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 31-05-2019 250814040519P000069 0002502384658 YONA RIANA P PEKERJA MANDIRI Single delivery by Rujuk Lanjut
caesarean section
2 27-05-2019 250814040519P000065 0001849832752 GATOT PARSONO L PNS DAERAH Ascites Rujuk Lanjut

3 25-05-2019 250814040519P000066 0000967763788 WA SIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
4 25-05-2019 250814040519P000068 0000968597201 MAT SALIM L PBI (APBN) Other chronic obstructive Berobat Jalan
pulmonary disease
5 25-05-2019 250814040519P000067 0001077442863 MARIAM P PBI (APBN) Other disorders of urinary Berobat Jalan
system
6 23-05-2019 250814040519P000064 0000152636218 SUPRIHATI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
7 23-05-2019 250814040519P000062 0000968314656 NURMI kolengsusu P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
8 23-05-2019 250814040519P000063 0002009758858 DARvIN WABULA P PBI (APBN) Acute tonsillitis Berobat Jalan

9 22-05-2019 250814040519P000058 0000152608195 ABDURRAUF TUNNY L PNS DAERAH Other arthrosis Berobat Jalan

10 22-05-2019 250814040519P000059 0000152691355 BOKI UAR P PNS DAERAH Low back pain Berobat Jalan

11 22-05-2019 250814040519P000056 0000968544538 SARINGAH P PBI (APBN) Myalgia Berobat Jalan

12 22-05-2019 250814040519P000060 0000968805459 WA KANDUBO P PBI (APBN) Other dermatitis Berobat Jalan

13 22-05-2019 250814040519P000061 0001077442828 RUKMINI P PBI (APBN) Chronic gastritis, Berobat Jalan
unspecified
14 22-05-2019 250814040519P000057 0002278024896 fadli tunny L PNS DAERAH Fever of other and Berobat Jalan
unknown origin
15 21-05-2019 250814040519P000054 0000968275978 ROSNAWATI BUTON P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
16 21-05-2019 250814040519P000055 0000968357788 WA ODE NURWIA P PBI (APBN) Secondary hypertension Berobat Jalan

17 20-05-2019 250814040519P000053 0000968779811 WASAMIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
18 20-05-2019 250814040519P000051 0001077446924 ANIA LESBATA P PBI (APBN) Arthritis, unspecified Berobat Jalan

19 20-05-2019 250814040519P000052 0001306496632 EMY KUSUMA D. UMASUGI, SE P ANGGOTA POLRI Acute upper respiratory Berobat Jalan
infection, unspecified
20 18-05-2019 250814040519P000048 0000968773926 WA SAHARI P PBI (APBN) Injury, unspecified Berobat Jalan

21 18-05-2019 250814040519P000046 0000968784895 SARMIN L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
22 18-05-2019 250814040519P000050 0001475804283 SOLICHIN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

23 18-05-2019 250814040519P000049 0002122708364 ADIN L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
24 18-05-2019 250814040519P000047 0002366400306 MINARTI RUMBIA P PBI (APBD) Fever of other and Berobat Jalan
unknown origin
25 17-05-2019 250814040519P000032 0000968628115 YULIANA P PBI (APBN) Other abnormal uterine Rujuk Lanjut
and vaginal bleeding
26 16-05-2019 250814040519P000045 0000968853036 AINUN TIDORE P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
27 15-05-2019 250814040519P000044 0000968773926 WA SAHARI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
28 14-05-2019 250814040519P000039 0000152678878 LACABANG RUMAILILI L PNS DAERAH Chronic radiodermatitis Berobat Jalan

29 14-05-2019 250814040519P000043 0000968529126 SUPRIADI L PBI (APBN) Asthma Berobat Jalan

30 14-05-2019 250814040519P000040 0000968553314 SARDI TUKUYOBA L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
31 14-05-2019 250814040519P000042 0000968786785 ARIFIN L PBI (APBN) Allergic contact dermatitis Berobat Jalan

32 14-05-2019 250814040519P000041 0002271507489 LASINEM P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
33 13-05-2019 250814040519P000038 0000152612526 LYSDA IDRIS P PNS DAERAH Myalgia Berobat Jalan

34 13-05-2019 250814040519P000035 0000152649033 KAMARIA BUTON P PNS DAERAH Gastritis, unspecified Berobat Jalan

35 13-05-2019 250814040519P000037 0000967763788 WA SIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
36 13-05-2019 250814040519P000036 0000968351894 MIN SUBROTO L PBI (APBN) Myalgia Berobat Jalan

37 13-05-2019 250814040519P000033 0000968519092 INDRA LESMANA L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
38 13-05-2019 250814040519P000034 0000968749929 SURADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
39 11-05-2019 250814040519P000028 0000968329899 ERNA LAPANDEWA P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
40 11-05-2019 250814040519P000030 0000968576984 SUHARTINI P PBI (APBN) Conjunctival Berobat Jalan
degenerations and

41 11-05-2019 250814040519P000029 0000968578277 ISAKA SYANDIKA YUDA L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
42 11-05-2019 250814040519P000031 0000968597201 MAT SALIM L PBI (APBN) Low back pain Berobat Jalan

43 09-05-2019 250814040519P000023 0000967802207 CHANIFA TASIJAWA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
44 09-05-2019 250814040519P000027 0000968329899 ERNA LAPANDEWA P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

45 09-05-2019 250814040519P000026 0000968332803 IRMANTO KADATUA L PBI (APBN) Cellulitis of finger and toe Berobat Jalan

46 09-05-2019 250814040519P000024 0000968536304 NGAISAH P PBI (APBN) Acute pharyngitis Berobat Jalan

47 09-05-2019 250814040519P000025 0001939314824 WAJAMA P PBI (APBD) Allergic contact dermatitis Berobat Jalan

48 08-05-2019 250814040519P000021 0000152613022 SENNY SABBAN P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
49 08-05-2019 250814040519P000020 0000968618147 LETTI P PBI (APBN) Myalgia Berobat Jalan

50 08-05-2019 250814040519P000022 0000968852597 MOLO PEKALONGAN L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
51 08-05-2019 250814040519P000018 0000968853036 AINUN TIDORE P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
52 08-05-2019 250814040519P000019 0002009759657 IM SYAFAR NAILUN NABHAN L PBI (APBN) Gingivitis and periodontal Berobat Jalan
diseases
53 07-05-2019 250814040519P000002 0001963361518 firda maruapey P PNS DAERAH Excessive and frequent Rujuk Lanjut
menstruation with regular

54 06-05-2019 250814040519P000012 0000968524828 DEWI MARNIATTI P PBI (APBN) Follow-up examination Berobat Jalan
after treatment for
conditions other than

55 06-05-2019 250814040519P000017 0000968853262 NASRIA PEKALONGAN L PBI (APBN) Conjunctivitis Berobat Jalan

56 06-05-2019 250814040519P000016 0002044857262 UUT NURMA LESTARI P PNS DAERAH Pure Berobat Jalan
hypercholesterolaemia
57 06-05-2019 250814040519P000014 0002044860131 maheswari mazaya lestari P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
58 06-05-2019 250814040519P000015 0002238817228 SHAZIA CANDRARINI LESTARI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
59 04-05-2019 250814040519P000009 0000968529126 SUPRIADI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
60 04-05-2019 250814040519P000011 0001390428551 HARTO WIYONO L PEKERJA MANDIRI Chronic rhinitis Berobat Jalan

61 04-05-2019 250814040519P000010 0001895398198 SUYATI P PEKERJA MANDIRI Headache Berobat Jalan

62 04-05-2019 250814040519P000001 0002444694827 ASMUJI BUTON L PEKERJA MANDIRI Cutaneous abscess, Rujuk Lanjut
furuncle and carbuncle of

63 03-05-2019 250814040519P000007 0000968524828 DEWI MARNIATTI P PBI (APBN) Follow-up examination Berobat Jalan
after treatment for
conditions other than

64 03-05-2019 250814040519P000008 0000968552649 YULIANA TUKUYOBA P PBI (APBN) Excessive, frequent and Berobat Jalan
irregular menstruation
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : AMBON - 2501

FKTP : SAVANA JAYA - 25081404

65 02-05-2019 250814040519P000013 0000968634347 YANI P PBI (APBN) Congenital syphilis Berobat Jalan

66 02-05-2019 250814040519P000004 0001893272962 SUHURI BUTON L PNS DAERAH Myalgia Berobat Jalan

67 02-05-2019 250814040519P000005 0001893273388 NURJANA RETOP P PNS DAERAH Dizziness and giddiness Berobat Jalan

68 02-05-2019 250814040519P000006 0001893274582 rafif afnan jamil L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
69 02-05-2019 250814040519P000003 0002444694827 ASMUJI BUTON L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,