DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

TANGGAL TANGGAL JENIS STATUS

NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG

131811020122Y000 31-01-2022 31-01-2022 Senile cataract,

1 0000108894069 AANG MUKLAS L - Rujuk Vertikal Hipertensi
493 00:00 10:47 unspecified
131811020122Y000 31-01-2022 31-01-2022 Acute nasopharyngitis
2 0000673405514 MIFTAHUN NIKMAH P - Berobat Jalan
498 00:00 11:44 [common cold]
131811020122Y000 31-01-2022 31-01-2022 Nonsuppurative otitis
3 0000673414402 KANTI WULANDARI P - Berobat Jalan
501 00:00 11:53 media
131811020122Y000 31-01-2022 31-01-2022
4 0000673680464 HANIK SANIYATI P - Myalgia Berobat Jalan
505 00:00 12:29
131811020122Y000 31-01-2022 31-01-2022
5 0000674243291 SOLIKATIN P - Cough Berobat Jalan
499 00:00 11:50
131811020122Y000 31-01-2022 31-01-2022 Inflammatory disorders of
6 0000674275408 AHMAD AMINUDIN L - Berobat Jalan
489 00:00 10:00 breast
131811020122Y000 31-01-2022 31-01-2022
7 0000674516867 SUNDARI P PBI (APBN) Cholelithiasis Rujuk Vertikal
491 00:00 10:24
131811020122Y000 31-01-2022 31-01-2022 Essential (primary)
8 0000674765932 SUPRIHatin L - Berobat Jalan
500 00:00 11:52 hypertension
131811020122P000 31-01-2022 31-01-2022 NASYA AHSANUR
9 0001546949755 P - Flaccid hemiplegia Rujuk Vertikal
497 00:00 11:37 RASYIDA
131811020122Y000 31-01-2022 31-01-2022
10 0001977346023 LILIK SUSARI P - Pruritus Berobat Jalan
495 00:00 11:00
131811020122Y000 31-01-2022 31-01-2022
11 0002126616568 AIRA RAHMA DINI P - Cough Berobat Jalan
496 00:00 11:03
131811020122Y000 31-01-2022 31-01-2022
12 0002161303525 JAMIATUN P - Heart failure Rujuk Vertikal
492 00:00 10:45
131811020122Y000 31-01-2022 31-01-2022
13 0002440717198 BRYAN ALVINO WAHYUDI L - Cough Berobat Jalan
506 00:00 12:37
131811020122Y000 31-01-2022 31-01-2022 Acute nasopharyngitis
14 0002480537924 JUMINAH P - Berobat Jalan
503 00:00 12:17 [common cold]
131811020122Y000 31-01-2022 31-01-2022
15 0002480538543 TIARA nur azizah P - Cough Berobat Jalan
502 00:00 12:16
131811020122Y000 31-01-2022 31-01-2022 Other disorders of urinary
16 0002685336085 JAYANTI MANDASARI P PBI (APBD) Berobat Jalan
504 00:00 12:21 system
131811020122P000 31-01-2022 02-02-2022 Other disorders of urinary
17 0002685336085 JAYANTI MANDASARI P PBI (APBD) Berobat Jalan
508 00:00 09:31 system
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

Follow-up examination
131811020122Y000 31-01-2022 31-01-2022
18 0002803386644 TUMINEM P - after other treatment for Berobat Jalan
507 00:00 12:49
other conditions
131811020122Y000 31-01-2022 31-01-2022 Disorders of vestibular
19 0002860511501 HENI MUSLIKIN L - Berobat Jalan
487 00:00 09:41 function
131811020122Y000 31-01-2022 31-01-2022
20 0002865319288 PARTOYO L - Schizophrenia Berobat Jalan
488 00:00 09:44
131811020122Y000 31-01-2022 31-01-2022
21 0002865321977 ACHMAD FATKHUR RIZKY L - Cough Berobat Jalan
494 00:00 10:48
131811020122Y000 31-01-2022 31-01-2022 Chronic kidney disease,
22 0003108089439 SUTRISNO L - Berobat Jalan
490 00:00 10:05 stage 5
131811020122Y000 29-01-2022 29-01-2022
23 0000674343112 SUMARTI P - Cough Berobat Jalan
483 00:00 11:19
131811020122Y000 29-01-2022 29-01-2022 Acute posthaemorrhagic
24 0000674495627 HINDUN MUNAWAROH P - Rujuk Vertikal
479 00:00 10:24 anaemia
131811020122Y000 29-01-2022 29-01-2022
25 0001296280822 ZIVANA EKA SETIAWAN P - Cough Berobat Jalan
484 00:00 11:22
131811020122Y000 29-01-2022 29-01-2022
26 0001702687138 Mardjito L - Cerebral infarction Rujuk Vertikal
478 00:00 08:21
131811020122Y000 29-01-2022 29-01-2022
27 0002077622379 IBNU HIBBAN AL AYUBI L - Urticaria Berobat Jalan
481 00:00 10:48
131811020122Y000 29-01-2022 29-01-2022 RAFAEL ALDAN
28 0002221085024 L - Cough Berobat Jalan
480 00:00 10:38 SETYAWAN
131811020122Y000 29-01-2022 29-01-2022
29 0002803353186 SRI ERNANI HAYATI P PBI (APBN) Myalgia Berobat Jalan
482 00:00 10:51
131811020122Y000 29-01-2022 29-01-2022 Disorders of vestibular
30 0002939466609 SULISTININGSIH P - Berobat Jalan
485 00:00 11:28 function
131811020122P000 29-01-2022 31-01-2022
31 0003069761444 AHMAD SAFI'I L - Dental caries, unspecified Berobat Jalan
486 00:00 08:30
131811020122P000 28-01-2022 28-01-2022
32 0000673251186 MESINAH P - Pulmonary oedema Rujuk Vertikal
462 00:00 08:31
131811020122Y000 28-01-2022 28-01-2022
33 0000674296648 RIZKI LAILATUL FARIKA P - Cough Berobat Jalan
467 00:00 10:11
131811020122Y000 28-01-2022 28-01-2022
34 0000674569394 KOMSATUN P - Headache Berobat Jalan
476 00:00 10:41
131811020122Y000 28-01-2022 28-01-2022 Acute nasopharyngitis
35 0002126048319 MIFTAKHUL ARIFIN L - Berobat Jalan
472 00:00 10:28 [common cold]
131811020122Y000 28-01-2022 28-01-2022
36 0002264708147 ZAHRA AL MAIRA PUTRI P - Cough Berobat Jalan
469 00:00 10:19
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 28-01-2022 28-01-2022

37 0002309186632 WARIDI L - Myalgia Berobat Jalan
473 00:00 10:33
131811020122Y000 28-01-2022 28-01-2022 Nonsuppurative otitis
38 0002610491365 IMAM KAMBALI L - Berobat Jalan
474 00:00 10:35 media
131811020122Y000 28-01-2022 28-01-2022
39 0002678711409 IIS SUGIANTI P - Cough Berobat Jalan
471 00:00 10:25
131811020122Y000 28-01-2022 28-01-2022
40 0002803349687 ARIS NURSUSANTO L - Corneal ulcer Rujuk Vertikal
466 00:00 09:49
131811020122Y000 28-01-2022 28-01-2022
41 0002803357192 SUYATMI P PBI (APBN) Schizophrenia Berobat Jalan
468 00:00 10:15
131811020122Y000 28-01-2022 28-01-2022 Burn and corrosion of wrist
42 0002842642359 PUTIKAH P - Berobat Jalan
475 00:00 10:39 and hand
131811020122Y000 28-01-2022 28-01-2022 Typhoid and paratyphoid
43 0002865320212 FERDIAN SAPUTRA L - Rujuk Horizontal
470 00:00 10:23 fevers
131811020122P000 28-01-2022 28-01-2022 Typhoid and paratyphoid
44 0002865320212 FERDIAN SAPUTRA L - Berobat Jalan
477 00:00 12:58 fevers
131811020122Y000 27-01-2022 27-01-2022 PENERIMA Disorders of purine and Diabetes
45 0000109023726 SUPARMO L Berobat Jalan
438 00:00 09:21 PENSIUN PNS pyrimidine metabolism Mellitus
131811020122Y000 27-01-2022 27-01-2022 Acute nasopharyngitis
46 0000673709084 SITI ASIYAH P - Berobat Jalan
453 00:00 11:33 [common cold]
131811020122Y000 27-01-2022 27-01-2022 FARA RARIDA
47 0000673709861 P - Cough Berobat Jalan
452 00:00 11:31 NURMALASARI
131811020122Y000 27-01-2022 27-01-2022
48 0000673762746 ZULAIKAH P - Pyoderma Berobat Jalan
434 00:00 08:44
131811020122Y000 27-01-2022 27-01-2022
49 0000673875437 DEWI WIDIANI P - Epilepsy Rujuk Vertikal
446 00:00 10:13
131811020122Y000 27-01-2022 27-01-2022
50 0000674224378 KARMILAH P - Headache Berobat Jalan
447 00:00 10:14
131811020122Y000 27-01-2022 27-01-2022
51 0000674243291 SOLIKATIN P - Cough Berobat Jalan
451 00:00 11:29
131811020122P000 27-01-2022 27-01-2022 Hypertensive heart
52 0000674341571 WAHYU WULANDARI P - Berobat Jalan
439 00:00 09:36 disease
131811020122Y000 27-01-2022 27-01-2022
53 0000674369976 NURMADI L PBI (APBN) Myalgia Berobat Jalan
440 00:00 09:37
131811020122Y000 27-01-2022 27-01-2022 Stroke, not specified as
54 0000674391161 SUNIJATI P - Rujuk Vertikal
450 00:00 11:24 haemorrhage or infarction
131811020122Y000 27-01-2022 27-01-2022
55 0000674445655 RIDAUL KHUSNA P - Cough Berobat Jalan
449 00:00 11:22
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 27-01-2022 27-01-2022 Essential (primary)

56 0001037767443 SUDARNI P - Berobat Jalan
441 00:00 09:42 hypertension
131811020122Y000 27-01-2022 27-01-2022 ANGELI DESVITA
57 0001037768117 P - Headache Berobat Jalan
444 00:00 09:56 NURWIDA PUTRI
131811020122Y000 27-01-2022 27-01-2022 Other contraceptive
58 0001037768501 PARYATI P - Berobat Jalan
456 00:00 13:13 management
131811020122Y000 27-01-2022 27-01-2022 Other contraceptive
59 0001037768512 INDA NUR FINDA SARI P - Berobat Jalan
457 00:00 13:16 management
131811020122Y000 27-01-2022 27-01-2022 Other contraceptive
60 0001702203208 WINARNI P - Berobat Jalan
458 00:00 14:20 management
131811020122Y000 27-01-2022 27-01-2022
61 0001977344482 SIWUH L - Heart failure Rujuk Vertikal
442 00:00 09:43
131811020122P000 27-01-2022 27-01-2022 Supervision of high-risk
62 0002267532977 ENDANG YULI P - Rujuk Vertikal
454 00:00 11:34 pregnancy
131811020122Y000 27-01-2022 27-01-2022
63 0002443208567 naisya nurwida marta aziza P - Cough Berobat Jalan
445 00:00 10:02
131811020122Y000 27-01-2022 27-01-2022 Typhoid and paratyphoid
64 0002453338989 yatini P - Berobat Jalan
435 00:00 08:57 fevers
131811020122Y000 27-01-2022 27-01-2022 Fever of other and
65 0002685334465 MOH. GALEH SAPUTRA L - Berobat Jalan
443 00:00 09:53 unknown origin
131811020122Y000 27-01-2022 27-01-2022
66 0002685336298 SRI NURUL LAILI P - Myalgia Berobat Jalan
437 00:00 09:09

131811020122Y000 27-01-2022 27-01-2022 EKA SULISTIANA Other specified

67 0002803349259 P - Rujuk Vertikal
448 00:00 10:53 HANDAYANI orthopaedic follow-up care

131811020122P000 27-01-2022 27-01-2022 MOHAMAD KOERUL

68 0002865319334 L - Dental caries, unspecified Berobat Jalan
460 00:00 19:14 ANAM
131811020122Y000 27-01-2022 27-01-2022 Hypertensive heart
69 0002931753137 SUNARYO L - Rujuk Vertikal
436 00:00 08:59 disease
131811020122Y000 27-01-2022 27-01-2022 Insertion of (intrauterine)
70 0003079320805 JUMIATI P - Berobat Jalan
455 00:00 13:04 contraceptive device
131811020122P000 27-01-2022 28-01-2022 Insertion of (intrauterine)
71 0003079320805 JUMIATI P - Berobat Jalan
461 00:00 08:02 contraceptive device
131811020122Y000 26-01-2022 26-01-2022
72 0000673067496 ENIK SETIA WATI P - Headache Berobat Jalan
420 00:00 10:49
131811020122Y000 26-01-2022 26-01-2022
73 0000673695718 FATJHUR VROZAK L PBI (APBN) Schizophrenia Berobat Jalan
423 00:00 11:03
131811020122Y000 26-01-2022 26-01-2022
74 0000674024207 RIZKY FEBRIANTO L - Chikungunya virus disease Berobat Jalan
411 00:00 08:59
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 26-01-2022 26-01-2022

75 0000674114725 SUDARSIH P - Myalgia Berobat Jalan
415 00:00 09:54
131811020122Y000 26-01-2022 26-01-2022 Supervision of other
76 0000674335888 DHEA ANNISA LUTHFIA P - Rujuk Vertikal
412 00:00 09:34 high-risk pregnancies
131811020122P000 26-01-2022 27-01-2022
77 0000674371078 SAMIDI L - Schizophrenia Berobat Jalan
430 00:00 08:19
131811020122Y000 26-01-2022 26-01-2022
78 0000674375916 ADI WIYONO L - Cough Berobat Jalan
421 00:00 11:00
131811020122P000 26-01-2022 27-01-2022 Disorders of vestibular
79 0001266574127 NURIDA HANAFIA P - Berobat Jalan
429 00:00 08:18 function
131811020122P000 26-01-2022 26-01-2022 Malignant neoplasm of
80 0001977347891 CHUSNUL HAMIDAH P - Rujuk Vertikal
424 00:00 11:05 breast
131811020122Y000 26-01-2022 26-01-2022 PEKERJA Stroke, not specified as
81 0002065541005 BAKRI L Rujuk Vertikal
425 00:00 11:25 MANDIRI haemorrhage or infarction
131811020122P000 26-01-2022 26-01-2022
82 0002065541422 KRISTIN MUJOWATI P - Dislocation of patella Rujuk Vertikal
428 00:00 11:56
131811020122Y000 26-01-2022 26-01-2022 Thyrotoxicosis
83 0002077621525 FITRIANI INDRAWATI P - Rujuk Vertikal
416 00:00 10:17 [hyperthyroidism]
131811020122Y000 26-01-2022 26-01-2022 MAEISYA KIRANA
84 0002445304948 P - Tinea corporis Berobat Jalan
419 00:00 10:48 HANIFAH
131811020122Y000 26-01-2022 26-01-2022
85 0002462380176 SINTYA PUTRI HIDAYAH P - Cough Berobat Jalan
426 00:00 11:33
131811020122Y000 26-01-2022 26-01-2022
86 0002604279453 SUTINEM P - Pruritus Berobat Jalan
414 00:00 09:51
131811020122Y000 26-01-2022 26-01-2022
87 0002803351994 NUR SAMSI L - Myalgia Berobat Jalan
422 00:00 11:01
131811020122Y000 26-01-2022 26-01-2022
88 0002865318298 ATIN SURAHMAN L - Schizophrenia Berobat Jalan
417 00:00 10:21
131811020122Y000 26-01-2022 26-01-2022
89 0002884857704 LASIMEN L - Myalgia Berobat Jalan
413 00:00 09:49
131811020122Y000 26-01-2022 26-01-2022
90 0002920419753 DIKA RIZWAN PRAWIRA L - Cough Berobat Jalan
427 00:00 11:34
Insulin-dependent
131811020122Y000 26-01-2022 26-01-2022 diabetes mellitus with
91 0003096502367 JUWADI L - Rujuk Vertikal
410 00:00 08:38 other specified
complications
131811020122Y000 26-01-2022 26-01-2022
92 0003119644473 KENAN ALFARISQI L - Atopic dermatitis Berobat Jalan
418 00:00 10:46
131811020122Y000 25-01-2022 25-01-2022
93 0000673437699 NURYANI P - Otitis externa Berobat Jalan
334 00:00 09:27
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 25-01-2022 25-01-2022 DIMAS TAUFIK

94 0000673439725 L - Urticaria Berobat Jalan
333 00:00 09:24 RAFFENDY
131811020122Y000 25-01-2022 25-01-2022 General counselling and
95 0000674308686 RODIYAH P PBI (APBN) Berobat Jalan
348 00:00 10:40 advice on contraception
131811020122Y000 25-01-2022 25-01-2022
96 0001082737912 JUMADI L - Schizophrenia Rujuk Vertikal
330 00:00 09:15
Insulin-dependent
131811020122Y000 25-01-2022 25-01-2022 diabetes mellitus with Diabetes
97 0001260874743 suryono L - Rujuk Vertikal
338 00:00 10:00 other specified Mellitus
complications
131811020122Y000 25-01-2022 25-01-2022 Supervision of high-risk
98 0001407687715 PUPUT SETYOWATI P - Rujuk Vertikal
346 00:00 10:30 pregnancy
131811020122Y000 25-01-2022 25-01-2022 Supervision of high-risk
99 0001407687715 PUPUT SETYOWATI P - Berobat Jalan
353 00:00 10:54 pregnancy
131811020122P000 25-01-2022 25-01-2022 Supervision of high-risk
100 0001407687715 PUPUT SETYOWATI P - Berobat Jalan
407 00:00 15:56 pregnancy
131811020122Y000 25-01-2022 25-01-2022
101 0001702687882 Mujiati P - Cough Berobat Jalan
337 00:00 09:57
131811020122Y000 25-01-2022 25-01-2022 Stroke, not specified as
102 0002521732678 MUDJAROH P - Rujuk Vertikal
327 00:00 08:41 haemorrhage or infarction
131811020122Y000 25-01-2022 25-01-2022
103 0002803352411 JUWARNI P - Cough Berobat Jalan
344 00:00 10:21
131811020122Y000 25-01-2022 25-01-2022
104 0002803353693 NIKMATURROSIDAH P - Headache Berobat Jalan
331 00:00 09:18
131811020122Y000 25-01-2022 25-01-2022 Burn and corrosion of wrist
105 0002842642359 PUTIKAH P - Berobat Jalan
335 00:00 09:29 and hand
131811020122Y000 25-01-2022 25-01-2022
106 0002888509599 SANTOSO L - Heart failure Rujuk Vertikal
329 00:00 09:13
131811020122Y000 25-01-2022 25-01-2022 Chronic kidney disease,
107 0002889470621 SAMI ASIH P - Rujuk Vertikal
332 00:00 09:21 stage 5
131811020122Y000 25-01-2022 25-01-2022 Hyperlipidaemia,
108 0003079292005 MUHAIMIN L - Rujuk Horizontal
347 00:00 10:40 unspecified
131811020122P000 25-01-2022 25-01-2022 Hyperlipidaemia,
109 0003079292005 MUHAIMIN L - Berobat Jalan
408 00:00 15:58 unspecified
Non-insulin-dependent
131811020122P000 24-01-2022 24-01-2022
110 0000108149321 ISMUNARTI P - diabetes mellitus with Rujuk Vertikal
315 00:00 10:59
unspecified complications
Fall on same level
131811020122Y000 24-01-2022 24-01-2022 Diabetes
111 0000108601479 SLAMET L - involving ice and snow Berobat Jalan
323 00:00 17:28 Mellitus
causing accidental injury
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 24-01-2022 24-01-2022 Other disorders of urinary

112 0000673576503 SAMSIYAH P PBI (APBN) Berobat Jalan
320 00:00 17:19 system
131811020122Y000 24-01-2022 24-01-2022
113 0000673793133 MAT HASIM L PBI (APBN) Hyperplasia of prostate Berobat Jalan
321 00:00 17:21
131811020122Y000 24-01-2022 24-01-2022 Fever of other and
114 0000674243291 SOLIKATIN P - Berobat Jalan
318 00:00 16:15 unknown origin
131811020122Y000 24-01-2022 24-01-2022 Fever of other and
115 0000674373644 MOHAMAD RIAN JAYADI L - Rujuk Horizontal
322 00:00 17:24 unknown origin
131811020122P000 24-01-2022 25-01-2022 Fever of other and
116 0000674373644 MOHAMAD RIAN JAYADI L - Berobat Jalan
406 00:00 15:51 unknown origin
131811020122Y000 24-01-2022 24-01-2022
117 0000674528951 LUTFI ANGGRAINI S P - Cough Berobat Jalan
319 00:00 16:21
131811020122Y000 24-01-2022 24-01-2022
118 0000674540752 MOH MUJIB L - Myalgia Berobat Jalan
317 00:00 16:10
131811020122P000 24-01-2022 24-01-2022 NINA MARIATUS PEGAWAI Chronic kidney disease,
119 0001483074753 P Rujuk Vertikal Hipertensi
312 00:00 08:23 SHOLIKAH SWASTA stage 5
131811020122P000 24-01-2022 24-01-2022 Other disorders of facial
120 0001702687691 Djiman L - Rujuk Vertikal Hipertensi
311 00:00 08:14 nerve
131811020122Y000 24-01-2022 24-01-2022
121 0002202301135 ISBAT L - Cough Berobat Jalan
324 00:00 17:35
131811020122Y000 24-01-2022 24-01-2022 MAULIDA ARISTA
122 0002615026443 P - Atopic dermatitis Berobat Jalan
326 00:00 18:09 ZAHRANY
131811020122Y000 24-01-2022 24-01-2022 Supervision of high-risk
123 0002631813704 TRIO NITA RISMA WATI P - Berobat Jalan
316 00:00 12:16 pregnancy, unspecified
131811020122P000 24-01-2022 24-01-2022
124 0002685334004 SUTAJI L - Heart failure, unspecified Rujuk Vertikal
313 00:00 08:37
131811020122Y000 24-01-2022 24-01-2022 FITRIA MIFTAQUL
125 0002803375067 P - Cholelithiasis Berobat Jalan
325 00:00 17:45 JANNAH
Follow-up examination
131811020122P000 24-01-2022 24-01-2022
126 0002865319097 SARONI L - after surgery for other Rujuk Vertikal
314 00:00 08:56
conditions
131811020122Y000 22-01-2022 22-01-2022
127 0000673787856 KARDI L - Myalgia Berobat Jalan
306 00:00 11:21
131811020122Y000 22-01-2022 22-01-2022 Disorders of vestibular
128 0000673804473 MUHAMMAT ANAS L - Berobat Jalan
303 00:00 11:04 function
131811020122Y000 22-01-2022 22-01-2022
129 0000673975427 DWIRAHAYU P - Cough Berobat Jalan
309 00:00 11:42
131811020122Y000 22-01-2022 22-01-2022 Stomatitis and related
130 0000674224378 KARMILAH P - Berobat Jalan
302 00:00 10:46 lesions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 22-01-2022 22-01-2022

131 0001807534653 rulita anggraini P - Calculus of kidney Rujuk Vertikal
300 00:00 09:56
131811020122Y000 22-01-2022 22-01-2022 Surveillance of
132 0001836907547 HERLINAWATI MEISARI P - Berobat Jalan
310 00:00 15:24 contraceptive drugs
131811020122P000 22-01-2022 27-01-2022
133 0001977347632 SUMIJAN L PBI (APBN) Myalgia Berobat Jalan
431 00:00 08:21
131811020122Y000 22-01-2022 22-01-2022
134 0002803359666 GIYAN PANCARINI P - Myalgia Berobat Jalan
305 00:00 11:17
131811020122Y000 22-01-2022 22-01-2022 Non-insulin-dependent
135 0002803360432 SUPRIANTO L PBI (APBN) Berobat Jalan
301 00:00 10:42 diabetes mellitus
131811020122P000 22-01-2022 22-01-2022 Non-insulin-dependent
136 0002803360432 SUPRIANTO L PBI (APBN) Berobat Jalan
307 00:00 11:37 diabetes mellitus
131811020122Y000 22-01-2022 22-01-2022 Fever of other and
137 0002803361297 ARKHAN JONEA MASKA L - Berobat Jalan
308 00:00 11:40 unknown origin

Diarrhoea and
131811020122Y000 22-01-2022 22-01-2022
138 0003110880418 APRILLIA SURTININGSIH P - gastroenteritis of Berobat Jalan
304 00:00 11:14
presumed infectious origin

131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes

139 0000108069039 ROMI PURWANINGSIH P - Berobat Jalan
405 00:00 15:30 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Disorders of purine and Diabetes
140 0000108069039 ROMI PURWANINGSIH P - Berobat Jalan
385 00:00 14:51 pyrimidine metabolism Mellitus
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
141 0000108069107 RUMI AIDA MUSTOFA P - Berobat Jalan Hipertensi
391 00:00 15:06 hypertension
131811020122P000 21-01-2022 25-01-2022
142 0000108069107 RUMI AIDA MUSTOFA P - Gastritis and duodenitis Berobat Jalan Hipertensi
371 00:00 14:21
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
143 0000108136978 WINDARU SUBEKTI L - Berobat Jalan
397 00:00 15:18 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
144 0000108136978 WINDARU SUBEKTI L - Berobat Jalan
378 00:00 14:36 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Essential (primary) Diabetes
145 0000108136989 SRI RAHAYU P - Berobat Jalan
377 00:00 14:34 hypertension Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
146 0000108136989 SRI RAHAYU P - Berobat Jalan
396 00:00 15:16 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
147 0000108151424 PARIKATUN P - Berobat Jalan
402 00:00 15:25 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
148 0000108151424 PARIKATUN P - Berobat Jalan
382 00:00 14:47 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022
149 0000108151569 SUWARTI P - Myalgia Berobat Jalan Hipertensi
365 00:00 14:03
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 21-01-2022 25-01-2022 Essential (primary)

150 0000108151569 SUWARTI P - Berobat Jalan Hipertensi
352 00:00 10:52 hypertension
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
151 0000108427421 SOEHARSONO L - Berobat Jalan
339 00:00 10:06 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Diabetes
152 0000108427421 SOEHARSONO L - Myalgia Berobat Jalan
356 00:00 13:30 Mellitus
131811020122P000 21-01-2022 25-01-2022 Essential (primary) Diabetes
153 0000108427432 HJ. DJUWARIYAH P - Berobat Jalan
336 00:00 09:49 hypertension Mellitus
131811020122P000 21-01-2022 25-01-2022 Essential (primary) Diabetes
154 0000108427432 HJ. DJUWARIYAH P - Berobat Jalan
355 00:00 13:28 hypertension Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
155 0000108601479 SLAMET L - Berobat Jalan
379 00:00 14:39 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
156 0000108601479 SLAMET L - Berobat Jalan
398 00:00 15:19 diabetes mellitus Mellitus
131811020122Y000 21-01-2022 21-01-2022 Open wound of finger(s) Diabetes
157 0000108601479 SLAMET L - Berobat Jalan
292 00:00 08:57 without damage to nail Mellitus
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
158 0000108894069 AANG MUKLAS L - Berobat Jalan Hipertensi
400 00:00 15:22 hypertension
Disorders of lipoprotein
131811020122P000 21-01-2022 25-01-2022
159 0000108894069 AANG MUKLAS L - metabolism and other Berobat Jalan Hipertensi
381 00:00 14:44
lipidaemias
131811020122P000 21-01-2022 25-01-2022
160 0000108894071 SULASTRI P VETERAN Gastritis and duodenitis Berobat Jalan Hipertensi
380 00:00 14:41
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
161 0000108894071 SULASTRI P VETERAN Berobat Jalan Hipertensi
399 00:00 15:21 hypertension
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent
162 0000108897873 SRI WULAN P - Berobat Jalan Hipertensi
401 00:00 15:24 diabetes mellitus
131811020122Y000 21-01-2022 21-01-2022 Non-insulin-dependent
163 0000108897873 SRI WULAN P - Berobat Jalan Hipertensi
295 00:00 09:05 diabetes mellitus
131811020122P000 21-01-2022 25-01-2022 PENERIMA Non-insulin-dependent Diabetes
164 0000109023726 SUPARMO L Berobat Jalan
345 00:00 10:30 PENSIUN PNS diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 PENERIMA Disorders of purine and Diabetes
165 0000109023726 SUPARMO L Berobat Jalan
361 00:00 13:49 PENSIUN PNS pyrimidine metabolism Mellitus
Diabetes
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
166 0000173222932 RUMINAH P - Berobat Jalan Mellitus Hipertensi
363 00:00 13:59 hypertension
Hipertensi
Hyperuricaemia without
Diabetes
131811020122P000 21-01-2022 25-01-2022 signs of inflammatory
167 0000173222932 RUMINAH P - Berobat Jalan Mellitus Hipertensi
349 00:00 10:41 arthritis and tophaceous
Hipertensi
disease
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 21-01-2022 25-01-2022 Essential (primary)

168 0000673664949 RIYAMIN L - Berobat Jalan Hipertensi
367 00:00 14:08 hypertension
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
169 0000673664949 RIYAMIN L - Berobat Jalan Hipertensi
387 00:00 14:59 hypertension
131811020122P000 21-01-2022 27-01-2022 Hypertensive heart
170 0000673776573 WAGINI P - Berobat Jalan Hipertensi Hipertensi
459 00:00 19:09 disease
131811020122P000 21-01-2022 25-01-2022 Essential (primary) Diabetes
171 0000674200653 DARWATI P - Berobat Jalan
376 00:00 14:33 hypertension Mellitus
131811020122P000 21-01-2022 21-01-2022
172 0000674201981 SUYATNI L PBI (APBN) Heart failure Rujuk Vertikal Hipertensi Hipertensi
291 00:00 08:49
131811020122Y000 21-01-2022 21-01-2022
173 0000674391183 SUINAH P - Myalgia Berobat Jalan
293 00:00 09:00
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
174 0000674395885 PRIBADI L - Berobat Jalan Hipertensi
383 00:00 14:48 hypertension
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
175 0000674395885 PRIBADI L - Berobat Jalan Hipertensi
403 00:00 15:27 hypertension
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
176 0000674395986 WARSIYEM P - Berobat Jalan Hipertensi
404 00:00 15:29 hypertension
131811020122P000 21-01-2022 25-01-2022
177 0000674395986 WARSIYEM P - Myalgia Berobat Jalan Hipertensi
384 00:00 14:50
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
178 0000674558965 WARSIATI P - Berobat Jalan Hipertensi
388 00:00 15:01 hypertension
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
179 0000674558965 WARSIATI P - Berobat Jalan Hipertensi
368 00:00 14:15 hypertension
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
180 0000674885496 MUJI RAHAYU P - Berobat Jalan
375 00:00 14:29 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
181 0000674885496 MUJI RAHAYU P - Berobat Jalan
395 00:00 15:12 diabetes mellitus Mellitus
Follow-up examination
131811020122Y000 21-01-2022 21-01-2022
182 0001037772483 SLAMET L - after other treatment for Rujuk Vertikal
297 00:00 09:51
other conditions
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
183 0001082928857 LASIPAN L - Berobat Jalan Hipertensi
394 00:00 15:11 hypertension
131811020122P000 21-01-2022 25-01-2022
184 0001082928857 LASIPAN L - Myalgia Berobat Jalan Hipertensi
374 00:00 14:25
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
185 0001101165761 ERNA SRIWARDANI P - Berobat Jalan
328 00:00 09:06 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
186 0001101165761 ERNA SRIWARDANI P - Berobat Jalan
354 00:00 13:27 diabetes mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 21-01-2022 25-01-2022

187 0001261349414 TUTIK MARIYATI P - Myalgia Berobat Jalan Hipertensi
372 00:00 14:22
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
188 0001261349414 TUTIK MARIYATI P - Berobat Jalan Hipertensi
392 00:00 15:08 hypertension
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
189 0001311397839 SRI ASTUTIK P - Berobat Jalan
364 00:00 14:01 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
190 0001311397839 SRI ASTUTIK P - Berobat Jalan
351 00:00 10:50 diabetes mellitus Mellitus
Hyperuricaemia without
131811020122P000 21-01-2022 25-01-2022 signs of inflammatory
191 0001702687691 Djiman L - Berobat Jalan Hipertensi
350 00:00 10:46 arthritis and tophaceous
disease
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
192 0001702687691 Djiman L - Berobat Jalan Hipertensi
362 00:00 13:56 hypertension
131811020122Y000 21-01-2022 21-01-2022
193 0001703404394 Lilik P - Acute lymphadenitis Berobat Jalan
294 00:00 09:04
Disorders of lipoprotein
131811020122P000 21-01-2022 25-01-2022 Diabetes
194 0001787619587 retnowati P - metabolism and other Berobat Jalan
357 00:00 13:38 Mellitus
lipidaemias
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
195 0001787619587 retnowati P - Berobat Jalan
340 00:00 10:10 diabetes mellitus Mellitus
131811020122Y000 21-01-2022 21-01-2022 PEKERJA Angina pectoris,
196 0001906902933 KOMSATUN P Berobat Jalan
296 00:00 09:42 MANDIRI unspecified
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
197 0001977346833 SURATNI P - Berobat Jalan
342 00:00 10:17 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Essential (primary) Diabetes
198 0001977346833 SURATNI P - Berobat Jalan
359 00:00 13:44 hypertension Mellitus
131811020122P000 21-01-2022 25-01-2022 Diabetes Diabetes
199 0002067212103 TONTOWI DJAUHARI L - Myalgia Berobat Jalan
369 00:00 14:18 Mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes Diabetes
200 0002067212103 TONTOWI DJAUHARI L - Berobat Jalan
389 00:00 15:03 diabetes mellitus Mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
201 0002236069236 MASRUROH P - Berobat Jalan
360 00:00 13:47 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
202 0002236069236 MASRUROH P - Berobat Jalan
343 00:00 10:20 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022
203 0002237652448 SRIANI P - Myalgia Berobat Jalan Hipertensi
366 00:00 14:06
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
204 0002237652448 SRIANI P - Berobat Jalan Hipertensi
386 00:00 14:57 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 21-01-2022 25-01-2022 Essential (primary)

205 0002476177626 TITIK SUNARIYATI P - Berobat Jalan Hipertensi
393 00:00 15:10 hypertension
131811020122P000 21-01-2022 25-01-2022
206 0002476177626 TITIK SUNARIYATI P - Gastritis and duodenitis Berobat Jalan Hipertensi
373 00:00 14:24
131811020122P000 21-01-2022 25-01-2022 Diabetes
207 0002803341014 SRI AGUS TRIANA P - Myalgia Berobat Jalan
370 00:00 14:19 Mellitus
131811020122P000 21-01-2022 25-01-2022 Non-insulin-dependent Diabetes
208 0002803341014 SRI AGUS TRIANA P - Berobat Jalan
390 00:00 15:05 diabetes mellitus Mellitus
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
209 0002924642878 NASRIP L - Berobat Jalan Hipertensi
358 00:00 13:41 hypertension
131811020122P000 21-01-2022 25-01-2022 Essential (primary)
210 0002924642878 NASRIP L - Berobat Jalan Hipertensi
341 00:00 10:15 hypertension
131811020122Y000 21-01-2022 21-01-2022 Acute nasopharyngitis
211 0003079137058 SRI WAHYUNI P - Berobat Jalan
298 00:00 10:06 [common cold]
Other local infections of
131811020122Y000 21-01-2022 21-01-2022
212 0003079137115 FARA ANGELICA RAHMAN P - skin and subcutaneous Berobat Jalan
299 00:00 10:07
tissue
131811020122Y000 20-01-2022 20-01-2022 Fever of other and
213 0000673122306 DEFI FEBRIANTI P - Berobat Jalan
283 00:00 10:36 unknown origin
131811020122Y000 20-01-2022 20-01-2022
214 0000673924454 CITRA NINGATI P - Cough Berobat Jalan
280 00:00 10:29
131811020122Y000 20-01-2022 20-01-2022
215 0000674292587 SULASTRI P PBI (APBN) Dyspepsia Berobat Jalan Hipertensi
278 00:00 09:47
131811020122Y000 20-01-2022 20-01-2022 Complication of the
216 0000674327079 LILIK SURYANI P - Berobat Jalan
289 00:00 11:02 puerperium, unspecified
131811020122Y000 20-01-2022 20-01-2022
217 0000674558965 WARSIATI P - Myalgia Berobat Jalan Hipertensi
272 00:00 08:43
Insulin-dependent
131811020122Y000 20-01-2022 20-01-2022 diabetes mellitus with
218 0000674578563 ASTUTIK P PBI (APBN) Rujuk Vertikal
290 00:00 11:11 other specified
complications
Chronic obstructive
131811020122P000 20-01-2022 20-01-2022
219 0000674595178 SURASMINI L - pulmonary disease, Rujuk Vertikal
276 00:00 08:54
unspecified
131811020122Y000 20-01-2022 20-01-2022 Contraceptive
220 0000675825107 FIRDA ARIVIANTI P - Berobat Jalan
288 00:00 10:58 management, unspecified
131811020122Y000 20-01-2022 20-01-2022 Fever of other and
221 0001317074073 LILIK RIANI P - Berobat Jalan
282 00:00 10:32 unknown origin
131811020122Y000 20-01-2022 20-01-2022
222 0001537364147 SUKARI L - Atopic dermatitis Berobat Jalan
269 00:00 08:31
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

Acute upper respiratory

131811020122Y000 20-01-2022 20-01-2022
223 0001702683551 Winarni P - infections of multiple and Berobat Jalan
281 00:00 10:31
unspecified sites
131811020122Y000 20-01-2022 20-01-2022 Contraceptive
224 0001836907547 HERLINAWATI MEISARI P - Berobat Jalan
287 00:00 10:56 management, unspecified
131811020122Y000 20-01-2022 20-01-2022
225 0002092760886 IRSAN ARDHI WIJAYA L - Cough Berobat Jalan
284 00:00 10:42
131811020122Y000 20-01-2022 20-01-2022
226 0002431941243 AMAR ACHSANUL HAQ L PBI (APBN) Atopic dermatitis Berobat Jalan
285 00:00 10:45
131811020122Y000 20-01-2022 20-01-2022
227 0002431946125 AMRI ACHSANUL HAQ L - Atopic dermatitis Berobat Jalan
286 00:00 10:48
131811020122P000 20-01-2022 27-01-2022
228 0002803342555 ROMIONO L PBI (APBN) Schizophrenia Berobat Jalan
432 00:00 08:23
131811020122Y000 20-01-2022 20-01-2022
229 0002803379343 CHAMIDAH NURUL AINI P - Strabismus, unspecified Rujuk Vertikal
277 00:00 09:05
131811020122Y000 20-01-2022 20-01-2022 Other and unspecified
230 0003079198157 SITI NGALIYAH P - Rujuk Vertikal
279 00:00 09:50 atrioventricular block
131811020122Y000 19-01-2022 19-01-2022
231 0000673610848 TEMON AL MUTIAH P - Myalgia Berobat Jalan
242 00:00 09:09
131811020122Y000 19-01-2022 19-01-2022
232 0000673610861 SUTRISNO L - Dyspepsia Berobat Jalan
241 00:00 09:05
Anaemia in other chronic
131811020122Y000 19-01-2022 19-01-2022
233 0000673790242 SUMIATI P - diseases classified Rujuk Vertikal
251 00:00 11:22
elsewhere
131811020122Y000 19-01-2022 19-01-2022 Supervision of other
234 0000673982853 KAFATUL FITRIANI P - Berobat Jalan
256 00:00 11:48 high-risk pregnancies
131811020122P000 19-01-2022 19-01-2022 Supervision of other
235 0000673982853 KAFATUL FITRIANI P - Berobat Jalan
265 00:00 14:27 high-risk pregnancies
131811020122P000 19-01-2022 19-01-2022 Non-insulin-dependent
236 0000674229486 ENGGAR WTAI P PBI (APBN) Berobat Jalan
261 00:00 14:15 diabetes mellitus
131811020122Y000 19-01-2022 19-01-2022 Non-insulin-dependent
237 0000674229486 ENGGAR WTAI P PBI (APBN) Rujuk Horizontal
246 00:00 09:36 diabetes mellitus
131811020122Y000 19-01-2022 19-01-2022 Essential (primary)
238 0000674434585 DARWIATUN P - Berobat Jalan
244 00:00 09:13 hypertension
131811020122P000 19-01-2022 28-01-2022 Contraceptive
239 0000674735771 MUSRIANI P - Berobat Jalan
464 00:00 08:49 management, unspecified
131811020122Y000 19-01-2022 19-01-2022
240 0001037771864 SITI ASIAH P - Atopic dermatitis Berobat Jalan
250 00:00 10:47
131811020122Y000 19-01-2022 19-01-2022
241 0001037772044 SINTA FITRIANA P - Acute pharyngitis Berobat Jalan
245 00:00 09:19
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 19-01-2022 27-01-2022

242 0001037772044 SINTA FITRIANA P - Gastritis and duodenitis Berobat Jalan
433 00:00 08:25
131811020122P000 19-01-2022 19-01-2022
243 0001809478146 mujianah P - Myalgia Berobat Jalan
262 00:00 14:16
131811020122Y000 19-01-2022 19-01-2022
244 0001809478146 mujianah P - Myalgia Rujuk Horizontal
255 00:00 11:40
131811020122Y000 19-01-2022 19-01-2022
245 0001809857856 ORYZA SYATIVA P - Pyoderma Berobat Jalan
239 00:00 08:25
131811020122Y000 19-01-2022 19-01-2022 GILANG KURNIA Typhoid and paratyphoid
246 0001968066933 P - Rujuk Horizontal
259 00:00 12:05 HIRAWATI fevers
131811020122P000 19-01-2022 19-01-2022 GILANG KURNIA Typhoid and paratyphoid
247 0001968066933 P - Berobat Jalan
264 00:00 14:18 HIRAWATI fevers
131811020122Y000 19-01-2022 19-01-2022
248 0001977346315 YATUN P - Gastritis and duodenitis Berobat Jalan
249 00:00 10:41
131811020122Y000 19-01-2022 19-01-2022
249 0001977347878 SUWARDI L - Atopic dermatitis Berobat Jalan
240 00:00 09:04
131811020122Y000 19-01-2022 19-01-2022
250 0002309186632 WARIDI L - Myalgia Rujuk Horizontal
253 00:00 11:37
131811020122P000 19-01-2022 19-01-2022
251 0002309186632 WARIDI L - Myalgia Berobat Jalan
263 00:00 14:17
131811020122Y000 19-01-2022 19-01-2022
252 0002309187767 PURWATI P - Schizophrenia Berobat Jalan
254 00:00 11:38
131811020122P000 19-01-2022 20-01-2022
253 0002525314331 DEWI MASLACHAH P - Gastritis and duodenitis Berobat Jalan
275 00:00 08:49
131811020122Y000 19-01-2022 19-01-2022
254 0002803353603 KAMIRAH P - Myalgia Berobat Jalan
243 00:00 09:12
131811020122Y000 19-01-2022 19-01-2022 Supervision of high-risk
255 0002842646681 SUYATIN P - Rujuk Vertikal
257 00:00 11:56 pregnancy, unspecified
131811020122P000 19-01-2022 19-01-2022 Supervision of high-risk
256 0002842646681 SUYATIN P - Berobat Jalan
266 00:00 14:30 pregnancy, unspecified
131811020122Y000 19-01-2022 19-01-2022 YASMIN SHAQUENA Fever of other and
257 0003079549642 P - Berobat Jalan
258 00:00 12:02 AURELI-YIN unknown origin
131811020122Y000 19-01-2022 19-01-2022
258 0003099810036 ESTER ARINTA DEWI P - Fibroadenosis of breast Rujuk Vertikal
252 00:00 11:24
131811020122Y000 19-01-2022 19-01-2022
259 0003110880418 APRILLIA SURTININGSIH P - Myalgia Berobat Jalan
247 00:00 10:39
131811020122Y000 19-01-2022 19-01-2022 BAYI NYONYA APRILLIA Fever of other and
260 0003124314099 L - Berobat Jalan
248 00:00 10:40 SURTININGSIH unknown origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 18-01-2022 18-01-2022 Supervision of other

261 0000673419914 FITRIA NUR HALIMAH P - Berobat Jalan
223 00:00 10:17 normal pregnancy
Chronic obstructive
131811020122Y000 18-01-2022 18-01-2022
262 0000673746884 SLAMET RIADI L PBI (APBN) pulmonary disease, Rujuk Vertikal
231 00:00 11:11
unspecified
131811020122Y000 18-01-2022 18-01-2022 Supervision of other
263 0000673785101 SUMARSIH P - Berobat Jalan
235 00:00 11:25 high-risk pregnancies
131811020122P000 18-01-2022 19-01-2022 Supervision of other
264 0000673785101 SUMARSIH P - Berobat Jalan
237 00:00 08:16 high-risk pregnancies
Other benign neoplasm of
131811020122Y000 18-01-2022 18-01-2022
265 0000674259478 SUPARMAN L - connective and other soft Rujuk Vertikal
218 00:00 09:36
tissue of abdomen
131811020122Y000 18-01-2022 18-01-2022
266 0000674259941 SUPARTI P PBI (APBN) Haemorrhoids Berobat Jalan
219 00:00 09:46
131811020122Y000 18-01-2022 18-01-2022 Supervision of other
267 0000674383487 YENI WULANDARI P PBI (APBN) Berobat Jalan
232 00:00 11:11 normal pregnancy
131811020122P000 18-01-2022 19-01-2022 Supervision of other
268 0000674383487 YENI WULANDARI P PBI (APBN) Berobat Jalan
238 00:00 08:17 normal pregnancy
131811020122P000 18-01-2022 20-01-2022
269 0000674426979 UMI KHABIBAH P - Myalgia Berobat Jalan
274 00:00 08:47
131811020122Y000 18-01-2022 18-01-2022
270 0000674427532 M.YAHYA L - Schizophrenia Berobat Jalan
222 00:00 10:00
131811020122Y000 18-01-2022 18-01-2022
271 0001082737912 JUMADI L - Schizophrenia Berobat Jalan
221 00:00 09:52
131811020122Y000 18-01-2022 18-01-2022 Hyperlipidaemia,
272 0001082928857 LASIPAN L - Berobat Jalan Hipertensi
220 00:00 09:50 unspecified
Insulin-dependent
131811020122Y000 18-01-2022 18-01-2022 diabetes mellitus with Diabetes
273 0001265685849 SITI ZULIANAH P - Rujuk Vertikal
225 00:00 10:23 other specified Mellitus
complications
131811020122Y000 18-01-2022 18-01-2022 Disorders of vestibular
274 0001537416459 DARIANTO L PEGAWAI BUMN Berobat Jalan
233 00:00 11:13 function
131811020122Y000 18-01-2022 18-01-2022
275 0002202301135 ISBAT L - Cough Berobat Jalan
228 00:00 10:59
131811020122Y000 18-01-2022 18-01-2022 Disorders of
276 0002685336085 JAYANTI MANDASARI P PBI (APBD) Rujuk Vertikal
216 00:00 08:47 accommodation
131811020122Y000 18-01-2022 18-01-2022 IFA CHOLIS SUSI
277 0002803348607 P - Tinnitus Rujuk Vertikal
224 00:00 10:20 SUSANTI
131811020122Y000 18-01-2022 18-01-2022 WAHYUNING
278 0002803351781 P - Cough Berobat Jalan
229 00:00 11:01 KARTIKAWATI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 18-01-2022 18-01-2022

279 0002803352668 ISMIATI P - Dental caries Berobat Jalan
227 00:00 10:52
131811020122Y000 18-01-2022 18-01-2022 FITRIA MIFTAQUL
280 0002803375067 P - Cholelithiasis Rujuk Vertikal
217 00:00 09:33 JANNAH
131811020122Y000 18-01-2022 18-01-2022 Non-insulin-dependent
281 0002842643215 JEBOH P - Berobat Jalan
226 00:00 10:42 diabetes mellitus
131811020122Y000 18-01-2022 18-01-2022
282 0002867906114 SUPANDI L - Schizophrenia Berobat Jalan
230 00:00 11:03
131811020122Y000 18-01-2022 18-01-2022 Supervision of other
283 0003065473304 LILIS SURYANI P - Berobat Jalan
234 00:00 11:23 high-risk pregnancies
131811020122Y000 17-01-2022 17-01-2022
284 0000109013455 AGNES MARIJANI P - Gastritis and duodenitis Berobat Jalan Hipertensi
201 00:00 13:01
Diabetes
131811020122P000 17-01-2022 18-01-2022
285 0000173222932 RUMINAH P - Heart failure Berobat Jalan Mellitus Hipertensi
236 00:00 14:04
Hipertensi
131811020122P000 17-01-2022 17-01-2022
286 0000673664949 RIYAMIN L - Heart failure Rujuk Vertikal Hipertensi
193 00:00 09:09
131811020122Y000 17-01-2022 17-01-2022
287 0000673709084 SITI ASIYAH P - Cough Berobat Jalan
208 00:00 14:41
131811020122Y000 17-01-2022 17-01-2022
288 0000673886597 SUPIYAH P - Low back pain Berobat Jalan
199 00:00 12:48
131811020122P000 17-01-2022 17-01-2022
289 0000673924454 CITRA NINGATI P - Cough Berobat Jalan
214 00:00 15:08
131811020122Y000 17-01-2022 17-01-2022 Typhoid and paratyphoid
290 0000674150398 TUMIJAH P - Berobat Jalan
207 00:00 14:39 fevers
Non-insulin-dependent
131811020122P000 17-01-2022 17-01-2022 diabetes mellitus with Diabetes
291 0000674200653 DARWATI P - Rujuk Vertikal
191 00:00 08:22 other specified Mellitus
complications
131811020122P000 17-01-2022 17-01-2022 Hypertensive heart
292 0000674341571 WAHYU WULANDARI P - Rujuk Vertikal
192 00:00 08:48 disease
131811020122P000 17-01-2022 17-01-2022 General medical
293 0000674344989 ABDUL AZIZ L - Berobat Jalan
204 00:00 14:19 examination
131811020122Y000 17-01-2022 17-01-2022 General medical
294 0000674344989 ABDUL AZIZ L - Berobat Jalan
196 00:00 11:38 examination
131811020122Y000 17-01-2022 17-01-2022 Supervision of other
295 0000674362023 SALSABILA APRILIANA P PBI (APBN) Rujuk Vertikal
194 00:00 11:09 high-risk pregnancies
131811020122Y000 17-01-2022 17-01-2022
296 0000674475704 MESERAN L - Schizophrenia Berobat Jalan
202 00:00 13:02
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 17-01-2022 17-01-2022

297 0000674484895 SUJIATI P - Cough Berobat Jalan
213 00:00 15:03
Fall on same level
131811020122Y000 17-01-2022 17-01-2022
298 0000675152572 SUMARIYAH P - involving ice and snow Berobat Jalan
198 00:00 12:34
causing accidental injury
Follow-up examination
131811020122P000 17-01-2022 17-01-2022
299 0001037772483 SLAMET L - after other treatment for Rujuk Vertikal
195 00:00 11:23
other conditions
131811020122Y000 17-01-2022 17-01-2022 Acute nasopharyngitis
300 0001134906704 SULAIMAN L - Berobat Jalan
209 00:00 14:45 [common cold]
131811020122Y000 17-01-2022 17-01-2022 Essential (primary)
301 0001537364147 SUKARI L - Berobat Jalan
200 00:00 12:59 hypertension
131811020122Y000 17-01-2022 17-01-2022
302 0001537430152 INDAH SEPTIANI P - Myalgia Berobat Jalan
205 00:00 14:29
131811020122P000 17-01-2022 19-01-2022
303 0001537430152 INDAH SEPTIANI P - Myalgia Berobat Jalan
260 00:00 13:41
131811020122Y000 17-01-2022 17-01-2022
304 0001836907547 HERLINAWATI MEISARI P - Cough Berobat Jalan
210 00:00 14:47
Supervision of pregnancy
131811020122P000 17-01-2022 25-01-2022
305 0001977346991 INA SUSILOWATI P PBI (APBN) with history of abortive Berobat Jalan
409 00:00 16:02
outcome
131811020122P000 17-01-2022 28-01-2022 Supervision of high-risk
306 0001977346991 INA SUSILOWATI P PBI (APBN) Berobat Jalan
463 00:00 08:47 pregnancy, unspecified
131811020122P000 17-01-2022 20-01-2022
307 0001977351985 FATONI L - Dental caries, unspecified Berobat Jalan
273 00:00 08:44
131811020122P000 17-01-2022 17-01-2022
308 0001977351985 FATONI L - Chest pain, unspecified Berobat Jalan
215 00:00 15:10
131811020122Y000 17-01-2022 17-01-2022
309 0002195225763 SUTINI P - Cough Berobat Jalan
212 00:00 14:52
131811020122Y000 17-01-2022 17-01-2022 MUHAMMAD JA'FAR Fever of other and
310 0002195226213 L - Berobat Jalan
211 00:00 14:52 SHODIQ unknown origin
131811020122Y000 17-01-2022 17-01-2022
311 0002469406702 TRI SUMARNI P - Acute lymphadenitis Berobat Jalan
203 00:00 13:06
131811020122Y000 17-01-2022 17-01-2022 Supervision of other
312 0002803182838 RIA ERNITA AGUSTIN P - Berobat Jalan
197 00:00 11:42 normal pregnancy
131811020122Y000 17-01-2022 17-01-2022
313 0002860511139 AHMAD SUPIN L - Myalgia Berobat Jalan
206 00:00 14:33
131811020122P000 17-01-2022 20-01-2022
314 0003079117978 ALDO WAHYU MAULANA L - Dental caries, unspecified Berobat Jalan
271 00:00 08:41
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 15-01-2022 15-01-2022 Diabetes

315 0000098041623 Siti RODIYAH P - Myalgia Berobat Jalan
190 00:00 10:24 Mellitus
131811020122Y000 15-01-2022 15-01-2022 Diabetes
316 0000098041623 Siti RODIYAH P - Myalgia Rujuk Horizontal
185 00:00 10:12 Mellitus
131811020122Y000 15-01-2022 15-01-2022
317 0000673281551 NINUK SRILESTARI P - Atopic dermatitis Berobat Jalan
184 00:00 10:02
131811020122Y000 15-01-2022 15-01-2022
318 0000673664949 RIYAMIN L - Heart failure Berobat Jalan Hipertensi
182 00:00 09:37
131811020122Y000 15-01-2022 15-01-2022
319 0000673886597 SUPIYAH P - Myalgia Berobat Jalan
181 00:00 09:33
131811020122Y000 15-01-2022 15-01-2022
320 0000674049431 ASHARI L PBI (APBN) Myalgia Rujuk Horizontal
187 00:00 10:15
131811020122P000 15-01-2022 15-01-2022
321 0000674049431 ASHARI L PBI (APBN) Myalgia Berobat Jalan
189 00:00 10:23
Insulin-dependent
131811020122Y000 15-01-2022 15-01-2022 diabetes mellitus with
322 0000674163764 SUMIATUN P - Rujuk Vertikal
179 00:00 08:56 other specified
complications
131811020122Y000 15-01-2022 15-01-2022
323 0000674513458 EYIKSUSANTO L - Heart failure Rujuk Vertikal
177 00:00 08:27
131811020122Y000 15-01-2022 15-01-2022 Diabetes
324 0001446702063 SRYANTI P - Atopic dermatitis Berobat Jalan
188 00:00 10:17 Mellitus
131811020122Y000 15-01-2022 15-01-2022 Acute nasopharyngitis
325 0002309186632 WARIDI L - Berobat Jalan
178 00:00 08:35 [common cold]
131811020122P000 15-01-2022 20-01-2022 SABRINA HASNA
326 0002803354424 P - Dental caries, unspecified Berobat Jalan
268 00:00 08:24 QANITAH
131811020122Y000 15-01-2022 15-01-2022
327 0002884857704 LASIMEN L - Myalgia Berobat Jalan
180 00:00 09:29
131811020122P000 15-01-2022 20-01-2022 MUHAMMAD DANIYAL
328 0002899262114 L - Dental caries, unspecified Berobat Jalan
270 00:00 08:33 ARKANANTA ATHALLAH
GALEH AJENG CANDRA
131811020122Y000 15-01-2022 15-01-2022 Acute nasopharyngitis
329 0002939467138 NINGRUM DOLIS P - Berobat Jalan
183 00:00 09:39 [common cold]
LUPHYTA
131811020122Y000 14-01-2022 14-01-2022
330 0000674224378 KARMILAH P - Gastritis and duodenitis Berobat Jalan
174 00:00 10:46
131811020122P000 14-01-2022 15-01-2022
331 0001169278042 MUAWANAH P - Epilepsy Berobat Jalan
186 00:00 10:14
Acute upper respiratory
131811020122Y000 14-01-2022 14-01-2022
332 0001169278064 ALVIN FERDIANTO L - infections of multiple and Berobat Jalan
172 00:00 10:41
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 14-01-2022 14-01-2022

333 0001656773392 ILAWATI P - Myalgia Berobat Jalan
170 00:00 10:37
Acute upper respiratory
131811020122Y000 14-01-2022 14-01-2022 ZAHRA SALSABILA
334 0001656773403 P - infections of multiple and Berobat Jalan
171 00:00 10:39 QURATUL AINI
unspecified sites
131811020122Y000 14-01-2022 14-01-2022 Acute nasopharyngitis
335 0002059040507 ANDRE ARDIANSYAH L - Berobat Jalan
173 00:00 10:44 [common cold]
131811020122Y000 14-01-2022 14-01-2022
336 0002678712344 SURYAH P - Atopic dermatitis Berobat Jalan
166 00:00 09:58
131811020122Y000 14-01-2022 14-01-2022 Other disorders of urinary
337 0002685336085 JAYANTI MANDASARI P PBI (APBD) Berobat Jalan
169 00:00 10:30 system
131811020122P000 14-01-2022 14-01-2022 Other disorders of urinary
338 0002685336085 JAYANTI MANDASARI P PBI (APBD) Berobat Jalan
175 00:00 11:12 system
131811020122Y000 14-01-2022 14-01-2022 IFA CHOLIS SUSI
339 0002803348607 P - Tinnitus Berobat Jalan
167 00:00 10:05 SUSANTI
131811020122Y000 14-01-2022 14-01-2022
340 0002803357192 SUYATMI P PBI (APBN) Schizophrenia Berobat Jalan
168 00:00 10:08
131811020122Y000 13-01-2022 13-01-2022 Acute nasopharyngitis Diabetes
341 0000108069197 TRI BUDI UNTARI P - Berobat Jalan
156 00:00 11:18 [common cold] Mellitus
131811020122Y000 13-01-2022 13-01-2022
342 0000673306492 ANA KUNAINI P - Myalgia Berobat Jalan
158 00:00 11:24
131811020122Y000 13-01-2022 13-01-2022 Essential (primary)
343 0000673596279 PARMO L - Berobat Jalan
146 00:00 09:01 hypertension
131811020122Y000 13-01-2022 13-01-2022 Other chronic obstructive
344 0000673924454 CITRA NINGATI P - Berobat Jalan
159 00:00 11:34 pulmonary disease
131811020122Y000 13-01-2022 13-01-2022
345 0000674299517 BONIKEM P - Gastritis and duodenitis Berobat Jalan
148 00:00 09:53
131811020122Y000 13-01-2022 13-01-2022
346 0000674493344 FAIZATUL ROIKANAH P - Varicella [chickenpox] Berobat Jalan
157 00:00 11:20
131811020122Y000 13-01-2022 13-01-2022 Contraceptive
347 0000674543711 SUSILOWATI P - Berobat Jalan
152 00:00 10:47 management, unspecified
Calculus of urinary tract in
131811020122Y000 13-01-2022 13-01-2022
348 0001037772483 SLAMET L - diseases classified Berobat Jalan
155 00:00 10:55
elsewhere
Acute upper respiratory
131811020122P000 13-01-2022 20-01-2022
349 0001187417261 THALITA HASNA NAILAH P PBI (APBN) infections of multiple and Berobat Jalan
267 00:00 08:22
unspecified sites
131811020122Y000 13-01-2022 13-01-2022 PEKERJA
350 0001906902933 KOMSATUN P Unstable angina Rujuk Vertikal
147 00:00 09:50 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 13-01-2022 13-01-2022 Non-insulin-dependent

351 0001977347384 ZAHROUL MAEMUNAH P - Berobat Jalan
145 00:00 08:31 diabetes mellitus
131811020122P000 13-01-2022 13-01-2022 PEKERJA
352 0002065541005 BAKRI L Paraesthesia of skin Berobat Jalan
161 00:00 13:34 MANDIRI
131811020122Y000 13-01-2022 13-01-2022 PEKERJA
353 0002065541005 BAKRI L Paraesthesia of skin Rujuk Horizontal
153 00:00 10:49 MANDIRI
131811020122Y000 13-01-2022 13-01-2022
354 0002065541422 KRISTIN MUJOWATI P - Rheumatism, unspecified Rujuk Horizontal
154 00:00 10:51
131811020122P000 13-01-2022 13-01-2022
355 0002065541422 KRISTIN MUJOWATI P - Rheumatism, unspecified Berobat Jalan
160 00:00 13:32
131811020122Y000 13-01-2022 13-01-2022
356 0002161303648 LOSO L - Heart failure Berobat Jalan
151 00:00 10:38
131811020122Y000 13-01-2022 13-01-2022
357 0002469406702 TRI SUMARNI P - Acute lymphadenitis Berobat Jalan
150 00:00 10:01
131811020122Y000 13-01-2022 13-01-2022 Non-insulin-dependent
358 0002627648954 SUMARLIK P - Berobat Jalan
149 00:00 09:59 diabetes mellitus
131811020122Y000 12-01-2022
359 01-12-2022 0000673422996 SUMARMI P - Myalgia Berobat Jalan
115 09:41
131811020122Y000 12-01-2022
360 01-12-2022 0000673424447 SUTOYO L - Schizophrenia Berobat Jalan
116 09:43
131811020122Y000 12-01-2022 Disorders of vestibular
361 01-12-2022 0000673743058 NUR KHOLIMAH P - Berobat Jalan
126 11:23 function
131811020122Y000 12-01-2022 Non-insulin-dependent
362 01-12-2022 0000674229486 ENGGAR WTAI P PBI (APBN) Rujuk Horizontal
117 09:46 diabetes mellitus
131811020122P000 13-01-2022 Non-insulin-dependent
363 01-12-2022 0000674229486 ENGGAR WTAI P PBI (APBN) Berobat Jalan
162 13:40 diabetes mellitus
131811020122Y000 12-01-2022
364 01-12-2022 0000674254168 SITI MAESAROH P - Gastritis and duodenitis Berobat Jalan
114 09:39
131811020122Y000 12-01-2022 Diabetes
365 01-12-2022 0001881407169 SLAMET RIANTO L - Heart failure Rujuk Vertikal
124 10:32 Mellitus

Diarrhoea and
131811020122Y000 12-01-2022 JIYAN SAFIRA PERMATA
366 01-12-2022 0002067841506 P - gastroenteritis of Berobat Jalan
129 11:28 PUTRI
presumed infectious origin

131811020122Y000 12-01-2022 Supervision of high-risk

367 01-12-2022 0002161305729 NORNA NILA DAMAYANTI P - Berobat Jalan
125 10:55 pregnancy, unspecified
131811020122Y000 12-01-2022
368 01-12-2022 0002309186632 WARIDI L - Myalgia Berobat Jalan
130 11:30
131811020122Y000 12-01-2022 Fever of other and
369 01-12-2022 0002323793035 OLIVIA MEILIA PUTRI P - Berobat Jalan
120 09:56 unknown origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 12-01-2022
370 01-12-2022 0002425978697 MUHAMAD MUSTOFA L - Chest pain, unspecified Rujuk Vertikal
113 09:07
131811020122Y000 12-01-2022
371 01-12-2022 0002476649812 fathan daniyal danindra L - Measles Berobat Jalan
119 09:54
131811020122Y000 12-01-2022
372 01-12-2022 0002803342555 ROMIONO L PBI (APBN) Schizophrenia Berobat Jalan
131 11:32
131811020122P000 12-01-2022
373 01-12-2022 0002803342555 ROMIONO L PBI (APBN) Schizophrenia Berobat Jalan
133 14:06
131811020122Y000 12-01-2022 IFA CHOLIS SUSI
374 01-12-2022 0002803348607 P - Tinnitus Berobat Jalan
121 10:04 SUSANTI
131811020122Y000 12-01-2022
375 01-12-2022 0002865318298 ATIN SURAHMAN L - Schizophrenia Berobat Jalan
118 09:48
131811020122P000 13-01-2022
376 01-12-2022 0002865322056 ARYA RAMADHAN L - Dental caries, unspecified Berobat Jalan
144 08:21
131811020122Y000 12-01-2022
377 01-12-2022 0002867906114 SUPANDI L - Schizophrenia Berobat Jalan
122 10:08
131811020122Y000 12-01-2022 Refractory anaemia,
378 01-12-2022 0003044945035 AISYAH FAHMA KAMILA P - Rujuk Vertikal
123 10:25 unspecified
131811020122Y000 12-01-2022 Fever of other and
379 01-12-2022 0003079137115 FARA ANGELICA RAHMAN P - Berobat Jalan
128 11:26 unknown origin
Acute upper respiratory
131811020122Y000 12-01-2022
380 01-12-2022 0003079137159 AHMAD NUR RAIFANSAH L - infections of multiple and Berobat Jalan
127 11:25
unspecified sites
131811020122Y000 12-01-2022 YASMIN SHAQUENA Fever of other and
381 01-12-2022 0003079549642 P - Berobat Jalan
132 11:46 AURELI-YIN unknown origin
Non-insulin-dependent
131811020122P000 11-01-2022 diabetes mellitus with Diabetes
382 01-11-2022 0000108069039 ROMI PURWANINGSIH P - Rujuk Vertikal
097 07:50 other specified Mellitus
complications
131811020122Y000 11-01-2022 Surveillance of
383 01-11-2022 0000673710232 NANIK SUGIATI P - Berobat Jalan
104 10:22 contraceptive drugs
131811020122Y000 11-01-2022 Primary generalized
384 01-11-2022 0000674224378 KARMILAH P - Berobat Jalan
107 10:45 (osteo)arthrosis
131811020122Y000 11-01-2022
385 01-11-2022 0000674237057 JAMILIN L - Asthma Berobat Jalan
109 10:48
131811020122Y000 11-01-2022
386 01-11-2022 0000674237463 MISBAKHUL AZAZAH P - Headache Berobat Jalan
108 10:46
131811020122Y000 11-01-2022 Essential (primary)
387 01-11-2022 0000674383948 SARINEM P - Berobat Jalan
101 10:06 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 11-01-2022 Essential (primary)

388 01-11-2022 0000674426979 UMI KHABIBAH P - Berobat Jalan
100 09:55 hypertension
131811020122Y000 11-01-2022
389 01-11-2022 0000674427532 M.YAHYA L - Schizophrenia Berobat Jalan
099 09:53
131811020122Y000 11-01-2022
390 01-11-2022 0001082737912 JUMADI L - Schizophrenia Berobat Jalan
110 10:51
Acute upper respiratory
131811020122P000 12-01-2022
391 01-11-2022 0002086039934 ZHELVA HIBBAH AULIYA P - infections of multiple and Berobat Jalan
134 14:09
unspecified sites
131811020122Y000 11-01-2022 Non-insulin-dependent
392 01-11-2022 0002464130193 RODHIASIH P - Berobat Jalan
111 10:53 diabetes mellitus
131811020122Y000 11-01-2022 Fever of other and
393 01-11-2022 0002469405857 M. SUNARTO L - Berobat Jalan
103 10:17 unknown origin
131811020122Y000 11-01-2022
394 01-11-2022 0002469406702 TRI SUMARNI P - Acute lymphadenitis Berobat Jalan
102 10:15
131811020122Y000 11-01-2022 Non-insulin-dependent Diabetes Diabetes
395 01-11-2022 0002803345108 YATENO L - Berobat Jalan
112 10:57 diabetes mellitus Mellitus Mellitus
131811020122Y000 11-01-2022
396 01-11-2022 0002865319288 PARTOYO L - Schizophrenia Berobat Jalan
106 10:43
131811020122Y000 11-01-2022
397 01-11-2022 0002865319299 PONIYEM P - Urticaria Berobat Jalan
105 10:41
Gestational
131811020122Y000 11-01-2022
398 01-11-2022 0003065473304 LILIS SURYANI P - [pregnancy-induced] Rujuk Vertikal
098 09:08
hypertension with
131811020122P000 10-01-2022 Supervision of high-risk
399 01-10-2022 0000667926088 UNIK AYU SETIAWATI P - Rujuk Vertikal
079 08:13 pregnancy, unspecified
131811020122P000 12-01-2022
400 01-10-2022 0000673695718 FATJHUR VROZAK L PBI (APBN) Schizophrenia Berobat Jalan
139 14:25
131811020122Y000 10-01-2022
401 01-10-2022 0000673695718 FATJHUR VROZAK L PBI (APBN) Schizophrenia Berobat Jalan
095 14:42
Acute upper respiratory
131811020122P000 12-01-2022 AHMAD SIROJUDDIN
402 01-10-2022 0000673696271 L - infections of multiple and Berobat Jalan
138 14:23 ALFAAIZIN
unspecified sites
Acute upper respiratory
131811020122P000 12-01-2022
403 01-10-2022 0000673697542 LUPI NINGTIYAS P - infections of multiple and Berobat Jalan
136 14:20
unspecified sites
Arthritis in other bacterial
131811020122P000 10-01-2022
404 01-10-2022 0000673753353 BUDIONO L - diseases classified Rujuk Vertikal
080 08:33
elsewhere, other sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 10-01-2022
405 01-10-2022 0000673765997 TRI WULAN SARI P - Varicella [chickenpox] Berobat Jalan
086 09:54
131811020122Y000 10-01-2022
406 01-10-2022 0000673971963 SUNTORO L - Hyperplasia of prostate Rujuk Vertikal
090 11:15
131811020122Y000 10-01-2022
407 01-10-2022 0000674150185 KAMINI P - Cough Berobat Jalan
096 14:44
131811020122P000 28-01-2022 Need for immunization
408 01-10-2022 0000674150231 SITI YULIANA P - Berobat Jalan
465 08:51 against tetanus alone
131811020122P000 10-01-2022
409 01-10-2022 0000674314031 SITI NURAFIYAH P - Diabetic retinopathy Rujuk Vertikal
082 08:50
131811020122Y000 10-01-2022 Supervision of normal
410 01-10-2022 0000674343011 DIAN RAHAYU NINGSIH P - Berobat Jalan
093 12:08 pregnancy, unspecified
131811020122Y000 10-01-2022 Non-insulin-dependent
411 01-10-2022 0000674619456 RUMIYASIH P - Berobat Jalan
089 10:42 diabetes mellitus
131811020122P000 13-01-2022 Non-insulin-dependent
412 01-10-2022 0000674619456 RUMIYASIH P - Berobat Jalan
165 13:51 diabetes mellitus
131811020122P000 10-01-2022
413 01-10-2022 0001037764844 SIDIK L - Old myocardial infarction Rujuk Vertikal
085 09:06
131811020122P000 10-01-2022
414 01-10-2022 0001260902204 ABDILLAH NASRULLOH L - Dysphagia Rujuk Vertikal
084 09:02
Sequelae of stroke, not
131811020122P000 10-01-2022 Diabetes
415 01-10-2022 0001787619587 retnowati P - specified as haemorrhage Rujuk Vertikal
083 08:57 Mellitus
or infarction
131811020122P000 13-01-2022 PEGAWAI Supervision of normal
416 01-10-2022 0001895170318 SANTI NOVITA SARI P Berobat Jalan
163 13:45 SWASTA pregnancy
131811020122P000 12-01-2022 PEGAWAI Supervision of normal
417 01-10-2022 0001895170318 SANTI NOVITA SARI P Berobat Jalan
140 14:25 SWASTA pregnancy
131811020122P000 12-01-2022 PEGAWAI Supervision of normal
418 01-10-2022 0001895170318 SANTI NOVITA SARI P Berobat Jalan
135 14:19 SWASTA pregnancy
131811020122Y000 10-01-2022 PEGAWAI Supervision of normal
419 01-10-2022 0001895170318 SANTI NOVITA SARI P Berobat Jalan
094 12:11 SWASTA pregnancy, unspecified
131811020122Y000 10-01-2022 PEKERJA
420 01-10-2022 0001906902933 KOMSATUN P Chest pain, unspecified Berobat Jalan
091 11:52 MANDIRI
131811020122P000 10-01-2022 FIINAA LU`LU UL
421 01-10-2022 0002067223803 P - Cochlear otosclerosis Rujuk Vertikal
081 08:45 KAMAALIYA
131811020122P000 13-01-2022 Non-insulin-dependent
422 01-10-2022 0002685334601 MUDJIATUN P - Berobat Jalan
164 13:50 diabetes mellitus
131811020122Y000 10-01-2022 Non-insulin-dependent
423 01-10-2022 0002685334601 MUDJIATUN P - Rujuk Horizontal
087 10:34 diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122P000 12-01-2022 ANANDA BIMA ECKA Fever of other and

424 01-10-2022 0002803352793 L - Berobat Jalan
137 14:22 STEVANY unknown origin
131811020122Y000 10-01-2022
425 01-10-2022 0002929253016 MOH. ZIDAN AL FARIS L - Cough Berobat Jalan
088 10:39
131811020122Y000 10-01-2022 YUNITA AYU TRISNA PEKERJA Supervision of normal
426 01-10-2022 0003102699881 P Berobat Jalan
092 12:03 WARDANI MANDIRI pregnancy, unspecified
131811020122Y000 08-01-2022 Sequelae of
427 01-08-2022 0000674163764 SUMIATUN P - Rujuk Vertikal
077 08:39 cerebrovascular disease
131811020122Y000 08-01-2022
428 01-08-2022 0003087096423 EBI NINGTYAS P - Cough Berobat Jalan
078 09:03
131811020122P000 14-01-2022 Hyperlipidaemia,
429 01-07-2022 0000108069006 HENNI KUSUMAWATI P - Berobat Jalan Hipertensi
176 11:17 unspecified
131811020122Y000 07-01-2022
430 01-07-2022 0000109013455 AGNES MARIJANI P - Headache Berobat Jalan Hipertensi
075 10:29
131811020122Y000 07-01-2022 PENERIMA Hypertensive heart
431 01-07-2022 0000109966544 SUGITO L Rujuk Vertikal Hipertensi
070 09:50 PENSIUN PNS disease
131811020122Y000 07-01-2022
432 01-07-2022 0000673466152 ISMIATI P PBI (APBN) Pyogenic arthritis Berobat Jalan
063 08:39
Medical observation and
131811020122Y000 07-01-2022
433 01-07-2022 0000673924454 CITRA NINGATI P - evaluation for suspected Berobat Jalan
068 09:19
diseases and conditions
131811020122Y000 07-01-2022 Essential (primary)
434 01-07-2022 0000674245888 PURNAMAWATI P PBI (APBN) Berobat Jalan
071 10:02 hypertension
131811020122Y000 07-01-2022 Fever of other and
435 01-07-2022 0000674304344 SARPAN L PBI (APBN) Berobat Jalan Hipertensi
065 09:00 unknown origin
131811020122Y000 07-01-2022 Acute nasopharyngitis
436 01-07-2022 0000674428105 TRI WAHYUNI P - Berobat Jalan
074 10:25 [common cold]
131811020122Y000 07-01-2022 Essential (primary)
437 01-07-2022 0000674765932 SUPRIHatin L - Berobat Jalan
060 08:19 hypertension
131811020122Y000 07-01-2022 YOEDHA PUTRA Thyrotoxicosis
438 01-07-2022 0001230007173 L - Rujuk Vertikal
062 08:33 PRATAMA [hyperthyroidism]
Follow-up examination
131811020122P000 07-01-2022
439 01-07-2022 0001537457523 JUWARIYAH P - after other treatment for Rujuk Vertikal
072 10:14
other conditions
131811020122Y000 07-01-2022
440 01-07-2022 0001702683551 Winarni P - Gastritis and duodenitis Berobat Jalan
061 08:25
131811020122Y000 07-01-2022 RISMA PUTRI ASMAUL Acute nasopharyngitis
441 01-07-2022 0002161303738 P - Berobat Jalan
073 10:23 QHUSNAH [common cold]
131811020122Y000 07-01-2022 Disorders of vestibular
442 01-07-2022 0002469406702 TRI SUMARNI P - Berobat Jalan
067 09:15 function
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 07-01-2022 Fever of other and

443 01-07-2022 0002476649812 fathan daniyal danindra L - Berobat Jalan
069 09:21 unknown origin
131811020122Y000 07-01-2022 PEKERJA
444 01-07-2022 0002488025171 KASIJATUN P Glaucoma Rujuk Vertikal
064 08:42 MANDIRI
131811020122Y000 07-01-2022 Fever of other and
445 01-07-2022 0002525314331 DEWI MASLACHAH P - Berobat Jalan
066 09:12 unknown origin
131811020122P000 07-01-2022 Fever of other and
446 01-07-2022 0002525314331 DEWI MASLACHAH P - Berobat Jalan
076 11:09 unknown origin
Insulin-dependent
131811020122P000 06-01-2022 diabetes mellitus with Diabetes
447 01-06-2022 0000108068894 DYAH NURTAATI P - Rujuk Vertikal
059 12:57 other specified Mellitus
complications
131811020122Y000 06-01-2022 Supervision of high-risk
448 01-06-2022 0000673722426 UMI SALAMI P PBI (APBD) Rujuk Vertikal
047 08:46 pregnancy, unspecified
131811020122Y000 06-01-2022 Disorders of vestibular
449 01-06-2022 0000674387739 SAMI P - Berobat Jalan
050 09:36 function
131811020122Y000 06-01-2022
450 01-06-2022 0000674445655 RIDAUL KHUSNA P - Cough Berobat Jalan
057 10:43
131811020122Y000 06-01-2022
451 01-06-2022 0000674446228 MOH. SIFAUL AHSAR L - Cough Berobat Jalan
056 10:40
Insulin-dependent
131811020122Y000 06-01-2022 diabetes mellitus with Diabetes
452 01-06-2022 0000674885496 MUJI RAHAYU P - Rujuk Vertikal
044 08:20 other specified Mellitus
complications
131811020122Y000 06-01-2022 Hypertensive heart
453 01-06-2022 0000782524282 RUKIYATI P - Rujuk Vertikal
049 09:16 disease
Non-insulin-dependent
131811020122Y000 06-01-2022 diabetes mellitus with Diabetes Diabetes
454 01-06-2022 0002067212103 TONTOWI DJAUHARI L - Rujuk Vertikal
053 10:03 other specified Mellitus Mellitus
complications
131811020122Y000 06-01-2022
455 01-06-2022 0002074425816 PANIDI L - Heart failure Rujuk Vertikal
045 08:24
131811020122Y000 06-01-2022
456 01-06-2022 0002074426075 HARTINI P - Myalgia Berobat Jalan
048 08:53
131811020122Y000 06-01-2022 PEKERJA
457 01-06-2022 0002219392765 SUTARTI P Heart failure Rujuk Vertikal
046 08:44 MANDIRI
131811020122Y000 06-01-2022
458 01-06-2022 0002685334768 INDAH NINGSIH P - Cough Berobat Jalan
054 10:37
131811020122Y000 06-01-2022 Supervision of high-risk
459 01-06-2022 0002803368262 RATNA DEWI SAPUTRI P - Berobat Jalan
051 09:41 pregnancy, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 06-01-2022
460 01-06-2022 0002865319323 AHMAD NOVA RIVALDO L - Varicella [chickenpox] Berobat Jalan
052 09:57
131811020122Y000 05-01-2022 Essential (primary)
461 01-05-2022 0000674105297 MUJINAH P - Berobat Jalan
043 11:53 hypertension
131811020122Y000 05-01-2022
462 01-05-2022 0000674459065 SANTI NURYATI P - Malaise and fatigue Berobat Jalan
036 09:11
Follow-up examination
131811020122Y000 05-01-2022
463 01-05-2022 0001037770187 SUYATI P - after other treatment for Berobat Jalan
034 09:00
other conditions
131811020122Y000 05-01-2022 PEKERJA
464 01-05-2022 0001839989259 JAROKAH P Senile cataract Berobat Jalan
033 08:59 MANDIRI
131811020122P000 06-01-2022 Supervision of high-risk
465 01-05-2022 0001900998325 ANA FIKA KHOIRUNISA P - Berobat Jalan
058 10:43 pregnancy, unspecified
131811020122P000 05-01-2022 Supervision of high-risk
466 01-05-2022 0001900998325 ANA FIKA KHOIRUNISA P - Rujuk Vertikal
040 10:35 pregnancy, unspecified
131811020122Y000 05-01-2022 Other chronic obstructive
467 01-05-2022 0001977343874 SUYATNO L - Berobat Jalan
039 10:26 pulmonary disease
131811020122Y000 05-01-2022
468 01-05-2022 0002803357192 SUYATMI P PBI (APBN) Schizophrenia Berobat Jalan
038 10:23
131811020122Y000 05-01-2022
469 01-05-2022 0002803362592 IDA DELA P - Acute pharyngitis Berobat Jalan
035 09:04
131811020122Y000 05-01-2022 Fever of other and
470 01-05-2022 0002842643103 FARA NOVAZABELLA P - Berobat Jalan
037 09:13 unknown origin
131811020122Y000 05-01-2022
471 01-05-2022 0002865318298 ATIN SURAHMAN L - Schizophrenia Berobat Jalan
042 11:36
131811020122Y000 05-01-2022 Single delivery by
472 01-05-2022 0003110880418 APRILLIA SURTININGSIH P - Rujuk Vertikal
041 10:40 caesarean section
131811020122P000 04-01-2022 PENERIMA Thyrotoxicosis,
473 01-04-2022 0000107890547 HINDUN JUWARIYAH P Rujuk Vertikal
022 09:17 PENSIUN PNS unspecified
131811020122Y000 04-01-2022 Non-insulin-dependent
474 01-04-2022 0000108945933 SOEPRIYANTO L - Berobat Jalan
018 08:54 diabetes mellitus
131811020122Y000 04-01-2022 Non-insulin-dependent
475 01-04-2022 0000108945944 SITI CHOTIMAH P - Berobat Jalan
019 08:55 diabetes mellitus
131811020122Y000 04-01-2022
476 01-04-2022 0000204463203 MUH. MUBAIDI L - Cough Berobat Jalan
020 08:57

Diarrhoea and
131811020122Y000 04-01-2022 FARA RARIDA
477 01-04-2022 0000673709861 P - gastroenteritis of Berobat Jalan
027 10:08 NURMALASARI
presumed infectious origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

Multiple fractures of
131811020122Y000 04-01-2022
478 01-04-2022 0000673793177 DEWI MASIAH P - clavicle, scapula and Rujuk Vertikal
028 10:43
humerus
131811020122Y000 04-01-2022
479 01-04-2022 0000674049431 ASHARI L PBI (APBN) Myalgia Berobat Jalan
016 08:29
131811020122Y000 04-01-2022 Diabetes
480 01-04-2022 0000674305233 TUKINAH P - Myalgia Berobat Jalan
023 09:27 Mellitus
131811020122Y000 04-01-2022
481 01-04-2022 0001037772639 SUMIDJAN L - Congestive heart failure Rujuk Vertikal
029 11:11
131811020122Y000 04-01-2022
482 01-04-2022 0001823037107 OCHA PRADHITA PUTRI P - Myalgia Berobat Jalan
021 09:15

Diarrhoea and
131811020122Y000 04-01-2022
483 01-04-2022 0002292281223 KHAIFA ULUL AZMI L PBI (APBN) gastroenteritis of Berobat Jalan
031 11:21
presumed infectious origin

131811020122P000 04-01-2022
484 01-04-2022 0002431941243 AMAR ACHSANUL HAQ L PBI (APBN) Acute pharyngitis Berobat Jalan
032 11:29
131811020122P000 12-01-2022 Acute nasopharyngitis
485 01-04-2022 0002431946125 AMRI ACHSANUL HAQ L - Berobat Jalan
141 14:29 [common cold]
131811020122P000 12-01-2022
486 01-04-2022 0002685334509 SULISTIANI P - Dental caries, unspecified Berobat Jalan
143 14:42
131811020122Y000 04-01-2022
487 01-04-2022 0002803384034 RIYANI P - Headache Berobat Jalan
026 09:57
131811020122P000 04-01-2022 MOHAMAD KOERUL
488 01-04-2022 0002865319334 L - Pulpitis Rujuk Vertikal
017 08:38 ANAM
131811020122Y000 04-01-2022
489 01-04-2022 0002939466609 SULISTININGSIH P - Cough Berobat Jalan
025 09:55
GALEH AJENG CANDRA
131811020122Y000 04-01-2022
490 01-04-2022 0002939467138 NINGRUM DOLIS P - Cough Berobat Jalan
024 09:53
LUPHYTA
131811020122Y000 04-01-2022 ANGGI FRANSISKA
491 01-04-2022 0003079317903 P - Cough Berobat Jalan
030 11:18 FEBRIANI
131811020122P000 12-01-2022
492 01-04-2022 0003079320862 RULISWANTO L - Dental caries, unspecified Berobat Jalan
142 14:30
131811020122Y000 03-01-2022 Acute nasopharyngitis
493 01-03-2022 0000673886597 SUPIYAH P - Berobat Jalan
011 11:20 [common cold]
131811020122Y000 03-01-2022 Essential (primary)
494 01-03-2022 0000674619456 RUMIYASIH P - Berobat Jalan
007 10:14 hypertension
131811020122Y000 03-01-2022
495 01-03-2022 0000674738032 SUWARNI P - Acute serous otitis media Berobat Jalan
008 10:45
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEDIRI - 1306

FKTP : PRANGGANG - 13181102

131811020122Y000 03-01-2022
496 01-03-2022 0000674776888 MURTININGSIH P - Heart failure Berobat Jalan Hipertensi
015 11:51
131811020122Y000 03-01-2022
497 01-03-2022 0001082737912 JUMADI L - Schizophrenia Berobat Jalan
012 11:24
131811020122Y000 03-01-2022
498 01-03-2022 0001702683551 Winarni P - Gastritis and duodenitis Berobat Jalan
006 10:12
131811020122Y000 03-01-2022
499 01-03-2022 0001977347687 SUMIATI P - Gastritis and duodenitis Berobat Jalan
010 11:12
131811020122Y000 03-01-2022 Supervision of high-risk
500 01-03-2022 0001998067059 KUSNUL KHOTIMAH P - Berobat Jalan
009 10:56 pregnancy, unspecified
131811020122P000 06-01-2022 Supervision of high-risk
501 01-03-2022 0001998067059 KUSNUL KHOTIMAH P - Berobat Jalan
055 10:38 pregnancy, unspecified
131811020122Y000 03-01-2022
502 01-03-2022 0002067065019 WASIS BUDI HARTO L - Dyspepsia Berobat Jalan
002 09:00
131811020122Y000 03-01-2022
503 01-03-2022 0002309186632 WARIDI L - Myalgia Berobat Jalan
003 09:02
131811020122Y000 03-01-2022 Non-insulin-dependent
504 01-03-2022 0002685334601 MUDJIATUN P - Berobat Jalan
014 11:34 diabetes mellitus
Follow-up examination
131811020122Y000 03-01-2022 MOH.RAMADHAN AGUNG PEGAWAI
505 01-03-2022 0002752654476 L after other treatment for Rujuk Vertikal
005 09:16 NUGRAHA SWASTA
other conditions
131811020122Y000 03-01-2022
506 01-03-2022 0002770226662 NURDIANA BINTARANI P - Haemangioma, any site Rujuk Vertikal
001 08:48
131811020122Y000 03-01-2022
507 01-03-2022 0002884857704 LASIMEN L - Myalgia Berobat Jalan
004 09:04
131811020122Y000 03-01-2022 Acute nasopharyngitis
508 01-03-2022 0002920419753 DIKA RIZWAN PRAWIRA L - Berobat Jalan
013 11:32 [common cold]