LAPORAN PELAYANAN RAWAT JALAN

LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 9/3/2017 0000 797638015 ASLINAH P PBI (APBN)
2 9/3/2017 0000 797638217 DESI P PBI (APBN)
3 9/3/2017 0000 797641007 NURHADI L PBI (APBN)
4 9/3/2017 0000 797644686 DEDE NURBANI P PBI (APBN)
5 9/3/2017 0000 797644719 SAMSUDIN L PBI (APBN)
6 9/3/2017 0000 797645261 ASMAH P PBI (APBN)
7 9/3/2017 0000 797645643 ALDO L PBI (APBN)
8 9/3/2017 0000 797647252 SISKA L PBI (APBN)
9 9/3/2017 0000 797647814 RAMI P PBI (APBN)
10 9/3/2017 0000 797648984 RIKI L PBI (APBN)
11 9/3/2017 0000 797649074 ASRI P PBI (APBN)
12 9/3/2017 0000 797649434 BUDI L PBI (APBN)
13 9/3/2017 0000 797650841 M AKILA L PBI (APBN)
14 9/3/2017 0000 797652999 ASIH L PBI (APBN)
15 9/3/2017 0000 797653135 EEN P PBI (APBN)
16 9/3/2017 0000 797653168 EGI SAPUTRA L PBI (APBN)
17 9/3/2017 0000 797653348 EMI P PBI (APBN)
18 9/3/2017 0000 797653664 M ISRO BAHTIAR L PBI (APBN)
19 9/3/2017 0000 797653686 ERAH P PBI (APBN)
20 9/3/2017 0000 797661202 MAMAD L PBI (APBN)
21 9/3/2017 0000 797661461 MASRIAH P PBI (APBN)
22 9/3/2017 0000 797661876 MAR'AH P PBI (APBN)
23 9/3/2017 0000 797672362 ELAH P PBI (APBN)
24 9/3/2017 0000 797677648 RAMAN L PBI (APBN)
25 9/3/2017 0000 797677997 ABSAH P PBI (APBN)
26 9/3/2017 0000 797678087 ALIYUDIN L PBI (APBN)
27 9/3/2017 0000 797679022 ARMIN L PBI (APBN)
28 9/3/2017 0000 797679944 OMAH P PBI (APBN)
29 9/3/2017 0000 797683184 DINDA P PBI (APBN)
30 9/3/2017 0000 797683533 SUMYATI P PBI (APBN)
31 9/3/2017 0000 797683746 SUMARNA L PBI (APBN)
32 9/3/2017 0000 797684973 KOSIM L PBI (APBN)
33 9/3/2017 0000 797685366 MUKTAR L PBI (APBN)
34 9/3/2017 0000 797685388 MUNIPAH P PBI (APBN)
35 9/3/2017 0000 797685524 SUHERI L PBI (APBN)
36 9/3/2017 0000 797686795 DANI L PBI (APBN)
37 9/3/2017 0000 797687076 MURNI P PBI (APBN)
38 9/3/2017 0000 797687673 YAHYA L PBI (APBN)
39 9/3/2017 0000 797687706 SODAH P PBI (APBN)
40 9/3/2017 0000 797688595 SARUDIN L PBI (APBN)
41 9/3/2017 0000 797689967 SARIAH P PBI (APBN)
42 9/3/2017 0000 797899893 MEDI L PBI (APBN)
43 9/3/2017 0000 797902479 MARDI L PBI (APBN)
44 9/3/2017 0000 797902929 SUHEMAH P PBI (APBN)
45 9/3/2017 0000 797902942 MARYATI P PBI (APBN)
46 9/3/2017 0000 797903403 UJER L PBI (APBN)
47 9/3/2017 0000 797906136 JULI L PBI (APBN)
48 9/3/2017 0000 797906542 JUMI P PBI (APBN)
49 9/3/2017 0000 797908779 JUMENAH P PBI (APBN)
50 9/3/2017 0000 797910838 SAIMAN L PBI (APBN)
51 9/3/2017 0000 797910996 AMSINAH P PBI (APBN)
52 9/3/2017 0000 797911211 ETIH KOMALASARI P PBI (APBN)
53 9/3/2017 0000 797912313 ADENG SOPIAN L PBI (APBN)
54 9/3/2017 0000 797914045 ABDILAH MUHAR L PBI (APBN)
55 9/3/2017 0000 797914776 ASEP MURODI L PBI (APBN)
56 9/3/2017 0000 797917792 SATI P PBI (APBN)
57 9/3/2017 0000 797918771 ERNA P PBI (APBN)
58 9/3/2017 0000 797918962 SARKAM L PBI (APBN)
AN RAWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
AN MARET 2017 LUAR GEDUNG BULAN MARET 2017

DIAGNOSA
Gastritis, unspecified
Dyspepsia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Gastritis, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Myalgia
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Myalgia
Gastritis, unspecified
Gastritis, unspecified
Other acute gastritis
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Diarrhoea and gastroenteritis of presumed infectious origin
Essential (primary) hypertension
Other acute upper respiratory infections of multiple sites
Myalgia
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Diarrhoea and gastroenteritis of presumed infectious origin
Myalgia
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Essential (primary) hypertension
Gastritis, unspecified
Other acute gastritis
Myalgia
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Dyspepsia
Dental caries, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Diarrhoea and gastroenteritis of presumed infectious origin
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Essential (primary) hypertension
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
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AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN LAPORAN PELAYANAN RAWAT JALAN
MARET 2017 LUAR GEDUNG BULAN MARET 2017
LAPORAN PELAYANAN RAWAT JALAN LAPORAN PELAYANAN RAWAT JAL
LUAR GEDUNG BULAN MARET 2017 LUAR GEDUNG BULAN MARET 20
AWAT JALAN
MARET 2017
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 10/3/2017 0000 797823461 IDAH P PBI (APBN)
2 10/3/2017 0000 797824258 ENDANG L PBI (APBN)
3 10/3/2017 0000 797824596 SUSI P PBI (APBN)
4 10/3/2017 0000 797825114 MUHAMAD ARIP L PBI (APBN)
5 10/3/2017 0000 797825709 MARNA L PBI (APBN)
6 10/3/2017 0000 797825979 ELPIRA P PBI (APBN)
7 10/3/2017 0000 797826058 MISTA L PBI (APBN)
8 10/3/2017 0000 797826611 TINI P PBI (APBN)
9 10/3/2017 0000 797826655 LENI P PBI (APBN)
10 10/3/2017 0000 797826969 AGUS ROSANDI L PBI (APBN)
11 10/3/2017 0000 797827116 DIDING L PBI (APBN)
12 10/3/2017 0000 797827162 ADAH P PBI (APBN)
13 10/3/2017 0000 797827364 ADING BAHTIAR L PBI (APBN)
14 10/3/2017 0000 797827656 ATIAH P PBI (APBN)
15 10/3/2017 0000 797828488 RATIH P PBI (APBN)
16 10/3/2017 0000 797829254 ATMAWI P PBI (APBN)
17 10/3/2017 0000 797830378 JURIAH P PBI (APBN)
18 10/3/2017 0000 797830762 ASEP BAIHAKI L PBI (APBN)
19 10/3/2017 0000 797830817 ARIP L PBI (APBN)
20 10/3/2017 0000 797831054 SOHIB L PBI (APBN)
21 10/3/2017 0000 797831133 AEN P PBI (APBN)
22 10/3/2017 0000 797831188 NANI P PBI (APBN)
23 10/3/2017 0000 797831605 MUHAMAD SULAEMAN L PBI (APBN)
24 10/3/2017 0000 797832336 SULAEMAN L PBI (APBN)
25 10/3/2017 0000 797832459 MAESAROH P PBI (APBN)
26 10/3/2017 0000 797832821 SUANDI L PBI (APBN)
27 10/3/2017 0000 797833146 AHYANI L PBI (APBN)
28 10/3/2017 0000 797833629 SURTI P PBI (APBN)
29 10/3/2017 0000 797833901 ROUP L PBI (APBN)
30 10/3/2017 0000 797834608 SENDI L PBI (APBN)
31 10/3/2017 0000 797835058 IDOH P PBI (APBN)
32 10/3/2017 0000 797835115 RUKMAN L PBI (APBN)
33 10/3/2017 0000 797835194 ARSIAH P PBI (APBN)
34 10/3/2017 0000 797836509 MARNI P PBI (APBN)
35 10/3/2017 0000 797837624 ERNI P PBI (APBN)
36 10/3/2017 0000 797839154 ASNIN L PBI (APBN)
37 10/3/2017 0000 797840177 ITON L PBI (APBN)
38 10/3/2017 0000 797840368 ARSA P PBI (APBN)
39 10/3/2017 0000 797840853 YANTI P PBI (APBN)
40 10/3/2017 0000 797841347 MUHAMAD ITANG L PBI (APBN)
41 10/3/2017 0000 797841786 EMI P PBI (APBN)
42 10/3/2017 0000 797842708 ROHMAT L PBI (APBN)
43 10/3/2017 0000 797843147 IIS APRISKA P PBI (APBN)
44 10/3/2017 0000 797844093 ATI P PBI (APBN)
45 10/3/2017 0000 797844464 SAEPUDIN L PBI (APBN)
46 10/3/2017 0000 797844857 IRRIS L PBI (APBN)
47 10/3/2017 0000 797856827 SAYUDIN L PBI (APBN)
48 10/3/2017 0000 797857659 RODIYAH P PBI (APBN)
49 10/3/2017 0000 797858122 KUDIL L PBI (APBN)
50 10/3/2017 0000 797858605 EDI L PBI (APBN)
51 10/3/2017 0000 797859178 AIHAYATI P PBI (APBN)
52 10/3/2017 0000 797859268 GOPUR L PBI (APBN)
53 10/3/2017 0000 797859369 SAEPUDIN L PBI (APBN)
54 10/3/2017 0000 797859505 HABUDIN L PBI (APBN)
55 10/3/2017 0000 797859584 ERIK L PBI (APBN)
56 10/3/2017 0000 797893277 SUMANAH P PBI (APBN)
57 10/3/2017 0000 797943914 ROPI L PBI (APBN)
58 10/3/2017 0000 798013956 SUPARDI L PBI (APBN)
59 10/3/2017 0000 798014068 JARTU P PBI (APBN)
60 10/3/2017 0000 798018311 DADAN SEPTIAWAN M L PBI (APBN)
 RAWAT JALAN
N MARET 2017

DIAGNOSA
Fever, unspecified
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Gastritis, unspecified
Myalgia
Myalgia
Headache
Atopic dermatitis, unspecified
Gastritis, unspecified
Myalgia
Allergic rhinitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
Fever, unspecified
Gastritis, unspecified
Myalgia
Other forms of stomatitis
Headache
Other acute upper respiratory infections of multiple sites
Cutaneous abscess, furuncle and carbuncle of limb
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Diarrhoea and gastroenteritis of presumed infectious origin
Myalgia
Persistent fever
Diarrhoea and gastroenteritis of presumed infectious origin
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Myalgia
Cutaneous abscess, furuncle and carbuncle of limb
Gastritis, unspecified
Diarrhoea and gastroenteritis of presumed infectious origin
Myalgia
Dental caries, unspecified
Essential (primary) hypertension
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other forms of stomatitis
Atopic dermatitis, unspecified
Anorexia
Spontaneous vertex delivery
Acute myeloid leukaemia
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 11/3/2017 0000 797670707 SUHERMAN L PBI (APBN)
2 11/3/2017 0000 797682925 SURYATI P PBI (APBN)
3 11/3/2017 0000 797710612 YATI P PBI (APBN)
4 11/3/2017 0000 797831133 AEN P PBI (APBN)
5 11/3/2017 0000 797855782 SUTRAMAGH P PBI (APBN)
6 11/3/2017 0000 797866143 SAMINAH P PBI (APBN)
7 11/3/2017 0000 797867471 TITIN P PBI (APBN)
8 11/3/2017 0000 797894245 SAEPUDIN L PBI (APBN)
9 11/3/2017 0000 797896192 KAESIH P PBI (APBN)
10 11/3/2017 0000 797998476 MAENAH P PBI (APBN)
11 11/3/2017 0000 798008365 ADE P PBI (APBN)
12 11/3/2017 0000 798025217 AMI P PBI (APBN)
13 11/3/2017 0000 798026679 JASINAH P PBI (APBN)
14 11/3/2017 0000 798047109 SATA P PBI (APBN)
15 11/3/2017 0000 798047537 MUHAMAD NASIR L PBI (APBN)
16 11/3/2017 0000 798047943 SINTA P PBI (APBN)
17 11/3/2017 0000 798144884 SUKMANAH P PBI (APBN)
18 11/3/2017 0000 798177554 MAJID L PBI (APBN)
19 11/3/2017 0000 798199839 SACI L PBI (APBN)
20 11/3/2017 0000 798202124 SARYANAH P PBI (APBN)
21 11/3/2017 0000 798202405 NASROH P PBI (APBN)
22 11/3/2017 0000 798202967 SUPYANI L PBI (APBN)
23 11/3/2017 0000 798203823 SITI AISAH L PBI (APBN)
24 11/3/2017 0000 798203979 RUKAYAH P PBI (APBN)
25 11/3/2017 0000 798204159 ROHMAN L PBI (APBN)
26 11/3/2017 0000 798204205 HERTI P PBI (APBN)
27 11/3/2017 0000 798204778 SUNTAWI JAYA L PBI (APBN)
28 11/3/2017 0000 798204947 DEA P PBI (APBN)
29 11/3/2017 0000 798205498 DIKA P PBI (APBN)
30 11/3/2017 0000 798205623 ASPIA L PBI (APBN)
31 11/3/2017 0000 798205678 RODIAH P PBI (APBN)
32 11/3/2017 0000 798205757 AJO L PBI (APBN)
33 11/3/2017 0000 798206073 FAI L PBI (APBN)
34 11/3/2017 0000 798206319 ERNA P PBI (APBN)
35 11/3/2017 0000 798207592 TUROH P PBI (APBN)
36 11/3/2017 0000 798207941 ROSIDIN L PBI (APBN)
37 11/3/2017 0000 798208391 K ROHMAN L PBI (APBN)
38 11/3/2017 0000 798294914 UCU L PBI (APBN)
39 11/3/2017 0000 798647938 OMAH P PBI (APBN)
40 11/3/2017 0000 798728084 JAMAL L PBI (APBN)
41 11/3/2017 0000 799117514 HERMAWAN L PBI (APBN)
42 11/3/2017 000 1051198435 JUNAH P PBI (APBN)
43 11/3/2017 000 1051198446 JANI P PBI (APBN)
44 11/3/2017 000 1051198694 ISMA L PBI (APBN)
PEGAWAI
45 11/3/2017 000 1841006924 HARTATI RATU TULY P PEMERINTAH
PEGAWAI NON
46 11/3/2017 000 1841007633 FIHRIN RATU L PNS
PEMERINTAH NON
WIBOWO PNS
RAWAT JALAN
MARET 2017

DIAGNOSA
Fever, unspecified
Myalgia
Gastritis, unspecified
Gluteal tendinitis
Gastritis, unspecified
Gastritis, unspecified
Dental caries, unspecified
Gastritis, unspecified
Gastritis, unspecified
Myalgia
Gastritis, unspecified
Gastritis, unspecified
Fever, unspecified
Allergic rhinitis, unspecified
Other acute upper respiratory infections of multiple sites
Allergic rhinitis, unspecified
Other acute gastritis
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Gastritis, unspecified
Dental caries, unspecified
Gastritis, unspecified
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Predominantly allergic asthma
Gastritis, unspecified
Myalgia
Cutaneous mycobacterial infection
Myalgia
Fever, unspecified
Fever, unspecified
Gastritis, unspecified
Gastritis, unspecified
Gastritis, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 13/03/2017 0000 798066595 JAKIAH P PBI (APBN)
2 13/03/2017 0000 798074403 AHMAD L PBI (APBN)
3 13/03/2017 0000 798079735 UMAYAH P PBI (APBN)
4 13/03/2017 0000 798144884 SUKMANAH P PBI (APBN)
5 13/03/2017 0000 798158529 ATIKAH P PBI (APBN)
6 13/03/2017 0000 798200649 MARDI L PBI (APBN)
7 13/03/2017 0000 798221114 ARSIH P PBI (APBN)
8 13/03/2017 0000 798647938 OMAH P PBI (APBN)
9 13/03/2017 0000 798866144 SAKAR L PBI (APBN)
10 13/03/2017 0000 798879003 CICIH P PBI (APBN)
11 13/03/2017 0000 798879058 ARNAH P PBI (APBN)
12 13/03/2017 0000 798879249 MUHADI L PBI (APBN)
13 13/03/2017 0000 798879609 MISNAH P PBI (APBN)
14 13/03/2017 0000 798880149 SAEPUDIN L PBI (APBN)
15 13/03/2017 0000 798881152 MAMAH P PBI (APBN)
16 13/03/2017 0000 798881591 SUNARIAH P PBI (APBN)
17 13/03/2017 0000 798882208 MULYAWATI P PBI (APBN)
18 13/03/2017 0000 798884177 HENI P PBI (APBN)
19 13/03/2017 0000 798884212 SUKTI P PBI (APBN)
20 13/03/2017 0000 798884245 DADANG L PBI (APBN)
21 13/03/2017 0000 798884469 SUANAH P PBI (APBN)
22 13/03/2017 0000 798884559 DEPI PERMATA HATI P PBI (APBN)
23 13/03/2017 0000 798885718 MONA LISA AGUSTIANA P PBI (APBN)
24 13/03/2017 0000 798886686 SAKIMAN L PBI (APBN)
25 13/03/2017 0000 798888014 JASIAH P PBI (APBN)
26 13/03/2017 0000 798890016 UJANG L PBI (APBN)
27 13/03/2017 0000 798891388 SUKMANAH P PBI (APBN)
28 13/03/2017 0000 798891489 SUDINTA L PBI (APBN)
29 13/03/2017 0000 798891658 MELDA P PBI (APBN)
30 13/03/2017 0000 799117514 HERMAWAN L PBI (APBN)
31 13/03/2017 0000 799122655 MUKTAR L PBI (APBN)
32 13/03/2017 0000 799419273 KARJA L PBI (APBN)
33 13/03/2017 000 1051192361 IMRON P PBI (APBN)
34 13/03/2017 000 1051198727 HALIMAH P PBI (APBN)
35 13/03/2017 000 1051198896 ROSNIASIH P PBI (APBN)
36 13/03/2017 000 1374448915 TETI MARYATI P PEGAWAI SWASTA
37 13/03/2017 000 1374448915 TETI MARYATI P PEGAWAI SWASTA
38 13/03/2017 000 1374449139 NOVI YANDI L PEGAWAI SWASTA
39 13/03/2017 000 1607295925 ATIAH P PBI (APBD)
MASFAREL MUHAMAD
40 13/03/2017 000 1607295947 L PBI (APBD)
FAHREZI
41 13/03/2017 000 1723082152 SARDAN L PEKERJA MANDIRI
42 13/03/2017 000 1858098363 JUPRI L PEKERJA MANDIRI
43 13/03/2017 000 2048500563 MITA ROHMAWATI P PEKERJA MANDIRI
44 13/03/2017 000 2055252396 WENAH P PEKERJA MANDIRI
45 13/03/2017 000 2071862842 TETI MARYATI P PEKERJA MANDIRI
AWAT JALAN
MARET 2017

DIAGNOSA
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Myalgia
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Malignant neoplasm of breast, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Atopic dermatitis, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Acute conjunctivitis, unspecified
Other acute upper respiratory infections of multiple sites
Acute pharyngitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Allergic rhinitis, unspecified
Anorexia
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Myalgia
Myalgia
Myalgia
Myalgia
Myalgia
Myalgia
Pregnancy confirmed
Diseases of the respiratory system complicating pregnancy,
childbirth and the puerperium
Other acute upper respiratory infections of multiple sites
Myalgia
Atopic dermatitis, unspecified
Paranoid schizophrenia
Other acute upper respiratory infections of multiple sites
Visual disturbance, unspecified
Cataract, unspecified
Diarrhoea and gastroenteritis of presumed infectious origin
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 14/03/2017 00000 47139939 KARNATA L PNS DAERAH
2 14/03/2017 00000 47155781 ADE ROSINAH P PNS DAERAH
3 14/03/2017 00000 47156027 LASIH P PNS DAERAH
4 14/03/2017 0000 163243776 SANTAMIN, S PD L PNS PUSAT
5 14/03/2017 0000 797146266 IMAT MAUYANA L PBI (APBN)
6 14/03/2017 0000 797556925 HENDRA L PBI (APBN)
7 14/03/2017 0000 797557239 SITI SULISDA P PBI (APBN)
8 14/03/2017 0000 797587874 IJAH P PBI (APBN)
9 14/03/2017 0000 797727058 JARSITI P PBI (APBN)
10 14/03/2017 0000 797733459 AWATI P PBI (APBN)
11 14/03/2017 0000 797735204 NENGSIH P PBI (APBN)
12 14/03/2017 0000 797735305 SUDAR L PBI (APBN)
13 14/03/2017 0000 797736025 SARINAH P PBI (APBN)
14 14/03/2017 0000 797736115 MAMI P PBI (APBN)
15 14/03/2017 0000 797736644 SOPIAH P PBI (APBN)
16 14/03/2017 0000 797803931 DEDI ADRIANSAH L PBI (APBN)
17 14/03/2017 0000 797837512 MAHPUDI L PBI (APBN)
18 14/03/2017 0000 797967101 ARISAH P PBI (APBN)
19 14/03/2017 0000 798103383 JUMSI P PBI (APBN)
20 14/03/2017 0000 798158529 ATIKAH P PBI (APBN)
21 14/03/2017 0000 798238719 IKOH P PBI (APBN)
22 14/03/2017 0000 798239417 ENCUN P PBI (APBN)
23 14/03/2017 0000 798241768 ARIP L PBI (APBN)
24 14/03/2017 0000 798242027 SAEPUDIN L PBI (APBN)
25 14/03/2017 0000 798242635 MOCH ANIM L PBI (APBN)
26 14/03/2017 0000 798436855 YANA L PBI (APBN)
27 14/03/2017 0000 798589236 ARINAH P PBI (APBN)
28 14/03/2017 0000 798686651 ASAD L PBI (APBN)
29 14/03/2017 0000 798688945 ENI P PBI (APBN)
MUHAMAD
30 14/03/2017 0000 798690712 L PBI (APBN)
HERMAWAN
31 14/03/2017 0000 798760416 NENG HASANAH P PBI (APBN)
32 14/03/2017 0000 798825475 SAIMAN L PBI (APBN)
33 14/03/2017 0000 798869935 ANAH P PBI (APBN)
34 14/03/2017 000 1051198773 SITI KHOLIFAH P PBI (APBN)
35 14/03/2017 000 1051201078 YATI P PBI (APBN)
36 14/03/2017 000 1051269862 AMAH P PBI (APBN)
37 14/03/2017 000 1617674883 INDAH
MUHAMAD SUSANTI P PEKERJA MANDIRI
38 14/03/2017 000 1787333512 RANGGA L PBI (APBD)
MUHAMAD
NOPANUDINALIF
39 14/03/2017 000 1969158093 L PBI (APBN)
JANWAR
DEBI LESMANA
40 14/03/2017 000 2079502582 L KEPOLISIAN RI
PUTRA
PUTRA
41 14/03/2017 000 2079503032 L KEPOLISIAN RI
ANDROMEDA
42 14/03/2017 000 2209776344 UPRI L PEKERJA MANDIRI
43 14/03/2017 000 2209779303 KASMAH P PEKERJA MANDIRI
 RAWAT JALAN
N MARET 2017

DIAGNOSA
Tinea corporis
Other acute upper respiratory infections of multiple sites
Chronic obstructive pulmonary disease with acute lower respiratory
infection
Fever, unspecified
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Anorexia
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Cutaneous abscess, furuncle and carbuncle of limb
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Essential (primary) hypertension
Myalgia
Other acute gastritis
Anorexia
Other acute upper respiratory infections of multiple sites
Other forms of stomatitis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Diarrhoea and gastroenteritis of presumed infectious origin
Myalgia
Myalgia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 15/03/2017 00000 46805466 SUSANTI P PNS DAERAH
2 15/03/2017 00000 46805499 GUSTIAWAN PADLI L PNS DAERAH
3 15/03/2017 00000 46823499 MAEMUNAH P PEGAWAI PEMERINTAH NON PNS
4 15/03/2017 0000 148712038 AA IZMI L PNS PUSAT
5 15/03/2017 0000 797582068 JALI L PBI (APBN)
6 15/03/2017 0000 797655429 MUHAMAD L PBI (APBN)
7 15/03/2017 0000 797710612 YATI P PBI (APBN)
8 15/03/2017 0000 797754003 CUCU CAHYATI P PBI (APBN)
9 15/03/2017 0000 797883682 SITI MAEMUNAH P PBI (APBN)
10 15/03/2017 0000 798026545 MIMIN P PBI (APBN)
11 15/03/2017 0000 798865378 JIHAN FIRDAN L PBI (APBN)
12 15/03/2017 0000 798866649 RALIM L PBI (APBN)
13 15/03/2017 0000 798919942 MUKTAR L PBI (APBN)
14 15/03/2017 0000 799156091 SAMSIAH P PBI (APBN)
15 15/03/2017 000 1051190998 TABRANI L PBI (APBN)
16 15/03/2017 000 1051190998 TABRANI L PBI (APBN)
17 15/03/2017 000 1051197063 EEM P PBI (APBN)
18 15/03/2017 000 1724418088 SITI HASANAH P PEKERJA MANDIRI
19 15/03/2017 000 1724418099 DZIKRY AL FARIZ L PEKERJA MANDIRI
20 15/03/2017 000 2215738866 MUHAMAD AJI L PBI (APBN)
21 15/03/2017 0000 797859876 NURLELA P PBI (APBN)
22 15/03/2017 0000 797860056 IDAH WEDAH P PBI (APBN)
23 15/03/2017 0000 797860697 SUBRO L PBI (APBN)
24 15/03/2017 0000 797861362 SUKARSIH P PBI (APBN)
25 15/03/2017 0000 797861406 ROHENI P PBI (APBN)
26 15/03/2017 0000 797862194 PULUNG L PBI (APBN)
27 15/03/2017 0000 797864264 SUPINAH P PBI (APBN)
28 15/03/2017 0000 797864837 KURNIAWATI P PBI (APBN)
29 15/03/2017 0000 797865625 SUBKI L PBI (APBN)
30 15/03/2017 0000 797866391 EMONG L PBI (APBN)
31 15/03/2017 0000 797867245 YADI L PBI (APBN)
32 15/03/2017 0000 797867954 ISNEN L PBI (APBN)
33 15/03/2017 0000 797868246 NANANG L PBI (APBN)
34 15/03/2017 0000 797868472 SAIDUN L PBI (APBN)
35 15/03/2017 0000 797868584 SUNATI P PBI (APBN)
36 15/03/2017 0000 797869473 SAHANAN L PBI (APBN)
37 15/03/2017 0000 797869899 NANI P PBI (APBN)
38 15/03/2017 0000 797871238 ENJUM L PBI (APBN)
39 15/03/2017 0000 797871306 MARNI P PBI (APBN)
40 15/03/2017 0000 797872825 RASID L PBI (APBN)
41 15/03/2017 0000 797874412 KARNA L PBI (APBN)
42 15/03/2017 0000 797874849 ASPIN L PBI (APBN)
43 15/03/2017 0000 797875345 ENDI L PBI (APBN)
44 15/03/2017 0000 797875571 SAWI P PBI (APBN)
45 15/03/2017 0000 797875659 ADUL L PBI (APBN)
AWAT JALAN
MARET 2017

DIAGNOSA
Essential (primary) hypertension
Myalgia
Chest pain, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute gastritis
Atopic dermatitis, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Atopic dermatitis, unspecified
Diarrhoea and gastroenteritis of presumed infectious origin
Diabetes mellitus in pregnancy, unspecified
Retention of urine
Dental caries, unspecified
Other acute gastritis
Pregnancy confirmed
Myalgia
Bilateral inguinal hernia, with obstruction, without gangrene
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Allergic rhinitis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Asthma, unspecified
Myalgia
Fever, unspecified
Atopic dermatitis, unspecified
Fever, unspecified
Myalgia
Gastritis, unspecified
Dental caries, unspecified
Fever, unspecified
Asthma, unspecified
Dyspepsia
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 16/03/2017 0000 797844622 SAHRI BIN L PBI (APBN)
AHMAD
2 16/03/2017 0000 797844699 TINI P PBI (APBN)
3 16/03/2017 0000 797845116 SANUSI L PBI (APBN)
4 16/03/2017 0000 797845599 JUNIAH P PBI (APBN)
5 16/03/2017 0000 797846297 JUHDI L PBI (APBN)
6 16/03/2017 0000 797847399 RALI L PBI (APBN)
7 16/03/2017 0000 797847502 SUKRIA L PBI (APBN)
8 16/03/2017 0000 797847579 MAESAROH P PBI (APBN)
9 16/03/2017 0000 797847636 SAMANAN L PBI (APBN)
10 16/03/2017 0000 797847671 SUKAESIH P PBI (APBN)
11 16/03/2017 0000 797847851 MASITOH P PBI (APBN)
12 16/03/2017 0000 797847884 MUHEMIN L PBI (APBN)
13 16/03/2017 0000 797848029 MAHDI L PBI (APBN)
14 16/03/2017 0000 797848211 SUTIAWATI P PBI (APBN)
15 16/03/2017 0000 797848863 AHAYAN L PBI (APBN)
16 16/03/2017 0000 797849111 SANTAMIN L PBI (APBN)
17 16/03/2017 0000 797849302 ROEPUDIN L PBI (APBN)
18 16/03/2017 0000 797849796 NEAH P PBI (APBN)
19 16/03/2017 0000 797849921 NURODIM L PBI (APBN)
20 16/03/2017 0000 797850123 SUAYAN P PBI (APBN)
21 16/03/2017 0000 797850562 IIS P PBI (APBN)
22 16/03/2017 0000 797850606 UNUNG P PBI (APBN)
23 16/03/2017 0000 797850876 YENI P PBI (APBN)
24 16/03/2017 0000 797851078 ASEP L PBI (APBN)
25 16/03/2017 0000 797851124 RUSMANI L PBI (APBN)
26 16/03/2017 0000 797851179 RITA P PBI (APBN)
27 16/03/2017 0000 797851225 RANIS P PBI (APBN)
28 16/03/2017 0000 797851822 EDI L PBI (APBN)
29 16/03/2017 0000 797851923 ROHILAH P PBI (APBN)
30 16/03/2017 0000 797852068 ENIM L PBI (APBN)
31 16/03/2017 0000 797852485 BIONG L PBI (APBN)
32 16/03/2017 0000 797852654 JAHRONI L PBI (APBN)
33 16/03/2017 0000 797852913 SITI AMAH P PBI (APBN)
34 16/03/2017 0000 797853014 EMIS P PBI (APBN)
35 16/03/2017 0000 797853082 LUKMANUDIN L PBI (APBN)
36 16/03/2017 0000 797853609 ROHIMAH P PBI (APBN)
37 16/03/2017 0000 797853767 ABJAR L PBI (APBN)
38 16/03/2017 0000 797853835 EMPUD L PBI (APBN)
39 16/03/2017 0000 797854533 AMAH P PBI (APBN)
40 16/03/2017 0000 797854645 ERI P PBI (APBN)
41 16/03/2017 0000 797854959 SUMARDI L PBI (APBN)
42 16/03/2017 0000 797855062 APEP L PBI (APBN)
43 16/03/2017 0000 797855185 RINI P PBI (APBN)
44 16/03/2017 0000 797855613 UJANG L PBI (APBN)
45 16/03/2017 0000 797855747 SAPARIAH L PBI (APBN)
46 16/03/2017 0000 797855883 SUEB L PBI (APBN)
47 16/03/2017 0000 797856478 NURMAWATI P PBI (APBN)
48 16/03/2017 0000 797856726 SUHARIAH P PBI (APBN)
49 16/03/2017 0000 797856873 JUHA P PBI (APBN)
50 16/03/2017 0000 797856939 HAMID L PBI (APBN)
51 16/03/2017 0000 797857648 OMAN ROSIMAN L PBI (APBN)
52 16/03/2017 0000 797858043 ICAH P PBI (APBN)
53 16/03/2017 0000 797858458 SARDI L PBI (APBN)
54 16/03/2017 0000 797858515 SANAEMAH P PBI (APBN)
55 16/03/2017 0000 797859292 MUTIANAH P PBI (APBN)
 N RAWAT JALAN
AN MARET 2017

DIAGNOSA
Asthma, unspecified
Fever, unspecified
Bursitis of hand
Gastritis, unspecified
Myalgia
Polyarthritis, unspecified
Myalgia
Fever, unspecified
Gastritis, unspecified
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Dental caries, unspecified
Dyspepsia
Myalgia
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Fever, unspecified
Fever, unspecified
Other forms of stomatitis
Myalgia
Polyarthritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Gastritis, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Myalgia
Fever, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Lead-induced gout
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute upper respiratory infections of multiple sites
Acute pharyngitis, unspecified
Other acute gastritis
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 17/03/2017 0000 797236582 MAR'AH P PBI (APBN)
2 17/03/2017 0000 797279927 NURHANAH P PBI (APBN)
3 17/03/2017 0000 797285294 ENI P PBI (APBN)
4 17/03/2017 0000 797784164 HASANAH P PBI (APBN)
5 17/03/2017 0000 797831313 JANASIH P PBI (APBN)
6 17/03/2017 0000 797831921 MELDA NOVITA P PBI (APBN)
7 17/03/2017 0000 797884795 YATI P PBI (APBN)
8 17/03/2017 0000 797958415 JALI L PBI (APBN)
9 17/03/2017 0000 798041384 ARTI P PBI (APBN)
10 17/03/2017 0000 798144006 KARNI P PBI (APBN)
11 17/03/2017 0000 798182673 MARLINA P PBI (APBN)
12 17/03/2017 0000 798440466 ANDINI P PBI (APBN)
13 17/03/2017 0000 798455575 UTI L PBI (APBN)
14 17/03/2017 0000 798528273 ELIS P PBI (APBN)
15 17/03/2017 0000 798941981 MAMUN L PBI (APBN)
16 17/03/2017 000 1051191876 RAHMAT L PBI (APBN)
17 17/03/2017 000 1051195566 SANEWI P PBI (APBN)
18 17/03/2017 000 1051197243 SITI HASANAH P PBI (APBN)
19 17/03/2017 000 1374448915 TETI MARYATI P PEGAWAI SWASTA
FANNY PUTRI
20 17/03/2017 000 2043378832 RAYSA L PNS DAERAH
SETIAWAN
21 17/03/2017 000 2065704895 MAHESWARI P PEGAWAI SWASTA
22 17/03/2017 0000 797909793 KINANTI
MAEMUN L PBI (APBN)
23 17/03/2017 0000 797909949 HULAEMI L PBI (APBN)
24 17/03/2017 0000 797910513 NENENG P PBI (APBN)
SUHARTINI
25 17/03/2017 0000 797910647 MAMAN L PBI (APBN)
26 17/03/2017 0000 797911154 AMEL P PBI (APBN)
27 17/03/2017 0000 797912965 SARMINAH P PBI (APBN)
28 17/03/2017 0000 797915215 ARIP L PBI (APBN)
29 17/03/2017 0000 797915564 MAHRUDIN L PBI (APBN)
30 17/03/2017 0000 797916712 MUNAH P PBI (APBN)
SITI
31 17/03/2017 0000 797918319 P PBI (APBN)
NURHASANAH
32 17/03/2017 0000 797920334 ROSIDIN L PBI (APBN)
33 17/03/2017 0000 797920762 RIMSAH P PBI (APBN)
34 17/03/2017 0000 797923203 EROH P PBI (APBN)
35 17/03/2017 0000 797924362 SAMHURI L PBI (APBN)
36 17/03/2017 0000 798041384 ARTI P PBI (APBN)
37 17/03/2017 0000 798150014 APINAH P PBI (APBN)
38 17/03/2017 0000 798172975 UPEN L PBI (APBN)
39 17/03/2017 0000 798174448 EROS P PBI (APBN)
40 17/03/2017 0000 798174696 SOPIAN SIDIK L PBI (APBN)
41 17/03/2017 0000 798174775 SITI MAESAROH P PBI (APBN)
42 17/03/2017 0000 798388334 ISMARI L PBI (APBN)
43 17/03/2017 0000 798470346 SARTUHI L PBI (APBN)
44 17/03/2017 0000 798726082 SARWANGI P PBI (APBN)
45 17/03/2017 0000 798783805 SARDI L PBI (APBN)
46 17/03/2017 0000 798783895 TATI P PBI (APBN)
N RAWAT JALAN
N MARET 2017

DIAGNOSA
Myalgia
Other acute gastritis
Chronic gastritis, unspecified
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Myalgia
Myalgia
Other acute gastritis
Nasal polyp, unspecified
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Dental caries, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Post-term infant, not heavy for gestational age
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Gastritis, unspecified
Myalgia
Fever, unspecified
Myalgia
Fever, unspecified
Myalgia
Gastritis, unspecified
Gastritis, unspecified
Dyspepsia
Gastritis, unspecified
Gastritis, unspecified
Myalgia
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Headache
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 18/03/2017 00000 47006515 SURTI P PENSIUN PNS
2 18/03/2017 0000 797178464 ASIH P PBI (APBN)
3 18/03/2017 0000 797179972 NURHEMAH P PBI (APBN)
4 18/03/2017 0000 797189477 JUHEDI L PBI (APBN)
5 18/03/2017 0000 797190579 HENI P PBI (APBN)
6 18/03/2017 0000 797584026 SITI ROHILAH P PBI (APBN)
7 18/03/2017 0000 797781644 TOMI L PBI (APBN)
8 18/03/2017 0000 797973996 EROH P PBI (APBN)
9 18/03/2017 0000 798130945 KHOERUDIN L PBI (APBN)
10 18/03/2017 0000 798132598 RAMAH P PBI (APBN)
11 18/03/2017 0000 798200649 MARDI L PBI (APBN)
12 18/03/2017 0000 798270974 SITI ROHILAH P PBI (APBN)
13 18/03/2017 0000 798273213 SENDI L PBI (APBN)
14 18/03/2017 0000 798402892 KURNAESIH P PBI (APBN)
15 18/03/2017 0000 798440387 SUANDA L PBI (APBN)
16 18/03/2017 0000 798512962 RIKI L PBI (APBN)
17 18/03/2017 0000 798554654 NATI P PBI (APBN)
18 18/03/2017 0000 798652394 HARUN L PBI (APBN)
19 18/03/2017 0000 798653046 UMINAH P PBI (APBN)
20 18/03/2017 0000 798660516 MARNAH P PBI (APBN)
21 18/03/2017 0000 798808061 SAID L PBI (APBN)
22 18/03/2017 0000 798808421 JUMRAH P PBI (APBN)
23 18/03/2017 0000 798836049 EDAH P PBI (APBN)
24 18/03/2017 0000 799079782 MAULANA L PBI (APBN)
25 18/03/2017 0000 799226335 SARI P PBI (APBN)
26 18/03/2017 0000 799227336 JOHANI L PBI (APBN)
27 18/03/2017 0000 799228539 SANIP P PBI (APBN)
28 18/03/2017 0000 799228732 MAMAN L PBI (APBN)
29 18/03/2017 0000 799230205 IPIT P PBI (APBN)
30 18/03/2017 0000 799231724 SURNATA L PBI (APBN)
31 18/03/2017 0000 799232321 ANI P PBI (APBN)
32 18/03/2017 0000 799233827 MARWIAH P PBI (APBN)
33 18/03/2017 0000 799233873 RABIL L PBI (APBN)
34 18/03/2017 0000 799234211 MA'AH P PBI (APBN)
35 18/03/2017 0000 799234233 MARSAN L PBI (APBN)
36 18/03/2017 0000 799234468 ATI P PBI (APBN)
37 18/03/2017 0000 799235008 IDUS L PBI (APBN)
38 18/03/2017 0000 799235684 SAHITI P PBI (APBN)
39 18/03/2017 0000 799236156 IJU P PBI (APBN)
40 18/03/2017 0000 799238259 ROSNI P PBI (APBN)
41 18/03/2017 0000 799239396 JASAM L PBI (APBN)
42 18/03/2017 0000 799240487 MARIYAM P PBI (APBN)
43 18/03/2017 0000 799241242 JATI P PBI (APBN)
44 18/03/2017 000 1051189604 ROHAYATI P PBI (APBN)
45 18/03/2017 000 1051192034 REVA P PBI (APBN)
46 18/03/2017 000 1051195465 ISAH P PBI (APBN)
47 18/03/2017 000 1051197715 HENI P PBI (APBN)
48 18/03/2017 000 1051197748 RANI L PBI (APBN)
49 18/03/2017 000 1132201484 AAT NURLITASARI P PEKERJA MANDIRI
50 18/03/2017 000 1607295677 JASID L PBI (APBD)
 RAWAT JALAN
N MARET 2017

DIAGNOSA
Myalgia
Other acute upper respiratory infections of multiple sites
Acute epiglottitis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Anorexia
Fever, unspecified
Fever, unspecified
Headache
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute gastritis
Myalgia
Other acute gastritis
Other acute gastritis
Myalgia
Other acute gastritis
Myalgia
Other acute gastritis
Other forms of stomatitis
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Anorexia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Anorexia
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Fever, unspecified
Other acute gastritis
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
Myalgia
Spontaneous vertex delivery
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 20/03/2017 0000 797012752 SANEN L PBI (APBN)
2 20/03/2017 0000 797013246 SUNARSIH P PBI (APBN)
3 20/03/2017 0000 797166718 MIMI P PBI (APBN)
4 20/03/2017 0000 797293405 JARTI P PBI (APBN)
5 20/03/2017 0000 797450308 PAMIN L PBI (APBN)
6 20/03/2017 0000 797597256 UDIN L PBI (APBN)
7 20/03/2017 0000 797631412 ADE L PBI (APBN)
8 20/03/2017 0000 797784164 HASANAH P PBI (APBN)
ANDIKA WIJAYA
9 20/03/2017 0000 797785582 L PBI (APBN)
KUSUMA
10 20/03/2017 0000 797790339 SITI MAYASARI P PBI (APBN)
11 20/03/2017 0000 797838491 DEDE L PBI (APBN)
12 20/03/2017 0000 797867559 MASIAH P PBI (APBN)
13 20/03/2017 0000 797897889 SANURI P PBI (APBN)
14 20/03/2017 0000 797912447 ASTI P PBI (APBN)
15 20/03/2017 0000 798038649 SANI P PBI (APBN)
16 20/03/2017 0000 798131417 M IKBAL SYAFEI L PBI (APBN)
17 20/03/2017 0000 798154222 TOMI L PBI (APBN)
18 20/03/2017 0000 798184359 HERI P PBI (APBN)
19 20/03/2017 0000 798210382 SALBIATI P PBI (APBN)
20 20/03/2017 0000 798222306 ATI P PBI (APBN)
21 20/03/2017 0000 798243502 ARHADI L PBI (APBN)
22 20/03/2017 0000 798515177 PENDI L PBI (APBN)
23 20/03/2017 0000 798558142 PERLAN L PBI (APBN)
24 20/03/2017 0000 798589236 ARINAH P PBI (APBN)
25 20/03/2017 0000 798871364 AMELIA P PBI (APBN)
26 20/03/2017 0000 798886157 MARTAPIAH P PBI (APBN)
27 20/03/2017 0000 798905384 HENI P PBI (APBN)
28 20/03/2017 000 1051192552 RUSMI P PBI (APBN)
29 20/03/2017 000 1051195634 UDI L PBI (APBN)
30 20/03/2017 000 1051198435 JUNAH P PBI (APBN)
31 20/03/2017 000 1051201124 SAYUBAN P PBI (APBN)
32 20/03/2017 000 1051203532 TISNA L PBI (APBN)
33 20/03/2017 000 1292857165 MUH JABALUDIN L PEKERJA MANDIRI
34 20/03/2017 000 1607296342 USEP P PBI (APBD)
35 20/03/2017 000 1607297016 SUHERMAN L PBI (APBD)
36 20/03/2017 000 1607297027 ATI P PBI (APBD)
VINZA BALQIS
37 20/03/2017 000 1637839405 P PEGAWAI SWASTA
KUSWARA
38 20/03/2017 000 1725720131 YANTI
RAYSA MALA P PEKERJA MANDIRI
39 20/03/2017 000 2065704895 MAHESWARI P PEGAWAI SWASTA
40 20/03/2017 000 2218416884 KINANTI
SISKA P PEKERJA MANDIRI
 N RAWAT JALAN
AN MARET 2017

DIAGNOSA
Dental caries, unspecified
Myalgia
Other acute gastritis
Pregnancy confirmed
Essential (primary) hypertension
Cutaneous abscess, furuncle and carbuncle of limb
Non-insulin-dependent diabetes mellitus with unspecified
complications
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Myalgia
Essential (primary) hypertension
Myalgia
Pregnancy confirmed
Other acute upper respiratory infections of multiple sites
Myalgia
Iron deficiency anaemia secondary to blood loss (chronic)
Spontaneous vertex delivery
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Paranoid schizophrenia
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
Atopic dermatitis, unspecified
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Cardiomegaly
Myalgia
Diarrhoea and gastroenteritis of presumed infectious origin
Maternal care for disproportion due to unusually large fetus
Other forms of stomatitis
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 21/03/2017 0000 797669684 ARHADI L PBI (APBN)
2 21/03/2017 0000 797669954 SURDI L PBI (APBN)
3 21/03/2017 0000 797670022 ETI P PBI (APBN)
4 21/03/2017 0000 797670088 YENI P PBI (APBN)
5 21/03/2017 0000 797670156 TAJUDIN L PBI (APBN)
6 21/03/2017 0000 797670281 EEN P PBI (APBN)
7 21/03/2017 0000 797670369 ALI L PBI (APBN)
8 21/03/2017 0000 797670516 RIPAI L PBI (APBN)
9 21/03/2017 0000 797670707 SUHERMAN L PBI (APBN)
10 21/03/2017 0000 797670854 HAERUDIN L PBI (APBN)
11 21/03/2017 0000 797670887 AISAH P PBI (APBN)
12 21/03/2017 0000 797670933 KARTA L PBI (APBN)
13 21/03/2017 0000 797670999 SABANA L PBI (APBN)
14 21/03/2017 0000 797671067 NURAENI P PBI (APBN)
15 21/03/2017 0000 797671135 ASMAH P PBI (APBN)
16 21/03/2017 0000 797671405 HASANUDIN L PBI (APBN)
17 21/03/2017 0000 797671596 ENI P PBI (APBN)
18 21/03/2017 0000 797671901 IKA P PBI (APBN)
19 21/03/2017 0000 797675196 MONO L PBI (APBN)
20 21/03/2017 0000 797675319 WAWAN L PBI (APBN)
21 21/03/2017 0000 797675499 UNAYAH P PBI (APBN)
22 21/03/2017 0000 797675736 EPI L PBI (APBN)
23 21/03/2017 0000 797675872 ACIH P PBI (APBN)
24 21/03/2017 0000 797675951 KODIJAH P PBI (APBN)
25 21/03/2017 0000 797675995 RIYAN L PBI (APBN)
26 21/03/2017 0000 797676107 IYAH P PBI (APBN)
27 21/03/2017 0000 797676265 SAKRIM L PBI (APBN)
28 21/03/2017 0000 797710127 MASAMAH P PBI (APBN)
29 21/03/2017 0000 797810927 SAJU L PBI (APBN)
30 21/03/2017 0000 797812029 IPIT P PBI (APBN)
31 21/03/2017 0000 798026578 MANGSUR L PBI (APBN)
32 21/03/2017 0000 798062747 ISKAK L PBI (APBN)
33 21/03/2017 0000 798117399 IIS KURNIASIH P PBI (APBN)
34 21/03/2017 0000 798168892 SURMI P PBI (APBN)
35 21/03/2017 0000 798243704 SATRIAH P PBI (APBN)
36 21/03/2017 0000 798403926 JUNAH P PBI (APBN)
37 21/03/2017 0000 798643506 ECIH P PBI (APBN)
38 21/03/2017 0000 798892007 ONIH P PBI (APBN)
39 21/03/2017 0000 798913438 EMI P PBI (APBN)
40 21/03/2017 0000 799260243 EEN NURAINI P PBI (APBN)
41 21/03/2017 0000 799268692 SARMAH P PBI (APBN)
42 21/03/2017 0000 799268951 SAEPUIL ANWAR L PBI (APBN)
43 21/03/2017 0000 799268984 ARNEN L PBI (APBN)
44 21/03/2017 0000 799269208 MISNAH P PBI (APBN)
45 21/03/2017 0000 799271111 YANI P PBI (APBN)
46 21/03/2017 0000 799272134 ANIM L PBI (APBN)
47 21/03/2017 0000 799272641 SARMAN L PBI (APBN)
48 21/03/2017 0000 799273552 EMIN P PBI (APBN)
49 21/03/2017 0000 799276408 EMED L PBI (APBN)
50 21/03/2017 000 1051096847 MIMIN P PBI (APBN)
51 21/03/2017 000 1051187095 SUKAR L PBI (APBN)
52 21/03/2017 000 1607295677 JASID L PBI (APBD)
AN RAWAT JALAN
AN MARET 2017

DIAGNOSA
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Gastritis, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Other acute gastritis
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Paranoid schizophrenia
Chronic obstructive pulmonary disease, unspecified
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Spontaneous vertex delivery
Anorexia
Anorexia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 22/03/2017 00000 46823499 MAEMUNAH P PEGAWAI PEMERINTAH NON PNS
2 22/03/2017 00000 47006515 SURTI P PENSIUN PNS
3 22/03/2017 00000 47139939 KARNATA L PNS DAERAH
4 22/03/2017 0000 797139865 ENTUS L PBI (APBN)
5 22/03/2017 0000 797278959 SAEPUDIN L PBI (APBN)
6 22/03/2017 0000 797334715 MUIN L PBI (APBN)
7 22/03/2017 0000 797805729 MARSANAH L PBI (APBN)
8 22/03/2017 0000 798026984 YAYU KASIAH P PBI (APBN)
9 22/03/2017 0000 798027041 BAHRUDIN L PBI (APBN)
10 22/03/2017 0000 798027085 IJAH P PBI (APBN)
11 22/03/2017 0000 798027322 UDING L PBI (APBN)
12 22/03/2017 0000 798027423 JUHA P PBI (APBN)
13 22/03/2017 0000 798027849 MADNUR L PBI (APBN)
14 22/03/2017 0000 798028042 DIDIN L PBI (APBN)
15 22/03/2017 0000 798028492 JUMAR L PBI (APBN)
16 22/03/2017 0000 798028571 ASEP L PBI (APBN)
17 22/03/2017 0000 798028749 SUNANDAR L PBI (APBN)
18 22/03/2017 0000 798028817 UMSI P PBI (APBN)
19 22/03/2017 0000 798029032 NURAENI P PBI (APBN)
20 22/03/2017 0000 798029076 SARIANAH P PBI (APBN)
21 22/03/2017 0000 798029111 NASYATI P PBI (APBN)
22 22/03/2017 0000 798029188 SITI NENG HAETI P PBI (APBN)
23 22/03/2017 0000 798029346 SUBANDI L PBI (APBN)
24 22/03/2017 0000 798055233 SARID L PBI (APBN)
25 22/03/2017 0000 798055446 SOLPIAH P PBI (APBN)
26 22/03/2017 0000 798055558 ENOK P PBI (APBN)
27 22/03/2017 0000 798055593 ROMSIH P PBI (APBN)
28 22/03/2017 0000 798055738 MANSUR L PBI (APBN)
29 22/03/2017 0000 798056087 AMEL P PBI (APBN)
30 22/03/2017 0000 798056234 PITRIANI P PBI (APBN)
31 22/03/2017 0000 798056289 SUDIRMAN L PBI (APBN)
32 22/03/2017 0000 798056583 ROHMAT L PBI (APBN)
33 22/03/2017 0000 798056853 ENDI L PBI (APBN)
34 22/03/2017 0000 798056864 AHMAD JOHANI L PBI (APBN)
35 22/03/2017 0000 798057101 MIRHAN L PBI (APBN)
36 22/03/2017 0000 798057191 SANARI P PBI (APBN)
37 22/03/2017 0000 798057292 TINAH P PBI (APBN)
38 22/03/2017 0000 798064378 ADANG L PBI (APBN)
39 22/03/2017 0000 798247899 ANI P PBI (APBN)
40 22/03/2017 0000 798368804 MUSTOPA L PBI (APBN)
41 22/03/2017 0000 798401272 SARNATA L PBI (APBN)
42 22/03/2017 0000 798402486 UJANG L PBI (APBN)
43 22/03/2017 0000 798456644 ELA P PBI (APBN)
44 22/03/2017 0000 798909175 TITI P PBI (APBN)
45 22/03/2017 000 1051203655 USINAH P PBI (APBN)
46 22/03/2017 000 1262212749 YAZID AL RAJAK L PEKERJA MANDIRI
47 22/03/2017 000 1438323096 MASKAH P PEKERJA MANDIRI
48 22/03/2017 000 2208528448 RISNAWATI P PEKERJA MANDIRI
49 22/03/2017 000 2208528764 ALFATIH L PEKERJA MANDIRI
50 22/03/2017 000 2229919086 KAMSITA L PEKERJA MANDIRI
AWAT JALAN
MARET 2017

DIAGNOSA
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other specified fever
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Diarrhoea and gastroenteritis of presumed infectious origin
Myalgia
Myalgia
Essential (primary) hypertension
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Myalgia
Myalgia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 23/03/2017 00000 21901239 MAD YUSUP L PNS PUSAT
2 23/03/2017 00000 46858195 ISTIGHFARY L PNS DAERAH
ALFIANDINY
3 23/03/2017 00000 46858735 SUGIYANTA L PNS DAERAH
4 23/03/2017 00000 47146149 FAHRI MAULANA L PNS DAERAH
5 23/03/2017 0000 797160352 AMINAH P PBI (APBN)
6 23/03/2017 0000 797184224 RUDI L PBI (APBN)
7 23/03/2017 0000 797209806 FITRI P PBI (APBN)
8 23/03/2017 0000 797385339 ROSDAH P PBI (APBN)
9 23/03/2017 0000 797450308 PAMIN L PBI (APBN)
10 23/03/2017 0000 797584026 SITI ROHILAH P PBI (APBN)
11 23/03/2017 0000 797635686 MENI P PBI (APBN)
12 23/03/2017 0000 797784164 HASANAH P PBI (APBN)
13 23/03/2017 0000 797802344 UMI P PBI (APBN)
14 23/03/2017 0000 797831313 JANASIH P PBI (APBN)
15 23/03/2017 0000 797831921 MELDA NOVITA P PBI (APBN)
16 23/03/2017 0000 797904674 SARMINAH P PBI (APBN)
17 23/03/2017 0000 797961565 SARNAN L PBI (APBN)
18 23/03/2017 0000 797990567 ASMANAH P PBI (APBN)
19 23/03/2017 0000 797993278 WARNI P PBI (APBN)
20 23/03/2017 0000 797997587 ERIS P PBI (APBN)
21 23/03/2017 0000 798002741 SUWARDI L PBI (APBN)
22 23/03/2017 0000 798038649 SANI P PBI (APBN)
23 23/03/2017 0000 798045142 UDIN L PBI (APBN)
24 23/03/2017 0000 798157991 JUHENAH P PBI (APBN)
25 23/03/2017 0000 798169026 DEDI L PBI (APBN)
26 23/03/2017 0000 798170512 YAYAH P PBI (APBN)
27 23/03/2017 0000 798353098 WAHYUDIN L PBI (APBN)
28 23/03/2017 0000 798579685 SELA FEBRIYANI P PBI (APBN)
29 23/03/2017 0000 798748749 SUMEMI P PBI (APBN)
30 23/03/2017 0000 798749818 M DIKI MAULANA L PBI (APBN)
31 23/03/2017 0000 798920829 IMAT L PBI (APBN)
32 23/03/2017 000 1051197221 KARIM L PBI (APBN)
33 23/03/2017 000 1051197243 SITI HASANAH P PBI (APBN)
34 23/03/2017 000 1051201462 JARSIH P PBI (APBN)
35 23/03/2017 000 1078489495 NAFSUL P PNS DAERAH
MUTHMAINAH
36 23/03/2017 000 1723082152 SARDAN L PEKERJA MANDIRI
RAWAT JALAN
MARET 2017

DIAGNOSA
Other acute gastritis
Myalgia
Mild depressive episode
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Myalgia
Supervision of normal pregnancy, unspecified
Tinea corporis
Myalgia
Pregnancy confirmed
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Myalgia
Other acute gastritis
Schizophrenia, unspecified
Supervision of normal pregnancy, unspecified
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Dental caries, unspecified
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Atopic dermatitis, unspecified
Paranoid schizophrenia
Essential (primary) hypertension
Other acute upper respiratory infections of multiple sites
Myalgia
Other dental caries
Paranoid schizophrenia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MARET 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 24/03/2017 00000 47006515 SURTI P PENSIUN PNS
2 24/03/2017 0000 797166718 MIMI P PBI (APBN)
3 24/03/2017 0000 797361715 HINDUN P PBI (APBN)
4 24/03/2017 0000 797563304 AMSINAH P PBI (APBN)
5 24/03/2017 0000 797584026 SITI ROHILAH P PBI (APBN)
6 24/03/2017 0000 797597256 UDIN L PBI (APBN)
24/03/2017 0000 797785479 ANDRI AHMAD
7 L PBI (APBN)
RIFAI
8 24/03/2017 0000 797786043 SITI P PBI (APBN)
NURALAMSYAH
9 24/03/2017 0000 797786166 NURUL KIRANA P PBI (APBN)
10 24/03/2017 0000 798022855 UCI SANUSI L PBI (APBN)
11 24/03/2017 0000 798239586 SITI PATIMAH P PBI (APBN)
12 24/03/2017 000 1051190998 TABRANI L PBI (APBN)
13 24/03/2017 000 1310279962 SADIRA L PEKERJA MANDIRI
1 25/03/2017 0000 798029807 RASAM L PBI (APBN)
2 25/03/2017 0000 798029954 SAMAAH P PBI (APBN)
3 25/03/2017 0000 798030022 YAYA P PBI (APBN)
4 25/03/2017 0000 798030156 SUBHAN L PBI (APBN)
5 25/03/2017 0000 798030494 SANIP L PBI (APBN)
6 25/03/2017 0000 798057426 ROSIAH P PBI (APBN)
7 25/03/2017 0000 798057729 SARDI L PBI (APBN)
8 25/03/2017 0000 798057753 MUKRI L PBI (APBN)
9 25/03/2017 0000 798058192 SARINAH P PBI (APBN)
10 25/03/2017 0000 798058383 TIBI L PBI (APBN)
11 25/03/2017 0000 799263729 UTA L PBI (APBN)
12 25/03/2017 0000 799264181 IROH P PBI (APBN)
13 25/03/2017 0000 799264664 RITA P PBI (APBN)
14 25/03/2017 0000 799264844 RISKA P PBI (APBN)
15 25/03/2017 0000 799265125 JUHRI L PBI (APBN)
16 25/03/2017 0000 799265237 LAMRAH P PBI (APBN)
17 25/03/2017 0000 799265316 LAMSAH P PBI (APBN)
18 25/03/2017 0000 799265362 LOMRI L PBI (APBN)
19 25/03/2017 0000 799266025 ARHADI L PBI (APBN)
20 25/03/2017 0000 799266205 JUMALI L PBI (APBN)
21 25/03/2017 0000 799266251 ERUM P PBI (APBN)
22 25/03/2017 0000 799266734 MADIN L PBI (APBN)
23 25/03/2017 0000 799267375 RUMSANAH P PBI (APBN)
24 25/03/2017 0000 799285961 JALAL L PBI (APBN)
25 25/03/2017 0000 799286815 ADRAI L PBI (APBN)
 RAWAT JALAN
N MARET 2017

DIAGNOSA
Other acute gastritis
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Diseases of the circulatory system complicating pregnancy,
childbirth and the puerperium
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Myalgia
Atopic dermatitis, unspecified
Myalgia
Pregnancy confirmed
Other acute gastritis
Insulin-dependent diabetes mellitus without complications
Other acute upper respiratory infections of multiple sites
Myalgia
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Gastritis, unspecified
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Anorexia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites