KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DI RUJUK CETAK
1 14/05/2017 0000706843462 YENI P PBI (APBN) Gastritis, unspecified TIDAK 2 14/05/2017 0000706965603 ABDUL AZIZ L PBI (APBN) Gastritis, unspecified TIDAK 3 14/05/2017 0000706965759 BUHARI L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 4 14/05/2017 0000706969034 HERNATI P PBI (APBN) Migraine, unspecified TIDAK 5 14/05/2017 0000707396984 SAMA ATI P PBI (APBN) Migraine, unspecified TIDAK 6 14/05/2017 0000707412688 TUMIYEM P PBI (APBN) Fever with chills TIDAK 7 14/05/2017 0000707413329 DEDEK MAY JOKO L PBI (APBN) Other forms of stomatitis TIDAK 8 14/05/2017 0000707418551 SENAH L PBI (APBN) Other forms of stomatitis TIDAK 9 14/05/2017 0000707434975 USMAN L PBI (APBN) Gastritis, unspecified TIDAK 10 14/05/2017 0000707442805 TRISNO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 11 14/05/2017 0000707446383 BUDIYANTO L PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 12 14/05/2017 0000707450264 MAHUD L PBI (APBN) Gastritis, unspecified TIDAK 13 14/05/2017 0000707456204 USI P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 14 14/05/2017 0000707461481 SRIWATI P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 15 14/05/2017 0000707465057 SRI ANITA P PBI (APBN) Migraine, unspecified TIDAK Influenza with other respiratory manifestations, virus not 16 14/05/2017 0000707482023 SUTAWI L PBI (APBN) TIDAK identified 17 14/05/2017 0000707484565 TOLAK L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 18 14/05/2017 0000707486433 SUMYATI P PBI (APBN) Migraine, unspecified TIDAK 19 14/05/2017 0000707492283 PITWATI P PBI (APBN) Conjunctivitis due to adenovirus TIDAK 20 14/05/2017 0000707497558 HOLIS L PBI (APBN) Migraine, unspecified TIDAK Influenza with other respiratory manifestations, virus not 21 14/05/2017 0000707501812 KOSNO L PBI (APBN) TIDAK identified 22 14/05/2017 0000707509664 ASIM L PBI (APBN) Fever with chills TIDAK 23 14/05/2017 0000707512061 TOYANI GIARTI P PBI (APBN) Fever with chills TIDAK 24 14/05/2017 0000707528226 JAMIDEN L PBI (APBN) Gastritis, unspecified TIDAK 25 14/05/2017 0000707529677 RIZAL FAIDI L PBI (APBN) Gastritis, unspecified TIDAK 26 14/05/2017 0000707529879 MISWATI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 27 14/05/2017 0000707540073 LULUK P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 28 14/05/2017 0000707544066 SISWATI P PBI (APBN) Migraine, unspecified TIDAK 29 14/05/2017 0000707545293 YUSRI P PBI (APBN) Fever with chills TIDAK 30 14/05/2017 0000707546002 AHMAD NURUL YATIM P PBI (APBN) Gastritis, unspecified TIDAK Influenza with other respiratory manifestations, virus not 31 14/05/2017 0000707546575 SISWATI P PBI (APBN) TIDAK identified 32 14/05/2017 0000707555924 MIDUN L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 33 14/05/2017 0000707556082 ADIM L PBI (APBN) Fever with chills TIDAK 34 14/05/2017 0000707556745 JATIM P PBI (APBN) Migraine, unspecified TIDAK 35 14/05/2017 0000707557386 HADI L PBI (APBN) Migraine, unspecified TIDAK 36 14/05/2017 0000707558602 AGUS RIANTO L PBI (APBN) Fever with chills TIDAK 37 14/05/2017 0000707558782 MISWATI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK Influenza with other respiratory manifestations, virus not 38 14/05/2017 0000707559647 YULI AMITA L PBI (APBN) TIDAK identified 39 14/05/2017 0000707562876 KARNAWIT L PBI (APBN) Allergic contact dermatitis due to metals TIDAK Influenza with other respiratory manifestations, virus not 40 14/05/2017 0000707581721 UMAM L PBI (APBN) TIDAK identified 41 14/05/2017 0000707595164 WINDARI P PBI (APBN) Migraine, unspecified TIDAK 42 14/05/2017 0000707595704 ATRANI P PBI (APBN) Disorder of aromatic amino-acid metabolism, unspecified TIDAK 43 14/05/2017 0000707597842 MIS YONO L PBI (APBN) Fever with chills TIDAK 44 14/05/2017 0000707599989 MUSTOFA L PBI (APBN) Migraine, unspecified TIDAK Influenza with other respiratory manifestations, virus not 45 14/05/2017 0000707605042 KHOLIL L PBI (APBN) TIDAK identified 46 14/05/2017 0000707609788 B. SUNITO P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK Influenza with other respiratory manifestations, virus not 47 14/05/2017 0000707618338 WAKIRMAN L PBI (APBN) TIDAK identified 48 14/05/2017 0000707621692 TARWIANI P PBI (APBN) Migraine, unspecified TIDAK 49 14/05/2017 0000707625303 KHOFIFA P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 50 14/05/2017 0000707640399 SINDI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 51 14/05/2017 0000707643562 BURA L PBI (APBN) Gastritis, unspecified TIDAK 52 14/05/2017 0000707643775 ASYARI P PBI (APBN) Migraine, unspecified TIDAK 53 14/05/2017 0000707656353 MUNAWAR L PBI (APBN) Migraine, unspecified TIDAK 54 14/05/2017 0000707657578 SUYIP L PBI (APBN) Gastritis, unspecified TIDAK 55 14/05/2017 0000707658456 ADIYONO L PBI (APBN) Migraine, unspecified TIDAK 56 14/05/2017 0000707665476 BUSRI HARIYANTO L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 57 14/05/2017 0000707667175 SEIMURI L PBI (APBN) Gastritis, unspecified TIDAK 58 14/05/2017 0000707678267 MISNO L PBI (APBN) Gastritis, unspecified TIDAK 59 14/05/2017 0000707685232 SUTARJI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 60 14/05/2017 0000707689236 WIWI L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 61 14/05/2017 0000707691069 SANIPON L PBI (APBN) Migraine, unspecified TIDAK 62 14/05/2017 0000707692307 WENA P PBI (APBN) Allergic contact dermatitis due to metals TIDAK 63 14/05/2017 0000707694849 SUNADEN L PBI (APBN) Migraine, unspecified TIDAK 64 14/05/2017 0000707720062 SURA I L PBI (APBN) Gastritis, unspecified TIDAK 65 14/05/2017 0000707721658 EKO KADARMAN L PBI (APBN) Migraine, unspecified TIDAK 66 14/05/2017 0000707727374 SIRTU VIRLAILI P PBI (APBN) Migraine, unspecified TIDAK Influenza with other respiratory manifestations, virus not 67 14/05/2017 0000707727385 JONI EFRIYADI L PBI (APBN) TIDAK identified 68 14/05/2017 0000708153445 RIZA UMAMI P PBI (APBN) Fever with chills TIDAK 69 14/05/2017 0000708154165 SAHAMO L PBI (APBN) Gastritis, unspecified TIDAK 70 14/05/2017 0000708162985 MANISRI P PBI (APBN) Gastritis, unspecified TIDAK 71 14/05/2017 0000708846704 RUSTIN P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 72 14/05/2017 0000708853961 SAHODI L PBI (APBN) Migraine, unspecified TIDAK 73 14/05/2017 0000708861554 AMILATUS SHOLEHA P PBI (APBN) Migraine, unspecified TIDAK 74 14/05/2017 0000708863095 RIA P PBI (APBN) Migraine, unspecified TIDAK 75 14/05/2017 0000708873726 NANING SISKA WATI P PBI (APBN) Allergic contact dermatitis due to metals TIDAK Influenza with other respiratory manifestations, virus not 76 14/05/2017 0000708889454 SATURI L PBI (APBN) TIDAK identified 77 14/05/2017 0000708912123 JAMSUR MADANI L PBI (APBN) Migraine, unspecified TIDAK 78 14/05/2017 0000708926657 HENDRA L PBI (APBN) Migraine, unspecified TIDAK 79 14/05/2017 0000708935444 PUDI A L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK Influenza with other respiratory manifestations, virus not 80 14/05/2017 0000708943285 IMAM LAILANI P PBI (APBN) TIDAK identified 81 14/05/2017 0000708961735 NING SUMAWI L PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 82 14/05/2017 0000708964558 FARIDA P PBI (APBN) Migraine, unspecified TIDAK 83 14/05/2017 0000708968439 KALLAB P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 84 14/05/2017 0000708991727 FIRMAN EFENDI L PBI (APBN) Gastritis, unspecified TIDAK 85 14/05/2017 0000708996284 ISNAWATI P PBI (APBN) Gastritis, unspecified TIDAK Influenza with other respiratory manifestations, virus not 86 14/05/2017 0000708996745 DELA P PBI (APBN) TIDAK identified 87 14/05/2017 0000709005824 JUFRIANTO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 88 14/05/2017 0000709006241 YUYUL P PBI (APBN) Gastritis, unspecified TIDAK Influenza with other respiratory manifestations, virus not 89 14/05/2017 0000709033151 NORSANTI P PBI (APBN) TIDAK identified 90 14/05/2017 0000709038562 ELMA TIYANA P PBI (APBN) Gastritis, unspecified TIDAK PENERIMA PENSIUN 1 28/05/2017 0000116016502 MUTIYAH P Allergy, unspecified TIDAK PNS 2 28/05/2017 0000706965603 ABDUL AZIZ L PBI (APBN) Gastritis, unspecified TIDAK 3 28/05/2017 0000707388265 SUMARYO L PBI (APBN) Migraine, unspecified TIDAK 4 28/05/2017 0000707396984 SAMA ATI P PBI (APBN) Migraine, unspecified TIDAK 5 28/05/2017 0000707398209 ASTOMO L PBI (APBN) Gastritis, unspecified TIDAK 6 28/05/2017 0000707398367 P. SUTRIYAMI L PBI (APBN) Migraine, unspecified TIDAK 7 28/05/2017 0000707434975 USMAN L PBI (APBN) Gastritis, unspecified TIDAK 8 28/05/2017 0000707437451 ZAINUL L PBI (APBN) Fever with chills TIDAK Influenza with other respiratory manifestations, virus not 9 28/05/2017 0000707448745 NURIL P PBI (APBN) TIDAK identified Influenza with other respiratory manifestations, virus not 10 28/05/2017 0000707453008 BADRIS L PBI (APBN) TIDAK identified 11 28/05/2017 0000707455833 ASMIYATI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 12 28/05/2017 0000707457813 IIN P PBI (APBN) Migraine, unspecified TIDAK 13 28/05/2017 0000707473337 SITI NURJANNAH P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 14 28/05/2017 0000707489504 B NURSIWA P PBI (APBN) Migraine, unspecified TIDAK 15 28/05/2017 0000707491078 ARJUNO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 16 28/05/2017 0000707491124 SATIMA P PBI (APBN) Migraine, unspecified TIDAK 17 28/05/2017 0000707497558 HOLIS L PBI (APBN) Gastritis, unspecified TIDAK 18 28/05/2017 0000707499808 HALIM L PBI (APBN) Fever with chills TIDAK 19 28/05/2017 0000707502947 AURA FAISATUL JANNAH P PBI (APBN) Fever with chills TIDAK 20 28/05/2017 0000707516559 SAPRAWI L PBI (APBN) Migraine, unspecified TIDAK 21 28/05/2017 0000707522512 WIWIK NOR HIKMAH P PBI (APBN) Gastritis, unspecified TIDAK 22 28/05/2017 0000707529082 DESI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK HERMAN AHMAD 23 28/05/2017 0000707529521 L PBI (APBN) Gastritis, unspecified TIDAK HAYANTO Influenza with other respiratory manifestations, virus not 24 28/05/2017 0000707529677 RIZAL FAIDI L PBI (APBN) TIDAK identified 25 28/05/2017 0000707539746 ARTAMO L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 26 28/05/2017 0000707540073 LULUK P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 27 28/05/2017 0000707546002 AHMAD NURUL YATIM P PBI (APBN) Gastritis, unspecified TIDAK 28 28/05/2017 0000707554517 CONGENIK / P.ANTUS P PBI (APBN) Migraine, unspecified TIDAK 29 28/05/2017 0000707556745 JATIM P PBI (APBN) Migraine, unspecified TIDAK Influenza with other respiratory manifestations, virus not 30 28/05/2017 0000707557432 MASIJA P PBI (APBN) TIDAK identified 31 28/05/2017 0000707557961 MARYANI P PBI (APBN) Other forms of stomatitis TIDAK 32 28/05/2017 0000707558602 AGUS RIANTO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 33 28/05/2017 0000707562876 KARNAWIT L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 34 28/05/2017 0000707565069 AHMAD L PBI (APBN) Gastritis, unspecified TIDAK 35 28/05/2017 0000707606662 SANTI P PBI (APBN) Migraine, unspecified TIDAK 36 28/05/2017 0000707609788 B. SUNITO P PBI (APBN) Conjunctivitis, unspecified TIDAK 37 28/05/2017 0000707618338 WAKIRMAN L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 38 28/05/2017 0000707619148 FATIMAH P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 39 28/05/2017 0000707619227 NADHIFATIKAZIMAH P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 40 28/05/2017 0000707622579 ZAINI ROMLI L PBI (APBN) Gastritis, unspecified TIDAK 41 28/05/2017 0000707625303 KHOFIFA P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK Influenza with other respiratory manifestations, virus not 42 28/05/2017 0000707631265 WIDIA P PBI (APBN) TIDAK identified 43 28/05/2017 0000707643775 ASYARI P PBI (APBN) Fever with chills TIDAK 44 28/05/2017 0000707647555 YATI P PBI (APBN) Migraine, unspecified TIDAK 45 28/05/2017 0000707648949 SAHRIYATUL L PBI (APBN) Gastritis, unspecified TIDAK 46 28/05/2017 0000707656353 MUNAWAR L PBI (APBN) Migraine, unspecified TIDAK Influenza with other respiratory manifestations, virus not 47 28/05/2017 0000707657703 ANI P PBI (APBN) TIDAK identified 48 28/05/2017 0000707670393 SOFI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK 49 28/05/2017 0000707691069 SANIPON L PBI (APBN) Gastritis, unspecified TIDAK 50 28/05/2017 0000707694603 ARBAIYAH P PBI (APBN) Myalgia TIDAK 51 28/05/2017 0000707721658 EKO KADARMAN L PBI (APBN) Gastritis, unspecified TIDAK 52 28/05/2017 0000707721704 B SUWALIS P PBI (APBN) Other specified brain damage due to birth injury TIDAK 53 28/05/2017 0000707724314 ASIANI P PBI (APBN) Migraine, unspecified TIDAK 54 28/05/2017 0000707727058 AL MUZAMMIL P PBI (APBN) Fever with chills TIDAK 55 28/05/2017 0000707727104 SAKUR L PBI (APBN) Allergic contact dermatitis due to metals TIDAK 56 28/05/2017 0000707727374 SIRTU VIRLAILI P PBI (APBN) Migraine, unspecified TIDAK 57 28/05/2017 0000707919085 BUSIA P PBI (APBN) Conjunctivitis, unspecified TIDAK 58 28/05/2017 0000708152163 BUNASA L PBI (APBN) Gastritis, unspecified TIDAK 59 28/05/2017 0000708162985 MANISRI P PBI (APBN) Gastritis, unspecified TIDAK Influenza with other respiratory manifestations, virus not 60 28/05/2017 0000708164864 PAKSOYO L PBI (APBN) TIDAK identified 61 28/05/2017 0000708861554 AMILATUS SHOLEHA P PBI (APBN) Migraine, unspecified TIDAK 62 28/05/2017 0000708892064 AFIFAH DELA FITRIANI P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 63 28/05/2017 0000708926139 SUTRIK P PBI (APBN) Allergic contact dermatitis due to metals TIDAK 64 28/05/2017 0000708950305 TITIS KURNIA SAKTI P PBI (APBN) Gastritis, unspecified TIDAK 65 28/05/2017 0000708964558 FARIDA P PBI (APBN) Migraine, unspecified TIDAK 66 28/05/2017 0000708967899 ROY L PBI (APBN) Migraine, unspecified TIDAK 67 28/05/2017 0000708968439 KALLAB P PBI (APBN) Migraine, unspecified TIDAK 68 28/05/2017 0000708985697 USA P PBI (APBN) Fever with chills TIDAK 69 28/05/2017 0000708987341 UMMI P PBI (APBN) Migraine, unspecified TIDAK 70 28/05/2017 0000709005824 JUFRIANTO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK 71 28/05/2017 0000709006241 YUYUL P PBI (APBN) Gastritis, unspecified TIDAK 72 28/05/2017 0000709011516 SA'IDA P PBI (APBN) Migraine, unspecified TIDAK