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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

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

1 31-01-2017 111914200117Y001160 0000030017709 TUKERI L VETERAN Nummular dermatitis Berobat Jalan

2 31-01-2017 111914200117Y001164 0000030042573 SUPARMINI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

3 31-01-2017 111914200117Y001349 0000030043225 SURTI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

4 31-01-2017 111914200117Y001345 0000030058997 SRI YATUN P PENERIMA PENSIUN Effects of caisson disease Berobat Jalan
PNS [decompression sickness]

5 31-01-2017 111914200117Y001181 0000030062125 SITI ASNAH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
6 31-01-2017 111914200117Y001637 0000030064263 BARINO POERWOATMODJO L PENERIMA PENSIUN Loss of teeth due to Berobat Jalan
PNS accident, extraction or

7 31-01-2017 111914200117Y001180 0000030066153 SUNDARI P PENERIMA PENSIUN Somatization disorder Berobat Jalan
PNS
8 31-01-2017 111914200117Y001197 0000030073397 TUKIYAH P PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
9 31-01-2017 111914200117Y001166 0000039104447 MUDJIMAN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

10 31-01-2017 111914200117Y001187 0000044632563 SUTRISMI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
11 31-01-2017 111914200117Y001188 0000056311165 TUSIJEM P PENERIMA PENSIUN TNI Somatization disorder Berobat Jalan

12 31-01-2017 111914200117Y001210 0000075909835 SUPRIYADI L PNS DAERAH Non-insulin-dependent Berobat Jalan


diabetes mellitus with

13 31-01-2017 111914200117Y001158 0000084337659 R KUNTO UTOJO L PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

14 31-01-2017 111914200117Y001344 0000084337749 R ROCHMAD L PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
15 31-01-2017 111914200117Y001199 0000084367528 TUKUL TUGONO L PENERIMA PENSIUN TNI Predominantly allergic Berobat Jalan
asthma
16 31-01-2017 111914200117Y001198 0000084729137 SUPIJAH HANI P PNS DAERAH Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
17 31-01-2017 111914200117Y001204 0000084763517 SULAMI P PNS DAERAH Abnormal level of blood Berobat Jalan
mineral
18 31-01-2017 111914200117Y001190 0000084801363 ENDAH SUPRAPTI P PENERIMA PENSIUN Tuberculosis of Berobat Jalan
PNS intrathoracic lymph nodes,
confirmed bacteriologically
and histologically
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

19 31-01-2017 111914200117Y001179 0000160403433 NGATINEM P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
20 31-01-2017 111914200117Y001178 0000164510177 PONIRAN L VETERAN Cluster headache Berobat Jalan
syndrome
21 31-01-2017 111914200117Y001355 0000194238639 YUSTINUS IMAN SOETOPO L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
22 31-01-2017 111914200117Y001183 0000542534703 APIS L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
23 31-01-2017 111914200117Y001176 0000543119444 SOKINEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

24 31-01-2017 111914200117Y001211 0000543228311 SRI MURGIYANI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

25 31-01-2017 111914200117Y001195 0000543237118 LINA SUSANTI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

26 31-01-2017 111914200117Y001066 0000543251373 PUJIMI AGUNG P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
27 31-01-2017 111914200117Y001214 0000543270003 SUTARNI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

28 31-01-2017 111914200117Y001171 0000543660129 SEMINEM P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

29 31-01-2017 111914200117Y001353 0000543770021 SRIWAHYU P PBI (APBN) Rheumatism, unspecified Berobat Jalan

30 31-01-2017 111914200117Y001184 0000543781901 SYAFFA NAYLA MAHARANI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

31 31-01-2017 111914200117Y001065 0000543781934 DARSIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
32 31-01-2017 111914200117Y001490 0000543990644 RASYA NETA PRADITYA L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

33 31-01-2017 111914200117Y001406 0000543990644 RASYA NETA PRADITYA L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

34 31-01-2017 111914200117Y001348 0000544049741 ALI TOFAH L PBI (APBN) Cluster headache Berobat Jalan
syndrome
35 31-01-2017 111914200117Y001174 0000544053126 WINARNINGSIH P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
36 31-01-2017 111914200117Y001173 0000544053341 CAHYA NUR ROSIT L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
37 31-01-2017 111914200117Y001067 0000544151542 LINAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

38 31-01-2017 111914200117Y001185 0000544152194 LIU CITRA PERDANA P PBI (APBN) Disturbances in tooth Berobat Jalan
formation
39 31-01-2017 111914200117Y001162 0000544158022 NANANG YULIANA L PBI (APBN) Puerperal sepsis Berobat Jalan

40 31-01-2017 111914200117Y001201 0000544707696 PONIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus with

41 31-01-2017 111914200117Y001194 0000544725933 RETININGSIH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

42 31-01-2017 111914200117Y001206 0000544766106 NINGSI SUMIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
43 31-01-2017 111914200117Y001168 0000544776265 AGUS SASONGKO PURNOMO L PBI (APBN) Cluster headache Berobat Jalan
syndrome
44 31-01-2017 111914200117Y001646 0000546489854 FAJAR WATI P PBI (APBN) Single spontaneous Sembuh
delivery
45 31-01-2017 111914200117Y001346 0000658313054 SUNARGIANTORO L PBI (APBN) Effects of caisson disease Berobat Jalan
[decompression sickness]

46 31-01-2017 111914200117Y001192 0001019006144 SUMARMAN L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

47 31-01-2017 111914200117Y001182 0001019013028 PARMONO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

48 31-01-2017 111914200117Y001208 0001019013129 PAINI P PBI (APBN) Somatization disorder Berobat Jalan

49 31-01-2017 111914200117Y001354 0001084906067 TUYANI P PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
50 31-01-2017 111914200117Y001064 0001185662801 IROH ARYANTI P PEGAWAI SWASTA General counselling and Berobat Jalan
advice on contraception
51 31-01-2017 111914200117Y001063 0001260888816 AGUSTIN DARMAWATI P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
52 31-01-2017 111914200117Y001189 0001261623251 KARSIH MURNIYATI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

53 31-01-2017 111914200117Y001169 0001263777006 MARSINAH P PEKERJA MANDIRI Predominantly allergic Berobat Jalan
asthma
54 31-01-2017 111914200117Y001207 0001266872174 DARMINI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

55 31-01-2017 111914200117Y001159 0001279239489 SUWARNI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
56 31-01-2017 111914200117Y001631 0001297019968 SUSIANA P PEKERJA MANDIRI Fitting and adjustment of Berobat Jalan
dental prosthetic device
57 31-01-2017 111914200117Y001167 0001388964835 SARI KURNIA NINGSIH P PEKERJA MANDIRI Somatization disorder Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

58 31-01-2017 111914200117Y001350 0001424551904 PAWIRO KARSO L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

59 31-01-2017 111914200117Y001491 0001434150595 RICKO ANGGA SAPUTRA L PNS DAERAH Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

60 31-01-2017 111914200117Y001407 0001434150595 RICKO ANGGA SAPUTRA L PNS DAERAH Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

61 31-01-2017 111914200117Y001172 0001434150595 RICKO ANGGA SAPUTRA L PNS DAERAH Rheumatism, unspecified Berobat Jalan

62 31-01-2017 111914200117Y001347 0001478083127 RETNO WULANSIH P PEGAWAI SWASTA Other disorders of Berobat Jalan
refraction
63 31-01-2017 111914200117Y001213 0001478083274 IQBAL ARDIKA PUTRA L PEGAWAI SWASTA Febrile convulsions Berobat Jalan

64 31-01-2017 111914200117Y001203 0001478083364 SALMA SHAFIRA NURAINI P PEGAWAI SWASTA Influenza with pneumonia, Berobat Jalan
virus not identified

65 31-01-2017 111914200117Y001212 0001478083511 SALWA SHAFIRA NURAZIZAH P PEGAWAI SWASTA Influenza with pneumonia, Berobat Jalan
virus not identified

66 31-01-2017 111914200117Y001493 0001521623158 RAHMA DIYANA P PEKERJA MANDIRI Typhoid fever Sembuh

67 31-01-2017 111914200117Y001408 0001521623158 RAHMA DIYANA P PEKERJA MANDIRI Typhoid fever Sembuh

68 31-01-2017 111914200117Y001161 0001524127781 SISWATI P PEGAWAI BUMN Rheumatism, unspecified Berobat Jalan

69 31-01-2017 111914200117Y001357 0001615413295 REGINA INES AYUNINGTYAS P PBI (APBD) Care and examination Berobat Jalan
immediately after delivery
70 31-01-2017 111914200117Y001486 0001615413385 ENDANG WERDININGSIH P PBI (APBD) Influenza with pneumonia, Berobat Jalan
virus not identified

71 31-01-2017 111914200117Y001163 0001626428788 SUDIYOKO L PEKERJA MANDIRI Typhoid fever Berobat Jalan

72 31-01-2017 111914200117Y001352 0001813164557 kasiyem P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
73 31-01-2017 111914200117Y001196 0001845452395 SAMINEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

74 31-01-2017 111914200117Y001351 0001971100293 ASRI PANGESTUTI P PEKERJA MANDIRI Mucopurulent Berobat Jalan
conjunctivitis
75 31-01-2017 111914200117Y001186 0001972442092 SIH HARINI P PBI (APBN) Benign neoplasm of Berobat Jalan
tongue
76 31-01-2017 111914200117Y001165 0001972445657 ENDANG WAHYU N P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

77 31-01-2017 111914200117Y001170 0001972450012 SUKADI L PBI (APBN) Nummular dermatitis Berobat Jalan

78 31-01-2017 111914200117Y001177 0001972451665 BINARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
79 31-01-2017 111914200117Y001175 0002009950266 SRI SUGINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

80 31-01-2017 111914200117Y001200 0002009999283 JUMINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

81 31-01-2017 111914200117Y001193 0002010030478 IRAN SUGIARTO L PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
82 31-01-2017 111914200117Y001191 0002010030489 SRI AMANI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

83 31-01-2017 111914200117Y001209 0002010033033 RADEN SUKISNO L PBI (APBN) Nummular dermatitis Berobat Jalan
HARJOUTOMO
84 31-01-2017 111914200117Y001632 0002036085254 ANTONIUS BUDI SAYOGA L PEKERJA MANDIRI Fitting and adjustment of Berobat Jalan
dental prosthetic device
85 31-01-2017 111914200117Y001205 0002043781165 WAHYU CATUR HANDAYANI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

86 31-01-2017 111914200117Y001202 0002054761986 ISMUWATI P PEKERJA MANDIRI Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
87 30-01-2017 111914200117Y001097 0000030038995 DEWI ERYANTI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

88 30-01-2017 111914200117Y001125 0000030050054 A J ROESMIN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
89 30-01-2017 111914200117Y001379 0000030061923 RUSMIYATI P PENERIMA PENSIUN Somatization disorder Berobat Jalan
PNS
90 30-01-2017 111914200117Y001378 0000030063813 SRI UNTUNG SUKOWATI P PENERIMA PENSIUN Tinea barbae and tinea Berobat Jalan
PNS capitis
91 30-01-2017 111914200117Y001093 0000030067378 NGADINAH P PENERIMA PENSIUN Hereditary Berobat Jalan
PNS hypogammaglobulinaemia
92 30-01-2017 111914200117Y001382 0000030069821 TURINI P PENERIMA PENSIUN Somatization disorder Berobat Jalan
PNS
93 30-01-2017 111914200117Y001128 0000030074714 YL SUMARDANUS L PENERIMA PENSIUN Urinary tract infection, site Berobat Jalan
PNS not specified
94 30-01-2017 111914200117Y001123 0000043386603 MURTIATI P PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

95 30-01-2017 111914200117Y001342 0000044365375 DRS. H. KASITO, BE.MM L PENERIMA PENSIUN Staphylococcal arthritis Berobat Jalan
PNS and polyarthritis
96 30-01-2017 111914200117Y001089 0000044957283 SRI ROCHANI P PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

97 30-01-2017 111914200117Y001109 0000081013757 ROSALIA BUDI HARTINI P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

98 30-01-2017 111914200117Y001133 0000084250473 SETIYOWATI P PNS DAERAH Abdominal aortic Berobat Jalan
aneurysm, ruptured
99 30-01-2017 111914200117Y001139 0000084309456 AMINI P PENERIMA PENSIUN TNI Typhoid fever Berobat Jalan

100 30-01-2017 111914200117Y001098 0000084313653 DJUMALI L PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

101 30-01-2017 111914200117Y001383 0000084316026 HARTININGSIH P PENERIMA PENSIUN TNI Tinea barbae and tinea Berobat Jalan
capitis
102 30-01-2017 111914200117Y001126 0000084323248 LEGIRAN L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
103 30-01-2017 111914200117Y001455 0000084344433 DAMIYAH P PENERIMA PENSIUN TNI Influenza with pneumonia, Berobat Jalan
virus not identified

104 30-01-2017 111914200117Y001107 0000084366977 TUGISO L PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

105 30-01-2017 111914200117Y001337 0000084375292 SUKARMAN L PENERIMA PENSIUN TNI Other specified dermatitis Berobat Jalan

106 30-01-2017 111914200117Y001106 0000084418716 ANWAR MAHRUS L PENERIMA PENSIUN Acute amoebic dysentery Berobat Jalan
PNS
107 30-01-2017 111914200117Y001339 0000084434319 H.M.DAROIN,BA L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
108 30-01-2017 111914200117Y001114 0000084658083 PONILAH P PNS DAERAH Rheumatism, unspecified Berobat Jalan

109 30-01-2017 111914200117Y001094 0000084715604 BETTY ENDANG P PNS DAERAH Other specified protozoal Berobat Jalan
WERDININGSIH intestinal diseases
110 30-01-2017 111914200117Y001090 0000084741399 PAINO L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
111 30-01-2017 111914200117Y001143 0000084757263 PONINIK P PNS DAERAH Urinary tract infection, site Berobat Jalan
not specified
112 30-01-2017 111914200117Y001628 0000084792532 TOTO SRIATMOJO L PNS DAERAH Necrosis of pulp Berobat Jalan

113 30-01-2017 111914200117Y001127 0000158001028 AGUS WIDODO SUGENG L PENERIMA PENSIUN Other specified zoonotic Berobat Jalan
PNS bacterial diseases, not

114 30-01-2017 111914200117Y001336 0000159430285 SUNANI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
115 30-01-2017 111914200117Y001100 0000160398742 SUMIYATI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

116 30-01-2017 111914200117Y001022 0000163342811 ARI SULISTYANTO, SE L PNS DAERAH Rheumatism, unspecified Berobat Jalan

117 30-01-2017 111914200117Y001102 0000194977372 SUKANDAR L PENERIMA PENSIUN TNI Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
118 30-01-2017 111914200117Y001388 0000543098485 SUPIYAH P PBI (APBN) Somatization disorder Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

119 30-01-2017 111914200117Y001391 0000543119174 SUDI YATMOKO L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
120 30-01-2017 111914200117Y001375 0000543129028 SUGIASIH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

121 30-01-2017 111914200117Y001376 0000543130345 MEI SEPTININGSIH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

122 30-01-2017 111914200117Y001384 0000543132843 WAGINI AMAT SAHERI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

123 30-01-2017 111914200117Y001386 0000543140706 B REJO IRANU SONEM P PBI (APBN) Somatization disorder Berobat Jalan

124 30-01-2017 111914200117Y001108 0000543141022 PONITRI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

125 30-01-2017 111914200117Y001385 0000543151067 HARTATI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
126 30-01-2017 111914200117Y001394 0000543151293 ASTI SUSILOWATI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

127 30-01-2017 111914200117Y001091 0000543179226 KARYASIH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

128 30-01-2017 111914200117Y001390 0000543520877 SULISANAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
129 30-01-2017 111914200117Y001389 0000543521158 AWANG RESTU prasetiyo L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

130 30-01-2017 111914200117Y001025 0000543574899 MURYANI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

131 30-01-2017 111914200117Y001024 0000543575204 WULAN APRILIYANA P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

132 30-01-2017 111914200117Y001136 0000543923943 RENI OKTAVIANI P PBI (APBN) Puerperal sepsis Berobat Jalan

133 30-01-2017 111914200117Y001137 0000543943607 PRISNA ANGGITA SALSABILA P PBI (APBN) Influenza with pneumonia, Berobat Jalan
AULIA virus not identified

134 30-01-2017 111914200117Y001023 0000543948287 SUKARMI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

135 30-01-2017 111914200117Y001117 0000543986796 SARJONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
136 30-01-2017 111914200117Y001405 0000543990644 RASYA NETA PRADITYA L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

137 30-01-2017 111914200117Y001489 0000544071971 INDAH RIYADI HASTUTI P PBI (APBN) Typhoid fever Sembuh

138 30-01-2017 111914200117Y001400 0000544071971 INDAH RIYADI HASTUTI P PBI (APBN) Typhoid fever Sembuh

139 30-01-2017 111914200117Y001110 0000544256583 ROHANAH SRI ARUM P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
WULANDARI gastritis
140 30-01-2017 111914200117Y001435 0000544454458 SALSABILA PUTRIPERDANI P PBI (APBN) Measles without Sembuh
complication
141 30-01-2017 111914200117Y001087 0000544479996 RUBIYAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

142 30-01-2017 111914200117Y001335 0000544607278 NGADIREM P PBI (APBN) Nummular dermatitis Berobat Jalan

143 30-01-2017 111914200117Y001141 0000544725933 RETININGSIH P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
144 30-01-2017 111914200117Y001122 0000544810241 SUDARMI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
145 30-01-2017 111914200117Y001393 0000544915045 RINA TRI LESTARI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

146 30-01-2017 111914200117Y001387 0000544921075 SRI HANDAYANI P PBI (APBN) Tinea barbae and tinea Berobat Jalan
capitis
147 30-01-2017 111914200117Y001513 0000545023912 ANGGITA LARASATI P PBI (APBN) Streptococcal pharyngitis Sembuh

148 30-01-2017 111914200117Y001092 0001019008754 BARIATY P PBI (APBN) Rheumatism, unspecified Berobat Jalan

149 30-01-2017 111914200117Y001630 0001019010115 MARSINAH P PBI (APBN) Acute periodontitis Berobat Jalan

150 30-01-2017 111914200117Y001392 0001019013355 MASNI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

151 30-01-2017 111914200117Y001138 0001019014874 TUNEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

152 30-01-2017 111914200117Y001095 0001019075297 SUTONO L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

153 30-01-2017 111914200117Y001140 0001105445608 SUTARTO L PRAJURIT AD Urinary tract infection, site Berobat Jalan
not specified
154 30-01-2017 111914200117Y001101 0001271748251 SASTRO SUDIRO L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

155 30-01-2017 111914200117Y001096 0001293344897 ILHAM MAULANA ABRAR L PNS PUSAT Influenza with pneumonia, Berobat Jalan
virus not identified

156 30-01-2017 111914200117Y001377 0001308897371 SAMIKEM WIRYO SUMARTO P PEKERJA MANDIRI Somatization disorder Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

157 30-01-2017 111914200117Y001340 0001386345688 SUPINATUN P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
158 30-01-2017 111914200117Y001381 0001430821855 SRI PURWANINGSIH P PEKERJA MANDIRI Somatization disorder Berobat Jalan

159 30-01-2017 111914200117Y001380 0001430822463 WAGISO L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

160 30-01-2017 111914200117Y001088 0001442614149 REKENI P PEKERJA MANDIRI Somatization disorder Berobat Jalan

161 30-01-2017 111914200117Y001403 0001454929931 DEWI NURCAHYANI P PEKERJA MANDIRI Measles without Sembuh
complication
162 30-01-2017 111914200117Y001640 0001454929931 DEWI NURCAHYANI P PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

163 30-01-2017 111914200117Y001495 0001454929931 DEWI NURCAHYANI P PEKERJA MANDIRI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

164 30-01-2017 111914200117Y001401 0001454929931 DEWI NURCAHYANI P PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

165 30-01-2017 111914200117Y001099 0001463368509 MARGONO L PEKERJA MANDIRI Disorders of optic nerve, Berobat Jalan
not elsewhere classified
166 30-01-2017 111914200117Y001514 0001520777125 RISMA MAULIYA NOVITA P PEGAWAI SWASTA Typhoid fever Sembuh

167 30-01-2017 111914200117Y001115 0001524127781 SISWATI P PEGAWAI BUMN Rheumatism, unspecified Berobat Jalan

168 30-01-2017 111914200117Y001338 0001615359058 Subirah P PBI (APBD) Rheumatism, unspecified Berobat Jalan

169 30-01-2017 111914200117Y001645 0001615413295 REGINA INES AYUNINGTYAS P PBI (APBD) Single spontaneous Sembuh
delivery
170 30-01-2017 111914200117Y001356 0001615413295 REGINA INES AYUNINGTYAS P PBI (APBD) Spontaneous vertex Sembuh
delivery
171 30-01-2017 111914200117Y001124 0001650524049 Harsono L PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
172 30-01-2017 111914200117Y001515 0001697213035 NURYANKA LESTARI P PBI (APBD) Typhoid fever Sembuh

173 30-01-2017 111914200117Y001374 0001788940721 firman syahputra L PEKERJA MANDIRI Tinea barbae and tinea Berobat Jalan
capitis
174 30-01-2017 111914200117Y001135 0001794438922 AGISTA SAESA PUTRI P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

175 30-01-2017 111914200117Y001343 0001794439811 NURSAFA SAESA ADILIYA P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

176 30-01-2017 111914200117Y001341 0001822922741 SRI WAHYUNINGSIH P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
177 30-01-2017 111914200117Y001103 0001864876015 AMIN HIDAYAT L PEGAWAI SWASTA Influenza with pneumonia, Berobat Jalan
virus not identified

178 30-01-2017 111914200117Y001120 0001867963781 SAMINI P PEKERJA MANDIRI Retarded development Berobat Jalan
following protein-energy

179 30-01-2017 111914200117Y001116 0001872523451 SUPANGAT L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

180 30-01-2017 111914200117Y001130 0001883404135 kurniasih P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

181 30-01-2017 111914200117Y001111 0001902786401 MARTINAH P PEKERJA MANDIRI Poisoning by antiallergic Berobat Jalan
and antiemetic drugs
182 30-01-2017 111914200117Y001121 0001960095532 TRISMI P PEKERJA MANDIRI Corpus luteum cyst Berobat Jalan

183 30-01-2017 111914200117Y001118 0001972446737 NUR FADILLAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
184 30-01-2017 111914200117Y001119 0001972447479 KARISA AMELIA HAPSARI P PBI (APBN) Tinea barbae and tinea Berobat Jalan
capitis
185 30-01-2017 111914200117Y001456 0001972453061 WAHENI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
186 30-01-2017 111914200117Y001062 0001972453061 WAHENI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
187 30-01-2017 111914200117Y001334 0001972453083 MUCHAMMAD NUR L PBI (APBN) Nummular dermatitis Berobat Jalan

188 30-01-2017 111914200117Y001453 0001972453544 AISYA DAMAYANTI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

189 30-01-2017 111914200117Y001447 0001972463567 HASNA ARIFATUL BASMAH P PBI (APBN) Polycythaemia vera Berobat Jalan

190 30-01-2017 111914200117Y001402 0001972463567 HASNA ARIFATUL BASMAH P PBI (APBN) Measles without Berobat Jalan
complication
191 30-01-2017 111914200117Y001404 0001972463567 HASNA ARIFATUL BASMAH P PBI (APBN) Measles without Sembuh
complication
192 30-01-2017 111914200117Y001105 0002010002815 RIDWAN DWI MAULANA L PBI (APBN) Nummular dermatitis Berobat Jalan

193 30-01-2017 111914200117Y001104 0002010002826 KASMINAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

194 30-01-2017 111914200117Y001142 0002010003726 NANIK MUJIYATI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

195 30-01-2017 111914200117Y001457 0002010032583 ZAHFRAN NAUFAL ARTAWAN L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

196 30-01-2017 111914200117Y001454 0002010032897 BASIRAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

197 30-01-2017 111914200117Y001134 0002010066309 SUGIYEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

198 30-01-2017 111914200117Y001458 0002032264304 alifah fajar fatmawati P PNS DAERAH Influenza with pneumonia, Berobat Jalan
virus not identified

199 30-01-2017 111914200117Y001629 0002043199574 KARTINAH P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
200 30-01-2017 111914200117Y001129 0002060105376 WAHYUNI P PEGAWAI SWASTA Nummular dermatitis Berobat Jalan

201 30-01-2017 111914200117Y001131 0002070231456 SARWINAH P PEKERJA MANDIRI Abdominal aortic Berobat Jalan
aneurysm, ruptured
202 30-01-2017 111914200117Y001113 0002074528991 BUDI WALUYO L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

203 30-01-2017 111914200117Y001112 0002074529259 SUCIATI INDIAH P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
204 29-01-2017 111914200117Y001578 0001019076232 SUGIYO L PBI (APBN) Measles complicated by Rujuk Lanjut
encephalitis
205 28-01-2017 111914200117Y001511 0001019019756 JARIYAH P PBI (APBN) Predominantly allergic Sembuh
asthma
206 28-01-2017 111914200117Y001512 0001019020623 SUPARIYAH P PBI (APBN) Acute haemorrhagic Sembuh
gastritis
207 27-01-2017 111914200117Y001325 0000030042573 SUPARMINI P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

208 27-01-2017 111914200117Y001321 0000030043225 SURTI P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

209 27-01-2017 111914200117Y001153 0000030059976 SLAMET RATINI P PENERIMA PENSIUN Eczema herpeticum Berobat Jalan
PNS
210 27-01-2017 111914200117Y001322 0000046143753 SUTARNI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
211 27-01-2017 111914200117Y001625 0000084740703 MARINAH P PENERIMA PENSIUN Caries limited to enamel Berobat Jalan
PNS
212 27-01-2017 111914200117Y001627 0000084781012 PRASTOWO WIDAGDO L PNS DAERAH Necrosis of pulp Berobat Jalan

213 27-01-2017 111914200117Y001155 0000095953713 NGADINEM P PNS PUSAT Perichondritis of external Berobat Jalan
ear
214 27-01-2017 111914200117Y001329 0000195612906 AISYA PUTRI SINTOWATI P PNS DAERAH Rheumatism, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

215 27-01-2017 111914200117Y001150 0000209766914 PUJO MARTONO L PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
216 27-01-2017 111914200117Y001333 0000542549891 SUMIYEM P PBI (APBN) Glaucoma suspect Berobat Jalan

217 27-01-2017 111914200117Y001146 0000542554097 JUMIYATI P PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
218 27-01-2017 111914200117Y001324 0000543136026 SAMIN PURWOHADI IRANU L PBI (APBN) Rheumatism, unspecified Berobat Jalan

219 27-01-2017 111914200117Y001626 0000543137185 SITI ROKHAYAH P PBI (APBN) Chronic gingivitis Berobat Jalan

220 27-01-2017 111914200117Y001156 0000543179226 KARYASIH P PBI (APBN) Internal thrombosed Berobat Jalan
haemorrhoids
221 27-01-2017 111914200117Y001145 0000543434861 MUSTIKA NIMAS CAHYANI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

222 27-01-2017 111914200117Y001060 0000543845428 UNIASIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
223 27-01-2017 111914200117Y001061 0000543846082 SIWI YUNI LESTARI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
224 27-01-2017 111914200117Y001320 0000544113764 REMBEN P PBI (APBN) Nummular dermatitis Berobat Jalan

225 27-01-2017 111914200117Y001622 0001019004603 DWI RAHAYUningsih P PBI (APBN) Pathological resorption of Berobat Jalan
teeth
226 27-01-2017 111914200117Y001151 0001019013322 FINDO SYAM QODRI L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
227 27-01-2017 111914200117Y001516 0001019076232 SUGIYO L PBI (APBN) Measles complicated by Sembuh
encephalitis
228 27-01-2017 111914200117Y001331 0001019076232 SUGIYO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

229 27-01-2017 111914200117Y001157 0001084888899 DEDEH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

230 27-01-2017 111914200117Y001317 0001279239489 SUWARNI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
231 27-01-2017 111914200117Y001330 0001290754989 ERI TRI WAHYUNI P PEGAWAI SWASTA Familial chondrocalcinosis Berobat Jalan

232 27-01-2017 111914200117Y001148 0001293344897 ILHAM MAULANA ABRAR L PNS PUSAT Influenza with pneumonia, Berobat Jalan
virus not identified

233 27-01-2017 111914200117Y001318 0001386345688 SUPINATUN P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

234 27-01-2017 111914200117Y001323 0001880467863 sumarti P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

235 27-01-2017 111914200117Y001326 0001892347874 martomulyo tugiyo L PEGAWAI SWASTA Other dental caries Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

236 27-01-2017 111914200117Y001152 0001966337368 RUNIATI BR BANGUN P PEKERJA MANDIRI Postinfectious Berobat Jalan
hypothyroidism
237 27-01-2017 111914200117Y001149 0001972442136 SUKINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

238 27-01-2017 111914200117Y001327 0001972445591 SUPENI P PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
239 27-01-2017 111914200117Y001147 0001972448278 LILIK SUPARMINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

240 27-01-2017 111914200117Y001328 0002010067277 MURWANTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
241 27-01-2017 111914200117Y001144 0002054761986 ISMUWATI P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

242 27-01-2017 111914200117Y001319 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

243 27-01-2017 111914200117Y001154 0002073009183 PURWADI L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

244 27-01-2017 111914200117Y001332 0002077233873 SUMINAH L PEGAWAI SWASTA Rheumatism, unspecified Berobat Jalan

245 26-01-2017 111914200117Y001221 0000030060505 MARIA ANASTASIA SAYEM P PENERIMA PENSIUN Tinea barbae and tinea Berobat Jalan
PNS capitis
246 26-01-2017 111914200117Y001229 0000030060832 SUPRAPTI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
247 26-01-2017 111914200117Y001623 0000030073397 TUKIYAH P PENERIMA PENSIUN Fitting and adjustment of Berobat Jalan
PNS dental prosthetic device
248 26-01-2017 111914200117Y001223 0000043877169 ROBINGAN L PENERIMA PENSIUN TNI Cluster headache Berobat Jalan
syndrome
249 26-01-2017 111914200117Y001236 0000084224485 SUPIYATI P PNS DAERAH Influenza with pneumonia, Berobat Jalan
virus not identified

250 26-01-2017 111914200117Y001315 0000084234341 TITIN SUMARNI P PEKERJA MANDIRI Other disorders of Berobat Jalan
refraction
251 26-01-2017 111914200117Y001449 0000084265514 HERI WINTARTI P PNS DAERAH Influenza with pneumonia, Berobat Jalan
virus not identified

252 26-01-2017 111914200117Y001312 0000084271511 FAHRY EKI WIDIAWAN Putra L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
253 26-01-2017 111914200117Y001241 0000084299264 M JAWADI,BA L PNS PUSAT Rheumatism, unspecified Berobat Jalan

254 26-01-2017 111914200117Y001620 0000084494035 SARDJU, DRS L PENERIMA PENSIUN Fitting and adjustment of Berobat Jalan
PNS dental prosthetic device
255 26-01-2017 111914200117Y001230 0000084552906 SUPARTI P PENERIMA PENSIUN Predominantly allergic Berobat Jalan
PNS asthma
256 26-01-2017 111914200117Y001509 0000084704861 SRI HARTINI P PNS DAERAH Typhoid fever Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

257 26-01-2017 111914200117Y001215 0000084801532 MARYATUN P PNS DAERAH Tinea barbae and tinea Berobat Jalan
capitis
258 26-01-2017 111914200117Y001233 0000169123566 PUDJI L PNS DAERAH Influenza with pneumonia, Berobat Jalan
virus not identified

259 26-01-2017 111914200117Y001235 0000202746148 ENDANG SUDARININGSIH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
260 26-01-2017 111914200117Y001452 0000207056709 RONI MAWATI P PNS DAERAH Migraine without aura Berobat Jalan
[common migraine]
261 26-01-2017 111914200117Y001216 0000211182041 SUPARIYAH P PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

262 26-01-2017 111914200117Y001307 0000543519775 WAGINO L PBI (APBN) Other specified abdominal Berobat Jalan
hernia with obstruction,
without gangrene

263 26-01-2017 111914200117Y001450 0000543633783 WARIH HARYATUN P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

264 26-01-2017 111914200117Y001451 0000543633816 RIZKI PRATAMA NASUTION L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

265 26-01-2017 111914200117Y001240 0000543863417 SULASTRI P PBI (APBN) Typhoid fever Berobat Jalan

266 26-01-2017 111914200117Y001242 0000543983196 SITI KHOTIJAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

267 26-01-2017 111914200117Y001314 0000543987797 SARMINAH P PBI (APBN) Benign neoplasm of vulva Berobat Jalan

268 26-01-2017 111914200117Y001305 0000544055837 PONISIh P PBI (APBN) Streptococcal pharyngitis Berobat Jalan

269 26-01-2017 111914200117Y001510 0000544055837 PONISIh P PBI (APBN) Typhoid fever Sembuh

270 26-01-2017 111914200117Y001508 0000544071385 PAERAN PURWONO L PBI (APBN) Dengue haemorrhagic Sembuh
fever
271 26-01-2017 111914200117Y001217 0000544078798 MARSELLINUS KRISNA L PBI (APBN) Streptococcal pharyngitis Berobat Jalan
WASTITI WIJAYA
272 26-01-2017 111914200117Y001237 0000544130032 RINDA PINASTI P PBI (APBN) Febrile convulsions Berobat Jalan

273 26-01-2017 111914200117Y001244 0000544728813 SUSIATI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

274 26-01-2017 111914200117Y001224 0000544732312 FADILA NUR P PBI (APBN) Otitis media in bacterial Berobat Jalan
diseases classified

275 26-01-2017 111914200117Y001227 0001018980573 DJUMINI P PBI (APBN) Infantile, juvenile and Berobat Jalan
presenile cataract
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

276 26-01-2017 111914200117Y001624 0001019004603 DWI RAHAYUningsih P PBI (APBN) Pathological resorption of Berobat Jalan
teeth
277 26-01-2017 111914200117Y001308 0001019005569 ENI SUSANTI P PBI (APBN) Calculus of kidney Berobat Jalan

278 26-01-2017 111914200117Y001619 0001019012174 RISKI NUROHMAT SETIADY L PBI (APBN) Chronic periodontitis Berobat Jalan

279 26-01-2017 111914200117Y001228 0001019012477 PONIYEM P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
280 26-01-2017 111914200117Y001239 0001019013939 DARSIYEM P PBI (APBN) Rheumatism, unspecified Berobat Jalan

281 26-01-2017 111914200117Y001226 0001019076276 DEWI CAHYO SEPTYANINGSIH P PBI (APBN) Abdominal actinomycosis Berobat Jalan

282 26-01-2017 111914200117Y001238 0001100769761 LITA YUNI NASTITI P ANGGOTA POLRI Rheumatism, unspecified Berobat Jalan

283 26-01-2017 111914200117Y001222 0001261516994 WAGINAH P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
284 26-01-2017 111914200117Y001316 0001442614149 REKENI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

285 26-01-2017 111914200117Y001313 0001454859707 EVAN HASTYANTO L PEGAWAI SWASTA Other viral conjunctivitis Berobat Jalan

286 26-01-2017 111914200117Y001219 0001615359058 Subirah P PBI (APBD) Rheumatism, unspecified Berobat Jalan

287 26-01-2017 111914200117Y001246 0001822922741 SRI WAHYUNINGSIH P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
288 26-01-2017 111914200117Y001311 0001872660971 MAEMONAH P PEGAWAI SWASTA Iron deficiency anaemia Berobat Jalan
secondary to blood loss

289 26-01-2017 111914200117Y001220 0001891066364 SARWONO L PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
290 26-01-2017 111914200117Y001232 0001906333604 SOGIRAN L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

291 26-01-2017 111914200117Y001234 0001969262662 M. JONI ISKANDAR L PEKERJA MANDIRI Migraine without aura Berobat Jalan
[common migraine]
292 26-01-2017 111914200117Y001231 0001972444342 RASYID AZIZ ROMADHON L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
293 26-01-2017 111914200117Y001621 0001972454837 SARJIYEM P PBI (APBN) Caries of dentine Berobat Jalan

294 26-01-2017 111914200117Y001306 0001972475526 AGUS MUJAHIDIN L PBI (APBN) Rheumatism, unspecified Berobat Jalan

295 26-01-2017 111914200117Y001245 0001972475537 BAWIYAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

296 26-01-2017 111914200117Y001243 0002009950266 SRI SUGINI P PBI (APBN) Person consulting on Berobat Jalan
behalf of another person
297 26-01-2017 111914200117Y001310 0002010004839 WINDA DWI SUSANTI P PBI (APBN) Nummular dermatitis Berobat Jalan

298 26-01-2017 111914200117Y001309 0002042948518 ADHI TRI ANGGORO L PENERIMA PENSIUN TNI Other acute conjunctivitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

299 26-01-2017 111914200117Y001218 0002070231456 SARWINAH P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
300 26-01-2017 111914200117Y001225 0002084609081 TRI WIDIANTI P PEGAWAI SWASTA Urinary tract infection, site Berobat Jalan
not specified
301 25-01-2017 111914200117Y000990 0000030038793 ISMAN L VETERAN Rheumatism, unspecified Berobat Jalan

302 25-01-2017 111914200117Y001016 0000030070315 NANIK MARDIANI P PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

303 25-01-2017 111914200117Y001615 0000030073397 TUKIYAH P PENERIMA PENSIUN Fitting and adjustment of Berobat Jalan
PNS dental prosthetic device
304 25-01-2017 111914200117Y000991 0000073276301 SUKIJO L PENERIMA PENSIUN Acute bronchitis due to Berobat Jalan
PNS Mycoplasma pneumoniae
305 25-01-2017 111914200117Y001002 0000084235724 TUGIRAN L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
306 25-01-2017 111914200117Y000981 0000084375325 SRI DARNINGSIH P PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
307 25-01-2017 111914200117Y001015 0000084546527 RUSMINI P PENERIMA PENSIUN Acute bronchitis due to Berobat Jalan
PNS Mycoplasma pneumoniae
308 25-01-2017 111914200117Y000987 0000084552153 KUWAT BUDIYANTO L PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

309 25-01-2017 111914200117Y001617 0000084654303 ISRUROH P PNS DAERAH Caries of dentine Berobat Jalan

310 25-01-2017 111914200117Y001007 0000084658869 RACHMAT DWI CAHYO ADI L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
311 25-01-2017 111914200117Y000982 0000084672663 BUNINGSIH P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
312 25-01-2017 111914200117Y000993 0000084795377 SINARTRI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

313 25-01-2017 111914200117Y001000 0000084804941 SARIDJO L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
314 25-01-2017 111914200117Y000989 0000159430285 SUNANI P PENERIMA PENSIUN Predominantly allergic Berobat Jalan
PNS asthma
315 25-01-2017 111914200117Y000992 0000194978542 SAMSINI P PENERIMA PENSIUN TNI Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
316 25-01-2017 111914200117Y001006 0000200181914 TRININGSIH P PNS PUSAT Cluster headache Berobat Jalan
syndrome
317 25-01-2017 111914200117Y001012 0000543213156 RUSMIYATI P PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
318 25-01-2017 111914200117Y001018 0000543434049 SOGIMAN L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

319 25-01-2017 111914200117Y001017 0000543434804 KUSNO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
320 25-01-2017 111914200117Y001005 0000543874781 DEVI KUMALASARI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
321 25-01-2017 111914200117Y001014 0000543987797 SARMINAH P PBI (APBN) Pulmonary tularaemia Berobat Jalan

322 25-01-2017 111914200117Y001001 0000544029625 KEMI P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
323 25-01-2017 111914200117Y001019 0000544479996 RUBIYAH P PBI (APBN) Person consulting on Berobat Jalan
behalf of another person
324 25-01-2017 111914200117Y001004 0000544481155 DWI KRISTIYASARI P PBI (APBN) Acanthamoebiasis Berobat Jalan

325 25-01-2017 111914200117Y000978 0000544697032 WASILAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

326 25-01-2017 111914200117Y001011 0000544708023 SUHARYONO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
327 25-01-2017 111914200117Y001008 0000544708822 BRIAN SHAKA ARGIANTO L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
328 25-01-2017 111914200117Y000995 0001019004467 DJEMINGAN PARTO WASITO L PBI (APBN) Cutaneous amoebiasis Berobat Jalan

329 25-01-2017 111914200117Y001614 0001099230041 MUHAMMAD RISTIYONO L KEPOLISIAN RI Chronic gingivitis Berobat Jalan

330 25-01-2017 111914200117Y000998 0001157284326 TRI SUSANIK P PEGAWAI SWASTA Abnormal level of blood Berobat Jalan
mineral
331 25-01-2017 111914200117Y000986 0001263279903 MUAFAR L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

332 25-01-2017 111914200117Y001616 0001263279903 MUAFAR L PEKERJA MANDIRI Chronic periodontitis Berobat Jalan

333 25-01-2017 111914200117Y000994 0001280319963 AKMAL DANISWARA L PNS DAERAH Constitutional aplastic Berobat Jalan
anaemia
334 25-01-2017 111914200117Y000988 0001284471538 SUKARTI P PEKERJA MANDIRI Other specified zoonotic Berobat Jalan
bacterial diseases, not

335 25-01-2017 111914200117Y001618 0001297019968 SUSIANA P PEKERJA MANDIRI Loss of teeth due to Berobat Jalan
accident, extraction or

336 25-01-2017 111914200117Y000979 0001386345688 SUPINATUN P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

337 25-01-2017 111914200117Y001013 0001858794287 fauziah zuli farihah P PEGAWAI PEMERINTAH Tuberculosis of bones and Berobat Jalan
NON PNS joints
338 25-01-2017 111914200117Y001003 0001883404135 kurniasih P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

339 25-01-2017 111914200117Y000983 0001900110903 B. KARTO DIYONO RUBINEM P PEKERJA MANDIRI Osteophyte Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

340 25-01-2017 111914200117Y000996 0001972446221 RIDWAN ADITYAH L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

341 25-01-2017 111914200117Y000985 0002009950266 SRI SUGINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
342 25-01-2017 111914200117Y000999 0002009999676 NISRINA MUFIDAH PUTRI P PBI (APBN) Excessive attrition of teeth Berobat Jalan

343 25-01-2017 111914200117Y001009 0002009999834 GITRA PERMANA PUTRA L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

344 25-01-2017 111914200117Y000997 0002009999845 SIGIT PRAMONO L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

345 25-01-2017 111914200117Y000984 0002010029703 TOTOK SUDARTO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
346 25-01-2017 111914200117Y001021 0002037315172 WIDA PRIO ANANDA L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

347 25-01-2017 111914200117Y001010 0002073009183 PURWADI L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

348 25-01-2017 111914200117Y001020 0002091809373 MISDONO L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

349 25-01-2017 111914200117Y000980 0002212009964 PARIMIN L PEKERJA MANDIRI Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
350 24-01-2017 111914200117Y001256 0000030043337 WARDJIAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
351 24-01-2017 111914200117Y001271 0000030070056 SUMARMI P PENERIMA PENSIUN Urinary tract infection, site Berobat Jalan
PNS not specified
352 24-01-2017 111914200117Y001609 0000030073397 TUKIYAH P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
353 24-01-2017 111914200117Y001302 0000042903246 RUKATI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
354 24-01-2017 111914200117Y001259 0000056341708 SUPARNO L PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
355 24-01-2017 111914200117Y001273 0000084187001 ROKHAYATI P PNS DAERAH Disturbances in tooth Berobat Jalan
formation
356 24-01-2017 111914200117Y001287 0000084216598 UMI CAHYATI P PNS DAERAH Rheumatism, unspecified Berobat Jalan

357 24-01-2017 111914200117Y001507 0000084217915 AHMAD RIFQY HAIDAR L PNS DAERAH Dengue haemorrhagic Sembuh
fever
358 24-01-2017 111914200117Y001610 0000084246445 SLAMET SUGIYARTO L PNS PUSAT Acute periodontitis Berobat Jalan

359 24-01-2017 111914200117Y001257 0000084275201 CHANDRA L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
360 24-01-2017 111914200117Y001251 0000084337659 R KUNTO UTOJO L PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

361 24-01-2017 111914200117Y000655 0000084410043 SUHARTINI P PENERIMA PENSIUN Abnormal level of blood Berobat Jalan
PNS mineral
362 24-01-2017 111914200117Y001297 0000084552906 SUPARTI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
363 24-01-2017 111914200117Y001270 0000084659231 SULAMIYAH P PNS DAERAH Glaucoma suspect Berobat Jalan

364 24-01-2017 111914200117Y001300 0000084660502 DJUMADI L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

365 24-01-2017 111914200117Y001613 0000084662021 MUNFANGATI P PNS DAERAH Fitting and adjustment of Berobat Jalan
dental prosthetic device
366 24-01-2017 111914200117Y001611 0000084680291 NGADIMAN L PNS DAERAH Chronic periodontitis Berobat Jalan

367 24-01-2017 111914200117Y001277 0000084680302 ETI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
368 24-01-2017 111914200117Y001265 0000084704894 BIMA AGUSTA BAYU AJI L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
369 24-01-2017 111914200117Y001612 0000084765791 TITIK SUGIARTI P PNS DAERAH Fitting and adjustment of Berobat Jalan
dental prosthetic device
370 24-01-2017 111914200117Y001249 0000094671707 SUDOMO L PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

371 24-01-2017 111914200117Y001285 0000172255972 HUSNA LAYLATUL FAIZAH P PNS DAERAH Pulpitis Berobat Jalan

372 24-01-2017 111914200117Y001286 0000199358864 SUDARWATI P PENERIMA PENSIUN Streptococcal pharyngitis Berobat Jalan
PNS
373 24-01-2017 111914200117Y001650 0000542696332 LASTRI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
374 24-01-2017 111914200117Y001250 0000543108148 DIANA DEWI MUSTIKA P PBI (APBN) Nummular dermatitis Berobat Jalan

375 24-01-2017 111914200117Y001295 0000543119444 SOKINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

376 24-01-2017 111914200117Y001263 0000543574416 ASMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
377 24-01-2017 111914200117Y001284 0000543784757 RAFFA ZIDAN MAHENDRA L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

378 24-01-2017 111914200117Y001301 0000543803905 MUJIYEM P PBI (APBN) Nummular dermatitis Berobat Jalan

379 24-01-2017 111914200117Y001281 0000543853721 ANDIKA SETYAWAN L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

380 24-01-2017 111914200117Y001260 0000543990565 MULYATI P PBI (APBN) Rheumatism, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

381 24-01-2017 111914200117Y001267 0000544029579 SUNARNI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
382 24-01-2017 111914200117Y001252 0000544049741 ALI TOFAH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
383 24-01-2017 111914200117Y001275 0000544660615 KOYIDAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

384 24-01-2017 111914200117Y001276 0000544692936 UMI MUSLIKHAH P PBI (APBN) Migraine with aura Berobat Jalan
[classical migraine]
385 24-01-2017 111914200117Y001253 0000658313583 BUDIHARTI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

386 24-01-2017 111914200117Y001266 0001018980573 DJUMINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

387 24-01-2017 111914200117Y001274 0001019000327 MARYATUN P PBI (APBN) Rheumatism, unspecified Berobat Jalan

388 24-01-2017 111914200117Y001058 0001019004996 CINDI PUTRININGRUM P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
389 24-01-2017 111914200117Y001057 0001019006548 SUKIDAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
390 24-01-2017 111914200117Y001269 0001183762618 ALIN NURAENI P PEGAWAI SWASTA Predominantly allergic Berobat Jalan
asthma
391 24-01-2017 111914200117Y001290 0001187724565 DEWI SARAH P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
392 24-01-2017 111914200117Y001298 0001261516994 WAGINAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

393 24-01-2017 111914200117Y001283 0001268835682 DJEMINEM P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

394 24-01-2017 111914200117Y001299 0001272782237 hadi suparto L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

395 24-01-2017 111914200117Y001296 0001279239489 SUWARNI P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
396 24-01-2017 111914200117Y001304 0001280319963 AKMAL DANISWARA L PNS DAERAH Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

397 24-01-2017 111914200117Y001254 0001386345688 SUPINATUN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
398 24-01-2017 111914200117Y001258 0001388964385 HASNAWATY P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

399 24-01-2017 111914200117Y001279 0001478083127 RETNO WULANSIH P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
400 24-01-2017 111914200117Y001278 0001478083364 SALMA SHAFIRA NURAINI P PEGAWAI SWASTA Influenza with pneumonia, Berobat Jalan
virus not identified

401 24-01-2017 111914200117Y001303 0001478083511 SALWA SHAFIRA NURAZIZAH P PEGAWAI SWASTA Nummular dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

402 24-01-2017 111914200117Y001272 0001524127781 SISWATI P PEGAWAI BUMN Rheumatism, unspecified Berobat Jalan

403 24-01-2017 111914200117Y001255 0001615359058 Subirah P PBI (APBD) Abnormal level of blood Berobat Jalan
mineral
404 24-01-2017 111914200117Y001280 0001808653037 jaelani L PEKERJA MANDIRI Tinea barbae and tinea Berobat Jalan
capitis
405 24-01-2017 111914200117Y001268 0001833542199 MARSINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
406 24-01-2017 111914200117Y001262 0001972446232 SRI WAHYUNINGSIH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

407 24-01-2017 111914200117Y001248 0001972460237 FRISKA CAHYA FIRDAUSI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
408 24-01-2017 111914200117Y001247 0001972475537 BAWIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
409 24-01-2017 111914200117Y001294 0002010019184 MUJIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
410 24-01-2017 111914200117Y001264 0002010019689 SURATJIMAN L PBI (APBN) Infantile, juvenile and Berobat Jalan
presenile cataract
411 24-01-2017 111914200117Y001261 0002010030322 SUMINEM P PBI (APBN) Alveolar and Berobat Jalan
parietoalveolar conditions
412 24-01-2017 111914200117Y001282 0002010030581 SUGINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
413 24-01-2017 111914200117Y001059 0002092282558 TRI RATNASARI P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
414 24-01-2017 111914200117Y001288 0002214037517 FASIKHA P PEGAWAI SWASTA Rheumatism, unspecified Berobat Jalan

415 23-01-2017 111914200117Y000941 0000024102246 SUBIJANTO, BBA L PENERIMA PENSIUN Cluster headache Berobat Jalan
PNS syndrome
416 23-01-2017 111914200117Y000964 0000030039939 MUKMIN KASIM L PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

417 23-01-2017 111914200117Y000969 0000030042281 SULISTYOWATI P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

418 23-01-2017 111914200117Y000923 0000030060832 SUPRAPTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
419 23-01-2017 111914200117Y000953 0000030068537 SUDADI L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
420 23-01-2017 111914200117Y000910 0000061037267 S. DARMAN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
421 23-01-2017 111914200117Y000968 0000084235779 WISRI NGUPOKO P PNS DAERAH Abnormal level of blood Berobat Jalan
mineral
422 23-01-2017 111914200117Y001505 0000084309456 AMINI P PENERIMA PENSIUN TNI Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

423 23-01-2017 111914200117Y000918 0000084356278 SRI WURYATI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

424 23-01-2017 111914200117Y000951 0000084433037 GAMPANG L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
425 23-01-2017 111914200117Y000975 0000084473954 SRIYATI P PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
426 23-01-2017 111914200117Y000924 0000084474112 SURIP S P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
427 23-01-2017 111914200117Y000960 0000084520214 SUHARSOJO YUWONO,BA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
428 23-01-2017 111914200117Y000946 0000084648879 PARIYEM P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
429 23-01-2017 111914200117Y001636 0000084765789 S AGUNG NUGROHO L PNS DAERAH Loss of teeth due to Berobat Jalan
accident, extraction or

430 23-01-2017 111914200117Y000958 0000084808899 NINIK DJUNIARTI P PNS DAERAH Somatization disorder Berobat Jalan

431 23-01-2017 111914200117Y000920 0000094091051 WAHYU WIBOWO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
432 23-01-2017 111914200117Y000972 0000166917745 MELISYA RETRI MUSTIKA P PNS DAERAH Nummular dermatitis Berobat Jalan

433 23-01-2017 111914200117Y001607 0000172255972 HUSNA LAYLATUL FAIZAH P PNS DAERAH Pulpitis Berobat Jalan

434 23-01-2017 111914200117Y000922 0000208638674 SUBARNI P PENERIMA PENSIUN TNI Influenza with pneumonia, Berobat Jalan
virus not identified

435 23-01-2017 111914200117Y001055 0000543237118 LINA SUSANTI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
436 23-01-2017 111914200117Y000938 0000543238828 KHARISMA BIMA NOVIYANTO L PBI (APBN) Disturbances in tooth Berobat Jalan
formation
437 23-01-2017 111914200117Y000929 0000543292953 SONTO DIWIRYO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

438 23-01-2017 111914200117Y000939 0000543573303 SUPARDIONO L PBI (APBN) Chest pain, unspecified Berobat Jalan

439 23-01-2017 111914200117Y001482 0000543814604 LEGIYAH P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
440 23-01-2017 111914200117Y000955 0000543874781 DEVI KUMALASARI P PBI (APBN) Puerperal sepsis Berobat Jalan

441 23-01-2017 111914200117Y000974 0000543987797 SARMINAH P PBI (APBN) Disturbances in tooth Berobat Jalan
formation
442 23-01-2017 111914200117Y000907 0000544001591 SUGINEM P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

443 23-01-2017 111914200117Y000954 0000544011704 KRISWANTO L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

444 23-01-2017 111914200117Y000970 0000544040054 PURWANTO L PBI (APBN) Nummular dermatitis Berobat Jalan

445 23-01-2017 111914200117Y000921 0000544066593 KEMIN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
446 23-01-2017 111914200117Y000973 0000544077764 YOHANES SUDOYO L PBI (APBN) Cluster headache Berobat Jalan
syndrome
447 23-01-2017 111914200117Y000944 0000544077887 YULIA ANI MIRAWATI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

448 23-01-2017 111914200117Y000937 0000544435187 JUMSIDAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

449 23-01-2017 111914200117Y000916 0000544455281 NY WARSO UTOMO PAINEM P PBI (APBN) Other specified abnormal Berobat Jalan
findings of blood chemistry

450 23-01-2017 111914200117Y000976 0000544479996 RUBIYAH P PBI (APBN) Person consulting on Berobat Jalan
behalf of another person
451 23-01-2017 111914200117Y001641 0000544480637 SUMARNI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
452 23-01-2017 111914200117Y000925 0000544499919 MURSINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
453 23-01-2017 111914200117Y000911 0000544623873 WAGINAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

454 23-01-2017 111914200117Y000947 0000544726809 DESI ARYANI S P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

455 23-01-2017 111914200117Y000943 0000544850447 SANTIYEM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
456 23-01-2017 111914200117Y000909 0001018996615 SUKISMAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
457 23-01-2017 111914200117Y000940 0001019003196 HARSOYO L PBI (APBN) Cluster headache Berobat Jalan
syndrome
458 23-01-2017 111914200117Y000926 0001019007358 SUBAGIYONO L PBI (APBN) Cluster headache Berobat Jalan
syndrome
459 23-01-2017 111914200117Y000934 0001019010453 SUHARLIN P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
460 23-01-2017 111914200117Y000908 0001019074173 SRIANA P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
461 23-01-2017 111914200117Y001608 0001297019968 SUSIANA P PEKERJA MANDIRI Fitting and adjustment of Berobat Jalan
dental prosthetic device
462 23-01-2017 111914200117Y000957 0001385185487 SITI FADHILAH P PEKERJA MANDIRI Cluster headache Berobat Jalan
syndrome
463 23-01-2017 111914200117Y000966 0001385944964 WAHYU WIDAYATI P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

464 23-01-2017 111914200117Y000919 0001386345688 SUPINATUN P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

465 23-01-2017 111914200117Y000962 0001450904758 DIDIK ARIBOWO L PEKERJA MANDIRI Disorders of initiating and Berobat Jalan
maintaining sleep

466 23-01-2017 111914200117Y000971 0001526097756 SULASIH P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

467 23-01-2017 111914200117Y000952 0001530797185 EDTRIATI P PEKERJA MANDIRI Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
468 23-01-2017 111914200117Y000915 0001691363204 FENDY HERMANSYAH L PEGAWAI SWASTA Influenza with pneumonia, Berobat Jalan
virus not identified

469 23-01-2017 111914200117Y000917 0001808729313 KOMAH samsiyah P PEKERJA MANDIRI Infantile, juvenile and Berobat Jalan
presenile cataract
470 23-01-2017 111914200117Y000931 0001822922741 SRI WAHYUNINGSIH P PEKERJA MANDIRI Abnormal level of blood Berobat Jalan
mineral
471 23-01-2017 111914200117Y000949 0001824193991 DINA WAHYU DEVIARTI P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

472 23-01-2017 111914200117Y000945 0001830130457 BAROYAH P PEKERJA MANDIRI Benign neoplasm of lip Berobat Jalan

473 23-01-2017 111914200117Y000967 0001845888221 KATARINA SUNARTI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

474 23-01-2017 111914200117Y000961 0001857440621 SUMARGIAR BUDIYARTO L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

475 23-01-2017 111914200117Y001056 0001857445007 SALMI P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
476 23-01-2017 111914200117Y000963 0001872545016 muhammad keefe philothra L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

477 23-01-2017 111914200117Y000936 0001874169742 DWI SETIAWAN L PEKERJA MANDIRI Typhoid fever Berobat Jalan

478 23-01-2017 111914200117Y000928 0001880370876 SUPARJO L PEKERJA MANDIRI Listerial meningitis and Berobat Jalan
meningoencephalitis
479 23-01-2017 111914200117Y000927 0001880371449 MELANI GENASWORO P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

480 23-01-2017 111914200117Y000965 0001899771287 WAHYU DIHARTO L PEKERJA MANDIRI Cluster headache Berobat Jalan
syndrome
481 23-01-2017 111914200117Y000914 0001972445905 RATNA DIAN UTAMI PUTRI P PBI (APBN) Kwashiorkor Berobat Jalan

482 23-01-2017 111914200117Y000959 0001972449145 INDRA NUR FADILLAH L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

483 23-01-2017 111914200117Y001485 0001972453037 HARI PRIYO H. L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

484 23-01-2017 111914200117Y001483 0001972453544 AISYA DAMAYANTI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

485 23-01-2017 111914200117Y001484 0001972453555 SRI KARYATI P PBI (APBN) Somatization disorder Berobat Jalan

486 23-01-2017 111914200117Y000932 0001972476944 RAFI SLAMET ASHARI L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

487 23-01-2017 111914200117Y000935 0001972500221 SUDARMI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

488 23-01-2017 111914200117Y000930 0002010029613 MARSIYEM P PBI (APBN) Abnormal level of blood Berobat Jalan
mineral
489 23-01-2017 111914200117Y000950 0002010029905 WAHYU GUNARTI P PBI (APBN) Nummular dermatitis Berobat Jalan

490 23-01-2017 111914200117Y000977 0002010049266 ALI MUNAWAR L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
491 23-01-2017 111914200117Y000956 0002026569003 PETRUK SURO MARTONO L PBI (APBN) Nummular dermatitis Berobat Jalan

492 23-01-2017 111914200117Y000912 0002050019098 MENTIK TUSMIWATI P PEKERJA MANDIRI Abnormal level of blood Berobat Jalan
mineral
493 23-01-2017 111914200117Y000913 0002070231456 SARWINAH P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
494 23-01-2017 111914200117Y000942 0002073009183 PURWADI L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

495 23-01-2017 111914200117Y000933 0002087525619 JEMINI P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

496 23-01-2017 111914200117Y000948 0002093337933 WURYATI P PEKERJA MANDIRI Somatization disorder Berobat Jalan

497 23-01-2017 111914200117Y001506 0002212010302 PARIYATI P PEKERJA MANDIRI Typhoid fever Sembuh

498 22-01-2017 111914200117Y001502 0000542554097 JUMIYATI P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

499 22-01-2017 111914200117Y001487 0000544530791 DWI APRILIASARI P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

500 22-01-2017 111914200117Y001476 0002010030309 SUGIHARTO L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

501 22-01-2017 111914200117Y001358 0002207393829 WIWIT WARYANTI P PEKERJA MANDIRI Pregnant state, incidental Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

502 21-01-2017 111914200117Y000855 0000021206957 PROF. DR. MUHAMMAD L PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
ASYHARI, MA H.M PNS
503 21-01-2017 111914200117Y000851 0000030038793 ISMAN L VETERAN Rheumatism, unspecified Berobat Jalan

504 21-01-2017 111914200117Y000848 0000030069099 SUGIYO L PENERIMA PENSIUN Predominantly allergic Berobat Jalan
PNS asthma
505 21-01-2017 111914200117Y000847 0000030074714 YL SUMARDANUS L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

506 21-01-2017 111914200117Y000891 0000084195729 SRI WURYANI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

507 21-01-2017 111914200117Y000872 0000084204483 MUHADI L PNS DAERAH Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
508 21-01-2017 111914200117Y000846 0000084250473 SETIYOWATI P PNS DAERAH Rheumatism, unspecified Berobat Jalan

509 21-01-2017 111914200117Y000876 0000084273726 MUMPUNI HASTUTI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

510 21-01-2017 111914200117Y000888 0000084275144 SUMARSIH P PNS DAERAH Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

511 21-01-2017 111914200117Y000867 0000084275504 SUTARMO L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
512 21-01-2017 111914200117Y000843 0000084337547 SUGIATI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

513 21-01-2017 111914200117Y000854 0000084361239 SUPARTI P PENERIMA PENSIUN TNI Acute pharyngitis due to Berobat Jalan
other specified organisms
514 21-01-2017 111914200117Y000901 0000084366977 TUGISO L PENERIMA PENSIUN TNI Eczema herpeticum Berobat Jalan

515 21-01-2017 111914200117Y001504 0000084367528 TUKUL TUGONO L PENERIMA PENSIUN TNI Predominantly allergic Sembuh
asthma
516 21-01-2017 111914200117Y000884 0000084367528 TUKUL TUGONO L PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

517 21-01-2017 111914200117Y000905 0000084424959 DAIMAN L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
518 21-01-2017 111914200117Y000859 0000084552849 NANIK SUKARNI P PENERIMA PENSIUN Acute bronchitis due to Berobat Jalan
PNS Mycoplasma pneumoniae
519 21-01-2017 111914200117Y000900 0000084580896 SUDARTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

520 21-01-2017 111914200117Y000895 0000094055321 RUJIMAN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

521 21-01-2017 111914200117Y000894 0000094055332 MARYANI P PNS DAERAH Complicated migraine Berobat Jalan

522 21-01-2017 111914200117Y000870 0000197326078 MIARTI P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
523 21-01-2017 111914200117Y000850 0000201000778 ISHAK AMIN L PNS DAERAH Rheumatism, unspecified Berobat Jalan

524 21-01-2017 111914200117Y000858 0000202746148 ENDANG SUDARININGSIH P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

525 21-01-2017 111914200117Y000862 0000543207328 FADHILAH AZAM ZIKRA L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

526 21-01-2017 111914200117Y000868 0000543528584 JEMIYEM P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

527 21-01-2017 111914200117Y000898 0000543548485 RATONO L PBI (APBN) Effects of caisson disease Berobat Jalan
[decompression sickness]

528 21-01-2017 111914200117Y000875 0000543604127 AJI SETYO RIZKI L PBI (APBN) Streptococcal pharyngitis Berobat Jalan

529 21-01-2017 111914200117Y000860 0000543644504 SUPARTI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

530 21-01-2017 111914200117Y000849 0000543650848 SUDARMINI P PBI (APBN) Somatization disorder Berobat Jalan

531 21-01-2017 111914200117Y000865 0000543665463 IRAH P PBI (APBN) Complicated migraine Berobat Jalan

532 21-01-2017 111914200117Y000897 0000543783598 SYIFFA KAYLA MAGHFIRA P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

533 21-01-2017 111914200117Y000861 0000544010771 KROMO REJO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
534 21-01-2017 111914200117Y000899 0000544051675 WUJONO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

535 21-01-2017 111914200117Y001605 0000544115327 HERU WALUYO L PBI (APBN) Chronic periodontitis Berobat Jalan

536 21-01-2017 111914200117Y000889 0000544116295 WITRI WARJANI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
537 21-01-2017 111914200117Y000852 0000544154163 TUKIYAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
538 21-01-2017 111914200117Y000890 0000544165514 NYANEM P PBI (APBN) Otitis media in bacterial Berobat Jalan
diseases classified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

539 21-01-2017 111914200117Y000863 0000544613951 YANTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
540 21-01-2017 111914200117Y000873 0001019004412 SLAMET SUBADI L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

541 21-01-2017 111914200117Y000880 0001019006357 WIWIN WIDOWATI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
542 21-01-2017 111914200117Y000878 0001019006368 MIKO CHRIS OKTAU L PBI (APBN) Influenza with other Berobat Jalan
PRIAMBODO respiratory manifestations,
virus not identified

543 21-01-2017 111914200117Y000885 0001266053578 SUWIYEM P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

544 21-01-2017 111914200117Y000845 0001279239489 SUWARNI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
545 21-01-2017 111914200117Y001606 0001280319963 AKMAL DANISWARA L PNS DAERAH Necrosis of pulp Berobat Jalan

546 21-01-2017 111914200117Y000883 0001315980797 KASBARI L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

547 21-01-2017 111914200117Y000877 0001388337906 fx sumaryadi L PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
548 21-01-2017 111914200117Y000844 0001388418164 bambang eko prasetyo L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

549 21-01-2017 111914200117Y000879 0001437386411 NATALIN DWI PUTRI DEWI P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

550 21-01-2017 111914200117Y000903 0001442614149 REKENI P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

551 21-01-2017 111914200117Y001604 0001446087341 NURUL PUTRI PARAMITHA P PEKERJA MANDIRI Acute periodontitis Berobat Jalan

552 21-01-2017 111914200117Y000853 0001615359058 Subirah P PBI (APBD) Rheumatism, unspecified Berobat Jalan

553 21-01-2017 111914200117Y000866 0001615413183 Paryudi L PBI (APBD) Rheumatism, unspecified Berobat Jalan

554 21-01-2017 111914200117Y000886 0001790942444 ERNI WIDIANTI P PEGAWAI SWASTA General medical Berobat Jalan
examination
555 21-01-2017 111914200117Y000887 0001819876702 QONITA MUFIDAH P PEGAWAI PEMERINTAH Puerperal sepsis Berobat Jalan
NON PNS
556 21-01-2017 111914200117Y000874 0001838155419 WARSINI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

557 21-01-2017 111914200117Y000893 0001879709793 YUSMIATI P PEGAWAI SWASTA Rheumatism, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

558 21-01-2017 111914200117Y000869 0001972445859 TIARA RAMADHANI SAPUTRI P PBI (APBN) Nummular dermatitis Berobat Jalan

559 21-01-2017 111914200117Y000864 0001972449246 FAJAR SATRIYANTO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

560 21-01-2017 111914200117Y000892 0001972453781 GIRA RUSDI ANA L PBI (APBN) Rheumatism, unspecified Berobat Jalan

561 21-01-2017 111914200117Y000871 0001972453994 CALISTA ANIDYA PUTRI L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

562 21-01-2017 111914200117Y000856 0002009950266 SRI SUGINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

563 21-01-2017 111914200117Y000904 0002010000778 BINI P PBI (APBN) Typhoid fever Berobat Jalan

564 21-01-2017 111914200117Y000882 0002010011804 SUPANDI L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
565 21-01-2017 111914200117Y000881 0002010011815 UMIISNAENI P PBI (APBN) Hypermetropia Berobat Jalan

566 21-01-2017 111914200117Y000906 0002010033033 RADEN SUKISNO L PBI (APBN) Influenza with other Berobat Jalan
HARJOUTOMO respiratory manifestations,
virus not identified

567 21-01-2017 111914200117Y000896 0002050019098 MENTIK TUSMIWATI P PEKERJA MANDIRI Cluster headache Berobat Jalan
syndrome
568 21-01-2017 111914200117Y000902 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

569 21-01-2017 111914200117Y000857 0002197195694 BILLI FIRMANA NUGROHO L PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
570 20-01-2017 111914200117Y000792 0000030040593 UTIK SULASTI P PENERIMA PENSIUN TNI Pharyngeal diphtheria Berobat Jalan

571 20-01-2017 111914200117Y000793 0000030043225 SURTI P PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
572 20-01-2017 111914200117Y000800 0000030070056 SUMARMI P PENERIMA PENSIUN Urinary tract infection, site Berobat Jalan
PNS not specified
573 20-01-2017 111914200117Y000804 0000073105266 CATHARINA AMIJAH P PENERIMA PENSIUN TNI Influenza with pneumonia, Berobat Jalan
virus not identified

574 20-01-2017 111914200117Y000786 0000084435715 SUGIYATI P PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

575 20-01-2017 111914200117Y000791 0000084552906 SUPARTI P PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

576 20-01-2017 111914200117Y000814 0000084705434 SARIYAH P PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

577 20-01-2017 111914200117Y000803 0000207284073 SUBARDJO L PENERIMA PENSIUN TNI Typhoid fever Berobat Jalan

578 20-01-2017 111914200117Y000794 0000208638674 SUBARNI P PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
579 20-01-2017 111914200117Y000796 0000543952451 RIBUT HARYATIK P PBI (APBN) Cluster headache Berobat Jalan
syndrome
580 20-01-2017 111914200117Y000809 0000544674251 YULAIKAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

581 20-01-2017 111914200117Y000808 0000544676567 OKTA SATRIA PAMUNGKAS L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
582 20-01-2017 111914200117Y000790 0000544681945 MARIYAM P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

583 20-01-2017 111914200117Y000805 0000544735629 SHIFA ADILLA AZAHRA P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

584 20-01-2017 111914200117Y001475 0000544742921 WONGSO KARTO L PBI (APBN) Stroke, not specified as Sembuh
haemorrhage or infarction
585 20-01-2017 111914200117Y000787 0001019011814 MUHHIMAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

586 20-01-2017 111914200117Y000799 0001019012455 MUDEL P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
587 20-01-2017 111914200117Y000812 0001097031442 RETNO DEWIYANTI P ANGGOTA POLRI Influenza with pneumonia, Berobat Jalan
virus not identified

588 20-01-2017 111914200117Y000817 0001261012623 LILIK DARMAJI L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

589 20-01-2017 111914200117Y000815 0001261013152 WIWIK HASTUTI NINGSIH P PEKERJA MANDIRI Infantile, juvenile and Berobat Jalan
presenile cataract
590 20-01-2017 111914200117Y000798 0001266053321 SUPRIYANTO L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

591 20-01-2017 111914200117Y000801 0001266053578 SUWIYEM P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
592 20-01-2017 111914200117Y000813 0001439960534 PONIYEM P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

593 20-01-2017 111914200117Y001600 0001524127781 SISWATI P PEGAWAI BUMN Pulpitis Berobat Jalan

594 20-01-2017 111914200117Y000795 0001631020926 SATRIO BAGUS WARIDI L PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

595 20-01-2017 111914200117Y001523 0001872660971 MAEMONAH P PEGAWAI SWASTA Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

596 20-01-2017 111914200117Y000789 0001969265158 WAHYU AGUSTINI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

597 20-01-2017 111914200117Y001603 0001972450168 AULIA JUNIAR PUTRI P PBI (APBN) Acute periodontitis Berobat Jalan

598 20-01-2017 111914200117Y000811 0001972450168 AULIA JUNIAR PUTRI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

599 20-01-2017 111914200117Y000797 0001972462252 TAUFIK NUR WAHYUDI L PBI (APBN) Other specified zoonotic Berobat Jalan
bacterial diseases, not

600 20-01-2017 111914200117Y000807 0001972462781 INDAH SEPTININGSIH P PBI (APBN) Other specified zoonotic Berobat Jalan
bacterial diseases, not

601 20-01-2017 111914200117Y001602 0002009999676 NISRINA MUFIDAH PUTRI P PBI (APBN) Necrosis of pulp Berobat Jalan

602 20-01-2017 111914200117Y000810 0002010003265 MUHAMMAD LUTHFI HUSNUZ Z L PBI (APBN) Amoeboma of intestine Berobat Jalan

603 20-01-2017 111914200117Y000806 0002046793825 MARTINAH P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

604 20-01-2017 111914200117Y000788 0002070231456 SARWINAH P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
605 20-01-2017 111914200117Y000802 0002073009183 PURWADI L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

606 20-01-2017 111914200117Y001601 0002077233873 SUMINAH L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

607 19-01-2017 111914200117Y000763 0000030070269 PAINAH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
608 19-01-2017 111914200117Y000765 0000030771494 SUHARTI P PNS DAERAH Rheumatism, unspecified Berobat Jalan

609 19-01-2017 111914200117Y000785 0000084250473 SETIYOWATI P PNS DAERAH Amoebic liver abscess Berobat Jalan

610 19-01-2017 111914200117Y000774 0000084371916 UMINATUN P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

611 19-01-2017 111914200117Y000777 0000084403091 TOTO MARUTO L PNS DAERAH Panniculitis affecting Berobat Jalan
regions of neck and back
612 19-01-2017 111914200117Y000775 0000084404338 SRI LESTARI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

613 19-01-2017 111914200117Y000782 0000084411549 WINARTO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

614 19-01-2017 111914200117Y000741 0000084434319 H.M.DAROIN,BA L PENERIMA PENSIUN Person consulting on Berobat Jalan
PNS behalf of another person
615 19-01-2017 111914200117Y000753 0000084487623 S.MARWAN L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
616 19-01-2017 111914200117Y000757 0000084536177 SAYIDAH P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
617 19-01-2017 111914200117Y000780 0000084635537 NY.KOENTARIYAH P PNS PUSAT Nummular dermatitis Berobat Jalan

618 19-01-2017 111914200117Y000754 0000084683103 MIASRI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
619 19-01-2017 111914200117Y000744 0000084713591 CAHAYA AKHMAD BAMBANG L PENERIMA PENSIUN Tinea barbae and tinea Berobat Jalan
SUBANDRIYO PNS capitis
620 19-01-2017 111914200117Y001598 0000084740703 MARINAH P PENERIMA PENSIUN Fitting and adjustment of Berobat Jalan
PNS dental prosthetic device
621 19-01-2017 111914200117Y000750 0000084785771 KOMIYATI P PNS DAERAH Influenza with pneumonia, Berobat Jalan
virus not identified

622 19-01-2017 111914200117Y000771 0000542554097 JUMIYATI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
623 19-01-2017 111914200117Y000759 0000542555447 GALANG YOGA PRATAMA L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

624 19-01-2017 111914200117Y001472 0000543553424 SUKINAH P PBI (APBN) Predominantly allergic Sembuh
asthma
625 19-01-2017 111914200117Y000758 0000543580525 HERLINA SAPUTRI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
626 19-01-2017 111914200117Y000742 0000543696028 SULASTRI P PBI (APBN) Nummular dermatitis Berobat Jalan

627 19-01-2017 111914200117Y000767 0000543882881 SATIYEM SASTROPAWIRO P PBI (APBN) Rheumatism, unspecified Berobat Jalan

628 19-01-2017 111914200117Y000747 0000543977853 SARTINI P PBI (APBN) Migraine, unspecified Berobat Jalan

629 19-01-2017 111914200117Y000755 0000543986796 SARJONO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
630 19-01-2017 111914200117Y000756 0000544057007 NIKMATURAHMA P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

631 19-01-2017 111914200117Y000768 0000544249596 NIKEN ASTUTI P PBI (APBN) Malignant neoplasm Berobat Jalan
overlapping corpus uteri

632 19-01-2017 111914200117Y001471 0000544428922 PURWANTO L PBI (APBN) Concussion Sembuh

633 19-01-2017 111914200117Y000760 0000544450331 SUTRIASIH P PBI (APBN) Streptococcal pharyngitis Berobat Jalan

634 19-01-2017 111914200117Y000749 0000544623873 WAGINAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

635 19-01-2017 111914200117Y000781 0000544742921 WONGSO KARTO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

636 19-01-2017 111914200117Y000770 0000544916529 SARMINAH P PBI (APBN) Abscess of spleen Berobat Jalan

637 19-01-2017 111914200117Y000778 0000544923617 REHAN L PBI (APBN) Nummular dermatitis Berobat Jalan

638 19-01-2017 111914200117Y000743 0001019008754 BARIATY P PBI (APBN) Rheumatism, unspecified Berobat Jalan

639 19-01-2017 111914200117Y000772 0001126899944 SARIJAN L PEGAWAI SWASTA Anaemia, unspecified Berobat Jalan

640 19-01-2017 111914200117Y000745 0001261516994 WAGINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

641 19-01-2017 111914200117Y000761 0001272947308 MARWOTO L ANGGOTA POLRI Essential (primary) Berobat Jalan
hypertension
642 19-01-2017 111914200117Y001596 0001277370009 HERU ADRIJANTO L PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

643 19-01-2017 111914200117Y000764 0001312513187 WASI NURHANDAYANI P PEKERJA MANDIRI Cluster headache Berobat Jalan
syndrome
644 19-01-2017 111914200117Y000769 0001518994001 FAJAR ABDI GUNA PRIYANTO L PEGAWAI SWASTA Knuckle pads Berobat Jalan

645 19-01-2017 111914200117Y000751 0001811909542 SITI KOMARIYAH P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

646 19-01-2017 111914200117Y000784 0001822922741 SRI WAHYUNINGSIH P PEKERJA MANDIRI Cluster headache Berobat Jalan
syndrome
647 19-01-2017 111914200117Y001599 0001845451866 SUHARTONO L PEKERJA MANDIRI Chronic periodontitis Berobat Jalan

648 19-01-2017 111914200117Y000752 0001873242527 NUR KHAMID MAULANA L PEGAWAI SWASTA Salmonella septicaemia Berobat Jalan

649 19-01-2017 111914200117Y000783 0001962712348 SRI WINARTI P PENERIMA PENSIUN Cluster headache Berobat Jalan
PNS syndrome
650 19-01-2017 111914200117Y000766 0001972444061 NUGROHO RUDI ARTANTO L PBI (APBN) Heartburn Berobat Jalan

651 19-01-2017 111914200117Y000746 0001972500221 SUDARMI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

652 19-01-2017 111914200117Y000739 0002009999698 TUMISEM P PBI (APBN) Complicated migraine Berobat Jalan

653 19-01-2017 111914200117Y000776 0002010030478 IRAN SUGIARTO L PBI (APBN) Wiskott-Aldrich syndrome Berobat Jalan

654 19-01-2017 111914200117Y001481 0002010031751 BAROKAH EKA MULYA P PEGAWAI SWASTA Migraine without aura Berobat Jalan
[common migraine]
655 19-01-2017 111914200117Y001480 0002010032324 SUPARMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
656 19-01-2017 111914200117Y000748 0002010048377 SIGIT RIYANTO L PBI (APBN) Listerial meningitis and Berobat Jalan
meningoencephalitis
657 19-01-2017 111914200117Y001597 0002010065861 MUJIMAN L PBI (APBN) Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

658 19-01-2017 111914200117Y000762 0002010067277 MURWANTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
659 19-01-2017 111914200117Y000779 0002034440897 ERNI MUMTAZ NABILA P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

660 19-01-2017 111914200117Y000773 0002050019098 MENTIK TUSMIWATI P PEKERJA MANDIRI Cluster headache Berobat Jalan
syndrome
661 19-01-2017 111914200117Y000740 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

662 18-01-2017 111914200117Y000684 0000030038804 S MAWATI P VETERAN Non-insulin-dependent Berobat Jalan


diabetes mellitus with

663 18-01-2017 111914200117Y000692 0000030041818 DJUMINAH P PENERIMA PENSIUN TNI Cluster headache Berobat Jalan
syndrome
664 18-01-2017 111914200117Y000668 0000030041853 KEMIRAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

665 18-01-2017 111914200117Y000676 0000030056444 LEGIMAN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

666 18-01-2017 111914200117Y000708 0000030064443 SLAMET ADI SUDARMA L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
667 18-01-2017 111914200117Y000716 0000030072701 MARDLIYAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

668 18-01-2017 111914200117Y001078 0000036900832 SULTIJAH P PENERIMA PENSIUN Insulin-dependent Berobat Jalan
PNS diabetes mellitus with

669 18-01-2017 111914200117Y000736 0000039104447 MUDJIMAN L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

670 18-01-2017 111914200117Y001080 0000039104447 MUDJIMAN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

671 18-01-2017 111914200117Y000696 0000039169146 LEONARDO SUNOTHO S. L PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
672 18-01-2017 111914200117Y000718 0000053419454 CATHERINA MARYATUN P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

673 18-01-2017 111914200117Y000665 0000076165716 SUROTO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

674 18-01-2017 111914200117Y000666 0000076165727 SURATMI P PENERIMA PENSIUN Insulin-dependent Berobat Jalan
PNS diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

675 18-01-2017 111914200117Y001077 0000076675476 TAMRIN HADI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

676 18-01-2017 111914200117Y000721 0000084271511 FAHRY EKI WIDIAWAN Putra L PNS DAERAH Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

677 18-01-2017 111914200117Y000673 0000084275133 MAHASIN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

678 18-01-2017 111914200117Y000724 0000084275504 SUTARMO L PNS DAERAH Other specified abnormal Berobat Jalan
findings of blood chemistry

679 18-01-2017 111914200117Y000712 0000084309489 BANDIDJO L VETERAN Anaemia, unspecified Berobat Jalan

680 18-01-2017 111914200117Y000683 0000084311493 DARMAN L PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

681 18-01-2017 111914200117Y000710 0000084323248 LEGIRAN L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
682 18-01-2017 111914200117Y001069 0000084353174 MARWIYAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

683 18-01-2017 111914200117Y000709 0000084353635 SUPINAH P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

684 18-01-2017 111914200117Y000669 0000084361239 SUPARTI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

685 18-01-2017 111914200117Y001076 0000084371916 UMINATUN P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

686 18-01-2017 111914200117Y000662 0000084373299 MARSONO L PENERIMA PENSIUN TNI Insulin-dependent Berobat Jalan
diabetes mellitus with

687 18-01-2017 111914200117Y000670 0000084375281 SUKARJONO L PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

688 18-01-2017 111914200117Y001072 0000084404338 SRI LESTARI P PNS DAERAH Insulin-dependent Berobat Jalan
diabetes mellitus with

689 18-01-2017 111914200117Y000674 0000084468622 NGARUN ADI SUMITRO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

690 18-01-2017 111914200117Y001576 0000084478522 PURWATI P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
691 18-01-2017 111914200117Y000675 0000084518831 NINIEK S P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

692 18-01-2017 111914200117Y001595 0000084521215 SUKADJI L PENERIMA PENSIUN Caries limited to enamel Berobat Jalan
PNS
693 18-01-2017 111914200117Y000694 0000084536109 SUWARTO L PENERIMA PENSIUN Somatization disorder Berobat Jalan
PNS
694 18-01-2017 111914200117Y000707 0000084544086 TUWONO SISWOYO PC L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
695 18-01-2017 111914200117Y000677 0000084544661 OERIP P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

696 18-01-2017 111914200117Y001082 0000084552849 NANIK SUKARNI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

697 18-01-2017 111914200117Y001068 0000084580896 SUDARTI P PENERIMA PENSIUN Insulin-dependent Berobat Jalan
PNS diabetes mellitus with

698 18-01-2017 111914200117Y001083 0000084661211 SARYATI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

699 18-01-2017 111914200117Y001085 0000084670031 RAMIYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

700 18-01-2017 111914200117Y000695 0000084670569 SURTINAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

701 18-01-2017 111914200117Y000697 0000084688841 SUHARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
702 18-01-2017 111914200117Y001084 0000084796536 MURYANTO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

703 18-01-2017 111914200117Y001074 0000084802072 YUSTIANI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

704 18-01-2017 111914200117Y000702 0000135661522 SUHARTO L PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

705 18-01-2017 111914200117Y000714 0000162648191 SRI MANINGSIH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
706 18-01-2017 111914200117Y000678 0000202746148 ENDANG SUDARININGSIH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

707 18-01-2017 111914200117Y000671 0000208144416 MARMINAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

708 18-01-2017 111914200117Y000701 0000543132843 WAGINI AMAT SAHERI P PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
709 18-01-2017 111914200117Y000717 0000543204178 TENTREM ERAWATI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
710 18-01-2017 111914200117Y000727 0000543590785 MASITO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

711 18-01-2017 111914200117Y000720 0000543686556 SUTRISMI P PBI (APBN) Abnormal level of blood Berobat Jalan
mineral
712 18-01-2017 111914200117Y001054 0000543785117 ERGOWATI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
713 18-01-2017 111914200117Y000726 0000543808844 MULYANI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
714 18-01-2017 111914200117Y000715 0000543891025 SUTRIMO L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
715 18-01-2017 111914200117Y000705 0000543983196 SITI KHOTIJAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

716 18-01-2017 111914200117Y000704 0000543987797 SARMINAH P PBI (APBN) Person consulting on Berobat Jalan
behalf of another person
717 18-01-2017 111914200117Y000723 0000544057817 MUHAMAD RIZAL L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

718 18-01-2017 111914200117Y000691 0000544077887 YULIA ANI MIRAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
719 18-01-2017 111914200117Y001468 0000544334984 RETNANINGSIH P PBI (APBN) Typhoid fever Sembuh

720 18-01-2017 111914200117Y001463 0000544347461 SITI SOLEKAH P PBI (APBN) Typhoid fever Sembuh

721 18-01-2017 111914200117Y000693 0000544479996 RUBIYAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

722 18-01-2017 111914200117Y000711 0000544694128 NUR 'ARIFAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

723 18-01-2017 111914200117Y001079 0000976434265 KAMISIH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

724 18-01-2017 111914200117Y000737 0000976434265 KAMISIH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

725 18-01-2017 111914200117Y001081 0000977620149 TINI AGUSTINI SHAMIATINE P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

726 18-01-2017 111914200117Y000687 0000977620149 TINI AGUSTINI SHAMIATINE P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
727 18-01-2017 111914200117Y000732 0001019001712 PAWIT P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

728 18-01-2017 111914200117Y000699 0001019005986 SADIKIN L PBI (APBN) Complicated migraine Berobat Jalan

729 18-01-2017 111914200117Y000667 0001019014874 TUNEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

730 18-01-2017 111914200117Y001577 0001109171957 SRI KHASIFAH P PRAJURIT AD Acute appendicitis, Rujuk Lanjut
unspecified
731 18-01-2017 111914200117Y000690 0001268038923 PONI P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
732 18-01-2017 111914200117Y000682 0001279239489 SUWARNI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

733 18-01-2017 111914200117Y000664 0001285403354 SARINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

734 18-01-2017 111914200117Y000679 0001306196392 PARIMAN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

735 18-01-2017 111914200117Y000703 0001375448319 DINDA EKA YULIANTI P PEGAWAI SWASTA Typhoid fever Berobat Jalan

736 18-01-2017 111914200117Y001075 0001387999089 CHRISTINA RUSMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

737 18-01-2017 111914200117Y001070 0001388531766 SURATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

738 18-01-2017 111914200117Y000686 0001424091611 RAMSIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

739 18-01-2017 111914200117Y000719 0001526097756 SULASIH P PEKERJA MANDIRI Benign neoplasm of lip Berobat Jalan

740 18-01-2017 111914200117Y000735 0001526097767 HENDRI YULIANTO ARIFIN L PEGAWAI SWASTA Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

741 18-01-2017 111914200117Y000730 0001526097789 SAFIRA SALSABILA P PEKERJA MANDIRI Influenza with other Berobat Jalan
NOVIANINGSIH respiratory manifestations,
virus not identified

742 18-01-2017 111914200117Y000663 0001615359058 Subirah P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

743 18-01-2017 111914200117Y000685 0001804731614 parjo widi sumarto L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

744 18-01-2017 111914200117Y000681 0001804731614 parjo widi sumarto L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

745 18-01-2017 111914200117Y001132 0001804731614 parjo widi sumarto L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

746 18-01-2017 111914200117Y000733 0001817989288 EMY RATNA PURI P PEKERJA MANDIRI General medical Berobat Jalan
examination
747 18-01-2017 111914200117Y001071 0001819649373 HERI SUBIYANTO L PEGAWAI PEMERINTAH Insulin-dependent Berobat Jalan
NON PNS diabetes mellitus with

748 18-01-2017 111914200117Y001073 0001852347047 SUPOYO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

749 18-01-2017 111914200117Y000672 0001859931516 NGARIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

750 18-01-2017 111914200117Y000728 0001870213724 SUWITO L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

751 18-01-2017 111914200117Y000729 0001870214848 SUMIYATI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

752 18-01-2017 111914200117Y000680 0001876399277 KARTIM L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

753 18-01-2017 111914200117Y000734 0001972441642 NUR HAYATI P PBI (APBN) Somatization disorder Berobat Jalan

754 18-01-2017 111914200117Y000722 0001972443003 PAIJAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
755 18-01-2017 111914200117Y000698 0001972446502 SUTASMI P PBI (APBN) Superficial injuries Berobat Jalan
involving head with neck
756 18-01-2017 111914200117Y000725 0001972457741 ANGGA RAMADHANI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

757 18-01-2017 111914200117Y000738 0001972458134 TUSINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

758 18-01-2017 111914200117Y000731 0002009950266 SRI SUGINI P PBI (APBN) Failure of genital response Berobat Jalan

759 18-01-2017 111914200117Y000688 0002009998855 LUCKY HANDAYANI P PBI (APBN) Other viral conjunctivitis Berobat Jalan

760 18-01-2017 111914200117Y000700 0002009999158 ATIK SUPRIYANTI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

761 18-01-2017 111914200117Y000706 0002010006652 TUKINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
762 18-01-2017 111914200117Y001086 0002010031323 SUTODIHARJO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

763 18-01-2017 111914200117Y000689 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

764 18-01-2017 111914200117Y000713 0002212892616 PARIYEM P PEKERJA MANDIRI Chronic maxillary sinusitis Berobat Jalan

765 17-01-2017 111914200117Y001591 0000030017709 TUKERI L VETERAN Fitting and adjustment of Berobat Jalan
dental prosthetic device
766 17-01-2017 111914200117Y000643 0000084346029 SARMINEM P PENERIMA PENSIUN TNI Somatization disorder Berobat Jalan

767 17-01-2017 111914200117Y000649 0000084356829 SUDARNO L PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

768 17-01-2017 111914200117Y000641 0000084552153 KUWAT BUDIYANTO L PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified

769 17-01-2017 111914200117Y001572 0000084659049 NUR ARIF ISTIQOMAH P PNS DAERAH Acute haemorrhagic Sembuh
gastritis
770 17-01-2017 111914200117Y001593 0000084662021 MUNFANGATI P PNS DAERAH Fitting and adjustment of Berobat Jalan
dental prosthetic device
771 17-01-2017 111914200117Y001634 0000084691574 PONIYEM P PNS DAERAH Loss of teeth due to Berobat Jalan
accident, extraction or

772 17-01-2017 111914200117Y000648 0000084756194 ARIF BUDIARTI P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
773 17-01-2017 111914200117Y001592 0000084765791 TITIK SUGIARTI P PNS DAERAH Fitting and adjustment of Berobat Jalan
dental prosthetic device
774 17-01-2017 111914200117Y000618 0000101010532 SUMARYO L PENERIMA PENSIUN TNI Acute bronchitis due to Berobat Jalan
Haemophilus influenzae
775 17-01-2017 111914200117Y000639 0000165483404 SRIYANI P PNS DAERAH Vascular headache, not Berobat Jalan
elsewhere classified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

776 17-01-2017 111914200117Y000630 0000168868721 WARJILAH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
777 17-01-2017 111914200117Y000622 0000201067198 KARNO L PENERIMA PENSIUN TNI Nonallergic asthma Berobat Jalan

778 17-01-2017 111914200117Y000627 0000543119444 SOKINEM P PBI (APBN) Abnormal level of blood Berobat Jalan
mineral
779 17-01-2017 111914200117Y000612 0000543583102 URIP DARYANTI P PBI (APBN) Typhoid fever Berobat Jalan

780 17-01-2017 111914200117Y000617 0000543695499 SUTIYATUN P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

781 17-01-2017 111914200117Y001434 0000543803905 MUJIYEM P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

782 17-01-2017 111914200117Y000619 0000543823097 MAYLA ANGGRAENY ARTYKA P PBI (APBN) Hordeolum and other deep Berobat Jalan
DEWI inflammation of eyelid

783 17-01-2017 111914200117Y000640 0000543969459 CATUR HIDAYAT L PEGAWAI SWASTA General medical Berobat Jalan
examination
784 17-01-2017 111914200117Y001590 0000543991645 FERY SEPTIYAN L PBI (APBN) Arrested dental caries Berobat Jalan

785 17-01-2017 111914200117Y000626 0000544029579 SUNARNI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
786 17-01-2017 111914200117Y001433 0000544029579 SUNARNI P PBI (APBN) Typhoid fever Sembuh

787 17-01-2017 111914200117Y000635 0000544047153 KARUNIA ROMADhONI P PBI (APBN) Other somatoform Berobat Jalan
disorders
788 17-01-2017 111914200117Y000628 0000544049741 ALI TOFAH L PBI (APBN) Rheumatism, unspecified Berobat Jalan

789 17-01-2017 111914200117Y000620 0000544056568 EDY SETIJO BUDI L PBI (APBN) Erythema intertrigo Berobat Jalan

790 17-01-2017 111914200117Y000624 0000544056603 SULIANINGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
791 17-01-2017 111914200117Y001291 0000544109477 SUDARYANTI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
792 17-01-2017 111914200117Y000650 0000544256583 ROHANAH SRI ARUM P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
WULANDARI virus not identified

793 17-01-2017 111914200117Y000636 0000544490471 ANTON KISWANTORO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
794 17-01-2017 111914200117Y000645 0000544725933 RETININGSIH P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
795 17-01-2017 111914200117Y001292 0000546181953 KOLIPAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

796 17-01-2017 111914200117Y001470 0001018976185 NGATINEM P PBI (APBN) Typhoid fever Sembuh

797 17-01-2017 111914200117Y000632 0001019000171 DARMOREJO L PBI (APBN) Nummular dermatitis Berobat Jalan

798 17-01-2017 111914200117Y000633 0001019001688 TUKILAH P PBI (APBN) Nummular dermatitis Berobat Jalan

799 17-01-2017 111914200117Y000638 0001019008945 INDAH HANDAYANI P PBI (APBN) Nummular dermatitis Berobat Jalan

800 17-01-2017 111914200117Y000625 0001085761089 RATNA INDRAWATI P PENERIMA PENSIUN TNI Influenza with pneumonia, Berobat Jalan
virus not identified

801 17-01-2017 111914200117Y001522 0001109171957 SRI KHASIFAH P PRAJURIT AD Acute appendicitis, Sembuh
unspecified
802 17-01-2017 111914200117Y000642 0001261623251 KARSIH MURNIYATI P PEKERJA MANDIRI HIV disease resulting in Berobat Jalan
Kaposi's sarcoma
803 17-01-2017 111914200117Y000616 0001279239489 SUWARNI P PENERIMA PENSIUN Pemphigus vulgaris Berobat Jalan
PNS
804 17-01-2017 111914200117Y000644 0001325954046 ANGGRAINI KUMALA DEWI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

805 17-01-2017 111914200117Y000615 0001386345688 SUPINATUN P PEKERJA MANDIRI Pemphigus vulgaris Berobat Jalan

806 17-01-2017 111914200117Y000646 0001388531766 SURATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

807 17-01-2017 111914200117Y001594 0001834416966 maryati P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

808 17-01-2017 111914200117Y001501 0001835168556 SRI WAHYUNINGTATI P PEKERJA MANDIRI Somatization disorder Berobat Jalan

809 17-01-2017 111914200117Y000621 0001874169742 DWI SETIAWAN L PEKERJA MANDIRI Paratyphoid fever B Berobat Jalan

810 17-01-2017 111914200117Y001448 0001874169742 DWI SETIAWAN L PEKERJA MANDIRI Typhoid fever Sembuh

811 17-01-2017 111914200117Y000652 0001899771287 WAHYU DIHARTO L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

812 17-01-2017 111914200117Y000651 0001964575495 PUTRI SEPANYA MARJIATI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

813 17-01-2017 111914200117Y001052 0001972443036 SUJINEM P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
814 17-01-2017 111914200117Y001053 0001972444588 SITI SOFIATUN P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
815 17-01-2017 111914200117Y000629 0001972445286 TUMINI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

816 17-01-2017 111914200117Y001500 0001972451935 SHEILLA MAHARANI P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
817 17-01-2017 111914200117Y000631 0001972456367 TINIK P PBI (APBN) Other acute gastritis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

818 17-01-2017 111914200117Y000634 0002010031064 MARYONO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

819 17-01-2017 111914200117Y000647 0002010031323 SUTODIHARJO L PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with

820 17-01-2017 111914200117Y000623 0002010031841 SURATMI P PBI (APBN) Otitis media in viral Berobat Jalan
diseases classified

821 17-01-2017 111914200117Y000637 0002023541943 SATRIA RENDA P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

822 17-01-2017 111914200117Y000613 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

823 17-01-2017 111914200117Y000614 0002077628455 SUNARNI P PENERIMA PENSIUN TNI Abnormal finding of blood Berobat Jalan
chemistry, unspecified

824 16-01-2017 111914200117Y000552 0000030042573 SUPARMINI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

825 16-01-2017 111914200117Y000597 0000030070541 MUHAMMAD MAKSUM L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
826 16-01-2017 111914200117Y000595 0000039075963 NGANEM P PENERIMA PENSIUN Somatization disorder Berobat Jalan
PNS
827 16-01-2017 111914200117Y000573 0000084242654 MALIKAH P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
828 16-01-2017 111914200117Y001587 0000084273838 SADINO L PENERIMA PENSIUN Chronic periodontitis Berobat Jalan
PNS
829 16-01-2017 111914200117Y000569 0000084333284 SRI MARYATUN P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

830 16-01-2017 111914200117Y001585 0000084337751 S SATIRAH P PENERIMA PENSIUN TNI Necrosis of pulp Berobat Jalan

831 16-01-2017 111914200117Y001584 0000084367528 TUKUL TUGONO L PENERIMA PENSIUN TNI Necrosis of pulp Berobat Jalan

832 16-01-2017 111914200117Y000598 0000084403102 PAULINA P PNS DAERAH Rheumatism, unspecified Berobat Jalan

833 16-01-2017 111914200117Y000551 0000084434319 H.M.DAROIN,BA L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
834 16-01-2017 111914200117Y001431 0000084533714 SUTINAH P PENERIMA PENSIUN Acute haemorrhagic Sembuh
PNS gastritis
835 16-01-2017 111914200117Y000561 0000084552906 SUPARTI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

836 16-01-2017 111914200117Y000550 0000084555472 SOEKIRNO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

837 16-01-2017 111914200117Y001586 0000084640926 SUKINIWATI P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
838 16-01-2017 111914200117Y000654 0000084705478 SUNARIYAH P PNS DAERAH Other disorders of Berobat Jalan
refraction
839 16-01-2017 111914200117Y000589 0000084791834 SUNARTO L PNS DAERAH Other disorders of Berobat Jalan
refraction
840 16-01-2017 111914200117Y000568 0000101066466 SATIRAH P PENERIMA PENSIUN TNI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

841 16-01-2017 111914200117Y000587 0000201067198 KARNO L PENERIMA PENSIUN TNI Asthma, unspecified Berobat Jalan

842 16-01-2017 111914200117Y001048 0000543083679 SUKISMI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
843 16-01-2017 111914200117Y000581 0000543240685 SUMARTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
844 16-01-2017 111914200117Y000572 0000543254038 SUPRIHATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
845 16-01-2017 111914200117Y001051 0000543284324 PAERAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
846 16-01-2017 111914200117Y000565 0000543515466 SUNARYO BS L PEKERJA MANDIRI General medical Berobat Jalan
examination
847 16-01-2017 111914200117Y000564 0000543516107 Y. RUBINAH SUNARYO P PBI (APBN) Papilloedema, unspecified Berobat Jalan

848 16-01-2017 111914200117Y000549 0000543521722 WIDI MULYONO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

849 16-01-2017 111914200117Y000582 0000543585082 COSMAS SRI ABADI SUSANTO L PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
850 16-01-2017 111914200117Y000588 0000543585328 CHATARINA APRIANI P PBI (APBN) Otitis media in bacterial Berobat Jalan
diseases classified

851 16-01-2017 111914200117Y001588 0000543600663 YOGI KURNIAWAN L PBI (APBN) Acute periodontitis Berobat Jalan

852 16-01-2017 111914200117Y000559 0000543607885 ALVIA MUSSYAROFATUL LAILLI P PBI (APBN) Puerperal sepsis Berobat Jalan

853 16-01-2017 111914200117Y001047 0000543617447 JUANA OKTAVIA P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

854 16-01-2017 111914200117Y001469 0000543633311 MUHAMMAD SYAWAL L PBI (APBN) Diarrhoea and Berobat Jalan
NASUTION gastroenteritis of
presumed infectious origin

855 16-01-2017 111914200117Y001477 0000543637124 SRI HEROWATI P PBI (APBN) Somatization disorder Berobat Jalan

856 16-01-2017 111914200117Y001479 0000543641264 NAUFAL AFKAR IDIAN L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

857 16-01-2017 111914200117Y000596 0000543642254 ADI SUWITO L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
858 16-01-2017 111914200117Y001589 0000543991645 FERY SEPTIYAN L PBI (APBN) Pulpitis Berobat Jalan

859 16-01-2017 111914200117Y000578 0000543996527 WALMI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
860 16-01-2017 111914200117Y000574 0000544012029 SITI WASINGAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
861 16-01-2017 111914200117Y001049 0000544058921 SULASTRI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
862 16-01-2017 111914200117Y000570 0000544103774 SURATI P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
863 16-01-2017 111914200117Y000590 0000544150642 RUSMIYANTI P PBI (APBN) Migraine, unspecified Berobat Jalan

864 16-01-2017 111914200117Y001432 0000544163411 JEMANUN L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

865 16-01-2017 111914200117Y000558 0000544479996 RUBIYAH P PBI (APBN) Person consulting on Berobat Jalan
behalf of another person
866 16-01-2017 111914200117Y000583 0000544660615 KOYIDAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

867 16-01-2017 111914200117Y000601 0000544681945 MARIYAM P PBI (APBN) Other specified Berobat Jalan
counselling
868 16-01-2017 111914200117Y001428 0000544834618 MARBANIYAH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

869 16-01-2017 111914200117Y000593 0000545036703 AYU LAILA NUGRAHENI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

870 16-01-2017 111914200117Y001478 0001019007268 SUGINI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

871 16-01-2017 111914200117Y001643 0001019012084 PRASTIYO KURNIANINGSIH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

872 16-01-2017 111914200117Y000562 0001082186392 SARNI P PENERIMA PENSIUN TNI Urinary tract infection, site Berobat Jalan
not specified
873 16-01-2017 111914200117Y000575 0001082466145 WIDIARSIH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
874 16-01-2017 111914200117Y000592 0001105445608 SUTARTO L PRAJURIT AD Other specified urinary Berobat Jalan
incontinence
875 16-01-2017 111914200117Y000579 0001328493611 SRI SUKAMTI P PBI (APBD) Rheumatism, unspecified Berobat Jalan

876 16-01-2017 111914200117Y001050 0001442936968 PUPUT WINDARTI P PEGAWAI SWASTA General counselling and Berobat Jalan
advice on contraception
877 16-01-2017 111914200117Y000556 0001480790136 BUDI UTOMO L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

878 16-01-2017 111914200117Y000563 0001615413341 Sumarno L PBI (APBD) Febrile convulsions Berobat Jalan

879 16-01-2017 111914200117Y001429 0001633195168 MAHESA QIN FAJRRIZQA P PEGAWAI BUMN Typhoid fever Sembuh

880 16-01-2017 111914200117Y000555 0001693158557 DEWI ARUM SRIWORO P PEGAWAI SWASTA General medical Berobat Jalan
examination
881 16-01-2017 111914200117Y000580 0001693158568 ROHMIATUN FAIZAH P PEGAWAI SWASTA Hypermetropia Berobat Jalan

882 16-01-2017 111914200117Y000567 0001793424429 TRIYATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
883 16-01-2017 111914200117Y000600 0001822922741 SRI WAHYUNINGSIH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

884 16-01-2017 111914200117Y000557 0001844904846 LELY HENDRAWATI P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
885 16-01-2017 111914200117Y000585 0001870231882 JUMIRAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

886 16-01-2017 111914200117Y000602 0001880467863 sumarti P PEKERJA MANDIRI Other specified Berobat Jalan
counselling
887 16-01-2017 111914200117Y000653 0001905958001 ISWAN L PEKERJA MANDIRI Gonococcal pharyngitis Berobat Jalan

888 16-01-2017 111914200117Y000560 0001972444792 SUTARNO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

889 16-01-2017 111914200117Y000591 0001972444814 NENIK RIYANI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

890 16-01-2017 111914200117Y000553 0001972445646 AYESA RINDRA BAYU PRATIWI P PBI (APBN) Typhoid fever Berobat Jalan

891 16-01-2017 111914200117Y001467 0001972454332 SARIPON L PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

892 16-01-2017 111914200117Y000571 0001972458101 LASINO L PBI (APBN) Typhoid fever Berobat Jalan

893 16-01-2017 111914200117Y000576 0001972471195 FIKI FAUZAN ABDILAH L PBI (APBN) Typhoid fever Berobat Jalan

894 16-01-2017 111914200117Y000599 0002009950266 SRI SUGINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

895 16-01-2017 111914200117Y000584 0002010020095 APRILIA CITRA WARDANI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

896 16-01-2017 111914200117Y000586 0002010029905 WAHYU GUNARTI P PBI (APBN) Other migraine Berobat Jalan

897 16-01-2017 111914200117Y001474 0002010031751 BAROKAH EKA MULYA P PEGAWAI SWASTA Migraine without aura Berobat Jalan
[common migraine]
898 16-01-2017 111914200117Y001473 0002010032908 SUSMIYANI P PBI (APBN) Somatization disorder Berobat Jalan

899 16-01-2017 111914200117Y000566 0002026569003 PETRUK SURO MARTONO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
900 16-01-2017 111914200117Y000577 0002064792971 PONIMAN L PNS PUSAT Somatization disorder Berobat Jalan

901 16-01-2017 111914200117Y000554 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

902 16-01-2017 111914200117Y000594 0002091118555 MUHAMMAD AL HAFIDZ L PEKERJA MANDIRI Influenza with other Berobat Jalan
IBRAHIM respiratory manifestations,
virus not identified

903 15-01-2017 111914200117Y001426 0000084478522 PURWATI P PENERIMA PENSIUN Congestive heart failure Sembuh
PNS
904 15-01-2017 111914200117Y001420 0000543206981 EKO SUKARNO L PBI (APBN) Acute haemorrhagic Sembuh
gastritis
905 15-01-2017 111914200117Y001427 0000543417085 LEGINI P PBI (APBN) Acute haemorrhagic Sembuh
gastritis
906 15-01-2017 111914200117Y001575 0000544695557 PANTES P PBI (APBN) Retention of urine Rujuk Lanjut

907 15-01-2017 111914200117Y001494 0001018994578 SIGIT BUDI APRIYANTO L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

908 14-01-2017 111914200117Y001571 0000030038793 ISMAN L VETERAN Acute haemorrhagic Sembuh


gastritis
909 14-01-2017 111914200117Y000519 0000030039906 WASIYEM P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
910 14-01-2017 111914200117Y000506 0000030042652 SUGIHARTATI P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

911 14-01-2017 111914200117Y000509 0000030059976 SLAMET RATINI P PENERIMA PENSIUN Eczema herpeticum Berobat Jalan
PNS
912 14-01-2017 111914200117Y000493 0000030069999 SUDARNO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

913 14-01-2017 111914200117Y000510 0000084192491 SUKARMAN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

914 14-01-2017 111914200117Y001430 0000084411549 WINARTO L PNS DAERAH Stroke, not specified as Sembuh
haemorrhage or infarction
915 14-01-2017 111914200117Y001639 0000084411549 WINARTO L PNS DAERAH Stroke, not specified as Sembuh
haemorrhage or infarction
916 14-01-2017 111914200117Y000533 0000084411549 WINARTO L PNS DAERAH Abnormal level of blood Berobat Jalan
mineral
917 14-01-2017 111914200117Y000502 0000084434556 WALYUANTINI P PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
918 14-01-2017 111914200117Y000537 0000084518829 SUGANDHI L PENERIMA PENSIUN Hereditary sideroblastic Berobat Jalan
PNS anaemia
919 14-01-2017 111914200117Y000517 0000084553424 ERMINA RUSMI SUDJAENI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
920 14-01-2017 111914200117Y000515 0000084672663 BUNINGSIH P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
921 14-01-2017 111914200117Y000543 0000084737259 PURWATI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
922 14-01-2017 111914200117Y001581 0000084742929 SURYATI P PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
923 14-01-2017 111914200117Y000498 0000084756666 DARUSMAN KUNTJORO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
924 14-01-2017 111914200117Y000521 0000084775026 RAMDHANA RIZKI AMOGA L PNS DAERAH Influenza with other Berobat Jalan
SAKTI respiratory manifestations,
virus not identified

925 14-01-2017 111914200117Y000490 0000198171123 WORO SATNIWATI P PEGAWAI SWASTA Cyst of spleen Berobat Jalan

926 14-01-2017 111914200117Y000527 0000542555447 GALANG YOGA PRATAMA L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

927 14-01-2017 111914200117Y000496 0000543132843 WAGINI AMAT SAHERI P PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
928 14-01-2017 111914200117Y000526 0000543141022 PONITRI P PBI (APBN) Abnormal level of blood Berobat Jalan
mineral
929 14-01-2017 111914200117Y001492 0000543206981 EKO SUKARNO L PBI (APBN) Acute haemorrhagic Sembuh
gastritis
930 14-01-2017 111914200117Y000514 0000543573786 INAS ARDIANASARI P PBI (APBN) Streptococcal pharyngitis Berobat Jalan

931 14-01-2017 111914200117Y000513 0000543866141 RENITA DEWI AFIYANI P PBI (APBN) Disorders of initiating and Berobat Jalan
maintaining sleep
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

932 14-01-2017 111914200117Y000544 0000544074164 SUNAR HARYANTO L PBI (APBN) Unstable angina Berobat Jalan

933 14-01-2017 111914200117Y000501 0000544347775 LILIK BUDI SAPUTRO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
934 14-01-2017 111914200117Y000508 0000544716472 TRIYANINGRUM P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

935 14-01-2017 111914200117Y000520 0000544742921 WONGSO KARTO L PBI (APBN) Nummular dermatitis Berobat Jalan

936 14-01-2017 111914200117Y000546 0000544744642 AGUNG CAHYO NUGROHO L PBI (APBN) Streptococcal pharyngitis Berobat Jalan

937 14-01-2017 111914200117Y000531 0000544791791 MUHAMMAD KHAIRULLOH L PBI (APBN) General medical Berobat Jalan
MAHFUZH examination
938 14-01-2017 111914200117Y000547 0000544834618 MARBANIYAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

939 14-01-2017 111914200117Y000528 0000544838049 TURYATI RAHAYU P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

940 14-01-2017 111914200117Y000545 0000544838951 NAUVAL SYAFIQ MUHADZDZIB L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

941 14-01-2017 111914200117Y000503 0001019011948 TAMI P PBI (APBN) General medical Berobat Jalan
examination
942 14-01-2017 111914200117Y001046 0001019014086 RUBINGAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
943 14-01-2017 111914200117Y001638 0001084571605 MARSINAH P PBI (APBN) Predominantly allergic Sembuh
asthma
944 14-01-2017 111914200117Y001421 0001084571605 MARSINAH P PBI (APBN) Predominantly allergic Sembuh
asthma
945 14-01-2017 111914200117Y000507 0001264417086 SRI MAHANANI P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

946 14-01-2017 111914200117Y000525 0001276945479 SUDIRO L PENERIMA PENSIUN TNI Other specified abnormal Berobat Jalan
findings of blood chemistry

947 14-01-2017 111914200117Y000536 0001279239489 SUWARNI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
948 14-01-2017 111914200117Y000532 0001284472304 WARSIKUN HADI SOESENO L PEKERJA MANDIRI Abnormal level of blood Berobat Jalan
mineral
949 14-01-2017 111914200117Y000522 0001379688142 CAHYO WIBOWO L PEGAWAI BUMN Abnormal level of blood Berobat Jalan
mineral
950 14-01-2017 111914200117Y000499 0001398588985 WAGIYEM P PBI (APBD) Rheumatism, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

951 14-01-2017 111914200117Y000500 0001422326891 FATIMAH P PNS PUSAT Somatization disorder Berobat Jalan

952 14-01-2017 111914200117Y000494 0001446087341 NURUL PUTRI PARAMITHA P PEKERJA MANDIRI Psoriatic spondylitis Berobat Jalan

953 14-01-2017 111914200117Y000511 0001530797185 EDTRIATI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

954 14-01-2017 111914200117Y001422 0001530797185 EDTRIATI P PEKERJA MANDIRI Predominantly allergic Sembuh
asthma
955 14-01-2017 111914200117Y000539 0001578747699 INTAN RISVIYANINGRUM P PEGAWAI SWASTA Guillain-Barre syndrome Berobat Jalan

956 14-01-2017 111914200117Y000538 0001615413341 Sumarno L PBI (APBD) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

957 14-01-2017 111914200117Y001583 0001834416966 maryati P PEGAWAI SWASTA Acute periodontitis Berobat Jalan

958 14-01-2017 111914200117Y000516 0001846850793 SRI WARDONO L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

959 14-01-2017 111914200117Y000540 0001852269401 LULUS SUTRIMAH P PRAJURIT AL Nummular dermatitis Berobat Jalan

960 14-01-2017 111914200117Y000524 0001972447964 ZAENATU ROBIYAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

961 14-01-2017 111914200117Y000495 0001972448627 HADI SUSANTO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
962 14-01-2017 111914200117Y000541 0001972451283 SARINAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

963 14-01-2017 111914200117Y001423 0001972479734 SITI MARYAM P PBI (APBN) Vertiginous syndromes in Sembuh
diseases classified

964 14-01-2017 111914200117Y000534 0002009950266 SRI SUGINI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

965 14-01-2017 111914200117Y001424 0002009999698 TUMISEM P PBI (APBN) Vertiginous syndromes in Sembuh
diseases classified

966 14-01-2017 111914200117Y000518 0002010000273 LEGIRAN HADI WINOTO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

967 14-01-2017 111914200117Y000529 0002010000802 SUMINEM P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

968 14-01-2017 111914200117Y000530 0002010001757 AMAT KANAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

969 14-01-2017 111914200117Y001582 0002010005548 SUTARMAN L PBI (APBN) Necrosis of pulp Berobat Jalan

970 14-01-2017 111914200117Y000512 0002010030311 JULIA IRNAWATI P PBI (APBN) Superficial injuries Berobat Jalan
involving head with neck
971 14-01-2017 111914200117Y000491 0002010030322 SUMINEM P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

972 14-01-2017 111914200117Y000504 0002010031323 SUTODIHARJO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
973 14-01-2017 111914200117Y000505 0002036085974 ENNY LESTARI P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
974 14-01-2017 111914200117Y001580 0002036086435 IGNATIUS BAYU SETYA N L PEKERJA MANDIRI Chronic periodontitis Berobat Jalan

975 14-01-2017 111914200117Y000497 0002056740647 YUSWARA SETYA INDRA L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan
RUKMA
976 14-01-2017 111914200117Y000492 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

977 14-01-2017 111914200117Y000542 0002078494604 EDI SUSMANTO L PEKERJA MANDIRI Superficial injuries Berobat Jalan
involving head with neck
978 14-01-2017 111914200117Y000535 0002197195694 BILLI FIRMANA NUGROHO L PEKERJA MANDIRI Acute amoebic dysentery Berobat Jalan

979 14-01-2017 111914200117Y000523 0002200053036 SRI REJEKI SUHARYATI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

980 13-01-2017 111914200117Y001579 0000030017709 TUKERI L VETERAN Fitting and adjustment of Berobat Jalan
dental prosthetic device
981 13-01-2017 111914200117Y000472 0000030017711 SUDARWATI P VETERAN Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

982 13-01-2017 111914200117Y000477 0000030042595 SUPARTINI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
POLRI
983 13-01-2017 111914200117Y000466 0000030043225 SURTI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

984 13-01-2017 111914200117Y000486 0000030051077 BAHRUN L PENERIMA PENSIUN Somatization disorder Berobat Jalan
PNS
985 13-01-2017 111914200117Y000469 0000030061923 RUSMIYATI P PENERIMA PENSIUN Acute amoebic dysentery Berobat Jalan
PNS
986 13-01-2017 111914200117Y000468 0000036900832 SULTIJAH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
987 13-01-2017 111914200117Y000467 0000053419454 CATHERINA MARYATUN P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

988 13-01-2017 111914200117Y000459 0000084337547 SUGIATI P PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
989 13-01-2017 111914200117Y000487 0000084351273 SOEKINI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

990 13-01-2017 111914200117Y000485 0000084367528 TUKUL TUGONO L PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
991 13-01-2017 111914200117Y000462 0000084552906 SUPARTI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
992 13-01-2017 111914200117Y000463 0000084670569 SURTINAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

993 13-01-2017 111914200117Y000482 0000084688727 LEGINAH P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
994 13-01-2017 111914200117Y000461 0000084741399 PAINO L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
995 13-01-2017 111914200117Y000484 0000084757465 PRATICIUS LUKY AVEN A L PNS DAERAH General medical Berobat Jalan
examination
996 13-01-2017 111914200117Y000458 0000100941017 SUNARTI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

997 13-01-2017 111914200117Y000474 0000101010543 SUPIYAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

998 13-01-2017 111914200117Y000479 0000542548563 NY RONO DIHARJO P PBI (APBN) Infantile, juvenile and Berobat Jalan
presenile cataract
999 13-01-2017 111914200117Y001649 0000542696332 LASTRI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
1000 13-01-2017 111914200117Y000483 0000543574675 ANDIKA PRIAMBODHO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1001 13-01-2017 111914200117Y000488 0000543895795 SURIPTO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1002 13-01-2017 111914200117Y000470 0000543923897 RONI HADI WIBOWO L PBI (APBN) Superficial injuries Berobat Jalan
involving head with neck
1003 13-01-2017 111914200117Y000840 0000544623873 WAGINAH P PBI (APBN) Vertiginous syndromes in Sembuh
diseases classified

1004 13-01-2017 111914200117Y000841 0000544695557 PANTES P PBI (APBN) Retention of urine Sembuh

1005 13-01-2017 111914200117Y000476 0000544907531 SUTEJO L PBI (APBN) Somatization disorder Berobat Jalan

1006 13-01-2017 111914200117Y000471 0001019013006 REGITA PUTRI CAHYANI P PBI (APBN) Nummular dermatitis Berobat Jalan

1007 13-01-2017 111914200117Y000465 0001019015155 MULYANTO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1008 13-01-2017 111914200117Y000475 0001019074972 DWI PRASETIYO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1009 13-01-2017 111914200117Y000480 0001084888899 DEDEH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1010 13-01-2017 111914200117Y000159 0001168210552 SARUTOMO L PEGAWAI SWASTA Typhoid fever Berobat Jalan

1011 13-01-2017 111914200117Y000481 0001325779525 EKO SUSENO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1012 13-01-2017 111914200117Y000460 0001386345688 SUPINATUN P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1013 13-01-2017 111914200117Y001573 0001615413115 Rikat Riski Bimanto L PBI (APBD) Typhoid fever Sembuh

1014 13-01-2017 111914200117Y000473 0001615413115 Rikat Riski Bimanto L PBI (APBD) Acute haemorrhagic Berobat Jalan
gastritis
1015 13-01-2017 111914200117Y000478 0001887234344 ANGGA WIJAYA PRAYITNO L PEKERJA MANDIRI Typhoid fever Berobat Jalan

1016 13-01-2017 111914200117Y000489 0001972445534 ROCHYATI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
1017 13-01-2017 111914200117Y001045 0002064774159 TAMI BHINARTI P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1018 13-01-2017 111914200117Y000464 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1019 12-01-2017 111914200117Y001446 0000021206957 PROF. DR. MUHAMMAD L PENERIMA PENSIUN Caries of dentine Berobat Jalan
ASYHARI, MA H.M PNS
1020 12-01-2017 111914200117Y000445 0000030068717 SUDARSONO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1021 12-01-2017 111914200117Y000444 0000039602169 PARINEM PARJANI P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1022 12-01-2017 111914200117Y000433 0000084271511 FAHRY EKI WIDIAWAN Putra L PNS DAERAH Asthma, unspecified Berobat Jalan

1023 12-01-2017 111914200117Y000450 0000084375347 SUKATI P PENERIMA PENSIUN TNI Infantile, juvenile and Berobat Jalan
presenile cataract
1024 12-01-2017 111914200117Y000453 0000084434319 H.M.DAROIN,BA L PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

1025 12-01-2017 111914200117Y000454 0000084552906 SUPARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1026 12-01-2017 111914200117Y000447 0000084635054 NA`IM L PNS PUSAT Acute haemorrhagic Berobat Jalan
gastritis
1027 12-01-2017 111914200117Y000457 0000084706029 SUGIYANTI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1028 12-01-2017 111914200117Y001635 0000084765791 TITIK SUGIARTI P PNS DAERAH Loss of teeth due to Berobat Jalan
accident, extraction or
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1029 12-01-2017 111914200117Y000839 0000194190129 SUHARYANTO L PNS PUSAT Toxic effect of snake Sembuh
venom
1030 12-01-2017 111914200117Y000448 0000201067198 KARNO L PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1031 12-01-2017 111914200117Y000426 0000207056709 RONI MAWATI P PNS DAERAH Rheumatism, unspecified Berobat Jalan

1032 12-01-2017 111914200117Y000431 0000543598042 YUDA PRAYOGA L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1033 12-01-2017 111914200117Y000451 0000543731051 MUJIATI P PBI (APBN) Person consulting on Berobat Jalan
behalf of another person
1034 12-01-2017 111914200117Y000455 0000543910533 KEMIJAH P PBI (APBN) Abnormal level of blood Berobat Jalan
mineral
1035 12-01-2017 111914200117Y000437 0000544237299 KASWATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1036 12-01-2017 111914200117Y000446 0000544433815 TUMINAH P PBI (APBN) Heartburn Berobat Jalan

1037 12-01-2017 111914200117Y000436 0000544727092 MERI P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
1038 12-01-2017 111914200117Y000443 0000545174482 ANTI LESTARI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1039 12-01-2017 111914200117Y000449 0001018987536 MUJIRAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1040 12-01-2017 111914200117Y000438 0001019005132 YAYUK MUGI RAHAYU P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1041 12-01-2017 111914200117Y001565 0001019012084 PRASTIYO KURNIANINGSIH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1042 12-01-2017 111914200117Y000425 0001264825539 SUJARYATI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1043 12-01-2017 111914200117Y000439 0001312887622 SRI HARYANTI P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1044 12-01-2017 111914200117Y000452 0001386345688 SUPINATUN P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1045 12-01-2017 111914200117Y001570 0001454929931 DEWI NURCAHYANI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1046 12-01-2017 111914200117Y000435 0001518994001 FAJAR ABDI GUNA PRIYANTO L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1047 12-01-2017 111914200117Y001564 0001615405577 MARMI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1048 12-01-2017 111914200117Y001567 0001615413295 REGINA INES AYUNINGTYAS P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1049 12-01-2017 111914200117Y001041 0001650524051 Sunarti P PEGAWAI SWASTA General counselling and Berobat Jalan
advice on contraception
1050 12-01-2017 111914200117Y000428 0001716948505 SUYATMI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1051 12-01-2017 111914200117Y000442 0001827185376 SITI UTAMI P PNS DAERAH Puerperal sepsis Berobat Jalan

1052 12-01-2017 111914200117Y001574 0001839684587 SUHARTONO L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1053 12-01-2017 111914200117Y001503 0001844594245 KHOIRUNNISA SHALSABILA P PNS DAERAH Acute upper respiratory Sembuh
AZZAHRO infection, unspecified
1054 12-01-2017 111914200117Y000427 0001962712348 SRI WINARTI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1055 12-01-2017 111914200117Y001566 0001971000022 puryati P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1056 12-01-2017 111914200117Y001044 0001971000022 puryati P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1057 12-01-2017 111914200117Y001043 0001972442878 SRI WAHYUNINGSIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1058 12-01-2017 111914200117Y001569 0001972442878 SRI WAHYUNINGSIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1059 12-01-2017 111914200117Y000434 0001972442889 NADINE INDRIYANI P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
1060 12-01-2017 111914200117Y001042 0001972500085 ENIK WAHYUNI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1061 12-01-2017 111914200117Y000842 0001972500221 SUDARMI P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1062 12-01-2017 111914200117Y000429 0002010005561 BONNY PERTIWISARI P PBI (APBN) Disorders of initiating and Berobat Jalan
maintaining sleep

1063 12-01-2017 111914200117Y000441 0002011130324 SUTIAM KASWATI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
1064 12-01-2017 111914200117Y001568 0002037058727 WIDYA PURANTI P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
1065 12-01-2017 111914200117Y000456 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1066 12-01-2017 111914200117Y000440 0002194854287 SURASMI P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1067 12-01-2017 111914200117Y000430 0002198063755 HARJO PRACIHNO L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1068 12-01-2017 111914200117Y000424 0002200302911 JOKO SUPRAYITNO L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1069 12-01-2017 111914200117Y000432 0002203026748 ABIMANYU PRADIGTA L PEKERJA MANDIRI Mucopurulent Berobat Jalan
conjunctivitis
1070 11-01-2017 111914200117Y000419 0000030058503 MULYONO L PENERIMA PENSIUN Stroke, not specified as Berobat Jalan
PNS haemorrhage or infarction
1071 11-01-2017 111914200117Y000414 0000030068493 CHATARINA SURTINI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1072 11-01-2017 111914200117Y001444 0000075869493 SAIRAN L PENERIMA PENSIUN Necrosis of pulp Berobat Jalan
PNS
1073 11-01-2017 111914200117Y000410 0000084235465 WARSININGSIH P PNS DAERAH Cyst of spleen Berobat Jalan

1074 11-01-2017 111914200117Y000388 0000084250473 SETIYOWATI P PNS DAERAH Fatigue fracture of Berobat Jalan
vertebra
1075 11-01-2017 111914200117Y000413 0000084296259 SUNARYO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1076 11-01-2017 111914200117Y000403 0000084374684 RR. UMI HAYATI P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1077 11-01-2017 111914200117Y000393 0000084410739 SUTEJO L PNS DAERAH Somatization disorder Berobat Jalan

1078 11-01-2017 111914200117Y000836 0000084433037 GAMPANG L PENERIMA PENSIUN Diarrhoea and Sembuh
PNS gastroenteritis of
presumed infectious origin

1079 11-01-2017 111914200117Y000394 0000084502438 SLAMET L PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
1080 11-01-2017 111914200117Y000418 0000084521215 SUKADJI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1081 11-01-2017 111914200117Y000397 0000084552849 NANIK SUKARNI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1082 11-01-2017 111914200117Y001443 0000084662021 MUNFANGATI P PNS DAERAH Necrosis of pulp Berobat Jalan

1083 11-01-2017 111914200117Y000391 0000203075032 ROCHMAT BAGIYANTO L PNS PUSAT Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1084 11-01-2017 111914200117Y000420 0000542556696 SUGIHARTO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1085 11-01-2017 111914200117Y001644 0000542696332 LASTRI P PBI (APBN) Routine postpartum Sembuh
follow-up
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1086 11-01-2017 111914200117Y001647 0000542696332 LASTRI P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
1087 11-01-2017 111914200117Y000402 0000543280151 MERRY MARTIANA P PBI (APBN) Typhoid fever Berobat Jalan

1088 11-01-2017 111914200117Y000407 0000543292953 SONTO DIWIRYO L PBI (APBN) Other migraine Berobat Jalan

1089 11-01-2017 111914200117Y000423 0000543552715 RUMINAH P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
1090 11-01-2017 111914200117Y000411 0000543836968 NURMALA P PBI (APBN) General medical Berobat Jalan
examination
1091 11-01-2017 111914200117Y000409 0000544056603 SULIANINGSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1092 11-01-2017 111914200117Y000400 0000544057817 MUHAMAD RIZAL L PBI (APBN) Streptococcal pharyngitis Berobat Jalan

1093 11-01-2017 111914200117Y000408 0000544479996 RUBIYAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1094 11-01-2017 111914200117Y000837 0000544681945 MARIYAM P PBI (APBN) Essential (primary) Sembuh
hypertension
1095 11-01-2017 111914200117Y001442 0001272782834 sumirat P PEKERJA MANDIRI Pulp degeneration Berobat Jalan

1096 11-01-2017 111914200117Y000392 0001295462452 SOKIYAH PAWIRO SENTONO P PEKERJA MANDIRI Acute amoebic dysentery Berobat Jalan

1097 11-01-2017 111914200117Y000417 0001297021781 TIARA NINDYA AYU THIKA P PEKERJA MANDIRI General medical Berobat Jalan
examination
1098 11-01-2017 111914200117Y000404 0001379369722 TUKINEM P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1099 11-01-2017 111914200117Y000406 0001386345688 SUPINATUN P PEKERJA MANDIRI Somatization disorder Berobat Jalan

1100 11-01-2017 111914200117Y000396 0001480790136 BUDI UTOMO L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1101 11-01-2017 111914200117Y000834 0001839684587 SUHARTONO L PEKERJA MANDIRI Congestive heart failure Sembuh

1102 11-01-2017 111914200117Y000405 0001844904846 LELY HENDRAWATI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1103 11-01-2017 111914200117Y000416 0001857440621 SUMARGIAR BUDIYARTO L PEKERJA MANDIRI Effects of caisson disease Berobat Jalan
[decompression sickness]

1104 11-01-2017 111914200117Y000838 0001866664089 SUKARSIH P PEGAWAI SWASTA Typhoid fever Sembuh

1105 11-01-2017 111914200117Y000422 0001972446491 TRI WIDODO L PBI (APBN) Nummular dermatitis Berobat Jalan

1106 11-01-2017 111914200117Y000415 0001972446502 SUTASMI P PBI (APBN) Superficial injuries Berobat Jalan
involving head with neck
1107 11-01-2017 111914200117Y000412 0001972452036 ILHAM KURNIAWAN L PBI (APBN) Nummular dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1108 11-01-2017 111914200117Y001445 0001972459923 SUDARSIH P PBI (APBN) Caries of dentine Berobat Jalan

1109 11-01-2017 111914200117Y000421 0001972461677 HANDIKA CAHYA PERMANA L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1110 11-01-2017 111914200117Y001563 0001972461688 NADLIROH P PBI (APBN) Surveillance of Berobat Jalan
(intrauterine) contraceptive

1111 11-01-2017 111914200117Y000835 0002010000778 BINI P PBI (APBN) Typhoid fever Sembuh

1112 11-01-2017 111914200117Y000390 0002010002578 NGATIYEM EDDY HARTONO P PBI (APBN) Staphylococcal arthritis Berobat Jalan
and polyarthritis
1113 11-01-2017 111914200117Y000389 0002010029905 WAHYU GUNARTI P PBI (APBN) Cysticercosis, unspecified Berobat Jalan

1114 11-01-2017 111914200117Y000399 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1115 11-01-2017 111914200117Y001562 0002070613743 ESTIYOWATI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1116 11-01-2017 111914200117Y000401 0002073009183 PURWADI L PEKERJA MANDIRI Superficial injuries Berobat Jalan
involving head with neck
1117 11-01-2017 111914200117Y000398 0002091809373 MISDONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1118 11-01-2017 111914200117Y001412 0002200053306 MELLY SURYANI P PEKERJA MANDIRI Caries of dentine Berobat Jalan

1119 11-01-2017 111914200117Y000395 0002214852175 DWI SULISTYOWATI P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
POLRI
1120 10-01-2017 111914200117Y001438 0000030017709 TUKERI L VETERAN Arrested dental caries Berobat Jalan

1121 10-01-2017 111914200117Y000383 0000030039906 WASIYEM P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1122 10-01-2017 111914200117Y000358 0000030040593 UTIK SULASTI P PENERIMA PENSIUN TNI Eczema herpeticum Berobat Jalan

1123 10-01-2017 111914200117Y000333 0000030043225 SURTI P PENERIMA PENSIUN TNI Migraine, unspecified Berobat Jalan

1124 10-01-2017 111914200117Y000352 0000030073296 P. TRIMO L PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
1125 10-01-2017 111914200117Y000385 0000084216598 UMI CAHYATI P PNS DAERAH Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1126 10-01-2017 111914200117Y000341 0000084348775 RUSMI P PENERIMA PENSIUN TNI Migraine, unspecified Berobat Jalan

1127 10-01-2017 111914200117Y000353 0000084436334 HERU L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1128 10-01-2017 111914200117Y000368 0000084552906 SUPARTI P PENERIMA PENSIUN Predominantly allergic Berobat Jalan
PNS asthma
1129 10-01-2017 111914200117Y000381 0000084680302 ETI P PNS DAERAH Other migraine Berobat Jalan

1130 10-01-2017 111914200117Y000337 0000084688727 LEGINAH P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
1131 10-01-2017 111914200117Y000382 0000084704861 SRI HARTINI P PNS DAERAH Abdominal actinomycosis Berobat Jalan

1132 10-01-2017 111914200117Y000360 0000084704872 SUBROTO L PNS DAERAH Unspecified nonorganic Berobat Jalan
psychosis
1133 10-01-2017 111914200117Y001440 0000084765791 TITIK SUGIARTI P PNS DAERAH Abnormal hard tissue Berobat Jalan
formation in pulp
1134 10-01-2017 111914200117Y000351 0000101066466 SATIRAH P PENERIMA PENSIUN TNI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

1135 10-01-2017 111914200117Y000373 0000199837743 JEMIYEM P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1136 10-01-2017 111914200117Y001037 0000542696332 LASTRI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1137 10-01-2017 111914200117Y001648 0000542696332 LASTRI P PBI (APBN) Single spontaneous Sembuh
delivery
1138 10-01-2017 111914200117Y001499 0000543118116 NURIYAH FATQUL JANNAH P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

1139 10-01-2017 111914200117Y001558 0000543207036 BARIYAH P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1140 10-01-2017 111914200117Y000366 0000543528584 JEMIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1141 10-01-2017 111914200117Y000347 0000543606783 DADANG JUNAEDI L PBI (APBN) Nummular dermatitis Berobat Jalan

1142 10-01-2017 111914200117Y001038 0000543745539 ISROWIYAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1143 10-01-2017 111914200117Y001039 0000543751435 MARTUTIK P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1144 10-01-2017 111914200117Y000375 0000543872619 AGUS HARYANTO L PBI (APBN) Nummular dermatitis Berobat Jalan

1145 10-01-2017 111914200117Y000371 0000543873723 WAGIMIN L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
1146 10-01-2017 111914200117Y001040 0000543894175 SITI ANISAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1147 10-01-2017 111914200117Y001556 0000543894175 SITI ANISAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1148 10-01-2017 111914200117Y000345 0000544049741 ALI TOFAH L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1149 10-01-2017 111914200117Y000374 0000544085774 SARJIMAN L PBI (APBN) Puerperal sepsis Berobat Jalan

1150 10-01-2017 111914200117Y000348 0000544108522 KUSMINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1151 10-01-2017 111914200117Y000350 0000544150642 RUSMIYANTI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
1152 10-01-2017 111914200117Y000828 0000544347775 LILIK BUDI SAPUTRO L PBI (APBN) Typhoid fever Sembuh

1153 10-01-2017 111914200117Y000357 0000544347775 LILIK BUDI SAPUTRO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1154 10-01-2017 111914200117Y000379 0000544646766 SUMARYONO L PBI (APBN) Somatization disorder Berobat Jalan

1155 10-01-2017 111914200117Y000380 0000544726776 HERU CHRISTYAWAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1156 10-01-2017 111914200117Y000343 0000544742921 WONGSO KARTO L PBI (APBN) Senile incipient cataract Berobat Jalan

1157 10-01-2017 111914200117Y000356 0000544803658 KRISNA PAMBUDI L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1158 10-01-2017 111914200117Y000367 0000544906258 SOSRO DIKROMO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

1159 10-01-2017 111914200117Y000365 0000658313583 BUDIHARTI P PBI (APBN) Somatization disorder Berobat Jalan

1160 10-01-2017 111914200117Y000355 0000977620149 TINI AGUSTINI SHAMIATINE P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1161 10-01-2017 111914200117Y000354 0001019015155 MULYANTO L PBI (APBN) Migraine, unspecified Berobat Jalan

1162 10-01-2017 111914200117Y001561 0001019015346 SARITI INDRAWATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1163 10-01-2017 111914200117Y000335 0001019074173 SRIANA P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
1164 10-01-2017 111914200117Y000336 0001092970631 TRI SETYA BUDIONO L PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1165 10-01-2017 111914200117Y000334 0001093396217 NGADIRIN L ANGGOTA POLRI Rheumatism, unspecified Berobat Jalan

1166 10-01-2017 111914200117Y000363 0001279239489 SUWARNI P PENERIMA PENSIUN Person consulting on Berobat Jalan
PNS behalf of another person
1167 10-01-2017 111914200117Y000378 0001308895929 SRI SUHARSIH P PEKERJA MANDIRI Disorders of initiating and Berobat Jalan
maintaining sleep

1168 10-01-2017 111914200117Y001441 0001324011598 ZAKY MUBAROK L PEKERJA MANDIRI Acute periodontitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1169 10-01-2017 111914200117Y000377 0001383651674 RIDHA WICAKSANA L PEGAWAI SWASTA General medical Berobat Jalan
examination
1170 10-01-2017 111914200117Y000386 0001384887058 BENNY L PEKERJA MANDIRI Cluster headache Berobat Jalan
syndrome
1171 10-01-2017 111914200117Y000344 0001386345688 SUPINATUN P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1172 10-01-2017 111914200117Y000362 0001423848093 ALBERTUS BAGAS ADINATA L PEGAWAI SWASTA Influenza with other Berobat Jalan
HERDA PRATAMA respiratory manifestations,
virus not identified

1173 10-01-2017 111914200117Y000342 0001427190579 SITTA NINGDYAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1174 10-01-2017 111914200117Y000833 0001633195168 MAHESA QIN FAJRRIZQA P PEGAWAI BUMN Typhoid fever Sembuh

1175 10-01-2017 111914200117Y000369 0001816752431 uwoh P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1176 10-01-2017 111914200117Y000349 0001817989288 EMY RATNA PURI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1177 10-01-2017 111914200117Y000376 0001819876634 HERU PRAMONO L PEGAWAI PEMERINTAH Rheumatism, unspecified Berobat Jalan
NON PNS
1178 10-01-2017 111914200117Y001437 0001819876667 IKA MEI NUR HANDAYANI P PEGAWAI PEMERINTAH Chronic periodontitis Berobat Jalan
NON PNS
1179 10-01-2017 111914200117Y000340 0001878316064 AHYADI L PEGAWAI SWASTA Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1180 10-01-2017 111914200117Y000346 0001880467863 sumarti P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1181 10-01-2017 111914200117Y000338 0001887234344 ANGGA WIJAYA PRAYITNO L PEKERJA MANDIRI Puerperal sepsis Berobat Jalan

1182 10-01-2017 111914200117Y000384 0001972445657 ENDANG WAHYU N P PBI (APBN) Febrile convulsions Berobat Jalan

1183 10-01-2017 111914200117Y000359 0001972457403 SRI MULYONO HS L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1184 10-01-2017 111914200117Y001559 0001972461789 FITRI WAHYUNINGSIH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1185 10-01-2017 111914200117Y000370 0002010030311 JULIA IRNAWATI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1186 10-01-2017 111914200117Y000372 0002010033033 RADEN SUKISNO L PBI (APBN) Somatization disorder Berobat Jalan
HARJOUTOMO
1187 10-01-2017 111914200117Y001439 0002010067255 EDO SYAKUR ADISANI L PBI (APBN) Acute periodontitis Berobat Jalan

1188 10-01-2017 111914200117Y000361 0002010067277 MURWANTI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
1189 10-01-2017 111914200117Y000339 0002046874173 MURSIYAH P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1190 10-01-2017 111914200117Y000364 0002070231456 SARWINAH P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
1191 10-01-2017 111914200117Y000387 0002078494604 EDI SUSMANTO L PEKERJA MANDIRI Unstable angina Berobat Jalan

1192 10-01-2017 111914200117Y001557 0002079913195 SETIA PURWANINGSIH P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1193 10-01-2017 111914200117Y001498 0002083732165 PITAMI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1194 10-01-2017 111914200117Y001560 0002208020128 SRI ARBAHA NINGSIH P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1195 09-01-2017 111914200117Y000325 0000030070056 SUMARMI P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1196 09-01-2017 111914200117Y000309 0000030072699 SYAFI'UDIN L PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
1197 09-01-2017 111914200117Y000319 0000041758378 SUROTO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1198 09-01-2017 111914200117Y000327 0000042903246 RUKATI P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1199 09-01-2017 111914200117Y000332 0000073042018 SUTIDJO L PENERIMA PENSIUN TNI Other migraine Berobat Jalan

1200 09-01-2017 111914200117Y000322 0000084223631 SITI KUSMINAH P PNS DAERAH Rheumatism, unspecified Berobat Jalan

1201 09-01-2017 111914200117Y000276 0000084257313 SUTARYATI P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1202 09-01-2017 111914200117Y001554 0000084272297 HESTY PENGESTUTI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
1203 09-01-2017 111914200117Y000297 0000084275504 SUTARMO L PNS DAERAH Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1204 09-01-2017 111914200117Y000292 0000084471917 PAIRIN L PENERIMA PENSIUN Perichondritis of external Berobat Jalan
PNS ear
1205 09-01-2017 111914200117Y001521 0000084511078 SULAILAH P PENERIMA PENSIUN Stroke, not specified as Sembuh
PNS haemorrhage or infarction
1206 09-01-2017 111914200117Y000278 0000084627055 DARMIYATI P PNS PUSAT Eczema herpeticum Berobat Jalan

1207 09-01-2017 111914200117Y001436 0000084691574 PONIYEM P PNS DAERAH Acute periodontitis Berobat Jalan

1208 09-01-2017 111914200117Y000321 0000084694004 NGADIYONO L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1209 09-01-2017 111914200117Y000289 0000084703149 SULASMI P PNS DAERAH Acute amoebic dysentery Berobat Jalan

1210 09-01-2017 111914200117Y001464 0000084704769 NGADIYEM P PENERIMA PENSIUN Influenza with pneumonia, Berobat Jalan
PNS virus not identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1211 09-01-2017 111914200117Y000324 0000096873704 SUHARNI P PENERIMA PENSIUN Abnormal level of blood Berobat Jalan
PNS mineral
1212 09-01-2017 111914200117Y000320 0000160398742 SUMIYATI P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

1213 09-01-2017 111914200117Y000312 0000201067198 KARNO L PENERIMA PENSIUN TNI Acute bronchiolitis, Berobat Jalan
unspecified
1214 09-01-2017 111914200117Y000307 0000209831308 THERESIA PAINI P PENERIMA PENSIUN Cluster headache Berobat Jalan
PNS syndrome
1215 09-01-2017 111914200117Y000265 0000542542904 AGUS SETIYONO L PBI (APBN) Effects of heatstroke and Berobat Jalan
sunstroke
1216 09-01-2017 111914200117Y000310 0000543119444 SOKINEM P PBI (APBN) Person consulting on Berobat Jalan
behalf of another person
1217 09-01-2017 111914200117Y000317 0000543132843 WAGINI AMAT SAHERI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1218 09-01-2017 111914200117Y000316 0000543522778 RUMIJAH P PBI (APBN) Nummular dermatitis Berobat Jalan

1219 09-01-2017 111914200117Y000308 0000543525726 HADI SUWITO PRAYITNO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1220 09-01-2017 111914200117Y001466 0000543617447 JUANA OKTAVIA P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1221 09-01-2017 111914200117Y001461 0000543630519 SUMIDAH P PBI (APBN) Somatization disorder Berobat Jalan

1222 09-01-2017 111914200117Y001462 0000543637124 SRI HEROWATI P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
1223 09-01-2017 111914200117Y000280 0000543659837 ARIF SUSANTO L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

1224 09-01-2017 111914200117Y000287 0000543847836 MARGIYANTI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

1225 09-01-2017 111914200117Y000021 0000544049741 ALI TOFAH L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
1226 09-01-2017 111914200117Y000277 0000544064354 MURNISIH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1227 09-01-2017 111914200117Y000300 0000544112998 ROBIATUN ADOWIYAH P PBI (APBN) Heartburn Berobat Jalan

1228 09-01-2017 111914200117Y000291 0000544237299 KASWATI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

1229 09-01-2017 111914200117Y000267 0000544433815 TUMINAH P PBI (APBN) Heartburn Berobat Jalan

1230 09-01-2017 111914200117Y000323 0000544640556 TRIYONO L PBI (APBN) Nummular dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1231 09-01-2017 111914200117Y000279 0000544727092 MERI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1232 09-01-2017 111914200117Y000272 0000544729713 SALIYEM P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1233 09-01-2017 111914200117Y000303 0000544776265 AGUS SASONGKO PURNOMO L PBI (APBN) Effects of heatstroke and Berobat Jalan
sunstroke
1234 09-01-2017 111914200117Y000266 0000544776401 SRI SUJATMI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1235 09-01-2017 111914200117Y001409 0000642418661 MEIMUNAH P PBI (APBN) Acute apical periodontitis Berobat Jalan
of pulpal origin
1236 09-01-2017 111914200117Y000318 0000642418986 MUHAMMAD AKBAR RIZKY L PBI (APBN) Influenza with other Berobat Jalan
RAMADHAN respiratory manifestations,
virus not identified

1237 09-01-2017 111914200117Y000328 0001019000171 DARMOREJO L PBI (APBN) Malignant neoplasm of Berobat Jalan
nasal cavity
1238 09-01-2017 111914200117Y001551 0001019013142 MARDJIRAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1239 09-01-2017 111914200117Y000269 0001019014356 RUBIYATI P PBI (APBN) Superficial injuries Berobat Jalan
involving head with neck
1240 09-01-2017 111914200117Y000290 0001019074026 SUYADI L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1241 09-01-2017 111914200117Y000294 0001019075319 NURALFIAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1242 09-01-2017 111914200117Y000825 0001103247505 SABRAN L TNI ANGKATAN UDARA Vertiginous syndromes in Sembuh
diseases classified

1243 09-01-2017 111914200117Y000306 0001263451792 YONO LONO L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1244 09-01-2017 111914200117Y000331 0001272782237 hadi suparto L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1245 09-01-2017 111914200117Y000301 0001288038609 INDA TRIWULAN P PEGAWAI SWASTA Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1246 09-01-2017 111914200117Y000326 0001295165632 ABYAZ FARHAN ALFARIS L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1247 09-01-2017 111914200117Y001517 0001295165632 ABYAZ FARHAN ALFARIS L PEKERJA MANDIRI Typhoid fever Sembuh

1248 09-01-2017 111914200117Y000823 0001309805548 SITI SABILILLAH P PEKERJA MANDIRI Typhoid fever Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1249 09-01-2017 111914200117Y001411 0001325187009 YULI SANTOSO L PEKERJA MANDIRI Acute apical periodontitis Berobat Jalan
of pulpal origin
1250 09-01-2017 111914200117Y000295 0001326540295 MULYANI P PEKERJA MANDIRI Abnormal level of blood Berobat Jalan
mineral
1251 09-01-2017 111914200117Y001553 0001386044774 WAHYU LESTARI P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1252 09-01-2017 111914200117Y001036 0001386044774 WAHYU LESTARI P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1253 09-01-2017 111914200117Y000282 0001429095262 TAEFUR L PRAJURIT AD Nummular dermatitis Berobat Jalan

1254 09-01-2017 111914200117Y000271 0001429095958 LUSYANA FATMAWATI P PRAJURIT AD Otitis media in bacterial Berobat Jalan
diseases classified

1255 09-01-2017 111914200117Y000268 0001474962039 GUNADI L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1256 09-01-2017 111914200117Y000298 0001526098533 MUH NURWAHID CAHYO L PEGAWAI SWASTA Nummular dermatitis Berobat Jalan
WIBOWO
1257 09-01-2017 111914200117Y000315 0001615358924 Legiyem P PBI (APBD) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1258 09-01-2017 111914200117Y000314 0001626428788 SUDIYOKO L PEKERJA MANDIRI Somatization disorder Berobat Jalan

1259 09-01-2017 111914200117Y000275 0001626428799 ARI JUARIAH P PEKERJA MANDIRI Somatization disorder Berobat Jalan

1260 09-01-2017 111914200117Y000305 0001836925558 MARIMAN L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1261 09-01-2017 111914200117Y000285 0001854946956 SUDIONO L PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
1262 09-01-2017 111914200117Y000296 0001883599806 ADI WIYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1263 09-01-2017 111914200117Y000284 0001964574685 RINA ANGGELINA KOTO P PEKERJA MANDIRI Other specified disorders Berobat Jalan
of urinary system
1264 09-01-2017 111914200117Y000270 0001964575495 PUTRI SEPANYA MARJIATI P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1265 09-01-2017 111914200117Y001555 0001972443587 NGAIDAHTUL KHASANAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1266 09-01-2017 111914200117Y000330 0001972444915 SRI KUNDARWATI P PBI (APBD) Nummular dermatitis Berobat Jalan

1267 09-01-2017 111914200117Y000293 0001972445523 TH. SARDIMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1268 09-01-2017 111914200117Y000826 0001972445646 AYESA RINDRA BAYU PRATIWI P PBI (APBN) Typhoid fever Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1269 09-01-2017 111914200117Y000311 0001972445657 ENDANG WAHYU N P PBI (APBN) Somatization disorder Berobat Jalan

1270 09-01-2017 111914200117Y000283 0001972446052 SIGIT MULYADI L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1271 09-01-2017 111914200117Y000299 0001972452879 CATUR GILANG N L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1272 09-01-2017 111914200117Y000329 0001972452892 EDI SURYADI L PBI (APBN) Nummular dermatitis Berobat Jalan

1273 09-01-2017 111914200117Y000286 0001972453814 SULASTRI L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1274 09-01-2017 111914200117Y000274 0001972456367 TINIK P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
1275 09-01-2017 111914200117Y000829 0001972458101 LASINO L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1276 09-01-2017 111914200117Y000304 0001972483255 NARTI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1277 09-01-2017 111914200117Y001410 0002010006854 SYIFAUR ROHMAN L PBI (APBN) Pulpitis Berobat Jalan

1278 09-01-2017 111914200117Y001465 0002010032324 SUPARMI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1279 09-01-2017 111914200117Y000302 0002070231456 SARWINAH P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
1280 09-01-2017 111914200117Y000313 0002077628455 SUNARNI P PENERIMA PENSIUN TNI Cluster headache Berobat Jalan
syndrome
1281 09-01-2017 111914200117Y001552 0002197061943 CEMI OKTAVIANI P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
pregnancy
1282 09-01-2017 111914200117Y000288 0002198063755 HARJO PRACIHNO L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1283 09-01-2017 111914200117Y000281 0002201708867 ITA SULISTYANINGSIH P PEKERJA MANDIRI Other specified disorders Berobat Jalan
of urinary system
1284 09-01-2017 111914200117Y000273 0002206909596 DODY HUTAMA KARYA L PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
1285 08-01-2017 111914200117Y001642 0000542696332 LASTRI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
1286 08-01-2017 111914200117Y000830 0000544058662 TRI WAHYU ROMADON L PBI (APBN) Acute upper respiratory Sembuh
infection, unspecified
1287 07-01-2017 111914200117Y000262 0000030038984 KARDJONO L PENERIMA PENSIUN TNI Cluster headache Berobat Jalan
syndrome
1288 07-01-2017 111914200117Y000231 0000030040402 PARDI L PENERIMA PENSIUN TNI Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1289 07-01-2017 111914200117Y000244 0000030055072 K.KASWATI P PENERIMA PENSIUN Staphylococcal arthritis Berobat Jalan
PNS and polyarthritis
1290 07-01-2017 111914200117Y001398 0000030062643 SALMINATUN P PENERIMA PENSIUN Acute apical periodontitis Berobat Jalan
PNS of pulpal origin
1291 07-01-2017 111914200117Y000227 0000030063802 SIBUN TJIPTOSUNOTO L PENERIMA PENSIUN Predominantly allergic Berobat Jalan
PNS asthma
1292 07-01-2017 111914200117Y000242 0000030065218 SOEHARTO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1293 07-01-2017 111914200117Y000234 0000084220435 SUKARDI L PNS DAERAH Rheumatism, unspecified Berobat Jalan

1294 07-01-2017 111914200117Y000228 0000084242654 MALIKAH P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1295 07-01-2017 111914200117Y000230 0000084309489 BANDIDJO L VETERAN Rheumatism, unspecified Berobat Jalan

1296 07-01-2017 111914200117Y000210 0000084337547 SUGIATI P PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
1297 07-01-2017 111914200117Y000206 0000084375325 SRI DARNINGSIH P PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
1298 07-01-2017 111914200117Y000208 0000084401054 RISNANTOKO L PNS DAERAH Rheumatism, unspecified Berobat Jalan

1299 07-01-2017 111914200117Y000225 0000084471917 PAIRIN L PENERIMA PENSIUN Migraine without aura Berobat Jalan
PNS [common migraine]
1300 07-01-2017 111914200117Y000226 0000084556776 WANIJAH P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1301 07-01-2017 111914200117Y000258 0000084580896 SUDARTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1302 07-01-2017 111914200117Y000232 0000084672663 BUNINGSIH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1303 07-01-2017 111914200117Y000205 0000084763517 SULAMI P PNS DAERAH Other migraine Berobat Jalan

1304 07-01-2017 111914200117Y000245 0000168868721 WARJILAH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1305 07-01-2017 111914200117Y000263 0000199500726 ANNE MARIE P PNS DAERAH Rheumatism, unspecified Berobat Jalan

1306 07-01-2017 111914200117Y000241 0000201592506 RYAN KURNIAWAN L PEKERJA MANDIRI Febrile convulsions Berobat Jalan

1307 07-01-2017 111914200117Y000219 0000205377941 SUPARNO L PNS DAERAH Febrile convulsions Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1308 07-01-2017 111914200117Y000250 0000208849588 MUH FARHAN AL FARUQ L PNS PUSAT Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1309 07-01-2017 111914200117Y000224 0000543119444 SOKINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1310 07-01-2017 111914200117Y000220 0000543132843 WAGINI AMAT SAHERI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

1311 07-01-2017 111914200117Y000249 0000543635414 ACHMAD SOFWAN L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1312 07-01-2017 111914200117Y001549 0000543822963 AMBAR NGATISIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1313 07-01-2017 111914200117Y001035 0000543822963 AMBAR NGATISIH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1314 07-01-2017 111914200117Y000222 0000544052755 DIAN HASTARI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1315 07-01-2017 111914200117Y000261 0000544134442 SRI SUMIATI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1316 07-01-2017 111914200117Y000259 0000544135926 MARZELLA WAHYUNI PUTRI P PBI (APBN) Typhoid fever Berobat Jalan

1317 07-01-2017 111914200117Y000251 0000544347775 LILIK BUDI SAPUTRO L PBI (APBN) Puerperal sepsis Berobat Jalan

1318 07-01-2017 111914200117Y000832 0000544498233 SUPRAPNO L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1319 07-01-2017 111914200117Y000221 0000544727092 MERI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1320 07-01-2017 111914200117Y000255 0000544728813 SUSIATI P PBI (APBN) Somatization disorder Berobat Jalan

1321 07-01-2017 111914200117Y000248 0000544732312 FADILA NUR P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

1322 07-01-2017 111914200117Y000213 0000642418661 MEIMUNAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1323 07-01-2017 111914200117Y000239 0001019014615 SALSA JUNITA P PBI (APBN) Streptococcal pharyngitis Berobat Jalan

1324 07-01-2017 111914200117Y000207 0001082466145 WIDIARSIH P PENERIMA PENSIUN Other migraine Berobat Jalan
PNS
1325 07-01-2017 111914200117Y000240 0001103348362 WASIK L TNI ANGKATAN DARAT Mucopurulent Berobat Jalan
conjunctivitis
1326 07-01-2017 111914200117Y000243 0001109171957 SRI KHASIFAH P PRAJURIT AD Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1327 07-01-2017 111914200117Y000237 0001266053321 SUPRIYANTO L PEKERJA MANDIRI Febrile convulsions Berobat Jalan

1328 07-01-2017 111914200117Y000246 0001268765717 TITRA MARGASARI P ANGGOTA POLRI Acute haemorrhagic Berobat Jalan
gastritis
1329 07-01-2017 111914200117Y000217 0001279052627 MURNIATI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1330 07-01-2017 111914200117Y000209 0001279239489 SUWARNI P PENERIMA PENSIUN Person consulting on Berobat Jalan
PNS behalf of another person
1331 07-01-2017 111914200117Y000229 0001284472304 WARSIKUN HADI SOESENO L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1332 07-01-2017 111914200117Y000216 0001296518725 MUJIATI P PEKERJA MANDIRI Keratoconjunctivitis due to Berobat Jalan
adenovirus
1333 07-01-2017 111914200117Y000233 0001298676284 AMBAR MAWARNI P PEKERJA MANDIRI General medical Berobat Jalan
examination
1334 07-01-2017 111914200117Y000256 0001423848093 ALBERTUS BAGAS ADINATA L PEGAWAI SWASTA Influenza with other Berobat Jalan
HERDA PRATAMA respiratory manifestations,
virus not identified

1335 07-01-2017 111914200117Y000238 0001819829035 AUERELLA AUFA LAILANY P PEGAWAI SWASTA Febrile convulsions Berobat Jalan

1336 07-01-2017 111914200117Y001396 0001819876667 IKA MEI NUR HANDAYANI P PEGAWAI PEMERINTAH Acute apical periodontitis Berobat Jalan
NON PNS of pulpal origin
1337 07-01-2017 111914200117Y000257 0001834416966 maryati P PEGAWAI SWASTA Somatization disorder Berobat Jalan

1338 07-01-2017 111914200117Y000247 0001877759379 siti maemunah P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1339 07-01-2017 111914200117Y000822 0001899983788 tusiyem P PEKERJA MANDIRI Predominantly allergic Sembuh
asthma
1340 07-01-2017 111914200117Y000211 0001906333604 SOGIRAN L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1341 07-01-2017 111914200117Y000235 0001972441541 NUROCHIM L PBI (APBN) Nummular dermatitis Berobat Jalan

1342 07-01-2017 111914200117Y000253 0001972445657 ENDANG WAHYU N P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1343 07-01-2017 111914200117Y000223 0001972450001 ASYIFA DWI OKTAFIYANTI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1344 07-01-2017 111914200117Y000236 0001972450203 DWI SAPTADI L PBI (APBN) Perichondritis of external Berobat Jalan
ear
1345 07-01-2017 111914200117Y000260 0001972451283 SARINAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1346 07-01-2017 111914200117Y001548 0001972452429 MIHARTUTI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1347 07-01-2017 111914200117Y000212 0001972483255 NARTI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1348 07-01-2017 111914200117Y000264 0002009999373 TIMBUL WINARTI P PBI (APBN) Sialoadenitis Berobat Jalan

1349 07-01-2017 111914200117Y001550 0002010003838 MUSRINGAH P PBI (APBN) Leiomyoma of uterus, Berobat Jalan
unspecified
1350 07-01-2017 111914200117Y000215 0002010030006 DJONI SIKAR L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1351 07-01-2017 111914200117Y000214 0002036085254 ANTONIUS BUDI SAYOGA L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1352 07-01-2017 111914200117Y001397 0002036086435 IGNATIUS BAYU SETYA N L PEKERJA MANDIRI Pulpitis Berobat Jalan

1353 07-01-2017 111914200117Y000218 0002070231456 SARWINAH P PEKERJA MANDIRI Staphylococcal arthritis Berobat Jalan
and polyarthritis
1354 07-01-2017 111914200117Y000254 0002194854287 SURASMI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1355 07-01-2017 111914200117Y000252 0002201708867 ITA SULISTYANINGSIH P PEKERJA MANDIRI Somatization disorder Berobat Jalan

1356 07-01-2017 111914200117Y001399 0002201709249 YUNITA PUTRI MEGAWATI P PEKERJA MANDIRI Pulpitis Berobat Jalan

1357 06-01-2017 111914200117Y000204 0000030041796 SRI SUMARNI P PENERIMA PENSIUN TNI Staphylococcal arthritis Berobat Jalan
and polyarthritis
1358 06-01-2017 111914200117Y000201 0000030042281 SULISTYOWATI P PENERIMA PENSIUN TNI Other disorders of Berobat Jalan
refraction
1359 06-01-2017 111914200117Y000169 0000030043225 SURTI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1360 06-01-2017 111914200117Y000165 0000030062136 SABIRAH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1361 06-01-2017 111914200117Y000181 0000030068493 CHATARINA SURTINI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1362 06-01-2017 111914200117Y000163 0000030070056 SUMARMI P PENERIMA PENSIUN Perichondritis of external Berobat Jalan
PNS ear
1363 06-01-2017 111914200117Y000164 0000044190819 SUNARSIH P PENERIMA PENSIUN TNI Malignant neoplasm of Berobat Jalan
abdomen
1364 06-01-2017 111914200117Y000190 0000083886491 SUYATMI P PENERIMA PENSIUN Acute bronchitis due to Berobat Jalan
PNS Mycoplasma pneumoniae
1365 06-01-2017 111914200117Y000198 0000084275436 SUPRIYANTO L PNS DAERAH Malignant neoplasm of Berobat Jalan
abdomen
1366 06-01-2017 111914200117Y000172 0000084318006 KAMISAH. P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

1367 06-01-2017 111914200117Y000187 0000084337749 R ROCHMAD L PENERIMA PENSIUN TNI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1368 06-01-2017 111914200117Y000168 0000084366977 TUGISO L PENERIMA PENSIUN TNI Herpes gestationis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1369 06-01-2017 111914200117Y000175 0000084434319 H.M.DAROIN,BA L PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

1370 06-01-2017 111914200117Y001547 0000084660985 BUDIARTI P PNS DAERAH Surveillance of Berobat Jalan
(intrauterine) contraceptive

1371 06-01-2017 111914200117Y000166 0000084661132 WARNI P PNS DAERAH Rheumatism, unspecified Berobat Jalan

1372 06-01-2017 111914200117Y001371 0000084675745 LILIK RAHAJENG P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1373 06-01-2017 111914200117Y001372 0000084701272 SUGIYARTI P PNS DAERAH Influenza with pneumonia, Berobat Jalan
virus not identified

1374 06-01-2017 111914200117Y000173 0000084704861 SRI HARTINI P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1375 06-01-2017 111914200117Y000200 0000085058998 KASNO L PNS DAERAH Malignant neoplasm of Berobat Jalan
sphenoidal sinus
1376 06-01-2017 111914200117Y001034 0000543399006 SITI SOIMAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1377 06-01-2017 111914200117Y001545 0000543399006 SITI SOIMAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1378 06-01-2017 111914200117Y000161 0000543607007 MINARNI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1379 06-01-2017 111914200117Y000203 0000543662921 WAHYU NUGROHO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1380 06-01-2017 111914200117Y000199 0000543785444 ANTONI PRIYANDANI L PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
1381 06-01-2017 111914200117Y000659 0000543839488 TRIONO L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1382 06-01-2017 111914200117Y000177 0000543881902 WALUYO L PBI (APBN) Cyst of spleen Berobat Jalan

1383 06-01-2017 111914200117Y000179 0000543921502 ASNANI P PBI (APBN) Haematemesis Berobat Jalan

1384 06-01-2017 111914200117Y000180 0000543922209 PUTRI ALYA AGUSTIN P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

1385 06-01-2017 111914200117Y001293 0000544069146 MURNI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1386 06-01-2017 111914200117Y000193 0000544228536 TUKINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1387 06-01-2017 111914200117Y000188 0000544487051 ISAH P PBI (APBN) Somatization disorder Berobat Jalan

1388 06-01-2017 111914200117Y000160 0000544660615 KOYIDAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1389 06-01-2017 111914200117Y000202 0000544783239 WULANDARI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1390 06-01-2017 111914200117Y000176 0001019008754 BARIATY P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1391 06-01-2017 111914200117Y000185 0001019008787 RADITYA DHARMAWAN L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1392 06-01-2017 111914200117Y001546 0001019012422 SITI AMINAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1393 06-01-2017 111914200117Y000183 0001019076513 RAHMI IS KHASANI P PBI (APBN) Nummular dermatitis Berobat Jalan

1394 06-01-2017 111914200117Y000194 0001019076928 SUGIARTO L PBI (APBN) Nummular dermatitis Berobat Jalan

1395 06-01-2017 111914200117Y000174 0001183762607 NOFIFAH AZIZAH P PEGAWAI SWASTA Malignant neoplasm of Berobat Jalan
short bones of upper limb
1396 06-01-2017 111914200117Y000196 0001261622744 TOMY PRATOMO L PEKERJA MANDIRI Infantile, juvenile and Berobat Jalan
presenile cataract
1397 06-01-2017 111914200117Y000197 0001308301817 TRI ROCHANI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1398 06-01-2017 111914200117Y000195 0001429095958 LUSYANA FATMAWATI P PRAJURIT AD Other migraine Berobat Jalan

1399 06-01-2017 111914200117Y001373 0001441747552 SUSTIWI HANDAYANI P PEKERJA MANDIRI Influenza with pneumonia, Berobat Jalan
virus not identified

1400 06-01-2017 111914200117Y000178 0001615358924 Legiyem P PBI (APBD) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
1401 06-01-2017 111914200117Y000184 0001830977291 SETIYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1402 06-01-2017 111914200117Y000167 0001845452395 SAMINEM P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
1403 06-01-2017 111914200117Y000191 0001899771287 WAHYU DIHARTO L PEKERJA MANDIRI Otitis media in bacterial Berobat Jalan
diseases classified

1404 06-01-2017 111914200117Y000189 0001972442902 MARYANTO L PBI (APBN) General medical Berobat Jalan
examination
1405 06-01-2017 111914200117Y000186 0001972444241 KARTO SUDARNO L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1406 06-01-2017 111914200117Y000824 0001972458369 SUMARNI P PBI (APBN) Acute haemorrhagic Sembuh
gastritis
1407 06-01-2017 111914200117Y000821 0002010010566 SANYEP PATIMAH P PBI (APBN) Dyspepsia Sembuh

1408 06-01-2017 111914200117Y000192 0002010010566 SANYEP PATIMAH P PBI (APBN) Unspecified haematuria Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1409 06-01-2017 111914200117Y000182 0002010030388 HADI SUWITO L PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
1410 06-01-2017 111914200117Y000170 0002036085254 ANTONIUS BUDI SAYOGA L PEKERJA MANDIRI Staphylococcal arthritis Berobat Jalan
and polyarthritis
1411 06-01-2017 111914200117Y000162 0002036085974 ENNY LESTARI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1412 06-01-2017 111914200117Y000171 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1413 05-01-2017 111914200117Y000135 0000030042281 SULISTYOWATI P PENERIMA PENSIUN TNI Hypermetropia Berobat Jalan

1414 05-01-2017 111914200117Y000139 0000030062125 SITI ASNAH P PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1415 05-01-2017 111914200117Y001425 0000030069843 SUKOJO L PENERIMA PENSIUN Caries of cementum Berobat Jalan
PNS
1416 05-01-2017 111914200117Y000130 0000030073803 WAGINEM P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1417 05-01-2017 111914200117Y000153 0000039169146 LEONARDO SUNOTHO S. L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1418 05-01-2017 111914200117Y000158 0000084169326 NURSINAH P PNS DAERAH Other viral conjunctivitis Berobat Jalan

1419 05-01-2017 111914200117Y000134 0000084263861 TURMONO L PNS PUSAT Streptococcal pharyngitis Berobat Jalan

1420 05-01-2017 111914200117Y000121 0000084273849 RAHAYU P PENERIMA PENSIUN Impacted cerumen Berobat Jalan
PNS
1421 05-01-2017 111914200117Y000129 0000084296259 SUNARYO L PENERIMA PENSIUN Febrile convulsions Berobat Jalan
PNS
1422 05-01-2017 111914200117Y000156 0000084296261 TITIK MUARIFAH P PENERIMA PENSIUN Cluster headache Berobat Jalan
PNS syndrome
1423 05-01-2017 111914200117Y000119 0000084299264 M JAWADI,BA L PNS PUSAT Rheumatism, unspecified Berobat Jalan

1424 05-01-2017 111914200117Y001460 0000084344433 DAMIYAH P PENERIMA PENSIUN TNI Acute haemorrhagic Berobat Jalan
gastritis
1425 05-01-2017 111914200117Y000118 0000084513407 SOFINATUN P PENERIMA PENSIUN General medical Berobat Jalan
PNS examination
1426 05-01-2017 111914200117Y000145 0000084661132 WARNI P PNS DAERAH Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

1427 05-01-2017 111914200117Y001366 0000084675857 SITI RAHAYU P PNS DAERAH Influenza with pneumonia, Berobat Jalan
virus not identified

1428 05-01-2017 111914200117Y001544 0000084765148 ADDIEL NIENGSARIE SRIE P PEKERJA MANDIRI Supervision of normal first Berobat Jalan
UTAMIE pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1429 05-01-2017 111914200117Y000154 0000101066466 SATIRAH P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1430 05-01-2017 111914200117Y000115 0000200181914 TRININGSIH P PNS PUSAT Cluster headache Berobat Jalan
syndrome
1431 05-01-2017 111914200117Y000116 0000200181958 ATHA AFIF FADHIL APRIA A L PNS PUSAT Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1432 05-01-2017 111914200117Y001032 0000543089283 SUPIYAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1433 05-01-2017 111914200117Y000124 0000543133719 SUTRIMAH P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
1434 05-01-2017 111914200117Y000141 0000543140706 B REJO IRANU SONEM P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1435 05-01-2017 111914200117Y000142 0000543141022 PONITRI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1436 05-01-2017 111914200117Y001365 0000543153317 KEMINI MUJI UTOMO P PBI (APBN) Somatization disorder Berobat Jalan

1437 05-01-2017 111914200117Y001419 0000543617965 NAZRIL ILHAM SADEWA L PBI (APBN) Chronic periodontitis Berobat Jalan

1438 05-01-2017 111914200117Y000827 0000543696028 SULASTRI P PBI (APBN) Acute haemorrhagic Sembuh
gastritis
1439 05-01-2017 111914200117Y000144 0000543798977 RISKI L PBI (APBN) Malignant neoplasm of Berobat Jalan
abdomen
1440 05-01-2017 111914200117Y000137 0000543891025 SUTRIMO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1441 05-01-2017 111914200117Y000122 0000543910533 KEMIJAH P PBI (APBN) Abnormal level of blood Berobat Jalan
mineral
1442 05-01-2017 111914200117Y000146 0000543982792 WIBOWO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

1443 05-01-2017 111914200117Y000126 0000543983196 SITI KHOTIJAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1444 05-01-2017 111914200117Y000149 0000544399604 PATMIYATI P PBI (APBN) Somatization disorder Berobat Jalan

1445 05-01-2017 111914200117Y000132 0001019014198 SURATI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1446 05-01-2017 111914200117Y000136 0001019076928 SUGIARTO L PBI (APBN) Disorders of initiating and Berobat Jalan
maintaining sleep

1447 05-01-2017 111914200117Y000148 0001082186392 SARNI P PENERIMA PENSIUN TNI Somatization disorder Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1448 05-01-2017 111914200117Y001418 0001100583696 PURWANTI P ANGGOTA POLRI Chronic periodontitis Berobat Jalan

1449 05-01-2017 111914200117Y000131 0001170640495 KARTINI P PEGAWAI SWASTA Other migraine Berobat Jalan

1450 05-01-2017 111914200117Y000140 0001387999089 CHRISTINA RUSMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1451 05-01-2017 111914200117Y000123 0001388337906 fx sumaryadi L PEKERJA MANDIRI Myalgia Berobat Jalan

1452 05-01-2017 111914200117Y000155 0001422769498 UMARSIH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1453 05-01-2017 111914200117Y000125 0001434150595 RICKO ANGGA SAPUTRA L PNS DAERAH Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1454 05-01-2017 111914200117Y000117 0001434277629 SUMARI L PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1455 05-01-2017 111914200117Y001541 0001478247309 PRAMESTI RINI UTAMI DEWI P PRAJURIT AD Supervision of other Berobat Jalan
normal pregnancy
1456 05-01-2017 111914200117Y001633 0001800518591 alfiyah P PEKERJA MANDIRI Loss of teeth due to Berobat Jalan
accident, extraction or

1457 05-01-2017 111914200117Y000133 0001812843764 PONISIH P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1458 05-01-2017 111914200117Y000128 0001821634942 TRIONO L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1459 05-01-2017 111914200117Y000143 0001834416966 maryati P PEGAWAI SWASTA Nummular dermatitis Berobat Jalan

1460 05-01-2017 111914200117Y000127 0001855053505 SATRIO RINEKSO L PBI (APBD) Cluster headache Berobat Jalan
syndrome
1461 05-01-2017 111914200117Y000157 0001855057577 LUKITO SUNU L PBI (APBD) Disorders of initiating and Berobat Jalan
maintaining sleep

1462 05-01-2017 111914200117Y001033 0001880433538 dwi rina asteria P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1463 05-01-2017 111914200117Y001543 0001880433538 dwi rina asteria P PEKERJA MANDIRI General counselling and Berobat Jalan
advice on contraception
1464 05-01-2017 111914200117Y000152 0001972443227 SUMINI P PBI (APBN) Staphylococcal arthritis Berobat Jalan
and polyarthritis
1465 05-01-2017 111914200117Y000150 0001972446502 SUTASMI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1466 05-01-2017 111914200117Y000120 0001972452609 KARYO SEMITO L PBI (APBN) Acute bronchitis due to Berobat Jalan
Mycoplasma pneumoniae
1467 05-01-2017 111914200117Y001540 0001972453329 SITI MARJANAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1468 05-01-2017 111914200117Y001364 0001972500085 ENIK WAHYUNI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1469 05-01-2017 111914200117Y001542 0002009999092 SINTOWATI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1470 05-01-2017 111914200117Y000138 0002010000328 RUSTINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1471 05-01-2017 111914200117Y001520 0002010020095 APRILIA CITRA WARDANI P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1472 05-01-2017 111914200117Y001459 0002010032245 ERNI PUJI ASTUTI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

1473 05-01-2017 111914200117Y000151 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1474 05-01-2017 111914200117Y000147 0002091402448 EDI KUSWORO L PEKERJA MANDIRI General medical Berobat Jalan
examination
1475 04-01-2017 111914200117Y000109 0000030039906 WASIYEM P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

1476 04-01-2017 111914200117Y000075 0000030062136 SABIRAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1477 04-01-2017 111914200117Y000085 0000030068717 SUDARSONO L PENERIMA PENSIUN Puerperal sepsis Berobat Jalan
PNS
1478 04-01-2017 111914200117Y000078 0000039105933 PARWOTO L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1479 04-01-2017 111914200117Y000076 0000039105944 WELAS P PENERIMA PENSIUN Streptococcal pharyngitis Berobat Jalan
PNS
1480 04-01-2017 111914200117Y000077 0000039107755 SRI TUNGGAL P PENERIMA PENSIUN Cluster headache Berobat Jalan
PNS syndrome
1481 04-01-2017 111914200117Y000086 0000042908275 PONIKEM P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1482 04-01-2017 111914200117Y000093 0000044489834 SRI MURTI ZAIN P PENERIMA PENSIUN Infantile, juvenile and Berobat Jalan
PNS presenile cataract
1483 04-01-2017 111914200117Y000080 0000046020352 TUSILAN DJOJOWINANGUN L PENERIMA PENSIUN TNI Other arenaviral Berobat Jalan
haemorrhagic fevers
1484 04-01-2017 111914200117Y000069 0000075804928 HARTOYO L PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1485 04-01-2017 111914200117Y001416 0000084169326 NURSINAH P PNS DAERAH Caries of dentine Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1486 04-01-2017 111914200117Y000112 0000084206024 SUTIMI P PNS DAERAH Nummular dermatitis Berobat Jalan

1487 04-01-2017 111914200117Y000101 0000084309423 BAMBANG SOEKARDI L PENERIMA PENSIUN TNI Perichondritis of external Berobat Jalan
ear
1488 04-01-2017 111914200117Y000072 0000084370533 SUYATMI P PENERIMA PENSIUN TNI Nummular dermatitis Berobat Jalan

1489 04-01-2017 111914200117Y000548 0000084409402 SRI SUGIYANTARI P PNS DAERAH Impacted cerumen Berobat Jalan

1490 04-01-2017 111914200117Y000095 0000084425613 DARJAKUN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1491 04-01-2017 111914200117Y000114 0000084456808 MARWONO L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1492 04-01-2017 111914200117Y000089 0000084469184 NGATINI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1493 04-01-2017 111914200117Y000096 0000084518829 SUGANDHI L PENERIMA PENSIUN Acute haemorrhagic Berobat Jalan
PNS gastritis
1494 04-01-2017 111914200117Y001414 0000084528516 SUPARMAN L PENERIMA PENSIUN Chronic periodontitis Berobat Jalan
PNS
1495 04-01-2017 111914200117Y000066 0000084555821 SUNARMI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1496 04-01-2017 111914200117Y000070 0000084732186 MARSODJO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1497 04-01-2017 111914200117Y000071 0000084732197 SIMUR P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS respiratory manifestations,
virus not identified

1498 04-01-2017 111914200117Y000065 0000084861909 SUWARNI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1499 04-01-2017 111914200117Y000064 0000084861922 BAGAS SETA PRIMANDANI L PNS DAERAH Streptococcal pharyngitis Berobat Jalan

1500 04-01-2017 111914200117Y000108 0000084959919 SOEMARDJO L PENERIMA PENSIUN Otitis media in bacterial Berobat Jalan
PNS diseases classified

1501 04-01-2017 111914200117Y000098 0000197835309 MISNIWATI P PENERIMA PENSIUN TNI Disorders of initiating and Berobat Jalan
maintaining sleep

1502 04-01-2017 111914200117Y000107 0000199358864 SUDARWATI P PENERIMA PENSIUN Streptococcal pharyngitis Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1503 04-01-2017 111914200117Y001539 0000543247479 YULIANI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1504 04-01-2017 111914200117Y001536 0000543403124 IIS SUSILOWATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1505 04-01-2017 111914200117Y000092 0000543525726 HADI SUWITO PRAYITNO L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1506 04-01-2017 111914200117Y000094 0000543673517 PURWONGGOWIKORO L PBI (APBN) Rheumatism, unspecified Berobat Jalan
SUPRIYANTO
1507 04-01-2017 111914200117Y001030 0000543911545 DIYAH ASFIYANI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1508 04-01-2017 111914200117Y001538 0000544085807 JEMINEM P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1509 04-01-2017 111914200117Y000104 0000544108522 KUSMINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1510 04-01-2017 111914200117Y000097 0000544433815 TUMINAH P PBI (APBN) Drug-induced obesity Berobat Jalan

1511 04-01-2017 111914200117Y000099 0000544479996 RUBIYAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1512 04-01-2017 111914200117Y000090 0000544646766 SUMARYONO L PBI (APBN) Somatization disorder Berobat Jalan

1513 04-01-2017 111914200117Y001415 0000544719093 NOVANY NURADHA P PBI (APBN) Acute periodontitis Berobat Jalan
RAHMASARI
1514 04-01-2017 111914200117Y001417 0000544723931 PAINAH P PBI (APBN) Chronic periodontitis Berobat Jalan

1515 04-01-2017 111914200117Y000068 0000544727092 MERI P PBI (APBN) Nummular dermatitis Berobat Jalan

1516 04-01-2017 111914200117Y000073 0000544775905 SUCIATI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1517 04-01-2017 111914200117Y000102 0000544780675 ERNI SUMARNI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1518 04-01-2017 111914200117Y000088 0000544796291 JULIATI SUPRIHATINI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1519 04-01-2017 111914200117Y001534 0000544828893 YUNITA RITI LESTARI P PBI (APBN) Supervision of normal first Berobat Jalan
PRIVANTO pregnancy
1520 04-01-2017 111914200117Y001488 0001018987536 MUJIRAN L PBI (APBN) Typhoid fever Sembuh

1521 04-01-2017 111914200117Y000105 0001266053578 SUWIYEM P PEKERJA MANDIRI Abnormal level of blood Berobat Jalan
mineral
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1522 04-01-2017 111914200117Y000084 0001266872174 DARMINI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1523 04-01-2017 111914200117Y000079 0001279239489 SUWARNI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1524 04-01-2017 111914200117Y000083 0001296430885 RISUSANTI P PEKERJA MANDIRI Acute posthaemorrhagic Berobat Jalan
anaemia
1525 04-01-2017 111914200117Y000111 0001379369722 TUKINEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1526 04-01-2017 111914200117Y000816 0001526264796 PURNAMI WULAN LATRI P PEGAWAI SWASTA Mild hyperemesis Sembuh
gravidarum
1527 04-01-2017 111914200117Y000818 0001615413363 BAGUS PRASETYO L PBI (APBD) Typhoid fever Sembuh

1528 04-01-2017 111914200117Y000106 0001774030599 WAHYUTI P PEGAWAI SWASTA Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1529 04-01-2017 111914200117Y000081 0001846835976 GIMUN L PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1530 04-01-2017 111914200117Y000074 0001867506816 SRI UDJI RAHAYU P PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1531 04-01-2017 111914200117Y000113 0001879655455 SUNARYO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1532 04-01-2017 111914200117Y001535 0001966902197 YUNNY WULANDARI P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
1533 04-01-2017 111914200117Y000103 0001972441304 NOVI WIJAYANTI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1534 04-01-2017 111914200117Y000087 0001972446647 RIAN RIZKI O L PBI (APBN) Nummular dermatitis Berobat Jalan

1535 04-01-2017 111914200117Y001031 0001972452429 MIHARTUTI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1536 04-01-2017 111914200117Y001537 0001972452429 MIHARTUTI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1537 04-01-2017 111914200117Y000067 0001972499703 MARIYO L PBI (APBN) Nummular dermatitis Berobat Jalan

1538 04-01-2017 111914200117Y000100 0002026569003 PETRUK SURO MARTONO L PBI (APBN) Nummular dermatitis Berobat Jalan

1539 04-01-2017 111914200117Y000091 0002037448337 SUTARTO L PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1540 04-01-2017 111914200117Y000082 0002065424398 NURAINI P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1541 04-01-2017 111914200117Y000110 0002070231456 SARWINAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1542 03-01-2017 111914200117Y000030 0000030043225 SURTI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1543 03-01-2017 111914200117Y000058 0000030064443 SLAMET ADI SUDARMA L PENERIMA PENSIUN Superficial injuries Berobat Jalan
PNS involving head with neck
1544 03-01-2017 111914200117Y000041 0000030071351 SUPINI P PENERIMA PENSIUN Predominantly allergic Berobat Jalan
PNS asthma
1545 03-01-2017 111914200117Y000025 0000037212862 SETIAWAN ADI NUGROHO L PNS PUSAT Corpus luteum cyst Berobat Jalan

1546 03-01-2017 111914200117Y000024 0000049348708 SUKARSIH P PNS DAERAH Rheumatism, unspecified Berobat Jalan

1547 03-01-2017 111914200117Y000023 0000084328852 MOERDIJATI P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1548 03-01-2017 111914200117Y000040 0000084391007 PONO L VETERAN Acute haemorrhagic Berobat Jalan
gastritis
1549 03-01-2017 111914200117Y000053 0000084400198 MINTARJO L PNS DAERAH Typhoid fever Berobat Jalan

1550 03-01-2017 111914200117Y000029 0000084431856 ENDANG HERU DINAH P PENERIMA PENSIUN Parkinson's disease Berobat Jalan
PNS
1551 03-01-2017 111914200117Y000057 0000084545651 SUWARTI P PENERIMA PENSIUN General medical Berobat Jalan
PNS examination
1552 03-01-2017 111914200117Y000039 0000084659229 SUMANTO L PNS DAERAH Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1553 03-01-2017 111914200117Y000660 0000084659229 SUMANTO L PNS DAERAH Acute laryngopharyngitis Sembuh

1554 03-01-2017 111914200117Y000037 0000084706558 MURTININGSIH P PENERIMA PENSIUN Cyst of spleen Berobat Jalan
PNS
1555 03-01-2017 111914200117Y000063 0000101014885 DJONO L PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1556 03-01-2017 111914200117Y000019 0000159386433 SOPIYAH P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1557 03-01-2017 111914200117Y000028 0000205377941 SUPARNO L PNS DAERAH Febrile convulsions Berobat Jalan

1558 03-01-2017 111914200117Y000035 0000543072835 M. RIDHO YUSUF L PBI (APBN) Typhoid fever Berobat Jalan

1559 03-01-2017 111914200117Y001368 0000543130964 SUSILOWATI P PBI (APBN) Somatization disorder Berobat Jalan

1560 03-01-2017 111914200117Y000036 0000543590785 MASITO L PBI (APBN) Rheumatism, unspecified Berobat Jalan

1561 03-01-2017 111914200117Y001027 0000543612431 TITIN P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1562 03-01-2017 111914200117Y001028 0000543791665 NURYANI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1563 03-01-2017 111914200117Y000048 0000543873723 WAGIMIN L PBI (APBN) Tinea corporis Berobat Jalan

1564 03-01-2017 111914200117Y000026 0000544049741 ALI TOFAH L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
1565 03-01-2017 111914200117Y001497 0000544262624 WIDI ASTUTI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

1566 03-01-2017 111914200117Y001496 0000544265188 ELISA DEWI LESTARI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

1567 03-01-2017 111914200117Y000034 0000544455281 NY WARSO UTOMO PAINEM P PBI (APBN) Other multiple delivery Berobat Jalan

1568 03-01-2017 111914200117Y000056 0000544674251 YULAIKAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1569 03-01-2017 111914200117Y000046 0000544676567 OKTA SATRIA PAMUNGKAS L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
1570 03-01-2017 111914200117Y000054 0000544909195 EDY PRAYITNO L PBI (APBN) Otitis media in bacterial Berobat Jalan
diseases classified

1571 03-01-2017 111914200117Y000820 0001018987536 MUJIRAN L PBI (APBN) Typhoid fever Sembuh

1572 03-01-2017 111914200117Y001029 0001019006324 SRI UTAMI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1573 03-01-2017 111914200117Y001367 0001019013366 DEWI SEPTIYANI P PBI (APBN) Influenza with pneumonia, Berobat Jalan
virus not identified

1574 03-01-2017 111914200117Y000027 0001019074173 SRIANA P PBI (APBN) Nummular dermatitis Berobat Jalan

1575 03-01-2017 111914200117Y000043 0001092985738 NUR WULAN P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1576 03-01-2017 111914200117Y000032 0001284472304 WARSIKUN HADI SOESENO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1577 03-01-2017 111914200117Y000045 0001286501668 SURATINAH P PEKERJA MANDIRI Other pruritus Berobat Jalan

1578 03-01-2017 111914200117Y000031 0001297019968 SUSIANA P PEKERJA MANDIRI Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1579 03-01-2017 111914200117Y000038 0001315980797 KASBARI L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1580 03-01-2017 111914200117Y000062 0001326540295 MULYANI P PEKERJA MANDIRI Person consulting on Berobat Jalan
behalf of another person
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1581 03-01-2017 111914200117Y000047 0001429095958 LUSYANA FATMAWATI P PRAJURIT AD Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1582 03-01-2017 111914200117Y001531 0001615405577 MARMI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1583 03-01-2017 111914200117Y000061 0001867505062 INDRI ASTUTI KURNIAWATI, S. P PNS DAERAH Nummular dermatitis Berobat Jalan
STP
1584 03-01-2017 111914200117Y000060 0001867506816 SRI UDJI RAHAYU P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1585 03-01-2017 111914200117Y000042 0001870231882 JUMIRAH P PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1586 03-01-2017 111914200117Y001369 0001892347874 martomulyo tugiyo L PEGAWAI SWASTA Mucopurulent Berobat Jalan
conjunctivitis
1587 03-01-2017 111914200117Y001370 0001892348493 sri murtiningsih P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1588 03-01-2017 111914200117Y001532 0001972449189 VERA OKTAVIA P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1589 03-01-2017 111914200117Y000059 0001972458011 JUMIASIH P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1590 03-01-2017 111914200117Y000020 0001972483255 NARTI P PBI (APBN) Rheumatism, unspecified Berobat Jalan

1591 03-01-2017 111914200117Y000051 0002010003906 ROHDAYATI P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1592 03-01-2017 111914200117Y001533 0002010005447 KURNIA SUSANAWATI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1593 03-01-2017 111914200117Y001026 0002010005447 KURNIA SUSANAWATI P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
1594 03-01-2017 111914200117Y000819 0002010010509 WARDI UTOMO L PBI (APBN) Acute haemorrhagic Sembuh
gastritis
1595 03-01-2017 111914200117Y000044 0002010029916 TONIYAT L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
virus not identified

1596 03-01-2017 111914200117Y001518 0002010042213 JOHAN KRISWANTORO L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1597 03-01-2017 111914200117Y000050 0002010052361 KASAN MIHARJO L PBI (APBN) Somatization disorder Berobat Jalan

1598 03-01-2017 111914200117Y001289 0002013806079 PURWATI L PBI (APBN) General counselling and Berobat Jalan
advice on contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1599 03-01-2017 111914200117Y000055 0002036085254 ANTONIUS BUDI SAYOGA L PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1600 03-01-2017 111914200117Y000052 0002040521365 YENI CHARNIA P PEKERJA MANDIRI Malignant neoplasm of Berobat Jalan
abdomen
1601 03-01-2017 111914200117Y000033 0002052105467 WANTI P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1602 03-01-2017 111914200117Y000022 0002070231456 SARWINAH P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
1603 03-01-2017 111914200117Y000049 0002071214717 DARMO SUWITO L PEKERJA MANDIRI Benign neoplasm of other Berobat Jalan
major salivary glands

1604 02-01-2017 111914200117Y000604 0000030043225 SURTI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1605 02-01-2017 111914200117Y000008 0000039439686 SRI WAGIYATI P PENERIMA PENSIUN Nummular dermatitis Berobat Jalan
PNS
1606 02-01-2017 111914200117Y000603 0000084431856 ENDANG HERU DINAH P PENERIMA PENSIUN Parkinson's disease Berobat Jalan
PNS
1607 02-01-2017 111914200117Y001360 0000084504745 SUKIYAH P PENERIMA PENSIUN Somatization disorder Berobat Jalan
PNS
1608 02-01-2017 111914200117Y000018 0000084704872 SUBROTO L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
1609 02-01-2017 111914200117Y000606 0000084706558 MURTININGSIH P PENERIMA PENSIUN Rheumatism, unspecified Berobat Jalan
PNS
1610 02-01-2017 111914200117Y000002 0000542542904 AGUS SETIYONO L PBI (APBN) Superficial injuries Berobat Jalan
involving head with neck
1611 02-01-2017 111914200117Y000010 0000543134068 HARJO MARDONO L PBI (APBN) Superficial injuries Berobat Jalan
involving head with neck
1612 02-01-2017 111914200117Y001359 0000543142326 SUKATININGSIH P PBI (APBN) Somatization disorder Berobat Jalan

1613 02-01-2017 111914200117Y000003 0000543662921 WAHYU NUGROHO L PBI (APBN) Nummular dermatitis Berobat Jalan

1614 02-01-2017 111914200117Y000611 0000543873723 WAGIMIN L PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
1615 02-01-2017 111914200117Y000658 0000544085774 SARJIMAN L PBI (APBN) Acute haemorrhagic Sembuh
gastritis
1616 02-01-2017 111914200117Y000004 0000544228536 TUKINI P PBI (APBN) Cluster headache Berobat Jalan
syndrome
1617 02-01-2017 111914200117Y000013 0000544656295 SUGINI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
1618 02-01-2017 111914200117Y000016 0000544673913 MARYAM P PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
1619 02-01-2017 111914200117Y001395 0000544723931 PAINAH P PBI (APBN) Chronic apical Berobat Jalan
periodontitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1620 02-01-2017 111914200117Y000005 0000544776401 SRI SUJATMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1621 02-01-2017 111914200117Y000017 0000544890453 BAMBANG KUNTOYO L PBI (APBN) Acute amoebic dysentery Berobat Jalan

1622 02-01-2017 111914200117Y000012 0001019014356 RUBIYATI P PBI (APBN) Acute vulvitis Berobat Jalan

1623 02-01-2017 111914200117Y001519 0001019077165 RIZKY YUSUF PRATAMA L PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1624 02-01-2017 111914200117Y001526 0001019250213 ANI SETIAWATI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1625 02-01-2017 111914200117Y000605 0001092985738 NUR WULAN P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1626 02-01-2017 111914200117Y001529 0001204772938 EMI SOLIHAH P PEGAWAI SWASTA Supervision of other Berobat Jalan
normal pregnancy
1627 02-01-2017 111914200117Y001528 0001204772938 EMI SOLIHAH P PEGAWAI SWASTA Supervision of normal first Berobat Jalan
pregnancy
1628 02-01-2017 111914200117Y000607 0001268843488 SUMIYATI P PENERIMA PENSIUN TNI Rheumatism, unspecified Berobat Jalan

1629 02-01-2017 111914200117Y000015 0001439960534 PONIYEM P PEKERJA MANDIRI Keratoconjunctivitis due to Berobat Jalan
adenovirus
1630 02-01-2017 111914200117Y000009 0001474962039 GUNADI L PEKERJA MANDIRI Unspecified jaundice Berobat Jalan

1631 02-01-2017 111914200117Y000006 0001534727575 SUMARKO WIDJAYA L PBI (APBD) Rheumatism, unspecified Berobat Jalan

1632 02-01-2017 111914200117Y001530 0001615405577 MARMI P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
1633 02-01-2017 111914200117Y000001 0001650524049 Harsono L PEGAWAI SWASTA Chest pain on breathing Berobat Jalan

1634 02-01-2017 111914200117Y001524 0001819650385 EKO SETIYA WATI P PEGAWAI PEMERINTAH Supervision of normal first Berobat Jalan
NON PNS pregnancy
1635 02-01-2017 111914200117Y000011 0001876445177 AGUNG NUGROHO S SN L PEGAWAI SWASTA Benign lipomatous Berobat Jalan
neoplasm of skin and
subcutaneous tissue of

1636 02-01-2017 111914200117Y001362 0001892347874 martomulyo tugiyo L PEGAWAI SWASTA Urinary tract infection, site Berobat Jalan
not specified
1637 02-01-2017 111914200117Y001361 0001892348493 sri murtiningsih P PEGAWAI SWASTA Acute haemorrhagic Berobat Jalan
gastritis
1638 02-01-2017 111914200117Y000657 0001972450192 SITI MAHMUDA P PBI (APBN) Typhoid fever Sembuh

1639 02-01-2017 111914200117Y000661 0001972458369 SUMARNI P PBI (APBN) Vertiginous syndromes in Sembuh
diseases classified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bragolan - 11191420

1640 02-01-2017 111914200117Y001525 0001972459056 SRI NUR ARIANI P PBI (APBN) Supervision of other Berobat Jalan
normal pregnancy
1641 02-01-2017 111914200117Y000007 0002010033033 RADEN SUKISNO L PBI (APBN) Rheumatism, unspecified Berobat Jalan
HARJOUTOMO
1642 02-01-2017 111914200117Y001527 0002013817498 ZAKIYAH P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
1643 02-01-2017 111914200117Y000831 0002013817498 ZAKIYAH P PBI (APBN) Diarrhoea and Sembuh
gastroenteritis of
presumed infectious origin

1644 02-01-2017 111914200117Y000609 0002040521365 YENI CHARNIA P PEKERJA MANDIRI Malignant neoplasm of Berobat Jalan
abdomen
1645 02-01-2017 111914200117Y001363 0002042180278 SITI WASILAH P PEKERJA MANDIRI Mucopurulent Berobat Jalan
conjunctivitis
1646 02-01-2017 111914200117Y000608 0002049915756 ROHAYAH P PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1647 02-01-2017 111914200117Y000610 0002071214717 DARMO SUWITO L PEKERJA MANDIRI Rheumatism, unspecified Berobat Jalan

1648 02-01-2017 111914200117Y000014 0002080803879 JOKO PURNOMO L PEKERJA MANDIRI Nummular dermatitis Berobat Jalan

1649 01-01-2017 111914200117Y001413 0001297019968 SUSIANA P PEKERJA MANDIRI Acute gingivitis Berobat Jalan

1650 01-01-2017 111914200117Y000656 0001972470655 KESYA DWI APRIYANTI P PBI (APBN) Typhoid fever Sembuh

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