DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 30-06-2018 010421010618Y000223 0000218439022 HUSNI L PBI (APBN) Other and unspecified Rujuk Lanjut
abdominal pain
2 30-06-2018 010421010618Y000222 0000218918902 RAMLAH P PBI (APBN) Other and unspecified Rujuk Lanjut
abnormalities of breathing
3 29-06-2018 010421010618Y000167 0000000417903 ZAINAL ABIDIN L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
4 29-06-2018 010421010618Y000169 0000000522279 MARLIAH P PNS PUSAT Low back pain Rujuk Lanjut

5 29-06-2018 010421010618Y000128 0000000609939 RUHANI PUTEH P PENERIMA PENSIUN TNI Headache Berobat Jalan

6 29-06-2018 010421010618Y000168 0000000738966 NURUZZAHRI ISMAIL P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
7 29-06-2018 010421010618Y000117 0000218114425 MARZUKI L PBI (APBN) Myalgia Berobat Jalan

8 29-06-2018 010421010618Y000124 0000218164915 FATIMAH ZUHRAH P PBI (APBN) Headache Berobat Jalan

9 29-06-2018 010421010618Y000163 0000218287642 NURAIDA IBRAHIM P PBI (APBN) Other specified dermatitis Berobat Jalan

10 29-06-2018 010421010618Y000143 0000218406846 HALIMAH P PBI (APBN) Fracture of forearm Rujuk Lanjut

11 29-06-2018 010421010618Y000157 0000218582234 M NUR AB L PBI (APBN) Dyspepsia Berobat Jalan

12 29-06-2018 010421010618Y000151 0000218666316 ABUBAKAR L PBI (APBN) Non-insulin-dependent Rujuk Lanjut

diabetes mellitus
13 29-06-2018 010421010618Y000166 0000218733254 AGNA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
14 29-06-2018 010421010618Y000149 0000218772696 RUKIYAH P PBI (APBN) Dyspepsia Berobat Jalan

15 29-06-2018 010421010618Y000160 0000218948174 NURSYIDA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
16 29-06-2018 010421010618Y000138 0000218998034 NURJANI P PBI (APBN) Dyspepsia Berobat Jalan

17 29-06-2018 010421010618Y000123 0000219040975 NURLAILa P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
18 29-06-2018 010421010618Y000146 0000219066276 WAHYUDI L PBI (APBN) Other specified dermatitis Berobat Jalan

19 29-06-2018 010421010618Y000170 0000219232023 MARLITA P PBI (APBN) Other benign neoplasms Rujuk Lanjut
of connective and other

20 29-06-2018 010421010618Y000142 0000219546753 ASWADI NUR L PBI (APBN) Calculus of kidney and Rujuk Lanjut
ureter
21 29-06-2018 010421010618Y000141 0000219546966 NURFAH P PBI (APBN) Pulpitis Rujuk Lanjut

22 29-06-2018 010421010618Y000155 0000219666115 RABIDAH P PBI (APBN) Low back pain Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

23 29-06-2018 010421010618Y000120 0000219710384 NASRUDDIN L PBI (APBN) Other arthrosis Berobat Jalan

24 29-06-2018 010421010618Y000121 0000219767411 M JAMIL L PBI (APBN) Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and

25 29-06-2018 010421010618Y000134 0000219767916 ABDURAHMAN L PBI (APBN) Cerebral infarction Rujuk Lanjut

26 29-06-2018 010421010618Y000136 0000219771729 NURHASANAH P PBI (APBN) Dental caries, unspecified Rujuk Lanjut

27 29-06-2018 010421010618Y000171 0000219782351 LYDYA P PBI (APBN) Schizophrenia Rujuk Lanjut

28 29-06-2018 010421010618Y000147 0000219915459 AINON MARDHIAH P PBI (APBN) Dyspepsia Berobat Jalan

29 29-06-2018 010421010618Y000145 0000219929005 ROHANI P PBI (APBN) Hypertensive heart Berobat Jalan
disease with (congestive)

30 29-06-2018 010421010618Y000159 0000220016878 MUHAMMAD ZULFATHANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
31 29-06-2018 010421010618Y000158 0000220095562 KARIMUDDIN L PBI (APBN) Scabies Rujuk Lanjut

32 29-06-2018 010421010618Y000154 0000220096179 MUIHAMMAD RAJUN L PBI (APBN) Scabies Rujuk Lanjut

33 29-06-2018 010421010618Y000156 0000220096405 HILDA SAFIRA L PBI (APBN) Scabies Rujuk Lanjut

34 29-06-2018 010421010618Y000165 0000220159258 ERNAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
35 29-06-2018 010421010618Y000221 0000230671732 HARTATI PERMATA SARI P PBI (APBN) Other and unspecified Rujuk Lanjut
GIAWA convulsions
36 29-06-2018 010421010618Y000116 0000979737546 SAWIYAH P PBI (APBN) Peptic ulcer, site Rujuk Lanjut
unspecified
37 29-06-2018 010421010618Y000122 0000979747209 MARWAN L PBI (APBN) Other and unspecified Rujuk Lanjut
abdominal pain
38 29-06-2018 010421010618Y000126 0000979747481 SYAMSYIAH P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

39 29-06-2018 010421010618Y000162 0000979748008 JAMALI RUDIANTO L PBI (APBN) Hypertensive heart Berobat Jalan
disease with (congestive)

40 29-06-2018 010421010618Y000118 0000979748289 KEYLA ASSYIFA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
41 29-06-2018 010421010618Y000153 0000979748561 HENDIAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease with (congestive)

42 29-06-2018 010421010618Y000132 0000979750888 SAKDIYAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut

diabetes mellitus
43 29-06-2018 010421010618Y000125 0001112280873 AHMADIAN L PBI (APBD) Other specified dermatitis Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

44 29-06-2018 010421010618Y000139 0001114290022 NURMALA P PBI (APBD) Non-insulin-dependent Berobat Jalan

diabetes mellitus with

45 29-06-2018 010421010618Y000148 0001114504626 NIJAR MULKI L PBI (APBD) Scabies Berobat Jalan

46 29-06-2018 010421010618Y000164 0001114559166 ISMUL AHSANIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
47 29-06-2018 010421010618Y000152 0001383487097 MUHAMMAD KAISAN L PBI (APBD) Scabies Rujuk Lanjut

48 29-06-2018 010421010618Y000150 0001813035407 FATIMAH ZUHRA P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
49 29-06-2018 010421010618Y000119 0001905336898 RAYYAN AZZUHAIRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
50 29-06-2018 010421010618Y000172 0002053395718 MAULIZA P PBI (APBD) Maternal care for known or Rujuk Lanjut
suspected abnormality of

51 29-06-2018 010421010618Y000144 0002223311084 azirfan risman L PBI (APBN) Other specified dermatitis Berobat Jalan

52 29-06-2018 010421010618Y000225 0002306071732 MUHAMMAD RIMAS ARKANI L PBI (APBN) Febrile convulsions Rujuk Lanjut

53 29-06-2018 010421010618Y000161 0002324949377 MUHAMMAD HARIS L PBI (APBN) Other specified dermatitis Berobat Jalan

54 28-06-2018 010421010618Y000109 0000000666922 ANWAR L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan

PNS diabetes mellitus with

55 28-06-2018 010421010618Y000233 0000218198823 JUNAIDI JUNET L PBI (APBN) Essential (primary) Sembuh
hypertension
56 28-06-2018 010421010618Y000111 0000218258897 MAIMUNAH P PBI (APBN) Peptic ulcer, site Rujuk Lanjut
unspecified
57 28-06-2018 010421010618Y000085 0000218277595 MAIMUNAH P PBI (APBN) Pterygium Rujuk Lanjut

58 28-06-2018 010421010618Y000086 0000218280374 NURAINI P PBI (APBN) Gastritis and duodenitis Rujuk Lanjut

59 28-06-2018 010421010618Y000103 0000218346355 NURMALA P PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus with

60 28-06-2018 010421010618Y000091 0000218364928 RUHANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
61 28-06-2018 010421010618Y000090 0000218460508 SAUDAH ALI P PBI (APBN) Hypertensive heart Berobat Jalan
disease with (congestive)

62 28-06-2018 010421010618Y000107 0000218471782 SURIANI P PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus with

63 28-06-2018 010421010618Y000096 0000218517682 RIALIN DISARIA P PBI (APBN) Bronchitis, not specified as Rujuk Lanjut
acute or chronic
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

64 28-06-2018 010421010618Y000196 0000218634401 HELLA AHYANI P PBI (APBN) Malignant neoplasm of lip, Berobat Jalan
unspecified
65 28-06-2018 010421010618Y000089 0000218722342 DAWIRA ELMA P PBI (APBN) Scabies Berobat Jalan

66 28-06-2018 010421010618Y000104 0000218756902 MARLINA P PBI (APBN) Dyspepsia Berobat Jalan

67 28-06-2018 010421010618Y000105 0000218785432 RAMLI L PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus with

68 28-06-2018 010421010618Y000081 0000218870504 SYAMSIAH P PBI (APBN) Other cataract Rujuk Lanjut

69 28-06-2018 010421010618Y000094 0000218895423 PUTRI AISYAH P PBI (APBN) Scabies Berobat Jalan

70 28-06-2018 010421010618Y000112 0000218919453 TIHAWA P PBI (APBN) Pneumonia, organism Rujuk Lanjut
unspecified
71 28-06-2018 010421010618Y000087 0000218940232 NURUL MASYITAH P PBI (APBN) Single spontaneous Rujuk Lanjut
delivery
72 28-06-2018 010421010618Y000100 0000218972496 MUKLIS L PBI (APBN) Dyspepsia Berobat Jalan

73 28-06-2018 010421010618Y000097 0000219008261 NAZLIL ILHAM L PBI (APBN) Chronic tonsillitis Berobat Jalan

74 28-06-2018 010421010618Y000080 0000219158638 JULIANA KOMACHI P PBI (APBN) Dental caries Rujuk Lanjut

75 28-06-2018 010421010618Y000082 0000219161529 NADILAH P PBI (APBN) Caries of dentine Rujuk Lanjut

76 28-06-2018 010421010618Y000108 0000219195404 NURBAITI P PBI (APBN) Non-insulin-dependent Berobat Jalan

diabetes mellitus with

77 28-06-2018 010421010618Y000099 0000219729745 M RAFI L PBI (APBN) Chronic tonsillitis Berobat Jalan

78 28-06-2018 010421010618Y000193 0000219756756 NURLAILA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
79 28-06-2018 010421010618Y000174 0000219757296 YADI ISKA P PBI (APBN) Nausea and vomiting Sembuh

80 28-06-2018 010421010618Y000084 0000219930974 NURMA ALI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
81 28-06-2018 010421010618Y000110 0000219997102 M.MUZZAMMIL L PBI (APBN) Other specified dermatitis Berobat Jalan

82 28-06-2018 010421010618Y000191 0000220153634 AINOL MARDIAH P PBI (APBN) Dyspepsia Berobat Jalan

83 28-06-2018 010421010618Y000192 0000220155761 M ALFARUQ L PBI (APBN) Malignant neoplasm of lip, Berobat Jalan
unspecified
84 28-06-2018 010421010618Y000093 0000979737748 ZAINABAH SUFI P PBI (APBN) Dyspepsia Berobat Jalan

85 28-06-2018 010421010618Y000194 0000979739921 KHATIJAH P PBI (APBN) Rheumatoid lung disease Berobat Jalan

86 28-06-2018 010421010618Y000113 0000979751349 T SYAMSUDDIN L PBI (APBN) Chronic ischaemic heart Rujuk Lanjut
disease
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

87 28-06-2018 010421010618Y000175 0000979751384 SANIAR P PBI (APBN) Nausea and vomiting Sembuh

88 28-06-2018 010421010618Y000088 0000979753116 AMINAH P PBI (APBN) Other arthrosis Berobat Jalan

89 28-06-2018 010421010618Y000102 0001114237484 MARWAN L PBI (APBD) Non-insulin-dependent Berobat Jalan

diabetes mellitus with

90 28-06-2018 010421010618Y000173 0001114445586 SITI INTAN NATASYA L PBI (APBD) Puerperal sepsis Sembuh

91 28-06-2018 010421010618Y000176 0001115169388 JUNAIDI JUNET L PBI (APBD) Essential (primary) Sembuh
hypertension
92 28-06-2018 010421010618Y000199 0001311274776 nazril ilham L PBI (APBD) Dyspepsia Berobat Jalan

93 28-06-2018 010421010618Y000195 0001870339296 M DAUDI ALFARIY L PBI (APBD) Malignant neoplasm of lip, Berobat Jalan
unspecified
94 28-06-2018 010421010618Y000101 0001885595005 NAWIYAH USMAN P PBI (APBD) Dyspepsia Berobat Jalan

95 28-06-2018 010421010618Y000115 0001902015268 RAMIKA DIRASTI L PNS PUSAT Acute bronchitis Rujuk Lanjut

96 28-06-2018 010421010618Y000198 0001971577956 muhammad raihan azizi L PBI (APBD) Malignant neoplasm of lip, Berobat Jalan
unspecified
97 28-06-2018 010421010618Y000092 0002015676538 ZUBIR L PBI (APBN) Adherent leukoma Rujuk Lanjut

98 28-06-2018 010421010618Y000083 0002047403654 ISMAIL L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
99 28-06-2018 010421010618Y000095 0002212147956 MUHAMMAD AQIL SHIRAZ L PBI (APBD) Alopecia areata Rujuk Lanjut

100 28-06-2018 010421010618Y000106 0002234635626 MUHAMMAD FARRAS FAKRI L PBI (APBD) Asthma, unspecified Berobat Jalan

101 28-06-2018 010421010618Y000190 0002286659395 MARIANA P PBI (APBD) Malignant neoplasm of lip, Berobat Jalan
unspecified
102 28-06-2018 010421010618Y000197 0002307100713 SITI AINUN MAHYA P PBI (APBD) Malignant neoplasm of lip, Berobat Jalan
unspecified
103 28-06-2018 010421010618Y000098 0002313064798 muhammad rafa atayya L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
104 28-06-2018 010421010618Y000114 0002446800671 radafa yarsil L PNS PUSAT Bronchitis, not specified as Rujuk Lanjut
acute or chronic
105 27-06-2018 010421010618Y000178 0000218365571 SYAHRUL FUADI L PBI (APBN) Puerperal sepsis Sembuh

106 27-06-2018 010421010618Y000177 0000979747209 MARWAN L PBI (APBN) Dyspepsia Sembuh

107 26-06-2018 010421010618Y000220 0000219691631 BAHRAINI P PBI (APBN) Fracture of navicular Rujuk Lanjut
[scaphoid] bone of hand
108 25-06-2018 010421010618Y000228 0000219198137 NURUL HAYATI P PBI (APBN) Spontaneous vertex Sembuh
delivery
109 25-06-2018 010421010618Y000079 0000219648352 DESI ANDRIANI P PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

110 25-06-2018 010421010618Y000224 0000220004616 KARIM L PBI (APBN) Superficial injury of neck, Rujuk Lanjut
part unspecified
111 25-06-2018 010421010618Y000180 0000220159203 SAWITAH P PBI (APBN) Essential (primary) Sembuh
hypertension
112 25-06-2018 010421010618Y000179 0002115733037 M ISA MUSA L PBI (APBN) Essential (primary) Sembuh
hypertension
113 22-06-2018 010421010618Y000203 0000218378935 AZRA SYAQILA P PBI (APBN) Malignant neoplasm of lip, Berobat Jalan
unspecified
114 22-06-2018 010421010618Y000202 0000979739921 KHATIJAH P PBI (APBN) Rheumatoid lung disease Berobat Jalan

115 22-06-2018 010421010618Y000201 0001326547372 SYARIFAH AINI P PBI (APBD) Scabies Berobat Jalan

116 22-06-2018 010421010618Y000204 0001383509856 ATHIFA TARAMISA P PBI (APBD) Malignant neoplasm of lip, Berobat Jalan
unspecified
117 21-06-2018 010421010618Y000207 0000218171316 RASYID USMAN L PBI (APBN) Disorder of tooth Berobat Jalan
development, unspecified
118 21-06-2018 010421010618Y000200 0000218375177 URI DIA IMANI P PBI (APBN) Scabies Berobat Jalan

119 21-06-2018 010421010618Y000229 0000218901835 EMILIA P PBI (APBN) Spontaneous vertex Sembuh
delivery
120 21-06-2018 010421010618Y000208 0000567582513 MARYONO L PBI (APBN) Puerperal sepsis Rujuk Lanjut

121 20-06-2018 010421010618Y000181 0000219657677 MUHAMMAD INSYA L PBI (APBN) Gastritis, unspecified Sembuh

122 20-06-2018 010421010618Y000206 0000219794668 SITI NURHAYATI P PBI (APBN) Rheumatoid lung disease Berobat Jalan

123 20-06-2018 010421010618Y000219 0000979740268 ZABAWI L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

124 20-06-2018 010421010618Y000205 0002265203553 SANIAH P PBI (APBD) Gastritis, unspecified Berobat Jalan

125 19-06-2018 010421010618Y000182 0000567582513 MARYONO L PBI (APBN) Puerperal sepsis Sembuh

126 19-06-2018 010421010618Y000189 0000979740268 ZABAWI L PBI (APBN) Non-insulin-dependent Sembuh

diabetes mellitus without

127 18-06-2018 010421010618Y000188 0001874575607 KHALILIAH P PBI (APBD) Other specified symptoms Sembuh
and signs involving the
digestive system and

128 17-06-2018 010421010618Y000187 0000218974656 RUKIAH P PBI (APBN) Gastritis, unspecified Sembuh

129 16-06-2018 010421010618Y000186 0000219981341 MUTIA P PBI (APBN) Gastritis, unspecified Sembuh

130 16-06-2018 010421010618Y000218 0000979852408 FIDIA YOLANDA P PBI (APBN) Premature rupture of Rujuk Lanjut
membranes, unspecified
131 15-06-2018 010421010618Y000232 0000218566271 JAMALIAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

132 15-06-2018 010421010618Y000185 0000219287169 SAMAN ABDULLAH L PBI (APBN) Gastroenteritis and colitis Sembuh
of unspecified origin
133 15-06-2018 010421010618Y000217 0000219355424 MISLIANTI P PBI (APBN) Gastritis, unspecified Rujuk Lanjut

134 11-06-2018 010421010618Y000216 0000165373266 NY. HABIBAH P PENERIMA PENSIUN TNI Dyspnoea Rujuk Lanjut

135 11-06-2018 010421010618Y000227 0000218178009 TI AISYAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
136 11-06-2018 010421010618Y000184 0001115128449 PUTEH ALI L PBI (APBD) Malaise and fatigue Sembuh

137 10-06-2018 010421010618Y000215 0000219546753 ASWADI NUR L PBI (APBN) Abdominal and pelvic pain Rujuk Lanjut

138 10-06-2018 010421010618Y000230 0000219712735 ZUBAIDAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
139 09-06-2018 010421010618Y000183 0000219546753 ASWADI NUR L PBI (APBN) Other and unspecified Sembuh
abdominal pain
140 08-06-2018 010421010618Y000212 0000219000295 NURMALA P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

141 08-06-2018 010421010618Y000214 0000219275842 JARIAH P PBI (APBN) Anaemia, unspecified Rujuk Lanjut

142 08-06-2018 010421010618Y000140 0001114548028 JAM'AN L PBI (APBD) Puerperal sepsis Sembuh

143 08-06-2018 010421010618Y000213 0001896972232 NURMIAH USMAN P PBI (APBD) Other and unspecified Rujuk Lanjut
abnormalities of breathing
144 07-06-2018 010421010618Y000137 0000219657881 USMAN GADE L PBI (APBN) Tuberculosis of lung, Sembuh
confirmed by culture only
145 07-06-2018 010421010618Y000226 0000979742766 MURNILA WATI P PBI (APBN) Spontaneous vertex Sembuh
delivery
146 06-06-2018 010421010618Y000211 0000218727077 KHAIRANI P PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

147 06-06-2018 010421010618Y000135 0000219883072 MARNI P PBI (APBN) Gastritis, unspecified Sembuh

148 05-06-2018 010421010618Y000072 0000000417903 ZAINAL ABIDIN L PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan
PNS [common cold]
149 05-06-2018 010421010618Y000032 0000000462464 IRIANI P PNS DAERAH Mononeuropathy, Rujuk Lanjut
unspecified
150 05-06-2018 010421010618Y000039 0000000562656 ANWAR RISYAT L PNS DAERAH Ulcer of lower limb, not Rujuk Lanjut
elsewhere classified
151 05-06-2018 010421010618Y000048 0000000668024 NURMAWATI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus
152 05-06-2018 010421010618Y000069 0000000668957 ZAKARIA MAI L PENERIMA PENSIUN Other specified Berobat Jalan
PNS predominantly sexually
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

153 05-06-2018 010421010618Y000063 0000001579465 SALAMI P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
154 05-06-2018 010421010618Y000058 0000218345736 RUHANI P PBI (APBN) Acute pharyngitis Berobat Jalan

155 05-06-2018 010421010618Y000062 0000218393706 IBRAHIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
156 05-06-2018 010421010618Y000050 0000218394202 RAHMADHANIATI P PBI (APBN) Retained dental root Rujuk Lanjut

157 05-06-2018 010421010618Y000040 0000218730903 VIA P PBI (APBN) Otitis media, unspecified Rujuk Lanjut

158 05-06-2018 010421010618Y000051 0000218764607 M.IRZA BILI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
159 05-06-2018 010421010618Y000049 0000218764697 SALWATUN AHZAN P PBI (APBN) Dengue haemorrhagic Berobat Jalan
fever
160 05-06-2018 010421010618Y000078 0000218772167 M JOUZAN OMRA L PBI (APBN) Abnormal serum enzyme Berobat Jalan
levels
161 05-06-2018 010421010618Y000034 0000218839195 ARMIA L PBI (APBN) Schizophrenia Rujuk Lanjut

162 05-06-2018 010421010618Y000036 0000218839509 KAMARIAH L PBI (APBN) Schizophrenia Rujuk Lanjut

163 05-06-2018 010421010618Y000065 0000218854697 MAISARAH P PBI (APBN) Myopia Rujuk Lanjut

164 05-06-2018 010421010618Y000068 0000218927463 MUNIRA WIRDA P PBI (APBN) Headache Berobat Jalan

165 05-06-2018 010421010618Y000057 0000218987122 TUTIA RAHMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
166 05-06-2018 010421010618Y000060 0000219010713 RASYIDAH P PBI (APBN) Other headache Berobat Jalan
syndromes
167 05-06-2018 010421010618Y000074 0000219181915 WAHYUDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
168 05-06-2018 010421010618Y000033 0000219199443 BUKHARI L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
169 05-06-2018 010421010618Y000037 0000219200815 ERMA ERFIANA P PBI (APBN) Pterygium Rujuk Lanjut

170 05-06-2018 010421010618Y000133 0000219275842 JARIAH P PBI (APBN) Anaemia, unspecified Sembuh

171 05-06-2018 010421010618Y000061 0000219315881 RASYIDIN L PBI (APBN) Hypersensitivity Berobat Jalan
pneumonitis due to

172 05-06-2018 010421010618Y000076 0000219318579 HASBALAH L PBI (APBN) Dyspepsia Berobat Jalan

173 05-06-2018 010421010618Y000043 0000219348426 M.SYAFIQ RAIHAN L PBI (APBN) Soft tissue disorder, Rujuk Lanjut
unspecified
174 05-06-2018 010421010618Y000059 0000219584439 KHATIJAH P PBI (APBN) Other specified Rujuk Lanjut
noninflammatory disorders
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

175 05-06-2018 010421010618Y000044 0000219663099 LATIFAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

176 05-06-2018 010421010618Y000077 0000219664067 ROHANI P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus
177 05-06-2018 010421010618Y000042 0000219737215 MUHARRIZATUN P PBI (APBN) Acute sinusitis Rujuk Lanjut

178 05-06-2018 010421010618Y000035 0000219753279 SAINAHA SIDDIQ L PBI (APBN) Acute tonsillitis Rujuk Lanjut

179 05-06-2018 010421010618Y000055 0000219860267 RAIYANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

180 05-06-2018 010421010618Y000073 0000979741596 SAUDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
181 05-06-2018 010421010618Y000054 0000979746805 AISYAH P PBI (APBN) Atopic dermatitis Rujuk Lanjut

182 05-06-2018 010421010618Y000064 0000979747795 UBIT P PBI (APBN) Migraine Berobat Jalan

183 05-06-2018 010421010618Y000053 0000979756119 ZALIKHA P PBI (APBN) Disorders of Berobat Jalan
accommodation
184 05-06-2018 010421010618Y000066 0001114568886 SYAMSYUDDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
185 05-06-2018 010421010618Y000056 0001115127731 MISNAIYAH P PBI (APBD) Otitis media, unspecified Rujuk Lanjut

186 05-06-2018 010421010618Y000070 0001115128449 PUTEH ALI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
187 05-06-2018 010421010618Y000067 0001115810381 KADRI P PNS DAERAH Single spontaneous Rujuk Lanjut
delivery, unspecified
188 05-06-2018 010421010618Y000038 0001290288892 T. M. MUNIR L PBI (APBD) Other cataract Rujuk Lanjut

189 05-06-2018 010421010618Y000047 0001793116484 USMAN M.YUSUF L PBI (APBD) Superficial injury of head, Rujuk Lanjut
part unspecified
190 05-06-2018 010421010618Y000052 0001829909305 FAUZIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
191 05-06-2018 010421010618Y000071 0001875019432 ZAINAL ABIDIN L PBI (APBD) Migraine Berobat Jalan

192 05-06-2018 010421010618Y000046 0001899297977 SYAMAUN CUT L PBI (APBD) Congestive heart failure Rujuk Lanjut

193 05-06-2018 010421010618Y000041 0001959431332 FATIMAH IB P PBI (APBD) Optic neuritis Rujuk Lanjut

194 05-06-2018 010421010618Y000045 0002071010373 NAZIRUL ULFA L PBI (APBN) Scabies Rujuk Lanjut

195 05-06-2018 010421010618Y000075 0002447711155 NURUL ULFA ASSYAKIRA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
196 04-06-2018 010421010618Y000012 0000000515171 DRS.MARZUKI M. ALI L PNS PUSAT Essential (primary) Rujuk Lanjut
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

197 04-06-2018 010421010618Y000002 0000000515226 RAHMAWATI P PNS PUSAT Otitis media, unspecified Rujuk Lanjut

198 04-06-2018 010421010618Y000003 0000218240032 KHAIDIR USMAN L PBI (APBN) Unspecified haemorrhoids Rujuk Lanjut
without complication

199 04-06-2018 010421010618Y000004 0000218240087 NURJANNAH ISMAIL P PBI (APBN) Contusion of hip Rujuk Lanjut

200 04-06-2018 010421010618Y000017 0000218259551 ILMIAH ILYAS P PBI (APBN) Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle,

201 04-06-2018 010421010618Y000018 0000218392255 NURLAILI P PBI (APBN) Gastroduodenitis, Rujuk Lanjut
unspecified
202 04-06-2018 010421010618Y000021 0000218395686 MARLINA MUHAMMAD P PBI (APBN) Presbyopia Rujuk Lanjut

203 04-06-2018 010421010618Y000005 0000218666316 ABUBAKAR L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
204 04-06-2018 010421010618Y000001 0000218722937 AURA ADILA P PBI (APBN) Dengue haemorrhagic Rujuk Lanjut
fever
205 04-06-2018 010421010618Y000020 0000218921398 HERMAN L PBI (APBN) Schizophrenia Rujuk Lanjut

206 04-06-2018 010421010618Y000022 0000218923929 HERI MUSTAFA L PBI (APBN) Schizophrenia Rujuk Lanjut

207 04-06-2018 010421010618Y000019 0000218926045 MAHYUNI P PBI (APBN) Foreign body in ear Rujuk Lanjut

208 04-06-2018 010421010618Y000011 0000219000295 NURMALA P PBI (APBN) Other anaemias Rujuk Lanjut

209 04-06-2018 010421010618Y000031 0000219280094 USMAN L PBI (APBN) Essential (primary) Rujuk Lanjut
hypertension
210 04-06-2018 010421010618Y000025 0000219415072 CUT FATIMAH P PBI (APBN) Urinary tract infection, site Rujuk Lanjut
not specified
211 04-06-2018 010421010618Y000007 0000219570592 FOUZIAH P PBI (APBN) Pterygium Rujuk Lanjut

212 04-06-2018 010421010618Y000026 0000219750052 ISMUNA FARHAQ P PBI (APBN) Scabies Rujuk Lanjut

213 04-06-2018 010421010618Y000028 0000219902927 FITRI DARA FUNNA P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft

214 04-06-2018 010421010618Y000030 0000219948377 SULAIMAN ARSYAD L PBI (APBN) Typhoid fever Rujuk Lanjut

215 04-06-2018 010421010618Y000009 0000979737041 ABDULLAH AHMAD L PBI (APBN) Gastritis and duodenitis Rujuk Lanjut

216 04-06-2018 010421010618Y000029 0000979739594 WAHYUNI P PBI (APBN) Chronic ischaemic heart Rujuk Lanjut
disease
217 04-06-2018 010421010618Y000006 0000979747277 YULISMA P PBI (APBN) Other gastritis Rujuk Lanjut

218 04-06-2018 010421010618Y000027 0000979750001 KHADIJAH P PBI (APBN) Incomplete uterovaginal Rujuk Lanjut
prolapse
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDA ACEH - 0101

FKTP : PADANG TIJI - 01042101

219 04-06-2018 010421010618Y000008 0000979755039 SALBIAH P PBI (APBN) Bronchitis, not specified as Rujuk Lanjut
acute or chronic
220 04-06-2018 010421010618Y000015 0001114789184 IZZATUN NABILA P PBI (APBD) Typhoid fever Rujuk Lanjut

221 04-06-2018 010421010618Y000024 0001437278376 MUHAMMAD ZAKI MUAFFAQ L PNS DAERAH Scabies Rujuk Lanjut

222 04-06-2018 010421010618Y000131 0001896972232 NURMIAH USMAN P PBI (APBD) Asthma, unspecified Sembuh

223 04-06-2018 010421010618Y000023 0002051820595 SITI AISYAH P PBI (APBD) Other obstetric trauma Rujuk Lanjut

224 04-06-2018 010421010618Y000014 0002076647938 ZAHRATUL SYIFA P PBI (APBD) Loss of teeth due to Rujuk Lanjut
accident, extraction or

225 04-06-2018 010421010618Y000016 0002258109797 RIZKI RAMADHANI L PBI (APBD) Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle,

226 04-06-2018 010421010618Y000013 0002264506446 riski ayunda L PBI (APBN) Febrile convulsions Rujuk Lanjut

227 04-06-2018 010421010618Y000010 0002463261311 CUT NOSIKA EVADA P PBI (APBD) Acute amoebic dysentery Rujuk Lanjut

228 03-06-2018 010421010618Y000210 0002055854553 TIHAWA P PBI (APBD) Gastritis, unspecified Rujuk Lanjut

229 01-06-2018 010421010618Y000209 0000000442877 KURNIA MELIANDA P PBI (APBD) Other retinal detachments Rujuk Lanjut

230 01-06-2018 010421010618Y000231 0000218936114 NURLAILA P PBI (APBN) Spontaneous vertex Sembuh
delivery
231 01-06-2018 010421010618Y000127 0000979738481 FACHRI UMAR L PBI (APBN) Dyspnoea Sembuh

232 01-06-2018 010421010618Y000129 0001114969645 MARZIATI P PBI (APBD) Gastroenteritis and colitis Sembuh
of unspecified origin
233 01-06-2018 010421010618Y000130 0002041820245 NANDA FARADINA P PBI (APBD) Gastroenteritis and colitis Sembuh
of unspecified origin