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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

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

1 31-07-2019 102320010719P000962 0000071223107 N. ATIKAH P PENERIMA PENSIUN Respiratory tuberculosis Berobat Jalan
PNS unspecified, confirmed
bacteriologically and

2 31-07-2019 102320010719P000829 0000071374961 HJ. TURMINI P PENERIMA PENSIUN Nutritional anaemia, Berobat Jalan
PNS unspecified
3 31-07-2019 102320010719P000951 0000071499508 OMAY MAESAROH P PENERIMA PENSIUN Other disorders of eyelid Berobat Jalan
PNS
4 31-07-2019 102320010719P000964 0000071620604 EPON NAPISAH P PENERIMA PENSIUN Cough Berobat Jalan
PNS
5 31-07-2019 102320010719P000956 0000071755053 NANA DARNA, S.PD L PNS DAERAH Unspecified diabetes Berobat Jalan
mellitus without

6 31-07-2019 102320010719P000954 0000071755064 RADEN ETI SRIMULYATI P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

7 31-07-2019 102320010719P000980 0000437260768 ANGGIAN L PBI (APBN) Asthma Berobat Jalan

8 31-07-2019 102320010719P000961 0000437334568 NURUL KOMARIAH P PBI (APBN) Peptic ulcer, unspecified Sembuh
as acute or chronic,
without haemorrhage or

9 31-07-2019 102320010719P000976 0000437762215 NENG PUTRI AYU DEVI W P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
10 31-07-2019 102320010719P000965 0000437762259 NENG PUTRI AYU DEBI A P PBI (APBN) Atopic dermatitis Berobat Jalan

11 31-07-2019 102320010719P000952 0000437762575 IKOH P PBI (APBN) Cough Berobat Jalan

12 31-07-2019 102320010719P000977 0000438192279 PRIYANTO L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
13 31-07-2019 102320010719P000963 0001098049948 DEDE YENI NURAENI P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

14 31-07-2019 102320010719P000824 0001137149932 TINTIN SUMIATI P PEGAWAI SWASTA Maternal care due to Rujuk Lanjut
uterine scar from previous

15 31-07-2019 102320010719P000809 0001269521605 AZKIYA WIDDIANTI P PEKERJA MANDIRI Epidemic vertigo Rujuk Lanjut

16 31-07-2019 102320010719P000960 0001384035939 RANI YULIANI P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

17 31-07-2019 102320010719P000955 0001662787484 KUSNAEDI L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

18 31-07-2019 102320010719P000814 0001812785376 NANI SUMARNI P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
19 31-07-2019 102320010719P000979 0001880279853 SARNI P PEKERJA MANDIRI Unspecified diabetes Berobat Jalan
mellitus without

20 31-07-2019 102320010719P000953 0001969318528 SULASTRI P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

21 31-07-2019 102320010719P000958 0002051669867 KASMI P PBI (APBD) Unspecified diabetes Berobat Jalan
mellitus without

22 31-07-2019 102320010719P000978 0002182673294 SIDQI WALWAFA L PBI (APBD) Surgical follow-up care, Berobat Jalan
unspecified
23 31-07-2019 102320010719P000959 0002206510604 RUHIAT L PBI (APBD) Congestive heart failure Berobat Jalan

24 31-07-2019 102320010719P000957 0002265772465 KARNAH P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

25 31-07-2019 102320010719P000789 0002265784042 NURHASANAH P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

26 31-07-2019 102320010719P000975 0002287109709 lisnawati P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
27 31-07-2019 102320010719P000800 0002491727286 BAMBANG FRIMANSAH L PEGAWAI SWASTA Tuberculosis of nervous Rujuk Lanjut
system, unspecified
28 31-07-2019 102320010719P000966 0002589069159 MAYSHA NURMALA SARI P PBI (APBN) Fever, unspecified Berobat Jalan

29 31-07-2019 102320010719P000813 0002742356013 RITA JUWITA ASMARA P PEKERJA MANDIRI Other benign neoplasms Rujuk Lanjut
of connective and other

30 31-07-2019 102320010719P000974 0002752900323 SISI MARDIYANI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
31 31-07-2019 102320010719P000794 0002775994896 ISMAIL L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

32 30-07-2019 102320010719P000943 0000070869982 MUCHAMMAD RIAN BAJRAH L PNS DAERAH Examination for admission Berobat Jalan
to educational institution

33 30-07-2019 102320010719P000929 0000070883109 DJEMU L PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

34 30-07-2019 102320010719P000934 0000070883111 KOSIAH P PNS DAERAH Cough Berobat Jalan

35 30-07-2019 102320010719P000774 0000070889332 HERNALIS P PNS DAERAH Necrosis of pulp Rujuk Lanjut

36 30-07-2019 102320010719P000849 0000071214052 AHIN SADILI L PENERIMA PENSIUN Congestive heart failure Berobat Jalan
PNS
37 30-07-2019 102320010719P000837 0000071342379 Rd GILANG GUMILANG P PENERIMA PENSIUN Dyspepsia Sembuh
PNS
38 30-07-2019 102320010719P000930 0000071614765 SUMIATI ARISNAWATI P PENERIMA PENSIUN Peptic ulcer, unspecified Berobat Jalan
PNS as acute or chronic,
without haemorrhage or

39 30-07-2019 102320010719P000926 0000148538204 IRAH RAHMAWATI P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

40 30-07-2019 102320010719P000949 0000437762362 MOHAMAD ANDHIKA FAZRI S L PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

41 30-07-2019 102320010719P001057 0000437856592 RANTI RAHMAWATI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
42 30-07-2019 102320010719P001034 0000437976641 EVI YULIANI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
43 30-07-2019 102320010719P000924 0000438017073 YULIANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
44 30-07-2019 102320010719P000939 0000438314916 LIANA NOVITASARI P PBI (APBN) Fever, unspecified Berobat Jalan

45 30-07-2019 102320010719P001048 0000438644507 TUTI SUMARWATI P PBI (APBN) Respiratory tuberculosis Sembuh
unspecified, confirmed
bacteriologically and

46 30-07-2019 102320010719P000728 0001005771385 IDA ROSIDA P PBI (APBN) Benign neoplasm of Rujuk Lanjut
unspecified site
47 30-07-2019 102320010719P000928 0001005773668 NURHAYATI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

48 30-07-2019 102320010719P000931 0001005780778 DAYAT L PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

49 30-07-2019 102320010719P000759 0001173533703 NITA RAHAYU P PEGAWAI BUMN Female pelvic Rujuk Lanjut
inflammatory disease,

50 30-07-2019 102320010719P000932 0001325189643 SAMIJO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

51 30-07-2019 102320010719P000937 0001328320923 SUGIARTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
52 30-07-2019 102320010719P000726 0001515205629 SIDIQ SYAMBUDI L PEKERJA MANDIRI Nutritional anaemia, Rujuk Lanjut
unspecified
53 30-07-2019 102320010719P000938 0001853988491 DASInEM P PEKERJA MANDIRI Pure hyperglyceridaemia Berobat Jalan

54 30-07-2019 102320010719P000760 0001857894682 R. SUSANTO L PEKERJA MANDIRI Cataract, unspecified Rujuk Lanjut

55 30-07-2019 102320010719P000945 0001878941395 ANI SURYANI P PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

56 30-07-2019 102320010719P000762 0001901694791 suhendro handoyo L PEKERJA MANDIRI Epidemic vertigo Rujuk Lanjut

57 30-07-2019 102320010719P000763 0001903298229 FARIZ AULIA F L PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
retina
58 30-07-2019 102320010719P000764 0002048115857 VERA GANDA TRESNA P PEKERJA MANDIRI Retinopathy of prematurity Rujuk Lanjut

59 30-07-2019 102320010719P000948 0002048952767 partinah P PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

60 30-07-2019 102320010719P000944 0002051678384 OTIJAH P PBI (APBD) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

61 30-07-2019 102320010719P000940 0002051791918 ZAIDAAN FAKHRI MUBARROK L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

62 30-07-2019 102320010719P000843 0002181085885 Herni Suryani P PBI (APBD) Vertigo of central origin Sembuh

63 30-07-2019 102320010719P000950 0002182674857 DINAR REVINA RISMAYANTI P PBI (APBD) Other disorders of teeth Berobat Jalan
and supporting structures
64 30-07-2019 102320010719P000946 0002214874179 RENI P PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

65 30-07-2019 102320010719P000935 0002259164158 YASHMINE AYUNDA CAHYADI P PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

66 30-07-2019 102320010719P000947 0002302301878 SISKA INALISA P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
67 30-07-2019 102320010719P000927 0002322596687 NOVI KUSMAYANTI P PEKERJA MANDIRI Cough Berobat Jalan

68 30-07-2019 102320010719P000727 0002440784709 ADAD SUDIANA L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

69 30-07-2019 102320010719P000941 0002469290286 YOYO HARSOYO L PEKERJA MANDIRI Low back pain Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

70 30-07-2019 102320010719P000933 0002484299553 WARDIN L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
71 30-07-2019 102320010719P000942 0002742356013 RITA JUWITA ASMARA P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

72 30-07-2019 102320010719P000925 0002756134102 LUNA YOLA RAMADANI P PEGAWAI SWASTA Fever, unspecified Berobat Jalan
AHMADIN
73 30-07-2019 102320010719P000936 0002776751559 ENAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
74 29-07-2019 102320010719P000902 0000070880049 NUNUNG NURJANAH P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

75 29-07-2019 102320010719P000888 0000071309733 KOMARUDIN L PENERIMA PENSIUN Peptic ulcer, unspecified Berobat Jalan
PNS as acute or chronic,
without haemorrhage or

76 29-07-2019 102320010719P000658 0000071374961 HJ. TURMINI P PENERIMA PENSIUN Cataract, unspecified Rujuk Lanjut
PNS
77 29-07-2019 102320010719P000882 0000071499508 OMAY MAESAROH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
78 29-07-2019 102320010719P000923 0000071555253 MUHAMAD AMIN BAMBANG L PNS DAERAH Low back pain Berobat Jalan

79 29-07-2019 102320010719P000905 0000071570171 KUSMIATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
80 29-07-2019 102320010719P000689 0000071625251 JAHIDIN L PNS DAERAH Congestive heart failure Rujuk Lanjut

81 29-07-2019 102320010719P000890 0000071709614 SUHARSA L PNS DAERAH Cough Berobat Jalan

82 29-07-2019 102320010719P000891 0000071709625 MIMIN MINTARSIH P PNS DAERAH Cough Berobat Jalan

83 29-07-2019 102320010719P000912 0000071709682 SURYAMAH ANSHORI P PNS DAERAH Other disorders of teeth Berobat Jalan
and supporting structures
84 29-07-2019 102320010719P000840 0000071754748 ELAH ROSILAH,S.PD.,MPD P PNS DAERAH Tension-type headache Sembuh

85 29-07-2019 102320010719P000687 0000071831924 WARIS HAYAT L PNS DAERAH Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
86 29-07-2019 102320010719P000839 0000436454594 EROH P PBI (APBN) Gastro-oesophageal reflux Sembuh
disease
87 29-07-2019 102320010719P000920 0000436933484 ROSIDAH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
88 29-07-2019 102320010719P000909 0000437025756 IKBAL NURHABIB L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

89 29-07-2019 102320010719P000922 0000437347719 ADE ROHIMAH P PBI (APBN) Contraceptive Berobat Jalan
management
90 29-07-2019 102320010719P000793 0000437361851 SELFI HERDIYANI P PBI (APBN) Gastro-oesophageal reflux Sembuh
disease with oesophagitis

91 29-07-2019 102320010719P000842 0000437793502 FITRI NUR HANDINI P PBI (APBN) Typhoid fever Sembuh

92 29-07-2019 102320010719P000921 0000437830929 RITA PURNAMASARI P PBI (APBN) Contraceptive Berobat Jalan
management
93 29-07-2019 102320010719P000919 0000437869394 ENDANG SUSILOWATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
94 29-07-2019 102320010719P000887 0000437943521 ROHYANI P PBI (APBN) Cough Berobat Jalan

95 29-07-2019 102320010719P000886 0000437985292 SUTINAH P PBI (APBN) Headache Berobat Jalan

96 29-07-2019 102320010719P000884 0000437987621 SARAH NOPIANI P PBI (APBN) Headache Berobat Jalan

97 29-07-2019 102320010719P000893 0000437989329 SANIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

98 29-07-2019 102320010719P000881 0000437990398 SALSIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

99 29-07-2019 102320010719P001036 0000438056504 DESI LESTARI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
100 29-07-2019 102320010719P000897 0000438175383 YAYAH P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

101 29-07-2019 102320010719P000907 0001005780159 EEN PUSTA SARI P PBI (APBN) Benign neoplasm of Berobat Jalan
unspecified site
102 29-07-2019 102320010719P000918 0001005784626 SITI TURTININGSIH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
103 29-07-2019 102320010719P001027 0001089553195 LISNA NURMALASARI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
104 29-07-2019 102320010719P001008 0001089553195 LISNA NURMALASARI P PBI (APBN) Other single spontaneous Sembuh
delivery
105 29-07-2019 102320010719P000916 0001125684459 AKMAD SOLEH L PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
106 29-07-2019 102320010719P000915 0001317859727 ETI KUSWATI P PEKERJA MANDIRI Other disorders of teeth Berobat Jalan
and supporting structures
107 29-07-2019 102320010719P000910 0001380877211 TETTY HERAWATI P PENERIMA PENSIUN Fever, unspecified Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

108 29-07-2019 102320010719P000892 0001530833916 YOSEP ALAMSYAH L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

109 29-07-2019 102320010719P000895 0001669522972 ARIN SEPTIANI P PBI (APBD) Periapical abscess with Berobat Jalan
sinus
110 29-07-2019 102320010719P000675 0001670736892 EPI RIANTI P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

111 29-07-2019 102320010719P000889 0001779899613 Yati Suryati P PBI (APBD) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

112 29-07-2019 102320010719P000894 0001804842268 EKA WIDIYANINGRUM P PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

113 29-07-2019 102320010719P000883 0001839328571 IKIN SODIKIN L PEKERJA MANDIRI Dyspepsia Berobat Jalan

114 29-07-2019 102320010719P000917 0001859934104 NURKAMILAH MUHSIN P PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
115 29-07-2019 102320010719P000688 0001871615867 ruhayati P PEKERJA MANDIRI Typhus fever Rujuk Lanjut

116 29-07-2019 102320010719P000841 0001883614836 HASIM L PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
117 29-07-2019 102320010719P000828 0001912072522 FAUZAN ALWIE L PBI (APBN) Other specified viral Berobat Jalan
haemorrhagic fevers
118 29-07-2019 102320010719P000896 0002051681591 FADHIL JUNIAR L PBI (APBD) Fever, unspecified Berobat Jalan

119 29-07-2019 102320010719P000663 0002072764539 TITIN HARTINI P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
120 29-07-2019 102320010719P000899 0002182665723 WAHAB L PBI (APBD) Schizophrenia Berobat Jalan

121 29-07-2019 102320010719P000913 0002223900742 NUR HASANAH P PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
122 29-07-2019 102320010719P000914 0002267202688 HANA KHANZA P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
123 29-07-2019 102320010719P000898 0002273273829 SUPARDI L PEGAWAI SWASTA Myalgia Berobat Jalan

124 29-07-2019 102320010719P000906 0002310964097 muhammad gibran alfarezi L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

125 29-07-2019 102320010719P000903 0002322596687 NOVI KUSMAYANTI P PEKERJA MANDIRI Cough Berobat Jalan

126 29-07-2019 102320010719P000904 0002322597598 nadhira raisya akbar P PEKERJA MANDIRI Cough Berobat Jalan

127 29-07-2019 102320010719P000680 0002464417023 SARMIN SUSANTO L PEKERJA MANDIRI Schizophrenia, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

128 29-07-2019 102320010719P000885 0002491727286 BAMBANG FRIMANSAH L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

129 29-07-2019 102320010719P000659 0002492379742 SALIMAN L PEKERJA MANDIRI Trigeminal neuralgia Rujuk Lanjut

130 29-07-2019 102320010719P000901 0002738255848 SATINEM P PEKERJA MANDIRI Headache Berobat Jalan

131 29-07-2019 102320010719P000900 0002741344029 TOWIAH P PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

132 29-07-2019 102320010719P000908 0002746318059 ATHAFARIZ DZUHAIRI L PBI (APBN) Acute upper respiratory Berobat Jalan
HERYANA infection, unspecified
133 29-07-2019 102320010719P000911 0002795222463 ALDO L Diseases of pulp and Berobat Jalan
periapical tissues
134 28-07-2019 102320010719P000827 0000436933484 ROSIDAH P PBI (APBN) Mild hyperemesis Sembuh
gravidarum
135 28-07-2019 102320010719P001051 0002182669334 YUYUN SADIANTARI P PBI (APBD) Other single spontaneous Sembuh
delivery
136 28-07-2019 102320010719P001068 0002182669334 YUYUN SADIANTARI P PBI (APBD) Antenatal screening, Berobat Jalan
unspecified
137 27-07-2019 102320010719P000812 0000053918649 KURNIA DEWI P PNS DAERAH Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

138 27-07-2019 102320010719P000869 0000062817221 DRA. HJ. AAN SUPIANAH P PNS PUSAT Acute upper respiratory Berobat Jalan
infection, unspecified
139 27-07-2019 102320010719P000876 0000070921067 VIRGIE AULIANSYAH L PNS DAERAH Diseases of pulp and Berobat Jalan
SUGISTHA periapical tissues
140 27-07-2019 102320010719P000838 0000071214052 AHIN SADILI L PENERIMA PENSIUN Congestive heart failure Sembuh
PNS
141 27-07-2019 102320010719P000650 0000071499508 OMAY MAESAROH P PENERIMA PENSIUN Radiculopathy Rujuk Lanjut
PNS
142 27-07-2019 102320010719P000811 0000071665525 DEDI SUPRIADI MR L PNS DAERAH Nausea and vomiting Sembuh

143 27-07-2019 102320010719P000792 0000436852664 MARSIDIN L PBI (APBN) Other and unspecified Sembuh
abdominal pain
144 27-07-2019 102320010719P000864 0000437289478 SAMINGAN L PBI (APBN) Atopic dermatitis Berobat Jalan

145 27-07-2019 102320010719P000880 0000437384496 DADANG HAMDANI L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
146 27-07-2019 102320010719P000836 0000437483373 UCA L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

147 27-07-2019 102320010719P000867 0000437592532 ROHYATI P PBI (APBN) Myalgia Berobat Jalan

148 27-07-2019 102320010719P001043 0000437783411 AAM AMINAH P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
149 27-07-2019 102320010719P000874 0000438378761 SAMIRUN L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

150 27-07-2019 102320010719P000871 0001005779079 HABIB NURSIDIK L PBI (APBN) Cough Berobat Jalan

151 27-07-2019 102320010719P000863 0001005780789 JUARSIH P PBI (APBN) Secondary hypertension Berobat Jalan

152 27-07-2019 102320010719P000652 0001005782455 MISNAH P PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

153 27-07-2019 102320010719P000808 0001089551068 NADILA DESTIANA PUTRI P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

154 27-07-2019 102320010719P000868 0001261094343 YANA CAHYANA L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

155 27-07-2019 102320010719P000875 0001294350333 DELLA ALIFYA PUTRI P PEGAWAI BUMN Other disorders of teeth Berobat Jalan
and supporting structures
156 27-07-2019 102320010719P000872 0001295346712 NANA SUMARNA L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

157 27-07-2019 102320010719P000657 0001475075665 HARTATI ,A.MD. P PEKERJA MANDIRI Unspecified diabetes Berobat Jalan
mellitus without

158 27-07-2019 102320010719P000866 0001779900096 Adah Sohadah P PBI (APBD) Cough Berobat Jalan

159 27-07-2019 102320010719P000835 0001912072522 FAUZAN ALWIE L PBI (APBN) Other specified viral Sembuh
haemorrhagic fevers
160 27-07-2019 102320010719P000826 0002051728604 RUSYATI P PBI (APBD) Severe pre-eclampsia Berobat Jalan

161 27-07-2019 102320010719P000862 0002053954664 IZDAD FAHRUL FANANI L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

162 27-07-2019 102320010719P000649 0002083416074 EVI NOVIAWATI P PEKERJA MANDIRI Atrial septal defect Rujuk Lanjut

163 27-07-2019 102320010719P000870 0002231503929 SARIPUDIN L PEGAWAI SWASTA Asthma Berobat Jalan

164 27-07-2019 102320010719P000879 0002272097125 ASSYIFA PUTRI PADIYANA P PEGAWAI SWASTA Hordeolum and chalazion Berobat Jalan

165 27-07-2019 102320010719P000861 0002295343034 ening herningsih P PEKERJA MANDIRI Unspecified diabetes Berobat Jalan
mellitus without

166 27-07-2019 102320010719P000848 0002397588985 KUSMANA L PBI (APBD) Fatigue fracture of Sembuh
vertebra
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

167 27-07-2019 102320010719P000873 0002423066995 atha mauza mumtaaz L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

168 27-07-2019 102320010719P000810 0002440327083 NOVITA TRI RAHMI P PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

169 27-07-2019 102320010719P000860 0002465245102 FAJHRIL AL MUN'TAJH L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

170 27-07-2019 102320010719P000877 0002465245102 FAJHRIL AL MUN'TAJH L PEKERJA MANDIRI Other specified surgical Berobat Jalan
follow-up care
171 27-07-2019 102320010719P000859 0002466699175 arkha narendra L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

172 27-07-2019 102320010719P000878 0002466699175 arkha narendra L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

173 27-07-2019 102320010719P000865 0002755568935 YULIANA P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

174 26-07-2019 102320010719P000804 0000071132973 TOTO MUHAMAD L PENERIMA PENSIUN TNI Congestive heart failure Sembuh

175 26-07-2019 102320010719P000807 0000437025104 NGADIEM P PBI (APBN) Acute upper respiratory Sembuh
infection, unspecified
176 26-07-2019 102320010719P000574 0000437404948 FITRI OKTAVIANI P PBI (APBN) Fever, unspecified Berobat Jalan

177 26-07-2019 102320010719P000791 0000437505862 ROHMAN L PBI (APBN) Other and unspecified Sembuh
abdominal pain
178 26-07-2019 102320010719P000805 0000437778911 MONDAH P PBI (APBN) Peptic ulcer, unspecified Sembuh
as acute or chronic,
without haemorrhage or

179 26-07-2019 102320010719P000851 0000437833888 ROSIDIN L PBI (APBN) Cough Berobat Jalan

180 26-07-2019 102320010719P000855 0000438001097 FITRIANA P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

181 26-07-2019 102320010719P000852 0000438175383 YAYAH P PBI (APBN) Cough Berobat Jalan

182 26-07-2019 102320010719P000856 0000438347463 SUMIATI SENO P PBI (APBN) Dyspepsia Berobat Jalan

183 26-07-2019 102320010719P001050 0001005775648 ATI SUGIARTI P PBI (APBN) Other single spontaneous Sembuh
delivery
184 26-07-2019 102320010719P001067 0001005775648 ATI SUGIARTI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
185 26-07-2019 102320010719P000858 0001172900171 MILAH SUGIARTI P PEKERJA MANDIRI Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

186 26-07-2019 102320010719P000857 0001201043002 AMELIA INSAN NURSALAM P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

187 26-07-2019 102320010719P000854 0001388539405 FIRDA CAMELLIA SUPRIATNO P PEKERJA MANDIRI Examination for admission Berobat Jalan
to educational institution

188 26-07-2019 102320010719P000610 0001779210527 MOH SUHADI L PBI (APBD) Cataract, unspecified Rujuk Lanjut

189 26-07-2019 102320010719P000573 0001823915529 NANA L PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

190 26-07-2019 102320010719P000850 0001823916104 OOM P PEKERJA MANDIRI Myalgia Berobat Jalan

191 26-07-2019 102320010719P000582 0001825337013 ISEM P PEKERJA MANDIRI Benign neoplasm of ovary Rujuk Lanjut

192 26-07-2019 102320010719P000581 0001825847098 DIYAH NURFAIZAH, S.HI. P PNS DAERAH Maternal care due to Rujuk Lanjut
uterine scar from previous

193 26-07-2019 102320010719P000806 0002052037506 MUSLIHUN L PBI (APBD) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

194 26-07-2019 102320010719P000609 0002197234991 NISA NIZHAN NURFADILLAH P PEKERJA MANDIRI Atrial septal defect Rujuk Lanjut

195 26-07-2019 102320010719P000832 0002232746302 kamal sodri L PEKERJA MANDIRI Other specified viral Berobat Jalan
haemorrhagic fevers
196 26-07-2019 102320010719P000611 0002262564404 SANEM P PEKERJA MANDIRI Cataract, unspecified Rujuk Lanjut

197 26-07-2019 102320010719P000853 0002282730772 SAENUDIN L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

198 25-07-2019 102320010719P000572 0000055257478 ANISA RAKATIWI P PEKERJA MANDIRI Fracture of other Rujuk Lanjut
metacarpal bone, closed
199 25-07-2019 102320010719P000568 0000070898231 NURHAYATI P PNS DAERAH Chronic renal failure, Rujuk Lanjut
unspecified
200 25-07-2019 102320010719P000779 0000071172797 KAROM L PENERIMA PENSIUN TNI Headache Berobat Jalan

201 25-07-2019 102320010719P000781 0000071555231 KAWIAN L PENERIMA PENSIUN Peptic ulcer, unspecified Berobat Jalan
PNS as acute or chronic,
without haemorrhage or

202 25-07-2019 102320010719P000563 0000071610636 NUNUNG KOMALASARI P PNS DAERAH Retinopathy of prematurity Rujuk Lanjut

203 25-07-2019 102320010719P000780 0000071620481 MUSLIKAH P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

204 25-07-2019 102320010719P000786 0000071625385 NENIH NURYETI P PENERIMA PENSIUN Other disorders of teeth Berobat Jalan
PNS and supporting structures
205 25-07-2019 102320010719P000767 0000071668719 MAMAN SETIAWAN L PNS DAERAH Conjunctivitis Berobat Jalan

206 25-07-2019 102320010719P000799 0000071671307 AJAT SAPIANA L PNS DAERAH Other and unspecified Sembuh
abdominal pain
207 25-07-2019 102320010719P000782 0000071721966 SITI NURSAIDAH P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

208 25-07-2019 102320010719P000778 0000071739426 ATUN PRISTIWAHYUNI P PENERIMA PENSIUN Headache Berobat Jalan
PNS
209 25-07-2019 102320010719P000564 0000071791615 PRASAJA L PNS DAERAH Peptic ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

210 25-07-2019 102320010719P000785 0000195177892 MUHLISIN L PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
211 25-07-2019 102320010719P000802 0000199742297 WAHYU PUJI ASTIYANI P PNS PUSAT Other and unspecified Sembuh
abdominal pain
212 25-07-2019 102320010719P000660 0000437329405 KIKI DAESTI P PBI (APBN) Headache Sembuh

213 25-07-2019 102320010719P000803 0000437783668 EROS ROSANAH P PBI (APBN) Melaena Sembuh

214 25-07-2019 102320010719P000773 0000437793502 FITRI NUR HANDINI P PBI (APBN) Fever, unspecified Berobat Jalan

215 25-07-2019 102320010719P000784 0000437897169 SUPRIATI P PBI (APBN) Other disorders of teeth Berobat Jalan
and supporting structures
216 25-07-2019 102320010719P000556 0000976610946 RESSTU FUZI ASTUTI P PEGAWAI SWASTA Preterm labour without Rujuk Lanjut
delivery
217 25-07-2019 102320010719P000761 0001005773174 SUTARYO L PBI (APBN) Headache Berobat Jalan

218 25-07-2019 102320010719P000770 0001109311018 SUPINAH P PRAJURIT AD Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

219 25-07-2019 102320010719P000765 0001316222875 NURHIKMAH P PBI (APBD) Influenza, virus not Berobat Jalan
identified
220 25-07-2019 102320010719P000777 0001447140148 KASTINI P PBI (APBD) Headache Berobat Jalan

221 25-07-2019 102320010719P000788 0001524007585 ROPIANI P PEGAWAI BUMN Other disorders of teeth Berobat Jalan
and supporting structures
222 25-07-2019 102320010719P000787 0001524007596 BENAZIO WAJENDRA RAHAYU L PEGAWAI BUMN Other disorders of teeth Berobat Jalan
and supporting structures
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

223 25-07-2019 102320010719P000772 0001717333514 CHUSNUL HIDAYATI P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

224 25-07-2019 102320010719P000771 0001815040754 ADANG DARYAWAN L PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

225 25-07-2019 102320010719P000775 0001872491578 wawan sujani L PEKERJA MANDIRI Abscess of external ear Berobat Jalan

226 25-07-2019 102320010719P000847 0001889491959 RINA RISMAYANTI P PEGAWAI SWASTA Mild hyperemesis Sembuh
gravidarum
227 25-07-2019 102320010719P000768 0002288567439 ASEP SETIAWAN L PEGAWAI SWASTA Examination for admission Berobat Jalan
to educational institution

228 25-07-2019 102320010719P000801 0002439773537 NURSODIK L PEKERJA MANDIRI Benign neoplasm of Sembuh
prostate
229 25-07-2019 102320010719P000769 0002475383218 DASIEM P PEKERJA MANDIRI Congestive heart failure Berobat Jalan

230 25-07-2019 102320010719P000776 0002491727286 BAMBANG FRIMANSAH L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

231 25-07-2019 102320010719P000549 0002625194621 WATI P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
232 25-07-2019 102320010719P000783 0002738542511 SUMPENO L PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

233 25-07-2019 102320010719P000766 0002744644274 TURYATI P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

234 24-07-2019 102320010719P000485 0000071132973 TOTO MUHAMAD L PENERIMA PENSIUN TNI Congestive heart failure Rujuk Lanjut

235 24-07-2019 102320010719P000513 0000071349399 RISWAN BACHTIAR L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
236 24-07-2019 102320010719P000798 0000071610671 SUKAESIH P PENERIMA PENSIUN Acute upper respiratory Sembuh
PNS infection, unspecified
237 24-07-2019 102320010719P000746 0000071678226 TATI SETIAWATI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
238 24-07-2019 102320010719P000750 0000436982624 ATO SUDARTO L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

239 24-07-2019 102320010719P000747 0000437762575 IKOH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

240 24-07-2019 102320010719P000752 0000438011109 JUNINGSIH P PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

241 24-07-2019 102320010719P000755 0000438029291 DEVI RAHMAWATI P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
242 24-07-2019 102320010719P000744 0000438185474 KARTINI P PBI (APBN) Headache Berobat Jalan

243 24-07-2019 102320010719P000758 0000438192279 PRIYANTO L PBI (APBN) Injury, unspecified Berobat Jalan

244 24-07-2019 102320010719P000521 0001005780598 SAONAH P PBI (APBN) Arthrosis, unspecified Rujuk Lanjut

245 24-07-2019 102320010719P000753 0001064571592 SAELAH P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

246 24-07-2019 102320010719P000831 0001132171547 ASNA L PEGAWAI BUMN Stroke, not specified as Berobat Jalan
haemorrhage or infarction
247 24-07-2019 102320010719P000743 0001382726709 KANAH P PEKERJA MANDIRI Myalgia Berobat Jalan

248 24-07-2019 102320010719P000525 0001842539117 KASIDAH P PBI (APBD) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
249 24-07-2019 102320010719P000796 0002051678384 OTIJAH P PBI (APBD) Low back pain Sembuh

250 24-07-2019 102320010719P000745 0002182674396 ELI HERLI L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

251 24-07-2019 102320010719P000797 0002221950633 ATHAR MAULANA HAKIM L PBI (APBD) Typhoid fever Sembuh

252 24-07-2019 102320010719P000754 0002242535321 MASLAH L PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

253 24-07-2019 102320010719P000685 0002272849323 RISNA NURUL A P PEKERJA MANDIRI Other and unspecified Sembuh
abdominal pain
254 24-07-2019 102320010719P000757 0002397025574 FAZIA YORA NUR RAMSHA P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
255 24-07-2019 102320010719P000751 0002397594069 KURNIASIH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

256 24-07-2019 102320010719P000756 0002605605028 ADAM PEBRIANSYAH L PBI (APBN) Other disorders of teeth Berobat Jalan
and supporting structures
257 24-07-2019 102320010719P000749 0002769659662 CICIH SUMIARSIH P PEKERJA MANDIRI Atopic dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

258 24-07-2019 102320010719P000748 0002769659842 YUNI APRILIANI P PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

259 23-07-2019 102320010719P000723 0000071080648 SITI DOLY DAHLIA P PNS DAERAH Other and unspecified Berobat Jalan
abdominal pain
260 23-07-2019 102320010719P000450 0000071300204 TUTI P PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
261 23-07-2019 102320010719P000683 0000071309733 KOMARUDIN L PENERIMA PENSIUN Congestive heart failure Sembuh
PNS
262 23-07-2019 102320010719P000731 0000071555253 MUHAMAD AMIN BAMBANG L PNS DAERAH Myalgia Berobat Jalan

263 23-07-2019 102320010719P000718 0000071718941 RATMINI P PNS DAERAH Atopic dermatitis Berobat Jalan

264 23-07-2019 102320010719P000477 0000071739832 NANI YULIANI P PNS DAERAH Calculus of kidney Rujuk Lanjut

265 23-07-2019 102320010719P000478 0000437128367 ANEN L PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

266 23-07-2019 102320010719P000736 0000437261859 AGISTA NURAENI P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
267 23-07-2019 102320010719P000740 0000437283292 RASEM P PBI (APBN) Contraceptive Berobat Jalan
management
268 23-07-2019 102320010719P000682 0000437285272 HANNA RAMADANI P PBI (APBN) Other and unspecified Sembuh
abdominal pain
269 23-07-2019 102320010719P000741 0000437487658 SUPRIATIN P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
270 23-07-2019 102320010719P000795 0000437641863 DIKEM P PBI (APBN) Dyspepsia Sembuh

271 23-07-2019 102320010719P000460 0000437738714 PARTI P PBI (APBN) Cataract, unspecified Rujuk Lanjut

272 23-07-2019 102320010719P000456 0000437751922 ADE SETIAWAN L PBI (APBN) Cataract, unspecified Rujuk Lanjut

273 23-07-2019 102320010719P000679 0000437963984 TASUN NURHAYADI L PBI (APBN) Other and unspecified Sembuh
abdominal pain
274 23-07-2019 102320010719P000735 0000438060273 DEWI ANJANI P PBI (APBN) Other disorders of teeth Berobat Jalan
and supporting structures
275 23-07-2019 102320010719P000742 0000438192279 PRIYANTO L PBI (APBN) Abscess of external ear Berobat Jalan

276 23-07-2019 102320010719P000716 0000438694165 DEDI SUTOMO L PBI (APBN) Cough Berobat Jalan

277 23-07-2019 102320010719P001007 0000439019717 TATI HOTIAH P PBI (APBN) Other single spontaneous Sembuh
delivery
278 23-07-2019 102320010719P001026 0000439019717 TATI HOTIAH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
279 23-07-2019 102320010719P001033 0001089538547 DEDE ROMDIAH P PBI (APBN) Contraceptive Berobat Jalan
management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

280 23-07-2019 102320010719P000733 0001089550967 WATINI PRESTIANTI P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

281 23-07-2019 102320010719P000681 0001096496908 EMAN SULAEMAN L ANGGOTA POLRI Essential (primary) Sembuh
hypertension
282 23-07-2019 102320010719P000721 0001141049643 AJAT BAHRUDIN L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

283 23-07-2019 102320010719P000482 0001181612496 FITRI YULIANTI P PEGAWAI SWASTA Premature rupture of Rujuk Lanjut
membranes
284 23-07-2019 102320010719P000830 0001181612496 FITRI YULIANTI P PEGAWAI SWASTA Premature rupture of Berobat Jalan
membranes, unspecified
285 23-07-2019 102320010719P001030 0001181612496 FITRI YULIANTI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
286 23-07-2019 102320010719P000472 0001274352063 SITI ZAETUN ALFIYAH P PNS PUSAT Fracture of shaft of tibia Rujuk Lanjut

287 23-07-2019 102320010719P000738 0001276523651 FITRIANI P PEGAWAI SWASTA General medical Berobat Jalan
examination
288 23-07-2019 102320010719P000737 0001422221343 AYU ROSITA P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
289 23-07-2019 102320010719P000459 0001445566645 ENUNG NURHAYATI P PEKERJA MANDIRI Arthrosis, unspecified Rujuk Lanjut

290 23-07-2019 102320010719P000451 0001477518636 ENOK SINTA P PEGAWAI SWASTA Cataract, unspecified Rujuk Lanjut

291 23-07-2019 102320010719P000732 0001523745279 WARYANI P PEGAWAI SWASTA Examination for admission Berobat Jalan
to educational institution

292 23-07-2019 102320010719P001032 0001669514398 DILA NURAINI SAFITRI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
293 23-07-2019 102320010719P000823 0001669514398 DILA NURAINI SAFITRI P PBI (APBD) Preterm labour without Berobat Jalan
delivery
294 23-07-2019 102320010719P000717 0001779899883 Sayem P PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
295 23-07-2019 102320010719P000684 0001779899883 Sayem P PBI (APBD) Gastro-oesophageal reflux Sembuh
disease with oesophagitis

296 23-07-2019 102320010719P000725 0001781203239 Arsiah Siti Nurhalizah P PBI (APBD) Pure Berobat Jalan
hypercholesterolaemia
297 23-07-2019 102320010719P000484 0001857894682 R. SUSANTO L PEKERJA MANDIRI Non-Hodgkin's lymphoma, Rujuk Lanjut
unspecified type

298 23-07-2019 102320010719P000729 0002091782125 ACEP L PEKERJA MANDIRI Conjunctivitis Berobat Jalan

299 23-07-2019 102320010719P000483 0002181124179 TARWINAH P PBI (APBD) Unspecified diabetes Rujuk Lanjut
mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

300 23-07-2019 102320010719P000846 0002182671224 TINI ASTUTI P PBI (APBD) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

301 23-07-2019 102320010719P000719 0002242535567 SURIPAH P PEKERJA MANDIRI Headache Berobat Jalan

302 23-07-2019 102320010719P000722 0002263394531 AKMAL AL FARIZI KURNIAWAN L PEGAWAI SWASTA Fever, unspecified Berobat Jalan
PUTRA
303 23-07-2019 102320010719P000461 0002276553374 SANIO L PEKERJA MANDIRI Follow-up examination Rujuk Lanjut
after treatment of fracture
304 23-07-2019 102320010719P000471 0002305106368 sadiah P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
305 23-07-2019 102320010719P000734 0002310980466 SARTI L PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
306 23-07-2019 102320010719P000458 0002324339291 SITI ROHIMAH P PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
307 23-07-2019 102320010719P000724 0002396989451 ESIH P PBI (APBD) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

308 23-07-2019 102320010719P000730 0002397599324 DIDIK KUSWARA L PBI (APBD) Examination for admission Berobat Jalan
to educational institution

309 23-07-2019 102320010719P000720 0002397634975 SUPRIONO L PBI (APBD) Examination for admission Berobat Jalan
to educational institution

310 23-07-2019 102320010719P000465 0002467224279 NANANG SUNARTO L PEKERJA MANDIRI Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

311 23-07-2019 102320010719P000466 0002467225765 ARDIAN MAULANA L PEKERJA MANDIRI Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation

312 23-07-2019 102320010719P000479 0002467895332 KATINI P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

313 23-07-2019 102320010719P000473 0002492125705 AGUNG PRASETIO L PEKERJA MANDIRI Fracture of lower end of Rujuk Lanjut
radius
314 23-07-2019 102320010719P000480 0002499397121 fathan rizqi nugraha L PEKERJA MANDIRI Pervasive developmental Rujuk Lanjut
disorder, unspecified
315 23-07-2019 102320010719P000686 0002589085023 DELIA PUTRI ANJANI P PBI (APBN) Other and unspecified Sembuh
abdominal pain
316 23-07-2019 102320010719P001055 0002760888003 EVI HARDIANTI P PEKERJA MANDIRI Routine postpartum Berobat Jalan
follow-up
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

317 23-07-2019 102320010719P000739 0002767079766 YOSI ROSWITA P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
318 23-07-2019 102320010719P000481 0002775369475 SA`ADAH P PEKERJA MANDIRI Peptic ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

319 22-07-2019 102320010719P000822 0000043741438 RITA HENDALIA, BSC P PNS PUSAT Congestive heart failure Berobat Jalan

320 22-07-2019 102320010719P000692 0000053952895 ADAH JUBAEDAH P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

321 22-07-2019 102320010719P000690 0000071316944 SUMINI P PENERIMA PENSIUN Other disorders of teeth Berobat Jalan
PNS and supporting structures
322 22-07-2019 102320010719P000414 0000071668618 RAMISIH P PENERIMA PENSIUN Peptic ulcer, unspecified Rujuk Lanjut
PNS as acute or chronic,
without haemorrhage or

323 22-07-2019 102320010719P000701 0000071692503 SUBRONTO HADI SAPUTRO L PNS DAERAH Fever, unspecified Berobat Jalan

324 22-07-2019 102320010719P000700 0000071840812 MARYATI P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
325 22-07-2019 102320010719P000444 0000193850122 YENI RUBIANTI P PNS DAERAH Maternal care due to Rujuk Lanjut
uterine scar from previous

326 22-07-2019 102320010719P000712 0000193850122 YENI RUBIANTI P PNS DAERAH Examination for admission Berobat Jalan
to educational institution

327 22-07-2019 102320010719P000714 0000437260768 ANGGIAN L PBI (APBN) Asthma Berobat Jalan

328 22-07-2019 102320010719P000673 0000437292764 PONIAH SUGIARTI P PBI (APBN) Myalgia Sembuh

329 22-07-2019 102320010719P000834 0000437414387 YATI P PBI (APBN) Congestive heart failure Berobat Jalan

330 22-07-2019 102320010719P000448 0000437610622 HERDIS L PBI (APBN) Nephrotic syndrome Rujuk Lanjut

331 22-07-2019 102320010719P000676 0000437762338 TETI RAHMAWATI P PBI (APBN) Acute hepatitis A Sembuh

332 22-07-2019 102320010719P000697 0000437923214 ATMO WIARJO L PBI (APBN) Unspecified diabetes Berobat Jalan
mellitus without

333 22-07-2019 102320010719P000691 0000437943521 ROHYANI P PBI (APBN) Congestive heart failure Berobat Jalan

334 22-07-2019 102320010719P000677 0000437963984 TASUN NURHAYADI L PBI (APBN) Unspecified diabetes Sembuh
mellitus without

335 22-07-2019 102320010719P000711 0000438065886 YUNITA P PBI (APBN) Contraceptive Berobat Jalan
management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

336 22-07-2019 102320010719P000694 0000438155728 SARYATI P PBI (APBN) Typhoid fever Berobat Jalan

337 22-07-2019 102320010719P000418 0000438244694 MAEMUNAH P PBI (APBN) Thyrotoxicosis with toxic Rujuk Lanjut
single thyroid nodule
338 22-07-2019 102320010719P000674 0001005774917 SUNARJO L PBI (APBN) Superficial injury of head, Sembuh
part unspecified
339 22-07-2019 102320010719P000705 0001089542182 DIKA FIRMANSYAH L PBI (APBN) Other disorders of teeth Berobat Jalan
and supporting structures
340 22-07-2019 102320010719P000421 0001089545681 SARIMIN L PBI (APBN) Orchitis and epididymitis Rujuk Lanjut

341 22-07-2019 102320010719P000429 0001308451083 TUDI HERMANTO L PEGAWAI PEMERINTAH Peptic ulcer, unspecified Berobat Jalan
DENGAN PERJANJIAN as acute or chronic,
KERJA without haemorrhage or

342 22-07-2019 102320010719P000695 0001447161489 ANI PUSPITASARI P PEGAWAI SWASTA Pure Berobat Jalan
hypercholesterolaemia
343 22-07-2019 102320010719P000567 0001468015435 RAYA ASYIFA L PBI (APBD) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

344 22-07-2019 102320010719P000708 0001665689163 ITA FATIMAH P PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
345 22-07-2019 102320010719P000707 0001665689174 SILVA NUR AZZAHRA P PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
346 22-07-2019 102320010719P000710 0001789992178 SELI MARSELI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
347 22-07-2019 102320010719P000566 0001820657711 cintia dwi setiati P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

348 22-07-2019 102320010719P000703 0001861214027 SUKIRNO L PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

349 22-07-2019 102320010719P000715 0001880279853 SARNI P PEKERJA MANDIRI Unspecified diabetes Berobat Jalan
mellitus without

350 22-07-2019 102320010719P000696 0001967667939 mika trinofia P PEGAWAI SWASTA Other specified disorders Berobat Jalan
of eyelid
351 22-07-2019 102320010719P000698 0002048115857 VERA GANDA TRESNA P PEKERJA MANDIRI Typhoid fever Berobat Jalan

352 22-07-2019 102320010719P000693 0002074521655 ANDI NURRONI, S.S L PEGAWAI SWASTA Examination for admission Berobat Jalan
to educational institution

353 22-07-2019 102320010719P000706 0002182672045 AYU LESTARI P PBI (APBD) Diseases of pulp and Berobat Jalan
periapical tissues
354 22-07-2019 102320010719P000704 0002197585484 SILVIA SYIFA DAMAYANTI P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

355 22-07-2019 102320010719P000821 0002224242854 KASRO L PEKERJA MANDIRI Other specified viral Berobat Jalan
haemorrhagic fevers
356 22-07-2019 102320010719P000420 0002256938166 SRI CAHYATI P PEGAWAI SWASTA Noninflammatory disorders Rujuk Lanjut
of ovary, fallopian tube
and broad ligament

357 22-07-2019 102320010719P000565 0002284665849 SAKIM L PEKERJA MANDIRI Unspecified diabetes Berobat Jalan
mellitus without

358 22-07-2019 102320010719P000678 0002313757361 JUNAEDI L PEKERJA MANDIRI Other and unspecified Sembuh
abdominal pain
359 22-07-2019 102320010719P000699 0002317877864 FAKHRI DINAL MAULANA L PNS PUSAT Fever, unspecified Berobat Jalan
PUTRA
360 22-07-2019 102320010719P000709 0002396990733 SITI ASTUTI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
361 22-07-2019 102320010719P000449 0002425682428 SALIAH P PEKERJA MANDIRI Phobic anxiety disorders Rujuk Lanjut

362 22-07-2019 102320010719P000702 0002429361189 AZZAM KHALIF NURROHMAN L PEGAWAI SWASTA Other atopic dermatitis Berobat Jalan

363 22-07-2019 102320010719P000713 0002429361189 AZZAM KHALIF NURROHMAN L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

364 22-07-2019 102320010719P000430 0002742356013 RITA JUWITA ASMARA P PEKERJA MANDIRI Other benign neoplasms Rujuk Lanjut
of connective and other

365 22-07-2019 102320010719P000425 0002772061839 MIEM P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
366 21-07-2019 102320010719P000409 0000071668618 RAMISIH P PENERIMA PENSIUN Essential (primary) Rujuk Lanjut
PNS hypertension
367 21-07-2019 102320010719P000562 0000438124689 ESO L PBI (APBN) Dyspepsia Sembuh

368 21-07-2019 102320010719P000672 0002009824086 SAMINI P PBI (APBN) Chronic renal failure, Sembuh
unspecified
369 21-07-2019 102320010719P000671 0002294744725 NOVIARA DEWI SETIA P PEGAWAI SWASTA Typhoid fever Sembuh
WARDANI
370 21-07-2019 102320010719P000670 0002313757945 JUWI P PEKERJA MANDIRI Other and unspecified Sembuh
abdominal pain
371 20-07-2019 102320010719P000398 0000055203039 HJ. TASIRAH P PENERIMA PENSIUN Unspecified diabetes Rujuk Lanjut
PNS mellitus without

372 20-07-2019 102320010719P000570 0000070921045 DADAN SUGISTHA L PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

373 20-07-2019 102320010719P000569 0000070921056 ANIH P PNS DAERAH Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

374 20-07-2019 102320010719P000600 0000071678215 KOSIM SUPRIATNA L PENERIMA PENSIUN Headache Berobat Jalan
PNS
375 20-07-2019 102320010719P000820 0000071695585 ABROR L PNS DAERAH Unilateral or unspecified Berobat Jalan
inguinal hernia, with
obstruction, without

376 20-07-2019 102320010719P000405 0000210742997 VENI BUDIYANTI P PEKERJA MANDIRI Impacted teeth Rujuk Lanjut

377 20-07-2019 102320010719P000551 0000422999526 IGO TUGIANTORO L PBI (APBN) Pain localized to upper Sembuh
abdomen
378 20-07-2019 102320010719P001063 0000436500731 RITA MAYANGSARI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
379 20-07-2019 102320010719P000475 0000437455833 CAHWI P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

380 20-07-2019 102320010719P000408 0000437610622 HERDIS L PBI (APBN) Acute nephritic syndrome Rujuk Lanjut

381 20-07-2019 102320010719P000603 0000437989329 SANIAH P PBI (APBN) Contraceptive Berobat Jalan
management
382 20-07-2019 102320010719P000476 0000517120942 JAIS L PBI (APBN) Cough Berobat Jalan

383 20-07-2019 102320010719P000668 0001005775659 LILIS SUMARNI P PBI (APBN) Respiratory tuberculosis Sembuh
unspecified, confirmed
bacteriologically and

384 20-07-2019 102320010719P000474 0001089543385 MINTARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
385 20-07-2019 102320010719P000602 0001226858422 FAJAR RIA GUNARSIH P PRAJURIT AL Supervision of other Berobat Jalan
normal pregnancy
386 20-07-2019 102320010719P000669 0001303519972 SUMIATI P PEKERJA MANDIRI Congestive heart failure Sembuh

387 20-07-2019 102320010719P000403 0001829262396 ILIM P PEKERJA MANDIRI Peptic ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

388 20-07-2019 102320010719P000601 0002310980466 SARTI L PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
389 20-07-2019 102320010719P001054 0002396992397 KEUIS P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
390 20-07-2019 102320010719P000561 0002397588309 SAAD L PBI (APBD) Dyspepsia Sembuh

391 20-07-2019 102320010719P001046 0002397590875 SAMROTUL PUADAH P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
392 20-07-2019 102320010719P000604 0002428832902 MAHOGANY RAKANIAN SILOKA P PEKERJA MANDIRI Benign lipomatous Berobat Jalan
ALMASYK neoplasm
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

393 20-07-2019 102320010719P000571 0002453304745 DESI PURWASIH P PEKERJA MANDIRI Headache Berobat Jalan

394 20-07-2019 102320010719P001045 0002610398979 DEWI LESTARI P PEGAWAI SWASTA Routine postpartum Berobat Jalan
follow-up
395 20-07-2019 102320010719P000667 0002761007365 ALFARIZI PUTRA PRATAMA L PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

396 19-07-2019 102320010719P000592 0000071358974 SAGIMAN L PENERIMA PENSIUN Cough Berobat Jalan
PNS
397 19-07-2019 102320010719P000391 0000071791931 YUDI ARI PRASETIA L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

398 19-07-2019 102320010719P000388 0000437256538 HENI YULIANI P PBI (APBN) Benign neoplasm of Rujuk Lanjut
unspecified site
399 19-07-2019 102320010719P000845 0000437414387 YATI P PBI (APBN) Congestive heart failure Sembuh

400 19-07-2019 102320010719P000554 0000437502341 ARI L PBI (APBN) Fever, unspecified Sembuh

401 19-07-2019 102320010719P000558 0000438207985 YUDI YUDISTIRA L PBI (APBN) Typhoid fever Sembuh

402 19-07-2019 102320010719P001044 0000438256787 KURNIATI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
403 19-07-2019 102320010719P001028 0000477392758 TARKENI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
404 19-07-2019 102320010719P000559 0001005769539 KURNAESIH P PBI (APBN) Low back pain Sembuh

405 19-07-2019 102320010719P000599 0001204702661 LINDA APRIANI P PEGAWAI SWASTA Fever, unspecified Berobat Jalan

406 19-07-2019 102320010719P000560 0001448080492 DEVINA YUNitasari PUTRI P PNS DAERAH Fever, unspecified Sembuh

407 19-07-2019 102320010719P000595 0001530833916 YOSEP ALAMSYAH L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

408 19-07-2019 102320010719P000598 0001779899433 Indra Kiano Putra L PBI (APBD) Other specified disorders Berobat Jalan
of external ear
409 19-07-2019 102320010719P000378 0001871615867 ruhayati P PEKERJA MANDIRI Typhus fever Rujuk Lanjut

410 19-07-2019 102320010719P000555 0001912072612 ZAZKIA AZAHRA P PBI (APBN) Fever, unspecified Sembuh

411 19-07-2019 102320010719P000593 0001969318528 SULASTRI P PNS DAERAH Pure Berobat Jalan
hypercholesterolaemia
412 19-07-2019 102320010719P000666 0002018674708 SITI AISYAH P PBI (APBN) Typhoid fever Sembuh

413 19-07-2019 102320010719P000591 0002047463796 fabian aldiansyah L PEKERJA MANDIRI Other and unspecified Berobat Jalan
abdominal pain
414 19-07-2019 102320010719P000594 0002263394531 AKMAL AL FARIZI KURNIAWAN L PEGAWAI SWASTA Fever, unspecified Berobat Jalan
PUTRA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

415 19-07-2019 102320010719P000389 0002461537978 SADIYAH P PEKERJA MANDIRI Arthrosis, unspecified Rujuk Lanjut

416 19-07-2019 102320010719P000380 0002623276067 PURWATI P PEKERJA MANDIRI Ileus, unspecified Rujuk Lanjut

417 19-07-2019 102320010719P000597 0002769659447 HADLI L PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

418 19-07-2019 102320010719P000596 0002769659662 CICIH SUMIARSIH P PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

419 18-07-2019 102320010719P000516 0000052883144 H. A. MAHIDI, DRS. L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
420 18-07-2019 102320010719P000464 0000071499508 OMAY MAESAROH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
421 18-07-2019 102320010719P000463 0000148538204 IRAH RAHMAWATI P PNS DAERAH Pure Berobat Jalan
hypercholesterolaemia
422 18-07-2019 102320010719P000511 0000436266786 DEWI MURYANTI P PBI (APBN) Cough Berobat Jalan

423 18-07-2019 102320010719P000503 0000436507705 RIZAL ARIZMAN L PBI (APBN) Other disorders of eyelid Berobat Jalan

424 18-07-2019 102320010719P000497 0000436935249 CEPI PERMANA L PBI (APBN) Examination for admission Berobat Jalan
to educational institution

425 18-07-2019 102320010719P000590 0000437111289 SUTIAH P PBI (APBN) Headache Berobat Jalan

426 18-07-2019 102320010719P000502 0000437725045 ARDIAN NOVYANSAH L PBI (APBN) Fever, unspecified Berobat Jalan

427 18-07-2019 102320010719P000586 0000437786919 YAYAH HAERIAH P PBI (APBN) Atopic dermatitis Berobat Jalan

428 18-07-2019 102320010719P000345 0000438005845 DEDE MINTATI P PBI (APBN) Hydatidiform mole, Rujuk Lanjut
unspecified
429 18-07-2019 102320010719P000508 0000438156663 MUHAMAD ALFIAN L PBI (APBN) Fever, unspecified Berobat Jalan

430 18-07-2019 102320010719P000665 0000438644507 TUTI SUMARWATI P PBI (APBN) Dyspepsia Sembuh

431 18-07-2019 102320010719P000377 0000477392758 TARKENI P PEGAWAI SWASTA Maternal care for breech Rujuk Lanjut
presentation
432 18-07-2019 102320010719P000588 0001005780969 NINING SARININGSIH P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
433 18-07-2019 102320010719P000500 0001089537715 IRAH SUTIRAH P PBI (APBN) Headache Berobat Jalan

434 18-07-2019 102320010719P000506 0001166873319 AJI SENTIAJI L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

435 18-07-2019 102320010719P000512 0001292655036 AISAH HARYANTI P PEKERJA MANDIRI Headache Berobat Jalan

436 18-07-2019 102320010719P000584 0001292732998 juanda L PEKERJA MANDIRI Headache Berobat Jalan

437 18-07-2019 102320010719P000587 0001309828274 PURNAMA L PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

438 18-07-2019 102320010719P000325 0001803871192 wulan L PNS DAERAH Thalassaemia, unspecified Rujuk Lanjut

439 18-07-2019 102320010719P001065 0001827226405 NONY ROSTIANI P PEGAWAI SWASTA Routine postpartum Berobat Jalan
follow-up
440 18-07-2019 102320010719P000374 0001841911907 RUSIN L PEKERJA MANDIRI Cataract, unspecified Rujuk Lanjut

441 18-07-2019 102320010719P000498 0001903597266 hafizh nur fadilah L PEGAWAI SWASTA Cough Berobat Jalan

442 18-07-2019 102320010719P000552 0002009794105 TUTI NURHAYATI P PEKERJA MANDIRI Fever, unspecified Sembuh

443 18-07-2019 102320010719P000505 0002051649606 SIDIN L PBI (APBD) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

444 18-07-2019 102320010719P000515 0002051757562 ARRAFI WINO SAPUTRA L PBI (APBD) Diseases of pulp and Berobat Jalan
periapical tissues
445 18-07-2019 102320010719P000819 0002089663053 SYARIPUDIN L PEKERJA MANDIRI Other specified viral Berobat Jalan
haemorrhagic fevers
446 18-07-2019 102320010719P000375 0002090160358 JUWATI P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

447 18-07-2019 102320010719P000509 0002182672642 WIATI P PBI (APBD) Myalgia Berobat Jalan

448 18-07-2019 102320010719P000501 0002182673384 SYEHFI AFIFUDIN L PBI (APBD) Examination for admission Berobat Jalan
to educational institution

449 18-07-2019 102320010719P000514 0002197585484 SILVIA SYIFA DAMAYANTI P PEKERJA MANDIRI Other disorders of teeth Berobat Jalan
and supporting structures
450 18-07-2019 102320010719P000462 0002212518227 NIA LESTIANA P PEKERJA MANDIRI Cough Berobat Jalan

451 18-07-2019 102320010719P000507 0002224242854 KASRO L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

452 18-07-2019 102320010719P000790 0002224242854 KASRO L PEKERJA MANDIRI Nutritional anaemia, Sembuh
unspecified
453 18-07-2019 102320010719P000589 0002397070607 KODIRAN L PBI (APBD) Low back pain Berobat Jalan

454 18-07-2019 102320010719P000376 0002398524096 TUKIMAN HERY PURWANTO L PBI (APBD) Benign neoplasm of eye Rujuk Lanjut
and adnexa
455 18-07-2019 102320010719P000585 0002398524107 RUSMIATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
456 18-07-2019 102320010719P000504 0002491727286 BAMBANG FRIMANSAH L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

457 18-07-2019 102320010719P000510 0002588745993 SOLIHIN L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

458 18-07-2019 102320010719P001006 0002588746206 DEVI INDRIANI SETIA RAHAYU P PBI (APBN) Other single spontaneous Sembuh
delivery
459 18-07-2019 102320010719P001025 0002588746206 DEVI INDRIANI SETIA RAHAYU P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
460 18-07-2019 102320010719P000499 0002619902081 AHMAD RISMANTO L PBI (APBD) Pure hyperglyceridaemia Berobat Jalan

461 18-07-2019 102320010719P000583 0002744644274 TURYATI P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

462 17-07-2019 102320010719P000469 0000070851251 LEONY GUSTAVIANI P PNS DAERAH Other disorders of teeth Berobat Jalan
and supporting structures
463 17-07-2019 102320010719P000304 0000071279414 IBRAHIM SUTRISNA L PENERIMA PENSIUN Cataract, unspecified Rujuk Lanjut
PNS
464 17-07-2019 102320010719P000488 0000071668765 TUMIRAH P PENERIMA PENSIUN Follow-up examination Berobat Jalan
PNS after surgery for other

465 17-07-2019 102320010719P000486 0000071755503 TUTI SUTRIAMI, S.PD P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

466 17-07-2019 102320010719P000303 0000201109195 SUKIMAN PRAMONO L PNS DAERAH Other benign neoplasm of Rujuk Lanjut
connective and other soft

467 17-07-2019 102320010719P000468 0000210742997 VENI BUDIYANTI P PEKERJA MANDIRI Other disorders of teeth Berobat Jalan
and supporting structures
468 17-07-2019 102320010719P000493 0000436680459 DEDE ROHIMAH P PBI (APBN) Headache Berobat Jalan

469 17-07-2019 102320010719P000489 0000437280221 MUTIAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
470 17-07-2019 102320010719P000490 0000437281481 RASYA MAULANI Z P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
471 17-07-2019 102320010719P000492 0000437334568 NURUL KOMARIAH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

472 17-07-2019 102320010719P000553 0000437624302 ANA SAPUTRI P PBI (APBN) Typhoid fever Sembuh

473 17-07-2019 102320010719P000495 0000438051418 UUT UTINAH P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

474 17-07-2019 102320010719P000491 0000438058945 EPIN L PBI (APBN) Examination for admission Berobat Jalan
to educational institution
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

475 17-07-2019 102320010719P000487 0000438059676 RISWANTO L PBI (APBN) Examination for admission Berobat Jalan
to educational institution

476 17-07-2019 102320010719P000455 0000977731288 ALZAM BADRUZ ZAMAN L PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

477 17-07-2019 102320010719P000457 0001261094343 YANA CAHYANA L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

478 17-07-2019 102320010719P000452 0001439567741 KHOIRUL AZAM L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

479 17-07-2019 102320010719P000454 0001882495787 cyntia khoerun nizza P PEGAWAI SWASTA Nausea and vomiting Berobat Jalan

480 17-07-2019 102320010719P000453 0002218982455 SITI SAODAH P PEGAWAI SWASTA Pure hyperglyceridaemia Berobat Jalan

481 17-07-2019 102320010719P000470 0002255029345 KUSWATI P PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
482 17-07-2019 102320010719P000494 0002397069944 NURHAYATI P PBI (APBD) Cough Berobat Jalan

483 17-07-2019 102320010719P000664 0002397633423 SUMIRAH P PBI (APBD) Depressive episode Sembuh

484 17-07-2019 102320010719P000410 0002485212939 ARSADI L PEKERJA MANDIRI Nutritional anaemia, Sembuh
unspecified
485 17-07-2019 102320010719P000467 0002485212939 ARSADI L PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

486 17-07-2019 102320010719P000496 0002490220394 KANIA INAWATI P PBI (APBD) Cough Berobat Jalan

487 16-07-2019 102320010719P001024 0000438205151 MARSINI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
488 16-07-2019 102320010719P001005 0000438205151 MARSINI P PBI (APBN) Other single spontaneous Sembuh
delivery
489 16-07-2019 102320010719P000423 0001822101502 TUMINEM P PEGAWAI SWASTA Other and unspecified Sembuh
abdominal pain
490 16-07-2019 102320010719P000253 0001822818903 BENI SINTARO L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

491 16-07-2019 102320010719P000411 0001839662054 SOLIHIN L PEKERJA MANDIRI Other and unspecified Sembuh
abdominal pain
492 16-07-2019 102320010719P000254 0001844804621 RAHMAT TIA SETIAWAN L PNS DAERAH Fracture of clavicle Rujuk Lanjut

493 16-07-2019 102320010719P000422 0002207846362 ROTUN MUHLISUN L PEKERJA MANDIRI Stroke, not specified as Sembuh
haemorrhage or infarction
494 16-07-2019 102320010719P000255 0002209423241 YUSFAH KAMIJAH P PEKERJA MANDIRI Other specified Rujuk Lanjut
noninflammatory disorders
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

495 16-07-2019 102320010719P000818 0002228200885 ENAH NURHASANAH P PEKERJA MANDIRI Nutritional anaemia, Berobat Jalan
unspecified
496 15-07-2019 102320010719P000235 0000071091854 DARSIH P PENERIMA PENSIUN TNI Chronic obstructive Rujuk Lanjut
pulmonary disease,

497 15-07-2019 102320010719P000231 0000071396752 TJUTJU SOEMANTRI L PENERIMA PENSIUN Inguinal hernia Rujuk Lanjut
PNS
498 15-07-2019 102320010719P000440 0000071398473 TUGIMAN L PENERIMA PENSIUN Other viral conjunctivitis Berobat Jalan
PNS
499 15-07-2019 102320010719P000435 0000071661644 NASRUDIN L PENERIMA PENSIUN Unspecified diabetes Berobat Jalan
PNS mellitus without

500 15-07-2019 102320010719P000439 0000071791648 PURWAHYUNI P PNS DAERAH Examination for admission Berobat Jalan
to educational institution

501 15-07-2019 102320010719P000579 0000071792065 TUNJIAH P PNS DAERAH Arthrosis, unspecified Berobat Jalan

502 15-07-2019 102320010719P000438 0000148538204 IRAH RAHMAWATI P PNS DAERAH Headache Berobat Jalan

503 15-07-2019 102320010719P000442 0000167365844 ESIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
504 15-07-2019 102320010719P001004 0000437320809 LENI FITRIANI P PBI (APBN) Other single spontaneous Sembuh
delivery
505 15-07-2019 102320010719P001023 0000437320809 LENI FITRIANI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
506 15-07-2019 102320010719P000433 0000437345471 PONIEM P PBI (APBN) Conjunctivitis Berobat Jalan

507 15-07-2019 102320010719P000236 0000437446203 SINTA PUSPITASARI P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

508 15-07-2019 102320010719P000443 0000437493464 ARIS DWI WAHYUDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

509 15-07-2019 102320010719P001022 0000437571922 HENI FITRIANI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
510 15-07-2019 102320010719P001003 0000437571922 HENI FITRIANI P PBI (APBN) Other single spontaneous Sembuh
delivery
511 15-07-2019 102320010719P000578 0000437719274 INEM P PBI (APBN) Low back pain Berobat Jalan

512 15-07-2019 102320010719P000437 0000437738185 SARIPUDIN L PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

513 15-07-2019 102320010719P000233 0000437738714 PARTI P PBI (APBN) Cataract, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

514 15-07-2019 102320010719P000232 0000437751922 ADE SETIAWAN L PBI (APBN) Cataract, unspecified Rujuk Lanjut

515 15-07-2019 102320010719P000447 0000437887967 SRI RAHAYU P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
516 15-07-2019 102320010719P000434 0000437985292 SUTINAH P PBI (APBN) Pure hyperglyceridaemia Berobat Jalan

517 15-07-2019 102320010719P001047 0000437989004 RESA P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
518 15-07-2019 102320010719P000419 0000438084472 TUSINAH P PBI (APBN) Other and unspecified Sembuh
abdominal pain
519 15-07-2019 102320010719P000436 0000438347463 SUMIATI SENO P PBI (APBN) Other chest pain Berobat Jalan

520 15-07-2019 102320010719P001069 0001089538547 DEDE ROMDIAH P PBI (APBN) Contraceptive Berobat Jalan
management
521 15-07-2019 102320010719P000432 0001451980811 RUBINGAH P PEKERJA MANDIRI Other chest pain Berobat Jalan

522 15-07-2019 102320010719P000404 0001778469906 KARSIH P PBI (APBD) Epidemic vertigo Sembuh

523 15-07-2019 102320010719P000402 0001779899095 Narman L PBI (APBD) Low back pain Sembuh

524 15-07-2019 102320010719P000426 0001779900131 Dedi Kusmayadi L PBI (APBD) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

525 15-07-2019 102320010719P000252 0001804476025 ADITYA BAYU PRAYOGA L PEKERJA MANDIRI Other specified dermatitis Rujuk Lanjut

526 15-07-2019 102320010719P000401 0001867344052 OMAN L PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

527 15-07-2019 102320010719P000428 0002045701978 UU SURAHMAN L PEGAWAI SWASTA Cough Berobat Jalan

528 15-07-2019 102320010719P000237 0002048115857 VERA GANDA TRESNA P PEKERJA MANDIRI Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

529 15-07-2019 102320010719P000239 0002061467919 ITA SULASIAH P PEGAWAI SWASTA Maternal care due to Rujuk Lanjut
uterine scar from previous

530 15-07-2019 102320010719P000445 0002065498784 SUSANTI P PEKERJA MANDIRI Other disorders of teeth Berobat Jalan
and supporting structures
531 15-07-2019 102320010719P000662 0002089663053 SYARIPUDIN L PEKERJA MANDIRI Typhoid fever Sembuh

532 15-07-2019 102320010719P000446 0002182670155 WELI NURMALASARI P PBI (APBD) Diseases of pulp and Berobat Jalan
periapical tissues
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

533 15-07-2019 102320010719P000575 0002196682931 HIRMAN L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

534 15-07-2019 102320010719P000412 0002212519004 MUHAMMAD MALDO PERMANA L PEKERJA MANDIRI Typhoid fever Sembuh

535 15-07-2019 102320010719P000416 0002228200885 ENAH NURHASANAH P PEKERJA MANDIRI Stroke, not specified as Sembuh
haemorrhage or infarction
536 15-07-2019 102320010719P000441 0002255540354 GHERA IMROATUSSHALIHAH P PEGAWAI SWASTA Examination for admission Berobat Jalan
to educational institution

537 15-07-2019 102320010719P000238 0002272586703 e sutisna L PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
538 15-07-2019 102320010719P000580 0002272850886 INDRI JULIANTI P PEKERJA MANDIRI Headache Berobat Jalan

539 15-07-2019 102320010719P000417 0002282730772 SAENUDIN L PBI (APBD) Dyspepsia Sembuh

540 15-07-2019 102320010719P000577 0002320437532 SUHENDI L PEKERJA MANDIRI Typhoid fever Berobat Jalan

541 15-07-2019 102320010719P000431 0002320437914 SITI HALIMAH P PEKERJA MANDIRI General medical Berobat Jalan
examination
542 15-07-2019 102320010719P000427 0002397591167 SIKIN L PBI (APBD) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

543 15-07-2019 102320010719P000400 0002589069306 CALI L PBI (APBN) Congestive heart failure Sembuh

544 15-07-2019 102320010719P000234 0002737910024 RUMSINAH P PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

545 15-07-2019 102320010719P000576 0002744644274 TURYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
546 15-07-2019 102320010719P000250 0002758406163 DISEM P PEKERJA MANDIRI Cataract, unspecified Rujuk Lanjut

547 15-07-2019 102320010719P000249 0002758406872 KATMINI P PEKERJA MANDIRI Arthrosis, unspecified Rujuk Lanjut

548 15-07-2019 102320010719P000251 0002758407107 SHALLY NURANDIYANI P PEKERJA MANDIRI Tuberculosis of other Rujuk Lanjut
specified organs
549 14-07-2019 102320010719P000399 0000071385884 JUANINGSIH P PENERIMA PENSIUN Diarrhoea and Sembuh
PNS gastroenteritis of
presumed infectious origin

550 14-07-2019 102320010719P000415 0000436927702 RANDI L PBI (APBN) Typhoid fever Sembuh

551 14-07-2019 102320010719P001056 0000437196993 SUSI SUSILAWATI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

552 14-07-2019 102320010719P001021 0000438288513 ATIN SUPRIATIN P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
553 14-07-2019 102320010719P001002 0000438288513 ATIN SUPRIATIN P PBI (APBN) Other single spontaneous Sembuh
delivery
554 14-07-2019 102320010719P001001 0001776927971 TURYATI P PBI (APBD) Other single spontaneous Sembuh
delivery
555 14-07-2019 102320010719P000413 0001880279853 SARNI P PEKERJA MANDIRI Unspecified diabetes Sembuh
mellitus without

556 14-07-2019 102320010719P000264 0002503668475 FINA ALFIANI P PEGAWAI SWASTA Acute appendicitis Berobat Jalan

557 13-07-2019 102320010719P000557 0000437970802 WATIPAH P PBI (APBN) Other acute viral hepatitis Sembuh

558 13-07-2019 102320010719P000973 0000438095643 RIANA PUTRA BRAMASTA L PBI (APBN) Examination for admission Berobat Jalan
to educational institution

559 13-07-2019 102320010719P000395 0000438507077 MELIA P PBI (APBN) Other and unspecified Sembuh
abdominal pain
560 13-07-2019 102320010719P000215 0001173533703 NITA RAHAYU P PEGAWAI BUMN Gastro-oesophageal reflux Rujuk Lanjut
disease
561 13-07-2019 102320010719P000968 0001302140204 H HAMBALI WISASTRA L PEKERJA MANDIRI Low back pain Berobat Jalan

562 13-07-2019 102320010719P001020 0001776927971 TURYATI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
563 13-07-2019 102320010719P001000 0001776927971 TURYATI P PBI (APBD) Other single spontaneous Sembuh
delivery
564 13-07-2019 102320010719P000397 0001779899095 Narman L PBI (APBD) Acute renal failure, Sembuh
unspecified
565 13-07-2019 102320010719P000217 0001829262396 ILIM P PEKERJA MANDIRI Mixed anxiety and Rujuk Lanjut
depressive disorder
566 13-07-2019 102320010719P000970 0001866303472 MUHAMAD SUPRIYO L PEGAWAI SWASTA Pure Berobat Jalan
hypercholesterolaemia
567 13-07-2019 102320010719P000214 0001880370202 tukiman L PEKERJA MANDIRI Parkinson's disease Rujuk Lanjut

568 13-07-2019 102320010719P000971 0001887298773 ROHIMAN NURHIDAYAT L PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

569 13-07-2019 102320010719P000972 0001887300819 MIRA NUR LAELASARI P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
570 13-07-2019 102320010719P000394 0001902747699 edi hadiana L PEKERJA MANDIRI Other and unspecified Sembuh
abdominal pain
571 13-07-2019 102320010719P000407 0002051679914 DASI P PBI (APBD) Other and unspecified Sembuh
abdominal pain
572 13-07-2019 102320010719P000424 0002427911256 ade raswin L PEKERJA MANDIRI Typhoid fever Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

573 13-07-2019 102320010719P000969 0002446969206 BANIRAH P PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

574 13-07-2019 102320010719P000967 0002463774568 bayi ny NITA RAHAYU L PEGAWAI BUMN Acute upper respiratory Berobat Jalan
infection, unspecified
575 13-07-2019 102320010719P000396 0002588746678 WARDI L PBI (APBN) Respiratory tuberculosis Sembuh
unspecified, confirmed
bacteriologically and

576 12-07-2019 102320010719P001031 0000055196572 YOKE ASTRIANI P PEGAWAI PEMERINTAH Supervision of other Berobat Jalan
DENGAN PERJANJIAN normal pregnancy

577 12-07-2019 102320010719P000647 0000071010977 ARDJO L VETERAN Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

578 12-07-2019 102320010719P000646 0000071011001 DJUMAESIH P VETERAN Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

579 12-07-2019 102320010719P000654 0000071119484 RUKIYAH P PENERIMA PENSIUN TNI Myalgia Berobat Jalan

580 12-07-2019 102320010719P000648 0000071358974 SAGIMAN L PENERIMA PENSIUN Cough Berobat Jalan
PNS
581 12-07-2019 102320010719P000262 0000162494919 ROHEDI LANTANG MAHARI L PEKERJA MANDIRI Congestive heart failure Berobat Jalan

582 12-07-2019 102320010719P000984 0000437510406 NURAENI P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

583 12-07-2019 102320010719P000988 0000437639916 ZIFARA SALSABILA P PBI (APBN) Fever, unspecified Berobat Jalan

584 12-07-2019 102320010719P000656 0000437711499 WIDA YANTINING SARI P PBI (APBN) Examination for admission Berobat Jalan
to educational institution

585 12-07-2019 102320010719P000387 0000437762259 NENG PUTRI AYU DEBI A P PBI (APBN) Asthma, unspecified Sembuh

586 12-07-2019 102320010719P000653 0000437791443 RINDIANI P PBI (APBN) Examination for admission Berobat Jalan
to educational institution

587 12-07-2019 102320010719P000393 0000438083921 RIA SEPTIANINGSIH P PBI (APBN) Status asthmaticus Sembuh

588 12-07-2019 102320010719P000986 0000438423873 SURYANI P PNS DAERAH Cough Berobat Jalan

589 12-07-2019 102320010719P000985 0000438424402 RIRIN PURWANTI P PNS DAERAH Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

590 12-07-2019 102320010719P000392 0001089550967 WATINI PRESTIANTI P PBI (APBN) Peptic ulcer, unspecified Sembuh
as acute or chronic,
without haemorrhage or

591 12-07-2019 102320010719P000213 0001268438253 BARTI P PEKERJA MANDIRI Paraesthesia of skin Rujuk Lanjut

592 12-07-2019 102320010719P000983 0001407074196 RONIAH P PBI (APBD) Other inflammation of Berobat Jalan
eyelid
593 12-07-2019 102320010719P000981 0001435994458 ANTO PERMONO L PBI (APBD) Myalgia Berobat Jalan

594 12-07-2019 102320010719P000212 0001442847093 SUWARNO L PEKERJA MANDIRI Haemorrhoids Rujuk Lanjut

595 12-07-2019 102320010719P001042 0001797387333 IMA APRIYANI P PEKERJA MANDIRI Routine postpartum Berobat Jalan
follow-up
596 12-07-2019 102320010719P000210 0001962220792 gunarso L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

597 12-07-2019 102320010719P000982 0001969800939 murtinah P PBI (APBD) Cough Berobat Jalan

598 12-07-2019 102320010719P000989 0002047462108 TEGUH RIYANTO L PEKERJA MANDIRI Headache Berobat Jalan

599 12-07-2019 102320010719P000211 0002055154296 pasha abqary L PEGAWAI SWASTA Infantile cerebral palsy, Rujuk Lanjut
unspecified
600 12-07-2019 102320010719P000655 0002182675083 ROHIMAT L PBI (APBD) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

601 12-07-2019 102320010719P000390 0002256938166 SRI CAHYATI P PEGAWAI SWASTA Typhoid fever Sembuh

602 12-07-2019 102320010719P000386 0002290626224 NURUL FIBRIANA SAPUTRI L PEKERJA MANDIRI Other peripheral vertigo Sembuh

603 12-07-2019 102320010719P000263 0002325580828 ETI WATI P PEKERJA MANDIRI Congestive heart failure Berobat Jalan

604 12-07-2019 102320010719P001060 0002397633085 PANTES WULANDARI P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
605 12-07-2019 102320010719P000651 0002456077421 SENDI RIANTO L PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

606 12-07-2019 102320010719P000987 0002622249066 RAGIL DWI ALBIAN L PBI (APBN) Cough Berobat Jalan

607 11-07-2019 102320010719P000209 0000071050656 AAN SUTIANAH, S.AG P PNS PUSAT Glaucoma suspect Rujuk Lanjut

608 11-07-2019 102320010719P000184 0000071415167 RENTIANINGSIH P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
609 11-07-2019 102320010719P000635 0000071692503 SUBRONTO HADI SAPUTRO L PNS DAERAH Headache Berobat Jalan

610 11-07-2019 102320010719P000197 0000071721955 SLAMET RIYADI L PNS DAERAH Follow-up examination Rujuk Lanjut
after surgery for other
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

611 11-07-2019 102320010719P000185 0000071812618 HASANAH P PNS DAERAH Diabetic retinopathy Rujuk Lanjut

612 11-07-2019 102320010719P000631 0000197419667 TEGAR APRIANANDA L PENERIMA PENSIUN TNI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

613 11-07-2019 102320010719P000627 0000203558398 DIKRI MAULANA L PNS PUSAT Examination for admission Berobat Jalan
to educational institution

614 11-07-2019 102320010719P001018 0000437574723 ENI NUR JULIANTI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
615 11-07-2019 102320010719P000998 0000437574723 ENI NUR JULIANTI P PBI (APBN) Other single spontaneous Sembuh
delivery
616 11-07-2019 102320010719P000636 0000438083921 RIA SEPTIANINGSIH P PBI (APBN) Dyspepsia Berobat Jalan

617 11-07-2019 102320010719P000626 0000438162748 ATI SUGIARTI P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

618 11-07-2019 102320010719P000633 0000438399459 RASITEM P PBI (APBN) Headache Berobat Jalan

619 11-07-2019 102320010719P000628 0000438644507 TUTI SUMARWATI P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

620 11-07-2019 102320010719P000385 0000438644507 TUTI SUMARWATI P PBI (APBN) Respiratory tuberculosis Sembuh
unspecified, confirmed
bacteriologically and

621 11-07-2019 102320010719P000188 0001005771082 SITI ATIKAH P PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
622 11-07-2019 102320010719P000189 0001005775187 SUKIRMAN L PBI (APBN) Congestive heart failure Rujuk Lanjut

623 11-07-2019 102320010719P000191 0001005777156 WIKARTA L PBI (APBN) Retention of urine Rujuk Lanjut

624 11-07-2019 102320010719P000642 0001005849527 SINTA P PBI (APBN) Contraceptive Berobat Jalan
management
625 11-07-2019 102320010719P000645 0001127533059 YONO KIONO L PEGAWAI SWASTA Attention to surgical Berobat Jalan
dressings and sutures
626 11-07-2019 102320010719P000825 0001291324779 SUSANTI P PEGAWAI SWASTA Premature rupture of Berobat Jalan
membranes, unspecified
627 11-07-2019 102320010719P001052 0001291324779 SUSANTI P PEGAWAI SWASTA Premature rupture of Berobat Jalan
membranes, unspecified
628 11-07-2019 102320010719P000208 0001397850805 SITI NURHASANAH P PEKERJA MANDIRI Hypermetropia Rujuk Lanjut

629 11-07-2019 102320010719P000640 0001436384261 RIFKI AFRIZAL RIYANTO L PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

630 11-07-2019 102320010719P000643 0001668977291 YATI SUMIATI P PBI (APBD) Contraceptive Berobat Jalan
management
631 11-07-2019 102320010719P000641 0001842724438 NADIA NABIILA RAHMAH R P PEGAWAI PEMERINTAH Dysmenorrhoea, Berobat Jalan
DENGAN PERJANJIAN unspecified

632 11-07-2019 102320010719P000639 0001878701016 JESNITA ANGGUN SYAKILA P PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
633 11-07-2019 102320010719P000630 0001883583562 AAH P PEKERJA MANDIRI Other acute conjunctivitis Berobat Jalan

634 11-07-2019 102320010719P000629 0001905788024 ERIk ERTANTO L PEKERJA MANDIRI Headache Berobat Jalan

635 11-07-2019 102320010719P000190 0001963372882 HJ. CASI P PEKERJA MANDIRI Follow-up examination Rujuk Lanjut
after treatment of fracture
636 11-07-2019 102320010719P000634 0001997297684 PAINO L PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

637 11-07-2019 102320010719P000637 0002051681591 FADHIL JUNIAR L PBI (APBD) Diseases of pulp and Berobat Jalan
periapical tissues
638 11-07-2019 102320010719P000638 0002051683874 IDA NINGSIH P PBI (APBD) Diseases of pulp and Berobat Jalan
periapical tissues
639 11-07-2019 102320010719P000186 0002072764539 TITIN HARTINI P PEKERJA MANDIRI Secondary hypertension Berobat Jalan

640 11-07-2019 102320010719P000625 0002182674767 ITI P PBI (APBD) Arthrosis, unspecified Berobat Jalan

641 11-07-2019 102320010719P000817 0002232929698 SUYANTO L PBI (APBD) Other specified viral Berobat Jalan
haemorrhagic fevers
642 11-07-2019 102320010719P000624 0002262564404 SANEM P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

643 11-07-2019 102320010719P000644 0002397058817 NURHIDAYAH P PBI (APBD) Fever, unspecified Berobat Jalan

644 11-07-2019 102320010719P000187 0002397751716 NATAM L PBI (APBD) Unspecified haemorrhoids Rujuk Lanjut
without complication

645 11-07-2019 102320010719P000999 0002749455066 SITI DWI NOER BAROKAH P PEKERJA MANDIRI Other single spontaneous Sembuh
delivery
646 11-07-2019 102320010719P001019 0002749455066 SITI DWI NOER BAROKAH P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
647 11-07-2019 102320010719P000632 0002759902929 ARNAH P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

648 11-07-2019 102320010719P000200 0002769897374 SETIAWATI P PEKERJA MANDIRI Nontoxic goitre, Rujuk Lanjut
unspecified
649 10-07-2019 102320010719P000178 0000070934332 LENI HERLINA P PNS DAERAH Fracture of lower end of Rujuk Lanjut
humerus, closed
650 10-07-2019 102320010719P000619 0000071057643 HERMAN, S.PD.I L PENERIMA PENSIUN Attention to surgical Berobat Jalan
PNS dressings and sutures
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

651 10-07-2019 102320010719P000384 0000071396752 TJUTJU SOEMANTRI L PENERIMA PENSIUN Other and unspecified Sembuh
PNS abdominal pain
652 10-07-2019 102320010719P000608 0000071791874 SUPARMO L PNS DAERAH Stroke, not specified as Berobat Jalan
haemorrhage or infarction
653 10-07-2019 102320010719P000179 0000165089575 DEDE MARDIANA L PEKERJA MANDIRI Pleural effusion, not Rujuk Lanjut
elsewhere classified
654 10-07-2019 102320010719P000545 0000437413509 MISIH P PBI (APBN) Myalgia Berobat Jalan

655 10-07-2019 102320010719P000616 0000437418358 YUSITOWATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
656 10-07-2019 102320010719P000261 0000437491934 NANDANG MULYADI L PBI (APBN) Other specified viral Berobat Jalan
haemorrhagic fevers
657 10-07-2019 102320010719P000996 0000437567106 SITI ROSMITA P PBI (APBN) Other complications Sembuh
following abortion and
ectopic and molar

658 10-07-2019 102320010719P001016 0000437567106 SITI ROSMITA P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
659 10-07-2019 102320010719P000612 0000437588638 IKBAL MASARO L PBI (APBN) Other disorders of teeth Berobat Jalan
and supporting structures
660 10-07-2019 102320010719P000181 0000437621668 COHRI CAHYADI L PBI (APBN) Status asthmaticus Rujuk Lanjut

661 10-07-2019 102320010719P000536 0000437762575 IKOH P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

662 10-07-2019 102320010719P001041 0000437931865 YETI SUDIANTI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
663 10-07-2019 102320010719P000538 0000438373945 SARWOTO L PBI (APBN) Headache Berobat Jalan

664 10-07-2019 102320010719P000180 0001126583201 NENI HERLINA P PEGAWAI SWASTA Cardiomegaly Rujuk Lanjut

665 10-07-2019 102320010719P000544 0001174867907 SITI AMINAH P PEGAWAI SWASTA Cough Berobat Jalan

666 10-07-2019 102320010719P000543 0001174867918 ANTON FAISAL L PEGAWAI SWASTA Cough Berobat Jalan

667 10-07-2019 102320010719P000622 0001316222875 NURHIKMAH P PBI (APBD) Headache Berobat Jalan

668 10-07-2019 102320010719P000537 0001382726709 KANAH P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

669 10-07-2019 102320010719P000614 0001429296579 OPIK SOPIAH P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

670 10-07-2019 102320010719P000383 0001446988329 YENI RAHAYU P PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

671 10-07-2019 102320010719P000539 0001447459007 DASOH P PBI (APBD) Fever, unspecified Berobat Jalan

672 10-07-2019 102320010719P000995 0001532064374 MIRAWATI P PEGAWAI SWASTA Other single spontaneous Sembuh
delivery
673 10-07-2019 102320010719P001015 0001532064374 MIRAWATI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
674 10-07-2019 102320010719P000615 0001778148437 TETI P PBI (APBD) Contraceptive Berobat Jalan
management
675 10-07-2019 102320010719P000623 0001779899613 Yati Suryati P PBI (APBD) Arthrosis, unspecified Berobat Jalan

676 10-07-2019 102320010719P001017 0001779899815 Siti Susanti P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
677 10-07-2019 102320010719P000997 0001779899815 Siti Susanti P PBI (APBD) Other single spontaneous Sembuh
delivery
678 10-07-2019 102320010719P001037 0001780403556 NUR HASANAH P PEGAWAI SWASTA Routine postpartum Berobat Jalan
follow-up
679 10-07-2019 102320010719P000540 0001859451693 IMAS TRISNAWATI P PEKERJA MANDIRI Pure hyperglyceridaemia Berobat Jalan

680 10-07-2019 102320010719P000613 0001964530978 RIZQILLAHI NURUL FADZILLAH L PNS DAERAH Other disorders of teeth Berobat Jalan
and supporting structures
681 10-07-2019 102320010719P000548 0001965502113 SUWARDI MANINGGESA L PEGAWAI SWASTA Examination for admission Berobat Jalan
to educational institution

682 10-07-2019 102320010719P000547 0001965502304 WARDATU SHOFIYAH P PEGAWAI SWASTA Examination for admission Berobat Jalan
to educational institution

683 10-07-2019 102320010719P000605 0001967667939 mika trinofia P PEGAWAI SWASTA Cough Berobat Jalan

684 10-07-2019 102320010719P000541 0002051649606 SIDIN L PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
685 10-07-2019 102320010719P000542 0002051664041 MIKUN L PBI (APBD) Headache Berobat Jalan

686 10-07-2019 102320010719P000618 0002061467919 ITA SULASIAH P PEGAWAI SWASTA General medical Berobat Jalan
examination
687 10-07-2019 102320010719P000617 0002181085852 Yosi Apriliani P PBI (APBD) Contraceptive Berobat Jalan
management
688 10-07-2019 102320010719P000183 0002181124179 TARWINAH P PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
689 10-07-2019 102320010719P000546 0002182666037 RUWIAH P PBI (APBD) Cough Berobat Jalan

690 10-07-2019 102320010719P000620 0002222149612 MUHAMMAD NUR HIDAYAT L PEKERJA MANDIRI Attention to surgical Berobat Jalan
KELSABA dressings and sutures
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

691 10-07-2019 102320010719P000176 0002251741083 YATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
692 10-07-2019 102320010719P000248 0002305196109 MUHAMAD YUSUP NUGRAHA L PEKERJA MANDIRI Superficial injury of head, Sembuh
part unspecified
693 10-07-2019 102320010719P000844 0002397058817 NURHIDAYAH P PBI (APBD) Maternal infectious and Sembuh
parasitic diseases
classifiable elsewhere but
complicating pregnancy,
childbirth and the
puerperium
694 10-07-2019 102320010719P001035 0002397633759 EEN ROHAENI P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
695 10-07-2019 102320010719P000177 0002398524096 TUKIMAN HERY PURWANTO L PBI (APBD) Exophthalmic conditions Rujuk Lanjut

696 10-07-2019 102320010719P000175 0002440306023 KAMINO L PEKERJA MANDIRI Psoriasis Rujuk Lanjut

697 10-07-2019 102320010719P000606 0002458742141 ARKA ATMA WIJAYA L PEGAWAI SWASTA Cough Berobat Jalan

698 10-07-2019 102320010719P000182 0002466104185 ASEP AWALUDIN L PEKERJA MANDIRI Follow-up examination Rujuk Lanjut
after surgery for other

699 10-07-2019 102320010719P000621 0002481940269 soleh darmawan L PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
700 10-07-2019 102320010719P000607 0002490666423 MOCH. RIZKY ARIYAN F L PEKERJA MANDIRI Examination for admission Berobat Jalan
to educational institution

701 10-07-2019 102320010719P000535 0002609492229 NISA NURYANTI P PBI (APBN) Headache Berobat Jalan

702 09-07-2019 102320010719P000140 0000071300204 TUTI P PENERIMA PENSIUN Stroke, not specified as Berobat Jalan
PNS haemorrhage or infarction
703 09-07-2019 102320010719P000170 0000071560258 DRA ENCIH SARSIH P PNS DAERAH Glaucoma Rujuk Lanjut

704 09-07-2019 102320010719P000527 0000071633981 ADE SURYATI P PNS DAERAH Headache Berobat Jalan

705 09-07-2019 102320010719P000171 0000071692468 MUNARSAH P PNS DAERAH Presbyopia Rujuk Lanjut

706 09-07-2019 102320010719P000167 0000071709647 SUKAESIH P PNS DAERAH Chronic obstructive Rujuk Lanjut
pulmonary disease,

707 09-07-2019 102320010719P000365 0000071755132 DRS. NGADIMAN L PNS DAERAH Examination for admission Berobat Jalan
to educational institution

708 09-07-2019 102320010719P000168 0000162494919 ROHEDI LANTANG MAHARI L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

709 09-07-2019 102320010719P000173 0000204412656 NOK SA`ADAH P PENERIMA PENSIUN Insulin-dependent Rujuk Lanjut
PNS diabetes mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

710 09-07-2019 102320010719P000246 0000436558533 ROHIMI L PBI (APBN) Typhoid fever Sembuh

711 09-07-2019 102320010719P000366 0000437302293 DIAH SODIAH P PBI (APBN) Herpesviral Berobat Jalan
gingivostomatitis and

712 09-07-2019 102320010719P000528 0000437508235 SUDARNO L PBI (APBN) Myalgia Berobat Jalan

713 09-07-2019 102320010719P000534 0000437546327 SUKILAH P PBI (APBN) Conjunctivitis Berobat Jalan

714 09-07-2019 102320010719P000526 0000437943521 ROHYANI P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

715 09-07-2019 102320010719P000372 0000437964041 SUMIATI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
716 09-07-2019 102320010719P000247 0000438046007 HASAN MARIMIN L PBI (APBN) Typhoid fever Sembuh

717 09-07-2019 102320010719P000367 0000438138922 DESI TRIYANI P PBI (APBN) Viral conjunctivitis Berobat Jalan

718 09-07-2019 102320010719P000364 0000438346225 NURFAIQOH P PBI (APBN) Examination for admission Berobat Jalan
to educational institution

719 09-07-2019 102320010719P000172 0000438415694 KARIMAH P PBI (APBN) Myopia Rujuk Lanjut

720 09-07-2019 102320010719P000363 0000438644507 TUTI SUMARWATI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

721 09-07-2019 102320010719P000517 0001265084752 MUSTOPA L PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
722 09-07-2019 102320010719P000164 0001379437029 SURTIANINGSIH P PEKERJA MANDIRI Calculus of kidney Rujuk Lanjut

723 09-07-2019 102320010719P000530 0001445583093 NIEK YATNIKASARI P PENERIMA PENSIUN Influenza, virus not Berobat Jalan
SWASTA identified
724 09-07-2019 102320010719P000382 0001530833916 YOSEP ALAMSYAH L PEGAWAI SWASTA Other and unspecified Sembuh
abdominal pain
725 09-07-2019 102320010719P000533 0001530833916 YOSEP ALAMSYAH L PEGAWAI SWASTA Fever, unspecified Berobat Jalan

726 09-07-2019 102320010719P000520 0001665658754 WANDA SURYA OCTAFIAN P PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
727 09-07-2019 102320010719P000524 0001668977324 SUTARYA L PBI (APBD) Attention to surgical Berobat Jalan
dressings and sutures
728 09-07-2019 102320010719P000369 0001670737285 SITI JAEMAH P PEKERJA MANDIRI Other disorders of eyelid Berobat Jalan

729 09-07-2019 102320010719P000529 0001792584099 PADIO L PEKERJA MANDIRI Cough Berobat Jalan

730 09-07-2019 102320010719P000531 0001856298249 SUMARNA L PEGAWAI SWASTA Abscess of external ear Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

731 09-07-2019 102320010719P000148 0001892476574 TETET WARNINGSIH P PEKERJA MANDIRI Nutritional anaemia, Rujuk Lanjut
unspecified
732 09-07-2019 102320010719P000550 0002009795703 ENUNG ACIH P PBI (APBN) Respiratory tuberculosis Sembuh
unspecified, confirmed
bacteriologically and

733 09-07-2019 102320010719P000141 0002042212555 DODY FIRDAUS L PBI (APBD) Low back pain Rujuk Lanjut

734 09-07-2019 102320010719P000174 0002045183591 AGUS ABDUL WAHID HASYIM L PNS PUSAT Otitis media, unspecified Rujuk Lanjut

735 09-07-2019 102320010719P000532 0002093165932 ALGANI RAMDHANI L PEGAWAI SWASTA Cough Berobat Jalan

736 09-07-2019 102320010719P000370 0002181098428 REYHAN RIZKI ALFIAN L PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
737 09-07-2019 102320010719P000373 0002182665183 IRTA GUSTIANI PUTRI P PBI (APBD) Headache Berobat Jalan

738 09-07-2019 102320010719P000368 0002182667128 YUNINGSIH P PBI (APBD) Myalgia Berobat Jalan

739 09-07-2019 102320010719P000994 0002182683341 YAYU YUDIANSAH P PBI (APBD) Other single spontaneous Sembuh
delivery
740 09-07-2019 102320010719P001014 0002182683341 YAYU YUDIANSAH P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
741 09-07-2019 102320010719P001029 0002183032023 ENUNG NURHAYATI P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
742 09-07-2019 102320010719P000816 0002183032023 ENUNG NURHAYATI P PBI (APBD) Prolonged first stage (of Berobat Jalan
labour)
743 09-07-2019 102320010719P000371 0002268497946 RAFARDAN L PBI (APBD) Fever, unspecified Berobat Jalan

744 09-07-2019 102320010719P000522 0002276173754 SYALWA NADILA FEBRIANI P PEGAWAI SWASTA Attention to surgical Berobat Jalan
dressings and sutures
745 09-07-2019 102320010719P000523 0002322409735 ZALFA AZZAHRA NURHIDAYAT P PNS DAERAH Disorder of ear, Berobat Jalan
unspecified
746 09-07-2019 102320010719P000519 0002424593283 CALISTA ELYSIA P PEKERJA MANDIRI Other disorders of teeth Berobat Jalan
and supporting structures
747 09-07-2019 102320010719P000518 0002424593474 AZFA RIZKI PRATAMA L PEKERJA MANDIRI Other disorders of teeth Berobat Jalan
and supporting structures
748 09-07-2019 102320010719P000153 0002462837354 NUNUNG NURJANAH P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

749 09-07-2019 102320010719P000120 0002769462303 SUTINI P PEKERJA MANDIRI Twin pregnancy Rujuk Lanjut

750 09-07-2019 102320010719P000163 0002772061839 MIEM P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
751 09-07-2019 102320010719P000245 0002775503261 EMAH P VETERAN Other and unspecified Sembuh
abdominal pain
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

752 08-07-2019 102320010719P000241 0000070862321 ANWAR SYAID L PNS DAERAH Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

753 08-07-2019 102320010719P000350 0000071050689 DINI NURLAELI FAUZIAH P PNS PUSAT Other disorders of teeth Berobat Jalan
and supporting structures
754 08-07-2019 102320010719P000118 0000071296986 TEJA SETIAWATI P PEGAWAI BUMN Secondary hypertension, Berobat Jalan
unspecified
755 08-07-2019 102320010719P000348 0000071755255 SUMIRAHATI P PENERIMA PENSIUN Other disorders of teeth Berobat Jalan
PNS and supporting structures
756 08-07-2019 102320010719P000243 0000173606343 DEVIA APRIANI P PNS DAERAH Other and unspecified Sembuh
abdominal pain
757 08-07-2019 102320010719P000354 0000193850122 YENI RUBIANTI P PNS DAERAH General medical Berobat Jalan
examination
758 08-07-2019 102320010719P000342 0000436947129 SAKRI L PBI (APBN) Status asthmaticus Berobat Jalan

759 08-07-2019 102320010719P000347 0000437191402 ANISA AULIA P PBI (APBN) Other disorders of teeth Berobat Jalan
and supporting structures
760 08-07-2019 102320010719P000334 0000437196734 RINI RINJAYANTI P PBI (APBN) Headache Berobat Jalan

761 08-07-2019 102320010719P000327 0000437206511 DODOY SUMIATI P PBI (APBN) Cough Berobat Jalan

762 08-07-2019 102320010719P000353 0000437206533 SITI NURWULAN P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
763 08-07-2019 102320010719P000244 0000437258305 SUHARA L PBI (APBN) Other and unspecified Sembuh
abdominal pain
764 08-07-2019 102320010719P000349 0000437335075 MUHAMAD HADISUCIPTO L PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
765 08-07-2019 102320010719P000341 0000437348204 HANAFI JAYA IKHWANI L PBI (APBN) Fever, unspecified Berobat Jalan

766 08-07-2019 102320010719P000355 0000437571922 HENI FITRIANI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
767 08-07-2019 102320010719P000081 0000437701195 DEWI SAADAH P PBI (APBN) Follow-up examination Berobat Jalan
after other treatment for

768 08-07-2019 102320010719P000338 0000437832483 SUKADIS L PBI (APBN) Headache Berobat Jalan

769 08-07-2019 102320010719P000336 0000438299998 MIFTAH FARID L PBI (APBN) Headache Berobat Jalan

770 08-07-2019 102320010719P000329 0000438387671 EKA A P PBI (APBN) Fever, unspecified Berobat Jalan

771 08-07-2019 102320010719P000337 0000438401283 SAENDI L PBI (APBN) Congestive heart failure Berobat Jalan

772 08-07-2019 102320010719P000331 0000438644507 TUTI SUMARWATI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

773 08-07-2019 102320010719P000332 0000438644654 VANI SURYANI P PBI (APBN) Cough Berobat Jalan

774 08-07-2019 102320010719P000095 0001005777156 WIKARTA L PBI (APBN) Benign neoplasm of Rujuk Lanjut
prostate
775 08-07-2019 102320010719P000359 0001127533059 YONO KIONO L PEGAWAI SWASTA Attention to surgical Berobat Jalan
dressings and sutures
776 08-07-2019 102320010719P000326 0001181135338 ROKAESIH P PBI (APBD) Haemorrhoids Berobat Jalan

777 08-07-2019 102320010719P001061 0001195663072 NENI P PEGAWAI SWASTA Routine postpartum Berobat Jalan
follow-up
778 08-07-2019 102320010719P000358 0001195663072 NENI P PEGAWAI SWASTA Headache Berobat Jalan

779 08-07-2019 102320010719P000361 0001200083938 RAHMAT MUGANA GANAYA L PEGAWAI PEMERINTAH Attention to surgical Berobat Jalan
DENGAN PERJANJIAN dressings and sutures

780 08-07-2019 102320010719P000328 0001261094343 YANA CAHYANA L PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

781 08-07-2019 102320010719P000381 0001268438253 BARTI P PEKERJA MANDIRI Myalgia Sembuh

782 08-07-2019 102320010719P000322 0001422144426 ASISA AULIA RAHMA P PEGAWAI SWASTA Fever, unspecified Berobat Jalan

783 08-07-2019 102320010719P001062 0001429703256 TENI SUMANTI P PEKERJA MANDIRI Routine postpartum Berobat Jalan
follow-up
784 08-07-2019 102320010719P000352 0001436384261 RIFKI AFRIZAL RIYANTO L PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
785 08-07-2019 102320010719P000116 0001477518636 ENOK SINTA P PEGAWAI SWASTA Unspecified diabetes Rujuk Lanjut
mellitus without

786 08-07-2019 102320010719P000324 0001483548041 AJIRIANTI P PEGAWAI SWASTA Cough Berobat Jalan

787 08-07-2019 102320010719P000351 0001647212229 RUKANDA L PNS DAERAH Other disorders of teeth Berobat Jalan
and supporting structures
788 08-07-2019 102320010719P000102 0001662787484 KUSNAEDI L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

789 08-07-2019 102320010719P000340 0001669514139 PARTINI P PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
790 08-07-2019 102320010719P000339 0001669514141 DIKI IRAWAN L PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
791 08-07-2019 102320010719P000101 0001776928048 REVA SOFIANI P PBI (APBD) Headache Berobat Jalan

792 08-07-2019 102320010719P000346 0001779807622 AJENG KARTINAH P PBI (APBD) Diseases of pulp and Berobat Jalan
periapical tissues
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

793 08-07-2019 102320010719P000344 0001779899771 Aldi Meidani L PBI (APBD) Cough Berobat Jalan

794 08-07-2019 102320010719P000100 0001794944564 HERLI SEPTIASARI P PEKERJA MANDIRI Other and unspecified Berobat Jalan
abdominal pain
795 08-07-2019 102320010719P000119 0001827226405 NONY ROSTIANI P PEGAWAI SWASTA Other maternal diseases Rujuk Lanjut
classifiable elsewhere but
complicating pregnancy,
childbirth and the
puerperium
796 08-07-2019 102320010719P001059 0001839199342 OKTIAN PRASMAWATI P PEGAWAI SWASTA Routine postpartum Berobat Jalan
follow-up
797 08-07-2019 102320010719P000079 0001889491959 RINA RISMAYANTI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
798 08-07-2019 102320010719P000097 0002200469736 REZA FAUZANNUR RAMDHANI L PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

799 08-07-2019 102320010719P000335 0002251740767 TUMINO L PEKERJA MANDIRI Headache Berobat Jalan

800 08-07-2019 102320010719P000096 0002277518343 PURTINAH P PEKERJA MANDIRI Peptic ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

801 08-07-2019 102320010719P000089 0002296769951 MITA SULISTIA P PEKERJA MANDIRI Secondary amenorrhoea Rujuk Lanjut

802 08-07-2019 102320010719P000357 0002397606513 IIN INDRIANI P PBI (APBD) General medical Berobat Jalan
examination
803 08-07-2019 102320010719P001013 0002397645088 SITI KOMARIAH P PBI (APBD) Supervision of other Berobat Jalan
normal pregnancy
804 08-07-2019 102320010719P000993 0002397645088 SITI KOMARIAH P PBI (APBD) Other single spontaneous Sembuh
delivery
805 08-07-2019 102320010719P000330 0002429361189 AZZAM KHALIF NURROHMAN L PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

806 08-07-2019 102320010719P000240 0002438354384 RAFKA ZHAFRAN SUHERLI L PEKERJA MANDIRI Nausea and vomiting Sembuh

807 08-07-2019 102320010719P000343 0002450405035 FADHILAH P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

808 08-07-2019 102320010719P000242 0002453387624 RATEMI P PEKERJA MANDIRI Congestive heart failure Sembuh

809 08-07-2019 102320010719P000362 0002464570484 TUNJANG SUDRAJAT L PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
810 08-07-2019 102320010719P000117 0002495916404 SUPRIYATNA L PEKERJA MANDIRI Exophthalmic conditions Rujuk Lanjut

811 08-07-2019 102320010719P000333 0002637949184 MISJAH P PBI (APBN) Atopic dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

812 08-07-2019 102320010719P000360 0002742722109 SUTIMAN L PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
813 08-07-2019 102320010719P000323 0002744644274 TURYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
814 08-07-2019 102320010719P000356 0002769364315 SUGIARTI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
815 08-07-2019 102320010719P001012 0002770323118 PIPIT PITRIYANI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
816 08-07-2019 102320010719P000992 0002770323118 PIPIT PITRIYANI P PEKERJA MANDIRI Other single spontaneous Sembuh
delivery
817 07-07-2019 102320010719P001049 0000039593406 UJANG MAMAN L PNS DAERAH Coronary artery aneurysm Sembuh

818 07-07-2019 102320010719P000229 0000039593406 UJANG MAMAN L PNS DAERAH Dyspepsia Sembuh

819 07-07-2019 102320010719P000045 0000071555253 MUHAMAD AMIN BAMBANG L PNS DAERAH Intervertebral disc Rujuk Lanjut
disorder, unspecified
820 07-07-2019 102320010719P000230 0000437607797 EKA NURMALASARI P PBI (APBN) Myalgia Sembuh

821 07-07-2019 102320010719P001011 0000438019569 ANI SURYANI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
822 07-07-2019 102320010719P000991 0000438019569 ANI SURYANI P PBI (APBN) Other single spontaneous Sembuh
delivery
823 07-07-2019 102320010719P001038 0001780403556 NUR HASANAH P PEGAWAI SWASTA Routine postpartum Berobat Jalan
follow-up
824 07-07-2019 102320010719P001053 0002052032049 LENI MARLINA P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
825 07-07-2019 102320010719P000228 0002494419333 NONO SUTRISNO L PEKERJA MANDIRI Nutritional anaemia, Sembuh
unspecified
826 07-07-2019 102320010719P000227 0002770443415 YOGI MULYADI L PEKERJA MANDIRI Other specified viral Sembuh
haemorrhagic fevers
827 06-07-2019 102320010719P000307 0000071047078 ANING SURYANI P PNS PUSAT Attention to surgical Berobat Jalan
dressings and sutures
828 06-07-2019 102320010719P000320 0000071057643 HERMAN, S.PD.I L PENERIMA PENSIUN Attention to surgical Berobat Jalan
PNS dressings and sutures
829 06-07-2019 102320010719P000318 0000071620604 EPON NAPISAH P PENERIMA PENSIUN Abscess of external ear Berobat Jalan
PNS
830 06-07-2019 102320010719P000308 0000204945963 AFADH FADHLULLAH L PNS PUSAT Supervision of other Berobat Jalan
normal pregnancy
831 06-07-2019 102320010719P000309 0000435955443 SOLEHAN L PBI (APBN) Examination for admission Berobat Jalan
to educational institution

832 06-07-2019 102320010719P000379 0000437491934 NANDANG MULYADI L PBI (APBN) Secondary hypertension Sembuh

833 06-07-2019 102320010719P001040 0000437572574 ADE NIASIH P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

834 06-07-2019 102320010719P000316 0000437921313 MANISEM P PBI (APBN) Abscess of external ear Berobat Jalan

835 06-07-2019 102320010719P001064 0000438343907 ROHATI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
836 06-07-2019 102320010719P000661 0000993858186 WASINI P PBI (APBN) Stroke, not specified as Sembuh
haemorrhage or infarction
837 06-07-2019 102320010719P000300 0001005779529 IDAYANI P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
838 06-07-2019 102320010719P000305 0001080113321 EEN SRI RUHAENINGSIH P PENERIMA PENSIUN Peptic ulcer, unspecified Berobat Jalan
PNS as acute or chronic,
without haemorrhage or

839 06-07-2019 102320010719P000301 0001095303238 SUKARYA L PENERIMA PENSIUN Arthrosis, unspecified Berobat Jalan
POLRI
840 06-07-2019 102320010719P000319 0001127533059 YONO KIONO L PEGAWAI SWASTA Abscess of external ear Berobat Jalan

841 06-07-2019 102320010719P000310 0001260047259 NENI SUMARNI P PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease,

842 06-07-2019 102320010719P000044 0001429703256 TENI SUMANTI P PEKERJA MANDIRI Mental disorders and Rujuk Lanjut
diseases of the nervous
system complicating
pregnancy, childbirth and
the puerperium
843 06-07-2019 102320010719P000312 0001966815145 ENUNG SITI FITRIANI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management
844 06-07-2019 102320010719P000315 0001966818104 fadillah nur fitri P PEKERJA MANDIRI Abscess of external ear Berobat Jalan

845 06-07-2019 102320010719P000306 0002072764539 TITIN HARTINI P PEKERJA MANDIRI Congestive heart failure Berobat Jalan

846 06-07-2019 102320010719P000311 0002182683341 YAYU YUDIANSAH P PBI (APBD) Other disorders of teeth Berobat Jalan
and supporting structures
847 06-07-2019 102320010719P000321 0002226683496 ROHMAH P PEKERJA MANDIRI Toxic effect of other Berobat Jalan
insecticides
848 06-07-2019 102320010719P000406 0002232929698 SUYANTO L PBI (APBD) Typhoid fever Sembuh

849 06-07-2019 102320010719P000302 0002242535567 SURIPAH P PEKERJA MANDIRI Headache Berobat Jalan

850 06-07-2019 102320010719P000317 0002742722109 SUTIMAN L PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
851 06-07-2019 102320010719P000313 0002749455066 SITI DWI NOER BAROKAH P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
852 06-07-2019 102320010719P000314 0002756130592 HILDA SORAYA P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
853 05-07-2019 102320010719P000291 0000046666899 WIWIN HANDAYANI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

854 05-07-2019 102320010719P000284 0000071210158 SUKINAH P PENERIMA PENSIUN Arthrosis, unspecified Berobat Jalan
PNS
855 05-07-2019 102320010719P000041 0000071296986 TEJA SETIAWATI P PEGAWAI BUMN Chronic renal failure, Rujuk Lanjut
unspecified
856 05-07-2019 102320010719P000039 0000071707858 ATJO ASMARA L PENERIMA PENSIUN Congestive heart failure Berobat Jalan
PNS
857 05-07-2019 102320010719P000815 0000437348979 ALMA CAMELIA MAHARANI P PBI (APBN) Premature rupture of Berobat Jalan
membranes, unspecified
858 05-07-2019 102320010719P000833 0000437349879 ERMAWATI P PBI (APBN) Premature rupture of Berobat Jalan
membranes, unspecified
859 05-07-2019 102320010719P000294 0000437349879 ERMAWATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
860 05-07-2019 102320010719P000297 0000437423229 MANIATUN P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
861 05-07-2019 102320010719P000226 0000437511396 JENITA RINDIANI P PBI (APBN) Dyspepsia Sembuh

862 05-07-2019 102320010719P000207 0000437562516 YATINI P PBI (APBN) Stroke, not specified as Sembuh
haemorrhage or infarction
863 05-07-2019 102320010719P000286 0000437639196 ATIKAH P PBI (APBN) Cough Berobat Jalan

864 05-07-2019 102320010719P000285 0000437640581 RIDHO KAFI KHAIRY L PBI (APBN) Nontoxic goitre, Berobat Jalan
unspecified
865 05-07-2019 102320010719P000299 0000437953983 SRI APRIA NINGSIH P PBI (APBN) Retained intrauterine Berobat Jalan
contraceptive device in

866 05-07-2019 102320010719P000224 0000437993357 AAN ANSIH P PBI (APBN) Unspecified diabetes Sembuh
mellitus without

867 05-07-2019 102320010719P000288 0000438189939 SUPARTI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
868 05-07-2019 102320010719P000225 0000438422534 EDOH P PBI (APBN) Stroke, not specified as Sembuh
haemorrhage or infarction
869 05-07-2019 102320010719P001039 0001005782275 WAGISAH P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
870 05-07-2019 102320010719P000283 0001146312786 MAMAN WARMAN L PEGAWAI SWASTA Examination for admission Berobat Jalan
to educational institution

871 05-07-2019 102320010719P000040 0001188501017 ELLA KOMALASARI P PEGAWAI SWASTA Impacted teeth Rujuk Lanjut

872 05-07-2019 102320010719P000296 0001200083938 RAHMAT MUGANA GANAYA L PEGAWAI PEMERINTAH Routine postpartum Berobat Jalan
DENGAN PERJANJIAN follow-up

873 05-07-2019 102320010719P000260 0001262069368 SUCI PUJI SUHARYANTI PUTRI P PEKERJA MANDIRI Other specified viral Berobat Jalan
haemorrhagic fevers
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

874 05-07-2019 102320010719P000293 0001309833674 ANIS SITI MULDIAWATI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
875 05-07-2019 102320010719P000292 0001634022775 HENI PUSPA DEWI P PEKERJA MANDIRI Supervision of other Berobat Jalan
normal pregnancy
876 05-07-2019 102320010719P000038 0001796683702 SITI JUBAEDAH P PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

877 05-07-2019 102320010719P000223 0001976927141 PUTRI SELPHIANA P PBI (APBN) Dyspepsia Sembuh

878 05-07-2019 102320010719P000281 0002073682372 WENIATI P PEKERJA MANDIRI Haemorrhoids Berobat Jalan

879 05-07-2019 102320010719P000287 0002183033057 IHSANUL AKMAL AZIZAN L PBI (APBD) Other disorders of teeth Berobat Jalan
and supporting structures
880 05-07-2019 102320010719P000289 0002226607266 NADHIFA NUR QAIRENA P PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
881 05-07-2019 102320010719P000042 0002326006056 R RAHMAT DARMAWAN L PNS DAERAH Corneal degeneration Rujuk Lanjut

882 05-07-2019 102320010719P000290 0002424593474 AZFA RIZKI PRATAMA L PEKERJA MANDIRI Other disorders of teeth Berobat Jalan
and supporting structures
883 05-07-2019 102320010719P000037 0002439773537 NURSODIK L PEKERJA MANDIRI Hyperplasia of prostate Rujuk Lanjut

884 05-07-2019 102320010719P000295 0002589084821 PAIMAN L PBI (APBN) Routine postpartum Berobat Jalan
follow-up
885 05-07-2019 102320010719P000282 0002741344029 TOWIAH P PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

886 05-07-2019 102320010719P000298 0002751646588 MUHAMMAD RIZKI L PBI (APBD) Asthma Berobat Jalan

887 05-07-2019 102320010719P000043 0002768580562 SITI AMINAH P PEKERJA MANDIRI Maternal care for breech Rujuk Lanjut
presentation
888 04-07-2019 102320010719P000160 0000062817221 DRA. HJ. AAN SUPIANAH P PNS PUSAT Myalgia Berobat Jalan

889 04-07-2019 102320010719P000169 0000070985079 SUYATNO, S.IP L PNS DAERAH Unspecified diabetes Berobat Jalan
mellitus without

890 04-07-2019 102320010719P000272 0000071467569 EUIS KARTINI P PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

891 04-07-2019 102320010719P000267 0000071614539 BARTI SUMARTI P PNS DAERAH Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

892 04-07-2019 102320010719P000265 0000071705035 IJAH HODIJAH P PNS DAERAH Fever, unspecified Berobat Jalan

893 04-07-2019 102320010719P000275 0000436526741 YATINAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

894 04-07-2019 102320010719P000270 0000436986426 MUALIM L PBI (APBN) Cough Berobat Jalan

895 04-07-2019 102320010719P000266 0000437334568 NURUL KOMARIAH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

896 04-07-2019 102320010719P000276 0000438058438 DEWI MERLIANA AISYAH P PBI (APBN) Fever, unspecified Berobat Jalan

897 04-07-2019 102320010719P000222 0000438080938 YAYAH MURFIAH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

898 04-07-2019 102320010719P000280 0000438246472 BINTORO L PBI (APBN) Routine postpartum Berobat Jalan
follow-up
899 04-07-2019 102320010719P000277 0000438378761 SAMIRUN L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

900 04-07-2019 102320010719P000204 0001005775187 SUKIRMAN L PBI (APBN) Congestive heart failure Sembuh

901 04-07-2019 102320010719P000274 0001005783489 TARSIH P PBI (APBN) Myalgia Berobat Jalan

902 04-07-2019 102320010719P000271 0001089550967 WATINI PRESTIANTI P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
903 04-07-2019 102320010719P000162 0001127533059 YONO KIONO L PEGAWAI SWASTA Abscess of bursa, ankle Berobat Jalan
and foot
904 04-07-2019 102320010719P000205 0001262069368 SUCI PUJI SUHARYANTI PUTRI P PEKERJA MANDIRI Other specified viral Sembuh
haemorrhagic fevers
905 04-07-2019 102320010719P000220 0001381772452 NOVI ASNI NOVIYANTI P PEGAWAI SWASTA Urinary tract infection, site Sembuh
not specified
906 04-07-2019 102320010719P000268 0001811059312 siti maesari P PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
907 04-07-2019 102320010719P000206 0001869299886 SURYO ARDIYANTO L PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
908 04-07-2019 102320010719P000161 0001966815145 ENUNG SITI FITRIANI P PEKERJA MANDIRI Cough Berobat Jalan

909 04-07-2019 102320010719P000278 0001966818104 fadillah nur fitri P PEKERJA MANDIRI Other disorders of eyelid Berobat Jalan

910 04-07-2019 102320010719P000166 0002042212555 DODY FIRDAUS L PBI (APBD) Myalgia Berobat Jalan

911 04-07-2019 102320010719P001058 0002088452463 SUNARSIH P PEKERJA MANDIRI Routine postpartum Berobat Jalan
follow-up
912 04-07-2019 102320010719P000203 0002200286351 EMEH P PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

913 04-07-2019 102320010719P000165 0002298274345 bunga fauziah ramadhan P PEGAWAI SWASTA Routine postpartum Berobat Jalan
follow-up
914 04-07-2019 102320010719P000221 0002485229185 SRI UTAMI P PEGAWAI SWASTA Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

915 04-07-2019 102320010719P000273 0002605704783 DEWI LESTARI P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
916 04-07-2019 102320010719P000269 0002610083147 ADAM JUNIAR RAMADHAN L PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
917 04-07-2019 102320010719P000279 0002742722109 SUTIMAN L PEKERJA MANDIRI Routine postpartum Berobat Jalan
follow-up
918 04-07-2019 102320010719P000036 0002769897374 SETIAWATI P PEKERJA MANDIRI Nontoxic goitre, Berobat Jalan
unspecified
919 03-07-2019 102320010719P000216 0000036517454 UNDANG ABDUL ROJAK L PENERIMA PENSIUN Essential (primary) Sembuh
PNS hypertension
920 03-07-2019 102320010719P000121 0000070922654 MARYONO L PNS DAERAH Cough Berobat Jalan

921 03-07-2019 102320010719P000143 0000070955932 S.SUPRIANTO L PENERIMA PENSIUN Unspecified diabetes Berobat Jalan
PNS mellitus without

922 03-07-2019 102320010719P000156 0000071132973 TOTO MUHAMAD L PENERIMA PENSIUN TNI Routine postpartum Berobat Jalan
follow-up
923 03-07-2019 102320010719P000159 0000071555253 MUHAMAD AMIN BAMBANG L PNS DAERAH Low back pain Berobat Jalan

924 03-07-2019 102320010719P000152 0000071677978 FINA FIFIN TRYANI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
925 03-07-2019 102320010719P000130 0000071678226 TATI SETIAWATI P PENERIMA PENSIUN Arthrosis, unspecified Berobat Jalan
PNS
926 03-07-2019 102320010719P000124 0000071755053 NANA DARNA, S.PD L PNS DAERAH Pure hyperglyceridaemia Berobat Jalan

927 03-07-2019 102320010719P000125 0000071755064 RADEN ETI SRIMULYATI P PNS DAERAH Pure Berobat Jalan
hypercholesterolaemia
928 03-07-2019 102320010719P000144 0000071755255 SUMIRAHATI P PENERIMA PENSIUN Other disorders of teeth Berobat Jalan
PNS and supporting structures
929 03-07-2019 102320010719P000142 0000435949672 SUHLIMIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

930 03-07-2019 102320010719P000128 0000436986426 MUALIM L PBI (APBN) Cough Berobat Jalan

931 03-07-2019 102320010719P000138 0000437386781 PONISIH P PBI (APBN) Cough Berobat Jalan

932 03-07-2019 102320010719P000158 0000437762575 IKOH P PBI (APBN) Low back pain Berobat Jalan

933 03-07-2019 102320010719P000123 0000437834428 YATI SUKMAYATI P PBI (APBN) Conjunctivitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

934 03-07-2019 102320010719P000219 0000438055222 ROSIDIN L PBI (APBN) Other specified viral Sembuh
haemorrhagic fevers
935 03-07-2019 102320010719P000201 0000438082931 UKIN L PBI (APBN) Essential (primary) Sembuh
hypertension
936 03-07-2019 102320010719P000202 0000438135333 TUTU P PBI (APBN) Other and unspecified Sembuh
abdominal pain
937 03-07-2019 102320010719P000155 0000438185597 ATINI P PBI (APBN) Dysmenorrhoea, Berobat Jalan
unspecified
938 03-07-2019 102320010719P000154 0000438298222 INAMAH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
939 03-07-2019 102320010719P000132 0001005774096 PRIO YUDHA PURNOMO L PBI (APBN) Injury, unspecified Berobat Jalan

940 03-07-2019 102320010719P000146 0001188501017 ELLA KOMALASARI P PEGAWAI SWASTA Other disorders of teeth Berobat Jalan
and supporting structures
941 03-07-2019 102320010719P000150 0001291324779 SUSANTI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
942 03-07-2019 102320010719P000131 0001386274138 N. SUKINAH P PEKERJA MANDIRI Pure Berobat Jalan
hypercholesterolaemia
943 03-07-2019 102320010719P000147 0001422221343 AYU ROSITA P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
944 03-07-2019 102320010719P000135 0001440254957 HENI SURYANI P PEGAWAI SWASTA Atopic dermatitis Berobat Jalan

945 03-07-2019 102320010719P000157 0001670489008 NATASHA MEIDINA PUTRI P PBI (APBD) Routine postpartum Berobat Jalan
follow-up
946 03-07-2019 102320010719P000034 0001804555664 PUTRI ALIFFYANA P PEGAWAI SWASTA Nephrotic syndrome Rujuk Lanjut

947 03-07-2019 102320010719P000122 0001849499458 HARTONO L PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

948 03-07-2019 102320010719P000136 0001880371506 wasinem P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

949 03-07-2019 102320010719P000139 0002048115857 VERA GANDA TRESNA P PEKERJA MANDIRI Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

950 03-07-2019 102320010719P000133 0002051668541 USMAN Z MUTAQIM L PBI (APBD) Headache Berobat Jalan

951 03-07-2019 102320010719P000145 0002051681591 FADHIL JUNIAR L PBI (APBD) Other disorders of teeth Berobat Jalan
and supporting structures
952 03-07-2019 102320010719P000149 0002099006166 SUSI NOVITASARI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
953 03-07-2019 102320010719P000032 0002222149612 MUHAMMAD NUR HIDAYAT L PEKERJA MANDIRI Fracture of foot, Rujuk Lanjut
KELSABA unspecified
954 03-07-2019 102320010719P000033 0002255029345 KUSWATI P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

955 03-07-2019 102320010719P000035 0002275128911 WAHYUDIN L PEKERJA MANDIRI Other gastritis Rujuk Lanjut

956 03-07-2019 102320010719P000129 0002298274345 bunga fauziah ramadhan P PEGAWAI SWASTA Cough Berobat Jalan

957 03-07-2019 102320010719P000127 0002317505253 FATHURROHMAN L PEKERJA MANDIRI Headache Berobat Jalan

958 03-07-2019 102320010719P000137 0002327217085 MAGGIELANA ARTIKA SARI D P PEKERJA MANDIRI Stomatitis and related Berobat Jalan
lesions
959 03-07-2019 102320010719P000134 0002396987954 ASNGADAH P PBI (APBD) Benign neoplasm of other Berobat Jalan
and unspecified sites

960 03-07-2019 102320010719P000126 0002396989451 ESIH P PBI (APBD) Migraine Berobat Jalan

961 03-07-2019 102320010719P000151 0002502089111 RENA NURAMALIA PUTRI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
962 03-07-2019 102320010719P000031 0002768577502 MAKIR SUGIONO L PEKERJA MANDIRI Primary angle-closure Rujuk Lanjut
glaucoma
963 02-07-2019 102320010719P000107 0000070868608 HARYONO L PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
964 02-07-2019 102320010719P000030 0000070923352 SULISTIA RAHAYU P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
base of tongue
965 02-07-2019 102320010719P000199 0000071121486 A. SUWARNI P PENERIMA PENSIUN TNI Acute hepatitis A Sembuh

966 02-07-2019 102320010719P000113 0000071132973 TOTO MUHAMAD L PENERIMA PENSIUN TNI Injury, unspecified Berobat Jalan

967 02-07-2019 102320010719P000104 0000071223107 N. ATIKAH P PENERIMA PENSIUN Respiratory tuberculosis Berobat Jalan
PNS unspecified, confirmed
bacteriologically and

968 02-07-2019 102320010719P000028 0000071268039 HJ. SUPRIATI P PENERIMA PENSIUN Lumbar and other Rujuk Lanjut
PNS intervertebral disc
disorders with

969 02-07-2019 102320010719P000024 0000071316944 SUMINI P PENERIMA PENSIUN Cataract, unspecified Rujuk Lanjut
PNS
970 02-07-2019 102320010719P000026 0000071467648 MOHAMMAD YAZID L PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
971 02-07-2019 102320010719P000027 0000071467659 MIA MARIYAH P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
972 02-07-2019 102320010719P000017 0000071548749 TUYAN L PENERIMA PENSIUN Thyrotoxicosis, Rujuk Lanjut
PNS unspecified
973 02-07-2019 102320010719P000019 0000071548751 RODIYAH P PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease, unspecified
974 02-07-2019 102320010719P000111 0000071668721 NOVI MULYANI P PNS DAERAH Supervision of other Berobat Jalan
normal pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

975 02-07-2019 102320010719P000018 0000071755817 TAUFIK ARRAHMAN L PNS DAERAH Acute appendicitis Rujuk Lanjut

976 02-07-2019 102320010719P000073 0000071812473 ENTIN SUPRIATIN P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
977 02-07-2019 102320010719P000198 0000210722512 A.MINTARSIH P VETERAN Osteoporosis with Sembuh
pathological fracture
978 02-07-2019 102320010719P000196 0000436262332 NASIEM P PBI (APBN) Epidemic vertigo Sembuh

979 02-07-2019 102320010719P000109 0000436407535 MUSTIRAH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
980 02-07-2019 102320010719P000106 0000437497749 JAYA SUGIANTO L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

981 02-07-2019 102320010719P000195 0000437537529 WARSIH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

982 02-07-2019 102320010719P001010 0000437725866 UKA WIDIANTI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
983 02-07-2019 102320010719P000990 0000437725866 UKA WIDIANTI P PBI (APBN) Other single spontaneous Sembuh
delivery
984 02-07-2019 102320010719P000108 0000438169869 RASI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
985 02-07-2019 102320010719P000098 0000503426092 RIZKY RAMADHAN L PBI (APBN) Cough Berobat Jalan

986 02-07-2019 102320010719P000084 0001005783219 MARWATUN NABILA APRIANTI P PBI (APBN) Examination for admission Berobat Jalan
to educational institution

987 02-07-2019 102320010719P000110 0001137149932 TINTIN SUMIATI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
988 02-07-2019 102320010719P000077 0001432788322 K SAN SUWITO L PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

989 02-07-2019 102320010719P000259 0001776524455 SONDARA P PBI (APBD) Nutritional anaemia, Berobat Jalan
unspecified
990 02-07-2019 102320010719P000114 0001777718103 SUPARNO IWAN SETIAWAN L PEGAWAI SWASTA Hordeolum and chalazion Berobat Jalan

991 02-07-2019 102320010719P000025 0001780609083 FAUZI RAHMAN L PNS DAERAH Hypospadias, unspecified Rujuk Lanjut

992 02-07-2019 102320010719P000021 0001905788024 ERIk ERTANTO L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

993 02-07-2019 102320010719P000112 0002009824029 ROHAESIH P PBI (APBN) Atopic dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

994 02-07-2019 102320010719P000103 0002045183591 AGUS ABDUL WAHID HASYIM L PNS PUSAT Examination for admission Berobat Jalan
to educational institution

995 02-07-2019 102320010719P000023 0002045184996 daffa almer azhallah L PNS PUSAT Chronic tonsillitis Rujuk Lanjut

996 02-07-2019 102320010719P000016 0002051665266 IKE NURMALA P PBI (APBD) Atopic dermatitis Rujuk Lanjut

997 02-07-2019 102320010719P000115 0002182673834 SARIJAH P PBI (APBD) Disorder of external ear, Berobat Jalan
unspecified
998 02-07-2019 102320010719P000258 0002228200885 ENAH NURHASANAH P PEKERJA MANDIRI Stroke, not specified as Berobat Jalan
haemorrhage or infarction
999 02-07-2019 102320010719P000022 0002249344798 IRPAN MAULANA L PEKERJA MANDIRI Acute and transient Rujuk Lanjut
psychotic disorder,

1000 02-07-2019 102320010719P000020 0002266598823 KURNIA HENDARTI P PEKERJA MANDIRI Nutritional anaemia, Rujuk Lanjut
unspecified
1001 02-07-2019 102320010719P000080 0002276998154 DASIEM P PEKERJA MANDIRI Arthrosis, unspecified Berobat Jalan

1002 02-07-2019 102320010719P000099 0002299073141 WIWIN W P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1003 02-07-2019 102320010719P000076 0002397606366 DEDE ROSMAWATI P PBI (APBD) Arthrosis, unspecified Berobat Jalan

1004 02-07-2019 102320010719P000082 0002455621481 FEBRIANTO RIVALDI L PEKERJA MANDIRI Asthma Berobat Jalan

1005 02-07-2019 102320010719P000105 0002466284477 DEDI KUSWARA L PEKERJA MANDIRI Arthrosis, unspecified Berobat Jalan

1006 02-07-2019 102320010719P000015 0002487688738 NENISAH P PEGAWAI SWASTA Malignant neoplasm of Rujuk Lanjut
breast
1007 02-07-2019 102320010719P000029 0002768577502 MAKIR SUGIONO L PEKERJA MANDIRI Degenerated conditions of Rujuk Lanjut
globe
1008 01-07-2019 102320010719P000014 0000070902742 SRI WAHYUNI P PNS DAERAH Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and

1009 01-07-2019 102320010719P000049 0000071260582 MAMAH AMAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1010 01-07-2019 102320010719P000001 0000071405842 UPI SUPRIAH P PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
1011 01-07-2019 102320010719P000007 0000071665525 DEDI SUPRIADI MR L PNS DAERAH Other cataract Rujuk Lanjut

1012 01-07-2019 102320010719P000058 0000071700028 SURIANAWATI P PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1013 01-07-2019 102320010719P000011 0000071755244 PONIJAN L PENERIMA PENSIUN Heart disease, unspecified Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

1014 01-07-2019 102320010719P000056 0000071791975 SUTOWO L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
1015 01-07-2019 102320010719P000010 0000208526804 UUS USMIATI P PNS DAERAH Tinnitus Rujuk Lanjut

1016 01-07-2019 102320010719P000046 0000436982624 ATO SUDARTO L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and

1017 01-07-2019 102320010719P000070 0000437315578 JUANA L PEGAWAI SWASTA Other specified disorders Berobat Jalan
of teeth and supporting

1018 01-07-2019 102320010719P000093 0000437332408 DIAN JUNINGSIH P PBI (APBN) Surgical follow-up care, Berobat Jalan
unspecified
1019 01-07-2019 102320010719P001009 0000437364483 NENI HERAWATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1020 01-07-2019 102320010719P001066 0000437405501 KARWEN P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1021 01-07-2019 102320010719P000087 0000437405501 KARWEN P PBI (APBN) Other single spontaneous Lain-lain
delivery
1022 01-07-2019 102320010719P000090 0000437423229 MANIATUN P PBI (APBN) Surgical follow-up care, Berobat Jalan
unspecified
1023 01-07-2019 102320010719P000005 0000437545732 N PARTINAH P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

1024 01-07-2019 102320010719P000053 0000437595568 WAGIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
1025 01-07-2019 102320010719P000067 0000437681946 OMAH P PBI (APBN) Cough Berobat Jalan

1026 01-07-2019 102320010719P000071 0000437715009 RIBUT P PBI (APBN) Other specified disorders Berobat Jalan
of teeth and supporting

1027 01-07-2019 102320010719P000069 0000437726046 JARMAN L PBI (APBN) Other specified disorders Berobat Jalan
of teeth and supporting

1028 01-07-2019 102320010719P000064 0000437974514 MARJAN L PBI (APBN) Fever with chills Sembuh

1029 01-07-2019 102320010719P000060 0000438083921 RIA SEPTIANINGSIH P PBI (APBN) Asthma Berobat Jalan

1030 01-07-2019 102320010719P000063 0000977731288 ALZAM BADRUZ ZAMAN L PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1031 01-07-2019 102320010719P000006 0001005779035 KARYANA L PBI (APBN) Arthrosis, unspecified Rujuk Lanjut

1032 01-07-2019 102320010719P000002 0001005779744 ENOK FATIMAH P PBI (APBN) Diabetic retinopathy Rujuk Lanjut

1033 01-07-2019 102320010719P000057 0001089548008 TUSINEM P PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

1034 01-07-2019 102320010719P000085 0001181612496 FITRI YULIANTI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
1035 01-07-2019 102320010719P000074 0001278110709 RENALDY HIDAYAT L PEKERJA MANDIRI Other specified disorders Berobat Jalan
of teeth and supporting

1036 01-07-2019 102320010719P000083 0001295417237 ENI SETYANINGSIH P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
1037 01-07-2019 102320010719P000256 0001407038433 DASTAM L PBI (APBD) Stroke, not specified as Berobat Jalan
haemorrhage or infarction
1038 01-07-2019 102320010719P000048 0001422221343 AYU ROSITA P PEGAWAI SWASTA Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

1039 01-07-2019 102320010719P000065 0001449557458 JAP PETER BAYU L PEKERJA MANDIRI Haematemesis Berobat Jalan

1040 01-07-2019 102320010719P000094 0001456034679 ELI ELAWATI P PEKERJA MANDIRI Malaise and fatigue Lain-lain

1041 01-07-2019 102320010719P000091 0001477930331 ALTHAF FAHRY RAMADHAN L PEKERJA MANDIRI Disorder of ear, Berobat Jalan
unspecified
1042 01-07-2019 102320010719P000052 0001777053508 DASIEM P PBI (APBD) Pure Berobat Jalan
hypercholesterolaemia
1043 01-07-2019 102320010719P000068 0001779899736 Zaky Raditya L PBI (APBD) Other specified disorders Berobat Jalan
of teeth and supporting

1044 01-07-2019 102320010719P000013 0001781197492 RITA SUDIARTI P PEGAWAI SWASTA Prolonged first stage (of Rujuk Lanjut
labour)
1045 01-07-2019 102320010719P000050 0001859451693 IMAS TRISNAWATI P PEKERJA MANDIRI Pure hyperglyceridaemia Berobat Jalan

1046 01-07-2019 102320010719P000257 0001959115533 ADE SADILI L PEKERJA MANDIRI Nutritional anaemia, Berobat Jalan
unspecified
1047 01-07-2019 102320010719P000062 0002182671371 SAI`IN BUCHORI L PBI (APBD) Influenza, virus not Sembuh
identified
1048 01-07-2019 102320010719P000075 0002182671393 NAILLA MUAZARA ULFA P PBI (APBD) Other specified disorders Lain-lain
of teeth and supporting

1049 01-07-2019 102320010719P000012 0002200469736 REZA FAUZANNUR RAMDHANI L PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

1050 01-07-2019 102320010719P000194 0002228200885 ENAH NURHASANAH P PEKERJA MANDIRI Stroke, not specified as Sembuh
haemorrhage or infarction
1051 01-07-2019 102320010719P000088 0002248880635 ENDAY L PNS DAERAH Asthma Berobat Jalan

1052 01-07-2019 102320010719P000193 0002248880635 ENDAY L PNS DAERAH Other and unspecified Sembuh
abdominal pain
1053 01-07-2019 102320010719P000003 0002305195029 HJ. SITI MARDIAH P PEKERJA MANDIRI Unspecified diabetes Rujuk Lanjut
mellitus without
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJAR - 1013

FKTP : PANGANDARAN - 10232001

1054 01-07-2019 102320010719P000054 0002396989168 SUZANA WULAN SYAHRANI P PBI (APBD) Dyspepsia Berobat Jalan

1055 01-07-2019 102320010719P000061 0002397606344 TURAH P PBI (APBD) Other forms of stomatitis Berobat Jalan

1056 01-07-2019 102320010719P000055 0002427548951 JUYEM L PEKERJA MANDIRI Myalgia Berobat Jalan

1057 01-07-2019 102320010719P000008 0002455391283 INTAN PUSPITA JULIANTI P PEKERJA MANDIRI Other visual disturbances Rujuk Lanjut

1058 01-07-2019 102320010719P000051 0002461861675 ELIN HERLINA P PEKERJA MANDIRI Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

1059 01-07-2019 102320010719P000059 0002462837354 NUNUNG NURJANAH P PEKERJA MANDIRI Headache Berobat Jalan

1060 01-07-2019 102320010719P000092 0002464570484 TUNJANG SUDRAJAT L PEKERJA MANDIRI Surgical follow-up care, Berobat Jalan
unspecified
1061 01-07-2019 102320010719P000066 0002473190829 DEDE HADI WASONO L PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
1062 01-07-2019 102320010719P000072 0002480235478 NOVIA RENI HASTUTI P PEKERJA MANDIRI Other specified disorders Berobat Jalan
of teeth and supporting

1063 01-07-2019 102320010719P000192 0002491727286 BAMBANG FRIMANSAH L PEGAWAI SWASTA Typhoid fever Sembuh

1064 01-07-2019 102320010719P000004 0002493207832 HJ. UKASIH P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
1065 01-07-2019 102320010719P000218 0002737625128 SETIAWAN L PEKERJA MANDIRI Congestive heart failure Sembuh

1066 01-07-2019 102320010719P000009 0002737910024 RUMSINAH P PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

1067 01-07-2019 102320010719P000078 0002743548873 GUN GUN GUMILAR L PEGAWAI SWASTA Other specified disorders Berobat Jalan
of teeth and supporting

1068 01-07-2019 102320010719P000047 0002744644274 TURYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1069 01-07-2019 102320010719P000086 0002754317046 BAYI NYONYA LILIS CHOIRIAH L PEKERJA MANDIRI Immunization not carried Berobat Jalan
out for unspecified reason