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Daftar Kunjungan Peserta Sakit

The document is a list of 24 patient visits to a health center branch in Palembang, Indonesia between December 8, 2021 and January 5, 2022. It includes information such as the patient ID number, name, gender, occupation, diagnosis, treatment status and referral status. The majority of patients were treated as outpatients for common conditions such as hypertension, gastritis and respiratory infections. Some patients were referred to other facilities for specialty care.

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Rina Afriyanti
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0% found this document useful (0 votes)
44 views5 pages

Daftar Kunjungan Peserta Sakit

The document is a list of 24 patient visits to a health center branch in Palembang, Indonesia between December 8, 2021 and January 5, 2022. It includes information such as the patient ID number, name, gender, occupation, diagnosis, treatment status and referral status. The majority of patients were treated as outpatients for common conditions such as hypertension, gastritis and respiratory infections. Some patients were referred to other facilities for specialty care.

Uploaded by

Rina Afriyanti
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

TANGGAL TANGGAL JENIS STATUS


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

060104011221P000 08-12-2021
1 12-08-2021 0000025714124 M. ALFIE SYAHRIN L - Necrosis of pulp Rujuk Vertikal
304 10:24
060104011221P000 08-12-2021
2 12-08-2021 0000026098457 MOHAMMAD AHYADI L PNS DAERAH Paranoid schizophrenia Rujuk Vertikal
306 11:34
060104011221P000 11-12-2021
3 12-08-2021 0000026112442 KOMARUDIN L - Atopic dermatitis Berobat Jalan
352 09:49
Hypertensive heart
060104011221P000 08-12-2021 PENERIMA
4 12-08-2021 0000026363441 MASIANA P disease without Rujuk Vertikal
265 08:15 PENSIUN TNI
(congestive) heart failure
060104011221P000 11-12-2021 PENERIMA Essential (primary)
5 12-08-2021 0000026414302 DJUMIATI P Berobat Jalan
377 10:31 PENSIUN TNI hypertension
060104011221P000 11-12-2021 PENERIMA
6 12-08-2021 0000026983157 HAMIDAH P Gastritis, unspecified Berobat Jalan
373 10:26 PENSIUN PNS
060104011221P000 11-12-2021 PENERIMA Essential (primary)
7 12-08-2021 0000027049689 MALEHA M AMIN P Berobat Jalan
374 10:30 PENSIUN PNS hypertension
060104011221P000 11-12-2021
8 12-08-2021 0000027142367 SUMARNI P PNS DAERAH Gastritis, unspecified Berobat Jalan
372 10:26
060104011221P000 11-12-2021 Essential (primary)
9 12-08-2021 0000027574323 MAISAROH P PNS DAERAH Berobat Jalan
358 10:00 hypertension
060104011221P000 11-12-2021
10 12-08-2021 0000160250578 NURHAYATI P - Gastritis, unspecified Berobat Jalan
376 10:30
Hypertensive heart
060104011221P000 08-12-2021
11 12-08-2021 0000315257455 SAMSIAH P PBI (APBN) disease without Rujuk Vertikal Hipertensi Hipertensi
303 10:14
(congestive) heart failure
060104011221P001 05-01-2022 Primary generalized
12 12-08-2021 0000319465192 SUKENDAR L - Berobat Jalan
670 21:13 (osteo)arthrosis
060104011221P000 11-12-2021 Essential (primary)
13 12-08-2021 0000324226146 NURAINI P PBI (APBN) Berobat Jalan
371 10:26 hypertension
060104011221P000 14-12-2021 Contraceptive
14 12-08-2021 0000324832634 RAHMA MAYANG SARI P PBI (APBN) Berobat Jalan
457 08:42 management
060104011221P001 05-01-2022 Disorders of refraction and
15 12-08-2021 0000324875968 NOVITA SARI P - Berobat Jalan
671 21:14 accommodation
060104011221P001 05-01-2022 Acute upper respiratory
16 12-08-2021 0000324892293 KLARA GISKA AYUNDA P - Berobat Jalan
658 20:19 infection, unspecified
060104011221P001 05-01-2022
17 12-08-2021 0000324939003 PUTRI ALVIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
659 20:22
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P001 05-01-2022 Acute upper respiratory


18 12-08-2021 0000324943885 SUMIATI P - Berobat Jalan
660 20:23 infection, unspecified
060104011221P001 30-12-2021 Supervision of normal
19 12-08-2021 0000324976915 SEFTI RINANDA P PBI (APBN) Berobat Jalan
397 11:07 pregnancy
060104011221P000 14-12-2021 Contraceptive
20 12-08-2021 0000324997187 NURHAYATI P - Berobat Jalan
455 08:39 management
060104011221P000 14-12-2021 Contraceptive
21 12-08-2021 0000324998706 TINA SARI P - Berobat Jalan
458 08:42 management
060104011221P000 11-12-2021 Supervision of normal
22 12-08-2021 0000325020249 ANA ARYANI P - Berobat Jalan
382 10:47 pregnancy
060104011221P001 05-01-2022 Essential (primary)
23 12-08-2021 0000325056464 ROHMAWATI P - Berobat Jalan
672 21:14 hypertension
060104011221P001 05-01-2022
24 12-08-2021 0000325263071 VEREN YULI ADZANI P - Necrosis of pulp Berobat Jalan
661 20:24
060104011221P000 11-12-2021 Essential (primary)
25 12-08-2021 0000325267626 JUMINAH P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
366 10:14 hypertension
060104011221P000 08-12-2021 Contraceptive
26 12-08-2021 0000325674527 SURYANI P PBI (APBN) Berobat Jalan
311 14:48 management
060104011221P001 05-01-2022
27 12-08-2021 0000325674808 MUHMAT DENI SAPUTRA L - Atopic dermatitis Berobat Jalan
662 20:25
060104011221P000 11-12-2021 PEGAWAI Primary generalized
28 12-08-2021 0000326041277 MASNI P Berobat Jalan
343 09:00 SWASTA (osteo)arthrosis
060104011221P001 05-01-2022 Essential (primary)
29 12-08-2021 0000992574797 PETI SUSANTI P - Berobat Jalan Hipertensi Hipertensi
663 20:25 hypertension
060104011221P001 05-01-2022 Essential (primary)
30 12-08-2021 0000992583314 ROHANA P - Berobat Jalan
673 21:14 hypertension
060104011221P001 05-01-2022
31 12-08-2021 0001224294704 ANDI BURHAN P - Status asthmaticus Berobat Jalan
674 21:15
060104011221P000 08-12-2021 PEKERJA Essential (primary)
32 12-08-2021 0001280953517 MUHAMMAD ALI L Berobat Jalan Hipertensi Hipertensi
270 08:46 MANDIRI hypertension
060104011221P000 11-12-2021 PEKERJA Essential (primary)
33 12-08-2021 0001305233561 RISMAN EFENDI SIREGAR L Berobat Jalan
367 10:14 MANDIRI hypertension
060104011221P000 11-12-2021 Primary generalized
34 12-08-2021 0001315654132 YENY P - Berobat Jalan
375 10:30 (osteo)arthrosis
060104011221P000 11-12-2021 PEKERJA
35 12-08-2021 0001322589429 TUSMIAWATI P Gastritis, unspecified Berobat Jalan
361 10:04 MANDIRI
060104011221P000 08-12-2021 Contraceptive
36 12-08-2021 0001388201589 RATNA SARI DEWI P - Berobat Jalan
310 14:41 management
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P001 05-01-2022
37 12-08-2021 0001389410122 RUSMAWATI P PBI (APBD) Status asthmaticus Berobat Jalan
664 20:26
060104011221P000 11-12-2021 Supervision of normal
38 12-08-2021 0001439562093 RIZKA OKTARIA P - Berobat Jalan
383 10:48 pregnancy
060104011221P000 14-12-2021 Contraceptive
39 12-08-2021 0001462487466 REFI JULIANI P PBI (APBN) Berobat Jalan
456 08:40 management
060104011221P000 11-12-2021 PEGAWAI Essential (primary)
40 12-08-2021 0001501560595 MIMI HANDAYANI P Berobat Jalan
357 09:59 SWASTA hypertension
060104011221P000 11-12-2021 Acute upper respiratory
41 12-08-2021 0001509751989 MAWARDI L PBI (APBN) Berobat Jalan
364 10:13 infection, unspecified
060104011221P001 05-01-2022
42 12-08-2021 0001510567233 ASNI P PBI (APBD) Status asthmaticus Berobat Jalan
665 20:26
060104011221P001 05-01-2022
43 12-08-2021 0001719747347 LIDYA FITRIA,ST P - Gastritis, unspecified Berobat Jalan
666 20:27
Maternal care for known or
060104011221P000 08-12-2021
44 12-08-2021 0001789857527 R.A. NURNIATI P - suspected fetal Rujuk Vertikal
308 12:11
abnormality and damage
060104011221P001 05-01-2022 Essential (primary)
45 12-08-2021 0001809810753 R BAMBANG OENTORO L - Berobat Jalan
675 21:15 hypertension
060104011221P000 08-12-2021 PEKERJA
46 12-08-2021 0001815289749 SURYATI P Carpal tunnel syndrome Rujuk Vertikal Hipertensi
302 10:11 MANDIRI
060104011221P000 08-12-2021 PEKERJA Disorders of refraction and
47 12-08-2021 0001831319662 fadilah P Berobat Jalan
305 11:08 MANDIRI accommodation
060104011221P000 08-12-2021 PEKERJA Cerebrovascular disease,
48 12-08-2021 0001874793677 RISMA HAIRANI P Rujuk Vertikal Hipertensi
264 08:08 MANDIRI unspecified
060104011221P000 11-12-2021 PEGAWAI Supervision of normal
49 12-08-2021 0001880018458 RONNA ZANUWARITA P Berobat Jalan
379 10:34 SWASTA pregnancy
060104011221P000 11-12-2021 PEGAWAI
50 12-08-2021 0002053596532 YULIA AZRANI P Gastritis, unspecified Berobat Jalan
378 10:33 SWASTA
060104011221P000 11-12-2021
51 12-08-2021 0002179382679 DIMA P - Atopic dermatitis Berobat Jalan
359 10:00
060104011221P000 08-12-2021
52 12-08-2021 0002213343292 NON CHANDRA L PBI (APBN) Congestive heart failure Rujuk Vertikal
299 09:38
060104011221P000 11-12-2021
53 12-08-2021 0002320958834 NUR'AINI P - Gastritis, unspecified Berobat Jalan
342 08:58
060104011221P001 05-01-2022
54 12-08-2021 0002469799506 SITI AMINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
667 20:27
060104011221P000 11-12-2021 PEKERJA
55 12-08-2021 0002496092027 SAFIRA ASYIFA P Gastritis, unspecified Berobat Jalan
355 09:50 MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P000 11-12-2021
56 12-08-2021 0002570444864 NURLELA P PBI (APBN) Gastritis, unspecified Berobat Jalan
354 09:49
060104011221P000 08-12-2021 Disorders of refraction and
57 12-08-2021 0002582573679 M. ALDI PRABOWO L - Berobat Jalan
301 10:01 accommodation
060104011221P000 11-12-2021
58 12-08-2021 0002626657705 LINDAWATI P - Atopic dermatitis Berobat Jalan
353 09:49
060104011221P000 11-12-2021
59 12-08-2021 0002670715405 YUSNANI P - Atopic dermatitis Berobat Jalan
341 08:58
060104011221P000 11-12-2021
60 12-08-2021 0002670726655 SYAIFUL L PBI (APBN) Gastritis, unspecified Berobat Jalan
370 10:25
060104011221P000 11-12-2021
61 12-08-2021 0002671386175 YULI SAPRIDI P - Dyspepsia Berobat Jalan
340 08:55
060104011221P000 11-12-2021 Supervision of normal
62 12-08-2021 0002672248274 TRI MULYANI P - Berobat Jalan
380 10:45 pregnancy
060104011221P000 11-12-2021 Supervision of normal
63 12-08-2021 0002672253281 LINDA AGUSTINA P - Berobat Jalan
381 10:46 pregnancy
060104011221P000 11-12-2021
64 12-08-2021 0002672259017 NUR AINI P - Gastritis, unspecified Berobat Jalan
356 09:58
060104011221P000 08-12-2021 Disorders of refraction and
65 12-08-2021 0002672259028 MURNI P - Berobat Jalan
307 11:35 accommodation
060104011221P000 11-12-2021
66 12-08-2021 0002672267444 EDDY SUBIANTO L - Gastritis, unspecified Berobat Jalan
369 10:25
060104011221P000 08-12-2021 PEKERJA Contraceptive
67 12-08-2021 0002742603467 KHAIRUNNISA P Berobat Jalan
309 14:33 MANDIRI management
060104011221P000 08-12-2021 PEKERJA
68 12-08-2021 0002776206881 NAZIA WAFA ABQURO P Epilepsy Rujuk Vertikal
266 08:22 MANDIRI
Tuberculosis of lung,
060104011221P001 30-12-2021 confirmed by sputum
69 12-08-2021 0002787876066 PENI KASARI P - Berobat Jalan
398 11:07 microscopy with or without
culture

060104011221P001 05-01-2022 BINTANG BHAYANGKARA


70 12-08-2021 0002899825659 L - Gastritis, unspecified Berobat Jalan
668 20:28 TAMBUNAN

060104011221P000 11-12-2021
71 12-08-2021 0002950408359 MASAYU BUNGA INDAH P - Atopic dermatitis Berobat Jalan
360 10:02
060104011221P001 05-01-2022 Essential (primary)
72 12-08-2021 0003054154713 NURDIN L - Berobat Jalan
669 20:28 hypertension
060104011221P000 11-12-2021 PEKERJA
73 12-08-2021 0003062672594 ANGKA L Gastritis, unspecified Berobat Jalan
365 10:13 MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P000 08-12-2021
74 12-08-2021 0003082590729 SUBRI L PBI (APBD) Paranoid schizophrenia Rujuk Vertikal
300 10:00

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