SADES18 Dikonversi

Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601

NO TANGGAL NO KUNJUNGAN NO KARTU
1 31-12-2018 170406011218Y000282 0000122622085
2 31-12-2018 170406011218Y000307 0000122730794
3 31-12-2018 170406011218Y000300 0000122824258
4 31-12-2018 170406011218Y000301 0000122824282
5 31-12-2018 170406011218Y000287 0000123189243
6 31-12-2018 170406011218Y000302 0000123709869
7 31-12-2018 170406011218Y000292 0000889464543
8 31-12-2018 170406011218Y000289 0000889912269
9 31-12-2018 170406011218Y000304 0000889926276
10 31-12-2018 170406011218Y000311 0000890000908
11 31-12-2018 170406011218Y000310 0000890331366
12 31-12-2018 170406011218Y000306 0000890541527
13 31-12-2018 170406011218Y000284 0000890543204
14 31-12-2018 170406011218Y000293 0000890786946
15 31-12-2018 170406011218Y000285 0001065414352
16 31-12-2018 170406011218Y000283 0001191563043
17 31-12-2018 170406011218Y000309 0001449943121
18 31-12-2018 170406011218Y000288 0001546014172
19 31-12-2018 170406011218Y000286 0001730252125
20 31-12-2018 170406011218Y000298 0001821774969

NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
MUHAMMAD TAAT NOOR L PNS DAERAH Congestive heart failure
ISNANIAH P PEGAWAI SWASTA Influenza due to other identified

influenza virus
AMRULLAH L PNS DAERAH Other disorders of urinary system
MUHAMMAD FAIZ L PNS DAERAH Acute nasopharyngitis [common

cold]
MISRAN L PNS DAERAH Non-insulin-dependent diabetes
mellitus without
MURNIATI P PNS DAERAH Dyspepsia
MAHYUNI L PBI (APBN) Disorder of refraction, unspecified
MUSTAFA KAMAL L PBI (APBN) Corns and callosities
ERNA P PBI (APBN) Cough
SITI RAHMAH P PBI (APBN) Antenatal screening, unspecified
AYU AZ'HARI P PBI (APBN) Antenatal screening, unspecified
HARIONO L PBI (APBN) Essential (primary) hypertension
ASNAWI L PBI (APBN) Senile cataract, unspecified
SITI AISYAH P PBI (APBN) Non-insulin-dependent diabetes

mellitus without
hamdah P PBI (APBN) Non-insulin-dependent diabetes

mellitus with
SILVIA KARMILA P PEKERJA MANDIRI Epilepsy, unspecified
SANIAH P PEKERJA MANDIRI Necrosis of pulp
M. SYAHRUJI L PEGAWAI SWASTA Essential (primary) hypertension
AINUN JARIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
NUR AINA P PEKERJA MANDIRI Fever of other and unknown origin

DIRUJUK
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21 31-12-2018 170406011218Y000294 0001834015588
22 31-12-2018 170406011218Y000299 0001843243841
23 31-12-2018 170406011218Y000296 0001864513012
24 31-12-2018 170406011218Y000281 0001881336778
25 31-12-2018 170406011218Y000297 0001902576161
26 31-12-2018 170406011218Y000290 0001964542239
27 31-12-2018 170406011218Y000305 0002276954504
28 31-12-2018 170406011218Y000308 0002283692646
29 31-12-2018 170406011218Y000291 0002316157727
30 31-12-2018 170406011218Y000295 0002469003581
31 31-12-2018 170406011218Y000303 0002492232366
32 29-12-2018 170406011218Y000320 0000123322184
33 29-12-2018 170406011218Y000280 0000123694931
34 29-12-2018 170406011218Y000279 0000123799702
35 29-12-2018 170406011218Y000318 0000194434604
36 29-12-2018 170406011218Y000324 0000202900915
37 29-12-2018 170406011218Y000321 0000204782804
38 29-12-2018 170406011218Y000323 0000889926276
39 29-12-2018 170406011218Y000315 0000890044547

SYARIFAH P PEGAWAI PEMERINTAH Essential (primary) hypertension
DENGAN PERJANJIAN
FATMAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
ZALEHA P PEKERJA MANDIRI Essential (primary) hypertension
ISKANDAR ZULKARNAIN L PEKERJA MANDIRI Hypertensive heart disease without
RINI ANDRIATI P PEKERJA MANDIRI Dyspepsia
LISA YULIANA P PEKERJA MANDIRI Ventricular premature

depolarization
NADHIFA AZZAHRA P PEGAWAI SWASTA Fever of other and unknown origin
INDAH VIRA JUNIAR P PNS DAERAH Essential (primary) hypertension
M. ARJUNA ABQARI AL-AHZA L PNS PUSAT Fracture of clavicle
MAHDINI L PEKERJA MANDIRI Essential (primary) hypertension
ADI DARUSSALAM L PEGAWAI SWASTA Dyspepsia
IFAH AMINAH P PNS PUSAT Gastritis, unspecified
AISYAH P PNS DAERAH Chronic obstructive pulmonary

disease with acute exacerbation,
AMBARWATI P PENERIMA PENSIUN PNS Chronic obstructive pulmonary

disease with acute exacerbation,
RASYIDA KARIMA P PNS PUSAT Fever, unspecified
SUKARSIH P PENERIMA PENSIUN PNS Allergic contact dermatitis
SITI PATIMAH P PENERIMA PENSIUN PNS Gout
ANSYARI L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
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40 29-12-2018 170406011218Y000322 0000890677631
41 29-12-2018 170406011218Y000316 0000890786946
42 29-12-2018 170406011218Y000314 0000891218362
43 29-12-2018 170406011218Y000313 0001065413035
44 29-12-2018 170406011218Y000312 0001065414352
45 29-12-2018 170406011218Y000327 0001173437425
46 29-12-2018 170406011218Y000326 0001173437447
47 29-12-2018 170406011218Y000319 0001199102916
48 29-12-2018 170406011218Y000277 0001306752142
49 29-12-2018 170406011218Y000278 0001319216321
50 29-12-2018 170406011218Y000325 0001797527327
51 29-12-2018 170406011218Y000328 0002061130048
52 29-12-2018 170406011218Y000317 0002438267005
53 28-12-2018 170406011218Y000273 0000122719162
54 28-12-2018 170406011218Y000333 0000122850066
55 28-12-2018 170406011218Y000329 0000123155414
56 28-12-2018 170406011218Y000275 0000123587021
57 28-12-2018 170406011218Y000274 0000163507184
58 28-12-2018 170406011218Y000342 0000200312019
59 28-12-2018 170406011218Y000336 0000889756931
60 28-12-2018 170406011218Y000276 0000889763624

KURNI YUSRI L PBI (APBN) Undifferentiated schizophrenia
SITI AISYAH P PBI (APBN) Allergic contact dermatitis
MUHAMMAD ALDO L PBI (APBN) Fever of other and unknown origin
MUHDAR L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
hamdah P PBI (APBN) Gout
HIKMAH P PEGAWAI SWASTA Caries of dentine
ADHA AZ ZAHRA P PEGAWAI SWASTA Dental caries
LISA MURTINI P PEGAWAI SWASTA Gastritis, unspecified
MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction
SITI MARIAM P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SITI FATIMAH P PEGAWAI PEMERINTAH Other and unspecified diseases of

DENGAN PERJANJIAN pulp and
M. ASRIANOR L PEGAWAI SWASTA Necrosis of pulp
FITRIA P PEKERJA MANDIRI Suppurative and unspecified otitis

media
RUSLIASARI P PNS PUSAT Hyperlipidaemia, unspecified
NORHAYATI. P PENERIMA PENSIUN PNS Dyspepsia
PAHLI RAIHANA DEWI P PEGAWAI SWASTA Antenatal screening, unspecified
ITA AS P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with
RUSDIANA. HJ P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
ERNAWATI P PNS DAERAH Allergic contact dermatitis
MARSIAH P PBI (APBN) Allergic contact dermatitis
SETIA BUDI L PBI (APBN) Stroke, not specified as

haemorrhage or infarction
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61 28-12-2018 170406011218Y000339 0000890042231
62 28-12-2018 170406011218Y000331 0000890202284
63 28-12-2018 170406011218Y000332 0000891529964
64 28-12-2018 170406011218Y000334 0001065413845
65 28-12-2018 170406011218Y000335 0001065414352
66 28-12-2018 170406011218Y000341 0001137422834
67 28-12-2018 170406011218Y000338 0001442536211
68 28-12-2018 170406011218Y000330 0001465179524
69 28-12-2018 170406011218Y000340 0001831293595
70 28-12-2018 170406011218Y000272 0001928424936
71 28-12-2018 170406011218Y000271 0002228752034
72 28-12-2018 170406011218Y000337 0002308025171
73 28-12-2018 170406011218Y000270 0002497060607
74 27-12-2018 170406011218Y000268 0000122728915
75 27-12-2018 170406011218Y000262 0000123093066
76 27-12-2018 170406011218Y000266 0000158985099
77 27-12-2018 170406011218Y000354 0000889884358
78 27-12-2018 170406011218Y000346 0000889926276
79 27-12-2018 170406011218Y000344 0000889979534
80 27-12-2018 170406011218Y000357 0000890074754
81 27-12-2018 170406011218Y000343 0000890313906
82 27-12-2018 170406011218Y000350 0000890748099
83 27-12-2018 170406011218Y000348 0000891216281
84 27-12-2018 170406011218Y000267 0001264056265

KHAIRIADI L PBI (APBN) Gout
NOOR SYARIFAH P PBI (APBN) Acute upper respiratory infection,

unspecified
AYU PALASARI P PBI (APBN) Myalgia
MUTIA RAHMAH P PBI (APBN) Dyspepsia
hamdah P PBI (APBN) Essential (primary) hypertension
FAUZIAH P PEKERJA MANDIRI Gastritis, unspecified
HAURA ELYSA GUNTUR P PEKERJA MANDIRI Cough
AMIR L PEKERJA MANDIRI Asthma
HABIBAH P PEKERJA MANDIRI Headache
HIDAYATILLAH L PBI (APBD) Paranoid schizophrenia
FATIMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
THAIBAH P PEKERJA MANDIRI Headache
CALON BAYI NY. NUNUN NURNILA .S P PEKERJA MANDIRI Haemorrhagic disease of fetus and
newborn
ASUN B L PENERIMA PENSIUN PNS Idiopathic gout, other sites
RAMZIAH P PNS DAERAH Atherosclerotic heart disease
MAHRANI EFFENDI, SH L PNS DAERAH Nonorganic sleep disorder,

unspecified
AULIA FITRI P PBI (APBN) Antenatal screening, unspecified
M. SUPIAN SAURI L PBI (APBN) Cough
BAHRAH P PBI (APBN) Contraceptive management,

unspecified
SYARNIAH P PBI (APBN) Cough
HAYATUN NUFUS P PBI (APBN) Dyspepsia
ANA MULLIANA P PBI (APBN) Suppurative and unspecified otitis

media
NORAIDA P PEKERJA MANDIRI Heart failure, unspecified
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85 27-12-2018 170406011218Y000263 0001265731211
86 27-12-2018 170406011218Y000353 0001271659735
87 27-12-2018 170406011218Y000264 0001291769392
88 27-12-2018 170406011218Y000269 0001318164388
89 27-12-2018 170406011218Y000261 0001328026138
90 27-12-2018 170406011218Y000347 0001443518504
91 27-12-2018 170406011218Y000352 0001547615575
92 27-12-2018 170406011218Y000349 0001550569779
93 27-12-2018 170406011218Y000265 0001886578266
94 27-12-2018 170406011218Y000351 0002093457723
95 27-12-2018 170406011218Y000356 0002242559722
96 27-12-2018 170406011218Y000358 0002429007311
97 27-12-2018 170406011218Y000345 0002438267005
98 27-12-2018 170406011218P000607 0002456749102
99 27-12-2018 170406011218Y000355 0002496911545
100 26-12-2018 170406011218Y000257 0000122257427
101 26-12-2018 170406011218Y000361 0000122654801
102 26-12-2018 170406011218Y000372 0000123205533
103 26-12-2018 170406011218Y000254 0000123287253
104 26-12-2018 170406011218Y000256 0000123313689
105 26-12-2018 170406011218Y000366 0000210133923

JUMAINAH P PEKERJA MANDIRI Undifferentiated schizophrenia
RAHMAWATI P PEKERJA MANDIRI Radicular cyst
ST FARADIBAH P PEKERJA MANDIRI Essential (primary) hypertension
TANKASIANI L PEKERJA MANDIRI Mononeuropathy, unspecified
SALAMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
NASRUDDIN L PEKERJA MANDIRI Essential (primary) hypertension
SALAMAH P PEGAWAI SWASTA Cough
M SUGIANNOR L PEGAWAI SWASTA Allergic contact dermatitis
NAHRUDIN L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
HARI LISWATI P PEKERJA MANDIRI Gout
SEPTIA NOOR SHAHARA P PEGAWAI SWASTA Antenatal screening, unspecified
MAYA SARI P PEKERJA MANDIRI Antenatal screening, unspecified
FITRIA P PEKERJA MANDIRI Impacted cerumen
SITI AISYAH P PEKERJA MANDIRI Surveillance of contraceptive drugs
NUNUN NURNILA SAPITRI P PEKERJA MANDIRI Antenatal screening, unspecified
SITI INDERA HJ P PENERIMA PENSIUN PNS Essential (primary) hypertension
ERNAWATI P PENERIMA PENSIUN PNS Diseases of pulp and periapical

tissues
RASIDI L PNS DAERAH Essential (primary) hypertension
MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified
ABDULLAHKARIM L PNS PUSAT Non-insulin-dependent diabetes

mellitus with
AHMAD NAZARI L PNS DAERAH Other and unspecified diseases of

pulp and
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106 26-12-2018 170406011218Y000377 0000889478583
107 26-12-2018 170406011218Y000255 0000889791568
108 26-12-2018 170406011218Y000369 0000890678632
109 26-12-2018 170406011218Y000376 0000890742508
110 26-12-2018 170406011218Y000360 0000890785405
111 26-12-2018 170406011218Y000379 0000890843826
112 26-12-2018 170406011218Y000381 0000891206932
113 26-12-2018 170406011218Y000367 0001065412989
114 26-12-2018 170406011218Y000384 0001065413136
115 26-12-2018 170406011218Y000374 0001265576771
116 26-12-2018 170406011218Y000359 0001266036219
117 26-12-2018 170406011218Y000382 0001384247867
118 26-12-2018 170406011218Y000362 0001437206141
119 26-12-2018 170406011218Y000383 0001460053989
120 26-12-2018 170406011218Y000371 0001610595066
121 26-12-2018 170406011218Y000370 0001610595077
122 26-12-2018 170406011218Y000252 0001786617786
123 26-12-2018 170406011218Y000368 0001831292943
124 26-12-2018 170406011218Y000365 0002040803662
125 26-12-2018 170406011218Y000378 0002083725639
126 26-12-2018 170406011218Y000260 0002088628863

DEWI MAHARANI P PBI (APBN) Acute upper respiratory infection,
unspecified
AHMAD L PBI (APBN) Parkinson's disease
WIWI ARIYANI P PBI (APBN) Influenza due to other identified

influenza virus
RAHMAH P PBI (APBN) Myalgia
LIDYA WARDANI P PBI (APBN) Antenatal screening, unspecified
KHAIRUDIN L PBI (APBN) Other chronic obstructive

pulmonary disease
ARBANI L PBI (APBN) Gastritis, unspecified
NURUL HIDAYAH P PBI (APBN) Other and unspecified diseases of

pulp and
NURDIN L PBI (APBN) Typhoid and paratyphoid fevers
MASJA P PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
MURNIATI SARI P PEKERJA MANDIRI Antenatal screening, unspecified
SURIANI L PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
FATIMAH P PEGAWAI SWASTA Other and unspecified diseases of
pulp and
M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension
SAM'ANI L PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
NINIK SUSIANI P PEGAWAI SWASTA Cough
masriah P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SUBLI L PEKERJA MANDIRI Undifferentiated schizophrenia
A. RAFI'I HAMDI L PEKERJA MANDIRI Dental caries
ABD. HALIM L PEKERJA MANDIRI Essential (primary) hypertension
MISBATUL JANAH P PEKERJA MANDIRI Leprosy [Hansen disease]

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127 26-12-2018 170406011218Y000385 0002201121461
128 26-12-2018 170406011218Y000258 0002216157221
129 26-12-2018 170406011218Y000373 0002229055874
130 26-12-2018 170406011218Y000259 0002309476781
131 26-12-2018 170406011218Y000253 0002369739464
132 26-12-2018 170406011218Y000375 0002435600046
133 26-12-2018 170406011218Y000363 0002438267005
134 26-12-2018 170406011218Y000380 0002438267624
135 26-12-2018 170406011218Y000364 0002499818984
136 22-12-2018 170406011218Y000251 0000122654801
137 22-12-2018 170406011218Y000393 0000122756591
138 22-12-2018 170406011218Y000248 0000123209379
139 22-12-2018 170406011218Y000391 0000889798994
140 22-12-2018 170406011218Y000390 0000890044547
141 22-12-2018 170406011218Y000386 0001065417322
142 22-12-2018 170406011218Y000389 0001267501601
143 22-12-2018 170406011218Y000387 0001302082593
144 22-12-2018 170406011218Y000250 0001307796309
145 22-12-2018 170406011218Y000394 0001319216321

NIKMAH P PEKERJA MANDIRI Essential (primary) hypertension
KARTASIAH P PEKERJA MANDIRI Hypertensive heart disease
M. AMIN SHALIHIN L PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
HASBIANNOR L PEKERJA MANDIRI Stroke, not specified as
HERMANSYAH L PBI (APBD) Tuberculosis of lung, confirmed by
unspecified
SAIDINA P PEKERJA MANDIRI Essential (primary) hypertension
FITRIA P PEKERJA MANDIRI Periapical abscess without sinus
RAISA ASPIAN P PEKERJA MANDIRI Pneumonia due to other infectious

organisms, not
ZAHRATUN NISSA P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
ERNAWATI P PENERIMA PENSIUN PNS Heart failure, unspecified
ABDUL HADI L PENERIMA PENSIUN PNS Gout
ANITA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus without
abdul rahim L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified

unspecified
HENDRA HERMAWAN L PBI (APBN) Acute upper respiratory infection,

unspecified
ASRANI L PEKERJA MANDIRI Gastritis, unspecified
ACHMAD EFFENDI L PEKERJA MANDIRI Dyspepsia
ARBAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SITI MARIAM P PEKERJA MANDIRI Cutaneous abscess, furuncle and

carbuncle
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146 22-12-2018 170406011218Y000249 0001322442448
147 22-12-2018 170406011218Y000392 0001425352072
148 22-12-2018 170406011218Y000395 0002061130048
149 22-12-2018 170406011218Y000388 0002072216878
150 21-12-2018 170406011218Y000399 0000123709869
151 21-12-2018 170406011218Y000244 0000889742204
152 21-12-2018 170406011218Y000397 0000889756931
153 21-12-2018 170406011218Y000246 0000890203083
154 21-12-2018 170406011218Y000401 0000890209394
155 21-12-2018 170406011218Y000400 0000890210439
156 21-12-2018 170406011218Y000404 0001065413035
157 21-12-2018 170406011218Y000245 0001065414284
158 21-12-2018 170406011218Y000398 0001139744204
159 21-12-2018 170406011218Y000247 0001280203964
160 21-12-2018 170406011218Y000402 0001545443842
161 21-12-2018 170406011218Y000396 0001785681371
162 21-12-2018 170406011218Y000403 0001852699871
163 21-12-2018 170406011218Y000243 0002439920261
164 20-12-2018 170406011218Y000423 0000122621051
165 20-12-2018 170406011218Y000407 0000122707034
166 20-12-2018 170406011218Y000240 0000158015856

PATIMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
SYUKRAN L PEKERJA MANDIRI Asthma
ALYA ZAHRA P PEKERJA MANDIRI Fever, unspecified
MURNIATI P PNS DAERAH Dyspepsia
RAHMAN SADIKIN L PBI (APBN) Thalassaemia, unspecified
MARSIAH P PBI (APBN) Allergic contact dermatitis
gazali RAHMAN L PBI (APBN) Undifferentiated schizophrenia
SHANTY R P PBI (APBN) Dyspepsia
RAHMADANIAH P PBI (APBN) Cough
MUHDAR L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
LATIFAH P PBI (APBN) Essential (primary) hypertension
RAHMAD HIDAYAT L PEGAWAI SWASTA Accidental puncture and laceration

during a procedure, not elsewhere
RAUDAH P PEKERJA MANDIRI Essential (primary) hypertension
EKO PRASETIO L PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
DESY RAHMAWATI P PEKERJA MANDIRI Necrosis of pulp
WARTINI P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
MISRAN EPINDI L PEKERJA MANDIRI Foreign body on external eye, part

unspecified
JAMILAH P PNS DAERAH Necrosis of pulp
M. MAKI L PENERIMA PENSIUN TNI Cutaneous abscess, furuncle and

carbuncle
ASTALANI L PNS PUSAT Disorder of refraction, unspecified
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167 20-12-2018 170406011218Y000422 0000210133923
168 20-12-2018 170406011218Y000405 0000889793695
169 20-12-2018 170406011218Y000420 0000889798994
170 20-12-2018 170406011218Y000409 0000889851892
171 20-12-2018 170406011218Y000416 0000889956854
172 20-12-2018 170406011218Y000412 0000890465016
173 20-12-2018 170406011218Y000413 0000890466164
174 20-12-2018 170406011218Y000414 0000890680746
175 20-12-2018 170406011218Y000418 0000890843826
176 20-12-2018 170406011218Y000411 0000890852995
177 20-12-2018 170406011218Y000406 0001302082593
178 20-12-2018 170406011218Y000238 0001327093402
179 20-12-2018 170406011218P000605 0001442206901
180 20-12-2018 170406011218Y000241 0001798489067
181 20-12-2018 170406011218Y000242 0001826261278
182 20-12-2018 170406011218P000606 0001839006876
183 20-12-2018 170406011218Y000417 0001843243299
184 20-12-2018 170406011218Y000419 0001868489177
185 20-12-2018 170406011218Y000408 0001873511245
186 20-12-2018 170406011218Y000239 0002122994632

AHMAD NAZARI L PNS DAERAH Other and unspecified diseases of
pulp and
ASLAMIAH P PBI (APBN) Hypotension, unspecified

unspecified
SITI MUNAWARAH P PBI (APBN) Dyspepsia
BAHRUL BASRI L PBI (APBN) Cutaneous abscess, furuncle and

carbuncle
RUSMINAH P PBI (APBN) Dyspepsia
TAUFIK L PBI (APBN) Acute pharyngitis
MUHAMMAD L PBI (APBN) Dyspepsia
KHAIRUDIN L PBI (APBN) Other chronic obstructive

pulmonary disease
RAHIMAH P PBI (APBN) Influenza due to other identified
influenza virus
ACHMAD EFFENDI L PEKERJA MANDIRI Hypotension, unspecified
MURSEHAN P PEKERJA MANDIRI Essential (primary) hypertension
RISMA SUSANTI P PEKERJA MANDIRI Surveillance of contraceptive drugs
SAPIAH P PBI (APBD) Non-insulin-dependent diabetes

mellitus with
GUSTI SALASIAH P PEKERJA MANDIRI Malignant neoplasm of breast,

unspecified
ANIDA P PEKERJA MANDIRI Surveillance of contraceptive drugs
AHMAD SYARWANI L PEKERJA MANDIRI Cough
ARDIANSYAH IDIPASI L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
HAMIDAH P PBI (APBN) Insulin-dependent diabetes

mellitus with
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187 20-12-2018 170406011218Y000421 0002204815195
188 20-12-2018 170406011218Y000410 0002216157221
189 20-12-2018 170406011218Y000415 0002439920261
190 19-12-2018 170406011218Y000436 0000122707135
191 19-12-2018 170406011218Y000432 0000122810556
192 19-12-2018 170406011218Y000235 0000123056392
193 19-12-2018 170406011218Y000424 0000123209379
194 19-12-2018 170406011218Y000236 0000123815182
195 19-12-2018 170406011218Y000234 0000162880288
196 19-12-2018 170406011218Y000428 0000889764671
197 19-12-2018 170406011218Y000433 0000889798994
198 19-12-2018 170406011218Y000438 0000889807713
199 19-12-2018 170406011218Y000435 0000890409161
200 19-12-2018 170406011218Y000431 0000890786946
201 19-12-2018 170406011218Y000425 0001065417006
202 19-12-2018 170406011218Y000232 0001436737959
203 19-12-2018 170406011218Y000437 0001449943121
204 19-12-2018 170406011218Y000231 0001481534302
205 19-12-2018 170406011218Y000429 0001550936619
206 19-12-2018 170406011218Y000434 0001811732523
207 19-12-2018 170406011218Y000237 0001959747996

ASMAUL HUSNA L PEGAWAI PEMERINTAH Other and unspecified diseases of
DENGAN PERJANJIAN pulp and
KARTASIAH P PEKERJA MANDIRI Dyspepsia
MISRAN EPINDI L PEKERJA MANDIRI Examination of blood pressure
SITI FATIMAH P PENERIMA PENSIUN TNI Other dermatitis
MURWATI P PNS DAERAH Tinea corporis
ABDUL HAMID L PNS PUSAT Calculus of kidney
ANITA P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
NOPARISA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus without
NORSYAMSIAH P PNS PUSAT Nonspecific lymphadenitis,

unspecified
MURSIDAH P PBI (APBN) Gastritis, unspecified

unspecified
WARDANIAH P PBI (APBN) Contraceptive management,

unspecified
YUNITA SARI P PBI (APBN) Impacted cerumen
SITI AISYAH P PBI (APBN) Essential (primary) hypertension
HAMDANI L PBI (APBN) Cutaneous abscess, furuncle and

carbuncle
hamdani L PEGAWAI SWASTA Disorder of refraction, unspecified
KARTASIAH P PEKERJA MANDIRI Fracture of lower end of radius,

closed
M. ABRAR L PEGAWAI SWASTA Acute pharyngitis, unspecified
suaibatul aslamiah P PNS PUSAT Essential (primary) hypertension
MUHAMMAD ADRI HAFIZ L PEGAWAI SWASTA Nephrotic syndrome

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208 19-12-2018 170406011218Y000230 0002205284128
209 19-12-2018 170406011218Y000233 0002276407686
210 19-12-2018 170406011218Y000427 0002369601292
211 19-12-2018 170406011218Y000430 0002469977425
212 19-12-2018 170406011218Y000426 0002474776271
213 18-12-2018 170406011218Y000444 0000122719094
214 18-12-2018 170406011218Y000211 0000122719162
215 18-12-2018 170406011218Y000445 0000124715428
216 18-12-2018 170406011218Y000216 0000163723825
217 18-12-2018 170406011218Y000447 0000889491418
218 18-12-2018 170406011218Y000451 0000889798994
219 18-12-2018 170406011218Y000228 0000890223941
220 18-12-2018 170406011218Y000442 0000890450561
221 18-12-2018 170406011218Y000443 0000890467727
222 18-12-2018 170406011218Y000219 0000890654883
223 18-12-2018 170406011218Y000220 0000890656435
224 18-12-2018 170406011218Y000448 0000890827031
225 18-12-2018 170406011218Y000450 0000891090292
226 18-12-2018 170406011218Y000449 0000891168748
227 18-12-2018 170406011218Y000440 0000891603865
228 18-12-2018 170406011218Y000215 0001065416005

SAFRUDIN L PEKERJA MANDIRI Undifferentiated schizophrenia
SYARKIAH P PEKERJA MANDIRI Hypertensive heart disease
RUSMAWARDAH P PEGAWAI SWASTA Dyspepsia
MUHAMMAD RIFQI MIRZA L PEGAWAI SWASTA Fever of other and unknown origin
ANIK SANJAYA P PEKERJA MANDIRI Acute nasopharyngitis [common

cold]
HERTATI P PNS DAERAH Other and unspecified diseases of
pulp and
RUSLIASARI P PNS PUSAT Gonarthrosis, unspecified
MASRUKIAH P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and
ERNA HERLIANI, S.PD P PNS PUSAT Allergic contact dermatitis
AKHMAD SYAHRIZAL L PBI (APBN) Dental caries

unspecified
PAHMALIANI P PBI (APBN) Dyspepsia
HELDA RIANI P PBI (APBN) Antenatal screening, unspecified
NOR SIAH P PBI (APBN) Antenatal screening, unspecified
RADIAH P PBI (APBN) Influenza due to other identified

influenza virus
ERNI YANTI P PBI (APBN) Other acute upper respiratory
infections of
MARTINAH P PBI (APBN) Nonspecific lymphadenitis
TAIBAH P PBI (APBN) Dyspepsia
PARIDAH P PBI (APBN) Headache
JAUHAR LATIFAH P PBI (APBN) Antenatal screening, unspecified
ANANG RIDUAN L PBI (APBN) Non-insulin-dependent diabetes

mellitus without
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229 18-12-2018 170406011218Y000212 0001267733373
230 18-12-2018 170406011218Y000213 0001328026138
231 18-12-2018 170406011218Y000226 0001437091402
232 18-12-2018 170406011218Y000214 0001465179524
233 18-12-2018 170406011218Y000229 0001736736399
234 18-12-2018 170406011218Y000224 0001833652293
235 18-12-2018 170406011218Y000223 0001833652394
236 18-12-2018 170406011218Y000218 0001860287635
237 18-12-2018 170406011218Y000225 0001902576161
238 18-12-2018 170406011218Y000217 0002043432538
239 18-12-2018 170406011218Y000441 0002273331047
240 18-12-2018 170406011218Y000222 0002286409961
241 18-12-2018 170406011218Y000221 0002322241255
242 18-12-2018 170406011218Y000227 0002327159338
243 18-12-2018 170406011218Y000446 0002328299122
244 18-12-2018 170406011218Y000439 0002502646964
245 17-12-2018 170406011218Y000469 0000122621051
246 17-12-2018 170406011218Y000468 0000122819499
247 17-12-2018 170406011218Y000460 0000123115331
248 17-12-2018 170406011218Y000456 0000210415533
249 17-12-2018 170406011218Y000471 0000889776448

ERNAYATI P PEKERJA MANDIRI Embolism and thrombosis of
arteries of lower
SALAMAH P PEKERJA MANDIRI Idiopathic gout
ABD HAMID L PEKERJA MANDIRI Dyspepsia
KARSIDUN L PEGAWAI SWASTA Cough
M. AINI L PEKERJA MANDIRI Myalgia
ARSIAH P PEKERJA MANDIRI Dyspepsia
RUSGIATI P PEKERJA MANDIRI Essential (primary) hypertension
RINI ANDRIATI P PEKERJA MANDIRI Myalgia
M. RIDUNINOR L PEGAWAI SWASTA Other acute upper respiratory

infections of
SAUPI SARI P PEGAWAI SWASTA Antenatal screening, unspecified
ASTINA P PEKERJA MANDIRI Cough
NUN HAYATI P PEKERJA MANDIRI Cough
ADINDA ANJANI P PBI (APBN) Diarrhoea and gastroenteritis of

presumed infectious origin
M. ABD HADI RAHMAN PUTRA SAMUDRA L PEKERJA MANDIRI Other and unspecified diseases of
pulp and
NOOR ASIAH P PEKERJA MANDIRI Contraceptive management,

unspecified
JAMILAH P PNS DAERAH Necrosis of pulp
MIFRAH P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and
M HATTA L PNS DAERAH Influenza due to other identified

influenza virus
USMIATI P PENERIMA PENSIUN PNS Cough
SALSA DILA ADINDA P PBI (APBN) Antenatal screening, unspecified

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250 17-12-2018 170406011218Y000455 0000889798994
251 17-12-2018 170406011218Y000463 0000889839314
252 17-12-2018 170406011218Y000459 0000890041004
253 17-12-2018 170406011218Y000208 0000890045346
254 17-12-2018 170406011218Y000467 0000890623596
255 17-12-2018 170406011218Y000473 0000890632528
256 17-12-2018 170406011218Y000462 0000890789139
257 17-12-2018 170406011218Y000475 0000891565288
258 17-12-2018 170406011218Y000466 0001079882188
259 17-12-2018 170406011218Y000203 0001130950686
260 17-12-2018 170406011218Y000464 0001295572206
261 17-12-2018 170406011218Y000461 0001443525816
262 17-12-2018 170406011218Y000457 0001465179546
263 17-12-2018 170406011218Y000465 0001610595077
264 17-12-2018 170406011218Y000204 0001730556101
265 17-12-2018 170406011218Y000210 0001790312499
266 17-12-2018 170406011218Y000458 0001798489067
267 17-12-2018 170406011218Y000209 0001812308231
268 17-12-2018 170406011218Y000453 0001817692839
269 17-12-2018 170406011218Y000205 0001863928528
270 17-12-2018 170406011218Y000206 0002053662794

unspecified
RUSMIYATI P PBI (APBN) Headache
M. RIDHO RIZKULLAH L PBI (APBN) Gout
MARYAM P PBI (APBN) Ulcer of lower limb, not elsewhere

classified
RAHMAWATI P PBI (APBN) Caries of dentine
NORHASANAH P PBI (APBN) Antenatal screening, unspecified
MUHAMMAD HAMDI .HB L PBI (APBN) Essential (primary) hypertension
ANIDA P PBI (APBN) Antenatal screening, unspecified
MUSTAFA KAMAL L PNS DAERAH Caries of dentine
DJAYADI L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
HAMDANI L PEKERJA MANDIRI Gout
nurul ma rifah P PEKERJA MANDIRI Cough
JURAH P PEKERJA MANDIRI Gout
NINIK SUSIANI P PEGAWAI SWASTA Acute pharyngitis, unspecified
SIMON L PEKERJA MANDIRI Stroke, not specified as

ANNA ADRIANI P PEKERJA MANDIRI Other specified abnormal uterine
and vaginal
SAPIAH P PBI (APBD) Non-insulin-dependent diabetes

mellitus with
KASTANIAH P PNS DAERAH Essential thrombocytosis
SUKRAN L PEKERJA MANDIRI Essential (primary) hypertension
MARIFATULLAH AWALUDDIN L PEGAWAI SWASTA Systemic lupus erythematosus,
M. RIFKY L PEKERJA MANDIRI Disorder of refraction, unspecified

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271 17-12-2018 170406011218Y000454 0002229571541
272 17-12-2018 170406011218Y000472 0002242559722
273 17-12-2018 170406011218Y000452 0002305908887
274 17-12-2018 170406011218Y000207 0002480418674
275 17-12-2018 170406011218Y000470 0002496911545
276 17-12-2018 170406011218Y000474 0002502646964
277 15-12-2018 170406011218Y000477 0000122695571
278 15-12-2018 170406011218Y000478 0000122718791
279 15-12-2018 170406011218Y000479 0000122718824
280 15-12-2018 170406011218Y000480 0000122718982
281 15-12-2018 170406011218Y000481 0000122718993
282 15-12-2018 170406011218Y000482 0000122719026
283 15-12-2018 170406011218Y000483 0000122719037
284 15-12-2018 170406011218Y000484 0000122719162
285 15-12-2018 170406011218Y000485 0000122719195
286 15-12-2018 170406011218Y000486 0000122719206
287 15-12-2018 170406011218Y000196 0000122819703
288 15-12-2018 170406011218Y000190 0000123093707
289 15-12-2018 170406011218Y000487 0000123587021
290 15-12-2018 170406011218Y000488 0000124715428
291 15-12-2018 170406011218Y000489 0000163507184
292 15-12-2018 170406011218Y000490 0000204782804

SITI SARAH P PEKERJA MANDIRI Essential (primary) hypertension
SEPTIA NOOR SHAHARA P PEGAWAI SWASTA Antenatal screening, unspecified
HJ. NOORJANAH P PEKERJA MANDIRI Cough
WAHIDAH P PEKERJA MANDIRI Surgical follow-up care,

unspecified
NUNUN NURNILA SAPITRI P PEKERJA MANDIRI Contraceptive management,
unspecified
NOOR ASIAH P PEKERJA MANDIRI Contraceptive management,
unspecified
ERNI RAHMI P PNS DAERAH Examination of blood pressure
DENI ELFENI P PNS DAERAH Examination of blood pressure
DEWI ESTIKA SARI P PNS DAERAH Examination of blood pressure
FAULIAH P PNS DAERAH Examination of blood pressure
BURHANUDDIN L PNS DAERAH Examination of blood pressure
H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure
MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure
RUSLIASARI P PNS PUSAT Examination of blood pressure
MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure
NOOR ASLIANI P PNS DAERAH Examination of blood pressure
SURIADI L PNS DAERAH Haemorrhoids
SITI HADIJAH P PNS DAERAH Intracerebral haemorrhage,

unspecified
ITA AS P PENERIMA PENSIUN PNS Examination of blood pressure
MASRUKIAH P PENERIMA PENSIUN PNS Examination of blood pressure
RUSDIANA. HJ P PENERIMA PENSIUN PNS Examination of blood pressure
SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

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293 15-12-2018 170406011218Y000193 0000889440928
294 15-12-2018 170406011218Y000194 0000889798994
295 15-12-2018 170406011218Y000200 0000890044547
296 15-12-2018 170406011218Y000197 0000890681038
297 15-12-2018 170406011218Y000195 0000891219633
298 15-12-2018 170406011218Y000189 0001260938799
299 15-12-2018 170406011218Y000491 0001266035848
300 15-12-2018 170406011218Y000202 0001318164388
301 15-12-2018 170406011218Y000492 0001873511245
302 15-12-2018 170406011218Y000476 0002061130048
303 15-12-2018 170406011218Y000198 0002235454648
304 15-12-2018 170406011218Y000199 0002474776271
305 15-12-2018 170406011218Y000201 0002487680662
306 14-12-2018 170406011218Y000175 0000122608732
307 14-12-2018 170406011218Y000185 0000211024258
308 14-12-2018 170406011218Y000187 0000889798994
309 14-12-2018 170406011218Y000180 0000889956854
310 14-12-2018 170406011218Y000177 0000890767427
311 14-12-2018 170406011218Y000182 0000890826851
312 14-12-2018 170406011218Y000183 0000891215526

MUHAMMAD SAID SAPUTRA L PBI (APBN) Anomalies of jaw-cranial base
relationship
unspecified

unspecified
BAHJAH P PBI (APBN) Essential (primary) hypertension
BAHRUDIN L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
M.MURJANI L PEKERJA MANDIRI Thalassaemia, unspecified
MASTAYAH P PEKERJA MANDIRI Examination of blood pressure
TANKASIANI L PEKERJA MANDIRI Dyspepsia
MASTANIAH P PEKERJA MANDIRI Examination of blood pressure
HARIADI L PNS DAERAH Dyspepsia
ANIK SANJAYA P PEKERJA MANDIRI Essential (primary) hypertension
ASNIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
MUHAMMAD JAMAHSYARI L PNS PUSAT Asthma
MUHAMMAD SIRRUL IRFAN L PNS DAERAH Varicella [chickenpox]

unspecified
BAHRUL BASRI L PBI (APBN) Essential (primary) hypertension
MURSIDAH P PBI (APBN) Multiple gestation, unspecified
RISNAWATI P PBI (APBN) Acute pharyngitis
BAHRUDIN L PBI (APBN) Acute upper respiratory infection,

unspecified
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Sembuh
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313 14-12-2018 170406011218Y000179 0001065413035
314 14-12-2018 170406011218Y000186 0001266035848
315 14-12-2018 170406011218Y000495 0001280208868
316 14-12-2018 170406011218Y000178 0001436739265
317 14-12-2018 170406011218Y000494 0001654854006
318 14-12-2018 170406011218Y000181 0001736736399
319 14-12-2018 170406011218Y000493 0001785681371
320 14-12-2018 170406011218Y000176 0002093457723
321 14-12-2018 170406011218Y000184 0002252866386
322 13-12-2018 170406011218Y000170 0000122740244
323 13-12-2018 170406011218Y000192 0000122805314
324 13-12-2018 170406011218Y000502 0000123807036
325 13-12-2018 170406011218Y000497 0000123844781
326 13-12-2018 170406011218Y000504 0000889798994
327 13-12-2018 170406011218Y000507 0000890623596
328 13-12-2018 170406011218Y000505 0000890624823
329 13-12-2018 170406011218Y000510 0000890767427
330 13-12-2018 170406011218Y000501 0000890793652
331 13-12-2018 170406011218Y000191 0000890820944
332 13-12-2018 170406011218Y000171 0000891030699
333 13-12-2018 170406011218Y000499 0000891538841
334 13-12-2018 170406011218Y000503 0001065416005
335 13-12-2018 170406011218Y000511 0001079882188

MUHDAR L PBI (APBN) Acute upper respiratory infection,
unspecified
MASTAYAH P PEKERJA MANDIRI Dyspepsia
SELVIA SHOLEHAH P PEGAWAI SWASTA Contraceptive management,

unspecified
nur tiara madani P PEGAWAI SWASTA Dyspepsia
ANA FARIDA P PEGAWAI SWASTA Antenatal screening, unspecified
DESY RAHMAWATI P PEKERJA MANDIRI Necrosis of pulp
HARI LISWATI P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
DEWI PURNAMA SARI L PEKERJA MANDIRI Allergic contact dermatitis
ASLAMIYAH P PENERIMA PENSIUN PNS Senile cataract, unspecified
AGUS PRIBADI L PNS DAERAH Anomalies of jaw-cranial base

relationship
NORMI ULFAH P PENERIMA PENSIUN PNS Cough
MUHAMMAD HABIBIE L PENERIMA PENSIUN PNS Typhoid and paratyphoid fevers

unspecified
RAHMAWATI P PBI (APBN) Caries of dentine
JUHANSYAH L PBI (APBN) Cough
MURSIDAH P PBI (APBN) Antenatal screening, unspecified
MASTURA P PBI (APBN) Other dermatitis
MAHRIANI P PBI (APBN) Malaise and fatigue
NIKMAH P PBI (APBN) Disorder of refraction, unspecified
ERNAWATI P PBI (APBN) Headache
ANANG RIDUAN L PBI (APBN) Headache
MUSTAFA KAMAL L PNS DAERAH Necrosis of pulp

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336 13-12-2018 170406011218Y000500 0001094262467
337 13-12-2018 170406011218Y000498 0001181020072
338 13-12-2018 170406011218Y000508 0001449943121
339 13-12-2018 170406011218Y000174 0001453211717
340 13-12-2018 170406011218Y000188 0001546054828
341 13-12-2018 170406011218Y000173 0001666656178
342 13-12-2018 170406011218Y000172 0001829116451
343 13-12-2018 170406011218Y000509 0002100012579
344 13-12-2018 170406011218Y000506 0002200021187
345 13-12-2018 170406011218Y000496 0002369640622
346 12-12-2018 170406011218Y000153 0000122728195
347 12-12-2018 170406011218Y000154 0000122738387
348 12-12-2018 170406011218Y000169 0000122819499
349 12-12-2018 170406011218Y000514 0000122819499
350 12-12-2018 170406011218Y000167 0000123209379
351 12-12-2018 170406011218Y000162 0000162952424
352 12-12-2018 170406011218Y000160 0000889705484
353 12-12-2018 170406011218Y000161 0000889707745
354 12-12-2018 170406011218Y000168 0000889798994
355 12-12-2018 170406011218Y000166 0000890200732
356 12-12-2018 170406011218Y000155 0001127476168

M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Cough
RIKE BUDI NINGATI P PEGAWAI SWASTA Typhoid and paratyphoid fevers
IDA RUSANTI P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
MISLAWATI P PEGAWAI SWASTA Corns and callosities
H SAID SULTAN L PEGAWAI BUMN Chronic renal failure, unspecified
MARDIANA P PEGAWAI PEMERINTAH NON Senile cataract, unspecified

PNS
UMI SALAMAH P PEGAWAI SWASTA Dental caries
ANAL P PEKERJA MANDIRI Cough
NOR HELDAWATI P PEGAWAI SWASTA Acute pharyngitis, unspecified
ANNAWATI. P PENERIMA PENSIUN PNS Primary gonarthrosis, bilateral
M.ABERANI. L PENERIMA PENSIUN PNS Heart failure, unspecified
MIFRAH P PENERIMA PENSIUN PNS Allergic contact dermatitis
MIFRAH P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and
ANITA P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
NUR KHALISYAH P PENERIMA PENSIUN PNS Acute upper respiratory infection,

unspecified
ROSITA P PBI (APBN) Asthma
MUHAMMAD SAM'ANI L PBI (APBN) Dyspepsia

unspecified
FATHUL JANNAH P PBI (APBN) Acute upper respiratory infection,

unspecified
AGUS SUTARNO L PEGAWAI SWASTA Essential (primary) hypertension
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357 12-12-2018 170406011218Y000513 0001127483177
358 12-12-2018 170406011218Y000517 0001143738123
359 12-12-2018 170406011218Y000512 0001173437425
360 12-12-2018 170406011218Y000515 0001280774283
361 12-12-2018 170406011218Y000156 0001287065406
362 12-12-2018 170406011218Y000152 0001484091088
363 12-12-2018 170406011218Y000516 0001545425616
364 12-12-2018 170406011218Y000159 0001786591023
365 12-12-2018 170406011218Y000157 0001824596493
366 12-12-2018 170406011218Y000151 0002122994283
367 12-12-2018 170406011218Y000158 0002250656627
368 12-12-2018 170406011218Y000165 0002277422548
369 12-12-2018 170406011218Y000163 0002293560178
370 12-12-2018 170406011218Y000164 0002293560538
371 12-12-2018 170406011218Y000518 0002377697567
372 12-12-2018 170406011218Y000519 0002478490672
373 11-12-2018 170406011218Y000144 0000122620127
374 11-12-2018 170406011218Y000146 0000122707045
375 11-12-2018 170406011218Y000138 0000123189243
376 11-12-2018 170406011218Y000149 0000123455439
377 11-12-2018 170406011218Y000524 0000887612646

ARBAIN L PEGAWAI SWASTA Diseases of pulp and periapical
tissues
LILIS NURULITA P PEGAWAI SWASTA Antenatal screening, unspecified
HIKMAH P PEGAWAI SWASTA Caries of dentine
HU'SHILA AWALIA RIZQIANI P PEKERJA MANDIRI Pulpitis
SAIHU L PEKERJA MANDIRI Essential (primary) hypertension
JALIHA P PEKERJA MANDIRI Tuberculous arthritis, ankle and

foot
SRI HARTUTI P PEGAWAI SWASTA Antenatal screening, unspecified
SURZANIE L PEKERJA MANDIRI Essential (primary) hypertension
RUSMAWATI, HJ P PEKERJA MANDIRI Essential (primary) hypertension
RUSLAN L PBI (APBN) Pleural effusion in conditions

classified
YULIANTO PONGTULURAN L PEGAWAI SWASTA Deposits [accretions] on teeth
NABELLA SEPTIANA P PEKERJA MANDIRI Allergic contact dermatitis
IRHAN, H L PEKERJA MANDIRI Essential (primary) hypertension
NORHAYATI, HJ P PEKERJA MANDIRI Hyperlipidaemia, unspecified
MUFLIHAH P PEKERJA MANDIRI Antenatal screening, unspecified
JUMRATUL FITRIANI P PEKERJA MANDIRI Contraceptive management,

unspecified
HARTINAH P PNS DAERAH Essential (primary) hypertension
ROHANI P PENERIMA PENSIUN TNI Cough
MISRAN L PNS DAERAH Non-insulin-dependent diabetes

mellitus without
SUPIANI L PENERIMA PENSIUN TNI Influenza, virus not identified
RIZA NORJANAH P PBI (APBN) Antenatal screening, unspecified

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378 11-12-2018 170406011218Y000142 0000889440928
379 11-12-2018 170406011218Y000141 0000889798994
380 11-12-2018 170406011218Y000522 0000889884358
381 11-12-2018 170406011218Y000145 0000889887655
382 11-12-2018 170406011218Y000523 0000890029383
383 11-12-2018 170406011218Y000526 0000890312005
384 11-12-2018 170406011218Y000520 0000890325101
385 11-12-2018 170406011218Y000143 0001169341661
386 11-12-2018 170406011218Y000525 0001262525938
387 11-12-2018 170406011218Y000137 0001425352072
388 11-12-2018 170406011218Y000150 0001436739579
389 11-12-2018 170406011218Y000139 0001654350658
390 11-12-2018 170406011218Y000140 0001657156713
391 11-12-2018 170406011218Y000148 0001804373054
392 11-12-2018 170406011218Y000147 0002308025171
393 11-12-2018 170406011218Y000136 0002469036644
394 11-12-2018 170406011218Y000521 0002492197839
395 10-12-2018 170406011218Y000120 0000123302812
396 10-12-2018 170406011218Y000132 0000202900915
397 10-12-2018 170406011218P000604 0000887612646
398 10-12-2018 170406011218Y000135 0000889798994

MUHAMMAD SAID SAPUTRA L PBI (APBN) Spondylolysis

unspecified
AULIA FITRI P PBI (APBN) Antenatal screening, unspecified
MUHAMMAD FADHIL AKBAR L PBI (APBN) Fever of other and unknown origin
RAIHANA RIDA P PBI (APBN) Contraceptive management,

unspecified
SITI AMINATUZZAKIA P PBI (APBN) Dental caries
YULIANA P PBI (APBN) Antenatal screening, unspecified
ELFIRA NUR ALITA P PEGAWAI SWASTA Conjunctivitis
RACHMAD HIDAYAT L PEKERJA MANDIRI Other and unspecified diseases of

pulp and
SYUKRAN L PEKERJA MANDIRI Asthma
najmi madani L PEGAWAI SWASTA Cough
Dasmir Pasaribu L PEGAWAI SWASTA Cervicobrachial syndrome, cervical

region
NOVITA TYASTI SETYANTI P PEGAWAI SWASTA Follicular cyst of ovary
KASTALANI L PEGAWAI SWASTA Influenza with pneumonia, virus

not identified
THAIBAH P PEKERJA MANDIRI Dyspepsia
SITI ZALEHA P PEKERJA MANDIRI Disorder of refraction, unspecified
SYAIBAH P PEKERJA MANDIRI Antenatal screening, unspecified
SUBONO L PENERIMA PENSIUN PNS Heart failure, unspecified
RIZA NORJANAH P PBI (APBN) Surveillance of contraceptive drugs

unspecified
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399 10-12-2018 170406011218P000603 0000890013352
400 10-12-2018 170406011218Y000122 0000890212318
401 10-12-2018 170406011218Y000532 0000890310778
402 10-12-2018 170406011218Y000121 0000890313906
403 10-12-2018 170406011218Y000531 0000890348747
404 10-12-2018 170406011218Y000118 0000890459111
405 10-12-2018 170406011218Y000127 0000890510725
406 10-12-2018 170406011218Y000125 0000890674277
407 10-12-2018 170406011218Y000124 0000890906321
408 10-12-2018 170406011218Y000126 0000891208394
409 10-12-2018 170406011218Y000134 0001065413935
410 10-12-2018 170406011218Y000123 0001142909897
411 10-12-2018 170406011218Y000129 0001147213991
412 10-12-2018 170406011218Y000131 0001465179524
413 10-12-2018 170406011218Y000528 0001551086998
414 10-12-2018 170406011218Y000530 0001654854006
415 10-12-2018 170406011218Y000128 0001736736399
416 10-12-2018 170406011218Y000119 0001859976066
417 10-12-2018 170406011218Y000133 0002085790072
418 10-12-2018 170406011218Y000130 0002314068906
419 10-12-2018 170406011218Y000529 0002492197839
420 10-12-2018 170406011218Y000527 0002496911545
421 08-12-2018 170406011218Y000585 0000122654801

HELDAWATI P PBI (APBN) Surveillance of contraceptive drugs
HALIMAH P PBI (APBN) Benign neoplasm of breast
RUSMIATI P PBI (APBN) Contraceptive management,

unspecified
SYARNIAH P PBI (APBN) Hypertensive heart disease
AMIYA P PBI (APBN) Antenatal screening, unspecified
MAIMUNAH P PBI (APBN) Epilepsy
MARAWIYAH P PBI (APBN) Essential (primary) hypertension
SARINAH P PBI (APBN) Essential (primary) hypertension
JUMRAH P PBI (APBN) Congenital non-neoplastic naevus
ROHANA P PBI (APBN) Conjunctivitis
BADRIANSYAH L PBI (APBN) Dyspepsia
HULLYATIE P PEGAWAI SWASTA Essential (primary) hypertension
MOCH. ICHSAN L PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
VISKA MULYA FERNANDA P PEKERJA MANDIRI Contraceptive management,

unspecified
ANA FARIDA P PEGAWAI SWASTA Antenatal screening, unspecified
MURAD. L PEKERJA MANDIRI Senile cataract, unspecified
AHMAT ILHAM L PEGAWAI SWASTA Dyspepsia
ARBAYAH P PEKERJA MANDIRI Spondylolysis
ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

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422 08-12-2018 170406011218Y000586 0000122695571
423 08-12-2018 170406011218Y000102 0000122707135
424 08-12-2018 170406011218Y000587 0000122718971
425 08-12-2018 170406011218Y000588 0000122718982
426 08-12-2018 170406011218Y000589 0000122718993
427 08-12-2018 170406011218Y000590 0000122719026
428 08-12-2018 170406011218Y000591 0000122719037
429 08-12-2018 170406011218Y000592 0000122719162
430 08-12-2018 170406011218Y000593 0000122719195
431 08-12-2018 170406011218Y000594 0000122719206
432 08-12-2018 170406011218Y000101 0000123115061
433 08-12-2018 170406011218Y000104 0000123587021
434 08-12-2018 170406011218Y000595 0000124715428
435 08-12-2018 170406011218Y000579 0000163507184
436 08-12-2018 170406011218Y000596 0000163507184
437 08-12-2018 170406011218Y000112 0000166736766
438 08-12-2018 170406011218Y000581 0000194195878
439 08-12-2018 170406011218Y000108 0000204782804
440 08-12-2018 170406011218Y000103 0000889798994
441 08-12-2018 170406011218Y000583 0000890000908

SITI FATIMAH P PENERIMA PENSIUN TNI Stroke, not specified as

FARIDAWATY P PNS DAERAH Examination of blood pressure
RUSLIASARI P PNS PUSAT Examination of blood pressure
ARBANI L PNS DAERAH Insulin-dependent diabetes

mellitus without
ITA AS P PENERIMA PENSIUN PNS Cough
MASRUKIAH P PENERIMA PENSIUN PNS Examination of blood pressure
RUSDIANA. HJ P PENERIMA PENSIUN PNS Necrosis of pulp
RUSDIANA. HJ P PENERIMA PENSIUN PNS Examination of blood pressure
MARWIYAH P PNS DAERAH Non-insulin-dependent diabetes

mellitus with
FAHRI, S.PI L PEGAWAI SWASTA Other and unspecified diseases of

pulp and
SITI PATIMAH P PENERIMA PENSIUN PNS Essential (primary) hypertension

unspecified
SITI RAHMAH P PBI (APBN) Antenatal screening, unspecified

Sembuh
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442 08-12-2018 170406011218P000601 0000890017211
443 08-12-2018 170406011218Y000113 0000890044547
444 08-12-2018 170406011218P000602 0000890341863
445 08-12-2018 170406011218Y000111 0000890649011
446 08-12-2018 170406011218Y000114 0000890843826
447 08-12-2018 170406011218Y000116 0000891149747
448 08-12-2018 170406011218Y000109 0001065416005
449 08-12-2018 170406011218Y000582 0001262525938
450 08-12-2018 170406011218Y000117 0001262525938
451 08-12-2018 170406011218Y000597 0001266035848
452 08-12-2018 170406011218Y000106 0001436739579
453 08-12-2018 170406011218Y000580 0001449943121
454 08-12-2018 170406011218Y000115 0001730556101
455 08-12-2018 170406011218Y000107 0001873511245
456 08-12-2018 170406011218Y000105 0002124150535
457 08-12-2018 170406011218Y000598 0002207775701
458 08-12-2018 170406011218Y000578 0002274062714
459 08-12-2018 170406011218Y000584 0002322789028
460 08-12-2018 170406011218Y000110 0002487680662
461 07-12-2018 170406011218Y000088 0000123029032

AMAH P PBI (APBN) Surveillance of contraceptive drugs

unspecified
RENNY SETIA NINGSIH P PBI (APBN) Surveillance of contraceptive drugs
ALA P PBI (APBN) Essential (primary) hypertension
KHAIRUDIN L PBI (APBN) Spondylolysis
BADAWI L PBI (APBN) Acute upper respiratory infection,

unspecified
ANANG RIDUAN L PBI (APBN) Essential (primary) hypertension
RACHMAD HIDAYAT L PEKERJA MANDIRI Necrosis of pulp
RACHMAD HIDAYAT L PEKERJA MANDIRI Spondylolysis
najmi madani L PEGAWAI SWASTA Headache
SANIAH P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
SIMON L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
MASTANIAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified
FAHRIYAH P PBI (APBN) Acute haemorrhagic gastritis
DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure
M. SYAMAN BAZAR L PEGAWAI PEMERINTAH Dental caries

DENGAN PERJANJIAN
NIA MASMIANI P PEGAWAI SWASTA Antenatal screening, unspecified
ASNIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
AHMADI L PNS DAERAH End-stage renal disease

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462 07-12-2018 170406011218Y000095 0000172578251
463 07-12-2018 170406011218Y000100 0000195495761
464 07-12-2018 170406011218Y000090 0000889798994
465 07-12-2018 170406011218Y000099 0000889815609
466 07-12-2018 170406011218Y000093 0000889938887
467 07-12-2018 170406011218Y000575 0000890344528
468 07-12-2018 170406011218Y000089 0000891639358
469 07-12-2018 170406011218Y000094 0001065413035
470 07-12-2018 170406011218Y000097 0001266035848
471 07-12-2018 170406011218P000608 0001266036219
472 07-12-2018 170406011218Y000574 0001280208868
473 07-12-2018 170406011218Y000577 0001385980176
474 07-12-2018 170406011218Y000091 0001451368113
475 07-12-2018 170406011218Y000098 0001857673214
476 07-12-2018 170406011218P000600 0001864513012
477 07-12-2018 170406011218Y000092 0001867189779
478 07-12-2018 170406011218Y000096 0001900046215
479 07-12-2018 170406011218Y000576 0002469003783
480 06-12-2018 170406011218Y000077 0000122685467
481 06-12-2018 170406011218Y000069 0000122718993

KHAIRUR RAHMAH, DRA P PNS PUSAT Other benign neoplasm of
connective and other soft tissue of
head, face and
RAHIMAH P PENERIMA PENSIUN PNS Haemorrhoids

unspecified
UTUH HUDARI L PBI (APBN) Asthma
TAMBERIN L PBI (APBN) Cough
LAMAH P PBI (APBN) Antenatal screening, unspecified
FATMAWATI P PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
MUHDAR L PBI (APBN) Cough
MASTAYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified
MURNIATI SARI P PEKERJA MANDIRI Complications of anaesthesia

during the
SELVIA SHOLEHAH P PEGAWAI SWASTA Antenatal screening, unspecified
RUSMAH P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified
alya sairina P PEKERJA MANDIRI Epilepsy
ZALEHA P PEKERJA MANDIRI Surveillance of contraceptive drugs
halimatus sadiah P PEKERJA MANDIRI Spondylolysis
ARBAYAH P PEKERJA MANDIRI Allergic contact dermatitis
ZAKIAH MARINI P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
AFWAH P PNS PUSAT Hyperlipidaemia, unspecified
BURHANUDDIN L PNS DAERAH Other hyperlipidaemia

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482 06-12-2018 170406011218Y000076 0000123203169
483 06-12-2018 170406011218Y000071 0000123329542
484 06-12-2018 170406011218Y000079 0000123372472
485 06-12-2018 170406011218Y000074 0000123741707
486 06-12-2018 170406011218Y000085 0000202900915
487 06-12-2018 170406011218Y000070 0000889746636
488 06-12-2018 170406011218Y000084 0000889798994
489 06-12-2018 170406011218Y000573 0000890002629
490 06-12-2018 170406011218Y000571 0000890013352
491 06-12-2018 170406011218Y000082 0000890044547
492 06-12-2018 170406011218Y000081 0000890200732
493 06-12-2018 170406011218Y000078 0000890791738
494 06-12-2018 170406011218Y000087 0000890811099
495 06-12-2018 170406011218Y000572 0000890811099
496 06-12-2018 170406011218Y000075 0001065416861
497 06-12-2018 170406011218Y000073 0001264995033
498 06-12-2018 170406011218Y000569 0001280208868
499 06-12-2018 170406011218Y000570 0001550569779
500 06-12-2018 170406011218Y000086 0001827797466
501 06-12-2018 170406011218Y000072 0001881336778
502 06-12-2018 170406011218Y000083 0002201121461

PARANSI L PNS DAERAH Conjunctivitis
CHAIRUL ANWAR L PNS DAERAH Hyperplasia of prostate
YEFFRIANSJAH SALIM , S.KOM L PNS PUSAT Cough
SUISMADI L PNS DAERAH Hyperlipidaemia, unspecified
WARSIDAH P PBI (APBN) Secondary hypertension

unspecified
SITI KHADIJAH P PBI (APBN) Antenatal screening, unspecified
HELDAWATI P PBI (APBN) Antenatal screening, unspecified

unspecified
FATHUL JANNAH P PBI (APBN) Cough
SALAMIAH P PBI (APBN) Allergic contact dermatitis
RUSNANI P PBI (APBN) Essential (primary) hypertension
RUSNANI P PBI (APBN) Antenatal screening, unspecified
RADIAH P PBI (APBN) Abnormal uterine and vaginal

bleeding,
MASHUD L PEKERJA MANDIRI Other specified neurotic disorders
SELVIA SHOLEHAH P PEGAWAI SWASTA Necrosis of pulp
M SUGIANNOR L PEGAWAI SWASTA Other and unspecified diseases of

pulp and
MUHAMMAD NABIL L PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
ISKANDAR ZULKARNAIN L PEKERJA MANDIRI Disorder of refraction, unspecified
NIKMAH P PEKERJA MANDIRI Essential (primary) hypertension

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503 06-12-2018 170406011218Y000080 0002481834846
504 05-12-2018 170406011218Y000066 0000122361276
505 05-12-2018 170406011218Y000067 0000122654801
506 05-12-2018 170406011218Y000065 0000122811715
507 05-12-2018 170406011218Y000068 0000158015856
508 05-12-2018 170406011218Y000062 0000889798994
509 05-12-2018 170406011218Y000064 0000890811977
510 05-12-2018 170406011218Y000567 0001550569779
511 05-12-2018 170406011218Y000057 0001846737437
512 05-12-2018 170406011218Y000063 0002322241255
513 05-12-2018 170406011218Y000568 0002492192823
514 05-12-2018 170406011218Y000566 0002496911422
515 04-12-2018 170406011218Y000047 0000122733303
516 04-12-2018 170406011218Y000563 0000122813403
517 04-12-2018 170406011218Y000061 0000123115105
518 04-12-2018 170406011218Y000058 0000123421228
519 04-12-2018 170406011218Y000559 0000889776448
520 04-12-2018 170406011218Y000054 0000889798994
521 04-12-2018 170406011218Y000564 0000889821775
522 04-12-2018 170406011218Y000056 0000890013622

NORJANNAH P PEKERJA MANDIRI Essential (primary) hypertension
LINDAWATI P PNS DAERAH Hyperlipidaemia, unspecified
ERNAWATI P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
MARTAPANI L PNS DAERAH Essential (primary) hypertension
ASTALANI L PNS PUSAT Essential (primary) hypertension

unspecified
MISBATUN NI'MAH P PBI (APBN) Spondylolysis
M SUGIANNOR L PEGAWAI SWASTA Other and unspecified diseases of

pulp and
JAHRIAH P PNS PUSAT Other disorders of lung
NUN HAYATI P PEKERJA MANDIRI Asthma
MARIATI P PEKERJA MANDIRI Antenatal screening, unspecified
ERWAN DWI CAHYANTO L PEKERJA MANDIRI Other and unspecified diseases of

pulp and
H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Heart failure, unspecified
FITRIATI P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and
BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Essential (primary) hypertension
ACHMAD NOOR L PENERIMA PENSIUN PNS Essential (primary) hypertension
SALSA DILA ADINDA P PBI (APBN) Antenatal screening, unspecified

unspecified
NOR AINAH P PBI (APBN) Dental caries
NOORNAWATI P PBI (APBN) Gout

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523 04-12-2018 170406011218Y000565 0000890459752
524 04-12-2018 170406011218Y000059 0000890843826
525 04-12-2018 170406011218Y000052 0001127471455
526 04-12-2018 170406011218Y000060 0001196465411
527 04-12-2018 170406011218Y000051 0001279182374
528 04-12-2018 170406011218Y000046 0001285306615
529 04-12-2018 170406011218Y000560 0001433339752
530 04-12-2018 170406011218Y000049 0001657157692
531 04-12-2018 170406011218Y000561 0001825072119
532 04-12-2018 170406011218Y000055 0001831292943
533 04-12-2018 170406011218Y000053 0001868489177
534 04-12-2018 170406011218Y000050 0002043596608
535 04-12-2018 170406011218Y000048 0002079582581
536 04-12-2018 170406011218Y000562 0002291497424
537 04-12-2018 170406011218Y000558 0002496911545
538 03-12-2018 170406011218Y000031 0000122718993
539 03-12-2018 170406011218Y000025 0000202824088
540 03-12-2018 170406011218Y000043 0000889482374
541 03-12-2018 170406011218Y000021 0000889798994
542 03-12-2018 170406011218P000599 0000890002629

MARLINA P PBI (APBN) Other and unspecified diseases of
pulp and
KHAIRUDIN L PBI (APBN) Spondylolysis
SRI MULYANI, SE, M.M P PEGAWAI SWASTA Non-insulin-dependent diabetes

mellitus with
IBAIYATI P PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
AHMAD SYAIPUDIN L PEKERJA MANDIRI Epilepsy
ANNISA ERLIANI P PEGAWAI BUMD Systemic lupus erythematosus,
RUSDIANA HANDAYANI P PEKERJA MANDIRI Contraceptive management,

unspecified
IWAN JAYA SAPUTERA L PEKERJA MANDIRI Essential (primary) hypertension
KHUZAIMAH P PEKERJA MANDIRI Antenatal screening, unspecified
SUBLI L PEKERJA MANDIRI Undifferentiated schizophrenia

unspecified
MARTINI P PBI (APBD) Epilepsy
NURHIDAYAH P PEKERJA MANDIRI Carcinoma in situ of breast,

unspecified
RIZKY RAHAYU P PEKERJA MANDIRI Other and unspecified diseases of
pulp and
BURHANUDDIN L PNS DAERAH Heart failure, unspecified
SYARIF HIDAYAT L PNS DAERAH End-stage renal disease
RUHANA P PBI (APBN) Postpartum care and examination

unspecified
SITI KHADIJAH P PBI (APBN) Surveillance of contraceptive drugs

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543 03-12-2018 170406011218Y000044 0000890013622
544 03-12-2018 170406011218Y000553 0000890017211
545 03-12-2018 170406011218Y000555 0000890042782
546 03-12-2018 170406011218Y000042 0000890044547
547 03-12-2018 170406011218Y000037 0000890054842
548 03-12-2018 170406011218Y000038 0000890206582
549 03-12-2018 170406011218Y000557 0000890826568
550 03-12-2018 170406011218Y000045 0000891219633
551 03-12-2018 170406011218Y000552 0000891565288
552 03-12-2018 170406011218Y000030 0001138061158
553 03-12-2018 170406011218Y000036 0001280203964
554 03-12-2018 170406011218Y000550 0001280208868
555 03-12-2018 170406011218Y000032 0001286578293
556 03-12-2018 170406011218Y000034 0001380784746
557 03-12-2018 170406011218Y000041 0001551090813
558 03-12-2018 170406011218Y000029 0001551380747
559 03-12-2018 170406011218Y000554 0001632235781
560 03-12-2018 170406011218Y000035 0001730556101
561 03-12-2018 170406011218Y000024 0001730556112
562 03-12-2018 170406011218Y000028 0001793642095

NOORNAWATI P PBI (APBN) Dyspepsia
AMAH P PBI (APBN) Examination of blood pressure
HUSNA P PBI (APBN) Antenatal screening, unspecified
ANSYARI L PBI (APBN) Cough
MUHAMMAD FAISAL L PBI (APBN) Cough
MAWARNI P PBI (APBN) Dyspepsia
RINI RIANI P PBI (APBN) Antenatal screening, unspecified
BAHRUDIN L PBI (APBN) Tuberculosis of lung, confirmed by

sputum microscopy with or without
ANIDA P PBI (APBN) Antenatal screening, unspecified
AMBRI L PEKERJA MANDIRI Aplastic anaemia, unspecified
RAUDAH P PEKERJA MANDIRI Gout
SELVIA SHOLEHAH P PEGAWAI SWASTA Other and unspecified diseases of

pulp and
MAHFUD L PNS DAERAH Atherosclerotic cardiovascular

disease, so
RAWANSYAH L PEKERJA MANDIRI Atherosclerotic heart disease
YOSEP SuGITO L PEGAWAI SWASTA Non-insulin-dependent diabetes

mellitus with
AUGUSTIN JOSEPHIN P PEGAWAI SWASTA Glaucoma, unspecified
ROHANA AYU P PEGAWAI SWASTA Contraceptive management,

unspecified
SIMON L PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with
SRI YANI P PEKERJA MANDIRI Cough
KASPIAH P PENERIMA PENSIUN PNS Sciatica

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563 03-12-2018 170406011218Y000039 0001802811251
564 03-12-2018 170406011218Y000019 0001812048074
565 03-12-2018 170406011218Y000023 0001827674414
566 03-12-2018 170406011218Y000020 0001868489177
567 03-12-2018 170406011218Y000033 0001889939777
568 03-12-2018 170406011218Y000022 0001960739897
569 03-12-2018 170406011218Y000026 0001968322702
570 03-12-2018 170406011218Y000027 0001968323376
571 03-12-2018 170406011218Y000040 0002122994788
572 03-12-2018 170406011218Y000556 0002492197839
573 03-12-2018 170406011218Y000551 0002496873194
574 01-12-2018 170406011218Y000534 0000122357564
575 01-12-2018 170406011218Y000535 0000122654801
576 01-12-2018 170406011218Y000533 0000122695571
577 01-12-2018 170406011218Y000536 0000122717766
578 01-12-2018 170406011218Y000537 0000122718791
579 01-12-2018 170406011218Y000538 0000122718971
580 01-12-2018 170406011218Y000539 0000122718982
581 01-12-2018 170406011218Y000540 0000122718993

juhransyah jarni L PNS DAERAH Non-insulin-dependent diabetes
mellitus without
M. LOKMAN L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
ANISAH P PEKERJA MANDIRI Allergic contact dermatitis

sputum microscopy with or without
SAPIAH P PEKERJA MANDIRI Heart failure, unspecified
CHAIRIANI FARIDA P PEKERJA MANDIRI Essential (primary) hypertension
YULIADI L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
RAHMINAWATI P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
SUBHAN NOOR L PBI (APBN) Stomatitis and related lesions
RUSDIANA P PEKERJA MANDIRI Contraceptive management,

unspecified
ERLYNDA OCTAVERRA NOOR P PNS DAERAH Examination of blood pressure
ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure
ADTRI KORNIATI P PNS DAERAH Examination of blood pressure
DENI ELFENI P PNS DAERAH Examination of blood pressure
FARIDAWATY P PNS DAERAH Examination of blood pressure

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582 01-12-2018 170406011218Y000541 0000122719026
583 01-12-2018 170406011218Y000542 0000122719037
584 01-12-2018 170406011218Y000543 0000122719195
585 01-12-2018 170406011218Y000544 0000122719206
586 01-12-2018 170406011218Y000545 0000122719432
587 01-12-2018 170406011218Y000013 0000123333434
588 01-12-2018 170406011218Y000005 0000158013213
589 01-12-2018 170406011218Y000001 0000163507184
590 01-12-2018 170406011218Y000010 0000202900915
591 01-12-2018 170406011218Y000546 0000204782804
592 01-12-2018 170406011218Y000009 0000889697338
593 01-12-2018 170406011218Y000016 0000889798994
594 01-12-2018 170406011218Y000017 0000890044547
595 01-12-2018 170406011218Y000014 0000890681038
596 01-12-2018 170406011218Y000006 0001105407753
597 01-12-2018 170406011218Y000011 0001109379666
598 01-12-2018 170406011218Y000547 0001266035848
599 01-12-2018 170406011218Y000018 0001303168735
600 01-12-2018 170406011218Y000008 0001813355638
601 01-12-2018 170406011218Y000003 0001826813553
602 01-12-2018 170406011218Y000002 0001826813621

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure
AURIANSYAH L PENERIMA PENSIUN PNS Conjunctivitis
M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Essential (primary) hypertension
RUSDIANA. HJ P PENERIMA PENSIUN PNS Adhesive capsulitis of shoulder
SUKARSIH P PENERIMA PENSIUN PNS Urticaria
SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure
HALIMATUS SADIAH P PBI (APBN) Dyspepsia

unspecified
ANSYARI L PBI (APBN) Haemorrhoids
BAHJAH P PBI (APBN) Essential (primary) hypertension
SOEJANI L PRAJURIT AD Intervertebral disc disorder,

unspecified
MARTINAH P PRAJURIT AD Cough
MUCH SYUKUR L PEKERJA MANDIRI Acute haemorrhagic gastritis
ANGGORO PUTRO L PEGAWAI SWASTA Gout
JUHRAN L PEKERJA MANDIRI Hyperplasia of prostate
MASITAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
Sembuh
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Sembuh
Sembuh
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Sembuh
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603 01-12-2018 170406011218Y000015 0001868489177
604 01-12-2018 170406011218Y000548 0001873511245
605 01-12-2018 170406011218Y000007 0002053007019
606 01-12-2018 170406011018Y000178 0002093457723
607 01-12-2018 170406011218Y000549 0002207775701
608 01-12-2018 170406011218Y000004 0002213331581
609 01-12-2018 170406011218Y000012 0002499818894

unspecified
MASTANIAH P PEKERJA MANDIRI Examination of blood pressure
BAHRAN L PEKERJA MANDIRI Cough
HARI LISWATI P PEKERJA MANDIRI Gout
DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure
JAHRATUN SIFA P PEKERJA MANDIRI Down's syndrome, unspecified
ABDUL HADI L PEKERJA MANDIRI Cough

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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

1 31-12-2018 170406011218Y000282 0000122622085

2 31-12-2018 170406011218Y000307 0000122730794

3 31-12-2018 170406011218Y000300 0000122824258

4 31-12-2018 170406011218Y000301 0000122824282

5 31-12-2018 170406011218Y000287 0000123189243

6 31-12-2018 170406011218Y000302 0000123709869

7 31-12-2018 170406011218Y000292 0000889464543

8 31-12-2018 170406011218Y000289 0000889912269

9 31-12-2018 170406011218Y000304 0000889926276

10 31-12-2018 170406011218Y000311 0000890000908

11 31-12-2018 170406011218Y000310 0000890331366

12 31-12-2018 170406011218Y000306 0000890541527

13 31-12-2018 170406011218Y000284 0000890543204

14 31-12-2018 170406011218Y000293 0000890786946

15 31-12-2018 170406011218Y000285 0001065414352

16 31-12-2018 170406011218Y000283 0001191563043

17 31-12-2018 170406011218Y000309 0001449943121

18 31-12-2018 170406011218Y000288 0001546014172

19 31-12-2018 170406011218Y000286 0001730252125

20 31-12-2018 170406011218Y000298 0001821774969

ISNANIAH P PEGAWAI SWASTA Influenza due to other identified

MUHAMMAD FAIZ L PNS DAERAH Acute nasopharyngitis [common

MURNIATI P PNS DAERAH Dyspepsia

MAHYUNI L PBI (APBN) Disorder of refraction, unspecified

MUSTAFA KAMAL L PBI (APBN) Corns and callosities

ERNA P PBI (APBN) Cough

SITI RAHMAH P PBI (APBN) Antenatal screening, unspecified

AYU AZ'HARI P PBI (APBN) Antenatal screening, unspecified

HARIONO L PBI (APBN) Essential (primary) hypertension

ASNAWI L PBI (APBN) Senile cataract, unspecified

SITI AISYAH P PBI (APBN) Non-insulin-dependent diabetes

hamdah P PBI (APBN) Non-insulin-dependent diabetes

SILVIA KARMILA P PEKERJA MANDIRI Epilepsy, unspecified

SANIAH P PEKERJA MANDIRI Necrosis of pulp

M. SYAHRUJI L PEGAWAI SWASTA Essential (primary) hypertension

AINUN JARIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

NUR AINA P PEKERJA MANDIRI Fever of other and unknown origin

22 31-12-2018 170406011218Y000299 0001843243841

23 31-12-2018 170406011218Y000296 0001864513012

24 31-12-2018 170406011218Y000281 0001881336778

25 31-12-2018 170406011218Y000297 0001902576161

26 31-12-2018 170406011218Y000290 0001964542239

27 31-12-2018 170406011218Y000305 0002276954504

28 31-12-2018 170406011218Y000308 0002283692646

29 31-12-2018 170406011218Y000291 0002316157727

30 31-12-2018 170406011218Y000295 0002469003581

31 31-12-2018 170406011218Y000303 0002492232366

32 29-12-2018 170406011218Y000320 0000123322184

33 29-12-2018 170406011218Y000280 0000123694931

34 29-12-2018 170406011218Y000279 0000123799702

35 29-12-2018 170406011218Y000318 0000194434604

36 29-12-2018 170406011218Y000324 0000202900915

37 29-12-2018 170406011218Y000321 0000204782804

38 29-12-2018 170406011218Y000323 0000889926276

39 29-12-2018 170406011218Y000315 0000890044547

FATMAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

ZALEHA P PEKERJA MANDIRI Essential (primary) hypertension

ISKANDAR ZULKARNAIN L PEKERJA MANDIRI Hypertensive heart disease without

RINI ANDRIATI P PEKERJA MANDIRI Dyspepsia

LISA YULIANA P PEKERJA MANDIRI Ventricular premature