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 26-03-2019 250814040319P000009 0002313382072 hilma haura buatan P PNS DAERAH Neoplasm of uncertain or Rujuk Lanjut
unknown behaviour of
other and unspecified sites

2 20-03-2019 250814040319P000008 0000968745947 SUPANGKAT HUDO PURNOMO L PBI (APBN) Other intervertebral disc Rujuk Lanjut
disorders
3 18-03-2019 250814040319P000067 0000967714931 ANITA WABULA P PBI (APBN) Postpartum haemorrhage Berobat Jalan

4 18-03-2019 250814040319P000063 0000968777886 DARIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
5 18-03-2019 250814040319P000065 0000968914697 HAMIMAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus
6 18-03-2019 250814040319P000066 0000968915665 RODIAH P PBI (APBN) Other acute gastritis Berobat Jalan

7 18-03-2019 250814040319P000064 0002461589774 marwa P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
8 16-03-2019 250814040319P000061 0000968323432 MUHHAMMAD RIFAI L PBI (APBN) Other acute gastritis Berobat Jalan

9 16-03-2019 250814040319P000062 0000968805459 WA KANDUBO P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
10 16-03-2019 250814040319P000007 0002305495798 IRNA KOISIN P PEKERJA MANDIRI Haemorrhage of anus and Rujuk Lanjut
rectum
11 15-03-2019 250814040319P000006 0001820711428 yunia tri kurnianing dyah P PNS DAERAH Maternal care for Rujuk Lanjut
disproportion, unspecified
12 14-03-2019 250814040319P000005 0000967714931 ANITA WABULA P PBI (APBN) Postpartum haemorrhage Rujuk Lanjut

13 14-03-2019 250814040319P000058 0000968529126 SUPRIADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
14 14-03-2019 250814040319P000004 0000968536844 NGATIMAH P PBI (APBN) Delivery by caesarean Rujuk Lanjut
section, unspecified
15 14-03-2019 250814040319P000059 0000968853036 AINUN TIDORE P PBI (APBN) Gastritis, unspecified Berobat Jalan

16 14-03-2019 250814040319P000060 0001922256472 IKAILA NURAINI L PBI (APBN) Impetigo Berobat Jalan

17 13-03-2019 250814040319P000053 0000211516705 BENAZIR W. A. ODE P PNS DAERAH Acute tonsillitis Berobat Jalan

18 13-03-2019 250814040319P000054 0000968634347 YANI P PBI (APBN) Early syphilis Berobat Jalan

19 13-03-2019 250814040319P000056 0001893273388 NURJANA RETOP P PNS DAERAH Other specified dermatitis Berobat Jalan

20 13-03-2019 250814040319P000057 0001893274582 rafif afnan jamil L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
21 13-03-2019 250814040319P000003 0002009759747 WA ODE IRAWATI P PBI (APBN) Chronic gingivitis Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

22 13-03-2019 250814040319P000055 0002444694827 ASMUJI BUTON L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

23 12-03-2019 250814040319P000049 0000152610838 RUBIA SELANG P PNS DAERAH Hyperemesis gravidarum Berobat Jalan
with metabolic disturbance

24 12-03-2019 250814040319P000050 0000968540635 MAULIDA WARDATUSOLIHA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
25 12-03-2019 250814040319P000002 0000968773926 WA SAHARI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
peripheral circulatory

26 12-03-2019 250814040319P000052 0001081050208 SARI BAY RAMADHAN P PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
27 12-03-2019 250814040319P000051 0001306496632 EMY KUSUMA D. UMASUGI, SE P ANGGOTA POLRI Acute upper respiratory Berobat Jalan
infection, unspecified
28 11-03-2019 250814040319P000044 0000968634347 YANI P PBI (APBN) Syphilis, unspecified Berobat Jalan

29 11-03-2019 250814040319P000042 0000968765308 ALI LESBIANAN L PBI (APBN) Puerperal sepsis Berobat Jalan

30 11-03-2019 250814040319P000047 0000968888889 ROBI APRIATMOJO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
31 11-03-2019 250814040319P000048 0001077443098 SADIAH P PBI (APBN) Other acute gastritis Berobat Jalan

32 11-03-2019 250814040319P000046 0001077444516 MASRIADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
33 11-03-2019 250814040319P000043 0001922256472 IKAILA NURAINI L PBI (APBN) Allergic contact dermatitis Berobat Jalan

34 11-03-2019 250814040319P000045 0002444694827 ASMUJI BUTON L PEKERJA MANDIRI Syphilis, unspecified Berobat Jalan

35 08-03-2019 250814040319P000040 0000968552649 YULIANA TUKUYOBA P PBI (APBN) Anaemia, unspecified Berobat Jalan

36 08-03-2019 250814040319P000041 0001390428551 HARTO WIYONO L PEKERJA MANDIRI Allergic rhinitis, Berobat Jalan
unspecified
37 08-03-2019 250814040319P000039 0002444694827 ASMUJI BUTON L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

38 07-03-2019 250814040319P000038 0000968536844 NGATIMAH P PBI (APBN) Delivery by caesarean Berobat Jalan
section, unspecified
39 07-03-2019 250814040319P000037 0000968746713 ASRUN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
40 06-03-2019 250814040319P000034 0000968313701 LA TARIO L PBI (APBN) Herpesviral infection, Berobat Jalan
unspecified
41 06-03-2019 250814040319P000035 0000968784851 ATI BUTON P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

42 06-03-2019 250814040319P000033 0002009759714 LA ODE ARMILATA L PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
43 06-03-2019 250814040319P000031 0002128693724 WA HUSNA P PBI (APBN) Hypotension Berobat Jalan

44 06-03-2019 250814040319P000036 0002437382215 GABRIEL NATALIO HARTANTO L ANGGOTA POLRI Tropical sprue Berobat Jalan

45 06-03-2019 250814040319P000032 0002444694827 ASMUJI BUTON L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,

46 05-03-2019 250814040319P000029 0000968754666 WA MASIHA P PBI (APBN) Epidemic vertigo Berobat Jalan

47 05-03-2019 250814040319P000030 0000968756793 YUNIAR PAPALIA P PBI (APBN) Other specified dermatitis Berobat Jalan

48 04-03-2019 250814040319P000025 0000968433603 WARDANI BESSY P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
49 04-03-2019 250814040319P000021 0000968536124 KASRUN L PBI (APBN) Hypertensive heart Berobat Jalan
disease
50 04-03-2019 250814040319P000028 0000968629937 RODIATUL HASANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
51 04-03-2019 250814040319P000026 0001939314824 WAJAMA P PBI (APBD) Acute pharyngitis, Berobat Jalan
unspecified
52 04-03-2019 250814040319P000027 0001939314835 ARINI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
53 04-03-2019 250814040319P000024 0002214123131 suryamah P PEKERJA MANDIRI Angina pectoris, Berobat Jalan
unspecified
54 04-03-2019 250814040319P000022 0002444694827 ASMUJI BUTON L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
55 04-03-2019 250814040319P000023 0002444695874 NURANA BUTON P PEKERJA MANDIRI Acute tonsillitis, Berobat Jalan
unspecified
56 02-03-2019 250814040319P000020 0000967743404 AISA P PBI (APBN) Epidemic vertigo Berobat Jalan

57 02-03-2019 250814040319P000019 0000967743797 INA ELWUAR P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
58 02-03-2019 250814040319P000015 0000968808655 WA NORMA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
59 02-03-2019 250814040319P000018 0000968852597 MOLO PEKALONGAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
60 02-03-2019 250814040319P000016 0002009759714 LA ODE ARMILATA L PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
61 02-03-2019 250814040319P000017 0002032861419 atik kadariyah P PNS DAERAH Influenza due to identified Berobat Jalan
avian infliuenza virus

62 01-03-2019 250814040319P000011 0000968365416 MARWI BUTON P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
63 01-03-2019 250814040319P000010 0000968529126 SUPRIADI L PBI (APBN) Urticaria, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

64 01-03-2019 250814040319P000001 0000968536844 NGATIMAH P PBI (APBN) Delivery by caesarean Rujuk Lanjut
section, unspecified
65 01-03-2019 250814040319P000013 0000968576984 SUHARTINI P PBI (APBN) Allergic urticaria Berobat Jalan

66 01-03-2019 250814040319P000014 0000968597201 MAT SALIM L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

67 01-03-2019 250814040319P000012 0001390465304 PERCOYO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension