Sie sind auf Seite 1von 79

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

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

1 31-01-2018 111117020118Y001608 0000526068966 RIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
2 31-01-2018 111117020118Y001615 0000526079711 FATIMAH P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
3 31-01-2018 111117020118Y001616 0000526907518 TARMAN L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
4 31-01-2018 111117020118Y001379 0000526954544 FANI INDAH LESTARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
5 31-01-2018 111117020118Y001613 0000526954544 FANI INDAH LESTARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
6 31-01-2018 111117020118Y001506 0000527096889 ASMINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
7 31-01-2018 111117020118Y001609 0000527173176 SALIM L PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

8 31-01-2018 111117020118Y001603 0000527289221 RIYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
9 31-01-2018 111117020118Y001602 0000527290255 CAHYANINGSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
10 31-01-2018 111117020118Y001604 0000527290323 MIFTAHUL KHILMI L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
11 31-01-2018 111117020118Y001540 0000527322576 KUSRIYANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
12 31-01-2018 111117020118Y001601 0000527354818 ALIYAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
13 31-01-2018 111117020118Y001488 0000527398593 SAIRAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
14 31-01-2018 111117020118Y001377 0000527534537 NOFIANA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
15 31-01-2018 111117020118Y001487 0000527695525 RAKISEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
16 31-01-2018 111117020118Y001621 0000527783927 NASIM L PBI (APBN) Dyspepsia Berobat Jalan

17 31-01-2018 111117020118Y001539 0000527834068 RATEM P PBI (APBN) Contraceptive Berobat Jalan


management, unspecified
18 31-01-2018 111117020118Y001622 0000527906417 NURUL SAFITRI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
19 31-01-2018 111117020118Y001610 0000528044152 ADIL LATIF L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

20 31-01-2018 111117020118Y001374 0000528158103 RASITEM P PBI (APBN) Other specified anaemias Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

21 31-01-2018 111117020118Y001380 0000528270423 suliyah P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
22 31-01-2018 111117020118Y001370 0000528275878 SEHIN SAEFUDIN L PBI (APBN) Cellulitis, unspecified Rujuk Lanjut

23 31-01-2018 111117020118Y001376 0000528476051 SITI SUBARKAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
24 31-01-2018 111117020118Y001614 0000528619948 SARIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
25 31-01-2018 111117020118Y001606 0001016487404 NGATIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
26 31-01-2018 111117020118Y001605 0001142667832 USTI MUHIROH P PEGAWAI SWASTA Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

27 31-01-2018 111117020118Y001471 0001292791149 TUMIYATI P PEGAWAI PEMERINTAH Glaucoma, unspecified Rujuk Lanjut
DENGAN PERJANJIAN

28 31-01-2018 111117020118Y001618 0001615662303 WISEM P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

29 31-01-2018 111117020118Y001611 0001695147041 HARIS ATHA L PBI (APBD) Scabies Berobat Jalan

30 31-01-2018 111117020118Y001620 0001695147489 KHUTIJAH P PBI (APBD) Gastritis, unspecified Berobat Jalan

31 31-01-2018 111117020118Y001617 0001695147491 HANIFAHATUN IZAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
32 31-01-2018 111117020118Y001619 0001695150764 EKA FARIKHATUL ABADIYAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
33 31-01-2018 111117020118Y001612 0001697706988 SUKINAH P PBI (APBD) Hypertrophy of salivary Berobat Jalan
gland
34 31-01-2018 111117020118Y001600 0001812835866 kurniasih P PEKERJA MANDIRI Spontaneous vertex Sembuh
delivery
35 31-01-2018 111117020118Y001378 0002120751472 SITI MUTMAINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
36 31-01-2018 111117020118Y001375 0002246095631 JOKO PURNOMO L PEKERJA MANDIRI Unspecified chronic Rujuk Lanjut
bronchitis
37 31-01-2018 111117020118Y001507 0002279204616 nela setiawati P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
38 31-01-2018 111117020118Y001607 0002283197174 KRISTINA P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
39 30-01-2018 111117020118Y001632 0000082036978 BUDIMAN L PENERIMA PENSIUN Dermatitis, unspecified Berobat Jalan
PNS
40 30-01-2018 111117020118Y001624 0000082040376 SUKIYAH P PENERIMA PENSIUN Intervertebral disc Berobat Jalan
PNS disorder, unspecified
41 30-01-2018 111117020118Y001628 0000526061542 DENIS PANGESTU L PBI (APBN) Acute tonsillitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

42 30-01-2018 111117020118Y001170 0000526758074 KHOTIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
43 30-01-2018 111117020118Y001623 0000526883602 WARSITO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
44 30-01-2018 111117020118Y001631 0000526905336 WAKIM L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
45 30-01-2018 111117020118Y001639 0000527139832 SISWO L PBI (APBN) Myalgia Berobat Jalan

46 30-01-2018 111117020118Y001652 0000527246436 TARKO RUDIARJO L PBI (APBN) Myalgia Berobat Jalan

47 30-01-2018 111117020118Y001094 0000527257012 UMIROTUN ASANAH P PBI (APBN) Prolonged first stage (of Rujuk Lanjut
labour)
48 30-01-2018 111117020118Y001627 0000527362299 WAWAN NURKHOLIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
49 30-01-2018 111117020118Y001175 0000527444234 AMINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
50 30-01-2018 111117020118Y001112 0000527455157 ARI FATUL KHIKMAH P PBI (APBN) Chalazion Rujuk Lanjut

51 30-01-2018 111117020118Y001174 0000527460355 SUNTIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
52 30-01-2018 111117020118Y001643 0000527479391 ARIS MIFTAHUDIN L PBI (APBN) Other acute gastritis Berobat Jalan

53 30-01-2018 111117020118Y001641 0000527524266 SUMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
54 30-01-2018 111117020118Y001648 0000527553101 RUSWAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

55 30-01-2018 111117020118Y001651 0000527570662 DARSITI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

56 30-01-2018 111117020118Y001172 0000527691824 SITI NUR MUALIFAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
57 30-01-2018 111117020118Y001655 0000527715066 TASIRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
58 30-01-2018 111117020118Y001626 0000527771081 SURYANTO L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
59 30-01-2018 111117020118Y001650 0000527778268 FEBRI SUPRIYATIN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
60 30-01-2018 111117020118Y001640 0000527779438 SUKONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
61 30-01-2018 111117020118Y001630 0000527889025 PARSINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
62 30-01-2018 111117020118Y001654 0000527920975 WARSITI P PBI (APBN) Fever, unspecified Berobat Jalan

63 30-01-2018 111117020118Y001638 0000527988846 TARIKUN KUNDIARJO L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

64 30-01-2018 111117020118Y001645 0000528015328 LASINAH P PBI (APBN) Myalgia Berobat Jalan

65 30-01-2018 111117020118Y001653 0000528080084 DARMINI P PBI (APBN) Headache Berobat Jalan

66 30-01-2018 111117020118Y001171 0000528159712 MUSLIMAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
67 30-01-2018 111117020118Y001637 0000528319282 SODERI L PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
68 30-01-2018 111117020118Y001635 0000528369772 NOFAL ADI SANTOSO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
69 30-01-2018 111117020118Y001178 0000528459794 ELI ROMIATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
70 30-01-2018 111117020118Y001173 0000528535282 ALFIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
71 30-01-2018 111117020118Y001647 0000528628004 JALALUDIN L PBI (APBN) Rheumatism, unspecified Berobat Jalan

72 30-01-2018 111117020118Y001176 0001016478887 INGATUL KHOERIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
73 30-01-2018 111117020118Y001656 0001016481857 DARSIKIN L PBI (APBN) Myalgia Berobat Jalan

74 30-01-2018 111117020118Y001114 0001016492433 mairoh P PBI (APBN) Follicular disorder, Rujuk Lanjut
unspecified
75 30-01-2018 111117020118Y001177 0001016502535 DIYAN TRISMAWATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
76 30-01-2018 111117020118Y001642 0001083706806 AHMAD MUMFARIH L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
77 30-01-2018 111117020118Y001625 0001189732454 KHASANATUL MUFTIAH P PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

78 30-01-2018 111117020118Y001113 0001672926298 LALA FATIMATUZZAHRA P PBI (APBD) Unspecified urinary Rujuk Lanjut
incontinence
79 30-01-2018 111117020118Y001636 0001672932442 WARSITO L PBI (APBD) Other acute gastritis Berobat Jalan

80 30-01-2018 111117020118Y001629 0001695432508 SATINI P PBI (APBD) Open wound of Berobat Jalan
unspecified body region
81 30-01-2018 111117020118Y001646 0001697707372 KENZIE ALVARO BIMA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
82 30-01-2018 111117020118Y001125 0001808816916 salimin L PEKERJA MANDIRI Chronic hepatitis, Rujuk Lanjut
unspecified
83 30-01-2018 111117020118Y001634 0002244052664 SUNAINAH P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
84 30-01-2018 111117020118Y001649 0002275259771 AKNAF HAFIDZ AL FARIZY L PEKERJA MANDIRI Open wound of Berobat Jalan
unspecified body region
85 30-01-2018 111117020118Y001644 0002283014957 INDIRA MUFI KHAIRANI L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

86 30-01-2018 111117020118Y001169 0002295532326 FENI AGUSTIYASTUTI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
87 30-01-2018 111117020118Y001126 0002314146251 NAYAKA ZAFLAN ARRAZQA L PEKERJA MANDIRI Nausea and vomiting Rujuk Lanjut
WALUYO
88 29-01-2018 111117020118Y000971 0000081849352 RIFDA AMLIA SEKARTALITA P PNS PUSAT Intervertebral disc Rujuk Lanjut
disorder, unspecified
89 29-01-2018 111117020118Y000977 0000082041243 SUDJONO L PENERIMA PENSIUN Presbyopia Rujuk Lanjut
PNS
90 29-01-2018 111117020118Y001590 0000526084773 WARTEM P PBI (APBN) Myalgia Berobat Jalan

91 29-01-2018 111117020118Y001582 0000526244681 fitri anggreyani P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
92 29-01-2018 111117020118Y000998 0000526283381 TINA NURHASANAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
93 29-01-2018 111117020118Y001078 0000526329753 WISEM P PBI (APBN) Myalgia Berobat Jalan

94 29-01-2018 111117020118Y001591 0000526352668 UMI SALAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
95 29-01-2018 111117020118Y001576 0000526397589 ASRIFA BASORI L PBI (APBN) Atrophy of salivary gland Berobat Jalan

96 29-01-2018 111117020118Y001579 0000526894795 MURWATI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
97 29-01-2018 111117020118Y001580 0000526898237 ENDAH PUTRI NINGSIH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
98 29-01-2018 111117020118Y000976 0000526990162 RITEM P PBI (APBN) Anaemia in chronic Rujuk Lanjut
diseases classified

99 29-01-2018 111117020118Y000995 0000527012807 KHODIYAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
100 29-01-2018 111117020118Y001583 0000527043677 NURHAYATI ROMADONI P PBI (APBN) Vertigo of central origin Berobat Jalan

101 29-01-2018 111117020118Y000996 0000527176607 TUTI KARTIKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
102 29-01-2018 111117020118Y001584 0000527302697 AKSELLA PUTRI KHALIZA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
103 29-01-2018 111117020118Y001585 0000527351578 NARSUDI AL DARWIN L PBI (APBN) Myalgia Berobat Jalan

104 29-01-2018 111117020118Y001000 0000527354818 ALIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
105 29-01-2018 111117020118Y001597 0000527409145 ZASKIA FADILAH SALWAH P PBI (APBN) Hypertrophy of salivary Berobat Jalan
gland
106 29-01-2018 111117020118Y001577 0000527500056 ZAKI FADLUROHMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

107 29-01-2018 111117020118Y001587 0000527515255 UNZILA MUTMAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

108 29-01-2018 111117020118Y001079 0000527520813 TRISNO L PBI (APBN) Myalgia Berobat Jalan

109 29-01-2018 111117020118Y001586 0000527576589 KARTAN L PBI (APBN) Injury of nerve(s) of Berobat Jalan
unspecified body region
110 29-01-2018 111117020118Y001593 0000527694794 KIRSEM P PBI (APBN) Myalgia Berobat Jalan

111 29-01-2018 111117020118Y001594 0000527699362 ROKHAYATI P PBI (APBN) Myalgia Berobat Jalan

112 29-01-2018 111117020118Y000989 0000527739186 NASIPAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
113 29-01-2018 111117020118Y001588 0000527776424 SOLIKHUN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

114 29-01-2018 111117020118Y001080 0000527802366 KASIM L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

115 29-01-2018 111117020118Y001002 0000527837422 SARINAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
116 29-01-2018 111117020118Y001575 0000527868639 MOHAMAD RIZKA L PBI (APBN) Fever, unspecified Berobat Jalan

117 29-01-2018 111117020118Y001589 0000527986394 TIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
118 29-01-2018 111117020118Y001581 0000528026275 SULIMAH P PBI (APBN) Headache Berobat Jalan

119 29-01-2018 111117020118Y000978 0000528144445 KIRTO L PBI (APBN) Polyneuropathy, Rujuk Lanjut
unspecified
120 29-01-2018 111117020118Y000990 0000528147347 SODIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
121 29-01-2018 111117020118Y001578 0000528235997 SOLIKHAH P PBI (APBN) Dyspepsia Berobat Jalan

122 29-01-2018 111117020118Y000975 0000529168285 SARIAH P PBI (APBN) Schizophrenia Rujuk Lanjut

123 29-01-2018 111117020118Y000973 0000977491708 SINTO WARDOYO L PNS DAERAH Calculus in urethra Rujuk Lanjut

124 29-01-2018 111117020118Y001081 0001016482432 ADHA WULANDARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
125 29-01-2018 111117020118Y001077 0001016486875 KASIM L PBI (APBN) Dyspepsia Berobat Jalan

126 29-01-2018 111117020118Y000991 0001016496101 WARSINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
127 29-01-2018 111117020118Y001082 0001083686319 ADE FATHUROHIM L PBI (APBN) Dermatitis, unspecified Berobat Jalan

128 29-01-2018 111117020118Y001595 0001292278612 WARSITO L PEGAWAI PEMERINTAH Acute upper respiratory Berobat Jalan
DENGAN PERJANJIAN infection, unspecified

129 29-01-2018 111117020118Y000992 0001695148176 SULASIH P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
130 29-01-2018 111117020118Y000993 0001698736342 DESI TEHLIYANI P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

131 29-01-2018 111117020118Y000994 0001837953494 DINI NUR LAELI PRIYATIN P PEKERJA MANDIRI Care and examination Berobat Jalan
immediately after delivery
132 29-01-2018 111117020118Y001083 0001914253626 ARYA DWI SAPUTRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
133 29-01-2018 111117020118Y001596 0001969389202 SUTIRAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
134 29-01-2018 111117020118Y001599 0002022366554 BADARI L PBI (APBN) Allergic rhinitis, Berobat Jalan
unspecified
135 29-01-2018 111117020118Y000974 0002053259245 AKHMAD ZAIDANAQIL L PEGAWAI SWASTA Chronic diseases of tonsils Rujuk Lanjut
and adenoids
136 29-01-2018 111117020118Y001598 0002219287645 TONAH P PEKERJA MANDIRI Conjunctivitis Berobat Jalan

137 29-01-2018 111117020118Y001592 0002250471813 SARTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
138 29-01-2018 111117020118Y001084 0002281162612 NASUKHA TARSUN L PEKERJA MANDIRI Primary arthrosis of other Berobat Jalan
joints, unspecified site
139 29-01-2018 111117020118Y000972 0002282561032 SAIRAH P PEKERJA MANDIRI Otalgia Rujuk Lanjut

140 28-01-2018 111117020118Y000964 0000526758074 KHOTIAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
141 28-01-2018 111117020118Y000962 0002120672968 DIYANTI P PBI (APBN) Spontaneous vertex Sembuh
delivery
142 27-01-2018 111117020118Y001572 0000081958893 FADILAH P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
143 27-01-2018 111117020118Y001567 0000081972538 NAILEM P PENERIMA PENSIUN Intervertebral disc Berobat Jalan
PNS disorder, unspecified
144 27-01-2018 111117020118Y001573 0000171218406 ANNISA AGHNIYA SALSABILA P PNS DAERAH Acute upper respiratory Berobat Jalan
FIRDAUSY infection, unspecified
145 27-01-2018 111117020118Y000968 0000526068966 RIYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
146 27-01-2018 111117020118Y001549 0000526089341 MIARDI L PBI (APBN) Arthrosis, unspecified Berobat Jalan

147 27-01-2018 111117020118Y001548 0000526111492 RILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
148 27-01-2018 111117020118Y000958 0000526717675 CAHYANI P PBI (APBN) Polyneuropathy, Rujuk Lanjut
unspecified
149 27-01-2018 111117020118Y000961 0000526758074 KHOTIAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
150 27-01-2018 111117020118Y000872 0000526762405 MA'NAWIYAH P PBI (APBN) Premature rupture of Rujuk Lanjut
membranes, unspecified
151 27-01-2018 111117020118Y001555 0000527143419 ALIFYA MOLIDA R P PBI (APBN) Gingivitis and periodontal Berobat Jalan
diseases
152 27-01-2018 111117020118Y000931 0000527257012 UMIROTUN ASANAH P PBI (APBN) Prolonged pregnancy Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

153 27-01-2018 111117020118Y001554 0000527299806 LASEM P PBI (APBN) Myalgia Berobat Jalan

154 27-01-2018 111117020118Y001561 0000527351455 MUTAKIN L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
155 27-01-2018 111117020118Y001565 0000527387951 RASEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

156 27-01-2018 111117020118Y001513 0000527388276 AGUSTINAH P PBI (APBN) Asthma Berobat Jalan

157 27-01-2018 111117020118Y001557 0000527514592 TARSINI P PBI (APBN) Injury of unspecified body Berobat Jalan
region
158 27-01-2018 111117020118Y000928 0000527531073 CARIKEM P PBI (APBN) Congestive heart failure Rujuk Lanjut

159 27-01-2018 111117020118Y001512 0000527552695 WATIM L PBI (APBN) Dyspepsia Berobat Jalan

160 27-01-2018 111117020118Y000953 0000527564924 SUDIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
161 27-01-2018 111117020118Y001563 0000527691767 SUKIDAH P PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

162 27-01-2018 111117020118Y001550 0000527724729 WARTEM P PBI (APBN) Other dermatitis Berobat Jalan

163 27-01-2018 111117020118Y001545 0000527750166 KIDEM P PBI (APBN) Injury of unspecified body Berobat Jalan
region
164 27-01-2018 111117020118Y001544 0000527779438 SUKONO L PBI (APBN) Injury of unspecified body Berobat Jalan
region
165 27-01-2018 111117020118Y000955 0000527794626 WINTANG INDRASSWARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
166 27-01-2018 111117020118Y001574 0000527800667 SUMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
167 27-01-2018 111117020118Y001559 0000527834068 RATEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
168 27-01-2018 111117020118Y001633 0000527834068 RATEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
169 27-01-2018 111117020118Y001560 0000527835172 FANI FATHURAHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
170 27-01-2018 111117020118Y001571 0000527941225 WINA NUR HOTISAH P PBI (APBN) Otitis externa Berobat Jalan

171 27-01-2018 111117020118Y000929 0000528073604 RIZKA NUR HOLIFAH P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
connective and soft tissue,

172 27-01-2018 111117020118Y001558 0000528075022 SAWEN P PBI (APBN) Dyspepsia Berobat Jalan

173 27-01-2018 111117020118Y001556 0000528082558 SYFA KARUNIA SUPRAPTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
174 27-01-2018 111117020118Y000890 0000528129819 ROHMAT L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

175 27-01-2018 111117020118Y001568 0000528144445 KIRTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
176 27-01-2018 111117020118Y001552 0000528422488 WASEM P PBI (APBN) Arthrosis, unspecified Berobat Jalan

177 27-01-2018 111117020118Y001508 0000528425932 QYENU IFTAH NURHEISA P PBI (APBN) Acute tonsillitis Berobat Jalan

178 27-01-2018 111117020118Y000927 0000528517743 FAIZA ULIL ABSOR L PBI (APBN) Nasal polyp, unspecified Rujuk Lanjut

179 27-01-2018 111117020118Y001509 0000528580991 WARSITI L PBI (APBN) Unspecified haemorrhoids Berobat Jalan
without complication

180 27-01-2018 111117020118Y000956 0000528603208 HETRI CAHYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
181 27-01-2018 111117020118Y001564 0001016484513 SURINAH P PBI (APBN) Arthrosis, unspecified Berobat Jalan

182 27-01-2018 111117020118Y001511 0001016486875 KASIM L PBI (APBN) Dyspepsia Berobat Jalan

183 27-01-2018 111117020118Y000957 0001016490982 KARTIWEN P PBI (APBN) Cardiac arrhythmia, Rujuk Lanjut
unspecified
184 27-01-2018 111117020118Y001547 0001016491048 SUYADI L PBI (APBN) Dyspepsia Berobat Jalan

185 27-01-2018 111117020118Y001551 0001016491059 SINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
186 27-01-2018 111117020118Y001553 0001319693646 PUJI YULIANA P PEGAWAI SWASTA Carpal tunnel syndrome Berobat Jalan

187 27-01-2018 111117020118Y001570 0001615662303 WISEM P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

188 27-01-2018 111117020118Y001546 0001615662674 PURWATI P PBI (APBD) Myalgia Berobat Jalan

189 27-01-2018 111117020118Y001510 0001695432508 SATINI P PBI (APBD) Injury of unspecified body Berobat Jalan
region
190 27-01-2018 111117020118Y000954 0001697707337 SUNARTI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
191 27-01-2018 111117020118Y001569 0001698338463 SITI KHODIROH P PBI (APBD) Dermatitis, unspecified Berobat Jalan

192 27-01-2018 111117020118Y001562 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

193 27-01-2018 111117020118Y000907 0002073117892 CHOMSIYAH P PEGAWAI PEMERINTAH Community Acquired Rujuk Lanjut
NON PNS Pneumonia
194 27-01-2018 111117020118Y000930 0002129632503 RIZKI DINI SAPUTRI P PBI (APBN) Myopia Rujuk Lanjut

195 27-01-2018 111117020118Y000888 0002250021521 SIWEN P PEKERJA MANDIRI Cholecystitis, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

196 27-01-2018 111117020118Y001566 0002259618175 ABDILLAH ATHMAR ISMAIL L PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

197 27-01-2018 111117020118Y000839 0002324328928 SUKINAH P PEKERJA MANDIRI Dementia in other Rujuk Lanjut
specified diseases

198 26-01-2018 111117020118Y001416 0000525883814 RAKIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
199 26-01-2018 111117020118Y001422 0000525888786 KARLEM P PBI (APBN) Vertigo of central origin Berobat Jalan

200 26-01-2018 111117020118Y001363 0000526056816 DARTEM P PBI (APBN) Myalgia Berobat Jalan

201 26-01-2018 111117020118Y000960 0000526068966 RIYATI P PBI (APBN) Spontaneous vertex Sembuh
delivery
202 26-01-2018 111117020118Y000736 0000526068966 RIYATI P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
203 26-01-2018 111117020118Y000730 0000526226365 FIJRI SETIANINGSIH P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

204 26-01-2018 111117020118Y001366 0000526737598 NARTEM P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
205 26-01-2018 111117020118Y001414 0000526766951 SILEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
206 26-01-2018 111117020118Y001426 0000526958875 WARSIMAH P PBI (APBN) Vertigo of central origin Berobat Jalan

207 26-01-2018 111117020118Y001424 0000527302539 SINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
208 26-01-2018 111117020118Y001413 0000527373246 ALFI FAJRYAN SYAH L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

209 26-01-2018 111117020118Y001419 0000527386241 TISEM P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
210 26-01-2018 111117020118Y001415 0000527392765 TARLEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
211 26-01-2018 111117020118Y001364 0000527393518 TASIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
212 26-01-2018 111117020118Y000734 0000527497896 NURYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
213 26-01-2018 111117020118Y001420 0000527576589 KARTAN L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
214 26-01-2018 111117020118Y001412 0000527802366 KASIM L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

215 26-01-2018 111117020118Y001368 0000527869247 LUTFI LAELA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
216 26-01-2018 111117020118Y001423 0000527953994 JANUAR NUR ARIFIN L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
217 26-01-2018 111117020118Y001365 0000527964939 NISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
218 26-01-2018 111117020118Y000727 0000528258969 SUWIDAH P PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
219 26-01-2018 111117020118Y001427 0000528280323 SUSIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
220 26-01-2018 111117020118Y001367 0000528417268 TASUN SUNARTO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
221 26-01-2018 111117020118Y001411 0001016486875 KASIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
222 26-01-2018 111117020118Y000728 0001016492016 MUNARTO L PBI (APBN) Congestive heart failure Rujuk Lanjut

223 26-01-2018 111117020118Y001425 0001016503841 MUDRIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
224 26-01-2018 111117020118Y001429 0001016510681 MUSONAH P PBI (APBN) Unspecified haemorrhoids Berobat Jalan
without complication

225 26-01-2018 111117020118Y001428 0001016510692 WULAN MARSHANDA P PBI (APBN) Hordeolum and other deep Berobat Jalan
inflammation of eyelid

226 26-01-2018 111117020118Y001421 0001142667832 USTI MUHIROH P PEGAWAI SWASTA Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

227 26-01-2018 111117020118Y001418 0001481413173 ETI SULISTYANI P PEGAWAI SWASTA Primary arthrosis of other Berobat Jalan
joints, unspecified site
228 26-01-2018 111117020118Y001417 0001481414894 ESSA WILDANUL FAWWAZ L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

229 26-01-2018 111117020118Y000733 0001484254629 NOFIAH P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
230 26-01-2018 111117020118Y000735 0001698337326 SITI ROKHAYATI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
231 26-01-2018 111117020118Y000731 0001830831388 TARSIYAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

232 26-01-2018 111117020118Y001369 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

233 26-01-2018 111117020118Y000729 0001889557918 KARTINAH P PEGAWAI PEMERINTAH Other cataract Rujuk Lanjut
DENGAN PERJANJIAN
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

234 26-01-2018 111117020118Y000732 0002266457411 SUPINAH P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
235 25-01-2018 111117020118Y001406 0000081849341 REZA AULIA TANSI PRATAMA L PNS PUSAT Acute upper respiratory Berobat Jalan
infection, unspecified
236 25-01-2018 111117020118Y001409 0000081963551 ROHKINI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
237 25-01-2018 111117020118Y001371 0000082040848 SOEDARTO L PENERIMA PENSIUN Acute pharyngitis, Berobat Jalan
PNS unspecified
238 25-01-2018 111117020118Y000648 0000210609246 bintan saniyya dzatin P PNS PUSAT Foreign body in respiratory Rujuk Lanjut
tract
239 25-01-2018 111117020118Y000646 0000525877435 KARWEN P PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

240 25-01-2018 111117020118Y001387 0000526001051 KITEM P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

241 25-01-2018 111117020118Y000654 0000527240417 ULI NUR AFNI P PBI (APBN) Maternal care for Rujuk Lanjut
disproportion, unspecified
242 25-01-2018 111117020118Y000652 0000527356293 RASLAM L PBI (APBN) Intervertebral disc Rujuk Lanjut
disorder, unspecified
243 25-01-2018 111117020118Y000649 0000527404702 MUSTAREJA L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

244 25-01-2018 111117020118Y001407 0000527429081 ZYLFIN B P PBI (APBN) Varicella without Berobat Jalan
complication
245 25-01-2018 111117020118Y000664 0000527431836 WATINI P PBI (APBN) Gestational Rujuk Lanjut
[pregnancy-induced]
hypertension without

246 25-01-2018 111117020118Y000660 0000527431836 WATINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
247 25-01-2018 111117020118Y001386 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
248 25-01-2018 111117020118Y000963 0000527534515 EMI RUSMIYATI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
249 25-01-2018 111117020118Y001381 0000527581719 SUNARYO L PBI (APBN) Myalgia Berobat Jalan

250 25-01-2018 111117020118Y001390 0000527671506 LUMBIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
251 25-01-2018 111117020118Y001382 0000527710421 FATIR MUGHNI AL HAKIM L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
252 25-01-2018 111117020118Y001392 0000527751551 RATI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

253 25-01-2018 111117020118Y001404 0000527762406 WARSINAH P PBI (APBN) Headache Berobat Jalan

254 25-01-2018 111117020118Y001403 0000527763486 ETRI KHORINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
255 25-01-2018 111117020118Y001394 0000527768548 FRIZKA AMELIA P PBI (APBN) Scabies Berobat Jalan

256 25-01-2018 111117020118Y001383 0000527769022 FAESAL RIFKI NASROLLOH L PBI (APBN) Fever, unspecified Berobat Jalan

257 25-01-2018 111117020118Y000656 0000527906417 NURUL SAFITRI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
258 25-01-2018 111117020118Y000677 0000527921728 SUPINAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
259 25-01-2018 111117020118Y000655 0000527947773 YATI P PBI (APBN) Congestive heart failure Rujuk Lanjut

260 25-01-2018 111117020118Y001372 0000527965795 CARKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
261 25-01-2018 111117020118Y000687 0000528034307 TARTI API YATINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
262 25-01-2018 111117020118Y001537 0000528041125 FITRI ALMENIAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
263 25-01-2018 111117020118Y001396 0000528079331 KARTIWEN P PBI (APBN) Gastritis, unspecified Berobat Jalan

264 25-01-2018 111117020118Y001397 0000528100648 KHUSNUL KHOTIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
265 25-01-2018 111117020118Y001384 0000528102933 AFRIZAL NUR FADLI L PBI (APBN) Fever, unspecified Berobat Jalan

266 25-01-2018 111117020118Y001402 0000528249159 SULTONI RIKAM L PBI (APBN) Low back pain Berobat Jalan

267 25-01-2018 111117020118Y001389 0000528319282 SODERI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
268 25-01-2018 111117020118Y001410 0000528327393 CARSAN SODERI L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

269 25-01-2018 111117020118Y000678 0000528400293 ROKHANIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
270 25-01-2018 111117020118Y000650 0000528411475 IKA ISTIANI P PBI (APBN) Irregular menstruation, Rujuk Lanjut
unspecified
271 25-01-2018 111117020118Y001385 0000528501587 TARKEM P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

272 25-01-2018 111117020118Y001373 0000528607326 KARTO L PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
273 25-01-2018 111117020118Y000659 0000529384353 FEBRIANTI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
274 25-01-2018 111117020118Y001388 0001016483602 RAKISEM P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

275 25-01-2018 111117020118Y001399 0001016484737 TARWEN P PBI (APBN) Myalgia Berobat Jalan

276 25-01-2018 111117020118Y001398 0001016488405 SUYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
277 25-01-2018 111117020118Y000653 0001083798437 TASMUDI L PBI (APBN) Cardiomegaly Rujuk Lanjut

278 25-01-2018 111117020118Y000658 0001135586406 SUMARWATI L PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
279 25-01-2018 111117020118Y001408 0001292158675 NOVIANDANY GEMA P PEGAWAI PEMERINTAH Headache Berobat Jalan
RAMADHAN NON PNS
280 25-01-2018 111117020118Y001395 0001433360046 ruchaniyah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

281 25-01-2018 111117020118Y001401 0001525389873 YUNI MARYANI P PEGAWAI SWASTA Pruritus, unspecified Berobat Jalan

282 25-01-2018 111117020118Y001405 0001615662303 WISEM P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

283 25-01-2018 111117020118Y000674 0001672925499 NURMALA P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
284 25-01-2018 111117020118Y001400 0001691659135 DIDIN SUPRANANTO L PEGAWAI SWASTA Acute pharyngitis, Berobat Jalan
unspecified
285 25-01-2018 111117020118Y000647 0001699292711 RISEM P PBI (APBD) Congestive heart failure Rujuk Lanjut

286 25-01-2018 111117020118Y001391 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

287 25-01-2018 111117020118Y001393 0002292620681 SAMSUDIN KARPIN L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
288 25-01-2018 111117020118Y000657 0002312866743 LUSI BENAZIR P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
289 24-01-2018 111117020118Y001356 0000081745558 ALID L PNS DAERAH Gastritis, unspecified Berobat Jalan

290 24-01-2018 111117020118Y001358 0000082036978 BUDIMAN L PENERIMA PENSIUN Dermatitis, unspecified Berobat Jalan
PNS
291 24-01-2018 111117020118Y001361 0000526696266 kasam L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
292 24-01-2018 111117020118Y001354 0000527022022 SARNO L PBI (APBN) Vertigo of central origin Berobat Jalan

293 24-01-2018 111117020118Y001340 0000527035239 NAWI P PBI (APBN) Other acute gastritis Berobat Jalan

294 24-01-2018 111117020118Y000573 0000527061137 MU`TY JAWAAD L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

295 24-01-2018 111117020118Y001351 0000527162398 SANGIROH P PBI (APBN) Otitis media, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

296 24-01-2018 111117020118Y000587 0000527246111 SUSANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
297 24-01-2018 111117020118Y001336 0000527398323 KAMINAH P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
298 24-01-2018 111117020118Y001329 0000527398626 RASYA EKA PRATAMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
299 24-01-2018 111117020118Y001343 0000527436516 KARNI P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
300 24-01-2018 111117020118Y000586 0000527444234 AMINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
301 24-01-2018 111117020118Y001346 0000527475442 IRWANTO L PBI (APBN) Other acute gastritis Berobat Jalan

302 24-01-2018 111117020118Y001349 0000527476577 SUMIRAH P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
303 24-01-2018 111117020118Y000959 0000527534515 EMI RUSMIYATI P PBI (APBN) Spontaneous vertex Sembuh
delivery
304 24-01-2018 111117020118Y000571 0000527534537 NOFIANA P PBI (APBN) Maternal care for Rujuk Lanjut
disproportion, unspecified
305 24-01-2018 111117020118Y001331 0000527551211 ANA CHAERUNISA P PBI (APBN) Acute gingivitis Berobat Jalan

306 24-01-2018 111117020118Y001344 0000527580832 SITI MAEMURNIATI P PBI (APBN) Myalgia Berobat Jalan

307 24-01-2018 111117020118Y001362 0000527584713 WASILAH P PBI (APBN) Myalgia Berobat Jalan

308 24-01-2018 111117020118Y000967 0000527584713 WASILAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
309 24-01-2018 111117020118Y000582 0000527601442 ROKHIMAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
310 24-01-2018 111117020118Y001350 0000527608282 DAINAH P PBI (APBN) Other acute gastritis Berobat Jalan

311 24-01-2018 111117020118Y001342 0000527628824 DAISEM P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
312 24-01-2018 111117020118Y001341 0000527630501 WAHYU PUJI KURNIAWAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
313 24-01-2018 111117020118Y001352 0000527662765 DATEM P PBI (APBN) Myalgia Berobat Jalan

314 24-01-2018 111117020118Y001337 0000527721074 MULIA NUR KHOLIFAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
315 24-01-2018 111117020118Y001353 0000527733707 RUNTIAH P PBI (APBN) Other acute gastritis Berobat Jalan

316 24-01-2018 111117020118Y001339 0000527779438 SUKONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
317 24-01-2018 111117020118Y001347 0000527802366 KASIM L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

318 24-01-2018 111117020118Y001359 0000527844003 NAGA APIQI L PBI (APBN) Myalgia Berobat Jalan

319 24-01-2018 111117020118Y000588 0000527943306 MURSINAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
320 24-01-2018 111117020118Y001335 0000527996924 SAHRUL EFENDI L PBI (APBN) Dermatitis, unspecified Berobat Jalan

321 24-01-2018 111117020118Y000570 0000528031304 RAFIANSYAH CANDRA PUTRA L PBI (APBN) Dislocation, sprain and Rujuk Lanjut
strain of joints and

322 24-01-2018 111117020118Y001334 0000528068597 ADRIAN WISNU PRADANA L PBI (APBN) Fever, unspecified Berobat Jalan

323 24-01-2018 111117020118Y001330 0000528073604 RIZKA NUR HOLIFAH P PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

324 24-01-2018 111117020118Y000583 0000528113024 ETI BUDIATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
325 24-01-2018 111117020118Y000584 0000528158103 RASITEM P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
326 24-01-2018 111117020118Y000574 0000528476051 SITI SUBARKAH P PBI (APBN) Maternal care for poor Rujuk Lanjut
fetal growth
327 24-01-2018 111117020118Y000578 0000528488741 SITI MUTAMIMATUL HIKMAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
328 24-01-2018 111117020118Y001357 0000528535282 ALFIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
329 24-01-2018 111117020118Y000576 0000528542076 SARINAH P PBI (APBN) Calculus of kidney Rujuk Lanjut

330 24-01-2018 111117020118Y000585 0000528552876 MUHYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
331 24-01-2018 111117020118Y001360 0000528643168 SOLIHAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
332 24-01-2018 111117020118Y000575 0001016479146 NADIN L PBI (APBN) Fracture of femur, part Rujuk Lanjut
unspecified
333 24-01-2018 111117020118Y001355 0001016486875 KASIM L PBI (APBN) Dyspepsia Berobat Jalan

334 24-01-2018 111117020118Y000581 0001016487933 YULI WARASWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
335 24-01-2018 111117020118Y001333 0001083642682 PARITEMS P PBI (APBN) Rheumatism, unspecified Berobat Jalan

336 24-01-2018 111117020118Y001338 0001615685804 KAMSI L PBI (APBD) Vertigo of central origin Berobat Jalan

337 24-01-2018 111117020118Y001348 0001695432508 SATINI P PBI (APBD) Open wound of Berobat Jalan
unspecified body region
338 24-01-2018 111117020118Y000579 0001812835866 kurniasih P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

339 24-01-2018 111117020118Y000577 0001826128901 YUNI SUPRIYATI P PEGAWAI SWASTA Sprain and strain of other Rujuk Lanjut
and unspecified parts of

340 24-01-2018 111117020118Y001328 0001968670304 SARIPAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

341 24-01-2018 111117020118Y001332 0002225616186 SITI NUROHMAH P PEGAWAI PEMERINTAH Vertigo of central origin Berobat Jalan
NON PNS
342 24-01-2018 111117020118Y000572 0002244052664 SUNAINAH P PENERIMA PENSIUN Chronic sinusitis, Rujuk Lanjut
PNS unspecified
343 24-01-2018 111117020118Y001345 0002298158324 RAJA BANI NUR ANOM L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
344 24-01-2018 111117020118Y000580 0002306585788 DWI ARTI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
345 23-01-2018 111117020118Y001327 0000193855724 SULASTRI P PNS PUSAT Dermatitis, unspecified Berobat Jalan

346 23-01-2018 111117020118Y001326 0000210709991 MUHAMMAD MIQDAMMAKFI L PNS PUSAT Dermatitis, unspecified Berobat Jalan

347 23-01-2018 111117020118Y001306 0000526237222 WARSINAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

348 23-01-2018 111117020118Y000590 0000526271354 SUDIRAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
349 23-01-2018 111117020118Y001303 0000526906809 DAKUM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
350 23-01-2018 111117020118Y001304 0000526957571 DAISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
351 23-01-2018 111117020118Y000592 0000526975784 MASROH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
352 23-01-2018 111117020118Y001311 0000527022336 ULUMISSA'IYYAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

353 23-01-2018 111117020118Y000566 0000527257012 UMIROTUN ASANAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
354 23-01-2018 111117020118Y000568 0000527294114 SUROH P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
355 23-01-2018 111117020118Y000969 0000527294114 SUROH P PBI (APBN) Pre-eclampsia, Berobat Jalan
unspecified
356 23-01-2018 111117020118Y001325 0000527320449 DEA SEPTIANINGRUM P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
357 23-01-2018 111117020118Y000564 0000527377127 SUMARNI P PBI (APBN) Other and unspecified Rujuk Lanjut
ovarian cysts
358 23-01-2018 111117020118Y001324 0000527436988 DIANA NUR CAHYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
359 23-01-2018 111117020118Y000591 0000527460355 SUNTIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

360 23-01-2018 111117020118Y001313 0000527500765 SANMARDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
361 23-01-2018 111117020118Y001316 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
362 23-01-2018 111117020118Y001314 0000527530329 RASILEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

363 23-01-2018 111117020118Y001302 0000527630984 WARTINAH P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
364 23-01-2018 111117020118Y000567 0000527729602 PAING L PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, without
mention of bacteriological
or histological confirmation

365 23-01-2018 111117020118Y000589 0000527808666 YUNI OKTAFIANA LISA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
366 23-01-2018 111117020118Y001305 0000527811513 SURIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
367 23-01-2018 111117020118Y000563 0000528077867 ROkHAYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
368 23-01-2018 111117020118Y000594 0000528079634 WAISAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
369 23-01-2018 111117020118Y001317 0000528355798 RADITA TABAK TAULANI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
370 23-01-2018 111117020118Y000562 0000528377872 AMININGSIH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
371 23-01-2018 111117020118Y001319 0000528603761 WISEM P PBI (APBN) Low back pain Berobat Jalan

372 23-01-2018 111117020118Y001321 0000529198389 KIRSEM P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

373 23-01-2018 111117020118Y001318 0001016488833 CITEM P PEKERJA MANDIRI Asthma, unspecified Berobat Jalan

374 23-01-2018 111117020118Y001310 0001084004684 WARSINI P PBI (APBN) Gastritis, unspecified Berobat Jalan

375 23-01-2018 111117020118Y001323 0001084193076 RASIWEN P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
376 23-01-2018 111117020118Y001308 0001445230348 ANANDA RIZKY MEGA L PEKERJA MANDIRI Fever, unspecified Berobat Jalan
SAPUTRA
377 23-01-2018 111117020118Y001312 0001654904283 RIZKI CHANDRA HIDAYAT L PEGAWAI SWASTA Scabies Berobat Jalan

378 23-01-2018 111117020118Y000560 0001672926131 KAMISAH P PBI (APBD) Chronic gastritis, Rujuk Lanjut
unspecified
379 23-01-2018 111117020118Y001307 0001694507949 MAMLUATUL HIKMAH P PBI (APBD) Vertigo of central origin Berobat Jalan

380 23-01-2018 111117020118Y001309 0001695435579 RATISEM P PBI (APBD) Vertigo of central origin Berobat Jalan

381 23-01-2018 111117020118Y001320 0001699679801 IIN PRIYANTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

382 23-01-2018 111117020118Y000561 0001723838365 KIDEM P PEKERJA MANDIRI Chronic gastritis, Rujuk Lanjut
unspecified
383 23-01-2018 111117020118Y000569 0001837953494 DINI NUR LAELI PRIYATIN P PEKERJA MANDIRI Prolonged second stage Rujuk Lanjut
(of labour)
384 23-01-2018 111117020118Y001315 0002242445668 WIWIT ARIYANI P PEKERJA MANDIRI Headache Berobat Jalan

385 23-01-2018 111117020118Y000593 0002261685396 SUPARTI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
386 23-01-2018 111117020118Y001322 0002321492128 MURTINGAH P PEKERJA MANDIRI Other acute gastritis Berobat Jalan

387 22-01-2018 111117020118Y001289 0000195027355 RAIHAN ZAKI RAMADANI L PNS PUSAT Open wound of Berobat Jalan
unspecified body region
388 22-01-2018 111117020118Y001244 0000525833381 Riyo priyoko L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
389 22-01-2018 111117020118Y001264 0000525986043 SUYITNO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
390 22-01-2018 111117020118Y001257 0000526001051 KITEM P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
391 22-01-2018 111117020118Y000598 0000526244681 fitri anggreyani P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
392 22-01-2018 111117020118Y001242 0000526394698 SILAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

393 22-01-2018 111117020118Y001237 0000526583338 WARSILAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
394 22-01-2018 111117020118Y001246 0000526603959 MUTIA amalia khusuma P PBI (APBN) Other acute gastritis Berobat Jalan

395 22-01-2018 111117020118Y001258 0000526651525 YASINTA TRI OKTAFIANI P PBI (APBN) Chronic rhinitis Berobat Jalan

396 22-01-2018 111117020118Y001281 0000526683159 DARSO L PBI (APBN) Myalgia Berobat Jalan

397 22-01-2018 111117020118Y000605 0000526758074 KHOTIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
398 22-01-2018 111117020118Y001239 0000526914167 WANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
399 22-01-2018 111117020118Y001290 0000527059168 TURWATI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

400 22-01-2018 111117020118Y001261 0000527087755 WIJAYANTI P PBI (APBN) Headache Berobat Jalan

401 22-01-2018 111117020118Y001247 0000527251656 RIKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
402 22-01-2018 111117020118Y000559 0000527281536 DAROJAH P PBI (APBN) Foreign body in ear Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

403 22-01-2018 111117020118Y001291 0000527296296 AISAH NUR CAHYANI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

404 22-01-2018 111117020118Y001278 0000527321316 IKA YUNI SAFITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
405 22-01-2018 111117020118Y000604 0000527354818 ALIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
406 22-01-2018 111117020118Y001271 0000527355551 ISNATUN FUDILAH MUKTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
407 22-01-2018 111117020118Y001255 0000527464451 TIFATUN FAJRIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
408 22-01-2018 111117020118Y000550 0000527516504 ANDRIYANI P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

409 22-01-2018 111117020118Y001252 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
410 22-01-2018 111117020118Y001270 0000527551211 ANA CHAERUNISA P PBI (APBN) Otitis media, unspecified Berobat Jalan

411 22-01-2018 111117020118Y000552 0000527620048 WARSONO L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

412 22-01-2018 111117020118Y000597 0000527625292 SULIMAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
413 22-01-2018 111117020118Y000554 0000527668211 WATEM P PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

414 22-01-2018 111117020118Y001250 0000527727892 DARWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
415 22-01-2018 111117020118Y001236 0000527802366 KASIM L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

416 22-01-2018 111117020118Y001276 0000527837422 SARINAH P PBI (APBN) Other acute gastritis Berobat Jalan

417 22-01-2018 111117020118Y000966 0000527837422 SARINAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
418 22-01-2018 111117020118Y000595 0000527906417 NURUL SAFITRI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
419 22-01-2018 111117020118Y001283 0000527916273 IFTITAH NUR FAJRI P PBI (APBN) Headache Berobat Jalan

420 22-01-2018 111117020118Y001254 0000527953994 JANUAR NUR ARIFIN L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
421 22-01-2018 111117020118Y001251 0000528009748 TRIYATNO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
422 22-01-2018 111117020118Y001240 0000528039628 KARSEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

423 22-01-2018 111117020118Y001260 0000528089128 FITRIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
424 22-01-2018 111117020118Y000556 0000528104485 KARTI P PBI (APBN) Heart failure, unspecified Rujuk Lanjut

425 22-01-2018 111117020118Y001268 0000528143883 DARYATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

426 22-01-2018 111117020118Y001280 0000528173561 ROPINGAH P PBI (APBN) Fever, unspecified Berobat Jalan

427 22-01-2018 111117020118Y001265 0000528211124 MAKSUM L PBI (APBN) Dermatitis, unspecified Berobat Jalan

428 22-01-2018 111117020118Y001266 0000528211157 KHOTIJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
429 22-01-2018 111117020118Y001259 0000528275878 SEHIN SAEFUDIN L PBI (APBN) Cellulitis, unspecified Berobat Jalan

430 22-01-2018 111117020118Y001249 0000528347068 SYIFA NUR AZIZAH P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
431 22-01-2018 111117020118Y001256 0000528470954 TASEM P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
432 22-01-2018 111117020118Y000549 0000528519159 TURIYAH P PBI (APBN) Other and unspecified Rujuk Lanjut
abdominal pain
433 22-01-2018 111117020118Y001262 0000528611297 DARSEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

434 22-01-2018 111117020118Y001286 0000528642538 FEBRIYANTO L PBI (APBN) Other acute gastritis Berobat Jalan

435 22-01-2018 111117020118Y000607 0000529782669 SITI MARYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
436 22-01-2018 111117020118Y000596 0001016481835 TRI WAHYUNI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
437 22-01-2018 111117020118Y001233 0001016486875 KASIM L PBI (APBN) Gastritis, unspecified Berobat Jalan

438 22-01-2018 111117020118Y001275 0001016487933 YULI WARASWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
439 22-01-2018 111117020118Y000555 0001016494874 NADEM P PBI (APBN) Contusion of thorax Rujuk Lanjut

440 22-01-2018 111117020118Y001253 0001389677714 DARIYAH P PEKERJA MANDIRI Myalgia Berobat Jalan

441 22-01-2018 111117020118Y001284 0001615662303 WISEM P PBI (APBD) Open wound of Berobat Jalan
unspecified body region
442 22-01-2018 111117020118Y001243 0001635360592 SURATMI P PEGAWAI SWASTA Gastro-oesophageal reflux Berobat Jalan
disease without

443 22-01-2018 111117020118Y000600 0001694515691 DWI RETNO ASIH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
444 22-01-2018 111117020118Y001238 0001697705594 RISAM L PBI (APBD) Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

445 22-01-2018 111117020118Y001273 0001697706887 TURWATI P PBI (APBD) Myalgia Berobat Jalan

446 22-01-2018 111117020118Y001248 0001697707484 MUHAMAD KHAIRIL FAIZUN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
447 22-01-2018 111117020118Y000602 0001837953494 DINI NUR LAELI PRIYATIN P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
448 22-01-2018 111117020118Y000599 0001847436017 SITI AISYAH P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
449 22-01-2018 111117020118Y001241 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

450 22-01-2018 111117020118Y000551 0001898870804 dinda mutiara wijaya sakti P PEKERJA MANDIRI Acquired haemolytic Rujuk Lanjut
anaemia, unspecified
451 22-01-2018 111117020118Y001234 0001962893564 asim suharyanto L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

452 22-01-2018 111117020118Y001235 0001962894868 natiyah P PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

453 22-01-2018 111117020118Y000601 0002054826101 KIKI RIZKY WULANDARI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
454 22-01-2018 111117020118Y001245 0002129632503 RIZKI DINI SAPUTRI P PBI (APBN) Vertigo of central origin Berobat Jalan

455 22-01-2018 111117020118Y001288 0002252392615 KASEM P PEKERJA MANDIRI Urticaria Berobat Jalan

456 22-01-2018 111117020118Y000606 0002255487063 KHOTI MARIAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
457 22-01-2018 111117020118Y000603 0002310823282 YULI NIRAWATI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
458 22-01-2018 111117020118Y000565 0002321492128 MURTINGAH P PEKERJA MANDIRI Calculus of kidney Rujuk Lanjut

459 20-01-2018 111117020118Y000542 0000081601345 DARTI P PNS DAERAH Chronic gastritis, Rujuk Lanjut
unspecified
460 20-01-2018 111117020118Y000686 0000526244051 JARIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
461 20-01-2018 111117020118Y001207 0000526912953 FANI INDRIANI P PBI (APBN) Open wound of Berobat Jalan
unspecified body region
462 20-01-2018 111117020118Y001212 0000526968437 SODIYAH P PBI (APBN) Otitis media, unspecified Berobat Jalan

463 20-01-2018 111117020118Y001204 0000527055726 TARWIYAH P PBI (APBN) Myalgia Berobat Jalan

464 20-01-2018 111117020118Y000685 0000527159529 RUNTIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
465 20-01-2018 111117020118Y001206 0000527161757 MUHTAROM L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

466 20-01-2018 111117020118Y001224 0000527191931 HANIF PRATAMA L PBI (APBN) Varicella without Berobat Jalan
complication
467 20-01-2018 111117020118Y000679 0000527221258 ARMI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
468 20-01-2018 111117020118Y001218 0000527251004 NIWEN P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
469 20-01-2018 111117020118Y001202 0000527251656 RIKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
470 20-01-2018 111117020118Y001216 0000527273381 AHMAD FAIZAH A L PBI (APBN) Dyspepsia Berobat Jalan

471 20-01-2018 111117020118Y001222 0000527379243 TINEM P PBI (APBN) Otitis media, unspecified Berobat Jalan

472 20-01-2018 111117020118Y001232 0000527397401 TOIFAH P PEGAWAI PEMERINTAH Gastritis, unspecified Berobat Jalan
DENGAN PERJANJIAN

473 20-01-2018 111117020118Y001219 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
474 20-01-2018 111117020118Y001200 0000527520813 TRISNO L PBI (APBN) Asthma, unspecified Berobat Jalan

475 20-01-2018 111117020118Y000682 0000527549883 SITI NURHAYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
476 20-01-2018 111117020118Y001203 0000527612815 LINDA ROHDIANA P PBI (APBN) Gastritis, unspecified Berobat Jalan

477 20-01-2018 111117020118Y000540 0000527666409 RIZKI OKTAVIANI P PBI (APBN) Maternal care for Rujuk Lanjut
disproportion, unspecified
478 20-01-2018 111117020118Y001225 0000527715066 TASIRAH P PBI (APBN) Acute gingivitis Berobat Jalan

479 20-01-2018 111117020118Y001201 0000527738668 SRI WAHYUNI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
480 20-01-2018 111117020118Y000543 0000527794626 WINTANG INDRASSWARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
481 20-01-2018 111117020118Y001198 0000527802366 KASIM L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

482 20-01-2018 111117020118Y001231 0000527903954 NILAM SAEFUDIN L PBI (APBN) Tinea corporis Berobat Jalan

483 20-01-2018 111117020118Y000683 0000527939234 KAPSAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
484 20-01-2018 111117020118Y001226 0000527979846 ALFIAN HENDAR YUNIAR L PBI (APBN) Fever, unspecified Berobat Jalan

485 20-01-2018 111117020118Y001228 0000527979881 MOHAMMAD ISMA HABAIQ L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
486 20-01-2018 111117020118Y001205 0000527986394 TIMAH P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
487 20-01-2018 111117020118Y001227 0000528086327 FATIMAH P PBI (APBN) Asthma, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

488 20-01-2018 111117020118Y000545 0000528127964 TARKIYAH P PBI (APBN) Angina pectoris, Rujuk Lanjut
unspecified
489 20-01-2018 111117020118Y000544 0000528267014 NOVITA ANDRIANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
490 20-01-2018 111117020118Y001223 0000528335853 SIKEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

491 20-01-2018 111117020118Y000541 0000528519159 TURIYAH P PBI (APBN) Other and unspecified Rujuk Lanjut
abdominal pain
492 20-01-2018 111117020118Y001211 0000528519543 NURUL KHOFIFAH P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
493 20-01-2018 111117020118Y000546 0001016479732 DARYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
494 20-01-2018 111117020118Y000680 0001016483736 TRI SETIANA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
495 20-01-2018 111117020118Y001230 0001016491601 SUKRIYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
496 20-01-2018 111117020118Y000548 0001016493906 KAITEM P PBI (APBN) Congestive heart failure Rujuk Lanjut

497 20-01-2018 111117020118Y001213 0001292793052 WARNIAH P PEGAWAI PEMERINTAH Conjunctivitis, unspecified Berobat Jalan
NON PNS
498 20-01-2018 111117020118Y001199 0001323648055 haiqi majied imansyah L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
499 20-01-2018 111117020118Y001229 0001615662303 WISEM P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

500 20-01-2018 111117020118Y001209 0001672925692 SITI SAFINAH P PBI (APBD) Gastritis, unspecified Berobat Jalan

501 20-01-2018 111117020118Y001210 0001697707462 MUHAMAD SADID SYA'BANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
502 20-01-2018 111117020118Y001208 0001723838365 KIDEM P PEKERJA MANDIRI Dyspepsia Berobat Jalan

503 20-01-2018 111117020118Y001214 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

504 20-01-2018 111117020118Y001217 0002129632481 FARADILA `ULYA MAGHFUROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
505 20-01-2018 111117020118Y001220 0002210684343 BALKIS SALSABILA P PEGAWAI SWASTA Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

506 20-01-2018 111117020118Y001221 0002243694352 ANGGIA GANISSA AWANDA P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
507 20-01-2018 111117020118Y001215 0002250021521 SIWEN P PEKERJA MANDIRI Myalgia Berobat Jalan

508 20-01-2018 111117020118Y000547 0002271933999 FITRIYAH P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

509 20-01-2018 111117020118Y000684 0002295882606 SITI ATIKOH P PEKERJA MANDIRI Care and examination Berobat Jalan
immediately after delivery
510 20-01-2018 111117020118Y000681 0002324572378 KARSITI P PEGAWAI PEMERINTAH Supervision of normal first Berobat Jalan
NON PNS pregnancy
511 19-01-2018 111117020118Y001184 0000082037979 KAMINAH P PENERIMA PENSIUN Fever, unspecified Berobat Jalan
PNS
512 19-01-2018 111117020118Y001195 0000082041952 SULIYATI P PENERIMA PENSIUN Conjunctivitis, unspecified Berobat Jalan
PNS
513 19-01-2018 111117020118Y000965 0000163594541 SITI MAHMUDAH P PNS PUSAT Contraceptive Berobat Jalan
management, unspecified
514 19-01-2018 111117020118Y001194 0000525877435 KARWEN P PBI (APBN) Asthma, unspecified Berobat Jalan

515 19-01-2018 111117020118Y001186 0000526109332 BUDI SUSENO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
516 19-01-2018 111117020118Y000531 0000526762405 MA'NAWIYAH P PBI (APBN) Antenatal screening, Rujuk Lanjut
unspecified
517 19-01-2018 111117020118Y000518 0000527245413 SIKEM P PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
518 19-01-2018 111117020118Y001185 0000527360501 RIKA RAHIM P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
519 19-01-2018 111117020118Y001188 0000527436516 KARNI P PBI (APBN) Open wound of Berobat Jalan
unspecified body region
520 19-01-2018 111117020118Y001182 0000527484093 SURTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
521 19-01-2018 111117020118Y001183 0000527484486 MUTIAH P PBI (APBN) Open wound of Berobat Jalan
unspecified body region
522 19-01-2018 111117020118Y000539 0000527486207 TARSIWAN SAHRUDIN L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

523 19-01-2018 111117020118Y001191 0000527488288 MUKLISUN L PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
524 19-01-2018 111117020118Y001531 0000527501698 FEBRIANA MAR `ATUS P PBI (APBN) Supervision of normal first Berobat Jalan
SOLIHAH pregnancy
525 19-01-2018 111117020118Y001181 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
526 19-01-2018 111117020118Y001190 0000527530105 MARTAJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
527 19-01-2018 111117020118Y001187 0000527530893 SOIROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
528 19-01-2018 111117020118Y001196 0000527637069 TISEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

529 19-01-2018 111117020118Y001192 0000527680967 SUDINO L PBI (APBN) Myalgia Berobat Jalan

530 19-01-2018 111117020118Y001179 0000527720624 RIZKI IGUH JATMIKO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

531 19-01-2018 111117020118Y001529 0000527808879 RIHATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
532 19-01-2018 111117020118Y001197 0000528519159 TURIYAH P PBI (APBN) Other acute gastritis Berobat Jalan

533 19-01-2018 111117020118Y000536 0000528550806 KALEM P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
534 19-01-2018 111117020118Y001533 0001633146502 MEI SURYATI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
535 19-01-2018 111117020118Y000530 0001733654182 KAWEN P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

536 19-01-2018 111117020118Y000538 0001809875632 lukman setioko L PEKERJA MANDIRI Schizophrenia, unspecified Rujuk Lanjut

537 19-01-2018 111117020118Y001189 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

538 19-01-2018 111117020118Y001180 0001960670755 galih nur hidayattulloh L PEGAWAI SWASTA Urinary tract infection, site Berobat Jalan
not specified
539 19-01-2018 111117020118Y000537 0002077053671 RUMIAH P PEKERJA MANDIRI Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle,

540 19-01-2018 111117020118Y001527 0002127748127 MULKHAYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
541 19-01-2018 111117020118Y001193 0002295964078 SUDAR L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
542 18-01-2018 111117020118Y000504 0000082040411 SATI P PENERIMA PENSIUN Low back pain, site Rujuk Lanjut
PNS unspecified
543 18-01-2018 111117020118Y001151 0000526013346 RASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
544 18-01-2018 111117020118Y001166 0000526233655 DWI SEPTIANI P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

545 18-01-2018 111117020118Y000642 0000526296475 SAFITRIYATI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
546 18-01-2018 111117020118Y000510 0000526903244 TUMIYATI P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
547 18-01-2018 111117020118Y001154 0000526912953 FANI INDRIANI P PBI (APBN) Injury of nerve(s) of Berobat Jalan
unspecified body region
548 18-01-2018 111117020118Y001161 0000527222362 KUNENI L PBI (APBN) Low back pain Berobat Jalan

549 18-01-2018 111117020118Y000645 0000527240417 ULI NUR AFNI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
550 18-01-2018 111117020118Y001523 0000527317931 MEI ARDIANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
551 18-01-2018 111117020118Y001514 0000527359241 YUSMINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

552 18-01-2018 111117020118Y001163 0000527379243 TINEM P PBI (APBN) Acute serous otitis media Berobat Jalan

553 18-01-2018 111117020118Y000644 0000527431836 WATINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
554 18-01-2018 111117020118Y001519 0000527480469 TASIRAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
555 18-01-2018 111117020118Y001524 0000527497896 NURYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
556 18-01-2018 111117020118Y000509 0000527516504 ANDRIYANI P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

557 18-01-2018 111117020118Y001156 0000527517628 MUGI HARTONO L PBI (APBN) Cellulitis, unspecified Berobat Jalan

558 18-01-2018 111117020118Y000643 0000527625292 SULIMAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
559 18-01-2018 111117020118Y001162 0000527736903 KIRTEM P PBI (APBN) Vertigo of central origin Berobat Jalan

560 18-01-2018 111117020118Y001521 0000527737274 DARSINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
561 18-01-2018 111117020118Y001516 0000527739186 NASIPAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
562 18-01-2018 111117020118Y001160 0000527740863 RAHMA ERNA SARI P PBI (APBN) Allergic urticaria Berobat Jalan

563 18-01-2018 111117020118Y001520 0000527749604 TUMIRAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
564 18-01-2018 111117020118Y000506 0000527924092 PARTI P PBI (APBN) Primary arthrosis of other Rujuk Lanjut
joints, unspecified site
565 18-01-2018 111117020118Y001155 0000528072592 AMINOTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

566 18-01-2018 111117020118Y001157 0000528102369 JONI RUBIANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
567 18-01-2018 111117020118Y000505 0000528274653 ROSIYAH P PBI (APBN) Primary arthrosis of other Rujuk Lanjut
joints, unspecified site
568 18-01-2018 111117020118Y001522 0000528400293 ROKHANIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
569 18-01-2018 111117020118Y000508 0000528673004 KAMILAH P PBI (APBN) Cataract, unspecified Rujuk Lanjut

570 18-01-2018 111117020118Y001158 0000529810143 SITI KHOTIMAH P PBI (APBN) Myalgia Berobat Jalan

571 18-01-2018 111117020118Y001159 0000529810525 MUHAMMAD HAQQIN NAZIL L PBI (APBN) Dyspepsia Berobat Jalan

572 18-01-2018 111117020118Y000502 0001016480395 sutinah P PBI (APBN) Maternal care for Rujuk Lanjut
transverse and oblique lie
573 18-01-2018 111117020118Y001150 0001016488798 TAMRINUL MALIK L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
574 18-01-2018 111117020118Y001153 0001016488866 SUHARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

575 18-01-2018 111117020118Y001164 0001016493377 SITI MUNIAH P PBI (APBN) Otitis externa Berobat Jalan

576 18-01-2018 111117020118Y001525 0001016496909 DARYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
577 18-01-2018 111117020118Y000507 0001016501422 SUMINI P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

578 18-01-2018 111117020118Y001526 0001016502783 WISAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
579 18-01-2018 111117020118Y001168 0001389677714 DARIYAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
580 18-01-2018 111117020118Y001152 0001695146703 TOFANDI L PBI (APBD) Other acute upper Berobat Jalan
respiratory infections of

581 18-01-2018 111117020118Y001165 0001697705447 SITI MALICHATUN NISA P PBI (APBD) Irregular menstruation, Berobat Jalan
unspecified
582 18-01-2018 111117020118Y001518 0001698337326 SITI ROKHAYATI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
583 18-01-2018 111117020118Y001167 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

584 18-01-2018 111117020118Y000503 0002221565567 SAMSI L PEKERJA MANDIRI Low back pain, site Rujuk Lanjut
unspecified
585 18-01-2018 111117020118Y000641 0002241859768 TAMRINAH P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
586 17-01-2018 111117020118Y001538 0000081748427 KORIB L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus without

587 17-01-2018 111117020118Y001532 0000081752545 ENDAR KUSNIATI P PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus without

588 17-01-2018 111117020118Y001300 0000081754064 SUWITO L PNS DAERAH Non-insulin-dependent Sembuh


diabetes mellitus without

589 17-01-2018 111117020118Y001065 0000081789366 SARIFUN L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

590 17-01-2018 111117020118Y001543 0000081957216 DARNINGSIH P PNS DAERAH Non-insulin-dependent Sembuh


diabetes mellitus without

591 17-01-2018 111117020118Y001466 0000081999955 SITI RUMIYATI P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

592 17-01-2018 111117020118Y001277 0000082038069 KARSO L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

593 17-01-2018 111117020118Y001496 0000082038521 RASEM P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

594 17-01-2018 111117020118Y001432 0000082039342 PARSINI P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

595 17-01-2018 111117020118Y001279 0000082039588 RASIKUN L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

596 17-01-2018 111117020118Y001059 0000082039678 RASIWAN L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

597 17-01-2018 111117020118Y001043 0000082039893 KAITEM P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

598 17-01-2018 111117020118Y001473 0000082040837 NAYEM P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

599 17-01-2018 111117020118Y001294 0000162756336 SUPONO L PNS PUSAT Non-insulin-dependent Sembuh


diabetes mellitus without

600 17-01-2018 111117020118Y001293 0000162903508 SUPINAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus without

601 17-01-2018 111117020118Y001149 0000210609246 bintan saniyya dzatin P PNS PUSAT Acute tonsillitis, Berobat Jalan
unspecified
602 17-01-2018 111117020118Y000498 0000526110388 NAFSIYATUN KHAMILAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
603 17-01-2018 111117020118Y001138 0000526360612 SUROH AGUSTINA P PBI (APBN) Headache Berobat Jalan

604 17-01-2018 111117020118Y001498 0000526693645 TASLIMAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

605 17-01-2018 111117020118Y001135 0000526723953 ALAHAL F L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
606 17-01-2018 111117020118Y000639 0000526758074 KHOTIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
607 17-01-2018 111117020118Y001301 0000526779742 RIYATI P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

608 17-01-2018 111117020118Y001287 0000526880035 SUGIARTI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

609 17-01-2018 111117020118Y001123 0000526888899 NUR CHOLIPAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
610 17-01-2018 111117020118Y001534 0000526917835 ROTIYAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

611 17-01-2018 111117020118Y001134 0000526933214 ARLI DIKA PRADANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
612 17-01-2018 111117020118Y000633 0000526954544 FANI INDAH LESTARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
613 17-01-2018 111117020118Y001132 0000527141452 AAN INANI L F P PBI (APBN) Scabies Berobat Jalan

614 17-01-2018 111117020118Y001120 0000527160971 PRIYOKO L PBI (APBN) Fever, unspecified Berobat Jalan

615 17-01-2018 111117020118Y001141 0000527195338 RITEM P PBI (APBN) Arthrosis, unspecified Berobat Jalan

616 17-01-2018 111117020118Y000501 0000527203967 NURUL HIDAYAH P PBI (APBN) Obesity, unspecified Rujuk Lanjut

617 17-01-2018 111117020118Y001449 0000527216578 DISEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

618 17-01-2018 111117020118Y001535 0000527217952 RUKHYATI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

619 17-01-2018 111117020118Y001131 0000527239179 RIZKY JULIANTO P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
620 17-01-2018 111117020118Y000636 0000527240024 UMI WAHYUNI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
621 17-01-2018 111117020118Y001484 0000527245817 SARWEN P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

622 17-01-2018 111117020118Y000488 0000527255278 LAELI HIKAYATUN NI'MAH P PBI (APBN) Maternal care for Rujuk Lanjut
disproportion, unspecified
623 17-01-2018 111117020118Y001139 0000527262579 SUNADI RASUN L PBI (APBN) Congestive heart failure Berobat Jalan

624 17-01-2018 111117020118Y001147 0000527283639 SOLEKHAH L PBI (APBN) Headache Berobat Jalan

625 17-01-2018 111117020118Y001536 0000527303417 MUHTAR L PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

626 17-01-2018 111117020118Y001298 0000527345649 KISEM P PBI (APBN) Essential (primary) Sembuh
hypertension
627 17-01-2018 111117020118Y001142 0000527349508 ALFA JULI SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

628 17-01-2018 111117020118Y000637 0000527354818 ALIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
629 17-01-2018 111117020118Y000499 0000527364279 LINA SUSANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

630 17-01-2018 111117020118Y001269 0000527370715 DARYATI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

631 17-01-2018 111117020118Y001505 0000527394611 KHAMDIYAH MUSTOFA P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

632 17-01-2018 111117020118Y001452 0000527405602 TARWI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

633 17-01-2018 111117020118Y000517 0000527416885 SODAH P PBI (APBN) Pre-eclampsia, Berobat Jalan
unspecified
634 17-01-2018 111117020118Y000496 0000527416885 SODAH P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
635 17-01-2018 111117020118Y001056 0000527476116 WARSEM P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

636 17-01-2018 111117020118Y001467 0000527488683 RUMINI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

637 17-01-2018 111117020118Y001136 0000527501698 FEBRIANA MAR `ATUS P PBI (APBN) Vertigo of central origin Berobat Jalan
SOLIHAH
638 17-01-2018 111117020118Y000640 0000527501698 FEBRIANA MAR `ATUS P PBI (APBN) Supervision of normal first Berobat Jalan
SOLIHAH pregnancy
639 17-01-2018 111117020118Y001470 0000527516234 TASILAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

640 17-01-2018 111117020118Y001119 0000527517628 MUGI HARTONO L PBI (APBN) Cellulitis, unspecified Berobat Jalan

641 17-01-2018 111117020118Y001446 0000527528125 SUTIRAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

642 17-01-2018 111117020118Y000634 0000527534537 NOFIANA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
643 17-01-2018 111117020118Y001450 0000527573362 AHMAD JAELANI NARLAM L PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

644 17-01-2018 111117020118Y001068 0000527591305 KENI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

645 17-01-2018 111117020118Y001461 0000527687098 KAITAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

646 17-01-2018 111117020118Y001069 0000527707348 KIRSEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

647 17-01-2018 111117020118Y000500 0000527727273 ARIF NUR PRASETYO L PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

648 17-01-2018 111117020118Y001115 0000527768548 FRIZKA AMELIA P PBI (APBN) Scabies Berobat Jalan

649 17-01-2018 111117020118Y000491 0000527772475 SUKIRNO L PBI (APBN) Presbyopia Rujuk Lanjut

650 17-01-2018 111117020118Y000493 0000527772734 SUMIRAH P PBI (APBN) Presbyopia Rujuk Lanjut

651 17-01-2018 111117020118Y001472 0000527781791 RIKEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

652 17-01-2018 111117020118Y001295 0000527784985 KARWI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

653 17-01-2018 111117020118Y001299 0000527823516 DAKEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

654 17-01-2018 111117020118Y001541 0000527830468 WARSITEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

655 17-01-2018 111117020118Y001116 0000527880194 DARKEM P PBI (APBN) Pruritus, unspecified Berobat Jalan

656 17-01-2018 111117020118Y001048 0000527886898 KIWEN P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

657 17-01-2018 111117020118Y001144 0000527887923 KASWEN P PBI (APBN) Vertigo of central origin Berobat Jalan

658 17-01-2018 111117020118Y001436 0000527897428 RAKEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

659 17-01-2018 111117020118Y000494 0000527953994 JANUAR NUR ARIFIN L PBI (APBN) Acute appendicitis, Rujuk Lanjut
unspecified
660 17-01-2018 111117020118Y001128 0000527976876 NIRTEM P PBI (APBN) Otitis externa Berobat Jalan

661 17-01-2018 111117020118Y001117 0000528058708 AKHWATUSH SHOLIHAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

662 17-01-2018 111117020118Y000490 0000528067181 DIRAH P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
663 17-01-2018 111117020118Y001067 0000528106869 KARISEM P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

664 17-01-2018 111117020118Y001481 0000528115678 RIWEN P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

665 17-01-2018 111117020118Y000495 0000528136683 SALEM P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

666 17-01-2018 111117020118Y001063 0000528164054 NILEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

667 17-01-2018 111117020118Y001499 0000528197253 TARMINAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

668 17-01-2018 111117020118Y000497 0000528255999 SEPTIyANA PURNAMASARI P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
669 17-01-2018 111117020118Y001478 0000528258914 NARSIH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

670 17-01-2018 111117020118Y001431 0000528280323 SUSIYATI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

671 17-01-2018 111117020118Y001475 0000528296567 KUSNIYAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

672 17-01-2018 111117020118Y001528 0000528351952 DASINAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

673 17-01-2018 111117020118Y001433 0000528361277 YULIAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

674 17-01-2018 111117020118Y000489 0000528426066 ROKHIBUN DJUMAH L PBI (APBN) Concussion, without open Rujuk Lanjut
intracranial wound
675 17-01-2018 111117020118Y001133 0000528538746 TARIYAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

676 17-01-2018 111117020118Y001515 0000528662564 MURTINAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

677 17-01-2018 111117020118Y001272 0000528667839 RUWIYANTI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

678 17-01-2018 111117020118Y001430 0000528673004 KAMILAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

679 17-01-2018 111117020118Y001435 0001016483387 KUSWIYAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

680 17-01-2018 111117020118Y001066 0001016484737 TARWEN P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

681 17-01-2018 111117020118Y001263 0001016485007 KATEM P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

682 17-01-2018 111117020118Y001137 0001016486875 KASIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
683 17-01-2018 111117020118Y001070 0001016487224 RISEM P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus without

684 17-01-2018 111117020118Y001071 0001016487775 RETTI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus without

685 17-01-2018 111117020118Y001121 0001016487775 RETTI P PBI (APBN) Myalgia Berobat Jalan

686 17-01-2018 111117020118Y001468 0001016488833 CITEM P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus without

687 17-01-2018 111117020118Y001129 0001016502851 KHUSWATUN FATONAH P PBI (APBN) Hordeolum and chalazion Berobat Jalan

688 17-01-2018 111117020118Y001118 0001016529333 NUR FATIHATUR R P PBI (APBN) Vertigo of central origin Berobat Jalan

689 17-01-2018 111117020118Y001297 0001283984379 WARINAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus without

690 17-01-2018 111117020118Y001542 0001292791149 TUMIYATI P PEGAWAI PEMERINTAH Non-insulin-dependent Sembuh


DENGAN PERJANJIAN diabetes mellitus without

691 17-01-2018 111117020118Y001062 0001386088334 nisem P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus without

692 17-01-2018 111117020118Y001064 0001430575222 maryati P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus without

693 17-01-2018 111117020118Y001267 0001433360046 ruchaniyah P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus without

694 17-01-2018 111117020118Y001296 0001434004762 TITIN ZETIN P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without

695 17-01-2018 111117020118Y001122 0001482297434 HENDRI SISWANTI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

696 17-01-2018 111117020118Y001143 0001615662303 WISEM P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

697 17-01-2018 111117020118Y001146 0001615662336 NOVITA SEPTI YANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
698 17-01-2018 111117020118Y001124 0001635088689 NOVIATI P PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

699 17-01-2018 111117020118Y000515 0001672925692 SITI SAFINAH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

700 17-01-2018 111117020118Y001140 0001695146872 ROSYIDIN L PBI (APBD) Presbyopia Berobat Jalan

701 17-01-2018 111117020118Y000492 0001697705594 RISAM L PBI (APBD) Chronic sinusitis, Rujuk Lanjut
unspecified
702 17-01-2018 111117020118Y001127 0001698743823 TAMIDI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
703 17-01-2018 111117020118Y001072 0001801351989 RASIYEM P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without

704 17-01-2018 111117020118Y000635 0001812835866 kurniasih P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
705 17-01-2018 111117020118Y001517 0001870452797 karsitem P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without

706 17-01-2018 111117020118Y001061 0001888188041 TUMIRAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus without

707 17-01-2018 111117020118Y001052 0001889557918 KARTINAH P PEGAWAI PEMERINTAH Non-insulin-dependent Sembuh


DENGAN PERJANJIAN diabetes mellitus without

708 17-01-2018 111117020118Y001292 0001969389202 SUTIRAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus without

709 17-01-2018 111117020118Y000638 0002120751472 SITI MUTMAINAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
710 17-01-2018 111117020118Y001285 0002227469681 SARIYAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without

711 17-01-2018 111117020118Y001274 0002229453325 ISMADI IRWAN L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without

712 17-01-2018 111117020118Y001060 0002265137559 TRISNA PRICHATIN P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without

713 17-01-2018 111117020118Y001145 0002265138843 FEBRI AHMADANI L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

714 17-01-2018 111117020118Y001130 0002267849529 NATUN SUMARTO L PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease,

715 17-01-2018 111117020118Y001148 0002272610226 LABIB MUBAROK L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

716 17-01-2018 111117020118Y001530 0002281162612 NASUKHA TARSUN L PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
717 17-01-2018 111117020118Y001282 0002283197174 KRISTINA P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

718 16-01-2018 111117020118Y000875 0000003404619 DAWAM AS L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
719 16-01-2018 111117020118Y000919 0000081746144 BARJO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
720 16-01-2018 111117020118Y000898 0000081749182 MUDRIAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
721 16-01-2018 111117020118Y000892 0000081752703 REVIANTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
722 16-01-2018 111117020118Y000916 0000081969748 WISONGKO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
723 16-01-2018 111117020118Y000873 0000082015841 WASUM L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
724 16-01-2018 111117020118Y000744 0000082037979 KAMINAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
725 16-01-2018 111117020118Y000741 0000082040106 SALIMI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
726 16-01-2018 111117020118Y000751 0000082040848 SOEDARTO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
727 16-01-2018 111117020118Y000753 0000082040872 SOIROH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
728 16-01-2018 111117020118Y000866 0000082041838 SUTAJAT L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
729 16-01-2018 111117020118Y000900 0000082042773 WIGATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
730 16-01-2018 111117020118Y000940 0000525813761 SUWASTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
731 16-01-2018 111117020118Y000863 0000525848938 RAIDEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
732 16-01-2018 111117020118Y000818 0000525884995 CASAM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
733 16-01-2018 111117020118Y000820 0000525966039 CALEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
734 16-01-2018 111117020118Y000827 0000526109016 DATEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
735 16-01-2018 111117020118Y000861 0000526234454 KUSYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
736 16-01-2018 111117020118Y000887 0000526310289 TARKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
737 16-01-2018 111117020118Y000785 0000526548701 LASEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
738 16-01-2018 111117020118Y000857 0000526558915 SARINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

739 16-01-2018 111117020118Y000838 0000526593429 NASIDEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
740 16-01-2018 111117020118Y000905 0000526633841 SUTIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
741 16-01-2018 111117020118Y000855 0000526651481 SUMARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
742 16-01-2018 111117020118Y000811 0000526727564 KUSWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
743 16-01-2018 111117020118Y001093 0000526825067 SAIFUDIN L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

744 16-01-2018 111117020118Y000837 0000526859594 AMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
745 16-01-2018 111117020118Y000932 0000526883602 WARSITO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
746 16-01-2018 111117020118Y001073 0000526912953 FANI INDRIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
747 16-01-2018 111117020118Y000834 0000526913155 NARDEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
748 16-01-2018 111117020118Y000485 0000526915168 LIVA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
749 16-01-2018 111117020118Y000917 0000526940695 RIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
750 16-01-2018 111117020118Y001108 0000526948863 EFAN SOEFATUL HOLIS L PBI (APBN) Gastritis, unspecified Berobat Jalan

751 16-01-2018 111117020118Y000788 0000526957571 DAISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
752 16-01-2018 111117020118Y000742 0000526964141 DASIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
753 16-01-2018 111117020118Y000922 0000527017858 KITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
754 16-01-2018 111117020118Y000790 0000527025947 BARIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
755 16-01-2018 111117020118Y000950 0000527035239 NAWI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
756 16-01-2018 111117020118Y000924 0000527035667 SIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
757 16-01-2018 111117020118Y000819 0000527047942 SARTEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
758 16-01-2018 111117020118Y000841 0000527134757 JAENAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
759 16-01-2018 111117020118Y000881 0000527148876 SUGIANTO SUKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
760 16-01-2018 111117020118Y000880 0000527149596 KHALIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

761 16-01-2018 111117020118Y000807 0000527176642 SANAWI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
762 16-01-2018 111117020118Y001092 0000527217952 RUKHYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

763 16-01-2018 111117020118Y001076 0000527221451 GALUH AIRLANGGA PRASETYO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
764 16-01-2018 111117020118Y000852 0000527224364 NURKHAYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
765 16-01-2018 111117020118Y000903 0000527228728 RODAD PANTONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
766 16-01-2018 111117020118Y000844 0000527250352 TARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
767 16-01-2018 111117020118Y000791 0000527251004 NIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
768 16-01-2018 111117020118Y001096 0000527264785 DAWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
769 16-01-2018 111117020118Y000486 0000527268442 PARYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
770 16-01-2018 111117020118Y000910 0000527270141 WARSIDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
771 16-01-2018 111117020118Y000826 0000527270229 TIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
772 16-01-2018 111117020118Y000754 0000527276092 KARJUKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
773 16-01-2018 111117020118Y000789 0000527289579 NASIEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
774 16-01-2018 111117020118Y000948 0000527300076 WARIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
775 16-01-2018 111117020118Y000936 0000527301595 NERI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
776 16-01-2018 111117020118Y001085 0000527314364 RISWAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
777 16-01-2018 111117020118Y000629 0000527322576 KUSRIYANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
778 16-01-2018 111117020118Y000759 0000527332915 SUTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
779 16-01-2018 111117020118Y000906 0000527345649 KISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
780 16-01-2018 111117020118Y000831 0000527351725 PARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

781 16-01-2018 111117020118Y000772 0000527353582 MUHIDIN RATIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
782 16-01-2018 111117020118Y000771 0000527353986 NAILAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
783 16-01-2018 111117020118Y000756 0000527362121 SAKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
784 16-01-2018 111117020118Y000876 0000527365686 NARSEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
785 16-01-2018 111117020118Y000944 0000527384136 SUKIR L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
786 16-01-2018 111117020118Y000883 0000527385554 SUPINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
787 16-01-2018 111117020118Y000482 0000527388186 KHASANAH P PBI (APBN) Hypermetropia Rujuk Lanjut

788 16-01-2018 111117020118Y000487 0000527392607 UMI WASILAH P PBI (APBN) Labour and delivery Rujuk Lanjut
complicated by fetal

789 16-01-2018 111117020118Y000884 0000527418786 SUDIARTO AL KIRSAD L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
790 16-01-2018 111117020118Y000840 0000527459938 KADEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
791 16-01-2018 111117020118Y000812 0000527466712 SLAMET P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
792 16-01-2018 111117020118Y000901 0000527472472 DUL MUKTI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
793 16-01-2018 111117020118Y000628 0000527474272 WATINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
794 16-01-2018 111117020118Y000886 0000527481898 KASNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
795 16-01-2018 111117020118Y000925 0000527493519 SUMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
796 16-01-2018 111117020118Y001106 0000527493881 WAHYU SUGENG RIYADI L PBI (APBN) Headache Berobat Jalan

797 16-01-2018 111117020118Y000832 0000527499922 RIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
798 16-01-2018 111117020118Y000865 0000527502903 RIKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
799 16-01-2018 111117020118Y001095 0000527504139 DIRPAN SUKARTO L PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
800 16-01-2018 111117020118Y001074 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
801 16-01-2018 111117020118Y000843 0000527518179 NILEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

802 16-01-2018 111117020118Y001089 0000527519439 MUSRIFAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
803 16-01-2018 111117020118Y000915 0000527544729 SOBIRIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
804 16-01-2018 111117020118Y000894 0000527558027 RATIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
805 16-01-2018 111117020118Y000871 0000527569143 TARLEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
806 16-01-2018 111117020118Y000874 0000527575419 KARSEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
807 16-01-2018 111117020118Y000781 0000527663597 NAIDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
808 16-01-2018 111117020118Y000784 0000527676445 LASIEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
809 16-01-2018 111117020118Y000847 0000527680348 SITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
810 16-01-2018 111117020118Y000806 0000527701746 TURIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
811 16-01-2018 111117020118Y000885 0000527702747 RUMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
812 16-01-2018 111117020118Y000933 0000527702984 NASIKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
813 16-01-2018 111117020118Y000935 0000527705493 RINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
814 16-01-2018 111117020118Y000782 0000527712028 WARNIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
815 16-01-2018 111117020118Y000897 0000527716214 YATINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
816 16-01-2018 111117020118Y000848 0000527716359 KINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
817 16-01-2018 111117020118Y000760 0000527717079 WARTINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
818 16-01-2018 111117020118Y000816 0000527718475 TIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
819 16-01-2018 111117020118Y001099 0000527720556 SUENDI L PBI (APBN) Asthma, unspecified Berobat Jalan

820 16-01-2018 111117020118Y000856 0000527742235 RISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
821 16-01-2018 111117020118Y001107 0000527751461 NUNUNG AGUS SRI M P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
822 16-01-2018 111117020118Y000858 0000527761225 DARWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

823 16-01-2018 111117020118Y000943 0000527772734 SUMIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
824 16-01-2018 111117020118Y000776 0000527776356 DASEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
825 16-01-2018 111117020118Y000797 0000527783466 TONAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
826 16-01-2018 111117020118Y000833 0000527784344 KIRWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
827 16-01-2018 111117020118Y000893 0000527785446 RANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
828 16-01-2018 111117020118Y000867 0000527786447 KASIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
829 16-01-2018 111117020118Y000794 0000527798474 RAISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
830 16-01-2018 111117020118Y000850 0000527808813 LATEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
831 16-01-2018 111117020118Y000813 0000527814808 WASINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
832 16-01-2018 111117020118Y000878 0000527845149 NARKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
833 16-01-2018 111117020118Y000803 0000527855231 RUKIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
834 16-01-2018 111117020118Y000802 0000527856524 CATEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
835 16-01-2018 111117020118Y000817 0000527858098 SITI ROMLIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
836 16-01-2018 111117020118Y000851 0000527885166 KARSITIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
837 16-01-2018 111117020118Y000799 0000527892344 WARTEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
838 16-01-2018 111117020118Y000862 0000527902176 DASILEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
839 16-01-2018 111117020118Y000755 0000527904797 SIKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
840 16-01-2018 111117020118Y000746 0000527905697 RIBUT P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
841 16-01-2018 111117020118Y000798 0000527907971 TARSILAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
842 16-01-2018 111117020118Y000824 0000527924351 TIRWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
843 16-01-2018 111117020118Y000836 0000527931933 SUHIP P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

844 16-01-2018 111117020118Y000821 0000527940077 RAITAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
845 16-01-2018 111117020118Y001075 0000527945769 ARNES DWI FEBRIYAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
846 16-01-2018 111117020118Y000750 0000527951452 SITI ROMDONAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
847 16-01-2018 111117020118Y000801 0000527968967 SAINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
848 16-01-2018 111117020118Y000787 0000527979306 NURUL UMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
849 16-01-2018 111117020118Y000769 0000527987373 SARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
850 16-01-2018 111117020118Y000752 0000527995438 SAINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
851 16-01-2018 111117020118Y000902 0000528028323 rASMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
852 16-01-2018 111117020118Y000904 0000528033082 ENI MUSLICHATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
853 16-01-2018 111117020118Y000845 0000528038807 YATINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
854 16-01-2018 111117020118Y000918 0000528039516 RATINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
855 16-01-2018 111117020118Y000860 0000528039628 KARSEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
856 16-01-2018 111117020118Y000748 0000528039865 DISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
857 16-01-2018 111117020118Y000780 0000528043893 RATMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
858 16-01-2018 111117020118Y001087 0000528082558 SYFA KARUNIA SUPRAPTI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

859 16-01-2018 111117020118Y000921 0000528085991 TARMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
860 16-01-2018 111117020118Y000868 0000528089534 TUMIARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
861 16-01-2018 111117020118Y000793 0000528092807 NIDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
862 16-01-2018 111117020118Y000483 0000528104485 KARTI P PBI (APBN) Congestive heart failure Rujuk Lanjut

863 16-01-2018 111117020118Y000737 0000528111843 NASIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
864 16-01-2018 111117020118Y000877 0000528125073 TASEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
865 16-01-2018 111117020118Y000800 0000528128662 NIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

866 16-01-2018 111117020118Y000939 0000528157473 RAWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
867 16-01-2018 111117020118Y000774 0000528180208 RAITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
868 16-01-2018 111117020118Y000792 0000528238844 TASWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
869 16-01-2018 111117020118Y000864 0000528262391 KAROMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
870 16-01-2018 111117020118Y000822 0000528280492 ROSIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
871 16-01-2018 111117020118Y000767 0000528280738 YATEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
872 16-01-2018 111117020118Y000854 0000528292675 CARLEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
873 16-01-2018 111117020118Y000815 0000528313342 AKHMAD CHOLIDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
874 16-01-2018 111117020118Y000777 0000528318764 SUNARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
875 16-01-2018 111117020118Y001091 0000528339969 SOLIHIN L PBI (APBN) Rheumatism, unspecified Berobat Jalan

876 16-01-2018 111117020118Y000783 0000528352672 WARKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
877 16-01-2018 111117020118Y000796 0000528354606 DARISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
878 16-01-2018 111117020118Y000889 0000528355078 SANIS P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
879 16-01-2018 111117020118Y001098 0000528355798 RADITA TABAK TAULANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
880 16-01-2018 111117020118Y000632 0000528363538 SULASTRI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
881 16-01-2018 111117020118Y000926 0000528380144 CARISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
882 16-01-2018 111117020118Y001100 0000528405175 SIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
883 16-01-2018 111117020118Y000484 0000528492802 SOBIRIN L PBI (APBN) Haemorrhage from Rujuk Lanjut
respiratory passages
884 16-01-2018 111117020118Y000805 0000528519058 TARISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
885 16-01-2018 111117020118Y001088 0000528519543 NURUL KHOFIFAH P PBI (APBN) Headache Berobat Jalan

886 16-01-2018 111117020118Y000740 0000528606652 SUPINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
887 16-01-2018 111117020118Y000849 0000528673803 SODIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

888 16-01-2018 111117020118Y000870 0000528687393 SAIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
889 16-01-2018 111117020118Y000773 0000528719861 KADEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
890 16-01-2018 111117020118Y001111 0000529176611 YULIANTI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
891 16-01-2018 111117020118Y000952 0000529186645 TARMIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
892 16-01-2018 111117020118Y001104 0000529187725 FERI NUR ASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
893 16-01-2018 111117020118Y000879 0001016481385 MAHMUDI KATUM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
894 16-01-2018 111117020118Y000882 0001016481396 WARITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
895 16-01-2018 111117020118Y000946 0001016483793 RAKISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
896 16-01-2018 111117020118Y000846 0001016484006 SUMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
897 16-01-2018 111117020118Y000749 0001016484186 SUTIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
898 16-01-2018 111117020118Y001109 0001016486998 MUHIDI CARIM L PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
899 16-01-2018 111117020118Y000795 0001016487404 NGATIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
900 16-01-2018 111117020118Y000842 0001016487753 KASIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
901 16-01-2018 111117020118Y000779 0001016487933 YULI WARASWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
902 16-01-2018 111117020118Y000835 0001016489542 KAIDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
903 16-01-2018 111117020118Y000869 0001016489878 PUJI PRIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
904 16-01-2018 111117020118Y000913 0001016490227 PASIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
905 16-01-2018 111117020118Y000825 0001016490633 TARISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
906 16-01-2018 111117020118Y000743 0001016490892 NARWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
907 16-01-2018 111117020118Y000941 0001016491329 SUCI ROVIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
908 16-01-2018 111117020118Y000627 0001016491421 KHAMDIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

909 16-01-2018 111117020118Y000911 0001016497809 WASIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
910 16-01-2018 111117020118Y001090 0001016502535 DIYAN TRISMAWATI P PBI (APBN) Vertigo of central origin Berobat Jalan

911 16-01-2018 111117020118Y001105 0001016505099 JUMIRAH P PBI (APBN) Myalgia Berobat Jalan

912 16-01-2018 111117020118Y000778 0001016511671 SITI SANGADAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
913 16-01-2018 111117020118Y000757 0001016511715 DAISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
914 16-01-2018 111117020118Y000762 0001016511974 WITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
915 16-01-2018 111117020118Y000631 0001016525081 SITI ROHANAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
916 16-01-2018 111117020118Y000761 0001079378515 WAINAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
917 16-01-2018 111117020118Y000738 0001083656035 KASITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
918 16-01-2018 111117020118Y000951 0001084514736 NARKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
919 16-01-2018 111117020118Y000945 0001290958075 DISEM P PNS PUSAT Essential (primary) Berobat Jalan
hypertension
920 16-01-2018 111117020118Y000949 0001292278926 ROMILAH P PEGAWAI PEMERINTAH Essential (primary) Berobat Jalan
DENGAN PERJANJIAN hypertension

921 16-01-2018 111117020118Y000937 0001292691172 M. BAHRUN KISWAN L PEGAWAI PEMERINTAH Essential (primary) Berobat Jalan
DENGAN PERJANJIAN hypertension

922 16-01-2018 111117020118Y000763 0001293182381 MUSLIMAH P PEGAWAI PEMERINTAH Essential (primary) Berobat Jalan
DENGAN PERJANJIAN hypertension

923 16-01-2018 111117020118Y001097 0001448517126 WARTINI P PEKERJA MANDIRI Primary arthrosis of other Berobat Jalan
joints, unspecified site
924 16-01-2018 111117020118Y001101 0001615662303 WISEM P PBI (APBD) Myalgia Berobat Jalan

925 16-01-2018 111117020118Y000899 0001615686355 PARWATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
926 16-01-2018 111117020118Y001103 0001639359674 QUROTA CINTA ZAAFARANI P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
927 16-01-2018 111117020118Y000808 0001672925771 NASUN NAHIRIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
928 16-01-2018 111117020118Y000809 0001672925782 NAILEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
929 16-01-2018 111117020118Y000829 0001672925883 LICHIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

930 16-01-2018 111117020118Y000830 0001672925894 TUMINAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
931 16-01-2018 111117020118Y000630 0001695146308 SUCIATI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
932 16-01-2018 111117020118Y000828 0001695150797 CIKEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
933 16-01-2018 111117020118Y000786 0001695433061 KARWEN P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
934 16-01-2018 111117020118Y000747 0001697704029 FATONAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
935 16-01-2018 111117020118Y000914 0001697704648 TUKHERI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
936 16-01-2018 111117020118Y000853 0001697704964 NISEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
937 16-01-2018 111117020118Y000814 0001698337361 SLAMET L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
938 16-01-2018 111117020118Y000810 0001698337372 SUTIRAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
939 16-01-2018 111117020118Y000859 0001698338349 RAKEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
940 16-01-2018 111117020118Y001086 0001811627493 CHOTIMAH P PENERIMA PENSIUN Primary arthrosis of other Berobat Jalan
PNS joints, unspecified site
941 16-01-2018 111117020118Y000912 0001814518776 daryanti P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
942 16-01-2018 111117020118Y000938 0001870452516 tohidin wartim L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
943 16-01-2018 111117020118Y000765 0001877945692 nasilem P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
944 16-01-2018 111117020118Y000745 0001966358946 KUSMINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
945 16-01-2018 111117020118Y000764 0001969388875 NGAINUL MUTTAQIIN L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
946 16-01-2018 111117020118Y000947 0001971160198 SUDI SUKARYANTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
947 16-01-2018 111117020118Y000896 0002022366554 BADARI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
948 16-01-2018 111117020118Y000758 0002024544115 SURYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
949 16-01-2018 111117020118Y000768 0002024760014 WARTONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
950 16-01-2018 111117020118Y000770 0002033838909 RAHARJO SUGIYO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

951 16-01-2018 111117020118Y000823 0002038049109 KARSIWEN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
952 16-01-2018 111117020118Y000920 0002077053671 RUMIAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
953 16-01-2018 111117020118Y000909 0002079746291 KARSIM MANGKUARIS L PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
954 16-01-2018 111117020118Y000908 0002079746752 KAISEM P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
955 16-01-2018 111117020118Y000891 0002229454113 WARKEM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
956 16-01-2018 111117020118Y000942 0002240429049 KHOTIJAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
957 16-01-2018 111117020118Y000895 0002243219602 KHOMSIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
958 16-01-2018 111117020118Y000766 0002244839343 NARNI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
959 16-01-2018 111117020118Y000804 0002255528114 SANGIDI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
960 16-01-2018 111117020118Y000934 0002258479113 SURYATI P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
961 16-01-2018 111117020118Y001110 0002260308925 RUMINI P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

962 16-01-2018 111117020118Y000775 0002262184266 SUMILAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
963 16-01-2018 111117020118Y000739 0002265409236 DASIWEN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
964 16-01-2018 111117020118Y001102 0002282561032 SAIRAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
965 15-01-2018 111117020118Y001042 0000525877435 KARWEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
966 15-01-2018 111117020118Y001047 0000525886828 KARTIKA dwi yulianti P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
967 15-01-2018 111117020118Y001045 0000526291672 WINDIARTI P PBI (APBN) Otitis media, unspecified Berobat Jalan

968 15-01-2018 111117020118Y001035 0000526938579 ALIKA DWI YULIANTI P PBI (APBN) Other acute gastritis Berobat Jalan

969 15-01-2018 111117020118Y001041 0000526968437 SODIYAH P PBI (APBN) Otitis media, unspecified Berobat Jalan

970 15-01-2018 111117020118Y001037 0000527056558 KADAN ANGGARATA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

971 15-01-2018 111117020118Y000442 0000527169115 SYIHABUL UMAM L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

972 15-01-2018 111117020118Y000621 0000527176607 TUTI KARTIKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
973 15-01-2018 111117020118Y000625 0000527203967 NURUL HIDAYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
974 15-01-2018 111117020118Y001055 0000527296296 AISAH NUR CAHYANI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

975 15-01-2018 111117020118Y001040 0000527299569 TISAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
976 15-01-2018 111117020118Y000474 0000527314364 RISWAN L PBI (APBN) Iridocyclitis, unspecified Rujuk Lanjut

977 15-01-2018 111117020118Y000466 0000527353547 KAIPAH P PBI (APBN) Other and unspecified Rujuk Lanjut
abdominal pain
978 15-01-2018 111117020118Y001021 0000527458533 TARISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
979 15-01-2018 111117020118Y001022 0000527511126 TARSIWEN P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
980 15-01-2018 111117020118Y001030 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
981 15-01-2018 111117020118Y001025 0000527518113 ALBARKAH ABILYAAZID L PBI (APBN) Fever, unspecified Berobat Jalan

982 15-01-2018 111117020118Y001023 0000527533929 MUHIROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
983 15-01-2018 111117020118Y001053 0000527542042 YUMINI P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
984 15-01-2018 111117020118Y000476 0000527572888 SUTARTI P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
cervix uteri, unspecified
985 15-01-2018 111117020118Y001054 0000527573428 YATINAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
986 15-01-2018 111117020118Y001027 0000527598022 KISEM L PBI (APBN) Other anaemias Berobat Jalan

987 15-01-2018 111117020118Y000623 0000527636676 DARTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
988 15-01-2018 111117020118Y000433 0000527714649 SURIYAH P PBI (APBN) Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
989 15-01-2018 111117020118Y000618 0000527733033 MARIN APRIYANTI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
990 15-01-2018 111117020118Y000617 0000527789182 IDA WATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
991 15-01-2018 111117020118Y001029 0000527810747 WARKIM L PBI (APBN) Dermatitis, unspecified Berobat Jalan

992 15-01-2018 111117020118Y001044 0000527857198 RIRIN SETIANI P PBI (APBN) Other forms of stomatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

993 15-01-2018 111117020118Y001034 0000527907115 SITUN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
994 15-01-2018 111117020118Y001033 0000527907172 INAYATUN MUKAROMAH P PBI (APBN) Benign neoplasm of breast Berobat Jalan

995 15-01-2018 111117020118Y000473 0000527978024 ARIFIN L PBI (APBN) Foreign body on external Rujuk Lanjut
eye
996 15-01-2018 111117020118Y001057 0000528208751 M GANI VADIL L PBI (APBN) Fever, unspecified Berobat Jalan

997 15-01-2018 111117020118Y001038 0000528324625 SAILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
998 15-01-2018 111117020118Y000471 0000528352323 DASILEM P PBI (APBN) Chronic conjunctivitis Rujuk Lanjut

999 15-01-2018 111117020118Y001036 0000528540546 TUMINAH P PBI (APBN) Unspecified haemorrhoids Berobat Jalan
without complication

1000 15-01-2018 111117020118Y001050 0000528550806 KALEM P PBI (APBN) Dyspepsia Berobat Jalan

1001 15-01-2018 111117020118Y000479 0001016478437 HENI FATONAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1002 15-01-2018 111117020118Y001024 0001016484355 DAINEM P PBI (APBN) Low back pain Berobat Jalan

1003 15-01-2018 111117020118Y001020 0001016486875 KASIM L PBI (APBN) Dyspepsia Berobat Jalan

1004 15-01-2018 111117020118Y000472 0001016489463 TASRIN WAGIYO L PBI (APBN) Calculus of ureter Rujuk Lanjut

1005 15-01-2018 111117020118Y001031 0001016489564 TARSILAH TARKEM P PBI (APBN) Myalgia Berobat Jalan

1006 15-01-2018 111117020118Y000467 0001016489687 WARNI P PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

1007 15-01-2018 111117020118Y000475 0001016497787 AKHMAD MUDRIK L PBI (APBN) Paranoid schizophrenia Rujuk Lanjut

1008 15-01-2018 111117020118Y000470 0001016503727 NURLAELI WISMARTITI P PBI (APBN) Anogenital (venereal) Rujuk Lanjut
warts
1009 15-01-2018 111117020118Y000477 0001016504043 DARMI P PBI (APBN) Low back pain Rujuk Lanjut

1010 15-01-2018 111117020118Y000410 0001016510725 WASLIM L PBI (APBN) Cataract, unspecified Rujuk Lanjut

1011 15-01-2018 111117020118Y000409 0001016510736 SIWEN P PBI (APBN) Congestive heart failure Rujuk Lanjut

1012 15-01-2018 111117020118Y001049 0001084514736 NARKEM P PBI (APBN) Dyspepsia Berobat Jalan

1013 15-01-2018 111117020118Y001039 0001142667832 USTI MUHIROH P PEGAWAI SWASTA Myalgia Berobat Jalan

1014 15-01-2018 111117020118Y000622 0001143177592 ROKHAYATI P PEGAWAI SWASTA Care and examination Berobat Jalan
immediately after delivery
1015 15-01-2018 111117020118Y000624 0001323647739 maryati P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1016 15-01-2018 111117020118Y000626 0001695432328 NARSIYAH P PBI (APBD) Care and examination Berobat Jalan
immediately after delivery
1017 15-01-2018 111117020118Y000615 0001697707337 SUNARTI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1018 15-01-2018 111117020118Y001026 0001697707348 FADILLAH AYUNINGTIYAS P PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
1019 15-01-2018 111117020118Y001058 0001698336933 KOMARUDIN KUAT L PBI (APBD) Myalgia Berobat Jalan

1020 15-01-2018 111117020118Y000411 0001698337451 BASRIYAH P PBI (APBD) Intervertebral disc Rujuk Lanjut
disorder, unspecified
1021 15-01-2018 111117020118Y000616 0001699679147 MARHAMAH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
1022 15-01-2018 111117020118Y000619 0001837953494 DINI NUR LAELI PRIYATIN P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1023 15-01-2018 111117020118Y000620 0001888333301 SRI NIATI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
1024 15-01-2018 111117020118Y000514 0001989050174 TURYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1025 15-01-2018 111117020118Y001046 0002067147955 MUSYDA AISYIYAH AZARINATA P PNS DAERAH Fever, unspecified Berobat Jalan

1026 15-01-2018 111117020118Y000468 0002221565567 SAMSI L PEKERJA MANDIRI Other and unspecified Rujuk Lanjut
abdominal pain
1027 15-01-2018 111117020118Y000469 0002221565984 TOFIK ADITIANA L PEKERJA MANDIRI Hypertrophy of breast Rujuk Lanjut

1028 15-01-2018 111117020118Y001051 0002229453325 ISMADI IRWAN L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1029 15-01-2018 111117020118Y000970 0002255487063 KHOTI MARIAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
1030 15-01-2018 111117020118Y001028 0002277879085 ACH. SYAHRI L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

1031 15-01-2018 111117020118Y001032 0002279224304 SANDRA RINALDY L PEKERJA MANDIRI Dyspepsia Berobat Jalan

1032 14-01-2018 111117020118Y000478 0001016478437 HENI FATONAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
1033 13-01-2018 111117020118Y001009 0000210709991 MUHAMMAD MIQDAMMAKFI L PNS PUSAT Acute pharyngitis, Berobat Jalan
unspecified
1034 13-01-2018 111117020118Y000612 0000526391965 SAMSITIN P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1035 13-01-2018 111117020118Y000987 0000526769875 RIKEM P PBI (APBN) Headache Berobat Jalan

1036 13-01-2018 111117020118Y000985 0000527029481 RODIYAH P PBI (APBN) Myalgia Berobat Jalan

1037 13-01-2018 111117020118Y001003 0000527146086 RAILEM P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1038 13-01-2018 111117020118Y001010 0000527217952 RUKHYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

1039 13-01-2018 111117020118Y000339 0000527342793 SITI BAROKAH P PBI (APBN) Unspecified abortion, Rujuk Lanjut
incomplete, without

1040 13-01-2018 111117020118Y000610 0000527342793 SITI BAROKAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1041 13-01-2018 111117020118Y000611 0000527383552 NORI ROFIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1042 13-01-2018 111117020118Y001005 0000527410135 RITUN L PBI (APBN) Other acute gastritis Berobat Jalan

1043 13-01-2018 111117020118Y000984 0000527431612 SUKINAH P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1044 13-01-2018 111117020118Y000340 0000527484486 MUTIAH P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
connective and soft tissue,

1045 13-01-2018 111117020118Y001001 0000527520813 TRISNO L PBI (APBN) Vertigo of central origin Berobat Jalan

1046 13-01-2018 111117020118Y000981 0000527521972 REJA SENTIKA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1047 13-01-2018 111117020118Y000980 0000527526786 DARWI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1048 13-01-2018 111117020118Y000979 0000527563225 RATEM P PBI (APBN) Other anaemias Berobat Jalan

1049 13-01-2018 111117020118Y001004 0000527649737 NUR FADILAH P PBI (APBN) Scabies Berobat Jalan

1050 13-01-2018 111117020118Y001015 0000527747927 TRIYANI P PBI (APBN) Headache Berobat Jalan

1051 13-01-2018 111117020118Y001012 0000527783927 NASIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1052 13-01-2018 111117020118Y000982 0000527833618 TISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1053 13-01-2018 111117020118Y001014 0000528089128 FITRIANA P PBI (APBN) Headache Berobat Jalan

1054 13-01-2018 111117020118Y001017 0000528174472 MAD TOHIR L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1055 13-01-2018 111117020118Y000986 0000528324625 SAILAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1056 13-01-2018 111117020118Y000408 0000529384353 FEBRIANTI P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
1057 13-01-2018 111117020118Y000289 0001016492016 MUNARTO L PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, without
mention of bacteriological
or histological confirmation
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1058 13-01-2018 111117020118Y000614 0001016498924 RATMINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1059 13-01-2018 111117020118Y000997 0001016529366 SAYUTI NUR KHARIRI L PBI (APBN) Scabies Berobat Jalan

1060 13-01-2018 111117020118Y000988 0001016529377 M FARHAN I L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1061 13-01-2018 111117020118Y000983 0001293635665 ROMIYAH P PEGAWAI PEMERINTAH Essential (primary) Berobat Jalan
NON PNS hypertension
1062 13-01-2018 111117020118Y001018 0001615662303 WISEM P PBI (APBD) Open wound of Berobat Jalan
unspecified body region
1063 13-01-2018 111117020118Y000999 0001615681811 ANGGI SUKHIYAT L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1064 13-01-2018 111117020118Y001011 0001697705594 RISAM L PBI (APBD) Chronic sinusitis, Berobat Jalan
unspecified
1065 13-01-2018 111117020118Y001013 0001826128901 YUNI SUPRIYATI P PEGAWAI SWASTA Myalgia Berobat Jalan

1066 13-01-2018 111117020118Y001007 0001850730513 SAILEM P PEGAWAI SWASTA Other cataract Berobat Jalan

1067 13-01-2018 111117020118Y000291 0001971158016 SUMARTO L PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

1068 13-01-2018 111117020118Y001008 0002063948319 HAIKAL GEMA AL KHALIFI L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
1069 13-01-2018 111117020118Y000513 0002271933999 FITRIYAH P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
1070 13-01-2018 111117020118Y001006 0002271935024 WAFI` ALWAN SYAFIQ L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
1071 13-01-2018 111117020118Y001019 0002272689494 HARIS MAHASIBI L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

1072 13-01-2018 111117020118Y001016 0002311488369 MESYA PUTRI RAMADHAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1073 13-01-2018 111117020118Y000613 0002324572378 KARSITI P PEGAWAI PEMERINTAH Supervision of normal first Berobat Jalan
NON PNS pregnancy
1074 12-01-2018 111117020118Y000277 0000081748574 KUSTAM L PNS DAERAH Necrosis of pulp Rujuk Lanjut

1075 12-01-2018 111117020118Y000278 0000082041917 APIK TRI PAMUNGKAS L PEKERJA MANDIRI Unspecified chronic Rujuk Lanjut
bronchitis
1076 12-01-2018 111117020118Y000284 0000163594541 SITI MAHMUDAH P PNS PUSAT Contraceptive Berobat Jalan
management, unspecified
1077 12-01-2018 111117020118Y000279 0000526243871 PRIYATNO L PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

1078 12-01-2018 111117020118Y000286 0000526762405 MA'NAWIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1079 12-01-2018 111117020118Y000726 0000526841245 NASRUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1080 12-01-2018 111117020118Y000713 0000526917835 ROTIYAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

1081 12-01-2018 111117020118Y000707 0000526938579 ALIKA DWI YULIANTI P PBI (APBN) Otitis media, unspecified Berobat Jalan

1082 12-01-2018 111117020118Y000724 0000527114316 AKBAR NOFA EIYADI L PBI (APBN) Rheumatism, unspecified Berobat Jalan

1083 12-01-2018 111117020118Y000704 0000527217952 RUKHYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

1084 12-01-2018 111117020118Y000720 0000527352478 KATIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1085 12-01-2018 111117020118Y000698 0000527375643 NUR ARFIYANTI P PBI (APBN) Headache Berobat Jalan

1086 12-01-2018 111117020118Y000717 0000527387174 SITI RODIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1087 12-01-2018 111117020118Y000697 0000527425571 TINI P PBI (APBN) Gastritis, unspecified Berobat Jalan

1088 12-01-2018 111117020118Y000721 0000527459938 KADEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1089 12-01-2018 111117020118Y000708 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
1090 12-01-2018 111117020118Y000712 0000527787369 PURWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1091 12-01-2018 111117020118Y000287 0000527876695 SUPRIYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1092 12-01-2018 111117020118Y000285 0000527950361 WALIJAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1093 12-01-2018 111117020118Y000719 0000527950405 DAHIRIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

1094 12-01-2018 111117020118Y000725 0000527967641 AZIZ SAPUTRA L PBI (APBN) Dermatitis, unspecified Berobat Jalan

1095 12-01-2018 111117020118Y000700 0000527986394 TIMAH P PBI (APBN) Other forms of stomatitis Berobat Jalan

1096 12-01-2018 111117020118Y000716 0000528052904 KAIS P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1097 12-01-2018 111117020118Y000723 0000528154481 MUHTAROM AL NAKUM L PBI (APBN) Gastritis, unspecified Berobat Jalan

1098 12-01-2018 111117020118Y000718 0000528154727 TARIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1099 12-01-2018 111117020118Y000702 0000528391765 YERLINA P PBI (APBN) Vertigo of central origin Berobat Jalan

1100 12-01-2018 111117020118Y000557 0000528459794 ELI ROMIATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1101 12-01-2018 111117020118Y000722 0000528523953 SAIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1102 12-01-2018 111117020118Y000715 0000528579314 NIKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1103 12-01-2018 111117020118Y000558 0001016478437 HENI FATONAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1104 12-01-2018 111117020118Y000714 0001016480597 NARSEM P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1105 12-01-2018 111117020118Y000705 0001016485852 RUMIYATI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1106 12-01-2018 111117020118Y000711 0001016486526 SUTIKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1107 12-01-2018 111117020118Y000281 0001189732454 KHASANATUL MUFTIAH P PEGAWAI SWASTA Benign neoplasm of breast Rujuk Lanjut

1108 12-01-2018 111117020118Y000282 0001292859606 YASTOFI RIFQI L PEGAWAI PEMERINTAH Impacted teeth Rujuk Lanjut
NON PNS
1109 12-01-2018 111117020118Y000280 0001293631852 NISWO L PEGAWAI PEMERINTAH Non-insulin-dependent Rujuk Lanjut
NON PNS diabetes mellitus with
peripheral circulatory

1110 12-01-2018 111117020118Y000710 0001672925782 NAILEM P PBI (APBD) Vertigo of central origin Berobat Jalan

1111 12-01-2018 111117020118Y000706 0001698337394 SUKHIDAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1112 12-01-2018 111117020118Y000709 0002038756588 MOHAMMAD KASLAM L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1113 12-01-2018 111117020118Y000701 0002223439751 RANI P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

1114 12-01-2018 111117020118Y000283 0002255526358 SUYATI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1115 12-01-2018 111117020118Y000699 0002287145272 RESTI JULIANTI P PEKERJA MANDIRI Urinary tract infection, site Berobat Jalan
not specified
1116 12-01-2018 111117020118Y000703 0002295967285 sinah P PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan

1117 12-01-2018 111117020118Y000288 0002310823282 YULI NIRAWATI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1118 11-01-2018 111117020118Y000519 0000526013346 RASIH P PBI (APBN) Congestive heart failure Berobat Jalan

1119 11-01-2018 111117020118Y000275 0000526668704 DINDA MAYA ROSALINA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1120 11-01-2018 111117020118Y000534 0000526696266 kasam L PBI (APBN) Headache Berobat Jalan

1121 11-01-2018 111117020118Y000662 0000526920693 SAINAH P PBI (APBN) Myalgia Berobat Jalan

1122 11-01-2018 111117020118Y000268 0000526932178 TURIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1123 11-01-2018 111117020118Y000523 0000526957571 DAISEM P PBI (APBN) Carpal tunnel syndrome Berobat Jalan

1124 11-01-2018 111117020118Y000670 0000527035667 SIWEN P PBI (APBN) Gastritis, unspecified Berobat Jalan

1125 11-01-2018 111117020118Y000256 0000527203967 NURUL HIDAYAH P PBI (APBN) Antenatal screening, Rujuk Lanjut
unspecified
1126 11-01-2018 111117020118Y000527 0000527217952 RUKHYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

1127 11-01-2018 111117020118Y000267 0000527240417 ULI NUR AFNI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1128 11-01-2018 111117020118Y000675 0000527251803 ANDI SUKMA SAPUTRO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1129 11-01-2018 111117020118Y000272 0000527257012 UMIROTUN ASANAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1130 11-01-2018 111117020118Y000671 0000527273199 HIDAYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1131 11-01-2018 111117020118Y000666 0000527335525 RAHMAT DWI SAPUTRA L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1132 11-01-2018 111117020118Y000273 0000527383552 NORI ROFIAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1133 11-01-2018 111117020118Y000270 0000527398593 SAIRAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1134 11-01-2018 111117020118Y000258 0000527411586 MUDASIR L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

1135 11-01-2018 111117020118Y000274 0000527497896 NURYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1136 11-01-2018 111117020118Y000526 0000527513409 SARWEN P PBI (APBN) Sprain and strain of ankle Berobat Jalan

1137 11-01-2018 111117020118Y000665 0000527517628 MUGI HARTONO L PBI (APBN) Open wound of Berobat Jalan
unspecified body region
1138 11-01-2018 111117020118Y000692 0000527633471 KANITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1139 11-01-2018 111117020118Y000695 0000527662653 DASIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1140 11-01-2018 111117020118Y000672 0000527666376 TRIASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1141 11-01-2018 111117020118Y000254 0000527729602 PAING L PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, without
mention of bacteriological
or histological confirmation

1142 11-01-2018 111117020118Y000269 0000527733033 MARIN APRIYANTI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1143 11-01-2018 111117020118Y000690 0000527792769 ROMLAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1144 11-01-2018 111117020118Y000693 0000527882264 RASEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1145 11-01-2018 111117020118Y000528 0000527882534 FA`IZATUNNISA P PBI (APBN) Noninflammatory disorder Berobat Jalan
of vagina, unspecified

1146 11-01-2018 111117020118Y000668 0000527903739 DANI PRASETYO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1147 11-01-2018 111117020118Y000535 0000527910546 NURJANAH SETIA ROHMAH P PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
1148 11-01-2018 111117020118Y000696 0000528017793 CARIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1149 11-01-2018 111117020118Y000663 0000528034307 TARTI API YATINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1150 11-01-2018 111117020118Y000271 0000528043285 SUSANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1151 11-01-2018 111117020118Y000689 0000528113068 NASEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1152 11-01-2018 111117020118Y000673 0000528158575 JESIKA KISTIYANI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1153 11-01-2018 111117020118Y000691 0000528176171 SUTINAH P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1154 11-01-2018 111117020118Y000532 0000528308561 DARKIM L PBI (APBN) Low back pain Berobat Jalan

1155 11-01-2018 111117020118Y000524 0000528415503 MELIANA P PBI (APBN) Varicella without Berobat Jalan
complication
1156 11-01-2018 111117020118Y000257 0000528603208 HETRI CAHYANI P PBI (APBN) Maternal care for poor Rujuk Lanjut
fetal growth
1157 11-01-2018 111117020118Y000525 0001016486875 KASIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1158 11-01-2018 111117020118Y000694 0001016493041 DARSEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1159 11-01-2018 111117020118Y000255 0001016503727 NURLAELI WISMARTITI P PBI (APBN) Other specified Rujuk Lanjut
predominantly sexually

1160 11-01-2018 111117020118Y000661 0001016504346 CARTEM P PBI (APBN) Dyspepsia Berobat Jalan

1161 11-01-2018 111117020118Y000667 0001292280693 TSABITA HUMMAIRA DENAYA P PEGAWAI PEMERINTAH Fever, unspecified Berobat Jalan
NON PNS
1162 11-01-2018 111117020118Y000533 0001615662696 NIZAR FUADI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1163 11-01-2018 111117020118Y000669 0001672926287 LELY P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
1164 11-01-2018 111117020118Y000520 0001694507354 ISKA LAILA P PBI (APBD) Hordeolum and chalazion Berobat Jalan

1165 11-01-2018 111117020118Y000259 0001850730513 SAILEM P PEGAWAI SWASTA Cataract, unspecified Rujuk Lanjut

1166 11-01-2018 111117020118Y000529 0002255487063 KHOTI MARIAH P PEKERJA MANDIRI Allergic rhinitis, Berobat Jalan
unspecified
1167 11-01-2018 111117020118Y000676 0002273603163 DANUARTA RIDWANI SULTON L PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
1168 11-01-2018 111117020118Y000688 0002277879647 ZAETIN P PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan

1169 11-01-2018 111117020118Y000276 0002279204616 nela setiawati P PEKERJA MANDIRI Premature rupture of Rujuk Lanjut
membranes, unspecified
1170 11-01-2018 111117020118Y000522 0002283197174 KRISTINA P PEKERJA MANDIRI Low back pain Berobat Jalan

1171 11-01-2018 111117020118Y000521 0002283197343 SALWA AZZAHRA P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

1172 10-01-2018 111117020118Y000452 0000081750003 SUKINI P PNS DAERAH Angina pectoris Berobat Jalan

1173 10-01-2018 111117020118Y000464 0000081751781 SOKHIB L PNS DAERAH Dyspepsia Berobat Jalan

1174 10-01-2018 111117020118Y000236 0000081752242 SODERI L PNS DAERAH Intervertebral disc Rujuk Lanjut
disorder, unspecified
1175 10-01-2018 111117020118Y000462 0000526050729 SULISTIONO ESA PUTRA L PBI (APBN) Dermatitis, unspecified Berobat Jalan

1176 10-01-2018 111117020118Y000463 0000526051337 HUDAN PRASETYO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1177 10-01-2018 111117020118Y000266 0000526072432 YULI PURWANTI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1178 10-01-2018 111117020118Y000235 0000526199714 MIARDI L PBI (APBN) Injury of kidney Rujuk Lanjut

1179 10-01-2018 111117020118Y000465 0000526917835 ROTIYAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

1180 10-01-2018 111117020118Y000516 0000527090837 KUSWATI P PBI (APBN) Unspecified abortion, Rujuk Lanjut
complete or unspecified,

1181 10-01-2018 111117020118Y000453 0000527217952 RUKHYATI P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

1182 10-01-2018 111117020118Y000265 0000527246111 SUSANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1183 10-01-2018 111117020118Y000457 0000527246662 APRILLIYANI P PBI (APBN) Otitis media, unspecified Berobat Jalan

1184 10-01-2018 111117020118Y000239 0000527353547 KAIPAH P PBI (APBN) Low back pain Rujuk Lanjut

1185 10-01-2018 111117020118Y000260 0000527364279 LINA SUSANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1186 10-01-2018 111117020118Y000252 0000527364279 LINA SUSANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1187 10-01-2018 111117020118Y000448 0000527392765 TARLEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1188 10-01-2018 111117020118Y000443 0000527396646 SYUJA ATSTSAQIB L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1189 10-01-2018 111117020118Y000445 0000527517628 MUGI HARTONO L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

1190 10-01-2018 111117020118Y000449 0000527531073 CARIKEM P PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

1191 10-01-2018 111117020118Y000461 0000527538273 PUJI RAHAYU P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1192 10-01-2018 111117020118Y000240 0000527553022 CHAMELIA LUPITA SAPUTRI P PBI (APBN) Convulsions, not Rujuk Lanjut
elsewhere classified
1193 10-01-2018 111117020118Y000480 0000527662923 CATEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1194 10-01-2018 111117020118Y000241 0000527666409 RIZKI OKTAVIANI P PBI (APBN) Maternal care for Rujuk Lanjut
disproportion, unspecified
1195 10-01-2018 111117020118Y000244 0000527700947 ROSO L PBI (APBN) Myopia Rujuk Lanjut

1196 10-01-2018 111117020118Y000262 0000527750853 FEBRI SAFITRI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1197 10-01-2018 111117020118Y000238 0000527876695 SUPRIYATI P PBI (APBN) Gestational Rujuk Lanjut
[pregnancy-induced]
hypertension without

1198 10-01-2018 111117020118Y000454 0000527928074 RASLAM L PBI (APBN) Tinea corporis Berobat Jalan

1199 10-01-2018 111117020118Y000440 0000527940404 JULIANA SRI UTAMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1200 10-01-2018 111117020118Y000439 0000527947997 RASILEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1201 10-01-2018 111117020118Y000450 0000528217288 YASMUDI L PBI (APBN) Otitis media, unspecified Berobat Jalan

1202 10-01-2018 111117020118Y000441 0000528288513 SUMARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1203 10-01-2018 111117020118Y000243 0000528314624 'AINUL GHURRI L PBI (APBN) Myopia Rujuk Lanjut

1204 10-01-2018 111117020118Y000250 0000528377602 KUNAENAH P PBI (APBN) Haemorrhage in early Rujuk Lanjut
pregnancy, unspecified
1205 10-01-2018 111117020118Y000249 0000528476051 SITI SUBARKAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1206 10-01-2018 111117020118Y000247 0001016481486 WARTAM L PBI (APBN) Congestive heart failure Rujuk Lanjut

1207 10-01-2018 111117020118Y000438 0001016486875 KASIM L PBI (APBN) Gastritis, unspecified Berobat Jalan

1208 10-01-2018 111117020118Y000455 0001016489204 HAJIR L PBI (APBN) Vertigo of central origin Berobat Jalan

1209 10-01-2018 111117020118Y000251 0001016490554 TASEM P PBI (APBN) Congestive heart failure Rujuk Lanjut

1210 10-01-2018 111117020118Y000242 0001016491206 NUR HAYATI P PBI (APBN) Chronic post-traumatic Rujuk Lanjut
headache
1211 10-01-2018 111117020118Y000481 0001016492523 SUGIARTI P PBI (APBN) Asthma, unspecified Berobat Jalan

1212 10-01-2018 111117020118Y000261 0001016496101 WARSINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1213 10-01-2018 111117020118Y000459 0001189732454 KHASANATUL MUFTIAH P PEGAWAI SWASTA Fever, unspecified Berobat Jalan

1214 10-01-2018 111117020118Y000451 0001261014761 NASIKIN L PEKERJA MANDIRI Superficial injury of Berobat Jalan
unspecified body region
1215 10-01-2018 111117020118Y000458 0001292866975 KHOERUL ANAM L PEGAWAI PEMERINTAH Scabies Berobat Jalan
NON PNS
1216 10-01-2018 111117020118Y000456 0001615662303 WISEM P PBI (APBD) Open wound of Berobat Jalan
unspecified body region
1217 10-01-2018 111117020118Y000246 0001615662336 NOVITA SEPTI YANI P PBI (APBD) Urinary calculus, Rujuk Lanjut
unspecified
1218 10-01-2018 111117020118Y000245 0001672925624 SURYATI P PBI (APBD) Myopia Rujuk Lanjut

1219 10-01-2018 111117020118Y000264 0001698337326 SITI ROKHAYATI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1220 10-01-2018 111117020118Y000446 0001698337361 SLAMET L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1221 10-01-2018 111117020118Y000447 0001698337372 SUTIRAH P PBI (APBD) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1222 10-01-2018 111117020118Y000460 0001698743733 NAZITA RAFANDA P PBI (APBD) Fever, unspecified Berobat Jalan

1223 10-01-2018 111117020118Y000263 0001812835866 kurniasih P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1224 10-01-2018 111117020118Y000444 0002273531319 MUHAMAD AZRIL MAULANA L PEKERJA MANDIRI Impetigo Berobat Jalan

1225 10-01-2018 111117020118Y000248 0002306585788 DWI ARTI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1226 10-01-2018 111117020118Y000237 0002310837041 KARSIWEN P PEKERJA MANDIRI Chronic gastritis, Rujuk Lanjut
unspecified
1227 09-01-2018 111117020118Y000223 0000082037823 DARSINI P PENERIMA PENSIUN Hypermetropia Rujuk Lanjut
PNS
1228 09-01-2018 111117020118Y000421 0000082041772 SUTIYAH P PENERIMA PENSIUN Chronic obstructive Berobat Jalan
PNS pulmonary disease,

1229 09-01-2018 111117020118Y000219 0000169834858 HARTONO L PNS DAERAH Psoriasis Rujuk Lanjut

1230 09-01-2018 111117020118Y000228 0000526279239 NASITAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1231 09-01-2018 111117020118Y000431 0000526360612 SUROH AGUSTINA P PBI (APBN) Gastritis, unspecified Berobat Jalan

1232 09-01-2018 111117020118Y000200 0000526927735 MOKH ISKHAK L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

1233 09-01-2018 111117020118Y000425 0000527309706 TARUNO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1234 09-01-2018 111117020118Y000230 0000527312597 DARSINI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1235 09-01-2018 111117020118Y000428 0000527386713 DISEM P PBI (APBN) Tinea cruris Berobat Jalan

1236 09-01-2018 111117020118Y000423 0000527424254 SITI SAMSIYAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1237 09-01-2018 111117020118Y000419 0000527520813 TRISNO L PBI (APBN) Headache Berobat Jalan

1238 09-01-2018 111117020118Y000426 0000527520982 TRIYONO P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1239 09-01-2018 111117020118Y000418 0000527525774 MUSLIH L PBI (APBN) Gastritis, unspecified Berobat Jalan

1240 09-01-2018 111117020118Y000420 0000527686075 MUHIRIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

1241 09-01-2018 111117020118Y000227 0000527704828 YUSI NOVITA INDRIANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1242 09-01-2018 111117020118Y000437 0000527802366 KASIM L PBI (APBN) Gastritis, unspecified Berobat Jalan

1243 09-01-2018 111117020118Y000202 0000527837163 SUKIYAH P PBI (APBN) Benign neoplasm of brain, Rujuk Lanjut
unspecified
1244 09-01-2018 111117020118Y000225 0000527858087 ASTRIANI P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
1245 09-01-2018 111117020118Y000253 0000527858087 ASTRIANI P PBI (APBN) Pre-eclampsia, Berobat Jalan
unspecified
1246 09-01-2018 111117020118Y000415 0000527882365 SAHIRIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1247 09-01-2018 111117020118Y000416 0000527924057 KUSRONI L PBI (APBN) Asthma, unspecified Berobat Jalan

1248 09-01-2018 111117020118Y000216 0000527989364 UMI RESTIANINGSIH P PBI (APBN) Sprain and strain of wrist Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1249 09-01-2018 111117020118Y000232 0000528077586 KARSITI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1250 09-01-2018 111117020118Y000229 0000528077867 ROkHAYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1251 09-01-2018 111117020118Y000435 0000528111843 NASIAH P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
1252 09-01-2018 111117020118Y000231 0000528377872 AMININGSIH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1253 09-01-2018 111117020118Y000233 0000528459794 ELI ROMIATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1254 09-01-2018 111117020118Y000222 0000528527889 DAISEM P PBI (APBN) Unspecified haemorrhoids Rujuk Lanjut
without complication

1255 09-01-2018 111117020118Y000436 0001016479091 BUDI R L PBI (APBN) Myalgia Berobat Jalan

1256 09-01-2018 111117020118Y000201 0001016487461 MUJI LESTARI P PBI (APBN) Cardiac arrhythmia, Rujuk Lanjut
unspecified
1257 09-01-2018 111117020118Y000414 0001016488361 RISWATI P PBI (APBN) Headache Berobat Jalan

1258 09-01-2018 111117020118Y000424 0001016488473 HARTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1259 09-01-2018 111117020118Y000430 0001016488675 SOIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1260 09-01-2018 111117020118Y000429 0001016488686 TUMIYATI P PBI (APBN) Psoriasis Berobat Jalan

1261 09-01-2018 111117020118Y000432 0001016488708 AMAR KHUDORI L PBI (APBN) Sprain and strain of ankle Berobat Jalan

1262 09-01-2018 111117020118Y000412 0001016489406 PARNI P PBI (APBN) Asthma, unspecified Berobat Jalan

1263 09-01-2018 111117020118Y000217 0001016503727 NURLAELI WISMARTITI P PBI (APBN) Anogenital (venereal) Rujuk Lanjut
warts
1264 09-01-2018 111117020118Y000221 0001016504741 ENDANG OKTARINI P PBI (APBN) Urinary calculus, Rujuk Lanjut
unspecified
1265 09-01-2018 111117020118Y000203 0001016504842 WISMAH L PBI (APBN) Other and unspecified Rujuk Lanjut
abdominal pain
1266 09-01-2018 111117020118Y000234 0001695432328 NARSIYAH P PBI (APBD) Care and examination Berobat Jalan
immediately after delivery
1267 09-01-2018 111117020118Y000417 0001697704119 YENI KERISAH P PBI (APBD) Urinary tract infection, site Berobat Jalan
not specified
1268 09-01-2018 111117020118Y000434 0001698336933 KOMARUDIN KUAT L PBI (APBD) Nonsuppurative otitis Berobat Jalan
media
1269 09-01-2018 111117020118Y000422 0001821715029 WATIKOH P PEKERJA MANDIRI Impetigo Berobat Jalan

1270 09-01-2018 111117020118Y000218 0002038048784 TOAT WIJAYANTO L PEKERJA MANDIRI Hyperplasia of prostate Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1271 09-01-2018 111117020118Y000413 0002078284509 TRI WIDIYANTI P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
1272 09-01-2018 111117020118Y000224 0002295953662 ERMALIA FATMAWATI P PEGAWAI SWASTA Premature rupture of Rujuk Lanjut
membranes
1273 09-01-2018 111117020118Y000220 0002321245001 MARTAWIRAJI L PEKERJA MANDIRI Chronic nephritic Rujuk Lanjut
syndrome, unspecified
1274 09-01-2018 111117020118Y000427 0002321245596 KARSITEM P PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

1275 08-01-2018 111117020118Y000380 0000082040793 SUWARTI L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
1276 08-01-2018 111117020118Y000405 0000082041243 SUDJONO L PENERIMA PENSIUN Conjunctivitis, unspecified Berobat Jalan
PNS
1277 08-01-2018 111117020118Y000402 0000526084773 WARTEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1278 08-01-2018 111117020118Y000377 0000526540004 ritam L PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1279 08-01-2018 111117020118Y000390 0000527017858 KITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1280 08-01-2018 111117020118Y000386 0000527072916 DITEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1281 08-01-2018 111117020118Y000190 0000527134015 RATINAH P PBI (APBN) Unspecified abdominal Rujuk Lanjut
hernia
1282 08-01-2018 111117020118Y000392 0000527134691 NOERHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1283 08-01-2018 111117020118Y000400 0000527225038 KARTEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1284 08-01-2018 111117020118Y000195 0000527232238 RUSTINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1285 08-01-2018 111117020118Y000387 0000527252073 KHOERUL ANAM L PBI (APBN) Scabies Berobat Jalan

1286 08-01-2018 111117020118Y000385 0000527303417 MUHTAR L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1287 08-01-2018 111117020118Y000184 0000527312204 NARIWEN P PBI (APBN) Dislocation of shoulder Rujuk Lanjut
joint
1288 08-01-2018 111117020118Y000389 0000527374102 SUWARSO L PBI (APBN) Unspecified chronic Berobat Jalan
bronchitis
1289 08-01-2018 111117020118Y000188 0000527436516 KARNI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
peripheral circulatory

1290 08-01-2018 111117020118Y000379 0000527530329 RASILEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1291 08-01-2018 111117020118Y000394 0000527561649 NASIYEM P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1292 08-01-2018 111117020118Y000407 0000527647353 PRAJUNIATI SALASATUN P PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
FILJANAH disease without

1293 08-01-2018 111117020118Y000192 0000527666409 RIZKI OKTAVIANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1294 08-01-2018 111117020118Y000383 0000527674511 ISROWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

1295 08-01-2018 111117020118Y000403 0000527684927 TATI INAYAH P PBI (APBN) Impetigo Berobat Jalan

1296 08-01-2018 111117020118Y000395 0000527705493 RINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1297 08-01-2018 111117020118Y000384 0000527719702 AFRIZA BIMO P L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1298 08-01-2018 111117020118Y000185 0000527721265 RAIDEM P PBI (APBN) Presbyopia Rujuk Lanjut

1299 08-01-2018 111117020118Y000401 0000527774747 NIKEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1300 08-01-2018 111117020118Y000406 0000527816979 MUHARI TALAM L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

1301 08-01-2018 111117020118Y000382 0000527908138 OKTAFIYANA LUTHFIAH P PBI (APBN) Dyspepsia Berobat Jalan

1302 08-01-2018 111117020118Y000396 0000527926871 NASILAH P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1303 08-01-2018 111117020118Y000398 0000528017916 IMAM MUTORIK L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1304 08-01-2018 111117020118Y000197 0000528045838 DARIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1305 08-01-2018 111117020118Y000194 0000528282696 KARSITI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1306 08-01-2018 111117020118Y000189 0000528311136 TRI LESTARI P PBI (APBN) Chalazion Rujuk Lanjut

1307 08-01-2018 111117020118Y000381 0000528355798 RADITA TABAK TAULANI P PBI (APBN) Asthma, unspecified Berobat Jalan

1308 08-01-2018 111117020118Y000199 0000528426066 ROKHIBUN DJUMAH L PBI (APBN) Concussion, without open Rujuk Lanjut
intracranial wound
1309 08-01-2018 111117020118Y000388 0001016477976 TITIN JUNI ASTUTI P PBI (APBN) Fever, unspecified Berobat Jalan

1310 08-01-2018 111117020118Y000187 0001016481712 SUNARTI P PBI (APBN) Chronic conjunctivitis Rujuk Lanjut

1311 08-01-2018 111117020118Y000378 0001016486875 KASIM L PBI (APBN) Cataract, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1312 08-01-2018 111117020118Y000191 0001016488585 MUGIARJO L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

1313 08-01-2018 111117020118Y000399 0001292220371 SUTOYO L PEGAWAI PEMERINTAH Acute upper respiratory Berobat Jalan
NON PNS infection, unspecified
1314 08-01-2018 111117020118Y000397 0001615662303 WISEM P PBI (APBD) Vertigo of central origin Berobat Jalan

1315 08-01-2018 111117020118Y000404 0001695435568 SITI NUR`AINI P PBI (APBD) Tinea corporis Berobat Jalan

1316 08-01-2018 111117020118Y000198 0001698340869 KAMTI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1317 08-01-2018 111117020118Y000193 0001837953494 DINI NUR LAELI PRIYATIN P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1318 08-01-2018 111117020118Y000186 0001840741751 suhito L PEKERJA MANDIRI Schizophrenia, unspecified Rujuk Lanjut

1319 08-01-2018 111117020118Y000393 0002023933263 SA DAN FAIK NUR H L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1320 08-01-2018 111117020118Y000391 0002026712272 SUWARNI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1321 08-01-2018 111117020118Y000196 0002279204616 nela setiawati P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1322 07-01-2018 111117020118Y000180 0000528151443 RUMIDAH P PEGAWAI PEMERINTAH Care and examination Berobat Jalan
NON PNS immediately after delivery
1323 07-01-2018 111117020118Y000171 0001143177592 ROKHAYATI P PEGAWAI SWASTA Paratyphoid fever, Rujuk Lanjut
unspecified
1324 07-01-2018 111117020118Y000179 0001695432328 NARSIYAH P PBI (APBD) Care and examination Berobat Jalan
immediately after delivery
1325 07-01-2018 111117020118Y000175 0002264699799 MARIN AFRIYANTI P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
1326 06-01-2018 111117020118Y000334 0000081601345 DARTI P PNS DAERAH Headache Berobat Jalan

1327 06-01-2018 111117020118Y000164 0000081754119 SITI HIZATUN NAZILAH P PNS DAERAH Supervision of normal first Berobat Jalan
pregnancy
1328 06-01-2018 111117020118Y000351 0000082036901 MARIFAH P PENERIMA PENSIUN Dermatitis, unspecified Berobat Jalan
PNS
1329 06-01-2018 111117020118Y000337 0000160908502 CAKEM P VETERAN Conjunctivitis, unspecified Berobat Jalan

1330 06-01-2018 111117020118Y000359 0000172560273 SUYUDIONO L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
1331 06-01-2018 111117020118Y000338 0000526892736 DILEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1332 06-01-2018 111117020118Y000331 0000526905369 DARSINI P PBI (APBN) Fever, unspecified Berobat Jalan

1333 06-01-2018 111117020118Y000358 0000526913763 WARSAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1334 06-01-2018 111117020118Y000365 0000526917835 ROTIYAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
peripheral circulatory

1335 06-01-2018 111117020118Y000372 0000526949302 SITI KHOLIFAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1336 06-01-2018 111117020118Y000345 0000526980756 SLAMET L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1337 06-01-2018 111117020118Y000367 0000527066065 NATEM P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1338 06-01-2018 111117020118Y000329 0000527161757 MUHTAROM L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

1339 06-01-2018 111117020118Y000354 0000527170667 RATUM L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

1340 06-01-2018 111117020118Y000355 0000527171949 SUWARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1341 06-01-2018 111117020118Y000350 0000527191931 HANIF PRATAMA L PBI (APBN) Tinea corporis Berobat Jalan

1342 06-01-2018 111117020118Y000157 0000527212315 NAISEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
1343 06-01-2018 111117020118Y000122 0000527217952 RUKHYATI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
peripheral circulatory

1344 06-01-2018 111117020118Y000150 0000527257462 MARSIAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

1345 06-01-2018 111117020118Y000363 0000527274167 PARYATI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1346 06-01-2018 111117020118Y000364 0000527274922 INDAH AMANATUL MAULA P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1347 06-01-2018 111117020118Y000341 0000527276632 TASILEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1348 06-01-2018 111117020118Y000178 0000527312597 DARSINI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1349 06-01-2018 111117020118Y000158 0000527322047 RIYANTO L PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1350 06-01-2018 111117020118Y000160 0000527322576 KUSRIYANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1351 06-01-2018 111117020118Y000336 0000527343985 KIDEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1352 06-01-2018 111117020118Y000328 0000527361748 FILSA FIDARI RAHMAH L PEGAWAI PEMERINTAH Acute upper respiratory Berobat Jalan
NON PNS infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1353 06-01-2018 111117020118Y000366 0000527383596 YUSRO L PBI (APBN) Myalgia Berobat Jalan

1354 06-01-2018 111117020118Y000327 0000527400268 PUTRI APRILLIA LURUA ILSYA P PBI (APBN) Hypertrophy of salivary Berobat Jalan
gland
1355 06-01-2018 111117020118Y000347 0000527405602 TARWI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1356 06-01-2018 111117020118Y000362 0000527443165 SAHUDI L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

1357 06-01-2018 111117020118Y000346 0000527714583 SAIRAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1358 06-01-2018 111117020118Y000342 0000527726452 DARSEM P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

1359 06-01-2018 111117020118Y000165 0000527794626 WINTANG INDRASSWARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1360 06-01-2018 111117020118Y000333 0000527811816 ANGGIT KURNIAWAN L PBI (APBN) Varicella without Berobat Jalan
complication
1361 06-01-2018 111117020118Y000343 0000527823077 DASILEM P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1362 06-01-2018 111117020118Y000344 0000527845149 NARKEM P PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1363 06-01-2018 111117020118Y000352 0000527847917 NARSITI P PBI (APBN) Myalgia Berobat Jalan

1364 06-01-2018 111117020118Y000151 0000527858087 ASTRIANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1365 06-01-2018 111117020118Y000349 0000527884661 RIDAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1366 06-01-2018 111117020118Y000375 0000527942812 SULIYAH P PBI (APBN) Headache Berobat Jalan

1367 06-01-2018 111117020118Y000370 0000527975897 DAIMAH P PBI (APBN) Anaemia, unspecified Berobat Jalan

1368 06-01-2018 111117020118Y000326 0000527979881 MOHAMMAD ISMA HABAIQ L PBI (APBN) Fever, unspecified Berobat Jalan

1369 06-01-2018 111117020118Y000332 0000528044152 ADIL LATIF L PBI (APBN) Fever, unspecified Berobat Jalan

1370 06-01-2018 111117020118Y000325 0000528056267 PURWANTI P PBI (APBN) Vertigo of central origin Berobat Jalan

1371 06-01-2018 111117020118Y000361 0000528079331 KARTIWEN P PBI (APBN) Gastritis, unspecified Berobat Jalan

1372 06-01-2018 111117020118Y000161 0000528089128 FITRIANA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1373 06-01-2018 111117020118Y000356 0000528095619 SULIANTI P PBI (APBN) Urticaria Berobat Jalan

1374 06-01-2018 111117020118Y000357 0000528096003 KHUSNAN DIKI WIDIANTO L PBI (APBN) Impetigo Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1375 06-01-2018 111117020118Y000155 0000528113024 ETI BUDIATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1376 06-01-2018 111117020118Y000176 0000528151443 RUMIDAH P PEGAWAI PEMERINTAH Spontaneous vertex Sembuh
NON PNS delivery
1377 06-01-2018 111117020118Y000373 0000528179499 SOLIHIN CATAM L PBI (APBN) Rheumatism, unspecified Berobat Jalan

1378 06-01-2018 111117020118Y000374 0000528179679 CARTEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1379 06-01-2018 111117020118Y000371 0000528199029 RISEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1380 06-01-2018 111117020118Y000123 0000528208075 KUSNAENAH P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
1381 06-01-2018 111117020118Y000156 0000528304072 SULIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1382 06-01-2018 111117020118Y000324 0000528426066 ROKHIBUN DJUMAH L PBI (APBN) Injury of unspecified body Berobat Jalan
region
1383 06-01-2018 111117020118Y000368 0000528435494 TUSRIAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1384 06-01-2018 111117020118Y000154 0000528528385 SOIMAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1385 06-01-2018 111117020118Y000369 0000528587717 DARSEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1386 06-01-2018 111117020118Y000376 0001016477008 KHUSNUL KHOTIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1387 06-01-2018 111117020118Y000163 0001016478437 HENI FATONAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1388 06-01-2018 111117020118Y000159 0001016483736 TRI SETIANA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1389 06-01-2018 111117020118Y000360 0001016485852 RUMIYATI P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1390 06-01-2018 111117020118Y000335 0001016486526 SUTIKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1391 06-01-2018 111117020118Y000177 0001016530312 SITI KAMIATI P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1392 06-01-2018 111117020118Y000330 0001461007552 TARSAM L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1393 06-01-2018 111117020118Y000174 0001695432328 NARSIYAH P PBI (APBD) Spontaneous vertex Sembuh
delivery
1394 06-01-2018 111117020118Y000348 0001698338035 KAMIARJO L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1395 06-01-2018 111117020118Y000121 0002032575028 WIDODO L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1396 06-01-2018 111117020118Y000353 0002087441008 ELYASH SATYA L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
BIHARULMUMTAZ infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1397 06-01-2018 111117020118Y000153 0002229451479 ADE PRIYANTI L PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1398 06-01-2018 111117020118Y000162 0002295882606 SITI ATIKOH P PEKERJA MANDIRI Care and examination Berobat Jalan
immediately after delivery
1399 06-01-2018 111117020118Y000124 0002314146251 NAYAKA ZAFLAN ARRAZQA L PEKERJA MANDIRI Neonatal jaundice, Rujuk Lanjut
WALUYO unspecified
1400 05-01-2018 111117020118Y000183 0000525829623 ANI TUSTINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1401 05-01-2018 111117020118Y000082 0000526391965 SAMSITIN P PBI (APBN) Maternal care for breech Rujuk Lanjut
presentation
1402 05-01-2018 111117020118Y000296 0000526648623 WATIEM P PBI (APBN) Headache Berobat Jalan

1403 05-01-2018 111117020118Y000299 0000526653562 SATINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1404 05-01-2018 111117020118Y000320 0000526670842 TARSIDI TASLAM L PBI (APBN) Rheumatism, unspecified Berobat Jalan

1405 05-01-2018 111117020118Y000319 0000526670943 KARTIMAH P PBI (APBN) Cough Berobat Jalan

1406 05-01-2018 111117020118Y000308 0000526694411 KARSIH P PBI (APBN) Cough Berobat Jalan

1407 05-01-2018 111117020118Y000304 0000526712815 NIKEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1408 05-01-2018 111117020118Y000292 0000526762405 MA'NAWIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1409 05-01-2018 111117020118Y000314 0000526867975 KALEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

1410 05-01-2018 111117020118Y000311 0000526975266 KAMISAH P PBI (APBN) Anaemia, unspecified Berobat Jalan

1411 05-01-2018 111117020118Y000313 0000527012346 TARIWEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1412 05-01-2018 111117020118Y000068 0000527190546 DARSINI P PBI (APBN) Unspecified chronic Rujuk Lanjut
bronchitis
1413 05-01-2018 111117020118Y000073 0000527217603 TEKAD L PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

1414 05-01-2018 111117020118Y000310 0000527301134 RINTEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1415 05-01-2018 111117020118Y000173 0000527312597 DARSINI P PBI (APBN) Spontaneous vertex Sembuh
delivery
1416 05-01-2018 111117020118Y000312 0000527345368 KARNI P PBI (APBN) Allergic urticaria Berobat Jalan

1417 05-01-2018 111117020118Y000323 0000527385554 SUPINAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1418 05-01-2018 111117020118Y000309 0000527422353 KALIMAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1419 05-01-2018 111117020118Y000119 0000527441398 SAHLAN L PBI (APBN) Injury of unspecified body Berobat Jalan
region
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1420 05-01-2018 111117020118Y000302 0000527447057 AWIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1421 05-01-2018 111117020118Y000317 0000527450231 ROSIDIN ROSID L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1422 05-01-2018 111117020118Y000290 0000527464269 NISEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1423 05-01-2018 111117020118Y000609 0000527666409 RIZKI OKTAVIANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1424 05-01-2018 111117020118Y000083 0000527682767 DARSEM P PBI (APBN) Chronic gastritis, Rujuk Lanjut
unspecified
1425 05-01-2018 111117020118Y000076 0000527688101 KUMBIARTI P PBI (APBN) Vertigo of central origin Berobat Jalan

1426 05-01-2018 111117020118Y000169 0000527727892 DARWATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1427 05-01-2018 111117020118Y000079 0000527761225 DARWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1428 05-01-2018 111117020118Y000322 0000527968361 WARSINAH P PBI (APBN) Fever, unspecified Berobat Jalan

1429 05-01-2018 111117020118Y000078 0000527983751 RODIYAH P PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

1430 05-01-2018 111117020118Y000297 0000527998634 WARSEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1431 05-01-2018 111117020118Y000293 0000528004552 NARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1432 05-01-2018 111117020118Y000306 0000528012584 SAKINAH P PBI (APBN) Vertigo of central origin Berobat Jalan

1433 05-01-2018 111117020118Y000077 0000528039628 KARSEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1434 05-01-2018 111117020118Y000166 0000528043285 SUSANTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1435 05-01-2018 111117020118Y000294 0000528402598 CARKEM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1436 05-01-2018 111117020118Y000295 0000528429431 WISEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1437 05-01-2018 111117020118Y000307 0000528453955 DAKEM P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1438 05-01-2018 111117020118Y000303 0000528458804 JASIH P PBI (APBN) Cough Berobat Jalan

1439 05-01-2018 111117020118Y000301 0000528535708 SAMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1440 05-01-2018 111117020118Y000321 0000528549107 CAWI P PBI (APBN) Vertigo of central origin Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1441 05-01-2018 111117020118Y000305 0000528611297 DARSEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

1442 05-01-2018 111117020118Y000315 0000528645115 KHALIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1443 05-01-2018 111117020118Y000300 0000528699846 JASEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1444 05-01-2018 111117020118Y000318 0001016477032 SIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1445 05-01-2018 111117020118Y000316 0001016477223 WARSEM P PBI (APBN) Cough Berobat Jalan

1446 05-01-2018 111117020118Y000298 0001016478988 RISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1447 05-01-2018 111117020118Y000081 0001016483264 SUKIRNO L PBI (APBN) Intervertebral disc Berobat Jalan
disorder, unspecified
1448 05-01-2018 111117020118Y000080 0001016483275 DWI SUSANTI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1449 05-01-2018 111117020118Y000170 0001016485312 DARYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1450 05-01-2018 111117020118Y000168 0001016485773 NASTITI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1451 05-01-2018 111117020118Y000172 0001016530312 SITI KAMIATI P PBI (APBN) Spontaneous vertex Sembuh
delivery
1452 05-01-2018 111117020118Y000074 0001440406541 UMI MULIATUL HIDAYAH P PEGAWAI SWASTA Myalgia Berobat Jalan

1453 05-01-2018 111117020118Y000167 0001615686085 NASIPAH P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1454 05-01-2018 111117020118Y000075 0001672932486 SUTATI P PBI (APBD) Headache Berobat Jalan

1455 05-01-2018 111117020118Y000120 0002120670922 BARTUTI P PBI (APBN) Spontaneous vertex Sembuh
delivery
1456 05-01-2018 111117020118Y000067 0002295953662 ERMALIA FATMAWATI P PEGAWAI SWASTA Gestational Rujuk Lanjut
[pregnancy-induced]
hypertension without

1457 04-01-2018 111117020118Y001459 0000081658967 KHOERUN L PNS DAERAH Arthrosis, unspecified Berobat Jalan

1458 04-01-2018 111117020118Y000044 0000082040376 SUKIYAH P PENERIMA PENSIUN Cataract, unspecified Rujuk Lanjut
PNS
1459 04-01-2018 111117020118Y001451 0000526013346 RASIH P PBI (APBN) Congestive heart failure Berobat Jalan

1460 04-01-2018 111117020118Y001458 0000526901376 KITEM P PBI (APBN) Otitis externa Berobat Jalan

1461 04-01-2018 111117020118Y000045 0000526944453 SOIROH P PBI (APBN) Maternal care due to Rujuk Lanjut
uterine scar from previous
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1462 04-01-2018 111117020118Y001437 0000526945116 ALIF RAMDANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1463 04-01-2018 111117020118Y001441 0000527024632 MAFIKA NUR AZMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1464 04-01-2018 111117020118Y001500 0000527035667 SIWEN P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1465 04-01-2018 111117020118Y001497 0000527044836 KIRTEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

1466 04-01-2018 111117020118Y001456 0000527061137 MU`TY JAWAAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1467 04-01-2018 111117020118Y001491 0000527188904 LASEM P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1468 04-01-2018 111117020118Y001474 0000527201043 NASEM P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1469 04-01-2018 111117020118Y001492 0000527218852 KASIWEN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1470 04-01-2018 111117020118Y001486 0000527223903 RIKIN L PBI (APBN) Dermatitis, unspecified Berobat Jalan

1471 04-01-2018 111117020118Y000055 0000527240417 ULI NUR AFNI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1472 04-01-2018 111117020118Y000054 0000527255278 LAELI HIKAYATUN NI'MAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1473 04-01-2018 111117020118Y001480 0000527268058 KHOMIDIN L PBI (APBN) Cough Berobat Jalan

1474 04-01-2018 111117020118Y001483 0000527287858 KARISEM P PBI (APBN) Cough Berobat Jalan

1475 04-01-2018 111117020118Y001457 0000527310663 AFRIZAL GUS TRIARNO L PBI (APBN) Cellulitis Berobat Jalan

1476 04-01-2018 111117020118Y000053 0000527312597 DARSINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1477 04-01-2018 111117020118Y000056 0000527359983 TUTI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1478 04-01-2018 111117020118Y001485 0000527379243 TINEM P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1479 04-01-2018 111117020118Y001476 0000527387951 RASEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

1480 04-01-2018 111117020118Y001469 0000527425571 TINI P PBI (APBN) Gastritis, unspecified Berobat Jalan

1481 04-01-2018 111117020118Y000049 0000527497896 NURYANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1482 04-01-2018 111117020118Y001440 0000527646587 HARYANI P PBI (APBN) Vertigo of central origin Berobat Jalan

1483 04-01-2018 111117020118Y001482 0000527666477 RISEM P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1484 04-01-2018 111117020118Y001454 0000527680282 MURKONI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1485 04-01-2018 111117020118Y001503 0000527688999 SULTONI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1486 04-01-2018 111117020118Y000051 0000527709611 NURYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1487 04-01-2018 111117020118Y001447 0000527793142 WATI P PBI (APBN) Vertigo of central origin Berobat Jalan

1488 04-01-2018 111117020118Y001465 0000527837681 DARKEM P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1489 04-01-2018 111117020118Y001463 0000527880194 DARKEM P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1490 04-01-2018 111117020118Y001490 0000527937502 TASIWEN P PBI (APBN) Headache Berobat Jalan

1491 04-01-2018 111117020118Y001504 0000527999793 MADKUSIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1492 04-01-2018 111117020118Y001464 0000527999872 KATEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1493 04-01-2018 111117020118Y001489 0000528002807 KARPEN P PBI (APBN) Arthrosis, unspecified Berobat Jalan

1494 04-01-2018 111117020118Y001501 0000528024161 SAINAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan

1495 04-01-2018 111117020118Y000057 0000528045838 DARIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1496 04-01-2018 111117020118Y001477 0000528149349 NARSEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1497 04-01-2018 111117020118Y001479 0000528149946 NAISAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1498 04-01-2018 111117020118Y001462 0000528280492 ROSIYAH P PBI (APBN) Tinea corporis Berobat Jalan

1499 04-01-2018 111117020118Y001455 0000528289885 SANIA ANIQOTULLUTFIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1500 04-01-2018 111117020118Y001439 0000528311136 TRI LESTARI P PBI (APBN) Chalazion Berobat Jalan

1501 04-01-2018 111117020118Y000047 0000529782669 SITI MARYATI P PBI (APBN) Systemic lupus Rujuk Lanjut
erythematosus,

1502 04-01-2018 111117020118Y001438 0001016480204 WARSIKIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1503 04-01-2018 111117020118Y001444 0001016480597 NARSEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

1504 04-01-2018 111117020118Y001502 0001016485683 RAKIDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1505 04-01-2018 111117020118Y001493 0001016487178 MUCHINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1506 04-01-2018 111117020118Y001460 0001016489518 SANGADAH P PBI (APBN) Headache Berobat Jalan

1507 04-01-2018 111117020118Y000058 0001016493377 SITI MUNIAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1508 04-01-2018 111117020118Y001443 0001016498586 SUPRIHATIN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1509 04-01-2018 111117020118Y000048 0001083944046 YUTIMAH P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
connective and soft tissue,

1510 04-01-2018 111117020118Y001448 0001084514736 NARKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1511 04-01-2018 111117020118Y001442 0001292201695 ANTI ENI P PEGAWAI PEMERINTAH Vertigo of central origin Berobat Jalan
NON PNS
1512 04-01-2018 111117020118Y000059 0001672925861 TRISNA DEWI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1513 04-01-2018 111117020118Y000050 0001697707337 SUNARTI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1514 04-01-2018 111117020118Y001453 0001807546959 DIDI NURUL AFANDI L PEGAWAI SWASTA Conjunctivitis Berobat Jalan

1515 04-01-2018 111117020118Y001494 0001808817333 nailah P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1516 04-01-2018 111117020118Y000046 0001877946309 TRISNIA BAROKATUN NAZILAH P PEGAWAI SWASTA Polycystic ovarian Rujuk Lanjut
syndrome
1517 04-01-2018 111117020118Y000060 0002024406483 TARSONO L PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, without
mention of bacteriological
or histological confirmation

1518 04-01-2018 111117020118Y000215 0002123172865 MUHAMMAD FATHURROHMAN L PBI (APBN) Oedema, unspecified Berobat Jalan

1519 04-01-2018 111117020118Y001495 0002250471813 SARTI P PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

1520 04-01-2018 111117020118Y000052 0002261685396 SUPARTI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1521 04-01-2018 111117020118Y001445 0002281162612 NASUKHA TARSUN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without

1522 04-01-2018 111117020118Y000064 0002295882606 SITI ATIKOH P PEKERJA MANDIRI Care and examination Berobat Jalan
immediately after delivery
1523 03-01-2018 111117020118Y000030 0000081745391 DJUDI ASHARI L PNS DAERAH Urinary calculus, Rujuk Lanjut
unspecified
1524 03-01-2018 111117020118Y000207 0000081754053 SUYARMI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
1525 03-01-2018 111117020118Y000131 0000082041838 SUTAJAT L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1526 03-01-2018 111117020118Y000065 0000526004921 KAMIATI P PBI (APBN) Pre-eclampsia, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1527 03-01-2018 111117020118Y000066 0000526004921 KAMIATI P PBI (APBN) Pre-eclampsia, Berobat Jalan
unspecified
1528 03-01-2018 111117020118Y000025 0000526199714 MIARDI L PBI (APBN) Injury of kidney Rujuk Lanjut

1529 03-01-2018 111117020118Y000138 0000526231102 MURNIATI P PBI (APBN) Soft tissue disorder, Berobat Jalan
unspecified
1530 03-01-2018 111117020118Y000023 0000526297274 IRZAD TARSO L PBI (APBN) Cataract, unspecified Rujuk Lanjut

1531 03-01-2018 111117020118Y000148 0000526417018 DAINEM P PBI (APBN) Acute periodontitis Berobat Jalan

1532 03-01-2018 111117020118Y000127 0000526631657 SARINAH P PBI (APBN) Acute pharyngitis Berobat Jalan

1533 03-01-2018 111117020118Y000039 0000526668704 DINDA MAYA ROSALINA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1534 03-01-2018 111117020118Y000133 0000526717675 CAHYANI P PBI (APBN) Acute pharyngitis Berobat Jalan

1535 03-01-2018 111117020118Y000182 0000526758074 KHOTIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1536 03-01-2018 111117020118Y000028 0000527069125 WAKUM L PBI (APBN) Presbyopia Rujuk Lanjut

1537 03-01-2018 111117020118Y000031 0000527112674 warSITEM P PBI (APBN) Chronic sinusitis, Rujuk Lanjut
unspecified
1538 03-01-2018 111117020118Y000141 0000527217952 RUKHYATI P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus
1539 03-01-2018 111117020118Y000132 0000527289579 NASIEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1540 03-01-2018 111117020118Y000063 0000527289794 ANA UZLIFATUL JANNAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1541 03-01-2018 111117020118Y000208 0000527350825 SUMIRAH P PBI (APBN) Myalgia Berobat Jalan

1542 03-01-2018 111117020118Y000126 0000527360692 RALIM L PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
1543 03-01-2018 111117020118Y000043 0000527383552 NORI ROFIAH P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

1544 03-01-2018 111117020118Y000037 0000527431836 WATINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1545 03-01-2018 111117020118Y000146 0000527431926 KUSMANTO L PBI (APBN) Fever, unspecified Berobat Jalan

1546 03-01-2018 111117020118Y000035 0000527534537 NOFIANA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1547 03-01-2018 111117020118Y000137 0000527540185 SODAH P PBI (APBN) Dyspepsia Berobat Jalan

1548 03-01-2018 111117020118Y000142 0000527669752 SURTINI P PBI (APBN) Acute gingivitis Berobat Jalan

1549 03-01-2018 111117020118Y000136 0000527673633 SIWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1550 03-01-2018 111117020118Y000147 0000527693861 NUROHMAH P PBI (APBN) Inflammatory disorders of Berobat Jalan
breast
1551 03-01-2018 111117020118Y000034 0000527712636 DARISEM P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1552 03-01-2018 111117020118Y000214 0000527721941 MAYGI PRIANDANU L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1553 03-01-2018 111117020118Y000135 0000527748074 WARSITO L PBI (APBN) Fever, unspecified Berobat Jalan

1554 03-01-2018 111117020118Y000042 0000527776986 LIANA SEPTIANI P PBI (APBN) Chronic tonsillitis Rujuk Lanjut

1555 03-01-2018 111117020118Y000026 0000527817407 KASIYAH P PBI (APBN) Leiomyoma of uterus, Rujuk Lanjut
unspecified
1556 03-01-2018 111117020118Y000139 0000527888147 MINGAN L PBI (APBN) Vertigo of central origin Berobat Jalan

1557 03-01-2018 111117020118Y000125 0000527924057 KUSRONI L PBI (APBN) Other acute gastritis Berobat Jalan

1558 03-01-2018 111117020118Y000213 0000528028255 DARTO L PBI (APBN) Myalgia Berobat Jalan

1559 03-01-2018 111117020118Y000212 0000528028323 rASMINAH P PBI (APBN) Other acute gastritis Berobat Jalan

1560 03-01-2018 111117020118Y000024 0000528066922 TARSUN L PBI (APBN) Low back pain Rujuk Lanjut

1561 03-01-2018 111117020118Y000040 0000528269692 TURImAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1562 03-01-2018 111117020118Y000204 0000528391765 YERLINA P PBI (APBN) Pure Berobat Jalan
hypercholesterolaemia
1563 03-01-2018 111117020118Y001434 0000528630669 ROHMAT L PBI (APBN) Pulpitis Berobat Jalan

1564 03-01-2018 111117020118Y000128 0000529133927 RATIWEN P PBI (APBN) Tinea cruris Berobat Jalan

1565 03-01-2018 111117020118Y000145 0001016480766 SAMSIYAH P PBI (APBN) Asthma Berobat Jalan

1566 03-01-2018 111117020118Y000032 0001016481486 WARTAM L PBI (APBN) Heart failure, unspecified Rujuk Lanjut

1567 03-01-2018 111117020118Y000211 0001016482522 RUKUN L PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

1568 03-01-2018 111117020118Y000210 0001016482533 MURTINI P PBI (APBN) Stomatitis and related Berobat Jalan
lesions
1569 03-01-2018 111117020118Y000130 0001016496011 WARSONO ALDO L PBI (APBN) Injury of unspecified body Berobat Jalan
region
1570 03-01-2018 111117020118Y000206 0001016524653 ROHIMAH P PBI (APBN) Myalgia Berobat Jalan

1571 03-01-2018 111117020118Y000205 0001292867651 AQILA ZAKIYATUL FIRDAUSY L PEGAWAI PEMERINTAH Dyspepsia Berobat Jalan
DENGAN PERJANJIAN

1572 03-01-2018 111117020118Y000209 0001615662303 WISEM P PBI (APBD) Injury of unspecified body Berobat Jalan
region
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1573 03-01-2018 111117020118Y000608 0001695432317 UMI JUWAIDAH P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1574 03-01-2018 111117020118Y000134 0001698336371 NARKAM L PBI (APBD) Acute pharyngitis Berobat Jalan

1575 03-01-2018 111117020118Y000149 0001698336922 NAILAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1576 03-01-2018 111117020118Y000036 0001698337326 SITI ROKHAYATI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1577 03-01-2018 111117020118Y000027 0001699679046 KAILAH P PBI (APBD) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1578 03-01-2018 111117020118Y000033 0001888333301 SRI NIATI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
1579 03-01-2018 111117020118Y000140 0002021897248 FERDI ISKANDAR L PBI (APBN) Diseases of salivary Berobat Jalan
glands
1580 03-01-2018 111117020118Y000143 0002129511251 NENI ISMAWATI P PBI (APBN) Diseases of salivary Berobat Jalan
glands
1581 03-01-2018 111117020118Y000144 0002129511262 SURYATI P PBI (APBN) Fever, unspecified Berobat Jalan

1582 03-01-2018 111117020118Y000041 0002246095631 JOKO PURNOMO L PEKERJA MANDIRI Unspecified chronic Rujuk Lanjut
bronchitis
1583 03-01-2018 111117020118Y000129 0002274514209 MARTAJA L PEKERJA MANDIRI Malaise and fatigue Berobat Jalan

1584 03-01-2018 111117020118Y000062 0002295882606 SITI ATIKOH P PEKERJA MANDIRI Spontaneous vertex Sembuh
delivery
1585 03-01-2018 111117020118Y000038 0002310823282 YULI NIRAWATI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1586 02-01-2018 111117020118Y000084 0000082040848 SOEDARTO L PENERIMA PENSIUN Bronchitis, not specified as Berobat Jalan
PNS acute or chronic
1587 02-01-2018 111117020118Y000099 0000158040112 PALSONO L PNS PUSAT Cellulitis Berobat Jalan

1588 02-01-2018 111117020118Y000069 0000525884995 CASAM L PBI (APBN) Primary arthrosis of other Berobat Jalan
joints, unspecified site
1589 02-01-2018 111117020118Y000104 0000525970517 RISUN YASROJI L PBI (APBN) Arthrosis, unspecified Berobat Jalan

1590 02-01-2018 111117020118Y000019 0000526244051 JARIYAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1591 02-01-2018 111117020118Y000090 0000526250013 ROIMAH P PBI (APBN) Carpal tunnel syndrome Berobat Jalan

1592 02-01-2018 111117020118Y000014 0000526283381 TINA NURHASANAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1593 02-01-2018 111117020118Y000013 0000526732031 NURYATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1594 02-01-2018 111117020118Y000101 0000526759536 RAITEM P PBI (APBN) Myalgia Berobat Jalan

1595 02-01-2018 111117020118Y000107 0000526759953 MULUD MUJI SANTOSO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1596 02-01-2018 111117020118Y000009 0000526915168 LIVA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1597 02-01-2018 111117020118Y000115 0000526917835 ROTIYAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus
1598 02-01-2018 111117020118Y000102 0000526956513 SURINIAWATI P PBI (APBN) Allergic rhinitis, Berobat Jalan
unspecified
1599 02-01-2018 111117020118Y000021 0000527012807 KHODIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1600 02-01-2018 111117020118Y000089 0000527229911 SUHAMDAN L PBI (APBN) Gout, unspecified Berobat Jalan

1601 02-01-2018 111117020118Y000106 0000527245817 SARWEN P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus
1602 02-01-2018 111117020118Y000181 0000527257012 UMIROTUN ASANAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1603 02-01-2018 111117020118Y000071 0000527273109 MIFTAHUL BAROKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1604 02-01-2018 111117020118Y000091 0000527283887 WITI SUSANTI P PBI (APBN) Malaise and fatigue Berobat Jalan

1605 02-01-2018 111117020118Y000061 0000527289794 ANA UZLIFATUL JANNAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
1606 02-01-2018 111117020118Y000103 0000527296296 AISAH NUR CAHYANI P PBI (APBN) Respiratory tuberculosis, Berobat Jalan
bacteriologically and

1607 02-01-2018 111117020118Y000017 0000527311732 KURNIATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1608 02-01-2018 111117020118Y000097 0000527354515 SUKINI P PBI (APBN) Tinea cruris Berobat Jalan

1609 02-01-2018 111117020118Y000098 0000527356181 AYU LESTIA P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1610 02-01-2018 111117020118Y000070 0000527441152 DARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1611 02-01-2018 111117020118Y000008 0000527448497 ANISA DWIO P PBI (APBN) Benign neoplasm of other Rujuk Lanjut
and unspecified parts of

1612 02-01-2018 111117020118Y000016 0000527474272 WATINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1613 02-01-2018 111117020118Y000118 0000527530375 JASEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1614 02-01-2018 111117020118Y000006 0000527572888 SUTARTI P PBI (APBN) Inflammatory disease of Rujuk Lanjut
cervix uteri
1615 02-01-2018 111117020118Y000109 0000527574284 SANI MUSRIFA L PBI (APBN) Scabies Berobat Jalan

1616 02-01-2018 111117020118Y000012 0000527633289 SUNDARI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1617 02-01-2018 111117020118Y000018 0000527664082 ARTINAH P PBI (APBN) Care and examination Berobat Jalan
immediately after delivery
1618 02-01-2018 111117020118Y000112 0000527682767 DARSEM P PBI (APBN) Dyspepsia Berobat Jalan

1619 02-01-2018 111117020118Y000088 0000527682936 ROISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1620 02-01-2018 111117020118Y000105 0000527704839 KHAMSIYAH P PBI (APBN) Gastroenteritis and colitis Berobat Jalan
of unspecified origin
1621 02-01-2018 111117020118Y000004 0000527924092 PARTI P PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

1622 02-01-2018 111117020118Y000096 0000527926871 NASILAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1623 02-01-2018 111117020118Y000092 0000527947481 KASWARI L PBI (APBN) Dermatitis, unspecified Berobat Jalan

1624 02-01-2018 111117020118Y000100 0000528039022 RISWANTO L PBI (APBN) Heart failure Berobat Jalan

1625 02-01-2018 111117020118Y000116 0000528075022 SAWEN P PBI (APBN) Gastro-oesophageal reflux Berobat Jalan
disease without

1626 02-01-2018 111117020118Y000087 0000528080084 DARMINI P PBI (APBN) Gastroenteritis and colitis Berobat Jalan
of unspecified origin
1627 02-01-2018 111117020118Y000010 0000528080084 DARMINI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1628 02-01-2018 111117020118Y000093 0000528154176 ZENAL ALFARISI L PBI (APBN) Disease of salivary gland, Berobat Jalan
unspecified
1629 02-01-2018 111117020118Y000110 0000528220078 KARJO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1630 02-01-2018 111117020118Y000095 0000528261052 DASIRIN L PBI (APBN) Injury of unspecified body Berobat Jalan
region
1631 02-01-2018 111117020118Y000005 0000528304059 AKHMAD DURORI L PBI (APBN) Malignant neoplasm of Rujuk Lanjut
connective and soft tissue,

1632 02-01-2018 111117020118Y000114 0000529153042 TASWAN HADI L PBI (APBN) Abdominal and pelvic pain Berobat Jalan

1633 02-01-2018 111117020118Y000022 0000529153481 SARI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1634 02-01-2018 111117020118Y000020 0001016478887 INGATUL KHOERIAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1635 02-01-2018 111117020118Y000011 0001016481835 TRI WAHYUNI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1636 02-01-2018 111117020118Y000108 0001016484524 SULASTRI APRIYANI P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1637 02-01-2018 111117020118Y000085 0001016486875 KASIM L PBI (APBN) Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : II Cilongok - 11111702

1638 02-01-2018 111117020118Y000094 0001481410451 SUSANTO L PEGAWAI SWASTA Myalgia Berobat Jalan

1639 02-01-2018 111117020118Y000111 0001615662303 WISEM P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

1640 02-01-2018 111117020118Y000002 0001695146984 NASAN TURWADI L PBI (APBD) Erythematous condition, Rujuk Lanjut
unspecified
1641 02-01-2018 111117020118Y000072 0001698337361 SLAMET L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1642 02-01-2018 111117020118Y000007 0001700202947 SOLICHUN L PBI (APBD) Pleural effusion, not Rujuk Lanjut
elsewhere classified
1643 02-01-2018 111117020118Y000003 0001808816916 salimin L PEKERJA MANDIRI Cervicalgia Rujuk Lanjut

1644 02-01-2018 111117020118Y000086 0001971324426 izzul hanif L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
1645 02-01-2018 111117020118Y000015 0002225811251 KARIMAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
1646 02-01-2018 111117020118Y000113 0002257342637 ERLANGGA NAJIB FANANI L PEKERJA MANDIRI Acute tonsillitis, Berobat Jalan
unspecified
1647 02-01-2018 111117020118Y000117 0002298158324 RAJA BANI NUR ANOM L PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

1648 01-01-2018 111117020118Y000001 0000527026296 MASRUROH P PBI (APBN) Antepartum haemorrhage, Rujuk Lanjut
unspecified

Das könnte Ihnen auch gefallen