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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SINTANG - 1504

FKTP : SEI AYAK - 15120201

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

1 29-09-2018 151202010918Y000068 0000880832169 YUSTINA BUNGA P PBI (APBN) Anorexia Sembuh

2 28-09-2018 151202010918Y000040 0001449597508 BONG DJUN TONG L PEKERJA MANDIRI Headache Berobat Jalan

3 28-09-2018 151202010918Y000026 0001591646005 YOSEPA TANGKAI P PEKERJA MANDIRI Pterygium Berobat Jalan

4 28-09-2018 151202010918Y000025 0002304298056 SAIDA P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

5 28-09-2018 151202010918Y000023 0002452643291 JITOLUS JOJON L PEKERJA MANDIRI Injury of nerves and Rujuk Lanjut
lumbar spinal cord at
abdomen, lower back and

6 27-09-2018 151202010918Y000028 0002420131048 IMELIYANA BALI P PEKERJA MANDIRI Herpesviral [herpes Berobat Jalan
simplex] infections
7 27-09-2018 151202010918Y000027 0002478918914 RAFIAH P PEGAWAI PEMERINTAH Other specified diabetes Berobat Jalan
NON PNS mellitus
8 26-09-2018 151202010918Y000022 0001476554016 TJHANG TJIE KHIAN AL. L PEKERJA MANDIRI Calculus of kidney Rujuk Lanjut
SUNARTO
9 26-09-2018 151202010918Y000024 0002035467988 TJIA APHIN L PEGAWAI SWASTA Headache Berobat Jalan

10 26-09-2018 151202010918Y000021 0002465305018 YUNIKI P PEKERJA MANDIRI Twin pregnancy Rujuk Lanjut

11 24-09-2018 151202010918Y000029 0000051878485 DARA KARTIKA P PNS DAERAH Gastritis, unspecified Berobat Jalan

12 24-09-2018 151202010918Y000019 0000052420847 ANDREAS L PNS DAERAH Acute renal failure Rujuk Lanjut

13 24-09-2018 151202010918Y000020 0002475624047 SYAHRI L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

14 22-09-2018 151202010918Y000067 0002475624047 SYAHRI L PEKERJA MANDIRI Anorexia nervosa Lain-lain

15 21-09-2018 151202010918Y000030 0001435491358 HENDI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
16 21-09-2018 151202010918Y000058 0002056822233 jubila P PBI (APBD) Gastritis and duodenitis Sembuh

17 21-09-2018 151202010918Y000016 0002434929399 BONG TIAM LOI L PEKERJA MANDIRI Other arthritis Rujuk Lanjut

18 21-09-2018 151202010918Y000017 0002457302196 ALBERTA ANITA ITOT P PEKERJA MANDIRI Threatened abortion Rujuk Lanjut

19 21-09-2018 151202010918Y000018 0002487680458 SUNA P PEKERJA MANDIRI Disease of appendix, Rujuk Lanjut
unspecified
20 20-09-2018 151202010918Y000033 0000052425999 YUNITA P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
21 20-09-2018 151202010918Y000034 0000880726915 HARIANTI P PBI (APBN) Secondary hypertension Berobat Jalan

22 20-09-2018 151202010918Y000013 0002058105216 IMAM SADIKIN L PEKERJA MANDIRI Moderate pre-eclampsia Rujuk Lanjut

23 20-09-2018 151202010918Y000014 0002058105846 MARTINI P PEKERJA MANDIRI Moderate pre-eclampsia Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SINTANG - 1504

FKTP : SEI AYAK - 15120201

24 20-09-2018 151202010918Y000032 0002434785726 ROHIDIN L PEKERJA MANDIRI Headache Berobat Jalan

25 20-09-2018 151202010918Y000031 0002434786007 HADNIH P PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
26 20-09-2018 151202010918Y000057 0002445902223 EVAN JUNIAR L PEGAWAI SWASTA Irritable bowel syndrome Sembuh
with diarrhoea
27 20-09-2018 151202010918Y000015 0002486437468 ATU P PEKERJA MANDIRI Cataract, unspecified Rujuk Lanjut

28 18-09-2018 151202010918Y000035 0002211702748 JANG L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

29 17-09-2018 151202010918Y000036 0000880768203 SAMSIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

30 17-09-2018 151202010918Y000041 0001484666335 KAMELIA JAWAI P PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
31 17-09-2018 151202010918Y000037 0001824571721 ajun L PEKERJA MANDIRI Headache Berobat Jalan

32 17-09-2018 151202010918Y000042 0002083159811 christina berlianti L PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
33 17-09-2018 151202010918Y000066 0002259072472 CAROLIN GLORIA P PEGAWAI SWASTA Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

34 15-09-2018 151202010918Y000012 0001590940956 ULAN MIRELLA P PEGAWAI SWASTA Maternal hypotension Rujuk Lanjut
syndrome
35 15-09-2018 151202010918Y000065 0001838587588 PITORIA SELVI P PNS DAERAH Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

36 14-09-2018 151202010918Y000038 0000172664594 MELINDA PATRISIA P PNS DAERAH Headache Berobat Jalan

37 12-09-2018 151202010918Y000011 0001593054909 EMILIA P PEKERJA MANDIRI Chronic apical Rujuk Lanjut
periodontitis
38 12-09-2018 151202010918Y000010 0002296920025 AUZZAN DAFFA ADRIANS L PEKERJA MANDIRI Unspecified chronic Rujuk Lanjut
bronchitis
39 12-09-2018 151202010918Y000009 0002477619516 SUPINAH P PEKERJA MANDIRI Prolonged first stage (of Rujuk Lanjut
labour)
40 11-09-2018 151202010918Y000064 0000881265701 SAYUTI P PBI (APBN) Pain, unspecified Sembuh

41 10-09-2018 151202010918Y000007 0001435491358 HENDI L PEKERJA MANDIRI Pterygium Rujuk Lanjut

42 10-09-2018 151202010918Y000008 0001476554016 TJHANG TJIE KHIAN AL. L PEKERJA MANDIRI Polyp of nasal cavity Rujuk Lanjut
SUNARTO
43 07-09-2018 151202010918Y000063 0000052430646 MAGDALENA P PNS DAERAH Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SINTANG - 1504

FKTP : SEI AYAK - 15120201

44 06-09-2018 151202010918Y000046 0000196512423 ROZA LAILIS SA'ADAH P PNS DAERAH Influenza, virus not Berobat Jalan
identified
45 06-09-2018 151202010918Y000047 0000210751132 AMIRA FADHILA ASHOFI P PNS DAERAH Influenza, virus not Berobat Jalan
identified
46 06-09-2018 151202010918Y000005 0000880711007 WATINI P PEKERJA MANDIRI Schizoaffective disorder, Rujuk Lanjut
mixed type
47 06-09-2018 151202010918Y000006 0001435501203 MELATI CHANG P PEKERJA MANDIRI Purpura and other Rujuk Lanjut
haemorrhagic conditions
48 06-09-2018 151202010918Y000045 0001476554016 TJHANG TJIE KHIAN AL. L PEKERJA MANDIRI Secondary hypertension Berobat Jalan
SUNARTO
49 06-09-2018 151202010918Y000044 0002453322644 FRANSISKUS OKTAVIUS L PEKERJA MANDIRI Influenza, virus not Berobat Jalan
ANDRA identified
50 06-09-2018 151202010918Y000043 0002453324679 ANDREANA OCTAVIA P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

51 05-09-2018 151202010918Y000048 0000878536574 PANTAN L PBI (APBN) Influenza, virus not Berobat Jalan
identified
52 05-09-2018 151202010918Y000049 0001316249392 RAFFA EKA FATHURROHMAN L PEGAWAI SWASTA Influenza, virus not Berobat Jalan
identified
53 05-09-2018 151202010918Y000062 0002248885056 BRIGITA FEODORA HUTAGAOL P PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

54 04-09-2018 151202010918Y000060 0001064046238 SUBENAH P PBI (APBN) Low back pain Sembuh

55 04-09-2018 151202010918Y000039 0001449597508 BONG DJUN TONG L PEKERJA MANDIRI Irritable bowel syndrome Berobat Jalan
with diarrhoea
56 04-09-2018 151202010918Y000052 0002199124271 LAY PHIN CHIM P PEKERJA MANDIRI Headache Berobat Jalan

57 04-09-2018 151202010918Y000061 0002244735123 MUJIATI P PEKERJA MANDIRI Diarrhoea and Sembuh


gastroenteritis of
presumed infectious origin

58 04-09-2018 151202010918Y000053 0002296920025 AUZZAN DAFFA ADRIANS L PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
59 04-09-2018 151202010918Y000051 0002440406193 ANA P PEKERJA MANDIRI Headache Berobat Jalan

60 04-09-2018 151202010918Y000050 0002440406417 ELZHA P PEKERJA MANDIRI Nausea and vomiting Berobat Jalan

61 03-09-2018 151202010918Y000003 0000052425988 GUNAWAN L PNS DAERAH Effects of caisson disease Rujuk Lanjut
[decompression sickness]

62 03-09-2018 151202010918Y000004 0000881226033 MINA P PBI (APBN) Congestive heart failure Rujuk Lanjut

63 03-09-2018 151202010918Y000054 0002034775247 MUHAMMAD ABDURRAHIM L PNS DAERAH Nausea and vomiting Berobat Jalan

64 03-09-2018 151202010918Y000056 0002081930038 MALIANA P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SINTANG - 1504

FKTP : SEI AYAK - 15120201

65 03-09-2018 151202010918Y000059 0002228439824 NOBERTUS DIAZ KRISTIAN L PEGAWAI SWASTA Fever, unspecified Sembuh

66 03-09-2018 151202010918Y000002 0002237412284 YUKUBA P PEKERJA MANDIRI Secondary hypertension Rujuk Lanjut

67 03-09-2018 151202010918Y000055 0002457026302 NUR AINUN P PEKERJA MANDIRI Irritable bowel syndrome Berobat Jalan
with diarrhoea
68 01-09-2018 151202010918Y000001 0000881053367 BILAI L PBI (APBN) Abdominal and pelvic pain Rujuk Lanjut

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