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1 29-06-2018 000310010618Y000064 0000211914134 MAHALEH P


2 29-06-2018 000310010618Y000066 0000978367522 BEDON L

3 29-06-2018 000310010618Y000067 0000978379446 ZULBAIDAH P

4 29-06-2018 000310010618Y000065 0001271989214 JUNIBAR L


5 28-06-2018 000310010618Y000057 0000212825586 TAMLEKHA L
6 28-06-2018 000310010618Y000056 0001676752288 NURSIMAH P

7 28-06-2018 000310010618Y000058 0001676836708 NADILA CHAVIRA P


8 28-06-2018 000310010618Y000055 0001814296173 marwi P
9 26-06-2018 000310010618Y000033 0000212097216 DEVISTA REZA P
10 26-06-2018 000310010618Y000020 0000212795662 WARDIAH P
11 26-06-2018 000310010618Y000026 0000978365632 ALFATA L
12 26-06-2018 000310010618Y000054 0000978366216 AINAL FARIDA P
13 26-06-2018 000310010618Y000052 0001676803476 NURAIN P

14 26-06-2018 000310010618Y000072 0001899345745 ELIS SUCI RAHAYUP

15 25-06-2018 000310010618Y000007 0000004091264 RATNAWATI P

16 25-06-2018 000310010618Y000014 0000212455653 M. NASIR L

17 25-06-2018 000310010618Y000008 0000212870564 ZUBIR L

18 25-06-2018 000310010618Y000015 0000978367487 ASMADI L


19 25-06-2018 000310010618Y000013 0001270742679 JALEMAN L
20 25-06-2018 000310010618Y000009 0001427043251 HASMIDANI P

21 25-06-2018 000310010618Y000011 0001676765068 MASYITAH P

22 25-06-2018 000310010618Y000019 0001676786769 HAMDAN L

23 25-06-2018 000310010618Y000017 0001676812792 EMA SUSANTI P

24 25-06-2018 000310010618Y000018 0001800225022 BUNGSU P

25 25-06-2018 000310010618Y000016 0001814296173 marwi P


26 25-06-2018 000310010618Y000010 0002076804966 RUSNI P

27 25-06-2018 000310010618Y000012 0002421607252 HERMIDA P


28 22-06-2018 000310010618Y000004 0001292178914 SAFATUL MAYESA P
29 22-06-2018 000310010618Y000005 0001676755809 ASRI L

30 22-06-2018 000310010618Y000006 0002424560117 HASNIDAR P

31 21-06-2018 000310010618Y000002 0000206622729 EMA YULIDA P


32 21-06-2018 000310010618Y000003 0001676794566 SURIANA P

33 21-06-2018 000310010618Y000001 0001676803476 NURAIN P

34 08-06-2018 000310010618Y000071 0000978382991 SAUWATI P

35 06-06-2018 000310010618Y000061 0000004091297 RAMAWI L


36 06-06-2018 000310010618Y000063 0000212111109 ERMA.Z P
37 06-06-2018 000310010618Y000059 0001676786411 MILA WATI P
38 06-06-2018 000310010618Y000060 0001676786433 ZAZULI L
39 06-06-2018 000310010618Y000062 0002020698189 IRNASARLITA P
40 05-06-2018 000310010618Y000044 0000212638678 RUSNI P
41 05-06-2018 000310010618Y000043 0000212753845 SITI RAWAN P
42 05-06-2018 000310010618Y000053 0000978316672 SURYA DEWI P
43 05-06-2018 000310010618Y000046 0001119222472 KASUM P
44 05-06-2018 000310010618Y000050 0001119232978 URULFAN L
45 05-06-2018 000310010618Y000051 0001447700411 RUSLI L
46 05-06-2018 000310010618Y000047 0001676756338 BENU ALI L
47 05-06-2018 000310010618Y000048 0001676756351 TARMIZI L
48 05-06-2018 000310010618Y000045 0001676783406 ZAHARA P

49 05-06-2018 000310010618Y000049 0001676816122 KUSNADI SAPUTR L


50 04-06-2018 000310010618Y000030 0000004168923 RAMAIDA P
51 04-06-2018 000310010618Y000027 0000004476339 MISTAHUDDIN L
52 04-06-2018 000310010618Y000039 0000212449937 TISA RAIS P

53 04-06-2018 000310010618Y000029 0000212838546 MALEK RAZUAN L


54 04-06-2018 000310010618Y000036 0000978365283 ALI AMRAN L
55 04-06-2018 000310010618Y000022 0001119233496 HUZAIMAH P
56 04-06-2018 000310010618Y000037 0001427043251 HASMIDANI P
57 04-06-2018 000310010618Y000031 0001479698673 ANITA P
58 04-06-2018 000310010618Y000034 0001671075527 MUHAMMAD L

59 04-06-2018 000310010618Y000021 0001674685653 MARHAMAH P


60 04-06-2018 000310010618Y000040 0001676779536 KHAIRUL RAZI L
61 04-06-2018 000310010618Y000041 0001676786861 MISWAR L

62 04-06-2018 000310010618Y000032 0001676788841 KHAIDIR L


63 04-06-2018 000310010618Y000042 0001676790843 SAMSIDAR P
64 04-06-2018 000310010618Y000024 0001676795308 HASANUDIN L
65 04-06-2018 000310010618Y000070 0001676824749 NURHAYATI P

66 04-06-2018 000310010618Y000025 0001791163787 muhammad al-fata L


67 04-06-2018 000310010618Y000028 0001872430244 HAYATI P
68 04-06-2018 000310010618Y000038 0002079306797 INDRAWATI P

69 04-06-2018 000310010618Y000035 0002310917837 MADI SALJANI L


70 04-06-2018 000310010618Y000023 0002326970518 NURLAILA P
JENIS PESERTADIAGNOSA STATUS PRB PROLANIS
PULANG
PBI (APBN) Congenital cataract Rujuk Vertikal
PBI (APBN) Chronic obstructive Rujuk Vertikal
pulmonary disease,
unspecified
PBI (APBN) Uterovaginal prolapse, Rujuk Vertikal
unspecified
PBI (APBD) Benign neoplasm of breast Rujuk Vertikal
PBI (APBN) Cardiomegaly Rujuk Vertikal
PBI (APBD) Chronic obstructive Rujuk Vertikal
pulmonary disease,
unspecified
PNS DAERAH Other strabismus Rujuk Vertikal
PBI (APBD) Benign neoplasm of ovary Rujuk Vertikal
PBI (APBN) Chronic tonsillitis Rujuk Vertikal
PBI (APBN) Epispadias Berobat Jalan
PBI (APBN) Intracranial injury Rujuk Vertikal
PBI (APBN) Myopia Rujuk Vertikal
PBI (APBD) Nontoxic multinodular Rujuk Vertikal
goitre
PBI (APBD) Spontaneous vertex Sembuh
delivery
PBI (APBD) Non-insulin-dependent Rujuk Vertikal
diabetes mellitus
PBI (APBN) Tuberculosis of lung, Rujuk Vertikal
confirmed by sputum
microscopy with or without
culture
PBI (APBN) Chronic obstructive Rujuk Vertikal
pulmonary disease,
unspecified
PNS DAERAH Schizophrenia Rujuk Vertikal
PBI (APBD) Insulin-dependent Rujuk Vertikal
PBI (APBD) Supervision of pregnancy Rujuk Vertikal
with history of insufficient
antenatal care
PBI (APBD) Supervision of pregnancy Rujuk Vertikal
with history of insufficient
antenatal care
PBI (APBD) Other specified Rujuk Vertikal
intervertebral disc
displacement
PBI (APBD) Malignant neoplasm of Rujuk Vertikal
bronchus and lung
PBI (APBD) Supervision of pregnancy Rujuk Vertikal
with history of insufficient
antenatal care
PBI (APBD) Gastritis, unspecified Rujuk Vertikal
PBI (APBD) Non-insulin-dependent Rujuk Vertikal
diabetes mellitus
PBI (APBD) Supervision of pregnancy Rujuk Vertikal
with history of insufficient
antenatal care
PBI (APBD) Thalassaemia, unspecified Rujuk Vertikal
PBI (APBD) Tuberculosis of lung, Rujuk Vertikal
confirmed by sputum
microscopy with or without
culture
PBI (APBD) Tuberculosis of lung, Rujuk Vertikal
confirmed by sputum
microscopy with or without
culture
PBI (APBD) Epispadias Berobat Jalan
PBI (APBD) Supervision of pregnancy Rujuk Vertikal
with history of insufficient
antenatal care
PBI (APBD) Tuberculous peripheral Rujuk Vertikal
lymphadenopathy
PBI (APBN) Spontaneous vertex Sembuh
delivery
PNS DAERAH Epispadias Berobat Jalan
PBI (APBN) Epispadias Berobat Jalan
PBI (APBD) Epispadias Berobat Jalan
PBI (APBD) Epispadias Berobat Jalan
PBI (APBN) Epispadias Berobat Jalan
PBI (APBN) Headache Berobat Jalan
PBI (APBN) Gastritis, unspecified Berobat Jalan
PBI (APBN) Dyspepsia Berobat Jalan
PBI (APBD) Allergy, unspecified Berobat Jalan
PBI (APBD) Dyspepsia Berobat Jalan
PBI (APBD) Headache Berobat Jalan
PBI (APBD) Dyspepsia Berobat Jalan
PBI (APBD) Dyspepsia Berobat Jalan
PBI (APBD) Rheumatoid arthritis, Berobat Jalan
unspecified
PBI (APBD) Allergy, unspecified Berobat Jalan
PNS DAERAH Epispadias Berobat Jalan
PNS DAERAH Epispadias Berobat Jalan
PBI (APBN) Gangrene, not elsewhere Berobat Jalan
classified
PBI (APBN) Epispadias Berobat Jalan
PBI (APBN) Epispadias Berobat Jalan
PBI (APBD) Epispadias Berobat Jalan
PBI (APBD) Epispadias Berobat Jalan
PRAJURIT AD Epispadias Berobat Jalan
PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
PBI (APBD) Puerperal sepsis Berobat Jalan
PBI (APBD) Epispadias Berobat Jalan
PBI (APBD) Burn and corrosion of Berobat Jalan
head and neck
PBI (APBD) Epispadias Berobat Jalan
PBI (APBD) Epispadias Berobat Jalan Diabetes Mellitus
PBI (APBD) Epispadias Berobat Jalan
PBI (APBD) Spontaneous vertex Sembuh
delivery
PBI (APBD) Epispadias Berobat Jalan
PNS DAERAH Dyspepsia Berobat Jalan
PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
PBI (APBD) Epispadias Berobat Jalan
PBI (APBD) Epispadias Berobat Jalan