You are on page 1of 40

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

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

1 31-01-2019 080207050119P000886 0000357084448 KOMARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
2 31-01-2019 080207050119P000887 0000357084854 ANDRIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
3 31-01-2019 080207050119P000888 0000357085113 YUYUN WINDARTI P PBI (APBN) Fever, unspecified Berobat Jalan

4 31-01-2019 080207050119P000889 0000357086068 M BAIDUWI L PBI (APBN) Fever, unspecified Berobat Jalan

5 31-01-2019 080207050119P000890 0000357091571 M MUFIDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

6 31-01-2019 080207050119P000891 0000357091615 SRI HANDAYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

7 31-01-2019 080207050119P000892 0000357091672 DIAN S L PBI (APBN) Fever, unspecified Berobat Jalan

8 31-01-2019 080207050119P000893 0000357092471 FIKA P PBI (APBN) Fever, unspecified Berobat Jalan

9 31-01-2019 080207050119P000894 0000357164054 JUMIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
10 31-01-2019 080207050119P000895 0000357164706 NURUL ULFA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
11 31-01-2019 080207050119P000896 0000357164807 FELDI ANGGARA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
12 31-01-2019 080207050119P000897 0000357301449 IWAN L PBI (APBN) Dyspepsia Berobat Jalan

13 31-01-2019 080207050119P000898 0000357301721 HINDAYANI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
14 31-01-2019 080207050119P000899 0000357301809 ALDO PRATAMA L PBI (APBN) Fever, unspecified Berobat Jalan

15 31-01-2019 080207050119P000900 0000996987824 AMIR AHMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
16 31-01-2019 080207050119P000486 0002272162432 ANWAR SOPANDI L PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
17 30-01-2019 080207050119P000906 0002625820402 SITI MARIANA P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
18 29-01-2019 080207050119P000909 0000357152951 IRWAN FEBRIANSYAH L PBI (APBN) Gastritis, unspecified Berobat Jalan

19 29-01-2019 080207050119P000910 0000357617294 PENDI L PBI (APBN) Myalgia Berobat Jalan

20 29-01-2019 080207050119P000911 0000357617766 SUTINI P PBI (APBN) Headache Berobat Jalan

21 29-01-2019 080207050119P000912 0000357617834 ERIK L PBI (APBN) Fever, unspecified Berobat Jalan

22 29-01-2019 080207050119P000913 0000357617913 DANI L PBI (APBN) Fever, unspecified Berobat Jalan

23 29-01-2019 080207050119P000914 0000357618813 DEVI P PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

24 29-01-2019 080207050119P000915 0000996986755 TARNO L PBI (APBN) Headache Berobat Jalan

25 29-01-2019 080207050119P000916 0000996986766 RUMSYAH P PBI (APBN) Noninfective Berobat Jalan


gastroenteritis and colitis,

26 29-01-2019 080207050119P000917 0000996986777 RIYANI P PBI (APBN) Fever, unspecified Berobat Jalan

27 29-01-2019 080207050119P000918 0000996986788 ANDIKA AS L PBI (APBN) Fever, unspecified Berobat Jalan

28 29-01-2019 080207050119P000460 0000996988768 AMINAH P PBI (APBN) Other disorders of Rujuk Lanjut
refraction
29 29-01-2019 080207050119P000480 0001237955747 HAMSYAH RUDIN L PBI (APBD) Nephrotic syndrome, Berobat Jalan
unspecified
30 29-01-2019 080207050119P000901 0001882433608 yuliana P PEGAWAI SWASTA Single spontaneous Sembuh
delivery, unspecified
31 29-01-2019 080207050119P000462 0002199697481 PITRI P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut

32 29-01-2019 080207050119P000481 0002224648348 ARFAN AR-RAFIF L PEKERJA MANDIRI Miliary tuberculosis, Rujuk Lanjut
unspecified
33 29-01-2019 080207050119P000461 0002739353681 martina martinah P PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
34 28-01-2019 080207050119P000786 0000356835971 ROHANAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

35 28-01-2019 080207050119P000787 0000996988678 SAHARA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
36 28-01-2019 080207050119P000788 0000996988689 SANIAH P PBI (APBN) Headache Berobat Jalan

37 28-01-2019 080207050119P000789 0000996988691 MULYATI P PBI (APBN) Allergy, unspecified Berobat Jalan

38 28-01-2019 080207050119P000790 0000996988702 DIAN S L PBI (APBN) Headache Berobat Jalan

39 28-01-2019 080207050119P000404 0000996993911 ERMA RISDAYANTI P PBI (APBN) Maternal care for Rujuk Lanjut
malpresentation of fetus,

40 28-01-2019 080207050119P000437 0001082119623 M RUSLI MURSYID AMIN L PENERIMA PENSIUN Congestive heart failure Berobat Jalan
PNS
41 28-01-2019 080207050119P000405 0002316457798 suci ayu novia P PEKERJA MANDIRI Epilepsy Rujuk Lanjut

42 28-01-2019 080207050119P000436 0002498321722 MUKRI L PEKERJA MANDIRI Other benign neoplasm of Rujuk Lanjut
connective and other soft

43 24-01-2019 080207050119P000842 0000356146367 ABDURRAHMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
44 24-01-2019 080207050119P000843 0000356147201 MISIRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
45 24-01-2019 080207050119P000844 0000356147515 IMAM SUPRIADI L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

46 24-01-2019 080207050119P000845 0000356147572 NURMA ISPRIATIN P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

47 24-01-2019 080207050119P000846 0000356147796 ANIS APRIANTI P PBI (APBN) Fever, unspecified Berobat Jalan

48 24-01-2019 080207050119P000847 0000356148551 ADAM EKO PRABOWO L PBI (APBN) Fever, unspecified Berobat Jalan

49 24-01-2019 080207050119P000848 0000356149708 KASDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
50 24-01-2019 080207050119P000849 0000356149866 SUMARYATI P PBI (APBN) Headache Berobat Jalan

51 24-01-2019 080207050119P000850 0000356150035 IMA RELEKI K P PBI (APBN) Influenza, virus not Berobat Jalan
identified
52 24-01-2019 080207050119P000851 0000356150373 GALIH PERMADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
53 24-01-2019 080207050119P000852 0000356150553 ARIFAH NURMALA DEWI P PBI (APBN) Fever, unspecified Berobat Jalan

54 24-01-2019 080207050119P000864 0000356150621 PUTRI PRASETYA NINGRIUM P PBI (APBN) Fever, unspecified Berobat Jalan

55 24-01-2019 080207050119P000865 0000356158001 KAMALI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
56 24-01-2019 080207050119P000866 0000356158416 SARINEM P PBI (APBN) Headache Berobat Jalan

57 24-01-2019 080207050119P000867 0000356158541 ARMITA SANTI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
58 24-01-2019 080207050119P000868 0000356158787 FAHRI KUSNANDAR L PBI (APBN) Fever, unspecified Berobat Jalan

59 24-01-2019 080207050119P000869 0000356161724 JAUHARI L PBI (APBN) Fever, unspecified Berobat Jalan

60 24-01-2019 080207050119P000870 0000356161869 ARYANTI P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
61 24-01-2019 080207050119P000871 0000356163254 DIAN OKTASARI P PBI (APBN) Fever, unspecified Berobat Jalan

62 24-01-2019 080207050119P000872 0000356163658 FAISAL AGAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
63 24-01-2019 080207050119P000873 0000356163761 NURKIDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
64 24-01-2019 080207050119P000874 0000356179465 MAHMUDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
65 24-01-2019 080207050119P000875 0000356179555 INDRA MAYA P PBI (APBN) Headache Berobat Jalan

66 24-01-2019 080207050119P000876 0000356179678 LINGGA YUNITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
67 24-01-2019 080207050119P000877 0000356180073 ALAN JAYA KUSUMA L PBI (APBN) Fever, unspecified Berobat Jalan

68 24-01-2019 080207050119P000878 0000356181783 AGUNG MUNANDAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

69 24-01-2019 080207050119P000879 0000356184742 SOPIYAN HADI M L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
70 24-01-2019 080207050119P000880 0000356185056 PATMAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
71 24-01-2019 080207050119P000881 0000356185405 BETI ANGGRAINI P PBI (APBN) Headache Berobat Jalan

72 24-01-2019 080207050119P000882 0000356186316 HARIS AGUS SALIM L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

73 24-01-2019 080207050119P000883 0000356186428 LEGA NOVYRIA P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

74 24-01-2019 080207050119P000884 0000356186722 ALVA RETHA Z L PBI (APBN) Fever, unspecified Berobat Jalan

75 24-01-2019 080207050119P000885 0000356760775 ORIYON L PBI (APBN) Fever, unspecified Berobat Jalan

76 24-01-2019 080207050119P000841 0000996990704 RINO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
77 24-01-2019 080207050119P000330 0002064832064 HADI SUWITO L PEKERJA MANDIRI Anterior spinal and Rujuk Lanjut
vertebral artery
compression syndromes,

78 23-01-2019 080207050119P000273 0000355898081 SUDARSIH P PBI (APBN) Cataract, unspecified Rujuk Lanjut

79 23-01-2019 080207050119P000271 0000996989973 ANDRI RAHMAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
80 23-01-2019 080207050119P000274 0000996990445 EKO SUJARTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

81 23-01-2019 080207050119P000301 0002500188939 DIANA SARI P PEKERJA MANDIRI Prolonged pregnancy Rujuk Lanjut

82 22-01-2019 080207050119P000262 0000996986834 anjoyo yunis rianto L PBI (APBN) Epilepsy Berobat Jalan

83 22-01-2019 080207050119P000259 0002618550999 TUMIYEM P PEKERJA MANDIRI Congestive heart failure Berobat Jalan

84 21-01-2019 080207050119P000194 0000033945096 RISTADONA INDRIANI P PNS DAERAH Noninflammatory disorders Rujuk Lanjut
of ovary, fallopian tube
and broad ligament

85 21-01-2019 080207050119P000180 0000355796605 ATIK LIKAI TANJUA P PBI (APBN) Diplopia Rujuk Lanjut

86 21-01-2019 080207050119P000142 0000355893412 SUNARYO L PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft

87 21-01-2019 080207050119P000908 0000356002277 KASINI P PBI (APBN) Single spontaneous Sembuh


delivery, unspecified
88 21-01-2019 080207050119P000181 0000996969159 JUMIRAH P PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

89 21-01-2019 080207050119P000155 0000996992515 rianti P PBI (APBD) Systemic lupus Rujuk Lanjut
erythematosus
90 21-01-2019 080207050119P000145 0001237367338 FIRST SETYA EPAFRAS L PBI (APBD) Epilepsy Rujuk Lanjut

91 21-01-2019 080207050119P000197 0002249174171 SUPARMI P PEKERJA MANDIRI Myopia Rujuk Lanjut

92 21-01-2019 080207050119P000211 0002297001971 DADAN TAUBA L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

93 21-01-2019 080207050119P000904 0002517041913 NOVA RIKA ROSALINA P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
94 19-01-2019 080207050119P000785 0000356297771 SARIMO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
95 19-01-2019 080207050119P000825 0000356324512 SUTARMIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

96 19-01-2019 080207050119P000826 0000356325063 NGATIYEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

97 19-01-2019 080207050119P000827 0000356326312 SUPRIYADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
98 19-01-2019 080207050119P000828 0000356355707 RAHMAT SANJAYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
99 19-01-2019 080207050119P000829 0000356363662 JUMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
100 19-01-2019 080207050119P000830 0000356363752 RENI SOFYANI P PBI (APBN) Dyspepsia Berobat Jalan

101 19-01-2019 080207050119P000831 0000356365124 ROHMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

102 19-01-2019 080207050119P000832 0000356445764 ASEP SUHERI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
103 19-01-2019 080207050119P000833 0000356447046 WIDAYANTI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
104 19-01-2019 080207050119P000834 0000356447586 SERLY AGUSTINA L PBI (APBN) Fever, unspecified Berobat Jalan

105 19-01-2019 080207050119P000835 0000356450005 JURISLIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
106 19-01-2019 080207050119P000836 0000356450747 ERLIN ADI SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

107 19-01-2019 080207050119P000837 0000356454371 MUHADI L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
108 19-01-2019 080207050119P000838 0000356454549 SUMIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
109 19-01-2019 080207050119P000839 0000356454933 SUMARDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

110 19-01-2019 080207050119P000840 0000356455462 APRIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
111 19-01-2019 080207050119P000856 0000356455844 ANGGARA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

112 19-01-2019 080207050119P000857 0000356456823 USNAWATI P PBI (APBN) Fever, unspecified Berobat Jalan

113 19-01-2019 080207050119P000858 0000356470479 WISDIYANTO L PBI (APBN) Fever, unspecified Berobat Jalan

114 19-01-2019 080207050119P000859 0000356471741 SUMINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
115 19-01-2019 080207050119P000860 0000356477962 FADILLAH ADAM AZHARI L PBI (APBN) Fever, unspecified Berobat Jalan

116 19-01-2019 080207050119P000861 0000356484936 DEDI SETIAWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
117 19-01-2019 080207050119P000862 0000356485149 ISMIYATI P PBI (APBN) Fever, unspecified Berobat Jalan

118 19-01-2019 080207050119P000863 0000356485443 WINDI SRIYANI P PBI (APBN) Headache Berobat Jalan

119 18-01-2019 080207050119P000119 0000355779009 IDAWATI P PBI (APBN) Placenta praevia Rujuk Lanjut

120 18-01-2019 080207050119P000712 0000355827115 NOVI NOVITASARI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
121 18-01-2019 080207050119P000713 0000355827508 FERLINA NITA SARI P PBI (APBN) Fever, unspecified Berobat Jalan

122 18-01-2019 080207050119P000714 0000355827789 SARNOTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

123 18-01-2019 080207050119P000715 0000355829117 MAKMANAH P PBI (APBN) Dyspepsia Berobat Jalan

124 18-01-2019 080207050119P000716 0000355829523 RISKA KURNIAWAN L PBI (APBN) Fever, unspecified Berobat Jalan

125 18-01-2019 080207050119P000717 0000355834495 SUBAGIO L PBI (APBN) Fever, unspecified Berobat Jalan

126 18-01-2019 080207050119P000718 0000355834912 MISIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
127 18-01-2019 080207050119P000719 0000355834967 YOVIE ADI PRATAMA L PBI (APBN) Fever, unspecified Berobat Jalan

128 18-01-2019 080207050119P000720 0000355835114 SITI FATIMAH P PBI (APBN) Dyspepsia Berobat Jalan

129 18-01-2019 080207050119P000725 0000355848265 SLAMET L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
130 18-01-2019 080207050119P000726 0000355848513 MARNIYAH P PBI (APBN) Myalgia Berobat Jalan

131 18-01-2019 080207050119P000727 0000355848546 SUMARLAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
132 18-01-2019 080207050119P000728 0000355851268 HOLIDIN SANJAYA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
133 18-01-2019 080207050119P000729 0000355852056 EDI SULAIMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

134 18-01-2019 080207050119P000730 0000355852271 RIDWAN SALEH L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
135 18-01-2019 080207050119P000731 0000355852798 MELY SETIAWATI P PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

136 18-01-2019 080207050119P000732 0000355888326 SUWARTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
137 18-01-2019 080207050119P000733 0000355888719 SURTI ANGGRAINI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

138 18-01-2019 080207050119P000734 0000355889733 ELZA ENJELINA ANGGRAINI P PBI (APBN) Fever, unspecified Berobat Jalan

139 18-01-2019 080207050119P000735 0000355892499 GINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
140 18-01-2019 080207050119P000736 0000355899486 WARONO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
141 18-01-2019 080207050119P000739 0000355900397 ROSIDAH P PBI (APBN) Allergy, unspecified Berobat Jalan

142 18-01-2019 080207050119P000740 0000355900544 AHMAD TARIDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

143 18-01-2019 080207050119P000742 0000355900599 NOK ASIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
144 18-01-2019 080207050119P000743 0000355900858 HERI SURYANA L PBI (APBN) Fever, unspecified Berobat Jalan

145 18-01-2019 080207050119P000744 0000355909487 SUGIYADI L PBI (APBN) Gastritis, unspecified Berobat Jalan

146 18-01-2019 080207050119P000745 0000355910196 SARTIYEM P PBI (APBN) Headache Berobat Jalan

147 18-01-2019 080207050119P000746 0000355910894 FIRDA MAYFIANA P PBI (APBN) Fever, unspecified Berobat Jalan

148 18-01-2019 080207050119P000747 0000355918059 ENDUT RAHMAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
149 18-01-2019 080207050119P000748 0000355918151 TEDI L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
150 18-01-2019 080207050119P000749 0000355926914 SUMARNO L PBI (APBN) Pure Berobat Jalan
hypercholesterolaemia
151 18-01-2019 080207050119P000750 0000355927026 MARYUNA P PBI (APBN) Headache Berobat Jalan

152 18-01-2019 080207050119P000751 0000355927612 ANDRIYANTO L PBI (APBN) Fever, unspecified Berobat Jalan

153 18-01-2019 080207050119P000752 0000355935622 SUKARDAN L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
154 18-01-2019 080207050119P000754 0000355935903 RUMSITI P PBI (APBN) Myalgia Berobat Jalan

155 18-01-2019 080207050119P000756 0000355936105 RUSMAWANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
156 18-01-2019 080207050119P000757 0000355936138 RUDI KURNIAWAN L PBI (APBN) Headache Berobat Jalan

157 18-01-2019 080207050119P000761 0000355941281 SUGIARTO L PBI (APBN) Headache Berobat Jalan

158 18-01-2019 080207050119P000762 0000355941786 HERMIDA AINI P PBI (APBN) Fever, unspecified Berobat Jalan

159 18-01-2019 080207050119P000763 0000355942271 FATMA SASANDARA P PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

160 18-01-2019 080207050119P000764 0000355942618 GALUH BAGASKORO L PBI (APBN) Fever, unspecified Berobat Jalan

161 18-01-2019 080207050119P000766 0000355943698 DESTI NOVITASARI P PBI (APBN) Fever, unspecified Berobat Jalan

162 18-01-2019 080207050119P000769 0000355944159 SAJIDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
163 18-01-2019 080207050119P000770 0000355944622 RUKIYA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
164 18-01-2019 080207050119P000771 0000355944925 JUNI L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
165 18-01-2019 080207050119P000772 0000355945162 SUWARNO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
166 18-01-2019 080207050119P000773 0000355945419 SITI JAMSIAH P PBI (APBN) Pure Berobat Jalan
hypercholesterolaemia
167 18-01-2019 080207050119P000721 0000356124003 SUMADI L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
168 18-01-2019 080207050119P000722 0000356124273 JULAEKAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
169 18-01-2019 080207050119P000723 0000356125364 SUMIYATI P PBI (APBN) Fever, unspecified Berobat Jalan

170 18-01-2019 080207050119P000724 0000356125983 DISKA DUWINA FUTRI P PBI (APBN) Fever, unspecified Berobat Jalan

171 18-01-2019 080207050119P000758 0000356239528 SUMIDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
172 18-01-2019 080207050119P000759 0000356239956 SATIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
173 18-01-2019 080207050119P000774 0000356250936 MUNGISAR L PBI (APBN) Gastritis, unspecified Berobat Jalan

174 18-01-2019 080207050119P000775 0000356251285 DEDE MAYA P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
175 18-01-2019 080207050119P000776 0000356251656 SARMIANAH P PBI (APBN) Headache Berobat Jalan

176 18-01-2019 080207050119P000777 0000356251713 SUMERI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
177 18-01-2019 080207050119P000778 0000356252602 TURSIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
178 18-01-2019 080207050119P000779 0000356254108 SRI ASTUTI P PBI (APBN) Fever, unspecified Berobat Jalan

179 18-01-2019 080207050119P000780 0000356258968 SUKIRNO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
180 18-01-2019 080207050119P000781 0000356259341 LUSI ASMAWATI P PBI (APBN) Headache Berobat Jalan

181 18-01-2019 080207050119P000782 0000356259554 DIMAS NUGROHO L PBI (APBN) Fever, unspecified Berobat Jalan

182 18-01-2019 080207050119P000783 0000356288714 YUSRONI L PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

183 18-01-2019 080207050119P000784 0000356295047 SUPARNO L PBI (APBN) Headache Berobat Jalan

184 18-01-2019 080207050119P000103 0000357605954 HARTINI P PBI (APBN) Convulsions, not Rujuk Lanjut
elsewhere classified
185 18-01-2019 080207050119P000116 0001796338978 septiawati simanjuntak P PEKERJA MANDIRI Acute sinusitis, Rujuk Lanjut
unspecified
186 17-01-2019 080207050119P000907 0000347968618 NURAHMAH P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
187 17-01-2019 080207050119P000702 0000355292572 SUKAMTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
188 17-01-2019 080207050119P000703 0000355292943 LIVIA NUR HOLIJAH P PBI (APBN) Fever, unspecified Berobat Jalan

189 17-01-2019 080207050119P000704 0000355295676 EKA WIDIYANTI P PBI (APBN) Dyspepsia Berobat Jalan

190 17-01-2019 080207050119P000705 0000355295766 SEPTIA NINGSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
191 17-01-2019 080207050119P000706 0000355317355 AHMAD JIONO L PBI (APBN) Dyspepsia Berobat Jalan

192 17-01-2019 080207050119P000707 0000355318345 SITI WALIYAH P PBI (APBN) Headache Berobat Jalan

193 17-01-2019 080207050119P000708 0000355318863 FHANEZA NOVILIANI P PBI (APBN) Fever, unspecified Berobat Jalan

194 17-01-2019 080207050119P000709 0000355827025 BEJO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
195 17-01-2019 080207050119P000710 0000355827058 SRI NINGSIH P PBI (APBN) Headache Berobat Jalan

196 17-01-2019 080207050119P000711 0000355827082 FERDI KURNIANTO L PBI (APBN) Fever, unspecified Berobat Jalan

197 17-01-2019 080207050119P000096 0000356226298 PONIATI P PBI (APBN) Nontoxic diffuse goitre Rujuk Lanjut

198 17-01-2019 080207050119P000615 0000356439058 IRFAN RENDY YANSAH P PBI (APBN) Fever, unspecified Berobat Jalan

199 17-01-2019 080207050119P000616 0000356448971 SUYANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

200 17-01-2019 080207050119P000617 0000356449083 LINAYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
201 17-01-2019 080207050119P000618 0000356449555 ROSSI OKTAVIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
202 17-01-2019 080207050119P000619 0000356449779 BINTANG DWI SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

203 17-01-2019 080207050119P000620 0000356453008 ANWAR SOLEH L PBI (APBN) Headache Berobat Jalan

204 17-01-2019 080207050119P000621 0000356453605 ENDANG SUSILOWATI P PBI (APBN) Headache Berobat Jalan

205 17-01-2019 080207050119P000622 0000356453831 WAHYU SOFIYANI L PBI (APBN) Fever, unspecified Berobat Jalan

206 17-01-2019 080207050119P000623 0000356459681 KASMUDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

207 17-01-2019 080207050119P000624 0000356460884 PONIYEM P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
208 17-01-2019 080207050119P000626 0000356461108 VIANTI RISTA ANGGRAINI P PBI (APBN) Fever, unspecified Berobat Jalan

209 17-01-2019 080207050119P000628 0000356461288 DINDA PRAMEUSWARIE P PBI (APBN) Fever, unspecified Berobat Jalan

210 17-01-2019 080207050119P000629 0000356463336 OMRI L PBI (APBN) Gastritis, unspecified Berobat Jalan

211 17-01-2019 080207050119P000630 0000356463393 MINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
212 17-01-2019 080207050119P000631 0000356463549 SITI MARYANI P PBI (APBN) Fever, unspecified Berobat Jalan

213 17-01-2019 080207050119P000632 0000356464427 MARLI L PBI (APBN) Influenza, virus not Berobat Jalan
identified
214 17-01-2019 080207050119P000634 0000356465024 NAIMA AFRILIANI P PBI (APBN) Fever, unspecified Berobat Jalan

215 17-01-2019 080207050119P000635 0000356465518 TUKIMIN L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
216 17-01-2019 080207050119P000637 0000356466532 SUMIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
217 17-01-2019 080207050119P000638 0000356466712 MARTUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
218 17-01-2019 080207050119P000639 0000356480695 SUGIARTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
219 17-01-2019 080207050119P000640 0000356480763 SITI SUTINI P PBI (APBN) Fever, unspecified Berobat Jalan

220 17-01-2019 080207050119P000641 0000356481257 TONI WIJAYA L PBI (APBN) Headache Berobat Jalan

221 17-01-2019 080207050119P000642 0000356482179 SEPTIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
222 17-01-2019 080207050119P000643 0000356482225 HENDRI KURNIAWAN L PBI (APBN) Headache Berobat Jalan

223 17-01-2019 080207050119P000644 0000356490382 TAWIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
224 17-01-2019 080207050119P000646 0000356490808 SUKINEM P PBI (APBN) Myalgia Berobat Jalan

225 17-01-2019 080207050119P000647 0000356491056 TURINO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
226 17-01-2019 080207050119P000649 0000356491607 SANIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
227 17-01-2019 080207050119P000650 0000356492013 GUSMINAH P PBI (APBN) Fever, unspecified Berobat Jalan

228 17-01-2019 080207050119P000652 0000356492147 TUSMINAH P PBI (APBN) Headache Berobat Jalan

229 17-01-2019 080207050119P000653 0000356496603 HARTO P PBI (APBN) Headache Berobat Jalan

230 17-01-2019 080207050119P000655 0000356496693 EKA P PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

231 17-01-2019 080207050119P000656 0000356500719 SLAMET B L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
232 17-01-2019 080207050119P000658 0000356501283 SITI MEYSAROH P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

233 17-01-2019 080207050119P000659 0000356501799 MEI YANTO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
234 17-01-2019 080207050119P000660 0000356502745 DIAN WIJAYA L PBI (APBN) Allergy, unspecified Berobat Jalan

235 17-01-2019 080207050119P000661 0000356503162 AZRIL OKTAVIANO L PBI (APBN) Fever, unspecified Berobat Jalan

236 17-01-2019 080207050119P000101 0000996986834 anjoyo yunis rianto L PBI (APBN) Epilepsy Rujuk Lanjut

237 17-01-2019 080207050119P000102 0001325393638 NUR'AINI P PEKERJA MANDIRI Insulin-dependent Berobat Jalan
diabetes mellitus
238 17-01-2019 080207050119P000087 0002326503003 UMI LATIFAH P PEKERJA MANDIRI Spontaneous abortion, Rujuk Lanjut
incomplete, without

239 17-01-2019 080207050119P000100 0002618550999 TUMIYEM P PEKERJA MANDIRI Congestive heart failure Berobat Jalan

240 16-01-2019 080207050119P000076 0000033934465 SITI TSAMROH P PNS DAERAH Epilepsy Berobat Jalan

241 15-01-2019 080207050119P000065 0000355854576 SAMIYEM P PBI (APBN) Insulin-dependent Rujuk Lanjut
diabetes mellitus
242 15-01-2019 080207050119P000064 0000356413566 ARWAN L PBI (APBN) Peptic ulcer, acute without Rujuk Lanjut
haemorrhage or

243 15-01-2019 080207050119P000066 0002263425265 NURIL ANWAR L PBI (APBN) Bilateral inguinal hernia, Rujuk Lanjut
with obstruction, without

244 14-01-2019 080207050119P000063 0000032645305 TUMINIWARI P PENERIMA PENSIUN Orthopaedic follow-up Rujuk Lanjut
PNS care, unspecified
245 14-01-2019 080207050119P000054 0000201900712 KATIRAH HANDAYANI P PENERIMA PENSIUN Acute myeloid leukaemia Rujuk Lanjut
PNS
246 14-01-2019 080207050119P000753 0000355327896 BASTIYAH P PBI (APBN) Headache Berobat Jalan

247 14-01-2019 080207050119P000755 0000355328908 EKA YULIYANTININGSIH P PBI (APBN) Peptic ulcer, unspecified Berobat Jalan
as acute or chronic,
without haemorrhage or

248 14-01-2019 080207050119P000760 0000355846116 TUMIRAN L PBI (APBN) Myalgia Berobat Jalan

249 14-01-2019 080207050119P000765 0000356341792 ASILLAH ANGGUN AL AZIZAH P PBI (APBN) Influenza, virus not Berobat Jalan
identified
250 14-01-2019 080207050119P000767 0000356353738 SODIKIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

251 14-01-2019 080207050119P000768 0000356354403 WARSINI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

252 14-01-2019 080207050119P000853 0000356354526 SITI HASANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
253 14-01-2019 080207050119P000854 0000356366261 SUMIATI P PBI (APBN) Myalgia Berobat Jalan

254 14-01-2019 080207050119P000855 0000356367069 SUROTO L PBI (APBN) Fever, unspecified Berobat Jalan

255 14-01-2019 080207050119P000737 0000356367486 EVI SUKAESI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
256 14-01-2019 080207050119P000738 0000356368048 SAMANAN L PBI (APBN) Myalgia, multiple sites Berobat Jalan

257 14-01-2019 080207050119P000741 0000356368588 TUKIYEM P PBI (APBN) Headache Berobat Jalan

258 14-01-2019 080207050119P000048 0000996970814 SUNGET L PBI (APBN) Calculus of kidney and Rujuk Lanjut
ureter
259 14-01-2019 080207050119P000053 0002444720578 SUNARTI P PBI (APBD) Other chronic obstructive Berobat Jalan
pulmonary disease
260 12-01-2019 080207050119P000566 0000355293584 KASIMIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
261 12-01-2019 080207050119P000567 0000355294056 PRAWITO L PBI (APBN) Gastritis, unspecified Berobat Jalan

262 12-01-2019 080207050119P000568 0000355846634 PONIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
263 12-01-2019 080207050119P000569 0000355849356 SUGIMAN L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

264 12-01-2019 080207050119P000570 0000355849569 PURWATI P PBI (APBN) Headache Berobat Jalan

265 12-01-2019 080207050119P000571 0000355849986 AGUS L PBI (APBN) Headache Berobat Jalan

266 12-01-2019 080207050119P000572 0000355850537 WADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
267 12-01-2019 080207050119P000573 0000355850739 SURYAN L PBI (APBN) Fever, unspecified Berobat Jalan

268 12-01-2019 080207050119P000574 0000355850763 AFRI NANDO L PBI (APBN) Fever, unspecified Berobat Jalan

269 12-01-2019 080207050119P000575 0000355856141 SURIP P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
270 12-01-2019 080207050119P000576 0000355856613 RANI SETIYA NINGSIH P PBI (APBN) Fever, unspecified Berobat Jalan

271 12-01-2019 080207050119P000577 0000355858097 HUNTARSAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

272 12-01-2019 080207050119P000578 0000355859335 MUJINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
273 12-01-2019 080207050119P000579 0000355859649 JULIANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
274 12-01-2019 080207050119P000580 0000355860494 YULIANA PUTRI P PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

275 12-01-2019 080207050119P000581 0000355880395 PAIDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
276 12-01-2019 080207050119P000582 0000355881003 JUARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
277 12-01-2019 080207050119P000583 0000355881622 ADI PRATAMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
278 12-01-2019 080207050119P000584 0000355882061 RIO SUHENDRA L PBI (APBN) Fever, unspecified Berobat Jalan

279 12-01-2019 080207050119P000585 0000355890216 SOPINGI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
280 12-01-2019 080207050119P000586 0000355890521 MAELISARI P PBI (APBN) Gastritis, unspecified Berobat Jalan

281 12-01-2019 080207050119P000587 0000355890947 RISTI MEILA ANGGRAINI P PBI (APBN) Fever, unspecified Berobat Jalan

282 12-01-2019 080207050119P000588 0000355906675 AFIANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

283 12-01-2019 080207050119P000589 0000355911502 NYUNIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
284 12-01-2019 080207050119P000590 0000355911849 PONIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
285 12-01-2019 080207050119P000591 0000355926069 SUKIRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
286 12-01-2019 080207050119P000592 0000356240327 WARSINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
287 12-01-2019 080207050119P000593 0000356249237 GIYANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

288 12-01-2019 080207050119P000594 0000356249968 ERMA SUSILOWATI P PBI (APBN) Fever, unspecified Berobat Jalan

289 12-01-2019 080207050119P000595 0000356250611 AYU ERLIANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
290 12-01-2019 080207050119P000596 0000356250846 SISKA DWI APRIANTI P PBI (APBN) Fever, unspecified Berobat Jalan

291 12-01-2019 080207050119P000597 0000356256347 MUHAMMAD USMAN L PBI (APBN) Fever, unspecified Berobat Jalan

292 12-01-2019 080207050119P000598 0000356299705 MUJIONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
293 12-01-2019 080207050119P000599 0000356300537 YENTI P PBI (APBN) Fever, unspecified Berobat Jalan

294 12-01-2019 080207050119P000600 0000356300886 NURDIANA SARI L PBI (APBN) Fever, unspecified Berobat Jalan

295 12-01-2019 080207050119P000601 0000356306826 BADRODEN L PBI (APBN) Gastritis, unspecified Berobat Jalan

296 12-01-2019 080207050119P000602 0000356306938 TRI LESTARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
297 12-01-2019 080207050119P000603 0000356307658 SITI KHOTIJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
298 12-01-2019 080207050119P000604 0000356307715 MAKMURI L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

299 12-01-2019 080207050119P000605 0000356320855 SUPARDI L PBI (APBN) Headache Berobat Jalan

300 12-01-2019 080207050119P000606 0000356321136 MARIYAM P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

301 12-01-2019 080207050119P000607 0000356321687 MEISUNDARI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
302 12-01-2019 080207050119P000608 0000356322273 SITI NURHAYAH P PBI (APBN) Allergy, unspecified Berobat Jalan

303 12-01-2019 080207050119P000609 0000356327482 SANTOSO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
304 12-01-2019 080207050119P000610 0000356328303 NILAWATI P PBI (APBN) Myalgia Berobat Jalan

305 12-01-2019 080207050119P000611 0000356329181 HARPAN KRISANTO L PBI (APBN) Fever, unspecified Berobat Jalan

306 12-01-2019 080207050119P000612 0000356330136 FEBRIANSAH L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

307 12-01-2019 080207050119P000613 0000356330226 SULEHA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
308 12-01-2019 080207050119P000614 0000356339889 SARNOTO L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
309 11-01-2019 080207050119Y000045 0000034019021 SUNYOTO L PNS DAERAH Chronic ischaemic heart Berobat Jalan
disease, unspecified
310 11-01-2019 080207050119P000563 0000355277968 LENI NURAENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
311 11-01-2019 080207050119P000564 0000355278251 HUSNUL HOTIMAH P PBI (APBN) Dyspepsia Berobat Jalan

312 11-01-2019 080207050119P000565 0000355281489 MASHUDI L PBI (APBN) Dyspepsia Berobat Jalan

313 11-01-2019 080207050119Y000044 0000356218187 SUSWATI INDRAYANI P PBI (APBN) Follicular cyst of ovary Rujuk Lanjut

314 11-01-2019 080207050119P000505 0000356267575 SUMIATI P PBI (APBN) Headache Berobat Jalan

315 11-01-2019 080207050119P000507 0000356267711 RINI YULIANA P PBI (APBN) Fever, unspecified Berobat Jalan

316 11-01-2019 080207050119P000508 0000356298186 PURWANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

317 11-01-2019 080207050119P000509 0000356301742 DAKIM L PBI (APBN) Headache Berobat Jalan

318 11-01-2019 080207050119P000510 0000356301909 TURNIATI NINGSIH P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

319 11-01-2019 080207050119P000512 0000356301966 ARDIKURNIAWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
320 11-01-2019 080207050119P000513 0000356302067 APRIATIN DONI SAPUTRA L PBI (APBN) Headache Berobat Jalan

321 11-01-2019 080207050119P000514 0000356302574 WENDI RAFLI PANGESTU L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

322 11-01-2019 080207050119P000515 0000356303204 KUSIKMAH P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

323 11-01-2019 080207050119P000516 0000356303744 MUHAMAD JURAISIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

324 11-01-2019 080207050119P000517 0000356304418 RANI NURJANAH P PBI (APBN) Fever, unspecified Berobat Jalan

325 11-01-2019 080207050119P000519 0000356304508 NURROHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
326 11-01-2019 080207050119P000520 0000356304767 INDAH EVITARIA P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
327 11-01-2019 080207050119P000521 0000356305386 ISMA PURNAMASARI P PBI (APBN) Fever, unspecified Berobat Jalan

328 11-01-2019 080207050119P000523 0000356308694 AGUS L PBI (APBN) Influenza, virus not Berobat Jalan
identified
329 11-01-2019 080207050119P000524 0000356309155 SITI JULAIHA P PBI (APBN) Dyspepsia Berobat Jalan

330 11-01-2019 080207050119P000526 0000356310224 TARSIDI L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
331 11-01-2019 080207050119P000527 0000356310448 SUMIATI P PBI (APBN) Myalgia Berobat Jalan

332 11-01-2019 080207050119P000529 0000356310808 DEDI SUYANTO L PBI (APBN) Fever, unspecified Berobat Jalan

333 11-01-2019 080207050119P000530 0000356311776 AMA ROJANI L PBI (APBN) Fever, unspecified Berobat Jalan

334 11-01-2019 080207050119P000531 0000356312171 AMAT ROBANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
335 11-01-2019 080207050119P000532 0000356312553 AMAT MUDAKIR L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

336 11-01-2019 080207050119P000533 0000356312902 SITI NUR HIDAYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
337 11-01-2019 080207050119P000534 0000356313238 SITI MUHIDA WATI P PBI (APBN) Fever, unspecified Berobat Jalan

338 11-01-2019 080207050119P000535 0000356318357 SURATIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
339 11-01-2019 080207050119P000536 0000356319066 MANISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
340 11-01-2019 080207050119P000537 0000356319191 NURASIAH JAMIL P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
341 11-01-2019 080207050119P000538 0000356324049 SOMIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
342 11-01-2019 080207050119P000539 0000356342455 JOKO L PBI (APBN) Gastritis, unspecified Berobat Jalan

343 11-01-2019 080207050119P000540 0000356342567 YESI PEBRIANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

344 11-01-2019 080207050119P000541 0000356342747 SALSA DWI SILVIANA P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

345 11-01-2019 080207050119P000542 0000356343974 MUCHLADIN L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
346 11-01-2019 080207050119P000545 0000356345076 SITI SULAIMAH P PBI (APBN) Dyspepsia Berobat Jalan

347 11-01-2019 080207050119P000546 0000356345381 TUGIYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
348 11-01-2019 080207050119P000547 0000356345526 SRI FATIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
349 11-01-2019 080207050119P000548 0000356345627 SLAMET PURNOMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
350 11-01-2019 080207050119P000549 0000356370928 VERA RONITA SAFITRI P PBI (APBN) Fever, unspecified Berobat Jalan

351 11-01-2019 080207050119P000550 0000356372155 RUSMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
352 11-01-2019 080207050119P000551 0000356372717 LASMI P PBI (APBN) Fever, unspecified Berobat Jalan

353 11-01-2019 080207050119P000552 0000356372987 M SUPRIYANTO L PBI (APBN) Fever, unspecified Berobat Jalan

354 11-01-2019 080207050119P000553 0000356381594 BUDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

355 11-01-2019 080207050119P000554 0000356382279 ANASTASIA NGTIKRISTIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
356 11-01-2019 080207050119P000555 0000356382606 GREGORIUS EVAN L PBI (APBN) Fever, unspecified Berobat Jalan
KRISTANTRA
357 11-01-2019 080207050119P000556 0000356444921 PAIMIN L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
358 11-01-2019 080207050119P000557 0000356468174 TURIMAN L PBI (APBN) Fever, unspecified Berobat Jalan

359 11-01-2019 080207050119P000558 0000356468207 MARHUMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
360 11-01-2019 080207050119P000559 0000356468703 EKO RUDIYANTO L PBI (APBN) Fever, unspecified Berobat Jalan

361 11-01-2019 080207050119P000560 0000356468804 YUDI SETIAWAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

362 11-01-2019 080207050119P000561 0000356479367 JUMIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
363 11-01-2019 080207050119P000504 0000356720297 SUWANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
364 11-01-2019 080207050119P000543 0000357001481 M. SODIKIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
365 11-01-2019 080207050119P000544 0000357002087 EVEV P PBI (APBN) Gastritis, unspecified Berobat Jalan

366 11-01-2019 080207050119P000562 0000996996508 SUYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

367 11-01-2019 080207050119P000502 0001451042537 YATI RATNA DEWI P PBI (APBD) Noninfective Berobat Jalan
gastroenteritis and colitis,

368 11-01-2019 080207050119Y000047 0001884538506 galang arya darmawan L PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

369 11-01-2019 080207050119P000501 0002228926948 SITI MUNINGGAR P PEKERJA MANDIRI Noninfective Berobat Jalan
gastroenteritis and colitis,

370 11-01-2019 080207050119Y000046 0002228927501 NADIA OKTASARI P PEKERJA MANDIRI Amenorrhoea, unspecified Rujuk Lanjut

371 10-01-2019 080207050119P000441 0000355296036 HAMIM L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
372 10-01-2019 080207050119P000442 0000355296879 USWATUN HASANAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

373 10-01-2019 080207050119P000443 0000355297612 ROBYANTI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

374 10-01-2019 080207050119P000444 0000355298016 MUKLASTRIO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
375 10-01-2019 080207050119P000445 0000355298174 ISROMIAH P PBI (APBN) Fever, unspecified Berobat Jalan

376 10-01-2019 080207050119P000446 0000355298297 ELMIANINGSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

377 10-01-2019 080207050119P000447 0000355299039 MASKRIDA SUDRAJAT FIRDOS L PBI (APBN) Fever, unspecified Berobat Jalan

378 10-01-2019 080207050119P000448 0000355299849 ATIKA FIJAYANTI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
379 10-01-2019 080207050119P000449 0000355309558 EFENDI HASRAN L PBI (APBN) Headache Berobat Jalan

380 10-01-2019 080207050119P000450 0000355309593 TARMIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

381 10-01-2019 080207050119P000451 0000355311527 ROSTALIA ANINDA SHAFITRI P PBI (APBN) Gastritis, unspecified Berobat Jalan

382 10-01-2019 080207050119P000452 0000355334894 TUKIMUN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
383 10-01-2019 080207050119P000453 0000355335805 MUNTIYAH P PBI (APBN) Myalgia Berobat Jalan

384 10-01-2019 080207050119P000454 0000355336097 HERI PRASTIO L PBI (APBN) Headache Berobat Jalan

385 10-01-2019 080207050119P000455 0000355832526 KASYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

386 10-01-2019 080207050119P000457 0000355834271 FAREL CANDRA WIJAYA L PBI (APBN) Fever, unspecified Berobat Jalan

387 10-01-2019 080207050119P000463 0000355840738 JUMAKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
388 10-01-2019 080207050119P000464 0000355840784 PONEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

389 10-01-2019 080207050119P000465 0000355842044 ANI SUNDARI P PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

390 10-01-2019 080207050119P000466 0000355861967 AGUS SULAIMAN L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

391 10-01-2019 080207050119P000467 0000355862002 MUHAMAD MUHLIS L PBI (APBN) Headache Berobat Jalan

392 10-01-2019 080207050119P000468 0000355864015 SUWITO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
393 10-01-2019 080207050119P000469 0000355865229 SUYOTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
394 10-01-2019 080207050119P000470 0000355865444 TEGUH L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
395 10-01-2019 080207050119P000471 0000355865602 TUMINI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

396 10-01-2019 080207050119P000472 0000355867211 NURMIASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
397 10-01-2019 080207050119P000473 0000355867299 YUSUP L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
398 10-01-2019 080207050119P000474 0000355873656 SUJANGI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
399 10-01-2019 080207050119P000475 0000355874398 YATINI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
400 10-01-2019 080207050119P000476 0000355919815 TUKIMIN L PBI (APBN) Influenza, virus not Berobat Jalan
identified
401 10-01-2019 080207050119P000477 0000355919859 SUYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

402 10-01-2019 080207050119P000478 0000355920491 HESTI LESTARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
403 10-01-2019 080207050119P000479 0000355920838 EDI SISWANTO L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
404 10-01-2019 080207050119P000482 0000355921233 YUNI FATMASARI P PBI (APBN) Fever, unspecified Berobat Jalan

405 10-01-2019 080207050119P000483 0000355921773 KRISNA WIJAYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
406 10-01-2019 080207050119P000484 0000355928793 TUKINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
407 10-01-2019 080207050119P000485 0000355929063 MINARNO L PBI (APBN) Myalgia Berobat Jalan

408 10-01-2019 080207050119P000487 0000355929805 ERLINAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

409 10-01-2019 080207050119P000488 0000355931008 KURNIAWAN L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
410 10-01-2019 080207050119P000489 0000355931043 DWI RAMADANI P PBI (APBN) Fever, unspecified Berobat Jalan

411 10-01-2019 080207050119P000456 0000356122001 AHMAD ALI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

412 10-01-2019 080207050119P000458 0000356122765 SITI PATIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
413 10-01-2019 080207050119P000459 0000356122822 BUDI SANTOSO L PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

414 10-01-2019 080207050119P000490 0000356240867 SUNGKOWO L PBI (APBN) Myalgia Berobat Jalan

415 10-01-2019 080207050119P000492 0000356240979 MUKIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
416 10-01-2019 080207050119P000493 0000356242173 FITRIA NURI HANDAYANI P PBI (APBN) Fever, unspecified Berobat Jalan

417 10-01-2019 080207050119P000495 0000356266473 WAGIMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
418 10-01-2019 080207050119P000496 0000356267147 EDI ERWANTO L PBI (APBN) Headache Berobat Jalan

419 10-01-2019 080207050119P000425 0000356451478 SITI KHOTIJAH P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
420 10-01-2019 080207050119P000426 0000356451502 ENI SURYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

421 10-01-2019 080207050119P000427 0000356452953 MUHAMAD U'SA L PBI (APBN) Fever, unspecified Berobat Jalan

422 10-01-2019 080207050119P000428 0000356461918 SRI SUKARNI P PBI (APBN) Headache Berobat Jalan

423 10-01-2019 080207050119P000429 0000356462043 KARUNIANTO PERMADI L PBI (APBN) Headache Berobat Jalan

424 10-01-2019 080207050119P000430 0000356462291 VIVI NIA SAPUTRI P PBI (APBN) Fever, unspecified Berobat Jalan

425 10-01-2019 080207050119P000431 0000356462796 TRI VIDIANTO PERMADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
426 10-01-2019 080207050119P000432 0000356484273 JING L PBI (APBN) Headache Berobat Jalan

427 10-01-2019 080207050119P000433 0000356484565 TUMINI P PBI (APBN) Headache Berobat Jalan

428 10-01-2019 080207050119P000434 0000356484734 AHMAD P PBI (APBN) Fever, unspecified Berobat Jalan

429 10-01-2019 080207050119P000435 0000356494498 JUARI L PBI (APBN) Fever, unspecified Berobat Jalan

430 10-01-2019 080207050119P000438 0000356494961 NURLAILA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
431 10-01-2019 080207050119P000439 0000356495433 SANTI SANTIKA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
432 10-01-2019 080207050119P000440 0000356495466 ERNI SETIAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
433 10-01-2019 080207050119Y000040 0001302710128 SUKATMI P PBI (APBD) Congestive heart failure Rujuk Lanjut

434 10-01-2019 080207050119Y000041 0001325393638 NUR'AINI P PEKERJA MANDIRI Insulin-dependent Rujuk Lanjut
diabetes mellitus
435 10-01-2019 080207050119Y000038 0001790649461 ABDU HAIRU L PEKERJA MANDIRI Hyperplasia of prostate Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

436 10-01-2019 080207050119Y000043 0001961763131 edeng L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
437 10-01-2019 080207050119Y000042 0001962059264 tinah P PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
438 10-01-2019 080207050119Y000039 0002082517986 bukhori L PEKERJA MANDIRI Congestive heart failure Berobat Jalan

439 09-01-2019 080207050119Y000034 0000355275639 KHOTIMAH P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
cervix uteri, unspecified
440 09-01-2019 080207050119P000306 0000355333048 FIKI OKTAVIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
441 09-01-2019 080207050119P000307 0000355823177 MEI SUNARNI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

442 09-01-2019 080207050119P000308 0000355823289 NASIHIN L PBI (APBN) Myalgia Berobat Jalan

443 09-01-2019 080207050119P000309 0000355824516 MILVA DIAN ANGGRAINI P PBI (APBN) Fever, unspecified Berobat Jalan

444 09-01-2019 080207050119P000310 0000355826248 SITI SOLEHAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
445 09-01-2019 080207050119P000311 0000355830974 ANWAR L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
446 09-01-2019 080207050119P000312 0000355831108 YULIANA FUTRI P PBI (APBN) Gastritis, unspecified Berobat Jalan

447 09-01-2019 080207050119P000313 0000355831738 AMELIA P PBI (APBN) Fever, unspecified Berobat Jalan

448 09-01-2019 080207050119P000315 0000355856894 ASEP SUNANDAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
449 09-01-2019 080207050119P000316 0000355857017 SUSANTI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
450 09-01-2019 080207050119P000317 0000355857322 SURYANA L PBI (APBN) Fever, unspecified Berobat Jalan

451 09-01-2019 080207050119P000318 0000355898687 SUGENG L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

452 09-01-2019 080207050119P000319 0000355898755 JULIAH P PBI (APBN) Influenza, virus not Berobat Jalan
identified
453 09-01-2019 080207050119P000320 0000355899339 RIKA SARI DEWI P PBI (APBN) Fever, unspecified Berobat Jalan

454 09-01-2019 080207050119P000321 0000355901916 SITI MARIYAM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
455 09-01-2019 080207050119P000322 0000355902996 RIDWAN L PBI (APBN) Fever, unspecified Berobat Jalan

456 09-01-2019 080207050119P000323 0000355903762 ISMAIL L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

457 09-01-2019 080207050119P000324 0000355904357 AHMAD THOLIB L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

458 09-01-2019 080207050119P000325 0000355904774 MUHAMMAD TABRANI L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
459 09-01-2019 080207050119P000326 0000355928332 DEPI HERMAWAN L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

460 09-01-2019 080207050119P000327 0000355928398 ADE ROYANI P PBI (APBN) Myalgia Berobat Jalan

461 09-01-2019 080207050119P000328 0000355928477 NENENG ELVA NOVITASARI P PBI (APBN) Fever, unspecified Berobat Jalan

462 09-01-2019 080207050119P000793 0000355928534 NENENG NOPIAKARISMA P PBI (APBN) Fever, unspecified Berobat Jalan

463 09-01-2019 080207050119P000794 0000355936667 ROJANI L PBI (APBN) Myalgia, ankle and foot Berobat Jalan

464 09-01-2019 080207050119P000795 0000355936869 JULEHA P PBI (APBN) Allergy, unspecified Berobat Jalan

465 09-01-2019 080207050119P000796 0000355937163 TUMINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

466 09-01-2019 080207050119P000797 0000355946815 JAMALUDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

467 09-01-2019 080207050119P000314 0000356119806 WAHYUDIN L PBI (APBN) Headache Berobat Jalan

468 09-01-2019 080207050119P000798 0000356259644 MARGONO L PBI (APBN) Gastritis, unspecified Berobat Jalan

469 09-01-2019 080207050119P000799 0000356260331 EREN P PBI (APBN) Influenza, virus not Berobat Jalan
identified
470 09-01-2019 080207050119P000800 0000356263841 INDRA BAYU L PBI (APBN) Gastritis, unspecified Berobat Jalan

471 09-01-2019 080207050119P000801 0000356296926 SALAMUN L PBI (APBN) Headache Berobat Jalan

472 09-01-2019 080207050119P000802 0000356297139 HUDIYAH P PBI (APBN) Fever, unspecified Berobat Jalan

473 09-01-2019 080207050119P000803 0000356298928 MAD NUR L PBI (APBN) Gastritis, unspecified Berobat Jalan

474 09-01-2019 080207050119P000804 0000356299672 GIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
475 09-01-2019 080207050119P000805 0000356308222 OHA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
476 09-01-2019 080207050119P000806 0000356308547 KARMILA P PBI (APBN) Headache Berobat Jalan

477 09-01-2019 080207050119P000807 0000356308582 JAENUDDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

478 09-01-2019 080207050119P000808 0000356309278 SUKRIYO L PBI (APBN) Gastritis, unspecified Berobat Jalan

479 09-01-2019 080207050119P000809 0000356309728 IIS RIANA P PBI (APBN) Allergy, unspecified Berobat Jalan

480 09-01-2019 080207050119P000810 0000356310077 ADZKIA MUTIA SALSABILA P PBI (APBN) Influenza, virus not Berobat Jalan
identified
481 09-01-2019 080207050119P000811 0000356339777 SARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

482 09-01-2019 080207050119P000812 0000356354831 AHMAD ULIN NUHA L PBI (APBN) Gastritis, unspecified Berobat Jalan

483 09-01-2019 080207050119P000813 0000356355191 NUR HALIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
484 09-01-2019 080207050119P000814 0000356355437 MUHAMMAD REHAN MAULANA L PBI (APBN) Fever, unspecified Berobat Jalan

485 09-01-2019 080207050119P000815 0000356372054 MARIYAM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
486 09-01-2019 080207050119P000816 0000356378668 ALI NURDIN L PBI (APBN) Dyspepsia Berobat Jalan

487 09-01-2019 080207050119P000817 0000356379017 MANISEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
488 09-01-2019 080207050119P000818 0000356379298 SITI NUR LELAWATI P PBI (APBN) Cough Berobat Jalan

489 09-01-2019 080207050119P000819 0000356379388 ROSITA DEWI SAFITRI P PBI (APBN) Other noninfective Berobat Jalan
gastroenteritis and colitis
490 09-01-2019 080207050119P000820 0000356382977 AJUM L PBI (APBN) Headache Berobat Jalan

491 09-01-2019 080207050119P000821 0000356430622 SURATNO L PBI (APBN) Myalgia Berobat Jalan

492 09-01-2019 080207050119P000822 0000356430879 KAMISAH P PBI (APBN) Cough Berobat Jalan

493 09-01-2019 080207050119P000823 0000356430936 TITIN ANDRIANI P PBI (APBN) Allergy, unspecified Berobat Jalan

494 09-01-2019 080207050119P000824 0000356431397 MAULANA YUSUF L PBI (APBN) Gastritis, unspecified Berobat Jalan

495 09-01-2019 080207050119Y000037 0001237966018 LINDA wati P PBI (APBD) Myopia Rujuk Lanjut

496 09-01-2019 080207050119Y000033 0001262714185 ZAINOL ABIDIN L PEKERJA MANDIRI Schizophrenia, unspecified Rujuk Lanjut

497 09-01-2019 080207050119Y000035 0001819650508 lilis apriani P PEKERJA MANDIRI Chest pain, unspecified Rujuk Lanjut

498 09-01-2019 080207050119Y000036 0002224648348 ARFAN AR-RAFIF L PEKERJA MANDIRI Delayed milestone Rujuk Lanjut

499 09-01-2019 080207050119P000792 0002294718704 SABAR L PEKERJA MANDIRI Myalgia, hand Berobat Jalan

500 09-01-2019 080207050119P000791 0002434501539 ROKAYAH P PEKERJA MANDIRI Headache Berobat Jalan

501 09-01-2019 080207050119Y000032 0002612057073 LAILATUL MUBAYANAH P PEKERJA MANDIRI Pre-eclampsia, Rujuk Lanjut
unspecified
502 08-01-2019 080207050119P000905 0000347263615 SAERAH P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
503 08-01-2019 080207050119P000690 0000355289466 WAHYUDIN L PBI (APBN) Headache Berobat Jalan

504 08-01-2019 080207050119P000691 0000355290254 DESIMAH P PBI (APBN) Influenza, virus not Berobat Jalan
identified
505 08-01-2019 080207050119P000692 0000355290761 DEVI YULIANTI P PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

506 08-01-2019 080207050119P000693 0000355290794 DIKI SAPUTRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
507 08-01-2019 080207050119P000694 0000355291402 NASIRAN L PBI (APBN) Allergy, unspecified Berobat Jalan

508 08-01-2019 080207050119P000695 0000355291749 NASIP L PBI (APBN) Gastritis, unspecified Berobat Jalan

509 08-01-2019 080207050119P000696 0000355325051 HOER L PBI (APBN) Gastritis, unspecified Berobat Jalan

510 08-01-2019 080207050119P000697 0000355326254 SITI P PBI (APBN) Gastritis, unspecified Berobat Jalan

511 08-01-2019 080207050119P000698 0000355326873 AHMAD L PBI (APBN) Allergy, unspecified Berobat Jalan

512 08-01-2019 080207050119P000699 0000355331046 CANDRA SURYANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
513 08-01-2019 080207050119P000700 0000355331979 LISNAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
514 08-01-2019 080207050119P000701 0000355332587 INDRAJAYA L PBI (APBN) Gastritis, unspecified Berobat Jalan

515 08-01-2019 080207050119P000401 0000355905538 ALI L PBI (APBN) Headache Berobat Jalan

516 08-01-2019 080207050119P000403 0000355905628 SUHARNI P PBI (APBN) Gastritis, unspecified Berobat Jalan

517 08-01-2019 080207050119P000494 0000355906091 CICI YULI HARYANTI P PBI (APBN) Cough Berobat Jalan

518 08-01-2019 080207050119P000500 0000355906776 ANANDA YUSUF ROMADON L PBI (APBN) Fever, unspecified Berobat Jalan

519 08-01-2019 080207050119P000498 0000355928016 TRI HARIYANI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
520 08-01-2019 080207050119P000499 0000355928128 IKE APSARI P PBI (APBN) Fever, unspecified Berobat Jalan

521 08-01-2019 080207050119P000503 0000355928264 ANDI L PBI (APBN) Myalgia Berobat Jalan

522 08-01-2019 080207050119P000518 0000355930042 DELITA ANDRIYANA P PBI (APBN) Allergy, unspecified Berobat Jalan

523 08-01-2019 080207050119P000522 0000355938366 DARMANTO L PBI (APBN) Myalgia Berobat Jalan

524 08-01-2019 080207050119P000525 0000355938603 YATMI P PBI (APBN) Headache Berobat Jalan

525 08-01-2019 080207050119P000528 0000355939143 BUDI YULIANTO L PBI (APBN) Headache Berobat Jalan

526 08-01-2019 080207050119P000625 0000355939176 ARYANTO L PBI (APBN) Fever, unspecified Berobat Jalan

527 08-01-2019 080207050119P000627 0000355939391 WAHYU SEPTIANA P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

528 08-01-2019 080207050119P000648 0000355959077 EKO PRASETYO L PBI (APBN) Cough Berobat Jalan

529 08-01-2019 080207050119P000651 0000355959865 ASTUTI P PBI (APBN) Myalgia Berobat Jalan

530 08-01-2019 080207050119P000654 0000355960269 AYU WULANDARI P PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

531 08-01-2019 080207050119P000657 0000355960765 ARI FRISKA PRATIWI P PBI (APBN) Fever, unspecified Berobat Jalan

532 08-01-2019 080207050119P000666 0000355963915 MULYONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
533 08-01-2019 080207050119P000667 0000355964422 SUMIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
534 08-01-2019 080207050119P000397 0000356199671 ARMIYATI P PBI (APBN) Myalgia Berobat Jalan

535 08-01-2019 080207050119P000399 0000356199963 REZA ARDHITA P PBI (APBN) Fever, unspecified Berobat Jalan

536 08-01-2019 080207050119P000497 0000356207938 WARDINI P PBI (APBN) Myalgia Berobat Jalan

537 08-01-2019 080207050119P000506 0000356226873 BENI PIRDAUS L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

538 08-01-2019 080207050119P000511 0000356226985 DIAN FAUZI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
539 08-01-2019 080207050119P000633 0000356724369 YATNO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
540 08-01-2019 080207050119P000636 0000356724742 SARINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
541 08-01-2019 080207050119P000645 0000356725989 SUNARTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

542 08-01-2019 080207050119P000662 0000356747804 HERNOWO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
543 08-01-2019 080207050119P000663 0000356748243 ROHANA P PBI (APBN) Myalgia Berobat Jalan

544 08-01-2019 080207050119P000664 0000356748287 ANTON SUPRAPTO L PBI (APBN) Allergy, unspecified Berobat Jalan

545 08-01-2019 080207050119P000665 0000356748592 KELINDA P PBI (APBN) Influenza, virus not Berobat Jalan
identified
546 08-01-2019 080207050119P000668 0000356784445 SUHARTONO L PBI (APBN) Allergy, unspecified Berobat Jalan

547 08-01-2019 080207050119P000669 0000356785097 RABIYEM P PBI (APBN) Myalgia, hand Berobat Jalan

548 08-01-2019 080207050119P000670 0000356785211 AGUS RIYANTO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
549 08-01-2019 080207050119P000671 0000356785637 DIoN PRASETYO L PBI (APBN) Cough Berobat Jalan

550 08-01-2019 080207050119P000672 0000356836138 ADI SETIAWAN L PBI (APBN) Myalgia, shoulder region Berobat Jalan

551 08-01-2019 080207050119P000673 0000356836386 ASIYAH P PBI (APBN) Influenza, virus not Berobat Jalan
identified
552 08-01-2019 080207050119P000674 0000356836702 REZA NUR ADITIO L PBI (APBN) Fever, unspecified Berobat Jalan

553 08-01-2019 080207050119P000675 0000356837185 JHESICA PRAMESTI K.S P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

554 08-01-2019 080207050119P000676 0000356837398 JENNI PATRICIA KRISTI P PBI (APBN) Acute upper respiratory Berobat Jalan
SHOPYAN infection, unspecified
555 08-01-2019 080207050119P000677 0000356851506 JUKI L PBI (APBN) Myalgia Berobat Jalan

556 08-01-2019 080207050119P000678 0000356852891 MURDIYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
557 08-01-2019 080207050119P000679 0000356858717 MURNI P PBI (APBN) Allergy, unspecified Berobat Jalan

558 08-01-2019 080207050119P000680 0000356871161 WARSI P PBI (APBN) Headache Berobat Jalan

559 08-01-2019 080207050119P000681 0000356967235 KISWANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
560 08-01-2019 080207050119P000682 0000356967742 SELLA PUNAMASARI P PBI (APBN) Fever, unspecified Berobat Jalan

561 08-01-2019 080207050119P000683 0000356968776 ENO SAFITRI P PBI (APBN) Cough Berobat Jalan

562 08-01-2019 080207050119P000684 0000356979677 SUGIARTO L PBI (APBN) Myalgia, ankle and foot Berobat Jalan

563 08-01-2019 080207050119P000685 0000356980667 MUJIATI P PBI (APBN) Headache Berobat Jalan

564 08-01-2019 080207050119P000686 0000356981995 SANDI PRASETYO L PBI (APBN) Cough Berobat Jalan

565 08-01-2019 080207050119P000687 0000356982085 TEMU P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
566 08-01-2019 080207050119P000688 0000996986564 SUPRIYANTO L PBI (APBN) Myalgia Berobat Jalan

567 08-01-2019 080207050119P000689 0002067603366 ALI RAMADAN L PBI (APBN) Fever, unspecified Berobat Jalan

568 07-01-2019 080207050119P000026 0000336695152 OKTA MALINDA P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
569 07-01-2019 080207050119P000344 0000355880968 PRAMONO L PBI (APBN) Myalgia Berobat Jalan

570 07-01-2019 080207050119P000347 0000355881879 ENOWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

571 07-01-2019 080207050119P000349 0000355881969 ENI SUSWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

572 07-01-2019 080207050119P000352 0000355882364 EGI PRASETYO L PBI (APBN) Allergy, unspecified Berobat Jalan

573 07-01-2019 080207050119P000354 0000355890857 PAIDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

574 07-01-2019 080207050119P000373 0000355891577 SRI LESTARI P PBI (APBN) Myalgia Berobat Jalan

575 07-01-2019 080207050119P000374 0000355892782 AYU LARASATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

576 07-01-2019 080207050119P000375 0000355893085 MUHAMAD FAJAR L PBI (APBN) Cough Berobat Jalan
FIRMANSYAH
577 07-01-2019 080207050119P000058 0000355973883 SURADI L PBI (APBN) Myalgia, ankle and foot Berobat Jalan

578 07-01-2019 080207050119P000059 0000355974074 SUMARNI P PBI (APBN) Allergy, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

579 07-01-2019 080207050119P000060 0000355974298 MUJIONO L PBI (APBN) Allergy, unspecified Berobat Jalan

580 07-01-2019 080207050119P000061 0000355974838 ANDRI PRAMONO L PBI (APBN) Allergy, unspecified Berobat Jalan

581 07-01-2019 080207050119P000062 0000355975018 RENI FEBRIANA P PBI (APBN) Headache Berobat Jalan

582 07-01-2019 080207050119P000388 0000356120987 RIFKI FAJAR MAULANA L PBI (APBN) Cough Berobat Jalan

583 07-01-2019 080207050119P000254 0000356124519 NGATINI P PBI (APBN) Myalgia Berobat Jalan

584 07-01-2019 080207050119P000255 0000356124554 RANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
585 07-01-2019 080207050119P000256 0000356124881 LARASATI P PBI (APBN) Cough Berobat Jalan

586 07-01-2019 080207050119P000257 0000356128211 MUJIONO L PBI (APBN) Myalgia, multiple sites Berobat Jalan

587 07-01-2019 080207050119P000258 0000356128299 GIANAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

588 07-01-2019 080207050119P000260 0000356128378 PUSMAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

589 07-01-2019 080207050119P000261 0000356128582 AHMAD SHODIKIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
590 07-01-2019 080207050119P000263 0000356149642 NGATIMIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
591 07-01-2019 080207050119P000329 0000356149754 WAGINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
592 07-01-2019 080207050119P000338 0000356149809 MARDIYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
593 07-01-2019 080207050119P000341 0000356150439 KRIDIANTORO L PBI (APBN) Fever, unspecified Berobat Jalan

594 07-01-2019 080207050119P000378 0000356196317 MARYATI P PBI (APBN) Headache Berobat Jalan

595 07-01-2019 080207050119P000380 0000356196396 KAMSENO L PBI (APBN) Myalgia Berobat Jalan

596 07-01-2019 080207050119P000382 0000356196532 MAFUT L PBI (APBN) Influenza, virus not Berobat Jalan
identified
597 07-01-2019 080207050119P000384 0000356196576 JOKO SAPUTRO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
598 07-01-2019 080207050119P000386 0000356196914 PATMAWATI P PBI (APBN) Allergy, unspecified Berobat Jalan

599 07-01-2019 080207050119P000491 0000356198872 RIKUSYANTO L PBI (APBN) Allergy, unspecified Berobat Jalan

600 07-01-2019 080207050119P000027 0000356745969 SURATI P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
601 07-01-2019 080207050119P000049 0000356762711 SUPARMAN L PBI (APBN) Fever, unspecified Berobat Jalan

602 07-01-2019 080207050119P000050 0000356762845 FITRI DARIYANTI P PBI (APBN) Allergy, unspecified Berobat Jalan

603 07-01-2019 080207050119P000051 0000356772216 PURWADI L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

604 07-01-2019 080207050119P000052 0000356772249 MULYANI P PBI (APBN) Myalgia Berobat Jalan

605 07-01-2019 080207050119P000055 0000356772756 AGUNG PRATAMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

606 07-01-2019 080207050119P000056 0000356773511 LUXKY SAPUTRA L PBI (APBN) Allergy, unspecified Berobat Jalan

607 07-01-2019 080207050119P000057 0000356774163 TUKIYEM P PBI (APBN) Myalgia Berobat Jalan

608 07-01-2019 080207050119P000067 0000356796898 MUJO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
609 07-01-2019 080207050119P000068 0000356803828 WINARSO L PBI (APBN) Headache Berobat Jalan

610 07-01-2019 080207050119P000069 0000356804111 MUKIJAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

611 07-01-2019 080207050119P000070 0000356804638 JAROT SEPTIADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
612 07-01-2019 080207050119P000071 0000356804673 WIDI ARYANI P PBI (APBN) Myalgia Berobat Jalan

613 07-01-2019 080207050119P000072 0000356827037 SEHAILI L PBI (APBN) Allergy, unspecified Berobat Jalan

614 07-01-2019 080207050119P000073 0000356828229 HABIB FERDIANSYAH L PBI (APBN) Cough Berobat Jalan

615 07-01-2019 080207050119P000074 0000356828422 FIRMANSYAH L PBI (APBN) Fever, unspecified Berobat Jalan

616 07-01-2019 080207050119P000075 0000356857176 SUHARNO L PBI (APBN) Gastritis, unspecified Berobat Jalan

617 07-01-2019 080207050119P000077 0000356857964 RUSMIATI P PBI (APBN) Headache Berobat Jalan

618 07-01-2019 080207050119P000243 0000356858019 AHMAD BENI SAPUTRA L PBI (APBN) Cough Berobat Jalan

619 07-01-2019 080207050119P000078 0000356858425 MATHIUS HANDIKA L PBI (APBN) Headache Berobat Jalan

620 07-01-2019 080207050119P000079 0000356860732 MUNI ROJABI L PBI (APBN) Myalgia Berobat Jalan

621 07-01-2019 080207050119P000244 0000356860989 SETIO WATI P PBI (APBN) Rheumatism, unspecified, Berobat Jalan
hand
622 07-01-2019 080207050119P000245 0000356861057 RAHMAT WAHYUDI L PEGAWAI SWASTA Allergy, unspecified Berobat Jalan

623 07-01-2019 080207050119P000246 0000356871958 SAMNO L PBI (APBN) Headache Berobat Jalan

624 07-01-2019 080207050119P000247 0000356945793 SOLIKIN L PBI (APBN) Headache Berobat Jalan

625 07-01-2019 080207050119P000248 0000356945837 SURYATI P PBI (APBN) Fever, unspecified Berobat Jalan

626 07-01-2019 080207050119P000249 0000356945861 DELTA TIARA SUKMA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
627 07-01-2019 080207050119P000250 0000356946737 LUTFIATUS ZAHRA P PBI (APBN) Fever, unspecified Berobat Jalan

628 07-01-2019 080207050119P000251 0000356965198 SOLEMAN L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

629 07-01-2019 080207050119P000252 0000356965255 FERA RIYANA WATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
630 07-01-2019 080207050119P000253 0000356965525 ANYA RENGGANI AGUSTIN P PBI (APBN) Fever, unspecified Berobat Jalan

631 07-01-2019 080207050119P000029 0001082119623 M RUSLI MURSYID AMIN L PENERIMA PENSIUN Congestive heart failure Berobat Jalan
PNS
632 07-01-2019 080207050119Y000024 0001265581607 JUMADI L PEKERJA MANDIRI Senile cataract Rujuk Lanjut

633 07-01-2019 080207050119Y000023 0001874769761 SISWAJI L PEKERJA MANDIRI Senile cataract, Rujuk Lanjut
unspecified
634 07-01-2019 080207050119Y000022 0001962713081 widodo L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

635 07-01-2019 080207050119P000025 0002060420152 SUMANTI P PEGAWAI SWASTA Congestive heart failure Rujuk Lanjut

636 07-01-2019 080207050119P000031 0002063111229 SUPRIH L PEKERJA MANDIRI Insulin-dependent Rujuk Lanjut
diabetes mellitus
637 07-01-2019 080207050119P000028 0002464622561 AHMAD SUPANDI L PEKERJA MANDIRI Other benign neoplasm of Rujuk Lanjut
connective and other soft

638 07-01-2019 080207050119P000030 0002498541041 SOBUR L PEKERJA MANDIRI Inguinal hernia Rujuk Lanjut

639 06-01-2019 080207050119P000902 0000355283976 SITI UMI HANIK P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
640 06-01-2019 080207050119P000903 0000355894053 LINAWATI P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
641 05-01-2019 080207050119P000396 0000355855972 GUNAWAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

642 05-01-2019 080207050119P000398 0000355857513 SUDARMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
643 05-01-2019 080207050119P000400 0000355858187 DANI HERMAWAN L PBI (APBN) Headache Berobat Jalan

644 05-01-2019 080207050119P000402 0000355858762 RANDRA ANANDA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
645 05-01-2019 080207050119P000406 0000355883207 IDA SUBEKTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

646 05-01-2019 080207050119P000407 0000355883286 DARYONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
647 05-01-2019 080207050119P000408 0000355883668 ARI TRIONO L PBI (APBN) Gastritis, unspecified Berobat Jalan

648 05-01-2019 080207050119P000409 0000356225185 S.HARIYANTO L PBI (APBN) Myalgia Berobat Jalan

649 05-01-2019 080207050119P000410 0000356225253 INDUN NURYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

650 05-01-2019 080207050119P000411 0000356225758 SEPTIYA HARYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
651 05-01-2019 080207050119P000336 0000356263097 MARINDI L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

652 05-01-2019 080207050119P000337 0000356263244 SUWANTINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
653 05-01-2019 080207050119P000331 0000356725506 KASMIRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
654 05-01-2019 080207050119P000332 0000356726237 RIO EFENDI L PBI (APBN) Dyspepsia Berobat Jalan

655 05-01-2019 080207050119P000333 0000356726755 RIA RESNA P PBI (APBN) Dyspepsia Berobat Jalan

656 05-01-2019 080207050119P000334 0000356726812 LILIS EKA WAHYUNI P PBI (APBN) Fever, unspecified Berobat Jalan

657 05-01-2019 080207050119P000335 0000356727161 BANGUN ANGGARA L PBI (APBN) Fever, unspecified Berobat Jalan

658 05-01-2019 080207050119P000412 0000356730052 RUSTAMI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
659 05-01-2019 080207050119P000413 0000356732392 PARIYANTO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
660 05-01-2019 080207050119P000414 0000356732526 OKI SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

661 05-01-2019 080207050119P000339 0000356742652 UDIN SUKARDI L PBI (APBN) Dyspepsia Berobat Jalan

662 05-01-2019 080207050119P000340 0000356742999 SURIPTI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

663 05-01-2019 080207050119P000415 0000356743304 SUHARTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

664 05-01-2019 080207050119P000416 0000356744237 JOKO PITOYO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

665 05-01-2019 080207050119P000417 0000356744305 PUTHUT NUGROHO L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
666 05-01-2019 080207050119P000418 0000356744439 GRUNO GRENALDO L PBI (APBN) Dyspepsia Berobat Jalan

667 05-01-2019 080207050119P000419 0000356744632 RIYAN ANGGORO L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
668 05-01-2019 080207050119P000342 0000356744834 DUWI SUSANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

669 05-01-2019 080207050119P000343 0000356744902 WANTORO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

670 05-01-2019 080207050119P000345 0000356745025 SUTARMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
671 05-01-2019 080207050119P000346 0000356745385 RIKA INDRI LESTARI P PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

672 05-01-2019 080207050119P000348 0000356745543 DERI KURNIAWAN L PBI (APBN) Headache Berobat Jalan

673 05-01-2019 080207050119P000350 0000356745576 ABDUL HAFIZ ZAKARYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

674 05-01-2019 080207050119P000351 0000356745802 TARPIN L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

675 05-01-2019 080207050119P000420 0000356759403 SARTONO L PBI (APBN) Myalgia Berobat Jalan

676 05-01-2019 080207050119P000421 0000356759741 NGATIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
677 05-01-2019 080207050119P000422 0000356759864 SUMARNO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
678 05-01-2019 080207050119P000423 0000356760202 SUKARJI L PBI (APBN) Gastritis, unspecified Berobat Jalan

679 05-01-2019 080207050119P000424 0000356761192 KUSRI DARYANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

680 05-01-2019 080207050119P000353 0000356770517 RESTATI P PBI (APBN) Fever, unspecified Berobat Jalan

681 05-01-2019 080207050119P000355 0000356771024 ELIANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
682 05-01-2019 080207050119P000356 0000356772047 RIANTO L PBI (APBN) Headache Berobat Jalan

683 05-01-2019 080207050119P000357 0000356772475 MAYA RUSTIKASARI P PBI (APBN) Myalgia Berobat Jalan

684 05-01-2019 080207050119P000358 0000356772543 SRIYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
685 05-01-2019 080207050119P000359 0000356773397 FIKRI MAULANA L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
686 05-01-2019 080207050119P000360 0000356812165 SISWANTO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
687 05-01-2019 080207050119P000361 0000356812277 DASINI P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
688 05-01-2019 080207050119P000362 0000356812356 DEVY TRIANA P PBI (APBN) Gastritis, unspecified Berobat Jalan

689 05-01-2019 080207050119P000363 0000356817892 MITRO L PBI (APBN) Influenza, virus not Berobat Jalan
identified
690 05-01-2019 080207050119P000364 0000356818061 URIP P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
691 05-01-2019 080207050119P000365 0000356821108 KUSRIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
692 05-01-2019 080207050119P000366 0000356822741 SANIYEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

693 05-01-2019 080207050119P000367 0000356822842 SUPAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
694 05-01-2019 080207050119P000368 0000356825081 SLAMET RAHARJO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
695 05-01-2019 080207050119P000369 0000356825575 LISYANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

696 05-01-2019 080207050119P000370 0000356826093 ANGGI ADITYA L PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

697 05-01-2019 080207050119P000371 0000356826148 IRVAN KURNIAWAN L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

698 05-01-2019 080207050119P000372 0000356826947 JENI KARUNIA P PBI (APBN) Fever, unspecified Berobat Jalan

699 05-01-2019 080207050119P000376 0000356840155 SUBANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
700 05-01-2019 080207050119P000377 0000356840291 SURIPTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

701 05-01-2019 080207050119P000379 0000356840515 OKTAFIANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

702 05-01-2019 080207050119P000381 0000356840594 TRI AFILIYANA P PBI (APBN) Fever, unspecified Berobat Jalan

703 05-01-2019 080207050119P000383 0000356982682 PAIRODIMEJO L PBI (APBN) Gastritis, unspecified Berobat Jalan

704 05-01-2019 080207050119P000385 0000356987733 SUHADI L PBI (APBN) Gastritis, unspecified Berobat Jalan

705 05-01-2019 080207050119P000387 0000356988159 SUMIRAH P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
706 05-01-2019 080207050119P000389 0000356994009 SUYATNO L PBI (APBN) Gastritis, unspecified Berobat Jalan

707 05-01-2019 080207050119P000390 0000356995315 ANDI SURAHMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

708 05-01-2019 080207050119P000391 0000356996114 DIAH FITRIYANI P PBI (APBN) Headache Berobat Jalan

709 05-01-2019 080207050119P000392 0000996985866 SURATMIN L PBI (APBN) Myalgia Berobat Jalan

710 05-01-2019 080207050119P000393 0000996985877 LINDAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
711 05-01-2019 080207050119P000394 0000996985888 RIZKY RISWANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
712 05-01-2019 080207050119P000395 0000996985899 MUHAMMUD FAUZAN ARRAFI L PBI (APBN) Fever, unspecified Berobat Jalan

713 04-01-2019 080207050119Y000021 0000035383509 MUTI'AH IZATUN NISA P PNS DAERAH Hypermetropia Rujuk Lanjut

714 04-01-2019 080207050119P000223 0000351504382 epi sri windari P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
715 04-01-2019 080207050119P000233 0000355846465 RUDI MULYANTO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

716 04-01-2019 080207050119P000234 0000355846533 GUSYANTI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
717 04-01-2019 080207050119P000235 0000355846678 VIKI FEBRIYANTI P PBI (APBN) Fever, unspecified Berobat Jalan

718 04-01-2019 080207050119P000236 0000355854497 SARJUNI L PBI (APBN) Gastritis, unspecified Berobat Jalan

719 04-01-2019 080207050119P000237 0000355854576 SAMIYEM P PBI (APBN) Headache Berobat Jalan

720 04-01-2019 080207050119P000238 0000355854666 DIKI PRATAMA L PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

721 04-01-2019 080207050119P000239 0000355855149 RIDHO JULIA PUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

722 04-01-2019 080207050119P000240 0000355855239 SARKAM L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
723 04-01-2019 080207050119P000272 0000355897653 SUPANGAT L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
724 04-01-2019 080207050119P000275 0000355899249 PERA PUSTIKA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
725 04-01-2019 080207050119P000276 0000355899565 YOHANDRA L PBI (APBN) Headache Berobat Jalan

726 04-01-2019 080207050119P000277 0000355899699 GALUH SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

727 04-01-2019 080207050119P000287 0000355917431 REJO SATIYEM P PBI (APBN) Headache Berobat Jalan

728 04-01-2019 080207050119P000288 0000355917688 MURDIYANTO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
729 04-01-2019 080207050119P000289 0000355918487 SIGIT JATMIKO L PBI (APBN) Headache Berobat Jalan

730 04-01-2019 080207050119P000290 0000355918825 TRIA MURTIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
731 04-01-2019 080207050119P000291 0000355918959 AGUS SUWARDI L PBI (APBN) Myalgia Berobat Jalan

732 04-01-2019 080207050119P000292 0000355919185 SRI ALIASMI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

733 04-01-2019 080207050119P000293 0000355920322 SHELLA APRILIA AS NINGTIAS P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
734 04-01-2019 080207050119P000294 0000355920399 NADIRA A.S SALSABILLA P PBI (APBN) Fever, unspecified Berobat Jalan

735 04-01-2019 080207050119P000295 0000355930209 SARIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
736 04-01-2019 080207050119P000297 0000355941426 SUTIAH P PBI (APBN) Headache Berobat Jalan

737 04-01-2019 080207050119P000298 0000355942269 INDAH FITRIA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
738 04-01-2019 080207050119P000299 0000355942708 HABIB MAULANA P PBI (APBN) Fever, unspecified Berobat Jalan

739 04-01-2019 080207050119P000224 0000355952564 AHMAD JOKO L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
740 04-01-2019 080207050119P000225 0000355952621 WIJAYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
741 04-01-2019 080207050119P000226 0000355952867 REVAL ANDRYANSYACH L PBI (APBN) Fever, unspecified Berobat Jalan

742 04-01-2019 080207050119P000227 0000355952968 SUPARTI P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
743 04-01-2019 080207050119P000228 0000355953161 SUMADI L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

744 04-01-2019 080207050119P000229 0000355953205 SUNARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

745 04-01-2019 080207050119P000230 0000356137389 ROSJAK L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
746 04-01-2019 080207050119P000231 0000356137683 KOMSIAH P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
747 04-01-2019 080207050119P000232 0000356138199 SAMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
748 04-01-2019 080207050119P000241 0000356160969 LASMINI P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus
749 04-01-2019 080207050119P000242 0000356161577 HERI PURWANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

750 04-01-2019 080207050119P000264 0000356162051 JONI HARTANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
751 04-01-2019 080207050119P000265 0000356162848 DARMAJI L PBI (APBN) Fever, unspecified Berobat Jalan

752 04-01-2019 080207050119P000266 0000356162883 HENDRI SETIAWAN L PBI (APBN) Headache Berobat Jalan

753 04-01-2019 080207050119P000267 0000356174616 JUNAIDI L PBI (APBN) Myalgia Berobat Jalan

754 04-01-2019 080207050119P000268 0000356175213 SANTI YULIANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
755 04-01-2019 080207050119P000269 0000356177147 DESTYA NUR KUMALASARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
756 04-01-2019 080207050119P000270 0000356177845 GHESYA ZAHARA P PBI (APBN) Fever, unspecified Berobat Jalan

757 04-01-2019 080207050119P000278 0000356200593 JIMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
758 04-01-2019 080207050119P000279 0000356210469 SURYANTO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
759 04-01-2019 080207050119P000280 0000356210717 SRI RAHAYU P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
760 04-01-2019 080207050119P000281 0000356211472 IGA RETNO SAFITRI P PEGAWAI SWASTA Headache Berobat Jalan

761 04-01-2019 080207050119P000282 0000356213801 SEMI P PBI (APBN) Gastritis, unspecified Berobat Jalan

762 04-01-2019 080207050119P000283 0000356213924 TRUSTANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

763 04-01-2019 080207050119P000284 0000356214036 SUNTARSIH P PBI (APBN) Myalgia Berobat Jalan

764 04-01-2019 080207050119P000285 0000356214295 FERI PRASETYO L PBI (APBN) Fever, unspecified Berobat Jalan

765 04-01-2019 080207050119P000286 0000356214611 ADI RAHMADANI L PBI (APBN) Fever, unspecified Berobat Jalan

766 04-01-2019 080207050119P000296 0000356236749 JUMALI L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

767 04-01-2019 080207050119P000300 0000356694366 FITRIA P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

768 04-01-2019 080207050119P000302 0000356696098 GONDO PRASOJO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
769 04-01-2019 080207050119P000303 0000356696965 INE KARTIKA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
770 04-01-2019 080207050119P000304 0000356697246 MAILANA ANJAR SARI P PBI (APBN) Fever, unspecified Berobat Jalan

771 04-01-2019 080207050119P000305 0000356698146 WAHZA NAZALA P PBI (APBN) Fever, unspecified Berobat Jalan

772 04-01-2019 080207050119P000216 0000356869056 TRIYANTO L PBI (APBN) Dyspepsia Berobat Jalan

773 04-01-2019 080207050119P000217 0000356869089 RATIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
774 04-01-2019 080207050119P000218 0000356870182 DIAN FITRIYANTO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

775 04-01-2019 080207050119P000219 0000356870553 NUR COLIS L PBI (APBN) Allergy, unspecified Berobat Jalan

776 04-01-2019 080207050119P000220 0000996986237 JUMIATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus
777 04-01-2019 080207050119P000221 0000996986248 DICKY RIAWAN L PBI (APBN) Fever, unspecified Berobat Jalan

778 04-01-2019 080207050119P000222 0000996986259 SERLY MARLINA P PBI (APBN) Headache Berobat Jalan

779 04-01-2019 080207050119Y000019 0001237358575 NGADINEM P PBI (APBD) Unspecified diabetes Rujuk Lanjut
mellitus without

780 04-01-2019 080207050119Y000020 0001279062966 SUTINEM P PBI (APBD) Urethral stricture, Rujuk Lanjut
unspecified
781 03-01-2019 080207050119P000167 0000355877673 WAKIMAN L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

782 03-01-2019 080207050119P000168 0000355878099 LASMINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
783 03-01-2019 080207050119P000169 0000355878538 NANANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
784 03-01-2019 080207050119P000170 0000355878584 DEDIK HERMAWAN L PBI (APBN) Fever, unspecified Berobat Jalan

785 03-01-2019 080207050119P000178 0000355914808 SUGIYANTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
786 03-01-2019 080207050119P000179 0000355914944 SITI KAMILAH P PBI (APBN) Influenza, virus not Berobat Jalan
identified
787 03-01-2019 080207050119P000182 0000355915506 DWI PURNOMO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

788 03-01-2019 080207050119P000183 0000355915798 TRIYONO L PBI (APBN) Fever, unspecified Berobat Jalan

789 03-01-2019 080207050119P000184 0000355916619 NURHAYATI P PBI (APBN) Fever, unspecified Berobat Jalan

790 03-01-2019 080207050119P000149 0000355927061 WELAS SETIO WATI P PBI (APBN) Headache Berobat Jalan

791 03-01-2019 080207050119P000150 0000355927487 SUWANTO L PBI (APBN) Headache Berobat Jalan

792 03-01-2019 080207050119P000151 0000355927983 YOYON L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
793 03-01-2019 080207050119P000192 0000355961057 SUMARMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
794 03-01-2019 080207050119P000196 0000355961406 SRI FATMINI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

795 03-01-2019 080207050119P000202 0000355962431 ANGGA SURYA FERDIAMES L PBI (APBN) Gastritis, unspecified Berobat Jalan

796 03-01-2019 080207050119P000207 0000355968314 SUKUR L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
797 03-01-2019 080207050119P000208 0000355968595 SRI SUYATI P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
798 03-01-2019 080207050119P000209 0000355968718 DEWI PURWASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
799 03-01-2019 080207050119P000210 0000355969642 AYU LESTARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
800 03-01-2019 080207050119P000164 0000356165008 RIYADI L PBI (APBN) Fever, unspecified Berobat Jalan

801 03-01-2019 080207050119P000165 0000356165616 YULI WINARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
802 03-01-2019 080207050119P000166 0000356165752 ADITIA PRATAMA L PBI (APBN) Fever, unspecified Berobat Jalan

803 03-01-2019 080207050119P000171 0000356205622 SUKINI P PBI (APBN) Influenza, virus not Berobat Jalan
identified
804 03-01-2019 080207050119P000172 0000356205881 JULI SUSANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
805 03-01-2019 080207050119P000173 0000356206151 UJANG SUDARMAN L PBI (APBN) Headache Berobat Jalan

806 03-01-2019 080207050119P000174 0000356206713 RISKI L PBI (APBN) Dyspepsia Berobat Jalan

807 03-01-2019 080207050119P000175 0000356207747 LINA P PBI (APBN) Allergy, unspecified Berobat Jalan

808 03-01-2019 080207050119P000176 0000356209953 SUKRIYONO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
809 03-01-2019 080207050119P000177 0000356210133 SURATMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
810 03-01-2019 080207050119P000201 0000356265797 WIDAYAT L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

811 03-01-2019 080207050119P000205 0000356266462 EVI SUSANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
812 03-01-2019 080207050119P000206 0000356266844 MAULANA YUSUF L PBI (APBN) Fever, unspecified Berobat Jalan

813 03-01-2019 080207050119Y000018 0000356403172 MUJIONO L PBI (APBN) Conductive hearing loss, Rujuk Lanjut
unspecified
814 03-01-2019 080207050119P000185 0000356685399 SARTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
815 03-01-2019 080207050119P000186 0000356685862 SUCI RINI P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
816 03-01-2019 080207050119P000187 0000356685906 KUSMIRANTI P PBI (APBN) Headache Berobat Jalan

817 03-01-2019 080207050119P000152 0000356735158 JUMADI L PBI (APBN) Fever, unspecified Berobat Jalan

818 03-01-2019 080207050119P000153 0000356735621 INDAH SULASTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
819 03-01-2019 080207050119P000154 0000356735654 ARUM APRILILIA P PBI (APBN) Fever, unspecified Berobat Jalan

820 03-01-2019 080207050119P000156 0000356736734 KARTO TARUNO L PBI (APBN) Allergy, unspecified Berobat Jalan

821 03-01-2019 080207050119P000157 0000356737634 KARMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
822 03-01-2019 080207050119P000188 0000356739557 PAIJAN L PBI (APBN) Influenza, virus not Berobat Jalan
identified
823 03-01-2019 080207050119P000189 0000356739669 SUMI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
824 03-01-2019 080207050119P000190 0000356739794 YENI SEPTIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
825 03-01-2019 080207050119P000191 0000356740852 BAGAS SAPUTRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
826 03-01-2019 080207050119P000193 0000356741166 HENDRA L PBI (APBN) Fever, unspecified Berobat Jalan

827 03-01-2019 080207050119P000195 0000356741954 RANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
828 03-01-2019 080207050119P000198 0000356745846 WAGIMEN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
829 03-01-2019 080207050119P000199 0000356745969 SURATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
830 03-01-2019 080207050119P000200 0000356746206 SISWANTO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

831 03-01-2019 080207050119P000203 0000356746601 ARDI FITRIANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

832 03-01-2019 080207050119P000204 0000356747523 ANKY SAPUTRA L PBI (APBN) Influenza, virus not Berobat Jalan
identified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

833 03-01-2019 080207050119P000212 0000356775052 MOSTOPA L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
834 03-01-2019 080207050119P000213 0000356776187 SARWASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
835 03-01-2019 080207050119P000214 0000356776672 AMIR MAHMUDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
836 03-01-2019 080207050119P000215 0000356777109 SIDIK TANTOWI L PBI (APBN) Fever, unspecified Berobat Jalan

837 03-01-2019 080207050119P000158 0000356800004 SUNARTO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
838 03-01-2019 080207050119P000159 0000356800094 PAINEM P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
839 03-01-2019 080207050119P000160 0000356800195 EKO PURWANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
840 03-01-2019 080207050119P000161 0000356801646 NENI TRI AYU NINGTIAS P PBI (APBN) Fever, unspecified Berobat Jalan

841 03-01-2019 080207050119P000162 0000996986204 SRI GIYANTO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

842 03-01-2019 080207050119P000163 0000996986215 SRI LESTARI P PBI (APBN) Gastritis, unspecified Berobat Jalan

843 03-01-2019 080207050119Y000013 0001285022968 JUARI L PBI (APBD) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
844 03-01-2019 080207050119Y000014 0001873731622 kartono L PEKERJA MANDIRI Unspecified abdominal Rujuk Lanjut
hernia with obstruction,

845 03-01-2019 080207050119Y000017 0002064832064 HADI SUWITO L PEKERJA MANDIRI Intervertebral disc Rujuk Lanjut
disorder, unspecified
846 03-01-2019 080207050119Y000012 0002264475947 MAINI P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
847 03-01-2019 080207050119Y000016 0002477069469 SUWANTO L PEKERJA MANDIRI Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

848 03-01-2019 080207050119Y000015 0002477859052 SUGENG L PEGAWAI SWASTA Dislocation of hip Rujuk Lanjut

849 02-01-2019 080207050119Y000001 0000032628249 SODIKIN L PENERIMA PENSIUN TNI Congestive heart failure Rujuk Lanjut

850 02-01-2019 080207050119Y000005 0000033966876 SUMARMI P PNS DAERAH Other specified disorders Rujuk Lanjut
of gingiva and edentulous

851 02-01-2019 080207050119Y000010 0000156923728 BEKTI SUSILOWATI P PNS DAERAH Follicular cyst of ovary Rujuk Lanjut

852 02-01-2019 080207050119P000133 0000355859054 SARTI P PBI (APBN) Fever, unspecified Berobat Jalan

853 02-01-2019 080207050119P000134 0000355859548 SUHENDRI L PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

854 02-01-2019 080207050119P000135 0000355859741 DENI ELVIANA P PBI (APBN) Fever, unspecified Berobat Jalan

855 02-01-2019 080207050119P000139 0000355907002 MUJIONO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

856 02-01-2019 080207050119P000140 0000355908407 WAGIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
857 02-01-2019 080207050119P000141 0000355909318 MURNIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
858 02-01-2019 080207050119P000147 0000355926723 SENEN L PBI (APBN) Headache Berobat Jalan

859 02-01-2019 080207050119P000148 0000355926971 NGADINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
860 02-01-2019 080207050119Y000003 0000356146806 YULIANI P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
861 02-01-2019 080207050119P000136 0000356181006 SUNARDI L PBI (APBN) Headache Berobat Jalan

862 02-01-2019 080207050119P000137 0000356181748 AHMAD RAHMADI L PBI (APBN) Fever, unspecified Berobat Jalan

863 02-01-2019 080207050119P000138 0000356182064 AHMAT SARONI L PBI (APBN) Fever, unspecified Berobat Jalan

864 02-01-2019 080207050119P000143 0000356220584 WIYONO L PBI (APBN) Gastritis, unspecified Berobat Jalan

865 02-01-2019 080207050119P000144 0000356221361 ONEH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
866 02-01-2019 080207050119P000146 0000356221596 PUJI LESTARI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

867 02-01-2019 080207050119P000081 0000356270477 RAHAYU L PBI (APBN) Gastritis, unspecified Berobat Jalan

868 02-01-2019 080207050119P000082 0000356271502 MIDAH P PBI (APBN) Dyspepsia Berobat Jalan

869 02-01-2019 080207050119P000083 0000356271726 SIGIT SETIAWAN L PBI (APBN) Fever, unspecified Berobat Jalan

870 02-01-2019 080207050119Y000008 0000356315297 DELA TRIANA P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

871 02-01-2019 080207050119P000080 0000356719959 FIKA LISTIANI P PBI (APBN) Fever, unspecified Berobat Jalan

872 02-01-2019 080207050119P000084 0000356765826 NGADIMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
873 02-01-2019 080207050119P000085 0000356766704 SRI MULYANI P PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
874 02-01-2019 080207050119P000086 0000356767209 TRIYATNO L PBI (APBN) Gastritis, unspecified Berobat Jalan

875 02-01-2019 080207050119P000088 0000356767468 NURMIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

876 02-01-2019 080207050119P000089 0000356767683 YULIANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
877 02-01-2019 080207050119P000090 0000356785266 ENCUK SUNARYO L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

878 02-01-2019 080207050119P000091 0000356786201 MARTINI P PBI (APBN) Headache Berobat Jalan

879 02-01-2019 080207050119P000092 0000356786335 DITA KURANI P PBI (APBN) Fever, unspecified Berobat Jalan

880 02-01-2019 080207050119P000093 0000356787707 SUNARTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

881 02-01-2019 080207050119P000094 0000356788192 TIA P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

882 02-01-2019 080207050119P000095 0000356788923 DEWA PRATAMA L PBI (APBN) Headache Berobat Jalan

883 02-01-2019 080207050119P000097 0000356790216 VILA LISTIANTO L PBI (APBN) Fever, unspecified Berobat Jalan

884 02-01-2019 080207050119P000098 0000356790251 SAGIYO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
885 02-01-2019 080207050119P000099 0000356790306 PONIKEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
886 02-01-2019 080207050119P000104 0000356823224 SAROYO L PBI (APBN) Fever, unspecified Berobat Jalan

887 02-01-2019 080207050119P000105 0000356823764 SRI WAHYUNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
888 02-01-2019 080207050119P000106 0000356825204 AMELIYA DESTYANA PUTRI P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
889 02-01-2019 080207050119P000107 0000356862227 NDARI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
890 02-01-2019 080207050119P000108 0000356872397 SISWANTO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
891 02-01-2019 080207050119P000109 0000356873859 SUWANTI P PBI (APBN) Headache Berobat Jalan

892 02-01-2019 080207050119P000110 0000356874682 SALSA P PBI (APBN) Allergy, unspecified Berobat Jalan

893 02-01-2019 080207050119P000111 0000356875187 NOVITA P PBI (APBN) Fever, unspecified Berobat Jalan

894 02-01-2019 080207050119P000112 0000356875683 AGUS SETIAWAN L PBI (APBN) Fever, unspecified Berobat Jalan

895 02-01-2019 080207050119P000113 0000356876144 SUTIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
896 02-01-2019 080207050119P000114 0000356877022 SANTI PERMATA SARI P PBI (APBN) Headache Berobat Jalan

897 02-01-2019 080207050119P000115 0000356877191 DENY ARDIANSYAH L PBI (APBN) Fever, unspecified Berobat Jalan

898 02-01-2019 080207050119P000117 0000356974817 SUPARJU L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : TRIMULYO - 08020705

899 02-01-2019 080207050119P000118 0000356975256 SRI LESTARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
900 02-01-2019 080207050119P000120 0000356976055 HENI SRI ANTIKA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
901 02-01-2019 080207050119P000121 0000356976178 GESHA GATI N P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
902 02-01-2019 080207050119Y000002 0000976169665 RATINEM P PENERIMA PENSIUN TNI Chronic obstructive Rujuk Lanjut
pulmonary disease,

903 02-01-2019 080207050119Y000009 0000996968733 WITONO L PBI (APBN) Bilateral inguinal hernia, Rujuk Lanjut
with obstruction, without

904 02-01-2019 080207050119Y000006 0000996970814 SUNGET L PBI (APBN) Calculus of kidney with Rujuk Lanjut
calculus of ureter
905 02-01-2019 080207050119P000129 0000996985337 SUKIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
906 02-01-2019 080207050119P000122 0000996986068 RATNO L PBI (APBN) Gastritis, unspecified Berobat Jalan

907 02-01-2019 080207050119P000123 0000996986079 SRIYANI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

908 02-01-2019 080207050119P000124 0000996986081 SINTA FEBRIYANTI P PBI (APBN) Headache Berobat Jalan

909 02-01-2019 080207050119P000130 0000996986171 GIOK L PBI (APBN) Fever, unspecified Berobat Jalan

910 02-01-2019 080207050119P000131 0000996986182 KODARIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
911 02-01-2019 080207050119P000132 0000996986193 AGUS SETIAWAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

912 02-01-2019 080207050119P000125 0000996986687 SUMARDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

913 02-01-2019 080207050119P000126 0000996986698 MARIYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

914 02-01-2019 080207050119P000127 0000996986709 EKO ANDRIYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
915 02-01-2019 080207050119P000128 0000996986711 DANNI ANDRIYANTO L PBI (APBN) Headache Berobat Jalan

916 02-01-2019 080207050119Y000007 0001891061515 SITI NURJANAH P PEKERJA MANDIRI Cholelithiasis Rujuk Lanjut

917 02-01-2019 080207050119Y000011 0002214657775 TURIMAN L PEKERJA MANDIRI Chronic obstructive Berobat Jalan
pulmonary disease,

918 02-01-2019 080207050119Y000004 0002618550999 TUMIYEM P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

You might also like