Kantor Cabang: BANJARMASIN - 1701 FKTP: Kertak Hanyar - 17040601

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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601


NO TANGGAL NO KUNJUNGAN NO KARTU

1 31-10-2018 170406011018Y000480 0000122718993

2 31-10-2018 170406011018Y000484 0000122719162

3 31-10-2018 170406011018Y000476 0000122733303

4 31-10-2018 170406011018Y000477 0000123702625

5 31-10-2018 170406011018Y000522 0000163507184

6 31-10-2018 170406011018Y000487 0000891246879

7 31-10-2018 170406011018Y000479 0001303168735

8 31-10-2018 170406011018Y000481 0001313876002

9 31-10-2018 170406011018Y000523 0001385980176

10 31-10-2018 170406011018Y000486 0001443519538

11 31-10-2018 170406011018Y000485 0001449943121

12 31-10-2018 170406011018Y000482 0001478814906

13 31-10-2018 170406011018Y000478 0001810491085

14 31-10-2018 170406011018Y000490 0001867189779

15 31-10-2018 170406011018Y000488 0002301407076

16 31-10-2018 170406011018Y000489 0002313323021

17 31-10-2018 170406011018Y000483 0002496911422

18 30-10-2018 170406011018Y000500 0000122330687

19 30-10-2018 170406011018Y000497 0000122811309

20 30-10-2018 170406011018Y000498 0000122824451


NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
BURHANUDDIN L PNS DAERAH Heart failure, unspecified

RUSLIASARI P PNS PUSAT Myalgia

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Heart failure, unspecified

AMSIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus without

RUSDIANA. HJ P PENERIMA PENSIUN PNS Other and unspecified diseases of


pulp and

LILIS P PBI (APBN) Essential (primary) hypertension

MUCH SYUKUR L PEKERJA MANDIRI Heart failure, unspecified

MUKHTAR L PEKERJA MANDIRI Hyperplasia of prostate

RUSMAH P PEKERJA MANDIRI Other and unspecified diseases of


pulp and

JAMILAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

SANIAH P PEKERJA MANDIRI Cough

PANDI ARIADI L PEKERJA MANDIRI Heart failure, unspecified

MURSILAH P PEKERJA MANDIRI Polyneuropathy, unspecified

halimatus sadiah P PEKERJA MANDIRI Essential (primary) hypertension

JUWAIRIYAH P PEKERJA MANDIRI Undifferentiated schizophrenia

ST KHODIJAH P PEKERJA MANDIRI Otitis externa

ERWAN DWI CAHYANTO L PEKERJA MANDIRI Acute pharyngitis, unspecified

BAKHDIANI L PNS PUSAT Acute pharyngitis

SUHAIMI L PNS DAERAH Cough

MURJANI ASNAWI L PNS DAERAH Essential (primary) hypertension


DIRUJUK

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
21 30-10-2018 170406011018Y000472 0000123189243

22 30-10-2018 170406011018Y000469 0000124507877

23 30-10-2018 170406011018Y000492 0000889851442

24 30-10-2018 170406011018Y000491 0000890200732

25 30-10-2018 170406011018Y000473 0000890409317

26 30-10-2018 170406011018Y000501 0000890679058

27 30-10-2018 170406011018Y000493 0000890761072

28 30-10-2018 170406011018Y000499 0000890810436

29 30-10-2018 170406011018P000540 0001266036219

30 30-10-2018 170406011018Y000471 0001302082593

31 30-10-2018 170406011018Y000470 0001302083278

32 30-10-2018 170406011018Y000495 0001318164388

33 30-10-2018 170406011018Y000503 0001425352072

34 30-10-2018 170406011018Y000505 0001797527327

35 30-10-2018 170406011018Y000502 0001810491085

36 30-10-2018 170406011018Y000496 0001902576161

37 30-10-2018 170406011018Y000475 0002213331581

38 30-10-2018 170406011018Y000494 0002257487649

39 30-10-2018 170406011018Y000474 0002288455211

40 30-10-2018 170406011018Y000524 0002492192823


MISRAN L PNS DAERAH Non-insulin-dependent diabetes
mellitus without

SITI AISYAH P PENERIMA PENSIUN PNS Low back pain, site unspecified

SUMIATI P PBI (APBN) Essential (primary) hypertension

FATHUL JANNAH P PBI (APBN) Essential (primary) hypertension

NOR ALMAIDA P PBI (APBN) Childhood autism

ACHMAD RAMADHAN L PBI (APBN) Acute upper respiratory infection,


unspecified
FATIMAH P PBI (APBN) Non-insulin-dependent diabetes
mellitus without

FITRIADI L PBI (APBN) Hypotension, unspecified

MURNIATI SARI P PEKERJA MANDIRI Complications of anaesthesia


during the

ACHMAD EFFENDI L PEKERJA MANDIRI Atherosclerotic cardiovascular


disease, so

NURLIANA P PEKERJA MANDIRI Senile cataract, unspecified

TANKASIANI L PEKERJA MANDIRI Allergic contact dermatitis,


unspecified cause

SYUKRAN L PEKERJA MANDIRI Asthma

SITI FATIMAH P PEGAWAI PEMERINTAH Fever, unspecified


DENGAN PERJANJIAN

MURSILAH P PEKERJA MANDIRI Gout

RINI ANDRIATI P PEKERJA MANDIRI Gout

JAHRATUN SIFA P PEKERJA MANDIRI Fever of other and unknown origin

ST NORJANI FAUZI P PEKERJA MANDIRI Cough

MUHAMMAD AMIN BADALI L PEKERJA MANDIRI Inguinal hernia

MARIATI P PEKERJA MANDIRI Antenatal screening, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
41 30-10-2018 170406011018Y000504 0002495233978

42 29-10-2018 170406011018Y000520 0000122654801

43 29-10-2018 170406011018Y000517 0000122707135

44 29-10-2018 170406011018Y000509 0000122811715

45 29-10-2018 170406011018Y000507 0000123209379

46 29-10-2018 170406011018Y000516 0000165108519

47 29-10-2018 170406011018Y000532 0000889907534

48 29-10-2018 170406011018Y000527 0000889988769

49 29-10-2018 170406011018Y000515 0000890042231

50 29-10-2018 170406011018Y000465 0000890513302

51 29-10-2018 170406011018Y000521 0000890555253

52 29-10-2018 170406011018Y000528 0000890617972

53 29-10-2018 170406011018Y000518 0000890618714

54 29-10-2018 170406011018Y000519 0000890774313

55 29-10-2018 170406011018Y000531 0000890774313

56 29-10-2018 170406011018Y000525 0000890774381

57 29-10-2018 170406011018Y000533 0000890813272

58 29-10-2018 170406011018Y000467 0000891073743

59 29-10-2018 170406011018Y000526 0000891565288


SALASIAH P PEKERJA MANDIRI Acute upper respiratory infection,
unspecified
ERNAWATI P PENERIMA PENSIUN PNS Other and unspecified diseases of
pulp and

SITI FATIMAH P PENERIMA PENSIUN TNI Gastritis, unspecified

MARTAPANI L PNS DAERAH Myalgia

ANITA P PENERIMA PENSIUN PNS Gout

RANO ERFANSYAH L PNS DAERAH Gout

NOOR AIDA P PBI (APBN) Antenatal screening, unspecified

DAYANTI HEMELDA P PBI (APBN) Antenatal screening, unspecified

KHAIRIADI L PBI (APBN) Gastritis, unspecified

AMAT YANI L PBI (APBN) Undifferentiated schizophrenia

SUTIMAH P PBI (APBN) Diseases of pulp and periapical


tissues
SITI RAHMAWATI P PBI (APBN) Contraceptive management,
unspecified
MASDIANI P PBI (APBN) Gout

SANTI P PBI (APBN) Vaginitis, vulvitis and vulvovaginitis


in infectious and parasitic diseases
classified elsewhere

SANTI P PBI (APBN) Vaginitis, vulvitis and vulvovaginitis


in infectious and parasitic diseases
classified elsewhere

HAYATI P PBI (APBN) Other and unspecified diseases of


pulp and

MARIANA P PBI (APBN) Contraceptive management,


unspecified
ANWAR HADIMI L PBI (APBN) Sequelae of intracerebral
haemorrhage
ANIDA P PBI (APBN) Antenatal screening, unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
60 29-10-2018 170406011018Y000511 0000891605507

61 29-10-2018 170406011018Y000529 0001266036219

62 29-10-2018 170406011018Y000466 0001290766375

63 29-10-2018 170406011018Y000510 0001481294035

64 29-10-2018 170406011018Y000506 0001868732335

65 29-10-2018 170406011018Y000514 0001883400502

66 29-10-2018 170406011018Y000464 0001974870775

67 29-10-2018 170406011018P000541 0001978883133

68 29-10-2018 170406011018Y000468 0002057401539

69 29-10-2018 170406011018Y000508 0002206172799

70 29-10-2018 170406011018Y000513 0002265929111

71 29-10-2018 170406011018Y000512 0002308025171

72 29-10-2018 170406011018Y000530 0002475010293

73 27-10-2018 170406011018Y000449 0000122357564

74 27-10-2018 170406011018Y000439 0000122621141

75 27-10-2018 170406011018Y000450 0000122654801

76 27-10-2018 170406011018Y000448 0000122688617

77 27-10-2018 170406011018Y000451 0000122717766

78 27-10-2018 170406011018Y000452 0000122718791

79 27-10-2018 170406011018Y000453 0000122718824

80 27-10-2018 170406011018Y000454 0000122718971

81 27-10-2018 170406011018Y000455 0000122719026


RIZKA P PBI (APBN) Cough

MURNIATI SARI P PEKERJA MANDIRI Antenatal screening, unspecified

MUHAMMAD FAISAL L PEKERJA MANDIRI Undifferentiated schizophrenia

supiyah P PEKERJA MANDIRI Cough

ALWI SALEH L PEKERJA MANDIRI Gout

ROHANI P PEKERJA MANDIRI Conjunctivitis

NASRULLAH L PBI (APBN) Undifferentiated schizophrenia

SANDRA P PBI (APBN) Spontaneous vertex delivery

RABIAH P PENERIMA PENSIUN PNS Presence of intraocular lens

SULLIYANTI P PEKERJA MANDIRI Myalgia

NURSIAH P PEKERJA MANDIRI Respiratory tuberculosis,


bacteriologically and

THAIBAH P PEKERJA MANDIRI Essential (primary) hypertension

JULAIHA P PEKERJA MANDIRI Contraceptive management,


unspecified
ERLYNDA OCTAVERRA NOOR P PNS DAERAH Examination of blood pressure

KAMARUDDIN L PNS DAERAH Heart failure, unspecified

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

JUNAIDI, DRS L PNS PUSAT Hyperlipidaemia, unspecified

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

DEWI ESTIKA SARI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
82 27-10-2018 170406011018Y000456 0000122719037

83 27-10-2018 170406011018Y000457 0000122719195

84 27-10-2018 170406011018Y000458 0000122719206

85 27-10-2018 170406011018Y000459 0000122719432

86 27-10-2018 170406011018Y000460 0000122719509

87 27-10-2018 170406011018Y000446 0000122757557

88 27-10-2018 170406011018Y000440 0000122813313

89 27-10-2018 170406011018Y000461 0000122849267

90 27-10-2018 170406011018Y000462 0000204782804

91 27-10-2018 170406011018Y000447 0000890490159

92 27-10-2018 170406011018Y000444 0000890656435

93 27-10-2018 170406011018Y000443 0001266035848

94 27-10-2018 170406011018Y000441 0001307796309

95 27-10-2018 170406011018Y000445 0001790572522

96 27-10-2018 170406011018Y000442 0001866745192

97 27-10-2018 170406011018Y000463 0002207775701

98 26-10-2018 170406011018Y000425 0000122598483

99 26-10-2018 170406011018Y000431 0000122733303

100 26-10-2018 170406011018Y000428 0000122850066

101 26-10-2018 170406011018Y000438 0000123165178


MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

M.AINI BB. ANANG BAKERI L PENERIMA PENSIUN PNS Cough

M.ASYARI L PNS DAERAH Stroke, not specified as


haemorrhage or infarction
MEGAWATI P PNS DAERAH Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

SITI WAHIDAH P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

ERNI YANTI P PBI (APBN) Gastritis, unspecified

MASTAYAH P PEKERJA MANDIRI Gastritis, unspecified

ARBAYAH P PEKERJA MANDIRI Insulin-dependent diabetes


mellitus without

TAUFIK KURAHMAN L PEKERJA MANDIRI Cough

AIDI SUKIDI L PENERIMA PENSIUN SWASTA Hyperplasia of prostate

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

NOOR HASANAH P PENERIMA PENSIUN PNS End-stage renal disease

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Gout

NORHAYATI. P PENERIMA PENSIUN PNS Stroke, not specified as


haemorrhage or infarction
FIKRIANSYAH L PNS DAERAH Other and unspecified diseases of
pulp and
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
102 26-10-2018 170406011018Y000426 0000123587021

103 26-10-2018 170406011018Y000427 0000124715428

104 26-10-2018 170406011018Y000430 0000889763624

105 26-10-2018 170406011018Y000436 0000889899074

106 26-10-2018 170406011018Y000433 0000890001145

107 26-10-2018 170406011018Y000434 0000890342739

108 26-10-2018 170406011018Y000435 0000891607432

109 26-10-2018 170406011018Y000432 0000978029818

110 26-10-2018 170406011018Y000437 0001065415691

111 26-10-2018 170406011018Y000429 0002326477533

112 25-10-2018 170406011018Y000333 0000122756725

113 25-10-2018 170406011018Y000332 0000122829849

114 25-10-2018 170406011018Y000334 0000123313206

115 25-10-2018 170406011018Y000340 0000889816116

116 25-10-2018 170406011018Y000335 0000890202284

117 25-10-2018 170406011018Y000339 0000890450561

118 25-10-2018 170406011018Y000336 0000891206932

119 25-10-2018 170406011018Y000337 0001928424824

120 25-10-2018 170406011018Y000338 0002200021187

121 24-10-2018 170406011018Y000268 0000122719522

122 24-10-2018 170406011018Y000279 0000122805303

123 24-10-2018 170406011018Y000266 0000122848536


ITA AS P PENERIMA PENSIUN PNS Insulin-dependent diabetes
mellitus without

MASRUKIAH P PENERIMA PENSIUN PNS Fracture of other finger , closed

SETIA BUDI L PBI (APBN) Stroke, not specified as


haemorrhage or infarction
MANAWIYAH P PBI (APBN) Essential (primary) hypertension

ARIPA ZAHRA P PBI (APBN) Other dermatitis

HAFIZ ANSYARI L PBI (APBN) Other dermatitis

MARYATI P PBI (APBN) Cutaneous abscess, furuncle and


carbuncle
RUSMIATI P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

AHMAD PAUJI L PBI (APBN) Necrosis of pulp

TABERANI L PEKERJA MANDIRI End-stage renal disease

AS'ARI ISFANI L PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus
SARNIAH P PENERIMA PENSIUN PNS Essential (primary) hypertension

A ATHAILAH L PNS PUSAT Presence of intraocular lens

HALIMAH P PBI (APBN) Antenatal screening, unspecified

NOOR SYARIFAH P PBI (APBN) Essential (primary) hypertension

HELDA RIANI P PBI (APBN) Antenatal screening, unspecified

ARBANI L PBI (APBN) Dyspepsia

RAUDAH AULIA SARI P PBI (APBD) Acute pharyngitis

ANAL P PEKERJA MANDIRI Acute upper respiratory infection,


unspecified
SURBINI L PENERIMA PENSIUN PNS Insulin-dependent diabetes
mellitus
MASNUNIAH P PNS DAERAH Gout

JUAINI L PNS DAERAH Disorder of refraction, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
124 24-10-2018 170406011018Y000271 0000123209379

125 24-10-2018 170406011018Y000270 0000124564544

126 24-10-2018 170406011018Y000281 0000890542539

127 24-10-2018 170406011018Y000278 0000890561733

128 24-10-2018 170406011018Y000280 0000890784088

129 24-10-2018 170406011018Y000275 0001319216321

130 24-10-2018 170406011018Y000282 0001385980176

131 24-10-2018 170406011018Y000283 0001422558099

132 24-10-2018 170406011018Y000272 0001443519538

133 24-10-2018 170406011018Y000273 0001446999906

134 24-10-2018 170406011018Y000269 0001449943121

135 24-10-2018 170406011018Y000276 0001484006861

136 24-10-2018 170406011018Y000277 0002198449855

137 24-10-2018 170406011018Y000274 0002220750527

138 24-10-2018 170406011018Y000267 0002469036644

139 23-10-2018 170406011018Y000216 0000122707045

140 23-10-2018 170406011018Y000224 0000122733303

141 23-10-2018 170406011018Y000225 0000123115105

142 23-10-2018 170406011018Y000220 0000123287253

143 23-10-2018 170406011018Y000233 0000123322184

144 23-10-2018 170406011018Y000229 0000195495761

145 23-10-2018 170406011018Y000221 0000889941622


ANITA P PENERIMA PENSIUN PNS Gout

ABDUL GAFAR L PENERIMA PENSIUN POLRI Essential (primary) hypertension

RATNA YULIA P PBI (APBN) Other and unspecified diseases of


pulp and

SURIADI L PBI (APBN) Dyspepsia

MASYURAH P PBI (APBN) Conjunctivitis

SITI MARIAM P PEKERJA MANDIRI Essential (primary) hypertension

RUSMAH P PEKERJA MANDIRI Dental caries

NOFA SEPITRI P PEKERJA MANDIRI Antenatal screening, unspecified

JAMILAH P PEKERJA MANDIRI Gout

RAHIMAH P PEKERJA MANDIRI Asthma, unspecified

SANIAH P PEKERJA MANDIRI Cough

NOOR JUBAIDAH A.A P PEKERJA MANDIRI Other dermatitis

aminah P PEKERJA MANDIRI Essential (primary) hypertension

NANDA JURAIDAH P PEKERJA MANDIRI Acute tonsillitis

SITI ZALEHA P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

ROHANI P PENERIMA PENSIUN TNI Other hyperlipidaemia

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Cough

BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Essential (primary) hypertension

MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified

IFAH AMINAH P PNS PUSAT Other and unspecified diseases of


pulp and

RAHIMAH P PENERIMA PENSIUN PNS Myalgia

JAMAIN L PBI (APBN) Benign neoplasm of bronchus and


lung
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
146 23-10-2018 170406011018Y000226 0000890212318

147 23-10-2018 170406011018Y000219 0000890313906

148 23-10-2018 170406011018Y000228 0000890368661

149 23-10-2018 170406011018Y000222 0000890455318

150 23-10-2018 170406011018Y000217 0000890466219

151 23-10-2018 170406011018Y000230 0000890648188

152 23-10-2018 170406011018P000538 0000890663703

153 23-10-2018 170406011018Y000227 0000891149747

154 23-10-2018 170406011018Y000231 0001078411318

155 23-10-2018 170406011018Y000234 0001797527327

156 23-10-2018 170406011018Y000232 0001867189779

157 23-10-2018 170406011018Y000223 0001883400502

158 23-10-2018 170406011018Y000235 0001898501613

159 23-10-2018 170406011018Y000236 0002263889193

160 23-10-2018 170406011018P000542 0002473761879

161 23-10-2018 170406011018Y000218 0002496911545

162 22-10-2018 170406011018Y000213 0000123329957

163 22-10-2018 170406011018Y000208 0000123366082

164 22-10-2018 170406011018Y000237 0000123789429

165 22-10-2018 170406011018Y000245 0000202900915


HALIMAH P PBI (APBN) Acute upper respiratory infection,
unspecified
SYARNIAH P PBI (APBN) Hypertensive heart disease

FITRIANOOR L PBI (APBN) Acute upper respiratory infections


of multiple and

RAPIAH P PBI (APBN) Other pleural conditions

LAMBERI L PBI (APBN) Cholelithiasis

ASMAIL L PBI (APBN) Essential (primary) hypertension

NORIYAH P PBI (APBN) Surveillance of contraceptive drugs

BADAWI L PBI (APBN) Cough

RUSTINI P PNS PUSAT Dyspepsia

SITI FATIMAH P PEGAWAI PEMERINTAH Dental caries, unspecified


DENGAN PERJANJIAN

halimatus sadiah P PEKERJA MANDIRI Essential (primary) hypertension

ROHANI P PEKERJA MANDIRI Conjunctivitis

MUHAMMAD IHSAN L PNS DAERAH Other and unspecified diseases of


pulp and

SITI SALAMAH P PEKERJA MANDIRI Contraceptive management,


unspecified
RUKAYAH P PEKERJA MANDIRI Spontaneous vertex delivery

NUNUN NURNILA SAPITRI P PEKERJA MANDIRI Heart disease, unspecified

MEGA KESUMA P PNS DAERAH Acute pharyngitis, unspecified

DRA. FARIDA IRYANI P PNS PUSAT Non-insulin-dependent diabetes


mellitus without

RABIATUL ADAWIYAH P PEGAWAI SWASTA Diarrhoea and gastroenteritis of


presumed infectious origin

SUKARSIH P PENERIMA PENSIUN PNS Myalgia


Berobat Jalan

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Sembuh

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
166 22-10-2018 170406011018Y000203 0000889829098

167 22-10-2018 170406011018Y000239 0000889830786

168 22-10-2018 170406011018Y000205 0000889839314

169 22-10-2018 170406011018Y000212 0000889899074

170 22-10-2018 170406011018Y000242 0000890212026

171 22-10-2018 170406011018Y000249 0000890764863

172 22-10-2018 170406011018Y000246 0000890804259

173 22-10-2018 170406011018Y000243 0000891149747

174 22-10-2018 170406011018Y000251 0000891581927

175 22-10-2018 170406011018Y000207 0001286578293

176 22-10-2018 170406011018Y000206 0001286581386

177 22-10-2018 170406011018Y000248 0001320164785

178 22-10-2018 170406011018Y000210 0001381991128

179 22-10-2018 170406011018Y000201 0001425352072

180 22-10-2018 170406011018Y000537 0001437206141

181 22-10-2018 170406011018Y000214 0001442536211

182 22-10-2018 170406011018Y000247 0001449943121

183 22-10-2018 170406011018Y000250 0001820269585

184 22-10-2018 170406011018Y000238 0001833652293

185 22-10-2018 170406011018Y000209 0001833652394

186 22-10-2018 170406011018Y000202 0001904156392

187 22-10-2018 170406011018Y000215 0002291496816


ARSUNI L PBI (APBN) Hyperparathyroidism, unspecified

RISKA AMALIA PUTRI P PBI (APBN) Acute pharyngitis, unspecified

RUSMIYATI P PBI (APBN) Carcinoma in situ of cervix uteri

MANAWIYAH P PBI (APBN) Essential (primary) hypertension

SYARIFUDINOOR L PBI (APBN) Gout

SALAMAH P PBI (APBN) Contraceptive management,


unspecified
LATIPANSYAH L PBI (APBN) Acute upper respiratory infection,
unspecified
BADAWI L PBI (APBN) Acute upper respiratory infection,
unspecified
YULIANTI P PBI (APBN) Contraceptive management,
unspecified
MAHFUD L PNS DAERAH Atherosclerotic cardiovascular
disease, so

SITI MARIYAM L PNS DAERAH Sequelae of cerebral infarction

MARIANI P PNS DAERAH Other and unspecified diseases of


pulp and

ABDUL HADI L PEKERJA MANDIRI Other intervertebral disc disorders

SYUKRAN L PEKERJA MANDIRI Asthma, unspecified

FATIMAH P PEGAWAI SWASTA Contraceptive management,


unspecified
HAURA ELYSA GUNTUR P PEKERJA MANDIRI Cough

SANIAH P PEKERJA MANDIRI Necrosis of pulp

NOVINA INDRIYANI P PEKERJA MANDIRI Contraceptive management,


unspecified
M. AINI L PEKERJA MANDIRI Low back pain

ARSIAH P PEKERJA MANDIRI Calculus of kidney

SALMAN L PEKERJA MANDIRI Heart failure, unspecified

MOLIYONO L PEKERJA MANDIRI Cough


Rujuk Lanjut

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
188 22-10-2018 170406011018Y000244 0002293208019

189 22-10-2018 170406011018Y000241 0002293560178

190 22-10-2018 170406011018Y000240 0002293560538

191 22-10-2018 170406011018Y000252 0002313322424

192 22-10-2018 170406011018Y000204 0002431209712

193 22-10-2018 170406011018Y000211 0002475829732

194 20-10-2018 170406011018Y000258 0000122451298

195 20-10-2018 170406011018Y000284 0000122654801

196 20-10-2018 170406011018Y000265 0000122660032

197 20-10-2018 170406011018Y000285 0000122695571

198 20-10-2018 170406011018Y000286 0000122718971

199 20-10-2018 170406011018Y000287 0000122718982

200 20-10-2018 170406011018Y000288 0000122718993

201 20-10-2018 170406011018Y000289 0000122719026

202 20-10-2018 170406011018Y000290 0000122719037

203 20-10-2018 170406011018Y000291 0000122719151

204 20-10-2018 170406011018Y000292 0000122719195

205 20-10-2018 170406011018Y000293 0000122719206

206 20-10-2018 170406011018Y000294 0000122849267

207 20-10-2018 170406011018Y000295 0000204782804

208 20-10-2018 170406011018Y000200 0000889950172


NOR AISYA MUFIA P PBI (APBN) Fever of other and unknown origin

IRHAN, H L PEKERJA MANDIRI Essential (primary) hypertension

NORHAYATI, HJ P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

JUMIATI P PEKERJA MANDIRI Contraceptive management,


unspecified
RAHMANI L PEKERJA MANDIRI Hypertensive heart disease

ISNAWATI P PEKERJA MANDIRI Other bursal cyst, site unspecified

NORLIAN,S.SOS P PNS DAERAH Gastritis, unspecified

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

NUNUK YULIASTUTI P PNS DAERAH Gout

ERNI RAHMI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

JOHNY RAMOON L PNS PUSAT Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

MEGAWATI P PNS DAERAH Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

M. MAULANA L PBI (APBN) Hyperparathyroidism, unspecified


Berobat Jalan

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Sembuh

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Sembuh

Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
209 20-10-2018 170406011018Y000260 0000890055472

210 20-10-2018 170406011018Y000259 0000978029818

211 20-10-2018 170406011018Y000263 0001109951436

212 20-10-2018 170406011018Y000256 0001266035848

213 20-10-2018 170406011018Y000261 0001279227227

214 20-10-2018 170406011018Y000253 0001381946973

215 20-10-2018 170406011018Y000254 0001623245995

216 20-10-2018 170406011018Y000255 0001808362978

217 20-10-2018 170406011018Y000264 0001823098781

218 20-10-2018 170406011018Y000262 0001868734877

219 20-10-2018 170406011018Y000257 0001873511245

220 19-10-2018 170406011018Y000303 0000122824258

221 19-10-2018 170406011018Y000197 0000890343235

222 19-10-2018 170406011018Y000198 0000890492995

223 19-10-2018 170406011018Y000300 0000890764863

224 19-10-2018 170406011018Y000301 0000890786946

225 19-10-2018 170406011018Y000199 0000890798995

226 19-10-2018 170406011018Y000296 0001810491085

227 19-10-2018 170406011018Y000297 0001886266462

228 19-10-2018 170406011018Y000298 0002053478362

229 19-10-2018 170406011018Y000302 0002207538617


NABIL ASLAMI L PBI (APBN) Cough

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

MAHYUDDIN L PNS DAERAH Otitis externa

MASTAYAH P PEKERJA MANDIRI Gastritis, unspecified

EVA YUSANTI P PEGAWAI SWASTA Hordeolum and chalazion

RINA MISLAWATI P PEGAWAI PEMERINTAH Antenatal screening, unspecified


DENGAN PERJANJIAN

SAIDAH P PEGAWAI SWASTA Necrosis of pulp

najua aulia L PEKERJA MANDIRI Dental caries

ARBAYAH, HJ P PEKERJA MANDIRI Essential (primary) hypertension

KASINAH P PEKERJA MANDIRI Myalgia

MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

AMRULLAH L PNS DAERAH Other and unspecified diseases of


pulp and

SAMSIAH P PBI (APBN) Hyperparathyroidism, unspecified

HAMIDAH P PBI (APBN) Fibroadenosis of breast

SALAMAH P PBI (APBN) Gastritis, unspecified

SITI AISYAH P PBI (APBN) Allergic contact dermatitis

AINAH P PBI (APBN) Senile cataract, unspecified

MURSILAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

AMALIA SHOFIA RAHMAH P PNS PUSAT Acute upper respiratory infection,


unspecified
DHIA HUSNA KAMILA P PNS DAERAH Allergic contact dermatitis,
unspecified cause

NORNADINAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
230 19-10-2018 170406011018Y000299 0002216666801

231 18-10-2018 170406011018Y000185 0000122707001

232 18-10-2018 170406011018Y000187 0000123318865

233 18-10-2018 170406011018Y000190 0000123612535

234 18-10-2018 170406011018Y000195 0000123634372

235 18-10-2018 170406011018Y000193 0000124715428

236 18-10-2018 170406011018Y000186 0000889739201

237 18-10-2018 170406011018Y000304 0000889949114

238 18-10-2018 170406011018Y000189 0000890061535

239 18-10-2018 170406011018Y000196 0000891056338

240 18-10-2018 170406011018Y000191 0000891127269

241 18-10-2018 170406011018Y000192 0001425352072

242 18-10-2018 170406011018Y000536 0001449943121

243 18-10-2018 170406011018Y000194 0001786617786

244 18-10-2018 170406011018Y000188 0001827796612

245 17-10-2018 170406011018Y000311 0000122757276

246 17-10-2018 170406011018Y000313 0000890212026

247 17-10-2018 170406011018Y000307 0000890299124

248 17-10-2018 170406011018Y000315 0000890825231

249 17-10-2018 170406011018Y000312 0000891507453


ATAYA DWI RAFKA L PEGAWAI SWASTA Pneumonia due to other infectious
organisms, not

SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Primary gonarthrosis, bilateral

MUHAMMAD MUKRI, H L PNS PUSAT Hyperplasia of prostate

KAMARIAH, HJ P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

INDAH TRI HERAWATI P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

MASRUKIAH P PENERIMA PENSIUN PNS Dyspepsia

MAIMUNAH P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

NOOR AIDA P PEGAWAI SWASTA Contraceptive management,


unspecified
LAILA AMALIA P PBI (APBN) Conjunctivitis

FADILLAH L PBI (APBN) Influenza with pneumonia, virus


not identified

ARBANI HAMBALI L PBI (APBN) Urinary tract infection, site not


specified
SYUKRAN L PEKERJA MANDIRI Asthma

SANIAH P PEKERJA MANDIRI Contraceptive management,


unspecified
masriah P PEKERJA MANDIRI Cough

SUCI NURHIDAYATI P PEGAWAI SWASTA Acute haemorrhagic gastritis

HJ. MURNI P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

SYARIFUDINOOR L PBI (APBN) Low back pain

UMRAH P PBI (APBN) Fever of other and unknown origin

AINA P PBI (APBN) Acute upper respiratory infection,


unspecified
ZAHRATUN NUR P PBI (APBN) Motorcycle rider injured in collision
with pedestrian or animal,
unspecified motorcycle rider, traffic
accident
Berobat Jalan

Rujuk Lanjut

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Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
250 17-10-2018 170406011018Y000305 0001182333161

251 17-10-2018 170406011018Y000314 0001276410161

252 17-10-2018 170406011018Y000184 0001295327013

253 17-10-2018 170406011018Y000310 0001825757886

254 17-10-2018 170406011018Y000306 0002061130048

255 17-10-2018 170406011018Y000308 0002235454154

256 17-10-2018 170406011018Y000309 0002299925979

257 16-10-2018 170406011018Y000322 0000122330698

258 16-10-2018 170406011018Y000326 0000122654801

259 16-10-2018 170406011018Y000320 0000889793695

260 16-10-2018 170406011018Y000319 0000889795315

261 16-10-2018 170406011018Y000321 0000890236337

262 16-10-2018 170406011018Y000329 0000890340423

263 16-10-2018 170406011018Y000330 0000890678632

264 16-10-2018 170406011018Y000323 0000891510063

265 16-10-2018 170406011018Y000317 0001065415544

266 16-10-2018 170406011018Y000325 0001271659735

267 16-10-2018 170406011018Y000318 0001385980176

268 16-10-2018 170406011018Y000331 0001422558099

269 16-10-2018 170406011018Y000183 0001789350974

270 16-10-2018 170406011018Y000324 0001794111851

271 16-10-2018 170406011018Y000327 0001797527327


RIZKY AMALIAH P PEGAWAI SWASTA Antenatal screening, unspecified

naila samira mutmainah P PNS PUSAT Dyspepsia

ARSIAH P PEKERJA MANDIRI Senile cataract, unspecified

SAMNAH P PEKERJA MANDIRI Gout

M. ASRIANOR L PEGAWAI SWASTA Pulpitis

BARKIAH P PNS DAERAH Essential (primary) hypertension

SITI MARYAM P PEKERJA MANDIRI Gout

HASANAH P PNS PUSAT Gastritis, unspecified

ERNAWATI P PENERIMA PENSIUN PNS Necrosis of pulp

ASLAMIAH P PBI (APBN) Malaise and fatigue

MAULIDA P PBI (APBN) Dyspepsia

ATIKAH P PBI (APBN) Myalgia

SITI FATIMAH P PBI (APBN) Contraceptive management,


unspecified
WIWI ARIYANI P PBI (APBN) Contraceptive management,
unspecified
RUSMANIAH P PBI (APBN) Cough

IRWIN L PBI (APBN) Essential (primary) hypertension

RAHMAWATI P PEKERJA MANDIRI Influenza due to other identified


influenza virus
RUSMAH P PEKERJA MANDIRI Cough

NOFA SEPITRI P PEKERJA MANDIRI Antenatal screening, unspecified

ERFANSYAH L PEKERJA MANDIRI Benign lipomatous neoplasm of


skin and subcutaneous tissue of

NOOR AIDA P PEKERJA MANDIRI Dyspepsia

SITI FATIMAH P PEGAWAI PEMERINTAH Dental caries, unspecified


DENGAN PERJANJIAN
Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
272 16-10-2018 170406011018Y000328 0001898501613

273 16-10-2018 170406011018P000543 0001978883133

274 16-10-2018 170406011018Y000182 0002213331581

275 16-10-2018 170406011018Y000316 0002216666801

276 15-10-2018 170406011018Y000173 0000123209379

277 15-10-2018 170406011018Y000174 0000123302812

278 15-10-2018 170406011018Y000176 0000123317302

279 15-10-2018 170406011018Y000341 0000163976692

280 15-10-2018 170406011018Y000346 0000889971658

281 15-10-2018 170406011018Y000342 0000890310778

282 15-10-2018 170406011018Y000345 0000890313906

283 15-10-2018 170406011018Y000350 0000890455048

284 15-10-2018 170406011018P000545 0000890749574

285 15-10-2018 170406011018Y000180 0000890798995

286 15-10-2018 170406011018Y000343 0000891248736

287 15-10-2018 170406011018Y000179 0001266044051

288 15-10-2018 170406011018Y000177 0001303166687

289 15-10-2018 170406011018Y000344 0001439724183

290 15-10-2018 170406011018Y000347 0001443519538

291 15-10-2018 170406011018Y000175 0001548483546

292 15-10-2018 170406011018Y000349 0002079581826


MUHAMMAD IHSAN L PNS DAERAH Other and unspecified diseases of
pulp and

SANDRA P PBI (APBN) Complications of anaesthesia


during the

JAHRATUN SIFA P PEKERJA MANDIRI Delayed milestone

ATAYA DWI RAFKA L PEGAWAI SWASTA Pneumonia due to other infectious


organisms, not

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus
SUBONO L PENERIMA PENSIUN PNS Heart failure, unspecified

KAMRANI BUSERI L PNS PUSAT Hyperplasia of prostate

KORINA WULANDARI P PEKERJA MANDIRI Antenatal screening, unspecified

NORMAKLIPAH P PBI (APBN) Myalgia

RUSMIATI P PBI (APBN) Contraceptive management,


unspecified
SYARNIAH P PBI (APBN) Acute upper respiratory infection,
unspecified
ABDULLAH L PBI (APBN) Otitis externa

RAUDAH P PBI (APBN) Spontaneous vertex delivery

AINAH P PBI (APBN) Essential (primary) hypertension

M. NAZRIL L PBI (APBN) Necrosis of pulp

RAHMANI L PBI (APBD) Heart failure, unspecified

SYAEPULLAH L PEKERJA MANDIRI Epilepsy

AINA NUR HELMINA L PEGAWAI SWASTA Fever, unspecified

JAMILAH P PEKERJA MANDIRI Gout

YANUR L PEGAWAI SWASTA Other benign neoplasm of


connective and other soft tissue of
head, face and

NAHRUDIN FAHDI L PEKERJA MANDIRI Hyperlipidaemia, unspecified


Berobat Jalan

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Sembuh

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
293 15-10-2018 170406011018Y000181 0002216666801

294 15-10-2018 170406011018Y000348 0002490414849

295 13-10-2018 170406011018Y000361 0000122357564

296 13-10-2018 170406011018Y000357 0000122606188

297 13-10-2018 170406011018Y000362 0000122695571

298 13-10-2018 170406011018Y000363 0000122718982

299 13-10-2018 170406011018Y000364 0000122718993

300 13-10-2018 170406011018Y000365 0000122719026

301 13-10-2018 170406011018Y000366 0000122719037

302 13-10-2018 170406011018Y000367 0000122719195

303 13-10-2018 170406011018Y000368 0000122719206

304 13-10-2018 170406011018Y000369 0000122719432

305 13-10-2018 170406011018Y000370 0000122719509

306 13-10-2018 170406011018Y000371 0000122849267

307 13-10-2018 170406011018Y000352 0000123587021

308 13-10-2018 170406011018Y000360 0000158671361

309 13-10-2018 170406011018Y000372 0000204782804

310 13-10-2018 170406011018Y000359 0000890199988

311 13-10-2018 170406011018Y000172 0000890791738

312 13-10-2018 170406011018Y000378 0000890803124

313 13-10-2018 170406011018Y000377 0000891044673


ATAYA DWI RAFKA L PEGAWAI SWASTA Fever of other and unknown origin

AHMAD SYARIF L PEKERJA MANDIRI Suppurative and unspecified otitis


media
ERLYNDA OCTAVERRA NOOR P PNS DAERAH Examination of blood pressure

BARKIAH P PNS DAERAH Respiratory tuberculosis,


bacteriologically and

ERNI RAHMI P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

MEGAWATI P PNS DAERAH Examination of blood pressure

ITA AS P PENERIMA PENSIUN PNS Gout

NORHAYATI P PNS PUSAT Essential (primary) hypertension

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

RAHMAT ARIANSYAH L PBI (APBN) Headache

SALAMIAH P PBI (APBN) Insulin-dependent diabetes


mellitus with

HAPIPAH P PBI (APBN) Contraceptive management,


unspecified
JALIAH P PBI (APBN) Contraceptive management,
unspecified
Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
314 13-10-2018 170406011018Y000373 0001266035848

315 13-10-2018 170406011018Y000358 0001286581386

316 13-10-2018 170406011018Y000171 0001302569829

317 13-10-2018 170406011018Y000351 0001437665073

318 13-10-2018 170406011018Y000376 0001623245995

319 13-10-2018 170406011018Y000353 0001873511245

320 13-10-2018 170406011018Y000356 0001878840483

321 13-10-2018 170406011018Y000355 0001878842136

322 13-10-2018 170406011018Y000375 0001886266462

323 13-10-2018 170406011018Y000374 0002207775701

324 13-10-2018 170406011018Y000354 0002216666801

325 12-10-2018 170406011018Y000149 0000122598483

326 12-10-2018 170406011018Y000153 0000122608732

327 12-10-2018 170406011018Y000155 0000123203169

328 12-10-2018 170406011018Y000154 0000123209379

329 12-10-2018 170406011018Y000159 0000889713292

330 12-10-2018 170406011018Y000156 0000890786946

331 12-10-2018 170406011018Y000151 0000891540786

332 12-10-2018 170406011018Y000148 0001127483177

333 12-10-2018 170406011018Y000150 0001173437425

334 12-10-2018 170406011018Y000152 0001173437447

335 12-10-2018 170406011018Y000379 0001786622196


MASTAYAH P PEKERJA MANDIRI Examination of blood pressure

SITI MARIYAM L PNS DAERAH Myalgia

MANSYAH L PEKERJA MANDIRI Nonorganic insomnia

RUKAYAH P PEKERJA MANDIRI Low back pain

SAIDAH P PEGAWAI SWASTA Other and unspecified diseases of


pulp and

MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus
NORHANIAH P PEGAWAI SWASTA Cough

LIA NOOR RAHMAN P PEGAWAI SWASTA Acute upper respiratory infection,


unspecified
AMALIA SHOFIA RAHMAH P PNS PUSAT Necrosis of pulp

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

ATAYA DWI RAFKA L PEGAWAI SWASTA Pneumonia due to other infectious


organisms, not

NOOR HASANAH P PENERIMA PENSIUN PNS End-stage renal disease

MUHAMMAD JAMAHSYARI L PNS PUSAT Asthma

PARANSI L PNS DAERAH Headache

ANITA P PENERIMA PENSIUN PNS Spondylolysis

YADI L PBI (APBN) Benign lipomatous neoplasm of


other sites
SITI AISYAH P PBI (APBN) Spondylolysis

YANTO L PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

ARBAIN L PEGAWAI SWASTA Chronic laryngitis

HIKMAH P PEGAWAI SWASTA Caries of dentine

ADHA AZ ZAHRA P PEGAWAI SWASTA Caries of dentine

SRI YULIANTI P PEKERJA MANDIRI Contraceptive management,


unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
336 12-10-2018 170406011018Y000157 0001810491085

337 12-10-2018 170406011018Y000158 0001825757886

338 12-10-2018 170406011018Y000160 0001868734877

339 12-10-2018 170406011018Y000380 0002216666801

340 11-10-2018 170406011018Y000141 0000122805617

341 11-10-2018 170406011018Y000146 0000122824855

342 11-10-2018 170406011018Y000381 0000200778669

343 11-10-2018 170406011018Y000170 0000202899407

344 11-10-2018 170406011018Y000384 0000889949114

345 11-10-2018 170406011018Y000383 0000890749574

346 11-10-2018 170406011018Y000142 0000890844592

347 11-10-2018 170406011018Y000167 0001065414317

348 11-10-2018 170406011018Y000145 0001264610643

349 11-10-2018 170406011018Y000144 0001265576635

350 11-10-2018 170406011018Y000143 0001271566315

351 11-10-2018 170406011018Y000166 0001275341466

352 11-10-2018 170406011018Y000140 0001286806678

353 11-10-2018 170406011018Y000382 0001433339752

354 11-10-2018 170406011018Y000165 0001460055453

355 11-10-2018 170406011018Y000162 0001548389709

356 11-10-2018 170406011018Y000147 0001550569779

357 11-10-2018 170406011018Y000161 0001770759887

358 11-10-2018 170406011018Y000164 0001823098781


MURSILAH P PEKERJA MANDIRI Spondylolysis

SAMNAH P PEKERJA MANDIRI Dyspepsia

KASINAH P PEKERJA MANDIRI Dyspepsia

ATAYA DWI RAFKA L PEGAWAI SWASTA Pneumonia due to other infectious


organisms, not

SAHIB IBERAHIM L PNS DAERAH Essential (primary) hypertension

NOORLENA P PNS DAERAH Mixed anxiety and depressive


disorder
NORLIANI P PEKERJA MANDIRI Antenatal screening, unspecified

SITI BARKIS P PENERIMA PENSIUN PNS Fever of other and unknown origin

NOOR AIDA P PEGAWAI SWASTA Contraceptive management,


unspecified
RAUDAH P PBI (APBN) Antenatal screening, unspecified

NORSEHAN P PBI (APBN) External haemorrhoids with other


complications
AHMAD NAZORI L PBI (APBN) Headache

MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia

IJUH L PEKERJA MANDIRI Dyspepsia

NURUL JANNAH P PEKERJA MANDIRI Low back pain

ASLAMIYAH P PEKERJA MANDIRI Spondylolysis

MUHAMMAD L PEKERJA MANDIRI Undifferentiated schizophrenia

RUSDIANA HANDAYANI P PEKERJA MANDIRI Contraceptive management,


unspecified
RUSMILAWATI P PEGAWAI SWASTA Essential (primary) hypertension

INTAN CAMELIA SARI P PEGAWAI SWASTA Allergic contact dermatitis

M SUGIANNOR L PEGAWAI SWASTA Caries of dentine

FAZRIANNOOR L PEGAWAI SWASTA Spondylolysis

ARBAYAH, HJ P PEKERJA MANDIRI Essential (primary) hypertension


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
359 11-10-2018 170406011018Y000163 0001902576161

360 11-10-2018 170406011018Y000168 0002079581826

361 11-10-2018 170406011018Y000169 0002482486953

362 10-10-2018 170406011018Y000128 0000038384741

363 10-10-2018 170406011018Y000137 0000122756591

364 10-10-2018 170406011018Y000386 0000166492383

365 10-10-2018 170406011018Y000138 0000204782804

366 10-10-2018 170406011018Y000127 0000890073944

367 10-10-2018 170406011018Y000135 0000890811099

368 10-10-2018 170406011018Y000385 0001190921984

369 10-10-2018 170406011018Y000139 0001266035848

370 10-10-2018 170406011018Y000136 0001425352072

371 10-10-2018 170406011018Y000129 0001443518504

372 10-10-2018 170406011018Y000131 0001443519538

373 10-10-2018 170406011018Y000126 0001451642679

374 10-10-2018 170406011018Y000130 0001852699871

375 10-10-2018 170406011018Y000132 0001858815112

376 10-10-2018 170406011018Y000134 0002229667119

377 10-10-2018 170406011018Y000133 0002309476781

378 09-10-2018 170406011018Y000112 0000122707045

379 09-10-2018 170406011018Y000117 0000123656174

380 09-10-2018 170406011018Y000120 0000195495761


RINI ANDRIATI P PEKERJA MANDIRI Spondylolysis

NAHRUDIN FAHDI L PEKERJA MANDIRI Gout

HERY HIDAYAT L PEKERJA MANDIRI Cough

AMINA, DRA. H P PNS PUSAT Benign neoplasm of breast

ABDUL HADI L PENERIMA PENSIUN PNS Cough

AISYAH P PENERIMA PENSIUN TNI Contraceptive management,


unspecified
SITI PATIMAH P PENERIMA PENSIUN PNS Idiopathic gout

IDHAM L PBI (APBN) Dyspepsia

RUSNANI P PBI (APBN) Influenza, virus not identified

NAYSA PUTRI ALMUNADA P PEGAWAI SWASTA Other and unspecified diseases of


pulp and

MASTAYAH P PEKERJA MANDIRI Spondylolysis

SYUKRAN L PEKERJA MANDIRI Asthma

NASRUDDIN L PEKERJA MANDIRI Spondylolysis

JAMILAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

A. ARBANI L PEKERJA MANDIRI Unilateral or unspecified inguinal


hernia, without

WARTINI P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

MARIAH P PEKERJA MANDIRI Otitis externa

NUR LAILA AZKIYA P PEKERJA MANDIRI Disturbances in tooth eruption

HASBIANNOR L PEKERJA MANDIRI Essential (primary) hypertension

ROHANI P PENERIMA PENSIUN TNI Gout

RUSLANI IBUT L PENERIMA PENSIUN PNS Cough

RAHIMAH P PENERIMA PENSIUN PNS Essential (primary) hypertension


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
381 09-10-2018 170406011018Y000110 0000889849967

382 09-10-2018 170406011018Y000111 0000889971658

383 09-10-2018 170406011018Y000387 0000890017211

384 09-10-2018 170406011018Y000388 0000890029383

385 09-10-2018 170406011018Y000389 0000890053525

386 09-10-2018 170406011018Y000119 0000890212026

387 09-10-2018 170406011018Y000124 0000890212318

388 09-10-2018 170406011018Y000115 0000890541663

389 09-10-2018 170406011018Y000113 0000890820944

390 09-10-2018 170406011018Y000118 0000890843826

391 09-10-2018 170406011018Y000108 0001271566315

392 09-10-2018 170406011018Y000123 0001307796309

393 09-10-2018 170406011018Y000116 0001380923177

394 09-10-2018 170406011018Y000125 0001443519538

395 09-10-2018 170406011018Y000109 0001449943121

396 09-10-2018 170406011018Y000121 0001789350974

397 09-10-2018 170406011018Y000122 0001859978619

398 09-10-2018 170406011018Y000114 0002207538617

399 08-10-2018 170406011018Y000094 0000123452943

400 08-10-2018 170406011018Y000090 0000123844768

401 08-10-2018 170406011018Y000089 0000889376703

402 08-10-2018 170406011018Y000105 0000889471293

403 08-10-2018 170406011018Y000390 0000889776448


MUZTALIPAH P PBI (APBN) Necrosis of pulp

NORMAKLIPAH P PBI (APBN) Spondylolysis

AMAH P PBI (APBN) Antenatal screening, unspecified

RAIHANA RIDA P PBI (APBN) Contraceptive management,


unspecified
MARIANA P PBI (APBN) Contraceptive management,
unspecified
SYARIFUDINOOR L PBI (APBN) Spondylolysis

HALIMAH P PBI (APBN) Spondylolysis

JUHAIRIAH P PBI (APBN) Spondylolysis

MAHRIANI P PBI (APBN) Essential (primary) hypertension

KHAIRUDIN L PBI (APBN) Headache

NURUL JANNAH P PEKERJA MANDIRI Pterygium

ARBAYAH P PEKERJA MANDIRI Otitis media, unspecified

RAHMAWATY P PEKERJA MANDIRI Essential (primary) hypertension

JAMILAH P PEKERJA MANDIRI Essential (primary) hypertension

SANIAH P PEKERJA MANDIRI Necrosis of pulp

ERFANSYAH L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

NORHAYATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified

NORNADINAH P PEKERJA MANDIRI Cough

SITI MULIA P PENERIMA PENSIUN TNI Spondylolysis

MAWARDAH P PENERIMA PENSIUN PNS Acute lymphadenitis, unspecified

hj jawita P PBI (APBN) End-stage renal disease

ARBAYAH P PBI (APBN) Dyspepsia

SALSA DILA ADINDA P PBI (APBN) Antenatal screening, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
404 08-10-2018 170406011018Y000107 0000889943534

405 08-10-2018 170406011018Y000095 0000890310238

406 08-10-2018 170406011018Y000104 0000890720302

407 08-10-2018 170406011018Y000106 0000891127269

408 08-10-2018 170406011018Y000101 0001291826709

409 08-10-2018 170406011018Y000092 0001380784746

410 08-10-2018 170406011018Y000091 0001460053989

411 08-10-2018 170406011018Y000100 0001810491085

412 08-10-2018 170406011018Y000099 0001823098781

413 08-10-2018 170406011018Y000391 0001827796612

414 08-10-2018 170406011018Y000098 0001867189779

415 08-10-2018 170406011018Y000088 0001868734877

416 08-10-2018 170406011018Y000102 0002079581826

417 08-10-2018 170406011018Y000103 0002211778192

418 08-10-2018 170406011018Y000093 0002219622827

419 08-10-2018 170406011018Y000096 0002454246077

420 08-10-2018 170406011018Y000097 0002469036644

421 06-10-2018 170406011018Y000392 0000122654801

422 06-10-2018 170406011018Y000393 0000122695571

423 06-10-2018 170406011018Y000394 0000122718791

424 06-10-2018 170406011018Y000395 0000122718971

425 06-10-2018 170406011018Y000396 0000122718982


MUNSI L PBI (APBN) Cough

HERMAN PELANI L PBI (APBN) Cough

FATIMAH P PBI (APBN) Essential (primary) hypertension

ARBANI HAMBALI L PBI (APBN) Bitten or stung by nonvenomous


insect and other nonvenomous

AHMAD ZAKI ILMI L PEKERJA MANDIRI Residual schizophrenia

RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate

M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension

MURSILAH P PEKERJA MANDIRI Dyspepsia

ARBAYAH, HJ P PEKERJA MANDIRI Essential (primary) hypertension

SUCI NURHIDAYATI P PEGAWAI SWASTA Antenatal screening, unspecified

halimatus sadiah P PEKERJA MANDIRI Headache

KASINAH P PEKERJA MANDIRI Undifferentiated schizophrenia

NAHRUDIN FAHDI L PEKERJA MANDIRI Essential (primary) hypertension

MUHAMMAD AINI L PEKERJA MANDIRI Essential (primary) hypertension

SURIANSYAH L PEKERJA MANDIRI Heart failure, unspecified

ZAIRIFANI L PEGAWAI SWASTA Dyspepsia

SITI ZALEHA P PEKERJA MANDIRI Dyspepsia

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ERNI RAHMI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Contraceptive management,


unspecified
FARIDAWATY P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
426 06-10-2018 170406011018Y000397 0000122718993

427 06-10-2018 170406011018Y000398 0000122719026

428 06-10-2018 170406011018Y000399 0000122719037

429 06-10-2018 170406011018Y000400 0000122719151

430 06-10-2018 170406011018Y000401 0000122719195

431 06-10-2018 170406011018Y000402 0000122719206

432 06-10-2018 170406011018Y000077 0000122849267

433 06-10-2018 170406011018Y000078 0000123587021

434 06-10-2018 170406011018Y000075 0000123656174

435 06-10-2018 170406011018Y000403 0000204782804

436 06-10-2018 170406011018Y000407 0000889927885

437 06-10-2018 170406011018Y000079 0000889943534

438 06-10-2018 170406011018Y000083 0000890202284

439 06-10-2018 170406011018Y000085 0000890314064

440 06-10-2018 170406011018Y000082 0000890405717

441 06-10-2018 170406011018Y000080 0000890788487

442 06-10-2018 170406011018Y000087 0000891219633

443 06-10-2018 170406011018Y000535 0000894751784

444 06-10-2018 170406011018Y000073 0001263163318

445 06-10-2018 170406011018Y000072 0001266035253

446 06-10-2018 170406011018Y000076 0001266035848


BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

JOHNY RAMOON L PNS PUSAT Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

MEGAWATI P PNS DAERAH Influenza, virus not identified

ITA AS P PENERIMA PENSIUN PNS Gout

RUSLANI IBUT L PENERIMA PENSIUN PNS Cough

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

HAMIDAH P PBI (APBN) Contraceptive management,


unspecified
MUNSI L PBI (APBN) Cough

NOOR SYARIFAH P PBI (APBN) Acute haemorrhagic gastritis

SAPRANI L PBI (APBN) Essential (primary) hypertension

MISRAN L PBI (APBN) Hyperlipidaemia, unspecified

DAHLIATI P PBI (APBN) Spondylolysis

BAHRUDIN L PBI (APBN) Tuberculosis of lung, confirmed by


sputum microscopy with or without

NOORLIANA SANTI P PBI (APBN) Contraceptive management,


unspecified
RAJUDDIN NOOR L PEKERJA MANDIRI Undifferentiated schizophrenia

AHMAD MUHAMMAD MARZUKI L PEKERJA MANDIRI Rheumatoid nodule, multiple sites

MASTAYAH P PEKERJA MANDIRI Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
447 06-10-2018 170406011018Y000404 0001298136914

448 06-10-2018 170406011018Y000086 0001425352072

449 06-10-2018 170406011018Y000074 0001451368113

450 06-10-2018 170406011018Y000081 0001828932243

451 06-10-2018 170406011018Y000405 0001873511245

452 06-10-2018 170406011018Y000084 0002093722468

453 06-10-2018 170406011018Y000406 0002207775701

454 05-10-2018 170406011018Y000066 0000123029032

455 05-10-2018 170406011018Y000067 0000123209379

456 05-10-2018 170406011018Y000060 0000890038899

457 05-10-2018 170406011018Y000408 0000890074754

458 05-10-2018 170406011018Y000063 0000890310238

459 05-10-2018 170406011018Y000071 0000891559798

460 05-10-2018 170406011018Y000070 0000891560812

461 05-10-2018 170406011018Y000069 0000891561363

462 05-10-2018 170406011018Y000061 0001306752142

463 05-10-2018 170406011018Y000068 0001546154008

464 05-10-2018 170406011018Y000065 0001837184545

465 05-10-2018 170406011018Y000064 0002229571269

466 05-10-2018 170406011018Y000062 0002490415727

467 04-10-2018 170406011018Y000046 0000122824495


MAHWATI P PEKERJA MANDIRI Examination of blood pressure

SYUKRAN L PEKERJA MANDIRI Asthma

DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified

SANIAH P PEKERJA MANDIRI Spondylolysis

MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

MANSYAH L PEKERJA MANDIRI Unspecified contact dermatitis

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

AHMADI L PNS DAERAH Chronic kidney disease

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus with peripheral circulatory

FATMAWATI P PBI (APBN) Prolonged pregnancy

BAHRAH P PBI (APBN) Contraceptive management,


unspecified
HERMAN PELANI L PBI (APBN) Cough

RAHMAWATI P PBI (APBN) Cough

SYAHRANI L PBI (APBN) Acute upper respiratory infection,


unspecified
FATIMAH P PBI (APBN) Typhoid and paratyphoid fevers

MAHRITA P PEKERJA MANDIRI Essential (primary) hypertension

M. IHSAN RAMADHANI L PEGAWAI SWASTA Caries of dentine

aldi noor fahrezy L PEKERJA MANDIRI Headache

DANIANSYAH L PEKERJA MANDIRI Other and unspecified


gastroenteritis and colitis

supriyadi anwar L PEKERJA MANDIRI Gastritis and duodenitis

YUDA SYAIFUDDIN L PEKERJA MANDIRI Other specified mental disorders


due to brain damage and
dysfunction
Sembuh

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Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
468 04-10-2018 170406011018Y000053 0000123807036

469 04-10-2018 170406011018Y000534 0000889702828

470 04-10-2018 170406011018Y000049 0000890450109

471 04-10-2018 170406011018Y000058 0000890539097

472 04-10-2018 170406011018Y000054 0001265576771

473 04-10-2018 170406011018Y000410 0001271659735

474 04-10-2018 170406011018Y000051 0001319216321

475 04-10-2018 170406011018Y000411 0001381946973

476 04-10-2018 170406011018Y000056 0001381947052

477 04-10-2018 170406011018Y000409 0001442206901

478 04-10-2018 170406011018Y000055 0001548389698

479 04-10-2018 170406011018Y000045 0001554366532

480 04-10-2018 170406011018Y000047 0001786617786

481 04-10-2018 170406011018Y000059 0001801332437

482 04-10-2018 170406011018Y000057 0001852699871

483 04-10-2018 170406011018P000544 0001865551937

484 04-10-2018 170406011018Y000052 0001928240379

485 04-10-2018 170406011018Y000048 0002061130048

486 04-10-2018 170406011018Y000050 0002438267624

487 03-10-2018 170406011018Y000412 0000123115331


NORMI ULFAH P PENERIMA PENSIUN PNS Influenza, virus not identified

MIDAWATI P PBI (APBN) Contraceptive management,


unspecified
NOOR EFFENDI L PBI (APBN) Acute periodontitis

SAHWATI P PBI (APBN) Spondylolysis

MASJA P PEKERJA MANDIRI Spondylolysis

RAHMAWATI P PEKERJA MANDIRI Contraceptive management,


unspecified
SITI MARIAM P PEKERJA MANDIRI Spondylolysis

RINA MISLAWATI P PEGAWAI PEMERINTAH Antenatal screening, unspecified


DENGAN PERJANJIAN

KEVIN ROYDEN DANENDRA L PEGAWAI PEMERINTAH Acute tonsillitis


DENGAN PERJANJIAN

RISMA SUSANTI P PEKERJA MANDIRI Contraceptive management,


unspecified
MIRDA BANJARIAH P PEGAWAI SWASTA Non-insulin-dependent diabetes
mellitus with

RAISYAH P PEKERJA MANDIRI Malignant neoplasm of connective


and soft tissue

masriah P PEKERJA MANDIRI Primary gonarthrosis, bilateral

MUHAMMAD HAEKAL L PEKERJA MANDIRI Influenza, virus not identified

WARTINI P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

dewi arfina P PEKERJA MANDIRI Complications of anaesthesia


during the

NOORSYAHRINI L PEGAWAI SWASTA Cough

M. ASRIANOR L PEGAWAI SWASTA Pulpitis

RAISA ASPIAN P PEKERJA MANDIRI Disturbances in tooth eruption

M HATTA L PNS DAERAH Essential (primary) hypertension


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
488 03-10-2018 170406011018Y000042 0000123319956

489 03-10-2018 170406011018Y000414 0000889364597

490 03-10-2018 170406011018Y000415 0000889741888

491 03-10-2018 170406011018Y000416 0000889767178

492 03-10-2018 170406011018Y000419 0000890212026

493 03-10-2018 170406011018Y000413 0000890310238

494 03-10-2018 170406011018Y000417 0000890561733

495 03-10-2018 170406011018Y000420 0000890742508

496 03-10-2018 170406011018Y000043 0001657157692

497 03-10-2018 170406011018Y000422 0001839006876

498 03-10-2018 170406011018Y000421 0002093457723

499 03-10-2018 170406011018Y000418 0002265929111

500 02-10-2018 170406011018Y000023 0000122654801

501 02-10-2018 170406011018Y000019 0000123114969

502 02-10-2018 170406011018Y000029 0000123656174

503 02-10-2018 170406011018Y000040 0000124564544

504 02-10-2018 170406011018Y000037 0000889713292

505 02-10-2018 170406011018Y000020 0000889764671

506 02-10-2018 170406011018Y000021 0000889764759

507 02-10-2018 170406011018Y000034 0000889928842

508 02-10-2018 170406011018Y000041 0000890212318

509 02-10-2018 170406011018Y000032 0000890306289

510 02-10-2018 170406011018Y000031 0000890313906


NORSILAN P PNS PUSAT Stroke, not specified as
haemorrhage or infarction
MARDIKAYAH P PBI (APBN) Essential (primary) hypertension

FARIDAH P PBI (APBN) Dyspepsia

SADIKIN L PBI (APBN) Hyperlipidaemia, unspecified

SYARIFUDINOOR L PBI (APBN) Myalgia

HERMAN PELANI L PBI (APBN) Cough

SURIADI L PBI (APBN) Gastritis and duodenitis

RAHMAH P PBI (APBN) Hyperlipidaemia, unspecified

IWAN JAYA SAPUTERA L PEKERJA MANDIRI Essential (primary) hypertension

ANIDA P PEKERJA MANDIRI Contraceptive management,


unspecified
HARI LISWATI P PEKERJA MANDIRI Essential (primary) hypertension

NURSIAH P PEKERJA MANDIRI Gout

ERNAWATI P PENERIMA PENSIUN PNS Heart failure, unspecified

AINI P PNS DAERAH Essential (primary) hypertension

RUSLANI IBUT L PENERIMA PENSIUN PNS Cough

ABDUL GAFAR L PENERIMA PENSIUN POLRI Essential (primary) hypertension

YADI L PBI (APBN) Benign lipomatous neoplasm of


other sites
MURSIDAH P PBI (APBN) Congestive heart failure

ahmad saidi L PBI (APBN) Undifferentiated schizophrenia

YANA P PBI (APBN) Essential (primary) hypertension

HALIMAH P PBI (APBN) Essential (primary) hypertension

ASTINA P PBI (APBN) Allergic contact dermatitis

SYARNIAH P PBI (APBN) Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
511 02-10-2018 170406011018Y000044 0000890650427

512 02-10-2018 170406011018Y000027 0000890656435

513 02-10-2018 170406011018Y000036 0000890742508

514 02-10-2018 170406011018Y000424 0000890742508

515 02-10-2018 170406011018Y000028 0000890742587

516 02-10-2018 170406011018Y000033 0000890813081

517 02-10-2018 170406011018Y000038 0001065416681

518 02-10-2018 170406011018Y000026 0001079882188

519 02-10-2018 170406011018Y000039 0001173437425

520 02-10-2018 170406011018Y000022 0001267501601

521 02-10-2018 170406011018Y000423 0001422558099

522 02-10-2018 170406011018Y000035 0001789350974

523 02-10-2018 170406011018Y000030 0001859978619

524 02-10-2018 170406011018Y000024 0001889939777

525 02-10-2018 170406011018Y000025 0002446911887

526 01-10-2018 170406011018Y000006 0000122653427

527 01-10-2018 170406011018Y000011 0000123844768

528 01-10-2018 170406011018Y000015 0000890405717

529 01-10-2018 170406011018Y000012 0000890465016

530 01-10-2018 170406011018Y000009 0000890467964

531 01-10-2018 170406011018Y000016 0000890811099

532 01-10-2018 170406011018Y000005 0000890811977


MUJALIFAH P PBI (APBN) Antenatal screening, unspecified

ERNI YANTI P PBI (APBN) Dyspepsia

RAHMAH P PBI (APBN) Spondylolysis

RAHMAH P PBI (APBN) Necrosis of pulp

NOOR ANISA P PBI (APBN) Necrosis of pulp

MUHAMMAD BADRI L PBI (APBN) Conjunctivitis

DICKY WAHYUDI L PBI (APBN) Diarrhoea and gastroenteritis of


presumed infectious origin

MUSTAFA KAMAL L PNS DAERAH Caries of dentine

HIKMAH P PEGAWAI SWASTA Acute upper respiratory infection,


unspecified
ASRANI L PEKERJA MANDIRI Atherosclerotic cardiovascular
disease, so

NOFA SEPITRI P PEKERJA MANDIRI Contraceptive management,


unspecified
ERFANSYAH L PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with

NORHAYATI P PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

SAPIAH P PEKERJA MANDIRI Heart failure, unspecified

NENENG P PEKERJA MANDIRI Chronic kidney disease

RUSDIANA P PNS PUSAT Pterygium

MAWARDAH P PENERIMA PENSIUN PNS Cutaneous abscess, furuncle and


carbuncle
MISRAN L PBI (APBN) Spondylolysis

RUSMINAH P PBI (APBN) Essential (primary) hypertension

MURHAN BASERI L PBI (APBN) Headache

RUSNANI P PBI (APBN) Essential (primary) hypertension

MISBATUN NI'MAH P PBI (APBN) Dyspepsia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
533 01-10-2018 170406011018Y000013 0000891213445

534 01-10-2018 170406011018Y000008 0000978029818

535 01-10-2018 170406011018Y000004 0001065414284

536 01-10-2018 170406011018Y000018 0001380784746

537 01-10-2018 170406011018Y000014 0001385980176

538 01-10-2018 170406011018Y000007 0001811415183

539 01-10-2018 170406011018Y000001 0001904156392

540 01-10-2018 170406011018Y000003 0002061186377

541 01-10-2018 170406011018Y000010 0002093458195

542 01-10-2018 170406011018Y000017 0002229564835

543 01-10-2018 170406011018Y000002 0002487074141


HENDRA L PBI (APBN) Motorcycle rider injured in collision
with pedestrian or animal,
unspecified motorcycle rider, traffic
accident

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

LATIFAH P PBI (APBN) Essential (primary) hypertension

RAWANSYAH L PEKERJA MANDIRI Spondylolysis

RUSMAH P PEKERJA MANDIRI Spondylolysis

MARCHANI L PEKERJA MANDIRI Caries of dentine

SALMAN L PEKERJA MANDIRI Senile cataract, unspecified

EKO WAHYU NUR SOFIANTO L PEGAWAI PEMERINTAH Hyperparathyroidism, unspecified


DENGAN PERJANJIAN

REGHINA VASHA P PEKERJA MANDIRI Acute upper respiratory infection,


unspecified
YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate

bilqist selmira achmadi P PEKERJA MANDIRI Burn of unspecified degree of trunk


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