DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

TANGGAL TANGGAL JENIS STATUS

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

230612010823P000 31-08-2023 31-08-2023 Essential (primary)

1 0000293696335 ASAMAD L PBI (APBN) Berobat Jalan
968 00:00 10:00 hypertension
230612010823P000 31-08-2023 31-08-2023 Non-insulin-dependent
2 0000841885402 SUHAIMA P PBI (APBN) Berobat Jalan
974 00:00 10:15 diabetes mellitus
Tuberculosis of lung,
230612010823P000 31-08-2023 31-08-2023 confirmed by sputum
3 0000841892501 JAMALUDDIN JEMAT L - Berobat Jalan
982 00:00 10:29 microscopy with or without
culture
230612010823P000 31-08-2023 31-08-2023 Essential (primary)
4 0000843177238 SITI AISYAH P - Berobat Jalan
967 00:00 09:58 hypertension
230612010823P000 31-08-2023 31-08-2023 Non-insulin-dependent
5 0001057582157 RADIATULLAH P PBI (APBN) Berobat Jalan
975 00:00 10:18 diabetes mellitus
230612010823P000 31-08-2023 31-08-2023 Non-insulin-dependent
6 0001058434558 SUBAGIO L PBI (APBD) Rujuk Vertikal
920 00:00 07:34 diabetes mellitus

230612010823P000 31-08-2023 31-08-2023 PEKERJA Allergic contact dermatitis,

7 0001266123745 NINING KHAERUNNISYA P Berobat Jalan
972 00:00 10:11 MANDIRI unspecified cause

230612010823P000 31-08-2023 31-08-2023 PEGAWAI

8 0001581020684 BUDI SANTOSO L Gastritis, unspecified Berobat Jalan
976 00:00 10:22 SWASTA
230612010823P000 31-08-2023 31-08-2023
9 0001796529756 CHINTYA ARSADILLA P - Myopia Rujuk Vertikal
952 00:00 09:28
230612010823P000 31-08-2023 31-08-2023 PEGAWAI Acute nasopharyngitis
10 0001816847921 IMIN ERA FEBRIAN L Berobat Jalan
971 00:00 10:08 SWASTA [common cold]
230612010823P000 31-08-2023 31-08-2023 SINTIA BELINDA
11 0002107882686 P PBI (APBN) Pruritus, unspecified Berobat Jalan
948 00:00 09:03 CAHYARANI
Noninfective
230612010823P000 31-08-2023 02-09-2023
12 0002113883447 RIZKY JUANDA AHMAD H L PBI (APBD) gastroenteritis and colitis, Sembuh
986 00:00 10:11
unspecified
230612010823P000 31-08-2023 31-08-2023 Delivery by caesarean
13 0002228532906 ROSTIKA P PBI (APBD) Berobat Jalan
973 00:00 10:13 section, unspecified

KEPALA DESA
230612010823P000 31-08-2023 31-08-2023
14 0002295456478 MUHAMMAD ISRA L DAN PERANGKAT Cough Berobat Jalan
983 00:00 10:34
DESA

Tuberculosis of lung,
230612010823P000 31-08-2023 31-08-2023 PEKERJA confirmed by sputum
15 0002297827056 ARDIANSYAH L Berobat Jalan
980 00:00 10:27 MANDIRI microscopy with or without
culture
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Tuberculosis of lung,
230612010823P000 31-08-2023 31-08-2023 confirmed by sputum
16 0002407061362 HATIFAH P PBI (APBN) Berobat Jalan
981 00:00 10:28 microscopy with or without
culture
230612010823P000 31-08-2023 31-08-2023 Non-insulin-dependent
17 0002407067739 AMINAH P PBI (APBN) Berobat Jalan
951 00:00 09:11 diabetes mellitus
230612010823P000 31-08-2023 02-09-2023 Single spontaneous
18 0002407093694 YULIANTI P - Sembuh
984 00:00 09:00 delivery
230612010823P000 31-08-2023 31-08-2023
19 0002497313283 HAIKAL PERDANA L PBI (APBN) Otalgia Berobat Jalan
934 00:00 08:17
230612010823P000 31-08-2023 31-08-2023 Tuberculous peripheral
20 0002817795172 YUSTI RINDAYANI P PBI (APBN) Berobat Jalan
950 00:00 09:09 lymphadenopathy
230612010823P000 31-08-2023 31-08-2023 Antenatal screening,
21 0002959019403 ELSA PIBRIANTI P - Berobat Jalan
977 00:00 10:23 unspecified
230612010823P000 31-08-2023 31-08-2023 Essential (primary)
22 0002959354675 HASIAH P - Berobat Jalan
969 00:00 10:04 hypertension
230612010823P000 31-08-2023 31-08-2023 Essential (primary)
23 0003350064712 SUHERMAN L - Berobat Jalan
970 00:00 10:06 hypertension
230612010823P000 31-08-2023 31-08-2023 Antenatal screening,
24 0003521578015 TRI NURHAYATI P - Berobat Jalan
978 00:00 10:25 unspecified
230612010823P000 31-08-2023 31-08-2023 BAYI NYONYA HELITA Fever of other and
25 0003522611305 P PBI (APBN) Berobat Jalan
949 00:00 09:08 SEFITRI DECHAYANTARI unknown origin
230612010823P000 31-08-2023 31-08-2023 Antenatal screening,
26 0003524382854 VIVIT SAFIRA P - Berobat Jalan
979 00:00 10:26 unspecified
230612010823P000 30-08-2023 30-08-2023
27 0000146709483 M. ALFARISI L - Gastritis and duodenitis Berobat Jalan
906 00:00 08:28
230612010823P000 30-08-2023 31-08-2023 Pure
28 0000147807584 NURTEJA P PNS DAERAH Berobat Jalan
922 00:00 07:40 hypercholesterolaemia
230612010823P000 30-08-2023 31-08-2023 Disorders of lacrimal
29 0000843113687 ANTI P PBI (APBN) Berobat Jalan
932 00:00 08:10 system
230612010823P000 30-08-2023 31-08-2023
30 0001057583968 ABDUL MUNIR L PBI (APBN) Pruritus, unspecified Berobat Jalan
964 00:00 09:54
230612010823P000 30-08-2023 31-08-2023 Other and unspecified
31 0001079270414 SITI HADIJAH P - Berobat Jalan
960 00:00 09:46 injuries of ankle and foot
230612010823P000 30-08-2023 31-08-2023 Non-insulin-dependent
32 0001243494167 MARYATI P - Berobat Jalan
923 00:00 07:43 diabetes mellitus
230612010823P000 30-08-2023 31-08-2023
33 0001243501716 HIKMA ARIANSYAH L PBI (APBD) Asthma, unspecified Berobat Jalan
961 00:00 09:48
230612010823P000 30-08-2023 31-08-2023
34 0001243504225 PAULUS KOFAN L - Impacted teeth Berobat Jalan
965 00:00 09:55
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 30-08-2023 30-08-2023 ERINA FEBRIANA OULIA

35 0001280812443 P PBI (APBN) Epilepsy, unspecified Rujuk Vertikal
912 00:00 09:00 ARAFI
230612010823P000 30-08-2023 02-09-2023
36 0001577990608 AHMAD KARIM L - Vertigo of central origin Sembuh
985 00:00 09:28
230612010823P000 30-08-2023 31-08-2023
37 0001580833552 MINARRAHMI P PBI (APBD) Pulpitis Berobat Jalan
917 00:00 07:22
Gastro-oesophageal reflux
230612010823P000 30-08-2023 31-08-2023
38 0001580833899 NENI KANTARI P PBI (APBD) disease without Berobat Jalan
931 00:00 08:06
oesophagitis
230612010823P000 30-08-2023 30-08-2023
39 0002007294996 MHD AFNAN YOGI LUBIS L - Necrosis of pulp Rujuk Vertikal
909 00:00 08:51
230612010823P000 30-08-2023 30-08-2023 Non-insulin-dependent
40 0002114310756 IBNU WAHAB L PBI (APBD) Rujuk Vertikal
911 00:00 08:56 diabetes mellitus
230612010823P000 30-08-2023 30-08-2023 Fissure and fistula of anal
41 0002205383512 MUSA EFENDI L PNS DAERAH Rujuk Vertikal
894 00:00 04:52 and rectal regions
230612010823P000 30-08-2023 31-08-2023
42 0002270688412 SALATIA P - Asthma, unspecified Berobat Jalan
966 00:00 09:56
230612010823P000 30-08-2023 30-08-2023
43 0002407066367 ULFAH ZHAFIRAH P PBI (APBN) Low vision, one eye Rujuk Vertikal
903 00:00 08:06

Postprocedural endocrine
230612010823P000 30-08-2023 30-08-2023
44 0002764041107 RAHMA P PBI (APBN) and metabolic disorders, Rujuk Vertikal Hipertensi Hipertensi
895 00:00 05:03
not elsewhere classified

230612010823P000 30-08-2023 30-08-2023 PEKERJA Senile cataract,

45 0002767849918 MASTEMBUAN P Rujuk Vertikal
904 00:00 08:19 MANDIRI unspecified
Tuberculosis of lung,
230612010823P000 30-08-2023 30-08-2023 confirmed by sputum
46 0002847749578 A KADIR SIRAD L PBI (APBN) Rujuk Vertikal
907 00:00 08:33 microscopy with or without
culture
230612010823P000 30-08-2023 31-08-2023 Acute nasopharyngitis
47 0002866514747 SUKRI L PBI (APBN) Berobat Jalan
916 00:00 07:13 [common cold]
Other benign neoplasms
230612010823P000 30-08-2023 30-08-2023
48 0002866515603 SUPARMAN L PBI (APBN) of connective and other Rujuk Vertikal
915 00:00 10:05
soft tissue
230612010823P000 30-08-2023 31-08-2023
49 0002871159298 DEDI SUPRAIDIN L PBI (APBN) Schizophrenia Berobat Jalan
924 00:00 07:47
230612010823P000 30-08-2023 31-08-2023 Nutritional deficiency,
50 0002957940044 MUHAMMAD FADLI L PBI (APBD) Berobat Jalan
930 00:00 08:04 unspecified
230612010823P000 30-08-2023 31-08-2023
51 0002959663037 SANAPIAH L PBI (APBD) Scabies Berobat Jalan
919 00:00 07:31
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 30-08-2023 31-08-2023 Acute nasopharyngitis

52 0002972191702 AYSILA DWI PUTRI P PBI (APBN) Berobat Jalan
926 00:00 07:52 [common cold]
230612010823P000 30-08-2023 31-08-2023 Periapical abscess without
53 0002972191869 NIZAM ALFIANSYAH L PBI (APBN) Berobat Jalan
933 00:00 08:15 sinus
230612010823P000 30-08-2023 31-08-2023
54 0002972192231 FIQRY ORYZA SATIVA L PBI (APBN) Pyoderma Berobat Jalan
918 00:00 07:24
230612010823P000 30-08-2023 31-08-2023
55 0002972193467 SRI WAHYUNINGSIH P PBI (APBN) Urticaria Berobat Jalan
928 00:00 07:58
230612010823P000 30-08-2023 30-08-2023 Non-insulin-dependent
56 0003150734736 SAHELA P PBI (APBN) Rujuk Vertikal
901 00:00 07:30 diabetes mellitus
230612010823P000 30-08-2023 31-08-2023 MUHAMMAD DION Acute nasopharyngitis
57 0003304872718 L PNS DAERAH Berobat Jalan
963 00:00 09:53 WIBISONO [common cold]
230612010823P000 30-08-2023 31-08-2023 Acute nasopharyngitis
58 0003505800429 MUHAMMAD IQRAM L PBI (APBD) Berobat Jalan
927 00:00 07:55 [common cold]
230612010823P000 30-08-2023 31-08-2023
59 0003523726405 AZZAM GIANDRA PUTRA L - Nausea and vomiting Berobat Jalan
962 00:00 09:50
PEGAWAI
PEMERINTAH
230612010823P000 29-08-2023 31-08-2023 Other and unspecified
60 0000146492021 EDY GUNAWANSYAH L DENGAN Berobat Jalan
953 00:00 09:34 abdominal pain
PERJANJIAN
KERJA
230612010823P000 29-08-2023 31-08-2023 PENERIMA Essential (primary)
61 0000146591919 ASIAH DAMRAH P Berobat Jalan
940 00:00 08:49 PENSIUN PNS hypertension
230612010823P000 29-08-2023 29-08-2023 Gangrene, not elsewhere
62 0000146666924 AISA P PNS DAERAH Rujuk Vertikal
884 00:00 10:04 classified
230612010823P000 29-08-2023 31-08-2023 Antenatal screening,
63 0000841159484 ESTI SUKANDANI P PBI (APBN) Berobat Jalan
946 00:00 08:59 unspecified
Tuberculosis of lung,
230612010823P000 29-08-2023 31-08-2023 confirmed by sputum
64 0000841237525 USTAMIL L - Berobat Jalan
925 00:00 07:49 microscopy with or without
culture
Bipolar affective disorder,
230612010823P000 29-08-2023 30-08-2023 current episode manic
65 0000841795672 JULMANDANI L PBI (APBN) Berobat Jalan
899 00:00 07:20 without psychotic
symptoms
230612010823P000 29-08-2023 31-08-2023
66 0000841829578 SEPTA NANDA SAPUTRA L PBI (APBN) Fever, unspecified Sembuh
921 00:00 07:34
230612010823P000 29-08-2023 29-08-2023 Senile cataract,
67 0000842112022 MASBA L - Rujuk Vertikal
879 00:00 09:26 unspecified
230612010823P000 29-08-2023 29-08-2023 Contraceptive
68 0000842734168 ENDANG SUSILAWATI P - Berobat Jalan
887 00:00 18:49 management
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 29-08-2023 31-08-2023 Contact with and exposure

69 0001057576689 WIWIT SAPITRI P - Berobat Jalan
954 00:00 09:35 to communicable diseases

230612010823P000 29-08-2023 29-08-2023

70 0001057578917 HAFSA P PBI (APBN) Low back pain Rujuk Vertikal
871 00:00 08:34
230612010823P000 29-08-2023 31-08-2023 Open wound of wrist and
71 0001057652932 RINI PUTRI ADEKAYANTI P - Berobat Jalan
956 00:00 09:39 hand
Other benign neoplasms
230612010823P000 29-08-2023 31-08-2023
72 0001243496733 Mustami Hasbullah L PBI (APBD) of connective and other Berobat Jalan
942 00:00 08:54
soft tissue
230612010823P000 29-08-2023 31-08-2023 Acute nasopharyngitis
73 0001250101888 EKA YUNI HARTINI. D P PBI (APBD) Berobat Jalan
935 00:00 08:20 [common cold]
230612010823P000 29-08-2023 31-08-2023
74 0001266190075 SUPIATI P PNS DAERAH Dyspepsia Berobat Jalan
957 00:00 09:41
230612010823P000 29-08-2023 29-08-2023 AHMAD SAINUL
75 0001579253365 L - Scabies Berobat Jalan
883 00:00 10:01 FIRMANSYAH
230612010823P000 29-08-2023 31-08-2023 PEKERJA Non-insulin-dependent
76 0001820651613 HADIATULLAH P Berobat Jalan
947 00:00 09:01 MANDIRI diabetes mellitus
230612010823P000 29-08-2023 31-08-2023 Essential (primary)
77 0001848434725 MASNA P - Berobat Jalan
936 00:00 08:24 hypertension
230612010823P000 29-08-2023 30-08-2023 NADYA MELLYANA
78 0001875113662 P PBI (APBD) Dyspepsia Berobat Jalan
898 00:00 07:15 YUNIAR
Tubulo-interstitial nephritis,
230612010823P000 29-08-2023 31-08-2023
79 0002022376667 SARLIADI L PBI (APBN) not specified as acute or Berobat Jalan
955 00:00 09:37
chronic
230612010823P000 29-08-2023 29-08-2023 Disorders of refraction and
80 0002111246728 FATIMAH P PBI (APBN) Rujuk Vertikal
868 00:00 08:04 accommodation
Non-insulin-dependent
230612010823P000 29-08-2023 29-08-2023 diabetes mellitus with
81 0002114755558 SITI AMINA P PBI (APBD) Rujuk Vertikal
864 00:00 07:23 other specified
complications
230612010823P000 29-08-2023 31-08-2023
82 0002407057918 BURHANUDDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
958 00:00 09:43
230612010823P000 29-08-2023 31-08-2023
83 0002407068279 JAHMAD L - Pneumonia, unspecified Berobat Jalan
944 00:00 08:57
230612010823P000 29-08-2023 30-08-2023 Non-insulin-dependent
84 0002407076381 NURMA P PBI (APBD) Berobat Jalan
897 00:00 07:12 diabetes mellitus
230612010823P000 29-08-2023 31-08-2023 Essential (primary)
85 0002740025542 HERIYATI P - Berobat Jalan
937 00:00 08:37 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 29-08-2023 31-08-2023

86 0002866523398 SEPTI PUTRI AULIA P PBI (APBN) Typhoid fever Berobat Jalan
938 00:00 08:42
230612010823P000 29-08-2023 31-08-2023
87 0002866523679 MASTARI P PBI (APBN) Pain in throat and chest Berobat Jalan
929 00:00 08:02
Fetus and newborn
230612010823P000 29-08-2023 31-08-2023 PEGAWAI affected by other
88 0002937029916 KEVIN ULTRA PRATAMA L Berobat Jalan
941 00:00 08:52 SWASTA complications of labour
and delivery
230612010823P000 29-08-2023 29-08-2023 Generalized anxiety
89 0002957544832 NURMA P - Rujuk Vertikal
880 00:00 09:34 disorder
230612010823P000 29-08-2023 30-08-2023
90 0002959165495 KHARUDDIN HA L PBI (APBD) Other arthrosis Rujuk Vertikal
902 00:00 08:03
230612010823P000 29-08-2023 31-08-2023
91 0002959354719 AHSALITA SYAFAATUN P PBI (APBD) Gastritis and duodenitis Sembuh
943 00:00 08:56
230612010823P000 29-08-2023 31-08-2023 Antenatal screening,
92 0003113788904 KANDITA MAETILANA P PBI (APBN) Berobat Jalan
945 00:00 08:58 unspecified
230612010823P000 29-08-2023 31-08-2023 Non-insulin-dependent
93 0003285531549 JAWA P - Berobat Jalan
939 00:00 08:44 diabetes mellitus
Severe depressive
230612010823P000 28-08-2023 28-08-2023
94 0000036835582 IKSAN ADIASA L PNS PUSAT episode without psychotic Rujuk Vertikal
843 00:00 09:44
symptoms
230612010823P000 28-08-2023 28-08-2023 Non-insulin-dependent
95 0000146687589 KURNIA RATU P PNS DAERAH Berobat Jalan
858 00:00 10:15 diabetes mellitus
230612010823P000 28-08-2023 28-08-2023 Non-insulin-dependent Diabetes Diabetes
96 0000146691808 MASRIANI P PNS DAERAH Rujuk Vertikal
840 00:00 09:36 diabetes mellitus Mellitus Mellitus
230612010823P000 28-08-2023 28-08-2023 Embedded and impacted
97 0000146708572 TIEN SULASTRI P PNS DAERAH Berobat Jalan
851 00:00 10:02 teeth
230612010823P000 28-08-2023 28-08-2023 Non-insulin-dependent
98 0000841842549 USMAN L PBI (APBN) Rujuk Vertikal
846 00:00 09:51 diabetes mellitus
230612010823P000 28-08-2023 28-08-2023
99 0000841881936 abdul latif L PBI (APBN) Gastritis and duodenitis Berobat Jalan
848 00:00 09:54
230612010823P000 28-08-2023 30-08-2023 Calculus of kidney and
100 0000842042902 SURIYANI LESTARI P PBI (APBN) Sembuh
913 00:00 09:04 ureter
Motorcycle rider injured in
230612010823P000 28-08-2023 29-08-2023 SULI RAYA ANANDA collision with railway train
101 0000842758007 P - Berobat Jalan
872 00:00 09:05 DEKWATI or railway vehicle,
passenger, traffic accident
230612010823P000 28-08-2023 28-08-2023
102 0000843135851 SITI SARAH P - Scabies Berobat Jalan
857 00:00 10:13
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 28-08-2023 28-08-2023 Essential (primary)

103 0000843197815 A LATIF L PBI (APBN) Berobat Jalan
856 00:00 10:12 hypertension

Other complications of
230612010823P000 28-08-2023 29-08-2023
104 0001057582157 RADIATULLAH P PBI (APBN) surgical and medical care, Berobat Jalan
874 00:00 09:11
not elsewhere classified

230612010823P000 28-08-2023 28-08-2023 Fever of other and

105 0001243494213 RATNAH P PBI (APBD) Berobat Jalan
853 00:00 10:06 unknown origin
230612010823P000 28-08-2023 29-08-2023 Fever of other and
106 0001243502054 SELISTIA NINGSIH P PBI (APBD) Berobat Jalan
878 00:00 09:23 unknown origin
230612010823P000 28-08-2023 28-08-2023 Acute nasopharyngitis
107 0001381369151 NURUL SYAHIRA AINUN P - Berobat Jalan
861 00:00 10:21 [common cold]
230612010823P000 28-08-2023 28-08-2023
108 0001583965732 MUHAMMAD L PBI (APBD) Oedema, unspecified Rujuk Vertikal
833 00:00 08:01
230612010823P000 28-08-2023 28-08-2023 Non-insulin-dependent
109 0001963106021 SITI AISYAH P - Rujuk Vertikal
839 00:00 09:32 diabetes mellitus
230612010823P000 28-08-2023 28-08-2023 Essential (primary)
110 0001980063382 ABDUL HASIM L - Berobat Jalan
844 00:00 09:49 hypertension
230612010823P000 28-08-2023 28-08-2023
111 0002107494933 AGUSSALIM L - Foreign body in ear Berobat Jalan
854 00:00 10:07
230612010823P000 28-08-2023 29-08-2023 Essential (primary)
112 0002108885837 TENRI ABING T P PBI (APBD) Berobat Jalan
877 00:00 09:17 hypertension
230612010823P000 28-08-2023 28-08-2023 Disorders of refraction and
113 0002112600903 MASUJAM L PBI (APBN) Rujuk Vertikal
836 00:00 08:44 accommodation
Diabetes
230612010823P000 28-08-2023 28-08-2023 Senile cataract,
114 0002112600914 SRI WAHYUNI P PBI (APBN) Rujuk Vertikal Hipertensi Mellitus
837 00:00 08:49 unspecified
Hipertensi
230612010823P000 28-08-2023 28-08-2023 Acquired absence of
115 0002113564735 YOHANA DENGA P - Rujuk Vertikal
831 00:00 06:51 genital organ(s)
230612010823P000 28-08-2023 29-08-2023 Pure
116 0002113566849 NURMALA P PBI (APBD) Berobat Jalan
876 00:00 09:16 hypercholesterolaemia
230612010823P000 28-08-2023 29-08-2023 PEKERJA Essential (primary)
117 0002237661742 HAPSAH P Berobat Jalan
882 00:00 09:57 MANDIRI hypertension
230612010823P000 28-08-2023 28-08-2023 PEKERJA Essential (primary)
118 0002264430802 MANUSUNG USMAN L Berobat Jalan
852 00:00 10:03 MANDIRI hypertension
230612010823P000 28-08-2023 30-08-2023 SRI NURFIATI
119 0002407071205 P PBI (APBN) Fever, unspecified Sembuh
914 00:00 09:19 HAERUNNAS
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Chronic obstructive
230612010823P000 28-08-2023 28-08-2023 pulmonary disease with
120 0002407072307 MASUDIN L - Berobat Jalan
859 00:00 10:17 acute exacerbation,
unspecified
230612010823P000 28-08-2023 29-08-2023
121 0002425897269 FATMAWATY P - Cholera Berobat Jalan
881 00:00 09:54
230612010823P000 28-08-2023 31-08-2023 MUHAMAD RAVA
122 0002633579493 L PBI (APBN) Fever, unspecified Berobat Jalan
959 00:00 09:44 ANUGRA
230612010823P000 28-08-2023 29-08-2023
123 0002817791594 DINI JULIANI P PBI (APBN) Carpal tunnel syndrome Berobat Jalan
873 00:00 09:07
230612010823P000 28-08-2023 28-08-2023
124 0002866512947 SRI ANA P - Congestive heart failure Rujuk Vertikal
834 00:00 08:07
230612010823P000 28-08-2023 29-08-2023 Non-insulin-dependent
125 0002866523951 MASRI P - Berobat Jalan
875 00:00 09:13 diabetes mellitus
230612010823P000 28-08-2023 30-08-2023
126 0002959159803 DAWIT L - Chronic conjunctivitis Berobat Jalan
900 00:00 07:24
230612010823P000 28-08-2023 28-08-2023
127 0002959167521 KUSMIATI P - Depressive episode Rujuk Vertikal
842 00:00 09:40
230612010823P000 28-08-2023 28-08-2023 PEKERJA Other disorders of lacrimal
128 0003057057641 MASIKI A. GANI P Rujuk Vertikal
832 00:00 07:58 MANDIRI gland
230612010823P000 28-08-2023 28-08-2023 PEGAWAI Calculus of kidney and
129 0003263819668 ASHEEQA QAILA ADZKIA P Berobat Jalan
838 00:00 09:31 SWASTA ureter
230612010823P000 28-08-2023 28-08-2023 Acute nasopharyngitis
130 0003350039635 MILKA NANDINI P PBI (APBD) Berobat Jalan
841 00:00 09:39 [common cold]
230612010823P000 28-08-2023 28-08-2023 Fever of other and
131 0003507109121 SRI MINA P PBI (APBD) Berobat Jalan
855 00:00 10:10 unknown origin
230612010823P000 28-08-2023 28-08-2023 ALFARIZQI RIZAIDAN Acute nasopharyngitis
132 0003523394485 L PBI (APBD) Berobat Jalan
860 00:00 10:19 YAHYA [common cold]
Fetus and newborn
230612010823P000 28-08-2023 28-08-2023
133 0003542782083 RYUGA RADEYA MUMTAZ L - affected by forceps Rujuk Vertikal
835 00:00 08:09
delivery
230612010823P000 27-08-2023 29-08-2023 PENERIMA
134 0000146491604 SITI DONI P Dyspnoea Sembuh
885 00:00 10:26 PENSIUN PNS
230612010823P000 27-08-2023 29-08-2023
135 0000841798484 SALDIANSYAH L PBI (APBN) Gastritis and duodenitis Sembuh
870 00:00 08:13
230612010823P000 27-08-2023 30-08-2023
136 0000842260498 DENI SAPUTRA L PBI (APBN) Fever, unspecified Sembuh
910 00:00 08:54
230612010823P000 27-08-2023 28-08-2023 Preterm labour and
137 0000842596964 EKA SETIAWATI P - Rujuk Vertikal
863 00:00 18:41 delivery
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 27-08-2023 29-08-2023

138 0002108411313 SARI P - Gastritis and duodenitis Sembuh
886 00:00 10:33
230612010823P000 27-08-2023 29-08-2023
139 0002763200766 VIKRI ARFADHIL AKBAR L - Fever, unspecified Sembuh
869 00:00 08:09
230612010823P000 27-08-2023 30-08-2023
140 0002866519146 DAWIYAH P PBI (APBN) Fever, unspecified Sembuh
905 00:00 08:22
230612010823P000 27-08-2023 27-08-2023
141 0003518900008 SHEZA ABIDAH P - Nausea and vomiting Rujuk Vertikal
829 00:00 10:58
230612010823P000 26-08-2023 26-08-2023 Non-insulin-dependent Diabetes Diabetes
142 0000146493944 SITI AWA P PNS DAERAH Rujuk Vertikal
782 00:00 07:28 diabetes mellitus Mellitus Mellitus
230612010823P000 26-08-2023 26-08-2023 Inflammatory disorders of
143 0000146561859 MASRIPAWAN P PNS DAERAH Berobat Jalan
810 00:00 09:55 breast
230612010823P000 26-08-2023 26-08-2023 PENERIMA Diabetes
144 0000146591998 ASMAH P Gonarthrosis, unspecified Rujuk Vertikal
781 00:00 07:23 PENSIUN PNS Mellitus
230612010823P000 26-08-2023 26-08-2023 Antenatal screening,
145 0000841159484 ESTI SUKANDANI P PBI (APBN) Berobat Jalan
825 00:00 10:34 unspecified
230612010823P000 26-08-2023 26-08-2023 Non-insulin-dependent
146 0000841962328 MASENA P - Berobat Jalan
828 00:00 10:45 diabetes mellitus
230612010823P000 26-08-2023 26-08-2023
147 0000841965737 SULMIATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan
819 00:00 10:19
Diabetes
230612010823P000 26-08-2023 29-08-2023 Essential (primary)
148 0001280707266 MUHAIYAH P PBI (APBN) Sembuh Mellitus Hipertensi
867 00:00 08:01 hypertension
Hipertensi
230612010823P000 26-08-2023 28-08-2023
149 0001583965304 WAHDANIA P PBI (APBD) Dental caries Berobat Jalan
849 00:00 09:57
Tubulo-interstitial nephritis,
230612010823P000 26-08-2023 26-08-2023
150 0001826365151 EVA NOVIANTI P - not specified as acute or Rujuk Vertikal
783 00:00 08:05
chronic
PEGAWAI
PEMERINTAH
230612010823P000 26-08-2023 30-08-2023
151 0001849381986 SUPIATY P DENGAN Cataract, unspecified Rujuk Vertikal
896 00:00 07:06
PERJANJIAN
KERJA
230612010823P000 26-08-2023 28-08-2023 Hypertensive heart
152 0002111254481 TAUFIK HIDAYAT L PBI (APBD) Berobat Jalan
850 00:00 09:59 disease
Insulin-dependent
230612010823P000 26-08-2023 26-08-2023 diabetes mellitus with
153 0002114755558 SITI AMINA P PBI (APBD) Rujuk Vertikal
784 00:00 08:14 peripheral circulatory
complications
230612010823P000 26-08-2023 26-08-2023 Antenatal screening,
154 0002202253334 CATUR ISTIKOMAH P PBI (APBN) Berobat Jalan
815 00:00 10:11 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 26-08-2023 26-08-2023 Antenatal screening,

155 0002407093694 YULIANTI P - Berobat Jalan
808 00:00 09:49 unspecified
230612010823P000 26-08-2023 26-08-2023
156 0002847747925 SABURUDDIN L PBI (APBN) Sequelae of tuberculosis Berobat Jalan
801 00:00 09:32
230612010823P000 26-08-2023 26-08-2023
157 0002866524243 TURKY GHIFARI L PBI (APBN) Pyoderma Berobat Jalan
814 00:00 10:09
Acute upper respiratory
230612010823P000 26-08-2023 26-08-2023
158 0002957548713 NAFIZAH ALMAIRA P PBI (APBN) infections of multiple and Berobat Jalan
811 00:00 10:03
unspecified sites
230612010823P000 26-08-2023 26-08-2023
159 0002959165495 KHARUDDIN HA L PBI (APBD) Other arthrosis Rujuk Vertikal
824 00:00 10:31
230612010823P000 26-08-2023 26-08-2023 PEKERJA
160 0003131664805 RAFFI ADJI ANUGRAH L Scabies Berobat Jalan
813 00:00 10:07 MANDIRI
230612010823P000 26-08-2023 26-08-2023 Antenatal screening,
161 0003144958716 SEPTY PUTRI MARDIKA P - Berobat Jalan
826 00:00 10:35 unspecified
230612010823P000 26-08-2023 26-08-2023 Antenatal screening,
162 0003283462056 NOVITA SASTRIANI P - Berobat Jalan
827 00:00 10:36 unspecified
230612010823P000 26-08-2023 26-08-2023 Non-insulin-dependent
163 0003350039736 RADAIYAH P PBI (APBD) Berobat Jalan
809 00:00 09:53 diabetes mellitus
230612010823P000 25-08-2023 26-08-2023
164 0000146678433 FATIMAH P PNS DAERAH Dyspepsia Berobat Jalan
795 00:00 09:19
230612010823P000 25-08-2023 26-08-2023 PENERIMA Acute nasopharyngitis
165 0000146732073 ANWAR H. HUSAIN L Berobat Jalan
796 00:00 09:21 PENSIUN PNS [common cold]
230612010823P000 25-08-2023 26-08-2023 Essential (primary)
166 0000146750117 HARI PURNOMO L PNS DAERAH Berobat Jalan
817 00:00 10:16 hypertension
230612010823P000 25-08-2023 29-08-2023 Contraceptive
167 0000841782633 ANISA MUIFEBRIANTI P - Berobat Jalan
888 00:00 19:20 management
230612010823P000 25-08-2023 25-08-2023 Antenatal screening,
168 0000842220685 LAELA KUSMILA P - Rujuk Vertikal
776 00:00 07:47 unspecified
230612010823P000 25-08-2023 28-08-2023
169 0000842584318 SENDARI P - Myalgia Berobat Jalan
845 00:00 09:50
230612010823P000 25-08-2023 28-08-2023 Acute nasopharyngitis
170 0000842984537 MARLIANA P - Berobat Jalan
847 00:00 09:52 [common cold]
230612010823P000 25-08-2023 26-08-2023
171 0000843035938 NURUL HASANA P PBI (APBN) Asthma, unspecified Berobat Jalan
792 00:00 09:13
230612010823P000 25-08-2023 25-08-2023
172 0001057577433 BILALANG T L PBI (APBN) Haemarthrosis Rujuk Vertikal
775 00:00 07:44
230612010823P000 25-08-2023 26-08-2023 Acute nasopharyngitis
173 0001241729043 KHAYAT KASMARA P PBI (APBD) Berobat Jalan
818 00:00 10:17 [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Motorcycle rider injured in

230612010823P000 25-08-2023 26-08-2023 collision with railway train
174 0001243487542 SUMIATUN P - Berobat Jalan
791 00:00 09:11 or railway vehicle,
passenger, traffic accident
230612010823P000 25-08-2023 26-08-2023
175 0001243490668 SITI SABARIA P PBI (APBN) Schizophrenia Berobat Jalan
793 00:00 09:17
230612010823P000 25-08-2023 26-08-2023 Antenatal screening,
176 0001243498116 DINDA APNI JUNIATRI P - Berobat Jalan
798 00:00 09:25 unspecified
Acute upper respiratory
230612010823P000 25-08-2023 26-08-2023
177 0001254602384 WINARTI P PBI (APBN) infections of multiple and Berobat Jalan
812 00:00 10:05
unspecified sites
230612010823P000 25-08-2023 26-08-2023 Acute tonsillitis,
178 0001373366788 MAYLIEN DWI SYAHRANI P - Berobat Jalan
799 00:00 09:27 unspecified
230612010823P000 25-08-2023 26-08-2023 Non-insulin-dependent
179 0001579370319 M NAPIS L PBI (APBD) Berobat Jalan
816 00:00 10:13 diabetes mellitus
230612010823P000 25-08-2023 26-08-2023
180 0001960580024 HANALIA P PBI (APBD) Low back pain Berobat Jalan
823 00:00 10:28
230612010823P000 25-08-2023 30-08-2023 MUHAMMAD FAUZAN
181 0002064346345 L - Fever, unspecified Sembuh
908 00:00 08:48 PUATO ZAIRIND
230612010823P000 25-08-2023 26-08-2023 Non-insulin-dependent
182 0002109879461 ROHANA P PBI (APBN) Berobat Jalan
820 00:00 10:21 diabetes mellitus
230612010823P000 25-08-2023 26-08-2023 Non-insulin-dependent Diabetes
183 0002407071723 JENA P PBI (APBN) Berobat Jalan
822 00:00 10:24 diabetes mellitus Mellitus
230612010823P000 25-08-2023 26-08-2023
184 0002763200766 VIKRI ARFADHIL AKBAR L - Pulpitis Berobat Jalan
797 00:00 09:22
Insulin-dependent
230612010823P000 25-08-2023 25-08-2023 PEKERJA diabetes mellitus with
185 0002767849918 MASTEMBUAN P Rujuk Vertikal
777 00:00 08:14 MANDIRI peripheral circulatory
complications
230612010823P000 25-08-2023 28-08-2023 Premature rupture of
186 0002817910427 FEBI PEBRIANI P - Rujuk Vertikal
862 00:00 18:28 membranes
230612010823P000 25-08-2023 25-08-2023
187 0002866515928 SITI ARAH P PBI (APBN) Hemiplegia Rujuk Vertikal Hipertensi
778 00:00 08:32
Non-insulin-dependent
230612010823P000 25-08-2023 25-08-2023 diabetes mellitus with
188 0002959165282 MASITA OMBO P PBI (APBD) Rujuk Vertikal
780 00:00 10:03 peripheral circulatory
complications
230612010823P000 25-08-2023 26-08-2023 Essential (primary)
189 0002959167521 KUSMIATI P - Berobat Jalan
821 00:00 10:23 hypertension
230612010823P000 25-08-2023 25-08-2023 Hypertensive renal
190 0002959310812 MASITA P PBI (APBD) Rujuk Vertikal
774 00:00 07:23 disease with renal failure
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

PEGAWAI
PEMERINTAH
230612010823P000 25-08-2023 26-08-2023 Antenatal screening,
191 0003284813182 SULASTRI P DENGAN Berobat Jalan
789 00:00 09:08 unspecified
PERJANJIAN
KERJA
230612010823P000 25-08-2023 26-08-2023 Fever of other and
192 0003523726405 AZZAM GIANDRA PUTRA L - Berobat Jalan
802 00:00 09:35 unknown origin
230612010823P000 25-08-2023 25-08-2023 Antenatal screening,
193 0003523778515 dahlia P PBI (APBD) Rujuk Vertikal
779 00:00 10:01 unspecified
230612010823P000 24-08-2023 24-08-2023 Chronic apical
194 0000146574189 IWAN ARDIAN L PNS DAERAH Berobat Jalan
764 00:00 11:45 periodontitis
230612010823P000 24-08-2023 24-08-2023
195 0000146591357 ABDUL MAULA L - Pulpitis Berobat Jalan
763 00:00 11:44

KEPALA DESA
230612010823P000 24-08-2023 24-08-2023 Antenatal screening,
196 0000146669253 NITA TRI NOVIANTI P DAN PERANGKAT Rujuk Vertikal
728 00:00 09:03 unspecified
DESA

230612010823P000 24-08-2023 24-08-2023 Antenatal screening,

197 0000836999818 LENI NOVIANI P - Berobat Jalan
755 00:00 11:31 unspecified
230612010823P000 24-08-2023 24-08-2023
198 0000840974286 DEVI YULIANA P PBI (APBN) Pulpitis Berobat Jalan
767 00:00 11:49
230612010823P000 24-08-2023 24-08-2023 Other benign neoplasm of
199 0000841857693 PINO KESTI SUDIARTA L PBI (APBN) Berobat Jalan
748 00:00 11:17 other parts of uterus
230612010823P000 24-08-2023 24-08-2023
200 0000842086811 DINA MARIANA P - Pulpitis Berobat Jalan
762 00:00 11:42
230612010823P000 24-08-2023 24-08-2023
201 0000842266989 HADIJAH P PBI (APBN) Myalgia Berobat Jalan
769 00:00 11:56
230612010823P000 24-08-2023 26-08-2023
202 0000842293675 TRI TOMPO P PBI (APBN) Fever, unspecified Berobat Jalan
807 00:00 09:47
Tuberculosis of lung,
230612010823P000 24-08-2023 24-08-2023 confirmed by sputum
203 0000842978158 AZIZ B L PBI (APBN) Berobat Jalan
759 00:00 11:37 microscopy with or without
culture
230612010823P000 24-08-2023 24-08-2023 Antenatal screening,
204 0000843279513 SUSANTY P - Berobat Jalan
737 00:00 09:25 unspecified
230612010823P000 24-08-2023 26-08-2023
205 0000954446927 IIS TRY PURWANTI P - Gastritis and duodenitis Sembuh
785 00:00 08:25
230612010823P000 24-08-2023 24-08-2023 Acute nasopharyngitis
206 0001057576656 AMATOLA P - Berobat Jalan
760 00:00 11:38 [common cold]
230612010823P000 24-08-2023 24-08-2023 Urinary tract infection, site
207 0001057577826 MURNIATI P PBI (APBN) Rujuk Vertikal
730 00:00 09:11 not specified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 24-08-2023 26-08-2023

208 0001057578197 EMI P - Asthma, unspecified Berobat Jalan
803 00:00 09:37
230612010823P000 24-08-2023 26-08-2023
209 0001057583968 ABDUL MUNIR L PBI (APBN) Dermatitis, unspecified Berobat Jalan
806 00:00 09:44
230612010823P000 24-08-2023 24-08-2023
210 0001243492514 MUH ALI L PBI (APBD) Hyperplasia of prostate Rujuk Vertikal
711 00:00 08:03
230612010823P000 24-08-2023 24-08-2023
211 0001382332792 M SIRAT L - Gingival enlargement Berobat Jalan
766 00:00 11:48
230612010823P000 24-08-2023 24-08-2023
212 0001840300828 ARIFIN M ZAIN L - Glaucoma, unspecified Rujuk Vertikal
709 00:00 07:23
230612010823P000 24-08-2023 24-08-2023 PEKERJA Antenatal screening,
213 0001935074834 NURJANNAH P Rujuk Vertikal
747 00:00 10:40 MANDIRI unspecified
Non-insulin-dependent
230612010823P000 24-08-2023 24-08-2023
214 0002067365305 IRMA SURYANI P PNS DAERAH diabetes mellitus with Berobat Jalan
758 00:00 11:36
ketoacidosis
230612010823P000 24-08-2023 24-08-2023 Hyperlipidaemia,
215 0002314726288 RAMLAH P PBI (APBD) Berobat Jalan
768 00:00 11:54 unspecified
Tuberculosis of lung,
230612010823P000 24-08-2023 24-08-2023 confirmed by sputum
216 0002407094605 ABDULLAH L PBI (APBN) Berobat Jalan
757 00:00 11:34 microscopy with or without
culture
230612010823P000 24-08-2023 24-08-2023 Antenatal screening,
217 0002508311103 RITA PEBRIANTI P - Berobat Jalan
754 00:00 11:29 unspecified
Acute upper respiratory
230612010823P000 24-08-2023 26-08-2023
218 0002663196906 DINDA SETIAWATI P PBI (APBN) infections of multiple and Berobat Jalan
800 00:00 09:29
unspecified sites
230612010823P000 24-08-2023 24-08-2023
219 0002710760523 HERMA JULIANA P - Gingival recession Berobat Jalan
765 00:00 11:46
230612010823P000 24-08-2023 26-08-2023 Embedded and impacted
220 0002763200766 VIKRI ARFADHIL AKBAR L - Berobat Jalan
805 00:00 09:43 teeth
230612010823P000 24-08-2023 26-08-2023 Acute nasopharyngitis
221 0002817789759 DIFA SAFITRI MAULANI P - Berobat Jalan
804 00:00 09:40 [common cold]
230612010823P000 24-08-2023 24-08-2023 Antenatal screening,
222 0002817794272 NURMALASARI P - Berobat Jalan
751 00:00 11:24 unspecified
230612010823P000 24-08-2023 24-08-2023 Antenatal screening,
223 0002817893755 YUNI HERYANTI P - Berobat Jalan
753 00:00 11:28 unspecified
230612010823P000 24-08-2023 24-08-2023 Acute nasopharyngitis
224 0002847748026 EKAWATI P PBI (APBN) Berobat Jalan
761 00:00 11:40 [common cold]
230612010823P000 24-08-2023 24-08-2023 Benign lipomatous
225 0002866516751 REGINA DESTITA P PBI (APBN) Rujuk Vertikal
729 00:00 09:07 neoplasm, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 24-08-2023 24-08-2023 Non-insulin-dependent

226 0002866520632 SURYADI L PBI (APBN) Berobat Jalan
756 00:00 11:33 diabetes mellitus
230612010823P000 24-08-2023 24-08-2023
227 0002959613739 SITI SIAH P - Heart failure, unspecified Rujuk Vertikal
712 00:00 08:11
230612010823P000 24-08-2023 24-08-2023 Acute nasopharyngitis
228 0003287256524 BILAL GALBI L - Berobat Jalan
750 00:00 11:22 [common cold]
Acute upper respiratory
230612010823P000 24-08-2023 24-08-2023
229 0003512804995 RAFI SAPUTRA L PBI (APBD) infections of multiple and Berobat Jalan
752 00:00 11:25
unspecified sites
230612010823P000 24-08-2023 27-08-2023
230 0003518900008 SHEZA ABIDAH P - Nausea and vomiting Sembuh
830 00:00 11:03
Benign neoplasm of
230612010823P000 24-08-2023 24-08-2023
231 0003543596021 indra mawansyah L PBI (APBD) middle ear, nasal cavity Rujuk Vertikal
710 00:00 07:59
and accessory sinuses
230612010823P000 23-08-2023 23-08-2023 Diabetes Diabetes
232 0000146493944 SITI AWA P PNS DAERAH Other arthrosis Rujuk Vertikal
695 00:00 11:10 Mellitus Mellitus
230612010823P000 23-08-2023 23-08-2023
233 0000146758926 SURAJUDIN L PNS DAERAH Abnormalities of breathing Rujuk Vertikal
673 00:00 09:25
230612010823P000 23-08-2023 29-08-2023
234 0000841714751 A HAMID L - Fever, unspecified Sembuh
865 00:00 07:48
230612010823P000 23-08-2023 23-08-2023
235 0000842823955 RAFAIS KHALIFIAD L PBI (APBN) Visual disturbances Rujuk Vertikal
672 00:00 09:07
230612010823P000 23-08-2023 23-08-2023
236 0000843165797 MAIMUNA P PBI (APBN) Sleep disorders Berobat Jalan
704 00:00 11:31
230612010823P000 23-08-2023 23-08-2023
237 0001057576408 SABARIAH P - Other arthrosis Berobat Jalan
705 00:00 11:34
230612010823P000 23-08-2023 26-08-2023
238 0001057577433 BILALANG T L PBI (APBN) Melaena Sembuh
786 00:00 08:32
230612010823P000 23-08-2023 23-08-2023 Essential (primary)
239 0001057581911 LENGKONG P PBI (APBN) Berobat Jalan
696 00:00 11:14 hypertension

KEPALA DESA
230612010823P000 23-08-2023 23-08-2023
240 0001243491851 YAYU RAHAYU P DAN PERANGKAT Myalgia Berobat Jalan
703 00:00 11:28
DESA

230612010823P000 23-08-2023 23-08-2023 Non-insulin-dependent

241 0001250104871 M SIRAD NURDIN L - Berobat Jalan
698 00:00 11:17 diabetes mellitus
230612010823P000 23-08-2023 23-08-2023
242 0001328720848 AINI SUSILAWATI P PBI (APBN) Acute pharyngitis Berobat Jalan
694 00:00 11:03
230612010823P000 23-08-2023 23-08-2023 PEKERJA Malignant neoplasm of
243 0001575349762 IDA ARIYATI P Rujuk Vertikal
699 00:00 11:20 MANDIRI cervix uteri, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 23-08-2023 23-08-2023 Non-insulin-dependent

244 0001581020493 SAWIYAH P PBI (APBD) Berobat Jalan
700 00:00 11:23 diabetes mellitus
230612010823P000 23-08-2023 23-08-2023 Fibrosis and cirrhosis of
245 0001830356752 MEKOYA P PBI (APBD) Rujuk Vertikal
671 00:00 08:10 liver
230612010823P000 23-08-2023 23-08-2023
246 0001874462681 HALIMAH P PBI (APBD) Dyspepsia Berobat Jalan
701 00:00 11:25
230612010823P000 23-08-2023 26-08-2023 Non-insulin-dependent
247 0002111246392 ASIM H PORO L - Sembuh
794 00:00 09:18 diabetes mellitus
230612010823P000 23-08-2023 23-08-2023 PEKERJA
248 0002227561637 NURMAHARANI P Unspecified dementia Berobat Jalan
706 00:00 11:35 MANDIRI
230612010823P000 23-08-2023 23-08-2023 Disturbances in tooth
249 0002280010735 AMRAN EDI PUTRA L - Berobat Jalan
676 00:00 09:36 eruption
230612010823P000 23-08-2023 23-08-2023 Follicular disorder,
250 0002407073995 SAHORA P - Berobat Jalan
702 00:00 11:26 unspecified
230612010823P000 23-08-2023 24-08-2023
251 0002407077584 RUKIAH P PBI (APBN) Migraine Berobat Jalan
771 00:00 11:59
230612010823P000 23-08-2023 23-08-2023 Non-insulin-dependent Diabetes Diabetes
252 0002407085177 MARIAMA P PBI (APBD) Berobat Jalan
697 00:00 11:15 diabetes mellitus Mellitus Mellitus
230612010823P000 23-08-2023 23-08-2023 Essential (primary)
253 0002854167625 ROGE P - Berobat Jalan
691 00:00 10:56 hypertension
230612010823P000 23-08-2023 23-08-2023 Acute nasopharyngitis
254 0002917023197 M AZZAM SUBHAN L - Berobat Jalan
689 00:00 10:49 [common cold]

KEPALA DESA
230612010823P000 23-08-2023 24-08-2023
255 0002943853716 ALWAN HIDAYAT L DAN PERANGKAT Migraine Berobat Jalan
770 00:00 11:57
DESA

230612010823P000 23-08-2023 23-08-2023 MUHAMMAD ARYAN

256 0003520352136 L PBI (APBD) Folliculitis decalvans Berobat Jalan
690 00:00 10:52 ARKATAMA
Disorders of sclera and
230612010823P000 22-08-2023 22-08-2023
257 0000146593449 IDA FITRIANI P - cornea in diseases Rujuk Vertikal
660 00:00 11:22
classified elsewhere
230612010823P000 22-08-2023 23-08-2023 Acute nasopharyngitis
258 0000149062511 M RASYIDI RIU L PNS DAERAH Berobat Jalan
693 00:00 11:01 [common cold]
230612010823P000 22-08-2023 22-08-2023
259 0000841251879 JAMALUDDIN S L PBI (APBN) Low back pain Rujuk Vertikal
620 00:00 09:15
230612010823P000 22-08-2023 22-08-2023
260 0000841905066 MASJUMRATUL P PBI (APBN) Pterygium Rujuk Vertikal
637 00:00 10:04
230612010823P000 22-08-2023 23-08-2023 Pure
261 0000842061892 FATIMAH P - Berobat Jalan
692 00:00 10:58 hypercholesterolaemia
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 22-08-2023 22-08-2023

262 0000843034127 MASUJI P - Hemiplegia Rujuk Vertikal
614 00:00 08:43
230612010823P000 22-08-2023 22-08-2023 Tuberculosis of other
263 0000843106781 MINARTI P - Berobat Jalan
661 00:00 12:11 organs
230612010823P000 22-08-2023 23-08-2023 Antenatal screening,
264 0001057550635 SUKRIANI P PBI (APBN) Berobat Jalan
686 00:00 10:35 unspecified
230612010823P000 22-08-2023 23-08-2023 Acute nasopharyngitis
265 0001057581876 MANG MENG L PBI (APBN) Berobat Jalan
679 00:00 09:52 [common cold]
230612010823P000 22-08-2023 22-08-2023
266 0001058434558 SUBAGIO L PBI (APBD) Senile cataract Rujuk Vertikal
632 00:00 09:56
230612010823P000 22-08-2023 22-08-2023 Cerebral infarction,
267 0001249928212 SYARAFUDDIN L - Rujuk Vertikal
600 00:00 08:08 unspecified

KEPALA DESA
230612010823P000 22-08-2023 23-08-2023
268 0001249996329 DEKON AHMAD L DAN PERANGKAT Necrosis of pulp Berobat Jalan
674 00:00 09:27
DESA

Hydronephrosis with
230612010823P000 22-08-2023 22-08-2023
269 0001277281383 ARAHMAN TALIF L - ureteropelvic junction Rujuk Vertikal
615 00:00 08:51
obstruction
Certain early
230612010823P000 22-08-2023 23-08-2023
270 0001301953116 HASANUDDIN L - complications of trauma, Berobat Jalan
681 00:00 10:19
not elsewhere classified
PEGAWAI
PEMERINTAH Other benign neoplasms
230612010823P000 22-08-2023 23-08-2023
271 0001436749468 SRI WARDANI P DENGAN of connective and other Berobat Jalan
683 00:00 10:26
PERJANJIAN soft tissue
KERJA
230612010823P000 22-08-2023 22-08-2023 Central perforation of
272 0001576350898 HARJIANTO L PBI (APBD) Rujuk Vertikal
617 00:00 08:59 tympanic membrane
230612010823P000 22-08-2023 22-08-2023
273 0001883687501 ADLI RIZKI IMAMI L - Rheumatism, unspecified Berobat Jalan
667 00:00 12:26
230612010823P000 22-08-2023 22-08-2023
274 0002072698659 SUSILAWATI P - Pterygium Rujuk Vertikal
642 00:00 10:09
230612010823P000 22-08-2023 22-08-2023 Thyrotoxicosis with diffuse
275 0002101610283 EVI ADE UTARI P - Rujuk Vertikal
592 00:00 07:50 goitre
230612010823P000 22-08-2023 26-08-2023
276 0002113564735 YOHANA DENGA P - Abdominal and pelvic pain Sembuh
790 00:00 09:10
230612010823P000 22-08-2023 22-08-2023 PEGAWAI Disorders of refraction and
277 0002230142275 SRI KARWATI P Rujuk Vertikal
639 00:00 10:06 SWASTA accommodation
230612010823P000 22-08-2023 23-08-2023 Essential (primary)
278 0002265786347 SARIPAH P - Berobat Jalan
685 00:00 10:33 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 22-08-2023 22-08-2023

279 0002290311854 RASIA P PBI (APBN) Heart failure, unspecified Rujuk Vertikal
613 00:00 08:41
230612010823P000 22-08-2023 23-08-2023 Disturbances in tooth
280 0002494147779 RAGIL MARDINATA L - Berobat Jalan
675 00:00 09:33 eruption
230612010823P000 22-08-2023 23-08-2023 PEGAWAI Fever of other and
281 0002576558226 JONI AGUNG PRAYITNO L Berobat Jalan
684 00:00 10:31 SWASTA unknown origin

KEPALA DESA
230612010823P000 22-08-2023 29-08-2023
282 0002776574136 NAILA SAFITRI RAMADANI P DAN PERANGKAT Fever, unspecified Sembuh
866 00:00 07:57
DESA

230612010823P000 22-08-2023 23-08-2023 Acute nasopharyngitis

283 0002866514128 MICHAYLA RAMDANI P PBI (APBN) Berobat Jalan
688 00:00 10:46 [common cold]
230612010823P000 22-08-2023 23-08-2023 Essential (primary)
284 0002956646272 MASANI P PBI (APBD) Berobat Jalan
680 00:00 09:55 hypertension
230612010823P000 22-08-2023 23-08-2023 Acute nasopharyngitis
285 0002975088925 AMANDA ALIZA P PBI (APBN) Berobat Jalan
687 00:00 10:37 [common cold]
230612010823P000 22-08-2023 23-08-2023 PEKERJA
286 0003059861927 SAHRANI P Myalgia Berobat Jalan
682 00:00 10:21 MANDIRI
230612010823P000 21-08-2023 21-08-2023 Adhesive capsulitis of
287 0000146493933 A RAHMAN L - Rujuk Vertikal Hipertensi
586 00:00 11:09 shoulder
230612010823P000 21-08-2023 21-08-2023 Adhesive capsulitis of Diabetes Diabetes
288 0000146493944 SITI AWA P PNS DAERAH Rujuk Vertikal
587 00:00 11:13 shoulder Mellitus Mellitus
230612010823P000 21-08-2023 22-08-2023 Cutaneous abscess,
289 0000841198634 RADIT L - Berobat Jalan
640 00:00 10:06 furuncle and carbuncle
230612010823P000 21-08-2023 23-08-2023 Hydrocephalus,
290 0000841830568 MELINDA YANTI P PBI (APBN) Berobat Jalan
708 00:00 11:43 unspecified
230612010823P000 21-08-2023 21-08-2023 Senile cataract,
291 0000842761945 SARANG L - Rujuk Vertikal Hipertensi
576 00:00 08:20 unspecified
230612010823P000 21-08-2023 23-08-2023
292 0000843034127 MASUJI P - Hemiplegia Sembuh
668 00:00 07:33
230612010823P000 21-08-2023 22-08-2023
293 0000843135851 SITI SARAH P - Abdominal and pelvic pain Berobat Jalan
649 00:00 10:26
230612010823P000 21-08-2023 21-08-2023 Chronic kidney disease,
294 0000843440747 SAHEMA P PBI (APBN) Rujuk Vertikal
583 00:00 09:33 stage 5
230612010823P000 21-08-2023 21-08-2023
295 0001057584036 ULAN ABSARI PUTRY P - Schizophrenia Rujuk Vertikal
582 00:00 09:01
Tuberculosis of lung,
230612010823P000 21-08-2023 22-08-2023 confirmed by sputum
296 0001243489184 IWAN SETIAWAN L - Berobat Jalan
644 00:00 10:13 microscopy with or without
culture
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Gastro-oesophageal reflux
230612010823P000 21-08-2023 22-08-2023
297 0001243491816 KAIMUDDIN L - disease without Berobat Jalan
622 00:00 09:34
oesophagitis

KEPALA DESA
230612010823P000 21-08-2023 22-08-2023
298 0001243495383 SYAMSUDDIN L DAN PERANGKAT Conjunctivitis Berobat Jalan
629 00:00 09:48
DESA

230612010823P000 21-08-2023 21-08-2023

299 0001280707018 UDIA P PBI (APBN) Asthma Rujuk Vertikal
578 00:00 08:27
230612010823P000 21-08-2023 22-08-2023
300 0001324568226 JAMHUR HAKIM L PBI (APBN) Asthma Rujuk Vertikal
598 00:00 08:05
230612010823P000 21-08-2023 22-08-2023
301 0001577990608 AHMAD KARIM L - Migraine Berobat Jalan
665 00:00 12:23
230612010823P000 21-08-2023 22-08-2023 Acute nasopharyngitis
302 0001581020447 ELSA DINDA SEPTIANA P - Berobat Jalan
666 00:00 12:24 [common cold]
PEGAWAI
PEMERINTAH
230612010823P000 21-08-2023 21-08-2023
303 0001849381986 SUPIATY P DENGAN Low back pain Rujuk Vertikal
585 00:00 10:01
PERJANJIAN
KERJA
230612010823P000 21-08-2023 21-08-2023 Cellulitis and abscess of
304 0001980063382 ABDUL HASIM L - Rujuk Vertikal
580 00:00 08:48 mouth
230612010823P000 21-08-2023 22-08-2023 Bronchitis, not specified as
305 0002109879055 JAMALUDDIN ARSYAD L - Berobat Jalan
627 00:00 09:45 acute or chronic
230612010823P000 21-08-2023 22-08-2023 Pure
306 0002110906719 SUMIATI P - Berobat Jalan
626 00:00 09:42 hypercholesterolaemia
230612010823P000 21-08-2023 22-08-2023 Other headache
307 0002111254356 HASINI P PBI (APBN) Berobat Jalan
636 00:00 10:01 syndromes
230612010823P000 21-08-2023 25-08-2023 Non-insulin-dependent
308 0002114310756 IBNU WAHAB L PBI (APBD) Sembuh
773 00:00 07:09 diabetes mellitus
230612010823P000 21-08-2023 22-08-2023 Typhoid and paratyphoid
309 0002116711495 GALANG FEBRIANSYAH L PBI (APBN) Berobat Jalan
630 00:00 09:51 fevers
230612010823P000 21-08-2023 23-08-2023 PEGAWAI
310 0002302229902 MAWARINA P Asthma Berobat Jalan
707 00:00 11:40 SWASTA
230612010823P000 21-08-2023 21-08-2023 Postmastectomy
311 0002407055477 MARIATI P PBI (APBN) Rujuk Vertikal
584 00:00 09:43 lymphoedema syndrome
230612010823P000 21-08-2023 22-08-2023
312 0002407064512 SAENUL SOLEHAN L - Pulpitis Berobat Jalan
634 00:00 09:58
230612010823P000 21-08-2023 22-08-2023
313 0002407068279 JAHMAD L - Atrial fibrillation and flutter Berobat Jalan
638 00:00 10:04
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 21-08-2023 21-08-2023 Infantile cerebral palsy,

314 0002496991072 AL IMRAN L PBI (APBD) Rujuk Vertikal
577 00:00 08:26 unspecified
230612010823P000 21-08-2023 22-08-2023 Unspecified infection of
315 0002498172546 YULIANI P PBI (APBN) Berobat Jalan
625 00:00 09:40 urinary tract in pregnancy
230612010823P000 21-08-2023 22-08-2023 Periapical abscess without
316 0002762628017 SEPTIANI P PBI (APBD) Berobat Jalan
633 00:00 09:56 sinus
230612010823P000 21-08-2023 21-08-2023 Cerebral infarction,
317 0002866515928 SITI ARAH P PBI (APBN) Rujuk Vertikal Hipertensi
581 00:00 08:52 unspecified
230612010823P000 21-08-2023 22-08-2023
318 0002866519541 ALFANDA BUDIWANSYAH L PBI (APBN) Acute cystitis Berobat Jalan
664 00:00 12:21
230612010823P000 21-08-2023 22-08-2023 Non-insulin-dependent
319 0002866520632 SURYADI L PBI (APBN) Berobat Jalan
635 00:00 09:59 diabetes mellitus
Other local infections of
230612010823P000 21-08-2023 22-08-2023
320 0002906380427 ANGGUN OKTA APRIANTI P PBI (APBN) skin and subcutaneous Berobat Jalan
643 00:00 10:10
tissue

KEPALA DESA
230612010823P000 21-08-2023 21-08-2023
321 0002943853716 ALWAN HIDAYAT L DAN PERANGKAT Low back pain Rujuk Vertikal
579 00:00 08:39
DESA

230612010823P000 21-08-2023 22-08-2023 Cutaneous abscess,

322 0002959160297 MASTURI P PBI (APBD) Berobat Jalan
624 00:00 09:38 furuncle and carbuncle
230612010823P000 21-08-2023 22-08-2023 Non-insulin-dependent
323 0002959309719 AISAH P - Berobat Jalan
650 00:00 10:32 diabetes mellitus
230612010823P000 21-08-2023 22-08-2023 Acute nasopharyngitis
324 0003067960702 AHSAN ADYAKSA L - Berobat Jalan
641 00:00 10:09 [common cold]
230612010823P000 21-08-2023 23-08-2023
325 0003268681874 KHANZA JULIAN SABINA P - Nausea and vomiting Sembuh
670 00:00 07:55
230612010823P000 21-08-2023 22-08-2023 Acute nasopharyngitis
326 0003290259565 AISYAH AINUN NAJIB P - Berobat Jalan
631 00:00 09:53 [common cold]
230612010823P000 20-08-2023 23-08-2023
327 0000146511977 LATIFAH P PNS DAERAH Fever, unspecified Sembuh
669 00:00 07:47
Noninfective
230612010823P000 20-08-2023 22-08-2023
328 0000841245423 SALMA P - gastroenteritis and colitis, Sembuh
619 00:00 09:11
unspecified
230612010823P000 20-08-2023 22-08-2023
329 0000841842549 USMAN L PBI (APBN) Ascites Sembuh
618 00:00 09:04
230612010823P000 20-08-2023 22-08-2023 KHAIRLIYA TASYA
330 0002508553809 P PBI (APBN) Fever, unspecified Sembuh
628 00:00 09:47 AGUSTINA
230612010823P000 20-08-2023 22-08-2023
331 0003282909581 SALATUN NUPUS P - Gastritis and duodenitis Sembuh
623 00:00 09:35
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 20-08-2023 25-08-2023 Typhoid and paratyphoid

332 0003542627823 KHAIRU ABDUL AZIZ L - Sembuh
772 00:00 07:05 fevers
Acute upper respiratory
230612010823P000 19-08-2023 22-08-2023 PENERIMA
333 0000005568592 M ZAIN ABDULLAH L infections of multiple and Berobat Jalan
658 00:00 11:00 PENSIUN PNS
unspecified sites
230612010823P000 19-08-2023 19-08-2023 Urethral stricture,
334 0000146493933 A RAHMAN L - Rujuk Vertikal Hipertensi
538 00:00 07:53 unspecified
230612010823P000 19-08-2023 19-08-2023
335 0000146525117 HAKIMUDDIN L PNS PUSAT Other arthrosis Rujuk Vertikal
545 00:00 08:58
230612010823P000 19-08-2023 19-08-2023
336 0000146567406 NURJANNAH P - Other arthrosis Rujuk Vertikal
555 00:00 10:16
230612010823P000 19-08-2023 22-08-2023 Disorders of purine and
337 0000146678433 FATIMAH P PNS DAERAH Berobat Jalan
663 00:00 12:18 pyrimidine metabolism
Acute upper respiratory
230612010823P000 19-08-2023 22-08-2023
338 0000146713105 SYAMSUDDIN L PNS DAERAH infections of multiple and Berobat Jalan
662 00:00 12:17
unspecified sites
230612010823P000 19-08-2023 19-08-2023 PENERIMA Hyperlipidaemia,
339 0000146738439 KAMALUDDIN L Rujuk Vertikal
544 00:00 08:54 PENSIUN PNS unspecified
230612010823P000 19-08-2023 22-08-2023 Antenatal screening,
340 0000841222372 RATNA P - Berobat Jalan
645 00:00 10:15 unspecified
230612010823P000 19-08-2023 21-08-2023 Antenatal screening,
341 0000841947221 RITA SUDIARMA P - Rujuk Vertikal
575 00:00 07:25 unspecified
230612010823P000 19-08-2023 26-08-2023
342 0000842113359 HERMAWATI P PBI (APBN) Dyspepsia Sembuh
787 00:00 08:52
Acute upper respiratory
230612010823P000 19-08-2023 22-08-2023
343 0000842556723 ARGA DWIMEDIANSYAH L PBI (APBN) infections of multiple and Berobat Jalan
646 00:00 10:18
unspecified sites
Intracranial nontraumatic
230612010823P000 19-08-2023 23-08-2023
344 0001243488622 EDI RAMLI L PBI (APBN) haemorrhage of fetus and Berobat Jalan
678 00:00 09:48
newborn
230612010823P000 19-08-2023 19-08-2023
345 0001243488622 EDI RAMLI L PBI (APBN) Fever, unspecified Rujuk Vertikal
556 00:00 10:20
Tuberculosis of lung,
230612010823P000 19-08-2023 19-08-2023 confirmed by sputum
346 0001243490681 Muhammad Pisak L PBI (APBN) Berobat Jalan
571 00:00 11:02 microscopy with or without
culture
Non-insulin-dependent
230612010823P000 19-08-2023 19-08-2023 diabetes mellitus with
347 0001429205387 MINIATI P PBI (APBN) Rujuk Vertikal
550 00:00 09:23 peripheral circulatory
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 19-08-2023 22-08-2023 PEGAWAI Cutaneous abscess,

348 0001476704417 SADIMIN L Berobat Jalan
659 00:00 11:02 SWASTA furuncle and carbuncle
Insulin-dependent
230612010823P000 19-08-2023 19-08-2023 PEKERJA diabetes mellitus with Diabetes Diabetes
349 0001477490499 SITI AISYAH P Berobat Jalan
547 00:00 09:04 MANDIRI peripheral circulatory Mellitus Mellitus
complications
230612010823P000 19-08-2023 22-08-2023
350 0001580422869 JELITA SEPTIANA P PBI (APBN) Chronic tonsillitis Berobat Jalan
648 00:00 10:21
PEGAWAI
Chronic obstructive
PEMERINTAH
230612010823P000 19-08-2023 19-08-2023 pulmonary disease with
351 0002107317734 HERDIANTO L DENGAN Rujuk Vertikal
539 00:00 07:59 acute exacerbation,
PERJANJIAN
unspecified
KERJA
230612010823P000 19-08-2023 19-08-2023
352 0002114018447 JAIMAH P - Chronic maxillary sinusitis Rujuk Vertikal
549 00:00 09:21

KEPALA DESA
230612010823P000 19-08-2023 19-08-2023 Essential (primary)
353 0002114756987 SUSILAWATI P DAN PERANGKAT Berobat Jalan
573 00:00 11:07 hypertension
DESA

Acute upper respiratory

230612010823P000 19-08-2023 19-08-2023
354 0002239055515 HASMAWATI P PBI (APBD) infections of multiple and Berobat Jalan
574 00:00 11:08
unspecified sites

KEPALA DESA Acute upper respiratory

230612010823P000 19-08-2023 22-08-2023
355 0002295456478 MUHAMMAD ISRA L DAN PERANGKAT infections of multiple and Berobat Jalan
647 00:00 10:19
DESA unspecified sites

230612010823P000 19-08-2023 19-08-2023

356 0002407062723 KHOLILUR RAHMAN L - Epistaxis Rujuk Vertikal
551 00:00 09:36
Tuberculosis of lung,
230612010823P000 19-08-2023 19-08-2023 confirmed by sputum
357 0002407067739 AMINAH P PBI (APBN) Berobat Jalan
570 00:00 11:01 microscopy with or without
culture

230612010823P000 19-08-2023 26-08-2023 SRI NURFIATI Hyperemesis gravidarum

358 0002407071205 P PBI (APBN) Sembuh
788 00:00 09:00 HAERUNNAS with metabolic disturbance

Noninfective
230612010823P000 19-08-2023 22-08-2023
359 0002817792494 BIDARA P PBI (APBN) gastroenteritis and colitis, Sembuh
621 00:00 09:20
unspecified
230612010823P000 19-08-2023 19-08-2023 Cerebral infarction,
360 0002866518022 NURHASANA P - Rujuk Vertikal
537 00:00 07:50 unspecified
Disorders of lipoprotein
230612010823P000 19-08-2023 19-08-2023
361 0002959168533 SAWIYAH P PBI (APBD) metabolism and other Berobat Jalan
572 00:00 11:04
lipidaemias
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Non-insulin-dependent
230612010823P000 19-08-2023 19-08-2023 diabetes mellitus with
362 0003150734736 SAHELA P PBI (APBN) Rujuk Vertikal
536 00:00 07:34 other specified
complications
230612010823P000 19-08-2023 19-08-2023 BAGASKARA JULIAN Hyperkinetic disorder,
363 0003521228591 L PBI (APBD) Rujuk Vertikal
542 00:00 08:41 IMANSYAH unspecified
230612010823P000 18-08-2023 19-08-2023 Essential (primary)
364 0000146491277 MASUJI P - Berobat Jalan
564 00:00 10:47 hypertension
230612010823P000 18-08-2023 19-08-2023 PENERIMA Pure
365 0000146639812 SENING P Berobat Jalan Hipertensi
569 00:00 10:59 PENSIUN PNS hypercholesterolaemia
230612010823P000 18-08-2023 18-08-2023 HABI HIDAYATUL
366 0000841368554 P - Conjunctivitis Berobat Jalan
534 00:00 10:27 MUTNIAH
230612010823P000 18-08-2023 18-08-2023
367 0000841913267 MASRI P - Heart failure, unspecified Rujuk Vertikal
509 00:00 07:40
230612010823P000 18-08-2023 18-08-2023 Cluster headache
368 0000841996192 SRI INDARATU P PBI (APBN) Berobat Jalan
535 00:00 10:30 syndrome
230612010823P000 18-08-2023 22-08-2023 Essential (primary)
369 0000842660021 FITRIAH P - Berobat Jalan
657 00:00 10:54 hypertension
230612010823P000 18-08-2023 22-08-2023 Acute nasopharyngitis
370 0000842660976 DAFIT RIZKI PRATAMA L PBI (APBN) Berobat Jalan
656 00:00 10:52 [common cold]
230612010823P000 18-08-2023 19-08-2023
371 0000843227572 HADIJAH P - Abdominal and pelvic pain Rujuk Vertikal
540 00:00 08:07
230612010823P000 18-08-2023 22-08-2023
372 0000843231712 DAMAR APRIAN SAPUTRA L PBI (APBN) Pemphigus Berobat Jalan
655 00:00 10:50
230612010823P000 18-08-2023 19-08-2023 Essential (primary)
373 0001242889525 LATIA P - Berobat Jalan
567 00:00 10:55 hypertension
230612010823P000 18-08-2023 19-08-2023 Urinary tract infection, site Diabetes
374 0001243489162 HASYIMUDDIN L PBI (APBN) Berobat Jalan
557 00:00 10:29 not specified Mellitus
230612010823P000 18-08-2023 18-08-2023 Antenatal screening,
375 0001243489252 SARI DEWI P - Berobat Jalan
528 00:00 10:17 unspecified
230612010823P000 18-08-2023 18-08-2023 Non-insulin-dependent
376 0001451715963 SARIPAH P PBI (APBD) Berobat Jalan Hipertensi
533 00:00 10:25 diabetes mellitus
230612010823P000 18-08-2023 19-08-2023 Disorders of vestibular
377 0001580834024 AMINARTI P PBI (APBD) Berobat Jalan
559 00:00 10:33 function
230612010823P000 18-08-2023 19-08-2023 Non-insulin-dependent
378 0001581020469 DAHLIA P PBI (APBD) Berobat Jalan
563 00:00 10:45 diabetes mellitus
230612010823P000 18-08-2023 18-08-2023 PEKERJA Antenatal screening,
379 0001935074834 NURJANNAH P Berobat Jalan
531 00:00 10:20 MANDIRI unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

PEGAWAI
PEMERINTAH
230612010823P000 18-08-2023 18-08-2023 Adhesive capsulitis of
380 0002037546505 GUFRANUDDIN L DENGAN Rujuk Vertikal
512 00:00 09:31 shoulder
PERJANJIAN
KERJA
Hypertensive heart
230612010823P000 18-08-2023 18-08-2023
381 0002107490106 SAMBIRING MASULI L PBI (APBD) disease with (congestive) Rujuk Vertikal
511 00:00 09:19
heart failure
230612010823P000 18-08-2023 18-08-2023 Nephrotic syndrome,
382 0002111254288 GILANG ANDRIANSYAH L PBI (APBD) Rujuk Vertikal
510 00:00 07:46 unspecified
230612010823P000 18-08-2023 18-08-2023 Antenatal screening,
383 0002113215164 WINDARI SULASTRI P - Berobat Jalan
532 00:00 10:23 unspecified
230612010823P000 18-08-2023 19-08-2023 Pure
384 0002113566849 NURMALA P PBI (APBD) Berobat Jalan
560 00:00 10:38 hypercholesterolaemia
230612010823P000 18-08-2023 19-08-2023 Non-insulin-dependent
385 0002114755558 SITI AMINA P PBI (APBD) Berobat Jalan
566 00:00 10:52 diabetes mellitus
230612010823P000 18-08-2023 19-08-2023 Pure
386 0002235125867 HAMIDA P PBI (APBD) Berobat Jalan
561 00:00 10:41 hypercholesterolaemia
230612010823P000 18-08-2023 22-08-2023
387 0002407073409 SANAPIA A L PBI (APBN) Hyperkalaemia Berobat Jalan
652 00:00 10:43
230612010823P000 18-08-2023 18-08-2023 Antenatal screening,
388 0002407093694 YULIANTI P - Berobat Jalan
529 00:00 10:17 unspecified
230612010823P000 18-08-2023 19-08-2023
389 0002407158999 NOVI KURNIANINGSIH P - Abdominal and pelvic pain Berobat Jalan
562 00:00 10:43
Maternal care for known or
230612010823P000 18-08-2023 18-08-2023
390 0002463553247 SRI WINDAYANI P - suspected abnormality of Rujuk Vertikal
527 00:00 10:14
pelvic organs
230612010823P000 18-08-2023 19-08-2023
391 0002616439814 SYAFRUDDIN L - Myalgia Berobat Jalan
558 00:00 10:31
230612010823P000 18-08-2023 22-08-2023 Single spontaneous
392 0002817750284 SARI NANINGSIH P - Sembuh
590 00:00 07:47 delivery
230612010823P000 18-08-2023 22-08-2023
393 0002817789142 KHAIRIL ZUHRI L - Conjunctivitis Berobat Jalan
654 00:00 10:48
230612010823P000 18-08-2023 22-08-2023 Other disorders of lacrimal
394 0002817793315 ISMAIN A L - Berobat Jalan
653 00:00 10:46 gland
230612010823P000 18-08-2023 19-08-2023 Essential (primary)
395 0002866514578 HADIATOLAH P PBI (APBN) Berobat Jalan
565 00:00 10:49 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

PEGAWAI
PEMERINTAH
230612010823P000 18-08-2023 18-08-2023 Disturbances in tooth
396 0002909128149 HENI NUR HAFIZAH P DENGAN Berobat Jalan
514 00:00 09:41 eruption
PERJANJIAN
KERJA
230612010823P000 18-08-2023 19-08-2023
397 0003144958558 SABARIA P PBI (APBN) Myalgia Berobat Jalan
568 00:00 10:57
230612010823P000 18-08-2023 19-08-2023
398 0003542627823 KHAIRU ABDUL AZIZ L - Fever, unspecified Sembuh
554 00:00 10:09
230612010823P000 17-08-2023 19-08-2023
399 0002310818962 RAJUDDIN KARIM L - Fever, unspecified Sembuh
546 00:00 08:58
230612010823P000 17-08-2023 19-08-2023
400 0002407057918 BURHANUDDIN L PBI (APBN) Abdominal and pelvic pain Sembuh
552 00:00 09:53
230612010823P000 16-08-2023 16-08-2023
401 0000146491266 AMIR HAMZAH DM L PNS DAERAH Epilepsy, unspecified Berobat Jalan Hipertensi
505 00:00 12:22
230612010823P000 16-08-2023 16-08-2023
402 0000841197734 RAHMA WATI P - Gastritis and duodenitis Berobat Jalan
507 00:00 12:25
Cutaneous abscess,
230612010823P000 16-08-2023 16-08-2023
403 0000841761123 YAYAN AFRIANSYAH L PBI (APBN) furuncle and carbuncle of Berobat Jalan
502 00:00 12:17
limb
230612010823P000 16-08-2023 29-08-2023 Contraceptive
404 0000841870686 ERLINA P - Berobat Jalan
892 00:00 20:40 management
230612010823P000 16-08-2023 29-08-2023 Contraceptive
405 0000841893783 MASITAH P - Berobat Jalan
893 00:00 21:02 management
Non-insulin-dependent
230612010823P000 16-08-2023 16-08-2023
406 0000841918746 MUHAMMAD AMIN L PBI (APBN) diabetes mellitus without Rujuk Vertikal
508 00:00 19:44
complications
230612010823P000 16-08-2023 16-08-2023 Open wound of wrist and
407 0000841938377 MAKIOLAH L - Berobat Jalan
490 00:00 11:54 hand
230612010823P000 16-08-2023 16-08-2023
408 0000841963026 ASTRILIDIARTY P - Asthma, unspecified Rujuk Vertikal
450 00:00 08:27
230612010823P000 16-08-2023 16-08-2023 Antenatal screening,
409 0000842018905 JAWARIAH P PBI (APBN) Berobat Jalan
489 00:00 11:52 unspecified
230612010823P000 16-08-2023 16-08-2023 Nontoxic multinodular
410 0000842722334 HADIA P PBI (APBN) Rujuk Vertikal
456 00:00 09:45 goitre
230612010823P000 16-08-2023 16-08-2023 Chronic kidney disease,
411 0000843440747 SAHEMA P PBI (APBN) Rujuk Vertikal
460 00:00 10:21 stage 5
230612010823P000 16-08-2023 19-08-2023 Other specified disorders
412 0001057582686 MASDALIFAH P PBI (APBN) Sembuh
553 00:00 09:58 of muscle, shoulder
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 16-08-2023 16-08-2023 Non-insulin-dependent

413 0001103698359 SUWITO L PRAJURIT AD Berobat Jalan
504 00:00 12:20 diabetes mellitus
230612010823P000 16-08-2023 16-08-2023 Antenatal screening,
414 0001243494246 LINDA MAYA SARI P - Berobat Jalan
488 00:00 11:49 unspecified

KEPALA DESA Lumbar and other

230612010823P000 16-08-2023 18-08-2023
415 0001249996329 DEKON AHMAD L DAN PERANGKAT intervertebral disc Rujuk Vertikal
515 00:00 09:44
DESA disorders with myelopathy

230612010823P000 16-08-2023 16-08-2023 Non-insulin-dependent

416 0001250104871 M SIRAD NURDIN L - Berobat Jalan
503 00:00 12:19 diabetes mellitus
230612010823P000 16-08-2023 16-08-2023
417 0001449121252 KOMALASARI P - Nausea and vomiting Berobat Jalan
496 00:00 12:06
230612010823P000 16-08-2023 16-08-2023 Disturbances in tooth
418 0001576330266 RABIATIL P - Berobat Jalan
491 00:00 11:55 eruption
230612010823P000 16-08-2023 16-08-2023 Surveillance of
419 0001579507244 SRI ANDAWATI P - Berobat Jalan
494 00:00 12:01 contraceptive drugs
Tuberculosis of lung,
230612010823P000 16-08-2023 16-08-2023 confirmed by sputum
420 0001581020493 SAWIYAH P PBI (APBD) Berobat Jalan
506 00:00 12:23 microscopy with or without
culture
230612010823P000 16-08-2023 16-08-2023 MUHAMMAD AZKA
421 0002040050169 L PNS DAERAH Viral conjunctivitis Berobat Jalan
497 00:00 12:08 ABQORY
230612010823P000 16-08-2023 18-08-2023 Other disorders of urinary
422 0002113564735 YOHANA DENGA P - Rujuk Vertikal
525 00:00 10:08 system
230612010823P000 16-08-2023 16-08-2023 Antenatal screening,
423 0002211638714 ERNI NOFITA P PBI (APBD) Berobat Jalan
474 00:00 11:14 unspecified
Disorders of lipoprotein
230612010823P000 16-08-2023 16-08-2023
424 0002217023842 AINI JAUHARI P - metabolism and other Berobat Jalan
500 00:00 12:12
lipidaemias

KEPALA DESA
230612010823P000 16-08-2023 16-08-2023 Essential (primary)
425 0002315519504 SUBHAN JAYADI L DAN PERANGKAT Berobat Jalan
499 00:00 12:11 hypertension
DESA

230612010823P000 16-08-2023 16-08-2023

426 0002407062723 KHOLILUR RAHMAN L - Oedema, unspecified Berobat Jalan
461 00:00 10:25
Tuberculosis of lung,
230612010823P000 16-08-2023 16-08-2023 confirmed by sputum
427 0002407067739 AMINAH P PBI (APBN) Berobat Jalan
501 00:00 12:14 microscopy with or without
culture
230612010823P000 16-08-2023 16-08-2023 Pain, not elsewhere
428 0002407070823 SAFIRA ARIANTI P PBI (APBN) Berobat Jalan
475 00:00 11:16 classified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 16-08-2023 16-08-2023 Foreign body on external

429 0002407085133 RUSDIANTO L PBI (APBN) Berobat Jalan
492 00:00 11:57 eye
230612010823P000 16-08-2023 16-08-2023
430 0002778269422 ILDAN FEBRIANSYAH L PBI (APBN) Gastritis, unspecified Berobat Jalan
462 00:00 10:26
230612010823P000 16-08-2023 24-08-2023
431 0002817790637 RAHMAD BOLANG L PBI (APBN) Schizophrenia Berobat Jalan
746 00:00 09:41
230612010823P000 16-08-2023 16-08-2023 Foreign body on external
432 0002858097205 A WALID RAMDANI MS L - Rujuk Vertikal
451 00:00 08:51 eye
230612010823P000 16-08-2023 16-08-2023 NABILAH HIJRATUL
433 0002955240369 P PBI (APBD) Gingival enlargement Rujuk Vertikal
452 00:00 09:17 INSANI
230612010823P000 16-08-2023 16-08-2023
434 0003067960702 AHSAN ADYAKSA L - Chronic rhinitis Berobat Jalan
493 00:00 11:59
PEGAWAI
PEMERINTAH
230612010823P000 16-08-2023 16-08-2023 TEGAR AFIAN
435 0003109243869 L DENGAN Acute tonsillitis Berobat Jalan
498 00:00 12:09 SUPRIANTO
PERJANJIAN
KERJA
230612010823P000 16-08-2023 16-08-2023
436 0003115823894 ZAINUDDIN L PBI (APBD) Cough Berobat Jalan
473 00:00 11:12

230612010823P000 16-08-2023 16-08-2023 MUHAMMAD FAQIH Intra-abdominal and pelvic

437 0003505722322 L PBI (APBD) Berobat Jalan
495 00:00 12:04 HIDAYAT swelling, mass and lump

230612010823P000 16-08-2023 18-08-2023 MUHAMMAD RAYYAN

438 0003542420621 L - Cleft palate with cleft lip Rujuk Vertikal
530 00:00 10:18 ATAULLAH
230612010823P000 15-08-2023 15-08-2023 PENERIMA
439 0000146639812 SENING P Senile cataract Rujuk Vertikal Hipertensi
448 00:00 10:58 PENSIUN PNS
Acute upper respiratory
230612010823P000 15-08-2023 16-08-2023
440 0000146673123 AMINIATI P PNS DAERAH infections of multiple and Berobat Jalan
487 00:00 11:44
unspecified sites
230612010823P000 15-08-2023 18-08-2023
441 0000841899802 MURNIATI P PBI (APBN) Pulpitis Berobat Jalan
521 00:00 09:59
Tuberculosis of lung,
230612010823P000 15-08-2023 15-08-2023 confirmed by sputum
442 0000841918746 MUHAMMAD AMIN L PBI (APBN) Rujuk Vertikal
438 00:00 08:33 microscopy with or without
culture
230612010823P000 15-08-2023 19-08-2023
443 0000842293675 TRI TOMPO P PBI (APBN) Dyspepsia Sembuh
548 00:00 09:05
230612010823P000 15-08-2023 16-08-2023
444 0000842527901 NELI KUSUMAwATI P - Gastritis and duodenitis Berobat Jalan
479 00:00 11:24
230612010823P000 15-08-2023 16-08-2023
445 0000842598718 RAHMA P PBI (APBN) Haemoptysis Berobat Jalan
476 00:00 11:19
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Non-insulin-dependent
230612010823P000 15-08-2023 15-08-2023 diabetes mellitus with
446 0000843082299 SALMA P PBI (APBN) Rujuk Vertikal
443 00:00 08:50 peripheral circulatory
complications
230612010823P000 15-08-2023 15-08-2023 PEGAWAI Antenatal screening,
447 0001243499523 RINA ISKAYANTI P Rujuk Vertikal
449 00:00 19:07 SWASTA unspecified
230612010823P000 15-08-2023 24-08-2023 PEGAWAI Other and unspecified
448 0001575760184 JANUARSA ERIEL HAVIVI L Berobat Jalan
744 00:00 09:39 SWASTA abdominal pain
230612010823P000 15-08-2023 24-08-2023 Hyperlipidaemia,
449 0001803582764 TIA MUSTIKAWATI P - Berobat Jalan
743 00:00 09:38 unspecified
230612010823P000 15-08-2023 16-08-2023
450 0001846095096 HAIRUDDIN L PBI (APBN) Myalgia Berobat Jalan
484 00:00 11:37
230612010823P000 15-08-2023 15-08-2023 Malignant neoplasm of
451 0001900539415 SRI WAHYUNI P - Rujuk Vertikal
446 00:00 09:17 thyroid gland
230612010823P000 15-08-2023 16-08-2023 Cellulitis and abscess of
452 0001980063382 ABDUL HASIM L - Berobat Jalan
483 00:00 11:34 mouth
Non-insulin-dependent
230612010823P000 15-08-2023 15-08-2023 diabetes mellitus with
453 0002056908082 BARIATY P - Rujuk Vertikal
444 00:00 08:52 peripheral circulatory
complications
230612010823P000 15-08-2023 29-08-2023 Contraceptive
454 0002092976638 VENI MASDIAWATI P - Berobat Jalan
889 00:00 19:50 management
230612010823P000 15-08-2023 18-08-2023 Antenatal screening,
455 0002111253625 JUSTIAWATI P PBI (APBD) Berobat Jalan
518 00:00 09:53 unspecified
230612010823P000 15-08-2023 16-08-2023 GHINA YUMNA Acute upper respiratory
456 0002113883627 L PBI (APBN) Berobat Jalan
453 00:00 09:31 SALSABILA infection, unspecified
230612010823P000 15-08-2023 15-08-2023
457 0002114307325 ABDUL HAMID L - Glaucoma suspect Rujuk Vertikal
441 00:00 08:36
230612010823P000 15-08-2023 15-08-2023
458 0002114683108 BACO DEMAN L PBI (APBD) Congestive heart failure Rujuk Vertikal Hipertensi
437 00:00 08:28
230612010823P000 15-08-2023 16-08-2023
459 0002229544721 JON AHMAD L - Sciatica Berobat Jalan
485 00:00 11:39
Acute upper respiratory
230612010823P000 15-08-2023 16-08-2023
460 0002244058356 KALSUM P - infections of multiple and Berobat Jalan
480 00:00 11:26
unspecified sites
230612010823P000 15-08-2023 24-08-2023
461 0002247667266 MUHAMMAD ZAIN L PBI (APBD) Myalgia Berobat Jalan
741 00:00 09:36
230612010823P000 15-08-2023 16-08-2023
462 0002247667525 INOK P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan
482 00:00 11:31
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Acute upper respiratory

230612010823P000 15-08-2023 16-08-2023 PEGAWAI
463 0002297239211 FUJI KUSUMA ADYNATA L infections of multiple and Berobat Jalan
477 00:00 11:21 SWASTA
unspecified sites
230612010823P000 15-08-2023 15-08-2023
464 0002407067414 LIANA S P - Ectopic pregnancy Rujuk Vertikal
433 00:00 07:47
230612010823P000 15-08-2023 16-08-2023
465 0002499629038 MIMIN SUSANTI P - Low back pain Berobat Jalan
478 00:00 11:22
Non-insulin-dependent
230612010823P000 15-08-2023 15-08-2023 diabetes mellitus with
466 0002662121586 JARNI P - Rujuk Vertikal
447 00:00 10:02 peripheral circulatory
complications
230612010823P000 15-08-2023 23-08-2023
467 0002817750284 SARI NANINGSIH P - Failed induction of labour Berobat Jalan
677 00:00 09:45
230612010823P000 15-08-2023 24-08-2023 Essential (primary)
468 0002817788185 M ALI MASRANG L PBI (APBN) Berobat Jalan
742 00:00 09:37 hypertension
230612010823P000 15-08-2023 18-08-2023 Antenatal screening,
469 0002817893755 YUNI HERYANTI P - Berobat Jalan
519 00:00 09:55 unspecified
230612010823P000 15-08-2023 24-08-2023 Antenatal screening,
470 0002817910427 FEBI PEBRIANI P - Berobat Jalan
745 00:00 09:39 unspecified
230612010823P000 15-08-2023 18-08-2023 Acute upper respiratory
471 0002866517583 FAISAL L PBI (APBN) Berobat Jalan
523 00:00 10:02 infection, unspecified
230612010823P000 15-08-2023 16-08-2023
472 0002959158161 JUNITASARI P PBI (APBD) Typhoid fever Berobat Jalan
481 00:00 11:28
230612010823P000 15-08-2023 16-08-2023
473 0002959160297 MASTURI P PBI (APBD) Low back pain Berobat Jalan
486 00:00 11:41
230612010823P000 15-08-2023 15-08-2023
474 0002959165495 KHARUDDIN HA L PBI (APBD) Arthrosis, unspecified Rujuk Vertikal
445 00:00 09:15
230612010823P000 15-08-2023 15-08-2023 Ulcerative (chronic)
475 0002972195302 A RAHMAN U L - Rujuk Vertikal
435 00:00 08:20 proctitis
230612010823P000 15-08-2023 16-08-2023 Acute upper respiratory
476 0002975088914 ALFINA RAIHANA P - Berobat Jalan
454 00:00 09:35 infection, unspecified
230612010823P000 15-08-2023 18-08-2023 PEKERJA
477 0003133211679 ARDI L Pulpitis Berobat Jalan
520 00:00 09:57 MANDIRI
230612010823P000 15-08-2023 18-08-2023
478 0003297329302 LAESA P - Carpal tunnel syndrome Berobat Jalan
517 00:00 09:49
230612010823P000 15-08-2023 16-08-2023
479 0003512319096 faizah aqila kurnia P PBI (APBN) Dyspnoea Berobat Jalan
455 00:00 09:42
230612010823P000 14-08-2023 18-08-2023
480 0000146418221 NURAINI P PNS DAERAH Pulpitis Berobat Jalan
522 00:00 10:01
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 14-08-2023 14-08-2023 Diabetes Diabetes

481 0000146491795 LAHMUDDIN L - Spondylolisthesis Rujuk Vertikal
411 00:00 11:02 Mellitus Mellitus
230612010823P000 14-08-2023 14-08-2023 Postmenopausal
482 0000146491806 SRI NURWAHIDAH P - Rujuk Vertikal
410 00:00 10:59 osteoporosis
230612010823P000 14-08-2023 14-08-2023
483 0000195389649 KARTINI P - Polyp of cervix uteri Rujuk Vertikal
397 00:00 08:09
230612010823P000 14-08-2023 14-08-2023
484 0000841258708 JAWARIA P - Hearing loss, unspecified Rujuk Vertikal
404 00:00 09:16
230612010823P000 14-08-2023 16-08-2023 Foreign body on external
485 0000841768345 RAMLAH P PBI (APBN) Berobat Jalan
457 00:00 09:51 eye
230612010823P000 14-08-2023 24-08-2023 Open wound of wrist and
486 0000841938377 MAKIOLAH L - Berobat Jalan
740 00:00 09:35 hand
230612010823P000 14-08-2023 29-08-2023 Contraceptive
487 0000841956412 RATNA P - Berobat Jalan
891 00:00 20:16 management
Maternal care for known or
230612010823P000 14-08-2023 14-08-2023 ADE IRMA
488 0000842501553 P PBI (APBN) suspected abnormality of Rujuk Vertikal
406 00:00 09:48 SURYANINGSIH
pelvic organs
Chronic obstructive
230612010823P000 14-08-2023 14-08-2023 pulmonary disease with
489 0000842598718 RAHMA P PBI (APBN) Rujuk Vertikal
405 00:00 09:25 acute exacerbation,
unspecified
230612010823P000 14-08-2023 18-08-2023
490 0000842697595 MASTAMBUAN P - Low back pain Rujuk Vertikal
513 00:00 09:35
230612010823P000 14-08-2023 14-08-2023 Antenatal screening,
491 0000842765049 LILIS SUMARNI P - Rujuk Vertikal
402 00:00 08:41 unspecified
230612010823P000 14-08-2023 16-08-2023 Antenatal screening,
492 0000843138832 ANISA PUTRI P PBI (APBN) Berobat Jalan
458 00:00 09:53 unspecified
230612010823P000 14-08-2023 14-08-2023
493 0000843231712 DAMAR APRIAN SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan
427 00:00 11:45
230612010823P000 14-08-2023 14-08-2023 Disorders of refraction and
494 0000963166353 ANWAR B L PBI (APBN) Rujuk Vertikal
403 00:00 08:49 accommodation
230612010823P000 14-08-2023 14-08-2023
495 0001057409313 HASANUDDIN L - Conjunctivitis, unspecified Rujuk Vertikal
400 00:00 08:24
230612010823P000 14-08-2023 19-08-2023
496 0001057578322 SRIATI P - Abdominal and pelvic pain Sembuh
543 00:00 08:44
230612010823P000 14-08-2023 14-08-2023
497 0001057580054 HALIMAH PIRI P PBI (APBN) Senile cataract Rujuk Vertikal
408 00:00 10:29
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Tuberculosis of lung,
230612010823P000 14-08-2023 14-08-2023 confirmed by sputum
498 0001057586051 RAHMAN L PBI (APBN) Berobat Jalan
415 00:00 11:17 microscopy with or without
culture
230612010823P000 14-08-2023 14-08-2023 Non-insulin-dependent
499 0001249928223 HASANUDDIN L - Berobat Jalan
419 00:00 11:26 diabetes mellitus
230612010823P000 14-08-2023 14-08-2023
500 0001250102687 SYARAFUDDIN L - Gastritis, unspecified Berobat Jalan Hipertensi
418 00:00 11:23
230612010823P000 14-08-2023 14-08-2023
501 0001379990316 DINA OLIVIA P PBI (APBN) Amenorrhoea, unspecified Berobat Jalan
412 00:00 11:08
230612010823P000 14-08-2023 14-08-2023
502 0001438105421 MANGINDARA P PBI (APBD) Other arthrosis Rujuk Vertikal
399 00:00 08:20
230612010823P000 14-08-2023 24-08-2023
503 0001579789653 RINDA NORAHMI P PBI (APBN) Epilepsy Berobat Jalan
739 00:00 09:34
230612010823P000 14-08-2023 16-08-2023 Antenatal screening,
504 0001636139261 EMI SETIAWATI P PBI (APBD) Berobat Jalan
464 00:00 10:32 unspecified
230612010823P000 14-08-2023 16-08-2023 Antenatal screening,
505 0001892491176 LINDA SUPTIANINGSIH P - Berobat Jalan
459 00:00 10:04 unspecified
230612010823P000 14-08-2023 14-08-2023
506 0002113566849 NURMALA P PBI (APBD) Fever, unspecified Berobat Jalan
414 00:00 11:15
Abnormal findings in
230612010823P000 14-08-2023 14-08-2023
507 0002114754568 NURWAHIDAH P PBI (APBD) specimens from female Rujuk Vertikal
407 00:00 10:09
genital organs
Acute upper respiratory
230612010823P000 14-08-2023 14-08-2023
508 0002407057097 RUSMINI P - infections of multiple and Berobat Jalan
420 00:00 11:28
unspecified sites
230612010823P000 14-08-2023 16-08-2023
509 0002407066097 BAMBANG SUPARDIANTO L - Gastritis and duodenitis Berobat Jalan
472 00:00 11:11
230612010823P000 14-08-2023 14-08-2023
510 0002407067572 IKA YULIANA P PBI (APBD) Acute sinusitis Rujuk Vertikal
398 00:00 08:17
230612010823P000 14-08-2023 15-08-2023 Single spontaneous
511 0002407068922 TITIN YUSTIAWATI P - Sembuh
432 00:00 07:36 delivery
Tuberculosis of lung,
230612010823P000 14-08-2023 14-08-2023 confirmed by sputum
512 0002407097878 SARNI P - Berobat Jalan
413 00:00 11:12 microscopy with or without
culture
Insulin-dependent
230612010823P000 14-08-2023 14-08-2023 diabetes mellitus with
513 0002499628937 BESSE P PBI (APBD) Rujuk Vertikal
401 00:00 08:32 peripheral circulatory
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 14-08-2023 16-08-2023 QORIA OKTAVENI

514 0002662197693 P - Pulpitis Berobat Jalan
463 00:00 10:30 ARIESTI
230612010823P000 14-08-2023 14-08-2023
515 0002663195681 HABIBA P - Gastritis and duodenitis Berobat Jalan Hipertensi
416 00:00 11:19
230612010823P000 14-08-2023 14-08-2023
516 0002817789142 KHAIRIL ZUHRI L - Fever, unspecified Berobat Jalan
425 00:00 11:41
230612010823P000 14-08-2023 14-08-2023 Non-insulin-dependent
517 0002817792011 M YUSUF L PBI (APBN) Berobat Jalan
417 00:00 11:21 diabetes mellitus
230612010823P000 14-08-2023 14-08-2023 Benign neoplasm of brain,
518 0002847748893 NURHAYATI P PBI (APBN) Rujuk Vertikal
409 00:00 10:46 unspecified
230612010823P000 14-08-2023 14-08-2023 Routine postpartum
519 0002866513239 SADARIAH P - Berobat Jalan
428 00:00 11:47 follow-up
230612010823P000 14-08-2023 14-08-2023
520 0002866514657 DESTIYA SULASTRI P - Fever, unspecified Berobat Jalan
426 00:00 11:43
230612010823P000 14-08-2023 14-08-2023 Essential (primary)
521 0002866520619 NILAWAN P PBI (APBN) Berobat Jalan
421 00:00 11:30 hypertension
230612010823P000 14-08-2023 16-08-2023
522 0002866522836 RASIA P PBI (APBN) Gastritis, unspecified Berobat Jalan
465 00:00 10:46
Acute upper respiratory
230612010823P000 14-08-2023 24-08-2023
523 0002959163515 SIGID MIFTAKHUL FATHIR L - infections of multiple and Berobat Jalan
738 00:00 09:33
unspecified sites
Disorders related to short
230612010823P000 14-08-2023 15-08-2023 PEKERJA gestation and low birth
524 0003047458599 YUNDA ARLINA P Rujuk Vertikal
440 00:00 08:36 MANDIRI weight, not elsewhere
classified
PEGAWAI
PEMERINTAH
230612010823P000 14-08-2023 14-08-2023 Disturbances in tooth
525 0003109592531 NAFISA ARDANI P DENGAN Berobat Jalan
430 00:00 11:50 eruption
PERJANJIAN
KERJA
230612010823P000 14-08-2023 14-08-2023
526 0003276733656 milyan mahal albani L PBI (APBD) Pneumonia, unspecified Berobat Jalan
423 00:00 11:38
230612010823P000 14-08-2023 14-08-2023 Disturbances in tooth
527 0003523330282 ATSILA FITRI RAMDANI P PBI (APBD) Berobat Jalan
431 00:00 11:56 eruption
230612010823P000 14-08-2023 14-08-2023 Antenatal screening,
528 0003525901154 LINDA NOVITA ARIANI P PBI (APBD) Berobat Jalan
429 00:00 11:48 unspecified

KEPALA DESA
230612010823P000 13-08-2023 19-08-2023 Preterm labour with
529 0000146669253 NITA TRI NOVIANTI P DAN PERANGKAT Sembuh
541 00:00 08:22 preterm delivery
DESA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 13-08-2023 13-08-2023 Single spontaneous

530 0002111254751 RADIAH P PBI (APBD) Sembuh
396 00:00 14:11 delivery
230612010823P000 13-08-2023 15-08-2023
531 0002866517032 HADI MAULAH P - Hemiplegia Rujuk Vertikal
434 00:00 08:13
230612010823P000 13-08-2023 15-08-2023
532 0002956647756 NAYLA AISYA MAHERA P - Fever, unspecified Sembuh
436 00:00 08:24
230612010823P000 12-08-2023
533 08-12-2023 0000146591357 ABDUL MAULA L - Pneumonia, unspecified Berobat Jalan
387 10:12

Diarrhoea and
230612010823P000 16-08-2023
534 08-12-2023 0000146748249 ELISYAH ZULWAHIDIANA P PBI (APBD) gastroenteritis of Berobat Jalan
466 10:50
presumed infectious origin

230612010823P000 16-08-2023 Non-insulin-dependent

535 08-12-2023 0000841714817 SITI HALIMA P - Berobat Jalan
470 11:03 diabetes mellitus
230612010823P000 12-08-2023 Antenatal screening,
536 08-12-2023 0001241741676 TRI SUSILAWATI P - Berobat Jalan
380 09:36 unspecified
230612010823P000 12-08-2023 Antenatal screening,
537 08-12-2023 0001242867712 MARIATI P PBI (APBD) Rujuk Vertikal
371 09:04 unspecified

Tuberculosis complicating
230612010823P000 22-08-2023
538 08-12-2023 0001283313328 MOCH FARIS L - pregnancy, childbirth and Berobat Jalan
651 10:38
the puerperium

230612010823P000 12-08-2023
539 08-12-2023 0001314445004 MASTARI HAMZAH P - Parkinson's disease Rujuk Vertikal
368 08:25
230612010823P000 12-08-2023 Vascular dementia,
540 08-12-2023 0001325310669 SUPRATMAN L - Rujuk Vertikal
370 08:53 unspecified
230612010823P000 14-08-2023 Antenatal screening,
541 08-12-2023 0001325494912 SUMIATI P - Berobat Jalan
424 11:39 unspecified
230612010823P000 16-08-2023 Non-insulin-dependent
542 08-12-2023 0001476522549 JEMBU P PBI (APBN) Berobat Jalan
468 10:55 diabetes mellitus
230612010823P000 12-08-2023
543 08-12-2023 0001791061582 ARIFUDDIN J L PBI (APBD) Chronic kidney disease Rujuk Vertikal
391 10:24
230612010823P000 16-08-2023 Acute upper respiratory
544 08-12-2023 0001883445197 ZULKIFLI L PNS DAERAH Berobat Jalan
467 10:51 infection, unspecified
Diabetes
230612010823P000 18-08-2023 PEKERJA Non-insulin-dependent
545 08-12-2023 0002216738158 MASBAH ENDIN L Berobat Jalan Mellitus
524 10:07 MANDIRI diabetes mellitus
Hipertensi
230612010823P000 18-08-2023 Bitten or struck by dog,
546 08-12-2023 0002407063691 RAHMA P PBI (APBD) Berobat Jalan
516 09:47 Home
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 12-08-2023
547 08-12-2023 0002407070812 ROGAIYAH P PBI (APBN) Asthma, unspecified Rujuk Vertikal
369 08:44

230612010823P000 12-08-2023 Contact with and exposure

548 08-12-2023 0002750799778 ANDY NARDINATA L - Berobat Jalan
386 10:09 to communicable diseases

230612010823P000 12-08-2023 Cerebral infarction,

549 08-12-2023 0002764041107 RAHMA P PBI (APBN) Rujuk Vertikal Hipertensi Hipertensi
367 07:39 unspecified
230612010823P000 16-08-2023 Essential (primary)
550 08-12-2023 0002956555844 SYAMSIA P PBI (APBD) Berobat Jalan
469 11:01 hypertension
230612010823P000 14-08-2023 Antenatal screening,
551 08-12-2023 0002959163166 JULMIANTI P - Berobat Jalan
422 11:36 unspecified
230612010823P000 12-08-2023
552 08-12-2023 0002959305647 ABDURRAHMAN L PBI (APBD) Low back pain Rujuk Vertikal
385 09:56
230612010823P000 18-08-2023 MUHAMMAD AZLAN
553 08-12-2023 0003056395498 L - Chronic tonsillitis Berobat Jalan
526 10:10 ABINDANA
230612010823P000 12-08-2023 PEKERJA
554 08-12-2023 0003083352366 M ABDIANSYAH L Naevus, non-neoplastic Rujuk Vertikal
392 10:26 MANDIRI
230612010823P000 12-08-2023 Cutaneous abscess,
555 08-12-2023 0003150734736 SAHELA P PBI (APBN) Rujuk Vertikal
377 09:25 furuncle and carbuncle
230612010823P000 11-08-2023 Acute nasopharyngitis
556 08-11-2023 0000146511549 ABDUL AZIS L PNS DAERAH Berobat Jalan
363 10:00 [common cold]
230612010823P000 11-08-2023 PENERIMA
557 08-11-2023 0000146676655 BULGANIM L Heart failure, unspecified Rujuk Vertikal
348 09:03 PENSIUN PNS
230612010823P000 12-08-2023 Low back pain, multiple
558 08-11-2023 0000841251879 JAMALUDDIN S L PBI (APBN) Rujuk Vertikal
395 11:21 sites
230612010823P000 15-08-2023
559 08-11-2023 0000841714751 A HAMID L - Nausea and vomiting Sembuh
439 08:33
230612010823P000 11-08-2023 Essential (primary)
560 08-11-2023 0000842849177 DEWI SARTIKA P PBI (APBN) Berobat Jalan
365 10:05 hypertension
Acute upper respiratory
230612010823P000 12-08-2023
561 08-11-2023 0001277308236 AIDAN AMINUL AKRAM L PBI (APBN) infections of multiple and Berobat Jalan
384 09:52
unspecified sites
230612010823P000 11-08-2023
562 08-11-2023 0001826365151 EVA NOVIANTI P - Hemiplegia Rujuk Vertikal
345 08:36
230612010823P000 11-08-2023
563 08-11-2023 0001911886727 TIARA PUTRI P PBI (APBN) Malaise and fatigue Berobat Jalan
354 09:34

Non-insulin-dependent
230612010823P000 11-08-2023
564 08-11-2023 0002107490117 FATIMA TAYEB P - diabetes mellitus with Rujuk Vertikal
346 08:46
neurological complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Acute upper respiratory

230612010823P000 12-08-2023
565 08-11-2023 0002107882697 DITO PANJI AGUSTINO L - infections of multiple and Berobat Jalan
390 10:21
unspecified sites
230612010823P000 12-08-2023 Acute renal failure,
566 08-11-2023 0002113218718 BUNAIYAH P PBI (APBN) Berobat Jalan
374 09:17 unspecified
230612010823P000 11-08-2023 Toxic gastroenteritis and
567 08-11-2023 0002113625766 IDA OKTAVIA P - Berobat Jalan
364 10:02 colitis
230612010823P000 11-08-2023 Essential (primary)
568 08-11-2023 0002113630018 SABARIAH P - Berobat Jalan
366 10:08 hypertension
230612010823P000 12-08-2023 Essential (primary)
569 08-11-2023 0002114310879 JANARIAH P PBI (APBD) Berobat Jalan
375 09:19 hypertension
230612010823P000 15-08-2023
570 08-11-2023 0002224222547 YUMNA NADHIFA AHMAD P - Fever, unspecified Sembuh
442 08:50
230612010823P000 12-08-2023 Non-insulin-dependent
571 08-11-2023 0002407077584 RUKIAH P PBI (APBN) Berobat Jalan
379 09:32 diabetes mellitus
230612010823P000 12-08-2023 Cluster headache
572 08-11-2023 0002866512249 PAHREZA MAISYA PUTRA L PBI (APBN) Berobat Jalan
382 09:49 syndrome
230612010823P000 11-08-2023
573 08-11-2023 0002866513522 MASTAWI P PBI (APBN) Otitis externa Rujuk Vertikal
342 07:58
230612010823P000 12-08-2023 Periapical abscess without
574 08-11-2023 0002866522263 WINADIA MASWIN P - Berobat Jalan
373 09:13 sinus
230612010823P000 12-08-2023 Acute nasopharyngitis
575 08-11-2023 0002957779506 AHMAD JASUM L - Berobat Jalan
376 09:20 [common cold]

Human immunodeficiency
230612010823P000 11-08-2023 virus [HIV] disease
576 08-11-2023 0002957941528 SANDI SASTRA UTAMA L - Rujuk Vertikal
362 09:59 resulting in infectious and
parasitic diseases

230612010823P000 12-08-2023
577 08-11-2023 0002972192949 FERDIANSYAH L - Pyoderma Berobat Jalan
383 09:51
230612010823P000 11-08-2023 Other chronic obstructive
578 08-11-2023 0003256848393 NAJAMUDDIN L - Rujuk Vertikal
353 09:29 pulmonary disease
Specific developmental
230612010823P000 11-08-2023 BAGASKARA JULIAN
579 08-11-2023 0003521228591 L PBI (APBD) disorders of speech and Rujuk Vertikal
347 08:58 IMANSYAH
language
230612010823P000 10-08-2023 PENERIMA Essential (primary)
580 08-10-2023 0000146492032 MASTAWAN P Rujuk Vertikal
322 10:10 PENSIUN PNS hypertension
230612010823P000 24-08-2023 Essential (primary) Diabetes
581 08-10-2023 0000146596656 SRI HARTINI P PNS DAERAH Berobat Jalan
713 08:17 hypertension Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 11-08-2023
582 08-10-2023 0000147807584 NURTEJA P PNS DAERAH Scabies Berobat Jalan
359 09:48
230612010823P000 11-08-2023 Essential (primary)
583 08-10-2023 0000842029593 KABATIA P - Berobat Jalan
352 09:27 hypertension
230612010823P000 11-08-2023 Essential (primary)
584 08-10-2023 0000842328314 SITI HENDUN P - Berobat Jalan
358 09:47 hypertension
230612010823P000 24-08-2023
585 08-10-2023 0000842849177 DEWI SARTIKA P PBI (APBN) Myalgia Berobat Jalan
716 08:19
230612010823P000 24-08-2023 Hyperlipidaemia,
586 08-10-2023 0000843162287 NURHASANA P - Berobat Jalan
714 08:18 unspecified
230612010823P000 11-08-2023
587 08-10-2023 0001243496215 LUKMAN HAKIM L - Foreign body in ear Berobat Jalan
350 09:19
230612010823P000 10-08-2023 Antenatal screening,
588 08-10-2023 0001243533565 LILIANI P PBI (APBN) Berobat Jalan
330 11:07 unspecified
230612010823P000 24-08-2023 Hyperlipidaemia,
589 08-10-2023 0001481395724 ZUBAIDAH P - Berobat Jalan
736 09:24 unspecified
230612010823P000 24-08-2023
590 08-10-2023 0001578277539 HAERUNNISA P PBI (APBD) Gastritis, unspecified Berobat Jalan
718 08:25
230612010823P000 24-08-2023
591 08-10-2023 0001579507244 SRI ANDAWATI P - Gastritis, unspecified Berobat Jalan
735 09:23
230612010823P000 12-08-2023
592 08-10-2023 0001831421248 NURYA P PBI (APBN) Pneumonia, unspecified Berobat Jalan
393 10:50
230612010823P000 12-08-2023 RAIQAH DZIKRA
593 08-10-2023 0002073935766 P - Nausea and vomiting Berobat Jalan
388 10:17 AZZAHRA
230612010823P000 10-08-2023 Antenatal screening,
594 08-10-2023 0002108886658 YANSYAH LILINSANI P - Berobat Jalan
331 11:09 unspecified
230612010823P000 11-08-2023 Essential (primary)
595 08-10-2023 0002108887525 SAMSUDDIN USIN L - Berobat Jalan
357 09:45 hypertension
230612010823P000 10-08-2023 Essential (primary)
596 08-10-2023 0002111246392 ASIM H PORO L - Berobat Jalan
329 10:39 hypertension
230612010823P000 10-08-2023 Antenatal screening,
597 08-10-2023 0002111255469 SUPRIDAWATI P PBI (APBN) Berobat Jalan
332 11:11 unspecified
230612010823P000 24-08-2023 Essential (primary)
598 08-10-2023 0002113630018 SABARIAH P - Berobat Jalan
715 08:19 hypertension
230612010823P000 10-08-2023 Essential (primary)
599 08-10-2023 0002235125867 HAMIDA P PBI (APBD) Berobat Jalan
328 10:32 hypertension
230612010823P000 11-08-2023 Primary gonarthrosis,
600 08-10-2023 0002429254135 SITI WALI P - Berobat Jalan
361 09:52 bilateral
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 10-08-2023 Antenatal screening,

601 08-10-2023 0002469139839 JULIA ZUHRIANI P - Berobat Jalan
333 11:12 unspecified
230612010823P000 11-08-2023 Non-insulin-dependent
602 08-10-2023 0002482263325 HASMIJA P - Berobat Jalan
356 09:43 diabetes mellitus
230612010823P000 10-08-2023 Antenatal screening,
603 08-10-2023 0002508311103 RITA PEBRIANTI P - Berobat Jalan
334 11:14 unspecified
230612010823P000 10-08-2023 JOSUA FREDDYANS Fever of other and
604 08-10-2023 0002817788038 L - Berobat Jalan
336 11:18 KOFAN unknown origin
230612010823P000 10-08-2023 Senile cataract,
605 08-10-2023 0002817793113 USMAN TOLA L PBI (APBN) Rujuk Vertikal
313 07:56 unspecified
230612010823P000 10-08-2023 Antenatal screening,
606 08-10-2023 0002817794272 NURMALASARI P - Berobat Jalan
335 11:16 unspecified
230612010823P000 10-08-2023
607 08-10-2023 0002866521993 AHMAD S L PBI (APBN) Calculus in bladder Rujuk Vertikal
314 08:46
230612010823P000 10-08-2023 Fever of other and
608 08-10-2023 0002866523736 MUHAMMAD AQSA L - Berobat Jalan
337 11:20 unknown origin
Tuberculosis of lung,
230612010823P000 11-08-2023 confirmed by sputum
609 08-10-2023 0002958888958 MURSUKI L - Berobat Jalan
355 09:36 microscopy with or without
culture
230612010823P000 11-08-2023
610 08-10-2023 0002959167666 M YASIN L PBI (APBD) Mastodynia Berobat Jalan
360 09:50
230612010823P000 12-08-2023 Acute upper respiratory
611 08-10-2023 0002959306986 AHMAD MILADI L PBI (APBD) Berobat Jalan
389 10:18 infection, unspecified
Acute upper respiratory
230612010823P000 12-08-2023
612 08-10-2023 0003067960702 AHSAN ADYAKSA L - infections of multiple and Berobat Jalan
378 09:29
unspecified sites
230612010823P000 12-08-2023 PEKERJA
613 08-10-2023 0003133211679 ARDI L Pulpitis Berobat Jalan
372 09:11 MANDIRI
230612010823P000 24-08-2023
614 08-10-2023 0003150734736 SAHELA P PBI (APBN) Gastritis, unspecified Berobat Jalan
717 08:20
230612010823P000 10-08-2023
615 08-09-2023 0000146567406 NURJANNAH P - Diseases of lips Berobat Jalan
327 10:30
230612010823P000 09-08-2023 Adhesive capsulitis of
616 08-09-2023 0000146577532 ELVI UTARI P PNS DAERAH Rujuk Vertikal
303 10:13 shoulder
230612010823P000 10-08-2023 Essential (primary)
617 08-09-2023 0000146591357 ABDUL MAULA L - Berobat Jalan
326 10:25 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Chronic obstructive
230612010823P000 11-08-2023 pulmonary disease with
618 08-09-2023 0000841297825 HASBULLAH L - Berobat Jalan
351 09:22 acute exacerbation,
unspecified
Chronic obstructive
230612010823P000 12-08-2023 pulmonary disease with
619 08-09-2023 0000841297825 HASBULLAH L - Rujuk Vertikal
394 11:15 acute exacerbation,
unspecified
230612010823P000 09-08-2023 Other specified surgical
620 08-09-2023 0000841938377 MAKIOLAH L - Berobat Jalan
294 09:39 follow-up care
230612010823P000 09-08-2023
621 08-09-2023 0000841973848 ZAHRA TUN NISA P PBI (APBN) Low back pain Rujuk Vertikal
289 08:04
230612010823P000 09-08-2023 Pure
622 08-09-2023 0000841974298 SARA P - Berobat Jalan
310 10:49 hypercholesterolaemia
230612010823P000 24-08-2023 Acute nasopharyngitis
623 08-09-2023 0000842159867 YUNITASARI P PBI (APBN) Berobat Jalan
733 09:20 [common cold]
230612010823P000 24-08-2023
624 08-09-2023 0001057577286 HADIATULLAH P PBI (APBN) Sciatica Berobat Jalan
726 08:44
230612010823P000 10-08-2023
625 08-09-2023 0001057583968 ABDUL MUNIR L PBI (APBN) Oedema, unspecified Berobat Jalan
323 10:13
230612010823P000 10-08-2023
626 08-09-2023 0001243488622 EDI RAMLI L PBI (APBN) Leprosy, unspecified Berobat Jalan
320 10:05
230612010823P000 10-08-2023 PEGAWAI Non-insulin-dependent
627 08-09-2023 0001376314108 ZAINAL ARIFIN L Berobat Jalan
325 10:24 SWASTA diabetes mellitus
PEGAWAI
PEMERINTAH
230612010823P000 24-08-2023
628 08-09-2023 0001376314121 HASNA AWALIYAH P DENGAN Gastritis, unspecified Berobat Jalan
732 09:19
PERJANJIAN
KERJA
Sequelae of respiratory
230612010823P000 09-08-2023
629 08-09-2023 0001576948195 MUSA ARSYAD L PBI (APBN) and unspecified Rujuk Vertikal
297 09:47
tuberculosis
230612010823P000 09-08-2023 Disturbances in tooth
630 08-09-2023 0001882956194 RAIHAN AL AYUBI L - Rujuk Vertikal
292 09:29 eruption
230612010823P000 10-08-2023
631 08-09-2023 0002107881628 ANDI ZAINUDDIN L L - Blepharitis Berobat Jalan
324 10:22
230612010823P000 09-08-2023
632 08-09-2023 0002108418794 INDRA PURNAWAN L - Malaise and fatigue Berobat Jalan
295 09:43
230612010823P000 10-08-2023 Non-insulin-dependent Diabetes Diabetes
633 08-09-2023 0002109875681 SAFARUDIN L - Berobat Jalan
321 10:08 diabetes mellitus Mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 10-08-2023 Periapical abscess without

634 08-09-2023 0002111253671 REZA MUHAMMAD DANI L PBI (APBD) Berobat Jalan
317 09:55 sinus
230612010823P000 24-08-2023 Other and unspecified
635 08-09-2023 0002114754568 NURWAHIDAH P PBI (APBD) Berobat Jalan
725 08:43 abdominal pain
230612010823P000 24-08-2023 Hyperlipidaemia,
636 08-09-2023 0002205567382 NURFITRIADI L - Berobat Jalan
731 09:16 unspecified
230612010823P000 24-08-2023
637 08-09-2023 0002314724005 KAMSIAH P PBI (APBD) Myalgia Berobat Jalan
727 08:46
Tuberculosis of lung,
230612010823P000 16-08-2023 confirmed by sputum
638 08-09-2023 0002407064433 ARJUN RAYNALDI L PBI (APBN) Berobat Jalan
471 11:09 microscopy with or without
culture
230612010823P000 09-08-2023
639 08-09-2023 0002407067572 IKA YULIANA P PBI (APBD) Chronic conjunctivitis Berobat Jalan
311 10:51
230612010823P000 10-08-2023 Acute upper respiratory
640 08-09-2023 0002407076177 NURMA P PBI (APBN) Berobat Jalan
319 10:01 infection, unspecified

230612010823P000 24-08-2023 Allergic contact dermatitis,

641 08-09-2023 0002407662257 ARMA SATRIAWAN L - Berobat Jalan
734 09:22 unspecified cause

230612010823P000 09-08-2023 PEGAWAI Disorders of refraction and

642 08-09-2023 0002817793642 LELY RISKI APRIANTI P Rujuk Vertikal
304 10:16 SWASTA accommodation
230612010823P000 09-08-2023
643 08-09-2023 0002955725065 SAHLAN L PBI (APBD) Otitis media, unspecified Berobat Jalan
293 09:35
230612010823P000 09-08-2023
644 08-09-2023 0002972193366 ALIYA MIRANTI P PBI (APBN) Asthma Rujuk Vertikal
272 07:07
230612010823P000 10-08-2023 MUHAMMAD AZLAN Acute renal failure with
645 08-09-2023 0003056395498 L - Berobat Jalan
318 09:59 ABINDANA acute cortical necrosis
230612010823P000 09-08-2023 ALETA FAHIRAH Acute upper respiratory
646 08-09-2023 0003068530503 P PBI (APBN) Berobat Jalan
309 10:44 MUNTAZA infection, unspecified
PEGAWAI
PEMERINTAH
230612010823P000 09-08-2023 Tuberculous peripheral
647 08-09-2023 0003069279505 SALVINA GINAN NAJIAH P DENGAN Rujuk Vertikal
290 08:39 lymphadenopathy
PERJANJIAN
KERJA
230612010823P000 10-08-2023
648 08-09-2023 0003287256524 BILAL GALBI L - Pyoderma Berobat Jalan
316 09:46
230612010823P000 09-08-2023 Bronchitis, not specified as Diabetes Diabetes
649 08-08-2023 0000146491795 LAHMUDDIN L - Berobat Jalan
299 09:58 acute or chronic Mellitus Mellitus
230612010823P000 09-08-2023 Unspecified chronic
650 08-08-2023 0000146491806 SRI NURWAHIDAH P - Berobat Jalan
307 10:34 bronchitis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Non-insulin-dependent
230612010823P000 08-08-2023
651 08-08-2023 0000146681381 HASAN NAPIS L PNS DAERAH diabetes mellitus without Berobat Jalan
252 10:28
complications
230612010823P000 09-08-2023 Pure
652 08-08-2023 0000146702722 NAKIYA P - Berobat Jalan
302 10:09 hypercholesterolaemia
Insulin-dependent
230612010823P000 09-08-2023 PENERIMA diabetes mellitus with
653 08-08-2023 0000146739418 JAHRA P Rujuk Vertikal
291 08:45 PENSIUN PNS peripheral circulatory
complications
230612010823P000 24-08-2023 Antenatal screening,
654 08-08-2023 0000841159484 ESTI SUKANDANI P PBI (APBN) Berobat Jalan
723 08:40 unspecified
230612010823P000 09-08-2023 Acute nasopharyngitis
655 08-08-2023 0000842580112 ROSTINA P - Berobat Jalan
277 07:31 [common cold]
230612010823P000 09-08-2023
656 08-08-2023 0000843006969 SAHRAH P - Myalgia Berobat Jalan
279 07:33
230612010823P000 09-08-2023 Essential (primary)
657 08-08-2023 0001057580054 HALIMAH PIRI P PBI (APBN) Berobat Jalan
308 10:39 hypertension
230612010823P000 09-08-2023 Non-insulin-dependent
658 08-08-2023 0001057581911 LENGKONG P PBI (APBN) Berobat Jalan
306 10:31 diabetes mellitus
230612010823P000 09-08-2023
659 08-08-2023 0001057583968 ABDUL MUNIR L PBI (APBN) Oedema, unspecified Berobat Jalan
296 09:45
230612010823P000 08-08-2023
660 08-08-2023 0001159491115 MELANI DIASTUTI P - Dyspepsia Berobat Jalan
270 11:16

230612010823P000 08-08-2023 Other acute and transient

661 08-08-2023 0001242866441 HERI MURDIANTO L PBI (APBD) Berobat Jalan
264 10:45 psychotic disorders

Chronic obstructive
230612010823P000 08-08-2023 pulmonary disease with
662 08-08-2023 0001243490152 MASHUR L PBI (APBN) Rujuk Vertikal
237 09:46 acute exacerbation,
unspecified
Tuberculosis of lung,
230612010823P000 08-08-2023 confirmed by sputum
663 08-08-2023 0001243490681 Muhammad Pisak L PBI (APBN) Berobat Jalan
257 10:33 microscopy with or without
culture
230612010823P000 08-08-2023
664 08-08-2023 0001243490692 SUDIRMAN SY L PBI (APBN) Heart failure, unspecified Rujuk Vertikal
236 09:34

KEPALA DESA
230612010823P000 08-08-2023
665 08-08-2023 0001250104713 MANSYUR L DAN PERANGKAT Hemiplegia Rujuk Vertikal
235 09:25
DESA

230612010823P000 09-08-2023
666 08-08-2023 0001577990452 ADE MULAWARMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
298 09:50
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 09-08-2023 Essential (primary)

667 08-08-2023 0001580423128 TENDRI BI P PBI (APBD) Berobat Jalan
301 10:07 hypertension
230612010823P000 09-08-2023 Antenatal screening,
668 08-08-2023 0001581020256 NURHAYATI P - Berobat Jalan
282 07:44 unspecified
Non-insulin-dependent
230612010823P000 09-08-2023 Diabetes Diabetes
669 08-08-2023 0002079040847 MAJENAH P PBI (APBN) diabetes mellitus without Berobat Jalan
300 10:05 Mellitus Mellitus
complications
230612010823P000 08-08-2023 Antenatal screening,
670 08-08-2023 0002108886658 YANSYAH LILINSANI P - Berobat Jalan
261 10:38 unspecified
230612010823P000 09-08-2023 Antenatal screening,
671 08-08-2023 0002111254751 RADIAH P PBI (APBD) Berobat Jalan
284 07:49 unspecified
230612010823P000 09-08-2023
672 08-08-2023 0002113568572 SALEHA M AMIN P PBI (APBN) Chronic conjunctivitis Berobat Jalan
305 10:25
230612010823P000 08-08-2023 YENI SHANASTIKA Absent, scanty and rare
673 08-08-2023 0002113630029 P PBI (APBN) Rujuk Vertikal
234 09:18 AWALIA menstruation
230612010823P000 08-08-2023 Antenatal screening,
674 08-08-2023 0002114755288 ROSIANA P - Berobat Jalan
262 10:41 unspecified
230612010823P000 08-08-2023 ARABELLE ASILAH PEGAWAI Acute tonsillitis,
675 08-08-2023 0002246435302 P Berobat Jalan
269 11:14 AHMAD SWASTA unspecified
230612010823P000 08-08-2023 Antenatal screening,
676 08-08-2023 0002297240741 LENI NURUL KARIYANI P - Berobat Jalan
260 10:37 unspecified
230612010823P000 09-08-2023 Essential (primary)
677 08-08-2023 0002327287419 SUHAEMA P - Berobat Jalan
280 07:34 hypertension
230612010823P000 09-08-2023 Acute nasopharyngitis
678 08-08-2023 0002407056254 JUSMAWATI P - Berobat Jalan
285 07:52 [common cold]
230612010823P000 08-08-2023 Insulin-dependent
679 08-08-2023 0002407060473 NI KETUT SARIASIH P PBI (APBN) Rujuk Vertikal
228 07:38 diabetes mellitus
230612010823P000 24-08-2023 Antenatal screening,
680 08-08-2023 0002407067414 LIANA S P - Berobat Jalan
724 08:41 unspecified
230612010823P000 09-08-2023 PEGAWAI Antenatal screening,
681 08-08-2023 0002407073984 MUSRI NOVITASARI P Berobat Jalan
281 07:40 SWASTA unspecified
230612010823P000 09-08-2023
682 08-08-2023 0002407118319 SARUJI L - Pruritus, unspecified Berobat Jalan
275 07:28
Insulin-dependent
230612010823P000 08-08-2023 diabetes mellitus with
683 08-08-2023 0002614853215 SITI HADIJA P - Rujuk Vertikal
229 08:08 peripheral circulatory
complications
230612010823P000 08-08-2023 Other surgical follow-up
684 08-08-2023 0002663058058 SITI ALU P PBI (APBD) Berobat Jalan
267 10:51 care
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 09-08-2023
685 08-08-2023 0002767118073 SITI SARAH P - Myalgia Berobat Jalan
276 07:29
230612010823P000 08-08-2023
686 08-08-2023 0002817788128 SITI P - Schizophrenia Berobat Jalan
266 10:47
230612010823P000 24-08-2023
687 08-08-2023 0002817789489 ROSA NOVITA SARI P - Acute abdomen Berobat Jalan
722 08:39
230612010823P000 08-08-2023
688 08-08-2023 0002817792718 IRNA SAFIRA P PBI (APBN) Dyspepsia Berobat Jalan
271 11:18
230612010823P000 08-08-2023 Essential (primary)
689 08-08-2023 0002817792819 MASAKI P - Berobat Jalan
258 10:34 hypertension

230612010823P000 08-08-2023 Zoster with other nervous

690 08-08-2023 0002817793168 USMAN L PBI (APBN) Rujuk Vertikal
232 08:59 system involvement

230612010823P000 08-08-2023
691 08-08-2023 0002817794777 YUGI ARIYANSYA PUTRA L PBI (APBN) Schizophrenia Berobat Jalan
265 10:46
230612010823P000 08-08-2023
692 08-08-2023 0002817874089 SENDATI KADIR P PBI (APBN) Gastritis, unspecified Rujuk Vertikal
268 11:06
230612010823P000 09-08-2023 Other and unspecified
693 08-08-2023 0002847749444 SURYA P PBI (APBN) Berobat Jalan
278 07:32 abdominal pain
230612010823P000 08-08-2023 Essential (primary)
694 08-08-2023 0002866512633 A RAHMAN L - Berobat Jalan Hipertensi
256 10:33 hypertension
230612010823P000 08-08-2023
695 08-08-2023 0002866518257 RUSDIANA P - Dyspnoea Berobat Jalan
259 10:35
Hyperuricaemia without
230612010823P000 08-08-2023 signs of inflammatory Diabetes
696 08-08-2023 0002866518909 RAMLAH DEMENG P PBI (APBN) Berobat Jalan
255 10:32 arthritis and tophaceous Mellitus
disease
230612010823P000 08-08-2023
697 08-08-2023 0002875714841 DINI ANANDA PUTRI P PBI (APBD) Intrauterine hypoxia Berobat Jalan
263 10:43
230612010823P000 09-08-2023
698 08-08-2023 0002958883593 DWI CINTIYA P - Pulpitis Berobat Jalan
274 07:26
230612010823P000 08-08-2023
699 08-08-2023 0002959162435 LISA OKTOVIANA P PBI (APBD) Amenorrhoea, unspecified Rujuk Vertikal
230 08:26
230612010823P000 08-08-2023
700 08-08-2023 0002959305647 ABDURRAHMAN L PBI (APBD) Other spondylosis Rujuk Vertikal
231 08:38
230612010823P000 09-08-2023 Antenatal screening,
701 08-08-2023 0002959988679 SUSI SUSANTI P - Berobat Jalan
283 07:47 unspecified
230612010823P000 09-08-2023
702 08-08-2023 0003323582752 MUHAMAD FURQAN L - Pruritus, unspecified Berobat Jalan
273 07:25
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Noninfective
230612010823P000 11-08-2023
703 08-08-2023 0003533576589 muhammad raffiansyah L - gastroenteritis and colitis, Sembuh
340 07:33
unspecified
230612010823P000 08-08-2023 Essential (primary)
704 08-07-2023 0000146491277 MASUJI P - Berobat Jalan
250 10:26 hypertension
230612010823P000 07-08-2023 Cerebral infarction, Diabetes Diabetes
705 08-07-2023 0000146567733 NURMALA P PNS DAERAH Rujuk Vertikal
197 07:32 unspecified Mellitus Mellitus
Non-insulin-dependent
230612010823P000 09-08-2023 diabetes mellitus with Diabetes Diabetes
706 08-07-2023 0000146577521 SUPRYATMAN L PNS DAERAH Berobat Jalan
312 10:55 peripheral circulatory Mellitus Mellitus
complications
230612010823P000 08-08-2023
707 08-07-2023 0000146634298 RAMLAH P - Gastritis and duodenitis Berobat Jalan
243 10:08
230612010823P000 07-08-2023
708 08-07-2023 0000146758083 SUDIRMAN L PNS DAERAH Intussusception Rujuk Vertikal
195 07:24
230612010823P000 09-08-2023 General counselling and
709 08-07-2023 0000167424827 SITI BADARIA P PNS DAERAH Berobat Jalan
288 07:57 advice on contraception
Bipolar affective disorder,
230612010823P000 07-08-2023 current episode manic
710 08-07-2023 0000201402617 ROSDIANA P PNS DAERAH Rujuk Vertikal
196 07:29 without psychotic
symptoms
230612010823P000 07-08-2023 NADIRA DESWITHA
711 08-07-2023 0000207368471 P PNS DAERAH Otitis media, unspecified Berobat Jalan
227 11:27 IZZATI
230612010823P000 09-08-2023 General counselling and
712 08-07-2023 0000841605129 HAPSAH P - Berobat Jalan
287 07:56 advice on contraception
230612010823P000 07-08-2023 Thyrotoxicosis with diffuse Diabetes
713 08-07-2023 0000841814212 SULASTRI P PBI (APBN) Rujuk Vertikal
199 07:58 goitre Mellitus
230612010823P000 08-08-2023
714 08-07-2023 0000841929175 SUHRI MUHTAR L - Myalgia Berobat Jalan
245 10:12
230612010823P000 24-08-2023
715 08-07-2023 0000842292707 ELDA RUSADI P PBI (APBN) Gastritis, unspecified Berobat Jalan
720 08:36
230612010823P000 11-08-2023 Acute upper respiratory
716 08-07-2023 0000842292707 ELDA RUSADI P PBI (APBN) Sembuh
339 07:21 infection, unspecified
230612010823P000 07-08-2023 Periapical abscess with
717 08-07-2023 0000843157945 SAHABUDDIN MY L PBI (APBN) Berobat Jalan
210 10:12 sinus
230612010823P000 08-08-2023 PEGAWAI Acute nasopharyngitis
718 08-07-2023 0001057517199 IDHAM HALID L Berobat Jalan
254 10:31 SWASTA [common cold]
230612010823P000 08-08-2023 Essential (primary)
719 08-07-2023 0001057578142 NI LUH KETUT MUDARI P - Berobat Jalan
248 10:21 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Other benign neoplasm of

230612010823P000 07-08-2023
720 08-07-2023 0001243490196 JAMALUDIN NIR L PBI (APBD) connective and other soft Rujuk Vertikal
208 09:53
tissue of abdomen
230612010823P000 10-08-2023 Leiomyoma of uterus,
721 08-07-2023 0001243500557 Ferti Mayasari P PBI (APBD) Rujuk Vertikal
315 08:54 unspecified
230612010823P000 24-08-2023 PEGAWAI
722 08-07-2023 0002090394955 IDA MATIA P Gastritis, unspecified Berobat Jalan
719 08:35 SWASTA
230612010823P000 24-08-2023 Thyrotoxicosis with diffuse
723 08-07-2023 0002101610283 EVI ADE UTARI P - Berobat Jalan
721 08:37 goitre
230612010823P000 07-08-2023
724 08-07-2023 0002113568561 EDI RAMLAN L PBI (APBN) Necrosis of pulp Berobat Jalan
222 10:56
230612010823P000 08-08-2023 Essential (primary) Diabetes Diabetes
725 08-07-2023 0002113886417 SAHEMA P PBI (APBD) Berobat Jalan
251 10:28 hypertension Mellitus Mellitus
230612010823P000 08-08-2023
726 08-07-2023 0002217023842 AINI JAUHARI P - Polyarthrosis Berobat Jalan
246 10:16
230612010823P000 08-08-2023
727 08-07-2023 0002229544721 JON AHMAD L - Dorsalgia Berobat Jalan
249 10:24
230612010823P000 08-08-2023 PEKERJA
728 08-07-2023 0002237661314 A NAPIS M ALI L Chronic conjunctivitis Berobat Jalan
242 10:06 MANDIRI
230612010823P000 07-08-2023 Acute upper respiratory
729 08-07-2023 0002281462064 UNTARI PUSPITA DEWI P PBI (APBD) Berobat Jalan
223 10:58 infection, unspecified
230612010823P000 09-08-2023 Acute nasopharyngitis
730 08-07-2023 0002407070057 ISKANDAR L PBI (APBN) Berobat Jalan
286 07:54 [common cold]
230612010823P000 07-08-2023 Superficial mycosis,
731 08-07-2023 0002421954415 ELITHA RAMDHANI P - Berobat Jalan
224 11:00 unspecified
PEGAWAI
PEMERINTAH
230612010823P000 07-08-2023 Essential (primary)
732 08-07-2023 0002611155396 ROSMINI P DENGAN Berobat Jalan
226 11:24 hypertension
PERJANJIAN
KERJA
230612010823P000 08-08-2023
733 08-07-2023 0002854167625 ROGE P - Chronic conjunctivitis Berobat Jalan
253 10:29
Acute upper respiratory
230612010823P000 07-08-2023
734 08-07-2023 0002866515671 MIMO ARGAZA L PBI (APBN) infections of multiple and Berobat Jalan
221 10:52
unspecified sites
230612010823P000 07-08-2023 Disorders of refraction and
735 08-07-2023 0002866520103 ISMAIL MONTEGARSA L PBI (APBN) Rujuk Vertikal
200 08:15 accommodation
230612010823P000 08-08-2023 Contact with and exposure
736 08-07-2023 0002866524309 SAHUDDIN JAFAR L - Berobat Jalan
247 10:19 to tuberculosis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 07-08-2023
737 08-07-2023 0002866524322 IRIDWANSYAH L PBI (APBN) Gastritis, unspecified Berobat Jalan
225 11:17
230612010823P000 08-08-2023 Essential (primary)
738 08-07-2023 0002972195763 TENRI ABING P PBI (APBN) Berobat Jalan
244 10:09 hypertension
230612010823P000 07-08-2023
739 08-07-2023 0003270418446 IRFAN KHAN L - Pneumonia, unspecified Rujuk Vertikal
219 10:36
Acute upper respiratory
230612010823P000 07-08-2023 MUHAMMAD DION
740 08-07-2023 0003304872718 L PNS DAERAH infections of multiple and Berobat Jalan
201 09:19 WIBISONO
unspecified sites
230612010823P000 08-08-2023
741 08-07-2023 0003513334408 nayla naviza adeva P - Nausea and vomiting Berobat Jalan
241 10:04
230612010823P000 07-08-2023 Thyrotoxicosis with diffuse Diabetes Diabetes
742 08-07-2023 0003516193271 sulastri P PBI (APBD) Berobat Jalan
198 07:42 goitre Mellitus Mellitus
230612010823P000 07-08-2023
743 08-06-2023 0002663196401 ANUM P PBI (APBN) Wheezing Berobat Jalan
212 10:18
230612010823P000 11-08-2023
744 08-06-2023 0002770343109 ANDI WARSYAH L PBI (APBN) Fever, unspecified Sembuh
344 08:07
230612010823P000 07-08-2023
745 08-06-2023 0002866515671 MIMO ARGAZA L PBI (APBN) Abnormalities of breathing Berobat Jalan
214 10:23
Noninfective
230612010823P000 11-08-2023
746 08-06-2023 0002885781879 ELINA SAFITRI P - gastroenteritis and colitis, Sembuh
343 08:01
unspecified

KEPALA DESA
230612010823P000 07-08-2023
747 08-06-2023 0002930965389 ABDUL ARIF L DAN PERANGKAT Cough Berobat Jalan
211 10:16
DESA

230612010823P000 07-08-2023
748 08-06-2023 0003144958086 KURNIA P PBI (APBN) Nausea and vomiting Berobat Jalan
213 10:21
230612010823P000 05-08-2023 Antenatal screening,
749 08-05-2023 0000841768468 RAYSAH PUTRI JULIANA P - Berobat Jalan
181 09:27 unspecified
230612010823P000 05-08-2023
750 08-05-2023 0000841893783 MASITAH P - Migraine Berobat Jalan
190 10:42
230612010823P000 08-08-2023
751 08-05-2023 0000841894975 FATMAWATI P PBI (APBN) Dyspepsia Berobat Jalan
240 09:57
230612010823P000 22-08-2023
752 08-05-2023 0000841933653 LIPIA PUJI HAJRILIAH P PBI (APBN) Abdominal and pelvic pain Berobat Jalan
616 08:57
230612010823P000 12-08-2023 Antenatal screening,
753 08-05-2023 0000841947221 RITA SUDIARMA P - Berobat Jalan
381 09:43 unspecified
230612010823P000 07-08-2023 Non-insulin-dependent
754 08-05-2023 0000841962328 MASENA P - Berobat Jalan
203 09:30 diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 07-08-2023
755 08-05-2023 0000841965737 SULMIATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
207 09:49
230612010823P000 05-08-2023
756 08-05-2023 0000841973848 ZAHRA TUN NISA P PBI (APBN) Low back pain Rujuk Vertikal
165 08:02
230612010823P000 05-08-2023 Antenatal screening,
757 08-05-2023 0000842045253 FADILA KUSMAWATI P - Berobat Jalan
182 09:30 unspecified
230612010823P000 05-08-2023 Non-insulin-dependent
758 08-05-2023 0000873655885 ERNAWATI P PBI (APBN) Berobat Jalan
180 09:25 diabetes mellitus
230612010823P000 05-08-2023 Non-insulin-dependent
759 08-05-2023 0001057581674 SRI BANIN P PBI (APBN) Berobat Jalan
185 09:45 diabetes mellitus
230612010823P000 07-08-2023
760 08-05-2023 0001242866643 MARIA P - Dyspepsia Berobat Jalan
209 10:05
Acute upper respiratory
230612010823P000 22-08-2023
761 08-05-2023 0001242889525 LATIA P - infections of multiple and Berobat Jalan
611 08:24
unspecified sites
230612010823P000 05-08-2023 Cerebral infarction,
762 08-05-2023 0001243485415 MAKAWARU L PBI (APBN) Rujuk Vertikal
169 08:39 unspecified
230612010823P000 05-08-2023 Pure
763 08-05-2023 0001243504271 JERO WAYAN YASE P - Berobat Jalan
188 09:55 hypercholesterolaemia
Insulin-dependent
Diabetes
230612010823P000 05-08-2023 diabetes mellitus with
764 08-05-2023 0001280707266 MUHAIYAH P PBI (APBN) Rujuk Vertikal Mellitus Hipertensi
164 07:54 peripheral circulatory
Hipertensi
complications
230612010823P000 05-08-2023 PEKERJA Cerebral infarction,
765 08-05-2023 0001429729997 ABDUL KADIR L Berobat Jalan Hipertensi Hipertensi
170 08:43 MANDIRI unspecified
230612010823P000 11-08-2023
766 08-05-2023 0001831421248 NURYA P PBI (APBN) Gastritis and duodenitis Sembuh
341 07:42

KEPALA DESA
230612010823P000 05-08-2023 Tuberculous peripheral
767 08-05-2023 0002108887018 CAHAYA PUTRI SANIYAH P DAN PERANGKAT Rujuk Vertikal
172 08:52 lymphadenopathy
DESA

230612010823P000 07-08-2023
768 08-05-2023 0002114021687 HAIRUDDIN L - Asthma, unspecified Berobat Jalan
216 10:28
230612010823P000 07-08-2023 Non-insulin-dependent Diabetes Diabetes
769 08-05-2023 0002310061138 PAULINA P PBI (APBN) Berobat Jalan
202 09:25 diabetes mellitus Mellitus Mellitus
230612010823P000 08-08-2023 Other headache
770 08-05-2023 0002319610184 SAB'A HASANAH P PNS DAERAH Berobat Jalan
239 09:55 syndromes
230612010823P000 07-08-2023 Influenza due to other
771 08-05-2023 0002770531795 APRIANSYAH L - Berobat Jalan
217 10:31 identified influenza virus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

PEGAWAI
PEMERINTAH
230612010823P000 11-08-2023
772 08-05-2023 0002866513342 DIAN SYAHRAINI P DENGAN Fever, unspecified Sembuh
338 07:12
PERJANJIAN
KERJA
230612010823P000 07-08-2023
773 08-05-2023 0002866522836 RASIA P PBI (APBN) Dyspepsia Berobat Jalan
204 09:34

Diarrhoea and
230612010823P000 07-08-2023
774 08-05-2023 0002885781879 ELINA SAFITRI P - gastroenteritis of Berobat Jalan
215 10:25
presumed infectious origin

230612010823P000 08-08-2023 Acute nasopharyngitis

775 08-05-2023 0002957779506 AHMAD JASUM L - Berobat Jalan
238 09:50 [common cold]
230612010823P000 22-08-2023 Acute nasopharyngitis
776 08-05-2023 0003144958132 MUHAMMAD MARWAN L - Berobat Jalan
612 08:25 [common cold]
Acute upper respiratory
230612010823P000 07-08-2023
777 08-05-2023 0003144958931 DINDA SALSABILA P PBI (APBN) infections of multiple and Berobat Jalan
205 09:38
unspecified sites
Acute upper respiratory
230612010823P000 07-08-2023 BAYI NYONYA AENUN
778 08-05-2023 0003508721392 L PBI (APBN) infections of multiple and Berobat Jalan
206 09:42 JARIAH
unspecified sites
230612010823P000 04-08-2023 PEGAWAI
779 08-04-2023 0000146567417 SAHABUDIN L Cerebral oedema Rujuk Vertikal
095 08:33 SWASTA
230612010823P000 05-08-2023 L BERNICK ANANDA PEGAWAI
780 08-04-2023 0000197123308 L Myalgia Berobat Jalan
177 09:18 PRATAMA SWASTA
230612010823P000 04-08-2023
781 08-04-2023 0000841890172 SANTI NOPRIANTI P PBI (APBN) Necrosis of pulp Berobat Jalan
153 09:40
230612010823P000 04-08-2023 Periapical abscess without
782 08-04-2023 0000842146637 SAEPAHATUN P PBI (APBN) Berobat Jalan
155 09:41 sinus
230612010823P000 04-08-2023 Disorders of refraction and
783 08-04-2023 0000842180501 HERMANSYAH L PBI (APBN) Rujuk Vertikal
109 08:47 accommodation
230612010823P000 05-08-2023
784 08-04-2023 0000842693229 MURNI P - Fever, unspecified Sembuh
171 08:51
230612010823P000 22-08-2023 Pure
785 08-04-2023 0000842693229 MURNI P - Berobat Jalan
609 08:23 hypercholesterolaemia
230612010823P000 07-08-2023
786 08-04-2023 0000843132881 SAGIR L PBI (APBN) Cough Berobat Jalan
218 10:34
230612010823P000 22-08-2023 Hyperlipidaemia,
787 08-04-2023 0000843165933 SALATIA P PBI (APBN) Berobat Jalan
607 08:21 unspecified
230612010823P000 05-08-2023 Follicular disorder,
788 08-04-2023 0001057581854 HASAN GUNAWAN L PBI (APBN) Berobat Jalan
178 09:20 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Disorders of lipoprotein
230612010823P000 05-08-2023
789 08-04-2023 0001243488993 ABDULLAH L - metabolism and other Berobat Jalan
189 10:37
lipidaemias

KEPALA DESA Lumbar and other

230612010823P000 04-08-2023
790 08-04-2023 0001249996329 DEKON AHMAD L DAN PERANGKAT intervertebral disc Rujuk Vertikal
140 09:20
DESA disorders with myelopathy

230612010823P000 22-08-2023
791 08-04-2023 0001249996342 AHIYAT L PBI (APBD) Myalgia Berobat Jalan
610 08:23
230612010823P000 07-08-2023 Diabetes Diabetes
792 08-04-2023 0001576948206 PATIMAH P - Gastritis, unspecified Berobat Jalan
193 07:17 Mellitus Mellitus
230612010823P000 04-08-2023
793 08-04-2023 0002108894038 ASIANI P PBI (APBN) Cystocele Rujuk Vertikal
134 09:14
230612010823P000 05-08-2023 Non-insulin-dependent
794 08-04-2023 0002109879461 ROHANA P PBI (APBN) Berobat Jalan
191 10:50 diabetes mellitus
230612010823P000 04-08-2023 Antenatal screening,
795 08-04-2023 0002113215164 WINDARI SULASTRI P - Berobat Jalan
161 09:50 unspecified
Unilateral or unspecified
230612010823P000 05-08-2023
796 08-04-2023 0002114756998 SISKA NING KARLINA P PBI (APBD) inguinal hernia, without Berobat Jalan
175 09:11
obstruction or gangrene
230612010823P000 22-08-2023 Pure
797 08-04-2023 0002407071947 SULISTIANI SRI ROHAYU P - Berobat Jalan
608 08:22 hypercholesterolaemia
230612010823P000 04-08-2023
798 08-04-2023 0002635249869 RENI WULANDARI P - Abdominal and pelvic pain Berobat Jalan
150 09:38
230612010823P000 11-08-2023 Essential (primary)
799 08-04-2023 0002866514578 HADIATOLAH P PBI (APBN) Sembuh
349 09:17 hypertension
230612010823P000 07-08-2023
800 08-04-2023 0002866520755 YOPIN INTAN SEPTIANTI P - Gastritis, unspecified Berobat Jalan
220 10:44
230612010823P000 04-08-2023
801 08-04-2023 0002959308628 ADE IRAWAN L - Epistaxis Rujuk Vertikal
086 08:05
230612010823P000 04-08-2023
802 08-04-2023 0002972195302 A RAHMAN U L - Other spondylosis Rujuk Vertikal
124 09:05

Diarrhoea and
230612010823P000 05-08-2023 PEGAWAI
803 08-04-2023 0003099245681 VIRA DWI ARIYANI P gastroenteritis of Berobat Jalan
176 09:16 SWASTA
presumed infectious origin

230612010823P000 22-08-2023
804 08-03-2023 0000146634478 MUHAMMAD MT L - Myalgia Berobat Jalan
602 08:11
230612010823P000 03-08-2023 Cerebral infarction,
805 08-03-2023 0000146749509 HURNIATI P PNS DAERAH Rujuk Vertikal
067 08:27 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 04-08-2023 Antenatal screening,

806 08-03-2023 0000841275786 SAHMIN P - Berobat Jalan
131 09:10 unspecified
230612010823P000 22-08-2023
807 08-03-2023 0000841806922 HAPSAH P - Senile cataract Berobat Jalan
604 08:16
230612010823P000 04-08-2023
808 08-03-2023 0000841896022 SAHARIAH P - Peritonsillar abscess Rujuk Vertikal
130 09:10
230612010823P000 05-08-2023
809 08-03-2023 0000841933653 LIPIA PUJI HAJRILIAH P PBI (APBN) Dyspepsia Berobat Jalan
184 09:38
230612010823P000 05-08-2023 Acute nasopharyngitis
810 08-03-2023 0000842058055 M ZEIN T L PBI (APBN) Berobat Jalan
187 09:51 [common cold]
230612010823P000 04-08-2023
811 08-03-2023 0000842235524 IRA GUSTIANA P PBI (APBN) Abdominal and pelvic pain Sembuh
156 09:42
Non-insulin-dependent
230612010823P000 22-08-2023
812 08-03-2023 0000842289164 FATIMAH P - diabetes mellitus without Berobat Jalan
605 08:18
complications
230612010823P000 05-08-2023 Non-insulin-dependent Diabetes Diabetes
813 08-03-2023 0000842548961 LAWIYAH P - Berobat Jalan
183 09:35 diabetes mellitus Mellitus Mellitus

230612010823P000 22-08-2023 Allergic contact dermatitis,

814 08-03-2023 0000842580303 TYO SABRIANTO L PBI (APBN) Berobat Jalan
601 08:10 unspecified cause

230612010823P000 04-08-2023
815 08-03-2023 0000842581348 RESTANZA OKTADINATA L - Gastritis and duodenitis Berobat Jalan
084 08:01
Tuberculosis of lung,
230612010823P000 04-08-2023 confirmed by sputum
816 08-03-2023 0000842884648 SURBINI L PBI (APBN) Berobat Jalan
107 08:45 microscopy with or without
culture
230612010823P000 03-08-2023 Other and unspecified
817 08-03-2023 0000843001132 M YUSUF UNIS L PBI (APBD) Rujuk Vertikal
078 10:25 abdominal pain
230612010823P000 05-08-2023
818 08-03-2023 0000843165933 SALATIA P PBI (APBN) Abdominal and pelvic pain Sembuh
163 07:21
230612010823P000 05-08-2023 Essential (primary)
819 08-03-2023 0001057578917 HAFSA P PBI (APBN) Berobat Jalan
166 08:05 hypertension
230612010823P000 22-08-2023
820 08-03-2023 0001057583889 SAHRA WATI P PBI (APBN) Other arthrosis Berobat Jalan
606 08:20
230612010823P000 04-08-2023 MUHAMMAD DESTA AL Chronic renal failure, Diabetes
821 08-03-2023 0001057586174 L PBI (APBN) Berobat Jalan
083 07:59 VINO unspecified Mellitus
230612010823P000 05-08-2023 Non-insulin-dependent
822 08-03-2023 0001243495293 Tenri Oja P - Berobat Jalan
173 09:05 diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Severe depressive
230612010823P000 03-08-2023 PEKERJA
823 08-03-2023 0001424078818 MASNAH P episode with psychotic Rujuk Vertikal
065 08:05 MANDIRI
symptoms
Insulin-dependent
230612010823P000 03-08-2023 PEKERJA diabetes mellitus with
824 08-03-2023 0001429729997 ABDUL KADIR L Rujuk Vertikal Hipertensi Hipertensi
077 10:14 MANDIRI peripheral circulatory
complications
230612010823P000 03-08-2023 Acute subendocardial Diabetes
825 08-03-2023 0001581020829 SITI HAJAR P PBI (APBN) Rujuk Vertikal
068 08:51 myocardial infarction Mellitus
230612010823P000 05-08-2023 Acute nasopharyngitis
826 08-03-2023 0001824333974 SUHRA P - Berobat Jalan
174 09:08 [common cold]
230612010823P000 05-08-2023
827 08-03-2023 0001963568801 KHAIRUDDIN L PBI (APBN) Cellulitis Sembuh
162 07:18
230612010823P000 07-08-2023 Acute nasopharyngitis
828 08-03-2023 0002113568616 HAPSA P PBI (APBD) Berobat Jalan
192 07:16 [common cold]
Chronic obstructive
230612010823P000 03-08-2023 pulmonary disease with
829 08-03-2023 0002223877937 SYAMSUN SUHRI L - Rujuk Vertikal
070 09:00 acute exacerbation,
unspecified
230612010823P000 03-08-2023 PEKERJA Cerebral infarction,
830 08-03-2023 0002223878242 SAIJAH P Rujuk Vertikal
069 08:57 MANDIRI unspecified
230612010823P000 05-08-2023 Essential (primary)
831 08-03-2023 0002229544721 JON AHMAD L - Berobat Jalan
167 08:07 hypertension
Respiratory tuberculosis,
230612010823P000 05-08-2023
832 08-03-2023 0002239055054 AHMADI L PBI (APBD) bacteriologically and Berobat Jalan
186 09:50
histologically confirmed
230612010823P000 05-08-2023
833 08-03-2023 0002407063296 MASRI P - Pulpitis Berobat Jalan
168 08:14
230612010823P000 05-08-2023 Pure
834 08-03-2023 0002407074794 SUPARDI L PBI (APBN) Berobat Jalan
179 09:23 hypercholesterolaemia
230612010823P000 04-08-2023 ALFAN ADITYA
835 08-03-2023 0002407075064 L - Dyspnoea Berobat Jalan
160 09:45 FIRMANSYAH
230612010823P000 04-08-2023 Antenatal screening,
836 08-03-2023 0002407093694 YULIANTI P - Berobat Jalan
104 08:43 unspecified
230612010823P000 04-08-2023
837 08-03-2023 0002421954415 ELITHA RAMDHANI P - Otitis media, unspecified Berobat Jalan
088 08:13
230612010823P000 03-08-2023 PEKERJA Chronic kidney disease,
838 08-03-2023 0002449415305 RUDI HARTONO L Rujuk Vertikal
079 10:30 MANDIRI stage 5
230612010823P000 04-08-2023 Acute nasopharyngitis
839 08-03-2023 0002663531313 ZANA KIRANIA P - Berobat Jalan
082 07:54 [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 04-08-2023 Antenatal screening,

840 08-03-2023 0002817794002 RIZA ADEKAYANTI P PBI (APBN) Berobat Jalan
102 08:41 unspecified
Acute upper respiratory
230612010823P000 04-08-2023
841 08-03-2023 0002958766986 ADELIA P PBI (APBD) infections of multiple and Berobat Jalan
087 08:10
unspecified sites
230612010823P000 03-08-2023 Other specified disorders
842 08-03-2023 0002958782613 CINTA LAURA P - Rujuk Vertikal
071 09:04 of eye and adnexa
Acute upper respiratory
230612010823P000 04-08-2023
843 08-03-2023 0002959158363 DIKY NOVRIANSYAH L - infections of multiple and Berobat Jalan
081 07:50
unspecified sites
230612010823P000 04-08-2023 PEGAWAI Surveillance of
844 08-03-2023 0002972195324 DESI JUMIARTI P Berobat Jalan
080 07:45 SWASTA contraceptive drugs
230612010823P000 04-08-2023 Acute nasopharyngitis
845 08-03-2023 0002972196729 GALANG SAPUTRA L PBI (APBN) Berobat Jalan
085 08:03 [common cold]
230612010823P000 22-08-2023
846 08-03-2023 0003088656821 SAPARUDDIN L PBI (APBD) Myalgia Berobat Jalan
603 08:12
230612010823P000 03-08-2023 MUHAMMAD ADZAM AL
847 08-03-2023 0003257152424 L - Epiphora Rujuk Vertikal
074 09:24 GHIFARI
230612010823P000 03-08-2023 NOURELHUDA S. B.
848 08-03-2023 0003270413597 P - Tachycardia, unspecified Rujuk Vertikal
076 09:58 ELMANAYA
230612010823P000 03-08-2023 Chronic sinusitis,
849 08-03-2023 0003270418446 IRFAN KHAN L - Rujuk Vertikal
075 09:52 unspecified

Diarrhoea and
230612010823P000 02-08-2023
850 08-02-2023 0000146539833 JALALUDDIN L PNS PUSAT gastroenteritis of Berobat Jalan
061 11:47
presumed infectious origin

230612010823P000 02-08-2023 Essential (primary)

851 08-02-2023 0000146759556 JAWAHIR P PNS DAERAH Berobat Jalan
063 11:52 hypertension
230612010823P000 04-08-2023
852 08-02-2023 0000841889215 SADIAH P - Iron deficiency anaemia Berobat Jalan
151 09:38
230612010823P000 22-08-2023
853 08-02-2023 0000841896022 SAHARIAH P - Peritonsillar abscess Berobat Jalan
597 08:05
230612010823P000 04-08-2023
854 08-02-2023 0000841896022 SAHARIAH P - Peritonsillar abscess Sembuh
137 09:16
230612010823P000 04-08-2023
855 08-02-2023 0000841933653 LIPIA PUJI HAJRILIAH P PBI (APBN) Abdominal and pelvic pain Berobat Jalan
159 09:44

230612010823P000 04-08-2023 Allergic contact dermatitis,

856 08-02-2023 0000842073287 MARDIANA P - Berobat Jalan
148 09:31 unspecified cause
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

Chronic obstructive
230612010823P000 02-08-2023 pulmonary disease with
857 08-02-2023 0000842225501 SAHUDIN L PBI (APBN) Berobat Jalan
062 11:49 acute exacerbation,
unspecified
230612010823P000 08-08-2023 ADE IRMA
858 08-02-2023 0000842501553 P PBI (APBN) Placenta praevia Rujuk Vertikal
233 09:10 SURYANINGSIH
Respiratory tuberculosis,
230612010823P000 02-08-2023
859 08-02-2023 0000842621938 MUSTAMIN L PBI (APBN) bacteriologically and Berobat Jalan
026 09:26
histologically confirmed
230612010823P000 04-08-2023 Open wound of wrist and
860 08-02-2023 0000842832101 SIRAJUDDIN L - Berobat Jalan
157 09:43 hand
230612010823P000 02-08-2023 Acute nasopharyngitis
861 08-02-2023 0000843136659 M YASIN MT L PBI (APBN) Berobat Jalan
059 11:36 [common cold]
230612010823P000 04-08-2023
862 08-02-2023 0000843227965 ESY MARIA P PBI (APBN) Abnormalities of breathing Berobat Jalan
128 09:08
230612010823P000 04-08-2023 General counselling and
863 08-02-2023 0001057575025 AMINA P - Berobat Jalan
158 09:43 advice on contraception
230612010823P000 22-08-2023 Pure
864 08-02-2023 0001057581707 SITI SARAH P - Berobat Jalan
593 07:57 hypercholesterolaemia
230612010823P000 04-08-2023
865 08-02-2023 0001057581707 SITI SARAH P - Vertigo of central origin Sembuh
149 09:37
Noninfective
230612010823P000 04-08-2023
866 08-02-2023 0001057583889 SAHRA WATI P PBI (APBN) gastroenteritis and colitis, Sembuh
143 09:23
unspecified
230612010823P000 04-08-2023
867 08-02-2023 0001057584532 DINAYANTI P - Necrosis of pulp Berobat Jalan
152 09:39
Gastro-oesophageal reflux
230612010823P000 02-08-2023
868 08-02-2023 0001305975791 JUMRIADI L ANGGOTA POLRI disease without Berobat Jalan
056 11:29
oesophagitis
230612010823P000 04-08-2023
869 08-02-2023 0001426110467 HAMIJA P - Gastritis, unspecified Berobat Jalan
154 09:40
230612010823P000 02-08-2023 Senile cataract,
870 08-02-2023 0001476522191 MUSLIMIN L - Rujuk Vertikal
023 08:18 unspecified
230612010823P000 02-08-2023 Non-insulin-dependent Diabetes Diabetes
871 08-02-2023 0001576948206 PATIMAH P - Rujuk Vertikal
024 08:27 diabetes mellitus Mellitus Mellitus
230612010823P000 02-08-2023 Acute nasopharyngitis
872 08-02-2023 0001841403971 SRI NANA P - Berobat Jalan
058 11:33 [common cold]
230612010823P000 02-08-2023 Non-insulin-dependent Diabetes
873 08-02-2023 0001892702935 M ZAIN P L - Rujuk Vertikal
022 08:03 diabetes mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 29-08-2023 PEGAWAI Contraceptive

874 08-02-2023 0002068721908 YAYUK PUTRI OKTARANI P Berobat Jalan
890 20:02 SWASTA management
Sequelae of respiratory
230612010823P000 02-08-2023
875 08-02-2023 0002069569855 FIQRI ADRIANSYAH L PBI (APBD) and unspecified Rujuk Vertikal
025 09:18
tuberculosis
230612010823P000 02-08-2023
876 08-02-2023 0002108893239 ARDIANSYAH L PBI (APBN) Scabies Berobat Jalan
054 11:24
Acute upper respiratory
230612010823P000 22-08-2023
877 08-02-2023 0002136789898 MELYA KARLINA P PNS DAERAH infections of multiple and Berobat Jalan
595 07:59
unspecified sites
230612010823P000 22-08-2023
878 08-02-2023 0002197736436 NINI TRI ANA P PBI (APBD) Myalgia Berobat Jalan
594 07:58
230612010823P000 04-08-2023 Acute nasopharyngitis
879 08-02-2023 0002407084468 M YASIN M L - Berobat Jalan
121 08:59 [common cold]
230612010823P000 03-08-2023 Acute appendicitis,
880 08-02-2023 0002407084468 M YASIN M L - Rujuk Vertikal
072 09:13 unspecified
230612010823P000 02-08-2023
881 08-02-2023 0002423428536 DATIA P PBI (APBN) Glaucoma Rujuk Vertikal
030 09:43
Noninfective
230612010823P000 04-08-2023
882 08-02-2023 0002662744926 JIHAN SEFTIAN L - gastroenteritis and colitis, Sembuh
122 09:01
unspecified
230612010823P000 22-08-2023
883 08-02-2023 0002662744926 JIHAN SEFTIAN L - Acute tonsillitis Berobat Jalan
599 08:06
230612010823P000 02-08-2023 SAKINA JULIA
884 08-02-2023 0002766634233 P PBI (APBN) Scabies Berobat Jalan
027 09:32 NURDALIFAH
230612010823P000 04-08-2023 Open wound of wrist and
885 08-02-2023 0002817793631 ANGGI FEBRYANI P PBI (APBN) Berobat Jalan
116 08:55 hand
Acute upper respiratory
230612010823P000 04-08-2023
886 08-02-2023 0002858097205 A WALID RAMDANI MS L - infections of multiple and Berobat Jalan
118 08:56
unspecified sites
230612010823P000 02-08-2023
887 08-02-2023 0002866513353 ASMAWATI P PBI (APBN) Myalgia Berobat Jalan
064 11:55
230612010823P000 02-08-2023
888 08-02-2023 0002866518009 AVRILLYA ANJANI P - Urticaria, unspecified Berobat Jalan
055 11:27
230612010823P000 04-08-2023
889 08-02-2023 0002866524399 SITI PATIMAH P - Gastritis, unspecified Berobat Jalan
146 09:29
230612010823P000 02-08-2023
890 08-02-2023 0002932300181 VIRA AULIA P PBI (APBN) Pain in limb Berobat Jalan
051 11:11
230612010823P000 02-08-2023
891 08-02-2023 0002959158161 JUNITASARI P PBI (APBD) Asthma, unspecified Berobat Jalan
052 11:12
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 02-08-2023
892 08-02-2023 0002959308494 KABATIA P PBI (APBD) Epilepsy Berobat Jalan
060 11:43
230612010823P000 02-08-2023
893 08-02-2023 0002959354675 HASIAH P - Asthma, unspecified Berobat Jalan
028 09:39
PEGAWAI
PEMERINTAH
230612010823P000 22-08-2023 Acute nasopharyngitis
894 08-02-2023 0003109221448 NANIN SUDIAR P DENGAN Berobat Jalan
596 08:00 [common cold]
PERJANJIAN
KERJA
Non-insulin-dependent
230612010823P000 02-08-2023
895 08-02-2023 0003259029611 RIRIN YULIANA P - diabetes mellitus with Berobat Jalan
057 11:31
ketoacidosis
Acute upper respiratory
230612010823P000 02-08-2023
896 08-02-2023 0003512804995 RAFI SAPUTRA L PBI (APBD) infections of multiple and Berobat Jalan
053 11:22
unspecified sites
Noninfective
230612010823P000 04-08-2023 muhammad mumtaz
897 08-02-2023 0003539844652 L - gastroenteritis and colitis, Sembuh
147 09:30 ramdhan putra
unspecified
Non-insulin-dependent
230612010823P000 01-08-2023 Diabetes Diabetes
898 08-01-2023 0000146493944 SITI AWA P PNS DAERAH diabetes mellitus without Berobat Jalan
006 10:08 Mellitus Mellitus
complications
230612010823P000 04-08-2023 PENERIMA Effects of air pressure and
899 08-01-2023 0000146639812 SENING P Berobat Jalan Hipertensi
125 09:05 PENSIUN PNS water pressure
230612010823P000 01-08-2023 PENERIMA
900 08-01-2023 0000146643445 NURHAYATI P Myalgia Berobat Jalan
007 10:18 PENSIUN PNS
230612010823P000 02-08-2023 Non-insulin-dependent
901 08-01-2023 0000146687589 KURNIA RATU P PNS DAERAH Berobat Jalan
041 10:42 diabetes mellitus
230612010823P000 02-08-2023
902 08-01-2023 0000146729103 MUHAMAD NASIR L PNS DAERAH Asthma, unspecified Berobat Jalan
050 11:08

230612010823P000 02-08-2023 Other disorders of

903 08-01-2023 0000201402617 ROSDIANA P PNS DAERAH Berobat Jalan
032 09:50 peripheral nervous system

230612010823P000 01-08-2023 Presence of (intrauterine)

904 08-01-2023 0000514209442 WILDA RISMA P PBI (APBN) Berobat Jalan
016 11:08 contraceptive device
230612010823P000 02-08-2023
905 08-01-2023 0000841884412 ADIT ARDAYUDA L PBI (APBD) Dyspepsia Berobat Jalan
034 09:55
230612010823P000 02-08-2023 Non-insulin-dependent
906 08-01-2023 0000841918746 MUHAMMAD AMIN L PBI (APBN) Berobat Jalan
042 10:46 diabetes mellitus
230612010823P000 04-08-2023
907 08-01-2023 0000841972048 BOJONG L - Pruritus, unspecified Berobat Jalan
093 08:31
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 02-08-2023
908 08-01-2023 0000842058652 HAYATUL P - Dyspepsia Berobat Jalan
031 09:48
230612010823P000 04-08-2023
909 08-01-2023 0000842073467 SANAPIAH M YSEN L PBI (APBN) Pruritus, unspecified Berobat Jalan
092 08:29
230612010823P000 02-08-2023
910 08-01-2023 0000842192098 SAHRA P PBI (APBN) Plantar fascial fibromatosis Berobat Jalan
039 10:36
230612010823P000 01-08-2023
911 08-01-2023 0000842296127 NURHIDAYAH P - Pulpitis Berobat Jalan
009 10:49
230612010823P000 04-08-2023
912 08-01-2023 0000842523783 KHAIRUDDIN L PBI (APBN) Myalgia Berobat Jalan
136 09:16
230612010823P000 04-08-2023
913 08-01-2023 0000842596964 EKA SETIAWATI P - Iron deficiency anaemia Berobat Jalan
141 09:21
230612010823P000 04-08-2023 Acute nasopharyngitis
914 08-01-2023 0000842660976 DAFIT RIZKI PRATAMA L PBI (APBN) Berobat Jalan
139 09:19 [common cold]
230612010823P000 04-08-2023 Acute nasopharyngitis
915 08-01-2023 0000842693229 MURNI P - Berobat Jalan
091 08:28 [common cold]
Lumbar and other
230612010823P000 01-08-2023
916 08-01-2023 0000842697595 MASTAMBUAN P - intervertebral disc Rujuk Vertikal
003 09:12
disorders with myelopathy
230612010823P000 04-08-2023
917 08-01-2023 0000842734787 LAU JABIR L - Gastritis, unspecified Berobat Jalan
127 09:08
230612010823P000 04-08-2023 RESKA ADE
918 08-01-2023 0000843007105 P - Myalgia Berobat Jalan
145 09:27 PURNAMASARI
230612010823P000 04-08-2023 Essential (primary)
919 08-01-2023 0000843110684 HASBULLAH K L - Berobat Jalan Hipertensi
120 08:59 hypertension
230612010823P000 02-08-2023 Convulsions, not
920 08-01-2023 0000843192898 RENDI SAPUTRA L - Berobat Jalan
029 09:41 elsewhere classified
230612010823P000 04-08-2023
921 08-01-2023 0000843226841 MINDU P - Myalgia Berobat Jalan
119 08:58
230612010823P000 04-08-2023
922 08-01-2023 0000843258622 SAHEMA P PBI (APBN) Myalgia Berobat Jalan
112 08:51
230612010823P000 04-08-2023
923 08-01-2023 0000843263201 SUBAEDA P - Myalgia Berobat Jalan
113 08:52

230612010823P000 02-08-2023 Acute obstructive laryngitis

924 08-01-2023 0001057576577 HUDLAH P - Berobat Jalan
043 10:49 [croup] and epiglottitis

230612010823P000 04-08-2023
925 08-01-2023 0001057578917 HAFSA P PBI (APBN) Myalgia Berobat Jalan
135 09:14
230612010823P000 04-08-2023 Essential (primary)
926 08-01-2023 0001057579018 HADIMOLLAH P PBI (APBN) Berobat Jalan
133 09:13 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 02-08-2023 Non-insulin-dependent

927 08-01-2023 0001243487619 SAWARIAH P PBI (APBD) Berobat Jalan
045 10:53 diabetes mellitus
230612010823P000 04-08-2023 Other and unspecified
928 08-01-2023 0001243487709 SRI ANDRIANINGSIH P - Berobat Jalan
138 09:17 abdominal pain
230612010823P000 01-08-2023 Unspecified nonorganic
929 08-01-2023 0001243488622 EDI RAMLI L PBI (APBN) Berobat Jalan
013 10:59 psychosis
230612010823P000 04-08-2023 Acute nasopharyngitis
930 08-01-2023 0001243489015 SRI ROHAYU P PBI (APBN) Berobat Jalan
108 08:47 [common cold]
230612010823P000 22-08-2023 Hyperlipidaemia,
931 08-01-2023 0001243491186 SAHEMA P PBI (APBN) Berobat Jalan
589 07:41 unspecified
Tuberculosis of lung,
230612010823P000 22-08-2023 confirmed by sputum
932 08-01-2023 0001243491197 TAYUDDIN P PBI (APBN) Berobat Jalan
591 07:48 microscopy with or without
culture
230612010823P000 02-08-2023 Essential (primary)
933 08-01-2023 0001243502278 BURHANUDDIN L - Berobat Jalan
036 10:00 hypertension
230612010823P000 02-08-2023
934 08-01-2023 0001243503505 Salmah P PBI (APBD) Shoulder lesions Berobat Jalan
038 10:32
230612010823P000 04-08-2023
935 08-01-2023 0001249917761 KHAIRUDDIN L PBI (APBD) Myalgia Berobat Jalan
114 08:53
230612010823P000 04-08-2023 Acute nasopharyngitis
936 08-01-2023 0001576330323 KARTINIATI P - Berobat Jalan
101 08:39 [common cold]
Other and unspecified
230612010823P000 04-08-2023
937 08-01-2023 0001580422959 DESI KURNIAWATI P PBI (APBD) gastroenteritis and colitis Berobat Jalan
100 08:38
of infectious origin
Tuberculosis of lung,
230612010823P000 01-08-2023 confirmed by sputum
938 08-01-2023 0001581020493 SAWIYAH P PBI (APBD) Berobat Jalan
021 11:43 microscopy with or without
culture
230612010823P000 04-08-2023
939 08-01-2023 0001803582764 TIA MUSTIKAWATI P - Gastritis, unspecified Berobat Jalan
115 08:54
230612010823P000 02-08-2023 Disorders of tooth
940 08-01-2023 0001841403881 ABDUL WAHAB L - Berobat Jalan
046 10:57 development and eruption
230612010823P000 02-08-2023
941 08-01-2023 0001841403971 SRI NANA P - Gastritis, unspecified Berobat Jalan
047 10:59
230612010823P000 03-08-2023
942 08-01-2023 0001980063314 DELVA SRI RAMDANI P - Fever, unspecified Sembuh
073 09:23
230612010823P000 04-08-2023
943 08-01-2023 0002060004126 EVI SARAH SUSANTI P PBI (APBD) Dental caries Berobat Jalan
099 08:37
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 01-08-2023 Thyrotoxicosis,

944 08-01-2023 0002091104155 DWI MARYANTI P - Rujuk Vertikal
001 07:58 unspecified
230612010823P000 03-08-2023 ALYFATHUL
945 08-01-2023 0002107497115 L - Fever, unspecified Sembuh
066 08:26 MUHAEDDYRAH
230612010823P000 22-08-2023 ALYFATHUL
946 08-01-2023 0002107497115 L - Acute tonsillitis Berobat Jalan
588 07:41 MUHAEDDYRAH
230612010823P000 04-08-2023
947 08-01-2023 0002108893408 A GANI L PBI (APBN) Myalgia Berobat Jalan
129 09:10
230612010823P000 04-08-2023
948 08-01-2023 0002108893972 RATNA P - Iron deficiency anaemia Berobat Jalan
142 09:23
230612010823P000 02-08-2023
949 08-01-2023 0002109889168 ATIARA P PBI (APBN) Asthma, unspecified Berobat Jalan
048 11:02
230612010823P000 01-08-2023
950 08-01-2023 0002110906585 QUEENY HANJIA RIANA P - Pyoderma Berobat Jalan
012 10:55
230612010823P000 01-08-2023 Tuberculous peripheral
951 08-01-2023 0002111246616 RINA SUSILAWATI P PBI (APBN) Berobat Jalan
020 11:42 lymphadenopathy
230612010823P000 01-08-2023 Antenatal screening,
952 08-01-2023 0002111253625 JUSTIAWATI P PBI (APBD) Berobat Jalan
015 11:07 unspecified
230612010823P000 04-08-2023 Essential (primary)
953 08-01-2023 0002112599586 NURHAYATI P PBI (APBD) Berobat Jalan Hipertensi
111 08:50 hypertension
Non-insulin-dependent
230612010823P000 07-08-2023
954 08-01-2023 0002112600892 SAHRA P - diabetes mellitus without Berobat Jalan
194 07:19
complications
Non-insulin-dependent
230612010823P000 04-08-2023
955 08-01-2023 0002112600892 SAHRA P - diabetes mellitus without Berobat Jalan
090 08:27
complications
230612010823P000 01-08-2023
956 08-01-2023 0002285798343 ILHAM INDRAWAN L PBI (APBN) Pulpitis Berobat Jalan
010 10:50
Acute upper respiratory
230612010823P000 04-08-2023
957 08-01-2023 0002306991508 HASMIATI P - infections of multiple and Berobat Jalan
117 08:55
unspecified sites
Other and unspecified
230612010823P000 04-08-2023
958 08-01-2023 0002308969528 GUSTI AYU SRI APRIANI P - gastroenteritis and colitis Berobat Jalan
089 08:24
of infectious origin
230612010823P000 01-08-2023 Bitten or struck by dog,
959 08-01-2023 0002407063691 RAHMA P PBI (APBD) Berobat Jalan
011 10:52 Home
230612010823P000 02-08-2023 Non-insulin-dependent
960 08-01-2023 0002407076381 NURMA P PBI (APBD) Berobat Jalan
037 10:03 diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

KEPALA DESA
230612010823P000 02-08-2023
961 08-01-2023 0002482231689 PUTRA IRWANSYAH L DAN PERANGKAT Viral warts Berobat Jalan
035 09:57
DESA

Other and unspecified

230612010823P000 04-08-2023
962 08-01-2023 0002483186973 BADIAH P - gastroenteritis and colitis Berobat Jalan
098 08:35
of infectious origin
230612010823P000 04-08-2023 Acute nasopharyngitis
963 08-01-2023 0002663195681 HABIBA P - Berobat Jalan Hipertensi
126 09:07 [common cold]
230612010823P000 01-08-2023 Antenatal screening,
964 08-01-2023 0002743815609 IDA FARIDA P - Berobat Jalan
014 11:05 unspecified
230612010823P000 01-08-2023 Tuberculous peripheral
965 08-01-2023 0002817795172 YUSTI RINDAYANI P PBI (APBN) Berobat Jalan
018 11:40 lymphadenopathy
230612010823P000 04-08-2023
966 08-01-2023 0002854167579 ROGAIYAH P - Myalgia Berobat Jalan Hipertensi
123 09:04
230612010823P000 04-08-2023 Acute nasopharyngitis
967 08-01-2023 0002858097126 MIYFTA HULJANNAH P - Berobat Jalan
094 08:32 [common cold]
230612010823P000 04-08-2023
968 08-01-2023 0002858097205 A WALID RAMDANI MS L - Fever, unspecified Berobat Jalan
097 08:35
230612010823P000 01-08-2023 Antenatal screening,
969 08-01-2023 0002866513239 SADARIAH P - Rujuk Vertikal
004 09:50 unspecified
230612010823P000 02-08-2023 Essential (primary)
970 08-01-2023 0002866517212 SABARIAH P PBI (APBN) Berobat Jalan
044 10:52 hypertension
230612010823P000 02-08-2023 Essential (primary)
971 08-01-2023 0002866521216 BADARIA P PBI (APBN) Berobat Jalan
033 09:53 hypertension
230612010823P000 01-08-2023 Senile cataract,
972 08-01-2023 0002866521699 SITI MARIAM P PBI (APBD) Rujuk Vertikal
005 10:05 unspecified

Diarrhoea and
230612010823P000 02-08-2023 PEKERJA
973 08-01-2023 0002897529985 NITA AISYAH R P gastroenteritis of Berobat Jalan
040 10:40 MANDIRI
presumed infectious origin

230612010823P000 04-08-2023 Acute nasopharyngitis

974 08-01-2023 0002908520291 ABYAN HAFIZ ALFAREZI L - Berobat Jalan
106 08:44 [common cold]
230612010823P000 02-08-2023
975 08-01-2023 0002956646553 INDAH PUTRI FEBRIANI P PBI (APBD) Asthma, unspecified Berobat Jalan
049 11:07
230612010823P000 01-08-2023 Antenatal screening,
976 08-01-2023 0002957937412 NURUL FITRIAH P - Berobat Jalan
017 11:09 unspecified
230612010823P000 04-08-2023 General counselling and
977 08-01-2023 0002959308775 JULIANA P PBI (APBD) Berobat Jalan
096 08:33 advice on contraception
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BIMA - 2302

FKTP : Moyo Hulu - 23061201

230612010823P000 01-08-2023 Chronic renal failure,

978 08-01-2023 0002959310812 MASITA P PBI (APBD) Rujuk Vertikal
002 08:42 unspecified
Tuberculosis of lung,
230612010823P000 01-08-2023 confirmed by sputum
979 08-01-2023 0002959356093 GALU PERDANA L - Berobat Jalan
019 11:41 microscopy with or without
culture
230612010823P000 04-08-2023 Acute nasopharyngitis
980 08-01-2023 0002972194727 ELIA KUSMAWATI P - Berobat Jalan
110 08:48 [common cold]
PEGAWAI
PEMERINTAH
230612010823P000 04-08-2023
981 08-01-2023 0003001590235 SUSANTO L DENGAN Myalgia Berobat Jalan
144 09:25
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
230612010823P000 04-08-2023 Acute nasopharyngitis
982 08-01-2023 0003001590268 RESKI JUNIANSYAH L DENGAN Berobat Jalan
132 09:12 [common cold]
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH Acute upper respiratory
230612010823P000 01-08-2023
983 08-01-2023 0003122612256 NABIL PRADIPTA ALFATIH L DENGAN infections of multiple and Berobat Jalan
008 10:47
PERJANJIAN unspecified sites
KERJA
230612010823P000 04-08-2023 Antenatal screening,
984 08-01-2023 0003283462056 NOVITA SASTRIANI P - Berobat Jalan
103 08:42 unspecified
230612010823P000 04-08-2023 Acute nasopharyngitis
985 08-01-2023 0003350039714 NAIMA AHMAD P PBI (APBD) Berobat Jalan
105 08:43 [common cold]