032 0000872945649 MERY KADAFUK-PANDU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
740 16/01/201 241301030118Y000556 0000873066701 ANASTASIA l. LAISKODAT P PBI (APBN) Cystitis, unspecified TIDAK
741 16/01/201 241301030118Y000478 0000873085678 DAUD DJARA L PBI (APBN) Essential (primary) hypertension YA
742 16/01/201 241301030118Y000593 0000873123254 NASRI MUHAMMAD L PBI (APBN) Myalgia TIDAK
743 16/01/201 241301030118Y000587 0000873139972 RIVAN LENA WOLO L PBI (APBN) Acute tonsillitis, unspecified TIDAK
744 16/01/201 241301030118Y000562 0000873170537 MERY OLBAJA-SUTAY P PBI (APBN) Low back pain TIDAK
745 16/01/201 241301030118Y000577 0001058895292 JEMSI HANAS L PBI (APBN) Acute upper respiratory infection, TIDAK
746 16/01/201 241301030118Y000507 0001062883765 FENTHY FEBRIANTY H.R. P PBI (APBN) Pregnancy confirmed TIDAK
747 16/01/201 241301030118Y001051 0001062888129 ARNOLDINA KOLO P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
748 16/01/201 241301030118Y000586 0001078353731 RIDEL GAVRIEL KEPPY L PNS PUSAT Necrosis of pulp TIDAK
749 16/01/201 241301030118Y000500 0001099366053 SUKMAWATI P PEKERJA MANDIRI Anal fissure, unspecified TIDAK
750 16/01/201 241301030118Y000477 0001151123163 SEMUEL EDUART FREDRIK L PEGAWAI SWASTA Other cerebral infarction YA
751 16/01/201 241301030118Y000498 0001266377275 JOHANIS RUDOLOF L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
752 16/01/201 241301030118Y001234 0001281449114 LEONCIO TERESA ARAUJO L PNS DAERAH Other hypotension TIDAK
753 16/01/201 241301030118Y000483 0001290468813 THOBIAS BANI L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
754 16/01/201 241301030118Y000486 0001815115825 ASNAT OME P PEGAWAI PEMERINTAH Special screening examination for YA
755 16/01/201 241301030118Y000492 0001826481969 MARIA MAGDALENA P PEKERJA MANDIRI Allergic contact dermatitis, unspecified TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
756 16/01/201 241301030118Y000505 0001850448666 GIOVANNO LIONEL L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
757 16/01/201 241301030118Y000573 0001852950363 DOLLY FATRIASTI P PEGAWAI PEMERINTAH Periapical abscess with sinus TIDAK
758 16/01/201 241301030118Y000479 0001854582074 florida nena nusa P PEKERJA MANDIRI Pregnancy-related condition, YA
759 16/01/201 241301030118Y001236 0001868229246 YUSTINA SOMI KEDANG P PEGAWAI PEMERINTAH Cutaneous abscess, furuncle and TIDAK
760 16/01/201 241301030118Y000499 0001870424706 AMINAH ZARA ZATUNNUR L PEGAWAI PEMERINTAH Diarrhoea and gastroenteritis of TIDAK
761 16/01/201 241301030118Y000496 0001902389951 KAREN JOSEVINA WAHYUNI P PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
762 16/01/201 241301030118Y000576 0002069805598 ANASTASIA WAHA PIRAN P PEKERJA MANDIRI Retained dental root TIDAK
763 16/01/201 241301030118Y000574 0002069805734 elisabet ina piran P PEKERJA MANDIRI Necrosis of pulp TIDAK
764 16/01/201 241301030118Y000514 0002092409763 FADIL MARTINUS ELODEA L PNS PUSAT Pyoderma TIDAK
765 16/01/201 241301030118Y000495 0002234451958 VANIA SALSABILA ANSYAR P PEKERJA MANDIRI Fever, unspecified TIDAK
766 16/01/201 241301030118Y000510 0002245494069 YENI ISTINAH P PEKERJA MANDIRI Pregnancy confirmed TIDAK
767 16/01/201 241301030118Y001034 0002253650196 ROMELUS AGUSTA L PNS DAERAH Acute upper respiratory infection, TIDAK
768 16/01/201 241301030118Y001039 0002256841719 PETRUS PRANI L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
769 16/01/201 241301030118Y000558 0002270387608 aditya rafasyah agustin L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
770 16/01/201 241301030118Y000503 0002309729141 GLADYZ SANTA PRICYLLIA P PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
771 16/01/201 241301030118Y000501 0002310300685 MARIA SELMI P PEKERJA MANDIRI Pregnancy confirmed TIDAK
772 16/01/201 241301030118Y000583 0002316948221 IMANUEL AIHERY L PEKERJA MANDIRI Necrosis of pulp TIDAK
773 15/01/201 241301030118Y000532 0000146954283 SAMUEL MAIDJEN L PNS DAERAH Myalgia TIDAK
774 15/01/201 241301030118Y000533 0000146954294 MAGDALENA MAIDJEN P PNS DAERAH Myalgia TIDAK
775 15/01/201 241301030118Y000461 0000146958445 ADEL WATIMENA P PENERIMA PENSIUN Benign paroxysmal verti YA
776 15/01/201 241301030118Y000449 0000147082329 RIBKA TANEHE - P PENERIMA PENSIUN Chronic ischaemic heart disease TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
777 15/01/201 241301030118Y000469 0000147091533 BERNADUS EKY L PENERIMA PENSIUN Cerebral infarction, unspecified YA
778 15/01/201 241301030118Y000550 0000147100487 MARIA BELLA OCTAVIANUS P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
779 15/01/201 241301030118Y001168 0000149626719 HENDERLINA ENA BLEGUR P PNS PUSAT Essential (primary) hypertension TIDAK
780 15/01/201 241301030118Y000462 0000149684578 DELFINA ELSINA BALLE P PNS DAERAH Non-insulin-dependent diabetes YA
781 15/01/201 241301030118Y000531 0000149724235 FILPIN JULIANA MBAU-m P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
782 15/01/201 241301030118Y000528 0000149830255 ANA NATALIA G. HAUSUFA P PNS DAERAH Acute upper respiratory infection, TIDAK
783 15/01/201 241301030118Y001191 0000149833866 MARSELINA SETTE P PNS DAERAH Other hypotension TIDAK
784 15/01/201 241301030118Y001163 0000149835003 MYSJEM SONYMAN L PNS DAERAH Myalgia TIDAK
785 15/01/201 241301030118Y000548 0000149841797 SOLEMAN SILLA L PNS PUSAT Tuberculosis of lung, confirmed by TIDAK
786 15/01/201 241301030118Y000542 0000149866525 DONATUS M. NIBA, SMHK L PENERIMA PENSIUN TNI Acute upper respiratory infection, TIDAK
787 15/01/201 241301030118Y000451 0000149908601 BENDELINA SAILANA P PENERIMA PENSIUN Essential (primary) hypertension YA
788 15/01/201 241301030118Y000447 0000149949303 STEPHANUS L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
789 15/01/201 241301030118Y000446 0000150082299 OKTOVIANUS SAUDALE L PENERIMA PENSIUN Hyperplasia of prostate YA
790 15/01/201 241301030118Y000545 0000150134321 IMANUEL HAWU RADJAH L PNS DAERAH Acute upper respiratory infection, TIDAK
791 15/01/201 241301030118Y000457 0000150149621 AMINAH HASLINDA BAUN P PNS DAERAH Disorders of lacrimal system YA
792 15/01/201 241301030118Y001196 0000150150881 IMELDA PERETO KOLIN P PNS DAERAH Acute upper respiratory infection, TIDAK
793 15/01/201 241301030118Y001197 0000150150914 KRISTOMUS DOMI L PNS DAERAH Diarrhoea and gastroenteritis of TIDAK
794 15/01/201 241301030118Y000463 0000150170861 NIWAYAN SURATNI DJADI P PNS DAERAH Essential (primary) hypertension YA
795 15/01/201 241301030118Y000455 0000150237808 HORIANA JOHANA ANATJI P PNS DAERAH Essential (primary) hypertension TIDAK
796 15/01/201 241301030118Y001165 0000150253132 FRANS ISHAK RAGA L PNS DAERAH Acute upper respiratory infection, TIDAK
797 15/01/201 241301030118Y001171 0000150257125 NIA BUNGA P PNS DAERAH Gastritis, unspecified TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
798 15/01/201 241301030118Y001198 0000150257171 OLFIANA PAULINA BALLU P PNS DAERAH Essential (primary) hypertension TIDAK
799 15/01/201 241301030118Y001200 0000150257182 DANIEL DIMA L PNS DAERAH Essential (primary) hypertension TIDAK
800 15/01/201 241301030118Y001194 0000150257586 DONATUS LUAN L PNS DAERAH Acute upper respiratory infection, TIDAK
801 15/01/201 241301030118Y001159 0000150271209 DANNY SUHADI, IR L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
802 15/01/201 241301030118Y001020 0000150311867 DAMARIS WEO BANGNGU P PNS DAERAH Dyspepsia TIDAK
803 15/01/201 241301030118Y000541 0000150345663 SERVASIUS Y. BHIA L PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
804 15/01/201 241301030118Y000458 0000150436181 WILHELMINA WELIN P PNS DAERAH Pterygium YA
805 15/01/201 241301030118Y000459 0000150642549 SEBASTIANA SEDO P PNS DAERAH Follow-up examination after treatment YA
806 15/01/201 241301030118Y000494 0000151677898 JUNIAS ARNOLDUS L PNS DAERAH Acute upper respiratory infection, TIDAK
807 15/01/201 241301030118Y000540 0000160129359 SITI ROKHANI P PNS DAERAH Essential (primary) hypertension TIDAK
808 15/01/201 241301030118Y000537 0000174047174 JOSHUA HAMONANGAN L PNS DAERAH Gastritis, unspecified TIDAK
809 15/01/201 241301030118Y000527 0000204080679 ELISABETH SANUR P PENERIMA PENSIUN Mucopurulent conjunctivitis TIDAK
810 15/01/201 241301030118Y000445 0000870919694 RAMPIUS KORE GIGI L PBI (APBN) Other surgical follow-up care YA
811 15/01/201 241301030118Y000534 0000871525776 EROS CH MARTUTTY L PBI (APBN) Essential (primary) hypertension TIDAK
812 15/01/201 241301030118Y000549 0000871535553 AGNES PATI BOBOY P PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
813 15/01/201 241301030118Y000525 0000871670373 ReINHARD Koro LULU L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
814 15/01/201 241301030118Y001015 0000871727398 MONIKA EKA P PBI (APBN) Acute upper respiratory infection, TIDAK
815 15/01/201 241301030118Y000530 0000871796889 LASARUS HABA L PBI (APBN) Myalgia TIDAK
816 15/01/201 241301030118Y000448 0000871800737 SELFINCE A PANDU P PBI (APBN) Nonorganic insomnia YA
817 15/01/201 241301030118Y000454 0000871826084 TOMI LEO L PBI (APBN) Essential (primary) hypertension TIDAK
818 15/01/201 241301030118Y000526 0000871840394 ELISABTH KOLO P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
819 15/01/201 241301030118Y000522 0000871877485 IMANUEL MODOK L PBI (APBN) Acute upper respiratory infection, TIDAK
820 15/01/201 241301030118Y000524 0000871907319 APLONIA BAIT KONO P PBI (APBN) Low back pain TIDAK
821 15/01/201 241301030118Y000509 0000871927042 ELISA INDRIYANI NANGE P PBI (APBN) Fever, unspecified TIDAK
822 15/01/201 241301030118Y000544 0000871936536 RANI G MANAFE NOKE P PBI (APBN) Exfoliation of teeth due to systemic TIDAK
823 15/01/201 241301030118Y000543 0000871937291 JULIA L MANAFE P PBI (APBN) Acute upper respiratory infection, TIDAK
824 15/01/201 241301030118Y000450 0000871948181 BENDELINA MANAFE SOKH P PBI (APBN) Non-insulin-dependent diabetes TIDAK
825 15/01/201 241301030118Y001029 0000872180087 AMELIA NABEN P PBI (APBN) Iron deficiency anaemia, unspecified TIDAK
826 15/01/201 241301030118Y000517 0000872205221 NAOMI SADUK P PBI (APBN) Acute upper respiratory infection, TIDAK
827 15/01/201 241301030118Y000453 0000872305356 ZULIANTY P PBI (APBN) Cleft lip, unilateral YA
828 15/01/201 241301030118Y000519 0000872334246 OLIVANDA KAPITA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
829 15/01/201 241301030118Y000518 0000872334382 KESYA SUNI L PBI (APBN) Acute upper respiratory infection, TIDAK
830 15/01/201 241301030118Y001324 0000872348016 VICTORIA E PANDIE P PBI (APBN) Contraceptive management, TIDAK
831 15/01/201 241301030118Y000475 0000872352426 LEVINA OME P PBI (APBN) Pregnancy confirmed TIDAK
832 15/01/201 241301030118Y000472 0000872623631 YANTI BATMALO P PBI (APBN) Pregnancy confirmed TIDAK
833 15/01/201 241301030118Y001013 0000872668618 DIKI R M WABANG L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
834 15/01/201 241301030118Y000538 0000872702357 RUTH MBORO MBATE P PBI (APBN) Acute upper respiratory infection, TIDAK
835 15/01/201 241301030118Y000529 0000872834409 DENDI P BERE L PBI (APBN) Acute upper respiratory infection, TIDAK
836 15/01/201 241301030118Y001022 0000873019809 MARIA YASINTA IDA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
837 15/01/201 241301030118Y000539 0000873021813 MARTHINA WILU P PBI (APBN) Acute upper respiratory infection, TIDAK
838 15/01/201 241301030118Y001024 0000873028721 PAULUS LETUNA L PBI (APBN) Other headache syndromes TIDAK
839 15/01/201 241301030118Y000456 0000873173158 ZAIRANI TASY ABDULLAH P PBI (APBN) Essential (primary) hypertension YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
840 15/01/201 241301030118Y000521 0000873218439 MARIA G PAPA P PBI (APBN) Injury of unspecified blood vessel of TIDAK
841 15/01/201 241301030118Y000551 0001062880896 MARIA NGAHU P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
842 15/01/201 241301030118Y000552 0001062880907 BOBY A Y NGAHU L PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
843 15/01/201 241301030118Y000452 0001062884384 WIWIEK SUKENI WAKE P PBI (APBN) Essential (primary) hypertension TIDAK
844 15/01/201 241301030118Y001325 0001062887343 NOURMA MATA RATU P PBI (APBN) Other contraceptive management TIDAK
845 15/01/201 241301030118Y000471 0001089874124 HENNY NINA MAYA LUBALU P PBI (APBN) Pregnancy confirmed TIDAK
846 15/01/201 241301030118Y001195 0001279827584 ANDY MACDONALD LEDE L PNS DAERAH Myalgia TIDAK
847 15/01/201 241301030118Y001017 0001319866672 YAKOb LEDOH L PNS DAERAH Superficial injury of unspecified body TIDAK
848 15/01/201 241301030118Y000476 0001578176739 FAMILIA SILVIANA ANGGUT P PEGAWAI SWASTA Pregnancy confirmed TIDAK
849 15/01/201 241301030118Y001327 0001794888933 MARDIANA P PEKERJA MANDIRI Contraceptive management, TIDAK
850 15/01/201 241301030118Y001323 0001802950582 SYAMSIA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
851 15/01/201 241301030118Y000511 0001850446798 CHALISTA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
852 15/01/201 241301030118Y000506 0001850448666 GIOVANNO LIONEL L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
853 15/01/201 241301030118Y000512 0002067368411 CHERRYL KORNELIA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
854 15/01/201 241301030118Y000523 0002073140458 by nyonya emiliana sau L PBI (APBN) Acute tonsillitis, unspecified TIDAK
855 15/01/201 241301030118Y000546 0002075016227 arny a. sabloit P PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
856 15/01/201 241301030118Y000460 0002090037958 PRIMA EUSEBIA NENO P PEGAWAI PEMERINTAH Paranoid schizophrenia YA
857 15/01/201 241301030118Y000473 0002226265852 AGUSTINA F. P PEKERJA MANDIRI Pregnancy confirmed TIDAK
858 15/01/201 241301030118Y000547 0002248519263 CHRISTIAN MELFIN L PBI (APBN) Acute upper respiratory infection, TIDAK
859 15/01/201 241301030118Y000474 0002286479766 NOFRYANTI AMELIA SOLE P PEKERJA MANDIRI Pregnancy confirmed TIDAK
860 15/01/201 241301030118Y001326 0002292877113 EDA RAHAYU BENU P PEKERJA MANDIRI Routine postpartum follow-up TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
861 15/01/201 241301030118Y000520 0002320854006 REVAND NHEMAR L PEKERJA MANDIRI Injury of unspecified blood vessel of TIDAK
862 13/01/201 241301030118Y000438 0000146977604 MARIA LENGARI P PNS PUSAT Pregnancy confirmed TIDAK
863 13/01/201 241301030118Y000416 0000149637778 WELHELMUS DEKU L PNS DAERAH Contracture of joint YA
864 13/01/201 241301030118Y000423 0000149660605 MEGA PUTRI Y. P PNS DAERAH Caries of dentine YA
865 13/01/201 241301030118Y000424 0000149721197 SWINGLY SINAMOHINA L PENERIMA PENSIUN Essential (primary) hypertension YA
866 13/01/201 241301030118Y000414 0000149987924 FREDDY HENRY BOEKY, L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
867 13/01/201 241301030118Y000417 0000149994426 RIYANTI PRADEN P PENERIMA PENSIUN Hypertensive heart disease with YA
868 13/01/201 241301030118Y000420 0000150001648 THERESIA MANEK TAE P PENERIMA PENSIUN Essential (primary) hypertension YA
869 13/01/201 241301030118Y000425 0000150079792 LEONARDUS LEGHU L PNS DAERAH Non-insulin-dependent diabetes YA
870 13/01/201 241301030118Y000422 0000150137245 PETRUS LEDE SAIRO L PNS DAERAH Predominantly allergic asthma YA
871 13/01/201 241301030118Y000536 0000870919694 RAMPIUS KORE GIGI L PBI (APBN) Dyspepsia TIDAK
872 13/01/201 241301030118Y000535 0000871777719 ALEXIA LAISIMAU L PBI (APBN) Cough TIDAK
873 13/01/201 241301030118Y001009 0000871825094 HARLENCI NUBATONIS P PBI (APBN) Essential (primary) hypertension TIDAK
874 13/01/201 241301030118Y001006 0000871843803 ERNI Y TOMASUI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
875 13/01/201 241301030118Y001005 0000872059004 ROLAN ULY L PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
876 13/01/201 241301030118Y001007 0000872083809 POLCE RIWU L PBI (APBN) Chronic gingivitis TIDAK
877 13/01/201 241301030118Y000419 0000872279482 YEFNES S BENU P PBI (APBN) Impacted cerumen YA
878 13/01/201 241301030118Y000421 0000872732891 vERAWATI KORE P PBI (APBN) Necrosis of pulp TIDAK
879 13/01/201 241301030118Y000418 0001062881111 ELISABETh PATOLA P PBI (APBN) Essential (primary) hypertension TIDAK
880 13/01/201 241301030118Y001011 0001062884384 WIWIEK SUKENI WAKE P PBI (APBN) Essential (primary) hypertension TIDAK
881 13/01/201 241301030118Y001322 0001081687151 LIDYA FLORENCE BALLU P PNS DAERAH Contraceptive management, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
882 13/01/201 241301030118Y000415 0001635835061 YUSTINUS MEYNARD L PEKERJA MANDIRI Human immunodeficiency virus [HIV] YA
883 12/01/201 241301030118Y000401 0000147091533 BERNADUS EKY L PENERIMA PENSIUN Cerebral infarction, unspecified YA
884 12/01/201 241301030118Y000435 0000147274457 Sem D. T. AMNIFU L PENERIMA PENSIUN Predominantly allergic asthma TIDAK
885 12/01/201 241301030118Y000987 0000149636608 NAOMI SOFIA BANA P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
886 12/01/201 241301030118Y000399 0000149688101 OKTAVIANUS BORA TAMO L PNS DAERAH Examination of eyes and vision YA
887 12/01/201 241301030118Y000405 0000149751663 REGINA DE CARVALHO P PNS DAERAH Essential (primary) hypertension TIDAK
888 12/01/201 241301030118Y000403 0000149800476 JOVITA ORPA NELSIA P PNS PUSAT Other specified surgical follow-up care YA
889 12/01/201 241301030118Y000985 0000149899735 ADEL EFRIDA G LAGA P PNS DAERAH Allergic rhinitis, unspecified TIDAK
890 12/01/201 241301030118Y000404 0000149948379 ADOLFINA SAKAN LADA P PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
891 12/01/201 241301030118Y000434 0000149985584 HANA K. K. KRISTININGSIH P PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
892 12/01/201 241301030118Y000428 0000150184629 JASINTA KELENDONU - P PNS DAERAH Myalgia TIDAK
893 12/01/201 241301030118Y000467 0000150195025 MARIA Wendelina DHIU P PNS DAERAH Acute upper respiratory infection, TIDAK
894 12/01/201 241301030118Y000427 0000150245471 YOHANA BAIT PALBENO P PNS DAERAH Myalgia TIDAK
895 12/01/201 241301030118Y001155 0000150253053 ALBERSIUS NUBATONIS L PNS DAERAH Gastritis, unspecified TIDAK
896 12/01/201 241301030118Y001151 0000150253209 KURINUS NOME L PNS DAERAH Acute pharyngitis, unspecified TIDAK
897 12/01/201 241301030118Y001145 0000150256844 MARIA DIZI P PNS DAERAH Gastritis, unspecified TIDAK
898 12/01/201 241301030118Y000491 0000164994952 MAGDALENA P. FERROH - P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
899 12/01/201 241301030118Y000409 0000165310198 ANGGA s. NENOHAIFETO L PNS DAERAH Headache TIDAK
900 12/01/201 241301030118Y001001 0000173833953 GwEN M OKTAVIANUS P PNS DAERAH Persistent fever TIDAK
901 12/01/201 241301030118Y000431 0000194023675 JACKOP JONANTHO L PNS DAERAH Fever, unspecified TIDAK
902 12/01/201 241301030118Y000995 0000851740255 SELFI ANTONIA TALAN P PBI (APBN) Suppurative otitis media, unspecified TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
903 12/01/201 241301030118Y000412 0000870535427 MICKAEL M WEO L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
904 12/01/201 241301030118Y000429 0000871261997 FEBI R SOPABA P PBI (APBN) Burns involving 10-19% of body TIDAK
905 12/01/201 241301030118Y000470 0000871648817 AGUSTINUS AKOIT L PBI (APBN) Allergic urticaria TIDAK
906 12/01/201 241301030118Y000402 0000871727477 YOSEPH LIKO L PBI (APBN) Non-insulin-dependent diabetes YA
907 12/01/201 241301030118Y000465 0000871758088 NIKOLAS ANIN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
908 12/01/201 241301030118Y000442 0000871809996 ARNOLDUS LAKAMNASI L PBI (APBN) Cough TIDAK
909 12/01/201 241301030118Y000432 0000871839887 januar giant KANA L PBI (APBN) Acute upper respiratory infection, TIDAK
910 12/01/201 241301030118Y000411 0000871926715 ALFONS SADUK L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
911 12/01/201 241301030118Y000468 0000872014318 BENDELINA RIHI P PBI (APBN) Acute upper respiratory infection, TIDAK
912 12/01/201 241301030118Y000990 0000872079939 IBRAHIM INA BUI L PBI (APBN) Polyarthrosis, unspecified TIDAK
913 12/01/201 241301030118Y000433 0000872293318 SAMUEL SILA L PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
914 12/01/201 241301030118Y000992 0000872321411 MARTHEN TENIS L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
915 12/01/201 241301030118Y001321 0000872635735 FEBRIANA Y LALUS P PBI (APBN) Pregnancy confirmed TIDAK
916 12/01/201 241301030118Y000999 0000872723496 DELFIANTI I PAU RIWU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
917 12/01/201 241301030118Y000406 0000872871917 AGUSTINA BRIA TAGA P PBI (APBN) Non-insulin-dependent diabetes YA
918 12/01/201 241301030118Y000430 0001062879884 JENI LIUBANA P PBI (APBN) Acute upper respiratory infection, TIDAK
919 12/01/201 241301030118Y000436 0001062881469 LINDA NAPPOE P PBI (APBN) Dyspepsia TIDAK
920 12/01/201 241301030118Y000979 0001062883517 YUDITH SETIAWATI LETUNA P PBI (APBN) Persistent fever TIDAK
921 12/01/201 241301030118Y000982 0001062884542 YOHANES NAIHATI L PBI (APBN) Cutaneous abscess, furuncle and TIDAK
922 12/01/201 241301030118Y001146 0001271203536 ANIKA FERONIKA LIUBANA P PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
923 12/01/201 241301030118Y000443 0001292878563 CHARLY ZILZIAN PUTRA L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
924 12/01/201 241301030118Y000437 0001576140333 DEWI SARTIKA DOPONG P PEGAWAI SWASTA Pregnancy confirmed TIDAK
925 12/01/201 241301030118Y000441 0001633814291 JANSENSIUS EDUAR APRIA L PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
926 12/01/201 241301030118Y000439 0001811856464 ASMINTEN L PEKERJA MANDIRI Mucopurulent conjunctivitis TIDAK
927 12/01/201 241301030118Y000400 0001820462466 YULIANA BENGA ARAN P PENERIMA PENSIUN Essential (primary) hypertension YA
928 12/01/201 241301030118Y001153 0001822064567 HERMAN SERAN BRIA L PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
929 12/01/201 241301030118Y000407 0001834120719 ARY ALEKSON HIDA L PEKERJA MANDIRI Examination of eyes and vision YA
930 12/01/201 241301030118Y000426 0001868040033 DOMINGGUS BANAO L PEGAWAI PEMERINTAH Tuberculosis of lung, confirmed by TIDAK
931 12/01/201 241301030118Y000444 0002035697927 chlara zhaqira umasangadji P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
932 12/01/201 241301030118Y000464 0002047704142 NOVITA P PEKERJA MANDIRI Otitis media, unspecified TIDAK
933 12/01/201 241301030118Y001141 0002065048301 TRAYANUS NOME L PEGAWAI PEMERINTAH Gastritis, unspecified TIDAK
934 12/01/201 241301030118Y000994 0002074332431 aquivaldy pay metkono L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
935 12/01/201 241301030118Y000466 0002238786336 yori fallo P PEKERJA MANDIRI Dyspepsia TIDAK
936 12/01/201 241301030118Y001149 0002280601631 SEFRIANUS YOHANIS NAU L PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
937 12/01/201 241301030118Y000440 0002282464495 BY NYONYA MARTINA P PEKERJA MANDIRI Cough TIDAK
938 12/01/201 241301030118Y000413 0002322617455 YUSTINA EMA WOKA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
939 11/01/201 241301030118Y000344 0000146929432 MARETZON EDIZON PAA L PNS DAERAH Non-insulin-dependent diabetes TIDAK
940 11/01/201 241301030118Y000341 0000146953438 MIARNO UMBUNDAY L PENERIMA PENSIUN Essential (primary) hypertension YA
941 11/01/201 241301030118Y000347 0000147136781 HORTENSIUS bura L PNS DAERAH Examination of eyes and vision YA
942 11/01/201 241301030118Y000355 0000147740657 MONIKHA FLORINDA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
943 11/01/201 241301030118Y000334 0000149806361 MARGERITHA LENA P PNS DAERAH Essential (primary) hypertension YA
944 11/01/201 241301030118Y000369 0000149808756 URIA PENINA WENI P PNS DAERAH Dyspepsia TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
945 11/01/201 241301030118Y001137 0000149830176 DOMINGGUS TEFA L PNS DAERAH Acute pharyngitis, unspecified TIDAK
946 11/01/201 241301030118Y000329 0000150133498 SELFIA FANGGIDAE-GIRI P PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
947 11/01/201 241301030118Y000332 0000150152049 MARKUS SAMPE L PNS DAERAH Non-insulin-dependent diabetes YA
948 11/01/201 241301030118Y000410 0000150215409 PAULINA ALE P PNS DAERAH Necrosis of pulp TIDAK
949 11/01/201 241301030118Y000365 0000150262266 PETRUS BALA L PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
950 11/01/201 241301030118Y000331 0000150265765 SIMEON BURENI L PNS DAERAH Essential (primary) hypertension TIDAK
951 11/01/201 241301030118Y000348 0000150296242 NELCI AFLIANA LODEN, SE P PNS PUSAT Hearing loss, unspecified YA
952 11/01/201 241301030118Y000352 0000172974519 SARY FANI B. AWANG P PEKERJA MANDIRI Pregnancy confirmed TIDAK
953 11/01/201 241301030118Y000376 0000201285707 ALVARES CHRISTIAN L PNS DAERAH Urticaria, unspecified TIDAK
954 11/01/201 241301030118Y000357 0000870893673 MELFIANA M KALE P PBI (APBN) Pregnancy confirmed TIDAK
955 11/01/201 241301030118Y000377 0000870950362 YULIANA MATA P PBI (APBN) Cluster headache syndrome TIDAK
956 11/01/201 241301030118Y000375 0000870952015 ADINDA NATALIA WILLA P PBI (APBN) Fluke infection, unspecified TIDAK
957 11/01/201 241301030118Y000349 0000871524033 STIFENS ARYANTO WAANG L PBI (APBN) Acute and transient psychotic YA
958 11/01/201 241301030118Y000353 0000871529995 SHARA LAY P PBI (APBN) Pregnancy confirmed TIDAK
959 11/01/201 241301030118Y000333 0000871668707 ESTER KORO LULU r. P PBI (APBN) Threatened abortion YA
960 11/01/201 241301030118Y001318 0000871727398 MONIKA EKA P PBI (APBN) Adverse effects in the therapeutic use TIDAK
961 11/01/201 241301030118Y000967 0000871727556 KEZETH YUNINGSIH P PBI (APBN) Acute tonsillitis, unspecified TIDAK
962 11/01/201 241301030118Y001319 0000871809603 BELANDINA RIHILO LUSSIE P PBI (APBN) Pregnancy confirmed TIDAK
963 11/01/201 241301030118Y000350 0000872241197 YOSEPUS DOPEN L PBI (APBN) Chronic periodontitis YA
964 11/01/201 241301030118Y000346 0000872307775 HADIJAH PALANG P PBI (APBN) Essential (primary) hypertension YA
965 11/01/201 241301030118Y000364 0000872323479 YENI LUDIA MBAU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
966 11/01/201 241301030118Y000374 0000872369065 WELMINCE R M MANU HAE P PBI (APBN) Contraceptive management, TIDAK
967 11/01/201 241301030118Y000372 0000872712134 YASINTA BANUNAEK P PBI (APBN) Dyspepsia TIDAK
968 11/01/201 241301030118Y000373 0000872712292 YOHANES M OELEU L PBI (APBN) Dyspepsia TIDAK
969 11/01/201 241301030118Y000368 0000872714676 GLORIANUS Y R SEGEL L PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
970 11/01/201 241301030118Y001320 0000872736344 NOVIANA LILO P PBI (APBN) Pregnancy confirmed TIDAK
971 11/01/201 241301030118Y000978 0000873170537 MERY OLBAJA-SUTAY P PBI (APBN) Polyarthrosis, unspecified TIDAK
972 11/01/201 241301030118Y000371 0001062881447 MARIA H. NAPPOE P PBI (APBN) General medical examination TIDAK
973 11/01/201 241301030118Y000330 0001062881932 DOMINGGUS HE L PBI (APBN) Non-insulin-dependent diabetes YA
974 11/01/201 241301030118Y000354 0001062887861 DESI noviyanti HENUKH P PEGAWAI PEMERINTAH Pregnancy confirmed TIDAK
975 11/01/201 241301030118Y000356 0001261990247 IMAKULATA ELDA NGONGO P PEKERJA MANDIRI Pregnancy confirmed TIDAK
976 11/01/201 241301030118Y000969 0001295405853 DORTIA TALLO ADU P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
977 11/01/201 241301030118Y000366 0001819239849 ribka pati bebe P PEKERJA MANDIRI Other specified anaemias TIDAK
978 11/01/201 241301030118Y000345 0001820607208 bernaada dewi ventura dato P PEKERJA MANDIRI Patent ductus arteriosus YA
979 11/01/201 241301030118Y000370 0001855953549 MARIA AGNESIA Bria LEKI P PNS DAERAH Acute upper respiratory infection, TIDAK
980 11/01/201 241301030118Y001136 0001889500004 yasinta boleng P PNS DAERAH Acute pharyngitis, unspecified TIDAK
981 11/01/201 241301030118Y000380 0001900157859 TUTI NASRINI P PEKERJA MANDIRI HIV disease resulting in mycobacterial TIDAK
982 11/01/201 241301030118Y000328 0001966494339 NELSON FANGGIDAE L PEKERJA MANDIRI Presence of aortocoronary bypass graft YA
983 11/01/201 241301030118Y000378 0002035697927 chlara zhaqira umasangadji P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
984 11/01/201 241301030118Y000342 0002069805598 ANASTASIA WAHA PIRAN P PEKERJA MANDIRI Essential (primary) hypertension YA
985 11/01/201 241301030118Y000408 0002093715652 UMI ARIYATUN P PEKERJA MANDIRI Necrosis of pulp TIDAK
986 11/01/201 241301030118Y000379 0002216705051 IBRAHIM FANGGIDAE L PEKERJA MANDIRI HIV disease resulting in mycobacterial TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
987 11/01/201 241301030118Y000339 0002256841719 PETRUS PRANI L PEKERJA MANDIRI Retention of urine YA
988 11/01/201 241301030118Y000367 0002259972977 CALON BY NYONYA SESILIA P PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
989 11/01/201 241301030118Y000351 0002273733966 HARTIMIN SYA'BAN P PEGAWAI SWASTA Pregnancy confirmed TIDAK
990 10/01/201 241301030118Y000278 0000146936349 YOSEPHINA P PNS PUSAT Human immunodeficiency virus [HIV] YA
991 10/01/201 241301030118Y000277 0000146936351 STEPHEN T. JOOSTENSZ L PNS PUSAT Epilepsy, unspecified YA
992 10/01/201 241301030118Y000281 0000147089878 MATHILDE KUNDA - HAU P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
993 10/01/201 241301030118Y000387 0000147811206 ABNER LUTANG UGUR L PNS DAERAH Essential (primary) hypertension TIDAK
994 10/01/201 241301030118Y001128 0000149647252 ENI MUSRIMIR MUTADJI P PNS DAERAH Headache TIDAK
995 10/01/201 241301030118Y001124 0000149831853 IMANUEL TANEO L PNS DAERAH Acute upper respiratory infection, TIDAK
996 10/01/201 241301030118Y001120 0000149893154 POLINA RANTE P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
997 10/01/201 241301030118Y000287 0000149899037 BENVINDA DOS SANTOS P PNS DAERAH Essential (primary) hypertension TIDAK
998 10/01/201 241301030118Y000314 0000149899162 GERSON FERDINAN HANO L PNS DAERAH Urticaria TIDAK
999 10/01/201 241301030118Y000315 0000149899173 ASNAT HANO - BAOK P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1000 10/01/201 241301030118Y000316 0000150000671 PETRUS MALAIKOSA L PENERIMA PENSIUN Dyspepsia TIDAK
1001 10/01/201 241301030118Y001122 0000150151015 MONDA APRIS ELIFTON L PNS DAERAH Headache TIDAK
1002 10/01/201 241301030118Y000384 0000150201729 FRINTS FOEH, A.MD L PNS DAERAH Fever, unspecified TIDAK
1003 10/01/201 241301030118Y001125 0000150234715 TARSISIUS NAU L PNS DAERAH Essential (primary) hypertension TIDAK
1004 10/01/201 241301030118Y001121 0000150256934 MARKUS TON L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1005 10/01/201 241301030118Y000385 0000150261131 JULIUS ENA L PNS DAERAH Tuberculosis of lung, bacteriologically TIDAK
1006 10/01/201 241301030118Y001123 0000150264617 YAPY GO L PNS DAERAH Gastritis, unspecified TIDAK
1007 10/01/201 241301030118Y001131 0000150265901 VICTORIA H. A. LEDE P PNS DAERAH Acute upper respiratory infection, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1008 10/01/201 241301030118Y001130 0000150317605 MARIA LILO SUBANG P PNS DAERAH Headache TIDAK
1009 10/01/201 241301030118Y001127 0000150756693 MELIANUS NOMLENI L PNS DAERAH Acute upper respiratory infection, TIDAK
1010 10/01/201 241301030118Y001135 0000173688862 ANITA DAMARIS PELLO P PNS DAERAH Acute pharyngitis, unspecified TIDAK
1011 10/01/201 241301030118Y000305 0000195064029 NOVELITA Paulencia beatrix P PNS PUSAT Acute tonsillitis, unspecified TIDAK
1012 10/01/201 241301030118Y001133 0000203638217 YESI MEHELINA AMELIA P PNS DAERAH Other hypotension TIDAK
1013 10/01/201 241301030118Y001126 0000204345191 YOSEPUS LUSI L PNS DAERAH Myalgia TIDAK
1014 10/01/201 241301030118Y000289 0000209951943 MARIA NURISA FETO P PNS DAERAH Pregnancy confirmed YA
1015 10/01/201 241301030118Y000288 0000871031092 AMBROSIUS LEPA L PBI (APBN) Secondary hypertension YA
1016 10/01/201 241301030118Y000867 0000871557726 LEONARD LUDJI L PBI (APBN) Acute upper respiratory infection, TIDAK
1017 10/01/201 241301030118Y000291 0000871715518 OFFIKE WIDU HAU P PBI (APBN) Pregnancy confirmed TIDAK
1018 10/01/201 241301030118Y000283 0000871720918 GUSTI DONGMO L PBI (APBN) Essential (primary) hypertension TIDAK
1019 10/01/201 241301030118Y000381 0000871777113 MARINCE H LAISIMAU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1020 10/01/201 241301030118Y000386 0000871831732 PAULINA MEA P PBI (APBN) Myalgia TIDAK
1021 10/01/201 241301030118Y000285 0000872252976 EMILIANUS CR R COREBIMA L PBI (APBN) Paranoid schizophrenia YA
1022 10/01/201 241301030118Y000282 0000872604628 FRANSINA LUDJI P PBI (APBN) Chronic kidney disease, stage 5 YA
1023 10/01/201 241301030118Y000279 0000872712022 SIMON SAU OELEU L PBI (APBN) Human immunodeficiency virus [HIV] YA
1024 10/01/201 241301030118Y000317 0000873218439 MARIA G PAPA P PBI (APBN) Non-insulin-dependent diabetes TIDAK
1025 10/01/201 241301030118Y000318 0001062882145 BLASIUS LEOLMIN L PBI (APBN) Headache TIDAK
1026 10/01/201 241301030118Y000320 0001062882156 WILHELMINA BALAN P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1027 10/01/201 241301030118Y000319 0001062882167 MARIA NOVIANTI LEOLMIN P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1028 10/01/201 241301030118Y000286 0001062883708 MARKUS KOLAWILLA L PBI (APBN) Essential (primary) hypertension YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1029 10/01/201 241301030118Y000362 0001085715573 CESILIA ANTONIO P PNS PUSAT Acute upper respiratory infection, TIDAK
1030 10/01/201 241301030118Y000304 0001096625946 CHR M YOSEPHANNY P KEPOLISIAN RI Pure hypercholesterolaemia TIDAK
1031 10/01/201 241301030118Y000306 0001271527648 PHILIPS YAKOB MANOE L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
1032 10/01/201 241301030118Y000290 0001381468983 SOFIA TAMPANI SELAN P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1033 10/01/201 241301030118Y001317 0001388922849 YOHANA C. HALE BAU P PEKERJA MANDIRI Contraceptive management, TIDAK
1034 10/01/201 241301030118Y000869 0001434913986 fiktoria mesak P PEKERJA MANDIRI Allergic contact dermatitis, unspecified TIDAK
1035 10/01/201 241301030118Y000868 0001434915033 yesicka margareta pah P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1036 10/01/201 241301030118Y000275 0001467482501 AUDREY JOEWONO L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
1037 10/01/201 241301030118Y000284 0001786159181 BONEFANTURA SIMON L PNS DAERAH Urinary calculus, unspecified YA
1038 10/01/201 241301030118Y000303 0001815115825 ASNAT OME P PEGAWAI PEMERINTAH Tuberculosis of lung, bacteriologically TIDAK
1039 10/01/201 241301030118Y000382 0001959370356 viona putri supeno P PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
1040 10/01/201 241301030118Y000383 0002062644254 jesly aprilio sabuna L PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
1041 10/01/201 241301030118Y000280 0002195364802 HIRONIMUS JU L PEKERJA MANDIRI Epilepsy, unspecified YA
1042 10/01/201 241301030118Y000276 0002320969285 FRANSINA ISU P PEKERJA MANDIRI Other benign neoplasm of connective YA
1043 09/01/201 241301030118Y000391 0000147052945 YOHANIS FINA L PNS DAERAH Non-insulin-dependent diabetes TIDAK
1044 09/01/201 241301030118Y000220 0000147052956 RAKIMAH FINA P PNS DAERAH Non-insulin-dependent diabetes TIDAK
1045 09/01/201 241301030118Y000309 0000147068245 MINTJE AGUSTINA P PENERIMA PENSIUN TNI Fever, unspecified TIDAK
1046 09/01/201 241301030118Y000308 0000147093006 DAUD ST.WANGGA NDIMA L PENERIMA PENSIUN Acute nasopharyngitis [common cold] TIDAK
1047 09/01/201 241301030118Y000236 0000147136465 MARIA ANTHONETHA FUAH P PNS DAERAH Hypertrophy of nasal turbinates YA
1048 09/01/201 241301030118Y000321 0000149637306 MARIA DANG OLANG P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1049 09/01/201 241301030118Y000389 0000149770337 AGUSTINA YUBLINA PAA P PNS PUSAT Cough TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1050 09/01/201 241301030118Y000217 0000149820557 HENDRIK YOHANIS L PERINTIS Non-insulin-dependent diabetes TIDAK
1051 09/01/201 241301030118Y001095 0000149832178 JEMI MARTEN SAEFATU L PNS DAERAH Acute pharyngitis, unspecified TIDAK
1052 09/01/201 241301030118Y001096 0000149834722 MICHAEL LIU L PNS DAERAH Myalgia TIDAK
1053 09/01/201 241301030118Y000213 0000149848514 JUBLINA KEFI P PENERIMA PENSIUN TNI Non-insulin-dependent diabetes YA
1054 09/01/201 241301030118Y000209 0000149937568 SITI AMINAH P PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
1055 09/01/201 241301030118Y000295 0000149950462 THERESIA MAUKARI P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
1056 09/01/201 241301030118Y000210 0000149986304 ELISABETH KIKI - ADOE P PENERIMA PENSIUN Essential (primary) hypertension YA
1057 09/01/201 241301030118Y000393 0000149987507 THERESIA B. FERNANDEZ P PENERIMA PENSIUN Cellulitis of finger and toe TIDAK
1058 09/01/201 241301030118Y000227 0000149991849 PELPHINA PI - MAROMON P PENERIMA PENSIUN Essential (primary) hypertension YA
1059 09/01/201 241301030118Y000208 0000149992784 SALMON MANDALA L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
1060 09/01/201 241301030118Y000212 0000149993447 AMELIA TANGMAU P PENERIMA PENSIUN Essential (primary) hypertension TIDAK
1061 09/01/201 241301030118Y000297 0000149994426 RIYANTI PRADEN P PENERIMA PENSIUN Myalgia TIDAK
1062 09/01/201 241301030118Y000327 0000150079814 WILLYBRODUS T. LEGHU L PNS DAERAH Acute upper respiratory infection, TIDAK
1063 09/01/201 241301030118Y001100 0000150151408 YUSTINA WAE P PNS DAERAH Other hypotension TIDAK
1064 09/01/201 241301030118Y000390 0000150193866 HENDRIKUS Ataraya HERIN L PNS DAERAH Acute upper respiratory infection, TIDAK
1065 09/01/201 241301030118Y000211 0000150196713 TUKIYEM P PNS DAERAH Non-insulin-dependent diabetes YA
1066 09/01/201 241301030118Y001098 0000150234434 FLORENTIUS APAUT L PENERIMA PENSIUN Gastritis, unspecified TIDAK
1067 09/01/201 241301030118Y001118 0000150248215 IRENE ELISABETH ULY P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
1068 09/01/201 241301030118Y001097 0000150252017 YUSTUS SAPAY L PNS DAERAH Myalgia TIDAK
1069 09/01/201 241301030118Y000237 0000150252805 GASPAR PALO L PNS DAERAH Unilateral or unspecified inguinal YA
1070 09/01/201 241301030118Y001091 0000150253132 FRANS ISHAK RAGA L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1071 09/01/201 241301030118Y001119 0000150257305 ROLAND EDUARD NOPE L PNS DAERAH Essential (primary) hypertension TIDAK
1072 09/01/201 241301030118Y000294 0000150268724 YERICHO RIZKY BIRI L PNS DAERAH Acute upper respiratory infection, TIDAK
1073 09/01/201 241301030118Y000361 0000171905635 FRITS BENHARD HUWAE L PNS PUSAT Acute gingivitis TIDAK
1074 09/01/201 241301030118Y000324 0000174047174 JOSHUA HAMONANGAN L PNS DAERAH Fever, unspecified TIDAK
1075 09/01/201 241301030118Y000323 0000200806571 DAMARIS BENU - RAMU P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1076 09/01/201 241301030118Y000322 0000200806716 ALDY ELMARS BENU L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1077 09/01/201 241301030118Y000251 0000854152964 YANCE SARLOTA BABU P PBI (APBN) Human immunodeficiency virus [HIV] YA
1078 09/01/201 241301030118Y000296 0000870892042 TRISKA A PANALA P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1079 09/01/201 241301030118Y000310 0000870950362 YULIANA MATA P PBI (APBN) Headache TIDAK
1080 09/01/201 241301030118Y000224 0000871037133 EGIDIUS NAHAK L PBI (APBN) Acute abdomen YA
1081 09/01/201 241301030118Y000854 0000871506606 DOMINGGUS H TLAAN P PBI (APBN) Cough TIDAK
1082 09/01/201 241301030118Y000857 0000871506999 VERJANIA P AMLEMI P PBI (APBN) Dyspepsia TIDAK
1083 09/01/201 241301030118Y000307 0000871509982 ROBy F. ASABAT L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1084 09/01/201 241301030118Y000863 0000871727477 YOSEPH LIKO L PBI (APBN) Cough TIDAK
1085 09/01/201 241301030118Y000864 0000871908592 ANDIKA PRASETYO L PBI (APBN) Cough TIDAK
1086 09/01/201 241301030118Y001313 0000871959947 PAULINA NDAUMANU P PBI (APBN) Contraceptive management, TIDAK
1087 09/01/201 241301030118Y000359 0000872190202 IRSYAD MELATI CHRISTIN P PBI (APBN) Necrosis of pulp YA
1088 09/01/201 241301030118Y000859 0000872348016 VICTORIA E PANDIE P PBI (APBN) Acute tonsillitis, unspecified TIDAK
1089 09/01/201 241301030118Y000263 0000872402657 ANTONITA IE P PBI (APBN) Pregnancy confirmed TIDAK
1090 09/01/201 241301030118Y001314 0000872709761 THERESIA Y BANUSU P PEGAWAI SWASTA Pregnancy confirmed TIDAK
1091 09/01/201 241301030118Y001315 0000872903834 RIBKA NGURU GA P PBI (APBN) Adverse effects in the therapeutic use TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1092 09/01/201 241301030118Y000264 0000873138723 ROSIANA A DJARA P PBI (APBN) Pregnancy confirmed TIDAK
1093 09/01/201 241301030118Y000395 0001062880042 MUHAMAD RIZAL BAIN L PBI (APBN) Headache TIDAK
1094 09/01/201 241301030118Y000261 0001062884103 NUR RAHMAWATI P PBI (APBN) Examination of eyes and vision YA
1095 09/01/201 241301030118Y000262 0001297486304 PETRONELA NARA P PEGAWAI SWASTA Pregnancy confirmed TIDAK
1096 09/01/201 241301030118Y000394 0001306752377 ruben muda L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1097 09/01/201 241301030118Y000245 0001317496746 RIBKAH NDUN P PEKERJA MANDIRI Congestive heart failure YA
1098 09/01/201 241301030118Y000231 0001478382074 ANTHONETA HARLINCE P PNS DAERAH Pre-eclampsia, unspecified YA
1099 09/01/201 241301030118Y000360 0001578201309 MICHELIAN ABSANDY RIHI P PEGAWAI SWASTA Observation for suspected disease or TIDAK
1100 09/01/201 241301030118Y000302 0001852950363 DOLLY FATRIASTI P PEGAWAI PEMERINTAH Necrosis of pulp TIDAK
1101 09/01/201 241301030118Y000265 0001854582074 florida nena nusa P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1102 09/01/201 241301030118Y001093 0001893400863 ivo timbul siboro L PNS DAERAH Gastritis, unspecified TIDAK
1103 09/01/201 241301030118Y000293 0001897895147 GRACHIA PENU P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1104 09/01/201 241301030118Y000392 0002056839456 anastasia ndun maing P PEKERJA MANDIRI Cough TIDAK
1105 09/01/201 241301030118Y000301 0002069805734 elisabet ina piran P PEKERJA MANDIRI Necrosis of pulp TIDAK
1106 09/01/201 241301030118Y000862 0002070155654 BENEDIKTUS GRESMAN L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
1107 09/01/201 241301030118Y000223 0002229290458 DESTI MELA NOPE P PEKERJA MANDIRI Pregnancy-related condition, YA
1108 09/01/201 241301030118Y000325 0002231278817 STEVEN FERDIANTO BELLA L PEKERJA MANDIRI Allergic contact dermatitis, unspecified TIDAK
1109 09/01/201 241301030118Y000260 0002245494069 YENI ISTINAH P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1110 09/01/201 241301030118Y000388 0002245975615 INDAH OMEGA KASENUBE P PEKERJA MANDIRI General medical examination TIDAK
1111 09/01/201 241301030118Y000292 0002263777209 FEOTNAY JEANE P PEKERJA MANDIRI Predominantly allergic asthma TIDAK
1112 09/01/201 241301030118Y001316 0002289537415 ana novita sari siringoringo P PEKERJA MANDIRI Pregnancy confirmed TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1113 09/01/201 241301030118Y000865 0002303888681 JUNEDY ULLY WADU L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1114 09/01/201 241301030118Y000866 0002303890492 DESARLIN ADRIANA LAGA P PEKERJA MANDIRI Cough TIDAK
1115 08/01/201 241301030118Y001083 0000020415925 ARLIS SUTAN MAKMUR L PENERIMA PENSIUN Acute pharyngitis, unspecified TIDAK
1116 08/01/201 241301030118Y000300 0000021904615 YULIUS FONI, ST L PNS PUSAT Dyspepsia TIDAK
1117 08/01/201 241301030118Y000335 0000038062236 FRANSISKA YULIANA, S.SIT P PNS PUSAT Dyspepsia TIDAK
1118 08/01/201 241301030118Y000274 0000146954283 SAMUEL MAIDJEN L PNS DAERAH Tuberculosis of lung, bacteriologically TIDAK
1119 08/01/201 241301030118Y001084 0000149613276 MORE ALA MARIA P PNS DAERAH Acute upper respiratory infection, TIDAK
1120 08/01/201 241301030118Y001087 0000149645496 MARIA FRANSISCA SUI P PNS DAERAH Gastritis, unspecified TIDAK
1121 08/01/201 241301030118Y000176 0000149758773 CHAN AMBESA P PNS PUSAT Essential (primary) hypertension YA
1122 08/01/201 241301030118Y000841 0000149994246 LEONARD KAHO L PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
1123 08/01/201 241301030118Y000326 0000149996665 MARTHEN DAMALEDO L PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
1124 08/01/201 241301030118Y000397 0000150082266 HENY JUANLY GIRI P PNS DAERAH Dyspepsia TIDAK
1125 08/01/201 241301030118Y000358 0000150129472 MARIANA M. TADON P PNS DAERAH Pulpitis TIDAK
1126 08/01/201 241301030118Y001085 0000150133149 ELIA LOISOKLAY L PNS DAERAH Acute pharyngitis, unspecified TIDAK
1127 08/01/201 241301030118Y001088 0000150150317 CELTJE CASELFINA BELA P PNS DAERAH Myalgia TIDAK
1128 08/01/201 241301030118Y000337 0000150173447 BERNADETE OLA P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1129 08/01/201 241301030118Y000313 0000150215409 PAULINA ALE P PNS DAERAH Necrosis of pulp TIDAK
1130 08/01/201 241301030118Y001089 0000150236548 FALENTINUS WOGE L PNS DAERAH Gastritis, unspecified TIDAK
1131 08/01/201 241301030118Y000311 0000150237718 HELENE UTAN KOTEN P PNS DAERAH Retained dental root TIDAK
1132 08/01/201 241301030118Y000174 0000150240879 VICTORIA BRIA - PELLA P PENERIMA PENSIUN Essential (primary) hypertension YA
1133 08/01/201 241301030118Y000177 0000150248226 OCTO RIVIN KAMEO L PENERIMA PENSIUN Essential (primary) hypertension TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1134 08/01/201 241301030118Y001086 0000150257575 WELMINTJE ARA KOLI P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1135 08/01/201 241301030118Y000182 0000150265541 MARYAM JASIN - P P PNS DAERAH Insulin-dependent diabetes mellitus TIDAK
1136 08/01/201 241301030118Y000252 0000150306557 ROHMANITA OECUMENI P PENERIMA PENSIUN Fever, unspecified TIDAK
1137 08/01/201 241301030118Y001090 0000150311013 KARTINI SIMANIHURUK P PNS DAERAH Essential (primary) hypertension TIDAK
1138 08/01/201 241301030118Y000244 0000150345663 SERVASIUS Y. BHIA L PENERIMA PENSIUN Verti of central origin TIDAK
1139 08/01/201 241301030118Y001311 0000164672842 MARIA NAHAK P PENERIMA PENSIUN Contraceptive management, TIDAK
1140 08/01/201 241301030118Y000194 0000172105751 GREGORIUS ARIANTO LEKA L PENERIMA PENSIUN HIV disease resulting in mycobacterial YA
1141 08/01/201 241301030118Y000821 0000173134269 SRIWATI ANWAR P PNS DAERAH Cough TIDAK
1142 08/01/201 241301030118Y000253 0000173404214 KONSTANTINA M.F WONA P PNS PUSAT Observation for suspected tuberculosis TIDAK
1143 08/01/201 241301030118Y000340 0000852448702 YURINA TAEMNANU P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1144 08/01/201 241301030118Y000269 0000871007411 BENDELINA HINADANG P PBI (APBN) Dyspepsia TIDAK
1145 08/01/201 241301030118Y000268 0000871007984 WILSON MELIANUS L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1146 08/01/201 241301030118Y000243 0000871508632 NOVIANTI NIBA P PBI (APBN) Observation for suspected disease or TIDAK
1147 08/01/201 241301030118Y000202 0000871535608 TANIA PATI P PBI (APBN) Pregnancy confirmed TIDAK
1148 08/01/201 241301030118Y000312 0000871786732 LINA A. KORO LULU P PBI (APBN) Necrosis of pulp TIDAK
1149 08/01/201 241301030118Y000271 0000871809996 ARNOLDUS LAKAMNASI L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1150 08/01/201 241301030118Y001310 0000871812944 nofi VINSAE P PBI (APBN) Pregnancy confirmed TIDAK
1151 08/01/201 241301030118Y000398 0000871847818 TABITA F. MALA DARA P PBI (APBN) Acute upper respiratory infection, TIDAK
1152 08/01/201 241301030118Y000396 0000871913327 ABU MUSA L PBI (APBN) Acute upper respiratory infection, TIDAK
1153 08/01/201 241301030118Y000250 0000872041803 DOMINGGUS LEBA L PBI (APBN) Predominantly allergic asthma TIDAK
1154 08/01/201 241301030118Y000840 0000872129553 HENDERINA ROHI KALE P PBI (APBN) Insulin-dependent diabetes mellitus TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1155 08/01/201 241301030118Y001312 0000872303049 APRIANA PIKAHO P PBI (APBN) Adverse effects in the therapeutic use TIDAK
1156 08/01/201 241301030118Y000272 0000872335359 RAyMUNDUS LEOLMIN L PBI (APBN) Essential (primary) hypertension TIDAK
1157 08/01/201 241301030118Y000201 0000872352426 LEVINA OME P PBI (APBN) Pregnancy confirmed TIDAK
1158 08/01/201 241301030118Y000203 0000872430816 INDAH KEFI P PBI (APBN) Pregnancy confirmed TIDAK
1159 08/01/201 241301030118Y000266 0000872461675 FRANSISKA L N BATAONA P PBI (APBN) Dyspepsia TIDAK
1160 08/01/201 241301030118Y000267 0000872646783 SUNARTI HUSEN P PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
1161 08/01/201 241301030118Y001308 0000872690872 ANJELIKA EKO P PBI (APBN) Contraceptive management, TIDAK
1162 08/01/201 241301030118Y000827 0000872692997 KENSY RIVALDO HUBI L PBI (APBN) Acute upper respiratory infection, TIDAK
1163 08/01/201 241301030118Y000336 0000872709219 ADITIA HAILITIK L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1164 08/01/201 241301030118Y000204 0000872847696 YUNITA SASI P PBI (APBN) Pregnancy confirmed TIDAK
1165 08/01/201 241301030118Y000196 0000873019809 MARIA YASINTA IDA P PBI (APBN) Essential (primary) hypertension TIDAK
1166 08/01/201 241301030118Y000273 0000873030508 OKTOFINA TENGGU P PBI (APBN) Acute upper respiratory infection, TIDAK
1167 08/01/201 241301030118Y000298 0000873068319 LODYA ADULENGGU M P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1168 08/01/201 241301030118Y000198 0000873218439 MARIA G PAPA P PBI (APBN) Non-insulin-dependent diabetes YA
1169 08/01/201 241301030118Y000238 0001062879175 MARIA SERAFINA LIM P PBI (APBN) Superficial injury of unspecified body TIDAK
1170 08/01/201 241301030118Y000247 0001062879333 GEORGE SEALTIEL M.Y L PBI (APBN) Acute upper respiratory infection, TIDAK
1171 08/01/201 241301030118Y000239 0001062882202 YOSEP BALAN L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1172 08/01/201 241301030118Y000192 0001062882404 AMINA SEGA P PBI (APBN) Atherosclerotic cardiovascular disease, YA
1173 08/01/201 241301030118Y000195 0001062883708 MARKUS KOLAWILLA L PBI (APBN) Essential (primary) hypertension YA
1174 08/01/201 241301030118Y000830 0001062884529 HORTENSIA TAEL P PBI (APBN) Other acute gastritis TIDAK
1175 08/01/201 241301030118Y000833 0001062884586 FLORENTINA TAEL P PBI (APBN) Acute upper respiratory infection, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1176 08/01/201 241301030118Y000249 0001062886061 AGUSTINA KADJI-BESSIE P PBI (APBN) Myalgia TIDAK
1177 08/01/201 241301030118Y000199 0001260954033 LAZARUS YOSEPH L PEKERJA MANDIRI Disorders of refraction and YA
1178 08/01/201 241301030118Y000179 0001266377275 JOHANIS RUDOLOF L PEKERJA MANDIRI Examination of eyes and vision YA
1179 08/01/201 241301030118Y000180 0001266377501 NONTJE YULIA A. P PEKERJA MANDIRI Essential (primary) hypertension YA
1180 08/01/201 241301030118Y000246 0001280832074 THOMAS TONU L PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
1181 08/01/201 241301030118Y000200 0001285539952 RIVALDY ARMANDO FALLO L PNS DAERAH Spontaneous rupture of extensor YA
1182 08/01/201 241301030118Y000363 0001285941429 HASAN SAMBANG L PEKERJA MANDIRI Tuberculosis of lung, bacteriologically TIDAK
1183 08/01/201 241301030118Y000825 0001480410382 ANDHIRA HASTUTI ALAWIA L PNS DAERAH Cough TIDAK
1184 08/01/201 241301030118Y000206 0001483307133 LEPNY MANAFE P PEGAWAI SWASTA Pregnancy confirmed TIDAK
1185 08/01/201 241301030118Y000248 0001797925533 PUTRI SINDASARI PA LADO P PNS DAERAH Fever, unspecified TIDAK
1186 08/01/201 241301030118Y000299 0001818157228 SUKESI P PEKERJA MANDIRI Superficial injury of unspecified body TIDAK
1187 08/01/201 241301030118Y000823 0001870082043 ADIBA UMMU SALAMAH APE L TNI ANGKATAN DARAT Acute upper respiratory infection, TIDAK
1188 08/01/201 241301030118Y000193 0001882329243 SELFIANA BOIMAU MBAU P PEKERJA MANDIRI Essential (primary) hypertension TIDAK
1189 08/01/201 241301030118Y000242 0001882913286 jeremy markcrizel padaleti L PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
1190 08/01/201 241301030118Y000181 0001968444281 DEBORA LISNAHAN P PEKERJA MANDIRI Foreign body in ear YA
1191 08/01/201 241301030118Y000178 0002053395628 DARIUS JAFET BOLING L PENERIMA PENSIUN Examination of eyes and vision YA
1192 08/01/201 241301030118Y000338 0002069805598 ANASTASIA WAHA PIRAN P PEKERJA MANDIRI Pulpitis TIDAK
1193 08/01/201 241301030118Y000175 0002198367099 theresia tulin uban P PNS DAERAH Non-insulin-dependent diabetes YA
1194 08/01/201 241301030118Y000270 0002231345801 BY NYONYA FEBRIYANI F L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1195 08/01/201 241301030118Y000197 0002241103678 DINTJE NDOEN-NDAOMANU P PEKERJA MANDIRI Essential (primary) hypertension YA
1196 08/01/201 241301030118Y000183 0002272875219 MINUHARI P PEKERJA MANDIRI Non-insulin-dependent diabetes YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1197 08/01/201 241301030118Y000241 0002279323765 MARTHEN BINTANG L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1198 08/01/201 241301030118Y000205 0002286479766 NOFRYANTI AMELIA SOLE P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1199 08/01/201 241301030118Y001309 0002303674007 KATARINA TUNLIU P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1200 08/01/201 241301030118Y000207 0002310300685 MARIA SELMI P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1201 06/01/201 241301030118Y000087 0000041389874 MARIA MAXIMA LANGKO P PENERIMA PENSIUN Essential (primary) hypertension YA
1202 06/01/201 241301030118Y000079 0000146974656 MARTEN LUTER LANO L PNS PUSAT Hyperglycaemia, unspecified YA
1203 06/01/201 241301030118Y000141 0000146994647 JOHANES FRANS RINDU L PNS DAERAH Essential (primary) hypertension TIDAK
1204 06/01/201 241301030118Y000142 0000146994658 DORCE MANU P PNS DAERAH Pure hypercholesterolaemia TIDAK
1205 06/01/201 241301030118Y000081 0000147057568 MUKTADIR ABDULLAH L PNS PUSAT Acute suppurative otitis media YA
1206 06/01/201 241301030118Y000256 0000147274457 Sem D. T. AMNIFU L PENERIMA PENSIUN Chronic periodontitis TIDAK
1207 06/01/201 241301030118Y000254 0000149719037 AGNES BERNADINA P PNS DAERAH Acute gingivitis TIDAK
1208 06/01/201 241301030118Y000088 0000149861261 SUYATI P PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
1209 06/01/201 241301030118Y000146 0000149915158 ELISABETH DAGA DIMA P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
1210 06/01/201 241301030118Y000085 0000149924171 JESAJA MIRU L PENERIMA PENSIUN Pure hyperglyceridaemia YA
1211 06/01/201 241301030118Y000145 0000149926533 JULIANA SOLO - KIA P PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
1212 06/01/201 241301030118Y000154 0000149959078 HJ. NURJANNAH H. WAHAB P PENERIMA PENSIUN Allergic contact dermatitis, unspecified TIDAK
1213 06/01/201 241301030118Y000084 0000149980342 ADRIANA RADE RADJAH P PENERIMA PENSIUN Senile cataract YA
1214 06/01/201 241301030118Y000139 0000150207276 ANTHONETA AMNAHAS P PNS DAERAH Arthrosis, unspecified TIDAK
1215 06/01/201 241301030118Y000083 0000150241397 ALBERT A. S. DEQUELJOE L PNS DAERAH Non-insulin-dependent diabetes TIDAK
1216 06/01/201 241301030118Y000076 0000150248226 OCTO RIVIN KAMEO L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
1217 06/01/201 241301030118Y000258 0000150264134 JONATHAN ANDERIAS L PENERIMA PENSIUN Chronic gingivitis TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1218 06/01/201 241301030118Y000255 0000163318904 MICHAEL HELENRO TASSI L PNS DAERAH Acute gingivitis TIDAK
1219 06/01/201 241301030118Y000257 0000168161387 LOSIANA Matilda SIR P PNS PUSAT Chronic gingivitis TIDAK
1220 06/01/201 241301030118Y000807 0000200362959 PURNAMA YANTI URU HUE P PNS DAERAH Acute upper respiratory infection, TIDAK
1221 06/01/201 241301030118Y000817 0000859044093 DAMARIS BOLING P PBI (APBN) Other acute gastritis TIDAK
1222 06/01/201 241301030118Y001305 0000871777484 DINA NGURU P PBI (APBN) Contraceptive management, TIDAK
1223 06/01/201 241301030118Y000811 0000871813269 RISNA MODOK P PBI (APBN) Acute upper respiratory infection, TIDAK
1224 06/01/201 241301030118Y001307 0000871880286 ICE MISSA P PBI (APBN) Contraceptive management, TIDAK
1225 06/01/201 241301030118Y000086 0000871918143 MELKIANUS MONEHEM L PBI (APBN) Chalazion YA
1226 06/01/201 241301030118Y000819 0000872149678 ALEXANDRIA TAHUN P PBI (APBN) Cough TIDAK
1227 06/01/201 241301030118Y000813 0000872506675 MURSANI A R MINI P PBI (APBN) Acute upper respiratory infection, TIDAK
1228 06/01/201 241301030118Y000089 0000872862096 ARTURO BERE L PBI (APBN) Rheumatic heart disease, unspecified YA
1229 06/01/201 241301030118Y000806 0000872971479 MARIAM UDJU P PBI (APBN) Allergic rhinitis, unspecified TIDAK
1230 06/01/201 241301030118Y000078 0000873021328 LODIVIKUS WILU L PBI (APBN) Essential (primary) hypertension YA
1231 06/01/201 241301030118Y000805 0001062873819 RAIMUNDUS WElLA L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
1232 06/01/201 241301030118Y000082 0001062879322 DEVA MARSYELLA SAYD P PBI (APBN) Low back pain, sacral and YA
1233 06/01/201 241301030118Y000153 0001062879333 GEORGE SEALTIEL M.Y L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1234 06/01/201 241301030118Y000144 0001062882573 LOISA HENDERIKA WAHI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1235 06/01/201 241301030118Y000077 0001062887062 SATRA ARYANTI SISWANTO P PBI (APBN) Examination of eyes and vision YA
1236 06/01/201 241301030118Y000259 0001078353731 RIDEL GAVRIEL KEPPY L PNS PUSAT Pulpitis TIDAK
1237 06/01/201 241301030118Y000149 0001263719608 DAVIS MARTHIN DAMALEDO L PNS DAERAH Acute upper respiratory infection, TIDAK
1238 06/01/201 241301030118Y000240 0001323066993 FARANOOR GOPE P PEGAWAI SWASTA Gingival recession TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1239 06/01/201 241301030118Y000080 0001448344934 GUNTUR DUHA L PEKERJA MANDIRI Coronary thrombosis not resulting in YA
1240 06/01/201 241301030118Y000155 0001476125291 FEBRIANI SUSANTI PAMA P PEKERJA MANDIRI Allergic contact dermatitis, unspecified TIDAK
1241 06/01/201 241301030118Y000091 0001583537196 MARSY JENIRETA LEBRINA P PBI (APBD) Observation for suspected disease or TIDAK
1242 06/01/201 241301030118Y001306 0001839025989 ANCE NONI BELL P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1243 06/01/201 241301030118Y000152 0001868483002 JEREMY CHRISTIAN L PNS DAERAH Acute upper respiratory infection, TIDAK
1244 06/01/201 241301030118Y000815 0001873806827 ZHENIA JESSICA PUTRI P PEGAWAI SWASTA Cough TIDAK
1245 06/01/201 241301030118Y000090 0001874080517 NINGSY BOUK P PEKERJA MANDIRI Observation for suspected disease or TIDAK
1246 06/01/201 241301030118Y000150 0001897895147 GRACHIA PENU P PEKERJA MANDIRI Acute tonsillitis, unspecified TIDAK
1247 06/01/201 241301030118Y000151 0001899552903 diana oktovina yonatan P PNS DAERAH Dyspepsia TIDAK
1248 06/01/201 241301030118Y000143 0002035697927 chlara zhaqira umasangadji P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1249 06/01/201 241301030118Y000148 0002064004929 daniela ester massu tafuli P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1250 06/01/201 241301030118Y000156 0002093152061 GABRIEL KEANU ALFONSO L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
1251 05/01/201 241301030118Y000661 0000146995108 VINCENTIA NONA, SE P PNS DAERAH Acute pharyngitis, unspecified TIDAK
1252 05/01/201 241301030118Y000059 0000147098338 DORTHIA LAOS PENU P PENERIMA PENSIUN Essential (primary) hypertension YA
1253 05/01/201 241301030118Y000791 0000149611149 ELLY R.BULLY L PENERIMA PENSIUN Cough TIDAK
1254 05/01/201 241301030118Y000664 0000149838175 WAHYU SANTI P PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1255 05/01/201 241301030118Y000072 0000149866525 DONATUS M. NIBA, SMHK L PENERIMA PENSIUN TNI Non-insulin-dependent diabetes YA
1256 05/01/201 241301030118Y000067 0000149978474 HELIANA WAHYU MULYATI P PENERIMA PENSIUN Essential (primary) hypertension YA
1257 05/01/201 241301030118Y000058 0000149987237 FILCE NURAENI E. LEDOH P PENERIMA PENSIUN Somatoform disorder, unspecified YA
1258 05/01/201 241301030118Y000069 0000149994652 LOTH HENDRIK KADJA L PENERIMA PENSIUN Unspecified renal failure YA
1259 05/01/201 241301030118Y000162 0000149998757 NELCY YOSINA MUDAK- P PENERIMA PENSIUN Acute upper respiratory infection, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1260 05/01/201 241301030118Y000065 0000150070206 AGNES RURU P PNS DAERAH Hypertensive heart disease YA
1261 05/01/201 241301030118Y000660 0000150133149 ELIA LOISOKLAY L PNS DAERAH Acute upper respiratory infection, TIDAK
1262 05/01/201 241301030118Y000163 0000150249172 ANDRIANUS JONISON L PNS DAERAH Acute pharyngitis, unspecified TIDAK
1263 05/01/201 241301030118Y000663 0000169664951 JULIANA S. NGALE P PNS DAERAH Acute upper respiratory infection, TIDAK
1264 05/01/201 241301030118Y000662 0000196633607 YETI MARLIANA TODA. SE P PNS DAERAH Myalgia TIDAK
1265 05/01/201 241301030118Y000071 0000853734442 MARIA METBOKI P PBI (APBN) Essential (primary) hypertension YA
1266 05/01/201 241301030118Y000075 0000871668707 ESTER KORO LULU r. P PBI (APBN) Pregnancy confirmed TIDAK
1267 05/01/201 241301030118Y000160 0000871814417 YAHYA F KALE L PBI (APBN) Enlarged lymph nodes, unspecified TIDAK
1268 05/01/201 241301030118Y000792 0000872167342 SILVESTER MANUK L PBI (APBN) Acute tonsillitis, unspecified TIDAK
1269 05/01/201 241301030118Y000795 0000872167375 MARIA MANUK P PBI (APBN) Acute upper respiratory infection, TIDAK
1270 05/01/201 241301030118Y000060 0000872598712 LEA KOROLULU P PBI (APBN) Paranoid schizophrenia YA
1271 05/01/201 241301030118Y000064 0000872715969 VALENTINA C GOBANG P PBI (APBN) Secondary hypertension YA
1272 05/01/201 241301030118Y000066 0000872865685 HERMAN HAE L PBI (APBN) Essential (primary) hypertension YA
1273 05/01/201 241301030118Y001304 0001062883089 j. s. suryati lely lait P PBI (APBN) Contraceptive management, TIDAK
1274 05/01/201 241301030118Y000074 0001079111193 CELNI ELISABET HIDA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1275 05/01/201 241301030118Y000790 0001082145655 JEFANDRIS JOEMARS L PNS DAERAH Acute tonsillitis, unspecified TIDAK
1276 05/01/201 241301030118Y000070 0001291442308 MARIA MAGDALENA P PNS DAERAH Secondary amenorrhoea YA
1277 05/01/201 241301030118Y000063 0001319689326 STEVEN EDDY SIMSON L PEKERJA MANDIRI Sequelae of tuberculosis of other YA
1278 05/01/201 241301030118Y000062 0001325083094 VRETS ACH. RIHI L PEKERJA MANDIRI Pure hypercholesterolaemia YA
1279 05/01/201 241301030118Y000109 0001870390056 SENY AGUSTINA MESAH - P PEGAWAI PEMERINTAH Urinary tract infection, site not TIDAK
1280 05/01/201 241301030118Y000068 0001898013442 RONALD ALLAN RACHMAT L PEKERJA MANDIRI Essential (primary) hypertension YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1281 05/01/201 241301030118Y000097 0002061918382 FERDINAND AMALO L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
1282 05/01/201 241301030118Y000096 0002069805576 KOPONG KEDA AGUSTINUS L PEKERJA MANDIRI Fever, unspecified TIDAK
1283 05/01/201 241301030118Y000092 0002069805734 elisabet ina piran P PEKERJA MANDIRI Pulpitis TIDAK
1284 05/01/201 241301030118Y000106 0002080817223 JOSEPHUS PIGNATELLY L PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
1285 05/01/201 241301030118Y000108 0002080817548 MARIA YENIYANTI GORETI P PEGAWAI PEMERINTAH Pterygium TIDAK
1286 05/01/201 241301030118Y000095 0002232797422 DIANA ARIYANTI P PEGAWAI PEMERINTAH Observation for suspected disease or TIDAK
1287 05/01/201 241301030118Y000061 0002234372747 MISSYNIATIK P PEKERJA MANDIRI Non-insulin-dependent diabetes YA
1288 05/01/201 241301030118Y000161 0002234854629 ALVARO MANUEL BOBE L PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
1289 05/01/201 241301030118Y000073 0002258347465 DIANA HERLINA NABUNOME P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1290 05/01/201 241301030118Y000799 0002277905679 BERKAT FABIAN MANU L PEKERJA MANDIRI Superficial injury of unspecified body TIDAK
1291 05/01/201 241301030118Y000796 0002277906186 BAIM MANU PADJA L PEKERJA MANDIRI Other injuries of unspecified body TIDAK
1292 05/01/201 241301030118Y000098 0002316487599 NURNELA ORA PAU P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1293 04/01/201 241301030118Y000940 0000147257627 JOAQUINA I. f. c. de brito P PNS DAERAH Myalgia TIDAK
1294 04/01/201 241301030118Y000230 0000147558677 BERNADETE OSE BOLEN P PNS DAERAH Gastritis, unspecified TIDAK
1295 04/01/201 241301030118Y000950 0000149229167 SISILIA NONA P PNS PUSAT Acute upper respiratory infection, TIDAK
1296 04/01/201 241301030118Y000170 0000149694129 BONITA KARULINA P PNS DAERAH Superficial injury of unspecified body TIDAK
1297 04/01/201 241301030118Y000045 0000149783951 MARIA LEONARDA MOA P PNS PUSAT Diabetic polyneuropathy YA
1298 04/01/201 241301030118Y000232 0000149828861 ANTONIUS PIDARA L PNS DAERAH Headache TIDAK
1299 04/01/201 241301030118Y000948 0000149830176 DOMINGGUS TEFA L PNS DAERAH Myalgia TIDAK
1300 04/01/201 241301030118Y000225 0000149834529 MELKISEDEK Y SEO L PNS DAERAH Essential (primary) hypertension TIDAK
1301 04/01/201 241301030118Y000056 0000149837512 SRI HESTHI MEIRINI P PNS DAERAH Non-insulin-dependent diabetes YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1302 04/01/201 241301030118Y000057 0000149875795 ASTIN NUR HANIFAH P PNS PUSAT Non-insulin-dependent diabetes YA
1303 04/01/201 241301030118Y000042 0000149959067 DJUNAIDI H. SYAHRUDDIN L PENERIMA PENSIUN Injury of muscle and tendon of hip TIDAK
1304 04/01/201 241301030118Y000938 0000149991805 JOHANIS MAGE L PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
1305 04/01/201 241301030118Y000048 0000149994483 LINDA SIRAIT - ONDANG P PENERIMA PENSIUN Essential (primary) hypertension YA
1306 04/01/201 241301030118Y000051 0000150006104 YULIUS NAI L PENERIMA PENSIUN Stroke, not specified as haemorrhage TIDAK
1307 04/01/201 241301030118Y000038 0000150023002 LODIA LAUKAMANG P PNS DAERAH Essential (primary) hypertension YA
1308 04/01/201 241301030118Y000939 0000150131529 ISABELA PAULINA DOKO P PNS DAERAH Headache TIDAK
1309 04/01/201 241301030118Y000947 0000150150519 ALEKSANDER OKTOFIANUS L PNS DAERAH Gastritis, unspecified TIDAK
1310 04/01/201 241301030118Y000941 0000150150712 FEBY FERONIKA TALLO P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
1311 04/01/201 241301030118Y000233 0000150150982 MARTHEN IGNATIUS SERAN L PNS DAERAH Acute upper respiratory infection, TIDAK
1312 04/01/201 241301030118Y000952 0000150151353 YUSAK PUNUF L PNS DAERAH Headache TIDAK
1313 04/01/201 241301030118Y000942 0000150151408 YUSTINA WAE P PNS DAERAH Other hypotension TIDAK
1314 04/01/201 241301030118Y000119 0000150188589 SESILIA SASA P PNS DAERAH Myalgia TIDAK
1315 04/01/201 241301030118Y000937 0000150193866 HENDRIKUS Ataraya HERIN L PNS DAERAH Acute upper respiratory infection, TIDAK
1316 04/01/201 241301030118Y000167 0000150235075 ROSALIA ISA P PNS DAERAH Myalgia TIDAK
1317 04/01/201 241301030118Y000945 0000150237292 EMINA MANSUITA DHARMI P PNS DAERAH Non-insulin-dependent diabetes TIDAK
1318 04/01/201 241301030118Y000228 0000150245302 MERY THEI P PNS DAERAH Essential (primary) hypertension TIDAK
1319 04/01/201 241301030118Y000935 0000150246718 SOFIAH ,DRA P PNS DAERAH Acute upper respiratory infection, TIDAK
1320 04/01/201 241301030118Y000936 0000150255876 ANASTASIA BANASE P PNS DAERAH Headache TIDAK
1321 04/01/201 241301030118Y000226 0000150256809 MARIA ANA BELA DOS REIS P PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
1322 04/01/201 241301030118Y000944 0000150257171 OLFIANA PAULINA BALLU P PNS DAERAH Acute upper respiratory infection, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1323 04/01/201 241301030118Y000235 0000150257215 PURIDA HUTABALIAN, se P PNS DAERAH Myalgia TIDAK
1324 04/01/201 241301030118Y000951 0000150263897 GERSON BANU L PNS DAERAH Acute upper respiratory infection, TIDAK
1325 04/01/201 241301030118Y000234 0000150267284 MARIA ROSALINDA NDIWA P PNS DAERAH Headache TIDAK
1326 04/01/201 241301030118Y000094 0000150356799 PETRONELA PAA P PNS DAERAH Pulpitis TIDAK
1327 04/01/201 241301030118Y000158 0000853714495 FERDI TEFBANA P PBI (APBN) Observation for suspected disease or TIDAK
1328 04/01/201 241301030118Y000105 0000871030225 WELEMMAKONIMAU L PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
1329 04/01/201 241301030118Y000053 0000871753015 ANASTASYA T OLLA P PBI (APBN) Pregnancy confirmed TIDAK
1330 04/01/201 241301030118Y000052 0000871769542 BENDELINA ROHI P PBI (APBN) Pregnancy confirmed TIDAK
1331 04/01/201 241301030118Y000171 0000871802831 TABITA MAU BANU P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
1332 04/01/201 241301030118Y000118 0000871849348 FINCE TALLO P PBI (APBN) Observation for suspected disease or TIDAK
1333 04/01/201 241301030118Y000044 0000871897397 AGUSTINUS LAPIWENI L PBI (APBN) Essential (primary) hypertension YA
1334 04/01/201 241301030118Y001301 0000871907051 SATI HAE P PBI (APBN) Other contraceptive management TIDAK
1335 04/01/201 241301030118Y001303 0000872097524 MERLIN VICTORIA BOYMAU P PBI (APBN) Pregnancy confirmed TIDAK
1336 04/01/201 241301030118Y001300 0000872145843 YUNITA BABYS P PBI (APBN) Contraceptive management, TIDAK
1337 04/01/201 241301030118Y000168 0000872407023 HENDERINA RATU KE P PBI (APBN) Observation for suspected disease or TIDAK
1338 04/01/201 241301030118Y000047 0000872593334 MUSA MATA L PBI (APBN) Non-insulin-dependent diabetes YA
1339 04/01/201 241301030118Y000055 0000872595336 SELFI Y MATA P PBI (APBN) Pregnancy confirmed TIDAK
1340 04/01/201 241301030118Y000785 0000872703527 BREMA FELIX PADI L PBI (APBN) Acute tonsillitis, unspecified TIDAK
1341 04/01/201 241301030118Y000172 0000872855908 MARIA F BARA P PBI (APBN) Dyspepsia TIDAK
1342 04/01/201 241301030118Y000159 0000873041174 LISA LUDJI P PBI (APBN) Observation for suspected disease or TIDAK
1343 04/01/201 241301030118Y000117 0001061362653 WIHELMINA NIHUL P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1344 04/01/201 241301030118Y000041 0001062880637 LIDIA V WILEN P PBI (APBN) Essential (primary) hypertension YA
1345 04/01/201 241301030118Y000784 0001265820129 NUR IRAWATI WIDIASTUTI P PNS DAERAH Other headache syndromes TIDAK
1346 04/01/201 241301030118Y000788 0001295405853 DORTIA TALLO ADU P PEKERJA MANDIRI Other disorders of teeth and TIDAK
1347 04/01/201 241301030118Y000173 0001306752377 ruben muda L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1348 04/01/201 241301030118Y000050 0001384508428 MEDRI RAFIKA F. BANU P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1349 04/01/201 241301030118Y000229 0001452699415 SITI zAENAB KASIM P PNS PUSAT Myalgia TIDAK
1350 04/01/201 241301030118Y000787 0001578702587 REGINA E L A WABANG P PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
1351 04/01/201 241301030118Y000039 0001818697476 CHARLES RONALD L PEKERJA MANDIRI Thrombocytopenia, unspecified YA
1352 04/01/201 241301030118Y000046 0001832994156 marta FLORENTINA SOARES P PEKERJA MANDIRI Thrombocytopenia, unspecified YA
1353 04/01/201 241301030118Y000043 0001845089908 MARIANA TALO TERRU LEO P PEKERJA MANDIRI Essential (primary) hypertension YA
1354 04/01/201 241301030118Y000169 0001852184733 MARLIN christine djangga P PEKERJA MANDIRI Allergic contact dermatitis, unspecified TIDAK
1355 04/01/201 241301030118Y000099 0001868068912 KAREL DJARA BALE L PEKERJA MANDIRI Acute gingivitis TIDAK
1356 04/01/201 241301030118Y000040 0001882208744 YOSEPH LEWA RESI L PEKERJA MANDIRI Congestive heart failure YA
1357 04/01/201 241301030118Y000102 0001906282989 bayi ny. YUSINTA THERESIA L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1358 04/01/201 241301030118Y000054 0002047704142 NOVITA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1359 04/01/201 241301030118Y000093 0002069805598 ANASTASIA WAHA PIRAN P PEKERJA MANDIRI Pulpitis TIDAK
1360 04/01/201 241301030118Y000100 0002089526578 SONYA FRIDA ARIANCE P PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
1361 04/01/201 241301030118Y000786 0002195365318 AGNESIA TAWA ANA HALO P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1362 04/01/201 241301030118Y000166 0002202534527 PAULUS BOLLU ADU L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
1363 04/01/201 241301030118Y000164 0002276608983 calon by nyoya NOVILIANA L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1364 04/01/201 241301030118Y000101 0002286733781 FRANSINA MARIA P PNS DAERAH Acute upper respiratory infection, TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1365 04/01/201 241301030118Y000116 0002292721503 ANDREI PETRUS NDUN L PNS PUSAT Dyspepsia TIDAK
1366 04/01/201 241301030118Y001302 0002292877113 EDA RAHAYU BENU P PEKERJA MANDIRI Routine postpartum follow-up TIDAK
1367 04/01/201 241301030118Y000107 0002297930534 VANESA FREDAH DJO P PEKERJA MANDIRI Filariasis due to Wuchereria bancrofti TIDAK
1368 04/01/201 241301030118Y000049 0002305431382 VEREN FOES L PEKERJA MANDIRI Pregnancy confirmed TIDAK
1369 04/01/201 241301030118Y000103 0002310295735 YEFTA S. LEOBETI L PEKERJA MANDIRI Essential (primary) hypertension TIDAK
1370 03/01/201 241301030118Y000010 0000005281536 FATIMAH SYAM P PENERIMA PENSIUN Non-insulin-dependent diabetes YA
1371 03/01/201 241301030118Y000140 0000146974656 MARTEN LUTER LANO L PNS PUSAT Essential (primary) hypertension TIDAK
1372 03/01/201 241301030118Y000025 0000147093006 DAUD ST.WANGGA NDIMA L PENERIMA PENSIUN Essential (primary) hypertension TIDAK
1373 03/01/201 241301030118Y000892 0000147138017 GRESE KELLY MARHAENI P PNS DAERAH Acute upper respiratory infection, TIDAK
1374 03/01/201 241301030118Y000006 0000149107781 RIRIN WIDYASTUTI P PNS PUSAT Other benign neoplasms of skin YA
1375 03/01/201 241301030118Y000136 0000149608776 MARIA BUNGA FERNANDEz, P PNS DAERAH Acute upper respiratory infection, TIDAK
1376 03/01/201 241301030118Y000886 0000149609981 FRANSISKUS XAVERIUS L PNS DAERAH Acute upper respiratory infection, TIDAK
1377 03/01/201 241301030118Y000219 0000149645417 TERESIA ARKIAN P PNS DAERAH Acute upper respiratory infection, TIDAK
1378 03/01/201 241301030118Y000188 0000149645496 MARIA FRANSISCA SUI P PNS DAERAH Acute upper respiratory infection, TIDAK
1379 03/01/201 241301030118Y000012 0000149765084 ALEXANDER PADAFANI L PNS PUSAT Essential (primary) hypertension YA
1380 03/01/201 241301030118Y000222 0000149837073 SEFRINUS d. SNAE L PNS DAERAH Allergic contact dermatitis, unspecified TIDAK
1381 03/01/201 241301030118Y000129 0000149997317 MATHEOS HABA BUNGA L PENERIMA PENSIUN Cerebral infarction, unspecified TIDAK
1382 03/01/201 241301030118Y000022 0000149999218 NICOLAAS BERHITU L PENERIMA PENSIUN Chronic kidney disease, stage 4 YA
1383 03/01/201 241301030118Y000020 0000150005902 YOHANIS BULLEN L PENERIMA PENSIUN Chronic sinusitis, unspecified YA
1384 03/01/201 241301030118Y000888 0000150017117 YOULA YULEKE WANGANIA, P PNS DAERAH Gastritis, unspecified TIDAK
1385 03/01/201 241301030118Y000189 0000150142713 ANTHONETA DJARA P PNS DAERAH Myalgia TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1386 03/01/201 241301030118Y000122 0000150230079 SEMUEL OSIAS PELLOKILA L PENERIMA PENSIUN Non-insulin-dependent diabetes TIDAK
1387 03/01/201 241301030118Y000187 0000150234197 REGINA MELLU P PNS DAERAH Other hypotension TIDAK
1388 03/01/201 241301030118Y000214 0000150234715 TARSISIUS NAU L PNS DAERAH Essential (primary) hypertension TIDAK
1389 03/01/201 241301030118Y000030 0000150237505 MARTHA JUNINGSIH P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1390 03/01/201 241301030118Y000185 0000150246617 MAARTE MOLUM - DJUKA P PNS DAERAH Gastritis, unspecified TIDAK
1391 03/01/201 241301030118Y000891 0000150247596 VERONIKA SEGU P PNS DAERAH Headache TIDAK
1392 03/01/201 241301030118Y000147 0000150248226 OCTO RIVIN KAMEO L PENERIMA PENSIUN Acute upper respiratory infection, TIDAK
1393 03/01/201 241301030118Y000887 0000150250858 MELANIA KELEN P PNS DAERAH Essential (primary) hypertension TIDAK
1394 03/01/201 241301030118Y000216 0000150253132 FRANS ISHAK RAGA L PNS DAERAH Headache TIDAK
1395 03/01/201 241301030118Y000889 0000150255887 ANDREAS HEDANG L PNS DAERAH Other hypotension TIDAK
1396 03/01/201 241301030118Y000218 0000150257171 OLFIANA PAULINA BALLU P PNS DAERAH Acute upper respiratory infection, TIDAK
1397 03/01/201 241301030118Y000215 0000150257215 PURIDA HUTABALIAN, se P PNS DAERAH Acute pharyngitis, unspecified TIDAK
1398 03/01/201 241301030118Y000190 0000150257542 JETTY OEMATAN P PNS DAERAH Headache TIDAK
1399 03/01/201 241301030118Y000034 0000172974519 SARY FANI B. AWANG P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1400 03/01/201 241301030118Y000036 0000200806571 DAMARIS BENU - RAMU P PNS DAERAH Amenorrhoea, unspecified TIDAK
1401 03/01/201 241301030118Y000015 0000204088555 ARNOLDUS APRIANO L PENERIMA PENSIUN Epilepsy YA
1402 03/01/201 241301030118Y000110 0000864342843 DAVID HENUKH L PBI (APBN) Other and unspecified gastroenteritis TIDAK
1403 03/01/201 241301030118Y000137 0000871036694 ADELIA MAING L PBI (APBN) Acute tonsillitis, unspecified TIDAK
1404 03/01/201 241301030118Y000027 0000871681274 APRIANI NDUN DELU P PBI (APBN) Secondary hypertension, unspecified YA
1405 03/01/201 241301030118Y001295 0000871753015 ANASTASYA T OLLA P PBI (APBN) Pregnancy confirmed TIDAK
1406 03/01/201 241301030118Y000123 0000871782985 welmince wila P PBI (APBN) Tuberculosis of lung, bacteriologically TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1407 03/01/201 241301030118Y000133 0000871833699 IMELDA BANO P PBI (APBN) Allergic contact dermatitis, unspecified TIDAK
1408 03/01/201 241301030118Y001296 0000871862859 DENSI ADU ABI P PBI (APBN) Contraceptive management, TIDAK
1409 03/01/201 241301030118Y000009 0000871893843 FERDIANTO DUNEDI L PBI (APBN) Nephrotic syndrome YA
1410 03/01/201 241301030118Y000008 0000871894304 GERAL D. m. DUNEDI L PBI (APBN) Nephrotic syndrome YA
1411 03/01/201 241301030118Y000019 0000871940979 MUHAMAD ELIAS TASY L PBI (APBN) Essential (primary) hypertension YA
1412 03/01/201 241301030118Y000018 0000871941093 SITI ZAIRINA TASI P PBI (APBN) Essential (primary) hypertension YA
1413 03/01/201 241301030118Y000104 0000872194689 APLORENI PITAN SADUK P PBI (APBN) Urticaria, unspecified TIDAK
1414 03/01/201 241301030118Y000125 0000872234717 HADIJAH ANIS P PBI (APBN) Acute upper respiratory infection, TIDAK
1415 03/01/201 241301030118Y000132 0000872418385 HENDERINA WEO L PBI (APBN) Acute upper respiratory infection, TIDAK
1416 03/01/201 241301030118Y000032 0000872559415 ermelinda susan suni P PBI (APBN) Routine child health examination TIDAK
1417 03/01/201 241301030118Y000126 0000872617195 LUISA NGURU RATU DJO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1418 03/01/201 241301030118Y000115 0000872633788 MERLINDA RADJA P PBI (APBN) Dyspepsia TIDAK
1419 03/01/201 241301030118Y000124 0000872709219 ADITIA HAILITIK L PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1420 03/01/201 241301030118Y000783 0000872731124 MARIA B TANI P PBI (APBN) Cough TIDAK
1421 03/01/201 241301030118Y000014 0000872866078 YULIUS HAE L PBI (APBN) HIV disease resulting in mycobacterial YA
1422 03/01/201 241301030118Y000016 0000872871917 AGUSTINA BRIA TAGA P PBI (APBN) Essential (primary) hypertension YA
1423 03/01/201 241301030118Y000781 0000872895295 LAMBERTUS GA L PBI (APBN) Suppurative otitis media, unspecified TIDAK
1424 03/01/201 241301030118Y000130 0000872941779 ADINDA MOOY P PBI (APBN) Dyspepsia TIDAK
1425 03/01/201 241301030118Y000005 0000873006221 KAREL WILA L PBI (APBN) Unspecified soft tissue disorder related YA
1426 03/01/201 241301030118Y000113 0000873190653 APLONIA A POKO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1427 03/01/201 241301030118Y000111 0001062800245 RIA LULU P PBI (APBN) Urinary tract infection, site not TIDAK

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1428 03/01/201 241301030118Y000120 0001062878264 MARIA A GURU SONGO P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1429 03/01/201 241301030118Y000011 0001062880029 NURSEHAN BAIN P PBI (APBN) Essential (primary) hypertension YA
1430 03/01/201 241301030118Y000127 0001062880637 LIDIA V WILEN P PBI (APBN) Essential (primary) hypertension YA
1431 03/01/201 241301030118Y000017 0001062881752 DESSYE S. SAUDALE P PBI (APBN) Pregnancy-related condition, YA
1432 03/01/201 241301030118Y000134 0001062882573 LOISA HENDERIKA WAHI P PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
1433 03/01/201 241301030118Y000777 0001062885925 AGUS FANGGIDAE MBAU P PBI (APBN) narthrosis, unspecified TIDAK
1434 03/01/201 241301030118Y000779 0001062887253 HILARIA T NAILIU P PBI (APBN) narthrosis, unspecified TIDAK
1435 03/01/201 241301030118Y000780 0001080471273 LOISA OLIVIA CHRISTIANI P PNS DAERAH Acute upper respiratory infection, TIDAK
1436 03/01/201 241301030118Y001299 0001082145554 GETRUDIS ARAKAT P PNS DAERAH Contraceptive management, TIDAK
1437 03/01/201 241301030118Y000184 0001279899123 jOHANIS SAKAN L PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
1438 03/01/201 241301030118Y000024 0001328519226 erni belandina pah P PEKERJA MANDIRI HIV disease resulting in mycobacterial YA
1439 03/01/201 241301030118Y000186 0001435979496 BENI TRIYONO L PNS DAERAH Acute pharyngitis, unspecified TIDAK
1440 03/01/201 241301030118Y000131 0001452643233 EDUARDUS GHETA L PEKERJA MANDIRI Dyspepsia TIDAK
1441 03/01/201 241301030118Y000029 0001578905706 HESRON NGGADAS L PEKERJA MANDIRI Dislocation, sprain and strain of joints YA
1442 03/01/201 241301030118Y000138 0001630272598 APRIANUS AGUSTINUS L PEGAWAI SWASTA Acute upper respiratory infection, TIDAK
1443 03/01/201 241301030118Y000037 0001803151732 YULI ARIATI BARA HURU P PEGAWAI SWASTA Routine postpartum follow-up TIDAK
1444 03/01/201 241301030118Y000021 0001805452817 FRIDA D LAOS P PEKERJA MANDIRI Essential (primary) hypertension YA
1445 03/01/201 241301030118Y000165 0001818697476 CHARLES RONALD L PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
1446 03/01/201 241301030118Y000026 0001827815016 HARTUTI Sari ayu P PEKERJA MANDIRI Delivery by emergency caesarean YA
1447 03/01/201 241301030118Y001297 0001834120787 JUBLINA R M HIDA SOMBU P PEKERJA MANDIRI Contraceptive management, TIDAK
1448 03/01/201 241301030118Y000007 0001847002083 RUSYDI SALEH MAGA L PEKERJA MANDIRI Essential (primary) hypertension YA

28/02/2018 14.57.51
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG (2401)


FKTP : OEBOBO (24130103)

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK
1449 03/01/201 241301030118Y000121 0001896029728 ANNISA NUR HAMIDAH P PEKERJA MANDIRI General examination and investigation TIDAK
1450 03/01/201 241301030118Y000128 0001906282989 bayi ny. YUSINTA THERESIA L PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1451 03/01/201 241301030118Y000023 0002075016227 arny a. sabloit P PBI (APBN) Observation for suspected tuberculosis YA
1452 03/01/201 241301030118Y000157 0002093152061 GABRIEL KEANU ALFONSO L PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
1453 03/01/201 241301030118Y000135 0002198367099 theresia tulin uban P PNS DAERAH Non-insulin-dependent diabetes TIDAK
1454 03/01/201 241301030118Y000033 0002218956862 MARIA FEBRIANA MAU P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1455 03/01/201 241301030118Y000114 0002222429793 by nyonya desi NATALIA P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1456 03/01/201 241301030118Y000112 0002254507457 MARIA LEDE TEUF P PEKERJA MANDIRI Essential (primary) hypertension TIDAK
1457 03/01/201 241301030118Y000035 0002256716114 NURJANA MAHMUD P PEGAWAI SWASTA Pregnancy confirmed TIDAK
1458 03/01/201 241301030118Y000782 0002262247918 SANTI DAMI P PEKERJA MANDIRI Acute upper respiratory infection, TIDAK
1459 03/01/201 241301030118Y000013 0002269852029 LEXI YOSTINUS LEDE L PEKERJA MANDIRI Follow-up examination after surgery YA
1460 03/01/201 241301030118Y000191 0002271925304 YOHAN HENUK L PEGAWAI PEMERINTAH Acute pharyngitis, unspecified TIDAK
1461 03/01/201 241301030118Y000031 0002279392841 RIA NATALINA P PEKERJA MANDIRI Pregnancy confirmed TIDAK
1462 03/01/201 241301030118Y000221 0002280616165 YEHESKIAL TOTO L PEGAWAI PEMERINTAH Acute upper respiratory infection, TIDAK
1463 03/01/201 241301030118Y001298 0002303890492 DESARLIN ADRIANA LAGA P PEKERJA MANDIRI Routine postpartum follow-up TIDAK
1464 03/01/201 241301030118Y000028 0002325642423 GREGORIUS AGUNG KUA L PNS DAERAH Examination of eyes and vision YA
1465 02/01/201 241301030118Y000003 0000149743901 KATARINA SEDIA ABU P PNS DAERAH Benign neoplasm of breast YA
1466 02/01/201 241301030118Y000002 0000149994999 LUSIANUS GOO L PENERIMA PENSIUN Chest pain, unspecified YA
1467 02/01/201 241301030118Y000001 0000160129359 SITI ROKHANI P PNS DAERAH Essential (primary) hypertension YA
1468 02/01/201 241301030118Y000004 0001273620802 HENY SAPTIANINGSIH P PEKERJA MANDIRI Essential (primary) hypertension YA

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