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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

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

1 30-03-2019 111902040319P001616 0000084239471 HALIMAH WAHYU NINGRUM P PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

2 30-03-2019 111902040319P001631 0000084266087 IRAWATI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

3 30-03-2019 111902040319P001629 0000084539619 HENI ERNAWATI P PENERIMA PENSIUN External haemorrhoids Berobat Jalan
PNS without complication
4 30-03-2019 111902040319Y001601 0000084559678 SITI ASIYAH P PENERIMA PENSIUN Spondylolysis Rujuk Lanjut
PNS
5 30-03-2019 111902040319P001607 0000084560016 SUMIARSIH P PENERIMA PENSIUN Tension-type headache Berobat Jalan
PNS
6 30-03-2019 111902040319P001648 0000084639835 ISWATI P PNS DAERAH Allergic urticaria Berobat Jalan

7 30-03-2019 111902040119Y000458 0000084643749 SUHARTINI P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
8 30-03-2019 111902040319P001603 0000084643931 SUYONO L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

9 30-03-2019 111902040319P001606 0000543363557 JUMARI L PBI (APBN) Superficial mycosis, Berobat Jalan
unspecified
10 30-03-2019 111902040319Y001633 0000544057301 ARDIAN DIKA SAPUTRA L PBI (APBN) Pulpitis Berobat Jalan

11 30-03-2019 111902040319P001610 0000544234375 MINHAJUL QOWIM L PBI (APBN) Tension-type headache Berobat Jalan

12 30-03-2019 111902040319Y001618 0000544234634 SITI ASIYAH P PBI (APBN) Necrosis of pulp Berobat Jalan

13 30-03-2019 111902040319P001620 0000544244635 SITI NUR ROIFAH P PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
14 30-03-2019 111902040319P001645 0000544244815 KAMILATUN NASIKHAH P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

15 30-03-2019 111902040319Y001640 0000544257224 GALIH RAHMAD SUBEKTI L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
16 30-03-2019 111902040319P001652 0000544326603 LINA HERLINA P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
17 30-03-2019 111902040319Y001647 0000544329123 DWI NUGROHO L PBI (APBN) Caries of dentine Berobat Jalan

18 30-03-2019 111902040319P001612 0000544498356 WASILAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

19 30-03-2019 111902040319P001651 0000544531612 SUMIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus with

20 30-03-2019 111902040319P001613 0000544716281 JAUHHARIYANI P PBI (APBN) Other keratitis Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

21 30-03-2019 111902040319Y001617 0000544787302 SUTI P PBI (APBN) Other disorders of gingiva Berobat Jalan
and edentulous alveolar

22 30-03-2019 111902040319Y001639 0000544875816 SRI FATIMAH P PBI (APBN) Contraceptive Berobat Jalan
management
23 30-03-2019 111902040319P001653 0000545006283 SITI ARIYAH P PBI (APBN) Other pruritus Berobat Jalan

24 30-03-2019 111902040319P001636 0000545025442 MUHAMMAD RAFIQ SETIAWAN L PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
25 30-03-2019 111902040319Y001635 0000545034025 SITI BADRIYAH P PBI (APBN) Antenatal screening Berobat Jalan

26 30-03-2019 111902040319P001669 0000545142598 MEI WULANDARI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
27 30-03-2019 111902040319P001608 0000545245154 MUHIBAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

28 30-03-2019 111902040319P001602 0001019107901 TRI ABDIWINARNI P PBI (APBN) Supervision of normal Rujuk Lanjut
pregnancy
29 30-03-2019 111902040319P001611 0001019117013 ISTI MUAWANAH P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
30 30-03-2019 111902040319Y001638 0001019121118 TRI WAHYUNI P PBI (APBN) Antenatal screening Berobat Jalan

31 30-03-2019 111902040319P001609 0001019122536 SUHERMAN L PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus with

32 30-03-2019 111902040319P001642 0001019125743 DARMAWATI P PBI (APBN) Viral conjunctivitis, Berobat Jalan
unspecified
33 30-03-2019 111902040319Y001634 0001019141111 TASMINAH P PBI (APBN) Antenatal screening Berobat Jalan

34 30-03-2019 111902040319P001605 0001151833983 IIS PURWANTI P PEGAWAI SWASTA Functional diarrhoea Berobat Jalan

35 30-03-2019 111902040319P001626 0001268058925 WASITO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

36 30-03-2019 111902040319P001646 0001274548184 CAKHA PRAMUDYA AGAPUTRA L PEGAWAI SWASTA Impetiginization of other Berobat Jalan
dermatoses
37 30-03-2019 111902040319Y001614 0001280111635 ENTIN MINTARSIH P PENERIMA PENSIUN TNI Other disorders of gingiva Rujuk Lanjut
and edentulous alveolar

38 30-03-2019 111902040319P001619 0001427372291 SITI MUNAWAROH P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

39 30-03-2019 111902040319P001641 0001434965455 TRI NANIK HARYAWATI P PEKERJA MANDIRI Residual schizophrenia Rujuk Lanjut

40 30-03-2019 111902040319Y001624 0001464304048 ANISA AULIA RAMADHANI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

41 30-03-2019 111902040319P001615 0001474860993 ANTONIUS SARIP L PEKERJA MANDIRI Oedema, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

42 30-03-2019 111902040319P001604 0001697213935 Musarofah P PBI (APBD) Varicose veins of lower Rujuk Lanjut
extremities
43 30-03-2019 111902040319P001627 0001881571015 SUBUR RAHARTI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

44 30-03-2019 111902040319P001654 0001885270599 SUMARDJO L PEKERJA MANDIRI Tension-type headache Berobat Jalan

45 30-03-2019 111902040319P001599 0002045429471 NURCAHYATI P PEGAWAI SWASTA Superficial mycosis, Berobat Jalan
unspecified
46 30-03-2019 111902040319P001623 0002168545544 AMANDA AULIA YUNI SAFITA P PBI (APBD) Foreign body in ear Rujuk Lanjut

47 30-03-2019 111902040319Y001621 0002168545893 HARTATI RODIYAH P PBI (APBD) Other disorders of gingiva Rujuk Lanjut
and edentulous alveolar

48 30-03-2019 111902040319P001600 0002168546106 SANGIDUN L PBI (APBD) Benign neoplasm of Rujuk Lanjut
prostate
49 30-03-2019 111902040319P001625 0002206241155 MARSONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
50 30-03-2019 111902040319P001649 0002206668025 TURAH SETYO L PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan
DENGAN PERJANJIAN diabetes mellitus with

51 30-03-2019 111902040319P001628 0002236352905 SURATMI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

52 30-03-2019 111902040319P001719 0002271190149 FARZANA ASHALINA NASHRA P PEKERJA MANDIRI Impetiginization of other Berobat Jalan
dermatoses
53 30-03-2019 111902040319Y001630 0002440499804 MOCH SOLIKIN L PEGAWAI PEMERINTAH Necrosis of pulp Berobat Jalan
DENGAN PERJANJIAN

54 30-03-2019 111902040319Y001637 0002447430333 MAFAZA RINADI P PEGAWAI SWASTA Seborrhoeic dermatitis, Berobat Jalan
unspecified
55 30-03-2019 111902040319Y001643 0002475374512 SITI JUMIYATI P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
56 30-03-2019 111902040319Y001650 0002610478798 APRILIA GUSTI NUR A'IDAH P PEGAWAI SWASTA Antenatal screening Berobat Jalan

57 30-03-2019 111902040319Y001622 0002741213878 MILKA ARSIFA OKTAFIA P PEKERJA MANDIRI Congenital malformation of Rujuk Lanjut
heart, unspecified
58 30-03-2019 111902040319P001644 0002745855189 ROBIAH P PEKERJA MANDIRI Unspecified appendicitis Rujuk Lanjut

59 30-03-2019 111902040319Y001632 0002750451614 HARYANTI P PEKERJA MANDIRI Antenatal screening Berobat Jalan

60 29-03-2019 111902040319P001563 0000044827749 HARTINI P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
61 29-03-2019 111902040319P001569 0000083512348 MUHAMMAD SOLICHUN L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

62 29-03-2019 111902040319Y001598 0000084559678 SITI ASIYAH P PENERIMA PENSIUN Spondylolysis Rujuk Lanjut
PNS
63 29-03-2019 111902040319P001586 0000084598446 TRI PAMIARSI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

64 29-03-2019 111902040319P001589 0000084638981 MARYANI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

65 29-03-2019 111902040319P001571 0000084713973 SAMIRAH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

66 29-03-2019 111902040319P001573 0000084724604 SAIFUL HADI L PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
67 29-03-2019 111902040319P001568 0000543626921 ROTINAH P PBI (APBN) Schizophrenia Berobat Jalan

68 29-03-2019 111902040319P001591 0000543669232 PAINEM P PBI (APBN) Superficial mycosis, Berobat Jalan
unspecified
69 29-03-2019 111902040319P001572 0000544286428 FADIL NAN MAULANA L PBI (APBN) Impacted cerumen Rujuk Lanjut

70 29-03-2019 111902040319P001590 0000544296317 MUJIMIN L PBI (APBN) Tension-type headache Berobat Jalan

71 29-03-2019 111902040319P001558 0000544304744 SUMIARTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

72 29-03-2019 111902040319P001577 0000544321664 NANIK P PBI (APBN) Stroke, not specified as Berobat Jalan
haemorrhage or infarction
73 29-03-2019 111902040319Y001576 0000544330225 TUHARI L PBI (APBN) Necrosis of pulp Berobat Jalan

74 29-03-2019 111902040319P001587 0000544339631 SRI SUGIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
75 29-03-2019 111902040319P001567 0000544361253 MARGIONO L PBI (APBN) Other specified bacterial Berobat Jalan
diseases
76 29-03-2019 111902040319P001566 0000544362671 HARIYATIK P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
77 29-03-2019 111902040319P001560 0000544694163 PARIJAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

78 29-03-2019 111902040319P001555 0000544924372 WATIYEM P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

79 29-03-2019 111902040319P001561 0000544967267 AHMAD SAEPUDIN L PBI (APBN) Other senile cataract Rujuk Lanjut

80 29-03-2019 111902040319P001595 0000545231081 RUSTI P PBI (APBN) Vertigo of central origin Rujuk Lanjut

81 29-03-2019 111902040319P001594 0000545534447 FELIANA ARDITA P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
82 29-03-2019 111902040319P001556 0000545576973 MARNI P PBI (APBN) Other senile cataract Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

83 29-03-2019 111902040319P001584 0001019108621 SUTOPO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

84 29-03-2019 111902040319P001564 0001019122154 DEVA ANDRIKO SAPUTRO L PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
85 29-03-2019 111902040319P001562 0001019141537 CHAYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

86 29-03-2019 111902040319P001592 0001139182413 SUSILOWATI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

87 29-03-2019 111902040319P001575 0001271511292 SRI YULIANTI P ANGGOTA POLRI Other rheumatoid arthritis Rujuk Lanjut

88 29-03-2019 111902040319P001597 0001294952387 ISMAIL L PEKERJA MANDIRI Tension-type headache Berobat Jalan

89 29-03-2019 111902040319P001588 0001380781517 MUMRIYATI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
90 29-03-2019 111902040319P001565 0001532659026 Wahyu Setiaji L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

91 29-03-2019 111902040319P001593 0001639500311 ANISHA FADIA OKTAVIA P PEGAWAI SWASTA Other chronic cystitis Berobat Jalan

92 29-03-2019 111902040319P001570 0001852642978 DEVI SUCIYANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

93 29-03-2019 111902040319P001579 0001859317705 wiwik sumariyah L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

94 29-03-2019 111902040319P001596 0001860508192 HENDRA WIDIATMOJO L PEKERJA MANDIRI Dyspepsia Berobat Jalan

95 29-03-2019 111902040319P001582 0002206668835 BERLIANA CITRA AYU PERTIWI P PEGAWAI PEMERINTAH Influenza with other Berobat Jalan
DENGAN PERJANJIAN manifestations, virus not

96 29-03-2019 111902040319Y001574 0002275920112 NADLIROTU ZULFA P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

97 29-03-2019 111902040319P001559 0002504906998 WAHYU ENY SAFITRI P PBI (APBN) Varicella without Berobat Jalan
complication
98 29-03-2019 111902040319P001585 0002504907538 SARIMAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

99 29-03-2019 111902040319P001580 0002504907674 TARYONO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

100 29-03-2019 111902040319P001583 0002518419003 HENDRA SAPUTRA L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

101 29-03-2019 111902040319P001578 0002572660506 NURHADI L PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

102 29-03-2019 111902040319P001581 0002592832746 IPAN RAMADHANI L PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
103 29-03-2019 111902040319Y001557 0002744821978 FAIZ RESNAWAN L PEGAWAI SWASTA Hirschsprung's disease Rujuk Lanjut

104 28-03-2019 111902040319P001509 0000076144072 DARSONO L PNS DAERAH Chronic laryngitis Berobat Jalan

105 28-03-2019 111902040319P001526 0000084185651 SUYOTO L PENERIMA PENSIUN Ganglion Rujuk Lanjut
PNS
106 28-03-2019 111902040319P001547 0000084295438 KHOLIFAH P PNS PUSAT Endocrine disorder, Berobat Jalan
unspecified
107 28-03-2019 111902040319P001511 0000084474549 PARTINAH P PENERIMA PENSIUN Cutaneous abscess, Berobat Jalan
PNS furuncle and carbuncle of

108 28-03-2019 111902040319P001506 0000084539608 TOEKINO L PENERIMA PENSIUN Glaucoma, unspecified Rujuk Lanjut
PNS
109 28-03-2019 111902040319Y001534 0000084634222 YUNITA HANDARIAWATI P PNS DAERAH Abdominal pregnancy Berobat Jalan

110 28-03-2019 111902040319P001554 0000084650409 SUMIYATUN P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

111 28-03-2019 111902040319P001502 0000194874377 SATARIAH P PENERIMA PENSIUN TNI Other senile cataract Rujuk Lanjut

112 28-03-2019 111902040319P001548 0000376500429 WALUYO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

113 28-03-2019 111902040319P001523 0000543404643 WIDIA WATI P PBI (APBN) Sleep disorder, Berobat Jalan
unspecified
114 28-03-2019 111902040319P001541 0000543491019 JAENAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

115 28-03-2019 111902040319P001512 0000544222326 KOMSIYAH P PBI (APBN) Other senile cataract Rujuk Lanjut

116 28-03-2019 111902040319P001499 0000544225724 KASANAH P PBI (APBN) Carcinoma in situ of Rujuk Lanjut
thyroid and other

117 28-03-2019 111902040319P001517 0000544228097 RASMONO L PBI (APBN) Other keratitis Rujuk Lanjut

118 28-03-2019 111902040319P001538 0000544229019 RISWANTO L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
119 28-03-2019 111902040319P001543 0000544299658 MUJI MULYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
120 28-03-2019 111902040319P001535 0000544331272 SARMO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

121 28-03-2019 111902040319P001501 0000544414307 LEDY YULITA P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

122 28-03-2019 111902040319Y001537 0000544441061 SITI SALASATUN P PBI (APBN) Personal history of Berobat Jalan
contraception
123 28-03-2019 111902040319P001551 0000544683071 ISMAIL ROH HIDAYAT L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

124 28-03-2019 111902040319P001525 0000544694681 ROLIYAH P PBI (APBN) Congestive heart failure Berobat Jalan

125 28-03-2019 111902040319P001504 0000545021234 AHMADI SURYAWAN L PBI (APBN) Fracture of upper end of Rujuk Lanjut
ulna, closed
126 28-03-2019 111902040319P001522 0000545088148 DIKA SAPUTRA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

127 28-03-2019 111902040319P001500 0000545579649 SUKARTI P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
128 28-03-2019 111902040319P001516 0000545629048 MUSTADI L PBI (APBN) Benign neoplasm of Rujuk Lanjut
prostate
129 28-03-2019 111902040319P001545 0001019121423 AWIYATI P PBI (APBN) Otitis externa, unspecified Berobat Jalan

130 28-03-2019 111902040319P001508 0001019126957 TURIYEM P PBI (APBN) Schizophrenia Rujuk Lanjut

131 28-03-2019 111902040319P001515 0001080876126 SARTIYAH P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
132 28-03-2019 111902040319P001528 0001127881405 H GUNAWAN UDI PRAYITNO L PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

133 28-03-2019 111902040319P001662 0001134334102 SUMARSIH P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
134 28-03-2019 111902040319P001518 0001304464331 RIYANTO L ANGGOTA POLRI Influenza with other Berobat Jalan
manifestations, virus not

135 28-03-2019 111902040319P001533 0001321659876 TEGUH BASUKI L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

136 28-03-2019 111902040319P001514 0001321662846 SRI WIDANINGSIH P PEKERJA MANDIRI Myalgia Berobat Jalan

137 28-03-2019 111902040319Y001529 0001525065827 SUPARYANTI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

138 28-03-2019 111902040319Y001510 0001534736428 DARWATI P PBI (APBD) Necrosis of pulp Rujuk Lanjut

139 28-03-2019 111902040319P001553 0001534736856 Siti Rokhimah P PBI (APBD) Other senile cataract Rujuk Lanjut

140 28-03-2019 111902040319P001505 0001640675891 FAJAR HAFIS KHOLIFUDIN L PEGAWAI SWASTA Fracture of shaft of Rujuk Lanjut
humerus, closed
141 28-03-2019 111902040319P001519 0001697166573 LASTRI P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

142 28-03-2019 111902040319P001542 0001697169791 WAGINEM P PBI (APBD) Tension-type headache Berobat Jalan

143 28-03-2019 111902040319P001524 0001825085913 SUEPNO L PEKERJA MANDIRI Benign neoplasm of Berobat Jalan
prostate
144 28-03-2019 111902040319P001503 0001839595601 PRIHARWATI P PEKERJA MANDIRI Carcinoma in situ of Rujuk Lanjut
breast, unspecified
145 28-03-2019 111902040319P001498 0001851457375 AURELIA HINDRIYATI P PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

146 28-03-2019 111902040319P001520 0001883845394 SITI NURHAYATI P PEKERJA MANDIRI Cervical root disorders, not Rujuk Lanjut
elsewhere classified
147 28-03-2019 111902040319P001540 0001970553475 SRI LESTARI P PEKERJA MANDIRI Benign lipomatous Rujuk Lanjut
neoplasm of skin and
subcutaneous tissue of
other and unspecified sites

148 28-03-2019 111902040319Y001527 0002026557281 ZAHRA APRELIA H P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
149 28-03-2019 111902040319Y001507 0002063459597 TSAQIF AHYAR ARDINATHA L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

150 28-03-2019 111902040319Y001513 0002168543068 WINDA INTAN PERMATASARI P PBI (APBD) Caries of dentine Berobat Jalan

151 28-03-2019 111902040319P001550 0002175130877 ELI NURAENI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

152 28-03-2019 111902040319P001521 0002177782582 FATIH MUBAROK L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

153 28-03-2019 111902040319Y001536 0002279337614 AMBARSARI INDRANINGRUM P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
154 28-03-2019 111902040319P001544 0002461693105 BIMA BAGUS YUDHISTIRA L PEKERJA MANDIRI Scabies Berobat Jalan

155 28-03-2019 111902040319P001549 0002482485208 ENY SETYANINGSIH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

156 28-03-2019 111902040319P001539 0002504904311 SUGIYANTO L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

157 28-03-2019 111902040319P001531 0002504907663 RADITYA LUCKY SADEWO L PBI (APBN) Allergic urticaria Berobat Jalan

158 28-03-2019 111902040319P001546 0002621438368 MUHAMAD ZAMRUDIN L PEKERJA MANDIRI Acute sinusitis, Berobat Jalan
unspecified
159 28-03-2019 111902040319Y001532 0002744789229 ADRY GRACIO KURNIAWAN L PEKERJA MANDIRI Impetiginization of other Berobat Jalan
dermatoses
160 28-03-2019 111902040319Y001530 0002745896139 SITI ZULFAH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

161 28-03-2019 111902040319P001552 0002746157758 TIMBUL PRASOJO L PEGAWAI SWASTA Tension-type headache Berobat Jalan

162 27-03-2019 111902040319P001449 0000042889206 PONIYEM P PENERIMA PENSIUN Gastritis, unspecified Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

163 27-03-2019 111902040319P001438 0000075909317 SUHARTO L PENERIMA PENSIUN Other rheumatoid arthritis Berobat Jalan
PNS
164 27-03-2019 111902040319P001456 0000075910094 SUTONO L PENERIMA PENSIUN Allergic urticaria Berobat Jalan
PNS
165 27-03-2019 111902040319P001485 0000084216914 SAJIMAN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

166 27-03-2019 111902040319P001494 0000084217599 PUTRI INDAH KURNIAWATI P PNS DAERAH Impetiginization of other Berobat Jalan
dermatoses
167 27-03-2019 111902040319P001489 0000084229683 SUYANTO L PNS DAERAH Myalgia Berobat Jalan

168 27-03-2019 111902040319P001468 0000084240022 IFATUN KHASANAH P PNS PUSAT Disorder of lens, Rujuk Lanjut
unspecified
169 27-03-2019 111902040319P001492 0000084413744 ACHMAD SUNGUDI L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
170 27-03-2019 111902040319P001481 0000084527302 SUNARTI P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
171 27-03-2019 111902040319P001451 0000084546314 SRI SURYATI P PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PNS
172 27-03-2019 111902040319P001467 0000084557518 DJUWAHIR MOCHAMAD L PENERIMA PENSIUN General medical Berobat Jalan
NAWASAPUTRA PNS examination
173 27-03-2019 111902040319P001493 0000084699617 RUNAESIH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

174 27-03-2019 111902040319P001452 0000084709618 SUPARTOMO L PNS DAERAH Unspecified diabetes Rujuk Lanjut
mellitus with neurological

175 27-03-2019 111902040319P001429 0000084740545 khairil anam L PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
176 27-03-2019 111902040319P001461 0000171571724 SUHARTONO L PENERIMA PENSIUN Cervical root disorders, not Rujuk Lanjut
PNS elsewhere classified
177 27-03-2019 111902040319Y001495 0000543616907 UMI SALAMAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

178 27-03-2019 111902040319P001458 0000544050685 MARIYADI L PBI (APBN) Dyspepsia Berobat Jalan

179 27-03-2019 111902040319P001484 0000544092873 MUJI ASTUTI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
180 27-03-2019 111902040319P001472 0000544136725 MUCHLISOH P PBI (APBN) Tension-type headache Berobat Jalan

181 27-03-2019 111902040319P001674 0000544217578 TOYIBAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

182 27-03-2019 111902040319P001455 0000544224835 NGATIJAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

183 27-03-2019 111902040319P001439 0000544284314 REFA YUNINGSIH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

184 27-03-2019 111902040319P001487 0000544286428 FADIL NAN MAULANA L PBI (APBN) Otitis externa, unspecified Berobat Jalan

185 27-03-2019 111902040319P001433 0000544308265 SRI ISMIATUN P PBI (APBN) Chronic myeloid Rujuk Lanjut
leukaemia
186 27-03-2019 111902040319P001477 0000544487095 AMAT BADRUS L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

187 27-03-2019 111902040319P001460 0000544515039 SILVIANI P PBI (APBN) Dyspepsia Berobat Jalan

188 27-03-2019 111902040319P001442 0000544716281 JAUHHARIYANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

189 27-03-2019 111902040319P001656 0000544785941 MUTIKAH P PBI (APBN) Personal history of Berobat Jalan
contraception
190 27-03-2019 111902040319Y001496 0000544856062 ARIF MUNANDAR L PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

191 27-03-2019 111902040319P001463 0000545020683 SUPARJO L PBI (APBN) General medical Berobat Jalan
examination
192 27-03-2019 111902040319P001655 0000545024643 SITI NURYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
193 27-03-2019 111902040319P001464 0000545030842 RUDIYAH P PBI (APBN) Asthma, unspecified Berobat Jalan

194 27-03-2019 111902040319P001437 0000545082737 SITI CHOLIDAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

195 27-03-2019 111902040319P001454 0000545752427 JAMINGAN L PBI (APBN) Hearing loss, unspecified Rujuk Lanjut

196 27-03-2019 111902040319P001491 0000545759954 AMAT KASMITO L PBI (APBN) Allergic urticaria Berobat Jalan

197 27-03-2019 111902040319P001441 0001019095571 TEGUH SUHARYANTO L PEGAWAI SWASTA Vertigo of central origin Berobat Jalan

198 27-03-2019 111902040319P001447 0001019114493 MUSDAN L PBI (APBN) Chronic kidney disease Rujuk Lanjut

199 27-03-2019 111902040319P001469 0001019120556 FEBRI HARIYANI P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
200 27-03-2019 111902040319P001434 0001019121322 JATMIKO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

201 27-03-2019 111902040319P001486 0001019131301 SOMODIRONO L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

202 27-03-2019 111902040319P001483 0001019131571 YAENUDIN L PBI (APBN) Unstable angina Berobat Jalan

203 27-03-2019 111902040319P001480 0001019131738 ROWIYATI P PBI (APBN) Congestive heart failure Berobat Jalan

204 27-03-2019 111902040319P001431 0001084549566 ASMAWI L PBI (APBN) Residual schizophrenia Rujuk Lanjut

205 27-03-2019 111902040319P001474 0001084756138 SRI DADI P PBI (APBN) Myalgia Berobat Jalan

206 27-03-2019 111902040319Y001476 0001271511292 SRI YULIANTI P ANGGOTA POLRI Acute gingivitis Berobat Jalan

207 27-03-2019 111902040319P001446 0001274868123 URIP P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

208 27-03-2019 111902040319P001482 0001390160711 SUNARYO L PEKERJA MANDIRI Dyspepsia Berobat Jalan

209 27-03-2019 111902040319Y001475 0001421013148 SITI NGADIROH P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

210 27-03-2019 111902040319P001478 0001432711438 sigit supangat L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

211 27-03-2019 111902040319P001445 0001463278961 SUNDIYAH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
212 27-03-2019 111902040319P001443 0001473346539 SUDJARNO HADI SISWOYO L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

213 27-03-2019 111902040319Y001470 0001628090785 RIDWAN ADI SYAHPUTRA L PEGAWAI SWASTA Caries of dentine Berobat Jalan

214 27-03-2019 111902040319P001435 0001646329331 PUJI ASTUTI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

215 27-03-2019 111902040319P001466 0001662153309 BAYU ULI NUHA L PENERIMA PENSIUN Other specified bacterial Berobat Jalan
PNS diseases
216 27-03-2019 111902040319P001432 0001697168316 Mustafidz L PBI (APBD) Congestive heart failure Rujuk Lanjut

217 27-03-2019 111902040319P001430 0001786514297 SAPARUN L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

218 27-03-2019 111902040319P001448 0001893515466 WAHONO L PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

219 27-03-2019 111902040319P001450 0001969868676 Pangesti P PEGAWAI SWASTA Other and unspecified Rujuk Lanjut
ovarian cysts
220 27-03-2019 111902040319Y001462 0002034172855 SUNARDI L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

221 27-03-2019 111902040319Y001497 0002063768411 AWALIYAH P PEKERJA MANDIRI Acute bronchitis Berobat Jalan

222 27-03-2019 111902040319P001488 0002087995915 RUKMIASIH P PEKERJA MANDIRI Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

223 27-03-2019 111902040319P001444 0002087996275 FATIH HAIKAL MIRZA L PEKERJA MANDIRI Noninfective Rujuk Lanjut
gastroenteritis and colitis,

224 27-03-2019 111902040319P001490 0002091812286 SEMIYATI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

225 27-03-2019 111902040319Y001471 0002168545421 NOVITA AISYAH RANI P PBI (APBD) Pulpitis Berobat Jalan

226 27-03-2019 111902040319Y001453 0002168546411 NGATISIH P PBI (APBD) Tuberculosis of lung, Rujuk Lanjut
bacteriological and
histological examination

227 27-03-2019 111902040319Y001473 0002175541896 SARNI P PBI (APBN) Necrosis of pulp Berobat Jalan

228 27-03-2019 111902040319P001440 0002272208332 ADI PRASETYO L PENERIMA PENSIUN Infantile acne Berobat Jalan
PNS
229 27-03-2019 111902040319P001459 0002301363898 NGATINI P PEGAWAI SWASTA Myalgia Berobat Jalan

230 27-03-2019 111902040319P001465 0002311048552 SUBAGYO L PEGAWAI PEMERINTAH Chronic kidney disease Rujuk Lanjut
DENGAN PERJANJIAN

231 27-03-2019 111902040319P001479 0002442621069 SISWO DIHARJO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
232 27-03-2019 111902040319P001457 0002452818903 TURIYAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

233 27-03-2019 111902040319P001436 0002572681781 ARMAN SUBEKTI L PBI (APBD) Dyspepsia Berobat Jalan

234 27-03-2019 111902040319P001665 0002628685078 SUTINAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
235 26-03-2019 111902040319P001356 0000060004146 SUTARDI L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
236 26-03-2019 111902040319Y001360 0000073299431 SUDARMI P PENERIMA PENSIUN Other disorders of gingiva Rujuk Lanjut
PNS and edentulous alveolar

237 26-03-2019 111902040319P001393 0000084212054 MINTARSIH P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

238 26-03-2019 111902040319P001362 0000084226454 DWI AGUS RIYANTO L PNS DAERAH Granulomatous disorders Rujuk Lanjut
of skin and subcutaneous

239 26-03-2019 111902040319P001384 0000084520888 PAIMIN L PENERIMA PENSIUN Fracture of lower end of Rujuk Lanjut
PNS tibia
240 26-03-2019 111902040319P001364 0000084784768 SRI SUJATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

241 26-03-2019 111902040319P001365 0000084790089 SUNARTI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

242 26-03-2019 111902040319P001374 0000084806414 PARSONO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

243 26-03-2019 111902040319P001357 0000159173943 SURATMI P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
244 26-03-2019 111902040319P001388 0000543272938 SUBIYANTORO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

245 26-03-2019 111902040319P001386 0000543577048 FRIDA AYU PURBASARI P PBI (APBN) Scabies Berobat Jalan

246 26-03-2019 111902040319P001371 0000544330258 SUNTARMI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

247 26-03-2019 111902040319P001379 0000544349272 SUGIRAN L PBI (APBN) Dyspepsia Berobat Jalan

248 26-03-2019 111902040319P001380 0000544349913 MONICA RAHMADANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

249 26-03-2019 111902040319P001370 0000544428009 SALBIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
250 26-03-2019 111902040319P001392 0000545097418 ASIH sumaryatun P PBI (APBN) Dyspepsia Berobat Jalan

251 26-03-2019 111902040319P001678 0000545510103 HARTATI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
252 26-03-2019 111902040319P001375 0001019096875 PARYATI P PBI (APBN) Dyspepsia Berobat Jalan

253 26-03-2019 111902040319P001377 0001019104683 EKO NINING LESTARI P PBI (APBN) Antenatal screening Rujuk Lanjut

254 26-03-2019 111902040319P001390 0001019105684 TARMI P PBI (APBN) Chronic hepatitis, Berobat Jalan
unspecified
255 26-03-2019 111902040319Y001366 0001019115876 YULIANI P PBI (APBN) Necrosis of pulp Berobat Jalan

256 26-03-2019 111902040319P001383 0001019117103 RAMIDI L PBI (APBN) Vertigo of central origin Rujuk Lanjut

257 26-03-2019 111902040319P001382 0001019128386 TURIYEM P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

258 26-03-2019 111902040319P001368 0001084983489 GENJAH P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

259 26-03-2019 111902040319P001372 0001085075392 SITI CHADAIFAH P PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

260 26-03-2019 111902040319P001387 0001110486161 NUKE PRATIWI NUGROHO P PRAJURIT AL Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

261 26-03-2019 111902040319Y001376 0001639505013 WIWIK SUGIYANTI P PEGAWAI SWASTA Periodontal disease, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

262 26-03-2019 111902040319Y001358 0001643222327 MAYA PRATIWI PERWITA SARI P PEGAWAI BUMN Leiomyoma of uterus, Rujuk Lanjut
unspecified
263 26-03-2019 111902040319P001367 0001697169137 Wachono L PBI (APBD) Low back pain Berobat Jalan

264 26-03-2019 111902040319P001381 0001697169677 Ermawati P PBI (APBD) Dyspepsia Berobat Jalan

265 26-03-2019 111902040319P001391 0001697215048 Turiyem P PBI (APBD) Tension-type headache Berobat Jalan

266 26-03-2019 111902040319P001373 0001697215364 SALIYEM P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

267 26-03-2019 111902040319P001389 0001804398388 KATRIN HIDAYATI P PEKERJA MANDIRI Superficial mycosis, Berobat Jalan
unspecified
268 26-03-2019 111902040319P001385 0002090506476 RAJI SAPUTRO L PEKERJA MANDIRI Dyspepsia Berobat Jalan

269 26-03-2019 111902040319P001359 0002168543812 RIBUT MARZUKI L PBI (APBD) Chronic obstructive Rujuk Lanjut
pulmonary disease,

270 26-03-2019 111902040319P001369 0002236352905 SURATMI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

271 26-03-2019 111902040319P001363 0002314150931 SUKASNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

272 26-03-2019 111902040319P001355 0002616139326 NURI HANI FIATI P PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
273 26-03-2019 111902040319P001378 0002743698093 FERRY WIDIANTO L PEGAWAI SWASTA Lichen simplex chronicus Berobat Jalan

274 25-03-2019 111902040319P001349 0000084405745 ESTIYANI P PNS DAERAH Endocrine disorder, Berobat Jalan
unspecified
275 25-03-2019 111902040319P001353 0000084526953 PONIMI P PENERIMA PENSIUN Hypertension secondary to Rujuk Lanjut
PNS other renal disorders
276 25-03-2019 111902040319P001352 0000084638856 AMINAH P PENERIMA PENSIUN Carcinoma in situ of Rujuk Lanjut
PNS breast, unspecified
277 25-03-2019 111902040319P001657 0000544277068 PARIASIH P PBI (APBN) Personal history of Berobat Jalan
contraception
278 25-03-2019 111902040319P001346 0000544445785 RINA MAYASARI P PBI (APBN) Congenital malformation of Rujuk Lanjut
heart, unspecified
279 25-03-2019 111902040319P001351 0000544718305 BAMBANG TRI PUJOWINARNO L PBI (APBN) Congestive heart failure Rujuk Lanjut

280 25-03-2019 111902040319P001418 0000545077934 AMIN NURAINI P PBI (APBN) Personal history of Berobat Jalan
contraception
281 25-03-2019 111902040319P001668 0000545142598 MEI WULANDARI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
282 25-03-2019 111902040319P001347 0001019103243 ROMADHON L PBI (APBN) Glaucoma, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

283 25-03-2019 111902040319P001348 0001019103254 SULASTRI P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

284 25-03-2019 111902040319P001658 0001019118205 SUNARSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
285 25-03-2019 111902040319P001344 0001019129084 SITI ALIYAH P PBI (APBN) Schizoaffective disorder, Rujuk Lanjut
manic type
286 25-03-2019 111902040319P001343 0001019140716 SITI ZULAIKHAH P PBI (APBN) Impacted cerumen Berobat Jalan

287 25-03-2019 111902040319P001361 0001388447908 H.M AMIN 'UTSMAN ASY'ARI L PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

288 25-03-2019 111902040319P001682 0001532139309 TUSRIYANI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
289 25-03-2019 111902040319P001350 0001692826806 WAHYU WIDODO L PEGAWAI SWASTA Chronic kidney disease Rujuk Lanjut

290 25-03-2019 111902040319P001394 0001833486906 MUJIYEM P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
291 25-03-2019 111902040319P001345 0002322741464 MULYONO HADI L PEKERJA MANDIRI Acute sinusitis, Rujuk Lanjut
unspecified
292 25-03-2019 111902040319P001354 0002448051401 PARYATI P PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

293 25-03-2019 111902040319P001664 0002628685078 SUTINAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
294 24-03-2019 111902040319P001663 0002628685078 SUTINAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
295 23-03-2019 111902040319P001295 0000080967958 SUBURYANI P PNS DAERAH Psoriasis vulgaris Rujuk Lanjut

296 23-03-2019 111902040319P001342 0000084054879 MARGI ASTUTI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

297 23-03-2019 111902040319Y001294 0000084266381 OKTA LUFIANA P PEKERJA MANDIRI Antenatal screening Berobat Jalan

298 23-03-2019 111902040319P001298 0000084438854 CISILIA SUHARNI P PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
299 23-03-2019 111902040319P001333 0000084680717 HARTOYO L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

300 23-03-2019 111902040319P001271 0000084684767 SITI MUHSINAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

301 23-03-2019 111902040319P001336 0000084702622 TASMIJATI P PENERIMA PENSIUN Tension-type headache Berobat Jalan
PNS
302 23-03-2019 111902040319P001283 0000084806414 PARSONO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

303 23-03-2019 111902040319P001296 0000543615682 AMAD BUHARI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

304 23-03-2019 111902040319P001308 0000543682686 KASROWI L PBI (APBN) Dyspepsia Berobat Jalan

305 23-03-2019 111902040319P001303 0000544139616 ALFIDA RAHMADANI A P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

306 23-03-2019 111902040319P001310 0000544279329 ADI SRIYONO L PBI (APBN) Congestive heart failure Berobat Jalan

307 23-03-2019 111902040319P001321 0000544346098 MUJIYATI P PBI (APBN) Myalgia Berobat Jalan

308 23-03-2019 111902040319P001284 0000544384596 LUTFI ASNAWI L PBI (APBN) Other mental disorders Rujuk Lanjut
due to brain damage and
dysfunction and to

309 23-03-2019 111902040319P001335 0000544464358 MUNDAKIR L PBI (APBN) Other rheumatoid arthritis Berobat Jalan

310 23-03-2019 111902040319P001340 0000544558746 SRI UTAMI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
311 23-03-2019 111902040319P001311 0000544559005 RIZKA INDAH CHOIRUNNISA P PBI (APBN) External haemorrhoids Rujuk Lanjut
without complication
312 23-03-2019 111902040319P001320 0000544559758 RISKIA AZZAHRA FITRIANI P PBI (APBN) External haemorrhoids Rujuk Lanjut
without complication
313 23-03-2019 111902040319P001309 0000544594555 ROKHMATUL KHASANAH P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
314 23-03-2019 111902040319P001327 0000544795086 SISWANTO L PBI (APBN) Tension-type headache Berobat Jalan

315 23-03-2019 111902040319P001268 0000544828274 SUPRIANINGSIH P PBI (APBN) Other cholelithiasis Rujuk Lanjut

316 23-03-2019 111902040319P001305 0000544828612 FAIS FADILLAH L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

317 23-03-2019 111902040319Y001291 0000544850313 PUJI ASTUTI P PBI (APBN) Personal history of Berobat Jalan
contraception
318 23-03-2019 111902040319P001307 0000544856646 SHAFA ICHTIARANI AZIZAH P PBI (APBN) Old myocardial infarction Berobat Jalan

319 23-03-2019 111902040319P001288 0000544969855 REMBUN P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

320 23-03-2019 111902040319P001667 0000545142598 MEI WULANDARI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
321 23-03-2019 111902040319P001304 0000545218086 SUWARNI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

322 23-03-2019 111902040319P001334 0000545232611 MUCHLIS MIFTAKHUL RAHMAN L PBI (APBN) Scabies Berobat Jalan

323 23-03-2019 111902040319P001270 0000545525638 HADI SUPARTO L PBI (APBN) Allergic urticaria Berobat Jalan

324 23-03-2019 111902040319P001329 0000545527236 IDIN L PBI (APBN) Other rheumatoid arthritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

325 23-03-2019 111902040319P001341 0000545527484 ROCHANIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
326 23-03-2019 111902040319Y001317 0000545631513 MISTIYAH P PBI (APBN) Antenatal screening Berobat Jalan

327 23-03-2019 111902040319P001281 0001019095391 KASIYAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

328 23-03-2019 111902040319Y001292 0001019104885 SITI KUSNUL KOTIMAH P PEKERJA MANDIRI Antenatal screening Berobat Jalan

329 23-03-2019 111902040319P001267 0001019115055 SUWARTINI P PBI (APBN) Psoriasis vulgaris Rujuk Lanjut

330 23-03-2019 111902040319P001279 0001019115191 WITARI P PBI (APBN) Chronic kidney disease Rujuk Lanjut

331 23-03-2019 111902040319P001287 0001019116596 SRI WIDATI P PBI (APBN) Fracture of clavicle Rujuk Lanjut

332 23-03-2019 111902040319P001331 0001019117103 RAMIDI L PBI (APBN) Vertigo of central origin Berobat Jalan

333 23-03-2019 111902040319P001301 0001019118227 SRI WAHYUNI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

334 23-03-2019 111902040319P001306 0001019118936 WAKIRAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

335 23-03-2019 111902040319P001285 0001019129398 ETIK MULYANI P PBI (APBN) Congestive heart failure Rujuk Lanjut

336 23-03-2019 111902040319P001686 0001019131479 KHOERIYAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
337 23-03-2019 111902040319P001332 0001108068467 WILDAN AKBAR MAULANA L PRAJURIT AD Influenza with other Berobat Jalan
manifestations, virus not

338 23-03-2019 111902040319P001277 0001260890087 DESIANA IRAWATI P PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

339 23-03-2019 111902040319P001337 0001263398782 DAWUD L PEKERJA MANDIRI Myalgia Berobat Jalan

340 23-03-2019 111902040319P001280 0001274548026 ARUM KUSUMA RANI P PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
341 23-03-2019 111902040319P001316 0001278679566 BASUKI L PEKERJA MANDIRI Fracture of patella Rujuk Lanjut

342 23-03-2019 111902040319P001330 0001317646653 ARLINGGA RIDI PERMADI L PRAJURIT AD Impetiginization of other Berobat Jalan
dermatoses
343 23-03-2019 111902040319P001315 0001437649391 SUKATI P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
344 23-03-2019 111902040319P001319 0001526265369 KAMISAH P PEGAWAI SWASTA Other rheumatoid arthritis Rujuk Lanjut

345 23-03-2019 111902040319P001302 0001656120699 WORO KUSRI RAHAJENG P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

346 23-03-2019 111902040319Y001289 0001691391104 ENDAH KURNIASTUTI P PEGAWAI SWASTA Antenatal screening Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

347 23-03-2019 111902040319Y001273 0001697162275 Nurul Hidayah P PBI (APBD) Pulpitis Rujuk Lanjut

348 23-03-2019 111902040319P001328 0001697167945 Nurmayati P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

349 23-03-2019 111902040319P001269 0001697188915 Wasilah P PBI (APBD) Congestive heart failure Rujuk Lanjut

350 23-03-2019 111902040319P001276 0001697194888 Abdul Karim Amrullah L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

351 23-03-2019 111902040319P001286 0001792643398 DIDIT RUSTAM ADI L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

352 23-03-2019 111902040319Y001313 0001840584712 nurur rahmah P PNS DAERAH Personal history of Berobat Jalan
contraception
353 23-03-2019 111902040319P001338 0002072282905 MUHAMMAD ISMAIL L PEKERJA MANDIRI Other chronic cystitis Berobat Jalan

354 23-03-2019 111902040319P001272 0002168548255 SARENG P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

355 23-03-2019 111902040319P001324 0002177781041 PENI SETYOWATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

356 23-03-2019 111902040319P001278 0002203256046 WARTINI P PEKERJA MANDIRI Other polyp of sinus Rujuk Lanjut

357 23-03-2019 111902040319P001297 0002236608527 DEWI ASTUTI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

358 23-03-2019 111902040319P001326 0002272815235 SUDIYONO L PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

359 23-03-2019 111902040319P001312 0002295101777 LUTFIANA ULFA FEBRIANTI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

360 23-03-2019 111902040319P001339 0002316667871 DJUMIYATI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

361 23-03-2019 111902040319P001325 0002325651827 SUTIYAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

362 23-03-2019 111902040319Y001314 0002425446189 RAYYAN DZAKKI ALFAREZI L PEGAWAI SWASTA Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

363 23-03-2019 111902040319Y001293 0002428947898 ANANDA KIERAN KALYANA P PEGAWAI SWASTA Influenza with other Berobat Jalan
PUTRI respiratory manifestations,
influenza virus identified

364 23-03-2019 111902040319P001300 0002493331299 TRI KASIH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

365 23-03-2019 111902040319P001274 0002504905727 DWI ADI PRAYOGO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

366 23-03-2019 111902040319Y001299 0002572637523 DESI SUSANTI P PBI (APBD) Antenatal screening Berobat Jalan

367 23-03-2019 111902040319Y001290 0002572637815 ALIFIANDRA AVICENNA A L PBI (APBD) Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

368 23-03-2019 111902040319P001282 0002572658886 SUDIRTO L PBI (APBD) Tension-type headache Berobat Jalan

369 23-03-2019 111902040319P001322 0002572664354 SUMARDIYONO L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

370 23-03-2019 111902040319P001275 0002628834197 IRAWANTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

371 23-03-2019 111902040319P001323 0002738479678 JUNAEDI L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

372 23-03-2019 111902040319P001318 0002745855189 ROBIAH P PEKERJA MANDIRI Unspecified appendicitis Rujuk Lanjut

373 22-03-2019 111902040319P001256 0000083554064 MARYONO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

374 22-03-2019 111902040319P001264 0000084054879 MARGI ASTUTI P PNS DAERAH Dyspepsia Berobat Jalan

375 22-03-2019 111902040319P001230 0000084184479 HADI SUNARSO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

376 22-03-2019 111902040319P001227 0000084244667 AYU FITRIYANA P PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

377 22-03-2019 111902040319P001223 0000084542815 SUKIYAH P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
378 22-03-2019 111902040319P001237 0000162369922 NASIROH P PENERIMA PENSIUN TNI Tension-type headache Berobat Jalan

379 22-03-2019 111902040319P001225 0000166584868 HA EKO AMIHARTO L PNS DAERAH Tension-type headache Berobat Jalan

380 22-03-2019 111902040319P001260 0000196093089 AFRIZA RIZKY PRATAMA L PNS DAERAH Varicella without Berobat Jalan
complication
381 22-03-2019 111902040319P001265 0000198471712 NENY FATDHILAH SYA'ADHAH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

382 22-03-2019 111902040319P001251 0000543575057 SRI MONA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

383 22-03-2019 111902040319P001250 0000543576159 ADI SETYAWAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

384 22-03-2019 111902040319P001395 0000543589762 INDAH ERNAWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
385 22-03-2019 111902040319P001249 0000543620406 SRIYATI P PBI (APBN) Sleep disorder, Rujuk Lanjut
unspecified
386 22-03-2019 111902040319P001261 0000544092873 MUJI ASTUTI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
387 22-03-2019 111902040319P001673 0000544217578 TOYIBAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
388 22-03-2019 111902040319P001266 0000544460905 PONISIH P PBI (APBN) Endocrine disorder, Berobat Jalan
unspecified
389 22-03-2019 111902040319P001252 0000544461039 DEWI AGUS FERAWATI P PBI (APBN) Tension-type headache Berobat Jalan

390 22-03-2019 111902040319P001424 0000544946512 ROHAYATI P PBI (APBN) Personal history of Berobat Jalan
contraception
391 22-03-2019 111902040319P001228 0000544954072 MARKOSIYAH P PBI (APBN) Melaena Rujuk Lanjut

392 22-03-2019 111902040319P001396 0000545013595 DWI NURCHAYATI P PBI (APBN) Personal history of Berobat Jalan
contraception
393 22-03-2019 111902040319P001242 0000545050383 MUJIMAN L PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

394 22-03-2019 111902040319P001231 0000545094898 KALIMAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

395 22-03-2019 111902040319P001236 0000545096068 samini P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

396 22-03-2019 111902040319P001666 0000545142598 MEI WULANDARI P PBI (APBN) Spontaneous vertex Sembuh
delivery
397 22-03-2019 111902040319P001258 0001019113492 YUSUP MURYANTO L PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
398 22-03-2019 111902040319P001235 0001019116091 SAONAH P PBI (APBN) Dyspepsia Berobat Jalan

399 22-03-2019 111902040319P001257 0001019117441 NUGROHO EMAN WIBOWO L PBI (APBN) Myalgia Berobat Jalan

400 22-03-2019 111902040319P001229 0001019118892 RUTINI P PBI (APBN) Dyspepsia Berobat Jalan

401 22-03-2019 111902040319P001233 0001019122828 RUMINAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

402 22-03-2019 111902040319P001238 0001019129049 KARSINI P PBI (APBN) Endocrine disorder, Berobat Jalan
unspecified
403 22-03-2019 111902040319P001259 0001106544565 CEBRIK ANDARWATI P PENERIMA PENSIUN TNI Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

404 22-03-2019 111902040319P001262 0001108068456 LUTHFI FIRMANSYAH L PRAJURIT AD Influenza with other Berobat Jalan
manifestations, virus not

405 22-03-2019 111902040319P001263 0001128173286 SUMARMIYATUN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
406 22-03-2019 111902040319P001255 0001267544619 SUTIKNO DWIDIYO SANTOSO L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

407 22-03-2019 111902040319P001253 0001293040552 FALIH FEBRIAN FAHREZA L PRAJURIT AD Influenza with other Berobat Jalan
manifestations, virus not

408 22-03-2019 111902040319P001244 0001302555914 TRI WAHYONO L PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

409 22-03-2019 111902040319Y001247 0001525064308 RADITYA NURCAHYA PUTRA L PEGAWAI SWASTA Fracture of lower end of Rujuk Lanjut
WALIHA radius
410 22-03-2019 111902040319P001246 0001534729498 SITI MUNIROH P PBI (APBD) Other pruritus Berobat Jalan

411 22-03-2019 111902040319P001239 0001634688202 NURSIAH P PEGAWAI BUMN Seborrhoeic dermatitis, Berobat Jalan
unspecified
412 22-03-2019 111902040319Y001240 0001697194991 NADHIFA RIHADATUL P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
413 22-03-2019 111902040319P001248 0001789440489 SITI KHOERULAH P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

414 22-03-2019 111902040319P001222 0001822725099 nani P PEKERJA MANDIRI Neuralgia and neuritis, Rujuk Lanjut
unspecified
415 22-03-2019 111902040319P001243 0001907063098 AGUNG SETYO WIDIARSO L PEGAWAI SWASTA Low back pain Rujuk Lanjut

416 22-03-2019 111902040319Y001661 0001970133794 SOPINGAH P PEKERJA MANDIRI Acute bronchitis Berobat Jalan

417 22-03-2019 111902040319P001425 0002010012467 SUWARTI P PBI (APBN) Personal history of Berobat Jalan
contraception
418 22-03-2019 111902040319P001226 0002033102338 NETI PANGESTUTI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

419 22-03-2019 111902040319P001224 0002053612225 SAGIYEM P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

420 22-03-2019 111902040319P001245 0002131184158 MIKAIL MUHAMMAD ILHAM L PBI (APBN) Other specified bacterial Berobat Jalan
ABIDZAR ZAKARIYYA diseases
421 22-03-2019 111902040319Y001660 0002206668025 TURAH SETYO L PEGAWAI PEMERINTAH Tuberculous pleurisy, Berobat Jalan
DENGAN PERJANJIAN confirmed bacteriologically
KERJA and histologically

422 22-03-2019 111902040319Y001234 0002253617379 HARTADI HIDAYAT L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

423 22-03-2019 111902040319P001232 0002304884867 PUJIONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

424 22-03-2019 111902040319P001254 0002504905031 AGUS RIYADI L PBI (APBN) External haemorrhoids Rujuk Lanjut
without complication
425 22-03-2019 111902040319P001241 0002623009061 RATMINATUN P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

426 22-03-2019 111902040319Y001659 0002628684911 IRFAN MAULANA RISKY L PBI (APBN) Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically

427 21-03-2019 111902040319P001219 0000084255974 SITI NURUL P PNS DAERAH Neuralgia and neuritis, Berobat Jalan
unspecified
428 21-03-2019 111902040319P001206 0000084307544 WASIYEM P PENERIMA PENSIUN TNI Insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

429 21-03-2019 111902040319P001197 0000084441104 sri purwaningsih P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
430 21-03-2019 111902040319P001186 0000084598446 TRI PAMIARSI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

431 21-03-2019 111902040319P001180 0000084755957 ENDANG SULISTYOWATI P PENERIMA PENSIUN Unstable angina Rujuk Lanjut
PNS
432 21-03-2019 111902040319P001195 0000085032292 SUPIYAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
433 21-03-2019 111902040319Y001170 0000163187897 SUSMAWATI P PENERIMA PENSIUN Other and unspecified Rujuk Lanjut
PNS lesions of oral mucosa
434 21-03-2019 111902040319P001202 0000171571724 SUHARTONO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

435 21-03-2019 111902040319P001203 0000171571814 NANIEK SUTARMI P PENERIMA PENSIUN Simple chronic bronchitis Berobat Jalan
PNS
436 21-03-2019 111902040319P001188 0000544051596 AGUS TRICAHYO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

437 21-03-2019 111902040319P001179 0000544172152 WAGINO L PBI (APBN) Unstable angina Rujuk Lanjut

438 21-03-2019 111902040319P001194 0000544309885 MUHAMMAD NUR SAIFUDIN L PBI (APBN) Scabies Berobat Jalan

439 21-03-2019 111902040319P001178 0000544319493 NUR AZIZAH P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

440 21-03-2019 111902040319P001218 0000544380208 RIYANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

441 21-03-2019 111902040319P001204 0000544473303 SAENAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

442 21-03-2019 111902040319P001175 0000544733741 WARSINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
443 21-03-2019 111902040319P001184 0000544968819 ABDULLAH L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

444 21-03-2019 111902040319P001190 0000545015068 SARWIYANI P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

445 21-03-2019 111902040319P001677 0000545510103 HARTATI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
446 21-03-2019 111902040319P001207 0000545628407 ROHMAT L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

447 21-03-2019 111902040319P001205 0000699265023 MISENI P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
448 21-03-2019 111902040319P001400 0001019104751 SITI JUWARIYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
449 21-03-2019 111902040319P001182 0001019112208 PARJO SUYONO L PBI (APBN) Other senile cataract Rujuk Lanjut

450 21-03-2019 111902040319P001209 0001019117248 TUJO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

451 21-03-2019 111902040319P001217 0001019129949 TUMISAH P PBI (APBN) Dyspepsia Berobat Jalan

452 21-03-2019 111902040319P001216 0001019129962 FIKA ANASTASIYA SARI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

453 21-03-2019 111902040319P001176 0001019140942 PARiYONO L PBI (APBN) Tension-type headache Berobat Jalan

454 21-03-2019 111902040319P001670 0001134077433 DARMI P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
455 21-03-2019 111902040319P001181 0001271074151 JAMANGATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

456 21-03-2019 111902040319P001173 0001371968561 SHARIFA SEPTI RAHMADANI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

457 21-03-2019 111902040319P001196 0001379616287 MUGIONO L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
458 21-03-2019 111902040319P001199 0001534736384 JULIONO L PBI (APBD) Anaemia, unspecified Rujuk Lanjut

459 21-03-2019 111902040319P001220 0001696984672 SAGIYEM P PBI (APBD) Burn of third degree of Berobat Jalan
trunk
460 21-03-2019 111902040319P001212 0001697164266 SUKIMAN L PBI (APBD) Schizophrenia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

461 21-03-2019 111902040319P001185 0001697765466 WAHYU SETO WIDI TOMO L PEGAWAI SWASTA Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle of

462 21-03-2019 111902040319P001171 0001700088513 BITONAH ERI PRAYOGI L PBI (APBD) Fracture of shaft of radius Rujuk Lanjut

463 21-03-2019 111902040319Y001167 0001828497251 SITI FITRI RAMADHANI P PEKERJA MANDIRI Twin pregnancy Rujuk Lanjut

464 21-03-2019 111902040319P001198 0001836310061 harjoko L PEKERJA MANDIRI Schizophrenia, unspecified Berobat Jalan

465 21-03-2019 111902040319P001168 0001857929951 ARI KURNIAWATI P PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
466 21-03-2019 111902040319P001169 0001857933674 LANANG AHMAD SANTOSO L PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
467 21-03-2019 111902040319P001174 0001878257878 CIPTO EDI SUWARNO L PEKERJA MANDIRI Tension-type headache Berobat Jalan

468 21-03-2019 111902040319P001215 0001893515466 WAHONO L PEKERJA MANDIRI Viral conjunctivitis, Berobat Jalan
unspecified
469 21-03-2019 111902040319P001201 0002039521364 ACHMAD ISWANTO TOIL L PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

470 21-03-2019 111902040319P001200 0002044944573 TEGUH PAMUJI L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

471 21-03-2019 111902040319P001193 0002168543823 SARTILAH P PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

472 21-03-2019 111902040319P001191 0002168546139 JEMIRAH P PBI (APBD) Gastrojejunal ulcer, acute Rujuk Lanjut
with perforation
473 21-03-2019 111902040319P001172 0002204453518 BASUKI PRIYO HUSODO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

474 21-03-2019 111902040319P001187 0002301558445 ESTER TRIWIRYATI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

475 21-03-2019 111902040319P001177 0002421324865 TUMINI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

476 21-03-2019 111902040319P001189 0002474028696 NARNI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
477 21-03-2019 111902040319P001210 0002504906482 FEGI NOVELITA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

478 21-03-2019 111902040319P001221 0002504906504 DHANI FEBRIANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

479 21-03-2019 111902040319P001208 0002619160661 RISNAYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

480 21-03-2019 111902040319P001192 0002629330435 NGALIM L PBI (APBN) Low back pain Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

481 21-03-2019 111902040319P001183 0002745854965 DEDE SULAEMAN L PEKERJA MANDIRI Pterygium Rujuk Lanjut

482 20-03-2019 111902040319P001119 0000039048636 KUNSIHATI B.A P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

483 20-03-2019 111902040319P001133 0000083949748 ISTIQOMAH P PNS DAERAH Traumatic rupture of Rujuk Lanjut
ligament of finger at
metacarpophalangeal and
interphalangeal joint(s)

484 20-03-2019 111902040319P001131 0000084229356 SUPANTO L PNS DAERAH Dyspepsia Berobat Jalan

485 20-03-2019 111902040319P001159 0000084310042 BATIYEM P PENERIMA PENSIUN TNI Allergic urticaria Berobat Jalan

486 20-03-2019 111902040319P001103 0000084398501 BASUKI SRUHASTOWO L PENERIMA PENSIUN Unspecified chronic Rujuk Lanjut
PNS bronchitis
487 20-03-2019 111902040319P001110 0000084416692 AMAT NASOCHA L PENERIMA PENSIUN Neuralgia and neuritis, Berobat Jalan
PNS unspecified
488 20-03-2019 111902040319P001116 0000084557935 KEMIJEM P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
489 20-03-2019 111902040319P001096 0000084603609 NGATIJAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

490 20-03-2019 111902040319P001112 0000084808866 KODIRAN L PENERIMA PENSIUN Endocrine disorder, Berobat Jalan
PNS unspecified
491 20-03-2019 111902040319P001151 0000147897584 AMAT JUNAEDI L PNS DAERAH Dyspepsia Berobat Jalan

492 20-03-2019 111902040319Y001121 0000163187897 SUSMAWATI P PENERIMA PENSIUN Acute gingivitis Berobat Jalan
PNS
493 20-03-2019 111902040319P001098 0000202798989 SUKAMTI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

494 20-03-2019 111902040319P001099 0000379437107 SALAM L PBI (APBN) Impetiginization of other Rujuk Lanjut
dermatoses
495 20-03-2019 111902040319P001102 0000379438391 MURNIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
496 20-03-2019 111902040319P001109 0000466870983 BANGBANG ALI JABAR L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
497 20-03-2019 111902040319P001162 0000543527289 DIAH MEY UMIYANTI P PBI (APBN) Abdominal pregnancy Rujuk Lanjut

498 20-03-2019 111902040319P001128 0000543576936 KARYONO L PBI (APBN) Scabies Berobat Jalan

499 20-03-2019 111902040319P001143 0000544110928 SUPARIYO L PBI (APBN) Disorder of sclera, Rujuk Lanjut
unspecified
500 20-03-2019 111902040319Y001138 0000544200287 WAHYUDI L PBI (APBN) Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

501 20-03-2019 111902040319P001672 0000544217578 TOYIBAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
502 20-03-2019 111902040319P001153 0000544256021 SUPARDI L PBI (APBN) Mixed asthma Rujuk Lanjut

503 20-03-2019 111902040319P001125 0000544269857 WAMIN P PBI (APBN) Varicella without Berobat Jalan
complication
504 20-03-2019 111902040319P001107 0000544304744 SUMIARTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

505 20-03-2019 111902040319P001106 0000544309007 WIWIK UNTARI P PBI (APBN) Secondary multiple Berobat Jalan
arthrosis
506 20-03-2019 111902040319P001114 0000544317041 SHAI'IN MAULANA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

507 20-03-2019 111902040319P001111 0000544497276 LEGINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

508 20-03-2019 111902040319P001403 0000544580818 WATINAH P PBI (APBN) Personal history of Berobat Jalan
contraception
509 20-03-2019 111902040319P001105 0000544612432 MBANATUN P PBI (APBN) Dyspepsia Berobat Jalan

510 20-03-2019 111902040319P001113 0000544854835 ABDUL WACHID L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

511 20-03-2019 111902040319P001165 0000544893906 DIANA KUSTRI P PBI (APBN) Abdominal pregnancy Berobat Jalan

512 20-03-2019 111902040319P001127 0000544984659 ELLY RIANI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
513 20-03-2019 111902040319P001166 0000545049639 DEWI INDAH WAHYUNI P PBI (APBN) Abdominal pregnancy Berobat Jalan

514 20-03-2019 111902040319P001156 0000545238977 AMAT SOLEH L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

515 20-03-2019 111902040319P001155 0000545239315 MUSLIKAH P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

516 20-03-2019 111902040319P001137 0000545506885 PONIJAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

517 20-03-2019 111902040319P001130 0000545581901 WASIMAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

518 20-03-2019 111902040319P001690 0000545727767 PURIYAWATI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
519 20-03-2019 111902040319P001136 0001019114392 RINI P PBI (APBN) Melaena Berobat Jalan

520 20-03-2019 111902040319P001152 0001019118611 LUKMAN SOLEH L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

521 20-03-2019 111902040319P001161 0001019126733 SUMIRAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
522 20-03-2019 111902040319P001104 0001019128645 RUMINAH P PBI (APBN) Asthma, unspecified Berobat Jalan

523 20-03-2019 111902040319P001097 0001260890087 DESIANA IRAWATI P PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

524 20-03-2019 111902040319P001158 0001261720113 AHMAD DARUSMANTO L PEKERJA MANDIRI Residual schizophrenia Rujuk Lanjut

525 20-03-2019 111902040319P001140 0001267544619 SUTIKNO DWIDIYO SANTOSO L PEKERJA MANDIRI Functional diarrhoea Berobat Jalan

526 20-03-2019 111902040319P001134 0001320027647 RINDARWATI P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

527 20-03-2019 111902040319P001144 0001325121546 PONIYAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

528 20-03-2019 111902040319P001101 0001341294445 SARODJO L PENERIMA PENSIUN Low back pain Berobat Jalan
SWASTA
529 20-03-2019 111902040319P001164 0001384622728 IRA KUSRINI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

530 20-03-2019 111902040319P001157 0001389262059 QAIREEN HANA RAFIIDA P PEGAWAI SWASTA Fractures of other parts of Rujuk Lanjut
femur
531 20-03-2019 111902040319P001681 0001532139309 TUSRIYANI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
532 20-03-2019 111902040319P001117 0001615266819 Ngatiyah P PBI (APBD) Melaena Rujuk Lanjut

533 20-03-2019 111902040319P001142 0001667067884 TATINATUN MUNAWAROH P PEGAWAI SWASTA Supervision of normal Rujuk Lanjut
pregnancy
534 20-03-2019 111902040319P001120 0001697170432 WIWIK SETYOWATI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

535 20-03-2019 111902040319Y001135 0001730733276 KHIKMAH KURNIA P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

536 20-03-2019 111902040319P001154 0001802210949 EDI RAMIJO L PEKERJA MANDIRI Parkinson's disease Rujuk Lanjut

537 20-03-2019 111902040319Y001118 0001818544274 APRILIA DEWI NURSANTY P PNS DAERAH Other acute Rujuk Lanjut
nonsuppurative otitis

538 20-03-2019 111902040319P001100 0001821527019 suryo widodo L PEKERJA MANDIRI Paranoid schizophrenia Rujuk Lanjut

539 20-03-2019 111902040319P001150 0001835482195 samsul sugiatun P PNS DAERAH Unspecified appendicitis Rujuk Lanjut

540 20-03-2019 111902040319P001139 0001846657686 KOHARUDIN SETIAWAN L PEKERJA MANDIRI Myalgia Berobat Jalan

541 20-03-2019 111902040319P001149 0001870108918 SRI PUJI ASTUTI P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

542 20-03-2019 111902040319P001147 0001880533157 sri maryati P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

543 20-03-2019 111902040319P001126 0001915392014 SITI MAEMUNAH P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

544 20-03-2019 111902040319P001148 0002011361613 DARYOTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

545 20-03-2019 111902040319P001146 0002039521364 ACHMAD ISWANTO TOIL L PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
546 20-03-2019 111902040319P001141 0002039524648 MUHAMMAD RIDHO AKBAR L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

547 20-03-2019 111902040319P001122 0002046547787 SIDQIYYA PUTRI TAZKIYYA P PEGAWAI SWASTA Brazilian purpuric fever Berobat Jalan

548 20-03-2019 111902040319P001124 0002168544791 JEMINGAN L PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
549 20-03-2019 111902040319P001129 0002175360208 MUHAMMAD DANANG SATRIYA L PBI (APBN) Scabies Berobat Jalan

550 20-03-2019 111902040319P001163 0002288736696 RIYANA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

551 20-03-2019 111902040319P001108 0002381172579 EMI KARYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
552 20-03-2019 111902040319P001115 0002504907314 SINTIA SETYA SARI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

553 20-03-2019 111902040319P001145 0002504907538 SARIMAN L PBI (APBN) Congestive heart failure Rujuk Lanjut

554 20-03-2019 111902040319P001160 0002572672533 AHMAD HILMI MAULANA L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

555 20-03-2019 111902040319P001123 0002628685023 SITI NURUL KHASANAH P PBI (APBN) Chronic post-traumatic Berobat Jalan
headache
556 19-03-2019 111902040319P001025 0000045592334 ISROWIYAH P PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PNS
557 19-03-2019 111902040319P001041 0000083512348 MUHAMMAD SOLICHUN L PENERIMA PENSIUN Neuralgia and neuritis, Rujuk Lanjut
PNS unspecified
558 19-03-2019 111902040319P001072 0000084282491 KARSONO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
559 19-03-2019 111902040319P001067 0000084378238 SUKIMAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
560 19-03-2019 111902040319P001043 0000084440485 WASTUTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

561 19-03-2019 111902040319P001044 0000084656406 EKO EMY PURWATI S P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

562 19-03-2019 111902040319P001050 0000084720238 PUJIASTUTI P PNS DAERAH Congestive heart failure Rujuk Lanjut

563 19-03-2019 111902040319Y001081 0000084741974 SIWI UTAMI P PNS DAERAH Pulpitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

564 19-03-2019 111902040319P001020 0000086569345 TRI PRAPTIBUDIANINGSIH P PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
565 19-03-2019 111902040319P001039 0000543397408 ARBANGATUN P PBI (APBN) Haemarthrosis Rujuk Lanjut

566 19-03-2019 111902040319P001079 0000544190692 ENDANGWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
567 19-03-2019 111902040319P001671 0000544217578 TOYIBAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
568 19-03-2019 111902040319P001028 0000544298411 KADIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

569 19-03-2019 111902040319P001046 0000544325668 PUTRA DWI YULIAN NUGROHO L PBI (APBN) Other specified bacterial Berobat Jalan
diseases
570 19-03-2019 111902040319P001076 0000544385294 SRI UTAMI P PBI (APBN) Antenatal screening Berobat Jalan

571 19-03-2019 111902040319P001023 0000544396612 OKTAVIANUS L PBI (APBN) Suppurative otitis media, Berobat Jalan
unspecified
572 19-03-2019 111902040319P001027 0000544532635 ENI WAHYUNI P PBI (APBN) Other cholelithiasis Rujuk Lanjut

573 19-03-2019 111902040319P001069 0000544613477 LANI LATIFAH P PBI (APBN) Personal history of Berobat Jalan
contraception
574 19-03-2019 111902040319P001024 0000544693847 NANI PUJI RAHAYU P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

575 19-03-2019 111902040319P001048 0000544823201 SUMARSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

576 19-03-2019 111902040319P001033 0000544844957 DARSI P PBI (APBN) Myalgia Berobat Jalan

577 19-03-2019 111902040319P001037 0000544937488 HADI SUPARMAN L PBI (APBN) Retention of urine Rujuk Lanjut

578 19-03-2019 111902040319P001032 0000545112246 SUMIASIYAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

579 19-03-2019 111902040319Y001082 0000545201559 PAIMIN L PBI (APBN) Caries of dentine Berobat Jalan

580 19-03-2019 111902040319P001676 0000545510103 HARTATI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
581 19-03-2019 111902040319P001066 0001019117103 RAMIDI L PBI (APBN) Dyspepsia Berobat Jalan

582 19-03-2019 111902040319P001059 0001019122637 PARTO MULYO L PBI (APBN) Benign neoplasm of Rujuk Lanjut
prostate
583 19-03-2019 111902040319P001065 0001019127385 JAENAB P PBI (APBN) Myalgia Berobat Jalan

584 19-03-2019 111902040319P001035 0001019134449 BADRIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

585 19-03-2019 111902040319P001047 0001019134473 SUDIYATI P PBI (APBN) Tension-type headache Berobat Jalan

586 19-03-2019 111902040319P001042 0001019138095 PAINI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
587 19-03-2019 111902040319P001026 0001321659876 TEGUH BASUKI L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

588 19-03-2019 111902040319P001055 0001321662846 SRI WIDANINGSIH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

589 19-03-2019 111902040319P001029 0001473346541 SUPIYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

590 19-03-2019 111902040319P001083 0001530642791 FATIMATUL ROHMAH P PEKERJA MANDIRI Antenatal screening Berobat Jalan

591 19-03-2019 111902040319P001070 0001534736474 ana maria P PBI (APBD) Antenatal screening Berobat Jalan

592 19-03-2019 111902040319P001078 0001534736485 alfino mahardika pratama L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

593 19-03-2019 111902040319P001021 0001619104645 RIZKA ROHMANTIKA P PEKERJA MANDIRI Hypertrophy of tonsils Rujuk Lanjut

594 19-03-2019 111902040319P001063 0001643286442 CHOTIMAH P PEGAWAI BUMN Antenatal screening Berobat Jalan

595 19-03-2019 111902040319P001038 0001700089389 MARSIH P PBI (APBD) Endocrine disorder, Berobat Jalan
unspecified
596 19-03-2019 111902040319P001015 0001700089727 SURIP P PBI (APBD) Corneal ulcer Rujuk Lanjut

597 19-03-2019 111902040319P001017 0001786514297 SAPARUN L PEKERJA MANDIRI Unspecified diabetes Rujuk Lanjut
mellitus with neurological

598 19-03-2019 111902040319P001040 0001786516018 SUGIYEM P PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

599 19-03-2019 111902040319P001034 0001817293601 DWI ULFAH ARIYANI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

600 19-03-2019 111902040319Y001132 0001818544274 APRILIA DEWI NURSANTY P PNS DAERAH Myopia Rujuk Lanjut

601 19-03-2019 111902040319P001060 0001824671801 NISA NOVAENI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

602 19-03-2019 111902040319P001058 0001865181407 TURIMAN L PEKERJA MANDIRI Asthma, unspecified Berobat Jalan

603 19-03-2019 111902040319P001049 0001890578474 NAKIYAH L PEKERJA MANDIRI Dyspepsia Berobat Jalan

604 19-03-2019 111902040319P001016 0001895323937 SAMHADI L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

605 19-03-2019 111902040319P001085 0001967069158 supartini P PEGAWAI SWASTA Excessive bleeding in the Berobat Jalan
premenopausal period
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

606 19-03-2019 111902040319P001075 0002063459597 TSAQIF AHYAR ARDINATHA L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

607 19-03-2019 111902040319P001052 0002089165318 SARIYAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

608 19-03-2019 111902040319P001045 0002100693036 Ngadino L PENERIMA PENSIUN Tension-type headache Berobat Jalan
SWASTA
609 19-03-2019 111902040319P001030 0002168541415 SUGIARTO L PBI (APBD) Impacted cerumen Berobat Jalan

610 19-03-2019 111902040319P001022 0002212759146 WALIDI HARJOPRASETYO L PEKERJA MANDIRI Congestive heart failure Berobat Jalan

611 19-03-2019 111902040319P001036 0002268389316 SUDARYATMI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

612 19-03-2019 111902040319P001077 0002270697377 GILANG CHANDRA WIJAYA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

613 19-03-2019 111902040319P001080 0002279337614 AMBARSARI INDRANINGRUM P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
614 19-03-2019 111902040319P001071 0002309427606 SUNARSIH L PEKERJA MANDIRI Dyspepsia Berobat Jalan

615 19-03-2019 111902040319Y001068 0002377287371 NATALIA JESICA NANDITA K P PEKERJA MANDIRI Impacted teeth Rujuk Lanjut

616 19-03-2019 111902040319P001019 0002493934198 NGADINEM P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

617 19-03-2019 111902040319P001018 0002500842352 SITI SUWANGSIH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
618 19-03-2019 111902040319Y001084 0002628393006 LENDRASARI P PBI (APBN) Pulpitis Berobat Jalan

619 19-03-2019 111902040319P001031 0002740670921 APRIYANI P PEGAWAI SWASTA Allergic urticaria Berobat Jalan

620 18-03-2019 111902040319P000938 0000044827749 HARTINI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

621 18-03-2019 111902040319P000946 0000045592334 ISROWIYAH P PENERIMA PENSIUN Other rheumatoid arthritis Rujuk Lanjut
PNS
622 18-03-2019 111902040319P000975 0000084217599 PUTRI INDAH KURNIAWATI P PNS DAERAH Impetiginization of other Berobat Jalan
dermatoses
623 18-03-2019 111902040319P000980 0000084266965 RAYEM P PNS DAERAH Other diseases of pharynx Berobat Jalan

624 18-03-2019 111902040319P000990 0000084295495 SUWARTI P PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
PNS
625 18-03-2019 111902040319P000947 0000084477936 PUDJI RAHAYU P PENERIMA PENSIUN Other rheumatoid arthritis Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

626 18-03-2019 111902040319P000976 0000084501461 SITI ROHANAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

627 18-03-2019 111902040319P000957 0000084539608 TOEKINO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

628 18-03-2019 111902040319P000952 0000084560139 SULIMIN L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
629 18-03-2019 111902040319P000949 0000084641927 SUDARTI P PENERIMA PENSIUN Simple chronic bronchitis Berobat Jalan
PNS
630 18-03-2019 111902040319P000989 0000084680728 PRIYONO L PNS DAERAH Myalgia Berobat Jalan

631 18-03-2019 111902040319P000983 0000084702442 TATIK PURWATI P PNS DAERAH Polyarthrosis, unspecified Berobat Jalan

632 18-03-2019 111902040319P000984 0000084741412 PANDI L PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
633 18-03-2019 111902040319P000948 0000084771865 SRI YUNIAR SETIATI P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

634 18-03-2019 111902040319P000937 0000084784353 ANIK MARIYANI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

635 18-03-2019 111902040319P000960 0000084800439 WARSONO L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

636 18-03-2019 111902040319Y000954 0000199549449 RAHMA KAMILA AULIANISA P PNS DAERAH Necrosis of pulp Berobat Jalan

637 18-03-2019 111902040319P000974 0000543495442 UMARIYAH P PBI (APBN) Cervical root disorders, not Berobat Jalan
elsewhere classified
638 18-03-2019 111902040319P000958 0000543541746 YANUAR NUGROHO L PBI (APBN) Other specified bacterial Berobat Jalan
diseases
639 18-03-2019 111902040319P000959 0000543542523 DAMAR SATRIYO PAMUNGKAS L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

640 18-03-2019 111902040319P000982 0000543544266 SEMIYEM P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

641 18-03-2019 111902040319Y000964 0000543567701 JUMINEM P PBI (APBN) Necrosis of pulp Berobat Jalan

642 18-03-2019 111902040319P000994 0000543569692 DONI WICAKSONO L PBI (APBN) Impacted cerumen Berobat Jalan

643 18-03-2019 111902040319P000956 0000543966974 AURELIO FAUSTIN DAVILLA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

644 18-03-2019 111902040319P000941 0000544151687 SUMEDI L PBI (APBN) Dyspepsia Berobat Jalan

645 18-03-2019 111902040319Y000953 0000544216601 SUPARMI P PBI (APBN) Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

646 18-03-2019 111902040319P000934 0000544286046 SETILAH P PBI (APBN) Low back pain Berobat Jalan

647 18-03-2019 111902040319P000936 0000544360522 SUDIYAT L PBI (APBN) Dyspepsia Berobat Jalan

648 18-03-2019 111902040319P000987 0000544373032 MUKAROMAH P PBI (APBN) Impacted cerumen Berobat Jalan

649 18-03-2019 111902040319P000961 0000544487095 AMAT BADRUS L PBI (APBN) Acute lymphadenitis, Berobat Jalan
unspecified
650 18-03-2019 111902040319P001004 0000544504375 RAHAYUNINGSIH P PBI (APBN) Abdominal pregnancy Berobat Jalan

651 18-03-2019 111902040319P000944 0000544697098 FARIDAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

652 18-03-2019 111902040319P000992 0000544822503 MUTMAINAH P PBI (APBN) Schizoaffective disorder, Rujuk Lanjut
depressive type
653 18-03-2019 111902040319P000950 0000544858481 TRISIWINURHAYATI P PBI (APBN) Typhoid fever Berobat Jalan

654 18-03-2019 111902040319P000981 0000544885108 NURYANAH P PBI (APBN) Suppurative otitis media, Rujuk Lanjut
unspecified
655 18-03-2019 111902040319P000971 0000544955253 MAMAT L PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus with neurological

656 18-03-2019 111902040319P000972 0000544955376 WARNI P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
657 18-03-2019 111902040319P001426 0000544985458 INE SURATI P PBI (APBN) Personal history of Berobat Jalan
contraception
658 18-03-2019 111902040319P000963 0000545122754 SULASTRI P PBI (APBN) Congestive heart failure Rujuk Lanjut

659 18-03-2019 111902040319P000996 0000545503915 LEGIYEM P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

660 18-03-2019 111902040319P000995 0000545509596 TRI SANTOSO L PBI (APBN) Constipation Berobat Jalan

661 18-03-2019 111902040319P001675 0000545510103 HARTATI P PBI (APBN) Spontaneous vertex Sembuh
delivery
662 18-03-2019 111902040319P000929 0000545528711 MURYANI P PBI (APBN) Congestive heart failure Berobat Jalan

663 18-03-2019 111902040319P001427 0000545619598 YAUMI P PBI (APBN) Personal history of Berobat Jalan
contraception
664 18-03-2019 111902040319P000973 0001019108654 SARAS JULAIKA P PBI (APBN) Functional diarrhoea Berobat Jalan

665 18-03-2019 111902040319P000969 0001019116855 MARIYATI P PBI (APBN) Congestive heart failure Berobat Jalan

666 18-03-2019 111902040319P001428 0001019125372 MARKERI P PBI (APBN) Personal history of Berobat Jalan
contraception
667 18-03-2019 111902040319P000955 0001019125798 NUR JANAH P PBI (APBN) Viral conjunctivitis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

668 18-03-2019 111902040319P000988 0001019126698 SITI UMIYAH P PBI (APBN) Tension-type headache Berobat Jalan

669 18-03-2019 111902040319P001685 0001019131479 KHOERIYAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
670 18-03-2019 111902040319P000970 0001019137127 SRI ASIH P PBI (APBN) Polyarthrosis, unspecified Rujuk Lanjut

671 18-03-2019 111902040319P000977 0001019138477 JUMIYATI P PBI (APBN) Dyspepsia Berobat Jalan

672 18-03-2019 111902040319P000930 0001086045129 SRI SUPAMI P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
673 18-03-2019 111902040319P000939 0001107350752 SITI AMINAH P PRAJURIT AD Abdominal pregnancy Rujuk Lanjut

674 18-03-2019 111902040319P000966 0001300274493 ANNA RIANA P PEGAWAI SWASTA Polyarthrosis, unspecified Berobat Jalan

675 18-03-2019 111902040319P000965 0001421013148 SITI NGADIROH P PEKERJA MANDIRI Unspecified condition Rujuk Lanjut
associated with female
genital organs and

676 18-03-2019 111902040319P001698 0001437084775 NOFI PURWANTININGSIH P PEKERJA MANDIRI Spontaneous vertex Berobat Jalan
delivery
677 18-03-2019 111902040319P000985 0001452885478 SUYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
678 18-03-2019 111902040319P000932 0001473346539 SUDJARNO HADI SISWOYO L PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

679 18-03-2019 111902040319P001680 0001532139309 TUSRIYANI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
680 18-03-2019 111902040319P000997 0001534735056 Cahaya Restu Kinanti L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

681 18-03-2019 111902040319P000968 0001534735563 MARDINO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

682 18-03-2019 111902040319P001694 0001534735833 HARNIK P PBI (APBD) Spontaneous vertex Berobat Jalan
delivery
683 18-03-2019 111902040319P001003 0001691844377 AULIA TRI WANTINI P PEKERJA MANDIRI Abnormal haematological Berobat Jalan
finding on antenatal

684 18-03-2019 111902040319P000967 0001693536298 DEWI ASTUTI P PEGAWAI SWASTA Pterygium Berobat Jalan

685 18-03-2019 111902040319P000999 0001697167067 WAFRI DANU AKMAL L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

686 18-03-2019 111902040319P000986 0001697169205 SRI MUNDIYAH P PBI (APBD) Cervical root disorders, not Berobat Jalan
elsewhere classified
687 18-03-2019 111902040319P000935 0001817432559 KEMINI P PEKERJA MANDIRI Insulin-dependent Rujuk Lanjut
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

688 18-03-2019 111902040319P000998 0001825085913 SUEPNO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
689 18-03-2019 111902040319P000945 0001883845394 SITI NURHAYATI P PEKERJA MANDIRI Cervical root disorders, not Rujuk Lanjut
elsewhere classified
690 18-03-2019 111902040319P000943 0001965169541 SUPARMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

691 18-03-2019 111902040319P000978 0002063787884 SIGIT SUPRIANTO L PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

692 18-03-2019 111902040319P000933 0002168541742 WAHYU EKO CAHYONO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

693 18-03-2019 111902040319P000931 0002204502737 FINA ERISKA DEWI P PEKERJA MANDIRI Dyspepsia Rujuk Lanjut

694 18-03-2019 111902040319P000962 0002213466309 ISTI KHAROH P PEKERJA MANDIRI Hearing loss, unspecified Rujuk Lanjut

695 18-03-2019 111902040319P000940 0002236616313 FITRI NUR WAHYUNI P PBI (APBD) Other chronic cystitis Berobat Jalan

696 18-03-2019 111902040319P001001 0002438250445 EFREM DANAR ELANDRA L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

697 18-03-2019 111902040319P001000 0002491871837 SURTI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

698 18-03-2019 111902040319P000942 0002504907404 BILQIS JAHRA NAIFAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

699 18-03-2019 111902040319P001002 0002509344494 ARTHAJUNA RAJENDRA PUTRA L PEGAWAI SWASTA Other specified bacterial Berobat Jalan
diseases
700 18-03-2019 111902040319P000951 0002572677404 MISKUN L PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
701 18-03-2019 111902040319P000991 0002621440451 AHMAD RIYAN SETIAWAN L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

702 18-03-2019 111902040319Y000979 0002743106062 SULMI P PEKERJA MANDIRI Diseases of tongue Rujuk Lanjut

703 17-03-2019 111902040319P001679 0001532139309 TUSRIYANI P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
704 16-03-2019 111902040319P000902 0000084210118 SLAMETO L PNS DAERAH Coxarthrosis, unspecified Berobat Jalan

705 16-03-2019 111902040319P000903 0000084304067 SUGENG L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

706 16-03-2019 111902040319P000890 0000084438854 CISILIA SUHARNI P PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
707 16-03-2019 111902040319P000870 0000084557169 ATIN SUPRIHATIEN S P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

708 16-03-2019 111902040319P000850 0000084704286 YUDIMAN L PNS DAERAH Congestive heart failure Rujuk Lanjut

709 16-03-2019 111902040319Y000872 0000084741974 SIWI UTAMI P PNS DAERAH Pulpitis Berobat Jalan

710 16-03-2019 111902040319P000855 0000084755452 PAINAH P PENERIMA PENSIUN Carcinoma in situ of Rujuk Lanjut
PNS breast, unspecified
711 16-03-2019 111902040319P000901 0000084806829 KASMINO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
712 16-03-2019 111902040319P000853 0000172573571 SUNARMI P PNS DAERAH Congestive heart failure Rujuk Lanjut

713 16-03-2019 111902040319P000862 0000379437107 SALAM L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
714 16-03-2019 111902040319P000861 0000543930568 DWI LESTARININGSIH P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

715 16-03-2019 111902040319P000860 0000544123359 WAGINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
716 16-03-2019 111902040319P000859 0000544310695 SOLEHKHUDIN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

717 16-03-2019 111902040319P000882 0000544319493 NUR AZIZAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

718 16-03-2019 111902040319P000883 0000544319853 OKTAFIANA SAFITRI P PBI (APBN) Dyspepsia Berobat Jalan

719 16-03-2019 111902040319P000900 0000544322553 HALIPAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
720 16-03-2019 111902040319Y000869 0000544322608 HUMAM ARYO SEFRI ANTO L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

721 16-03-2019 111902040319P000880 0000544324803 KOMSIYAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
722 16-03-2019 111902040319P000881 0000544325668 PUTRA DWI YULIAN NUGROHO L PBI (APBN) Allergic urticaria Berobat Jalan

723 16-03-2019 111902040319P001419 0000544346932 EKA ROSWITA juliasti P PBI (APBN) Personal history of Berobat Jalan
contraception
724 16-03-2019 111902040319P000909 0000544360263 RAHAYUNING PANGESTUTI P PBI (APBN) Abdominal pregnancy Berobat Jalan

725 16-03-2019 111902040319P000896 0000544433578 ISTI FADAH P PBI (APBN) Hordeolum and other deep Berobat Jalan
inflammation of eyelid

726 16-03-2019 111902040319P000875 0000544557497 KLARAH P PBI (APBN) Acute ischaemic heart Rujuk Lanjut
disease, unspecified
727 16-03-2019 111902040319P000857 0000544563393 SRI WATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

728 16-03-2019 111902040319P000851 0000544673338 ROWIYAH P PBI (APBN) Secondary hypertension, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

729 16-03-2019 111902040319Y000863 0000544693342 NORA JONIANSA P PBI (APBN) Deposits [accretions] on Rujuk Lanjut
teeth
730 16-03-2019 111902040319P000867 0000544873173 FITRI DEWINTO NUGRAINI P PBI (APBN) Dislocation of hip Rujuk Lanjut

731 16-03-2019 111902040319P000864 0000544943261 NUR HIDAYAH P PEGAWAI SWASTA Abdominal pregnancy Rujuk Lanjut

732 16-03-2019 111902040319P000848 0000545024351 RIMA SUDIARTI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

733 16-03-2019 111902040319P000856 0000545094898 KALIMAH P PBI (APBN) Congestive heart failure Berobat Jalan

734 16-03-2019 111902040319P000913 0000545510103 HARTATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

735 16-03-2019 111902040319P000886 0000545539882 MARJONO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

736 16-03-2019 111902040319P000874 0001019120286 LEGIYAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

737 16-03-2019 111902040319P000885 0001019124988 RUSMINAH P PBI (APBN) Congestive heart failure Berobat Jalan

738 16-03-2019 111902040319P001684 0001019131479 KHOERIYAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
739 16-03-2019 111902040319P000889 0001019141875 HAWINAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

740 16-03-2019 111902040319P000852 0001078500159 SUMILAH P PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
PNS
741 16-03-2019 111902040319P000893 0001084650671 NUR SYAMSIAH P PBI (APBN) Dyspepsia Berobat Jalan

742 16-03-2019 111902040319P000868 0001275327887 MUKH WIDAYAT L PEKERJA MANDIRI Disorder of lens, Rujuk Lanjut
unspecified
743 16-03-2019 111902040319P000873 0001298224528 SUWARTA L PEKERJA MANDIRI Unspecified chronic Rujuk Lanjut
bronchitis
744 16-03-2019 111902040319P000892 0001308881597 WAGINEM P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

745 16-03-2019 111902040319P000877 0001314644084 SUMININGSIH P PEKERJA MANDIRI Acute ischaemic heart Rujuk Lanjut
disease, unspecified
746 16-03-2019 111902040319P000899 0001320027647 RINDARWATI P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

747 16-03-2019 111902040319P000912 0001483632944 MARLINA DHEWI KARTIKA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan
UTAMI
748 16-03-2019 111902040319P000888 0001534735912 MUSTINI P PBI (APBD) Dyspepsia Berobat Jalan

749 16-03-2019 111902040319P000879 0001593300813 FUAD FADLY L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

750 16-03-2019 111902040319P000876 0001697168327 Kun Maryati P PBI (APBD) Lichen simplex chronicus Rujuk Lanjut

751 16-03-2019 111902040319P000854 0001700089615 IMAN MAKFUL L PBI (APBD) Congestive heart failure Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

752 16-03-2019 111902040319Y000866 0001789457501 ELI SUSANTI P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

753 16-03-2019 111902040319P000908 0001840584712 nurur rahmah P PNS DAERAH Personal history of Berobat Jalan
contraception
754 16-03-2019 111902040319P000878 0002063768411 AWALIYAH P PEKERJA MANDIRI Residual schizophrenia Rujuk Lanjut

755 16-03-2019 111902040319P000884 0002100630666 Eryani P PENERIMA PENSIUN Essential (primary) Berobat Jalan
SWASTA hypertension
756 16-03-2019 111902040319P000891 0002165651122 Suratmi P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
757 16-03-2019 111902040319P000887 0002168546106 SANGIDUN L PBI (APBD) Disorder of urinary system, Berobat Jalan
unspecified
758 16-03-2019 111902040319P000898 0002168546769 WIWIT ANDRIYANI P PBI (APBD) Dyspepsia Berobat Jalan

759 16-03-2019 111902040319Y000865 0002252260798 MARISA FLORENDA WIJAYANI P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

760 16-03-2019 111902040319P000858 0002254274919 UMI FATEKHAH P PEGAWAI SWASTA Recurrent dislocation of Rujuk Lanjut
patella
761 16-03-2019 111902040319P000849 0002313134818 KOTIFAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

762 16-03-2019 111902040319P000871 0002376653883 SUDIYATI P PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

763 16-03-2019 111902040319P000905 0002454918254 haikal irham adzani L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

764 16-03-2019 111902040319P000897 0002504907707 REZA KURNIAWAN L PBI (APBN) Dermatitis due to Berobat Jalan
unspecified substance

765 16-03-2019 111902040319P000895 0002630232437 KHOSIYATI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
766 16-03-2019 111902040319P000894 0002630232459 ADITYA SAPUTRA L PBI (APBN) Tension-type headache Berobat Jalan

767 15-03-2019 111902040319P000807 0000084186268 FATMAWATI P PNS DAERAH Glaucoma, unspecified Rujuk Lanjut

768 15-03-2019 111902040319P000789 0000084222494 JUMIROH P PNS DAERAH Congestive heart failure Rujuk Lanjut

769 15-03-2019 111902040319P000791 0000084285617 WAGE L VETERAN Congestive heart failure Rujuk Lanjut

770 15-03-2019 111902040319P000818 0000084423723 WARDIWATI P PENERIMA PENSIUN Psoriasis vulgaris Rujuk Lanjut
PNS
771 15-03-2019 111902040319P000810 0000084674158 TUNIMAN L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

772 15-03-2019 111902040319P000833 0000091037204 TEMU P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
773 15-03-2019 111902040319P000830 0000543531205 INDRIYATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

774 15-03-2019 111902040319P000831 0000543532825 SEPTI YULIYANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

775 15-03-2019 111902040319P000803 0000543586274 MUJIYATI P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

776 15-03-2019 111902040319P000790 0000543616907 UMI SALAMAH P PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
777 15-03-2019 111902040319P001402 0000543984647 DASMIRAH P PBI (APBN) Personal history of Berobat Jalan
contraception
778 15-03-2019 111902040319P001397 0000544072656 BUDIYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
779 15-03-2019 111902040319P000815 0000544327154 ARISMAN L PBI (APBN) Allergic urticaria Berobat Jalan

780 15-03-2019 111902040319P000800 0000544331272 SARMO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

781 15-03-2019 111902040319P000797 0000544331406 WIDI HENY P PBI (APBN) Functional diarrhoea Berobat Jalan

782 15-03-2019 111902040319P000801 0000544362985 SIGIT NUGROHO L PBI (APBN) Low back pain Berobat Jalan

783 15-03-2019 111902040319P000842 0000544489975 SUKARSONO L PBI (APBN) Vertigo of central origin Berobat Jalan

784 15-03-2019 111902040319P000794 0000544716595 APRILIA SETYOWATI P PBI (APBN) Nasal polyp Rujuk Lanjut

785 15-03-2019 111902040319P000819 0000544786233 AISA HAPSARI P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

786 15-03-2019 111902040319P000834 0000544885108 NURYANAH P PBI (APBN) Impacted cerumen Berobat Jalan

787 15-03-2019 111902040319P000804 0000544898147 WAGIYANTO L PBI (APBN) Dyspepsia Berobat Jalan

788 15-03-2019 111902040319P000813 0000544906563 KASINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
789 15-03-2019 111902040319Y000808 0000544945307 KARYANTI P PBI (APBN) Abnormal findings on Rujuk Lanjut
antenatal screening of

790 15-03-2019 111902040319P000822 0000545049639 DEWI INDAH WAHYUNI P PBI (APBN) Abdominal pregnancy Berobat Jalan

791 15-03-2019 111902040319P000817 0000545097418 ASIH sumaryatun P PBI (APBN) Tension-type headache Berobat Jalan

792 15-03-2019 111902040319P000798 0000545585567 AKHMAD SANI L PBI (APBN) Lichen simplex chronicus Rujuk Lanjut

793 15-03-2019 111902040319P001689 0000545727767 PURIYAWATI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
794 15-03-2019 111902040319Y000806 0000976230854 KURNIA SANI P PNS DAERAH Deposits [accretions] on Rujuk Lanjut
teeth
795 15-03-2019 111902040319P000841 0001019108891 AMBARWATI P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

796 15-03-2019 111902040319P000809 0001019109328 NURHAYATI P PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

797 15-03-2019 111902040319P000838 0001019120725 RIRIN PURWATININGSIH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

798 15-03-2019 111902040319P000839 0001019126103 SUYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

799 15-03-2019 111902040319P000812 0001019129837 PARWADI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

800 15-03-2019 111902040319P001683 0001019131479 KHOERIYAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
801 15-03-2019 111902040319P000843 0001280761784 RUNTUT ANDY RINANTO L PEGAWAI SWASTA Myalgia Berobat Jalan

802 15-03-2019 111902040319P000811 0001303648705 AKHMAD MUNIR L PEKERJA MANDIRI Postmastectomy Rujuk Lanjut
lymphoedema syndrome
803 15-03-2019 111902040319P000827 0001325103017 KAMSINAH P PEGAWAI SWASTA Neuralgia and neuritis, Rujuk Lanjut
unspecified
804 15-03-2019 111902040319P000816 0001326070326 SITI AMINAH P PEKERJA MANDIRI External haemorrhoids Rujuk Lanjut
without complication
805 15-03-2019 111902040319P000793 0001379162294 ZAHRA AULIA SYAQINA P ANGGOTA POLRI Scoliosis Rujuk Lanjut

806 15-03-2019 111902040319P000802 0001383451986 TIN NGATINAH P PEKERJA MANDIRI Low back pain Berobat Jalan

807 15-03-2019 111902040319P000792 0001422855044 karsono L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

808 15-03-2019 111902040319P000820 0001525065827 SUPARYANTI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

809 15-03-2019 111902040319P000829 0001697167282 HARMAN L PBI (APBD) Endocrine disorder, Berobat Jalan
unspecified
810 15-03-2019 111902040319P000837 0001697168924 Ana Pramulia Perdana P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

811 15-03-2019 111902040319P000825 0001725863692 NAUFAL ZAIDAN ATMOKO L PEGAWAI SWASTA Acute sinusitis, Berobat Jalan
unspecified
812 15-03-2019 111902040319P000828 0001809933996 MUCHRIMIN L PENERIMA PENSIUN Benign neoplasm of Rujuk Lanjut
SWASTA prostate
813 15-03-2019 111902040319P000823 0001811763202 WAGE MARSUDI L PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease,

814 15-03-2019 111902040319P000826 0001890577539 MESYAM P PEKERJA MANDIRI Nontoxic single thyroid Rujuk Lanjut
nodule
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

815 15-03-2019 111902040319P000821 0002085646421 ROMIYATUN P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

816 15-03-2019 111902040319P000840 0002168546106 SANGIDUN L PBI (APBD) Seborrhoeic dermatitis, Berobat Jalan
unspecified
817 15-03-2019 111902040319P000832 0002177782637 SATRIA AGAN GENANDA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
818 15-03-2019 111902040319P000835 0002206669184 ALDO SETYO FIRMANSYAH L PEGAWAI PEMERINTAH Influenza with other Berobat Jalan
DENGAN PERJANJIAN manifestations, virus not

819 15-03-2019 111902040319P000796 0002214327701 WARTINIYATI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

820 15-03-2019 111902040319P000805 0002239278388 WIYOTO L PEGAWAI PEMERINTAH Seborrhoeic dermatitis, Rujuk Lanjut
DENGAN PERJANJIAN unspecified

821 15-03-2019 111902040319Y000799 0002295101902 ARFA DWI ABDUL RAHMAN L PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
bacteriological and
histological examination

822 15-03-2019 111902040319P000814 0002295587542 CHRISTINA TRI WULANDARI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

823 15-03-2019 111902040319P000836 0002460027295 NURSIDIK PRAMONO L PEGAWAI PEMERINTAH Influenza with other Berobat Jalan
DENGAN PERJANJIAN manifestations, virus not

824 15-03-2019 111902040319P000795 0002470465989 KURNIAWATI P PEGAWAI SWASTA Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

825 15-03-2019 111902040319Y000824 0002484047553 SABIAN NADHIF ALFATH L PEKERJA MANDIRI Hydrocephalus Rujuk Lanjut

826 14-03-2019 111902040319P000756 0000084415026 ALIPAH P PENERIMA PENSIUN Endocrine disorder, Berobat Jalan
PNS unspecified
827 14-03-2019 111902040319P000758 0000084438854 CISILIA SUHARNI P PENERIMA PENSIUN Gastritis, unspecified Rujuk Lanjut
PNS
828 14-03-2019 111902040319P000762 0000084536739 SUPARTI P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
829 14-03-2019 111902040319P000768 0000084539608 TOEKINO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

830 14-03-2019 111902040319P000767 0000084560016 SUMIARSIH P PENERIMA PENSIUN Tension-type headache Berobat Jalan
PNS
831 14-03-2019 111902040319P000779 0000084656632 LILIK AFIDAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

832 14-03-2019 111902040319P000734 0000084740545 khairil anam L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

833 14-03-2019 111902040319P000786 0000084772056 BISRIYATI P PNS DAERAH Impacted cerumen Berobat Jalan

834 14-03-2019 111902040319P000783 0000084784353 ANIK MARIYANI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

835 14-03-2019 111902040319P000765 0000084799618 WINESTRI PUJI SWETIKA P PNS DAERAH Disorder of lens, Rujuk Lanjut
unspecified
836 14-03-2019 111902040319P000748 0000379437107 SALAM L PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
837 14-03-2019 111902040319P000759 0000543397408 ARBANGATUN P PBI (APBN) Haemarthrosis, other sites Rujuk Lanjut

838 14-03-2019 111902040319P000739 0000543581144 AMAT WAHID L PBI (APBN) External haemorrhoids Rujuk Lanjut
without complication
839 14-03-2019 111902040319P000746 0000544056276 SUPRAPTI P PBI (APBN) Tension-type headache Berobat Jalan

840 14-03-2019 111902040319P000738 0000544258269 MARYONO L PBI (APBN) Acute haematogenous Rujuk Lanjut
osteomyelitis
841 14-03-2019 111902040319P000773 0000544266011 ANIK RUMIYATI P PBI (APBN) Hypotension, unspecified Berobat Jalan

842 14-03-2019 111902040319P000733 0000544355144 RUSMINATUN P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
843 14-03-2019 111902040319P000743 0000544373122 PAWIT P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

844 14-03-2019 111902040319P000747 0000544425996 DANDY SAPUTRA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

845 14-03-2019 111902040319P000784 0000544449857 BASUKI L PBI (APBN) Hypotension, unspecified Berobat Jalan

846 14-03-2019 111902040319P000780 0000544451242 YUMINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

847 14-03-2019 111902040319P000771 0000544479298 ASLAMIYATUN P PBI (APBN) General medical Berobat Jalan
examination
848 14-03-2019 111902040319P001399 0000544585498 TAMBAH UTAMI P PBI (APBN) Personal history of Berobat Jalan
contraception
849 14-03-2019 111902040319P000777 0000544870708 ZAEMATUS SAKDIYAH P PBI (APBN) Dyspepsia Berobat Jalan

850 14-03-2019 111902040319Y000788 0000544932066 TRI HARILIANI P PBI (APBN) Premature rupture of Rujuk Lanjut
membranes, onset of

851 14-03-2019 111902040319P000760 0000544992884 MARTIASIH P PBI (APBN) Carcinoma in situ of cervix Rujuk Lanjut
uteri
852 14-03-2019 111902040319P000766 0000545510338 WIHASTI P PBI (APBN) Impacted cerumen Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

853 14-03-2019 111902040319P000761 0000545656342 NURHAYATUN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

854 14-03-2019 111902040319P000757 0001019109791 SULAIMAN L PBI (APBN) Dyspepsia Berobat Jalan

855 14-03-2019 111902040319P000736 0001019114493 MUSDAN L PBI (APBN) Chronic kidney disease Rujuk Lanjut

856 14-03-2019 111902040319P000781 0001019136622 RUFINGAH P PBI (APBN) Dyspepsia Berobat Jalan

857 14-03-2019 111902040319P000775 0001019140716 SITI ZULAIKHAH P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

858 14-03-2019 111902040319P000778 0001019141493 MARIYATUN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

859 14-03-2019 111902040319P001401 0001019300872 DEWI KHOIRUL IFTIDAIYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
860 14-03-2019 111902040319Y000753 0001079324234 SUKARTI P PENERIMA PENSIUN TNI Necrosis of pulp Rujuk Lanjut

861 14-03-2019 111902040319P000741 0001093721703 SUROTO L ANGGOTA POLRI Low back pain Rujuk Lanjut

862 14-03-2019 111902040319P000750 0001133487652 GALIH PRIYANTO PUTRA L PEKERJA MANDIRI Hypertrophy of tonsils Rujuk Lanjut

863 14-03-2019 111902040319P000776 0001151833893 SITI FATIMAH P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

864 14-03-2019 111902040319P000742 0001260995319 INDARI RATNA P PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

865 14-03-2019 111902040319P000787 0001302551144 SUKARYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
866 14-03-2019 111902040319P000846 0001390280196 TRI WAHYUNI P PEKERJA MANDIRI Asthma, unspecified Berobat Jalan

867 14-03-2019 111902040319P000752 0001448641888 SUNDIYARTI P PEKERJA MANDIRI Benign lipomatous Rujuk Lanjut
neoplasm of skin and
subcutaneous tissue of
other and unspecified sites

868 14-03-2019 111902040319P000772 0001647387663 SRI SONGOWATI P PEGAWAI SWASTA General medical Berobat Jalan
examination
869 14-03-2019 111902040319P000749 0001697188948 MUHAMAD MAULANA YUSUF L PBI (APBD) Disorder of lens, Rujuk Lanjut
KUNCORO unspecified
870 14-03-2019 111902040319P000774 0001697215173 JEANY ENDHITA CHANESTYA P PBI (APBD) Impacted cerumen Berobat Jalan

871 14-03-2019 111902040319P000745 0001840009465 GANGSAR SUDIRMAN L PEKERJA MANDIRI Vertigo of central origin Rujuk Lanjut

872 14-03-2019 111902040319P000845 0001865181407 TURIMAN L PEKERJA MANDIRI Asthma, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

873 14-03-2019 111902040319P000844 0002059982324 SITI AMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

874 14-03-2019 111902040319P000769 0002065184144 HURIYATUL KHASANAH P PEGAWAI SWASTA Influenza with other Berobat Jalan
CLORIS AL HASBY manifestations, virus not

875 14-03-2019 111902040319P000755 0002076194597 AMAT SUGIYANTO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

876 14-03-2019 111902040319P000847 0002168548198 NASIFA SEPTIA RAMADHANI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

877 14-03-2019 111902040319P000737 0002257509216 ANINDITA SHAKILA WARDANI P PEKERJA MANDIRI Cellulitis and abscess of Rujuk Lanjut
mouth
878 14-03-2019 111902040319Y000740 0002304462712 SETIO WATI P PEKERJA MANDIRI Abnormal findings on Rujuk Lanjut
antenatal screening of

879 14-03-2019 111902040319P000785 0002322741464 MULYONO HADI L PEKERJA MANDIRI Allergic rhinitis, Berobat Jalan
unspecified
880 14-03-2019 111902040319P001702 0002381171883 SITI KHOTAMIAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
881 14-03-2019 111902040319P000782 0002481525999 SUTIYATI P PEKERJA MANDIRI Other pruritus Berobat Jalan

882 14-03-2019 111902040319P000754 0002572670428 ALFIYAH P PBI (APBD) Abdominal pregnancy Berobat Jalan

883 14-03-2019 111902040319P000751 0002590575794 ZIDANE DWI AZWAR L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

884 14-03-2019 111902040319P000764 0002621438368 MUHAMAD ZAMRUDIN L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

885 14-03-2019 111902040319P000770 0002622898686 SETIWATI P PEKERJA MANDIRI General medical Berobat Jalan
examination
886 14-03-2019 111902040319P000744 0002628392714 ERNA KARTIKA P PBI (APBN) Polyarthrosis, unspecified Rujuk Lanjut

887 14-03-2019 111902040319P000735 0002744231938 NAZILATURROHMAH P PEKERJA MANDIRI External haemorrhoids Rujuk Lanjut
without complication
888 14-03-2019 111902040319P000763 0002744232974 INDRI PRATIWI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

889 13-03-2019 111902040319P000724 0000042889206 PONIYEM P PENERIMA PENSIUN Glaucoma, unspecified Rujuk Lanjut
PNS
890 13-03-2019 111902040319P000683 0000043368579 NY. MARIMUN P PENERIMA PENSIUN Other rheumatoid arthritis Rujuk Lanjut
PNS
891 13-03-2019 111902040319P000684 0000084216903 ZUHANAH P PNS DAERAH Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

892 13-03-2019 111902040319P000700 0000084413632 ACHMAD NASHIRI HM.H L PENERIMA PENSIUN Tension-type headache Berobat Jalan
PNS
893 13-03-2019 111902040319P000723 0000084497758 SUGIARTI P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
894 13-03-2019 111902040319P000701 0000084528821 SUPARMO L PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

895 13-03-2019 111902040319Y000732 0000084559678 SITI ASIYAH P PENERIMA PENSIUN Spondylolysis, multiple Rujuk Lanjut
PNS sites in spine
896 13-03-2019 111902040319Y000726 0000208681694 SRI WAHYUNI P PENERIMA PENSIUN Tuberculosis of other Berobat Jalan
PNS organs
897 13-03-2019 111902040319P001706 0000543551567 NOFI NURNGAFIYAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
898 13-03-2019 111902040319P000721 0000543578422 ITA CAHYANINGTIYAS P PBI (APBN) Abdominal pregnancy Rujuk Lanjut

899 13-03-2019 111902040319P000693 0000543620406 SRIYATI P PBI (APBN) Sleep disorder, Berobat Jalan
unspecified
900 13-03-2019 111902040319P000720 0000543626921 ROTINAH P PBI (APBN) Dyspepsia Berobat Jalan

901 13-03-2019 111902040319P000699 0000544289883 WARTINI P PBI (APBN) Asthma, unspecified Berobat Jalan

902 13-03-2019 111902040319P000687 0000544414307 LEDY YULITA P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut

903 13-03-2019 111902040319P000689 0000544449611 MUSLIMAH P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
904 13-03-2019 111902040319P000712 0000544804288 ERNA P PBI (APBN) Abdominal pregnancy Rujuk Lanjut

905 13-03-2019 111902040319Y000727 0000544856038 LINDA RAHMAWATI P PBI (APBN) Acute bronchitis, Berobat Jalan
unspecified
906 13-03-2019 111902040319P000697 0000545037298 NGATIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
907 13-03-2019 111902040319P000691 0000545101705 MUSAMAH P PBI (APBN) Phobic anxiety disorders Berobat Jalan

908 13-03-2019 111902040319Y000705 0000545101751 NUR ARAFAH P PBI (APBN) Personal history of Berobat Jalan
contraception
909 13-03-2019 111902040319P001398 0000545320811 NURRO CHIMAH P PBI (APBN) Personal history of Berobat Jalan
contraception
910 13-03-2019 111902040319P000686 0000545528711 MURYANI P PBI (APBN) Cardiovascular disease, Rujuk Lanjut
unspecified
911 13-03-2019 111902040319P001688 0000545727767 PURIYAWATI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
912 13-03-2019 111902040319P000692 0001019113481 BETI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
913 13-03-2019 111902040319Y000714 0001019116607 ANDIKA SUSENO L PBI (APBN) Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

914 13-03-2019 111902040319P000685 0001019132662 MUDJINAH P PBI (APBN) Cardiovascular disease, Rujuk Lanjut
unspecified
915 13-03-2019 111902040319P000694 0001019138433 NUR CHOLIS L PBI (APBN) Other rheumatoid arthritis Berobat Jalan

916 13-03-2019 111902040319P000690 0001019277988 KUSNIATI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
917 13-03-2019 111902040319P000719 0001384745646 SUMINEM P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

918 13-03-2019 111902040319P001697 0001437084775 NOFI PURWANTININGSIH P PEKERJA MANDIRI Spontaneous vertex Berobat Jalan
delivery
919 13-03-2019 111902040319P000703 0001532637764 RINI WIDAYANTI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

920 13-03-2019 111902040319P001693 0001534735833 HARNIK P PBI (APBD) Spontaneous vertex Berobat Jalan
delivery
921 13-03-2019 111902040319P000717 0001615267539 SETIO BUDI UTOMO L PBI (APBD) Post-schizophrenic Rujuk Lanjut
depression
922 13-03-2019 111902040319P000682 0001697765466 WAHYU SETO WIDI TOMO L PEGAWAI SWASTA Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle of

923 13-03-2019 111902040319P000707 0001728741971 SARYATI P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

924 13-03-2019 111902040319P000688 0001822067357 PARINI P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

925 13-03-2019 111902040319P000698 0001825888645 NIAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
926 13-03-2019 111902040319P000702 0001865723062 SLAMET BUDI SANTOSO L PEKERJA MANDIRI Other chronic cystitis Berobat Jalan

927 13-03-2019 111902040319P000696 0001885621522 AMAT PURNOMO L PEKERJA MANDIRI Paranoid schizophrenia Berobat Jalan

928 13-03-2019 111902040319Y000695 0002053611707 ALI MUSTOPO L PEGAWAI SWASTA Leprosy, unspecified Rujuk Lanjut

929 13-03-2019 111902040319P000713 0002055615671 WATINI P PEKERJA MANDIRI Low back pain Rujuk Lanjut

930 13-03-2019 111902040319Y000706 0002066088958 WIJI LESTARI P PNS PUSAT Supervision of normal Rujuk Lanjut
pregnancy
931 13-03-2019 111902040319P000718 0002083926058 BINARNIWATI P PEKERJA MANDIRI Carcinoma in situ of Rujuk Lanjut
bronchus and lung
932 13-03-2019 111902040319P001710 0002167814889 WISMA AYU LESTARI P PEKERJA MANDIRI Spontaneous vertex Berobat Jalan
delivery
933 13-03-2019 111902040319P000709 0002219124183 SRI ISMIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
934 13-03-2019 111902040319Y000704 0002249251672 QONITA ZAIN RAIHANAH P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

935 13-03-2019 111902040319P000716 0002451055138 SITI FATIMAH P PEKERJA MANDIRI Abdominal pregnancy Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

936 13-03-2019 111902040319Y000715 0002475374512 SITI JUMIYATI P PENERIMA PENSIUN Periapical abscess without Berobat Jalan
PNS sinus
937 13-03-2019 111902040319P000710 0002485661073 MUHAMMAD FAJAR BUDI L PEKERJA MANDIRI Influenza with other Berobat Jalan
ASHARI manifestations, virus not

938 13-03-2019 111902040319P000708 0002610994667 SUCI IRATI NURFITRIANI PUTRI P PEKERJA MANDIRI Irregular menstruation, Rujuk Lanjut
unspecified
939 13-03-2019 111902040319P000722 0002626560922 ANDRIANTO L PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

940 13-03-2019 111902040319Y000725 0002628684911 IRFAN MAULANA RISKY L PBI (APBN) Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically

941 13-03-2019 111902040319P000711 0002629756631 IKA MEI CAHYANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

942 12-03-2019 111902040319P000668 0000084184492 ARDIKA SUKMADINATA L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

943 12-03-2019 111902040319P000640 0000084224676 SURATMI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

944 12-03-2019 111902040319P000654 0000084320098 MISTINI P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
manifestations, virus not

945 12-03-2019 111902040319P000667 0000084557169 ATIN SUPRIHATIEN S P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

946 12-03-2019 111902040319P000656 0000084560916 TUTI SURJATI P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
947 12-03-2019 111902040319Y000657 0000084740016 DWI SEPTI WIJIASTUTI P PNS DAERAH Antenatal screening Berobat Jalan

948 12-03-2019 111902040319P000675 0000169843026 SULIYAH P PNS DAERAH Polyarthrosis, unspecified Berobat Jalan

949 12-03-2019 111902040319P000676 0000203089072 GIMAH P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
950 12-03-2019 111902040319P000666 0000207969039 TRIANDA DEWI A P PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
951 12-03-2019 111902040319P000661 0000542854203 NAFI'AH P PBI (APBN) Antenatal screening Rujuk Lanjut

952 12-03-2019 111902040319P000663 0000543407567 YULIATI P PBI (APBN) Antenatal screening Berobat Jalan

953 12-03-2019 111902040319P000653 0000543631116 WAGINEM P PBI (APBN) Dyspepsia Berobat Jalan

954 12-03-2019 111902040319P001411 0000544385294 SRI UTAMI P PBI (APBN) Personal history of Berobat Jalan
contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

955 12-03-2019 111902040319P000636 0000544401066 BEDJO L PBI (APBN) Congestive heart failure Rujuk Lanjut

956 12-03-2019 111902040319P000639 0000544520327 SURIYAH P PBI (APBN) Chronic kidney disease Rujuk Lanjut

957 12-03-2019 111902040319P000681 0000544701745 MEIDA TRI LESTARI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
958 12-03-2019 111902040319P000670 0000544898147 WAGIYANTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

959 12-03-2019 111902040319P000655 0000545000128 SRIYONO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

960 12-03-2019 111902040319P000660 0000545506885 PONIJAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

961 12-03-2019 111902040319Y000669 0000545510338 WIHASTI P PBI (APBN) Necrosis of pulp Berobat Jalan

962 12-03-2019 111902040319Y000680 0000545510834 ARIF PRASTIAWAN L PBI (APBN) Periapical abscess without Berobat Jalan
sinus
963 12-03-2019 111902040319P001405 0000545619598 YAUMI P PBI (APBN) Personal history of Berobat Jalan
contraception
964 12-03-2019 111902040319P001687 0000545727767 PURIYAWATI P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
965 12-03-2019 111902040319Y000642 0000976352815 JUMILAH P PENERIMA PENSIUN TNI Leiomyoma of uterus, Rujuk Lanjut
unspecified
966 12-03-2019 111902040319P001417 0001019102624 NGATINAH P PBI (APBN) Personal history of Berobat Jalan
contraception
967 12-03-2019 111902040319P001414 0001019106819 SRI WINARTI P PBI (APBN) Personal history of Berobat Jalan
contraception
968 12-03-2019 111902040319P000673 0001019112399 SUTARJO L PBI (APBN) Tension-type headache Berobat Jalan

969 12-03-2019 111902040319P000671 0001019115617 PONISIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

970 12-03-2019 111902040319P000648 0001019117103 RAMIDI L PBI (APBN) Low back pain Berobat Jalan

971 12-03-2019 111902040319P000641 0001019118341 SRI SUHARWANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

972 12-03-2019 111902040319P000638 0001019122964 SRI MARKOMAH P PBI (APBN) Vertigo of central origin Rujuk Lanjut

973 12-03-2019 111902040319Y000677 0001019127947 KASIYATI P PBI (APBN) Periapical abscess without Berobat Jalan
sinus
974 12-03-2019 111902040319P000662 0001019129229 PAINAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

975 12-03-2019 111902040319P000637 0001205242874 ADI MUSTOFA L PEGAWAI SWASTA Epilepsy, unspecified Rujuk Lanjut

976 12-03-2019 111902040319P000647 0001294133218 SRI MURNI P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

977 12-03-2019 111902040319P000664 0001322284015 SUTI AMINAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

978 12-03-2019 111902040319P000650 0001385544306 ADHITYA PRATAMA L PEKERJA MANDIRI Other specified bacterial Berobat Jalan
diseases
979 12-03-2019 111902040319P000643 0001437442896 LIONTIOS KASMORO YUDO L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

980 12-03-2019 111902040319Y000646 0001442531452 SOBARI L PEKERJA MANDIRI Necrosis of pulp Rujuk Lanjut

981 12-03-2019 111902040319P000672 0001615366618 SAFUAN SAURI L PBI (APBD) Allergic urticaria Berobat Jalan

982 12-03-2019 111902040319P000649 0001697167282 HARMAN L PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
983 12-03-2019 111902040319P000652 0001697169205 SRI MUNDIYAH P PBI (APBD) Dyspepsia Berobat Jalan

984 12-03-2019 111902040319P000659 0001699882659 SUSENI HARWANTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
985 12-03-2019 111902040319P001415 0001804400054 PIPIT ARLITASARI L PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
986 12-03-2019 111902040319P000658 0001964540575 SAODAH P PEKERJA MANDIRI Lichen simplex chronicus Rujuk Lanjut

987 12-03-2019 111902040319P001416 0002131179827 ANITA WULANDARI P PBI (APBN) Personal history of Berobat Jalan
contraception
988 12-03-2019 111902040319P000644 0002168541742 WAHYU EKO CAHYONO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

989 12-03-2019 111902040319Y000678 0002239278838 SUMIYEM P PEGAWAI PEMERINTAH Periapical abscess without Berobat Jalan
DENGAN PERJANJIAN sinus

990 12-03-2019 111902040319P000645 0002272815538 SITI MAESAROH P PEKERJA MANDIRI Hyperparathyroidism, Rujuk Lanjut
unspecified
991 12-03-2019 111902040319P000679 0002421324459 MUHADI L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

992 12-03-2019 111902040319P000651 0002500123421 KUWAT JEK DARSONO L PEKERJA MANDIRI Asthma, unspecified Berobat Jalan

993 12-03-2019 111902040319Y000674 0002615605244 FIRLI ANANDA MA'ARIF P PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
eruption
994 12-03-2019 111902040319P000635 0002620390959 CAMPURNO L PEKERJA MANDIRI Bilateral inguinal hernia, Rujuk Lanjut
with obstruction, without

995 12-03-2019 111902040319P000665 0002628685078 SUTINAH P PBI (APBN) Antenatal screening Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

996 11-03-2019 111902040319Y000628 0000039208184 MUDJIATI P PENERIMA PENSIUN Tuberculosis of lung, Berobat Jalan
PNS bacteriologically and

997 11-03-2019 111902040319P000632 0000084304067 SUGENG L PNS DAERAH Gastritis, unspecified Rujuk Lanjut

998 11-03-2019 111902040319P000560 0000084308782 MARWIYAH P PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

999 11-03-2019 111902040319P000605 0000084355301 SUYATINAH P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
manifestations, virus not

1000 11-03-2019 111902040319P000627 0000084397959 SUPRIHATIN P PNS DAERAH Hyperparathyroidism, Berobat Jalan
unspecified
1001 11-03-2019 111902040319P000568 0000084415026 ALIPAH P PENERIMA PENSIUN Old myocardial infarction Berobat Jalan
PNS
1002 11-03-2019 111902040319P000578 0000084558093 LEGIRIN L PENERIMA PENSIUN Lichen simplex chronicus Berobat Jalan
PNS
1003 11-03-2019 111902040319P000562 0000084560635 AMINATUN P PENERIMA PENSIUN Insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with
other specified

1004 11-03-2019 111902040319P000588 0000084733828 MAHMUDAH P PNS DAERAH Cardiovascular disease, Rujuk Lanjut
unspecified
1005 11-03-2019 111902040319P000551 0000205068824 RESI AYU LILIK SRIGIARTI P PENERIMA PENSIUN Vertigo of central origin Rujuk Lanjut
PNS
1006 11-03-2019 111902040319P000582 0000205235267 DWIYATI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1007 11-03-2019 111902040319P000559 0000543335769 ISKANDAR L PBI (APBN) Chronic laryngitis Rujuk Lanjut

1008 11-03-2019 111902040319P000577 0000543519887 ANANDA CHOIRUN NAJJAH P PBI (APBN) Dyspepsia Berobat Jalan

1009 11-03-2019 111902040319P000584 0000543527278 HARIJATI P PBI (APBN) Functional diarrhoea Berobat Jalan

1010 11-03-2019 111902040319P000593 0000543569692 DONI WICAKSONO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1011 11-03-2019 111902040319Y000617 0000543665766 MAHARANI ELSADILA C P PBI (APBN) Deposits [accretions] on Rujuk Lanjut
teeth
1012 11-03-2019 111902040319P000597 0000544116216 SITI ZAENUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1013 11-03-2019 111902040319P000618 0000544189184 ARTINI P PEKERJA MANDIRI Generalized anxiety Rujuk Lanjut
disorder
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1014 11-03-2019 111902040319P000596 0000544247199 SURATI P PBI (APBN) Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous

1015 11-03-2019 111902040319Y000580 0000544256482 KHALIMAH P PBI (APBN) Periapical abscess without Berobat Jalan
sinus
1016 11-03-2019 111902040319P000565 0000544258269 MARYONO L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1017 11-03-2019 111902040319P000601 0000544361049 NGATINI P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

1018 11-03-2019 111902040319Y000609 0000544366776 KARSINI P PBI (APBN) Contraceptive Berobat Jalan
management
1019 11-03-2019 111902040319P000569 0000544467971 RAHMAT L PBI (APBN) Alcoholic liver disease Rujuk Lanjut

1020 11-03-2019 111902040319Y000606 0000544533761 INOSANTI P PBI (APBN) Contraceptive Berobat Jalan
management
1021 11-03-2019 111902040319P000555 0000544714323 BINARTI P PBI (APBN) Hyperparathyroidism, Rujuk Lanjut
unspecified
1022 11-03-2019 111902040319P000583 0000544819419 KAMINEM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1023 11-03-2019 111902040319Y000575 0000544978607 SUNARTI P PBI (APBN) Periapical abscess without Berobat Jalan
sinus
1024 11-03-2019 111902040319P001422 0000544981263 MARYATUN P PBI (APBN) Personal history of Berobat Jalan
contraception
1025 11-03-2019 111902040319Y000595 0000545190153 DWI APRILIYANINGSIH P PBI (APBN) Delivery by elective Rujuk Lanjut
caesarean section
1026 11-03-2019 111902040319P000576 0000545231766 SYA'DIYAH P PBI (APBN) Allergic urticaria Berobat Jalan

1027 11-03-2019 111902040319P000603 0000545249643 SUMINI P PBI (APBN) Unstable angina Rujuk Lanjut

1028 11-03-2019 111902040319P000600 0000545283685 MIFTAHUDIN L PBI (APBN) Functional diarrhoea Berobat Jalan

1029 11-03-2019 111902040319P001421 0000545516289 WULANSARI MARYANA P PBI (APBN) Personal history of Berobat Jalan
contraception
1030 11-03-2019 111902040319P000591 0000545534447 FELIANA ARDITA P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
1031 11-03-2019 111902040319P000581 0000545600891 ASROFI L PBI (APBN) Cardiac arrhythmia, Rujuk Lanjut
unspecified
1032 11-03-2019 111902040319P000556 0001019103669 MURTINEM P PBI (APBN) Schizophrenia Rujuk Lanjut

1033 11-03-2019 111902040319P000631 0001019115753 SUWITO UTOMO SADIMAN L PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1034 11-03-2019 111902040319P000554 0001019122773 KATINI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1035 11-03-2019 111902040319Y000634 0001019124011 RAHAYU P PBI (APBN) Pulpitis Berobat Jalan

1036 11-03-2019 111902040319P001714 0001019124911 LENI MELANI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1037 11-03-2019 111902040319P000570 0001019126845 ADILLA NOVI ZAZKIA P PBI (APBN) Non-insulin-dependent Berobat Jalan
KHUMAIROH diabetes mellitus with

1038 11-03-2019 111902040319Y000574 0001019129837 PARWADI L PBI (APBN) Periapical abscess without Berobat Jalan
sinus
1039 11-03-2019 111902040319Y000607 0001019129949 TUMISAH P PBI (APBN) Contraceptive Berobat Jalan
management
1040 11-03-2019 111902040319P000590 0001084594634 ROKHIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1041 11-03-2019 111902040319Y000573 0001108049725 IIM PATIMAH P PRAJURIT AD Tuberculosis of lung, Rujuk Lanjut
bacteriological and
histological examination

1042 11-03-2019 111902040319Y000557 0001149523874 DWI DIAN KUSUMAWATI P PEGAWAI SWASTA Abdominal pregnancy Rujuk Lanjut

1043 11-03-2019 111902040319P000619 0001319825024 SUNGKONO PRAWIRO L PEKERJA MANDIRI Allergic urticaria Berobat Jalan

1044 11-03-2019 111902040319P000553 0001381609056 LEGIARTI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1045 11-03-2019 111902040319P000599 0001427372649 ERWIYANTI P PEKERJA MANDIRI Benign neoplasm of Rujuk Lanjut
parotid gland
1046 11-03-2019 111902040319P001696 0001437084775 NOFI PURWANTININGSIH P PEKERJA MANDIRI Spontaneous vertex Berobat Jalan
delivery
1047 11-03-2019 111902040319P001692 0001534735833 HARNIK P PBI (APBD) Spontaneous vertex Berobat Jalan
delivery
1048 11-03-2019 111902040319Y000602 0001534736856 Siti Rokhimah P PBI (APBD) Deposits [accretions] on Rujuk Lanjut
teeth
1049 11-03-2019 111902040319Y000616 0001697170037 ANISA FIBRI. A P PBI (APBD) Abdominal pregnancy Berobat Jalan

1050 11-03-2019 111902040319P000594 0001697188792 Sri Budiati P PBI (APBD) Dyspepsia Berobat Jalan

1051 11-03-2019 111902040319Y000623 0001697213788 SANTY WIJAYANTY P PBI (APBD) Abdominal pregnancy Berobat Jalan

1052 11-03-2019 111902040319Y000633 0001697850382 ANANDA BILQIS APRILIYANTI P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1053 11-03-2019 111902040319P000610 0001700089705 INDUN WAJAENATUN P PBI (APBD) Neuralgia and neuritis, Rujuk Lanjut
unspecified
1054 11-03-2019 111902040319P000630 0001705573168 TITAN MAYLANA SUMBOGO L PEGAWAI SWASTA Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1055 11-03-2019 111902040319P000604 0001716450704 SOFANDI BIN GITO SANTOSO L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1056 11-03-2019 111902040319P000567 0001720759948 WAGIMAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1057 11-03-2019 111902040319P000622 0001787617236 SITI MUSLIKhAH P PEKERJA MANDIRI Superficial mycosis, Berobat Jalan
unspecified
1058 11-03-2019 111902040319P000589 0001872927112 PONIYEM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1059 11-03-2019 111902040319P000592 0002044394919 WAGIRAH P PEKERJA MANDIRI Congestive heart failure Berobat Jalan

1060 11-03-2019 111902040319Y000608 0002076834172 siti masruroh P PEGAWAI SWASTA Contraceptive Berobat Jalan
management
1061 11-03-2019 111902040319P000571 0002082422081 SUWITO HADI SURYONO L PEKERJA MANDIRI Presence of intraocular Rujuk Lanjut
lens
1062 11-03-2019 111902040319P000586 0002082422338 TASNIYAH P PEKERJA MANDIRI Carcinoma in situ of Rujuk Lanjut
breast, unspecified
1063 11-03-2019 111902040319P000626 0002086179355 FARAH NUR FADILLAH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1064 11-03-2019 111902040319P000612 0002089165318 SARIYAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1065 11-03-2019 111902040319P000629 0002168547175 AGUS SAMIJO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1066 11-03-2019 111902040319Y000613 0002222175699 ZIDA MALICHAH P PEGAWAI BUMN Abdominal pregnancy Berobat Jalan

1067 11-03-2019 111902040319Y000572 0002249251672 QONITA ZAIN RAIHANAH P PEKERJA MANDIRI Rheumatic fever without Rujuk Lanjut
mention of heart

1068 11-03-2019 111902040319P000598 0002249605192 A ROSMIATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1069 11-03-2019 111902040319Y000621 0002295101902 ARFA DWI ABDUL RAHMAN L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1070 11-03-2019 111902040319Y000561 0002316628405 WAHYU ENDAH SETYOASIH P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

1071 11-03-2019 111902040319P000566 0002316677264 SULASMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1072 11-03-2019 111902040319P000563 0002496977291 HERTA MARTINAH P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1073 11-03-2019 111902040319P000564 0002496977469 SEFI WINDARANTI L PEGAWAI SWASTA Other specified bacterial Berobat Jalan
diseases
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1074 11-03-2019 111902040319Y000614 0002504905997 EVAN SA'ID ARDANI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1075 11-03-2019 111902040319Y000611 0002504907797 ADAM PRAYOGA L PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
1076 11-03-2019 111902040319P000625 0002572664174 MARIYEM P PBI (APBD) Myalgia Berobat Jalan

1077 11-03-2019 111902040319P000620 0002572672972 SULISTIYANI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1078 11-03-2019 111902040319Y000615 0002572673984 RAMADHAN AGENG PRAYOGO L PBI (APBD) Herpesviral vesicular Berobat Jalan
dermatitis
1079 11-03-2019 111902040319P000585 0002572680712 AGUSTINA DWI ASTUTI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1080 11-03-2019 111902040319P000558 0002615604625 SRI HARYUNI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1081 11-03-2019 111902040319Y000579 0002615605244 FIRLI ANANDA MA'ARIF P PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
eruption
1082 11-03-2019 111902040319Y000587 0002622898686 SETIWATI P PEKERJA MANDIRI Delivery by elective Berobat Jalan
caesarean section
1083 11-03-2019 111902040319P000624 0002628392714 ERNA KARTIKA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1084 11-03-2019 111902040319P000552 0002747678152 KARSINAH P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

1085 10-03-2019 111902040319P001695 0001437084775 NOFI PURWANTININGSIH P PEKERJA MANDIRI Spontaneous vertex Sembuh
delivery
1086 10-03-2019 111902040319P001691 0001534735833 HARNIK P PBI (APBD) Spontaneous vertex Sembuh
delivery
1087 09-03-2019 111902040319P000489 0000084212054 MINTARSIH P PNS DAERAH Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1088 09-03-2019 111902040319P000526 0000084217588 SRI MARYANI P PNS DAERAH Acute laryngitis Rujuk Lanjut

1089 09-03-2019 111902040319P000482 0000084423723 WARDIWATI P PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
1090 09-03-2019 111902040319P000549 0000084500313 SITI BAROYAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1091 09-03-2019 111902040319P000508 0000084510011 SOEPARIJAH P PENERIMA PENSIUN Glaucoma, unspecified Rujuk Lanjut
PNS
1092 09-03-2019 111902040319P000492 0000084558328 RR MOEMY MUMBASITHOH P PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1093 09-03-2019 111902040319P000495 0000084560883 TUSIRUN L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
1094 09-03-2019 111902040319P000507 0000084575002 A. SUDIASIH P PENERIMA PENSIUN Cerebellar stroke Rujuk Lanjut
PNS syndrome
1095 09-03-2019 111902040319P000522 0000084639914 KASIMAH P PENERIMA PENSIUN Other rheumatoid arthritis Berobat Jalan
PNS
1096 09-03-2019 111902040319P000544 0000084768096 MARDI WALUYO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1097 09-03-2019 111902040319P000505 0000208681694 SRI WAHYUNI P PENERIMA PENSIUN Ascites Rujuk Lanjut
PNS
1098 09-03-2019 111902040319P000513 0000543365605 SITI MUNFARINGAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1099 09-03-2019 111902040319P000523 0000543544233 RACHMAT DANNI SETIAWAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1100 09-03-2019 111902040319P000535 0000543586138 MAWARDI L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1101 09-03-2019 111902040319P000538 0000543965861 PRIMAVERA FAUSTIN P PBI (APBN) Dyspepsia Berobat Jalan
THENAYA
1102 09-03-2019 111902040319P000547 0000544301098 LEGIYAH P PBI (APBN) Myalgia Berobat Jalan

1103 09-03-2019 111902040319Y000504 0000544476532 AMBARWANI P PBI (APBN) Personal history of Berobat Jalan
contraception
1104 09-03-2019 111902040319P000530 0000544510271 NURJANI P PBI (APBN) Tension-type headache Berobat Jalan

1105 09-03-2019 111902040319P001412 0000544516942 QOSIDAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1106 09-03-2019 111902040319P001718 0000544714312 PRAVITALIA P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1107 09-03-2019 111902040319Y000496 0000544787302 SUTI P PBI (APBN) Necrosis of pulp Rujuk Lanjut

1108 09-03-2019 111902040319P000532 0000545057144 SIGIT DARUL FIRMANSYAH L PBI (APBN) Herpesviral vesicular Berobat Jalan
dermatitis
1109 09-03-2019 111902040319Y000534 0000545510103 HARTATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

1110 09-03-2019 111902040319P000511 0000545534447 FELIANA ARDITA P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
1111 09-03-2019 111902040319P000521 0001018538638 SRI WAHYUNI P PBI (APBN) Myalgia Berobat Jalan

1112 09-03-2019 111902040319Y000537 0001019109745 NURUL MUTOHAROTUN P PBI (APBN) Abdominal pregnancy Berobat Jalan

1113 09-03-2019 111902040319P000540 0001019131301 SOMODIRONO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1114 09-03-2019 111902040319Y000527 0001019131479 KHOERIYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1115 09-03-2019 111902040319P000519 0001019141627 SUPRIYATI EKA WINARNI P PBI (APBN) Dyspepsia Berobat Jalan

1116 09-03-2019 111902040319P000512 0001078759001 MARPUNGAH P PENERIMA PENSIUN TNI Glaucoma, unspecified Rujuk Lanjut

1117 09-03-2019 111902040319P000484 0001084624828 RIO yANUAR L PBI (APBN) Post-schizophrenic Rujuk Lanjut
depression
1118 09-03-2019 111902040319P000486 0001084941292 SUDIASIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1119 09-03-2019 111902040319P000493 0001150285307 CHIKAL KATON BAGASKORO L PEGAWAI SWASTA Ganglion Rujuk Lanjut

1120 09-03-2019 111902040319Y000510 0001154297136 HERI SUSANTO L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1121 09-03-2019 111902040319P000541 0001156843192 DARTI anjiningsih P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1122 09-03-2019 111902040319P000485 0001258495187 MARDIYONO L PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

1123 09-03-2019 111902040319P000497 0001269445228 WARTINI WARSITO ASROMI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1124 09-03-2019 111902040319P000518 0001371968019 LASMIATI P PBI (APBD) Hypertensive heart Rujuk Lanjut
disease
1125 09-03-2019 111902040319Y000525 0001448668416 SUGIYANTO L PEGAWAI SWASTA Periodontal disease, Rujuk Lanjut
unspecified
1126 09-03-2019 111902040319Y000536 0001525065827 SUPARYANTI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

1127 09-03-2019 111902040319Y000515 0001526264921 EARLYTA ARSYFA SALSABILA P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1128 09-03-2019 111902040319P000545 0001531126157 SUPARSIH P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1129 09-03-2019 111902040319P000506 0001696984571 Wahono L PBI (APBD) Neuralgia and neuritis, Berobat Jalan
unspecified
1130 09-03-2019 111902040319Y000481 0001697162275 Nurul Hidayah P PBI (APBD) Caries of dentine Rujuk Lanjut

1131 09-03-2019 111902040319P000490 0001697163941 SUHADI L PBI (APBD) Dyspepsia Berobat Jalan

1132 09-03-2019 111902040319P000501 0001697166944 RASMINI P PBI (APBD) Myalgia Berobat Jalan

1133 09-03-2019 111902040319P000543 0001697168327 Kun Maryati P PBI (APBD) Allergic urticaria Berobat Jalan

1134 09-03-2019 111902040319Y000488 0001697169846 ARI BUDI NUGROHO L PBI (APBD) Necrosis of pulp Rujuk Lanjut

1135 09-03-2019 111902040319Y000528 0001791330265 EARLENE NARA ANINDYA P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1136 09-03-2019 111902040319P000548 0001889523145 PRANOTO L PEGAWAI PEMERINTAH Myalgia Berobat Jalan
DENGAN PERJANJIAN

1137 09-03-2019 111902040319P000487 0002064037059 SUWARTI P PEKERJA MANDIRI Essential (primary) Rujuk Lanjut
hypertension
1138 09-03-2019 111902040319Y000509 0002083541984 EKO WIDYASTUTI P PEGAWAI PEMERINTAH Haemorrhage in early Rujuk Lanjut
DENGAN PERJANJIAN pregnancy

1139 09-03-2019 111902040319Y000531 0002089834064 ZULI SARTIKA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1140 09-03-2019 111902040319P000542 0002089834389 DIMAS ZAINAL ABIDIN L PEKERJA MANDIRI Other specified bacterial Berobat Jalan
diseases
1141 09-03-2019 111902040319P000514 0002167489203 MASNAH P PBI (APBD) Other rheumatoid arthritis Berobat Jalan

1142 09-03-2019 111902040319P000520 0002168545162 JUWARIYAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1143 09-03-2019 111902040319P000546 0002206668025 TURAH SETYO L PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan
DENGAN PERJANJIAN diabetes mellitus with

1144 09-03-2019 111902040319P000499 0002239278388 WIYOTO L PEGAWAI PEMERINTAH Allergic urticaria Berobat Jalan
DENGAN PERJANJIAN

1145 09-03-2019 111902040319Y000539 0002248407077 ALEANDRA ALVARO L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1146 09-03-2019 111902040319P000502 0002249518195 RANU MIHARJO L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

1147 09-03-2019 111902040319P000516 0002301421386 DWI RIYANTI P PEGAWAI PEMERINTAH Superficial mycosis, Berobat Jalan
DENGAN PERJANJIAN unspecified

1148 09-03-2019 111902040319Y000517 0002325073228 SALWA NIRMALA P PEKERJA MANDIRI Functional diarrhoea Berobat Jalan

1149 09-03-2019 111902040319P000494 0002325651669 MINTARNO MANGUN L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut
SUWARNO
1150 09-03-2019 111902040319Y000491 0002328141521 FASTIA ALISHBA P PNS DAERAH Epilepsy, unspecified Rujuk Lanjut

1151 09-03-2019 111902040319Y000533 0002379684982 NURUL KHAWADHIS P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

1152 09-03-2019 111902040319P001701 0002381171883 SITI KHOTAMIAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1153 09-03-2019 111902040319P000503 0002448051401 PARYATI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1154 09-03-2019 111902040319Y000500 0002475374512 SITI JUMIYATI P PENERIMA PENSIUN Periapical abscess without Berobat Jalan
PNS sinus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1155 09-03-2019 111902040319Y000529 0002485661984 gina maritza P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1156 09-03-2019 111902040319Y000550 0002572657435 NINING SUPRIHATIN P PBI (APBD) Essential (primary) Rujuk Lanjut
hypertension
1157 09-03-2019 111902040319P000483 0002572671993 BASIRUN L PBI (APBD) Other senile cataract Rujuk Lanjut

1158 09-03-2019 111902040319P000524 0002589591925 TUGIATNO L PBI (APBN) Otitis externa, unspecified Berobat Jalan

1159 09-03-2019 111902040319P000498 0002628392297 DITA NINDA SARI P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1160 08-03-2019 111902040319P000409 0000047683282 MARYONO L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
1161 08-03-2019 111902040319P000437 0000084212054 MINTARSIH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1162 08-03-2019 111902040319P000457 0000084267011 SRI HARTUTI P PNS DAERAH Disorder of lens, Rujuk Lanjut
unspecified
1163 08-03-2019 111902040319Y000430 0000084280419 NY.TRI HARYATI P PENERIMA PENSIUN Gingival recession Berobat Jalan
PNS
1164 08-03-2019 111902040319P000467 0000084378407 SUWARTI P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
manifestations, virus not

1165 08-03-2019 111902040319P000479 0000084518098 TASIYAH P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

1166 08-03-2019 111902040319P000412 0000084542815 SUKIYAH P PENERIMA PENSIUN General medical Berobat Jalan
PNS examination
1167 08-03-2019 111902040319P000443 0000084559735 SOEPARMAN ERWINTO L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PRASTOWO PNS
1168 08-03-2019 111902040319P000469 0000084638889 SUSILOWATI BUDIUTAMI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1169 08-03-2019 111902040319P000466 0000084638957 BAKIR, SPD,SPD.I L PNS DAERAH Neuralgia and neuritis, Berobat Jalan
unspecified
1170 08-03-2019 111902040319P000442 0000084662864 CORININGSIH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1171 08-03-2019 111902040319P000423 0000084662919 AWET L PNS DAERAH Tension-type headache Berobat Jalan

1172 08-03-2019 111902040319P000468 0000084800439 WARSONO L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1173 08-03-2019 111902040319P000480 0000084806403 JUWESTRI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1174 08-03-2019 111902040319P000456 0000206480924 TASMILAH P PENERIMA PENSIUN TNI Carcinoma in situ of Rujuk Lanjut
rectosigmoid junction
1175 08-03-2019 111902040319Y000451 0000543426388 PONIDAH P PBI (APBN) Contraceptive Berobat Jalan
management
1176 08-03-2019 111902040319P000417 0000543454525 PARMIN L PBI (APBN) Residual schizophrenia Rujuk Lanjut

1177 08-03-2019 111902040319P000446 0000543527021 KUSMANTO L PBI (APBN) Lichen simplex chronicus Rujuk Lanjut

1178 08-03-2019 111902040319P001705 0000543551567 NOFI NURNGAFIYAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1179 08-03-2019 111902040319P000474 0000543577026 WALNIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1180 08-03-2019 111902040319P000476 0000543758613 NIRWATI P PBI (APBN) Generalized skin eruption Berobat Jalan
due to drugs and

1181 08-03-2019 111902040319Y000420 0000544348326 OZI PRANOTO L PBI (APBN) Pulpitis Rujuk Lanjut

1182 08-03-2019 111902040319P000421 0000544364616 ARROHMAN L PBI (APBN) Unspecified appendicitis Rujuk Lanjut

1183 08-03-2019 111902040319P000454 0000544373122 PAWIT P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

1184 08-03-2019 111902040319Y000450 0000544382436 SULIYAH P PBI (APBN) Unspecified condition Berobat Jalan
associated with female
genital organs and

1185 08-03-2019 111902040319P000458 0000544389658 SLAMET RAHMADI L PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

1186 08-03-2019 111902040319Y000448 0000544620791 ANJASWATI hani'atul af'idah P PBI (APBN) Pulpitis Rujuk Lanjut

1187 08-03-2019 111902040319P000429 0000544626101 TUNGGAL L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1188 08-03-2019 111902040319P000431 0000544627719 WASILAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1189 08-03-2019 111902040319P000441 0000544716347 KURNIAWATI P PBI (APBN) Allergic urticaria Berobat Jalan

1190 08-03-2019 111902040319P000411 0000544848287 SOKINEM P PBI (APBN) Bronchopneumonia, Rujuk Lanjut
unspecified
1191 08-03-2019 111902040319Y000419 0000545041506 RAHMA FIRDA OKTAVIA P PBI (APBN) Pulpitis Berobat Jalan

1192 08-03-2019 111902040319Y000414 0000545048785 SUPRIYATI P PBI (APBN) Necrosis of pulp Rujuk Lanjut

1193 08-03-2019 111902040319P000470 0000545813392 MISLYANA P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1194 08-03-2019 111902040319P000444 0000545841088 SUMARNI P PBI (APBN) Suppurative otitis media, Rujuk Lanjut
unspecified
1195 08-03-2019 111902040319P000413 0001019098708 RUMINAH P PBI (APBN) Low back pain Rujuk Lanjut

1196 08-03-2019 111902040319P000432 0001019106279 SULUH RESTI UTAMI P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1197 08-03-2019 111902040319P000438 0001019124415 LILIN LUSIANA P PBI (APBN) Residual schizophrenia Rujuk Lanjut

1198 08-03-2019 111902040319P000477 0001019140356 TASLIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1199 08-03-2019 111902040319P000472 0001084650671 NUR SYAMSIAH P PBI (APBN) Dyspepsia Berobat Jalan

1200 08-03-2019 111902040319P000471 0001084756138 SRI DADI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1201 08-03-2019 111902040319Y000422 0001110486025 LIDYA SUNARSIH P PRAJURIT AL Other benign neoplasm of Rujuk Lanjut
other parts of uterus

1202 08-03-2019 111902040319P000435 0001427690272 EKHYAUDIN L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1203 08-03-2019 111902040319P000460 0001452885478 SUYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1204 08-03-2019 111902040319P000415 0001526265393 KUWAT MUJIYEM P PEGAWAI SWASTA Other benign neoplasm of Rujuk Lanjut
connective and other soft

1205 08-03-2019 111902040319Y000427 0001534729509 BAITA AGHNI WAHFIANI P PBI (APBD) Other forms of stomatitis Berobat Jalan

1206 08-03-2019 111902040319P000433 0001697215364 SALIYEM P PBI (APBD) General medical Berobat Jalan
examination
1207 08-03-2019 111902040319P000465 0001806534988 darminah P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1208 08-03-2019 111902040319P000425 0001834221003 B SRIMIYATI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1209 08-03-2019 111902040319P000478 0001851121934 NUGROHO NOTO BINTORO L PEKERJA MANDIRI Impetiginization of other Berobat Jalan
dermatoses
1210 08-03-2019 111902040319P000473 0001899527589 ANJAR KURNIAWAN,SE L PNS DAERAH Endocrine disorder, Berobat Jalan
unspecified
1211 08-03-2019 111902040319P000410 0001899854122 MARIYANAH P PEKERJA MANDIRI Dyspepsia Rujuk Lanjut

1212 08-03-2019 111902040319P000434 0001901125056 KASIMI P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
1213 08-03-2019 111902040319P000459 0001967069158 supartini P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1214 08-03-2019 111902040319P000447 0002034709942 MOH KOMAIDI L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1215 08-03-2019 111902040319P000455 0002039521814 ISMIYATUN P PEKERJA MANDIRI Unspecified diabetes Rujuk Lanjut
mellitus with neurological

1216 08-03-2019 111902040319Y000445 0002061328724 narendra alhafizy wijaya L PEGAWAI SWASTA Simple chronic bronchitis Rujuk Lanjut

1217 08-03-2019 111902040319Y000452 0002063028824 nashwa sesa nianti P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1218 08-03-2019 111902040319P001709 0002167814889 WISMA AYU LESTARI P PEKERJA MANDIRI Spontaneous vertex Berobat Jalan
delivery
1219 08-03-2019 111902040319P000475 0002175360208 MUHAMMAD DANANG SATRIYA L PBI (APBN) Scabies Berobat Jalan

1220 08-03-2019 111902040319P000418 0002203256046 WARTINI P PEKERJA MANDIRI Nasal polyp Rujuk Lanjut

1221 08-03-2019 111902040319P000440 0002221385185 BINTANG PAMUNGKAS L PEKERJA MANDIRI Thalassaemia Rujuk Lanjut

1222 08-03-2019 111902040319P000464 0002236610597 SRI SUYATI P PBI (APBD) Dyspepsia Berobat Jalan

1223 08-03-2019 111902040319Y000436 0002282173457 EVI SUSANTI P PEKERJA MANDIRI Abdominal pregnancy Rujuk Lanjut

1224 08-03-2019 111902040319Y000439 0002288736696 RIYANA P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

1225 08-03-2019 111902040319P000424 0002504908214 IQBAL MUBAROK L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1226 08-03-2019 111902040319P000416 0002504908348 JUBAIDAH P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1227 08-03-2019 111902040319P000449 0002518418981 ZULAICHAH P PEKERJA MANDIRI Hepatomegaly, not Rujuk Lanjut
elsewhere classified
1228 08-03-2019 111902040319P000426 0002572670889 SURATI P PBI (APBD) Other specified bacterial Berobat Jalan
diseases
1229 08-03-2019 111902040319Y000453 0002590575794 ZIDANE DWI AZWAR L PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
1230 08-03-2019 111902040319P000428 0002623009061 RATMINATUN P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1231 07-03-2019 111902040319P001700 0002381171883 SITI KHOTAMIAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1232 06-03-2019 111902040319P000270 0000073163417 DRS.PARDJOTO L PENERIMA PENSIUN Acute pharyngitis, Berobat Jalan
PNS unspecified
1233 06-03-2019 111902040319P000279 0000083512348 MUHAMMAD SOLICHUN L PENERIMA PENSIUN Unspecified diabetes Rujuk Lanjut
PNS mellitus with neurological

1234 06-03-2019 111902040319P000297 0000084210118 SLAMETO L PNS DAERAH Polyarthrosis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1235 06-03-2019 111902040319P000304 0000084240022 IFATUN KHASANAH P PNS PUSAT Generalized anxiety Rujuk Lanjut
disorder
1236 06-03-2019 111902040319P000305 0000084240055 MUHAMMAD ADY NURFAUZI L PNS PUSAT Glaucoma, unspecified Rujuk Lanjut

1237 06-03-2019 111902040319P000282 0000084267033 SUDIYONO L PNS DAERAH Allergic urticaria Berobat Jalan

1238 06-03-2019 111902040319Y000280 0000084397959 SUPRIHATIN P PNS DAERAH Necrosis of pulp Rujuk Lanjut

1239 06-03-2019 111902040319P000298 0000084486273 RUKIYEM. P PENERIMA PENSIUN Seborrhoeic dermatitis, Berobat Jalan
PNS unspecified
1240 06-03-2019 111902040319P000306 0000084518076 SUDIMAN L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
1241 06-03-2019 111902040319P000281 0000084559364 SAMIRAN L PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
PNS
1242 06-03-2019 111902040319P000275 0000084640026 SRI SUPANGATI P PENERIMA PENSIUN Generalized anxiety Rujuk Lanjut
PNS disorder
1243 06-03-2019 111902040319P000295 0000084668264 RUKIYATI P PNS DAERAH Hearing loss, unspecified Rujuk Lanjut

1244 06-03-2019 111902040319P000256 0000084764992 LIANAWATI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1245 06-03-2019 111902040319P000309 0000084794714 SITI DJUWARIYAH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1246 06-03-2019 111902040319P000283 0000171571724 SUHARTONO L PENERIMA PENSIUN Impetiginization of other Berobat Jalan
PNS dermatoses
1247 06-03-2019 111902040319P000255 0000543526637 ANISA RAHMANDANI P PBI (APBN) Acute tonsillitis, Rujuk Lanjut
unspecified
1248 06-03-2019 111902040319P001704 0000543551567 NOFI NURNGAFIYAH P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1249 06-03-2019 111902040319P000261 0000543615682 AMAD BUHARI L PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1250 06-03-2019 111902040319P000271 0000543636606 SULASTRI P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

1251 06-03-2019 111902040319P000259 0000543667443 NGADIYEM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1252 06-03-2019 111902040319P000262 0000544142755 MUDJIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1253 06-03-2019 111902040319P000307 0000544220065 PARTIYAH P PBI (APBN) Tension-type headache Berobat Jalan

1254 06-03-2019 111902040319P000260 0000544307692 RIBUT P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1255 06-03-2019 111902040319P000285 0000544470344 MARJO UTOMO L PBI (APBN) Lichen simplex chronicus Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1256 06-03-2019 111902040319P000286 0000544493518 MARIJAN L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1257 06-03-2019 111902040319P000296 0000544728993 WIJI HANDAYANI P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
1258 06-03-2019 111902040319P000288 0000544813154 SUKARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1259 06-03-2019 111902040319P000265 0000544948053 AMAT TOYIBI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1260 06-03-2019 111902040319P000272 0000544982872 BUDIMAN L PBI (APBN) Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically

1261 06-03-2019 111902040319Y000290 0000545149956 RIYAMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1262 06-03-2019 111902040319P000252 0000545745609 PONIAH P PBI (APBN) Scoliosis Rujuk Lanjut

1263 06-03-2019 111902040319P000269 0001019101566 KUSRINI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1264 06-03-2019 111902040319P000299 0001019113626 TARMINI P PBI (APBN) Dyspepsia Berobat Jalan

1265 06-03-2019 111902040319P000284 0001019119173 KASAN L PBI (APBN) Other specified bacterial Berobat Jalan
diseases
1266 06-03-2019 111902040319P001713 0001019124911 LENI MELANI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1267 06-03-2019 111902040319P000294 0001105392701 MUNIR L PENERIMA PENSIUN TNI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1268 06-03-2019 111902040319P000266 0001154297169 YAYU WAHYUDI L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1269 06-03-2019 111902040319Y000292 0001188400599 RIANI BUDI ASTUTI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

1270 06-03-2019 111902040319P000278 0001271400467 TYAS TRI NURHAYATI P ANGGOTA POLRI Idiopathic Berobat Jalan
thrombocytopenic purpura
1271 06-03-2019 111902040319Y000293 0001299047398 KHANSA FADANTYA HISANAH P PEGAWAI SWASTA Seborrhoeic dermatitis, Berobat Jalan
unspecified
1272 06-03-2019 111902040319Y000303 0001483632944 MARLINA DHEWI KARTIKA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan
UTAMI
1273 06-03-2019 111902040319P000289 0001615366989 RIBUT YULIYANTI P PBI (APBD) Congestive heart failure Rujuk Lanjut

1274 06-03-2019 111902040319Y000308 0001697169846 ARI BUDI NUGROHO L PBI (APBD) Necrosis of pulp Berobat Jalan

1275 06-03-2019 111902040319P000277 0001811763202 WAGE MARSUDI L PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease,
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1276 06-03-2019 111902040319Y000300 0001828497251 SITI FITRI RAMADHANI P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1277 06-03-2019 111902040319P001708 0002167814889 WISMA AYU LESTARI P PEKERJA MANDIRI Spontaneous vertex Berobat Jalan
delivery
1278 06-03-2019 111902040319Y000301 0002168541281 SUPRIYATI P PBI (APBD) Abdominal pregnancy Berobat Jalan

1279 06-03-2019 111902040319Y000302 0002217608998 UTAMI HIKMAH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1280 06-03-2019 111902040319Y000258 0002243813286 NATHAN ALKHALIFI L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1281 06-03-2019 111902040319P000276 0002287682324 AMINI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1282 06-03-2019 111902040319Y000257 0002287797592 AULIYA KHOIRUN NAJA P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1283 06-03-2019 111902040319P000268 0002376653883 SUDIYATI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1284 06-03-2019 111902040319P001699 0002381171883 SITI KHOTAMIAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
1285 06-03-2019 111902040319P000254 0002445748514 sabar efendi L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1286 06-03-2019 111902040319P000273 0002488956502 KUSBANATUN P PEKERJA MANDIRI Papilloedema, unspecified Rujuk Lanjut

1287 06-03-2019 111902040319P000253 0002492799851 WARYADI L PEKERJA MANDIRI Benign neoplasm of Rujuk Lanjut
mediastinum
1288 06-03-2019 111902040319P000274 0002572667133 MUSTOFA L PBI (APBD) Schizophrenia Rujuk Lanjut

1289 06-03-2019 111902040319P000263 0002572680486 TEGUH WARDONO L PBI (APBD) Acute sinusitis, Rujuk Lanjut
unspecified
1290 06-03-2019 111902040319P000287 0002628506351 PONTJO WERSI L PBI (APBN) Dyspepsia Berobat Jalan

1291 06-03-2019 111902040319P000267 0002628834309 MARYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1292 06-03-2019 111902040319P000264 0002744232715 PRASETYO L PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1293 06-03-2019 111902040319Y000291 0002744922677 ZENI NURIL ICHTIARNI P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1294 05-03-2019 111902040319P000461 0000074680874 ERI KRESNOADJI L PNS DAERAH Asthma, unspecified Berobat Jalan

1295 05-03-2019 111902040319Y000174 0000081332256 ENI BUDIYANTI P PENERIMA PENSIUN Carcinoma in situ of Rujuk Lanjut
PNS rectum
1296 05-03-2019 111902040319P001074 0000081916907 WARSINI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1297 05-03-2019 111902040319P000313 0000083554064 MARYONO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1298 05-03-2019 111902040319P000371 0000084201366 HENI WIJAYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1299 05-03-2019 111902040319P001012 0000084201366 HENI WIJAYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1300 05-03-2019 111902040319P000918 0000084224676 SURATMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1301 05-03-2019 111902040319P000342 0000084224676 SURATMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1302 05-03-2019 111902040319P000368 0000084229694 ENY SUPARTI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1303 05-03-2019 111902040319P000357 0000084238716 KOMARUDIN L PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1304 05-03-2019 111902040319P000904 0000084238716 KOMARUDIN L PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1305 05-03-2019 111902040319Y000189 0000084266572 DIDIK NUR CAHYO MAULUDIN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1306 05-03-2019 111902040319P000326 0000084266627 SULASMI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1307 05-03-2019 111902040319P000463 0000084302739 SUYADI L PNS DAERAH Asthma, unspecified Berobat Jalan

1308 05-03-2019 111902040319P000343 0000084312551 SITI MARYAM P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1309 05-03-2019 111902040319P001073 0000084326051 SITI RUBIYAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1310 05-03-2019 111902040319P000360 0000084326051 SITI RUBIYAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1311 05-03-2019 111902040319P000404 0000084351341 SARIYAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1312 05-03-2019 111902040319Y000215 0000084365741 SUMINI P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1313 05-03-2019 111902040319P000351 0000084377125 MARJAMAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1314 05-03-2019 111902040319Y000173 0000084377799 SAMADI L PENERIMA PENSIUN TNI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1315 05-03-2019 111902040319P000366 0000084377979 SITI ASTUTI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1316 05-03-2019 111902040319P001090 0000084377979 SITI ASTUTI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1317 05-03-2019 111902040319P001051 0000084378183 KARTININGSIH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1318 05-03-2019 111902040319P000353 0000084378183 KARTININGSIH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1319 05-03-2019 111902040319P000462 0000084405453 EKO PUJI RAHAYU P PNS DAERAH Asthma, unspecified Berobat Jalan

1320 05-03-2019 111902040319P000907 0000084413744 ACHMAD SUNGUDI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1321 05-03-2019 111902040319P000385 0000084413744 ACHMAD SUNGUDI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1322 05-03-2019 111902040319P000384 0000084423723 WARDIWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1323 05-03-2019 111902040319P001093 0000084445751 KEMIRUN HS L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1324 05-03-2019 111902040319P000356 0000084445751 KEMIRUN HS L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1325 05-03-2019 111902040319P000316 0000084458259 RENTEK P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1326 05-03-2019 111902040319Y000213 0000084466192 NASICHIN L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
1327 05-03-2019 111902040319P000350 0000084474549 PARTINAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1328 05-03-2019 111902040319P001094 0000084474549 PARTINAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1329 05-03-2019 111902040319Y000202 0000084500313 SITI BAROYAH P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

1330 05-03-2019 111902040319P000922 0000084501461 SITI ROHANAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1331 05-03-2019 111902040319P000400 0000084501461 SITI ROHANAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1332 05-03-2019 111902040319P000387 0000084507682 SUHARDINAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1333 05-03-2019 111902040319P000320 0000084512979 SUPARYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1334 05-03-2019 111902040319P000383 0000084515995 SRI WIJI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1335 05-03-2019 111902040319Y000177 0000084527302 SUNARTI P PENERIMA PENSIUN Temporomandibular joint Rujuk Lanjut
PNS disorders
1336 05-03-2019 111902040319P000916 0000084528821 SUPARMO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1337 05-03-2019 111902040319P000377 0000084531633 SUREMI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1338 05-03-2019 111902040319P000408 0000084531925 TRISNOWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1339 05-03-2019 111902040319P000317 0000084533826 SUTIRAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1340 05-03-2019 111902040319P001064 0000084546314 SRI SURYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1341 05-03-2019 111902040319P000365 0000084546314 SRI SURYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1342 05-03-2019 111902040319P000381 0000084557169 ATIN SUPRIHATIEN S P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1343 05-03-2019 111902040319P000362 0000084557564 DWI TUMINARTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1344 05-03-2019 111902040319P001091 0000084557564 DWI TUMINARTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1345 05-03-2019 111902040319Y000201 0000084557957 KEMINO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1346 05-03-2019 111902040319P000382 0000084558251 MARSIM SUBAGYO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1347 05-03-2019 111902040319P000352 0000084558868 PONIMIN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1348 05-03-2019 111902040319P000923 0000084558868 PONIMIN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1349 05-03-2019 111902040319Y000211 0000084559228 RUCHAYAH P PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
1350 05-03-2019 111902040319P001013 0000084571233 KUWAT BUDIYONO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1351 05-03-2019 111902040319P001014 0000084571244 SUNGKEMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1352 05-03-2019 111902040319P000340 0000084571244 SUNGKEMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1353 05-03-2019 111902040319P000361 0000084574743 SUMIYADI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1354 05-03-2019 111902040319P001010 0000084574743 SUMIYADI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1355 05-03-2019 111902040319P000311 0000084639835 ISWATI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1356 05-03-2019 111902040319P000323 0000084641962 SRI HARTATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1357 05-03-2019 111902040319P000911 0000084645156 NGADIPON L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1358 05-03-2019 111902040319P000349 0000084645156 NGADIPON L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1359 05-03-2019 111902040319P000403 0000084645224 ROWIYAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1360 05-03-2019 111902040319P000406 0000084645246 SUMANAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1361 05-03-2019 111902040319P000927 0000084656441 JUMIAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1362 05-03-2019 111902040319P000373 0000084656441 JUMIAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1363 05-03-2019 111902040319P000367 0000084656621 SUWARNO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1364 05-03-2019 111902040319P001095 0000084671414 SARDI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1365 05-03-2019 111902040319Y000228 0000084671414 SARDI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1366 05-03-2019 111902040319P000341 0000084674158 TUNIMAN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1367 05-03-2019 111902040319P000906 0000084674158 TUNIMAN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1368 05-03-2019 111902040319P001007 0000084704062 SUPRIYADI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1369 05-03-2019 111902040319P000338 0000084704062 SUPRIYADI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1370 05-03-2019 111902040319P000393 0000084704196 M. FAQIER L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1371 05-03-2019 111902040319P001005 0000084704207 KHULIYATUL MUKAROMAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1372 05-03-2019 111902040319P000392 0000084704207 KHULIYATUL MUKAROMAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1373 05-03-2019 111902040319P000993 0000084704264 RODIYAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1374 05-03-2019 111902040319P000327 0000084704264 RODIYAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1375 05-03-2019 111902040319P000328 0000084709473 SUGITO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1376 05-03-2019 111902040319Y000216 0000084709618 SUPARTOMO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1377 05-03-2019 111902040319P001214 0000084725098 KARNOMO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1378 05-03-2019 111902040319P000344 0000084725098 KARNOMO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1379 05-03-2019 111902040319P000369 0000084759805 IGNATIA PURWANTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1380 05-03-2019 111902040319P000348 0000084764981 ROCHWADJI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1381 05-03-2019 111902040319P001011 0000084764981 ROCHWADJI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1382 05-03-2019 111902040319P000926 0000084777107 KANTJIL L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1383 05-03-2019 111902040319P000347 0000084777107 KANTJIL L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1384 05-03-2019 111902040319P000358 0000084784634 RATIH RATNANI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1385 05-03-2019 111902040319P001006 0000084784634 RATIH RATNANI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1386 05-03-2019 111902040319P000924 0000084784825 JUMIAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1387 05-03-2019 111902040319P000335 0000084784825 JUMIAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1388 05-03-2019 111902040319P000359 0000084790675 MIYO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1389 05-03-2019 111902040319P000915 0000084790675 MIYO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1390 05-03-2019 111902040319P000334 0000146270114 WAHONO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1391 05-03-2019 111902040319Y000180 0000158298491 MAYEM P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
1392 05-03-2019 111902040319P000397 0000162369922 NASIROH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1393 05-03-2019 111902040319Y000200 0000166584868 HA EKO AMIHARTO L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1394 05-03-2019 111902040319P001213 0000172831138 SIYAMTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1395 05-03-2019 111902040319P000330 0000172831138 SIYAMTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1396 05-03-2019 111902040319P000346 0000173600875 HARUN ALROSYID ANNAZRI L PNS DAERAH Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified

1397 05-03-2019 111902040319P001061 0000173600875 HARUN ALROSYID ANNAZRI L PNS DAERAH Insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1398 05-03-2019 111902040319P000925 0000201515051 HARNOTO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1399 05-03-2019 111902040319P000333 0000201515051 HARNOTO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1400 05-03-2019 111902040319P000315 0000205068824 RESI AYU LILIK SRIGIARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1401 05-03-2019 111902040319Y000188 0000543436773 NURHADI L PBI (APBN) Other senile cataract Rujuk Lanjut

1402 05-03-2019 111902040319Y000187 0000543436942 SUKINI P PBI (APBN) Other senile cataract Rujuk Lanjut

1403 05-03-2019 111902040319P001703 0000543551567 NOFI NURNGAFIYAH P PBI (APBN) Spontaneous vertex Sembuh
delivery
1404 05-03-2019 111902040319Y000176 0000543577026 WALNIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1405 05-03-2019 111902040319P000402 0000543664967 ENDANG DWI ASTUTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1406 05-03-2019 111902040319Y000194 0000543738159 BARI ASMO L PBI (APBN) Fractures of other parts of Rujuk Lanjut
femur
1407 05-03-2019 111902040319Y000203 0000543758613 NIRWATI P PBI (APBN) Tension-type headache Berobat Jalan

1408 05-03-2019 111902040319P000917 0000543765161 SRIWATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1409 05-03-2019 111902040319P000332 0000543765161 SRIWATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1410 05-03-2019 111902040319Y000197 0000543950109 KURNIAWATI P PBI (APBN) Periapical abscess without Berobat Jalan
sinus
1411 05-03-2019 111902040319P000395 0000544220065 PARTIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1412 05-03-2019 111902040319P001062 0000544229188 WAGIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1413 05-03-2019 111902040319P000376 0000544229188 WAGIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1414 05-03-2019 111902040319P000374 0000544229954 SRI RUKOYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1415 05-03-2019 111902040319P000398 0000544249967 SUTARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1416 05-03-2019 111902040319P001410 0000544289782 WIDYASTUTI P PBI (APBN) Personal history of Berobat Jalan
contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1417 05-03-2019 111902040319P000370 0000544315634 SONIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1418 05-03-2019 111902040319P001092 0000544315634 SONIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1419 05-03-2019 111902040319Y000196 0000544322608 HUMAM ARYO SEFRI ANTO L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1420 05-03-2019 111902040319Y000185 0000544373458 AMAT RIDWAN L PBI (APBN) Lichen simplex chronicus Rujuk Lanjut

1421 05-03-2019 111902040319P000233 0000544465642 SUNARSIH P PBI (APBN) Antenatal screening Rujuk Lanjut

1422 05-03-2019 111902040319Y000230 0000544510102 ADITYA REIVI GRACIA WIJAYA P PBI (APBN) Caries of dentine Berobat Jalan

1423 05-03-2019 111902040319Y000229 0000544527999 KASIYAH P PBI (APBN) Periodontal disease, Berobat Jalan
unspecified
1424 05-03-2019 111902040319P000921 0000544718259 wariyatun P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1425 05-03-2019 111902040319P000345 0000544718259 wariyatun P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1426 05-03-2019 111902040319Y000218 0000544785197 WAHYU KURNIANTO L PBI (APBN) Dyspepsia Berobat Jalan

1427 05-03-2019 111902040319P000339 0000544811815 PARYANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1428 05-03-2019 111902040319P001211 0000544811815 PARYANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1429 05-03-2019 111902040319P000321 0000544829466 SOLICHAH P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1430 05-03-2019 111902040319Y000232 0000544843552 ARIF BUDIYONO L PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1431 05-03-2019 111902040319Y000231 0000544844002 HANIF TOYYIBAN L PBI (APBN) Pulpitis Berobat Jalan

1432 05-03-2019 111902040319Y000210 0000544988013 SAFITRI LUPITA SARI P PBI (APBN) Toxoplasma oculopathy Rujuk Lanjut

1433 05-03-2019 111902040319Y000179 0000545032809 DARYANAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1434 05-03-2019 111902040319P000399 0000545102414 MUJIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1435 05-03-2019 111902040319Y000223 0000545122754 SULASTRI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1436 05-03-2019 111902040319Y000222 0000545123553 ZIVILIA AVIERA P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1437 05-03-2019 111902040319Y000190 0000545143735 YAYUK SETYOWATI P PBI (APBN) Dyspepsia Berobat Jalan

1438 05-03-2019 111902040319P000319 0000545249643 SUMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1439 05-03-2019 111902040319P000380 0000545506896 SURAMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1440 05-03-2019 111902040319Y000192 0000545516289 WULANSARI MARYANA P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1441 05-03-2019 111902040319P000325 0000545629048 MUSTADI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1442 05-03-2019 111902040319Y000241 0000672836646 UWIFA KHOTUL MUBTAFSIROH P PEGAWAI SWASTA Contraceptive Berobat Jalan
management
1443 05-03-2019 111902040319P001057 0001019101781 ISMANURI L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1444 05-03-2019 111902040319P000391 0001019101781 ISMANURI L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1445 05-03-2019 111902040319Y000183 0001019102387 PRAYITNO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1446 05-03-2019 111902040319P001409 0001019108215 SURANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
1447 05-03-2019 111902040319P000314 0001019108632 HANUN ISDAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1448 05-03-2019 111902040319P000919 0001019110498 REBINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1449 05-03-2019 111902040319P000354 0001019110498 REBINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1450 05-03-2019 111902040319Y000224 0001019114796 DEMAS SUPRIYO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1451 05-03-2019 111902040319Y000227 0001019114807 WISNU RESPATI SUPRIYO L PBI (APBN) Dyspepsia Berobat Jalan

1452 05-03-2019 111902040319P000390 0001019117226 JUMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1453 05-03-2019 111902040319P000388 0001019118475 SITI NGAISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1454 05-03-2019 111902040319P000379 0001019120174 SUTINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1455 05-03-2019 111902040319P001086 0001019120174 SUTINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1456 05-03-2019 111902040319P001054 0001019122749 ISTI ROBINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1457 05-03-2019 111902040319P000364 0001019122749 ISTI ROBINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1458 05-03-2019 111902040319Y000193 0001019122841 SUPRIHARTATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1459 05-03-2019 111902040319P000405 0001019124055 TUMIRUN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1460 05-03-2019 111902040319P001056 0001019125067 PARINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1461 05-03-2019 111902040319P000375 0001019125067 PARINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1462 05-03-2019 111902040319Y000240 0001019128162 TEMU P PBI (APBN) Abdominal pregnancy Berobat Jalan

1463 05-03-2019 111902040319P000407 0001078500159 SUMILAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1464 05-03-2019 111902040319Y000236 0001079916761 MARCELO ZAKI ARTANZA L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1465 05-03-2019 111902040319Y000217 0001086045129 SRI SUPAMI P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
1466 05-03-2019 111902040319Y000182 0001093510765 PANGGIH L ANGGOTA POLRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1467 05-03-2019 111902040319P000394 0001094608449 ASWANTO L ANGGOTA POLRI Essential (primary) Berobat Jalan
hypertension
1468 05-03-2019 111902040319P000322 0001106562205 PUJIATI P PRAJURIT AD Essential (primary) Berobat Jalan
hypertension
1469 05-03-2019 111902040319P000312 0001107703776 SRI KISWORO P PRAJURIT AD Essential (primary) Berobat Jalan
hypertension
1470 05-03-2019 111902040319Y000195 0001127881405 H GUNAWAN UDI PRAYITNO L PEGAWAI SWASTA Other specified retinal Rujuk Lanjut
disorders
1471 05-03-2019 111902040319Y000234 0001149523874 DWI DIAN KUSUMAWATI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

1472 05-03-2019 111902040319Y000198 0001277362552 NGULIYAH P PEKERJA MANDIRI Ingrowing nail Berobat Jalan

1473 05-03-2019 111902040319P000401 0001319825024 SUNGKONO PRAWIRO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1474 05-03-2019 111902040319Y000175 0001321662846 SRI WIDANINGSIH P PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

1475 05-03-2019 111902040319Y000212 0001335131739 SUCIYATI P PENERIMA PENSIUN Disorder of lens, Rujuk Lanjut
SWASTA unspecified
1476 05-03-2019 111902040319Y000237 0001382746487 ORKA ANDAKARA PUTRA L PEGAWAI SWASTA Mycobacterial infection, Berobat Jalan
unspecified
1477 05-03-2019 111902040319P000324 0001423964889 SUMARMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1478 05-03-2019 111902040319P001089 0001423964889 SUMARMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1479 05-03-2019 111902040319Y000220 0001423966825 MUH TAROM L PEKERJA MANDIRI Other rheumatoid arthritis Rujuk Lanjut

1480 05-03-2019 111902040319P001088 0001437949923 BUDIYARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1481 05-03-2019 111902040319P000378 0001437949923 BUDIYARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1482 05-03-2019 111902040319P000363 0001445298377 SARIYEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1483 05-03-2019 111902040319P000928 0001445298377 SARIYEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1484 05-03-2019 111902040319P001008 0001448797318 HARTATIK SRI ROHANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1485 05-03-2019 111902040319P000331 0001448797318 HARTATIK SRI ROHANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1486 05-03-2019 111902040319Y000204 0001454671642 RUKIYATI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1487 05-03-2019 111902040319P000386 0001463701893 HADI WAGINO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1488 05-03-2019 111902040319Y000209 0001525064308 RADITYA NURCAHYA PUTRA L PEGAWAI SWASTA Fracture of shaft of radius Rujuk Lanjut
WALIHA
1489 05-03-2019 111902040319Y000226 0001530642791 FATIMATUL ROHMAH P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

1490 05-03-2019 111902040319P000310 0001534735563 MARDINO L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1491 05-03-2019 111902040319P000318 0001615409111 Romiyah P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1492 05-03-2019 111902040319P000396 0001647387663 SRI SONGOWATI P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1493 05-03-2019 111902040319Y000219 0001697164648 SRI KUSDARYATI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1494 05-03-2019 111902040319Y000221 0001697195002 NGADIMAN L PBI (APBD) Residual schizophrenia Rujuk Lanjut

1495 05-03-2019 111902040319Y000225 0001697850371 SITI JULIAH P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1496 05-03-2019 111902040319Y000186 0001730733276 KHIKMAH KURNIA P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1497 05-03-2019 111902040319P000336 0001817432559 KEMINI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1498 05-03-2019 111902040319P001087 0001817432559 KEMINI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1499 05-03-2019 111902040319Y000181 0001823740018 widyaningsih P PEKERJA MANDIRI Generalized anxiety Rujuk Lanjut
disorder
1500 05-03-2019 111902040319P000355 0001845564873 SAMIYONO TEJO RAHARJO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1501 05-03-2019 111902040319P000914 0001845564873 SAMIYONO TEJO RAHARJO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1502 05-03-2019 111902040319P000920 0001861447263 AHMAD DJUWARI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1503 05-03-2019 111902040319P000389 0001861447263 AHMAD DJUWARI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1504 05-03-2019 111902040319Y000191 0001907063098 AGUNG SETYO WIDIARSO L PEGAWAI SWASTA Myalgia Berobat Jalan

1505 05-03-2019 111902040319P001053 0002046112953 JANIMAN DARMO SUJOKO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1506 05-03-2019 111902040319P000337 0002046112953 JANIMAN DARMO SUJOKO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1507 05-03-2019 111902040319Y000206 0002055953766 nanik marsanti P PEGAWAI SWASTA Haemorrhage in early Rujuk Lanjut
pregnancy
1508 05-03-2019 111902040319Y000239 0002127458002 NAJWA INDAH PRATIWI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1509 05-03-2019 111902040319P001707 0002167814889 WISMA AYU LESTARI P PEKERJA MANDIRI Spontaneous vertex Sembuh
delivery
1510 05-03-2019 111902040319Y000178 0002168543608 YATNO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1511 05-03-2019 111902040319Y000214 0002168543812 RIBUT MARZUKI L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1512 05-03-2019 111902040319Y000207 0002168545656 SITI MAHMUDAH P PBI (APBD) Hyperparathyroidism, Rujuk Lanjut
unspecified
1513 05-03-2019 111902040319Y000184 0002168547625 MUSLIKAH P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1514 05-03-2019 111902040319P001009 0002233548472 MUJIATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1515 05-03-2019 111902040319P000372 0002233548472 MUJIATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1516 05-03-2019 111902040319Y000205 0002247102393 EDY BUWONO L PEKERJA MANDIRI Tension-type headache Berobat Jalan

1517 05-03-2019 111902040319Y000235 0002265630355 NADIA HUSNA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1518 05-03-2019 111902040319Y000208 0002287703597 ROJIKIN L PEGAWAI SWASTA Cardiac arrhythmia, Rujuk Lanjut
unspecified
1519 05-03-2019 111902040319P000910 0002290490065 SUNGGONO L PEGAWAI SWASTA Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified

1520 05-03-2019 111902040319P000329 0002290490065 SUNGGONO L PEGAWAI SWASTA Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified

1521 05-03-2019 111902040319Y000238 0002485661984 gina maritza P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1522 05-03-2019 111902040319Y000199 0002572672634 RATNAWATI SARI DEWI P PBI (APBD) Myalgia Berobat Jalan

1523 04-03-2019 111902040319Y000167 0000041088069 SUKARTO L PENERIMA PENSIUN Stroke, not specified as Berobat Jalan
PNS haemorrhage or infarction
1524 04-03-2019 111902040319Y000128 0000076144645 SARIMIN L PENERIMA PENSIUN Chronic renal failure, Rujuk Lanjut
PNS unspecified
1525 04-03-2019 111902040319Y000118 0000084266627 SULASMI P PNS DAERAH Polyarthrosis, unspecified Berobat Jalan

1526 04-03-2019 111902040319Y000171 0000084284212 VIVI SRIHENDARTI P PNS PUSAT Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1527 04-03-2019 111902040319Y000172 0000084284234 FERA VERLITA NATASYA P PNS PUSAT Acute pharyngitis, Berobat Jalan
unspecified
1528 04-03-2019 111902040319Y000155 0000084351341 SARIYAH P PENERIMA PENSIUN TNI Polyarthrosis, unspecified Berobat Jalan

1529 04-03-2019 111902040319Y000136 0000084409277 SRI NINGKAPTI P PNS DAERAH Cervical root disorders, not Rujuk Lanjut
elsewhere classified
1530 04-03-2019 111902040319Y000158 0000084431316 DWI HERU DIANTOKOWATI P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
1531 04-03-2019 111902040319Y000157 0000084520719 KOSIJAH P PENERIMA PENSIUN Superficial mycosis, Berobat Jalan
PNS unspecified
1532 04-03-2019 111902040319Y000145 0000084537404 TAJIB L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
1533 04-03-2019 111902040319Y000139 0000084542815 SUKIYAH P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
1534 04-03-2019 111902040319Y000151 0000084558093 LEGIRIN L PENERIMA PENSIUN Allergic urticaria Berobat Jalan
PNS
1535 04-03-2019 111902040319Y000248 0000543506466 SITI CHABIBAH P PBI (APBN) Contraceptive Berobat Jalan
management
1536 04-03-2019 111902040319Y000159 0000543669232 PAINEM P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1537 04-03-2019 111902040319P001413 0000543860212 SUWARSI P PBI (APBN) Personal history of Berobat Jalan
contraception
1538 04-03-2019 111902040319P001408 0000543975592 SUKATRI P PBI (APBN) Personal history of Berobat Jalan
contraception
1539 04-03-2019 111902040319Y000116 0000544108915 TASIYAH P PBI (APBN) Abdominal pregnancy Rujuk Internal

1540 04-03-2019 111902040319Y000117 0000544108915 TASIYAH P PBI (APBN) Abdominal pregnancy Rujuk Lanjut

1541 04-03-2019 111902040319Y000142 0000544129064 PARSIYEM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1542 04-03-2019 111902040319Y000140 0000544258269 MARYONO L PBI (APBN) Typhoid fever Berobat Jalan

1543 04-03-2019 111902040319Y000170 0000544310741 WIDI ASTUTI P PBI (APBN) Dyspepsia Berobat Jalan

1544 04-03-2019 111902040319Y000251 0000544326603 LINA HERLINA P PBI (APBN) Contraceptive Berobat Jalan
management
1545 04-03-2019 111902040319Y000123 0000544329123 DWI NUGROHO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1546 04-03-2019 111902040319Y000147 0000544347371 SITI MUSLICHAH P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1547 04-03-2019 111902040319Y000150 0000544401718 CINTA FATEKHA AULIA P PBI (APBN) Persistent fever Rujuk Lanjut

1548 04-03-2019 111902040319Y000125 0000544512532 ROKAYAH P PBI (APBN) Polyarthrosis, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1549 04-03-2019 111902040319Y000152 0000544643842 TRI MURYANI P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
1550 04-03-2019 111902040319Y000153 0000544683418 KARIYAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1551 04-03-2019 111902040319P001717 0000544714312 PRAVITALIA P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1552 04-03-2019 111902040319Y000114 0000545015979 REMU P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1553 04-03-2019 111902040319Y000169 0000545028671 LEGIRAH P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1554 04-03-2019 111902040319Y000132 0000545046513 SYAFITRI SEPTIANA P PBI (APBN) Impetiginization of other Berobat Jalan
RAMADHANI dermatoses
1555 04-03-2019 111902040319Y000249 0000545539061 SITI ASNAWIYAH P PBI (APBN) Contraceptive Berobat Jalan
management
1556 04-03-2019 111902040319Y000113 0001019104885 SITI KUSNUL KOTIMAH P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

1557 04-03-2019 111902040319Y000115 0001019107271 NARTI P PBI (APBN) Pulpitis Rujuk Lanjut

1558 04-03-2019 111902040319Y000164 0001019111927 SATIYAH P PBI (APBN) Tension-type headache Berobat Jalan

1559 04-03-2019 111902040319Y000127 0001019112952 MARTODIHARJO L PBI (APBN) Congestive heart failure Rujuk Lanjut

1560 04-03-2019 111902040319Y000250 0001019113288 DARWATI P PBI (APBN) Contraceptive Berobat Jalan
management
1561 04-03-2019 111902040319Y000122 0001019124415 LILIN LUSIANA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1562 04-03-2019 111902040319P001712 0001019124911 LENI MELANI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1563 04-03-2019 111902040319Y000130 0001019309488 SITI AMINAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1564 04-03-2019 111902040319Y000165 0001205242852 KOMARIYAH P PEGAWAI SWASTA Myalgia Berobat Jalan

1565 04-03-2019 111902040319Y000163 0001280111635 ENTIN MINTARSIH P PENERIMA PENSIUN TNI Other disorders of gingiva Rujuk Lanjut
and edentulous alveolar

1566 04-03-2019 111902040319Y000134 0001299660737 DWI YOVI YANA P PRAJURIT AL Dysmenorrhoea, Rujuk Lanjut
unspecified
1567 04-03-2019 111902040319Y000161 0001317646653 ARLINGGA RIDI PERMADI L PRAJURIT AD Fracture of lower end of Rujuk Lanjut
tibia
1568 04-03-2019 111902040319Y000120 0001319787966 TUMINAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1569 04-03-2019 111902040319Y000138 0001389262059 QAIREEN HANA RAFIIDA P PEGAWAI SWASTA Other orthopaedic Rujuk Lanjut
follow-up care
1570 04-03-2019 111902040319P001406 0001480279871 SITI ROIFAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1571 04-03-2019 111902040319Y000144 0001525064308 RADITYA NURCAHYA PUTRA L PEGAWAI SWASTA Fracture of shaft of radius Rujuk Lanjut
WALIHA
1572 04-03-2019 111902040319Y000162 0001532139309 TUSRIYANI P PEGAWAI SWASTA Antenatal screening Rujuk Lanjut

1573 04-03-2019 111902040319Y000244 0001532139311 LYLA AGNI P PEGAWAI SWASTA Allergic contact dermatitis, Berobat Jalan
unspecified cause

1574 04-03-2019 111902040319Y000133 0001532139952 NUR FAIDAH P PEGAWAI SWASTA Neuralgia and neuritis, Berobat Jalan
unspecified
1575 04-03-2019 111902040319Y000137 0001534729465 HANA LU'LUI NIHAYAH P PBI (APBD) Chronic post-traumatic Rujuk Lanjut
headache
1576 04-03-2019 111902040319Y000119 0001534736799 Sumini P PBI (APBD) Hepatomegaly, not Rujuk Lanjut
elsewhere classified
1577 04-03-2019 111902040319Y000148 0001615406286 Darmo Pawiro L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1578 04-03-2019 111902040319Y000160 0001637477561 WANTI YULIATI P PEGAWAI SWASTA Paranoid schizophrenia Rujuk Lanjut

1579 04-03-2019 111902040319Y000121 0001697170432 WIWIK SETYOWATI P PBI (APBD) Carcinoma in situ of Rujuk Lanjut
breast, unspecified
1580 04-03-2019 111902040319Y000154 0001786514297 SAPARUN L PEKERJA MANDIRI Myalgia Berobat Jalan

1581 04-03-2019 111902040319Y000141 0001801284502 MANIJAN HAIRUDIN L PEKERJA MANDIRI Pulpitis Berobat Jalan

1582 04-03-2019 111902040319Y000166 0001835482195 samsul sugiatun P PNS DAERAH Other and unspecified Berobat Jalan
abdominal pain
1583 04-03-2019 111902040319Y000126 0001842136964 DWI RAHAYU KRISTININGSIH P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1584 04-03-2019 111902040319Y000242 0001842137976 AXELLE ADELIO GIRI PRADANA L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1585 04-03-2019 111902040319Y000124 0001900344947 M FAQIH KHOTIBUL UMAM L PEGAWAI PEMERINTAH Caries of dentine Berobat Jalan
DENGAN PERJANJIAN

1586 04-03-2019 111902040319Y000149 0001962799863 IMRON HARIYANTO L PEGAWAI SWASTA Fracture of clavicle Rujuk Lanjut

1587 04-03-2019 111902040319Y000731 0002053611707 ALI MUSTOPO L PEGAWAI SWASTA Tinea cruris Berobat Jalan

1588 04-03-2019 111902040319Y000156 0002068604201 PARINI P PEKERJA MANDIRI Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1589 04-03-2019 111902040319Y000246 0002090467787 RINDU NURHASANAH P PEKERJA MANDIRI Headache Berobat Jalan

1590 04-03-2019 111902040319Y000143 0002090866746 NURI AFTIWI P PEKERJA MANDIRI Disorder of lens, Rujuk Lanjut
unspecified
1591 04-03-2019 111902040319Y000243 0002167814889 WISMA AYU LESTARI P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1592 04-03-2019 111902040319P001404 0002168545781 ADRIYAN P PBI (APBD) Personal history of Berobat Jalan
contraception
1593 04-03-2019 111902040319Y000129 0002177782672 AJI SYAFAR PAMUNGKAS L PBI (APBN) Chalazion Rujuk Lanjut

1594 04-03-2019 111902040319Y000131 0002203075719 SUPARNO L PEGAWAI PEMERINTAH Dyspepsia Berobat Jalan
DENGAN PERJANJIAN

1595 04-03-2019 111902040319Y000146 0002236260879 BOEROES SOEKISNO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1596 04-03-2019 111902040319Y000135 0002381173288 TEGUH RAHAYU P PBI (APBN) Abdominal pregnancy Rujuk Lanjut

1597 04-03-2019 111902040319Y000247 0002419197502 aura mutiara jasmine solekha P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1598 04-03-2019 111902040319Y000168 0002440492018 BASIRUN L PEGAWAI PEMERINTAH Essential (primary) Berobat Jalan
DENGAN PERJANJIAN hypertension

1599 04-03-2019 111902040319Y000245 0002447430333 MAFAZA RINADI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1600 03-03-2019 111902040319P001711 0001019124911 LENI MELANI P PBI (APBN) Spontaneous vertex Sembuh
delivery
1601 03-03-2019 111902040319P001423 0001019125743 DARMAWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
1602 02-03-2019 111902040319Y000063 0000084186268 FATMAWATI P PNS DAERAH Disorder of lens, Rujuk Lanjut
unspecified
1603 02-03-2019 111902040319Y000078 0000084215002 SUGIARTI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1604 02-03-2019 111902040319Y000066 0000084217599 PUTRI INDAH KURNIAWATI P PNS DAERAH Fracture at wrist and hand Rujuk Lanjut
level
1605 02-03-2019 111902040319Y000045 0000084308782 MARWIYAH P PENERIMA PENSIUN TNI Nonorganic sleep Rujuk Lanjut
disorders
1606 02-03-2019 111902040319Y000067 0000084438854 CISILIA SUHARNI P PENERIMA PENSIUN Presence of other Rujuk Lanjut
PNS heart-valve replacement
1607 02-03-2019 111902040319Y000090 0000084559702 SOENARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1608 02-03-2019 111902040319Y000059 0000084570131 DRS AMIR FAISOL SE MM L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1609 02-03-2019 111902040319Y000056 0000084570142 TITIK ISNAENI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1610 02-03-2019 111902040319Y000060 0000084669309 SRI ENDANG HARYATI P PNS DAERAH Acute pharyngitis, Berobat Jalan
unspecified
1611 02-03-2019 111902040319Y000057 0000084677218 MALIAH P PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PNS
1612 02-03-2019 111902040319Y000081 0000084767591 ADINDA MITHA MAHARANI P PNS DAERAH Necrosis of pulp Berobat Jalan

1613 02-03-2019 111902040319Y000046 0000162369911 WASIATO L PENERIMA PENSIUN TNI Congestive heart failure Rujuk Lanjut

1614 02-03-2019 111902040319Y000088 0000202798989 SUKAMTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1615 02-03-2019 111902040319Y000079 0000203545383 SUCI NURCAHYATI P PENERIMA PENSIUN Fractures of other parts of Rujuk Lanjut
PNS femur
1616 02-03-2019 111902040319Y000099 0000209575629 TRI DZULHIJAH P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
manifestations, virus not

1617 02-03-2019 111902040319Y000065 0000543335769 ISKANDAR L PBI (APBN) Foreign body in nasal Rujuk Lanjut
sinus
1618 02-03-2019 111902040319Y000062 0000543551308 EKO WIRAWAN L PBI (APBN) Polyarthrosis, unspecified Rujuk Lanjut

1619 02-03-2019 111902040319Y000109 0000543551567 NOFI NURNGAFIYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1620 02-03-2019 111902040319Y000098 0000543609652 ANDI SAPUTRA L PBI (APBN) Other specified bacterial Berobat Jalan
diseases
1621 02-03-2019 111902040319Y000082 0000543736528 DIKA DWI ANDRIYANI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1622 02-03-2019 111902040319Y000049 0000543826383 SUMIDAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

1623 02-03-2019 111902040319Y000103 0000544137063 SURANTI P PBI (APBN) Contraceptive Berobat Jalan
management
1624 02-03-2019 111902040319Y000091 0000544188958 MEI CHOLIFAH P PBI (APBN) Congenital malformation of Rujuk Lanjut
heart, unspecified
1625 02-03-2019 111902040319Y000087 0000544322608 HUMAM ARYO SEFRI ANTO L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1626 02-03-2019 111902040319Y000053 0000544324803 KOMSIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1627 02-03-2019 111902040319Y000054 0000544346932 EKA ROSWITA juliasti P PBI (APBN) Dyspepsia Berobat Jalan

1628 02-03-2019 111902040319Y000084 0000544348326 OZI PRANOTO L PBI (APBN) Pulpitis Berobat Jalan

1629 02-03-2019 111902040319Y000112 0000544425107 SITI SOIMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1630 02-03-2019 111902040319P001407 0000544555067 SRI MARIYANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1631 02-03-2019 111902040319Y000073 0000544679605 TUGINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1632 02-03-2019 111902040319Y000106 0000544693847 NANI PUJI RAHAYU P PBI (APBN) Contraceptive Berobat Jalan
management
1633 02-03-2019 111902040319P001716 0000544714312 PRAVITALIA P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
1634 02-03-2019 111902040319Y000044 0000544887988 MURDIYONO L PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1635 02-03-2019 111902040319Y000068 0000544920928 SUWIYATI P PBI (APBN) Tension-type headache Berobat Jalan

1636 02-03-2019 111902040319Y000074 0000545007778 ROMADI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1637 02-03-2019 111902040319Y000055 0000545245154 MUHIBAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1638 02-03-2019 111902040319Y000051 0000545752629 PUJIASIH P PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
1639 02-03-2019 111902040319Y000100 0001019100655 INTOSIFAH P PBI (APBN) Viral conjunctivitis, Berobat Jalan
unspecified
1640 02-03-2019 111902040319Y000102 0001019106303 AISYAH SAFRIN AL MAHER P PBI (APBN) Dyspepsia Berobat Jalan

1641 02-03-2019 111902040319Y000110 0001019110735 SRI WAHYUNI P PBI (APBN) Abdominal pregnancy Berobat Jalan

1642 02-03-2019 111902040319Y000075 0001019116269 KONTIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1643 02-03-2019 111902040319Y000069 0001019116596 SRI WIDATI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1644 02-03-2019 111902040319Y000093 0001019118407 EDY BASUKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1645 02-03-2019 111902040319Y000071 0001019141155 RUKIYAH P PBI (APBN) Dyspepsia Berobat Jalan

1646 02-03-2019 111902040319Y000096 0001019141853 DIAH TATIM LUTFI P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

1647 02-03-2019 111902040319Y000048 0001275327887 MUKH WIDAYAT L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

1648 02-03-2019 111902040319Y000089 0001312375083 SITI AMINAH P PEKERJA MANDIRI Caries of dentine Berobat Jalan

1649 02-03-2019 111902040319Y000058 0001325203435 BOWO RUSBAGYO L PEKERJA MANDIRI Senile cataract, Rujuk Lanjut
unspecified
1650 02-03-2019 111902040319Y000064 0001326070326 SITI AMINAH P PEKERJA MANDIRI External haemorrhoids Rujuk Lanjut
without complication
1651 02-03-2019 111902040319Y000104 0001436367778 sunarti P PEKERJA MANDIRI Contraceptive Berobat Jalan
management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1652 02-03-2019 111902040319Y000070 0001473346541 SUPIYATI P PEKERJA MANDIRI Unstable angina Rujuk Lanjut

1653 02-03-2019 111902040319Y000047 0001483493938 SUMIYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
SWASTA diabetes mellitus with

1654 02-03-2019 111902040319Y000101 0001526265382 ISNAINI MUBAROKAH P PEGAWAI SWASTA Scabies Berobat Jalan

1655 02-03-2019 111902040319Y000094 0001534735271 HARISANTO L PBI (APBD) Insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

1656 02-03-2019 111902040319Y000043 0001593525295 RIYATUN P PEGAWAI SWASTA Impetiginization of other Berobat Jalan
dermatoses
1657 02-03-2019 111902040319Y000072 0001643034374 ALDHIKA NOER LATHIFA P PEGAWAI BUMN Influenza with other Berobat Jalan
manifestations, virus not

1658 02-03-2019 111902040319Y000092 0001652995596 RIZKY DWI ROMADHON L PEGAWAI SWASTA Impetiginization of other Berobat Jalan
dermatoses
1659 02-03-2019 111902040319Y000080 0001697168261 SITI HARTINAH P PBI (APBD) Unstable angina Rujuk Lanjut

1660 02-03-2019 111902040319Y000083 0001730733276 KHIKMAH KURNIA P PEKERJA MANDIRI Pulpitis Berobat Jalan

1661 02-03-2019 111902040319Y000076 0002043375669 RIZA BAHTIAR EFENDI L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
1662 02-03-2019 111902040319Y000105 0002048987182 WIWIk MULYANI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management
1663 02-03-2019 111902040219Y001568 0002168548481 SRI WAHYUNI P PBI (APBD) Necrosis of pulp Berobat Jalan

1664 02-03-2019 111902040319Y000050 0002236609034 DHIYA ULYA SHOFA P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1665 02-03-2019 111902040319Y000095 0002287703744 MISIYEM P PEGAWAI SWASTA Congestive heart failure Rujuk Lanjut

1666 02-03-2019 111902040319Y000097 0002301559694 SIMON PURWANTORO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1667 02-03-2019 111902040319Y000111 0002348847775 ANINDYA FITARA RAMADHANI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1668 02-03-2019 111902040319Y000086 0002448009292 SUJONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1669 02-03-2019 111902040319Y000077 0002448009819 KLIMAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1670 02-03-2019 111902040319Y000085 0002476176197 FATHIA LUTHFIKA NURIL L PNS DAERAH Caries of dentine Berobat Jalan
HIDAYATI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1671 02-03-2019 111902040319Y000107 0002485661984 gina maritza P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1672 02-03-2019 111902040319Y000052 0002504905007 MOHAMAD FAIQ FAHRUROZY L PBI (APBN) Functional diarrhoea Berobat Jalan

1673 02-03-2019 111902040319Y000108 0002629331739 UMI DARYATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

1674 02-03-2019 111902040319Y000061 0002630232437 KHOSIYATI P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1675 01-03-2019 111902040319Y000005 0000084254769 KEMISAH P PNS DAERAH Other senile cataract Rujuk Lanjut

1676 01-03-2019 111902040319Y000042 0000084300682 FARIDA ERNAWATI P PNS DAERAH Chronic post-traumatic Rujuk Lanjut
headache
1677 01-03-2019 111902040319Y000026 0000084440485 WASTUTI P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
1678 01-03-2019 111902040319Y000018 0000084500313 SITI BAROYAH P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1679 01-03-2019 111902040319Y000036 0000084518076 SUDIMAN L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
1680 01-03-2019 111902040319Y000039 0000084720306 SUNERI . P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1681 01-03-2019 111902040319Y000032 0000084921221 NURY FANANTO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1682 01-03-2019 111902040319Y000028 0000544252634 SITI FATMAWATI P PBI (APBN) Necrosis of pulp Berobat Jalan

1683 01-03-2019 111902040319Y000040 0000544257099 SARJONO L PBI (APBN) Myalgia Berobat Jalan

1684 01-03-2019 111902040319P001420 0000544663001 SUKARTI P PBI (APBN) Personal history of Berobat Jalan
contraception
1685 01-03-2019 111902040319P001715 0000544714312 PRAVITALIA P PBI (APBN) Spontaneous vertex Sembuh
delivery
1686 01-03-2019 111902040319Y000034 0000544887101 NURUL MUTAMIMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1687 01-03-2019 111902040319Y000038 0000544955253 MAMAT L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1688 01-03-2019 111902040319Y000021 0000544979529 MUALIMAH P PEGAWAI SWASTA Dyspepsia Berobat Jalan

1689 01-03-2019 111902040319Y000730 0000545017983 COKROMULYO NGADIRUN L PBI (APBN) Acute bronchitis Berobat Jalan

1690 01-03-2019 111902040319Y000002 0000545514467 RASMINATUN P PBI (APBN) Congestive heart failure Rujuk Lanjut

1691 01-03-2019 111902040319Y000025 0000545573384 ASIYAH P PBI (APBN) Other senile cataract Rujuk Lanjut

1692 01-03-2019 111902040319Y000037 0001019104558 SUDIUTOMO SARIMO L PBI (APBN) Allergic urticaria Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1693 01-03-2019 111902040319Y000035 0001019104841 TITIK P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1694 01-03-2019 111902040319Y000008 0001019115876 YULIANI P PBI (APBN) Functional diarrhoea Berobat Jalan

1695 01-03-2019 111902040319Y000013 0001019128408 TRI ERNAWATI P PBI (APBN) Contraceptive Berobat Jalan
management
1696 01-03-2019 111902040319Y000041 0001019137893 KUSMIYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1697 01-03-2019 111902040319Y000015 0001019140211 SITI KHOTIJAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1698 01-03-2019 111902040319Y000022 0001084756138 SRI DADI P PBI (APBN) Dyspepsia Berobat Jalan

1699 01-03-2019 111902040319Y000012 0001128746856 NGATIMAN L PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1700 01-03-2019 111902040319Y000019 0001203075101 UMI MUSANGIDAH P PEGAWAI SWASTA Delivery by elective Rujuk Lanjut
caesarean section
1701 01-03-2019 111902040319Y000014 0001341576022 ENI MAISUMAH P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
SWASTA
1702 01-03-2019 111902040319Y000027 0001374649299 MUHAMAD DINESH MAHARD L PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
eruption
1703 01-03-2019 111902040319Y000009 0001422811179 BUDIYONO L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1704 01-03-2019 111902040319Y000017 0001433024111 PITOYO L PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

1705 01-03-2019 111902040319Y000024 0001526265483 BINAH P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1706 01-03-2019 111902040319Y000020 0001795897506 MAROWATI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1707 01-03-2019 111902040319Y000023 0001899058691 MUH ALAM NATHAN HAFIRYAL L PRAJURIT AD Disturbances in tooth Berobat Jalan
eruption
1708 01-03-2019 111902040319Y000033 0001915391531 IFAN MAULANA RISKI SAPUTRA L PBI (APBN) Influenza, virus not Berobat Jalan
identified
1709 01-03-2019 111902040319Y000001 0002051070838 ARJO SUWITO L PEKERJA MANDIRI Fracture of lower end of Rujuk Lanjut
tibia
1710 01-03-2019 111902040319Y000010 0002072282905 MUHAMMAD ISMAIL L PEKERJA MANDIRI Calcification and Rujuk Lanjut
ossification of muscles

1711 01-03-2019 111902040319Y000031 0002221385534 IKHLAS YEKTININGTYAS L PEKERJA MANDIRI Dermatophytosis, Berobat Jalan
unspecified
1712 01-03-2019 111902040319Y000007 0002252524915 SUMENI P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
1713 01-03-2019 111902040319Y000004 0002292511904 SUDIR RAHARJO L PEKERJA MANDIRI Nonorganic sleep Rujuk Lanjut
disorders
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1714 01-03-2019 111902040319Y000030 0002376653883 SUDIYATI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1715 01-03-2019 111902040319Y000003 0002499865751 JUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1716 01-03-2019 111902040319Y000016 0002572671025 PARTO SUDARMO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1717 01-03-2019 111902040319Y000006 0002626424043 PAIMAN MULYODIHARJO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1718 01-03-2019 111902040319Y000728 0002628684911 IRFAN MAULANA RISKY L PBI (APBN) Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically

1719 01-03-2019 111902040319Y000729 0002628834502 SARTO L PBI (APBN) Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically

1720 01-03-2019 111902040319Y000011 0002629458088 MARSONO L PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
1721 01-03-2019 111902040319Y000029 0002744789229 ADRY GRACIO KURNIAWAN L PEKERJA MANDIRI Crushing injury of elbow Rujuk Lanjut

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