DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 28-02-2019 250814040219P000084 0000968553371 DARMANSA TUKUYOBA L PBI (APBN) Dyspepsia Berobat Jalan

2 28-02-2019 250814040219P000083 0001390428551 HARTO WIYONO L PEKERJA MANDIRI Dyspepsia Berobat Jalan

3 28-02-2019 250814040219P000061 0001790381182 YULIA SALIM TOMU P PNS DAERAH Viral hepatitis complicating Rujuk Lanjut
pregnancy, childbirth and
the puerperium

4 28-02-2019 250814040219P000082 0002009759714 LA ODE ARMILATA L PBI (APBN) Puerperal sepsis Berobat Jalan

5 27-02-2019 250814040219P000079 0000968739603 SURIPTO L PBI (APBN) Low back pain Berobat Jalan

6 27-02-2019 250814040219P000080 0001077444483 RIMPI P PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

7 27-02-2019 250814040219P000081 0002502529176 zikrillah pelu L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
8 26-02-2019 250814040219P000078 0000967802038 ABDUL TASIJAWA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
9 26-02-2019 250814040219P000077 0002502384535 MISDIHARTO L PEKERJA MANDIRI Acute pharyngitis Berobat Jalan

10 25-02-2019 250814040219P000047 0000967820883 RAMDANI ELUWAR L PBI (APBN) Guillain-Barre syndrome Rujuk Lanjut

11 25-02-2019 250814040219P000075 0000968749929 SURADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
12 25-02-2019 250814040219P000072 0000968852597 MOLO PEKALONGAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
13 25-02-2019 250814040219P000076 0001077444483 RIMPI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
14 25-02-2019 250814040219P000073 0001475804283 SOLICHIN L PEKERJA MANDIRI Headache Berobat Jalan

15 25-02-2019 250814040219P000074 0002366404929 MUHAMMAD ELWUAR L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
16 23-02-2019 250814040219P000069 0000152612526 LYSDA IDRIS P PNS DAERAH Streptococcal infection, Berobat Jalan
unspecified
17 23-02-2019 250814040219P000071 0000967802038 ABDUL TASIJAWA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
18 23-02-2019 250814040219P000070 0000967811117 ALSA P PBI (APBN) Keratitis, unspecified Berobat Jalan

19 23-02-2019 250814040219P000068 0002495516016 FARHAN KOLENGSUSU L PNS DAERAH Puerperal sepsis Berobat Jalan

20 22-02-2019 250814040219P000067 0000968523489 LUSIANA P PBI (APBN) Nausea and vomiting Berobat Jalan

21 22-02-2019 250814040219P000066 0002460118059 ZAFRAN HAZIQI L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

22 21-02-2019 250814040219P000062 0000152655963 IDA PANGGALO P PNS DAERAH Myalgia Berobat Jalan

23 21-02-2019 250814040219P000063 0000152686427 PARJIANTO L PNS DAERAH Non-insulin-dependent Berobat Jalan

diabetes mellitus
24 21-02-2019 250814040219P000064 0000967848309 SAODA LASBIANGAN P PBI (APBN) Arthrosis, unspecified Berobat Jalan

25 21-02-2019 250814040219P000011 0000968540635 MAULIDA WARDATUS S P PBI (APBN) Chronic tonsillitis Rujuk Lanjut

26 21-02-2019 250814040219P000065 0000968853036 AINUN TIDORE P PBI (APBN) Chronic atrophic gastritis Berobat Jalan

27 21-02-2019 250814040219P000060 0002009757227 ABRIYANSA PEKALONGAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
28 21-02-2019 250814040219P000059 0002009757328 EMI TOKLOY P PBI (APBN) Headache Berobat Jalan

29 21-02-2019 250814040219P000010 0002128693656 JUNAEDA KALIDUPA P PBI (APBN) Other appendicitis Rujuk Lanjut

30 20-02-2019 250814040219P000055 0000152692435 CHURIL AINI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
31 20-02-2019 250814040219P000056 0000968527888 SAFIRA WABUAL P PBI (APBN) Acute tonsillitis Berobat Jalan

32 20-02-2019 250814040219P000057 0000968634347 YANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
33 20-02-2019 250814040219P000058 0000968785953 YUDA L PBI (APBN) Puerperal sepsis Berobat Jalan

34 18-02-2019 250814040219P000050 0000165268822 BERLIAN RAMADAN FATSEY L PNS DAERAH Acute tonsillitis, Berobat Jalan
unspecified
35 18-02-2019 250814040219P000054 0000968538262 ARI SUBASTIAN L PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
36 18-02-2019 250814040219P000053 0000968540635 MAULIDA WARDATUS S P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
37 18-02-2019 250814040219P000052 0000968584421 NIMAH P PBI (APBN) Dyspepsia Berobat Jalan

38 18-02-2019 250814040219P000051 0000968614402 NYONYA N P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

39 18-02-2019 250814040219P000048 0000968852597 MOLO PEKALONGAN L PBI (APBN) Dyspepsia Berobat Jalan

40 18-02-2019 250814040219P000049 0001390465304 PERCOYO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
41 16-02-2019 250814040219P000043 0000152678035 IRAWATy P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
42 16-02-2019 250814040219P000044 0000968758716 WA SINTA P PBI (APBN) Injury of muscle and Berobat Jalan
tendon of abdomen, lower

43 16-02-2019 250814040219P000045 0000968805459 WA KANDUBO P PBI (APBN) Asthma, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

44 16-02-2019 250814040219P000046 0002214123669 sugiantoro L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
45 16-02-2019 250814040219P000042 0002271506501 SUKIMAN L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
46 15-02-2019 250814040219P000041 0000152615777 ASWAD HADJI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
47 15-02-2019 250814040219P000002 0000968536124 KASRUN L PBI (APBN) Hypertensive heart Rujuk Lanjut
disease with (congestive)

48 14-02-2019 250814040219P000037 0000152672139 YAHYA BESSY L PNS DAERAH Myalgia Berobat Jalan

49 14-02-2019 250814040219P000038 0000968124328 MARTA LESBATA P PBI (APBN) Dyspepsia Berobat Jalan

50 14-02-2019 250814040219P000039 0000968126501 DEWI TASIJAWA P PBI (APBN) Epidemic vertigo Berobat Jalan

51 14-02-2019 250814040219P000036 0000968536124 KASRUN L PBI (APBN) Dyspepsia Berobat Jalan

52 14-02-2019 250814040219P000040 0000968780766 JUMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
53 13-02-2019 250814040219P000034 0000152692435 CHURIL AINI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
54 13-02-2019 250814040219P000035 0000968587773 BUNARYAM P PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by sputum
microscopy with or without

55 13-02-2019 250814040219P000032 0000968614402 NYONYA N P PBI (APBN) Chronic atrophic gastritis Berobat Jalan

56 13-02-2019 250814040219P000033 0000968780125 LA WANTE BUTON L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
57 13-02-2019 250814040219P000001 0000968786785 ARIFIN L PBI (APBN) Anaemia, unspecified Rujuk Lanjut

58 12-02-2019 250814040219P000030 0000169888149 FITRI KAIFUAN P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
59 12-02-2019 250814040219P000031 0000968786785 ARIFIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
60 12-02-2019 250814040219P000026 0001077442593 AMELIA IRAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
61 12-02-2019 250814040219P000027 0001475804283 SOLICHIN L PEKERJA MANDIRI Headache Berobat Jalan

62 12-02-2019 250814040219P000028 0002214123669 sugiantoro L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle
63 12-02-2019 250814040219P000029 0002277420772 UMI NUR JANAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
64 11-02-2019 250814040219P000023 0000152615777 ASWAD HADJI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
65 11-02-2019 250814040219P000021 0000968538262 ARI SUBASTIAN L PBI (APBN) Allergy, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

66 11-02-2019 250814040219P000020 0000968538947 VIKI AFRIYAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
67 11-02-2019 250814040219P000024 0000968597201 MAT SALIM L PBI (APBN) Headache Berobat Jalan

68 11-02-2019 250814040219P000022 0000968749929 SURADI L PBI (APBN) Headache Berobat Jalan

69 11-02-2019 250814040219P000025 0000968786785 ARIFIN L PBI (APBN) Puerperal sepsis Berobat Jalan

70 11-02-2019 250814040219P000019 0002201068168 rafifah elvina mahu L ANGGOTA POLRI Acute tonsillitis Berobat Jalan

71 08-02-2019 250814040219P000018 0000968536124 KASRUN L PBI (APBN) Dyspepsia Berobat Jalan

72 08-02-2019 250814040219P000017 0001077442828 RUKMINI P PBI (APBN) Chronic atrophic gastritis Berobat Jalan

73 07-02-2019 250814040219P000016 0000968124328 MARTA LESBATA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
74 07-02-2019 250814040219P000014 0000968548961 SAMSIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

75 07-02-2019 250814040219P000015 0000968780125 LA WANTE BUTON L PBI (APBN) Myalgia Berobat Jalan

76 07-02-2019 250814040219P000013 0001077446889 ANITA TASIJAWA P PBI (APBN) Gastritis, unspecified Berobat Jalan

77 07-02-2019 250814040219P000012 0002271505724 SUGIHARTI P PEKERJA MANDIRI Other specified dermatitis Berobat Jalan

78 06-02-2019 250814040219P000007 0000152615777 ASWAD HADJI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
79 06-02-2019 250814040219P000008 0000968625437 MAGDALENA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
80 06-02-2019 250814040219P000009 0001895396771 SUTONO ATMOJO L PEKERJA MANDIRI Puerperal sepsis Berobat Jalan

81 04-02-2019 250814040219P000005 0000968536124 KASRUN L PBI (APBN) Dyspepsia Berobat Jalan

82 04-02-2019 250814040219P000006 0001939314813 La Ode Madi Kaimudin L PBI (APBD) Other specified dermatitis Berobat Jalan

83 01-02-2019 250814040219P000004 0000968520969 IKA RUSANTI P PBI (APBN) Acute nasopharyngitis Sembuh
[common cold]
84 01-02-2019 250814040219P000003 0001922256472 IKAILA NURAINI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]