DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA STATUS PRB PROLANIS
PULANG

1 31-01-2019 111808010119Y001169 0000084885039 SUNARTINI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
2 31-01-2019 111808010119Y001163 0000086006957 ATHAYA FAIRUZ Tsani Abdal L PNS DAERAH Otitis externa, unspecified Berobat Jalan
Faruq
3 31-01-2019 111808010119Y001186 0000086263918 HARJONO L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
4 31-01-2019 111808010119Y001170 0000553572213 WIWIK ARIYANTI P PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
5 31-01-2019 111808010119Y001158 0000602736862 SLAMET RIYAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
6 31-01-2019 111808010119Y001184 0000603851657 DJAELANI L PBI (APBN) Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous
disease
7 31-01-2019 111808010119Y001185 0000603886511 MA'RIFAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
8 31-01-2019 111808010119Y001162 0000603927156 MULUD L PBI (APBN) Dizziness and giddiness Berobat Jalan

9 31-01-2019 111808010119Y001180 0000604147724 SUTARIYANTI P PBI (APBN) Excessive, frequent and Berobat Jalan
irregular menstruation
10 31-01-2019 111808010119Y001178 0000604194434 SABILAN L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
11 31-01-2019 111808010119Y001164 0000604359009 BALGIS P PBI (APBN) Necrosis of pulp Rujuk Vertikal

12 31-01-2019 111808010119Y001172 0000604423855 CHABIB ANUARI L PBI (APBN) Impacted cerumen Berobat Jalan

13 31-01-2019 111808010119Y001168 0000604545456 SUWALDI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
14 31-01-2019 111808010119Y001173 0000604816244 IKA YANTI TULIA RAHMA P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
15 31-01-2019 111808010119Y001177 0000604853572 SIFYAN BAGUS DARMAWAN L PBI (APBN) Myalgia Berobat Jalan

16 31-01-2019 111808010119Y001160 0001027914682 YULINA P PBI (APBN) Dizziness and giddiness Berobat Jalan

17 31-01-2019 111808010119Y001166 0001267771162 MARFUAH P PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan

18 31-01-2019 111808010119Y001167 0001278069704 purwati P PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

20 31-01-2019 111808010119Y001155 0001307706074 SOEGIANTO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
21 31-01-2019 111808010119Y001159 0001432484572 HERMIN ATININGSIH P PEKERJA MANDIRI Necrosis of pulp Rujuk Vertikal Hipertensi

22 31-01-2019 111808010119Y001181 0001829687883 SUROTO, S.P L PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
23 31-01-2019 111808010119Y001182 0001829688862 SUPRIYATI L PEGAWAI SWASTA Myalgia Berobat Jalan

24 31-01-2019 111808010119Y001244 0001874413135 RIZA REZITA P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
25 31-01-2019 111808010119Y001289 0001874413135 RIZA REZITA P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
26 31-01-2019 111808010119Y001156 0001885906899 DJUWANDI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
27 31-01-2019 111808010119Y001174 0002199665799 NIKMAH P PEKERJA MANDIRI Sialoadenitis Berobat Jalan

28 31-01-2019 111808010119Y001157 0002241690535 HARYONO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
29 31-01-2019 111808010119Y001175 0002243747125 SUMARNI P PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
30 31-01-2019 111808010119Y001161 0002255605569 GRACELINA MASHEL AJENG P PEGAWAI SWASTA Other specified diseases Berobat Jalan
PRAMESTI of upper respiratory tract
31 31-01-2019 111808010119Y001183 0002322675022 SUTRISNO L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
32 31-01-2019 111808010119Y001165 0002382244659 SURATIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
33 31-01-2019 111808010119Y001208 0002382248957 DAHMI P PBI (APBN) Personal history of Berobat Jalan
contraception
34 31-01-2019 111808010119Y001171 0002438063278 SARI KURNIAWATI P PEGAWAI PEMERINTAH Myalgia Rujuk Vertikal
DENGAN PERJANJIAN
KERJA
35 31-01-2019 111808010119Y001176 0002740538979 TATAG PERWIRANTO L PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
36 31-01-2019 111808010119Y001179 0002740643976 KHOIRIYAH P PEKERJA MANDIRI Inflammatory disease of Rujuk Vertikal
cervix uteri
37 30-01-2019 111808010119Y001150 0000085958054 DAMAR PRASETYO WIBOWO L PNS DAERAH Febrile convulsions Berobat Jalan

38 30-01-2019 111808010119Y001141 0000086018455 CUCU HOJANAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
PNS diabetes mellitus without Mellitus
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

39 30-01-2019 111808010119Y001137 0000086132046 SUTIRAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
40 30-01-2019 111808010119Y001144 0000086292224 ACHMAD FIRDAUS SISWADI L PNS DAERAH Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
41 30-01-2019 111808010119Y001139 0000086325276 H. MUHAmmad MANSHUR L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
42 30-01-2019 111808010119Y001153 0000209217554 ZUHRI WAFA L PNS DAERAH Birth injury to skeleton, Berobat Jalan
unspecified
43 30-01-2019 111808010119Y001301 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
44 30-01-2019 111808010119Y001226 0000603947226 SITI SULASTRI P PBI (APBN) Personal history of Berobat Jalan
contraception
45 30-01-2019 111808010119Y001223 0000603976408 SRI LESTARI P PBI (APBN) Personal history of Berobat Jalan
contraception
46 30-01-2019 111808010119Y001215 0000604026843 HARINI P PBI (APBN) Personal history of Berobat Jalan
contraception
47 30-01-2019 111808010119Y001143 0000604087031 MURNI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
48 30-01-2019 111808010119Y001149 0000604128194 HESTI RISKI AMELIA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
49 30-01-2019 111808010119Y001148 0000604140816 DJUARNI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
50 30-01-2019 111808010119Y001154 0000604169741 DARWINATI P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
51 30-01-2019 111808010119Y001218 0000604226935 TUMINTEN P PBI (APBN) Personal history of Berobat Jalan
contraception
52 30-01-2019 111808010119Y001152 0000604388068 AKHMAD ARIFIN L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
53 30-01-2019 111808010119Y001142 0000604604643 WINDI WULANSARI P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
54 30-01-2019 111808010119Y001140 0001027901542 DJUMERI L PBI (APBN) Tinnitus Berobat Jalan Hipertensi

55 30-01-2019 111808010119Y001217 0001027921353 NUR AliFAH P PBI (APBN) Personal history of Berobat Jalan
contraception
56 30-01-2019 111808010119Y001151 0001084599022 DANA TRI SAPUTRO L PBI (APBN) Scabies Berobat Jalan

57 30-01-2019 111808010119Y001147 0001273310831 MULYONO L PEKERJA MANDIRI Heart failure, unspecified Rujuk Vertikal

58 30-01-2019 111808010119Y001135 0001327965614 SRI RAHAYU P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

59 30-01-2019 111808010119Y001146 0001729243078 NUR UBAIDIYAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
60 30-01-2019 111808010119Y001145 0001809587002 RAVA DWI NUGROHO L PEKERJA MANDIRI Febrile convulsions Berobat Jalan

61 30-01-2019 111808010119Y001138 0002048163219 ANSELMUS RENDRA PRADANA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
62 30-01-2019 111808010119Y001134 0002288828665 ALYA DEWINA MARYAM L PEKERJA MANDIRI Bronchopneumonia, Rujuk Vertikal
unspecified
63 30-01-2019 111808010119Y001216 0002382245425 ERLIS APRIYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
64 30-01-2019 111808010119Y001286 0002382248957 DAHMI P PBI (APBN) Personal history of Berobat Jalan
contraception
65 30-01-2019 111808010119Y001136 0002437964897 dhanurendra pramudya L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
66 30-01-2019 111808010119Y001214 0002473905475 SUSANTI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
67 30-01-2019 111808010119Y001130 0002482851947 RETNA UMAROH P PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

68 30-01-2019 111808010119Y001131 0002482852195 HAYFA APRILIA AZZAHRA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
69 30-01-2019 111808010119Y001128 0002611701797 SONY AHMAD L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
70 29-01-2019 111808010119Y001121 0000034067351 BIATUN P PNS PUSAT Pure Berobat Jalan
hypercholesterolaemia
71 29-01-2019 111808010119Y001081 0000036562871 ASAIFUDIN L PENERIMA PENSIUN Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
PNS after other treatment for Mellitus
other conditions
72 29-01-2019 111808010119Y001127 0000086048774 NURYADI L PNS DAERAH Moderate depressive Rujuk Vertikal
episode
73 29-01-2019 111808010119Y001078 0000086095023 HOO LAN NIO P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal Hipertensi Hipertensi
PNS after other treatment for
other conditions
74 29-01-2019 111808010119Y001100 0000086190311 ABDUL MUNIR L PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
75 29-01-2019 111808010119Y001117 0000086264065 SRI PUJI RAHAYU P PENERIMA PENSIUN Injury of plantar artery of Berobat Jalan
PNS foot
76 29-01-2019 111808010119Y001096 0000086288196 ZAENUN ARAFAH L PNS DAERAH Other and unspecified Rujuk Vertikal Diabetes Mellitus Diabetes
abdominal pain Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

77 29-01-2019 111808010119Y001111 0000603079446 LASTRIMAH P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
78 29-01-2019 111808010119Y001119 0000603134278 WAKINAH P PBI (APBN) Myalgia Berobat Jalan

79 29-01-2019 111808010119Y001236 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
80 29-01-2019 111808010119Y001296 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
81 29-01-2019 111808010119Y001133 0000603521594 MUTIRAH P PBI (APBN) Diarrhoea and Berobat Jalan Diabetes Mellitus Diabetes
gastroenteritis of Mellitus
presumed infectious origin

82 29-01-2019 111808010119Y001125 0000603521695 SOECHESTY EVI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
PRAMUDIANTO [common cold]
83 29-01-2019 111808010119Y001077 0000603533002 RUTH MURNI P PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
84 29-01-2019 111808010119Y001109 0000603704766 MINEM P PBI (APBN) Acute bronchitis Berobat Jalan

85 29-01-2019 111808010119Y001118 0000603926559 GINUK P PBI (APBN) Myalgia Berobat Jalan

86 29-01-2019 111808010119Y001271 0000603926842 ERNITA HANIFAH P PBI (APBN) Personal history of Berobat Jalan
contraception
87 29-01-2019 111808010119Y001132 0000603973923 NURIA ANISA SOLIKHA P PBI (APBN) Contusion of other and Berobat Jalan
unspecified parts of lower
leg
88 29-01-2019 111808010119Y001123 0000604204942 SUKARNI P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
89 29-01-2019 111808010119Y001112 0000604285391 SITI NURJANAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

90 29-01-2019 111808010119Y001080 0000604331864 SUWARLAN P PBI (APBN) Chronic pharyngitis Rujuk Vertikal

91 29-01-2019 111808010119Y001107 0000604499973 ZAENAH P PBI (APBN) Cough Rujuk Vertikal

92 29-01-2019 111808010119Y001116 0000605014806 KHULASSHOTUS SANIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
93 29-01-2019 111808010119Y001115 0001027897918 RIYANAH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
94 29-01-2019 111808010119Y001122 0001027900686 ENDAH SUSILOWATI P PBI (APBN) Excessive and frequent Rujuk Vertikal
menstruation with regular
cycle
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

95 29-01-2019 111808010119Y001120 0001260277391 MIEFTAKHURROHMAH P PEKERJA MANDIRI Superficial injury of head, Berobat Jalan
part unspecified
96 29-01-2019 111808010119Y001114 0001527116005 SUSANTI OKTAVIA P PBI (APBD) Myalgia Berobat Jalan

97 29-01-2019 111808010119Y001124 0001820227059 DIAN AMBARWATI P PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
98 29-01-2019 111808010119Y001104 0001823331317 HERU WALUYO L PEKERJA MANDIRI Low vision, both eyes Rujuk Vertikal

99 29-01-2019 111808010119Y001243 0001874413135 RIZA REZITA P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
100 29-01-2019 111808010119Y001288 0001874413135 RIZA REZITA P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
101 29-01-2019 111808010119Y001110 0002379916102 SASTRO WIYONO L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
102 29-01-2019 111808010119Y001113 0002438022025 LEGIYEM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
103 29-01-2019 111808010119Y001126 0002461733504 BARIYAH P PEKERJA MANDIRI Keloid scar Rujuk Vertikal

104 29-01-2019 111808010119Y001079 0002476334463 SETIYANTO L PEKERJA MANDIRI Irritability and anger Rujuk Vertikal

105 29-01-2019 111808010119Y001129 0002477891035 ATHALLAH NUR ARDIAS L PBI (APBN) Febrile convulsions Berobat Jalan
ZHAFRAN
106 28-01-2019 111808010119Y001025 0000045834456 Moh YUNUS AKER L PENERIMA PENSIUN Essential (primary) Berobat Jalan Hipertensi Hipertensi
PNS hypertension
107 28-01-2019 111808010119Y001076 0000085959595 ERRA CHRISTIANA P PNS DAERAH Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
108 28-01-2019 111808010119Y001075 0000085960181 HARTIWI P PNS DAERAH Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
109 28-01-2019 111808010119Y001034 0000085984446 DIJONO L PNS DAERAH Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Hipertensi Mellitus
Hipertensi
110 28-01-2019 111808010119Y001089 0000085998273 H. MOCH DATAM L PNS PUSAT Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
111 28-01-2019 111808010119Y001058 0000086000422 MARDIYANTO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus without
complications
112 28-01-2019 111808010119Y000980 0000086045984 MUNTHOHA L PNS PUSAT Conjunctivitis, unspecified Berobat Jalan

113 28-01-2019 111808010119Y000991 0000086058911 ROCHMIYATI P PENERIMA PENSIUN TNI Heart failure, unspecified Rujuk Vertikal
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

114 28-01-2019 111808010119Y001015 0000086065874 SUTIYAR P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
115 28-01-2019 111808010119Y001009 0000086095023 HOO LAN NIO P PENERIMA PENSIUN Essential (primary) Berobat Jalan Hipertensi Hipertensi
PNS hypertension
116 28-01-2019 111808010119Y001091 0000086190614 HARTINI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
PNS diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
117 28-01-2019 111808010119Y001045 0000086190759 EDY WINARTO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
118 28-01-2019 111808010119Y001073 0000086191154 KASINI P PENERIMA PENSIUN Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
PNS hypertension Mellitus
119 28-01-2019 111808010119Y001092 0000086191637 PARLAN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
PNS diabetes mellitus without Mellitus
complications
120 28-01-2019 111808010119Y001037 0000086192425 SUDARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
PNS hypertension Mellitus
121 28-01-2019 111808010119Y001006 0000086192605 SUKARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
122 28-01-2019 111808010119Y001022 0000086192638 SUMARIYATUN P PENERIMA PENSIUN Essential (primary) Berobat Jalan Hipertensi Hipertensi
PNS hypertension
123 28-01-2019 111808010119Y001093 0000086235052 SITI KHOLIMAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
124 28-01-2019 111808010119Y001052 0000086284844 SRI WIDARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
PNS hypertension Hipertensi Mellitus
Hipertensi
125 28-01-2019 111808010119Y001090 0000086288196 ZAENUN ARAFAH L PNS DAERAH Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
126 28-01-2019 111808010119Y001065 0000086291379 DULMIYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
PNS hypertension Mellitus
127 28-01-2019 111808010119Y000984 0000086292224 ACHMAD FIRDAUS SISWADI L PNS DAERAH Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
128 28-01-2019 111808010119Y001055 0000086292944 SUMARLIYAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
PNS diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
129 28-01-2019 111808010119Y001068 0000086303171 SOENYOTO L PENERIMA PENSIUN Follow-up examination Rujuk Vertikal Hipertensi Hipertensi
PNS after other treatment for
other conditions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

130 28-01-2019 111808010119Y001066 0000166382706 SITI HALIMAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
PNS diabetes mellitus without Mellitus
complications
131 28-01-2019 111808010119Y001004 0000167714954 SEMI BUDI RAHAYU P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
132 28-01-2019 111808010119Y001028 0000602649786 SITI FARKHINAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
133 28-01-2019 111808010119Y001026 0000603213366 QOWIYAH P PBI (APBN) Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
134 28-01-2019 111808010119Y001063 0000603462352 MARTIANA TRIYANI P PBI (APBN) Conjunctivitis Berobat Jalan

135 28-01-2019 111808010119Y000987 0000603468268 SATIYAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
136 28-01-2019 111808010119Y001085 0000603485144 SITI ZUHRIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
137 28-01-2019 111808010119Y001038 0000603521594 MUTIRAH P PBI (APBN) Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
138 28-01-2019 111808010119Y000968 0000603533002 RUTH MURNI P PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
139 28-01-2019 111808010119Y001222 0000603556929 SITI ROKHIMAH P PBI (APBN) Personal history of Berobat Jalan
contraception
140 28-01-2019 111808010119Y000982 0000603689286 ASFIYATUL RAHMAWATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

141 28-01-2019 111808010119Y001011 0000603704259 WAHUDI L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
142 28-01-2019 111808010119Y001029 0000603713834 RUMINAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
143 28-01-2019 111808010119Y000978 0000603846358 SARMINI P PBI (APBN) Constipation Berobat Jalan

144 28-01-2019 111808010119Y001219 0000603941117 SUWARNI P PBI (APBN) Personal history of Berobat Jalan
contraception
145 28-01-2019 111808010119Y000969 0000604067163 SUTIKNO L PBI (APBN) Heart failure, unspecified Rujuk Vertikal

146 28-01-2019 111808010119Y001036 0000604112409 MARIYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications
147 28-01-2019 111808010119Y001060 0000604137161 MUTASLIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

148 28-01-2019 111808010119Y000998 0000604199575 SOBIIL L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
149 28-01-2019 111808010119Y001074 0000604262226 NURCHAYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
150 28-01-2019 111808010119Y001051 0000604310567 KARTINI P PBI (APBN) Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Hipertensi Mellitus
Hipertensi
151 28-01-2019 111808010119Y000997 0000604343272 KUSNADI L PBI (APBN) Unilateral or unspecified Rujuk Vertikal
inguinal hernia, without
obstruction or gangrene
152 28-01-2019 111808010119Y001001 0000604405473 TARWIYAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
153 28-01-2019 111808010119Y001067 0000604454635 ISROWIYAH P PBI (APBN) Other specified diseases Berobat Jalan Hipertensi Hipertensi
of upper respiratory tract
154 28-01-2019 111808010119Y001012 0000604459585 ISTIKANAH L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
155 28-01-2019 111808010119Y001042 0000604489239 MUNZAEMAH P PBI (APBN) Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
156 28-01-2019 111808010119Y000992 0000604498026 KHUSNUL HIDAYAH P PBI (APBN) Chronic rhinitis Rujuk Vertikal

157 28-01-2019 111808010119Y001000 0000604533339 ISTIKAH H P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
158 28-01-2019 111808010119Y001047 0000604573514 RAYHAN AFRIGH SHABIRIN L PBI (APBN) Tinnitus Rujuk Vertikal

159 28-01-2019 111808010119Y001021 0000604733714 M KHOERUDI L PBI (APBN) Malaise and fatigue Berobat Jalan

160 28-01-2019 111808010119Y001072 0000604807751 TUYAMI P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

161 28-01-2019 111808010119Y001064 0000604807863 MUCHAMAD ZUHRI L PBI (APBN) Dizziness and giddiness Berobat Jalan

162 28-01-2019 111808010119Y000981 0000604815118 ARIFIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
163 28-01-2019 111808010119Y001030 0000604821058 AMINAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
164 28-01-2019 111808010119Y001027 0000604881729 ROMLAH P PBI (APBN) Amenorrhoea, unspecified Berobat Jalan

165 28-01-2019 111808010119Y001070 0000604883171 SUGINO ANTORO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
166 28-01-2019 111808010119Y001008 0000604883676 AHMAD HABIBURACHMAN L PBI (APBN) Follow-up examination Rujuk Vertikal
after psychotherapy
167 28-01-2019 111808010119Y001084 0000605114842 PARINTEN P PBI (APBN) Headache Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

168 28-01-2019 111808010119Y001069 0000605160268 ALDI CAHYO NUGROHO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

169 28-01-2019 111808010119Y000993 0000605259775 YATIMAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
170 28-01-2019 111808010119Y001014 0001027897569 RUKIYAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
171 28-01-2019 111808010119Y001005 0001027898032 SUPRIYADI L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
172 28-01-2019 111808010119Y001094 0001027899009 PARIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
173 28-01-2019 111808010119Y001048 0001027899191 RAHAYU P PBI (APBN) Myalgia Rujuk Vertikal

174 28-01-2019 111808010119Y001018 0001027900719 SITI FATONAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
175 28-01-2019 111808010119Y001053 0001027903173 GO SIOK HWA NIO P PBI (APBN) Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
176 28-01-2019 111808010119Y001044 0001027919564 ERNA RAHMAWATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
177 28-01-2019 111808010119Y001108 0001027920701 MUAWANAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
178 28-01-2019 111808010119Y001043 0001084451848 SUPRIYATI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
179 28-01-2019 111808010119Y000994 0001084873972 SITI ROMELAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
180 28-01-2019 111808010119Y001099 0001124033905 SITI KODRIYAH P PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

181 28-01-2019 111808010119Y001102 0001191257471 TRI WIDARTI P PEGAWAI SWASTA Myalgia Berobat Jalan

182 28-01-2019 111808010119Y000995 0001270057072 MUDRIKAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Hipertensi Mellitus
Hipertensi
183 28-01-2019 111808010119Y001039 0001272759107 MAYAWATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
184 28-01-2019 111808010119Y001024 0001279207754 KASWAndi L PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

185 28-01-2019 111808010119Y001023 0001279209071 ROMELAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
186 28-01-2019 111808010119Y001054 0001283078889 M. SAKRONI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
187 28-01-2019 111808010119Y001046 0001286648245 SUPARTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
188 28-01-2019 111808010119Y001010 0001290083174 JUWENI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
189 28-01-2019 111808010119Y001017 0001290083894 TITIK SUGIYANTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
190 28-01-2019 111808010119Y001082 0001290715198 NURFAN SUNARYO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
191 28-01-2019 111808010119Y001032 0001290718181 CHASANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
192 28-01-2019 111808010119Y001020 0001292730783 THENG TJING LIANG P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
193 28-01-2019 111808010119Y001002 0001295076058 SAPARDI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
194 28-01-2019 111808010119Y000970 0001316167942 RIMPIUSTAM L PEKERJA MANDIRI Other benign neoplasm of Rujuk Vertikal
connective and other soft
tissue, unspecified
195 28-01-2019 111808010119Y001040 0001319830964 SUDARDJO L PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Hipertensi Mellitus

196 28-01-2019 111808010119Y001049 0001388579523 NUR TIFA AKMA P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
197 28-01-2019 111808010119Y001013 0001422213704 subiyanto L PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
198 28-01-2019 111808010119Y000996 0001434253814 SARTI P PEGAWAI SWASTA Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
199 28-01-2019 111808010119Y001088 0001449374152 PARINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
200 28-01-2019 111808010119Y001033 0001697636845 Daimah L PBI (APBD) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
201 28-01-2019 111808010119Y001007 0001791490285 SAHATI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

202 28-01-2019 111808010119Y000983 0001801369541 SUWANTINAH P PEKERJA MANDIRI Acute bronchitis Berobat Jalan

203 28-01-2019 111808010119Y001087 0001819511177 SRI AMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications
204 28-01-2019 111808010119Y001062 0001820226047 RATNASARI ANGGRAENI P PEGAWAI PEMERINTAH Visual disturbance, Rujuk Vertikal
DENGAN PERJANJIAN unspecified
KERJA
205 28-01-2019 111808010119Y001097 0001850491517 SOFYAN SUNHAJI L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

206 28-01-2019 111808010119Y001035 0001874083386 SRI MARYANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
207 28-01-2019 111808010119Y001242 0001874413135 RIZA REZITA P PEGAWAI SWASTA Other intrapartum Sembuh
haemorrhage
208 28-01-2019 111808010119Y001287 0001874413135 RIZA REZITA P PEGAWAI SWASTA Other intrapartum Sembuh
haemorrhage
209 28-01-2019 111808010119Y001016 0001887142094 ROHMAWATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
210 28-01-2019 111808010119Y001041 0001894140797 tumirah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
211 28-01-2019 111808010119Y001095 0001897952692 MUHAMMAD MAFTUCH ISFANJI L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

212 28-01-2019 111808010119Y000979 0001906561901 MOHAMMAD ALVIAN AKBAR L PBI (APBD) Chronic conjunctivitis Rujuk Vertikal
ARDHANI
213 28-01-2019 111808010119Y001106 0001969277848 NAFI'AH P PEKERJA MANDIRI Myalgia Berobat Jalan

214 28-01-2019 111808010119Y001086 0002043620831 PONIJAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications
215 28-01-2019 111808010119Y001019 0002074877302 WALJINAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
216 28-01-2019 111808010119Y001003 0002077869227 MUDJIBAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
217 28-01-2019 111808010119Y001050 0002084242882 MUNTOFINAH P PEGAWAI SWASTA Benign neoplasm of other Berobat Jalan
and unspecified parts of
small intestine
218 28-01-2019 111808010119Y000986 0002085779226 TITIK SUNARTI P PEKERJA MANDIRI Unspecified chronic Rujuk Vertikal
bronchitis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

219 28-01-2019 111808010119Y001098 0002093637756 ASYFALAELA AINAYA P PEKERJA MANDIRI Other specified diseases Berobat Jalan
RACHMAD of upper respiratory tract
220 28-01-2019 111808010119Y001083 0002200585612 SULASTIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
221 28-01-2019 111808010119Y001105 0002212321206 MUNTOYIMAH P PBI (APBD) Other specified diseases Berobat Jalan
of upper respiratory tract
222 28-01-2019 111808010119Y000977 0002226750478 ARIFATUL AINI P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
223 28-01-2019 111808010119Y001031 0002289350845 MUHAMMAD GIBRAN ArgANI L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
224 28-01-2019 111808010119Y001071 0002302712987 TRI SAKTI UTAMI P PEKERJA MANDIRI Stroke, not specified as Rujuk Vertikal
haemorrhage or infarction
225 28-01-2019 111808010119Y000988 0002309416727 MULYANTO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
226 28-01-2019 111808010119Y000985 0002382243636 YULIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
227 28-01-2019 111808010119Y001059 0002425879743 subagiyah P PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
228 28-01-2019 111808010119Y000990 0002444303485 ALDIRA FAUZIA SALSABILA P PBI (APBN) Bronchopneumonia, Rujuk Vertikal
unspecified
229 28-01-2019 111808010119Y000973 0002445078701 WADIYONO L PEKERJA MANDIRI Heart failure, unspecified Rujuk Vertikal Diabetes Mellitus Diabetes
Mellitus
230 28-01-2019 111808010119Y001056 0002445765592 MUKINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
231 28-01-2019 111808010119Y000999 0002448148803 SURAHAYU P PEKERJA MANDIRI Tinnitus Rujuk Vertikal

232 28-01-2019 111808010119Y001057 0002448923949 wasis wisnu hidayat L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
233 28-01-2019 111808010119Y000989 0002463161703 RINI FITRIANA P PEKERJA MANDIRI Supervision of other Rujuk Vertikal
high-risk pregnancies
234 28-01-2019 111808010119Y001101 0002468991508 SUMARNI P PEKERJA MANDIRI Myalgia Berobat Jalan

235 28-01-2019 111808010119Y001061 0002471497648 HARSOYO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
236 28-01-2019 111808010119Y001103 0002621804635 MUHAMAD FAISHOL TSAQOFI L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

237 27-01-2019 111808010119Y001295 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
238 27-01-2019 111808010119Y001300 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
239 27-01-2019 111808010119Y001302 0000605996515 DEWI AMBARSARI P PBI (APBN) Personal history of Berobat Jalan
contraception
240 26-01-2019 111808010119Y000957 0000085968134 SUPARTONO L PENERIMA PENSIUN Examination of eyes and Rujuk Vertikal
PNS vision
241 26-01-2019 111808010119Y000960 0000086077811 SOETINI P PENERIMA PENSIUN TNI Gastritis and duodenitis Berobat Jalan

242 26-01-2019 111808010119Y001189 0000086290391 SRI HARTINI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
243 26-01-2019 111808010119Y000965 0000595157343 MUGIYONO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
244 26-01-2019 111808010119Y001299 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Other intrapartum Sembuh
haemorrhage
245 26-01-2019 111808010119Y001235 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
246 26-01-2019 111808010119Y000946 0000603471633 TRI NURJANAH P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
247 26-01-2019 111808010119Y001188 0000603495652 NGATRIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
248 26-01-2019 111808010119Y000944 0000603532877 CHIKMAH NURHASANAH P PBI (APBN) Examination of eyes and Rujuk Vertikal
vision
249 26-01-2019 111808010119Y000953 0000603975903 MAYSA PUTRI P PBI (APBN) Tension-type headache Berobat Jalan

250 26-01-2019 111808010119Y000958 0000603992261 ALFIYAH P PBI (APBN) Chronic obstructive Rujuk Vertikal
pulmonary disease,
unspecified
251 26-01-2019 111808010119Y000964 0000604006255 MISFATUN FAIZAH P PBI (APBN) Myalgia Berobat Jalan

252 26-01-2019 111808010119Y000948 0000604170088 NURUSSAMSIYAH P PBI (APBN) Pulpitis Rujuk Vertikal

253 26-01-2019 111808010119Y001190 0000604172575 JANTEN P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
254 26-01-2019 111808010119Y000961 0000604314887 SUTARTO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
255 26-01-2019 111808010119Y001232 0000605996515 DEWI AMBARSARI P PBI (APBN) Personal history of Berobat Jalan
contraception
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

256 26-01-2019 111808010119Y000962 0001027902519 IRMA APRILITA P PBI (APBN) Other headache Berobat Jalan
syndromes
257 26-01-2019 111808010119Y000975 0001267540852 ISTIKOMAH P PEKERJA MANDIRI Acute pharyngitis Berobat Jalan

258 26-01-2019 111808010119Y000955 0001282225522 PUJIANTO L PEKERJA MANDIRI Schizophrenia Berobat Jalan

259 26-01-2019 111808010119Y000976 0001293944861 IRA NURLAELA P PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan

260 26-01-2019 111808010119Y000959 0001845794362 RENDRA SETYADI L PEKERJA MANDIRI Chronic sinusitis, Rujuk Vertikal
unspecified
261 26-01-2019 111808010119Y000963 0001862488574 ARUMI ARSYFA AKIRA P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
262 26-01-2019 111808010119Y000967 0001878359084 HANA AISH SALMA P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
263 26-01-2019 111808010119Y000954 0001960372012 zahrotul khayati P PEKERJA MANDIRI Tension-type headache Berobat Jalan

264 26-01-2019 111808010119Y000949 0002091061214 MUCHAMMAD FARDAN L PEGAWAI SWASTA Follow-up examination Rujuk Vertikal
MAULANA after other treatment for
other conditions
265 26-01-2019 111808010119Y000971 0002133468459 MUHAMMAD ALFA BAIKHAQI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

266 26-01-2019 111808010119Y000974 0002203524652 MUHAMMAD ELVIN GIBRAN L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
267 26-01-2019 111808010119Y000966 0002309444267 SAWILAH P PEKERJA MANDIRI Heart failure Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
268 26-01-2019 111808010119Y000937 0002380339282 PARMIYATI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
269 26-01-2019 111808010119Y000972 0002454783693 DYLAN ZAVIER ABIZARD L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
270 26-01-2019 111808010119Y000956 0002490532323 ANISA PRAHESTI P PEKERJA MANDIRI Maternal care due to Rujuk Vertikal
uterine scar from previous
surgery
271 25-01-2019 111808010119Y000950 0000085959235 ENDANG SUBEKTI HERI P PNS DAERAH Pure Berobat Jalan
PRATIWI hypercholesterolaemia
272 25-01-2019 111808010119Y000929 0000086018455 CUCU HOJANAH P PENERIMA PENSIUN Trigger finger Rujuk Vertikal Diabetes Mellitus Diabetes
PNS Mellitus
273 25-01-2019 111808010119Y000941 0000086337257 KHANAFI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

274 25-01-2019 111808010119Y000933 0000603373599 SUWARDI L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
275 25-01-2019 111808010119Y001294 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Other intrapartum Sembuh
haemorrhage
276 25-01-2019 111808010119Y001234 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Other intrapartum Sembuh
haemorrhage
277 25-01-2019 111808010119Y000932 0000603690175 REBO IMAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
278 25-01-2019 111808010119Y000947 0000603699827 LAELA ALYA ALWAFA P PBI (APBN) Other headache Berobat Jalan
syndromes
279 25-01-2019 111808010119Y000951 0000603819999 ISLAMIYAH P PBI (APBN) Atopic dermatitis Berobat Jalan

280 25-01-2019 111808010119Y000936 0000603926559 GINUK P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
281 25-01-2019 111808010119Y000945 0000604064384 ANDI SETIYA BUDI L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
282 25-01-2019 111808010119Y000938 0000604479554 ISTIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
283 25-01-2019 111808010119Y000952 0000604806917 HARTINI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

284 25-01-2019 111808010119Y000918 0001027920969 SITI FATONAH P PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi Hipertensi
after other treatment for
other conditions
285 25-01-2019 111808010119Y000939 0001261313695 LIEM TJWAN NIO P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
286 25-01-2019 111808010119Y000919 0001275319653 SAKBANI L PEKERJA MANDIRI Residual schizophrenia Rujuk Vertikal

287 25-01-2019 111808010119Y000940 0001297195931 KRISTIANA DARMAJI P PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan

288 25-01-2019 111808010119Y000927 0001300241395 RINA FATIMAH P PEGAWAI SWASTA Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
289 25-01-2019 111808010119Y000930 0001378271733 SANTI DWI CAHYANI P PEGAWAI SWASTA Visual disturbance, Rujuk Vertikal
unspecified
290 25-01-2019 111808010119Y000935 0002037556822 yamini P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
291 25-01-2019 111808010119Y000931 0002289350845 MUHAMMAD GIBRAN ArgANI L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

292 25-01-2019 111808010119Y000920 0002295305065 NOVEMIA INDAH SARI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
293 25-01-2019 111808010119Y000942 0002317562864 WALMINIJAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi
hypertension
294 25-01-2019 111808010119Y000943 0002320207119 SUMARYONO L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
295 25-01-2019 111808010119Y000916 0002380339135 PARTIYEM P PBI (APBN) Polyneuropathy, Rujuk Vertikal
unspecified
296 25-01-2019 111808010119Y000928 0002382245177 ISLAMIYAH P PBI (APBN) Other specified headache Rujuk Vertikal
syndromes
297 25-01-2019 111808010119Y000926 0002457284679 SARMIN RAHARJO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
298 25-01-2019 111808010119Y000934 0002460513159 MUNIRI L PEKERJA MANDIRI Healthy person Berobat Jalan
accompanying sick person

299 25-01-2019 111808010119Y000917 0002497843449 SITI NURHAYATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
300 25-01-2019 111808010119Y000922 0002626075765 NUR SUSANTI P PEKERJA MANDIRI Localized swelling, mass Rujuk Vertikal
and lump, neck
301 24-01-2019 111808010119Y000896 0000084921581 ADI PERMONO SH L PNS PUSAT Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
302 24-01-2019 111808010119Y000908 0000086058134 PRAYITNO L PENERIMA PENSIUN TNI Dermatitis, unspecified Berobat Jalan

303 24-01-2019 111808010119Y000907 0000086284877 MUNHAMIR L PENERIMA PENSIUN Pain in joint, multiple sites Berobat Jalan
PNS
304 24-01-2019 111808010119Y000921 0000149243319 SITI ROFIQOH P PNS PUSAT Sciatica Berobat Jalan

305 24-01-2019 111808010119Y000894 0000166284731 MASINIK P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
306 24-01-2019 111808010119Y000924 0000602644037 PUSPARINA P PBI (APBN) Dizziness and giddiness Berobat Jalan

307 24-01-2019 111808010119Y000909 0000603578799 ISRO'IYAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
308 24-01-2019 111808010119Y000913 0000603704766 MINEM P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

309 24-01-2019 111808010119Y000904 0000603766179 MUH ZAENI L PBI (APBN) Chronic pharyngitis Rujuk Vertikal

310 24-01-2019 111808010119Y000911 0000603846358 SARMINI P PBI (APBN) Constipation Berobat Jalan

311 24-01-2019 111808010119Y000869 0000603915917 SITI MARDLIYAH P PBI (APBN) Antenatal screening, Rujuk Vertikal
unspecified
312 24-01-2019 111808010119Y000884 0000603918955 IMBUH P PBI (APBN) Tinea pedis Berobat Jalan

313 24-01-2019 111808010119Y001227 0000603947226 SITI SULASTRI P PBI (APBN) Personal history of Berobat Jalan
contraception
314 24-01-2019 111808010119Y000910 0000604001439 MUSRIFAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

315 24-01-2019 111808010119Y001304 0000604075026 ROHMI P PBI (APBN) Personal history of Berobat Jalan
contraception
316 24-01-2019 111808010119Y000876 0000604210948 SULASTRI PAE LESTARI P PBI (APBN) Migraine Berobat Jalan

317 24-01-2019 111808010119Y001303 0000604225056 budi erniyati P PBI (APBN) Personal history of Berobat Jalan
contraception
318 24-01-2019 111808010119Y000900 0000604454589 ISRO'I L PBI (APBN) Inguinal hernia Rujuk Vertikal

319 24-01-2019 111808010119Y000923 0000604841567 ZUNITA P PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

320 24-01-2019 111808010119Y000915 0000605124268 PARTIYEM P PBI (APBN) Polyneuropathy, Rujuk Vertikal
unspecified
321 24-01-2019 111808010119Y000905 0000605157423 NDURIYAH P PBI (APBN) Dyspepsia Berobat Jalan

322 24-01-2019 111808010119Y000890 0001027899573 SYUAHIDI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
323 24-01-2019 111808010119Y000870 0001328186305 ARFIYANTI P PEKERJA MANDIRI Pruritus, unspecified Rujuk Vertikal

324 24-01-2019 111808010119Y000901 0001435171252 DIDIK YEKTIYONO L PEGAWAI SWASTA Cercarial dermatitis Berobat Jalan

325 24-01-2019 111808010119Y000903 0001697636845 Daimah L PBI (APBD) Other specified diseases Berobat Jalan Hipertensi Hipertensi
of upper respiratory tract
326 24-01-2019 111808010119Y000879 0001786201514 LASIYATI P PEKERJA MANDIRI Xerosis cutis Berobat Jalan

327 24-01-2019 111808010119Y000914 0001820679322 AIRIN P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
328 24-01-2019 111808010119Y000902 0001899398147 sulastri P PEKERJA MANDIRI Dizziness and giddiness Berobat Jalan

329 24-01-2019 111808010119Y000906 0001962661779 bambang prastyo L PEKERJA MANDIRI Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
330 24-01-2019 111808010119Y000912 0002351447559 H. MUHAMMAD NURDIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

331 24-01-2019 111808010119Y000868 0002466419207 DARYONO SINGGIH L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after surgery for other
conditions
332 24-01-2019 111808010119Y000871 0002469427738 SLAMET L PEKERJA MANDIRI Observation for suspected Rujuk Vertikal
tuberculosis
333 24-01-2019 111808010119Y000925 0002621804635 MUHAMAD FAISHOL TSAQOFI L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
334 23-01-2019 111808010119Y000899 0000085998521 FITRIJAH P PENERIMA PENSIUN Other specified diseases Berobat Jalan
PNS of upper respiratory tract
335 23-01-2019 111808010119Y000862 0000086005809 SUTRISNO L PENERIMA PENSIUN Polyuria Rujuk Vertikal
PNS
336 23-01-2019 111808010119Y000860 0000086059225 SARMIYAH P PENERIMA PENSIUN TNI Thyrotoxicosis, Rujuk Vertikal
unspecified
337 23-01-2019 111808010119Y000892 0000086112977 PANTORO L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
338 23-01-2019 111808010119Y000843 0000086190276 RUSMIYATI P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal Hipertensi
PNS after other treatment for
other conditions
339 23-01-2019 111808010119Y000859 0000204865233 SAPARI L PNS DAERAH Chest pain, unspecified Rujuk Vertikal

340 23-01-2019 111808010119Y000873 0000603676473 MOERTAWI L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
341 23-01-2019 111808010119Y000898 0000603699186 WARTIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
342 23-01-2019 111808010119Y000885 0000603723565 HERU MASRIFAH L PBI (APBN) Dizziness and giddiness Berobat Jalan

343 23-01-2019 111808010119Y000863 0000603921352 MA'AN SIROH MUKMINAH P PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
344 23-01-2019 111808010119Y000866 0000603982168 ANA YULIANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
345 23-01-2019 111808010119Y001233 0000603983057 KRISWANTO L PBI (APBN) Personal history of Berobat Jalan
contraception
346 23-01-2019 111808010119Y001261 0000604075026 ROHMI P PBI (APBN) Personal history of Berobat Jalan
contraception
347 23-01-2019 111808010119Y000865 0000604077524 WIWIK P PBI (APBN) Presence of (intrauterine) Rujuk Vertikal
contraceptive device
348 23-01-2019 111808010119Y000889 0000604169695 MOTIVA REJUNOVIC LILO P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
349 23-01-2019 111808010119Y000882 0000604170415 MUZAYANAH P PBI (APBN) Dizziness and giddiness Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

350 23-01-2019 111808010119Y000848 0000604171888 NOVI ARIYANTI P PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
351 23-01-2019 111808010119Y000897 0000604180956 SUDARNO L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
352 23-01-2019 111808010119Y001260 0000604225056 budi erniyati P PBI (APBN) Personal history of Berobat Jalan
contraception
353 23-01-2019 111808010119Y000891 0000604394774 SARDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

354 23-01-2019 111808010119Y000888 0000604397518 CAHYA WIDYA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
355 23-01-2019 111808010119Y000875 0000604494369 AFWA ROJAUNA P PBI (APBN) Impacted cerumen Berobat Jalan

356 23-01-2019 111808010119Y000867 0000604815118 ARIFIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
357 23-01-2019 111808010119Y000880 0000605184669 ROMIYATI P PBI (APBN) Low back pain Berobat Jalan

358 23-01-2019 111808010119Y000856 0001027897751 JOKO SUWONDO L PBI (APBN) Angina pectoris Rujuk Vertikal

359 23-01-2019 111808010119Y000893 0001270057072 MUDRIKAH P PEKERJA MANDIRI Chest pain, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Hipertensi Mellitus
Hipertensi
360 23-01-2019 111808010119Y000861 0001290084546 MUHAMMAD HILMY NASYWAWI L PEKERJA MANDIRI Severe depressive Rujuk Vertikal
episode with psychotic
symptoms
361 23-01-2019 111808010119Y000846 0001381073545 RANI AKROMAWATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
362 23-01-2019 111808010119Y000877 0001441638933 RUSMIYATI P PEKERJA MANDIRI Other joint disorders, not Berobat Jalan
elsewhere classified
363 23-01-2019 111808010119Y000872 0001527113992 SUWAHMI P PBI (APBD) Myalgia Berobat Jalan

364 23-01-2019 111808010119Y000895 0001697398569 FITRI DEWI PUSPITA SARI P PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
365 23-01-2019 111808010119Y000887 0001906491813 FREDI FIRMANSYAH EXQI L PBI (APBD) Myalgia Berobat Jalan
SAPUTRA
366 23-01-2019 111808010119Y001224 0002229363843 UMI ERNIAWATI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
367 23-01-2019 111808010119Y000874 0002230784223 SLAMET RIYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
368 23-01-2019 111808010119Y000878 0002232893586 HARTINI P PEKERJA MANDIRI Dizziness and giddiness Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

369 23-01-2019 111808010119Y000886 0002303197378 LILIS EXSI KUSWIYANTI P PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
370 23-01-2019 111808010119Y000849 0002308940357 marcello bramastya resian L PEKERJA MANDIRI Atopic dermatitis Rujuk Vertikal

371 23-01-2019 111808010119Y001225 0002382244558 IZZA ISFIYANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
372 23-01-2019 111808010119Y000881 0002382246652 BUDI PRAYITNO L PBI (APBN) Myalgia Berobat Jalan

373 23-01-2019 111808010119Y000883 0002438023465 SURYANTI P PEKERJA MANDIRI Dizziness and giddiness Berobat Jalan

374 23-01-2019 111808010119Y000864 0002468991508 SUMARNI P PEKERJA MANDIRI Chronic periodontitis Rujuk Vertikal

375 22-01-2019 111808010119Y000841 0000085966503 SRI NADHIROH P PNS DAERAH Atopic dermatitis Berobat Jalan

376 22-01-2019 111808010119Y000782 0000085975942 FERRY DWI MUHAMAD L PEKERJA MANDIRI Paranoid schizophrenia Rujuk Vertikal

377 22-01-2019 111808010119Y000815 0000085998262 ELIATI JAZIMAH P PNS PUSAT Myalgia Berobat Jalan

378 22-01-2019 111808010119Y000831 0000086110569 MURTADHO SJAHID,BA L PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
379 22-01-2019 111808010119Y000825 0000086150035 ZULIYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
380 22-01-2019 111808010119Y000845 0000086190568 CHULAEFAH P PENERIMA PENSIUN TNI Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous
disease
381 22-01-2019 111808010119Y000828 0000086191198 KING SUTOJO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
382 22-01-2019 111808010119Y000791 0000086191266 MARDJONO L PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
383 22-01-2019 111808010119Y000851 0000159276633 ISTIQOMAH P PNS PUSAT Essential (primary) Berobat Jalan
hypertension
384 22-01-2019 111808010119Y001240 0000603377537 YUNITA ANDRIYANI P PBI (APBN) Single spontaneous Berobat Jalan
delivery, unspecified
385 22-01-2019 111808010119Y000788 0000603652127 ANDRI SUHARTANTO L PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
386 22-01-2019 111808010119Y000835 0000603667348 ISTIKOMAH P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
387 22-01-2019 111808010119Y000812 0000603670781 GINO SUJARNO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
388 22-01-2019 111808010119Y000809 0000603717805 LU'LUATUL BARIROH P PBI (APBN) Other specified headache Rujuk Vertikal
syndromes
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

389 22-01-2019 111808010119Y000852 0000603725444 ISTAKHIYATUN P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

390 22-01-2019 111808010119Y000844 0000603726985 MUHAMMAD ABDUR ROSYID L PBI (APBN) Varicella without Berobat Jalan
complication
391 22-01-2019 111808010119Y000810 0000603887141 MISMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
392 22-01-2019 111808010119Y000839 0000603922004 MUHARI L PBI (APBN) Oedema, unspecified Berobat Jalan

393 22-01-2019 111808010119Y000803 0000604024536 SUKIR L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
394 22-01-2019 111808010119Y000820 0000604026077 SUYATI P PBI (APBN) Myalgia Berobat Jalan

395 22-01-2019 111808010119Y000838 0000604026843 HARINI P PBI (APBN) Dysmenorrhoea, Berobat Jalan
unspecified
396 22-01-2019 111808010119Y000840 0000604027495 ELY SAFITRI P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
397 22-01-2019 111808010119Y000819 0000604083521 NUR PRAYITNO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
398 22-01-2019 111808010119Y000808 0000604088897 UUN GUNAWAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
399 22-01-2019 111808010119Y000827 0000604363656 RESMIYATI P PBI (APBN) Vertigo of central origin Berobat Jalan

400 22-01-2019 111808010119Y000829 0000604375964 WARINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
401 22-01-2019 111808010119Y000830 0000604437737 AMANATUL CHASANAH P PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
402 22-01-2019 111808010119Y000816 0000604454635 ISROWIYAH P PBI (APBN) Otitis externa Berobat Jalan Hipertensi Hipertensi

403 22-01-2019 111808010119Y000832 0000604516432 DARMA SETIYAWAN L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
404 22-01-2019 111808010119Y000837 0000604579364 AFNI AFRIAN P PBI (APBN) Stomatitis and related Berobat Jalan
lesions
405 22-01-2019 111808010119Y000798 0000604601651 ALWI SAIDI RHODIYA L PBI (APBN) Superficial injury of wrist Rujuk Vertikal
and hand, unspecified
406 22-01-2019 111808010119Y000807 0000604873416 PEPEK P PBI (APBN) Low vision, both eyes Rujuk Vertikal

407 22-01-2019 111808010119Y000813 0001027897299 SARTONO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
408 22-01-2019 111808010119Y000833 0001027913016 SURATI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

409 22-01-2019 111808010119Y000821 0001027913038 ARIFAN L PBI (APBN) Necrosis of pulp Rujuk Vertikal

410 22-01-2019 111808010119Y000814 0001084708528 EKO SARWONO L PBI (APBN) Epilepsy Berobat Jalan

411 22-01-2019 111808010119Y000847 0001173997247 LILY SURYANI P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
412 22-01-2019 111808010119Y000824 0001306142199 WALIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
413 22-01-2019 111808010119Y000777 0001306520649 SIE DAPET NIO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
after other treatment for Hipertensi Mellitus
other conditions
414 22-01-2019 111808010119Y000826 0001480723784 ENNY WIDAYATI P PEGAWAI SWASTA Gonarthrosis, unspecified Rujuk Vertikal

415 22-01-2019 111808010119Y000850 0001896889757 marliyah P PEKERJA MANDIRI Pruritus Berobat Jalan

416 22-01-2019 111808010119Y000817 0001965208961 wijiyanti P PEKERJA MANDIRI Chest pain, unspecified Rujuk Vertikal

417 22-01-2019 111808010119Y000842 0002197740598 M. ZUHRI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
418 22-01-2019 111808010119Y000793 0002211175473 SUWARDI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
419 22-01-2019 111808010119Y000836 0002226941122 EMAWATI ROYANI P PEGAWAI SWASTA Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
420 22-01-2019 111808010119Y000854 0002259096276 MURYANI P PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

421 22-01-2019 111808010119Y000858 0002259096693 SEKAR ANGGRAENI CITRA P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
SARI [common cold]
422 22-01-2019 111808010119Y000794 0002262345557 ASROFI L PEKERJA MANDIRI Heart failure, unspecified Rujuk Vertikal

423 22-01-2019 111808010119Y000857 0002296021239 NURUL HIDAYAH P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
424 22-01-2019 111808010119Y000855 0002296022703 muhammad naufal azzam L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
425 22-01-2019 111808010119Y000834 0002296023311 arinda fatin azkadina P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
426 22-01-2019 111808010119Y000776 0002375662072 MAIMIN L PEKERJA MANDIRI Examination of eyes and Rujuk Vertikal
vision
427 22-01-2019 111808010119Y000811 0002420856617 MARSINI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

428 22-01-2019 111808010119Y000818 0002448148803 SURAHAYU P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
429 22-01-2019 111808010119Y000823 0002462651122 RUWIYAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after surgery for other
conditions
430 22-01-2019 111808010119Y000822 0002490585715 azka maulana alfarizqi L PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
431 22-01-2019 111808010119Y000853 0002621804635 MUHAMAD FAISHOL TSAQOFI L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
432 21-01-2019 111808010119Y000762 0000085966165 SOLICHATUR RICHANAH P PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
433 21-01-2019 111808010119Y000805 0000086005809 SUTRISNO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
434 21-01-2019 111808010119Y000744 0000086045984 MUNTHOHA L PNS PUSAT Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
435 21-01-2019 111808010119Y000761 0000086100344 KOMARIYAH P PENERIMA PENSIUN Low vision, both eyes Rujuk Vertikal
PNS
436 21-01-2019 111808010119Y000769 0000086147223 WAHYUNING WIDI L PENERIMA PENSIUN Sciatica Rujuk Vertikal
PNS
437 21-01-2019 111808010119Y000749 0000086269228 RISTIYAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
438 21-01-2019 111808010119Y000799 0000086275528 RUMBIYANTI P PNS DAERAH Myalgia Berobat Jalan

439 21-01-2019 111808010119Y000746 0000086303171 SOENYOTO L PENERIMA PENSIUN Gastritis and duodenitis Berobat Jalan Hipertensi Hipertensi
PNS
440 21-01-2019 111808010119Y000768 0000086324231 SARYONO L PENERIMA PENSIUN Localized swelling, mass Rujuk Vertikal
PNS and lump, upper limb
441 21-01-2019 111808010119Y000758 0000169121013 YASTRIMAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
442 21-01-2019 111808010119Y000751 0000172641172 SRI SUDARTI P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after treatment of fracture
443 21-01-2019 111808010119Y000767 0000202586422 SIAH P PENERIMA PENSIUN TNI Myalgia Rujuk Vertikal

444 21-01-2019 111808010119Y000766 0000603586045 RITA JULIATI P PBI (APBN) Myalgia Berobat Jalan

445 21-01-2019 111808010119Y000806 0000603587182 FIOLIA DIANA L P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
446 21-01-2019 111808010119Y000787 0000603624306 SADIYATI P PBI (APBN) Acute bronchitis Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

447 21-01-2019 111808010119Y000784 0000603721822 IRDIYONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
448 21-01-2019 111808010119Y000781 0000603723148 SAMINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
449 21-01-2019 111808010119Y000790 0000603736492 SULASTRI P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
450 21-01-2019 111808010119Y000747 0000603976735 ALVINO HENDRY ROMANSA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
451 21-01-2019 111808010119Y000764 0000603993969 SISWADI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
452 21-01-2019 111808010119Y000789 0000604006255 MISFATUN FAIZAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
453 21-01-2019 111808010119Y000760 0000604028057 KLIMAH P PBI (APBN) Atopic dermatitis Berobat Jalan

454 21-01-2019 111808010119Y000796 0000604044696 ISPARIYAH P PBI (APBN) Pain in joint Berobat Jalan

455 21-01-2019 111808010119Y000757 0000604104849 SRI SUWADJI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
456 21-01-2019 111808010119Y000775 0000604196335 DONI SETYAWAN L PBI (APBN) Follow-up examination Rujuk Vertikal
after treatment of fracture
457 21-01-2019 111808010119Y000804 0000604344249 SALAMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
458 21-01-2019 111808010119Y000797 0000604437737 AMANATUL CHASANAH P PBI (APBN) Dizziness and giddiness Berobat Jalan

459 21-01-2019 111808010119Y000801 0000604506712 AGUNG SUSILO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
460 21-01-2019 111808010119Y000759 0000604712259 SUKMA ANGGIA MURNI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
461 21-01-2019 111808010119Y000786 0000604717975 SARTUTIK P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
462 21-01-2019 111808010119Y000754 0001027897468 MASSITHA FAJAR P PBI (APBN) Impetigo Berobat Jalan
FATMANINGRUM
463 21-01-2019 111808010119Y000743 0001027897569 RUKIYAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
464 21-01-2019 111808010119Y000765 0001027899189 SUGIYONO L PBI (APBN) Myalgia Rujuk Vertikal

465 21-01-2019 111808010119Y000778 0001027900776 GIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
466 21-01-2019 111808010119Y000752 0001027901924 JUNIYADI L PBI (APBN) Pain in throat Rujuk Vertikal
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

467 21-01-2019 111808010119Y000779 0001027904646 INDRAS NOVIANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
468 21-01-2019 111808010119Y000742 0001027921386 SHODAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
469 21-01-2019 111808010119Y001239 0001028143822 MUNAWANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
470 21-01-2019 111808010119Y000755 0001084715818 SUPARIYAH P PBI (APBN) Other disorders of urinary Berobat Jalan
system
471 21-01-2019 111808010119Y000748 0001261705487 SITI ROCHAYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
472 21-01-2019 111808010119Y000756 0001428581316 SIGIT YUDIYANTO L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
473 21-01-2019 111808010119Y000770 0001436180589 UMI MAISYAROH P PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
474 21-01-2019 111808010119Y000741 0001442300444 NARTI P PEKERJA MANDIRI Soft tissue disorder, Rujuk Vertikal
unspecified
475 21-01-2019 111808010119Y000795 0001472010524 ROAWIYAH P PEKERJA MANDIRI Pain in joint Berobat Jalan

476 21-01-2019 111808010119Y000745 0001526993212 ADITYA AUFAA WIBISANA L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

477 21-01-2019 111808010119Y000783 0001527112899 SRI MULYANI P PBI (APBD) Gonarthrosis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
478 21-01-2019 111808010119Y000785 0001527112901 HELMI BINTANG SETYAWAN L PBI (APBD) Scabies Berobat Jalan

479 21-01-2019 111808010119Y000792 0001807835253 SUHARIYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
480 21-01-2019 111808010119Y000802 0001874440855 aretha ady putri P PEKERJA MANDIRI Other viral pneumonia Berobat Jalan

481 21-01-2019 111808010119Y000774 0001893871552 MULYANAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
482 21-01-2019 111808010119Y000750 0002265117794 SASTRO SLAMET L PEKERJA MANDIRI Epidemic vertigo Rujuk Vertikal

483 21-01-2019 111808010119Y000771 0002305859736 SYAVANA AQILA KHANZA L PEKERJA MANDIRI Cough Rujuk Vertikal

484 21-01-2019 111808010119Y000740 0002310698349 SEBTI MILKAWATI P PEGAWAI SWASTA Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

485 21-01-2019 111808010119Y000753 0002314227644 DINO ARIES L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
486 21-01-2019 111808010119Y000772 0002324148489 sugiyanti L PEKERJA MANDIRI Post-schizophrenic Rujuk Vertikal
depression
487 21-01-2019 111808010119Y000763 0002382242466 MISRO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
488 21-01-2019 111808010119Y000800 0002382243467 SITI JUMANAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
489 21-01-2019 111808010119Y000780 0002448923747 RAIHAN FAHMI SAPUTRA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
490 21-01-2019 111808010119Y000773 0002470836609 KAHIYANG JENAR MAHESWARI P PEGAWAI BUMN Pneumonia, unspecified Rujuk Vertikal

491 20-01-2019 111808010119Y001238 0001028143822 MUNAWANAH P PBI (APBN) Other intrapartum Sembuh
haemorrhage
492 19-01-2019 111808010119Y000677 0000084921581 ADI PERMONO SH L PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
493 19-01-2019 111808010119Y000692 0000086024092 IRMIYATI P PNS DAERAH Pure Berobat Jalan
hypercholesterolaemia
494 19-01-2019 111808010119Y000666 0000086112268 DJUMIRAH P PENERIMA PENSIUN Unspecified jaundice Rujuk Vertikal
PNS
495 19-01-2019 111808010119Y000665 0000086123136 SIAMAH P PENERIMA PENSIUN Gonarthrosis, unspecified Rujuk Vertikal
PNS
496 19-01-2019 111808010119Y000673 0000603214154 SUPARTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
497 19-01-2019 111808010119Y000672 0000603226787 MUHSON L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal

498 19-01-2019 111808010119Y000683 0000603445138 RIZQUL AKBAR R L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
499 19-01-2019 111808010119Y000663 0000603467785 PUJIONO L PBI (APBN) Paranoid schizophrenia Rujuk Vertikal

500 19-01-2019 111808010119Y001213 0000603501535 CHOIRUL HIDAYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
501 19-01-2019 111808010119Y000667 0000603533002 RUTH MURNI P PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
502 19-01-2019 111808010119Y000676 0000603966317 KHEZYA NAURA AYU PRIYONO P PBI (APBN) Urticaria, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

503 19-01-2019 111808010119Y000681 0000604010597 SUTRISNO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
504 19-01-2019 111808010119Y000680 0000604011374 PUJI ISTRIYATI PAMUNGKAS P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
505 19-01-2019 111808010119Y001212 0000604045989 GIYUK P PBI (APBN) Personal history of Berobat Jalan
contraception
506 19-01-2019 111808010119Y000685 0000604095851 SUWARMI P PBI (APBN) Ectopic pregnancy Berobat Jalan

507 19-01-2019 111808010119Y001209 0000604341887 TRIYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
508 19-01-2019 111808010119Y000684 0000604436815 AJENG SANIA RETNOWATI P PBI (APBN) Ectopic pregnancy Berobat Jalan

509 19-01-2019 111808010119Y000668 0000604551767 SURADIYANTO L PBI (APBN) Atopic dermatitis Berobat Jalan

510 19-01-2019 111808010119Y001211 0000604619256 WARIYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
511 19-01-2019 111808010119Y000675 0000604883171 SUGINO ANTORO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
512 19-01-2019 111808010119Y000724 0000604888828 NURHAYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
513 19-01-2019 111808010119Y000691 0000604889313 SITI ZULFA NADA P PBI (APBN) Gastritis, unspecified Berobat Jalan

514 19-01-2019 111808010119Y000735 0000605175131 SURYANI P PBI (APBN) Myalgia Berobat Jalan

515 19-01-2019 111808010119Y000709 0000605175502 RIFQI AMALLIA P PBI (APBN) Urticaria Berobat Jalan

516 19-01-2019 111808010119Y001210 0000605351463 MINTARSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
517 19-01-2019 111808010119Y000678 0001027900506 RIDHWAN WAHYU SANTOSO L PBI (APBN) Other injuries of eye and Berobat Jalan
orbit
518 19-01-2019 111808010119Y000736 0001027919351 JUMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
519 19-01-2019 111808010119Y000670 0001129838343 SUGENG HARIYADI L PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
520 19-01-2019 111808010119Y001252 0001151993654 PRASTIYANI P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
521 19-01-2019 111808010119Y001293 0001151993654 PRASTIYANI P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
522 19-01-2019 111808010119Y000737 0001273640174 MAYA SUKMANINGTYAS P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

523 19-01-2019 111808010119Y000674 0001441638933 RUSMIYATI P PEKERJA MANDIRI Myalgia Berobat Jalan

524 19-01-2019 111808010119Y000682 0001527114025 TJHIE LAN ING P PBI (APBD) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
525 19-01-2019 111808010119Y000664 0001796229358 DIRJO SUPARNO L PENERIMA PENSIUN Dysphonia Rujuk Vertikal
PNS
526 19-01-2019 111808010119Y000671 0001906501509 TRI KUSTIWATI P PBI (APBD) Other and unspecified Rujuk Vertikal
abdominal pain
527 19-01-2019 111808010119Y000669 0002026392715 SAMSI . L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
528 19-01-2019 111808010119Y000732 0002198723747 rajendra satyatama L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
529 19-01-2019 111808010119Y000738 0002347718613 SUPRIHADI L PBI (APBD) Tentorial tear due to birth Berobat Jalan
injury
530 19-01-2019 111808010119Y000739 0002382247809 AIMA ARFINIA P PBI (APBN) Fever, unspecified Berobat Jalan

531 19-01-2019 111808010119Y000734 0002448148803 SURAHAYU P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
532 19-01-2019 111808010119Y000679 0002482441885 SIHONO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
533 18-01-2019 111808010119Y000632 0000086005901 AZIZAH P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
534 18-01-2019 111808010119Y000655 0000602681466 MUTIAH L PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
535 18-01-2019 111808010119Y000733 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Ectopic pregnancy Sembuh

536 18-01-2019 111808010119Y000650 0000603542463 HAIDAR IQBAL S L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
537 18-01-2019 111808010119Y000654 0000603564017 SUGENG L PBI (APBN) Vertigo of central origin Berobat Jalan

538 18-01-2019 111808010119Y000643 0000603574042 NANANG HIDAYAT L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
539 18-01-2019 111808010119Y000653 0000603757989 TUTI SRI RAHAYU P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
540 18-01-2019 111808010119Y000645 0000603830362 LINA TUNA SARI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

541 18-01-2019 111808010119Y000634 0000603975666 IDA INSARI P PBI (APBN) Malaise and fatigue Berobat Jalan

542 18-01-2019 111808010119Y000646 0000604828416 JUWARI ALI SUNARTO L PBI (APBN) Cercarial dermatitis Berobat Jalan

543 18-01-2019 111808010119Y000660 0000604828899 PAINEM P PBI (APBN) Tuberculosis of larynx, Berobat Jalan
trachea and bronchus,
confirmed bacteriologically
and histologically

544 18-01-2019 111808010119Y000656 0000604839025 SUBINAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
545 18-01-2019 111808010119Y000635 0000605183466 NUR AHMAD L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
546 18-01-2019 111808010119Y000649 0001027898908 LIE SAODAH PURWANTI P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
547 18-01-2019 111808010119Y000641 0001027900282 NURYATI P PBI (APBN) Chronic renal failure, Rujuk Vertikal
unspecified
548 18-01-2019 111808010119Y000639 0001027919564 ERNA RAHMAWATI P PBI (APBN) Visual disturbance, Rujuk Vertikal Diabetes Mellitus Diabetes
unspecified Mellitus
549 18-01-2019 111808010119Y000638 0001027919575 FATIKA SHAFA NATASYA P PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
550 18-01-2019 111808010119Y001305 0001151993654 PRASTIYANI P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
551 18-01-2019 111808010119Y000647 0001262412753 KARWATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
552 18-01-2019 111808010119Y000642 0001293778337 SEPTIA P PEGAWAI PEMERINTAH Maternal care due to Rujuk Vertikal
DENGAN PERJANJIAN uterine scar from previous
KERJA surgery
553 18-01-2019 111808010119Y000662 0001697650446 AHMAD MUJIB L PBI (APBD) Other specified diseases Berobat Jalan
of upper respiratory tract
554 18-01-2019 111808010119Y000661 0001820679322 AIRIN P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

555 18-01-2019 111808010119Y000652 0001842464248 SRI RAHAYU ESTIASIH P PEKERJA MANDIRI Other and unspecified Rujuk Vertikal
abdominal pain
556 18-01-2019 111808010119Y000637 0001894374516 SARMIDJAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
557 18-01-2019 111808010119Y000628 0001908269706 FIA LISTIYANA P PEKERJA MANDIRI Other and unspecified Rujuk Vertikal
ovarian cysts
558 18-01-2019 111808010119Y000648 0002023098568 RAMA TIRTA GRACIA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

559 18-01-2019 111808010119Y000644 0002049391473 nadylla ocktaviana dewi P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
560 18-01-2019 111808010119Y000640 0002133468437 ISTI FARIYATUN P PBI (APBN) Follow-up examination Rujuk Vertikal
after surgery for other
conditions
561 18-01-2019 111808010119Y000629 0002195403737 RAISYA ARDAN L PBI (APBD) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
562 18-01-2019 111808010119Y000659 0002222512132 ELYSIA PUTRI PARAHITA P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
563 18-01-2019 111808010119Y000633 0002284772174 SALWADI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
564 18-01-2019 111808010119Y000658 0002284772567 SARINAH P PEKERJA MANDIRI Myalgia Berobat Jalan

565 18-01-2019 111808010119Y000630 0002299959123 RULINA ADIF L PBI (APBD) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
566 18-01-2019 111808010119Y000651 0002320207119 SUMARYONO L PEKERJA MANDIRI Tuberculosis of larynx, Berobat Jalan
trachea and bronchus,
confirmed bacteriologically
and histologically

567 18-01-2019 111808010119Y000657 0002382244211 OSAMA FELLA ABAZA P PBI (APBN) Impetigo [any organism] Berobat Jalan
[any site]
568 18-01-2019 111808010119Y001306 0002382244558 IZZA ISFIYANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
569 18-01-2019 111808010119Y000631 0002457284826 SITI MARIYATUL KIPTIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
570 18-01-2019 111808010119Y000636 0002490532323 ANISA PRAHESTI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
571 17-01-2019 111808010119Y000627 0000085997992 DRS.H.M.THOBIQ.M.SI L PNS PUSAT Chest pain, unspecified Rujuk Vertikal

572 17-01-2019 111808010119Y000619 0000085998521 FITRIJAH P PENERIMA PENSIUN Other specified diseases Berobat Jalan
PNS of upper respiratory tract
573 17-01-2019 111808010119Y000615 0000086303171 SOENYOTO L PENERIMA PENSIUN Gastritis and duodenitis Berobat Jalan Hipertensi Hipertensi
PNS
574 17-01-2019 111808010119Y000604 0000167714379 SUWARTINI P PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

575 17-01-2019 111808010119Y000594 0000204865233 SAPARI L PNS DAERAH Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
576 17-01-2019 111808010119Y000731 0000547472327 MUJI WAHYUNI P PBI (APBN) Ectopic pregnancy Berobat Jalan

577 17-01-2019 111808010119Y000730 0000603226528 RENI KURNIA P PBI (APBN) Ectopic pregnancy Berobat Jalan

578 17-01-2019 111808010119Y001221 0000603633767 SRI RAHAYU NINGSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
579 17-01-2019 111808010119Y000591 0000603734679 ARUM SETIYANI P PBI (APBN) Corns and callosities Rujuk Vertikal

580 17-01-2019 111808010119Y000598 0000603846358 SARMINI P PBI (APBN) Constipation Rujuk Vertikal

581 17-01-2019 111808010119Y000588 0000603966082 AGUS PRIYONO L PBI (APBN) Human immunodeficiency Rujuk Vertikal
virus [HIV] disease
resulting in infectious and
parasitic diseases

582 17-01-2019 111808010119Y000589 0000603966161 ELIS MAHARANI P PBI (APBN) Human immunodeficiency Rujuk Vertikal
virus [HIV] disease
resulting in infectious and
parasitic diseases

583 17-01-2019 111808010119Y000626 0000603974081 NUR WIDIYA ASTUTI P PBI (APBN) Constipation Berobat Jalan

584 17-01-2019 111808010119Y000617 0000604088897 UUN GUNAWAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
585 17-01-2019 111808010119Y000614 0000604199575 SOBIIL L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
586 17-01-2019 111808010119Y000590 0000604206055 RUMINI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
587 17-01-2019 111808010119Y000611 0000604341887 TRIYANI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

588 17-01-2019 111808010119Y000620 0000604347142 MARYATI P PBI (APBN) Low back pain Berobat Jalan

589 17-01-2019 111808010119Y000621 0000604502741 NGATINAH P PBI (APBN) Necrosis of pulp Rujuk Vertikal

590 17-01-2019 111808010119Y000726 0000605996515 DEWI AMBARSARI P PBI (APBN) Ectopic pregnancy Berobat Jalan

591 17-01-2019 111808010119Y000729 0001027898054 EKO SEPTIYARTI P PBI (APBN) Ectopic pregnancy Berobat Jalan

592 17-01-2019 111808010119Y000608 0001027900113 YULIYATI P PBI (APBN) Pruritus Rujuk Vertikal

593 17-01-2019 111808010119Y000592 0001027900506 RIDHWAN WAHYU SANTOSO L PBI (APBN) Corns and callosities Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

594 17-01-2019 111808010119Y000606 0001027921386 SHODAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
595 17-01-2019 111808010119Y000625 0001078535169 NILAM CITRA MAHARANI P PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

596 17-01-2019 111808010119Y000624 0001260917638 WAHYU ISDIYATI P PEKERJA MANDIRI Myalgia Berobat Jalan

597 17-01-2019 111808010119Y000595 0001302788733 ERY DEWANTI P PEKERJA MANDIRI Examination of eyes and Rujuk Vertikal
vision
598 17-01-2019 111808010119Y000587 0001444220043 GO GWAN TJWAN L PEKERJA MANDIRI Dysuria Rujuk Vertikal

599 17-01-2019 111808010119Y000601 0001481407435 SARTONO L PEGAWAI SWASTA Dizziness and giddiness Berobat Jalan

600 17-01-2019 111808010119Y000593 0001527116038 RASWONO L PBI (APBD) Fever, unspecified Berobat Jalan

601 17-01-2019 111808010119Y000623 0001845794362 RENDRA SETYADI L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
602 17-01-2019 111808010119Y000616 0001874439584 natasya ady kirana P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
603 17-01-2019 111808010119Y000618 0001874440855 aretha ady putri P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
604 17-01-2019 111808010119Y001266 0001967293045 cholivah P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
605 17-01-2019 111808010119Y000596 0002052565661 murtiningsih P PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
606 17-01-2019 111808010119Y000597 0002074326568 MUSBAROKATUN P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
607 17-01-2019 111808010119Y000610 0002226698019 ARI ANI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
608 17-01-2019 111808010119Y001220 0002283516044 MUSTAQIMAH P PEGAWAI PEMERINTAH Personal history of Berobat Jalan
DENGAN PERJANJIAN contraception
KERJA
609 17-01-2019 111808010119Y000622 0002313990235 ULWAN NASRULLOH L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

610 17-01-2019 111808010119Y000612 0002316669917 YULIATI P PEKERJA MANDIRI Chest pain, unspecified Berobat Jalan Hipertensi Hipertensi

611 17-01-2019 111808010119Y000605 0002326861642 AGUS SALIM L PEKERJA MANDIRI Other peripheral vertigo Berobat Jalan

612 17-01-2019 111808010119Y000727 0002347724935 HETI P PBI (APBD) Ectopic pregnancy Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

613 17-01-2019 111808010119Y000602 0002380339078 SUMARDIYATUN P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
614 17-01-2019 111808010119Y000607 0002382244659 SURATIYEM P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
615 17-01-2019 111808010119Y000603 0002382249069 FAIZ ISMAIL AZIS L PBI (APBN) Soft tissue disorder, Rujuk Vertikal
unspecified
616 17-01-2019 111808010119Y000613 0002420856617 MARSINI P PEKERJA MANDIRI Tentorial tear due to birth Berobat Jalan
injury
617 17-01-2019 111808010119Y000728 0002434103818 pradyah silfi ariyani P PEGAWAI SWASTA Ectopic pregnancy Berobat Jalan

618 17-01-2019 111808010119Y000600 0002498777234 H. SUMARLAN L PEKERJA MANDIRI Cough Berobat Jalan

619 17-01-2019 111808010119Y000599 0002498777313 SRI MISWARI P PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

620 17-01-2019 111808010119Y000609 0002624712816 MUHAMMAD NABIL ABIMANYU L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
621 16-01-2019 111808010119Y000571 0000086058134 PRAYITNO L PENERIMA PENSIUN TNI Atopic dermatitis Berobat Jalan

622 16-01-2019 111808010119Y000573 0000086132046 SUTIRAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
623 16-01-2019 111808010119Y000581 0000208916785 JOSHUA ADVENTINO L PNS DAERAH Fever, unspecified Berobat Jalan
HARGAWAN
624 16-01-2019 111808010119Y000584 0000603653703 MUSRIAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

625 16-01-2019 111808010119Y000578 0000603674976 ANIYAH P PBI (APBN) Other gastritis Berobat Jalan

626 16-01-2019 111808010119Y000576 0000603969895 SAIUN L PBI (APBN) Pneumonia, organism Berobat Jalan
unspecified
627 16-01-2019 111808010119Y000580 0000603972731 USWATUN KHASANAH P PBI (APBN) Myalgia Berobat Jalan

628 16-01-2019 111808010119Y000574 0000603993969 SISWADI L PBI (APBN) Dysuria Berobat Jalan

629 16-01-2019 111808010119Y000568 0000603994994 NASIFAH P PBI (APBN) Localized swelling, mass Rujuk Vertikal
and lump, neck
630 16-01-2019 111808010119Y001229 0000604075026 ROHMI P PBI (APBN) Personal history of Berobat Jalan
contraception
631 16-01-2019 111808010119Y001262 0000604077524 WIWIK P PBI (APBN) Personal history of Berobat Jalan
contraception
632 16-01-2019 111808010119Y000582 0000604138713 SITI NURJANAH . P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

633 16-01-2019 111808010119Y000557 0000604577316 MUH BASORI L PBI (APBN) Oedema, unspecified Rujuk Vertikal

634 16-01-2019 111808010119Y000577 0001027898908 LIE SAODAH PURWANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

635 16-01-2019 111808010119Y000575 0001027899191 RAHAYU P PBI (APBN) Myalgia Berobat Jalan

636 16-01-2019 111808010119Y000569 0001027903421 REGI CECAR VERDINAN L PBI (APBN) Tentorial tear due to birth Berobat Jalan
injury
637 16-01-2019 111808010119Y000570 0001129838343 SUGENG HARIYADI L PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
638 16-01-2019 111808010119Y000563 0001263408052 MUH HILAL L PEKERJA MANDIRI Stroke, not specified as Rujuk Vertikal
haemorrhage or infarction
639 16-01-2019 111808010119Y000583 0001381076471 FRANCISCA THERESIA P PEKERJA MANDIRI Acute pharyngitis Berobat Jalan

640 16-01-2019 111808010119Y000579 0001527114418 IDA KUSMIYATI P PBI (APBD) Acute bronchitis Berobat Jalan

641 16-01-2019 111808010119Y000564 0002021814505 MUHAMAD DEWARI L PBI (APBN) Localized swelling, mass Rujuk Vertikal
and lump, head
642 16-01-2019 111808010119Y000554 0002040466195 nurwiradi solikhatun P PEKERJA MANDIRI Examination of eyes and Rujuk Vertikal Diabetes Mellitus Diabetes
vision Mellitus
643 16-01-2019 111808010119Y000585 0002133468437 ISTI FARIYATUN P PBI (APBN) Localized swelling, mass Berobat Jalan
and lump, neck
644 16-01-2019 111808010119Y000553 0002244758523 MUJIYONO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
645 16-01-2019 111808010119Y000572 0002299259619 muhammad ar'rouf al djazuli L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
646 16-01-2019 111808010119Y000540 0002310698349 SEBTI MILKAWATI P PEGAWAI SWASTA Other and unspecified Rujuk Vertikal
abdominal pain
647 16-01-2019 111808010119Y000556 0002375662072 MAIMIN L PEKERJA MANDIRI Follow-up examination Berobat Jalan
after other treatment for
other conditions
648 16-01-2019 111808010119Y001263 0002382244558 IZZA ISFIYANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
649 16-01-2019 111808010119Y001292 0002382244558 IZZA ISFIYANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
650 16-01-2019 111808010119Y000567 0002382314365 YANA YUNITASARI P PEGAWAI SWASTA Irregular menstruation, Rujuk Vertikal
unspecified
651 16-01-2019 111808010119Y000539 0002444887596 SIOE LIEN P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
652 16-01-2019 111808010119Y000586 0002626484591 SUDJONO ADI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
653 15-01-2019 111808010119Y000565 0000045834456 Moh YUNUS AKER L PENERIMA PENSIUN Gonarthrosis, unspecified Berobat Jalan Hipertensi Hipertensi
PNS
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

654 15-01-2019 111808010119Y000530 0000085090533 TANTRI DWI CAHYANINGRUM P PEKERJA MANDIRI Other and unspecified Rujuk Vertikal
ovarian cysts
655 15-01-2019 111808010119Y000538 0000086104967 RAHAYU P PENERIMA PENSIUN Otitis externa, unspecified Berobat Jalan
PNS
656 15-01-2019 111808010119Y000502 0000086191593 MUZAENY AF L PENERIMA PENSIUN Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
PNS after other treatment for Hipertensi Mellitus
other conditions Hipertensi
657 15-01-2019 111808010119Y000566 0000086191604 DALIYAH P PENERIMA PENSIUN Heart failure Berobat Jalan
PNS
658 15-01-2019 111808010119Y000508 0000086266732 ALIYEM P PNS DAERAH Follow-up examination Rujuk Vertikal Hipertensi Hipertensi
after other treatment for
other conditions
659 15-01-2019 111808010119Y000534 0000086266787 YUNITA SINDI KURNIAWATI P PNS DAERAH Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
660 15-01-2019 111808010119Y000542 0000504496563 SULASTRI P PBI (APBN) Gastritis, unspecified Berobat Jalan

661 15-01-2019 111808010119Y000524 0000602544137 TRI MAESAROH P PBI (APBN) Chronic rhinitis Rujuk Vertikal

662 15-01-2019 111808010119Y000501 0000603484233 SUDIYONO L PBI (APBN) Follow-up examination Rujuk Vertikal
after psychotherapy
663 15-01-2019 111808010119Y000547 0000603666911 SHINTA AMELLIA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
664 15-01-2019 111808010119Y000545 0000603730078 ZAIN FARISA L PBI (APBN) Gastritis, unspecified Berobat Jalan

665 15-01-2019 111808010119Y000550 0000603759216 ADI BATUROHMAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
666 15-01-2019 111808010119Y000529 0000604061469 SARMINAH P PBI (APBN) Autoimmune thyroiditis Rujuk Vertikal

667 15-01-2019 111808010119Y000561 0000604087806 SUKIRNO L PBI (APBN) Epidemic vertigo Berobat Jalan

668 15-01-2019 111808010119Y000533 0000604134955 WIYONO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
669 15-01-2019 111808010119Y000525 0000604147972 AVIANSA SUSILO L PBI (APBN) Other specified surgical Rujuk Vertikal
follow-up care
670 15-01-2019 111808010119Y000559 0000604175409 MUNTAMAH P PBI (APBN) Myalgia Berobat Jalan

671 15-01-2019 111808010119Y000552 0000604444735 MUTIARA NILFA S P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
672 15-01-2019 111808010119Y000531 0000604530145 BUDIYANTORO L PBI (APBN) Dyspepsia Rujuk Vertikal

673 15-01-2019 111808010119Y000541 0000604825593 RAHAYU SLAMET P PBI (APBN) Myalgia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

674 15-01-2019 111808010119Y000537 0001027897468 MASSITHA FAJAR P PBI (APBN) Dermatitis, unspecified Berobat Jalan
FATMANINGRUM
675 15-01-2019 111808010119Y000558 0001027899191 RAHAYU P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
676 15-01-2019 111808010119Y000528 0001027900236 AGUS DWIYONO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
677 15-01-2019 111808010119Y000546 0001027904545 MAHMUDAH L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
678 15-01-2019 111808010119Y000555 0001272648161 KHATARINA HARIYATI P PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan

679 15-01-2019 111808010119Y000536 0001445439352 ANY SETIAWATY P PEKERJA MANDIRI Examination of ears and Rujuk Vertikal
hearing
680 15-01-2019 111808010119Y000562 0001527114532 EKO PURWANTO L PBI (APBD) Myalgia Berobat Jalan

681 15-01-2019 111808010119Y000560 0001527114543 NURUL RODLIYAH P PBI (APBD) Other headache Berobat Jalan
syndromes
682 15-01-2019 111808010119Y000503 0001659286179 ACHMAD RIVAI L PEGAWAI BUMN Shoulder lesions Rujuk Vertikal

683 15-01-2019 111808010119Y000532 0001809337961 muhammad za'im zainurriza L PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
684 15-01-2019 111808010119Y000551 0001874439584 natasya ady kirana P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
685 15-01-2019 111808010119Y000544 0002069887217 MARGA WIDJAYA PRADANA L PEGAWAI SWASTA Other specified diseases Berobat Jalan
PUTRA of upper respiratory tract
686 15-01-2019 111808010119Y000548 0002203524652 MUHAMMAD ELVIN GIBRAN L PNS DAERAH Other specified diseases Berobat Jalan
of upper respiratory tract
687 15-01-2019 111808010119Y000526 0002302368693 ANNES NAILUFAR L PEGAWAI PEMERINTAH Vomiting of pregnancy, Rujuk Vertikal
DENGAN PERJANJIAN unspecified
KERJA
688 15-01-2019 111808010119Y000725 0002312585008 atiya hasna ramdania P PBI (APBN) Ectopic pregnancy Berobat Jalan

689 15-01-2019 111808010119Y000549 0002422836639 MUHAMAD KENZIE RAMADHAN L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
690 15-01-2019 111808010119Y000506 0002435375474 MUSAFAK L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
691 15-01-2019 111808010119Y000535 0002455515483 ROCHMAD WARDOYO L PEKERJA MANDIRI Other chronic suppurative Rujuk Vertikal
otitis media
692 15-01-2019 111808010119Y000723 0002464395142 ibnu rafif rizoulah L PBI (APBN) Ectopic pregnancy Berobat Jalan

693 15-01-2019 111808010119Y000527 0002482779093 MUHAMMAD RAIHAN AL L PBI (APBN) Talipes equinovarus Rujuk Vertikal
FARIZQI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

694 15-01-2019 111808010119Y000722 0002625725261 SAFALUNA AZKA NUR HIDAYAH P PBI (APBN) Ectopic pregnancy Berobat Jalan

695 15-01-2019 111808010119Y000543 0002737594462 WAHYUDIN L PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
696 15-01-2019 111808010119Y000507 0002737595766 AZKA DWI HAMIZAN P PEKERJA MANDIRI Lack of expected normal Rujuk Vertikal
physiological development

697 14-01-2019 111808010119Y000523 0000084867827 MUHAMAD MIFTAHUDIN L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
698 14-01-2019 111808010119Y000515 0000085992928 EKO CAHYONO L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
699 14-01-2019 111808010119Y000451 0000086110852 SYAMSIYAH P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
700 14-01-2019 111808010119Y000505 0000086182986 SRI KUSTININGSIH P PENERIMA PENSIUN Gastritis and duodenitis Berobat Jalan
PNS
701 14-01-2019 111808010119Y000474 0000086190333 ABDUL MURID L PENERIMA PENSIUN Chronic kidney disease Rujuk Vertikal
PNS
702 14-01-2019 111808010119Y000443 0000086191727 RADIKO SUSANTO L PENERIMA PENSIUN Chronic obstructive Rujuk Vertikal
PNS pulmonary disease,
unspecified
703 14-01-2019 111808010119Y000510 0000086303171 SOENYOTO L PENERIMA PENSIUN Other specified diseases Berobat Jalan Hipertensi Hipertensi
PNS of upper respiratory tract
704 14-01-2019 111808010119Y000479 0000166284786 ARY FALEHUDIN AHMED L PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
705 14-01-2019 111808010119Y000513 0000603015614 BADRIYAH P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

706 14-01-2019 111808010119Y000495 0000603195107 ROHMIYATUN P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
707 14-01-2019 111808010119Y000717 0000603377537 YUNITA ANDRIYANI P PBI (APBN) Ectopic pregnancy Berobat Jalan

708 14-01-2019 111808010119Y000461 0000603499285 KUSTANTO . . L PBI (APBN) Pyoderma Berobat Jalan

709 14-01-2019 111808010119Y000494 0000603632744 GUSTONI L PBI (APBN) Gastritis, unspecified Berobat Jalan

710 14-01-2019 111808010119Y001228 0000603908482 WIJI UTAMI P PBI (APBN) Personal history of Berobat Jalan
contraception
711 14-01-2019 111808010119Y000719 0000603926842 ERNITA HANIFAH P PBI (APBN) Ectopic pregnancy Berobat Jalan

712 14-01-2019 111808010119Y000721 0000603941422 PRISKA NURI ANJELI P PBI (APBN) Ectopic pregnancy Berobat Jalan

713 14-01-2019 111808010119Y000458 0000604093331 SUDARTIYAH P PBI (APBN) Fever, unspecified Rujuk Vertikal
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

714 14-01-2019 111808010119Y000448 0000604104849 SRI SUWADJI L PBI (APBN) Low back pain Berobat Jalan

715 14-01-2019 111808010119Y000463 0000604121016 TURODI L PBI (APBN) Atopic dermatitis, Rujuk Vertikal
unspecified
716 14-01-2019 111808010119Y000446 0000604185851 SOPARIYAH P PBI (APBN) Medical observation and Rujuk Vertikal
evaluation for suspected
diseases and conditions
717 14-01-2019 111808010119Y000520 0000604311355 LINDA AFROKHAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
718 14-01-2019 111808010119Y000447 0000604335903 SITI CHALIMAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
719 14-01-2019 111808010119Y000465 0000604711495 SUTINARTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
720 14-01-2019 111808010119Y000499 0000604815118 ARIFIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
721 14-01-2019 111808010119Y000718 0000604864708 EKA RINDRI SAFITRI L PBI (APBN) Ectopic pregnancy Berobat Jalan

722 14-01-2019 111808010119Y000462 0000604927664 SUPRATNO L PBI (APBN) Malaise and fatigue Berobat Jalan

723 14-01-2019 111808010119Y000492 0001027900765 TUGIMIN L PBI (APBN) Urticaria Berobat Jalan

724 14-01-2019 111808010119Y000450 0001027901924 JUNIYADI L PBI (APBN) Pain in throat Rujuk Vertikal

725 14-01-2019 111808010119Y000517 0001027919351 JUMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
726 14-01-2019 111808010119Y000519 0001027919395 MAT KASANI L PBI (APBN) Gastritis, unspecified Berobat Jalan

727 14-01-2019 111808010119Y000497 0001084456697 WATILAH P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

728 14-01-2019 111808010119Y000466 0001265594253 SAMINEM P PEKERJA MANDIRI Other specified Rujuk Vertikal
orthopaedic follow-up care

729 14-01-2019 111808010119Y000496 0001292672856 RUMIDAH P PEKERJA MANDIRI Myalgia Berobat Jalan

730 14-01-2019 111808010119Y000464 0001305764381 SARMIYATI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
731 14-01-2019 111808010119Y000470 0001322911315 EKA CHRISTIANA P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
732 14-01-2019 111808010119Y000471 0001322914858 HERU SUSILOWATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
733 14-01-2019 111808010119Y000489 0001381175267 KARTIMAH P PEKERJA MANDIRI Psoriasis, unspecified Rujuk Vertikal
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

734 14-01-2019 111808010119Y000486 0001800816052 INA SUZAN TANU P PEKERJA MANDIRI Supervision of other Rujuk Vertikal
high-risk pregnancies
735 14-01-2019 111808010119Y000512 0001850491517 SOFYAN SUNHAJI L PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan

736 14-01-2019 111808010119Y000518 0001863551248 PUTRI YUNITA SARI P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
737 14-01-2019 111808010119Y000483 0001869888205 SRIMAH P PEGAWAI SWASTA Schizophrenia, unspecified Rujuk Vertikal

738 14-01-2019 111808010119Y000504 0001874083386 SRI MARYANI P PEKERJA MANDIRI Other headache Berobat Jalan Diabetes Mellitus Diabetes
syndromes Hipertensi Mellitus
Hipertensi
739 14-01-2019 111808010119Y001265 0001967293045 cholivah P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
740 14-01-2019 111808010119Y000511 0002089517433 ANDIKA DWI CAHYA L PEKERJA MANDIRI Other dermatomyositis Berobat Jalan

741 14-01-2019 111808010119Y000445 0002133468437 ISTI FARIYATUN P PBI (APBN) Localized swelling, mass Berobat Jalan
and lump, neck
742 14-01-2019 111808010119Y000444 0002133468448 ARIF AL FAROUQ L PBI (APBN) Febrile convulsions Berobat Jalan

743 14-01-2019 111808010119Y000468 0002195337341 RINTINAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
744 14-01-2019 111808010119Y000521 0002230784223 SLAMET RIYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
745 14-01-2019 111808010119Y000522 0002243747125 SUMARNI P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
746 14-01-2019 111808010119Y000488 0002275953085 EFIYUDIN L PEKERJA MANDIRI Acquired absence of other Rujuk Vertikal
organs
747 14-01-2019 111808010119Y000500 0002288828665 ALYA DEWINA MARYAM L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
748 14-01-2019 111808010119Y000454 0002310698349 SEBTI MILKAWATI P PEGAWAI SWASTA Other specified headache Rujuk Vertikal
syndromes
749 14-01-2019 111808010119Y000516 0002313990235 ULWAN NASRULLOH L PEKERJA MANDIRI Candidal stomatitis Berobat Jalan

750 14-01-2019 111808010119Y000476 0002380340057 ASLAMIYAH P PBI (APBN) Stroke, not specified as Rujuk Vertikal
haemorrhage or infarction
751 14-01-2019 111808010119Y000514 0002382249486 SUWARDI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
752 14-01-2019 111808010119Y000449 0002382253176 SUPARMI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

753 14-01-2019 111808010119Y000442 0002446524268 SUDARMI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
754 14-01-2019 111808010119Y000490 0002474812462 MUHAMMAD MAHMUD L PEKERJA MANDIRI Low back pain Berobat Jalan

755 14-01-2019 111808010119Y000491 0002482852195 HAYFA APRILIA AZZAHRA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
756 14-01-2019 111808010119Y000460 0002482852533 NAJWA ASSYIFATU HAIFA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
757 14-01-2019 111808010119Y000452 0002497843449 SITI NURHAYATI P PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
758 14-01-2019 111808010119Y000453 0002497843809 RISCHA PUTRI FATMAWATI P PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
759 14-01-2019 111808010119Y000509 0002498777313 SRI MISWARI P PEKERJA MANDIRI Other dermatomyositis Berobat Jalan

760 14-01-2019 111808010119Y000498 0002498777482 ALVIN LUKMAN KUSUMA L PEKERJA MANDIRI Otitis externa Berobat Jalan
SANJAYA
761 14-01-2019 111808010119Y000716 0002500375184 EVI AGUSTINA P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan

762 14-01-2019 111808010119Y000720 0002614695401 NUR ZENY P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan

763 14-01-2019 111808010119Y000493 0002624712816 MUHAMMAD NABIL ABIMANYU L PBI (APBN) Atopic dermatitis Berobat Jalan

764 14-01-2019 111808010119Y000455 0002739471669 ABIMANYU FAHREZA AL ABYAN L PBI (APBN) Syndactyly, unspecified Rujuk Vertikal

765 13-01-2019 111808010119Y001264 0001967293045 cholivah P PEKERJA MANDIRI Intrapartum haemorrhage Sembuh
with coagulation defect
766 13-01-2019 111808010119Y001270 0002166560853 DUWI SARI YANTI P PBI (APBD) Personal history of Berobat Jalan
contraception
767 12-01-2019 111808010119Y000437 0000075756396 ROCHMADI L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
768 12-01-2019 111808010119Y000402 0000085090533 TANTRI DWI CAHYANINGRUM P PEKERJA MANDIRI Intra-abdominal and pelvic Rujuk Vertikal
swelling, mass and lump

769 12-01-2019 111808010119Y000430 0000086060024 NARIYAH P PENERIMA PENSIUN TNI Atopic dermatitis Berobat Jalan

770 12-01-2019 111808010119Y000420 0000086077811 SOETINI P PENERIMA PENSIUN TNI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

771 12-01-2019 111808010119Y000423 0000086266855 SRI SAKDIYATI P PNS DAERAH Low vision, one eye Rujuk Vertikal

772 12-01-2019 111808010119Y000421 0000086289142 YUNTI KHANAH P PNS DAERAH Myalgia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

773 12-01-2019 111808010119Y000715 0000086302956 SRI SUWANTI P PNS DAERAH Ectopic pregnancy Berobat Jalan

774 12-01-2019 111808010119Y000384 0000172443903 FADEY FATHI JURO L PNS DAERAH Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
775 12-01-2019 111808010119Y000422 0000603577451 UMI KHOLIFAH P PBI (APBN) Presence of (intrauterine) Rujuk Vertikal
contraceptive device
776 12-01-2019 111808010119Y000438 0000603730765 TRI HANDAYANI L PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

777 12-01-2019 111808010119Y000426 0000603731283 IDA MARYAH P PBI (APBN) Atopic dermatitis Berobat Jalan

778 12-01-2019 111808010119Y001241 0000603885104 AVIFAH P PBI (APBN) Routine postpartum Berobat Jalan
follow-up
779 12-01-2019 111808010119Y000436 0000603922004 MUHARI L PBI (APBN) Cerebral oedema Berobat Jalan

780 12-01-2019 111808010119Y000434 0000603925108 PATIMAH P PBI (APBN) Other gastritis Berobat Jalan

781 12-01-2019 111808010119Y000435 0000603925997 M ALDEF ADLU HAKIM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
782 12-01-2019 111808010119Y000433 0000603946293 WAHYU WINARSIH P PBI (APBN) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
783 12-01-2019 111808010119Y000419 0000603979266 WHITy SETIA MAHARDIKA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
784 12-01-2019 111808010119Y000424 0000604204942 SUKARNI P PBI (APBN) Trigger finger Rujuk Vertikal

785 12-01-2019 111808010119Y000429 0000604325351 DELLA PINASTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
786 12-01-2019 111808010119Y000440 0000604409141 KHAFIDH MAKHSUM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
787 12-01-2019 111808010119Y000413 0000604801528 AMINATUN P PBI (APBN) Myalgia Berobat Jalan

788 12-01-2019 111808010119Y000395 0000604803306 NUR FADHILAH P PBI (APBN) Necrosis of pulp Rujuk Vertikal

789 12-01-2019 111808010119Y000431 0000604821058 AMINAH P PBI (APBN) Other gastritis Berobat Jalan Hipertensi Hipertensi

790 12-01-2019 111808010119Y000427 0000605155623 RUMILAH P PBI (APBN) Atopic dermatitis Berobat Jalan

791 12-01-2019 111808010119Y000428 0000605155691 ARI TAUFAN L PBI (APBN) Schizophrenia Berobat Jalan

792 12-01-2019 111808010119Y000416 0001265745071 EKA SETYAWATI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
793 12-01-2019 111808010119Y000439 0001697659817 MUHAMAD FIKRI MUBAROK L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

794 12-01-2019 111808010119Y000414 0001966886932 nok aminah P PNS DAERAH Examination of eyes and Rujuk Vertikal
vision
795 12-01-2019 111808010119Y000410 0002049390797 emy suprapti L PEKERJA MANDIRI Acute tonsillitis, Berobat Jalan
unspecified
796 12-01-2019 111808010119Y000417 0002256212046 ZULVAN AZI USMANA L PEKERJA MANDIRI Foreign body in cornea Rujuk Vertikal

797 12-01-2019 111808010119Y000411 0002274783063 LAKSONO SUPRIYADI L PEGAWAI PEMERINTAH Other specified diseases Berobat Jalan
DENGAN PERJANJIAN of upper respiratory tract
KERJA
798 12-01-2019 111808010119Y000412 0002302265136 SUGINI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
799 12-01-2019 111808010119Y000425 0002302368333 kodarisman L PEKERJA MANDIRI Other specified headache Rujuk Vertikal
syndromes
800 12-01-2019 111808010119Y000415 0002315806964 MUHAMMAD AZZAM KHIAR L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
801 12-01-2019 111808010119Y000441 0002351447559 H. MUHAMMAD NURDIN L PBI (APBD) Low vision, one eye Rujuk Vertikal

802 12-01-2019 111808010119Y001291 0002377201702 SITI CHAIRANI LUBIS P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
803 12-01-2019 111808010119Y001231 0002377201702 SITI CHAIRANI LUBIS P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
804 12-01-2019 111808010119Y000432 0002382251501 NOPITA P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
805 12-01-2019 111808010119Y000390 0002436967866 KUSAERI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
806 12-01-2019 111808010119Y000418 0002438720054 hari dewantoro L PEKERJA MANDIRI Other and unspecified Rujuk Vertikal
abdominal pain
807 11-01-2019 111808010119Y000375 0000086110569 MURTADHO SJAHID,BA L PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
808 11-01-2019 111808010119Y000380 0000171984352 DENNY SRI SUSILOWATI P PNS DAERAH Other and unspecified Rujuk Vertikal
abdominal pain
809 11-01-2019 111808010119Y001206 0000595211231 ENI ISTI ASIH P PBI (APBN) Personal history of Berobat Jalan
contraception
810 11-01-2019 111808010119Y000377 0000603373599 SUWARDI L PBI (APBN) Tuberculosis of larynx, Berobat Jalan
trachea and bronchus,
confirmed bacteriologically
and histologically

811 11-01-2019 111808010119Y000394 0000603538301 SRI ASIH P PBI (APBN) Myalgia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

812 11-01-2019 111808010119Y000398 0000603646176 SUPAR L PBI (APBN) Febrile convulsions Berobat Jalan

813 11-01-2019 111808010119Y000365 0000603694787 MEYLA TANTRI S P PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
814 11-01-2019 111808010119Y000382 0000603966161 ELIS MAHARANI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

815 11-01-2019 111808010119Y001249 0000603974081 NUR WIDIYA ASTUTI P PBI (APBN) Personal history of Berobat Jalan
contraception
816 11-01-2019 111808010119Y000387 0000603992261 ALFIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
817 11-01-2019 111808010119Y000386 0000604006255 MISFATUN FAIZAH P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

818 11-01-2019 111808010119Y000397 0000604036517 KUSMIYATI P PBI (APBN) Other gastritis Berobat Jalan

819 11-01-2019 111808010119Y000378 0000604064384 ANDI SETIYA BUDI L PBI (APBN) Tuberculosis of larynx, Berobat Jalan
trachea and bronchus,
confirmed bacteriologically
and histologically

820 11-01-2019 111808010119Y001203 0000604287641 TRI FAHMA HIDAYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
821 11-01-2019 111808010119Y000392 0000604474075 SAMINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
822 11-01-2019 111808010119Y000389 0000604504372 SITI KURAESIN P PBI (APBN) Other gastritis Berobat Jalan

823 11-01-2019 111808010119Y000374 0000604573929 SUROTO . L PBI (APBN) Other forms of stomatitis Berobat Jalan

824 11-01-2019 111808010119Y001205 0000604623058 ANASARI P PBI (APBN) Personal history of Berobat Jalan
contraception
825 11-01-2019 111808010119Y000370 0000604786678 SUKARTI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
826 11-01-2019 111808010119Y000385 0000604841163 DESI KUMALA P PBI (APBN) Urticaria Berobat Jalan

827 11-01-2019 111808010119Y001204 0000605274107 SUSIYANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
828 11-01-2019 111808010119Y000400 0001027901902 WAGINAH P PBI (APBN) Myalgia Berobat Jalan

829 11-01-2019 111808010119Y000401 0001027901924 JUNIYADI L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
830 11-01-2019 111808010119Y000366 0001441542879 FATIMATUS SANI P PEGAWAI SWASTA Maternal care due to Rujuk Vertikal
WAHYUNDARI uterine scar from previous
surgery
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

831 11-01-2019 111808010119Y000376 0001482360096 ABID SAMODRA GOLDY L PEKERJA MANDIRI Other specified diseases Berobat Jalan
MARANTIKA of upper respiratory tract
832 11-01-2019 111808010119Y000383 0001527115353 ABID DWI OKTA MAULANA L PBI (APBD) Q fever Berobat Jalan

833 11-01-2019 111808010119Y000364 0001798423029 DWI HASTUTI NINGSIH P PEGAWAI BUMN Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
834 11-01-2019 111808010119Y001198 0001867744315 NUR WACHIDAH RAHAYU P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
835 11-01-2019 111808010119Y000373 0002038857377 MUKHAMMAD HAFIDZ L PEKERJA MANDIRI Infantile cerebral palsy, Rujuk Vertikal
ADRIYANTO unspecified
836 11-01-2019 111808010119Y000372 0002038858198 MUKHAMMAD FAIZ ADRIYANTO L PEKERJA MANDIRI Infantile cerebral palsy, Rujuk Vertikal
unspecified
837 11-01-2019 111808010119Y000379 0002320207119 SUMARYONO L PEKERJA MANDIRI Tuberculosis of larynx, Berobat Jalan
trachea and bronchus,
confirmed bacteriologically
and histologically

838 11-01-2019 111808010119Y001207 0002420278457 MUFALLICHATUL WAHYUNI P PEGAWAI PEMERINTAH Personal history of Berobat Jalan
DENGAN PERJANJIAN contraception
KERJA
839 11-01-2019 111808010119Y000381 0002463874468 DEDEH TURYANA P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after surgery for other
conditions
840 10-01-2019 111808010119Y000293 0000084921614 ROSYAD DANI L PNS PUSAT Follow-up examination Rujuk Vertikal
after surgery for other
conditions
841 10-01-2019 111808010119Y000343 0000085992928 EKO CAHYONO L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
842 10-01-2019 111808010119Y000295 0000086005811 MURSIDAH P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
843 10-01-2019 111808010119Y000315 0000086059225 SARMIYAH P PENERIMA PENSIUN TNI Cough Rujuk Vertikal

844 10-01-2019 111808010119Y000294 0000086148775 WIYADI L PENERIMA PENSIUN Other specified diseases Berobat Jalan
PNS of upper respiratory tract
845 10-01-2019 111808010119Y000300 0000086191839 ROMIJATI P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
846 10-01-2019 111808010119Y000333 0000086192122 SIEM LIOE JONG P PENERIMA PENSIUN Other and unspecified Rujuk Vertikal Hipertensi Hipertensi
PNS abdominal pain
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

847 10-01-2019 111808010119Y000335 0000086263918 HARJONO L PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
848 10-01-2019 111808010119Y000331 0000086291469 ARIJONO L PENERIMA PENSIUN Cough Berobat Jalan Hipertensi Hipertensi
PNS
849 10-01-2019 111808010119Y000334 0000086291471 NURMALA YULIASTUTI P PENERIMA PENSIUN Cough Berobat Jalan
PNS
850 10-01-2019 111808010119Y000714 0000547472327 MUJI WAHYUNI P PBI (APBN) Ectopic pregnancy Berobat Jalan

851 10-01-2019 111808010119Y000337 0000603038687 WALDIYONO L PBI (APBN) Cercarial dermatitis Berobat Jalan

852 10-01-2019 111808010119Y000706 0000603211138 DWI HIDAYANTI P PBI (APBN) Ectopic pregnancy Berobat Jalan

853 10-01-2019 111808010119Y001195 0000603486145 PURWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
854 10-01-2019 111808010119Y000351 0000603564017 SUGENG L PBI (APBN) Other headache Berobat Jalan
syndromes
855 10-01-2019 111808010119Y000298 0000603623261 ISWOYO L PBI (APBN) Neuralgia and neuritis, Rujuk Vertikal
unspecified
856 10-01-2019 111808010119Y000342 0000603846358 SARMINI P PBI (APBN) Constipation Berobat Jalan

857 10-01-2019 111808010119Y000307 0000603908605 IKA HIDAYAH P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
858 10-01-2019 111808010119Y001197 0000603974878 ARTI NINGSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
859 10-01-2019 111808010119Y000344 0000603996322 RIYANTO L PBI (APBN) Dizziness and giddiness Berobat Jalan

860 10-01-2019 111808010119Y000707 0000603996805 TUMARIYAH P PBI (APBN) Ectopic pregnancy Berobat Jalan

861 10-01-2019 111808010119Y000292 0000604046621 MARDIYONO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
862 10-01-2019 111808010119Y000355 0000604096749 NASOKHAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
863 10-01-2019 111808010119Y000352 0000604201937 SULASTIATUN P PBI (APBN) Supervision of other Rujuk Vertikal
high-risk pregnancies
864 10-01-2019 111808010119Y000359 0000604329153 ISTAMAR L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
865 10-01-2019 111808010119Y001194 0000604437039 SRI SOFIYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
866 10-01-2019 111808010119Y000304 0000604525781 MUHAMMAD SIDIK L PBI (APBN) Paranoid schizophrenia Rujuk Vertikal

867 10-01-2019 111808010119Y000301 0000604729855 TAUFIK SUJA'I L PEGAWAI SWASTA Necrosis of pulp Rujuk Vertikal
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

868 10-01-2019 111808010119Y000710 0000604816277 ZUMROTULATIFAH P PBI (APBN) Ectopic pregnancy Berobat Jalan

869 10-01-2019 111808010119Y000711 0000604820564 LIYA ANDRIYANI P PBI (APBN) Ectopic pregnancy Berobat Jalan

870 10-01-2019 111808010119Y000346 0000604824401 SRI WAHYUNI P PBI (APBN) Tinea cruris Berobat Jalan

871 10-01-2019 111808010119Y000317 0000604824682 RINTANI WIHERINI P PBI (APBN) Follow-up examination Rujuk Vertikal
after psychotherapy
872 10-01-2019 111808010119Y000361 0000605150166 SRI LESTARI P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
873 10-01-2019 111808010119Y000357 0001027900282 NURYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
874 10-01-2019 111808010119Y000358 0001027900776 GIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
875 10-01-2019 111808010119Y000314 0001027903105 PURWATI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
876 10-01-2019 111808010119Y000353 0001027920363 MAT FAIZUN L PBI (APBN) Other allergic rhinitis Berobat Jalan

877 10-01-2019 111808010119Y000362 0001027920677 SURYANI P PBI (APBN) Dizziness and giddiness Berobat Jalan

878 10-01-2019 111808010119Y000336 0001261012959 SUPARTINI P PEKERJA MANDIRI Supervision of other Rujuk Vertikal
high-risk pregnancies
879 10-01-2019 111808010119Y000347 0001299341373 NANDANG NUGRAHENI P PEKERJA MANDIRI Other headache Berobat Jalan
syndromes
880 10-01-2019 111808010119Y000324 0001444226433 RIA KUMALA P PEKERJA MANDIRI Irregular menstruation, Rujuk Vertikal
unspecified
881 10-01-2019 111808010119Y000332 0001527115465 MATACHON L PBI (APBD) Cercarial dermatitis Berobat Jalan

882 10-01-2019 111808010119Y000354 0001819510852 muh lasin L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
883 10-01-2019 111808010119Y000340 0001820273962 INDAH HUKAMIRAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
884 10-01-2019 111808010119Y000326 0001867173625 prita riama crhistine silaban P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
885 10-01-2019 111808010119Y000325 0001867174389 paskah tama silaban L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
886 10-01-2019 111808010119Y000316 0001998215559 LINA P PBI (APBN) Excessive and frequent Rujuk Vertikal
menstruation with regular
cycle
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

887 10-01-2019 111808010119Y000712 0002053206628 RAHAYU ADININGSIH P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan

888 10-01-2019 111808010119Y000322 0002073324249 IRFAN YANUARDIANSYAH L PEKERJA MANDIRI Atopic dermatitis, Rujuk Vertikal
unspecified
889 10-01-2019 111808010119Y000339 0002088908651 MUHAMADUN L PEKERJA MANDIRI Myalgia Berobat Jalan

890 10-01-2019 111808010119Y000338 0002088910146 RONDIYAH P PEKERJA MANDIRI Low back pain Berobat Jalan

891 10-01-2019 111808010119Y000708 0002249954087 PUSPITA SARI P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan

892 10-01-2019 111808010119Y000348 0002262826574 MUNAWAR L PEKERJA MANDIRI Superficial injury of head, Berobat Jalan
part unspecified
893 10-01-2019 111808010119Y000356 0002326861642 AGUS SALIM L PEKERJA MANDIRI Epidemic vertigo Berobat Jalan

894 10-01-2019 111808010119Y000345 0002442691991 NUR WACHID L PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan

895 10-01-2019 111808010119Y000360 0002468991508 SUMARNI P PEKERJA MANDIRI Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous
disease
896 10-01-2019 111808010119Y000341 0002490533436 NASYA RAZETA SALSABILA P PEKERJA MANDIRI Routine postpartum Berobat Jalan
follow-up
897 10-01-2019 111808010119Y000713 0002623764925 YULI SETIYAWATI P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan

898 10-01-2019 111808010119Y000320 0002738038239 ATTALA MELVIANO UTOYO L PEGAWAI PEMERINTAH Unspecified jaundice Rujuk Vertikal
DENGAN PERJANJIAN
KERJA
899 09-01-2019 111808010119Y000323 0000085059358 SUMITRAH P PNS DAERAH Impacted cerumen Berobat Jalan

900 09-01-2019 111808010119Y000268 0000086192122 SIEM LIOE JONG P PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan Hipertensi Hipertensi
PNS [common cold]
901 09-01-2019 111808010119Y000271 0000086325276 H. MUHAmmad MANSHUR L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
902 09-01-2019 111808010119Y000280 0000210441058 SENO L PENERIMA PENSIUN TNI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
903 09-01-2019 111808010119Y000702 0000595211231 ENI ISTI ASIH P PBI (APBN) Personal history of Berobat Jalan
medical treatment
904 09-01-2019 111808010119Y000327 0000602739246 SUSILANINGSIH P PBI (APBN) Other forms of stomatitis Berobat Jalan

905 09-01-2019 111808010119Y000296 0000603213366 QOWIYAH P PBI (APBN) Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
906 09-01-2019 111808010119Y000318 0000603480341 RUKIYANTO L PBI (APBN) Candidal stomatitis Berobat Jalan

907 09-01-2019 111808010119Y001196 0000603496686 LILIK JUMARNI P PBI (APBN) Personal history of Berobat Jalan
contraception
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

908 09-01-2019 111808010119Y000321 0000603555592 PARMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
909 09-01-2019 111808010119Y000285 0000603620695 ISTIKOMAH P PBI (APBN) Myalgia Berobat Jalan

910 09-01-2019 111808010119Y000275 0000603646176 SUPAR L PBI (APBN) Migraine, unspecified Berobat Jalan

911 09-01-2019 111808010119Y001200 0000603676833 YANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
912 09-01-2019 111808010119Y001193 0000603846358 SARMINI P PBI (APBN) Personal history of Berobat Jalan
contraception
913 09-01-2019 111808010119Y000350 0000603864382 NUR SAID L PBI (APBN) Myalgia Berobat Jalan

914 09-01-2019 111808010119Y000289 0000603905455 MUHAMMAD FERRY ALI M L PBI (APBN) Cough Rujuk Vertikal

915 09-01-2019 111808010119Y000701 0000603974878 ARTI NINGSIH P PBI (APBN) Personal history of Berobat Jalan
medical treatment
916 09-01-2019 111808010119Y000310 0000604066847 IRMA SUKARNI P PBI (APBN) Gastritis, unspecified Berobat Jalan

917 09-01-2019 111808010119Y000302 0000604159481 SAMIYEM P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
918 09-01-2019 111808010119Y000305 0000604225056 budi erniyati P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
919 09-01-2019 111808010119Y000303 0000604225326 TIkANAH P PBI (APBN) Vertigo of central origin Berobat Jalan

920 09-01-2019 111808010119Y000297 0000604282285 CHOTIMAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
921 09-01-2019 111808010119Y000703 0000604287641 TRI FAHMA HIDAYAH P PBI (APBN) Personal history of Berobat Jalan
medical treatment
922 09-01-2019 111808010119Y000267 0000604383941 BEJO SARWONO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
923 09-01-2019 111808010119Y000313 0000604449066 TRI WIGATI P PBI (APBN) Impacted cerumen Berobat Jalan

924 09-01-2019 111808010119Y000274 0000604461756 DWI NAJWA ANGGRAINI P PBI (APBN) Dyspepsia Berobat Jalan

925 09-01-2019 111808010119Y000349 0000604506712 AGUNG SUSILO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
926 09-01-2019 111808010119Y000269 0000604548922 SOFI ANTIKA P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
927 09-01-2019 111808010119Y000273 0000604589613 NURHAYATI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
928 09-01-2019 111808010119Y000277 0000604806682 MUBAEDI L PBI (APBN) Myalgia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

929 09-01-2019 111808010119Y001202 0000604887197 SRI ARYATI P PBI (APBN) Personal history of Berobat Jalan
contraception
930 09-01-2019 111808010119Y000705 0000605274107 SUSIYANTI P PBI (APBN) Personal history of Berobat Jalan
medical treatment
931 09-01-2019 111808010119Y000263 0001027897569 RUKIYAH P PBI (APBN) Stroke, not specified as Rujuk Vertikal Hipertensi Hipertensi
haemorrhage or infarction
932 09-01-2019 111808010119Y000306 0001027904005 INDRA LISTIYANINGSIH . P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
933 09-01-2019 111808010119Y001199 0001027915121 RAHAYU NINGSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
934 09-01-2019 111808010119Y000329 0001027919957 CHUSNIYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

935 09-01-2019 111808010119Y000311 0001027920712 HIMATUL LUTFI L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
936 09-01-2019 111808010119Y000291 0001148166819 ISTANTO L PEGAWAI SWASTA Visual disturbance, Rujuk Vertikal
unspecified
937 09-01-2019 111808010119Y000286 0001191257471 TRI WIDARTI P PEGAWAI SWASTA Presbyopia Rujuk Vertikal

938 09-01-2019 111808010119Y000287 0001304642349 HARIS WARJITO KUSUMA L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
939 09-01-2019 111808010119Y000276 0001308895885 SRI BUMARMAWATI P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
940 09-01-2019 111808010119Y000278 0001381822356 NURROYYAN ASSYARIFAH P PEGAWAI SWASTA Cough Rujuk Vertikal

941 09-01-2019 111808010119Y000272 0001444220043 GO GWAN TJWAN L PEKERJA MANDIRI Angina pectoris Berobat Jalan

942 09-01-2019 111808010119Y000283 0001447628387 SUPRIHATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
943 09-01-2019 111808010119Y000328 0001527113665 KRISTIANA P PBI (APBD) Myalgia Berobat Jalan

944 09-01-2019 111808010119Y001191 0001527115691 TRINURYATI P PBI (APBD) Personal history of Berobat Jalan
contraception
945 09-01-2019 111808010119Y000260 0001527149531 AKHMAD SUKRI L PBI (APBD) Senile cataract Rujuk Vertikal

946 09-01-2019 111808010119Y000312 0001620321412 EKO WARDANI P PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
947 09-01-2019 111808010119Y000319 0001697651019 DINIL ISLAM L PBI (APBD) Scabies Berobat Jalan

948 09-01-2019 111808010119Y000288 0001792593786 SOPIYAH P PEKERJA MANDIRI Examination of eyes and Rujuk Vertikal
vision
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

949 09-01-2019 111808010119Y000270 0001797161095 VERNANDA YESICA REKI P PEGAWAI PEMERINTAH Follow-up examination Rujuk Vertikal
HANDAYANI DENGAN PERJANJIAN after surgery for other
KERJA conditions
950 09-01-2019 111808010119Y000281 0001812590447 UMAYAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
951 09-01-2019 111808010119Y001285 0001867744315 NUR WACHIDAH RAHAYU P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
952 09-01-2019 111808010119Y000284 0001884164668 EDDY SUBAGYO L PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
953 09-01-2019 111808010119Y000704 0002010837824 DWI AGUSTINA P PBI (APBN) Personal history of Berobat Jalan
medical treatment
954 09-01-2019 111808010119Y000290 0002047585678 mukhammad ali anwar L PEKERJA MANDIRI Sciatica Rujuk Vertikal

955 09-01-2019 111808010119Y000261 0002237511576 SARYONO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
956 09-01-2019 111808010119Y000299 0002274783063 LAKSONO SUPRIYADI L PEGAWAI PEMERINTAH Other specified diseases Berobat Jalan
DENGAN PERJANJIAN of upper respiratory tract
KERJA
957 09-01-2019 111808010119Y000282 0002283517416 NUR FATONI L PEGAWAI PEMERINTAH Follow-up examination Rujuk Vertikal
DENGAN PERJANJIAN after surgery for other
KERJA conditions
958 09-01-2019 111808010119Y000308 0002284772567 SARINAH P PEKERJA MANDIRI Gonarthrosis, unspecified Berobat Jalan

959 09-01-2019 111808010119Y000279 0002347721504 ENI YULI PEMILUWATI P PBI (APBD) Retained dental root Rujuk Vertikal

960 09-01-2019 111808010119Y001201 0002380339282 PARMIYATI P PBI (APBN) Personal history of Berobat Jalan
contraception
961 09-01-2019 111808010119Y000266 0002382242466 MISRO L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
962 09-01-2019 111808010119Y001192 0002382250397 CHOTIMATUL HASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
963 09-01-2019 111808010119Y000309 0002423973969 RAHAYU ATMININGSIH P PEKERJA MANDIRI Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
964 09-01-2019 111808010119Y000265 0002454783693 DYLAN ZAVIER ABIZARD L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
965 08-01-2019 111808010119Y000241 0000076291097 TITIK HERLINA P PEKERJA MANDIRI Chest pain, unspecified Rujuk Vertikal

966 08-01-2019 111808010119Y000264 0000086296713 SUPARJANTI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
967 08-01-2019 111808010119Y000250 0000086337246 ALFALAH P PNS DAERAH Gonarthrosis, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

968 08-01-2019 111808010119Y000207 0000166378509 SRI RAHAYU P PENERIMA PENSIUN Malignant neoplasm of Rujuk Vertikal
PNS breast, unspecified
969 08-01-2019 111808010119Y001284 0000595211231 ENI ISTI ASIH P PBI (APBN) Personal history of Berobat Jalan
contraception
970 08-01-2019 111808010119Y001290 0000595211231 ENI ISTI ASIH P PBI (APBN) Personal history of Berobat Jalan
contraception
971 08-01-2019 111808010119Y000256 0000602681466 MUTIAH L PBI (APBN) Other gastritis Berobat Jalan

972 08-01-2019 111808010119Y000205 0000603723339 SITI PRIYANTI P PBI (APBN) Routine postpartum Rujuk Vertikal
follow-up
973 08-01-2019 111808010119Y000262 0000603757416 SUPARTINAH P PBI (APBN) Other headache Berobat Jalan
syndromes
974 08-01-2019 111808010119Y000259 0000603862391 SEFRI HERU SETIAWAN L PBI (APBN) Otitis media, unspecified Berobat Jalan

975 08-01-2019 111808010119Y000216 0000603949983 LILIS PUJIYANTI P PBI (APBN) Pulpitis Rujuk Vertikal

976 08-01-2019 111808010119Y001248 0000603974081 NUR WIDIYA ASTUTI P PBI (APBN) Personal history of Berobat Jalan
contraception
977 08-01-2019 111808010119Y000253 0000604139163 ASNA ALFINA P PBI (APBN) Gastritis, unspecified Berobat Jalan

978 08-01-2019 111808010119Y000203 0000604479554 ISTIYAH P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
979 08-01-2019 111808010119Y000234 0000604854922 FAUDIA RETNANINGSIH P PBI (APBN) Follow-up examination Rujuk Vertikal
after psychotherapy
980 08-01-2019 111808010119Y000252 0001027901171 WALIJAH P PBI (APBN) Other specified Berobat Jalan
noninflammatory disorders
of vagina
981 08-01-2019 111808010119Y000204 0001275319653 SAKBANI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
982 08-01-2019 111808010119Y000219 0001381076471 FRANCISCA THERESIA P PEKERJA MANDIRI Herpesviral infection of Rujuk Vertikal
genitalia and urogenital
tract
983 08-01-2019 111808010119Y000206 0001481214879 FARICHA NAHARI FITRIYATI P PEGAWAI SWASTA Neuralgia and neuritis, Rujuk Vertikal
unspecified
984 08-01-2019 111808010119Y000257 0001691913971 FAIZ ABIY PURNOMO L PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
985 08-01-2019 111808010119Y000258 0001786201514 LASIYATI P PEKERJA MANDIRI Epidemic vertigo Berobat Jalan

986 08-01-2019 111808010119Y000255 0001810704745 tachlisiyah P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

987 08-01-2019 111808010119Y001298 0001841645924 feni arvina L PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
988 08-01-2019 111808010119Y000238 0001894140797 tumirah P PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal Diabetes Mellitus Diabetes
unspecified Mellitus
989 08-01-2019 111808010119Y000230 0001906535338 JESSICA ANASTASYA PUTRI P PBI (APBD) Chronic disease of tonsils Rujuk Vertikal
JUWONO and adenoids, unspecified

990 08-01-2019 111808010119Y000248 0001906561901 MOHAMMAD ALVIAN AKBAR L PBI (APBD) Atopic dermatitis Berobat Jalan
ARDHANI
991 08-01-2019 111808010119Y000235 0001966886932 nok aminah P PNS DAERAH Crushing injury of other Rujuk Vertikal
and unspecified parts of
lower leg
992 08-01-2019 111808010119Y000218 0001969281459 NUR HIDAYATURRAHMAH P PEKERJA MANDIRI Sprain and strain of other Rujuk Vertikal
and unspecified parts of
lumbar spine and pelvis

993 08-01-2019 111808010119Y000239 0002023098568 RAMA TIRTA GRACIA L PBI (APBN) Moderate mental Rujuk Vertikal
retardation
994 08-01-2019 111808010119Y000700 0002251019531 APRILIYANI P PEGAWAI PEMERINTAH Ectopic pregnancy Sembuh
DENGAN PERJANJIAN
KERJA
995 08-01-2019 111808010119Y000217 0002262345603 ASIYAH P PEKERJA MANDIRI Gonarthrosis, unspecified Rujuk Vertikal

996 08-01-2019 111808010119Y000236 0002274713144 BUDI RIYATNO L PEGAWAI PEMERINTAH Localized swelling, mass Rujuk Vertikal
DENGAN PERJANJIAN and lump, lower limb
KERJA
997 08-01-2019 111808010119Y000237 0002434107194 RIQYAL JIBRAN L PEGAWAI SWASTA Injury of unspecified Rujuk Vertikal
intra-abdominal organ
998 08-01-2019 111808010119Y000247 0002454783693 DYLAN ZAVIER ABIZARD L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
999 08-01-2019 111808010119Y000254 0002462649873 SUSIRAT L PEKERJA MANDIRI Malaise and fatigue Berobat Jalan

1000 08-01-2019 111808010119Y000227 0002462651122 RUWIYAH P PEKERJA MANDIRI Localized swelling, mass Rujuk Vertikal
and lump, upper limb
1001 08-01-2019 111808010119Y000208 0002466378786 NANIK SUGIYARTI P PEKERJA MANDIRI Stroke, not specified as Rujuk Vertikal
haemorrhage or infarction
1002 08-01-2019 111808010119Y001283 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1003 08-01-2019 111808010119Y001259 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1004 08-01-2019 111808010119Y000240 0002498787843 ZAMRODAH P PEKERJA MANDIRI Myalgia Rujuk Vertikal
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1005 08-01-2019 111808010119Y000251 0002613976086 HERI SANTOSO L PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

1006 08-01-2019 111808010119Y000249 0002621804635 MUHAMAD FAISHOL TSAQOFI L PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1007 07-01-2019 111808010119Y000209 0000045834456 Moh YUNUS AKER L PENERIMA PENSIUN Acute nasopharyngitis Berobat Jalan Hipertensi Hipertensi
PNS [common cold]
1008 07-01-2019 111808010119Y000149 0000085988248 ENDANG purwatiningsih P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
1009 07-01-2019 111808010119Y000228 0000086064186 SUPRIHATI P PENERIMA PENSIUN TNI Hyperuricaemia without Berobat Jalan Hipertensi Hipertensi
signs of inflammatory
arthritis and tophaceous
disease
1010 07-01-2019 111808010119Y000159 0000086101569 M. MACHALI,BA. L PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
1011 07-01-2019 111808010119Y000158 0000086184044 SITI ZAHRO HJ P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal Hipertensi
PNS after other treatment for
other conditions
1012 07-01-2019 111808010119Y000146 0000086287599 SUPRIYADI L PNS DAERAH Unilateral or unspecified Rujuk Vertikal
inguinal hernia, without
obstruction or gangrene
1013 07-01-2019 111808010119Y000243 0000086315771 SUYAMTO L PNS DAERAH Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous
disease
1014 07-01-2019 111808010119Y000222 0000602670172 AGUS L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
1015 07-01-2019 111808010119Y001273 0000603029891 SITI ROCHMAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1016 07-01-2019 111808010119Y000698 0000603074968 CHASANATUL MUYASAROH P PBI (APBN) Ectopic pregnancy Berobat Jalan

1017 07-01-2019 111808010119Y000697 0000603377537 YUNITA ANDRIYANI P PBI (APBN) Ectopic pregnancy Berobat Jalan

1018 07-01-2019 111808010119Y000232 0000603467919 ALFINDA S P PBI (APBN) Cercarial dermatitis Berobat Jalan

1019 07-01-2019 111808010119Y000229 0000603501287 MUCH ZAENURI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1020 07-01-2019 111808010119Y000225 0000603578799 ISRO'IYAH P PBI (APBN) Myalgia Berobat Jalan

1021 07-01-2019 111808010119Y000210 0000603709727 NUR LAILI MAKROFAH P PBI (APBN) Asthma, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1022 07-01-2019 111808010119Y000211 0000603757304 MUKHAYAT L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1023 07-01-2019 111808010119Y000157 0000603766179 MUH ZAENI L PBI (APBN) Examination of ears and Rujuk Vertikal
hearing
1024 07-01-2019 111808010119Y000242 0000603849025 TITIKAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1025 07-01-2019 111808010119Y000153 0000603924118 SARMUDI L PBI (APBN) Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
after other treatment for Mellitus
other conditions
1026 07-01-2019 111808010119Y000214 0000603938057 AHMAD CHARIS ABROR L PBI (APBN) Viral intestinal infection, Berobat Jalan
unspecified
1027 07-01-2019 111808010119Y001247 0000603974081 NUR WIDIYA ASTUTI P PBI (APBN) Personal history of Sembuh
contraception
1028 07-01-2019 111808010119Y000245 0000604015604 RAHAYU PURWANINGSIH P PBI (APBN) Acute lymphadenitis Berobat Jalan

1029 07-01-2019 111808010119Y000694 0000604078176 KHUSNIYATUL HIMAYATI P PBI (APBN) Ectopic pregnancy Berobat Jalan

1030 07-01-2019 111808010119Y000200 0000604266456 CHAIRUN AZIZAH L PBI (APBN) Benign neoplasm of breast Rujuk Vertikal

1031 07-01-2019 111808010119Y000150 0000604329153 ISTAMAR L PBI (APBN) Heart failure, unspecified Rujuk Vertikal

1032 07-01-2019 111808010119Y000244 0000604509254 VENI DWI A P PBI (APBN) Pain in joint Berobat Jalan

1033 07-01-2019 111808010119Y000699 0000604875238 IFA SANIA P PBI (APBN) Ectopic pregnancy Berobat Jalan

1034 07-01-2019 111808010119Y000695 0000606052449 NASHOFI P PBI (APBN) Ectopic pregnancy Berobat Jalan

1035 07-01-2019 111808010119Y000224 0001027897064 SEMI P PBI (APBN) Myalgia Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
1036 07-01-2019 111808010119Y000163 0001027913016 SURATI P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1037 07-01-2019 111808010119Y000223 0001084456697 WATILAH P PBI (APBN) Myalgia Berobat Jalan

1038 07-01-2019 111808010119Y000166 0001261705487 SITI ROCHAYATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1039 07-01-2019 111808010119Y000145 0001275954118 SRI WIDAYATI P PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal

1040 07-01-2019 111808010119Y000226 0001432484572 HERMIN ATININGSIH P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan Hipertensi

1041 07-01-2019 111808010119Y000151 0001433591548 SUDARTO L PEKERJA MANDIRI Intra-abdominal and pelvic Rujuk Vertikal
swelling, mass and lump
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1042 07-01-2019 111808010119Y000148 0001451647675 USWATUN KHASANAH P PEKERJA MANDIRI Unspecified haemorrhoids Rujuk Vertikal
without complication

1043 07-01-2019 111808010119Y000164 0001527114058 PUSPITA RINI P PBI (APBD) Chest pain, unspecified Rujuk Vertikal

1044 07-01-2019 111808010119Y000152 0001628573196 ANDREST ANSYORY L PEGAWAI SWASTA Crushing injury of knee Rujuk Vertikal

1045 07-01-2019 111808010119Y000221 0001697752866 NANI NURAENI P PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
1046 07-01-2019 111808010119Y000154 0001786619979 MUTOHIRUN L PEKERJA MANDIRI Malaise and fatigue Rujuk Vertikal

1047 07-01-2019 111808010119Y000201 0001790688486 ISLAHUDIN L PEKERJA MANDIRI Heart failure, unspecified Rujuk Vertikal Hipertensi Hipertensi

1048 07-01-2019 111808010119Y000231 0001790695203 TATIK NURHAYATI P PEKERJA MANDIRI Myalgia Berobat Jalan Hipertensi Hipertensi

1049 07-01-2019 111808010119Y001297 0001841645924 feni arvina L PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1050 07-01-2019 111808010119Y001230 0001841645924 feni arvina L PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1051 07-01-2019 111808010119Y000233 0001899740114 ismiyati P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

1052 07-01-2019 111808010119Y000215 0001906501509 TRI KUSTIWATI P PBI (APBD) Other and unspecified Berobat Jalan
abdominal pain
1053 07-01-2019 111808010119Y000693 0001967293045 cholivah P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan

1054 07-01-2019 111808010119Y000156 0002079091506 PEBRIANA TRI P PEKERJA MANDIRI Maternal care for Rujuk Vertikal
LESTARININGRUM transverse and oblique lie
1055 07-01-2019 111808010119Y000696 0002133468459 MUHAMMAD ALFA BAIKHAQI L PBI (APBN) Ectopic pregnancy Berobat Jalan

1056 07-01-2019 111808010119Y000155 0002208190443 chayzira fayzola nadhifa P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1057 07-01-2019 111808010119Y000147 0002221698069 MASIKHAH P PEKERJA MANDIRI Neuralgia and neuritis, Rujuk Vertikal
unspecified
1058 07-01-2019 111808010119Y000177 0002244758523 MUJIYONO L PEKERJA MANDIRI Epidemic vertigo Rujuk Vertikal

1059 07-01-2019 111808010119Y000213 0002284908502 TITIK SUMARNI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1060 07-01-2019 111808010119Y001256 0002378622745 SHOLIHAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1061 07-01-2019 111808010119Y000202 0002380339282 PARMIYATI P PBI (APBN) Leiomyoma of uterus, Rujuk Vertikal
unspecified
1062 07-01-2019 111808010119Y000212 0002382244659 SURATIYEM P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1063 07-01-2019 111808010119Y000246 0002443809339 ATHAYA NAJIB ZAAHIRULHAQ L PBI (APBD) Other specified diseases Berobat Jalan
of upper respiratory tract
1064 07-01-2019 111808010119Y000220 0002457284826 SITI MARIYATUL KIPTIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1065 07-01-2019 111808010119Y001308 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1066 07-01-2019 111808010119Y000173 0002492651362 MAT AFANDI L PEKERJA MANDIRI Other mental disorders Rujuk Vertikal
due to brain damage and
dysfunction and to
physical disease
1067 07-01-2019 111808010119Y000175 0002737413562 AZMYA SYAIFA P PEGAWAI SWASTA Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1068 06-01-2019 111808010119Y001282 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1069 06-01-2019 111808010119Y001269 0002614399402 KHAFIDDATUL UMAYAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1070 06-01-2019 111808010119Y001280 0002614399402 KHAFIDDATUL UMAYAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1071 05-01-2019 111808010119Y000169 0000034067362 ELY SHOFIANA DEWI P PEGAWAI SWASTA Scabies Berobat Jalan

1072 05-01-2019 111808010119Y000190 0000086254896 TRI SUYATINI CHATARINA P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1073 05-01-2019 111808010119Y000121 0000086308031 DONO NUGROHO L PNS DAERAH Acute myocardial Rujuk Vertikal
infarction
1074 05-01-2019 111808010119Y001237 0000603383681 ARIN NUR KHASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1075 05-01-2019 111808010119Y000171 0000603719482 TUMPUK P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

1076 05-01-2019 111808010119Y000160 0000603748697 ATUN P PBI (APBN) Q fever Berobat Jalan

1077 05-01-2019 111808010119Y000186 0000603846358 SARMINI P PBI (APBN) Constipation Berobat Jalan

1078 05-01-2019 111808010119Y000125 0000603912205 MUH KHOLIS L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1079 05-01-2019 111808010119Y000194 0000604044696 ISPARIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1080 05-01-2019 111808010119Y000187 0000604136867 WIJI LESTARI P PBI (APBN) Other headache Berobat Jalan
syndromes
1081 05-01-2019 111808010119Y000185 0000604152999 TEGAR NITI RAHAJA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1082 05-01-2019 111808010119Y000178 0000604169166 SUSILAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1083 05-01-2019 111808010119Y000176 0000604268469 AMINAH P PBI (APBN) Essential (primary) Berobat Jalan Diabetes Mellitus Diabetes
hypertension Mellitus
1084 05-01-2019 111808010119Y000132 0000604466785 ANANDA ZAHRA B P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1085 05-01-2019 111808010119Y000126 0000604566145 SUNARTO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1086 05-01-2019 111808010119Y000117 0000604667529 ZAENAL ABIDIN L PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
1087 05-01-2019 111808010119Y000127 0000604883676 AHMAD HABIBURACHMAN L PBI (APBN) Follow-up examination Rujuk Vertikal
after psychotherapy
1088 05-01-2019 111808010119Y000174 0000605103568 ISTIKOMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1089 05-01-2019 111808010119Y000170 0001027901722 GILANG MALIK RIDLWAN AL L PBI (APBN) Other gastritis Berobat Jalan
BADRI
1090 05-01-2019 111808010119Y000184 0001084715818 SUPARIYAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1091 05-01-2019 111808010119Y000118 0001298774766 DAFID KRISTIYANTO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after psychotherapy
1092 05-01-2019 111808010119Y000122 0001322920067 POEY KIEM KIOK P PEKERJA MANDIRI Examination of eyes and Rujuk Vertikal
vision
1093 05-01-2019 111808010119Y000162 0001633223744 Ayu Dewi Amaroh P PEGAWAI BUMN Cough Berobat Jalan

1094 05-01-2019 111808010119Y000119 0001809336328 etik rianawati P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
1095 05-01-2019 111808010119Y001245 0001874413135 RIZA REZITA P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
1096 05-01-2019 111808010119Y000167 0001882044977 sugini P PEKERJA MANDIRI Myalgia Berobat Jalan

1097 05-01-2019 111808010119Y000182 0001906553428 RENI SUTINAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1098 05-01-2019 111808010119Y000123 0002064095976 sri dwi wahyuningsih P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1099 05-01-2019 111808010119Y000124 0002257669855 MARYATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1100 05-01-2019 111808010119Y000172 0002262345603 ASIYAH P PEKERJA MANDIRI Myalgia Berobat Jalan

1101 05-01-2019 111808010119Y000193 0002267000109 TRI HANDANINGSIH P PEGAWAI PEMERINTAH Acute nasopharyngitis Berobat Jalan
DENGAN PERJANJIAN [common cold]
KERJA
1102 05-01-2019 111808010119Y000198 0002274840303 MUSADAD L PEGAWAI PEMERINTAH Acute nasopharyngitis Berobat Jalan
DENGAN PERJANJIAN [common cold]
KERJA
1103 05-01-2019 111808010119Y000199 0002274840628 HANIYATUL AENI P PEGAWAI PEMERINTAH Acute nasopharyngitis Berobat Jalan
DENGAN PERJANJIAN [common cold]
KERJA
1104 05-01-2019 111808010119Y000165 0002280376809 PAWIT P PEKERJA MANDIRI Tinea cruris Berobat Jalan

1105 05-01-2019 111808010119Y000197 0002288828665 ALYA DEWINA MARYAM L PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1106 05-01-2019 111808010119Y000120 0002306110926 DWI FATMAWATI P PNS DAERAH Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1107 05-01-2019 111808010119Y000192 0002308916834 GALANG PUTRA OKTAVIANO L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1108 05-01-2019 111808010119Y000189 0002311807059 DHYNIE SOESILA WAHYUDI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1109 05-01-2019 111808010119Y000168 0002322675022 SUTRISNO L PEKERJA MANDIRI Other gastritis Berobat Jalan

1110 05-01-2019 111808010119Y000195 0002325821769 RAMINAH P PEKERJA MANDIRI Other headache Berobat Jalan
syndromes
1111 05-01-2019 111808010119Y000188 0002382242466 MISRO L PBI (APBN) Cough Berobat Jalan

1112 05-01-2019 111808010119Y000183 0002382244648 AQILLA SHAQUEENA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1113 05-01-2019 111808010119Y000161 0002382248902 ADI WIDODO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
1114 05-01-2019 111808010119Y000179 0002444133611 MANISAH P PEKERJA MANDIRI Myalgia Berobat Jalan

1115 05-01-2019 111808010119Y000137 0002471274911 ROKHANIYAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1116 05-01-2019 111808010119Y001281 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Intrapartum haemorrhage Sembuh
with coagulation defect
1117 05-01-2019 111808010119Y001258 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1118 05-01-2019 111808010119Y000191 0002482801007 UNAISATUL MUARIFAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1119 05-01-2019 111808010119Y000196 0002621791809 MUCHAMMAD KASYIFUL KURBI L PEGAWAI PEMERINTAH Acute nasopharyngitis Berobat Jalan
DENGAN PERJANJIAN [common cold]
KERJA
1120 04-01-2019 111808010119Y000136 0000603527117 RAGIL MUHAMMAD L PBI (APBN) Other headache Berobat Jalan
PURWANTO syndromes
1121 04-01-2019 111808010119Y000091 0000603664176 KETI P PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi Hipertensi
after other treatment for
other conditions
1122 04-01-2019 111808010119Y000180 0000603969895 SAIUN L PBI (APBN) Acute bronchitis Berobat Jalan

1123 04-01-2019 111808010119Y000144 0000603983294 AJI WIRANATA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1124 04-01-2019 111808010119Y000099 0000604147972 AVIANSA SUSILO L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1125 04-01-2019 111808010119Y000138 0000604162102 NADHILIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1126 04-01-2019 111808010119Y000095 0000604168964 AMINAH P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1127 04-01-2019 111808010119Y000093 0000604371407 MIFTAKHUSSURUR L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1128 04-01-2019 111808010119Y000141 0000604411244 SITI AMINAH P PBI (APBN) Myalgia Berobat Jalan

1129 04-01-2019 111808010119Y000140 0000604412256 M MAHFUD SIDIQ L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1130 04-01-2019 111808010119Y000131 0000604589613 NURHAYATI P PBI (APBN) Nonspecific lymphadenitis, Berobat Jalan
unspecified

1131 04-01-2019 111808010119Y000143 0000604815118 ARIFIN L PBI (APBN) Myalgia Berobat Jalan

1132 04-01-2019 111808010119Y000129 0001084270263 SOLICHAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1133 04-01-2019 111808010119Y000134 0001084708528 EKO SARWONO L PBI (APBN) Epilepsy Berobat Jalan

1134 04-01-2019 111808010119Y000090 0001084715818 SUPARIYAH P PBI (APBN) Examination of ears and Rujuk Vertikal
hearing
1135 04-01-2019 111808010119Y000130 0001308895885 SRI BUMARMAWATI P PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
1136 04-01-2019 111808010119Y000139 0001327965614 SRI RAHAYU P PEKERJA MANDIRI Other and unspecified Berobat Jalan
abdominal pain
1137 04-01-2019 111808010119Y000094 0001381172837 SOEPOYO SOEMADIPUTRO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1138 04-01-2019 111808010119Y000133 0001428581316 SIGIT YUDIYANTO L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1139 04-01-2019 111808010119Y000116 0001809335024 basir L PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
1140 04-01-2019 111808010119Y000111 0001842102922 ADI SISWANTO L PNS DAERAH Polyneuropathy, Rujuk Vertikal
unspecified
1141 04-01-2019 111808010119Y000098 0001875946206 ester sugyati P PEKERJA MANDIRI Examination of ears and Rujuk Vertikal
hearing
1142 04-01-2019 111808010119Y000128 0001906501509 TRI KUSTIWATI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1143 04-01-2019 111808010119Y000103 0001960371033 muhammad arifin L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1144 04-01-2019 111808010119Y000109 0001963674753 AGUS SANROSAD L PEGAWAI BUMN Unspecified viral hepatitis Rujuk Vertikal
hepatic with coma

1145 04-01-2019 111808010119Y000096 0002033976655 KUNTING L PEGAWAI SWASTA Stroke, not specified as Rujuk Vertikal
haemorrhage or infarction
1146 04-01-2019 111808010119Y000092 0002040873761 RATNA CANDRAWATI P PEKERJA MANDIRI Thyrotoxicosis Rujuk Vertikal
[hyperthyroidism]
1147 04-01-2019 111808010119Y000135 0002239851363 JEHAN AFWAZI AHMAD L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1148 04-01-2019 111808010119Y000181 0002320207119 SUMARYONO L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without
culture
1149 04-01-2019 111808010119Y001255 0002378622745 SHOLIHAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1150 04-01-2019 111808010119Y000142 0002425879585 suratmin L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1151 04-01-2019 111808010119Y000102 0002436967866 KUSAERI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1152 04-01-2019 111808010119Y001307 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Other intrapartum Sembuh
haemorrhage
1153 04-01-2019 111808010119Y001257 0002472487211 INDAH STYAWATI P PEKERJA MANDIRI Intrapartum haemorrhage Sembuh
with coagulation defect
1154 04-01-2019 111808010119Y001268 0002614399402 KHAFIDDATUL UMAYAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1155 03-01-2019 111808010119Y000089 0000084906988 SARJONO L PNS DAERAH Stroke, not specified as Rujuk Vertikal
haemorrhage or infarction
1156 03-01-2019 111808010119Y000485 0000085998273 H. MOCH DATAM L PNS PUSAT Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1157 03-01-2019 111808010119Y000107 0000086059225 SARMIYAH P PENERIMA PENSIUN TNI Malaise and fatigue Berobat Jalan

1158 03-01-2019 111808010119Y000079 0000086090859 KISTIYAH P PENERIMA PENSIUN Gonarthrosis, unspecified Rujuk Vertikal
PNS
1159 03-01-2019 111808010119Y000406 0000086190614 HARTINI P PENERIMA PENSIUN Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
PNS diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
1160 03-01-2019 111808010119Y000050 0000086191097 MULIASRI P PENERIMA PENSIUN Examination of eyes and Rujuk Vertikal
PNS vision
1161 03-01-2019 111808010119Y000404 0000086191637 PARLAN L PENERIMA PENSIUN Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
PNS diabetes mellitus without Mellitus
complications
1162 03-01-2019 111808010119Y000405 0000086235052 SITI KHOLIMAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1163 03-01-2019 111808010119Y000367 0000086284844 SRI WIDARTI P PENERIMA PENSIUN Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
PNS diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
1164 03-01-2019 111808010119Y000467 0000086288196 ZAENUN ARAFAH L PNS DAERAH Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1165 03-01-2019 111808010119Y000077 0000086291379 DULMIYATI P PENERIMA PENSIUN Examination of ears and Rujuk Vertikal Diabetes Mellitus Diabetes
PNS hearing Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1166 03-01-2019 111808010119Y000478 0000086291379 DULMIYATI P PENERIMA PENSIUN Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
PNS diabetes mellitus without Mellitus
complications
1167 03-01-2019 111808010119Y000481 0000166382706 SITI HALIMAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
PNS diabetes mellitus without Mellitus
complications
1168 03-01-2019 111808010119Y000078 0000166382706 SITI HALIMAH P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
PNS after other treatment for Mellitus
other conditions
1169 03-01-2019 111808010119Y000057 0000203188274 PAIJAH P VETERAN Chronic renal failure, Rujuk Vertikal Diabetes Mellitus
unspecified
1170 03-01-2019 111808010119Y000469 0000603485144 SITI ZUHRIYAH P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1171 03-01-2019 111808010119Y000393 0000603521594 MUTIRAH P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1172 03-01-2019 111808010119Y000068 0000603582726 SITI FATIMAH P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1173 03-01-2019 111808010119Y000058 0000603597543 NGATPAN L PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1174 03-01-2019 111808010119Y000114 0000603676539 HERIYANTO L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1175 03-01-2019 111808010119Y000113 0000603950139 DARMONO L PBI (APBN) Gastritis, unspecified Berobat Jalan

1176 03-01-2019 111808010119Y000080 0000604083521 NUR PRAYITNO L PBI (APBN) Other and unspecified Rujuk Vertikal
abdominal pain
1177 03-01-2019 111808010119Y000388 0000604112409 MARIYATI P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications
1178 03-01-2019 111808010119Y000480 0000604137161 MUTASLIYAH P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1179 03-01-2019 111808010119Y000477 0000604262226 NURCHAYATI P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1180 03-01-2019 111808010119Y000368 0000604310567 KARTINI P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
1181 03-01-2019 111808010119Y000115 0000604366479 INTAN DELIA PARAMITA P PBI (APBN) Impetigo Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1182 03-01-2019 111808010119Y000086 0000604374759 MUNDAKIR L PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
1183 03-01-2019 111808010119Y000690 0000604376548 NUR KHAMIMAH P PBI (APBN) Ectopic pregnancy Berobat Jalan

1184 03-01-2019 111808010119Y000083 0000604400264 ACHMAD BERNADI L PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
1185 03-01-2019 111808010119Y000403 0000604489239 MUNZAEMAH P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1186 03-01-2019 111808010119Y000059 0000604489239 MUNZAEMAH P PBI (APBN) Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
after other treatment for Mellitus
other conditions
1187 03-01-2019 111808010119Y000100 0000604865722 SITI KOMARIYAH P PBI (APBN) Myalgia Berobat Jalan

1188 03-01-2019 111808010119Y000101 0000604866205 UMI ZIADATUS SHOLIKHAH P PBI (APBN) Other forms of stomatitis Berobat Jalan

1189 03-01-2019 111808010119Y000687 0000605996515 DEWI AMBARSARI P PBI (APBN) Ectopic pregnancy Berobat Jalan

1190 03-01-2019 111808010119Y000067 0001027899009 PARIYAH P PBI (APBN) Examination of ears and Rujuk Vertikal Diabetes Mellitus Diabetes
hearing Mellitus
1191 03-01-2019 111808010119Y000472 0001027899009 PARIYAH P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1192 03-01-2019 111808010119Y000072 0001027902014 ADI KURNIAWAN L PEKERJA MANDIRI Tuberculous pleurisy, Rujuk Vertikal
confirmed bacteriologically
and histologically

1193 03-01-2019 111808010119Y000363 0001027903173 GO SIOK HWA NIO P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1194 03-01-2019 111808010119Y000369 0001027919564 ERNA RAHMAWATI P PBI (APBN) Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1195 03-01-2019 111808010119Y000106 0001027920363 MAT FAIZUN L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1196 03-01-2019 111808010119Y000097 0001124033905 SITI KODRIYAH P PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
1197 03-01-2019 111808010119Y000076 0001267771724 EDI MULYONO L PBI (APBD) Paranoid schizophrenia Rujuk Vertikal

1198 03-01-2019 111808010119Y000054 0001272759107 MAYAWATI P PEKERJA MANDIRI Examination of eyes and Rujuk Vertikal Diabetes Mellitus Diabetes
vision Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1199 03-01-2019 111808010119Y000487 0001272759107 MAYAWATI P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1200 03-01-2019 111808010119Y000071 0001283078889 M. SAKRONI L PEKERJA MANDIRI Heart failure, unspecified Rujuk Vertikal Diabetes Mellitus Diabetes
Hipertensi Mellitus
Hipertensi
1201 03-01-2019 111808010119Y000371 0001286648245 SUPARTI P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1202 03-01-2019 111808010119Y000475 0001290715198 NURFAN SUNARYO L PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1203 03-01-2019 111808010119Y000112 0001291565463 RIZKINA WAHYU SAPUTRA L PEGAWAI SWASTA Cough Berobat Jalan

1204 03-01-2019 111808010119Y000070 0001306520649 SIE DAPET NIO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
after other treatment for Hipertensi Mellitus
other conditions
1205 03-01-2019 111808010119Y000399 0001319830964 SUDARDJO L PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications
1206 03-01-2019 111808010119Y000456 0001449374152 PARINAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1207 03-01-2019 111808010119Y000110 0001791041545 HARYANTO L PEKERJA MANDIRI Hordeolum and chalazion Berobat Jalan

1208 03-01-2019 111808010119Y000457 0001819511177 SRI AMINAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications
1209 03-01-2019 111808010119Y000391 0001874083386 SRI MARYANI P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
1210 03-01-2019 111808010119Y000084 0001891812014 ESTI KOMIANTO L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

1211 03-01-2019 111808010119Y000082 0001893996538 SUDARIJAH P PEKERJA MANDIRI Cataract, unspecified Rujuk Vertikal

1212 03-01-2019 111808010119Y000396 0001894140797 tumirah P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1213 03-01-2019 111808010119Y000104 0001899740114 ismiyati P PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1214 03-01-2019 111808010119Y000459 0002043620831 PONIJAH P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1215 03-01-2019 111808010119Y000053 0002047183514 bing djiang L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1216 03-01-2019 111808010119Y000108 0002082269711 DEVI SHOFIA AZ-ZAHRA P PNS PUSAT Other specified diseases Berobat Jalan
of upper respiratory tract
1217 03-01-2019 111808010119Y001253 0002220212373 LAILIA NUR FARIDA P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1218 03-01-2019 111808010119Y001277 0002220212373 LAILIA NUR FARIDA P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1219 03-01-2019 111808010119Y001272 0002308815898 ERNI INDRIYANI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1220 03-01-2019 111808010119Y001276 0002324502652 LILIN TRIYANAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1221 03-01-2019 111808010119Y001251 0002324502652 LILIN TRIYANAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1222 03-01-2019 111808010119Y001254 0002378622745 SHOLIHAH P PEKERJA MANDIRI Other intrapartum Sembuh
haemorrhage
1223 03-01-2019 111808010119Y000484 0002425879743 subagiyah P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1224 03-01-2019 111808010119Y000473 0002445078701 WADIYONO L PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1225 03-01-2019 111808010119Y000482 0002445765592 MUKINI P PEKERJA MANDIRI Non-insulin-dependent Sembuh Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
1226 03-01-2019 111808010119Y000088 0002457285311 TUWARNI P PEKERJA MANDIRI Examination of ears and Rujuk Vertikal
hearing
1227 03-01-2019 111808010119Y000688 0002482845399 LAILI HANIFAH P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan

1228 03-01-2019 111808010119Y000073 0002498029896 NILA EKAWATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1229 03-01-2019 111808010119Y000081 0002501307922 ARISAH P PEKERJA MANDIRI Carcinoma in situ of Rujuk Vertikal
cervix, unspecified
1230 03-01-2019 111808010119Y001267 0002614399402 KHAFIDDATUL UMAYAH P PEKERJA MANDIRI Intrapartum haemorrhage Sembuh
with coagulation defect
1231 03-01-2019 111808010119Y001279 0002614399402 KHAFIDDATUL UMAYAH P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1232 03-01-2019 111808010119Y000689 0002614695401 NUR ZENY P PEKERJA MANDIRI Ectopic pregnancy Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1233 03-01-2019 111808010119Y000105 0002621911972 LINA FILANI P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
1234 03-01-2019 111808010119Y000066 0002624145164 INSETIYO L PEKERJA MANDIRI Other specified disorders Rujuk Vertikal
of gingiva and edentulous
alveolar ridge
1235 03-01-2019 111808010119Y000085 0002626221576 SAJEEDA MAYZIYADA MANAFI' P PEKERJA MANDIRI Atopic dermatitis, Rujuk Vertikal
unspecified
1236 02-01-2019 111808010119Y000052 0000076291097 TITIK HERLINA P PEKERJA MANDIRI Pure Berobat Jalan
hypercholesterolaemia
1237 02-01-2019 111808010119Y000002 0000085975942 FERRY DWI MUHAMAD L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after psychotherapy
1238 02-01-2019 111808010119Y000055 0000086006924 ASIYATUN P PNS DAERAH Impacted cerumen Berobat Jalan

1239 02-01-2019 111808010119Y000069 0000086082039 TRI MURNI P PENERIMA PENSIUN Dysuria Berobat Jalan
PNS
1240 02-01-2019 111808010119Y000046 0000086099231 SUHARTI P PENERIMA PENSIUN Follow-up examination Rujuk Vertikal
PNS after other treatment for
other conditions
1241 02-01-2019 111808010119Y000013 0000086190603 DAROBI L PENERIMA PENSIUN Vertigo of central origin Rujuk Vertikal Diabetes Mellitus Diabetes
PNS Hipertensi Mellitus
Hipertensi
1242 02-01-2019 111808010119Y000042 0000086190895 WASTHIYAH .BA P PENERIMA PENSIUN Heart failure, unspecified Rujuk Vertikal
PNS
1243 02-01-2019 111808010119Y000019 0000086191198 KING SUTOJO L PENERIMA PENSIUN Examination of eyes and Rujuk Vertikal
PNS vision
1244 02-01-2019 111808010119Y000038 0000086192853 SUYATI P PENERIMA PENSIUN Senile cataract, Rujuk Vertikal
PNS unspecified
1245 02-01-2019 111808010119Y000029 0000086267406 KABUL YUSAK L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1246 02-01-2019 111808010119Y000011 0000603135167 DINNO AGE TRIJOKO L PBI (APBN) Human immunodeficiency Rujuk Vertikal
virus [HIV] disease
resulting in infectious and
parasitic diseases

1247 02-01-2019 111808010119Y000014 0000603526814 USWATUN KHASANAH P PBI (APBN) Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1248 02-01-2019 111808010119Y000041 0000603670781 GINO SUJARNO L PBI (APBN) Stroke, not specified as Rujuk Vertikal
haemorrhage or infarction
1249 02-01-2019 111808010119Y000009 0000603704259 WAHUDI L PBI (APBN) Other senile cataract Rujuk Vertikal Hipertensi Hipertensi
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1250 02-01-2019 111808010119Y000021 0000603924772 FITRIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1251 02-01-2019 111808010119Y000033 0000603993587 ZULIYANTI P PBI (APBN) Impacted teeth Rujuk Vertikal

1252 02-01-2019 111808010119Y001275 0000604081923 YUNI SETYANA P PBI (APBN) Personal history of Berobat Jalan
contraception
1253 02-01-2019 111808010119Y001246 0000604081923 YUNI SETYANA P PBI (APBN) Personal history of Berobat Jalan
contraception
1254 02-01-2019 111808010119Y000025 0000604189179 PUJI RAHAYU P PBI (APBN) Visual disturbance, Rujuk Vertikal
unspecified
1255 02-01-2019 111808010119Y000030 0000604375255 MUH AMIN L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1256 02-01-2019 111808010119Y000036 0000604491546 MUNAWAROH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
1257 02-01-2019 111808010119Y000037 0000604495618 JULIANA FAJRIYA P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1258 02-01-2019 111808010119Y000060 0000604598589 SUDI ROHMAT L PBI (APBN) Other joint disorders, not Berobat Jalan
elsewhere classified
1259 02-01-2019 111808010119Y000065 0000604802283 NASTITI P PBI (APBN) Conjunctivitis Berobat Jalan

1260 02-01-2019 111808010119Y000064 0000605020577 ISLAMIYAH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1261 02-01-2019 111808010119Y000063 0000605021319 HENRY SAIFUL I L PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1262 02-01-2019 111808010119Y001250 0000606435219 NASIHATUL MUNAWAROH P PBI (APBN) Personal history of Berobat Jalan
contraception
1263 02-01-2019 111808010119Y001274 0000606435219 NASIHATUL MUNAWAROH P PBI (APBN) Personal history of Berobat Jalan
contraception
1264 02-01-2019 111808010119Y000062 0001027899437 SUWARNI P PBI (APBN) Other joint disorders, not Berobat Jalan
elsewhere classified
1265 02-01-2019 111808010119Y000027 0001027901766 SAIB L PBI (APBN) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
1266 02-01-2019 111808010119Y000018 0001027920295 LASMINAH P PBI (APBN) Presence of (intrauterine) Rujuk Vertikal
contraceptive device
1267 02-01-2019 111808010119Y000023 0001288921926 MUJITO L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1268 02-01-2019 111808010119Y000022 0001293944861 IRA NURLAELA P PEKERJA MANDIRI Other specified diseases Berobat Jalan
of upper respiratory tract
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1269 02-01-2019 111808010119Y000006 0001322914858 HERU SUSILOWATI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1270 02-01-2019 111808010119Y000020 0001434660614 HARIYONO L PEKERJA MANDIRI Keloid scar Rujuk Vertikal Hipertensi Hipertensi

1271 02-01-2019 111808010119Y000044 0001435175651 RADITYA DEVA MAHENDRA L PEGAWAI SWASTA Other specified diseases Berobat Jalan
of upper respiratory tract
1272 02-01-2019 111808010119Y000049 0001445439352 ANY SETIAWATY P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1273 02-01-2019 111808010119Y000003 0001527113889 SITI ZAIDAH P PBI (APBD) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
1274 02-01-2019 111808010119Y000032 0001527114554 NOVITA WIDIA PRATIWI P PBI (APBD) Localized swelling, mass Rujuk Vertikal
and lump, upper limb
1275 02-01-2019 111808010119Y000012 0001527114802 LILIANA WAKHIDA ASTERINA P PBI (APBD) Follow-up examination Rujuk Vertikal
after psychotherapy
1276 02-01-2019 111808010119Y000001 0001527115432 DEWI APRESIA KHOIRUN P PEGAWAI PEMERINTAH Fracture of lower leg, part Rujuk Vertikal
NISAK DENGAN PERJANJIAN unspecified
KERJA
1277 02-01-2019 111808010119Y000047 0001697636834 sariman L PBI (APBD) Abscess of bursa, ankle Berobat Jalan
and foot
1278 02-01-2019 111808010119Y000045 0001786201514 LASIYATI P PEKERJA MANDIRI Myalgia Berobat Jalan

1279 02-01-2019 111808010119Y000039 0001810703362 ACHMAD DAMAR L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1280 02-01-2019 111808010119Y000024 0001819510852 muh lasin L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1281 02-01-2019 111808010119Y000031 0001819511177 SRI AMINAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Diabetes Mellitus Diabetes
after other treatment for Hipertensi Mellitus
other conditions
1282 02-01-2019 111808010119Y000005 0001827569518 SRI ATMINI P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
1283 02-01-2019 111808010119Y000034 0001846502054 RIBUT MULYATI P PBI (APBD) Follow-up examination Rujuk Vertikal Hipertensi
after other treatment for
other conditions
1284 02-01-2019 111808010119Y000028 0001848145746 roy rizki juniyawan L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

1285 02-01-2019 111808010119Y000409 0001855604103 YANTI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : MAGELANG - 1106

FKTP : Parakan - 11180801

1286 02-01-2019 111808010119Y000061 0002021002953 BIMA SATYA PUTRA ALIMIN L PBI (APBN) Impetigo [any organism] Berobat Jalan
[any site]
1287 02-01-2019 111808010119Y000015 0002053953213 ROCHANIK P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal Diabetes Mellitus
after other treatment for
other conditions
1288 02-01-2019 111808010119Y000056 0002089517433 ANDIKA DWI CAHYA L PEKERJA MANDIRI Cercarial dermatitis Berobat Jalan

1289 02-01-2019 111808010119Y000010 0002131854546 PURWANTO L PBI (APBN) Necrosis of pulp Rujuk Vertikal

1290 02-01-2019 111808010119Y000686 0002241690636 SUGIYANTI P PEKERJA MANDIRI Personal history of Berobat Jalan
medical treatment
1291 02-01-2019 111808010119Y000074 0002262707368 SRI SUDARTI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1292 02-01-2019 111808010119Y000051 0002262826574 MUNAWAR L PEKERJA MANDIRI Birth injury to peripheral Berobat Jalan
nervous system,
unspecified
1293 02-01-2019 111808010119Y000004 0002276915668 M. SIROJUDIN NUR SYAHRI L PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1294 02-01-2019 111808010119Y000075 0002346216333 ISRIYAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1295 02-01-2019 111808010119Y000408 0002382250397 CHOTIMATUL HASANAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1296 02-01-2019 111808010119Y000026 0002382254559 KIRTI TARBI'AH P PBI (APBN) Other specified diseases Berobat Jalan
of upper respiratory tract
1297 02-01-2019 111808010119Y000017 0002382254807 ISMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1298 02-01-2019 111808010119Y000016 0002433993344 CAESANDRI ARDIYANTO L PEKERJA MANDIRI Scabies Berobat Jalan
PUTRO
1299 02-01-2019 111808010119Y000040 0002466419207 DARYONO SINGGIH L PEKERJA MANDIRI Soft tissue disorder, Rujuk Vertikal
unspecified
1300 02-01-2019 111808010119Y000043 0002474812462 MUHAMMAD MAHMUD L PEKERJA MANDIRI Low back pain Rujuk Vertikal

1301 02-01-2019 111808010119Y000048 0002474813147 ORTRI MAURAYA TAULITA P PEKERJA MANDIRI Visual disturbance, Rujuk Vertikal
unspecified
1302 02-01-2019 111808010119Y000035 0002610566987 DIANA SAFITRI HIDAYAH P PEKERJA MANDIRI Follow-up examination Rujuk Vertikal
after other treatment for
other conditions
1303 02-01-2019 111808010119Y000407 0002614399402 KHAFIDDATUL UMAYAH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1304 02-01-2019 111808010119Y001278 0002614399402 KHAFIDDATUL UMAYAH P PEKERJA MANDIRI Intrapartum haemorrhage Sembuh
with coagulation defect