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Kantor Cabang : TEGAL (1112)

FKTP : Sirampog (11090501)


NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1 30/11/201 110905011118Y000831 0000079676458 DARYOTO MUSTAMAR L
2 30/11/201 110905011118Y000827 0000080016963 YUSUP MUHAYAT L
3 30/11/201 110905011118Y000843 0000630056575 SURYANTI P
4 30/11/201 110905011118Y000867 0000630084958 YESIKA P
5 30/11/201 110905011118Y000832 0000630596788 ROHIM L
6 30/11/201 110905011118Y000821 0000631051176 DAIMAH P
7 30/11/201 110905011118Y000810 0000631149996 SUPRIADI L
8 30/11/201 110905011118Y000813 0000631150165 WENAH P
9 30/11/201 110905011118Y000822 0000631155993 MUTMAINAH P
10 30/11/201 110905011118Y000809 0000631183904 NADIROH P
11 30/11/201 110905011118Y000835 0000631232324 FARYONO L
12 30/11/201 110905011118Y000847 0000631232469 MUJI ASIH P
13 30/11/201 110905011118Y000820 0000631238984 ARDIA CAHYANI P
14 30/11/201 110905011118Y000829 0000631280935 RAMINAH P
15 30/11/201 110905011118Y000852 0000631284434 ROSIANA D S P
16 30/11/201 110905011118Y000842 0000631298687 ITIKAFAH P
17 30/11/201 110905011118Y000811 0000631361801 INDRI NAIVITIAN P
18 30/11/201 110905011118Y000857 0000631381915 SLAMET L
19 30/11/201 110905011118Y000845 0000631463163 NURKHAYATI P
20 30/11/201 110905011118Y000865 0000631598319 NURCHAYATI P
JENIS PESERTA DIAGNOSA DIRUJUK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatism, unspecified TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute upper respiratory infection, TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
VETERAN Dyspepsia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Allergic contact dermatitis TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
21 30/11/201 110905011118Y000815 0000631637043 TARSINI P
22 30/11/201 110905011118Y000850 0000631637763 TOIPAH P
23 30/11/201 110905011118Y000824 0000631660386 MUFLIKHA P
24 30/11/201 110905011118Y000851 0000631669195 WARTONO L
25 30/11/201 110905011118Y000818 0000631719257 AL KHOERIYAH P
26 30/11/201 110905011118Y000861 0000631750004 JAINUN P
27 30/11/201 110905011118Y000858 0000631775057 INTAN PERMATASARI P
28 30/11/201 110905011118Y000819 0000631786476 SUPEDI HARMUTI L
29 30/11/201 110905011118Y000814 0000631817774 MUDRIKAH P
30 30/11/201 110905011118Y000840 0000631818437 WAH LINA DIROWATI P
31 30/11/201 110905011118Y000812 0000631867803 YUSUP L
32 30/11/201 110905011118Y000846 0000631923851 SLAMET L
33 30/11/201 110905011118Y000844 0000631924029 ATUN P
34 30/11/201 110905011118Y000853 0000632048106 FAIZ IHWANUDIN L
35 30/11/201 110905011118Y000860 0000632245037 SALBIYAH P
36 30/11/201 110905011118Y000830 0000632313281 IRYANTO L
37 30/11/201 110905011118Y000833 0000632400974 NURODIYAH P
38 30/11/201 110905011118Y000834 0000632403224 NUR EKANA SARI P
39 30/11/201 110905011118Y000826 0000632460791 ABIDIN L
40 30/11/201 110905011118Y000862 0000632679838 SARIMAH P
41 30/11/201 110905011118Y000849 0000976917238 AIZZATI FITRIATUL M P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Presbyopia YA
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN Typhus fever, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
42 30/11/201 110905011118Y000859 0001128097956 RAHAYU KURNIATI P
43 30/11/201 110905011118Y000864 0001182102052 RINI NURAENI P
44 30/11/201 110905011118Y000816 0001199725582 ARSHAKA RIDHO L
45 30/11/201 110905011118Y000841 0001426279151 MASLIKHA P
46 30/11/201 110905011118Y000854 0001476422728 AMINUDIN L
47 30/11/201 110905011118Y000839 0001614966737 SUTRIYAH P
48 30/11/201 110905011118Y000848 0001625119975 ALVITA NURAENI PUTRI P
49 30/11/201 110905011118Y000817 0001694367134 M. FIKAR FAHMAN SEPTIAN L
50 30/11/201 110905011118Y000866 0001849285394 KHASNA ADZKIA IFTINAN P
51 30/11/201 110905011118Y000855 0001907666267 TAMSURI L
52 30/11/201 110905011118Y000828 0002083757376 NANANG NUR HOLIS L
53 30/11/201 110905011118Y000837 0002126886671 ZAKIATUL FITRI P
54 30/11/201 110905011118Y000823 0002220685705 WAINAH P
55 30/11/201 110905011118Y000863 0002271185043 HUSAEN ALI YAHYA L
56 30/11/201 110905011118Y000868 0002426460693 M. AFWAN MUSYAFA L
57 30/11/201 110905011118Y000856 0002457259727 EVI SILVIA ANGGI SAPUTRI P
58 30/11/201 110905011118Y000825 0002481304792 IMAM TAUKHID L
59 30/11/201 110905011118Y000836 0002612141008 RASIJAH P
60 30/11/201 110905011118Y000838 0002612142202 SAPUNAH P
61 29/11/201 110905011118Y000670 0000079772883 SAMLAWI RAIS L
62 29/11/201 110905011118Y000692 0000080005059 NUR WASIUN L
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Abscess, furuncle and carbuncle of TIDAK
PEGAWAI SWASTA Pulpitis TIDAK
PEGAWAI SWASTA Diarrhoea and gastroenteritis of TIDAK
PEKERJA MANDIRI Otitis externa, unspecified TIDAK
PEGAWAI PEMERINTAH Rheumatoid arthritis, unspecified TIDAK
PBI (APBD) Myalgia TIDAK
PEGAWAI SWASTA Scabies TIDAK
PEGAWAI SWASTA Gastritis, unspecified TIDAK
PEGAWAI SWASTA Pulpitis TIDAK
PEGAWAI PEMERINTAH Myalgia TIDAK
PEGAWAI SWASTA Dyspepsia TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PEKERJA MANDIRI Conjunctivitis, unspecified TIDAK
PEGAWAI SWASTA Dental caries, unspecified TIDAK
PEKERJA MANDIRI Abscess, furuncle and carbuncle of TIDAK
PEGAWAI SWASTA Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Tuberculosis of lung, confirmed by TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
VETERAN Gastro-oesophageal reflux disease YA
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
63 29/11/201 110905011118Y000713 0000630078118 ZOLA RAWANSA L
64 29/11/201 110905011118Y000720 0000630087737 WARTEM P
65 29/11/201 110905011118Y000693 0000631023039 SITI MARLENA P
66 29/11/201 110905011118Y000705 0000631038396 WASIROL P
67 29/11/201 110905011118Y000679 0000631088548 ERWIN AKHIL MUNPRIK L
68 29/11/201 110905011118Y000714 0000631112185 YATI P
69 29/11/201 110905011118Y000671 0000631151223 NURHAYATI P
70 29/11/201 110905011118Y000704 0000631151493 KOSIM L
71 29/11/201 110905011118Y000697 0000631187673 LU`LU NURTI ARDILA P
72 29/11/201 110905011118Y000694 0000631238984 ARDIA CAHYANI P
73 29/11/201 110905011118Y000696 0000631308532 JAENADI L
74 29/11/201 110905011118Y000672 0000631339031 M ANGGARA JULIANSYAH L
75 29/11/201 110905011118Y000724 0000631381915 SLAMET L
76 29/11/201 110905011118Y000680 0000631386753 M NURSIDIQ L
77 29/11/201 110905011118Y000686 0000631398227 SITI MUKHOSANAH P
78 29/11/201 110905011118Y000726 0000631401535 sri srianah P
79 29/11/201 110905011118Y000708 0000631414697 MUKHAENAH P
80 29/11/201 110905011118Y000695 0000631462893 SITI NUR AENI FAHMI P
81 29/11/201 110905011118Y000716 0000631587802 KODIM L
82 29/11/201 110905011118Y000715 0000631587971 SUIRAH P
83 29/11/201 110905011118Y000685 0000631610897 TASLIYAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Abscess, furuncle and carbuncle of TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
84 29/11/201 110905011118Y000717 0000631645143 SAINAH P
85 29/11/201 110905011118Y000709 0000631662366 MAEMUNAH P
86 29/11/201 110905011118Y000703 0000631683437 KASMI P
87 29/11/201 110905011118Y000684 0000631694204 HARNI P
88 29/11/201 110905011118Y000712 0000631737562 SUMYATI P
89 29/11/201 110905011118Y000681 0000631834694 RIZKI L
90 29/11/201 110905011118Y000707 0000631861863 ARIS L
91 29/11/201 110905011118Y000698 0000631911227 WASILAH P
92 29/11/201 110905011118Y000691 0000631941906 SAMINAH P
93 29/11/201 110905011118Y000690 0000631941996 YOGA DEWANTORO L
94 29/11/201 110905011118Y000682 0000632024774 M DIYAUDIN AZAM ZAMI L
95 29/11/201 110905011118Y000678 0000632041705 WASRIAH P
96 29/11/201 110905011118Y000729 0000632081294 MUKAROMAH P
97 29/11/201 110905011118Y000718 0000632082609 DERAH P
98 29/11/201 110905011118Y000699 0000632103535 ISTIKHAROH P
99 29/11/201 110905011118Y000727 0000632133404 yeni fatmawati P
100 29/11/201 110905011118Y000719 0000632161269 MUAWANAH P
101 29/11/201 110905011118Y000675 0000632214088 SITI P
102 29/11/201 110905011118Y000676 0000632214718 M WILDAN SASABIL L
103 29/11/201 110905011118Y000674 0000632534365 SUHARTO L
104 29/11/201 110905011118Y000677 0000632535074 RIYANTO L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Cystitis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Supervision of normal pregnancy, TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Scabies TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
105 29/11/201 110905011118Y000706 0001031688033 SUMAR L
106 29/11/201 110905011118Y000701 0001031697628 RATEM P
107 29/11/201 110905011118Y000721 0001476422728 AMINUDIN L
108 29/11/201 110905011118Y000702 0001614966658 WARIPAH P
109 29/11/201 110905011118Y000689 0001791765191 NINDI ALVIONITA DEWI P
110 29/11/201 110905011118Y000722 0001907666267 TAMSURI L
111 29/11/201 110905011118Y000683 0001960546195 YULIKHA P
112 29/11/201 110905011118Y000673 0002222797612 SRI MARYATI P
113 29/11/201 110905011118Y000700 0002238606988 MUHAMMAD ROBBY L
114 29/11/201 110905011118Y000728 0002266192023 fathan nur wijayanto L
115 29/11/201 110905011118Y000688 0002419920033 JARONAH P
116 29/11/201 110905011118Y000725 0002419920033 JARONAH P
117 29/11/201 110905011118Y000711 0002437364259 SUTINAH P
118 29/11/201 110905011118Y000723 0002457259727 EVI SILVIA ANGGI SAPUTRI P
119 29/11/201 110905011118Y000687 0002469549778 MUSTOFA L
120 29/11/201 110905011118Y000710 0002478751222 ROTINAH P
121 28/11/201 110905011118Y000572 0000080043074 MUHAMMADUN L
122 28/11/201 110905011118Y000562 0000080055459 KHAMALUDIN L
123 28/11/201 110905011118Y000593 0000630045562 M DANDI LUTFIANSAH L
124 28/11/201 110905011118Y000552 0000630346544 SERLY P
125 28/11/201 110905011118Y000555 0000630461946 KHOTIMAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEGAWAI PEMERINTAH Gastritis, unspecified TIDAK
PBI (APBD) Myalgia TIDAK
PEGAWAI SWASTA Headache TIDAK
PEGAWAI PEMERINTAH Dyspepsia TIDAK
PEGAWAI PEMERINTAH Cystitis, unspecified TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Migraine, unspecified TIDAK
PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEGAWAI SWASTA Migraine, unspecified TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
126 28/11/201 110905011118Y000573 0000630472792 SYITA SAHLANAPTUL P
127 28/11/201 110905011118Y000567 0000630645715 RASMI P
128 28/11/201 110905011118Y000607 0000630672693 SITI CHODIJAH P
129 28/11/201 110905011118Y000551 0000630682086 RUDI SATRIO L
130 28/11/201 110905011118Y000598 0000630695406 SITI MAESAROH P
131 28/11/201 110905011118Y000553 0000630754918 DAMURAH P
132 28/11/201 110905011118Y000590 0000630800548 WATI PURNINGSIH P
133 28/11/201 110905011118Y000600 0000630865179 SITI NUR AZIZAH P
134 28/11/201 110905011118Y000559 0000630966778 DARTO L
135 28/11/201 110905011118Y000592 0000631134573 DAROYAH P
136 28/11/201 110905011118Y000554 0000631208193 NUROHMI P
137 28/11/201 110905011118Y000595 0000631229354 SILVIA AYUNINGTYAS P
138 28/11/201 110905011118Y000570 0000631279214 KHOFIFAH P
139 28/11/201 110905011118Y000582 0000631294323 LATIFAH P
140 28/11/201 110905011118Y000603 0000631343294 INAYAH P
141 28/11/201 110905011118Y000550 0000631389093 ZULPAN L
142 28/11/201 110905011118Y000606 0000631435252 MASITOH P
143 28/11/201 110905011118Y000479 0000631456931 ALY MASRURI L
144 28/11/201 110905011118Y000565 0000631580951 KHOLIL L
145 28/11/201 110905011118Y000571 0000631619908 RADUN L
146 28/11/201 110905011118Y000874 0000631636525 URIPAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Supervision of normal pregnancy, TIDAK
PEGAWAI PEMERINTAH Acute bronchitis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Chronic obstructive pulmonary disease, YA
PBI (APBN) Unspecified haemorrhoids without TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Dyspepsia TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
147 28/11/201 110905011118Y000556 0000631642015 ANISAH P
148 28/11/201 110905011118Y000588 0000631642724 KASREM P
149 28/11/201 110905011118Y000587 0000631643771 KASRO L
150 28/11/201 110905011118Y000575 0000631643859 KHOLISOH P
151 28/11/201 110905011118Y000576 0000631645143 SAINAH P
152 28/11/201 110905011118Y000566 0000631651724 WASMI P
153 28/11/201 110905011118Y000579 0000631677262 MUTOYAH P
154 28/11/201 110905011118Y000581 0000631722464 NUR ALIfAH P
155 28/11/201 110905011118Y000569 0000631793834 NURJANAH P
156 28/11/201 110905011118Y000561 0000631796196 ENI SUSANTI P
157 28/11/201 110905011118Y000591 0000631803205 ROBIN L
158 28/11/201 110905011118Y000478 0000631829979 ARIS ARYANTO L
159 28/11/201 110905011118Y000568 0000631855451 KAPSAH P
160 28/11/201 110905011118Y000557 0000631880796 DIKI CHANDRA L
161 28/11/201 110905011118Y000604 0000632013197 KUSMIYATI P
162 28/11/201 110905011118Y000585 0000632061292 RONINGSIH P
163 28/11/201 110905011118Y000599 0000632083645 SAPUROH P
164 28/11/201 110905011118Y000563 0000632128116 SAEPUDIN L
165 28/11/201 110905011118Y000594 0000632335577 DWI ROKHANAH P
166 28/11/201 110905011118Y000584 0001031685939 RIPAH P
167 28/11/201 110905011118Y000480 0001031688977 NASEHUDIN L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Scabies TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Hypertensive heart and renal disease YA
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Supervision of normal pregnancy, TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Benign neoplasm of pancreas YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
168 28/11/201 110905011118Y000577 0001031693692 ROHIMAH P
169 28/11/201 110905011118Y000596 0001031700194 M. WAHYUDIN AL ZAFAR L
170 28/11/201 110905011118Y000481 0001436428359 SAIPULLOH L
171 28/11/201 110905011118Y000586 0001671481563 PARMINI P
172 28/11/201 110905011118Y000560 0001731463323 KODIR L
173 28/11/201 110905011118Y000549 0001740746169 MAEDA 'AINUSSAHSYA P
174 28/11/201 110905011118Y000580 0001915648795 HAWA P
175 28/11/201 110905011118Y000558 0002057634944 KANAP L
176 28/11/201 110905011118Y000601 0002074235534 CYNTIA SEIS WILFARI P
177 28/11/201 110905011118Y000589 0002121061904 WAINAH P
178 28/11/201 110905011118Y000583 0002124105737 ROSYIDIN L
179 28/11/201 110905011118Y000574 0002124106514 KHASANAH P
180 28/11/201 110905011118Y000543 0002217863272 DAIMAH P
181 28/11/201 110905011118Y000597 0002288093747 ROISAH P
182 28/11/201 110905011118Y000477 0002288093747 ROISAH P
183 28/11/201 110905011118Y000605 0002452315151 AYRA SHIRLY ALNAIRA P
184 28/11/201 110905011118Y000578 0002452407805 RAIN L
185 28/11/201 110905011118Y000878 0002494822724 MEYTSA AUFA YUMNA P
186 28/11/201 110905011118Y000564 0002498564597 ABAS L
187 28/11/201 110905011118Y000602 0002498902817 GANESHA ELYAS L
188 27/11/201 110905011118Y000513 0000080016974 UMAYAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Pulpitis TIDAK
PEKERJA MANDIRI Schizophrenia YA
PEGAWAI SWASTA Myalgia TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEGAWAI SWASTA Acute serous otitis media YA
PBI (APBN) Cough TIDAK
PEKERJA MANDIRI Abscess, furuncle and carbuncle of TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Low vision, both eyes YA
PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
PEKERJA MANDIRI Irritant contact dermatitis, unspecified YA
PBI (APBN) Scabies TIDAK
PEKERJA MANDIRI Essential (primary) hypertension TIDAK
PEGAWAI SWASTA Fever of other and unknown origin TIDAK
PEKERJA MANDIRI Disorder of lipoprotein metabolism, TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PENERIMA PENSIUN Myalgia TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
189 27/11/201 110905011118Y000497 0000228809608 AMOS MAGAI L
190 27/11/201 110905011118Y000503 0000617118366 INTI FARKHATUN P
191 27/11/201 110905011118Y000518 0000630543947 FARIKHA P
192 27/11/201 110905011118Y000504 0000630606453 ISTIANAH P
193 27/11/201 110905011118Y000405 0000630625228 ALFIAH P
194 27/11/201 110905011118Y000540 0000630654939 MAEMANAH P
195 27/11/201 110905011118Y000407 0000630655391 JAPARUDIN L
196 27/11/201 110905011118Y000548 0000630700918 UMI NURAZIZAH P
197 27/11/201 110905011118Y000508 0000630703449 KASMO L
198 27/11/201 110905011118Y000536 0000630707038 FIRDA SEKARWATI P
199 27/11/201 110905011118Y000515 0000630741565 SITI ROYANI P
200 27/11/201 110905011118Y000534 0000630787083 KOMSIYATI P
201 27/11/201 110905011118Y000406 0000630933366 FITRIYAH P
202 27/11/201 110905011118Y000521 0000630935291 DWI SALMAN HABIBI L
203 27/11/201 110905011118Y000529 0000631033468 MUADAH P
204 27/11/201 110905011118Y000499 0000631039241 JUMADI L
205 27/11/201 110905011118Y000535 0000631070897 DAMUS L
206 27/11/201 110905011118Y000517 0000631070897 DAMUS L
207 27/11/201 110905011118Y000491 0000631155993 MUTMAINAH P
208 27/11/201 110905011118Y000506 0000631238984 ARDIA CAHYANI P
209 27/11/201 110905011118Y000524 0000631268392 SUDINAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Scabies TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Typhus fever, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Oligomenorrhoea, unspecified YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Hepatic sclerosis YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Acute gingivitis TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Schizophrenia YA
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
210 27/11/201 110905011118Y000522 0000631269459 SOPIAH P
211 27/11/201 110905011118Y000520 0000631308486 RATNI P
212 27/11/201 110905011118Y000505 0000631338748 SITI FATIMAH P
213 27/11/201 110905011118Y000519 0000631339143 SUMYATI P
214 27/11/201 110905011118Y000402 0000631342203 AMIRULLOH L
215 27/11/201 110905011118Y000544 0000631398486 MASKUROH P
216 27/11/201 110905011118Y000531 0000631466875 ROANAH P
217 27/11/201 110905011118Y000511 0000631498871 BANDIROH P
218 27/11/201 110905011118Y000395 0000631580951 KHOLIL L
219 27/11/201 110905011118Y000401 0000631584461 CAHYONO L
220 27/11/201 110905011118Y000530 0000631608939 KANURI L
221 27/11/201 110905011118Y000486 0000631624094 IDA ZUBAEDAH P
222 27/11/201 110905011118Y000523 0000631635243 NASRIPAH P
223 27/11/201 110905011118Y000527 0000631641576 TITI SUMIYATI P
224 27/11/201 110905011118Y000537 0000631642239 KENZIE ARYA BAEHAKKI L
225 27/11/201 110905011118Y000525 0000631665876 SOLIHA P
226 27/11/201 110905011118Y000397 0000631681705 TOIPAH P
227 27/11/201 110905011118Y000509 0000631694316 SITI MARFUAH P
228 27/11/201 110905011118Y000510 0000631694777 EVI NURKHAYATI P
229 27/11/201 110905011118Y000493 0000631700458 WARSINI P
230 27/11/201 110905011118Y000496 0000631729269 TOANAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Presbyopia YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Hyperplasia of prostate YA
PBI (APBN) Lumbosacral root disorders, not YA
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Unspecified haemorrhoids without TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Malignant neoplasm of breast, YA
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Migraine, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
231 27/11/201 110905011118Y000495 0000631754436 RASWI P
232 27/11/201 110905011118Y000484 0000631825132 KISAH P
233 27/11/201 110905011118Y000485 0000631827538 RIA P
234 27/11/201 110905011118Y000490 0000631868804 MA`RIPAH P
235 27/11/201 110905011118Y000489 0000631868848 M. NAFIS JALALUDIN L
236 27/11/201 110905011118Y000500 0000631923884 MUSTADKIROH P
237 27/11/201 110905011118Y000514 0000631929014 WARNI P
238 27/11/201 110905011118Y000516 0000632004491 RATEM P
239 27/11/201 110905011118Y000526 0000632211873 AHMAD SOBIRIN L
240 27/11/201 110905011118Y000487 0000632259292 M FATONI L
241 27/11/201 110905011118Y000512 0000632290972 WADAUMI P
242 27/11/201 110905011118Y000498 0000632403753 KHALIMAH P
243 27/11/201 110905011118Y000528 0001031685939 RIPAH P
244 27/11/201 110905011118Y000494 0001031698473 KATIAH P
245 27/11/201 110905011118Y000532 0001031701026 ROHILAH P
246 27/11/201 110905011118Y000533 0001031701037 HERI IRYANTO L
247 27/11/201 110905011118Y000404 0001645034376 RATNA JUWITA P
248 27/11/201 110905011118Y000539 0001645034376 RATNA JUWITA P
249 27/11/201 110905011118Y000541 0001671633742 AISYAH ZAKIYYA NABILA P
250 27/11/201 110905011118Y000507 0001671634383 AS'ARI L
251 27/11/201 110905011118Y000399 0001892947522 SAHIR L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Non-insulin-dependent diabetes TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PEGAWAI SWASTA Threatened abortion YA
PEGAWAI SWASTA Supervision of normal pregnancy, TIDAK
PBI (APBD) Scabies TIDAK
PBI (APBD) Essential (primary) hypertension TIDAK
PEKERJA MANDIRI Unspecified diabetes mellitus with YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
252 27/11/201 110905011118Y000501 0002056002344 M. AUFA HABIB AKMAL L
253 27/11/201 110905011118Y000547 0002126886524 M. AJWAN AL PAHRI L
254 27/11/201 110905011118Y000403 0002199239706 JUWERIYAH P
255 27/11/201 110905011118Y000488 0002217567453 AHMAD AJI AWALUDIN L
256 27/11/201 110905011118Y000396 0002233843694 TACHMID L
257 27/11/201 110905011118Y000394 0002246423049 HASNA IMTINAN SYAHLA L
258 27/11/201 110905011118Y000542 0002262004896 MUHAMMAD Arsyad L
259 27/11/201 110905011118Y000398 0002275012168 DIRUN L
260 27/11/201 110905011118Y000483 0002283003191 FEBRI MULYADI L
261 27/11/201 110905011118Y000400 0002288096908 DARMINTO L
262 27/11/201 110905011118Y000502 0002305320197 TURMILAH P
263 27/11/201 110905011118Y000492 0002330903237 MULUS CAHYADI L
264 27/11/201 110905011118Y000482 0002345908329 ERI SUNIATI P
265 27/11/201 110905011118Y000545 0002433627933 PUTRI ZAHRA ITHRIYA L
266 27/11/201 110905011118Y000538 0002437581633 bayi ibu siti marfuah P
267 27/11/201 110905011118Y001093 0002479341238 LAELATUL HIDAYAH P
268 27/11/201 110905011118Y000546 0002491919684 AHMAD FARZAN KHALIF L
269 26/11/201 110905011118Y000412 0000063115007 ANDINI SAFITRI P
270 26/11/201 110905011118Y000463 0000080055459 KHAMALUDIN L
271 26/11/201 110905011118Y000411 0000628781859 ABDUL MUHSI L
272 26/11/201 110905011118Y000422 0000629491127 SAPII L
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Scabies TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Acute serous otitis media YA
PEKERJA MANDIRI Zoster [herpes zoster] TIDAK
PEKERJA MANDIRI Unspecified diabetes mellitus with YA
PEKERJA MANDIRI Epilepsy, unspecified YA
PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
PEKERJA MANDIRI Low back pain, site unspecified YA
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Non-insulin-dependent diabetes YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Typhus fever, unspecified TIDAK
PEGAWAI SWASTA Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PEKERJA MANDIRI Single spontaneous delivery, TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PNS PUSAT Atopic dermatitis, unspecified TIDAK
PNS DAERAH Pulpitis TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
273 26/11/201 110905011118Y000476 0000629714147 TARIP L
274 26/11/201 110905011118Y000380 0000629714147 TARIP L
275 26/11/201 110905011118Y000421 0000630489216 SITI KHOTIMAH P
276 26/11/201 110905011118Y000378 0000630637907 JUMIAH P
277 26/11/201 110905011118Y000452 0000630652869 TOIFAH P
278 26/11/201 110905011118Y000453 0000630654794 M SAHRUL RIFAI L
279 26/11/201 110905011118Y000415 0000630666573 HIKMAH P
280 26/11/201 110905011118Y000450 0000630688893 CARMI P
281 26/11/201 110905011118Y000468 0000630690232 RELIS ENJELIA P
282 26/11/201 110905011118Y000413 0000630753592 RAKSUM L
283 26/11/201 110905011118Y000445 0000630940634 ALFIYAH P
284 26/11/201 110905011118Y000416 0000630985263 LELI NUR.L P
285 26/11/201 110905011118Y000471 0000631098281 MUPARIKOH P
286 26/11/201 110905011118Y000435 0000631162697 MELA INDAH PUSPITA SARI P
287 26/11/201 110905011118Y000410 0000631204705 PENI OKTAVIANI NURDIYATI P
288 26/11/201 110905011118Y000442 0000631255566 DA AH P
289 26/11/201 110905011118Y000417 0000631286695 DIAZ PANCA PERDANA L
290 26/11/201 110905011118Y000439 0000631340267 MASLIKHA L
291 26/11/201 110905011118Y000455 0000631365603 HATUL P
292 26/11/201 110905011118Y000467 0000631387574 A'IZUL ISTIQOMAH P
293 26/11/201 110905011118Y000451 0000631388608 RAMA AJI SAPUTRA L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Non-insulin-dependent diabetes TIDAK
PBI (APBN) Congestive heart failure YA
PEGAWAI SWASTA Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Acute gingivitis TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Typhus fever, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
294 26/11/201 110905011118Y000458 0000631389093 ZULPAN L
295 26/11/201 110905011118Y000456 0000631433968 INDAH SUSI MULYANI P
296 26/11/201 110905011118Y000408 0000631434284 ROKHILAH P
297 26/11/201 110905011118Y000379 0000631450203 TURINAH P
298 26/11/201 110905011118Y000427 0000631487474 SANAH P
299 26/11/201 110905011118Y000419 0000631490938 M ALIMUDIN L
300 26/11/201 110905011118Y000414 0000631546209 UNTUNG RUDIONO L
301 26/11/201 110905011118Y000436 0000631597498 ANI SAMAFI P
302 26/11/201 110905011118Y000449 0000631620955 NUR KHALIMATUS SA'DIYAH P
303 26/11/201 110905011118Y000438 0000631636525 URIPAH P
304 26/11/201 110905011118Y000409 0000631688793 JAMILAH P
305 26/11/201 110905011118Y000460 0000631698377 KAMILAH P
306 26/11/201 110905011118Y000473 0000631710639 WIWIN SUSMIYATI P
307 26/11/201 110905011118Y000466 0000631758497 BARIROH P
308 26/11/201 110905011118Y000420 0000631789255 YADHI AZRIL L
309 26/11/201 110905011118Y000430 0000631818191 DUHRO L
310 26/11/201 110905011118Y000459 0000631869557 AMANAH P
311 26/11/201 110905011118Y000448 0000631877556 MAINAH P
312 26/11/201 110905011118Y000423 0000631885386 WARYOTO L
313 26/11/201 110905011118Y000457 0000632329582 MARIA KRISTINA WORI P
314 26/11/201 110905011118Y000429 0000632330392 ANGGI SETIAWAN L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Dyspepsia YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Pure hypercholesterolaemia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Unspecified haemorrhoids without TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Scabies TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
315 26/11/201 110905011118Y000464 0000632330392 ANGGI SETIAWAN L
316 26/11/201 110905011118Y000461 0000632376786 SITI NUR LAYLI P
317 26/11/201 110905011118Y000433 0000632596059 NURJANAH P
318 26/11/201 110905011118Y000434 0000632598737 UCI RAHMAWATI P
319 26/11/201 110905011118Y000374 0000632726256 WATNIAH P
320 26/11/201 110905011118Y000375 0000632727876 SOLIKHA HJ P
321 26/11/201 110905011118Y000384 0000975966873 IKHTIAR MARDHOTILLAH L
322 26/11/201 110905011118Y000440 0001031688415 MASRURI L
323 26/11/201 110905011118Y000418 0001031690744 TOYAH P
324 26/11/201 110905011118Y000376 0001614966579 SARTIKA P
325 26/11/201 110905011118Y000441 0001614966737 SUTRIYAH P
326 26/11/201 110905011118Y000443 0001732948931 NAORIZZAIDI IBROHIM L
327 26/11/201 110905011118Y000462 0001914379637 M. FATIKHUL BIRRI L
328 26/11/201 110905011118Y000381 0001914379637 M. FATIKHUL BIRRI L
329 26/11/201 110905011118Y000474 0001915648953 JIHAN TRI LESTARI P
330 26/11/201 110905011118Y000475 0001915649223 ISMATUL HAWA P
331 26/11/201 110905011118Y000426 0001915694493 NAZIRA ZALFA ATIYA P
332 26/11/201 110905011118Y000425 0002055511631 SAMINAH P
333 26/11/201 110905011118Y000444 0002196141164 KAMILAH P
334 26/11/201 110905011118Y000470 0002196141401 RISKY MAULANA L
335 26/11/201 110905011118Y000393 0002210202369 NURUL AZIZAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute gingivitis TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Abscess, furuncle and carbuncle of TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Congestive heart failure YA
PNS DAERAH Disorders of continuity of bone YA
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBD) Non-insulin-dependent diabetes TIDAK
PBI (APBD) Myalgia TIDAK
PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Follow-up examination after surgery YA
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEKERJA MANDIRI Cough TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PEGAWAI SWASTA Maternal care for disproportion due to YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
336 26/11/201 110905011118Y000428 0002220685705 WAINAH P
337 26/11/201 110905011118Y000431 0002277090101 ZAENAB P
338 26/11/201 110905011118Y000446 0002307802836 FASIKHA P
339 26/11/201 110905011118Y000465 0002310281076 FAIRUZ MUHAMMAD L
340 26/11/201 110905011118Y000383 0002441236184 RAINYAH P
341 26/11/201 110905011118Y000454 0002466614529 TARMUDZI L
342 26/11/201 110905011118Y000377 0002467750476 WAIDAH P
343 26/11/201 110905011118Y000437 0002468615883 JETIN P
344 26/11/201 110905011118Y000447 0002470272298 aripin suregar L
345 26/11/201 110905011118Y000424 0002472351401 OCKVIANTO TRI LISTIAWAN L
346 26/11/201 110905011118Y000472 0002474567919 FAIZ KENZIE HAMIZAN L
347 26/11/201 110905011118Y000432 0002496987382 IDZA LAELATUL HIDAYAH P
348 26/11/201 110905011118Y000382 0002496987382 IDZA LAELATUL HIDAYAH P
349 26/11/201 110905011118Y000469 0002498507065 NUR KHASANAH P
350 24/11/201 110905011118Y000297 0000630241931 TASAMAH P
351 24/11/201 110905011118Y000298 0000631878164 AFWA MULKAN L
352 24/11/201 110905011118Y001084 0000631901316 TOISAH P
353 24/11/201 110905011118Y000299 0000632112355 PALAHUDIN L
354 24/11/201 110905011118Y000296 0000632386438 SARINAH P
355 24/11/201 110905011118Y000302 0001694043999 KHURILAH P
356 24/11/201 110905011118Y000301 0002257250152 UMI APRIYANTI P
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Myalgia TIDAK
PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
PEKERJA MANDIRI Migraine, unspecified TIDAK
PEKERJA MANDIRI Pulpitis TIDAK
PEKERJA MANDIRI Gastro-oesophageal reflux disease YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Low back pain YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Acute pharyngitis, unspecified TIDAK
PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
PEGAWAI SWASTA Scabies TIDAK
PEKERJA MANDIRI Abscess, furuncle and carbuncle of TIDAK
PEKERJA MANDIRI Surgical follow-up care, unspecified YA
PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
PBI (APBN) Follow-up examination after surgery TIDAK
PBI (APBN) Epilepsy, unspecified YA
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Nonspecific lymphadenitis YA
PBI (APBN) Other cataract YA
PBI (APBD) Low vision, one eye YA
PEKERJA MANDIRI Single delivery by caesarean section YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
357 24/11/201 110905011118Y000295 0002259703056 MARYAM P
358 24/11/201 110905011118Y000300 0002428175902 RISKIYATI P
359 23/11/201 110905011118Y000294 0000079748684 SRI ROHARTATI P
360 23/11/201 110905011118Y000284 0000630679083 URIPAH P
361 23/11/201 110905011118Y000872 0000630754918 DAMURAH P
362 23/11/201 110905011118Y000291 0000631012263 SULISTYAWATI P
363 23/11/201 110905011118Y000292 0000631293377 SYAHRUL SEPTIAN L
364 23/11/201 110905011118Y000875 0000631386753 M NURSIDIQ L
365 23/11/201 110905011118Y000282 0000631447053 ISZA ISTIAWATI P
366 23/11/201 110905011118Y000287 0000631466875 ROANAH P
367 23/11/201 110905011118Y000285 0000631746347 NI SAUL KHASANAH P
368 23/11/201 110905011118Y000290 0000632309433 JARONAH P
369 23/11/201 110905011118Y000286 0001717707407 SITI ZULFATUNISA P
370 23/11/201 110905011118Y000293 0001803015977 MARIS IKVI KHASBIYAH P
371 23/11/201 110905011118Y000283 0002242584865 DEDI ERTANTO L
372 23/11/201 110905011118Y000288 0002272218557 SUPRIYATI P
373 23/11/201 110905011118Y000289 0002428175575 SURATNO L
374 22/11/201 110905011118Y000277 0000629056236 ZAKIYATUL FITRIYAH P
375 22/11/201 110905011118Y000873 0000630461946 KHOTIMAH P
376 22/11/201 110905011118Y000280 0000631081787 WATIAH P
377 22/11/201 110905011118Y000272 0000631292038 TAISAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Thyrotoxicosis, unspecified YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified YA
PNS DAERAH Rheumatoid arthritis, unspecified YA
PBI (APBN) Non-insulin-dependent diabetes YA
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Cystitis, unspecified YA
PBI (APBN) Pulp degeneration YA
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Blighted ovum and nonhydatidiform YA
PBI (APBN) Essential (primary) hypertension YA
PBI (APBN) Non-follicular lymphoma YA
PBI (APBN) Congestive heart failure YA
PEKERJA MANDIRI Acute serous otitis media YA
PEKERJA MANDIRI Caries of cementum YA
PEKERJA MANDIRI Human immunodeficiency virus [HIV] YA
PEKERJA MANDIRI Stroke, not specified as haemorrhage YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified YA
PBI (APBN) Chronic sinusitis YA
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Pterygium YA
PBI (APBN) Congestive heart failure YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
378 22/11/201 110905011118Y000276 0000631434284 ROKHILAH P
379 22/11/201 110905011118Y000274 0000631899448 BADIAH P
380 22/11/201 110905011118Y000278 0001533021682 DAMAN L
381 22/11/201 110905011118Y000273 0001717624067 HANI SULISTYOWATI P
382 22/11/201 110905011118Y000279 0001838401064 DRS. SA'DULLAH L
383 22/11/201 110905011118Y000281 0002034394762 TITI SUPRIYATIN P
384 22/11/201 110905011118Y000275 0002306344138 KASUT L
385 21/11/201 110905011118Y000256 0000630453666 ITA P
386 21/11/201 110905011118Y000266 0000630458875 AZKA NADIA SANTIKA P
387 21/11/201 110905011118Y000271 0000630605711 YUNI PUJI ASTUTI P
388 21/11/201 110905011118Y000265 0000630943097 WAHYUDIN L
389 21/11/201 110905011118Y000270 0000631214166 ALWI ROHMANI L
390 21/11/201 110905011118Y000262 0000631387664 RUTI P
391 21/11/201 110905011118Y000260 0000631470385 MUNHIDOTUN AISIYAH P
392 21/11/201 110905011118Y000269 0000631614868 NUR HIDAYAH P
393 21/11/201 110905011118Y000261 0000631751591 NGATMAN L
394 21/11/201 110905011118Y000268 0000632181868 RATNA DAMAYANTI P
395 21/11/201 110905011118Y000263 0000632196235 TAHRIL L
396 21/11/201 110905011118Y000264 0000632342529 SARMI P
397 21/11/201 110905011118Y000258 0001031698348 RUNTAH P
398 21/11/201 110905011118Y000259 0001797111617 SARJUNI ENDANG PADMANI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Nonspecific lymphadenitis YA
PBI (APBN) Gastro-oesophageal reflux disease YA
PEGAWAI SWASTA Gastro-oesophageal reflux disease YA
PEKERJA MANDIRI Blighted ovum and nonhydatidiform YA
PEGAWAI SWASTA Inguinal hernia YA
PEGAWAI SWASTA Acute sinusitis, unspecified YA
PEKERJA MANDIRI Congestive heart failure YA
PBI (APBN) Prolonged pregnancy YA
PEGAWAI SWASTA Fibroadenosis of breast YA
PBI (APBN) Prolonged pregnancy YA
PBI (APBN) Unspecified contact dermatitis YA
PBI (APBN) Non-Hodgkin's lymphoma, unspecified YA
PBI (APBN) Gastro-oesophageal reflux disease YA
PBI (APBN) Schizophrenia YA
PBI (APBN) Gastro-oesophageal reflux disease YA
PBI (APBN) Diarrhoea and gastroenteritis of YA
PBI (APBN) Benign lipomatous neoplasm of skin YA
PBI (APBN) Congestive heart failure YA
PBI (APBN) Gestational [pregnancy-induced] YA
PBI (APBN) Vertigo of central origin YA
PEKERJA MANDIRI Carcinoma in situ of breast, YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
399 21/11/201 110905011118Y000267 0002093199041 MASLIKHA P
400 21/11/201 110905011118Y000257 0002241708344 M TAUFIK L
401 20/11/201 110905011118Y001083 0000631034098 RINA P
402 20/11/201 110905011118Y001082 0000631309882 INAYATILAH P
403 19/11/201 110905011118Y000245 0000079959115 CHURIYAH P
404 19/11/201 110905011118Y000238 0000629737571 sumyati P
405 19/11/201 110905011118Y000241 0000630078546 NASYA DAVIANTI P
406 19/11/201 110905011118Y000253 0000630088222 NASIKHA P
407 19/11/201 110905011118Y000248 0000630488079 GUS NASYIFA L
408 19/11/201 110905011118Y000252 0000631217248 ANITA P
409 19/11/201 110905011118Y000255 0000631269415 MUJAYANAH P
410 19/11/201 110905011118Y000242 0000631308813 A BAYHAQI L
411 19/11/201 110905011118Y000246 0000631453353 FITRI P
412 19/11/201 110905011118Y000237 0000631894015 RATIH setianingsih P
413 19/11/201 110905011118Y000240 0000632084275 RAMISI L
414 19/11/201 110905011118Y000247 0000632207575 ATUN P
415 19/11/201 110905011118Y000244 0001031699215 KASIH SURYATI P
416 19/11/201 110905011118Y000249 0001189795781 ULYATI P
417 19/11/201 110905011118Y000250 0001291498683 SADIYAH P
418 19/11/201 110905011118Y000239 0002055510854 ABDUL KHARIS L
419 19/11/201 110905011118Y000254 0002073050998 SUNARSIH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEGAWAI SWASTA Thyrotoxicosis, unspecified YA
PEGAWAI SWASTA Congestive heart failure YA
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
PENERIMA PENSIUN Thyrotoxicosis, unspecified YA
PBI (APBN) Prolonged pregnancy YA
PBI (APBN) Pulp degeneration YA
PBI (APBN) Tuberculosis of lung, confirmed by YA
PBI (APBN) Tuberculosis of lung, bacteriologically YA
PBI (APBN) Caries of cementum YA
PBI (APBN) Pulp degeneration YA
PBI (APBN) Tuberculosis of lung, without mention YA
PBI (APBN) Pulp degeneration YA
PBI (APBN) Maternal care for disproportion due to YA
PBI (APBN) Non-insulin-dependent diabetes YA
PBI (APBN) Low vision, both eyes YA
PBI (APBN) Carpal tunnel syndrome YA
PEGAWAI SWASTA Acute cystitis YA
PBI (APBD) Carcinoma in situ of breast YA
PEKERJA MANDIRI Low back pain YA
PEGAWAI PEMERINTAH Placenta praevia YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
420 19/11/201 110905011118Y000251 0002255501709 DIAH TRISMIYATI P
421 19/11/201 110905011118Y001092 0002489052262 MASUDAH P
422 19/11/201 110905011118Y000243 0002499990456 al farizi faizan azhim L
423 18/11/201 110905011118Y001081 0000630777396 RINI NUR KHASANAH P
424 17/11/201 110905011118Y000142 0000631298373 LIA NUR ATKIA P
425 17/11/201 110905011118Y000148 0000631355049 SUNARYO L
426 17/11/201 110905011118Y000145 0000631395922 WALIDIN L
427 17/11/201 110905011118Y000144 0000631668453 RUDIYANTO L
428 17/11/201 110905011118Y000141 0000631766136 AYUNI AMANATUN SULISTIA P
429 17/11/201 110905011118Y000147 0000631818303 WAINAH P
430 17/11/201 110905011118Y000149 0000631913376 DIRAH P
431 17/11/201 110905011118Y001080 0000631998156 SARYIMAH P
432 17/11/201 110905011118Y000143 0001915451998 RAKIM L
433 17/11/201 110905011118Y000146 0002126122288 NAJRIL ILHAM L
434 17/11/201 110905011118Y000876 0002311273091 AYU ISMIATUL UMAMAH P
435 16/11/201 110905011118Y001258 0000079748482 ISKANDAR, SH L
436 16/11/201 110905011118Y001262 0000080016974 UMAYAH P
437 16/11/201 110905011118Y000132 0000629046639 BAHRUDIN L
438 16/11/201 110905011118Y000133 0000630636704 KHAYATUN MUFLIKHA P
439 16/11/201 110905011118Y001296 0000630636704 KHAYATUN MUFLIKHA P
440 16/11/201 110905011118Y000871 0000630691031 SUKIMAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Impacted teeth YA
PEKERJA MANDIRI Single spontaneous delivery, TIDAK
PEKERJA MANDIRI Other apnoea of newborn YA
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Follow-up examination after surgery YA
PBI (APBN) Gastro-oesophageal reflux disease YA
PBI (APBN) Facial nerve disorders YA
PBI (APBN) Schizophrenia YA
PBI (APBN) Dermatitis herpetiformis YA
PBI (APBN) Low vision, both eyes YA
PBI (APBN) Nontoxic goitre, unspecified YA
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Follow-up examination after surgery YA
PEKERJA MANDIRI Fever of other and unknown origin TIDAK
PNS DAERAH Abscess, furuncle and carbuncle of TIDAK
PENERIMA PENSIUN Myalgia TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by YA
PBI (APBN) Schizophrenia YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
441 16/11/201 110905011118Y001263 0000630732958 URIPAH P
442 16/11/201 110905011118Y001291 0000630959095 SLAMET L
443 16/11/201 110905011118Y001269 0000631050006 FARIKHA SAID P
444 16/11/201 110905011118Y001279 0000631058488 CITRA NINGRUM P
445 16/11/201 110905011118Y001278 0000631059399 MAHESA CANDRA L
446 16/11/201 110905011118Y001276 0000631089933 WARTIAH P
447 16/11/201 110905011118Y001282 0000631096018 FAIRUS ZAHRA P
448 16/11/201 110905011118Y001287 0000631100204 DIANA MARISKA P
449 16/11/201 110905011118Y000137 0000631112038 SITI QOMARIYAH P
450 16/11/201 110905011118Y001079 0000631146497 HENI JUHAROH P
451 16/11/201 110905011118Y001300 0000631162989 ISTIQOMAH P
452 16/11/201 110905011118Y001268 0000631192217 KANI P
453 16/11/201 110905011118Y000136 0000631342585 TIA NURANI P
454 16/11/201 110905011118Y001280 0000631588623 WATIAH P
455 16/11/201 110905011118Y001293 0000631596644 AHMAD RIZA ALFIAN L
456 16/11/201 110905011118Y001259 0000631637234 KATINAH P
457 16/11/201 110905011118Y001261 0000631658272 ROSIIN L
458 16/11/201 110905011118Y001266 0000631666563 FADLILLAH P
459 16/11/201 110905011118Y000138 0000631714173 SITI MARYATI P
460 16/11/201 110905011118Y001271 0000631752963 FERI PURNOMO L
461 16/11/201 110905011118Y000130 0000631767699 WARDI L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Prolonged pregnancy YA
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Fracture of upper end of radius, closed YA
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Typhus fever, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Tuberculosis of nervous system, YA
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Thyrotoxicosis, unspecified YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
462 16/11/201 110905011118Y001265 0000631867331 KASORI L
463 16/11/201 110905011118Y001270 0000631868635 SLAMET P
464 16/11/201 110905011118Y001274 0000632095749 WASRO L
465 16/11/201 110905011118Y001267 0000632115843 LURUH L
466 16/11/201 110905011118Y001292 0000632676431 SINTA DWI FATMAWATI P
467 16/11/201 110905011118Y001295 0001031624098 ERNA WATI P
468 16/11/201 110905011118Y001285 0001614965771 JARIAH P
469 16/11/201 110905011118Y001299 0001614965804 AHMAD TRI PRADANA L
470 16/11/201 110905011118Y001302 0001614966939 ETI YULIANINGSIH P
471 16/11/201 110905011118Y001289 0001614967266 NUR SAENI P
472 16/11/201 110905011118Y001284 0001614967481 MUHAMMAD DANDU L
473 16/11/201 110905011118Y001277 0001671634023 ELA FITRIANA P
474 16/11/201 110905011118Y001301 0001842255145 ARrAFI Zaky NURYAqDAN L
475 16/11/201 110905011118Y001260 0001915453552 PONIMAN L
476 16/11/201 110905011118Y001294 0002082294472 EXSA DWI DIANDRA L
477 16/11/201 110905011118Y000134 0002089763649 ABDUL KHOLIK L
478 16/11/201 110905011118Y001275 0002123319058 OLIVIA VIVI HERfiDA P
479 16/11/201 110905011118Y001288 0002257748302 FERA KRISTIAN MULYANI P
480 16/11/201 110905011118Y001286 0002269807108 TUTUR PUJI RAHAYU P
481 16/11/201 110905011118Y001297 0002270110072 m. zulfikar al habsyi L
482 16/11/201 110905011118Y001273 0002288097999 NASEM P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBD) Asthma, unspecified TIDAK
PBI (APBD) Atopic dermatitis, unspecified TIDAK
PBI (APBD) Supervision of normal first pregnancy TIDAK
PBI (APBD) Fever of other and unknown origin TIDAK
PBI (APBD) Cough TIDAK
PBI (APBD) Dyspepsia TIDAK
PEKERJA MANDIRI Acute gingivitis TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEGAWAI PEMERINTAH Typhoid fever TIDAK
PEKERJA MANDIRI Non-follicular lymphoma YA
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PEKERJA MANDIRI Conjunctivitis, unspecified TIDAK
PEKERJA MANDIRI Scabies TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Typhoid fever TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
483 16/11/201 110905011118Y001272 0002288098528 AFRILIYANI LILIS SAFITRI P
484 16/11/201 110905011118Y001283 0002304952918 SANI P
485 16/11/201 110905011118Y000129 0002321686888 ROISAH P
486 16/11/201 110905011118Y001264 0002326487038 YULI IRNAINI AQNAH P
487 16/11/201 110905011118Y001290 0002437561596 NUR SOLIKHA P
488 16/11/201 110905011118Y001281 0002479341238 LAELATUL HIDAYAH P
489 16/11/201 110905011118Y000135 0002485838665 ibrahim razi irawan L
490 16/11/201 110905011118Y001298 0002485838665 ibrahim razi irawan L
491 16/11/201 110905011118Y000131 0002492025355 ROANAH P
492 15/11/201 110905011118Y001248 0000045236878 NASHIHAH P
493 15/11/201 110905011118Y000123 0000079959947 MASRIAH P
494 15/11/201 110905011118Y001214 0000080088186 MG.SUKARTINAH P
495 15/11/201 110905011118Y001226 0000630083654 TAMRIN L
496 15/11/201 110905011118Y001243 0000630113984 HAFIDZ MAULANA L
497 15/11/201 110905011118Y001239 0000630138205 DENAH P
498 15/11/201 110905011118Y001242 0000630461946 KHOTIMAH P
499 15/11/201 110905011118Y001216 0000630582377 DINI FAuZIATI P
500 15/11/201 110905011118Y001220 0000630666573 HIKMAH P
501 15/11/201 110905011118Y001244 0000630688533 TURO L
502 15/11/201 110905011118Y001221 0000630728122 SITI AISAH P
503 15/11/201 110905011118Y000120 0000630730034 YOSI CANDRA MAULANA L
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Tuberculosis of lung, confirmed by TIDAK
PEKERJA MANDIRI Cough TIDAK
PEKERJA MANDIRI Surgical follow-up care, unspecified YA
PEGAWAI SWASTA Atopic dermatitis, unspecified TIDAK
PENERIMA PENSIUN Myalgia TIDAK
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Tuberculous pleurisy, confirmed YA
PEKERJA MANDIRI Scabies TIDAK
PEKERJA MANDIRI Threatened abortion YA
PNS PUSAT Pulpitis TIDAK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN Myalgia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Urticaria TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
504 15/11/201 110905011118Y001255 0000630948385 MUIZZATUL MILLAH P
505 15/11/201 110905011118Y001233 0000631074262 KALIMAH P
506 15/11/201 110905011118Y000116 0000631121286 NASORI L
507 15/11/201 110905011118Y001234 0000631168637 DIVA AMELIA PUTRI P
508 15/11/201 110905011118Y001245 0000631294929 TRI EVA ANJASTUTI P
509 15/11/201 110905011118Y000124 0000631309882 INAYATILAH P
510 15/11/201 110905011118Y001251 0000631309882 INAYATILAH P
511 15/11/201 110905011118Y001232 0000631312749 SOIMAH P
512 15/11/201 110905011118Y001224 0000631375738 NINA DEWI P
513 15/11/201 110905011118Y001257 0000631396326 KHODIJAH P
514 15/11/201 110905011118Y001241 0000631431189 SUHARI L
515 15/11/201 110905011118Y001229 0000631499398 DAISAH P
516 15/11/201 110905011118Y001249 0000631501097 HAFIZ RAFFAEL PUTRA L
517 15/11/201 110905011118Y000119 0000631507116 UMI NADIROH P
518 15/11/201 110905011118Y001235 0000631636569 SRI MUAMALAH P
519 15/11/201 110905011118Y001227 0000631644772 RISMASEL VIANA P
520 15/11/201 110905011118Y001254 0000631697679 SAIROH P
521 15/11/201 110905011118Y001217 0000631707917 DAMURAH P
522 15/11/201 110905011118Y001219 0000631708367 SOFIYANTI MARYANI P
523 15/11/201 110905011118Y000128 0000631733501 SULASTRI P
524 15/11/201 110905011118Y001253 0000631733501 SULASTRI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Placenta praevia with haemorrhage YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Typhus fever, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Asthma, unspecified YA
PBI (APBN) Cough TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Supervision of normal pregnancy, TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Prolonged pregnancy YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
525 15/11/201 110905011118Y001223 0000631740655 PUJIANI P
526 15/11/201 110905011118Y000126 0000631784373 DANISAH P
527 15/11/201 110905011118Y001218 0000631786285 MAS'ANAH P
528 15/11/201 110905011118Y001256 0000631816209 ROSDIANA P
529 15/11/201 110905011118Y000122 0000631866936 TOHA L
530 15/11/201 110905011118Y001225 0000631912847 PURWANTO L
531 15/11/201 110905011118Y001240 0000631974159 KEMI P
532 15/11/201 110905011118Y000118 0000631998292 UJANG WALUYO L
533 15/11/201 110905011118Y001250 0000632057084 SOKHIKHATUN NISA P
534 15/11/201 110905011118Y001228 0000632114919 ATIKOH P
535 15/11/201 110905011118Y001222 0001031698091 HIDAYATI P
536 15/11/201 110905011118Y001231 0001084250013 UMROH P
537 15/11/201 110905011118Y000117 0001109286066 DEVI RUSDIANTI P
538 15/11/201 110905011118Y000125 0001314745435 UMI SYAHIDAH P
539 15/11/201 110905011118Y001246 0001614863226 APRITULLOH L
540 15/11/201 110905011118Y001247 0001614907451 RATNI P
541 15/11/201 110905011118Y001230 0001694044089 MUSTIANAH P
542 15/11/201 110905011118Y001238 0002034394762 TITI SUPRIYATIN P
543 15/11/201 110905011118Y001236 0002073050998 SUNARSIH P
544 15/11/201 110905011118Y000877 0002099616254 YULIANA ERNAWATI P
545 15/11/201 110905011118Y001215 0002200445008 MUSRIPAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Chronic obstructive pulmonary disease YA
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Acute upper respiratory infection, TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Chronic obstructive pulmonary disease, YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Infections of the genital tract in YA
PEKERJA MANDIRI Schizophrenia YA
PBI (APBD) Dyspepsia TIDAK
PBI (APBD) Acute pharyngitis, unspecified TIDAK
PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
PEGAWAI SWASTA Gastritis, unspecified TIDAK
PEGAWAI PEMERINTAH Myalgia TIDAK
PEGAWAI SWASTA Dyspepsia TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
546 15/11/201 110905011118Y001252 0002427863567 revani lisa farzana P
547 15/11/201 110905011118Y001237 0002483769082 SUTRISNO L
548 15/11/201 110905011118Y000121 0002485037068 DASUKI L
549 15/11/201 110905011118Y000127 0002496987382 IDZA LAELATUL HIDAYAH P
550 14/11/201 110905011118Y000111 0000080088063 ROESTANTI P
551 14/11/201 110905011118Y001195 0000630726873 TAUMROH P
552 14/11/201 110905011118Y001184 0000630740136 M RIFAKHI L
553 14/11/201 110905011118Y001207 0000630872177 SITI SAPUROH P
554 14/11/201 110905011118Y000112 0000631012263 SULISTYAWATI P
555 14/11/201 110905011118Y001185 0000631039241 JUMADI L
556 14/11/201 110905011118Y001182 0000631056284 KARNAN L
557 14/11/201 110905011118Y001179 0000631154619 AMELIA SAFITRI P
558 14/11/201 110905011118Y001193 0000631187234 KEMIARSIH P
559 14/11/201 110905011118Y001203 0000631217248 ANITA P
560 14/11/201 110905011118Y001197 0000631259943 NAHRAWI L
561 14/11/201 110905011118Y000114 0000631260538 MUKSONAH P
562 14/11/201 110905011118Y001181 0000631262632 NESTI P
563 14/11/201 110905011118Y001178 0000631269369 SUSIYANTI P
564 14/11/201 110905011118Y001204 0000631289114 RIKA P
565 14/11/201 110905011118Y001201 0000631423574 ROSIDI L
566 14/11/201 110905011118Y001198 0000631435252 MASITOH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Scabies TIDAK
PEKERJA MANDIRI Surgical follow-up care, unspecified YA
PEKERJA MANDIRI Prolonged pregnancy YA
PENERIMA PENSIUN Non-insulin-dependent diabetes YA
PBI (APBN) Myalgia TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Gastro-oesophageal reflux disease YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Typhus fever, unspecified TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
567 14/11/201 110905011118Y001192 0000631603091 TAHMIL L
568 14/11/201 110905011118Y001183 0000631636525 URIPAH P
569 14/11/201 110905011118Y000115 0000631638584 SUSI P
570 14/11/201 110905011118Y001194 0000631708997 DEWI NIZAR P
571 14/11/201 110905011118Y001191 0000631754436 RASWI P
572 14/11/201 110905011118Y001190 0000631791101 UMYATI P
573 14/11/201 110905011118Y001180 0000631862291 AMEL P
574 14/11/201 110905011118Y000108 0000632119151 SLAMET L
575 14/11/201 110905011118Y001186 0000632252722 JUDIN L
576 14/11/201 110905011118Y001187 0000632254105 KASMUNAH P
577 14/11/201 110905011118Y001208 0000632290296 KHOLIPAH P
578 14/11/201 110905011118Y001200 0000632327589 KHOLISOH P
579 14/11/201 110905011118Y001189 0000632678128 AISAH P
580 14/11/201 110905011118Y001211 0001312040035 NUR AZIZAH P
581 14/11/201 110905011118Y001202 0001540516779 RIZAL L
582 14/11/201 110905011118Y001188 0001671634912 SUANRTI P
583 14/11/201 110905011118Y001206 0001785417772 DEWI ARYANI P
584 14/11/201 110905011118Y001213 0001915565231 FIRLY L
585 14/11/201 110905011118Y001209 0001915565286 RESTU MAULANA AJMI P
586 14/11/201 110905011118Y001205 0002071535264 ENI MARYATI P
587 14/11/201 110905011118Y001212 0002099616254 YULIANA ERNAWATI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Heart failure, unspecified YA
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute upper respiratory infection, TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
PEGAWAI SWASTA Scabies TIDAK
PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Necrosis of pulp TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
588 14/11/201 110905011118Y001210 0002194829965 MIA KURNIASIH P
589 14/11/201 110905011118Y000110 0002215181913 WAISAH P
590 14/11/201 110905011118Y001199 0002238219224 WATINI P
591 14/11/201 110905011118Y000113 0002327429384 MASRIYAH P
592 14/11/201 110905011118Y000109 0002375739999 ERNAWATI P
593 14/11/201 110905011118Y001196 0002471008195 FASYA ZULFI L
594 13/11/201 110905011118Y000098 0000080043186 SAEFUDIN L
595 13/11/201 110905011118Y000101 0000080146686 SONI UTOYO L
596 13/11/201 110905011118Y001153 0000212156548 SOFIANA P
597 13/11/201 110905011118Y001169 0000630056643 SARYI P
598 13/11/201 110905011118Y001160 0000630789568 MELYANA SURATNO PUTRI P
599 13/11/201 110905011118Y000104 0000631089189 RASJAD L
600 13/11/201 110905011118Y001176 0000631108822 KHAYATI P
601 13/11/201 110905011118Y001152 0000631128082 ATIKOH P
602 13/11/201 110905011118Y001159 0000631136711 KALIMAH P
603 13/11/201 110905011118Y001167 0000631137453 mukhafidoh P
604 13/11/201 110905011118Y001166 0000631141569 SUMARNI P
605 13/11/201 110905011118Y000106 0000631147138 KHAFIDIN L
606 13/11/201 110905011118Y001165 0000631202951 emi puji astuti P
607 13/11/201 110905011118Y001150 0000631217248 ANITA P
608 13/11/201 110905011118Y001163 0000631224966 ANISAH UMAMI P
JENIS PESERTA DIAGNOSA DIRUJUK
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
PEKERJA MANDIRI Low back pain YA
PEKERJA MANDIRI Headache TIDAK
PEKERJA MANDIRI Gastro-oesophageal reflux disease YA
INVESTOR Other chronic renal failure YA
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PENERIMA PENSIUN Essential (primary) hypertension TIDAK
PNS DAERAH Psoriasis YA
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Schizophrenia, unspecified YA
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Psoriasis, unspecified YA
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
609 13/11/201 110905011118Y000099 0000631307709 WASORI L
610 13/11/201 110905011118Y001158 0000631480252 AZWAN MAULANA L
611 13/11/201 110905011118Y001173 0000631511346 ATIKOH P
612 13/11/201 110905011118Y001157 0000631685035 ROFIKOH P
613 13/11/201 110905011118Y001175 0000631700458 WARSINI P
614 13/11/201 110905011118Y001078 0000631723487 TABIKHA P
615 13/11/201 110905011118Y001162 0000631733501 SULASTRI P
616 13/11/201 110905011118Y001164 0000631733771 M BASIT RAMADANI L
617 13/11/201 110905011118Y001172 0000631856711 JAYA SAPUTRA L
618 13/11/201 110905011118Y001156 0000632133371 TORI P
619 13/11/201 110905011118Y001155 0000632133404 yeni fatmawati P
620 13/11/201 110905011118Y000102 0000632376347 MUAYAH P
621 13/11/201 110905011118Y001154 0001031696008 SOBIRIN L
622 13/11/201 110905011118Y001174 0001614912581 KHOLIPAH P
623 13/11/201 110905011118Y001161 0001614912816 SUSILOWATI P
624 13/11/201 110905011118Y001168 0001671633786 WIWIN WINANINGSIH P
625 13/11/201 110905011118Y000100 0001727703336 ARYANTO L
626 13/11/201 110905011118Y001170 0001872919192 WIWIT IMANI P
627 13/11/201 110905011118Y001171 0001960204408 siti haryati P
628 13/11/201 110905011118Y000103 0002034394762 TITI SUPRIYATIN P
629 13/11/201 110905011118Y001177 0002054625311 IIM INDAH NIATI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Dyspnoea YA
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Low back pain YA
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBD) Atopic dermatitis, unspecified TIDAK
PBI (APBD) Dyspepsia TIDAK
PBI (APBD) Dyspepsia TIDAK
PEKERJA MANDIRI Haemorrhoids YA
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PEGAWAI PEMERINTAH Dyspepsia TIDAK
PEGAWAI SWASTA Asthma, unspecified YA
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
630 13/11/201 110905011118Y001151 0002206415619 AZKA MAISAN HANDARU L
631 13/11/201 110905011118Y000105 0002445966595 DJAWAWI L
632 13/11/201 110905011118Y000107 0002477578476 NOK AZIZAH P
633 12/11/201 110905011118Y001108 0000079994351 MUTMAINAH P
634 12/11/201 110905011118Y001131 0000629053389 M RESTU ARISKI L
635 12/11/201 110905011118Y001110 0000629747752 RAHMA TADZKIROTUN P
636 12/11/201 110905011118Y001104 0000630078546 NASYA DAVIANTI P
637 12/11/201 110905011118Y001142 0000630113984 HAFIDZ MAULANA L
638 12/11/201 110905011118Y000095 0000630443913 YANUAR ABDUL ROSID L
639 12/11/201 110905011118Y001139 0000630925615 MUSRIATUN P
640 12/11/201 110905011118Y001145 0000630954415 WINA ISTIANA SARI P
641 12/11/201 110905011118Y001124 0000631040692 MUINAH P
642 12/11/201 110905011118Y001107 0000631102048 ROKHYATI P
643 12/11/201 110905011118Y001106 0000631103286 ISMA HABIBAH P
644 12/11/201 110905011118Y001099 0000631110093 FATIMAH P
645 12/11/201 110905011118Y000094 0000631113693 RUHANAH P
646 12/11/201 110905011118Y001132 0000631147138 KHAFIDIN L
647 12/11/201 110905011118Y001097 0000631151223 NURHAYATI P
648 12/11/201 110905011118Y001100 0000631173249 RIDOTUN P
649 12/11/201 110905011118Y000090 0000631250649 ADE NURDIN L
650 12/11/201 110905011118Y001111 0000631291869 ROYANAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Myopia YA
PEKERJA MANDIRI Prolonged pregnancy YA
PNS DAERAH Cough TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Acute amoebic dysentery TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Thalassaemia YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Chronic nasopharyngitis YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
651 12/11/201 110905011118Y000092 0000631306912 KHILYATURROHMAH P
652 12/11/201 110905011118Y001120 0000631306912 KHILYATURROHMAH P
653 12/11/201 110905011118Y001121 0000631307755 SAPUNAH P
654 12/11/201 110905011118Y001109 0000631308655 SITI MUHAYAH P
655 12/11/201 110905011118Y001114 0000631338243 SOLEH L
656 12/11/201 110905011118Y001122 0000631355049 SUNARYO L
657 12/11/201 110905011118Y001098 0000631494437 M. SYIFAUL HANNAN L
658 12/11/201 110905011118Y001134 0000631509074 KHAFIDOH P
659 12/11/201 110905011118Y001113 0000631541979 NURUL MUJAHIDIN L
660 12/11/201 110905011118Y000087 0000631623519 KAPSAH P
661 12/11/201 110905011118Y001095 0000631633241 SUDRI L
662 12/11/201 110905011118Y001137 0000631688793 JAMILAH P
663 12/11/201 110905011118Y001117 0000631691469 TUSMANUDIN L
664 12/11/201 110905011118Y001144 0000631694777 EVI NURKHAYATI P
665 12/11/201 110905011118Y001129 0000631732498 siti aisyah P
666 12/11/201 110905011118Y000089 0000631840116 WARYEM P
667 12/11/201 110905011118Y001103 0000631851636 DUKRI L
668 12/11/201 110905011118Y000086 0000631912847 PURWANTO L
669 12/11/201 110905011118Y001125 0000631922973 SAIFUDIN L
670 12/11/201 110905011118Y001115 0000632001047 YUNIKA DWI AMALIA P
671 12/11/201 110905011118Y001116 0000632009237 ASARI L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Impacted teeth YA
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Other arthrosis YA
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Surgical follow-up care, unspecified YA
PBI (APBN) Myalgia TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
672 12/11/201 110905011118Y001136 0000632069471 FARIKHIN L
673 12/11/201 110905011118Y001118 0000632119004 M.TEGUH PRASTIYANTO L
674 12/11/201 110905011118Y001133 0000632133404 yeni fatmawati P
675 12/11/201 110905011118Y000096 0000632157017 ISTIQOMAH P
676 12/11/201 110905011118Y000088 0000632165488 NENTI P
677 12/11/201 110905011118Y001101 0000632206901 SAAN L
678 12/11/201 110905011118Y001126 0000632296271 KARTEM P
679 12/11/201 110905011118Y001077 0000632349821 MURYATI P
680 12/11/201 110905011118Y001138 0001031686536 TARSO L
681 12/11/201 110905011118Y001105 0001031694478 AKHMAD WASKHURI L
682 12/11/201 110905011118Y001123 0001084013785 KHOLISOH P
683 12/11/201 110905011118Y001128 0001614893163 DASUKI L
684 12/11/201 110905011118Y000097 0001655471136 ASMARA DEWI P
685 12/11/201 110905011118Y001148 0001835591005 FAIKOHTUL ULFIYATI P
686 12/11/201 110905011118Y001143 0001835591714 VININDYA SHERIN P
687 12/11/201 110905011118Y001102 0001851288603 INDAH HESTI SILVIANI P
688 12/11/201 110905011118Y001127 0001915565027 MALIK SAPUTRA L
689 12/11/201 110905011118Y001135 0001915648942 ALFI NURAHMAN L
690 12/11/201 110905011118Y001146 0001915649526 ILMAN RAFA L
691 12/11/201 110905011118Y001141 0002255501709 DIAH TRISMIYATI P
692 12/11/201 110905011118Y001140 0002260221568 IRCHAM L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Cutaneous abscess, furuncle and TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Female pelvic inflammatory disease, YA
PBI (APBN) Abdominal and pelvic pain YA
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBD) Cystitis, unspecified TIDAK
PEGAWAI SWASTA Other specified surgical follow-up care YA
PEKERJA MANDIRI Supervision of normal pregnancy, TIDAK
PEKERJA MANDIRI Dental caries, unspecified TIDAK
PEGAWAI BUMN Acute pharyngitis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Acute gingivitis TIDAK
PEKERJA MANDIRI Dental caries, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
693 12/11/201 110905011118Y001112 0002260221568 IRCHAM L
694 12/11/201 110905011118Y000091 0002327891725 TOIDDIN L
695 12/11/201 110905011118Y001096 0002345908331 NURROFIQ L
696 12/11/201 110905011118Y001119 0002419920033 JARONAH P
697 12/11/201 110905011118Y001147 0002457256443 RAFFASYA ARSHAD L
698 12/11/201 110905011118Y001094 0002467750476 WAIDAH P
699 12/11/201 110905011118Y001130 0002485007458 RINAH WIDIYANTI P
700 12/11/201 110905011118Y000093 0002487951933 NUR FADILAH P
701 12/11/201 110905011118Y001149 0002487951933 NUR FADILAH P
702 11/11/201 110905011118Y001091 0002238219224 WATINI P
703 10/11/201 110905011118Y001016 0000079783029 YUNITA RUSMAWATI,SE P
704 10/11/201 110905011118Y001050 0000079783029 YUNITA RUSMAWATI,SE P
705 10/11/201 110905011118Y001017 0000080016974 UMAYAH P
706 10/11/201 110905011118Y001064 0000080085868 KARTINI P
707 10/11/201 110905011118Y001043 0000080168196 FAIRUZA KHILYANI P
708 10/11/201 110905011118Y001031 0000197306357 ALKOMAH P
709 10/11/201 110905011118Y001027 0000248155626 M. ANDIKA PRATAMA L
710 10/11/201 110905011118Y001047 0000630614755 SITI MAUIDATUL KHASANAH P
711 10/11/201 110905011118Y001025 0000630689613 SEPTI ANDRI LESTARI P
712 10/11/201 110905011118Y001028 0000630707106 TASLIYANTI P
713 10/11/201 110905011118Y001024 0000631136801 KHUNAENAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Non-insulin-dependent diabetes YA
PEGAWAI SWASTA Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Gastritis, unspecified TIDAK
PEGAWAI SWASTA Atopic dermatitis, unspecified TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Atopic dermatitis, unspecified TIDAK
PEKERJA MANDIRI Sciatica, site unspecified YA
PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
PEKERJA MANDIRI Single spontaneous delivery, TIDAK
PNS DAERAH Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Pulpitis TIDAK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Conjunctivitis, unspecified TIDAK
PENERIMA PENSIUN TNI Non-insulin-dependent diabetes TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
714 10/11/201 110905011118Y001013 0000631156948 DIMAS SAPUTRA L
715 10/11/201 110905011118Y001055 0000631281194 SITI HAFIDOH P
716 10/11/201 110905011118Y001026 0000631357716 SUPARNO L
717 10/11/201 110905011118Y001041 0000631365603 HATUL P
718 10/11/201 110905011118Y001070 0000631384075 ROTIAH P
719 10/11/201 110905011118Y001068 0000631385054 INTA KHULYANA P
720 10/11/201 110905011118Y001071 0000631386527 ROJUDIN L
721 10/11/201 110905011118Y001036 0000631514722 ROHANI P
722 10/11/201 110905011118Y001060 0000631532057 WASIQOH P
723 10/11/201 110905011118Y001059 0000631533374 WILDA ULYANI P
724 10/11/201 110905011118Y001018 0000631571589 KHOERUR RIZKO L
725 10/11/201 110905011118Y001046 0000631573299 M. WILDAN ALFARISYI L
726 10/11/201 110905011118Y001029 0000631580152 LISA MAULUSIFA P
727 10/11/201 110905011118Y001054 0000631595979 WIDIA ASTUTI P
728 10/11/201 110905011118Y001044 0000631605251 MUSFIROH P
729 10/11/201 110905011118Y000081 0000631633241 SUDRI L
730 10/11/201 110905011118Y001048 0000631640013 TITI MUSTAKINAH P
731 10/11/201 110905011118Y001045 0000631664965 ALI ROSIDI L
732 10/11/201 110905011118Y001039 0000631670073 ROJIKOH P
733 10/11/201 110905011118Y001032 0000631709818 WARNINGSIH P
734 10/11/201 110905011118Y001038 0000631718201 MADOTUN P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Cutaneous abscess, furuncle and TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Unspecified haemorrhoids without TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Dysplasia of prostate YA
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
735 10/11/201 110905011118Y001023 0000631721125 ALSA NURCAHYANI P
736 10/11/201 110905011118Y000080 0000631798841 DIYANTO WIBOWO L
737 10/11/201 110905011118Y001037 0000631849871 YUYUN NUR AENI P
738 10/11/201 110905011118Y001033 0000631871943 NITA PUJIYANTI P
739 10/11/201 110905011118Y001062 0000631877556 MAINAH P
740 10/11/201 110905011118Y001063 0000631962437 ISTIANAH P
741 10/11/201 110905011118Y001021 0000631972754 TAISAH P
742 10/11/201 110905011118Y001020 0000631983813 RETNO YUNINGSIH P
743 10/11/201 110905011118Y001019 0000631985038 IZMA RASYA N L
744 10/11/201 110905011118Y001034 0000632027081 IMAM APRONI L
745 10/11/201 110905011118Y001056 0000632123291 MUSTIANAH P
746 10/11/201 110905011118Y001014 0000632126766 ROMZA L
747 10/11/201 110905011118Y001061 0000632259292 M FATONI L
748 10/11/201 110905011118Y001067 0000632458809 SUMIDAH P
749 10/11/201 110905011118Y000085 0000632478936 KASIROH P
750 10/11/201 110905011118Y001015 0000977421396 ATHALAH ANGGER L
751 10/11/201 110905011118Y001035 0001031693657 WANIPAH P
752 10/11/201 110905011118Y001042 0001298027619 dukheri L
753 10/11/201 110905011118Y001072 0001422486573 WIKE NANIK OCTAVIA P
754 10/11/201 110905011118Y001030 0001436429878 HUSEN L
755 10/11/201 110905011118Y001065 0001614966737 SUTRIYAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Unspecified thrombosed haemorrhoids YA
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Stomatitis and related lesions TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Epilepsy YA
PNS DAERAH Cough TIDAK
PBI (APBN) Cystitis, unspecified TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Typhus fever, unspecified TIDAK
PEKERJA MANDIRI Gastritis, unspecified TIDAK
PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
756 10/11/201 110905011118Y001066 0001640625963 ESTI SRI MULYATI P
757 10/11/201 110905011118Y001058 0001655376129 MUSLIHA P
758 10/11/201 110905011118Y001069 0001835569451 MUNAWAROH P
759 10/11/201 110905011118Y000084 0001901482042 FATHONAH P
760 10/11/201 110905011118Y001022 0001915565242 YUSUF L
761 10/11/201 110905011118Y001051 0002040590788 DAFFA PRASETYA ALLAM L
762 10/11/201 110905011118Y001040 0002201445191 SUKYAD L
763 10/11/201 110905011118Y001053 0002220471707 YASMIN PUTRI SALSABILA P
764 10/11/201 110905011118Y000082 0002377428085 AZIZAH MUJAYANAH P
765 10/11/201 110905011118Y001057 0002428175575 SURATNO L
766 10/11/201 110905011118Y001049 0002435945534 ATIKOH P
767 10/11/201 110905011118Y001052 0002457371125 SUCI NAURRISQI P
768 10/11/201 110905011118Y000083 0002466315887 OSIHUL HAYANI P
769 09/11/201 110905011118Y001001 0000079959532 HJ AISYAH MZ P
770 09/11/201 110905011118Y000964 0000080016963 YUSUP MUHAYAT L
771 09/11/201 110905011118Y000076 0000080133682 ABAS JAELANI L
772 09/11/201 110905011118Y000966 0000630111385 WASILAH P
773 09/11/201 110905011118Y000967 0000630113984 HAFIDZ MAULANA L
774 09/11/201 110905011118Y000988 0000630346419 TARNI P
775 09/11/201 110905011118Y000999 0000630490285 DAID L
776 09/11/201 110905011118Y000993 0000630611133 MUSLIHAYATI P
JENIS PESERTA DIAGNOSA DIRUJUK
PEGAWAI SWASTA Acute bronchitis, unspecified TIDAK
PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Migraine, unspecified TIDAK
PEKERJA MANDIRI Bursitis of hand, ankle and foot YA
PBI (APBN) Cough TIDAK
PNS PUSAT Dental caries, unspecified TIDAK
PEKERJA MANDIRI Essential (primary) hypertension TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Non-insulin-dependent diabetes YA
PEKERJA MANDIRI Myalgia TIDAK
PEKERJA MANDIRI Abscess, furuncle and carbuncle of TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Single delivery by caesarean section YA
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN Cystic fibrosis, unspecified YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Non-insulin-dependent diabetes TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
777 09/11/201 110905011118Y000994 0000630614788 INDRA ROMADON KHASANI L
778 09/11/201 110905011118Y000973 0000630792652 SILAH P
779 09/11/201 110905011118Y000989 0000630963044 MASNUNAH P
780 09/11/201 110905011118Y001009 0000631126855 LATIPAH P
781 09/11/201 110905011118Y000957 0000631135585 SUNIAH P
782 09/11/201 110905011118Y000954 0000631151223 NURHAYATI P
783 09/11/201 110905011118Y000955 0000631182284 RAIS L
784 09/11/201 110905011118Y000079 0000631224224 MARUF L
785 09/11/201 110905011118Y000968 0000631301354 ABDULLOH L
786 09/11/201 110905011118Y000969 0000631301837 KHOLIFAH P
787 09/11/201 110905011118Y000959 0000631371453 SUMIDI L
788 09/11/201 110905011118Y001002 0000631373938 MASRI P
789 09/11/201 110905011118Y000985 0000631446636 KASOR L
790 09/11/201 110905011118Y000991 0000631456931 ALY MASRURI L
791 09/11/201 110905011118Y000990 0000631457234 MUFLIKHA P
792 09/11/201 110905011118Y000983 0000631495113 TAISAH P
793 09/11/201 110905011118Y000976 0000631607657 MURHADI L
794 09/11/201 110905011118Y000975 0000631607815 ATMINAH P
795 09/11/201 110905011118Y000972 0000631616602 NENDEN NURAENI P
796 09/11/201 110905011118Y001003 0000631649147 SOPYAN L
797 09/11/201 110905011118Y001000 0000631666631 NADIA SAFITRI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Other cervical disc displacement YA
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Acute amoebic dysentery TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
798 09/11/201 110905011118Y000956 0000631668014 WARIDIN L
799 09/11/201 110905011118Y001006 0000631694913 M.REIKHAN SYAHLEVI L
800 09/11/201 110905011118Y001010 0000631724084 MAYA SHOFFA P
801 09/11/201 110905011118Y000965 0000631750781 NURJANAH P
802 09/11/201 110905011118Y000998 0000631755573 TAMUL L
803 09/11/201 110905011118Y000953 0000631762479 AMINAH P
804 09/11/201 110905011118Y000996 0000631816209 ROSDIANA P
805 09/11/201 110905011118Y000979 0000631819811 RODIM L
806 09/11/201 110905011118Y000962 0000631827909 DARSIH P
807 09/11/201 110905011118Y001012 0000631976477 MIRA ANJANI P
808 09/11/201 110905011118Y000981 0000632000283 KASTI P
809 09/11/201 110905011118Y000077 0000632088911 LAELA P
810 09/11/201 110905011118Y000992 0000632104334 NUNG SRI MANIK P
811 09/11/201 110905011118Y000961 0000632128116 SAEPUDIN L
812 09/11/201 110905011118Y000977 0000632176277 KATINAH P
813 09/11/201 110905011118Y000078 0000632181868 RATNA DAMAYANTI P
814 09/11/201 110905011118Y000982 0000632220232 SILAH P
815 09/11/201 110905011118Y000986 0000632337074 AGIS MAULANA MAHPUB L
816 09/11/201 110905011118Y000980 0000632360259 KASWEN P
817 09/11/201 110905011118Y000987 0000632632566 MATOYAH P
818 09/11/201 110905011118Y001004 0001031691093 HENI INDRAWATI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Follow-up examination after surgery YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Pulpitis TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
819 09/11/201 110905011118Y000971 0001031692814 JARIYAH P
820 09/11/201 110905011118Y000974 0001436463009 semi P
821 09/11/201 110905011118Y001007 0001533021502 FITRIYANI NURCAHYANI P
822 09/11/201 110905011118Y001011 0001543106327 ULFATUN HASANAH P
823 09/11/201 110905011118Y000075 0001733949145 HARNUM ALISHBA NUR P
824 09/11/201 110905011118Y000978 0001735305197 MASKURI L
825 09/11/201 110905011118Y000963 0001802296315 MUHAMMAD HAIDAR HILMY L
826 09/11/201 110905011118Y001090 0001835591005 FAIKOHTUL ULFIYATI P
827 09/11/201 110905011118Y001005 0001838401233 MUKHSONATUSSILVIA, P
828 09/11/201 110905011118Y000984 0001901851356 ARFAN MAULANA GHIFARI L
829 09/11/201 110905011118Y000960 0002071535264 ENI MARYATI P
830 09/11/201 110905011118Y001008 0002084760909 SRI EREN AFRILIANI P
831 09/11/201 110905011118Y000995 0002126886693 RIYADTUL HUSNA P
832 09/11/201 110905011118Y000997 0002324631846 TAMUL L
833 09/11/201 110905011118Y000958 0002328148989 MUKHLISOH P
834 09/11/201 110905011118Y000970 0002437368006 AGENG MUZAQI L
835 08/11/201 110905011118Y000938 0000080087128 JUMINAH P
836 08/11/201 110905011118Y000918 0000080133827 MASRIFAH P
837 08/11/201 110905011118Y000908 0000197306357 ALKOMAH P
838 08/11/201 110905011118Y000927 0000630453363 ASKA RAMADAN L
839 08/11/201 110905011118Y000940 0000630465478 MUTMAINAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
INVESTOR Tuberculosis of lung, confirmed by YA
INVESTOR Myalgia TIDAK
PEGAWAI BUMD Cough TIDAK
PEKERJA MANDIRI Single spontaneous delivery, TIDAK
PEGAWAI SWASTA Dental caries, unspecified TIDAK
PEGAWAI SWASTA Diarrhoea and gastroenteritis of TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEKERJA MANDIRI Conjunctivitis, unspecified TIDAK
PNS DAERAH Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN TNI Essential (primary) hypertension TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
840 08/11/201 110905011118Y000936 0000630508869 DAMA SAPUTRA L
841 08/11/201 110905011118Y000950 0000630603281 CHANIPAH P
842 08/11/201 110905011118Y000947 0000630688893 CARMI P
843 08/11/201 110905011118Y000926 0000630690996 RASYA ADITYA L
844 08/11/201 110905011118Y000935 0000630737987 RUSIYATI P
845 08/11/201 110905011118Y000911 0000630909729 DATEM P
846 08/11/201 110905011118Y000912 0000630910168 DHAFFA LUSIYANTO P L
847 08/11/201 110905011118Y000932 0000631033468 MUADAH P
848 08/11/201 110905011118Y000943 0000631258457 MUSYAROFAH P
849 08/11/201 110905011118Y000907 0000631269459 SOPIAH P
850 08/11/201 110905011118Y000945 0000631288517 LATIFAH P
851 08/11/201 110905011118Y000925 0000631290071 SELLA PUSPITA P
852 08/11/201 110905011118Y000946 0000631306912 KHILYATURROHMAH P
853 08/11/201 110905011118Y000941 0000631317824 SULAEMAN L
854 08/11/201 110905011118Y000931 0000631365052 YAZMAN YAZID L
855 08/11/201 110905011118Y000910 0000631411446 WENI NURMALA P
856 08/11/201 110905011118Y000904 0000631453836 KHOLIPAH P
857 08/11/201 110905011118Y000066 0000631474569 UMI MUALIFAH P
858 08/11/201 110905011118Y000944 0000631474569 UMI MUALIFAH P
859 08/11/201 110905011118Y000922 0000631636255 SRI NANI KOMALA SARI P
860 08/11/201 110905011118Y000921 0000631636839 NIHAYATUN NAFIAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Other inflammation of vagina and vulva YA
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
861 08/11/201 110905011118Y000916 0000631670073 ROJIKOH P
862 08/11/201 110905011118Y000934 0000631680546 MASIROH P
863 08/11/201 110905011118Y000919 0000631692292 KIRAH P
864 08/11/201 110905011118Y000915 0000631693451 ELFA JANATUN KHASANAH P
865 08/11/201 110905011118Y000920 0000631694316 SITI MARFUAH P
866 08/11/201 110905011118Y000933 0000631711361 SEPULLOH L
867 08/11/201 110905011118Y000906 0000631717367 DIROH P
868 08/11/201 110905011118Y000917 0000631724128 TAUNAH P
869 08/11/201 110905011118Y000069 0000631762479 AMINAH P
870 08/11/201 110905011118Y000930 0000631986175 NUR KHASANAH P
871 08/11/201 110905011118Y000909 0000632166546 TARIYAH P
872 08/11/201 110905011118Y000072 0000632207575 ATUN P
873 08/11/201 110905011118Y000913 0000632239479 RUMINAH P
874 08/11/201 110905011118Y000929 0000632273207 TUM P
875 08/11/201 110905011118Y000923 0000632409366 DIUN L
876 08/11/201 110905011118Y000928 0001031694423 MASRIPAH P
877 08/11/201 110905011118Y000070 0001031699428 SURIPTO L
878 08/11/201 110905011118Y000905 0001299343667 EVY SISKA YULIANA P
879 08/11/201 110905011118Y000073 0001301867458 AMIRUDIN L
880 08/11/201 110905011118Y000067 0001478976489 SISKA DEWI PURNAMASARI P
881 08/11/201 110905011118Y000951 0001478976489 SISKA DEWI PURNAMASARI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Unspecified contact dermatitis, YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Epilepsy YA
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Hyperplasia of prostate YA
PEGAWAI SWASTA Otitis externa, unspecified TIDAK
KEPOLISIAN RI Chronic renal failure, unspecified YA
PEGAWAI SWASTA Dyspepsia YA
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
882 08/11/201 110905011118Y000948 0001625119795 SAIDAH P
883 08/11/201 110905011118Y000949 0001625119828 APTANA ATHA L
884 08/11/201 110905011118Y000074 0001861975168 MARTI DWI ROKHMIATI P
885 08/11/201 110905011118Y000937 0001961648425 RAMADHAN DWI AGUSTIN L
886 08/11/201 110905011118Y000924 0001964824615 KHOSIYATI P
887 08/11/201 110905011118Y000902 0002000957422 CHILMI ISNAENATUS P
888 08/11/201 110905011118Y000942 0002058651775 TSALSA FATIKA UTAMI P
889 08/11/201 110905011118Y000939 0002238240666 TOHIRIN L
890 08/11/201 110905011118Y000952 0002437581633 bayi ibu siti marfuah P
891 08/11/201 110905011118Y000071 0002464319384 DWI RIZKIYANI P
892 08/11/201 110905011118Y000903 0002476447255 MARTALINA P
893 08/11/201 110905011118Y000914 0002488310886 TOMISAH P
894 08/11/201 110905011118Y000068 0002500491036 ISAH P
895 07/11/201 110905011118Y000804 0000079748638 NINDY WULAN PANGESTI L
896 07/11/201 110905011118Y000777 0000080016974 UMAYAH P
897 07/11/201 110905011118Y000801 0000629796655 TOIMAH P
898 07/11/201 110905011118Y000886 0000630084295 TUANAH P
899 07/11/201 110905011118Y000779 0000630721743 ROISAH P
900 07/11/201 110905011118Y000894 0000630777396 RINI NUR KHASANAH P
901 07/11/201 110905011118Y000880 0000630899144 KHOIRUL ANAM L
902 07/11/201 110905011118Y000063 0000631003217 PONIMAN L
JENIS PESERTA DIAGNOSA DIRUJUK
PEGAWAI SWASTA Acute gingivitis TIDAK
PEGAWAI SWASTA Dental caries, unspecified TIDAK
PEGAWAI SWASTA Myopia YA
PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Atopic dermatitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PEGAWAI SWASTA Cough TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Non-insulin-dependent diabetes YA
PEKERJA MANDIRI Conjunctivitis, unspecified TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
VETERAN Senile incipient cataract YA
PEKERJA MANDIRI Headache TIDAK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Gastro-oesophageal reflux disease YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
903 07/11/201 110905011118Y000778 0000631017639 FINA ANISA P
904 07/11/201 110905011118Y000805 0000631024481 musobah lutviatun P
905 07/11/201 110905011118Y000782 0000631106504 SOLIHATILAH P
906 07/11/201 110905011118Y001303 0000631140849 JAENUNAH P
907 07/11/201 110905011118Y000896 0000631145204 MAFTUHA P
908 07/11/201 110905011118Y000891 0000631148242 BUSROH L
909 07/11/201 110905011118Y000799 0000631189776 SAIYAH P
910 07/11/201 110905011118Y000892 0000631276716 AZIZ NUROHMAN L
911 07/11/201 110905011118Y000798 0000631299251 SRI MARHAYANI P
912 07/11/201 110905011118Y000785 0000631309882 INAYATILAH P
913 07/11/201 110905011118Y000789 0000631312749 SOIMAH P
914 07/11/201 110905011118Y000780 0000631442981 NUR KHASANAH P
915 07/11/201 110905011118Y000885 0000631681064 JUINAH P
916 07/11/201 110905011118Y000898 0000631758497 BARIROH P
917 07/11/201 110905011118Y000806 0000631849871 YUYUN NUR AENI P
918 07/11/201 110905011118Y000893 0000631886308 ABDUL MANAP L
919 07/11/201 110905011118Y000794 0000632086661 SITI MAESAROH P
920 07/11/201 110905011118Y000797 0000632101871 MUHIBUL FIKRI L
921 07/11/201 110905011118Y000796 0000632135722 SOBICHA P
922 07/11/201 110905011118Y000808 0000632157017 ISTIQOMAH P
923 07/11/201 110905011118Y000790 0000632167479 SRI ROKHAYATI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Typhus fever, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Acute amoebic dysentery TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
924 07/11/201 110905011118Y000887 0000632186245 TIPANUL ISMA P
925 07/11/201 110905011118Y000800 0000632191443 WAUNAH P
926 07/11/201 110905011118Y000888 0000632230514 RAUN L
927 07/11/201 110905011118Y000900 0000632244543 M PRAYUDA FIRMANSYAH L
928 07/11/201 110905011118Y000062 0000632244543 M PRAYUDA FIRMANSYAH L
929 07/11/201 110905011118Y000792 0000632336804 MUBAROKAH P
930 07/11/201 110905011118Y000783 0000632388363 MUSRIPAH P
931 07/11/201 110905011118Y000781 0000632437031 MUINAH P
932 07/11/201 110905011118Y000890 0000632549092 KHOMISAH P
933 07/11/201 110905011118Y000065 0000632665721 TULAB L
934 07/11/201 110905011118Y000881 0001031688909 RUSIYAH P
935 07/11/201 110905011118Y000787 0001468793542 JURIAH P
936 07/11/201 110905011118Y000899 0001614906753 NUR SALAMAH P
937 07/11/201 110905011118Y000786 0001616825586 ROYANAH P
938 07/11/201 110905011118Y001089 0001641873699 MUFIROTUL LAELA P
939 07/11/201 110905011118Y000776 0001645034376 RATNA JUWITA P
940 07/11/201 110905011118Y000795 0001694043696 ABD HADI L
941 07/11/201 110905011118Y000788 0001735305197 MASKURI L
942 07/11/201 110905011118Y000884 0001736796868 MUHAMMAD DIKRI L
943 07/11/201 110905011118Y000793 0001853098378 meita anggraeni P
944 07/11/201 110905011118Y000889 0001907370909 MASLAHUDIN L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Follow-up examination after surgery YA
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Gastro-oesophageal reflux disease YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Dyspepsia TIDAK
PBI (APBD) Supervision of normal first pregnancy TIDAK
PEGAWAI SWASTA Myalgia TIDAK
PEGAWAI SWASTA Single spontaneous delivery, TIDAK
PEGAWAI SWASTA Gastritis, unspecified TIDAK
PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
INVESTOR Rheumatoid arthritis, unspecified TIDAK
PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
PNS DAERAH Acute pharyngitis, unspecified TIDAK
PEGAWAI PEMERINTAH Atopic dermatitis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
945 07/11/201 110905011118Y000791 0001915453001 JURIYAH P
946 07/11/201 110905011118Y000803 0001915685357 RAHAYU L
947 07/11/201 110905011118Y000879 0002083468037 SITI MUALIFAH P
948 07/11/201 110905011118Y000882 0002212525642 MUAMAR L
949 07/11/201 110905011118Y000901 0002262555808 KATIPAH P
950 07/11/201 110905011118Y000064 0002262555808 KATIPAH P
951 07/11/201 110905011118Y000883 0002377428085 AZIZAH MUJAYANAH P
952 07/11/201 110905011118Y000784 0002431254745 KASIROH P
953 07/11/201 110905011118Y000807 0002437125006 M. WILDAN RAFIUDIN L
954 07/11/201 110905011118Y000897 0002464132498 AHZA DANIS AZHAR L
955 07/11/201 110905011118Y000802 0002476969132 IDRIS L
956 07/11/201 110905011118Y000895 0002496987382 IDZA LAELATUL HIDAYAH P
957 06/11/201 110905011118Y000048 0000079840372 NAILA MAHARANI ZERLINA P
958 06/11/201 110905011118Y000060 0000080203105 MAS'ID SUHAIMI,S.PD.I L
959 06/11/201 110905011118Y000739 0000629433731 KHAPIDIN L
960 06/11/201 110905011118Y000754 0000629454543 AMIR NASRULLOH ZAEN L
961 06/11/201 110905011118Y000750 0000630113984 HAFIDZ MAULANA L
962 06/11/201 110905011118Y000738 0000630346419 TARNI P
963 06/11/201 110905011118Y000773 0000630572005 NUR JANAH P
964 06/11/201 110905011118Y000748 0000630637479 USWATUN KHASANAH P
965 06/11/201 110905011118Y000740 0000630816524 DONAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PEGAWAI SWASTA Typhoid fever TIDAK
PEGAWAI SWASTA Myalgia TIDAK
PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
PEKERJA MANDIRI Follow-up examination after surgery YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Otitis externa, unspecified TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Essential (primary) hypertension TIDAK
PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
PNS DAERAH Benign lipomatous neoplasm of other YA
PENERIMA PENSIUN Hyperplasia of prostate YA
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
966 06/11/201 110905011118Y000753 0000630914139 IKBAL ACHMAYANI L
967 06/11/201 110905011118Y000770 0000631031837 INDAH NOVIANI P
968 06/11/201 110905011118Y000731 0000631031837 INDAH NOVIANI P
969 06/11/201 110905011118Y000737 0000631145327 RATIMAH P
970 06/11/201 110905011118Y000049 0000631151223 NURHAYATI P
971 06/11/201 110905011118Y000768 0000631151223 NURHAYATI P
972 06/11/201 110905011118Y000745 0000631271935 MOH SHOLEH L
973 06/11/201 110905011118Y000742 0000631355049 SUNARYO L
974 06/11/201 110905011118Y000743 0000631446636 KASOR L
975 06/11/201 110905011118Y000056 0000631466605 WARSIM L
976 06/11/201 110905011118Y000755 0000631467494 TUSLIKHA P
977 06/11/201 110905011118Y000741 0000631474569 UMI MUALIFAH P
978 06/11/201 110905011118Y000762 0000631542846 MAESAROH P
979 06/11/201 110905011118Y000763 0000631543792 LUKMANUL HAKIM L
980 06/11/201 110905011118Y000733 0000631571589 KHOERUR RIZKO L
981 06/11/201 110905011118Y000751 0000631580477 KATAROJAH P
982 06/11/201 110905011118Y000767 0000631650857 SAEFUL BAHRI L
983 06/11/201 110905011118Y000055 0000631650857 SAEFUL BAHRI L
984 06/11/201 110905011118Y000761 0000631729798 WASIROH P
985 06/11/201 110905011118Y000752 0000631749576 RIVAL ADI SAPUTRA L
986 06/11/201 110905011118Y000734 0000631789143 KASUM P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Follow-up examination after surgery TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Chronic obstructive pulmonary disease, YA
PBI (APBN) Scabies TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Follow-up examination after surgery YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
987 06/11/201 110905011118Y000747 0000631792247 TARPI'AH P
988 06/11/201 110905011118Y000059 0000631803385 NUR AMANAH P
989 06/11/201 110905011118Y000736 0000631867331 KASORI L
990 06/11/201 110905011118Y000775 0000631905142 MABRUROH P
991 06/11/201 110905011118Y000057 0000631905142 MABRUROH P
992 06/11/201 110905011118Y000746 0000631907829 SAHRONI L
993 06/11/201 110905011118Y000769 0000632083645 SAPUROH P
994 06/11/201 110905011118Y000732 0000632190971 DARYO L
995 06/11/201 110905011118Y000050 0000632207046 SOHIROH P
996 06/11/201 110905011118Y000774 0000632207046 SOHIROH P
997 06/11/201 110905011118Y000764 0000632321572 SITI ROHAYATI P
998 06/11/201 110905011118Y000765 0001031694849 ROHMAH P
999 06/11/201 110905011118Y000760 0001031696109 ESMIAH P
1000 06/11/201 110905011118Y000759 0001268233154 SIGIT PAMUNGKAS L
1001 06/11/201 110905011118Y000749 0001308429663 chalimi L
1002 06/11/201 110905011118Y000053 0001849237964 KERI ROISAH P
1003 06/11/201 110905011118Y000052 0001915684288 WINDI P
1004 06/11/201 110905011118Y000051 0001963672593 matoyah P
1005 06/11/201 110905011118Y000757 0002068722775 NURIDIN L
1006 06/11/201 110905011118Y000756 0002126886963 HAWA NAOLA KARIMAH P
1007 06/11/201 110905011118Y000766 0002139754994 KAESYAFINA NAELAH AULIA P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Tarsal tunnel syndrome YA
PBI (APBN) Cough TIDAK
PBI (APBN) Non-insulin-dependent diabetes TIDAK
PBI (APBN) Pulp degeneration YA
PBI (APBN) Myalgia TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatism, unspecified TIDAK
PBI (APBN) Pure hypercholesterolaemia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
KEPOLISIAN RI Scabies TIDAK
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Schizophrenia YA
PBI (APBN) Rotaviral enteritis TIDAK
PEKERJA MANDIRI Unspecified diabetes mellitus without YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PEGAWAI SWASTA Dental caries, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1008 06/11/201 110905011118Y000772 0002257250297 ALMER NAFIS MUAZAM L
1009 06/11/201 110905011118Y000058 0002378465111 SOPIYAH P
1010 06/11/201 110905011118Y000758 0002437368006 AGENG MUZAQI L
1011 06/11/201 110905011118Y000730 0002477537627 MU`MIN L
1012 06/11/201 110905011118Y000054 0002483414313 ANDHARA TRISHA AYUDYA P
1013 06/11/201 110905011118Y000771 0002483414313 ANDHARA TRISHA AYUDYA P
1014 06/11/201 110905011118Y000744 0002485833794 INTAN NOFITA P
1015 06/11/201 110905011118Y000061 0002485833794 INTAN NOFITA P
1016 06/11/201 110905011118Y000735 0002493401051 WIDIYAN NUR FALAH L
1017 05/11/201 110905011118Y000035 0000079840225 SAPUROH P
1018 05/11/201 110905011118Y000041 0000080088175 AMRAH P
1019 05/11/201 110905011118Y000045 0000083499333 NUR ISTIANAH DRA P
1020 05/11/201 110905011118Y000634 0000083499333 NUR ISTIANAH DRA P
1021 05/11/201 110905011118Y000033 0000169949147 KASIRON L
1022 05/11/201 110905011118Y000036 0000170768564 HABA ALAN WIBOWO L
1023 05/11/201 110905011118Y000034 0000171286323 sulthan dwi sakti prabowo L
1024 05/11/201 110905011118Y000648 0000248952262 ROSITA MELINA BR P
1025 05/11/201 110905011118Y000623 0000630437927 MURINAH P
1026 05/11/201 110905011118Y000659 0000630647662 UMMU UMAROH NUSHAEBA P
1027 05/11/201 110905011118Y000668 0000630668237 DASTRO L
1028 05/11/201 110905011118Y000624 0000630891009 WADIAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEMBERI KERJA Hypertensive heart disease with YA
PEKERJA MANDIRI Conjunctivitis, unspecified TIDAK
PEKERJA MANDIRI Atopic dermatitis, unspecified TIDAK
PEGAWAI SWASTA Cystic fibrosis, unspecified YA
PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Pulp degeneration YA
PEKERJA MANDIRI Dyspepsia TIDAK
PNS DAERAH Allergic contact dermatitis, unspecified YA
PNS DAERAH Gastro-oesophageal reflux disease YA
PNS DAERAH Chronic periodontitis YA
PNS DAERAH Fever of other and unknown origin TIDAK
PEGAWAI SWASTA Allergic contact dermatitis, unspecified YA
PNS DAERAH Allergic contact dermatitis, unspecified YA
PNS DAERAH Allergic contact dermatitis, unspecified YA
PBI (APBN) Cough TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1029 05/11/201 110905011118Y000039 0000630928664 KASIMUN L
1030 05/11/201 110905011118Y000667 0000631038396 WASIROL P
1031 05/11/201 110905011118Y000637 0000631107156 TASMI P
1032 05/11/201 110905011118Y000655 0000631112736 SUMINAH P
1033 05/11/201 110905011118Y000617 0000631126168 NUR FARIKHA P
1034 05/11/201 110905011118Y000043 0000631143415 WARIAH P
1035 05/11/201 110905011118Y000619 0000631143415 WARIAH P
1036 05/11/201 110905011118Y000643 0000631148466 KHODIJAH P
1037 05/11/201 110905011118Y000631 0000631182284 RAIS L
1038 05/11/201 110905011118Y000385 0000631253823 MASRUROH P
1039 05/11/201 110905011118Y000621 0000631253823 MASRUROH P
1040 05/11/201 110905011118Y000628 0000631330457 LIA AMBAR WATI P
1041 05/11/201 110905011118Y000625 0000631372522 PANGGI H L
1042 05/11/201 110905011118Y000650 0000631400949 MITA MAYASARI P
1043 05/11/201 110905011118Y000390 0000631431753 URIP HARYANTI P
1044 05/11/201 110905011118Y000656 0000631575178 JAKA JAKARIA L
1045 05/11/201 110905011118Y000633 0000631584674 N HILYATUL AZKIYA P
1046 05/11/201 110905011118Y000664 0000631599153 HAERI NAEIN SABILI L
1047 05/11/201 110905011118Y000663 0000631616826 TOYIBAH P
1048 05/11/201 110905011118Y000646 0000631650857 SAEFUL BAHRI L
1049 05/11/201 110905011118Y000626 0000631668892 M.ZULFIKAR RAMADHON L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Follow-up examination after surgery YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Non-insulin-dependent diabetes YA
PBI (APBN) Non-insulin-dependent diabetes TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Haemoglobinuria TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Typhus fever, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Abscess, furuncle and carbuncle of TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1050 05/11/201 110905011118Y000614 0000631679455 NALIATUN KHASANAH P
1051 05/11/201 110905011118Y000392 0000631683775 SULASTRI P
1052 05/11/201 110905011118Y000666 0000631684978 NITA WINARTI P
1053 05/11/201 110905011118Y000609 0000631690931 M ROBBANA ASKOL ASKI L
1054 05/11/201 110905011118Y000630 0000631701707 YATIN P
1055 05/11/201 110905011118Y000388 0000631755292 KHAMIDAH P
1056 05/11/201 110905011118Y000615 0000631765225 SITI MASITOH P
1057 05/11/201 110905011118Y000645 0000631787488 JAELANI L
1058 05/11/201 110905011118Y000640 0000631802081 SUTENAH P
1059 05/11/201 110905011118Y000638 0000631807762 WASTINI P
1060 05/11/201 110905011118Y001076 0000631834277 DWI ASIH FEBRIANI P
1061 05/11/201 110905011118Y000391 0000631867803 YUSUP L
1062 05/11/201 110905011118Y000635 0000631875148 TENAH P
1063 05/11/201 110905011118Y000647 0000631944606 ELMA FUADATUN N P
1064 05/11/201 110905011118Y000622 0000631974159 KEMI P
1065 05/11/201 110905011118Y000665 0000632034854 TOSAN RIYANTO L
1066 05/11/201 110905011118Y000660 0000632061909 MUTORIKOH P
1067 05/11/201 110905011118Y000620 0000632084275 RAMISI L
1068 05/11/201 110905011118Y000044 0000632084275 RAMISI L
1069 05/11/201 110905011118Y000613 0000632113749 YULIANTI P
1070 05/11/201 110905011118Y000629 0000632152798 ADE RIZKI BRIYANTO L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Dental caries, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Abscess, furuncle and carbuncle of TIDAK
PBI (APBN) Headache TIDAK
PBI (APBN) Non-insulin-dependent diabetes TIDAK
PBI (APBN) Other specified diabetes mellitus with YA
PBI (APBN) Supervision of normal pregnancy, TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1071 05/11/201 110905011118Y000669 0000632176277 KATINAH P
1072 05/11/201 110905011118Y000644 0000632193208 JARIYAH P
1073 05/11/201 110905011118Y000652 0000632199003 SUGANTO L
1074 05/11/201 110905011118Y000649 0000632417815 NAZWA ELVA SARI P
1075 05/11/201 110905011118Y000636 0000632640025 ABDUL MUPID L
1076 05/11/201 110905011118Y000662 0000632662481 NUR LATIFAH P
1077 05/11/201 110905011118Y000040 0000632746372 SEPTI LILI MASITOH P
1078 05/11/201 110905011118Y000641 0001031690384 TOYIBAH P
1079 05/11/201 110905011118Y000387 0001301867458 AMIRUDIN L
1080 05/11/201 110905011118Y000658 0001469914154 KHOPIYAH P
1081 05/11/201 110905011118Y001088 0001533021502 FITRIYANI NURCAHYANI P
1082 05/11/201 110905011118Y000657 0001614966737 SUTRIYAH P
1083 05/11/201 110905011118Y000608 0001736796868 MUHAMMAD DIKRI L
1084 05/11/201 110905011118Y000612 0001849283548 NASIBATUL FITRIYAH S PDI P
1085 05/11/201 110905011118Y000632 0001849283921 hamzah alfikari L
1086 05/11/201 110905011118Y000627 0001915649291 NURUL A L
1087 05/11/201 110905011118Y000047 0001965396655 DARSUN NURHADI L
1088 05/11/201 110905011118Y000046 0002058966843 LULU'IL MUNAWAROH P
1089 05/11/201 110905011118Y000611 0002070303693 ALAIK AHSANURRIZQI L
1090 05/11/201 110905011118Y000639 0002126887222 M. FATHIRUSYABAN L
1091 05/11/201 110905011118Y000642 0002199745754 MUFARIKOH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Pulp degeneration YA
PBI (APBN) Essential (primary) hypertension TIDAK
KEPOLISIAN RI Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Essential (primary) hypertension TIDAK
PEGAWAI SWASTA Single spontaneous delivery, TIDAK
PBI (APBD) Rheumatoid arthritis, unspecified TIDAK
PEGAWAI SWASTA Pulpitis TIDAK
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
PEGAWAI SWASTA Acute amoebic dysentery TIDAK
PBI (APBN) Scabies TIDAK
PEKERJA MANDIRI Congestive heart failure YA
PEGAWAI SWASTA Pulp degeneration YA
PEGAWAI SWASTA Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PEGAWAI SWASTA Myalgia TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1092 05/11/201 110905011118Y000386 0002249583636 MASLIKHA P
1093 05/11/201 110905011118Y000032 0002376849971 TIMAH P
1094 05/11/201 110905011118Y000651 0002422692066 TRI LESTARI P
1095 05/11/201 110905011118Y000618 0002422692775 NIDA ULHAQ NURSYIFA L
1096 05/11/201 110905011118Y000661 0002437368006 AGENG MUZAQI L
1097 05/11/201 110905011118Y000042 0002444708136 RIDEM P
1098 05/11/201 110905011118Y000038 0002448490239 MUKHTAR DIMYATI L
1099 05/11/201 110905011118Y000653 0002448490465 JENAB P
1100 05/11/201 110905011118Y000616 0002466315887 OSIHUL HAYANI P
1101 05/11/201 110905011118Y000389 0002467750476 WAIDAH P
1102 05/11/201 110905011118Y000654 0002498566487 ROSIKHATUN NIMAH P
1103 05/11/201 110905011118Y000610 0002498887089 ALBI LUTHFI IBRAHIM L
1104 05/11/201 110905011118Y000037 0002498887089 ALBI LUTHFI IBRAHIM L
1105 04/11/201 110905011118Y000869 0000631003217 PONIMAN L
1106 04/11/201 110905011118Y000870 0000631827909 DARSIH P
1107 04/11/201 110905011118Y001075 0000632611787 ENDANG SUPRIYATNA WATI P
1108 03/11/201 110905011118Y000025 0000079676469 AFLAKHAH P
1109 03/11/201 110905011118Y000372 0000079676469 AFLAKHAH P
1110 03/11/201 110905011118Y000323 0000080133682 ABAS JAELANI L
1111 03/11/201 110905011118Y000322 0000080203105 MAS'ID SUHAIMI,S.PD.I L
1112 03/11/201 110905011118Y000325 0000207117584 UMI HIDAYANTI P
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Atopic dermatitis, unspecified TIDAK
PEKERJA MANDIRI Family history of stroke YA
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Typhoid fever TIDAK
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Nontoxic goitre, unspecified YA
PEKERJA MANDIRI Caries of cementum YA
PEKERJA MANDIRI Myalgia TIDAK
PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PEKERJA MANDIRI Gastritis, unspecified TIDAK
PEKERJA MANDIRI Pulpitis TIDAK
PEKERJA MANDIRI Benign lipomatous neoplasm of skin YA
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Fever of other and unknown origin TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
PENERIMA PENSIUN Gonarthrosis, unspecified YA
PENERIMA PENSIUN Pure hypercholesterolaemia TIDAK
PENERIMA PENSIUN Myalgia TIDAK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Headache TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1113 03/11/201 110905011118Y000320 0000630084295 TUANAH P
1114 03/11/201 110905011118Y000367 0000630442787 SULISTIOWATI P
1115 03/11/201 110905011118Y000031 0000630442787 SULISTIOWATI P
1116 03/11/201 110905011118Y000336 0000630478754 ZAINUN P
1117 03/11/201 110905011118Y000337 0000630478934 SABRINA NURFIDA P
1118 03/11/201 110905011118Y000339 0000630684202 M FADLI RIFAI L
1119 03/11/201 110905011118Y000335 0000630684865 BELA AMALIA HIDAYANTI P
1120 03/11/201 110905011118Y000369 0000630775888 MIFTAHUL JANNAH P
1121 03/11/201 110905011118Y000331 0000630819022 AL QORIATUN P
1122 03/11/201 110905011118Y000365 0000630872177 SITI SAPUROH P
1123 03/11/201 110905011118Y000305 0000630894925 ARIFIN L
1124 03/11/201 110905011118Y000316 0000631016537 RITEM P
1125 03/11/201 110905011118Y000027 0000631085782 RODIYAH P
1126 03/11/201 110905011118Y000373 0000631085782 RODIYAH P
1127 03/11/201 110905011118Y000350 0000631086096 AULIA KARISMATUL AISAH P
1128 03/11/201 110905011118Y000362 0000631136801 KHUNAENAH P
1129 03/11/201 110905011118Y000328 0000631139556 DIAH P
1130 03/11/201 110905011118Y000021 0000631144967 FIAN DEDY SETIAWAN L
1131 03/11/201 110905011118Y000315 0000631173249 RIDOTUN P
1132 03/11/201 110905011118Y001074 0000631181665 EKA PRIYANTI P
1133 03/11/201 110905011118Y000307 0000631288552 NASIKIN L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Other specified surgical follow-up care YA
PBI (APBN) Scabies TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Female chlamydial pelvic inflammatory YA
PBI (APBN) Non-insulin-dependent diabetes TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Acute amoebic dysentery TIDAK
PBI (APBN) Asthma, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
PBI (APBN) Dyspepsia TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1134 03/11/201 110905011118Y000338 0000631292692 URIPAH P
1135 03/11/201 110905011118Y000318 0000631350977 TAHMID L
1136 03/11/201 110905011118Y000363 0000631436275 WARNINGSIH P
1137 03/11/201 110905011118Y000340 0000631666642 ISTIKOMAH P
1138 03/11/201 110905011118Y000030 0000631683134 SAHAL L
1139 03/11/201 110905011118Y000324 0000631690931 M ROBBANA ASKOL ASKI L
1140 03/11/201 110905011118Y000366 0000631702113 NURLAELA P
1141 03/11/201 110905011118Y000309 0000631710461 DUROTUL YATIMAH P
1142 03/11/201 110905011118Y000310 0000631712711 FANI JULIANA L
1143 03/11/201 110905011118Y000354 0000631719257 AL KHOERIYAH P
1144 03/11/201 110905011118Y000026 0000631775643 DAAN L
1145 03/11/201 110905011118Y000370 0000631838171 DIAN SAFITRI P
1146 03/11/201 110905011118Y000355 0000631843108 FATIMAH P
1147 03/11/201 110905011118Y000321 0000631851636 DUKRI L
1148 03/11/201 110905011118Y000312 0000631941129 KHOMISAH P
1149 03/11/201 110905011118Y000314 0000631981811 RONA YULIAS RINI P
1150 03/11/201 110905011118Y000313 0000631982788 GITA PUTRI RAHMADHANI P
1151 03/11/201 110905011118Y000319 0000632119239 RATNI P
1152 03/11/201 110905011118Y000364 0000632158839 ULIL MAINAH P
1153 03/11/201 110905011118Y000020 0000632190971 DARYO L
1154 03/11/201 110905011118Y000356 0000632285278 TORISAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Supervision of normal pregnancy, TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Essential (primary) hypertension YA
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Chronic obstructive pulmonary disease, YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Dermatitis due to unspecified YA
PBI (APBN) Supervision of normal first pregnancy TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1155 03/11/201 110905011118Y000022 0000632625434 SOLIHA P
1156 03/11/201 110905011118Y000329 0001031688909 RUSIYAH P
1157 03/11/201 110905011118Y000327 0001031688922 LENI ANDRIYANI P
1158 03/11/201 110905011118Y000308 0001031694333 TASRUN L
1159 03/11/201 110905011118Y000352 0001157528902 KHUSNUL KHOTIMAH P
1160 03/11/201 110905011118Y000029 0001316527683 SITI AZIZAH P
1161 03/11/201 110905011118Y000341 0001625119828 APTANA ATHA L
1162 03/11/201 110905011118Y000330 0001736796868 MUHAMMAD DIKRI L
1163 03/11/201 110905011118Y000311 0001804787662 SISKA FITRISYANA P
1164 03/11/201 110905011118Y000353 0001804789282 DZAKIRA AFTANIA L
1165 03/11/201 110905011118Y000303 0001859333578 SILVIA RAMADHANI FIKRI P
1166 03/11/201 110905011118Y000326 0001960544531 AQELA FAUZIA ATSANY P
1167 03/11/201 110905011118Y000306 0002000964352 LUTFI FEBRIAN PUNGKI P
1168 03/11/201 110905011118Y000333 0002089744007 WAISAH P
1169 03/11/201 110905011118Y000332 0002124105647 MISHARYATI P
1170 03/11/201 110905011118Y000028 0002210202369 NURUL AZIZAH P
1171 03/11/201 110905011118Y000357 0002210202369 NURUL AZIZAH P
1172 03/11/201 110905011118Y000371 0002225228635 SOBARI L
1173 03/11/201 110905011118Y000023 0002225228635 SOBARI L
1174 03/11/201 110905011118Y000334 0002262123437 ABDUL KADIR L
1175 03/11/201 110905011118Y000349 0002265030055 aghnia mafaatihu syaukati P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Tetraplegia, unspecified YA
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Amoebiasis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PEGAWAI SWASTA Supervision of normal pregnancy, TIDAK
PEKERJA MANDIRI Non-insulin-dependent diabetes YA
PEGAWAI SWASTA Atopic dermatitis, unspecified TIDAK
PEGAWAI SWASTA Gastritis, unspecified TIDAK
PEGAWAI SWASTA Acute bronchitis, unspecified TIDAK
PEGAWAI SWASTA Scabies TIDAK
PEGAWAI SWASTA Cough TIDAK
PEGAWAI PEMERINTAH Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PEKERJA MANDIRI Myalgia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PEGAWAI SWASTA Obstructed labour due to fetopelvic YA
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
PEKERJA MANDIRI Myopia YA
PEKERJA MANDIRI Rheumatoid arthritis, unspecified TIDAK
PNS DAERAH Pulpitis TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1176 03/11/201 110905011118Y000360 0002281309569 PUJI ASTUTI P
1177 03/11/201 110905011118Y000359 0002318710781 LUKY MEIDIA AKAYLA L
1178 03/11/201 110905011118Y000024 0002322742599 MUSTAKIM L
1179 03/11/201 110905011118Y000317 0002377428085 AZIZAH MUJAYANAH P
1180 03/11/201 110905011118Y000351 0002378667947 WARSINAH P
1181 03/11/201 110905011118Y000358 0002439712271 ACHMAD AHDA AS SABILI L
1182 03/11/201 110905011118Y000361 0002445871149 ERNI P
1183 03/11/201 110905011118Y000304 0002488974963 RENATHA PERMATA ZHAFIK P
1184 03/11/201 110905011118Y000368 0002488974963 RENATHA PERMATA ZHAFIK P
1185 02/11/201 110905011118Y000013 0000079958755 RODIYAH P
1186 02/11/201 110905011118Y000012 0000079960048 NASORI L
1187 02/11/201 110905011118Y000188 0000080087027 MUFIDI L
1188 02/11/201 110905011118Y000234 0000630083654 TAMRIN L
1189 02/11/201 110905011118Y000225 0000630462047 ANIS LAELATUL SILVIA P
1190 02/11/201 110905011118Y000224 0000630462069 MUHAMAD AID FAZA L
1191 02/11/201 110905011118Y000212 0000630750644 M DANANG L
1192 02/11/201 110905011118Y000207 0000630752242 ROYFO RIYANTO L
1193 02/11/201 110905011118Y000236 0000630895037 MURDIAH P
1194 02/11/201 110905011118Y000016 0000631044156 KASEM P
1195 02/11/201 110905011118Y000203 0000631051222 MUNAWAROH P
1196 02/11/201 110905011118Y000216 0000631053009 MUKAROMAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEGAWAI SWASTA Supervision of normal first pregnancy TIDAK
PBI (APBN) Scabies TIDAK
PEKERJA MANDIRI Stroke, not specified as haemorrhage YA
PEKERJA MANDIRI Myalgia TIDAK
INVESTOR Supervision of normal first pregnancy TIDAK
PEGAWAI PEMERINTAH Acute nasopharyngitis [common cold] TIDAK
PEKERJA MANDIRI Supervision of normal pregnancy, TIDAK
PBI (APBN) Diarrhoea and gastroenteritis of TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PENERIMA PENSIUN Chronic obstructive pulmonary disease, YA
PENERIMA PENSIUN Chronic ischaemic heart disease, YA
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Pathological dislocation and YA
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1197 02/11/201 110905011118Y000191 0000631151223 NURHAYATI P
1198 02/11/201 110905011118Y000344 0000631151223 NURHAYATI P
1199 02/11/201 110905011118Y000233 0000631211005 TOYANAH P
1200 02/11/201 110905011118Y000195 0000631255329 ZIDNA MAZAYATUL HM P
1201 02/11/201 110905011118Y000218 0000631261798 ANDIKA L
1202 02/11/201 110905011118Y000221 0000631294694 TEPURI L
1203 02/11/201 110905011118Y000220 0000631294918 SANTI P
1204 02/11/201 110905011118Y000194 0000631307709 WASORI L
1205 02/11/201 110905011118Y000230 0000631329851 DAYEM P
1206 02/11/201 110905011118Y000210 0000631348931 IIN INAYAH P
1207 02/11/201 110905011118Y000192 0000631411468 ROSIDAH P
1208 02/11/201 110905011118Y000213 0000631530336 ABDUL ROZAK L
1209 02/11/201 110905011118Y000208 0000631565763 KASIYATI P
1210 02/11/201 110905011118Y000209 0000631565829 WIWI ALYASIH P
1211 02/11/201 110905011118Y000199 0000631572208 MASRURI L
1212 02/11/201 110905011118Y000015 0000631586867 WAINAH P
1213 02/11/201 110905011118Y000235 0000631595215 TARIYAH P
1214 02/11/201 110905011118Y000232 0000631604171 SATEM P
1215 02/11/201 110905011118Y000223 0000631627571 KANAPI L
1216 02/11/201 110905011118Y000226 0000631692371 WAGINAH P
1217 02/11/201 110905011118Y000227 0000631694204 HARNI P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Tuberculosis of lung, confirmed by TIDAK
PBI (APBN) Scabies TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Otitis externa, unspecified TIDAK
PBI (APBN) Typhoid fever TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute nasopharyngitis [common cold] TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Essential (primary) hypertension TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1218 02/11/201 110905011118Y000215 0000631701641 RAHMAWATI P
1219 02/11/201 110905011118Y000196 0000631714173 SITI MARYATI P
1220 02/11/201 110905011118Y000201 0000631723364 KOLID L
1221 02/11/201 110905011118Y000198 0000631786645 SOLIHIN L
1222 02/11/201 110905011118Y000205 0000631788625 WARNITI P
1223 02/11/201 110905011118Y000211 0000631803385 NUR AMANAH P
1224 02/11/201 110905011118Y000204 0000631850804 LEBUH P
1225 02/11/201 110905011118Y000217 0000631859793 TURONAH P
1226 02/11/201 110905011118Y000347 0000631864664 JUMYATI P
1227 02/11/201 110905011118Y000231 0000631898199 DIMAS ADI MAULANA L
1228 02/11/201 110905011118Y000190 0000631951154 WAHRUN L
1229 02/11/201 110905011118Y000228 0000631972754 TAISAH P
1230 02/11/201 110905011118Y000206 0000632034854 TOSAN RIYANTO L
1231 02/11/201 110905011118Y000214 0000632625434 SOLIHA P
1232 02/11/201 110905011118Y000222 0001031692915 WAHIDAH P
1233 02/11/201 110905011118Y000197 0001031693343 TRIYONO L
1234 02/11/201 110905011118Y000202 0001031694423 MASRIPAH P
1235 02/11/201 110905011118Y000348 0001382678998 MA`MUROH P
1236 02/11/201 110905011118Y000018 0001382678998 MA`MUROH P
1237 02/11/201 110905011118Y000019 0001425973972 kurman L
1238 02/11/201 110905011118Y000014 0001442698154 ROSYELA SUKMA NIRMALA P
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Supervision of normal first pregnancy TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Gastritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Pure hypercholesterolaemia TIDAK
PEKERJA MANDIRI Gout YA
PEKERJA MANDIRI Unspecified thrombosed haemorrhoids YA
PEKERJA MANDIRI Chronic tonsillitis YA
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1239 02/11/201 110905011118Y000200 0001442698817 M KAFADHIYA ALQODR L
1240 02/11/201 110905011118Y000219 0001614966737 SUTRIYAH P
1241 02/11/201 110905011118Y000229 0001788883097 MASITOH P
1242 02/11/201 110905011118Y000345 0001831344322 EKA YUNI NURFADILAH P
1243 02/11/201 110905011118Y000343 0001831345481 HANUM SALWA SALSABILA P
1244 02/11/201 110905011118Y000342 0001838401233 MUKHSONATUSSILVIA, P
1245 02/11/201 110905011118Y000187 0001840281513 NORMA CHURMATULAELA P
1246 02/11/201 110905011118Y000193 0002124105838 URIPAH P
1247 02/11/201 110905011118Y000017 0002215191521 HELMI HIDAYATULLOH L
1248 02/11/201 110905011118Y000189 0002322742599 MUSTAKIM L
1249 02/11/201 110905011118Y000346 0002420106478 SYARAHIL NABHAN AYASHI L
1250 01/11/201 110905011118Y000170 0000079958979 CHOMISAH P
1251 01/11/201 110905011118Y000005 0000079960004 KHOTIAH P
1252 01/11/201 110905011118Y000139 0000080004881 MARYATI P
1253 01/11/201 110905011118Y000009 0000080153425 ASIKIN TOHA L
1254 01/11/201 110905011118Y000011 0000080191359 MUHAIMIN L
1255 01/11/201 110905011118Y000186 0000203472022 SHOBIKHATUL KHOERIYAH P
1256 01/11/201 110905011118Y000171 0000629695089 RAMINAH P
1257 01/11/201 110905011118Y000151 0000630582377 DINI FAuZIATI P
1258 01/11/201 110905011118Y000008 0000630750543 KALIMI L
1259 01/11/201 110905011118Y000158 0000630895037 MURDIAH P
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Conjunctivitis, unspecified TIDAK
PBI (APBD) Myalgia TIDAK
PEKERJA MANDIRI Dyspepsia TIDAK
PNS DAERAH Supervision of normal first pregnancy TIDAK
PNS DAERAH Dental caries, unspecified TIDAK
PEGAWAI SWASTA Pulpitis TIDAK
PNS DAERAH Cough TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEKERJA MANDIRI Diffuse non-Hodgkin's lymphoma, YA
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEKERJA MANDIRI Acute nasopharyngitis [common cold] TIDAK
PENERIMA PENSIUN Rheumatoid arthritis, unspecified TIDAK
PENERIMA PENSIUN Trigeminal neuralgia YA
PNS DAERAH Rheumatoid arthritis, unspecified, TIDAK
PENERIMA PENSIUN Gonarthrosis, unspecified YA
PNS DAERAH Acute nasopharyngitis [common cold] TIDAK
PNS DAERAH Supervision of normal first pregnancy TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Hearing loss, unspecified YA
PBI (APBN) Gastritis, unspecified TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1260 01/11/201 110905011118Y000179 0000630934255 KARSA L
1261 01/11/201 110905011118Y000161 0000631148466 KHODIJAH P
1262 01/11/201 110905011118Y000155 0000631187673 LU`LU NURTI ARDILA P
1263 01/11/201 110905011118Y000004 0000631259864 khayatun P
1264 01/11/201 110905011118Y000156 0000631292501 ROJIKIN L
1265 01/11/201 110905011118Y000176 0000631374478 DAFID PRASETYO L
1266 01/11/201 110905011118Y000153 0000631396798 PUJI HARTATI P
1267 01/11/201 110905011118Y000162 0000631425194 AENI AMILATUN NINGSIH P
1268 01/11/201 110905011118Y000183 0000631502267 MAS NUNAH P
1269 01/11/201 110905011118Y000007 0000631521224 WILDAN AFIQI MAULANA L
1270 01/11/201 110905011118Y000152 0000631551802 RINI SUPRIYANI P
1271 01/11/201 110905011118Y000159 0000631604092 SURIPTO L
1272 01/11/201 110905011118Y000174 0000631673245 SENO P
1273 01/11/201 110905011118Y000154 0000631738359 KASROH L
1274 01/11/201 110905011118Y000163 0000631835561 TAMBAS L
1275 01/11/201 110905011118Y000169 0000631849871 YUYUN NUR AENI P
1276 01/11/201 110905011118Y000157 0000631885386 WARYOTO L
1277 01/11/201 110905011118Y000160 0000632166546 TARIYAH P
1278 01/11/201 110905011118Y000180 0000632203863 SUSANTI LIA HARTINAH P
1279 01/11/201 110905011118Y000184 0000632247311 USMAN L
1280 01/11/201 110905011118Y001073 0000632474043 meriana lestari P
JENIS PESERTA DIAGNOSA DIRUJU
PBI (APBN) Rheumatoid arthritis, unspecified K
TIDAK
PBI (APBN) Myalgia TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Malignant neoplasm of bladder, YA
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Migraine, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Follow-up examination after surgery YA
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Conjunctivitis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Atopic dermatitis, unspecified TIDAK
PBI (APBN) Acute pharyngitis, unspecified TIDAK
PBI (APBN) Dyspepsia TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Pulpitis TIDAK
PBI (APBN) Single spontaneous delivery, TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX
1281 01/11/201 110905011118Y000173 0000632474043 meriana lestari P
1282 01/11/201 110905011118Y000006 0000632545749 WASLIM AS L
1283 01/11/201 110905011118Y000182 0000632580941 WIDYA LESTARI P
1284 01/11/201 110905011118Y000181 0000632582831 NABIL AJI SAPUTRA L
1285 01/11/201 110905011118Y000172 0000632746372 SEPTI LILI MASITOH P
1286 01/11/201 110905011118Y000165 0001031696526 DARI L
1287 01/11/201 110905011118Y001085 0001157528902 KHUSNUL KHOTIMAH P
1288 01/11/201 110905011118Y000167 0001295791648 ZAHWA NADYA AHYAR L
1289 01/11/201 110905011118Y000178 0001318118062 NUR BAYINAH P
1290 01/11/201 110905011118Y001087 0001875676522 SRI LESTARI P
1291 01/11/201 110905011118Y000002 0001901480826 DUL HAFID L
1292 01/11/201 110905011118Y000175 0002075325917 SRI PUJI ASTUTI P
1293 01/11/201 110905011118Y000177 0002087940879 SITI MARIA ULFAH P
1294 01/11/201 110905011118Y000140 0002087942343 M RAYHAN ARDANI L
1295 01/11/201 110905011118Y000001 0002214440752 DARMINTO L
1296 01/11/201 110905011118Y000166 0002215946171 ADIBA KANZA AZZAHRA L
1297 01/11/201 110905011118Y000164 0002215948375 WAISAH AISTICHA P
1298 01/11/201 110905011118Y000010 0002238240666 TOHIRIN L
1299 01/11/201 110905011118Y000185 0002238240802 ROUDHOTUL HIKMAH P
1300 01/11/201 110905011118Y000003 0002259703056 MARYAM P
1301 01/11/201 110905011118Y000168 0002445966595 DJAWAWI L
JENIS PESERTA DIAGNOSA DIRUJUK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Congestive heart failure YA
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Acute bronchitis, unspecified TIDAK
PBI (APBN) Cough TIDAK
PBI (APBN) Rheumatoid arthritis, unspecified TIDAK
PEGAWAI SWASTA Single spontaneous delivery, TIDAK
PEGAWAI SWASTA Diarrhoea and gastroenteritis of TIDAK
PEKERJA MANDIRI Acute bronchitis, unspecified TIDAK
PEGAWAI SWASTA Single spontaneous delivery, TIDAK
PEKERJA MANDIRI Hypertensive heart disease with YA
PEGAWAI SWASTA Dyspepsia TIDAK
PEKERJA MANDIRI Fever of other and unknown origin TIDAK
PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
PEKERJA MANDIRI Congestive heart failure YA
PEKERJA MANDIRI Diarrhoea and gastroenteritis of TIDAK
PEKERJA MANDIRI Cough TIDAK
PEKERJA MANDIRI Calculus of bile duct without YA
PEKERJA MANDIRI Supervision of normal first pregnancy TIDAK
PEKERJA MANDIRI Thyrotoxicosis, unspecified YA
PEKERJA MANDIRI Essential (primary) hypertension TIDAK
Kantor Cabang : TEGAL (1112)
FKTP : Sirampog (11090501)
NO TANGGAL NO KUNJUNGAN NO KARTU
NAMA PESERTA SEX
1302 01/11/201 110905011118Y001086 0002471012087 MASRIFAH P
1303 01/11/201 110905011118Y000150 0002498887089 ALBI LUTHFI IBRAHIM L
JENIS PESERTA DIAGNOSA DIRUJUK
PEKERJA MANDIRI Single spontaneous delivery, TIDAK
PEKERJA MANDIRI Typhoid fever TIDAK