DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

TANGGAL TANGGAL JENIS STATUS

NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMI PULANG
N
110901020522P000 31-05-2022 07-06-2022 Contraceptive
1 0000629142838 NUNIK MARLINA P - Berobat Jalan
527 00:00 06:08 management
110901020522P000 31-05-2022 31-05-2022 Haemangioma and
2 0000629255981 AYUNDA SETIANINGRUM P - Rujuk Vertikal
409 00:00 10:24 lymphangioma, any site
110901020522P000 31-05-2022 31-05-2022
3 0000629257836 ANANDA AONILLAH L - Scabies Berobat Jalan
426 00:00 12:32
110901020522P000 31-05-2022 31-05-2022
4 0000629411534 KUSRIAH P - Dyspepsia Berobat Jalan
425 00:00 12:30
110901020522P000 31-05-2022 01-06-2022 Contraceptive management,
5 0000629411534 KUSRIAH P - Berobat Jalan
435 00:00 07:58 unspecified
110901020522P000 31-05-2022 01-06-2022 Contraceptive management,
6 0000629603054 TOYIPAH NURAENI P PBI (APBN) Berobat Jalan
433 00:00 07:53 unspecified
110901020522P000 31-05-2022 28-06-2022
7 0000629674918 NOPI KUMALASARI P - Necrosis of pulp Berobat Jalan
543 00:00 10:37
110901020522P000 31-05-2022 07-06-2022
8 0000629812258 SITI INTAN NURHOLIPAH P PBI (APBN) Antenatal screening Berobat Jalan
528 00:00 06:09
110901020522P000 31-05-2022 31-05-2022 Obstructed labour due to
9 0000629965449 KRISPA AYU ANGGRAYAT P - Rujuk Vertikal
411 00:00 10:43 breech presentation
110901020522P000 31-05-2022 31-05-2022
10 0000630098842 M.JAENUR ROYAN L - Scabies Berobat Jalan
428 00:00 12:38
110901020522P000 31-05-2022 31-05-2022
11 0000630192161 WASTI P - Gastritis, unspecified Berobat Jalan
423 00:00 12:24
110901020522P000 31-05-2022 01-06-2022 Spontaneous vertex
12 0000630294636 HERNAWATI P - Sembuh
437 00:00 16:55 delivery
110901020522P000 31-05-2022 31-05-2022
13 0001031535933 ANIS MUTIARA FITRI P - Dyspepsia Berobat Jalan
424 00:00 12:28

KEPALA DESA
110901020522P000 31-05-2022 01-06-2022 Contraceptive management,
14 0001031563247 WARNI P DAN PERANGKAT Berobat Jalan
432 00:00 07:50 unspecified
DESA

110901020522P000 31-05-2022 31-05-2022

15 0001456128033 KUSTONO L - Gingival recession Rujuk Vertikal
415 00:00 11:33
110901020522P000 31-05-2022 31-05-2022
16 0001671587357 WARIAH P - Congestive heart failure Rujuk Vertikal
396 00:00 08:43
110901020522P000 31-05-2022 31-05-2022 PEKERJA
17 0001723875028 TIWI WIDIAWATI P Dyspepsia Berobat Jalan
429 00:00 12:40 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 31-05-2022 31-05-2022 Urethritis and urethral

18 0001730755124 TURKINAH P - Rujuk Vertikal
412 00:00 11:12 syndrome
110901020522P000 31-05-2022 31-05-2022
19 0001976484508 SITI NURLIANI P - Myalgia Berobat Jalan
427 00:00 12:36
110901020522P000 31-05-2022 31-05-2022
20 0002000773078 WIRAH P - Dyspepsia Berobat Jalan
430 00:00 12:45
110901020522P000 31-05-2022 18-06-2022 Chronic apical
21 0002000896492 TUTI PURWANTI P PBI (APBN) Berobat Jalan
538 00:00 09:44 periodontitis
110901020522P000 31-05-2022 01-06-2022 Contraceptive management,
22 0002841935826 NAISAH P PBI (APBN) Berobat Jalan
434 00:00 07:55 unspecified
110901020522P000 31-05-2022 31-05-2022
23 0003002390234 BENING AURA QOLBY P - Caries of dentine Rujuk Vertikal
413 00:00 11:25
Other disorders of gingiva
110901020522P000 31-05-2022 31-05-2022
24 0003002390245 BINAR AQLIA SEMESTA L - and edentulous alveolar ridge Rujuk Vertikal
414 00:00 11:29

110901020522P000 31-05-2022 07-06-2022 Fever of other and

25 0003130904092 ARSYILA AINI MAHARANI P PBI (APBN) Berobat Jalan
529 00:00 06:10 unknown origin
110901020522P000 31-05-2022 31-05-2022 PEKERJA
26 0003265558312 WAFFA AINUR ROFIQ L Hirschsprung's disease Rujuk Vertikal
410 00:00 10:31 MANDIRI
110901020522P000 30-05-2022 30-05-2022
27 0000627979961 MUHAMAD RAMDANI L PBI (APBN) Chronic superficial gastritis Rujuk Vertikal
387 00:00 09:36
Non-insulin-dependent
110901020522P000 30-05-2022 30-05-2022
28 0000627991312 WARKI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
384 00:00 09:15
unspecified complications
110901020522P000 30-05-2022 07-06-2022
29 0000629205647 KURNIATI P PBI (APBN) Antenatal screening Berobat Jalan
525 00:00 06:06
110901020522Y000 30-05-2022 31-05-2022
30 0000629205952 AMABEL DAMARA ELYSIA P - Headache Berobat Jalan
397 00:00 08:56
110901020522Y000 30-05-2022 31-05-2022 Essential (primary)
31 0000629591714 DASRI P - Berobat Jalan
406 00:00 09:42 hypertension
110901020522Y000 30-05-2022 31-05-2022
32 0000629645501 TENI NOVIANI P PBI (APBN) Cough Berobat Jalan
408 00:00 09:51
Tuberculosis of lung,
110901020522P000 30-05-2022 30-05-2022
33 0000629688385 SARWAN L PBI (APBN) bacteriologically and Rujuk Vertikal
385 00:00 09:22
histologically negative
110901020522P000 30-05-2022 07-06-2022
34 0000629746042 WASRI P - Antenatal screening Berobat Jalan
523 00:00 06:04
110901020522Y000 30-05-2022 31-05-2022
35 0000629772423 WASTINI P PBI (APBN) Cough Berobat Jalan
407 00:00 09:47
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 30-05-2022 31-05-2022 Acute upper respiratory

36 0000630049577 DUSTI P - Berobat Jalan
399 00:00 09:08 infection, unspecified
110901020522P000 30-05-2022 06-06-2022
37 0000630176927 NOK RATNASARI P - Antenatal screening Berobat Jalan
518 00:00 09:43
110901020522Y000 30-05-2022 31-05-2022
38 0000630177232 WIHARJO L - Scabies Berobat Jalan
403 00:00 09:28
110901020522Y000 30-05-2022 31-05-2022
39 0000630178288 JUMINAH P - Urticaria Berobat Jalan
402 00:00 09:25
110901020522Y000 30-05-2022 31-05-2022
40 0000630180011 HADI MULYADI L - Scabies Berobat Jalan
404 00:00 09:34
110901020522Y000 30-05-2022 30-05-2022
41 0000630185005 CARKINAH P - Myalgia Berobat Jalan
393 00:00 10:17
110901020522P000 30-05-2022 31-05-2022 EUIS JUHROTUL Periapical abscess without
42 0000630186434 P - Berobat Jalan
416 00:00 11:57 HASANAH sinus
110901020522Y000 30-05-2022 31-05-2022 Acute upper respiratory
43 0000630201925 NASIKIN L - Berobat Jalan
405 00:00 09:37 infection, unspecified
110901020522P000 30-05-2022 30-05-2022
44 0000630248859 RASIH P - Fracture of forearm Rujuk Vertikal
395 00:00 16:07
110901020522P000 30-05-2022 31-05-2022
45 0000630285849 CASWEN P - Myalgia Berobat Jalan
418 00:00 12:03
Cutaneous abscess,
110901020522Y000 30-05-2022 31-05-2022
46 0000630299316 KARWIN L PBI (APBN) furuncle and carbuncle, Berobat Jalan
401 00:00 09:13
unspecified
110901020522P000 30-05-2022 14-06-2022 Fever of other and
47 0000630317428 SUSANTO ADI NUGROHO L - Sembuh
531 00:00 18:44 unknown origin
110901020522Y000 30-05-2022 31-05-2022
48 0000630507227 DARSEM P - Myalgia Berobat Jalan
400 00:00 09:11
110901020522P000 30-05-2022 07-06-2022
49 0000630509962 SARWI P - Antenatal screening Berobat Jalan
522 00:00 06:03
110901020522P000 30-05-2022 31-05-2022
50 0001031538295 YULIANA ERVIYANA P - Urticaria Berobat Jalan
419 00:00 12:05
110901020522P000 30-05-2022 31-05-2022
51 0001031539241 RASKI P - Urticaria Berobat Jalan
417 00:00 12:00
110901020522P000 30-05-2022 30-05-2022 Contraceptive management,
52 0001031540512 WINARNI AGUSTIN P - Berobat Jalan
383 00:00 00:25 unspecified
110901020522Y000 30-05-2022 30-05-2022 Essential (primary)
53 0001671587831 KARKI P - Berobat Jalan
392 00:00 10:13 hypertension
110901020522P000 30-05-2022 31-05-2022
54 0001976484519 SITI ALIANA KALANI P - Urticaria Berobat Jalan
421 00:00 12:11
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 30-05-2022 07-06-2022

55 0002000774169 SURURUM MARFUAH P - Antenatal screening Berobat Jalan
526 00:00 06:07
110901020522P000 30-05-2022 31-05-2022 Essential (primary)
56 0002000902544 MUDIYANTO L - Berobat Jalan
422 00:00 12:15 hypertension
110901020522P000 30-05-2022 31-05-2022 Essential (primary)
57 0002000902566 TARSUMI P PBI (APBN) Berobat Jalan
420 00:00 12:08 hypertension
110901020522P000 30-05-2022 30-05-2022 Disorder of sclera,
58 0002000918283 SULAM TAUPIK L PBI (APBN) Rujuk Vertikal
394 00:00 10:54 unspecified
110901020522P000 30-05-2022 06-06-2022
59 0002000960019 FIRDA P - Antenatal screening Berobat Jalan
519 00:00 09:44
110901020522P000 30-05-2022 07-06-2022
60 0002011330618 CAHYANTI P - Antenatal screening Berobat Jalan
524 00:00 06:05
110901020522P000 30-05-2022 06-06-2022
61 0002801685295 CASRIYANTI P PBI (APBN) Antenatal screening Berobat Jalan
520 00:00 09:46
110901020522Y000 30-05-2022 31-05-2022
62 0002841936028 NURYATI P PBI (APBN) Myalgia Berobat Jalan
398 00:00 09:02
110901020522P000 29-05-2022 14-06-2022 Fever of other and
63 0000629599421 WARSUM L - Sembuh
532 00:00 18:48 unknown origin
110901020522P000 29-05-2022 01-06-2022 Spontaneous vertex
64 0001031540512 WINARNI AGUSTIN P - Sembuh
436 00:00 16:38 delivery
110901020522P000 28-05-2022 02-06-2022 Fever of other and
65 0000080101822 SARTONO L PNS DAERAH Sembuh
478 00:00 16:01 unknown origin
Cutaneous abscess,
110901020522Y000 28-05-2022 28-05-2022
66 0000628185701 TUSRI P PBI (APBN) furuncle and carbuncle, Berobat Jalan
330 00:00 09:06
unspecified
110901020522P000 28-05-2022 28-05-2022
67 0000629294747 SUKINI P PBI (APBN) Allergic urticaria Berobat Jalan
331 00:00 09:08
110901020522Y000 28-05-2022 28-05-2022
68 0000629461552 KUSYANTO L PBI (APBN) Myalgia Berobat Jalan
333 00:00 09:20
110901020522Y000 28-05-2022 28-05-2022
69 0000629599667 PURWANTI P - Headache Berobat Jalan
332 00:00 09:12
110901020522P000 28-05-2022 30-05-2022 Atopic dermatitis,
70 0000629890536 REHAN ADI WIGUNA L - Berobat Jalan
389 00:00 10:00 unspecified
110901020522P000 28-05-2022 28-05-2022
71 0000629894373 KARSITI P - Low back pain Rujuk Vertikal
340 00:00 11:03
110901020522P000 28-05-2022 30-05-2022
72 0000630098842 M.JAENUR ROYAN L - Scabies Berobat Jalan
390 00:00 10:04
110901020522P000 28-05-2022 02-06-2022
73 0000630131444 EKA SETIAWATI P PBI (APBN) Dyspepsia Sembuh
477 00:00 15:56
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

Cerebral infarction due to

110901020522P000 28-05-2022 28-05-2022
74 0000630500185 IKAH APRIYANI P - cerebral venous thrombosis, Rujuk Vertikal
334 00:00 09:29
nonpyogenic
Follow-up examination
110901020522P000 28-05-2022 28-05-2022
75 0001031538947 RASKI P PBI (APBN) after other treatment for Rujuk Vertikal
335 00:00 09:48
other conditions
110901020522Y000 28-05-2022 30-05-2022 Essential (primary)
76 0001031540758 KARTI P - Berobat Jalan
386 00:00 09:29 hypertension
110901020522P000 28-05-2022 30-05-2022
77 0001614980114 EUIS MUSYAROFAH P - Headache Berobat Jalan
388 00:00 09:57
110901020522Y000 28-05-2022 28-05-2022
78 0002000960313 ALNOFIAN DINAR M L PBI (APBN) Gastritis, unspecified Berobat Jalan
336 00:00 09:54
110901020522P000 28-05-2022 29-05-2022
79 0002014620827 TUTI SEPTIYANI P - Multiple gestation Rujuk Vertikal
360 00:00 07:55
110901020522P000 28-05-2022 30-05-2022
80 0002023736567 ACIH KARNASIH P PBI (APBN) Scabies Berobat Jalan
391 00:00 10:08
110901020522Y000 28-05-2022 28-05-2022
81 0002642747163 TRI UTAMI P PBI (APBN) Scabies Berobat Jalan
337 00:00 09:58
Pleural effusion in
110901020522P000 28-05-2022 28-05-2022
82 0002645007344 DARMAWAN L PBI (APBN) conditions classified Rujuk Vertikal
338 00:00 10:09
elsewhere
110901020522P000 28-05-2022 06-06-2022
83 0002857158641 DIAS ANGGA PRATAMA L PBI (APBN) Fever, unspecified Berobat Jalan
516 00:00 09:41
110901020522P000 28-05-2022 06-06-2022
84 0002857158775 ALKHALIFI REDI ANANDA L - Fever, unspecified Berobat Jalan
517 00:00 09:42
110901020522P000 28-05-2022 07-06-2022
85 0003066585671 KEANU ARSA ALVARO L - Fever, unspecified Berobat Jalan
521 00:00 06:01
110901020522P000 28-05-2022 06-06-2022 TSANIA
86 0003079697275 P PBI (APBN) Fever, unspecified Berobat Jalan
515 00:00 09:40 MARWATUL
HABIBAH
110901020522P000 28-05-2022 06-06-2022
87 0003258938316 hanin zea amanda P - Fever, unspecified Berobat Jalan
514 00:00 09:39
110901020522P000 28-05-2022 28-05-2022
88 0003266425102 KUSTIJAH P PBI (APBD) Myalgia, pelvic and thigh Rujuk Vertikal
339 00:00 10:59
110901020522P000 27-05-2022 28-05-2022
89 0000628033555 DARWI P PBI (APBN) Myalgia Berobat Jalan
324 00:00 08:45
110901020522P000 27-05-2022 28-05-2022 Acute upper respiratory
90 0000629133581 SARYONO L PBI (APBN) Berobat Jalan
326 00:00 08:49 infection, unspecified
110901020522P000 27-05-2022 27-05-2022
91 0000629165349 KASMINI P - Cystic disease of liver Rujuk Vertikal
307 00:00 09:15
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 27-05-2022 27-05-2022 Malignant neoplasm of

92 0000629675471 RUCI P - Rujuk Vertikal
302 00:00 08:34 breast
110901020522P000 27-05-2022 06-06-2022 Contraceptive
93 0000629911473 RINA TRISNAWATI P - Berobat Jalan
481 00:00 08:08 management
110901020522Y000 27-05-2022 27-05-2022
94 0000630173564 ARTINI P PBI (APBN) Dyspepsia Berobat Jalan
312 00:00 10:06
110901020522P000 27-05-2022 27-05-2022
95 0000630272452 SRI ERI P PBI (APBN) Chronic superficial gastritis Rujuk Vertikal
304 00:00 08:50
110901020522P000 27-05-2022 28-05-2022
96 0000630488913 DEDEH WARNINGSIH P - Urticaria Berobat Jalan
327 00:00 08:51
110901020522P000 27-05-2022 06-06-2022 Contraceptive
97 0001031536034 KUSRINAH P PBI (APBN) Berobat Jalan
512 00:00 09:36 management
110901020522P000 27-05-2022 06-06-2022 Contraceptive
98 0001031538778 SAODAH P - Berobat Jalan
511 00:00 09:21 management
110901020522Y000 27-05-2022 27-05-2022 Essential (primary)
99 0001031544933 SERAH P PBI (APBN) Berobat Jalan
313 00:00 10:09 hypertension
110901020522P000 27-05-2022 27-05-2022
100 0001084294236 KASTURI L - Chronic superficial gastritis Rujuk Vertikal
298 00:00 07:01
110901020522P000 27-05-2022 28-05-2022 Acute upper respiratory
101 0001671587537 SUKI P - Berobat Jalan
329 00:00 08:56 infection, unspecified
110901020522P000 27-05-2022 28-05-2022 Acute upper respiratory
102 0001821468611 RUCIATI P - Berobat Jalan
328 00:00 08:53 infection, unspecified
110901020522P000 27-05-2022 27-05-2022
103 0002641506761 DARTEM P PBI (APBN) Cataract, unspecified Rujuk Vertikal
310 00:00 09:51
110901020522P000 27-05-2022 27-05-2022
104 0002644418079 RUSKINTA L PBI (APBN) Cataract, unspecified Rujuk Vertikal
303 00:00 08:47
110901020522Y000 27-05-2022 27-05-2022 AKMAL MAHESA
105 0002699285679 L PBI (APBD) Scabies Berobat Jalan
311 00:00 10:02 AL BAIHAQI
Non-insulin-dependent
110901020522P000 27-05-2022 27-05-2022
106 0002841936298 JANIAH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
308 00:00 09:39
unspecified complications
110901020522P000 27-05-2022 06-06-2022 Fever of other and
107 0002981698648 SAFANIYA AYUNINDYA P - Berobat Jalan
513 00:00 09:38 unknown origin
110901020522P000 27-05-2022 28-05-2022 PEKERJA Acute upper respiratory
108 0003006098256 MIMIN SUKAESIH P Berobat Jalan
325 00:00 08:47 MANDIRI infection, unspecified

Diarrhoea and gastroenteritis

110901020522P000 26-05-2022 02-06-2022
109 0000630010214 TASLIHIN L - of presumed infectious Sembuh
476 00:00 15:51
origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 25-05-2022 25-05-2022

110 0000627991312 WARKI P PBI (APBN) Headache Berobat Jalan
294 00:00 11:08
110901020522Y000 25-05-2022 25-05-2022 Non-insulin-dependent
111 0000628195307 OOM SUHAETI P - Berobat Jalan
293 00:00 11:05 diabetes mellitus
110901020522Y000 25-05-2022 25-05-2022
112 0000629257836 ANANDA AONILLAH L - Scabies Berobat Jalan
292 00:00 11:03
110901020522P000 25-05-2022 25-05-2022
113 0000629370358 SITI AFRIYANI P PNS DAERAH Other retinal disorders Rujuk Vertikal
281 00:00 09:44
110901020522Y000 25-05-2022 27-05-2022
114 0000629464847 RINAWATI P PBI (APBN) Schizophrenia Berobat Jalan
309 00:00 09:47
110901020522P000 25-05-2022 02-06-2022
115 0000629577224 SURTINI P - Dyspepsia Sembuh
474 00:00 15:16
110901020522P000 25-05-2022 25-05-2022
116 0000629580508 SYIFA AULIA FITRI P PBI (APBN) Scabies Berobat Jalan
289 00:00 10:31
110901020522Y000 25-05-2022 25-05-2022
117 0000629608544 DEWI JUNIAH P PBI (APBN) Allergic urticaria Berobat Jalan
296 00:00 11:14
110901020522P000 25-05-2022 06-06-2022
118 0000629711662 KASKI P - Antenatal screening Berobat Jalan
479 00:00 08:06
110901020522P000 25-05-2022 02-06-2022 Fever of other and
119 0000629989571 RATMI P - Sembuh
473 00:00 15:04 unknown origin
110901020522P000 25-05-2022 25-05-2022 Sequelae of
120 0000630240772 DARSINI P - Rujuk Vertikal
280 00:00 09:29 cerebrovascular disease
110901020522Y000 25-05-2022 25-05-2022
121 0001084294236 KASTURI L - Dyspepsia Berobat Jalan
291 00:00 11:00
110901020522Y000 25-05-2022 25-05-2022
122 0001976967472 BAYU SETA L PBI (APBN) Scabies Berobat Jalan
295 00:00 11:11
110901020522P000 25-05-2022 28-06-2022
123 0002000896492 TUTI PURWANTI P PBI (APBN) Chronic periodontitis Berobat Jalan
542 00:00 10:35
Tuberculosis of lung,
110901020522P000 25-05-2022 25-05-2022
124 0002011335377 AGUNG TRIYONO L PBI (APBN) bacteriologically and Rujuk Vertikal
279 00:00 09:12
histologically negative
110901020522P000 25-05-2022 06-06-2022 PEKERJA
125 0002080827189 TETI SEPTIANA P Antenatal screening Berobat Jalan
480 00:00 08:07 MANDIRI
110901020522P000 25-05-2022 27-05-2022 Acute upper respiratory
126 0002644126176 RIKE DIANA FITALOKA P PBI (APBN) Berobat Jalan
306 00:00 09:01 infection, unspecified
110901020522P000 25-05-2022 25-05-2022 Cervical root disorders, not
127 0002981858714 KAMALUDIN L PBI (APBD) Rujuk Vertikal
297 00:00 16:58 elsewhere classified
110901020522P000 25-05-2022 27-05-2022
128 0003114213006 TASWO L PBI (APBN) Headache Berobat Jalan
305 00:00 08:59
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 24-05-2022 25-05-2022 PENERIMA

129 0000080015703 SRI RAHAYU P Dyspepsia Berobat Jalan
284 00:00 10:03 PENSIUN PNS
Cutaneous abscess,
110901020522Y000 24-05-2022 24-05-2022
130 0000629314997 TASRINAH P - furuncle and carbuncle, Berobat Jalan
261 00:00 10:08
unspecified
110901020522P000 24-05-2022 28-05-2022 Contraceptive management,
131 0000629472879 WARKINAH P - Berobat Jalan
350 00:00 15:10 unspecified
110901020522P000 24-05-2022 06-06-2022 Contraceptive
132 0000629483793 SUMIRAH P PBI (APBN) Berobat Jalan
510 00:00 09:20 management
110901020522P000 24-05-2022 28-05-2022 Contraceptive management,
133 0000629845626 NURAENI P - Berobat Jalan
346 00:00 14:51 unspecified
110901020522P000 24-05-2022 28-05-2022 Contraceptive management,
134 0000629911473 RINA TRISNAWATI P - Berobat Jalan
347 00:00 14:53 unspecified
110901020522Y000 24-05-2022 25-05-2022
135 0000629951589 SUHERMAN L - Headache Berobat Jalan
278 00:00 08:39

110901020522P000 24-05-2022 24-05-2022 Simple and mucopurulent

136 0000630110823 TARKIM L - Rujuk Vertikal
256 00:00 07:58 chronic bronchitis

110901020522Y000 24-05-2022 24-05-2022

137 0000630115716 SATIAH P - Myalgia Berobat Jalan
262 00:00 10:12
110901020522Y000 24-05-2022 25-05-2022
138 0000630275681 WATIAH P PBI (APBN) Headache Berobat Jalan
283 00:00 10:00
110901020522P000 24-05-2022 28-05-2022 Contraceptive management,
139 0000630275681 WATIAH P PBI (APBN) Berobat Jalan
351 00:00 15:13 unspecified
110901020522P000 24-05-2022 29-05-2022 Spontaneous vertex
140 0001031538442 LINA ANGGRAENI P - Sembuh
382 00:00 18:05 delivery
110901020522P000 24-05-2022 29-05-2022 Spontaneous vertex
141 0001031538835 SITI WULANSARI P PBI (APBN) Sembuh
381 00:00 18:02 delivery
110901020522P000 24-05-2022 24-05-2022
142 0001671589449 RUSYANTO L PBI (APBN) Other cataract Rujuk Vertikal
258 00:00 09:23
110901020522P000 24-05-2022 02-06-2022
143 0001888442098 ELIS STYANINGSIH P - Dyspepsia Sembuh
475 00:00 15:27
110901020522P000 24-05-2022 25-05-2022
144 0002000892508 RASWA SISWANDA L PBI (APBN) Myalgia Berobat Jalan
285 00:00 10:09
110901020522Y000 24-05-2022 25-05-2022
145 0002023736567 ACIH KARNASIH P PBI (APBN) Scabies Berobat Jalan
275 00:00 08:26
110901020522P000 24-05-2022 28-05-2022 Contraceptive management,
146 0002480367003 IHA MUFLIHA P PBI (APBN) Berobat Jalan
348 00:00 14:59 unspecified
110901020522Y000 24-05-2022 24-05-2022
147 0002585584822 DWINA SOLIHATUN NISA P PBI (APBN) Otitis media, unspecified Berobat Jalan
260 00:00 10:05
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 24-05-2022 24-05-2022

148 0002618477335 SURNI P - Myalgia, shoulder region Rujuk Vertikal
257 00:00 08:50
110901020522P000 24-05-2022 28-05-2022 Contraceptive management,
149 0002644252795 RISKA AMELIA P - Berobat Jalan
349 00:00 15:04 unspecified
110901020522Y000 24-05-2022 24-05-2022 AKMAL MAHESA
150 0002699285679 L PBI (APBD) Scabies Berobat Jalan
259 00:00 10:02 AL BAIHAQI
110901020522Y000 24-05-2022 25-05-2022
151 0002841931337 TASRO RIYANTO L - Schizophrenia Berobat Jalan
282 00:00 09:58
110901020522P000 24-05-2022 25-05-2022
152 0002981706625 MARSUDIN L - Gastritis, unspecified Berobat Jalan
286 00:00 10:11
110901020522P000 24-05-2022 25-05-2022 PEKERJA Acute upper respiratory
153 0003006098256 MIMIN SUKAESIH P Berobat Jalan
287 00:00 10:14 MANDIRI infection, unspecified
110901020522P000 24-05-2022 24-05-2022 Other disorders of teeth and
154 0003070289992 SHAKILA AILA NAZWA P - Rujuk Vertikal
263 00:00 16:21 supporting structures
110901020522P000 24-05-2022 24-05-2022 Other disorders of teeth and
155 0003070290126 SHAKIRA AIRA NAZWA P - Rujuk Vertikal
264 00:00 16:29 supporting structures
110901020522P000 24-05-2022 25-05-2022
156 0003070290126 SHAKIRA AIRA NAZWA P - Dental caries Berobat Jalan
290 00:00 10:35
110901020522P000 24-05-2022 25-05-2022
157 0003266425102 KUSTIJAH P PBI (APBD) Myalgia Berobat Jalan
288 00:00 10:17
110901020522P000 23-05-2022 23-05-2022
158 0000629301363 KARWI P PBI (APBN) Myalgia Berobat Jalan
251 00:00 12:23
110901020522Y000 23-05-2022 23-05-2022
159 0000629307459 DIAH KOMALA SARI P PBI (APBN) Allergic urticaria Berobat Jalan
238 00:00 09:29
110901020522P000 23-05-2022 23-05-2022 Acute upper respiratory
160 0000629466827 IMAM SYAIDI L - Berobat Jalan
255 00:00 12:33 infection, unspecified
110901020522P000 23-05-2022 23-05-2022
161 0000629577437 KARTINI P - Dyspepsia Berobat Jalan
253 00:00 12:28
110901020522P000 23-05-2022 28-05-2022
162 0000629757843 RUMANAH P - Antenatal screening Berobat Jalan
323 00:00 06:17
110901020522P000 23-05-2022 23-05-2022
163 0000630182531 SARAH P - Myalgia Berobat Jalan
249 00:00 12:19
110901020522P000 23-05-2022 23-05-2022
164 0000630183126 TETI RATNASARI P - Myalgia Berobat Jalan
248 00:00 12:16
110901020522P000 23-05-2022 18-06-2022
165 0000630183791 DUSKINI P PBI (APBN) Chronic periodontitis Berobat Jalan
537 00:00 09:27
110901020522Y000 23-05-2022 23-05-2022
166 0000630299316 KARWIN L PBI (APBN) Headache Berobat Jalan
243 00:00 09:54
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 23-05-2022 28-05-2022

167 0000630466885 TANTI NURARIPAH P - Antenatal screening Berobat Jalan
321 00:00 06:12
110901020522P000 23-05-2022 23-05-2022
168 0001031537834 KASTINI P - Dyspepsia Berobat Jalan
252 00:00 12:26
110901020522P000 23-05-2022 23-05-2022
169 0001031539691 YETI MULYANI P PBI (APBN) Headache Berobat Jalan
254 00:00 12:30
110901020522P000 23-05-2022 23-05-2022
170 0001031543998 TASIAH P PBI (APBN) Chronic superficial gastritis Rujuk Vertikal
239 00:00 09:38

KEPALA DESA Non-insulin-dependent

110901020522P000 23-05-2022 23-05-2022
171 0001710912802 SAHRI L DAN PERANGKAT diabetes mellitus with Rujuk Vertikal
240 00:00 09:40
DESA unspecified complications

Cutaneous abscess,
110901020522P000 23-05-2022 23-05-2022
172 0001897758641 HUSNA NUURIL AZKIYA P PBI (APBN) furuncle and carbuncle, Berobat Jalan
246 00:00 12:11
unspecified
110901020522P000 23-05-2022 18-06-2022
173 0002454111459 RASIH P - Chronic periodontitis Berobat Jalan
536 00:00 09:24
110901020522P000 23-05-2022 23-05-2022 Fracture of shaft of
174 0002640945857 ARYA KAMANDANU L - Rujuk Vertikal
245 00:00 10:47 humerus
110901020522P000 23-05-2022 23-05-2022
175 0002857163073 ALIFA SYAIFATU SYA'BAN P - Scabies Berobat Jalan
247 00:00 12:14
110901020522Y000 23-05-2022 23-05-2022
176 0002981403303 SUMEDI L - Conjunctivitis, unspecified Berobat Jalan
244 00:00 09:56
110901020522Y000 23-05-2022 23-05-2022
177 0002981403314 WARKI P - Myalgia Berobat Jalan
241 00:00 09:52
110901020522P000 23-05-2022 23-05-2022
178 0002981698942 TOHAROH P PBI (APBD) Scabies Berobat Jalan
250 00:00 12:21
110901020522P000 23-05-2022 28-05-2022
179 0003072983725 CHIKA NAURA ZAHRAH P - Cough Berobat Jalan
322 00:00 06:14
110901020522P000 23-05-2022 23-05-2022 TSANIA
180 0003079697275 P PBI (APBN) Other nutritional anaemias Rujuk Vertikal
242 00:00 09:53 MARWATUL
HABIBAH
110901020522P000 22-05-2022 24-05-2022
181 0001031518877 SUTI P - Dyspepsia Sembuh
267 00:00 20:49
Cutaneous abscess,
110901020522Y000 21-05-2022 23-05-2022
182 0000628185701 TUSRI P PBI (APBN) furuncle and carbuncle, Berobat Jalan
235 00:00 09:10
unspecified
110901020522Y000 21-05-2022 23-05-2022
183 0000629257836 ANANDA AONILLAH L - Scabies Berobat Jalan
236 00:00 09:15
110901020522P000 21-05-2022 21-05-2022
184 0000629421423 NURAENI P - Unspecified viral hepatitis Rujuk Vertikal
234 00:00 09:57
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 21-05-2022 06-06-2022 Contraceptive

185 0000630382061 TARNINGSIH P - Berobat Jalan
509 00:00 09:18 management
110901020522P000 21-05-2022 24-05-2022
186 0001671587998 SUYI P - Dyspepsia Sembuh
269 00:00 20:57
110901020522P000 21-05-2022 21-05-2022 Hypertensive heart
187 0002000892565 CIPTO MOELYNO L - Rujuk Vertikal
233 00:00 08:52 disease
110901020522Y000 21-05-2022 23-05-2022
188 0002000892576 LASTRI KURNIA DEWI P - Urticaria Berobat Jalan
237 00:00 09:16
110901020522P000 21-05-2022 21-05-2022
189 0002011469951 IMAN PATULLAH L PBI (APBN) Schizophrenia Rujuk Vertikal
232 00:00 07:28
110901020522Y000 20-05-2022 20-05-2022 Acute upper respiratory
190 0000079994924 MURTINI P PNS DAERAH Berobat Jalan
227 00:00 10:58 infection, unspecified
110901020522P000 20-05-2022 29-05-2022 Spontaneous vertex
191 0000354500572 SITI AMINAH P - Sembuh
380 00:00 17:58 delivery
Tuberculosis of lung,
110901020522P000 20-05-2022 20-05-2022
192 0000629205221 SLAMET L PBI (APBN) bacteriologically and Rujuk Vertikal
203 00:00 08:18
histologically negative

Diarrhoea and gastroenteritis

110901020522P000 20-05-2022 24-05-2022
193 0000629298584 WASWI P - of presumed infectious Sembuh
268 00:00 20:53
origin

110901020522P000 20-05-2022 20-05-2022 Stroke, not specified as

194 0000629477717 WARIAH P PBI (APBN) Berobat Jalan
209 00:00 09:34 haemorrhage or infarction
110901020522P000 20-05-2022 20-05-2022
195 0000629538311 RUSTINI P - Myalgia Berobat Jalan
229 00:00 11:05
110901020522P000 20-05-2022 20-05-2022
196 0000629540403 HASAN AL FAIZ L - Schizophrenia Berobat Jalan
231 00:00 11:16
110901020522P000 20-05-2022 20-05-2022
197 0000629579024 MARSIKIN L PBI (APBN) Complicated migraine Rujuk Vertikal
204 00:00 08:26
110901020522P000 20-05-2022 20-05-2022 Low back pain, cervical
198 0000629894373 KARSITI P - Berobat Jalan
212 00:00 10:00 region
110901020522Y000 20-05-2022 20-05-2022
199 0000630175858 RINI RATNA SARI P PBI (APBN) Headache Berobat Jalan
226 00:00 10:56

Diarrhoea and gastroenteritis

110901020522P000 20-05-2022 24-05-2022
200 0001031535898 KRISNA RAMDANI L - of presumed infectious Sembuh
270 00:00 21:00
origin

110901020522Y000 20-05-2022 20-05-2022

201 0001031539296 SUTONO L PBI (APBN) Myalgia Berobat Jalan
224 00:00 10:52
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 20-05-2022 20-05-2022

202 0001031541175 ADE ROZA P - Impacted teeth Rujuk Vertikal
208 00:00 09:29
110901020522P000 20-05-2022 28-06-2022
203 0001084244106 NELLY ARTHA DEWI P PNS DAERAH Caries limited to enamel Berobat Jalan
541 00:00 09:49
110901020522P000 20-05-2022 20-05-2022
204 0001614980248 KARSITI P PBI (APBN) Other keratitis Rujuk Vertikal
207 00:00 09:13
110901020522P000 20-05-2022 20-05-2022 Chronic serous otitis
205 0001671587706 WASTIP P PBI (APBD) Rujuk Vertikal
206 00:00 08:51 media
110901020522Y000 20-05-2022 20-05-2022
206 0002000901609 SUKMAJA L PBI (APBN) Myalgia Berobat Jalan
223 00:00 10:48
110901020522Y000 20-05-2022 20-05-2022
207 0002000902285 TERA NAWANGSIH P PBI (APBN) Scabies Berobat Jalan
225 00:00 10:54
110901020522P000 20-05-2022 20-05-2022
208 0002349275062 WATIAH P PBI (APBN) Myalgia Berobat Jalan
228 00:00 11:03
Respiratory tuberculosis,
110901020522P000 20-05-2022 20-05-2022 not confirmed
209 0002497812287 DODI RIANTO L PBI (APBN) Rujuk Vertikal
205 00:00 08:48 bacteriologically or
histologically
110901020522P000 20-05-2022 20-05-2022
210 0002857157122 ADIT RADHITIA HUSNI L - Conjunctivitis, unspecified Berobat Jalan
230 00:00 11:13
110901020522P000 19-05-2022 29-05-2022 Spontaneous vertex
211 0000628706136 NUR HALIMAH P - Sembuh
378 00:00 17:48 delivery
110901020522P000 19-05-2022 19-05-2022
212 0000628752813 SALIM L - Status asthmaticus Rujuk Vertikal
193 00:00 10:00
110901020522Y000 19-05-2022 20-05-2022
213 0000628888768 IKOH SILMI KAFAH P - Gastritis, unspecified Berobat Jalan
214 00:00 10:15
110901020522Y000 19-05-2022 20-05-2022
214 0000628888926 CAHYA AL FAJAR L - Dyspepsia Berobat Jalan
211 00:00 09:50
110901020522P000 19-05-2022 06-06-2022 Contraceptive
215 0000629294747 SUKINI P PBI (APBN) Berobat Jalan
508 00:00 09:17 management
Cutaneous abscess,
110901020522Y000 19-05-2022 19-05-2022
216 0000629314997 TASRINAH P - furuncle and carbuncle, Berobat Jalan
200 00:00 10:57
unspecified
110901020522Y000 19-05-2022 20-05-2022
217 0000629421423 NURAENI P - Headache Berobat Jalan
215 00:00 10:18
110901020522P000 19-05-2022 20-05-2022
218 0000629441842 SARKIM L - Urticaria Berobat Jalan
220 00:00 10:29
110901020522P000 19-05-2022 20-05-2022 Acute upper respiratory
219 0000629442281 SUNIRAH P - Berobat Jalan
221 00:00 10:32 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 19-05-2022 20-05-2022

220 0000629442999 SITI NURAisah P - Urticaria Berobat Jalan
222 00:00 10:34
110901020522Y000 19-05-2022 19-05-2022 Acute upper respiratory
221 0000629473667 SLAMET L - Berobat Jalan
198 00:00 10:43 infection, unspecified
110901020522P000 19-05-2022 27-05-2022 Contraceptive management,
222 0000629924951 RISWANTINI P - Berobat Jalan
314 00:00 16:32 unspecified
110901020522P000 19-05-2022 28-05-2022 Contraceptive management,
223 0000630117437 RATINI P - Berobat Jalan
343 00:00 14:36 unspecified
110901020522P000 19-05-2022 29-05-2022 Spontaneous vertex
224 0000630141096 JUWANTI EFITASARI P PBI (APBN) Sembuh
379 00:00 17:55 delivery
110901020522P000 19-05-2022 29-05-2022 Contraceptive management,
225 0000630382061 TARNINGSIH P - Berobat Jalan
370 00:00 09:21 unspecified
110901020522P000 19-05-2022 27-05-2022 Contraceptive management,
226 0001031536034 KUSRINAH P PBI (APBN) Berobat Jalan
316 00:00 16:40 unspecified
110901020522P000 19-05-2022 28-05-2022 Contraceptive management,
227 0001031540635 ROPIATUD DAROJAH P - Berobat Jalan
342 00:00 14:16 unspecified
110901020522Y000 19-05-2022 20-05-2022 PEKERJA Acute upper respiratory
228 0001259307369 SURIPNO L Berobat Jalan
216 00:00 10:19 MANDIRI infection, unspecified
110901020522Y000 19-05-2022 19-05-2022 Essential (primary)
229 0001277411152 WAISAH P PBI (APBN) Berobat Jalan
202 00:00 11:32 hypertension
Disorders of initiating and
110901020522P000 19-05-2022 20-05-2022
230 0001454348182 NINGSIH P - maintaining sleep [insomnias] Berobat Jalan
218 00:00 10:26

Tuberculosis of lung,
110901020522P000 19-05-2022 19-05-2022 PEGAWAI
231 0001629770229 ATKIA HANIVATUL P bacteriologically and Rujuk Vertikal
188 00:00 09:12 SWASTA
JANAH histologically negative
110901020522Y000 19-05-2022 20-05-2022
232 0001976484508 SITI NURLIANI P - Dyspepsia Berobat Jalan
217 00:00 10:21
110901020522P000 19-05-2022 28-05-2022 Contraceptive management,
233 0001976484508 SITI NURLIANI P - Berobat Jalan
345 00:00 14:45 unspecified
110901020522P000 19-05-2022 28-05-2022 Contraceptive management,
234 0002000888177 SITI AMINAH P PBI (APBN) Berobat Jalan
344 00:00 14:40 unspecified
110901020522P000 19-05-2022 19-05-2022
235 0002011398952 FARHAN BUDI SETIAWAN L PBI (APBN) Melaena Rujuk Vertikal
189 00:00 09:20
110901020522Y000 19-05-2022 19-05-2022
236 0002011698549 WATINI P PBI (APBN) Scabies Berobat Jalan
199 00:00 10:47
110901020522Y000 19-05-2022 19-05-2022
237 0002023736567 ACIH KARNASIH P PBI (APBN) Scabies Berobat Jalan
201 00:00 11:02
110901020522Y000 19-05-2022 20-05-2022
238 0002211433075 MUHAMAD ALVI KHOIRI L - Scabies Berobat Jalan
213 00:00 10:05
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 19-05-2022 25-05-2022

239 0002454111459 RASIH P - Impacted teeth Berobat Jalan
276 00:00 08:29
110901020522P000 19-05-2022 28-05-2022 Contraceptive management,
240 0002641477195 DASWI P - Berobat Jalan
341 00:00 14:12 unspecified
110901020522P000 19-05-2022 20-05-2022
241 0002644491936 B. RISAH P - Myalgia Berobat Jalan
219 00:00 10:27
110901020522P000 19-05-2022 27-05-2022 Contraceptive management,
242 0002700572973 SITI HALIMAH P - Berobat Jalan
315 00:00 16:35 unspecified
110901020522Y000 19-05-2022 20-05-2022
243 0002841931337 TASRO RIYANTO L - Schizophrenia Berobat Jalan
210 00:00 09:46
110901020522P000 19-05-2022 29-05-2022 Contraceptive management,
244 0002857162779 MARDIAH P - Berobat Jalan
371 00:00 09:26 unspecified
110901020522Y000 19-05-2022 19-05-2022 MUHAMMAD Acute upper respiratory
245 0002981698907 L - Berobat Jalan
197 00:00 10:40 ARKHAN AWALUDIN infection, unspecified
110901020522P000 19-05-2022 19-05-2022 PEKERJA
246 0003265411691 SUTARDI L Myalgia, lower leg Rujuk Vertikal
195 00:00 10:21 MANDIRI
110901020522Y000 18-05-2022 18-05-2022 Acute upper respiratory
247 0000627918186 DASWI P PBI (APBN) Berobat Jalan
183 00:00 09:59 infection, unspecified
110901020522Y000 18-05-2022 18-05-2022 Acute upper respiratory
248 0000628821112 CASWO L PBI (APBN) Berobat Jalan
184 00:00 10:03 infection, unspecified
110901020522Y000 18-05-2022 19-05-2022
249 0000629205952 AMABEL DAMARA ELYSIA P - Hypotension, unspecified Berobat Jalan
190 00:00 09:43
110901020522Y000 18-05-2022 18-05-2022
250 0000629257836 ANANDA AONILLAH L - Scabies Berobat Jalan
185 00:00 10:12
110901020522P000 18-05-2022 28-05-2022
251 0000629454273 CASRIAH P - Antenatal screening Berobat Jalan
317 00:00 06:03
110901020522Y000 18-05-2022 19-05-2022
252 0000629660709 MARTINI P - Dyspepsia Berobat Jalan
196 00:00 10:33
110901020522P000 18-05-2022 28-05-2022 Contraceptive management,
253 0000629683233 ROHAYATI P PBI (APBN) Berobat Jalan
320 00:00 06:09 unspecified
110901020522Y000 18-05-2022 19-05-2022 Acute upper respiratory
254 0000629708613 RASTO L PBI (APBN) Berobat Jalan
194 00:00 10:13 infection, unspecified
110901020522Y000 18-05-2022 19-05-2022 Essential (primary)
255 0000629709208 SARTIP P PBI (APBN) Berobat Jalan
191 00:00 09:46 hypertension
Benign lipomatous
110901020522P000 18-05-2022 18-05-2022 neoplasm of skin and
256 0000629978826 KARSA L - Rujuk Vertikal
170 00:00 08:32 subcutaneous tissue of
limbs
110901020522P000 18-05-2022 27-05-2022
257 0000630294636 HERNAWATI P - Antenatal screening Berobat Jalan
301 00:00 08:02
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 18-05-2022 28-05-2022 Contraceptive

258 0000630378134 SIPA FITRI AWALIA P - Berobat Jalan
319 00:00 06:09 management
110901020522Y000 18-05-2022 19-05-2022
259 0001031538082 DARSA L - Gastritis, unspecified Berobat Jalan
192 00:00 09:49
110901020522P000 18-05-2022 18-05-2022
260 0001031538778 SAODAH P - Long labour, unspecified Rujuk Vertikal
187 00:00 21:53
110901020522P000 18-05-2022 27-05-2022
261 0001031538835 SITI WULANSARI P PBI (APBN) Antenatal screening Berobat Jalan
299 00:00 08:00
110901020522P000 18-05-2022 27-05-2022
262 0002011473224 IKA DANIYATI P PBI (APBN) Antenatal screening Berobat Jalan
300 00:00 08:00
110901020522P000 18-05-2022 28-05-2022 PEKERJA
263 0002080827189 TETI SEPTIANA P Antenatal screening Berobat Jalan
318 00:00 06:08 MANDIRI
110901020522Y000 18-05-2022 18-05-2022
264 0002702444444 BIMA ALFIANSYAH L PBI (APBD) Scabies Berobat Jalan
186 00:00 10:14
110901020522P000 18-05-2022 18-05-2022 MUHAMMAD
265 0003127946578 L - Febrile convulsions Rujuk Vertikal
169 00:00 06:36 DZULFIQAR ASHLAN
110901020522Y000 17-05-2022 17-05-2022 Contraceptive
266 0000423894251 ELIS SUSANTI P PBI (APBN) Berobat Jalan
147 00:00 09:06 management
110901020522Y000 17-05-2022 17-05-2022
267 0000628002371 SARTI P PBI (APBN) Urticaria Berobat Jalan
167 00:00 11:00
110901020522Y000 17-05-2022 18-05-2022
268 0000628720031 SUNAR L PBI (APBN) Myalgia Berobat Jalan
176 00:00 09:19
110901020522Y000 17-05-2022 17-05-2022
269 0000628783514 RIA NOVI AMELIA P PBI (APBN) Otitis media, unspecified Berobat Jalan
151 00:00 09:37
110901020522Y000 17-05-2022 18-05-2022 Acute upper respiratory
270 0000629117965 RASINI P PBI (APBN) Berobat Jalan
175 00:00 09:15 infection, unspecified
110901020522Y000 17-05-2022 17-05-2022 Acute upper respiratory
271 0000629411523 IDI RASIDI L - Berobat Jalan
152 00:00 09:39 infection, unspecified
110901020522Y000 17-05-2022 17-05-2022 Contraceptive
272 0000629429578 DARKINI P - Berobat Jalan
158 00:00 10:02 management
110901020522Y000 17-05-2022 18-05-2022
273 0000629445205 CASI P - Myalgia Berobat Jalan
171 00:00 09:01
110901020522Y000 17-05-2022 17-05-2022 Contraceptive
274 0000629466265 WAIRAH P - Berobat Jalan
146 00:00 08:58 management
110901020522P000 17-05-2022 17-05-2022 Contraceptive
275 0000629521536 TURTI NURDIANAWATI P - Berobat Jalan
166 00:00 10:49 management
110901020522Y000 17-05-2022 17-05-2022
276 0000629538028 SARJONO L PBI (APBN) Headache Berobat Jalan
161 00:00 10:12
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 17-05-2022 01-06-2022

277 0000629602424 RAONAH P - Gastritis, unspecified Berobat Jalan
471 00:00 18:13
110901020522Y000 17-05-2022 17-05-2022 Contraceptive
278 0000629776247 RUCINAH P - Berobat Jalan
153 00:00 09:41 management
110901020522P000 17-05-2022 01-06-2022
279 0000629784898 SUTINAH P - Gastritis, unspecified Berobat Jalan
470 00:00 18:13
110901020522Y000 17-05-2022 18-05-2022
280 0000629811371 WASTIAH P - Myalgia Berobat Jalan
180 00:00 09:33

Human immunodeficiency
110901020522Y000 17-05-2022 18-05-2022 virus [HIV] disease resulting
281 0000629918122 SOPIAH P - Berobat Jalan
179 00:00 09:27 in infectious and parasitic
diseases

110901020522P000 17-05-2022 17-05-2022 Contraceptive

282 0000629967003 NUNING SETIANINGSIH P - Berobat Jalan
165 00:00 10:48 management
110901020522Y000 17-05-2022 18-05-2022
283 0000630198955 KARTINI P PBI (APBN) Dyspepsia Berobat Jalan
173 00:00 09:11
110901020522Y000 17-05-2022 17-05-2022
284 0000630265184 CICIH P - Urticaria Berobat Jalan
168 00:00 11:27
110901020522P000 17-05-2022 01-06-2022
285 0001031534739 CASYATI P - Myalgia Berobat Jalan
472 00:00 18:14
110901020522Y000 17-05-2022 17-05-2022 Contraceptive
286 0001031545607 WINARTI P - Berobat Jalan
157 00:00 09:59 management
110901020522P000 17-05-2022 17-05-2022
287 0001031559761 KUSWI P - Chronic superficial gastritis Rujuk Vertikal
163 00:00 10:29
110901020522P000 17-05-2022 17-05-2022
288 0001031560604 CASKI P PBI (APBN) Injury of eye and orbit Rujuk Vertikal
150 00:00 09:22
110901020522P000 17-05-2022 17-05-2022
289 0001335925236 SUTI P - Parkinson's disease Rujuk Vertikal
164 00:00 10:39
110901020522Y000 17-05-2022 18-05-2022 Acute upper respiratory
290 0001614957625 RUSKINI P - Berobat Jalan Hipertensi
182 00:00 09:42 infection, unspecified
110901020522Y000 17-05-2022 18-05-2022 Essential (primary)
291 0001614980248 KARSITI P PBI (APBN) Berobat Jalan
177 00:00 09:22 hypertension
Tuberculosis of lung,
110901020522P000 17-05-2022 17-05-2022
292 0001671587256 ROHMAN HIDAYAT L - bacteriologically and Rujuk Vertikal
156 00:00 09:55
histologically negative
110901020522Y000 17-05-2022 18-05-2022
293 0001671589449 RUSYANTO L PBI (APBN) Cataract, unspecified Berobat Jalan
172 00:00 09:08
110901020522P000 17-05-2022 17-05-2022 PEKERJA Other specified diabetes
294 0001720282544 RUSKINI P Rujuk Vertikal
148 00:00 09:11 MANDIRI mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 17-05-2022 18-05-2022

295 0001730755124 TURKINAH P - Gastritis, unspecified Berobat Jalan
178 00:00 09:24
110901020522P000 17-05-2022 01-06-2022 Influenza, virus not
296 0002000902364 SARSIH P - Berobat Jalan
469 00:00 18:11 identified
110901020522P000 17-05-2022 17-05-2022 Stroke, not specified as
297 0002011396724 SUTI P PBI (APBN) Rujuk Vertikal
149 00:00 09:15 haemorrhage or infarction
110901020522Y000 17-05-2022 18-05-2022
298 0002011398952 FARHAN BUDI SETIAWAN L PBI (APBN) Melaena Berobat Jalan
181 00:00 09:36
110901020522Y000 17-05-2022 17-05-2022 Essential (primary)
299 0002468030106 CAREM P - Berobat Jalan
160 00:00 10:10 hypertension
110901020522Y000 17-05-2022 17-05-2022 Contraceptive
300 0002644663915 JUMIRAH P PBI (APBN) Berobat Jalan
145 00:00 08:56 management
110901020522Y000 17-05-2022 18-05-2022 Acute upper respiratory
301 0002645007344 DARMAWAN L PBI (APBN) Berobat Jalan
174 00:00 09:13 infection, unspecified
110901020522P000 17-05-2022 17-05-2022 Stroke, not specified as
302 0002699285883 WASITI P - Rujuk Vertikal
162 00:00 10:20 haemorrhage or infarction
110901020522P000 17-05-2022 06-06-2022 PEKERJA Contraceptive
303 0002744183305 TITI MULYANI P Berobat Jalan
507 00:00 09:16 MANDIRI management
110901020522Y000 17-05-2022 17-05-2022
304 0002801683754 RENDRA FALGUNADI L - Myalgia Berobat Jalan
159 00:00 10:07
110901020522Y000 17-05-2022 17-05-2022
305 0002981403303 SUMEDI L - Myalgia Berobat Jalan
154 00:00 09:48
110901020522Y000 17-05-2022 17-05-2022
306 0002981403314 WARKI P - Myalgia Berobat Jalan
155 00:00 09:51
110901020522P000 17-05-2022 06-06-2022 PEKERJA Fever of other and
307 0003136916441 CINTA MUAWANAH P Berobat Jalan
506 00:00 09:14 MANDIRI unknown origin
110901020522P000 17-05-2022 17-05-2022
308 0003261024077 SAKA APTA WIJAYA L - Cleft lip Rujuk Vertikal
144 00:00 06:41

Diarrhoea and gastroenteritis

110901020522P000 16-05-2022 24-05-2022
309 0000629699321 DARTA SYARIPUDIN L - of presumed infectious Sembuh
273 00:00 21:24
origin

110901020522P000 16-05-2022 24-05-2022 Fever of other and

310 0001031545001 MAKSUDIN L - Sembuh
272 00:00 21:18 unknown origin
110901020522P000 16-05-2022 16-05-2022
311 0001454348182 NINGSIH P - Benign neoplasm of breast Rujuk Vertikal
143 00:00 16:43
110901020522P000 15-05-2022 24-05-2022
312 0001031559761 KUSWI P - Dyspepsia Sembuh
271 00:00 21:14
110901020522P000 15-05-2022 29-05-2022 Spontaneous vertex
313 0002011174121 DHEA ZUNNURAEN P - Sembuh
377 00:00 17:45 delivery
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 14-05-2022 14-05-2022

314 0000629475355 RASTEM P PBI (APBN) Headache Berobat Jalan
111 00:00 12:19
Tuberculosis of lung,
110901020522P000 14-05-2022 14-05-2022
315 0000629491037 DEDI L - bacteriologically and Rujuk Vertikal
109 00:00 09:17
histologically negative
110901020522P000 14-05-2022 06-06-2022 Contraceptive
316 0001031536034 KUSRINAH P PBI (APBN) Berobat Jalan
505 00:00 09:10 management
110901020522Y000 14-05-2022 14-05-2022
317 0001031537531 DARKI P - Gastritis, unspecified Berobat Jalan
110 00:00 12:16
110901020522P000 14-05-2022 14-05-2022
318 0002645160434 AS'AD L PBI (APBN) Gastritis, unspecified Berobat Jalan
112 00:00 12:22
110901020522Y000 13-05-2022 14-05-2022 Acute upper respiratory
319 0000628899851 ELI P PBI (APBN) Berobat Jalan
114 00:00 12:35 infection, unspecified
110901020522P000 13-05-2022 01-06-2022
320 0000629193453 KASNI P - Myalgia Berobat Jalan
461 00:00 17:57
110901020522P000 13-05-2022 18-06-2022
321 0000629429488 WIWIN YUNITA P PBI (APBN) Excessive attrition of teeth Berobat Jalan
534 00:00 09:17
110901020522Y000 13-05-2022 13-05-2022 Essential (primary)
322 0000629591714 DASRI P - Berobat Jalan
108 00:00 12:26 hypertension
110901020522P000 13-05-2022 01-06-2022
323 0000629648572 SUMITRI P - Headache Berobat Jalan
467 00:00 18:05
110901020522Y000 13-05-2022 13-05-2022
324 0000629792752 RINA JUNINGSIH P PBI (APBN) Urticaria Berobat Jalan
107 00:00 12:24
110901020522Y000 13-05-2022 14-05-2022 Birth injury to skeleton,
325 0000629811371 WASTIAH P - Berobat Jalan
121 00:00 13:00 unspecified
110901020522P000 13-05-2022 13-05-2022
326 0000629974315 DASWI P - Cataract, unspecified Rujuk Vertikal
092 00:00 09:47
110901020522Y000 13-05-2022 14-05-2022 Essential (primary)
327 0000630182463 SUNARTO L PBI (APBN) Berobat Jalan
120 00:00 12:54 hypertension
110901020522P000 13-05-2022 14-05-2022 Dermatophytosis,
328 0000630265184 CICIH P - Berobat Jalan
124 00:00 13:13 unspecified
110901020522P000 13-05-2022 01-06-2022
329 0001031534638 WAIRAH P - Gastritis, unspecified Berobat Jalan
468 00:00 18:08
110901020522P000 13-05-2022 01-06-2022
330 0001031534752 SURATNO L PBI (APBN) Myalgia Berobat Jalan
462 00:00 17:59
110901020522Y000 13-05-2022 14-05-2022 PEGAWAI
331 0001190878896 RIYANTI P Gastritis, unspecified Berobat Jalan
123 00:00 13:09 SWASTA
110901020522Y000 13-05-2022 14-05-2022 PEGAWAI Acute upper respiratory
332 0001629770229 ATKIA HANIVATUL P Berobat Jalan
118 00:00 12:49 SWASTA infection, unspecified
JANAH
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 13-05-2022 14-05-2022 PEGAWAI Acute upper respiratory

333 0001629770231 JUNDI MUHAMAD IKSAN L Berobat Jalan
119 00:00 12:51 SWASTA infection, unspecified
Follow-up examination
110901020522P000 13-05-2022 13-05-2022
334 0001694686026 TASMAH P - after other treatment for Rujuk Vertikal
084 00:00 08:37
other conditions
110901020522Y000 13-05-2022 14-05-2022 Dermatophytosis,
335 0002000889022 SITI SOPIAH P - Berobat Jalan
122 00:00 13:06 unspecified
110901020522P000 13-05-2022 01-06-2022
336 0002000900349 JENI L - Myalgia Berobat Jalan
465 00:00 18:04
110901020522P000 13-05-2022 01-06-2022
337 0002000900351 SUTRIO L - Gastritis, unspecified Berobat Jalan
463 00:00 18:01
110901020522P000 13-05-2022 01-06-2022 Influenza, virus not
338 0002000900362 CASMEN P - Berobat Jalan
464 00:00 18:03 identified
110901020522Y000 13-05-2022 13-05-2022 REVA USWATUN Acute upper respiratory
339 0002000901069 P PBI (APBN) Berobat Jalan
106 00:00 12:22 HASANAH infection, unspecified
Tuberculosis of lung,
110901020522P000 13-05-2022 13-05-2022 confirmed by sputum
340 0002000937982 KHOTIKAH P PBI (APBN) Rujuk Vertikal
087 00:00 09:09 microscopy with or without
culture
110901020522P000 13-05-2022 01-06-2022
341 0002011068562 NURTI P - Myalgia Berobat Jalan
466 00:00 18:04
110901020522P000 13-05-2022 13-05-2022
342 0002082461343 SUWARMAN L PBI (APBD) Chronic atrophic gastritis Rujuk Vertikal
086 00:00 09:03
110901020522P000 13-05-2022 13-05-2022 PEKERJA
343 0002326836745 TIRAH P Chronic kidney disease Rujuk Vertikal
091 00:00 09:44 MANDIRI
110901020522Y000 13-05-2022 14-05-2022 Atopic dermatitis,
344 0002454635226 SURINAH P - Berobat Jalan
116 00:00 12:45 unspecified
110901020522P000 13-05-2022 24-05-2022 Fever of other and
345 0002640947624 WAHODI L - Sembuh
274 00:00 21:29 unknown origin
110901020522P000 13-05-2022 15-05-2022 Fever of other and
346 0002642743495 DARNO SUSANTO L - Sembuh
142 00:00 17:39 unknown origin
110901020522Y000 13-05-2022 14-05-2022 Acute upper respiratory
347 0002702444354 TERI UMYATI P - Berobat Jalan
117 00:00 12:47 infection, unspecified
110901020522P000 13-05-2022 13-05-2022
348 0002801685093 TASRI P PBI (APBN) Congestive heart failure Rujuk Vertikal
085 00:00 08:53
110901020522Y000 13-05-2022 14-05-2022 Acute upper respiratory
349 0002857157886 DANISH AHMAD FAISAL L - Berobat Jalan
115 00:00 12:39 infection, unspecified
110901020522Y000 13-05-2022 14-05-2022 PEKERJA Rheumatoid arthritis,
350 0003265411691 SUTARDI L Berobat Jalan
113 00:00 12:31 MANDIRI unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 12-05-2022 PENERIMA Hypertensive heart

351 05-12-2022 0000079956009 TUMINI P Rujuk Vertikal
081 11:12 PENSIUN PNS disease
110901020522Y000 13-05-2022
352 05-12-2022 0000629241895 WARIAH P PBI (APBN) Headache Berobat Jalan
104 12:08
110901020522P000 15-05-2022
353 05-12-2022 0000629287323 CARSI P PBI (APBN) Dyspepsia Sembuh
141 17:35
110901020522P000 29-05-2022 Contraceptive management,
354 05-12-2022 0000629294747 SUKINI P PBI (APBN) Berobat Jalan
366 08:58 unspecified
110901020522P000 12-05-2022 Benign neoplasm of eye
355 05-12-2022 0000629435485 WATIROH YULIYANI P - Rujuk Vertikal
080 10:55 and adnexa
110901020522P000 12-05-2022
356 05-12-2022 0000629436699 SUDARMAN L PBI (APBN) Congestive heart failure Rujuk Vertikal
075 09:36
110901020522P000 12-05-2022 Premature rupture of
357 05-12-2022 0000629457175 DANI SRININGSIH P - Rujuk Vertikal
083 14:35 membranes
110901020522P000 15-05-2022 Fever of other and
358 05-12-2022 0000629487303 DAHROMI L - Sembuh
140 17:27 unknown origin
110901020522P000 12-05-2022
359 05-12-2022 0000629492229 SULAIMAN L PBI (APBN) Cataract, unspecified Rujuk Vertikal
079 10:39
110901020522P000 29-05-2022 Contraceptive management,
360 05-12-2022 0000629493851 DUSKINAH P PBI (APBN) Berobat Jalan
369 09:14 unspecified
110901020522P000 29-05-2022 Contraceptive management,
361 05-12-2022 0000629652554 CICA HARYATI P PBI (APBN) Berobat Jalan
363 08:45 unspecified
110901020522P000 12-05-2022
362 05-12-2022 0000629667382 SARKI P PBI (APBN) Other arthrosis Rujuk Vertikal
074 09:23
Cutaneous abscess,
110901020522Y000 13-05-2022
363 05-12-2022 0001031535628 CITA DEWI P PBI (APBN) furuncle and carbuncle of Berobat Jalan
105 12:11
face
110901020522Y000 13-05-2022 Acute upper respiratory
364 05-12-2022 0001031537542 WARDOYO L PBI (APBN) Berobat Jalan
101 11:59 infection, unspecified
110901020522P000 29-05-2022 Contraceptive management,
365 05-12-2022 0001031542659 CUSI P - Berobat Jalan
368 09:09 unspecified
110901020522P000 12-05-2022 Contraceptive management,
366 05-12-2022 0001089215649 GURIYANTI P PNS DAERAH Rujuk Vertikal
073 08:47 unspecified
110901020522Y000 13-05-2022 PEKERJA Essential (primary)
367 05-12-2022 0001259307369 SURIPNO L Berobat Jalan
102 12:02 MANDIRI hypertension
PEGAWAI
PEMERINTAH
110901020522P000 29-05-2022 Contraceptive management,
368 05-12-2022 0001671587335 RIAS WIDIANINGRUM P DENGAN Berobat Jalan
364 08:48 unspecified
PERJANJIAN
KERJA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 29-05-2022 Contraceptive management,

369 05-12-2022 0002011362849 LENNY TRIANA P - Berobat Jalan
367 09:02 unspecified
110901020522P000 29-05-2022 Contraceptive management,
370 05-12-2022 0002013815856 WAIDAH P PBI (APBN) Berobat Jalan
365 08:54 unspecified
110901020522P000 09-06-2022 Contraceptive management,
371 05-12-2022 0002292476343 ADE IRMA SUCIAWATI P PBI (APBD) Berobat Jalan
530 09:41 unspecified
110901020522P000 31-05-2022 Contraceptive management,
372 05-12-2022 0002292476343 ADE IRMA SUCIAWATI P PBI (APBD) Berobat Jalan
431 22:03 unspecified
110901020522P000 12-05-2022
373 05-12-2022 0002641514016 SITI MARIAH P - Tachycardia, unspecified Rujuk Vertikal
076 09:44
110901020522P000 24-05-2022 Fever of other and
374 05-12-2022 0002644252143 CAHYATI P PBI (APBN) Sembuh
266 20:44 unknown origin
110901020522Y000 13-05-2022 Acute upper respiratory
375 05-12-2022 0002702443239 TARSONO L - Berobat Jalan
103 12:05 infection, unspecified
110901020522P000 29-05-2022 Spontaneous vertex
376 05-12-2022 0002841930505 WASTINI P - Sembuh
376 17:38 delivery
110901020522P000 12-05-2022 Other chronic suppurative
377 05-12-2022 0003254960171 ADINDA KIRANA P PBI (APBN) Rujuk Vertikal
082 14:28 otitis media
110901020522P000 06-06-2022 PEGAWAI
378 05-11-2022 0000080015668 INDAH PERMATA SARI P Antenatal screening Berobat Jalan
500 09:02 SWASTA
110901020522P000 06-06-2022
379 05-11-2022 0000628016804 WIDA NUNINGSIH P - Antenatal screening Berobat Jalan
503 09:07
110901020522Y000 13-05-2022
380 05-11-2022 0000629414133 SARTI P PBI (APBN) Urticaria Berobat Jalan
098 10:16
110901020522P000 11-05-2022
381 05-11-2022 0000629475355 RASTEM P PBI (APBN) Cataract, unspecified Rujuk Vertikal
069 11:17
110901020522Y000 13-05-2022 Non-insulin-dependent
382 05-11-2022 0000629591163 RUAB P PBI (APBN) Berobat Jalan
099 10:20 diabetes mellitus
110901020522Y000 13-05-2022 Non-insulin-dependent
383 05-11-2022 0000629597226 KARNATI P - Berobat Jalan
100 10:25 diabetes mellitus

Diarrhoea and gastroenteritis

110901020522P000 15-05-2022
384 05-11-2022 0000629848596 SITI MARYAM P - of presumed infectious Sembuh
125 14:40
origin

110901020522P000 11-05-2022
385 05-11-2022 0000630248859 RASIH P - Fracture of clavicle Rujuk Vertikal
068 11:05
110901020522P000 15-05-2022
386 05-11-2022 0001031539263 KOMARIAH P PBI (APBN) Dyspepsia Sembuh
139 17:21
110901020522P000 28-06-2022
387 05-11-2022 0001031541175 ADE ROZA P - Necrosis of pulp Berobat Jalan
540 09:41
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 13-05-2022
388 05-11-2022 0001031545541 YUNI PURWANTI P PBI (APBN) Myalgia Berobat Jalan
096 10:09
110901020522P000 11-05-2022
389 05-11-2022 0001031546698 WARKI P PBI (APBN) Other cataract Rujuk Vertikal
064 10:05
110901020522P000 11-05-2022 Thyrotoxicosis with toxic
390 05-11-2022 0001084376654 SUKINI P - Rujuk Vertikal
067 10:56 multinodular goitre
110901020522P000 11-05-2022
391 05-11-2022 0001694686274 RATI P PBI (APBN) Congestive heart failure Rujuk Vertikal
060 08:45
110901020522P000 06-06-2022
392 05-11-2022 0002011367643 DESI DIANTI P PBI (APBN) Antenatal screening Berobat Jalan
504 09:08
110901020522P000 18-06-2022
393 05-11-2022 0002641506682 ANDRE SEPTIANA L PBI (APBN) Chronic periodontitis Berobat Jalan
533 09:09

Diarrhoea and gastroenteritis

110901020522P000 15-05-2022
394 05-11-2022 0002645009548 SOFYAN HAIDAR AKMAL L - of presumed infectious Sembuh
138 16:53
origin

110901020522P000 11-05-2022 PEKERJA

395 05-11-2022 0002744183305 TITI MULYANI P Threatened abortion Rujuk Vertikal
070 11:21 MANDIRI
110901020522P000 06-06-2022
396 05-11-2022 0002801683901 WIWIN WINARTI P - Antenatal screening Berobat Jalan
502 09:07
110901020522P000 06-06-2022
397 05-11-2022 0002841930505 WASTINI P - Antenatal screening Berobat Jalan
501 09:05
110901020522Y000 13-05-2022
398 05-11-2022 0002841932902 WASKINI P PBI (APBN) Myalgia Berobat Jalan
097 10:12
110901020522P000 11-05-2022 PEKERJA Specific developmental
399 05-11-2022 0003265413377 DASWEN P Rujuk Vertikal
059 08:40 MANDIRI disorder of motor function

Diarrhoea and gastroenteritis

110901020522P000 15-05-2022
400 05-10-2022 0000629086364 DURI P - of presumed infectious Sembuh
137 16:48
origin

110901020522P000 01-06-2022 Rheumatoid arthritis,

401 05-10-2022 0000629170931 CASKIAH P - Berobat Jalan
449 17:06 unspecified
110901020522P000 29-05-2022 Contraceptive management,
402 05-10-2022 0000629180774 SURKI P - Berobat Jalan
361 08:26 unspecified
110901020522P000 01-06-2022 Influenza, virus not
403 05-10-2022 0000629196344 KARIM L - Berobat Jalan
458 17:50 identified
Cutaneous abscess,
110901020522Y000 13-05-2022
404 05-10-2022 0000629314997 TASRINAH P - furuncle and carbuncle of Berobat Jalan
089 09:36
face
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 13-05-2022
405 05-10-2022 0000629442281 SUNIRAH P - Urticaria Berobat Jalan
095 10:03
110901020522Y000 13-05-2022
406 05-10-2022 0000629442999 SITI NURAisah P - Scabies Berobat Jalan
094 10:01
110901020522P000 18-06-2022 Chronic apical
407 05-10-2022 0000629457153 NURHADI L PBI (APBN) Berobat Jalan
535 09:20 periodontitis
110901020522Y000 11-05-2022 Stroke, not specified as
408 05-10-2022 0000629477717 WARIAH P PBI (APBN) Berobat Jalan
061 09:10 haemorrhage or infarction
110901020522P000 10-05-2022
409 05-10-2022 0000629538028 SARJONO L PBI (APBN) Orchitis and epididymitis Rujuk Vertikal
043 09:10
110901020522P000 06-06-2022 Contraceptive
410 05-10-2022 0000629574366 TUSRI P - Berobat Jalan
499 09:01 management
110901020522P000 01-06-2022
411 05-10-2022 0000629577292 TARYAMAH P - Myalgia Berobat Jalan
460 17:52
110901020522P000 01-06-2022
412 05-10-2022 0000629625508 JUMI P - Cough Berobat Jalan
455 17:12
110901020522P000 01-06-2022
413 05-10-2022 0000629638244 SUNI P - Gastritis, unspecified Berobat Jalan
459 17:51
110901020522P000 01-06-2022 Essential (primary)
414 05-10-2022 0000629657021 MARSONO L - Berobat Jalan
456 17:13 hypertension
110901020522P000 11-05-2022 Essential (primary)
415 05-10-2022 0000629670071 TASMUNAH P PBI (APBN) Berobat Jalan
071 11:47 hypertension
110901020522P000 01-06-2022
416 05-10-2022 0000629674558 SUMARNI P - Headache Berobat Jalan
451 17:07
110901020522P000 01-06-2022 Essential (primary)
417 05-10-2022 0000629681872 TIRAH P - Berobat Jalan
454 17:11 hypertension
110901020522P000 01-06-2022
418 05-10-2022 0000629702403 SAYU P - Headache Berobat Jalan
450 17:07
110901020522P000 10-05-2022 Disorders of multiple
419 05-10-2022 0000629736096 SARINAH P PBI (APBN) Rujuk Vertikal
045 09:32 cranial nerves
110901020522P000 01-06-2022
420 05-10-2022 0000629764389 SRI HARYATI P - Cough Berobat Jalan
448 17:06
110901020522P000 29-05-2022 Contraceptive management,
421 05-10-2022 0000630116987 TUTI MUHROMAH P - Berobat Jalan
362 08:30 unspecified
Follow-up examination
110901020522P000 10-05-2022
422 05-10-2022 0000630281902 NURKABAITI SAEBI P - after other treatment for Rujuk Vertikal
050 10:07
other conditions
110901020522Y000 13-05-2022
423 05-10-2022 0001031539296 SUTONO L PBI (APBN) Myalgia Berobat Jalan
088 09:33
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 11-05-2022 Non-insulin-dependent

424 05-10-2022 0001031540635 ROPIATUD DAROJAH P - Berobat Jalan
065 10:32 diabetes mellitus
110901020522Y000 11-05-2022 Essential (primary)
425 05-10-2022 0001031544933 SERAH P PBI (APBN) Berobat Jalan
063 09:24 hypertension
110901020522P000 10-05-2022
426 05-10-2022 0001083791248 TOHIRIN L - Heart disease, unspecified Rujuk Vertikal
054 10:39
110901020522P000 10-05-2022
427 05-10-2022 0001083963161 SURYAMAN L PBI (APBN) Cataract, unspecified Rujuk Vertikal
044 09:19
Non-insulin-dependent
110901020522P000 10-05-2022
428 05-10-2022 0001277411152 WAISAH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
055 10:44
ophthalmic complications

KEPALA DESA
110901020522P000 10-05-2022
429 05-10-2022 0001710929351 ROSIDI L DAN PERANGKAT Other cataract Rujuk Vertikal
058 18:45
DESA

110901020522P000 10-05-2022 Maternal care for transverse

430 05-10-2022 0002000215214 WIDIYAWATI P - Rujuk Vertikal
041 03:51 and oblique lie
110901020522Y000 12-05-2022
431 05-10-2022 0002000890585 WARSITI P - Dyspepsia Berobat Jalan
078 10:25
110901020522P000 01-06-2022 Influenza, virus not
432 05-10-2022 0002011176099 WARKIAH P - Berobat Jalan
453 17:11 identified
110901020522P000 01-06-2022 Influenza, virus not
433 05-10-2022 0002011434175 FITRIANI P - Berobat Jalan
452 17:10 identified
110901020522P000 01-06-2022
434 05-10-2022 0002011467701 KASMAH P PBI (APBN) Headache Berobat Jalan
457 17:13
110901020522Y000 11-05-2022
435 05-10-2022 0002011737295 RUTIAH P - Gastritis, unspecified Berobat Jalan
062 09:20
110901020522Y000 13-05-2022 PEKERJA Essential (primary)
436 05-10-2022 0002611387091 SITI AMINAH P Berobat Jalan
093 09:58 MANDIRI hypertension
110901020522P000 10-05-2022 PEKERJA
437 05-10-2022 0002618477469 IIM ROHIMAH P Chronic superficial gastritis Rujuk Vertikal
053 10:24 MANDIRI
110901020522Y000 12-05-2022
438 05-10-2022 0002642489583 RASTO L PBI (APBN) Gastritis, unspecified Berobat Jalan
077 10:22
Cutaneous abscess,
110901020522Y000 13-05-2022 BAGAS FAJRI
439 05-10-2022 0002699285782 L - furuncle and carbuncle of Berobat Jalan
090 09:38 PRAMUDITYO
face
110901020522Y000 11-05-2022 Acute upper respiratory
440 05-10-2022 0002801683754 RENDRA FALGUNADI L - Berobat Jalan
066 10:38 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

Diarrhoea and gastroenteritis

110901020522P000 24-05-2022
441 05-10-2022 0002875926688 EKO CASYANTO L - of presumed infectious Sembuh
265 20:40
origin

110901020522P000 11-05-2022 PEKERJA

442 05-10-2022 0002930141586 KARYA SAPUTRA L Headache Berobat Jalan
072 11:49 MANDIRI
110901020522P000 10-05-2022
443 05-10-2022 0003005865628 HERUDIN L - Other cataract Rujuk Vertikal
057 11:19
110901020522P000 10-05-2022
444 05-09-2022 0000629170749 YULIASIH P - Myalgia, shoulder region Rujuk Vertikal
042 08:57
110901020522P000 06-06-2022
445 05-09-2022 0000629266331 FONIKASARI P - Antenatal screening Berobat Jalan
489 08:51
110901020522Y000 10-05-2022 Acute upper respiratory
446 05-09-2022 0000629411523 IDI RASIDI L - Berobat Jalan
052 10:22 infection, unspecified
110901020522Y000 10-05-2022
447 05-09-2022 0000629479901 VIRGI AULIA PUTRI P PBI (APBN) Gastritis, unspecified Berobat Jalan
051 10:20
110901020522Y000 09-05-2022
448 05-09-2022 0000629492229 SULAIMAN L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan
038 11:45
110901020522P000 06-06-2022
449 05-09-2022 0000629528062 IDAH P - Antenatal screening Berobat Jalan
490 08:53
110901020522P000 06-06-2022
450 05-09-2022 0000629572443 WAIKAH P - Antenatal screening Berobat Jalan
491 08:55
110901020522P000 09-05-2022 Other and unspecified
451 05-09-2022 0000629578045 MIHARYO L PBI (APBN) Rujuk Vertikal
024 08:59 infectious diseases
110901020522Y000 10-05-2022 Rheumatoid arthritis,
452 05-09-2022 0000629667382 SARKI P PBI (APBN) Berobat Jalan
048 09:48 unspecified
110901020522Y000 10-05-2022
453 05-09-2022 0000629727772 KARI P - Dyspepsia Berobat Jalan
047 09:42
110901020522P000 06-06-2022
454 05-09-2022 0000629785449 WIWIN P - Antenatal screening Berobat Jalan
497 08:59
110901020522P000 09-05-2022 Malignant neoplasm of
455 05-09-2022 0000629803822 WARSEM P - Rujuk Vertikal
030 10:12 tonsil, unspecified
Follow-up examination
110901020522P000 09-05-2022
456 05-09-2022 0000629971108 CARTINI P - after other treatment for Rujuk Vertikal
023 08:51
other conditions
110901020522P000 09-05-2022 BRIHAN
457 05-09-2022 0000629988671 L - Epilepsy Rujuk Vertikal
022 08:49 IRHANDI
HERMAWAN
110901020522P000 09-05-2022
458 05-09-2022 0000630138115 SUMARTO L PBI (APBN) Glaucoma, unspecified Rujuk Vertikal
029 10:08
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

Follow-up examination
110901020522P000 09-05-2022
459 05-09-2022 0000630139915 sugIMAN L - after other treatment for Rujuk Vertikal
028 09:45
other conditions
110901020522P000 06-06-2022
460 05-09-2022 0000630143379 CICA MARSELIA P - Antenatal screening Berobat Jalan
493 08:56
110901020522P000 06-06-2022
461 05-09-2022 0000630176927 NOK RATNASARI P - Antenatal screening Berobat Jalan
494 08:57
110901020522P000 06-06-2022
462 05-09-2022 0000630298056 RINDI KUSMIATI P PBI (APBN) Antenatal screening Berobat Jalan
496 08:58
110901020522P000 06-06-2022
463 05-09-2022 0000630509962 SARWI P - Antenatal screening Berobat Jalan
495 08:57
110901020522P000 06-06-2022
464 05-09-2022 0001031561965 JUJU JUNIARSIH P - Antenatal screening Berobat Jalan
498 08:59
110901020522P000 09-05-2022
465 05-09-2022 0001084086573 NUR AL BASIR L - Anaemia, unspecified Rujuk Vertikal
021 06:24
110901020522Y000 09-05-2022
466 05-09-2022 0001084294236 KASTURI L - Gastritis, unspecified Berobat Jalan
039 11:49
110901020522P000 09-05-2022 PEKERJA Calculus of kidney and
467 05-09-2022 0001318131033 TURTI P Rujuk Vertikal
025 09:25 MANDIRI ureter
110901020522P000 06-06-2022
468 05-09-2022 0001656030879 SITI NURHAENI P - Antenatal screening Berobat Jalan
488 08:50
110901020522Y000 10-05-2022
469 05-09-2022 0001821468611 RUCIATI P - Myalgia Berobat Jalan
046 09:39
Maternal care for
110901020522P000 09-05-2022
470 05-09-2022 0002000215214 WIDIYAWATI P - malpresentation of fetus, Rujuk Vertikal
040 11:53
unspecified
110901020522Y000 09-05-2022
471 05-09-2022 0002000434127 WAISAH P - Urticaria Berobat Jalan
037 11:30
110901020522P000 09-05-2022 Benign lipomatous
472 05-09-2022 0002000840398 SUNENTI P - Rujuk Vertikal
026 09:38 neoplasm
110901020522Y000 09-05-2022
473 05-09-2022 0002000894591 SARKI P PBI (APBN) Myalgia Berobat Jalan
036 11:27
110901020522Y000 10-05-2022
474 05-09-2022 0002000896694 TATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
049 09:59
110901020522P000 06-06-2022
475 05-09-2022 0002643364113 YUNITA ANDRIASIH P - Antenatal screening Berobat Jalan
492 08:55
110901020522Y000 09-05-2022 Acute upper respiratory
476 05-09-2022 0002645007344 DARMAWAN L PBI (APBN) Berobat Jalan
035 11:22 infection, unspecified
110901020522P000 15-05-2022 RIFA NAZIHAH QURROTA Fever of other and
477 05-09-2022 0002857167088 P - Sembuh
136 16:42 AINI unknown origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522Y000 10-05-2022 Acute upper respiratory

478 05-09-2022 0002981403303 SUMEDI L - Berobat Jalan
056 11:14 infection, unspecified
110901020522P000 09-05-2022 PEKERJA Benign neoplasm of
479 05-09-2022 0003263354043 DEWI P Rujuk Vertikal
027 09:41 MANDIRI parotid gland
110901020522P000 15-05-2022 Fever of other and
480 05-08-2022 0002000909428 DIMAS SAPUTRA L PBI (APBN) Sembuh
135 15:45 unknown origin
110901020522Y000 09-05-2022
481 05-07-2022 0000628720031 SUNAR L PBI (APBN) Myalgia Berobat Jalan
033 10:49
110901020522Y000 09-05-2022 Acute upper respiratory
482 05-07-2022 0000629189763 TRISYATIN P - Berobat Jalan
034 10:54 infection, unspecified
110901020522P000 07-05-2022 Other specified diabetes
483 05-07-2022 0000630166217 SUTISNO L PBI (APBN) Rujuk Vertikal
020 08:48 mellitus
110901020522Y000 09-05-2022 Acute upper respiratory
484 05-07-2022 0001031536203 KURNEDY L - Berobat Jalan
031 10:38 infection, unspecified
110901020522Y000 09-05-2022 Non-insulin-dependent
485 05-07-2022 0001031536214 KUSWI P - Berobat Jalan
032 10:41 diabetes mellitus
110901020522Y000 25-05-2022
486 05-07-2022 0001031537981 MIFTAH GHOZALI L PBI (APBN) Impacted teeth Berobat Jalan
277 08:34
110901020522P000 06-06-2022 Fever of other and
487 05-07-2022 0002857156784 NADIRA ZAHIRA SHOFA P - Berobat Jalan
487 08:49 unknown origin
110901020522P000 15-05-2022
488 05-06-2022 0000629401465 SAEFURROHMAN L - Headache Sembuh
132 15:33

Diarrhoea and gastroenteritis

110901020522P000 15-05-2022
489 05-06-2022 0000629421478 TARWA L PBI (APBN) of presumed infectious Sembuh
133 15:37
origin

110901020522P000 28-05-2022 Contraceptive management,

490 05-06-2022 0000629554961 WASKINI P PBI (APBN) Berobat Jalan
359 17:09 unspecified
Follow-up examination
110901020522P000 06-05-2022
491 05-06-2022 0000629980334 KASMI P PBI (APBN) after other treatment for Rujuk Vertikal
013 09:44
other conditions
110901020522P000 15-05-2022 Fever of other and
492 05-06-2022 0001083929771 TURYATI P PBI (APBN) Sembuh
134 15:41 unknown origin
Non-insulin-dependent
110901020522P000 06-05-2022
493 05-06-2022 0002000894804 CASIH P - diabetes mellitus with Rujuk Vertikal
011 09:35
ophthalmic complications
110901020522P000 06-05-2022
494 05-06-2022 0002000894815 DARMANTO L PBI (APBN) Myalgia, pelvic and thigh Rujuk Vertikal
012 09:40
110901020522P000 06-05-2022 Postpartum care and
495 05-06-2022 0002699278659 IRNA ASRI HIDAYATI P - Rujuk Vertikal
010 06:37 examination
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 05-05-2022
496 05-05-2022 0000628217684 CARSINI P - Other anxiety disorders Rujuk Vertikal
006 09:24
110901020522P000 05-05-2022 Thyrotoxicosis,
497 05-05-2022 0000628219844 RIKA MELINDA P - Rujuk Vertikal
007 09:27 unspecified
110901020522P000 05-05-2022 Malignant neoplasm of
498 05-05-2022 0000629205309 ROKAMAH P - Rujuk Vertikal
005 08:55 breast
110901020522P000 06-06-2022 Contraceptive
499 05-05-2022 0000629449334 NURHAYATI P PBI (APBN) Berobat Jalan
483 08:45 management
110901020522P000 06-05-2022 Urethritis and urethral
500 05-05-2022 0000629457153 NURHADI L PBI (APBN) Berobat Jalan
014 11:45 syndrome
110901020522P000 05-05-2022 Acute upper respiratory
501 05-05-2022 0000629493028 IIN SITI MUNAWAHOH P PBI (APBN) Rujuk Vertikal
008 09:31 infection, unspecified
110901020522P000 01-06-2022
502 05-05-2022 0000629586729 KARYUMI P - Headache Berobat Jalan
438 16:58
110901020522P000 01-06-2022
503 05-05-2022 0000629598194 KOKO L - Gastritis, unspecified Berobat Jalan
443 17:01
110901020522P000 01-06-2022
504 05-05-2022 0000629623888 DARSINI P - Cough Berobat Jalan
439 16:59
110901020522P000 01-06-2022 Influenza, virus not
505 05-05-2022 0000629637344 WINDA P - Berobat Jalan
446 17:03 identified
110901020522P000 01-06-2022 Rheumatoid arthritis,
506 05-05-2022 0000629658246 CASIPAH P - Berobat Jalan
444 17:02 unspecified
110901020522P000 01-06-2022
507 05-05-2022 0000629661374 MASITOH P - Cough Berobat Jalan
440 16:59
110901020522P000 01-06-2022 Influenza, virus not
508 05-05-2022 0000629663556 Tursinah P - Berobat Jalan
445 17:02 identified
110901020522P000 01-06-2022
509 05-05-2022 0000629687992 CASMITI P - Cough Berobat Jalan
447 17:04
110901020522P000 06-06-2022 Contraceptive
510 05-05-2022 0000629724532 RULIYANTI P PBI (APBN) Berobat Jalan
486 08:48 management
110901020522P000 01-06-2022
511 05-05-2022 0000629820808 TUSWI P PBI (APBN) Headache Berobat Jalan
442 17:00
110901020522P000 06-05-2022
512 05-05-2022 0000629971108 CARTINI P - Other forms of stomatitis Berobat Jalan
015 11:48
110901020522P000 06-05-2022 Acute upper respiratory
513 05-05-2022 0001031538813 RUMTINI P PBI (APBN) Berobat Jalan
018 11:58 infection, unspecified
110901020522P000 06-05-2022
514 05-05-2022 0001084376654 SUKINI P - Myalgia Berobat Jalan
019 12:01
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 06-06-2022 Contraceptive

515 05-05-2022 0002000636853 CICIH MAESAROH P PBI (APBN) Berobat Jalan
484 08:46 management
110901020522P000 01-06-2022 Essential (primary)
516 05-05-2022 0002011339833 MUSIROH P - Berobat Jalan
441 17:00 hypertension
110901020522P000 06-06-2022 Fever of other and
517 05-05-2022 0002643670899 ARUNIA PUTRI R P PBI (APBN) Berobat Jalan
485 08:47 unknown origin
110901020522P000 06-05-2022 Acute upper respiratory
518 05-05-2022 0002645183103 INDAH NURUL WAFA P PBI (APBN) Berobat Jalan
017 11:56 infection, unspecified
110901020522P000 06-06-2022 Contraceptive
519 05-05-2022 0002699285771 APRIYANI P PBI (APBN) Berobat Jalan
482 08:45 management
110901020522P000 06-05-2022 ZIAN
520 05-05-2022 0002711191072 P PBI (APBN) Scabies Berobat Jalan
016 11:52 MENTARI
RAMADHANI
110901020522P000 05-05-2022
521 05-05-2022 0002981697939 AISYAH NUHA ZAHIRA P PBI (APBD) Fever, unspecified Berobat Jalan
009 10:56
110901020522P000 28-05-2022 Contraceptive management,
522 05-04-2022 0000628778373 MIA SUSMIATI P PBI (APBN) Berobat Jalan
353 16:21 unspecified
110901020522P000 29-05-2022 Spontaneous vertex
523 05-04-2022 0000629377738 ATIKAH P - Sembuh
374 17:30 delivery
110901020522P000 28-05-2022 Contraceptive management,
524 05-04-2022 0000629442639 FITRIYANI P - Berobat Jalan
355 16:27 unspecified
110901020522P000 04-05-2022
525 05-04-2022 0000629495043 CUCU cahyati P - Prolonged pregnancy Rujuk Vertikal
004 10:06
110901020522P000 28-05-2022 Contraceptive management,
526 05-04-2022 0000629580205 MAESAROH P - Berobat Jalan
357 17:03 unspecified
110901020522P000 15-05-2022
527 05-04-2022 0000629861602 ARIS L - Asthma Sembuh
126 14:55
110901020522P000 15-05-2022
528 05-04-2022 0000630162437 RATWI P - Dyspepsia Sembuh
131 15:28
110901020522P000 28-05-2022 Contraceptive management,
529 05-04-2022 0000630321581 WARYANTI P - Berobat Jalan
354 16:24 unspecified
110901020522P000 28-05-2022 Contraceptive management,
530 05-04-2022 0001031536967 MELAN SYAHRANI P - Berobat Jalan
358 17:05 unspecified
110901020522P000 29-05-2022 Spontaneous vertex
531 05-04-2022 0001031544268 EVA LATIFAH P - Sembuh
375 17:33 delivery
110901020522P000 28-05-2022 Contraceptive management,
532 05-04-2022 0002000963485 RUMINAH P - Berobat Jalan
352 15:23 unspecified
110901020522P000 28-05-2022 Contraceptive management,
533 05-04-2022 0002023736567 ACIH KARNASIH P PBI (APBN) Berobat Jalan
356 16:40 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : TEGAL - 1112

FKTP : Bentar - 11090102

110901020522P000 04-05-2022
534 05-04-2022 0002857162779 MARDIAH P - Prolonged pregnancy Rujuk Vertikal
003 09:07
110901020522P000 29-05-2022 Spontaneous vertex
535 05-03-2022 0000629427115 MAR'ATUS SHOLIHAH P - Sembuh
373 17:26 delivery

Diarrhoea and gastroenteritis

110901020522P000 15-05-2022
536 05-03-2022 0000629529491 PURJONO L - of presumed infectious Sembuh
127 14:59
origin

110901020522P000 15-05-2022 PEKERJA

537 05-03-2022 0001031543504 WARKIAH P Dyspepsia Sembuh
130 15:14 MANDIRI

Diarrhoea and gastroenteritis

110901020522P000 15-05-2022
538 05-03-2022 0002000902296 AYI SURYADI L - of presumed infectious Sembuh
128 15:06
origin

110901020522P000 02-05-2022
539 05-02-2022 0000629858395 KURNIAH P - Long labour, unspecified Rujuk Vertikal
002 19:02
110901020522P000 15-05-2022 Fever of other and
540 05-02-2022 0000630296289 CARSITI P - Sembuh
129 15:09 unknown origin
110901020522P000 01-05-2022
541 05-01-2022 0000630165104 DEDEH P - Long labour, unspecified Rujuk Vertikal
001 22:17
110901020522P000 29-05-2022 Spontaneous vertex
542 05-01-2022 0002644829807 RESTI NOVI YANI P - Sembuh
372 17:21 delivery