Rujukan

REGISTE
TANGGAL NO NAMA NIK NOMER RUJUKAN
6/3/2019 1 NAZIR S 3671110808560006 102501050319Y000418

2 BAMBANG SUGENG HARIYONO 3671112303530001 102501050319Y000421
3 SUMIYARSIH 3671114507560001 102501050319Y000394
4 LENCERIA MARBUN 3671115002620004 102501050319Y000366
5 EKA AGUSTIAN SAPUTRI 3671115808880003 102501050319Y000380
6 SETYO PRATONO 3671112701620002 102501050319Y000384
7 ATIH SUGIARTI 3671115904560001 102501050319Y000401
8 WASRIAH 3671114511600002 102501050319Y000435
9 AZWIRMAN 3671110202500002 102501050319Y000432
10 MARSONO RUDILIANA, BA 102501050319Y000414
11 KOMARIAH. H 3671114510540002 102501050319Y000425
12 YOYO 3671110412600000 102501050319Y000422
13 ANOT 3671114607650004 102501050319Y000385
14 PUJI MURTINI 3671116510750001 102501050319Y000433
15 KARTI 3671115605600001 102501050319Y000428
16 SAYIDAH KUS ARINI 3671116108910001 102501050319Y000423
17 M. THALIB USMAN 3671112802500001 102501050319Y000364
18 HUSIN TAHER 3671110808550001 102501050319Y000402
19 ZAINAL 3671113007520002 102501050319Y000369
20 MARYOTO 3671110107740015 102501050319Y000375
21 MASIH 3671114105600003 102501050319Y000400
22 IMAM PRASOJO 3671111702140006 102501050319Y000415
23 RADEN ADJIE SUPRAMULADJI 3671110512510001 102501050319Y000434
24 SUTANTO PURWOATMOJO 3671110306470001 102501050319Y000379
25 HJ. LATIFAH ANNOUM 3671114505520001 102501050319Y000381
26 ELIN KAROLINA 3671115606800001 102501050319Y000376
27 SITI ROHMAYANTI 3671117105820005 102501050319Y000406
28 SAIRI 3671112509780001 102501050319Y000429
29 MUHAMMAD SOPIYAN 3671110411130003 102501050319Y000386
30 METTA FAMELY FITRI 3671116406840002 102501050319Y000420
31 MININ 3671110101750007 102501050319Y000371
32 ABDUL AZIS FADIL 3671053010920007 102501050319Y000393
33 SELLY SILVIA ANGGRAENI 3671114802170002 102501050319Y000388
34 DEA ALIFIA ROMADONA 3671116712980002 102501050319Y000427
REGISTER RUJUK LANJUT P-CARE BPJS
PUSKESMAS KUNCIRAN
NOMER KARTU DIAGNOSA
0000038983094 Non-insulin-dependent diabetes mellitus

0000039332711 Carcinoma in situ of other and unspecified digestif
0000039441666 Hypertensive heart disease
0000041541759 Myopia
0000042750584 Mixed asthma
0000049084312 Low back pain
0000049107734 Nonspecific lymphadenitis
0000049164039 Disorder of lens, unspecified
0000049223103 Presbycusis
0000049225206 Other surgical follow-up care
0000814058943 Non-insulin-dependent diabetes mellitus, Essential (primary) hypertension
0001260335485 Gastro-oesophageal reflux disease
0001293997004 Tuberculous pleurisy, without mention of bacteriological or histological confirmation
0001314763187 Hypertensive heart disease without (congestive) heart failure
0001335944744 Hyperplasia of prostate
0001743770788 Female genital prolapse
0001775827192 Mucopurulent conjunctivitis
0001790967971 Congestive heart failure
0001874342485 Rotator cuff syndrome
0001902693633 Paranoid schizophrenia
0002072734042 Other otitis externa
0002100846701 Abnormal findings on antenatal screening of
0002140079196 Pulpitis
0002226573066 Stroke, not specified as haemorrhage or
0002235491998 Other sexually transmitted chlamydial diseases
0002291565148 Other developmental disorders of scholastic
0002748466528 Tuberculosis of lung, confirmed by unspecified
POLI RS
Penyakit Dalam RS BHAKTI ASIH

Bedah Digestif RSUD KABUPATEN TANGERANG
Jantung dan Pembuluh Darah RS MULYA
Mata RS MULYA
Paru RS MULYA
Saraf RS INSAN PERMATA
Bedah RS PERMATA IBU
Mata RS PERMATA IBU
THT-KL RS MULYA
Bedah RS BHAKTI ASIH
Penyakit Dalam RS MULYA
Orthopedi RS BHAKTI ASIH
Paru RS BHAKTI ASIH
Jantung dan Pembuluh Darah RS BHAKTI ASIH
Urologi RS BHAKTI ASIH
Penyakit Dalam RS SARI ASIH CILEDUG
Obgyn RS MULYA
Mata RS PERMATA IBU
Jantung dan Pembuluh Darah RS SARI ASIH CILEDUG
Installasi Rehabilitasi Medik RS MULYA
Jiwa RS SARI ASIH CILEDUG
THT-KL RS MULYA
Obgyn RS MULYA
Anak RS MULYA
Gigi RS PERMATA IBU
Saraf RS MULYA
Kulit Kelamin RS MULYA
Anak RS MULYA
Paru RS INSAN PERMATA
REGISTER RUJUK
PUSKESM
8/3/2019 1 TERRY HARTATI 3671114109560001 102501050319Y000513

2 HJ.DASMANIAR 3671115506510001 102501050319Y000482
3 EUNIKE SURTINI 3671116112650001 102501050319Y000497
4 SRI PUJIASTUTI 3671114710660003 102501050319Y000533
5 SRI NASUHA 3671114304660005 102501050319Y000504
6 NYAMI LESTARI 3671114203720003 102501050319Y000507
7 DAFFA PERMANA 3671111109030004 102501050319Y000484
8 ANWIR RUSLI 3671111212540005 102501050319Y000469
9 DHANIL ST. LEMBANG ALAM 102501050319Y000481
10 RAFLAINI 3671117006540004 102501050319Y000480
11 DHIMAS ANDIKA PRASETYO 3671110212060009 102501050319Y000478
12 ALWIN RISZKI PUTRA 3671110607040004 102501050319Y000542
13 EKA NURHAYATI 3671114401650002 102501050319Y000509
14 MAHYUNIR 3671110300652000 102501050319Y000479
15 RUDOLPH STIFANO 3671112703840001 102501050319Y000551
16 DATONG RATU ALI,BE 3671112611440001 102501050319Y000461
17 DIYANI EKO RETNO WATI 3671116303760001 102501050319Y000538
18 NIA PURNAMA SARI 3671114701890006 102501050319Y000501
19 R. RACHMAT 3671112409570002 102501050319Y000470
20 MUSTIKA 3603175002900003 102501050319Y000552
21 OTNIEL MIRACLE WIJAYA 3671110309080008 102501050319Y000545
22 PREN RAMADHAN 3671111407070002 102501050319Y000543
23 WAHYU IRAWAN 3278022802900013 102501050319Y000523
24 YANA MULYANAH 102501050319Y000540
25 RODIAH 3671114410570001 102501050319Y000508
26 ANITA ROSANTI 3671115708980008 102501050319Y000517
27 NESYA ULI ARTHA HUTAGAOL 3671117007180002 102501050319Y000535
28 SITI OKTAYANI 3671045310900001 102501050319Y000527
29 RAYYA RAYNA ROFIFAH 3671116802190001 102501050319Y000520
PUSKESMAS KUNCIRAN
0000041809419 Other disorders of teeth and supporting structures

0000049222517 Dyspepsia
0000049483743 Rotator cuff syndrome
0000168521916 Malignant neoplasm of breast
0000814926453 Non-insulin-dependent diabetes mellitus, Other hyperlipidaemia
0001054004038 Malignant neoplasm of brain
0001157079047 Other and unspecified injuries of thorax
0001256814639 Other chronic obstructive pulmonary disease
0001277545331 Atherosclerotic cardiovascular disease
0001287015928 Open wound of penis
0001338596717 Conductive and sensorineural hearing loss
0001427410517 Insulin-dependent diabetes mellitus
0001457808039 Vertigo of central origin
'0001461443117 Paranoid schizophrenia
0001462249607 Respiratory tuberculosis
0001465715439 Benign lipomatous neoplasm
0001831890137 Acute tonsillitis due to other specified organisms
0001843618318 Atherosclerotic heart disease
0002050469357 Antenatal screening
0002064138287 Nonsuppurative otitis media
0002103424852 Otitis externa, unspecified
0002256591903 Thyrotoxicosis [hyperthyroidism]
0002317678738 Chronic obstructive pulmonary disease, unspecified
0002464441929 Fever of other and unknown origin
0002510048676 General medical examination
0002750168171 Routine child health examination
POLI RS
Gigi RS BHAKTI ASIH

Reumatologi RS EMC TANGERANG
Bedah Onkologi RS HERMINA TANGERANG
Penyakit Dalam RS INSAN PERMATA
Saraf RS MULYA
Paru RS MULYA
Anak RS MULYA
THT-KL RS MULYA
Saraf RS MULYA
Jiwa RS EMC TANGERANG
Paru RS MULYA
Bedah RS MULYA
THT-KL RS MULYA
JANTUNG DAN PEMBULUH DARARS MULYA
Obgyn RS PERMATA IBU
THT-KL RS MULYA
THT-KL RS MULYA
Gigi RS BHAKTI ASIH
Paru RS MULYA
Anak RS MULYA
Paru RS PERMATA IBU
Anak RS PERMATA IBU
REGISTER RUJUK
PUSKESM
9/3/2019 1 HJ. SRI NING LESTARI 3173086912520004 102501050319Y000616

2 SUJUDI 102501050319Y000621
3 MOH. RIZKY MACHMUD 102501050319Y000628
4 SANTI 3601165809920001 102501050319Y000635
5 MASA 3671110708680007 102501050319Y000601
6 KHODIJAH 3671115010680005 102501050319Y000624
7 SUPI RAHAYU 3671114512680004 102501050319Y000625
8 RITA INDRAWATI 3671115405840001 102501050319Y000632
9 IVI FISKA 3671114511050002 102501050319Y000631
10 MAHARANI 102501050319Y000586
11 MARYANTI 3671114707720005 102501050319Y000568
12 UJI 3671116711510003 102501050319Y000562
13 LEONARA ADRIANA PEEA 3671116211670001 102501050319Y000575
14 RINA YUNIAWATI 3671116406640001 102501050319Y000594
15 MUHAMMAD RIYAN F 3671110406080001 102501050319Y000566
16 FATIMAH 3671115007600013 102501050319Y000591
17 EDIY SYAHRI 3175020404520004 102501050319Y000629
18 HALIMAH 3671114812580003 102501050319Y000592
19 SUTARNO 3671110306600003 102501050319Y000572
20 HJ. ANI KOMARIAH 3671115512560001 102501050319Y000561
21 ISMAWATI 3671117112890007 102501050319Y000610
22 SUDARWANTI 3671114205770007 102501050319Y000569
23 HERNADI 3671111509500002 102501050319Y000564
24 H. RIMIN 3671113112520001 102501050319Y000560
25 ETI 3671115206760005 102501050319Y000614
26 POPPY MULYASARI 3671115511740005 102501050319Y000627
27 ZULAIKHA WIRDHATURROHMAH 3671115607180002 102501050319Y000609
PUSKESMAS KUNCIRAN
0000045629831 Gonarthrosis [arthrosis of knee]

0000046980336 Chronic kidney disease, stage 5
0000139926238 Necrosis of pulp
0000793311074 Pre-eclampsia, unspecified, Non-insulindependent diabetes mellitus
0000814837634 Visceral larva migrans
0000815933856 Other specified postsurgical states
0001078619196 Tuberculous peripheral lymphadenopathy
0001627649831 Cervical disc disorders
0001801653377 Acute tonsillitis, Nonsuppurative otitis media
0001804074401 Other arthritis
0001834016916 Calculus of kidney
0002045101689 Chronic kidney disease
0002096883922 Mixed asthma
0002104598261 Other arthritis, Low back pain
0002449235812 Caries of dentine
0002473698688 Other specified dermatitis
POLI RS

Penyakit Dalam RS PERMATA IBU
Gigi RS PERMATA IBU
Obgyn RS MULYA
Kulit Kelamin RS BHAKTI ASIH
Mata RS PERMATA IBU
Gigi RS PERMATA IBU
Gigi RS PERMATA IBU
Paru RS HERMINA TANGERANG
Bedah RS MULYA
Installasi Rehabilitasi Medik RS PERMATA IBU
Gigi RS PERMATA IBU
THT-KL RS PERMATA IBU
Saraf RS PERMATA IBU
Paru RS HERMINA TANGERANG
Paru RS PERMATA IBU
Saraf RS MULYA
Bedah RS PERMATA IBU
Gigi RS PERMATA IBU
REGISTER
PU
11/3/2019 1 ABD SANIN 3671110101750007 102501050319Y000686

2 ROSIYAH 3671116603570001 102501050319Y000687
3 CHAERUL SALEH 3671110812560002 102501050319Y000717
4 MURNIE HUSIN 3671116105580002 102501050319Y000716
5 NINA DARMAWATI 3671116305680001 102501050319Y000671
6 DRA. SRIRAHAJU PUDJIATMI 3671115406520002 102501050319Y000652
7 RANI BIN AMAD 3671116005780008 102501050319Y000667
8 GERING 3671110101420005 102501050319Y000681
9 AMIR 3671112107600001 102501050319Y000658
10 KIKI ROSMAWATI 3671115207820008 102501050319Y000650
11 JAINO PRASETYO 3671111510650004 102501050319Y000677
12 RITA ZAHARA 3671115611560001 102501050319Y000731
13 H. DARDJI. R 3671111210530001 102501050319Y000639
14 SITI ROUDHOTUL JANNAH 3671115606800010 102501050319Y000715
15 FRANS TAUFIK T 3671111005660008 102501050319Y000737
16 PARNI 3671115205600009 102501050319Y000690
17 SYAHMAR FAUZI 3671110801510001 102501050319Y000734
18 WATIYO 3671131003530002 102501050319Y000725
19 AMINUDIN 3671110504610004 102501050319Y000701
20 EMI DAWATI 3674025108530002 102501050319Y000685
21 SULASMI 3671116002640002 102501050319Y000689
22 MARUDUT PARULIAN 3173081306790006 102501050319Y000713
23 IRFANIA PUTRIE 3671116912910004 102501050319Y000743
24 WANDA HERMALIA PUTRI 3173035507020003 102501050319Y000739
25 RIFIANTI TRIWIRA YUDHA S. 3671111450210004 102501050319Y000708
26 INAH 3671115607830010 102501050319Y000728
27 HARTINA 3671114309580004 102501050319Y000645
28 SAFITRI WULANDARI 3671116303980001 102501050319Y000720
29 SUMARTI 3174055905680007 102501050319Y000733
30 DAMAR ARYA RIZKI NURFADILAHSYAH 3671111806090002 102501050319Y000729
31 KEMIS 3671111012550003 102501050319Y000674
32 MININ 3671110101750007 102501050319Y000644
33 SUCI RAMADHANI 3671115301970003 102501050319Y000711
34 NOVIA POLINA 3671114303860009 102501050319Y000712
35 KARWIYAH 3671114305870009 102501050319Y000664
36 MAIYAH 3671114210370002 102501050319Y000718
37 ISMAIL RAJAB SYAMIL 3671111504170001 102501050319Y000706
38 IRMA TUSSADIAH 102501050319Y000726
39 EKA HIDAYAH 3671115306970001 102501050319Y000752
40 EKA FITRI LESTARI 3671115305930001 102501050319Y000749
PUSKESMAS KUNCIRAN
0000039475473 Sequelae of stroke, not specified as haemorrhage

0000043550403 Acute bronchitis, Hypertensive heart disease without (congestive) heart failure
0000049221145 Hypertensive heart disease without (congestive) heart failure
0000814595668 Bronchiectasis
0001169447679 Senile cataract
0001275674343 Chronic obstructive pulmonary disease, unspecified
0001280403808 Paranoid schizophrenia
0001288281958 Headache
0001427316715 Atherosclerotic heart disease, Hypertensive heart disease
0001451904974 Cluster headache syndrome
0001716694716 Supervision of other high-risk pregnancies
0001739433429 Acute appendicitis
0001814623299 Acute sinusitis, unspecified
0001829170427 Tension-type headache
0002101518088 Myopia
0002104554971 Trigger finger, hand
0002104563611 Hypertrophy of tonsils
0002104605977 Dilated cardiomyopathy
0002226573066 Non-insulin-dependent diabetes mellitus, Hypertensive heart disease
0002229183246 Impacted teeth
0002243745933 Thyrotoxicosis [hyperthyroidism]
0002302052916 Cyst of Bartholin's gland
0002474635869 Loss of teeth due to accident, extraction or local
POLI RS
Saraf RS MULYA
Saraf RS BHAKTI ASIH
Hemodialisa RS BHAKTI ASIH
Paru RS PERMATA IBU
Jantung dan Pembuluh Darah RS PERMATA IBU
Paru RS PERMATA IBU
Mata RS PERMATA IBU
Paru RS MULYA
Paru RS PERMATA IBU
Jiwa RSUD KOTA TANGERANG
Jantung dan Pembuluh Darah RSUD KOTA TANGERANG
Hemodialisa RS OMNI ALAM SUTERA
Bedah RS BHAKTI ASIH
THT-KL RS MULYA
Mata RS PERMATA IBU
Saraf RS MULYA
Gigi RS BHAKTI ASIH
Obgyn RS MULYA
Mata RS PERMATA IBU
Gigi RS PERMATA IBU
REGISTER RUJUK LAN
PUSKESMAS K
12/3/2019 1 MARTINI 3671115003640003 102501050319Y000800

2 TRIANI NOVITA MARINI 3671115911930005 102501050319Y000799
3 RUKIAH 3671116405580001 102501050319Y000770
4 ANNAS THAHIR 3671110711420003 102501050319Y000780
5 WINA WITRIYANA 3671115705910003 102501050319Y000787
6 HERI SUPROBO 3671110303680001 102501050319Y000798
7 DEWI SARKIAH 3671114604710001 102501050319Y000830
8 NIMUN 3671040104700001 102501050319Y000833
9 NUR EKA AGUSTINA 3671114808950002 102501050319Y000794
10 MUNAH 3671115007630001 102501050319Y000802
11 DEDE 3671110605730010 102501050319Y000842
12 MAMID 3671110405690001 102501050319Y000767
13 WIWIN 3671115003770002 102501050319Y000783
14 THRESTIATY 3671117009630001 102501050319Y000851
15 GODJALI MUCHTAR 3671110508530002 102501050319Y000821
16 HJ. ISWARNI 3671114306490002 102501050319Y000819
17 SARIATUN 3671114204570001 102501050319Y000757
18 ABDUL HAKIM 3671110902790003 102501050319Y000773
19 FARASZ ALFISAHR YUSMI 3671115704890005 102501050319Y000855
20 SRI SULISTYAWATI 3671116912650001 102501050319Y000785
21 ETTY SURYATI 3671116010600001 102501050319Y000847
22 MUJAHIDIN 3671111608480001 102501050319Y000768
23 SUMARDI 3671111709580002 102501050319Y000839
24 NUGRAHANTO TRI YANUANTO 3671111501960001 102501050319Y000843
25 MEGA ALVANI OKTAVIA 3173056010910007 102501050319Y000793
26 EKA ROSPRIANITA 3671114204630005 102501050319Y000801
27 WARDIATUL NAZIFAH 3671116206700001 102501050319Y000837
28 A. MAFATIHUL ABRAR 3671112412490001 102501050319Y000769
29 SUTANTO PURWOATMOJO 3671110306470001 102501050319Y000815
30 SATIMIN 3671112412570001 102501050319Y000803
31 SUPINI 3671114103600005 102501050319Y000786
32 MERNIATI WIJAYA 3674064910550005 102501050319Y000838
33 PURWATI 3671116705590001 102501050319Y000764
34 TARYONO 3671110510640002 102501050319Y000854
35 SRI PURNAMI 3671115606620001 102501050319Y000765
36 INDAH PURWANTI 3671135802760006 102501050319Y000778
37 RUKIYAH 3671114304660001 102501050319Y000846
38 LINAH 3671114101520005 102501050319Y000822
39 MAEMUNAH 3671116005800008 102501050319Y000792
40 MUHAMMAD NAUFAL MUZZAKI 3671110109060002 102501050319Y000828
41 MUHAMAD RAFA AZKA PUTRA 3671111401160002 102501050319Y000813
42 MUHAMMAD MUKHLIS PRIBADI 3671112412170001 102501050319Y000850
43 JOHAN EFENDI 3671111406780011 102501050319Y000848
PUSKESMAS KUNCIRAN
NOMER KARTU DIAGNOSA POLI
0000037862548 Sick sinus syndrome THT-KL

0000037862572 Acute sinusitis THT-KL
0000037919733 Atherosclerotic heart disease Jantung dan Pembuluh Darah
0000040891252 Other chronic nonsuppurative otitis media THT-KL
0000042006609 Thalassaemia Penyakit Dalam
0000165215711 Chronic kidney disease Hemodialisa
0000167457609 Gonarthrosis [arthrosis of knee] Orthopedi
0000167457633 Unspecified thrombosed haemorrhoids Penyakit Dalam
0000814812355 Congestive heart failure Jantung dan Pembuluh Darah
0000815179904 Other chronic obstructive pulmonary disease Paru
0000815191446 Fracture of femur Orthopedi
000081525009 Other specified dermatitis Kulit Kelamin
0000816263054 Tinnitus, Perforation of tympanic membrane THT-KL
0001259232445 Other arthritis Saraf
0001260904959 Atherosclerotic heart disease Jantung dan Pembuluh Darah
0001270559801 Non-insulin-dependent diabetes mellitus Penyakit Dalam
0001277035749 Other orthopaedic follow-up care Orthopedi
0001296472735 Fracture of clavicle Orthopedi
0001296790165 Other disorders of teeth and supporting structures Gigi
0001335946228 Senile cataract Mata
0001337074582 Malignant neoplasm of breast Bedah
0001383564598 Hyperplasia of prostate Urologi
0001442674618 Non-insulin-dependent diabetes mellitus Penyakit Dalam
0001454074593 Epilepsy Saraf
0001459207719 Supervision of normal pregnancy, unspecified Obgyn
0001462471198 Dyspepsia Penyakit Dalam
0001816717847 Disorder of lens, unspecified Mata
0001874342485 Chronic obstructive pulmonary disease Paru
0001883200544 Hyperplasia of prostate Urologi
0001961505268 Other arthritis Penyakit Dalam
0002049371223 Other orthopaedic follow-up care Orthopedi
0002104547376 Necrosis of pulp Gigi
0002140079185 Otitis externa in viral diseases classified THT-KL
0002141050768 Other specified abnormal products of conception Obgyn
0002252636313 Toxoplasma oculopathy Mata
0002291026105 Corns and callosities Bedah
0002311669989 Chronic kidney disease Penyakit Dalam
0002325682967 Postprocedural respiratory disorders THT-KL
0002325683237 Nephrotic syndrome Anak
0002500586673 Other and unspecified injuries of head Anak
0002446301215 Sciatica Installasi Rehabilitasi Medik
RS
RS MULYA
RS MULYA
RS PERMATA IBU
RS MULYA
RSUD KOTA TANGERANG
RS AWAL BROS TANGERANG
RS BHAKTI ASIH
RS BHAKTI ASIH
RSUD KOTA TANGERANG
RS MULYA
RS BHAKTI ASIH
RS MULYA
RS MULYA
RS MULYA
RS MULYA
RS MULYA
RS BHAKTI ASIH
RS BHAKTI ASIH
RS BHAKTI ASIH
RS BHAKTI ASIH
RS BHAKTI ASIH
RS BHAKTI ASIH
RS INSAN PERMATA
RSUD KOTA TANGERANG
RS PERMATA IBU
RS INSAN PERMATA
RS BHAKTI ASIH
RS BHAKTI ASIH
RS SARI ASIH CILEDUG
RS BHAKTI ASIH
RS MEDIKA LESTARI
RS BHAKTI ASIH
RS PERMATA IBU
RS PERMATA IBU
RS PERMATA IBU
RS INSAN PERMATA
RS MULYA
RS BHAKTI ASIH
RS BHAKTI ASIH
RS MULYA
RS MULYA
RS PERMATA IBU
RS PERMATA IBU
REGISTER RUJUK LANJUT
PUSKESMAS KUNC
TANGGAL NO NAMA NIK NOMER RUJUKAN NOMER KARTU
13/03/2019 1 H MURDIMAN SIP MSI 3174080706540002 102501050319Y000894 0000036699412

2 ACHMADI RACHMAN 102501050319Y000900 0000042176417
3 SUHANTO 3316061008480001 102501050319Y000863 0000091926955
4 MARIAH 3671115204430002 102501050319Y000936 0000169744026
5 ITTA 3173056710720004 102501050319Y000922 0001204488461
6 DEDY 3671111105770004 102501050319Y000880 0001432422707
7 SUNARTO 3671111803700004 102501050319Y000865 0001433846136
8 NURHIKMAH 3671116206760006 102501050319Y000866 0001433846272
9 TITIN MARYANI 102501050319Y000882 0001455565206
10 R.LETSI MARTIANA RISWATI 3671115303780003 102501050319Y000860 0001460728732
11 A. SAPRONI 3671110505560001 102501050319Y000856 0001460999597
12 ENDANG SETIAWATI 3671114903520002 102501050319Y000926 0001479708281
13 LILY YANTI 3671115707720006 102501050319Y000867 0001775827811
14 SAHRUR 3671113009680003 102501050319Y000915 0001843658469
15 SUGIANTO 3671111603560001 102501050319Y000874 0001908540685
16 ERIKA TRIANA 3671114308000007 102501050319Y000911 0002040926668
17 ENDANG HADIATI 3671114503620001 102501050319Y000891 0002102546889
18 LINA PUTRIYANI 3671116404860018 102501050319Y000868 0002102547104
19 BUDI SUBARNA 3671110509680005 102501050319Y000909 0002102608135
20 RAINY MARLIANTI 3671115503740013 102501050319Y000920 0002104596944
21 MURISA 3671114811630002 102501050319Y000890 0002317916981
22 SA'OMI 3671115208690004 102501050319Y000927 0002490738524
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33
34
35
36
37
38
39
40
41
42
43
EGISTER RUJUK LANJUT P-CARE BPJS
PUSKESMAS KUNCIRAN
DIAGNOSA POLI
Other peripheral vertigo Saraf

Bronchopneumonia, unspecified Paru
Cutaneous abscess, furuncle and carbuncle Kulit Kelamin
Gastro-oesophageal reflux disease Penyakit Dalam
Other peripheral vertigo Saraf
Non-insulin-dependent diabetes mellitus, Decubitus ulcer Bedah
Chronic kidney disease Penyakit Dalam
Other arthritis Orthopedi
Gonarthrosis [arthrosis of knee] Orthopedi
Schizoaffective disorders Jiwa
Other mitral valve diseases Jantung dan Pembuluh Darah
Disorder of lens, unspecified Mata
Congestive heart failure Jantung dan Pembuluh Darah
Non-insulin-dependent diabetes mellitus Penyakit Dalam
Non-insulin-dependent diabetes mellitus Penyakit Dalam
Tuberculous peripheral lymphadenopathy Paru
Calculus of bile duct with cholecystitis Penyakit Dalam
Epistaxis THT-KL
Psoriasis Kulit Kelamin
Menopausal and other perimenopausal disorders Obgyn
Non-insulin-dependent diabetes mellitus with neuro Saraf
Polycystic ovarian syndrome Obgyn
RS
RS PERMATA IBU
RS MULYA
RS BHAKTI ASIH
RS BHAKTI ASIH
RS INSAN PERMATA
RS MULYA
RS PERMATA IBU
RS BHAKTI ASIH
RS BHAKTI ASIH
RSUD KOTA TANGERANG
RS MULYA
RS MULYA
RSUD KOTA TANGERANG
RS BHAKTI ASIH
RS PERMATA IBU
RSUD KOTA TANGERANG
RS INSAN PERMATA
RS PERMATA IBU
RS MULYA
RS MULYA
RS INSAN PERMATA
RS BHAKTI ASIH
REGISTE
P
14/03/2019 1 BUDIMAN 3671112703860003 102501050319Y001047

2 SRIWATI 3671115009590004 102501050319Y000948
3 HAYATI 3671114303630005 102501050319Y000947
4 MAIMUNAH 3671114803530001 102501050319Y001025
5 MARIA YOHANA ATINI 3671116406560001 102501050319Y001023
6 MUHAMAD VARIS LUTHFAN FADILLAH 3671110111050006 102501050319Y000949
7 NASRUDIN 3671111004980005 102501050319Y001035
8 KORIAH 3171075011730005 102501050319Y001037
9 NANI UJIANI 3671115211570002 102501050319Y000991
10 NURSIAH 3671114312550002 102501050319Y001004
11 ASTUTI MARLINA 3671116009810003 102501050319Y001051
12 ALI MUSMAR 3671111107580004 102501050319Y000946
13 DEA KURVITASARI 3674026302890002 102501050319Y001001
14 MAMAH SUGIARTI 3671117007420001 102501050319Y001017
15 KUSYANI 3671116707650002 102501050319Y001009
16 TOYIB 3671110502500002 102501050319Y001005
17 NURBAITI SULAEMAN 3174107112460017 102501050319Y000945
18 NISIN 3671110707590001 102501050319Y001015
19 DODY LUKIANTO 3671112407630002 102501050319Y001032
20 GALOEH PUTRISIWI SETYORINNI 3671117010920007 102501050319Y000958
21 YULIANA 3671117112730008 102501050319Y000973
22 SRI HANDAYANI 3671114205730001 102501050319Y001057
23 RISKA SAFITRI 3671115708800008 102501050319Y001055
24 ASKA WISNU NUGROHO 3671110410030003 102501050319Y001050
25 WIRA SULAEMAN 3671110311080003 102501050319Y000972
26 KUSUMO 3671113005590001 102501050319Y001030
27 ADAM ABDUL GHANI 3671110308110006 102501050319Y000987
28 JUMNI KATERUMINGAN 3671114606730006 102501050319Y000977
29 ADE DELIYANA 3671115912670001 102501050319Y000951
30
31
32
33
34
35
36
37
38
39
40
41
42
43
PUSKESMAS KUNCIRAN
0000040031673 Candidiasis of skin and nail

0000118970561 Herpesviral vesicular dermatitis
0000815370366 Other chest pain
0001087132871 Excessive bleeding in the premenopausal period
0001282700834 Tension-type headache
0001455656229 Leiomyoma of uterus
0001462876345 Acute suppurative otitis media
0001463145682 Bronchiectasis
0001819528402 Stroke, not specified as haemorrhage or infarction
0001869855524 Myopia
0002101519089 Other antenatal screening
0002104548445 Impacted cerumen
0002104557546 Tuberculous peripheral lymphadenopathy
0002198291084 Respiratory tuberculosis, bacteriologically
0002281108151 Respiratory tuberculosis, bacteriologically
0002480788539 Diabetic polyneuropathy
POLI RS

Bedah RS HERMINA TANGERANG
Gigi RS PERMATA IBU
THT-KL RS MULYA
Paru RS BHAKTI ASIH
Saraf RS MULYA
Saraf RSUD KOTA TANGERANG
Mata RS PERMATA IBU
THT-KL RS MULYA
Anak RS PERMATA IBU
Paru RS MULYA
Paru RS MULYA
Gigi RS PERMATA IBU
Saraf RSUD KOTA TANGERANG
REGISTE
P
15/03/2019 1 TITUN SUJANAWATI 3671115505630002 102501050319Y001070

2 A. SAPRONI 3671110505560001 102501050319Y001059
3 DARWATI 3671114911700004 102501050319Y001068
4 DEWI JUWITA 3671114307850005 102501050319Y001073
5 MULYANINGRUM 3671114202590003 102501050319Y001114
6 SUMARIA 6471014702780003 102501050319Y001093
7 SOPHIAN 3671112812540001 102501050319Y001094
8 ISYE NURMEIWATI 3674027101740001 102501050319Y001084
9 HUSYATI 3671116112580003 102501050319Y001110
10 ZURAIDA 3671114107630006 102501050319Y001115
11 ANNISA PRIHATIN 3671116812980003 102501050319Y001097
12 ASSYIFA NAZWA FAHLEVI 3671115209130004 102501050319Y001101
13 RIZKY ALDIYANSYAH 3671111912980005 102501050319Y001092
14 PIONA MARPAUNG 3671116312520001 102501050319Y001074
15 TITIN SUMIATIN 3671116512770005 102501050319Y001062
16 MUHAMAD MUWAFIQ 3671112705090006 102501050319Y001072
17 MANSUR 3671110607490001 102501050319Y001116
18 FACHRIAN IMAN MAULANA 3671112611070006 102501050319Y001124
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
PUSKESMAS KUNCIRAN
0000045651622 Other and unspecified abdominal pain

0001460999597 Other mitral valve diseases
0001464179365 Cluster headache syndrome
0001149315491 Hypermetropia
0001420971333 Presbyopia
0001471194652 Secondary hypertension
0001648473647 Other specified fever
0002083098947 Presbycusis
0002100848736 Disorder of teeth and supporting structures, unspecified
0002143503314 Disorders of sclera
0002749803671 Hyperplasia of prostate
0000048990633 Pityriasis alba
POLI RS

Saraf RS MULYA
Gigi RS PERMATA IBU
Mata RS MULYA
Mata RS PERMATA IBU
Anak RS MULYA
THT-KL RS MULYA
Gigi RS PERMATA IBU
Mata RS MULYA
REG
16/03/2019 1 SUMANTO 3671113112510003 102501050319Y001134

2 HAMZAH RUSDI 3671112012530002 102501050319Y001174
3 SANATAL HURI 3674021168470002 102501050319Y001128
4 ERIANTO 3671111501710006 102501050319Y001133
5 SUMIARDI SJUKUR 3671112707510001 102501050319Y001180
6 ADE SUPRIATNA 3210160902550001 102501050319Y001145
7 SUMIANITA EMANASI SARI 3671116912780002 102501050319Y001171
8 SURYANIH 3671114106800002 102501050319Y001152
9 SUMILAH 3671114602670001 102501050319Y001165
10 LINDA SAFITRI 3671115111910004 102501050319Y001177
11 TAUFAN MUHAMAD SADELI 3671112707050004 102501050319Y001170
12 SITI FAUZIAH FATIMAH 3671116302080002 102501050319Y001142
13 M. RASYID 3671112809010002 102501050319Y001182
14 FREDY SINUHAJI 3173050909790028 102501050319Y001183
15 CRISTO TAMA MANGASIH HUTAGAOL 3671110712110003 102501050319Y001201
16 YATINI 3671114503580005 102501050319Y001148
17 SUHARTONO 3671112705650000 102501050319Y001188
18 Z. ARFA NIRFANA 3671115611610003 102501050319Y001192
19 SITI ASMINAH 3671116007630002 102501050319Y001155
20 MASKONA 3674026209570003 102501050319Y001189
21 ENDANG SETIAWATI 3671114903520002 102501050319Y001202
22 WARDIATUL NAZIFAH 3671116206700001 102501050319Y001175
23 ACHMAD HENDARWIN. H 3674021612620004 102501050319Y001154
24 HANIF TRI AFRIYAN 3671110104130002 102501050319Y001184
25 HJ. FATIMAH 3671115512560004 102501050319Y001179
26 MUH. YUNUS 3671112304600002 102501050319Y001194
27 NINDIH 3671112012700005 102501050319Y001197
28 IRWANSYAH 3275121205850005 102501050319Y001161
29 RIZKA FITRIANI 3671114810990006 102501050319Y001191
30 MUHAMMAD RIZKY SUBHIANTO 3174050209980005 102501050319Y001157
31 RANDY MUHAMMAD ABDILAH 102501050319Y001198
32
33
34
35
36
37
38
39
40
41
42
43
PUSKESMAS KUNCIRAN

0000041809421 Parkinson's disease
0000044446443 Other spondylosis with radiculopathy, lumbar regio
0000048019195 Acute hepatitis B
0000171613697 Non-insulin-dependent diabetes mellitus with other
0000814125093 Missed abortion
0000814694455 Congestive heart failure, Hypertensive heart disease
0000815159507 Caries of dentine
0000815417695 Acute tonsillitis
0001054003138 Intracranial injury
0001274465272 Epilepsy
0001465076103 Decubitus ulcer, Non-insulin-dependent diabetes mellitus
0001479708281 Gonarthrosis [arthrosis of knee], Low back pain
0001737422245 Arthrosis of first carpometacarpal joint
0002103424604 Other arthritis, Rotator cuff syndrome
0002104547758 Psoriasis
0002143855225 Non-insulin-dependent diabetes mellitus, Other chest pain
0002143943471 Calculus of kidney
0002326666149 Foreign body on external eye
0002335098554 Typhoid fever
0002433207598 Keloid scar
POLI RS

Gigi Pedodontis RSUD KOTA TANGERANG
THT-KL RS BHAKTI ASIH
Saraf RS HERMINA TANGERANG
Anak RS MULYA
Bedah Vaskuler RSUD KABUPATEN TANGERANG
Gigi Pedodontis RSUD KOTA TANGERANG
Saraf RS MULYA
Mata RS PERMATA IBU
PUSKESMAS
18/03/2019 1 WARDAH 3671116112500002 102501050319Y001268

2 RUKIAH 3671116405580001 102501050319Y001226
3 SUMIYARSIH 3671114507560001 102501050319Y001229
4 ENY HADI RUSYATI 3671115808580007 102501050319Y001292
5 TERSOLE S.MAHA 3671116512460001 102501050319Y001249
6 SOTER MALAU 3671112103540001 102501050319Y001271
7 TONY TARYONO 3671112606510001 102501050319Y001294
8 SRI MULYATI 3275085111460004 102501050319Y001318
9 BADAWI 3671113007510003 102501050319Y001245
10 YARNI 3671115506670005 102501050319Y001221
11 DEA FITRI MAHENDRA 3671114612030006 102501050319Y001257
12 NAAH 3671116806740003 102501050319Y001215
13 MAHARANI 3671116102810001 102501050319Y001244
14 TITIN SUMARTINI 3671115010790002 102501050319Y001312
15 BAMBANG HARI MULYONO 102501050319Y001255
16 NADYA SHAFIRA PUTRI ARITAMA 3671116810130007 102501050319Y001285
17 SHINTA WATI SOELISTIYO 3671114901570001 102501050319Y001275
18 SRI EKOWATI 3671115706660001 102501050319Y001300
19 M. ZAINAL ABIDIN 3671111510590001 102501050319Y001207
20 HUSNUL KHOTIMAH 3671115610020006 102501050319Y001208
21 BERANI BANGUN 3671110405560001 102501050319Y001319
22 DJUWITA YULIANA 3671114807620001 102501050319Y001291
23 MAHPUD 3671112309830003 102501050319Y001276
24 R. BAMBANG PRIYO SOESILO 3671110202560010 102501050319Y001212
25 NUNUNG NURHAYATI 3671115509600004 102501050319Y001230
26 MUJIONO 3174050404600003 102501050319Y001278
27 RAJUNI 3671114606610004 102501050319Y001302
28 VITA NOPIANTI 3671116911960002 102501050319Y001297
29 SEBASTIAN WINARDY 3671112509150002 102501050319Y001234
30 JAMALUDIN 3671111704660003 102501050319Y001306
31 YOLINA RUCHIKA 3671115704070005 102501050319Y001269
32 MUCHAMAD YUSUP 3174050201670009 102501050319Y001282
33 YANTO 3173053110730003 102501050319Y001211
34 AINUN MARDIAH 3671114404770007 102501050319Y001315
35 YATI 3671115603590001 102501050319Y001317
36 IRWANSYAH 3275121205850005 102501050319Y001286
37 RAIHAN TRI ATHALLAH 3671110511070001 102501050319Y001241
38 AUZAN DAFFA RIDWANSYHA 3671112002180001 102501050319Y001246
39 MUTAR 3671111010590005 102501050319Y001260
PUSKESMAS KUNCIRAN

0000039441666 Acute atopic conjunctivitis
0000045618895 Other peripheral vertigo
0000816101324 Typhoid and paratyphoid fevers, Viral infection of unspecified site
0000816399191 Acute sinusitis
0001082291038 Atherosclerotic cardiovascular disease, so describe
0001186416819 Generalized anxiety disorder
0001309974928 Schizoaffective disorders
0001339968521 Acute myocardial infarction
0001424979887 Gonarthrosis [arthrosis of knee]
0001825373722 Constipation
0001960505616 Chronic mucoid otitis media
0002033006354 Dyspepsia
0002088249737 Typhoid and paratyphoid fevers
0002104571316 Tachycardia, unspecified, Left ventricular failure
0002141050105 Bell's palsy, Idiopathic urticaria
0002143943471 Unspecified haematuria
0002242430673 Other specified fever, Nonspecific lymphadenitis
0002432377181 Specific developmental disorder of motor function
POLI RS
Gigi RSUD KOTA TANGERANG

Gigi RS PERMATA IBU
Mata RS MULYA
Mata RS BHAKTI ASIH
Mata RS BHAKTI ASIH
Jantung Dan Pembuluh Darah RS PERMATA IBU
Mata RS PERMATA IBU
Anak RS PERMATA IBU
THT-KL RS MULYA
Bedah RS HERMINA TANGERANG
Saraf RS MEDIKA LESTARI
Anak RS PERMATA IBU
Jiwa RS IMC BINTARO
Jantung Dan Pembuluh Darah RS BHAKTI ASIH
Paru RSUD KOTA TANGERANG
Jantung Dan Pembuluh Darah RS MAYAPADA
Mata RS PERMATA IBU
THT-KL RS MULYA
Saraf RS MULYA
Anak RS INSAN PERMATA
Saraf RS MULYA
Installasi Rehabilitasi Medik RS MULYA
Anak RS INSAN PERMATA
Anak RS MULYA
Mata RS MULYA
PUSKESMAS
1 SITI NAPSIAH 3671117005650003 102501050319Y001337

2 MAEMUNAH 3671115312490001 102501050319Y001348
3 EKA FITRI LESTARI 3671115305930001 102501050319Y001356
4 HADIJAH 3671115303540001 102501050319Y001389
5 MURSALIN GANI 3671110402570002 102501050319Y001387
6 SRI HADIYAH BADJURI, SH 3671115809600001 102501050319Y001400
7 ZAKIAH 3671115209490001 102501050319Y001362
8 SUWARNI 3671116111560001 102501050319Y001397
9 MARNIH 102501050319Y001320
10 EKO PUTRANTO 3671112708660002 102501050319Y001381
11 NUTI ZULIANI 3671115901090003 102501050319Y001336
12 SAINEM 3671115406520001 102501050319Y001404
13 NANI UJIANI 3671115211570002 102501050319Y001380
14 LAUDDIN 102501050319Y001385
15 NEVI ARYANI 3671115908780007 102501050319Y001352
16 LILIK MARGIATI 3173055304850015 102501050319Y001345
17 WIWI WIARSIH 3674025112640008 102501050319Y001340
18 DATONG RATU ALI,BE 3671112611440001 102501050319Y001329
19/03/2019
19 WAHYU HANDAYANI 1234567890123456 102501050319Y001366
20 SARPIAH 3671116009580002 102501050319Y001359
21 ALPIYAH 3671114605650001 102501050319Y001391
22 SUGIANTO 3671111603560001 102501050319Y001351
23 NIMAN SUGANDA 3671112706860001 102501050319Y001369
24 ARDIANA ROSMADEWI 3671115802950004 102501050319Y001383
25 ANISA ANGGRAENI 3671114612940005 102501050319Y001324
26 ENDANG SUDARMAWAN 3671111112640001 102501050319Y001332
27 SUWATRI 102501050319Y001363
28 MAIMUNAH 3671125012630010 102501050319Y001374
29 DANI ANDRIYANTO 3671110908810001 102501050319Y001405
30 SUTOYO 3671111203710015 102501050319Y001393
31 SUTRIYO 3671110112620002 102501050319Y001338
32 JUMINAH 3671115506760007 102501050319Y001364
33 SYAMSUL BAHRI 3671112009970006 102501050319Y001365
34 FAIZ TAUFIQ DURAHMAN 3671110506180004 102501050319Y001368
35 ARSYA RAFFY PRATAMA 3671112501170001 102501050319Y001407
36 SYIFA AZZAHRA 3671114911180001 102501050319Y001392
PUSKESMAS KUNCIRAN

0000040045836 Supervision of pregnancy with history of insuffici
0001054006896 Leukoplakia and other disturbances of oral
0001266068586 Other and unspecified injuries of head
0001282700834 Dyspepsia
0001432423078 Foreign body in ear
0001451343756 Abnormal findings on antenatal screening of
0001461754888 Stroke, not specified as haemorrhage or
0001631110061 Xanthelasma of eyelid
0001743770147 Sciatica
0002041939102 Retained dental root
0002102174572 Other respiratory tuberculosis, confirmed
0002102547374 Fever of other and unknown origin, Other
0002104555206 Chest pain, unspecified
0002211317469 Mixed anxiety and depressive disorder
0002218273457 Presbyopia
0002237686694 Atherosclerotic cardiovascular disease, so
0002424858581 Pulpitis
0002484436937 Bronchopneumonia, unspecified
0002503009258 Retarded development following proteinenergy maln
0002613559476 B20
POLI RS

Mata RS MULYA
Obgyn RS MULYA
Jantung dan Pembulu Darah RS MULYA
Mata RS BHAKTI ASIH
Saraf RS MULYA
Jantung dan Pembulu Darah RS MULYA
Saraf RS MULYA
Mata RSUD KOTA TANGERANG
THL-KL RS MULYA
Obgyn RS MULYA
Saraf RS INSAN PERMATA
Mata RS BHAKTI ASIH
Saraf RS MULYA
Jantung dan Pembulu Darah RS BHAKTI ASIH
Hemodealisa RS SARI ASIH CILEDUG
Gigi RS PERMATA IBU
Paru RS PERMATA IBU
Saraf RS MULYA
Jantung dan Pembulu Darah RS BHAKTI ASIH
Mata RS MULYA
Jantung dan Pembulu Darah RSUD KOTA TANGERANG
Bedah RSUD KOTA TANGERANG
Gigi RS PERMATA IBU
Anak RS PERMATA IBU
Anak RSUD KOTA TANGERANG
B20 RSUD KOTA TANGERANG
ERNI MARLINA SIMANJUNTAK
1 3671114405670002 102501050419Y001586
JETSON PARDEDE
2 3674021811620000 102501050419Y001553
DERMAWAN MAHMUD, S.PD
3 3671112309530004 102501050419Y001590
4 SULASIH 3671117112640001 102501050419Y001556
MARDIANA BUSTAMI
5 3671094603410001 102501050419Y001575
6 DJAMALUDDIN 3671112207500003 102501050419Y001540
7 MUHAMAD HERMAN MALIK 3671112603570001 102501050419Y001616
8 SITI HAERUSTATI 3671114102710004 102501050419Y001583
9 AMALIA WULAN TARI 3671114208990002 102501050419Y001580
10 SUPI RAHAYU 3671114512680004 102501050419Y001613
11 EUIS RUSLINA 367111561180000 102501050419Y001562
12 SUWARDIYAH 3671116112540002 102501050419Y001577
13 WARMI 3209024107550187 102501050419Y001603
14 RAHAYU 3671116409620001 102501050419Y001606
15 MUH. RAYNAR SABIAN NUGROHO P367102116109094 102501050419Y001558
16 MUHAMMAD FIRDAUS CHAUDHRY 3671111504000006 102501050419Y001612
17 DICKY ARIANDA 3671110101980002 102501050419Y001559
18 IRAWAN SANTIKA 3671112212550001 102501050419Y001555
19 ANNISA INDIRA 3671114803110003 102501050419Y001585
24/04/2019
20 AMAK BINTORO 3671111407700003 102501050419Y001560
21 ARTAYA 3671114810640001 102501050419Y001552
22 MILIONO 3671111211540002 102501050419Y001574
23 SUPRIYADI 3671112001680002 102501050419Y001596
24 HIKMAH 3173055802700004 102501050419Y001604
25 HALIMAH 3671114812580003 102501050419Y001543
26 MUJIONO 3174050404600003 102501050419Y001541
27 SUGIYEM 3174055203600009 102501050419Y001542
28 ZAHARNI 3671114309610002 102501050419Y001605
29 UMMUL MADANIATI 3671116506050002 102501050419Y001549
30 SAGIMAN 3671111502600007 102501050419Y001582
31 HERAWATI 3671114209960003 102501050419Y001591
32 WASIS MARTANTO 3671110803920001 102501050419Y001609
33 ESTHER FELICIA DJONG 3174104404180001 102501050419Y001600
34 MUHAMMAD AZRIL HIDAYAT 3671111403180002 102501050419Y001602
35 SRI RUHATI 3671114701740005 102501050419Y001610
36 EKA MAYSANTI 3671134310920002 102501050419Y001564
37 SOFYAN 3671113112500001 102501050419Y001551
38 DIAH UMI DASWATI 3671115805620002 102501050419Y001576
PUSKESMAS KUNCIRAN
NOMER KARTU
0000039469746
0000041197724
0000041243095
0000041853543
0000049092884
0000049164759
0000204917139
0000815558319
0000815893187
0000815933856
0001189328938
0001256361164
0001285077633
0001288051661
0001289076838
0001296790571
0001302991481
0001338488987
0001433577712
0001653374834
0001721649238
0001743770766
0001787921436
0001801891899
0001841453054
0001967254086
0001967258608
0002035500669
0002078082551
0002100848837
0002101832076
0002102547238
0002446852239
0002455275699
0002463099647
0002499109659
0002500964875
0002616564161
PUSKESMAS KUNCIRAN
DIAGNOSA
Acute serous otitis media (H65.0)
Bitten or struck by dog (W54), Cutaneous abscess, furuncle and carbuncle (L02)
Sequelae of stroke, not specified as haemorrhage or infarction (I69.4)
Oedema, not elsewhere classified (R60), Other and unspecified abdominal pain (R10.4)
Atherosclerotic heart disease (I25.1)
Hyperplasia of prostate (N40)
Chronic pharyngitis (J31.2)
Cluster headache syndrome (G44.0)
Superficial injury of head (S00)
Non-insulin-dependent diabetes mellitus (E11)
Necrosis of pulp (K04.1)
Benign lipomatous neoplasm (D17), Essential (primary) hypertension (I10)
Low back pain (M54.5)

Malignant neoplasm of endometrium (C54.1)
Necrosis of pulp (K04.1), Caries of dentine
Cough (R05) disorder due to circulating anticoagulants (D68.3)
Haemorrhagic
Oedema, not elsewhere classified (R60), Hyperplasia of prostate (N40)
Acute tonsillitis (J03)

Dyspnoea (R06.0), Otherdiabetes
Non-insulin-dependent chest pain (R07.3)
mellitus with other specified complications (E11.6)
Respiratory tuberculosis, bacteriologically and histologically confirmed (A15)
Respiratory tuberculosis, not confirmed bacteriologically or histologically (A16)
Palmar fascial fibromatosis [Dupuytren]

Other chronic obstructive pulmonary disease
Senile cataract (H25)
Polyarthritis, unspecified,
Non-insulin-dependent lower leg
diabetes (M13.06)
mellitus (E11), Sequelae of stroke, not specified as
Dislocation, sprain and strain of joints and ligaments at wrist and hand level (S63)
Tuberculosis of intestines, peritoneum and mesenteric glands (A18.3)
Hypokalaemia (E87.6) abdominal pain (R10.4), Other specified fever (R50.8)

Other and unspecified
Other specified fever (R50.8)

Other specified fever (R50.8)
Missed abortion (O02.1)
Other and unspecified
Respiratory abdominal
tuberculosis, pain (R10.4)
bacteriologically and histologically confirmed (A15)
After-cataract (H26.4)
POLI RS
RS PERMATA IBU
THT-KL
BEDAH RS PERMATA IBU
RSUD KOTA TANGERANG
SARAF
RSUD KOTA TANGERANG
PENYAKIT DALAM
JANTUNG DAN PEMBULUH DARAH RS MULYA
UROLOGI RS BHAKTI ASIH
RSUD KOTA TANGERANG
THT-KL
SARAF RS BHAKTI ASIH
SARAF RS MULYA
PENYAKIT DALAM RS PERMATA IBU
GIGI RS PERMATA IBU
SARAF RS PERMATA IBU
onkologi ginekologi RSUD KABUPATEN TANGERANG
RSUD KOTA TANGERANG
GIGI PEDODONTIS
PARU RS BHAKTI ASIH
PENYAKIT DALAM RSUD KABUPATEN TANGERANG
UROLOGI RSUD KOTA TANGERANG
RSUD KOTA TANGERANG
PENYAKIT DALAM
BEDAH RS MULYA
RSUD KOTA TANGERANG
PARU
PARU RS PERMATA IBU
ORTHOPEDI RS BHAKTI ASIH
RSUD KOTA TANGERANG
PARU
MATA RS MULYA
ORTHOPEDI RS MULYA
PENYAKIT DALAM RS MULYA
ORTHOPEDI RS MULYA
RSUD KOTA TANGERANG
PARU
RSUD KOTA TANGERANG
Ginjal-Hipertensi
ANAK RS MULYA
ANAK RS PERMATA IBU
OBGYN RS PERMATA IBU
PARU RS MULYA
MATA RS PERMATA IBU
1 NGATIMAN 3671110507520007 102501050519Y000261

2 DASRIL 3671111404720001 102501050519Y000241
3 MUHAMAD NUR 3671112209630001 102501050519Y000252
4 SITI AMINAH 3671114505570002 102501050519Y000273
5 SANUSI ANWAR 3671110805620003 102501050519Y000255
6 SANAH 3671114706710002 102501050519Y000245
7 NUNUNG NURIAH 367111550672000 102501050519Y000226
8 WATIYO 3671131003530002 102501050519Y000248
9 IDRIS YUNUS 3671111801450001 102501050519Y000280
10 SITI AMINAH 3671114303490001 102501050519Y000256
11 KEMAL YURSEL 3671110206600004 102501050519Y000262
12 TITIN SUMARNAH 367111620558000 102501050519Y000251
13 WAGIMAN 3671061603510003 102501050519Y000224
14 POERNAMA DEWI 3671116306750008 102501050519Y000222
15 ARJUN AL BASPRI 3671113006020002 102501050519Y000240
05/05/2019
16 LENNY MARIAM 3671114512710005 102501050519Y000247
17 INGGIT ANISYA PUTERI 3671114408040004 102501050519Y000231
18 SUYATMI 3171024701760001 102501050519Y000271
19 SARPIAH 3671116009580002 102501050519Y000265
20 ROHAYA 3671114204390002 102501050519Y000272
21 NUR FAUZIAH 3671114502790004 102501050519Y000243
22 YUNARDI 3671110505830002 102501050519Y000213
23 ABDUL RASYID ZAELANI 3671112507150004 102501050519Y000229
24 ASEP HERYANA 3671110312050003 102501050519Y000217
25 EDY KUSNADI 3671110906680006 102501050519Y000264
26 SUGIARTI 3174105910730003 102501050519Y000268
27 FADHEL ALFIAN 3671110810140002 102501050519Y000239
28 KAMIJEM 3671115212700006 102501050519Y000228
29 ZAUDAN AFKAR PUTERA BACHRI 3671110903040002 102501050519Y000220
30 SRI HARYATI 3671115808630002 102501050519Y000221
PUSKESMAS KUNCIRAN
NOMER KARTU
0000041738894
0000814077202
0000814633481
0000814685714
0000814907946
0000815949797
0001274152061
0001386041905
0001423700256
0001446284362
0001448514371
0001459969514
0001463938222
0001479713253
0001617724541
0001628193115
0001645684334
0001728960311
0001743770147
0001794098182
0001832820491
0002062481826
0002093088161
0002101636732
0002104547139
0002104568188
0002104596022
0002136711374
0002230741888
0002239360615
PUSKESMAS KUNCIRAN
DIAGNOSA
Atherosclerotic heart disease

Congestive heart failure
Polyarthritis, unspecified
Non-insulin-dependent diabetes mellitus
Orchitis and epididymitis
Supraventricular tachycardia
Bronchiectasis
Hypertensive heart disease
Congestive heart failure
Malignant neoplasm of breast
Senile cataract
Hypertensive heart disease
Atherosclerotic cardiovascular disease, so
Paranoid schizophrenia
Necrosis of pulp
Perforation of tympanic membrane
Caries of dentine
Low back pain
After-cataract
Gonarthrosis [arthrosis of knee] ,Essential (primary) hypertension
Other disorders of teeth and supporting structures
Other disorders of teeth and supporting structures
Bronchopneumonia, unspecified
Cough , Superficial injury of head
Other disorders of skin and subcutaneous tissue, not elsewhere classified
Polyp of cervix uteri
Specific developmental disorders of speech and language
Non-insulin-dependent diabetes mellitus
Chronic serous otitis media
Senile cataract
POLI RS
JANTUNG DAN PEMBULUH DARAH RS PERMATA IBU

JANTUNG DAN PEMBULUH DARAH RSUD KOTA TANGERANG
ORTHOPEDI RS BHAKTI ASIH
PENYAKIT DALAM RS BHAKTI ASIH
BEDAH RS INSAN PERMATA
JANTUNG DAN PEMBULUH DARAH RS BHAKTI ASIH
PARU RS PERMATA IBU
JANTUNG DAN PEMBULUH DARAH RS PERMATA IBU
JANTUNG DAN PEMBULUH DARAH RSUD KOTA TANGERANG
BEDAH RS PERMATA IBU
MATA RS PERMATA IBU
JIWA RSUD KOTA TANGERANG
GIGI RS PERMATA IBU
THT-KL RS BHAKTI ASIH
GIGI RS INSAN PERMATA
SARAF RS BHAKTI ASIH
MATA RS BHAKTI ASIH
PENYAKIT DALAM RS INSAN PERMATA
GIGI BEDAH MULUT RSUD KOTA TANGERANG
GIGI RS PERMATA IBU
ANAK RS PERMATA IBU
ANAK RSUD KOTA TANGERANG
KULIT KELAMIN RS BHAKTI ASIH
OBGYN RS PERMATA IBU
ANAK RSUD KOTA TANGERANG
MATA RS PERMATA IBU

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REGISTE

TANGGAL NO NAMA NIK NOMER RUJUKAN

6/3/2019 1 NAZIR S 3671110808560006 102501050319Y000418

NOMER KARTU DIAGNOSA

0000038983094 Non-insulin-dependent diabetes mellitus

Penyakit Dalam RS BHAKTI ASIH

TANGGAL NO NAMA NIK NOMER RUJUKAN

8/3/2019 1 TERRY HARTATI 3671114109560001 102501050319Y000513

NOMER KARTU DIAGNOSA

0000041809419 Other disorders of teeth and supporting structures

Gigi RS BHAKTI ASIH

TANGGAL NO NAMA NIK NOMER RUJUKAN

9/3/2019 1 HJ. SRI NING LESTARI 3173086912520004 102501050319Y000616

NOMER KARTU DIAGNOSA

0000045629831 Gonarthrosis [arthrosis of knee]

Orthopedi RS BHAKTI ASIH

TANGGAL NO NAMA NIK NOMER RUJUKAN

11/3/2019 1 ABD SANIN 3671110101750007 102501050319Y000686

NOMER KARTU DIAGNOSA

0000039475473 Sequelae of stroke, not specified as haemorrhage

TANGGAL NO NAMA NIK NOMER RUJUKAN

12/3/2019 1 MARTINI 3671115003640003 102501050319Y000800

NOMER KARTU DIAGNOSA POLI

0000037862548 Sick sinus syndrome THT-KL

TANGGAL NO NAMA NIK NOMER RUJUKAN NOMER KARTU

13/03/2019 1 H MURDIMAN SIP MSI 3174080706540002 102501050319Y000894 0000036699412

Other peripheral vertigo Saraf

TANGGAL NO NAMA NIK NOMER RUJUKAN

14/03/2019 1 BUDIMAN 3671112703860003 102501050319Y001047

NOMER KARTU DIAGNOSA

0000040031673 Candidiasis of skin and nail

Kulit Kelamin RS BHAKTI ASIH

TANGGAL NO NAMA NIK NOMER RUJUKAN

15/03/2019 1 TITUN SUJANAWATI 3671115505630002 102501050319Y001070

NOMER KARTU DIAGNOSA

0000045651622 Other and unspecified abdominal pain

Penyakit Dalam RS PERMATA IBU

TANGGAL NO NAMA NIK NOMER RUJUKAN

16/03/2019 1 SUMANTO 3671113112510003 102501050319Y001134

NOMER KARTU DIAGNOSA

0000039973645 Non-insulin-dependent diabetes mellitus

Penyakit Dalam RS PERMATA IBU

TANGGAL NO NAMA NIK NOMER RUJUKAN

18/03/2019 1 WARDAH 3671116112500002 102501050319Y001268

NOMER KARTU DIAGNOSA

0000037589106 Necrosis of pulp

Gigi RSUD KOTA TANGERANG

TANGGAL NO NAMA NIK NOMER RUJUKAN

1 SITI NAPSIAH 3671117005650003 102501050319Y001337

NOMER KARTU DIAGNOSA

0000037167096 Non-insulin-dependent diabetes mellitus

Penyakit Dalam RS INSAN PERMATA

Low back pain (M54.5)

Acute tonsillitis (J03)

Palmar fascial fibromatosis [Dupuytren]

Hypokalaemia (E87.6) abdominal pain (R10.4), Other specified fever (R50.8)

Other specified fever (R50.8)

1 NGATIMAN 3671110507520007 102501050519Y000261

Atherosclerotic heart disease

JANTUNG DAN PEMBULUH DARAH RS PERMATA IBU

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