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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

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

1 31-08-2019 170406010819P000655 0000122659953 MISBAH P PNS DAERAH Acute gingivitis Berobat Jalan

2 31-08-2019 170406010819P000686 0000122717766 ADTRI KORNIATI P PNS DAERAH Examination of blood Berobat Jalan
pressure
3 31-08-2019 170406010819P000687 0000122718791 DENI ELFENI P PNS DAERAH Examination of blood Berobat Jalan
pressure
4 31-08-2019 170406010819P000681 0000122718982 FAULIAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
5 31-08-2019 170406010819P000680 0000122719026 H SAIBATUL HAMDI L PNS DAERAH Examination of blood Berobat Jalan
pressure
6 31-08-2019 170406010819P000677 0000122719037 MAHDIATUL WAHDAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
7 31-08-2019 170406010819P000683 0000122719151 JOHNY RAMOON L PNS PUSAT Examination of blood Berobat Jalan
pressure
8 31-08-2019 170406010819P000691 0000122719162 RUSLIASARI P PNS PUSAT Examination of blood Berobat Jalan
pressure
9 31-08-2019 170406010819P000679 0000122719195 MAULANA IBRAHIM L PNS DAERAH Examination of blood Berobat Jalan
pressure
10 31-08-2019 170406010819P000688 0000122719206 NOOR ASLIANI P PNS DAERAH Examination of blood Berobat Jalan
pressure
11 31-08-2019 170406010819P000639 0000123212373 SAIFUL ANWAR L PNS DAERAH Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

12 31-08-2019 170406010819P000647 0000123414827 HELDA HAYATI P PNS DAERAH Allergic contact dermatitis Berobat Jalan

13 31-08-2019 170406010819P000692 0000123587021 ITA AS P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
14 31-08-2019 170406010819P000690 0000163507184 RUSDIANA. HJ P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
15 31-08-2019 170406010819P000685 0000204782804 SITI PATIMAH P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
16 31-08-2019 170406010819P000645 0000205689429 DEWI SARTIKA P PNS DAERAH Malaise and fatigue Berobat Jalan

17 31-08-2019 170406010819P000693 0000209011217 YUDA FRISNO L PNS DAERAH Examination of blood Berobat Jalan
pressure
18 31-08-2019 170406010819P000644 0000889693209 TAQWA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
19 31-08-2019 170406010819P000652 0000889818074 ILAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
20 31-08-2019 170406010819P000656 0000890053525 MARIANA P PBI (APBN) Contraceptive Berobat Jalan
management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

21 31-08-2019 170406010819P000640 0000890202284 NOOR SYARIFAH P PBI (APBN) Influenza, virus not Berobat Jalan
identified
22 31-08-2019 170406010819P000600 0000890466219 LAMBERI L PBI (APBN) Cholelithiasis Rujuk Lanjut

23 31-08-2019 170406010819P000662 0000890630695 MISLIWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
24 31-08-2019 170406010819P000648 0000891622179 MASRATU P PBI (APBN) Gout Berobat Jalan

25 31-08-2019 170406010819P000649 0001045157962 SRI TUKINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
26 31-08-2019 170406010819P000657 0001065413171 ERAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
27 31-08-2019 170406010819P000601 0001269910967 ENDANG JUMIATI P PEGAWAI SWASTA Hypertensive heart Rujuk Lanjut
disease
28 31-08-2019 170406010819P000651 0001283181399 M.IRIADI L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by unspecified

29 31-08-2019 170406010819P000689 0001291769392 ST FARADIBAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
30 31-08-2019 170406010819P000602 0001303265597 BADRI L PBI (APBD) Undifferentiated Rujuk Lanjut
schizophrenia
31 31-08-2019 170406010819P000608 0001316535704 YULIANA P PEGAWAI SWASTA Disorder of refraction, Rujuk Lanjut
unspecified
32 31-08-2019 170406010819P000646 0001318164388 TANKASIANI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
33 31-08-2019 170406010819P000684 0001441794846 ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
34 31-08-2019 170406010819P000653 0001483843263 muhammad rifqi L PEGAWAI SWASTA Cough Berobat Jalan

35 31-08-2019 170406010819P000682 0001648188944 BURHANUDDIN L PEGAWAI SWASTA Examination of blood Berobat Jalan
pressure
36 31-08-2019 170406010819P000642 0001867189779 halimatus sadiah P PEKERJA MANDIRI Gout Berobat Jalan

37 31-08-2019 170406010819P000641 0001867190771 RAHMAT MAULANA L PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
38 31-08-2019 170406010819P000678 0002207775701 DINA MARIANI P PEGAWAI SWASTA Examination of blood Berobat Jalan
pressure
39 31-08-2019 170406010819P000654 0002270854721 BARIAH P PEKERJA MANDIRI Insulin-dependent Berobat Jalan
diabetes mellitus with

40 31-08-2019 170406010819P000643 0002600460887 RUSLAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
41 31-08-2019 170406010819P000650 0002638496193 MUHAMMAD SARWANI L PBI (APBN) Cough Berobat Jalan

42 31-08-2019 170406010819P000599 0002694199342 ABDURRAHMAN L PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

43 30-08-2019 170406010819P000585 0000123287253 MUDERAN L PENERIMA PENSIUN Heart failure, unspecified Berobat Jalan
PNS
44 30-08-2019 170406010819P000629 0000200312019 ERNAWATI P PNS DAERAH Examination of blood Berobat Jalan
pressure
45 30-08-2019 170406010819P000632 0000890804608 NORMA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
46 30-08-2019 170406010819P000631 0000891248264 AL PISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
47 30-08-2019 170406010819P000568 0001263163318 RAJUDDIN NOOR L PEKERJA MANDIRI Undifferentiated Rujuk Lanjut
schizophrenia
48 30-08-2019 170406010819P000630 0002065715616 AFRIANI P PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
49 30-08-2019 170406010819P000578 0002291960981 MASRIAH P PEKERJA MANDIRI Heart failure, unspecified Rujuk Lanjut

50 30-08-2019 170406010819P000634 0002461994561 RAHMA SAFITRI P PEKERJA MANDIRI Pulpitis Berobat Jalan

51 30-08-2019 170406010819P000633 0002694199342 ABDURRAHMAN L PEKERJA MANDIRI Malaise and fatigue Berobat Jalan

52 29-08-2019 170406010819P000527 0000119405182 RESKY WARDANI L PNS PUSAT Mixed asthma Rujuk Lanjut

53 29-08-2019 170406010819P000537 0000122719522 SURBINI L PENERIMA PENSIUN Insulin-dependent Rujuk Lanjut


PNS diabetes mellitus with

54 29-08-2019 170406010819P000544 0000122756591 ABDUL HADI L PENERIMA PENSIUN Spondylolysis Berobat Jalan
PNS
55 29-08-2019 170406010819P000547 0000122831447 FAKHRUDDIN RAZI L PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
56 29-08-2019 170406010819P000525 0000123694931 AISYAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
57 29-08-2019 170406010819P000538 0000889400261 NORIFANSYAH L PBI (APBN) Papillomavirus as the Rujuk Lanjut
cause of diseases
classified to other chapters

58 29-08-2019 170406010819P000660 0000889910908 NAPHANI EFENDI L PBI (APBN) Allergic contact dermatitis Berobat Jalan

59 29-08-2019 170406010819P000661 0000889943534 MUNSI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
60 29-08-2019 170406010819P000659 0000890043726 RAFI AKHMAD L PBI (APBN) Cough Berobat Jalan

61 29-08-2019 170406010819P000536 0000890528905 M. NISPI L PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
62 29-08-2019 170406010819P000545 0000890654883 RADIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
63 29-08-2019 170406010819P000541 0000890680746 MUHAMMAD L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

64 29-08-2019 170406010819P000546 0000890686372 RAHMAD ANDREAN L PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
65 29-08-2019 170406010819P000539 0000890742508 RAHMAH P PBI (APBN) Spondylolysis Berobat Jalan

66 29-08-2019 170406010819P000523 0000890843826 KHAIRUDIN L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

67 29-08-2019 170406010819P000543 0000891669756 NAJWA FADHILA P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
68 29-08-2019 170406010819P000542 0001107166746 selvita ritanti agustin P PRAJURIT AD Acute upper respiratory Berobat Jalan
infection, unspecified
69 29-08-2019 170406010819P000524 0001139609643 SITI FATIMAH P PEGAWAI SWASTA Supervision of normal Rujuk Lanjut
pregnancy
70 29-08-2019 170406010819P000528 0001381991128 ABDUL HADI L PEKERJA MANDIRI Other intervertebral disc Rujuk Lanjut
disorders
71 29-08-2019 170406010819P000548 0001437092605 RATNAWATI P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
72 29-08-2019 170406010819P000540 0001823098781 ARBAYAH, HJ P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
73 29-08-2019 170406010819P000549 0002319471922 EKA ANDRI YANI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
74 29-08-2019 170406010819P000635 0002436605335 ISTIQOMAH P PEGAWAI SWASTA Inflammatory disorders of Berobat Jalan
breast
75 29-08-2019 170406010819P000636 0002438267624 RAISA ASPIAN P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
76 29-08-2019 170406010819P000637 0002456750147 AYU LOLIKA SARI P PEKERJA MANDIRI Cough Berobat Jalan

77 29-08-2019 170406010819P000638 0002739956758 CAHAYA NAZWA MALAIKA P PEKERJA MANDIRI Allergic contact dermatitis Berobat Jalan

78 29-08-2019 170406010819P000526 0002775624546 SITI AMINAH P PEKERJA MANDIRI Carcinoma in situ of Rujuk Lanjut
cervix, unspecified
79 28-08-2019 170406010819P000676 0000122653427 RUSDIANA P PNS PUSAT Malaise and fatigue Berobat Jalan

80 28-08-2019 170406010819P000516 0000122719522 SURBINI L PENERIMA PENSIUN Insulin-dependent Berobat Jalan


PNS diabetes mellitus
81 28-08-2019 170406010819P000674 0000122813829 MUHAMMAD SALEH L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
82 28-08-2019 170406010819P000675 0000122813831 ASMAH P PNS DAERAH Gout Berobat Jalan

83 28-08-2019 170406010819P000532 0000123277476 A. K. PERMANA ALAMSJAH L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

84 28-08-2019 170406010819P000520 0000123836106 ERNIATY P PENERIMA PENSIUN Asthma Berobat Jalan


PNS
85 28-08-2019 170406010819P000658 0000889944671 BASHITAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

86 28-08-2019 170406010819P000669 0000890392656 ASLAMIAH P PBI (APBN) Dyspepsia Berobat Jalan

87 28-08-2019 170406010819P000670 0000890741417 YULIYATI P PBI (APBN) Dyspepsia Berobat Jalan

88 28-08-2019 170406010819P000535 0001182333161 RIZKY AMALIAH P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
89 28-08-2019 170406010819P000522 0001261691144 JURAHMAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

90 28-08-2019 170406010819P000529 0001280203964 RAUDAH P PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
91 28-08-2019 170406010819P000530 0001293262481 MAILIDA MAIMUN L PEKERJA MANDIRI Cough Berobat Jalan

92 28-08-2019 170406010819P000671 0001449886735 NORJANAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

93 28-08-2019 170406010819P000666 0001550631137 FIKRI BAIHAQI L PEGAWAI SWASTA Dyspepsia Berobat Jalan

94 28-08-2019 170406010819P000534 0001883400502 ROHANI P PEKERJA MANDIRI Pulpitis Berobat Jalan

95 28-08-2019 170406010819P000517 0002235454154 BARKIAH P PNS DAERAH Heart failure, unspecified Rujuk Lanjut

96 28-08-2019 170406010819P000533 0002245265886 AL KAHFI L PNS DAERAH Hyperlipidaemia, Berobat Jalan


unspecified
97 28-08-2019 170406010819P000515 0002301407076 JUWAIRIYAH P PEKERJA MANDIRI Undifferentiated Rujuk Lanjut
schizophrenia
98 28-08-2019 170406010819P000521 0002326477533 TABERANI L PEKERJA MANDIRI Dyspepsia Berobat Jalan

99 28-08-2019 170406010819P000673 0002465198234 NOR AMELIA P PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
100 28-08-2019 170406010819P000672 0002465205759 ARBAINAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

101 28-08-2019 170406010819P000531 0002502133053 PAHRO ROZI L PEKERJA MANDIRI Dyspepsia Berobat Jalan

102 28-08-2019 170406010819P000518 0002521840048 MONA DIANA P INVESTOR Acute nasopharyngitis Berobat Jalan
[common cold]
103 28-08-2019 170406010819P000519 0002521840061 MUHAMMAD AL HAFIZI L INVESTOR Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
104 28-08-2019 170406010819P000668 0002583780794 M.ABDURRAHMAN L PBI (APBN) Myalgia Berobat Jalan

105 28-08-2019 170406010819P000667 0002583787408 MARIANA P PBI (APBN) Myalgia Berobat Jalan

106 28-08-2019 170406010819P000665 0002639110612 ANIMA P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
107 27-08-2019 170406010819P000509 0000122719026 H SAIBATUL HAMDI L PNS DAERAH Examination of blood Berobat Jalan
pressure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

108 27-08-2019 170406010819P000501 0000200778669 NORLIANI P PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
not confirmed
bacteriologically or

109 27-08-2019 170406010819P000498 0000889930056 MULIATI P PBI (APBN) Gout Berobat Jalan

110 27-08-2019 170406010819P000510 0000890212026 SYARIFUDINOOR L PBI (APBN) Spondylolysis Berobat Jalan

111 27-08-2019 170406010819P000495 0000890494356 NOOR HAYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
112 27-08-2019 170406010819P000499 0000890784819 MELATI INDAH MUSTIKA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
113 27-08-2019 170406010819P000513 0000890813272 MARIANA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
114 27-08-2019 170406010819P000504 0000890820944 MAHRIANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
115 27-08-2019 170406010819P000511 0000891031162 MAULIDA P PBI (APBN) Pulpitis Berobat Jalan

116 27-08-2019 170406010819P000491 0001286578293 MAHFUD L PNS DAERAH Intervertebral disc Rujuk Lanjut
disorder, unspecified
117 27-08-2019 170406010819P000492 0001291769032 ACH DARMAJI L PEKERJA MANDIRI Other chronic obstructive Rujuk Lanjut
pulmonary disease
118 27-08-2019 170406010819P000496 0001478920871 ARBAINAH P PEKERJA MANDIRI Malaise and fatigue Berobat Jalan

119 27-08-2019 170406010819P000503 0001484006861 NOOR JUBAIDAH A.A P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
120 27-08-2019 170406010819P000505 0001484009076 NUR HIKMAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

121 27-08-2019 170406010819P000493 0001790572871 ROHANI P PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease
122 27-08-2019 170406010819P000502 0001794111851 NOOR AIDA P PEKERJA MANDIRI Dyspepsia Berobat Jalan

123 27-08-2019 170406010819P000512 0001803316847 MUHAMMAD JUHDI L PEGAWAI SWASTA Pulpitis Berobat Jalan

124 27-08-2019 170406010819P000506 0001819335249 MAS AIDA P PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
125 27-08-2019 170406010819P000500 0001866745271 ARDI KURNIADI L PENERIMA PENSIUN Dyspepsia Berobat Jalan
SWASTA
126 27-08-2019 170406010819P000494 0001867295812 ASRI L PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
127 27-08-2019 170406010819P000507 0002065715616 AFRIANI P PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
128 27-08-2019 170406010819P000508 0002745649157 ALVIN KEANU RAFISQY L PEGAWAI PEMERINTAH Diarrhoea and Berobat Jalan
DENGAN PERJANJIAN gastroenteritis of
KERJA presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

129 27-08-2019 170406010819P000514 0002750081736 MUNAWARAH P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
130 27-08-2019 170406010819P000497 0002771000537 MUSLIM L PEKERJA MANDIRI Dyspepsia Berobat Jalan

131 26-08-2019 170406010819P000472 0000119405182 RESKY WARDANI L PNS PUSAT Examination of blood Berobat Jalan
pressure
132 26-08-2019 170406010819P000453 0000122728195 ANNAWATI. P PENERIMA PENSIUN Secondary hypertension Rujuk Lanjut
PNS
133 26-08-2019 170406010819P000454 0000122738387 M.ABERANI. L PENERIMA PENSIUN Secondary hypertension Rujuk Lanjut
PNS
134 26-08-2019 170406010819P000474 0000122813829 MUHAMMAD SALEH L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
135 26-08-2019 170406010819P000473 0000122813831 ASMAH P PNS DAERAH Gout Berobat Jalan

136 26-08-2019 170406010819P000458 0000123815182 NOPARISA P PENERIMA PENSIUN Insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

137 26-08-2019 170406010819P000664 0000889449434 ARBAYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
138 26-08-2019 170406010819P000460 0000889706283 RISNAWATI P PBI (APBN) Pterygium Berobat Jalan

139 26-08-2019 170406010819P000461 0000889707082 LUTFIAH P PBI (APBN) Malaise and fatigue Berobat Jalan

140 26-08-2019 170406010819P000471 0000889822631 RIZWAN EFENDI L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
141 26-08-2019 170406010819P000457 0000889950172 M. MAULANA L PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
142 26-08-2019 170406010819P000469 0000890073944 IDHAM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
143 26-08-2019 170406010819P000482 0000890074754 BAHRAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
144 26-08-2019 170406010819P000466 0000890202284 NOOR SYARIFAH P PBI (APBN) Disorders of orbit Berobat Jalan

145 26-08-2019 170406010819P000455 0000890313906 SYARNIAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease
146 26-08-2019 170406010819P000598 0000890335631 MARIYATI P PBI (APBN) Dyspepsia Berobat Jalan

147 26-08-2019 170406010819P000467 0000890636117 SYAHMANI L PBI (APBN) Asthma Berobat Jalan

148 26-08-2019 170406010819P000478 0000890668089 YULIA SEKAR KENCANA P PBI (APBN) Pulpitis Berobat Jalan

149 26-08-2019 170406010819P000479 0000890668642 JASMINE OCTAVIA P PBI (APBN) Pulpitis Berobat Jalan

150 26-08-2019 170406010819P000663 0000890676066 HAIRIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
151 26-08-2019 170406010819P000476 0000891012295 ERNAWATI P PBI (APBN) Pulpitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

152 26-08-2019 170406010819P000597 0000891607432 MARYATI P PBI (APBN) Cough Berobat Jalan

153 26-08-2019 170406010819P000464 0001136266942 AHMAD YANI YUSUF L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
154 26-08-2019 170406010819P000470 0001199102916 LISA MURTINI P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
155 26-08-2019 170406010819P000459 0001279655572 NURUN NAJMI P PEKERJA MANDIRI Nonorganic insomnia Rujuk Lanjut

156 26-08-2019 170406010819P000463 0001286578293 MAHFUD L PNS DAERAH Dyspepsia Berobat Jalan

157 26-08-2019 170406010819P000481 0001306759375 KARNIWATI P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
158 26-08-2019 170406010819P000462 0001327155333 MUHAMMAD HABIBIE RAHMANI L PEGAWAI SWASTA Conjunctivitis Berobat Jalan

159 26-08-2019 170406010819P000477 0001376463082 Ruslina Risa P PEGAWAI SWASTA Pulpitis Berobat Jalan

160 26-08-2019 170406010819P000483 0001433475369 HARTATI P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
161 26-08-2019 170406010819P000465 0001730556112 SRI YANI P PEKERJA MANDIRI Hyperlipidaemia, Berobat Jalan
unspecified
162 26-08-2019 170406010819P000475 0002061130048 M. ASRIANOR L PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
163 26-08-2019 170406010819P000480 0002213331085 ARBAINAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management
164 26-08-2019 170406010819P000456 0002224516149 NORMA P PEKERJA MANDIRI Prolonged pregnancy Rujuk Lanjut

165 26-08-2019 170406010819P000484 0002614856229 NIKMAH P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
166 26-08-2019 170406010819P000468 0002625337348 SULAIMAN L PEKERJA MANDIRI Disorder of refraction, Rujuk Lanjut
unspecified
167 24-08-2019 170406010819P000703 0000122718791 DENI ELFENI P PNS DAERAH Examination of blood Berobat Jalan
pressure
168 24-08-2019 170406010819P000701 0000122718982 FAULIAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
169 24-08-2019 170406010819P000694 0000122719026 H SAIBATUL HAMDI L PNS DAERAH Examination of blood Berobat Jalan
pressure
170 24-08-2019 170406010819P000695 0000122719037 MAHDIATUL WAHDAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
171 24-08-2019 170406010819P000699 0000122719162 RUSLIASARI P PNS PUSAT Examination of blood Berobat Jalan
pressure
172 24-08-2019 170406010819P000697 0000122719195 MAULANA IBRAHIM L PNS DAERAH Examination of blood Berobat Jalan
pressure
173 24-08-2019 170406010819P000696 0000122719206 NOOR ASLIANI P PNS DAERAH Examination of blood Berobat Jalan
pressure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

174 24-08-2019 170406010819P000431 0000122719353 PUJI RAHAYU P PNS DAERAH Other specified Rujuk Lanjut
intervertebral disc

175 24-08-2019 170406010819P000442 0000122813829 MUHAMMAD SALEH L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
176 24-08-2019 170406010819P000706 0000123587021 ITA AS P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
177 24-08-2019 170406010819P000438 0000158015856 ASTALANI L PNS PUSAT Other deforming Berobat Jalan
dorsopathies
178 24-08-2019 170406010819P000698 0000163507184 RUSDIANA. HJ P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
179 24-08-2019 170406010819P000705 0000204782804 SITI PATIMAH P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
180 24-08-2019 170406010819P000704 0000209011217 YUDA FRISNO L PNS DAERAH Examination of blood Berobat Jalan
pressure
181 24-08-2019 170406010819P000444 0000889713551 NOOR HAYANI AGUSTINA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
182 24-08-2019 170406010819P000443 0000889713819 AHMAD FIRDAUS L PBI (APBN) Acute amoebic dysentery Berobat Jalan

183 24-08-2019 170406010819P000433 0000889798994 abdul rahim L PBI (APBN) Primary respiratory Rujuk Lanjut
tuberculosis, confirmed
bacteriologically and

184 24-08-2019 170406010819P000596 0000889949891 MARYANI P PBI (APBN) Cough Berobat Jalan

185 24-08-2019 170406010819P000437 0000890037257 SALAMAH P PBI (APBN) Other deforming Berobat Jalan
dorsopathies
186 24-08-2019 170406010819P000450 0000890677631 KURNI YUSRI L PBI (APBN) Undifferentiated Berobat Jalan
schizophrenia
187 24-08-2019 170406010819P000434 0000890786946 SITI AISYAH P PBI (APBN) Other arthritis Berobat Jalan

188 24-08-2019 170406010819P000440 0001065413564 RABIATUL FARIDAH P PBI (APBN) Other deforming Berobat Jalan
dorsopathies
189 24-08-2019 170406010819P000439 0001065413586 RIJAL SATRIAWAN L PBI (APBN) Allergic contact dermatitis Berobat Jalan

190 24-08-2019 170406010819P000708 0001266035848 MASTAYAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
191 24-08-2019 170406010819P000441 0001283181399 M.IRIADI L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

192 24-08-2019 170406010819P000449 0001287065406 SAIHU L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
193 24-08-2019 170406010819P000432 0001291769392 ST FARADIBAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

194 24-08-2019 170406010819P000707 0001327093402 MURSEHAN P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
195 24-08-2019 170406010819P000436 0001441794846 ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
196 24-08-2019 170406010819P000446 0001451661669 ANSYAR L PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
197 24-08-2019 170406010819P000445 0001451662536 JAM'AH P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
198 24-08-2019 170406010819P000700 0001648188944 BURHANUDDIN L PEGAWAI SWASTA Examination of blood Berobat Jalan
pressure
199 24-08-2019 170406010819P000448 0001824596493 RUSMAWATI, HJ P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
200 24-08-2019 170406010819P000452 0001834132533 LITI ERNANI P PEKERJA MANDIRI Cough Berobat Jalan

201 24-08-2019 170406010819P000435 0001858819509 SAM'ANI L PEKERJA MANDIRI Unspecified contact Berobat Jalan
dermatitis
202 24-08-2019 170406010819P000702 0001873511245 MASTANIAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
203 24-08-2019 170406010819P000447 0001964916382 SABERAN L PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
confirmed by unspecified

204 24-08-2019 170406010819P000451 0002623970733 MUHAMMAD UMAR SHIDDIQ L PEGAWAI SWASTA Influenza due to other Berobat Jalan
identified influenza virus
205 23-08-2019 170406010819P000428 0000122719037 MAHDIATUL WAHDAH P PNS DAERAH Cough Berobat Jalan

206 23-08-2019 170406010819P000420 0000122811704 ST AISYAH P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

207 23-08-2019 170406010819P000425 0000122831447 FAKHRUDDIN RAZI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
208 23-08-2019 170406010819P000628 0000123171401 HERDAYANI P PNS DAERAH Influenza, virus not Berobat Jalan
identified
209 23-08-2019 170406010819P000424 0000123807036 NORMI ULFAH P PENERIMA PENSIUN Cough Berobat Jalan
PNS
210 23-08-2019 170406010819P000430 0000200312019 ERNAWATI P PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
211 23-08-2019 170406010819P000595 0000889905205 FARIDAH P PBI (APBN) Dyspepsia Berobat Jalan

212 23-08-2019 170406010819P000426 0000890037257 SALAMAH P PBI (APBN) Other arthritis Berobat Jalan

213 23-08-2019 170406010819P000419 0000890541527 HARIONO L PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
214 23-08-2019 170406010819P000422 0001065413619 HADIDJAH P PBI (APBN) Respiratory tuberculosis, Berobat Jalan
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

215 23-08-2019 170406010819P000423 0001290766375 MUHAMMAD FAISAL L PEKERJA MANDIRI Undifferentiated Berobat Jalan
schizophrenia
216 23-08-2019 170406010819P000627 0001319216321 SITI MARIAM P PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
217 23-08-2019 170406010819P000421 0001433414924 SABARIAH P PEKERJA MANDIRI Atherosclerotic heart Rujuk Lanjut
disease
218 23-08-2019 170406010819P000427 0002245265886 AL KAHFI L PNS DAERAH Hyperlipidaemia, Berobat Jalan
unspecified
219 23-08-2019 170406010819P000417 0002493538209 MUHAMAD RASYIDI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
220 23-08-2019 170406010819P000418 0002493540347 ABDURRAHMAN ABDILLAH L PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
221 23-08-2019 170406010819P000429 0002500614314 VALENSIA MERRY P PEGAWAI SWASTA Influenza due to other Berobat Jalan
SIMANJUNTAK identified influenza virus
222 22-08-2019 170406010819P000625 0000122691879 JUMIATI P PNS PUSAT Dyspepsia Berobat Jalan

223 22-08-2019 170406010819P000398 0000122811344 AKHMAD RUSDI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
224 22-08-2019 170406010819P000401 0000123756221 RUSMIATI P PENERIMA PENSIUN Gastritis and duodenitis Berobat Jalan
PNS
225 22-08-2019 170406010819P000626 0000889713292 YADI L PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
226 22-08-2019 170406010819P000416 0000889826837 HASANAH P PBI (APBN) Contraceptive Berobat Jalan
management
227 22-08-2019 170406010819P000408 0000890310778 RUSMIATI P PBI (APBN) Contraceptive Berobat Jalan
management
228 22-08-2019 170406010819P000415 0000890367377 AKHMAD MAULANA L PBI (APBN) Mixed asthma Rujuk Lanjut

229 22-08-2019 170406010819P000413 0000890677631 KURNI YUSRI L PBI (APBN) Paranoid schizophrenia Rujuk Lanjut

230 22-08-2019 170406010819P000593 0000890768889 NORJANAH P PBI (APBN) Dyspepsia Berobat Jalan

231 22-08-2019 170406010819P000405 0000890784088 MASYURAH P PBI (APBN) Other deforming Berobat Jalan
dorsopathies
232 22-08-2019 170406010819P000594 0000890805756 KIPTIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
233 22-08-2019 170406010819P000406 0001267501601 ASRANI L PEKERJA MANDIRI Hypotension Berobat Jalan

234 22-08-2019 170406010819P000412 0001280203964 RAUDAH P PEKERJA MANDIRI Heart failure, unspecified Berobat Jalan

235 22-08-2019 170406010819P000399 0001327153408 RAHMAWATI P PEGAWAI SWASTA Influenza due to other Berobat Jalan
identified influenza virus
236 22-08-2019 170406010819P000414 0001425352858 SITI AISYAH P PEKERJA MANDIRI Other deforming Berobat Jalan
dorsopathies
237 22-08-2019 170406010819P000400 0001437091402 ABD HAMID L PEKERJA MANDIRI Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

238 22-08-2019 170406010819P000407 0001623245995 SAIDAH P PEGAWAI SWASTA Antenatal screening, Berobat Jalan
unspecified
239 22-08-2019 170406010819P000403 0001873511245 MASTANIAH P PEKERJA MANDIRI Senile cataract, Rujuk Lanjut
unspecified
240 22-08-2019 170406010819P000624 0002043565648 JUMIATI KARTINI P PEKERJA MANDIRI Cough Berobat Jalan

241 22-08-2019 170406010819P000411 0002061186377 EKO WAHYU NUR SOFIANTO L PEGAWAI PEMERINTAH Hyperparathyroidism, Rujuk Lanjut
DENGAN PERJANJIAN unspecified

242 22-08-2019 170406010819P000402 0002465195714 NORSEHAT P PEKERJA MANDIRI Non-Hodgkin's lymphoma, Rujuk Lanjut
unspecified type

243 22-08-2019 170406010819P000404 0002737317025 ROSITA WATI P PENERIMA PENSIUN Influenza due to other Berobat Jalan
PNS identified influenza virus
244 22-08-2019 170406010819P000409 0002750081736 MUNAWARAH P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
245 22-08-2019 170406010819P000410 0002750082085 NOR KHALIDAH P PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
246 21-08-2019 170406010819P000380 0000122604783 ARDANI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
247 21-08-2019 170406010819P000375 0000122604805 MUHAMMAD HARIYANTO L PNS DAERAH Hypokalaemia Rujuk Lanjut

248 21-08-2019 170406010819P000356 0000122688617 JUNAIDI, DRS L PNS PUSAT Generalized anxiety Rujuk Lanjut
disorder
249 21-08-2019 170406010819P000362 0000122811344 AKHMAD RUSDI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
250 21-08-2019 170406010819P000382 0000122831447 FAKHRUDDIN RAZI L PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
251 21-08-2019 170406010819P000358 0000755620244 NITA ANDRAENI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

252 21-08-2019 170406010819P000386 0000889697338 HALIMATUS SADIAH P PBI (APBN) Contraceptive Berobat Jalan
management
253 21-08-2019 170406010819P000374 0000889839314 RUSMIYATI P PBI (APBN) Carcinoma in situ of cervix Rujuk Lanjut
uteri
254 21-08-2019 170406010819P000592 0000889979534 M. SUPIAN SAURI L PBI (APBN) Dyspepsia Berobat Jalan

255 21-08-2019 170406010819P000369 0000889995475 HAMDAN L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

256 21-08-2019 170406010819P000370 0000889995519 MURSIDAH P PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

257 21-08-2019 170406010819P000371 0000889995565 MUHAMMAD YUSUF L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

258 21-08-2019 170406010819P000372 0000889995778 MUHAMMAD SUPIANI L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

259 21-08-2019 170406010819P000373 0000889995881 RAHMAWATI P PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

260 21-08-2019 170406010819P000379 0000890202284 NOOR SYARIFAH P PBI (APBN) Dyspepsia Berobat Jalan

261 21-08-2019 170406010819P000368 0000890472003 HUSNI FADILLAH L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

262 21-08-2019 170406010819P000387 0000890539097 SAHWATI P PBI (APBN) Contraceptive Berobat Jalan
management
263 21-08-2019 170406010819P000397 0000890678632 WIWI ARIYANI P PBI (APBN) Contraceptive Berobat Jalan
management
264 21-08-2019 170406010819P000381 0000890687542 KAMSIAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

265 21-08-2019 170406010819P000364 0000890688069 JARIAH P PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

266 21-08-2019 170406010819P000363 0000890689522 MIFTAHUL JANNAH P PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

267 21-08-2019 170406010819P000365 0000890690433 MASRUM P PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

268 21-08-2019 170406010819P000361 0001295326405 SYARKAWI L PEKERJA MANDIRI Hyperplasia of prostate Rujuk Lanjut

269 21-08-2019 170406010819P000360 0001295327013 ARSIAH P PEKERJA MANDIRI Senile cataract, Rujuk Lanjut
unspecified
270 21-08-2019 170406010819P000357 0001327093402 MURSEHAN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
271 21-08-2019 170406010819P000377 0001442907821 HUSAINI L PEKERJA MANDIRI Atherosclerotic Rujuk Lanjut
cardiovascular disease, so

272 21-08-2019 170406010819P000384 0001480101794 ALI MUDHOFAR L PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
273 21-08-2019 170406010819P000383 0001480103313 NORJANAH P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
274 21-08-2019 170406010819P000385 0001484093788 MUHAMMAD YUSUP L PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
275 21-08-2019 170406010819P000388 0001790572522 TAUFIK KURAHMAN L PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

276 21-08-2019 170406010819P000376 0001819335249 MAS AIDA P PEKERJA MANDIRI Heart failure, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

277 21-08-2019 170406010819P000591 0002093722571 WARDANIAH P PEKERJA MANDIRI Cough Berobat Jalan

278 21-08-2019 170406010819P000378 0002229572463 DEWI DANA SARTIKA P PEKERJA MANDIRI Dyspepsia Berobat Jalan

279 21-08-2019 170406010819P000367 0002277325833 MUTMAINAH P PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

280 21-08-2019 170406010819P000366 0002277326621 AHMAD MAULANA L PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

281 21-08-2019 170406010819P000623 0002420683334 ARDIANSYAH L PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
282 21-08-2019 170406010819P000359 0002771000537 MUSLIM L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

283 21-08-2019 170406010819P000390 0002773134325 BARSUMI L PEKERJA MANDIRI Senile cataract, Rujuk Lanjut
unspecified
284 20-08-2019 170406010819P000622 0000122718745 AMRULLAH L PNS DAERAH Acute haemorrhagic Berobat Jalan
gastritis
285 20-08-2019 170406010819P000326 0000122810556 MURWATI P PNS DAERAH Cough Berobat Jalan

286 20-08-2019 170406010819P000349 0000123189243 MISRAN L PNS DAERAH Headache Berobat Jalan

287 20-08-2019 170406010819P000327 0000124715428 MASRUKIAH P PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

288 20-08-2019 170406010819P000325 0000206184352 HARDIYANTI YULIANA P PNS PUSAT Disorder of refraction, Rujuk Lanjut
unspecified
289 20-08-2019 170406010819P000354 0000889860341 NOOR SINAH P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
290 20-08-2019 170406010819P000590 0000889918301 ARBAYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
291 20-08-2019 170406010819P000621 0000890685347 MUTMAINAH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
292 20-08-2019 170406010819P000345 0000890783379 MOH HASAN BISRI L PBI (APBN) Other chest pain Berobat Jalan

293 20-08-2019 170406010819P000324 0000890798995 AINAH P PBI (APBN) Presence of intraocular Rujuk Lanjut
lens
294 20-08-2019 170406010819P000348 0000890811099 RUSNANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
295 20-08-2019 170406010819P000338 0001065416477 ANITA WAHDAH P PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
296 20-08-2019 170406010819P000351 0001136266942 AHMAD YANI YUSUF L PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
297 20-08-2019 170406010819P000328 0001327093402 MURSEHAN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

298 20-08-2019 170406010819P000329 0001383901266 JAMHURI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
299 20-08-2019 170406010819P000352 0001476811541 KHUSNUL KHATIMAH P PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
300 20-08-2019 170406010819P000353 0001637578416 HARIYANTO PRIYONO L PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
301 20-08-2019 170406010819P000350 0001637578462 MUHAMMAD FAHRIYADI L PEGAWAI SWASTA Influenza due to other Berobat Jalan
identified influenza virus
302 20-08-2019 170406010819P000391 0001790572871 ROHANI P PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

303 20-08-2019 170406010819P000392 0001790573332 M. ARIP BUDIMAN L PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

304 20-08-2019 170406010819P000393 0001790573657 ANNISA YULIANA DEWI P PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

305 20-08-2019 170406010819P000355 0001882580229 NINA RAHMASANTI P PEGAWAI SWASTA Antenatal screening, Berobat Jalan
unspecified
306 20-08-2019 170406010819P000389 0002036325429 nunsiah P PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

307 20-08-2019 170406010819P000347 0002276954504 NADHIFA AZZAHRA P PEGAWAI SWASTA Cough Berobat Jalan

308 20-08-2019 170406010819P000395 0002301474104 YULIANA SAFITRI P PEGAWAI SWASTA Symptoms and signs Berobat Jalan
concerning food and fluid

309 20-08-2019 170406010819P000394 0002301474352 ARDIANSYAH L PEGAWAI SWASTA Symptoms and signs Berobat Jalan
concerning food and fluid

310 20-08-2019 170406010819P000396 0002301474519 MUHAMMAD RIZKY AFDILLAH L PEGAWAI SWASTA Symptoms and signs Berobat Jalan
concerning food and fluid

311 20-08-2019 170406010819P000330 0002499952307 ASMIYAH P PEKERJA MANDIRI Other surgical follow-up Berobat Jalan
care
312 20-08-2019 170406010819P000346 0002763389913 ZIONATHAN BENAYA DAFFIN L PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
313 19-08-2019 170406010819P000304 0000119301219 M HANAFI L PNS DAERAH End-stage renal disease Rujuk Lanjut

314 19-08-2019 170406010819P000583 0000122659953 MISBAH P PNS DAERAH Acute gingivitis Berobat Jalan

315 19-08-2019 170406010819P000307 0000123115105 BURHANUDDIN, H, B.SC L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

316 19-08-2019 170406010819P000311 0000123212373 SAIFUL ANWAR L PNS DAERAH Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

317 19-08-2019 170406010819P000322 0000123329957 MEGA KESUMA P PNS DAERAH Cough Berobat Jalan

318 19-08-2019 170406010819P000323 0000123815182 NOPARISA P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
319 19-08-2019 170406010819P000582 0000163775867 EDISON SITORUS L PNS PUSAT Caries of dentine Berobat Jalan

320 19-08-2019 170406010819P000620 0000889763624 SETIA BUDI L PBI (APBN) Headache Berobat Jalan

321 19-08-2019 170406010819P000618 0000889764311 SETIAWATI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
322 19-08-2019 170406010819P000615 0000889815306 MASNUN P PBI (APBN) Myalgia Berobat Jalan

323 19-08-2019 170406010819P000587 0000890022813 MASRAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
324 19-08-2019 170406010819P000616 0000890461168 RUHANI P PBI (APBN) Spondylolysis Berobat Jalan

325 19-08-2019 170406010819P000619 0000890637142 DIAWATI P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
326 19-08-2019 170406010819P000617 0000890697328 GALUH P PBI (APBN) Acute haemorrhagic Berobat Jalan
gastritis
327 19-08-2019 170406010819P000581 0000890766898 HAMIDAH P PBI (APBN) Dyspepsia Berobat Jalan

328 19-08-2019 170406010819P000580 0000890767664 ARIFIN L PBI (APBN) Cough Berobat Jalan

329 19-08-2019 170406010819P000316 0000890834578 ILMI L PBI (APBN) Chronic myeloid Rujuk Lanjut
leukaemia
330 19-08-2019 170406010819P000586 0001045157973 JOKO PURNOMO L PBI (APBN) Pulpitis Berobat Jalan

331 19-08-2019 170406010819P000584 0001065416872 MUHAMMAD ANSYARI L PBI (APBN) Pulpitis Berobat Jalan

332 19-08-2019 170406010819P000312 0001199102916 LISA MURTINI P PEGAWAI SWASTA Leiomyoma of uterus, Rujuk Lanjut
unspecified
333 19-08-2019 170406010819P000314 0001266035848 MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

334 19-08-2019 170406010819P000308 0001319216321 SITI MARIAM P PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
335 19-08-2019 170406010819P000320 0001446999906 RAHIMAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
336 19-08-2019 170406010819P000319 0001484006861 NOOR JUBAIDAH A.A P PEKERJA MANDIRI Hyperlipidaemia, Berobat Jalan
unspecified
337 19-08-2019 170406010819P000310 0001484009076 NUR HIKMAH P PEKERJA MANDIRI Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

338 19-08-2019 170406010819P000317 0001786591023 surzanie L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
339 19-08-2019 170406010819P000305 0001889939777 SAPIAH P PEKERJA MANDIRI Heart failure, unspecified Rujuk Lanjut

340 19-08-2019 170406010819P000589 0002242559722 SEPTIA NOOR SHAHARA P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
341 19-08-2019 170406010819P000588 0002263277801 RIDHA WAHYUNI P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
342 19-08-2019 170406010819P000313 0002300826892 HAIFA P PEGAWAI SWASTA Other chronic suppurative Rujuk Lanjut
otitis media
343 19-08-2019 170406010819P000315 0002322724072 AKHMAD MUKHLIS L PEKERJA MANDIRI Inguinal hernia Rujuk Lanjut
DALIMUNTHE
344 19-08-2019 170406010819P000306 0002467175905 muhammad arsyad L PEKERJA MANDIRI End-stage renal disease Rujuk Lanjut

345 19-08-2019 170406010819P000321 0002636563487 NOVA REHANA DHIFA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
346 19-08-2019 170406010819P000318 0002771514652 MISNAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

347 19-08-2019 170406010819P000309 0002773501659 AKHMAD JUANDI L PEKERJA MANDIRI Other and unspecified Berobat Jalan
gastroenteritis and colitis

348 16-08-2019 170406010819P000289 0000122620127 HARTINAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
349 16-08-2019 170406010819P000298 0000200312019 ERNAWATI P PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
350 16-08-2019 170406010819P000613 0000889449434 ARBAYAH P PBI (APBN) Cough Berobat Jalan

351 16-08-2019 170406010819P000614 0000889449671 AINUR RAHIMAH P PBI (APBN) Cough Berobat Jalan

352 16-08-2019 170406010819P000292 0000889825768 UDAY HUSEIN L PBI (APBN) Respiratory tuberculosis, Berobat Jalan
bacteriologically and

353 16-08-2019 170406010819P000290 0000889982752 RAUDATHUL MUNAWARAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan

354 16-08-2019 170406010819P000579 0000890630695 MISLIWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
355 16-08-2019 170406010819P000296 0001380784746 RAWANSYAH L PEKERJA MANDIRI Atherosclerotic heart Rujuk Lanjut
disease
356 16-08-2019 170406010819P000303 0001451661669 ANSYAR L PEKERJA MANDIRI Pulpitis Berobat Jalan

357 16-08-2019 170406010819P000302 0001451662536 JAM'AH P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
358 16-08-2019 170406010819P000295 0001484006861 NOOR JUBAIDAH A.A P PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

359 16-08-2019 170406010819P000294 0001484009076 NUR HIKMAH P PEKERJA MANDIRI Disorder of refraction, Rujuk Lanjut
unspecified
360 16-08-2019 170406010819P000300 0001548483557 HISNAWATI P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
361 16-08-2019 170406010819P000293 0001785680741 MARIANAH P PEKERJA MANDIRI Hyperlipidaemia, Berobat Jalan
unspecified
362 16-08-2019 170406010819P000288 0001785681371 DESY RAHMAWATI P PEKERJA MANDIRI Acute lymphadenitis, Berobat Jalan
unspecified
363 16-08-2019 170406010819P000299 0001790572871 ROHANI P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
364 16-08-2019 170406010819P000301 0002088252077 PUTRI SONIA P PEKERJA MANDIRI Caries of dentine Berobat Jalan

365 16-08-2019 170406010819P000285 0002093457723 HARI LISWATI P PEKERJA MANDIRI Insulin-dependent Berobat Jalan
diabetes mellitus
366 16-08-2019 170406010819P000297 0002456749102 SITI AISYAH P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
367 16-08-2019 170406010819P000287 0002585020667 PATIMAH P PBI (APBN) Hebephrenic Rujuk Lanjut
schizophrenia
368 16-08-2019 170406010819P000286 0002751505378 MUHAMMAD ANIS HABIBI L PEKERJA MANDIRI Acute nephritic syndrome, Rujuk Lanjut
other
369 16-08-2019 170406010819P000291 0002771000537 MUSLIM L PEKERJA MANDIRI Acute haemorrhagic Berobat Jalan
gastritis
370 15-08-2019 170406010819P000719 0000122695571 ERNI RAHMI P PNS DAERAH Examination of blood Berobat Jalan
pressure
371 15-08-2019 170406010819P000717 0000122718824 DEWI ESTIKA SARI P PNS DAERAH Examination of blood Berobat Jalan
pressure
372 15-08-2019 170406010819P000716 0000122718982 FAULIAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
373 15-08-2019 170406010819P000709 0000122719026 H SAIBATUL HAMDI L PNS DAERAH Examination of blood Berobat Jalan
pressure
374 15-08-2019 170406010819P000710 0000122719037 MAHDIATUL WAHDAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
375 15-08-2019 170406010819P000713 0000122719162 RUSLIASARI P PNS PUSAT Examination of blood Berobat Jalan
pressure
376 15-08-2019 170406010819P000711 0000122719206 NOOR ASLIANI P PNS DAERAH Examination of blood Berobat Jalan
pressure
377 15-08-2019 170406010819P000718 0000122725012 PAUZIAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
378 15-08-2019 170406010819P000612 0000122745982 MARIANA P PENERIMA PENSIUN Cough Berobat Jalan
PNS
379 15-08-2019 170406010819P000264 0000122757491 JUMINEM P PENERIMA PENSIUN Symptoms and signs Berobat Jalan
PNS concerning food and fluid
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

380 15-08-2019 170406010819P000275 0000122797798 HAMISAH P PNS DAERAH Headache Berobat Jalan

381 15-08-2019 170406010819P000278 0000122813831 ASMAH P PNS DAERAH Allergic contact dermatitis Berobat Jalan

382 15-08-2019 170406010819P000270 0000122853159 MAKKIYAH. P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
383 15-08-2019 170406010819P000714 0000124715428 MASRUKIAH P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
384 15-08-2019 170406010819P000267 0000158013213 M. SALEH MARAN, DRS L PENERIMA PENSIUN Chronic sinusitis Rujuk Lanjut
PNS
385 15-08-2019 170406010819P000712 0000163507184 RUSDIANA. HJ P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
386 15-08-2019 170406010819P000272 0000202824088 SYARIF HIDAYAT L PNS DAERAH End-stage renal disease Rujuk Lanjut

387 15-08-2019 170406010819P000262 0000889706654 SALEHUDDIN L PBI (APBN) Epilepsy Rujuk Lanjut

388 15-08-2019 170406010819P000281 0000889815137 HALIMATUS SABIAH P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
389 15-08-2019 170406010819P000577 0000889937864 MUHAMMAD NASRULLAH L PBI (APBN) Cough Berobat Jalan

390 15-08-2019 170406010819P000280 0000889949823 NORMAYA P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
391 15-08-2019 170406010819P000261 0000890043535 TAUFIK AKHMAD L PBI (APBN) Atherosclerotic Rujuk Lanjut
cardiovascular disease, so

392 15-08-2019 170406010819P000276 0000890750891 FITRI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

393 15-08-2019 170406010819P000273 0000890850655 ABDUL KHAIR L PBI (APBN) Necrotizing fasciitis, hand Rujuk Lanjut

394 15-08-2019 170406010819P000576 0000891628108 FAUZIAH P PBI (APBN) Dyspepsia Berobat Jalan

395 15-08-2019 170406010819P000263 0000894976751 PIAH P PBI (APBN) Other arthritis Berobat Jalan

396 15-08-2019 170406010819P000284 0001065417333 SITI RAHMAH P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
397 15-08-2019 170406010819P000260 0001265731211 JUMAINAH P PEKERJA MANDIRI Undifferentiated Rujuk Lanjut
schizophrenia
398 15-08-2019 170406010819P000715 0001327093402 MURSEHAN P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
399 15-08-2019 170406010819P000274 0001429159263 TINA P PEKERJA MANDIRI Other benign neoplasm of Rujuk Lanjut
connective and other soft

400 15-08-2019 170406010819P000282 0001873511245 MASTANIAH P PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

401 15-08-2019 170406010819P000271 0002065412452 PANG SING KOK L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

402 15-08-2019 170406010819P000279 0002204292892 NEHNA NUR HIBBINA P PEGAWAI PEMERINTAH Diseases of pulp and Berobat Jalan
DENGAN PERJANJIAN periapical tissues

403 15-08-2019 170406010819P000720 0002207775701 DINA MARIANI P PEGAWAI SWASTA Examination of blood Berobat Jalan
pressure
404 15-08-2019 170406010819P000268 0002439220768 LUBNA HANA AZKIYA P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and

405 15-08-2019 170406010819P000277 0002498708406 MUHAMMAD ABDI RAMADHAN L PBI (APBD) Undifferentiated Rujuk Lanjut
schizophrenia
406 15-08-2019 170406010819P000269 0002499951947 IDUP L PEKERJA MANDIRI Cough Berobat Jalan

407 15-08-2019 170406010819P000283 0002607502162 SYAHRUJI L PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
bacteriologically and

408 15-08-2019 170406010819P000266 0002750081736 MUNAWARAH P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
409 14-08-2019 170406010819P000256 0000122718791 DENI ELFENI P PNS DAERAH Headache Berobat Jalan

410 14-08-2019 170406010819P000259 0000122756725 AS'ARI ISFANI L PENERIMA PENSIUN Insulin-dependent Berobat Jalan
PNS diabetes mellitus without

411 14-08-2019 170406010819P000611 0000122757658 RABIATUL ADAWIyAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
412 14-08-2019 170406010819P000251 0000122848536 JUAINI L PNS DAERAH Other deforming Berobat Jalan
dorsopathies
413 14-08-2019 170406010819P000255 0000123115331 M HATTA L PNS DAERAH Gastritis and duodenitis Berobat Jalan

414 14-08-2019 170406010819P000249 0000123205533 RASIDI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
415 14-08-2019 170406010819P000250 0000123322184 IFAH AMINAH P PNS PUSAT Prolonged pregnancy Rujuk Lanjut

416 14-08-2019 170406010819P000246 0000123347103 HERYADI, DRS L PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

417 14-08-2019 170406010819P000257 0000889440928 MUHAMMAD SAID SAPUTRA L PBI (APBN) Tinnitus Rujuk Lanjut

418 14-08-2019 170406010819P000610 0000889763624 SETIA BUDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
419 14-08-2019 170406010819P000574 0000891205918 nur ANNISA P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
420 14-08-2019 170406010819P000575 0000891215561 BARNIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
421 14-08-2019 170406010819P000254 0000891595427 RAWIYAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

422 14-08-2019 170406010819P000245 0000975900565 FATHUL JANNAH P PENERIMA PENSIUN TNI Moderate depressive Rujuk Lanjut
episode
423 14-08-2019 170406010819P000253 0001045157962 SRI TUKINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
424 14-08-2019 170406010819P000252 0001094262467 M. WAHYUDIN .HN L PENERIMA PENSIUN Essential (primary) Berobat Jalan
POLRI hypertension
425 14-08-2019 170406010819P000248 0001314899278 FITRIYANI P PEGAWAI SWASTA Gastritis and duodenitis Berobat Jalan

426 14-08-2019 170406010819P000247 0001825757886 SAMNAH P PEKERJA MANDIRI Other arthritis Berobat Jalan

427 14-08-2019 170406010819P000258 0002656938756 NOR HAYAH P PBI (APBD) Contraceptive Berobat Jalan
management
428 13-08-2019 170406010819P000227 0000122513635 M TASRIANSYAH L PENERIMA PENSIUN Cellulitis, unspecified Rujuk Lanjut
PNS
429 13-08-2019 170406010819P000234 0000122757491 JUMINEM P PENERIMA PENSIUN Disorder of gingiva and Rujuk Lanjut
PNS edentulous alveolar ridge,

430 13-08-2019 170406010819P000236 0000122757502 M RESO DIHARJO L PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
431 13-08-2019 170406010819P000235 0000122805617 SAHIB IBERAHIM L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
432 13-08-2019 170406010819P000222 0000122824855 NOORLENA P PNS DAERAH Pterygium Berobat Jalan

433 13-08-2019 170406010819P000228 0000123760809 ACHMAD SYAFII FIRDAUS L PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
434 13-08-2019 170406010819P000221 0000124564544 ABDUL GAFAR L PENERIMA PENSIUN Dyspepsia Berobat Jalan
POLRI
435 13-08-2019 170406010819P000225 0000889823586 FATMAWATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

436 13-08-2019 170406010819P000573 0000889980928 MUBARAK L PBI (APBN) Dyspepsia Berobat Jalan

437 13-08-2019 170406010819P000572 0000889988174 MASNIAH P PBI (APBN) Headache Berobat Jalan

438 13-08-2019 170406010819P000231 0000890236337 ATIKAH P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
439 13-08-2019 170406010819P000229 0000890686372 RAHMAD ANDREAN L PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
440 13-08-2019 170406010819P000571 0000890767664 ARIFIN L PBI (APBN) Dyspepsia Berobat Jalan

441 13-08-2019 170406010819P000265 0000891205918 nur ANNISA P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
442 13-08-2019 170406010819P000239 0000891669756 NAJWA FADHILA P PBI (APBN) Gastritis and duodenitis Berobat Jalan

443 13-08-2019 170406010819P000226 0001065414284 LATIFAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

444 13-08-2019 170406010819P000230 0001174156749 SITI MARIANA P PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
445 13-08-2019 170406010819P000241 0001303166687 SYAEPULLAH L PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
446 13-08-2019 170406010819P000233 0001790572522 TAUFIK KURAHMAN L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

447 13-08-2019 170406010819P000232 0001790572871 ROHANI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
448 13-08-2019 170406010819P000243 0001792389622 HUSNA DHIYA P PEKERJA MANDIRI Disorder of refraction, Rujuk Lanjut
unspecified
449 13-08-2019 170406010819P000240 0001793642095 KASPIAH P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

450 13-08-2019 170406010819P000223 0001926084532 AKHMED FITRIADI L PEGAWAI BUMD Schizophrenia, unspecified Rujuk Lanjut

451 13-08-2019 170406010819P000237 0001974866815 M. ZAINI GHANI L PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
452 13-08-2019 170406010819P000224 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

453 13-08-2019 170406010819P000242 0002224516149 NORMA P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
454 13-08-2019 170406010819P000238 0002234732793 MUHAMMAD RAMADHANI L PEGAWAI SWASTA Impacted cerumen Berobat Jalan

455 13-08-2019 170406010819P000220 0002607502162 SYAHRUJI L PBI (APBN) Calculus of kidney Rujuk Lanjut

456 13-08-2019 170406010819P000244 0002750950438 MASTIKA P PEGAWAI SWASTA Headache Berobat Jalan

457 12-08-2019 170406010819P000209 0000119294638 NORHALIS FAUZI L PNS DAERAH Dyspepsia Berobat Jalan

458 12-08-2019 170406010819P000207 0000122745982 MARIANA P PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
459 12-08-2019 170406010819P000205 0000122810567 NOOR ARIFIN L PNS DAERAH Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
460 12-08-2019 170406010819P000196 0000122813313 M.ASYARI L PNS DAERAH Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
461 12-08-2019 170406010819P000609 0000123171401 HERDAYANI P PNS DAERAH Cough Berobat Jalan

462 12-08-2019 170406010819P000217 0000123277476 A. K. PERMANA ALAMSJAH L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

463 12-08-2019 170406010819P000208 0000123328743 SYAFRUDDIN NOOR L PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
464 12-08-2019 170406010819P000215 0000123789429 RABIATUL ADAWIYAH P PEGAWAI SWASTA Contraceptive Berobat Jalan
management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

465 12-08-2019 170406010819P000570 0000889934163 SITI ZALEHA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
466 12-08-2019 170406010819P000569 0000889969083 NOR ZIKHA P PBI (APBN) Cough Berobat Jalan

467 12-08-2019 170406010819P000214 0000890532268 RUSMIDA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

468 12-08-2019 170406010819P000219 0001109933864 LATIFAH P PNS DAERAH Symptoms and signs Berobat Jalan
concerning food and fluid

469 12-08-2019 170406010819P000197 0001166092108 MUHAMMAD SURIANSYAH, SE L PEGAWAI SWASTA Hypertensive heart Rujuk Lanjut
disease
470 12-08-2019 170406010819P000200 0001266790847 RABIATUL JANAINAH P ANGGOTA POLRI Low back pain Berobat Jalan

471 12-08-2019 170406010819P000201 0001266790937 RAISYA AMELIA RAMADANI P ANGGOTA POLRI Acute upper respiratory Berobat Jalan
infections of multiple and

472 12-08-2019 170406010819P000211 0001267501601 ASRANI L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

473 12-08-2019 170406010819P000206 0001291826709 AHMAD ZAKI ILMI L PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
474 12-08-2019 170406010819P000199 0001551090813 YOSEP SuGITO L PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

475 12-08-2019 170406010819P000198 0001551380747 AUGUSTIN JOSEPHIN P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
476 12-08-2019 170406010819P000210 0001862564523 MASNIAH P PENERIMA PENSIUN Gastritis and duodenitis Berobat Jalan
POLRI
477 12-08-2019 170406010819P000216 0001921045083 RUDIAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

478 12-08-2019 170406010819P000213 0002086106883 JUHRI L PEKERJA MANDIRI Heart failure, unspecified Berobat Jalan

479 12-08-2019 170406010819P000203 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

480 12-08-2019 170406010819P000202 0002215322739 ERDAWATI P PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

481 12-08-2019 170406010819P000218 0002291525008 putri humaira P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
482 12-08-2019 170406010819P000204 0002482487122 NUR SALMA AMELIA L PEKERJA MANDIRI Asthma Berobat Jalan

483 12-08-2019 170406010819P000212 0002751505378 MUHAMMAD ANIS HABIBI L PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

484 12-08-2019 170406010819P000195 0002762958947 RAHMA RAMADHANI P PNS DAERAH Naevus, non-neoplastic Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

485 10-08-2019 170406010819P000190 0000119301219 M HANAFI L PNS DAERAH End-stage renal disease Berobat Jalan

486 10-08-2019 170406010819P000721 0000122695571 ERNI RAHMI P PNS DAERAH Examination of blood Berobat Jalan
pressure
487 10-08-2019 170406010819P000171 0000122706988 KASPUL ANWAR, H L PENERIMA PENSIUN TNI Hyperplasia of prostate Rujuk Lanjut

488 10-08-2019 170406010819P000722 0000122717766 ADTRI KORNIATI P PNS DAERAH Examination of blood Berobat Jalan
pressure
489 10-08-2019 170406010819P000723 0000122718791 DENI ELFENI P PNS DAERAH Examination of blood Berobat Jalan
pressure
490 10-08-2019 170406010819P000724 0000122718982 FAULIAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
491 10-08-2019 170406010819P000725 0000122719026 H SAIBATUL HAMDI L PNS DAERAH Examination of blood Berobat Jalan
pressure
492 10-08-2019 170406010819P000726 0000122719037 MAHDIATUL WAHDAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
493 10-08-2019 170406010819P000727 0000122719151 JOHNY RAMOON L PNS PUSAT Examination of blood Berobat Jalan
pressure
494 10-08-2019 170406010819P000728 0000122719195 MAULANA IBRAHIM L PNS DAERAH Examination of blood Berobat Jalan
pressure
495 10-08-2019 170406010819P000729 0000122719206 NOOR ASLIANI P PNS DAERAH Examination of blood Berobat Jalan
pressure
496 10-08-2019 170406010819P000169 0000123212373 SAIFUL ANWAR L PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

497 10-08-2019 170406010819P000730 0000124715428 MASRUKIAH P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
498 10-08-2019 170406010819P000731 0000204782804 SITI PATIMAH P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
499 10-08-2019 170406010819P000607 0000889480416 MAHANI P PBI (APBN) Allergic contact dermatitis Berobat Jalan

500 10-08-2019 170406010819P000179 0000889825768 UDAY HUSEIN L PBI (APBN) Respiratory tuberculosis, Berobat Jalan
bacteriologically and

501 10-08-2019 170406010819P000567 0000889934163 SITI ZALEHA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
502 10-08-2019 170406010819P000191 0000890000908 SITI RAHMAH P PBI (APBN) Contraceptive Berobat Jalan
management
503 10-08-2019 170406010819P000192 0000890312793 FINA MURWARINI P PBI (APBN) Contraceptive Berobat Jalan
management
504 10-08-2019 170406010819P000180 0000890465016 RUSMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
505 10-08-2019 170406010819P000170 0000890872716 NOORJANAH P PBI (APBN) End-stage renal disease Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

506 10-08-2019 170406010819P000186 0000891511446 RUSPUDIANSYAH L PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
507 10-08-2019 170406010819P000187 0001065413654 FIRDAUS L PBI (APBN) Corns and callosities Berobat Jalan

508 10-08-2019 170406010819P000182 0001290766375 MUHAMMAD FAISAL L PEKERJA MANDIRI Paranoid schizophrenia Berobat Jalan

509 10-08-2019 170406010819P000185 0001327093402 MURSEHAN P PEKERJA MANDIRI Gout Berobat Jalan

510 10-08-2019 170406010819P000194 0001423346398 SYARIFUDDIN L PEKERJA MANDIRI Asthma Berobat Jalan

511 10-08-2019 170406010819P000732 0001441794846 ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
512 10-08-2019 170406010819P000168 0001451368113 DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified Berobat Jalan

513 10-08-2019 170406010819P000733 0001648188944 BURHANUDDIN L PEGAWAI SWASTA Examination of blood Berobat Jalan
pressure
514 10-08-2019 170406010819P000183 0001793642095 KASPIAH P PENERIMA PENSIUN Sciatica Rujuk Lanjut
PNS
515 10-08-2019 170406010819P000188 0001802811251 juhransyah jarni L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without

516 10-08-2019 170406010819P000184 0001819502684 ARBAYAH P PEKERJA MANDIRI Gout Berobat Jalan

517 10-08-2019 170406010819P000734 0001873511245 MASTANIAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
518 10-08-2019 170406010819P000178 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

519 10-08-2019 170406010819P000193 0002325943293 NAFISAH NUR HUSNA P PEGAWAI BUMN Influenza due to other Berobat Jalan
identified influenza virus
520 10-08-2019 170406010819P000189 0002487431147 MUHAMMAD HERY L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

521 10-08-2019 170406010819P000566 0002632624457 AHMAD FAJAR L PBI (APBN) Cough Berobat Jalan

522 10-08-2019 170406010819P000181 0002771000537 MUSLIM L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

523 09-08-2019 170406010819P000173 0000122811704 ST AISYAH P PNS DAERAH Other disorders of urinary Berobat Jalan
system
524 09-08-2019 170406010819P000165 0000172578251 KHAIRUR RAHMAH, DRA P PNS PUSAT Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

525 09-08-2019 170406010819P000177 0000890013622 NOORNAWATI P PBI (APBN) Contraceptive Berobat Jalan
management
526 09-08-2019 170406010819Y000166 0000890302252 MALIAH P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

527 09-08-2019 170406010819P000565 0000890620749 M. HAFIZ ANSARI L PBI (APBN) Cough Berobat Jalan

528 09-08-2019 170406010819P000562 0000890766898 HAMIDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
529 09-08-2019 170406010819P000563 0000891215561 BARNIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
530 09-08-2019 170406010819P000564 0000891607432 MARYATI P PBI (APBN) Dyspepsia Berobat Jalan

531 09-08-2019 170406010819Y000167 0001136266942 AHMAD YANI YUSUF L PEGAWAI SWASTA Other arthritis Berobat Jalan

532 09-08-2019 170406010819P000174 0001451368113 DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified Berobat Jalan

533 09-08-2019 170406010819P000175 0001785680741 MARIANAH P PEKERJA MANDIRI Hyperlipidaemia, Berobat Jalan
unspecified
534 09-08-2019 170406010819P000172 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

535 09-08-2019 170406010819P000176 0002584268076 AHMAD ZAINAL ILMI L PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
536 08-08-2019 170406010819P000164 0000122719026 H SAIBATUL HAMDI L PNS DAERAH Headache Berobat Jalan

537 08-08-2019 170406010819P000153 0000123328743 SYAFRUDDIN NOOR L PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
538 08-08-2019 170406010819P000145 0000123756219 JOHANSYAH L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
539 08-08-2019 170406010819P000142 0000123756221 RUSMIATI P PENERIMA PENSIUN Other chronic Rujuk Lanjut
PNS nonsuppurative otitis

540 08-08-2019 170406010819P000606 0000889480416 MAHANI P PBI (APBN) Allergic contact dermatitis Berobat Jalan

541 08-08-2019 170406010819P000161 0000889823586 FATMAWATI P PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

542 08-08-2019 170406010819P000150 0000889829098 ARSUNI L PBI (APBN) Hyperparathyroidism, Rujuk Lanjut
unspecified
543 08-08-2019 170406010819P000144 0000890013352 HELDAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
544 08-08-2019 170406010819P000146 0000890202284 NOOR SYARIFAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan

545 08-08-2019 170406010819P000158 0000890341863 renny setia ningsih P PBI (APBN) Contraceptive Berobat Jalan
management
546 08-08-2019 170406010819P000157 0000890836435 RUSMAWATI P PBI (APBN) Contraceptive Berobat Jalan
management
547 08-08-2019 170406010819P000149 0000891206324 FITRIAH P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

548 08-08-2019 170406010819P000155 0001174156751 AULIA RAHMI P PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
549 08-08-2019 170406010819P000163 0001280203964 RAUDAH P PEKERJA MANDIRI Heart failure, unspecified Berobat Jalan

550 08-08-2019 170406010819P000143 0001302569829 MANSYAH L PEKERJA MANDIRI Moderate depressive Rujuk Lanjut
episode
551 08-08-2019 170406010819P000151 0001451661669 ANSYAR L PEKERJA MANDIRI Other deforming Berobat Jalan
dorsopathies
552 08-08-2019 170406010819P000156 0001484093788 MUHAMMAD YUSUP L PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
553 08-08-2019 170406010819Y000147 0001547615575 SALAMAH P PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

554 08-08-2019 170406010819P000152 0001809000189 NOR JANAH P PEKERJA MANDIRI Cough Berobat Jalan

555 08-08-2019 170406010819P000141 0001868734877 KASINAH P PEKERJA MANDIRI Undifferentiated Rujuk Lanjut
schizophrenia
556 08-08-2019 170406010819P000154 0002079344935 DESSY RETNO EKAWATI P PEGAWAI SWASTA Diseases of pulp and Berobat Jalan
periapical tissues
557 08-08-2019 170406010819Y000148 0002215322739 ERDAWATI P PEKERJA MANDIRI Other arthritis Berobat Jalan

558 08-08-2019 170406010819P000162 0002284404579 AHMAD RAFIE L PEGAWAI SWASTA Influenza due to other Berobat Jalan
identified influenza virus
559 08-08-2019 170406010819P000159 0002639110612 ANIMA P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
560 08-08-2019 170406010819P000160 0002737317025 ROSITA WATI P PENERIMA PENSIUN Symptoms and signs Berobat Jalan
PNS concerning food and fluid

561 07-08-2019 170406010819P000122 0000122620138 JAMHARI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
562 07-08-2019 170406010819Y000131 0000123422275 SITI SYARAH P PEJABAT NEGARA Acute upper respiratory Berobat Jalan
infections of multiple and

563 07-08-2019 170406010819P000120 0000889763624 SETIA BUDI L PBI (APBN) Stroke, not specified as Berobat Jalan
haemorrhage or infarction
564 07-08-2019 170406010819Y000130 0000889823586 FATMAWATI P PBI (APBN) Dyspepsia Berobat Jalan

565 07-08-2019 170406010819P000559 0000889937864 MUHAMMAD NASRULLAH L PBI (APBN) Cough Berobat Jalan

566 07-08-2019 170406010819P000560 0000889973796 GUSTI HAJAR P PBI (APBN) Dyspepsia Berobat Jalan

567 07-08-2019 170406010819Y000127 0000890674277 SARINAH P PBI (APBN) Dyspepsia Berobat Jalan

568 07-08-2019 170406010819P000140 0000891680501 SANTI P PBI (APBN) Contraceptive Berobat Jalan
management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

569 07-08-2019 170406010819P000136 0001065833976 RAHMAWATI P PBI (APBN) Hyperlipidaemia, Berobat Jalan
unspecified
570 07-08-2019 170406010819Y000125 0001127475246 TAUFIK RAHMAN L PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
571 07-08-2019 170406010819P000138 0001195272077 SITI NORMALINA P PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
572 07-08-2019 170406010819Y000132 0001327153408 RAHMAWATI P PEGAWAI SWASTA Gout Berobat Jalan

573 07-08-2019 170406010819Y000129 0001327155333 MUHAMMAD HABIBIE RAHMANI L PEGAWAI SWASTA Conjunctivitis Berobat Jalan

574 07-08-2019 170406010819P000124 0001825757886 SAMNAH P PEKERJA MANDIRI Hyperlipidaemia, Berobat Jalan
unspecified
575 07-08-2019 170406010819P000121 0001868732335 ALWI SALEH L PEKERJA MANDIRI Low back pain Rujuk Lanjut

576 07-08-2019 170406010819Y000126 0001880831654 FATMAWATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
577 07-08-2019 170406010819Y000134 0001883400502 ROHANI P PEKERJA MANDIRI Headache Berobat Jalan

578 07-08-2019 170406010819P000135 0002093458195 REGHINA VASHA P PEKERJA MANDIRI Cough Berobat Jalan

579 07-08-2019 170406010819Y000128 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

580 07-08-2019 170406010819P000139 0002224516149 NORMA P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
581 07-08-2019 170406010819Y000133 0002314068906 ARBAYAH P PEKERJA MANDIRI Other arthritis Berobat Jalan

582 07-08-2019 170406010819P000123 0002324358573 SAYYIDATI KHADIJAH P PEKERJA MANDIRI Epilepsy Rujuk Lanjut

583 07-08-2019 170406010819P000137 0002490519407 SUNDARI P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
584 07-08-2019 170406010819P000561 0002583133683 UD HIYANI P PBI (APBN) Cough Berobat Jalan

585 06-08-2019 170406010819P000094 0000122691238 MARHANI ABD KARIM L PENERIMA PENSIUN Cough Berobat Jalan
PNS
586 06-08-2019 170406010819P000091 0000122811704 ST AISYAH P PNS DAERAH Dysuria Berobat Jalan

587 06-08-2019 170406010819P000115 0000122811715 MARTAPANI L PNS DAERAH Headache Berobat Jalan

588 06-08-2019 170406010819P000111 0000123322184 IFAH AMINAH P PNS PUSAT Contraceptive Berobat Jalan
management
589 06-08-2019 170406010819P000105 0000123702625 AMSIAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus
590 06-08-2019 170406010819P000558 0000889919662 SALASIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
591 06-08-2019 170406010819P000556 0000889943534 MUNSI L PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

592 06-08-2019 170406010819P000557 0000889984124 ALUS L PBI (APBN) Gout Berobat Jalan

593 06-08-2019 170406010819P000112 0000890029383 RAIHANA RIDA P PBI (APBN) Contraceptive Berobat Jalan
management
594 06-08-2019 170406010819P000109 0000890217988 JAHRI L PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
595 06-08-2019 170406010819P000106 0000890340423 SITI FATIMAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

596 06-08-2019 170406010819P000110 0000890342234 AYU ANGGRAINI P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
597 06-08-2019 170406010819P000605 0000890676426 MASLIAN P PBI (APBN) Cough Berobat Jalan

598 06-08-2019 170406010819P000113 0000890752318 JURIAH P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
599 06-08-2019 170406010819P000101 0000891511446 RUSPUDIANSYAH L PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
600 06-08-2019 170406010819P000102 0000891513347 NOOR SAMINTAN P PBI (APBN) Allergic contact dermatitis Berobat Jalan

601 06-08-2019 170406010819P000099 0001216669353 HAIRUDIN L PBI (APBD) Respiratory tuberculosis, Berobat Jalan
bacteriologically and

602 06-08-2019 170406010819P000103 0001279577057 AHMAD ANSHARI L PNS DAERAH Influenza due to other Berobat Jalan
identified influenza virus
603 06-08-2019 170406010819P000117 0001303166687 SYAEPULLAH L PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

604 06-08-2019 170406010819P000096 0001380784746 RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate Rujuk Lanjut

605 06-08-2019 170406010819P000090 0001425352072 SYUKRAN L PEKERJA MANDIRI Asthma Berobat Jalan

606 06-08-2019 170406010819P000114 0001433475369 HARTATI P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
607 06-08-2019 170406010819P000093 0001481294035 supiyah P PEKERJA MANDIRI Carcinoma in situ of Rujuk Lanjut
breast, unspecified
608 06-08-2019 170406010819P000604 0001808362978 najua aulia L PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
609 06-08-2019 170406010819P000100 0001810491085 MURSILAH P PEKERJA MANDIRI Polyneuropathy, Rujuk Lanjut
unspecified
610 06-08-2019 170406010819P000089 0001825757886 SAMNAH P PEKERJA MANDIRI Other arthritis Berobat Jalan

611 06-08-2019 170406010819P000097 0001886578266 NAHRUDIN L PEKERJA MANDIRI Insulin-dependent Berobat Jalan
diabetes mellitus
612 06-08-2019 170406010819P000118 0001967913595 MUHAMMAD SAUKANI L PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
613 06-08-2019 170406010819P000108 0001974866815 M. ZAINI GHANI L PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

614 06-08-2019 170406010819P000092 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

615 06-08-2019 170406010819P000098 0002229564835 YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate Berobat Jalan

616 06-08-2019 170406010819P000107 0002319471922 EKA ANDRI YANI P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues
617 06-08-2019 170406010819P000095 0002419160793 SARKUNI L PEKERJA MANDIRI Heart failure, unspecified Rujuk Lanjut

618 06-08-2019 170406010819P000104 0002436711669 SANIAH P PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

619 06-08-2019 170406010819P000116 0002492232535 GUSTI SUHARTINI P PEGAWAI SWASTA Symptoms and signs Berobat Jalan
concerning food and fluid

620 06-08-2019 170406010819P000119 0002764443262 MUSA AL KADIM L PEGAWAI SWASTA Cough Berobat Jalan

621 05-08-2019 170406010819P000060 0000122653631 SANIAH H KACIL P PNS PUSAT Presence of intraocular Rujuk Lanjut
lens
622 05-08-2019 170406010819P000046 0000122757276 HJ. MURNI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus
623 05-08-2019 170406010819P000057 0000123114969 AINI P PNS DAERAH Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
624 05-08-2019 170406010819P000054 0000123329542 CHAIRUL ANWAR L PNS DAERAH Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
625 05-08-2019 170406010819P000065 0000123760809 ACHMAD SYAFII FIRDAUS L PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
626 05-08-2019 170406010819P000066 0000123807025 MUHAMMAD HUSNI L PENERIMA PENSIUN Diseases of pulp and Berobat Jalan
PNS periapical tissues
627 05-08-2019 170406010819P000085 0000889705484 ROSITA P PBI (APBN) Headache Berobat Jalan

628 05-08-2019 170406010819P000053 0000889953884 FADILLAH L PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
629 05-08-2019 170406010819P000086 0000889979534 M. SUPIAN SAURI L PBI (APBN) Gout Berobat Jalan

630 05-08-2019 170406010819P000064 0000890013352 HELDAWATI P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
631 05-08-2019 170406010819P000055 0000890313906 SYARNIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
632 05-08-2019 170406010819P000084 0000890633002 HASAN BASRI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
633 05-08-2019 170406010819Y000059 0000890810436 FITRIADI L PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
634 05-08-2019 170406010819P000554 0000891603865 JAUHAR LATIFAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
635 05-08-2019 170406010819P000555 0001065416725 SALASIAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

636 05-08-2019 170406010819P000049 0001216669353 HAIRUDIN L PBI (APBD) Tuberculosis of lung, Rujuk Lanjut
confirmed by unspecified

637 05-08-2019 170406010819P000062 0001303166687 SYAEPULLAH L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

638 05-08-2019 170406010819P000082 0001382536484 RAHMAD HIDAYAT L PEGAWAI SWASTA Acute lymphadenitis, Berobat Jalan
unspecified
639 05-08-2019 170406010819P000051 0001664277287 HASANAH P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
640 05-08-2019 170406010819P000058 0001796882512 MASNIAH P PENERIMA PENSIUN Other arthritis Berobat Jalan
POLRI
641 05-08-2019 170406010819P000050 0001827796612 SUCI NURHIDAYATI P PEGAWAI SWASTA Cough Berobat Jalan

642 05-08-2019 170406010819Y000063 0001830859918 HADARIAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
643 05-08-2019 170406010819P000088 0001839006876 ANIDA P PEKERJA MANDIRI Contraceptive Berobat Jalan
management
644 05-08-2019 170406010819P000047 0001969181684 RAMADHAN L PEKERJA MANDIRI Heart failure, unspecified Rujuk Lanjut

645 05-08-2019 170406010819P000056 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

646 05-08-2019 170406010819P000067 0002224516149 NORMA P PEKERJA MANDIRI Antenatal screening, Berobat Jalan
unspecified
647 05-08-2019 170406010819P000083 0002235454154 BARKIAH P PNS DAERAH Headache Berobat Jalan

648 05-08-2019 170406010819P000068 0002607339723 BARIYAH P PBI (APBN) Contraceptive Berobat Jalan
management
649 05-08-2019 170406010819Y000061 0002743186432 SURIANSYAH L PEKERJA MANDIRI Other and unspecified Berobat Jalan
hydronephrosis
650 05-08-2019 170406010819P000052 0002744777125 ERNAWATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
651 03-08-2019 170406010819P000735 0000122717766 ADTRI KORNIATI P PNS DAERAH Examination of blood Berobat Jalan
pressure
652 03-08-2019 170406010819P000744 0000122718791 DENI ELFENI P PNS DAERAH Examination of blood Berobat Jalan
pressure
653 03-08-2019 170406010819P000736 0000122718982 FAULIAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
654 03-08-2019 170406010819P000737 0000122719026 H SAIBATUL HAMDI L PNS DAERAH Examination of blood Berobat Jalan
pressure
655 03-08-2019 170406010819P000738 0000122719037 MAHDIATUL WAHDAH P PNS DAERAH Examination of blood Berobat Jalan
pressure
656 03-08-2019 170406010819P000739 0000122719206 NOOR ASLIANI P PNS DAERAH Examination of blood Berobat Jalan
pressure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

657 03-08-2019 170406010819P000740 0000122719509 SUNARNI P PNS DAERAH Examination of blood Berobat Jalan
pressure
658 03-08-2019 170406010819Y000042 0000123203169 PARANSI L PNS DAERAH Headache Berobat Jalan

659 03-08-2019 170406010819P000034 0000123333434 AURIANSYAH L PENERIMA PENSIUN Paraplegia, unspecified Rujuk Lanjut
PNS
660 03-08-2019 170406010819P000030 0000123347103 HERYADI, DRS L PNS PUSAT Other deforming Berobat Jalan
dorsopathies
661 03-08-2019 170406010819P000741 0000124715428 MASRUKIAH P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
662 03-08-2019 170406010819P000038 0000158013213 M. SALEH MARAN, DRS L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
663 03-08-2019 170406010819P000041 0000202900915 SUKARSIH P PENERIMA PENSIUN Hyperlipidaemia, Berobat Jalan
PNS unspecified
664 03-08-2019 170406010819P000742 0000204782804 SITI PATIMAH P PENERIMA PENSIUN Examination of blood Berobat Jalan
PNS pressure
665 03-08-2019 170406010819P000079 0000889910908 NAPHANI EFENDI L PBI (APBN) Cough Berobat Jalan

666 03-08-2019 170406010819P000080 0000889943534 MUNSI L PBI (APBN) Cough Berobat Jalan

667 03-08-2019 170406010819P000078 0000889981389 JARIAH P PBI (APBN) Contraceptive Berobat Jalan
management
668 03-08-2019 170406010819P000044 0000889986622 MASNIAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan

669 03-08-2019 170406010819Y000031 0000890013385 MULYADI L PBI (APBN) Benign lipomatous Berobat Jalan
neoplasm
670 03-08-2019 170406010819P000033 0000890328835 YUSNAN ANANI L PBI (APBN) Undifferentiated Rujuk Lanjut
schizophrenia
671 03-08-2019 170406010819P000036 0000890368661 FITRIANOOR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

672 03-08-2019 170406010819P000045 0000890467727 NOR SIAH P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
673 03-08-2019 170406010819P000553 0000890624823 JUHANSYAH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
674 03-08-2019 170406010819P000077 0000890767664 ARIFIN L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
675 03-08-2019 170406010819P000043 0000891622179 MASRATU P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
676 03-08-2019 170406010819P000743 0001291769392 ST FARADIBAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
677 03-08-2019 170406010819P000745 0001327093402 MURSEHAN P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
678 03-08-2019 170406010819P000039 0001381991128 ABDUL HADI L PEKERJA MANDIRI Mixed asthma Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

679 03-08-2019 170406010819P000746 0001441794846 ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood Berobat Jalan
pressure
680 03-08-2019 170406010819P000747 0001648188944 BURHANUDDIN L PEGAWAI SWASTA Examination of blood Berobat Jalan
pressure
681 03-08-2019 170406010819P000040 0001666656178 H SAID SULTAN L PEGAWAI BUMN Chronic renal failure, Rujuk Lanjut
unspecified
682 03-08-2019 170406010819Y000032 0001873511245 MASTANIAH P PEKERJA MANDIRI Gout Berobat Jalan

683 03-08-2019 170406010819P000037 0002095501386 PRIMA ARIADI L PEGAWAI SWASTA Liver disease, unspecified Rujuk Lanjut

684 03-08-2019 170406010819P000048 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

685 03-08-2019 170406010819P000081 0002632624457 AHMAD FAJAR L PBI (APBN) Cough Berobat Jalan

686 03-08-2019 170406010819Y000035 0002771000537 MUSLIM L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

687 02-08-2019 170406010819P000603 0000122604783 ARDANI L PNS DAERAH Cough Berobat Jalan

688 02-08-2019 170406010819P000024 0000122824484 SAHIDAWATI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
689 02-08-2019 170406010819P000028 0000122824495 YUDA SYAIFUDDIN L PEKERJA MANDIRI Influenza due to other Berobat Jalan
identified influenza virus
690 02-08-2019 170406010819P000025 0000123187937 MASRUPAH P PNS DAERAH Cough Berobat Jalan

691 02-08-2019 170406010819P000021 0000123212373 SAIFUL ANWAR L PNS DAERAH Respiratory tuberculosis, Berobat Jalan
bacteriologically and

692 02-08-2019 170406010819P000341 0000123318865 MUHAMMAD MUKRI, H L PNS PUSAT Symptoms and signs Berobat Jalan
concerning food and fluid

693 02-08-2019 170406010819P000342 0000123318876 MARIANI P PNS PUSAT Symptoms and signs Berobat Jalan
concerning food and fluid

694 02-08-2019 170406010819P000343 0000123318887 MUSLIMAH P PEKERJA MANDIRI Symptoms and signs Berobat Jalan
concerning food and fluid

695 02-08-2019 170406010819P000073 0000889984124 ALUS L PBI (APBN) Dyspepsia Berobat Jalan

696 02-08-2019 170406010819P000029 0000890467727 NOR SIAH P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
697 02-08-2019 170406010819P000023 0000890553609 HUSAINI L PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
698 02-08-2019 170406010819P000075 0000890624823 JUHANSYAH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
699 02-08-2019 170406010819P000076 0000890630695 MISLIWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

700 02-08-2019 170406010819P000074 0000890633002 HASAN BASRI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
701 02-08-2019 170406010819P000340 0000890772941 JURMIYAH P PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

702 02-08-2019 170406010819P000339 0000890773929 RIZKI RAHMANI L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

703 02-08-2019 170406010819P000019 0000890786946 SITI AISYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

704 02-08-2019 170406010819P000072 0000891532473 SUPIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
705 02-08-2019 170406010819P000552 0000891607432 MARYATI P PBI (APBN) Dyspepsia Berobat Jalan

706 02-08-2019 170406010819P000026 0001269910967 ENDANG JUMIATI P PEGAWAI SWASTA Heart failure, unspecified Berobat Jalan

707 02-08-2019 170406010819Y000022 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

708 02-08-2019 170406010819P000020 0002215322739 ERDAWATI P PEKERJA MANDIRI Disorder of refraction, Rujuk Lanjut
unspecified
709 02-08-2019 170406010819P000344 0002251470666 FARHAN KHAZIN L PNS PUSAT Symptoms and signs Berobat Jalan
concerning food and fluid

710 02-08-2019 170406010819P000027 0002521840037 BADARUDDIN HADI L INVESTOR Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

711 01-08-2019 170406010819P000485 0000122813403 FITRIATI P PENERIMA PENSIUN Influenza due to other Berobat Jalan
PNS identified influenza virus
712 01-08-2019 170406010819P000010 0000122824484 SAHIDAWATI P PNS DAERAH Diseases of pulp and Berobat Jalan
periapical tissues
713 01-08-2019 170406010819P000332 0000123587021 ITA AS P PENERIMA PENSIUN Symptoms and signs Berobat Jalan
PNS concerning food and fluid

714 01-08-2019 170406010819P000016 0000889697338 HALIMATUS SADIAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

715 01-08-2019 170406010819P000008 0000889821775 NOR AINAH P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
716 01-08-2019 170406010819P000071 0000889937447 LATIFAH P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
717 01-08-2019 170406010819P000002 0000890005836 ALAN L PBI (APBN) Insulin-dependent Rujuk Lanjut
diabetes mellitus with
peripheral circulatory
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

718 01-08-2019 170406010819P000014 0000890044402 RINI FITRIYANI P PBI (APBN) Typhoid and paratyphoid Berobat Jalan
fevers
719 01-08-2019 170406010819P000331 0000890062288 MUHAMMAD YANI L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

720 01-08-2019 170406010819P000009 0000890459752 MARLINA P PBI (APBN) Diseases of pulp and Berobat Jalan
periapical tissues
721 01-08-2019 170406010819P000550 0000890630695 MISLIWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
722 01-08-2019 170406010819P000337 0000890773874 TAUFIK RAHMAN L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

723 01-08-2019 170406010819P000336 0000890773929 RIZKI RAHMANI L PBI (APBN) Symptoms and signs Berobat Jalan
concerning food and fluid

724 01-08-2019 170406010819P000070 0000890793279 IBNU SUHUD L PBI (APBN) Headache Berobat Jalan

725 01-08-2019 170406010819P000087 0000891517465 UTIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
726 01-08-2019 170406010819P000069 0000891547661 WARDAH P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
727 01-08-2019 170406010819P000551 0000891583244 ASPURI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
728 01-08-2019 170406010819P000007 0000975900565 FATHUL JANNAH P PENERIMA PENSIUN TNI Insulin-dependent Berobat Jalan
diabetes mellitus
729 01-08-2019 170406010819P000003 0001045157973 JOKO PURNOMO L PBI (APBN) Benign lipomatous Rujuk Lanjut
neoplasm of skin and
subcutaneous tissue of

730 01-08-2019 170406010819P000011 0001139609643 SITI FATIMAH P PEGAWAI SWASTA Antenatal screening, Berobat Jalan
unspecified
731 01-08-2019 170406010819P000015 0001279354476 IRWANSYAH L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

732 01-08-2019 170406010819P000001 0001423346398 SYARIFUDDIN L PEKERJA MANDIRI Other and unspecified Rujuk Lanjut
abdominal pain
733 01-08-2019 170406010819P000488 0001550631137 FIKRI BAIHAQI L PEGAWAI SWASTA Dyspepsia Berobat Jalan

734 01-08-2019 170406010819P000006 0001810489083 SYARKAWI L PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
735 01-08-2019 170406010819P000335 0001814205251 ABDUL HALIM L PEGAWAI SWASTA Symptoms and signs Berobat Jalan
concerning food and fluid

736 01-08-2019 170406010819P000333 0001814208219 muhammad alfi rinaldy L PEGAWAI SWASTA Symptoms and signs Berobat Jalan
concerning food and fluid
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

737 01-08-2019 170406010819P000334 0001814214903 norhayati P PEGAWAI SWASTA Symptoms and signs Berobat Jalan
concerning food and fluid

738 01-08-2019 170406010819P000012 0001902576161 RINI ANDRIATI P PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

739 01-08-2019 170406010819P000486 0002055376157 siti masnah P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
740 01-08-2019 170406010819P000004 0002215322638 BELA DWI KURNIANSYAH L PEKERJA MANDIRI Respiratory tuberculosis, Berobat Jalan
bacteriologically and

741 01-08-2019 170406010819P000005 0002314068906 ARBAYAH P PEKERJA MANDIRI Other deforming Berobat Jalan
dorsopathies
742 01-08-2019 170406010819P000013 0002374552631 RENY P PBI (APBD) Hypertensive heart Rujuk Lanjut
disease
743 01-08-2019 170406010819P000490 0002583780794 M.ABDURRAHMAN L PBI (APBN) Myalgia Berobat Jalan

744 01-08-2019 170406010819P000489 0002583787408 MARIANA P PBI (APBN) Malaise and fatigue Berobat Jalan

745 01-08-2019 170406010819P000017 0002623762629 HERLIANA P PEKERJA MANDIRI Cough Berobat Jalan

746 01-08-2019 170406010819P000487 0002639110612 ANIMA P PBI (APBN) Antenatal screening, Berobat Jalan
unspecified
747 01-08-2019 170406010819P000018 0002761217199 AMINAH P PEKERJA MANDIRI Diseases of pulp and Berobat Jalan
periapical tissues

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